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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

RICELAND MEDICAL CENTER

Winnie, TX · CCN 451328 · Rates published

2,432 distinct procedures filed
5 distinct payers
24,292 rate rows
2026-05-17 last MRF observed
Data quality

24,048 of 24,292 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 · 2026-05-19
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
63685S
OTHER 		Insj/rplcmt Spnl Nstim Dir/induxve Coupl 5 $10,119.00 $235,833.64 $101,612.92 nat. median
$101,613
1.0× median
1080PERC
OTHER 		Perc Senza Omnia Ipg Kit132450 5 $52,205.98 $125,908.54 $78,001.88 nat. median
$78,002
1.0× median
63655S
OTHER 		Lami Imp Nstim Electrds Plate/padle Edrl 5 $7,500.00 $179,703.00 $75,336.89 nat. median
$75,337
1.0× median
64590S
OTHER 		Ins/rpl Periph/gastc Neurostim Gen/rcv 5 $10,119.00 $152,299.42 $65,879.32 nat. median
$65,879
1.0× median
27278S
OTHER 		Arthosdesis,sj,img With Implnt Wo Tfxj Dev 5 $38,465.22 $92,769.06 $57,471.57 nat. median
$57,472
1.0× median
27279S
OTHER 		Si Fusion-arthrodesis Sacjnt Pcut Guide 5 $7,500.00 $133,731.34 $57,297.60 nat. median
$57,298
1.0× median
STQ4RCVA0
OTHER 		Stimq Neurostim Recvr Kit 5 $37,839.28 $91,259.44 $56,536.33 nat. median
$56,536
1.0× median
Q4SP2US
OTHER 		Freedom-4a Pns Sys 2 Dual Leads 5 $37,839.28 $91,259.44 $56,536.33 nat. median
$56,536
1.0× median
22869S
OTHER 		Insj Stab Device Without Decompress Single 5 $5,730.00 $86,967.56 $41,158.39 nat. median
$41,158
1.0× median
19357SBL
OTHER 		Bilat Breast Reconstruction With Tiss Exp 5 $5,730.00 $91,931.02 $39,984.12 nat. median
$39,984
1.0× median
19325SBL
OTHER 		Bilat Mammaplasty Aug With Prosth Implant 5 $5,730.00 $91,930.20 $37,083.24 nat. median
$37,083
1.0× median
11771S
OTHER 		Exc Pilonidal Cyst Or Sinus Extensive 5 $2,057.00 $99,889.94 $36,159.74 nat. median
$36,160
1.0× median
64628S
OTHER 		Therm Dstr Ios Bvn 1st 2 Lum/sac 5 $21,027.98 $50,714.54 $31,418.28 nat. median
$31,418
1.0× median
1029800
OTHER 		Vertiflex Superion Ids Kit (incl Vip Kit 5 $17,737.46 $42,778.58 $26,501.85 nat. median
$26,502
1.0× median
123260809
OTHER 		Vyrsa V1 Si Fusion System 9mm 5 $17,313.82 $41,756.86 $25,868.88 nat. median
$25,869
1.0× median
123260811
OTHER 		Vyrsa V1 Si Fusion System 11mm 5 $17,313.82 $41,756.86 $25,868.88 nat. median
$25,869
1.0× median
VY00130
OTHER 		Vyrsa Allograft Spacer 30mm 5 $16,809.60 $40,540.80 $25,115.52 nat. median
$25,116
1.0× median
VY00125
OTHER 		Vyrsa Pro Allograft Spacer 25mm 5 $16,809.60 $40,540.80 $25,115.52 nat. median
$25,116
1.0× median
19357S
OTHER 		Breast Reconstruction With Tiss Expander 5 $5,730.00 $45,965.92 $24,120.55 nat. median
$24,121
1.0× median
28730S
OTHER 		Arthrodesis Midt/trans Multi/transv 5 $5,730.00 $48,190.58 $23,970.74 nat. median
$23,971
1.0× median
27828S
OTHER 		Orif Fx Tibia & Fibula 5 $5,730.00 $46,912.20 $23,529.54 nat. median
$23,530
1.0× median
27827S
OTHER 		Orif Fx Tibia Only 5 $5,730.00 $46,912.20 $23,529.54 nat. median
$23,530
1.0× median
CW00135
OTHER 		Prolix Allograft Spacer, 35mm 5 $15,603.96 $37,633.08 $23,314.15 nat. median
$23,314
1.0× median
19342SBL
OTHER 		Bilat Inst/rpl Breast Ipnt Sep From Mast 5 $5,730.00 $50,754.72 $22,872.67 nat. median
$22,873
1.0× median
19340SBL
OTHER 		Bilat Immt Ins Brst Prosth Flwg Mast/rec 5 $3,436.00 $51,573.08 $21,287.61 nat. median
$21,288
1.0× median
19318SBL
OTHER 		Bilat Reduction Mammaplasty 5 $3,436.00 $51,573.08 $21,287.61 nat. median
$21,288
1.0× median
19380SBL
OTHER 		Bilat-revision Of Reconstructed Breast 5 $3,436.00 $51,571.44 $21,287.05 nat. median
$21,287
1.0× median
19325S
OTHER 		Enlarge Breast Aug With Implant 5 $5,730.00 $45,965.92 $21,219.96 nat. median
$21,220
1.0× median
11970SBL
OTHER 		Bilat Replace Tissue Exp With Perm Prothes 5 $3,436.00 $46,758.04 $20,201.88 nat. median
$20,202
1.0× median
63663S
OTHER 		Rev/rplc Spinl Neurostim Elec Perc, Flur 5 $5,730.00 $43,492.80 $19,400.64 nat. median
$19,401
1.0× median
63650S
OTHER 		Implant Neuroelectodes Array Epidural 5 $5,730.00 $43,492.80 $19,400.64 nat. median
$19,401
1.0× median
64555S
OTHER 		Precut Implant Neurostim Periph Nerve 5 $5,730.00 $41,271.42 $18,633.99 nat. median
$18,634
1.0× median
28725S
OTHER 		Arthrodesis, Subtalar 5 $5,730.00 $32,425.26 $18,529.78 nat. median
$18,530
1.0× median
37241S
OTHER 		Vascular Embol/occlus Venous Rs&i 5 $4,685.26 $41,616.64 $18,112.82 nat. median
$18,113
1.0× median
22514S
OTHER 		Precut Vertebral Augmentation 5 $5,730.00 $39,752.78 $17,784.21 nat. median
$17,784
1.0× median
27407S
OTHER 		Rpr Prim Torn Liga/cap Knee Cruc 5 $5,730.00 $39,282.92 $17,622.06 nat. median
$17,622
1.0× median
0275TS
OTHER 		Percut Decompress Lamo/lam Lumbar 5 $5,730.00 $36,374.38 $16,618.25 nat. median
$16,618
1.0× median
19316SBL
OTHER 		Bilat Suspension Of Breast / Mastopexy 5 $2,896.00 $37,435.46 $16,408.42 nat. median
$16,408
1.0× median
28291S
OTHER 		Hallux Rig Cor With Cheil 1st Me Wo Imp 5 $5,730.00 $35,478.94 $16,309.22 nat. median
$16,309
1.0× median
64629S
OTHER 		Therm Dstr Ios Bvn Ea Addtl Lum/sac 5 $10,506.00 $25,338.00 $15,697.20 nat. median
$15,697
1.0× median
28300S
OTHER 		Osteotomy Calcaneus W/wo Int Fixation 5 $5,730.00 $32,425.26 $15,255.33 nat. median
$15,255
1.0× median
28750S
OTHER 		Arthrodesis Big Toe Joint 5 $5,730.00 $32,425.26 $15,255.33 nat. median
$15,255
1.0× median
22870S
OTHER 		Insj Stab Device Without Decompress 2nd Lev 5 $173.00 $24,349.90 $15,085.06 nat. median
$15,085
1.0× median
19371SBL
OTHER 		Bilat Removal Of Breast Capsule 5 $2,864.23 $37,440.38 $14,899.18 nat. median
$14,899
1.0× median
19328SBL
OTHER 		Bilat Removal Of Breast Implant 5 $2,864.23 $37,440.38 $14,899.18 nat. median
$14,899
1.0× median
19370SBL
OTHER 		Bilat Open Periprosth Capsulotomy Breast 5 $2,864.23 $37,435.46 $14,897.49 nat. median
$14,897
1.0× median
19330SBL
OTHER 		Bilat Rmvl Mammary Implant Material 5 $2,864.23 $37,435.46 $14,897.49 nat. median
$14,897
1.0× median
49594S
OTHER 		Rpr Aa Hernia 1st 3-10cm Ncr/strn 5 $9,473.42 $22,847.66 $14,154.40 nat. median
$14,154
1.0× median
19342S
OTHER 		Insrt/rpl Breast Implant Sep From Mast 5 $5,730.00 $25,377.36 $14,114.39 nat. median
$14,114
1.0× median
7055M90
OTHER 		Ifuse 3-d Implant System 7.0mm X 55mm 5 $9,400.32 $22,671.36 $14,045.19 nat. median
$14,045
1.0× median

Other procedures at this hospital

Browse this hospital's 2,432 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
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
             
0275TS OTHER Percut Decompress Lamo/lam Lumbar 10 5 $44,359.00 $43,067.00 $5,730.00 $36,374.38 $16,618.25 2026-05-17
10100002 OTHER 3s Hemi Implant, Medium 10 5 $18,540.00 $18,540.00 $6,303.60 $15,202.80 $9,418.32 2026-05-17
10100003 OTHER 35 Hemi Implant Large 10 5 $18,540.00 $18,540.00 $6,303.60 $15,202.80 $9,418.32 2026-05-17
1029800 OTHER Vertiflex Superion Ids Kit (incl Vip Kit 10 5 $52,169.00 $50,650.00 $17,737.46 $42,778.58 $26,501.85 2026-05-17
1080PERC OTHER Perc Senza Omnia Ipg Kit132450 10 5 $153,547.00 $149,075.00 $52,205.98 $125,908.54 $78,001.88 2026-05-17
11426S OTHER 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 2026-05-17
11446S OTHER Exc Face-mm B9+marg >4cm 10 5 $13,823.00 $13,421.00 $2,057.00 $11,334.86 $5,597.44 2026-05-17
11450S OTHER Exc Hidradenitis Axl Smpl/int Rpr 10 5 $13,823.00 $13,421.00 $2,057.00 $11,334.86 $5,597.44 2026-05-17
11451S OTHER Exc Skin Subq Tiss Hidradentis Axl Cmpx 10 5 $12,370.00 $12,010.00 $2,057.00 $10,143.40 $5,186.24 2026-05-17
11462S OTHER Exc Hidradenitis Inguinal Smp/int Rpr 10 5 $13,823.00 $13,421.00 $2,057.00 $11,334.86 $5,597.44 2026-05-17
11626S OTHER 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 2026-05-17
11646S OTHER 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 2026-05-17
11770S OTHER Exc Pilonidal Cyst/sinus, Simple 10 5 $13,823.00 $13,421.00 $2,057.00 $11,334.86 $5,597.44 2026-05-17
11771S OTHER Exc Pilonidal Cyst Or Sinus Extensive 10 5 $121,817.00 $118,269.00 $2,057.00 $99,889.94 $36,159.74 2026-05-17
11970S OTHER Replace Tissue Expander With Perm Prothes 10 5 $28,511.00 $27,681.00 $3,436.00 $23,379.02 $12,133.27 2026-05-17
11970SBL OTHER Bilat Replace Tissue Exp With Perm Prothes 10 5 $57,022.00 $55,362.00 $3,436.00 $46,758.04 $20,201.88 2026-05-17
11971S OTHER Remove Tissue Expander(s) Wo Ins Prothes 10 5 $13,823.00 $13,421.00 $2,057.00 $11,334.86 $5,597.44 2026-05-17
123260809 OTHER Vyrsa V1 Si Fusion System 9mm 10 5 $50,923.00 $49,440.00 $17,313.82 $41,756.86 $25,868.88 2026-05-17
123260811 OTHER Vyrsa V1 Si Fusion System 11mm 10 5 $50,923.00 $49,440.00 $17,313.82 $41,756.86 $25,868.88 2026-05-17
14301S OTHER 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 2026-05-17
15572S OTHER 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 2026-05-17
15731S OTHER Forehead Flap W/presvn Vascular Pedicle 10 5 $17,439.00 $16,932.00 $2,846.00 $14,299.98 $6,900.33 2026-05-17
15734S OTHER Muscle-skin Graft, Trunk 10 5 $17,439.00 $16,932.00 $2,846.00 $14,299.98 $6,900.33 2026-05-17
15738S OTHER Muscle-skin Graft, Leg 10 5 $17,439.00 $16,932.00 $2,846.00 $14,299.98 $6,900.33 2026-05-17
15770S OTHER Graft; Derma-fat-fascia 10 5 $16,105.00 $15,636.00 $2,846.00 $13,206.10 $6,522.82 2026-05-17
15771S OTHER Graft Auto/fat Lipo 50cc Or Less 10 5 $15,687.00 $15,231.00 $5,333.58 $12,863.34 $7,968.99 2026-05-17
15820SBL OTHER Bilat Revision Of Lower Eyelid 10 5 $17,448.00 $16,940.00 $934.00 $14,307.36 $6,074.90 2026-05-17
15821S OTHER Blepharoplasty, Lwe Eyelid Herntd Fatpad 10 5 $16,395.00 $15,918.00 $1,646.85 $13,443.90 $6,087.78 2026-05-17
15821SBL OTHER Bilat Eblepharoplsty, Lwe Eye Hrn Fatpad 10 5 $17,448.00 $16,940.00 $1,646.85 $14,307.36 $6,385.78 2026-05-17
15822SBL OTHER Bilat Blepharoplasty, Upper Eyelid 10 5 $21,331.00 $20,710.00 $934.00 $17,491.42 $7,173.78 2026-05-17
15824SBL OTHER Bilat Rhytidectomy Forehead 10 5 $18,038.00 $17,513.00 $934.00 $14,791.16 $6,241.86 2026-05-17
15828S OTHER Removal Of Face Wrinkles 10 5 $17,439.00 $16,932.00 $2,846.00 $14,299.98 $6,900.33 2026-05-17
15829S OTHER Removal Of Skin Wrinkles 10 5 $17,439.00 $16,932.00 $2,846.00 $14,299.98 $6,900.33 2026-05-17
15830S OTHER Excision Skin Abd 10 5 $31,446.00 $30,531.00 $3,436.00 $25,785.72 $12,387.83 2026-05-17
15832S OTHER Exc Excess Skin/subq Tissue Thigh 10 5 $12,370.00 $12,010.00 $2,057.00 $10,143.40 $5,186.24 2026-05-17
15832SBL OTHER Bilat Exc Excess Skin/subq Tissue Thigh 10 5 $24,740.00 $24,740.00 $2,057.00 $20,286.80 $8,686.95 2026-05-17
15835SBL OTHER Bilat Exc Ex Skin/subq Tiss Buttock 10 5 $21,361.00 $20,739.00 $2,057.00 $17,516.02 $7,730.69 2026-05-17
15836SBL OTHER Bilat Excise Exsess Skin Subq Tiss Arm 10 5 $20,334.00 $20,334.00 $934.00 $16,673.88 $7,440.05 2026-05-17
15839SBL OTHER Bilat Exc Excess Skin Subq Other Area 10 5 $20,334.00 $20,334.00 $934.00 $16,673.88 $7,440.05 2026-05-17
15876S OTHER Suction Assist Lipectomy Head & Neck 10 5 $15,635.00 $15,180.00 $2,846.00 $12,820.70 $6,389.81 2026-05-17
15877S OTHER Suction Assisted Lipectomy Trunk 10 5 $17,439.00 $16,932.00 $2,846.00 $14,299.98 $6,900.33 2026-05-17
15877SBL OTHER Bilat Suction Assisted Lipectomy Trunk 10 5 $34,878.00 $33,863.00 $2,846.00 $28,599.96 $11,835.58 2026-05-17
15879S OTHER Suction Assisted Lipectomy Lwr Extremity 10 5 $17,439.00 $16,932.00 $2,846.00 $14,299.98 $6,900.33 2026-05-17
15879SBL OTHER Bilat Suction Assisted Lipectomy Lwr Ext 10 5 $34,878.00 $33,863.00 $2,846.00 $28,599.96 $11,835.58 2026-05-17
19120S OTHER Removal Breast Lesion 10 5 $16,425.00 $15,947.00 $2,057.00 $13,468.50 $6,625.96 2026-05-17
19120SBL OTHER Bilat Removal Breast Lesion 10 5 $32,849.00 $31,893.00 $2,057.00 $26,936.18 $11,273.95 2026-05-17
19125S OTHER Excision Breast Lesion 10 5 $16,425.00 $15,947.00 $2,057.00 $13,468.50 $6,625.96 2026-05-17
19300S OTHER Mastectomy Gynecomastia 10 5 $11,951.00 $11,603.00 $2,057.00 $9,799.82 $5,359.82 2026-05-17
19300SBL OTHER Bilat Mastectomy Gynecomastia 10 5 $23,902.00 $23,206.00 $2,057.00 $19,599.64 $8,741.95 2026-05-17
19301S OTHER Mastectomy, Partial 10 5 $16,425.00 $15,947.00 $2,057.00 $13,468.50 $6,625.96 2026-05-17
19303S OTHER Mastectomy, Simple, Complete 10 5 $22,829.00 $22,165.00 $2,896.00 $18,719.78 $9,949.22 2026-05-17
19316S OTHER Suspension Of Breast / Mastopexy 10 5 $22,829.00 $22,165.00 $2,896.00 $18,719.78 $9,949.22 2026-05-17
19316SBL OTHER Bilat Suspension Of Breast / Mastopexy 10 5 $45,653.00 $44,324.00 $2,896.00 $37,435.46 $16,408.42 2026-05-17
19318S OTHER Reduction Of Large Breast / Mammaplasty 10 5 $31,446.00 $30,531.00 $3,436.00 $25,785.72 $12,387.83 2026-05-17
19318SBL OTHER Bilat Reduction Mammaplasty 10 5 $62,894.00 $61,063.00 $3,436.00 $51,573.08 $21,287.61 2026-05-17
19325S OTHER Enlarge Breast Aug With Implant 10 5 $56,056.00 $54,424.00 $5,730.00 $45,965.92 $21,219.96 2026-05-17
19325SBL OTHER Bilat Mammaplasty Aug With Prosth Implant 10 5 $112,110.00 $108,845.00 $5,730.00 $91,930.20 $37,083.24 2026-05-17
19328S OTHER Removal Of Breast Implant 10 5 $22,829.00 $22,165.00 $2,864.23 $18,719.78 $8,438.29 2026-05-17
19328SBL OTHER Bilat Removal Of Breast Implant 10 5 $45,659.00 $44,330.00 $2,864.23 $37,440.38 $14,899.18 2026-05-17
19330S OTHER Removal Of Implant Material 10 5 $22,829.00 $22,165.00 $2,864.23 $18,719.78 $8,438.29 2026-05-17
19330SBL OTHER Bilat Rmvl Mammary Implant Material 10 5 $45,653.00 $44,324.00 $2,864.23 $37,435.46 $14,897.49 2026-05-17
19340S OTHER Immediate Breast Prosthesis 10 5 $31,446.00 $30,531.00 $3,436.00 $25,785.72 $12,387.83 2026-05-17
19340SBL OTHER Bilat Immt Ins Brst Prosth Flwg Mast/rec 10 5 $62,894.00 $61,063.00 $3,436.00 $51,573.08 $21,287.61 2026-05-17
19342S OTHER Insrt/rpl Breast Implant Sep From Mast 10 5 $30,948.00 $30,047.00 $5,730.00 $25,377.36 $14,114.39 2026-05-17
19342SBL OTHER Bilat Inst/rpl Breast Ipnt Sep From Mast 10 5 $61,896.00 $60,094.00 $5,730.00 $50,754.72 $22,872.67 2026-05-17
19350S OTHER Nipple / Areola Reconstruction 10 5 $16,425.00 $15,947.00 $2,057.00 $13,468.50 $6,625.96 2026-05-17
19357S OTHER Breast Reconstruction With Tiss Expander 10 5 $56,056.00 $54,424.00 $5,730.00 $45,965.92 $24,120.55 2026-05-17
19357SBL OTHER Bilat Breast Reconstruction With Tiss Exp 10 5 $112,111.00 $108,846.00 $5,730.00 $91,931.02 $39,984.12 2026-05-17
19370S OTHER Open Periprosth Capsulotomy Breast 10 5 $22,829.00 $22,165.00 $2,864.23 $18,719.78 $8,438.29 2026-05-17
19370SBL OTHER Bilat Open Periprosth Capsulotomy Breast 10 5 $45,653.00 $44,324.00 $2,864.23 $37,435.46 $14,897.49 2026-05-17
19371S OTHER Removal Of Breast Capsule 10 5 $22,829.00 $22,165.00 $2,864.23 $18,719.78 $8,438.29 2026-05-17
19371SBL OTHER Bilat Removal Of Breast Capsule 10 5 $45,659.00 $44,330.00 $2,864.23 $37,440.38 $14,899.18 2026-05-17
19380S OTHER Revision Of Reconstructed Breast 10 5 $31,446.00 $30,531.00 $3,436.00 $25,785.72 $12,387.83 2026-05-17
19380SBL OTHER Bilat-revision Of Reconstructed Breast 10 5 $62,892.00 $61,061.00 $3,436.00 $51,571.44 $21,287.05 2026-05-17
20670SBL OTHER Bilat Removal Implant, Superficial 10 5 $20,333.00 $19,741.00 $934.00 $16,673.06 $6,731.56 2026-05-17
20680S OTHER Removal Support Implant, Deep 10 5 $13,823.00 $13,421.00 $2,057.00 $11,334.86 $5,597.44 2026-05-17
20769700A OTHER Tissue Expander (allox2 Fh15e) 10 5 $10,197.00 $10,197.00 $3,466.98 $8,361.54 $5,180.07 2026-05-17
21016S OTHER 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 2026-05-17
21029S OTHER Contour Fac Bone Lesion B9 10 5 $14,744.00 $14,315.00 $2,057.00 $12,090.08 $5,766.87 2026-05-17
21330S OTHER 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 2026-05-17
21335S OTHER 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 2026-05-17
21336S OTHER 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 2026-05-17
21337SBL OTHER Bilat Clsdtx Nasal Septal Fx W/wo Stab 10 5 $19,201.00 $18,642.00 $934.00 $15,744.82 $7,028.20 2026-05-17
21356S OTHER Open Tx Depressed Zygomatic Arch Fx 10 5 $24,933.00 $24,207.00 $2,057.00 $20,445.06 $10,201.67 2026-05-17
21365S OTHER 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 2026-05-17
21390S OTHER 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 2026-05-17
21407S OTHER 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 2026-05-17
21453S OTHER Clsd Tx Mandibular Fx W/interdental Fix 10 5 $28,262.00 $27,439.00 $3,436.00 $23,174.84 $11,143.77 2026-05-17
21462S OTHER Open Tx Mandibular Fx With Interdental Fix 10 5 $28,262.00 $27,439.00 $3,436.00 $23,174.84 $11,143.77 2026-05-17
21470S OTHER 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 2026-05-17
21552S OTHER Exc Tumor Sft Tiss Neck Subq 3cm> 10 5 $13,823.00 $13,421.00 $2,057.00 $11,334.86 $5,597.44 2026-05-17
21554S OTHER Exc Tumor Sft Tiss Neck Subfasc 5cm> 10 5 $13,823.00 $13,421.00 $2,057.00 $11,334.86 $5,597.44 2026-05-17
21556S OTHER 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 2026-05-17
21558S OTHER 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 2026-05-17
21601S OTHER Exc Chest Wall Tumor Inc Rib(s) 10 5 $11,263.00 $10,935.00 $3,829.42 $9,235.66 $5,721.60 2026-05-17
21933S OTHER 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 2026-05-17
21936S OTHER 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 2026-05-17
22514S OTHER Precut Vertebral Augmentation 10 5 $48,479.00 $48,479.00 $5,730.00 $39,752.78 $17,784.21 2026-05-17
22515S OTHER Precut Vert. Augment Ea Addtl 10 5 $24,849.00 $24,849.00 $173.00 $20,376.18 $12,623.29 2026-05-17
22869S OTHER Insj Stab Device Without Decompress Single 10 5 $106,058.00 $102,969.00 $5,730.00 $86,967.56 $41,158.39 2026-05-17
22870S OTHER Insj Stab Device Without Decompress 2nd Lev 10 5 $29,695.00 $28,831.00 $173.00 $24,349.90 $15,085.06 2026-05-17
22903S OTHER 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 2026-05-17
22904S OTHER Rad Rsctn Tmr Sft Tiss Abd Wall <5cm 10 5 $12,493.00 $12,130.00 $934.00 $10,244.26 $5,221.05 2026-05-17
23073S OTHER Exc Tumor Sft Tiss Shoulder Subfas 5cm> 10 5 $13,823.00 $13,421.00 $2,057.00 $11,334.86 $5,597.44 2026-05-17
23078S OTHER Rad Resect Tumor Sft Tiss Shoulder 5cm/> 10 5 $12,493.00 $12,130.00 $2,057.00 $10,244.26 $5,221.05 2026-05-17
23101S OTHER Arthrotomy Acromclvr Jnt Inc Bx/exc 10 5 $14,203.00 $13,790.00 $2,777.49 $11,646.46 $5,937.24 2026-05-17
23140S OTHER 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 2026-05-17
23420S OTHER Reconstuct Rotator Cuff Avulsion Chronic 10 5 $28,511.00 $27,681.00 $3,436.00 $23,379.02 $12,133.27 2026-05-17
24071S OTHER 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 2026-05-17
24073S OTHER 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 2026-05-17
24079S OTHER 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 2026-05-17
24105S OTHER Excision Olecranon Bursa 10 5 $14,894.00 $14,461.00 $2,057.00 $12,213.08 $6,132.79 2026-05-17
24120S OTHER 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 2026-05-17
24358S OTHER Repair Elbow Lat/med With Debride Open 10 5 $19,718.00 $19,144.00 $2,777.49 $16,168.76 $7,497.98 2026-05-17
25073S OTHER 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 2026-05-17
25078S OTHER 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 2026-05-17
26118S OTHER 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 2026-05-17
26123S OTHER Fasciectomy Prtl 1dgt W/wo Rpr 10 5 $14,894.00 $14,461.00 $2,777.49 $12,213.08 $6,132.79 2026-05-17
26535S OTHER Arthroplasty, Interphal Jnt, Each 10 5 $25,490.00 $24,748.00 $2,777.49 $20,901.80 $9,131.46 2026-05-17
26587S OTHER Reconstruct Extra Finger 10 5 $13,130.00 $12,748.00 $934.00 $10,766.60 $5,633.58 2026-05-17
26665S OTHER Open Tx Carpometacarpal Fx Dislocate 10 5 $32,039.00 $31,106.00 $2,777.49 $26,271.98 $11,932.03 2026-05-17
26727S OTHER 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 2026-05-17
26765S OTHER Open Tx Dstl Phlgngl Fx Each 10 5 $15,478.00 $15,028.00 $2,057.00 $12,691.96 $6,298.06 2026-05-17
26860S OTHER Arthodesis Interphal Jt W/wo Int Fixj 10 5 $16,747.00 $16,260.00 $2,777.49 $13,732.54 $6,657.19 2026-05-17
26861S OTHER Arthrodesis Ea Addtl Interphal Jt W/wo 10 5 $16,747.00 $16,260.00 $173.00 $13,732.54 $8,507.47 2026-05-17
26952S OTHER Amptute F/th Prim/sec Jnt/phalanx Single 10 5 $14,894.00 $14,461.00 $934.00 $12,213.08 $6,132.79 2026-05-17
27043S OTHER 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 2026-05-17
27049S OTHER Rad Rsect Tmr Sft Tiss Pelvis/hip <5cm 10 5 $12,493.00 $12,130.00 $934.00 $10,244.26 $5,221.05 2026-05-17
27059S OTHER 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 2026-05-17
27278S OTHER 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 2026-05-17
27279S OTHER Si Fusion-arthrodesis Sacjnt Pcut Guide 10 5 $163,087.00 $158,337.00 $7,500.00 $133,731.34 $57,297.60 2026-05-17
27332S OTHER Arthrtmy Exc Semilnr Crtlg Knee Med/lat 10 5 $19,718.00 $19,144.00 $2,777.49 $16,168.76 $7,497.98 2026-05-17
27333S OTHER 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 2026-05-17
27337S OTHER 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 2026-05-17
27345S OTHER Exc Synovial Cyst Popliteal Space 10 5 $14,589.00 $14,165.00 $4,960.26 $11,962.98 $7,411.21 2026-05-17
27347S OTHER 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 2026-05-17
27364S OTHER 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 2026-05-17
27403S OTHER Arthrotomy With Meniscus Rpr Knee 10 5 $19,718.00 $19,144.00 $2,777.49 $16,168.76 $7,497.98 2026-05-17
27407S OTHER Rpr Prim Torn Liga/cap Knee Cruc 10 5 $47,906.00 $46,511.00 $5,730.00 $39,282.92 $17,622.06 2026-05-17
27612S OTHER 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 2026-05-17
27616S OTHER 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 2026-05-17
27620S OTHER Explore/treat Ankle Joint 10 5 $19,718.00 $19,144.00 $2,777.49 $16,168.76 $7,497.98 2026-05-17
27632S OTHER 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 2026-05-17
27634S OTHER 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 2026-05-17
27654S OTHER Rpr 2ndry Achiles Tendon W/wo Graft 10 5 $28,511.00 $27,681.00 $3,436.00 $23,379.02 $12,133.27 2026-05-17
27658S OTHER 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 2026-05-17
27675S OTHER Rpr Disloc Peroneal Tndnwo Fib Osteotomy 10 5 $12,584.00 $12,218.00 $2,057.00 $10,318.88 $5,479.06 2026-05-17
27685S OTHER 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 2026-05-17
27687S OTHER Revision Of Calf Tendon 10 5 $19,718.00 $19,144.00 $2,777.49 $16,168.76 $7,497.98 2026-05-17
27690S OTHER 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 2026-05-17
27691S OTHER 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 2026-05-17
27696S OTHER Repair Of Ankle Ligaments 10 5 $19,718.00 $19,144.00 $2,896.00 $16,168.76 $9,644.85 2026-05-17
27704S OTHER Removal Of Ankle Implant 10 5 $14,894.00 $14,461.00 $2,777.49 $12,213.08 $6,132.79 2026-05-17
27792S OTHER Open Tx Distal Fib Fx Lat Malleolus 10 5 $32,091.00 $31,157.00 $5,730.00 $26,314.62 $13,146.41 2026-05-17
27814S OTHER Treatment Of Ankle Fracture 10 5 $32,039.00 $31,106.00 $5,730.00 $26,271.98 $13,131.69 2026-05-17
27826S OTHER Orif Fx Distal Tibia Fibula 10 5 $32,039.00 $31,106.00 $5,730.00 $26,271.98 $13,131.69 2026-05-17
27827S OTHER Orif Fx Tibia Only 10 5 $57,210.00 $55,544.00 $5,730.00 $46,912.20 $23,529.54 2026-05-17
27828S OTHER Orif Fx Tibia & Fibula 10 5 $57,210.00 $55,544.00 $5,730.00 $46,912.20 $23,529.54 2026-05-17
28008S OTHER Fasciotomy, Foot And/or Toe 10 5 $13,212.00 $12,828.00 $2,057.00 $10,833.84 $5,656.78 2026-05-17
28022S OTHER Arthrotomy Metatarsal,exp,drain,rvml Fb 10 5 $16,265.00 $16,265.00 $2,057.00 $13,337.30 $6,520.78 2026-05-17
28039S OTHER 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 2026-05-17
28060S OTHER Fasciectomy Plantar Fascia Partial Spx 10 5 $14,765.00 $14,335.00 $2,057.00 $12,107.30 $6,096.28 2026-05-17
28100S OTHER Exc/curettge Cyst / Tmr Tlus/calcaneus 10 5 $13,212.00 $12,828.00 $2,057.00 $10,833.84 $5,656.78 2026-05-17
28110S OTHER Ostectomy Prtl Metatarsal 10 5 $13,212.00 $12,828.00 $2,057.00 $10,833.84 $5,656.78 2026-05-17
28112S OTHER Ostectomy Cmplt Other Meta 2/3/4 10 5 $13,212.00 $12,828.00 $2,057.00 $10,833.84 $5,656.78 2026-05-17
28113S OTHER Part Removal Of Metatarsal 10 5 $13,212.00 $12,828.00 $2,057.00 $10,833.84 $5,656.78 2026-05-17
28114S OTHER 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 2026-05-17
28118S OTHER Ostectomy Calcaneus 10 5 $13,212.00 $12,828.00 $2,057.00 $10,833.84 $5,656.78 2026-05-17
28120S OTHER Partial Exc Bone Talus/calcaneus 10 5 $13,212.00 $12,828.00 $2,057.00 $10,833.84 $5,656.78 2026-05-17
28122S OTHER 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 2026-05-17
28126S OTHER Rsctn Part/cmplt Phalangeal Base Each 10 5 $14,765.00 $14,335.00 $1,417.44 $12,107.30 $5,206.99 2026-05-17
28160S OTHER Partial Removal Of Toe 10 5 $13,212.00 $12,828.00 $2,057.00 $10,833.84 $5,656.78 2026-05-17
28225S OTHER Tenolysis Extensor Foot Sngl Tendon 10 5 $14,894.00 $14,461.00 $2,057.00 $12,213.08 $6,132.79 2026-05-17
28238S OTHER 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 2026-05-17
28270S OTHER Release Of Foot Contracture 10 5 $13,212.00 $12,828.00 $2,057.00 $10,833.84 $5,656.78 2026-05-17
28280S OTHER Syndactylization Toes 10 5 $13,212.00 $12,828.00 $2,057.00 $10,833.84 $5,656.78 2026-05-17
28285S OTHER Correction Hammertoe 10 5 $13,212.00 $12,828.00 $2,057.00 $10,833.84 $5,656.78 2026-05-17
28288S OTHER Ostectomy Prtl Exostc/condylc Metar Head 10 5 $13,212.00 $12,828.00 $2,057.00 $10,833.84 $5,656.78 2026-05-17
28289S OTHER 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 2026-05-17
28291S OTHER 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 2026-05-17
28292S OTHER Corr Hallux Valgus W/sesamdtcmy Resctn 10 5 $14,765.00 $14,335.00 $2,777.49 $12,107.30 $6,096.28 2026-05-17
28295S OTHER 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 2026-05-17
28296S OTHER Correction Of Bunion W/wo Sesmdc 10 5 $20,279.00 $19,689.00 $2,777.49 $16,628.78 $7,656.74 2026-05-17
28297S OTHER 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 2026-05-17
28298S OTHER 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 2026-05-17
28299S OTHER 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 2026-05-17
28300S OTHER Osteotomy Calcaneus W/wo Int Fixation 10 5 $39,543.00 $38,392.00 $5,730.00 $32,425.26 $15,255.33 2026-05-17
28306S OTHER 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 2026-05-17
28308S OTHER Osteot W/wo Lngth Incision Of Metatarsal 10 5 $13,212.00 $12,828.00 $2,057.00 $10,833.84 $5,656.78 2026-05-17
28310S OTHER Osteotomy Shrt Corrj Prox Phalnx 1st Toe 10 5 $14,765.00 $14,335.00 $2,057.00 $12,107.30 $6,096.28 2026-05-17
28315S OTHER Removal Of Sesamoid Bone 10 5 $13,212.00 $12,828.00 $2,057.00 $10,833.84 $5,656.78 2026-05-17
28465S OTHER Open Tx Tarsal Fx W Int Fixation 10 5 $32,039.00 $31,106.00 $5,730.00 $26,271.98 $13,131.69 2026-05-17
28476S OTHER Prq Skel Fixj Metar Fx W/manj 10 5 $15,478.00 $15,028.00 $2,057.00 $12,691.96 $6,298.06 2026-05-17
28485S OTHER Open Tx Metatarsal Fx Each 10 5 $32,039.00 $31,106.00 $5,730.00 $26,271.98 $13,131.69 2026-05-17
28531S OTHER 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 2026-05-17
28645S OTHER Open Tx Metatarsophalangeal Jnt Disloc 10 5 $15,478.00 $15,028.00 $2,057.00 $12,691.96 $6,298.06 2026-05-17
28675S OTHER Open Tx Interphal Jnt Disloc, Inc Int Fi 10 5 $15,478.00 $15,028.00 $2,057.00 $12,691.96 $6,298.06 2026-05-17
28725S OTHER Arthrodesis, Subtalar 10 5 $39,543.00 $38,392.00 $5,730.00 $32,425.26 $18,529.78 2026-05-17
28730S OTHER Arthrodesis Midt/trans Multi/transv 10 5 $58,769.00 $57,058.00 $5,730.00 $48,190.58 $23,970.74 2026-05-17
28750S OTHER Arthrodesis Big Toe Joint 10 5 $39,543.00 $38,392.00 $5,730.00 $32,425.26 $15,255.33 2026-05-17
28755S OTHER Arthrodesis Great To Interphalangeal Jnt 10 5 $13,212.00 $12,828.00 $2,057.00 $10,833.84 $7,927.20 2026-05-17
28810S OTHER Amputation, Metatrsl W/toe, Single 10 5 $13,212.00 $12,828.00 $2,057.00 $10,833.84 $5,656.78 2026-05-17
29875S OTHER 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 2026-05-17
29879S OTHER Arthrscpy Knee Abrsn Multi Drill/microfx 10 5 $16,304.00 $15,830.00 $2,777.49 $13,369.28 $6,531.82 2026-05-17
29880S OTHER Arthroscopy Knee Surgery 10 5 $16,304.00 $15,830.00 $2,777.49 $13,369.28 $6,531.82 2026-05-17
29881S OTHER Arthrscpy Knee Surg With Minis Med/lat W/s 10 5 $16,304.00 $15,830.00 $2,777.49 $13,369.28 $6,531.82 2026-05-17
29893S OTHER Endoscopic Plantar Fasciotomy 10 5 $13,212.00 $12,828.00 $2,057.00 $10,833.84 $5,656.78 2026-05-17
30130S OTHER Excise Inferior Turbinate 10 5 $14,744.00 $14,315.00 $2,057.00 $12,090.08 $5,766.87 2026-05-17
30140S OTHER Resect Inferior Turbinate Prtl/compl 10 5 $14,744.00 $14,315.00 $2,057.00 $12,090.08 $5,766.87 2026-05-17
30150S OTHER Rhinectomy Partial 10 5 $28,262.00 $27,439.00 $3,436.00 $23,174.84 $11,143.77 2026-05-17
30400S OTHER Rhinoplasty Prim Lat/alar Cart 10 5 $23,427.00 $22,745.00 $2,057.00 $19,210.14 $9,775.47 2026-05-17
30410S OTHER Rhinoplasty Prim Complete Xtrnal Parts 10 5 $24,689.00 $23,970.00 $3,436.00 $20,244.98 $10,132.61 2026-05-17
30520S OTHER Repair Nasal Septum W/wo Cartilage Grft 10 5 $14,744.00 $14,315.00 $2,057.00 $12,090.08 $5,766.87 2026-05-17
31050S OTHER Nasal Endoscopy, Dx 10 5 $28,262.00 $27,439.00 $3,436.00 $23,174.84 $11,143.77 2026-05-17
31254S OTHER Revision Of Ethmoid Sinus 10 5 $15,235.00 $14,792.00 $2,057.00 $12,492.70 $7,838.03 2026-05-17
31255S OTHER Removal Of Ethmoid Sinus 10 5 $23,268.00 $22,591.00 $2,896.00 $19,079.76 $10,111.37 2026-05-17
31256S OTHER Exploration Maxillary Sinus 10 5 $15,235.00 $14,792.00 $2,057.00 $12,492.70 $6,208.52 2026-05-17
31267S OTHER Endoscopy, Maxillary Sinus W/rmvl Tiss 10 5 $15,235.00 $14,792.00 $2,057.00 $12,492.70 $7,838.03 2026-05-17
31287S OTHER Nasal/sinus Endoscopy, Surg With Sphenoide 10 5 $23,268.00 $22,591.00 $2,896.00 $19,079.76 $10,111.37 2026-05-17
31288S OTHER Nasal/sinus Endoscopy Rmvl Tiss 10 5 $23,268.00 $22,591.00 $2,896.00 $19,079.76 $10,111.37 2026-05-17
31295S OTHER 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 2026-05-17
31296S OTHER Nasal Endoscopy W/dilation Frontal Sinus 10 5 $23,268.00 $22,591.00 $1,856.43 $19,079.76 $8,032.85 2026-05-17
31540S OTHER Laryngoscopy Exc Tum/stripcords/epei 10 5 $15,235.00 $14,792.00 $2,057.00 $12,492.70 $6,208.52 2026-05-17
31541S OTHER Layrnscope With Tumr Exc + Cope 10 5 $15,235.00 $14,792.00 $2,057.00 $12,492.70 $6,208.52 2026-05-17
31820S OTHER Surgical Clx Trach/fist Wo Plastic Rpr 10 5 $14,744.00 $14,315.00 $2,057.00 $12,090.08 $5,766.87 2026-05-17
3548317 OTHER Breast Tissue Expander 850cc 10 5 $12,008.00 $11,659.00 $4,082.72 $9,846.56 $6,100.07 2026-05-17
3549314 OTHER Breast Tissue Expander Cpx2 Tall 550cc 10 5 $11,792.00 $11,449.00 $4,009.28 $9,669.44 $5,990.34 2026-05-17
36475S OTHER Endovenous Rf 1st Vein 10 5 $15,451.00 $15,001.00 $2,617.38 $12,669.82 $6,179.87 2026-05-17
36561S OTHER 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 2026-05-17
37241S OTHER Vascular Embol/occlus Venous Rs&i 10 5 $50,752.00 $49,274.00 $4,685.26 $41,616.64 $18,112.82 2026-05-17
38500S OTHER Biopsy/remvl, Lymph Nodes 10 5 $17,766.00 $17,249.00 $2,057.00 $14,568.12 $7,005.47 2026-05-17
38760S OTHER Inguinofem Lmphadec Supfc W/cloquets Spx 10 5 $23,665.00 $22,976.00 $2,057.00 $19,405.30 $10,185.81 2026-05-17
40527S OTHER 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 2026-05-17
42410S OTHER 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 2026-05-17
42415S OTHER 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 2026-05-17
42440S OTHER Exc Sumbandibular (submax) Gland 10 5 $24,689.00 $23,970.00 $3,436.00 $20,244.98 $10,132.61 2026-05-17
42820S OTHER Remove Tonsils And Adenoids 10 5 $14,744.00 $14,315.00 $2,057.00 $12,090.08 $7,318.18 2026-05-17
42826S OTHER Tonsillectomy 1/2 Age 12/> 10 5 $14,744.00 $14,315.00 $2,057.00 $12,090.08 $5,766.87 2026-05-17
42830S OTHER Adenoidectomy Prmary < Age 12 10 5 $28,262.00 $27,439.00 $2,057.00 $23,174.84 $9,592.47 2026-05-17
43196S OTHER Esophagoscopy Rig Troral Guide Wire Dilt 10 5 $14,104.00 $13,694.00 $934.00 $11,565.28 $5,980.42 2026-05-17
43870S OTHER Closure Gastrostomy Surgical 10 5 $14,512.00 $14,090.00 $2,057.00 $11,899.84 $6,095.89 2026-05-17
46917S OTHER Laser Surgery, Anal Lesions 10 5 $14,712.00 $14,284.00 $2,057.00 $12,063.84 $5,842.32 2026-05-17
47562S OTHER Lap Surg Cholecystectomy 10 5 $28,638.00 $27,804.00 $4,713.11 $23,483.16 $11,358.85 2026-05-17
49520S OTHER Rpr Recurr Ingnl Hernia,anyage,reducble 10 5 $15,509.00 $15,058.00 $2,896.00 $12,717.38 $6,499.64 2026-05-17
49591S OTHER Rpr Aa Hernia(s) Init <3cm Rdc 10 5 $16,130.00 $16,130.00 $5,484.20 $13,226.60 $8,194.04 2026-05-17
49594S OTHER 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 2026-05-17
55150S OTHER Resection Of Scrotum 10 5 $15,324.00 $14,878.00 $5,210.16 $12,565.68 $7,784.59 2026-05-17
56014555 OTHER Screw 4.5 X 55mm (jones) 10 5 $10,909.00 $10,592.00 $3,709.06 $8,945.38 $5,541.77 2026-05-17
62365S OTHER Rmvl Subq Rsvr/pump Ithcl/epi Infusion 10 5 $22,334.00 $21,684.00 $4,858.97 $18,313.88 $9,675.53 2026-05-17
63005S OTHER Rmvl Spinal Lamina 10 5 $31,165.00 $30,258.00 $5,730.00 $25,555.30 $12,884.35 2026-05-17
63030S OTHER Lamnotmy With Dcmprsn Nerve Root 10 5 $32,091.00 $31,157.00 $5,730.00 $26,314.62 $13,146.41 2026-05-17
63046S OTHER Lam Facetectmy Foramotmy 1 Seg Thoracic 10 5 $16,633.00 $16,149.00 $5,730.00 $13,639.06 $8,771.80 2026-05-17
63650S OTHER Implant Neuroelectodes Array Epidural 10 5 $53,040.00 $51,496.00 $5,730.00 $43,492.80 $19,400.64 2026-05-17
63655S OTHER Lami Imp Nstim Electrds Plate/padle Edrl 10 5 $219,150.00 $212,767.00 $7,500.00 $179,703.00 $75,336.89 2026-05-17
63662S OTHER Remove Spinal Neurostim Electrode 10 5 $16,130.00 $15,661.00 $2,896.00 $13,226.60 $6,652.34 2026-05-17
63663S OTHER Rev/rplc Spinl Neurostim Elec Perc, Flur 10 5 $53,040.00 $51,496.00 $5,730.00 $43,492.80 $19,400.64 2026-05-17
63685S OTHER Insj/rplcmt Spnl Nstim Dir/induxve Coupl 10 5 $287,602.00 $279,226.00 $10,119.00 $235,833.64 $101,612.92 2026-05-17
63688S OTHER Rev/rmvl Implanted Spinal Nstim 10 5 $16,130.00 $15,661.00 $2,896.00 $13,226.60 $6,652.34 2026-05-17
64480SBL OTHER Bilat Inj Tfrml Edrl Crv/thrc Ea Adtl 10 5 $10,187.00 $9,891.00 $173.00 $8,353.34 $5,174.99 2026-05-17
64484SBL OTHER Bilat Inj Tfrml Epi Lmbr/sac Ea Adtl Lvl 10 5 $10,187.00 $9,891.00 $173.00 $8,353.34 $5,174.99 2026-05-17
64491SBL OTHER Bilat Inj Pvrt Fct Jt Crv/thrc 2nd Lvl 10 5 $10,187.00 $9,891.00 $173.00 $8,353.34 $5,174.99 2026-05-17
64492SBL OTHER Bilat Inj Pvrt Fct Jt Crv/thrc 3rd + Lvl 10 5 $10,187.00 $9,891.00 $173.00 $8,353.34 $5,174.99 2026-05-17
64494SBL OTHER Bilat Inj Pvrt Fct Jt Lmbr/sac 2nd Lvl 10 5 $10,187.00 $9,891.00 $173.00 $8,353.34 $5,174.99 2026-05-17
64495SBL OTHER Bilat Inj Pvrt Fct Jt Lmbr/sac 3rd + Lvl 10 5 $10,187.00 $9,891.00 $173.00 $8,353.34 $5,174.99 2026-05-17
64555S OTHER Precut Implant Neurostim Periph Nerve 10 5 $50,331.00 $48,866.00 $5,730.00 $41,271.42 $18,633.99 2026-05-17
64585S OTHER Rev/rmvl Peripherial Neurostim Electrode 10 5 $19,828.00 $19,251.00 $2,896.00 $16,258.96 $7,698.88 2026-05-17
64590S OTHER Ins/rpl Periph/gastc Neurostim Gen/rcv 10 5 $185,731.00 $180,322.00 $10,119.00 $152,299.42 $65,879.32 2026-05-17
64595S OTHER Rev/rmvl Periph Gastric Neurostim/gen/rc 10 5 $19,828.00 $19,251.00 $2,896.00 $16,258.96 $7,698.88 2026-05-17
64625SBL OTHER Bilat Rf Ablation Nerve Si Jnt Inc Guide 10 5 $17,119.00 $16,621.00 $5,820.46 $14,037.58 $8,696.45 2026-05-17
64628S OTHER 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 2026-05-17
64629S OTHER 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 2026-05-17
64633SBL OTHER Bilat Dstr Nrolytc Agnt Parvert Fct Jt 1 10 5 $22,278.00 $21,630.00 $1,691.03 $18,267.96 $7,472.29 2026-05-17
64634S OTHER Dstr Nrolytc Agnt Prvrtb Fct Crv/thor Ea 10 5 $11,141.00 $10,817.00 $173.00 $9,135.62 $5,659.63 2026-05-17
64634SBL OTHER Bilat Dstr Nrolytc Agnt Prvrtb Fct Crv/t 10 5 $22,278.00 $21,630.00 $173.00 $18,267.96 $11,317.23 2026-05-17
64635SBL OTHER Bilat Dstr Nrolytc Agt Prvt Fct L/s Sngl 10 5 $22,278.00 $21,630.00 $1,691.03 $18,267.96 $7,472.29 2026-05-17
64636S OTHER Dstr Nrolytc Agnt Parvr Fct Lmbr/sac Ea 10 5 $11,141.00 $10,817.00 $173.00 $9,135.62 $5,659.63 2026-05-17
64636SBL OTHER Bilat Dstr Nrolytc Agnt Parvr Fct L/s Ea 10 5 $22,278.00 $21,630.00 $173.00 $18,267.96 $11,317.23 2026-05-17
67900SBL OTHER Bilat Rpr Brow Ptosis (spcl,midfh, Crnl 10 5 $18,274.00 $17,742.00 $1,901.92 $14,984.68 $6,484.77 2026-05-17
69110SBL OTHER Bilat Exc Ext Ear Partial Simple Repair 10 5 $20,334.00 $19,742.00 $934.00 $16,673.88 $7,440.05 2026-05-17
69145S OTHER Exc Sft Tiss Les, Ext Auditory Canal 10 5 $12,493.00 $12,130.00 $934.00 $10,244.26 $5,221.05 2026-05-17
69150S OTHER 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 2026-05-17
69310S OTHER Reconstruct External Auditory Canal 10 5 $27,003.00 $26,217.00 $3,436.00 $22,142.46 $10,787.48 2026-05-17
7035M90 OTHER Ifuse 3-d Implant System 7.0mm X 35mm 10 5 $27,648.00 $26,843.00 $9,400.32 $22,671.36 $14,045.19 2026-05-17
7040M90 OTHER Ifuse 3-d Implant System 7.0mm X 40mm 10 5 $27,648.00 $26,843.00 $9,400.32 $22,671.36 $14,045.19 2026-05-17
7055M90 OTHER Ifuse 3-d Implant System 7.0mm X 55mm 10 5 $27,648.00 $26,843.00 $9,400.32 $22,671.36 $14,045.19 2026-05-17
81049 OTHER Medpor Titan Fan-mtm 10 5 $10,618.00 $10,309.00 $3,610.12 $8,706.76 $5,393.94 2026-05-17
81418 OTHER 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 2026-05-17
AR8928PCP OTHER Imp Sys Pk Achilles Speedbridge 10 5 $19,640.00 $19,068.00 $6,677.60 $16,104.80 $9,977.12 2026-05-17
Bundle19120 OTHER Removal Of Breast Lesion 10 5 $16,969.00 — $2,057.00 $13,468.50 $6,905.18 2026-05-17
Bundle29881 OTHER Arthroscopy Knee Surgery 10 5 $16,817.00 — $2,777.49 $13,369.28 $6,808.99 2026-05-17
Bundle42820 OTHER Removal Of Tonsils And Adenoids 10 5 $15,308.00 — $2,057.00 $12,090.08 $7,568.82 2026-05-17
C1778 OTHER Lead, Neurostimulator (implantable) 10 5 $14,597.00 $14,172.00 $4,962.98 $11,969.54 $7,415.27 2026-05-17
CAR10US OTHER 10mm Cartiva Synthetic Cartilage Implant 10 5 $24,073.00 $23,372.00 $8,184.82 $19,739.86 $12,229.08 2026-05-17
CASESTP1S OTHER Reflex Mini Nitinol Staple Kit 10x10 10 5 $11,124.00 $11,124.00 $3,782.16 $9,121.68 $5,650.99 2026-05-17
CW00135 OTHER Prolix Allograft Spacer, 35mm 10 5 $45,894.00 $44,558.00 $15,603.96 $37,633.08 $23,314.15 2026-05-17
LPPFH15 OTHER Breast Tissue Expander (sientra) 10 5 $19,486.00 $18,919.00 $6,625.24 $15,978.52 $9,898.89 2026-05-17
Q4SP2US OTHER Freedom-4a Pns Sys 2 Dual Leads 10 5 $111,292.00 $108,051.00 $37,839.28 $91,259.44 $56,536.33 2026-05-17
STQ4RCVA0 OTHER Stimq Neurostim Recvr Kit 10 5 $111,292.00 $108,051.00 $37,839.28 $91,259.44 $56,536.33 2026-05-17
VY00125 OTHER Vyrsa Pro Allograft Spacer 25mm 10 5 $49,440.00 $49,440.00 $16,809.60 $40,540.80 $25,115.52 2026-05-17
VY00130 OTHER Vyrsa Allograft Spacer 30mm 10 5 $49,440.00 $49,440.00 $16,809.60 $40,540.80 $25,115.52 2026-05-17
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