Hospital

LAWRENCE COUNTY HOSPITAL CAH

Monticello, MS · CCN 251305 · Rates published

1,992 distinct procedures filed

23 distinct payers

42,163 rate rows

2026-06-09 last MRF observed

Data quality

39,532 of 42,163 rate rows are consumer-grade (93.8%)

2,631 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	2,631

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

Source MRF file	https://cdn.accureg.net/trans/smrmc/640468873_Lawrence-County-Hospital_standardcharges.json
Found on page	https://pricetransparency.accureg.net/southwestms
Discovered via	Discovered by HANK (automated)
Last fetch	success · 2026-10-11
Content fingerprint	7da3672ea8f9f6dd… · 29,226,830 bytes · first seen 2026-10-11

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
41145 CPT	Tongue Removal Neck Surgery	6	$225,701.71	$225,701.71	$225,701.71	nat. median $4,132 outlier · 54.6×
41140 CPT	Removal Of Tongue	6	$225,701.71	$225,701.71	$225,701.71	nat. median $3,877 outlier · 58.2×
33978 CPT	Remove Ventricular Device	6	$101,134.13	$101,134.13	$101,134.13	nat. median $3,675 outlier · 27.5×
33774 CPT	Repair Great Vessels Defect	6	$101,134.13	$101,134.13	$101,134.13	nat. median $3,843 outlier · 26.3×
33776 CPT	Repair Great Vessels Defect	6	$101,134.13	$101,134.13	$101,134.13	nat. median $3,920 outlier · 25.8×
33979 CPT	Insert Intracorporeal Device	6	$101,134.13	$101,134.13	$101,134.13	nat. median $4,160 outlier · 24.3×
33975 CPT	Implant Ventricular Device	6	$101,134.13	$101,134.13	$101,134.13	nat. median $3,558 outlier · 28.4×
33775 CPT	Repair Great Vessels Defect	6	$101,134.13	$101,134.13	$101,134.13	nat. median $3,863 outlier · 26.2×
33777 CPT	Repair Great Vessels Defect	6	$101,134.13	$101,134.13	$101,134.13	nat. median $3,885 outlier · 26.0×
33977 CPT	Remove Ventricular Device	6	$101,134.13	$101,134.13	$101,134.13	nat. median $3,451 outlier · 29.3×
49060 CPT	Drain Open Retroperi Abscess	6	$83,892.73	$83,892.73	$83,892.73	nat. median $2,605 outlier · 32.2×
49020 CPT	Drainage Abdom Abscess Open	6	$83,892.73	$83,892.73	$83,892.73	nat. median $2,749 outlier · 30.5×
63173 CPT	Drainage Of Spinal Cyst	6	$83,892.73	$83,892.73	$83,892.73	nat. median $4,609 outlier · 18.2×
49040 CPT	Drain Open Abdom Abscess	6	$83,892.73	$83,892.73	$83,892.73	nat. median $2,756 outlier · 30.4×
4169F CPT	No Pt Care Icu/vent In 24hrs	6	$83,273.32	$83,273.32	$83,273.32	nat. median $7,460 outlier · 11.2×
43840 CPT	Repair Of Stomach Lesion	6	$81,435.20	$81,435.20	$81,435.20	nat. median $3,677 outlier · 22.1×
35870 CPT	Repair Vessel Graft Defect	6	$81,435.20	$81,435.20	$81,435.20	nat. median $3,281 outlier · 24.8×
44010 CPT	Incision Of Small Bowel	6	$62,236.15	$62,236.15	$62,236.15	nat. median $2,550 outlier · 24.4×
44020 CPT	Explore Small Intestine	6	$62,236.15	$62,236.15	$62,236.15	nat. median $2,576 outlier · 24.2×
27486 CPT	Revise/replace Knee Joint	6	$58,483.30	$58,483.30	$58,483.30	nat. median $8,926 outlier · 6.6×
27488 CPT	Removal Of Knee Prosthesis	6	$57,207.72	$57,207.72	$57,207.72	nat. median $5,411 outlier · 10.6×
49606 CPT	Repair Umbilical Lesion	6	$56,184.25	$56,184.25	$56,184.25	nat. median $3,446 outlier · 16.3×
49605 CPT	Repair Umbilical Lesion	6	$56,184.25	$56,184.25	$56,184.25	nat. median $5,154 outlier · 10.9×
37618 CPT	Ligation Of Extremity Artery	6	$55,256.50	$55,256.50	$55,256.50	nat. median $2,343 outlier · 23.6×
44227 CPT	Lap Close Enterostomy	6	$55,116.13	$55,116.13	$55,116.13	nat. median $3,200 outlier · 17.2×
50526 CPT	Close Nephrovisceral Fistula	6	$55,116.13	$55,116.13	$55,116.13	nat. median $3,293 outlier · 16.7×
33967 CPT	Insert I-aort Percut Device	6	$53,270.68	$53,270.68	$53,270.68	nat. median $2,949 outlier · 18.1×
33970 CPT	Aortic Circulation Assist	6	$53,270.68	$53,270.68	$53,270.68	nat. median $2,515 outlier · 21.2×
33973 CPT	Insert Balloon Device	6	$53,270.68	$53,270.68	$53,270.68	nat. median $2,809 outlier · 19.0×
58950 CPT	Resect Ovarian Malignancy	6	$51,770.21	$51,770.21	$51,770.21	nat. median $3,501 outlier · 14.8×
49255 CPT	Removal Of Omentum	6	$51,770.21	$51,770.21	$51,770.21	nat. median $3,838 outlier · 13.5×
48154 CPT	Pancreatectomy	6	$51,629.03	$51,629.03	$51,629.03	nat. median $4,160 outlier · 12.4×
43825 CPT	Fusion Of Stomach And Bowel	6	$51,629.03	$51,629.03	$51,629.03	nat. median $2,802 outlier · 18.4×
47721 CPT	Fuse Upper Gi Structures	6	$51,629.03	$51,629.03	$51,629.03	nat. median $3,211 outlier · 16.1×
43846 CPT	Gastric Bypass For Obesity	6	$51,629.03	$51,629.03	$51,629.03	nat. median $4,134 outlier · 12.5×
43632 CPT	Removal Of Stomach Partial	6	$51,629.03	$51,629.03	$51,629.03	nat. median $3,262 outlier · 15.8×
47741 CPT	Fuse Gallbladder & Bowel	6	$51,629.03	$51,629.03	$51,629.03	nat. median $3,295 outlier · 15.7×
43633 CPT	Removal Of Stomach Partial	6	$51,629.03	$51,629.03	$51,629.03	nat. median $3,252 outlier · 15.9×
43634 CPT	Removal Of Stomach Partial	6	$51,629.03	$51,629.03	$51,629.03	nat. median $3,685 outlier · 14.0×
48547 CPT	Duodenal Exclusion	6	$51,629.03	$51,629.03	$51,629.03	nat. median $3,211 outlier · 16.1×
43820 CPT	Fusion Of Stomach And Bowel	6	$51,629.03	$51,629.03	$51,629.03	nat. median $2,872 outlier · 18.0×
43341 CPT	Fuse Esophagus & Intestine	6	$51,629.03	$51,629.03	$51,629.03	nat. median $3,074 outlier · 16.8×
43847 CPT	Gastric Bypass Incl Small I	6	$51,629.03	$51,629.03	$51,629.03	nat. median $4,251 outlier · 12.1×
48150 CPT	Partial Removal Of Pancreas	6	$51,629.03	$51,629.03	$51,629.03	nat. median $4,507 outlier · 11.5×
48153 CPT	Pancreatectomy	6	$51,629.03	$51,629.03	$51,629.03	nat. median $4,160 outlier · 12.4×
47740 CPT	Fuse Gallbladder & Bowel	6	$51,629.03	$51,629.03	$51,629.03	nat. median $3,086 outlier · 16.7×
49412 CPT	Ins Device For Rt Guide Open	6	$50,110.52	$50,110.52	$50,110.52	nat. median $1,442 outlier · 34.8×
15787 CPT	Abrasion Lesions Add-on	6	$48,142.15	$48,142.15	$48,142.15	nat. median $250 outlier · 192.5×
27888 CPT	Amputation Of Foot At Ankle	6	$46,040.58	$46,040.58	$46,040.58	nat. median $3,568 outlier · 12.9×
28800 CPT	Amputation Of Midfoot	6	$46,040.58	$46,040.58	$46,040.58	nat. median $3,406 outlier · 13.5×

Other procedures at this hospital

Browse this hospital's 1,992 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

41145	CPT	Tongue Removal Neck Surgery	12	6	$273,577.83	—	$225,701.71	$225,701.71	$225,701.71	2026-06-09
41140	CPT	Removal Of Tongue	12	6	$273,577.83	—	$225,701.71	$225,701.71	$225,701.71	2026-06-09
33978	CPT	Remove Ventricular Device	12	6	$122,586.83	—	$101,134.13	$101,134.13	$101,134.13	2026-06-09
33774	CPT	Repair Great Vessels Defect	12	6	$122,586.83	—	$101,134.13	$101,134.13	$101,134.13	2026-06-09
33776	CPT	Repair Great Vessels Defect	12	6	$122,586.83	—	$101,134.13	$101,134.13	$101,134.13	2026-06-09
33979	CPT	Insert Intracorporeal Device	12	6	$122,586.83	—	$101,134.13	$101,134.13	$101,134.13	2026-06-09
33975	CPT	Implant Ventricular Device	12	6	$122,586.83	—	$101,134.13	$101,134.13	$101,134.13	2026-06-09
33775	CPT	Repair Great Vessels Defect	12	6	$122,586.83	—	$101,134.13	$101,134.13	$101,134.13	2026-06-09
33777	CPT	Repair Great Vessels Defect	12	6	$122,586.83	—	$101,134.13	$101,134.13	$101,134.13	2026-06-09
33977	CPT	Remove Ventricular Device	12	6	$122,586.83	—	$101,134.13	$101,134.13	$101,134.13	2026-06-09
49060	CPT	Drain Open Retroperi Abscess	12	6	$101,688.15	—	$83,892.73	$83,892.73	$83,892.73	2026-06-09
49020	CPT	Drainage Abdom Abscess Open	12	6	$101,688.15	—	$83,892.73	$83,892.73	$83,892.73	2026-06-09
63173	CPT	Drainage Of Spinal Cyst	12	6	$101,688.15	—	$83,892.73	$83,892.73	$83,892.73	2026-06-09
49040	CPT	Drain Open Abdom Abscess	12	6	$101,688.15	—	$83,892.73	$83,892.73	$83,892.73	2026-06-09
4169F	CPT	No Pt Care Icu/vent In 24hrs	12	6	$100,937.36	—	$83,273.32	$83,273.32	$83,273.32	2026-06-09
43840	CPT	Repair Of Stomach Lesion	12	6	$98,709.33	—	$81,435.20	$81,435.20	$81,435.20	2026-06-09
35870	CPT	Repair Vessel Graft Defect	12	6	$98,709.33	—	$81,435.20	$81,435.20	$81,435.20	2026-06-09
44010	CPT	Incision Of Small Bowel	12	6	$75,437.76	—	$62,236.15	$62,236.15	$62,236.15	2026-06-09
44020	CPT	Explore Small Intestine	12	6	$75,437.76	—	$62,236.15	$62,236.15	$62,236.15	2026-06-09
27486	CPT	Revise/replace Knee Joint	12	6	$70,888.85	—	$58,483.30	$58,483.30	$58,483.30	2026-06-09
27488	CPT	Removal Of Knee Prosthesis	12	6	$69,342.69	—	$57,207.72	$57,207.72	$57,207.72	2026-06-09
49606	CPT	Repair Umbilical Lesion	12	6	$68,102.13	—	$56,184.25	$56,184.25	$56,184.25	2026-06-09
49605	CPT	Repair Umbilical Lesion	12	6	$68,102.13	—	$56,184.25	$56,184.25	$56,184.25	2026-06-09
37618	CPT	Ligation Of Extremity Artery	12	6	$66,977.58	—	$55,256.50	$55,256.50	$55,256.50	2026-06-09
44227	CPT	Lap Close Enterostomy	12	6	$66,807.43	—	$55,116.13	$55,116.13	$55,116.13	2026-06-09
50526	CPT	Close Nephrovisceral Fistula	12	6	$66,807.43	—	$55,116.13	$55,116.13	$55,116.13	2026-06-09
33967	CPT	Insert I-aort Percut Device	12	6	$64,570.53	—	$53,270.68	$53,270.68	$53,270.68	2026-06-09
33970	CPT	Aortic Circulation Assist	12	6	$64,570.53	—	$53,270.68	$53,270.68	$53,270.68	2026-06-09
33973	CPT	Insert Balloon Device	12	6	$64,570.53	—	$53,270.68	$53,270.68	$53,270.68	2026-06-09
58950	CPT	Resect Ovarian Malignancy	12	6	$62,751.76	—	$51,770.21	$51,770.21	$51,770.21	2026-06-09
49255	CPT	Removal Of Omentum	12	6	$62,751.76	—	$51,770.21	$51,770.21	$51,770.21	2026-06-09
48154	CPT	Pancreatectomy	12	6	$62,580.64	—	$51,629.03	$51,629.03	$51,629.03	2026-06-09
43825	CPT	Fusion Of Stomach And Bowel	12	6	$62,580.64	—	$51,629.03	$51,629.03	$51,629.03	2026-06-09
47721	CPT	Fuse Upper Gi Structures	12	6	$62,580.64	—	$51,629.03	$51,629.03	$51,629.03	2026-06-09
43846	CPT	Gastric Bypass For Obesity	12	6	$62,580.64	—	$51,629.03	$51,629.03	$51,629.03	2026-06-09
43632	CPT	Removal Of Stomach Partial	12	6	$62,580.64	—	$51,629.03	$51,629.03	$51,629.03	2026-06-09
47741	CPT	Fuse Gallbladder & Bowel	12	6	$62,580.64	—	$51,629.03	$51,629.03	$51,629.03	2026-06-09
43633	CPT	Removal Of Stomach Partial	12	6	$62,580.64	—	$51,629.03	$51,629.03	$51,629.03	2026-06-09
43634	CPT	Removal Of Stomach Partial	12	6	$62,580.64	—	$51,629.03	$51,629.03	$51,629.03	2026-06-09
48547	CPT	Duodenal Exclusion	12	6	$62,580.64	—	$51,629.03	$51,629.03	$51,629.03	2026-06-09
43820	CPT	Fusion Of Stomach And Bowel	12	6	$62,580.64	—	$51,629.03	$51,629.03	$51,629.03	2026-06-09
43341	CPT	Fuse Esophagus & Intestine	12	6	$62,580.64	—	$51,629.03	$51,629.03	$51,629.03	2026-06-09
43847	CPT	Gastric Bypass Incl Small I	12	6	$62,580.64	—	$51,629.03	$51,629.03	$51,629.03	2026-06-09
48150	CPT	Partial Removal Of Pancreas	12	6	$62,580.64	—	$51,629.03	$51,629.03	$51,629.03	2026-06-09
48153	CPT	Pancreatectomy	12	6	$62,580.64	—	$51,629.03	$51,629.03	$51,629.03	2026-06-09
47740	CPT	Fuse Gallbladder & Bowel	12	6	$62,580.64	—	$51,629.03	$51,629.03	$51,629.03	2026-06-09
49412	CPT	Ins Device For Rt Guide Open	12	6	$60,740.02	—	$50,110.52	$50,110.52	$50,110.52	2026-06-09
15787	CPT	Abrasion Lesions Add-on	12	6	$58,354.13	—	$48,142.15	$48,142.15	$48,142.15	2026-06-09
27888	CPT	Amputation Of Foot At Ankle	12	6	$55,806.77	—	$46,040.58	$46,040.58	$46,040.58	2026-06-09
28800	CPT	Amputation Of Midfoot	12	6	$55,806.77	—	$46,040.58	$46,040.58	$46,040.58	2026-06-09
43496	CPT	Free Jejunum Flap Microvasc	12	6	$55,372.98	—	$45,682.71	$45,682.71	$45,682.71	2026-06-09
27487	CPT	Revise/replace Knee Joint	12	6	$54,024.03	—	$44,569.82	$44,569.82	$44,569.82	2026-06-09
49611	CPT	Repair Umbilical Lesion	12	6	$51,800.16	—	$42,735.14	$42,735.14	$42,735.14	2026-06-09
15847	CPT	Exc Skin Abd Add-on	12	6	$51,800.16	—	$42,735.14	$42,735.14	$42,735.14	2026-06-09
49905	CPT	Omental Flap Intra-abdom	12	6	$51,800.16	—	$42,735.14	$42,735.14	$42,735.14	2026-06-09
50830	CPT	Revise Urine Flow	12	6	$51,800.16	—	$42,735.14	$42,735.14	$42,735.14	2026-06-09
49610	CPT	Repair Umbilical Lesion	12	6	$51,800.16	—	$42,735.14	$42,735.14	$42,735.14	2026-06-09
44700	CPT	Suspend Bowel W/prosthesis	12	6	$51,356.53	—	$42,369.14	$42,369.14	$42,369.14	2026-06-09
44147	CPT	Partial Removal Of Colon	12	6	$49,357.29	—	$40,719.76	$40,719.76	$40,719.76	2026-06-09
44139	CPT	Mobilization Of Colon	12	6	$49,357.29	—	$40,719.76	$40,719.76	$40,719.76	2026-06-09
44626	CPT	Repair Bowel Opening	12	6	$49,357.29	—	$40,719.76	$40,719.76	$40,719.76	2026-06-09
44145	CPT	Partial Removal Of Colon	12	6	$49,108.87	—	$40,514.82	$40,514.82	$40,514.82	2026-06-09
44140	CPT	Partial Removal Of Colon	12	6	$48,918.50	—	$40,357.76	$40,357.76	$40,357.76	2026-06-09
44143	CPT	Partial Removal Of Colon	12	6	$48,606.16	—	$40,100.08	$40,100.08	$40,100.08	2026-06-09
44322	CPT	Colostomy With Biopsies	12	6	$48,154.69	—	$39,727.62	$39,727.62	$39,727.62	2026-06-09
44141	CPT	Partial Removal Of Colon	12	6	$48,154.69	—	$39,727.62	$39,727.62	$39,727.62	2026-06-09
44146	CPT	Partial Removal Of Colon	12	6	$47,865.94	—	$39,489.40	$39,489.40	$39,489.40	2026-06-09
31632	CPT	Bronchoscopy/lung Bx Addl	12	6	$47,436.66	—	$39,135.25	$39,135.25	$39,135.25	2026-06-09
44144	CPT	Partial Removal Of Colon	12	6	$46,879.96	—	$38,675.97	$38,675.97	$38,675.97	2026-06-09
20962	CPT	Other Bone Graft Microvasc	12	6	$46,791.27	—	$38,602.80	$38,602.80	$38,602.80	2026-06-09
27513	CPT	Treatment Of Thigh Fracture	12	6	$46,724.02	—	$38,547.32	$38,547.32	$38,547.32	2026-06-09
27450	CPT	Incision Of Thigh	12	6	$46,724.02	—	$38,547.32	$38,547.32	$38,547.32	2026-06-09
27514	CPT	Treatment Of Thigh Fracture	12	6	$46,724.02	—	$38,547.32	$38,547.32	$38,547.32	2026-06-09
27511	CPT	Treatment Of Thigh Fracture	12	6	$46,724.02	—	$38,547.32	$38,547.32	$38,547.32	2026-06-09
27519	CPT	Treat Thigh Fx Growth Plate	12	6	$46,724.02	—	$38,547.32	$38,547.32	$38,547.32	2026-06-09
44110	CPT	Excise Intestine Lesion(s)	12	6	$46,664.21	—	$38,497.97	$38,497.97	$38,497.97	2026-06-09
44111	CPT	Excision Of Bowel Lesion(s)	12	6	$46,664.21	—	$38,497.97	$38,497.97	$38,497.97	2026-06-09
44960	CPT	Appendectomy	12	6	$46,324.30	—	$38,217.55	$38,217.55	$38,217.55	2026-06-09
44955	CPT	Appendectomy Add-on	12	6	$46,324.30	—	$38,217.55	$38,217.55	$38,217.55	2026-06-09
45121	CPT	Removal Of Rectum And Colon	12	6	$46,240.17	—	$38,148.14	$38,148.14	$38,148.14	2026-06-09
43848	CPT	Revision Gastroplasty	12	6	$46,091.98	—	$38,025.88	$38,025.88	$38,025.88	2026-06-09
45119	CPT	Remove Rectum W/reservoir	12	6	$45,525.07	—	$37,558.18	$37,558.18	$37,558.18	2026-06-09
27712	CPT	Realignment Of Lower Leg	12	6	$45,160.49	—	$37,257.40	$37,257.40	$37,257.40	2026-06-09
44160	CPT	Removal Of Colon	12	6	$44,710.46	—	$36,886.13	$36,886.13	$36,886.13	2026-06-09
11001	CPT	Debride Infected Skin Add-on	12	6	$44,072.39	—	$36,359.72	$36,359.72	$36,359.72	2026-06-09
43118	CPT	Partial Removal Of Esophagus	12	6	$43,168.97	—	$35,614.40	$35,614.40	$35,614.40	2026-06-09
43113	CPT	Removal Of Esophagus	12	6	$43,168.97	—	$35,614.40	$35,614.40	$35,614.40	2026-06-09
44132	CPT	Enterectomy Cadaver Donor	12	6	$42,930.57	—	$35,417.72	$35,417.72	$35,417.72	2026-06-09
44133	CPT	Enterectomy Live Donor	12	6	$42,930.57	—	$35,417.72	$35,417.72	$35,417.72	2026-06-09
20957	CPT	Mt Bone Graft Microvasc	12	6	$42,779.21	—	$35,292.85	$35,292.85	$35,292.85	2026-06-09
33984	CPT	Ecmo/ecls Rmvl Prph Cannula	12	6	$42,660.94	—	$35,195.28	$35,195.28	$35,195.28	2026-06-09
33969	CPT	Ecmo/ecls Rmvl Perph Cannula	12	6	$42,660.94	—	$35,195.28	$35,195.28	$35,195.28	2026-06-09
33986	CPT	Ecmo/ecls Rmvl Ctr Cannula	12	6	$42,660.94	—	$35,195.28	$35,195.28	$35,195.28	2026-06-09
33985	CPT	Ecmo/ecls Rmvl Ctr Cannula	12	6	$42,660.94	—	$35,195.28	$35,195.28	$35,195.28	2026-06-09
11047	CPT	Deb Bone Add-on	12	6	$41,708.22	—	$34,409.29	$34,409.29	$34,409.29	2026-06-09
45562	CPT	Exploration/repair Of Rectum	12	6	$41,546.52	—	$34,275.88	$34,275.88	$34,275.88	2026-06-09
27132	CPT	Total Hip Arthroplasty	12	6	$41,189.83	—	$33,981.61	$33,981.61	$33,981.61	2026-06-09
27358	CPT	Remove Femur Lesion/fixation	12	6	$41,067.23	—	$33,880.46	$33,880.46	$33,880.46	2026-06-09
45563	CPT	Exploration/repair Of Rectum	12	6	$40,599.87	—	$33,494.89	$33,494.89	$33,494.89	2026-06-09
27125	CPT	Partial Hip Replacement	12	6	$40,495.43	—	$33,408.73	$33,408.73	$33,408.73	2026-06-09
27540	CPT	Treat Knee Fracture	12	6	$40,463.54	—	$33,382.42	$33,382.42	$33,382.42	2026-06-09
27725	CPT	Repair Of Lower Leg	12	6	$40,463.54	—	$33,382.42	$33,382.42	$33,382.42	2026-06-09
27724	CPT	Repair/graft Of Tibia	12	6	$40,463.54	—	$33,382.42	$33,382.42	$33,382.42	2026-06-09
27536	CPT	Treat Knee Fracture	12	6	$40,463.54	—	$33,382.42	$33,382.42	$33,382.42	2026-06-09
27535	CPT	Treat Knee Fracture	12	6	$40,463.54	—	$33,382.42	$33,382.42	$33,382.42	2026-06-09
39599	CPT	Diaphragm Surgery Procedure	12	6	$40,456.51	—	$33,376.62	$33,376.62	$33,376.62	2026-06-09
44130	CPT	Bowel To Bowel Fusion	12	6	$40,316.24	—	$33,260.89	$33,260.89	$33,260.89	2026-06-09
44208	CPT	L Colectomy/coloproctostomy	12	6	$40,254.05	—	$33,209.59	$33,209.59	$33,209.59	2026-06-09
44210	CPT	Laparo Total Proctocolectomy	12	6	$40,254.05	—	$33,209.59	$33,209.59	$33,209.59	2026-06-09
44207	CPT	L Colectomy/coloproctostomy	12	6	$40,254.05	—	$33,209.59	$33,209.59	$33,209.59	2026-06-09
44206	CPT	Lap Part Colectomy W/stoma	12	6	$40,254.05	—	$33,209.59	$33,209.59	$33,209.59	2026-06-09
44188	CPT	Lap Colostomy	12	6	$40,254.05	—	$33,209.59	$33,209.59	$33,209.59	2026-06-09
33231	CPT	Insrt Pulse Gen W/mult Leads	30	23	$119,021.50	—	$29,370.62	$65,269.45	$33,188.81	2026-06-09
33264	CPT	Rmvl & Rplcmt Dfb Gen Mlt Ld	30	23	$119,021.50	—	$29,370.62	$65,269.45	$33,188.81	2026-06-09
27465	CPT	Shortening Of Thigh Bone	12	6	$39,710.27	—	$32,760.97	$32,760.97	$32,760.97	2026-06-09
58952	CPT	Resect Ovarian Malignancy	12	6	$39,135.43	—	$32,286.73	$32,286.73	$32,286.73	2026-06-09
58951	CPT	Resect Ovarian Malignancy	12	6	$39,135.43	—	$32,286.73	$32,286.73	$32,286.73	2026-06-09
44126	CPT	Enterectomy Without Taper Cong	12	6	$38,675.15	—	$31,907.00	$31,907.00	$31,907.00	2026-06-09
44125	CPT	Removal Of Small Intestine	12	6	$38,675.15	—	$31,907.00	$31,907.00	$31,907.00	2026-06-09
44120	CPT	Removal Of Small Intestine	12	6	$38,675.15	—	$31,907.00	$31,907.00	$31,907.00	2026-06-09
44128	CPT	Enterectomy Cong Add-on	12	6	$38,675.15	—	$31,907.00	$31,907.00	$31,907.00	2026-06-09
44127	CPT	Enterectomy W/taper Cong	12	6	$38,675.15	—	$31,907.00	$31,907.00	$31,907.00	2026-06-09
44121	CPT	Removal Of Small Intestine	12	6	$38,675.15	—	$31,907.00	$31,907.00	$31,907.00	2026-06-09
43605	CPT	Biopsy Of Stomach	12	6	$38,416.02	—	$31,693.22	$31,693.22	$31,693.22	2026-06-09
20969	CPT	Bone/skin Graft Microvasc	12	6	$38,095.71	—	$31,428.96	$31,428.96	$31,428.96	2026-06-09
20955	CPT	Fibula Bone Graft Microvasc	12	6	$38,095.71	—	$31,428.96	$31,428.96	$31,428.96	2026-06-09
20938	CPT	Sp Bone Agrft Struct Add-on	12	6	$38,095.71	—	$31,428.96	$31,428.96	$31,428.96	2026-06-09
20937	CPT	Sp Bone Agrft Morsel Add-on	12	6	$38,095.71	—	$31,428.96	$31,428.96	$31,428.96	2026-06-09
44320	CPT	Colostomy	12	6	$37,197.01	—	$30,687.53	$30,687.53	$30,687.53	2026-06-09
44005	CPT	Freeing Of Bowel Adhesion	12	6	$36,716.59	—	$30,291.19	$30,291.19	$30,291.19	2026-06-09
44137	CPT	Remove Intestinal Allograft	12	6	$36,496.76	—	$30,109.83	$30,109.83	$30,109.83	2026-06-09
45397	CPT	Lap Remove Rectum W/pouch	12	6	$36,212.44	—	$29,875.26	$29,875.26	$29,875.26	2026-06-09
45395	CPT	Lap Removal Of Rectum	12	6	$36,212.44	—	$29,875.26	$29,875.26	$29,875.26	2026-06-09
44605	CPT	Repair Of Bowel Lesion	12	6	$36,212.44	—	$29,875.26	$29,875.26	$29,875.26	2026-06-09
44346	CPT	Revision Of Colostomy	12	6	$36,212.44	—	$29,875.26	$29,875.26	$29,875.26	2026-06-09
44345	CPT	Revision Of Colostomy	12	6	$36,212.44	—	$29,875.26	$29,875.26	$29,875.26	2026-06-09
45825	CPT	Repair Fistula W/colostomy	12	6	$36,212.44	—	$29,875.26	$29,875.26	$29,875.26	2026-06-09
57307	CPT	Fistula Repair & Colostomy	12	6	$36,212.44	—	$29,875.26	$29,875.26	$29,875.26	2026-06-09
45110	CPT	Removal Of Rectum	12	6	$36,212.44	—	$29,875.26	$29,875.26	$29,875.26	2026-06-09
45120	CPT	Removal Of Rectum	12	6	$36,212.44	—	$29,875.26	$29,875.26	$29,875.26	2026-06-09
44155	CPT	Removal Of Colon/ileostomy	12	6	$36,166.04	—	$29,836.98	$29,836.98	$29,836.98	2026-06-09
27245	CPT	Treat Thigh Fracture	12	6	$35,855.90	—	$29,581.12	$29,581.12	$29,581.12	2026-06-09
27236	CPT	Treat Thigh Fracture	12	6	$35,855.90	—	$29,581.12	$29,581.12	$29,581.12	2026-06-09
27254	CPT	Treat Hip Dislocation	12	6	$35,855.90	—	$29,581.12	$29,581.12	$29,581.12	2026-06-09
27248	CPT	Treat Thigh Fracture	12	6	$35,855.90	—	$29,581.12	$29,581.12	$29,581.12	2026-06-09
27244	CPT	Treat Thigh Fracture	12	6	$35,855.90	—	$29,581.12	$29,581.12	$29,581.12	2026-06-09
11201	CPT	Remove Skin Tags Add-on	12	6	$35,649.54	—	$29,410.87	$29,410.87	$29,410.87	2026-06-09
27455	CPT	Realignment Of Knee	12	6	$35,613.79	—	$29,381.38	$29,381.38	$29,381.38	2026-06-09
33249	CPT	Insj/rplcmt Defib W/lead(s)	21	20	$50,089.98	—	$980.99	$36,713.28	$29,370.62	2026-06-09
33270	CPT	Ins/rep Subq Defibrillator	21	20	$119,021.50	—	$629.95	$36,713.28	$29,370.62	2026-06-09
15005	CPT	Wnd Prep F/n/hf/g Addl Cm	12	6	$35,555.55	—	$29,333.33	$29,333.33	$29,333.33	2026-06-09
15003	CPT	Wound Prep Addl 100 Cm	12	6	$35,555.55	—	$29,333.33	$29,333.33	$29,333.33	2026-06-09
27138	CPT	Revise Hip Joint Replacement	12	6	$35,341.97	—	$29,157.12	$29,157.12	$29,157.12	2026-06-09
11045	CPT	Deb Subq Tissue Add-on	13	6	$35,234.13	—	$2,461.80	$29,068.15	$29,068.15	2026-06-09
44650	CPT	Repair Bowel Fistula	12	6	$34,905.53	—	$28,797.06	$28,797.06	$28,797.06	2026-06-09
44661	CPT	Repair Bowel-bladder Fistula	12	6	$34,905.53	—	$28,797.06	$28,797.06	$28,797.06	2026-06-09
44615	CPT	Intestinal Stricturoplasty	12	6	$34,905.53	—	$28,797.06	$28,797.06	$28,797.06	2026-06-09
44640	CPT	Repair Bowel-skin Fistula	12	6	$34,905.53	—	$28,797.06	$28,797.06	$28,797.06	2026-06-09
44602	CPT	Suture Small Intestine	12	6	$34,905.53	—	$28,797.06	$28,797.06	$28,797.06	2026-06-09
44603	CPT	Suture Small Intestine	12	6	$34,905.53	—	$28,797.06	$28,797.06	$28,797.06	2026-06-09
27134	CPT	Revise Hip Joint Replacement	12	6	$34,417.47	—	$28,394.42	$28,394.42	$28,394.42	2026-06-09
27592	CPT	Amputate Leg At Thigh	12	6	$33,867.20	—	$27,940.44	$27,940.44	$27,940.44	2026-06-09
27596	CPT	Amputation Follow-up Surgery	12	6	$33,867.20	—	$27,940.44	$27,940.44	$27,940.44	2026-06-09
27591	CPT	Amputate Leg At Thigh	12	6	$33,867.20	—	$27,940.44	$27,940.44	$27,940.44	2026-06-09
27590	CPT	Amputate Leg At Thigh	12	6	$33,867.20	—	$27,940.44	$27,940.44	$27,940.44	2026-06-09
59140	CPT	Treat Ectopic Pregnancy	12	6	$33,757.50	—	$27,849.94	$27,849.94	$27,849.94	2026-06-09
17312	CPT	Mohs Addl Stage	12	6	$32,940.44	—	$27,175.86	$27,175.86	$27,175.86	2026-06-09
36010	CPT	Place Catheter In Vein	12	6	$32,846.63	—	$27,098.47	$27,098.47	$27,098.47	2026-06-09
44899	CPT	Bowel Surgery Procedure	12	6	$32,444.60	—	$26,766.79	$26,766.79	$26,766.79	2026-06-09
44800	CPT	Excision Of Bowel Pouch	12	6	$32,444.60	—	$26,766.79	$26,766.79	$26,766.79	2026-06-09
45136	CPT	Excise Ileoanal Reservior	12	6	$32,444.60	—	$26,766.79	$26,766.79	$26,766.79	2026-06-09
32653	CPT	Thoracoscopy Remov Fb/fibrin	12	6	$32,337.68	—	$26,678.58	$26,678.58	$26,678.58	2026-06-09
11046	CPT	Deb Musc/fascia Add-on	12	6	$32,088.46	—	$26,472.98	$26,472.98	$26,472.98	2026-06-09
58548	CPT	Lap Radical Hyst	12	6	$31,839.07	—	$26,267.24	$26,267.24	$26,267.24	2026-06-09
58575	CPT	Laps Tot Hyst Resj Mal	12	6	$31,839.07	—	$26,267.24	$26,267.24	$26,267.24	2026-06-09
45126	CPT	Pelvic Exenteration	12	6	$31,769.85	—	$26,210.12	$26,210.12	$26,210.12	2026-06-09
4168F	CPT	Pt Care Icu&vent W/in 24hrs	12	6	$31,645.49	—	$26,107.53	$26,107.53	$26,107.53	2026-06-09
33310	CPT	Exploratory Heart Surgery	12	6	$31,635.49	—	$26,099.28	$26,099.28	$26,099.28	2026-06-09
17315	CPT	Mohs Surg Addl Block	12	6	$29,790.65	—	$24,577.28	$24,577.28	$24,577.28	2026-06-09
33952	CPT	Ecmo/ecls Insj Prph Cannula	12	6	$29,706.74	—	$24,508.06	$24,508.06	$24,508.06	2026-06-09
33951	CPT	Ecmo/ecls Insj Prph Cannula	12	6	$29,706.74	—	$24,508.06	$24,508.06	$24,508.06	2026-06-09
58240	CPT	Removal Of Pelvis Contents	12	6	$29,614.63	—	$24,432.07	$24,432.07	$24,432.07	2026-06-09
27187	CPT	Reinforce Hip Bones	12	6	$28,990.10	—	$23,916.83	$23,916.83	$23,916.83	2026-06-09
27177	CPT	Treat Slipped Epiphysis	12	6	$28,990.10	—	$23,916.83	$23,916.83	$23,916.83	2026-06-09
36000	CPT	Place Needle In Vein	12	6	$28,487.84	—	$23,502.47	$23,502.47	$23,502.47	2026-06-09
33230	CPT	Insrt Pulse Gen W/dual Leads	30	23	$119,021.50	—	$20,562.26	$60,865.27	$23,235.36	2026-06-09
33262	CPT	Rmvl& Replc Pulse Gen 1 Lead	30	23	$119,021.50	—	$20,562.26	$60,865.27	$23,235.36	2026-06-09
33263	CPT	Rmvl & Rplcmt Dfb Gen 2 Lead	30	23	$119,021.50	—	$20,562.26	$60,865.27	$23,235.36	2026-06-09
27882	CPT	Amputation Of Lower Leg	12	6	$27,508.54	—	$22,694.54	$22,694.54	$22,694.54	2026-06-09
27880	CPT	Amputation Of Lower Leg	12	6	$27,508.54	—	$22,694.54	$22,694.54	$22,694.54	2026-06-09
27881	CPT	Amputation Of Lower Leg	12	6	$27,508.54	—	$22,694.54	$22,694.54	$22,694.54	2026-06-09
27886	CPT	Amputation Follow-up Surgery	12	6	$27,508.54	—	$22,694.54	$22,694.54	$22,694.54	2026-06-09
51597	CPT	Removal Of Pelvic Structures	12	6	$27,327.27	—	$22,545.00	$22,545.00	$22,545.00	2026-06-09
58956	CPT	Bso Omentectomy W/tah	12	6	$27,327.27	—	$22,545.00	$22,545.00	$22,545.00	2026-06-09
58958	CPT	Resect Recur GYN Mal W/lym	12	6	$27,327.27	—	$22,545.00	$22,545.00	$22,545.00	2026-06-09
58953	CPT	Tah Rad Dissect For Debulk	12	6	$27,327.27	—	$22,545.00	$22,545.00	$22,545.00	2026-06-09
58954	CPT	Tah Rad Debulk/lymph Remove	12	6	$27,327.27	—	$22,545.00	$22,545.00	$22,545.00	2026-06-09
58150	CPT	Total Hysterectomy	12	6	$27,327.27	—	$22,545.00	$22,545.00	$22,545.00	2026-06-09
58152	CPT	Total Hysterectomy	12	6	$27,327.27	—	$22,545.00	$22,545.00	$22,545.00	2026-06-09
58200	CPT	Extensive Hysterectomy	12	6	$27,327.27	—	$22,545.00	$22,545.00	$22,545.00	2026-06-09
58180	CPT	Partial Hysterectomy	12	6	$27,327.27	—	$22,545.00	$22,545.00	$22,545.00	2026-06-09
59525	CPT	Remove Uterus After Cesarean	12	6	$27,327.27	—	$22,545.00	$22,545.00	$22,545.00	2026-06-09
58210	CPT	Extensive Hysterectomy	12	6	$27,327.27	—	$22,545.00	$22,545.00	$22,545.00	2026-06-09
45550	CPT	Repair Rectum/remove Sigmoid	12	6	$26,741.00	—	$22,061.33	$22,061.33	$22,061.33	2026-06-09
17314	CPT	Mohs Addl Stage T/a/l	12	6	$26,640.85	—	$21,978.70	$21,978.70	$21,978.70	2026-06-09
54416	CPT	Remv/repl Penis Contain Pros	30	23	$95,471.95	—	$18,439.15	$49,795.15	$20,836.24	2026-06-09
54410	CPT	Remove/replace Penis Prosth	30	23	$95,471.95	—	$18,439.15	$49,795.15	$20,836.24	2026-06-09
54411	CPT	Remov/replc Penis Pros Comp	30	23	$95,471.95	—	$18,439.15	$49,795.15	$20,836.24	2026-06-09
33240	CPT	Insrt Pulse Gen W/singl Lead	21	20	$119,021.50	—	$390.19	$25,702.83	$20,562.26	2026-06-09
49002	CPT	Reopening Of Abdomen	12	6	$24,778.15	—	$20,441.97	$20,441.97	$20,441.97	2026-06-09
49000	CPT	Exploration Of Abdomen	12	6	$24,778.15	—	$20,441.97	$20,441.97	$20,441.97	2026-06-09
22015	CPT	I&d Abscess P-spine L/s/ls	12	6	$24,721.83	—	$20,395.51	$20,395.51	$20,395.51	2026-06-09
10006	CPT	Fna Bx W/us Gdn Ea Addl	12	6	$24,537.90	—	$20,243.77	$20,243.77	$20,243.77	2026-06-09
10012	CPT	Fna Bx W/mr Gdn Ea Addl	12	6	$24,537.90	—	$20,243.77	$20,243.77	$20,243.77	2026-06-09
10010	CPT	Fna Bx W/ct Gdn Ea Addl	12	6	$24,537.90	—	$20,243.77	$20,243.77	$20,243.77	2026-06-09
10004	CPT	Fna Bx Without Img Gdn Ea Addl	12	6	$24,537.90	—	$20,243.77	$20,243.77	$20,243.77	2026-06-09
10008	CPT	Fna Bx W/fluor Gdn Ea Addl	12	6	$24,537.90	—	$20,243.77	$20,243.77	$20,243.77	2026-06-09
33229	CPT	Remv&replc Pm Gen Mult Leads	30	23	$45,088.61	—	$17,470.50	$27,897.91	$19,741.67	2026-06-09
33221	CPT	Insert Pulse Gen Mult Leads	30	23	$40,456.51	—	$17,470.50	$25,929.26	$19,741.67	2026-06-09
31633	CPT	Bronchoscopy/needle Bx Addl	12	6	$23,586.03	—	$19,458.47	$19,458.47	$19,458.47	2026-06-09
50706	CPT	Balloon Dilate Urtrl Strix	12	6	$23,231.45	—	$19,165.94	$19,165.94	$19,165.94	2026-06-09
3130F	CPT	Upper Gi Endoscopy Performed	12	6	$23,181.52	—	$19,124.76	$19,124.76	$19,124.76	2026-06-09
60650	CPT	Laparoscopy Adrenalectomy	12	6	$23,062.85	—	$19,026.85	$19,026.85	$19,026.85	2026-06-09
43644	CPT	Lap Gastric Bypass/roux-en-y	12	6	$22,954.42	—	$18,937.40	$18,937.40	$18,937.40	2026-06-09
43645	CPT	Lap Gastr Bypass Incl Smll I	12	6	$22,954.42	—	$18,937.40	$18,937.40	$18,937.40	2026-06-09
43771	CPT	Lap Revise Gastr Adj Device	12	6	$22,954.42	—	$18,937.40	$18,937.40	$18,937.40	2026-06-09
43611	CPT	Excision Of Stomach Lesion	12	6	$22,954.42	—	$18,937.40	$18,937.40	$18,937.40	2026-06-09
43610	CPT	Excision Of Stomach Lesion	12	6	$22,954.42	—	$18,937.40	$18,937.40	$18,937.40	2026-06-09
43360	CPT	Gastrointestinal Repair	12	6	$22,954.42	—	$18,937.40	$18,937.40	$18,937.40	2026-06-09
43775	CPT	Lap Sleeve Gastrectomy	12	6	$22,954.42	—	$18,937.40	$18,937.40	$18,937.40	2026-06-09
62360	CPT	Insert Spine Infusion Device	30	23	$36,567.11	—	$16,190.72	$23,636.38	$18,295.51	2026-06-09
47620	CPT	Removal Of Gallbladder	12	6	$21,973.69	—	$18,128.29	$18,128.29	$18,128.29	2026-06-09
47612	CPT	Removal Of Gallbladder	12	6	$21,973.69	—	$18,128.29	$18,128.29	$18,128.29	2026-06-09
47610	CPT	Removal Of Gallbladder	12	6	$21,973.69	—	$18,128.29	$18,128.29	$18,128.29	2026-06-09
47600	CPT	Removal Of Gallbladder	12	6	$21,973.69	—	$18,128.29	$18,128.29	$18,128.29	2026-06-09
36012	CPT	Place Catheter In Vein	12	6	$21,768.28	—	$17,958.83	$17,958.83	$17,958.83	2026-06-09
15221	CPT	Skin Full Graft Add-on	12	6	$21,627.21	—	$17,842.45	$17,842.45	$17,842.45	2026-06-09
26125	CPT	Release Palm Contracture	12	6	$21,080.32	—	$17,391.26	$17,391.26	$17,391.26	2026-06-09
44050	CPT	Reduce Bowel Obstruction	12	6	$21,031.74	—	$17,351.19	$17,351.19	$17,351.19	2026-06-09
37217	CPT	Stent Placemt Retro Carotid	12	6	$19,887.10	—	$16,406.86	$16,406.86	$16,406.86	2026-06-09
37215	CPT	Transcath Stent Cca W/eps	12	6	$19,887.10	—	$16,406.86	$16,406.86	$16,406.86	2026-06-09
A9596	HCPCS	Ga-68-gozetotide 25 Mcg Intravenous Solution [195952]	12	6	$19,778.40	—	$16,317.18	$16,317.18	$16,317.18	2026-06-09
A9592	HCPCS	Copper Cu-64 Dotatate 148 Mbq/4 Ml (4 Mci/4 Ml) Intravenous Solution [191788]	12	6	$19,250.00	—	$15,881.25	$15,881.25	$15,881.25	2026-06-09
37218	CPT	Stent Placemt Ante Carotid	12	6	$19,170.12	—	$15,815.35	$15,815.35	$15,815.35	2026-06-09
35840	CPT	Explore Abdominal Vessels	12	6	$19,051.28	—	$15,717.31	$15,717.31	$15,717.31	2026-06-09
50690	CPT	Injection For Ureter X-ray	12	6	$18,962.36	—	$15,643.95	$15,643.95	$15,643.95	2026-06-09
4190F	CPT	Approp Diuretic Tstng Done	12	6	$18,437.56	—	$15,210.99	$15,210.99	$15,210.99	2026-06-09
A9572	HCPCS	Indium 111-pentetreotide 3 Mci/ml-10 Mcg Intravenous Kit [13545]	12	6	$18,406.25	—	$15,185.16	$15,185.16	$15,185.16	2026-06-09
A9595	HCPCS	Piflufolastat F 18 37 Mbq/ml To 2960 Mbq/ml (1-80 Mci/ml) IV Solution [194154]	12	6	$18,136.85	—	$14,962.90	$14,962.90	$14,962.90	2026-06-09
19306	CPT	Mast Rad Urban Type	12	6	$17,721.17	—	$14,619.97	$14,619.97	$14,619.97	2026-06-09
19305	CPT	Mast Radical	12	6	$17,721.17	—	$14,619.97	$14,619.97	$14,619.97	2026-06-09
55821	CPT	Removal Of Prostate	12	6	$17,546.60	—	$14,475.94	$14,475.94	$14,475.94	2026-06-09
55831	CPT	Removal Of Prostate	12	6	$17,546.60	—	$14,475.94	$14,475.94	$14,475.94	2026-06-09
47801	CPT	Placement Bile Duct Support	12	6	$16,940.12	—	$13,975.60	$13,975.60	$13,975.60	2026-06-09
54417	CPT	Remv/replc Penis Pros Compl	30	23	$95,471.95	—	$11,901.96	$46,526.56	$13,449.21	2026-06-09
27130	CPT	Total Hip Arthroplasty	30	23	$41,189.83	—	$11,786.90	$23,399.13	$13,319.19	2026-06-09
28735	CPT	Fusion Of Foot Bones	30	23	$42,779.21	—	$11,786.90	$24,074.62	$13,319.19	2026-06-09
27758	CPT	Treatment Of Tibia Fracture	30	23	$35,613.79	—	$11,786.90	$21,029.31	$13,319.19	2026-06-09
27828	CPT	Treat Lower Leg Fracture	30	23	$35,613.79	—	$11,786.90	$21,029.31	$13,319.19	2026-06-09
27827	CPT	Treat Lower Leg Fracture	30	23	$40,463.54	—	$11,786.90	$23,090.46	$13,319.19	2026-06-09
27447	CPT	Total Knee Arthroplasty	30	23	$37,159.22	—	$11,786.90	$21,686.12	$13,319.19	2026-06-09
29889	CPT	Knee Arthroscopy/surgery	30	23	$109,206.48	—	$11,786.90	$52,306.21	$13,319.19	2026-06-09
28297	CPT	Correction Hallux Valgus	30	23	$42,779.21	—	$11,786.90	$24,074.62	$13,319.19	2026-06-09
44015	CPT	Insert Needle Cath Bowel	12	6	$15,719.15	—	$12,968.30	$12,968.30	$12,968.30	2026-06-09
39503	CPT	Repair Of Diaphragm Hernia	12	6	$15,057.44	—	$12,422.39	$12,422.39	$12,422.39	2026-06-09
33228	CPT	Remv&replc Pm Gen Dual Lead	30	23	$45,088.61	—	$9,586.97	$23,956.15	$10,833.27	2026-06-09
33224	CPT	Insert Pacing Lead & Connect	30	23	$50,089.98	—	$9,586.97	$26,081.72	$10,833.27	2026-06-09
33214	CPT	Upgrade Of Pacemaker System	30	23	$45,088.61	—	$9,586.97	$23,956.15	$10,833.27	2026-06-09
33213	CPT	Insert Pulse Gen Dual Leads	30	23	$45,088.61	—	$9,586.97	$23,956.15	$10,833.27	2026-06-09
33206	CPT	Insert Heart Pm Atrial	30	23	$40,456.51	—	$9,586.97	$21,987.50	$10,833.27	2026-06-09
33208	CPT	Insrt Heart Pm Atrial & Vent	30	23	$45,088.61	—	$9,586.97	$23,956.15	$10,833.27	2026-06-09
47556	CPT	Biliary Endoscopy Thru Skin	30	23	$16,940.12	—	$9,537.40	$11,968.25	$10,777.26	2026-06-09
43770	CPT	Lap Place Gastr Adj Device	30	23	$22,954.42	—	$9,537.40	$14,524.33	$10,777.26	2026-06-09
58571	CPT	Tlh W/t/o 250 G Or Less	30	23	$31,839.07	—	$9,537.40	$18,300.31	$10,777.26	2026-06-09
58573	CPT	Tlh W/t/o Uterus Over 250 G	30	23	$31,839.07	—	$9,537.40	$18,300.31	$10,777.26	2026-06-09
43210	CPT	Egd Esophagogastrc Fndoplsty	30	23	$22,954.42	—	$9,537.40	$14,524.33	$10,777.26	2026-06-09
58542	CPT	Lsh W/t/o Ut 250 G Or Less	30	23	$31,839.07	—	$9,537.40	$18,300.31	$10,777.26	2026-06-09
47564	CPT	Laparo Cholecystectomy/explr	30	23	$29,726.97	—	$9,537.40	$17,402.66	$10,777.26	2026-06-09
58544	CPT	Lsh W/t/o Uterus Above 250 G	30	23	$31,839.07	—	$9,537.40	$18,300.31	$10,777.26	2026-06-09
59620	CPT	Attempted Vbac Delivery Only	12	6	$12,902.92	—	$10,644.91	$10,644.91	$10,644.91	2026-06-09
59514	CPT	Cesarean Delivery Only	12	6	$12,902.92	—	$10,644.91	$10,644.91	$10,644.91	2026-06-09
27598	CPT	Amputate Lower Leg At Knee	12	6	$12,867.24	—	$10,615.47	$10,615.47	$10,615.47	2026-06-09
33017	CPT	Prcrd DRG 6yr+ Without Cgen Car	12	6	$11,957.26	—	$9,864.74	$9,864.74	$9,864.74	2026-06-09
33018	CPT	Prcrd DRG 0-5yr Or W/anomly	12	6	$11,957.26	—	$9,864.74	$9,864.74	$9,864.74	2026-06-09
33019	CPT	Perq Prcrd DRG Insj Cath CT	12	6	$11,957.26	—	$9,864.74	$9,864.74	$9,864.74	2026-06-09
55880	CPT	Abltj Mal Prst8 Tiss Hifu	30	23	$18,926.32	—	$8,471.03	$12,279.20	$9,572.26	2026-06-09
33227	CPT	Remove&replace Pm Gen Singl	30	23	$40,456.51	—	$7,581.37	$20,984.70	$8,566.95	2026-06-09
33212	CPT	Insert Pulse Gen Sngl Lead	30	23	$40,456.51	—	$7,581.37	$20,984.70	$8,566.95	2026-06-09
33217	CPT	Insert 2 Electrode Pm-defib	30	23	$50,089.98	—	$7,581.37	$25,078.92	$8,566.95	2026-06-09
33216	CPT	Insert 1 Electrode Pm-defib	30	23	$50,089.98	—	$7,581.37	$25,078.92	$8,566.95	2026-06-09
A9557	HCPCS	Technetium Tc99m Bicisate [530010]	12	6	$9,448.75	—	$7,795.22	$7,795.22	$7,795.22	2026-06-09
27792	CPT	Hc Open Tx Distal Fibular Fracture Lat Malleolus	30	23	$14,511.00	—	$6,544.15	$9,439.25	$7,394.89	2026-06-09
27065	CPT	Remove Hip Bone Les Super	30	23	$31,286.53	—	$6,544.15	$16,568.85	$7,394.89	2026-06-09
27784	CPT	Treatment Of Fibula Fracture	30	23	$32,149.68	—	$6,544.15	$16,935.69	$7,394.89	2026-06-09
28309	CPT	Incision Of Metatarsals	30	23	$42,779.21	—	$6,544.15	$21,453.24	$7,394.89	2026-06-09
27832	CPT	Treat Lower Leg Dislocation	30	23	$35,968.35	—	$6,544.15	$18,558.62	$7,394.89	2026-06-09
28291	CPT	Corrj Halux Rigdus W/implt	30	23	$42,779.21	—	$6,544.15	$21,453.24	$7,394.89	2026-06-09
29888	CPT	Knee Arthroscopy/surgery	30	23	$109,206.48	—	$6,544.15	$49,684.83	$7,394.89	2026-06-09
24495	CPT	Decompression Of Forearm	30	23	$24,256.26	—	$6,544.15	$13,580.99	$7,394.89	2026-06-09
24341	CPT	Repair Arm Tendon/muscle	30	23	$35,876.53	—	$6,544.15	$18,519.60	$7,394.89	2026-06-09

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