|
48449993
|
OTHER
|
Alteplase 100 Mg IV Inj [hrmc]
|
7
|
7
|
$25,653.53
|
—
|
$19,881.49
|
$19,881.49
|
$19,881.49
|
2026-05-22
|
|
49194535
|
OTHER
|
27443 Arthroplasty, Femoral Condyles Or Tibial Plateau(s), Knee; W Debridement &…
|
7
|
7
|
$23,894.00
|
—
|
$18,517.85
|
$18,517.85
|
$18,517.85
|
2026-05-22
|
|
49194538
|
OTHER
|
29889 Arthroscopically Aided Posterior Cruiate Ligament Repair
|
7
|
7
|
$23,894.00
|
—
|
$18,517.85
|
$18,517.85
|
$18,517.85
|
2026-05-22
|
|
47782497
|
OTHER
|
23615 Open Treatment Of Proximal Humeral Fracture, Includes Internal Fixation, W…
|
7
|
7
|
$23,893.00
|
—
|
$18,517.08
|
$18,517.08
|
$18,517.08
|
2026-05-22
|
|
47786474
|
OTHER
|
27758 Open Trtmnt Of Tibial Shaft Fracture, W Plate/screws, W Or Without Cerclage
|
7
|
7
|
$23,893.00
|
—
|
$18,517.08
|
$18,517.08
|
$18,517.08
|
2026-05-22
|
|
48615154
|
OTHER
|
58573 Tlh Uterus Greater Then 250g
|
7
|
7
|
$19,365.00
|
—
|
$15,007.88
|
$15,007.88
|
$15,007.88
|
2026-05-22
|
|
47922132
|
OTHER
|
58571-80 Tlh W/t/o 250 G Or Less
|
7
|
7
|
$19,355.00
|
—
|
$15,000.12
|
$15,000.12
|
$15,000.12
|
2026-05-22
|
|
50824417
|
OTHER
|
Alteplase 50 Mg Pow [hrmc]
|
7
|
7
|
$15,840.66
|
—
|
$12,276.51
|
$12,276.51
|
$12,276.51
|
2026-05-22
|
|
47816880
|
OTHER
|
Osteotomy, With Or Without Lengthening, Shortening Or Angular Correction, Metata…
|
7
|
7
|
$15,305.00
|
—
|
$11,861.38
|
$11,861.38
|
$11,861.38
|
2026-05-22
|
|
47784234
|
OTHER
|
24341 Repair, Tendon Or Muscle, Upper Arm Or Elbow, Each Tendon Or Muscle, Prima…
|
7
|
7
|
$14,955.00
|
—
|
$11,590.12
|
$11,590.12
|
$11,590.12
|
2026-05-22
|
|
51418996
|
OTHER
|
Hallux Rigidus Correction W Cheilectomy Debride & Cap Release 1st Metatarsophala…
|
7
|
7
|
$14,852.00
|
—
|
$11,510.30
|
$11,510.30
|
$11,510.30
|
2026-05-22
|
|
47784268
|
OTHER
|
24685 Open Trtmnt Of Ulnar Fracture, Proximal End, Incld Internal Fixation
|
7
|
7
|
$14,151.00
|
—
|
$10,967.02
|
$10,967.02
|
$10,967.02
|
2026-05-22
|
|
51143769
|
OTHER
|
49596 Repair Of Anterior Abdominal Hernia, Initial, > 10 Cm, Incarcerated Or Str…
|
7
|
7
|
$14,000.00
|
—
|
$10,850.00
|
$10,850.00
|
$10,850.00
|
2026-05-22
|
|
51143765
|
OTHER
|
49592 Repair Of Anterior Abdominal Hernia, Initial, Less Than 3cm, Incarcerated …
|
7
|
7
|
$13,578.40
|
—
|
$10,523.26
|
$10,523.26
|
$10,523.26
|
2026-05-22
|
|
49194529
|
OTHER
|
27769 Open Trtmnt Of Posterior Melleolus Fracture, Incld Internal Fixation
|
7
|
7
|
$13,049.00
|
—
|
$10,112.98
|
$10,112.98
|
$10,112.98
|
2026-05-22
|
|
47786476
|
OTHER
|
27766 Open Trtmnt Of Medial Melleolus Fracture, Incld Internal Fixation
|
7
|
7
|
$13,049.00
|
—
|
$10,112.98
|
$10,112.98
|
$10,112.98
|
2026-05-22
|
|
47796523
|
OTHER
|
29888 Arthroscopically Aided Anterior Cruiate Ligament Repair
|
7
|
7
|
$13,049.00
|
—
|
$10,112.98
|
$10,112.98
|
$10,112.98
|
2026-05-22
|
|
47782488
|
OTHER
|
23515 Open Treatment Of Clavicular Fracture, Includes Internal Fixation, When Pe…
|
7
|
7
|
$13,049.00
|
—
|
$10,112.98
|
$10,112.98
|
$10,112.98
|
2026-05-22
|
|
47784307
|
OTHER
|
25607 Open Treatment Of Distal Radial Extra-articular Fracture Or Epiphyseal Sep…
|
7
|
7
|
$13,049.00
|
—
|
$10,112.98
|
$10,112.98
|
$10,112.98
|
2026-05-22
|
|
8816965
|
OTHER
|
Open Trtmt Of Proximal Fibula Or Shaft Fx, With Or Without Inter Or Ext Fixation Charg…
|
7
|
7
|
$13,049.00
|
—
|
$10,112.98
|
$10,112.98
|
$10,112.98
|
2026-05-22
|
|
47786488
|
OTHER
|
27823 Open Trtmnt Of Trimalleolar Ankle Fracture, Incld Internal Fixatoin, Media…
|
7
|
7
|
$13,049.00
|
—
|
$10,112.98
|
$10,112.98
|
$10,112.98
|
2026-05-22
|
|
47796506
|
OTHER
|
29827 Arthroscop Rotator Cuff Repr
|
7
|
7
|
$13,049.00
|
—
|
$10,112.98
|
$10,112.98
|
$10,112.98
|
2026-05-22
|
|
47786487
|
OTHER
|
27822 Open Trtmnt Of Trimalleolar Ankle Fracture, Incld Internal Fixatoin, Media…
|
7
|
7
|
$13,049.00
|
—
|
$10,112.98
|
$10,112.98
|
$10,112.98
|
2026-05-22
|
|
47796507
|
OTHER
|
29828 Arthroscopy Biceps Tenodesis
|
7
|
7
|
$13,049.00
|
—
|
$10,112.98
|
$10,112.98
|
$10,112.98
|
2026-05-22
|
|
47786483
|
OTHER
|
27814 Open Trtmnt Of Bimmaleolar Ankle Fracture And Medial Malleoli
|
7
|
7
|
$13,049.00
|
—
|
$10,112.98
|
$10,112.98
|
$10,112.98
|
2026-05-22
|
|
47786481
|
OTHER
|
27792 Open Trtmnt Of Distal Fibular Fracture, Incld Internal Fixation
|
7
|
7
|
$13,049.00
|
—
|
$10,112.98
|
$10,112.98
|
$10,112.98
|
2026-05-22
|
|
47784308
|
OTHER
|
25609 Open Treatment Of Distal Radial Intra-articular Fracture Or Epiphyseal Sep…
|
7
|
7
|
$13,049.00
|
—
|
$10,112.98
|
$10,112.98
|
$10,112.98
|
2026-05-22
|
|
47851121
|
OTHER
|
24342 Reinsertion Of Ruptured Biceps Or Triceps Tendon, Distal, With Or Without …
|
7
|
7
|
$13,049.00
|
—
|
$10,112.98
|
$10,112.98
|
$10,112.98
|
2026-05-22
|
|
10681568
|
OTHER
|
Open Treatment Of Greater Humeral Tuberosity Fraction, Including Internal Fixati…
|
7
|
7
|
$13,049.00
|
—
|
$10,112.98
|
$10,112.98
|
$10,112.98
|
2026-05-22
|
|
47922307
|
OTHER
|
27524-80 Open Treatment Of Patellar Fracture
|
7
|
7
|
$13,049.00
|
—
|
$10,112.98
|
$10,112.98
|
$10,112.98
|
2026-05-22
|
|
47782492
|
OTHER
|
23550 Open Treatment Of Acromioclavicular Dislocation, Acute Or Chronic
|
7
|
7
|
$13,049.00
|
—
|
$10,112.98
|
$10,112.98
|
$10,112.98
|
2026-05-22
|
|
8429010
|
OTHER
|
Open Tx Distal Intraarticular
|
7
|
7
|
$13,049.00
|
—
|
$10,112.98
|
$10,112.98
|
$10,112.98
|
2026-05-22
|
|
3728620
|
OTHER
|
Shoulder Arthroscopy/surgery W/repair Of Slap Lesion
|
7
|
7
|
$13,038.40
|
—
|
$10,104.76
|
$10,104.76
|
$10,104.76
|
2026-05-22
|
|
38165239
|
OTHER
|
49651 Laparoscopy, Surgical; Repair Recurrent Inguinal Hernia
|
7
|
7
|
$13,031.00
|
—
|
$10,099.02
|
$10,099.02
|
$10,099.02
|
2026-05-22
|
|
51097423
|
OTHER
|
49616 Repair Of Anterior Abdominal Hernia (s) Recurrent 3 Cm To 10 Cm Incarcerat…
|
7
|
7
|
$13,031.00
|
—
|
$10,099.02
|
$10,099.02
|
$10,099.02
|
2026-05-22
|
|
51097417
|
OTHER
|
49594 Repair Of Anterior Abdominal Hernia (s) Initial 3 Cm To 10 Cm Incarcerated…
|
7
|
7
|
$12,873.30
|
—
|
$9,976.81
|
$9,976.81
|
$9,976.81
|
2026-05-22
|
|
51069763
|
OTHER
|
49650 - Laparoscopy, Surgical; Repair Initial Inguinal Hernia
|
7
|
7
|
$11,703.00
|
—
|
$9,069.83
|
$9,069.83
|
$9,069.83
|
2026-05-22
|
|
47922467
|
OTHER
|
49322-80 Laparoscopy, Surgical; With Aspiration Of Cavity Or Cyst (single Or Mul…
|
7
|
7
|
$11,490.00
|
—
|
$8,904.75
|
$8,904.75
|
$8,904.75
|
2026-05-22
|
|
49831520
|
OTHER
|
58353 Endometrial Abltj Thermal Without Hysteroscopic Guid
|
7
|
7
|
$10,641.00
|
—
|
$8,246.77
|
$8,246.77
|
$8,246.77
|
2026-05-22
|
|
47922126
|
OTHER
|
58662-80 Laparoscopy Surgical With Fulguration/Excsicion Lesions Charge
|
7
|
7
|
$10,493.40
|
—
|
$8,132.39
|
$8,132.39
|
$8,132.39
|
2026-05-22
|
|
48961335
|
OTHER
|
58563 Hysteroscopy, Surgical; Endometrial Ablation
|
7
|
7
|
$10,315.00
|
—
|
$7,994.12
|
$7,994.12
|
$7,994.12
|
2026-05-22
|
|
49875626
|
OTHER
|
58561 Hysteroscopy Removal Leiomyomata
|
7
|
7
|
$10,315.00
|
—
|
$7,994.12
|
$7,994.12
|
$7,994.12
|
2026-05-22
|
|
51062894
|
OTHER
|
19301 Mastectomy, Partial (eg, Lumpectomy, Tylectomy, Quadrantectomy, Segmentect…
|
7
|
7
|
$9,988.00
|
—
|
$7,740.70
|
$7,740.70
|
$7,740.70
|
2026-05-22
|
|
50714990
|
OTHER
|
15734 - Musc Myocutaneous/fasciocutaneous Flap Trunk
|
7
|
7
|
$8,991.00
|
—
|
$6,968.02
|
$6,968.02
|
$6,968.02
|
2026-05-22
|
|
753594
|
OTHER
|
Xr Cholangiography Exist Cath S&i
|
7
|
7
|
$8,842.00
|
—
|
$6,852.55
|
$6,852.55
|
$6,852.55
|
2026-05-22
|
|
51130270
|
OTHER
|
49591 Rpr Aa Hernia 1st < 3 Cm Reducible-henr
|
7
|
7
|
$8,748.30
|
—
|
$6,779.94
|
$6,779.94
|
$6,779.94
|
2026-05-22
|
|
48580498
|
OTHER
|
26952 Amp F/th 1/2 Jt/phalanx W/neurect Local Flap TechFee
|
7
|
7
|
$8,687.56
|
—
|
$6,732.86
|
$6,732.86
|
$6,732.86
|
2026-05-22
|
|
8816950
|
OTHER
|
Amputation, Finger Or Thumb, Primary Or Secondary, Any Joint Or Phalanx, Single,…
|
7
|
7
|
$8,687.56
|
—
|
$6,732.86
|
$6,732.86
|
$6,732.86
|
2026-05-22
|
|
51053504
|
OTHER
|
38531 Biopsy Or Excision Of Lymph Node(s); Open Inguinofemoral Node(s)
|
7
|
7
|
$8,155.00
|
—
|
$6,320.12
|
$6,320.12
|
$6,320.12
|
2026-05-22
|
|
48609616
|
OTHER
|
26951 Amp F/th 1/2 Jt/phalanx W/neurect W/dir Clsr TechFee
|
7
|
7
|
$8,147.52
|
—
|
$6,314.32
|
$6,314.32
|
$6,314.32
|
2026-05-22
|
|
1349624
|
OTHER
|
Amputation, Finger Or Thumb, Primary Or Secondary, Any Joint Or Phalanx, Single,…
|
7
|
7
|
$8,147.52
|
—
|
$6,314.32
|
$6,314.32
|
$6,314.32
|
2026-05-22
|
|
50861357
|
OTHER
|
Biopsy Breast Open Incisional
|
7
|
7
|
$8,063.00
|
—
|
$6,248.82
|
$6,248.82
|
$6,248.82
|
2026-05-22
|
|
47922449
|
OTHER
|
49521-as Repair Recurrent Inguinal Hernia, Any Age; Incarcerated Or Strangulated
|
7
|
7
|
$7,953.00
|
—
|
$6,163.57
|
$6,163.57
|
$6,163.57
|
2026-05-22
|
|
47810686
|
OTHER
|
Management Of Liver Hemorrhage, Exploration Of Hepatic Wound
|
7
|
7
|
$7,532.00
|
—
|
$5,837.30
|
$5,837.30
|
$5,837.30
|
2026-05-22
|
|
51567054
|
OTHER
|
Excision Of Spermatic Cord (separate Procedure)
|
7
|
7
|
$7,458.00
|
—
|
$5,779.95
|
$5,779.95
|
$5,779.95
|
2026-05-22
|
|
51265596
|
OTHER
|
Sphincterotomy Anal Division Of Sphincter Spx
|
7
|
7
|
$7,414.00
|
—
|
$5,745.85
|
$5,745.85
|
$5,745.85
|
2026-05-22
|
|
48581030
|
OTHER
|
G0390 Trauma Respons W/hosp Criti TechFee
|
7
|
7
|
$7,340.88
|
—
|
$5,689.19
|
$5,689.19
|
$5,689.19
|
2026-05-22
|
|
48498481
|
OTHER
|
49525 Rpr Ingun Hernia Sliding Any Age
|
7
|
7
|
$7,278.00
|
—
|
$5,640.45
|
$5,640.45
|
$5,640.45
|
2026-05-22
|
|
50454530
|
OTHER
|
28270 Capsulotomy; Metatarsophalangeal Joint, With Or Without Tenorrhaphyk Each …
|
7
|
7
|
$7,231.00
|
—
|
$5,604.02
|
$5,604.02
|
$5,604.02
|
2026-05-22
|
|
50454529
|
OTHER
|
28285 Corretion Hammertoe
|
7
|
7
|
$7,231.00
|
—
|
$5,604.02
|
$5,604.02
|
$5,604.02
|
2026-05-22
|
|
48498380
|
OTHER
|
28825 Amputation Toe Interphalangeal Joint
|
7
|
7
|
$7,231.00
|
—
|
$5,604.02
|
$5,604.02
|
$5,604.02
|
2026-05-22
|
|
48856585
|
OTHER
|
63688 Revise Remove Implnt Spinal Neurostim Gen
|
7
|
7
|
$7,198.00
|
—
|
$5,578.45
|
$5,578.45
|
$5,578.45
|
2026-05-22
|
|
47795132
|
OTHER
|
28296 Correction Of Bunion
|
7
|
7
|
$7,144.50
|
—
|
$5,536.99
|
$5,536.99
|
$5,536.99
|
2026-05-22
|
|
48449430
|
OTHER
|
Antivenin (Crotalidae) Polyvalent Inj Sol [hrmc]
|
7
|
7
|
$6,984.57
|
—
|
$5,413.04
|
$5,413.04
|
$5,413.04
|
2026-05-22
|
|
48580635
|
OTHER
|
35206 Repair Blood Vessel Direct Upper Extremity TechFee
|
7
|
7
|
$6,929.00
|
—
|
$5,369.98
|
$5,369.98
|
$5,369.98
|
2026-05-22
|
|
47922561
|
OTHER
|
47563-80 Laparoscopy, Surgical; Cholecystectomy With Cholangiography
|
7
|
7
|
$6,925.64
|
—
|
$5,367.37
|
$5,367.37
|
$5,367.37
|
2026-05-22
|
|
47922127
|
OTHER
|
58661-80 Laparoscopy, Surgical; With Removal Of Adnexal Structures
|
7
|
7
|
$6,925.64
|
—
|
$5,367.37
|
$5,367.37
|
$5,367.37
|
2026-05-22
|
|
47922521
|
OTHER
|
49320-80 Laparoscopy, Abdomen, Peritoneum, & Omentum, Diag,with Without Collect Of Spe…
|
7
|
7
|
$6,925.64
|
—
|
$5,367.37
|
$5,367.37
|
$5,367.37
|
2026-05-22
|
|
47922562
|
OTHER
|
47562-as Laparoscopy, Surgical; Cholecystectomy
|
7
|
7
|
$6,925.64
|
—
|
$5,367.37
|
$5,367.37
|
$5,367.37
|
2026-05-22
|
|
49457162
|
OTHER
|
28289 Hallux Rigidus W/cheilectomy 1st Mp Jt Without Implt
|
7
|
7
|
$6,925.00
|
—
|
$5,366.88
|
$5,366.88
|
$5,366.88
|
2026-05-22
|
|
51138868
|
OTHER
|
28008 Fasciotomy Foot&/toe
|
7
|
7
|
$6,925.00
|
—
|
$5,366.88
|
$5,366.88
|
$5,366.88
|
2026-05-22
|
|
47786569
|
OTHER
|
28122 Partial Exc Of Tarsal Or Metatarsal Bone, Except Talus Or Calcaneus
|
7
|
7
|
$6,925.00
|
—
|
$5,366.88
|
$5,366.88
|
$5,366.88
|
2026-05-22
|
|
49985032
|
OTHER
|
35207 Rep Blood Vessel Direct; Hand Finger
|
7
|
7
|
$6,689.00
|
—
|
$5,183.98
|
$5,183.98
|
$5,183.98
|
2026-05-22
|
|
50642144
|
OTHER
|
28292 Correction, Hallux Valgus (bunionectomy) With Sesamoidectomy, When Perfor…
|
7
|
7
|
$6,684.00
|
—
|
$5,180.10
|
$5,180.10
|
$5,180.10
|
2026-05-22
|
|
48251416
|
OTHER
|
29884 Arthroscopy Knee W Lysis Of Adhesions
|
7
|
7
|
$6,613.00
|
—
|
$5,125.07
|
$5,125.07
|
$5,125.07
|
2026-05-22
|
|
48261848
|
OTHER
|
26546 Repair Nonunion Hand
|
7
|
7
|
$6,613.00
|
—
|
$5,125.07
|
$5,125.07
|
$5,125.07
|
2026-05-22
|
|
49457163
|
OTHER
|
56440 Marsupialization Bartholins Gland Cyst
|
7
|
7
|
$6,579.00
|
—
|
$5,098.73
|
$5,098.73
|
$5,098.73
|
2026-05-22
|
|
50663250
|
OTHER
|
57522 Conization Of Cervix Sn
|
7
|
7
|
$6,559.00
|
—
|
$5,083.23
|
$5,083.23
|
$5,083.23
|
2026-05-22
|
|
48985527
|
OTHER
|
23125 Claviculectomy; Total
|
7
|
7
|
$6,559.00
|
—
|
$5,083.23
|
$5,083.23
|
$5,083.23
|
2026-05-22
|
|
48943812
|
OTHER
|
29822 Shoulder Arthroscopy Debridement Limited
|
7
|
7
|
$6,559.00
|
—
|
$5,083.23
|
$5,083.23
|
$5,083.23
|
2026-05-22
|
|
36523660
|
OTHER
|
Arthroscopy, Shoulder, Surgical; Capsulorrhaphy
|
7
|
7
|
$6,513.00
|
—
|
$5,047.57
|
$5,047.57
|
$5,047.57
|
2026-05-22
|
|
51022445
|
OTHER
|
28288 Ostectomy Partial Exostectomy Or Condylectomy Metatarsal Head Ea Metatarsa…
|
7
|
7
|
$6,495.00
|
—
|
$5,033.62
|
$5,033.62
|
$5,033.62
|
2026-05-22
|
|
48821844
|
OTHER
|
31525 Laryngoscopy W/wo Tracheoscopy Dx Except Newborn TechFee
|
7
|
7
|
$6,442.14
|
—
|
$4,992.66
|
$4,992.66
|
$4,992.66
|
2026-05-22
|
|
48990891
|
OTHER
|
31525 Laryngoscopy Direct; Diagnostic, Except Newborn
|
7
|
7
|
$6,442.14
|
—
|
$4,992.66
|
$4,992.66
|
$4,992.66
|
2026-05-22
|
|
48965415
|
OTHER
|
47554 Biliary Endoscopy, Percutaneous Via T-tube Or Other Tract; With Removal Of…
|
7
|
7
|
$6,296.04
|
—
|
$4,879.43
|
$4,879.43
|
$4,879.43
|
2026-05-22
|
|
49028829
|
OTHER
|
58670 Laparoscopy, Surgical; With Fulguration Of Oviducts (with Or Without Trans…
|
7
|
7
|
$6,296.04
|
—
|
$4,879.43
|
$4,879.43
|
$4,879.43
|
2026-05-22
|
|
47922117
|
OTHER
|
59150-80 Laparoscopic Treatment Of Ectopic Pregnancy; Without Salpingectomy And/…
|
7
|
7
|
$6,296.04
|
—
|
$4,879.43
|
$4,879.43
|
$4,879.43
|
2026-05-22
|
|
47922116
|
OTHER
|
59151-80 Laparoscopic Treatment Of Ectopic Pregnancy; With Salpingectomy And/or…
|
7
|
7
|
$6,296.04
|
—
|
$4,879.43
|
$4,879.43
|
$4,879.43
|
2026-05-22
|
|
47922464
|
OTHER
|
49329-80 Unlisted Laparoscopy Procedure, Abdomen, Peritoneum And Omentum
|
7
|
7
|
$6,296.04
|
—
|
$4,879.43
|
$4,879.43
|
$4,879.43
|
2026-05-22
|
|
49028830
|
OTHER
|
58671 Laparoscopy, Surgical; With Occlusion Of Oviducts By Device (eg, Band, Cli…
|
7
|
7
|
$6,296.04
|
—
|
$4,879.43
|
$4,879.43
|
$4,879.43
|
2026-05-22
|
|
47922499
|
OTHER
|
44970-80 Laparoscopy, Surgical, Appendectomy
|
7
|
7
|
$6,296.04
|
—
|
$4,879.43
|
$4,879.43
|
$4,879.43
|
2026-05-22
|
|
47796520
|
OTHER
|
29882 Knee Arthroscopy/surgery W Meniscus Repair
|
7
|
7
|
$6,094.00
|
—
|
$4,722.85
|
$4,722.85
|
$4,722.85
|
2026-05-22
|
|
25278579
|
OTHER
|
28090 Excision Lesion, Tendon, Tendon Sheath Or Capsule (cyst Or Ganglion) Foot
|
7
|
7
|
$6,094.00
|
—
|
$4,722.85
|
$4,722.85
|
$4,722.85
|
2026-05-22
|
|
47784429
|
OTHER
|
26410 Repair, Extensor Tendon, Hand, Primary Or Secondary; Without Free Graft, Each …
|
7
|
7
|
$6,094.00
|
—
|
$4,722.85
|
$4,722.85
|
$4,722.85
|
2026-05-22
|
|
4780901
|
OTHER
|
Open Tx Of Distal Phalangeal Fx, Finger Or Thumb, W/Wo Int Fix
|
7
|
7
|
$6,094.00
|
—
|
$4,722.85
|
$4,722.85
|
$4,722.85
|
2026-05-22
|
|
48834077
|
OTHER
|
25447 Arthroplasty Interposition I
|
7
|
7
|
$6,094.00
|
—
|
$4,722.85
|
$4,722.85
|
$4,722.85
|
2026-05-22
|
|
47796517
|
OTHER
|
29877 Knee Arthroscopy/surgery, Drilling
|
7
|
7
|
$6,094.00
|
—
|
$4,722.85
|
$4,722.85
|
$4,722.85
|
2026-05-22
|
|
41521659
|
OTHER
|
26756 Percutaneous Skeletal Fixation Of Distal Phalangeal Fracture Finger Or Thu…
|
7
|
7
|
$6,094.00
|
—
|
$4,722.85
|
$4,722.85
|
$4,722.85
|
2026-05-22
|
|
47784280
|
OTHER
|
25112 Exc Of Ganglion, Wrist; Recurrent
|
7
|
7
|
$6,094.00
|
—
|
$4,722.85
|
$4,722.85
|
$4,722.85
|
2026-05-22
|
|
47796515
|
OTHER
|
29874 Knee Arthroscopy/surgery Removal Of Foreign Body
|
7
|
7
|
$6,094.00
|
—
|
$4,722.85
|
$4,722.85
|
$4,722.85
|
2026-05-22
|
|
47784495
|
OTHER
|
26706 Percutaneous Skeletal Fixation Of Metacarpophalangeal Dislocation, Single,…
|
7
|
7
|
$6,094.00
|
—
|
$4,722.85
|
$4,722.85
|
$4,722.85
|
2026-05-22
|
|
47796518
|
OTHER
|
29879 Knee Abrasion Arthroscopy/surgery
|
7
|
7
|
$6,094.00
|
—
|
$4,722.85
|
$4,722.85
|
$4,722.85
|
2026-05-22
|
|
47784498
|
OTHER
|
26735 Open Trtmnt Of Phalangeal Shaft Fracture, Each
|
7
|
7
|
$6,094.00
|
—
|
$4,722.85
|
$4,722.85
|
$4,722.85
|
2026-05-22
|
|
47784497
|
OTHER
|
26727 Percutaneous Skeletal Fixation Of Unstable Phalangeal Shaft Fracture, Each
|
7
|
7
|
$6,094.00
|
—
|
$4,722.85
|
$4,722.85
|
$4,722.85
|
2026-05-22
|
|
47796519
|
OTHER
|
29880 Knee Arthroscopy/surgery W Meniscectomy
|
7
|
7
|
$6,094.00
|
—
|
$4,722.85
|
$4,722.85
|
$4,722.85
|
2026-05-22
|
|
47784491
|
OTHER
|
26676 Percutaneous Skeletal Fixation Of Carpometacarpal Dislocation, Other Than …
|
7
|
7
|
$6,094.00
|
—
|
$4,722.85
|
$4,722.85
|
$4,722.85
|
2026-05-22
|
|
8816949
|
OTHER
|
Open Trtmt Of Interphalangeal Joint Dislocation, With Or Without Inter Or Ext Fixation…
|
7
|
7
|
$6,094.00
|
—
|
$4,722.85
|
$4,722.85
|
$4,722.85
|
2026-05-22
|
|
49505933
|
OTHER
|
Arthroscopy Knee W Menisectomy Medial Or Lateral
|
7
|
7
|
$6,094.00
|
—
|
$4,722.85
|
$4,722.85
|
$4,722.85
|
2026-05-22
|
|
47784453
|
OTHER
|
26650 Percutaneous Skeletal Fixation Of Carpometacarpal Fracture Dislocation, Th…
|
7
|
7
|
$6,094.00
|
—
|
$4,722.85
|
$4,722.85
|
$4,722.85
|
2026-05-22
|
|
47796514
|
OTHER
|
29873 Knee Arthroscopy/surgery W Later Release
|
7
|
7
|
$6,094.00
|
—
|
$4,722.85
|
$4,722.85
|
$4,722.85
|
2026-05-22
|
|
47784504
|
OTHER
|
26776 Percutaneous Skeletal Fixation Of Interphalangeal Joint Disloaction, Singl…
|
7
|
7
|
$6,094.00
|
—
|
$4,722.85
|
$4,722.85
|
$4,722.85
|
2026-05-22
|
|
8816947
|
OTHER
|
Percutaneous Skeletal Fixation Of Metacarpal Fracture, Each Bone
|
7
|
7
|
$6,094.00
|
—
|
$4,722.85
|
$4,722.85
|
$4,722.85
|
2026-05-22
|
|
50571867
|
OTHER
|
43632 Gastrectomy Partial Distal W Gastrojejunostomy
|
7
|
7
|
$6,000.00
|
—
|
$4,650.00
|
$4,650.00
|
$4,650.00
|
2026-05-22
|
|
48498350
|
OTHER
|
21933 Exc Tumor Soft Tiss Back/flank Subfascial 5 Cm/>
|
7
|
7
|
$5,946.00
|
—
|
$4,608.15
|
$4,608.15
|
$4,608.15
|
2026-05-22
|
|
1479669
|
OTHER
|
Incision And Drainage Of Hematoma, Seroma Or Fluid Collection
|
7
|
7
|
$5,944.35
|
—
|
$4,606.88
|
$4,606.88
|
$4,606.88
|
2026-05-22
|
|
48567627
|
OTHER
|
10140 I&d Hematoma Seroma/fluid Collection TechFee
|
7
|
7
|
$5,944.35
|
—
|
$4,606.88
|
$4,606.88
|
$4,606.88
|
2026-05-22
|
|
51809080
|
OTHER
|
Critical Care W Ventilation Management
|
7
|
7
|
$5,939.00
|
—
|
$4,602.73
|
$4,602.73
|
$4,602.73
|
2026-05-22
|
|
47782397
|
OTHER
|
20680 Removal Of Support Implant; Deep
|
7
|
7
|
$5,907.00
|
—
|
$4,577.93
|
$4,577.93
|
$4,577.93
|
2026-05-22
|
|
50131278
|
OTHER
|
Hysteroscopy W Removal Impacted Foreign Body
|
7
|
7
|
$5,904.00
|
—
|
$4,575.60
|
$4,575.60
|
$4,575.60
|
2026-05-22
|
|
41521662
|
OTHER
|
58120 Dilation And Curettage, Diagnostic &/or Therapeutic (nonobstetrical)
|
7
|
7
|
$5,904.00
|
—
|
$4,575.60
|
$4,575.60
|
$4,575.60
|
2026-05-22
|
|
50045647
|
OTHER
|
Hysteroscopy W Biopsy Endometrium &/or Polypectomy W/wo D&c
|
7
|
7
|
$5,904.00
|
—
|
$4,575.60
|
$4,575.60
|
$4,575.60
|
2026-05-22
|
|
48615152
|
OTHER
|
59820 Surgical Tx Of Missed Abortion
|
7
|
7
|
$5,904.00
|
—
|
$4,575.60
|
$4,575.60
|
$4,575.60
|
2026-05-22
|
|
49915474
|
OTHER
|
24071 Ex Tumor Soft Tissue Upper Arm Or Elbow Subq 3cm Or >
|
7
|
7
|
$5,812.00
|
—
|
$4,504.30
|
$4,504.30
|
$4,504.30
|
2026-05-22
|
|
48695162
|
OTHER
|
21552 Exc, Tumor, Soft Tissue Neck Or Anterior Thorax Subq; 3cm Or Greater
|
7
|
7
|
$5,801.00
|
—
|
$4,495.77
|
$4,495.77
|
$4,495.77
|
2026-05-22
|
|
47922122
|
OTHER
|
58925-80 Ovarian Cystectomy, Unilateral Or Bilateral
|
7
|
7
|
$5,713.86
|
—
|
$4,428.24
|
$4,428.24
|
$4,428.24
|
2026-05-22
|
|
49590230
|
OTHER
|
59160 Curettage Postpartum
|
7
|
7
|
$5,682.00
|
—
|
$4,403.55
|
$4,403.55
|
$4,403.55
|
2026-05-22
|
|
49276058
|
OTHER
|
Unlisted Procedure Maternity Care & Del
|
7
|
7
|
$5,682.00
|
—
|
$4,403.55
|
$4,403.55
|
$4,403.55
|
2026-05-22
|
|
48695183
|
OTHER
|
59414 Delivery Of Placenta, Seperate Procedure
|
7
|
7
|
$5,680.00
|
—
|
$4,402.00
|
$4,402.00
|
$4,402.00
|
2026-05-22
|
|
49018041
|
OTHER
|
59414 Delivery Of Placenta Charge
|
7
|
7
|
$5,680.00
|
—
|
$4,402.00
|
$4,402.00
|
$4,402.00
|
2026-05-22
|
|
1407617
|
OTHER
|
Choledochoduodenostomy
|
7
|
7
|
$5,475.00
|
—
|
$4,243.12
|
$4,243.12
|
$4,243.12
|
2026-05-22
|
|
47782392
|
OTHER
|
20525 Removal Of Foreign Body In Muscle Or Tendon Sheath; Deep Or Complicated
|
7
|
7
|
$5,370.00
|
—
|
$4,161.75
|
$4,161.75
|
$4,161.75
|
2026-05-22
|
|
51408891
|
OTHER
|
Compression 4 Hole T-plate
|
7
|
7
|
$5,250.00
|
—
|
$4,068.75
|
$4,068.75
|
$4,068.75
|
2026-05-22
|
|
47922210
|
OTHER
|
51860-as Cystorrhaphy, Suture Of Bladder Wound, Injury Or Rupture; Simple
|
7
|
7
|
$5,223.81
|
—
|
$4,048.45
|
$4,048.45
|
$4,048.45
|
2026-05-22
|
|
47922414
|
OTHER
|
44150-as Colectomy, Total, Abdominal, Without Proctectomy; With Ileostomy Or Ile…
|
7
|
7
|
$5,141.40
|
—
|
$3,984.59
|
$3,984.59
|
$3,984.59
|
2026-05-22
|
|
48498507
|
OTHER
|
43800 Pyloroplasty.
|
7
|
7
|
$5,010.00
|
—
|
$3,882.75
|
$3,882.75
|
$3,882.75
|
2026-05-22
|
|
51516131
|
OTHER
|
Removal Fb Intraocular Anterior Chamber Eye Or Lens
|
7
|
7
|
$4,986.00
|
—
|
$3,864.15
|
$3,864.15
|
$3,864.15
|
2026-05-22
|
|
49808795
|
OTHER
|
2.4/2.7mm Va-lcp 2-clmn Vlr Dstradiu Pl Xlong Rt 186mm
|
7
|
7
|
$4,983.00
|
—
|
$3,861.82
|
$3,861.82
|
$3,861.82
|
2026-05-22
|
|
47922172
|
OTHER
|
58150-as Total Abd. Hysterectomy, With Or Without Removal Of Tube(s) Or Ovary(s) Charg…
|
7
|
7
|
$4,900.00
|
—
|
$3,797.50
|
$3,797.50
|
$3,797.50
|
2026-05-22
|
|
47922416
|
OTHER
|
44160-as Colectomy, Partial, With Removal Of Terminal Ileum With Ileocolostomy
|
7
|
7
|
$4,859.00
|
—
|
$3,765.72
|
$3,765.72
|
$3,765.72
|
2026-05-22
|
|
49759106
|
OTHER
|
44603- Suture Of Small Intestine (enterorrhaphy) For Perforated Ulcer, Diverticu…
|
7
|
7
|
$4,825.00
|
—
|
$3,739.38
|
$3,739.38
|
$3,739.38
|
2026-05-22
|
|
49745548
|
OTHER
|
57460 Colposcopy Cervix Vag Loop Eltrd Bx Cervix
|
7
|
7
|
$4,814.00
|
—
|
$3,730.85
|
$3,730.85
|
$3,730.85
|
2026-05-22
|
|
48658292
|
OTHER
|
44143 Colectomy, Partial, With End Colostomy And Closure Of Distal Segment
|
7
|
7
|
$4,750.00
|
—
|
$3,681.25
|
$3,681.25
|
$3,681.25
|
2026-05-22
|
|
47922456
|
OTHER
|
49507-as Repair Initial Inguinal Hernia, Age 5 Years Or Over; Incarcerated Or St…
|
7
|
7
|
$4,721.53
|
—
|
$3,659.18
|
$3,659.18
|
$3,659.18
|
2026-05-22
|
|
47922459
|
OTHER
|
49505-as Prp I/hern Init Reduc >5 Yr
|
7
|
7
|
$4,721.53
|
—
|
$3,659.18
|
$3,659.18
|
$3,659.18
|
2026-05-22
|
|
49808793
|
OTHER
|
2.4/2.7mm Va-lcp 2-clmn Vlr Dstradiu Pl Xlong Rt 145mm
|
7
|
7
|
$4,710.00
|
—
|
$3,650.25
|
$3,650.25
|
$3,650.25
|
2026-05-22
|
|
49808794
|
OTHER
|
2.4/2.7mm Va-lcp 2-clmn Vlr Dstradiu Pl Xlong Lt 145mm
|
7
|
7
|
$4,710.00
|
—
|
$3,650.25
|
$3,650.25
|
$3,650.25
|
2026-05-22
|
|
51157543
|
OTHER
|
Ventralight Mesh 10x13
|
7
|
7
|
$4,667.00
|
—
|
$3,616.93
|
$3,616.93
|
$3,616.93
|
2026-05-22
|
|
44474127
|
OTHER
|
Critical Care Fct Charge
|
7
|
7
|
$4,597.29
|
—
|
$3,562.90
|
$3,562.90
|
$3,562.90
|
2026-05-22
|
|
47922424
|
OTHER
|
44204-80 Laparoscopy, Surgical; Colectomy, Partial, With Anastomosis
|
7
|
7
|
$4,552.90
|
—
|
$3,528.50
|
$3,528.50
|
$3,528.50
|
2026-05-22
|
|
49808786
|
OTHER
|
2.4/2.7mm Va-lcp 2-clmn Vlr Dstradiu Pl Xlong Rt 105mm
|
7
|
7
|
$4,491.00
|
—
|
$3,480.53
|
$3,480.53
|
$3,480.53
|
2026-05-22
|
|
49808791
|
OTHER
|
2.4/2.7mm Va-lcp 2-clmn Vlr Dstradiu Pl Xlong Rt 109mm
|
7
|
7
|
$4,491.00
|
—
|
$3,480.53
|
$3,480.53
|
$3,480.53
|
2026-05-22
|
|
49808787
|
OTHER
|
2.4/2.7mm Va-lcp 2-clmn Vlr Dstradiu Pl Xlong Lt 105mm
|
7
|
7
|
$4,491.00
|
—
|
$3,480.53
|
$3,480.53
|
$3,480.53
|
2026-05-22
|
|
49808792
|
OTHER
|
2.4/2.7mm Va-lcp 2-clmn Vlr Dstradiu Pl Xlong Lt 109mm
|
7
|
7
|
$4,491.00
|
—
|
$3,480.53
|
$3,480.53
|
$3,480.53
|
2026-05-22
|
|
47824872
|
OTHER
|
11404 Excision Benign Lesion 3.1-4.0cm
|
7
|
7
|
$4,490.06
|
—
|
$3,479.80
|
$3,479.80
|
$3,479.80
|
2026-05-22
|
|
48498079
|
OTHER
|
11404 Excision, Benign Lesion Including Margins, Trunk, Arms Or Legs; Excised Di…
|
7
|
7
|
$4,490.06
|
—
|
$3,479.80
|
$3,479.80
|
$3,479.80
|
2026-05-22
|
|
10747172
|
OTHER
|
Colectomy, Partial; With Resection, With Colostomy Or Ileostomy And Creation Of …
|
7
|
7
|
$4,453.00
|
—
|
$3,451.07
|
$3,451.07
|
$3,451.07
|
2026-05-22
|
|
50335244
|
OTHER
|
51040 Cystostomy/cystotomy W Drainage
|
7
|
7
|
$4,452.00
|
—
|
$3,450.30
|
$3,450.30
|
$3,450.30
|
2026-05-22
|
|
48498417
|
OTHER
|
43501 Gastrotomy W/suture Repair Bleeding Ulcer
|
7
|
7
|
$4,350.00
|
—
|
$3,371.25
|
$3,371.25
|
$3,371.25
|
2026-05-22
|
|
48580661
|
OTHER
|
36556 Insj Non-tunneled Central Venous Cath Age 5 Yr/> TechFee
|
7
|
7
|
$4,347.09
|
—
|
$3,368.99
|
$3,368.99
|
$3,368.99
|
2026-05-22
|
|
40964907
|
OTHER
|
36556 Insertion Of Non-tunneled Centrally Inserted Central Venous Catheter; Age …
|
7
|
7
|
$4,347.09
|
—
|
$3,368.99
|
$3,368.99
|
$3,368.99
|
2026-05-22
|
|
48878346
|
OTHER
|
36556 Insert Non Tunnel Cv Cath 5yrs/ > Charge
|
7
|
7
|
$4,347.09
|
—
|
$3,368.99
|
$3,368.99
|
$3,368.99
|
2026-05-22
|
|
47922454
|
OTHER
|
49520-as Repair Recurrent Inguinal Hernia, Any Age; Reducible
|
7
|
7
|
$4,292.30
|
—
|
$3,326.53
|
$3,326.53
|
$3,326.53
|
2026-05-22
|
|
47922489
|
OTHER
|
44950-as Appendectomy
|
7
|
7
|
$4,292.30
|
—
|
$3,326.53
|
$3,326.53
|
$3,326.53
|
2026-05-22
|
|
49846502
|
OTHER
|
Surgimesh Xb Ventral 15cm X 22cm
|
7
|
7
|
$4,275.00
|
—
|
$3,313.12
|
$3,313.12
|
$3,313.12
|
2026-05-22
|
|
50404369
|
OTHER
|
Surgimesh Xb Barrel
|
7
|
7
|
$4,275.00
|
—
|
$3,313.12
|
$3,313.12
|
$3,313.12
|
2026-05-22
|
|
47922112
|
OTHER
|
59514-as Cesarean Delivery Only;
|
7
|
7
|
$4,261.25
|
—
|
$3,302.47
|
$3,302.47
|
$3,302.47
|
2026-05-22
|
|
50475165
|
OTHER
|
47350 Management Of Liver Hemorrhage
|
7
|
7
|
$4,250.00
|
—
|
$3,293.75
|
$3,293.75
|
$3,293.75
|
2026-05-22
|
|
49849108
|
OTHER
|
I&d Epidiymis Testes &/or Scrotal Space Abscess Or Hematoma
|
7
|
7
|
$4,239.00
|
—
|
$3,285.22
|
$3,285.22
|
$3,285.22
|
2026-05-22
|
|
47922552
|
OTHER
|
47610-80 Cholecystectomy With Exploration Of Common Duct;
|
7
|
7
|
$4,210.80
|
—
|
$3,263.37
|
$3,263.37
|
$3,263.37
|
2026-05-22
|
|
50861342
|
OTHER
|
Pleural Drainage Percutaneous W Insertion Indwelling Cath Wo Imaging
|
7
|
7
|
$4,148.00
|
—
|
$3,214.70
|
$3,214.70
|
$3,214.70
|
2026-05-22
|
|
50556318
|
OTHER
|
Application Skin Graft Trunk Arms Legs Up To 100 Sqcm; 1st 25 Sqcm
|
7
|
7
|
$4,057.00
|
—
|
$3,144.18
|
$3,144.18
|
$3,144.18
|
2026-05-22
|
|
48315632
|
OTHER
|
63661 Removal Of Spinal Neurostimulator Electrode Percutaneous Array(s), Includi…
|
7
|
7
|
$4,026.00
|
—
|
$3,120.15
|
$3,120.15
|
$3,120.15
|
2026-05-22
|
|
49811439
|
OTHER
|
43840- Gastrorrhaphy, Suture Of Perforated Duodenal Or Gastric Ulcer, Wound, Or …
|
7
|
7
|
$4,025.00
|
—
|
$3,119.38
|
$3,119.38
|
$3,119.38
|
2026-05-22
|
|
48498440
|
OTHER
|
44310 Ileostomy/jejunostomy Non-tube
|
7
|
7
|
$4,000.00
|
—
|
$3,100.00
|
$3,100.00
|
$3,100.00
|
2026-05-22
|
|
1349614
|
OTHER
|
Secondary Closure Of Surgical Wound Or Dehiscence, Extensive Or Complicated
|
7
|
7
|
$3,921.00
|
—
|
$3,038.78
|
$3,038.78
|
$3,038.78
|
2026-05-22
|
|
49028822
|
OTHER
|
26455 Tenotomy, Flexor, Finger, Open, Each Tendon
|
7
|
7
|
$3,919.00
|
—
|
$3,037.22
|
$3,037.22
|
$3,037.22
|
2026-05-22
|
|
48580957
|
OTHER
|
64450 Injection Anes Other Peripheral Nerve/branch TechFee
|
7
|
7
|
$3,917.85
|
—
|
$3,036.34
|
$3,036.34
|
$3,036.34
|
2026-05-22
|
|
3726708
|
OTHER
|
Revise Ulnar Nerve At Elbow
|
7
|
7
|
$3,907.00
|
—
|
$3,027.93
|
$3,027.93
|
$3,027.93
|
2026-05-22
|
|
48834079
|
OTHER
|
64721 Neuroplasty Transposition Nrv Carpl
|
7
|
7
|
$3,907.00
|
—
|
$3,027.93
|
$3,027.93
|
$3,027.93
|
2026-05-22
|
|
47782304
|
OTHER
|
15851 Removal Of Sutures Under Anesthesia Other Surgeon
|
7
|
7
|
$3,873.00
|
—
|
$3,001.57
|
$3,001.57
|
$3,001.57
|
2026-05-22
|
|
48658304
|
OTHER
|
46260 Hemorrhoidectomy, Internal And External, 2 Or More Columns/groups.
|
7
|
7
|
$3,850.00
|
—
|
$2,983.75
|
$2,983.75
|
$2,983.75
|
2026-05-22
|
|
8817040
|
OTHER
|
Arthroscopy, Shoulder, Surgical; Decompression Of Subacromial Space With Partial…
|
7
|
7
|
$3,850.00
|
—
|
$2,983.75
|
$2,983.75
|
$2,983.75
|
2026-05-22
|
|
47922554
|
OTHER
|
47605-80 Cholecystectomy; With Cholangiography
|
7
|
7
|
$3,828.00
|
—
|
$2,966.70
|
$2,966.70
|
$2,966.70
|
2026-05-22
|
|
48498495
|
OTHER
|
54520 Orchiectomy Simple Scrotal/inguinal Approach
|
7
|
7
|
$3,812.24
|
—
|
$2,954.49
|
$2,954.49
|
$2,954.49
|
2026-05-22
|
|
49744489
|
OTHER
|
59150 Laparoscopic Treatment Of Ectopic Pregnancy; Without Salpingectomy And/or …
|
7
|
7
|
$3,810.00
|
—
|
$2,952.75
|
$2,952.75
|
$2,952.75
|
2026-05-22
|
|
48580663
|
OTHER
|
36569 Insj Prph Cvc Without Subq Port/pmp Age 5 Yr/> TechFee
|
7
|
7
|
$3,799.02
|
—
|
$2,944.24
|
$2,944.24
|
$2,944.24
|
2026-05-22
|
|
48878347
|
OTHER
|
36569 Insert Picc Wo Port 5yrs/> Charge
|
7
|
7
|
$3,799.02
|
—
|
$2,944.24
|
$2,944.24
|
$2,944.24
|
2026-05-22
|
|
48498423
|
OTHER
|
43870 Closure Gastrostomy Surg
|
7
|
7
|
$3,764.46
|
—
|
$2,917.45
|
$2,917.45
|
$2,917.45
|
2026-05-22
|
|
27140583
|
OTHER
|
15120 Split, Thickness, Autograft, Face, Scalp, Eyelids, Mouth, Neck, Ears, Orbi…
|
7
|
7
|
$3,755.45
|
—
|
$2,910.47
|
$2,910.47
|
$2,910.47
|
2026-05-22
|
|
48498391
|
OTHER
|
35840 Expl Po Hemrrg Thrombosis/infctj Abd
|
7
|
7
|
$3,750.00
|
—
|
$2,906.25
|
$2,906.25
|
$2,906.25
|
2026-05-22
|
|
47922278
|
OTHER
|
19120-50 Removal Of Breast Lesion
|
7
|
7
|
$3,747.63
|
—
|
$2,904.41
|
$2,904.41
|
$2,904.41
|
2026-05-22
|
|
8835254
|
OTHER
|
Biopsy Or Excision Of Lymph Node(S); Open, Superficial
|
7
|
7
|
$3,747.63
|
—
|
$2,904.41
|
$2,904.41
|
$2,904.41
|
2026-05-22
|
|
47782347
|
OTHER
|
19300 Masectomy For Gynecomastia
|
7
|
7
|
$3,747.63
|
—
|
$2,904.41
|
$2,904.41
|
$2,904.41
|
2026-05-22
|
|
51412722
|
OTHER
|
Ventralight 8x10
|
7
|
7
|
$3,726.00
|
—
|
$2,887.65
|
$2,887.65
|
$2,887.65
|
2026-05-22
|
|
48498377
|
OTHER
|
28126 Resection Partial/complete Phalangeal Base Each
|
7
|
7
|
$3,655.97
|
—
|
$2,833.38
|
$2,833.38
|
$2,833.38
|
2026-05-22
|
|
47796497
|
OTHER
|
28810 Amputation Toe & Metatarsal
|
7
|
7
|
$3,655.97
|
—
|
$2,833.38
|
$2,833.38
|
$2,833.38
|
2026-05-22
|
|
11881116
|
OTHER
|
Excision, Prepatellar Bursa
|
7
|
7
|
$3,655.97
|
—
|
$2,833.38
|
$2,833.38
|
$2,833.38
|
2026-05-22
|
|
8428980
|
OTHER
|
Drainage Of Forearm Lesion
|
7
|
7
|
$3,655.97
|
—
|
$2,833.38
|
$2,833.38
|
$2,833.38
|
2026-05-22
|
|
3726677
|
OTHER
|
Resect Talus/calcaneus Tum
|
7
|
7
|
$3,655.97
|
—
|
$2,833.38
|
$2,833.38
|
$2,833.38
|
2026-05-22
|
|
3726640
|
OTHER
|
Remove Femur Lesion/bursa
|
7
|
7
|
$3,655.97
|
—
|
$2,833.38
|
$2,833.38
|
$2,833.38
|
2026-05-22
|
|
48821842
|
OTHER
|
25606 Perq Skel Fixj Distal Radial Fx/epiphysl Sep TechFee
|
7
|
7
|
$3,655.97
|
—
|
$2,833.38
|
$2,833.38
|
$2,833.38
|
2026-05-22
|
|
48580475
|
OTHER
|
26418 Repair Extensor Tendon Finger Without Graft Each TechFee
|
7
|
7
|
$3,655.97
|
—
|
$2,833.38
|
$2,833.38
|
$2,833.38
|
2026-05-22
|
|
47795137
|
OTHER
|
28315 Removal Of Sesamoid Bone
|
7
|
7
|
$3,655.97
|
—
|
$2,833.38
|
$2,833.38
|
$2,833.38
|
2026-05-22
|
|
47784433
|
OTHER
|
26433 Repair Of Extensor Tendon, Distal Insertion, Primary Or Secondary; Without Gra…
|
7
|
7
|
$3,655.97
|
—
|
$2,833.38
|
$2,833.38
|
$2,833.38
|
2026-05-22
|
|
47796496
|
OTHER
|
28805 Amputation Thru Metatarsal
|
7
|
7
|
$3,655.97
|
—
|
$2,833.38
|
$2,833.38
|
$2,833.38
|
2026-05-22
|
|
752993
|
OTHER
|
CT Angio Lower Extremity Bilat
|
7
|
7
|
$3,653.30
|
—
|
$2,831.31
|
$2,831.31
|
$2,831.31
|
2026-05-22
|
|
50463879
|
OTHER
|
CT Angio Lower Extremity Bilat Double Contrast
|
7
|
7
|
$3,653.30
|
—
|
$2,831.31
|
$2,831.31
|
$2,831.31
|
2026-05-22
|
|
51351206
|
OTHER
|
Braca Panel (Braca 1 And 2) Rl
|
7
|
7
|
$3,650.00
|
—
|
$2,828.75
|
$2,828.75
|
$2,828.75
|
2026-05-22
|
|
48567719
|
OTHER
|
13101 Repair Complex Trunk 2.6-7.5 Cm TechFee
|
7
|
7
|
$3,625.95
|
—
|
$2,810.11
|
$2,810.11
|
$2,810.11
|
2026-05-22
|
|
47922399
|
OTHER
|
44130-as Bowel To Bowel Fusion
|
7
|
7
|
$3,619.00
|
—
|
$2,804.72
|
$2,804.72
|
$2,804.72
|
2026-05-22
|
|
50658781
|
OTHER
|
21931 Exc Back Les Sc 3 Cm/> Sn
|
7
|
7
|
$3,593.00
|
—
|
$2,784.57
|
$2,784.57
|
$2,784.57
|
2026-05-22
|
|
47970590
|
OTHER
|
32554 Thoracentesis, Needle Or Catheter, Aspiration Of The Pleural Space; Withou…
|
7
|
7
|
$3,570.06
|
—
|
$2,766.80
|
$2,766.80
|
$2,766.80
|
2026-05-22
|
|
48580614
|
OTHER
|
32554 Thoracentesis Needle/cath Pleura Without Imaging TechFee
|
7
|
7
|
$3,570.06
|
—
|
$2,766.80
|
$2,766.80
|
$2,766.80
|
2026-05-22
|
|
49391502
|
OTHER
|
43251 Egd Removal Tumor/Polyp/Lesion By Snare
|
7
|
7
|
$3,569.00
|
—
|
$2,765.97
|
$2,765.97
|
$2,765.97
|
2026-05-22
|
|
48440219
|
OTHER
|
28272 Capsulotomy; Interphalangeal Joint, Each Joint, (separate Procedure)
|
7
|
7
|
$3,557.00
|
—
|
$2,756.68
|
$2,756.68
|
$2,756.68
|
2026-05-22
|
|
931623
|
OTHER
|
MRI Face Neck Orbit With + Without Contrast
|
7
|
7
|
$3,555.26
|
—
|
$2,755.32
|
$2,755.32
|
$2,755.32
|
2026-05-22
|
|
48449947
|
OTHER
|
Zoledronic Acid 5 Mg/100 Ml IV Sol [hrmc]
|
7
|
7
|
$3,547.08
|
—
|
$2,748.99
|
$2,748.99
|
$2,748.99
|
2026-05-22
|
|
8835230
|
OTHER
|
Insertion Of A Tunneled Centrally Inserted Central Vad With Subcutaneous Port, A…
|
7
|
7
|
$3,539.40
|
—
|
$2,743.03
|
$2,743.03
|
$2,743.03
|
2026-05-22
|
|
50300965
|
OTHER
|
MRI Mrcp With + Without Contrast
|
7
|
7
|
$3,516.15
|
—
|
$2,725.02
|
$2,725.02
|
$2,725.02
|
2026-05-22
|
|
48580457
|
OTHER
|
25505 Closed Tx Radial Shaft Fracture W/manipulation TechFee
|
7
|
7
|
$3,481.00
|
—
|
$2,697.78
|
$2,697.78
|
$2,697.78
|
2026-05-22
|
|
49581507
|
OTHER
|
Closed Trt Talus Fx W Manipulation
|
7
|
7
|
$3,475.00
|
—
|
$2,693.12
|
$2,693.12
|
$2,693.12
|
2026-05-22
|
|
48567757
|
OTHER
|
20103 Exploration Penetrating Wound Spx Extremity TechFee
|
7
|
7
|
$3,469.00
|
—
|
$2,688.47
|
$2,688.47
|
$2,688.47
|
2026-05-22
|
|
1353673
|
OTHER
|
Excisn, Benign Lesion Margin, Except Skin Tag , Scalp, Neck, Hands, Ft, Genitali…
|
7
|
7
|
$3,469.00
|
—
|
$2,688.47
|
$2,688.47
|
$2,688.47
|
2026-05-22
|
|
51212463
|
OTHER
|
58140 Myomectomy, Ex Fibroid Tumor(s) 1-4 Tot Wt 250gm Or < Abd Approach
|
7
|
7
|
$3,450.00
|
—
|
$2,673.75
|
$2,673.75
|
$2,673.75
|
2026-05-22
|
|
50431871
|
OTHER
|
Trauma Team, Activation Wo Critical Care
|
7
|
7
|
$3,441.00
|
—
|
$2,666.78
|
$2,666.78
|
$2,666.78
|
2026-05-22
|
|
48961316
|
OTHER
|
21550 Biopsy Soft Tissue Neck/ Thorax
|
7
|
7
|
$3,439.00
|
—
|
$2,665.22
|
$2,665.22
|
$2,665.22
|
2026-05-22
|
|
48498402
|
OTHER
|
38300 DRG Lymph Node Absc/lymphadenitis Smpl
|
7
|
7
|
$3,439.00
|
—
|
$2,665.22
|
$2,665.22
|
$2,665.22
|
2026-05-22
|
|
48580436
|
OTHER
|
23655 Clsd Tx Shoulder Dislc W/manipulation Req Anes TechFee
|
7
|
7
|
$3,439.00
|
—
|
$2,665.22
|
$2,665.22
|
$2,665.22
|
2026-05-22
|
|
51331044
|
OTHER
|
Microarray Chromosomal Analysis Rl
|
7
|
7
|
$3,417.00
|
—
|
$2,648.18
|
$2,648.18
|
$2,648.18
|
2026-05-22
|
|
47922171
|
OTHER
|
58180-80 Supracervical Abdominal Hysterectomy, With Without Removal Of Tube(s), With W/o…
|
7
|
7
|
$3,404.00
|
—
|
$2,638.10
|
$2,638.10
|
$2,638.10
|
2026-05-22
|
|
48580601
|
OTHER
|
31603 Tracheostomy Emergency Procedure Transtracheal TechFee
|
7
|
7
|
$3,382.00
|
—
|
$2,621.05
|
$2,621.05
|
$2,621.05
|
2026-05-22
|
|
47784430
|
OTHER
|
26418 Repair, Extensor Tendon, Finger, Primary Or Secondary, Without Free Graft, Eac…
|
7
|
7
|
$3,375.00
|
—
|
$2,615.62
|
$2,615.62
|
$2,615.62
|
2026-05-22
|
|
47780846
|
OTHER
|
11044 Debridement; Skin, Subcutaneous Tissue, Muscle, Bone, 20sq Cm/<
|
7
|
7
|
$3,371.00
|
—
|
$2,612.53
|
$2,612.53
|
$2,612.53
|
2026-05-22
|
|
48498378
|
OTHER
|
28192 Removal Foreign Body Foot Deep
|
7
|
7
|
$3,370.00
|
—
|
$2,611.75
|
$2,611.75
|
$2,611.75
|
2026-05-22
|
|
48567729
|
OTHER
|
13152 Repair Complex Eyelid/nose/ear/lip 2.6-7.5 Cm TechFee
|
7
|
7
|
$3,369.96
|
—
|
$2,611.72
|
$2,611.72
|
$2,611.72
|
2026-05-22
|
|
50363712
|
OTHER
|
21555 Excision, Tumor, Soft Tissue Of Neck Or Anterior Thorax, Subcutaneous, Les…
|
7
|
7
|
$3,367.00
|
—
|
$2,609.43
|
$2,609.43
|
$2,609.43
|
2026-05-22
|
|
47782469
|
OTHER
|
23071 Exc, Tumor, Soft Tissue Of Shoulder Area, Subcutaneous; 3 Cm Or Greater
|
7
|
7
|
$3,367.00
|
—
|
$2,609.43
|
$2,609.43
|
$2,609.43
|
2026-05-22
|
|
44455048
|
OTHER
|
Excision Or Curettage Of Bone Cyst Or Benign Tumor, Tibia Or Fibula (hch)
|
7
|
7
|
$3,330.00
|
—
|
$2,580.75
|
$2,580.75
|
$2,580.75
|
2026-05-22
|
|
51173356
|
OTHER
|
Hydroxocobalamin 5 G Pow [hrmc]
|
7
|
7
|
$3,322.80
|
—
|
$2,575.17
|
$2,575.17
|
$2,575.17
|
2026-05-22
|
|
44474126
|
OTHER
|
99285 Level 5 Fct Charge
|
7
|
7
|
$3,315.21
|
—
|
$2,569.29
|
$2,569.29
|
$2,569.29
|
2026-05-22
|
|
2764712
|
OTHER
|
99285 ER - Pro Fee Level 5 Charge
|
7
|
7
|
$3,315.21
|
—
|
$2,569.29
|
$2,569.29
|
$2,569.29
|
2026-05-22
|
|
51671124
|
OTHER
|
I&d Thyroglossal Duct Cyst Infected
|
7
|
7
|
$3,263.00
|
—
|
$2,528.82
|
$2,528.82
|
$2,528.82
|
2026-05-22
|
|
48821840
|
OTHER
|
21320 Closed Treatment Nasal Fracture W/stabilization TechFee
|
7
|
7
|
$3,259.14
|
—
|
$2,525.84
|
$2,525.84
|
$2,525.84
|
2026-05-22
|
|
10747217
|
OTHER
|
Ligation Of Internal Hemorrhoids; Single Procedure
|
7
|
7
|
$3,249.90
|
—
|
$2,518.68
|
$2,518.68
|
$2,518.68
|
2026-05-22
|
|
48498456
|
OTHER
|
46200 Excision Single External Papilla Or Tag Anus
|
7
|
7
|
$3,249.90
|
—
|
$2,518.68
|
$2,518.68
|
$2,518.68
|
2026-05-22
|
|
47817049
|
OTHER
|
Proctosigmoidoscopy, Rigid; With Removal Of Foreign Body
|
7
|
7
|
$3,249.90
|
—
|
$2,518.68
|
$2,518.68
|
$2,518.68
|
2026-05-22
|
|
3726621
|
OTHER
|
Remove Int/ext Hem 1 Group
|
7
|
7
|
$3,249.90
|
—
|
$2,518.68
|
$2,518.68
|
$2,518.68
|
2026-05-22
|
|
3726619
|
OTHER
|
Remove Anal Fist Subq
|
7
|
7
|
$3,249.90
|
—
|
$2,518.68
|
$2,518.68
|
$2,518.68
|
2026-05-22
|
|
49028824
|
OTHER
|
46261 Hemorrhoidectomy, Internal And External, 2 Or More Columns/groups; With Fi…
|
7
|
7
|
$3,249.90
|
—
|
$2,518.68
|
$2,518.68
|
$2,518.68
|
2026-05-22
|
|
48658295
|
OTHER
|
46060 Incision And Drainage Of Ischiorectal Or Intramural Abscess, With Fistulec…
|
7
|
7
|
$3,249.90
|
—
|
$2,518.68
|
$2,518.68
|
$2,518.68
|
2026-05-22
|
|
48498458
|
OTHER
|
46257 Hemorrhoid Ntrnl & Xtrnl 1 Column W/fissurecto
|
7
|
7
|
$3,249.90
|
—
|
$2,518.68
|
$2,518.68
|
$2,518.68
|
2026-05-22
|
|
48695167
|
OTHER
|
46020 Placement Of Seton
|
7
|
7
|
$3,249.90
|
—
|
$2,518.68
|
$2,518.68
|
$2,518.68
|
2026-05-22
|
|
47780845
|
OTHER
|
11012 Debridement;skin, Muscle, Bone
|
7
|
7
|
$3,222.00
|
—
|
$2,497.05
|
$2,497.05
|
$2,497.05
|
2026-05-22
|
|
47922327
|
OTHER
|
22903-as Excision Tumor Soft Tissue Abdomin >3cm
|
7
|
7
|
$3,222.00
|
—
|
$2,497.05
|
$2,497.05
|
$2,497.05
|
2026-05-22
|
|
48252024
|
OTHER
|
10180 Incision And Drainage, Complex, Postoperative Wound Infection
|
7
|
7
|
$3,222.00
|
—
|
$2,497.05
|
$2,497.05
|
$2,497.05
|
2026-05-22
|
|
1353675
|
OTHER
|
Excisn, Benign Lesion Mrgs, Except Skin Tag , Scalp Neck Hands Ft Genitalia Diam…
|
7
|
7
|
$3,222.00
|
—
|
$2,497.05
|
$2,497.05
|
$2,497.05
|
2026-05-22
|
|
47784556
|
OTHER
|
27301 I&d, Deep Abscess, Bursa, Hematoma, Thigh/knee Region
|
7
|
7
|
$3,222.00
|
—
|
$2,497.05
|
$2,497.05
|
$2,497.05
|
2026-05-22
|
|
47784518
|
OTHER
|
27043 Exc, Tumor, Pelvis, 3cm/>
|
7
|
7
|
$3,222.00
|
—
|
$2,497.05
|
$2,497.05
|
$2,497.05
|
2026-05-22
|
|
10746892
|
OTHER
|
Excision Of Pilonidal Cyst Or Sinus; Extensive
|
7
|
7
|
$3,222.00
|
—
|
$2,497.05
|
$2,497.05
|
$2,497.05
|
2026-05-22
|
|
47780961
|
OTHER
|
11450 Exc Skin, Subcutaneous Tissue For Hidradenitis,axillary; Simple Or Interme…
|
7
|
7
|
$3,222.00
|
—
|
$2,497.05
|
$2,497.05
|
$2,497.05
|
2026-05-22
|
|
10758956
|
OTHER
|
Excision Tumor Thigh Knee 3cm Or >
|
7
|
7
|
$3,222.00
|
—
|
$2,497.05
|
$2,497.05
|
$2,497.05
|
2026-05-22
|
|
10746891
|
OTHER
|
Excision Of Pilonidal Cyst Or Sinus; Simple
|
7
|
7
|
$3,222.00
|
—
|
$2,497.05
|
$2,497.05
|
$2,497.05
|
2026-05-22
|
|
51173357
|
OTHER
|
Abdominal Paracentesis W Imaging Guidance
|
7
|
7
|
$3,218.70
|
—
|
$2,494.49
|
$2,494.49
|
$2,494.49
|
2026-05-22
|
|
48580892
|
OTHER
|
49083 Abdom Paracentesis Dx/ther W/imaging Guidance TechFee
|
7
|
7
|
$3,218.70
|
—
|
$2,494.49
|
$2,494.49
|
$2,494.49
|
2026-05-22
|
|
50300968
|
OTHER
|
MRI Mrcp With Contrast
|
7
|
7
|
$3,196.50
|
—
|
$2,477.29
|
$2,477.29
|
$2,477.29
|
2026-05-22
|
|
49084395
|
OTHER
|
31625 Bronchoscopy With Biopsy
|
7
|
7
|
$3,174.00
|
—
|
$2,459.85
|
$2,459.85
|
$2,459.85
|
2026-05-22
|
|
48498491
|
OTHER
|
49905 Omental Flap Intra-abdominal
|
7
|
7
|
$3,150.00
|
—
|
$2,441.25
|
$2,441.25
|
$2,441.25
|
2026-05-22
|
|
47922123
|
OTHER
|
58805-80 Drainage Of Ovarian Cyst(s), Abdominal
|
7
|
7
|
$3,126.89
|
—
|
$2,423.34
|
$2,423.34
|
$2,423.34
|
2026-05-22
|
|
49028831
|
OTHER
|
59812 Treatment Of Incomplete Abortion, Any Trimester, Completed Surgically
|
7
|
7
|
$3,126.89
|
—
|
$2,423.34
|
$2,423.34
|
$2,423.34
|
2026-05-22
|
|
49028827
|
OTHER
|
56740 Remove Vagina Gland Lesion
|
7
|
7
|
$3,126.89
|
—
|
$2,423.34
|
$2,423.34
|
$2,423.34
|
2026-05-22
|
|
48258018
|
OTHER
|
58600 Ligation Or Transection Of Fallopian Tube(s), Abdominal Or Vaginal Approac…
|
7
|
7
|
$3,126.89
|
—
|
$2,423.34
|
$2,423.34
|
$2,423.34
|
2026-05-22
|
|
47809007
|
OTHER
|
Occlude Fallopian Tube(s)
|
7
|
7
|
$3,126.89
|
—
|
$2,423.34
|
$2,423.34
|
$2,423.34
|
2026-05-22
|
|
49025218
|
OTHER
|
95811 Pss W 4/> P W Cpap/bipap Charge
|
7
|
7
|
$3,100.00
|
—
|
$2,402.50
|
$2,402.50
|
$2,402.50
|
2026-05-22
|
|
40964890
|
OTHER
|
20670 Removal Of Implant; Superficial (eg, Buried Wire, Pin Or Rod) (separate Pr…
|
7
|
7
|
$3,091.00
|
—
|
$2,395.53
|
$2,395.53
|
$2,395.53
|
2026-05-22
|
|
49194531
|
OTHER
|
26320 Removal Of Implant From Finger Or Hand
|
7
|
7
|
$3,091.00
|
—
|
$2,395.53
|
$2,395.53
|
$2,395.53
|
2026-05-22
|
|
47786397
|
OTHER
|
27570 Manipulation Of Knee Joint Under General Anesthesia
|
7
|
7
|
$3,043.00
|
—
|
$2,358.32
|
$2,358.32
|
$2,358.32
|
2026-05-22
|
|
3726699
|
OTHER
|
Incise Finger Tendon Sheath
|
7
|
7
|
$3,043.00
|
—
|
$2,358.32
|
$2,358.32
|
$2,358.32
|
2026-05-22
|
|
1353732
|
OTHER
|
Excision Of Lesion Tendon Sheath Or Joint Capsule (eg, Cyst, Mucous Cyst, Gangli…
|
7
|
7
|
$3,043.00
|
—
|
$2,358.32
|
$2,358.32
|
$2,358.32
|
2026-05-22
|
|
8428978
|
OTHER
|
Incision Of Tendon Sheath
|
7
|
7
|
$3,043.00
|
—
|
$2,358.32
|
$2,358.32
|
$2,358.32
|
2026-05-22
|
|
10746949
|
OTHER
|
Manipulation, Hip Joint, Requiring General Anesthesia
|
7
|
7
|
$3,042.50
|
—
|
$2,357.94
|
$2,357.94
|
$2,357.94
|
2026-05-22
|
|
49374788
|
OTHER
|
25565 Fx Clsd Trt Radial & Ulnar Shaft W Manipulation
|
7
|
7
|
$3,042.25
|
—
|
$2,357.74
|
$2,357.74
|
$2,357.74
|
2026-05-22
|
|
49794749
|
OTHER
|
Closed Trt Radial & Ulna Shaft Fx W Manipulation
|
7
|
7
|
$3,042.25
|
—
|
$2,357.74
|
$2,357.74
|
$2,357.74
|
2026-05-22
|
|
48580529
|
OTHER
|
27752 Cltx Tibial Shaft Fx W/manj W/wo Skel Tracj TechFee
|
7
|
7
|
$3,042.00
|
—
|
$2,357.55
|
$2,357.55
|
$2,357.55
|
2026-05-22
|
|
50206096
|
OTHER
|
Zoledronic Acid 5 Mg/100 Ml Sol
|
7
|
7
|
$3,013.26
|
—
|
$2,335.28
|
$2,335.28
|
$2,335.28
|
2026-05-22
|
|
10747227
|
OTHER
|
Reopening Of Recent Laparotomy
|
7
|
7
|
$3,000.00
|
—
|
$2,325.00
|
$2,325.00
|
$2,325.00
|
2026-05-22
|
|
47786398
|
OTHER
|
27590 Amputation, Thigh, Through Femur, Any Level
|
7
|
7
|
$3,000.00
|
—
|
$2,325.00
|
$2,325.00
|
$2,325.00
|
2026-05-22
|
|
47922402
|
OTHER
|
44140-80 Colectomy, Partial; With Anastomosis
|
7
|
7
|
$3,000.00
|
—
|
$2,325.00
|
$2,325.00
|
$2,325.00
|
2026-05-22
|
|
47922396
|
OTHER
|
44120-as Enterectomy, Resection Of Small Intestine; Single Resection And Anastom…
|
7
|
7
|
$3,000.00
|
—
|
$2,325.00
|
$2,325.00
|
$2,325.00
|
2026-05-22
|
|
48567691
|
OTHER
|
12035 Repair Intermediate S/a/t/e 12.6-20.0cm TechFee
|
7
|
7
|
$2,940.32
|
—
|
$2,278.74
|
$2,278.74
|
$2,278.74
|
2026-05-22
|
|
1361696
|
OTHER
|
Layer Closure Of Wounds Of Scalp, Axillae, Trunk, Extremities(Exclude Hands/Feet…
|
7
|
7
|
$2,940.32
|
—
|
$2,278.74
|
$2,278.74
|
$2,278.74
|
2026-05-22
|
|
50300972
|
OTHER
|
MRI Mrcp Without Contrast
|
7
|
7
|
$2,934.39
|
—
|
$2,274.15
|
$2,274.15
|
$2,274.15
|
2026-05-22
|
|
48273228
|
OTHER
|
92960 Cardioversion Charge
|
7
|
7
|
$2,934.31
|
—
|
$2,274.09
|
$2,274.09
|
$2,274.09
|
2026-05-22
|
|
48537917
|
OTHER
|
92960 Cardioversion Elective Arrhythmia External TechFee
|
7
|
7
|
$2,934.31
|
—
|
$2,274.09
|
$2,274.09
|
$2,274.09
|
2026-05-22
|
|
10747060
|
OTHER
|
Operative Upper Gi Endoscopy; Control Bleeding
|
7
|
7
|
$2,928.00
|
—
|
$2,269.20
|
$2,269.20
|
$2,269.20
|
2026-05-22
|
|
51311846
|
OTHER
|
Bme Speed (tm) Implant Kit 9x7mm
|
7
|
7
|
$2,928.00
|
—
|
$2,269.20
|
$2,269.20
|
$2,269.20
|
2026-05-22
|
|
48609614
|
OTHER
|
11403 Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 2.1-3.0 Cm/< TechFee
|
7
|
7
|
$2,894.78
|
—
|
$2,243.45
|
$2,243.45
|
$2,243.45
|
2026-05-22
|
|
47922384
|
OTHER
|
44005-80 Enterolysis (freeing Of Intestinal Adhesion) (separate Procedure)
|
7
|
7
|
$2,878.70
|
—
|
$2,230.99
|
$2,230.99
|
$2,230.99
|
2026-05-22
|
|
47784512
|
OTHER
|
26910 Amputation, Metacarpal, W Finger Or Thumb
|
7
|
7
|
$2,871.00
|
—
|
$2,225.03
|
$2,225.03
|
$2,225.03
|
2026-05-22
|
|
51157542
|
OTHER
|
Ventralight Mesh 7x9
|
7
|
7
|
$2,851.00
|
—
|
$2,209.53
|
$2,209.53
|
$2,209.53
|
2026-05-22
|
|
722
|
OTHER
|
Vag Del Prev C-sect Delv
|
18
|
9
|
$2,605.74
|
$2,345.17
|
$1,824.02
|
$4,828.00
|
$2,712.26
|
2026-07-31
|