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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

PENDER COMMUNITY HOSPITAL

Pender, NE · CCN 281349 · Rates published

2,371 distinct procedures filed
4 distinct payers
13,085 rate rows
2026-06-08 last MRF observed
Data quality

13,085 of 13,085 rate rows are consumer-grade (100.0%)

Every filed rate row passes our consumer-grade checks — none are excluded from the medians.

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://secure.claraprice.net/price-transparency/TJON-1688566031190/machine-readable/470711662_pender-community-hospital_standardcharges.json
Found on page https://secure.claraprice.net/price-transparency/pender-community-ne
Discovered viaDiscovered by HANK
Last fetch success · 2026-11-03
Content fingerprint aac5e54d7fe260a7… · 5,075,876 bytes · first seen 2026-11-03

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
58150
CPT 		Total Hysterectomy 4 $15,500.00 $16,174.00 $15,921.50 nat. median
$3,361
outlier · 4.7×
27792
CPT 		Fx And/or Disl Leg/ankle Joint 4 $13,639.00 $14,232.00 $14,010.00 nat. median
$6,951
outlier · 2.0×
27650
CPT 		Rpr Prim Open/precu Achilles 4 $13,362.00 $13,943.00 $13,725.50 nat. median
$6,674
outlier · 2.1×
27685
CPT 		Lengthen/shorten Ten Leg/ankle 4 $11,000.00 $11,479.00 $11,299.50 nat. median
$3,567
outlier · 3.2×
58571
CPT 		Lap Tot Hystrec 250 Gm/<w/rmvl 4 $10,966.00 $11,443.00 $11,264.50 nat. median
$9,886
1.1× median
3601299
CDM 		Lsh W/t/o Ut 250 G Or Les 4 $9,681.00 $10,102.00 $9,944.50 nat. median
$28
outlier · 358.0×
27698
CPT 		Rpr Sec Dis Lig Ankle 4 $9,213.00 $9,613.00 $9,463.00 nat. median
$6,559
1.4× median
58720
CPT 		Removal Of Ovary/tube(s) 4 $8,770.00 $9,152.00 $9,008.50 nat. median
$2,550
outlier · 3.5×
430070311
CDM 		Lanreotide 120 Mg/0.5 Ml Syr 4 $8,418.00 $8,784.00 $8,647.00 nat. median
$8,647
1.0× median
58180
CPT 		Supracrvx Abd Hyst W/wo Rmvl 4 $8,271.00 $8,630.00 $8,496.00 nat. median
$3,338
outlier · 2.5×
28485
CPT 		Open Tx Of Metatar Fx 4 $8,232.00 $8,590.00 $8,456.00 nat. median
$7,199
1.2× median
27447
CPT 		Total Knee Arthroplasty 4 $5,080.00 $11,881.00 $8,343.50 nat. median
$12,796
0.7× median
56620
CPT 		Simple Partial Vuvectomy 4 $8,001.00 $8,349.00 $8,218.50 nat. median
$3,542
outlier · 2.3×
33285
CPT 		Insert Subcu Crd Rthm Mon 4 $7,869.00 $8,211.00 $8,082.50 nat. median
$9,043
0.9× median
430070012
CDM 		Alteplase 100 Mg/100 Ml Vial 4 $7,857.00 $8,198.00 $8,070.50 nat. median
$8,070
1.0× median
55530
CPT 		Revise Spermatic Cord Veins 4 $7,706.00 $8,041.00 $7,915.00 nat. median
$3,675
outlier · 2.2×
27814
CPT 		Tx Of Ankle Fracture 4 $7,705.00 $8,040.00 $7,914.50 nat. median
$7,165
1.1× median
3601445
CDM 		Rev Tot Kn Arth Fem&tibial Com 4 $7,600.00 $7,931.00 $7,806.50 nat. median
$7,806
1.0× median
59514
CPT 		Cesarean Delivery Only 4 $3,387.00 $12,427.00 $7,722.00 nat. median
$2,450
outlier · 3.2×
25607
CPT 		Open Red W/inter Fix Wrist 4 $7,491.00 $7,816.00 $7,694.00 nat. median
$7,144
1.1× median
3601266
CDM 		Lap Inc Hernia Repair 4 $7,382.00 $7,703.00 $7,583.00 nat. median
$7,583
1.0× median
28755
CPT 		Arthrodesis Grt Toe Int Joint 4 $7,216.00 $7,530.00 $7,412.50 nat. median
$6,231
1.2× median
58605
CPT 		Ligate Fallop Tube Abd/va 4 $1,390.00 $13,781.00 $7,329.00 nat. median
$1,601
outlier · 4.6×
64764
CPT 		Vedolizumab 300 Mg Vial 4 $7,096.00 $7,404.00 $7,288.50 nat. median
$7,460
1.0× median
52001
CPT 		Cystourethroscopy W/irrigation 4 $7,095.00 $7,404.00 $7,287.50 nat. median
$3,524
outlier · 2.1×
3601275
CDM 		Lap; Cholecystectomy W Ch 4 $6,983.00 $7,286.00 $7,173.00 nat. median
$25
outlier · 285.0×
3601272
CDM 		Lap Vent/abd Hernia Repai 4 $6,906.00 $7,207.00 $7,094.50 nat. median
$16
outlier · 435.5×
3601335
CDM 		Fx Open Proximal Humeral 4 $6,885.00 $7,185.00 $7,072.50 nat. median
$641
outlier · 11.0×
27412
CPT 		Autologous Chondro Impl Knee 4 $6,869.00 $7,167.00 $7,055.50 nat. median
$7,538
0.9× median
15740
CPT 		Flap; Island Axial Vessel 4 $6,848.00 $7,145.00 $7,033.50 nat. median
$2,262
outlier · 3.1×
58552
CPT 		Laparo-vag Hyst Incl T/o 4 $6,837.00 $7,135.00 $7,023.00 nat. median
$9,808
0.7× median
55869
CPT 		Lap Prostate W/bilateral Lymph 4 $1,548.00 $12,761.00 $6,923.00 nat. median
$11,426
0.6× median
47562
CPT 		Removal Of Gallbladder Using An Endoscope 4 $3,580.00 $7,342.00 $6,718.00 nat. median
$6,019
1.1× median
3601014
CDM 		Arthroscop Rotator Cuff Repr 4 $6,415.00 $6,694.00 $6,589.50 nat. median
$6,590
1.0× median
27446
CPT 		Unicompartmental Knee Arthro 4 $1,189.00 $12,444.00 $6,582.50 nat. median
$12,415
0.5× median
28310
CPT 		Revision Big Toe 4 $6,381.00 $6,659.00 $6,554.50 nat. median
$6,101
1.1× median
58661
CPT 		Laparscopic Ov And/or Fl Tube 4 $6,357.00 $6,634.00 $6,530.00 nat. median
$6,024
1.1× median
27702
CPT 		Arthro Ankletotal Ankle 4 $6,238.00 $6,509.00 $6,407.00 nat. median
$15,308
outlier · 0.4×
28750
CPT 		Surgical Rpr Metatar/big Toe 4 $6,082.00 $6,347.00 $6,247.00 nat. median
$7,026
0.9× median
74347
CPT 		Leuprolide 45 Mg Syringe 4 $6,024.00 $6,286.00 $6,188.00 nat. median
$18,728
outlier · 0.3×
49520
CPT 		Rerepair Ing Hernia Reduc 4 $5,901.00 $6,157.00 $6,061.00 nat. median
$3,821
1.6× median
430070351
CDM 		Natalizumab 300 Mg/15 Ml Vial 4 $5,885.00 $6,141.00 $6,045.00 nat. median
$6,045
1.0× median
28200
CPT 		Rpr Flxr Tndn Foot 4 $5,758.00 $6,009.00 $5,914.50 nat. median
$3,412
1.7× median
28299
CPT 		Correction Of Bunion 4 $5,743.00 $5,992.00 $5,898.50 nat. median
$6,849
0.9× median
58660
CPT 		Laparoscopy Lysis 4 $5,688.00 $5,936.00 $5,843.00 nat. median
$5,940
1.0× median
29806
CPT 		Arthro Should Caps 4 $5,665.00 $5,912.00 $5,819.50 nat. median
$7,194
0.8× median
49505
CPT 		Repair Of Groin Hernia Patient Age 5 Years Or Older 4 $3,404.00 $6,466.00 $5,726.50 nat. median
$3,881
1.5× median
58262
CPT 		Vag Hyst Incl T/o =<250gm 4 $5,434.00 $5,671.00 $5,582.50 nat. median
$5,361
1.0× median
55868
CPT 		Lap Prostate W/lymph Bx 4 $1,291.00 $10,209.00 $5,565.00 nat. median
$11,434
outlier · 0.5×
54440
CPT 		Operation Of Penis For Injury 4 $5,408.00 $5,643.00 $5,554.50 nat. median
$3,902
1.4× median

Other procedures at this hospital

Browse this hospital's 2,371 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
             
J7307 HCPCS Estonogestrel Impl (Nexplanon) 4 4 $2,429.00 $2,065.00 $2,235.00 $2,332.00 $2,295.50 2026-06-08
J7298 HCPCS Mirena 8 4 $2,429.50 $2,065.50 $2,235.00 $2,333.00 $2,296.00 2026-06-08
95811 CPT Polysomnography W/cpap 8 4 $2,859.00 $2,430.50 $764.00 $4,692.00 $2,647.00 2026-06-08
95810 CPT Sleep Study 8 4 $2,529.00 $2,149.50 $700.00 $4,125.00 $2,342.00 2026-06-08
94003 CPT Vent Mgmt Ip Subq Day 4 4 $2,666.00 $2,266.00 $2,453.00 $2,559.00 $2,519.50 2026-06-08
93312 CPT Tee 4 4 $2,625.00 $2,231.00 $2,415.00 $2,520.00 $2,481.00 2026-06-08
93306 CPT Echo 2d Complete 4 4 $2,540.00 $2,159.00 $2,337.00 $2,438.00 $2,400.50 2026-06-08
81408 CPT Molecular Path Proc Level 9 4 4 $3,774.00 $3,208.00 $3,472.00 $3,623.00 $3,566.50 2026-06-08
81162 CPT Brca1 Brca2 Gene Alys Full 4 4 $3,609.00 $3,068.00 $3,320.00 $3,465.00 $3,410.50 2026-06-08
78582 CPT Pulmonary Ventila & Perfu 4 4 $2,592.00 $2,203.00 $2,385.00 $2,488.00 $2,449.00 2026-06-08
78452 CPT Myocardial Perfusion Stre 4 4 $4,367.00 $3,712.00 $4,018.00 $4,192.00 $4,127.00 2026-06-08
78451 CPT Myocardial Perfrest 4 4 $3,708.00 $3,152.00 $3,411.00 $3,560.00 $3,504.50 2026-06-08
78100 CPT Inclisiran 284 Mg/1.5 Ml Syr 4 4 $3,298.00 $2,803.00 $3,034.00 $3,166.00 $3,116.50 2026-06-08
76961 CPT Eflapegrastim-xnst 13.2 Mg/0.6 Ml Syringe 4 4 $4,500.00 $3,825.00 $4,140.00 $4,320.00 $4,252.50 2026-06-08
75635 CPT CT Angio Abd/pel With Runoff 4 4 $2,735.00 $2,325.00 $2,516.00 $2,626.00 $2,584.50 2026-06-08
74366 CPT Leuprolide 11.25 Mg Syringe 4 4 $2,444.00 $2,077.00 $2,248.00 $2,346.00 $2,309.50 2026-06-08
74347 CPT Leuprolide 45 Mg Syringe 4 4 $6,548.00 $5,566.00 $6,024.00 $6,286.00 $6,188.00 2026-06-08
74185 CPT MRA Abdomen With Or Without Conrast 4 4 $4,116.00 $3,499.00 $3,787.00 $3,951.00 $3,889.50 2026-06-08
74183 CPT MRI Abdomen With & Without Contrast 8 4 $4,506.00 $3,830.00 $4,145.00 $4,327.00 $4,258.50 2026-06-08
74182 CPT MRI Abdomen With Contrast 8 4 $3,187.00 $2,709.00 $1,503.00 $4,550.00 $2,965.00 2026-06-08
74181 CPT MRI Abdomen Without Contrast 4 4 $3,878.00 $3,296.00 $3,568.00 $3,723.00 $3,664.50 2026-06-08
74178 CPT CT Abd/pel With Without Contrast 8 4 $4,924.00 $4,185.00 $3,745.00 $5,546.00 $4,611.50 2026-06-08
74177 CPT CT Scan Of Abdomen And Pelvis With Contrast 4 4 $4,891.00 $4,157.00 $4,500.00 $4,695.00 $4,622.00 2026-06-08
74176 CPT CT Abd/pel Without Contrast 4 4 $4,416.00 $3,754.00 $4,063.00 $4,239.00 $4,173.00 2026-06-08
74175 CPT CT Angio Abdomen With Without Cont 4 4 $3,353.00 $2,850.00 $3,085.00 $3,219.00 $3,168.50 2026-06-08
74174 CPT CT Angio Abd/pel With Without Cont 4 4 $4,960.00 $4,216.00 $4,563.00 $4,762.00 $4,687.00 2026-06-08
74170 CPT CT Abdomen With Without Contrast 4 4 $3,418.00 $2,905.00 $3,145.00 $3,281.00 $3,230.00 2026-06-08
74160 CPT CT Abdomen With Contrast 4 4 $2,863.00 $2,434.00 $2,634.00 $2,748.00 $2,705.50 2026-06-08
74150 CPT CT Abdomen Without Contrast 4 4 $2,528.00 $2,149.00 $2,326.00 $2,427.00 $2,389.00 2026-06-08
73723 CPT MRI Low Ext Joint With & Without Lt 8 4 $3,623.50 $3,080.00 $3,333.00 $3,479.00 $3,424.50 2026-06-08
73722 CPT MRI Low Ext Joint With Cont Lt 4 4 $3,222.00 $2,739.00 $2,964.00 $3,093.00 $3,045.00 2026-06-08
73721 CPT MRI Scan Of Leg Joint 8 4 $2,819.00 $2,396.50 $2,571.00 $2,729.00 $2,663.50 2026-06-08
73720 CPT MRI Low Ext With & Without Cont Lt 8 4 $3,561.50 $3,027.50 $3,276.00 $3,420.00 $3,365.50 2026-06-08
73718 CPT MRI Low Ext Without Contrast Lt 4 4 $3,215.00 $2,733.00 $2,958.00 $3,086.00 $3,038.00 2026-06-08
73702 CPT CT Low Ext With Without Contrast Lt 4 4 $2,911.00 $2,474.00 $2,678.00 $2,795.00 $2,750.50 2026-06-08
73701 CPT CT Lower Ext With Contrast Rt 4 4 $2,510.00 $2,134.00 $2,309.00 $2,410.00 $2,372.00 2026-06-08
73223 CPT MRI Joint Up Ext With & Without Lt 8 4 $4,452.00 $3,784.00 $4,095.00 $4,275.00 $4,207.00 2026-06-08
73222 CPT MRI Joint Up Ext With Cont Lt 4 4 $3,476.00 $2,955.00 $3,198.00 $3,337.00 $3,284.50 2026-06-08
73221 CPT Upper Extr Jt Without Contrast Lt 4 4 $2,838.00 $2,412.00 $2,611.00 $2,724.00 $2,682.00 2026-06-08
73220 CPT MRI Up Ext With Without Contrast Lt 4 4 $3,709.00 $3,153.00 $3,412.00 $3,561.00 $3,505.00 2026-06-08
73218 CPT MRI Up Ext Without Contrast Lt 4 4 $2,989.00 $2,541.00 $2,750.00 $2,869.00 $2,825.00 2026-06-08
73202 CPT CT Up Ext With Without Cont Lt 4 4 $2,410.00 $2,049.00 $2,217.00 $2,314.00 $2,277.50 2026-06-08
73201 CPT CT Up Ext With Contrast Rt 4 4 $2,451.00 $2,083.00 $2,255.00 $2,353.00 $2,316.00 2026-06-08
73200 CPT CT Up Ext Without Contrast Rt 4 4 $2,441.00 $2,075.00 $2,246.00 $2,343.00 $2,307.00 2026-06-08
72197 CPT MRI Pelvis With & Without Contrast 4 4 $4,330.00 $3,681.00 $3,984.00 $4,157.00 $4,092.00 2026-06-08
72196 CPT MRI Pelvis With Contrast 4 4 $3,651.00 $3,103.00 $3,359.00 $3,505.00 $3,450.00 2026-06-08
72195 CPT MRI Pelvis Without Contrast 4 4 $3,460.00 $2,941.00 $3,183.00 $3,322.00 $3,269.50 2026-06-08
72194 CPT CT Pelvis With Without Contrast 4 4 $3,097.00 $2,632.00 $2,849.00 $2,973.00 $2,926.50 2026-06-08
72193 CPT CT Scan Of Pelvis With Contrast 4 4 $2,797.00 $2,377.00 $2,573.00 $2,685.00 $2,643.00 2026-06-08
72192 CPT CT Pelvis Without Contrast 4 4 $2,485.00 $2,112.00 $2,286.00 $2,386.00 $2,348.50 2026-06-08
72158 CPT MRI L Spine With Without Contrast 4 4 $4,317.00 $3,669.00 $3,972.00 $4,144.00 $4,079.50 2026-06-08
72157 CPT MRI T Spine With & Without Contrast 4 4 $4,465.00 $3,795.00 $4,108.00 $4,286.00 $4,219.50 2026-06-08
72156 CPT MRI C Spine With & Without Contrast 4 4 $4,473.00 $3,802.00 $4,115.00 $4,294.00 $4,227.00 2026-06-08
72149 CPT MRI Lumbar Spine With Contrast 4 4 $3,644.00 $3,097.00 $3,352.00 $3,498.00 $3,443.50 2026-06-08
72148 CPT MRI Scan Of Lower Spinal Canal 4 4 $3,546.00 $3,014.00 $3,262.00 $3,404.00 $3,351.00 2026-06-08
72147 CPT MRI Th Spine With Contrast 4 4 $3,875.00 $3,294.00 $3,565.00 $3,720.00 $3,662.00 2026-06-08
72146 CPT MRI T Spine Without Contrast 4 4 $3,716.00 $3,159.00 $3,419.00 $3,567.00 $3,511.50 2026-06-08
72142 CPT MRI C Spine With Contrast 4 4 $3,669.00 $3,119.00 $3,375.00 $3,522.00 $3,467.50 2026-06-08
72141 CPT MRI Cervical Spine Without 4 4 $3,710.00 $3,154.00 $3,413.00 $3,562.00 $3,506.00 2026-06-08
72133 CPT CT L Spine With Without Contrast 4 4 $2,927.00 $2,488.00 $2,693.00 $2,810.00 $2,766.00 2026-06-08
72132 CPT CT L Spine With Contrast 4 4 $3,177.00 $2,700.00 $2,923.00 $3,050.00 $3,002.00 2026-06-08
72131 CPT CT L Spine Without Contrast 4 4 $2,576.00 $2,190.00 $2,370.00 $2,473.00 $2,434.00 2026-06-08
72129 CPT CT T Spine With Contrast 4 4 $2,603.00 $2,213.00 $2,395.00 $2,499.00 $2,460.00 2026-06-08
72128 CPT CT T Spine Without Contrast 4 4 $2,580.00 $2,193.00 $2,374.00 $2,477.00 $2,438.00 2026-06-08
72125 CPT CT C Spine Without Contrast 4 4 $2,747.00 $2,335.00 $2,527.00 $2,637.00 $2,596.00 2026-06-08
7211007 CDM Labor Room >24hrs 4 4 $4,789.00 $4,071.00 $4,406.00 $4,597.00 $4,526.00 2026-06-08
7211006 CDM Labor Room 20-24hrs 4 4 $4,152.00 $3,529.00 $3,820.00 $3,986.00 $3,923.50 2026-06-08
7211005 CDM Labor Room 16-20hrs 4 4 $3,514.00 $2,987.00 $3,233.00 $3,373.00 $3,320.50 2026-06-08
7211004 CDM Labor Room 12-16hrs 4 4 $2,877.00 $2,445.00 $2,647.00 $2,762.00 $2,718.50 2026-06-08
71552 CPT MRI Chest W & Wo Contrast 4 4 $3,432.00 $2,917.00 $3,157.00 $3,295.00 $3,243.00 2026-06-08
71550 CPT MRI Chest Without Contrast 4 4 $3,416.00 $2,904.00 $3,143.00 $3,279.00 $3,228.00 2026-06-08
71275 CPT CT Angio Chest With Without Contrast 4 4 $3,268.00 $2,778.00 $3,007.00 $3,137.00 $3,088.50 2026-06-08
71270 CPT CT Chest With Without Contrast 4 4 $3,131.00 $2,661.00 $2,881.00 $3,006.00 $2,958.50 2026-06-08
71260 CPT CT Chest With Contrast 4 4 $2,578.00 $2,191.00 $2,372.00 $2,475.00 $2,436.00 2026-06-08
71250 CPT CT Chest Without Contrast 4 4 $2,671.00 $2,270.00 $2,457.00 $2,564.00 $2,524.00 2026-06-08
70553 CPT MRI Scan 4 4 $4,386.00 $3,728.00 $4,035.00 $4,211.00 $4,145.00 2026-06-08
70552 CPT MRI Brain With Contrast 4 4 $3,913.00 $3,326.00 $3,600.00 $3,756.00 $3,697.50 2026-06-08
70551 CPT MRI Brain Without Contrast 4 4 $3,957.00 $3,363.00 $3,640.00 $3,799.00 $3,739.50 2026-06-08
70549 CPT MRA Neck With Without Contrast 4 4 $4,275.00 $3,634.00 $3,933.00 $4,104.00 $4,039.50 2026-06-08
70548 CPT MRA Neck With Contrast 4 4 $3,651.00 $3,103.00 $3,359.00 $3,505.00 $3,450.00 2026-06-08
70547 CPT MRA Neck Without Contrast 4 4 $3,533.00 $3,003.00 $3,250.00 $3,392.00 $3,338.50 2026-06-08
70546 CPT MRA Head W & Wo Contrast 8 4 $3,717.00 $3,159.50 $3,242.00 $3,754.00 $3,490.00 2026-06-08
70545 CPT MRA Head With Contrast 8 4 $2,819.50 $2,396.50 $2,256.00 $3,060.00 $2,643.00 2026-06-08
70544 CPT MRA Head Without Contrast 4 4 $2,762.00 $2,348.00 $2,541.00 $2,652.00 $2,610.00 2026-06-08
70543 CPT MRI Orbt/face/ Neck Without With Contrast 4 4 $3,832.00 $3,257.00 $3,525.00 $3,679.00 $3,621.00 2026-06-08
70542 CPT MRI Orb/face/neck With Contrast 4 4 $2,405.00 $2,044.00 $2,213.00 $2,309.00 $2,273.00 2026-06-08
70540 CPT MRI Orbit, Face, Neck Without 4 4 $3,459.00 $2,940.00 $3,182.00 $3,321.00 $3,268.50 2026-06-08
70498 CPT CT Angio Neck With Without Contrast 4 4 $2,585.00 $2,197.00 $2,378.00 $2,482.00 $2,443.00 2026-06-08
70496 CPT CT Angio Head With Without Contrast 4 4 $2,612.00 $2,220.00 $2,403.00 $2,508.00 $2,468.00 2026-06-08
70492 CPT CT Neck With Without Contrast 4 4 $2,888.00 $2,455.00 $2,657.00 $2,772.00 $2,729.50 2026-06-08
70491 CPT CT Neck With Contrast 4 4 $2,675.00 $2,274.00 $2,461.00 $2,568.00 $2,528.00 2026-06-08
70488 CPT CT Maxillofacial With Without Cont 4 4 $2,655.00 $2,257.00 $2,443.00 $2,549.00 $2,509.00 2026-06-08
70482 CPT CT Orb/iac/temp With Without Cont 4 4 $2,694.00 $2,290.00 $2,478.00 $2,586.00 $2,545.50 2026-06-08
70481 CPT CT Orb/iac/temp With Contrast 4 4 $2,623.00 $2,230.00 $2,413.00 $2,518.00 $2,479.00 2026-06-08
70480 CPT CT Orb/iac/temp Without Contrast 4 4 $2,392.00 $2,033.00 $2,201.00 $2,296.00 $2,260.00 2026-06-08
70470 CPT CT Head With And Without Cont 4 4 $2,763.00 $2,349.00 $2,542.00 $2,652.00 $2,611.00 2026-06-08
70460 CPT CT Head With Contrast 4 4 $2,413.00 $2,051.00 $2,220.00 $2,316.00 $2,280.00 2026-06-08
70336 CPT MRI Temporomandibular Joi 4 4 $2,720.00 $2,312.00 $2,502.00 $2,611.00 $2,570.50 2026-06-08
69436 CPT Tympanostomy G Anes Bilat 8 4 $2,961.50 $2,517.50 $2,552.00 $3,023.00 $2,780.00 2026-06-08
69421 CPT Myringotomy With Anes Bilat 4 4 $2,387.00 $2,029.00 $2,196.00 $2,292.00 $2,256.00 2026-06-08
69145 CPT Remove Auditory Canal Lesion(s 8 4 $3,248.00 $2,761.00 $810.00 $5,391.00 $3,006.00 2026-06-08
64764 CPT Vedolizumab 300 Mg Vial 4 4 $7,713.00 $6,556.00 $7,096.00 $7,404.00 $7,288.50 2026-06-08
64721 CPT Carpal Tunnel Release 8 4 $2,653.50 $2,255.50 $1,708.00 $3,313.00 $2,478.50 2026-06-08
64718 CPT Ulnar Nerve At Elbow 8 4 $3,057.50 $2,599.00 $2,155.00 $3,622.00 $2,859.50 2026-06-08
64561 CPT Prq Implt Neurostim Sac -pro 8 4 $2,495.50 $2,121.00 $1,470.00 $3,257.00 $2,328.00 2026-06-08
64510 CPT Diag/ther Inj Stel Ganglion 4 4 $2,840.00 $2,414.00 $2,613.00 $2,726.00 $2,684.00 2026-06-08
63833 CPT 4 Factor Pcc 1,000 Unit / 40 Ml Vial 4 4 $2,407.00 $2,046.00 $2,214.00 $2,311.00 $2,275.00 2026-06-08
59514 CPT Cesarean Delivery Only 8 4 $8,313.50 $7,066.50 $3,387.00 $12,427.00 $7,722.00 2026-06-08
59400 CPT Obstetric Care, Planned Vaginal Delivery 8 4 $4,209.00 $3,578.00 $3,025.00 $4,925.00 $3,938.00 2026-06-08
59160 CPT Curettage Postpartum 8 4 $4,799.00 $4,079.50 $3,081.00 $5,999.00 $4,482.00 2026-06-08
58720 CPT Removal Of Ovary/tube(s) 4 4 $9,533.00 $8,103.00 $8,770.00 $9,152.00 $9,008.50 2026-06-08
58661 CPT Laparscopic Ov And/or Fl Tube 4 4 $6,910.00 $5,874.00 $6,357.00 $6,634.00 $6,530.00 2026-06-08
58660 CPT Laparoscopy Lysis 4 4 $6,183.00 $5,256.00 $5,688.00 $5,936.00 $5,843.00 2026-06-08
58611 CPT Ligate Fal Tube W Csectio 8 4 $4,363.50 $3,709.00 $364.00 $7,998.00 $4,022.50 2026-06-08
58605 CPT Ligate Fallop Tube Abd/va 8 4 $7,933.00 $6,743.00 $1,390.00 $13,781.00 $7,329.00 2026-06-08
58600 CPT Ligate Fal Tube Abd Or Va 8 4 $4,021.50 $3,418.50 $1,640.00 $6,010.00 $3,735.50 2026-06-08
58573 CPT Lap Tot Hystrec >250 Gm W/rmvl 4 4 $3,572.00 $3,036.00 $3,286.00 $3,429.00 $3,375.50 2026-06-08
58571 CPT Lap Tot Hystrec 250 Gm/<w/rmvl 4 4 $11,920.00 $10,132.00 $10,966.00 $11,443.00 $11,264.50 2026-06-08
58570 CPT Laparos W/tot Hyst 250gm/< 4 4 $3,775.00 $3,209.00 $3,473.00 $3,624.00 $3,567.50 2026-06-08
58563 CPT Hysteroscopy Endometrial Ablat 4 4 $5,517.00 $4,689.00 $5,076.00 $5,296.00 $5,213.50 2026-06-08
58562 CPT Hysteroscopy With Fb Removal 4 4 $2,553.00 $2,170.00 $2,349.00 $2,451.00 $2,412.50 2026-06-08
58558 CPT Hysteroscopy W/wo D&c 4 4 $2,961.00 $2,517.00 $2,724.00 $2,843.00 $2,798.00 2026-06-08
58552 CPT Laparo-vag Hyst Incl T/o 4 4 $7,432.00 $6,317.00 $6,837.00 $7,135.00 $7,023.00 2026-06-08
58353 CPT Endometr Ablate Thermal 8 4 $4,009.50 $3,408.00 $1,705.00 $5,919.00 $3,726.00 2026-06-08
58262 CPT Vag Hyst Incl T/o =<250gm 4 4 $5,907.00 $5,021.00 $5,434.00 $5,671.00 $5,582.50 2026-06-08
58180 CPT Supracrvx Abd Hyst W/wo Rmvl 4 4 $8,990.00 $7,642.00 $8,271.00 $8,630.00 $8,496.00 2026-06-08
58150 CPT Total Hysterectomy 4 4 $16,848.00 $14,321.00 $15,500.00 $16,174.00 $15,921.50 2026-06-08
58120 CPT D&c (Not Ob) 4 4 $3,080.00 $2,618.00 $2,834.00 $2,957.00 $2,910.50 2026-06-08
57250 CPT Rectocele Repair 4 4 $4,740.00 $4,029.00 $4,361.00 $4,550.00 $4,479.50 2026-06-08
57120 CPT Colpocleisis 4 4 $5,749.00 $4,887.00 $5,289.00 $5,519.00 $5,433.00 2026-06-08
56700 CPT Partial Removal Of Hymen 4 4 $3,525.00 $2,996.00 $3,243.00 $3,384.00 $3,331.50 2026-06-08
56620 CPT Simple Partial Vuvectomy 4 4 $8,697.00 $7,392.00 $8,001.00 $8,349.00 $8,218.50 2026-06-08
55869 CPT Lap Prostate W/bilateral Lymph 8 4 $7,488.00 $6,365.00 $1,548.00 $12,761.00 $6,923.00 2026-06-08
55868 CPT Lap Prostate W/lymph Bx 8 4 $6,018.50 $5,116.00 $1,291.00 $10,209.00 $5,565.00 2026-06-08
55866 CPT Surgical Removal Of Prostate And Surrounding Lymph Nodes Using An Endoscope 12 4 $5,193.00 $4,414.00 $1,351.00 $10,209.00 $4,907.00 2026-06-08
55530 CPT Revise Spermatic Cord Veins 4 4 $8,376.00 $7,120.00 $7,706.00 $8,041.00 $7,915.00 2026-06-08
55060 CPT Repair Of Hydrocele 8 4 $4,299.50 $3,654.50 $2,761.00 $5,374.00 $4,015.50 2026-06-08
54440 CPT Operation Of Penis For Injury 4 4 $5,878.00 $4,996.00 $5,408.00 $5,643.00 $5,554.50 2026-06-08
54360 CPT Rpr Penis Correct Angulation 4 4 $2,990.00 $2,542.00 $2,751.00 $2,870.00 $2,826.00 2026-06-08
54300 CPT Penis Straightening Chordee 4 4 $2,669.00 $2,269.00 $2,455.00 $2,562.00 $2,522.50 2026-06-08
52601 CPT Transurethral Res Of Prostate 8 4 $4,096.50 $3,482.00 $2,608.00 $5,144.00 $3,825.50 2026-06-08
52441 CPT Urolift Initial 12 4 $2,910.00 $2,474.00 $1,607.00 $3,756.00 $2,750.00 2026-06-08
52332 CPT Ureteral Stent Placement 8 4 $4,672.50 $3,971.50 $2,457.00 $6,407.00 $4,352.00 2026-06-08
52318 CPT Cystolitholapaxy 4 4 $4,370.00 $3,715.00 $4,020.00 $4,195.00 $4,130.00 2026-06-08
52310 CPT Cysto W Rem Fb/stnt Ureth 12 4 $2,979.00 $2,532.00 $901.00 $4,766.00 $2,815.00 2026-06-08
52214 CPT Cystourethroscopy W/fulg 8 4 $5,049.00 $4,291.50 $1,133.00 $8,512.00 $4,670.00 2026-06-08
52001 CPT Cystourethroscopy W/irrigation 4 4 $7,712.00 $6,555.00 $7,095.00 $7,404.00 $7,287.50 2026-06-08
50544 CPT Laparoscopic Pyeloplasty 8 4 $4,113.00 $3,496.00 $2,019.00 $5,790.00 $3,828.00 2026-06-08
50474 CPT Certolizumab 400 Mg (200 Mg/ Ml X2) Kit 4 4 $2,593.00 $2,204.00 $2,386.00 $2,489.00 $2,450.00 2026-06-08
50242 CPT Ocrelizumab 300 Mg/10 Ml Vial 20 4 $2,770.00 $2,355.00 $1,274.00 $18,025.00 $2,618.00 2026-06-08
49651 CPT Lap Ing Hernia Repair Recur 8 4 $4,514.50 $3,837.50 $2,148.00 $6,426.00 $4,200.00 2026-06-08
49650 CPT Lap Hernia Ing Repair Initial 8 4 $3,746.50 $3,184.50 $499.00 $6,673.00 $3,457.50 2026-06-08
49595 CPT Int Rpr Hernia >10cm 8 4 $4,274.00 $3,633.00 $782.00 $7,390.00 $3,949.00 2026-06-08
49593 CPT Rpr Aa Her 1st 3-10cm Red -pro 8 4 $3,593.00 $3,054.00 $829.00 $6,034.00 $3,323.50 2026-06-08
49592 CPT Rpr Aa Hernia 1st <3 Cm 8 4 $2,596.50 $2,207.00 $791.00 $4,160.00 $2,406.00 2026-06-08
49591 CPT Rpr Aa Hern 1st <3cm Reduc Pro 8 4 $2,564.00 $2,179.50 $900.00 $3,984.00 $2,378.50 2026-06-08
49568 CPT Hernia Repair W/mesh 4 4 $3,392.00 $2,883.00 $3,121.00 $3,256.00 $3,205.00 2026-06-08
49520 CPT Rerepair Ing Hernia Reduc 4 4 $6,414.00 $5,452.00 $5,901.00 $6,157.00 $6,061.00 2026-06-08
49505 CPT Repair Of Groin Hernia Patient Age 5 Years Or Older 12 4 $6,060.00 $5,151.00 $3,404.00 $6,466.00 $5,726.50 2026-06-08
47562 CPT Removal Of Gallbladder Using An Endoscope 12 4 $7,109.00 $6,043.00 $3,580.00 $7,342.00 $6,718.00 2026-06-08
46260 CPT Remove In/ex Hem Groups 2 8 4 $3,363.50 $2,859.00 $1,661.00 $4,725.00 $3,130.50 2026-06-08
45385 CPT Removal Of Polyps Or Growths Of Large Bowel Using An Endoscope 8 4 $2,632.50 $2,238.00 $1,823.00 $3,152.00 $2,461.50 2026-06-08
44970 CPT Laparoscopy, Appendectomy 8 4 $4,147.50 $3,525.00 $1,611.00 $6,282.00 $3,850.50 2026-06-08
44955 CPT Appy; Done For Indicat Pu 4 4 $4,323.00 $3,675.00 $3,977.00 $4,150.00 $4,085.50 2026-06-08
44950 CPT Appendectomy 8 4 $3,123.50 $2,655.00 $2,212.00 $3,689.00 $2,922.00 2026-06-08
44394 CPT Colonoscopy Thru Ex Stoma 8 4 $3,660.50 $3,111.50 $562.00 $6,442.00 $3,380.00 2026-06-08
44389 CPT Colonoscopy Stoma W/biopsy 8 4 $2,604.00 $2,213.50 $532.00 $4,445.00 $2,407.50 2026-06-08
44238 CPT Unlisted Lapor Exct Rectum 8 4 $4,505.00 $3,829.50 $828.00 $7,786.00 $4,162.50 2026-06-08
44206 CPT Immune Globulin 10% 10 Gm/100 Ml 8 4 $2,948.00 $2,505.50 $1,085.00 $4,528.00 $2,736.00 2026-06-08
430070407 CDM Immune Globulin 10% (Gamunex C) 40 Gm/400 Ml 4 4 $4,537.00 $3,856.00 $4,174.00 $4,356.00 $4,287.50 2026-06-08
430070405 CDM Tezepelumab-ekko 210 Mg/1.91ml 4 4 $4,369.00 $3,714.00 $4,019.00 $4,194.00 $4,129.00 2026-06-08
430070404 CDM Paliperidone 234 Mg/1.5 Ml Syr 4 4 $3,361.00 $2,857.00 $3,092.00 $3,227.00 $3,176.00 2026-06-08
430070394 CDM Romosozumab-aqqg 210mg/2.34ml 4 4 $2,629.00 $2,235.00 $2,419.00 $2,524.00 $2,484.50 2026-06-08
430070387 CDM Rituximab 500 Mg/50 Ml Vial 4 4 $4,698.00 $3,993.00 $4,322.00 $4,510.00 $4,439.50 2026-06-08
430070351 CDM Natalizumab 300 Mg/15 Ml Vial 4 4 $6,397.00 $5,437.00 $5,885.00 $6,141.00 $6,045.00 2026-06-08
430070344 CDM Benralizumab 30 Mg/ml Syringe 4 4 $5,024.00 $4,270.00 $4,622.00 $4,823.00 $4,748.00 2026-06-08
430070311 CDM Lanreotide 120 Mg/0.5 Ml Syr 4 4 $9,150.00 $7,778.00 $8,418.00 $8,784.00 $8,647.00 2026-06-08
430070215 CDM Pegfilgrastim 6 Mg/0.6 Ml Syr 4 4 $4,553.00 $3,870.00 $4,189.00 $4,371.00 $4,302.50 2026-06-08
430070066 CDM Denosumab 120 Mg/1.7 Ml Vial 4 4 $3,313.00 $2,816.00 $3,048.00 $3,180.00 $3,130.50 2026-06-08
430070012 CDM Alteplase 100 Mg/100 Ml Vial 4 4 $8,540.00 $7,259.00 $7,857.00 $8,198.00 $8,070.50 2026-06-08
42831 CPT Adenoidectomy >12years 8 4 $3,014.00 $2,562.00 $395.00 $5,375.00 $2,781.50 2026-06-08
42830 CPT Removal Of Adenoids 1' <1 8 4 $3,552.00 $3,019.00 $3,145.00 $3,539.00 $3,336.00 2026-06-08
42826 CPT Removal Of Tonsils > 12yrs 4 4 $4,437.00 $3,771.00 $4,082.00 $4,260.00 $4,193.00 2026-06-08
42821 CPT T & A; Age 12 Or More 8 4 $3,079.00 $2,617.00 $1,771.00 $4,064.00 $2,871.00 2026-06-08
42820 CPT Removal Of Tonsils And Adenoid Glands, Patient Younger Than Age 12 12 4 $4,293.00 $3,649.00 $3,512.00 $4,931.00 $4,056.50 2026-06-08
41113 CPT Rem Lesion W Cl Post 1/3 4 4 $3,674.00 $3,123.00 $3,380.00 $3,527.00 $3,472.00 2026-06-08
38571 CPT Laps Surg Bilateral Total Pelv 8 4 $5,122.50 $4,354.00 $1,109.00 $8,678.00 $4,737.00 2026-06-08
36561 CPT Ins Tunneled Cvad W Port 8 4 $3,780.00 $3,213.00 $2,262.00 $4,897.00 $3,527.00 2026-06-08
3601474 CDM Surg Tx Incompl Abortion 4 4 $4,640.00 $3,944.00 $4,269.00 $4,454.00 $4,385.00 2026-06-08
3601467 CDM Adj Tiss Transf Other 10 Sq C 4 4 $2,721.00 $2,313.00 $2,503.00 $2,612.00 $2,571.50 2026-06-08
3601456 CDM Ventral Hernia 4 4 $5,009.00 $4,258.00 $4,608.00 $4,809.00 $4,733.50 2026-06-08
3601454 CDM Umbil Hernia 4 4 $4,499.00 $3,824.00 $4,139.00 $4,319.00 $4,251.50 2026-06-08
3601453 CDM Rpr Umbil Hern Block 5+ Y 4 4 $5,261.00 $4,472.00 $4,840.00 $5,051.00 $4,971.50 2026-06-08
3601450 CDM Rpr 1st Fem Hrna Any Age Reduc 4 4 $5,513.00 $4,686.00 $5,072.00 $5,292.00 $5,209.50 2026-06-08
3601445 CDM Rev Tot Kn Arth Fem&tibial Com 4 4 $8,261.00 $7,022.00 $7,600.00 $7,931.00 $7,806.50 2026-06-08
3601419 CDM Rep Init Inci/ Ventral He 4 4 $4,471.00 $3,800.00 $4,113.00 $4,292.00 $4,225.00 2026-06-08
3601407 CDM Removal Of Tonsils <12 Yr 4 4 $2,993.00 $2,544.00 $2,754.00 $2,873.00 $2,828.00 2026-06-08
3601335 CDM Fx Open Proximal Humeral 4 4 $7,484.00 $6,361.00 $6,885.00 $7,185.00 $7,072.50 2026-06-08
3601316 CDM Myringoplasty 4 4 $3,336.00 $2,836.00 $3,069.00 $3,203.00 $3,152.50 2026-06-08
3601299 CDM Lsh W/t/o Ut 250 G Or Les 4 4 $10,523.00 $8,945.00 $9,681.00 $10,102.00 $9,944.50 2026-06-08
3601292 CDM Wound Dehiscence Complicated 4 4 $3,226.00 $2,742.00 $2,968.00 $3,097.00 $3,048.50 2026-06-08
3601275 CDM Lap; Cholecystectomy W Ch 4 4 $7,590.00 $6,452.00 $6,983.00 $7,286.00 $7,173.00 2026-06-08
3601272 CDM Lap Vent/abd Hernia Repai 4 4 $7,507.00 $6,381.00 $6,906.00 $7,207.00 $7,094.50 2026-06-08
3601266 CDM Lap Inc Hernia Repair 4 4 $8,024.00 $6,820.00 $7,382.00 $7,703.00 $7,583.00 2026-06-08
3601260 CDM Knee Arthroscopy/surgery 4 4 $5,412.00 $4,600.00 $4,979.00 $5,196.00 $5,114.00 2026-06-08
3601258 CDM Knee Arthroscopy/surgery 4 4 $4,527.00 $3,848.00 $4,165.00 $4,346.00 $4,278.00 2026-06-08
3601177 CDM Exc/curettage Cyst/tumor Femur 4 4 $2,985.00 $2,537.00 $2,746.00 $2,866.00 $2,821.00 2026-06-08
3601173 CDM Exc Tumr Sft Ts Ft/toe 1.5cm/< 4 4 $2,708.00 $2,302.00 $2,491.00 $2,600.00 $2,559.50 2026-06-08
3601124 CDM Excision Tumor Abd Wall <3cm 4 4 $4,220.00 $3,587.00 $3,882.00 $4,051.00 $3,988.00 2026-06-08
3601102 CDM Diag Laparoscopy Separate Proc 4 4 $3,641.00 $3,095.00 $3,350.00 $3,495.00 $3,441.00 2026-06-08
3601026 CDM Arthrs Knee W/meniscec Med&lat 4 4 $4,262.00 $3,623.00 $3,921.00 $4,092.00 $4,027.50 2026-06-08
3601025 CDM Arthrs Knee Drlg Osteochond If 4 4 $4,881.00 $4,149.00 $4,491.00 $4,686.00 $4,612.50 2026-06-08
3601022 CDM Arthr Shoulder, Slap Lesion 4 4 $5,674.00 $4,823.00 $5,220.00 $5,447.00 $5,362.00 2026-06-08
3601019 CDM Arthroscopy Biceps Tenodesis 4 4 $4,305.00 $3,659.00 $3,961.00 $4,133.00 $4,068.50 2026-06-08
3601018 CDM Arthroscopy Of Joint 4 4 $5,452.00 $4,634.00 $5,016.00 $5,234.00 $5,152.00 2026-06-08
3601016 CDM Arthr Knee Synovect 2/>compart 4 4 $4,322.00 $3,674.00 $3,976.00 $4,149.00 $4,084.50 2026-06-08
3601015 CDM Arthr Knee Diagn W/wo Synovia 4 4 $3,313.00 $2,816.00 $3,048.00 $3,180.00 $3,130.50 2026-06-08
3601014 CDM Arthroscop Rotator Cuff Repr 4 4 $6,973.00 $5,927.00 $6,415.00 $6,694.00 $6,589.50 2026-06-08
3601011 CDM Arthrodesis Subtala 4 4 $4,016.00 $3,414.00 $3,695.00 $3,855.00 $3,795.00 2026-06-08
3601010 CDM Arthrodesis Midtar/tarso 1 4 4 $4,765.00 $4,050.00 $4,384.00 $4,574.00 $4,503.00 2026-06-08
3601004 CDM Anterior Colporrhaphy Rep 4 4 $5,170.00 $4,395.00 $4,756.00 $4,963.00 $4,886.00 2026-06-08
3601001 CDM Amputate Metatar W/toe Single 4 4 $3,464.00 $2,944.00 $3,187.00 $3,325.00 $3,273.50 2026-06-08
35226 CPT Repair Bld Vessel Direct; 4 4 $2,823.00 $2,400.00 $2,597.00 $2,710.00 $2,668.00 2026-06-08
33285 CPT Insert Subcu Crd Rthm Mon 4 4 $8,553.00 $7,270.00 $7,869.00 $8,211.00 $8,082.50 2026-06-08
30520 CPT Septoplasty 8 4 $3,407.50 $2,896.50 $2,350.00 $4,091.00 $3,186.00 2026-06-08
29888 CPT Arthro Aid Ant Cr Lig Rpr -pro 8 4 $4,849.50 $4,122.00 $1,084.00 $8,180.00 $4,485.00 2026-06-08
29881 CPT Removal Of One Knee Cartilage Using An Endoscope 12 4 $5,239.00 $4,453.00 $940.00 $5,325.00 $4,951.00 2026-06-08
29879 CPT Arthroscopy Knee; Abras A 8 4 $2,521.00 $2,143.00 $710.00 $4,099.00 $2,334.50 2026-06-08
29826 CPT Shaving Of Shoulder Bone Using Endoscope 8 4 $4,759.50 $4,045.50 $4,024.00 $4,939.00 $4,466.00 2026-06-08
29824 CPT Arthr Shoulder Distal Clavicul 4 4 $4,597.00 $3,907.00 $4,229.00 $4,413.00 $4,344.00 2026-06-08
29823 CPT Arthr Shoulder Surg Debride 3 8 4 $2,674.00 $2,273.00 $1,020.00 $4,069.00 $2,482.50 2026-06-08
29822 CPT Arthr Shoulder Surg Debrid 1-2 4 4 $3,360.00 $2,856.00 $3,091.00 $3,226.00 $3,175.00 2026-06-08
29806 CPT Arthro Should Caps 4 4 $6,158.00 $5,234.00 $5,665.00 $5,912.00 $5,819.50 2026-06-08
28825 CPT Amputation Toe Interphal Joint 4 4 $3,086.00 $2,623.00 $2,839.00 $2,963.00 $2,916.50 2026-06-08
28820 CPT Amputation Toe Metaphalangeal 8 4 $2,917.00 $2,479.50 $2,102.00 $3,407.00 $2,729.50 2026-06-08
28760 CPT Arthrd W/trans Halluc-1st Meta 4 4 $2,568.00 $2,183.00 $2,363.00 $2,465.00 $2,427.00 2026-06-08
28755 CPT Arthrodesis Grt Toe Int Joint 4 4 $7,844.00 $6,667.00 $7,216.00 $7,530.00 $7,412.50 2026-06-08
28750 CPT Surgical Rpr Metatar/big Toe 4 4 $6,611.00 $5,619.00 $6,082.00 $6,347.00 $6,247.00 2026-06-08
28730 CPT Arthrodesis Midtar/tarso 2+ 4 4 $5,828.00 $4,954.00 $5,362.00 $5,595.00 $5,507.50 2026-06-08
28485 CPT Open Tx Of Metatar Fx 4 4 $8,948.00 $7,606.00 $8,232.00 $8,590.00 $8,456.00 2026-06-08
28310 CPT Revision Big Toe 4 4 $6,936.00 $5,896.00 $6,381.00 $6,659.00 $6,554.50 2026-06-08
28308 CPT Osteot W/wo Lng/st/cor Mt Xcp1 4 4 $3,315.00 $2,818.00 $3,050.00 $3,182.00 $3,132.50 2026-06-08
28304 CPT Osteotomy Of Tarsal Bones 4 4 $3,199.00 $2,719.00 $2,943.00 $3,071.00 $3,023.00 2026-06-08
28300 CPT Rpr/revis/recon Of Foot/toes 4 4 $5,580.00 $4,743.00 $5,134.00 $5,357.00 $5,273.00 2026-06-08
28299 CPT Correction Of Bunion 4 4 $6,242.00 $5,306.00 $5,743.00 $5,992.00 $5,898.50 2026-06-08
28296 CPT Resection Of Proximal Phalanx 4 4 $3,973.00 $3,377.00 $3,655.00 $3,814.00 $3,754.50 2026-06-08
28292 CPT Corrj Hallux Valgus W/sesmdc 4 4 $3,568.00 $3,033.00 $3,283.00 $3,425.00 $3,372.00 2026-06-08
28289 CPT Cheilectomy 1st Mp Jt Without Impl 4 4 $4,323.00 $3,675.00 $3,977.00 $4,150.00 $4,085.50 2026-06-08
28285 CPT Hammertoe One Toe 4 4 $3,869.00 $3,289.00 $3,559.00 $3,714.00 $3,656.50 2026-06-08
28272 CPT Release Of Toe Joint Ea 8 4 $2,585.00 $2,197.50 $451.00 $4,493.00 $2,388.00 2026-06-08
28270 CPT Release Of Foot Contractu 4 4 $3,158.00 $2,684.00 $2,905.00 $3,032.00 $2,984.50 2026-06-08
28232 CPT Incision Of Toe Tendon 4 4 $3,123.00 $2,655.00 $2,873.00 $2,998.00 $2,951.50 2026-06-08
28208 CPT Rpr Of Ext Tendon Foot 4 4 $4,680.00 $3,978.00 $4,306.00 $4,493.00 $4,422.50 2026-06-08
28200 CPT Rpr Flxr Tndn Foot 4 4 $6,259.00 $5,320.00 $5,758.00 $6,009.00 $5,914.50 2026-06-08
28124 CPT Partial Removal Of Toe 4 4 $3,128.00 $2,659.00 $2,878.00 $3,003.00 $2,956.00 2026-06-08
28122 CPT Partial Removal Of Foot Bone 4 4 $4,206.00 $3,575.00 $3,870.00 $4,038.00 $3,975.00 2026-06-08
28119 CPT Ostec Calc Spur W/wo Plnt Fasc 4 4 $3,233.00 $2,748.00 $2,974.00 $3,104.00 $3,055.00 2026-06-08
28112 CPT Ostectomy Other Metatarsal 4 4 $3,953.00 $3,360.00 $3,637.00 $3,795.00 $3,735.50 2026-06-08
27870 CPT Arthrodesis Ankle 4 4 $3,010.00 $2,559.00 $2,769.00 $2,890.00 $2,844.50 2026-06-08
27814 CPT Tx Of Ankle Fracture 4 4 $8,375.00 $7,119.00 $7,705.00 $8,040.00 $7,914.50 2026-06-08
27792 CPT Fx And/or Disl Leg/ankle Joint 4 4 $14,825.00 $12,601.00 $13,639.00 $14,232.00 $14,010.00 2026-06-08
27702 CPT Arthro Ankletotal Ankle 4 4 $6,780.00 $5,763.00 $6,238.00 $6,509.00 $6,407.00 2026-06-08
27698 CPT Rpr Sec Dis Lig Ankle 4 4 $10,014.00 $8,512.00 $9,213.00 $9,613.00 $9,463.00 2026-06-08
27691 CPT Rpr/rvisn/recons Of Tib/fib 4 4 $4,202.00 $3,572.00 $3,866.00 $4,034.00 $3,971.00 2026-06-08
27687 CPT Rpr/revis/recon Ankle Jnt 4 4 $4,929.00 $4,190.00 $4,535.00 $4,732.00 $4,658.00 2026-06-08
27685 CPT Lengthen/shorten Ten Leg/ankle 4 4 $11,957.00 $10,163.00 $11,000.00 $11,479.00 $11,299.50 2026-06-08
27652 CPT Rpr Pri Open/prq Rupt Ach W/gr 4 4 $3,150.00 $2,678.00 $2,898.00 $3,024.00 $2,977.00 2026-06-08
27650 CPT Rpr Prim Open/precu Achilles 4 4 $14,524.00 $12,345.00 $13,362.00 $13,943.00 $13,725.50 2026-06-08
27447 CPT Total Knee Arthroplasty 8 4 $8,949.00 $7,607.00 $5,080.00 $11,881.00 $8,343.50 2026-06-08
27446 CPT Unicompartmental Knee Arthro 8 4 $7,127.00 $6,058.00 $1,189.00 $12,444.00 $6,582.50 2026-06-08
27422 CPT Rec Disl Patella W Mscl Adv 8 4 $4,609.00 $3,917.50 $795.00 $8,020.00 $4,257.50 2026-06-08
27412 CPT Autologous Chondro Impl Knee 4 4 $7,466.00 $6,346.00 $6,869.00 $7,167.00 $7,055.50 2026-06-08
27130 CPT Total Hip Arthroplasty 8 4 $5,341.00 $4,540.00 $1,558.00 $8,629.00 $4,947.50 2026-06-08
26160 CPT Remove Tendon Sheath Lesion 4 4 $4,719.00 $4,011.00 $4,341.00 $4,530.00 $4,459.50 2026-06-08
26111 CPT Exc Hand Les Sc 1.5 Cm/> 4 4 $2,759.00 $2,345.00 $2,538.00 $2,649.00 $2,607.00 2026-06-08
25607 CPT Open Red W/inter Fix Wrist 4 4 $8,142.00 $6,921.00 $7,491.00 $7,816.00 $7,694.00 2026-06-08
25111 CPT Excision Of Ganglion Wrist 8 4 $3,951.00 $3,358.50 $3,296.00 $4,146.00 $3,706.50 2026-06-08
24105 CPT Excision Olecranon Bursa 4 4 $4,695.00 $3,991.00 $4,319.00 $4,507.00 $4,436.50 2026-06-08
23472 CPT Arthplasty Total Shoulder 8 4 $5,458.50 $4,640.00 $1,597.00 $8,814.00 $5,057.00 2026-06-08
23120 CPT Claviculectomy Partial 4 4 $2,592.00 $2,203.00 $2,385.00 $2,488.00 $2,449.00 2026-06-08
23073 CPT Excision Tumor Shoulder >5cm 4 4 $2,415.00 $2,053.00 $2,222.00 $2,318.00 $2,282.00 2026-06-08
23071 CPT Excision Tumor Shoulder >3cm 12 4 $3,133.00 $2,663.00 $460.00 $4,210.00 $2,960.50 2026-06-08
20680 CPT Removal Of Implant Deep 4 4 $4,610.00 $3,919.00 $4,241.00 $4,426.00 $4,356.50 2026-06-08
20670 CPT Removal Of Implant Superficial 4 4 $3,892.00 $3,308.00 $3,581.00 $3,736.00 $3,677.50 2026-06-08
2001001 CDM Intensive Care 4 4 $2,755.00 $2,342.00 $2,535.00 $2,645.00 $2,603.50 2026-06-08
19301 CPT Mastectomy Partial 4 4 $3,584.00 $3,046.00 $3,297.00 $3,441.00 $3,387.00 2026-06-08
19120 CPT Removal Of One Or More Breast Growth, Open Procedure 8 4 $3,330.00 $2,831.00 $1,776.00 $4,541.00 $3,102.50 2026-06-08
19100 CPT Bx Breast Percut Without Image 4 4 $2,884.00 $2,451.00 $2,653.00 $2,769.00 $2,725.50 2026-06-08
15740 CPT Flap; Island Axial Vessel 4 4 $7,443.00 $6,327.00 $6,848.00 $7,145.00 $7,033.50 2026-06-08
1201013 CDM Swb Airborne Isolation 4 4 $3,460.00 $2,941.00 $3,183.00 $3,322.00 $3,269.50 2026-06-08
1201012 CDM Swb Isolation 4 4 $3,035.00 $2,580.00 $2,792.00 $2,914.00 $2,868.00 2026-06-08
1201011 CDM OB Airborn Isolation 4 4 $3,295.00 $2,801.00 $3,031.00 $3,163.00 $3,113.50 2026-06-08
1201010 CDM OB Isolation 4 4 $2,890.00 $2,457.00 $2,659.00 $2,774.00 $2,731.50 2026-06-08
1201009 CDM Airborne Isolation 4 4 $3,295.00 $2,801.00 $3,031.00 $3,163.00 $3,113.50 2026-06-08
1201008 CDM Isolation 4 4 $2,890.00 $2,457.00 $2,659.00 $2,774.00 $2,731.50 2026-06-08
11772 CPT Exc Pilonidal Cyst Complex 4 4 $4,365.00 $3,710.00 $4,016.00 $4,190.00 $4,125.00 2026-06-08
11771 CPT Exc Pilonidal Cyst Extensive 4 4 $4,526.00 $3,847.00 $4,164.00 $4,345.00 $4,277.00 2026-06-08
11770 CPT Exc Pilonidal Cyst Simple 8 4 $3,421.50 $2,908.50 $1,027.00 $5,498.00 $3,170.00 2026-06-08
11644 CPT Exc Mal F/e/e/n/l 3.1-4.0 Cm 8 4 $2,549.50 $2,167.00 $1,539.00 $3,289.00 $2,379.00 2026-06-08
10021 CPT Fine Needle Asp Without Image 1st 8 4 $5,385.00 $4,577.50 $227.00 $10,102.00 $4,959.00 2026-06-08
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