Hospital

MONROE REGIONAL HOSPITAL

Aberdeen, MS · CCN 251302 · Rates published

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You selected G0121 (HCPCS)

COLON CA SCRN NOT HI RSK

This hospital’s price: $531 across 7 payers · range $175-$2,062

Source: https://monroeregionalhospital.com/wp-content/uploads/2025/03/821859395_monroe-regional-hospital_standardchargesin.csv · observed 2026-09-21

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

4,187 distinct procedures filed

7 distinct payers

112,853 rate rows

2026-09-21 last MRF observed

Data quality

111,354 of 112,853 rate rows are consumer-grade (98.7%)

1,499 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	1,240
template filing: same amount across many unrelated codes — excluded	208
placeholder amount (≤ $0.02) — excluded from medians	35
per-diem day rate — not a per-procedure price	13
exceeds 10× this hospital's gross charge — excluded from medians	3

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

Source MRF file	https://monroeregionalhospital.com/wp-content/uploads/2025/03/821859395_monroe-regional-hospital_standardchargesin.csv
Found on page	https://monroeregionalhospital.com/patients-visitors/price-transparency/
Discovered via	Discovered by HANK
Last fetch	Latest re-check couldn't be parsed — showing last good data · 2026-10-11
Content fingerprint	9ac8c47854cbbb99… · 30,933,853 bytes · first seen 2026-05-09

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
0278 RC		4	$6,749.14	$27,752.40	$14,299.46	nat. median $1,512 outlier · 9.5×
58570 HCPCS	Hc Lap Total Hysterectomy Ut	7	$662.92	$22,715.55	$13,851.44	nat. median $9,932 1.4× median
58571 HCPCS	Hc Lap Total Hyst Uterus 250	7	$753.92	$22,715.55	$13,851.44	nat. median $10,013 1.4× median
58554 HCPCS	Hc Lap Vag Hyst Ut 250g; Tube(s)/ovary(s	7	$1,066.26	$22,715.55	$13,851.44	nat. median $9,620 1.4× median
58552 HCPCS	Hc Lap Vag Hy Ut 250 Or Less W/rem Tub/o	7	$803.34	$22,715.55	$13,851.44	nat. median $10,168 1.4× median
278 OTHER	Mesh Phasix 6 X 8 Rectangle Hernia	7	$56.84	$27,752.40	$9,223.50	nat. median $18,382 0.5× median
58570 OTHER	Hc Lap Total Hysterectomy Ut	7	$714.93	$22,715.55	$9,151.85	—
58544 OTHER	Hc Lap Hyst W/t/o Ut 250 G Or More	7	$802.78	$22,715.55	$9,151.85	—
58571 OTHER	Hc Lap Total Hyst Uterus 250	7	$803.23	$22,715.55	$9,151.85	—
58542 OTHER	Hc Lap Hyst W/t/o Ut 250 G Or Less	7	$734.97	$22,715.55	$9,151.85	—
J2997 HCPCS	Alteplase 50 Mg Inj (activase)	7	$182.96	$39,977.82	$8,046.99	nat. median $428 outlier · 18.8×
43659 HCPCS	Unlisted Laproscopy Stoma	6	$4,446.00	$13,049.10	$8,038.24	nat. median $6,622 1.2× median
21048 HCPCS	Exc Of Ben Tum Cyst Max I	7	$823.39	$13,096.58	$7,986.00	nat. median $5,865 1.4× median
58671 HCPCS	Hc Lap, Surg; W/occlusion Of Oviducts	7	$303.11	$13,051.12	$7,958.29	nat. median $5,708 1.4× median
58661 HCPCS	Hc Laparoscopy, Prtl/tot Oop	7	$536.47	$13,051.12	$7,958.29	nat. median $5,852 1.4× median
38740 HCPCS	Axilary Lymphadenectomy;	7	$605.21	$13,050.00	$7,957.60	nat. median $5,726 1.4× median
J3101 HCPCS	Tenecteplase 50 Mg Kit	7	$3,263.40	$8,820.00	$7,482.10	nat. median $498 outlier · 15.0×
J1306 HCPCS	Leqvio 284 Mg/1.5 Ml Injection	7	$18.42	$12,269.70	$7,481.79	nat. median $25 outlier · 296.9×
57530 HCPCS	Trachelectomy(cervicectom	7	$306.21	$11,533.50	$7,032.87	nat. median $4,901 1.4× median
57250 HCPCS	Posterior Colporrhaphy-re	7	$498.37	$11,533.50	$7,032.87	nat. median $5,113 1.4× median
57240 HCPCS	Anterior Colporrhaphy-rep	7	$498.24	$11,533.50	$7,032.87	nat. median $5,027 1.4× median
58260 HCPCS	Hc Vaginal Hysterectomy Uter	7	$679.15	$11,533.28	$7,032.73	nat. median $5,217 1.3× median
58150 HCPCS	Hc Total Abd Hysterectomy With	5	$850.62	$9,429.30	$5,867.12	nat. median $3,499 1.7× median
15877 HCPCS	Suction Assisted Lipectom	4	$4,901.88	$8,038.80	$5,850.46	nat. median $4,054 1.4× median
15879 HCPCS	Suctio Assisted Lipectomy	4	$4,901.88	$8,038.80	$5,850.46	nat. median $4,125 1.4× median
15876 HCPCS	Suctio Asst Liptmy Head A	4	$4,901.88	$8,038.80	$5,850.46	nat. median $3,806 1.5× median
15876 OTHER	Suctio Asst Liptmy Head A	7	$3,238.74	$8,038.80	$5,638.77	—
15879 OTHER	Suctio Assisted Lipectomy	7	$3,238.74	$8,038.80	$5,638.77	—
15877 OTHER	Suction Assisted Lipectom	7	$3,238.74	$8,038.80	$5,638.77	—
35903 HCPCS	Exc Of Infected Graft, Ex	7	$469.92	$8,838.90	$5,389.76	nat. median $3,456 1.6× median
43659 OTHER	Unlisted Laproscopy Stoma	7	$4,275.03	$13,049.10	$5,364.63	—
21048 OTHER	Exc Of Ben Tum Cyst Max I	7	$879.85	$13,096.58	$5,276.47	—
58671 OTHER	Hc Lap, Surg; W/occlusion Of Oviducts	7	$328.09	$13,051.12	$5,258.15	—
58661 OTHER	Hc Laparoscopy, Prtl/tot Oop	7	$578.87	$13,051.12	$5,258.15	—
38740 OTHER	Axilary Lymphadenectomy;	7	$619.22	$13,050.00	$5,257.70	—
58150 OTHER	Hc Total Abd Hysterectomy With	7	$902.64	$9,429.30	$5,165.97	—
49402 HCPCS	Rem Of Pertoneal Foreign	7	$723.96	$8,395.20	$5,119.21	nat. median $3,766 1.4× median
15273 HCPCS	Appl Subs Skn T-a-l >100c	7	$284.72	$8,038.80	$4,901.88	nat. median $2,471 2.0× median
J3110 HCPCS	Teriparatide 600 Mcg/2.4 Ml Pnij,340b	6	$57.05	$11,393.19	$4,683.87	nat. median $5,225 0.9× median
57250 OTHER	Posterior Colporrhaphy-re	7	$544.27	$11,533.50	$4,646.72	—
57240 OTHER	Anterior Colporrhaphy-rep	7	$542.78	$11,533.50	$4,646.72	—
58262 OTHER	Hc Vag Hyst W/t/o Ut 250 G Or Less	7	$821.87	$11,533.50	$4,646.72	—
57530 OTHER	Trachelectomy(cervicectom	7	$328.41	$11,533.50	$4,646.72	—
58260 OTHER	Hc Vaginal Hysterectomy Uter	7	$742.38	$11,533.28	$4,646.63	—
15757 HCPCS	Pf Free Skin Flap W Mcrovasc	7	$1,783.66	$9,348.12	$4,579.48	nat. median $2,708 1.7× median
36565 HCPCS	Insertion Of Central Veno	7	$746.83	$7,482.15	$4,562.45	nat. median $3,407 1.3× median
29870 HCPCS	Arthro Knee Diagn W Wo Sy	7	$527.61	$7,391.25	$4,507.02	nat. median $3,592 1.3× median
27630 HCPCS	Excision Of Cyst Ganglion	7	$497.60	$7,391.12	$4,506.94	nat. median $3,184 1.4× median
30520 HCPCS	Septoplasty Submucous Res	7	$544.48	$7,072.20	$4,312.47	nat. median $3,617 1.2× median
J2426 HCPCS	Paliperidone Palmi 156 Mg/ml Syrg (inveg	7	$22.10	$12,532.91	$4,242.20	nat. median $2,528 1.7× median

Other procedures at this hospital

Browse this hospital's 4,187 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

0278	RC	—	32	4	$20,662.00	$20,662.00	$6,749.14	$27,752.40	$14,299.46	2026-09-21
58570	HCPCS	Hc Lap Total Hysterectomy Ut	7	7	$25,239.50	$25,239.50	$662.92	$22,715.55	$13,851.44	2026-09-21
58552	HCPCS	Hc Lap Vag Hy Ut 250 Or Less W/rem Tub/o	7	7	$25,239.50	$25,239.50	$803.34	$22,715.55	$13,851.44	2026-09-21
58571	HCPCS	Hc Lap Total Hyst Uterus 250	7	7	$25,239.50	$25,239.50	$753.92	$22,715.55	$13,851.44	2026-09-21
58554	HCPCS	Hc Lap Vag Hyst Ut 250g; Tube(s)/ovary(s	7	7	$25,239.50	$25,239.50	$1,066.26	$22,715.55	$13,851.44	2026-09-21
278	OTHER	Mesh Phasix 6 X 8 Rectangle Hernia	86	7	$19,120.00	$19,120.00	$56.84	$27,752.40	$9,223.50	2026-05-22
58571	OTHER	Hc Lap Total Hyst Uterus 250	14	7	$25,239.50	$25,239.50	$803.23	$22,715.55	$9,151.85	2026-05-22
58542	OTHER	Hc Lap Hyst W/t/o Ut 250 G Or Less	14	7	$25,239.50	$25,239.50	$734.97	$22,715.55	$9,151.85	2026-05-22
58544	OTHER	Hc Lap Hyst W/t/o Ut 250 G Or More	14	7	$25,239.50	$25,239.50	$802.78	$22,715.55	$9,151.85	2026-05-22
58570	OTHER	Hc Lap Total Hysterectomy Ut	14	7	$25,239.50	$25,239.50	$714.93	$22,715.55	$9,151.85	2026-05-22
J2997	HCPCS	Alteplase 50 Mg Inj (activase)	93	7	$21,748.62	$21,748.62	$182.96	$39,977.82	$8,046.99	2026-09-21
43659	HCPCS	Unlisted Laproscopy Stoma	6	6	$14,499.00	$14,499.00	$4,446.00	$13,049.10	$8,038.24	2026-09-21
21048	HCPCS	Exc Of Ben Tum Cyst Max I	7	7	$14,551.75	$14,551.75	$823.39	$13,096.58	$7,986.00	2026-09-21
58671	HCPCS	Hc Lap, Surg; W/occlusion Of Oviducts	7	7	$14,501.25	$14,501.25	$303.11	$13,051.12	$7,958.29	2026-09-21
58661	HCPCS	Hc Laparoscopy, Prtl/tot Oop	7	7	$14,501.25	$14,501.25	$536.47	$13,051.12	$7,958.29	2026-09-21
38740	HCPCS	Axilary Lymphadenectomy;	7	7	$14,500.00	$14,500.00	$605.21	$13,050.00	$7,957.60	2026-09-21
J3101	HCPCS	Tenecteplase 50 Mg Kit	42	7	$9,000.00	$9,000.00	$3,263.40	$8,820.00	$7,482.10	2026-09-21
J1306	HCPCS	Leqvio 284 Mg/1.5 Ml Injection	14	7	$13,633.00	$13,633.00	$18.42	$12,269.70	$7,481.79	2026-09-21
57530	HCPCS	Trachelectomy(cervicectom	7	7	$12,815.00	$12,815.00	$306.21	$11,533.50	$7,032.87	2026-09-21
57250	HCPCS	Posterior Colporrhaphy-re	7	7	$12,815.00	$12,815.00	$498.37	$11,533.50	$7,032.87	2026-09-21
57240	HCPCS	Anterior Colporrhaphy-rep	7	7	$12,815.00	$12,815.00	$498.24	$11,533.50	$7,032.87	2026-09-21
58260	HCPCS	Hc Vaginal Hysterectomy Uter	7	7	$12,814.75	$12,814.75	$679.15	$11,533.28	$7,032.73	2026-09-21
58150	HCPCS	Hc Total Abd Hysterectomy With	5	5	$10,477.00	$10,477.00	$850.62	$9,429.30	$5,867.12	2026-09-21
15879	HCPCS	Suctio Assisted Lipectomy	4	4	$8,932.00	$8,932.00	$4,901.88	$8,038.80	$5,850.46	2026-09-21
15877	HCPCS	Suction Assisted Lipectom	4	4	$8,932.00	$8,932.00	$4,901.88	$8,038.80	$5,850.46	2026-09-21
15876	HCPCS	Suctio Asst Liptmy Head A	4	4	$8,932.00	$8,932.00	$4,901.88	$8,038.80	$5,850.46	2026-09-21
15877	OTHER	Suction Assisted Lipectom	14	7	$8,932.00	$8,932.00	$3,238.74	$8,038.80	$5,638.77	2026-05-22
15879	OTHER	Suctio Assisted Lipectomy	14	7	$8,932.00	$8,932.00	$3,238.74	$8,038.80	$5,638.77	2026-05-22
15876	OTHER	Suctio Asst Liptmy Head A	14	7	$8,932.00	$8,932.00	$3,238.74	$8,038.80	$5,638.77	2026-05-22
35903	HCPCS	Exc Of Infected Graft, Ex	7	7	$9,821.00	$9,821.00	$469.92	$8,838.90	$5,389.76	2026-09-21
43659	OTHER	Unlisted Laproscopy Stoma	14	7	$14,499.00	$14,499.00	$4,275.03	$13,049.10	$5,364.63	2026-05-22
21048	OTHER	Exc Of Ben Tum Cyst Max I	14	7	$14,551.75	$14,551.75	$879.85	$13,096.58	$5,276.47	2026-05-22
58661	OTHER	Hc Laparoscopy, Prtl/tot Oop	14	7	$14,501.25	$14,501.25	$578.87	$13,051.12	$5,258.15	2026-05-22
58671	OTHER	Hc Lap, Surg; W/occlusion Of Oviducts	14	7	$14,501.25	$14,501.25	$328.09	$13,051.12	$5,258.15	2026-05-22
38740	OTHER	Axilary Lymphadenectomy;	14	7	$14,500.00	$14,500.00	$619.22	$13,050.00	$5,257.70	2026-05-22
58150	OTHER	Hc Total Abd Hysterectomy With	14	7	$10,477.00	$10,477.00	$902.64	$9,429.30	$5,165.97	2026-05-22
49402	HCPCS	Rem Of Pertoneal Foreign	7	7	$9,328.00	$9,328.00	$723.96	$8,395.20	$5,119.21	2026-09-21
15273	HCPCS	Appl Subs Skn T-a-l >100c	7	7	$8,932.00	$8,932.00	$284.72	$8,038.80	$4,901.88	2026-09-21
J3110	HCPCS	Teriparatide 600 Mcg/2.4 Ml Pnij,340b	30	6	$12,659.10	$12,659.10	$57.05	$11,393.19	$4,683.87	2026-09-21
57240	OTHER	Anterior Colporrhaphy-rep	14	7	$12,815.00	$12,815.00	$542.78	$11,533.50	$4,646.72	2026-05-22
57530	OTHER	Trachelectomy(cervicectom	14	7	$12,815.00	$12,815.00	$328.41	$11,533.50	$4,646.72	2026-05-22
58262	OTHER	Hc Vag Hyst W/t/o Ut 250 G Or Less	14	7	$12,815.00	$12,815.00	$821.87	$11,533.50	$4,646.72	2026-05-22
57250	OTHER	Posterior Colporrhaphy-re	14	7	$12,815.00	$12,815.00	$544.27	$11,533.50	$4,646.72	2026-05-22
58260	OTHER	Hc Vaginal Hysterectomy Uter	14	7	$12,814.75	$12,814.75	$742.38	$11,533.28	$4,646.63	2026-05-22
15757	HCPCS	Pf Free Skin Flap W Mcrovasc	13	7	$8,177.65	$8,177.65	$1,783.66	$9,348.12	$4,579.48	2026-09-21
36565	HCPCS	Insertion Of Central Veno	7	7	$8,313.50	$8,313.50	$746.83	$7,482.15	$4,562.45	2026-09-21
29870	HCPCS	Arthro Knee Diagn W Wo Sy	7	7	$8,212.50	$8,212.50	$527.61	$7,391.25	$4,507.02	2026-09-21
27630	HCPCS	Excision Of Cyst Ganglion	7	7	$8,212.35	$8,212.35	$497.60	$7,391.12	$4,506.94	2026-09-21
30520	HCPCS	Septoplasty Submucous Res	7	7	$7,858.00	$7,858.00	$544.48	$7,072.20	$4,312.47	2026-09-21
J2426	HCPCS	Paliperidone Palmi 156 Mg/ml Syrg (inveg	72	7	$9,283.86	$9,283.86	$22.10	$12,532.91	$4,242.20	2026-09-21
A4301	HCPCS	Kit Denver Shunt Percutan Access	14	7	$6,660.50	$6,660.50	$2,415.10	$5,994.45	$4,204.77	2026-05-22
57558	HCPCS	Hc Dilation & Curettage Of Cervical Stum	7	7	$7,494.50	$7,494.50	$132.74	$6,745.05	$4,112.98	2026-09-21
57200	HCPCS	Colporrhaphy, Suture Of V	7	7	$7,494.50	$7,494.50	$273.44	$6,745.05	$4,112.98	2026-09-21
57415	HCPCS	Removal Impacted Vaginal	7	7	$7,494.50	$7,494.50	$141.32	$6,745.05	$4,112.98	2026-09-21
59812	HCPCS	Hc Tx Incom Abortion, Any Trim, Com Surg	7	7	$7,494.50	$7,494.50	$317.48	$6,745.05	$4,112.98	2026-09-21
58600	HCPCS	Hc Lig/transection Fall Tube, Abd Or Val	7	7	$7,494.50	$7,494.50	$302.56	$6,745.05	$4,112.98	2026-09-21
58120	HCPCS	Hc Dilation And Curettage No	7	7	$7,494.50	$7,494.50	$265.00	$6,745.05	$4,112.98	2026-09-21
59160	HCPCS	Hc D & C After Delivery, Curretage Postp	7	7	$7,494.50	$7,494.50	$231.13	$6,745.05	$4,112.98	2026-09-21
35221	OTHER	Pf Repair Blood Vessel Intra	22	7	$11,234.35	$11,234.35	$1,192.43	$10,110.92	$4,073.58	2026-05-22
58140	OTHER	Hc Myomectomy, Ex 1-4 Myomas Total Wt Of	14	7	$7,995.00	$7,995.00	$815.42	$7,195.50	$4,005.46	2026-05-22
24076	HCPCS	Exc Tumor Soft Tissue Arm	7	7	$6,956.75	$6,956.75	$466.27	$6,261.08	$3,817.86	2026-09-21
15757	OTHER	Pf Free Skin Flap W Mcrovasc	30	7	$8,177.65	$8,177.65	$1,849.06	$9,348.12	$3,766.26	2026-05-22
19307	OTHER	Pf Mastectomy Mod Rad Incl A	34	7	$11,164.20	$11,164.20	$959.80	$10,047.78	$3,660.80	2026-05-22
19307	HCPCS	Pf Mastectomy Mod Rad Incl A	17	7	$11,164.20	$11,164.20	$952.24	$10,047.78	$3,660.80	2026-09-21
58285	HCPCS	Hc Vaginal Hysterectomy, Rad	5	5	$6,388.25	$6,388.25	$1,203.81	$5,749.42	$3,577.42	2026-09-21
35903	OTHER	Exc Of Infected Graft, Ex	14	7	$9,821.00	$9,821.00	$486.83	$8,838.90	$3,561.09	2026-05-22
58285	OTHER	Hc Vaginal Hysterectomy, Rad	14	7	$6,388.25	$6,388.25	$1,258.52	$5,749.42	$3,503.97	2026-05-22
49402	OTHER	Rem Of Pertoneal Foreign	14	7	$9,328.00	$9,328.00	$756.27	$8,395.20	$3,382.33	2026-05-22
43860	OTHER	Pf Revision Gastrojejunal An	30	7	$5,876.50	$5,876.50	$1,335.21	$8,212.72	$3,308.81	2026-05-22
58145	HCPCS	Hc Myomec, Ex 1-4 Myomas Toto Wt 250 Vag	7	7	$5,996.50	$5,996.50	$454.56	$5,396.85	$3,290.88	2026-09-21
43860	HCPCS	Pf Revision Gastrojejunal An	13	7	$5,876.50	$5,876.50	$1,326.17	$8,212.72	$3,290.84	2026-09-21
43848	OTHER	Revision Open Gastric Res	26	7	$9,618.60	$9,618.60	$1,320.78	$8,656.74	$3,278.25	2026-05-22
15273	OTHER	Appl Subs Skn T-a-l >100c	14	7	$8,932.00	$8,932.00	$261.05	$8,038.80	$3,238.74	2026-05-22
29806	OTHER	Pf Shoulder Arthroscopy	34	7	$3,545.45	$3,545.45	$862.52	$16,151.40	$3,190.90	2026-05-22
29806	HCPCS	Pf Shoulder Arthroscopy	17	7	$3,545.45	$3,545.45	$857.08	$16,151.40	$3,190.90	2026-09-21
15824	HCPCS	Phytidectomy Forehead	4	4	$4,868.50	$4,868.50	$2,671.83	$4,381.65	$3,188.87	2026-09-21
21933	HCPCS	Exc Soft Tiss Of Back;5cm Or Grtr	15	7	$5,730.45	$5,730.45	$598.20	$6,261.08	$3,144.87	2026-09-21
D2740	HCPCS	Hc Ceramic Crowns	18	7	$4,968.52	$4,968.52	$1,801.58	$4,471.67	$3,136.62	2026-09-21
58740	OTHER	Hc Lysis Of Adhesions(salpingolysis/ovar	14	7	$5,995.00	$5,995.00	$799.82	$5,395.50	$3,097.66	2026-05-22
15824	OTHER	Phytidectomy Forehead	14	7	$4,868.50	$4,868.50	$1,765.32	$4,381.65	$3,073.49	2026-05-22
27236	OTHER	Pf Opn Trt Of For Frac Pro E	30	7	$4,068.70	$4,068.70	$971.54	$7,802.86	$3,051.52	2026-05-22
19303	HCPCS	Pf Mastectomy Simple Compl	17	7	$3,364.90	$3,364.90	$776.51	$7,262.60	$3,028.41	2026-09-21
J0897	HCPCS	Denosumab 60 Mg/ml Syrg	42	7	$6,138.20	$6,138.20	$1,659.60	$5,524.38	$3,024.00	2026-09-21
36565	OTHER	Insertion Of Central Veno	14	7	$8,313.50	$8,313.50	$666.63	$7,482.15	$3,014.48	2026-05-22
29870	OTHER	Arthro Knee Diagn W Wo Sy	14	7	$8,212.50	$8,212.50	$479.72	$7,391.25	$2,977.86	2026-05-22
27630	OTHER	Excision Of Cyst Ganglion	14	7	$8,212.35	$8,212.35	$460.97	$7,391.12	$2,977.80	2026-05-22
49205	OTHER	Pf Exc/destruc Open Abd Tumo	14	7	$4,780.55	$4,780.55	$1,583.31	$4,302.50	$2,942.91	2026-05-22
59300	HCPCS	Episiotomy Vag Repair Oth	7	7	$5,350.95	$5,350.95	$197.89	$4,815.86	$2,936.60	2026-09-21
28153	HCPCS	Rsctn Condyle Dstl End Ph	7	7	$5,339.45	$5,339.45	$351.66	$4,805.50	$2,930.29	2026-09-21
60650	OTHER	Pf Laparoscopy Surgical W/ad	30	7	$3,903.10	$3,903.10	$975.21	$7,278.12	$2,927.32	2026-05-22
19303	OTHER	Pf Mastectomy Simple Compl	34	7	$3,364.90	$3,364.90	$781.22	$7,262.60	$2,926.02	2026-05-22
40530	OTHER	Hc Resection Of Lip More 1/4 Without Recons	14	7	$7,858.00	$7,858.00	$476.60	$7,072.20	$2,849.31	2026-05-22
30520	OTHER	Septoplasty Submucous Res	14	7	$7,858.00	$7,858.00	$576.00	$7,072.20	$2,849.31	2026-05-22
49329	HCPCS	Unlisted Laparoscopy Abd	12	6	$7,809.47	$7,809.47	$614.08	$13,050.00	$2,782.48	2026-09-21
J7307	HCPCS	Nexplanon Implant	4	4	$5,830.00	$5,830.00	$1,156.28	$5,247.00	$2,764.39	2026-09-21
59612	HCPCS	Vag Delivery After C Sect	7	7	$4,986.40	$4,986.40	$747.35	$4,487.76	$2,736.53	2026-09-21
59409	HCPCS	OB Care Vaginal Delivery	7	7	$4,986.40	$4,986.40	$658.36	$4,487.76	$2,736.53	2026-09-21
43848	HCPCS	Pf Revision Open Gastric Res	11	5	$3,642.50	$3,642.50	$1,624.08	$8,656.74	$2,731.88	2026-09-21
59320	OTHER	Hc Cerclage Of Cervix During Preg, Vagin	14	7	$7,495.00	$7,495.00	$133.31	$6,745.50	$2,717.69	2026-05-22
57135	OTHER	Hc Excision Of Vaginal Cyst Or Tumor	14	7	$7,495.00	$7,495.00	$211.82	$6,745.50	$2,717.69	2026-05-22
57295	OTHER	Hc Revision Of Prosthetic Vag Graft	14	7	$7,494.50	$7,494.50	$442.37	$6,745.05	$2,717.51	2026-05-22
58600	OTHER	Hc Lig/transection Fall Tube, Abd Or Val	14	7	$7,494.50	$7,494.50	$327.56	$6,745.05	$2,717.51	2026-05-22
59812	OTHER	Hc Tx Incom Abortion, Any Trim, Com Surg	14	7	$7,494.50	$7,494.50	$312.19	$6,745.05	$2,717.51	2026-05-22
57415	OTHER	Removal Impacted Vaginal	14	7	$7,494.50	$7,494.50	$153.49	$6,745.05	$2,717.51	2026-05-22
57200	OTHER	Colporrhaphy, Suture Of V	14	7	$7,494.50	$7,494.50	$289.95	$6,745.05	$2,717.51	2026-05-22
59160	OTHER	Hc D & C After Delivery, Curretage Postp	14	7	$7,494.50	$7,494.50	$229.77	$6,745.05	$2,717.51	2026-05-22
58120	OTHER	Hc Dilation And Curettage No	14	7	$7,494.50	$7,494.50	$256.70	$6,745.05	$2,717.51	2026-05-22
57558	OTHER	Hc Dilation & Curettage Of Cervical Stum	14	7	$7,494.50	$7,494.50	$135.07	$6,745.05	$2,717.51	2026-05-22
15277	HCPCS	Appl Subs Skn F-s-hnd-ft-	7	7	$4,868.50	$4,868.50	$319.57	$4,381.65	$2,671.83	2026-09-21
15271	HCPCS	Appl Subs Skn T-a-l 100cm	7	7	$4,868.50	$4,868.50	$139.11	$4,381.65	$2,671.83	2026-09-21
14060	HCPCS	Adj Tis Trn Lid 10 Cm	7	7	$4,868.50	$4,868.50	$687.99	$4,381.65	$2,671.83	2026-09-21
38745	OTHER	Pf Axillary Lymphadenectomy;	34	7	$2,941.70	$2,941.70	$720.26	$13,050.00	$2,647.53	2026-05-22
23412	HCPCS	Rep Of Rup Musc Cuff Open	13	7	$13,046.75	$13,046.75	$691.70	$11,742.08	$2,647.53	2026-09-21
38745	HCPCS	Pf Axillary Lymphadenectomy;	17	7	$2,941.70	$2,941.70	$715.82	$13,050.00	$2,647.53	2026-09-21
23412	OTHER	Pf Rep Of Rup Musc Cuff Open	34	7	$2,941.70	$2,941.70	$694.89	$11,742.08	$2,647.53	2026-05-22
D4210	HCPCS	Gingivectomy 4 Or More	6	6	$4,771.00	$4,771.00	$2,471.33	$4,293.90	$2,645.04	2026-09-21
D8080	HCPCS	Comp Ortho Treatment Of T	18	7	$4,140.00	$4,140.00	$1,501.16	$3,726.00	$2,613.58	2026-09-21
58750	HCPCS	Hc Tubal Ligation Reversal	5	5	$4,600.00	$4,600.00	$735.40	$4,140.00	$2,576.00	2026-09-21
58720	HCPCS	Hc Salpingo-oophorectomy,com	5	5	$4,564.35	$4,564.35	$633.56	$4,107.92	$2,556.04	2026-09-21
J1439	HCPCS	Injectafer 750 Mg (ferric Carboxymaltose,340b	35	7	$7,018.14	$7,018.14	$819.52	$6,316.33	$2,544.78	2026-09-21
24076	OTHER	Exc Tumor Soft Tissue Arm	14	7	$6,956.75	$6,956.75	$484.39	$6,261.08	$2,522.52	2026-05-22
15830	HCPCS	Pf Excsn Excss Skin Subq Tis	17	7	$2,780.70	$2,780.70	$948.28	$14,140.80	$2,502.63	2026-09-21
15830	OTHER	Pf Excsn Excss Skin Subq Tis	34	7	$2,780.70	$2,780.70	$949.82	$14,140.80	$2,502.63	2026-05-22
29862	OTHER	Pf Artho Hip Surgical W Deb	34	7	$2,779.55	$2,779.55	$664.15	$16,151.40	$2,501.60	2026-05-22
29862	HCPCS	Pf Artho Hip Surgical W Deb	17	7	$2,779.55	$2,779.55	$657.95	$16,151.40	$2,501.60	2026-09-21
43280	OTHER	Pf Laparoscopy Fundoplasty	34	7	$2,762.00	$2,762.00	$879.18	$22,716.00	$2,485.80	2026-05-22
58750	OTHER	Hc Tubal Ligation Reversal	14	7	$4,600.00	$4,600.00	$805.58	$4,140.00	$2,472.79	2026-05-22
44206	OTHER	Pf Lap Colectolmy Partial Hartmann Type	30	7	$3,296.00	$3,296.00	$1,195.13	$8,318.30	$2,472.00	2026-05-22
42104	HCPCS	Hc Excision, Les Palate, Uvula; Wo Clos	7	7	$4,128.00	$4,128.00	$190.94	$3,715.20	$2,471.33	2026-09-21
28153	OTHER	Rsctn Condyle Dstl End Ph	14	7	$5,339.45	$5,339.45	$341.56	$4,805.50	$2,398.21	2026-05-22
44025	OTHER	Pf Colotomy For Exp Biopsy O	30	7	$3,458.05	$3,458.05	$801.47	$5,945.04	$2,395.19	2026-05-22
58720	OTHER	Hc Salpingo-oophorectomy,com	14	7	$4,564.35	$4,564.35	$671.49	$4,107.92	$2,389.70	2026-05-22
42104	OTHER	Hc Excision, Les Palate, Uvula; Wo Clos	14	7	$4,128.00	$4,128.00	$182.90	$3,715.20	$2,385.45	2026-05-22
58925	HCPCS	Pf Ovarian Cystectomy	17	7	$2,618.55	$2,618.55	$623.79	$11,533.28	$2,356.70	2026-09-21
58925	OTHER	Pf Ovarian Cystectomy	34	7	$2,618.55	$2,618.55	$629.96	$11,533.28	$2,356.70	2026-05-22
44180	OTHER	Pf Enterolysis Laparosc Surg	34	7	$2,606.00	$2,606.00	$750.83	$13,050.00	$2,345.40	2026-05-22
44180	HCPCS	Pf Enterolysis Laparosc Surg	17	7	$2,606.00	$2,606.00	$746.25	$13,050.00	$2,345.40	2026-09-21
24342	HCPCS	Pf Repair Of Ruputred Tenton	17	7	$2,588.65	$2,588.65	$629.72	$11,742.08	$2,329.78	2026-09-21
24342	OTHER	Pf Repair Of Ruputred Tenton	34	7	$2,588.65	$2,588.65	$632.41	$11,742.08	$2,329.78	2026-05-22
59612	OTHER	Vag Delivery After C Sect	14	7	$4,986.40	$4,986.40	$796.82	$4,487.76	$2,316.35	2026-05-22
59409	OTHER	OB Care Vaginal Delivery	14	7	$4,986.40	$4,986.40	$705.06	$4,487.76	$2,316.35	2026-05-22
59300	OTHER	Episiotomy Vag Repair Oth	14	7	$5,350.95	$5,350.95	$193.85	$4,815.86	$2,316.35	2026-05-22
77012	HCPCS	CT Guidance For Needle PL,Technical Component	5	5	$4,128.30	$4,128.30	$47.03	$3,715.47	$2,311.85	2026-09-21
27236	HCPCS	Pf Opn Trt Of For Frac Pro E	13	7	$4,068.70	$4,068.70	$966.34	$7,802.86	$2,278.47	2026-09-21
60220	HCPCS	Pf Total Thyroid Lobectomy U	17	7	$2,527.70	$2,527.70	$573.80	$13,051.04	$2,274.93	2026-09-21
60220	OTHER	Pf Total Thyroid Lobectomy U	34	7	$2,527.70	$2,527.70	$578.57	$13,051.04	$2,274.93	2026-05-22
38221	HCPCS	Bone Marrow Bx	7	7	$4,118.00	$4,118.00	$146.17	$3,706.20	$2,259.96	2026-09-21
21011	HCPCS	Exc Tumor Soft Tissue Of	7	7	$4,118.00	$4,118.00	$344.58	$3,706.20	$2,259.96	2026-09-21
38220	HCPCS	Bone Marrow Aspirate	7	7	$4,118.00	$4,118.00	$146.44	$3,706.20	$2,259.96	2026-09-21
27327	HCPCS	Excision Of Tissue To Kne	7	7	$4,117.80	$4,117.80	$469.24	$3,706.02	$2,259.85	2026-09-21
60240	OTHER	Pf Thyroidectomy Total	34	7	$2,500.10	$2,500.10	$750.78	$13,051.04	$2,250.09	2026-05-22
60240	HCPCS	Pf Thyroidectomy Total	17	7	$2,500.10	$2,500.10	$744.49	$13,051.04	$2,250.09	2026-09-21
40819	HCPCS	Hc Frenulectomy	7	7	$4,058.50	$4,058.50	$243.71	$3,652.65	$2,227.30	2026-09-21
58554	OTHER	Pf Lap Vag Hyst Ut 250g; Tube(s)/ovary(s	34	7	$2,459.00	$2,459.00	$891.63	$22,715.55	$2,213.10	2026-05-22
15241	HCPCS	Full Thck Head Han Ea 20	5	5	$3,950.25	$3,950.25	$158.70	$3,555.22	$2,212.14	2026-09-21
48140	OTHER	Pf Pancreatectomy W/wo Splen	30	7	$2,940.00	$2,940.00	$1,066.04	$6,520.50	$2,205.00	2026-05-22
44661	OTHER	Pf Close Fitula With Intestine	30	7	$2,935.00	$2,935.00	$1,064.23	$7,035.93	$2,201.25	2026-05-22
29827	HCPCS	Pf Arthro Shldr Surg Rotator	17	7	$2,439.15	$2,439.15	$865.13	$16,151.40	$2,195.24	2026-09-21
29827	OTHER	Pf Arthro Shldr Surg Rotator	34	7	$2,439.15	$2,439.15	$870.39	$16,151.40	$2,195.24	2026-05-22
J0585	HCPCS	Onabotulinumtoxin A, 150 Units No WASTE,Pharmacy, 340b	108	7	$4,537.50	$4,537.50	$626.61	$5,445.00	$2,193.73	2026-09-21
87536	HCPCS	Hic Viral Load	7	7	$3,988.00	$3,988.00	$76.59	$3,589.20	$2,188.61	2026-09-21
114	OTHER	Gero Psych Private Room	8	4	$1,021.00	$1,021.00	$918.90	$5,787.88	$2,187.19	2026-05-22
60650	HCPCS	Pf Laparoscopy Surgical W/ad	13	7	$3,903.10	$3,903.10	$970.31	$7,278.12	$2,185.74	2026-09-21
44204	OTHER	Pf Laparoscopy Colectomy Par	30	7	$2,902.00	$2,902.00	$1,052.27	$8,318.30	$2,176.50	2026-05-22
49203	OTHER	Exc/destruct Open Abd Tum	22	7	$4,295.25	$4,295.25	$1,081.40	$3,865.72	$2,147.62	2026-05-22
59820	HCPCS	Hc Trmt Of Missed Ab, Surgical, 1st Trim	15	7	$2,832.50	$2,832.50	$345.91	$5,396.85	$2,124.38	2026-09-21
59820	OTHER	Pf Trmt Of Missed Abort, Sur, 1st Trim	30	7	$2,832.50	$2,832.50	$353.17	$5,396.85	$2,124.38	2026-05-22
21933	OTHER	Pf Exc Tumor Soft Tiss On Ba	30	7	$5,730.45	$5,730.45	$601.72	$6,261.08	$2,105.29	2026-05-22
29807	OTHER	Pf Arthro Shdlr Surg Rpr Sla	34	7	$2,336.80	$2,336.80	$841.87	$16,151.40	$2,103.12	2026-05-22
29807	HCPCS	Pf Arthro Shdlr Surg Rpr Sla	17	7	$2,336.80	$2,336.80	$836.70	$16,151.40	$2,103.12	2026-09-21
58660	OTHER	Pf Laparoscopy W Lysis Of Ad	34	7	$2,321.85	$2,321.85	$563.46	$13,051.12	$2,089.66	2026-05-22
58660	HCPCS	Pf Laparoscopy W Lysis Of Ad	17	7	$2,321.85	$2,321.85	$557.87	$13,051.12	$2,089.66	2026-09-21
44960	OTHER	Pf Appendectomy For Ruptured	30	7	$2,953.20	$2,953.20	$715.86	$5,184.32	$2,088.70	2026-05-22
25606	HCPCS	Pf Percutaneous Skeletal Fix	17	7	$2,281.60	$2,281.60	$544.95	$7,391.25	$2,053.44	2026-09-21
25606	OTHER	Pf Percutaneous Skeletal Fix	34	7	$2,281.60	$2,281.60	$546.30	$7,391.25	$2,053.44	2026-05-22
24359	OTHER	Pf Repair Elbow Deb Open With	34	7	$2,265.50	$2,265.50	$543.02	$7,998.48	$2,038.95	2026-05-22
24359	HCPCS	Pf Repair Elbow Deb Open With	17	7	$2,265.50	$2,265.50	$540.69	$7,998.48	$2,038.95	2026-09-21
29876	HCPCS	Pf Arthroscopy Knee Srg Syno	17	7	$2,263.20	$2,263.20	$530.70	$7,391.25	$2,036.88	2026-09-21
29876	OTHER	Pf Arthroscopy Knee Srg Syno	34	7	$2,263.20	$2,263.20	$532.70	$7,391.25	$2,036.88	2026-05-22
35556	OTHER	Hc Bypass Graft, With Vein, Femoral Poplil	14	7	$3,214.50	$3,214.50	$1,165.58	$2,893.05	$2,029.32	2026-05-22
11044	HCPCS	Debrid Bone; First 20sqcm Or Less	15	7	$3,600.00	$3,600.00	$213.10	$3,706.20	$1,975.68	2026-09-21
43611	OTHER	Pf Excis Malig Tumor Stomach	30	7	$2,626.60	$2,626.60	$952.40	$4,975.24	$1,969.95	2026-05-22
23420	HCPCS	Pf Recon Complet Shldr Chrni	17	7	$2,187.30	$2,187.30	$791.00	$16,151.40	$1,968.57	2026-09-21
23420	OTHER	Pf Recon Complet Shldr Chrni	34	7	$2,187.30	$2,187.30	$793.11	$16,151.40	$1,968.57	2026-05-22
28805	HCPCS	Amputation Foot Transmeta	15	7	$2,618.55	$2,618.55	$578.84	$7,391.25	$1,963.91	2026-09-21
28805	OTHER	Pf Amputation Foot Transmeta	30	7	$2,618.55	$2,618.55	$583.04	$7,391.25	$1,963.91	2026-05-22
35207	HCPCS	Pf Repair Of Artery Of Hand	15	7	$2,605.90	$2,605.90	$612.42	$10,158.52	$1,954.42	2026-09-21
35207	OTHER	Pf Repair Of Artery Of Hand	30	7	$2,605.90	$2,605.90	$613.78	$10,158.52	$1,954.42	2026-05-22
26951	HCPCS	Pf Amp Finger Or Thumb Pri	17	7	$2,170.05	$2,170.05	$553.73	$7,391.12	$1,953.04	2026-09-21
26951	OTHER	Pf Amp Finger Or Thumb Pri	34	7	$2,170.05	$2,170.05	$560.69	$7,391.12	$1,953.04	2026-05-22
19301	HCPCS	Pf Mastectomy Partieal	17	7	$2,170.05	$2,170.05	$533.83	$5,544.50	$1,953.04	2026-09-21
19301	OTHER	Pf Mastectomy Partieal	34	7	$2,170.05	$2,170.05	$538.25	$5,544.50	$1,953.04	2026-05-22
J0840	HCPCS	Crofab Solr (snake Antivenom)	42	7	$4,422.00	$4,422.00	$1,603.42	$3,979.80	$1,949.92	2026-09-21
36561	OTHER	Pf Insert Tun Cent Cath Ven	42	7	$7,715.35	$7,715.35	$334.04	$7,482.60	$1,939.50	2026-05-22
36561	HCPCS	Pf Insert Tun Cent Cath Ven	21	7	$7,715.35	$7,715.35	$316.25	$7,482.60	$1,939.50	2026-09-21
44025	HCPCS	Pf Colotomy For Exp Biopsy O	13	7	$3,458.05	$3,458.05	$797.11	$5,945.04	$1,936.51	2026-09-21
59414	HCPCS	Pf Delivery Placenta	17	7	$2,130.95	$2,130.95	$73.43	$4,487.76	$1,917.86	2026-09-21
44202	OTHER	Pf Laparoscopic Resection	30	7	$2,606.00	$2,606.00	$944.94	$4,749.62	$1,913.57	2026-05-22
44140	OTHER	Pf Colectomy Partial With An	30	7	$2,535.50	$2,535.50	$919.38	$7,948.80	$1,901.62	2026-05-22
21490	HCPCS	Pf Opn Trt Temporomndiblr Di	17	7	$2,106.80	$2,106.80	$651.00	$9,826.29	$1,896.12	2026-09-21
21490	OTHER	Pf Opn Trt Temporomndiblr Di	34	7	$2,106.80	$2,106.80	$645.69	$9,826.29	$1,896.12	2026-05-22
44205	OTHER	Pf Laparoscopy Colectomy Par	30	7	$2,524.00	$2,524.00	$915.20	$6,883.78	$1,893.00	2026-05-22
54065	HCPCS	Hc Destruct Of Lesion(s), Penis, Exts	7	7	$3,430.75	$3,430.75	$197.95	$3,087.68	$1,882.80	2026-09-21
87633	HCPCS	Resp Virus Panel (rpp)	7	7	$3,430.00	$3,430.00	$375.10	$3,087.00	$1,882.38	2026-09-21
47564	OTHER	Pf Lap Surg Chlestcmy W Expl	34	7	$2,090.00	$2,090.00	$757.83	$13,050.90	$1,881.00	2026-05-22
47564	HCPCS	Pf Lap Surg Chlestcmy W Expl	17	7	$2,090.00	$2,090.00	$906.59	$13,050.90	$1,881.00	2026-09-21
29828	OTHER	Pf Arthrscpy Shldr Surgcl Bi	34	7	$2,083.80	$2,083.80	$746.74	$16,151.40	$1,875.42	2026-05-22
29828	HCPCS	Pf Arthrscpy Shldr Surgcl Bi	17	7	$2,083.80	$2,083.80	$742.46	$16,151.40	$1,875.42	2026-09-21
J0586	HCPCS	Abobotulinumtoxina, Inj, 5 Units Dysport	42	7	$5,154.00	$5,154.00	$8.08	$4,638.60	$1,868.84	2026-09-21
D7260	HCPCS	Hc Oroantral Fistula Closure	20	7	$4,128.00	$4,128.00	$652.35	$3,715.20	$1,855.57	2026-09-21
44130	OTHER	Pf Anastomosis Of Intestine	30	7	$2,474.00	$2,474.00	$897.07	$6,064.06	$1,855.50	2026-05-22
44206	HCPCS	Pf Lap Colectolmy Partial Hartmann Type	13	7	$3,296.00	$3,296.00	$1,402.23	$8,318.30	$1,845.76	2026-09-21
25116	OTHER	Pf Rad Exc Bursa Syn Wst Fra	34	7	$2,040.10	$2,040.10	$494.19	$7,391.25	$1,836.09	2026-05-22
25116	HCPCS	Pf Rad Exc Bursa Syn Wst Fra	17	7	$2,040.10	$2,040.10	$493.19	$7,391.25	$1,836.09	2026-09-21
44207	OTHER	Pf Lap Colectomy Partial	22	7	$4,220.00	$4,220.00	$1,475.28	$3,798.00	$1,831.18	2026-05-22
47563	OTHER	Pf Laparoscopic Cholecystect	34	7	$2,015.00	$2,015.00	$586.47	$13,050.90	$1,813.50	2026-05-22
47563	HCPCS	Pf Laparoscopic Cholecystect	17	7	$2,015.00	$2,015.00	$583.31	$13,050.90	$1,813.50	2026-09-21
59414	OTHER	Pf Delivery Placenta	34	7	$2,130.95	$2,130.95	$74.11	$4,487.76	$1,808.07	2026-05-22
35556	HCPCS	Hc Bypass Graft, With Vein, Femoral Poplil	5	5	$3,214.50	$3,214.50	$1,156.98	$2,893.05	$1,800.12	2026-09-21
44207	HCPCS	Pf Lap Colectomy Partial	9	7	$4,220.00	$4,220.00	$1,462.35	$3,798.00	$1,769.44	2026-09-21
47610	OTHER	Pf Cholecystectomy W/explr C	30	7	$2,358.00	$2,358.00	$855.01	$7,851.51	$1,768.50	2026-05-22
15040	OTHER	Hc Harv Skin For Tissue, 100aqcm Or Less	14	7	$4,868.50	$4,868.50	$219.58	$4,381.65	$1,765.32	2026-05-22
15277	OTHER	Appl Subs Skn F-s-hnd-ft-	14	7	$4,868.50	$4,868.50	$292.35	$4,381.65	$1,765.32	2026-05-22
14060	OTHER	Adj Tis Trn Lid 10 Cm	14	7	$4,868.50	$4,868.50	$667.99	$4,381.65	$1,765.32	2026-05-22
29825	OTHER	Pf Shoulder Arthroscopy/shou	34	7	$1,952.70	$1,952.70	$477.89	$13,534.70	$1,757.43	2026-05-22
29822	HCPCS	Pf Arthroscopy Shoulder Sur	17	7	$1,952.70	$1,952.70	$440.11	$7,560.00	$1,757.43	2026-09-21
29825	HCPCS	Pf Shoulder Arthroscopy/shou	17	7	$1,952.70	$1,952.70	$476.53	$13,534.70	$1,757.43	2026-09-21
29822	OTHER	Pf Arthroscopy Shoulder Sur	34	7	$1,952.70	$1,952.70	$441.49	$7,560.00	$1,757.43	2026-05-22
44160	OTHER	Pf Colectomy Partial W Rem	30	7	$2,338.00	$2,338.00	$847.76	$7,722.14	$1,753.50	2026-05-22
64778	HCPCS	Digit Nerve Surgery Add O	5	5	$3,092.35	$3,092.35	$142.00	$2,783.12	$1,731.72	2026-09-21
14350	HCPCS	Filleted Fingertip/toe Fl	7	7	$3,153.30	$3,153.30	$563.42	$2,837.97	$1,730.53	2026-09-21
44120	OTHER	Pf Enterectomy	30	7	$2,302.00	$2,302.00	$834.71	$7,064.91	$1,726.50	2026-05-22
J0875	HCPCS	Dalvance 500 Mg Inj (dalbavancin)	42	7	$3,141.00	$3,141.00	$720.45	$3,141.00	$1,723.78	2026-09-21
78452	HCPCS	Xr Myocardial Perfusion-mult,technical Component	7	7	$3,122.00	$3,122.00	$297.90	$2,809.80	$1,713.35	2026-09-21
78451	HCPCS	Xr Cardiovascular SPECT;SING,Technical Component	7	7	$3,122.00	$3,122.00	$209.20	$2,809.80	$1,713.35	2026-09-21
29883	OTHER	Pf Arthrscp Knee Surg W Mens	34	7	$1,899.80	$1,899.80	$687.13	$7,391.25	$1,709.82	2026-05-22
29883	HCPCS	Pf Arthrscp Knee Surg W Mens	17	7	$1,899.80	$1,899.80	$680.72	$7,391.25	$1,709.82	2026-09-21
44238	OTHER	Pf Lap, Intestine Wo Rectum	22	7	$1,953.95	$1,953.95	$708.50	$1,953.95	$1,709.70	2026-05-22
43281	HCPCS	Pf Lap, Para Hernia Without Mesh	11	7	$3,094.50	$3,094.50	$1,241.80	$3,094.50	$1,698.26	2026-09-21
44320	OTHER	Pf Colostomy Of Skin	30	7	$2,259.00	$2,259.00	$819.11	$7,401.28	$1,694.25	2026-05-22
11005	OTHER	Pf Subcut Tis; Abd Wall W/with	30	7	$2,561.05	$2,561.05	$629.87	$4,204.17	$1,693.81	2026-05-22
49651	OTHER	Pf Lap Repair Recur Ingl Her	34	7	$1,866.45	$1,866.45	$461.13	$13,050.00	$1,679.80	2026-05-22
49651	HCPCS	Pf Lap Repair Recur Ingl Her	17	7	$1,866.45	$1,866.45	$458.53	$13,050.00	$1,679.80	2026-09-21
49020	HCPCS	Pf Drainage Of Peri Abs Or	13	7	$2,996.00	$2,996.00	$1,290.56	$4,100.67	$1,677.76	2026-09-21
29873	HCPCS	Pf Arthroscopy Knee Surg For	17	7	$1,864.15	$1,864.15	$434.82	$7,391.25	$1,677.74	2026-09-21
29873	OTHER	Pf Arthroscopy Knee Surg For	34	7	$1,864.15	$1,864.15	$436.88	$7,391.25	$1,677.74	2026-05-22
59410	HCPCS	Vag Delivery Only Ppc	7	7	$3,050.95	$3,050.95	$874.17	$2,745.86	$1,674.36	2026-09-21
29820	OTHER	Pf Arthroscopy Sld Surgica	34	7	$1,859.55	$1,859.55	$435.51	$16,151.40	$1,673.60	2026-05-22
29820	HCPCS	Pf Arthroscopy Sld Surgica	17	7	$1,859.55	$1,859.55	$435.20	$16,151.40	$1,673.60	2026-09-21
C8914	HCPCS	MRA Lower Xtr Wo W Con	18	7	$2,645.50	$2,645.50	$959.26	$2,380.95	$1,670.11	2026-09-21
C8911	HCPCS	MRA Wout W Con Chest Excl	18	7	$2,645.50	$2,645.50	$959.26	$2,380.95	$1,670.11	2026-09-21
C8902	HCPCS	MRA Wo W Con Abdom	18	7	$2,645.50	$2,645.50	$959.26	$2,380.95	$1,670.11	2026-09-21
D7912	HCPCS	Complicated Suture, Great	18	7	$2,641.55	$2,641.55	$957.82	$2,377.40	$1,667.61	2026-09-21
44143	OTHER	Pf Colostomy Close Dis Seg	22	7	$3,128.00	$3,128.00	$1,134.21	$2,815.20	$1,667.52	2026-05-22
49255	OTHER	Pf Omentectomy Epiplo Resect	30	7	$2,814.05	$2,814.05	$647.60	$4,126.54	$1,662.54	2026-05-22
58180	HCPCS	Hc Supra Crvcl Abd Hysterect	11	7	$2,214.90	$2,214.90	$783.25	$2,755.17	$1,661.18	2026-09-21
44960	HCPCS	Pf Appendectomy For Ruptured	13	7	$2,953.20	$2,953.20	$710.96	$5,184.32	$1,653.79	2026-09-21
45393	HCPCS	Colonoscopy With Decompress	7	7	$3,012.00	$3,012.00	$202.83	$2,710.80	$1,652.99	2026-09-21
49020	OTHER	Pf Drainage Of Peri Abs Or	30	7	$2,996.00	$2,996.00	$1,086.35	$4,100.67	$1,652.11	2026-05-22
58552	OTHER	Pf Lap Vag Hy Ut 250 Or Less W/rem Tub/o	34	7	$1,834.00	$1,834.00	$665.01	$22,715.55	$1,650.60	2026-05-22
48140	HCPCS	Pf Pancreatectomy W/wo Splen	13	7	$2,940.00	$2,940.00	$1,268.57	$6,520.50	$1,646.40	2026-09-21
44661	HCPCS	Pf Close Fitula With Intestine	13	7	$2,935.00	$2,935.00	$1,251.00	$7,035.93	$1,643.60	2026-09-21
44143	HCPCS	Pf Colostomy Close Dis Seg	9	7	$3,128.00	$3,128.00	$1,331.65	$2,815.20	$1,629.45	2026-09-21
44204	HCPCS	Pf Laparoscopy Colectomy Par	13	7	$2,902.00	$2,902.00	$1,240.97	$8,318.30	$1,625.12	2026-09-21
24358	OTHER	Pf Tenotomy Elbow Lateral/	34	7	$1,799.75	$1,799.75	$433.36	$7,045.24	$1,619.78	2026-05-22
24358	HCPCS	Pf Tenotomy Elbow Lateral/	17	7	$1,799.75	$1,799.75	$432.84	$7,045.24	$1,619.78	2026-09-21
44238	HCPCS	Pf Lap, Intestine Wo Rectum	6	6	$1,953.95	$1,953.95	$1,072.33	$1,953.95	$1,612.01	2026-09-21
23929	HCPCS	Unlisted Procedure Should	10	6	$7,285.25	$7,285.25	$182.80	$6,556.72	$1,610.97	2026-09-21
43772	OTHER	Laparoscopy,surg-removal	26	7	$8,997.50	$8,997.50	$647.60	$8,097.75	$1,607.40	2026-05-22
29894	HCPCS	Pf Arth Akl Sur W Rem Of Lse	17	7	$1,758.35	$1,758.35	$412.42	$7,391.25	$1,582.52	2026-09-21
29894	OTHER	Pf Arth Akl Sur W Rem Of Lse	34	7	$1,758.35	$1,758.35	$413.24	$7,391.25	$1,582.52	2026-05-22
49255	HCPCS	Pf Omentectomy Epiplo Resect	13	7	$2,814.05	$2,814.05	$643.69	$4,126.54	$1,575.87	2026-09-21
47605	OTHER	Pf Cholecystectomy W/cholang	30	7	$2,100.00	$2,100.00	$761.46	$6,210.00	$1,575.00	2026-05-22
43281	OTHER	Pf Lap, Para Hernia Without Mesh	22	7	$3,094.50	$3,094.50	$1,122.07	$3,094.50	$1,555.02	2026-05-22
44602	OTHER	Suture Of Sm Int For Perf	14	7	$2,440.50	$2,440.50	$884.93	$2,196.45	$1,540.69	2026-05-22
48510	OTHER	Pf External Drainage Pseudys	30	7	$2,054.00	$2,054.00	$744.78	$5,030.10	$1,540.50	2026-05-22
29875	OTHER	Pf Arthroscopy Knee Surgical	34	7	$1,702.00	$1,702.00	$405.31	$7,391.25	$1,531.80	2026-05-22
29875	HCPCS	Pf Arthroscopy Knee Surgical	17	7	$1,702.00	$1,702.00	$403.63	$7,391.25	$1,531.80	2026-09-21
77012	OTHER	CT Guidance For Needle PL,Technical Component	10	5	$4,128.30	$4,128.30	$46.42	$3,715.47	$1,527.47	2026-05-22
32557	HCPCS	CT Pleural Drainage WITH,Technical Component	7	7	$2,778.00	$2,778.00	$559.27	$2,500.20	$1,524.57	2026-09-21
41010	HCPCS	Hc Incision Of Lingual Frenum	7	7	$2,763.25	$2,763.25	$182.11	$2,486.92	$1,516.47	2026-09-21
47562	OTHER	Pf Laparoscopic Cholecystect	34	7	$1,684.75	$1,684.75	$539.29	$13,050.90	$1,516.28	2026-05-22
47562	HCPCS	Pf Laparoscopic Cholecystect	17	7	$1,684.75	$1,684.75	$536.26	$13,050.90	$1,516.28	2026-09-21
43280	HCPCS	Pf Laparoscopy Fundoplasty	11	7	$2,762.00	$2,762.00	$872.84	$2,762.00	$1,515.79	2026-09-21
C8913	HCPCS	MRA Wout Con Lower Extrem	18	7	$2,384.00	$2,384.00	$864.44	$2,145.60	$1,505.02	2026-09-21
C8912	HCPCS	MRA W Con Lower Extremity	18	7	$2,384.00	$2,384.00	$864.44	$2,145.60	$1,505.02	2026-09-21
C8901	HCPCS	MRA Wo Con Abdomen	18	7	$2,384.00	$2,384.00	$864.44	$2,145.60	$1,505.02	2026-09-21
C8900	HCPCS	MRA W Con Abdomen	18	7	$2,384.00	$2,384.00	$864.44	$2,145.60	$1,505.02	2026-09-21
C8909	HCPCS	MRA W Con Chest Exclud My	18	7	$2,384.00	$2,384.00	$864.44	$2,145.60	$1,505.02	2026-09-21
C8910	HCPCS	MRA Wo Con Chest Exclu My	18	7	$2,384.00	$2,384.00	$864.44	$2,145.60	$1,505.02	2026-09-21
21011	OTHER	Exc Tumor Soft Tissue Of	14	7	$4,118.00	$4,118.00	$317.80	$3,706.20	$1,493.19	2026-05-22
38221	OTHER	Bone Marrow Bx	14	7	$4,118.00	$4,118.00	$135.92	$3,706.20	$1,493.19	2026-05-22
38220	OTHER	Bone Marrow Aspirate	14	7	$4,118.00	$4,118.00	$132.84	$3,706.20	$1,493.19	2026-05-22
27327	OTHER	Excision Of Tissue To Kne	14	7	$4,117.80	$4,117.80	$420.09	$3,706.02	$1,493.12	2026-05-22
25210	HCPCS	Pf Carpectomy 1 Bone	17	7	$1,658.30	$1,658.30	$402.80	$7,998.48	$1,492.47	2026-09-21
25210	OTHER	Pf Carpectomy 1 Bone	34	7	$1,658.30	$1,658.30	$403.94	$7,998.48	$1,492.47	2026-05-22
64718	HCPCS	Hc Neurop/trans; Ulnar Nerve	15	7	$2,026.30	$2,026.30	$489.05	$4,642.42	$1,488.08	2026-09-21
73706	HCPCS	CTA Lower Ext BILAT,Bilateral Procedure, Technical Component	21	7	$2,709.30	$2,709.30	$135.66	$4,876.74	$1,486.87	2026-09-21
49002	OTHER	Pf Reopening Of Recent Lapar	30	7	$1,967.00	$1,967.00	$713.23	$4,522.95	$1,475.25	2026-05-22
44310	OTHER	Pf Ileostomy Of Jejunostomy	30	7	$1,965.00	$1,965.00	$712.51	$6,620.90	$1,473.75	2026-05-22

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