|
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
|
|
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
|
|
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
|
|
J2997
|
OTHER
|
Alteplase 2 Mg Inj (cathflo)
|
58
|
7
|
$21,748.62
|
$21,748.62
|
$328.45
|
$39,977.82
|
$7,886.05
|
2026-05-22
|
|
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
|
|
23405
|
OTHER
|
Tenotomy Shldr Area Sngl
|
42
|
7
|
$17,946.00
|
$17,946.00
|
$503.19
|
$21,534.75
|
$1,414.50
|
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
|
|
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
|
|
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
|
|
38740
|
OTHER
|
Axilary Lymphadenectomy;
|
14
|
7
|
$14,500.00
|
$14,500.00
|
$619.22
|
$13,050.00
|
$5,257.70
|
2026-05-22
|
|
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
|
|
57240
|
OTHER
|
Anterior Colporrhaphy-rep
|
14
|
7
|
$12,815.00
|
$12,815.00
|
$542.78
|
$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
|
|
57530
|
OTHER
|
Trachelectomy(cervicectom
|
14
|
7
|
$12,815.00
|
$12,815.00
|
$328.41
|
$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
|
|
J3110
|
OTHER
|
Teriparatide 600 Mcg/2.4 Ml Pnij
|
24
|
6
|
$12,659.10
|
$12,659.10
|
$57.05
|
$11,393.19
|
$4,637.03
|
2026-05-22
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
J2426
|
OTHER
|
Paliperidone Palmi 156 Mg/ml Syrg (inveg
|
44
|
7
|
$9,283.86
|
$9,283.86
|
$543.37
|
$12,532.91
|
$5,049.37
|
2026-05-22
|
|
J3101
|
OTHER
|
Tenecteplase 50 Mg Kit
|
28
|
7
|
$9,000.00
|
$9,000.00
|
$3,263.40
|
$8,100.00
|
$7,482.10
|
2026-05-22
|
|
43772
|
OTHER
|
Laparoscopy,surg-removal
|
26
|
7
|
$8,997.50
|
$8,997.50
|
$647.60
|
$8,097.75
|
$1,607.40
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
30520
|
OTHER
|
Septoplasty Submucous Res
|
14
|
7
|
$7,858.00
|
$7,858.00
|
$576.00
|
$7,072.20
|
$2,849.31
|
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
|
|
21040
|
OTHER
|
Excision Of Sebacous Cyst
|
26
|
7
|
$7,858.00
|
$7,858.00
|
$391.97
|
$7,072.20
|
$1,081.00
|
2026-05-22
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
57415
|
OTHER
|
Removal Impacted Vaginal
|
14
|
7
|
$7,494.50
|
$7,494.50
|
$153.49
|
$6,745.05
|
$2,717.51
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
J1439
|
OTHER
|
Injectafer 750 Mg (ferric Carboxymaltose
|
28
|
7
|
$7,018.14
|
$7,018.14
|
$826.88
|
$6,316.33
|
$2,544.78
|
2026-05-22
|
|
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
|
|
A4301
|
OTHER
|
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
|
|
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
|
|
J0897
|
OTHER
|
Denosumab 60 Mg/ml Syrg
|
28
|
7
|
$6,138.20
|
$6,138.20
|
$2,225.71
|
$5,524.38
|
$3,024.00
|
2026-05-22
|
|
58145
|
OTHER
|
Hc Myomec, Ex 1-4 Myomas Toto Wt 250 Vag
|
26
|
7
|
$5,996.50
|
$5,996.50
|
$481.53
|
$5,396.85
|
$1,328.00
|
2026-05-22
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
J0586
|
OTHER
|
Abobotulinumtoxina, Inj, 5 Units Dysport
|
28
|
7
|
$5,154.00
|
$5,154.00
|
$8.08
|
$4,638.60
|
$1,868.84
|
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
|
|
D2740
|
OTHER
|
Hc Ceramic Crowns
|
14
|
7
|
$4,968.52
|
$4,968.52
|
$1,801.58
|
$4,471.67
|
$3,136.62
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
J0585
|
OTHER
|
Onabotulinumtoxin A, 150 Units No WASTE,Pharmacy, 340b
|
66
|
7
|
$4,537.50
|
$4,537.50
|
$626.61
|
$5,445.00
|
$1,678.88
|
2026-05-22
|
|
J0840
|
OTHER
|
Crofab Solr (snake Antivenom)
|
28
|
7
|
$4,422.00
|
$4,422.00
|
$1,603.42
|
$3,979.80
|
$1,949.92
|
2026-05-22
|
|
23605
|
OTHER
|
Pf Clsd Trt Of Hum Fx W Mani
|
38
|
7
|
$4,319.40
|
$4,319.40
|
$386.55
|
$4,165.88
|
$1,190.79
|
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
|
|
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
|
|
26410
|
OTHER
|
Pf Rep Ext Tendon Hnd Wo Fr
|
38
|
7
|
$4,152.65
|
$4,152.65
|
$452.85
|
$4,879.35
|
$1,190.79
|
2026-05-22
|
|
D8080
|
OTHER
|
Comp Ortho Treatment Of T
|
14
|
7
|
$4,140.00
|
$4,140.00
|
$1,501.16
|
$3,726.00
|
$2,613.58
|
2026-05-22
|
|
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
|
|
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
|
|
D7260
|
OTHER
|
Hc Oroantral Fistula Closure
|
14
|
7
|
$4,128.00
|
$4,128.00
|
$652.35
|
$3,715.20
|
$1,527.36
|
2026-05-22
|
|
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
|
|
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
|
|
24535
|
OTHER
|
Pf Clsd Trt Of Supracondylar
|
38
|
7
|
$4,066.00
|
$4,066.00
|
$460.36
|
$4,879.35
|
$1,190.79
|
2026-05-22
|
|
40819
|
OTHER
|
Hc Frenulectomy
|
14
|
7
|
$4,058.50
|
$4,058.50
|
$232.63
|
$3,652.65
|
$1,471.62
|
2026-05-22
|
|
87536
|
OTHER
|
Hic Viral Load
|
14
|
7
|
$3,988.00
|
$3,988.00
|
$76.59
|
$3,589.20
|
$1,446.05
|
2026-05-22
|
|
15241
|
OTHER
|
Full Thck Head Han Ea 20
|
10
|
5
|
$3,950.25
|
$3,950.25
|
$147.85
|
$3,555.22
|
$1,461.59
|
2026-05-22
|
|
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
|
|
11044
|
OTHER
|
Pf Debrid Skin Sbq Tiss Musc
|
30
|
7
|
$3,600.00
|
$3,600.00
|
$229.18
|
$3,706.20
|
$1,305.36
|
2026-05-22
|
|
11404
|
OTHER
|
Pf Exc Ben Les Trnk Extrm 3.
|
50
|
7
|
$3,600.00
|
$3,600.00
|
$108.78
|
$4,941.00
|
$1,041.18
|
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
|
|
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
|
|
54065
|
OTHER
|
Hc Destruct Of Lesion(s), Penis, Exts
|
14
|
7
|
$3,430.75
|
$3,430.75
|
$193.98
|
$3,087.68
|
$1,351.14
|
2026-05-22
|
|
87633
|
OTHER
|
Resp Virus Panel (rpp)
|
14
|
7
|
$3,430.00
|
$3,430.00
|
$375.10
|
$3,087.00
|
$1,243.72
|
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
|
|
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
|
|
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
|
|
14350
|
OTHER
|
Filleted Fingertip/toe Fl
|
14
|
7
|
$3,153.30
|
$3,153.30
|
$592.48
|
$2,837.97
|
$1,351.14
|
2026-05-22
|
|
J0875
|
OTHER
|
Dalvance 500 Mg Inj (dalbavancin)
|
28
|
7
|
$3,141.00
|
$3,141.00
|
$720.45
|
$2,826.90
|
$1,138.93
|
2026-05-22
|
|
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
|
|
78451
|
OTHER
|
Xr Cardiovascular SPECT;SING,Technical Component
|
14
|
7
|
$3,122.00
|
$3,122.00
|
$196.78
|
$2,809.80
|
$1,132.04
|
2026-05-22
|
|
78452
|
OTHER
|
Xr Myocardial Perfusion-mult,technical Component
|
14
|
7
|
$3,122.00
|
$3,122.00
|
$280.97
|
$2,809.80
|
$1,132.04
|
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
|
|
64778
|
OTHER
|
Digit Nerve Surgery Add O
|
14
|
7
|
$3,092.35
|
$3,092.35
|
$158.22
|
$2,783.12
|
$1,470.67
|
2026-05-22
|
|
59410
|
OTHER
|
Vag Delivery Only Ppc
|
14
|
7
|
$3,050.95
|
$3,050.95
|
$885.34
|
$2,745.86
|
$1,106.27
|
2026-05-22
|
|
45393
|
OTHER
|
Colonoscopy With Decompress
|
14
|
7
|
$3,012.00
|
$3,012.00
|
$220.75
|
$2,710.80
|
$1,092.15
|
2026-05-22
|
|
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
|
|
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
|
|
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
|
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
|
|
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
|
|
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
|
|
27590
|
OTHER
|
Pf Amputatin Thigh Through F,Professional Service
|
22
|
7
|
$2,858.90
|
$2,858.90
|
$639.19
|
$2,573.01
|
$1,036.63
|
2026-05-22
|
|
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
|
|
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
|
|
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
|
|
32557
|
OTHER
|
CT Pleural Drainage WITH,Technical Component
|
14
|
7
|
$2,778.00
|
$2,778.00
|
$530.26
|
$2,500.20
|
$1,186.60
|
2026-05-22
|
|
41010
|
OTHER
|
Hc Incision Of Lingual Frenum
|
14
|
7
|
$2,763.25
|
$2,763.25
|
$176.56
|
$2,486.92
|
$1,129.92
|
2026-05-22
|
|
43280
|
OTHER
|
Pf Laparoscopy Fundoplasty
|
34
|
7
|
$2,762.00
|
$2,762.00
|
$879.18
|
$22,716.00
|
$2,485.80
|
2026-05-22
|
|
C8911
|
OTHER
|
MRA Wout W Con Chest Excl
|
14
|
7
|
$2,645.50
|
$2,645.50
|
$959.26
|
$2,380.95
|
$1,670.11
|
2026-05-22
|
|
C8914
|
OTHER
|
MRA Lower Xtr Wo W Con
|
14
|
7
|
$2,645.50
|
$2,645.50
|
$959.26
|
$2,380.95
|
$1,670.11
|
2026-05-22
|
|
C8902
|
OTHER
|
MRA Wo W Con Abdom
|
14
|
7
|
$2,645.50
|
$2,645.50
|
$959.26
|
$2,380.95
|
$1,670.11
|
2026-05-22
|
|
D7912
|
OTHER
|
Complicated Suture, Great
|
14
|
7
|
$2,641.55
|
$2,641.55
|
$957.82
|
$2,377.40
|
$1,667.61
|
2026-05-22
|
|
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
|
|
58925
|
OTHER
|
Pf Ovarian Cystectomy
|
34
|
7
|
$2,618.55
|
$2,618.55
|
$629.96
|
$11,533.28
|
$2,356.70
|
2026-05-22
|
|
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
|
|
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
|
|
44202
|
OTHER
|
Pf Laparoscopic Resection
|
30
|
7
|
$2,606.00
|
$2,606.00
|
$944.94
|
$4,749.62
|
$1,913.57
|
2026-05-22
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
60240
|
OTHER
|
Pf Thyroidectomy Total
|
34
|
7
|
$2,500.10
|
$2,500.10
|
$750.78
|
$13,051.04
|
$2,250.09
|
2026-05-22
|
|
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
|
|
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
|
|
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
|
|
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
|
|
C8901
|
OTHER
|
MRA Wo Con Abdomen
|
14
|
7
|
$2,384.00
|
$2,384.00
|
$864.44
|
$2,145.60
|
$1,505.02
|
2026-05-22
|
|
C8900
|
OTHER
|
MRA W Con Abdomen
|
14
|
7
|
$2,384.00
|
$2,384.00
|
$864.44
|
$2,145.60
|
$1,505.02
|
2026-05-22
|
|
C8913
|
OTHER
|
MRA Wout Con Lower Extrem
|
14
|
7
|
$2,384.00
|
$2,384.00
|
$864.44
|
$2,145.60
|
$1,505.02
|
2026-05-22
|
|
C8912
|
OTHER
|
MRA W Con Lower Extremity
|
14
|
7
|
$2,384.00
|
$2,384.00
|
$864.44
|
$2,145.60
|
$1,505.02
|
2026-05-22
|
|
C8909
|
OTHER
|
MRA W Con Chest Exclud My
|
14
|
7
|
$2,384.00
|
$2,384.00
|
$864.44
|
$2,145.60
|
$1,505.02
|
2026-05-22
|
|
C8910
|
OTHER
|
MRA Wo Con Chest Exclu My
|
14
|
7
|
$2,384.00
|
$2,384.00
|
$864.44
|
$2,145.60
|
$1,505.02
|
2026-05-22
|
|
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
|
|
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
|
|
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
|
|
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
|
|
44120
|
OTHER
|
Pf Enterectomy
|
30
|
7
|
$2,302.00
|
$2,302.00
|
$834.71
|
$7,064.91
|
$1,726.50
|
2026-05-22
|
|
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
|
|
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
|
|
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
|
|
35656
|
OTHER
|
Hc Bypass Graft W Other Than Vein Femora
|
14
|
7
|
$2,244.00
|
$2,244.00
|
$813.67
|
$2,019.60
|
$1,416.63
|
2026-05-22
|
|
58180
|
OTHER
|
Pf Supra Crvcl Abd Hysterect
|
30
|
7
|
$2,214.90
|
$2,214.90
|
$792.56
|
$2,755.17
|
$1,110.03
|
2026-05-22
|
|
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
|
|
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
|
OTHER
|
Pf Mastectomy Partieal
|
34
|
7
|
$2,170.05
|
$2,170.05
|
$538.25
|
$5,544.50
|
$1,953.04
|
2026-05-22
|
|
59414
|
OTHER
|
Pf Delivery Placenta
|
34
|
7
|
$2,130.95
|
$2,130.95
|
$74.11
|
$4,487.76
|
$1,808.07
|
2026-05-22
|
|
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
|
|
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
|
|
26525
|
OTHER
|
Pf Release Finger Contractur
|
30
|
7
|
$2,098.75
|
$2,098.75
|
$544.87
|
$3,883.32
|
$1,190.79
|
2026-05-22
|
|
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
|
|
57267
|
OTHER
|
Insertion Of Mesh<repair
|
14
|
7
|
$2,087.25
|
$2,087.25
|
$222.68
|
$1,878.52
|
$1,050.60
|
2026-05-22
|
|
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
|
|
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
|
|
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
|
|
64718
|
OTHER
|
Pf Neurop/trans; Ulnar Nerve
|
30
|
7
|
$2,026.30
|
$2,026.30
|
$490.25
|
$4,642.42
|
$1,430.53
|
2026-05-22
|
|
G0379
|
OTHER
|
Direct Admit To Obs
|
14
|
7
|
$2,018.00
|
$2,018.00
|
$731.73
|
$1,816.20
|
$1,273.96
|
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
|
|
44005
|
OTHER
|
Pf Enterolysis Intes Adhesio
|
22
|
7
|
$2,010.70
|
$2,010.70
|
$729.08
|
$1,809.63
|
$1,107.61
|
2026-05-22
|
|
47600
|
OTHER
|
Pf Cholecystectomy
|
30
|
7
|
$2,000.00
|
$2,000.00
|
$725.20
|
$2,725.16
|
$1,109.62
|
2026-05-22
|
|
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
|
|
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
|
|
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
|
|
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
|
|
23929
|
OTHER
|
Pf Unlisted Procedure Should
|
28
|
6
|
$1,952.70
|
$1,952.70
|
$174.72
|
$6,556.72
|
$1,232.74
|
2026-05-22
|
|
43249
|
OTHER
|
Pf Upper Gi Endo Balloon Dil
|
30
|
7
|
$1,938.00
|
$1,938.00
|
$154.68
|
$4,204.80
|
$1,409.82
|
2026-05-22
|
|
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
|
|
47100
|
OTHER
|
Pf Bx Liver Wedge
|
30
|
7
|
$1,892.90
|
$1,892.90
|
$686.36
|
$2,725.16
|
$1,097.93
|
2026-05-22
|
|
49040
|
OTHER
|
Pf Drainage Of Subiap Or Sub
|
30
|
7
|
$1,883.00
|
$1,883.00
|
$682.78
|
$5,801.18
|
$1,412.25
|
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
|
|
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
|
|
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
|
|
44050
|
OTHER
|
Pf Red Volvulus Int Interna
|
30
|
7
|
$1,850.00
|
$1,850.00
|
$670.81
|
$4,755.82
|
$1,387.50
|
2026-05-22
|
|
43610
|
OTHER
|
Pf Excis Local; Ulcer Or Be
|
30
|
7
|
$1,844.00
|
$1,844.00
|
$668.63
|
$4,300.42
|
$1,383.00
|
2026-05-22
|
|
14061
|
OTHER
|
Pf Adj Tiss Trans Nse Ear 10
|
30
|
7
|
$1,841.00
|
$1,841.00
|
$667.55
|
$4,381.65
|
$1,351.14
|
2026-05-22
|
|
67316
|
OTHER
|
Pf Strbisms Recssn Resctn 2
|
30
|
7
|
$1,834.25
|
$1,834.25
|
$573.53
|
$5,410.98
|
$1,375.69
|
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
|
|
44020
|
OTHER
|
Pf Enterotomy Sm Intes Biops
|
30
|
7
|
$1,830.00
|
$1,830.00
|
$663.56
|
$4,421.52
|
$1,372.50
|
2026-05-22
|
|
58940
|
OTHER
|
Pf Unilateral Oophorectomy
|
30
|
7
|
$1,828.50
|
$1,828.50
|
$453.81
|
$3,293.37
|
$1,326.86
|
2026-05-22
|
|
19316
|
OTHER
|
Mastopex
|
14
|
7
|
$1,815.85
|
$1,815.85
|
$658.42
|
$1,634.26
|
$1,146.34
|
2026-05-22
|
|
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
|
|
V2787
|
OTHER
|
Lens Alcon Toric
|
14
|
7
|
$1,760.00
|
$1,760.00
|
$638.18
|
$1,584.00
|
$1,111.09
|
2026-05-22
|
|
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
|
|
27502
|
OTHER
|
Pf Cls Trt Femrl Shft Fx W M
|
30
|
7
|
$1,757.20
|
$1,757.20
|
$617.48
|
$4,165.88
|
$1,190.79
|
2026-05-22
|
|
15240
|
OTHER
|
Pf Full Thck Head Hand 20 Sq
|
30
|
7
|
$1,715.00
|
$1,715.00
|
$621.86
|
$4,381.65
|
$1,286.25
|
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
|
|
64702
|
OTHER
|
Pf Neuroplasty;digital 1 Or
|
30
|
7
|
$1,695.10
|
$1,695.10
|
$417.92
|
$4,642.42
|
$1,271.32
|
2026-05-22
|
|
26145
|
OTHER
|
Pf Tendon Excision Palm/fing
|
30
|
7
|
$1,691.65
|
$1,691.65
|
$422.48
|
$3,883.32
|
$1,190.79
|
2026-05-22
|
|
47562
|
OTHER
|
Pf Laparoscopic Cholecystect
|
34
|
7
|
$1,684.75
|
$1,684.75
|
$539.29
|
$13,050.90
|
$1,516.28
|
2026-05-22
|
|
49440
|
OTHER
|
Pf Insert Gastro Tube Perc F
|
30
|
7
|
$1,664.00
|
$1,664.00
|
$206.58
|
$4,204.80
|
$1,248.00
|
2026-05-22
|
|
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
|
|
67312
|
OTHER
|
Pf Strbisms Recssn Resctn 2
|
34
|
7
|
$1,630.70
|
$1,630.70
|
$534.48
|
$5,410.98
|
$1,467.63
|
2026-05-22
|
|
27360
|
OTHER
|
Pf Prtl Excis Bone Fmur Prxm
|
34
|
7
|
$1,630.00
|
$1,630.00
|
$591.04
|
$7,391.12
|
$1,467.00
|
2026-05-22
|
|
44620
|
OTHER
|
Pf Closure Of Enterostomy L
|
30
|
7
|
$1,630.00
|
$1,630.00
|
$591.04
|
$3,604.90
|
$1,222.50
|
2026-05-22
|
|
49557
|
OTHER
|
Pf Rpr Rcrnt Femrl Hernia In
|
34
|
7
|
$1,627.25
|
$1,627.25
|
$590.04
|
$8,395.20
|
$1,464.52
|
2026-05-22
|
|
21931
|
OTHER
|
Pf Exc Tumor Soft Tissue Of
|
30
|
7
|
$1,620.35
|
$1,620.35
|
$383.49
|
$3,706.20
|
$1,201.23
|
2026-05-22
|
|
27784
|
OTHER
|
Pf Opn Trt Prox Fibula Fx W
|
34
|
7
|
$1,610.00
|
$1,610.00
|
$583.79
|
$10,851.98
|
$1,449.00
|
2026-05-22
|
|
23410
|
OTHER
|
Pf Opn Rpr Ruptrd Msctndens
|
34
|
7
|
$1,600.00
|
$1,600.00
|
$580.16
|
$16,151.40
|
$1,440.00
|
2026-05-22
|
|
24615
|
OTHER
|
Pf Opn Trt Acut Chrnc Elbw D
|
34
|
7
|
$1,599.65
|
$1,599.65
|
$580.03
|
$21,535.20
|
$1,439.68
|
2026-05-22
|
|
44110
|
OTHER
|
Pf Exc 1 Or More Les Intesti
|
30
|
7
|
$1,594.00
|
$1,594.00
|
$577.98
|
$3,949.56
|
$1,195.50
|
2026-05-22
|
|
26045
|
OTHER
|
Pf Fascrotomy Palmar Open Pa
|
34
|
7
|
$1,592.75
|
$1,592.75
|
$386.51
|
$7,391.25
|
$1,433.48
|
2026-05-22
|
|
14021
|
OTHER
|
Pf Adj Tissue Trsf Scl Arm L
|
30
|
7
|
$1,590.50
|
$1,590.50
|
$576.72
|
$4,381.65
|
$1,192.88
|
2026-05-22
|
|
24000
|
OTHER
|
Pf Athrotomy Elbow Including
|
34
|
7
|
$1,582.40
|
$1,582.40
|
$391.83
|
$7,998.48
|
$1,424.16
|
2026-05-22
|
|
11772
|
OTHER
|
Pf Exc Of Pilomidal Cyst/sin
|
34
|
7
|
$1,576.00
|
$1,576.00
|
$571.46
|
$6,261.30
|
$1,418.40
|
2026-05-22
|
|
46260
|
OTHER
|
Pf Hemorrhoidectomy 2 Or Mo
|
34
|
7
|
$1,574.35
|
$1,574.35
|
$391.64
|
$8,235.00
|
$1,416.92
|
2026-05-22
|
|
29882
|
OTHER
|
Pf Knee Arthroscopy/surgery
|
34
|
7
|
$1,574.35
|
$1,574.35
|
$562.03
|
$7,391.25
|
$1,416.92
|
2026-05-22
|
|
15120
|
OTHER
|
Pf Split Thk Auto Gft Face S
|
34
|
7
|
$1,572.00
|
$1,572.00
|
$570.01
|
$8,038.80
|
$1,414.80
|
2026-05-22
|
|
44820
|
OTHER
|
Pf Ex Lesion On Mesentery
|
30
|
7
|
$1,570.00
|
$1,570.00
|
$569.28
|
$4,126.54
|
$1,177.50
|
2026-05-22
|
|
49250
|
OTHER
|
Pf Umbilectomy Omphalectomy
|
34
|
7
|
$1,562.85
|
$1,562.85
|
$485.06
|
$5,701.82
|
$1,406.56
|
2026-05-22
|
|
43453
|
OTHER
|
Pf Dilate Esoph Over Guide W
|
30
|
7
|
$1,559.00
|
$1,559.00
|
$87.50
|
$4,205.25
|
$1,169.25
|
2026-05-22
|
|
26123
|
OTHER
|
Pf Fasciectomy Partial Parlm
|
34
|
7
|
$1,551.50
|
$1,551.50
|
$562.58
|
$7,391.25
|
$1,396.35
|
2026-05-22
|
|
55520
|
OTHER
|
Pf Exc Of Lesion Of Spermati
|
34
|
7
|
$1,545.60
|
$1,545.60
|
$373.54
|
$8,149.50
|
$1,391.04
|
2026-05-22
|
|
67318
|
OTHER
|
Pf Strbismus Srg Suprior Obl
|
34
|
7
|
$1,529.50
|
$1,529.50
|
$554.08
|
$5,410.98
|
$1,376.55
|
2026-05-22
|
|
29824
|
OTHER
|
Pf Surg Shldr Arthroscpy Dis
|
34
|
7
|
$1,524.90
|
$1,524.90
|
$551.76
|
$7,391.25
|
$1,372.41
|
2026-05-22
|
|
67314
|
OTHER
|
Pf Strbisms Recssn Resctn 1
|
34
|
7
|
$1,518.00
|
$1,518.00
|
$364.94
|
$5,410.98
|
$1,366.20
|
2026-05-22
|
|
67900
|
OTHER
|
Repair Of Brow Ptosis
|
14
|
7
|
$1,513.40
|
$1,513.40
|
$548.76
|
$1,513.40
|
$1,135.05
|
2026-05-22
|
|
11012
|
OTHER
|
Pf Debride Inc Rem Mat Fx/di
|
34
|
7
|
$1,503.05
|
$1,503.05
|
$420.36
|
$6,261.30
|
$1,352.74
|
2026-05-22
|
|
24357
|
OTHER
|
Pf Tenotomy Elbow Lateral M
|
34
|
7
|
$1,501.90
|
$1,501.90
|
$341.37
|
$7,998.48
|
$1,351.71
|
2026-05-22
|
|
29879
|
OTHER
|
Pf Knee Arthrscpy Surg Abrsn
|
34
|
7
|
$1,493.85
|
$1,493.85
|
$539.91
|
$7,391.25
|
$1,344.46
|
2026-05-22
|
|
45171
|
OTHER
|
Pf Excision Of Recal Tumor T
|
34
|
7
|
$1,491.55
|
$1,491.55
|
$498.38
|
$6,329.25
|
$1,342.40
|
2026-05-22
|
|
26236
|
OTHER
|
Pf Partial Exc Distal Phanla
|
30
|
7
|
$1,481.20
|
$1,481.20
|
$361.91
|
$3,680.46
|
$1,110.90
|
2026-05-22
|
|
64774
|
OTHER
|
Pf Excision Of Neuroma
|
30
|
7
|
$1,477.75
|
$1,477.75
|
$349.08
|
$4,297.32
|
$1,108.31
|
2026-05-22
|
|
21336
|
OTHER
|
Pf Open Trt Nasal Sept Al Fx
|
34
|
7
|
$1,476.60
|
$1,476.60
|
$509.91
|
$5,689.40
|
$1,328.94
|
2026-05-22
|
|
11771
|
OTHER
|
Pf Exc Of Pilonidal Cyst/sin
|
34
|
7
|
$1,446.70
|
$1,446.70
|
$454.04
|
$6,261.30
|
$1,302.03
|
2026-05-22
|
|
49000
|
OTHER
|
Pf Exp Lap Exp Celiotomy W B
|
30
|
7
|
$1,444.00
|
$1,444.00
|
$523.59
|
$4,100.67
|
$1,083.00
|
2026-05-22
|
|
23071
|
OTHER
|
Pf Exc Tumor Sft Tiss Shld A
|
30
|
7
|
$1,440.95
|
$1,440.95
|
$342.74
|
$5,392.35
|
$1,080.71
|
2026-05-22
|
|
19350
|
OTHER
|
Nipple Areola Reconstruct
|
14
|
7
|
$1,437.50
|
$1,437.50
|
$521.24
|
$1,437.50
|
$1,078.12
|
2026-05-22
|
|
49650
|
OTHER
|
Pf Lap Repair Initi Ingl Her
|
34
|
7
|
$1,431.75
|
$1,431.75
|
$353.18
|
$13,050.00
|
$1,288.58
|
2026-05-22
|
|
27632
|
OTHER
|
Pf Exc Tum Soft Tiss Of Leg
|
34
|
7
|
$1,416.80
|
$1,416.80
|
$333.82
|
$6,261.03
|
$1,275.12
|
2026-05-22
|
|
29823
|
OTHER
|
Pf Arthro Shdlr Srg Debrid E
|
34
|
7
|
$1,415.65
|
$1,415.65
|
$483.87
|
$12,395.16
|
$1,274.08
|
2026-05-22
|
|
27552
|
OTHER
|
Pf Closed Tx Knee Disloc W A
|
30
|
7
|
$1,403.00
|
$1,403.00
|
$508.73
|
$3,360.64
|
$1,052.25
|
2026-05-22
|
|
29877
|
OTHER
|
Pf Arthsc Knee Dbrid Shv Art
|
34
|
7
|
$1,401.85
|
$1,401.85
|
$506.39
|
$7,391.25
|
$1,261.66
|
2026-05-22
|
|
26990
|
OTHER
|
Pf I & D Plvis Jnt Deep Abs
|
34
|
7
|
$1,397.25
|
$1,397.25
|
$506.64
|
$4,799.30
|
$1,257.52
|
2026-05-22
|
|
24071
|
OTHER
|
Pf Exc Tumor Sft Tiss Upp Ar
|
34
|
7
|
$1,380.00
|
$1,380.00
|
$331.00
|
$6,261.30
|
$1,242.00
|
2026-05-22
|
|
69300
|
OTHER
|
Otoplasty Protrus Ear W W
|
14
|
7
|
$1,361.60
|
$1,361.60
|
$493.71
|
$1,361.60
|
$1,021.20
|
2026-05-22
|
|
49425
|
OTHER
|
Pf Insertion Of Peritoneal-v
|
30
|
7
|
$1,356.00
|
$1,356.00
|
$491.69
|
$4,250.74
|
$1,017.00
|
2026-05-22
|
|
36820
|
OTHER
|
Pf Arteriovenous Anastomosis, Open; By
|
34
|
7
|
$1,352.00
|
$1,352.00
|
$490.24
|
$12,409.20
|
$1,216.80
|
2026-05-22
|
|
36573
|
OTHER
|
Insert Picc Wo Port/pump W Imaging
|
14
|
7
|
$1,350.00
|
$1,350.00
|
$304.07
|
$1,215.00
|
$1,012.50
|
2026-05-22
|
|
67311
|
OTHER
|
Pf Strbisms Recssn Resctn 1
|
34
|
7
|
$1,348.95
|
$1,348.95
|
$364.94
|
$5,410.98
|
$1,214.06
|
2026-05-22
|
|
44970
|
OTHER
|
Pf Laparoscopy Appendectomy
|
34
|
7
|
$1,347.80
|
$1,347.80
|
$488.72
|
$10,436.94
|
$1,213.02
|
2026-05-22
|
|
49521
|
OTHER
|
Pf Repair Recurrent Ing Hern
|
34
|
7
|
$1,345.00
|
$1,345.00
|
$487.70
|
$8,395.20
|
$1,210.50
|
2026-05-22
|
|
49507
|
OTHER
|
Pf Rpr I/hern Init Block >5
|
34
|
7
|
$1,320.20
|
$1,320.20
|
$478.70
|
$8,395.20
|
$1,188.18
|
2026-05-22
|
|
58662
|
OTHER
|
Pf Lap Surg W/fulguration Of Lesions
|
34
|
7
|
$1,320.00
|
$1,320.00
|
$478.63
|
$13,051.12
|
$1,188.00
|
2026-05-22
|
|
15650
|
OTHER
|
Pf Trans Int Of Any Pedical
|
34
|
7
|
$1,305.25
|
$1,305.25
|
$405.72
|
$4,688.55
|
$1,174.72
|
2026-05-22
|
|
29845
|
OTHER
|
Pf Arhtscpy Wrist Synovectmy
|
34
|
7
|
$1,297.20
|
$1,297.20
|
$470.36
|
$6,447.02
|
$1,167.48
|
2026-05-22
|
|
27532
|
OTHER
|
Pf Cls Trt Tib Fx Wo W Man
|
34
|
7
|
$1,294.90
|
$1,294.90
|
$469.53
|
$4,165.88
|
$1,165.41
|
2026-05-22
|
|
49550
|
OTHER
|
Pf Rpr Rem Hernia Init Reduc
|
34
|
7
|
$1,293.75
|
$1,293.75
|
$469.12
|
$8,395.20
|
$1,164.38
|
2026-05-22
|
|
29880
|
OTHER
|
Pf Arthrscpy Menisctmy Med &
|
34
|
7
|
$1,289.15
|
$1,289.15
|
$458.42
|
$7,391.25
|
$1,160.24
|
2026-05-22
|
|
49525
|
OTHER
|
Pf Rpr Inguinal Hernia Slidi
|
34
|
7
|
$1,286.85
|
$1,286.85
|
$466.61
|
$8,395.20
|
$1,158.16
|
2026-05-22
|
|
26037
|
OTHER
|
Pf Decompressive Fasciotomy
|
34
|
7
|
$1,284.55
|
$1,284.55
|
$459.49
|
$9,855.00
|
$1,156.10
|
2026-05-22
|
|
26715
|
OTHER
|
Pf Opn Trt Metcrpphlng Dislo
|
34
|
7
|
$1,278.80
|
$1,278.80
|
$463.70
|
$9,855.00
|
$1,150.92
|
2026-05-22
|
|
28825
|
OTHER
|
Pf Amputation Toe Interphala
|
34
|
7
|
$1,276.50
|
$1,276.50
|
$178.71
|
$7,391.25
|
$1,148.85
|
2026-05-22
|
|
14020
|
OTHER
|
Pf Adj Tiss Trnf Cl Arm Lg 1
|
34
|
7
|
$1,276.00
|
$1,276.00
|
$462.68
|
$4,381.65
|
$1,148.40
|
2026-05-22
|
|
23530
|
OTHER
|
Pf Opn Trt Sternoclvclr Disl
|
34
|
7
|
$1,265.00
|
$1,265.00
|
$458.69
|
$10,851.98
|
$1,138.50
|
2026-05-22
|
|
15823
|
OTHER
|
Pf Bleph Upper Lid Minor Bil
|
34
|
7
|
$1,251.20
|
$1,251.20
|
$453.68
|
$4,637.84
|
$1,126.08
|
2026-05-22
|
|
49422
|
OTHER
|
Pf Removal Of Tunneled Intra
|
34
|
7
|
$1,238.55
|
$1,238.55
|
$180.31
|
$7,482.60
|
$1,114.70
|
2026-05-22
|
|
29881
|
OTHER
|
Pf Arthrscpy Menisctmy Med O
|
34
|
7
|
$1,236.25
|
$1,236.25
|
$441.49
|
$7,391.25
|
$1,112.62
|
2026-05-22
|
|
26540
|
OTHER
|
Pf Repair Ruptured Collatera
|
34
|
7
|
$1,235.00
|
$1,235.00
|
$447.81
|
$7,391.12
|
$1,111.50
|
2026-05-22
|
|
15821
|
OTHER
|
Pf Bleph Lwr Lid W Extsv Hrn
|
34
|
7
|
$1,233.95
|
$1,233.95
|
$447.43
|
$4,637.84
|
$1,110.56
|
2026-05-22
|
|
29874
|
OTHER
|
Pf Knee Arthroscopy Surg Rem
|
34
|
7
|
$1,212.10
|
$1,212.10
|
$439.51
|
$7,390.80
|
$1,090.89
|
2026-05-22
|
|
25066
|
OTHER
|
Pf Bpsy Sft Tissue Of Forarm
|
34
|
7
|
$1,212.10
|
$1,212.10
|
$299.82
|
$6,261.30
|
$1,090.89
|
2026-05-22
|
|
44950
|
OTHER
|
Pf Appendectomy
|
34
|
7
|
$1,207.50
|
$1,207.50
|
$437.84
|
$8,395.20
|
$1,086.75
|
2026-05-22
|
|
21012
|
OTHER
|
Pf Exc Tumor Soft Tissue Of
|
34
|
7
|
$1,196.00
|
$1,196.00
|
$275.52
|
$3,706.20
|
$1,076.40
|
2026-05-22
|
|
25520
|
OTHER
|
Pf Cls Trt Rdial Fx & Disloc
|
34
|
7
|
$1,186.80
|
$1,186.80
|
$430.34
|
$4,807.35
|
$1,068.12
|
2026-05-22
|
|
49520
|
OTHER
|
Pf Repair Recurrent Inguinal
|
34
|
7
|
$1,183.00
|
$1,183.00
|
$428.96
|
$8,395.20
|
$1,064.70
|
2026-05-22
|
|
43255
|
OTHER
|
Pf Upper Gi Endo Control Ble
|
34
|
7
|
$1,182.00
|
$1,182.00
|
$202.11
|
$4,204.80
|
$1,063.80
|
2026-05-22
|
|
24105
|
OTHER
|
Pf Excision Olecranon Bursa
|
34
|
7
|
$1,181.05
|
$1,181.05
|
$293.83
|
$7,391.25
|
$1,062.94
|
2026-05-22
|
|
26991
|
OTHER
|
Pf I & D Pelvis Hip Infecte
|
34
|
7
|
$1,179.90
|
$1,179.90
|
$427.83
|
$4,799.30
|
$1,061.91
|
2026-05-22
|
|
29846
|
OTHER
|
Pf Wrist Arthrscpy Excis Rpr
|
34
|
7
|
$1,176.45
|
$1,176.45
|
$426.58
|
$7,391.25
|
$1,058.80
|
2026-05-22
|
|
46255
|
OTHER
|
Pf Hemorrhoidectomy Internal
|
34
|
7
|
$1,175.30
|
$1,175.30
|
$359.20
|
$6,329.25
|
$1,057.77
|
2026-05-22
|
|
22902
|
OTHER
|
Pf Exc Tumor Sft Tiss Abd Wa
|
34
|
7
|
$1,171.85
|
$1,171.85
|
$338.75
|
$4,164.84
|
$1,054.66
|
2026-05-22
|
|
49505
|
OTHER
|
Pf Repair Init Ing Hernia >5
|
34
|
7
|
$1,167.25
|
$1,167.25
|
$423.24
|
$8,395.20
|
$1,050.52
|
2026-05-22
|
|
27328
|
OTHER
|
Pf Exc Tumor Sf Tiss Knee Ar
|
34
|
7
|
$1,161.00
|
$1,161.00
|
$420.98
|
$6,261.30
|
$1,044.90
|
2026-05-22
|
|
15820
|
OTHER
|
Pf Blepharoplasty Lower Eyel
|
34
|
7
|
$1,160.35
|
$1,160.35
|
$420.74
|
$4,637.84
|
$1,044.32
|
2026-05-22
|
|
20694
|
OTHER
|
Pf Rem Under Anes Of Ext Fix
|
34
|
7
|
$1,155.75
|
$1,155.75
|
$345.65
|
$5,089.10
|
$1,040.18
|
2026-05-22
|
|
29848
|
OTHER
|
Pf Endo Wrist Surg Release C
|
34
|
7
|
$1,145.40
|
$1,145.40
|
$415.32
|
$6,447.02
|
$1,030.86
|
2026-05-22
|
|
27301
|
OTHER
|
Pf I & D Deep Thigh Knee Reg
|
34
|
7
|
$1,125.85
|
$1,125.85
|
$408.23
|
$4,471.20
|
$1,013.26
|
2026-05-22
|
|
24075
|
OTHER
|
Pf Exc Tumor Sft Tis Up Arm
|
34
|
7
|
$1,125.85
|
$1,125.85
|
$335.42
|
$3,706.20
|
$1,013.26
|
2026-05-22
|
|
49329
|
OTHER
|
Pf Unlisted Laparoscopy Abd
|
34
|
7
|
$1,118.95
|
$1,118.95
|
$405.73
|
$13,050.00
|
$1,118.95
|
2026-05-22
|
|
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
|