Hospital

TIPPAH COUNTY HOSPITAL

Ripley, MS · CCN 251337 · Rates published

2,248 distinct procedures filed

8 distinct payers

35,816 rate rows

2025-07-29 last MRF observed · ⚠ 15 mo old

Data quality

33,195 of 35,816 rate rows are consumer-grade (92.7%)

2,621 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
placeholder amount (≤ $0.02) — excluded from medians	2,517
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	97
per-diem day rate — not a per-procedure price	7

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 15 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

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

Source MRF file	https://www.tippahcountyhospital.com/assets/Uploads/646001350_tippah-county-hospital_standardcharges.csv?vid=3
Found on page	https://www.tippahcountyhospital.com/patients-and-visitors/pricing-transparency
Discovered via	CMS hospital list
Last fetch	Latest re-check couldn't be parsed — showing last good data · 2026-10-12
Content fingerprint	faa84b414e9b1b16… · 23,279,473 bytes · first seen 2026-05-13

Top 50 most expensive offerings

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

Code	Description	Payers	Min $	Max $	Avg median	vs national
J3101 HCPCS	Tnkase (tenecteplase) Inj 50mg (er F)	8	$153.11	$22,191.85	$8,171.98	nat. median $498 outlier · 16.4×
28750 HCPCS	Arthrodesis Hallux	8	$667.29	$15,000.00	$7,396.45	nat. median $7,165 1.0× median
47562 HCPCS	Laparoscopy Cholecystecto	8	$583.92	$14,850.00	$5,468.40	nat. median $6,043 0.9× median
46280 HCPCS	Removal Of Anal Fistula	8	$423.17	$12,517.36	$4,609.42	nat. median $2,946 1.6× median
46260 HCPCS	Hemorrhoidectomy/extensiv	8	$424.59	$12,517.36	$4,609.42	nat. median $3,295 1.4× median
46255 HCPCS	Hemorrhoidectomy	8	$444.15	$12,517.36	$4,609.42	nat. median $2,946 1.6× median
46258 HCPCS	Removal Hemm & Fistula	8	$423.80	$12,517.36	$4,609.42	nat. median $2,898 1.6× median
49594 HCPCS	Rpr Vent Hernia Init Incarc/strang 3-10	8	$660.27	$11,550.00	$4,275.03	nat. median $6,255 0.7× median
49592 HCPCS	Rpr Vent Hernia Init Incard/strang <3cm	8	$421.31	$11,550.00	$4,275.03	nat. median $6,267 0.7× median
49596 HCPCS	Rpr Vent Hernia Init Incarc/strang >10cm	6	$909.32	$11,550.00	$4,274.47	nat. median $4,951 0.9× median
49507 HCPCS	Ing Hernia Incarc/strang	8	$519.83	$11,550.00	$4,253.20	nat. median $4,323 1.0× median
49593 HCPCS	Rpr Ventral Hernia Init Reduc 3-10 Cm	8	$507.24	$11,550.00	$4,253.20	nat. median $6,490 0.7× median
49591 HCPCS	Rpr Ventral Hernia Init Reduc <3cm	8	$302.50	$11,550.00	$4,253.20	nat. median $3,980 1.1× median
49595 HCPCS	Rpr Ventral Hernia Init Reduc > 10cm	8	$684.50	$11,550.00	$4,253.20	nat. median $6,382 0.7× median
49505 HCPCS	Repair Inguinal Hernia	8	$462.55	$11,550.00	$4,253.20	nat. median $4,049 1.1× median
28299 HCPCS	Hallux Valgus	8	$854.27	$10,783.29	$4,031.24	nat. median $6,837 0.6× median
28296 HCPCS	Hallux Valgus	8	$747.18	$10,783.29	$3,970.86	nat. median $3,714 1.1× median
28120 HCPCS	Partial Exc Of Bone Talus	8	$574.47	$10,119.45	$3,726.41	nat. median $3,417 1.1× median
65875 HCPCS	Incise Inner Eye Adhesion	8	$543.04	$9,761.40	$3,594.56	nat. median $2,531 1.4× median
46270 HCPCS	Removal Of Anal Fistula	8	$457.76	$9,570.00	$3,524.08	nat. median $3,043 1.2× median
28041 HCPCS	Exc Foot/toe Tum Dep	8	$401.28	$9,553.50	$3,518.00	nat. median $2,968 1.2× median
47563 HCPCS	Cholecystectomy W Cholani	8	$635.16	$9,336.00	$3,490.18	nat. median $6,246 0.6× median
28140 HCPCS	Removal Of Metatarsal	8	$489.21	$9,033.75	$3,326.61	nat. median $3,106 1.1× median
28740 HCPCS	Arthrodesis Midtarsal	8	$708.68	$8,758.96	$3,274.47	nat. median $7,232 outlier · 0.5×
28760 HCPCS	Arthrodesis (jones Type)	8	$663.00	$8,758.96	$3,274.47	nat. median $6,897 outlier · 0.5×
46947 HCPCS	Hemorrhoidopexy By Stapling	8	$342.26	$8,250.00	$3,038.00	nat. median $2,899 1.0× median
28080 HCPCS	Neuroma	8	$457.57	$7,163.19	$2,637.79	nat. median $2,013 1.3× median
28755 HCPCS	Arthrodesis Hallux	8	$431.60	$6,945.48	$2,596.51	nat. median $5,227 outlier · 0.5×
28310 HCPCS	Akin Osteotomy	8	$470.06	$6,945.48	$2,596.51	nat. median $4,575 0.6× median
28112 HCPCS	Plantar Condylectomy	8	$409.85	$6,945.48	$2,557.62	nat. median $3,126 0.8× median
28820 HCPCS	Disarticulation @mtpj Amp	8	$253.61	$6,945.48	$2,557.62	nat. median $3,343 0.8× median
28113 HCPCS	5th Met Head Resection	8	$501.60	$6,945.48	$2,557.62	nat. median $3,254 0.8× median
28289 HCPCS	Corrj Jallux Ridgus Without Implt	8	$586.58	$6,945.48	$2,557.62	nat. median $3,692 0.7× median
28090 HCPCS	Excision Of Ganglion	8	$396.26	$6,945.48	$2,557.62	nat. median $1,866 1.4× median
28122 HCPCS	Exostectomy Foot	8	$510.03	$6,945.48	$2,557.62	nat. median $3,388 0.8× median
28008 HCPCS	Instep Fasciotomy	8	$366.12	$6,945.48	$2,557.62	nat. median $3,296 0.8× median
28200 HCPCS	Repair Plantar Plate 2mpj	8	$420.52	$6,945.48	$2,557.62	nat. median $3,417 0.7× median
20680 HCPCS	Rem Of Intern Fixat Devic	8	$511.90	$6,945.48	$2,557.62	nat. median $3,172 0.8× median
28308 HCPCS	Tmo Not 1st Met	8	$485.82	$6,945.48	$2,557.62	nat. median $3,385 0.8× median
28110 HCPCS	Tailors Bunion	8	$393.15	$6,945.48	$2,557.62	nat. median $3,359 0.8× median
28285 HCPCS	Hammertoe (arthroplasty)	8	$463.38	$6,945.48	$2,557.62	nat. median $3,485 0.7× median
28124 HCPCS	Exostectomy Toe	8	$408.93	$6,945.48	$2,557.62	nat. median $3,184 0.8× median
67010 HCPCS	Rem Of Vitreous/vitrectom	8	$470.00	$6,860.91	$2,526.48	nat. median $2,816 0.9× median
28292 HCPCS	Correction Of Bunion	8	$598.78	$10,783.29	$2,398.21	nat. median $3,560 0.7× median
55040 HCPCS	Removal Of Hydrocele	8	$301.10	$6,282.49	$2,348.65	nat. median $3,658 0.6× median
49521 HCPCS	Rep Inj Hernia;incarcerat	8	$634.99	$6,277.54	$2,346.80	nat. median $6,223 outlier · 0.4×
49585 HCPCS	Repair Umbilical Hernia	8	$408.85	$6,277.54	$2,346.80	nat. median $2,118 1.1× median
49525 HCPCS	Repair Inj Hernia Slidin	8	$508.30	$6,277.54	$2,346.80	nat. median $3,791 0.6× median
43215 HCPCS	Esophagus Endoscopy Or	8	$322.08	$6,270.00	$2,308.88	nat. median $1,913 1.2× median
43246 HCPCS	Placement Peg Tube	8	$175.66	$6,270.00	$2,308.88	nat. median $2,046 1.1× median

Other procedures at this hospital

Browse this hospital's 2,248 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

J3101	HCPCS	Tnkase (tenecteplase) Inj 50mg (er F)	8	8	$26,899.21	$26,899.21	$153.11	$22,191.85	$8,171.98	2025-07-29
28750	HCPCS	Arthrodesis Hallux	8	8	$24,346.46	$24,346.46	$667.29	$15,000.00	$7,396.45	2025-07-29
47562	HCPCS	Laparoscopy Cholecystecto	8	8	$18,000.00	$18,000.00	$583.92	$14,850.00	$5,468.40	2025-07-29
46260	HCPCS	Hemorrhoidectomy/extensiv	8	8	$15,172.56	$15,172.56	$424.59	$12,517.36	$4,609.42	2025-07-29
46258	HCPCS	Removal Hemm & Fistula	8	8	$15,172.56	$15,172.56	$423.80	$12,517.36	$4,609.42	2025-07-29
46255	HCPCS	Hemorrhoidectomy	8	8	$15,172.56	$15,172.56	$444.15	$12,517.36	$4,609.42	2025-07-29
46280	HCPCS	Removal Of Anal Fistula	8	8	$15,172.56	$15,172.56	$423.17	$12,517.36	$4,609.42	2025-07-29
49594	HCPCS	Rpr Vent Hernia Init Incarc/strang 3-10	8	8	$14,000.00	$14,000.00	$660.27	$11,550.00	$4,275.03	2025-07-29
49592	HCPCS	Rpr Vent Hernia Init Incard/strang <3cm	8	8	$14,000.00	$14,000.00	$421.31	$11,550.00	$4,275.03	2025-07-29
49596	HCPCS	Rpr Vent Hernia Init Incarc/strang >10cm	6	6	$14,000.00	$14,000.00	$909.32	$11,550.00	$4,274.47	2025-07-29
49595	HCPCS	Rpr Ventral Hernia Init Reduc > 10cm	8	8	$14,000.00	$14,000.00	$684.50	$11,550.00	$4,253.20	2025-07-29
49505	HCPCS	Repair Inguinal Hernia	8	8	$14,000.00	$14,000.00	$462.55	$11,550.00	$4,253.20	2025-07-29
49507	HCPCS	Ing Hernia Incarc/strang	8	8	$14,000.00	$14,000.00	$519.83	$11,550.00	$4,253.20	2025-07-29
49591	HCPCS	Rpr Ventral Hernia Init Reduc <3cm	8	8	$14,000.00	$14,000.00	$302.50	$11,550.00	$4,253.20	2025-07-29
49593	HCPCS	Rpr Ventral Hernia Init Reduc 3-10 Cm	8	8	$14,000.00	$14,000.00	$507.24	$11,550.00	$4,253.20	2025-07-29
28299	HCPCS	Hallux Valgus	8	8	$13,070.66	$13,070.66	$854.27	$10,783.29	$4,031.24	2025-07-29
28296	HCPCS	Hallux Valgus	8	8	$13,070.66	$13,070.66	$747.18	$10,783.29	$3,970.86	2025-07-29
28120	HCPCS	Partial Exc Of Bone Talus	8	8	$12,266.00	$12,266.00	$574.47	$10,119.45	$3,726.41	2025-07-29
65875	HCPCS	Incise Inner Eye Adhesion	8	8	$11,832.00	$11,832.00	$543.04	$9,761.40	$3,594.56	2025-07-29
46270	HCPCS	Removal Of Anal Fistula	8	8	$11,600.00	$11,600.00	$457.76	$9,570.00	$3,524.08	2025-07-29
28041	HCPCS	Exc Foot/toe Tum Dep	8	8	$11,580.00	$11,580.00	$401.28	$9,553.50	$3,518.00	2025-07-29
47563	HCPCS	Cholecystectomy W Cholani	8	8	$11,316.36	$11,316.36	$635.16	$9,336.00	$3,490.18	2025-07-29
28140	HCPCS	Removal Of Metatarsal	8	8	$10,950.00	$10,950.00	$489.21	$9,033.75	$3,326.61	2025-07-29
28760	HCPCS	Arthrodesis (jones Type)	8	8	$10,616.92	$10,616.92	$663.00	$8,758.96	$3,274.47	2025-07-29
28740	HCPCS	Arthrodesis Midtarsal	8	8	$10,616.92	$10,616.92	$708.68	$8,758.96	$3,274.47	2025-07-29
46947	HCPCS	Hemorrhoidopexy By Stapling	8	8	$10,000.00	$10,000.00	$342.26	$8,250.00	$3,038.00	2025-07-29
28080	HCPCS	Neuroma	8	8	$8,682.66	$8,682.66	$457.57	$7,163.19	$2,637.79	2025-07-29
28755	HCPCS	Arthrodesis Hallux	8	8	$8,418.76	$8,418.76	$431.60	$6,945.48	$2,596.51	2025-07-29
28310	HCPCS	Akin Osteotomy	8	8	$8,418.76	$8,418.76	$470.06	$6,945.48	$2,596.51	2025-07-29
28112	HCPCS	Plantar Condylectomy	8	8	$8,418.76	$8,418.76	$409.85	$6,945.48	$2,557.62	2025-07-29
28308	HCPCS	Tmo Not 1st Met	8	8	$8,418.76	$8,418.76	$485.82	$6,945.48	$2,557.62	2025-07-29
28285	HCPCS	Hammertoe (arthroplasty)	8	8	$8,418.76	$8,418.76	$463.38	$6,945.48	$2,557.62	2025-07-29
20680	HCPCS	Rem Of Intern Fixat Devic	8	8	$8,418.76	$8,418.76	$511.90	$6,945.48	$2,557.62	2025-07-29
28124	HCPCS	Exostectomy Toe	8	8	$8,418.76	$8,418.76	$408.93	$6,945.48	$2,557.62	2025-07-29
28122	HCPCS	Exostectomy Foot	8	8	$8,418.76	$8,418.76	$510.03	$6,945.48	$2,557.62	2025-07-29
28200	HCPCS	Repair Plantar Plate 2mpj	8	8	$8,418.76	$8,418.76	$420.52	$6,945.48	$2,557.62	2025-07-29
28113	HCPCS	5th Met Head Resection	8	8	$8,418.76	$8,418.76	$501.60	$6,945.48	$2,557.62	2025-07-29
28820	HCPCS	Disarticulation @mtpj Amp	8	8	$8,418.76	$8,418.76	$253.61	$6,945.48	$2,557.62	2025-07-29
28008	HCPCS	Instep Fasciotomy	8	8	$8,418.76	$8,418.76	$366.12	$6,945.48	$2,557.62	2025-07-29
28090	HCPCS	Excision Of Ganglion	8	8	$8,418.76	$8,418.76	$396.26	$6,945.48	$2,557.62	2025-07-29
28289	HCPCS	Corrj Jallux Ridgus Without Implt	8	8	$8,418.76	$8,418.76	$586.58	$6,945.48	$2,557.62	2025-07-29
28110	HCPCS	Tailors Bunion	8	8	$8,418.76	$8,418.76	$393.15	$6,945.48	$2,557.62	2025-07-29
67010	HCPCS	Rem Of Vitreous/vitrectom	8	8	$8,316.26	$8,316.26	$470.00	$6,860.91	$2,526.48	2025-07-29
28292	HCPCS	Correction Of Bunion	13	8	$7,335.00	$7,335.00	$598.78	$10,783.29	$2,398.21	2025-07-29
55040	HCPCS	Removal Of Hydrocele	8	8	$7,615.14	$7,615.14	$301.10	$6,282.49	$2,348.65	2025-07-29
49521	HCPCS	Rep Inj Hernia;incarcerat	8	8	$7,609.14	$7,609.14	$634.99	$6,277.54	$2,346.80	2025-07-29
49585	HCPCS	Repair Umbilical Hernia	8	8	$7,609.14	$7,609.14	$408.85	$6,277.54	$2,346.80	2025-07-29
49525	HCPCS	Repair Inj Hernia Slidin	8	8	$7,609.14	$7,609.14	$508.30	$6,277.54	$2,346.80	2025-07-29
43215	HCPCS	Esophagus Endoscopy Or	8	8	$7,600.00	$7,600.00	$322.08	$6,270.00	$2,308.88	2025-07-29
43249	HCPCS	Egd Transendoscopic Balloon Dialation	8	8	$7,600.00	$7,600.00	$839.14	$6,270.00	$2,308.88	2025-07-29
43246	HCPCS	Placement Peg Tube	8	8	$7,600.00	$7,600.00	$175.66	$6,270.00	$2,308.88	2025-07-29
36561	HCPCS	Insertion Of Port-a-cath	8	8	$7,411.86	$7,411.86	$776.08	$6,114.78	$2,285.97	2025-07-29
28297	HCPCS	Correction Bunion/lapidus	8	8	$7,335.00	$7,335.00	$855.81	$6,051.38	$2,262.26	2025-07-29
65426	HCPCS	Removal Of Eye Lesion	8	8	$7,062.72	$7,062.72	$561.03	$5,826.74	$2,145.65	2025-07-29
66984	HCPCS	Cataract Rem & Iol Implan	8	8	$7,045.50	$7,045.50	$468.66	$5,812.54	$2,140.43	2025-07-29
66982	HCPCS	Extracap Cataract Removal	8	8	$7,045.50	$7,045.50	$642.60	$5,812.54	$2,140.43	2025-07-29
21552	HCPCS	Exc Tumor Neck Or Ant Thorax	8	8	$6,768.00	$6,768.00	$395.38	$5,583.60	$2,087.38	2025-07-29
49587	HCPCS	Repair Umbilical Hernia	8	8	$6,763.68	$6,763.68	$436.83	$5,580.04	$2,086.05	2025-07-29
43830	HCPCS	Open Gastrostomy Tube	8	8	$6,763.68	$6,763.68	$618.87	$5,580.04	$2,054.81	2025-07-29
28288	HCPCS	Ostectomy/metatarsal Head	8	8	$6,402.44	$6,402.44	$513.76	$5,282.01	$1,974.64	2025-07-29
28062	HCPCS	Fasciotomy Foot	8	8	$6,402.44	$6,402.44	$502.56	$5,282.01	$1,974.64	2025-07-29
45385	HCPCS	Colonoscopy/polyp/snare	8	8	$6,400.00	$6,400.00	$383.47	$5,280.00	$1,944.32	2025-07-29
G0105	HCPCS	Collerctal Scn High Risk	8	8	$6,400.00	$6,400.00	$287.74	$5,280.00	$1,944.32	2025-07-29
J2426	HCPCS	Invega Trinza IM Injection 819mg-nf	8	8	$6,301.00	$6,301.00	$14.32	$5,198.32	$1,914.24	2025-07-29
40530	HCPCS	Resection Of Lip	8	8	$6,200.04	$6,200.04	$476.60	$5,115.03	$1,912.21	2025-07-29
35860	HCPCS	Control Wound Hemorrhage	8	8	$6,200.04	$6,200.04	$735.63	$5,115.03	$1,912.21	2025-07-29
55060	HCPCS	Rep Tunica Vag Hydrocele	8	8	$6,115.50	$6,115.50	$337.96	$5,045.29	$1,886.14	2025-07-29
54520	HCPCS	Orchiectomy	8	8	$6,115.50	$6,115.50	$291.71	$5,045.29	$1,886.14	2025-07-29
55520	HCPCS	Removal Of Sperm Cord L	8	8	$6,115.50	$6,115.50	$405.07	$5,045.29	$1,886.14	2025-07-29
55500	HCPCS	Removal Of Hydrocele	8	8	$6,115.50	$6,115.50	$347.40	$5,045.29	$1,886.14	2025-07-29
35206	HCPCS	Repair Blood Vessel Lesio	8	8	$6,059.14	$6,059.14	$695.02	$4,998.79	$1,868.75	2025-07-29
44392	HCPCS	Colonoscopy/stoma/hot Bx	8	8	$6,143.20	$6,143.20	$328.26	$5,068.14	$1,866.30	2025-07-29
46320	HCPCS	Surg Proc	8	8	$6,143.20	$6,143.20	$178.72	$5,068.14	$1,866.30	2025-07-29
44389	HCPCS	Colonoscopy/stoma/biopsy	8	8	$6,143.20	$6,143.20	$341.20	$5,068.14	$1,866.30	2025-07-29
54840	HCPCS	Exc Spermatocele	8	8	$6,115.50	$6,115.50	$286.65	$5,045.29	$1,857.89	2025-07-29
55250	HCPCS	Vasectomy	8	8	$6,115.50	$6,115.50	$285.09	$5,045.29	$1,857.89	2025-07-29
J0897	HCPCS	Prolia (denosumab) Subq Inj Sol 60mg/1ml	8	8	$6,078.20	$6,078.20	$25.20	$5,014.52	$1,846.56	2025-07-29
49440	HCPCS	Insertion Peg Tube W/g	8	8	$6,000.00	$6,000.00	$662.81	$4,950.00	$1,822.80	2025-07-29
36571	HCPCS	Insert Picvad Cath	8	8	$5,890.04	$5,890.04	$982.60	$4,859.28	$1,816.60	2025-07-29
59514	HCPCS	C-section Delivery	6	6	$5,918.22	$5,918.22	$797.92	$4,882.53	$1,806.95	2025-07-29
45100	HCPCS	Biopsy Anorectal Wall	8	8	$5,785.00	$5,785.00	$266.54	$4,772.62	$1,784.20	2025-07-29
45905	HCPCS	Dilation Of Anal Sphincte	8	8	$5,785.00	$5,785.00	$149.78	$4,772.62	$1,757.48	2025-07-29
11424	HCPCS	Excise Mass Up To 4 Cm	8	8	$5,731.70	$5,731.70	$205.06	$4,728.65	$1,741.29	2025-07-29
J0875	HCPCS	Dalvance Inj 500mg/vial	8	8	$5,716.80	$5,716.80	$15.29	$4,716.36	$1,736.77	2025-07-29
11770	HCPCS	Removal Of Pilonidal Cyst	13	8	$5,700.00	$5,700.00	$292.58	$4,702.50	$1,731.66	2025-07-29
15120	HCPCS	Skin Split Graft Procedur	8	8	$5,569.78	$5,569.78	$731.41	$4,595.07	$1,717.83	2025-07-29
38760	HCPCS	Remove Groin Lymph Nodes	8	8	$5,526.24	$5,526.24	$739.86	$4,831.54	$1,704.39	2025-07-29
81211	HCPCS	Brca1&2 Seq & Com Dup/del	6	6	$5,445.00	$5,445.00	$1,654.19	$4,492.12	$1,679.34	2025-07-29
28002	HCPCS	I&d Foot; Bursal Space	8	8	$5,495.50	$5,495.50	$209.34	$4,533.79	$1,669.54	2025-07-29
56440	HCPCS	Marsupialization Bartholn	8	8	$5,354.58	$5,354.58	$160.77	$4,417.53	$1,651.45	2025-07-29
28173	HCPCS	Rad Res Tumor Bone;metata	8	8	$5,354.58	$5,354.58	$654.39	$4,417.53	$1,651.45	2025-07-29
28126	HCPCS	Partial Removal Of Toe	8	8	$5,354.58	$5,354.58	$330.14	$4,417.53	$1,651.45	2025-07-29
28171	HCPCS	Rad Res Tumor Bone;tarsal	8	8	$5,354.58	$5,354.58	$976.88	$4,417.53	$1,651.45	2025-07-29
22999	HCPCS	Abdomen Surgery Procedure	7	7	$5,421.20	$5,421.20	$174.72	$4,472.49	$1,646.96	2025-07-29
28160	HCPCS	Hemiphalangectomy/ipj Exc	8	8	$5,313.58	$5,313.58	$346.42	$4,383.70	$1,638.81	2025-07-29
28045	HCPCS	Exc Tumor Foot/deep	8	8	$5,313.58	$5,313.58	$414.96	$4,383.70	$1,638.81	2025-07-29
28315	HCPCS	Sesamoidectomy	8	8	$5,313.58	$5,313.58	$409.40	$4,383.70	$1,638.81	2025-07-29
28280	HCPCS	Syndactylization Toes	8	8	$5,313.58	$5,313.58	$425.77	$4,383.70	$1,638.81	2025-07-29
28046	HCPCS	Resec Malignant Foot Tumo	8	8	$5,313.58	$5,313.58	$633.89	$4,383.70	$1,638.81	2025-07-29
28022	HCPCS	Arthrotomy(exp/drain) Mpj	8	8	$5,305.90	$5,305.90	$414.69	$4,377.37	$1,636.44	2025-07-29
28825	HCPCS	Amputation Toe;ip Joint	8	8	$5,305.90	$5,305.90	$248.58	$4,377.37	$1,636.44	2025-07-29
28810	HCPCS	Amputation Toe & Metatars	8	8	$5,305.90	$5,305.90	$373.81	$4,377.37	$1,636.44	2025-07-29
28175	HCPCS	Rad Res Tumor Bone;phalan	8	8	$5,354.58	$5,354.58	$421.78	$4,417.53	$1,626.72	2025-07-29
27327	HCPCS	Rem Of Thigh/knee Tumor	8	8	$5,354.58	$5,354.58	$420.09	$4,417.53	$1,626.72	2025-07-29
54161	HCPCS	Circumcision	8	8	$5,341.78	$5,341.78	$175.75	$4,406.97	$1,622.83	2025-07-29
28024	HCPCS	Arthrotomy(exp/drain)ipj	8	8	$5,305.90	$5,305.90	$395.59	$4,377.37	$1,611.93	2025-07-29
28108	HCPCS	Exc Cyst/tumor Of Phalang	8	8	$5,305.90	$5,305.90	$370.48	$4,377.37	$1,611.93	2025-07-29
28092	HCPCS	Exc Lesion Of Toe	8	8	$5,305.90	$5,305.90	$357.53	$4,377.37	$1,611.93	2025-07-29
11626	HCPCS	Removal Of Skin Lesion	8	8	$5,213.68	$5,213.68	$349.35	$4,301.29	$1,607.99	2025-07-29
11771	HCPCS	Exc Pilonidal C/sinus Ext	8	8	$5,213.68	$5,213.68	$534.73	$4,301.29	$1,607.99	2025-07-29
11450	HCPCS	Wide Excision Hidradermit	8	8	$5,213.68	$5,213.68	$360.48	$4,301.29	$1,607.99	2025-07-29
11426	HCPCS	Removal Of Skin Lesion	8	8	$5,213.68	$5,213.68	$286.22	$4,301.29	$1,607.99	2025-07-29
11646	HCPCS	Removal Of Skin Lesion	13	8	$2,462.08	$2,462.08	$436.72	$4,301.29	$1,583.92	2025-07-29
21930	HCPCS	Exc Tumor/mass; Back/flan	8	8	$5,213.68	$5,213.68	$430.12	$4,301.29	$1,583.92	2025-07-29
21555	HCPCS	Exc Tumor Soft Tiss Neck	8	8	$5,213.68	$5,213.68	$369.42	$4,301.29	$1,583.92	2025-07-29
28043	HCPCS	Exc Tumor Foot/subcu	8	8	$5,213.68	$5,213.68	$325.43	$4,301.29	$1,583.92	2025-07-29
27880	HCPCS	Amputation Of Lower Leg	6	6	$5,072.76	$5,072.76	$788.99	$4,185.03	$1,548.82	2025-07-29
19101	HCPCS	Breast Biopsy (excision)	8	8	$5,016.40	$5,016.40	$272.03	$4,138.53	$1,547.15	2025-07-29
19120	HCPCS	Exc Breast Tumor/cyst	8	8	$5,011.28	$5,011.28	$450.07	$4,134.31	$1,545.58	2025-07-29
43235	HCPCS	Upper Gi Endoscopy Diag	8	8	$5,000.00	$5,000.00	$239.74	$4,125.00	$1,519.00	2025-07-29
43239	HCPCS	Upper Gi Endoscopy Biops	8	8	$5,000.00	$5,000.00	$308.61	$4,125.00	$1,519.00	2025-07-29
15271	HCPCS	Application Of Skin Substituted Graft	8	8	$4,900.00	$4,900.00	$130.45	$4,042.50	$1,488.62	2025-07-29
11772	HCPCS	Exc Pilonidal Cyst/2plast	8	8	$4,667.96	$4,667.96	$655.73	$3,851.07	$1,439.69	2025-07-29
28805	HCPCS	Amp Toe Transmetatarsal	8	8	$4,657.72	$4,657.72	$630.29	$3,842.62	$1,436.53	2025-07-29
28119	HCPCS	Removal Of Heel Spur	8	8	$4,657.72	$4,657.72	$449.64	$3,842.62	$1,436.53	2025-07-29
44388	HCPCS	Colonoscopy/stoma; Diag	8	8	$4,673.68	$4,673.68	$266.60	$3,855.79	$1,419.86	2025-07-29
35207	HCPCS	Repair Blood Vessel Lesio	8	8	$4,592.39	$4,592.39	$666.86	$3,788.72	$1,416.38	2025-07-29
C8902	HCPCS	MRA Wo W Con Abdomen	5	5	$4,600.00	$4,600.00	$1,397.48	$3,795.00	$1,411.45	2025-07-29
C8914	HCPCS	MRA Lower Ext Wo W Con	5	5	$4,600.00	$4,600.00	$1,397.48	$3,795.00	$1,411.45	2025-07-29
45382	HCPCS	Colonoscopy Control Blee	8	8	$4,534.74	$4,534.74	$543.78	$3,741.16	$1,377.65	2025-07-29
54055	HCPCS	Destruction Penis Lesion	8	8	$4,532.00	$4,532.00	$119.17	$3,738.90	$1,376.82	2025-07-29
27590	HCPCS	Amp Thigh Thru Femur	6	6	$4,509.12	$4,509.12	$687.67	$3,720.02	$1,376.72	2025-07-29
27596	HCPCS	Amputation Follow Up Sur	6	6	$4,509.12	$4,509.12	$624.21	$3,720.02	$1,376.72	2025-07-29
45381	HCPCS	Colonoscopy Submucous Inj	8	8	$4,527.60	$4,527.60	$368.44	$3,735.27	$1,375.49	2025-07-29
43255	HCPCS	Upper Gi Endo Ctrl Bleed	8	8	$4,304.00	$4,304.00	$505.78	$3,550.80	$1,327.43	2025-07-29
21015	HCPCS	Resec Malignant Face Tumo	8	8	$4,270.86	$4,270.86	$616.30	$3,523.46	$1,317.22	2025-07-29
43248	HCPCS	Endoscopy/guide Wire Uppr	8	8	$4,311.84	$4,311.84	$340.84	$3,557.27	$1,309.94	2025-07-29
43499	HCPCS	Esophagus Surgery	7	7	$4,304.00	$4,304.00	$671.62	$3,550.80	$1,307.56	2025-07-29
26951	HCPCS	Amputation Of Finger/thum	8	8	$4,196.56	$4,196.56	$602.95	$3,462.16	$1,294.30	2025-07-29
26160	HCPCS	Removal Of Tendon Sheath	8	8	$4,227.30	$4,227.30	$511.94	$3,487.52	$1,284.25	2025-07-29
25111	HCPCS	Excision Of Ganglion Wris	8	8	$4,199.12	$4,199.12	$289.21	$3,464.27	$1,275.70	2025-07-29
J0630	HCPCS	Miacalcin Inj (calci) 400 Unt/2ml (er F)	8	8	$4,034.38	$4,034.38	$1,069.50	$3,328.36	$1,225.65	2025-07-29
44394	HCPCS	Colonoscopy/stoma/snare	8	8	$4,000.00	$4,000.00	$367.76	$3,300.00	$1,215.20	2025-07-29
45384	HCPCS	Colonoscopy/hot Bx	8	8	$4,000.00	$4,000.00	$407.42	$3,300.00	$1,215.20	2025-07-29
11423	HCPCS	Exc Benig Lesion2.1cm-3.0	8	8	$3,922.42	$3,922.42	$176.64	$3,236.00	$1,201.23	2025-07-29
11406	HCPCS	Exc Benign Lesion >4.0cm	8	8	$3,922.42	$3,922.42	$275.16	$3,236.00	$1,201.23	2025-07-29
11644	HCPCS	Exc Malignant Les 3.1-4.0	8	8	$3,932.68	$3,932.68	$334.41	$3,244.46	$1,201.23	2025-07-29
37609	HCPCS	Bx Temporal Artery	8	8	$3,922.42	$3,922.42	$260.27	$3,236.00	$1,201.23	2025-07-29
11624	HCPCS	Removal Of Skin Lesion	8	8	$3,945.48	$3,945.48	$288.94	$3,255.02	$1,201.23	2025-07-29
11623	HCPCS	Exc Malignant Les 2.1-3.0	8	8	$3,924.98	$3,924.98	$253.62	$3,238.11	$1,201.23	2025-07-29
11606	HCPCS	Exc Malignat Les > 4.0cm	8	8	$3,922.42	$3,922.42	$385.36	$3,236.00	$1,201.23	2025-07-29
23075	HCPCS	Removal Of Shoulder Lesin	8	8	$3,945.48	$3,945.48	$434.66	$3,255.02	$1,201.23	2025-07-29
11404	HCPCS	Removal Of Skin Lesion	13	8	$1,886.91	$1,886.91	$191.79	$3,236.00	$1,191.63	2025-07-29
26115	HCPCS	Exc Tumor Or Vasc Malf Hand Or Finger	8	8	$3,862.00	$3,862.00	$463.59	$3,186.15	$1,191.12	2025-07-29
22902	HCPCS	Exc Tumor Abd Sq L3cm	8	8	$3,862.00	$3,862.00	$402.32	$3,186.15	$1,191.12	2025-07-29
21011	HCPCS	Exc Tumor Face Or Scalp < 2 Cm	8	8	$3,862.00	$3,862.00	$317.80	$3,186.15	$1,191.12	2025-07-29
27502	HCPCS	Clsd Fx Reduction Femoral Shaft	8	8	$3,829.00	$3,829.00	$669.09	$3,158.92	$1,180.93	2025-07-29
27762	HCPCS	Clsd Fx Reduction Medial Malleolus	8	8	$3,829.00	$3,829.00	$431.63	$3,158.92	$1,180.93	2025-07-29
C8912	HCPCS	MRA W Con Lower Extremity	5	5	$3,600.00	$3,600.00	$1,093.68	$2,970.00	$1,104.62	2025-07-29
C8900	HCPCS	MRA W Con Abdomen	5	5	$3,600.00	$3,600.00	$1,093.68	$2,970.00	$1,104.62	2025-07-29
J1439	HCPCS	Injectafer Inj 750mg/15ml	8	8	$3,542.91	$3,542.91	$1.08	$2,922.90	$1,076.33	2025-07-29
54700	HCPCS	Incis & Drn Epid Testis	8	8	$3,381.84	$3,381.84	$189.98	$2,790.02	$1,043.02	2025-07-29
45330	HCPCS	Sigmoidoscopy Diagnosti	8	8	$3,000.00	$3,000.00	$154.03	$2,475.00	$911.40	2025-07-29
41805	HCPCS	Removal Of Foreign B Gum	8	8	$2,932.21	$2,932.21	$250.85	$2,419.07	$904.36	2025-07-29
54001	HCPCS	Slitting Of Prepuce	8	8	$2,864.32	$2,864.32	$171.81	$2,363.06	$883.41	2025-07-29
45005	HCPCS	Drainage Of Rectal Abs	13	8	$2,006.05	$2,006.05	$266.59	$2,790.02	$874.33	2025-07-29
24620	HCPCS	Clsd Txmt Fx At Elbow	8	8	$2,818.20	$2,818.20	$523.12	$2,325.02	$869.18	2025-07-29
C8913	HCPCS	MRA Wout Con Lower Extrem	5	5	$2,800.00	$2,800.00	$850.64	$2,310.00	$859.15	2025-07-29
C8901	HCPCS	MRA Wo Con Abdomen	5	5	$2,800.00	$2,800.00	$850.64	$2,310.00	$859.15	2025-07-29
46040	HCPCS	I & D Perianal	24	8	$2,811.00	$2,811.00	$335.09	$4,778.96	$853.98	2025-07-29
27886	HCPCS	Amputation Follow Up Surg	6	6	$2,754.16	$2,754.16	$569.09	$2,272.18	$840.89	2025-07-29
11442	HCPCS	Exc Benig Lesion1.1cm-2.0	8	8	$2,756.72	$2,756.72	$164.61	$2,274.29	$837.49	2025-07-29
31530	HCPCS	Operative Laryngos	8	8	$2,670.89	$2,670.89	$175.44	$2,203.48	$823.75	2025-07-29
A0434	HCPCS	Spec Care Transport	50	5	$1,371.30	$1,371.30	$812.43	$1,131.32	$820.55	2025-07-29
59409	HCPCS	Vaginal Delivery	19	8	$2,465.00	$2,465.00	$655.85	$6,143.78	$818.93	2025-07-29
81277	HCPCS	Snp Microarray	8	8	$1,905.00	$1,905.00	$578.74	$1,571.62	$817.27	2025-07-29
11420	HCPCS	Removal Of Skin Lesion	20	8	$1,770.34	$1,770.34	$107.14	$3,570.74	$797.19	2025-07-29
71555	HCPCS	MRA Chest Wo W Contrast	8	8	$2,600.00	$2,600.00	$195.50	$2,145.00	$789.88	2025-07-29
20999	HCPCS	Musculoskeletal Surgery	7	7	$2,564.56	$2,564.56	$174.72	$2,115.76	$779.11	2025-07-29
27503	HCPCS	Closed Fx Reduction Supracondylar	14	8	$2,106.00	$2,106.00	$639.80	$1,737.45	$768.87	2025-07-29
27252	HCPCS	Dislocated Traumatic Hip Red W/anesthesi	19	8	$2,250.00	$2,250.00	$612.47	$3,158.92	$767.79	2025-07-29
31624	HCPCS	Bronchoscopy/rem Mucous P	8	8	$2,474.90	$2,474.90	$218.31	$2,041.79	$763.31	2025-07-29
31645	HCPCS	Bronchoscopy Clear Air	8	8	$2,474.90	$2,474.90	$234.77	$2,041.79	$763.31	2025-07-29
31622	HCPCS	Bronchoscopy;bil Tbw	8	8	$2,474.90	$2,474.90	$214.20	$2,041.79	$763.31	2025-07-29
20525	HCPCS	Hand/finger Surgery	8	8	$2,462.08	$2,462.08	$392.45	$2,105.29	$759.35	2025-07-29
62320	HCPCS	Inject Spine Cert/thoraci	8	8	$2,354.29	$2,354.29	$136.34	$1,942.29	$715.23	2025-07-29
81223	HCPCS	Cftr Gene Full Sequence	8	8	$2,340.00	$2,340.00	$449.10	$1,930.50	$710.89	2025-07-29
45999	HCPCS	Rectum Surgery Procedure	7	7	$2,336.84	$2,336.84	$677.16	$1,927.89	$709.93	2025-07-29
20102	HCPCS	Exp Penetrating Wound	8	8	$2,287.87	$2,287.87	$497.72	$1,887.49	$705.62	2025-07-29
36590	HCPCS	Removal Tcva Device	8	8	$2,282.74	$2,282.74	$192.20	$1,883.26	$704.05	2025-07-29
45379	HCPCS	Colonoscopy	8	8	$2,280.18	$2,280.18	$366.56	$1,881.15	$703.25	2025-07-29
46230	HCPCS	Removal Of Anal Tabs	8	8	$2,276.34	$2,276.34	$263.79	$2,080.32	$702.08	2025-07-29
27510	HCPCS	Closed Fx Reduction Femoral Distal End	19	8	$1,757.00	$1,757.00	$533.78	$3,158.92	$701.22	2025-07-29
A0433	HCPCS	Als Level Ii	60	5	$1,155.00	$1,155.00	$595.98	$952.88	$694.31	2025-07-29
81408	HCPCS	Mopath Procedure Level 9	6	6	$2,229.00	$2,229.00	$677.17	$1,960.00	$687.47	2025-07-29
99468	HCPCS	Neonate Crit Care, Initial	6	6	$2,227.00	$2,227.00	$676.56	$1,837.28	$686.85	2025-07-29
45338	HCPCS	Sigmoidoscopy/snare	8	8	$2,223.82	$2,223.82	$248.18	$1,834.65	$685.86	2025-07-29
45333	HCPCS	Sigmoidoscopy/hot Bx	8	8	$2,223.82	$2,223.82	$266.21	$1,834.65	$677.16	2025-07-29
81407	HCPCS	Mopath Procedure Level 8	6	6	$2,189.00	$2,189.00	$665.02	$1,805.92	$675.13	2025-07-29
43251	HCPCS	Upper Gi Endoscopy/snare	8	8	$2,162.32	$2,162.32	$405.95	$1,783.91	$666.90	2025-07-29
43245	HCPCS	Upper Gi Endoscopy/dilate	8	8	$2,162.32	$2,162.32	$478.82	$1,783.91	$666.90	2025-07-29
43247	HCPCS	Endos Egd/removal Fb	8	8	$2,162.32	$2,162.32	$319.53	$1,783.91	$666.90	2025-07-29
43200	HCPCS	Esophagus Endoscopy	8	8	$2,162.32	$2,162.32	$216.49	$1,783.91	$666.90	2025-07-29
43250	HCPCS	Upper Gi Endoscopy/hot Bx	8	8	$2,162.32	$2,162.32	$369.26	$1,783.91	$666.90	2025-07-29
46050	HCPCS	I & D Perianal Abcess , Superficial	31	8	$2,177.00	$2,177.00	$102.24	$3,855.79	$661.37	2025-07-29
G0390	HCPCS	Trauma Activation With Critical Care	7	7	$2,114.00	$2,114.00	$642.23	$1,744.05	$655.34	2025-07-29
27552	HCPCS	Knee Dislocation Reduction With Sedation	19	8	$1,472.00	$1,472.00	$447.19	$3,158.92	$653.69	2025-07-29
81406	HCPCS	Slc6a4	11	6	$2,112.50	$2,112.50	$277.22	$1,742.81	$641.78	2025-07-29
27087	HCPCS	Soft Tissue Fb Removal Pelvis Or Hip Dee	21	8	$2,012.00	$2,012.00	$502.49	$6,361.58	$639.71	2025-07-29
99471	HCPCS	Ped Critical Care, Initial	6	6	$2,035.00	$2,035.00	$618.23	$1,678.88	$627.63	2025-07-29
26418	HCPCS	Wound Repair Tendon Finger	19	8	$2,033.00	$2,033.00	$495.43	$3,158.92	$617.63	2025-07-29
19020	HCPCS	I & D Breast Abscess	26	8	$1,372.07	$1,372.07	$219.39	$3,766.52	$614.28	2025-07-29
24535	HCPCS	Closed Fx Reduction Supracondylar	19	8	$2,015.00	$2,015.00	$511.48	$3,158.92	$599.67	2025-07-29
23333	HCPCS	Soft Tissue Fb Removal Shoulder Deep	21	8	$1,971.00	$1,971.00	$386.95	$5,584.42	$598.79	2025-07-29
27266	HCPCS	Dis Hip Red W Sedation Post Hip Arthropl	19	8	$1,503.00	$1,503.00	$456.61	$3,158.92	$598.11	2025-07-29
26410	HCPCS	Wound Repair Tendon Hand	19	8	$1,874.00	$1,874.00	$478.26	$3,158.92	$593.23	2025-07-29
81229	HCPCS	Cytogen M Array Copy No&snp	8	8	$1,002.00	$1,002.00	$304.41	$1,002.00	$568.63	2025-07-29
11643	HCPCS	Exc Malignant Les 2.1-3.0	8	8	$1,836.96	$1,836.96	$271.08	$1,515.49	$566.56	2025-07-29
11444	HCPCS	Removal Of Skin Lesion	8	8	$1,836.96	$1,836.96	$245.15	$1,515.49	$566.56	2025-07-29
11443	HCPCS	Exc Benig Lesion2.1cm-3.0	8	8	$1,836.96	$1,836.96	$195.91	$1,515.49	$566.56	2025-07-29
11044	HCPCS	Cleansing Tissue/muscle	8	8	$1,834.40	$1,834.40	$268.98	$1,513.38	$565.76	2025-07-29
11422	HCPCS	Exc Benig Lesion1.1cm-2.0	15	8	$918.48	$918.48	$152.90	$1,515.49	$563.65	2025-07-29
11642	HCPCS	Exc Malignant Les 1.1-2.0	8	8	$1,836.96	$1,836.96	$228.83	$1,515.49	$558.07	2025-07-29
11622	HCPCS	Exc Malignat Les 1.1-2.0	8	8	$1,836.96	$1,836.96	$215.55	$1,515.49	$558.07	2025-07-29
11604	HCPCS	Exc Malignant Les 3.1-4.0	8	8	$1,836.96	$1,836.96	$266.26	$1,515.49	$558.07	2025-07-29
11603	HCPCS	Exc Malignat Les 2.1-3.0	8	8	$1,836.96	$1,836.96	$238.65	$1,515.49	$558.07	2025-07-29
90378	HCPCS	Rsv Ig, Im, 50mg	5	5	$1,807.00	$1,807.00	$548.97	$1,490.78	$554.45	2025-07-29
J0248	HCPCS	Remdesivir Injection Vial 100mg	8	8	$1,820.00	$1,820.00	$6.06	$1,501.50	$552.92	2025-07-29
90291	HCPCS	Cmv Ig, IV	5	5	$1,785.00	$1,785.00	$542.28	$1,472.62	$547.70	2025-07-29
25065	HCPCS	Biopsy Forearm Soft Tissu	8	8	$1,770.34	$1,770.34	$215.14	$1,460.53	$546.01	2025-07-29
11421	HCPCS	Exc Benig Lesion0.6cm-1.0	8	8	$1,770.34	$1,770.34	$135.57	$1,460.53	$537.83	2025-07-29
25605	HCPCS	Closed Tx Of Distal Radial Fracture	19	8	$1,796.00	$1,796.00	$445.16	$3,158.10	$535.31	2025-07-29
24201	HCPCS	Soft Tissue Fb Removal Upper Arm Deep	21	8	$958.00	$958.00	$291.04	$5,584.42	$533.02	2025-07-29
81420	HCPCS	Fetal Chrmoml Aneuploidy	8	8	$1,193.00	$1,193.00	$362.43	$984.22	$526.49	2025-07-29
11403	HCPCS	Removal Of Skin Lesion	13	8	$873.64	$873.64	$169.13	$2,970.00	$521.29	2025-07-29
27825	HCPCS	Closed Fx Red Wght Bear Artic Distal Tib	19	8	$1,871.00	$1,871.00	$448.24	$3,158.10	$518.50	2025-07-29
27752	HCPCS	Closed Fx Reduction Tibial Shaft	19	8	$1,803.00	$1,803.00	$439.70	$3,158.92	$512.29	2025-07-29
10081	HCPCS	Incision & Drainage - Pilonidal Cyst Com	26	8	$1,094.00	$1,094.00	$155.55	$2,472.97	$509.17	2025-07-29
27842	HCPCS	Ankle Dislocatin Reduction With Sedation	19	8	$1,452.00	$1,452.00	$404.50	$3,158.10	$509.10	2025-07-29
36011	HCPCS	Ej Lne Placement	12	8	$563.00	$563.00	$157.60	$563.00	$508.11	2025-07-29
27562	HCPCS	Patellar Dislocation Reduction W Sedatio	19	8	$1,176.00	$1,176.00	$174.72	$3,158.92	$502.78	2025-07-29
24605	HCPCS	Elbow Dislocation Reduction W Sedation	21	8	$1,034.00	$1,034.00	$314.13	$3,158.92	$496.83	2025-07-29
25565	HCPCS	Closed Fx Reduct Radial & Ulnar Shaft	19	8	$1,743.00	$1,743.00	$427.77	$3,158.10	$487.46	2025-07-29
A0427	HCPCS	Als Base Rate Ri,ramus Intermedius, Ems Provided	76	5	$938.70	$938.70	$474.96	$774.43	$479.71	2025-07-29
12047	HCPCS	Wound Repair	21	8	$1,010.00	$1,010.00	$306.84	$3,583.80	$474.45	2025-07-29
44500	HCPCS	Placement Nasogastric Tub	8	8	$1,534.00	$1,534.00	$17.12	$1,265.55	$473.12	2025-07-29
27768	HCPCS	Closed Fx Reduction Posterior Malleolus	21	8	$1,061.00	$1,061.00	$322.33	$3,158.92	$469.07	2025-07-29
27508	HCPCS	Closed Fx Red Wo Man Femoral Distal End	24	8	$1,238.00	$1,238.00	$170.74	$3,158.92	$467.34	2025-07-29
24505	HCPCS	Closed Fx Reduction Humeral Shaft	14	8	$1,803.00	$1,803.00	$414.91	$1,487.48	$464.27	2025-07-29
25505	HCPCS	Closed Tx Distal Radial Ex	21	8	$1,656.00	$1,656.00	$170.74	$1,366.20	$463.65	2025-07-29
27818	HCPCS	Closed Fx Reduction - Trimalleolar	19	8	$1,718.00	$1,718.00	$406.33	$3,158.10	$463.20	2025-07-29
27500	HCPCS	Closed Fx Red Wo Manip Femoral Shaft	21	8	$1,413.00	$1,413.00	$170.74	$1,856.25	$463.17	2025-07-29
88120	HCPCS	Cytp Urne 3-5 Probes Ea Spec	8	8	$1,351.00	$1,351.00	$126.55	$1,114.58	$458.42	2025-07-29
27550	HCPCS	Dislocated Knee Reduction	19	8	$1,665.00	$1,665.00	$170.74	$1,373.62	$456.10	2025-07-29
27810	HCPCS	Closed Tx Ankle Fx	19	8	$1,655.00	$1,655.00	$391.08	$3,158.92	$449.36	2025-07-29
81213	HCPCS	Brca1&2 Uncom Dup/del Var	6	6	$1,453.00	$1,453.00	$441.42	$1,198.72	$448.13	2025-07-29
27501	HCPCS	Closed Fx Red Wo Manip Supracondylar	19	8	$1,413.00	$1,413.00	$170.74	$1,165.72	$447.83	2025-07-29
23605	HCPCS	Closed Fx Reduct Proximal Humeral	19	8	$1,704.00	$1,704.00	$386.55	$3,158.10	$447.74	2025-07-29
81226	HCPCS	2d6	13	8	$1,463.99	$1,463.99	$341.78	$1,207.79	$441.89	2025-07-29
25535	HCPCS	Closed Tx Distal Ulna Fx	19	8	$1,121.00	$1,121.00	$170.74	$924.82	$440.74	2025-07-29
24675	HCPCS	Closed Fx Reduction Ulnar	21	8	$1,029.00	$1,029.00	$312.61	$3,158.92	$437.56	2025-07-29
44015	HCPCS	Insert Needle Catheter Bo	6	6	$1,432.16	$1,432.16	$124.05	$1,181.53	$437.26	2025-07-29
87633	HCPCS	19 Viral Targets	18	8	$1,430.00	$1,430.00	$197.47	$1,520.48	$436.61	2025-07-29
24075	HCPCS	Exc Tumor Upper Arm	8	8	$1,323.00	$1,323.00	$401.93	$1,201.23	$428.41	2025-07-29
12057	HCPCS	Wound Repair	19	8	$1,230.00	$1,230.00	$288.61	$1,014.75	$427.66	2025-07-29
24655	HCPCS	Tx Closed Radial Head Or Neck Fx W Manip	19	8	$1,502.00	$1,502.00	$370.82	$3,158.10	$425.70	2025-07-29
23655	HCPCS	Shoulder Dislocation Reduction W Sedatio	21	8	$1,125.00	$1,125.00	$334.73	$3,158.10	$425.36	2025-07-29
99475	HCPCS	Ped Crit Care Age 2-5, Init	6	6	$1,375.00	$1,375.00	$417.72	$1,134.38	$424.07	2025-07-29
12046	HCPCS	Wound Repair	19	8	$903.00	$903.00	$274.33	$1,440.45	$423.17	2025-07-29
27781	HCPCS	Closed Fx Reduction Proximal Fibular	21	8	$959.00	$959.00	$291.34	$3,158.92	$423.09	2025-07-29
13152	HCPCS	Wound Repair	19	8	$1,221.00	$1,221.00	$338.37	$1,440.45	$422.80	2025-07-29
A0225	HCPCS	Neonatal Transport	5	5	$1,371.30	$1,371.30	$416.60	$1,131.32	$420.76	2025-07-29
12037	HCPCS	Wound Repair	21	8	$462.00	$462.00	$140.36	$3,583.80	$416.63	2025-07-29
44005	HCPCS	Freeing Intestinal Adhesi	6	6	$1,347.62	$1,347.62	$409.40	$1,111.79	$415.63	2025-07-29
81370	HCPCS	Hla I & Ii Typing Lr	8	8	$1,368.00	$1,368.00	$361.91	$1,128.60	$415.60	2025-07-29
26705	HCPCS	Dislocated Finger Red W Sedation	19	8	$1,325.00	$1,325.00	$359.58	$3,158.92	$412.34	2025-07-29
A0429	HCPCS	Bls Emergency Transport	55	5	$722.40	$722.40	$399.97	$595.98	$403.97	2025-07-29
28192	HCPCS	Soft Tissue Fb Removal - Foot Deep	19	8	$1,409.00	$1,409.00	$319.38	$3,186.15	$399.69	2025-07-29
13132	HCPCS	Repair Of Wound Comp	19	8	$1,088.00	$1,088.00	$305.51	$1,440.45	$399.61	2025-07-29
12056	HCPCS	Wound Repair	19	8	$1,142.00	$1,142.00	$295.43	$1,045.28	$392.77	2025-07-29
J0714	HCPCS	Avycaz (ceftazidime/avibactam) Inj 2.5gm	8	8	$1,259.84	$1,259.84	$95.45	$1,039.37	$382.74	2025-07-29
27788	HCPCS	Closed Reduction Fib Fx	19	8	$1,425.00	$1,425.00	$170.74	$1,175.62	$379.42	2025-07-29
27257	HCPCS	Dislocated Spontaneous Hip Disl W Anesth	21	8	$1,023.00	$1,023.00	$294.85	$3,158.92	$374.77	2025-07-29
27265	HCPCS	Dislocated Hip Red Post Hip Arthroplast	19	8	$1,035.00	$1,035.00	$170.74	$853.88	$373.03	2025-07-29
26011	HCPCS	Drainage Of Finger Abcess	14	8	$455.00	$455.00	$138.23	$455.00	$371.97	2025-07-29
55120	HCPCS	Removal Of Foreign Body In Scrotum	21	8	$511.75	$511.75	$155.47	$2,097.98	$371.62	2025-07-29
12036	HCPCS	Wound Repair	19	8	$896.00	$896.00	$272.20	$1,440.45	$370.55	2025-07-29
81599	HCPCS	Unlisted Maaa	5	5	$1,193.00	$1,193.00	$362.43	$984.22	$366.06	2025-07-29
45380	HCPCS	Colonoscopy With Biopsy Pro Fee,cancer Screening	35	8	$550.00	$550.00	$167.09	$5,280.00	$361.69	2025-07-29
81404	HCPCS	Mopath Procedure Level 5	6	6	$1,181.00	$1,181.00	$269.33	$974.32	$360.58	2025-07-29
74262	HCPCS	CT Colonography Dx With Contrast	8	8	$1,181.00	$1,181.00	$136.13	$974.32	$360.58	2025-07-29
13151	HCPCS	Wound Repair	19	8	$926.00	$926.00	$281.07	$1,440.45	$359.74	2025-07-29
13121	HCPCS	Repair Of Wound Or Lesion	19	8	$822.00	$822.00	$249.72	$1,440.45	$359.39	2025-07-29
75563	HCPCS	Card MRI W/stress Img & Dye	8	8	$1,149.00	$1,149.00	$349.07	$947.92	$357.38	2025-07-29
81378	HCPCS	Hla I & Ii Typing Hr	8	8	$1,176.00	$1,176.00	$311.01	$970.20	$357.27	2025-07-29
26742	HCPCS	Tx Finger Fx/dis	19	8	$1,394.00	$1,394.00	$307.98	$3,158.10	$353.96	2025-07-29
23505	HCPCS	Closed Fx Reduction Clavicular	19	8	$1,235.00	$1,235.00	$297.02	$3,158.10	$353.29	2025-07-29
26775	HCPCS	Dislocated Finger Reduction Ip W/sedatio	19	8	$621.00	$621.00	$188.66	$528.00	$352.87	2025-07-29
15002	HCPCS	Skin Graft Procedure	8	8	$1,137.52	$1,137.52	$291.95	$1,137.52	$350.84	2025-07-29
12045	HCPCS	Wound Repair	19	8	$716.00	$716.00	$217.52	$1,440.45	$350.19	2025-07-29

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