Price Transparencybeta Hospital negotiated rates

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

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Hospital

RICELAND MEDICAL CENTER

Winnie, TX · CCN 451328 · Rates published

Your selected procedure

You selected 93306 (CPT)

TRANSTHORAIC ECHO W/DOPPLER

This hospital’s price: $582 across 5 payers · range $104-$1,070

Source: https://app.box.com/shared/static/iq21lxun4b04kmrr4us4wmpil94izo9d.csv · observed 2026-07-15

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.

1,805 distinct procedures filed
5 distinct payers
23,405 rate rows
2026-07-15 last MRF observed
Data quality

23,161 of 23,405 rate rows are consumer-grade (99.0%)

244 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 194
placeholder amount (≤ $0.02) — excluded from medians 40
exceeds 10× this hospital's gross charge — excluded from medians 10
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://app.box.com/shared/static/iq21lxun4b04kmrr4us4wmpil94izo9d.csv
Found on page https://www.ricelandhealthcare.com/cms-hpt.txt
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-01
Content fingerprint 938b3c6331ae42f5… · 1,455,378 bytes · first seen 2026-05-17

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
63685
CPT 		Insj/rplcmt Spnl Nstim Dir/induxve Coupl 5 $10,119.00 $235,833.64 $101,612.92 nat. median
$21,040
outlier · 4.8×
63655
CPT 		Lami Imp Nstim Electrds Plate/padle Edrl 5 $7,500.00 $179,703.00 $75,336.89 nat. median
$18,228
outlier · 4.1×
C1822
HCPCS 		Perc Senza Omnia Ipg Kit132450 5 $37,839.28 $125,908.54 $66,775.20 nat. median
$31,540
outlier · 2.1×
64590
CPT 		Ins/rpl Periph/gastc Neurostim Gen/rcv 5 $10,119.00 $152,299.42 $65,879.32 nat. median
$17,881
outlier · 3.7×
27278
CPT 		Arthosdesis,sj,img With Implnt Wo Tfxj Dev 5 $38,465.22 $92,769.06 $57,471.57 nat. median
$17,332
outlier · 3.3×
27279
CPT 		Si Fusion-arthrodesis Sacjnt Pcut Guide 5 $7,500.00 $133,731.34 $57,297.60 nat. median
$17,324
outlier · 3.3×
C1816
HCPCS 		Freedom-4a Pns Sys 2 Dual Leads 5 $37,839.28 $91,259.44 $56,536.33 nat. median
$10,154
outlier · 5.6×
22869
CPT 		Insj Stab Device Without Decompress Single 5 $5,730.00 $86,967.56 $41,158.39 nat. median
$12,263
outlier · 3.4×
11771
CPT 		Exc Pilonidal Cyst Or Sinus Extensive 5 $2,057.00 $99,889.94 $36,159.74 nat. median
$2,939
outlier · 12.3×
64628
CPT 		Therm Dstr Ios Bvn 1st 2 Lum/sac 5 $21,027.98 $50,714.54 $31,418.28 nat. median
$12,702
outlier · 2.5×
C1821
HCPCS 		Vertiflex Superion Ids Kit (incl Vip Kit 5 $17,737.46 $42,778.58 $26,501.85 nat. median
$3,532
outlier · 7.5×
C1889
HCPCS 		Vyrsa V1 Si Fusion System 9mm 5 $17,313.82 $41,756.86 $25,868.88 nat. median
$2,362
outlier · 10.9×
C1734
HCPCS 		Vyrsa Allograft Spacer 30mm 5 $16,809.60 $40,540.80 $25,115.52 nat. median
$2,559
outlier · 9.8×
19357
CPT 		Bilat Breast Reconstruction With Tiss Exp 5 $5,730.00 $91,931.02 $24,120.55 nat. median
$13,795
1.7× median
28730
CPT 		Arthrodesis Midt/trans Multi/transv 5 $5,730.00 $48,190.58 $23,970.74 nat. median
$10,638
outlier · 2.3×
27827
CPT 		Orif Fx Tibia Only 5 $5,730.00 $46,912.20 $23,529.54 nat. median
$11,028
outlier · 2.1×
27828
CPT 		Orif Fx Tibia & Fibula 5 $5,730.00 $46,912.20 $23,529.54 nat. median
$10,576
outlier · 2.2×
19325
CPT 		Bilat Mammaplasty Aug With Prosth Implant 5 $5,730.00 $91,930.20 $21,219.96 nat. median
$8,839
outlier · 2.4×
63663
CPT 		Rev/rplc Spinl Neurostim Elec Perc, Flur 5 $5,730.00 $43,492.80 $19,400.64 nat. median
$6,658
outlier · 2.9×
63650
CPT 		Implant Neuroelectodes Array Epidural 5 $5,730.00 $43,492.80 $19,400.64 nat. median
$7,298
outlier · 2.7×
64555
CPT 		Precut Implant Neurostim Periph Nerve 5 $5,730.00 $41,271.42 $18,633.99 nat. median
$6,844
outlier · 2.7×
28725
CPT 		Arthrodesis, Subtalar 5 $5,730.00 $32,425.26 $18,529.78 nat. median
$10,564
1.8× median
37241
CPT 		Vascular Embol/occlus Venous Rs&i 5 $4,685.26 $41,616.64 $18,112.82 nat. median
$12,178
1.5× median
22514
CPT 		Precut Vertebral Augmentation 5 $5,730.00 $39,752.78 $17,784.21 nat. median
$8,399
outlier · 2.1×
27407
CPT 		Rpr Prim Torn Liga/cap Knee Cruc 5 $5,730.00 $39,282.92 $17,622.06 nat. median
$6,916
outlier · 2.5×
0275T
OTHER 		Percut Decompress Lamo/lam Lumbar 5 $5,730.00 $36,374.38 $16,618.25 nat. median
$7,807
outlier · 2.1×
28291
CPT 		Hallux Rig Cor With Cheil 1st Me Wo Imp 5 $5,730.00 $35,478.94 $16,309.22 nat. median
$7,167
outlier · 2.3×
64629
CPT 		Therm Dstr Ios Bvn Ea Addtl Lum/sac 5 $10,506.00 $25,338.00 $15,697.20 nat. median
$3,331
outlier · 4.7×
28300
CPT 		Osteotomy Calcaneus W/wo Int Fixation 5 $5,730.00 $32,425.26 $15,255.33 nat. median
$6,697
outlier · 2.3×
28750
CPT 		Arthrodesis Big Toe Joint 5 $5,730.00 $32,425.26 $15,255.33 nat. median
$6,992
outlier · 2.2×
22870
CPT 		Insj Stab Device Without Decompress 2nd Lev 5 $173.00 $24,349.90 $15,085.06 nat. median
$2,204
outlier · 6.8×
49594
CPT 		Rpr Aa Hernia 1st 3-10cm Ncr/strn 5 $9,473.42 $22,847.66 $14,154.40 nat. median
$5,991
outlier · 2.4×
19342
CPT 		Bilat Inst/rpl Breast Ipnt Sep From Mast 5 $5,730.00 $50,754.72 $14,114.39 nat. median
$8,722
1.6× median
27792
CPT 		Open Tx Distal Fib Fx Lat Malleolus 5 $5,730.00 $26,314.62 $13,146.41 nat. median
$6,924
1.9× median
63030
CPT 		Lamnotmy With Dcmprsn Nerve Root 5 $5,730.00 $26,314.62 $13,146.41 nat. median
$7,614
1.7× median
28485
CPT 		Open Tx Metatarsal Fx Each 5 $5,730.00 $26,271.98 $13,131.69 nat. median
$7,171
1.8× median
27826
CPT 		Orif Fx Distal Tibia Fibula 5 $5,730.00 $26,271.98 $13,131.69 nat. median
$6,995
1.9× median
28465
CPT 		Open Tx Tarsal Fx W Int Fixation 5 $5,730.00 $26,271.98 $13,131.69 nat. median
$6,999
1.9× median
27814
CPT 		Treatment Of Ankle Fracture 5 $5,730.00 $26,271.98 $13,131.69 nat. median
$7,144
1.8× median
28238
CPT 		Recon Adv Pst Tib Tnd With Exc Trslnavclr 5 $5,730.00 $25,968.58 $13,026.98 nat. median
$6,752
1.9× median
63005
CPT 		Rmvl Spinal Lamina 5 $5,730.00 $25,555.30 $12,884.35 nat. median
$7,179
1.8× median
22515
CPT 		Precut Vert. Augment Ea Addtl 5 $173.00 $20,376.18 $12,623.29 nat. median
$5,281
outlier · 2.4×
19340
CPT 		Bilat Immt Ins Brst Prosth Flwg Mast/rec 5 $3,436.00 $51,573.08 $12,387.83 nat. median
$6,663
1.9× median
19380
CPT 		Bilat-revision Of Reconstructed Breast 5 $3,436.00 $51,571.44 $12,387.83 nat. median
$6,711
1.8× median
15830
CPT 		Excision Skin Abd 5 $3,436.00 $25,785.72 $12,387.83 nat. median
$6,586
1.9× median
19318
CPT 		Bilat Reduction Mammaplasty 5 $3,436.00 $51,573.08 $12,387.83 nat. median
$6,910
1.8× median
27690
CPT 		Tr/trnspl 1 Tndn W/musc Redir/rert Supfc 5 $3,436.00 $23,379.02 $12,133.27 nat. median
$6,697
1.8× median
27691
CPT 		Tr/trnspl Tendon With Musc Redir/rerout Dp 5 $3,436.00 $23,379.02 $12,133.27 nat. median
$6,958
1.7× median
23420
CPT 		Reconstuct Rotator Cuff Avulsion Chronic 5 $3,436.00 $23,379.02 $12,133.27 nat. median
$7,144
1.7× median
27654
CPT 		Rpr 2ndry Achiles Tendon W/wo Graft 5 $3,436.00 $23,379.02 $12,133.27 nat. median
$6,821
1.8× median

Other procedures at this hospital

Browse this hospital's 1,805 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
             
63685 CPT Insj/rplcmt Spnl Nstim Dir/induxve Coupl 10 5 $287,602.00 $279,226.00 $10,119.00 $235,833.64 $101,612.92 2026-07-15
63655 CPT Lami Imp Nstim Electrds Plate/padle Edrl 10 5 $219,150.00 $212,767.00 $7,500.00 $179,703.00 $75,336.89 2026-07-15
C1822 HCPCS Perc Senza Omnia Ipg Kit132450 20 5 $132,419.50 $128,563.00 $37,839.28 $125,908.54 $66,775.20 2026-07-15
64590 CPT Ins/rpl Periph/gastc Neurostim Gen/rcv 10 5 $185,731.00 $180,322.00 $10,119.00 $152,299.42 $65,879.32 2026-07-15
27278 CPT Arthosdesis,sj,img With Implnt Wo Tfxj Dev 10 5 $113,133.00 $109,838.00 $38,465.22 $92,769.06 $57,471.57 2026-07-15
27279 CPT Si Fusion-arthrodesis Sacjnt Pcut Guide 10 5 $163,087.00 $158,337.00 $7,500.00 $133,731.34 $57,297.60 2026-07-15
C1816 HCPCS Freedom-4a Pns Sys 2 Dual Leads 10 5 $111,292.00 $108,051.00 $37,839.28 $91,259.44 $56,536.33 2026-07-15
22869 CPT Insj Stab Device Without Decompress Single 10 5 $106,058.00 $102,969.00 $5,730.00 $86,967.56 $41,158.39 2026-07-15
11771 CPT Exc Pilonidal Cyst Or Sinus Extensive 10 5 $121,817.00 $118,269.00 $2,057.00 $99,889.94 $36,159.74 2026-07-15
64628 CPT Therm Dstr Ios Bvn 1st 2 Lum/sac 10 5 $61,847.00 $61,847.00 $21,027.98 $50,714.54 $31,418.28 2026-07-15
C1821 HCPCS Vertiflex Superion Ids Kit (incl Vip Kit 10 5 $52,169.00 $50,650.00 $17,737.46 $42,778.58 $26,501.85 2026-07-15
C1889 HCPCS Vyrsa V1 Si Fusion System 9mm 10 5 $50,923.00 $49,440.00 $17,313.82 $41,756.86 $25,868.88 2026-07-15
C1734 HCPCS Vyrsa Allograft Spacer 30mm 10 5 $49,440.00 $49,440.00 $16,809.60 $40,540.80 $25,115.52 2026-07-15
19357 CPT Bilat Breast Reconstruction With Tiss Exp 20 5 $84,083.50 $81,635.00 $5,730.00 $91,931.02 $24,120.55 2026-07-15
28730 CPT Arthrodesis Midt/trans Multi/transv 10 5 $58,769.00 $57,058.00 $5,730.00 $48,190.58 $23,970.74 2026-07-15
27827 CPT Orif Fx Tibia Only 10 5 $57,210.00 $55,544.00 $5,730.00 $46,912.20 $23,529.54 2026-07-15
27828 CPT Orif Fx Tibia & Fibula 10 5 $57,210.00 $55,544.00 $5,730.00 $46,912.20 $23,529.54 2026-07-15
19325 CPT Bilat Mammaplasty Aug With Prosth Implant 20 5 $84,083.00 $81,634.50 $5,730.00 $91,930.20 $21,219.96 2026-07-15
63663 CPT Rev/rplc Spinl Neurostim Elec Perc, Flur 10 5 $53,040.00 $51,496.00 $5,730.00 $43,492.80 $19,400.64 2026-07-15
63650 CPT Implant Neuroelectodes Array Epidural 10 5 $53,040.00 $51,496.00 $5,730.00 $43,492.80 $19,400.64 2026-07-15
64555 CPT Precut Implant Neurostim Periph Nerve 10 5 $50,331.00 $48,866.00 $5,730.00 $41,271.42 $18,633.99 2026-07-15
28725 CPT Arthrodesis, Subtalar 10 5 $39,543.00 $38,392.00 $5,730.00 $32,425.26 $18,529.78 2026-07-15
37241 CPT Vascular Embol/occlus Venous Rs&i 10 5 $50,752.00 $49,274.00 $4,685.26 $41,616.64 $18,112.82 2026-07-15
22514 CPT Precut Vertebral Augmentation 10 5 $48,479.00 $48,479.00 $5,730.00 $39,752.78 $17,784.21 2026-07-15
27407 CPT Rpr Prim Torn Liga/cap Knee Cruc 10 5 $47,906.00 $46,511.00 $5,730.00 $39,282.92 $17,622.06 2026-07-15
0275T OTHER Percut Decompress Lamo/lam Lumbar 10 5 $44,359.00 $43,067.00 $5,730.00 $36,374.38 $16,618.25 2026-07-15
28291 CPT Hallux Rig Cor With Cheil 1st Me Wo Imp 10 5 $43,267.00 $42,007.00 $5,730.00 $35,478.94 $16,309.22 2026-07-15
64629 CPT Therm Dstr Ios Bvn Ea Addtl Lum/sac 10 5 $30,900.00 $30,900.00 $10,506.00 $25,338.00 $15,697.20 2026-07-15
28750 CPT Arthrodesis Big Toe Joint 10 5 $39,543.00 $38,392.00 $5,730.00 $32,425.26 $15,255.33 2026-07-15
28300 CPT Osteotomy Calcaneus W/wo Int Fixation 10 5 $39,543.00 $38,392.00 $5,730.00 $32,425.26 $15,255.33 2026-07-15
22870 CPT Insj Stab Device Without Decompress 2nd Lev 10 5 $29,695.00 $28,831.00 $173.00 $24,349.90 $15,085.06 2026-07-15
49594 CPT Rpr Aa Hernia 1st 3-10cm Ncr/strn 10 5 $27,863.00 $27,052.00 $9,473.42 $22,847.66 $14,154.40 2026-07-15
19342 CPT Bilat Inst/rpl Breast Ipnt Sep From Mast 20 5 $46,422.00 $45,070.50 $5,730.00 $50,754.72 $14,114.39 2026-07-15
27792 CPT Open Tx Distal Fib Fx Lat Malleolus 10 5 $32,091.00 $31,157.00 $5,730.00 $26,314.62 $13,146.41 2026-07-15
63030 CPT Lamnotmy With Dcmprsn Nerve Root 10 5 $32,091.00 $31,157.00 $5,730.00 $26,314.62 $13,146.41 2026-07-15
27814 CPT Treatment Of Ankle Fracture 10 5 $32,039.00 $31,106.00 $5,730.00 $26,271.98 $13,131.69 2026-07-15
28485 CPT Open Tx Metatarsal Fx Each 10 5 $32,039.00 $31,106.00 $5,730.00 $26,271.98 $13,131.69 2026-07-15
27826 CPT Orif Fx Distal Tibia Fibula 10 5 $32,039.00 $31,106.00 $5,730.00 $26,271.98 $13,131.69 2026-07-15
28465 CPT Open Tx Tarsal Fx W Int Fixation 10 5 $32,039.00 $31,106.00 $5,730.00 $26,271.98 $13,131.69 2026-07-15
28238 CPT Recon Adv Pst Tib Tnd With Exc Trslnavclr 10 5 $31,669.00 $30,747.00 $5,730.00 $25,968.58 $13,026.98 2026-07-15
63005 CPT Rmvl Spinal Lamina 10 5 $31,165.00 $30,258.00 $5,730.00 $25,555.30 $12,884.35 2026-07-15
22515 CPT Precut Vert. Augment Ea Addtl 10 5 $24,849.00 $24,849.00 $173.00 $20,376.18 $12,623.29 2026-07-15
19340 CPT Bilat Immt Ins Brst Prosth Flwg Mast/rec 20 5 $47,170.00 $45,797.00 $3,436.00 $51,573.08 $12,387.83 2026-07-15
19380 CPT Bilat-revision Of Reconstructed Breast 20 5 $47,169.00 $45,796.00 $3,436.00 $51,571.44 $12,387.83 2026-07-15
15830 CPT Excision Skin Abd 10 5 $31,446.00 $30,531.00 $3,436.00 $25,785.72 $12,387.83 2026-07-15
19318 CPT Bilat Reduction Mammaplasty 20 5 $47,170.00 $45,797.00 $3,436.00 $51,573.08 $12,387.83 2026-07-15
27690 CPT Tr/trnspl 1 Tndn W/musc Redir/rert Supfc 10 5 $28,511.00 $27,681.00 $3,436.00 $23,379.02 $12,133.27 2026-07-15
11970 CPT Bilat Replace Tissue Exp With Perm Prothes 20 5 $42,766.50 $41,521.50 $3,436.00 $46,758.04 $12,133.27 2026-07-15
27654 CPT Rpr 2ndry Achiles Tendon W/wo Graft 10 5 $28,511.00 $27,681.00 $3,436.00 $23,379.02 $12,133.27 2026-07-15
23420 CPT Reconstuct Rotator Cuff Avulsion Chronic 10 5 $28,511.00 $27,681.00 $3,436.00 $23,379.02 $12,133.27 2026-07-15
27691 CPT Tr/trnspl Tendon With Musc Redir/rerout Dp 10 5 $28,511.00 $27,681.00 $3,436.00 $23,379.02 $12,133.27 2026-07-15
26665 CPT Open Tx Carpometacarpal Fx Dislocate 10 5 $32,039.00 $31,106.00 $2,777.49 $26,271.98 $11,932.03 2026-07-15
47562 CPT Lap Surg Cholecystectomy 10 5 $28,638.00 $27,804.00 $4,713.11 $23,483.16 $11,358.85 2026-07-15
31050 CPT Nasal Endoscopy, Dx 10 5 $28,262.00 $27,439.00 $3,436.00 $23,174.84 $11,143.77 2026-07-15
42415 CPT Exc Lat Lobe With Disctn & Presrv Facl Nrv 10 5 $28,262.00 $27,439.00 $3,436.00 $23,174.84 $11,143.77 2026-07-15
21462 CPT Open Tx Mandibular Fx With Interdental Fix 10 5 $28,262.00 $27,439.00 $3,436.00 $23,174.84 $11,143.77 2026-07-15
21390 CPT Opn Tx Orb Flr Blwt Fx Pri/bital W/alpls 10 5 $28,262.00 $27,439.00 $3,436.00 $23,174.84 $11,143.77 2026-07-15
30150 CPT Rhinectomy Partial 10 5 $28,262.00 $27,439.00 $3,436.00 $23,174.84 $11,143.77 2026-07-15
21453 CPT Clsd Tx Mandibular Fx W/interdental Fix 10 5 $28,262.00 $27,439.00 $3,436.00 $23,174.84 $11,143.77 2026-07-15
69310 CPT Reconstruct External Auditory Canal 10 5 $27,003.00 $26,217.00 $3,436.00 $22,142.46 $10,787.48 2026-07-15
21356 CPT Open Tx Depressed Zygomatic Arch Fx 10 5 $24,933.00 $24,207.00 $2,057.00 $20,445.06 $10,201.67 2026-07-15
38760 CPT Inguinofem Lmphadec Supfc W/cloquets Spx 10 5 $23,665.00 $22,976.00 $2,057.00 $19,405.30 $10,185.81 2026-07-15
30410 CPT Rhinoplasty Prim Complete Xtrnal Parts 10 5 $24,689.00 $23,970.00 $3,436.00 $20,244.98 $10,132.61 2026-07-15
42440 CPT Exc Sumbandibular (submax) Gland 10 5 $24,689.00 $23,970.00 $3,436.00 $20,244.98 $10,132.61 2026-07-15
42410 CPT Exc Prtd Tmr/gland Lat Lobe Wo Nrve Dsj 10 5 $24,689.00 $23,970.00 $3,436.00 $20,244.98 $10,132.61 2026-07-15
31255 CPT Removal Of Ethmoid Sinus 10 5 $23,268.00 $22,591.00 $2,896.00 $19,079.76 $10,111.37 2026-07-15
31287 CPT Nasal/sinus Endoscopy, Surg With Sphenoide 10 5 $23,268.00 $22,591.00 $2,896.00 $19,079.76 $10,111.37 2026-07-15
31288 CPT Nasal/sinus Endoscopy Rmvl Tiss 10 5 $23,268.00 $22,591.00 $2,896.00 $19,079.76 $10,111.37 2026-07-15
69150 CPT Rad Rsec Ext Audit Canal Les Wo Neck Dsj 10 5 $24,593.00 $23,877.00 $2,057.00 $20,166.26 $10,105.44 2026-07-15
40527 CPT Exc Lip,full Thick Rcnstj With Cross Flap 10 5 $24,593.00 $23,877.00 $2,057.00 $20,166.26 $10,105.44 2026-07-15
19303 CPT Mastectomy, Simple, Complete 10 5 $22,829.00 $22,165.00 $2,896.00 $18,719.78 $9,949.22 2026-07-15
19316 CPT Bilat Suspension Of Breast / Mastopexy 20 5 $34,241.00 $33,244.50 $2,896.00 $37,435.46 $9,949.22 2026-07-15
28297 CPT Corr Bunion W/wo Sesmdc Prox Met Ost Any 10 5 $20,279.00 $19,689.00 $2,896.00 $16,628.78 $9,803.61 2026-07-15
28298 CPT Corr Hall Val W/sesm With Prox Phalx Any 10 5 $20,279.00 $19,689.00 $2,896.00 $16,628.78 $9,803.61 2026-07-15
21407 CPT Open Tx Fx Orbit Exc Blowout With Implant 10 5 $23,427.00 $22,745.00 $3,436.00 $19,210.14 $9,775.47 2026-07-15
30400 CPT Rhinoplasty Prim Lat/alar Cart 10 5 $23,427.00 $22,745.00 $2,057.00 $19,210.14 $9,775.47 2026-07-15
62365 CPT Rmvl Subq Rsvr/pump Ithcl/epi Infusion 10 5 $22,334.00 $21,684.00 $4,858.97 $18,313.88 $9,675.53 2026-07-15
27696 CPT Repair Of Ankle Ligaments 10 5 $19,718.00 $19,144.00 $2,896.00 $16,168.76 $9,644.85 2026-07-15
42830 CPT Adenoidectomy Prmary < Age 12 10 5 $28,262.00 $27,439.00 $2,057.00 $23,174.84 $9,592.47 2026-07-15
L8641 HCPCS 3s Hemi Implant, Medium 10 5 $18,540.00 $18,540.00 $6,303.60 $15,202.80 $9,418.32 2026-07-15
26535 CPT Arthroplasty, Interphal Jnt, Each 10 5 $25,490.00 $24,748.00 $2,777.49 $20,901.80 $9,131.46 2026-07-15
63046 CPT Lam Facetectmy Foramotmy 1 Seg Thoracic 10 5 $16,633.00 $16,149.00 $5,730.00 $13,639.06 $8,771.80 2026-07-15
26861 CPT Arthrodesis Ea Addtl Interphal Jt W/wo 10 5 $16,747.00 $16,260.00 $173.00 $13,732.54 $8,507.47 2026-07-15
28531 CPT Opn Tx Sesamoid Fx W/wo Int Fix 10 5 $15,478.00 $15,028.00 $2,057.00 $12,691.96 $8,444.93 2026-07-15
19371 CPT Bilat Removal Of Breast Capsule 20 5 $34,244.00 $33,247.50 $2,864.23 $37,440.38 $8,438.29 2026-07-15
19370 CPT Bilat Open Periprosth Capsulotomy Breast 20 5 $34,241.00 $33,244.50 $2,864.23 $37,435.46 $8,438.29 2026-07-15
19330 CPT Bilat Rmvl Mammary Implant Material 20 5 $34,241.00 $33,244.50 $2,864.23 $37,435.46 $8,438.29 2026-07-15
19328 CPT Bilat Removal Of Breast Implant 20 5 $34,244.00 $33,247.50 $2,864.23 $37,440.38 $8,438.29 2026-07-15
49591 CPT Rpr Aa Hernia(s) Init <3cm Rdc 10 5 $16,130.00 $16,130.00 $5,484.20 $13,226.60 $8,194.04 2026-07-15
31296 CPT Nasal Endoscopy W/dilation Frontal Sinus 10 5 $23,268.00 $22,591.00 $1,856.43 $19,079.76 $8,032.85 2026-07-15
31295 CPT Nasal/sinus Ndsc Surg W/dilat Maxi Sinus 10 5 $23,268.00 $22,591.00 $1,856.43 $19,079.76 $8,032.85 2026-07-15
15771 CPT Graft Auto/fat Lipo 50cc Or Less 10 5 $15,687.00 $15,231.00 $5,333.58 $12,863.34 $7,968.99 2026-07-15
28755 CPT Arthrodesis Great To Interphalangeal Jnt 10 5 $13,212.00 $12,828.00 $2,057.00 $10,833.84 $7,927.20 2026-07-15
28306 CPT Osteotomy W/wo Lngth/shrt/corrj 1st Meta 10 5 $13,212.00 $12,828.00 $2,057.00 $10,833.84 $7,927.20 2026-07-15
31267 CPT Endoscopy, Maxillary Sinus W/rmvl Tiss 10 5 $15,235.00 $14,792.00 $2,057.00 $12,492.70 $7,838.03 2026-07-15
31254 CPT Revision Of Ethmoid Sinus 10 5 $15,235.00 $14,792.00 $2,057.00 $12,492.70 $7,838.03 2026-07-15
21470 CPT Open Tx Comp Mandibular Fx Mlt Appr W/in 10 5 $16,425.00 $15,947.00 $3,436.00 $13,468.50 $7,793.90 2026-07-15
55150 CPT Resection Of Scrotum 10 5 $15,324.00 $14,878.00 $5,210.16 $12,565.68 $7,784.59 2026-07-15
81418 CPT Pgx-drug Metab Gene Anlys Panel 6+ Genes 10 5 $15,293.00 $14,848.00 $5,199.62 $12,540.26 $7,768.85 2026-07-15
15835 CPT Bilat Exc Ex Skin/subq Tiss Buttock 10 5 $21,361.00 $20,739.00 $2,057.00 $17,516.02 $7,730.69 2026-07-15
64595 CPT Rev/rmvl Periph Gastric Neurostim/gen/rc 10 5 $19,828.00 $19,251.00 $2,896.00 $16,258.96 $7,698.88 2026-07-15
64585 CPT Rev/rmvl Peripherial Neurostim Electrode 10 5 $19,828.00 $19,251.00 $2,896.00 $16,258.96 $7,698.88 2026-07-15
28296 CPT Correction Of Bunion W/wo Sesmdc 10 5 $20,279.00 $19,689.00 $2,777.49 $16,628.78 $7,656.74 2026-07-15
28299 CPT Corr Hall Val With Ses 2 Osteo Any 10 5 $20,279.00 $19,689.00 $2,777.49 $16,628.78 $7,656.74 2026-07-15
28295 CPT Ocrr Hall Val W/ses W/prox Oste Any 10 5 $19,905.00 $19,326.00 $2,777.49 $16,322.10 $7,550.90 2026-07-15
27332 CPT Arthrtmy Exc Semilnr Crtlg Knee Med/lat 10 5 $19,718.00 $19,144.00 $2,777.49 $16,168.76 $7,497.98 2026-07-15
27685 CPT Lngth/shrt Tendon Leg/ank 1 Tendon Spx 10 5 $19,718.00 $19,144.00 $2,777.49 $16,168.76 $7,497.98 2026-07-15
27333 CPT Arthrt W/exc Semilunr Crtlg Knee Med&lat 10 5 $19,718.00 $19,144.00 $2,777.49 $16,168.76 $7,497.98 2026-07-15
27612 CPT Arthro Pst Cap Rls, Ankle W/wo Achl Lngt 10 5 $19,718.00 $19,144.00 $2,777.49 $16,168.76 $7,497.98 2026-07-15
27620 CPT Explore/treat Ankle Joint 10 5 $19,718.00 $19,144.00 $2,777.49 $16,168.76 $7,497.98 2026-07-15
27687 CPT Revision Of Calf Tendon 10 5 $19,718.00 $19,144.00 $2,777.49 $16,168.76 $7,497.98 2026-07-15
27403 CPT Arthrotomy With Meniscus Rpr Knee 10 5 $19,718.00 $19,144.00 $2,777.49 $16,168.76 $7,497.98 2026-07-15
24358 CPT Repair Elbow Lat/med With Debride Open 10 5 $19,718.00 $19,144.00 $2,777.49 $16,168.76 $7,497.98 2026-07-15
15832 CPT Exc Excess Skin/subq Tissue Thigh 15 5 $12,370.00 $12,010.00 $2,057.00 $20,286.80 $7,422.00 2026-07-15
21365 CPT Open Tx Comp Fx Malar W/int Fxmult Surg 10 5 $15,095.00 $14,656.00 $3,436.00 $12,377.90 $7,417.51 2026-07-15
27345 CPT Exc Synovial Cyst Popliteal Space 10 5 $14,589.00 $14,165.00 $4,960.26 $11,962.98 $7,411.21 2026-07-15
21330 CPT Open Tx Nasal Fx Comp W/int/xtnl Skel Fi 10 5 $14,744.00 $14,315.00 $2,057.00 $12,090.08 $7,318.18 2026-07-15
42820 CPT Removal Of Tonsils And Adenoids 20 5 $15,026.00 $14,315.00 $2,057.00 $12,090.08 $7,318.18 2026-07-15
14301 CPT Adj Tiss Trans, Any Area, 30.1-30 Sqcm 10 5 $18,509.00 $18,509.00 $2,846.00 $15,177.38 $7,203.15 2026-07-15
64636 CPT Bilat Dstr Nrolytc Agnt Parvr Fct L/s Ea 20 5 $16,709.50 $16,223.50 $173.00 $18,267.96 $7,129.56 2026-07-15
64634 CPT Bilat Dstr Nrolytc Agnt Prvrtb Fct Crv/t 20 5 $16,709.50 $16,223.50 $173.00 $18,267.96 $7,129.56 2026-07-15
38500 CPT Biopsy/remvl, Lymph Nodes 10 5 $17,766.00 $17,249.00 $2,057.00 $14,568.12 $7,005.47 2026-07-15
15877 CPT Bilat Suction Assisted Lipectomy Trunk 20 5 $26,158.50 $25,397.50 $2,846.00 $28,599.96 $6,900.33 2026-07-15
15879 CPT Bilat Suction Assisted Lipectomy Lwr Ext 20 5 $26,158.50 $25,397.50 $2,846.00 $28,599.96 $6,900.33 2026-07-15
15829 CPT Removal Of Skin Wrinkles 10 5 $17,439.00 $16,932.00 $2,846.00 $14,299.98 $6,900.33 2026-07-15
15828 CPT Removal Of Face Wrinkles 10 5 $17,439.00 $16,932.00 $2,846.00 $14,299.98 $6,900.33 2026-07-15
15738 CPT Muscle-skin Graft, Leg 10 5 $17,439.00 $16,932.00 $2,846.00 $14,299.98 $6,900.33 2026-07-15
15734 CPT Muscle-skin Graft, Trunk 10 5 $17,439.00 $16,932.00 $2,846.00 $14,299.98 $6,900.33 2026-07-15
15731 CPT Forehead Flap W/presvn Vascular Pedicle 10 5 $17,439.00 $16,932.00 $2,846.00 $14,299.98 $6,900.33 2026-07-15
26860 CPT Arthodesis Interphal Jt W/wo Int Fixj 10 5 $16,747.00 $16,260.00 $2,777.49 $13,732.54 $6,657.19 2026-07-15
63688 CPT Rev/rmvl Implanted Spinal Nstim 10 5 $16,130.00 $15,661.00 $2,896.00 $13,226.60 $6,652.34 2026-07-15
63662 CPT Remove Spinal Neurostim Electrode 10 5 $16,130.00 $15,661.00 $2,896.00 $13,226.60 $6,652.34 2026-07-15
19350 CPT Nipple / Areola Reconstruction 10 5 $16,425.00 $15,947.00 $2,057.00 $13,468.50 $6,625.96 2026-07-15
19301 CPT Mastectomy, Partial 10 5 $16,425.00 $15,947.00 $2,057.00 $13,468.50 $6,625.96 2026-07-15
19125 CPT Excision Breast Lesion 10 5 $16,425.00 $15,947.00 $2,057.00 $13,468.50 $6,625.96 2026-07-15
19120 CPT Bilat Removal Breast Lesion 30 5 $16,969.00 $23,920.00 $2,057.00 $26,936.18 $6,625.96 2026-07-15
15572 CPT Frmj Direct/tube Pedicle W/wo Tr S/a/l 10 5 $16,432.00 $15,954.00 $2,846.00 $13,474.24 $6,615.35 2026-07-15
36561 CPT Insj Tunneled Ctr Vad W/subq Port 5yr/> 10 5 $16,946.00 $16,453.00 $2,617.38 $13,895.72 $6,602.95 2026-07-15
29879 CPT Arthrscpy Knee Abrsn Multi Drill/microfx 10 5 $16,304.00 $15,830.00 $2,777.49 $13,369.28 $6,531.82 2026-07-15
29881 CPT Arthroscopy Knee Surgery 20 5 $16,560.50 $15,830.00 $2,777.49 $13,369.28 $6,531.82 2026-07-15
29875 CPT Artho Knee Syno,lmt,plica Or Shlf Resct 10 5 $16,304.00 $15,830.00 $2,777.49 $13,369.28 $6,531.82 2026-07-15
29880 CPT Arthroscopy Knee Surgery 10 5 $16,304.00 $15,830.00 $2,777.49 $13,369.28 $6,531.82 2026-07-15
15770 CPT Graft; Derma-fat-fascia 10 5 $16,105.00 $15,636.00 $2,846.00 $13,206.10 $6,522.82 2026-07-15
28022 CPT Arthrotomy Metatarsal,exp,drain,rvml Fb 10 5 $16,265.00 $16,265.00 $2,057.00 $13,337.30 $6,520.78 2026-07-15
49520 CPT Rpr Recurr Ingnl Hernia,anyage,reducble 10 5 $15,509.00 $15,058.00 $2,896.00 $12,717.38 $6,499.64 2026-07-15
15876 CPT Suction Assist Lipectomy Head & Neck 10 5 $15,635.00 $15,180.00 $2,846.00 $12,820.70 $6,389.81 2026-07-15
27347 CPT Exc Lesion Meniscus/cap Knee-eg,cyst,gan 10 5 $15,642.00 $15,187.00 $2,057.00 $12,826.44 $6,344.48 2026-07-15
28476 CPT Prq Skel Fixj Metar Fx W/manj 10 5 $15,478.00 $15,028.00 $2,057.00 $12,691.96 $6,298.06 2026-07-15
28645 CPT Open Tx Metatarsophalangeal Jnt Disloc 10 5 $15,478.00 $15,028.00 $2,057.00 $12,691.96 $6,298.06 2026-07-15
26765 CPT Open Tx Dstl Phlgngl Fx Each 10 5 $15,478.00 $15,028.00 $2,057.00 $12,691.96 $6,298.06 2026-07-15
31256 CPT Exploration Maxillary Sinus 10 5 $15,235.00 $14,792.00 $2,057.00 $12,492.70 $6,208.52 2026-07-15
31541 CPT Layrnscope With Tumr Exc + Cope 10 5 $15,235.00 $14,792.00 $2,057.00 $12,492.70 $6,208.52 2026-07-15
31540 CPT Laryngoscopy Exc Tum/stripcords/epei 10 5 $15,235.00 $14,792.00 $2,057.00 $12,492.70 $6,208.52 2026-07-15
36475 CPT Endovenous Rf 1st Vein 10 5 $15,451.00 $15,001.00 $2,617.38 $12,669.82 $6,179.87 2026-07-15
64625 CPT Bilat Rf Ablation Nerve Si Jnt Inc Guide 20 5 $12,839.50 $12,466.00 $2,910.40 $14,037.58 $6,162.84 2026-07-15
28225 CPT Tenolysis Extensor Foot Sngl Tendon 10 5 $14,894.00 $14,461.00 $2,057.00 $12,213.08 $6,132.79 2026-07-15
28114 CPT Ostc Cmplt All Metar Heads Prtl Prox Ph 10 5 $14,894.00 $14,461.00 $2,057.00 $12,213.08 $6,132.79 2026-07-15
27704 CPT Removal Of Ankle Implant 10 5 $14,894.00 $14,461.00 $2,777.49 $12,213.08 $6,132.79 2026-07-15
26952 CPT Amptute F/th Prim/sec Jnt/phalanx Single 10 5 $14,894.00 $14,461.00 $934.00 $12,213.08 $6,132.79 2026-07-15
26123 CPT Fasciectomy Prtl 1dgt W/wo Rpr 10 5 $14,894.00 $14,461.00 $2,777.49 $12,213.08 $6,132.79 2026-07-15
24105 CPT Excision Olecranon Bursa 10 5 $14,894.00 $14,461.00 $2,057.00 $12,213.08 $6,132.79 2026-07-15
15839 CPT Exc Excess Skin Subq Tiss, Other Area 15 5 $10,167.00 $9,871.00 $934.00 $16,673.88 $6,100.20 2026-07-15
15836 CPT Excise Exsess Skin Subq Tiss Arm 15 5 $10,167.00 $9,871.00 $934.00 $16,673.88 $6,100.20 2026-07-15
28292 CPT Corr Hallux Valgus W/sesamdtcmy Resctn 10 5 $14,765.00 $14,335.00 $2,777.49 $12,107.30 $6,096.28 2026-07-15
28060 CPT Fasciectomy Plantar Fascia Partial Spx 10 5 $14,765.00 $14,335.00 $2,057.00 $12,107.30 $6,096.28 2026-07-15
28310 CPT Osteotomy Shrt Corrj Prox Phalnx 1st Toe 10 5 $14,765.00 $14,335.00 $2,057.00 $12,107.30 $6,096.28 2026-07-15
23140 CPT Exc/curtg Bone Cyst/ B9 Tumr Clav/scap 10 5 $14,765.00 $14,335.00 $2,057.00 $12,107.30 $6,096.28 2026-07-15
24120 CPT Exc/curtg Bone/cyst/b9 Tmr H/n/rds/olecr 10 5 $14,765.00 $14,335.00 $2,057.00 $12,107.30 $6,096.28 2026-07-15
43870 CPT Closure Gastrostomy Surgical 10 5 $14,512.00 $14,090.00 $2,057.00 $11,899.84 $6,095.89 2026-07-15
15821 CPT Bilat Eblepharoplsty, Lwe Eye Hrn Fatpad 20 5 $16,921.50 $16,429.00 $1,646.85 $14,307.36 $6,087.78 2026-07-15
43196 CPT Esophagoscopy Rig Troral Guide Wire Dilt 10 5 $14,104.00 $13,694.00 $934.00 $11,565.28 $5,980.42 2026-07-15
23101 CPT Arthrotomy Acromclvr Jnt Inc Bx/exc 10 5 $14,203.00 $13,790.00 $2,777.49 $11,646.46 $5,937.24 2026-07-15
46917 CPT Laser Surgery, Anal Lesions 10 5 $14,712.00 $14,284.00 $2,057.00 $12,063.84 $5,842.32 2026-07-15
21336 CPT Open Tx Nasal Septal Fx W/wo Stabilizton 10 5 $13,817.00 $13,415.00 $2,057.00 $11,329.94 $5,828.00 2026-07-15
26727 CPT Prq Skel Fixj Phlngl Sft Fx W/man 10 5 $13,789.00 $13,388.00 $2,057.00 $11,306.98 $5,820.07 2026-07-15
21335 CPT Open Tx Nasal Fx W/concom Optx Fxd Septm 10 5 $14,744.00 $14,315.00 $2,057.00 $12,090.08 $5,766.87 2026-07-15
21029 CPT Contour Fac Bone Lesion B9 10 5 $14,744.00 $14,315.00 $2,057.00 $12,090.08 $5,766.87 2026-07-15
30520 CPT Repair Nasal Septum W/wo Cartilage Grft 10 5 $14,744.00 $14,315.00 $2,057.00 $12,090.08 $5,766.87 2026-07-15
31820 CPT Surgical Clx Trach/fist Wo Plastic Rpr 10 5 $14,744.00 $14,315.00 $2,057.00 $12,090.08 $5,766.87 2026-07-15
42826 CPT Tonsillectomy 1/2 Age 12/> 10 5 $14,744.00 $14,315.00 $2,057.00 $12,090.08 $5,766.87 2026-07-15
30130 CPT Excise Inferior Turbinate 10 5 $14,744.00 $14,315.00 $2,057.00 $12,090.08 $5,766.87 2026-07-15
30140 CPT Resect Inferior Turbinate Prtl/compl 10 5 $14,744.00 $14,315.00 $2,057.00 $12,090.08 $5,766.87 2026-07-15
21601 CPT Exc Chest Wall Tumor Inc Rib(s) 10 5 $11,263.00 $10,935.00 $3,829.42 $9,235.66 $5,721.60 2026-07-15
28280 CPT Syndactylization Toes 10 5 $13,212.00 $12,828.00 $2,057.00 $10,833.84 $5,656.78 2026-07-15
29893 CPT Endoscopic Plantar Fasciotomy 10 5 $13,212.00 $12,828.00 $2,057.00 $10,833.84 $5,656.78 2026-07-15
28118 CPT Ostectomy Calcaneus 10 5 $13,212.00 $12,828.00 $2,057.00 $10,833.84 $5,656.78 2026-07-15
28100 CPT Exc/curettge Cyst / Tmr Tlus/calcaneus 10 5 $13,212.00 $12,828.00 $2,057.00 $10,833.84 $5,656.78 2026-07-15
28315 CPT Removal Of Sesamoid Bone 10 5 $13,212.00 $12,828.00 $2,057.00 $10,833.84 $5,656.78 2026-07-15
28120 CPT Partial Exc Bone Talus/calcaneus 10 5 $13,212.00 $12,828.00 $2,057.00 $10,833.84 $5,656.78 2026-07-15
28008 CPT Fasciotomy, Foot And/or Toe 10 5 $13,212.00 $12,828.00 $2,057.00 $10,833.84 $5,656.78 2026-07-15
28122 CPT Prt Exc Tarsal/meta Bone Xcp Talus/calc 10 5 $13,212.00 $12,828.00 $2,057.00 $10,833.84 $5,656.78 2026-07-15
28110 CPT Ostectomy Prtl Metatarsal 10 5 $13,212.00 $12,828.00 $2,057.00 $10,833.84 $5,656.78 2026-07-15
28810 CPT Amputation, Metatrsl W/toe, Single 10 5 $13,212.00 $12,828.00 $2,057.00 $10,833.84 $5,656.78 2026-07-15
28270 CPT Release Of Foot Contracture 10 5 $13,212.00 $12,828.00 $2,057.00 $10,833.84 $5,656.78 2026-07-15
28285 CPT Correction Hammertoe 10 5 $13,212.00 $12,828.00 $2,057.00 $10,833.84 $5,656.78 2026-07-15
28288 CPT Ostectomy Prtl Exostc/condylc Metar Head 10 5 $13,212.00 $12,828.00 $2,057.00 $10,833.84 $5,656.78 2026-07-15
28112 CPT Ostectomy Cmplt Other Meta 2/3/4 10 5 $13,212.00 $12,828.00 $2,057.00 $10,833.84 $5,656.78 2026-07-15
28308 CPT Osteot W/wo Lngth Incision Of Metatarsal 10 5 $13,212.00 $12,828.00 $2,057.00 $10,833.84 $5,656.78 2026-07-15
28289 CPT Rpr Hallux Rigidus Corr With Chel 1st Mp J 10 5 $13,212.00 $12,828.00 $2,057.00 $10,833.84 $5,656.78 2026-07-15
28113 CPT Part Removal Of Metatarsal 10 5 $13,212.00 $12,828.00 $2,057.00 $10,833.84 $5,656.78 2026-07-15
28160 CPT Partial Removal Of Toe 10 5 $13,212.00 $12,828.00 $2,057.00 $10,833.84 $5,656.78 2026-07-15
L8642 HCPCS Reflex Mini Nitinol Staple Kit 10x10 10 5 $11,124.00 $11,124.00 $3,782.16 $9,121.68 $5,650.99 2026-07-15
26587 CPT Reconstruct Extra Finger 10 5 $13,130.00 $12,748.00 $934.00 $10,766.60 $5,633.58 2026-07-15
21016 CPT Rad Rsectn Tumor Soft Tiss Fce/sclp 2cm> 10 5 $13,823.00 $13,421.00 $2,057.00 $11,334.86 $5,597.44 2026-07-15
20680 CPT Removal Support Implant, Deep 10 5 $13,823.00 $13,421.00 $2,057.00 $11,334.86 $5,597.44 2026-07-15
24079 CPT Rad Rsect Tumor Sft Tiss Upp Arm/el 5cm> 10 5 $13,823.00 $13,421.00 $2,057.00 $11,334.86 $5,597.44 2026-07-15
25078 CPT Rad Rescj Tumor Sft Tiss 4arm/wrst 3cm/> 10 5 $13,823.00 $13,421.00 $2,057.00 $11,334.86 $5,597.44 2026-07-15
28039 CPT Exc Tumor Sft Tiss Foot/toe Subq 1.5cm/> 10 5 $13,823.00 $13,421.00 $2,057.00 $11,334.86 $5,597.44 2026-07-15
27634 CPT Exc Tmr Sft Tiss Leg/ankle, Subfscl 5cm/ 10 5 $13,823.00 $13,421.00 $2,057.00 $11,334.86 $5,597.44 2026-07-15
26118 CPT Rad Rescj Tumr Sft Tiss Hand/fing 3cm/> 10 5 $13,823.00 $13,421.00 $2,057.00 $11,334.86 $5,597.44 2026-07-15
11462 CPT Exc Hidradenitis Inguinal Smp/int Rpr 10 5 $13,823.00 $13,421.00 $2,057.00 $11,334.86 $5,597.44 2026-07-15
24071 CPT Exc Tumor Sft Tiss Upprarm/elb Subq 3cm> 10 5 $13,823.00 $13,421.00 $2,057.00 $11,334.86 $5,597.44 2026-07-15
11450 CPT Exc Hidradenitis Axl Smpl/int Rpr 10 5 $13,823.00 $13,421.00 $2,057.00 $11,334.86 $5,597.44 2026-07-15
11446 CPT Exc Face-mm B9+marg >4cm 10 5 $13,823.00 $13,421.00 $2,057.00 $11,334.86 $5,597.44 2026-07-15
11971 CPT Remove Tissue Expander(s) Wo Ins Prothes 10 5 $13,823.00 $13,421.00 $2,057.00 $11,334.86 $5,597.44 2026-07-15
11426 CPT Exc B9 Lesion S/n/h/f/g >4.0cm 10 5 $13,823.00 $13,421.00 $2,057.00 $11,334.86 $5,597.44 2026-07-15
11770 CPT Exc Pilonidal Cyst/sinus, Simple 10 5 $13,823.00 $13,421.00 $2,057.00 $11,334.86 $5,597.44 2026-07-15
27632 CPT Exc Tmr/sft Tiss Leg/ank Subq 3cm/> 10 5 $13,823.00 $13,421.00 $2,057.00 $11,334.86 $5,597.44 2026-07-15
23073 CPT Exc Tumor Sft Tiss Shoulder Subfas 5cm> 10 5 $13,823.00 $13,421.00 $2,057.00 $11,334.86 $5,597.44 2026-07-15
22903 CPT Exc Tumor Sft Tiss Abd Wall Subq 3cm> 10 5 $13,823.00 $13,421.00 $2,057.00 $11,334.86 $5,597.44 2026-07-15
21936 CPT Rad Resect Tumor Sft Tiss Back/flnk 5cm> 10 5 $13,823.00 $13,421.00 $2,057.00 $11,334.86 $5,597.44 2026-07-15
21933 CPT Exc Tumor Sft Tiss Back/flnk Subf 5cm> 10 5 $13,823.00 $13,421.00 $2,057.00 $11,334.86 $5,597.44 2026-07-15
21558 CPT Rad Resect Tumor Sft Tiss Neck/thor 5cm> 10 5 $13,823.00 $13,421.00 $2,057.00 $11,334.86 $5,597.44 2026-07-15
21556 CPT Exc Tumor Sft Tiss Neck/thor Subfas <5cm 10 5 $13,823.00 $13,421.00 $2,057.00 $11,334.86 $5,597.44 2026-07-15
21554 CPT Exc Tumor Sft Tiss Neck Subfasc 5cm> 10 5 $13,823.00 $13,421.00 $2,057.00 $11,334.86 $5,597.44 2026-07-15
21552 CPT Exc Tumor Sft Tiss Neck Subq 3cm> 10 5 $13,823.00 $13,421.00 $2,057.00 $11,334.86 $5,597.44 2026-07-15
11646 CPT Exc Malignant F/e/e/n/l > 4.0cm 10 5 $13,823.00 $13,421.00 $2,057.00 $11,334.86 $5,597.44 2026-07-15
24073 CPT Exc Tmr Sft Tiss Upp A/e Subf 5cm/> 10 5 $13,823.00 $13,421.00 $2,057.00 $11,334.86 $5,597.44 2026-07-15
25073 CPT Exc Tmr/sft Tiss 4arm/wrist Subfas 3cm/> 10 5 $13,823.00 $13,421.00 $2,057.00 $11,334.86 $5,597.44 2026-07-15
27675 CPT Rpr Disloc Peroneal Tndnwo Fib Osteotomy 10 5 $12,584.00 $12,218.00 $2,057.00 $10,318.88 $5,479.06 2026-07-15
27658 CPT Rpr Flex Tendon Leg, Prim Wo Graft, Each 10 5 $12,584.00 $12,218.00 $2,057.00 $10,318.88 $5,479.06 2026-07-15
19300 CPT Bilat Mastectomy Gynecomastia 20 5 $17,926.50 $17,404.50 $2,057.00 $19,599.64 $5,359.82 2026-07-15
27616 CPT Rad Rescj Tmr Sft Tiss Leg/ankle 5cm/> 10 5 $12,493.00 $12,130.00 $2,057.00 $10,244.26 $5,221.05 2026-07-15
69145 CPT Exc Sft Tiss Les, Ext Auditory Canal 10 5 $12,493.00 $12,130.00 $934.00 $10,244.26 $5,221.05 2026-07-15
27043 CPT Exc Tmr Sft Tiss Plvs/hip Subq 3cm/> 10 5 $12,493.00 $12,130.00 $2,057.00 $10,244.26 $5,221.05 2026-07-15
23078 CPT Rad Resect Tumor Sft Tiss Shoulder 5cm/> 10 5 $12,493.00 $12,130.00 $2,057.00 $10,244.26 $5,221.05 2026-07-15
22904 CPT Rad Rsctn Tmr Sft Tiss Abd Wall <5cm 10 5 $12,493.00 $12,130.00 $934.00 $10,244.26 $5,221.05 2026-07-15
27049 CPT Rad Rsect Tmr Sft Tiss Pelvis/hip <5cm 10 5 $12,493.00 $12,130.00 $934.00 $10,244.26 $5,221.05 2026-07-15
28126 CPT Rsctn Part/cmplt Phalangeal Base Each 10 5 $14,765.00 $14,335.00 $1,417.44 $12,107.30 $5,206.99 2026-07-15
11451 CPT Exc Skin Subq Tiss Hidradentis Axl Cmpx 10 5 $12,370.00 $12,010.00 $2,057.00 $10,143.40 $5,186.24 2026-07-15
27364 CPT Rad Rsctn Tmr/sft Tiss Thigh/knee 5cm/> 10 5 $12,370.00 $12,010.00 $2,057.00 $10,143.40 $5,186.24 2026-07-15
27337 CPT Exc Tmr Sft Tiss Thigh/knee Subq 3cm/> 10 5 $12,370.00 $12,010.00 $2,057.00 $10,143.40 $5,186.24 2026-07-15
11626 CPT Exc Malig Lesion S/n/h/f/g >4.0cm 10 5 $12,190.00 $11,835.00 $2,057.00 $9,995.80 $5,135.30 2026-07-15
27339 CPT Exc Tmr Sft Tiss Thigh/knee Subfas 5cm/> 10 5 $12,190.00 $11,835.00 $2,057.00 $9,995.80 $5,135.30 2026-07-15
27059 CPT Rad Rsect Tmr Sft Tiss Pelvis/hip 5cm> 10 5 $12,190.00 $11,835.00 $2,057.00 $9,995.80 $5,135.30 2026-07-15
11772 CPT Excision Of Pilonidal Cyst/ Sinus Comp. 10 5 $11,835.00 $11,491.00 $2,057.00 $9,704.70 $5,034.84 2026-07-15
15261 CPT Skin Full Grft N/e/e/l Addtl 20sq Cm 10 5 $9,808.00 $9,523.00 $173.00 $8,042.56 $4,982.47 2026-07-15
62287 CPT Decompress Percut Diskectomy 10 5 $8,291.00 $8,050.00 $3,436.00 $6,798.62 $4,974.60 2026-07-15
27301 CPT I&d Deep Abscss,bursa,hemat Thigh/knee 10 5 $11,509.00 $11,509.00 $2,057.00 $9,437.38 $4,942.57 2026-07-15
27327 CPT Removal Thigh/knee Lesion < 3 Cm 10 5 $13,823.00 $13,421.00 $1,415.43 $11,334.86 $4,940.41 2026-07-15
23071 CPT Exc Tumor Sft Tiss Shoulder Subq 3cm> 10 5 $13,823.00 $13,421.00 $1,415.43 $11,334.86 $4,940.41 2026-07-15
21931 CPT Exc Tumor Sft Tiss Back/flank Subq 3cm> 10 5 $13,823.00 $13,421.00 $1,415.43 $11,334.86 $4,940.41 2026-07-15
42408 CPT Exc Sublingual Salivary Cyst (ranula) 10 5 $11,392.00 $11,061.00 $2,057.00 $9,341.44 $4,818.26 2026-07-15
28090 CPT Removal Of Foot Lesion 10 5 $13,212.00 $12,828.00 $1,417.44 $10,833.84 $4,767.49 2026-07-15
28825 CPT Partial Amputation Of Toe 10 5 $13,212.00 $12,828.00 $1,417.44 $10,833.84 $4,767.49 2026-07-15
28820 CPT Amputation Toe Metatarsophalg Joint 10 5 $13,212.00 $12,828.00 $1,417.44 $10,833.84 $4,767.49 2026-07-15
28080 CPT Excision Interdigital Neuroma Single 10 5 $13,212.00 $12,828.00 $1,417.44 $10,833.84 $4,767.49 2026-07-15
40816 CPT Exc Lesion Mucosa/subm Mouth Cmplx Musc 10 5 $11,081.00 $10,759.00 $2,057.00 $9,086.42 $4,730.24 2026-07-15
28047 CPT Rad Resect Tumor Sft Tiss Foot/toe 3cm> 10 5 $10,682.00 $10,371.00 $2,057.00 $8,759.24 $4,708.53 2026-07-15
11463 CPT Exc Hidradentis Ing Cmplx Rpr 10 5 $10,682.00 $10,371.00 $2,057.00 $8,759.24 $4,708.53 2026-07-15
14302 CPT Adj Tiss Trans, Any Area Ea Addtl 30sqcm 10 5 $9,254.00 $9,254.00 $173.00 $7,588.28 $4,701.03 2026-07-15
40525 CPT Exc Lip, Full Thick Reconst W Local Flap 10 5 $10,949.00 $10,631.00 $2,057.00 $8,978.18 $4,692.89 2026-07-15
30120 CPT Exc/surg Planing Skin Nose Rhinophyma 10 5 $10,949.00 $10,631.00 $2,057.00 $8,978.18 $4,692.89 2026-07-15
27619 CPT Exc Tumor Sfttiss Leg/ank Less Than 5cm 10 5 $10,370.00 $10,068.00 $934.00 $8,503.40 $4,620.24 2026-07-15
67916 CPT Rpr Ectropion, Exc Tarsal Wedge 10 5 $11,629.00 $11,291.00 $1,901.92 $9,535.78 $4,604.24 2026-07-15
67961 CPT Excision/rpr Eyelid - Up To 1/4 Lid Marg 10 5 $11,629.00 $11,291.00 $1,901.92 $9,535.78 $4,604.24 2026-07-15
67950 CPT Canthoplasty 10 5 $11,629.00 $11,291.00 $1,901.92 $9,535.78 $4,604.24 2026-07-15
67966 CPT Exc/rpr Eyelid 1/4th Lid Margin 10 5 $11,629.00 $11,291.00 $1,901.92 $9,535.78 $4,604.24 2026-07-15
69300 CPT Otoplasty Protruding Ear W/wo Size Redct 10 5 $10,631.00 $10,322.00 $2,057.00 $8,717.42 $4,602.89 2026-07-15
21282 CPT Lateral Canthopexy 10 5 $10,631.00 $10,322.00 $934.00 $8,717.42 $4,602.89 2026-07-15
40510 CPT Exc Lip Transvrs Wedge Exc With Prim Close 10 5 $10,631.00 $10,322.00 $2,057.00 $8,717.42 $4,602.89 2026-07-15
25111 CPT Exc Ganglion, Wrist (dorsal/volar) Prim 10 5 $12,584.00 $12,218.00 $1,417.44 $10,318.88 $4,589.77 2026-07-15
27048 CPT Rmv Hip/pelvis Lesion <5cm 10 5 $10,167.00 $9,871.00 $934.00 $8,336.94 $4,562.79 2026-07-15
21015 CPT Rad Rsectn Soft Tumor Fce/sclp <2cm 10 5 $10,167.00 $9,871.00 $934.00 $8,336.94 $4,562.79 2026-07-15
24077 CPT Rad Rsect Tumor Sft Tiss Upp Arm/el <5cm 10 5 $10,167.00 $9,871.00 $934.00 $8,336.94 $4,562.79 2026-07-15
27047 CPT Exc Tumor Sft Tiss Pelvis/hip Subq <3cm 10 5 $10,167.00 $9,871.00 $934.00 $8,336.94 $4,562.79 2026-07-15
69110 CPT Bilat Exc Ext Ear Partial Simple Repair 20 5 $15,250.50 $14,806.50 $934.00 $16,673.88 $4,562.79 2026-07-15
27615 CPT Rad Rsctn Tumor Sft Tiss Leg/ank <5cm 10 5 $10,167.00 $9,871.00 $934.00 $8,336.94 $4,562.79 2026-07-15
28046 CPT Rad Rsctn Tumor Sft Tiss Ft/toe <3cm 10 5 $10,167.00 $9,871.00 $934.00 $8,336.94 $4,562.79 2026-07-15
26117 CPT Rad Resect Tumor Sft Tiss Hand/fin <3cm 10 5 $10,167.00 $9,871.00 $934.00 $8,336.94 $4,562.79 2026-07-15
27329 CPT Rad Resctn Tmr, Sft Tiss Thigh/knee <5cm 10 5 $10,167.00 $9,871.00 $934.00 $8,336.94 $4,562.79 2026-07-15
23077 CPT Rad Resect Tumor Sft Tiss Shoulder <5cm 10 5 $10,167.00 $9,871.00 $934.00 $8,336.94 $4,562.79 2026-07-15
23076 CPT Exc Tmr Sft Tiss Shoulder Subfasc < 5cm 10 5 $10,167.00 $9,871.00 $934.00 $8,336.94 $4,562.79 2026-07-15
21935 CPT Rad Resect Tumor Sft Tiss Back/flnk <5cm 10 5 $10,167.00 $9,871.00 $934.00 $8,336.94 $4,562.79 2026-07-15
21932 CPT Exc Tumor Sft Tiss Back/flnk Subfas <5cm 10 5 $10,167.00 $9,871.00 $934.00 $8,336.94 $4,562.79 2026-07-15
21557 CPT Rad Resect Tumor Oft Tiss Neck/thor <5cm 10 5 $10,167.00 $9,871.00 $934.00 $8,336.94 $4,562.79 2026-07-15
28045 CPT Excision Of Foot Lesion 10 5 $10,167.00 $9,871.00 $934.00 $8,336.94 $4,562.79 2026-07-15
26260 CPT Rad Rsctn Tmr, Prox/mdl Phalnx Finger 10 5 $9,311.00 $9,040.00 $934.00 $7,635.02 $4,552.81 2026-07-15
15736 CPT Muscle-skin Graft, Arm 10 5 $10,665.00 $10,355.00 $1,646.85 $8,745.30 $4,466.19 2026-07-15
14350 CPT Skin Tissue Rearrange-fing/toe With Prepj 10 5 $10,665.00 $10,355.00 $1,646.85 $8,745.30 $4,466.19 2026-07-15
L8699 HCPCS 10mm Cartiva Synthetic Cartilage Implant 70 5 $7,409.00 $25,107.50 $1,520.82 $37,633.08 $4,445.40 2026-07-15
A9547 HCPCS In-111 Pentetreotide 10 5 $8,733.00 $8,479.00 $2,969.22 $7,161.06 $4,436.36 2026-07-15
62355 CPT Rmvl Prev Implant Ithcl/epi Cath 10 5 $11,141.00 $10,817.00 $1,691.03 $9,135.62 $4,320.52 2026-07-15
64633 CPT Bilat Dstr Nrolytc Agnt Parvert Fct Jt 1 20 5 $16,709.50 $16,223.50 $1,691.03 $18,267.96 $4,320.52 2026-07-15
64635 CPT Bilat Dstr Nrolytc Agt Prvt Fct L/s Sngl 20 5 $16,709.50 $16,223.50 $1,691.03 $18,267.96 $4,320.52 2026-07-15
L8499 HCPCS Internal Brace Ligament 10 5 $8,494.00 $8,247.00 $2,887.96 $6,965.08 $4,314.95 2026-07-15
21337 CPT Bilat Clsdtx Nasal Septal Fx W/wo Stab 20 5 $14,400.50 $13,981.50 $934.00 $15,744.82 $4,311.12 2026-07-15
21320 CPT Clsd Tx Nasal Fx With Stabilization 10 5 $9,600.00 $9,321.00 $934.00 $7,872.00 $4,311.12 2026-07-15
69421 CPT Myrngotmy Inc Asp/eustchn Tube Nflt Anes 10 5 $9,600.00 $9,321.00 $934.00 $7,872.00 $4,311.12 2026-07-15
21422 CPT Open Tx Palatal/maxillary Fx 10 5 $9,119.00 $8,854.00 $727.66 $7,477.58 $4,298.68 2026-07-15
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