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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

CORNERSTONE REGIONAL HOSPITAL

Edinburg, TX · CCN 450825 · Rates published

Your selected procedure

You selected 482 (MS_DRG)

Hip And Femur Procedures Except Major Joint Without Cc/Mcc

This hospital’s price: $11,428 across 13 payers · range $8,466-$48,979

Source: https://uhsfilecdn.eskycity.net/ac/742829611_cornerstone-regional-hospital_standardcharges.csv · observed 2026-11-02

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.

303 distinct procedures filed
13 distinct payers
5,056 rate rows
2026-07-15 last MRF observed
Data quality

5,052 of 5,056 rate rows are consumer-grade (99.9%)

4 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
per-diem day rate — not a per-procedure price 4
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://uhsfilecdn.eskycity.net/ac/742829611_cornerstone-regional-hospital_standardcharges.csv
Found on page https://cornerstoneregional.com/pricing-guide/
Discovered viaDiscovered by HANK
Last fetch success · 2026-11-03
Content fingerprint 2ff5ee61de8da773… · 171,856 bytes · first seen 2026-11-03

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
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Or Infection Wi… 13 $20,667.00 $93,327.00 $38,193.00 nat. median
$55,110
0.7× median
463
MS_DRG 		Wound Debridement Or Skin Graft Except Hand For Musculoskeletal And Connective T… 13 $3,441.00 $36,573.00 $36,573.00 nat. median
$49,873
0.7× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 13 $7,268.00 $41,249.00 $31,019.00 nat. median
$45,362
0.7× median
458
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Or Infection Wi… 13 $19,940.00 $89,785.00 $29,259.00 nat. median
$40,320
0.7× median
856
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 13 $7,440.00 $56,574.00 $27,935.00 nat. median
$41,655
0.7× median
460
MS_DRG 		13 $11,682.00 $95,068.00 $23,621.00 nat. median
$31,587
0.7× median
495
MS_DRG 		Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 13 $9,926.00 $58,425.00 $23,525.00 nat. median
$33,724
0.7× median
467
MS_DRG 		Revision Of Hip Or Knee Replacement W Cc 13 $12,363.00 $49,924.00 $22,966.00 nat. median
$32,585
0.7× median
492
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc Or In… 13 $12,574.00 $45,589.00 $22,357.00 nat. median
$33,619
0.7× median
27279
HCPCS 		Arthrd Si Jt Plmt Tartclr Dv 12 $14,602.00 $38,077.00 $21,898.00 nat. median
$17,329
1.3× median
22633
HCPCS 		Arthrd Cmbn 1ntrspc Lumbar 12 $1,837.00 $109,090.00 $21,898.00 nat. median
$17,527
1.2× median
22612
HCPCS 		Arthrd Pst Tq 1ntrspc Lumbar 13 $7,051.00 $193,398.00 $21,898.00 nat. median
$15,407
1.4× median
29
MS_DRG 		Spinal Procedures With Cc Or Spinal Neurostimulators 13 $15,741.00 $27,324.00 $21,650.00 nat. median
$31,858
0.7× median
469
MS_DRG 		Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 13 $8,597.00 $23,800.00 $21,502.00 nat. median
$29,441
0.7× median
472
MS_DRG 		Cervical Spinal Fusion W Cc 13 $10,033.00 $37,786.00 $19,085.00 nat. median
$28,214
0.7× median
462
MS_DRG 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 13 $12,363.00 $35,461.00 $18,922.00 nat. median
$26,423
0.7× median
468
MS_DRG 		Revision Of Hip Or Knee Replacement Without Cc/mcc 13 $14,410.00 $95,899.00 $17,239.00 nat. median
$25,650
0.7× median
982
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 13 $9,271.00 $36,960.00 $16,053.00 nat. median
$23,167
0.7× median
473
MS_DRG 		Cervical Spinal Fusion Without Cc/mcc 13 $7,828.00 $37,342.00 $15,889.00 nat. median
$23,468
0.7× median
330
MS_DRG 		Major Small And Large Bowel Procedures With Cc 13 $6,993.00 $24,481.00 $15,573.00 nat. median
$22,935
0.7× median
493
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 13 $9,740.00 $28,417.00 $15,509.00 nat. median
$23,523
0.7× median
483
MS_DRG 		Major Joint Or Limb Reattachment Procedures Of Upper Extremities 12 $11,839.00 $34,988.00 $14,956.00 nat. median
$25,333
0.6× median
30
MS_DRG 		Spinal Procedures Without Cc/mcc 13 $7,237.00 $37,543.00 $14,852.00 nat. median
$21,259
0.7× median
488
MS_DRG 		Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 13 $5,699.00 $19,337.00 $14,398.00 nat. median
$18,172
0.8× median
522
MS_DRG 		Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 13 $11,612.00 $39,319.00 $13,640.00 nat. median
$20,537
0.7× median
481
MS_DRG 		Hip And Femur Procedures Except Major Joint With Cc 13 $8,833.00 $44,961.00 $13,399.00 nat. median
$20,298
0.7× median
516
MS_DRG 		Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 13 $8,204.00 $32,785.00 $13,179.00 nat. median
$20,095
0.7× median
27758
HCPCS 		Treatment Of Tibia Fracture 13 $6,792.00 $21,610.00 $13,048.00 nat. median
$10,516
1.2× median
22551
HCPCS 		Arthrd Ant Ntrbdy Cervical 13 $6,995.00 $50,782.00 $13,048.00 nat. median
$12,536
1.0× median
24515
HCPCS 		Treat Humerus Fracture 13 $6,577.00 $64,715.00 $13,048.00 nat. median
$11,515
1.1× median
27438
HCPCS 		Revise Kneecap With Implant 13 $6,663.00 $32,593.00 $13,048.00 nat. median
$11,492
1.1× median
20692
HCPCS 		Appl Mltpln Uni Ext Fixj Sys 13 $7,449.00 $23,386.00 $13,048.00 nat. median
$8,586
1.5× median
27446
HCPCS 		Revision Of Knee Joint 13 $7,074.00 $49,717.00 $13,048.00 nat. median
$12,435
1.0× median
27447
HCPCS 		Total Knee Arthroplasty 12 $9,617.00 $95,899.00 $13,048.00 nat. median
$12,737
1.0× median
24579
HCPCS 		Optx Humrl Cndylr Fracture 13 $5,280.00 $13,048.00 $13,048.00 nat. median
$11,120
1.2× median
23472
HCPCS 		Reconstruct Shoulder Joint 12 $1,432.00 $61,651.00 $13,048.00 nat. median
$16,661
0.8× median
27827
HCPCS 		Treat Lower Leg Fracture 13 $6,845.00 $64,715.00 $13,048.00 nat. median
$10,873
1.2× median
27759
HCPCS 		Treatment Of Tibia Fracture 13 $6,633.00 $27,229.00 $13,048.00 nat. median
$10,737
1.2× median
24430
HCPCS 		Repair Of Humerus 13 $6,725.00 $64,715.00 $13,048.00 nat. median
$11,523
1.1× median
27130
HCPCS 		Total Hip Arthroplasty 12 $1,335.00 $67,183.00 $13,048.00 nat. median
$13,097
1.0× median
27428
HCPCS 		Reconstruction Knee 13 $6,263.00 $64,715.00 $13,048.00 nat. median
$11,589
1.1× median
24575
HCPCS 		Treat Humerus Fracture 13 $6,484.00 $13,940.00 $13,048.00 nat. median
$10,594
1.2× median
486
MS_DRG 		Knee Procedures With Principal Diagnosis Of Infection With Cc 13 $7,543.00 $47,155.00 $12,969.00 nat. median
$20,195
0.6× median
511
MS_DRG 		Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 13 $6,363.00 $19,425.00 $12,875.00 nat. median
$19,647
0.7× median
519
MS_DRG 		Back And Neck Procedures Except Spinal Fusion With Cc 13 $3,736.00 $36,485.00 $12,693.00 nat. median
$19,458
0.7× median
465
MS_DRG 		Wound Debridement Or Skin Graft Except Hand For Musculoskeletal And Connective T… 13 $3,051.00 $30,033.00 $12,651.00 nat. median
$17,563
0.7× median
470
MS_DRG 		Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without Mcc 13 $8,578.00 $38,029.00 $12,151.00 nat. median
$18,811
0.6× median
494
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 13 $7,543.00 $55,261.00 $12,070.00 nat. median
$18,751
0.6× median
742
MS_DRG 		Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 13 $7,087.00 $17,571.00 $11,447.00 nat. median
$17,778
0.6× median
582
MS_DRG 		Mastectomy For Malignancy With Cc/mcc 13 $6,679.00 $22,609.00 $11,244.00 nat. median
$18,195
0.6× median

Other procedures at this hospital

Browse this hospital's 303 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
             
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Or Infection Wi… 21 13 — — $20,667.00 $93,327.00 $38,193.00 2026-07-15
463 MS_DRG Wound Debridement Or Skin Graft Except Hand For Musculoskeletal And Connective T… 22 13 — — $3,441.00 $36,573.00 $36,573.00 2026-07-15
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 21 13 — — $7,268.00 $41,249.00 $31,019.00 2026-07-15
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Or Infection Wi… 22 13 — — $19,940.00 $89,785.00 $29,259.00 2026-07-15
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 21 13 — — $7,440.00 $56,574.00 $27,935.00 2026-07-15
460 MS_DRG — 22 13 — — $11,682.00 $95,068.00 $23,621.00 2026-07-15
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 21 13 — — $9,926.00 $58,425.00 $23,525.00 2026-07-15
467 MS_DRG Revision Of Hip Or Knee Replacement W Cc 21 13 — — $12,363.00 $49,924.00 $22,966.00 2026-07-15
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc Or In… 22 13 — — $12,574.00 $45,589.00 $22,357.00 2026-07-15
27279 HCPCS Arthrd Si Jt Plmt Tartclr Dv 17 12 — — $14,602.00 $38,077.00 $21,898.00 2026-07-15
22633 HCPCS Arthrd Cmbn 1ntrspc Lumbar 17 12 — — $1,837.00 $109,090.00 $21,898.00 2026-07-15
22612 HCPCS Arthrd Pst Tq 1ntrspc Lumbar 22 13 — — $7,051.00 $193,398.00 $21,898.00 2026-07-15
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 21 13 — — $15,741.00 $27,324.00 $21,650.00 2026-07-15
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 22 13 — — $8,597.00 $23,800.00 $21,502.00 2026-07-15
472 MS_DRG Cervical Spinal Fusion W Cc 22 13 — — $10,033.00 $37,786.00 $19,085.00 2026-07-15
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 21 13 — — $12,363.00 $35,461.00 $18,922.00 2026-07-15
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 22 13 — — $14,410.00 $95,899.00 $17,239.00 2026-07-15
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 22 13 — — $9,271.00 $36,960.00 $16,053.00 2026-07-15
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 22 13 — — $7,828.00 $37,342.00 $15,889.00 2026-07-15
330 MS_DRG Major Small And Large Bowel Procedures With Cc 21 13 — — $6,993.00 $24,481.00 $15,573.00 2026-07-15
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 22 13 — — $9,740.00 $28,417.00 $15,509.00 2026-07-15
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 16 12 — — $11,839.00 $34,988.00 $14,956.00 2026-07-15
30 MS_DRG Spinal Procedures Without Cc/mcc 21 13 — — $7,237.00 $37,543.00 $14,852.00 2026-07-15
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 21 13 — — $5,699.00 $19,337.00 $14,398.00 2026-07-15
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 21 13 — — $11,612.00 $39,319.00 $13,640.00 2026-07-15
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 22 13 — — $8,833.00 $44,961.00 $13,399.00 2026-07-15
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 22 13 — — $8,204.00 $32,785.00 $13,179.00 2026-07-15
27758 HCPCS Treatment Of Tibia Fracture 22 13 — — $6,792.00 $21,610.00 $13,048.00 2026-07-15
22551 HCPCS Arthrd Ant Ntrbdy Cervical 22 13 — — $6,995.00 $50,782.00 $13,048.00 2026-07-15
24515 HCPCS Treat Humerus Fracture 22 13 — — $6,577.00 $64,715.00 $13,048.00 2026-07-15
27438 HCPCS Revise Kneecap With Implant 22 13 — — $6,663.00 $32,593.00 $13,048.00 2026-07-15
20692 HCPCS Appl Mltpln Uni Ext Fixj Sys 22 13 — — $7,449.00 $23,386.00 $13,048.00 2026-07-15
27446 HCPCS Revision Of Knee Joint 22 13 — — $7,074.00 $49,717.00 $13,048.00 2026-07-15
27447 HCPCS Total Knee Arthroplasty 17 12 — — $9,617.00 $95,899.00 $13,048.00 2026-07-15
24579 HCPCS Optx Humrl Cndylr Fracture 22 13 — — $5,280.00 $13,048.00 $13,048.00 2026-07-15
23472 HCPCS Reconstruct Shoulder Joint 17 12 — — $1,432.00 $61,651.00 $13,048.00 2026-07-15
27827 HCPCS Treat Lower Leg Fracture 22 13 — — $6,845.00 $64,715.00 $13,048.00 2026-07-15
27759 HCPCS Treatment Of Tibia Fracture 22 13 — — $6,633.00 $27,229.00 $13,048.00 2026-07-15
24430 HCPCS Repair Of Humerus 22 13 — — $6,725.00 $64,715.00 $13,048.00 2026-07-15
27130 HCPCS Total Hip Arthroplasty 17 12 — — $1,335.00 $67,183.00 $13,048.00 2026-07-15
27428 HCPCS Reconstruction Knee 22 13 — — $6,263.00 $64,715.00 $13,048.00 2026-07-15
24575 HCPCS Treat Humerus Fracture 22 13 — — $6,484.00 $13,940.00 $13,048.00 2026-07-15
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 22 13 — — $7,543.00 $47,155.00 $12,969.00 2026-07-15
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 22 13 — — $6,363.00 $19,425.00 $12,875.00 2026-07-15
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 21 13 — — $3,736.00 $36,485.00 $12,693.00 2026-07-15
465 MS_DRG Wound Debridement Or Skin Graft Except Hand For Musculoskeletal And Connective T… 21 13 — — $3,051.00 $30,033.00 $12,651.00 2026-07-15
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without Mcc 22 13 — — $8,578.00 $38,029.00 $12,151.00 2026-07-15
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 22 13 — — $7,543.00 $55,261.00 $12,070.00 2026-07-15
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 21 13 — — $7,087.00 $17,571.00 $11,447.00 2026-07-15
582 MS_DRG Mastectomy For Malignancy With Cc/mcc 22 13 — — $6,679.00 $22,609.00 $11,244.00 2026-07-15
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/Mcc 22 13 — — $10,257.00 $53,725.00 $10,257.00 2026-07-15
142 MS_DRG Major Head And Neck Procedures Without Cc/mcc 22 13 — — $8,076.00 $33,946.00 $9,977.00 2026-07-15
487 MS_DRG Knee Procedures With Principal Diagnosis Of Infection Without Cc/mcc 22 13 — — $6,800.00 $51,495.00 $9,976.00 2026-07-15
497 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 21 13 — — $5,019.00 $32,586.00 $9,677.00 2026-07-15
517 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/Mc… 22 13 — — $5,988.00 $58,088.00 $9,650.00 2026-07-15
520 MS_DRG Back And Neck Procedures Except Spinal Fusion Without Cc/mcc 21 13 — — $3,216.00 $32,527.00 $9,412.00 2026-07-15
748 MS_DRG Female Reproductive System Reconstructive Procedures 21 13 — — $3,400.00 $26,649.00 $9,017.00 2026-07-15
502 MS_DRG Soft Tissue Procedures Without Cc/mcc 22 13 — — $5,588.00 $25,247.00 $8,929.00 2026-07-15
499 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without… 22 13 — — $6,389.00 $37,710.00 $8,329.00 2026-07-15
903 MS_DRG Wound Debridements For Injuries Without Cc/mcc 22 13 — — $3,441.00 $24,012.00 $8,017.00 2026-07-15
489 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection Without Cc/Mcc 22 13 — — $5,327.00 $28,666.00 $7,992.00 2026-07-15
549 MS_DRG Septic Arthritis With Cc 22 13 — — $5,048.00 $34,318.00 $7,789.00 2026-07-15
743 MS_DRG Uterine And Adnexa Procedures For Non-malignancy Without Cc/mcc 21 13 — — $4,803.00 $31,507.00 $7,459.00 2026-07-15
24341 HCPCS Rpr Tdn/musc Upr A/e Each 22 13 — — $2,399.00 $21,251.00 $6,615.00 2026-07-15
23515 HCPCS Optx Clavicular Fx W/int Fix 22 13 — — $3,294.00 $34,032.00 $6,615.00 2026-07-15
23550 HCPCS Optx Acromclv Dislc Aqt/chrn 22 13 — — $3,155.00 $22,301.00 $6,615.00 2026-07-15
23630 HCPCS Optx Gr Hmrl Tbrs Fx Int Fix 22 13 — — $3,123.00 $64,715.00 $6,615.00 2026-07-15
24344 HCPCS Reconstruct Elbow Lat Ligmnt 22 13 — — $3,134.00 $64,715.00 $6,615.00 2026-07-15
24538 HCPCS Treat Humerus Fracture 22 13 — — $2,399.00 $15,225.00 $6,615.00 2026-07-15
24665 HCPCS Treat Radius Fracture 22 13 — — $2,399.00 $18,087.00 $6,615.00 2026-07-15
24685 HCPCS Optx Ulnar Fx Prox End W/fix 22 13 — — $3,173.00 $19,451.00 $6,615.00 2026-07-15
25390 HCPCS Shorten Radius Or Ulna 22 13 — — $3,306.00 $21,610.00 $6,615.00 2026-07-15
25515 HCPCS Optx Radial Shaft Fracture 22 13 — — $3,226.00 $14,882.00 $6,615.00 2026-07-15
25545 HCPCS Optx Ulnar Shft Fx Int Fixj 22 13 — — $3,160.00 $16,929.00 $6,615.00 2026-07-15
25574 HCPCS Optx Rdl&uln Shft Fx Rds/uln 22 13 — — $3,424.00 $21,610.00 $6,615.00 2026-07-15
25575 HCPCS Optx Rdl&uln Shft Fx Rds&uln 22 13 — — $3,340.00 $28,944.00 $6,615.00 2026-07-15
25607 HCPCS Optx Dst Rd Xartc Fx/epi Sep 22 13 — — $3,444.00 $28,424.00 $6,615.00 2026-07-15
25608 HCPCS Optx Dst Rd Xart Fx/epi Sep2 22 13 — — $3,437.00 $28,605.00 $6,615.00 2026-07-15
25609 HCPCS Optx Dst Rd Xart Fx/ep Sep3+ 22 13 — — $3,453.00 $38,732.00 $6,615.00 2026-07-15
25628 HCPCS Optx Carpl Scphd Fx Int Fixj 22 13 — — $2,399.00 $14,517.00 $6,615.00 2026-07-15
26205 HCPCS Remove/graft Bone Lesion 22 13 — — $2,399.00 $21,610.00 $6,615.00 2026-07-15
26531 HCPCS Revise Knuckle With Implant 22 13 — — $3,500.00 $16,621.00 $6,615.00 2026-07-15
27335 HCPCS Remove Knee Joint Lining 22 13 — — $2,399.00 $64,715.00 $6,615.00 2026-07-15
63267 HCPCS Excise Intrspinl Lesion Lmbr 17 12 — — $1,357.00 $30,660.00 $6,615.00 2026-07-15
27380 HCPCS Repair Of Kneecap Tendon 22 13 — — $2,399.00 $21,664.00 $6,615.00 2026-07-15
27385 HCPCS Repair Of Thigh Muscle 22 13 — — $2,399.00 $18,786.00 $6,615.00 2026-07-15
27386 HCPCS Repair/graft Of Thigh Muscle 22 13 — — $2,399.00 $54,054.00 $6,615.00 2026-07-15
27412 HCPCS Autochondrocyte Implant Knee 17 12 — — $5,326.00 $25,400.00 $6,615.00 2026-07-15
27422 HCPCS Revision Of Unstable Kneecap 22 13 — — $2,399.00 $32,419.00 $6,615.00 2026-07-15
27437 HCPCS Revise Kneecap 22 13 — — $2,399.00 $64,715.00 $6,615.00 2026-07-15
27524 HCPCS Treat Kneecap Fracture 22 13 — — $2,399.00 $25,142.00 $6,615.00 2026-07-15
63075 HCPCS Neck Spine Disk Surgery 17 12 — — $5,326.00 $64,715.00 $6,615.00 2026-07-15
27650 HCPCS Repair Achilles Tendon 22 13 — — $2,399.00 $18,919.00 $6,615.00 2026-07-15
27766 HCPCS Optx Medial Ankle Fx 22 13 — — $2,399.00 $21,610.00 $6,615.00 2026-07-15
27792 HCPCS Treatment Of Ankle Fracture 22 13 — — $3,204.00 $22,637.00 $6,615.00 2026-07-15
27814 HCPCS Treatment Of Ankle Fracture 22 13 — — $3,222.00 $31,724.00 $6,615.00 2026-07-15
27822 HCPCS Treatment Of Ankle Fracture 22 13 — — $3,225.00 $64,715.00 $6,615.00 2026-07-15
27829 HCPCS Treat Lower Leg Joint 22 13 — — $3,253.00 $64,715.00 $6,615.00 2026-07-15
63047 HCPCS Lam Facetec & Foramot Lumbar 22 13 — — $2,399.00 $74,324.00 $6,615.00 2026-07-15
63042 HCPCS Laminotomy Single Lumbar 22 13 — — $2,399.00 $64,715.00 $6,615.00 2026-07-15
28262 HCPCS Revision Of Foot And Ankle 22 13 — — $2,399.00 $21,610.00 $6,615.00 2026-07-15
28299 HCPCS Cor Hlx Vlgs Double Osteot 22 13 — — $2,513.00 $10,467.00 $6,615.00 2026-07-15
63030 HCPCS Low Back Disk Surgery 22 13 — — $2,399.00 $46,506.00 $6,615.00 2026-07-15
28485 HCPCS Treat Metatarsal Fracture 22 13 — — $3,227.00 $24,027.00 $6,615.00 2026-07-15
29806 HCPCS Sho Arthrs Srg Capsulorraphy 22 13 — — $2,399.00 $27,288.00 $6,615.00 2026-07-15
29807 HCPCS Sho Arthrs Srg Rpr Slap Les 22 13 — — $2,399.00 $35,920.00 $6,615.00 2026-07-15
29827 HCPCS Sho Arthrs Srg Rt8tr Cuf Rpr 22 13 — — $2,399.00 $31,483.00 $6,615.00 2026-07-15
29828 HCPCS Sho Arthrs Srg Bicp Tenodsis 22 13 — — $2,399.00 $18,539.00 $6,615.00 2026-07-15
29888 HCPCS Knee Arthroscopy/surgery 22 13 — — $3,300.00 $30,643.00 $6,615.00 2026-07-15
863 MS_DRG Postoperative And Post-traumatic Infections Without Mcc 22 13 — — $3,638.00 $51,820.00 $6,493.00 2026-07-15
552 MS_DRG Medical Back Problems Without Mcc 22 13 — — $3,858.00 $37,177.00 $6,240.00 2026-07-15
31276 HCPCS Nsl/sins Ndsc Frnt Tiss Rmvl 22 13 — — $1,630.00 $21,610.00 $6,187.00 2026-07-15
563 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 22 13 — — $2,396.00 $23,421.00 $5,783.00 2026-07-15
603 MS_DRG Cellulitis Without Mcc 22 13 — — $2,595.00 $33,755.00 $5,713.00 2026-07-15
69641 HCPCS Revise Middle Ear & Mastoid 22 13 — — $1,954.00 $21,610.00 $5,340.00 2026-07-15
21465 HCPCS Optx Mndblr Cndylr Fx 22 13 — — $2,620.00 $64,715.00 $5,340.00 2026-07-15
42225 HCPCS Reconstruct Cleft Palate 22 13 — — $1,954.00 $21,610.00 $5,340.00 2026-07-15
21196 HCPCS Reconst Lwr Jaw W/fixation 17 12 — — $1,452.00 $21,610.00 $5,340.00 2026-07-15
21030 HCPCS Excise Max/zygoma B9 Tumor 22 13 — — $232.00 $21,610.00 $5,340.00 2026-07-15
47562 HCPCS Laparoscopic Cholecystectomy 22 13 — — $2,504.00 $21,550.00 $5,212.00 2026-07-15
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 21 13 — — $3,876.00 $18,233.00 $5,091.00 2026-07-15
561 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc 22 13 — — $3,162.00 $15,359.00 $5,038.00 2026-07-15
921 MS_DRG Complications Of Treatment Without Cc/mcc 22 13 — — $2,922.00 $29,989.00 $4,506.00 2026-07-15
49505 HCPCS Prp I/hern Init Reduc >5 Yr 22 13 — — $2,573.00 $17,504.00 $3,542.00 2026-07-15
63688 HCPCS Rev/rmv Imp Sp Npg/r Dtch Cn 22 13 — — $2,072.00 $64,715.00 $3,248.00 2026-07-15
63662 HCPCS Remove Spine Eltrd Plate 22 13 — — $1,500.00 $16,508.00 $3,248.00 2026-07-15
29824 HCPCS Sho Arthrs Srg Dstl Claviclc 22 13 — — $1,088.00 $21,306.00 $2,977.00 2026-07-15
29825 HCPCS Sho Arthrs Srg Lss&rescj Ads 22 13 — — $1,088.00 $12,838.00 $2,977.00 2026-07-15
27685 HCPCS Revision Of Lower Leg Tendon 22 13 — — $1,088.00 $64,715.00 $2,977.00 2026-07-15
27687 HCPCS Revision Of Calf Tendon 22 13 — — $1,088.00 $12,840.00 $2,977.00 2026-07-15
29883 HCPCS Knee Arthroscopy/surgery 22 13 — — $1,088.00 $45,988.00 $2,977.00 2026-07-15
25280 HCPCS Revise Wrist/forearm Tendon 22 13 — — $1,088.00 $21,610.00 $2,977.00 2026-07-15
29884 HCPCS Knee Arthroscopy/surgery 22 13 — — $1,088.00 $12,005.00 $2,977.00 2026-07-15
25447 HCPCS Arthrp Ntrcrp/crp/mtcr Ntrps 22 13 — — $1,088.00 $20,078.00 $2,977.00 2026-07-15
25270 HCPCS Repair Forearm Tendon/muscle 22 13 — — $1,088.00 $21,610.00 $2,977.00 2026-07-15
29846 HCPCS Wrist Arthroscopy/surgery 22 13 — — $1,088.00 $16,928.00 $2,977.00 2026-07-15
29870 HCPCS Arthrs Knee Dx W/wo Syn Bx 22 13 — — $1,088.00 $12,500.00 $2,977.00 2026-07-15
29871 HCPCS Knee Arthroscopy/drainage 22 13 — — $1,088.00 $25,150.00 $2,977.00 2026-07-15
25215 HCPCS Removal Of Wrist Bones 22 13 — — $1,088.00 $14,731.00 $2,977.00 2026-07-15
29873 HCPCS Knee Arthroscopy/surgery 22 13 — — $1,088.00 $25,749.00 $2,977.00 2026-07-15
29874 HCPCS Knee Arthroscopy/surgery 22 13 — — $1,088.00 $16,557.00 $2,977.00 2026-07-15
29875 HCPCS Knee Arthroscopy/surgery 22 13 — — $1,088.00 $12,614.00 $2,977.00 2026-07-15
28296 HCPCS Cor Hlx Vlgs Dstl Mtar Osteo 22 13 — — $1,088.00 $21,610.00 $2,977.00 2026-07-15
25210 HCPCS Removal Of Wrist Bone 22 13 — — $1,088.00 $64,715.00 $2,977.00 2026-07-15
25120 HCPCS Removal Of Forearm Lesion 22 13 — — $1,088.00 $21,610.00 $2,977.00 2026-07-15
25116 HCPCS Remove Wrist/forearm Lesion 22 13 — — $1,088.00 $21,610.00 $2,977.00 2026-07-15
26075 HCPCS Explore/treat Finger Joint 22 13 — — $1,088.00 $11,550.00 $2,977.00 2026-07-15
25100 HCPCS Biopsy Of Wrist Joint 22 13 — — $1,088.00 $21,610.00 $2,977.00 2026-07-15
24359 HCPCS Repair Elbow Deb/attch Open 22 13 — — $1,088.00 $14,088.00 $2,977.00 2026-07-15
24358 HCPCS Repair Elbow W/deb Open 22 13 — — $1,088.00 $12,331.00 $2,977.00 2026-07-15
24357 HCPCS Repair Elbow Perc 22 13 — — $1,088.00 $21,610.00 $2,977.00 2026-07-15
24305 HCPCS Tendon Lngth Upr A/e Ea Tdn 22 13 — — $1,088.00 $64,715.00 $2,977.00 2026-07-15
26123 HCPCS Release Palm Contracture 22 13 — — $1,088.00 $14,013.00 $2,977.00 2026-07-15
24130 HCPCS Excision Radial Head 22 13 — — $1,088.00 $64,715.00 $2,977.00 2026-07-15
24105 HCPCS Excision Olecranon Bursa 22 13 — — $1,088.00 $11,707.00 $2,977.00 2026-07-15
23935 HCPCS Inc Dp Opn B1 Crtx Hum/elbw 22 13 — — $1,088.00 $64,715.00 $2,977.00 2026-07-15
29877 HCPCS Knee Arthroscopy/surgery 22 13 — — $1,088.00 $13,231.00 $2,977.00 2026-07-15
23120 HCPCS Claviculectomy Partial 22 13 — — $1,088.00 $21,610.00 $2,977.00 2026-07-15
26350 HCPCS Repair Finger/hand Tendon 22 13 — — $1,088.00 $23,618.00 $2,977.00 2026-07-15
26356 HCPCS Repair Finger/hand Tendon 22 13 — — $1,088.00 $18,233.00 $2,977.00 2026-07-15
26420 HCPCS Repair/graft Finger Tendon 22 13 — — $1,088.00 $16,748.00 $2,977.00 2026-07-15
26426 HCPCS Repair Finger/hand Tendon 22 13 — — $1,088.00 $13,544.00 $2,977.00 2026-07-15
26445 HCPCS Release Hand/finger Tendon 22 13 — — $1,088.00 $13,698.00 $2,977.00 2026-07-15
29879 HCPCS Knee Arthroscopy/surgery 22 13 — — $1,088.00 $11,649.00 $2,977.00 2026-07-15
26540 HCPCS Repair Hand Joint 22 13 — — $1,088.00 $15,897.00 $2,977.00 2026-07-15
26608 HCPCS Treat Metacarpal Fracture 22 13 — — $1,088.00 $21,610.00 $2,977.00 2026-07-15
26650 HCPCS Treat Thumb Fracture 22 13 — — $1,088.00 $11,598.00 $2,977.00 2026-07-15
26615 HCPCS Treat Metacarpal Fracture 22 13 — — $1,088.00 $18,298.00 $2,977.00 2026-07-15
26727 HCPCS Treat Finger Fracture Each 22 13 — — $1,088.00 $13,847.00 $2,977.00 2026-07-15
26735 HCPCS Treat Finger Fracture Each 22 13 — — $1,088.00 $20,684.00 $2,977.00 2026-07-15
26860 HCPCS Fusion Of Finger Joint 22 13 — — $1,088.00 $18,707.00 $2,977.00 2026-07-15
26951 HCPCS Amputation Of Finger/thumb 22 13 — — $1,088.00 $9,886.00 $2,977.00 2026-07-15
26952 HCPCS Amputation Of Finger/thumb 22 13 — — $1,088.00 $12,827.00 $2,977.00 2026-07-15
26990 HCPCS Drainage Of Pelvis Lesion 22 13 — — $1,088.00 $57,951.00 $2,977.00 2026-07-15
27062 HCPCS Remove Femur Lesion/bursa 22 13 — — $1,088.00 $13,963.00 $2,977.00 2026-07-15
27066 HCPCS Remove Hip Bone Les Deep 22 13 — — $1,088.00 $25,475.00 $2,977.00 2026-07-15
27331 HCPCS Explore/treat Knee Joint 22 13 — — $1,088.00 $21,610.00 $2,977.00 2026-07-15
27334 HCPCS Remove Knee Joint Lining 22 13 — — $1,088.00 $64,715.00 $2,977.00 2026-07-15
29880 HCPCS Knee Arthroscopy/surgery 22 13 — — $1,088.00 $32,061.00 $2,977.00 2026-07-15
28505 HCPCS Treat Big Toe Fracture 22 13 — — $1,088.00 $21,610.00 $2,977.00 2026-07-15
29881 HCPCS Knee Arthroscopy/surgery 22 13 — — $1,828.00 $16,759.00 $2,977.00 2026-07-15
29882 HCPCS Knee Arthroscopy/surgery 22 13 — — $1,088.00 $41,530.00 $2,977.00 2026-07-15
29822 HCPCS Sho Arthrs Srg Lmtd Dbrdmt 22 13 — — $1,088.00 $19,748.00 $2,977.00 2026-07-15
29823 HCPCS Sho Arthrs Srg Xtnsv Dbrdmt 22 13 — — $1,088.00 $20,694.00 $2,977.00 2026-07-15
42140 HCPCS Excision Of Uvula 22 13 — — $887.00 $21,610.00 $2,845.00 2026-07-15
30140 HCPCS Resect Inferior Turbinate 22 13 — — $887.00 $14,578.00 $2,845.00 2026-07-15
42330 HCPCS Removal Of Salivary Stone 22 13 — — $122.00 $21,610.00 $2,845.00 2026-07-15
42810 HCPCS Excision Of Neck Cyst 22 13 — — $887.00 $21,610.00 $2,845.00 2026-07-15
42821 HCPCS Remove Tonsils And Adenoids 22 13 — — $887.00 $21,610.00 $2,845.00 2026-07-15
42830 HCPCS Removal Of Adenoids 22 13 — — $887.00 $9,307.00 $2,845.00 2026-07-15
21556 HCPCS Exc Neck Tum Deep < 5 Cm 22 13 — — $815.00 $21,610.00 $2,583.00 2026-07-15
27337 HCPCS Exc Thigh/knee Les Sc 3 Cm/> 22 13 — — $815.00 $21,610.00 $2,583.00 2026-07-15
27339 HCPCS Exc Thigh/knee Tum Dep 5cm/> 22 13 — — $815.00 $21,610.00 $2,583.00 2026-07-15
20680 HCPCS Removal Of Implant Deep 22 13 — — $815.00 $34,185.00 $2,583.00 2026-07-15
24071 HCPCS Exc Arm/elbow Les Sc 3 Cm/> 22 13 — — $815.00 $16,382.00 $2,583.00 2026-07-15
27301 HCPCS Drain Thigh/knee Lesion 22 13 — — $815.00 $38,916.00 $2,583.00 2026-07-15
24076 HCPCS Ex Arm/elbow Tum Deep < 5 Cm 22 13 — — $815.00 $11,059.00 $2,583.00 2026-07-15
24201 HCPCS Rmvl Fb Upper Arm/elbw Deep 22 13 — — $815.00 $21,610.00 $2,583.00 2026-07-15
11012 HCPCS Deb Skin Bone At Fx Site 22 13 — — $815.00 $14,815.00 $2,583.00 2026-07-15
21552 HCPCS Exc Neck Les Sc 3 Cm/> 22 13 — — $815.00 $15,572.00 $2,583.00 2026-07-15
55700 HCPCS Biopsy Of Prostate 22 13 — — $1,611.00 $12,372.00 $1,855.00 2026-07-15
64635 HCPCS Destroy Lumb/sac Facet Jnt 22 13 — — $660.00 $11,695.00 $1,798.00 2026-07-15
64718 HCPCS Revise Ulnar Nerve At Elbow 22 13 — — $660.00 $13,619.00 $1,798.00 2026-07-15
64721 HCPCS Carpal Tunnel Surgery 22 13 — — $660.00 $16,654.00 $1,798.00 2026-07-15
64790 HCPCS Removal Of Nerve Lesion 22 13 — — $660.00 $12,860.00 $1,798.00 2026-07-15
63661 HCPCS Remove Spine Eltrd Perq Aray 22 13 — — $660.00 $26,502.00 $1,798.00 2026-07-15
64624 HCPCS Dstrj Nulyt Agt Gnclr Nrv 22 13 — — $303.00 $9,240.00 $1,798.00 2026-07-15
64633 HCPCS Destroy Cerv/thor Facet Jnt 22 13 — — $660.00 $21,610.00 $1,798.00 2026-07-15
64702 HCPCS Revise Finger/toe Nerve 22 13 — — $660.00 $21,610.00 $1,798.00 2026-07-15
15851 HCPCS Removal Sutr/staple Req Anes 22 13 — — $62.00 $12,420.00 $1,726.00 2026-07-15
13160 HCPCS Sec Clsr Surg Wnd/dehsn Xtn 22 13 — — $709.00 $30,622.00 $1,726.00 2026-07-15
26113 HCPCS Exc Hand Tum Deep 1.5 Cm/> 22 13 — — $486.00 $14,373.00 $1,500.00 2026-07-15
26115 HCPCS Exc Hand Les Sc < 1.5 Cm 22 13 — — $486.00 $15,683.00 $1,500.00 2026-07-15
21931 HCPCS Exc Back Les Sc 3 Cm/> 22 13 — — $486.00 $21,610.00 $1,500.00 2026-07-15
21012 HCPCS Exc Face Les Sbq 2 Cm/> 22 13 — — $486.00 $21,610.00 $1,500.00 2026-07-15
11044 HCPCS Dbrdmt Bone 1st 20 Sq Cm/< 22 13 — — $486.00 $21,610.00 $1,500.00 2026-07-15
20520 HCPCS Rmvl Fb Musc/tdn Simple 22 13 — — $120.00 $21,610.00 $1,500.00 2026-07-15
26116 HCPCS Exc Hand Tum Deep < 1.5 Cm 22 13 — — $486.00 $13,743.00 $1,500.00 2026-07-15
28192 HCPCS Removal Of Foot Foreign Body 22 13 — — $486.00 $21,610.00 $1,500.00 2026-07-15
10121 HCPCS Inc&rmvl Fb Subq Tiss Comp 22 13 — — $486.00 $9,805.00 $1,500.00 2026-07-15
27327 HCPCS Exc Thigh/knee Les Sc < 3 Cm 22 13 — — $486.00 $21,610.00 $1,500.00 2026-07-15
26111 HCPCS Exc Hand Les Sc 1.5 Cm/> 22 13 — — $486.00 $13,262.00 $1,500.00 2026-07-15
26160 HCPCS Remove Tendon Sheath Lesion 22 13 — — $593.00 $9,368.00 $1,435.00 2026-07-15
26200 HCPCS Remove Hand Bone Lesion 22 13 — — $593.00 $17,609.00 $1,435.00 2026-07-15
26210 HCPCS Removal Of Finger Lesion 22 13 — — $593.00 $15,476.00 $1,435.00 2026-07-15
26340 HCPCS Manipulate Finger W/anesth 22 13 — — $593.00 $11,413.00 $1,435.00 2026-07-15
27000 HCPCS Tenotomy Adductor Hip Perq 22 13 — — $593.00 $6,154.00 $1,435.00 2026-07-15
20694 HCPCS Rmvl Ext Fixj Sys Under Anes 22 13 — — $593.00 $13,856.00 $1,435.00 2026-07-15
28345 HCPCS Repair Webbed Toe(s) 22 13 — — $593.00 $21,610.00 $1,435.00 2026-07-15
28080 HCPCS Removal Of Foot Lesion 22 13 — — $593.00 $21,610.00 $1,435.00 2026-07-15
27570 HCPCS Fixation Of Knee Joint 22 13 — — $593.00 $10,308.00 $1,435.00 2026-07-15
23655 HCPCS Cltx Sho Dslc W/mnpj W/anes 22 13 — — $593.00 $7,841.00 $1,435.00 2026-07-15
23700 HCPCS Mnpj Anes Sho Jt Fixj Aprats 22 13 — — $593.00 $6,537.00 $1,435.00 2026-07-15
24300 HCPCS Mnpj Elbow Under Anes 22 13 — — $593.00 $6,562.00 $1,435.00 2026-07-15
24566 HCPCS Prq Skel Fix Epcndylr Hum Fx 22 13 — — $593.00 $21,610.00 $1,435.00 2026-07-15
24620 HCPCS Treat Elbow Fracture 22 13 — — $593.00 $21,610.00 $1,435.00 2026-07-15
24655 HCPCS Treat Radius Fracture 22 13 — — $593.00 $21,610.00 $1,435.00 2026-07-15
25000 HCPCS Incision Of Tendon Sheath 22 13 — — $593.00 $16,666.00 $1,435.00 2026-07-15
25111 HCPCS Remove Wrist Tendon Lesion 22 13 — — $593.00 $11,865.00 $1,435.00 2026-07-15
25115 HCPCS Remove Wrist/forearm Lesion 22 13 — — $593.00 $11,582.00 $1,435.00 2026-07-15
25505 HCPCS Cltx Rdl Shft Fx W/mnpj 22 13 — — $593.00 $21,610.00 $1,435.00 2026-07-15
25605 HCPCS Cltx Dst Rdl Fx/ephys Sep With 22 13 — — $593.00 $12,942.00 $1,435.00 2026-07-15
26055 HCPCS Incise Finger Tendon Sheath 22 13 — — $593.00 $60,556.00 $1,435.00 2026-07-15
26070 HCPCS Explore/treat Hand Joint 22 13 — — $593.00 $21,610.00 $1,435.00 2026-07-15
26080 HCPCS Explore/treat Finger Joint 22 13 — — $593.00 $11,174.00 $1,435.00 2026-07-15
26180 HCPCS Removal Of Finger Tendon 22 13 — — $593.00 $21,610.00 $1,435.00 2026-07-15
69436 HCPCS Create Eardrum Opening 22 13 — — $421.00 $6,600.00 $1,388.00 2026-07-15
64493 HCPCS Inj Paravert F Jnt L/s 1 Lev 22 13 — — $341.00 $9,288.00 $852.00 2026-07-15
62322 HCPCS Njx Interlaminar Lmbr/sac 22 13 — — $516.00 $7,624.00 $852.00 2026-07-15
64415 HCPCS Njx Aa&/strd Brch Plxs Img 22 13 — — $341.00 $21,610.00 $852.00 2026-07-15
64483 HCPCS Inj Foramen Epidural L/s 22 13 — — $341.00 $14,748.00 $852.00 2026-07-15
64490 HCPCS Inj Paravert F Jnt C/t 1 Lev 22 13 — — $341.00 $6,805.00 $852.00 2026-07-15
G0121 HCPCS Colon Ca Scrn Not Hi Rsk Ind 22 13 — — $329.00 $6,572.00 $831.00 2026-07-15
G0105 HCPCS Colorectal Scrn; Hi Risk Ind 22 13 — — $329.00 $6,037.00 $831.00 2026-07-15
11421 HCPCS Exc H-f-nk-sp B9+marg 0.6-1 22 13 — — $87.00 $21,610.00 $649.00 2026-07-15
11442 HCPCS Exc Face-mm B9+marg 1.1-2 Cm 22 13 — — $104.00 $21,610.00 $649.00 2026-07-15
64450 HCPCS Njx Aa&/strd Other Pn/branch 22 13 — — $39.00 $7,051.00 $644.00 2026-07-15
62328 HCPCS Dx Lmbr Spi Pnxr W/fluor/ct 22 13 — — $263.00 $21,610.00 $644.00 2026-07-15
62329 HCPCS Ther Spi Pnxr Csf Fluor/ct 22 13 — — $263.00 $64,715.00 $644.00 2026-07-15
64418 HCPCS Njx Aa&/strd Sprscap Nrv 22 13 — — $39.00 $37,375.00 $644.00 2026-07-15
64454 HCPCS Njx Aa&/strd Gnclr Nrv Brnch 22 13 — — $140.00 $6,882.00 $644.00 2026-07-15
G0260 HCPCS Inj For Sacroiliac Jt Anesth 22 13 — — $644.00 $7,128.00 $644.00 2026-07-15
62270 HCPCS Dx Lmbr Spi Pnxr 22 13 — — $263.00 $9,267.00 $644.00 2026-07-15
62272 HCPCS Ther Spi Pnxr DRG Csf 22 13 — — $263.00 $64,715.00 $644.00 2026-07-15
62321 HCPCS Njx Interlaminar Crv/thrc 22 13 — — $263.00 $13,509.00 $644.00 2026-07-15
62323 HCPCS Njx Interlaminar Lmbr/sac 22 13 — — $516.00 $10,475.00 $644.00 2026-07-15
11106 HCPCS Incal Bx Skn Single Les 22 13 — — $99.00 $21,610.00 $581.00 2026-07-15
11043 HCPCS Dbrdmt Musc&/fsca 1st 20/< 22 13 — — $217.00 $21,610.00 $581.00 2026-07-15
11760 HCPCS Repair Of Nail Bed 22 13 — — $105.00 $10,750.00 $581.00 2026-07-15
11982 HCPCS Remove Drug Implant Device 22 13 — — $54.00 $53,459.00 $378.00 2026-07-15
12021 HCPCS Tx Supfc Wnd Dehsn W/packing 22 13 — — $143.00 $64,715.00 $373.00 2026-07-15
11042 HCPCS Dbrdmt Subq Tis 1st 20sqcm/< 22 13 — — $143.00 $28,754.00 $373.00 2026-07-15
12035 HCPCS Intmd Rpr S/a/t/ext 12.6-20 22 13 — — $143.00 $21,610.00 $373.00 2026-07-15
10120 HCPCS Inc&rmvl Fb Subq Tiss Smpl 22 13 — — $86.00 $21,610.00 $373.00 2026-07-15
70553 HCPCS MRI Scan Of Brain Before And After Contrast 22 13 — — $368.00 $4,340.00 $368.00 2026-07-15
29425 HCPCS Appl Short Leg Cast Walking 22 13 — — $36.00 $21,610.00 $240.00 2026-07-15
29710 HCPCS Rmvl/bivlv Sho/hip Spica 22 13 — — $54.00 $21,610.00 $240.00 2026-07-15
72148 HCPCS MRI Scan Of Lower Spinal Canal 22 13 — — $234.00 $1,871.00 $234.00 2026-07-15
73721 HCPCS MRI Scan Of Leg Joint 22 13 — — $234.00 $5,145.00 $234.00 2026-07-15
41899 HCPCS Unlisted Px Dentalvlr Strux 22 13 — — $170.00 $9,163.00 $208.00 2026-07-15
31299 HCPCS Unlisted Px Accessory Sinus 17 12 — — $170.00 $21,610.00 $208.00 2026-07-15
24640 HCPCS Cltx Rdl Head Sublxtj Nrsemd 22 13 — — $49.00 $8,760.00 $207.00 2026-07-15
10060 HCPCS I&d Abscess Simple/single 22 13 — — $65.00 $11,065.00 $181.00 2026-07-15
11730 HCPCS Avulsion Nail Plate Simple 1 17 12 — — $161.00 $21,610.00 $181.00 2026-07-15
26010 HCPCS Drainage Of Finger Abscess 22 13 — — $74.00 $64,715.00 $181.00 2026-07-15
29450 HCPCS Application Clubfoot Cast 22 13 — — $54.00 $21,610.00 $146.00 2026-07-15
72110 HCPCS X-ray, Lower Back, Minimum Four Views 22 13 — — $45.00 $296.00 $107.00 2026-07-15
84154 HCPCS Assay Of Psa Free 22 13 — — $18.00 $153.00 $18.00 2026-07-15
84153 HCPCS Psa (prostate Specific Antigen) 22 13 — — $18.00 $153.00 $18.00 2026-07-15
84443 HCPCS Blood Test, Thyroid Stimulating Hormone (tsh) 22 13 — — $17.00 $152.00 $17.00 2026-07-15
80061 HCPCS Blood Test, Lipids (cholesterol And Triglycerides) 22 13 — — $13.00 $180.00 $13.00 2026-07-15
80053 HCPCS Blood Test, Comprehensive Group Of Blood Chemicals 22 13 — — $11.00 $505.00 $11.00 2026-07-15
80069 HCPCS Kidney Function Panel Test 22 13 — — $9.00 $204.00 $9.00 2026-07-15
80048 HCPCS Basic Metabolic Panel 22 13 — — $8.00 $288.00 $8.00 2026-07-15
85025 HCPCS Complete Blood Cell Count, With Differential White Blood Cells, Automated 22 13 — — $8.00 $204.00 $8.00 2026-07-15
80076 HCPCS Liver Function Blood Test Panel 22 13 — — $8.00 $380.00 $8.00 2026-07-15
85027 HCPCS Complete Blood Count, Automated 22 13 — — $6.00 $204.00 $6.00 2026-07-15
85730 HCPCS Coagulation Assessment Blood Test 22 13 — — $6.00 $89.00 $6.00 2026-07-15
81000 HCPCS Urinalysis Nonauto W/scope 22 13 — — $4.00 $96.00 $4.00 2026-07-15
85610 HCPCS Blood Test, Clotting Time 22 13 — — $4.00 $96.00 $4.00 2026-07-15
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