Hospital

CAVALIER COUNTY MEMORIAL HOSPITAL ASSOCIATION

Langdon, ND · CCN 351323 · Rates published

1,694 distinct procedures filed

7 distinct payers

15,800 rate rows

2025-07-17 last MRF observed · ⚠ 15 mo old

Data quality

1,304 of 15,800 rate rows are consumer-grade (8.3%)

14,496 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	12,264
professional (physician) fee — not the facility price	2,232

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 15 months old.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://www.dlmed.org/wp-content/uploads/2026/01/Powell-County-Hospital-Standard-Charges.csv
Found on page	https://www.dlmed.org
Discovered via	CMS hospital list
Last fetch	not_modified · 2026-10-23
Content fingerprint	953da0c10f139c3a… · 7,082,522 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
15120 CPT	Splt Agrft F/S/N/H/F/G/M/Dgt 1st 100 Sqcm/</1%	7	$729.82	$729.82	$729.82	nat. median $3,640 outlier · 0.2×
26951 CPT	Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr	7	$681.75	$681.75	$681.75	nat. median $3,320 outlier · 0.2×
47562 CPT	Laparoscopy Surg Cholecystectomy	7	$610.51	$610.51	$610.51	nat. median $5,993 outlier · 0.1×
43249 CPT	Egd Balloon Dilation Esophagus <30 Mm Diam	7	$593.51	$593.51	$593.51	nat. median $2,120 outlier · 0.3×
49520 CPT	Rpr Recrt Inguinal Hernia Any Age Reducible	7	$586.71	$586.71	$586.71	nat. median $3,795 outlier · 0.2×
49651 CPT	Laps Surg Rpr Recurrent Inguinal Hernia	7	$526.89	$526.89	$526.89	nat. median $5,985 outlier · 0.1×
66984 CPT	Xcapsl Ctrc Rmvl Insj Io Lens Prosth Without Ecp	7	$519.79	$519.79	$519.79	nat. median $2,919 outlier · 0.2×
25605 CPT	Cltx Dstl Rdl Fx/Epiphysl Sep W/Mnpj	7	$513.33	$513.33	$513.33	nat. median $1,668 outlier · 0.3×
27752 CPT	Cltx Tibial Shaft Fx W/Manj W/wo Skel Tracj	7	$497.77	$497.77	$497.77	nat. median $1,773 outlier · 0.3×
49505 CPT	Rpr 1st Ingun Hrna Age 5 Yrs/> Reducible	7	$486.22	$486.22	$486.22	nat. median $3,856 outlier · 0.1×
27372 CPT	Removal Foreign Body Deep Thigh/Knee	7	$472.30	$472.30	$472.30	nat. median $3,043 outlier · 0.2×
27818 CPT	Cltx Trimalleolar Ankle Fx W/Manipulation	7	$455.31	$455.31	$455.31	nat. median $1,671 outlier · 0.3×
26160 CPT	Exc Lesion Tdn Shth/Jt Capsl Hand/Fngr	7	$453.23	$453.23	$453.23	nat. median $1,918 outlier · 0.2×
46270 CPT	Surg Tx Anal Fistula Subq	7	$447.01	$447.01	$447.01	nat. median $2,852 outlier · 0.2×
27810 CPT	Closed Tx Bimalleolar Ankle Fracture W/Manj	7	$441.51	$441.51	$441.51	nat. median $1,642 outlier · 0.3×
32556 CPT	Perq Drainage Pleura Insert Cath Without Imaging	7	$415.89	$415.89	$415.89	nat. median $1,999 outlier · 0.2×
27265 CPT	Cltx Post Hip Arthrp Dislc Without Anes	7	$404.85	$404.85	$404.85	nat. median $547 0.7× median
49650 CPT	Laparoscopy Surg Rpr Initial Inguinal Hernia	7	$404.14	$404.14	$404.14	nat. median $5,844 outlier · 0.1×
27788 CPT	Cltx Dstl Fibular Fx Lat Malls W/Manj	7	$398.02	$398.02	$398.02	nat. median $524 0.8× median
26641 CPT	Cltx Carpo/Metacarpal Dislocation Thumb W/Manj	7	$396.03	$396.03	$396.03	nat. median $416 1.0× median
45386 CPT	Colsc Flexible W/Transendoscopic Balloon Dilat	7	$392.70	$392.70	$392.70	nat. median $1,638 outlier · 0.2×
46250 CPT	Hemorrhoidectomy Xtrnl 2/> Column/Group	7	$380.62	$380.62	$380.62	nat. median $2,857 outlier · 0.1×
27840 CPT	Closed Tx Ankle Dislocation Without Anesthesia	7	$377.59	$377.59	$377.59	nat. median $506 0.7× median
43245 CPT	Egd Dilation Gastric/Duodenal Stricture	7	$368.12	$368.12	$368.12	nat. median $2,200 outlier · 0.2×
26340 CPT	Manipulation Finger Joint Under Anes Each Joint	7	$353.60	$353.60	$353.60	nat. median $1,732 outlier · 0.2×
27560 CPT	Closed Tx Patellar Dislocation Without Anesthesia	7	$352.30	$352.30	$352.30	nat. median $476 0.7× median
45384 CPT	Colsc Flx W/Removal Lesion By Hot Bx Forceps	7	$339.90	$339.90	$339.90	nat. median $1,584 outlier · 0.2×
27257 CPT	Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes	7	$339.70	$339.70	$339.70	nat. median $1,857 outlier · 0.2×
45385 CPT	Colsc Flx W/Rmvl Of Tumor Polyp Lesion Snare Tq	7	$336.43	$336.43	$336.43	nat. median $1,669 outlier · 0.2×
13151 CPT	Repair Complex Eyelid/Nose/Ear/Lip 1.1-2.5 Cm	7	$334.78	$334.78	$334.78	nat. median $837 outlier · 0.4×
43251 CPT	Egd Removal Tumor Polyp/Other Lesion Snare Tech	7	$330.13	$330.13	$330.13	nat. median $2,125 outlier · 0.2×
26700 CPT	Cltx Metacarpophalangeal Dislc W/Manj Without Anes	7	$322.62	$322.62	$322.62	nat. median $404 0.8× median
26725 CPT	Cltx Phlngl Fx Prox/Middle Px/F/T W/Manj Ea	7	$320.46	$320.46	$320.46	nat. median $428 0.7× median
45381 CPT	Colsc Flx With Directed Submucosal Njx Any Sbst	7	$306.89	$306.89	$306.89	nat. median $1,565 outlier · 0.2×
64635 CPT	Dstr Nrolytc Agnt Parverteb Fct Sngl Lmbr/Sacral	7	$306.18	$306.18	$306.18	nat. median $2,392 outlier · 0.1×
64633 CPT	Dstr Nrolytc Agnt Parverteb Fct Sngl Crvcl/Thora	7	$304.21	$304.21	$304.21	nat. median $2,325 outlier · 0.1×
45380 CPT	Colonoscopy W/Biopsy Single/Multiple	7	$302.64	$302.64	$302.64	nat. median $1,565 outlier · 0.2×
27780 CPT	Cltx Prox Fibula/Shft Fx Without Manj	7	$296.14	$296.14	$296.14	nat. median $431 0.7× median
25622 CPT	Closed Tx Carpal Scaphoid Fracture Without Mnpj	7	$295.98	$295.98	$295.98	nat. median $451 0.7× median
41112 CPT	Exc Lesion Tongue W/Clsr Anterior Two-thirds	7	$281.47	$281.47	$281.47	nat. median $3,188 outlier · 0.1×
26770 CPT	Cltx Iphal Jt Dislc W/Manj Without Anes	7	$273.92	$273.92	$273.92	nat. median $404 0.7× median
43247 CPT	Egd Flexible Foreign Body Removal	7	$267.25	$267.25	$267.25	nat. median $1,409 outlier · 0.2×
13100 CPT	Repair Complex Trunk 1.1-2.5 Cm	7	$259.38	$259.38	$259.38	nat. median $778 outlier · 0.3×
G0121 HCPCS	Colon Ca Scrn Not Hi Rsk Ind	7	$249.59	$249.59	$249.59	nat. median $1,292 outlier · 0.2×
G0105 HCPCS	Colorectal Scrn; Hi Risk Ind	7	$249.41	$249.41	$249.41	nat. median $1,305 outlier · 0.2×
45378 CPT	Colonoscopy Flx Dx W/Collj Spec When Pfrmd	7	$249.41	$249.41	$249.41	nat. median $1,342 outlier · 0.2×
43239 CPT	Egd Transoral Biopsy Single/Multiple	7	$247.06	$247.06	$247.06	nat. median $1,375 outlier · 0.2×
30906 CPT	Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq	7	$243.19	$243.19	$243.19	nat. median $358 0.7× median
92950 CPT	Cardiopulmonary Resuscitation	7	$241.22	$241.22	$241.22	nat. median $582 outlier · 0.4×
26010 CPT	Drainage Finger Abscess Simple	7	$235.75	$235.75	$235.75	nat. median $328 0.7× median

Other procedures at this hospital

Browse this hospital's 1,694 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

15120	CPT	Splt Agrft F/S/N/H/F/G/M/Dgt 1st 100 Sqcm/</1%	8	7	$2,399.61	$2,399.61	$729.82	$729.82	$729.82	2025-07-17
26951	CPT	Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr	8	7	$2,029.32	$2,029.32	$681.75	$681.75	$681.75	2025-07-17
47562	CPT	Laparoscopy Surg Cholecystectomy	8	7	$1,796.52	$1,796.52	$610.51	$610.51	$610.51	2025-07-17
43249	CPT	Egd Balloon Dilation Esophagus <30 Mm Diam	8	7	$3,126.72	$3,126.72	$593.51	$593.51	$593.51	2025-07-17
49520	CPT	Rpr Recrt Inguinal Hernia Any Age Reducible	8	7	$1,726.59	$1,726.59	$586.71	$586.71	$586.71	2025-07-17
49651	CPT	Laps Surg Rpr Recurrent Inguinal Hernia	8	7	$1,552.44	$1,552.44	$526.89	$526.89	$526.89	2025-07-17
66984	CPT	Xcapsl Ctrc Rmvl Insj Io Lens Prosth Without Ecp	8	7	$1,552.08	$1,552.08	$519.79	$519.79	$519.79	2025-07-17
25605	CPT	Cltx Dstl Rdl Fx/Epiphysl Sep W/Mnpj	8	7	$1,569.66	$1,569.66	$513.33	$513.33	$513.33	2025-07-17
27752	CPT	Cltx Tibial Shaft Fx W/Manj W/wo Skel Tracj	8	7	$1,547.43	$1,547.43	$497.77	$497.77	$497.77	2025-07-17
49505	CPT	Rpr 1st Ingun Hrna Age 5 Yrs/> Reducible	8	7	$1,432.02	$1,432.02	$486.22	$486.22	$486.22	2025-07-17
27372	CPT	Removal Foreign Body Deep Thigh/Knee	8	7	$1,674.27	$1,674.27	$472.30	$472.30	$472.30	2025-07-17
27818	CPT	Cltx Trimalleolar Ankle Fx W/Manipulation	8	7	$1,432.92	$1,432.92	$455.31	$455.31	$455.31	2025-07-17
26160	CPT	Exc Lesion Tdn Shth/Jt Capsl Hand/Fngr	8	7	$1,785.84	$1,785.84	$453.23	$453.23	$453.23	2025-07-17
46270	CPT	Surg Tx Anal Fistula Subq	8	7	$1,522.05	$1,522.05	$447.01	$447.01	$447.01	2025-07-17
27810	CPT	Closed Tx Bimalleolar Ankle Fracture W/Manj	8	7	$1,383.12	$1,383.12	$441.51	$441.51	$441.51	2025-07-17
32556	CPT	Perq Drainage Pleura Insert Cath Without Imaging	8	7	$2,148.48	$2,148.48	$415.89	$415.89	$415.89	2025-07-17
27265	CPT	Cltx Post Hip Arthrp Dislc Without Anes	8	7	$1,199.82	$1,199.82	$404.85	$404.85	$404.85	2025-07-17
49650	CPT	Laparoscopy Surg Rpr Initial Inguinal Hernia	8	7	$1,191.06	$1,191.06	$404.14	$404.14	$404.14	2025-07-17
27788	CPT	Cltx Dstl Fibular Fx Lat Malls W/Manj	8	7	$1,244.37	$1,244.37	$398.02	$398.02	$398.02	2025-07-17
26641	CPT	Cltx Carpo/Metacarpal Dislocation Thumb W/Manj	8	7	$1,233.66	$1,233.66	$396.03	$396.03	$396.03	2025-07-17
45386	CPT	Colsc Flexible W/Transendoscopic Balloon Dilat	8	7	$1,758.69	$1,758.69	$392.70	$392.70	$392.70	2025-07-17
46250	CPT	Hemorrhoidectomy Xtrnl 2/> Column/Group	8	7	$1,365.75	$1,365.75	$380.62	$380.62	$380.62	2025-07-17
27840	CPT	Closed Tx Ankle Dislocation Without Anesthesia	8	7	$1,119.90	$1,119.90	$377.59	$377.59	$377.59	2025-07-17
43245	CPT	Egd Dilation Gastric/Duodenal Stricture	8	7	$1,713.96	$1,713.96	$368.12	$368.12	$368.12	2025-07-17
26340	CPT	Manipulation Finger Joint Under Anes Each Joint	8	7	$1,053.39	$1,053.39	$353.60	$353.60	$353.60	2025-07-17
27560	CPT	Closed Tx Patellar Dislocation Without Anesthesia	8	7	$1,096.59	$1,096.59	$352.30	$352.30	$352.30	2025-07-17
45384	CPT	Colsc Flx W/Removal Lesion By Hot Bx Forceps	8	7	$1,398.51	$1,398.51	$339.90	$339.90	$339.90	2025-07-17
27257	CPT	Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes	8	7	$1,004.10	$1,004.10	$339.70	$339.70	$339.70	2025-07-17
45385	CPT	Colsc Flx W/Rmvl Of Tumor Polyp Lesion Snare Tq	8	7	$3,537.24	$3,537.24	$336.43	$336.43	$336.43	2025-07-17
13151	CPT	Repair Complex Eyelid/Nose/Ear/Lip 1.1-2.5 Cm	8	7	$1,213.80	$1,213.80	$334.78	$334.78	$334.78	2025-07-17
43251	CPT	Egd Removal Tumor Polyp/Other Lesion Snare Tech	8	7	$1,427.37	$1,427.37	$330.13	$330.13	$330.13	2025-07-17
26700	CPT	Cltx Metacarpophalangeal Dislc W/Manj Without Anes	8	7	$999.06	$999.06	$322.62	$322.62	$322.62	2025-07-17
26725	CPT	Cltx Phlngl Fx Prox/Middle Px/F/T W/Manj Ea	8	7	$1,010.19	$1,010.19	$320.46	$320.46	$320.46	2025-07-17
45381	CPT	Colsc Flx With Directed Submucosal Njx Any Sbst	8	7	$1,275.84	$1,275.84	$306.89	$306.89	$306.89	2025-07-17
64635	CPT	Dstr Nrolytc Agnt Parverteb Fct Sngl Lmbr/Sacral	8	7	$1,283.13	$1,283.13	$306.18	$306.18	$306.18	2025-07-17
64633	CPT	Dstr Nrolytc Agnt Parverteb Fct Sngl Crvcl/Thora	8	7	$1,272.33	$1,272.33	$304.21	$304.21	$304.21	2025-07-17
45380	CPT	Colonoscopy W/Biopsy Single/Multiple	8	7	$3,537.24	$3,537.24	$302.64	$302.64	$302.64	2025-07-17
27780	CPT	Cltx Prox Fibula/Shft Fx Without Manj	8	7	$919.08	$919.08	$296.14	$296.14	$296.14	2025-07-17
25622	CPT	Closed Tx Carpal Scaphoid Fracture Without Mnpj	8	7	$917.73	$917.73	$295.98	$295.98	$295.98	2025-07-17
41112	CPT	Exc Lesion Tongue W/Clsr Anterior Two-thirds	8	7	$981.09	$981.09	$281.47	$281.47	$281.47	2025-07-17
26770	CPT	Cltx Iphal Jt Dislc W/Manj Without Anes	8	7	$854.31	$854.31	$273.92	$273.92	$273.92	2025-07-17
43247	CPT	Egd Flexible Foreign Body Removal	8	7	$1,104.42	$1,104.42	$267.25	$267.25	$267.25	2025-07-17
13100	CPT	Repair Complex Trunk 1.1-2.5 Cm	8	7	$981.84	$981.84	$259.38	$259.38	$259.38	2025-07-17
G0121	HCPCS	Colon Ca Scrn Not Hi Rsk Ind	8	7	$975.87	$975.87	$249.59	$249.59	$249.59	2025-07-17
G0105	HCPCS	Colorectal Scrn; Hi Risk Ind	8	7	$975.48	$975.48	$249.41	$249.41	$249.41	2025-07-17
45378	CPT	Colonoscopy Flx Dx W/Collj Spec When Pfrmd	8	7	$2,735.13	$2,735.13	$249.41	$249.41	$249.41	2025-07-17
43239	CPT	Egd Transoral Biopsy Single/Multiple	8	7	$1,089.84	$1,089.84	$247.06	$247.06	$247.06	2025-07-17
30906	CPT	Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq	8	7	$1,083.78	$1,083.78	$243.19	$243.19	$243.19	2025-07-17
92950	CPT	Cardiopulmonary Resuscitation	8	7	$929.55	$929.55	$241.22	$241.22	$241.22	2025-07-17
26010	CPT	Drainage Finger Abscess Simple	8	7	$1,001.31	$1,001.31	$235.75	$235.75	$235.75	2025-07-17
99291	CPT	Critical Care Ill/Injured Patient Init 30-74 Min	8	7	$778.05	$778.05	$230.59	$230.59	$230.59	2025-07-17
43243	CPT	Egd Injection Sclerosis Esophgl/Gastric Varices	8	7	$654.00	$654.00	$220.52	$220.52	$220.52	2025-07-17
30905	CPT	Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery 1st	8	7	$1,011.18	$1,011.18	$218.28	$218.28	$218.28	2025-07-17
41800	CPT	DRG Absc Cst Hmtma From Dentoalveolar Struxs	8	7	$847.17	$847.17	$216.24	$216.24	$216.24	2025-07-17
43763	CPT	Perq Replacement Gtube Req Revj Gstrst Trc	8	7	$965.94	$965.94	$202.18	$202.18	$202.18	2025-07-17
99236	CPT	Hospital IP/Obs Care Same Date High Mdm 85 Min	8	7	$587.64	$587.64	$197.30	$197.30	$197.30	2025-07-17
43235	CPT	Esophagogastroduodenoscopy Transoral Diagnostic	8	7	$2,812.68	$2,812.68	$196.61	$196.61	$196.61	2025-07-17
28540	CPT	Cltx Tarsal Dislc Oth/Thn Talotarsal Without Anes	8	7	$583.98	$583.98	$185.26	$185.26	$185.26	2025-07-17
28190	CPT	Removal Foreign Body Foot Subcutaneous	8	7	$697.11	$697.11	$180.53	$180.53	$180.53	2025-07-17
62321	CPT	Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn	8	7	$763.53	$763.53	$178.56	$178.56	$178.56	2025-07-17
64640	CPT	Dstrj Neurolytic Agent Other Peripheral Nerve	8	7	$720.06	$720.06	$177.10	$177.10	$177.10	2025-07-17
62329	CPT	Therapeutic Spinal Pnxr Drainage Csf W/Fluor/CT	8	7	$750.96	$750.96	$174.03	$174.03	$174.03	2025-07-17
62323	CPT	Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn	8	7	$751.35	$751.35	$172.66	$172.66	$172.66	2025-07-17
64483	CPT	Njx Aa&/Strd Tfrml Epi Lumbar/Sacral 1 Level	8	7	$715.98	$715.98	$172.66	$172.66	$172.66	2025-07-17
43200	CPT	Esophagoscopy Flexible Transoral Diagnostic	8	7	$762.69	$762.69	$168.75	$168.75	$168.75	2025-07-17
99285	CPT	Emergency Department Visit High Mdm	8	7	$485.31	$485.31	$163.63	$163.63	$163.63	2025-07-17
30300	CPT	Removal Foreign Body Intranasal Office Procedure	8	7	$613.08	$613.08	$162.18	$162.18	$162.18	2025-07-17
64530	CPT	Injx Anes Celiac Plexus W/wo Radiologic Monitrng	8	7	$664.77	$664.77	$156.11	$156.11	$156.11	2025-07-17
64634	CPT	Dstr Nrolytc Agnt Parverteb Fct Addl Crvcl/Thora	8	7	$745.56	$745.56	$156.09	$156.09	$156.09	2025-07-17
11620	CPT	Excision Malignant Lesion S/n/h/f/g 0.5 Cm/<	8	7	$4,634.25	$4,634.25	$155.00	$155.00	$155.00	2025-07-17
32554	CPT	Thoracentesis Needle/Cath Pleura Without Imaging	8	7	$675.87	$675.87	$154.18	$154.18	$154.18	2025-07-17
64517	CPT	Injection Anes Superior Hypogastric Plexus	8	7	$562.14	$562.14	$154.16	$154.16	$154.16	2025-07-17
30903	CPT	Control Nasal Hemorrhage Anterior Complex	8	7	$703.29	$703.29	$153.39	$153.39	$153.39	2025-07-17
64520	CPT	Injection Anes Lmbr/Thrc Paravertbrl Sympathetic	8	7	$671.88	$671.88	$152.82	$152.82	$152.82	2025-07-17
13153	CPT	Repair Complx Eyelid/Nose/Ear/Lip Ea Addl 5 Cm/<	8	7	$521.76	$521.76	$151.16	$151.16	$151.16	2025-07-17
99235	CPT	Hospital IP/Obs Care Same Date Mod Mdm 70 Min	8	7	$450.06	$450.06	$151.08	$151.08	$151.08	2025-07-17
69000	CPT	Drainage External Ear Abscess/Hematoma Simple	8	7	$538.11	$538.11	$150.59	$150.59	$150.59	2025-07-17
62328	CPT	Diagnostic Lumbar Spinal Puncture W/Fluor Or CT	8	7	$641.94	$641.94	$147.28	$147.28	$147.28	2025-07-17
64636	CPT	Dstr Nrolytc Agnt Parverteb Fct Addl Lmbr/Sacral	8	7	$700.59	$700.59	$144.63	$144.63	$144.63	2025-07-17
64490	CPT	Njx Dx/Ther Agt Pvrt Facet Jt Crv/Thrc 1 Level	8	7	$2,605.35	$2,605.35	$143.35	$143.35	$143.35	2025-07-17
32551	CPT	Tube Thoracostomy Includes Water Seal	8	7	$418.71	$418.71	$141.91	$141.91	$141.91	2025-07-17
43754	CPT	Gastric Intubat Dx W/Aspiration Single Specimen	8	7	$684.51	$684.51	$132.18	$132.18	$132.18	2025-07-17
43197	CPT	Esophagoscopy Flexible Transnasal Diagnostic	8	7	$547.32	$547.32	$129.80	$129.80	$129.80	2025-07-17
31500	CPT	Intubation Endotracheal Emergency Procedure	8	7	$383.52	$383.52	$129.74	$129.74	$129.74	2025-07-17
64493	CPT	Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level	8	7	$2,605.35	$2,605.35	$129.09	$129.09	$129.09	2025-07-17
62272	CPT	Therapeutic Spinal Puncture Drainage Csf	8	7	$518.25	$518.25	$128.78	$128.78	$128.78	2025-07-17
28630	CPT	Cltx Metatarsophlngl Jt Dislc Without Anes	8	7	$448.26	$448.26	$128.34	$128.34	$128.34	2025-07-17
43762	CPT	Perq Replacement Gtube Not Req Revj Gstrst Trc	8	7	$655.56	$655.56	$126.64	$126.64	$126.64	2025-07-17
64615	CPT	Chemodervate Facial/Trigem/Cerv Musc Migraine	8	7	$417.54	$417.54	$126.58	$126.58	$126.58	2025-07-17
92960	CPT	Cardioversion Elective Arrhythmia External	8	7	$441.78	$441.78	$124.83	$124.83	$124.83	2025-07-17
64612	CPT	Chemodnrvtj Musc Musc Innervated Facial Nrv Unil	8	7	$390.45	$390.45	$122.30	$122.30	$122.30	2025-07-17
27096	CPT	Inject Si Joint Arthrgrphy&/Anes/Steroid W/Ima	8	7	$475.80	$475.80	$118.94	$118.94	$118.94	2025-07-17
64505	CPT	Injection Anes Agent Sphenopalatine Ganglion	8	7	$406.80	$406.80	$117.59	$117.59	$117.59	2025-07-17
11983	CPT	Rmvl W/Rinsj Non-biodegradable Drug Dlvr Implt	8	7	$398.82	$398.82	$114.95	$114.95	$114.95	2025-07-17
99284	CPT	Emergency Department Visit Moderate Mdm	8	7	$335.04	$335.04	$112.97	$112.97	$112.97	2025-07-17
29345	CPT	Application Long Leg Cast Thigh-toe	8	7	$389.91	$389.91	$112.30	$112.30	$112.30	2025-07-17
64445	CPT	Injection Aa&/Strd Sciatic Nerve W/Img Gdn	8	7	$467.58	$467.58	$110.75	$110.75	$110.75	2025-07-17
99239	CPT	Hospital IP/Obs Discharge Day Mgmt > 30 Min	8	7	$324.87	$324.87	$108.96	$108.96	$108.96	2025-07-17
44139	CPT	Moblj Splenic Flxr Pfrmd Conjunct W/Prtl Colct	8	7	$319.35	$319.35	$108.66	$108.66	$108.66	2025-07-17
64417	CPT	Injection Aa&/Strd Axillary Nerve W/Img Gdn	8	7	$464.61	$464.61	$107.80	$107.80	$107.80	2025-07-17
64510	CPT	Njx Anes Stellate Ganglion Crv Sympathetic	8	7	$424.95	$424.95	$107.80	$107.80	$107.80	2025-07-17
99292	CPT	Critical Care Ill/Injured Patient Addl 30 Min	8	7	$337.71	$337.71	$107.04	$107.04	$107.04	2025-07-17
30901	CPT	Control Nasal Hemorrhage Anterior Simple	8	7	$450.15	$450.15	$101.61	$101.61	$101.61	2025-07-17
62270	CPT	Diagnostic Lumbar Spinal Puncture	8	7	$414.84	$414.84	$98.71	$98.71	$98.71	2025-07-17
99234	CPT	Hospital IP/Obs Care Same Date Sf/Low Mdm 45 Min	8	7	$274.56	$274.56	$92.27	$92.27	$92.27	2025-07-17
45300	CPT	Proctosgmdsc Rgd Dx W/wo Collj Spec Br/Wa Spx	8	7	$370.29	$370.29	$84.56	$84.56	$84.56	2025-07-17
29065	CPT	Application Cast Shoulder Hand Long Arm	8	7	$282.42	$282.42	$79.83	$79.83	$79.83	2025-07-17
64484	CPT	Njx Aa&/Strd Tfrml Epi Lumbar/Sacral Ea Addl	8	7	$322.02	$322.02	$78.15	$78.15	$78.15	2025-07-17
64400	CPT	Injection Aa&/Strd Trigeminal Nerve Each Branch	8	7	$323.22	$323.22	$78.05	$78.05	$78.05	2025-07-17
99238	CPT	Hospital IP/Obs Discharge Day Mgmt 30 Min/<	8	7	$230.07	$230.07	$77.17	$77.17	$77.17	2025-07-17
46600	CPT	Anoscopy Dx W/Collj Spec Br/Wa Spx When Prfrmd	8	7	$342.27	$342.27	$76.83	$76.83	$76.83	2025-07-17
64643	CPT	Chemodenervation 1 Extremity Ea Addl 1-4 Muscle	8	7	$261.45	$261.45	$76.43	$76.43	$76.43	2025-07-17
64492	CPT	Njx Dx/Ther Agt Pvrt Facet Jt Crv/Thrc 3+ Level	8	7	$1,443.02	$1,443.02	$75.38	$75.38	$75.38	2025-07-17
64420	CPT	Injection Aa&/Strd Intercostal Nrv Single Lvl	8	7	$282.72	$282.72	$74.88	$74.88	$74.88	2025-07-17
64491	CPT	Njx Dx/Ther Agt Pvrt Facet Jt Crv/Thrc 2nd Level	8	7	$1,548.97	$1,548.97	$74.72	$74.72	$74.72	2025-07-17
10021	CPT	Fine Needle Aspiration Bx Without Img Gdn 1st Lesion	8	7	$290.13	$290.13	$74.25	$74.25	$74.25	2025-07-17
64430	CPT	Injection Aa&/Strd Pudendal Nerve	8	7	$282.51	$282.51	$73.09	$73.09	$73.09	2025-07-17
29075	CPT	Application Cast Elbow Finger Short Arm	8	7	$255.15	$255.15	$72.61	$72.61	$72.61	2025-07-17
93015	CPT	Cv Strs Tst Xers&/or Rx Cont ECG W/Si&R	8	7	$209.76	$209.76	$70.09	$70.09	$70.09	2025-07-17
64495	CPT	Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 3+ Level	8	7	$2,966.52	$2,966.52	$68.33	$68.33	$68.33	2025-07-17
64494	CPT	Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 2nd Level	8	7	$2,721.55	$2,721.55	$67.83	$67.83	$67.83	2025-07-17
64418	CPT	Injection Aa&/Strd Suprascapular Nerve	8	7	$247.14	$247.14	$67.52	$67.52	$67.52	2025-07-17
29405	CPT	Application Short Leg Cast Below Knee-toe	8	7	$233.76	$233.76	$67.19	$67.19	$67.19	2025-07-17
99283	CPT	Emergency Department Visit Low Mdm	8	7	$196.95	$196.95	$66.40	$66.40	$66.40	2025-07-17
97597	CPT	Debridement Open Wound First 20 Sq Cm/<	8	7	$294.00	$294.00	$65.85	$65.85	$65.85	2025-07-17
29425	CPT	Application Short Leg Cast Walking/Ambulatory	8	7	$219.87	$219.87	$62.76	$62.76	$62.76	2025-07-17
69200	CPT	Rmvl Fb Xtrnl Auditory Canal Without Anes	8	7	$231.06	$231.06	$61.13	$61.13	$61.13	2025-07-17
64405	CPT	Injection Aa&/Strd Greater Occipital Nerve	8	7	$119.64	$119.64	$59.55	$59.55	$59.55	2025-07-17
29105	CPT	Application Long Arm Splint Shoulder Hand	8	7	$239.79	$239.79	$59.52	$59.52	$59.52	2025-07-17
16000	CPT	Initial Tx 1st Degree Burn Local Tx	8	7	$227.25	$227.25	$59.34	$59.34	$59.34	2025-07-17
29515	CPT	Application Short Leg Splint Calf Foot	8	7	$210.42	$210.42	$59.00	$59.00	$59.00	2025-07-17
64450	CPT	Injection Aa&/Strd Other Peripheral Nerve/Branch	8	7	$216.54	$216.54	$56.05	$56.05	$56.05	2025-07-17
29125	CPT	Application Short Arm Splint Forearm-hand Static	8	7	$195.90	$195.90	$52.11	$52.11	$52.11	2025-07-17
29705	CPT	Removal/Bivalving Full Arm/Full Leg Cast	8	7	$181.32	$181.32	$51.31	$51.31	$51.31	2025-07-17
65220	CPT	Rmvl Fb Xtrnl Eye Corneal Without Slit Lamp	8	7	$173.31	$173.31	$48.51	$48.51	$48.51	2025-07-17
29580	CPT	Strapping Unna Boot	8	7	$184.35	$184.35	$43.09	$43.09	$43.09	2025-07-17
76942	CPT	US Guidance Needle Placement Img S&i	8	7	$2,360.13	$2,360.13	$42.01	$42.01	$42.01	2025-07-17
64455	CPT	Njx Aa&/Strd Plantar Common Digital Nerves	8	7	$143.70	$143.70	$39.82	$39.82	$39.82	2025-07-17
99282	CPT	Emergency Department Visit Straightforward Mdm	8	7	$115.74	$115.74	$39.02	$39.02	$39.02	2025-07-17
69210	CPT	Removal Impacted Cerumen Instrumentation Unilat	8	7	$136.59	$136.59	$38.20	$38.20	$38.20	2025-07-17
93017	CPT	Cv Strs Tst Xers&/or Rx Cont ECG Trcg Only	8	7	$109.80	$109.80	$36.68	$36.68	$36.68	2025-07-17
29130	CPT	Application Finger Splint Static	8	7	$120.27	$120.27	$33.77	$33.77	$33.77	2025-07-17
64421	CPT	Injection Aa&/Strd Intercostal Nrv Ea Addl Lvl	8	7	$95.19	$95.19	$27.70	$27.70	$27.70	2025-07-17
65205	CPT	Removal Fb Eye Conjunctival Superficial	8	7	$81.99	$81.99	$27.52	$27.52	$27.52	2025-07-17
94060	CPT	Brncdilat Rspse Spmtry Pre&post-brncdilat Admn	8	7	$113.73	$113.73	$23.83	$23.83	$23.83	2025-07-17
29280	CPT	Strapping Hand/Finger	8	7	$85.38	$85.38	$23.77	$23.77	$23.77	2025-07-17
29260	CPT	Strapping Elbow/Wrist	8	7	$83.64	$83.64	$22.93	$22.93	$22.93	2025-07-17
93016	CPT	Cv Strs Tst Xers&/or Rx Cont ECG Without I&r	8	7	$60.30	$60.30	$20.14	$20.14	$20.14	2025-07-17
90471	CPT	IM Adm Prq Id Subq/Im Njxs 1 Vaccine	8	7	$60.30	$60.30	$20.14	$20.14	$20.14	2025-07-17
94010	CPT	Spmtry W/Vc Expiratory Flo W/wo Mxml Vol Vntj	8	7	$79.35	$79.35	$17.11	$17.11	$17.11	2025-07-17
69209	CPT	Removal Impacted Cerumen Irrigation/Lvg Unilat	8	7	$46.53	$46.53	$14.39	$14.39	$14.39	2025-07-17
G0403	HCPCS	Electrocardiogram,Complet Ippe	8	7	$41.04	$41.04	$13.76	$13.76	$13.76	2025-07-17
93000	CPT	ECG Routine ECG W/Least 12 Lds W/i&r	8	7	$41.04	$41.04	$13.76	$13.76	$13.76	2025-07-17
93018	CPT	Cv Strs Tst Xers&/or Rx Cont ECG I&r Only	8	7	$39.66	$39.66	$13.27	$13.27	$13.27	2025-07-17
96372	CPT	Therapeutic Prophylactic/Dx Injection Subq/Im	8	7	$213.51	$213.51	$12.88	$12.88	$12.88	2025-07-17
95117	CPT	Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs Njxs	8	7	$35.73	$35.73	$11.96	$11.96	$11.96	2025-07-17
99281	CPT	Emergency Department Visit May Not Req Phys/Qhp	8	7	$31.59	$31.59	$10.66	$10.66	$10.66	2025-07-17
11719	CPT	Trimming Nondystrophic Nails Any Number	8	7	$41.64	$41.64	$10.48	$10.48	$10.48	2025-07-17
95115	CPT	Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx	8	7	$29.85	$29.85	$9.99	$9.99	$9.99	2025-07-17
86580	CPT	Skin Test Tuberculosis Intradermal	8	7	$37.98	$37.98	$9.99	$9.99	$9.99	2025-07-17
94640	CPT	Pressurized/Nonpressurized Inhalation Treatment	8	7	$22.98	$22.98	$7.70	$7.70	$7.70	2025-07-17
93010	CPT	ECG Routine ECG W/Least 12 Lds I&r Only	8	7	$22.98	$22.98	$7.12	$7.12	$7.12	2025-07-17
96127	CPT	Behav Assmt W/Score & Docd/Stand Instrument	8	7	$13.14	$13.14	$4.43	$4.43	$4.43	2025-07-17
12020	CPT	Hc Closure Superf Wnd Dehis Smpl	0	0	$1,795.20	$1,795.20	—	—	—	2025-07-17
12015	CPT	Hc Repr Superf Wnd Face 7.6-12.5	0	0	$572.25	$572.25	—	—	—	2025-07-17
11311	CPT	Hc Shav Skin Les 6-10mm Face,Facial	0	0	$572.25	$572.25	—	—	—	2025-07-17
12014	CPT	Hc Repr Superf Wnd Face 5.1-7.5	0	0	$572.25	$572.25	—	—	—	2025-07-17
12013	CPT	Hc Repr Superf Wnd Face 2.6-5	0	0	$572.25	$572.25	—	—	—	2025-07-17
11310	CPT	Hc Shav Skin Les <5mm Face,Facial	0	0	$572.25	$572.25	—	—	—	2025-07-17
0202U	CPT	Lh Respiratory Pathogen Panel By Nat	0	0	$1,250.34	$1,250.34	—	—	—	2025-07-17
12011	CPT	Hc Repr Superf Wnd Face <2.5cm	0	0	$572.25	$572.25	—	—	—	2025-07-17
12006	CPT	Hc Repr Superf Wnd Body 20.1-30	0	0	$1,139.76	$1,139.76	—	—	—	2025-07-17
11308	CPT	Hc Shav Skin Les >21mm Remaindr Body	0	0	$1,139.76	$1,139.76	—	—	—	2025-07-17
12005	CPT	Hc Repr Superf Wnd Body 12.6-20	0	0	$1,198.59	$1,198.59	—	—	—	2025-07-17
12004	CPT	Hc Repr Superf Wnd Body 7.6-12.5	0	0	$572.25	$572.25	—	—	—	2025-07-17
11307	CPT	Hc Shav Skin Les 11-20mm Remaindr Body	0	0	$572.25	$572.25	—	—	—	2025-07-17
01480	CPT	Lh Anesthesia Open Bones,Lower Leg,Ankle,Fo	0	0	$61.32	$61.32	—	—	—	2025-07-17
00790	CPT	Lh Anesthesia,Surgery Intraperitoneal Upper Abdomen	0	0	$61.32	$61.32	—	—	—	2025-07-17
12002	CPT	Hc Repr Sup Npterf Wnd Body 2.6-7.5	0	0	$572.25	$572.25	—	—	—	2025-07-17
12001	CPT	Hc Repr Superf Wnd Body <2.5cm	0	0	$572.25	$572.25	—	—	—	2025-07-17
11306	CPT	Hc Shav Skin Les 6-10mm Remaindr Body	0	0	$572.25	$572.25	—	—	—	2025-07-17
11982	CPT	Hc Remove Drug Implant Device	0	0	$1,197.13	$1,197.13	—	—	—	2025-07-17
11305	CPT	Hc Shav Skin Les <5mm Remaindr Body	0	0	$572.25	$572.25	—	—	—	2025-07-17
01470	CPT	Lh Anesthesia Open Proc Lower Ext Nerve	0	0	$61.32	$61.32	—	—	—	2025-07-17
11981	CPT	Hc Insert Drug Implant Device	0	0	$386.70	$386.70	—	—	—	2025-07-17
11976	CPT	Hc Remove Contraceptive Cap	0	0	$2,110.77	$2,110.77	—	—	—	2025-07-17
11303	CPT	Hc Shav Skin Les >21mm Trunk,Arm,Leg	0	0	$1,139.76	$1,139.76	—	—	—	2025-07-17
11901	CPT	Hc Inject Skin Lesions Add-on	0	0	$572.25	$572.25	—	—	—	2025-07-17
11900	CPT	Hc Inject Skin Lesions	0	0	$572.25	$572.25	—	—	—	2025-07-17
11302	CPT	Hc Shav Skin Les 11-20mm Trunk,Arm,Leg	0	0	$572.25	$572.25	—	—	—	2025-07-17
01462	CPT	Lh Anesthesia Lower Leg,Ankle,Foot Closed	0	0	$61.32	$61.32	—	—	—	2025-07-17
00750	CPT	Lh Anesthesia Hernia Rpr Upper Abd	0	0	$61.32	$61.32	—	—	—	2025-07-17
00170	CPT	Lh Anesthesia T&a	0	0	$61.32	$61.32	—	—	—	2025-07-17
11772	CPT	Hc Remv Pilonidal Lesion Complic	0	0	$8,122.05	$8,122.05	—	—	—	2025-07-17
11771	CPT	Hc Remv Pilonidal Lesion Extens	0	0	$8,122.05	$8,122.05	—	—	—	2025-07-17
11301	CPT	Hc Shav Skin Les 6-10mm Trunk,Arm,Leg	0	0	$572.25	$572.25	—	—	—	2025-07-17
11770	CPT	Hc Remv Pilonidal Lesion Smpl	0	0	$8,122.05	$8,122.05	—	—	—	2025-07-17
11765	CPT	Hc Excision Of Nail Fold, Toe	0	0	$1,139.76	$1,139.76	—	—	—	2025-07-17
11300	CPT	Hc Shav Skin Les <5mm Trunk,Arm,Leg	0	0	$1,139.76	$1,139.76	—	—	—	2025-07-17
00940	CPT	Lh Anesthesia D&c	0	0	$61.32	$61.32	—	—	—	2025-07-17
11760	CPT	Hc Repair Nail Bed	0	0	$1,795.20	$1,795.20	—	—	—	2025-07-17
11750	CPT	Hc Remove Nail Bed	0	0	$1,139.76	$1,139.76	—	—	—	2025-07-17
11201	CPT	Hc Remove Skin Tags Add-on	0	0	$215.38	$215.38	—	—	—	2025-07-17
25560	CPT	Hc Closed Rx Rad/Ulna Shaft Fx	0	0	$719.64	$719.64	—	—	—	2025-07-17
11740	CPT	Hc Evacuation Subungual Hematoma	0	0	$386.70	$386.70	—	—	—	2025-07-17
25530	CPT	Hc Closed Rx Ulna Shaft Fx	0	0	$674.07	$674.07	—	—	—	2025-07-17
25500	CPT	Hc Closed Rx Radial Shaft Fx	0	0	$674.07	$674.07	—	—	—	2025-07-17
11732	CPT	Hc Remove Nail Plate Add-on	0	0	$334.41	$334.41	—	—	—	2025-07-17
11200	CPT	Hc Removal Of Skin Tags	0	0	$572.25	$572.25	—	—	—	2025-07-17
25600	CPT	Hc Closed Rx Dist Rad/Ulna Fx	0	0	$674.07	$674.07	—	—	—	2025-07-17
00921	CPT	Lh Anesthesia Vasectomy Unilat/Bilat	0	0	$61.32	$61.32	—	—	—	2025-07-17
00740	CPT	Lh Anesthesia Egd	0	0	$61.32	$61.32	—	—	—	2025-07-17
25111	CPT	Hc Excis Primary Ganglion Wrist	0	0	$4,593.99	$4,593.99	—	—	—	2025-07-17
24675	CPT	Hc Closed Rx Prox Ulna Fx,Manipulatn	0	0	$4,593.99	$4,593.99	—	—	—	2025-07-17
11730	CPT	Hc Facial Nerve Block	0	0	$572.25	$572.25	—	—	—	2025-07-17
26535	CPT	Hc Arthroplasty Interphalangeal Jnt	0	0	$9,252.09	$9,252.09	—	—	—	2025-07-17
26600	CPT	Hc Closed Rx Metacarpal Fx	0	0	$674.07	$674.07	—	—	—	2025-07-17
24670	CPT	Hc Closed Rx Prox Ulna Fracture	0	0	$674.07	$674.07	—	—	—	2025-07-17
24655	CPT	Hc Closed Rx Radial Head/Neck Fx,Manip	0	0	$4,593.99	$4,593.99	—	—	—	2025-07-17
26720	CPT	Hc Closed Rx Prox/Mid Fing Shft Fx	0	0	$674.07	$674.07	—	—	—	2025-07-17
11107	CPT	Hc Incisional Bx Addl Skin Lesion	0	0	$450.84	$450.84	—	—	—	2025-07-17
26740	CPT	Hc Treat Finger Fracture,Each	0	0	$674.07	$674.07	—	—	—	2025-07-17
24650	CPT	Hc Closed Rx Radial Head/Neck Fx	0	0	$674.07	$674.07	—	—	—	2025-07-17
24640	CPT	Hc Closed Rx Radial Head Disloc,Child	0	0	$674.07	$674.07	—	—	—	2025-07-17
26952	CPT	Hc Amputation Finger/Thumb+Flaps	0	0	$9,252.09	$9,252.09	—	—	—	2025-07-17
27093	CPT	Hc Injection Hip Arthrogram	0	0	$620.23	$620.23	—	—	—	2025-07-17
11646	CPT	Hc Exc Skin Malig >4cm Face,Facial	0	0	$8,122.05	$8,122.05	—	—	—	2025-07-17
24605	CPT	Hc Closed Rx Elbow Dislocatn,Anesthesi	0	0	$4,593.99	$4,593.99	—	—	—	2025-07-17
24600	CPT	Hc Closed Rx Elbow Dislocation	0	0	$674.07	$674.07	—	—	—	2025-07-17
11644	CPT	Hc Exc Skin Malig 3.1-4cm Face,Facial	0	0	$4,634.25	$4,634.25	—	—	—	2025-07-17
27552	CPT	Hc Treat Knee Dislocation	0	0	$4,593.99	$4,593.99	—	—	—	2025-07-17
11106	CPT	Hc Incisional Bx Sngl Skin Lesion	0	0	$1,795.20	$1,795.20	—	—	—	2025-07-17
00920	CPT	Lh Anesthesia Surg Male Genitalia	0	0	$61.32	$61.32	—	—	—	2025-07-17
24505	CPT	Hc Closed Rx Mid Humerus Fx,Manipulatn	0	0	$4,593.99	$4,593.99	—	—	—	2025-07-17
27786	CPT	Cltx Dstl Fibular Fx Lat Malls Without Manj	0	0	$929.91	$929.91	—	—	—	2025-07-17
24500	CPT	Hc Closed Rx Mid Humerus Fracture	0	0	$674.07	$674.07	—	—	—	2025-07-17
27808	CPT	Hc Closed Rx Bimalleolar Fx	0	0	$674.07	$674.07	—	—	—	2025-07-17
11643	CPT	Hc Exc Skin Malig 2.1-3cm Face,Facial	0	0	$4,634.25	$4,634.25	—	—	—	2025-07-17
24120	CPT	Hc Remove Elbow Lesion	0	0	$9,252.09	$9,252.09	—	—	—	2025-07-17
27824	CPT	Hc Closed Rx Weight Bear Dist Tibia	0	0	$674.07	$674.07	—	—	—	2025-07-17
24105	CPT	Hc Remove Elbow Bursa	0	0	$9,252.09	$9,252.09	—	—	—	2025-07-17
28022	CPT	Hc Explor Metatarso-phalang Jt	0	0	$9,252.09	$9,252.09	—	—	—	2025-07-17
28080	CPT	Hc Remove Foot Lesion Sngl Ea	0	0	$4,593.99	$4,593.99	—	—	—	2025-07-17
28090	CPT	Hc Remove Foot Lesion,Tendon,Shealth,Capsule	0	0	$4,593.99	$4,593.99	—	—	—	2025-07-17
28113	CPT	Hc Full Excis 5th Metatarsal Head	0	0	$9,252.09	$9,252.09	—	—	—	2025-07-17
28119	CPT	Hc Remove Heel Spur	0	0	$9,252.09	$9,252.09	—	—	—	2025-07-17
28120	CPT	Hc Partial Removal Of Ankle/Heel	0	0	$9,252.09	$9,252.09	—	—	—	2025-07-17
28122	CPT	Hc Partial Removal Of Foot Bone	0	0	$9,252.09	$9,252.09	—	—	—	2025-07-17
28124	CPT	Hc Part Remv Phalanx Of Toe	0	0	$9,252.09	$9,252.09	—	—	—	2025-07-17
11642	CPT	Hc Exc Skin Malig 1.1-2cm Face,Facial	0	0	$2,011.08	$2,011.08	—	—	—	2025-07-17
28208	CPT	Hc Repair Exten Leg Tendon,Prim,Ea	0	0	$9,252.09	$9,252.09	—	—	—	2025-07-17
28238	CPT	Hc Revision Of Foot Tendon	0	0	$20,448.99	$20,448.99	—	—	—	2025-07-17
28285	CPT	Hc Repair Of Hammertoe	0	0	$9,252.09	$9,252.09	—	—	—	2025-07-17
28288	CPT	Hc Part Removal Of Foot Bone	0	0	$9,252.09	$9,252.09	—	—	—	2025-07-17
11105	CPT	Hc Punch Bx Addl Skin Lesion	0	0	$328.10	$328.10	—	—	—	2025-07-17
23931	CPT	Hc Drain Arm Bursa	0	0	$4,634.25	$4,634.25	—	—	—	2025-07-17
23655	CPT	Hc Closed Rx Shldr Disloc,Anesthesia	0	0	$4,593.99	$4,593.99	—	—	—	2025-07-17
11641	CPT	Hc Exc Skin Malig 0.6-1cm Face,Facial	0	0	$2,011.08	$2,011.08	—	—	—	2025-07-17
23650	CPT	Hc Closed Rx Shldr Dislocation	0	0	$674.07	$674.07	—	—	—	2025-07-17
23620	CPT	Hc Closed Rx Gr Tuberosity Hum Fx	0	0	$674.07	$674.07	—	—	—	2025-07-17
11640	CPT	Hc Exc Skin Malig <5cm Face,Facial	0	0	$2,011.08	$2,011.08	—	—	—	2025-07-17
11104	CPT	Hc Punch Bx Sngl Skin Lesion	0	0	$1,118.76	$1,118.76	—	—	—	2025-07-17
00910	CPT	Lh Anesthesia Cystoscopy	0	0	$61.32	$61.32	—	—	—	2025-07-17
00731	CPT	Lh Anesthesia Upper Gastro Endoscopic Procedure	0	0	$61.32	$61.32	—	—	—	2025-07-17
00164	CPT	Lh Anesthesia Lesion Rml Soft Tissue Bx Face	0	0	$61.32	$61.32	—	—	—	2025-07-17
00140	CPT	Lh Anesthesia Eye Proc Nos	0	0	$61.32	$61.32	—	—	—	2025-07-17
23605	CPT	Hc Closed Rx Prox Humerus Fx,Manip	0	0	$4,593.99	$4,593.99	—	—	—	2025-07-17
23500	CPT	Hc Closed Rx Clavicle Fracture	0	0	$674.07	$674.07	—	—	—	2025-07-17
11626	CPT	Hc Exc Skin Malig >4cm Remaindr Body	0	0	$8,122.05	$8,122.05	—	—	—	2025-07-17
21930	CPT	Hc Remove Lesion,Back Or Flank	0	0	$4,634.25	$4,634.25	—	—	—	2025-07-17
21480	CPT	Hc Reduce Temporomandibl Disloc	0	0	$674.07	$674.07	—	—	—	2025-07-17
11624	CPT	Hc Exc Skin Malig 3.1-4cm Remaindr Body	0	0	$4,634.25	$4,634.25	—	—	—	2025-07-17
11103	CPT	Hc Tangential Bx Addl Skin Lesion	0	0	$286.59	$286.59	—	—	—	2025-07-17
20612	CPT	Hc Aspirate/Inj Ganglion Cyst	0	0	$846.60	$846.60	—	—	—	2025-07-17
20611	CPT	Hc Drain/Inj Major Joint/Bursa W/us	0	0	$846.60	$846.60	—	—	—	2025-07-17
11623	CPT	Hc Exc Skin Malig 2.1-3cm Remaindr Body	0	0	$4,634.25	$4,634.25	—	—	—	2025-07-17
20610	CPT	Hc Rad Inject/Aspir Jntmajor	0	0	$846.60	$846.60	—	—	—	2025-07-17
20606	CPT	Drain/Inject Joint/Bursa	0	0	$2,077.56	$2,077.56	—	—	—	2025-07-17
11622	CPT	Hc Exc Skin Malig 1.1-2cm Remaindr Bod	0	0	$2,011.08	$2,011.08	—	—	—	2025-07-17
11102	CPT	Hc Tangential Bx Sngl Skin Lesion	0	0	$572.25	$572.25	—	—	—	2025-07-17
00902	CPT	Lh Anesthesia Anorectal Procedure	0	0	$61.32	$61.32	—	—	—	2025-07-17
20605	CPT	Hc Drain/Inject Medium Joint/Bursa	0	0	$846.60	$846.60	—	—	—	2025-07-17
20600	CPT	Hc Drain/Inject Small Joint/Bursa	0	0	$846.60	$846.60	—	—	—	2025-07-17
11621	CPT	Hc Exc Skin Malig 0.6-1cm Remaindr Bod	0	0	$2,011.08	$2,011.08	—	—	—	2025-07-17
20561	CPT	Hc Needle Insert Without Inj 3+ Musc	0	0	$85.11	$85.11	—	—	—	2025-07-17
20560	CPT	Hc Needle Insert Without Inj 1 Or 2 Musc	0	0	$85.11	$85.11	—	—	—	2025-07-17
11055	CPT	Hc Trim Skin Lesion	0	0	$572.25	$572.25	—	—	—	2025-07-17
20553	CPT	Hc Inj Trigger Point,3 Or More	0	0	$846.60	$846.60	—	—	—	2025-07-17
20552	CPT	Hc Inj Trigger Point,1 Or 2	0	0	$846.60	$846.60	—	—	—	2025-07-17
11606	CPT	Hc Exc Skin Malig >4cm Trunk,Arm,Leg	0	0	$4,634.25	$4,634.25	—	—	—	2025-07-17
20551	CPT	Hc Inj Tendon Origin/Insertion	0	0	$846.60	$846.60	—	—	—	2025-07-17
20550	CPT	Hc Inj Tendon Sheath/Ligament	0	0	$846.60	$846.60	—	—	—	2025-07-17
11604	CPT	Hc Exc Skin Malig 3.1-4cm Trunk,Arm,Leg	0	0	$2,011.08	$2,011.08	—	—	—	2025-07-17
11043	CPT	Hc Debride Tissue/Muscle	0	0	$1,795.20	$1,795.20	—	—	—	2025-07-17
00840	CPT	Lh Anesthesia Appendectomy	0	0	$61.32	$61.32	—	—	—	2025-07-17
00410	CPT	Lh Anesthesia Elect Conv Arrythm	0	0	$61.32	$61.32	—	—	—	2025-07-17
20526	CPT	Hc Therapeutic Inj, Carpal Tunnel	0	0	$846.60	$846.60	—	—	—	2025-07-17
20520	CPT	Hc Removal Of Foreign Body	0	0	$4,634.25	$4,634.25	—	—	—	2025-07-17
11603	CPT	Hc Exc Skin Malig 2.1-3cm Trunk,Arm,Leg	0	0	$2,011.08	$2,011.08	—	—	—	2025-07-17
20103	CPT	Hc Explore Wound Extremity	0	0	$4,634.25	$4,634.25	—	—	—	2025-07-17

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