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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

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 · 2026-10-31
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
$20,965
outlier · 4.8×
63655
CPT 		Lami Imp Nstim Electrds Plate/padle Edrl 5 $7,500.00 $179,703.00 $75,336.89 nat. median
$18,044
outlier · 4.2×
C1822
HCPCS 		Perc Senza Omnia Ipg Kit132450 5 $37,839.28 $125,908.54 $66,775.20 nat. median
$31,450
outlier · 2.1×
64590
CPT 		Ins/rpl Periph/gastc Neurostim Gen/rcv 5 $10,119.00 $152,299.42 $65,879.32 nat. median
$17,808
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
$17,268
outlier · 3.3×
27279
CPT 		Si Fusion-arthrodesis Sacjnt Pcut Guide 5 $7,500.00 $133,731.34 $57,297.60 nat. median
$17,268
outlier · 3.3×
C1816
HCPCS 		Freedom-4a Pns Sys 2 Dual Leads 5 $37,839.28 $91,259.44 $56,536.33 nat. median
$10,174
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
$2,947
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
$12,735
outlier · 2.5×
C1821
HCPCS 		Vertiflex Superion Ids Kit (incl Vip Kit 5 $17,737.46 $42,778.58 $26,501.85 nat. median
$3,536
outlier · 7.5×
C1889
HCPCS 		Vyrsa V1 Si Fusion System 9mm 5 $17,313.82 $41,756.86 $25,868.88 nat. median
$2,359
outlier · 11.0×
C1734
HCPCS 		Vyrsa Allograft Spacer 30mm 5 $16,809.60 $40,540.80 $25,115.52 nat. median
$2,573
outlier · 9.8×
19357
CPT 		Bilat Breast Reconstruction With Tiss Exp 5 $5,730.00 $91,931.02 $24,120.55 nat. median
$13,731
1.8× median
28730
CPT 		Arthrodesis Midt/trans Multi/transv 5 $5,730.00 $48,190.58 $23,970.74 nat. median
$10,797
outlier · 2.2×
27827
CPT 		Orif Fx Tibia Only 5 $5,730.00 $46,912.20 $23,529.54 nat. median
$10,692
outlier · 2.2×
27828
CPT 		Orif Fx Tibia & Fibula 5 $5,730.00 $46,912.20 $23,529.54 nat. median
$10,397
outlier · 2.3×
19325
CPT 		Bilat Mammaplasty Aug With Prosth Implant 5 $5,730.00 $91,930.20 $21,219.96 nat. median
$8,792
outlier · 2.4×
63663
CPT 		Rev/rplc Spinl Neurostim Elec Perc, Flur 5 $5,730.00 $43,492.80 $19,400.64 nat. median
$6,640
outlier · 2.9×
63650
CPT 		Implant Neuroelectodes Array Epidural 5 $5,730.00 $43,492.80 $19,400.64 nat. median
$7,236
outlier · 2.7×
64555
CPT 		Precut Implant Neurostim Periph Nerve 5 $5,730.00 $41,271.42 $18,633.99 nat. median
$6,824
outlier · 2.7×
28725
CPT 		Arthrodesis, Subtalar 5 $5,730.00 $32,425.26 $18,529.78 nat. median
$10,483
1.8× median
37241
CPT 		Vascular Embol/occlus Venous Rs&i 5 $4,685.26 $41,616.64 $18,112.82 nat. median
$12,191
1.5× median
22514
CPT 		Precut Vertebral Augmentation 5 $5,730.00 $39,752.78 $17,784.21 nat. median
$8,409
outlier · 2.1×
27407
CPT 		Rpr Prim Torn Liga/cap Knee Cruc 5 $5,730.00 $39,282.92 $17,622.06 nat. median
$6,913
outlier · 2.5×
0275T
OTHER 		Percut Decompress Lamo/lam Lumbar 5 $5,730.00 $36,374.38 $16,618.25 nat. median
$7,707
outlier · 2.2×
28291
CPT 		Hallux Rig Cor With Cheil 1st Me Wo Imp 5 $5,730.00 $35,478.94 $16,309.22 nat. median
$7,179
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
$3,352
outlier · 4.7×
28750
CPT 		Arthrodesis Big Toe Joint 5 $5,730.00 $32,425.26 $15,255.33 nat. median
$7,026
outlier · 2.2×
28300
CPT 		Osteotomy Calcaneus W/wo Int Fixation 5 $5,730.00 $32,425.26 $15,255.33 nat. median
$6,724
outlier · 2.3×
22870
CPT 		Insj Stab Device Without Decompress 2nd Lev 5 $173.00 $24,349.90 $15,085.06 nat. median
$2,173
outlier · 6.9×
49594
CPT 		Rpr Aa Hernia 1st 3-10cm Ncr/strn 5 $9,473.42 $22,847.66 $14,154.40 nat. median
$6,007
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
$8,635
1.6× median
27792
CPT 		Open Tx Distal Fib Fx Lat Malleolus 5 $5,730.00 $26,314.62 $13,146.41 nat. median
$6,934
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
27814
CPT 		Treatment Of Ankle Fracture 5 $5,730.00 $26,271.98 $13,131.69 nat. median
$7,155
1.8× median
28485
CPT 		Open Tx Metatarsal Fx Each 5 $5,730.00 $26,271.98 $13,131.69 nat. median
$7,179
1.8× median
27826
CPT 		Orif Fx Distal Tibia Fibula 5 $5,730.00 $26,271.98 $13,131.69 nat. median
$6,968
1.9× median
28465
CPT 		Open Tx Tarsal Fx W Int Fixation 5 $5,730.00 $26,271.98 $13,131.69 nat. median
$6,984
1.9× 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
$5,211
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
$6,715
1.8× median
19380
CPT 		Bilat-revision Of Reconstructed Breast 5 $3,436.00 $51,571.44 $12,387.83 nat. median
$6,721
1.8× median
15830
CPT 		Excision Skin Abd 5 $3,436.00 $25,785.72 $12,387.83 nat. median
$6,587
1.9× median
19318
CPT 		Bilat Reduction Mammaplasty 5 $3,436.00 $51,573.08 $12,387.83 nat. median
$6,934
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
$6,667
1.8× median
11970
CPT 		Bilat Replace Tissue Exp With Perm Prothes 5 $3,436.00 $46,758.04 $12,133.27 nat. median
$7,130
1.7× median
27654
CPT 		Rpr 2ndry Achiles Tendon W/wo Graft 5 $3,436.00 $23,379.02 $12,133.27 nat. median
$6,824
1.8× median
23420
CPT 		Reconstuct Rotator Cuff Avulsion Chronic 5 $3,436.00 $23,379.02 $12,133.27 nat. median
$7,129
1.7× 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.

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
             
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
30150 CPT Rhinectomy Partial 10 5 $28,262.00 $27,439.00 $3,436.00 $23,174.84 $11,143.77 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
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
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
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
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
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
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
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
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
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
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
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
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
28725 CPT Arthrodesis, Subtalar 10 5 $39,543.00 $38,392.00 $5,730.00 $32,425.26 $18,529.78 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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
28285 CPT Correction Hammertoe 10 5 $13,212.00 $12,828.00 $2,057.00 $10,833.84 $5,656.78 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
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
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
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
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
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
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
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
28118 CPT Ostectomy Calcaneus 10 5 $13,212.00 $12,828.00 $2,057.00 $10,833.84 $5,656.78 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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
26587 CPT Reconstruct Extra Finger 10 5 $13,130.00 $12,748.00 $934.00 $10,766.60 $5,633.58 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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
21282 CPT Lateral Canthopexy 10 5 $10,631.00 $10,322.00 $934.00 $8,717.42 $4,602.89 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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
19301 CPT Mastectomy, Partial 10 5 $16,425.00 $15,947.00 $2,057.00 $13,468.50 $6,625.96 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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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