Hospital

CHILDRESS REGIONAL MEDICAL CENTER

Childress, TX · CCN 450369 · Rates published

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You selected 93306 (CPT)

US ECHOCARDIOGRAM

This hospital’s price: $975 across 11 payers · range $220-$1,299

Source: https://app.box.com/shared/static/idaj4kayga2m0z48lpesfdfsnmcml1yp.csv · observed 2026-07-31

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

2,534 distinct procedures filed

11 distinct payers

43,472 rate rows

2026-07-31 last MRF observed

Data quality

37,175 of 43,472 rate rows are consumer-grade (85.5%)

6,297 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
template filing: same amount across many unrelated codes — excluded	6,252
per-diem day rate — not a per-procedure price	41
placeholder amount (≤ $0.02) — excluded from medians	4

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

Source MRF file	https://app.box.com/shared/static/idaj4kayga2m0z48lpesfdfsnmcml1yp.csv
Discovered via	Discovered by HANK (automated)
Last fetch	not_modified · 2026-10-01
Content fingerprint	471d090f43194dc6… · 2,273,744 bytes · first seen 2026-05-15

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
C1813 HCPCS	Prosthesis Penile Inflatable	11	$2,000.00	$51,979.86	$39,042.65	nat. median $10,455 outlier · 3.7×
J2350 HCPCS	Ocrelizumab 300mg/10ml Vial	10	$57.42	$51,139.62	$19,177.36	nat. median $414 outlier · 46.3×
64590 CPT	Insrt/redo Interstim Replacement	11	$335.84	$42,172.05	$18,748.12	nat. median $17,881 1.0× median
54405 CPT	Insert Inflate Penis Prosthesis	11	$500.00	$39,616.97	$18,173.55	nat. median $18,590 1.0× median
J0896 HCPCS	Luspatercept 75mg Sdv	10	$41.28	$31,542.68	$17,742.76	nat. median $4,569 outlier · 3.9×
202888 LOCAL	Surg Colon Resection	11	$5,000.00	$15,938.64	$11,971.69	nat. median $11,972 1.0× median
202893 LOCAL	Surg Major General	11	$5,000.00	$14,030.94	$10,538.79	nat. median $10,539 1.0× median
27132 CPT	Total Hip Conversion	11	$594.00	$22,820.91	$9,889.06	nat. median $9,932 1.0× median
23473 CPT	Revise Reconstruct Shoulder Joint	11	$594.00	$22,523.97	$9,760.39	nat. median $12,689 0.8× median
28715 CPT	Fusion Of Foot Bones	11	$474.42	$27,761.10	$9,698.00	nat. median $11,408 0.9× median
24366 CPT	Reconstruct Radius Head	11	$541.59	$24,836.52	$9,598.42	nat. median $11,941 0.8× median
27870 CPT	Fusion Of Ankle Joint Open	11	$474.42	$24,836.52	$9,589.26	nat. median $10,917 0.9× median
55873 CPT	Cryoblate Prostate	11	$1,550.00	$17,558.00	$9,582.47	nat. median $9,651 1.0× median
27130 CPT	Total Hip Arthroplasty	11	$594.00	$22,820.91	$9,449.04	nat. median $13,091 0.7× median
202889 LOCAL	Surg Major Ortho	11	$5,000.00	$12,579.62	$9,448.70	nat. median $9,449 1.0× median
24546 CPT	Treat Humerus Fracture	11	$835.00	$34,640.51	$9,320.27	nat. median $11,505 0.8× median
27447 CPT	Arthroplasty Total Knee	11	$594.00	$22,820.91	$9,255.60	nat. median $12,739 0.7× median
27446 CPT	Partial Knee, Femoral/tibial,cemented	11	$977.76	$22,820.91	$9,082.19	nat. median $12,418 0.7× median
23615 CPT	Treat Humerus Fracture-23615	11	$474.42	$22,523.97	$9,000.00	nat. median $11,353 0.8× median
28730 CPT	Fusion Of Foot Bones	11	$474.42	$24,152.88	$9,000.00	nat. median $10,638 0.8× median
24666 CPT	Treat Radius Fracture	11	$474.42	$22,819.96	$9,000.00	nat. median $10,791 0.8× median
24430 CPT	Repair Of Humerus	11	$385.15	$21,545.29	$9,000.00	nat. median $11,512 0.8× median
24586 CPT	Treat Elbow Fracture	11	$474.42	$22,523.97	$8,981.46	nat. median $11,251 0.8× median
24587 CPT	Treat Elbow Fracture	11	$250.81	$24,151.92	$8,978.60	nat. median $11,463 0.8× median
27758 CPT	Treatment Of Tibia Fracture	11	$474.42	$22,523.97	$8,900.76	nat. median $10,538 0.8× median
27759 CPT	Treatment On Tibia Fracture	11	$474.42	$22,523.97	$8,817.21	nat. median $10,667 0.8× median
27442 CPT	Arthroplasty Fem Condyles/tibial Plat Kn	11	$541.59	$24,836.52	$8,792.60	nat. median $11,338 0.8× median
24516 CPT	Treat Humerus Fracture	11	$474.42	$22,523.97	$8,781.15	nat. median $11,344 0.8× median
27827 CPT	Treat Lower Leg Fracture	11	$385.15	$16,649.02	$8,758.83	nat. median $11,028 0.8× median
24515 CPT	Treat Humerus Fracture-24515	11	$474.42	$22,523.97	$8,663.25	nat. median $11,494 0.8× median
27709 CPT	Incision Of Tibia And Fibula	11	$335.84	$24,152.88	$8,624.91	nat. median $9,814 0.9× median
19342 CPT	Delayed Placement Of Prothesis	11	$385.15	$17,811.98	$8,581.18	nat. median $8,722 1.0× median
27235 CPT	Treat Thigh Fracture	11	$594.00	$12,300.81	$8,540.76	nat. median $6,959 1.2× median
24579 CPT	Treat Humerus Fracture	11	$385.15	$22,523.97	$8,486.41	nat. median $11,086 0.8× median
C9740 HCPCS	Cystoscopy Insrt Trnsprstat Implant 4+	11	$1,550.00	$17,246.74	$7,819.84	nat. median $9,765 0.8× median
1702307 LOCAL	Ldrp Multiple Delivery	11	$4,281.49	$9,880.37	$7,421.26	nat. median $7,421 1.0× median
57283 CPT	Colopopext Intraperitoneal	11	$594.00	$13,431.31	$7,351.65	nat. median $7,090 1.0× median
57282 CPT	Colpopext Extraperitoneal	11	$594.00	$13,431.31	$7,351.65	nat. median $7,131 1.0× median
49655 CPT	Lap Inc Hernia Repair Com	11	$696.13	$16,169.71	$7,006.87	nat. median $6,186 1.1× median
49654 CPT	Lap Incisional Hernia Rep	11	$696.13	$16,169.71	$7,006.87	nat. median $4,638 1.5× median
49656 CPT	Lap Incisional Hernia Rep	11	$696.13	$16,169.71	$7,006.87	nat. median $5,879 1.2× median
49657 CPT	Lap Rpr Recurent Inc Hernia	11	$696.13	$16,169.71	$7,006.87	nat. median $6,115 1.1× median
59514 CPT	Cesarean Delivery Only	11	$594.00	$12,122.27	$6,734.60	nat. median $2,430 outlier · 2.8×
J2505 HCPCS	Neulasta 6 Mg / 0.6 Ml Prefilled Syr	11	$500.00	$11,051.49	$6,517.64	nat. median $6,279 1.0× median
1702311 LOCAL	Single Delivery	11	$3,515.23	$8,112.07	$6,093.07	nat. median $6,093 1.0× median
J0840 HCPCS	Crofab Snake Antivenin Per 1 Vial	11	$500.00	$7,896.49	$6,000.00	nat. median $3,452 1.7× median
0441T OTHER	Ablation Peripheral Nerve	11	$2,000.00	$10,293.80	$5,718.78	nat. median $2,311 outlier · 2.5×
78816 CPT	Nm Nm-gbef	11	$1,231.00	$7,733.96	$5,585.64	nat. median $2,793 2.0× median
81405 CPT	Alpha-galactosidase A Def (full Gene)	11	$253.13	$7,542.04	$5,447.03	nat. median $374 outlier · 14.6×
37211 CPT	Transcatheter Therapy	11	$575.00	$8,945.61	$5,405.70	nat. median $5,520 1.0× median

Other procedures at this hospital

Browse this hospital's 2,534 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

C1813	HCPCS	Prosthesis Penile Inflatable	15	11	$57,755.40	$57,755.40	$2,000.00	$51,979.86	$39,042.65	2026-07-31
J2350	HCPCS	Ocrelizumab 300mg/10ml Vial	12	10	$63,924.53	$63,924.53	$57.42	$51,139.62	$19,177.36	2026-07-31
64590	CPT	Insrt/redo Interstim Replacement	15	11	$46,857.83	$46,857.83	$335.84	$42,172.05	$18,748.12	2026-07-31
54405	CPT	Insert Inflate Penis Prosthesis	15	11	$44,018.86	$44,018.86	$500.00	$39,616.97	$18,173.55	2026-07-31
J0896	HCPCS	Luspatercept 75mg Sdv	12	10	$39,428.35	$39,428.35	$41.28	$31,542.68	$17,742.76	2026-07-31
202888	LOCAL	Surg Colon Resection	15	11	$17,709.60	$17,709.60	$5,000.00	$15,938.64	$11,971.69	2026-07-31
202893	LOCAL	Surg Major General	15	11	$15,589.93	$15,589.93	$5,000.00	$14,030.94	$10,538.79	2026-07-31
27132	CPT	Total Hip Conversion	15	11	$25,356.57	$25,356.57	$594.00	$22,820.91	$9,889.06	2026-07-31
23473	CPT	Revise Reconstruct Shoulder Joint	15	11	$25,026.63	$25,026.63	$594.00	$22,523.97	$9,760.39	2026-07-31
28715	CPT	Fusion Of Foot Bones	15	11	$30,845.67	$30,845.67	$474.42	$27,761.10	$9,698.00	2026-07-31
24366	CPT	Reconstruct Radius Head	15	11	$27,596.13	$27,596.13	$541.59	$24,836.52	$9,598.42	2026-07-31
27870	CPT	Fusion Of Ankle Joint Open	15	11	$27,596.13	$27,596.13	$474.42	$24,836.52	$9,589.26	2026-07-31
55873	CPT	Cryoblate Prostate	15	11	$19,508.89	$19,508.89	$1,550.00	$17,558.00	$9,582.47	2026-07-31
27130	CPT	Total Hip Arthroplasty	15	11	$25,356.57	$25,356.57	$594.00	$22,820.91	$9,449.04	2026-07-31
202889	LOCAL	Surg Major Ortho	15	11	$13,977.36	$13,977.36	$5,000.00	$12,579.62	$9,448.70	2026-07-31
24546	CPT	Treat Humerus Fracture	15	11	$38,489.45	$38,489.45	$835.00	$34,640.51	$9,320.27	2026-07-31
27447	CPT	Arthroplasty Total Knee	15	11	$25,356.57	$25,356.57	$594.00	$22,820.91	$9,255.60	2026-07-31
27446	CPT	Partial Knee, Femoral/tibial,cemented	15	11	$25,356.57	$25,356.57	$977.76	$22,820.91	$9,082.19	2026-07-31
24666	CPT	Treat Radius Fracture	15	11	$25,355.51	$25,355.51	$474.42	$22,819.96	$9,000.00	2026-07-31
24430	CPT	Repair Of Humerus	15	11	$23,939.21	$23,939.21	$385.15	$21,545.29	$9,000.00	2026-07-31
23615	CPT	Treat Humerus Fracture-23615	15	11	$25,026.63	$25,026.63	$474.42	$22,523.97	$9,000.00	2026-07-31
28730	CPT	Fusion Of Foot Bones	15	11	$26,836.53	$26,836.53	$474.42	$24,152.88	$9,000.00	2026-07-31
24586	CPT	Treat Elbow Fracture	15	11	$25,026.63	$25,026.63	$474.42	$22,523.97	$8,981.46	2026-07-31
24587	CPT	Treat Elbow Fracture	15	11	$26,835.47	$26,835.47	$250.81	$24,151.92	$8,978.60	2026-07-31
27758	CPT	Treatment Of Tibia Fracture	15	11	$25,026.63	$25,026.63	$474.42	$22,523.97	$8,900.76	2026-07-31
27759	CPT	Treatment On Tibia Fracture	15	11	$25,026.63	$25,026.63	$474.42	$22,523.97	$8,817.21	2026-07-31
27442	CPT	Arthroplasty Fem Condyles/tibial Plat Kn	15	11	$27,596.13	$27,596.13	$541.59	$24,836.52	$8,792.60	2026-07-31
24516	CPT	Treat Humerus Fracture	15	11	$25,026.63	$25,026.63	$474.42	$22,523.97	$8,781.15	2026-07-31
27827	CPT	Treat Lower Leg Fracture	15	11	$18,498.91	$18,498.91	$385.15	$16,649.02	$8,758.83	2026-07-31
24515	CPT	Treat Humerus Fracture-24515	15	11	$25,026.63	$25,026.63	$474.42	$22,523.97	$8,663.25	2026-07-31
27709	CPT	Incision Of Tibia And Fibula	15	11	$26,836.53	$26,836.53	$335.84	$24,152.88	$8,624.91	2026-07-31
19342	CPT	Delayed Placement Of Prothesis	24	11	$19,791.09	$19,791.09	$385.15	$17,811.98	$8,581.18	2026-07-31
27235	CPT	Treat Thigh Fracture	23	11	$13,667.57	$13,667.57	$594.00	$12,300.81	$8,540.76	2026-07-31
24579	CPT	Treat Humerus Fracture	15	11	$25,026.63	$25,026.63	$385.15	$22,523.97	$8,486.41	2026-07-31
C9740	HCPCS	Cystoscopy Insrt Trnsprstat Implant 4+	15	11	$19,163.04	$19,163.04	$1,550.00	$17,246.74	$7,819.84	2026-07-31
1702307	LOCAL	Ldrp Multiple Delivery	15	11	$10,978.19	$10,978.19	$4,281.49	$9,880.37	$7,421.26	2026-07-31
57283	CPT	Colopopext Intraperitoneal	15	11	$14,923.68	$14,923.68	$594.00	$13,431.31	$7,351.65	2026-07-31
57282	CPT	Colpopext Extraperitoneal	15	11	$14,923.68	$14,923.68	$594.00	$13,431.31	$7,351.65	2026-07-31
49656	CPT	Lap Incisional Hernia Rep	15	11	$17,966.34	$17,966.34	$696.13	$16,169.71	$7,006.87	2026-07-31
49657	CPT	Lap Rpr Recurent Inc Hernia	15	11	$17,966.34	$17,966.34	$696.13	$16,169.71	$7,006.87	2026-07-31
49654	CPT	Lap Incisional Hernia Rep	15	11	$17,966.34	$17,966.34	$696.13	$16,169.71	$7,006.87	2026-07-31
49655	CPT	Lap Inc Hernia Repair Com	15	11	$17,966.34	$17,966.34	$696.13	$16,169.71	$7,006.87	2026-07-31
59514	CPT	Cesarean Delivery Only	15	11	$13,469.19	$13,469.19	$594.00	$12,122.27	$6,734.60	2026-07-31
J2505	HCPCS	Neulasta 6 Mg / 0.6 Ml Prefilled Syr	15	11	$13,035.28	$13,035.28	$500.00	$11,051.49	$6,517.64	2026-07-31
1702311	LOCAL	Single Delivery	15	11	$9,013.41	$9,013.41	$3,515.23	$8,112.07	$6,093.07	2026-07-31
J0840	HCPCS	Crofab Snake Antivenin Per 1 Vial	15	11	$9,870.61	$9,870.61	$500.00	$7,896.49	$6,000.00	2026-07-31
0441T	OTHER	Ablation Peripheral Nerve	15	11	$11,437.56	$11,437.56	$2,000.00	$10,293.80	$5,718.78	2026-07-31
78816	CPT	Nm Nm-gbef	15	11	$8,593.29	$8,593.29	$1,231.00	$7,733.96	$5,585.64	2026-07-31
81405	CPT	Alpha-galactosidase A Def (full Gene)	15	11	$8,380.05	$8,380.05	$253.13	$7,542.04	$5,447.03	2026-07-31
37211	CPT	Transcatheter Therapy	15	11	$9,939.57	$9,939.57	$575.00	$8,945.61	$5,405.70	2026-07-31
49653	CPT	Lap Vent/abd Hern Proc Comp	15	11	$19,142.88	$19,142.88	$696.13	$17,228.59	$5,161.48	2026-07-31
44970	CPT	Laparoscopy Surgical Appendectomy	15	11	$12,883.57	$12,883.57	$594.00	$11,595.21	$5,161.48	2026-07-31
49652	CPT	Lap Vent Abd Hernia Repai	15	11	$14,348.67	$14,348.67	$696.13	$12,913.80	$5,161.48	2026-07-31
44180	CPT	Laparoscopy Enterolys	15	11	$10,478.51	$10,478.51	$594.00	$9,430.66	$5,161.48	2026-07-31
202890	LOCAL	Surg C Section/single Del	15	11	$7,482.53	$7,482.53	$2,918.19	$6,734.28	$5,058.19	2026-07-31
58150	CPT	Abd Hysterectomy Total	15	11	$9,381.54	$9,381.54	$594.00	$8,443.39	$5,000.00	2026-07-31
44207	CPT	L Colectomy/coloprostostomy	15	11	$7,957.81	$7,957.81	$594.00	$7,162.03	$5,000.00	2026-07-31
44227	CPT	Lap, Close Enterostomy	15	11	$8,473.41	$8,473.41	$594.00	$7,626.07	$5,000.00	2026-07-31
44213	CPT	Lap, Mobile Splenic F1 Add-on	15	11	$10,129.47	$10,129.47	$211.52	$9,116.52	$5,000.00	2026-07-31
28750	CPT	Fusion Of Big Toe Joint	15	11	$16,440.77	$16,440.77	$474.42	$14,796.69	$4,953.31	2026-07-31
20690	CPT	Apply Bone Fixation Device	15	11	$13,666.51	$13,666.51	$335.84	$12,299.86	$4,924.84	2026-07-31
58552	CPT	Lap W/vag Hyste 250 Gm Rmv Tube & Ovary	15	11	$18,244.30	$18,244.30	$977.76	$16,419.87	$4,896.00	2026-07-31
58542	CPT	Lap Hysterectomy W/bilateral Oophorectom	15	11	$18,244.30	$18,244.30	$977.76	$16,419.87	$4,896.00	2026-07-31
36583	CPT	Replace Tunneled Cv Cath	15	11	$9,034.62	$9,034.62	$335.84	$8,131.16	$4,895.91	2026-07-31
27756	CPT	Treatment Of Tibia Fx	15	11	$13,013.00	$13,013.00	$385.15	$11,711.70	$4,858.80	2026-07-31
24635	CPT	Treat Elbow Fracture	15	11	$18,498.91	$18,498.91	$385.15	$16,649.02	$4,801.55	2026-07-31
25609	CPT	Treat Fx Radial 3+ Frog	15	11	$13,222.00	$13,222.00	$541.59	$11,899.80	$4,789.74	2026-07-31
28322	CPT	Repair Of Metatarsals	15	11	$13,073.47	$13,073.47	$474.42	$11,766.12	$4,782.17	2026-07-31
27427	CPT	Reconstruction Knee	15	11	$13,304.75	$13,304.75	$385.15	$11,974.28	$4,776.71	2026-07-31
25608	CPT	Treat Distal Radial Fract	15	11	$14,584.19	$14,584.19	$541.59	$13,125.77	$4,764.29	2026-07-31
25607	CPT	Treat Fx Rad Extra Articu	15	11	$14,584.19	$14,584.19	$541.59	$13,125.77	$4,759.45	2026-07-31
29855	CPT	Tibial Arthroscopysurgery	15	11	$18,007.72	$18,007.72	$474.42	$16,206.95	$4,744.30	2026-07-31
29885	CPT	Knee Arthroscopy/urgery	15	11	$13,667.57	$13,667.57	$385.15	$12,300.81	$4,743.09	2026-07-31
202892	LOCAL	Surg Minor General	15	11	$6,773.85	$6,773.85	$2,641.80	$6,096.47	$4,741.70	2026-07-31
36476	CPT	Endovenous Rf, Vein Add-on	12	10	$7,001.94	$7,001.94	$1,124.00	$6,301.75	$4,733.31	2026-07-31
81162	CPT	Brca 1/2 Comprehensive Analysis	15	11	$6,510.74	$6,510.74	$1,532.90	$6,510.74	$4,726.80	2026-07-31
27769	CPT	Open Treatment Posterior Malleolus Fx	15	11	$13,927.50	$13,927.50	$977.76	$12,534.75	$4,720.98	2026-07-31
25575	CPT	Treat Open Fracture Of Radius And Ulna	15	11	$18,498.91	$18,498.91	$385.15	$16,649.02	$4,706.13	2026-07-31
19307	CPT	Mastectomy Moderate Rad	15	11	$11,178.70	$11,178.70	$594.00	$10,060.83	$4,704.71	2026-07-31
19316	CPT	Breast Reduction	19	11	$11,569.11	$11,569.11	$733.00	$10,412.20	$4,704.71	2026-07-31
25525	CPT	Treat Fracture Of Radius	15	11	$13,222.00	$13,222.00	$474.42	$11,899.80	$4,654.94	2026-07-31
28415	CPT	Treat Heel Fracture	15	11	$18,498.91	$18,498.91	$385.15	$16,649.02	$4,631.31	2026-07-31
29888	CPT	Knee Arthroscopy	15	11	$14,276.53	$14,276.53	$385.15	$12,848.88	$4,628.28	2026-07-31
27826	CPT	Treat Lower Leg Fracture	15	11	$14,276.53	$14,276.53	$385.15	$12,848.88	$4,627.37	2026-07-31
23515	CPT	Trat Clavicle Fracture	15	11	$17,018.96	$17,018.96	$385.15	$15,317.06	$4,610.41	2026-07-31
26756	CPT	Pin Finger Fracture	15	11	$7,089.99	$7,089.99	$245.00	$6,000.00	$4,608.49	2026-07-31
27822	CPT	Treatment Ankle Fract	15	11	$13,667.57	$13,667.57	$385.15	$12,300.81	$4,608.29	2026-07-31
23430	CPT	Repair Biceps Tendon	15	11	$13,667.57	$13,667.57	$474.42	$12,300.81	$4,603.45	2026-07-31
27792	CPT	Tx Dst Fib Fx W/wo I/e Fi	15	11	$13,667.57	$13,667.57	$385.15	$12,300.81	$4,596.18	2026-07-31
25405	CPT	Repair Of Nonunion Radius Or Ulna	15	11	$18,498.91	$18,498.91	$474.42	$16,649.02	$4,577.09	2026-07-31
27814	CPT	Orif Fracture Ankle	15	11	$13,667.57	$13,667.57	$385.15	$12,300.81	$4,567.40	2026-07-31
23550	CPT	Repair Ac Joint	15	11	$13,667.57	$13,667.57	$385.15	$12,300.81	$4,567.40	2026-07-31
28300	CPT	Incision Of Heel Bone	15	11	$15,692.83	$15,692.83	$335.84	$14,123.55	$4,556.50	2026-07-31
23630	CPT	Treat Open Humerus Fracture	15	11	$12,942.98	$12,942.98	$541.59	$11,648.68	$4,551.34	2026-07-31
23670	CPT	Treat Disloc/fracure Of Shoulder	15	11	$14,584.19	$14,584.19	$385.15	$13,125.77	$4,545.89	2026-07-31
44320	CPT	Colostomy	15	11	$6,711.25	$6,711.25	$594.00	$6,040.13	$4,536.81	2026-07-31
27823	CPT	Treatment Of Lt Ankle Fracture	30	11	$18,498.91	$18,498.91	$385.15	$16,649.02	$4,522.27	2026-07-31
24685	CPT	Treat Ulnar Fracture	15	11	$14,043.13	$14,043.13	$385.15	$12,638.82	$4,512.27	2026-07-31
28465	CPT	Treat Midfoot Fracture Each	15	11	$13,927.50	$13,927.50	$385.15	$12,534.75	$4,509.84	2026-07-31
23395	CPT	Muscle Transfer Shoulder/arm	15	11	$14,043.13	$14,043.13	$541.59	$12,638.82	$4,501.06	2026-07-31
23455	CPT	Repair Shoulder Capsule	15	11	$14,984.15	$14,984.15	$750.75	$13,485.74	$4,491.67	2026-07-31
28615	CPT	Foot Location Repair	15	11	$13,667.57	$13,667.57	$385.15	$12,300.81	$4,485.61	2026-07-31
27650	CPT	Repair Achilles Tendon	26	11	$12,768.99	$12,768.99	$385.15	$11,492.09	$4,484.18	2026-07-31
25825	CPT	Fuse Hand Bones W/graft	15	11	$19,795.33	$19,795.33	$541.59	$17,815.80	$4,468.04	2026-07-31
25515	CPT	Treat Fracture Of Radius	15	11	$13,667.57	$13,667.57	$385.15	$12,300.81	$4,467.74	2026-07-31
27381	CPT	Repair/graft Of Kneecap Tendon	15	11	$14,276.53	$14,276.53	$385.15	$12,848.88	$4,458.35	2026-07-31
27654	CPT	Repair Of Achilles Tendon	15	11	$13,013.00	$13,013.00	$385.15	$11,711.70	$4,440.78	2026-07-31
25545	CPT	Treat Fracture Of Ulnar Shaft	15	11	$13,927.50	$13,927.50	$385.15	$12,534.75	$4,427.76	2026-07-31
29827	CPT	Arthro Rotator Cuff Repai	15	11	$16,852.40	$16,852.40	$385.15	$15,167.16	$4,400.00	2026-07-31
29828	CPT	Arthroscopy Biceps Tendon	15	11	$16,852.40	$16,852.40	$977.76	$15,167.16	$4,400.00	2026-07-31
29806	CPT	Shoulder Arthroscopy/surgery	15	11	$13,667.57	$13,667.57	$385.15	$12,300.81	$4,400.00	2026-07-31
29914	CPT	Hip Arthro W/labral Repair	15	11	$13,013.00	$13,013.00	$977.76	$11,711.70	$4,400.00	2026-07-31
29915	CPT	Arthroscopy W/acelabulasty	15	11	$18,498.91	$18,498.91	$977.76	$16,649.02	$4,400.00	2026-07-31
29916	CPT	Hr Arthro W/labral Repair	15	11	$18,498.91	$18,498.91	$977.76	$16,649.02	$4,400.00	2026-07-31
29807	CPT	Shoulder Anthroscopy/surgery	15	11	$13,962.50	$13,962.50	$385.15	$12,566.25	$4,400.00	2026-07-31
27784	CPT	Treatment Of Fibula Fracture	15	11	$12,942.98	$12,942.98	$385.15	$11,648.68	$4,400.00	2026-07-31
28304	CPT	Incision Of Midfoot Bones	15	11	$16,440.77	$16,440.77	$335.84	$14,796.69	$4,400.00	2026-07-31
19325	CPT	Breast Augmentation	15	11	$19,791.09	$19,791.09	$977.76	$17,811.98	$4,400.00	2026-07-31
64911	CPT	Neurorraphy W/vien Autograft	15	11	$9,395.33	$9,395.33	$594.00	$8,455.80	$4,381.85	2026-07-31
C9739	HCPCS	Cystoscopy Insrt Trnsprstat Implant 1-3	15	11	$10,070.06	$10,070.06	$1,158.00	$9,063.05	$4,377.91	2026-07-31
51860	CPT	Removal Of Bladder Wound	15	11	$8,887.16	$8,887.16	$594.00	$7,998.44	$4,377.91	2026-07-31
47562	CPT	Lapcholey	15	11	$11,539.41	$11,539.41	$696.13	$10,385.47	$4,321.24	2026-07-31
49651	CPT	Lap Ing Hernia Reapir Rec	15	11	$12,106.99	$12,106.99	$750.75	$10,896.29	$4,321.24	2026-07-31
47563	CPT	Lapcholey W/oper Chol	15	11	$10,993.05	$10,993.05	$696.13	$9,893.74	$4,321.24	2026-07-31
58670	CPT	Lapa Btl Bss Diag Lap	15	11	$10,991.98	$10,991.98	$474.42	$9,892.78	$4,321.24	2026-07-31
58661	CPT	Legate Oviduct(s) Add On	15	11	$10,478.51	$10,478.51	$541.59	$9,430.66	$4,321.24	2026-07-31
58662	CPT	Lap Cystepe	15	11	$10,478.51	$10,478.51	$541.59	$9,430.66	$4,321.24	2026-07-31
58550	CPT	La Papo-assist Vag Hysterectomy	15	11	$18,651.68	$18,651.68	$541.59	$16,786.51	$4,321.24	2026-07-31
58660	CPT	Laparoscopy Lysis	15	11	$11,774.93	$11,774.93	$541.59	$10,597.44	$4,321.24	2026-07-31
49650	CPT	Lap Ing Hernia Repair Initial	15	11	$12,106.99	$12,106.99	$474.42	$10,896.29	$4,321.24	2026-07-31
47600	CPT	Removal Of Gallbladder	15	11	$6,274.16	$6,274.16	$594.00	$5,646.74	$4,241.33	2026-07-31
44141	CPT	Partial Removal Of Colon	15	11	$6,196.72	$6,196.72	$594.00	$5,577.05	$4,188.98	2026-07-31
57267	CPT	Insert Mesh Pelvic Flr Ad	12	10	$6,195.66	$6,195.66	$1,124.00	$5,576.09	$4,188.27	2026-07-31
36566	CPT	Insert Tunneled Cv Cath	15	11	$9,034.62	$9,034.62	$385.15	$8,131.16	$4,098.90	2026-07-31
36563	CPT	Insert Tunneled Cv Cath	15	11	$9,034.62	$9,034.62	$385.15	$8,131.16	$4,098.90	2026-07-31
47379	CPT	Lap Liver Procedure	15	11	$10,478.51	$10,478.51	$250.81	$9,430.66	$4,086.62	2026-07-31
23552	CPT	Treat Clavicle Dislocation	15	11	$4,994.72	$4,994.72	$474.42	$4,994.72	$3,995.78	2026-07-31
44205	CPT	L Colectomy Part W/ileum	15	11	$5,846.62	$5,846.62	$594.00	$5,261.96	$3,952.32	2026-07-31
50590	CPT	Lithotripsy	15	11	$9,119.50	$9,119.50	$977.76	$8,207.55	$3,849.00	2026-07-31
27829	CPT	Treat Lower Leg Joint	15	11	$13,667.57	$13,667.57	$335.84	$12,300.81	$3,849.00	2026-07-31
27848	CPT	Treat Ankle Dislocation	15	11	$13,667.57	$13,667.57	$385.15	$12,300.81	$3,849.00	2026-07-31
28485	CPT	Treat Metatarsal Fracture	15	11	$11,071.55	$11,071.55	$474.42	$9,964.40	$3,849.00	2026-07-31
27485	CPT	Stop Leg Growth Bilateral	15	11	$9,856.82	$9,856.82	$594.00	$8,871.14	$3,844.16	2026-07-31
15830	CPT	Abdominoplasty	15	11	$11,569.11	$11,569.11	$594.00	$10,412.20	$3,800.00	2026-07-31
27418	CPT	Repair Degenerated Kneecap	15	11	$13,667.57	$13,667.57	$385.15	$12,300.81	$3,800.00	2026-07-31
60500	CPT	Explore Parathyroid Glands	15	11	$12,149.43	$12,149.43	$977.76	$10,934.49	$3,800.00	2026-07-31
49329	CPT	Lapra Proc Abdm/pep/om ENT	15	11	$7,974.79	$7,974.79	$250.81	$7,177.31	$3,800.00	2026-07-31
49321	CPT	Laparoscopy Biopsy	15	11	$10,478.51	$10,478.51	$474.42	$9,430.66	$3,800.00	2026-07-31
44204	CPT	Laparo Partial Colectomy	15	11	$5,880.57	$5,880.57	$594.00	$5,292.51	$3,800.00	2026-07-31
23420	CPT	Reconstruction Shoulder	15	11	$13,667.57	$13,667.57	$750.75	$12,300.81	$3,800.00	2026-07-31
23412	CPT	Repair Rotator Cuff Chron	15	11	$13,667.57	$13,667.57	$750.75	$12,300.81	$3,800.00	2026-07-31
43130	CPT	Remove Esophagus Pouch	15	11	$10,359.69	$10,359.69	$977.76	$9,323.72	$3,800.00	2026-07-31
57288	CPT	Sling Vescia Blad Sus	15	11	$10,420.16	$10,420.16	$835.00	$9,378.14	$3,800.00	2026-07-31
19380	CPT	Bilateral Breast Revision	15	11	$11,569.11	$11,569.11	$541.59	$10,412.20	$3,800.00	2026-07-31
57265	CPT	Extensive Repair Vagina	15	11	$10,420.16	$10,420.16	$750.75	$9,378.14	$3,800.00	2026-07-31
19318	CPT	Reduction Mammaplasty	15	11	$11,569.11	$11,569.11	$474.42	$10,412.20	$3,800.00	2026-07-31
19340	CPT	Immediate Breast Prosth-bilateral	30	11	$13,978.94	$13,978.94	$385.15	$14,750.86	$3,800.00	2026-07-31
49320	CPT	Diag Laparo Seperate Proc	15	11	$10,993.05	$10,993.05	$385.15	$9,893.74	$3,800.00	2026-07-31
64834	CPT	Repair Of Hand Or Foot Never	15	11	$10,867.86	$10,867.86	$335.84	$9,781.07	$3,771.00	2026-07-31
52601	CPT	Turp-prostatectomy	15	11	$9,119.50	$9,119.50	$474.42	$8,207.55	$3,771.00	2026-07-31
64831	CPT	Repair Of Digit Nerve	15	11	$9,671.16	$9,671.16	$474.42	$8,704.04	$3,771.00	2026-07-31
52648	CPT	Laser Surgery Of Prostate	15	11	$11,930.88	$11,930.88	$474.42	$10,737.79	$3,771.00	2026-07-31
44950	CPT	Appendectomy Open	15	11	$6,841.74	$6,841.74	$594.00	$6,157.57	$3,694.00	2026-07-31
51525	CPT	Cystotomy Exc Bladder	15	11	$6,856.60	$6,856.60	$594.00	$6,170.94	$3,694.00	2026-07-31
15879	CPT	Liposuction Each Addl Hour	15	11	$5,598.37	$5,598.37	$594.00	$5,038.53	$3,694.00	2026-07-31
15877	CPT	Liposuction 1st Hour	15	11	$6,556.36	$6,556.36	$594.00	$5,900.72	$3,694.00	2026-07-31
35903	CPT	Excision Graft Extremity	15	11	$9,332.74	$9,332.74	$594.00	$8,399.47	$3,694.00	2026-07-31
27335	CPT	Remove Knee Joint Lining	15	11	$13,013.00	$13,013.00	$474.42	$11,711.70	$3,694.00	2026-07-31
20926	CPT	Fat Grafting To Breast	15	11	$6,556.36	$6,556.36	$733.00	$5,900.72	$3,694.00	2026-07-31
19370	CPT	Breast Implant Exchange	15	11	$9,550.22	$9,550.22	$474.42	$8,595.20	$3,694.00	2026-07-31
57240	CPT	Colporrhapy Anterior	15	11	$10,420.16	$10,420.16	$541.59	$9,378.14	$3,694.00	2026-07-31
57250	CPT	Anterior Repair	15	11	$10,420.16	$10,420.16	$541.59	$9,378.14	$3,694.00	2026-07-31
27386	CPT	Repair/graft Of Thigh Muscle	15	11	$13,013.00	$13,013.00	$385.15	$11,711.70	$3,694.00	2026-07-31
57260	CPT	Colporrhaphy Anteropo	15	11	$10,420.16	$10,420.16	$541.59	$9,378.14	$3,694.00	2026-07-31
65820	CPT	Omni Relieve Inner Eye Press Bilateral	30	11	$9,118.44	$9,118.44	$335.84	$8,206.60	$3,542.00	2026-07-31
59300	CPT	Episiotomy Of Vaginal Repair	15	11	$5,459.39	$5,459.39	$85.00	$4,913.45	$3,542.00	2026-07-31
59409	CPT	Vaginal Delivery	15	11	$9,013.41	$9,013.41	$594.00	$8,112.07	$3,542.00	2026-07-31
42825	CPT	Tonsilectomy Under 12	15	11	$10,358.63	$10,358.63	$335.84	$9,322.77	$3,542.00	2026-07-31
59612	CPT	Vbac Delivery Only	15	11	$5,377.70	$5,377.70	$594.00	$4,839.93	$3,542.00	2026-07-31
28805	CPT	Amputation Thru Metatarsal	15	11	$6,273.10	$6,273.10	$594.00	$5,645.79	$3,542.00	2026-07-31
27033	CPT	Exploration Of Hip Joint	15	11	$6,382.37	$6,382.37	$385.15	$5,744.13	$3,510.84	2026-07-31
28238	CPT	Revision Of Foot Tendon	15	11	$14,613.90	$14,613.90	$385.15	$13,152.51	$3,510.84	2026-07-31
27405	CPT	Repair Of Knee Ligament	15	11	$13,304.75	$13,304.75	$474.42	$11,974.28	$3,510.84	2026-07-31
24342	CPT	Repair Of Ruptured Tendon	15	11	$13,667.57	$13,667.57	$385.15	$12,300.81	$3,510.84	2026-07-31
24341	CPT	Repair Arm/tendonmuscle	15	11	$13,667.57	$13,667.57	$385.15	$12,300.81	$3,510.84	2026-07-31
27766	CPT	Open Reduction Internal Fixation	15	11	$11,072.61	$11,072.61	$385.15	$9,965.35	$3,510.84	2026-07-31
27566	CPT	Treat Kneecap Dislocation	15	11	$12,709.58	$12,709.58	$335.84	$11,438.62	$3,510.84	2026-07-31
27691	CPT	Revise Lower Leg Tendon	15	11	$9,854.70	$9,854.70	$474.42	$8,869.23	$3,510.84	2026-07-31
27690	CPT	Revise Lower Leg Tendon	15	11	$13,791.70	$13,791.70	$474.42	$12,412.53	$3,510.84	2026-07-31
27524	CPT	Treat Kneecap Fracture	15	11	$14,276.53	$14,276.53	$385.15	$12,848.88	$3,510.84	2026-07-31
27134	CPT	Revision Of Hip Joint Replacement	15	11	$5,185.68	$5,185.68	$594.00	$5,000.00	$3,505.52	2026-07-31
47620	CPT	Removal Of Gallbladder	15	11	$5,165.52	$5,165.52	$594.00	$5,000.00	$3,491.89	2026-07-31
45395	CPT	Lap Removal Of Rectum	15	11	$5,136.88	$5,136.88	$594.00	$5,000.00	$3,472.53	2026-07-31
59414	CPT	Deliver Placenta	15	11	$5,126.27	$5,126.27	$2,010.07	$4,613.64	$3,465.36	2026-07-31
44140	CPT	Partial Removal Of Colon	15	11	$5,036.09	$5,036.09	$594.00	$5,000.00	$3,404.40	2026-07-31
49565	CPT	Repair Ventrl Hernia, Reduce	15	11	$8,584.80	$8,584.80	$474.42	$7,726.32	$3,348.07	2026-07-31
49204	CPT	Exc Abd Tum Over 5 Cm	15	11	$4,891.81	$4,891.81	$594.00	$4,402.63	$3,306.86	2026-07-31
25270	CPT	Repair Forearm Tendon	15	11	$6,814.16	$6,814.16	$575.00	$6,132.74	$3,244.61	2026-07-31
28496	CPT	Treatment Of Big Toe Fracture	15	11	$6,185.05	$6,185.05	$575.00	$5,566.55	$3,244.61	2026-07-31
23140	CPT	Removal Of Bone Lesion	15	11	$6,577.58	$6,577.58	$575.00	$5,919.82	$3,244.61	2026-07-31
26727	CPT	Treat Finger Fracture	25	11	$5,349.06	$5,349.06	$245.00	$4,814.15	$3,244.61	2026-07-31
27487	CPT	Revise/replace Knee Joing	15	11	$4,754.95	$4,754.95	$594.00	$4,754.95	$3,214.35	2026-07-31
1702312	LOCAL	Single Del W Tubal	15	11	$4,586.27	$4,586.27	$1,788.65	$4,127.64	$3,210.39	2026-07-31
49561	CPT	Rpr Ventral Hernia Init, Block	15	11	$8,223.04	$8,223.04	$474.42	$7,400.74	$3,206.99	2026-07-31
27380	CPT	Repair Of Kneecap Tendon	15	11	$13,222.00	$13,222.00	$250.81	$11,899.80	$3,200.00	2026-07-31
49505	CPT	Repair Initial Inguinal Hernia, Age 5 Yr	30	11	$10,860.97	$10,860.97	$474.42	$13,033.16	$3,200.00	2026-07-31
27695	CPT	Repair Of Ankle Ligament	15	11	$13,073.47	$13,073.47	$335.84	$11,766.12	$3,200.00	2026-07-31
27350	CPT	Removal Of Kneecap	15	11	$7,898.40	$7,898.40	$474.42	$7,108.56	$3,200.00	2026-07-31
51500	CPT	Removal Of Bladder Cyst	15	11	$10,993.05	$10,993.05	$474.42	$9,893.74	$3,200.00	2026-07-31
26910	CPT	Amputate Metacarpal Bone	19	11	$6,977.54	$6,977.54	$385.15	$6,279.79	$3,200.00	2026-07-31
27696	CPT	Rt Ankle Repair	15	11	$6,814.16	$6,814.16	$335.84	$6,132.74	$3,200.00	2026-07-31
49566	CPT	Repair Ventrl Hernia Block	15	11	$6,852.35	$6,852.35	$541.59	$6,167.12	$3,200.00	2026-07-31
27698	CPT	Repair Of Ankle Ligament	15	11	$13,073.47	$13,073.47	$335.84	$11,766.12	$3,200.00	2026-07-31
49585	CPT	Umbilical Hernia Repa	15	11	$7,494.20	$7,494.20	$474.42	$6,744.78	$3,200.00	2026-07-31
49587	CPT	Umb Hernia Rep Marlex	15	11	$7,006.18	$7,006.18	$474.42	$6,305.56	$3,200.00	2026-07-31
49560	CPT	Ventral Hernia Repair	15	11	$7,496.32	$7,496.32	$474.42	$6,746.69	$3,200.00	2026-07-31
27403	CPT	Repair Of Knee Cartilage	15	11	$6,814.16	$6,814.16	$474.42	$6,132.74	$3,200.00	2026-07-31
29887	CPT	Knee Arthroscopy	15	11	$14,276.53	$14,276.53	$385.15	$12,848.88	$3,200.00	2026-07-31
20900	CPT	Removal Of Bone For Graft	15	11	$13,667.57	$13,667.57	$385.15	$12,300.81	$3,200.00	2026-07-31
49507	CPT	Rpr 1/hernia Init Block > 5 Gr	15	11	$8,906.26	$8,906.26	$474.42	$8,015.63	$3,200.00	2026-07-31
55040	CPT	Removal Of Hydrocele	15	11	$8,906.26	$8,906.26	$385.15	$8,015.63	$3,200.00	2026-07-31
49520	CPT	Rerepair Ing Hernia Reduce	15	11	$8,612.39	$8,612.39	$750.75	$7,751.15	$3,200.00	2026-07-31
54640	CPT	Suspension Of Testis	15	11	$8,906.26	$8,906.26	$474.42	$8,015.63	$3,200.00	2026-07-31
54530	CPT	Removal Of Testis	15	11	$7,494.20	$7,494.20	$474.42	$6,744.78	$3,200.00	2026-07-31
27385	CPT	Repair Of Thigh Muscle	15	11	$8,444.76	$8,444.76	$385.15	$7,600.28	$3,200.00	2026-07-31
27137	CPT	Revise Hip Joint Replacement	15	11	$4,722.07	$4,722.07	$594.00	$4,722.07	$3,192.12	2026-07-31
59820	CPT	D&c Missed Abort 1st Trim	27	11	$5,459.39	$5,459.39	$335.84	$4,913.45	$3,179.53	2026-07-31
25040	CPT	Explore/treat Wrist Joint	15	11	$7,790.19	$7,790.19	$541.59	$7,011.17	$3,090.31	2026-07-31
25024	CPT	Decompress Forearm Flexor & Extensor	15	11	$6,571.21	$6,571.21	$385.15	$5,914.09	$3,090.31	2026-07-31
26615	CPT	Treat Metacarpal Fracture	15	11	$8,834.33	$8,834.33	$474.42	$7,950.90	$3,090.31	2026-07-31
26860	CPT	Fusion Of Finger Joint	15	11	$6,105.48	$6,105.48	$385.15	$5,494.93	$3,090.31	2026-07-31
27635	CPT	Remove Lower Leg Bone Les	15	11	$6,814.16	$6,814.16	$385.15	$6,132.74	$3,090.31	2026-07-31
24582	CPT	Closed Reduction Per Pinning	15	11	$6,382.37	$6,382.37	$335.84	$5,744.13	$3,090.31	2026-07-31
24538	CPT	Treat Humerus Fracture	15	11	$13,667.57	$13,667.57	$335.84	$12,300.81	$3,090.31	2026-07-31
29870	CPT	Knee Arthroscopy Dx	15	11	$7,130.31	$7,130.31	$385.15	$6,417.28	$3,090.31	2026-07-31
24359	CPT	Repair Elbow Deb/attch Open	15	11	$6,382.37	$6,382.37	$977.76	$5,744.13	$3,090.31	2026-07-31
24358	CPT	Repair Elbow W/deb Open	15	11	$7,951.45	$7,951.45	$977.76	$7,156.31	$3,090.31	2026-07-31
29824	CPT	Shoulder Arthroscopy	15	11	$7,951.45	$7,951.45	$385.15	$7,156.31	$3,090.31	2026-07-31
24164	CPT	Removal Of Radius Head Implant	15	11	$6,625.32	$6,625.32	$385.15	$5,962.79	$3,090.31	2026-07-31
29823	CPT	Shoulder Arthroscopy	15	11	$7,951.45	$7,951.45	$385.15	$7,156.31	$3,090.31	2026-07-31
29825	CPT	Shoulder Arthroscopy/surgery	15	11	$7,951.45	$7,951.45	$385.15	$7,156.31	$3,090.31	2026-07-31
24000	CPT	Exploratory Elbow Surgery	15	11	$6,167.01	$6,167.01	$474.42	$5,550.31	$3,090.31	2026-07-31
29871	CPT	Knee Arthroscopy/drainage	15	11	$7,279.90	$7,279.90	$385.15	$6,551.91	$3,090.31	2026-07-31
26665	CPT	Treat Thumb Fracture	15	11	$6,571.21	$6,571.21	$474.42	$5,914.09	$3,090.31	2026-07-31
27360	CPT	Partial Removal Leg Bone	15	11	$6,382.37	$6,382.37	$541.59	$5,744.13	$3,090.31	2026-07-31
27425	CPT	Lat Retinacular Release Open	15	11	$6,625.32	$6,625.32	$750.75	$5,962.79	$3,090.31	2026-07-31
23120	CPT	Claviculectomy Partial	15	11	$6,814.16	$6,814.16	$541.59	$6,132.74	$3,090.31	2026-07-31
29898	CPT	Ankle Arthroscopy Extensive Debridement	15	11	$6,167.01	$6,167.01	$385.15	$5,550.31	$3,090.31	2026-07-31
29884	CPT	Knee Arthroscopy/surgery	15	11	$7,278.83	$7,278.83	$385.15	$6,550.95	$3,090.31	2026-07-31
29819	CPT	Shoulder Arthroscopy/surgery	15	11	$6,382.37	$6,382.37	$385.15	$5,744.13	$3,090.31	2026-07-31
29895	CPT	Ankle Arthroscopy Surgery	15	11	$6,105.48	$6,105.48	$385.15	$5,494.93	$3,090.31	2026-07-31
29897	CPT	Ankle Arthroscopy Limited Debridement	15	11	$6,167.01	$6,167.01	$385.15	$5,550.31	$3,090.31	2026-07-31
27496	CPT	Decompression Of Thigh/knee	15	11	$6,814.16	$6,814.16	$335.84	$6,132.74	$3,090.31	2026-07-31
27310	CPT	Exploration Of Knee Joint	15	11	$6,814.16	$6,814.16	$474.42	$6,132.74	$3,090.31	2026-07-31
27334	CPT	Remove Knee Joint Lining	15	11	$6,626.38	$6,626.38	$474.42	$5,963.74	$3,090.31	2026-07-31
26426	CPT	Repair Finger/hand Tendon	15	11	$6,107.60	$6,107.60	$385.15	$5,496.84	$3,090.31	2026-07-31
29880	CPT	Arthroscopy Med And L	15	11	$6,273.10	$6,273.10	$474.42	$5,645.79	$3,090.31	2026-07-31
29877	CPT	Arthroscopy Chondropl	15	11	$6,571.21	$6,571.21	$474.42	$5,914.09	$3,090.31	2026-07-31
29876	CPT	Knee Arthroscopy/surgery	15	11	$7,130.31	$7,130.31	$474.42	$6,417.28	$3,090.31	2026-07-31
26356	CPT	Repair Finger/hand Tendon	15	11	$7,728.66	$7,728.66	$474.42	$6,955.79	$3,090.31	2026-07-31
26350	CPT	Repair Finger/hand Tendon	15	11	$6,273.10	$6,273.10	$250.81	$5,645.79	$3,090.31	2026-07-31
29875	CPT	Knee Arthro Surgery	15	11	$6,273.10	$6,273.10	$474.42	$5,645.79	$3,090.31	2026-07-31
29882	CPT	Knee Arth W/meniscus Rep	15	11	$6,213.69	$6,213.69	$385.15	$5,592.32	$3,090.31	2026-07-31
28755	CPT	Fusion Of Big Toe Joint	15	11	$13,667.57	$13,667.57	$474.42	$12,300.81	$3,090.31	2026-07-31
27620	CPT	Explore/treat Ankle Joint	15	11	$6,105.48	$6,105.48	$474.42	$5,494.93	$3,090.31	2026-07-31
29879	CPT	Knee Arthroscopy/surgery	15	11	$7,278.83	$7,278.83	$385.15	$6,550.95	$3,090.31	2026-07-31
26123	CPT	Release Of Palm Contractu	15	11	$6,273.10	$6,273.10	$474.42	$5,645.79	$3,090.31	2026-07-31
27687	CPT	Revision Of Calf Tendon	15	11	$6,814.16	$6,814.16	$385.15	$6,132.74	$3,090.31	2026-07-31
28292	CPT	Correction Bunion	15	11	$8,826.69	$8,826.69	$335.84	$7,944.02	$3,090.31	2026-07-31
28306	CPT	Incision Of Metatarsal	15	11	$6,273.10	$6,273.10	$474.42	$5,645.79	$3,090.31	2026-07-31
27680	CPT	Release Of Lower Leg Tnedon	15	11	$8,698.32	$8,698.32	$385.15	$7,828.49	$3,090.31	2026-07-31
29873	CPT	Knee Arthroscopy	15	11	$6,273.10	$6,273.10	$474.42	$5,645.79	$3,090.31	2026-07-31
27685	CPT	Revision Of Lower Leg Tendon	15	11	$6,167.01	$6,167.01	$385.15	$5,550.31	$3,090.31	2026-07-31
27331	CPT	Explore/treat Kneejoint	15	11	$7,790.19	$7,790.19	$474.42	$7,011.17	$3,090.31	2026-07-31
29883	CPT	Knee Arthroscopy/surgery	15	11	$6,273.10	$6,273.10	$385.15	$5,645.79	$3,090.31	2026-07-31
29874	CPT	Knee Arthroscopy/surgery	15	11	$7,278.83	$7,278.83	$385.15	$6,550.95	$3,090.31	2026-07-31
27626	CPT	Remove Ankle Joint Lining	15	11	$8,698.32	$8,698.32	$474.42	$7,828.49	$3,090.31	2026-07-31
29822	CPT	Shoulder Arthro Surgery	15	11	$6,213.69	$6,213.69	$385.15	$5,592.32	$3,090.31	2026-07-31
25447	CPT	Arthroplasty Wrist Joint	15	11	$8,810.77	$8,810.77	$541.59	$7,929.69	$3,090.31	2026-07-31
28296	CPT	Correction On Bunion	15	11	$8,291.99	$8,291.99	$385.15	$7,462.79	$3,090.31	2026-07-31
25272	CPT	Repair Forearm Tendon/muscle	15	11	$6,185.05	$6,185.05	$385.15	$5,566.55	$3,090.31	2026-07-31
26370	CPT	Repair Finger/hand Tendon	15	11	$6,273.10	$6,273.10	$474.42	$5,645.79	$3,090.31	2026-07-31
J3101	HCPCS	Tenecteplase (tnkase) 50mg Inj	15	11	$15,251.50	$15,251.50	$125.42	$12,201.20	$3,050.30	2026-07-31
36557	CPT	Insert Tunneled Cv Cath	15	11	$9,034.62	$9,034.62	$385.15	$8,131.16	$3,009.55	2026-07-31
27506	CPT	Treatment Of Thigh Fracture	15	11	$4,398.49	$4,398.49	$594.00	$4,398.49	$2,973.38	2026-07-31
58740	CPT	Revise Fallopian Tubes	15	11	$4,395.31	$4,395.31	$594.00	$3,955.78	$2,971.23	2026-07-31
12037	CPT	Repair Layer >30 Cm	19	11	$4,022.93	$4,022.93	$335.84	$5,507.34	$2,920.65	2026-07-31
36570	CPT	Insert Picvad Cath	15	11	$6,912.82	$6,912.82	$385.15	$6,221.54	$2,899.06	2026-07-31
36571	CPT	Infuse-a-port	30	11	$6,399.34	$6,399.34	$385.15	$6,221.54	$2,899.06	2026-07-31
36561	CPT	Insert Tunneled Cv Cath Centrally	15	11	$6,912.82	$6,912.82	$385.15	$6,221.54	$2,899.06	2026-07-31
36560	CPT	Insert Tunneled Cv Cath	15	11	$6,912.82	$6,912.82	$385.15	$6,221.54	$2,899.06	2026-07-31
36558	CPT	Insertion Of Triple Lumen Catheter	30	11	$6,399.34	$6,399.34	$385.15	$6,221.54	$2,899.06	2026-07-31
36565	CPT	Insert Tunneled Cv Cath	15	11	$6,912.82	$6,912.82	$385.15	$6,221.54	$2,899.06	2026-07-31
36475	CPT	Endovenous Ablation Therpay	15	11	$6,788.70	$6,788.70	$541.59	$6,109.83	$2,899.06	2026-07-31
36585	CPT	Replace Picvad Cath	15	11	$6,912.82	$6,912.82	$335.84	$6,221.54	$2,899.06	2026-07-31
36578	CPT	Replace Tunneled Cv Cath	15	11	$6,912.82	$6,912.82	$335.84	$6,221.54	$2,899.06	2026-07-31
36581	CPT	Replace Tunneled Cv Cath	15	11	$6,912.82	$6,912.82	$335.84	$6,221.54	$2,899.06	2026-07-31
36582	CPT	Replace Tunneled Cv Cath	15	11	$6,912.82	$6,912.82	$335.84	$6,221.54	$2,899.06	2026-07-31
54360	CPT	Penis Plastic Surgery Repair	15	11	$6,656.09	$6,656.09	$385.15	$5,990.48	$2,894.10	2026-07-31
54520	CPT	Removal Of Testis	15	11	$6,016.36	$6,016.36	$385.15	$5,414.72	$2,894.10	2026-07-31

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