|
171
|
OTHER
|
—
|
4
|
4
|
$900.00
|
$864.00
|
$6,606.88
|
$6,606.88
|
$6,606.88
|
2026-05-08
|
|
121
|
OTHER
|
—
|
4
|
4
|
$1,625.00
|
$1,560.00
|
$6,606.88
|
$6,606.88
|
$6,606.88
|
2026-05-08
|
|
111
|
OTHER
|
—
|
4
|
4
|
$700.00
|
$672.00
|
$6,606.88
|
$6,606.88
|
$6,606.88
|
2026-05-08
|
|
0361U
|
CPT
|
—
|
0
|
0
|
$966.14
|
$927.49
|
—
|
—
|
—
|
2026-05-08
|
|
10061
|
CPT
|
I&d Abscess Comp/multiple
|
0
|
0
|
$1,200.00
|
$1,152.00
|
—
|
—
|
—
|
2026-05-08
|
|
10080
|
CPT
|
I&d Pilonidal Cyst Simple
|
0
|
0
|
$800.00
|
$768.00
|
—
|
—
|
—
|
2026-05-08
|
|
10060
|
CPT
|
I&d Abscess Simple/single
|
0
|
0
|
$600.00
|
$576.00
|
—
|
—
|
—
|
2026-05-08
|
|
10140
|
CPT
|
I&d Hmtma Seroma/fluid Collj
|
0
|
0
|
$750.00
|
$720.00
|
—
|
—
|
—
|
2026-05-08
|
|
10160
|
CPT
|
Pnxr Aspir Absc Hmtma Bulla
|
0
|
0
|
$300.00
|
$288.00
|
—
|
—
|
—
|
2026-05-08
|
|
11042
|
CPT
|
Dbrdmt Subq Tis 1st 20sqcm/<
|
0
|
0
|
$600.00
|
$576.00
|
—
|
—
|
—
|
2026-05-08
|
|
11102
|
CPT
|
Tangntl Bx Skin Single Les
|
0
|
0
|
$350.00
|
$336.00
|
—
|
—
|
—
|
2026-05-08
|
|
11302
|
CPT
|
Shave Skin Lesion 1.1-2.0 Cm
|
0
|
0
|
$750.00
|
$720.00
|
—
|
—
|
—
|
2026-05-08
|
|
11406
|
CPT
|
Exc Tr-ext B9+marg >4.0 Cm
|
0
|
0
|
$3,000.00
|
$2,880.00
|
—
|
—
|
—
|
2026-05-08
|
|
11421
|
CPT
|
Exc H-f-nk-sp B9+marg 0.6-1
|
0
|
0
|
$2,000.00
|
$1,920.00
|
—
|
—
|
—
|
2026-05-08
|
|
11442
|
CPT
|
Exc Face-mm B9+marg 1.1-2 Cm
|
0
|
0
|
$1,500.00
|
$1,440.00
|
—
|
—
|
—
|
2026-05-08
|
|
12005
|
CPT
|
Rpr S/n/a/gen/trk12.6-20.0cm
|
0
|
0
|
$400.00
|
$384.00
|
—
|
—
|
—
|
2026-05-08
|
|
11443
|
CPT
|
Exc Face-mm B9+marg 2.1-3 Cm
|
0
|
0
|
$2,000.00
|
$1,920.00
|
—
|
—
|
—
|
2026-05-08
|
|
11601
|
CPT
|
Exc Tr-ext Mal+marg 0.6-1 Cm
|
0
|
0
|
$600.00
|
$576.00
|
—
|
—
|
—
|
2026-05-08
|
|
11641
|
CPT
|
Exc F/e/e/n/l Mal+mrg 0.6-1
|
0
|
0
|
$500.00
|
$480.00
|
—
|
—
|
—
|
2026-05-08
|
|
11643
|
CPT
|
Exc F/e/e/n/l Mal+mrg 2.1-3
|
0
|
0
|
$2,000.00
|
$1,920.00
|
—
|
—
|
—
|
2026-05-08
|
|
11719
|
CPT
|
Trim Nail(s) Any Number
|
0
|
0
|
$85.00
|
$81.60
|
—
|
—
|
—
|
2026-05-08
|
|
11730
|
CPT
|
Avulsion Nail Plate Simple 1
|
0
|
0
|
$500.00
|
$480.00
|
—
|
—
|
—
|
2026-05-08
|
|
11740
|
CPT
|
Evacuation Subungual Hmtma
|
0
|
0
|
$175.00
|
$168.00
|
—
|
—
|
—
|
2026-05-08
|
|
11750
|
CPT
|
Excision Nail&nail Matrix
|
0
|
0
|
$750.00
|
$720.00
|
—
|
—
|
—
|
2026-05-08
|
|
11760
|
CPT
|
Repair Of Nail Bed
|
0
|
0
|
$1,000.00
|
$960.00
|
—
|
—
|
—
|
2026-05-08
|
|
11770
|
CPT
|
Exc Pilonidal Cyst Simple
|
0
|
0
|
$5,000.00
|
$4,800.00
|
—
|
—
|
—
|
2026-05-08
|
|
11771
|
CPT
|
Exc Pilonidal Cyst Xtnsv
|
0
|
0
|
$5,500.00
|
$5,280.00
|
—
|
—
|
—
|
2026-05-08
|
|
11772
|
CPT
|
Exc Pilonidal Cyst Comp
|
0
|
0
|
$6,000.00
|
$5,760.00
|
—
|
—
|
—
|
2026-05-08
|
|
12001
|
CPT
|
Rpr S/n/ax/gen/trnk 2.5cm/<
|
0
|
0
|
$300.00
|
$288.00
|
—
|
—
|
—
|
2026-05-08
|
|
12002
|
CPT
|
Rpr S/n/ax/gen/trnk2.6-7.5cm
|
0
|
0
|
$325.00
|
$312.00
|
—
|
—
|
—
|
2026-05-08
|
|
19101
|
CPT
|
Biopsy Of Breast Open
|
0
|
0
|
$3,500.00
|
$3,360.00
|
—
|
—
|
—
|
2026-05-08
|
|
28505
|
CPT
|
Treat Big Toe Fracture
|
0
|
0
|
$2,800.00
|
$2,688.00
|
—
|
—
|
—
|
2026-05-08
|
|
12006
|
CPT
|
Rpr S/n/a/gen/trk20.1-30.0cm
|
0
|
0
|
$500.00
|
$480.00
|
—
|
—
|
—
|
2026-05-08
|
|
12007
|
CPT
|
Rpr S/n/ax/gen/trnk >30.0 Cm
|
0
|
0
|
$550.00
|
$528.00
|
—
|
—
|
—
|
2026-05-08
|
|
12011
|
CPT
|
Rpr F/e/e/n/l/m 2.5 Cm/<
|
0
|
0
|
$400.00
|
$384.00
|
—
|
—
|
—
|
2026-05-08
|
|
12013
|
CPT
|
Rpr F/e/e/n/l/m 2.6-5.0 Cm
|
0
|
0
|
$425.00
|
$408.00
|
—
|
—
|
—
|
2026-05-08
|
|
12014
|
CPT
|
Rpr F/e/e/n/l/m 5.1-7.5 Cm
|
0
|
0
|
$450.00
|
$432.00
|
—
|
—
|
—
|
2026-05-08
|
|
12015
|
CPT
|
Rpr F/e/e/n/l/m 7.6-12.5 Cm
|
0
|
0
|
$500.00
|
$480.00
|
—
|
—
|
—
|
2026-05-08
|
|
12016
|
CPT
|
Rpr Fe/e/en/l/m 12.6-20.0 Cm
|
0
|
0
|
$400.00
|
$384.00
|
—
|
—
|
—
|
2026-05-08
|
|
12021
|
CPT
|
Tx Supfc Wnd Dehsn W/packing
|
0
|
0
|
$300.00
|
$288.00
|
—
|
—
|
—
|
2026-05-08
|
|
12031
|
CPT
|
Intmd Rpr S/a/t/ext 2.5 Cm/<
|
0
|
0
|
$550.00
|
$528.00
|
—
|
—
|
—
|
2026-05-08
|
|
12032
|
CPT
|
Intmd Rpr S/a/t/ext 2.6-7.5
|
0
|
0
|
$600.00
|
$576.00
|
—
|
—
|
—
|
2026-05-08
|
|
12034
|
CPT
|
Intmd Rpr S/tr/ext 7.6-12.5
|
0
|
0
|
$800.00
|
$768.00
|
—
|
—
|
—
|
2026-05-08
|
|
12035
|
CPT
|
Intmd Rpr S/a/t/ext 12.6-20
|
0
|
0
|
$900.00
|
$864.00
|
—
|
—
|
—
|
2026-05-08
|
|
12041
|
CPT
|
Intmd Rpr N-hf/genit 2.5cm/<
|
0
|
0
|
$700.00
|
$672.00
|
—
|
—
|
—
|
2026-05-08
|
|
12042
|
CPT
|
Intmd Rpr N-hf/genit2.6-7.5
|
0
|
0
|
$750.00
|
$720.00
|
—
|
—
|
—
|
2026-05-08
|
|
12045
|
CPT
|
Intmd Rpr N-hf/genit12.6-20
|
0
|
0
|
$1,100.00
|
$1,056.00
|
—
|
—
|
—
|
2026-05-08
|
|
12051
|
CPT
|
Intmd Rpr Face/mm 2.5 Cm/<
|
0
|
0
|
$500.00
|
$480.00
|
—
|
—
|
—
|
2026-05-08
|
|
12052
|
CPT
|
Intmd Rpr Face/mm 2.6-5.0 Cm
|
0
|
0
|
$500.00
|
$480.00
|
—
|
—
|
—
|
2026-05-08
|
|
12053
|
CPT
|
Intmd Rpr Face/mm 5.1-7.5 Cm
|
0
|
0
|
$500.00
|
$480.00
|
—
|
—
|
—
|
2026-05-08
|
|
13101
|
CPT
|
Cmplx Rpr Trunk 2.6-7.5 Cm
|
0
|
0
|
$1,250.00
|
$1,200.00
|
—
|
—
|
—
|
2026-05-08
|
|
13102
|
CPT
|
Cmplx Rpr Trunk Addl 5cm/<
|
0
|
0
|
$500.00
|
$480.00
|
—
|
—
|
—
|
2026-05-08
|
|
13121
|
CPT
|
Cmplx Rpr S/a/l 2.6-7.5 Cm
|
0
|
0
|
$1,250.00
|
$1,200.00
|
—
|
—
|
—
|
2026-05-08
|
|
13122
|
CPT
|
Cmplx Rpr S/a/l Addl 5 Cm/>
|
0
|
0
|
$400.00
|
$384.00
|
—
|
—
|
—
|
2026-05-08
|
|
13132
|
CPT
|
Cmplx Rpr F/c/c/m/n/ax/g/h/f
|
0
|
0
|
$750.00
|
$720.00
|
—
|
—
|
—
|
2026-05-08
|
|
16000
|
CPT
|
Initial Treatment Of Burn(s)
|
0
|
0
|
$250.00
|
$240.00
|
—
|
—
|
—
|
2026-05-08
|
|
16020
|
CPT
|
Dress/debrid P-thick Burn S
|
0
|
0
|
$350.00
|
$336.00
|
—
|
—
|
—
|
2026-05-08
|
|
16025
|
CPT
|
Dress/debrid P-thick Burn M
|
0
|
0
|
$500.00
|
$480.00
|
—
|
—
|
—
|
2026-05-08
|
|
17000
|
CPT
|
Destruct Premalg Lesion
|
0
|
0
|
$205.00
|
$196.80
|
—
|
—
|
—
|
2026-05-08
|
|
17003
|
CPT
|
Destruct Premalg Les 2-14
|
0
|
0
|
$85.00
|
$81.60
|
—
|
—
|
—
|
2026-05-08
|
|
17110
|
CPT
|
Destruction B9 Les Up To 14
|
0
|
0
|
$265.00
|
$254.40
|
—
|
—
|
—
|
2026-05-08
|
|
17250
|
CPT
|
Chem Caut Of Granltj Tissue
|
0
|
0
|
$300.00
|
$288.00
|
—
|
—
|
—
|
2026-05-08
|
|
58120
|
CPT
|
Dilation And Curettage
|
0
|
0
|
$4,250.00
|
$4,080.00
|
—
|
—
|
—
|
2026-05-08
|
|
56501
|
CPT
|
Destroy Vulva Lesions Sim
|
0
|
0
|
$2,000.00
|
$1,920.00
|
—
|
—
|
—
|
2026-05-08
|
|
19120
|
CPT
|
Removal Of Breast Lesion
|
0
|
0
|
$3,500.00
|
$3,360.00
|
—
|
—
|
—
|
2026-05-08
|
|
19301
|
CPT
|
Partial Mastectomy
|
0
|
0
|
$3,250.00
|
$3,120.00
|
—
|
—
|
—
|
2026-05-08
|
|
20520
|
CPT
|
Rmvl Fb Musc/tdn Simple
|
0
|
0
|
$500.00
|
$480.00
|
—
|
—
|
—
|
2026-05-08
|
|
20550
|
CPT
|
Njx 1 Tendon Sheath/ligament
|
0
|
0
|
$400.00
|
$384.00
|
—
|
—
|
—
|
2026-05-08
|
|
20551
|
CPT
|
Njx 1 Tendon Origin/insj
|
0
|
0
|
$400.00
|
$384.00
|
—
|
—
|
—
|
2026-05-08
|
|
20552
|
CPT
|
Njx 1/mlt Trigger Point 1/2
|
0
|
0
|
$400.00
|
$384.00
|
—
|
—
|
—
|
2026-05-08
|
|
20553
|
CPT
|
Njx 1/mlt Trigger Points 3/>
|
0
|
0
|
$850.00
|
$816.00
|
—
|
—
|
—
|
2026-05-08
|
|
20600
|
CPT
|
Drain/inj Joint/bursa Without US
|
0
|
0
|
$450.00
|
$432.00
|
—
|
—
|
—
|
2026-05-08
|
|
20605
|
CPT
|
Drain/inj Joint/bursa Without US
|
0
|
0
|
$400.00
|
$384.00
|
—
|
—
|
—
|
2026-05-08
|
|
20610
|
CPT
|
Drain/inj Joint/bursa Without US
|
0
|
0
|
$450.00
|
$432.00
|
—
|
—
|
—
|
2026-05-08
|
|
21315
|
CPT
|
Clsd Tx Nsl Fx Mnpj Wo Stblj
|
0
|
0
|
$900.00
|
$864.00
|
—
|
—
|
—
|
2026-05-08
|
|
21480
|
CPT
|
Cltx Tmprmand Dislc 1st/sbsq
|
0
|
0
|
$400.00
|
$384.00
|
—
|
—
|
—
|
2026-05-08
|
|
21931
|
CPT
|
Exc Back Les Sc 3 Cm/>
|
0
|
0
|
$2,000.00
|
$1,920.00
|
—
|
—
|
—
|
2026-05-08
|
|
21933
|
CPT
|
Exc Back Tum Deep 5 Cm/>
|
0
|
0
|
$3,000.00
|
$2,880.00
|
—
|
—
|
—
|
2026-05-08
|
|
22902
|
CPT
|
Exc Abd Les Sc < 3 Cm
|
0
|
0
|
$2,250.00
|
$2,160.00
|
—
|
—
|
—
|
2026-05-08
|
|
22903
|
CPT
|
Exc Abd Les Sc 3 Cm/>
|
0
|
0
|
$2,250.00
|
$2,160.00
|
—
|
—
|
—
|
2026-05-08
|
|
23500
|
CPT
|
Cltx Clavicular Fx Without Mnpj
|
0
|
0
|
$500.00
|
$480.00
|
—
|
—
|
—
|
2026-05-08
|
|
23545
|
CPT
|
Cltx Acromclav Dislc W/mnpj
|
0
|
0
|
$500.00
|
$480.00
|
—
|
—
|
—
|
2026-05-08
|
|
23600
|
CPT
|
Cltx Prox Humrl Fx Without Mnpj
|
0
|
0
|
$500.00
|
$480.00
|
—
|
—
|
—
|
2026-05-08
|
|
23650
|
CPT
|
Cltx Sho Dslc W/mnpj Wo Anes
|
0
|
0
|
$500.00
|
$480.00
|
—
|
—
|
—
|
2026-05-08
|
|
23655
|
CPT
|
Cltx Sho Dslc W/mnpj W/anes
|
0
|
0
|
$1,200.00
|
$1,152.00
|
—
|
—
|
—
|
2026-05-08
|
|
23665
|
CPT
|
Cltx Sho Dslc Fx Gr Hmrl Tbr
|
0
|
0
|
$1,000.00
|
$960.00
|
—
|
—
|
—
|
2026-05-08
|
|
23700
|
CPT
|
Mnpj Anes Sho Jt Fixj Aprats
|
0
|
0
|
$1,750.00
|
$1,680.00
|
—
|
—
|
—
|
2026-05-08
|
|
23930
|
CPT
|
I&d Upr A/e Dp Absc/hmtma
|
0
|
0
|
$1,000.00
|
$960.00
|
—
|
—
|
—
|
2026-05-08
|
|
24071
|
CPT
|
Exc Arm/elbow Les Sc 3 Cm/>
|
0
|
0
|
$4,200.00
|
$4,032.00
|
—
|
—
|
—
|
2026-05-08
|
|
24200
|
CPT
|
Rmvl Fb Upper Arm/elbw Subq
|
0
|
0
|
$1,000.00
|
$960.00
|
—
|
—
|
—
|
2026-05-08
|
|
24500
|
CPT
|
Cltx Humrl Shft Fx Without Mnpj
|
0
|
0
|
$350.00
|
$336.00
|
—
|
—
|
—
|
2026-05-08
|
|
24576
|
CPT
|
Cltx Humrl Cndylr Fx Wo Mnpj
|
0
|
0
|
$350.00
|
$336.00
|
—
|
—
|
—
|
2026-05-08
|
|
24600
|
CPT
|
Tx Clsd Elbow Dislc Without Anes
|
0
|
0
|
$350.00
|
$336.00
|
—
|
—
|
—
|
2026-05-08
|
|
24605
|
CPT
|
Tx Clsd Elbow Dislc Req Anes
|
0
|
0
|
$950.00
|
$912.00
|
—
|
—
|
—
|
2026-05-08
|
|
24640
|
CPT
|
Cltx Rdl Head Sublxtj Nrsemd
|
0
|
0
|
$350.00
|
$336.00
|
—
|
—
|
—
|
2026-05-08
|
|
24650
|
CPT
|
Cltx Rdl Head/nck Fx Wo Mnpj
|
0
|
0
|
$350.00
|
$336.00
|
—
|
—
|
—
|
2026-05-08
|
|
24655
|
CPT
|
Cltx Rdl Head/nck Fx W/mnpj
|
0
|
0
|
$1,000.00
|
$960.00
|
—
|
—
|
—
|
2026-05-08
|
|
24670
|
CPT
|
Cltx Ulnar Fx Prox Without Mnpj
|
0
|
0
|
$350.00
|
$336.00
|
—
|
—
|
—
|
2026-05-08
|
|
25000
|
CPT
|
Incision Of Tendon Sheath
|
0
|
0
|
$2,500.00
|
$2,400.00
|
—
|
—
|
—
|
2026-05-08
|
|
25248
|
CPT
|
Remove Forearm Foreign Body
|
0
|
0
|
$1,000.00
|
$960.00
|
—
|
—
|
—
|
2026-05-08
|
|
25560
|
CPT
|
Cltx Rdl&uln Shft Fx Wo Mnpj
|
0
|
0
|
$350.00
|
$336.00
|
—
|
—
|
—
|
2026-05-08
|
|
25565
|
CPT
|
Cltx Rdl&uln Shft Fx W/mnpj
|
0
|
0
|
$1,000.00
|
$960.00
|
—
|
—
|
—
|
2026-05-08
|
|
25600
|
CPT
|
Cltx Dst Rdl Fx/ephys Sep Wo
|
0
|
0
|
$350.00
|
$336.00
|
—
|
—
|
—
|
2026-05-08
|
|
25605
|
CPT
|
Cltx Dst Rdl Fx/ephys Sep With
|
0
|
0
|
$1,000.00
|
$960.00
|
—
|
—
|
—
|
2026-05-08
|
|
26010
|
CPT
|
Drainage Of Finger Abscess
|
0
|
0
|
$250.00
|
$240.00
|
—
|
—
|
—
|
2026-05-08
|
|
26055
|
CPT
|
Incise Finger Tendon Sheath
|
0
|
0
|
$2,250.00
|
$2,160.00
|
—
|
—
|
—
|
2026-05-08
|
|
26115
|
CPT
|
Exc Hand Les Sc < 1.5 Cm
|
0
|
0
|
$2,700.00
|
$2,592.00
|
—
|
—
|
—
|
2026-05-08
|
|
26160
|
CPT
|
Remove Tendon Sheath Lesion
|
0
|
0
|
$2,700.00
|
$2,592.00
|
—
|
—
|
—
|
2026-05-08
|
|
26605
|
CPT
|
Treat Metacarpal Fracture
|
0
|
0
|
$900.00
|
$864.00
|
—
|
—
|
—
|
2026-05-08
|
|
26700
|
CPT
|
Treat Knuckle Dislocation
|
0
|
0
|
$500.00
|
$480.00
|
—
|
—
|
—
|
2026-05-08
|
|
26725
|
CPT
|
Treat Finger Fracture Each
|
0
|
0
|
$350.00
|
$336.00
|
—
|
—
|
—
|
2026-05-08
|
|
26755
|
CPT
|
Treat Finger Fracture Each
|
0
|
0
|
$750.00
|
$720.00
|
—
|
—
|
—
|
2026-05-08
|
|
26770
|
CPT
|
Treat Finger Dislocation
|
0
|
0
|
$350.00
|
$336.00
|
—
|
—
|
—
|
2026-05-08
|
|
27266
|
CPT
|
Treat Hip Dislocation
|
0
|
0
|
$1,250.00
|
$1,200.00
|
—
|
—
|
—
|
2026-05-08
|
|
27332
|
CPT
|
Removal Of Knee Cartilage
|
0
|
0
|
$3,250.00
|
$3,120.00
|
—
|
—
|
—
|
2026-05-08
|
|
27532
|
CPT
|
Treat Knee Fracture
|
0
|
0
|
$950.00
|
$912.00
|
—
|
—
|
—
|
2026-05-08
|
|
27562
|
CPT
|
Treat Kneecap Dislocation
|
0
|
0
|
$500.00
|
$480.00
|
—
|
—
|
—
|
2026-05-08
|
|
27570
|
CPT
|
Fixation Of Knee Joint
|
0
|
0
|
$1,750.00
|
$1,680.00
|
—
|
—
|
—
|
2026-05-08
|
|
27762
|
CPT
|
Cltx Med Ankle Fx W/mnpj
|
0
|
0
|
$1,500.00
|
$1,440.00
|
—
|
—
|
—
|
2026-05-08
|
|
27810
|
CPT
|
Treatment Of Ankle Fracture
|
0
|
0
|
$1,000.00
|
$960.00
|
—
|
—
|
—
|
2026-05-08
|
|
28190
|
CPT
|
Removal Of Foot Foreign Body
|
0
|
0
|
$750.00
|
$720.00
|
—
|
—
|
—
|
2026-05-08
|
|
28192
|
CPT
|
Removal Of Foot Foreign Body
|
0
|
0
|
$1,500.00
|
$1,440.00
|
—
|
—
|
—
|
2026-05-08
|
|
28208
|
CPT
|
Repair Of Foot Tendon
|
0
|
0
|
$3,000.00
|
$2,880.00
|
—
|
—
|
—
|
2026-05-08
|
|
28470
|
CPT
|
Cltx Metatarsal Fx Wo Mnp Ea
|
0
|
0
|
$350.00
|
$336.00
|
—
|
—
|
—
|
2026-05-08
|
|
28475
|
CPT
|
Cltx Metatarsal Fx W/mnpj Ea
|
0
|
0
|
$350.00
|
$336.00
|
—
|
—
|
—
|
2026-05-08
|
|
28490
|
CPT
|
Treat Big Toe Fracture
|
0
|
0
|
$350.00
|
$336.00
|
—
|
—
|
—
|
2026-05-08
|
|
28495
|
CPT
|
Treat Big Toe Fracture
|
0
|
0
|
$350.00
|
$336.00
|
—
|
—
|
—
|
2026-05-08
|
|
19100
|
CPT
|
Bx Breast Percut Without Image
|
0
|
0
|
$750.00
|
$720.00
|
—
|
—
|
—
|
2026-05-08
|
|
28510
|
CPT
|
Treatment Of Toe Fracture
|
0
|
0
|
$300.00
|
$288.00
|
—
|
—
|
—
|
2026-05-08
|
|
28515
|
CPT
|
Treatment Of Toe Fracture
|
0
|
0
|
$350.00
|
$336.00
|
—
|
—
|
—
|
2026-05-08
|
|
28635
|
CPT
|
Treat Toe Dislocation
|
0
|
0
|
$1,500.00
|
$1,440.00
|
—
|
—
|
—
|
2026-05-08
|
|
28660
|
CPT
|
Treat Toe Dislocation
|
0
|
0
|
$350.00
|
$336.00
|
—
|
—
|
—
|
2026-05-08
|
|
28665
|
CPT
|
Treat Toe Dislocation
|
0
|
0
|
$350.00
|
$336.00
|
—
|
—
|
—
|
2026-05-08
|
|
28820
|
CPT
|
Amputation Of Toe
|
0
|
0
|
$3,000.00
|
$2,880.00
|
—
|
—
|
—
|
2026-05-08
|
|
29065
|
CPT
|
Appl Cst Sho To Hand Lng Arm
|
0
|
0
|
$450.00
|
$432.00
|
—
|
—
|
—
|
2026-05-08
|
|
29075
|
CPT
|
Appl Cst Elbw Fngr Short Arm
|
0
|
0
|
$400.00
|
$384.00
|
—
|
—
|
—
|
2026-05-08
|
|
29085
|
CPT
|
Appl Cast Hand&lwr Forearm
|
0
|
0
|
$300.00
|
$288.00
|
—
|
—
|
—
|
2026-05-08
|
|
29086
|
CPT
|
Application Cast Finger
|
0
|
0
|
$150.00
|
$144.00
|
—
|
—
|
—
|
2026-05-08
|
|
29105
|
CPT
|
Application Long Arm Splint
|
0
|
0
|
$350.00
|
$336.00
|
—
|
—
|
—
|
2026-05-08
|
|
29125
|
CPT
|
Appl Short Arm Splint Static
|
0
|
0
|
$300.00
|
$288.00
|
—
|
—
|
—
|
2026-05-08
|
|
29126
|
CPT
|
Appl Short Arm Splint Dyn
|
0
|
0
|
$175.00
|
$168.00
|
—
|
—
|
—
|
2026-05-08
|
|
29130
|
CPT
|
Appl Finger Splint Static
|
0
|
0
|
$230.00
|
$220.80
|
—
|
—
|
—
|
2026-05-08
|
|
29131
|
CPT
|
Appl Finger Splint Dynamic
|
0
|
0
|
$175.00
|
$168.00
|
—
|
—
|
—
|
2026-05-08
|
|
29240
|
CPT
|
Strapping Of Shoulder
|
0
|
0
|
$300.00
|
$288.00
|
—
|
—
|
—
|
2026-05-08
|
|
29260
|
CPT
|
Strapping Of Elbow Or Wrist
|
0
|
0
|
$100.00
|
$96.00
|
—
|
—
|
—
|
2026-05-08
|
|
29280
|
CPT
|
Strapping Of Hand Or Finger
|
0
|
0
|
$100.00
|
$96.00
|
—
|
—
|
—
|
2026-05-08
|
|
29345
|
CPT
|
Application Of Long Leg Cast
|
0
|
0
|
$700.00
|
$672.00
|
—
|
—
|
—
|
2026-05-08
|
|
29365
|
CPT
|
Appl Cylinder Cast
|
0
|
0
|
$600.00
|
$576.00
|
—
|
—
|
—
|
2026-05-08
|
|
29405
|
CPT
|
Appl Short Leg Cast
|
0
|
0
|
$500.00
|
$480.00
|
—
|
—
|
—
|
2026-05-08
|
|
29425
|
CPT
|
Appl Short Leg Cast Walking
|
0
|
0
|
$250.00
|
$240.00
|
—
|
—
|
—
|
2026-05-08
|
|
29505
|
CPT
|
Application Long Leg Splint
|
0
|
0
|
$350.00
|
$336.00
|
—
|
—
|
—
|
2026-05-08
|
|
29515
|
CPT
|
Application Short Leg Splint
|
0
|
0
|
$300.00
|
$288.00
|
—
|
—
|
—
|
2026-05-08
|
|
29530
|
CPT
|
Strapping Of Knee
|
0
|
0
|
$200.00
|
$192.00
|
—
|
—
|
—
|
2026-05-08
|
|
29540
|
CPT
|
Strapping Ankle &/foot
|
0
|
0
|
$150.00
|
$144.00
|
—
|
—
|
—
|
2026-05-08
|
|
29550
|
CPT
|
Strapping Of Toes
|
0
|
0
|
$100.00
|
$96.00
|
—
|
—
|
—
|
2026-05-08
|
|
29580
|
CPT
|
Strapping Unna Boot
|
0
|
0
|
$300.00
|
$288.00
|
—
|
—
|
—
|
2026-05-08
|
|
29700
|
CPT
|
Rmvl/bivlv Gauntlet Boot/cst
|
0
|
0
|
$200.00
|
$192.00
|
—
|
—
|
—
|
2026-05-08
|
|
29875
|
CPT
|
Arthrs Knee Surg Synvct Lmtd
|
0
|
0
|
$5,000.00
|
$4,800.00
|
—
|
—
|
—
|
2026-05-08
|
|
29880
|
CPT
|
Arthrs Kne Srg Mnisectmy M&l
|
0
|
0
|
$4,000.00
|
$3,840.00
|
—
|
—
|
—
|
2026-05-08
|
|
29881
|
CPT
|
Arthrs Kne Srg Mnisectmy M/l
|
0
|
0
|
$4,000.00
|
$3,840.00
|
—
|
—
|
—
|
2026-05-08
|
|
29882
|
CPT
|
Arthrs Kne Srg Mnisc Rpr M/l
|
0
|
0
|
$6,000.00
|
$5,760.00
|
—
|
—
|
—
|
2026-05-08
|
|
29883
|
CPT
|
Arthrs Kne Srg Mnisc Rpr M&l
|
0
|
0
|
$6,000.00
|
$5,760.00
|
—
|
—
|
—
|
2026-05-08
|
|
30300
|
CPT
|
Remove Nasal Foreign Body
|
0
|
0
|
$250.00
|
$240.00
|
—
|
—
|
—
|
2026-05-08
|
|
30901
|
CPT
|
Control Of Nosebleed
|
0
|
0
|
$300.00
|
$288.00
|
—
|
—
|
—
|
2026-05-08
|
|
30903
|
CPT
|
Control Of Nosebleed
|
0
|
0
|
$400.00
|
$384.00
|
—
|
—
|
—
|
2026-05-08
|
|
30905
|
CPT
|
Control Of Nosebleed
|
0
|
0
|
$500.00
|
$480.00
|
—
|
—
|
—
|
2026-05-08
|
|
30906
|
CPT
|
Repeat Control Of Nosebleed
|
0
|
0
|
$300.00
|
$288.00
|
—
|
—
|
—
|
2026-05-08
|
|
31500
|
CPT
|
Insert Emergency Airway
|
0
|
0
|
$650.00
|
$624.00
|
—
|
—
|
—
|
2026-05-08
|
|
32550
|
CPT
|
Insert Pleural Cath
|
0
|
0
|
$2,500.00
|
$2,400.00
|
—
|
—
|
—
|
2026-05-08
|
|
32551
|
CPT
|
Insertion Of Chest Tube
|
0
|
0
|
$1,500.00
|
$1,440.00
|
—
|
—
|
—
|
2026-05-08
|
|
32554
|
CPT
|
Aspirate Pleura Without Imaging
|
0
|
0
|
$700.00
|
$672.00
|
—
|
—
|
—
|
2026-05-08
|
|
32555
|
CPT
|
Aspirate Pleura With Imaging
|
0
|
0
|
$1,000.00
|
$960.00
|
—
|
—
|
—
|
2026-05-08
|
|
32556
|
CPT
|
Insert Cath Pleura Without Image
|
0
|
0
|
$400.00
|
$384.00
|
—
|
—
|
—
|
2026-05-08
|
|
36415
|
CPT
|
Coll Venous Bld Venipuncture
|
0
|
0
|
$30.70
|
$29.47
|
—
|
—
|
—
|
2026-05-08
|
|
36416
|
CPT
|
Collj Capillary Blood Spec
|
0
|
0
|
$30.90
|
$29.66
|
—
|
—
|
—
|
2026-05-08
|
|
36430
|
CPT
|
Transfusion Bld/bld Compnt
|
0
|
0
|
$625.00
|
$600.00
|
—
|
—
|
—
|
2026-05-08
|
|
36569
|
CPT
|
Insj Picc 5 Yr+ Without Imaging
|
0
|
0
|
$1,500.00
|
$1,440.00
|
—
|
—
|
—
|
2026-05-08
|
|
36573
|
CPT
|
Insj Picc Rs&i 5 Yr+
|
0
|
0
|
$2,000.00
|
$1,920.00
|
—
|
—
|
—
|
2026-05-08
|
|
36584
|
CPT
|
Compl Rplcmt Picc Rs&i
|
0
|
0
|
$2,000.00
|
$1,920.00
|
—
|
—
|
—
|
2026-05-08
|
|
36589
|
CPT
|
Removal Tunneled Cv Cath
|
0
|
0
|
$200.00
|
$192.00
|
—
|
—
|
—
|
2026-05-08
|
|
36591
|
CPT
|
Draw Blood Off Venous Device
|
0
|
0
|
$225.00
|
$216.00
|
—
|
—
|
—
|
2026-05-08
|
|
36592
|
CPT
|
Collect Blood From Picc
|
0
|
0
|
$225.00
|
$216.00
|
—
|
—
|
—
|
2026-05-08
|
|
36593
|
CPT
|
Declot Vascular Device
|
0
|
0
|
$500.00
|
$480.00
|
—
|
—
|
—
|
2026-05-08
|
|
36600
|
CPT
|
Withdrawal Of Arterial Blood
|
0
|
0
|
$103.00
|
$98.88
|
—
|
—
|
—
|
2026-05-08
|
|
36680
|
CPT
|
Insert Needle Bone Cavity
|
0
|
0
|
$400.00
|
$384.00
|
—
|
—
|
—
|
2026-05-08
|
|
37195
|
CPT
|
Thrombolytic Therapy Stroke
|
0
|
0
|
$400.00
|
$384.00
|
—
|
—
|
—
|
2026-05-08
|
|
38510
|
CPT
|
Biopsy/removal Lymph Nodes
|
0
|
0
|
$4,000.00
|
$3,840.00
|
—
|
—
|
—
|
2026-05-08
|
|
40804
|
CPT
|
Removal Foreign Body Mouth
|
0
|
0
|
$300.00
|
$288.00
|
—
|
—
|
—
|
2026-05-08
|
|
40819
|
CPT
|
Excise Lip Or Cheek Fold
|
0
|
0
|
$1,500.00
|
$1,440.00
|
—
|
—
|
—
|
2026-05-08
|
|
40831
|
CPT
|
Repair Mouth Laceration
|
0
|
0
|
$400.00
|
$384.00
|
—
|
—
|
—
|
2026-05-08
|
|
43196
|
CPT
|
Esophagoscp Guide Wire Dilat
|
0
|
0
|
$1,700.00
|
$1,632.00
|
—
|
—
|
—
|
2026-05-08
|
|
43202
|
CPT
|
Esophagoscopy Flex Biopsy
|
0
|
0
|
$1,700.00
|
$1,632.00
|
—
|
—
|
—
|
2026-05-08
|
|
43233
|
CPT
|
Egd Balloon Dil Esoph30 Mm/>
|
0
|
0
|
$1,700.00
|
$1,632.00
|
—
|
—
|
—
|
2026-05-08
|
|
43235
|
CPT
|
Egd Diagnostic Brush Wash
|
0
|
0
|
$1,700.00
|
$1,632.00
|
—
|
—
|
—
|
2026-05-08
|
|
43237
|
CPT
|
Endoscopic US Exam Esoph
|
0
|
0
|
$1,700.00
|
$1,632.00
|
—
|
—
|
—
|
2026-05-08
|
|
43239
|
CPT
|
Egd Biopsy Single/multiple
|
0
|
0
|
$1,700.00
|
$1,632.00
|
—
|
—
|
—
|
2026-05-08
|
|
43245
|
CPT
|
Egd Dilate Stricture
|
0
|
0
|
$1,700.00
|
$1,632.00
|
—
|
—
|
—
|
2026-05-08
|
|
43247
|
CPT
|
Egd Remove Foreign Body
|
0
|
0
|
$1,700.00
|
$1,632.00
|
—
|
—
|
—
|
2026-05-08
|
|
43248
|
CPT
|
Egd Guide Wire Insertion
|
0
|
0
|
$1,700.00
|
$1,632.00
|
—
|
—
|
—
|
2026-05-08
|
|
43249
|
CPT
|
Esoph Egd Dilation <30 Mm
|
0
|
0
|
$1,700.00
|
$1,632.00
|
—
|
—
|
—
|
2026-05-08
|
|
43251
|
CPT
|
Egd Remove Lesion Snare
|
0
|
0
|
$1,700.00
|
$1,632.00
|
—
|
—
|
—
|
2026-05-08
|
|
43752
|
CPT
|
Nasal/orogastric W/tube Plmt
|
0
|
0
|
$400.00
|
$384.00
|
—
|
—
|
—
|
2026-05-08
|
|
43753
|
CPT
|
Tx Gastro Intub W/asp
|
0
|
0
|
$325.00
|
$312.00
|
—
|
—
|
—
|
2026-05-08
|
|
43762
|
CPT
|
Rplc Gtube No Revj Trc
|
0
|
0
|
$500.00
|
$480.00
|
—
|
—
|
—
|
2026-05-08
|
|
44970
|
CPT
|
Laparoscopy Appendectomy
|
0
|
0
|
$5,250.00
|
$5,040.00
|
—
|
—
|
—
|
2026-05-08
|
|
45378
|
CPT
|
Diagnostic Colonoscopy
|
0
|
0
|
$1,700.00
|
$1,632.00
|
—
|
—
|
—
|
2026-05-08
|
|
45380
|
CPT
|
Colonoscopy And Biopsy
|
0
|
0
|
$1,700.00
|
$1,632.00
|
—
|
—
|
—
|
2026-05-08
|
|
45384
|
CPT
|
Colonoscopy W/lesion Removal
|
0
|
0
|
$2,000.00
|
$1,920.00
|
—
|
—
|
—
|
2026-05-08
|
|
45385
|
CPT
|
Colonoscopy W/lesion Removal
|
0
|
0
|
$2,000.00
|
$1,920.00
|
—
|
—
|
—
|
2026-05-08
|
|
45388
|
CPT
|
Colonoscopy W/ablation
|
0
|
0
|
$2,000.00
|
$1,920.00
|
—
|
—
|
—
|
2026-05-08
|
|
45915
|
CPT
|
Remove Rectal Obstruction
|
0
|
0
|
$1,000.00
|
$960.00
|
—
|
—
|
—
|
2026-05-08
|
|
46030
|
CPT
|
Removal Anal Seton Oth Mrk
|
0
|
0
|
$1,250.00
|
$1,200.00
|
—
|
—
|
—
|
2026-05-08
|
|
46050
|
CPT
|
I&d Perianal Abscess Supfc
|
0
|
0
|
$500.00
|
$480.00
|
—
|
—
|
—
|
2026-05-08
|
|
46083
|
CPT
|
Inc Thrombosed Hroid Xtrnl
|
0
|
0
|
$600.00
|
$576.00
|
—
|
—
|
—
|
2026-05-08
|
|
46200
|
CPT
|
Removal Of Anal Fissure
|
0
|
0
|
$2,500.00
|
$2,400.00
|
—
|
—
|
—
|
2026-05-08
|
|
46220
|
CPT
|
Excise Anal Ext Tag/papilla
|
0
|
0
|
$2,800.00
|
$2,688.00
|
—
|
—
|
—
|
2026-05-08
|
|
46221
|
CPT
|
Ligation Of Hemorrhoid(s)
|
0
|
0
|
$2,700.00
|
$2,592.00
|
—
|
—
|
—
|
2026-05-08
|
|
46230
|
CPT
|
Removal Of Anal Tags
|
0
|
0
|
$1,100.00
|
$1,056.00
|
—
|
—
|
—
|
2026-05-08
|
|
46250
|
CPT
|
Remove Ext Hem Groups 2+
|
0
|
0
|
$2,500.00
|
$2,400.00
|
—
|
—
|
—
|
2026-05-08
|
|
46255
|
CPT
|
Remove Int/ext Hem 1 Group
|
0
|
0
|
$2,800.00
|
$2,688.00
|
—
|
—
|
—
|
2026-05-08
|
|
46260
|
CPT
|
Remove In/ex Hem Groups 2+
|
0
|
0
|
$3,400.00
|
$3,264.00
|
—
|
—
|
—
|
2026-05-08
|
|
46320
|
CPT
|
Removal Of Hemorrhoid Clot
|
0
|
0
|
$650.00
|
$624.00
|
—
|
—
|
—
|
2026-05-08
|
|
46606
|
CPT
|
Anoscopy And Biopsy
|
0
|
0
|
$450.00
|
$432.00
|
—
|
—
|
—
|
2026-05-08
|
|
46922
|
CPT
|
Excision Of Anal Lesion(s)
|
0
|
0
|
$4,000.00
|
$3,840.00
|
—
|
—
|
—
|
2026-05-08
|
|
47000
|
CPT
|
Needle Biopsy Of Liver Perq
|
0
|
0
|
$3,200.00
|
$3,072.00
|
—
|
—
|
—
|
2026-05-08
|
|
47562
|
CPT
|
Laparoscopic Cholecystectomy
|
0
|
0
|
$5,000.00
|
$4,800.00
|
—
|
—
|
—
|
2026-05-08
|
|
49082
|
CPT
|
Abd Paracentesis
|
0
|
0
|
$1,200.00
|
$1,152.00
|
—
|
—
|
—
|
2026-05-08
|
|
49083
|
CPT
|
Abd Paracentesis W/imaging
|
0
|
0
|
$1,500.00
|
$1,440.00
|
—
|
—
|
—
|
2026-05-08
|
|
49320
|
CPT
|
Diag Laparo Separate Proc
|
0
|
0
|
$4,000.00
|
$3,840.00
|
—
|
—
|
—
|
2026-05-08
|
|
49321
|
CPT
|
Laparoscopy Biopsy
|
0
|
0
|
$5,250.00
|
$5,040.00
|
—
|
—
|
—
|
2026-05-08
|
|
49505
|
CPT
|
Prp I/hern Init Reduc >5 Yr
|
0
|
0
|
$4,500.00
|
$4,320.00
|
—
|
—
|
—
|
2026-05-08
|
|
49507
|
CPT
|
Prp I/hern Init Block >5 Yr
|
0
|
0
|
$5,250.00
|
$5,040.00
|
—
|
—
|
—
|
2026-05-08
|
|
49520
|
CPT
|
Rerepair Ing Hernia Reduce
|
0
|
0
|
$5,250.00
|
$5,040.00
|
—
|
—
|
—
|
2026-05-08
|
|
49591
|
CPT
|
Rpr Aa Hrn 1st < 3 Cm Rdc
|
0
|
0
|
$6,500.00
|
$6,240.00
|
—
|
—
|
—
|
2026-05-08
|
|
49592
|
CPT
|
Rpr Aa Hrn 1st < 3 Ncr/strn
|
0
|
0
|
$6,500.00
|
$6,240.00
|
—
|
—
|
—
|
2026-05-08
|
|
49593
|
CPT
|
Rpr Aa Hrn 1st 3-10 Rdc
|
0
|
0
|
$6,750.00
|
$6,480.00
|
—
|
—
|
—
|
2026-05-08
|
|
51102
|
CPT
|
Drain Bl W/cath Insertion
|
0
|
0
|
$500.00
|
$480.00
|
—
|
—
|
—
|
2026-05-08
|
|
51700
|
CPT
|
Irrigation Of Bladder
|
0
|
0
|
$375.00
|
$360.00
|
—
|
—
|
—
|
2026-05-08
|
|
51701
|
CPT
|
Insert Bladder Catheter
|
0
|
0
|
$250.00
|
$240.00
|
—
|
—
|
—
|
2026-05-08
|
|
51702
|
CPT
|
Insert Temp Bladder Cath
|
0
|
0
|
$240.00
|
$230.40
|
—
|
—
|
—
|
2026-05-08
|
|
51705
|
CPT
|
Change Of Bladder Tube
|
0
|
0
|
$500.00
|
$480.00
|
—
|
—
|
—
|
2026-05-08
|
|
51710
|
CPT
|
Change Of Bladder Tube
|
0
|
0
|
$650.00
|
$624.00
|
—
|
—
|
—
|
2026-05-08
|
|
51798
|
CPT
|
US Urine Capacity Measure
|
0
|
0
|
$200.00
|
$192.00
|
—
|
—
|
—
|
2026-05-08
|
|
52000
|
CPT
|
Cystourethroscopy
|
0
|
0
|
$500.00
|
$480.00
|
—
|
—
|
—
|
2026-05-08
|
|
52310
|
CPT
|
Cystoscopy And Treatment
|
0
|
0
|
$531.00
|
$509.76
|
—
|
—
|
—
|
2026-05-08
|
|
54150
|
CPT
|
Circumcision W/regionl Block
|
0
|
0
|
$1,750.00
|
$1,680.00
|
—
|
—
|
—
|
2026-05-08
|
|
54161
|
CPT
|
Circum 28 Days Or Older
|
0
|
0
|
$1,750.00
|
$1,680.00
|
—
|
—
|
—
|
2026-05-08
|
|
54700
|
CPT
|
I&d Epdidyms Tstis&/scrot Sp
|
0
|
0
|
$900.00
|
$864.00
|
—
|
—
|
—
|
2026-05-08
|
|
54830
|
CPT
|
Remove Epididymis Lesion
|
0
|
0
|
$4,000.00
|
$3,840.00
|
—
|
—
|
—
|
2026-05-08
|
|
54860
|
CPT
|
Removal Of Epididymis
|
0
|
0
|
$2,000.00
|
$1,920.00
|
—
|
—
|
—
|
2026-05-08
|
|
55040
|
CPT
|
Removal Of Hydrocele
|
0
|
0
|
$3,500.00
|
$3,360.00
|
—
|
—
|
—
|
2026-05-08
|
|
55700
|
CPT
|
Biopsy Of Prostate
|
0
|
0
|
$400.00
|
$384.00
|
—
|
—
|
—
|
2026-05-08
|
|
56405
|
CPT
|
I&d Vulva/perineal Abscess
|
0
|
0
|
$850.00
|
$816.00
|
—
|
—
|
—
|
2026-05-08
|
|
56420
|
CPT
|
I&d Bartholins Gland Abscess
|
0
|
0
|
$350.00
|
$336.00
|
—
|
—
|
—
|
2026-05-08
|
|
12004
|
CPT
|
Rpr S/n/ax/gen/trk7.6-12.5cm
|
0
|
0
|
$425.00
|
$408.00
|
—
|
—
|
—
|
2026-05-08
|
|
11422
|
CPT
|
Exc H-f-nk-sp B9+marg 1.1-2
|
0
|
0
|
$2,500.00
|
$2,400.00
|
—
|
—
|
—
|
2026-05-08
|
|
58600
|
CPT
|
Division Of Fallopian Tube
|
0
|
0
|
$2,750.00
|
$2,640.00
|
—
|
—
|
—
|
2026-05-08
|
|
58605
|
CPT
|
Division Of Fallopian Tube
|
0
|
0
|
$2,750.00
|
$2,640.00
|
—
|
—
|
—
|
2026-05-08
|
|
58611
|
CPT
|
Ligate Oviduct(s) Add-on
|
0
|
0
|
$2,750.00
|
$2,640.00
|
—
|
—
|
—
|
2026-05-08
|
|
58661
|
CPT
|
Laparoscopy Remove Adnexa
|
0
|
0
|
$4,850.00
|
$4,656.00
|
—
|
—
|
—
|
2026-05-08
|
|
59025
|
CPT
|
Fetal Non-stress Test
|
0
|
0
|
$400.00
|
$384.00
|
—
|
—
|
—
|
2026-05-08
|
|
59160
|
CPT
|
D & C After Delivery
|
0
|
0
|
$4,250.00
|
$4,080.00
|
—
|
—
|
—
|
2026-05-08
|
|
59200
|
CPT
|
Insert Cervical Dilator
|
0
|
0
|
$225.00
|
$216.00
|
—
|
—
|
—
|
2026-05-08
|
|
59514
|
CPT
|
Cesarean Delivery Only
|
0
|
0
|
$5,500.00
|
$5,280.00
|
—
|
—
|
—
|
2026-05-08
|
|
59812
|
CPT
|
Treatment Of Miscarriage
|
0
|
0
|
$4,000.00
|
$3,840.00
|
—
|
—
|
—
|
2026-05-08
|
|
59820
|
CPT
|
Care Of Miscarriage
|
0
|
0
|
$4,250.00
|
$4,080.00
|
—
|
—
|
—
|
2026-05-08
|
|
62270
|
CPT
|
Dx Lmbr Spi Pnxr
|
0
|
0
|
$900.00
|
$864.00
|
—
|
—
|
—
|
2026-05-08
|
|
62320
|
CPT
|
Njx Interlaminar Crv/thrc
|
0
|
0
|
$900.00
|
$864.00
|
—
|
—
|
—
|
2026-05-08
|
|
62322
|
CPT
|
Njx Interlaminar Lmbr/sac
|
0
|
0
|
$700.00
|
$672.00
|
—
|
—
|
—
|
2026-05-08
|
|
64400
|
CPT
|
Njx Aa&/strd Trigeminal Nrv
|
0
|
0
|
$585.00
|
$561.60
|
—
|
—
|
—
|
2026-05-08
|
|
64718
|
CPT
|
Revise Ulnar Nerve At Elbow
|
0
|
0
|
$4,000.00
|
$3,840.00
|
—
|
—
|
—
|
2026-05-08
|
|
64719
|
CPT
|
Revise Ulnar Nerve At Wrist
|
0
|
0
|
$2,000.00
|
$1,920.00
|
—
|
—
|
—
|
2026-05-08
|
|
64721
|
CPT
|
Carpal Tunnel Surgery
|
0
|
0
|
$2,250.00
|
$2,160.00
|
—
|
—
|
—
|
2026-05-08
|
|
65205
|
CPT
|
Remove Foreign Body From Eye
|
0
|
0
|
$250.00
|
$240.00
|
—
|
—
|
—
|
2026-05-08
|
|
65210
|
CPT
|
Remove Foreign Body From Eye
|
0
|
0
|
$400.00
|
$384.00
|
—
|
—
|
—
|
2026-05-08
|
|
65220
|
CPT
|
Remove Foreign Body From Eye
|
0
|
0
|
$400.00
|
$384.00
|
—
|
—
|
—
|
2026-05-08
|
|
65222
|
CPT
|
Remove Foreign Body From Eye
|
0
|
0
|
$300.00
|
$288.00
|
—
|
—
|
—
|
2026-05-08
|
|
65235
|
CPT
|
Remove Foreign Body From Eye
|
0
|
0
|
$600.00
|
$576.00
|
—
|
—
|
—
|
2026-05-08
|
|
65290
|
CPT
|
Repair Of Eye Socket Wound
|
0
|
0
|
$850.00
|
$816.00
|
—
|
—
|
—
|
2026-05-08
|
|
67820
|
CPT
|
Revise Eyelashes
|
0
|
0
|
$350.00
|
$336.00
|
—
|
—
|
—
|
2026-05-08
|
|
67938
|
CPT
|
Remove Eyelid Foreign Body
|
0
|
0
|
$400.00
|
$384.00
|
—
|
—
|
—
|
2026-05-08
|
|
69000
|
CPT
|
DRG Xtrnl Ear Absc/hem Smpl
|
0
|
0
|
$650.00
|
$624.00
|
—
|
—
|
—
|
2026-05-08
|
|
69200
|
CPT
|
Clear Outer Ear Canal
|
0
|
0
|
$250.00
|
$240.00
|
—
|
—
|
—
|
2026-05-08
|
|
69209
|
CPT
|
Remove Impacted Ear Wax Uni
|
0
|
0
|
$150.00
|
$144.00
|
—
|
—
|
—
|
2026-05-08
|
|
69210
|
CPT
|
Remove Impacted Ear Wax Uni
|
0
|
0
|
$200.00
|
$192.00
|
—
|
—
|
—
|
2026-05-08
|
|
70030
|
CPT
|
X-ray Eye For Foreign Body
|
0
|
0
|
$280.00
|
$268.80
|
—
|
—
|
—
|
2026-05-08
|
|
70150
|
CPT
|
X-ray Exam Of Facial Bones
|
0
|
0
|
$500.00
|
$480.00
|
—
|
—
|
—
|
2026-05-08
|
|
70160
|
CPT
|
X-ray Exam Of Nasal Bones
|
0
|
0
|
$400.00
|
$384.00
|
—
|
—
|
—
|
2026-05-08
|
|
70200
|
CPT
|
X-ray Exam Of Eye Sockets
|
0
|
0
|
$500.00
|
$480.00
|
—
|
—
|
—
|
2026-05-08
|
|
70220
|
CPT
|
X-ray Exam Of Sinuses
|
0
|
0
|
$500.00
|
$480.00
|
—
|
—
|
—
|
2026-05-08
|
|
70250
|
CPT
|
X-ray Exam Of Skull
|
0
|
0
|
$400.00
|
$384.00
|
—
|
—
|
—
|
2026-05-08
|
|
70336
|
CPT
|
Magnetic Image Jaw Joint
|
0
|
0
|
$2,275.00
|
$2,184.00
|
—
|
—
|
—
|
2026-05-08
|
|
70360
|
CPT
|
X-ray Exam Of Neck
|
0
|
0
|
$375.00
|
$360.00
|
—
|
—
|
—
|
2026-05-08
|
|
70450
|
CPT
|
CT Head/brain Without Contrast
|
0
|
0
|
$2,100.00
|
$2,016.00
|
—
|
—
|
—
|
2026-05-08
|
|
70460
|
CPT
|
CT Head/brain With Contrast
|
0
|
0
|
$2,450.00
|
$2,352.00
|
—
|
—
|
—
|
2026-05-08
|
|
70470
|
CPT
|
CT Head/brain Without & With Contrast
|
0
|
0
|
$2,500.00
|
$2,400.00
|
—
|
—
|
—
|
2026-05-08
|
|
70480
|
CPT
|
CT Orbit/ear/fossa Without Contrast
|
0
|
0
|
$2,100.00
|
$2,016.00
|
—
|
—
|
—
|
2026-05-08
|
|
70486
|
CPT
|
CT Maxillofacial Without Contrast
|
0
|
0
|
$1,900.00
|
$1,824.00
|
—
|
—
|
—
|
2026-05-08
|
|
70487
|
CPT
|
CT Maxillofacial With Contrast
|
0
|
0
|
$2,150.00
|
$2,064.00
|
—
|
—
|
—
|
2026-05-08
|
|
10120
|
CPT
|
Inc&rmvl Fb Subq Tiss Smpl
|
0
|
0
|
$500.00
|
$480.00
|
—
|
—
|
—
|
2026-05-08
|