Hospital

SOUTHWEST HEALTHCARE SERVICES

Bowman, ND · CCN 351313 · Rates published

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You selected 93306 (HCPCS)

This facility hasn’t published a payer-negotiated rate for this exact code. See its full rate list below.

1,506 distinct procedures filed

5 distinct payers

9,768 rate rows

2025-10-16 last MRF observed · ⚠ 12 mo old

Data quality

251 of 9,768 rate rows are consumer-grade (2.6%)

9,517 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reason	Rows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	9,504
exceeds 10× this hospital's gross charge — excluded from medians	7
per-diem day rate — not a per-procedure price	6

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 12 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

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

Source MRF file	https://swhealthcare.net/file_download/inline/c967a943-4246-45d6-9ff2-8222bb15dc86
Found on page	https://swhealthcare.net/patient/financials/price-transparency.html
Discovered via	CMS hospital list
Last fetch	not_modified · 2026-10-19
Content fingerprint	88fcae4c38247b5d… · 5,309,410 bytes · first seen 2026-05-09

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
0110 RC		1	$6,849.97	$6,849.97	$6,849.97	nat. median $961 outlier · 7.1×
0121 RC		1	$6,849.97	$6,849.97	$6,849.97	nat. median $916 outlier · 7.5×
64491 HCPCS	Inj Paravert Facet 2nd Level 64491	3	$363.44	$363.44	$363.44	nat. median $746 outlier · 0.5×
45330 HCPCS	Sigmoidoscopy Flexible 45330	3	$363.44	$363.44	$363.44	nat. median $1,083 outlier · 0.3×
62321 HCPCS	Inj Cer Thor Sub W/guide 62321	3	$363.44	$363.44	$363.44	nat. median $1,078 outlier · 0.3×
64490 HCPCS	Inject Parafacet W/image Cerv/thor 64490	3	$363.44	$363.44	$363.44	nat. median $1,287 outlier · 0.3×
26700 HCPCS	Tx Knuckle Dis With Manip Without Anesthesia	3	$363.44	$363.44	$363.44	nat. median $403 0.9× median
20552 HCPCS	Trigger Point 1-2 Muscles 20552	3	$363.44	$363.44	$363.44	nat. median $366 1.0× median
29515 HCPCS	Application Short Leg Splint	3	$363.44	$363.44	$363.44	nat. median $214 1.7× median
43239 HCPCS	Egd With Biopsy	3	$363.44	$363.44	$363.44	nat. median $1,379 outlier · 0.3×
46600 HCPCS	Anoscopy	3	$363.44	$363.44	$363.44	nat. median $180 outlier · 2.0×
54235 HCPCS	Inj Corpora Cavernosa With Pharm 54235	3	$363.44	$363.44	$363.44	nat. median $340 1.1× median
64447 HCPCS	Inj Femoral Nerve With Guide 64447	3	$363.44	$363.44	$363.44	nat. median $951 outlier · 0.4×
64484 HCPCS	Epidural Lumb Sac W/guide Ea Ad 64484	3	$363.44	$363.44	$363.44	nat. median $858 outlier · 0.4×
12044 HCPCS	Repair Sca Trun Extre 7.6cm-12.5cm 12044	3	$363.44	$363.44	$363.44	nat. median $772 outlier · 0.5×
12013 HCPCS	Lac All Parts Face 2.6 6c	3	$363.44	$363.44	$363.44	nat. median $307 1.2× median
20612 HCPCS	Aspiration/drain Gaglion Profee 20612	3	$363.44	$363.44	$363.44	nat. median $339 1.1× median
25560 HCPCS	Closed Tx Radial & Ulnar Shaft Without Manip	3	$363.44	$363.44	$363.44	nat. median $430 0.8× median
27760 HCPCS	Closed Tx Medial Malleolus Fx Without Manip	3	$363.44	$363.44	$363.44	nat. median $442 0.8× median
29505 HCPCS	Application Of Long Leg Splint	3	$363.44	$363.44	$363.44	nat. median $232 1.6× median
32551 HCPCS	Insertion Chest Tube	3	$363.44	$363.44	$363.44	nat. median $1,573 outlier · 0.2×
43235 HCPCS	Egd 43235	3	$363.44	$363.44	$363.44	nat. median $1,316 outlier · 0.3×
45380 HCPCS	Colonoscopy With Biopsy 45380	3	$363.44	$363.44	$363.44	nat. median $1,565 outlier · 0.2×
45385 HCPCS	Colonoscopy With Snare Profee 45385	3	$363.44	$363.44	$363.44	nat. median $1,663 outlier · 0.2×
51703 HCPCS	Insert Temp Indwelling Cath Complicated	3	$363.44	$363.44	$363.44	nat. median $254 1.4× median
54220 HCPCS	Irrigation Corpora Cav Priapism 54220	3	$363.44	$363.44	$363.44	nat. median $449 0.8× median
62323 HCPCS	Inj Lumbar Or Sacral W/guide 62323	3	$363.44	$363.44	$363.44	nat. median $1,120 outlier · 0.3×
64405 HCPCS	Inject Greater Occipital Nerve 64405	3	$363.44	$363.44	$363.44	nat. median $474 0.8× median
64450 HCPCS	Nerve Block - Nerve/branch	3	$363.44	$363.44	$363.44	nat. median $800 outlier · 0.5×
64483 HCPCS	Epidural Lumbar Or Sacral With Guide 64483	3	$363.44	$363.44	$363.44	nat. median $1,303 outlier · 0.3×
13152 HCPCS	Repair Complex E/n/e/l 2.6-7.5 Cm	3	$363.44	$363.44	$363.44	nat. median $910 outlier · 0.4×
20553 HCPCS	Trigger Points 3&up Muscles 20553	3	$363.44	$363.44	$363.44	nat. median $375 1.0× median
20550 HCPCS	Inject Tendon Or Ligament 20550	3	$363.44	$363.44	$363.44	nat. median $351 1.0× median
20551 HCPCS	Inj Tendon Origin Insert 20551	3	$363.44	$363.44	$363.44	nat. median $329 1.1× median
20610 HCPCS	Inject-shldr Hip Knee 20610	3	$363.44	$363.44	$363.44	nat. median $395 0.9× median
20611 HCPCS	Inj Maj Joint With Imaging 20611	3	$363.44	$363.44	$363.44	nat. median $487 0.7× median
23350 HCPCS	Shoulder Arthrography 23350	3	$363.44	$363.44	$363.44	nat. median $478 0.8× median
23605 HCPCS	Closed Tx Prox Humeral Fx With Manipul	3	$363.44	$363.44	$363.44	nat. median $1,882 outlier · 0.2×
27096 HCPCS	Si Joint Injection 27096	3	$363.44	$363.44	$363.44	nat. median $875 outlier · 0.4×
27530 HCPCS	Tibial Fx Proximal Without Manipulation	3	$363.44	$363.44	$363.44	nat. median $451 0.8× median
28192 HCPCS	Removal Of Foreign Body; Foot; Deep	3	$363.44	$363.44	$363.44	nat. median $1,863 outlier · 0.2×
29125 HCPCS	Application Short Arm Splint	3	$363.44	$363.44	$363.44	nat. median $191 1.9× median
30905 HCPCS	Control Nasal Post W/packs 30905	3	$363.44	$363.44	$363.44	nat. median $287 1.3× median
31500 HCPCS	Intubation	3	$363.44	$363.44	$363.44	nat. median $454 0.8× median
32554 HCPCS	Thoracentesis Without Imaging	3	$363.44	$363.44	$363.44	nat. median $861 outlier · 0.4×
32555 HCPCS	US Thoracentesis W Imaging Guidance	3	$363.44	$363.44	$363.44	nat. median $1,096 outlier · 0.3×
45333 HCPCS	Sigmoidoscopy With Polyp Removal 45333	3	$363.44	$363.44	$363.44	nat. median $1,158 outlier · 0.3×
45378 HCPCS	Colonoscopy 45378	3	$363.44	$363.44	$363.44	nat. median $1,339 outlier · 0.3×
45384 HCPCS	Colonoscopy With Polyp Destructruction 453	3	$363.44	$363.44	$363.44	nat. median $1,582 outlier · 0.2×
26775 HCPCS	Closed Tx Finger Disl With Anesth Profee 2	3	$363.44	$363.44	$363.44	nat. median $611 0.6× median

Other procedures at this hospital

Browse this hospital's 1,506 published procedures. Use the slice to choose what to show, then sort or filter any column.

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code	Type	Description	Rate rows	Payers	Gross	Cash	Min $	Max $	Avg median	Last observed

0110	RC	—	1	1	$400.00	$360.00	$6,849.97	$6,849.97	$6,849.97	2025-10-16
0121	RC	—	1	1	$1,000.00	$900.00	$6,849.97	$6,849.97	$6,849.97	2025-10-16
27096	HCPCS	Si Joint Injection 27096	3	3	$157.00	$141.30	$363.44	$363.44	$363.44	2025-10-16
G0105	HCPCS	Colonoscopy Mcr Screen Hi Risk G0105	3	3	$352.00	$316.80	$363.44	$363.44	$363.44	2025-10-16
813	OTHER	Anesthesia Upper & Lower Gi Profee,quarantine	3	3	$85.00	$76.50	$363.44	$363.44	$363.44	2025-10-16
27530	HCPCS	Tibial Fx Proximal Without Manipulation	3	3	$414.00	$372.60	$363.44	$363.44	$363.44	2025-10-16
43235	HCPCS	Egd 43235	3	3	$234.00	$210.60	$363.44	$363.44	$363.44	2025-10-16
23350	HCPCS	Shoulder Arthrography 23350	3	3	$70.00	$63.00	$363.44	$363.44	$363.44	2025-10-16
30905	HCPCS	Control Nasal Post W/packs 30905	3	3	$146.00	$131.40	$363.44	$363.44	$363.44	2025-10-16
99285	HCPCS	High Complex ER Level 5	3	3	$1,375.00	$1,237.50	$363.44	$363.44	$363.44	2025-10-16
99283	HCPCS	Moderate ER Level 3	3	3	$550.00	$495.00	$363.44	$363.44	$363.44	2025-10-16
811	OTHER	Anesthesia Lower Intestine,quarantine	3	3	$85.00	$76.50	$363.44	$363.44	$363.44	2025-10-16
99222	HCPCS	Moderate Complexity Acute 99222	3	3	$254.00	$228.60	$363.44	$363.44	$363.44	2025-10-16
31500	HCPCS	Intubation	3	3	$416.00	$374.40	$363.44	$363.44	$363.44	2025-10-16
J7676	HCPCS	Pentamidine 300 Mg Neb(nebupent)	6	5	$400.50	$360.45	$363.44	$363.44	$363.44	2025-10-16
20611	HCPCS	Inj Maj Joint With Imaging 20611	3	3	$196.00	$176.40	$363.44	$363.44	$363.44	2025-10-16
99235	HCPCS	Obs Or Acute In Out Same Day 99235	3	3	$312.00	$280.80	$363.44	$363.44	$363.44	2025-10-16
43239	HCPCS	Egd With Biopsy	3	3	$1,652.00	$1,486.80	$363.44	$363.44	$363.44	2025-10-16
27760	HCPCS	Closed Tx Medial Malleolus Fx Without Manip	3	3	$414.00	$372.60	$363.44	$363.44	$363.44	2025-10-16
29505	HCPCS	Application Of Long Leg Splint	3	3	$292.00	$262.80	$363.44	$363.44	$363.44	2025-10-16
12013	HCPCS	Lac All Parts Face 2.6 6c	3	3	$362.00	$325.80	$363.44	$363.44	$363.44	2025-10-16
51703	HCPCS	Insert Temp Indwelling Cath Complicated	3	3	$290.00	$261.00	$363.44	$363.44	$363.44	2025-10-16
64405	HCPCS	Inject Greater Occipital Nerve 64405	3	3	$72.00	$64.80	$363.44	$363.44	$363.44	2025-10-16
99291	HCPCS	Critical Care ER 30-74 Mi	3	3	$2,275.00	$2,047.50	$363.44	$363.44	$363.44	2025-10-16
64643	HCPCS	Chemodenervation Ea Ad Ext 1-4 64643	3	3	$96.00	$86.40	$363.44	$363.44	$363.44	2025-10-16
64636	HCPCS	Destruct Nerve Lumbar Sacral Ea 64636	3	3	$83.00	$74.70	$363.44	$363.44	$363.44	2025-10-16
64447	HCPCS	Inj Femoral Nerve With Guide 64447	3	3	$89.00	$80.10	$363.44	$363.44	$363.44	2025-10-16
54220	HCPCS	Irrigation Corpora Cav Priapism 54220	3	3	$186.00	$167.40	$363.44	$363.44	$363.44	2025-10-16
64642	HCPCS	Chemodenerv 1 Ext 1-4 Musc 64642	3	3	$148.00	$133.20	$363.44	$363.44	$363.44	2025-10-16
32555	HCPCS	US Thoracentesis W Imaging Guidance	3	3	$1,102.00	$991.80	$363.44	$363.44	$363.44	2025-10-16
64640	HCPCS	Destruct Nerve Peripheral Nerve 64640	3	3	$171.00	$153.90	$363.44	$363.44	$363.44	2025-10-16
99232	HCPCS	Moderate Complexity 99232	3	3	$194.00	$174.60	$363.44	$363.44	$363.44	2025-10-16
64490	HCPCS	Inject Parafacet W/image Cerv/thor 64490	3	3	$149.00	$134.10	$363.44	$363.44	$363.44	2025-10-16
64484	HCPCS	Epidural Lumb Sac W/guide Ea Ad 64484	3	3	$71.00	$63.90	$363.44	$363.44	$363.44	2025-10-16
731	OTHER	Anesthesia Upper Gi Profee,quarantine	3	3	$85.00	$76.50	$363.44	$363.44	$363.44	2025-10-16
99281	HCPCS	ER Level 1	3	3	$200.00	$180.00	$363.44	$363.44	$363.44	2025-10-16
45385	HCPCS	Colonoscopy With Snare Profee 45385	3	3	$486.00	$437.40	$363.44	$363.44	$363.44	2025-10-16
45330	HCPCS	Sigmoidoscopy Flexible 45330	3	3	$108.00	$97.20	$363.44	$363.44	$363.44	2025-10-16
32551	HCPCS	Insertion Chest Tube	3	3	$2,976.00	$2,678.40	$363.44	$363.44	$363.44	2025-10-16
28192	HCPCS	Removal Of Foreign Body; Foot; Deep	3	3	$2,024.00	$1,821.60	$363.44	$363.44	$363.44	2025-10-16
12044	HCPCS	Repair Sca Trun Extre 7.6cm-12.5cm 12044	3	3	$918.00	$826.20	$363.44	$363.44	$363.44	2025-10-16
29125	HCPCS	Application Short Arm Splint	3	3	$232.00	$208.80	$363.44	$363.44	$363.44	2025-10-16
20550	HCPCS	Inject Tendon Or Ligament 20550	3	3	$106.00	$95.40	$363.44	$363.44	$363.44	2025-10-16
45333	HCPCS	Sigmoidoscopy With Polyp Removal 45333	3	3	$178.00	$160.20	$363.44	$363.44	$363.44	2025-10-16
46600	HCPCS	Anoscopy	3	3	$232.00	$208.80	$363.44	$363.44	$363.44	2025-10-16
99233	HCPCS	High Complexity 99233	3	3	$279.00	$251.10	$363.44	$363.44	$363.44	2025-10-16
64615	HCPCS	Denerve Mus Tri Cer Spin Bil 64615	3	3	$165.00	$148.50	$363.44	$363.44	$363.44	2025-10-16
62321	HCPCS	Inj Cer Thor Sub W/guide 62321	3	3	$152.00	$136.80	$363.44	$363.44	$363.44	2025-10-16
64633	HCPCS	Destr Neuro Ag Facet With Guide 64633	3	3	$279.00	$251.10	$363.44	$363.44	$363.44	2025-10-16
G0121	HCPCS	Colonoscopy Scrn Low Risk G0121	3	3	$352.00	$316.80	$363.44	$363.44	$363.44	2025-10-16
99238	HCPCS	Discharge Inpt Hosp 99238	3	3	$195.00	$175.50	$363.44	$363.44	$363.44	2025-10-16
20610	HCPCS	Inject-shldr Hip Knee 20610	3	3	$442.00	$397.80	$363.44	$363.44	$363.44	2025-10-16
64493	HCPCS	Inject Paraver Facet W/guide 64493	3	3	$129.00	$116.10	$363.44	$363.44	$363.44	2025-10-16
99223	HCPCS	High Complexity 99223	3	3	$338.00	$304.20	$363.44	$363.44	$363.44	2025-10-16
64492	HCPCS	3rd & Addtl Levels 64492	3	3	$84.00	$75.60	$363.44	$363.44	$363.44	2025-10-16
64483	HCPCS	Epidural Lumbar Or Sacral With Guide 64483	3	3	$210.00	$189.00	$363.44	$363.44	$363.44	2025-10-16
23605	HCPCS	Closed Tx Prox Humeral Fx With Manipul	3	3	$2,870.00	$2,583.00	$363.44	$363.44	$363.44	2025-10-16
54235	HCPCS	Inj Corpora Cavernosa With Pharm 54235	3	3	$105.00	$94.50	$363.44	$363.44	$363.44	2025-10-16
20553	HCPCS	Trigger Points 3&up Muscles 20553	3	3	$78.00	$70.20	$363.44	$363.44	$363.44	2025-10-16
45384	HCPCS	Colonoscopy With Polyp Destructruction 453	3	3	$432.00	$388.80	$363.44	$363.44	$363.44	2025-10-16
25560	HCPCS	Closed Tx Radial & Ulnar Shaft Without Manip	3	3	$414.00	$372.60	$363.44	$363.44	$363.44	2025-10-16
20552	HCPCS	Trigger Point 1-2 Muscles 20552	3	3	$544.00	$489.60	$363.44	$363.44	$363.44	2025-10-16
45380	HCPCS	Colonoscopy With Biopsy 45380	3	3	$384.00	$345.60	$363.44	$363.44	$363.44	2025-10-16
99231	HCPCS	Low Complexity 99231	3	3	$104.00	$93.60	$363.44	$363.44	$363.44	2025-10-16
99284	HCPCS	Urgent ER Level 4	3	3	$900.00	$810.00	$363.44	$363.44	$363.44	2025-10-16
J0717	HCPCS	Certolizumab 400 Mg Inj(cimzia)	3	3	$9,179.43	$8,261.49	$363.44	$363.44	$363.44	2025-10-16
64635	HCPCS	Destruct Nerve Lumbar Sacral Ea 64635	3	3	$273.00	$245.70	$363.44	$363.44	$363.44	2025-10-16
64491	HCPCS	Inj Paravert Facet 2nd Level 64491	3	3	$83.00	$74.70	$363.44	$363.44	$363.44	2025-10-16
62323	HCPCS	Inj Lumbar Or Sacral W/guide 62323	3	3	$140.00	$126.00	$363.44	$363.44	$363.44	2025-10-16
64450	HCPCS	Nerve Block - Nerve/branch	3	3	$1,288.00	$1,159.20	$363.44	$363.44	$363.44	2025-10-16
64634	HCPCS	Cerv Thoracic Ea Addtl Facetjoint 64634	3	3	$97.00	$87.30	$363.44	$363.44	$363.44	2025-10-16
812	OTHER	Anesthesia Screening Colonoscopy Profee,quarantine	3	3	$85.00	$76.50	$363.44	$363.44	$363.44	2025-10-16
99292	HCPCS	Each Addl 30 Minutes Profee 99292	3	3	$208.00	$187.20	$363.44	$363.44	$363.44	2025-10-16
99282	HCPCS	Basic ER Level 2	3	3	$350.00	$315.00	$363.44	$363.44	$363.44	2025-10-16
99221	HCPCS	Low Complexity Hosp Inpt 99221	3	3	$160.00	$144.00	$363.44	$363.44	$363.44	2025-10-16
20612	HCPCS	Aspiration/drain Gaglion Profee 20612	3	3	$80.00	$72.00	$363.44	$363.44	$363.44	2025-10-16
45378	HCPCS	Colonoscopy 45378	3	3	$352.00	$316.80	$363.44	$363.44	$363.44	2025-10-16
45331	HCPCS	Sigmoidoscopy With Biopsy 45331	3	3	$138.00	$124.20	$363.44	$363.44	$363.44	2025-10-16
20551	HCPCS	Inj Tendon Origin Insert 20551	3	3	$72.00	$64.80	$363.44	$363.44	$363.44	2025-10-16
32554	HCPCS	Thoracentesis Without Imaging	3	3	$1,158.00	$1,042.20	$363.44	$363.44	$363.44	2025-10-16
29515	HCPCS	Application Short Leg Splint	3	3	$292.00	$262.80	$363.44	$363.44	$363.44	2025-10-16
13152	HCPCS	Repair Complex E/n/e/l 2.6-7.5 Cm	3	3	$1,162.00	$1,045.80	$363.44	$363.44	$363.44	2025-10-16
26775	HCPCS	Closed Tx Finger Disl With Anesth Profee 2	3	3	$714.00	$642.60	$363.44	$363.44	$363.44	2025-10-16
26700	HCPCS	Tx Knuckle Dis With Manip Without Anesthesia	3	3	$414.00	$372.60	$363.44	$363.44	$363.44	2025-10-16
11646	HCPCS	Exc 4cm+ Mal/face 11646	0	0	$992.00	$892.80	—	—	—	2025-10-16
11644	HCPCS	3.1cm To 4.0cm 11644	0	0	$768.00	$691.20	—	—	—	2025-10-16
11402	HCPCS	1.1 Cm To 2.0 Cm 11402	0	0	$317.00	$285.30	—	—	—	2025-10-16
11643	HCPCS	2.1 Cm To 3.0 Cm 11643	0	0	$623.00	$560.70	—	—	—	2025-10-16
11642	HCPCS	1.1 Cm To 2 0 Cm 11642	0	0	$497.00	$447.30	—	—	—	2025-10-16
11401	HCPCS	.6cm To 1.0 Cm 11401	0	0	$287.00	$258.30	—	—	—	2025-10-16
11105	HCPCS	Each Additional / Separate Lesion 11105	0	0	$118.00	$106.20	—	—	—	2025-10-16
11641	HCPCS	.06 Cm To 1.0 Cm 11641	0	0	$424.00	$381.60	—	—	—	2025-10-16
11640	HCPCS	Up To 0.5 Cm 11640	0	0	$346.00	$311.40	—	—	—	2025-10-16
11400	HCPCS	Trunk Arm Leg 0.5 Cm 11400	0	0	$228.00	$205.20	—	—	—	2025-10-16
11626	HCPCS	Over 4 Cm 11626	0	0	$800.00	$720.00	—	—	—	2025-10-16
11624	HCPCS	Excised 3.1 Cm-4.0 Cm 11624	0	0	$650.00	$585.00	—	—	—	2025-10-16
11313	HCPCS	Shave Epidermal Lesion; T/a/l; Over 2 Cm	0	0	$263.00	$236.70	—	—	—	2025-10-16
11104	HCPCS	Punch Biopsy Skin Single Lesion 11104	0	0	$252.00	$226.80	—	—	—	2025-10-16
10160	HCPCS	US Aspiration Puncture Abscess Cyst	0	0	$721.00	$648.90	—	—	—	2025-10-16
11623	HCPCS	2.1 Cm To 3.0 Cm 11623	0	0	$573.00	$515.70	—	—	—	2025-10-16
11622	HCPCS	1.1 Cm To 2.0 Cm 11622	0	0	$461.00	$414.90	—	—	—	2025-10-16
11311	HCPCS	Shave Skin Lesion 0.6-1.0 Cm 11311	0	0	$173.00	$155.70	—	—	—	2025-10-16
17000	HCPCS	Cyrotherapy To Lesions 1 17000	0	0	$79.00	$71.10	—	—	—	2025-10-16
16030	HCPCS	Burn Care- Large 16030	0	0	$384.00	$345.60	—	—	—	2025-10-16
11621	HCPCS	Excision Malignant Lesion 0.6 - 1.0 Cm 1	0	0	$407.00	$366.30	—	—	—	2025-10-16
16025	HCPCS	Debride/dsg Chg/burn Med	0	0	$362.00	$325.80	—	—	—	2025-10-16
17003	HCPCS	Cryotherapy Lesions 2-14 17003	0	0	$3.00	$2.70	—	—	—	2025-10-16
17004	HCPCS	Cyro 15 + Lesions 17004	0	0	$338.00	$304.20	—	—	—	2025-10-16
17106	HCPCS	Cauterized Destruciton Of Lesion 17106	0	0	$682.00	$613.80	—	—	—	2025-10-16
17110	HCPCS	Benign Skin Lesion Removal 17110	0	0	$100.00	$90.00	—	—	—	2025-10-16
17262	HCPCS	Destruction Malignant Lesion 1.1-2.0 Cm	0	0	$300.00	$270.00	—	—	—	2025-10-16
17280	HCPCS	Destruction Of Lesions .5 Cm Or Less 172	0	0	$236.00	$212.40	—	—	—	2025-10-16
17283	HCPCS	Destruction Malignat Lesion 2.1 - 3.0 Cm	0	0	$465.00	$418.50	—	—	—	2025-10-16
19120	HCPCS	Removal Of Breast Lesion 19120	0	0	$1,006.00	$905.40	—	—	—	2025-10-16
20526	HCPCS	Injection Carpal Tunnel 20526	0	0	$160.00	$144.00	—	—	—	2025-10-16
36416	HCPCS	Capillary Draw	0	0	$19.00	$17.10	—	—	—	2025-10-16
36556	HCPCS	Central Line Placement 36556	0	0	$426.00	$383.40	—	—	—	2025-10-16
36569	HCPCS	Picc 36569	0	0	$178.00	$160.20	—	—	—	2025-10-16
36592	HCPCS	Picc Draw	0	0	$210.00	$189.00	—	—	—	2025-10-16
20560	HCPCS	Pt Needle Insert Without Inject 1-2 Muscles,pt	0	0	$45.00	$40.50	—	—	—	2025-10-16
20561	HCPCS	Pt Needle Insert Without Inject 3+ Muscles,pt	0	0	$55.00	$49.50	—	—	—	2025-10-16
20600	HCPCS	Inject Fingers Toes 20600	0	0	$104.00	$93.60	—	—	—	2025-10-16
20604	HCPCS	Inject Finger Toe 20604	0	0	$164.00	$147.60	—	—	—	2025-10-16
20605	HCPCS	Inject-wrist Elbo Ankl	0	0	$544.00	$489.60	—	—	—	2025-10-16
20606	HCPCS	Arthrocentis Inj Dra With US 20606	0	0	$73.00	$65.70	—	—	—	2025-10-16
16020	HCPCS	Debridement Burn Small	0	0	$362.00	$325.80	—	—	—	2025-10-16
11606	HCPCS	>4 Cm Excision 11606	0	0	$870.00	$783.00	—	—	—	2025-10-16
11310	HCPCS	Shave Lesion Single - 0.5 Cm Or Less	0	0	$387.00	$348.30	—	—	—	2025-10-16
11103	HCPCS	Tangential Biopsy; Skin Ea Addtl 11103	0	0	$100.00	$90.00	—	—	—	2025-10-16
16000	HCPCS	Burn Care 1st Degree 16000	0	0	$154.00	$138.60	—	—	—	2025-10-16
28193	HCPCS	Fb Removal Foot 28193	0	0	$1,010.00	$909.00	—	—	—	2025-10-16
11604	HCPCS	3.1 Cm To 4.0 Cm 11604	0	0	$583.00	$524.70	—	—	—	2025-10-16
13133	HCPCS	Each Addl 5 Cm Or Less 13133	0	0	$332.00	$298.80	—	—	—	2025-10-16
13132	HCPCS	Lac/compforhedchin2.6/7.5	0	0	$1,162.00	$1,045.80	—	—	—	2025-10-16
11603	HCPCS	2.1 Cm To 3.0 Cm 11603	0	0	$527.00	$474.30	—	—	—	2025-10-16
11308	HCPCS	Shave Epidermal Lesion	0	0	$746.00	$671.40	—	—	—	2025-10-16
13131	HCPCS	Lac Complex Finger 2.5	0	0	$746.00	$671.40	—	—	—	2025-10-16
13122	HCPCS	Each Additional 5 Cm Or Less 13122	0	0	$252.00	$226.80	—	—	—	2025-10-16
11602	HCPCS	1.1 Cm To 2.0 Cm 11602	0	0	$441.00	$396.90	—	—	—	2025-10-16
13121	HCPCS	Compx Repair Scalp 2.67.5	0	0	$1,162.00	$1,045.80	—	—	—	2025-10-16
13102	HCPCS	Ea Add <5cm Suture 13102	0	0	$230.00	$207.00	—	—	—	2025-10-16
11601	HCPCS	0.6 Cm To 1.0 Cm 11601	0	0	$406.00	$365.40	—	—	—	2025-10-16
11306	HCPCS	Shave Single Lesion S/n/h/f/g; 0.6-1 Cm	0	0	$136.00	$122.40	—	—	—	2025-10-16
11102	HCPCS	Tangetial Biopsy Skin (shave Scoop Curet	0	0	$204.00	$183.60	—	—	—	2025-10-16
10140	HCPCS	Drainage Hematoma/fluid	0	0	$3,000.00	$2,700.00	—	—	—	2025-10-16
10061	HCPCS	I&d Abscess Comp 10061	0	0	$422.00	$379.80	—	—	—	2025-10-16
13101	HCPCS	2.6cm-7.5cm Complex Suture 13101	0	0	$796.00	$716.40	—	—	—	2025-10-16
12055	HCPCS	Ears/face 12.6 To 20.0 Cm	0	0	$746.00	$671.40	—	—	—	2025-10-16
11600	HCPCS	Up To 0.5 Cm 11600	0	0	$335.00	$301.50	—	—	—	2025-10-16
12053	HCPCS	Lac/inte Earsface 5.1-7.5	0	0	$746.00	$671.40	—	—	—	2025-10-16
12052	HCPCS	Lac/inter Ear/face2.5-5.0	0	0	$746.00	$671.40	—	—	—	2025-10-16
11446	HCPCS	4.1 Cm And Up 11446	0	0	$754.00	$678.60	—	—	—	2025-10-16
11305	HCPCS	Shaving Lesion Head/hand/feet 11305	0	0	$107.00	$96.30	—	—	—	2025-10-16
12051	HCPCS	Ears Face Up To 2.5 Cm 12051	0	0	$746.00	$671.40	—	—	—	2025-10-16
12046	HCPCS	Lacintneckhandft20.1/30cm	0	0	$1,000.00	$900.00	—	—	—	2025-10-16
11444	HCPCS	3.1 Cm To 4.0 Cm 11444	0	0	$560.00	$504.00	—	—	—	2025-10-16
26770	HCPCS	Reduction/treatment Of Hand/finder	0	0	$414.00	$372.60	—	—	—	2025-10-16
12042	HCPCS	Lacinterneckhandft2.6/7.5	0	0	$746.00	$671.40	—	—	—	2025-10-16
11443	HCPCS	2.1 Cm To 3.0 Cm 11443	0	0	$454.00	$408.60	—	—	—	2025-10-16
11303	HCPCS	Shave Lesion > 2.0 Cm 11303	0	0	$195.00	$175.50	—	—	—	2025-10-16
11056	HCPCS	Excision 2-4 Corn/callus 11056	0	0	$166.00	$149.40	—	—	—	2025-10-16
12041	HCPCS	Lacinterneckfeethand2.5	0	0	$746.00	$671.40	—	—	—	2025-10-16
12035	HCPCS	12.6 Cm To 20 Cm	0	0	$746.00	$671.40	—	—	—	2025-10-16
11442	HCPCS	1.1 Cm To 2.0 Cm 11442	0	0	$386.00	$347.40	—	—	—	2025-10-16
26675	HCPCS	Closed Treatment Carpometacarpal Disloca	0	0	$2,870.00	$2,583.00	—	—	—	2025-10-16
12034	HCPCS	Lacinterscalphand7.6/12.5	0	0	$746.00	$671.40	—	—	—	2025-10-16
26670	HCPCS	Closed Tx Hand Dislocation No Anesth	0	0	$414.00	$372.60	—	—	—	2025-10-16
26605	HCPCS	Metacarpal Fx W/manipulat	0	0	$414.00	$372.60	—	—	—	2025-10-16
12032	HCPCS	Lacinter Scalphand2.6/7.5	0	0	$746.00	$671.40	—	—	—	2025-10-16
11441	HCPCS	0.6 Cm To 1.0 Cm 11441	0	0	$348.00	$313.20	—	—	—	2025-10-16
26720	HCPCS	Phal Shaft Prox Mid Thumb 26720	0	0	$408.00	$367.20	—	—	—	2025-10-16
26725	HCPCS	Reduce Dislocated Finger	0	0	$414.00	$372.60	—	—	—	2025-10-16
26735	HCPCS	Open Fracture Finger Each 26735	0	0	$1,172.00	$1,054.80	—	—	—	2025-10-16
26750	HCPCS	Finger Fracture	0	0	$414.00	$372.60	—	—	—	2025-10-16
26755	HCPCS	Closed Tx Dist Phal Fx With Manipulation	0	0	$414.00	$372.60	—	—	—	2025-10-16
26765	HCPCS	Open Tx Dist Fracture 26765	0	0	$996.00	$896.40	—	—	—	2025-10-16
11302	HCPCS	Shave Les 1.1-2.0 11302	0	0	$165.00	$148.50	—	—	—	2025-10-16
26600	HCPCS	Metacarpal Singl Closed	0	0	$414.00	$372.60	—	—	—	2025-10-16
26951	HCPCS	Amputation Of Finger/thumb	0	0	$5,954.00	$5,358.60	—	—	—	2025-10-16
26952	HCPCS	Amputation Finger/flaps 26952	0	0	$1,370.00	$1,233.00	—	—	—	2025-10-16
26010	HCPCS	I & D Finger 26010	0	0	$698.00	$628.20	—	—	—	2025-10-16
27197	HCPCS	Pelvic Fracture Without Manipulation	0	0	$414.00	$372.60	—	—	—	2025-10-16
27252	HCPCS	Closed Tx Hip Dislocation W Anesthesia	0	0	$2,870.00	$2,583.00	—	—	—	2025-10-16
27301	HCPCS	I&d Deep Abcsess Fmr/knee	0	0	$5,230.00	$4,707.00	—	—	—	2025-10-16
27327	HCPCS	Excis Mass Above Knee Area 27327	0	0	$998.00	$898.20	—	—	—	2025-10-16
27372	HCPCS	Fb Removal Femur Or Knee	0	0	$5,166.00	$4,649.40	—	—	—	2025-10-16
27508	HCPCS	Fx Femur End Medial Lat 27508	0	0	$1,040.00	$936.00	—	—	—	2025-10-16
27520	HCPCS	Fracture Knee Cap 27520	0	0	$658.00	$592.20	—	—	—	2025-10-16
12031	HCPCS	Lac Inter Scalphands 2.5	0	0	$746.00	$671.40	—	—	—	2025-10-16
27562	HCPCS	Closed Tx Patellar Dis With Anesth ER	0	0	$414.00	$372.60	—	—	—	2025-10-16
27603	HCPCS	Incision & Drainage Lower Leg 27603	0	0	$1,089.00	$980.10	—	—	—	2025-10-16
25630	HCPCS	Closed Tx Carpal Bone Fracture	0	0	$414.00	$372.60	—	—	—	2025-10-16
27780	HCPCS	Non-displd Facture Fibula	0	0	$414.00	$372.60	—	—	—	2025-10-16
27786	HCPCS	Fracture Distal Fibula	0	0	$414.00	$372.60	—	—	—	2025-10-16
27788	HCPCS	Cl Fx Dist Fib With Manipl 27788	0	0	$1,076.00	$968.40	—	—	—	2025-10-16
27808	HCPCS	Fracture Bimalleolar Ankle Closed Without Ma	0	0	$414.00	$372.60	—	—	—	2025-10-16
27816	HCPCS	Fx Care-trimalleolar Ankle 27816	0	0	$821.00	$738.90	—	—	—	2025-10-16
27818	HCPCS	Closed Tx Trimalleolar Ankle Fx With Manip	0	0	$2,870.00	$2,583.00	—	—	—	2025-10-16
27824	HCPCS	Distal Tibia Fx Without Manipulation	0	0	$414.00	$372.60	—	—	—	2025-10-16
27840	HCPCS	Cl Fx Ank Disloc Without Anes 27840	0	0	$768.00	$691.20	—	—	—	2025-10-16
27842	HCPCS	Dislocated Ankle With Anes 27842	0	0	$966.00	$869.40	—	—	—	2025-10-16
28190	HCPCS	Foreign Body Removal Foot 28190	0	0	$480.00	$432.00	—	—	—	2025-10-16
25622	HCPCS	Fracture Wrist Closed Without Manipulation 2	0	0	$624.00	$561.60	—	—	—	2025-10-16
12020	HCPCS	Closure Of Split Wound 12020	0	0	$596.00	$536.40	—	—	—	2025-10-16
28400	HCPCS	Calacaneal Closed No Manip 28400	0	0	$634.00	$570.60	—	—	—	2025-10-16
28450	HCPCS	Fracture Care Of Toe Without Manipulation 28	0	0	$529.00	$476.10	—	—	—	2025-10-16
28470	HCPCS	Fx Foot Metatarsal 28470	0	0	$440.00	$396.00	—	—	—	2025-10-16
28490	HCPCS	Fracture Care Great Toe/phalanges 28490	0	0	$341.00	$306.90	—	—	—	2025-10-16
28510	HCPCS	Closed Tx Phalanx Or Phalanges Without Manip	0	0	$244.00	$219.60	—	—	—	2025-10-16
28515	HCPCS	Fracture Toe With Manip	0	0	$414.00	$372.60	—	—	—	2025-10-16
28630	HCPCS	Dislocation-toe/closed 28630	0	0	$304.00	$273.60	—	—	—	2025-10-16
29065	HCPCS	Application Long Arm Cast	0	0	$480.00	$432.00	—	—	—	2025-10-16
29075	HCPCS	Application Of Cast; Short Arm	0	0	$480.00	$432.00	—	—	—	2025-10-16
29105	HCPCS	Application Long Arm Splint 29105	0	0	$164.00	$147.60	—	—	—	2025-10-16
11440	HCPCS	Up To 0.5 Cm 11440	0	0	$285.00	$256.50	—	—	—	2025-10-16
29130	HCPCS	Application Of Finger Splint	0	0	$232.00	$208.80	—	—	—	2025-10-16
29240	HCPCS	Strapping; Shoulder 29240	0	0	$60.00	$54.00	—	—	—	2025-10-16
29405	HCPCS	Application Short Leg Cast 29405	0	0	$161.00	$144.90	—	—	—	2025-10-16
29425	HCPCS	Apply Short Leg Cast - Walking 29425	0	0	$150.00	$135.00	—	—	—	2025-10-16
25605	HCPCS	Closed Reduction Wrist	0	0	$2,870.00	$2,583.00	—	—	—	2025-10-16
25600	HCPCS	Fx Distal Radial (colles)	0	0	$414.00	$372.60	—	—	—	2025-10-16
29580	HCPCS	Ot Unna Boot Application,ot	0	0	$107.00	$96.30	—	—	—	2025-10-16
30300	HCPCS	Foreign Body Nose	0	0	$232.00	$208.80	—	—	—	2025-10-16
30901	HCPCS	Nasal Hemorrhage	0	0	$232.00	$208.80	—	—	—	2025-10-16
30903	HCPCS	Nasal Hemmorhage Extensiv	0	0	$232.00	$208.80	—	—	—	2025-10-16
12015	HCPCS	Laceareyelidnoselip7.6-12	0	0	$362.00	$325.80	—	—	—	2025-10-16
30906	HCPCS	Subsequent Epistaxis Pkng 30906	0	0	$550.00	$495.00	—	—	—	2025-10-16
25565	HCPCS	Cl Tx Rad/w-fix W/man 25565	0	0	$1,040.00	$936.00	—	—	—	2025-10-16
12014	HCPCS	Laceareyelidnoselip5.1-7.	0	0	$362.00	$325.80	—	—	—	2025-10-16
11426	HCPCS	Over 4.0 Cm 11426	0	0	$648.00	$583.20	—	—	—	2025-10-16
11301	HCPCS	Shaving Skin Lesion 0.6-1.0 Cm 11301	0	0	$140.00	$126.00	—	—	—	2025-10-16
36415	HCPCS	Chg Blood Draw On Call	0	0	$50.00	$45.00	—	—	—	2025-10-16
11055	HCPCS	Excision Corn/callus 11055	0	0	$144.00	$129.60	—	—	—	2025-10-16
36430	HCPCS	Blood Transfusion	0	0	$816.00	$734.40	—	—	—	2025-10-16
10120	HCPCS	Foreign Body Skin	0	0	$746.00	$671.40	—	—	—	2025-10-16
36558	HCPCS	Insertion Tunneled Central Cath Age 5+	0	0	$5,958.00	$5,362.20	—	—	—	2025-10-16
25530	HCPCS	Fx Ulna 25530	0	0	$538.00	$484.20	—	—	—	2025-10-16
36591	HCPCS	Port Draw	0	0	$210.00	$189.00	—	—	—	2025-10-16
25505	HCPCS	Fx Radius Shaft With Manipulation	0	0	$2,870.00	$2,583.00	—	—	—	2025-10-16
36600	HCPCS	Arterial Blood Draw	0	0	$273.00	$245.70	—	—	—	2025-10-16
36680	HCPCS	Intraosseous Infusion	0	0	$756.00	$680.40	—	—	—	2025-10-16
38500	HCPCS	Biopsy Lymph Node 38500	0	0	$710.00	$639.00	—	—	—	2025-10-16
40650	HCPCS	Repair Lip Full Thickness; Vermillion	0	0	$914.00	$822.60	—	—	—	2025-10-16
40819	HCPCS	Frenectomy 40819	0	0	$557.00	$501.30	—	—	—	2025-10-16
42809	HCPCS	Remove Pharynx Foreign Body 42809	0	0	$345.00	$310.50	—	—	—	2025-10-16
25500	HCPCS	Fx Wrist Radial Shaft 25500	0	0	$578.00	$520.20	—	—	—	2025-10-16
25111	HCPCS	Ganglion Cyst Excision 25111	0	0	$646.00	$581.40	—	—	—	2025-10-16
43247	HCPCS	Egd/foreign Body Removal	0	0	$1,652.00	$1,486.80	—	—	—	2025-10-16
43249	HCPCS	Egd With Dilation Less Than 30 43249	0	0	$2,204.00	$1,983.60	—	—	—	2025-10-16
43752	HCPCS	Nasogastric Tube 43752	0	0	$78.00	$70.20	—	—	—	2025-10-16
12011	HCPCS	Lac Earseyelidnoselip2.5c 12011	0	0	$362.00	$325.80	—	—	—	2025-10-16
11424	HCPCS	3.1 Cm To 4.0 Cm 11424	0	0	$466.00	$419.40	—	—	—	2025-10-16
25028	HCPCS	Incision & Drainage Forearm/wrist Deep 2	0	0	$1,386.00	$1,247.40	—	—	—	2025-10-16
24650	HCPCS	Fx Radial Head/neck	0	0	$414.00	$372.60	—	—	—	2025-10-16
12007	HCPCS	Lac Scalptrunkscalp 30<	0	0	$362.00	$325.80	—	—	—	2025-10-16
24640	HCPCS	Clsed Reduc Elbow/child 24640	0	0	$220.00	$198.00	—	—	—	2025-10-16
24605	HCPCS	Dislocation Elbow With Anesthesia	0	0	$2,870.00	$2,583.00	—	—	—	2025-10-16
12005	HCPCS	Lac Scalptrunkhand12.6-20	0	0	$746.00	$671.40	—	—	—	2025-10-16
11423	HCPCS	2.1 Cm To 3.0 Cm 11423	0	0	$406.00	$365.40	—	—	—	2025-10-16
11300	HCPCS	Shaving Dermal Epid 0.5cm 11300	0	0	$92.00	$82.80	—	—	—	2025-10-16
24600	HCPCS	Treatment Of Closed Elbow Dislo No Anest	0	0	$414.00	$372.60	—	—	—	2025-10-16
24530	HCPCS	Treatment Of Humerus Fracture Without Manipu	0	0	$774.00	$696.60	—	—	—	2025-10-16
12004	HCPCS	Lac Scalptrunkhand7.6-12.	0	0	$362.00	$325.80	—	—	—	2025-10-16
24505	HCPCS	Closed Treatment Humerus Shaft Fx Manipu	0	0	$2,870.00	$2,583.00	—	—	—	2025-10-16
24500	HCPCS	Fx Humerus Shaft	0	0	$414.00	$372.60	—	—	—	2025-10-16
12002	HCPCS	Lac Scalptrunkhand2.6-7.5	0	0	$362.00	$325.80	—	—	—	2025-10-16
11422	HCPCS	1.1 Cm To 2.0 Cm 11422	0	0	$358.00	$322.20	—	—	—	2025-10-16
23655	HCPCS	Shoulder Dislocat W/anes	0	0	$2,870.00	$2,583.00	—	—	—	2025-10-16
23650	HCPCS	Shoulder Dislo Without Anes	0	0	$414.00	$372.60	—	—	—	2025-10-16
12001	HCPCS	Simple Repair Sc Ne Extr 2.5 Or Less ER	0	0	$362.00	$325.80	—	—	—	2025-10-16
23620	HCPCS	Cls Fx Hum Without Man 23620	0	0	$550.00	$495.00	—	—	—	2025-10-16
11982	HCPCS	Remove Drug Implant Device 11982	0	0	$220.00	$198.00	—	—	—	2025-10-16
11421	HCPCS	0.6 Cm To 1.0 Cm 11421	0	0	$299.00	$269.10	—	—	—	2025-10-16
11201	HCPCS	Removal Skin Tag Ea Adtl 10 11201	0	0	$36.00	$32.40	—	—	—	2025-10-16
11042	HCPCS	Debridmnt Sub Q Skin 20 Cm Or Less 11042	0	0	$258.00	$232.20	—	—	—	2025-10-16
23600	HCPCS	Fx Humerus 23600	0	0	$676.00	$608.40	—	—	—	2025-10-16
23570	HCPCS	Treat Shoulder Blade Fx 23570	0	0	$474.00	$426.60	—	—	—	2025-10-16
11900	HCPCS	Injection Of Lesion 11900	0	0	$114.00	$102.60	—	—	—	2025-10-16
62272	HCPCS	Spinal Punctr Drain Fluid 62272	0	0	$348.00	$313.20	—	—	—	2025-10-16
62270	HCPCS	Spinal Fluid Tap Diagnostic 62270	0	0	$262.00	$235.80	—	—	—	2025-10-16
23500	HCPCS	Clavicle Fracture	0	0	$414.00	$372.60	—	—	—	2025-10-16
59409	HCPCS	Obstritical-delivery	0	0	$5,654.00	$5,088.60	—	—	—	2025-10-16
58301	HCPCS	Removal IUD 58301	0	0	$185.00	$166.50	—	—	—	2025-10-16
11750	HCPCS	Nail Bed Removal Permanent 11750	0	0	$320.00	$288.00	—	—	—	2025-10-16
11420	HCPCS	Up To 0.5 Cm 11420	0	0	$225.00	$202.50	—	—	—	2025-10-16
64420	HCPCS	Inject Intercostal Nerve Single	0	0	$1,642.00	$1,477.80	—	—	—	2025-10-16
57500	HCPCS	Endocervical Polyp Rem 57500	0	0	$308.00	$277.20	—	—	—	2025-10-16
57160	HCPCS	Pessary Insertion 57160	0	0	$129.00	$116.10	—	—	—	2025-10-16
22902	HCPCS	Exc Tumor/soft Tissue Of Abd Wall < 3cm	0	0	$927.00	$834.30	—	—	—	2025-10-16
56420	HCPCS	Incision Drainage Gland Abscess 56420	0	0	$402.00	$361.80	—	—	—	2025-10-16
22900	HCPCS	Exc Tumor Soft Tissue Abd Wall <5cm 2290	0	0	$1,084.00	$975.60	—	—	—	2025-10-16
11740	HCPCS	Evac Subungual Hematoma	0	0	$232.00	$208.80	—	—	—	2025-10-16
51798	HCPCS	Bladder Scan / Post-void Residual	0	0	$114.00	$102.60	—	—	—	2025-10-16
21930	HCPCS	Ex Lipoma Back/flank 21930	0	0	$1,011.00	$909.90	—	—	—	2025-10-16
64494	HCPCS	Inject Paravert Facet W/guide 2nd 64494	0	0	$25.00	$22.50	—	—	—	2025-10-16
51729	HCPCS	Bladder Scan/ Cystometrogram	0	0	$1,250.00	$1,125.00	—	—	—	2025-10-16
51728	HCPCS	Bladder Scan/ Cystometrogram	0	0	$1,250.00	$1,125.00	—	—	—	2025-10-16
21556	HCPCS	Excision Neck Mass Deep 21556	0	0	$1,030.00	$927.00	—	—	—	2025-10-16
11732	HCPCS	Nail Removal Each Add 11732	0	0	$66.00	$59.40	—	—	—	2025-10-16
11406	HCPCS	Exc Tr-over 4 Cm 11406	0	0	$624.00	$561.60	—	—	—	2025-10-16

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