Hospital

ONECORE HEALTH

Oklahoma City, OK · CCN 370220 · Rates published

Your selected procedure

You selected 29806 (CPT)

""ARTHROSCOPY, SHOULDER, SURGICAL; CAPSULORRHAPHY""

This hospital’s price: $6,362 across 9 payers · range $1,150-$21,285

Source: https://onecorehealth.slicedhealth.io/pricer/00-0000000-1851344188_OneCoreHealth_standardcharges.CSV · observed 2026-02-27

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

523 distinct procedures filed

10 distinct payers

16,018 rate rows

2026-02-27 last MRF observed

Data quality

15,932 of 16,018 rate rows are consumer-grade (99.5%)

86 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
exceeds 10× this hospital's gross charge — excluded from medians	64
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	10
placeholder amount (≤ $0.02) — excluded from medians	10
per-diem day rate — not a per-procedure price	2

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

Source MRF file	https://onecorehealth.slicedhealth.io/pricer/000000000_onecore-health_standardcharges.csv
Found on page	https://onecorehealth.slicedhealth.io/home
Discovered via	CMS hospital list
Last fetch	not_modified · 2026-10-17
Content fingerprint	0ae77ac8ed81509a… · 3,359,867 bytes · first seen 2026-08-17

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
63685 CPT	""Insrt/redo Spine N Generator""	9	$1,150.00	$128,145.58	$27,137.19	nat. median $20,965 1.3× median
22612 CPT	""Arthrd Pst Tq 1ntrspc Lumbar""	5	$1,150.00	$50,078.00	$23,910.00	nat. median $15,174 1.6× median
22633 CPT	""Arthrd Cmbn 1ntrspc Lumbar""	5	$1,150.00	$58,307.01	$23,910.00	nat. median $17,346 1.4× median
64590 CPT	""Insrt/redo Pn/gastr Stimul""	9	$1,150.00	$83,786.82	$19,096.55	nat. median $17,808 1.1× median
63655 CPT	""Laminectomy For Implantation Of Neurostimulator Electrodes""	9	$1,150.00	$83,786.82	$19,096.55	nat. median $18,044 1.1× median
22870 CPT	""Insj Stablj Dev Without Dcmprn Includ Image Guid Lumbar Second Level""	3	$1,150.00	$16,138.44	$13,832.95	nat. median $2,173 outlier · 6.4×
22851 CPT	""applic Intervertebral Biomech Device Vertebral Dfct/ Intersp""	3	$1,150.00	$14,269.28	$12,230.81	nat. median $5,305 outlier · 2.3×
22554 CPT	""Arthrd Ant Ntrbd Min Dsc Crv""	5	$1,150.00	$16,730.00	$11,815.02	nat. median $12,300 1.0× median
22830 CPT	""exploration Of Spinal Fusion""	4	$1,150.00	$13,074.69	$11,510.95	nat. median $6,080 1.9× median
25810 CPT	""Arthrodesis Wrist Joint W Iliac Or Other Autograft""	10	$100.00	$34,613.94	$11,458.10	nat. median $11,035 1.0× median
23615 CPT	""Treat Humerus Fracture Open""	9	$1,150.00	$27,279.72	$11,458.10	nat. median $11,327 1.0× median
23470 CPT	""arthroplasty, Glenohumeral Joint; Hemiarthroplasty""	9	$1,150.00	$50,078.00	$11,458.10	nat. median $12,347 0.9× median
27827 CPT	""Treat Lower Leg Fracture W Internal Fixation Performed Tibia Only""	9	$1,150.00	$27,279.72	$11,458.10	nat. median $10,692 1.1× median
20982 CPT	""Ablate Bone Tumor(s) Perq""	9	$1,150.00	$18,431.50	$11,458.10	nat. median $10,732 1.1× median
22551 CPT	""arthrodesis, Anterior Interbody Cervical Below C Tube""	9	$1,150.00	$50,078.00	$11,458.10	nat. median $12,479 0.9× median
28725 CPT	""arthrodesis; Subtalar""	10	$100.00	$25,563.84	$11,458.10	nat. median $10,483 1.1× median
24516 CPT	""Treat Humerus Fracture W Inser Intramed Implnt""	9	$1,150.00	$27,279.72	$11,458.10	nat. median $11,327 1.0× median
0624 RC		3	$1,150.00	$13,230.00	$11,340.00	nat. median $5,283 outlier · 2.1×
63081 CPT	""Remove Vert Body Dcmprn Crvl""	3	$1,150.00	$13,194.93	$11,309.94	nat. median $5,198 outlier · 2.2×
22585 CPT	""Arthrd Ant Ntrbd Min Dsc Ea""	3	$1,150.00	$13,194.93	$11,309.94	nat. median $1,987 outlier · 5.7×
28293 CPT	""correction Hallux Valgus w/Wo Sesamoidectomy Resection W/implant""	3	$1,150.00	$13,109.51	$11,236.72	nat. median $3,854 outlier · 2.9×
63664 CPT	""Revise Spine Eltrd Plate""	9	$1,150.00	$25,914.04	$11,105.00	nat. median $11,511 1.0× median
31296 CPT	""Nsl/sins Ndsc Surg Frnt Sins""	5	$1,150.00	$15,040.84	$10,456.90	nat. median $6,694 1.6× median
22100 CPT	""Remove Part Of Neck Vertebra""	5	$1,150.00	$20,146.64	$9,290.00	nat. median $7,456 1.2× median
63012 CPT	""Remove Lamina/facets Lumbar""	5	$1,150.00	$20,146.64	$9,290.00	nat. median $7,352 1.3× median
63042 CPT	""Laminotomy Single Lumbar""	5	$1,150.00	$20,146.64	$9,290.00	nat. median $7,470 1.2× median
63056 CPT	""Decompress Spinal Cord Lmbr""	5	$1,150.00	$20,146.64	$9,290.00	nat. median $7,509 1.2× median
63005 CPT	""Remove Spine Lamina 1/2 Lmbr""	5	$1,150.00	$20,146.64	$9,290.00	nat. median $7,179 1.3× median
64910 CPT	""Nerve Repair W/allograft""	5	$1,150.00	$14,437.31	$8,330.00	nat. median $6,355 1.3× median
63707 CPT	""Repair Spinal Fluid Leakage""	3	$1,150.00	$8,917.34	$7,643.43	nat. median $3,359 outlier · 2.3×
22849 CPT	""Reinsertion Of Spinal Fixation Device""	4	$1,150.00	$12,727.70	$7,534.99	nat. median $6,903 1.1× median
57284 CPT	""Repair Paravag Defect Open""	5	$1,150.00	$19,490.39	$7,111.62	nat. median $5,189 1.4× median
0360 RC		3	$258.00	$83,456.31	$6,691.30	nat. median $1,999 outlier · 3.3×
31295 CPT	""Nsl/sins Ndsc Surg Max Sins""	5	$1,150.00	$10,456.90	$6,587.32	nat. median $6,498 1.0× median
27766 CPT	""Optx Medial Ankle Fx""	9	$1,150.00	$20,711.08	$6,361.60	nat. median $6,967 0.9× median
27695 CPT	""repair, Primary, Disrupted Ligament, Ankle; Collateral""	9	$1,150.00	$12,745.44	$6,361.60	nat. median $6,570 1.0× median
27691 CPT	""Revise Lower Leg Tendon""	9	$1,150.00	$11,738.39	$6,361.60	nat. median $6,958 0.9× median
27654 CPT	""Repair Secondary Ruptured Achilles Tendon With Or Without Graft""	9	$1,150.00	$18,431.50	$6,361.60	nat. median $6,824 0.9× median
27650 CPT	""repair, Primary, Open Or Percutaneous, Ruptured Achilles Tendon""	9	$1,150.00	$18,431.50	$6,361.60	nat. median $6,662 1.0× median
27524 CPT	""Treat Kneecap Fracture""	9	$1,150.00	$20,711.08	$6,361.60	nat. median $6,994 0.9× median
27427 CPT	""ligamentous Reconstruction (augmentation), Knee; Extra-articular""	9	$1,150.00	$30,969.57	$6,361.60	nat. median $6,925 0.9× median
26205 CPT	""Remove/graft Bone Lesion""	9	$1,150.00	$10,825.33	$6,361.60	nat. median $6,795 0.9× median
27422 CPT	""Revision Of Unstable Kneecap""	9	$1,150.00	$18,431.50	$6,361.60	nat. median $7,038 0.9× median
27420 CPT	""Revision Of Unstable Kneecap""	9	$1,150.00	$9,551.08	$6,361.60	nat. median $6,730 0.9× median
63047 CPT	""Lam Facetec & Foramot Lumbar""	9	$1,150.00	$20,146.64	$6,361.60	nat. median $7,484 0.9× median
26358 CPT	""Repair Finger/hand Tendon Secondary W Free Graft Each Tendon""	9	$1,150.00	$10,825.33	$6,361.60	nat. median $6,913 0.9× median
27418 CPT	""Repair Degenerated Kneecap""	9	$1,150.00	$23,011.67	$6,361.60	nat. median $6,727 0.9× median
27394 CPT	""Lengthening Of Hamstring Tendon; Multiple, One Leg""	9	$1,150.00	$11,738.39	$6,361.60	nat. median $6,760 0.9× median
27393 CPT	""lengthening Of Hamstring Tendon; Single Tendon""	9	$1,150.00	$12,745.44	$6,361.60	nat. median $6,518 1.0× median
63030 CPT	""Low Back Disk Surgery""	9	$1,150.00	$20,146.64	$6,361.60	nat. median $7,614 0.8× median

Other procedures at this hospital

Browse this hospital's 523 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

63685	CPT	""Insrt/redo Spine N Generator""	18	9	$183,065.12	—	$1,150.00	$128,145.58	$27,137.19	2026-02-27
22612	CPT	""Arthrd Pst Tq 1ntrspc Lumbar""	10	5	$71,540.00	—	$1,150.00	$50,078.00	$23,910.00	2026-02-27
22633	CPT	""Arthrd Cmbn 1ntrspc Lumbar""	10	5	$83,295.73	—	$1,150.00	$58,307.01	$23,910.00	2026-02-27
64590	CPT	""Insrt/redo Pn/gastr Stimul""	18	9	$119,695.45	—	$1,150.00	$83,786.82	$19,096.55	2026-02-27
63655	CPT	""Laminectomy For Implantation Of Neurostimulator Electrodes""	18	9	$119,695.45	—	$1,150.00	$83,786.82	$19,096.55	2026-02-27
22870	CPT	""Insj Stablj Dev Without Dcmprn Includ Image Guid Lumbar Second Level""	6	3	$23,054.91	—	$1,150.00	$16,138.44	$13,832.95	2026-02-27
22851	CPT	""applic Intervertebral Biomech Device Vertebral Dfct/ Intersp""	6	3	$20,384.68	—	$1,150.00	$14,269.28	$12,230.81	2026-02-27
22554	CPT	""Arthrd Ant Ntrbd Min Dsc Crv""	10	5	$18,849.90	—	$1,150.00	$16,730.00	$11,815.02	2026-02-27
22830	CPT	""exploration Of Spinal Fusion""	8	4	$18,678.13	—	$1,150.00	$13,074.69	$11,510.95	2026-02-27
25810	CPT	""Arthrodesis Wrist Joint W Iliac Or Other Autograft""	20	10	$49,448.49	—	$100.00	$34,613.94	$11,458.10	2026-02-27
23615	CPT	""Treat Humerus Fracture Open""	18	9	$38,971.03	—	$1,150.00	$27,279.72	$11,458.10	2026-02-27
23470	CPT	""arthroplasty, Glenohumeral Joint; Hemiarthroplasty""	18	9	$71,540.00	—	$1,150.00	$50,078.00	$11,458.10	2026-02-27
27827	CPT	""Treat Lower Leg Fracture W Internal Fixation Performed Tibia Only""	18	9	$38,971.03	—	$1,150.00	$27,279.72	$11,458.10	2026-02-27
20982	CPT	""Ablate Bone Tumor(s) Perq""	18	9	$26,330.71	—	$1,150.00	$18,431.50	$11,458.10	2026-02-27
22551	CPT	""arthrodesis, Anterior Interbody Cervical Below C Tube""	18	9	$71,540.00	—	$1,150.00	$50,078.00	$11,458.10	2026-02-27
28725	CPT	""arthrodesis; Subtalar""	20	10	$36,519.77	—	$100.00	$25,563.84	$11,458.10	2026-02-27
24516	CPT	""Treat Humerus Fracture W Inser Intramed Implnt""	18	9	$38,971.03	—	$1,150.00	$27,279.72	$11,458.10	2026-02-27
0624	RC	—	6	3	$18,900.00	—	$1,150.00	$13,230.00	$11,340.00	2026-02-27
63081	CPT	""Remove Vert Body Dcmprn Crvl""	6	3	$18,849.90	—	$1,150.00	$13,194.93	$11,309.94	2026-02-27
22585	CPT	""Arthrd Ant Ntrbd Min Dsc Ea""	6	3	$18,849.90	—	$1,150.00	$13,194.93	$11,309.94	2026-02-27
28293	CPT	""correction Hallux Valgus w/Wo Sesamoidectomy Resection W/implant""	6	3	$18,727.87	—	$1,150.00	$13,109.51	$11,236.72	2026-02-27
63664	CPT	""Revise Spine Eltrd Plate""	18	9	$37,020.06	—	$1,150.00	$25,914.04	$11,105.00	2026-02-27
31296	CPT	""Nsl/sins Ndsc Surg Frnt Sins""	10	5	$21,486.92	—	$1,150.00	$15,040.84	$10,456.90	2026-02-27
22100	CPT	""Remove Part Of Neck Vertebra""	10	5	$28,780.92	—	$1,150.00	$20,146.64	$9,290.00	2026-02-27
63012	CPT	""Remove Lamina/facets Lumbar""	10	5	$28,780.92	—	$1,150.00	$20,146.64	$9,290.00	2026-02-27
63042	CPT	""Laminotomy Single Lumbar""	10	5	$28,780.92	—	$1,150.00	$20,146.64	$9,290.00	2026-02-27
63056	CPT	""Decompress Spinal Cord Lmbr""	10	5	$28,780.92	—	$1,150.00	$20,146.64	$9,290.00	2026-02-27
63005	CPT	""Remove Spine Lamina 1/2 Lmbr""	10	5	$28,780.92	—	$1,150.00	$20,146.64	$9,290.00	2026-02-27
64910	CPT	""Nerve Repair W/allograft""	10	5	$20,624.73	—	$1,150.00	$14,437.31	$8,330.00	2026-02-27
63707	CPT	""Repair Spinal Fluid Leakage""	6	3	$12,739.05	—	$1,150.00	$8,917.34	$7,643.43	2026-02-27
22849	CPT	""Reinsertion Of Spinal Fixation Device""	8	4	$11,592.29	—	$1,150.00	$12,727.70	$7,534.99	2026-02-27
57284	CPT	""Repair Paravag Defect Open""	10	5	$27,843.41	—	$1,150.00	$19,490.39	$7,111.62	2026-02-27
0360	RC	—	1,222	3	$10,400.00	—	$258.00	$83,456.31	$6,691.30	2026-02-27
31295	CPT	""Nsl/sins Ndsc Surg Max Sins""	10	5	$9,410.45	—	$1,150.00	$10,456.90	$6,587.32	2026-02-27
27766	CPT	""Optx Medial Ankle Fx""	18	9	$29,587.25	—	$1,150.00	$20,711.08	$6,361.60	2026-02-27
27695	CPT	""repair, Primary, Disrupted Ligament, Ankle; Collateral""	18	9	$18,207.77	—	$1,150.00	$12,745.44	$6,361.60	2026-02-27
27691	CPT	""Revise Lower Leg Tendon""	18	9	$16,769.13	—	$1,150.00	$11,738.39	$6,361.60	2026-02-27
27654	CPT	""Repair Secondary Ruptured Achilles Tendon With Or Without Graft""	18	9	$26,330.71	—	$1,150.00	$18,431.50	$6,361.60	2026-02-27
27650	CPT	""repair, Primary, Open Or Percutaneous, Ruptured Achilles Tendon""	18	9	$26,330.71	—	$1,150.00	$18,431.50	$6,361.60	2026-02-27
27524	CPT	""Treat Kneecap Fracture""	18	9	$29,587.25	—	$1,150.00	$20,711.08	$6,361.60	2026-02-27
27427	CPT	""ligamentous Reconstruction (augmentation), Knee; Extra-articular""	18	9	$44,242.24	—	$1,150.00	$30,969.57	$6,361.60	2026-02-27
26205	CPT	""Remove/graft Bone Lesion""	18	9	$15,464.75	—	$1,150.00	$10,825.33	$6,361.60	2026-02-27
27422	CPT	""Revision Of Unstable Kneecap""	18	9	$26,330.71	—	$1,150.00	$18,431.50	$6,361.60	2026-02-27
27420	CPT	""Revision Of Unstable Kneecap""	18	9	$13,644.40	—	$1,150.00	$9,551.08	$6,361.60	2026-02-27
63047	CPT	""Lam Facetec & Foramot Lumbar""	18	9	$28,780.92	—	$1,150.00	$20,146.64	$6,361.60	2026-02-27
26358	CPT	""Repair Finger/hand Tendon Secondary W Free Graft Each Tendon""	18	9	$15,464.75	—	$1,150.00	$10,825.33	$6,361.60	2026-02-27
27418	CPT	""Repair Degenerated Kneecap""	18	9	$32,873.82	—	$1,150.00	$23,011.67	$6,361.60	2026-02-27
27394	CPT	""Lengthening Of Hamstring Tendon; Multiple, One Leg""	18	9	$16,769.13	—	$1,150.00	$11,738.39	$6,361.60	2026-02-27
27393	CPT	""lengthening Of Hamstring Tendon; Single Tendon""	18	9	$18,207.77	—	$1,150.00	$12,745.44	$6,361.60	2026-02-27
63030	CPT	""Low Back Disk Surgery""	18	9	$28,780.92	—	$1,150.00	$20,146.64	$6,361.60	2026-02-27
27385	CPT	""suture Of Quadriceps Or Hamstring Muscle Rupture; Primary""	18	9	$18,207.77	—	$1,150.00	$12,745.44	$6,361.60	2026-02-27
26531	CPT	""Revise Knuckle With Implant""	18	9	$34,784.82	—	$1,150.00	$24,349.37	$6,361.60	2026-02-27
26546	CPT	""Repair Nonunion Hand""	18	9	$15,464.75	—	$1,150.00	$10,825.33	$6,361.60	2026-02-27
20690	CPT	""Apply Bone Fixation Device""	18	9	$34,784.82	—	$1,150.00	$24,349.37	$6,361.60	2026-02-27
20900	CPT	""bone Graft, Any Donor Area; Minor Or Small (eg, Dowel Or Button)""	18	9	$18,207.77	—	$1,150.00	$12,745.44	$6,361.60	2026-02-27
27380	CPT	""Suture Of Infrapatellar Tendon; Primary""	18	9	$16,769.13	—	$1,150.00	$11,738.39	$6,361.60	2026-02-27
26842	CPT	""Thumb Fusion With Graft""	18	9	$15,464.75	—	$1,150.00	$10,825.33	$6,361.60	2026-02-27
26844	CPT	""Fusion/graft Of Hand Joint""	18	9	$15,464.75	—	$1,150.00	$10,825.33	$6,361.60	2026-02-27
26850	CPT	""arthrodesis Metacarpophalangeal Joint W Or Without Internal Fixation""	18	9	$15,464.75	—	$1,150.00	$10,825.33	$6,361.60	2026-02-27
22513	CPT	""Perq Vertebral Augmentation""	18	9	$44,242.24	—	$1,150.00	$30,969.57	$6,361.60	2026-02-27
22514	CPT	""Perq Vertebral Augmentation""	18	9	$44,242.24	—	$1,150.00	$30,969.57	$6,361.60	2026-02-27
23515	CPT	""Treat Clavicle Fracture""	18	9	$38,971.03	—	$1,150.00	$27,279.72	$6,361.60	2026-02-27
23550	CPT	""open Treatment Of Acromioclavicular Dislocation, Acute Or Chronic""	18	9	$29,587.25	—	$1,150.00	$20,711.08	$6,361.60	2026-02-27
23660	CPT	""open Treatment Of Acute Shoulder Dislocation""	18	9	$29,587.25	—	$1,150.00	$20,711.08	$6,361.60	2026-02-27
29888	CPT	""arthroscopically Aided Anter Cruciate Ligmnt Repair/aug Or Recon""	18	9	$44,242.24	—	$1,150.00	$30,969.57	$6,361.60	2026-02-27
29862	CPT	""Hip Arthr0 W/debridement""	20	10	$41,868.96	—	$100.00	$29,308.27	$6,361.60	2026-02-27
29861	CPT	""arthroscopy Hip Surgical W Removal Of Loose Body Or Foreign Body""	20	10	$30,406.95	—	$100.00	$21,284.87	$6,361.60	2026-02-27
24340	CPT	""tenodesis Of Biceps Tendon At Elbow (separate Procedure)""	20	10	$26,330.71	—	$100.00	$18,431.50	$6,361.60	2026-02-27
24341	CPT	""Repair Arm Tendon/muscle""	20	10	$26,330.71	—	$100.00	$18,431.50	$6,361.60	2026-02-27
24342	CPT	""Repair Of Ruptured Tendon""	20	10	$26,330.71	—	$100.00	$18,431.50	$6,361.60	2026-02-27
24345	CPT	""repair Medial Collateral Ligament, Elbow, With Local Tissue""	18	9	$18,207.77	—	$1,150.00	$12,745.44	$6,361.60	2026-02-27
24400	CPT	""Osteotomy, Humerus, With Or Without Internal Fixation""	18	9	$26,330.71	—	$1,150.00	$18,431.50	$6,361.60	2026-02-27
24665	CPT	""Open Treatment Of Closed Or Open Radial Head Or Neck Fracture""	18	9	$34,784.82	—	$1,150.00	$24,349.37	$6,361.60	2026-02-27
24685	CPT	""Treat Ulnar Fracture""	18	9	$29,587.25	—	$1,150.00	$20,711.08	$6,361.60	2026-02-27
29855	CPT	""Tibial Arthroscopy/surgery Includes Internal Fixation""	18	9	$30,406.95	—	$1,150.00	$21,284.87	$6,361.60	2026-02-27
29828	CPT	""arthroscopy, Shoulder, Surgical; Biceps Tenodesis""	20	10	$30,406.95	—	$100.00	$21,284.87	$6,361.60	2026-02-27
29827	CPT	""arthroscopy, Shoulder, Surgical; With Rotator Cuff Repair""	18	9	$30,406.95	—	$1,150.00	$21,284.87	$6,361.60	2026-02-27
29807	CPT	""arthroscopy, Shoulder, Surgical; Repair Of Slap Lesion""	20	10	$30,406.95	—	$100.00	$21,284.87	$6,361.60	2026-02-27
29806	CPT	""arthroscopy, Shoulder, Surgical; Capsulorrhaphy""	18	9	$30,406.95	—	$1,150.00	$21,284.87	$6,361.60	2026-02-27
28485	CPT	""Treat Metatarsal Fracture Open Includes Internal Fixation""	18	9	$29,587.25	—	$1,150.00	$20,711.08	$6,361.60	2026-02-27
25320	CPT	""Repair/revise Wrist Joint""	18	9	$26,330.71	—	$1,150.00	$18,431.50	$6,361.60	2026-02-27
25337	CPT	""Reconstruct Ulna/radioulnar""	18	9	$26,330.71	—	$1,150.00	$18,431.50	$6,361.60	2026-02-27
25400	CPT	""repair Of Nonunion Or Malunion Radius Or Ulna Wout Graft""	18	9	$44,242.24	—	$1,150.00	$30,969.57	$6,361.60	2026-02-27
25440	CPT	""repair Nonunion Scaphoid Carpal Bone w/Wo Radial Styloidectomy""	18	9	$26,330.71	—	$1,150.00	$18,431.50	$6,361.60	2026-02-27
25449	CPT	""revision Of Arthroplasty Including Removal Of Implant Wrist Joint""	18	9	$23,540.93	—	$1,150.00	$16,478.65	$6,361.60	2026-02-27
28300	CPT	""Incision Of Heel Bone""	20	10	$34,784.82	—	$100.00	$24,349.37	$6,361.60	2026-02-27
25515	CPT	""Treat Fracture Of Radius Open w/Wo Internl/Extern Skeletal Fix""	18	9	$34,784.82	—	$1,150.00	$24,349.37	$6,361.60	2026-02-27
25545	CPT	""Treat Fracture Ulna Open w/Wo Internal/External Skeletal Fixation""	18	9	$34,784.82	—	$1,150.00	$24,349.37	$6,361.60	2026-02-27
25575	CPT	""Treat Fracture Radius/ulna Open w/Wo Internal/External Skel Fix""	18	9	$49,448.49	—	$1,150.00	$34,613.94	$6,361.60	2026-02-27
27829	CPT	""Treat Lower Leg Joint Includes Internal Fixation""	18	9	$29,587.25	—	$1,150.00	$20,711.08	$6,361.60	2026-02-27
25607	CPT	""Treat Fx Rad Extra-articul W Internal Fixation""	18	9	$38,971.03	—	$1,150.00	$27,279.72	$6,361.60	2026-02-27
25608	CPT	""Treat Fx Rad Intra-articul 2 Fragments""	18	9	$38,971.03	—	$1,150.00	$27,279.72	$6,361.60	2026-02-27
25609	CPT	""Treat Fx Radial 3+ Frag""	18	9	$38,971.03	—	$1,150.00	$27,279.72	$6,361.60	2026-02-27
25628	CPT	""Treat Wrist Bone Fracture Open Includes Internal Fixation""	18	9	$29,587.25	—	$1,150.00	$20,711.08	$6,361.60	2026-02-27
27822	CPT	""Treatment Of Ankle Fracture""	18	9	$34,784.82	—	$1,150.00	$24,349.37	$6,361.60	2026-02-27
25652	CPT	""open Treatment Of Ulnar Styloid Fracture""	18	9	$29,587.25	—	$1,150.00	$20,711.08	$6,361.60	2026-02-27
27814	CPT	""Treatment Of Ankle Fracture""	18	9	$29,587.25	—	$1,150.00	$20,711.08	$6,361.60	2026-02-27
25676	CPT	""Open Treatment Closed/Open Distal Radioulnar Disloc Acute/Chronic""	18	9	$34,784.82	—	$1,150.00	$24,349.37	$6,361.60	2026-02-27
25800	CPT	""Arthrodesis Wrist Joint Wout Bone Graft""	20	10	$49,448.49	—	$100.00	$34,613.94	$6,361.60	2026-02-27
25805	CPT	""Arthrodesis Wrist Joint W Sliding Graft""	20	10	$49,448.49	—	$100.00	$34,613.94	$6,361.60	2026-02-27
25825	CPT	""arthrodesis, Wrist; With Autograft (includes Obtaining Graft)""	20	10	$44,242.24	—	$100.00	$30,969.57	$6,361.60	2026-02-27
27792	CPT	""Treatment Of Ankle Fracture""	18	9	$29,587.25	—	$1,150.00	$20,711.08	$6,361.60	2026-02-27
27769	CPT	""Optx Post Ankle Fx""	18	9	$29,587.25	—	$1,150.00	$20,711.08	$6,361.60	2026-02-27
27696	CPT	""Repair Of Ankle Ligaments""	18	9	$16,769.13	—	$1,150.00	$11,738.39	$6,361.60	2026-02-27
23107	CPT	""Explore Treat Shoulder Joint""	18	9	$16,769.13	—	$1,150.00	$11,738.39	$6,361.60	2026-02-27
23410	CPT	""Repair Rotator Cuff Acute""	20	10	$26,330.71	—	$100.00	$18,431.50	$6,361.60	2026-02-27
23412	CPT	""Repair Rotator Cuff Chronic""	20	10	$26,330.71	—	$100.00	$18,431.50	$6,361.60	2026-02-27
23420	CPT	""Repair Of Shoulder""	20	10	$26,330.71	—	$100.00	$18,431.50	$6,361.60	2026-02-27
23430	CPT	""tenodesis Of Long Tendon Of Biceps""	20	10	$26,330.71	—	$100.00	$18,431.50	$6,361.60	2026-02-27
23450	CPT	""Repair Shoulder Capsule""	20	10	$44,242.24	—	$100.00	$30,969.57	$6,361.60	2026-02-27
64634	CPT	""Destroy C/th Facet Jnt Addl""	6	3	$10,286.22	—	$1,150.00	$7,200.35	$6,171.73	2026-02-27
31288	CPT	""Nasal/sinus Endoscopy Surg""	18	9	$21,486.92	—	$1,150.00	$15,040.84	$6,164.56	2026-02-27
31276	CPT	""Nsl/sins Ndsc Frnt Tiss Rmvl""	18	9	$21,486.92	—	$1,150.00	$15,040.84	$6,164.56	2026-02-27
31254	CPT	""Nasal Endoscopy, Surgical; With Ethmoidectomy, Partial""	18	9	$21,465.36	—	$1,150.00	$15,025.75	$6,164.56	2026-02-27
31287	CPT	""nasal/sinus Endoscopy, Surgical, With Sphenoidotomy;92672""	18	9	$21,486.92	—	$1,150.00	$15,040.84	$6,164.56	2026-02-27
31267	CPT	""Endoscopy Maxillary Sinus""	18	9	$14,066.29	—	$1,150.00	$10,456.90	$6,164.56	2026-02-27
31255	CPT	""Nsl/sins Ndsc W/tot Ethmdct""	18	9	$21,486.92	—	$1,150.00	$15,040.84	$6,164.56	2026-02-27
15850	CPT	""Remove Sutures Same Surgeon""	6	3	$9,878.47	—	$1,150.00	$6,914.93	$5,927.08	2026-02-27
63650	CPT	""percutaneous Implantation Neurostimulator Electrodearray Epidural""	18	9	$37,020.06	—	$1,150.00	$25,914.04	$5,844.36	2026-02-27
64581	CPT	""Opn Impltj Nea Sacral Nerve""	18	9	$37,020.06	—	$1,150.00	$25,914.04	$5,844.36	2026-02-27
63663	CPT	""Revise Spine Eltrd Perq Aray""	18	9	$37,020.06	—	$1,150.00	$25,914.04	$5,844.36	2026-02-27
19380	CPT	""revision Of Reconstructed Breast""	18	9	$36,656.97	—	$1,150.00	$25,659.88	$5,807.46	2026-02-27
26861	CPT	""Fusion Of Finger Jnt Add-on""	6	3	$9,582.36	—	$1,150.00	$6,707.65	$5,749.42	2026-02-27
64834	CPT	""suture Of One Nerve, Hand Or Foot; Common Sensory Nerve""	18	9	$23,777.46	—	$1,150.00	$16,644.22	$5,702.92	2026-02-27
64792	CPT	""Removal Of Nerve Lesion""	18	9	$20,624.73	—	$1,150.00	$14,437.31	$5,702.92	2026-02-27
42820	CPT	""tonsillectomy And Adenoidectomy; Younger Than Age 12""	18	9	$13,618.01	—	$1,150.00	$9,532.61	$5,267.98	2026-02-27
41120	CPT	""glossectomy; Less Than One-half Tongue""	18	9	$27,691.86	—	$1,150.00	$19,384.30	$5,267.98	2026-02-27
42825	CPT	""tonsillectomy, Primary Or Secondary; Younger Than Age 12""	18	9	$26,099.99	—	$1,150.00	$18,269.99	$5,267.98	2026-02-27
60280	CPT	""excision Of Thyroglossal Duct Cyst Or Sinus;97217""	18	9	$29,665.65	—	$1,150.00	$20,765.96	$5,195.58	2026-02-27
47562	CPT	""Laparoscopy, Surgical; Cholecystectomy""	18	9	$28,008.05	—	$1,150.00	$19,605.64	$5,195.58	2026-02-27
49321	CPT	""Laparoscopy, Surgical; W/Biopsy (Single Or Multiple)""	18	9	$28,008.05	—	$1,150.00	$19,605.64	$5,195.58	2026-02-27
25651	CPT	""percutaneous Skeletal Fixation Of Ulnar Styloid Fracture""	10	5	$14,292.95	—	$1,150.00	$10,005.07	$5,084.56	2026-02-27
25001	CPT	""incision, Flexor Tendon Sheath, Wrist (eg, Flexor Carpi Radialis)""	10	5	$11,621.26	—	$1,150.00	$8,134.88	$5,084.56	2026-02-27
63035	CPT	""Spinal Disk Surgery Add-on""	6	3	$7,776.20	—	$1,150.00	$5,443.34	$4,665.72	2026-02-27
63050	CPT	""Cervical Laminoplsty 2/> Seg""	6	3	$7,776.20	—	$1,150.00	$5,443.34	$4,665.72	2026-02-27
20931	CPT	""Sp Bone Algrft Struct Add-on""	6	3	$7,776.20	—	$1,150.00	$5,443.34	$4,665.72	2026-02-27
27339	CPT	""Exc Thigh/knee Tum Dep 5cm/>""	10	5	$12,765.13	—	$1,150.00	$8,935.59	$4,641.68	2026-02-27
57260	CPT	""combined Anteroposterior Colporrhaphy;96751""	18	9	$6,870.50	—	$1,150.00	$7,111.62	$4,395.98	2026-02-27
57250	CPT	""Repair Rectum & Vagina""	18	9	$27,843.41	—	$1,150.00	$19,490.39	$4,395.98	2026-02-27
22855	CPT	""removal Of Anterior Instrumentation""	8	4	$5,570.67	—	$1,150.00	$11,815.02	$3,620.93	2026-02-27
22850	CPT	""removal Of Posterior Nonsegmental Instrumentation""	8	4	$5,570.67	—	$1,150.00	$11,815.02	$3,620.93	2026-02-27
19101	CPT	""biopsy Of Breast; Open, Incisional""	18	9	$15,315.58	—	$1,150.00	$10,720.91	$3,410.03	2026-02-27
31535	CPT	""Laryngoscopy, Direct, Operative, With Biopsy;""	18	9	$13,943.44	—	$1,150.00	$9,760.41	$3,283.28	2026-02-27
31536	CPT	""Laryngoscopy Direct Operative W Biopsy W Operating Microscope""	18	9	$13,943.44	—	$1,150.00	$9,760.41	$3,283.28	2026-02-27
31256	CPT	""nasal/sinus Endoscopy, Surgical, With Maxillary Antrostomy;92669""	18	9	$14,066.29	—	$1,150.00	$9,846.40	$3,283.28	2026-02-27
31541	CPT	""Larynscop W/tumr Exc + Scope""	18	9	$13,943.44	—	$1,150.00	$9,760.41	$3,283.28	2026-02-27
15155	CPT	""Cult Skin Graft F/n/hf/g""	18	9	$4,068.05	—	$1,150.00	$5,981.96	$3,260.15	2026-02-27
64787	CPT	""Implant Nerve End""	6	3	$5,378.88	—	$1,150.00	$3,765.22	$3,227.33	2026-02-27
64624	CPT	""Dstrj Nulyt Agt Gnclr Nrv""	10	5	$12,034.12	—	$1,150.00	$8,423.88	$3,189.10	2026-02-27
49520	CPT	""repair Recurrent Inguinal Hernia, Any Age; Reducible""	18	9	$18,720.66	—	$1,150.00	$13,104.46	$3,142.68	2026-02-27
64595	CPT	""Revise/rmv Pn/gastr Stimul""	18	9	$14,895.86	—	$1,150.00	$10,427.10	$3,062.49	2026-02-27
63662	CPT	""Remove Spine Eltrd Plate""	18	9	$22,927.10	—	$1,150.00	$16,048.97	$3,062.49	2026-02-27
63688	CPT	""Revise/remove Neuroreceiver""	18	9	$14,895.86	—	$1,150.00	$10,427.10	$3,062.49	2026-02-27
26746	CPT	""Treat Finger Fracture Open Incl Internal Fix When Performed Each""	18	9	$14,292.95	—	$1,150.00	$10,005.07	$2,889.37	2026-02-27
23120	CPT	""claviculectomy; Partial""	18	9	$18,207.77	—	$1,150.00	$12,745.44	$2,889.37	2026-02-27
23140	CPT	""Removal Of Bone Lesion""	18	9	$11,621.26	—	$1,150.00	$8,134.88	$2,889.37	2026-02-27
24105	CPT	""excision, Olecranon Bursa""	18	9	$11,621.26	—	$1,150.00	$8,134.88	$2,889.37	2026-02-27
24120	CPT	""Remove Elbow Lesion""	18	9	$11,621.26	—	$1,150.00	$8,134.88	$2,889.37	2026-02-27
24357	CPT	""Repair Elbow Perc""	18	9	$10,186.82	—	$1,150.00	$7,130.77	$2,889.37	2026-02-27
24358	CPT	""Repair Elbow W/deb Open""	20	10	$18,207.77	—	$100.00	$12,745.44	$2,889.37	2026-02-27
24359	CPT	""Repair Elbow Deb/attch Open""	18	9	$18,207.77	—	$1,150.00	$12,745.44	$2,889.37	2026-02-27
25028	CPT	""Drainage Of Forearm Lesion""	18	9	$10,186.82	—	$1,150.00	$7,130.77	$2,889.37	2026-02-27
25109	CPT	""Excision Of Tendon Forearm And/or Wrist Flexor Or Extensor Each""	18	9	$10,186.82	—	$1,150.00	$7,130.77	$2,889.37	2026-02-27
25116	CPT	""Remove Wrist/forearm Lesion""	18	9	$10,186.82	—	$1,150.00	$7,130.77	$2,889.37	2026-02-27
25210	CPT	""carpectomy; One Bone""	18	9	$18,207.77	—	$1,150.00	$12,745.44	$2,889.37	2026-02-27
25240	CPT	""Partial Removal Of Ulna""	18	9	$18,207.77	—	$1,150.00	$12,745.44	$2,889.37	2026-02-27
25270	CPT	""Repair Forearm Tendon/muscle Extensor Single Each Tendon/Muscle""	18	9	$16,769.13	—	$1,150.00	$11,738.39	$2,889.37	2026-02-27
25290	CPT	""Incise Wrist/forearm Tendon""	18	9	$18,207.77	—	$1,150.00	$12,745.44	$2,889.37	2026-02-27
25295	CPT	""Release Wrist/forearm Tendon""	18	9	$11,621.26	—	$1,150.00	$8,134.88	$2,889.37	2026-02-27
25300	CPT	""tenodesis At Wrist; Flexors Of Fingers""	18	9	$18,207.77	—	$1,150.00	$12,745.44	$2,889.37	2026-02-27
25301	CPT	""Tenodesis At Wrist; Extensors Of Fingers""	18	9	$7,351.61	—	$1,150.00	$5,146.13	$2,889.37	2026-02-27
25310	CPT	""Transplant Forearm Tendon Single Each Tendon""	18	9	$18,207.77	—	$1,150.00	$12,745.44	$2,889.37	2026-02-27
25312	CPT	""Transplant Forearm Tendon Single W Tendon Graft(s) Ea Tendon""	18	9	$26,330.71	—	$1,150.00	$18,431.50	$2,889.37	2026-02-27
25332	CPT	""arthroplasty Wrist w/Wo Interposition w/Wo Extern/intern Fixation""	18	9	$23,540.93	—	$1,150.00	$16,478.65	$2,889.37	2026-02-27
25447	CPT	""arthroplasty Interposition Intercarpal Or Carpometacarpal Joints""	18	9	$23,540.93	—	$1,150.00	$16,478.65	$2,889.37	2026-02-27
25606	CPT	""Treat Fx Distal Radial""	18	9	$14,292.95	—	$1,150.00	$10,005.07	$2,889.37	2026-02-27
26123	CPT	""Release Palm Contracture""	18	9	$16,769.13	—	$1,150.00	$11,738.39	$2,889.37	2026-02-27
26350	CPT	""Repair Finger/hand Tendon""	18	9	$15,464.75	—	$1,150.00	$10,825.33	$2,889.37	2026-02-27
26356	CPT	""Repair Finger/hand Tendon Wout Free Graft Each Tendon""	18	9	$15,464.75	—	$1,150.00	$10,825.33	$2,889.37	2026-02-27
26357	CPT	""Repair Finger/hand Tendon Secondary Wout Free Graft Each Tendon""	18	9	$15,464.75	—	$1,150.00	$10,825.33	$2,889.37	2026-02-27
26426	CPT	""Repair Finger/hand Tendon""	18	9	$16,769.13	—	$1,150.00	$11,738.39	$2,889.37	2026-02-27
26433	CPT	""Repair Finger Tendon Primary Or Secondary Wout Graft""	18	9	$8,594.95	—	$1,150.00	$6,016.47	$2,889.37	2026-02-27
26437	CPT	""Extensor Tendon Realignment, Hand""	18	9	$10,186.82	—	$1,150.00	$7,130.77	$2,889.37	2026-02-27
26442	CPT	""Tenolysis, Simple, Flexor Tendon; Palm And Finger, Each Tendon""	18	9	$10,186.82	—	$1,150.00	$7,130.77	$2,889.37	2026-02-27
26445	CPT	""Tenolysis, Extensor Tendon, Dorsum Of Hand Or Finger; Each Tendon""	18	9	$8,594.95	—	$1,150.00	$6,016.47	$2,889.37	2026-02-27
26471	CPT	""Tenodesis; For Proximal Interphalangeal Joint Stabilization""	18	9	$8,594.95	—	$1,150.00	$6,016.47	$2,889.37	2026-02-27
26477	CPT	""shortening Of Tendon, Extensor, Hand Or Finger, Each Tendon""	18	9	$8,594.95	—	$1,150.00	$6,016.47	$2,889.37	2026-02-27
26480	CPT	""Transplant Hand Tendon""	18	9	$15,464.75	—	$1,150.00	$10,825.33	$2,889.37	2026-02-27
26497	CPT	""Finger Tendon Transfer""	18	9	$15,464.75	—	$1,150.00	$10,825.33	$2,889.37	2026-02-27
26499	CPT	""Correction Claw Finger, Other Methods""	18	9	$6,905.71	—	$1,150.00	$5,084.56	$2,889.37	2026-02-27
26516	CPT	""Capsulodesis For M-p Joint Stabilization; Single Digit""	18	9	$15,464.75	—	$1,150.00	$10,825.33	$2,889.37	2026-02-27
26535	CPT	""arthroplasty, Interphalangeal Joint; Each Joint""	18	9	$23,540.93	—	$1,150.00	$16,478.65	$2,889.37	2026-02-27
26540	CPT	""Repair Hand Joint""	18	9	$8,594.95	—	$1,150.00	$6,016.47	$2,889.37	2026-02-27
26541	CPT	""Repair Hand Joint With Graft""	18	9	$15,464.75	—	$1,150.00	$10,825.33	$2,889.37	2026-02-27
26565	CPT	""osteotomy; Metacarpal, Each""	18	9	$15,464.75	—	$1,150.00	$10,825.33	$2,889.37	2026-02-27
26615	CPT	""Treat Metacarpal Fracture Open Ncludes Internal Fixation""	18	9	$29,587.25	—	$1,150.00	$20,711.08	$2,889.37	2026-02-27
26650	CPT	""Treat Thumb Fracture W Manipulation""	18	9	$14,292.95	—	$1,150.00	$10,005.07	$2,889.37	2026-02-27
26676	CPT	""Pin Hand Dislocation""	18	9	$14,292.95	—	$1,150.00	$10,005.07	$2,889.37	2026-02-27
26686	CPT	""Treat Hand Dislocation""	18	9	$38,971.03	—	$1,150.00	$27,279.72	$2,889.37	2026-02-27
26727	CPT	""Treat Finger Fracture W Manipulation Each""	18	9	$14,292.95	—	$1,150.00	$10,005.07	$2,889.37	2026-02-27
26735	CPT	""Treat Finger Fracture Incl Internal Fixation When Performed Each""	18	9	$14,292.95	—	$1,150.00	$10,005.07	$2,889.37	2026-02-27
26756	CPT	""Pin Finger Fracture Each""	18	9	$14,292.95	—	$1,150.00	$10,005.07	$2,889.37	2026-02-27
26765	CPT	""Treat Finger Fracture Open Includes Internal Fixation Each""	18	9	$14,292.95	—	$1,150.00	$10,005.07	$2,889.37	2026-02-27
26776	CPT	""Pin Finger Dislocation""	18	9	$10,186.82	—	$1,150.00	$7,130.77	$2,889.37	2026-02-27
26860	CPT	""arthrodesis Interphalangeal Joint With Or Without Internal Fixation""	18	9	$15,464.75	—	$1,150.00	$10,825.33	$2,889.37	2026-02-27
26951	CPT	""Amputation Of Finger/thumb Primary Or Secondary W Direct Closure""	18	9	$8,594.95	—	$1,150.00	$6,016.47	$2,889.37	2026-02-27
26952	CPT	""Amputation Of Finger/thumb Primary/secondary Wlocal Advance Flaps""	18	9	$8,594.95	—	$1,150.00	$6,016.47	$2,889.37	2026-02-27
27062	CPT	""excision; Trochanteric Bursa Or Calcification""	18	9	$11,621.26	—	$1,150.00	$8,134.88	$2,889.37	2026-02-27
27305	CPT	""fasciotomy, Iliotibial (tenotomy), Open""	18	9	$11,621.26	—	$1,150.00	$8,134.88	$2,889.37	2026-02-27
27306	CPT	""Incision Of Thigh Tendon""	18	9	$10,186.82	—	$1,150.00	$7,130.77	$2,889.37	2026-02-27
27310	CPT	""Exploration Of Knee Joint""	18	9	$16,769.13	—	$1,150.00	$11,738.39	$2,889.37	2026-02-27
27331	CPT	""Explore/treat Knee Joint""	18	9	$16,769.13	—	$1,150.00	$11,738.39	$2,889.37	2026-02-27
27334	CPT	""Arthrotomy, Knee, For Synovectomy; Anterior Or Posterior""	18	9	$16,769.13	—	$1,150.00	$11,738.39	$2,889.37	2026-02-27
27340	CPT	""excision, Prepatellar Bursa""	18	9	$11,621.26	—	$1,150.00	$8,134.88	$2,889.37	2026-02-27
27355	CPT	""excision Or Curettage Of Bone Cyst Or Benign Tumor Of Femur""	18	9	$18,207.77	—	$1,150.00	$12,745.44	$2,889.37	2026-02-27
27602	CPT	""Decompression Of Lower Leg""	18	9	$18,207.77	—	$1,150.00	$12,745.44	$2,889.37	2026-02-27
27625	CPT	""Arthrotomy, Ankle, For Synovectomy""	18	9	$16,769.13	—	$1,150.00	$11,738.39	$2,889.37	2026-02-27
27635	CPT	""Remove Lower Leg Bone Lesion""	18	9	$16,769.13	—	$1,150.00	$11,738.39	$2,889.37	2026-02-27
27658	CPT	""repair, Flexor Tendon, Leg; Primary, Without Graft, Each Tendon""	18	9	$11,621.26	—	$1,150.00	$8,134.88	$2,889.37	2026-02-27
27675	CPT	""Repair For Dislocating Peroneal Tendons; Without Fibular Osteotomy""	18	9	$16,769.13	—	$1,150.00	$11,738.39	$2,889.37	2026-02-27
27680	CPT	""Tenolysis, Including Tibia, Fibula And Ankle Flexor; Single""	18	9	$16,769.13	—	$1,150.00	$11,738.39	$2,889.37	2026-02-27
27681	CPT	""Release Of Lower Leg Tendons""	18	9	$16,769.13	—	$1,150.00	$11,738.39	$2,889.37	2026-02-27
27685	CPT	""Revision Of Lower Leg Tendon""	18	9	$18,207.77	—	$1,150.00	$12,745.44	$2,889.37	2026-02-27
28003	CPT	""Treatment Of Foot Infection""	18	9	$11,621.26	—	$1,150.00	$8,134.88	$2,889.37	2026-02-27
28005	CPT	""incision, Bone Cortex (eg, Osteomyelitis Or Bone Abscess), Foot""	18	9	$12,199.88	—	$1,150.00	$8,539.92	$2,889.37	2026-02-27
28200	CPT	""Repair Of Foot Tendon Flexor Single Prim/Second Without Free Graft""	18	9	$16,769.13	—	$1,150.00	$11,738.39	$2,889.37	2026-02-27
28208	CPT	""Repair Of Foot Tendon Single Primary Or Secondary Each Tendon""	18	9	$16,769.13	—	$1,150.00	$11,738.39	$2,889.37	2026-02-27
28505	CPT	""Treat Big Toe Fracture Open Includes Internal Fixation""	18	9	$14,292.95	—	$1,150.00	$10,005.07	$2,889.37	2026-02-27
28525	CPT	""Treat Toe Fracture Open Includes Internal Fixation""	18	9	$14,292.95	—	$1,150.00	$10,005.07	$2,889.37	2026-02-27
28820	CPT	""amputation, Toe; Metatarsophalangeal Joint""	18	9	$12,199.88	—	$1,150.00	$8,539.92	$2,889.37	2026-02-27
29805	CPT	""Sho Arthrs Dx +- Synovial Bx""	20	10	$15,055.11	—	$100.00	$10,538.58	$2,889.37	2026-02-27
29819	CPT	""Sho Arthrs Srg Rmvl Loose/fb""	20	10	$30,406.95	—	$100.00	$21,284.87	$2,889.37	2026-02-27
29822	CPT	""arthroscopy, Shoulder, Surgical; Debridement, Limited""	20	10	$15,055.11	—	$100.00	$10,538.58	$2,889.37	2026-02-27
29823	CPT	""arthroscopy, Shoulder, Surgical; Debridement, Extensive""	20	10	$30,406.95	—	$100.00	$21,284.87	$2,889.37	2026-02-27
29824	CPT	""Sho Arthrs Srg Dstl Claviclc""	20	10	$30,406.95	—	$100.00	$21,284.87	$2,889.37	2026-02-27
29825	CPT	""Sho Arthrs Srg Lss&rescj Ads""	20	10	$30,406.95	—	$100.00	$21,284.87	$2,889.37	2026-02-27
29844	CPT	""arthroscopy, Wrist, Surgical; Synovectomy, Partial""	18	9	$15,055.11	—	$1,150.00	$10,538.58	$2,889.37	2026-02-27
29846	CPT	""Wrist Arthroscopy/surgery""	18	9	$15,055.11	—	$1,150.00	$10,538.58	$2,889.37	2026-02-27
29871	CPT	""arthroscopy, Knee, Surgical; For Infection, Lavage And Drainage""	20	10	$15,055.11	—	$100.00	$10,538.58	$2,889.37	2026-02-27
29873	CPT	""arthroscopy, Knee, Surgical; With Lateral Release""	20	10	$15,055.11	—	$100.00	$10,538.58	$2,889.37	2026-02-27
29874	CPT	""arthroscopy Knee Surgical Removal Of Loose Body Or Foreign Body""	20	10	$15,055.11	—	$100.00	$10,538.58	$2,889.37	2026-02-27
29875	CPT	""arthroscopy Knee Surgical Synovectomy Limited""	20	10	$15,055.11	—	$100.00	$10,538.58	$2,889.37	2026-02-27
29876	CPT	""arthroscopy Knee Surgical Synovectomy Major 2 Or More Compartmnts""	20	10	$15,055.11	—	$100.00	$10,538.58	$2,889.37	2026-02-27
29877	CPT	""arthroscopy Knee Surgical Debridement/shaving Articular Cartilage""	20	10	$15,055.11	—	$100.00	$10,538.58	$2,889.37	2026-02-27
29879	CPT	""arthroscopy Knee Surg Abra Arthroplasty/mltple Drill/microfract""	20	10	$15,055.11	—	$100.00	$10,538.58	$2,889.37	2026-02-27
29880	CPT	""arthroscopy Knee Surgical W Meniscectomy""	20	10	$15,055.11	—	$100.00	$10,538.58	$2,889.37	2026-02-27
29881	CPT	""arthroscopy Knee Surgical W Meniscectomy""	18	9	$15,055.11	—	$1,150.00	$10,538.58	$2,889.37	2026-02-27
29882	CPT	""arthroscopy Knee Surgical W Meniscus Repair (medial Or Lateral)""	20	10	$15,055.11	—	$100.00	$10,538.58	$2,889.37	2026-02-27
29895	CPT	""arthroscopy Ankle Surgical Synovectomy Partial""	20	10	$15,055.11	—	$100.00	$10,538.58	$2,889.37	2026-02-27
29898	CPT	""arthroscopy Anklesurgical Debridement Extensive""	20	10	$15,055.11	—	$100.00	$10,538.58	$2,889.37	2026-02-27
57295	CPT	""Revise Vag Graft Via Vagina""	18	9	$12,918.29	—	$1,150.00	$9,042.80	$2,831.42	2026-02-27
27328	CPT	""Exc Thigh/knee Tum Deep <5cm""	18	9	$9,386.23	—	$1,150.00	$6,570.36	$2,548.70	2026-02-27
27301	CPT	""Drain Thigh/knee Lesion""	18	9	$11,445.91	—	$1,150.00	$8,012.14	$2,548.70	2026-02-27
23076	CPT	""Exc Shoulder Tum Deep < 5 Cm""	18	9	$9,386.23	—	$1,150.00	$6,570.36	$2,548.70	2026-02-27
20525	CPT	""Removal Of Foreign Body""	18	9	$12,765.13	—	$1,150.00	$8,935.59	$2,548.70	2026-02-27
21556	CPT	""Exc Neck Tum Deep < 5 Cm""	18	9	$9,899.96	—	$1,150.00	$6,929.97	$2,548.70	2026-02-27
20245	CPT	""biopsy, Bone, Open; Deep (eg, Humerus, Ischium, Femur)""	18	9	$12,765.13	—	$1,150.00	$8,935.59	$2,548.70	2026-02-27
24071	CPT	""Exc Arm/elbow Les Sc 3 Cm/>""	18	9	$9,899.96	—	$1,150.00	$6,929.97	$2,548.70	2026-02-27
21552	CPT	""Exc Neck Les Sc 3 Cm/>""	18	9	$9,899.96	—	$1,150.00	$6,929.97	$2,548.70	2026-02-27
27634	CPT	""Exc Leg/ankle Tum Dep 5 Cm/>""	18	9	$9,899.96	—	$1,150.00	$6,929.97	$2,548.70	2026-02-27
20680	CPT	""removal Of Implant Deep""	18	9	$12,765.13	—	$1,150.00	$8,935.59	$2,548.70	2026-02-27
69110	CPT	""excision External Ear; Partial, Simple Repair""	18	9	$9,386.23	—	$1,150.00	$6,570.36	$2,548.70	2026-02-27
26117	CPT	""Rad Resect Hand Tumor < 3 Cm""	18	9	$9,386.23	—	$1,150.00	$6,570.36	$2,548.70	2026-02-27
11012	CPT	""Deb Skin Bone At Fx Site""	18	9	$5,783.82	—	$1,150.00	$4,641.68	$2,548.70	2026-02-27
10180	CPT	""incision And Drainage, Complex, Postoperative Wound Infection""	18	9	$9,899.96	—	$1,150.00	$6,929.97	$2,548.70	2026-02-27
29826	CPT	""Sho Arthrs Srg Decompression""	8	4	$6,156.84	—	$100.00	$4,309.79	$2,422.05	2026-02-27
0409	RC	—	22	3	$3,682.77	—	$227.97	$8,596.51	$2,387.04	2026-02-27
0278	RC	—	2,338	2	$3,652.00	—	$0.03	$66,360.84	$2,380.00	2026-02-27
61782	CPT	""Scan Proc Cranial Extra""	6	3	$3,550.00	—	$1,150.00	$2,485.00	$2,130.00	2026-02-27
0616	RC	—	6	3	$3,500.00	—	$1,150.00	$2,450.00	$2,100.00	2026-02-27
64727	CPT	""Internal Nerve Revision""	6	3	$3,370.72	—	$1,150.00	$2,359.50	$2,022.43	2026-02-27
22845	CPT	""anterior Instrumentation 2 To 3 Vertebral Segments""	6	3	$3,370.72	—	$1,150.00	$2,359.50	$2,022.43	2026-02-27
64633	CPT	""Destroy Cerv/thor Facet Jnt""	18	9	$10,286.22	—	$1,150.00	$7,200.35	$1,738.97	2026-02-27
63661	CPT	""Remove Spine Eltrd Perq Aray""	18	9	$9,684.71	—	$1,150.00	$6,779.30	$1,738.97	2026-02-27
64774	CPT	""excision Of Neuroma; Cutaneous Nerve, Surgically Identifiable""	18	9	$9,747.92	—	$1,150.00	$6,823.54	$1,738.97	2026-02-27
64721	CPT	""neuroplasty And/or Transposition; Median Nerve At Carpal Tunnel""	18	9	$9,684.71	—	$1,150.00	$6,779.30	$1,738.97	2026-02-27
64635	CPT	""Destroy Lumb/sac Facet Jnt""	18	9	$10,286.22	—	$1,150.00	$7,200.35	$1,738.97	2026-02-27
64708	CPT	""Revise Arm/leg Nerve""	18	9	$9,684.71	—	$1,150.00	$6,779.30	$1,738.97	2026-02-27
64718	CPT	""neuroplasty And/or Transposition; Ulnar Nerve At Elbow""	18	9	$9,684.71	—	$1,150.00	$6,779.30	$1,738.97	2026-02-27
64772	CPT	""transection Or Avulsion Of Other Spinal Nerve, Extradural""	18	9	$9,684.71	—	$1,150.00	$6,779.30	$1,738.97	2026-02-27
64719	CPT	""neuroplasty And/or Transposition; Ulnar Nerve At Wrist""	18	9	$9,684.71	—	$1,150.00	$6,779.30	$1,738.97	2026-02-27
62287	CPT	""Dcmprn Px Perq 1/mlt Lumbar""	18	9	$20,624.73	—	$1,150.00	$14,437.31	$1,738.97	2026-02-27
0391	RC	—	6	3	$2,779.42	—	$1,150.00	$1,945.59	$1,667.65	2026-02-27
15736	CPT	""muscle, Myocutaneous, Or Fasciocutaneous Flap; Upper Extremity""	18	9	$9,848.09	—	$1,150.00	$6,893.66	$1,628.96	2026-02-27
15271	CPT	""Skin Sub Graft Trnk/arm/leg""	18	9	$9,878.47	—	$1,150.00	$6,914.93	$1,628.96	2026-02-27
14040	CPT	""Tis Trnfr F/c/c/m/n/a/g/h/f""	18	9	$9,848.09	—	$1,150.00	$6,893.66	$1,628.96	2026-02-27
13160	CPT	""Late Closure Of Wound""	18	9	$9,848.09	—	$1,150.00	$6,893.66	$1,628.96	2026-02-27
0615	RC	—	6	3	$2,576.84	—	$1,150.00	$1,803.79	$1,546.10	2026-02-27
31240	CPT	""nasal/sinus Endoscopy Surgical With Concha Bullosa Resection92666""	18	9	$14,066.29	—	$1,150.00	$9,846.40	$1,535.67	2026-02-27
31237	CPT	""Nasal/sinus Endoscopy Surg""	18	9	$7,262.50	—	$1,150.00	$5,083.75	$1,535.67	2026-02-27
31238	CPT	""nasal/sinus Endoscopy, Surgical; With Control Of Nasal Hemorrhage""	18	9	$8,813.42	—	$1,150.00	$6,169.39	$1,535.67	2026-02-27
31525	CPT	""Dx Laryngoscopy Excl Nb""	18	9	$8,813.42	—	$1,150.00	$6,169.39	$1,535.67	2026-02-27
38241	CPT	""Transplt Autol Hct/donor""	18	9	$19,912.83	—	$1,150.00	$13,938.98	$1,459.80	2026-02-27
26011	CPT	""drainage Of Finger Abscess; Complicated (eg, Felon)""	18	9	$6,059.34	—	$1,150.00	$4,241.54	$1,442.85	2026-02-27
10121	CPT	""incision & Removal Foreign Body Subcutaneous Tissues Complicated""	18	9	$9,386.23	—	$1,150.00	$6,570.36	$1,442.85	2026-02-27
23931	CPT	""incision And Drainage, Upper Arm Or Elbow Area; Bursa""	18	9	$6,059.34	—	$1,150.00	$4,241.54	$1,442.85	2026-02-27
26115	CPT	""Exc Hand Les Sc < 1.5 Cm""	18	9	$9,386.23	—	$1,150.00	$6,570.36	$1,442.85	2026-02-27
26116	CPT	""Exc Hand Tum Deep < 1.5 Cm""	18	9	$9,386.23	—	$1,150.00	$6,570.36	$1,442.85	2026-02-27
23075	CPT	""excision, Soft Tissue Tumor, Shoulder Area; Subcutaneous""	18	9	$9,386.23	—	$1,150.00	$6,570.36	$1,442.85	2026-02-27
21931	CPT	""Exc Back Les Sc 3 Cm/>""	18	9	$12,765.13	—	$1,150.00	$8,935.59	$1,442.85	2026-02-27

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