Hospital

GLENCOE REGIONAL HEALTH

Glencoe, MN · CCN 241355 · Rates published

3,225 distinct procedures filed

4 distinct payers

19,790 rate rows

2026-05-06 last MRF observed

Data quality

19,766 of 19,790 rate rows are consumer-grade (99.9%)

24 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reason	Rows
exceeds 10× this hospital's gross charge — excluded from medians	21
placeholder amount (≤ $0.02) — excluded from medians	3

Data source & audit trail ↓ Download audit trail (JSON)

Source MRF file	https://glencoehealth.org/wp-content/uploads/2025/04/411949230_glencoe-regional-health-services_standardcharges.csv
Found on page	https://glencoehealth.org/billing-and-insurance/billing-information/
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-05-15
Content fingerprint	53cbbe14137e3fd0… · 4,700,823 bytes · first seen 2026-05-06

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code	Description	Payers	Min $	Max $	Avg median	vs national
45388 CPT	Pr Colonoscopy Flx Ablation Tumor Polyp/other Les	3	$599.23	$8,293.33	$6,320.45	nat. median $1,902 outlier · 3.3×
59510 CPT	Pr OB Antepartum Care Cesarean Dlvr & POSTPARTUM,Professinal Compenent	3	$5,037.07	$6,100.57	$5,095.20	nat. median $3,677 1.4× median
111956 CPT	Hchg Procedure Level 6 (+ Staff + Setup)	4	$4,778.14	$5,919.58	$4,915.84	—
59610 CPT	Pr Routine OB Care Vag Dlvry & Postpartum Care VB,Professinal Compenent	3	$4,776.59	$5,785.09	$4,831.72	nat. median $3,356 1.4× median
111957 CPT	Hchg Procedure Level 6 (+ Staff)	4	$4,677.08	$5,794.39	$4,811.88	—
59400 CPT	Pr OB Care Antepartum Vag Dlvr & POSTPARTUM,Professinal Compenent	3	$4,537.95	$5,496.07	$4,590.32	nat. median $3,185 1.4× median
111955 CPT	Hchg Procedure Level 6 (+ Setup)	4	$4,272.81	$5,293.54	$4,395.95	—
J9225 CPT	Pr Histrelin Implant (vantas) 50 Mg	4	$4,250.87	$5,266.35	$4,373.38	nat. median $7,065 0.6× median
111954 CPT	Hchg Procedure Level 6	4	$4,171.76	$5,168.35	$4,291.98	—
111948 CPT	Hchg Procedure Level 5 (+ Staff + Setup)	4	$4,148.47	$5,139.50	$4,268.03	—
27134 CPT	Pr Revj Tot Hip Arthrp Bth W/wo AGRFT/ALGRFT,Professinal Compenent	3	$4,165.31	$5,044.74	$4,213.38	nat. median $9,010 outlier · 0.5×
111949 CPT	Hchg Procedure Level 5 (+ Staff)	4	$4,047.39	$5,014.26	$4,164.03	—
A9569 CPT	Nm Dose Tech 99m Ceretec Label Wbc	4	$3,974.44	$4,923.88	$4,088.98	nat. median $2,081 2.0× median
44207 CPT	Pr Laps Colectomy Prtl W/colopxtstmy Lw ANAST,Professinal Compenent	3	$3,975.59	$4,814.97	$4,021.47	nat. median $4,023 1.0× median
44206 CPT	Pr Laps Colectomy Prtl W/end Clst & Clsr Dstl SGM,Professinal Compenent	3	$3,824.28	$4,631.72	$3,868.42	nat. median $4,052 1.0× median
27487 CPT	Pr Revj Tot Knee Arthrp Fem&entire Tibial COMPONE,Professinal Compenent	3	$3,819.02	$4,625.34	$3,863.09	nat. median $11,539 outlier · 0.3×
23474 CPT	Pr Revis Shoulder Arthrplsty Humeral&glenoid COMPNT,Professinal Compenent	3	$3,812.23	$4,617.13	$3,856.23	nat. median $8,467 outlier · 0.5×
43282 CPT	Pr Laps Rpr Paraesphgl Hrna Incl Fundplsty W/MESH,Professinal Compenent	3	$3,791.92	$4,592.52	$3,835.68	nat. median $10,411 outlier · 0.4×
111947 CPT	Hchg Procedure Level 5 (+ Setup)	4	$3,643.14	$4,513.45	$3,748.14	—
44227 CPT	Pr Laps Clsr Ntrstm Lg/sm Int W/rescj & ANASTOMOSIS,Professinal Compenent	3	$3,639.84	$4,408.34	$3,681.85	nat. median $3,462 1.1× median
27132 CPT	Pr Conv Prev Hip Tot Hip Arthrp W/wo AGRFT/ALGRFT,Professinal Compenent	3	$3,637.60	$4,405.61	$3,679.58	nat. median $9,896 outlier · 0.4×
44143 CPT	Pr Colectomy Prtl W/end Colostomy & Clsr Dstl SGMT,Professinal Compenent	3	$3,633.82	$4,401.05	$3,675.76	nat. median $3,062 1.2× median
44145 CPT	Pr Colectomy Prtl W/COLOPROCTOSTOMY,Professinal Compenent	3	$3,620.27	$4,384.63	$3,662.05	nat. median $3,129 1.2× median
111946 CPT	Hchg Procedure Level 5	4	$3,542.08	$4,388.24	$3,644.15	—
111940 CPT	Hchg Procedure Level 4 (+ Staff + Setup)	4	$3,518.48	$4,359.01	$3,619.88	—
44603 CPT	Pr Enterorrhaphy Multiple PERFORATIONS,Professinal Compenent	3	$3,539.71	$4,287.07	$3,580.57	nat. median $3,096 1.2× median
23473 CPT	Pr Revis Shoulder Arthrplsty Humeral/glenoid COMPNT,Professinal Compenent	3	$3,529.18	$4,274.31	$3,569.91	nat. median $12,789 outlier · 0.3×
111941 CPT	Hchg Procedure Level 4 (+ Staff)	4	$3,417.43	$4,233.82	$3,515.92	—
43281 CPT	Pr Laps Rpr Paraesphgl Hrna Incl Fundplsty Without MESH,Professinal Compenent	3	$3,371.09	$4,082.84	$3,410.00	nat. median $10,140 outlier · 0.3×
44204 CPT	Pr Laparoscopy Colectomy Partial W/ANASTOMOSIS,Professinal Compenent	3	$3,359.05	$4,068.26	$3,397.82	nat. median $3,782 0.9× median
49204 CPT	Pr Exc/destruction Open Abdmnl Tumors 5.1-10.0 CM,Professinal Compenent	3	$3,343.99	$4,050.02	$3,382.58	nat. median $4,014 0.8× median
27138 CPT	Pr Revj Tot Hip Arthrp Fem Only W/wo ALGRFT,Professinal Compenent	3	$3,324.41	$4,026.31	$3,362.78	nat. median $10,346 outlier · 0.3×
27137 CPT	Pr Revj Tot Hip Arthrp Actblr W/wo AGRFT/ALGRFT,Professinal Compenent	3	$3,200.20	$3,875.87	$3,237.14	nat. median $8,360 outlier · 0.4×
23472 CPT	Pr Arthroplasty Glenohumeral Joint Total SHOULDER,Professinal Compenent	3	$3,160.31	$3,827.56	$3,196.79	nat. median $16,400 outlier · 0.2×
95811 CPT	Hchg Polysomnography => 6yrs =>4 Parameters W Cpap Or Bilevel	4	$446.09	$3,868.18	$3,122.30	nat. median $2,026 1.5× median
44602 CPT	Pr Enterorrhaphy 1PERFORATION,Professinal Compenent	3	$3,082.02	$3,732.73	$3,117.59	nat. median $3,844 0.8× median
58565 CPT	Pr Hysteroscopy Bi Tube Occlusion W/perm Implnts	3	$927.47	$4,846.89	$3,109.96	nat. median $5,126 0.6× median
111939 CPT	Hchg Procedure Level 4 (+ Setup)	4	$3,013.16	$3,732.98	$3,100.01	—
27486 CPT	Pr Revj Total Knee Arthrp W/wo Algrft 1 COMPONENT,Professinal Compenent	3	$3,053.40	$3,698.08	$3,088.64	nat. median $8,742 outlier · 0.4×
44202 CPT	Pr Laps Enterect Rescj 1 Small Intest Rescj & ANA,Professinal Compenent	3	$3,024.04	$3,662.52	$3,058.94	nat. median $3,950 0.8× median
110749 CPT	Hchg Birthing Vaginal Complicated	4	$2,972.04	$3,682.02	$3,057.69	—
27415 CPT	Pr Osteochondral Allograft Knee OPEN,Professinal Compenent	3	$2,982.65	$3,612.39	$3,017.07	nat. median $12,082 outlier · 0.2×
43840 CPT	Pr Gastrorrhaphy Sutr Prf8 Duol/gstr Ulcer WND/INJ,Professinal Compenent	3	$2,963.82	$3,589.59	$2,998.03	nat. median $3,873 0.8× median
111938 CPT	Hchg Procedure Level 4	4	$2,912.10	$3,607.77	$2,996.02	—
27130 CPT	Pr Arthrp Acetblr/prox Fem Prostc AGRFT/ALGRFT,Professinal Compenent	3	$2,944.25	$3,565.89	$2,978.23	nat. median $13,091 outlier · 0.2×
27447 CPT	Pr Arthrp Kne Condyle&platu Medial&lat COMPARTMENTS,Professinal Compenent	3	$2,942.74	$3,564.06	$2,976.71	nat. median $12,648 outlier · 0.2×
111930 CPT	Hchg Procedure Level 3 (+ Staff + Setup)	4	$2,887.55	$3,577.36	$2,970.78	—
44140 CPT	Pr Colectomy Partial W/ANASTOMOSIS,Professinal Compenent	3	$2,926.94	$3,544.92	$2,960.72	nat. median $2,724 1.1× median
44205 CPT	Pr Laps Colectomy Prtl W/rmvl Terminal ILEUM,Professinal Compenent	3	$2,921.67	$3,538.53	$2,955.39	nat. median $3,081 1.0× median
27506 CPT	Pr Optx Fem Shft Fx W/insj Imed Implt W/wo SCREW,Professinal Compenent	3	$2,902.09	$3,514.82	$2,935.58	nat. median $4,702 0.6× median

Other procedures at this hospital

Browse this hospital's 3,225 published procedures. Use the slice to choose what to show, then sort or filter any column.

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code	Type	Description	Rate rows	Payers	Gross	Cash	Min $	Max $	Avg median	Last observed

0335T	CPT	Pr Insertion Of Sinus Tarsi IMPLANT,Professinal Compenent	3	3	$2,288.60	$2,288.60	$1,685.55	$2,041.43	$1,705.01	2026-05-06
100024	CPT	Hchg Med/surg/ob Room	4	4	$2,094.00	$2,094.00	$1,507.68	$1,867.85	$1,551.13	2026-05-06
100039	CPT	Hchg Peds Room	4	4	$2,094.00	$2,094.00	$1,507.68	$1,867.85	$1,551.13	2026-05-06
10030	CPT	Hchg US Cath Fluid Collection Drainage Soft Tissue Inc Guide	11	4	$2,023.86	$2,023.86	$259.00	$2,017.32	$1,507.78	2026-05-06
11005	CPT	Pr Dbrdmt Skn Subq T/m/f Necro Infctj Abdl WALL,Professinal Compenent	3	3	$2,317.21	$2,317.21	$1,706.63	$2,066.95	$1,726.32	2026-05-06
11006	CPT	Pr Dbrdmt Skn Subq T/m/f Necro Infctj GENT/ABDL,Professinal Compenent	3	3	$2,086.20	$2,086.20	$1,536.49	$1,860.89	$1,554.22	2026-05-06
110748	CPT	Hchg Birthing Vaginal Uncomplicated	4	4	$3,411.12	$3,411.12	$2,456.01	$3,042.72	$2,526.78	2026-05-06
110749	CPT	Hchg Birthing Vaginal Complicated	4	4	$4,127.83	$4,127.83	$2,972.04	$3,682.02	$3,057.69	2026-05-06
111918	CPT	Hchg Procedure Level 2	4	4	$2,369.95	$2,369.95	$1,706.36	$2,114.00	$1,755.54	2026-05-06
111919	CPT	Hchg Procedure Level 2 (+ Setup)	4	4	$2,510.33	$2,510.33	$1,807.44	$2,239.21	$1,859.53	2026-05-06
111920	CPT	Hchg Procedure Level 2 (+ Staff + Setup)	4	4	$3,212.15	$3,212.15	$2,312.75	$2,865.24	$2,379.40	2026-05-06
111921	CPT	Hchg Procedure Level 2 (< 2 Staff)	4	4	$2,020.09	$2,020.09	$1,454.46	$1,801.92	$1,496.38	2026-05-06
111927	CPT	Hchg Procedure Level 2 (+ Staff)	4	4	$3,071.77	$3,071.77	$2,211.67	$2,740.02	$2,275.41	2026-05-06
111928	CPT	Hchg Procedure Level 3	4	4	$3,168.26	$3,168.26	$2,281.15	$2,826.09	$2,346.89	2026-05-06
111929	CPT	Hchg Procedure Level 3 (+ Setup)	4	4	$3,308.63	$3,308.63	$2,382.21	$2,951.30	$2,450.87	2026-05-06
111930	CPT	Hchg Procedure Level 3 (+ Staff + Setup)	4	4	$4,010.49	$4,010.49	$2,887.55	$3,577.36	$2,970.78	2026-05-06
111931	CPT	Hchg Procedure Level 3 (+ Staff)	4	4	$3,870.09	$3,870.09	$2,786.46	$3,452.12	$2,866.77	2026-05-06
111932	CPT	Hchg Procedure Level 3 (< 2 Staff)	4	4	$2,818.40	$2,818.40	$2,029.25	$2,514.01	$2,087.73	2026-05-06
111938	CPT	Hchg Procedure Level 4	4	4	$4,044.58	$4,044.58	$2,912.10	$3,607.77	$2,996.02	2026-05-06
111939	CPT	Hchg Procedure Level 4 (+ Setup)	4	4	$4,184.95	$4,184.95	$3,013.16	$3,732.98	$3,100.01	2026-05-06
111940	CPT	Hchg Procedure Level 4 (+ Staff + Setup)	4	4	$4,886.78	$4,886.78	$3,518.48	$4,359.01	$3,619.88	2026-05-06
111941	CPT	Hchg Procedure Level 4 (+ Staff)	4	4	$4,746.43	$4,746.43	$3,417.43	$4,233.82	$3,515.92	2026-05-06
111946	CPT	Hchg Procedure Level 5	4	4	$4,919.55	$4,919.55	$3,542.08	$4,388.24	$3,644.15	2026-05-06
111947	CPT	Hchg Procedure Level 5 (+ Setup)	4	4	$5,059.92	$5,059.92	$3,643.14	$4,513.45	$3,748.14	2026-05-06
111948	CPT	Hchg Procedure Level 5 (+ Staff + Setup)	4	4	$5,761.77	$5,761.77	$4,148.47	$5,139.50	$4,268.03	2026-05-06
111949	CPT	Hchg Procedure Level 5 (+ Staff)	4	4	$5,621.37	$5,621.37	$4,047.39	$5,014.26	$4,164.03	2026-05-06
111954	CPT	Hchg Procedure Level 6	4	4	$5,794.11	$5,794.11	$4,171.76	$5,168.35	$4,291.98	2026-05-06
111955	CPT	Hchg Procedure Level 6 (+ Setup)	4	4	$5,934.46	$5,934.46	$4,272.81	$5,293.54	$4,395.95	2026-05-06
111956	CPT	Hchg Procedure Level 6 (+ Staff + Setup)	4	4	$6,636.30	$6,636.30	$4,778.14	$5,919.58	$4,915.84	2026-05-06
111957	CPT	Hchg Procedure Level 6 (+ Staff)	4	4	$6,495.95	$6,495.95	$4,677.08	$5,794.39	$4,811.88	2026-05-06
112451	CPT	Hchg Endo Level 4	4	4	$2,333.25	$2,333.25	$1,679.94	$2,081.26	$1,728.36	2026-05-06
112452	CPT	Hchg Endo Level 5	4	4	$2,599.14	$2,599.14	$1,871.38	$2,318.43	$1,925.32	2026-05-06
112453	CPT	Hchg Endo Level 6	4	4	$2,885.05	$2,885.05	$2,077.24	$2,573.46	$2,137.10	2026-05-06
114490	CPT	Hchg Endo Level 4 (+setup)	4	4	$2,473.63	$2,473.63	$1,781.01	$2,206.48	$1,832.34	2026-05-06
114491	CPT	Hchg Endo Level 5 (+setup)	4	4	$2,739.52	$2,739.52	$1,972.45	$2,443.65	$2,029.30	2026-05-06
13160	CPT	Pr Secondary Closure Surg Wound/dehsn EXTSV/COMPLIC,Professinal Compenent	3	3	$2,359.12	$2,359.12	$1,737.49	$2,104.34	$1,757.54	2026-05-06
14021	CPT	Pr Adjt/rearrgmt Scalp/arm/leg 10.1-30.0 Sq Cm	9	3	$2,116.88	$2,116.88	$308.65	$2,262.08	$1,577.08	2026-05-06
14041	CPT	Pr Adj Tiss Xfer Head Face Neck Hands Feet 10.1-30	9	3	$2,295.74	$2,295.74	$333.49	$2,451.71	$1,710.33	2026-05-06
14060	CPT	Pr Adj Tiss Xfer Lid Nose Ear Lips <10sqcm	9	3	$1,982.97	$1,982.97	$205.53	$2,017.73	$1,477.31	2026-05-06
14301	CPT	Pr Adjnt Tis Trnsfr/reargmt Any Area 30.1-60 Sq Cm	9	3	$2,600.35	$2,600.35	$396.73	$2,800.01	$1,937.26	2026-05-06
14350	CPT	Pr Filleted Finger/toe Flap W/prepj Recipient SITE,Professinal Compenent	3	3	$2,015.68	$2,015.68	$1,484.55	$1,797.99	$1,501.68	2026-05-06
15100	CPT	Pr Split Agrft T/a/l 1st 100 Cm/&/1% Bdy Inft/chld	9	3	$2,103.58	$2,103.58	$291.34	$2,229.25	$1,567.17	2026-05-06
15120	CPT	Pr Split Agrft F/s/n/h/f/g/m/d Gt 1st 100 Cm/</1 %	9	3	$2,050.43	$2,050.43	$313.93	$2,209.19	$1,527.57	2026-05-06
15200	CPT	Pr Fth/gft Free W/direct Closure Trunk 20 Cm/<	9	3	$1,978.89	$1,978.89	$325.22	$2,159.06	$1,474.27	2026-05-06
15240	CPT	Pr Fth/gft Fr W/dir Clsr F/c/c/m/n/ax/g/h/f 20 Cm/<	9	3	$2,360.13	$2,360.13	$264.25	$2,425.28	$1,758.30	2026-05-06
15260	CPT	Pr Fth/gft Free W/direct Closure N/e/e/l 20 Sq Cm/<	9	3	$2,532.87	$2,532.87	$307.92	$2,632.25	$1,886.99	2026-05-06
15570	CPT	Pr Frmj Direct/tubed Pedicle W/wo Transfer Trunk	9	3	$2,163.89	$2,163.89	$366.62	$2,374.22	$1,612.10	2026-05-06
15572	CPT	Pr Frmj Direct/tube Pedicle W/wo Tr Scalp Arms/legs	9	3	$2,199.65	$2,199.65	$289.83	$2,313.11	$1,638.74	2026-05-06
15574	CPT	Pr Frmj Dir/tube Pedcl W/wotr Fh/ch/ch/m/n/ax/g/h/f	9	3	$2,252.83	$2,252.83	$297.36	$2,369.67	$1,678.36	2026-05-06
15576	CPT	Pr Frmj Direct/tubed Pedicle W/wotr E/n/e/l/ntroral	9	3	$1,973.76	$1,973.76	$275.53	$2,094.30	$1,470.45	2026-05-06
15738	CPT	Pr Musc Myocutaneous/fasciocutaneous Flap Lxtr	9	3	$3,616.35	$3,616.35	$347.80	$3,647.02	$2,694.18	2026-05-06
15830	CPT	Pr Excision Skin Abd Infraumbilical PANNICULECTOMY,Professinal Compenent	3	3	$3,860.65	$3,860.65	$2,843.37	$3,443.70	$2,876.18	2026-05-06
15931	CPT	Pr Excision Sacral Pressure Ulcer W/primary SUTURE,Professinal Compenent	3	3	$2,018.75	$2,018.75	$1,486.81	$1,800.72	$1,503.97	2026-05-06
15951	CPT	Pr Exc Trchntric Pr Ulcer W/prim Sutr W/OSTECTOMY,Professinal Compenent	3	3	$2,547.19	$2,547.19	$1,876.01	$2,272.09	$1,897.66	2026-05-06
19302	CPT	Pr Mastectomy Partial W/axillary LYMPHADENECTOMY,Professinal Compenent	3	3	$2,647.37	$2,647.37	$1,949.79	$2,361.45	$1,972.29	2026-05-06
19303	CPT	Pr Mastectomy Simple COMPLETE,Professinal Compenent	3	3	$2,973.43	$2,973.43	$2,189.93	$2,652.30	$2,215.21	2026-05-06
19307	CPT	Pr Mast Modf Rad W/ax Lymph Nod W/wo Pect/alis MIN,Professinal Compenent	3	3	$3,520.28	$3,520.28	$2,592.69	$3,140.09	$2,622.61	2026-05-06
21554	CPT	Pr Exc Tumor Soft Tissue Neck/thorax Subfasc 5 CM/>,Professinal Compenent	3	3	$2,153.67	$2,153.67	$1,586.18	$1,921.07	$1,604.48	2026-05-06
21933	CPT	Pr Exc Tumor Soft Tiss Back/flank Subfascial 5 CM/>,Professinal Compenent	3	3	$2,176.16	$2,176.16	$1,602.74	$1,941.13	$1,621.24	2026-05-06
23020	CPT	Pr Capsular Contracture Release	3	3	$2,023.86	$2,023.86	$1,490.57	$1,805.28	$1,507.78	2026-05-06
23395	CPT	Pr Muscle Transfer Shoulder/upper Arm Single	3	3	$3,769.69	$3,769.69	$2,776.38	$3,362.56	$2,808.42	2026-05-06
23410	CPT	Pr Open Repair Of Rotator Cuff ACUTE,Professinal Compenent	3	3	$2,414.32	$2,414.32	$1,778.15	$2,153.57	$1,798.67	2026-05-06
23412	CPT	Pr Open Repair Of Rotator Cuff CHRONIC,Professinal Compenent	3	3	$2,502.23	$2,502.23	$1,842.89	$2,231.99	$1,864.16	2026-05-06
23430	CPT	Pr Tenodesis Long Tendon BICEPS,Professinal Compenent	3	3	$2,188.42	$2,188.42	$1,611.77	$1,952.07	$1,630.37	2026-05-06
23440	CPT	Pr Resection/transplantation Long Tendon BICEPS,Professinal Compenent	3	3	$2,216.02	$2,216.02	$1,632.10	$1,976.69	$1,650.93	2026-05-06
23466	CPT	Pr Capsulorrhaphy Glenohumrl Jt Multi-dirional INS,Professinal Compenent	3	3	$3,290.29	$3,290.29	$2,423.30	$2,934.94	$2,451.27	2026-05-06
23470	CPT	Pr Arthroplasty Glenohumrl Jt Hemiarthroplasty	3	3	$3,536.63	$3,536.63	$2,604.73	$3,154.67	$2,634.79	2026-05-06
23472	CPT	Pr Arthroplasty Glenohumeral Joint Total SHOULDER,Professinal Compenent	3	3	$4,290.99	$4,290.99	$3,160.31	$3,827.56	$3,196.79	2026-05-06
23473	CPT	Pr Revis Shoulder Arthrplsty Humeral/glenoid COMPNT,Professinal Compenent	3	3	$4,791.83	$4,791.83	$3,529.18	$4,274.31	$3,569.91	2026-05-06
23474	CPT	Pr Revis Shoulder Arthrplsty Humeral&glenoid COMPNT,Professinal Compenent	3	3	$5,176.15	$5,176.15	$3,812.23	$4,617.13	$3,856.23	2026-05-06
23485	CPT	Pr Osteotomy Clav W/wo Int Fixj W/bone Grf NON/MAL,Professinal Compenent	3	3	$2,800.68	$2,800.68	$2,062.70	$2,498.21	$2,086.51	2026-05-06
23515	CPT	Pr Open Tx Clavicular Fracture Internal FIXATION,Professinal Compenent	3	3	$2,114.83	$2,114.83	$1,557.57	$1,886.43	$1,575.55	2026-05-06
23585	CPT	Pr Open Tx Scapular Fx W/internal Fixation If Pfrmd	6	3	$2,881.45	$2,881.45	$2,122.19	$2,570.25	$2,146.68	2026-05-06
23615	CPT	Pr Open Treatment Proximal Humeral FRACTURE,Professinal Compenent	3	3	$2,598.30	$2,598.30	$1,913.65	$2,317.68	$1,935.73	2026-05-06
24341	CPT	Pr Repair Tendon/muscle Upper Arm/elbow EA,Professinal Compenent	3	3	$2,188.42	$2,188.42	$1,611.77	$1,952.07	$1,630.37	2026-05-06
24342	CPT	Pr Rinsj Rptd Biceps/triceps Tdn Dstl W/wo Tdn GRF,Professinal Compenent	3	3	$2,276.32	$2,276.32	$1,676.51	$2,030.48	$1,695.86	2026-05-06
24343	CPT	Pr Repair Lateral Collateral Ligament ELBOW,Professinal Compenent	3	3	$2,073.96	$2,073.96	$1,527.47	$1,849.97	$1,545.10	2026-05-06
24430	CPT	Pr Repair Non/malunion Humerus Without GRAFT,Professinal Compenent	3	3	$3,107.33	$3,107.33	$2,288.55	$2,771.74	$2,314.96	2026-05-06
24515	CPT	Pr Optx Humeral Shft Fx W/plate/screws W/WOCERCLAGE,Professinal Compenent	3	3	$2,582.95	$2,582.95	$1,902.34	$2,303.99	$1,924.30	2026-05-06
24516	CPT	Pr Tx Humral Shaft Fx W/insj Imed Implt W/w CERCLGE,Professinal Compenent	3	3	$2,525.72	$2,525.72	$1,860.19	$2,252.94	$1,881.66	2026-05-06
24538	CPT	Pr Prq Skel Fixj Sprcndylr/transcndylr Humeral FX,Professinal Compenent	3	3	$2,186.38	$2,186.38	$1,610.27	$1,950.25	$1,628.85	2026-05-06
24546	CPT	Pr Open Tx Humeral Supracondylar Fracture W/XTN,Professinal Compenent	3	3	$3,056.24	$3,056.24	$2,250.92	$2,726.17	$2,276.90	2026-05-06
24579	CPT	Pr Open Treatment Humeral Condylar FRACTURE,Professinal Compenent	3	3	$2,459.29	$2,459.29	$1,811.27	$2,193.69	$1,832.17	2026-05-06
25023	CPT	Pr Dcmprn Fasct F/arm&/wrst Flxr/xtnsr W/DBRDMT,Professinal Compenent	3	3	$3,220.79	$3,220.79	$2,372.11	$2,872.94	$2,399.49	2026-05-06
25350	CPT	Pr Osteotomy Radius Distal THIRD,Professinal Compenent	3	3	$1,973.77	$1,973.77	$1,453.68	$1,760.60	$1,470.46	2026-05-06
25391	CPT	Pr Osteoplasty Radius/ulna Lengthening W/AUTOGRAFT,Professinal Compenent	3	3	$2,927.44	$2,927.44	$2,156.06	$2,611.28	$2,180.94	2026-05-06
25415	CPT	Pr Rpr Nonunion/malunion Radius&ulna Without AUTOGRAF,Professinal Compenent	3	3	$2,843.61	$2,843.61	$2,094.32	$2,536.50	$2,118.49	2026-05-06
25445	CPT	Pr Arthroplasty W/prosthetic Replacement TRAPEZIUM,Professinal Compenent	3	3	$2,118.93	$2,118.93	$1,560.59	$1,890.09	$1,578.60	2026-05-06
25447	CPT	Pr Arthrp Interpos Intercarpal/metacarpal JOINTS,Professinal Compenent	3	3	$2,429.66	$2,429.66	$1,789.44	$2,167.26	$1,810.10	2026-05-06
25575	CPT	Pr Open Tx Radial&ulnar Shaft Fx W/fixj RADIUS&ULNA,Professinal Compenent	3	3	$2,645.31	$2,645.31	$1,948.27	$2,359.62	$1,970.76	2026-05-06
25607	CPT	Pr Optx Dstl Radl X-artic Fx/epiphysl SEP,Professinal Compenent	3	3	$2,154.69	$2,154.69	$1,586.93	$1,921.98	$1,605.24	2026-05-06
25608	CPT	Pr Optx Dstl Radl I-artic Fx/epiphysl Sep 2 Frag	3	3	$2,417.38	$2,417.38	$1,780.40	$2,156.30	$1,800.95	2026-05-06
25609	CPT	Pr Optx Dstl Radl I-artic Fx/epiphysl Sep 3 Frag	9	3	$3,074.61	$3,074.61	$16.84	$2,762.94	$2,281.29	2026-05-06
26123	CPT	Pr Fasct Prtl Palmar 1 Dgt Prox Iphal Jt W/wo RPR,Professinal Compenent	3	3	$2,446.00	$2,446.00	$1,801.48	$2,181.83	$1,822.27	2026-05-06
26356	CPT	Pr Rpr/advmnt Flxr Tdn Zone 2 Without Fr Grft Ea TENDON,Professinal Compenent	3	3	$2,322.32	$2,322.32	$1,710.39	$2,071.51	$1,730.13	2026-05-06
26910	CPT	Pr Amp Mtcrpl W/finger/thumb W/wo Inteross TRANSFER,Professinal Compenent	3	3	$2,082.12	$2,082.12	$1,533.48	$1,857.25	$1,551.18	2026-05-06
27125	CPT	Pr Hemiarthroplasty Hip PARTIAL,Professinal Compenent	3	3	$3,339.35	$3,339.35	$2,459.43	$2,978.70	$2,487.82	2026-05-06
27130	CPT	Pr Arthrp Acetblr/prox Fem Prostc AGRFT/ALGRFT,Professinal Compenent	3	3	$3,997.63	$3,997.63	$2,944.25	$3,565.89	$2,978.23	2026-05-06
27132	CPT	Pr Conv Prev Hip Tot Hip Arthrp W/wo AGRFT/ALGRFT,Professinal Compenent	3	3	$4,939.03	$4,939.03	$3,637.60	$4,405.61	$3,679.58	2026-05-06
27134	CPT	Pr Revj Tot Hip Arthrp Bth W/wo AGRFT/ALGRFT,Professinal Compenent	3	3	$5,655.54	$5,655.54	$4,165.31	$5,044.74	$4,213.38	2026-05-06
27137	CPT	Pr Revj Tot Hip Arthrp Actblr W/wo AGRFT/ALGRFT,Professinal Compenent	3	3	$4,345.15	$4,345.15	$3,200.20	$3,875.87	$3,237.14	2026-05-06
27138	CPT	Pr Revj Tot Hip Arthrp Fem Only W/wo ALGRFT,Professinal Compenent	3	3	$4,513.80	$4,513.80	$3,324.41	$4,026.31	$3,362.78	2026-05-06
27170	CPT	Pr B1 Grf Fem H/n Intertrchntric/subtrchntric AREA,Professinal Compenent	3	3	$3,464.08	$3,464.08	$2,551.29	$3,089.96	$2,580.74	2026-05-06
27235	CPT	Pr Prq Skel Fixj Femoral Fx Prox End NECK,Professinal Compenent	3	3	$2,677.01	$2,677.01	$1,971.62	$2,387.89	$1,994.37	2026-05-06
27236	CPT	Pr Optx Fem Fx Prox End Nck Int Fixj/prostc RPLCMT,Professinal Compenent	3	3	$3,524.37	$3,524.37	$2,595.70	$3,143.74	$2,625.66	2026-05-06
27244	CPT	Pr Tx Inter/pr/subtrchntric Femoral Fx Screw IMPLT,Professinal Compenent	3	3	$3,627.60	$3,627.60	$2,671.73	$3,235.82	$2,702.56	2026-05-06
27245	CPT	Pr Tx Inter/pr/subtrchntric Fem Fx Imed Impltscrew	9	3	$3,627.60	$3,627.60	$17.17	$3,256.61	$2,688.90	2026-05-06
27248	CPT	Pr Open Treatment Greater Trochanteric FRACTURE,Professinal Compenent	3	3	$2,184.34	$2,184.34	$1,608.77	$1,948.43	$1,627.33	2026-05-06
27252	CPT	Pr Cltx Hip Dislocation Traumatic Req ANESTHESIA,Professinal Compenent	3	3	$2,226.23	$2,226.23	$1,639.62	$1,985.80	$1,658.54	2026-05-06
27299	CPT	Pr Core Decompression HIP,Professinal Compenent	6	3	$2,102.05	$2,102.05	$1,115.67	$2,398.83	$1,665.94	2026-05-06
27310	CPT	Pr Arthrt Kne W/expl Drg/rmvl FB,Professinal Compenent	3	3	$2,145.48	$2,145.48	$1,580.15	$1,913.77	$1,598.38	2026-05-06
27334	CPT	Pr Arthrotomy W/synovectomy Knee ANTERIOR/POSTERIOR,Professinal Compenent	3	3	$2,005.45	$2,005.45	$1,477.01	$1,788.86	$1,494.06	2026-05-06
27339	CPT	Pr Exc Tumor Soft Tissue Thigh/knee Subfasc 5 CM/>,Professinal Compenent	3	3	$2,219.08	$2,219.08	$1,634.35	$1,979.42	$1,653.21	2026-05-06
27360	CPT	Pr Prtl Exc Bone Femur Prox TIBIA&/FIBULA,Professinal Compenent	3	3	$2,494.05	$2,494.05	$1,836.87	$2,224.69	$1,858.07	2026-05-06
27405	CPT	Pr Rpr Primary Torn Ligm&/capsule Knee COLLATERAL,Professinal Compenent	3	3	$1,977.86	$1,977.86	$1,456.69	$1,764.26	$1,473.51	2026-05-06
27415	CPT	Pr Osteochondral Allograft Knee OPEN,Professinal Compenent	3	3	$4,049.76	$4,049.76	$2,982.65	$3,612.39	$3,017.07	2026-05-06
27418	CPT	Pr Anterior Tibial TUBERCLEPLASTY,Professinal Compenent	3	3	$2,420.45	$2,420.45	$1,782.66	$2,159.04	$1,803.24	2026-05-06
27422	CPT	Pr Rcnstj Dislc Patella W/xtnsr Relignmt&/musc RL,Professinal Compenent	3	3	$2,180.24	$2,180.24	$1,605.75	$1,944.77	$1,624.28	2026-05-06
27427	CPT	Pr Ligamentous Reconstruction Knee Extra-articular,professinal Compenent	3	3	$2,087.21	$2,087.21	$1,537.23	$1,861.79	$1,554.97	2026-05-06
27438	CPT	Pr Arthroplasty Patella W/PROSTHESIS,Professinal Compenent	3	3	$2,467.46	$2,467.46	$1,817.28	$2,200.97	$1,838.26	2026-05-06
27446	CPT	Pr Arthrp Knee Condyle&plateau Medial/lat CMPRT,Professinal Compenent	3	3	$3,416.02	$3,416.02	$2,515.90	$3,047.09	$2,544.93	2026-05-06
27447	CPT	Pr Arthrp Kne Condyle&platu Medial&lat COMPARTMENTS,Professinal Compenent	3	3	$3,995.58	$3,995.58	$2,942.74	$3,564.06	$2,976.71	2026-05-06
27486	CPT	Pr Revj Total Knee Arthrp W/wo Algrft 1 COMPONENT,Professinal Compenent	3	3	$4,145.83	$4,145.83	$3,053.40	$3,698.08	$3,088.64	2026-05-06
27487	CPT	Pr Revj Tot Knee Arthrp Fem&entire Tibial COMPONE,Professinal Compenent	3	3	$5,185.36	$5,185.36	$3,819.02	$4,625.34	$3,863.09	2026-05-06
27488	CPT	Pr Rmvl Prosth Tot Knee Prosth Mma W/wo Insj SPACER,Professinal Compenent	3	3	$3,534.60	$3,534.60	$2,603.23	$3,152.86	$2,633.28	2026-05-06
27506	CPT	Pr Optx Fem Shft Fx W/insj Imed Implt W/wo SCREW,Professinal Compenent	3	3	$3,940.38	$3,940.38	$2,902.09	$3,514.82	$2,935.58	2026-05-06
27507	CPT	Pr Optx Fem Shft Fx W/plate/screws W/wo CERCLAGE,Professinal Compenent	3	3	$2,864.05	$2,864.05	$2,109.37	$2,554.73	$2,133.72	2026-05-06
27510	CPT	Pr Cltx Fem Fx Dstl End Medial/lat Condyle W/MANJ,Professinal Compenent	3	3	$2,002.39	$2,002.39	$1,474.76	$1,786.13	$1,491.78	2026-05-06
27511	CPT	Pr Open Tx Femoral Supracondylar Fracture Without XTN,Professinal Compenent	3	3	$2,937.65	$2,937.65	$2,163.58	$2,620.38	$2,188.55	2026-05-06
27514	CPT	Pr Open Tx Femoral Fracture Distal Med/lat CONDYLE,Professinal Compenent	3	3	$2,847.71	$2,847.71	$2,097.34	$2,540.16	$2,121.54	2026-05-06
27524	CPT	Pr Optx Patllr Fx W/int Fixj/patllc&soft Tiss RPR,Professinal Compenent	3	3	$2,208.86	$2,208.86	$1,626.83	$1,970.30	$1,645.60	2026-05-06
27535	CPT	Pr Open Tx Tibial Fracture Proximal UNICONDYLAR,Professinal Compenent	3	3	$2,642.25	$2,642.25	$1,946.02	$2,356.89	$1,968.48	2026-05-06
27536	CPT	Pr Optx Tibial Fx Prox Bicondylar W/wo Int FIXJ,Professinal Compenent	3	3	$3,501.89	$3,501.89	$2,579.14	$3,123.69	$2,608.91	2026-05-06
27640	CPT	Pr Partial Excision Bone TIBIA,Professinal Compenent	3	3	$2,452.13	$2,452.13	$1,805.99	$2,187.30	$1,826.84	2026-05-06
27654	CPT	Pr Repair Secondary Achilles Tendon W/wo GRAFT,Professinal Compenent	3	3	$2,079.04	$2,079.04	$1,531.21	$1,854.50	$1,548.88	2026-05-06
27726	CPT	Pr Repair Fibula Nonunion/malunion W/int FIXATION,Professinal Compenent	3	3	$2,833.40	$2,833.40	$2,086.80	$2,527.39	$2,110.88	2026-05-06
27758	CPT	Pr Optx Tibial Shft Fx W/plate/screws W/wo CERCLAGE,Professinal Compenent	3	3	$2,619.76	$2,619.76	$1,929.45	$2,336.83	$1,951.72	2026-05-06
27759	CPT	Pr Tx Tibl Shft Fx Imed Implt W/wo SCREWS&/CERCLA,Professinal Compenent	3	3	$2,938.68	$2,938.68	$2,164.34	$2,621.30	$2,189.32	2026-05-06
27814	CPT	Pr Open Treatment Bimalleolar Ankle Fracture	3	3	$2,266.10	$2,266.10	$1,668.98	$2,021.36	$1,688.24	2026-05-06
27822	CPT	Pr Open Tx Trimalleolar Ankle Fx Without Fixj Pst LIP,Professinal Compenent	3	3	$2,521.65	$2,521.65	$1,857.20	$2,249.31	$1,878.63	2026-05-06
27823	CPT	Pr Open Tx Trimalleolar Ankle Fx W/fixj Pst LIP,Professinal Compenent	3	3	$2,859.97	$2,859.97	$2,106.37	$2,551.09	$2,130.68	2026-05-06
27827	CPT	Pr Open Treatment Fracture Distal Tibia ONLY,Professinal Compenent	3	3	$3,231.03	$3,231.03	$2,379.65	$2,882.08	$2,407.12	2026-05-06
27828	CPT	Pr Open Treatment Fracture Distal Tibia & FIBULA,Professinal Compenent	3	3	$3,864.74	$3,864.74	$2,846.38	$3,447.35	$2,879.23	2026-05-06
27829	CPT	Pr Open Tx Distal Tibiofibular Joint DISRUPTION,Professinal Compenent	3	3	$2,042.25	$2,042.25	$1,504.12	$1,821.69	$1,521.48	2026-05-06
27880	CPT	Pr Amputation Leg Through TIBIA&FIBULA,Professinal Compenent	3	3	$2,718.92	$2,718.92	$2,002.48	$2,425.28	$2,025.60	2026-05-06
28047	CPT	Pr Rad Resection Tumor Soft Tissue Foot/toe 3 CM/>,Professinal Compenent	3	3	$3,134.93	$3,134.93	$2,308.88	$2,796.36	$2,335.52	2026-05-06
28114	CPT	Pr Ostc Compl All Metar Heads W/prtl Prox Phalangc	9	3	$2,467.46	$2,467.46	$517.94	$2,828.26	$1,838.26	2026-05-06
28445	CPT	Pr Open Treatment Talus FRACTURE,Professinal Compenent	3	3	$3,127.77	$3,127.77	$2,303.60	$2,789.97	$2,330.19	2026-05-06
28585	CPT	Pr Open Treatment Talotarsal Joint Dislocation	9	3	$1,990.14	$1,990.14	$408.79	$2,270.30	$1,482.65	2026-05-06
28725	CPT	Pr Arthrodesis SUBTALAR,Professinal Compenent	3	3	$2,288.60	$2,288.60	$1,685.55	$2,041.43	$1,705.01	2026-05-06
28730	CPT	Pr Arthrd Midtarsl/tarsometatarsal MULT/TRANSVRS,Professinal Compenent	3	3	$2,154.69	$2,154.69	$1,586.93	$1,921.98	$1,605.24	2026-05-06
28737	CPT	Pr Arthrd W/tdn Lngth&advmnt Tarsl Nvclr-cuneifor,professinal Compenent	3	3	$2,049.42	$2,049.42	$1,509.40	$1,828.08	$1,526.82	2026-05-06
28805	CPT	Pr Amputation Foot TRANSMETARSAL,Professinal Compenent	3	3	$2,158.78	$2,158.78	$1,589.94	$1,925.63	$1,608.29	2026-05-06
29806	CPT	Pr Arthroscopy Shoulder Surgical CAPSULORRHAPHY,Professinal Compenent	3	3	$3,125.73	$3,125.73	$2,302.10	$2,788.15	$2,328.67	2026-05-06
29807	CPT	Pr Arthroscopy Shoulder Surgical Repair Slap LESION,Professinal Compenent	3	3	$3,048.05	$3,048.05	$2,244.89	$2,718.86	$2,270.80	2026-05-06
29824	CPT	Pr Arthroscopy Shoulder Distal CLAVICULECTOMY,Professinal Compenent	3	3	$1,957.41	$1,957.41	$1,441.63	$1,746.01	$1,458.27	2026-05-06
29827	CPT	Pr Arthroscopy Shoulder Rotator Cuff REPAIR,Professinal Compenent	3	3	$3,103.25	$3,103.25	$2,285.54	$2,768.10	$2,311.92	2026-05-06
29828	CPT	Pr Arthroscopy Shoulder Biceps TENODESIS,Professinal Compenent	3	3	$2,678.02	$2,678.02	$1,972.36	$2,388.79	$1,995.12	2026-05-06
29855	CPT	Pr Arthrs Aid Tibial Fracture Proximal UNICONDYLAR,Professinal Compenent	3	3	$2,299.83	$2,299.83	$1,693.82	$2,051.45	$1,713.37	2026-05-06
29867	CPT	Pr Arthroscopy Knee Osteochondral ALLOGRAFT,Professinal Compenent	3	3	$3,771.73	$3,771.73	$2,777.88	$3,364.38	$2,809.94	2026-05-06
29882	CPT	Pr Arthroscopy Knee W/meniscus Rpr MEDIAL/LATERAL,Professinal Compenent	3	3	$2,063.72	$2,063.72	$1,519.93	$1,840.84	$1,537.47	2026-05-06
29883	CPT	Pr Arthroscopy Knee W/meniscus Rpr MEDIAL&LATERAL,Professinal Compenent	3	3	$2,485.87	$2,485.87	$1,830.84	$2,217.40	$1,851.97	2026-05-06
29888	CPT	Pr Arthrs Aided Ant Cruciate Ligm RPR/AGMNTJ/RCNSTJ,Professinal Compenent	3	3	$2,900.86	$2,900.86	$2,136.48	$2,587.57	$2,161.14	2026-05-06
29889	CPT	Pr Arthrs Aided Pst Cruciate Ligm RPR/AGMNTJ/RCNSTJ,Professinal Compenent	3	3	$3,598.98	$3,598.98	$2,650.65	$3,210.29	$2,681.24	2026-05-06
29914	CPT	Pr Arthroscopy Hip W/FEMOROPLASTY,Professinal Compenent	3	3	$2,922.32	$2,922.32	$2,152.29	$2,606.71	$2,177.13	2026-05-06
29915	CPT	Pr Arthroscopy Hip W/ACETABULOPLASTY,Professinal Compenent	3	3	$2,976.50	$2,976.50	$2,192.19	$2,655.04	$2,217.49	2026-05-06
35840	CPT	Pr Expl Po Hemrrg Thrombosis/infctj ABD,Professinal Compenent	3	3	$3,543.79	$3,543.79	$2,610.00	$3,161.06	$2,640.12	2026-05-06
36475	CPT	Pr Endoven Abltj Incmptnt Vein Xtr Rf 1st Vein	9	3	$3,568.32	$3,568.32	$614.31	$3,926.95	$2,658.40	2026-05-06
36561	CPT	Pr Insj Tunneled Ctr Vad W/subq Port Age 5 Yr/>	9	3	$2,154.69	$2,154.69	$741.52	$2,820.06	$1,605.24	2026-05-06
36571	CPT	Pr Insj Prph Ctr Vad W/subq Port Age 5 Yr/>	9	3	$2,607.49	$2,607.49	$676.03	$3,144.64	$1,942.58	2026-05-06
36582	CPT	Pr Rplcmt Compl Tun Ctr Vad W/subq Port	9	3	$2,063.72	$2,063.72	$636.12	$2,611.27	$1,537.47	2026-05-06
38100	CPT	Pr Splenectomy Total Separate PROCEDURE,Professinal Compenent	3	3	$3,416.02	$3,416.02	$2,515.90	$3,047.09	$2,544.93	2026-05-06
38745	CPT	Pr Axillary Lymphadenectomy COMPLETE,Professinal Compenent	3	3	$2,592.17	$2,592.17	$1,909.13	$2,312.22	$1,931.17	2026-05-06
38760	CPT	Pr Inguinofem Lmphadec Supfc W/cloquets Node SPX,Professinal Compenent	3	3	$2,491.99	$2,491.99	$1,835.35	$2,222.86	$1,856.53	2026-05-06
43220	CPT	Pr Esophagoscopy Flex Balloon Dilat <30 Mm Diam	9	3	$2,753.66	$2,753.66	$260.47	$2,771.73	$2,051.48	2026-05-06
43249	CPT	Pr Egd Balloon Dilation Esophagus <30 Mm Diam	9	3	$2,483.81	$2,483.81	$344.20	$2,627.67	$1,950.69	2026-05-06
43281	CPT	Pr Laps Rpr Paraesphgl Hrna Incl Fundplsty Without MESH,Professinal Compenent	3	3	$4,577.18	$4,577.18	$3,371.09	$4,082.84	$3,410.00	2026-05-06
43282	CPT	Pr Laps Rpr Paraesphgl Hrna Incl Fundplsty W/MESH,Professinal Compenent	3	3	$5,148.57	$5,148.57	$3,791.92	$4,592.52	$3,835.68	2026-05-06
43774	CPT	Pr Laps Gastric Restrictive Px Remove Device & PORT,Professinal Compenent	3	3	$2,838.50	$2,838.50	$2,090.56	$2,531.94	$2,114.68	2026-05-06
43830	CPT	Pr Gastrostomy Opn Without Constj Gstr Tube SPX,Professinal Compenent	3	3	$2,066.78	$2,066.78	$1,522.18	$1,843.57	$1,539.75	2026-05-06
43840	CPT	Pr Gastrorrhaphy Sutr Prf8 Duol/gstr Ulcer WND/INJ,Professinal Compenent	3	3	$4,024.20	$4,024.20	$2,963.82	$3,589.59	$2,998.03	2026-05-06
44005	CPT	Pr Enterolss Fring Intstinal Adhesion SPX,Professinal Compenent	3	3	$3,243.28	$3,243.28	$2,388.68	$2,893.01	$2,416.24	2026-05-06
44020	CPT	Pr Enterotomy Sm Int Oth/thn Duo Expl Bx/fb Rmvl	3	3	$2,881.45	$2,881.45	$2,122.19	$2,570.25	$2,146.68	2026-05-06
44050	CPT	Pr Rdctj Volvulus Intussusception Int Hrna LAPT,Professinal Compenent	3	3	$2,766.95	$2,766.95	$2,037.86	$2,468.12	$2,061.38	2026-05-06
44120	CPT	Pr Entrc Rescj Small Intestine 1 Rescj & ANAST,Professinal Compenent	3	3	$3,624.53	$3,624.53	$2,669.47	$3,233.08	$2,700.27	2026-05-06
44130	CPT	Pr Enteroenterost Anast Int W/wo Cutan Ntrstm SPX,Professinal Compenent	3	3	$3,890.29	$3,890.29	$2,865.20	$3,470.14	$2,898.27	2026-05-06
44140	CPT	Pr Colectomy Partial W/ANASTOMOSIS,Professinal Compenent	3	3	$3,974.12	$3,974.12	$2,926.94	$3,544.92	$2,960.72	2026-05-06
44143	CPT	Pr Colectomy Prtl W/end Colostomy & Clsr Dstl SGMT,Professinal Compenent	3	3	$4,933.91	$4,933.91	$3,633.82	$4,401.05	$3,675.76	2026-05-06
44145	CPT	Pr Colectomy Prtl W/COLOPROCTOSTOMY,Professinal Compenent	3	3	$4,915.51	$4,915.51	$3,620.27	$4,384.63	$3,662.05	2026-05-06
44160	CPT	Pr Colectomy Prtl W/rmvl Terminal Ileum & ILEOCOLOS,Professinal Compenent	3	3	$3,678.71	$3,678.71	$2,709.37	$3,281.41	$2,740.64	2026-05-06
44180	CPT	Pr Laparoscopy Enterolysis Separate PROCEDURE,Professinal Compenent	3	3	$2,721.97	$2,721.97	$2,004.73	$2,428.00	$2,027.87	2026-05-06
44188	CPT	Pr Laparoscopy Surg Colostomy/skn Lvl Cecostomy	3	3	$3,628.63	$3,628.63	$2,672.49	$3,236.74	$2,703.33	2026-05-06
44202	CPT	Pr Laps Enterect Rescj 1 Small Intest Rescj & ANA,Professinal Compenent	3	3	$4,105.96	$4,105.96	$3,024.04	$3,662.52	$3,058.94	2026-05-06
44204	CPT	Pr Laparoscopy Colectomy Partial W/ANASTOMOSIS,Professinal Compenent	3	3	$4,560.83	$4,560.83	$3,359.05	$4,068.26	$3,397.82	2026-05-06
44205	CPT	Pr Laps Colectomy Prtl W/rmvl Terminal ILEUM,Professinal Compenent	3	3	$3,966.96	$3,966.96	$2,921.67	$3,538.53	$2,955.39	2026-05-06
44206	CPT	Pr Laps Colectomy Prtl W/end Clst & Clsr Dstl SGM,Professinal Compenent	3	3	$5,192.51	$5,192.51	$3,824.28	$4,631.72	$3,868.42	2026-05-06
44207	CPT	Pr Laps Colectomy Prtl W/colopxtstmy Lw ANAST,Professinal Compenent	3	3	$5,397.95	$5,397.95	$3,975.59	$4,814.97	$4,021.47	2026-05-06
44227	CPT	Pr Laps Clsr Ntrstm Lg/sm Int W/rescj & ANASTOMOSIS,Professinal Compenent	3	3	$4,942.08	$4,942.08	$3,639.84	$4,408.34	$3,681.85	2026-05-06
44310	CPT	Pr Ileostomy/jejunostomy Non-tube	3	3	$3,093.02	$3,093.02	$2,278.01	$2,758.97	$2,304.30	2026-05-06
44314	CPT	Pr Revj Ileostomy Complic Rcnstj In-depth SPX,Professinal Compenent	3	3	$2,971.37	$2,971.37	$2,188.41	$2,650.46	$2,213.67	2026-05-06
44320	CPT	Pr Colostomy/skin Level CECOSTOMY,Professinal Compenent	3	3	$3,559.12	$3,559.12	$2,621.29	$3,174.74	$2,651.54	2026-05-06
44346	CPT	Pr Revj Colostomy W/rpr Paraclst Hernia SPX,Professinal Compenent	3	3	$3,504.95	$3,504.95	$2,581.40	$3,126.42	$2,611.19	2026-05-06
44602	CPT	Pr Enterorrhaphy 1PERFORATION,Professinal Compenent	3	3	$4,184.68	$4,184.68	$3,082.02	$3,732.73	$3,117.59	2026-05-06
44603	CPT	Pr Enterorrhaphy Multiple PERFORATIONS,Professinal Compenent	3	3	$4,806.13	$4,806.13	$3,539.71	$4,287.07	$3,580.57	2026-05-06
44620	CPT	Pr Closure Enterostomy Lg/small INTESTINE,Professinal Compenent	3	3	$2,571.71	$2,571.71	$1,894.06	$2,293.97	$1,915.92	2026-05-06
44799	CPT	Pr Decompression Small Bowel Constriction	6	3	$1,963.30	$1,963.30	$1,036.61	$2,247.06	$1,555.40	2026-05-06
44960	CPT	Pr Appendec Rptd Appendix ABSC/PRITONITIS,Professinal Compenent	3	3	$2,588.09	$2,588.09	$1,906.13	$2,308.58	$1,928.13	2026-05-06
45388	CPT	Pr Colonoscopy Flx Ablation Tumor Polyp/other Les	9	3	$8,483.83	$8,483.83	$599.23	$8,293.33	$6,320.45	2026-05-06
47563	CPT	Pr Laps Surg Cholecystectomy W/CHOLANGIOGRAPHY,Professinal Compenent	3	3	$2,112.79	$2,112.79	$1,556.07	$1,884.61	$1,574.03	2026-05-06
47600	CPT	Pr CHOLECYSTECTOMY,Professinal Compenent	3	3	$3,158.44	$3,158.44	$2,326.19	$2,817.33	$2,353.04	2026-05-06
47605	CPT	Pr Cholecystectomy W/CHOLANGIOGRAPHY,Professinal Compenent	3	3	$3,325.06	$3,325.06	$2,448.91	$2,965.95	$2,477.17	2026-05-06
49000	CPT	Pr Exploratory Laparotomy Celiotomy W/wo Biopsy SPX,Professinal Compenent	3	3	$2,278.38	$2,278.38	$1,678.03	$2,032.31	$1,697.39	2026-05-06
49204	CPT	Pr Exc/destruction Open Abdmnl Tumors 5.1-10.0 CM,Professinal Compenent	3	3	$4,540.38	$4,540.38	$3,343.99	$4,050.02	$3,382.58	2026-05-06
49255	CPT	Pr Omntc Epiploectomy Rescj Omentum SPX,Professinal Compenent	3	3	$2,339.70	$2,339.70	$1,723.19	$2,087.01	$1,743.08	2026-05-06
49594	CPT	Pr Rpr Aa Hernia 1st 3-10 Cm NCRC8/STRANGULATED,Professinal Compenent	3	3	$2,274.28	$2,274.28	$1,675.01	$2,028.66	$1,694.34	2026-05-06
49595	CPT	Pr Rpr Aa Hernia 1st > 10 Cm REDUCIBLE,Professinal Compenent	3	3	$2,347.87	$2,347.87	$1,729.21	$2,094.30	$1,749.16	2026-05-06
49596	CPT	Pr Rpr Aa Hernia 1st > 10 Cm NCRC8/STRANGULATED,Professinal Compenent	3	3	$3,117.55	$3,117.55	$2,296.08	$2,780.85	$2,322.57	2026-05-06
49659	CPT	Pr Unlis Laps Px Hrnap Herniorrhaphy HERNIOTOMY,Professinal Compenent	3	3	$2,743.45	$2,743.45	$2,020.55	$2,447.16	$2,043.87	2026-05-06
51550	CPT	Pr Cystectomy Partial SIMPLE,Professinal Compenent	3	3	$2,849.74	$2,849.74	$2,098.83	$2,541.97	$2,123.06	2026-05-06
51860	CPT	Pr Cystorrhaphy Sutr Bldr Wnd Inj/rpt SIMPLE,Professinal Compenent	3	3	$2,201.72	$2,201.72	$1,621.57	$1,963.93	$1,640.28	2026-05-06
524624	CPT	Hchg Postpartum Vacuum Pr1200 Affiliate Only	4	4	$3,078.33	$3,078.33	$2,216.40	$2,745.87	$2,280.28	2026-05-06
52601	CPT	Pr Trurl Electrosurg Rescj Prostate Bleed COMPLETE,Professinal Compenent	3	3	$2,497.11	$2,497.11	$1,839.12	$2,227.42	$1,860.35	2026-05-06
54440	CPT	Pr Plastic Operation Penis INJURY,Professinal Compenent	3	3	$3,010.84	$3,010.84	$2,217.48	$2,685.67	$2,243.08	2026-05-06
57288	CPT	Pr Sling Operation Stress INCONTINENCE,Professinal Compenent	3	3	$2,088.24	$2,088.24	$1,537.99	$1,862.71	$1,555.74	2026-05-06
58150	CPT	Pr Total Abdominal Hysterect W/wo Rmvl Tube OVARY,Professinal Compenent	3	3	$2,965.26	$2,965.26	$2,183.91	$2,645.01	$2,209.12	2026-05-06
58180	CPT	Pr Supracervical Abdl Hyster W/wo Rmvl Tube OVARY,Professinal Compenent	3	3	$2,803.75	$2,803.75	$2,064.96	$2,500.94	$2,088.79	2026-05-06
58260	CPT	Pr Vaginal Hysterectomy Uterus 250 GM/<,Professinal Compenent	3	3	$2,397.96	$2,397.96	$1,766.10	$2,138.98	$1,786.48	2026-05-06
58262	CPT	Pr Vag Hyst 250 Gm/< W/rmvl TUBE&/OVARY,Professinal Compenent	3	3	$2,675.99	$2,675.99	$1,970.87	$2,386.98	$1,993.61	2026-05-06
58290	CPT	Pr Vaginal Hysterectomy Uterus > 250 GM,Professinal Compenent	3	3	$3,340.38	$3,340.38	$2,460.19	$2,979.62	$2,488.58	2026-05-06
58552	CPT	Pr Laps W/vag Hysterect 250 Gm/&rmvl TUBE&/OVARIES,Professinal Compenent	3	3	$2,873.27	$2,873.27	$2,116.16	$2,562.96	$2,140.59	2026-05-06
58558	CPT	Pr Hysteroscopy Bx Endometrium&/polypc W/wo D&c	9	3	$3,249.42	$3,249.42	$505.88	$3,511.17	$2,420.82	2026-05-06
58563	CPT	Pr Hysteroscopy Endometrial Ablation	9	3	$3,797.29	$3,797.29	$588.69	$4,100.17	$2,828.98	2026-05-06
58565	CPT	Pr Hysteroscopy Bi Tube Occlusion W/perm Implnts	9	3	$4,174.44	$4,174.44	$927.47	$4,846.89	$3,109.96	2026-05-06
58571	CPT	Pr Laps Total Hysterect 250 Gm/< W/rmvl Tube/ovary	3	3	$2,620.78	$2,620.78	$1,930.20	$2,337.74	$1,952.48	2026-05-06
58660	CPT	Pr Laparoscopy W/lysis Of ADHESIONS,Professinal Compenent	3	3	$1,960.48	$1,960.48	$1,443.89	$1,748.75	$1,460.56	2026-05-06
58662	CPT	Pr Laps Fulg/exc Ovary Viscera/peritoneal SURFACE,Professinal Compenent	3	3	$2,067.81	$2,067.81	$1,522.94	$1,844.49	$1,540.52	2026-05-06
58720	CPT	Pr Salpingo-oophorectomy Compl/prtl Uni/bi SPX,Professinal Compenent	3	3	$2,154.69	$2,154.69	$1,586.93	$1,921.98	$1,605.24	2026-05-06
59120	CPT	Pr Tx Ectopic Pregnancy Abdominal/vaginal APPR,Professinal Compenent	3	3	$2,335.62	$2,335.62	$1,720.18	$2,083.37	$1,740.04	2026-05-06
59151	CPT	Pr Laps Tx Ectopic Preg W/SALPING&/OOPHORECTOMY,Professinal Compenent	3	3	$2,209.89	$2,209.89	$1,627.58	$1,971.22	$1,646.37	2026-05-06
59400	CPT	Pr OB Care Antepartum Vag Dlvr & POSTPARTUM,Professinal Compenent	3	3	$6,161.51	$6,161.51	$4,537.95	$5,496.07	$4,590.32	2026-05-06
59409	CPT	Pr Vaginal Delivery ONLY,Professinal Compenent	3	3	$2,410.24	$2,410.24	$1,775.14	$2,149.93	$1,795.63	2026-05-06
59410	CPT	Pr Vaginal Delivery Only W/postpartum CARE,Professinal Compenent	3	3	$3,076.66	$3,076.66	$2,265.96	$2,744.38	$2,292.11	2026-05-06
59510	CPT	Pr OB Antepartum Care Cesarean Dlvr & POSTPARTUM,Professinal Compenent	3	3	$6,839.20	$6,839.20	$5,037.07	$6,100.57	$5,095.20	2026-05-06
59514	CPT	Pr Cesarean Delivery ONLY,Professinal Compenent	3	3	$2,716.87	$2,716.87	$2,000.97	$2,423.45	$2,024.07	2026-05-06
59610	CPT	Pr Routine OB Care Vag Dlvry & Postpartum Care VB,Professinal Compenent	3	3	$6,485.53	$6,485.53	$4,776.59	$5,785.09	$4,831.72	2026-05-06
59612	CPT	Pr Vaginal Delivery After Cesarean DELIVERY,Professinal Compenent	3	3	$2,719.93	$2,719.93	$2,003.23	$2,426.18	$2,026.35	2026-05-06
60240	CPT	Pr Thyroidectomy TOTAL/COMPLETE,Professinal Compenent	3	3	$2,706.66	$2,706.66	$1,993.46	$2,414.34	$2,016.46	2026-05-06
64831	CPT	Pr Suture Digital Nerve Hand/foot 1 NERVE,Professinal Compenent	3	3	$2,016.70	$2,016.70	$1,485.30	$1,798.90	$1,502.44	2026-05-06
70336	CPT	Hchg Rad MRI Temporomandibular Joint	8	4	$1,609.74	$1,609.74	$133.29	$2,706.65	$1,458.95	2026-05-06
70542	CPT	Hchg Rad MRI Neck Soft Tissue Orbit Face W	8	4	$1,680.46	$1,680.46	$147.33	$2,815.42	$1,489.19	2026-05-06
70543	CPT	Hchg Rad MRI Neck Soft Tissue Orbit Face Wwo	8	4	$2,026.35	$2,026.35	$193.88	$3,374.82	$1,489.19	2026-05-06
70546	CPT	Hchg Rad MRI Angio Head Brain Wwo	8	4	$2,351.24	$2,351.24	$133.93	$4,028.69	$1,489.19	2026-05-06
70549	CPT	Hchg Rad MRI Angio Neck Wwo	8	4	$2,371.61	$2,371.61	$163.27	$4,028.69	$1,489.19	2026-05-06
70552	CPT	Hchg Rad MRI Head Brain W	8	4	$1,522.95	$1,522.95	$161.99	$2,516.25	$1,489.19	2026-05-06
70553	CPT	Hchg Rad MRI Head Brain Wwo	8	4	$1,750.41	$1,750.41	$207.28	$2,865.94	$1,489.19	2026-05-06
71550	CPT	Hchg Rad MRI Chest Wo	8	4	$2,188.13	$2,188.13	$132.02	$3,740.07	$1,458.95	2026-05-06
71552	CPT	Hchg Rad MRI Chest Wwo	8	4	$2,400.41	$2,400.41	$204.72	$4,028.69	$1,489.19	2026-05-06
72142	CPT	Hchg Rad MRI Spine Cervical W	8	4	$1,553.84	$1,553.84	$162.63	$2,570.57	$1,489.19	2026-05-06
72149	CPT	Hchg Rad MRI Spine Lumbar W	8	4	$1,529.90	$1,529.90	$162.63	$2,527.86	$1,489.19	2026-05-06
72156	CPT	Hchg Rad MRI Spine Cervical Wwo	8	4	$1,765.64	$1,765.64	$207.28	$2,893.11	$1,489.19	2026-05-06
72157	CPT	Hchg Rad MRI Spine Thoracic Wwo	8	4	$1,769.99	$1,769.99	$207.28	$2,900.87	$1,489.19	2026-05-06
72158	CPT	Hchg Rad MRI Spine Lumbar Wwo	8	4	$1,754.77	$1,754.77	$207.28	$2,873.71	$1,489.19	2026-05-06
72195	CPT	Hchg Rad MRI Pelvis Wo	8	4	$1,940.29	$1,940.29	$132.66	$3,297.13	$1,458.95	2026-05-06
72196	CPT	Hchg Rad MRI Pelvis W	8	4	$2,090.39	$2,090.39	$157.53	$3,534.10	$1,489.19	2026-05-06
72197	CPT	Hchg Rad MRI Pelvis Wwo	8	4	$2,396.86	$2,396.86	$199.63	$4,028.69	$1,489.19	2026-05-06
73220	CPT	Hchg Rad MRI Non Joint Upper Extremity Wwo	8	4	$2,393.32	$2,393.32	$194.52	$4,028.69	$1,489.19	2026-05-06
73222	CPT	Hchg Rad MRI Joint Of Upper Extremity W	8	4	$1,918.26	$1,918.26	$147.97	$3,238.86	$1,492.55	2026-05-06
73223	CPT	Hchg Rad MRI Joint Of Upper Extremity Wwo	8	4	$2,351.72	$2,351.72	$195.16	$3,953.69	$1,489.19	2026-05-06
73719	CPT	Hchg Rad MRI Lower Ext Non Joint W Contrast	8	4	$2,083.30	$2,083.30	$147.33	$3,534.10	$1,489.19	2026-05-06
73720	CPT	Hchg Rad MRI Non Joint Lower Extremity Wwo	8	4	$2,393.32	$2,393.32	$194.52	$4,028.69	$1,489.19	2026-05-06
73722	CPT	Hchg Rad MRI Joint Of Lower Extremity W	8	4	$1,937.84	$1,937.84	$147.97	$3,273.79	$1,492.55	2026-05-06
73723	CPT	Hchg Rad MRI Joint Of Lower Extremity Wwo	8	4	$2,355.64	$2,355.64	$194.52	$3,961.47	$1,489.19	2026-05-06
74181	CPT	Hchg Rad MRI Abdomen Wo	8	4	$1,681.15	$1,681.15	$132.66	$2,834.82	$1,458.95	2026-05-06
74182	CPT	Hchg Rad MRI Abdomen W	8	4	$2,360.47	$2,360.47	$157.53	$4,015.92	$1,489.19	2026-05-06
74183	CPT	Hchg Rad MRI Abdomen Wwo	8	4	$2,396.86	$2,396.86	$199.63	$4,028.69	$1,489.19	2026-05-06
78227	CPT	Hchg Rad Nm Hepatobiliary W Pharm Intervention	8	4	$2,119.25	$2,119.25	$81.00	$3,680.39	$1,535.53	2026-05-06
78452	CPT	Hchg Rad Nm Cardiac Myocard Mult Spect Wwo Ef And Wm	7	4	$4,012.06	$4,012.06	$142.86	$3,578.76	$2,888.68	2026-05-06
81229	CPT	Hchg Cma, Poc Mml	4	4	$3,860.39	$3,860.39	$2,779.48	$3,443.47	$2,859.59	2026-05-06
81265	CPT	Hchg Mcc, Poc Mml	4	4	$2,541.91	$2,541.91	$1,830.18	$2,267.38	$1,882.92	2026-05-06
81315	CPT	Pr Pml/raralpha Common Breakpoints Qual/quant	4	4	$2,349.52	$2,349.52	$1,691.65	$2,095.77	$1,740.41	2026-05-06
81340	CPT	Pb T Cell Beta Pcr	4	4	$2,469.45	$2,469.45	$1,778.00	$2,202.75	$1,829.24	2026-05-06
81342	CPT	Pb T Cell Gamma Pcr	4	4	$2,381.73	$2,381.73	$1,714.85	$2,124.50	$1,764.27	2026-05-06
81372	CPT	Pb Misc Lab Charge 81372	4	4	$2,611.12	$2,611.12	$1,880.01	$2,329.12	$1,934.18	2026-05-06
87901	CPT	Pb General Lab 8790100	4	4	$3,043.08	$3,043.08	$2,191.02	$2,714.43	$2,254.16	2026-05-06
90375	CPT	Pr Rabies Ig IM Sc 150 35-55 Kg Affiliate Only	8	4	$2,707.97	$2,707.97	$899.07	$3,717.17	$2,057.13	2026-05-06
90378	CPT	Pr Respiratory Syncytial Virus Ig IM 50 Mg E	4	4	$2,909.56	$2,909.56	$2,094.88	$2,595.33	$2,155.26	2026-05-06
91110	CPT	Pr Gi Imag Intraluminal Esophagus-ileum W/i&r	9	3	$2,227.25	$2,227.25	$328.99	$2,385.15	$1,659.30	2026-05-06
93306	CPT	Hchg Echo 2d Comp Wo Cont W Spectral-color	7	4	$2,033.08	$2,033.08	$137.27	$1,813.51	$1,514.64	2026-05-06
95782	CPT	Hchg Polysomnography <6 Yrs W => 4 Parameters	4	4	$2,356.89	$2,356.89	$1,696.96	$2,102.35	$1,745.87	2026-05-06
95810	CPT	Hchg Polysomnography => 6yrs =>4 Parameters	7	4	$3,848.33	$3,848.33	$435.54	$3,432.71	$2,770.80	2026-05-06
95811	CPT	Hchg Polysomnography => 6yrs =>4 Parameters W Cpap Or Bilevel	7	4	$4,336.53	$4,336.53	$446.09	$3,868.18	$3,122.30	2026-05-06
99468	CPT	Pr 1st Inpatient Critical Care Pr Day Age 28 DAYS/<,Professinal Compenent	3	3	$2,872.23	$2,872.23	$2,115.40	$2,562.03	$2,139.81	2026-05-06
A4264	CPT	Pr Perm Intratubal Occlsn Device W Deliv Sys Pr1320	4	4	$3,209.08	$3,209.08	$2,310.54	$2,862.50	$2,377.12	2026-05-06
A9569	CPT	Nm Dose Tech 99m Ceretec Label Wbc	4	4	$5,520.05	$5,520.05	$3,974.44	$4,923.88	$4,088.98	2026-05-06
C8929	CPT	Hchg Echo 2d Comp W Cont-spectral-color	4	4	$2,033.08	$2,033.08	$1,463.82	$1,813.51	$1,506.00	2026-05-06
G0260	CPT	Hchg CT Inj Sacroiliac Joint	7	4	$2,327.16	$2,327.16	$180.68	$2,075.83	$1,675.56	2026-05-06
G0390	CPT	Hchg Ed Level Iii Trauma Team Activation	8	4	$1,953.90	$1,953.90	$1,205.83	$1,991.86	$1,550.84	2026-05-06
J7327	CPT	Pr Inj Monovisc Per Dose	4	4	$2,107.29	$2,107.29	$1,517.25	$1,879.70	$1,560.97	2026-05-06
J9217	CPT	Pr Leuprolide Acetate (for Depot Suspension) 7.5 Mg	4	4	$2,894.88	$2,894.88	$2,084.31	$2,582.23	$2,144.39	2026-05-06
J9225	CPT	Pr Histrelin Implant (vantas) 50 Mg	4	4	$5,903.98	$5,903.98	$4,250.87	$5,266.35	$4,373.38	2026-05-06

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