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Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

S E LACKEY MEMORIAL HOSPITAL

Forest, MS · CCN 251300 · Rates published

5,759 distinct procedures filed
19 distinct payers
113,455 rate rows
2026-02-10 last MRF observed
Data quality

112,659 of 113,455 rate rows are consumer-grade (99.3%)

796 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 — reasonRows
template filing: same amount across many unrelated codes — excluded 540
percent-of-charges filed in the dollar field — excluded from medians 104
per-diem day rate — not a per-procedure price 77
exceeds 10× this hospital's gross charge — excluded from medians 59
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 15
placeholder amount (≤ $0.02) — excluded from medians 1
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbSLCAFORESTMS&type=CDMWithoutLabel&fileType=CSV
Found on page https://apps.para-hcfs.com/PTT/FinalLinks/LackeyMemorial.aspx
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-18
Content fingerprint 9497873e234fe3f0… · 40,170,684 bytes · first seen 2026-05-08

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
J3101
HCPCS 		Injection, Tenecteplase, 1 Mg 14 $15,782.88 $37,578.28 $28,183.71 nat. median
$3,475
outlier · 8.1×
C1820
HCPCS 		Generator, Neurostimulator (implantable), With Rechargeable Battery And Charging… 16 $500.00 $31,743.00 $23,807.25 nat. median
$22,838
1.0× median
J1437
HCPCS 		Injection, Ferric Derisomaltose, 10 Mg 14 $6,806.10 $16,205.00 $12,153.75 nat. median
$44
outlier · 274.6×
25575
HCPCS 		Treatment Of Broken Midpart Of Both Forearm Bones With Placement Of Stabilizing… 16 $500.00 $15,575.00 $11,681.25 nat. median
$7,230
1.6× median
49594
HCPCS 		Initial Repair Of Entrapped Hernia Of Abdomen, 3-10 Cm In Length 16 $500.00 $16,494.00 $11,489.12 nat. median
$5,951
1.9× median
03051837_1
CDM 		Ryanodex 250 Mg Vial 14 $500.00 $13,014.90 $9,761.17 nat. median
$9,761
1.0× median
58563
HCPCS 		Exam Of Uterus With Destruction Of Lining Of Uterus Using An Endoscope 16 $500.00 $14,217.00 $9,720.13 nat. median
$5,175
1.9× median
90000496_1
CDM 		Stem Corail Femoral With Collar 14 $500.00 $11,689.20 $8,766.90 nat. median
$267
outlier · 32.8×
23515
HCPCS 		Treatment Of Broken Collar Bone 16 $500.00 $12,732.06 $8,604.75 nat. median
$7,011
1.2× median
29888
HCPCS 		Repair Of Anterior Cruciate Ligament Of Knee Using An Endoscope 16 $50.00 $20,107.00 $8,444.94 nat. median
$7,307
1.2× median
28715
HCPCS 		Fusion Of 3 Bones Of Ankle 16 $50.00 $22,527.29 $8,444.94 nat. median
$11,408
0.7× median
38740
HCPCS 		Partial Removal Of Lymph Nodes Of Underarm 16 $500.00 $11,116.00 $8,337.00 nat. median
$5,659
1.5× median
21048
HCPCS 		Removal Of Growth Or Cyst Of Upper Jaw Bone Through Mouth 16 $500.00 $11,015.00 $8,261.25 nat. median
$6,029
1.4× median
27652
HCPCS 		Repair Of Ruptured Achilles Tendon With Graft 16 $50.00 $19,197.00 $8,062.74 nat. median
$6,923
1.2× median
25800
HCPCS 		Complete Fusion Of Wrist Joint 16 $50.00 $19,197.00 $8,062.74 nat. median
$7,037
1.1× median
22515
HCPCS 		Treatment Of Broken Spine Bone With Stabilizing Device, Each Additional Segment 16 $100.00 $19,197.00 $8,062.74 nat. median
$5,290
1.5× median
C1778
HCPCS 		Lead, Neurostimulator (implantable) 16 $500.00 $9,555.00 $7,166.25 nat. median
$4,468
1.6× median
23615
HCPCS 		Treatment Of Broken Top Of Upper Arm Bone 16 $50.00 $22,527.29 $6,987.12 nat. median
$11,071
0.6× median
24516
HCPCS 		Treatment Of Broken Middle Part Of Upper Arm Bone With Placement Of Stabilizing… 16 $50.00 $22,527.29 $6,987.12 nat. median
$11,327
0.6× median
24666
HCPCS 		Treatment Of Broken Forearm Bone On Thumb Side At Elbow With Prosthesis 16 $50.00 $22,527.29 $6,987.12 nat. median
$10,859
0.6× median
25609
HCPCS 		Treatment Of 3 Or More Broken Lower Forearm Bone Pieces On Thumb Side Inside Wri… 16 $50.00 $16,636.00 $6,987.12 nat. median
$7,267
1.0× median
27692
HCPCS 		Transfer Of Tendon With Muscle Rerouting At Foot, Each Additional Tendon 16 $500.00 $9,258.00 $6,943.50 nat. median
$1,976
outlier · 3.5×
51715
HCPCS 		Injection Of Implant Material Beneath Lining Of Bladder And/or Urethra Using An… 16 $500.00 $9,964.74 $6,829.32 nat. median
$3,595
1.9× median
64585
HCPCS 		Revision Of Peripheral Neurostimulator Electrodes 16 $500.00 $9,723.00 $6,713.33 nat. median
$3,428
2.0× median
64595
HCPCS 		Removal Or Revision Of A Peripheral, Sacral, Or Gastric Neurostimulator Pulse Ge… 16 $500.00 $9,723.00 $6,713.33 nat. median
$3,448
1.9× median
90000321_1
CDM 		Component Cruciate Retaining Size E Fem 14 $500.00 $8,881.20 $6,660.90 nat. median
$4,145
1.6× median
25607
HCPCS 		Treatment Of Broken Forearm Bone On Thumb Side Of Wrist, Above Wrist, With Place… 16 $50.00 $15,575.00 $6,541.50 nat. median
$7,029
0.9× median
27827
HCPCS 		Treatment Of Broken Shin Bone At Lower Weight Bearing Joint 16 $50.00 $22,527.29 $6,541.50 nat. median
$11,070
0.6× median
Q4186
HCPCS 		Epifix, Per Square Centimeter 16 $218.36 $37,883.00 $6,520.82 nat. median
$441
outlier · 14.8×
26135
HCPCS 		Repair Of Hand Joint 16 $500.00 $9,252.00 $6,340.09 nat. median
$3,546
1.8× median
28760
HCPCS 		Fusion Of Big Toe Between Toe Joints With Tendon Transfer 16 $100.00 $15,046.00 $6,319.32 nat. median
$6,572
1.0× median
28300
HCPCS 		Incision Or Partial Removal Of Heel Bone 16 $50.00 $15,046.00 $6,319.32 nat. median
$6,709
0.9× median
28322
HCPCS 		Repair Of Nonhealed Broken Forefoot Bone 16 $100.00 $15,046.00 $6,319.32 nat. median
$6,623
1.0× median
28735
HCPCS 		Fusion Of Multiple Foot Joints With Bone Incision To Correct A Foot Deformity 16 $50.00 $22,527.29 $6,319.32 nat. median
$11,242
0.6× median
28730
HCPCS 		Fusion Of Multiple Foot Joints 16 $50.00 $22,527.29 $6,319.32 nat. median
$10,457
0.6× median
28305
HCPCS 		Incision Or Partial Removal Of Foot Bone With Bone Graft 16 $50.00 $15,046.00 $6,319.32 nat. median
$6,934
0.9× median
43659
HCPCS 		Other Procedure On Stomach Using An Endoscope 16 $500.00 $10,607.74 $6,309.75 nat. median
$6,481
1.0× median
33980
HCPCS 		Removal Of Implanted Blood Flow Assist Device In Lower Heart Chamber 16 $50.00 $14,906.00 $6,260.52 nat. median
$3,955
1.6× median
24615
HCPCS 		Treatment Of Dislocated Elbow 16 $50.00 $14,743.00 $6,192.06 nat. median
$6,969
0.9× median
25608
HCPCS 		Treatment Of 2 Broken Lower Forearm Bone Pieces On Thumb Side Inside Wrist Joint… 16 $50.00 $14,743.00 $6,192.06 nat. median
$7,144
0.9× median
24635
HCPCS 		Treatment Of Broken And Dislocated Forearm Bones At Elbow 16 $50.00 $14,743.00 $6,192.06 nat. median
$7,014
0.9× median
59820
HCPCS 		Treatment Of Miscarriage During First Trimester 16 $500.00 $8,937.00 $6,191.37 nat. median
$3,307
1.9× median
57520
HCPCS 		Removal Or Destruction Of Cervix With Cold Knife Or Laser 16 $500.00 $8,937.00 $6,191.37 nat. median
$3,225
1.9× median
57522
HCPCS 		Removal Or Destruction Of Cervix Using Loop Electrode 16 $500.00 $8,937.00 $6,191.37 nat. median
$3,157
2.0× median
58562
HCPCS 		Removal Of Foreign Body In Uterus Using An Endoscope 16 $500.00 $8,937.00 $6,191.37 nat. median
$3,319
1.9× median
56700
HCPCS 		Partial Removal Of Hymen 16 $500.00 $8,937.00 $6,191.37 nat. median
$3,120
2.0× median
56620
HCPCS 		Simple Partial Removal Of External Female Genitals 16 $500.00 $8,937.00 $6,191.37 nat. median
$3,544
1.7× median
35903
HCPCS 		Removal Of Infected Graft Of Arm Or Leg 16 $500.00 $8,796.00 $6,068.62 nat. median
$3,534
1.7× median
57265
HCPCS 		Repair Of Bulging Of Rectum And Bladder Into Vaginal Wall 16 $500.00 $8,777.51 $6,015.75 nat. median
$5,071
1.2× median
05000044_1
CDM 		Vapotherm/percison Flow Machine 14 $500.00 $7,694.10 $5,770.57 nat. median
$5,771
1.0× median

Other procedures at this hospital

Browse this hospital's 5,759 published procedures. Use the slice to choose what to show, then sort or filter any column.

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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
             
00099066_1 CDM Charity/indigent Adjustment Ip 4 4 $11,333.31 $11,333.31 $2,833.33 $10,199.98 $4,533.32 2026-02-10
00099097_1 CDM Hmo Adjustment 4 4 $7,655.03 $7,655.03 $1,913.76 $6,889.53 $3,062.01 2026-02-10
00099152_1 CDM Medicare Adjustment 4 4 $6,508.41 $6,508.41 $1,627.10 $5,857.57 $2,603.36 2026-02-10
00500300_1 CDM Operating Room Services - General Classification 14 14 $6,664.00 $6,664.00 $500.00 $5,997.60 $4,498.20 2026-02-10
00500301_1 CDM Operating Room Services - General Classification 14 14 $3,847.00 $3,847.00 $500.00 $3,462.30 $2,596.72 2026-02-10
01500507_1 CDM Trauma Response Wo Critical Care 14 14 $3,913.00 $3,913.00 $500.00 $3,521.70 $2,641.28 2026-02-10
03051243_1 CDM Feraheme 510 Mg/17 Ml Vial 14 14 $5,144.00 $5,144.00 $500.00 $4,629.60 $3,472.20 2026-02-10
03051417_1 CDM Vaprisol-dextrose 20 Mg/100 Ml 14 14 $4,458.00 $4,458.00 $500.00 $4,012.20 $3,009.15 2026-02-10
03051837_1 CDM Ryanodex 250 Mg Vial 14 14 $14,461.00 $14,461.00 $500.00 $13,014.90 $9,761.17 2026-02-10
05000044_1 CDM Vapotherm/percison Flow Machine 14 14 $8,549.00 $8,549.00 $500.00 $7,694.10 $5,770.57 2026-02-10
08201791_1 CDM Ventralght St Msh W Echo Ps 4.5x11-18007 14 14 $3,611.00 $3,611.00 $500.00 $3,249.90 $2,437.43 2026-02-10
08201795_1 CDM Mesh Ventrilight St 4.5 W/eps,17163 14 14 $3,609.00 $3,609.00 $500.00 $3,248.10 $2,436.07 2026-02-10
08201799_1 CDM Mesh, Ventrilight 6x8st W/echo Ps-17181 14 14 $6,208.17 $6,208.17 $500.00 $5,587.35 $4,190.52 2026-02-10
08201818_1 CDM Mesh, Ventrilight 4x6st Vent 14 14 $6,208.17 $6,208.17 $500.00 $5,587.35 $4,190.52 2026-02-10
09909996_1 CDM Room & Board - Private (one Bed) - General Classification 3 3 $5,450.00 $5,450.00 $3,103.23 $4,905.00 $3,103.23 2026-02-10
09909998_1 CDM Room & Board - Private (one Bed) - General Classification 3 3 $4,700.00 $4,700.00 $2,676.18 $4,230.00 $2,676.18 2026-02-10
14041 HCPCS Repair Of Wound Of Forehead, Cheeks, Chin, Mouth, Neck, Underarms, Genitals, Han… 16 16 $4,502.00 $4,502.00 $500.00 $4,502.00 $3,376.50 2026-02-10
15220 HCPCS Full Thickness Skin Graft To Scalp, Arms, Or Legs, 20.0 Sq Cm Or Less 16 16 $3,384.00 $3,384.00 $500.00 $3,620.31 $2,538.00 2026-02-10
15241 HCPCS Full Thickness Skin Graft To Forehead, Cheeks, Chin, Mouth, Neck, Underarms, Gen… 16 16 $3,538.00 $3,538.00 $500.00 $3,538.00 $2,653.50 2026-02-10
15757 HCPCS Skin Graft With Repair Of Small Blood Vessel 26 16 $9,303.00 $9,303.00 $50.00 $9,303.00 $4,744.53 2026-02-10
15830 HCPCS Removal Of Extra Skin And Tissue Of Abdomen 26 16 $8,550.00 $8,550.00 $50.00 $11,651.11 $3,591.00 2026-02-10
15877 HCPCS Suction Assisted Removal Of Fat Of Body 16 16 $4,615.00 $4,615.00 $500.00 $6,217.97 $3,461.25 2026-02-10
19303 HCPCS Simple Complete Removal Of Breast 29 16 $7,228.00 $7,228.00 $50.00 $11,651.11 $3,014.00 2026-02-10
19307 HCPCS Removal Of Breast And Underarm Lymph Nodes 32 16 $3,643.00 $3,643.00 $50.00 $11,651.11 $2,302.90 2026-02-10
20245 HCPCS Biopsy Of Deep Bone 26 16 $5,637.00 $5,637.00 $50.00 $5,637.00 $2,367.54 2026-02-10
20690 HCPCS Placement Of Single Direction External Bone Stabilizing Device To Arm Or Leg 26 16 $7,960.00 $7,960.00 $50.00 $12,732.06 $3,343.20 2026-02-10
21014 HCPCS Removal Of Growth Of Muscle Of Face Or Scalp, 2.0 Cm Or More 16 16 $8,121.00 $8,121.00 $500.00 $8,121.00 $5,593.74 2026-02-10
21048 HCPCS Removal Of Growth Or Cyst Of Upper Jaw Bone Through Mouth 16 16 $11,015.00 $11,015.00 $500.00 $11,015.00 $8,261.25 2026-02-10
21336 HCPCS Treatment Of Broken Bone And Tissue Separating Nose Airways 26 16 $5,662.00 $5,662.00 $50.00 $5,741.19 $2,378.04 2026-02-10
21490 HCPCS Treatment Of Dislocated Jaw Joint 26 16 $9,779.00 $9,779.00 $50.00 $9,779.00 $4,107.18 2026-02-10
21554 HCPCS Removal Of Growth Of Muscle Of Neck Or Front Of Chest, 5.0 Cm Or More 16 16 $5,024.00 $5,024.00 $500.00 $5,096.74 $3,893.60 2026-02-10
22515 HCPCS Treatment Of Broken Spine Bone With Stabilizing Device, Each Additional Segment 26 16 $19,197.00 $19,197.00 $100.00 $19,197.00 $8,062.74 2026-02-10
22900 HCPCS Removal Of Growth Of Muscle Of Abdomen, Less Than 5.0 Cm 16 16 $8,121.00 $8,121.00 $500.00 $8,121.00 $5,593.74 2026-02-10
22901 HCPCS Removal Of Growth Of Muscle Of Abdomen, 5.0 Cm Or More 16 16 $4,530.00 $4,530.00 $500.00 $5,096.74 $3,510.75 2026-02-10
23073 HCPCS Removal Of Growth Of Muscle Of Shoulder, 5.0 Cm Or More 16 16 $4,707.00 $4,707.00 $500.00 $5,096.74 $3,647.93 2026-02-10
23120 HCPCS Partial Removal Of Collar Bone 26 16 $7,960.00 $7,960.00 $50.00 $7,960.00 $3,343.20 2026-02-10
23405 HCPCS Incision Of Shoulder Tendon 26 16 $7,011.00 $7,011.00 $50.00 $12,732.06 $2,944.62 2026-02-10
23410 HCPCS Repair Of Acute Torn Shoulder Rotator Cuff 26 16 $10,270.00 $10,270.00 $50.00 $12,732.06 $4,313.40 2026-02-10
23412 HCPCS Repair Of Chronic Torn Shoulder Rotator Cuff 26 16 $11,685.00 $11,685.00 $50.00 $12,732.06 $4,907.70 2026-02-10
23420 HCPCS Repair Of Complete Tear Of Shoulder Rotator Cuff With Release Of Pressure On Col… 26 16 $10,270.00 $10,270.00 $50.00 $12,732.06 $4,313.40 2026-02-10
23472 HCPCS Prosthetic Repair Of Shoulder Joint, Total Shoulder 26 16 $10,363.00 $10,363.00 $50.00 $30,765.56 $4,352.46 2026-02-10
23515 HCPCS Treatment Of Broken Collar Bone 16 16 $11,473.00 $11,473.00 $500.00 $12,732.06 $8,604.75 2026-02-10
23530 HCPCS Treatment Of Dislocated Joint Between Collar And Chest Bones 26 16 $10,800.00 $10,800.00 $50.00 $12,732.06 $4,536.00 2026-02-10
23615 HCPCS Treatment Of Broken Top Of Upper Arm Bone 26 16 $16,636.00 $16,636.00 $50.00 $22,527.29 $6,987.12 2026-02-10
23929 HCPCS Other Procedure On Shoulder 23 16 $6,525.00 $6,525.00 $50.00 $6,525.00 $2,740.50 2026-02-10
24000 HCPCS Incision Of Elbow Joint For Exploration, Fluid Drainage, Or Removal Of Foreign B… 26 16 $7,960.00 $7,960.00 $50.00 $7,960.00 $3,343.20 2026-02-10
24073 HCPCS Removal Of Growth Of Muscle Of Upper Arm Or Elbow, 5.0 Cm Or More 16 16 $4,728.00 $4,728.00 $500.00 $5,096.74 $3,664.20 2026-02-10
24342 HCPCS Reinsertion Of Torn Upper Arm Tendon 26 16 $11,685.00 $11,685.00 $50.00 $12,732.06 $4,907.70 2026-02-10
24357 HCPCS Incision Of Elbow Tendon 26 16 $7,960.00 $7,960.00 $50.00 $7,960.00 $3,343.20 2026-02-10
24358 HCPCS Incision Of Elbow Tendon With Removal Of Tissue 26 16 $7,011.00 $7,011.00 $50.00 $7,011.00 $2,944.62 2026-02-10
24359 HCPCS Incision And Repair Of Elbow Tendon With Removal Of Tissue Or Bone 26 16 $7,960.00 $7,960.00 $50.00 $7,960.00 $3,343.20 2026-02-10
24516 HCPCS Treatment Of Broken Middle Part Of Upper Arm Bone With Placement Of Stabilizing … 26 16 $16,636.00 $16,636.00 $50.00 $22,527.29 $6,987.12 2026-02-10
24615 HCPCS Treatment Of Dislocated Elbow 26 16 $14,743.00 $14,743.00 $50.00 $14,743.00 $6,192.06 2026-02-10
24635 HCPCS Treatment Of Broken And Dislocated Forearm Bones At Elbow 26 16 $14,743.00 $14,743.00 $50.00 $14,743.00 $6,192.06 2026-02-10
24666 HCPCS Treatment Of Broken Forearm Bone On Thumb Side At Elbow With Prosthesis 26 16 $16,636.00 $16,636.00 $50.00 $22,527.29 $6,987.12 2026-02-10
25071 HCPCS Removal Of Growth Under Skin Of Forearm Or Wrist, 3.0 Cm Or More 26 16 $5,637.00 $5,637.00 $50.00 $5,637.00 $2,367.54 2026-02-10
25073 HCPCS Removal Of Growth Of Muscle Of Forearm Or Wrist, 3.0 Cm Or More 16 16 $3,578.00 $3,578.00 $500.00 $5,096.74 $2,772.95 2026-02-10
25210 HCPCS Removal Of Wrist Bone 26 16 $7,960.00 $7,960.00 $50.00 $7,960.00 $3,343.20 2026-02-10
25230 HCPCS Partial Removal Of Wrist Bone Near Thumb 26 16 $7,011.00 $7,011.00 $50.00 $7,011.00 $2,944.62 2026-02-10
25515 HCPCS Treatment Of Broken Midpart Of Forearm Bone On Thumb Side 26 16 $11,631.00 $11,631.00 $50.00 $12,732.06 $4,885.02 2026-02-10
25545 HCPCS Treatment Of Broken Midpart Of Forearm Bone On Small Finger Side 26 16 $12,745.00 $12,745.00 $50.00 $12,745.00 $5,352.90 2026-02-10
25575 HCPCS Treatment Of Broken Midpart Of Both Forearm Bones With Placement Of Stabilizing … 16 16 $15,575.00 $15,575.00 $500.00 $15,575.00 $11,681.25 2026-02-10
25606 HCPCS Placement Of Stabilizing Device For Broken Forearm Bone On Thumb Side At Wrist 26 16 $5,662.00 $5,662.00 $50.00 $5,741.19 $2,378.04 2026-02-10
25607 HCPCS Treatment Of Broken Forearm Bone On Thumb Side Of Wrist, Above Wrist, With Place… 26 16 $15,575.00 $15,575.00 $50.00 $15,575.00 $6,541.50 2026-02-10
25608 HCPCS Treatment Of 2 Broken Lower Forearm Bone Pieces On Thumb Side Inside Wrist Joint… 26 16 $14,743.00 $14,743.00 $50.00 $14,743.00 $6,192.06 2026-02-10
25609 HCPCS Treatment Of 3 Or More Broken Lower Forearm Bone Pieces On Thumb Side Inside Wri… 26 16 $16,636.00 $16,636.00 $50.00 $16,636.00 $6,987.12 2026-02-10
25800 HCPCS Complete Fusion Of Wrist Joint 26 16 $19,197.00 $19,197.00 $50.00 $19,197.00 $8,062.74 2026-02-10
26045 HCPCS Partial Release Of Connective Tissue Of Palm 26 16 $6,887.00 $6,887.00 $50.00 $6,887.00 $2,892.54 2026-02-10
26123 HCPCS Removal Of Connective Tissue Of Palm And Release Of Finger, First Digit 26 16 $6,377.00 $6,377.00 $50.00 $6,377.00 $2,678.34 2026-02-10
26135 HCPCS Repair Of Hand Joint 16 16 $9,252.00 $9,252.00 $500.00 $9,252.00 $6,340.09 2026-02-10
26608 HCPCS Treatment Of Broken Finger Bone With Stabilizing Device Accessed Through Skin 26 16 $6,218.00 $6,218.00 $50.00 $6,218.00 $2,611.56 2026-02-10
26615 HCPCS Treatment Of Broken Midhand Bone 26 16 $11,632.00 $11,632.00 $50.00 $11,632.00 $4,885.44 2026-02-10
26650 HCPCS Placement Of Stabilizing Device For Broken Thumb At Wrist With Manipulation 26 16 $6,218.00 $6,218.00 $50.00 $6,218.00 $2,611.56 2026-02-10
26715 HCPCS Treatment Of Dislocated Hand Joint At Base Of Finger 26 16 $5,662.00 $5,662.00 $50.00 $5,741.19 $2,378.04 2026-02-10
26727 HCPCS Placement Of Stabilizing Device For Broken Finger Or Thumb At Midportion Or Part… 26 16 $5,899.00 $5,899.00 $50.00 $5,899.00 $2,477.58 2026-02-10
26735 HCPCS Treatment Of Broken Finger At Midportion Or Part Near Hand 26 16 $5,662.00 $5,662.00 $50.00 $5,741.19 $2,378.04 2026-02-10
26756 HCPCS Placement Of Stabilizing Device For Broken End Of Finger Or Thumb 26 16 $6,312.00 $6,312.00 $50.00 $6,312.00 $2,651.04 2026-02-10
26765 HCPCS Treatment Of Broken End Of Finger Or Thumb 26 16 $5,662.00 $5,662.00 $50.00 $5,741.19 $2,378.04 2026-02-10
26860 HCPCS Fusion Of Finger Joint, Initial Joint 26 16 $6,384.00 $6,384.00 $50.00 $6,384.00 $2,681.28 2026-02-10
27045 HCPCS Removal Of Growth Of Muscle Of Pelvis And Hip, 5.0 Cm Or More 16 16 $4,932.00 $4,932.00 $500.00 $5,096.74 $3,822.30 2026-02-10
27047 HCPCS Removal Of Growth Under Skin Of Pelvis And Hip, Less Than 3.0 Cm 16 16 $3,500.00 $3,500.00 $500.00 $5,096.74 $2,625.00 2026-02-10
27130 HCPCS Replacement Of Thigh Bone And Hip Joint With Prosthesis 26 16 $9,775.00 $9,775.00 $50.00 $22,527.29 $4,105.50 2026-02-10
27137 HCPCS Revision Of Hip Socket Part Of Hip Prosthesis 26 16 $10,269.00 $10,269.00 $50.00 $22,527.29 $4,312.98 2026-02-10
27236 HCPCS Treatment Of Upper End Of Broken Thigh Bone With Placement Of Stabilizing Device… 26 16 $7,765.00 $7,765.00 $50.00 $12,732.06 $3,270.45 2026-02-10
27244 HCPCS Treatment Of Broken Neck Of Thigh Bone With Plate/screw Implant 26 16 $7,937.00 $7,937.00 $50.00 $12,732.06 $3,388.92 2026-02-10
27327 HCPCS Removal Of Growth Under Skin Of Thigh Or Knee, 3.0 Cm Or More 16 16 $5,034.00 $5,034.00 $500.00 $5,034.00 $3,336.73 2026-02-10
27337 HCPCS Removal Of Growth Under Skin Of Thigh Or Knee, Less Than 3.0 Cm 26 16 $5,637.00 $5,637.00 $50.00 $5,637.00 $2,367.54 2026-02-10
27339 HCPCS Removal Of Growth Of Muscle Of Thigh Or Knee, 5.0 Cm Or More 16 16 $5,129.00 $5,129.00 $500.00 $5,129.00 $3,974.97 2026-02-10
27360 HCPCS Partial Removal Of Thigh And/or Lower Leg Bones 26 16 $7,011.00 $7,011.00 $50.00 $7,011.00 $2,944.62 2026-02-10
27385 HCPCS Primary Suture Of Ruptured Muscle Of Thigh 26 16 $7,960.00 $7,960.00 $50.00 $12,732.06 $3,343.20 2026-02-10
27447 HCPCS Replacement Of Knee Joint, Both Sides Of Knee 26 16 $10,551.00 $10,551.00 $50.00 $22,527.29 $4,431.42 2026-02-10
27487 HCPCS Revision Of Thigh And Lower Leg Bone Components Of Total Knee Joint Prosthesis 26 16 $12,236.00 $12,236.00 $50.00 $30,765.56 $5,139.12 2026-02-10
27604 HCPCS Drainage Of Infected Fluid-filled Sac (bursa) Of Leg Or Ankle 26 16 $7,011.00 $7,011.00 $100.00 $7,011.00 $2,944.62 2026-02-10
27605 HCPCS Incision Of Achilles Tendon Using Local Anesthetic 16 16 $4,414.00 $4,414.00 $500.00 $4,414.00 $3,065.97 2026-02-10
27610 HCPCS Incision Of Ankle Joint For Exploration, Fluid Drainage, Or Removal Of Foreign B… 26 16 $7,011.00 $7,011.00 $50.00 $7,011.00 $2,944.62 2026-02-10
27612 HCPCS Incision Of Ankle Joint With Release Of Joint Lining 26 16 $7,011.00 $7,011.00 $50.00 $7,011.00 $2,944.62 2026-02-10
27620 HCPCS Incision And Exploration Of Ankle Joint 26 16 $7,960.00 $7,960.00 $50.00 $7,960.00 $3,343.20 2026-02-10
27625 HCPCS Removal Of Membrane Covering Of Ankle Joint 26 16 $7,011.00 $7,011.00 $50.00 $7,011.00 $2,944.62 2026-02-10
27626 HCPCS Removal Of Membrane Covering Ankle Joint And Tendon 26 16 $7,011.00 $7,011.00 $50.00 $7,011.00 $2,944.62 2026-02-10
27634 HCPCS Removal Of Growth Of Muscle Of Leg Or Ankle, 5.0 Cm Or More 16 16 $4,589.00 $4,589.00 $500.00 $5,096.74 $3,556.47 2026-02-10
27635 HCPCS Removal Of Cyst Or Growth Of Lower Leg Bone 26 16 $7,011.00 $7,011.00 $50.00 $7,011.00 $2,944.62 2026-02-10
27641 HCPCS Partial Removal Of Outer Lower Leg Bone 26 16 $7,960.00 $7,960.00 $50.00 $7,960.00 $3,343.20 2026-02-10
27650 HCPCS Repair Of Ruptured Achilles Tendon 26 16 $10,270.00 $10,270.00 $50.00 $12,732.06 $4,313.40 2026-02-10
27652 HCPCS Repair Of Ruptured Achilles Tendon With Graft 26 16 $19,197.00 $19,197.00 $50.00 $19,197.00 $8,062.74 2026-02-10
27654 HCPCS Secondary Repair Of Ruptured Achilles Tendon 26 16 $10,270.00 $10,270.00 $50.00 $12,732.06 $4,313.40 2026-02-10
27676 HCPCS Repair Of Dislocated Lower Leg Tendons By Incision Or Partial Removal Of Lower L… 26 16 $7,011.00 $7,011.00 $50.00 $12,732.06 $2,944.62 2026-02-10
27680 HCPCS Release Of Leg And/or Ankle Tendon 26 16 $7,011.00 $7,011.00 $50.00 $7,011.00 $2,944.62 2026-02-10
27681 HCPCS Release Of Multiple Leg And/or Ankle Tendons 26 16 $7,011.00 $7,011.00 $50.00 $7,011.00 $2,944.62 2026-02-10
27685 HCPCS Lengthening Or Shortening Of Tendon Of Leg Or Ankle 26 16 $7,011.00 $7,011.00 $100.00 $7,011.00 $2,944.62 2026-02-10
27687 HCPCS Lengthening Of Calf Muscle 26 16 $7,011.00 $7,011.00 $50.00 $7,011.00 $2,944.62 2026-02-10
27690 HCPCS Transfer Of Tendon And Muscle Rerouting At Lower Leg Or Ankle 26 16 $10,270.00 $10,270.00 $50.00 $12,732.06 $4,313.40 2026-02-10
27691 HCPCS Transfer Of Deep Tendon Of Foot With Muscle Rerouting 26 16 $10,270.00 $10,270.00 $50.00 $12,732.06 $4,313.40 2026-02-10
27692 HCPCS Transfer Of Tendon With Muscle Rerouting At Foot, Each Additional Tendon 16 16 $9,258.00 $9,258.00 $500.00 $9,258.00 $6,943.50 2026-02-10
27695 HCPCS Primary Repair Of Disrupted Ankle Ligament 26 16 $7,011.00 $7,011.00 $50.00 $12,732.06 $2,944.62 2026-02-10
27696 HCPCS Primary Repair Of Disruption Of Both Ankle Ligaments 26 16 $7,011.00 $7,011.00 $50.00 $12,732.06 $2,944.62 2026-02-10
27698 HCPCS Secondary Repair Of Disrupted Collateral Ligament Of Ankle 26 16 $7,011.00 $7,011.00 $50.00 $12,732.06 $2,944.62 2026-02-10
27700 HCPCS Reconstruction Of Ankle Joint 26 16 $9,648.00 $9,648.00 $50.00 $12,732.06 $4,052.16 2026-02-10
27726 HCPCS Repair Of Nonhealed Broken Outer Lower Leg Bone With Placement Of Stabilizing De… 26 16 $12,745.00 $12,745.00 $50.00 $12,745.00 $5,352.90 2026-02-10
27758 HCPCS Treatment Broken Middle Part Of Shin Bone With Plate Or Screws 26 16 $12,745.00 $12,745.00 $50.00 $22,527.29 $5,352.90 2026-02-10
27766 HCPCS Treatment Of Inside Portion Of Broken Shin Bone At Ankle 26 16 $10,800.00 $10,800.00 $50.00 $12,732.06 $4,536.00 2026-02-10
27784 HCPCS Treatment Of Broken Upper Or Middle Part Of Outer Lower Leg Bone 26 16 $10,800.00 $10,800.00 $50.00 $12,732.06 $4,536.00 2026-02-10
27792 HCPCS Treatment Of Broken Outer Lower Leg Bone At Ankle 26 16 $10,800.00 $10,800.00 $50.00 $12,732.06 $4,536.00 2026-02-10
27814 HCPCS Treatment Of Both Broken Lower Leg Bones At Ankle 26 16 $10,800.00 $10,800.00 $50.00 $12,732.06 $4,536.00 2026-02-10
27822 HCPCS Treatment Of 3 Broken Lower Leg Bones At Ankle 26 16 $10,800.00 $10,800.00 $50.00 $12,732.06 $4,536.00 2026-02-10
27827 HCPCS Treatment Of Broken Shin Bone At Lower Weight Bearing Joint 26 16 $15,575.00 $15,575.00 $50.00 $22,527.29 $6,541.50 2026-02-10
27829 HCPCS Treatment Of Ligament Tear At Ankle Joint 26 16 $10,800.00 $10,800.00 $50.00 $12,732.06 $4,536.00 2026-02-10
27846 HCPCS Treatment Of Dislocated Ankle 26 16 $12,745.00 $12,745.00 $50.00 $12,745.00 $5,352.90 2026-02-10
28102 HCPCS Removal Of Cyst Or Growth Of Heel Or Ankle Bone With Self Bone Graft 26 16 $12,626.00 $12,626.00 $50.00 $12,732.06 $5,302.92 2026-02-10
28103 HCPCS Removal Of Cyst Or Growth Of Heel Or Ankle Bone With Donor Bone Graft 26 16 $12,626.00 $12,626.00 $50.00 $12,732.06 $5,302.92 2026-02-10
28238 HCPCS Reconstruction Of Ankle Tendon With Removal Of Extra Ankle Joint Bone 26 16 $12,626.00 $12,626.00 $100.00 $12,732.06 $5,302.92 2026-02-10
28292 HCPCS Correction Of Bunion 26 16 $7,077.00 $7,077.00 $100.00 $7,077.00 $2,972.34 2026-02-10
28296 HCPCS Correction Of Bunion With Alignment Correction Of Midfoot Bone Toward Toe Area 26 16 $7,077.00 $7,077.00 $100.00 $7,077.00 $2,972.34 2026-02-10
28298 HCPCS Correction Of Bunion With Alignment Correction Of Big Toe 26 16 $7,077.00 $7,077.00 $100.00 $12,732.06 $2,972.34 2026-02-10
28299 HCPCS Correction Of Bunion With 2 Areas Of Realignment 26 16 $7,077.00 $7,077.00 $100.00 $12,732.06 $2,972.34 2026-02-10
28300 HCPCS Incision Or Partial Removal Of Heel Bone 26 16 $15,046.00 $15,046.00 $50.00 $15,046.00 $6,319.32 2026-02-10
28304 HCPCS Incision Or Partial Removal Of Foot Bone 26 16 $12,626.00 $12,626.00 $100.00 $12,732.06 $5,302.92 2026-02-10
28305 HCPCS Incision Or Partial Removal Of Foot Bone With Bone Graft 26 16 $15,046.00 $15,046.00 $50.00 $15,046.00 $6,319.32 2026-02-10
28309 HCPCS Incision Or Partial Removal Of Multiple Foot Bones To Straighten Toes 26 16 $12,626.00 $12,626.00 $50.00 $12,732.06 $5,302.92 2026-02-10
28322 HCPCS Repair Of Nonhealed Broken Forefoot Bone 26 16 $15,046.00 $15,046.00 $100.00 $15,046.00 $6,319.32 2026-02-10
28360 HCPCS Reconstruction Of Congenital Foot Defect 26 16 $12,626.00 $12,626.00 $50.00 $12,732.06 $5,302.92 2026-02-10
28445 HCPCS Treatment Of Broken Bone Between Foot And Ankle 26 16 $10,800.00 $10,800.00 $50.00 $12,732.06 $4,536.00 2026-02-10
28465 HCPCS Treatment Of Broken Hind Portion Of Foot 26 16 $10,800.00 $10,800.00 $50.00 $12,732.06 $4,536.00 2026-02-10
28485 HCPCS Treatment Of Broken Midportion Of Foot 26 16 $10,800.00 $10,800.00 $50.00 $12,732.06 $4,536.00 2026-02-10
28496 HCPCS Placement Of Stabilizing Device For Broken Big Toe With Manipulation 16 16 $6,312.00 $6,312.00 $500.00 $6,312.00 $4,734.00 2026-02-10
28505 HCPCS Treatment Of Broken Great Toe 26 16 $5,662.00 $5,662.00 $100.00 $5,741.19 $2,378.04 2026-02-10
28525 HCPCS Treatment Of Broken Toe 26 16 $5,662.00 $5,662.00 $100.00 $5,741.19 $2,378.04 2026-02-10
28531 HCPCS Treatment Of Broken Small Bone In Tendon Attached To Great Toe 26 16 $5,662.00 $5,662.00 $100.00 $12,732.06 $2,378.04 2026-02-10
28545 HCPCS Closed Treatment Of Dislocated Midfoot Joint Bone Under Anesthesia 26 16 $5,662.00 $5,662.00 $100.00 $5,741.19 $2,378.04 2026-02-10
28585 HCPCS Treatment Of Dislocated Ankle Joint 42 16 $5,662.00 $5,662.00 $100.00 $12,732.06 $2,651.04 2026-02-10
28675 HCPCS Treatment Of Dislocated Toe Joint 26 16 $5,662.00 $5,662.00 $100.00 $5,741.19 $2,378.04 2026-02-10
28715 HCPCS Fusion Of 3 Bones Of Ankle 26 16 $20,107.00 $20,107.00 $50.00 $22,527.29 $8,444.94 2026-02-10
28725 HCPCS Fusion Of Foot Below Ankle 26 16 $12,626.00 $12,626.00 $50.00 $22,527.29 $5,302.92 2026-02-10
28730 HCPCS Fusion Of Multiple Foot Joints 26 16 $15,046.00 $15,046.00 $50.00 $22,527.29 $6,319.32 2026-02-10
28735 HCPCS Fusion Of Multiple Foot Joints With Bone Incision To Correct A Foot Deformity 26 16 $15,046.00 $15,046.00 $50.00 $22,527.29 $6,319.32 2026-02-10
28737 HCPCS Fusion Of Upper Part Of Foot And Lengthening Of Tendon 26 16 $12,626.00 $12,626.00 $50.00 $22,527.29 $5,302.92 2026-02-10
28750 HCPCS Fusion Of Big Toe At Joint With Foot 26 16 $12,626.00 $12,626.00 $100.00 $12,732.06 $5,302.92 2026-02-10
28760 HCPCS Fusion Of Big Toe Between Toe Joints With Tendon Transfer 26 16 $15,046.00 $15,046.00 $100.00 $15,046.00 $6,319.32 2026-02-10
28890 HCPCS Shock Wave Therapy To Arch Of Foot Using Ultrasound Guidance Under Anesthesia 26 16 $7,011.00 $7,011.00 $100.00 $7,011.00 $2,944.62 2026-02-10
29806 HCPCS Repair Of Shoulder Joint Capsule Using An Endoscope 26 16 $13,160.00 $13,160.00 $50.00 $13,160.00 $5,527.20 2026-02-10
29807 HCPCS Repair Of Shoulder Socket Using An Endoscope 26 16 $12,335.00 $12,335.00 $50.00 $12,732.06 $5,180.70 2026-02-10
29820 HCPCS Partial Removal Of Shoulder Joint Lining Using An Endoscope 26 16 $13,160.00 $13,160.00 $50.00 $13,160.00 $5,527.20 2026-02-10
29822 HCPCS Limited Removal Of Abnormal Shoulder Joint Tissue Using Endoscope 26 16 $6,525.00 $6,525.00 $50.00 $6,525.00 $2,740.50 2026-02-10
29823 HCPCS Removal Of Extensive Shoulder Joint Tissue Using An Endoscope 26 16 $12,335.00 $12,335.00 $50.00 $12,335.00 $5,180.70 2026-02-10
29824 HCPCS Partial Removal Of Collar Bone At Shoulder Using An Endoscope 26 16 $6,416.00 $6,416.00 $50.00 $6,416.00 $2,694.72 2026-02-10
29825 HCPCS Removal Of Shoulder Scar Tissue Using An Endoscope 26 16 $13,469.00 $13,469.00 $50.00 $13,469.00 $5,656.98 2026-02-10
29826 HCPCS Shaving Of Part Of Shoulder Bone And Repair Of Ligament Using An Endoscope 26 16 $6,416.00 $6,416.00 $50.00 $6,416.00 $2,694.72 2026-02-10
29827 HCPCS Repair Of Shoulder Rotator Cuff Using An Endoscope 26 16 $12,335.00 $12,335.00 $50.00 $12,732.06 $5,180.70 2026-02-10
29828 HCPCS Release Of Tendon Connecting Biceps Muscle And Shoulder Using An Endoscope 26 16 $12,335.00 $12,335.00 $50.00 $12,732.06 $5,180.70 2026-02-10
29845 HCPCS Removal Of Entire Wrist Joint Lining Using An Endoscope 26 16 $6,416.00 $6,416.00 $50.00 $6,416.00 $2,694.72 2026-02-10
29846 HCPCS Removal Or Repair Of Wrist Cartilage Using An Endoscope 26 16 $6,416.00 $6,416.00 $50.00 $6,416.00 $2,694.72 2026-02-10
29848 HCPCS Release Of Wrist Ligament Using An Endoscope 26 16 $6,416.00 $6,416.00 $50.00 $6,416.00 $2,694.72 2026-02-10
29862 HCPCS Removal Or Shaving Of Hip Joint Socket Cartilage Using An Endoscope 26 16 $11,990.00 $11,990.00 $50.00 $12,732.06 $5,035.80 2026-02-10
29870 HCPCS Diagnostic Exam Of Knee Using An Endoscope 16 16 $6,525.00 $6,525.00 $500.00 $6,525.00 $4,893.75 2026-02-10
29873 HCPCS Release Of Ligaments At Outer Side Of Knee Joint Using An Endoscope 26 16 $6,667.00 $6,667.00 $50.00 $6,667.00 $2,800.14 2026-02-10
29874 HCPCS Removal Of Loose Or Foreign Body In Knee Joint Using An Endoscope 26 16 $6,416.00 $6,416.00 $50.00 $6,416.00 $2,694.72 2026-02-10
29875 HCPCS Partial Removal Of Knee Joint Lining Using An Endoscope 26 16 $6,661.00 $6,661.00 $50.00 $6,661.00 $2,797.62 2026-02-10
29876 HCPCS Removal Of Joint Lining From Multiple Knee Joint Compartments Using An Endoscope 26 16 $6,661.00 $6,661.00 $50.00 $6,661.00 $2,797.62 2026-02-10
29877 HCPCS Removal Or Shaving Of Knee Joint Cartilage Using An Endoscope 26 16 $6,416.00 $6,416.00 $50.00 $6,416.00 $2,694.72 2026-02-10
29879 HCPCS Repair Of Knee Joint With Drilling And Or Scraping Of Joint Using An Endoscope 26 16 $6,416.00 $6,416.00 $50.00 $6,416.00 $2,694.72 2026-02-10
29880 HCPCS Removal Of Both Knee Cartilages Using An Endoscope 26 16 $6,416.00 $6,416.00 $50.00 $6,416.00 $2,694.72 2026-02-10
29881 HCPCS Removal Of Knee Cartilage Using An Endoscope 26 16 $6,416.00 $6,416.00 $50.00 $6,416.00 $2,694.72 2026-02-10
29882 HCPCS Repair Of Inside Or Outside Knee Joint Cartilage Using An Endoscope 26 16 $6,416.00 $6,416.00 $50.00 $6,416.00 $2,694.72 2026-02-10
29883 HCPCS Repair Of Inside And Outside Knee Joint Cartilage Using An Endoscope 26 16 $6,416.00 $6,416.00 $50.00 $6,416.00 $2,694.72 2026-02-10
29888 HCPCS Repair Of Anterior Cruciate Ligament Of Knee Using An Endoscope 26 16 $20,107.00 $20,107.00 $50.00 $20,107.00 $8,444.94 2026-02-10
29894 HCPCS Removal Of Loose Or Foreign Body In Ankle Using An Endoscope 26 16 $6,661.00 $6,661.00 $50.00 $6,661.00 $2,797.62 2026-02-10
30520 HCPCS Reshaping Of Nasal Cartilage 16 16 $3,994.00 $3,994.00 $500.00 $5,817.45 $2,995.50 2026-02-10
33980 HCPCS Removal Of Implanted Blood Flow Assist Device In Lower Heart Chamber 26 16 $14,906.00 $14,906.00 $50.00 $14,906.00 $6,260.52 2026-02-10
35207 HCPCS Repair Of Blood Vessel Of Hand Or Finger 26 16 $10,109.00 $10,109.00 $50.00 $10,109.00 $4,245.78 2026-02-10
35903 HCPCS Removal Of Infected Graft Of Arm Or Leg 16 16 $8,796.00 $8,796.00 $500.00 $8,796.00 $6,068.62 2026-02-10
36561 HCPCS Insertion Of Central Venous Tube With Port (5 Years Or Older) 48 16 $6,567.00 $6,567.00 $100.00 $6,910.00 $2,887.95 2026-02-10
36571 HCPCS Insertion Of Central Venous Tube With Port For Infusion (5 Years Or Older) 32 16 $4,278.50 $4,278.50 $100.00 $5,540.25 $2,296.56 2026-02-10
37785 HCPCS Tying, Incision, And/or Removal Of Varicose Vein Clusters Of Leg 26 16 $6,710.00 $6,710.00 $100.00 $6,710.00 $2,818.20 2026-02-10
38500 HCPCS Biopsy Or Removal Of Lymph Nodes 45 16 $5,467.00 $5,467.00 $100.00 $6,870.18 $2,296.14 2026-02-10
38510 HCPCS Biopsy Or Removal Of Deep Lymph Nodes Of Neck 26 16 $5,467.00 $5,467.00 $100.00 $6,870.18 $2,296.14 2026-02-10
38740 HCPCS Partial Removal Of Lymph Nodes Of Underarm 16 16 $11,116.00 $11,116.00 $500.00 $11,116.00 $8,337.00 2026-02-10
38745 HCPCS Removal Of Lymph Nodes Of Underarm 26 16 $11,116.00 $11,116.00 $50.00 $11,116.00 $4,668.72 2026-02-10
43210 HCPCS Repair Of Muscle At Esophagus And Stomach Using A Flexible Endoscope 16 16 $5,617.00 $5,617.00 $500.00 $18,651.55 $4,212.75 2026-02-10
43212 HCPCS Placement Of Stent In Esophagus Using A Flexible Endoscope 16 16 $6,323.00 $6,323.00 $500.00 $10,652.25 $4,742.25 2026-02-10
43216 HCPCS Removal Of Polyps Or Growths Of Esophagus Using A Flexible Endoscope With Electr… 26 16 $5,617.00 $5,617.00 $95.28 $5,617.00 $2,359.14 2026-02-10
43229 HCPCS Destruction Of Polyp Or Growth Of Esophagus Using A Flexible Endoscope 16 16 $5,617.00 $5,617.00 $500.00 $6,764.97 $4,212.75 2026-02-10
43659 HCPCS Other Procedure On Stomach Using An Endoscope 16 16 $8,413.00 $8,413.00 $500.00 $10,607.74 $6,309.75 2026-02-10
43830 HCPCS Insertion Of Stomach Feeding Tube 26 16 $5,917.00 $5,917.00 $50.00 $5,917.00 $2,485.14 2026-02-10
43848 HCPCS Revision Of Upper Stomach Bypass 26 16 $8,615.00 $8,615.00 $50.00 $8,615.00 $4,393.65 2026-02-10
43860 HCPCS Revision Of Surgically Created Connection Of Stomach To Small Bowel 26 16 $8,173.00 $8,173.00 $50.00 $8,173.00 $4,084.68 2026-02-10
43870 HCPCS Closure Of Surgically Created Opening From Stomach To Skin 26 16 $5,917.00 $5,917.00 $50.00 $6,764.97 $2,485.14 2026-02-10
44005 HCPCS Release Of Intestinal Scar Tissue 32 16 $5,026.50 $5,026.50 $50.00 $6,702.00 $2,814.84 2026-02-10
44025 HCPCS Biopsy Or Removal Of Foreign Body In Large Bowel 32 16 $4,506.50 $4,506.50 $50.00 $5,916.00 $2,484.72 2026-02-10
44120 HCPCS Partial Removal Of Small Bowel With Reconnection 32 16 $5,433.00 $5,433.00 $50.00 $7,031.00 $2,953.02 2026-02-10
44130 HCPCS Creation Of Connection Between 2 Segments Of Small Bowel 26 16 $6,035.00 $6,035.00 $50.00 $6,035.00 $3,077.85 2026-02-10
44140 HCPCS Partial Removal Of Large Bowel With Connection 32 16 $6,436.00 $6,436.00 $50.00 $7,910.00 $3,322.20 2026-02-10
44143 HCPCS Partial Removal Of Large Bowel With Creation Of Opening From Large Bowel To Skin 32 16 $7,449.50 $7,449.50 $50.00 $9,793.00 $4,123.38 2026-02-10
44146 HCPCS Partial Removal Of Large Bowel And Reattachment To Rectum And Creation Of Large … 13 10 $5,325.00 $5,325.00 $50.00 $5,325.00 $2,537.45 2026-02-10
44147 HCPCS Partial Removal Of Large Bowel Through Abdomen And Anus 32 16 $6,485.50 $6,485.50 $50.00 $7,367.00 $3,816.80 2026-02-10
44160 HCPCS Partial Removal Of Small And Large Bowel With Attachment Of Small And Large Bowe… 32 16 $5,745.50 $5,745.50 $50.00 $7,685.00 $3,227.70 2026-02-10
44180 HCPCS Release Of Small Bowel Scar Tissue Using An Endoscope 32 16 $6,453.50 $6,453.50 $50.00 $10,607.74 $2,501.50 2026-02-10
44202 HCPCS Partial Removal And Reconnection Of Small Bowel Using An Endoscope 26 16 $4,727.00 $4,727.00 $50.00 $4,727.00 $2,410.77 2026-02-10
44204 HCPCS Partial Removal Of Large Bowel Using An Endoscope 32 16 $6,827.00 $6,827.00 $50.00 $8,278.00 $3,648.63 2026-02-10
44205 HCPCS Partial Removal Of Small And Large Bowel With Attachment Of Small And Large Bowe… 32 16 $5,566.00 $5,566.00 $50.00 $6,851.00 $2,957.46 2026-02-10
44206 HCPCS Partial Removal Of Large Bowel With Creation Of Opening From Large Bowel To Skin… 26 16 $8,334.00 $8,334.00 $50.00 $8,334.00 $4,024.89 2026-02-10
44310 HCPCS Creation Of Opening From Small Bowel To Skin 26 16 $6,589.00 $6,589.00 $50.00 $6,589.00 $2,825.04 2026-02-10
44320 HCPCS Creation Of Opening From Large Bowel To Skin 32 16 $5,528.00 $5,528.00 $50.00 $7,366.00 $3,093.72 2026-02-10
44604 HCPCS Suture Of Tear Or Hole In Large Bowel 32 16 $4,165.50 $4,165.50 $50.00 $5,284.00 $2,424.09 2026-02-10
44661 HCPCS Closure Of Abnormal Drainage Tract From Small Bowel To Urinary Bladder With Rese… 26 16 $7,002.00 $7,002.00 $50.00 $7,002.00 $3,400.92 2026-02-10
45171 HCPCS Removal Of Growth Of Rectum Through Anus 26 16 $5,653.00 $5,653.00 $50.00 $5,653.00 $2,374.26 2026-02-10
45395 HCPCS Removal Of Rectum With Creation Of Opening From Large Bowel To Skin Using An End… 13 10 $4,984.00 $4,984.00 $50.00 $4,984.00 $2,360.57 2026-02-10
47564 HCPCS Removal Of Gallbladder With Exploration Of Common Bile Duct Using An Endoscope 32 16 $6,842.00 $6,842.00 $50.00 $18,651.55 $3,307.00 2026-02-10
47605 HCPCS Removal Of Gallbladder With X-ray Study Of Bile Ducts 26 16 $6,180.00 $6,180.00 $50.00 $6,180.00 $2,632.95 2026-02-10
47610 HCPCS Removal Of Gallbladder With Exploration Of Common Bile Duct 26 16 $7,814.00 $7,814.00 $50.00 $7,814.00 $3,349.14 2026-02-10
48140 HCPCS Partial Removal Of Pancreas 16 16 $6,489.00 $6,489.00 $500.00 $6,489.00 $4,866.75 2026-02-10
48510 HCPCS Insertion Of Drain From Cyst Of Pancreas Into Abdominal Cavity 26 16 $5,006.00 $5,006.00 $50.00 $5,006.00 $2,456.61 2026-02-10
49002 HCPCS Reopening Of Recent Abdominal Incision 26 16 $4,501.00 $4,501.00 $50.00 $4,501.00 $2,295.51 2026-02-10
49020 HCPCS Drainage Of Abdominal Abscess Or Infection 32 16 $4,081.00 $4,081.00 $50.00 $4,973.00 $2,898.00 2026-02-10
49040 HCPCS Drainage Of Abscess Of Diaphragm 26 16 $5,773.00 $5,773.00 $50.00 $5,773.00 $2,424.66 2026-02-10
49250 HCPCS Removal Of Navel And Surrounding Tissue 26 16 $5,674.00 $5,674.00 $50.00 $6,282.32 $2,383.08 2026-02-10
49521 HCPCS Repair Of Trapped Or Strangulated Groin Hernia 26 16 $7,125.00 $7,125.00 $50.00 $11,359.23 $2,992.50 2026-02-10
49525 HCPCS Repair Of Sliding Groin Hernia 26 16 $7,125.00 $7,125.00 $50.00 $7,125.00 $2,992.50 2026-02-10
49550 HCPCS Repair Of Femoral Groin Hernia 26 16 $7,125.00 $7,125.00 $50.00 $7,125.00 $2,992.50 2026-02-10
49557 HCPCS Repair Of Trapped Recurrent Femoral Groin Hernia 26 16 $7,125.00 $7,125.00 $50.00 $7,125.00 $2,992.50 2026-02-10
49591 HCPCS Initial Repair Of Sliding Hernia Of Abdomen, Less Than 3 Cm In Length 30 16 $952.00 $952.00 $399.84 $9,888.00 $2,552.48 2026-02-10
49594 HCPCS Initial Repair Of Entrapped Hernia Of Abdomen, 3-10 Cm In Length 16 16 $16,494.00 $16,494.00 $500.00 $16,494.00 $11,489.12 2026-02-10
51550 HCPCS Simple Partial Removal Of Bladder 26 16 $5,695.00 $5,695.00 $50.00 $5,695.00 $2,474.40 2026-02-10
51715 HCPCS Injection Of Implant Material Beneath Lining Of Bladder And/or Urethra Using An … 16 16 $9,964.74 $9,964.74 $500.00 $9,964.74 $6,829.32 2026-02-10
52204 HCPCS Biopsy Of Bladder Using An Endoscope 26 16 $6,203.00 $6,203.00 $100.00 $6,203.00 $2,605.26 2026-02-10
56620 HCPCS Simple Partial Removal Of External Female Genitals 16 16 $8,937.00 $8,937.00 $500.00 $8,937.00 $6,191.37 2026-02-10
56700 HCPCS Partial Removal Of Hymen 16 16 $8,937.00 $8,937.00 $500.00 $8,937.00 $6,191.37 2026-02-10
57200 HCPCS Suture Of Nonobstetrical Injury Of Vagina 16 16 $3,605.00 $3,605.00 $500.00 $5,679.99 $2,703.75 2026-02-10
57240 HCPCS Repair Of Bladder Hernia Into Vaginal Wall 16 16 $3,767.00 $3,767.00 $500.00 $8,777.51 $2,825.25 2026-02-10
57250 HCPCS Repair Of Herniated Rectum Into Vaginal Wall 16 16 $3,618.00 $3,618.00 $500.00 $8,777.51 $2,713.50 2026-02-10
57260 HCPCS Plastic Repair Of Vagina And Tissue Separating Vagina, Rectum, And Bladder 16 16 $3,840.00 $3,840.00 $500.00 $8,777.51 $2,880.00 2026-02-10
57265 HCPCS Repair Of Bulging Of Rectum And Bladder Into Vaginal Wall 16 16 $8,021.00 $8,021.00 $500.00 $8,777.51 $6,015.75 2026-02-10
57288 HCPCS Creation Of Sling Around Urethra In Female To Control Leakage 16 16 $5,061.00 $5,061.00 $500.00 $8,777.51 $3,795.75 2026-02-10
57415 HCPCS Removal Of Impacted Foreign Body In Vagina Under Anesthesia 16 16 $3,834.00 $3,834.00 $500.00 $5,679.99 $2,875.50 2026-02-10
57520 HCPCS Removal Or Destruction Of Cervix With Cold Knife Or Laser 16 16 $8,937.00 $8,937.00 $500.00 $8,937.00 $6,191.37 2026-02-10
57522 HCPCS Removal Or Destruction Of Cervix Using Loop Electrode 16 16 $8,937.00 $8,937.00 $500.00 $8,937.00 $6,191.37 2026-02-10
58120 HCPCS Dilation And Scraping Of Uterus 16 16 $5,752.00 $5,752.00 $500.00 $5,752.00 $4,314.00 2026-02-10
58150 HCPCS Removal Of Uterus And Cervix Through Abdomen 16 16 $5,766.00 $5,766.00 $500.00 $5,766.00 $4,324.50 2026-02-10
58260 HCPCS Removal Of Uterus Through Vagina, 250.0 G Or Less 16 16 $5,356.00 $5,356.00 $500.00 $8,777.51 $4,150.90 2026-02-10
58285 HCPCS Removal Of Uterus, Vagina, And Pelvic Lymph Nodes Through Vagina 16 16 $5,722.00 $5,722.00 $500.00 $5,722.00 $4,291.50 2026-02-10
58558 HCPCS Biopsy Of Lining Of Uterus And/or Removal Of Polyp Using An Endoscope 26 16 $9,537.00 $9,537.00 $100.00 $9,537.00 $4,005.54 2026-02-10
58562 HCPCS Removal Of Foreign Body In Uterus Using An Endoscope 16 16 $8,937.00 $8,937.00 $500.00 $8,937.00 $6,191.37 2026-02-10
58563 HCPCS Exam Of Uterus With Destruction Of Lining Of Uterus Using An Endoscope 16 16 $14,217.00 $14,217.00 $500.00 $14,217.00 $9,720.13 2026-02-10
58570 HCPCS Removal Of Uterus Through Abdomen Using An Endoscope, 250.0 G Or Less 16 16 $5,707.00 $5,707.00 $500.00 $18,651.55 $4,422.93 2026-02-10
58571 HCPCS Removal Of Uterus, Tubes, And/or Ovaries Through Abdomen Using An Endoscope, 250… 16 16 $5,794.00 $5,794.00 $500.00 $18,651.55 $4,490.35 2026-02-10
58660 HCPCS Removal Of Scar Tissue Of Ovaries Or Fallopian Tubes Using An Endoscope 26 16 $10,775.00 $10,775.00 $50.00 $10,775.00 $4,525.50 2026-02-10
58661 HCPCS Removal Of Ovaries And/or Tubes Using An Endoscope 29 16 $12,360.00 $12,360.00 $50.00 $12,360.00 $2,483.00 2026-02-10
58662 HCPCS Destruction Or Removal Of Ovary Or Growth Of Pelvis Using An Endoscope 26 16 $11,273.00 $11,273.00 $50.00 $11,273.00 $4,734.66 2026-02-10
58720 HCPCS Removal Of Uterine Tubes And Ovaries 16 16 $4,088.00 $4,088.00 $500.00 $4,088.00 $3,066.00 2026-02-10
58750 HCPCS Release Of Blocked Uterine Tube 16 16 $4,120.00 $4,120.00 $500.00 $4,120.00 $3,090.00 2026-02-10
58925 HCPCS Removal Of Cysts Of Ovaries 26 16 $7,795.00 $7,795.00 $50.00 $8,777.51 $3,273.90 2026-02-10
59820 HCPCS Treatment Of Miscarriage During First Trimester 16 16 $8,937.00 $8,937.00 $500.00 $8,937.00 $6,191.37 2026-02-10
60220 HCPCS Removal Of Thyroid Lobe On Side Of Neck 26 16 $8,733.00 $8,733.00 $50.00 $10,607.74 $3,667.86 2026-02-10
60240 HCPCS Removal Of Thyroid 32 16 $6,308.50 $6,308.50 $50.00 $10,607.74 $2,314.00 2026-02-10
60650 HCPCS Removal Or Exploration Of Adrenal Gland Through Abdomen Using An Endoscope 32 16 $5,369.50 $5,369.50 $50.00 $7,243.00 $3,042.06 2026-02-10
64561 HCPCS Insertion Of Sacral Nerve Neurostimulator Electrode Array 16 16 $4,353.00 $4,353.00 $500.00 $11,182.33 $3,264.75 2026-02-10
64581 HCPCS Insertion Of Sacral Nerve Neurostimulator Electrode 16 16 $4,314.00 $4,314.00 $500.00 $11,182.33 $3,235.50 2026-02-10
64585 HCPCS Revision Of Peripheral Neurostimulator Electrodes 16 16 $9,723.00 $9,723.00 $500.00 $9,723.00 $6,713.33 2026-02-10
64595 HCPCS Removal Or Revision Of A Peripheral, Sacral, Or Gastric Neurostimulator Pulse Ge… 16 16 $9,723.00 $9,723.00 $500.00 $9,723.00 $6,713.33 2026-02-10
81162 HCPCS Gene Analysis (breast Cancer 1 And 2) Of Full Sequence And Analysis For Duplicat… 22 15 $3,375.00 $3,375.00 $50.00 $3,616.00 $2,531.25 2026-02-10
81223 HCPCS Gene Analysis (cystic Fibrosis Transmembrane Conductance Regular) Full Gene Sequ… 16 10 $2,482.00 $2,482.00 $50.00 $12,385.18 $2,357.90 2026-02-10
81269 HCPCS Gene Analysis (alpha Globin 1 And Alpha Globin 2) For Duplication/deletion Varia… 15 15 $3,515.00 $3,515.00 $1,476.30 $3,515.00 $2,636.25 2026-02-10
90000318_1 CDM Surface Articular Cruciate Retaining 10 14 14 $3,472.00 $3,472.00 $500.00 $3,124.80 $2,343.60 2026-02-10
90000321_1 CDM Component Cruciate Retaining Size E Fem 14 14 $9,868.00 $9,868.00 $500.00 $8,881.20 $6,660.90 2026-02-10
90000475_1 CDM Tendon Biocleanse Tibialis Posterior 14 14 $5,356.00 $5,356.00 $500.00 $4,820.40 $3,615.30 2026-02-10
90000496_1 CDM Stem Corail Femoral With Collar 14 14 $12,988.00 $12,988.00 $500.00 $11,689.20 $8,766.90 2026-02-10
90000497_1 CDM Liner Pinnacle 36mm Acetabular 14 14 $4,790.00 $4,790.00 $500.00 $4,311.00 $3,233.25 2026-02-10
C1778 HCPCS Lead, Neurostimulator (implantable) 16 16 $9,555.00 $9,555.00 $500.00 $9,555.00 $7,166.25 2026-02-10
C1820 HCPCS Generator, Neurostimulator (implantable), With Rechargeable Battery And Charging… 16 16 $31,743.00 $31,743.00 $500.00 $31,743.00 $23,807.25 2026-02-10
D5110 HCPCS Dentures Complete Maxillary 16 16 $3,090.00 $3,090.00 $500.00 $3,090.00 $2,317.50 2026-02-10
D7963 HCPCS Frenuloplasty 16 16 $5,475.00 $5,475.00 $500.00 $5,475.00 $4,106.25 2026-02-10
D8080 HCPCS Compre Dental Tx Adolescent 16 16 $3,708.00 $3,708.00 $500.00 $3,708.00 $2,781.00 2026-02-10
G0390 HCPCS Trauma Response Team Associated With Hospital Critical Care Service 16 16 $3,913.00 $3,913.00 $500.00 $3,913.00 $2,641.28 2026-02-10
J0875 HCPCS Injection, Dalbavancin, 5 Mg 14 14 $7,368.00 $7,368.00 $3,094.56 $7,368.00 $5,526.00 2026-02-10
J1437 HCPCS Injection, Ferric Derisomaltose, 10 Mg 14 14 $16,205.00 $16,205.00 $6,806.10 $16,205.00 $12,153.75 2026-02-10
J1439 HCPCS Injection, Ferric Carboxymaltose, 1 Mg 14 14 $6,158.00 $6,158.00 $2,586.36 $6,158.00 $4,618.50 2026-02-10
J3101 HCPCS Injection, Tenecteplase, 1 Mg 14 14 $37,578.28 $37,578.28 $15,782.88 $37,578.28 $28,183.71 2026-02-10
L8606 HCPCS Injectable Bulking Agent, Synthetic Implant, Urinary Tract, 1 Ml Syringe, Includ… 16 16 $3,450.00 $3,450.00 $500.00 $3,450.00 $2,587.50 2026-02-10
NHP_1 CDM Room & Board - Private (one Bed) - General Classification 3 3 $5,450.00 $5,450.00 $3,103.23 $4,905.00 $3,103.23 2026-02-10
NHSP_1 CDM Room & Board - Private (one Bed) - General Classification 3 3 $4,700.00 $4,700.00 $2,676.18 $4,230.00 $2,676.18 2026-02-10
Q4186 HCPCS Epifix, Per Square Centimeter 100 16 $9,157.00 $9,157.00 $218.36 $37,883.00 $6,520.82 2026-02-10
Q4187 HCPCS Epicord, Per Square Centimeter 16 16 $5,145.00 $5,145.00 $218.36 $5,145.00 $3,472.88 2026-02-10
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