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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

4,758 distinct procedures filed
17 distinct payers
25,250 rate rows
2026-05-08 last MRF observed
Data quality

25,051 of 25,250 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 · 2026-05-17
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
326 462
OTHER 		Bilateral Elective Hip Joint Replacement 8 $10,708.00 $35,304.00 $33,370.50 nat. median
$33,370
1.0× median
33249
CPT 		Dual Chamber Icd With Leds Imp 17 $5,417.00 $64,123.00 $32,069.00 nat. median
$31,833
1.0× median
33249
OTHER 		Dual Chamber Icd With Leds Imp 16 $8,498.00 $64,123.00 $32,062.00 nat. median
$30,055
1.1× median
325 468
CPT 		Non-elective Or Complex Knee Joint Replacement 8 $17,346.00 $38,458.00 $30,490.50 —
322 483
CPT 		Shoulder And Elbow Joint Replacement 8 $13,038.00 $28,855.00 $28,192.50 —
321 473
CPT 		Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 8 $14,834.00 $37,212.00 $27,999.00 —
321 472
CPT 		Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 8 $14,834.00 $35,236.00 $27,999.00 —
325 468
OTHER 		Non-elective Or Complex Knee Joint Replacement 8 $17,346.00 $36,279.00 $26,941.00 nat. median
$26,941
1.0× median
321 473
OTHER 		Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 8 $14,834.00 $32,079.00 $26,756.00 nat. median
$26,756
1.0× median
321 472
OTHER 		Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 8 $14,834.00 $30,376.00 $26,756.00 nat. median
$26,756
1.0× median
326 462
CPT 		Bilateral Elective Hip Joint Replacement 8 $10,708.00 $38,515.00 $26,504.00 —
22633
CPT 		Arthrodesis, Combined Lumbar 17 $12,332.00 $45,048.00 $26,354.00 nat. median
$17,658
1.5× median
27702
CPT 		Ankle,total Arthroplasty,w/imp 17 $4,774.00 $45,048.00 $26,250.00 nat. median
$15,730
1.7× median
467 467
CPT 		Revision Of Hip Or Knee Replacement With Cc 10 $25,111.00 $48,750.00 $26,126.00 —
322 483
OTHER 		Shoulder And Elbow Joint Replacement 8 $13,038.00 $27,298.00 $24,833.00 nat. median
$24,833
1.0× median
467 467
OTHER 		Revision Of Hip Or Knee Replacement With Cc 9 $21,648.00 $48,750.00 $24,375.00 nat. median
$24,375
1.0× median
313 493
CPT 		Knee And Lower Leg Procedures Except Foot 8 $11,196.00 $24,422.00 $23,587.50 —
313 488
CPT 		Knee And Lower Leg Procedures Except Foot 8 $11,196.00 $24,422.00 $22,811.00 —
483 483
CPT 		Major Joint Or Limb Reattachment Procedures Of Upper Extremities 10 $20,535.00 $36,270.00 $22,125.50 —
468 468
CPT 		Revision Of Hip Or Knee Replacement Without Cc/mcc 10 $20,358.00 $37,339.00 $21,935.00 —
64590
OTHER 		Ins/place Neurostim Generator 16 $9,528.00 $42,889.00 $21,444.00 nat. median
$16,667
1.3× median
462 462
CPT 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With 10 $19,706.00 $40,761.00 $21,232.50 —
54405
CPT 		Insert Multicomp Penis Prosth 17 $4,084.00 $40,257.00 $21,175.00 nat. median
$18,902
1.1× median
313 493
OTHER 		Knee And Lower Leg Procedures Except Foot 8 $11,196.00 $23,130.00 $20,794.00 nat. median
$20,794
1.0× median
231 331
CPT 		Major Large Bowel Procedures 8 $11,922.00 $24,506.00 $20,723.00 —
462 462
OTHER 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With 9 $18,940.00 $40,761.00 $20,380.00 nat. median
$20,380
1.0× median
54405
OTHER 		Insert Multicomp Penis Prosth 16 $5,923.00 $40,257.00 $20,129.00 nat. median
$15,030
1.3× median
313 488
OTHER 		Knee And Lower Leg Procedures Except Foot 8 $11,196.00 $23,130.00 $20,124.50 nat. median
$20,124
1.0× median
64590
CPT 		Ins/place Neurostim Generator 17 $2,709.00 $42,889.00 $19,820.00 nat. median
$18,334
1.1× median
313 494
CPT 		Knee And Lower Leg Procedures Except Foot 8 $11,196.00 $24,422.00 $19,606.50 —
468 468
OTHER 		Revision Of Hip Or Knee Replacement Without Cc/mcc 9 $17,765.00 $37,339.00 $18,669.00 nat. median
$18,669
1.0× median
23472
OTHER 		Total Shoulder Replacement 16 $7,598.00 $36,780.00 $18,390.00 nat. median
$17,032
1.1× median
27702
OTHER 		Ankle,total Arthroplasty,w/imp 16 $7,598.00 $36,780.00 $18,390.00 nat. median
$16,909
1.1× median
951 982
CPT 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 13 $13,278.00 $30,471.00 $18,213.00 —
231 331
OTHER 		Major Large Bowel Procedures 8 $11,922.00 $22,838.00 $18,150.00 nat. median
$18,150
1.0× median
483 483
OTHER 		Major Joint Or Limb Reattachment Procedures Of Upper Extremities 9 $17,393.00 $36,270.00 $18,135.00 nat. median
$18,135
1.0× median
23472
CPT 		Total Shoulder Replacement 17 $7,598.00 $36,780.00 $17,914.00 nat. median
$16,400
1.1× median
22856
CPT 		Cervical Artificial Discectom 17 $12,332.00 $36,780.00 $17,914.00 nat. median
$16,959
1.1× median
27132
OTHER 		Hip,convers To Total Arthropla 8 $7,598.00 $25,750.00 $17,896.50 nat. median
$7,774
outlier · 2.3×
313 494
OTHER 		Knee And Lower Leg Procedures Except Foot 8 $11,196.00 $23,130.00 $17,362.00 nat. median
$17,362
1.0× median
22633
OTHER 		Arthrodesis, Combined Lumbar 16 $11,685.00 $36,780.00 $17,130.00 nat. median
$12,112
1.4× median
22856
OTHER 		Cervical Artificial Discectom 16 $11,685.00 $36,780.00 $17,064.00 nat. median
$13,626
1.3× median
475 475
CPT 		Amputation For Musculoskeletal System And Connective Tissue Disorder 10 $10,004.00 $30,704.00 $16,859.00 —
309 482
CPT 		Other Significant Hip And Femur Surgery 8 $10,974.00 $19,443.00 $15,714.00 —
481 481
CPT 		Hip And Femur Procedures Except Major Joint With Cc 10 $14,305.00 $29,534.00 $15,516.00 —
470 470
CPT 		Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extrem 10 $14,290.00 $26,838.00 $15,397.00 —
475 475
OTHER 		Amputation For Musculoskeletal System And Connective Tissue Disorder 9 $8,624.00 $30,704.00 $15,352.00 nat. median
$15,352
1.0× median
494 494
CPT 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur W 10 $9,665.00 $26,838.00 $14,865.00 —
481 481
OTHER 		Hip And Femur Procedures Except Major Joint With Cc 9 $12,332.00 $29,534.00 $14,767.00 nat. median
$14,767
1.0× median
742 742
CPT 		Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 10 $11,719.00 $26,000.00 $13,593.00 —

Other procedures at this hospital

Browse this hospital's 4,758 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
             
0022846 OTHER Mck Femoral-lm-rl-sz 7 4 4 $3,800.00 $3,800.00 $1,900.00 $13,329.00 $7,804.50 2026-05-08
0033513 OTHER Imp Ptla Cmt Ovl Ply Xe 32x8 4 4 $1,794.00 $1,794.00 $897.00 $13,970.00 $7,523.00 2026-05-08
11970 CPT Replace Tis Expander W/perm Pr 17 17 $15,155.00 $15,155.00 $2,605.00 $14,287.00 $7,413.00 2026-05-06
19342 OTHER Delayed Insertion Breast Prost 16 16 $8,395.00 $8,395.00 $2,605.00 $19,138.00 $7,472.50 2026-05-08
20900 CPT Bone Graft, Any Donor Area; Mi 17 17 $15,155.00 $15,155.00 $1,555.00 $14,287.00 $7,413.00 2026-05-06
20924 CPT Tendon Graft, From A Distance 17 17 $15,155.00 $15,155.00 $1,555.00 $14,287.00 $7,413.00 2026-05-06
20930 OTHER Allograft For Spine Surgery 8 8 $3,800.00 $3,800.00 $1,900.00 $9,202.00 $8,834.00 2026-05-08
20930 CPT Allograft For Spine Surgery 8 8 — — $1,506.00 $9,202.00 $8,204.00 2026-05-06
20931 OTHER Allograft For Spine Surgery 8 8 $3,800.00 $3,800.00 $1,900.00 $9,202.00 $8,834.00 2026-05-08
20931 CPT Allograft For Spine Surgery 8 8 — — $1,506.00 $9,202.00 $8,204.00 2026-05-06
20936 OTHER Autograft For Spine Surgery 8 8 $3,800.00 $3,800.00 $1,900.00 $9,202.00 $8,834.00 2026-05-08
20936 CPT Autograft For Spine Surgery 8 8 — — $1,506.00 $9,202.00 $8,204.00 2026-05-06
22551 CPT Cervical,arthrodesis,discectmy 17 17 $36,875.00 $36,875.00 $8,204.00 $25,734.00 $13,117.00 2026-05-06
22551 OTHER Cervical,arthrodesis,discectmy 16 16 $35,395.00 $35,395.00 $8,392.00 $25,734.00 $12,710.00 2026-05-08
22552 OTHER Cervical,arthrodesis,each Addi 8 8 $8,500.00 $8,500.00 $4,250.00 $9,202.00 $8,834.00 2026-05-08
22552 CPT Cervical,arthrodesis,each Addi 8 8 — — $1,506.00 $9,202.00 $8,204.00 2026-05-06
22633 CPT Arthrodesis, Combined Lumbar 17 17 $39,020.00 $39,020.00 $12,332.00 $45,048.00 $26,354.00 2026-05-06
22633 OTHER Arthrodesis, Combined Lumbar 16 16 $32,970.00 $32,970.00 $11,685.00 $36,780.00 $17,130.00 2026-05-08
22634 OTHER Arthrodesis, Lumbar Addn'l Seg 8 8 $8,500.00 $8,500.00 $4,250.00 $9,202.00 $8,834.00 2026-05-08
22634 CPT Arthrodesis, Lumbar Addn'l Seg 8 8 — — $1,506.00 $9,202.00 $8,204.00 2026-05-06
22840 CPT Posterior Instrumentation 8 8 — — $1,506.00 $13,329.00 $12,332.00 2026-05-06
22840 OTHER Posterior Instrumentation 8 8 $8,500.00 $8,500.00 $4,250.00 $13,329.00 $8,834.00 2026-05-08
22842 OTHER Posterior Seg. Instrumentation 8 8 $3,800.00 $3,800.00 $1,900.00 $9,202.00 $8,834.00 2026-05-08
22842 CPT Posterior Seg. Instrumentation 8 8 — — $1,506.00 $9,202.00 $8,204.00 2026-05-06
22845 OTHER Anterior Instrumentation 8 8 $3,800.00 $3,800.00 $1,900.00 $9,202.00 $8,834.00 2026-05-08
22845 CPT Anterior Instrumentation 8 8 — — $1,506.00 $9,202.00 $8,204.00 2026-05-06
22846 CPT Anterior Instrumentation 10 9 $3,800.00 $3,800.00 $1,900.00 $19,480.00 $12,332.00 2026-05-06
22846 OTHER Anterior Instrumentation 8 8 $3,800.00 $3,800.00 $1,900.00 $13,329.00 $8,834.00 2026-05-08
22853 OTHER Insert, Mech Device Cage/mesh 8 8 $2,250.00 $2,250.00 $1,125.00 $9,202.00 $8,834.00 2026-05-08
22853 CPT Insert, Mech Device Cage/mesh 8 8 — — $1,506.00 $9,202.00 $8,204.00 2026-05-06
22856 CPT Cervical Artificial Discectom 17 17 $39,020.00 $39,020.00 $12,332.00 $36,780.00 $17,914.00 2026-05-06
22856 OTHER Cervical Artificial Discectom 16 16 $32,705.00 $32,705.00 $11,685.00 $36,780.00 $17,064.00 2026-05-08
22858 CPT Second Level,cervical 8 8 — — $1,506.00 $13,329.00 $12,332.00 2026-05-06
22858 OTHER Second Level,cervical 8 8 $8,500.00 $8,500.00 $4,250.00 $13,329.00 $8,834.00 2026-05-08
231 331 CPT Major Large Bowel Procedures 8 8 $29,207.00 $29,207.00 $11,922.00 $24,506.00 $20,723.00 2026-05-06
231 331 OTHER Major Large Bowel Procedures 8 8 $29,207.00 $29,207.00 $11,922.00 $22,838.00 $18,150.00 2026-05-08
23182 CPT Partial Excision Bone,scapula 17 17 $15,155.00 $15,155.00 $3,759.00 $14,287.00 $7,413.00 2026-05-06
23410 CPT Shoulder,repair Rot Cuff,acute 17 17 $15,155.00 $15,155.00 $3,759.00 $14,287.00 $7,413.00 2026-05-06
23412 CPT Shoulder,repair Rot Cuff,chron 17 17 $15,155.00 $15,155.00 $3,759.00 $14,287.00 $7,413.00 2026-05-06
23430 CPT Shoulder,tenodesis,biceps 17 17 $15,155.00 $15,155.00 $3,759.00 $14,287.00 $7,413.00 2026-05-06
23462 CPT Capsulorrhaphy Ant, Coracoid 17 17 $15,975.00 $15,975.00 $3,759.00 $14,287.00 $7,413.00 2026-05-06
23470 CPT Hemi-arthroplasty, Shoulder 17 17 $27,300.00 $27,300.00 $4,571.00 $26,250.00 $13,117.00 2026-05-06
23470 OTHER Hemi-arthroplasty, Shoulder 16 16 $24,940.00 $24,940.00 $7,598.00 $25,750.00 $12,867.00 2026-05-08
23472 OTHER Total Shoulder Replacement 16 16 $23,175.00 $23,175.00 $7,598.00 $36,780.00 $18,390.00 2026-05-08
23472 CPT Total Shoulder Replacement 17 17 $24,560.00 $24,560.00 $7,598.00 $36,780.00 $17,914.00 2026-05-06
23515 CPT Open Treatment Clavicle Fx, With 17 17 $15,155.00 $15,155.00 $4,084.00 $14,287.00 $7,413.00 2026-05-06
23515 OTHER Open Treatment Clavicle Fx, With 16 16 $14,065.00 $14,065.00 $4,224.00 $14,287.00 $7,144.00 2026-05-08
23550 CPT Open Tx, Clavicle Dislocation 17 17 $15,155.00 $15,155.00 $4,084.00 $14,287.00 $7,413.00 2026-05-06
23550 OTHER Open Tx, Clavicle Dislocation 16 16 $10,365.00 $10,365.00 $4,224.00 $14,287.00 $7,144.00 2026-05-08
23585 CPT Open Tx Of Scapular Fracture 17 17 $15,100.00 $15,100.00 $4,084.00 $14,287.00 $7,413.00 2026-05-06
23585 OTHER Open Tx Of Scapular Fracture 16 16 $14,495.00 $14,495.00 $4,224.00 $14,287.00 $7,144.00 2026-05-08
23615 OTHER Opn Trt Clsd/opn Humeral Fx,w- 16 16 $14,120.00 $14,120.00 $4,224.00 $25,734.00 $10,168.50 2026-05-08
23615 CPT Opn Trt Clsd/opn Humeral Fx,w- 17 17 $14,940.00 $14,940.00 $4,224.00 $25,734.00 $8,576.00 2026-05-06
23630 CPT Open Tx Grt Tuberos Humerus Fx 17 17 $15,155.00 $15,155.00 $4,224.00 $14,287.00 $7,413.00 2026-05-06
23630 OTHER Open Tx Grt Tuberos Humerus Fx 16 16 $13,980.00 $13,980.00 $4,224.00 $14,287.00 $7,144.00 2026-05-08
23660 CPT Shoulder,open Tx Actue Disloca 17 17 $15,155.00 $15,155.00 $4,084.00 $14,287.00 $7,413.00 2026-05-06
23660 OTHER Shoulder,open Tx Actue Disloca 16 16 $7,880.00 $7,880.00 $3,940.00 $14,287.00 $7,144.00 2026-05-08
23680 OTHER Treatment Disloaction/fracture 16 16 $14,085.00 $14,085.00 $4,224.00 $25,734.00 $10,168.50 2026-05-08
23680 CPT Treatment Disloaction/fracture 17 17 $14,510.00 $14,510.00 $4,084.00 $25,734.00 $8,576.00 2026-05-06
24341 CPT Upp Arm/elbow,rpr Muscl/tendn 17 17 $15,155.00 $15,155.00 $3,759.00 $14,287.00 $7,413.00 2026-05-06
24342 CPT Distal,reinser Bicep/tric Tend 17 17 $15,155.00 $15,155.00 $3,759.00 $14,287.00 $7,413.00 2026-05-06
24344 CPT Elbow,reconstruct Lig,lat Coll 17 17 $14,730.00 $14,730.00 $4,389.00 $14,287.00 $7,413.00 2026-05-06
24345 CPT Elbow,repair Medial Collat Lig 17 17 $15,155.00 $15,155.00 $2,709.00 $14,287.00 $7,413.00 2026-05-06
24346 CPT Elbow,recon Med Coll Lig,w/gr 17 17 $27,300.00 $27,300.00 $4,241.00 $25,734.00 $13,117.00 2026-05-06
24346 OTHER Elbow,recon Med Coll Lig,w/gr 16 16 $17,500.00 $17,500.00 $4,389.00 $25,734.00 $10,651.50 2026-05-08
24366 CPT Arthroplasty Radial Head;w/imp 17 17 $27,300.00 $27,300.00 $4,571.00 $26,250.00 $13,117.00 2026-05-06
24366 OTHER Arthroplasty Radial Head;w/imp 16 16 $23,545.00 $23,545.00 $7,598.00 $25,750.00 $12,867.00 2026-05-08
24545 OTHER Humeral Fx,open Trtment Suprac 16 16 $13,785.00 $13,785.00 $4,224.00 $25,734.00 $10,168.50 2026-05-08
24545 CPT Humeral Fx,open Trtment Suprac 17 17 $14,200.00 $14,200.00 $4,224.00 $25,734.00 $8,576.00 2026-05-06
24575 CPT Humeral/epicondylar,fx Open Tx 17 17 $27,300.00 $27,300.00 $4,084.00 $25,734.00 $13,117.00 2026-05-06
24575 OTHER Humeral/epicondylar,fx Open Tx 16 16 $18,385.00 $18,385.00 $4,224.00 $25,734.00 $10,873.00 2026-05-08
24665 CPT Radial Head/neck Fx,open Tx 17 17 $15,155.00 $15,155.00 $4,224.00 $14,287.00 $7,413.00 2026-05-06
24665 OTHER Radial Head/neck Fx,open Tx 16 16 $10,475.00 $10,475.00 $4,224.00 $14,287.00 $7,144.00 2026-05-08
24685 CPT Ulnar Fx,prox,opn Tx W/fixatio 17 17 $15,155.00 $15,155.00 $4,084.00 $14,287.00 $7,413.00 2026-05-06
24685 OTHER Ulnar Fx,prox,opn Tx W/fixatio 16 16 $10,240.00 $10,240.00 $4,224.00 $14,287.00 $7,144.00 2026-05-08
25400 CPT Rad/ulna,rep Non-malunion Fx 17 17 $15,510.00 $15,510.00 $4,084.00 $14,287.00 $7,413.00 2026-05-06
25440 CPT Wrist,rep Nonun Scaphoid W-wo 17 17 $15,155.00 $15,155.00 $4,241.00 $14,287.00 $7,413.00 2026-05-06
25545 CPT F'arm,open Tx Ulnar Shaft Fx 17 17 $15,155.00 $15,155.00 $4,084.00 $14,287.00 $7,413.00 2026-05-06
25545 OTHER F'arm,open Tx Ulnar Shaft Fx 16 16 $9,065.00 $9,065.00 $4,224.00 $14,287.00 $7,144.00 2026-05-08
25607 CPT Wrist,open Tx Distal Radial Fx 17 17 $15,155.00 $15,155.00 $4,224.00 $14,287.00 $7,413.00 2026-05-06
25607 OTHER Wrist,open Tx Distal Radial Fx 16 16 $9,715.00 $9,715.00 $4,224.00 $14,287.00 $7,144.00 2026-05-08
25608 CPT Wrist,open Tx Distal Radial Fx 17 17 $15,155.00 $15,155.00 $4,224.00 $14,287.00 $7,413.00 2026-05-06
25609 CPT Wrist,open Tx Distal Radial Fx 17 17 $15,155.00 $15,155.00 $4,224.00 $14,287.00 $7,413.00 2026-05-06
25609 OTHER Wrist,open Tx Distal Radial Fx 16 16 $13,060.00 $13,060.00 $4,224.00 $14,287.00 $7,144.00 2026-05-08
25676 CPT Wrist,open Tx Radioulnar Dis 16 16 — — $2,709.00 $14,287.00 $7,413.00 2026-05-06
25810 CPT Wrist,arthrodesis,w/autograft 17 17 $27,300.00 $27,300.00 $4,389.00 $25,734.00 $13,117.00 2026-05-06
25810 OTHER Wrist,arthrodesis,w/autograft 16 16 $17,960.00 $17,960.00 $4,389.00 $25,734.00 $10,766.50 2026-05-08
25830 CPT Fusion Radioulnar Jnt/ulna 17 17 $15,415.00 $15,415.00 $4,389.00 $14,287.00 $7,413.00 2026-05-06
26850 CPT Finger,arthrodesis,mcp Jt 17 17 $15,155.00 $15,155.00 $1,723.00 $14,287.00 $7,413.00 2026-05-06
27130 CPT Total Hip Arthroplasty 17 17 $27,300.00 $27,300.00 $7,598.00 $26,250.00 $13,117.00 2026-05-06
27130 OTHER Total Hip Arthroplasty 16 16 $21,445.00 $21,445.00 $7,598.00 $25,750.00 $12,867.00 2026-05-08
27132 OTHER Hip,convers To Total Arthropla 8 8 $22,660.00 $22,660.00 $7,598.00 $25,750.00 $17,896.50 2026-05-08
27132 CPT Hip,convers To Total Arthropla 16 16 $23,915.00 $23,915.00 $7,598.00 $26,250.00 $13,117.00 2026-05-06
27235 CPT Femoral Fx,perc Fix,proximal 17 17 $15,155.00 $15,155.00 $4,224.00 $14,287.00 $7,413.00 2026-05-06
27235 OTHER Femoral Fx,perc Fix,proximal 16 16 $9,220.00 $9,220.00 $4,224.00 $14,287.00 $7,144.00 2026-05-08
27350 CPT Knee,patellectomy Or Hemi-pate 17 17 $15,155.00 $15,155.00 $2,505.00 $14,287.00 $7,413.00 2026-05-06
27380 CPT Knee,suture Infrapatellar Tend 17 17 $15,155.00 $15,155.00 $1,506.00 $14,287.00 $7,413.00 2026-05-06
27385 CPT Thigh,quadricps/hamstrg Repair 17 17 $15,155.00 $15,155.00 $3,329.00 $14,287.00 $7,413.00 2026-05-06
27405 CPT Knee,rep Collateral Lig/capsul 17 17 $15,155.00 $15,155.00 $4,241.00 $14,287.00 $7,413.00 2026-05-06
27405 OTHER Knee,rep Collateral Lig/capsul 16 16 $10,010.00 $10,010.00 $5,005.00 $14,287.00 $7,144.00 2026-05-08
27412 CPT Knee,auto Chondrocyte Implant 17 17 $21,100.00 $21,100.00 $4,084.00 $14,287.00 $7,413.00 2026-05-06
27412 OTHER Knee,auto Chondrocyte Implant 16 16 $19,765.00 $19,765.00 $4,320.00 $14,287.00 $7,144.00 2026-05-08
27415 CPT Knee,osteochondral Allograft 17 17 $27,300.00 $27,300.00 $4,084.00 $25,734.00 $13,117.00 2026-05-06
27415 OTHER Knee,osteochondral Allograft 16 16 $23,175.00 $23,175.00 $4,320.00 $25,734.00 $12,070.50 2026-05-08
27416 CPT Knee,osteochondral Autograft 17 17 $15,155.00 $15,155.00 $4,241.00 $14,287.00 $7,413.00 2026-05-06
27416 OTHER Knee,osteochondral Autograft 16 16 $10,895.00 $10,895.00 $5,448.00 $14,287.00 $7,144.00 2026-05-08
27418 CPT Knee,ant Tibial Tubercleplasty 17 17 $15,155.00 $15,155.00 $4,084.00 $14,287.00 $7,413.00 2026-05-06
27418 OTHER Knee,ant Tibial Tubercleplasty 16 16 $10,800.00 $10,800.00 $5,400.00 $14,287.00 $7,144.00 2026-05-08
27422 CPT Knee,reconst Patella,disl W/ex 17 17 $15,155.00 $15,155.00 $5,417.00 $14,287.00 $7,413.00 2026-05-06
27422 OTHER Knee,reconst Patella,disl W/ex 16 16 $9,950.00 $9,950.00 $4,975.00 $14,287.00 $7,144.00 2026-05-08
27427 CPT Knee,ligamentous Recons,extra 17 17 $16,400.00 $16,400.00 $4,084.00 $14,287.00 $7,413.00 2026-05-06
27427 OTHER Knee,ligamentous Recons,extra 16 16 $15,630.00 $15,630.00 $5,870.00 $14,287.00 $7,144.00 2026-05-08
27446 CPT Knee,arthroplsty,medial Or Lat 17 17 $27,300.00 $27,300.00 $7,598.00 $26,250.00 $13,117.00 2026-05-06
27446 OTHER Knee,arthroplsty,medial Or Lat 16 16 $23,855.00 $23,855.00 $7,598.00 $25,750.00 $12,867.00 2026-05-08
27447 CPT Knee,arthroplsty,medial & Lat 17 17 $27,370.00 $27,370.00 $7,598.00 $26,250.00 $13,117.00 2026-05-06
27447 OTHER Knee,arthroplsty,medial & Lat 16 16 $25,905.00 $25,905.00 $7,598.00 $25,750.00 $12,867.00 2026-05-08
27524 CPT Knee,open Tx Patellar Fx,w/fix 17 17 $15,155.00 $15,155.00 $4,084.00 $14,287.00 $7,413.00 2026-05-06
27524 OTHER Knee,open Tx Patellar Fx,w/fix 16 16 $10,315.00 $10,315.00 $4,224.00 $14,287.00 $7,144.00 2026-05-08
27650 CPT Achilles,rpr Tendon Prim,ruptu 17 17 $15,155.00 $15,155.00 $2,505.00 $14,287.00 $7,413.00 2026-05-06
27652 CPT Repair/graft Achilles Tendon 17 17 $15,155.00 $15,155.00 $4,084.00 $14,287.00 $7,413.00 2026-05-06
27652 OTHER Repair/graft Achilles Tendon 16 16 $12,065.00 $12,065.00 $5,870.00 $14,287.00 $7,144.00 2026-05-08
27654 CPT Achilles,rpr Tendon Secon,rupt 17 17 $15,155.00 $15,155.00 $4,084.00 $14,287.00 $7,413.00 2026-05-06
27654 OTHER Achilles,rpr Tendon Secon,rupt 16 16 $9,885.00 $9,885.00 $4,943.00 $14,287.00 $7,144.00 2026-05-08
27691 CPT Leg/tibial,trnsfer Tendon,deep 17 17 $15,155.00 $15,155.00 $4,241.00 $14,287.00 $7,413.00 2026-05-06
27691 OTHER Leg/tibial,trnsfer Tendon,deep 16 16 $9,380.00 $9,380.00 $4,690.00 $14,287.00 $7,144.00 2026-05-08
27695 CPT Ankle,rpr Prim Distrupted Lig 17 17 $15,155.00 $15,155.00 $2,709.00 $14,287.00 $7,413.00 2026-05-06
27695 OTHER Ankle,rpr Prim Distrupted Lig 16 16 $7,880.00 $7,880.00 $3,940.00 $14,287.00 $7,144.00 2026-05-08
27698 CPT Ankle,rpr 2ndry Disrptd Lig 17 17 $15,155.00 $15,155.00 $2,709.00 $14,287.00 $7,413.00 2026-05-06
27698 OTHER Ankle,rpr 2ndry Disrptd Lig 16 16 $7,525.00 $7,525.00 $3,763.00 $14,287.00 $7,144.00 2026-05-08
27702 CPT Ankle,total Arthroplasty,w/imp 17 17 $24,855.00 $24,855.00 $4,774.00 $45,048.00 $26,250.00 2026-05-06
27702 OTHER Ankle,total Arthroplasty,w/imp 16 16 $23,855.00 $23,855.00 $7,598.00 $36,780.00 $18,390.00 2026-05-08
27705 CPT Osteotomy,tibia 17 17 $15,155.00 $15,155.00 $2,709.00 $14,287.00 $7,413.00 2026-05-06
27705 OTHER Osteotomy,tibia 16 16 $9,605.00 $9,605.00 $4,803.00 $14,287.00 $7,144.00 2026-05-08
27720 CPT Tibia,repair Non/malunion Without 17 17 $15,155.00 $15,155.00 $4,224.00 $14,287.00 $7,413.00 2026-05-06
27720 OTHER Tibia,repair Non/malunion Without 16 16 $10,765.00 $10,765.00 $4,224.00 $14,287.00 $7,144.00 2026-05-08
27784 CPT Fibula,open Tx Prox/shft Fx 17 17 $15,155.00 $15,155.00 $4,084.00 $14,287.00 $7,413.00 2026-05-06
27784 OTHER Fibula,open Tx Prox/shft Fx 16 16 $10,140.00 $10,140.00 $4,224.00 $14,287.00 $7,144.00 2026-05-08
27792 CPT Fibula,open Tx Distal Fx,w/fix 17 17 $15,155.00 $15,155.00 $4,084.00 $14,287.00 $7,413.00 2026-05-06
27792 OTHER Fibula,open Tx Distal Fx,w/fix 16 16 $10,255.00 $10,255.00 $4,224.00 $14,287.00 $7,144.00 2026-05-08
27814 CPT Ankle,open Tx Bimalleolar Fx 17 17 $15,155.00 $15,155.00 $4,084.00 $14,287.00 $7,413.00 2026-05-06
27814 OTHER Ankle,open Tx Bimalleolar Fx 16 16 $10,315.00 $10,315.00 $4,224.00 $14,287.00 $7,144.00 2026-05-08
27823 CPT Ankle,opn Tx Trimalleolar,lip 17 17 $15,155.00 $15,155.00 $4,084.00 $14,287.00 $7,413.00 2026-05-06
27823 OTHER Ankle,opn Tx Trimalleolar,lip 16 16 $11,250.00 $11,250.00 $4,224.00 $14,287.00 $7,144.00 2026-05-08
27827 OTHER Tibia,open Tx Dist Fx,wt Beari 16 16 $14,180.00 $14,180.00 $4,224.00 $25,734.00 $10,168.50 2026-05-08
27827 CPT Tibia,open Tx Dist Fx,wt Beari 17 17 $14,605.00 $14,605.00 $4,084.00 $25,734.00 $8,576.00 2026-05-06
27829 CPT Tibiofibular,opn Tx Dist Fx Jt 17 17 $15,155.00 $15,155.00 $2,709.00 $14,287.00 $7,413.00 2026-05-06
27829 OTHER Tibiofibular,opn Tx Dist Fx Jt 16 16 $9,465.00 $9,465.00 $4,224.00 $14,287.00 $7,144.00 2026-05-08
27870 CPT Ankle,arthrodesis Open 17 17 $27,300.00 $27,300.00 $4,241.00 $25,734.00 $13,117.00 2026-05-06
27870 OTHER Ankle,arthrodesis Open 16 16 $19,120.00 $19,120.00 $5,870.00 $25,734.00 $11,056.50 2026-05-08
28238 CPT Foot,recons Post Tibl Tndn 17 17 $15,155.00 $15,155.00 $4,084.00 $14,287.00 $7,413.00 2026-05-06
28297 CPT Toe,correct Hallux Val,lapidus 17 17 $7,780.00 $7,780.00 $3,890.00 $25,734.00 $8,764.00 2026-05-06
28297 OTHER Toe,correct Hallux Val,lapidus 16 16 $7,425.00 $7,425.00 $3,713.00 $25,734.00 $7,370.00 2026-05-08
28298 CPT Toe,correct Hallux Val,phal Os 17 17 $15,155.00 $15,155.00 $4,084.00 $14,287.00 $7,413.00 2026-05-06
28298 OTHER Toe,correct Hallux Val,phal Os 16 16 $7,700.00 $7,700.00 $3,850.00 $14,287.00 $7,144.00 2026-05-08
28300 CPT Calcaneal Osteotomy,w/wo Fixat 17 17 $15,155.00 $15,155.00 $2,709.00 $14,287.00 $7,413.00 2026-05-06
28300 OTHER Calcaneal Osteotomy,w/wo Fixat 16 16 $11,625.00 $11,625.00 $4,364.00 $14,287.00 $7,144.00 2026-05-08
28304 CPT Foot,osteotomy,tarsal Bones,ot 16 16 — — $2,709.00 $14,287.00 $7,413.00 2026-05-06
28304 OTHER Foot,osteotomy,tarsal Bones,ot 16 16 $11,250.00 $11,250.00 $4,364.00 $14,287.00 $7,144.00 2026-05-08
28307 CPT Foot,osteotomy First Mt,w/graf 17 17 $15,155.00 $15,155.00 $4,241.00 $14,287.00 $7,413.00 2026-05-06
28307 OTHER Foot,osteotomy First Mt,w/graf 16 16 $5,730.00 $5,730.00 $2,865.00 $14,287.00 $7,144.00 2026-05-08
28322 CPT Foot,repair Mt,non/mal,w/wo Gr 17 17 $15,155.00 $15,155.00 $4,241.00 $14,287.00 $7,413.00 2026-05-06
28322 OTHER Foot,repair Mt,non/mal,w/wo Gr 16 16 $11,690.00 $11,690.00 $4,364.00 $14,287.00 $7,144.00 2026-05-08
28415 CPT Calcaneal Fx, Open Tx,w/fixat 17 17 $15,155.00 $15,155.00 $4,084.00 $14,287.00 $7,413.00 2026-05-06
28415 OTHER Calcaneal Fx, Open Tx,w/fixat 16 16 $13,810.00 $13,810.00 $4,224.00 $14,287.00 $7,144.00 2026-05-08
28445 CPT Ankle,open Tx Of Talus Fx 17 17 $15,155.00 $15,155.00 $4,084.00 $14,287.00 $7,413.00 2026-05-06
28445 OTHER Ankle,open Tx Of Talus Fx 16 16 $10,175.00 $10,175.00 $4,224.00 $14,287.00 $7,144.00 2026-05-08
28725 CPT Foot,arthrodesis,subtalar 17 17 $27,300.00 $27,300.00 $4,241.00 $25,734.00 $13,117.00 2026-05-06
28725 OTHER Foot,arthrodesis,subtalar 16 16 $15,205.00 $15,205.00 $4,364.00 $25,734.00 $10,078.00 2026-05-08
28730 CPT Foot,arthrodesis,midtar/tmt 17 17 $27,300.00 $27,300.00 $4,241.00 $25,734.00 $13,117.00 2026-05-06
28730 OTHER Foot,arthrodesis,midtar/tmt 16 16 $21,630.00 $21,630.00 $4,364.00 $25,734.00 $11,684.00 2026-05-08
28740 CPT Foot,arthrodesis Tmt,single Jt 17 17 $15,155.00 $15,155.00 $4,241.00 $14,287.00 $7,413.00 2026-05-06
28750 CPT Arthrodesis Grt Toe/mtp Joint 17 17 $15,155.00 $15,155.00 $4,241.00 $14,287.00 $7,413.00 2026-05-06
29806 CPT Arthroscopy Shoulder, Surgical 17 17 $15,155.00 $15,155.00 $4,084.00 $14,287.00 $7,413.00 2026-05-06
29807 CPT Arthroscopy, Shoulder, Surgica 17 17 $15,155.00 $15,155.00 $4,084.00 $14,287.00 $7,413.00 2026-05-06
29807 OTHER Arthroscopy, Shoulder, Surgica 16 16 $11,750.00 $11,750.00 $4,320.00 $14,287.00 $7,144.00 2026-05-08
29827 CPT Arthroscopy, Shoulder, Rotator 17 17 $15,155.00 $15,155.00 $4,320.00 $14,287.00 $7,413.00 2026-05-06
29827 OTHER Arthroscopy, Shoulder, Rotator 16 16 $11,950.00 $11,950.00 $4,320.00 $14,287.00 $7,144.00 2026-05-08
29828 CPT Arthroscopy, Shoulder, Biceps 17 17 $15,155.00 $15,155.00 $4,084.00 $14,287.00 $7,413.00 2026-05-06
29828 OTHER Arthroscopy, Shoulder, Biceps 16 16 $11,625.00 $11,625.00 $4,320.00 $14,287.00 $7,144.00 2026-05-08
29855 CPT Arthroscopy, Tib Fx, Prox; Uni 17 17 $15,155.00 $15,155.00 $4,241.00 $14,287.00 $7,413.00 2026-05-06
29855 OTHER Arthroscopy, Tib Fx, Prox; Uni 16 16 $11,565.00 $11,565.00 $4,320.00 $14,287.00 $7,144.00 2026-05-08
29862 CPT Hip Arthroscopy W/debridement 17 17 $15,155.00 $15,155.00 $4,241.00 $14,287.00 $7,413.00 2026-05-06
29862 OTHER Hip Arthroscopy W/debridement 16 16 $12,625.00 $12,625.00 $4,320.00 $14,287.00 $7,144.00 2026-05-08
29866 CPT Arthroscopy, Knee, Surgical; O 17 17 $15,155.00 $15,155.00 $4,084.00 $14,287.00 $7,413.00 2026-05-06
29885 CPT Knee Arthroscopy/surgery 17 17 $15,155.00 $15,155.00 $4,084.00 $14,287.00 $7,413.00 2026-05-06
29885 OTHER Knee Arthroscopy/surgery 16 16 $10,995.00 $10,995.00 $4,320.00 $14,287.00 $7,144.00 2026-05-08
29887 CPT Arthrscpy,knee;drill Osteochon 17 17 $15,155.00 $15,155.00 $4,084.00 $14,287.00 $7,413.00 2026-05-06
29887 OTHER Arthrscpy,knee;drill Osteochon 16 16 $11,590.00 $11,590.00 $4,320.00 $14,287.00 $7,144.00 2026-05-08
29888 CPT Arthroscopy,knee, Acl Repair 17 17 $17,280.00 $17,280.00 $4,320.00 $14,287.00 $7,413.00 2026-05-06
29888 OTHER Arthroscopy,knee, Acl Repair 16 16 $16,270.00 $16,270.00 $4,320.00 $14,287.00 $7,144.00 2026-05-08
29889 CPT Arthroscopically Aided Posteri 17 17 $27,300.00 $27,300.00 $4,084.00 $25,734.00 $13,117.00 2026-05-06
29889 OTHER Arthroscopically Aided Posteri 16 16 $19,085.00 $19,085.00 $4,320.00 $25,734.00 $11,048.00 2026-05-08
29892 CPT Ankle Arthroscopy/surgery 17 17 $15,155.00 $15,155.00 $4,084.00 $14,287.00 $7,413.00 2026-05-06
29892 OTHER Ankle Arthroscopy/surgery 16 16 $11,020.00 $11,020.00 $4,320.00 $14,287.00 $7,144.00 2026-05-08
29914 CPT Hip Arthroscpy W/femoroplasty 17 17 $15,155.00 $15,155.00 $4,241.00 $14,287.00 $7,413.00 2026-05-06
29914 OTHER Hip Arthroscpy W/femoroplasty 16 16 $12,745.00 $12,745.00 $4,320.00 $14,287.00 $7,144.00 2026-05-08
29916 CPT Hip Arthroscpy W/labral Repair 17 17 $15,155.00 $15,155.00 $4,241.00 $14,287.00 $7,413.00 2026-05-06
29916 OTHER Hip Arthroscpy W/labral Repair 16 16 $12,825.00 $12,825.00 $4,320.00 $14,287.00 $7,144.00 2026-05-08
309 482 CPT Other Significant Hip And Femur Surgery 8 8 $18,921.00 $18,921.00 $10,974.00 $19,443.00 $15,714.00 2026-05-06
309 482 OTHER Other Significant Hip And Femur Surgery 8 8 $18,921.00 $18,921.00 $9,461.00 $14,333.00 $12,800.50 2026-05-08
313 488 CPT Knee And Lower Leg Procedures Except Foot 8 8 $36,552.00 $36,552.00 $11,196.00 $24,422.00 $22,811.00 2026-05-06
313 488 OTHER Knee And Lower Leg Procedures Except Foot 8 8 $36,552.00 $36,552.00 $11,196.00 $23,130.00 $20,124.50 2026-05-08
313 493 CPT Knee And Lower Leg Procedures Except Foot 8 8 $39,230.00 $39,230.00 $11,196.00 $24,422.00 $23,587.50 2026-05-06
313 493 OTHER Knee And Lower Leg Procedures Except Foot 8 8 $39,230.00 $39,230.00 $11,196.00 $23,130.00 $20,794.00 2026-05-08
313 494 CPT Knee And Lower Leg Procedures Except Foot 8 8 $25,501.00 $25,501.00 $11,196.00 $24,422.00 $19,606.50 2026-05-06
313 494 OTHER Knee And Lower Leg Procedures Except Foot 8 8 $25,501.00 $25,501.00 $11,196.00 $23,130.00 $17,362.00 2026-05-08
321 472 CPT Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 8 8 $60,752.00 $60,752.00 $14,834.00 $35,236.00 $27,999.00 2026-05-06
321 472 OTHER Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 8 8 $60,752.00 $60,752.00 $14,834.00 $30,376.00 $26,756.00 2026-05-08
321 473 CPT Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 8 8 $64,158.00 $64,158.00 $14,834.00 $37,212.00 $27,999.00 2026-05-06
321 473 OTHER Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 8 8 $64,158.00 $64,158.00 $14,834.00 $32,079.00 $26,756.00 2026-05-08
322 483 CPT Shoulder And Elbow Joint Replacement 8 8 $47,465.00 $47,465.00 $13,038.00 $28,855.00 $28,192.50 2026-05-06
322 483 OTHER Shoulder And Elbow Joint Replacement 8 8 $47,465.00 $47,465.00 $13,038.00 $27,298.00 $24,833.00 2026-05-08
325 468 CPT Non-elective Or Complex Knee Joint Replacement 8 8 $38,833.00 $38,833.00 $17,346.00 $38,458.00 $30,490.50 2026-05-06
325 468 OTHER Non-elective Or Complex Knee Joint Replacement 8 8 $38,833.00 $38,833.00 $17,346.00 $36,279.00 $26,941.00 2026-05-08
326 462 OTHER Bilateral Elective Hip Joint Replacement 8 8 $66,405.00 $66,405.00 $10,708.00 $35,304.00 $33,370.50 2026-05-08
326 462 CPT Bilateral Elective Hip Joint Replacement 8 8 $66,405.00 $66,405.00 $10,708.00 $38,515.00 $26,504.00 2026-05-06
33225 OTHER L Ventric Pacing Lead Add-on 8 8 $4,250.00 $4,250.00 $2,125.00 $14,808.00 $10,184.50 2026-05-08
33225 CPT L Ventric Pacing Lead Add-on 8 8 — — $4,241.00 $13,445.00 $9,873.00 2026-05-06
33249 CPT Dual Chamber Icd With Leds Imp 17 17 $17,810.00 $17,810.00 $5,417.00 $64,123.00 $32,069.00 2026-05-06
33249 OTHER Dual Chamber Icd With Leds Imp 16 16 $16,995.00 $16,995.00 $8,498.00 $64,123.00 $32,062.00 2026-05-08
33513 CPT Imp Ptla Cmt Ovl Ply Xe 32x8 4 4 $1,794.00 $1,794.00 $897.00 $13,970.00 $7,523.00 2026-05-06
38571 CPT Laproscopy Lymphadenectomy 17 17 $22,090.00 $22,090.00 $2,927.00 $20,822.00 $10,860.00 2026-05-06
38571 OTHER Laproscopy Lymphadenectomy 16 16 $13,905.00 $13,905.00 $2,927.00 $20,822.00 $8,385.50 2026-05-08
43280 CPT Laparoscopy Fundoplasty 17 17 $22,090.00 $22,090.00 $4,026.00 $20,822.00 $10,860.00 2026-05-06
43280 OTHER Laparoscopy Fundoplasty 16 16 $15,905.00 $15,905.00 $4,026.00 $20,822.00 $10,411.00 2026-05-08
43282 CPT Lap Paraesoph Her Rpr Wmesh 17 17 $22,090.00 $22,090.00 $4,571.00 $20,822.00 $10,860.00 2026-05-06
43282 OTHER Lap Paraesoph Her Rpr Wmesh 16 16 $14,320.00 $14,320.00 $5,138.00 $20,822.00 $10,411.00 2026-05-08
43775 CPT Lap Sleeve Gastrectomy 8 8 $16,870.00 $16,870.00 $2,601.00 $15,233.00 $11,834.00 2026-05-06
43775 OTHER Lap Sleeve Gastrectomy 8 8 $14,990.00 $14,990.00 $2,601.00 $13,127.00 $9,983.00 2026-05-08
462 462 CPT Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With 10 10 $67,825.00 $67,825.00 $19,706.00 $40,761.00 $21,232.50 2026-05-06
462 462 OTHER Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With 9 9 $67,825.00 $67,825.00 $18,940.00 $40,761.00 $20,380.00 2026-05-08
465 465 CPT Wound Debridement And Skin Graft Except Hand For Musculoskeletal And 10 10 $19,492.00 $19,492.00 $11,305.00 $24,709.00 $13,510.00 2026-05-06
465 465 OTHER Wound Debridement And Skin Graft Except Hand For Musculoskeletal And 9 9 $19,492.00 $19,492.00 $9,746.00 $24,709.00 $12,354.00 2026-05-08
467 467 CPT Revision Of Hip Or Knee Replacement With Cc 10 10 $43,295.00 $43,295.00 $25,111.00 $48,750.00 $26,126.00 2026-05-06
467 467 OTHER Revision Of Hip Or Knee Replacement With Cc 9 9 $43,295.00 $43,295.00 $21,648.00 $48,750.00 $24,375.00 2026-05-08
468 468 CPT Revision Of Hip Or Knee Replacement Without Cc/mcc 10 10 $45,216.00 $45,216.00 $20,358.00 $37,339.00 $21,935.00 2026-05-06
468 468 OTHER Revision Of Hip Or Knee Replacement Without Cc/mcc 9 9 $45,216.00 $45,216.00 $17,765.00 $37,339.00 $18,669.00 2026-05-08
470 470 CPT Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extrem 10 10 $37,468.00 $37,468.00 $14,290.00 $26,838.00 $15,397.00 2026-05-06
470 470 OTHER Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extrem 9 9 $37,468.00 $37,468.00 $12,522.00 $26,838.00 $13,419.00 2026-05-08
475 475 CPT Amputation For Musculoskeletal System And Connective Tissue Disorder 10 10 $17,248.00 $17,248.00 $10,004.00 $30,704.00 $16,859.00 2026-05-06
475 475 OTHER Amputation For Musculoskeletal System And Connective Tissue Disorder 9 9 $17,248.00 $17,248.00 $8,624.00 $30,704.00 $15,352.00 2026-05-08
476 476 CPT Amputation For Musculoskeletal System And Connective Tissue Disorder 10 10 $17,817.00 $17,817.00 $8,743.00 $16,554.00 $9,420.50 2026-05-06
476 476 OTHER Amputation For Musculoskeletal System And Connective Tissue Disorder 9 9 $17,817.00 $17,817.00 $7,832.00 $16,554.00 $8,277.00 2026-05-08
481 481 CPT Hip And Femur Procedures Except Major Joint With Cc 10 10 $24,663.00 $24,663.00 $14,305.00 $29,534.00 $15,516.00 2026-05-06
481 481 OTHER Hip And Femur Procedures Except Major Joint With Cc 9 9 $24,663.00 $24,663.00 $12,332.00 $29,534.00 $14,767.00 2026-05-08
483 483 CPT Major Joint Or Limb Reattachment Procedures Of Upper Extremities 10 10 $43,651.00 $43,651.00 $20,535.00 $36,270.00 $22,125.50 2026-05-06
483 483 OTHER Major Joint Or Limb Reattachment Procedures Of Upper Extremities 9 9 $43,651.00 $43,651.00 $17,393.00 $36,270.00 $18,135.00 2026-05-08
489 489 CPT Knee Procedures Without Principal Diagnosis Of Infection Without Cc/ 10 10 $34,339.00 $34,339.00 $8,273.00 $19,917.00 $8,914.00 2026-05-06
489 489 OTHER Knee Procedures Without Principal Diagnosis Of Infection Without Cc/ 9 9 $34,339.00 $34,339.00 $8,236.00 $17,630.00 $8,815.00 2026-05-08
494 494 CPT Lower Extremity And Humerus Procedures Except Hip, Foot And Femur W 10 10 $16,664.00 $16,664.00 $9,665.00 $26,838.00 $14,865.00 2026-05-06
494 494 OTHER Lower Extremity And Humerus Procedures Except Hip, Foot And Femur W 9 9 $16,664.00 $16,664.00 $8,332.00 $26,838.00 $13,419.00 2026-05-08
50544 CPT Laparoscopy Pyeloplasty 17 17 $22,090.00 $22,090.00 $4,571.00 $20,822.00 $10,860.00 2026-05-06
50544 OTHER Laparoscopy Pyeloplasty 16 16 $19,055.00 $19,055.00 $5,457.00 $30,915.00 $10,411.00 2026-05-08
50947 CPT Laparo New Ureter/bladder 17 17 $22,090.00 $22,090.00 $4,774.00 $20,822.00 $10,860.00 2026-05-06
50947 OTHER Laparo New Ureter/bladder 16 16 $10,610.00 $10,610.00 $5,305.00 $30,915.00 $10,411.00 2026-05-08
517 517 CPT Other Musculoskeletal System And Connective Tissue O.r. Procedures W 10 10 $26,017.00 $26,017.00 $11,384.00 $21,246.00 $12,266.00 2026-05-06
517 517 OTHER Other Musculoskeletal System And Connective Tissue O.r. Procedures W 9 9 $26,017.00 $26,017.00 $9,944.00 $21,246.00 $10,623.00 2026-05-08
54405 CPT Insert Multicomp Penis Prosth 17 17 $13,335.00 $13,335.00 $4,084.00 $40,257.00 $21,175.00 2026-05-06
54405 OTHER Insert Multicomp Penis Prosth 16 16 $11,845.00 $11,845.00 $5,923.00 $40,257.00 $20,129.00 2026-05-08
55866 CPT Laparo Radical Prostatectomy 17 17 $22,090.00 $22,090.00 $3,524.00 $20,822.00 $10,860.00 2026-05-06
55866 OTHER Laparo Radical Prostatectomy 16 16 $14,835.00 $14,835.00 $3,524.00 $20,822.00 $9,294.00 2026-05-08
55867 CPT Laps Surg Prst8ect Smpl Stot 17 17 $22,090.00 $22,090.00 $3,524.00 $20,822.00 $10,860.00 2026-05-06
55867 OTHER Laps Surg Prst8ect Smpl Stot 16 16 $13,155.00 $13,155.00 $3,524.00 $20,822.00 $9,294.00 2026-05-08
57282 CPT Colpopexy Extraperitoneal 17 17 $15,690.00 $15,690.00 $1,951.00 $14,790.00 $7,576.00 2026-05-06
57425 CPT Laparoscopy, Colpopexy 17 17 $22,090.00 $22,090.00 $4,437.00 $20,822.00 $10,860.00 2026-05-06
57425 OTHER Laparoscopy, Colpopexy 16 16 $14,465.00 $14,465.00 $4,437.00 $20,822.00 $10,411.00 2026-05-08
58541 CPT Laparoscopy With Hysterectomy 17 17 $22,090.00 $22,090.00 $4,571.00 $20,822.00 $10,860.00 2026-05-06
58541 OTHER Laparoscopy With Hysterectomy 16 16 $13,855.00 $13,855.00 $4,660.00 $20,822.00 $10,411.00 2026-05-08
58542 CPT Laparoscopy, W/hysterectomy 17 17 $22,090.00 $22,090.00 $4,571.00 $20,822.00 $10,860.00 2026-05-06
58542 OTHER Laparoscopy, W/hysterectomy 16 16 $15,475.00 $15,475.00 $4,660.00 $20,822.00 $10,411.00 2026-05-08
58546 CPT Laparo-myomectomy Complex 17 17 $22,090.00 $22,090.00 $4,660.00 $20,822.00 $10,860.00 2026-05-06
58546 OTHER Laparo-myomectomy Complex 16 16 $16,635.00 $16,635.00 $4,660.00 $20,822.00 $10,411.00 2026-05-08
58552 CPT Laparoscopy Surgical, With Vag 17 17 $22,090.00 $22,090.00 $4,660.00 $20,822.00 $10,860.00 2026-05-06
58552 OTHER Laparoscopy Surgical, With Vag 16 16 $12,190.00 $12,190.00 $4,660.00 $20,822.00 $10,411.00 2026-05-08
58570 CPT Lap Total Hysterectomy 17 17 $22,090.00 $22,090.00 $4,660.00 $20,822.00 $10,860.00 2026-05-06
58570 OTHER Lap Total Hysterectomy 16 16 $14,575.00 $14,575.00 $4,660.00 $20,822.00 $10,411.00 2026-05-08
58571 CPT Lap Total Hysterectomy W/t&o 17 17 $22,090.00 $22,090.00 $4,660.00 $20,822.00 $10,860.00 2026-05-06
58571 OTHER Lap Total Hysterectomy W/t&o 16 16 $13,340.00 $13,340.00 $4,660.00 $20,822.00 $10,411.00 2026-05-08
58573 CPT Tlh W/t/o Uterus Over 250 G 17 17 $22,090.00 $22,090.00 $4,660.00 $20,822.00 $10,860.00 2026-05-06
58573 OTHER Tlh W/t/o Uterus Over 250 G 16 16 $14,825.00 $14,825.00 $4,660.00 $20,822.00 $10,411.00 2026-05-08
621 621 CPT O.r. Procedures For Obesity Without Cc/mcc 10 10 $21,380.00 $21,380.00 $11,174.00 $20,806.00 $11,787.00 2026-05-06
621 621 OTHER O.r. Procedures For Obesity Without Cc/mcc 9 9 $21,380.00 $21,380.00 $10,097.00 $20,806.00 $10,403.00 2026-05-08
63042 CPT Lamintmy/decom/exc;re Expl Lum 17 17 $11,370.00 $11,370.00 $3,952.00 $14,287.00 $7,413.00 2026-05-06
63044 OTHER Laminotomy (hemilaminectomy) 8 8 $1,500.00 $1,500.00 $750.00 $9,202.00 $8,834.00 2026-05-08
63044 CPT Laminotomy (hemilaminectomy) 8 8 — — $1,506.00 $9,202.00 $8,204.00 2026-05-06
63045 CPT Laminectomy, Facetectomy And F 17 17 $11,270.00 $11,270.00 $3,952.00 $14,287.00 $7,413.00 2026-05-06
63047 CPT Laminectomy, Lumbar 17 17 $11,085.00 $11,085.00 $3,952.00 $14,287.00 $7,413.00 2026-05-06
63052 OTHER Lam Facetc/frmt Arthrd Lum 1 8 8 $1,500.00 $1,500.00 $750.00 $9,202.00 $8,834.00 2026-05-08
63052 CPT Lam Facetc/frmt Arthrd Lum 1 8 8 — — $1,506.00 $9,202.00 $8,204.00 2026-05-06
63056 CPT Transpedicular Approach With D 17 17 $11,450.00 $11,450.00 $3,952.00 $14,287.00 $7,413.00 2026-05-06
64590 OTHER Ins/place Neurostim Generator 16 16 $19,055.00 $19,055.00 $9,528.00 $42,889.00 $21,444.00 2026-05-08
64590 CPT Ins/place Neurostim Generator 17 17 $19,805.00 $19,805.00 $2,709.00 $42,889.00 $19,820.00 2026-05-06
708 708 CPT Major Male Pelvic Procedures Without Cc/mcc 10 10 $28,329.00 $28,329.00 $11,366.00 $21,101.00 $12,246.50 2026-05-06
708 708 OTHER Major Male Pelvic Procedures Without Cc/mcc 9 9 $28,329.00 $28,329.00 $9,705.00 $21,101.00 $10,550.00 2026-05-08
742 742 CPT Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 10 10 $20,205.00 $20,205.00 $11,719.00 $26,000.00 $13,593.00 2026-05-06
742 742 OTHER Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 9 9 $20,205.00 $20,205.00 $10,103.00 $26,000.00 $13,000.00 2026-05-08
743 743 CPT Uterine And Adnexa Procedures For Non-malignancy Without Cc/mcc 10 10 $14,751.00 $14,751.00 $8,556.00 $17,061.00 $9,191.00 2026-05-06
743 743 OTHER Uterine And Adnexa Procedures For Non-malignancy Without Cc/mcc 9 9 $14,751.00 $14,751.00 $7,376.00 $17,061.00 $8,530.00 2026-05-08
951 982 CPT Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 13 13 $26,897.00 $26,897.00 $13,278.00 $30,471.00 $18,213.00 2026-05-06
951 982 OTHER Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 5 5 $26,897.00 $26,897.00 $13,278.00 $13,977.00 $13,449.00 2026-05-08
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