Price Transparency Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

BUCKTAIL MEDICAL CENTER

Renovo, PA · CCN 391304 · Rates published

1,422 distinct procedures filed
7 distinct payers
22,235 rate rows
2026-05-06 last MRF observed
Data quality

21,714 of 22,235 rate rows are consumer-grade (97.7%)

521 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 — reasonRows
template filing: same amount across many unrelated codes — excluded 509
per-diem day rate — not a per-procedure price 12
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://bucktailmedicalcenter.org/wp-content/uploads/2025/04/240701920_bucktail-medical-center_standardcharges.csv
Found on page https://bucktailmedicalcenter.org/price-transparency/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 5eeaacf7bdc9da40… · 9,202,339 bytes · first seen 2026-05-06

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
J3101
CPT 		TNKase Intravenous Kit 50mg 7 $6,969.61 $16,411.95 $7,959.12 nat. median
$5,949
1.3× median
122
CPT 		Acute Daily Rate Semi-private 2 $6,001.73 $7,128.00 $6,750.00 —
121
CPT 		Swing Bed Daily Room Rate 2 $3,465.00 $5,148.50 $4,306.75 —
36555
CPT 		Central Venous Cath <5yrs 7 $89.27 $8,499.60 $3,645.59 nat. median
$2,692
1.4× median
59409
CPT 		Delivery 7 $737.97 $7,791.30 $3,020.40 nat. median
$3,185
0.9× median
J0840
CPT 		Crofab Antivenin Vial 7 $1,744.05 $6,787.80 $2,941.38 nat. median
$3,427
0.9× median
26952
CPT 		Amputate Fingr W Flaps 7 $625.54 $8,406.90 $2,678.40 nat. median
$3,390
0.8× median
23670
CPT 		Open Trt Shldr Dis W Fx 7 $813.44 $18,607.50 $2,226.60 nat. median
$6,955
outlier · 0.3×
13160
CPT 		Sec Clos Surg Wnd Ext Com 7 $736.51 $5,095.80 $2,185.65 nat. median
$2,764
0.8× median
26951
CPT 		Amputate Fingr W Dir Clos 7 $642.46 $8,406.90 $2,185.20 nat. median
$3,343
0.7× median
36569
CPT 		Insert Picc Cath - Central Venous Device 7 $86.96 $4,266.00 $1,848.60 nat. median
$1,703
1.1× median
37785
CPT 		Lig/div/exc Of V Vein 7 $263.85 $8,499.60 $1,813.50 nat. median
$3,514
0.5× median
27762
CPT 		Cltx Med Ankle Fx W Mnpj 7 $457.48 $4,136.40 $1,792.44 nat. median
$1,930
0.9× median
27503
CPT 		Clo Trt Condylar Fem Fx 7 $745.88 $4,136.40 $1,792.44 nat. median
$1,733
1.0× median
27252
CPT 		Cld Rduction Of Hip Disl With Anesthesia 7 $694.78 $4,136.40 $1,792.44 nat. median
$2,058
0.9× median
27266
CPT 		Treat Hip Dislocation With Anesthesia 7 $543.02 $4,136.40 $1,792.44 nat. median
$2,081
0.9× median
25690
CPT 		Cl Treat Lunate Dislocation W Manipulat 7 $463.93 $4,136.40 $1,792.44 nat. median
$2,023
0.9× median
27502
CPT 		Clo Trt Fem Shft W Manip 7 $702.89 $4,136.40 $1,788.69 nat. median
$2,054
0.9× median
26410
CPT 		Rpr Hand Wo Grft Ea Tendn 7 $544.92 $4,136.40 $1,774.15 nat. median
$2,022
0.9× median
26418
CPT 		Tend Rpr Fingr Wo Grft Ea 7 $565.38 $4,136.40 $1,774.15 nat. median
$2,051
0.9× median
27552
CPT 		Clo Trt Knee Dis W/anes 7 $594.19 $4,136.40 $1,774.15 nat. median
$2,068
0.9× median
25605
CPT 		Clo Trt Dist Rad-manip 7 $510.71 $4,136.40 $1,756.59 nat. median
$1,664
1.1× median
25248
CPT 		Explr & Rem Deep Fb; Arm 7 $391.29 $4,136.40 $1,756.59 nat. median
$2,132
0.8× median
26607
CPT 		Metacarpal Fx W Manip Fix 7 $470.73 $8,406.90 $1,738.80 nat. median
$3,135
0.6× median
27752
CPT 		Clo Trt Tibial Fx W Manip 7 $503.70 $4,136.40 $1,706.40 nat. median
$1,827
0.9× median
24000
CPT 		I&d Upper Arm/elbow;abscs 7 $449.78 $8,406.90 $1,680.30 nat. median
$3,682
outlier · 0.5×
40654
CPT 		Rpr Lip >half Vert Height 7 $454.85 $4,018.50 $1,645.20 nat. median
$1,885
0.9× median
25565
CPT 		Rad & Ulna Shaft Fx W Man 7 $491.27 $4,136.40 $1,645.20 nat. median
$1,679
1.0× median
24605
CPT 		Tx Clo Elbow Dis W Anes 7 $448.17 $4,136.40 $1,599.30 nat. median
$1,930
0.8× median
27238
CPT 		Clo Trt Intertroch Fem Fx 7 $439.62 $4,136.40 $1,597.50 nat. median
$1,650
1.0× median
27818
CPT 		Clo Trt Trimlolr Ank W Mn 7 $466.80 $4,136.40 $1,584.90 nat. median
$1,679
0.9× median
27842
CPT 		Closed Tx Ankle Dislocation With Anest 7 $462.41 $4,136.40 $1,566.90 nat. median
$1,963
0.8× median
24505
CPT 		Clo Trt Hum W Manp W/wo T 7 $476.40 $4,136.40 $1,566.00 nat. median
$1,641
1.0× median
25505
CPT 		Rad Shaft Fx W Manip 7 $480.65 $4,136.40 $1,564.20 nat. median
$1,714
0.9× median
27810
CPT 		Clo Trt Bimalolr Ank-man 7 $448.91 $4,136.40 $1,521.00 nat. median
$1,662
0.9× median
23605
CPT 		Clo Trt Prox Hum Fx W/man 7 $444.19 $4,136.40 $1,474.20 nat. median
$1,955
0.8× median
23655
CPT 		Clo Trt Shldr Dis W Anes 7 $383.86 $4,136.40 $1,421.10 nat. median
$1,762
0.8× median
87903
CPT 		HIV-1 Phenotyping 7 $478.89 $3,143.70 $1,362.27 nat. median
$557
outlier · 2.4×
26675
CPT 		Disl-not Thumb-anesthesia 7 $438.38 $4,136.40 $1,351.80 nat. median
$1,655
0.8× median
27831
CPT 		Clo Trt Prox Tib-fib Jt 7 $387.02 $8,406.90 $1,348.20 nat. median
$3,177
outlier · 0.4×
26645
CPT 		Carpometacarpal Fx 7 $410.77 $4,136.40 $1,280.70 nat. median
$1,600
0.8× median
23625
CPT 		Clo Trt Grtr Tuberos W/mn 7 $362.36 $4,136.40 $1,262.70 nat. median
$1,859
0.7× median
26705
CPT 		Clo Trt Mcp Disl-1 W Anes 7 $414.42 $4,136.40 $1,252.80 nat. median
$1,686
0.7× median
28192
CPT 		Remove Fb Ft Deep 7 $333.73 $4,178.70 $1,250.10 nat. median
$1,917
0.7× median
G0379
CPT 		Direct Obs Admit/clinic 7 $1,051.05 $2,475.00 $1,237.50 nat. median
$552
outlier · 2.2×
25635
CPT 		Clo Trt Carpal Bone-w Man 7 $441.99 $4,136.40 $1,220.40 nat. median
$1,648
0.7× median
27193
CPT 		Clo Trt Pelvic Ring Disc 7 $734.37 $1,902.60 $1,197.37 nat. median
$1,403
0.9× median
69205
CPT 		Rem Fb Aud Canal W Anes 7 $87.12 $4,178.70 $1,179.90 nat. median
$1,789
0.7× median
12047
CPT 		Layr Cl Nck/ft/gen > 30 7 $374.00 $5,095.80 $1,152.00 nat. median
$1,846
0.6× median
23660
CPT 		Open Tx Acute Shldr Dislo 7 $547.45 $2,640.60 $1,144.26 nat. median
$6,948
outlier · 0.2×

Other procedures at this hospital

Browse this hospital's 1,422 published procedures. Use the slice to choose what to show, then sort or filter any column.

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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
             
23670 CPT Open Trt Shldr Dis W Fx 17 7 $20,675.00 $18,607.50 $813.44 $18,607.50 $2,226.60 2026-05-06
J3101 CPT TNKase Intravenous Kit 50mg 9 7 $18,235.50 $16,411.95 $6,969.61 $16,411.95 $7,959.12 2026-05-06
36555 CPT Central Venous Cath <5yrs 17 7 $9,444.00 $8,499.60 $89.27 $8,499.60 $3,645.59 2026-05-06
37785 CPT Lig/div/exc Of V Vein 17 7 $9,444.00 $8,499.60 $263.85 $8,499.60 $1,813.50 2026-05-06
36556 CPT Central Venous Cath >5yrs 17 7 $9,444.00 $8,499.60 $88.79 $8,499.60 $476.10 2026-05-06
26952 CPT Amputate Fingr W Flaps 17 7 $9,341.00 $8,406.90 $625.54 $8,406.90 $2,678.40 2026-05-06
26951 CPT Amputate Fingr W Dir Clos 17 7 $9,341.00 $8,406.90 $642.46 $8,406.90 $2,185.20 2026-05-06
26607 CPT Metacarpal Fx W Manip Fix 17 7 $9,341.00 $8,406.90 $470.73 $8,406.90 $1,738.80 2026-05-06
24000 CPT I&d Upper Arm/elbow;abscs 17 7 $9,341.00 $8,406.90 $449.78 $8,406.90 $1,680.30 2026-05-06
27831 CPT Clo Trt Prox Tib-fib Jt 17 7 $9,341.00 $8,406.90 $387.02 $8,406.90 $1,348.20 2026-05-06
21337 CPT Clo Trt Septal Fx 17 7 $9,031.00 $8,127.90 $320.89 $8,127.90 $981.00 2026-05-06
40820 CPT Dest Les Vestib Mouth 17 7 $9,031.00 $8,127.90 $171.51 $8,127.90 $981.00 2026-05-06
41112 CPT Exc Les Tongue Anterior 17 7 $9,031.00 $8,127.90 $256.90 $8,127.90 $981.00 2026-05-06
21320 CPT Clo Trt Nasal Fx;w/stabil 17 7 $9,031.00 $8,127.90 $100.87 $8,127.90 $540.90 2026-05-06
59409 CPT Delivery 17 7 $8,657.00 $7,791.30 $737.97 $7,791.30 $3,020.40 2026-05-06
10180 CPT I&d Complx Postop Wo Inf 17 7 $7,822.00 $7,039.80 $189.92 $7,039.80 $681.30 2026-05-06
J0840 CPT Crofab Antivenin Vial 9 7 $7,542.00 $6,787.80 $1,744.05 $6,787.80 $2,941.38 2026-05-06
122 CPT Acute Daily Rate Semi-private 3 2 $7,500.00 $6,750.00 $6,001.73 $7,128.00 $6,750.00 2026-05-06
13160 CPT Sec Clos Surg Wnd Ext Com 17 7 $5,662.00 $5,095.80 $736.51 $5,095.80 $2,185.65 2026-05-06
12047 CPT Layr Cl Nck/ft/gen > 30 17 7 $5,662.00 $5,095.80 $374.00 $5,095.80 $1,152.00 2026-05-06
12037 CPT Layr Clo Sclp/trnk > 30cm 17 7 $5,662.00 $5,095.80 $347.44 $5,095.80 $1,122.30 2026-05-06
36569 CPT Insert Picc Cath - Central Venous Device 9 7 $4,740.00 $4,266.00 $86.96 $4,266.00 $1,848.60 2026-05-06
28192 CPT Remove Fb Ft Deep 17 7 $4,643.00 $4,178.70 $333.73 $4,178.70 $1,250.10 2026-05-06
69205 CPT Rem Fb Aud Canal W Anes 17 7 $4,643.00 $4,178.70 $87.12 $4,178.70 $1,179.90 2026-05-06
20520 CPT Rem Fb Muscl/tendon Simpl 17 7 $4,643.00 $4,178.70 $157.45 $4,178.70 $968.40 2026-05-06
10121 CPT Incs Rem Fb Subg Tiss;com 17 7 $4,643.00 $4,178.70 $194.81 $4,178.70 $946.80 2026-05-06
10140 CPT I&d Hematoma/seroma/fluid 17 7 $4,643.00 $4,178.70 $125.84 $4,178.70 $681.30 2026-05-06
32551 CPT Tube Thoracostomy 17 7 $4,641.00 $4,176.90 $142.47 $4,176.90 $827.10 2026-05-06
27503 CPT Clo Trt Condylar Fem Fx 17 7 $4,596.00 $4,136.40 $745.88 $4,136.40 $1,792.44 2026-05-06
27762 CPT Cltx Med Ankle Fx W Mnpj 9 7 $4,596.00 $4,136.40 $457.48 $4,136.40 $1,792.44 2026-05-06
27266 CPT Treat Hip Dislocation With Anesthesia 9 7 $4,596.00 $4,136.40 $543.02 $4,136.40 $1,792.44 2026-05-06
25690 CPT Cl Treat Lunate Dislocation W Manipulat 9 7 $4,596.00 $4,136.40 $463.93 $4,136.40 $1,792.44 2026-05-06
27252 CPT Cld Rduction Of Hip Disl With Anesthesia 9 7 $4,596.00 $4,136.40 $694.78 $4,136.40 $1,792.44 2026-05-06
27502 CPT Clo Trt Fem Shft W Manip 17 7 $4,596.00 $4,136.40 $702.89 $4,136.40 $1,788.69 2026-05-06
26410 CPT Rpr Hand Wo Grft Ea Tendn 17 7 $4,596.00 $4,136.40 $544.92 $4,136.40 $1,774.15 2026-05-06
27552 CPT Clo Trt Knee Dis W/anes 17 7 $4,596.00 $4,136.40 $594.19 $4,136.40 $1,774.15 2026-05-06
26418 CPT Tend Rpr Fingr Wo Grft Ea 17 7 $4,596.00 $4,136.40 $565.38 $4,136.40 $1,774.15 2026-05-06
25605 CPT Clo Trt Dist Rad-manip 17 7 $4,596.00 $4,136.40 $510.71 $4,136.40 $1,756.59 2026-05-06
25248 CPT Explr & Rem Deep Fb; Arm 17 7 $4,596.00 $4,136.40 $391.29 $4,136.40 $1,756.59 2026-05-06
27752 CPT Clo Trt Tibial Fx W Manip 17 7 $4,596.00 $4,136.40 $503.70 $4,136.40 $1,706.40 2026-05-06
25565 CPT Rad & Ulna Shaft Fx W Man 17 7 $4,596.00 $4,136.40 $491.27 $4,136.40 $1,645.20 2026-05-06
24605 CPT Tx Clo Elbow Dis W Anes 17 7 $4,596.00 $4,136.40 $448.17 $4,136.40 $1,599.30 2026-05-06
27238 CPT Clo Trt Intertroch Fem Fx 17 7 $4,596.00 $4,136.40 $439.62 $4,136.40 $1,597.50 2026-05-06
27818 CPT Clo Trt Trimlolr Ank W Mn 17 7 $4,596.00 $4,136.40 $466.80 $4,136.40 $1,584.90 2026-05-06
27842 CPT Closed Tx Ankle Dislocation With Anest 17 7 $4,596.00 $4,136.40 $462.41 $4,136.40 $1,566.90 2026-05-06
24505 CPT Clo Trt Hum W Manp W/wo T 17 7 $4,596.00 $4,136.40 $476.40 $4,136.40 $1,566.00 2026-05-06
25505 CPT Rad Shaft Fx W Manip 17 7 $4,596.00 $4,136.40 $480.65 $4,136.40 $1,564.20 2026-05-06
27810 CPT Clo Trt Bimalolr Ank-man 17 7 $4,596.00 $4,136.40 $448.91 $4,136.40 $1,521.00 2026-05-06
23605 CPT Clo Trt Prox Hum Fx W/man 17 7 $4,596.00 $4,136.40 $444.19 $4,136.40 $1,474.20 2026-05-06
23655 CPT Clo Trt Shldr Dis W Anes 17 7 $4,596.00 $4,136.40 $383.86 $4,136.40 $1,421.10 2026-05-06
26675 CPT Disl-not Thumb-anesthesia 17 7 $4,596.00 $4,136.40 $438.38 $4,136.40 $1,351.80 2026-05-06
26645 CPT Carpometacarpal Fx 17 7 $4,596.00 $4,136.40 $410.77 $4,136.40 $1,280.70 2026-05-06
23625 CPT Clo Trt Grtr Tuberos W/mn 17 7 $4,596.00 $4,136.40 $362.36 $4,136.40 $1,262.70 2026-05-06
26705 CPT Clo Trt Mcp Disl-1 W Anes 17 7 $4,596.00 $4,136.40 $414.42 $4,136.40 $1,252.80 2026-05-06
25635 CPT Clo Trt Carpal Bone-w Man 17 7 $4,596.00 $4,136.40 $441.99 $4,136.40 $1,220.40 2026-05-06
23520 CPT Trt Sternoclavicular Wo M 17 7 $4,596.00 $4,136.40 $230.65 $4,136.40 $718.20 2026-05-06
40654 CPT Rpr Lip >half Vert Height 17 7 $4,465.00 $4,018.50 $454.85 $4,018.50 $1,645.20 2026-05-06
21315 CPT Clo Trt Nasal Fx;wo Stabl 17 7 $4,465.00 $4,018.50 $63.71 $4,018.50 $408.60 2026-05-06
121 CPT Swing Bed Daily Room Rate 2 2 $3,850.00 $3,465.00 $3,465.00 $5,148.50 $4,306.75 2026-05-06
87903 CPT HIV-1 Phenotyping 9 7 $3,493.00 $3,143.70 $478.89 $3,143.70 $1,362.27 2026-05-06
45915 CPT Rem Fecal Impact(sep Pro) 17 7 $3,422.00 $3,079.80 $243.98 $3,079.80 $640.80 2026-05-06
23660 CPT Open Tx Acute Shldr Dislo 9 7 $2,934.00 $2,640.60 $547.45 $2,640.60 $1,144.26 2026-05-06
15275 CPT Skin Graft First 25sq Cm Face/nk/hf/g 17 7 $2,847.00 $2,562.30 $99.48 $2,562.30 $270.00 2026-05-06
31730 CPT Trans Trach Intro Tube-o2 18 7 $2,794.00 $2,514.60 $157.93 $4,445.10 $770.89 2026-05-06
G0379 CPT Direct Obs Admit/clinic 9 7 $2,750.00 $2,475.00 $1,051.05 $2,475.00 $1,237.50 2026-05-06
G0378 CPT Observation Room 1st Hour 17 7 $2,750.00 $2,475.00 $157.85 $2,475.00 $1,051.05 2026-05-06
99291 CPT ER- Critical Care 17 7 $2,621.00 $2,358.90 $226.87 $2,358.90 $624.60 2026-05-06
45900 CPT Reduction Of Procidentia 9 7 $2,619.00 $2,357.10 $197.00 $2,357.10 $1,021.41 2026-05-06
46050 CPT I&d Perianal Abscess 17 7 $2,619.00 $2,357.10 $108.04 $2,357.10 $306.00 2026-05-06
A0434 CPT Specialty Care Transport 8 6 $2,420.00 $2,178.00 $860.01 $2,178.00 $943.80 2026-05-06
27193 CPT Clo Trt Pelvic Ring Disc 17 7 $2,114.00 $1,902.60 $734.37 $1,902.60 $1,197.37 2026-05-06
64450 CPT Inj Anes Agent;other Peri 17 7 $2,094.00 $1,884.60 $43.89 $1,884.60 $253.80 2026-05-06
20103 CPT Explr Penetr Wnd(sep Pro) 17 7 $2,053.00 $1,847.70 $366.27 $1,847.70 $800.67 2026-05-06
28190 CPT Remove Fb Ft Subq 17 7 $2,053.00 $1,847.70 $141.18 $1,847.70 $777.60 2026-05-06
10081 CPT I&d Pilonidal Cyst;complx 17 7 $2,053.00 $1,847.70 $181.66 $1,847.70 $681.30 2026-05-06
69020 CPT Drain Ext Aud Canal Abscs 17 7 $2,053.00 $1,847.70 $151.05 $1,847.70 $504.90 2026-05-06
69000 CPT Drain Eye Abscess Simple 17 7 $2,053.00 $1,847.70 $132.39 $1,847.70 $414.90 2026-05-06
40800 CPT Drain Abscss Cyst/hematom 17 7 $2,053.00 $1,847.70 $126.61 $1,847.70 $335.70 2026-05-06
10080 CPT I&d Pilonidal Cyst;simple 17 7 $2,053.00 $1,847.70 $111.03 $1,847.70 $288.00 2026-05-06
A0433 CPT Als2 - Level Ii 8 6 $2,048.00 $1,843.20 $727.70 $1,843.20 $798.72 2026-05-06
99144 CPT Consious Sedation 14 7 $2,039.00 $1,835.10 $75.66 $1,835.10 $975.05 2026-05-06
99285 CPT ER- Ed Visit Level 5 17 7 $1,870.00 $1,683.00 $162.62 $1,683.00 $401.40 2026-05-06
87901 CPT HIV Genotyping 9 7 $1,843.00 $1,658.70 $252.30 $1,658.70 $718.77 2026-05-06
28675 CPT Open Tx Interphal Disloc 9 7 $1,825.00 $1,642.50 $442.73 $1,642.50 $711.75 2026-05-06
32554 CPT Thoracentesis Needle Or Cath Without Imag 17 7 $1,788.00 $1,609.20 $93.03 $1,609.20 $314.10 2026-05-06
J0878 CPT Cubicin IV 500mg Vial 9 7 $1,735.50 $1,561.95 $17.15 $1,561.95 $676.84 2026-05-06
13132 CPT Compx Hd/hand/ft <2.5 Cm 17 7 $1,730.00 $1,557.00 $318.85 $1,557.00 $674.70 2026-05-06
13152 CPT Rpr Compx Lid/lip 2.5-7.5 17 7 $1,730.00 $1,557.00 $353.11 $1,557.00 $674.70 2026-05-06
13151 CPT Rpr Compx Lid/lip 1.1<2.5 17 7 $1,730.00 $1,557.00 $293.69 $1,557.00 $674.70 2026-05-06
13101 CPT Rpr Complex Trunk 2.5-7.5 17 7 $1,730.00 $1,557.00 $259.36 $1,557.00 $667.82 2026-05-06
13121 CPT Compxsclp/arm/leg 2.6-7.5 17 7 $1,730.00 $1,557.00 $272.51 $1,557.00 $667.82 2026-05-06
12046 CPT Layr Cl Nck/ft/gen 20-30 17 7 $1,730.00 $1,557.00 $337.13 $1,557.00 $667.82 2026-05-06
12045 CPT Layr Cl Nck/ft/gen 12-20 17 7 $1,730.00 $1,557.00 $288.05 $1,557.00 $667.82 2026-05-06
12036 CPT Layr Clo Sclp/trnk20-30cm 17 7 $1,730.00 $1,557.00 $299.79 $1,557.00 $667.82 2026-05-06
13100 CPT Rpr Complex Trunk <2.6cm 17 7 $1,730.00 $1,557.00 $212.07 $1,557.00 $661.21 2026-05-06
12020 CPT Tx S Wnd Dehisc;smpl 17 7 $1,730.00 $1,557.00 $200.37 $1,557.00 $661.21 2026-05-06
13120 CPT Complx Sclp/arm/leg<2.6cm 17 7 $1,730.00 $1,557.00 $242.76 $1,557.00 $661.21 2026-05-06
12044 CPT Layr Cl Nck/ft/gen 7.5-12 17 7 $1,730.00 $1,557.00 $227.78 $1,557.00 $661.21 2026-05-06
11760 CPT Repair Nail Bed 17 7 $1,730.00 $1,557.00 $113.10 $1,557.00 $261.00 2026-05-06
81220 CPT Cftr Gene Com Vanants 9 7 $1,670.00 $1,503.00 $545.47 $1,503.00 $651.30 2026-05-06
37618 CPT Lig Major Art; Extremity 17 7 $1,577.00 $1,419.30 $358.26 $1,419.30 $615.03 2026-05-06
26641 CPT Cl Redu Disl Prox Phal Th 9 7 $1,568.00 $1,411.20 $397.98 $1,411.20 $611.52 2026-05-06
0202U CPT Respiratory Panel For Pathogens Pcr 9 7 $1,528.00 $1,375.20 $408.44 $1,375.20 $595.92 2026-05-06
40652 CPT Rpr Lip <half Vert Height 17 7 $1,494.00 $1,344.60 $386.50 $1,381.50 $598.65 2026-05-06
40650 CPT Rpr Lip Ful Thck Vermilin 17 7 $1,494.00 $1,344.60 $338.81 $1,344.60 $582.66 2026-05-06
40805 CPT Rem Emb Fb Mouth Complex 17 7 $1,494.00 $1,344.60 $212.53 $1,344.60 $576.72 2026-05-06
M0245 CPT Bamlanivimab Infusion Therapy 9 7 $1,485.00 $1,336.50 $567.57 $1,336.50 $668.25 2026-05-06
M0247 CPT Soltrovimab Infusion Therapy 9 7 $1,485.00 $1,336.50 $567.57 $1,336.50 $668.25 2026-05-06
M0243 CPT Casirivimab/imdevimab Infusion Therapy 9 7 $1,485.00 $1,336.50 $567.57 $1,336.50 $668.25 2026-05-06
A0427 CPT Als1 - Emergency 8 6 $1,415.00 $1,273.50 $502.78 $1,273.50 $551.85 2026-05-06
99292 CPT Criti Care/ea Addl 30mins 17 7 $1,366.00 $1,229.40 $110.10 $1,229.40 $274.50 2026-05-06
96369 CPT Sc Ther Infusion To 1 Hr 9 7 $1,360.00 $1,224.00 $122.43 $1,224.00 $530.40 2026-05-06
96360 CPT Infusion Fluid - Lst Hour (includes Kcl) 9 7 $1,360.00 $1,224.00 $27.72 $1,224.00 $530.40 2026-05-06
96365 CPT Infusion Med - Lst Hour (not Kcl) 9 7 $1,360.00 $1,224.00 $53.09 $1,224.00 $530.40 2026-05-06
G0483 CPT Toxicology Urine General 9 7 $1,342.00 $1,207.80 $241.98 $1,207.80 $523.38 2026-05-06
99284 CPT ER- Ed Visit Level 4 17 7 $1,337.00 $1,203.30 $112.11 $1,203.30 $276.30 2026-05-06
92977 CPT Thrombolysis By IV Infus 9 7 $1,275.00 $1,147.50 $49.36 $1,147.50 $497.25 2026-05-06
27788 CPT Cl Tx Dis Fib Fx With Manipulation 22 7 $1,269.00 $1,142.10 $260.28 $1,343.70 $494.91 2026-05-06
P9034 CPT Platelets Pheresis Per Unit 9 7 $1,246.00 $1,121.40 $476.22 $1,121.40 $560.70 2026-05-06
A0429 CPT Bls - Emergency 8 6 $1,192.00 $1,072.80 $423.39 $1,072.80 $464.88 2026-05-06
13150 CPT Rpr Complex Eyelid <1.1cm 17 7 $1,181.00 $1,062.90 $410.67 $1,062.90 $668.92 2026-05-06
12057 CPT Layr Clo Fac/lip >30cm 17 7 $1,142.00 $1,027.80 $436.47 $1,446.30 $546.58 2026-05-06
12056 CPT Layr Clo Fac/lip 20-30cm 17 7 $1,142.00 $1,027.80 $407.39 $1,238.40 $522.92 2026-05-06
12041 CPT Layr Clo Nck/ft/gen<2.6cm 17 7 $1,142.00 $1,027.80 $154.26 $1,108.80 $480.48 2026-05-06
12017 CPT Sim Rpr Fac/mucs 20.1-30 17 7 $1,142.00 $1,027.80 $142.49 $1,027.80 $445.38 2026-05-06
12055 CPT Layr Clo Fac/lip 12.5-20 17 7 $1,142.00 $1,027.80 $319.10 $1,027.80 $445.38 2026-05-06
12054 CPT Layr Clo Fac/lip 7.5-12.5 17 7 $1,142.00 $1,027.80 $233.32 $1,027.80 $445.38 2026-05-06
12042 CPT Layr Cl Nck/ft/gen2.6-7.5 17 7 $1,142.00 $1,027.80 $207.12 $1,027.80 $445.38 2026-05-06
12035 CPT Layr Clo Sclp/trnk12-20cm 17 7 $1,142.00 $1,027.80 $255.97 $1,027.80 $445.38 2026-05-06
12034 CPT Layr Clo Sclp/trnk 7.6-12 17 7 $1,142.00 $1,027.80 $217.06 $1,027.80 $445.38 2026-05-06
12032 CPT Layr Clo Sclp/trnk2.6-7.6 17 7 $1,142.00 $1,027.80 $201.00 $1,027.80 $445.38 2026-05-06
12016 CPT Sim Rpr Fac/mucs 12.6-20 17 7 $1,142.00 $1,027.80 $135.85 $1,027.80 $445.38 2026-05-06
12006 CPT Sim Rpr Sclp/trnk<20.1-30 17 7 $1,142.00 $1,027.80 $124.26 $1,027.80 $445.38 2026-05-06
12005 CPT Sim Rpr Sclp/trnk<12.6-20 17 7 $1,142.00 $1,027.80 $100.51 $1,027.80 $445.38 2026-05-06
12053 CPT Layer Clo Face/lips 5-7.5 17 7 $1,142.00 $1,027.80 $227.72 $1,027.80 $440.83 2026-05-06
12031 CPT Layer Clo Sclp Trnk<2.6cm 17 7 $1,142.00 $1,027.80 $159.74 $1,027.80 $440.83 2026-05-06
12051 CPT Int Rep F/e/n/l/mm 2.5cm< 17 7 $1,142.00 $1,027.80 $178.53 $1,027.80 $436.47 2026-05-06
10160 CPT Punct Aspir Abscs Etc 17 7 $1,142.00 $1,027.80 $102.33 $1,027.80 $306.90 2026-05-06
12052 CPT Layer Clo Face/lips 2.6-5 17 7 $1,142.00 $1,027.80 $123.24 $1,027.80 $284.40 2026-05-06
17106 CPT Dstrctn Cutaneous Vasc Prolif Lesion<10c 17 7 $1,119.00 $1,007.10 $293.31 $1,007.10 $436.41 2026-05-06
96374 CPT First IV Push Med 9 7 $1,090.00 $981.00 $31.27 $981.00 $425.10 2026-05-06
25650 CPT Clo Trt Ulnar Styloid Fx 9 7 $1,037.00 $933.30 $313.92 $933.30 $404.43 2026-05-06
87902 CPT Hcv RNA Genotype Ns5a Drug Resistance Rt 16 7 $991.00 $891.90 $252.30 $1,658.70 $707.91 2026-05-06
13131 CPT Complx Hd/hand/ft < 2.6cm 9 7 $974.00 $876.60 $255.91 $876.60 $379.86 2026-05-06
92950 CPT Cpr 41 7 $961.00 $864.90 $194.12 $1,507.50 $549.90 2026-05-06
90677 CPT Clinic Prevnar 20 (pneumococcal 20) Vac 9 7 $939.00 $845.10 $292.08 $845.10 $366.21 2026-05-06
96105 CPT Sp Assess Of Asphasia Per Hr,speech-language Pathology 9 7 $938.00 $844.20 $89.27 $844.20 $365.82 2026-05-06
96116 CPT Sp Cognitive/symbol Func Per Hr,speech-language Pathology 9 7 $938.00 $844.20 $84.82 $844.20 $365.82 2026-05-06
P9021 CPT Red Blood Cells Ea Unit 9 7 $936.00 $842.40 $357.74 $842.40 $421.20 2026-05-06
J0714 CPT Avycaz 2.5gm IV 9 7 $927.18 $834.46 $354.37 $834.46 $417.23 2026-05-06
88262 CPT Chromosome Analysis 15-20 23 7 $901.00 $810.90 $122.98 $823.50 $353.21 2026-05-06
87904 CPT HIV Phenotype Ea + Drug 1 9 7 $899.00 $809.10 $25.55 $809.10 $350.61 2026-05-06
A0426 CPT Als1 - Non-emergency 8 6 $894.00 $804.60 $317.54 $804.60 $348.66 2026-05-06
41250 CPT Rpr Lac <2.6 Ant Tongue 17 7 $892.00 $802.80 $163.34 $802.80 $344.33 2026-05-06
36680 CPT Intraosseous Infusion 17 7 $892.00 $802.80 $55.07 $802.80 $253.80 2026-05-06
96370 CPT Sc Ther Infusion Addl Hr 9 7 $880.00 $792.00 $14.82 $792.00 $343.20 2026-05-06
96361 CPT Infusion Fluid - Add't Hour 9 7 $880.00 $792.00 $10.79 $792.00 $343.20 2026-05-06
96366 CPT Infusion Med - Add'l Hour 9 7 $880.00 $792.00 $18.05 $792.00 $343.20 2026-05-06
46083 CPT Inc Throm Hem Ext 17 7 $879.00 $791.10 $117.38 $791.10 $342.81 2026-05-06
51705 CPT Chng Colostomy Tube;simpl 17 7 $879.00 $791.10 $55.44 $791.10 $239.40 2026-05-06
54450 CPT Foreskin Manip Inc Lysis 17 7 $879.00 $791.10 $60.76 $791.10 $235.80 2026-05-06
87506 CPT Hc Gi Pathogen 6-11 Targets(gi 9 7 $868.00 $781.20 $257.73 $781.20 $338.52 2026-05-06
67938 CPT Rem Embedded Fb Eyelid 17 7 $862.00 $775.80 $119.58 $1,365.30 $387.90 2026-05-06
64455 CPT Inj Anesthetic Agent Plantar Digit 9 7 $862.00 $775.80 $45.52 $775.80 $336.18 2026-05-06
981 CPT Insert Cath Pleura Without Image 9 7 $861.00 $774.90 $335.79 $774.90 $555.35 2026-05-06
36430 CPT Transfusion Blood/components 17 7 $849.00 $764.10 $37.91 $764.10 $331.11 2026-05-06
88230 CPT Tissue Cult Non Neo Disor 30 7 $844.00 $759.60 $114.16 $765.90 $329.16 2026-05-06
90750 CPT Shingrix 50mcg/0.5ml Suspension 9 7 $825.00 $742.50 $315.32 $742.50 $371.25 2026-05-06
22305 CPT Clo Trt Vertebral Proc Fx 17 7 $824.00 $741.60 $286.65 $741.60 $466.71 2026-05-06
A7041 CPT Water Chest Drainage System 9 7 $819.00 $737.10 $313.02 $737.10 $368.55 2026-05-06
26775 CPT Clo Trt Ip Jt Disl W Anes 17 7 $796.00 $716.40 $304.23 $1,494.00 $396.06 2026-05-06
28665 CPT Clo Trt Ip Jt Dis W Anes 17 7 $796.00 $716.40 $135.00 $878.40 $358.20 2026-05-06
29075 CPT App Short Arm Cast 9 7 $796.00 $716.40 $82.58 $716.40 $310.44 2026-05-06
29425 CPT Appl Shrt Leg Cast-walking Type 9 7 $796.00 $716.40 $70.61 $716.40 $310.44 2026-05-06
450 CPT Insert Cath Pleura Without Image 9 7 $762.00 $685.80 $291.24 $685.80 $342.90 2026-05-06
A4300 CPT Central Line Kit - 7 Fr 9 7 $760.00 $684.00 $290.47 $684.00 $342.00 2026-05-06
A0428 CPT Bls - Non-emergency 8 6 $745.00 $670.50 $264.62 $670.50 $290.55 2026-05-06
87154 CPT DNA Amplified Probe 6+ Targets 9 7 $744.00 $669.60 $213.70 $669.60 $290.16 2026-05-06
96367 CPT Add'l New Sequential Infusion Med 9 7 $709.00 $638.10 $24.54 $638.10 $276.51 2026-05-06
96371 CPT Sc Ther Infus Reset Pump 9 7 $709.00 $638.10 $50.54 $638.10 $276.51 2026-05-06
49082 CPT Paracentesis Without Imagining 17 7 $704.00 $633.60 $76.95 $633.60 $216.00 2026-05-06
31605 CPT Trach Circothyroid 17 7 $699.00 $629.10 $267.16 $981.00 $357.77 2026-05-06
40830 CPT Laceration Rpr Mouth<2.6 17 7 $699.00 $629.10 $155.21 $629.10 $272.61 2026-05-06
30906 CPT Nasal Hemorr-post;subsq 17 7 $699.00 $629.10 $140.32 $629.10 $272.61 2026-05-06
27501 CPT Clo Trt Suprcondyl Fem Fx 17 7 $681.00 $612.90 $260.28 $1,743.30 $537.15 2026-05-06
27500 CPT Clo Trt Femoral Shaft Fx 17 7 $681.00 $612.90 $260.28 $1,646.10 $523.35 2026-05-06
27230 CPT Clo Trt Fem Fx Prox E-nec 17 7 $681.00 $612.90 $260.28 $1,584.00 $521.35 2026-05-06
27550 CPT Clo Trt Knee Dislocation 17 7 $681.00 $612.90 $260.28 $1,599.30 $515.66 2026-05-06
25535 CPT Ulnar Shaft Fx W Manip 17 7 $681.00 $612.90 $260.28 $1,542.60 $502.06 2026-05-06
27265 CPT Clo Trt Pos Hip Arth Disc 17 7 $681.00 $612.90 $260.28 $1,468.80 $458.05 2026-05-06
27220 CPT Clo Trt Acetabulum Fx 17 7 $681.00 $612.90 $260.28 $1,765.80 $449.19 2026-05-06
27840 CPT Cl Redu Ank Dis Without Anes 17 7 $681.00 $612.90 $260.28 $2,555.10 $425.40 2026-05-06
27830 CPT Clo Trt Prox Tibofibular 17 7 $681.00 $612.90 $260.28 $1,130.40 $397.97 2026-05-06
24530 CPT Clo Trt Spracndyl Hum 17 7 $681.00 $612.90 $260.28 $1,107.90 $388.04 2026-05-06
24600 CPT Tx Clo Elbow Dislocation 17 7 $681.00 $612.90 $260.28 $1,159.20 $383.53 2026-05-06
27560 CPT Clo Trt Patellar Disloc 17 7 $681.00 $612.90 $260.28 $1,057.50 $380.09 2026-05-06
24500 CPT Clo Trt Hum Shft Wo Man 17 7 $681.00 $612.90 $260.28 $1,013.40 $373.69 2026-05-06
27750 CPT Clo Trt Tibal Shft Fx 17 7 $681.00 $612.90 $260.28 $1,035.90 $360.13 2026-05-06
25600 CPT Clo Trt Dist Rad Fx 17 7 $681.00 $612.90 $260.28 $829.80 $359.58 2026-05-06
26670 CPT Carpometacarpal Wo Manip 17 7 $681.00 $612.90 $260.28 $997.20 $354.49 2026-05-06
23600 CPT Clo Trt Prox Hum Fx Wo Mn 17 7 $681.00 $612.90 $260.28 $998.10 $354.32 2026-05-06
26700 CPT Clo Trt Mcp Disl-1 Wo Ane 17 7 $681.00 $612.90 $260.28 $985.50 $352.42 2026-05-06
24576 CPT Clo Trt Humer Condyl 17 7 $681.00 $612.90 $260.28 $957.60 $351.03 2026-05-06
27760 CPT Clo Trt Med Malleolus Fx 17 7 $681.00 $612.90 $260.28 $970.20 $344.54 2026-05-06
27808 CPT Clo Trt Bimalleolar Ank 17 7 $681.00 $612.90 $260.28 $953.10 $341.63 2026-05-06
26725 CPT Clo Trt Phalang W/wo Trac 17 7 $681.00 $612.90 $260.28 $854.10 $341.47 2026-05-06
27824 CPT Clo Trt Fx Artic-dist Tib 17 7 $681.00 $612.90 $260.28 $982.80 $341.35 2026-05-06
23650 CPT Clo Trt Shldr Dis Wo Anes 17 7 $681.00 $612.90 $260.28 $926.10 $337.47 2026-05-06
27520 CPT Clo Trt Patellar Fx 17 7 $681.00 $612.90 $260.28 $931.50 $336.84 2026-05-06
26605 CPT Metacarpal Fx W Manip Ea 17 7 $681.00 $612.90 $260.28 $953.10 $332.67 2026-05-06
27816 CPT Clo Trt Trimalleolar Ank 17 7 $681.00 $612.90 $260.28 $1,209.60 $328.98 2026-05-06
22310 CPT Clotrt Vert Proc Fx Wo Mn 17 7 $681.00 $612.90 $260.28 $989.10 $325.86 2026-05-06
27530 CPT Clo Trt Tibal Fx Prox 17 7 $681.00 $612.90 $260.28 $1,197.90 $323.02 2026-05-06
27786 CPT Clo Trt Distal Fib Fx 17 7 $681.00 $612.90 $260.28 $916.20 $319.54 2026-05-06
27780 CPT Clo Trt Prox Fib Shaft Fx 17 7 $681.00 $612.90 $260.28 $867.60 $319.02 2026-05-06
25622 CPT Clo Trt Carp Scaphoid Fx 17 7 $681.00 $612.90 $260.28 $849.60 $318.92 2026-05-06
26600 CPT Clo Trt Metacarpal Fx 17 7 $681.00 $612.90 $260.28 $679.50 $316.09 2026-05-06
26755 CPT Clo Trt Dis Phalang W/man 17 7 $681.00 $612.90 $260.28 $916.20 $309.76 2026-05-06
28475 CPT Clo Trt Metatarsal W Mani 17 7 $681.00 $612.90 $245.25 $920.70 $306.45 2026-05-06
27250 CPT Clo Trt Hip Disl Wo Manip 17 7 $681.00 $612.90 $167.18 $1,750.50 $306.45 2026-05-06
26770 CPT Clo Trt Ip Jt Dislc W/man 17 7 $681.00 $612.90 $260.28 $1,056.60 $306.45 2026-05-06
25560 CPT Radius & Ulna Shaft Fx 17 7 $681.00 $612.90 $260.28 $751.50 $306.45 2026-05-06
25530 CPT Ulnar Shaft Fx Wo Manip 17 7 $681.00 $612.90 $253.76 $723.60 $306.45 2026-05-06
25500 CPT Rad Shaft Fx Wo Manip 17 7 $681.00 $612.90 $260.28 $763.20 $306.45 2026-05-06
24670 CPT Clo Trt Ulnr Fx Prox End 17 7 $681.00 $612.90 $260.28 $824.40 $306.45 2026-05-06
24650 CPT Clo Trt Rad Head/neck Fx 17 7 $681.00 $612.90 $253.33 $724.50 $306.45 2026-05-06
23620 CPT Clo Trt Grtr Tuberos Fx 17 7 $681.00 $612.90 $259.17 $831.60 $306.45 2026-05-06
23570 CPT Clo Trt Ascapular Fx Wo M 17 7 $681.00 $612.90 $225.23 $754.20 $306.45 2026-05-06
23500 CPT Clo Trt Cla Fx Wo Manip 17 7 $681.00 $612.90 $214.60 $815.40 $306.45 2026-05-06
28430 CPT Clo Trt Talus Fx W Manip 17 7 $681.00 $612.90 $226.10 $698.40 $302.64 2026-05-06
23540 CPT Trt Acromioclavicular W M 17 7 $681.00 $612.90 $227.00 $691.20 $299.52 2026-05-06
26740 CPT Clo Trt Artic Mcp/ip Jt 17 7 $681.00 $612.90 $223.68 $681.30 $295.23 2026-05-06
28600 CPT Tarsometatarsal Jt Wo Ane 17 7 $681.00 $612.90 $202.71 $669.60 $290.16 2026-05-06
28450 CPT Tarsal Bone Fx W Manip Ea 17 7 $681.00 $612.90 $199.21 $653.40 $283.14 2026-05-06
26720 CPT Clo Trt Phalang Ea 17 7 $681.00 $612.90 $193.30 $622.80 $269.88 2026-05-06
28660 CPT Clo Trt Ip Jt Dis Wo Anes 17 7 $681.00 $612.90 $101.05 $612.90 $265.59 2026-05-06
28515 CPT Phlnx Fx N/grt Toe W Mani 17 7 $681.00 $612.90 $154.06 $612.90 $265.59 2026-05-06
28495 CPT Clo Trt Grt Toe Fx W Mani 17 7 $681.00 $612.90 $163.29 $612.90 $265.59 2026-05-06
28490 CPT Clo Trt Great Toe Fx 17 7 $681.00 $612.90 $133.76 $612.90 $265.59 2026-05-06
28470 CPT Clo Trt Metatarsal Fx-ea 17 7 $681.00 $612.90 $204.79 $612.90 $265.59 2026-05-06
27200 CPT Clo Trt Coccygeal Fx 17 7 $681.00 $612.90 $180.14 $612.90 $265.59 2026-05-06
26750 CPT Clo Trt Dist Phalang Fx 17 7 $681.00 $612.90 $181.34 $612.90 $265.59 2026-05-06
99496 CPT Trans Care Mgmt 7 Day Discharge 9 7 $681.00 $612.90 $200.66 $612.90 $265.59 2026-05-06
21820 CPT Clo Trt Sternum Fx 17 7 $681.00 $612.90 $142.71 $612.90 $265.59 2026-05-06
21310 CPT Clo Trt Nasal Fx;wo Manip 17 7 $681.00 $612.90 $31.41 $612.90 $263.38 2026-05-06
24640 CPT Clo Trt Rad Head Subluxa 17 7 $681.00 $612.90 $84.08 $612.90 $262.88 2026-05-06
67800 CPT Excision Of Chalazion; Single 18 7 $671.00 $603.90 $107.15 $775.80 $331.11 2026-05-06
90670 CPT Prevnar 13 Vaccine 0.5ml - Peds 17 7 $664.50 $598.05 $169.31 $598.05 $256.52 2026-05-06
13153 CPT Rpr Compx Lid/lip Add 5cm 17 7 $655.00 $589.50 $144.85 $589.50 $255.45 2026-05-06
86041 CPT Acetylcholine Receptor Binding Ab Rt 9 7 $638.00 $574.20 $18.03 $574.20 $248.82 2026-05-06
36589 CPT Remove Tnl Cv Cath 9 7 $631.00 $567.90 $143.25 $567.90 $246.09 2026-05-06
82652 CPT Vitamin D 1-25 Oh 9 7 $630.00 $567.00 $37.73 $567.00 $245.70 2026-05-06
99236 CPT Obsrv Bed-adm/d/c-lev Iii 9 7 $628.00 $565.20 $191.24 $565.20 $244.92 2026-05-06
92960 CPT Cardioversion 17 7 $622.00 $559.80 $113.78 $594.90 $257.79 2026-05-06
42700 CPT I & D Abscess Peritonsillar 17 7 $620.00 $558.00 $144.66 $558.00 $241.80 2026-05-06
99205 CPT New Patient Level 5 9 7 $615.00 $553.50 $192.79 $553.50 $239.85 2026-05-06
96376 CPT Add'l Seq IV Push Med Same Drug 9 7 $609.00 $548.10 $232.76 $548.10 $274.05 2026-05-06
96368 CPT Concurrent Infusion 9 7 $609.00 $548.10 $17.14 $548.10 $237.51 2026-05-06
92523 CPT Sp Eval Of Sound Prod & Language,speech-language Pathology 9 7 $609.00 $548.10 $211.93 $548.10 $237.51 2026-05-06
84445 CPT Assay Of Tsi 9 7 $609.00 $548.10 $49.84 $548.10 $237.51 2026-05-06
13133 CPT Compx Hd/hand/ft Add 5cm 17 7 $601.00 $540.90 $131.86 $540.90 $234.39 2026-05-06
36010 CPT Intr Cath Sup/infer Vena 17 7 $601.00 $540.90 $112.56 $540.90 $234.39 2026-05-06
12004 CPT Sim Rpr Sclp/trnk<7.6-12. 17 7 $593.00 $533.70 $77.82 $631.80 $266.85 2026-05-06
16030 CPT Dress & Debrid Burn Large 17 7 $593.00 $533.70 $140.67 $680.40 $266.85 2026-05-06
12018 CPT Sim Rpr Fac/mucs >30.0 Cm 17 7 $593.00 $533.70 $161.41 $1,176.30 $266.85 2026-05-06
12015 CPT Sim Rpr Fac/mucs 7.5-12.6 17 7 $593.00 $533.70 $100.20 $874.80 $266.85 2026-05-06
12014 CPT Sim Rpr Face/mucs 5.0-7.5 17 7 $593.00 $533.70 $79.17 $694.80 $266.85 2026-05-06
12013 CPT Sim Rpr Face/mucs 2.6-5.0 17 7 $593.00 $533.70 $61.69 $594.90 $257.79 2026-05-06
12011 CPT Sim Rpr Face/mucos <2.6cm 17 7 $593.00 $533.70 $59.27 $542.70 $235.17 2026-05-06
16025 CPT Dress & Debrid Burn Med 17 7 $593.00 $533.70 $117.48 $533.70 $231.27 2026-05-06
11730 CPT Exc Nail/matric Part Cmpt 17 7 $593.00 $533.70 $57.19 $533.70 $226.64 2026-05-06
16000 CPT Burn Rx Initial 1st Degree 17 7 $593.00 $533.70 $48.66 $533.70 $226.64 2026-05-06
92522 CPT Sp Eval Of Speech Production,speech-language Pathology 9 7 $592.00 $532.80 $103.17 $532.80 $230.88 2026-05-06
87536 CPT HIV-1 RNA 8dna 9 7 $586.00 $527.40 $83.40 $527.40 $228.54 2026-05-06
85303 CPT Protein C Activity Rt 9 7 $576.00 $518.40 $13.56 $518.40 $224.64 2026-05-06
11644 CPT Mal-face E N Lip 3 < 4 Cm 22 7 $574.20 $516.78 $146.30 $861.30 $302.26 2026-05-06
85306 CPT Protein S Free 9 7 $574.00 $516.60 $15.01 $516.60 $223.86 2026-05-06
90619 CPT Clinic Mcv Vaccine 0.5ml 9 7 $564.00 $507.60 $215.56 $507.60 $253.80 2026-05-06
11601 CPT Mal-trunk Extrem .6<1 Cm 27 7 $564.00 $507.60 $86.22 $540.00 $203.04 2026-05-06
56420 CPT I&d Bartholins Glnd Abscs 17 7 $562.00 $505.80 $116.01 $505.80 $219.18 2026-05-06
80321 CPT Urine Alcohol And Metabolites With Conf 9 7 $547.00 $492.30 $13.20 $492.30 $213.33 2026-05-06
82077 CPT Ethanol Medical 9 7 $547.00 $492.30 $16.92 $492.30 $213.33 2026-05-06
80307 CPT Meperidine 9 7 $547.00 $492.30 $60.90 $492.30 $213.33 2026-05-06
11442 CPT Les-face E N Lip 1 < 2 Cm 40 7 $543.00 $488.70 $72.92 $1,847.70 $223.08 2026-05-06
11750 CPT Exc Nail & Matrix 22 7 $534.00 $480.60 $107.95 $1,027.80 $331.80 2026-05-06
28510 CPT Clsd Tx Toe Fx Without Manipu 22 7 $532.00 $478.80 $114.37 $612.90 $264.24 2026-05-06
10061 CPT I&d Abcess Complic/mult 38 7 $525.00 $472.50 $80.26 $1,027.80 $204.75 2026-05-06
12002 CPT Sim Rpr Sclp/trnk<2.6-7.5 17 7 $518.00 $466.20 $62.49 $466.20 $202.02 2026-05-06
11624 CPT Mal-s N H Ft 3 < 4 Cm 22 7 $498.60 $448.74 $127.05 $747.90 $257.81 2026-05-06
11643 CPT Mal-face E N Lip 2 < 3 Cm 22 7 $465.60 $419.04 $118.64 $698.40 $244.55 2026-05-06
11604 CPT Exc Mal Lesion 3.1-4.0 Cm 14 7 $458.40 $412.56 $178.78 $687.60 $290.01 2026-05-06
11623 CPT Mal-s N H Ft 2 < 3 Cm 22 7 $437.40 $393.66 $111.45 $656.10 $226.55 2026-05-06
11603 CPT Mal-trunk Extrem 2<3 Cm 35 7 $429.00 $386.10 $104.72 $631.80 $232.79 2026-05-06
21800 CPT Clo Trt Rib Fx Uncomp Ea 17 7 $425.00 $382.50 $162.44 $435.60 $272.47 2026-05-06
11444 CPT Les-face E N Lip 3<4 Cm 22 7 $420.60 $378.54 $107.17 $630.90 $242.50 2026-05-06
11642 CPT Mal-face E N Lip 1<2 Cm 22 7 $396.00 $356.40 $100.90 $594.00 $200.99 2026-05-06
30905 CPT Nasal Hemorr-post;init 17 7 $370.00 $333.00 $113.01 $755.10 $209.57 2026-05-06
30903 CPT Control Nasal Hemorrhage/complex 17 7 $370.00 $333.00 $82.48 $612.00 $209.57 2026-05-06
41800 CPT Drainage Of Abscess; Dentoalveolar Struc,distinct Procedural Service 17 7 $370.00 $333.00 $141.41 $877.50 $209.57 2026-05-06
16020 CPT Dress & Debrid Burn Small 22 7 $284.00 $255.60 $58.99 $533.70 $205.80 2026-05-06
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