Hospital

HASKELL REGIONAL HOSPITAL, INC

Stigler, OK · CCN 371335 · Rates published

2,875 distinct procedures filed

10 distinct payers

101,926 rate rows

2026-09-21 last MRF observed

Data quality

98,217 of 101,926 rate rows are consumer-grade (96.4%)

3,709 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	3,560
placeholder amount (≤ $0.02) — excluded from medians	78
per-diem day rate — not a per-procedure price	40
exceeds 10× this hospital's gross charge — excluded from medians	31

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

Source MRF file	https://haskellregionalhospital.com/wp-content/uploads/2026/04/844289495_haskell-regional-hospital_standardcharge.csv
Found on page	https://haskellregionalhospital.com/patients-visitors/price-transparency/
Discovered via	Discovered by HANK (automated)
Last fetch	not_modified · 2026-09-21
Content fingerprint	3eb9d577a7832eee… · 9,967,508 bytes · first seen 2026-05-13

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
58544 HCPCS	Hc Lap Hyst W/t/o Ut 250 G Or More	6	$817.69	$20,444.00	$9,994.84	nat. median $10,442 1.0× median
58542 HCPCS	Hc Lap Hyst W/t/o Ut 250 G Or Less	10	$748.78	$20,444.00	$9,582.61	nat. median $9,795 1.0× median
58571 HCPCS	Hc Lap Total Hyst Uterus 250	10	$819.01	$20,444.00	$9,582.61	nat. median $10,013 1.0× median
58570 HCPCS	Hc Lap Total Hysterectomy Ut	10	$728.96	$20,444.00	$9,582.61	nat. median $9,932 1.0× median
58554 HCPCS	Hc Lap Vag Hyst Ut 250g; Tube(s)/ovary(s	10	$1,177.32	$20,444.00	$9,271.35	nat. median $9,620 1.0× median
58552 HCPCS	Hc Lap Vag Hy Ut 250 Or Less W/rem Tub/o	10	$886.69	$20,444.00	$9,271.35	nat. median $10,168 0.9× median
43280 HCPCS	Laparoscopy Fundoplasty	10	$969.07	$20,444.40	$9,271.35	nat. median $10,186 0.9× median
43659 HCPCS	Unlisted Laproscopy Stoma	10	$5,683.61	$11,744.19	$8,713.90	nat. median $6,622 1.3× median
0278 RC		10	$61.45	$23,127.00	$7,851.60	nat. median $1,512 outlier · 5.2×
0130 RC		6	$7,821.99	$7,821.99	$7,821.99	nat. median $852 outlier · 9.2×
J3110 HCPCS	Teriparatide 600 Mcg/2.4 Ml Pnij	10	$4,962.37	$9,494.32	$7,228.35	nat. median $5,225 1.4× median
23405 HCPCS	Tenotomy Shldr Area Sngl	10	$557.00	$19,381.28	$6,698.22	nat. median $4,789 1.4× median
29806 HCPCS	Shoulder Arthroscopy	10	$954.95	$14,536.26	$6,361.60	nat. median $7,073 0.9× median
23410 HCPCS	Opn Rpr Ruptrd Msctndens	10	$741.88	$14,536.26	$6,361.60	nat. median $6,466 1.0× median
23420 HCPCS	Recon Complet Shldr Chrni	10	$881.95	$14,536.26	$6,361.60	nat. median $6,655 1.0× median
29828 HCPCS	Arthrscpy Shldr Surgcl Bi	10	$827.16	$14,536.26	$6,361.60	nat. median $7,292 0.9× median
29827 HCPCS	Arthro Shldr Surg Rotator	10	$963.47	$14,536.26	$6,361.60	nat. median $7,413 0.9× median
29862 HCPCS	Artho, Hip,surgical W Deb	10	$733.69	$14,536.26	$6,361.60	nat. median $7,011 0.9× median
29807 HCPCS	Arthro Shdlr Surg Rpr Sla	10	$932.39	$14,536.26	$6,361.60	nat. median $7,073 0.9× median
24615 HCPCS	Opn Trt Acut Chrnc Elbw D	10	$647.69	$19,381.68	$6,361.60	nat. median $6,559 1.0× median
29820 HCPCS	Arthroscopy, Sld, Surgica	10	$485.55	$14,536.26	$6,361.60	nat. median $6,638 1.0× median
27385 HCPCS	Repair Of Thigh Muscle	10	$545.62	$16,155.45	$6,361.60	nat. median $6,774 0.9× median
21048 HCPCS	Exc Of Ben Tum Cyst Max I	10	$899.25	$11,786.92	$6,343.09	nat. median $5,865 1.1× median
15830 HCPCS	Excsn Excss Skin Subq Tis	10	$1,056.05	$12,726.72	$5,807.46	nat. median $6,400 0.9× median
19302 HCPCS	Mastectomy W/removal	10	$816.12	$6,697.89	$5,807.46	nat. median $6,673 0.9× median
47564 HCPCS	Cholecystectomy W/exp Comn Duc	10	$1,007.66	$11,745.81	$5,684.39	nat. median $8,650 0.7× median
19306 HCPCS	Mast Rad Urban Type	10	$1,096.29	$9,823.68	$5,459.98	nat. median $4,194 1.3× median
J2426 HCPCS	Paliperidone Palmi 156 Mg/ml Syrg (inveg	5	$14.44	$10,444.10	$5,458.78	nat. median $2,528 outlier · 2.2×
58671 HCPCS	Hc Lap, Surg; W/occlusion Of Oviducts	10	$334.85	$11,746.01	$5,440.03	nat. median $5,708 1.0× median
38740 HCPCS	Axilary Lymphadenectomy;	10	$632.87	$11,745.00	$5,439.79	nat. median $5,726 1.0× median
19305 HCPCS	Mastectomy Radical Inc Pectoral Muscles	10	$1,029.29	$9,823.68	$5,426.48	nat. median $4,243 1.3× median
47563 HCPCS	Cholecystectomy W/cholangio	10	$648.50	$11,745.81	$5,195.58	nat. median $6,246 0.8× median
38745 HCPCS	Axillary Lymphadenectomy;	10	$796.08	$11,745.00	$5,195.58	nat. median $6,075 0.9× median
55559 HCPCS	Laparoscopy Proc Spermatic Cord	10	$3,241.45	$6,697.89	$5,195.58	nat. median $6,313 0.8× median
49329 HCPCS	Laparoscopy Proc Abdm/pe	10	$839.21	$11,745.00	$5,195.58	nat. median $6,391 0.8× median
58662 HCPCS	Hc Lap Surg W/fulguration Of Lesions	10	$644.11	$11,746.01	$5,195.58	nat. median $6,306 0.8× median
49321 HCPCS	Laparoscopy Abd W/bx	10	$310.95	$6,966.00	$5,195.58	nat. median $6,112 0.9× median
49651 HCPCS	Rep Recurrent Inginal Hernia	10	$510.65	$11,745.00	$5,195.58	nat. median $6,367 0.8× median
58661 HCPCS	Laparoscopy Remove	10	$589.50	$11,746.01	$5,195.58	nat. median $5,852 0.9× median
47379 HCPCS	Laparscope Procedure Liver	10	$3,241.45	$6,697.89	$5,195.58	nat. median $6,267 0.8× median
60240 HCPCS	Hc Thryroidectomy, Total	10	$826.89	$11,745.93	$5,195.58	nat. median $6,016 0.9× median
47562 HCPCS	Laparoscopic Cholecy	10	$596.28	$11,745.81	$5,195.58	nat. median $6,043 0.9× median
44180 HCPCS	Laparoscopy Enterolysis	10	$828.78	$11,745.00	$5,195.58	nat. median $6,040 0.9× median
60220 HCPCS	Hc Total Thyroid Lobectomy U	10	$637.82	$11,745.93	$5,195.58	nat. median $5,950 0.9× median
23412 HCPCS	Repair Musculotendinous	10	$771.10	$10,567.87	$5,114.33	nat. median $6,466 0.8× median
24342 HCPCS	Repair Of Ruptured Tendon	10	$701.98	$10,567.87	$5,114.33	nat. median $7,073 0.7× median
35221 HCPCS	Pf Repair Blood Vessel Intra	10	$1,304.40	$8,425.76	$4,865.08	nat. median $3,063 1.6× median
36820 HCPCS	Arteriovenous Anastomosis, Open; By Fore	10	$643.65	$11,168.28	$4,813.86	nat. median $5,596 0.9× median
19307 HCPCS	Removal Of Breast	10	$1,059.63	$9,823.68	$4,735.28	nat. median $6,381 0.7× median
23530 HCPCS	Opn Trt Sternoclvclr Disl	10	$523.94	$9,766.78	$4,726.64	nat. median $7,165 0.7× median

Other procedures at this hospital

Browse this hospital's 2,875 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

58544	HCPCS	Hc Lap Hyst W/t/o Ut 250 G Or More	6	6	$25,239.50	$25,239.50	$817.69	$20,444.00	$9,994.84	2026-07-15
58571	HCPCS	Hc Lap Total Hyst Uterus 250	10	10	$25,239.50	$25,239.50	$819.01	$20,444.00	$9,582.61	2026-07-15
58542	HCPCS	Hc Lap Hyst W/t/o Ut 250 G Or Less	10	10	$25,239.50	$25,239.50	$748.78	$20,444.00	$9,582.61	2026-07-15
58570	HCPCS	Hc Lap Total Hysterectomy Ut	10	10	$25,239.50	$25,239.50	$728.96	$20,444.00	$9,582.61	2026-07-15
58554	HCPCS	Hc Lap Vag Hyst Ut 250g; Tube(s)/ovary(s	15	10	$25,239.50	$25,239.50	$1,177.32	$20,444.00	$9,271.35	2026-07-15
43280	HCPCS	Laparoscopy Fundoplasty	15	10	$25,240.00	$25,240.00	$969.07	$20,444.40	$9,271.35	2026-07-15
58552	HCPCS	Hc Lap Vag Hy Ut 250 Or Less W/rem Tub/o	15	10	$25,239.50	$25,239.50	$886.69	$20,444.00	$9,271.35	2026-07-15
43659	HCPCS	Unlisted Laproscopy Stoma	10	10	$14,499.00	$14,499.00	$5,683.61	$11,744.19	$8,713.90	2026-07-15
0278	RC	—	46	10	$19,120.00	$19,120.00	$61.45	$23,127.00	$7,851.60	2026-07-15
0130	RC	—	6	6	—	—	$7,821.99	$7,821.99	$7,821.99	2026-07-15
J3110	HCPCS	Teriparatide 600 Mcg/2.4 Ml Pnij	10	10	$12,659.10	$12,659.10	$4,962.37	$9,494.32	$7,228.35	2026-07-15
23405	HCPCS	Tenotomy Shldr Area Sngl	20	10	$17,946.00	$17,946.00	$557.00	$19,381.28	$6,698.22	2026-07-15
29806	HCPCS	Shoulder Arthroscopy	15	10	$17,946.00	$17,946.00	$954.95	$14,536.26	$6,361.60	2026-07-15
29828	HCPCS	Arthrscpy Shldr Surgcl Bi	15	10	$17,946.00	$17,946.00	$827.16	$14,536.26	$6,361.60	2026-07-15
27385	HCPCS	Repair Of Thigh Muscle	15	10	$19,945.00	$19,945.00	$545.62	$16,155.45	$6,361.60	2026-07-15
29827	HCPCS	Arthro Shldr Surg Rotator	15	10	$17,946.00	$17,946.00	$963.47	$14,536.26	$6,361.60	2026-07-15
29862	HCPCS	Artho, Hip,surgical W Deb	15	10	$17,946.00	$17,946.00	$733.69	$14,536.26	$6,361.60	2026-07-15
29807	HCPCS	Arthro Shdlr Surg Rpr Sla	15	10	$17,946.00	$17,946.00	$932.39	$14,536.26	$6,361.60	2026-07-15
24615	HCPCS	Opn Trt Acut Chrnc Elbw D	15	10	$23,928.00	$23,928.00	$647.69	$19,381.68	$6,361.60	2026-07-15
23410	HCPCS	Opn Rpr Ruptrd Msctndens	15	10	$17,946.00	$17,946.00	$741.88	$14,536.26	$6,361.60	2026-07-15
23420	HCPCS	Recon Complet Shldr Chrni	15	10	$17,946.00	$17,946.00	$881.95	$14,536.26	$6,361.60	2026-07-15
29820	HCPCS	Arthroscopy, Sld, Surgica	15	10	$17,946.00	$17,946.00	$485.55	$14,536.26	$6,361.60	2026-07-15
21048	HCPCS	Exc Of Ben Tum Cyst Max I	10	10	$14,551.75	$14,551.75	$899.25	$11,786.92	$6,343.09	2026-07-15
15830	HCPCS	Excsn Excss Skin Subq Tis	15	10	$15,712.00	$15,712.00	$1,056.05	$12,726.72	$5,807.46	2026-07-15
19302	HCPCS	Mastectomy W/removal	10	10	$8,269.00	$8,269.00	$816.12	$6,697.89	$5,807.46	2026-07-15
47564	HCPCS	Cholecystectomy W/exp Comn Duc	20	10	$11,025.00	$11,025.00	$1,007.66	$11,745.81	$5,684.39	2026-07-15
19306	HCPCS	Mast Rad Urban Type	10	10	$12,128.00	$12,128.00	$1,096.29	$9,823.68	$5,459.98	2026-07-15
J2426	HCPCS	Paliperidone Palmi 156 Mg/ml Syrg (inveg	9	5	$9,283.86	$9,283.86	$14.44	$10,444.10	$5,458.78	2026-07-15
58671	HCPCS	Hc Lap, Surg; W/occlusion Of Oviducts	10	10	$14,501.25	$14,501.25	$334.85	$11,746.01	$5,440.03	2026-07-15
38740	HCPCS	Axilary Lymphadenectomy;	10	10	$14,500.00	$14,500.00	$632.87	$11,745.00	$5,439.79	2026-07-15
19305	HCPCS	Mastectomy Radical Inc Pectoral Muscles	10	10	$12,128.00	$12,128.00	$1,029.29	$9,823.68	$5,426.48	2026-07-15
47562	HCPCS	Laparoscopic Cholecy	20	10	$9,923.00	$9,923.00	$596.28	$11,745.81	$5,195.58	2026-07-15
55559	HCPCS	Laparoscopy Proc Spermatic Cord	10	10	$8,269.00	$8,269.00	$3,241.45	$6,697.89	$5,195.58	2026-07-15
47379	HCPCS	Laparscope Procedure Liver	10	10	$8,269.00	$8,269.00	$3,241.45	$6,697.89	$5,195.58	2026-07-15
49329	HCPCS	Laparoscopy Proc Abdm/pe	20	10	$8,600.00	$8,600.00	$839.21	$11,745.00	$5,195.58	2026-07-15
58661	HCPCS	Laparoscopy Remove	15	10	$9,923.00	$9,923.00	$589.50	$11,746.01	$5,195.58	2026-07-15
38745	HCPCS	Axillary Lymphadenectomy;	15	10	$14,500.00	$14,500.00	$796.08	$11,745.00	$5,195.58	2026-07-15
49321	HCPCS	Laparoscopy Abd W/bx	10	10	$8,600.00	$8,600.00	$310.95	$6,966.00	$5,195.58	2026-07-15
47563	HCPCS	Cholecystectomy W/cholangio	20	10	$11,025.00	$11,025.00	$648.50	$11,745.81	$5,195.58	2026-07-15
60240	HCPCS	Hc Thryroidectomy, Total	15	10	$14,501.15	$14,501.15	$826.89	$11,745.93	$5,195.58	2026-07-15
44180	HCPCS	Laparoscopy Enterolysis	20	10	$9,923.00	$9,923.00	$828.78	$11,745.00	$5,195.58	2026-07-15
49651	HCPCS	Rep Recurrent Inginal Hernia	20	10	$9,923.00	$9,923.00	$510.65	$11,745.00	$5,195.58	2026-07-15
60220	HCPCS	Hc Total Thyroid Lobectomy U	15	10	$14,501.15	$14,501.15	$637.82	$11,745.93	$5,195.58	2026-07-15
58662	HCPCS	Hc Lap Surg W/fulguration Of Lesions	15	10	$14,501.25	$14,501.25	$644.11	$11,746.01	$5,195.58	2026-07-15
23412	HCPCS	Repair Musculotendinous	20	10	$11,577.00	$11,577.00	$771.10	$10,567.87	$5,114.33	2026-07-15
24342	HCPCS	Repair Of Ruptured Tendon	15	10	$13,046.75	$13,046.75	$701.98	$10,567.87	$5,114.33	2026-07-15
35221	HCPCS	Pf Repair Blood Vessel Intra	10	10	$11,234.35	$11,234.35	$1,304.40	$8,425.76	$4,865.08	2026-07-15
36820	HCPCS	Arteriovenous Anastomosis, Open; By Fore	15	10	$13,788.00	$13,788.00	$643.65	$11,168.28	$4,813.86	2026-07-15
19307	HCPCS	Removal Of Breast	20	10	$11,646.10	$11,646.10	$1,059.63	$9,823.68	$4,735.28	2026-07-15
23530	HCPCS	Opn Trt Sternoclvclr Disl	15	10	$12,057.75	$12,057.75	$523.94	$9,766.78	$4,726.64	2026-07-15
27784	HCPCS	Opn Trt Prox Fibula Fx W	15	10	$12,057.75	$12,057.75	$643.39	$9,766.78	$4,726.64	2026-07-15
57240	HCPCS	Anterior Colporrhaphy-rep	10	10	$12,815.00	$12,815.00	$553.49	$10,380.15	$4,709.73	2026-07-15
57530	HCPCS	Trachelectomy(cervicectom	10	10	$12,815.00	$12,815.00	$336.06	$10,380.15	$4,709.73	2026-07-15
58262	HCPCS	Hc Vag Hyst W/t/o Ut 250 G Or Less	10	10	$12,815.00	$12,815.00	$837.18	$10,380.15	$4,709.73	2026-07-15
58260	HCPCS	Hc Vaginal Hysterectomy Uter	10	10	$12,814.75	$12,814.75	$756.56	$10,379.95	$4,709.68	2026-07-15
44970	HCPCS	Laparo Surgical Appendectomy	20	10	$8,820.00	$8,820.00	$543.53	$9,393.25	$4,545.87	2026-07-15
58925	HCPCS	Hc Ovarian Cystectomy	15	10	$12,814.75	$12,814.75	$693.02	$10,379.95	$4,395.98	2026-07-15
57260	HCPCS	Anteroposterior Colporrha	10	10	$7,718.00	$7,718.00	$702.56	$6,251.58	$4,395.98	2026-07-15
57250	HCPCS	Posterior Colporrhaphy	15	10	$7,167.00	$7,167.00	$555.06	$10,380.15	$4,395.98	2026-07-15
0114	RC	—	6	6	$1,021.00	$1,021.00	$765.75	$4,333.38	$4,333.38	2026-07-15
26037	HCPCS	Decompressive Fasciotomy	15	10	$10,950.00	$10,950.00	$512.30	$8,869.50	$4,292.40	2026-07-15
58150	HCPCS	Total Abd Hyst W/wo Rem Ovary	15	10	$9,372.00	$9,372.00	$919.74	$8,486.37	$4,255.53	2026-07-15
15757	HCPCS	Free Skin Flap W Mcrovasc	15	10	$10,386.80	$10,386.80	$2,034.97	$8,413.31	$4,154.72	2026-07-15
59414	HCPCS	Delivery Of Placenta ER	23	6	$5,532.50	$5,532.50	$75.65	$4,615.78	$4,120.61	2026-09-21
43281	HCPCS	Pf Lap, Para Hernia Without Mesh	10	10	$3,094.50	$3,094.50	$1,377.56	$9,271.35	$3,822.67	2026-07-15
A4301	HCPCS	Kit Denver Shunt Percutan Access	10	10	$6,660.50	$6,660.50	$2,610.92	$4,995.38	$3,803.15	2026-07-15
43848	HCPCS	Revision Open Gastric Res	15	10	$9,618.60	$9,618.60	$1,739.10	$7,791.07	$3,770.49	2026-07-15
59409	HCPCS	Vaginal Delivery	27	10	$5,532.50	$5,532.50	$666.73	$4,615.78	$3,739.80	2026-09-21
44141	HCPCS	Colectomy W/skin Level	10	10	$7,167.00	$7,167.00	$1,619.03	$5,805.27	$3,712.15	2026-07-15
58140	HCPCS	Hc Myomectomy, Ex 1-4 Myomas Total Wt Of	10	10	$7,995.00	$7,995.00	$830.66	$6,475.95	$3,653.30	2026-07-15
43860	HCPCS	Revision Gastrojejunal An	15	10	$9,125.25	$9,125.25	$1,471.82	$7,391.45	$3,650.10	2026-07-15
44206	HCPCS	Lap Colectomy Partial Hartmann Type Px	15	10	$9,242.55	$9,242.55	$1,555.53	$7,486.47	$3,623.08	2026-07-15
44204	HCPCS	Laparoscopy Colectomy Par	15	10	$9,242.55	$9,242.55	$1,376.56	$7,486.47	$3,623.08	2026-07-15
43772	HCPCS	Laparoscopy,surg-removal	15	10	$8,997.50	$8,997.50	$856.88	$7,287.98	$3,527.02	2026-07-15
15876	HCPCS	Suctio Asst Liptmy Head A	10	10	$8,932.00	$8,932.00	$3,260.15	$7,234.92	$3,501.34	2026-07-15
15879	HCPCS	Suctio Assisted Lipectomy	10	10	$8,932.00	$8,932.00	$3,260.15	$7,234.92	$3,501.34	2026-07-15
15877	HCPCS	Suction Assisted Lipectom	10	10	$8,932.00	$8,932.00	$3,260.15	$7,234.92	$3,501.34	2026-07-15
44140	HCPCS	Colectomy Part W/anastomosis	20	10	$7,167.00	$7,167.00	$1,205.53	$7,153.92	$3,462.14	2026-07-15
42825	HCPCS	Tonsillectomy < 12 Age	10	10	$4,410.00	$4,410.00	$243.31	$5,267.98	$3,439.80	2026-07-15
42820	HCPCS	Remove Tonsils & Adenoids <12	10	10	$4,410.00	$4,410.00	$264.17	$5,267.98	$3,439.80	2026-07-15
58660	HCPCS	Laparoscopy W/lysis Adhesions	20	10	$4,395.00	$4,395.00	$619.14	$11,746.01	$3,428.10	2026-07-15
19300	HCPCS	Mastectomy For Gynecomastia	10	10	$8,269.00	$8,269.00	$507.88	$6,697.89	$3,410.03	2026-07-15
19110	HCPCS	Explore Nipple W/wo Exc Duct	10	10	$5,513.00	$5,513.00	$420.99	$4,465.53	$3,410.03	2026-07-15
19101	HCPCS	Bx Breast Open Incisional	25	10	$5,403.00	$5,403.00	$231.10	$4,995.63	$3,410.03	2026-07-15
38500	HCPCS	Bx/exc Lymph Node(s); Open Superficial	15	10	$9,088.75	$9,088.75	$263.64	$7,361.89	$3,410.03	2026-07-15
38510	HCPCS	Bx/exc Lymph Node Open Deep	20	10	$6,505.00	$6,505.00	$434.03	$7,362.09	$3,410.03	2026-07-15
49402	HCPCS	Rem Of Pertoneal Foreign	10	10	$9,328.00	$9,328.00	$771.50	$7,555.68	$3,399.63	2026-07-15
27236	HCPCS	Opn Trt Of For Frac Pro E	15	10	$8,669.85	$8,669.85	$1,075.95	$7,022.58	$3,398.58	2026-07-15
15273	HCPCS	Appl Subs Skn T-a-l >100c	10	10	$8,932.00	$8,932.00	$268.13	$7,234.92	$3,380.74	2026-07-15
44160	HCPCS	Colectomy Partial W Remv	15	10	$8,580.15	$8,580.15	$1,115.83	$6,949.92	$3,363.42	2026-07-15
44238	HCPCS	Pf Lap, Intestine Wo Rectum	10	10	$1,953.95	$1,953.95	$1,465.46	$5,195.58	$3,330.52	2026-07-15
35903	HCPCS	Exc Of Infected Graft, Ex	10	10	$9,821.00	$9,821.00	$496.03	$7,955.01	$3,326.36	2026-07-15
19303	HCPCS	Mastectomy Simple Complete	20	10	$8,169.27	$8,169.27	$863.64	$6,697.89	$3,274.52	2026-07-15
15120	HCPCS	Splt Thiknes Autg Fce Scp	15	10	$8,932.00	$8,932.00	$713.87	$7,234.92	$3,260.15	2026-07-15
19301	HCPCS	Mastectomy Partial/lumpectomy	20	10	$7,214.77	$7,214.77	$593.97	$6,697.89	$3,241.45	2026-07-15
58285	HCPCS	Hc Vaginal Hysterectomy, Rad	10	10	$6,388.25	$6,388.25	$1,283.41	$5,174.48	$3,228.95	2026-07-15
44320	HCPCS	Colostomy Of Skin	15	10	$8,223.65	$8,223.65	$1,078.38	$6,661.16	$3,223.67	2026-07-15
28805	HCPCS	Amputation Foot Transmeta	15	10	$8,212.50	$8,212.50	$641.17	$6,652.12	$3,219.30	2026-07-15
29870	HCPCS	Knee Arthroscopy	15	10	$7,938.00	$7,938.00	$494.46	$6,652.12	$3,175.20	2026-07-15
60650	HCPCS	Hc Laparoscopy,surgical W/ad	15	10	$8,086.80	$8,086.80	$1,076.24	$6,550.31	$3,170.03	2026-07-15
49550	HCPCS	Rpr Rem Hernia Init Reduc	15	10	$9,328.00	$9,328.00	$523.16	$7,555.68	$3,142.68	2026-07-15
49507	HCPCS	Prp I/hern Init Bloc	20	10	$7,718.00	$7,718.00	$531.14	$7,555.68	$3,142.68	2026-07-15
55040	HCPCS	Exc Hydrocele Unilateral	10	10	$5,733.00	$5,733.00	$307.19	$4,643.73	$3,142.68	2026-07-15
49557	HCPCS	Rpr Rcrnt Femrl Hernia In	15	10	$9,328.00	$9,328.00	$651.40	$7,555.68	$3,142.68	2026-07-15
49505	HCPCS	Prp I/hern Init Reduc >5 Yr	20	10	$6,505.00	$6,505.00	$472.80	$7,555.68	$3,142.68	2026-07-15
49525	HCPCS	Repair Ing Hernia Sliding	20	10	$6,395.00	$6,395.00	$519.31	$7,555.68	$3,142.68	2026-07-15
44120	HCPCS	Enterotomy Resec Sm Intes	20	10	$6,452.00	$6,452.00	$1,098.94	$6,358.42	$3,077.16	2026-07-15
52001	HCPCS	Cysto W Irr And Evac Clot	15	10	$9,056.00	$9,056.00	$296.18	$7,335.36	$3,071.36	2026-07-15
55520	HCPCS	Exc Of Lesion Of Spermatic Cord	20	10	$5,403.00	$5,403.00	$414.45	$7,334.55	$3,071.36	2026-07-15
44661	HCPCS	Close Fitula With Intestine	15	10	$7,817.70	$7,817.70	$1,386.62	$6,332.34	$3,064.54	2026-07-15
27630	HCPCS	Excision Of Cyst Ganglion	10	10	$8,212.35	$8,212.35	$475.13	$6,652.00	$3,054.30	2026-07-15
36565	HCPCS	Insertion Of Central Veno	10	10	$8,313.50	$8,313.50	$689.13	$6,733.94	$3,030.89	2026-07-15
44205	HCPCS	Laparoscopy Colectomy Par	15	10	$7,648.65	$7,648.65	$1,195.94	$6,195.41	$2,998.27	2026-07-15
70471	HCPCS	CTA Head And Neck	12	6	$3,970.62	$3,970.62	$337.80	$3,263.69	$2,987.05	2026-09-21
44950	HCPCS	Appendectomy	20	10	$6,615.00	$6,615.00	$578.78	$7,555.68	$2,968.47	2026-07-15
29879	HCPCS	Knee Arthroscopy	20	10	$7,718.00	$7,718.00	$599.98	$6,652.12	$2,957.41	2026-07-15
37785	HCPCS	Ligation Excsion Of Vricose Vein Cluster	20	10	$7,718.00	$7,718.00	$256.52	$6,733.94	$2,914.18	2026-07-15
23929	HCPCS	Unlisted Procedure Should	15	10	$7,285.25	$7,285.25	$1,464.52	$5,901.05	$2,914.10	2026-07-15
26075	HCPCS	Art W Exp DRG Or Rem Frn	15	10	$8,212.50	$8,212.50	$309.40	$6,652.12	$2,889.37	2026-07-15
27345	HCPCS	Exc Synoivial Cyst Of Pop	15	10	$8,212.35	$8,212.35	$444.49	$6,652.00	$2,889.37	2026-07-15
26860	HCPCS	Arthrodesis Inter Jnt W W	15	10	$8,212.35	$8,212.35	$538.85	$6,652.00	$2,889.37	2026-07-15
25116	HCPCS	Rad Exc Bursa Syn Wst Fra	15	10	$8,212.50	$8,212.50	$551.08	$6,652.12	$2,889.37	2026-07-15
26540	HCPCS	Repair Ruptured Collatera	15	10	$8,212.35	$8,212.35	$619.34	$6,652.00	$2,889.37	2026-07-15
25210	HCPCS	Carpectomy 1 Bone	15	10	$8,887.20	$8,887.20	$450.16	$7,198.63	$2,889.37	2026-07-15
27360	HCPCS	Prtl Excis Bone Fmur Prxm	15	10	$8,212.35	$8,212.35	$809.71	$6,652.00	$2,889.37	2026-07-15
26650	HCPCS	Pra Skeletal Fix Carpol M	15	10	$8,212.35	$8,212.35	$439.91	$6,652.00	$2,889.37	2026-07-15
25230	HCPCS	Radial Styloidectomy	15	10	$8,212.50	$8,212.50	$396.49	$6,652.12	$2,889.37	2026-07-15
28153	HCPCS	Rsctn Condyle Dstl End Ph	10	10	$5,339.45	$5,339.45	$351.79	$4,324.95	$2,889.37	2026-07-15
24359	HCPCS	Repair Elbow Deb Open With	15	10	$8,887.20	$8,887.20	$603.22	$7,198.63	$2,889.37	2026-07-15
26735	HCPCS	Orif P/m Finger Or Thumb	15	10	$8,212.35	$8,212.35	$541.85	$6,652.00	$2,889.37	2026-07-15
29894	HCPCS	Arth Akl Sur W Rem Of Lse	15	10	$8,212.50	$8,212.50	$459.35	$6,652.12	$2,889.37	2026-07-15
28825	HCPCS	Amputate Toe Interphalangal Jt	20	10	$5,292.00	$5,292.00	$181.35	$6,652.12	$2,889.37	2026-07-15
27310	HCPCS	Arthrotomy Of Knee	10	10	$6,836.00	$6,836.00	$664.49	$5,537.16	$2,889.37	2026-07-15
27604	HCPCS	Drain Lower Leg Bursa-inf	15	10	$8,212.35	$8,212.35	$345.94	$6,652.00	$2,889.37	2026-07-15
23140	HCPCS	Removal Of Bone Lesion	10	10	$4,962.00	$4,962.00	$505.36	$4,019.22	$2,889.37	2026-07-15
29824	HCPCS	Surg Shldr Arthroscpy Dis	15	10	$8,212.50	$8,212.50	$613.28	$6,652.12	$2,889.37	2026-07-15
26607	HCPCS	Cls Trt Metcrpl Fx Ext Fi	15	10	$10,950.00	$10,950.00	$456.47	$8,869.50	$2,889.37	2026-07-15
24105	HCPCS	Exc Olecranon Bursa	20	10	$4,962.00	$4,962.00	$328.42	$6,652.12	$2,889.37	2026-07-15
29823	HCPCS	Arthro Shdlr Srg Debrid E	15	10	$13,772.40	$13,772.40	$536.94	$11,155.64	$2,889.37	2026-07-15
29822	HCPCS	Arthroscopy Shoulder Sur	15	10	$8,400.00	$8,400.00	$491.40	$6,804.00	$2,889.37	2026-07-15
26615	HCPCS	Opn Trt Of Meta Fx Sgl Wh	15	10	$8,212.35	$8,212.35	$524.68	$6,652.00	$2,889.37	2026-07-15
26727	HCPCS	Per Skel Fixation Finger	15	10	$8,212.35	$8,212.35	$432.79	$6,652.00	$2,889.37	2026-07-15
24000	HCPCS	Athrotomy Elbow Including	15	10	$8,887.20	$8,887.20	$436.83	$7,198.63	$2,889.37	2026-07-15
26765	HCPCS	Open Trt Dist Phal Frac	15	10	$8,212.35	$8,212.35	$458.68	$6,652.00	$2,889.37	2026-07-15
26608	HCPCS	Tx Of Metacarpal Fx	15	10	$8,212.35	$8,212.35	$438.58	$6,652.00	$2,889.37	2026-07-15
26045	HCPCS	Fascrotomy Palmar Open Pa	15	10	$8,212.50	$8,212.50	$431.40	$6,652.12	$2,889.37	2026-07-15
29873	HCPCS	Arthroscopy Knee Surg For	15	10	$8,212.50	$8,212.50	$486.48	$6,652.12	$2,889.37	2026-07-15
29874	HCPCS	Knee Arthroscopy Surg Rem	15	10	$8,212.00	$8,212.00	$486.26	$6,651.72	$2,889.37	2026-07-15
26123	HCPCS	Fasciectomy,partial Parlm	15	10	$8,212.50	$8,212.50	$761.59	$6,652.12	$2,889.37	2026-07-15
29825	HCPCS	Shoulder Arthroscopy/shou	15	10	$15,038.55	$15,038.55	$531.82	$12,181.23	$2,889.37	2026-07-15
29846	HCPCS	Wrist Arthrscpy Excis Rpr	15	10	$8,212.50	$8,212.50	$475.63	$6,652.12	$2,889.37	2026-07-15
29883	HCPCS	Arthrscp Knee Surg W Mens	15	10	$8,212.50	$8,212.50	$758.80	$6,652.12	$2,889.37	2026-07-15
23120	HCPCS	Partieal Removal Collar B	15	10	$8,887.20	$8,887.20	$533.69	$7,198.63	$2,889.37	2026-07-15
24357	HCPCS	Tenotomy, Elbow Lateral M	15	10	$8,887.20	$8,887.20	$376.98	$7,198.63	$2,889.37	2026-07-15
25606	HCPCS	Percutaneous Skeletal Fix	15	10	$8,212.50	$8,212.50	$609.01	$6,652.12	$2,889.37	2026-07-15
24358	HCPCS	Tenotomy, Elbow, Lateral/	15	10	$7,828.05	$7,828.05	$483.62	$6,340.72	$2,889.37	2026-07-15
26951	HCPCS	Amp Finger Or Thumb, Pri	15	10	$8,212.35	$8,212.35	$622.14	$6,652.00	$2,889.37	2026-07-15
29876	HCPCS	Arthroscopy Knee Srg Syno	15	10	$8,212.50	$8,212.50	$592.01	$6,652.12	$2,889.37	2026-07-15
28810	HCPCS	Amputation Metatarsal W Toe	25	10	$7,718.00	$7,718.00	$381.58	$6,652.12	$2,889.37	2026-07-15
26715	HCPCS	Opn Trt Metcrpphlng Dislo	15	10	$10,950.00	$10,950.00	$522.55	$8,869.50	$2,889.37	2026-07-15
29882	HCPCS	Knee Arthroscopy/surgery	15	10	$8,212.50	$8,212.50	$623.94	$6,652.12	$2,889.37	2026-07-15
26756	HCPCS	Perc Skeletal Fix Of Dist	15	10	$8,212.35	$8,212.35	$386.24	$6,652.00	$2,889.37	2026-07-15
59320	HCPCS	Hc Cerclage Of Cervix During Preg, Vagin	10	10	$7,495.00	$7,495.00	$136.05	$6,070.95	$2,884.73	2026-07-15
57135	HCPCS	Hc Excision Of Vaginal Cyst Or Tumor	10	10	$7,495.00	$7,495.00	$217.74	$6,070.95	$2,884.73	2026-07-15
59812	HCPCS	Hc Tx Incom Abortion, Any Trim, Com Surg	10	10	$7,494.50	$7,494.50	$320.46	$6,070.54	$2,884.63	2026-07-15
57415	HCPCS	Removal Impacted Vaginal	10	10	$7,494.50	$7,494.50	$157.03	$6,070.54	$2,884.63	2026-07-15
57295	HCPCS	Hc Revision Of Prosthetic Vag Graft	10	10	$7,494.50	$7,494.50	$451.64	$6,070.54	$2,884.63	2026-07-15
59160	HCPCS	Hc D & C After Delivery, Curretage Postp	10	10	$7,494.50	$7,494.50	$236.54	$6,070.54	$2,884.63	2026-07-15
57200	HCPCS	Colporrhaphy, Suture Of V	10	10	$7,494.50	$7,494.50	$297.04	$6,070.54	$2,884.63	2026-07-15
58600	HCPCS	Hc Lig/transection Fall Tube, Abd Or Val	10	10	$7,494.50	$7,494.50	$334.29	$6,070.54	$2,884.63	2026-07-15
44310	HCPCS	Ileostomy Or Jejunostoly,	15	10	$7,356.55	$7,356.55	$934.40	$5,958.81	$2,883.77	2026-07-15
J3111	HCPCS	Evenity 105 Mg/1.17ml	5	5	$7,254.40	$7,254.40	$11.26	$5,440.80	$2,843.72	2026-07-15
48140	HCPCS	Pancreatectomy W/wo Splen	15	10	$7,245.00	$7,245.00	$1,408.39	$5,868.45	$2,840.04	2026-07-15
58740	HCPCS	Hc Lysis Of Adhesions(salpingolysis/ovar	10	10	$5,995.00	$5,995.00	$815.68	$4,855.95	$2,835.82	2026-07-15
56440	HCPCS	Marsupialization Of Barth	15	10	$7,494.50	$7,494.50	$164.09	$6,070.54	$2,831.42	2026-07-15
58120	HCPCS	D&c Diagnostic/therapeutic	15	10	$4,410.00	$4,410.00	$263.42	$6,070.54	$2,831.42	2026-07-15
57558	HCPCS	Dilate/curetage Cervical Stump	15	10	$1,695.00	$1,695.00	$138.85	$6,070.54	$2,831.42	2026-07-15
56810	HCPCS	Hc Perineoplasty Repair Of Perineum, Non	15	10	$7,495.00	$7,495.00	$244.44	$6,070.95	$2,831.42	2026-07-15
56740	HCPCS	Rhc Remove Vagina Gland Lesion	10	10	—	—	$2,831.42	$2,831.42	$2,831.42	2026-07-15
44147	HCPCS	Colectomy Abd&transanal Approa	10	10	$4,823.00	$4,823.00	$1,735.84	$3,906.63	$2,821.24	2026-07-15
44143	HCPCS	Colectomy W/end & Clos Of Distal Segment	15	10	$7,167.00	$7,167.00	$1,478.09	$5,805.27	$2,809.46	2026-07-15
29845	HCPCS	Arhtscpy Wrist Synovectmy	15	10	$7,163.35	$7,163.35	$532.46	$5,802.31	$2,808.03	2026-07-15
36571	HCPCS	Insert Peripheral Cv Acc	16	10	$8,313.50	$8,313.50	$290.77	$6,733.94	$2,802.90	2026-07-15
35207	HCPCS	Repair Of Artery Of Hand	15	10	$11,287.25	$11,287.25	$682.14	$9,142.67	$2,802.90	2026-07-15
36558	HCPCS	Insert Tunneled Cv Cath; 5 Yrs Or Older	20	10	$6,913.50	$6,913.50	$265.90	$6,734.34	$2,802.90	2026-07-15
49422	HCPCS	Removal Of Tunneled Intra	15	10	$8,314.00	$8,314.00	$197.68	$6,734.34	$2,802.90	2026-07-15
36561	HCPCS	Insert Tunneled Central Vad	25	10	$7,715.35	$7,715.35	$340.00	$6,734.34	$2,802.90	2026-07-15
57210	HCPCS	Colpoperineorrhaphy Suture Of Injury	10	10	$3,639.00	$3,639.00	$352.43	$2,947.59	$2,780.34	2026-07-15
38525	HCPCS	Bx Or Ex Lymph Node Deep Axily	20	10	$3,563.00	$3,563.00	$397.61	$7,362.09	$2,779.14	2026-07-15
J1439	HCPCS	Injectafer 750 Mg (ferric Carboxymaltose	5	5	$7,018.14	$7,018.14	$1.08	$5,263.60	$2,751.11	2026-07-15
29881	HCPCS	Knee Arthro W/menistmy Medial	20	10	$3,517.00	$3,517.00	$490.84	$6,652.12	$2,743.26	2026-07-15
49322	HCPCS	Lap Abd W/aspirate Cavity/cyst	20	10	$3,330.00	$3,330.00	$337.92	$11,745.00	$2,732.03	2026-07-15
29875	HCPCS	Knee Arthro Surgical/lmtd Synv	20	10	$3,456.00	$3,456.00	$450.67	$6,652.12	$2,695.68	2026-07-15
15951	HCPCS	Exc Trochanteric Ulcer W Ostectomy	10	10	$7,167.00	$7,167.00	$805.25	$5,805.27	$2,679.08	2026-07-15
44130	HCPCS	Anastomosis Of Intestine	15	10	$6,737.85	$6,737.85	$1,184.22	$5,457.66	$2,641.24	2026-07-15
24076	HCPCS	Exc Tumor Soft Tissue Arm	10	10	$6,956.75	$6,956.75	$496.30	$5,634.97	$2,637.88	2026-07-15
49521	HCPCS	Repair Rec Ingl Hernia Str	20	10	$2,656.00	$2,656.00	$648.30	$7,555.68	$2,626.90	2026-07-15
49205	HCPCS	Pf Exc/destruc Open Abd Tumo	10	10	$4,780.55	$4,780.55	$1,612.93	$3,585.41	$2,599.17	2026-07-15
44025	HCPCS	Colotomy For Exp Biopsy O	15	10	$6,605.60	$6,605.60	$884.95	$5,350.54	$2,593.54	2026-07-15
44960	HCPCS	Appendectomy Rup Appen W/absce	20	10	$6,187.68	$6,187.68	$789.67	$5,358.15	$2,593.08	2026-07-15
49255	HCPCS	Omentectomy,epiplectomy	20	10	$5,600.02	$5,600.02	$715.62	$5,358.15	$2,593.08	2026-07-15
49020	HCPCS	Drain Peritoneal Abscess Open	20	10	$5,585.65	$5,585.65	$1,432.83	$5,358.15	$2,593.08	2026-07-15
57410	HCPCS	Pelvic Examination Under Anesthesia	10	10	$3,308.00	$3,308.00	$95.45	$2,831.42	$2,580.24	2026-07-15
27328	HCPCS	Exc Tumor Sf Tiss Knee Ar	15	10	$6,957.00	$6,957.00	$563.76	$5,635.17	$2,548.70	2026-07-15
20525	HCPCS	Excise Fb Muscle/tendon Deep	75	10	$4,237.50	$4,237.50	$245.66	$7,512.75	$2,548.70	2026-09-21
20245	HCPCS	Biopsy Bone Open Deep	15	10	$6,957.00	$6,957.00	$308.61	$5,635.17	$2,548.70	2026-07-15
27372	HCPCS	Remove Fb Deep Thigh/knee	40	10	$5,212.50	$5,212.50	$418.48	$5,635.17	$2,548.70	2026-09-21
11772	HCPCS	Exc Cyst Pilonidal Complicated	20	10	$4,962.00	$4,962.00	$596.04	$5,635.17	$2,548.70	2026-07-15
11771	HCPCS	Exc Cyst Pilonidal Extensive	20	10	$4,741.00	$4,741.00	$465.18	$5,635.17	$2,548.70	2026-07-15
27632	HCPCS	Exc Tum Soft Tiss Of Leg	15	10	$6,956.70	$6,956.70	$371.00	$5,634.93	$2,548.70	2026-07-15
24071	HCPCS	Exc Tumor Sft Tiss Upp Ar	15	10	$6,957.00	$6,957.00	$367.58	$5,635.17	$2,548.70	2026-07-15
27603	HCPCS	I & D Leg Ank Deep Absces	15	10	$6,956.00	$6,956.00	$402.82	$5,634.36	$2,548.70	2026-07-15
11012	HCPCS	Deb Skin Subcut Tiss Musc Fascia Mus Bon	20	10	$4,410.00	$4,410.00	$428.61	$5,635.17	$2,548.70	2026-07-15
25066	HCPCS	Bpsy Sft Tissue Of Forarm	15	10	$6,957.00	$6,957.00	$338.10	$5,635.17	$2,548.70	2026-07-15
22903	HCPCS	Exc Tumor Sft Tiss Abd Wa	15	10	$6,956.00	$6,956.00	$398.42	$5,634.36	$2,548.70	2026-07-15
21933	HCPCS	Exc Soft Tiss Of Back;5cm Or Grtr	15	10	$6,956.75	$6,956.75	$665.85	$5,634.97	$2,548.70	2026-07-15
21552	HCPCS	Biopsy,sft Tiss Of Nck Th	15	10	$6,956.75	$6,956.75	$404.53	$5,634.97	$2,548.70	2026-07-15
21501	HCPCS	I&d Deep Abscess	30	10	$5,135.50	$5,135.50	$428.04	$4,284.50	$2,548.70	2026-09-21
27043	HCPCS	Excision Hip/pelvis Lesio	15	10	$6,957.00	$6,957.00	$424.74	$5,635.17	$2,548.70	2026-07-15
11462	HCPCS	Exc Hidradeniti Inguinl Simple	20	10	$4,410.00	$4,410.00	$259.82	$5,635.17	$2,548.70	2026-07-15
11450	HCPCS	Ex Hidradenitis Axlry Simp/int	20	10	$4,410.00	$4,410.00	$271.22	$5,635.17	$2,548.70	2026-07-15
49040	HCPCS	Dran Of Subdiap Or Subphr	15	10	$6,445.75	$6,445.75	$905.20	$5,221.06	$2,526.73	2026-07-15
J0840	HCPCS	Crofab Solr (snake Antivenom)	10	10	$4,422.00	$4,422.00	$1,733.42	$3,316.50	$2,524.96	2026-07-15
69110	HCPCS	Ex Extl Ear Partical/simpl Rep	10	10	$3,308.00	$3,308.00	$406.31	$2,679.48	$2,514.85	2026-07-15
28531	HCPCS	Opn Trt Sesmoid Fx W Wo I	14	10	$6,321.55	$6,321.55	$190.86	$6,361.60	$2,503.34	2026-07-15
D8080	HCPCS	Comp Ortho Treatment Of T	10	10	$4,140.00	$4,140.00	$1,622.88	$3,353.40	$2,488.14	2026-07-15
49250	HCPCS	Umbilectomy, Omphalectomy	15	10	$6,335.35	$6,335.35	$537.85	$5,131.63	$2,483.46	2026-07-15
28545	HCPCS	Cls Trt Non Talotrsl Disl	15	10	$6,321.55	$6,321.55	$283.05	$5,120.46	$2,478.05	2026-07-15
28525	HCPCS	Opn Trt Toe Not Great Toe	15	10	$6,321.55	$6,321.55	$420.62	$5,120.46	$2,478.05	2026-07-15
28675	HCPCS	Opn Trt Intrphlngl Jnt Di	15	10	$6,321.55	$6,321.55	$431.46	$5,120.46	$2,478.05	2026-07-15
21336	HCPCS	Opn Trt Nasal Sptal Fx W	15	10	$6,321.55	$6,321.55	$563.82	$5,120.46	$2,478.05	2026-07-15
46200	HCPCS	Fissurectomy W Or Wo Sphi	15	10	$7,032.50	$7,032.50	$349.07	$5,696.32	$2,442.14	2026-07-15
46230	HCPCS	Ex Mult Extnl Papila/tag Anus	20	10	$3,749.00	$3,749.00	$180.84	$5,696.32	$2,442.14	2026-07-15
46250	HCPCS	Hemorrhoidectomy External	15	10	$7,032.50	$7,032.50	$331.57	$5,696.32	$2,442.14	2026-07-15
46080	HCPCS	Sphincterotomy, Anal Div	15	10	$7,032.50	$7,032.50	$164.49	$5,696.32	$2,442.14	2026-07-15
45541	HCPCS	Proctopexy Legs For Prolaspel Perineal	10	10	$5,292.00	$5,292.00	$844.43	$4,286.52	$2,442.14	2026-07-15
46615	HCPCS	Anoscopy Diag W Ablation	14	10	$7,032.50	$7,032.50	$93.71	$5,696.32	$2,442.14	2026-07-15
46946	HCPCS	Ligation Internal Hemorrhoids Mult Prcdr	20	10	$3,859.00	$3,859.00	$340.58	$5,696.32	$2,442.14	2026-07-15
45020	HCPCS	I & D Of Deep Supralevator Pelvir	10	10	$5,403.00	$5,403.00	$517.79	$4,376.43	$2,442.14	2026-07-15
46270	HCPCS	Anal Fistulectomy/fistulotomy	20	10	$5,292.00	$5,292.00	$416.30	$5,696.32	$2,442.14	2026-07-15
45171	HCPCS	Excision Of Rectak Tumor	15	10	$7,032.50	$7,032.50	$552.73	$5,696.32	$2,442.14	2026-07-15
46280	HCPCS	Surgical Tx Of Anal Fistula	10	10	$5,292.00	$5,292.00	$433.63	$4,286.52	$2,442.14	2026-07-15
49520	HCPCS	Repair Rec Inguinal Hernia	20	10	$3,128.00	$3,128.00	$572.07	$7,555.68	$2,439.84	2026-07-15
59612	HCPCS	Vag Delivery After C Sect	10	10	$4,986.40	$4,986.40	$811.47	$4,038.98	$2,425.22	2026-07-15
31629	HCPCS	Bronchoscopy W/needle Aspirate	10	10	$3,087.00	$3,087.00	$387.72	$3,283.28	$2,407.86	2026-07-15
J0897	HCPCS	Denosumab 60 Mg/ml Syrg	5	5	$6,138.20	$6,138.20	$27.11	$4,603.65	$2,406.17	2026-07-15
44207	HCPCS	Pf Lap Colectomy Partial	10	10	$4,220.00	$4,220.00	$1,620.85	$3,165.00	$2,392.93	2026-07-15
29880	HCPCS	Pf Knee Arthroscopy/surgery	54	10	$4,695.00	$4,695.00	$486.19	$6,652.12	$2,383.68	2026-09-21
47100	HCPCS	Bx Of Liver Wedge	20	10	$4,821.48	$4,821.48	$762.41	$5,358.15	$2,361.80	2026-07-15
47600	HCPCS	Cholecystectomy	20	10	$5,097.48	$5,097.48	$964.86	$5,805.27	$2,361.80	2026-07-15
67312	HCPCS	Strbisms Recssn, Resctn 2	15	10	$6,012.20	$6,012.20	$588.28	$4,869.88	$2,356.78	2026-07-15
59820	HCPCS	Hc Trmt Of Missed Ab, Surgical, 1st Trim	15	10	$5,996.50	$5,996.50	$387.33	$4,857.16	$2,350.63	2026-07-15
58145	HCPCS	Hc Myomec, Ex 1-4 Myomas Toto Wt 250 Vag	15	10	$5,996.50	$5,996.50	$505.82	$4,857.16	$2,350.63	2026-07-15
58750	HCPCS	Hc Tubal Ligation Reversal	10	10	$4,600.00	$4,600.00	$820.58	$3,726.00	$2,273.29	2026-07-15
49650	HCPCS	Lap Repair Intl Inginal Herni	20	10	$2,048.00	$2,048.00	$391.43	$11,745.00	$2,226.19	2026-07-15
20680	HCPCS	Removal Hardware	20	10	$4,741.00	$4,741.00	$436.51	$4,552.24	$2,203.06	2026-07-15
58720	HCPCS	Hc Salpingo-oophorectomy,com	10	10	$4,564.35	$4,564.35	$685.24	$3,697.12	$2,191.18	2026-07-15
48510	HCPCS	External Drainage,pseudys	15	10	$5,589.00	$5,589.00	$984.84	$4,527.09	$2,190.89	2026-07-15
43611	HCPCS	Excis Malig Tumor Stomach	15	10	$5,528.05	$5,528.05	$1,104.89	$4,477.72	$2,167.00	2026-07-15
28820	HCPCS	Amp Toe Metatarsophalangl Jt	25	10	$4,962.00	$4,962.00	$185.94	$4,324.95	$2,135.78	2026-07-15
23930	HCPCS	I & D Uppr Arm Elbow Deep	15	10	$5,421.50	$5,421.50	$224.79	$4,391.42	$2,125.23	2026-07-15
15277	HCPCS	Appl Subs Skn F-s-hnd-ft-	10	10	$4,868.50	$4,868.50	$300.15	$3,943.48	$2,121.82	2026-07-15
59300	HCPCS	Episiotomy Vag Repair Oth	6	6	$5,350.95	$5,350.95	$199.46	$4,334.27	$2,118.98	2026-07-15
30520	HCPCS	Septoplasty Submucous Res	10	10	$7,858.00	$7,858.00	$592.52	$6,364.98	$2,107.93	2026-07-15
40530	HCPCS	Hc Resection Of Lip More 1/4 Without Recons	10	10	$7,858.00	$7,858.00	$490.65	$6,364.98	$2,107.93	2026-07-15
25630	HCPCS	Cls Trt Carp Scaph Fx W M	15	10	$5,341.50	$5,341.50	$283.54	$4,326.62	$2,093.87	2026-07-15
26990	HCPCS	I & D Plvis Jnt Deep Abs	15	10	$5,332.55	$5,332.55	$608.28	$4,319.37	$2,090.36	2026-07-15
46260	HCPCS	Hemorrhoidectomy Int/ext 2 +	20	10	$2,664.00	$2,664.00	$434.67	$7,411.50	$2,077.92	2026-07-15
67961	HCPCS	Exc Repair Of Eyelid	10	10	$3,528.00	$3,528.00	$512.73	$2,857.68	$2,077.54	2026-07-15
67318	HCPCS	Strbismus Srg Suprior Obl	15	10	$6,012.20	$6,012.20	$607.88	$4,869.88	$2,077.54	2026-07-15
67316	HCPCS	Strbisms Recssn, Resctn 2	15	10	$6,012.20	$6,012.20	$628.73	$4,869.88	$2,077.54	2026-07-15
67314	HCPCS	Strbisms Recssn, Resctn 1	15	10	$6,012.20	$6,012.20	$402.86	$4,869.88	$2,077.54	2026-07-15
67311	HCPCS	Strbisms Recssn, Resctn 1	15	10	$6,012.20	$6,012.20	$402.86	$4,869.88	$2,077.54	2026-07-15
44050	HCPCS	Red Volvulus, Intus, Int	15	10	$5,284.25	$5,284.25	$843.03	$4,280.24	$2,071.43	2026-07-15
44202	HCPCS	Laparoscopic Resection	15	10	$5,277.35	$5,277.35	$1,245.34	$4,274.65	$2,068.72	2026-07-15
67005	HCPCS	Prtl Rmvl Vitreous Antrio	15	10	$5,212.95	$5,212.95	$421.08	$4,222.49	$2,031.02	2026-07-15
46040	HCPCS	I & D Ischiorectal Abscess	25	10	$5,403.00	$5,403.00	$442.26	$4,774.87	$2,007.90	2026-07-15
49002	HCPCS	Reopening Of Recent Lapar	15	10	$5,025.50	$5,025.50	$937.97	$4,070.66	$1,970.00	2026-07-15
36556	HCPCS	Insrt Non-tunneled Centrally	73	10	$4,893.50	$4,893.50	$83.87	$4,692.13	$1,957.40	2026-09-21
27301	HCPCS	I & D Deep Thigh Knee Reg	15	10	$4,968.00	$4,968.00	$530.23	$4,024.08	$1,947.46	2026-07-15
81162	HCPCS	Brca1 And Brca2	30	10	$5,320.00	$5,320.00	$1,623.21	$4,438.40	$1,936.91	2026-09-21
44020	HCPCS	Enterotomy Sm Intes Biops	15	10	$4,912.80	$4,912.80	$877.72	$3,979.37	$1,925.82	2026-07-15
35556	HCPCS	Hc Bypass Graft, With Vein, Femoral Poplil	10	10	$3,214.50	$3,214.50	$1,229.40	$2,603.74	$1,916.57	2026-07-15
15824	HCPCS	Phytidectomy Forehead	10	10	$4,868.50	$4,868.50	$1,628.96	$3,943.48	$1,908.45	2026-07-15
11471	HCPCS	Ex Sk Subc Tiss W/complex Repair	15	10	$4,851.00	$4,851.00	$364.03	$3,929.31	$1,901.59	2026-07-15
11463	HCPCS	Ex Sk/sq Tiss Hidr Ingnl Cmplx	15	10	$4,851.00	$4,851.00	$342.51	$3,929.31	$1,901.59	2026-07-15
31605	HCPCS	Tracheostomy,cricothy	27	10	$4,300.00	$4,300.00	$281.65	$3,587.49	$1,890.46	2026-09-21
43610	HCPCS	Excis, Local; Ulcer Or Be	15	10	$4,778.25	$4,778.25	$878.44	$3,870.38	$1,873.07	2026-07-15
47610	HCPCS	Cholecystectomy W/exp Cmn Duc	20	10	$3,230.00	$3,230.00	$1,128.71	$7,066.36	$1,872.51	2026-07-15
11005	HCPCS	Subcut Tis; Abd Wall W/with	15	10	$4,671.30	$4,671.30	$691.03	$3,783.75	$1,868.52	2026-07-15
29877	HCPCS	Knee Arthroscopy Debride/shave	20	10	$2,379.00	$2,379.00	$562.96	$6,652.12	$1,855.62	2026-07-15
49425	HCPCS	Insertion Of Peritoneal-v	15	10	$4,723.05	$4,723.05	$703.36	$3,825.67	$1,851.44	2026-07-15
43233	HCPCS	Egd Flex Transorl Dil Eso	15	10	$4,672.00	$4,672.00	$204.26	$3,784.32	$1,831.42	2026-07-15
54161	HCPCS	Circumcision	20	10	$4,410.00	$4,410.00	$179.10	$4,305.15	$1,824.23	2026-07-15
54700	HCPCS	I & D Epididymis Testis S	15	10	$5,700.55	$5,700.55	$193.80	$4,617.45	$1,824.23	2026-07-15
55250	HCPCS	Vasectomy	15	10	$5,403.00	$5,403.00	$239.30	$4,376.43	$1,824.23	2026-07-15
54163	HCPCS	Circumcision Adult	10	10	$4,410.00	$4,410.00	$198.59	$3,572.10	$1,824.23	2026-07-15
52281	HCPCS	Cysto W/dilation	10	10	$4,631.00	$4,631.00	$267.94	$3,751.11	$1,824.23	2026-07-15
52204	HCPCS	Cystourethroscopy W Bx	20	10	$4,631.00	$4,631.00	$146.19	$5,609.49	$1,824.23	2026-07-15
52265	HCPCS	Cysto W Dilation Of Bladder	10	10	$4,410.00	$4,410.00	$304.60	$3,572.10	$1,824.23	2026-07-15

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