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

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Hospital

LINCOLN SURGICAL HOSPITAL

Lincoln, NE · CCN 280127 · Rates published

3,819 distinct procedures filed
17 distinct payers
25,036 rate rows
2026-07-15 last MRF observed
Data quality

24,837 of 25,036 rate rows are consumer-grade (99.2%)

199 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
exceeds 10× this hospital's gross charge — excluded from medians 199
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://lincolnsurgery.com/wp-content/uploads/2025/12/280127_LincolnSurgicalHospital_StandardCharges5.csv
Found on page https://lincolnsurgery.com/financial/billing-policies/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-09-25
Content fingerprint 4549ab453e697f97… · 1,139,298 bytes · first seen 2026-05-05

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
33249
CPT 		Dual Chamber Icd With Leds Imp 17 $5,417.00 $64,123.00 $32,069.00 nat. median
$31,584
1.0× median
325 468
OTHER 		Non-elective Or Complex Knee Joint Replacement 8 $17,346.00 $38,458.00 $28,494.00 nat. median
$28,494
1.0× median
321 473
OTHER 		Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 8 $14,834.00 $37,212.00 $27,377.50 nat. median
$27,378
1.0× median
321 472
OTHER 		Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 8 $14,834.00 $35,236.00 $27,377.50 nat. median
$27,378
1.0× median
326 462
OTHER 		Bilateral Elective Hip Joint Replacement 8 $10,708.00 $38,515.00 $26,504.00 nat. median
$26,504
1.0× median
467 467
OTHER 		Revision Of Hip Or Knee Replacement With Cc 10 $21,648.00 $48,750.00 $26,126.00 nat. median
$26,126
1.0× median
322 483
OTHER 		Shoulder And Elbow Joint Replacement 8 $13,038.00 $28,855.00 $25,933.00 nat. median
$25,933
1.0× median
27702
CPT 		Ankle,total Arthroplasty,w/imp 17 $4,774.00 $45,048.00 $24,463.00 nat. median
$15,887
1.5× median
313 493
OTHER 		Knee And Lower Leg Procedures Except Foot 8 $11,196.00 $24,422.00 $21,973.00 nat. median
$21,973
1.0× median
313 488
OTHER 		Knee And Lower Leg Procedures Except Foot 8 $11,196.00 $24,422.00 $21,586.50 nat. median
$21,586
1.0× median
64590
CPT 		Ins/place Neurostim Generator 17 $2,709.00 $42,889.00 $21,444.00 nat. median
$17,881
1.2× median
54405
CPT 		Insert Multicomp Penis Prosth 17 $4,084.00 $40,257.00 $21,175.00 nat. median
$18,590
1.1× median
483 483
OTHER 		Major Joint Or Limb Reattachment Procedures Of Upper Extremities 10 $17,393.00 $36,270.00 $20,535.00 nat. median
$20,535
1.0× median
462 462
OTHER 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With 10 $18,940.00 $40,761.00 $20,380.00 nat. median
$20,380
1.0× median
468 468
OTHER 		Revision Of Hip Or Knee Replacement Without Cc/mcc 10 $17,765.00 $37,339.00 $20,358.00 nat. median
$20,358
1.0× median
231 331
OTHER 		Major Large Bowel Procedures 8 $11,922.00 $24,506.00 $19,318.00 nat. median
$19,318
1.0× median
23472
CPT 		Total Shoulder Replacement 17 $7,598.00 $36,780.00 $18,390.00 nat. median
$16,677
1.1× median
22633
CPT 		Arthrodesis, Combined Lumbar 17 $11,685.00 $45,048.00 $18,390.00 nat. median
$17,527
1.0× median
313 494
OTHER 		Knee And Lower Leg Procedures Except Foot 8 $11,196.00 $24,422.00 $18,382.00 nat. median
$18,382
1.0× median
22856
CPT 		Cervical Artificial Discectom 17 $11,685.00 $36,780.00 $17,914.00 nat. median
$16,840
1.1× median
475 475
OTHER 		Amputation For Musculoskeletal System And Connective Tissue Disorder 10 $8,624.00 $30,704.00 $16,859.00 nat. median
$16,859
1.0× median
481 481
OTHER 		Hip And Femur Procedures Except Major Joint With Cc 10 $12,332.00 $29,534.00 $15,516.00 nat. median
$15,516
1.0× median
494 494
OTHER 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur W 10 $8,332.00 $26,838.00 $14,865.00 nat. median
$14,865
1.0× median
951 982
OTHER 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 13 $13,278.00 $30,471.00 $14,788.50 nat. median
$14,788
1.0× median
470 470
OTHER 		Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extrem 10 $12,522.00 $26,838.00 $14,290.00 nat. median
$14,290
1.0× median
742 742
OTHER 		Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 10 $10,103.00 $26,000.00 $13,593.00 nat. median
$13,593
1.0× median
465 465
OTHER 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And 10 $9,746.00 $24,709.00 $13,510.00 nat. median
$13,510
1.0× median
24366
CPT 		Arthroplasty Radial Head;w/imp 17 $4,571.00 $26,250.00 $13,117.00 nat. median
$11,941
1.1× median
27130
CPT 		Total Hip Arthroplasty 17 $7,598.00 $26,250.00 $13,117.00 nat. median
$13,091
1.0× median
27132
CPT 		Hip,convers To Total Arthropla 16 $7,598.00 $26,250.00 $13,117.00 nat. median
$9,932
1.3× median
27447
CPT 		Knee,arthroplsty,medial & Lat 17 $7,598.00 $26,250.00 $13,117.00 nat. median
$12,739
1.0× median
27446
CPT 		Knee,arthroplsty,medial Or Lat 17 $7,598.00 $26,250.00 $13,117.00 nat. median
$12,418
1.1× median
23470
CPT 		Hemi-arthroplasty, Shoulder 17 $4,571.00 $26,250.00 $13,117.00 nat. median
$12,420
1.1× median
22551
CPT 		Cervical,arthrodesis,discectmy 17 $8,204.00 $25,734.00 $12,867.00 nat. median
$12,537
1.0× median
309 482
OTHER 		Other Significant Hip And Femur Surgery 8 $9,461.00 $19,443.00 $12,800.50 nat. median
$12,800
1.0× median
24575
CPT 		Humeral/epicondylar,fx Open Tx 17 $4,084.00 $25,734.00 $12,553.00 nat. median
$10,594
1.2× median
28730
CPT 		Foot,arthrodesis,midtar/tmt 17 $4,241.00 $25,734.00 $12,553.00 nat. median
$10,638
1.2× median
29889
CPT 		Arthroscopically Aided Posteri 17 $4,084.00 $25,734.00 $12,553.00 nat. median
$11,552
1.1× median
27415
CPT 		Knee,osteochondral Allograft 17 $4,084.00 $25,734.00 $12,553.00 nat. median
$11,847
1.1× median
28725
CPT 		Foot,arthrodesis,subtalar 17 $4,241.00 $25,734.00 $12,553.00 nat. median
$10,564
1.2× median
24346
CPT 		Elbow,recon Med Coll Lig,w/gr 17 $4,241.00 $25,734.00 $12,553.00 nat. median
$11,527
1.1× median
27870
CPT 		Ankle,arthrodesis Open 17 $4,241.00 $25,734.00 $12,553.00 nat. median
$10,917
1.1× median
25810
CPT 		Wrist,arthrodesis,w/autograft 17 $4,389.00 $25,734.00 $12,553.00 nat. median
$11,309
1.1× median
22858
CPT 		Second Level,cervical 9 $1,506.00 $13,329.00 $12,332.00 nat. median
$2,041
outlier · 6.0×
22846
CPT 		Anterior Instrumentation 9 $1,900.00 $19,480.00 $12,332.00 nat. median
$4,345
outlier · 2.8×
22840
CPT 		Posterior Instrumentation 9 $1,506.00 $13,329.00 $12,332.00 nat. median
$2,369
outlier · 5.2×
517 517
OTHER 		Other Musculoskeletal System And Connective Tissue O.r. Procedures W 10 $9,944.00 $21,246.00 $11,384.00 nat. median
$11,384
1.0× median
708 708
OTHER 		Major Male Pelvic Procedures Without Cc/mcc 10 $9,705.00 $21,101.00 $11,366.00 nat. median
$11,366
1.0× median
621 621
OTHER 		O.r. Procedures For Obesity Without Cc/mcc 10 $10,097.00 $20,806.00 $11,174.00 nat. median
$11,174
1.0× median
43280
CPT 		Laparoscopy Fundoplasty 17 $4,026.00 $20,822.00 $10,860.00 nat. median
$10,110
1.1× median

Other procedures at this hospital

Browse this hospital's 3,819 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
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
             
33249 CPT Dual Chamber Icd With Leds Imp 33 17 $17,810.00 $17,810.00 $5,417.00 $64,123.00 $32,069.00 2026-07-15
325 468 OTHER Non-elective Or Complex Knee Joint Replacement 16 8 $38,833.00 $38,833.00 $17,346.00 $38,458.00 $28,494.00 2026-07-15
321 473 OTHER Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 16 8 $64,158.00 $64,158.00 $14,834.00 $37,212.00 $27,377.50 2026-07-15
321 472 OTHER Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 16 8 $60,752.00 $60,752.00 $14,834.00 $35,236.00 $27,377.50 2026-07-15
326 462 OTHER Bilateral Elective Hip Joint Replacement 16 8 $66,405.00 $66,405.00 $10,708.00 $38,515.00 $26,504.00 2026-07-15
467 467 OTHER Revision Of Hip Or Knee Replacement With Cc 19 10 $43,295.00 $43,295.00 $21,648.00 $48,750.00 $26,126.00 2026-07-15
322 483 OTHER Shoulder And Elbow Joint Replacement 16 8 $47,465.00 $47,465.00 $13,038.00 $28,855.00 $25,933.00 2026-07-15
27702 CPT Ankle,total Arthroplasty,w/imp 33 17 $24,855.00 $24,855.00 $4,774.00 $45,048.00 $24,463.00 2026-07-15
313 493 OTHER Knee And Lower Leg Procedures Except Foot 16 8 $39,230.00 $39,230.00 $11,196.00 $24,422.00 $21,973.00 2026-07-15
313 488 OTHER Knee And Lower Leg Procedures Except Foot 16 8 $36,552.00 $36,552.00 $11,196.00 $24,422.00 $21,586.50 2026-07-15
64590 CPT Ins/place Neurostim Generator 33 17 $19,805.00 $19,805.00 $2,709.00 $42,889.00 $21,444.00 2026-07-15
54405 CPT Insert Multicomp Penis Prosth 33 17 $13,335.00 $13,335.00 $4,084.00 $40,257.00 $21,175.00 2026-07-15
483 483 OTHER Major Joint Or Limb Reattachment Procedures Of Upper Extremities 19 10 $43,651.00 $43,651.00 $17,393.00 $36,270.00 $20,535.00 2026-07-15
462 462 OTHER Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With 19 10 $67,825.00 $67,825.00 $18,940.00 $40,761.00 $20,380.00 2026-07-15
468 468 OTHER Revision Of Hip Or Knee Replacement Without Cc/mcc 19 10 $45,216.00 $45,216.00 $17,765.00 $37,339.00 $20,358.00 2026-07-15
231 331 OTHER Major Large Bowel Procedures 16 8 $29,207.00 $29,207.00 $11,922.00 $24,506.00 $19,318.00 2026-07-15
23472 CPT Total Shoulder Replacement 33 17 $24,560.00 $24,560.00 $7,598.00 $36,780.00 $18,390.00 2026-07-15
22633 CPT Arthrodesis, Combined Lumbar 33 17 $39,020.00 $39,020.00 $11,685.00 $45,048.00 $18,390.00 2026-07-15
313 494 OTHER Knee And Lower Leg Procedures Except Foot 16 8 $25,501.00 $25,501.00 $11,196.00 $24,422.00 $18,382.00 2026-07-15
22856 CPT Cervical Artificial Discectom 33 17 $39,020.00 $39,020.00 $11,685.00 $36,780.00 $17,914.00 2026-07-15
475 475 OTHER Amputation For Musculoskeletal System And Connective Tissue Disorder 19 10 $17,248.00 $17,248.00 $8,624.00 $30,704.00 $16,859.00 2026-07-15
481 481 OTHER Hip And Femur Procedures Except Major Joint With Cc 19 10 $24,663.00 $24,663.00 $12,332.00 $29,534.00 $15,516.00 2026-07-15
494 494 OTHER Lower Extremity And Humerus Procedures Except Hip, Foot And Femur W 19 10 $16,664.00 $16,664.00 $8,332.00 $26,838.00 $14,865.00 2026-07-15
951 982 OTHER Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 18 13 $26,897.00 $26,897.00 $13,278.00 $30,471.00 $14,788.50 2026-07-15
470 470 OTHER Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extrem 19 10 $37,468.00 $37,468.00 $12,522.00 $26,838.00 $14,290.00 2026-07-15
742 742 OTHER Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 19 10 $20,205.00 $20,205.00 $10,103.00 $26,000.00 $13,593.00 2026-07-15
465 465 OTHER Wound Debridement And Skin Graft Except Hand For Musculoskeletal And 19 10 $19,492.00 $19,492.00 $9,746.00 $24,709.00 $13,510.00 2026-07-15
27447 CPT Knee,arthroplsty,medial & Lat 33 17 $27,370.00 $27,370.00 $7,598.00 $26,250.00 $13,117.00 2026-07-15
23470 CPT Hemi-arthroplasty, Shoulder 33 17 $27,300.00 $27,300.00 $4,571.00 $26,250.00 $13,117.00 2026-07-15
27446 CPT Knee,arthroplsty,medial Or Lat 33 17 $27,300.00 $27,300.00 $7,598.00 $26,250.00 $13,117.00 2026-07-15
27130 CPT Total Hip Arthroplasty 33 17 $27,300.00 $27,300.00 $7,598.00 $26,250.00 $13,117.00 2026-07-15
27132 CPT Hip,convers To Total Arthropla 24 16 $23,915.00 $23,915.00 $7,598.00 $26,250.00 $13,117.00 2026-07-15
24366 CPT Arthroplasty Radial Head;w/imp 33 17 $27,300.00 $27,300.00 $4,571.00 $26,250.00 $13,117.00 2026-07-15
22551 CPT Cervical,arthrodesis,discectmy 33 17 $36,875.00 $36,875.00 $8,204.00 $25,734.00 $12,867.00 2026-07-15
309 482 OTHER Other Significant Hip And Femur Surgery 16 8 $18,921.00 $18,921.00 $9,461.00 $19,443.00 $12,800.50 2026-07-15
24346 CPT Elbow,recon Med Coll Lig,w/gr 33 17 $27,300.00 $27,300.00 $4,241.00 $25,734.00 $12,553.00 2026-07-15
24575 CPT Humeral/epicondylar,fx Open Tx 33 17 $27,300.00 $27,300.00 $4,084.00 $25,734.00 $12,553.00 2026-07-15
28730 CPT Foot,arthrodesis,midtar/tmt 33 17 $27,300.00 $27,300.00 $4,241.00 $25,734.00 $12,553.00 2026-07-15
29889 CPT Arthroscopically Aided Posteri 33 17 $27,300.00 $27,300.00 $4,084.00 $25,734.00 $12,553.00 2026-07-15
27415 CPT Knee,osteochondral Allograft 33 17 $27,300.00 $27,300.00 $4,084.00 $25,734.00 $12,553.00 2026-07-15
27870 CPT Ankle,arthrodesis Open 33 17 $27,300.00 $27,300.00 $4,241.00 $25,734.00 $12,553.00 2026-07-15
28725 CPT Foot,arthrodesis,subtalar 33 17 $27,300.00 $27,300.00 $4,241.00 $25,734.00 $12,553.00 2026-07-15
25810 CPT Wrist,arthrodesis,w/autograft 33 17 $27,300.00 $27,300.00 $4,389.00 $25,734.00 $12,553.00 2026-07-15
22846 CPT Anterior Instrumentation 16 9 $3,800.00 $3,800.00 $1,900.00 $19,480.00 $12,332.00 2026-07-15
22858 CPT Second Level,cervical 16 9 $8,500.00 $8,500.00 $1,506.00 $13,329.00 $12,332.00 2026-07-15
22840 CPT Posterior Instrumentation 16 9 $8,500.00 $8,500.00 $1,506.00 $13,329.00 $12,332.00 2026-07-15
517 517 OTHER Other Musculoskeletal System And Connective Tissue O.r. Procedures W 19 10 $26,017.00 $26,017.00 $9,944.00 $21,246.00 $11,384.00 2026-07-15
708 708 OTHER Major Male Pelvic Procedures Without Cc/mcc 19 10 $28,329.00 $28,329.00 $9,705.00 $21,101.00 $11,366.00 2026-07-15
621 621 OTHER O.r. Procedures For Obesity Without Cc/mcc 19 10 $21,380.00 $21,380.00 $10,097.00 $20,806.00 $11,174.00 2026-07-15
43280 CPT Laparoscopy Fundoplasty 33 17 $22,090.00 $22,090.00 $4,026.00 $20,822.00 $10,860.00 2026-07-15
43282 CPT Lap Paraesoph Her Rpr Wmesh 33 17 $22,090.00 $22,090.00 $4,571.00 $20,822.00 $10,860.00 2026-07-15
57425 CPT Laparoscopy, Colpopexy 33 17 $22,090.00 $22,090.00 $4,437.00 $20,822.00 $10,470.00 2026-07-15
43775 CPT Lap Sleeve Gastrectomy 16 8 $15,930.00 $15,930.00 $2,601.00 $15,233.00 $10,453.00 2026-07-15
58541 CPT Laparoscopy With Hysterectomy 33 17 $22,090.00 $22,090.00 $4,571.00 $20,822.00 $10,411.00 2026-07-15
58573 CPT Tlh W/t/o Uterus Over 250 G 33 17 $22,090.00 $22,090.00 $4,660.00 $20,822.00 $10,411.00 2026-07-15
50947 CPT Laparo New Ureter/bladder 33 17 $22,090.00 $22,090.00 $4,774.00 $30,915.00 $10,411.00 2026-07-15
58571 CPT Lap Total Hysterectomy W/t&o 33 17 $22,090.00 $22,090.00 $4,660.00 $20,822.00 $10,411.00 2026-07-15
58570 CPT Lap Total Hysterectomy 33 17 $22,090.00 $22,090.00 $4,660.00 $20,822.00 $10,411.00 2026-07-15
50544 CPT Laparoscopy Pyeloplasty 33 17 $22,090.00 $22,090.00 $4,571.00 $30,915.00 $10,411.00 2026-07-15
58552 CPT Laparoscopy Surgical, With Vag 33 17 $22,090.00 $22,090.00 $4,660.00 $20,822.00 $10,411.00 2026-07-15
58546 CPT Laparo-myomectomy Complex 33 17 $22,090.00 $22,090.00 $4,660.00 $20,822.00 $10,411.00 2026-07-15
58542 CPT Laparoscopy, W/hysterectomy 33 17 $22,090.00 $22,090.00 $4,571.00 $20,822.00 $10,411.00 2026-07-15
33225 CPT L Ventric Pacing Lead Add-on 16 9 $4,250.00 $4,250.00 $2,125.00 $14,808.00 $9,873.00 2026-07-15
55866 CPT Laparo Radical Prostatectomy 33 17 $22,090.00 $22,090.00 $3,524.00 $20,822.00 $9,818.00 2026-07-15
55867 CPT Laps Surg Prst8ect Smpl Stot 33 17 $22,090.00 $22,090.00 $3,524.00 $20,822.00 $9,818.00 2026-07-15
38571 CPT Laproscopy Lymphadenectomy 33 17 $22,090.00 $22,090.00 $2,927.00 $20,822.00 $9,818.00 2026-07-15
743 743 OTHER Uterine And Adnexa Procedures For Non-malignancy Without Cc/mcc 19 10 $14,751.00 $14,751.00 $7,376.00 $17,061.00 $9,191.00 2026-07-15
489 489 OTHER Knee Procedures Without Principal Diagnosis Of Infection Without Cc/ 19 10 $34,339.00 $34,339.00 $8,236.00 $19,917.00 $8,815.00 2026-07-15
28297 CPT Toe,correct Hallux Val,lapidus 33 17 $7,780.00 $7,780.00 $3,713.00 $25,734.00 $8,764.00 2026-07-15
476 476 OTHER Amputation For Musculoskeletal System And Connective Tissue Disorder 19 10 $17,817.00 $17,817.00 $7,832.00 $16,554.00 $8,743.00 2026-07-15
20930 CPT Allograft For Spine Surgery 16 9 $3,800.00 $3,800.00 $1,506.00 $9,202.00 $8,613.00 2026-07-15
22842 CPT Posterior Seg. Instrumentation 16 9 $3,800.00 $3,800.00 $1,506.00 $9,202.00 $8,613.00 2026-07-15
63052 CPT Lam Facetc/frmt Arthrd Lum 1 16 9 $1,500.00 $1,500.00 $750.00 $9,202.00 $8,613.00 2026-07-15
63044 CPT Laminotomy (hemilaminectomy) 16 9 $1,500.00 $1,500.00 $750.00 $9,202.00 $8,613.00 2026-07-15
22853 CPT Insert, Mech Device Cage/mesh 16 9 $2,250.00 $2,250.00 $1,125.00 $9,202.00 $8,613.00 2026-07-15
22634 CPT Arthrodesis, Lumbar Addn'l Seg 16 9 $8,500.00 $8,500.00 $1,506.00 $9,202.00 $8,613.00 2026-07-15
20931 CPT Allograft For Spine Surgery 16 9 $3,800.00 $3,800.00 $1,506.00 $9,202.00 $8,613.00 2026-07-15
20936 CPT Autograft For Spine Surgery 16 9 $3,800.00 $3,800.00 $1,506.00 $9,202.00 $8,613.00 2026-07-15
22845 CPT Anterior Instrumentation 16 9 $3,800.00 $3,800.00 $1,506.00 $9,202.00 $8,613.00 2026-07-15
22552 CPT Cervical,arthrodesis,each Addi 16 9 $8,500.00 $8,500.00 $1,506.00 $9,202.00 $8,613.00 2026-07-15
23615 CPT Opn Trt Clsd/opn Humeral Fx,w- 33 17 $14,940.00 $14,940.00 $4,224.00 $25,734.00 $8,576.00 2026-07-15
23680 CPT Treatment Disloaction/fracture 33 17 $14,510.00 $14,510.00 $4,084.00 $25,734.00 $8,576.00 2026-07-15
24545 CPT Humeral Fx,open Trtment Suprac 33 17 $14,200.00 $14,200.00 $4,224.00 $25,734.00 $8,576.00 2026-07-15
27827 CPT Tibia,open Tx Dist Fx,wt Beari 33 17 $14,605.00 $14,605.00 $4,084.00 $25,734.00 $8,576.00 2026-07-15
22846 LOCAL Mck Femoral-lm-rl-sz 7 4 4 $3,800.00 $3,800.00 $1,900.00 $13,329.00 $7,804.50 2026-07-15
0022846 LOCAL Mck Femoral-lm-rl-sz 7 4 4 $3,800.00 $3,800.00 $1,900.00 $13,329.00 $7,804.50 2026-07-15
33513 LOCAL Imp Ptla Cmt Ovl Ply Xe 32x8 4 4 $1,794.00 $1,794.00 $897.00 $13,970.00 $7,523.00 2026-07-15
0033513 LOCAL Imp Ptla Cmt Ovl Ply Xe 32x8 4 4 $1,794.00 $1,794.00 $897.00 $13,970.00 $7,523.00 2026-07-15
27405 CPT Knee,rep Collateral Lig/capsul 33 17 $15,155.00 $15,155.00 $4,241.00 $14,287.00 $7,413.00 2026-07-15
28415 CPT Calcaneal Fx, Open Tx,w/fixat 33 17 $15,155.00 $15,155.00 $4,084.00 $14,287.00 $7,413.00 2026-07-15
27691 CPT Leg/tibial,trnsfer Tendon,deep 33 17 $15,155.00 $15,155.00 $4,241.00 $14,287.00 $7,413.00 2026-07-15
24685 CPT Ulnar Fx,prox,opn Tx W/fixatio 33 17 $15,155.00 $15,155.00 $4,084.00 $14,287.00 $7,413.00 2026-07-15
24665 CPT Radial Head/neck Fx,open Tx 33 17 $15,155.00 $15,155.00 $4,224.00 $14,287.00 $7,413.00 2026-07-15
27698 CPT Ankle,rpr 2ndry Disrptd Lig 33 17 $15,155.00 $15,155.00 $2,709.00 $14,287.00 $7,413.00 2026-07-15
27705 CPT Osteotomy,tibia 33 17 $15,155.00 $15,155.00 $2,709.00 $14,287.00 $7,413.00 2026-07-15
28445 CPT Ankle,open Tx Of Talus Fx 33 17 $15,155.00 $15,155.00 $4,084.00 $14,287.00 $7,413.00 2026-07-15
27814 CPT Ankle,open Tx Bimalleolar Fx 33 17 $15,155.00 $15,155.00 $4,084.00 $14,287.00 $7,413.00 2026-07-15
27792 CPT Fibula,open Tx Distal Fx,w/fix 33 17 $15,155.00 $15,155.00 $4,084.00 $14,287.00 $7,413.00 2026-07-15
27784 CPT Fibula,open Tx Prox/shft Fx 33 17 $15,155.00 $15,155.00 $4,084.00 $14,287.00 $7,413.00 2026-07-15
27720 CPT Tibia,repair Non/malunion Without 33 17 $15,155.00 $15,155.00 $4,224.00 $14,287.00 $7,413.00 2026-07-15
23660 CPT Shoulder,open Tx Actue Disloca 33 17 $15,155.00 $15,155.00 $3,940.00 $14,287.00 $7,413.00 2026-07-15
23630 CPT Open Tx Grt Tuberos Humerus Fx 33 17 $15,155.00 $15,155.00 $4,224.00 $14,287.00 $7,413.00 2026-07-15
27695 CPT Ankle,rpr Prim Distrupted Lig 33 17 $15,155.00 $15,155.00 $2,709.00 $14,287.00 $7,413.00 2026-07-15
23585 CPT Open Tx Of Scapular Fracture 33 17 $15,100.00 $15,100.00 $4,084.00 $14,287.00 $7,413.00 2026-07-15
23550 CPT Open Tx, Clavicle Dislocation 33 17 $15,155.00 $15,155.00 $4,084.00 $14,287.00 $7,413.00 2026-07-15
27427 CPT Knee,ligamentous Recons,extra 33 17 $16,400.00 $16,400.00 $4,084.00 $14,287.00 $7,413.00 2026-07-15
27524 CPT Knee,open Tx Patellar Fx,w/fix 33 17 $15,155.00 $15,155.00 $4,084.00 $14,287.00 $7,413.00 2026-07-15
27422 CPT Knee,reconst Patella,disl W/ex 33 17 $15,155.00 $15,155.00 $4,975.00 $14,287.00 $7,413.00 2026-07-15
27823 CPT Ankle,opn Tx Trimalleolar,lip 33 17 $15,155.00 $15,155.00 $4,084.00 $14,287.00 $7,413.00 2026-07-15
27416 CPT Knee,osteochondral Autograft 33 17 $15,155.00 $15,155.00 $4,241.00 $14,287.00 $7,413.00 2026-07-15
25609 CPT Wrist,open Tx Distal Radial Fx 33 17 $15,155.00 $15,155.00 $4,224.00 $14,287.00 $7,413.00 2026-07-15
23515 CPT Open Treatment Clavicle Fx, With 33 17 $15,155.00 $15,155.00 $4,084.00 $14,287.00 $7,413.00 2026-07-15
27235 CPT Femoral Fx,perc Fix,proximal 33 17 $15,155.00 $15,155.00 $4,224.00 $14,287.00 $7,413.00 2026-07-15
27418 CPT Knee,ant Tibial Tubercleplasty 33 17 $15,155.00 $15,155.00 $4,084.00 $14,287.00 $7,413.00 2026-07-15
27829 CPT Tibiofibular,opn Tx Dist Fx Jt 33 17 $15,155.00 $15,155.00 $2,709.00 $14,287.00 $7,413.00 2026-07-15
27654 CPT Achilles,rpr Tendon Secon,rupt 33 17 $15,155.00 $15,155.00 $4,084.00 $14,287.00 $7,413.00 2026-07-15
25545 CPT F'arm,open Tx Ulnar Shaft Fx 33 17 $15,155.00 $15,155.00 $4,084.00 $14,287.00 $7,413.00 2026-07-15
25608 CPT Wrist,open Tx Distal Radial Fx 33 17 $15,155.00 $15,155.00 $4,224.00 $14,287.00 $7,413.00 2026-07-15
25607 CPT Wrist,open Tx Distal Radial Fx 33 17 $15,155.00 $15,155.00 $4,224.00 $14,287.00 $7,413.00 2026-07-15
27652 CPT Repair/graft Achilles Tendon 33 17 $15,155.00 $15,155.00 $4,084.00 $14,287.00 $7,413.00 2026-07-15
25676 CPT Wrist,open Tx Radioulnar Dis 32 17 $5,010.00 $5,010.00 $2,505.00 $14,287.00 $7,404.00 2026-07-15
29828 CPT Arthroscopy, Shoulder, Biceps 33 17 $15,155.00 $15,155.00 $4,084.00 $14,287.00 $7,400.00 2026-07-15
29827 CPT Arthroscopy, Shoulder, Rotator 33 17 $15,155.00 $15,155.00 $4,320.00 $14,287.00 $7,400.00 2026-07-15
29892 CPT Ankle Arthroscopy/surgery 33 17 $15,155.00 $15,155.00 $4,084.00 $14,287.00 $7,400.00 2026-07-15
29914 CPT Hip Arthroscpy W/femoroplasty 33 17 $15,155.00 $15,155.00 $4,241.00 $14,287.00 $7,400.00 2026-07-15
29888 CPT Arthroscopy,knee, Acl Repair 33 17 $17,280.00 $17,280.00 $4,320.00 $14,287.00 $7,400.00 2026-07-15
29916 CPT Hip Arthroscpy W/labral Repair 33 17 $15,155.00 $15,155.00 $4,241.00 $14,287.00 $7,400.00 2026-07-15
29885 CPT Knee Arthroscopy/surgery 33 17 $15,155.00 $15,155.00 $4,084.00 $14,287.00 $7,400.00 2026-07-15
29887 CPT Arthrscpy,knee;drill Osteochon 33 17 $15,155.00 $15,155.00 $4,084.00 $14,287.00 $7,400.00 2026-07-15
29807 CPT Arthroscopy, Shoulder, Surgica 33 17 $15,155.00 $15,155.00 $4,084.00 $14,287.00 $7,400.00 2026-07-15
29806 CPT Arthroscopy Shoulder, Surgical 33 17 $15,155.00 $15,155.00 $4,084.00 $14,287.00 $7,400.00 2026-07-15
29862 CPT Hip Arthroscopy W/debridement 33 17 $15,155.00 $15,155.00 $4,241.00 $14,287.00 $7,400.00 2026-07-15
27412 CPT Knee,auto Chondrocyte Implant 33 17 $21,100.00 $21,100.00 $4,084.00 $14,287.00 $7,400.00 2026-07-15
29866 CPT Arthroscopy, Knee, Surgical; O 33 17 $15,155.00 $15,155.00 $4,084.00 $14,287.00 $7,400.00 2026-07-15
29855 CPT Arthroscopy, Tib Fx, Prox; Uni 33 17 $15,155.00 $15,155.00 $4,241.00 $14,287.00 $7,400.00 2026-07-15
28750 CPT Arthrodesis Grt Toe/mtp Joint 33 17 $15,155.00 $15,155.00 $4,241.00 $14,287.00 $7,370.00 2026-07-15
28740 CPT Foot,arthrodesis Tmt,single Jt 33 17 $15,155.00 $15,155.00 $4,241.00 $14,287.00 $7,370.00 2026-07-15
28322 CPT Foot,repair Mt,non/mal,w/wo Gr 33 17 $15,155.00 $15,155.00 $4,241.00 $14,287.00 $7,370.00 2026-07-15
28298 CPT Toe,correct Hallux Val,phal Os 33 17 $15,155.00 $15,155.00 $3,850.00 $14,287.00 $7,370.00 2026-07-15
28238 CPT Foot,recons Post Tibl Tndn 33 17 $15,155.00 $15,155.00 $4,084.00 $14,287.00 $7,370.00 2026-07-15
28307 CPT Foot,osteotomy First Mt,w/graf 33 17 $15,155.00 $15,155.00 $2,865.00 $14,287.00 $7,370.00 2026-07-15
28300 CPT Calcaneal Osteotomy,w/wo Fixat 33 17 $15,155.00 $15,155.00 $2,709.00 $14,287.00 $7,370.00 2026-07-15
28304 CPT Foot,osteotomy,tarsal Bones,ot 32 17 $11,250.00 $11,250.00 $2,709.00 $14,287.00 $7,257.00 2026-07-15
57282 CPT Colpopexy Extraperitoneal 33 17 $15,690.00 $15,690.00 $1,951.00 $14,790.00 $7,207.00 2026-07-15
25440 CPT Wrist,rep Nonun Scaphoid W-wo 33 17 $15,155.00 $15,155.00 $4,241.00 $14,287.00 $7,144.00 2026-07-15
25400 CPT Rad/ulna,rep Non-malunion Fx 33 17 $15,510.00 $15,510.00 $4,084.00 $14,287.00 $7,144.00 2026-07-15
24345 CPT Elbow,repair Medial Collat Lig 33 17 $15,155.00 $15,155.00 $2,709.00 $14,287.00 $7,144.00 2026-07-15
24344 CPT Elbow,reconstruct Lig,lat Coll 33 17 $14,730.00 $14,730.00 $4,389.00 $14,287.00 $7,144.00 2026-07-15
24342 CPT Distal,reinser Bicep/tric Tend 33 17 $15,155.00 $15,155.00 $3,759.00 $14,287.00 $7,144.00 2026-07-15
24341 CPT Upp Arm/elbow,rpr Muscl/tendn 33 17 $15,155.00 $15,155.00 $3,759.00 $14,287.00 $7,144.00 2026-07-15
27650 CPT Achilles,rpr Tendon Prim,ruptu 33 17 $15,155.00 $15,155.00 $2,505.00 $14,287.00 $7,144.00 2026-07-15
23462 CPT Capsulorrhaphy Ant, Coracoid 33 17 $15,975.00 $15,975.00 $3,759.00 $14,287.00 $7,144.00 2026-07-15
23430 CPT Shoulder,tenodesis,biceps 33 17 $15,155.00 $15,155.00 $3,759.00 $14,287.00 $7,144.00 2026-07-15
23412 CPT Shoulder,repair Rot Cuff,chron 33 17 $15,155.00 $15,155.00 $3,759.00 $14,287.00 $7,144.00 2026-07-15
23410 CPT Shoulder,repair Rot Cuff,acute 33 17 $15,155.00 $15,155.00 $3,759.00 $14,287.00 $7,144.00 2026-07-15
23182 CPT Partial Excision Bone,scapula 33 17 $15,155.00 $15,155.00 $3,410.00 $14,287.00 $7,144.00 2026-07-15
27385 CPT Thigh,quadricps/hamstrg Repair 33 17 $15,155.00 $15,155.00 $3,329.00 $14,287.00 $7,144.00 2026-07-15
27380 CPT Knee,suture Infrapatellar Tend 33 17 $15,155.00 $15,155.00 $1,506.00 $14,287.00 $7,144.00 2026-07-15
27350 CPT Knee,patellectomy Or Hemi-pate 33 17 $15,155.00 $15,155.00 $2,505.00 $14,287.00 $7,144.00 2026-07-15
25830 CPT Fusion Radioulnar Jnt/ulna 33 17 $15,415.00 $15,415.00 $4,389.00 $14,287.00 $7,144.00 2026-07-15
63047 CPT Laminectomy, Lumbar 33 17 $11,085.00 $11,085.00 $3,952.00 $14,287.00 $6,938.00 2026-07-15
63267 CPT Excise Intraspinal Lesion 33 17 $11,045.00 $11,045.00 $3,952.00 $14,287.00 $6,938.00 2026-07-15
63042 CPT Lamintmy/decom/exc;re Expl Lum 33 17 $11,370.00 $11,370.00 $3,952.00 $14,287.00 $6,938.00 2026-07-15
63045 CPT Laminectomy, Facetectomy And F 33 17 $11,270.00 $11,270.00 $3,952.00 $14,287.00 $6,938.00 2026-07-15
63030 CPT Laminotomy One Interspace, Lum 33 17 $12,405.00 $12,405.00 $3,952.00 $14,287.00 $6,938.00 2026-07-15
63056 CPT Transpedicular Approach With D 33 17 $11,450.00 $11,450.00 $3,952.00 $14,287.00 $6,938.00 2026-07-15
20924 CPT Tendon Graft, From A Distance 33 17 $15,155.00 $15,155.00 $1,555.00 $14,287.00 $6,823.00 2026-07-15
20900 CPT Bone Graft, Any Donor Area; Mi 33 17 $15,155.00 $15,155.00 $1,555.00 $14,287.00 $6,823.00 2026-07-15
11970 CPT Replace Tis Expander W/perm Pr 33 17 $15,155.00 $15,155.00 $2,605.00 $14,287.00 $6,823.00 2026-07-15
26850 CPT Finger,arthrodesis,mcp Jt 33 17 $15,155.00 $15,155.00 $1,723.00 $14,287.00 $6,823.00 2026-07-15
19318 CPT Breast Reduction Mammaplasty 33 17 $13,840.00 $13,840.00 $4,241.00 $13,043.00 $6,784.00 2026-07-15
49615 CPT Rpr Aa Hrn Rcr 3-10 Rdc 33 17 $13,240.00 $13,240.00 $3,300.00 $12,480.00 $6,614.00 2026-07-15
49593 CPT Rpr Aa Hrn 1st 3-10 Rdc 33 17 $13,240.00 $13,240.00 $3,300.00 $12,480.00 $6,614.00 2026-07-15
49595 CPT Rpr Aa Hrn 1st > 10 Rdc 33 17 $13,240.00 $13,240.00 $3,300.00 $12,480.00 $6,614.00 2026-07-15
34803 LOCAL Sling Altis 7.75cm 4 4 $3.00 $3.00 $2.00 $13,146.00 $6,574.00 2026-07-15
0034803 LOCAL Sling Altis 7.75cm 4 4 $3.00 $3.00 $2.00 $13,146.00 $6,574.00 2026-07-15
64581 CPT Incis Implant Neurostim Electr 33 17 $9,255.00 $9,255.00 $4,084.00 $15,745.00 $6,563.00 2026-07-15
64561 CPT Percu Implant Neurostim Elect; 29 17 $8,180.00 $8,180.00 $3,910.00 $15,745.00 $6,511.00 2026-07-15
19380 CPT Revision Of Reconstructed Brea 33 17 $13,840.00 $13,840.00 $2,605.00 $13,043.00 $6,485.00 2026-07-15
19342 CPT Delayed Insertion Breast Prost 33 17 $8,530.00 $8,530.00 $2,605.00 $19,138.00 $6,485.00 2026-07-15
19340 CPT Insert-brst Prosthesis Immedia 33 17 $13,840.00 $13,840.00 $2,605.00 $13,569.00 $6,485.00 2026-07-15
19303 CPT Mastectomy,simple,complete 33 17 $13,840.00 $13,840.00 $2,605.00 $13,043.00 $6,485.00 2026-07-15
19302 CPT P-mastectomy W/ln Removal 33 17 $13,840.00 $13,840.00 $2,605.00 $13,043.00 $6,485.00 2026-07-15
22855 CPT Rem, Anterior Instrumentation 24 16 $4,590.00 $4,590.00 $1,425.00 $12,047.00 $6,242.00 2026-07-15
22830 CPT Exploration Of Spinal Fusion 24 16 $6,415.00 $6,415.00 $3,115.00 $12,047.00 $6,242.00 2026-07-15
15830 CPT Abd,exc Excessive Skin & Subcu 33 17 $13,840.00 $13,840.00 $1,432.00 $13,043.00 $6,220.00 2026-07-15
20690 CPT Application Of A Uniplane (pin 32 17 $6,920.00 $6,920.00 $1,854.00 $14,287.00 $6,190.50 2026-07-15
58662 CPT Laprscpy With Fulg/exc Lsn, Ovar 33 17 $12,380.00 $12,380.00 $3,392.00 $11,669.00 $6,176.00 2026-07-15
58545 CPT Laparoscopy, Surgical, Myomect 33 17 $12,380.00 $12,380.00 $4,660.00 $11,669.00 $6,176.00 2026-07-15
49329 CPT Unlisted Laparoscopy Procedure 33 17 $12,380.00 $12,380.00 $1,506.00 $11,669.00 $6,176.00 2026-07-15
58670 CPT Laparoscopy W Fulguration Ovid 33 17 $12,380.00 $12,380.00 $3,392.00 $11,669.00 $6,176.00 2026-07-15
58661 CPT Laparoscopy, Surgical; With Re 33 17 $12,380.00 $12,380.00 $3,392.00 $11,669.00 $6,176.00 2026-07-15
47562 CPT Lap Cholecystectomy 33 17 $12,380.00 $12,380.00 $2,750.00 $11,669.00 $6,176.00 2026-07-15
58660 CPT Laparoscopy W Lysis Of Adhesio 33 17 $12,380.00 $12,380.00 $3,392.00 $11,669.00 $6,176.00 2026-07-15
49592 CPT Rpr Aa Hrn 1st < 3 Ncr/strn 33 17 $12,380.00 $12,380.00 $3,455.00 $11,669.00 $6,176.00 2026-07-15
49614 CPT Rpr Aa Hrn Rcr < 3 Ncr/strn 33 17 $12,380.00 $12,380.00 $3,455.00 $11,669.00 $6,176.00 2026-07-15
49651 CPT Laparscpy, Reccurent Inguinal 33 17 $12,380.00 $12,380.00 $2,822.00 $11,669.00 $6,176.00 2026-07-15
49594 CPT Rpr Aa Hrn 1st 3-10 Ncr/strn 33 17 $12,380.00 $12,380.00 $3,455.00 $11,669.00 $6,176.00 2026-07-15
49320 CPT Laparscpy, Abd/peritoneum/omen 33 17 $12,380.00 $12,380.00 $2,927.00 $11,669.00 $6,176.00 2026-07-15
44970 CPT Laparoscopy, Surgical, Appende 33 17 $12,380.00 $12,380.00 $3,057.00 $11,669.00 $6,176.00 2026-07-15
47379 CPT Unlisted Lap Procedure, Liver 32 17 $9,760.00 $9,760.00 $1,774.00 $11,669.00 $6,176.00 2026-07-15
49321 CPT Laparoscopy, Surgical; With Bi 33 17 $12,380.00 $12,380.00 $2,927.00 $11,669.00 $6,176.00 2026-07-15
49650 CPT Laparscpy, Initial Inguinal He 33 17 $12,380.00 $12,380.00 $2,822.00 $11,669.00 $6,176.00 2026-07-15
47563 CPT Lap Cholecyst With Cholangio 33 17 $13,905.00 $13,905.00 $2,750.00 $11,669.00 $6,176.00 2026-07-15
57283 CPT Colpopexy Intraperitoneal 32 17 $9,845.00 $9,845.00 $1,951.00 $14,790.00 $6,065.00 2026-07-15
32854 LOCAL Art Srf Cr 12mm Ve L 3-9 Cd 4 4 $3,325.00 $3,325.00 $1,663.00 $10,081.00 $6,038.00 2026-07-15
0032854 LOCAL Art Srf Cr 12mm Ve L 3-9 Cd 4 4 $3,325.00 $3,325.00 $1,663.00 $10,081.00 $6,038.00 2026-07-15
58578 CPT Laparoscopic Proc, Uterus 32 17 $9,735.00 $9,735.00 $1,861.00 $11,669.00 $5,906.50 2026-07-15
20902 CPT Graft Bone Major/large 32 17 $6,030.00 $6,030.00 $1,555.00 $14,287.00 $5,532.00 2026-07-15
52353 CPT Cysto,w/lithotripsy 33 17 $14,200.00 $14,200.00 $2,318.00 $13,116.00 $5,478.00 2026-07-15
52601 CPT Transurethral Resect Prostate 33 17 $10,720.00 $10,720.00 $3,524.00 $10,167.00 $5,478.00 2026-07-15
52648 CPT Laser Vaporization Of Prostate 33 17 $12,010.00 $12,010.00 $3,524.00 $10,167.00 $5,478.00 2026-07-15
52356 CPT Cystourethroscopy,ureteral Ste 33 17 $10,785.00 $10,785.00 $3,247.00 $10,167.00 $5,478.00 2026-07-15
67113 CPT Repair Of Complex Retinal Deta 33 17 $9,885.00 $9,885.00 $2,502.00 $10,319.00 $5,437.00 2026-07-15
63048 CPT Laminectomy, Facetectomy And F 16 9 $4,450.00 $4,450.00 $2,225.00 $6,938.00 $5,250.50 2026-07-15
66180 CPT Aqueous Shunt To Extraocular R 33 17 $10,935.00 $10,935.00 $2,663.00 $10,319.00 $5,160.00 2026-07-15
66991 CPT Xcaptl Ctrc Rmvl Inst 1+ 33 17 $8,920.00 $8,920.00 $2,663.00 $10,319.00 $5,160.00 2026-07-15
57240 CPT Ant Colporrhaphy, Cystocele Re 33 17 $10,475.00 $10,475.00 $2,294.00 $9,873.00 $5,111.00 2026-07-15
57288 CPT Sling Operation For Stress Inc 33 17 $10,195.00 $10,195.00 $2,294.00 $9,873.00 $5,111.00 2026-07-15
58561 CPT Hysteroscopy W Leiomyomata 33 17 $10,285.00 $10,285.00 $3,296.00 $9,873.00 $5,111.00 2026-07-15
58563 CPT Hysteroscopic Thermal Ablation 33 17 $11,410.00 $11,410.00 $1,861.00 $9,873.00 $5,111.00 2026-07-15
58350 CPT Reopen Fallopian Tube 32 17 $6,525.00 $6,525.00 $1,861.00 $9,873.00 $5,111.00 2026-07-15
57260 CPT Combined Anteroposterior Colpo 33 17 $10,475.00 $10,475.00 $2,294.00 $9,873.00 $5,111.00 2026-07-15
45499 CPT Unlisted Laparoscopy Rectum 32 17 $4,750.00 $4,750.00 $1,152.00 $11,669.00 $5,085.00 2026-07-15
52240 CPT Cysto,resect Lg Bladder Tumor 33 17 $10,785.00 $10,785.00 $1,247.00 $10,167.00 $4,935.00 2026-07-15
22849 LOCAL Mck Femoral-rm-ll-sz 2 4 4 $1,050.00 $1,050.00 $525.00 $9,202.00 $4,916.00 2026-07-15
0022849 LOCAL Mck Femoral-rm-ll-sz 2 4 4 $1,050.00 $1,050.00 $525.00 $9,202.00 $4,916.00 2026-07-15
57250 CPT Post Colporrhaphy, Rectocele R 33 17 $10,475.00 $10,475.00 $1,152.00 $9,873.00 $4,744.00 2026-07-15
63035 CPT Laminotomy (hemilaminectomy) 17 9 $7,160.00 $7,160.00 $2,225.00 $6,938.00 $4,571.00 2026-07-15
28296 CPT Toe,correct Hallux Val,mt Oste 33 17 $6,860.00 $6,860.00 $3,087.00 $8,764.00 $4,364.00 2026-07-15
28292 CPT Toe,correct Hallux Val,keller 33 17 $6,885.00 $6,885.00 $2,709.00 $8,764.00 $4,364.00 2026-07-15
28122 CPT Foot,prtl Exc Bone,tarsal/mt 33 17 $6,885.00 $6,885.00 $3,013.00 $8,764.00 $4,364.00 2026-07-15
28110 CPT Toe,ostectomy,prtl Exc, 5th Mt 33 17 $6,885.00 $6,885.00 $2,380.00 $8,764.00 $4,364.00 2026-07-15
67332 CPT Strabismus Surgery With Scarring 17 9 $3,485.00 $3,485.00 $1,696.00 $7,958.00 $4,241.00 2026-07-15
28496 CPT Toe,perc Fix Fx Grt Or Phalang 33 17 $8,415.00 $8,415.00 $2,709.00 $8,576.00 $4,224.00 2026-07-15
28476 CPT Foot,perc Fixation,mt Fx Each 32 17 $5,050.00 $5,050.00 $2,525.00 $8,576.00 $4,224.00 2026-07-15
26765 CPT Finger,open Tx Dstl Phal Fx,ea 33 17 $8,445.00 $8,445.00 $3,087.00 $8,576.00 $4,224.00 2026-07-15
26727 CPT Finger,perc Pinning Phalanx Fx 33 17 $8,740.00 $8,740.00 $3,087.00 $8,576.00 $4,224.00 2026-07-15
26676 CPT Hand,perc Pinning Cmc,each 33 17 $6,885.00 $6,885.00 $2,709.00 $8,576.00 $4,224.00 2026-07-15
26615 CPT Hand,open Tx Mc Fx,single 33 17 $8,800.00 $8,800.00 $3,087.00 $8,576.00 $4,224.00 2026-07-15
26608 CPT Hand,perc Pinning,mc Fx Each 33 17 $6,885.00 $6,885.00 $3,087.00 $8,576.00 $4,224.00 2026-07-15
25606 CPT Wrist,perc Fixation,radial Fx 33 17 $8,450.00 $8,450.00 $3,087.00 $8,576.00 $4,224.00 2026-07-15
67042 CPT Vitrectomy W/removal Of Intern 33 17 $10,235.00 $10,235.00 $2,502.00 $8,046.00 $4,223.00 2026-07-15
67107 CPT Repair Retinal Detachment;scel 33 17 $9,220.00 $9,220.00 $2,502.00 $8,046.00 $4,223.00 2026-07-15
67108 CPT Repair Retinal DETACHMENT;with V 33 17 $9,855.00 $9,855.00 $2,502.00 $8,046.00 $4,223.00 2026-07-15
67040 CPT Vitrectomy,mech;endolaser Panr 33 17 $9,690.00 $9,690.00 $2,502.00 $8,046.00 $4,223.00 2026-07-15
67036 CPT Vitrectomy,mech,pars Plana App 33 17 $9,790.00 $9,790.00 $2,502.00 $8,046.00 $4,223.00 2026-07-15
67039 CPT Vitrectomy,mech,pars Plana;w/f 33 17 $9,745.00 $9,745.00 $2,502.00 $8,046.00 $4,223.00 2026-07-15
67041 CPT Vitrectomy, Mechanical, Pars P 33 17 $10,030.00 $10,030.00 $2,502.00 $8,046.00 $4,223.00 2026-07-15
66183 CPT Insert Ant Drainage Device 33 17 $8,940.00 $8,940.00 $2,663.00 $8,046.00 $4,223.00 2026-07-15
65756 CPT Keratoplasty Endothelial 33 17 $9,170.00 $9,170.00 $2,543.00 $9,048.00 $4,223.00 2026-07-15
66174 CPT Translum Dil Eye Canal 33 17 $10,880.00 $10,880.00 $2,663.00 $8,046.00 $4,223.00 2026-07-15
65730 CPT Keratoplasty;pentrtng(excpt Ap 33 17 $9,260.00 $9,260.00 $2,543.00 $9,048.00 $4,223.00 2026-07-15
15847 CPT Abd,exc Excess Skin,umbilical 17 9 $3,560.00 $3,560.00 $1,432.00 $5,569.00 $4,084.00 2026-07-15
26125 CPT Palm,fasciectmy,ea Addtl Digit 16 9 $5,050.00 $5,050.00 $1,723.00 $4,513.00 $4,081.00 2026-07-15
52441 CPT Cysto W Implant 17 9 $3,915.00 $3,915.00 $1,205.00 $4,243.00 $4,024.00 2026-07-15
65820 CPT Incision Of Eye 33 17 $9,220.00 $9,220.00 $807.00 $8,046.00 $4,023.00 2026-07-15
66852 CPT Remove Lens Material;pars Plan 33 17 $9,235.00 $9,235.00 $1,367.00 $8,046.00 $4,023.00 2026-07-15
65105 CPT Enucleation Eye;w/implnt,musc 33 17 $7,545.00 $7,545.00 $2,255.00 $7,542.00 $4,017.00 2026-07-15
68720 CPT Create Tear Sac Drain 33 17 $5,460.00 $5,460.00 $1,372.00 $7,542.00 $4,017.00 2026-07-15
67400 CPT Orbitotomy Without Bone Flap;exp 33 17 $5,610.00 $5,610.00 $2,255.00 $7,542.00 $4,017.00 2026-07-15
67312 CPT Strabis Surg,recess/resect Pro 33 17 $5,395.00 $5,395.00 $1,696.00 $7,958.00 $4,017.00 2026-07-15
68326 CPT Conjunctivoplasty 33 17 $5,600.00 $5,600.00 $1,372.00 $7,542.00 $4,017.00 2026-07-15
19370 CPT Breast,capsulotomy,periprosthe 33 17 $8,125.00 $8,125.00 $2,605.00 $7,659.00 $4,000.00 2026-07-15
19301 CPT Mastectomy, Partial 33 17 $8,125.00 $8,125.00 $2,605.00 $7,659.00 $4,000.00 2026-07-15
38531 CPT Open Bx/exc Inguinofem Nodes 33 17 $8,305.00 $8,305.00 $2,545.00 $7,659.00 $4,000.00 2026-07-15
38525 CPT Bx/exc Lymph Node; Opn Deep Ax 33 17 $8,300.00 $8,300.00 $2,545.00 $7,659.00 $4,000.00 2026-07-15
19300 CPT Mastectomy,gynecomastia Bil 33 17 $8,125.00 $8,125.00 $1,065.00 $7,659.00 $3,829.00 2026-07-15
19125 CPT Ex Breast Lesion,id By Preop M 33 17 $8,125.00 $8,125.00 $1,065.00 $7,659.00 $3,829.00 2026-07-15
19120 CPT Exc Breast Cyst/fibroaden/tumo 33 17 $8,125.00 $8,125.00 $1,065.00 $7,659.00 $3,829.00 2026-07-15
35637 LOCAL Kwire Nitinol Blunt 4 4 $3.00 $3.00 $2.00 $7,630.00 $3,816.00 2026-07-15
0035637 LOCAL Kwire Nitinol Blunt 4 4 $3.00 $3.00 $2.00 $7,630.00 $3,816.00 2026-07-15
29826 CPT Arthroscopy,shlder,decompressi 17 9 $8,020.00 $8,020.00 $1,713.00 $4,739.00 $3,792.00 2026-07-15
33203 LOCAL Stem Compre Prim Hmrl 14 Mini 4 4 $2,100.00 $2,100.00 $1,050.00 $6,301.00 $3,780.50 2026-07-15
0033203 LOCAL Stem Compre Prim Hmrl 14 Mini 4 4 $2,100.00 $2,100.00 $1,050.00 $6,301.00 $3,780.50 2026-07-15
23120 CPT Shoulder,claviculectomy,partia 33 17 $9,495.00 $9,495.00 $3,087.00 $7,702.00 $3,759.00 2026-07-15
27598 LOCAL Xtndgleno D38mm +0mm Shrtpst 4 4 $2,450.00 $2,450.00 $1,225.00 $5,870.00 $3,670.00 2026-07-15
0027598 LOCAL Xtndgleno D38mm +0mm Shrtpst 4 4 $2,450.00 $2,450.00 $1,225.00 $5,870.00 $3,670.00 2026-07-15
15877 CPT Suction Lipectomy Trunk 33 17 $7,765.00 $7,765.00 $1,432.00 $7,322.00 $3,661.00 2026-07-15
54530 CPT Orchiectomy,radical For Tumor 33 17 $7,490.00 $7,490.00 $1,578.00 $7,058.00 $3,658.00 2026-07-15
49525 CPT Rpr Inguinal Hernia Sliding, A 33 17 $8,870.00 $8,870.00 $2,822.00 $8,215.00 $3,658.00 2026-07-15
49553 CPT Repair Fem Hernia, Incarcerate 33 17 $7,490.00 $7,490.00 $2,822.00 $8,215.00 $3,658.00 2026-07-15
55040 CPT Exc Hydrocele Unilateral 33 17 $7,275.00 $7,275.00 $1,578.00 $7,058.00 $3,658.00 2026-07-15
49591 CPT Rpr Aa Hrn 1st < 3 Cm Rdc 33 17 $7,490.00 $7,490.00 $3,300.00 $9,313.00 $3,658.00 2026-07-15
49613 CPT Rpr Aa Hrn Rcr < 3 Rdc 33 17 $10,260.00 $10,260.00 $3,300.00 $9,313.00 $3,658.00 2026-07-15
49505 CPT Rpr Initl Inguinal Hernia Age 33 17 $7,490.00 $7,490.00 $2,822.00 $8,215.00 $3,658.00 2026-07-15
13160 CPT Sec Closur Wound/dehiscence,ex 33 17 $5,020.00 $5,020.00 $813.00 $5,883.00 $3,620.00 2026-07-15
52234 CPT Cysto,resect Sm Bladder Tumor 33 17 $7,320.00 $7,320.00 $1,247.00 $6,898.00 $3,601.00 2026-07-15
52317 CPT Litholapaxy; Simple 33 17 $7,535.00 $7,535.00 $1,247.00 $6,898.00 $3,601.00 2026-07-15
52250 CPT Cystocopy And Radiotracer 33 17 $7,320.00 $7,320.00 $1,247.00 $6,898.00 $3,601.00 2026-07-15
52332 CPT Cystourethroscopy;w/insrt Indw 33 17 $7,320.00 $7,320.00 $1,247.00 $6,898.00 $3,601.00 2026-07-15
55530 CPT Spermatocelectomy 33 17 $7,320.00 $7,320.00 $1,578.00 $6,898.00 $3,601.00 2026-07-15
52235 CPT Cysto,resect Med Bladder Tumor 33 17 $7,320.00 $7,320.00 $1,247.00 $6,898.00 $3,601.00 2026-07-15
52351 CPT Cysto W/ureteroscopy 33 17 $7,320.00 $7,320.00 $1,247.00 $6,898.00 $3,601.00 2026-07-15
52352 CPT Cystourethroscopy With Removal 33 17 $7,320.00 $7,320.00 $1,247.00 $6,898.00 $3,601.00 2026-07-15
55500 CPT Excision Of Hydrocele Of Sper 33 17 $7,320.00 $7,320.00 $1,895.00 $6,898.00 $3,601.00 2026-07-15
52442 CPT Cysto W Addtl Implant 17 9 $1,335.00 $1,335.00 $668.00 $9,062.00 $3,524.00 2026-07-15
30520 CPT Septoplasty Or Submucous Resec 33 17 $7,380.00 $7,380.00 $2,094.00 $6,836.00 $3,387.00 2026-07-15
30140 CPT Resect Inferior Turbinate 33 17 $6,880.00 $6,880.00 $2,094.00 $6,836.00 $3,387.00 2026-07-15
31961 LOCAL Legion Cr Oxin Fem Sz 7 Rt 2 2 $6,125.00 $6,125.00 $3,063.00 $3,675.00 $3,369.00 2026-07-15
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