Hospital

Crosbyton Clinic Hospital

Crosbyton, TX · CCN 451345 · Rates published

1,141 distinct procedures filed

4 distinct payers

4,705 rate rows

2026-09-21 last MRF observed

Data quality

4,507 of 4,705 rate rows are consumer-grade (95.8%)

198 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reason	Rows
template filing: same amount across many unrelated codes — excluded	186
exceeds 10× this hospital's gross charge — excluded from medians	12

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

Source MRF file	https://secure.claraprice.net/price-transparency/UBNQ-1659976856091/machine-readable/750711276_crosbyton-clinic-hospital_standardcharges.json
Found on page	https://secure.claraprice.net/price-transparency/crosbyton-clinic
Discovered via	Discovered by HANK
Last fetch	success · 2026-09-25
Content fingerprint	9218b8edb4569efd… · 1,656,668 bytes · first seen 2026-09-25

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
57400 CPT	Bisacodyl Ec 5 Mg Tab	1	$3,974.00	$3,974.00	$3,974.00	nat. median $3,111 1.3× median
46074 CPT	Conj Estrogen 25mg Im/i	3	$997.00	$1,266.00	$1,187.00	nat. median $523 outlier · 2.3×
93971 CPT	Duplex Scan Unilat Extr	4	$128.00	$1,116.00	$832.50	nat. median $272 outlier · 3.1×
31530 CPT	Larynscp Dir W/fb Remov	4	$666.00	$2,185.00	$819.50	nat. median $2,001 outlier · 0.4×
12017 CPT	Sim Repr Fa/ea/no/20.1-	4	$499.00	$933.00	$805.00	nat. median $493 1.6× median
99291 CPT	Critical Care Cont Care	4	$261.00	$1,014.00	$796.00	nat. median $1,120 0.7× median
13132 CPT	Rpr Cplx Fhead/chn 2.6-	4	$499.00	$921.00	$794.00	nat. median $724 1.1× median
92977 CPT	Throm Coro IV Infusion	3	$629.00	$799.00	$749.00	nat. median $416 1.8× median
32020 CPT	Tube Throacost W/wo Wa	3	$611.00	$776.00	$728.00	nat. median $396 1.8× median
93306 CPT	Tte W/doppler Complete	4	$236.00	$1,024.00	$671.00	nat. median $804 0.8× median
27250 CPT	Clo Tx Hip Dis Trauma W	4	$303.00	$698.00	$601.50	nat. median $416 1.4× median
20525 CPT	Remov Fb Mus/t She Deep	4	$464.00	$3,566.00	$570.50	nat. median $2,969 outlier · 0.2×
13121 CPT	Repr Cplx Scalp/2.6-7.5	4	$491.00	$623.00	$541.50	nat. median $697 0.8× median
12054 CPT	Lay Clo Fa/ea/lip 7.6-1	4	$478.00	$606.00	$534.00	nat. median $523 1.0× median
99285 CPT	Emergency Department Vi	4	$427.00	$731.00	$525.00	nat. median $790 0.7× median
11303 CPT	Diphenhydramine 12.5mg/	1	$499.00	$499.00	$499.00	nat. median $404 1.2× median
76817 CPT	U/s Transvag Pregnant	4	$128.00	$560.00	$483.00	nat. median $140 outlier · 3.4×
76830 CPT	Ultrasound Pelvis Through Vagina	4	$128.00	$560.00	$483.00	nat. median $151 outlier · 3.2×
63323 CPT	Glucagon Recomb 1mg	3	$397.00	$504.00	$473.00	nat. median $31 outlier · 15.3×
12045 CPT	Lay Clo Nek/ha/ft12.6-2	4	$377.00	$907.00	$464.00	nat. median $763 0.6× median
13131 CPT	Repr Cplx Fhead/chn1.1-	4	$374.00	$499.00	$460.50	nat. median $567 0.8× median
12016 CPT	Simp Repr Face/er/12.6-	4	$369.00	$499.00	$453.50	nat. median $486 0.9× median
12053 CPT	Lay Clo Fa/ea/lip 5.1-7	4	$367.00	$499.00	$451.50	nat. median $520 0.9× median
92950 CPT	Cariopul Resuscitation	4	$265.00	$518.00	$446.50	nat. median $452 1.0× median
13101 CPT	Repr Complx Trunk 2.6-7	4	$363.00	$907.00	$446.50	nat. median $871 0.5× median
11760 CPT	Repair Nail Bed	4	$360.00	$907.00	$442.50	nat. median $696 0.6× median
32002 CPT	Thoracente W/insrt Tube	3	$368.00	$467.00	$438.00	nat. median $475 0.9× median
23675 CPT	Clo Dislo Shoulder Fx W	4	$347.00	$1,974.00	$426.50	nat. median $1,717 outlier · 0.2×
92960 CPT	Card Ele Conver Arrhy E	4	$340.00	$811.00	$417.50	nat. median $846 outlier · 0.5×
12035 CPT	Lay Clo Sclp/ax/12.6-20	4	$338.00	$499.00	$416.50	nat. median $550 0.8× median
93970 CPT	Venous Doppler Extrem B	4	$293.00	$480.00	$414.00	nat. median $418 1.0× median
27550 CPT	Clo Tx Knee Disloc Wo A	4	$303.00	$461.00	$397.50	nat. median $444 0.9× median
13120 CPT	Repr Cplx Scp/1.-2.5	4	$321.00	$499.00	$394.50	nat. median $629 0.6× median
93886 CPT	Tcd Complete	4	$293.00	$448.00	$386.50	nat. median $347 1.1× median
24600 CPT	Tx Clo Elbow Disloc Wo	4	$303.00	$439.00	$379.00	nat. median $404 0.9× median
80050 CPT	General Health Panel	3	$315.00	$400.00	$375.00	nat. median $193 1.9× median
23650 CPT	Clo Tx Shoul Disloc W/m	4	$303.00	$430.00	$371.50	nat. median $416 0.9× median
30905 CPT	Contl Nasal Hem Post With	4	$163.00	$428.00	$369.00	nat. median $231 1.6× median
12044 CPT	Lay Clo Nck/ha/ft 7.6-1	4	$289.00	$907.00	$355.00	nat. median $755 outlier · 0.5×
10121 CPT	Incs & Remov Fb Subq Co	4	$288.00	$2,028.00	$354.50	nat. median $1,652 outlier · 0.2×
28190 CPT	Remov Fb Foot Subq	4	$281.00	$869.00	$346.00	nat. median $837 outlier · 0.4×
30906 CPT	Nas Hem Post W/pack Sub	4	$291.00	$401.00	$346.00	nat. median $333 1.0× median
12052 CPT	Lay Clo Fa/ea/lip 2.6-5	4	$278.00	$499.00	$342.00	nat. median $488 0.7× median
33010 CPT	Pericardiocentesis Init	3	$286.00	$363.00	$341.00	nat. median $566 0.6× median
A0010 HCPCS	Ambul Ser Als 2	3	$221.00	$560.00	$338.00	nat. median $338 1.0× median
305173 CDM	Pediatric Screen	3	$283.00	$359.00	$337.00	nat. median $337 1.0× median
76805 CPT	Abdomial Ultrasound Of Pregnant Uterus	4	$128.00	$386.00	$333.00	nat. median $172 1.9× median
99284 CPT	Emergency Department Vi	4	$268.00	$512.00	$330.50	nat. median $556 0.6× median
27840 CPT	Clo Tx Ank Disloc Wo An	4	$297.00	$378.00	$328.50	nat. median $422 0.8× median
12015 CPT	Simp Repr Face/ea 7.6-1	4	$246.00	$379.00	$327.50	nat. median $297 1.1× median

Other procedures at this hospital

Browse this hospital's 1,141 published procedures. Use the slice to choose what to show, then sort or filter any column.

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code	Type	Description	Rate rows	Payers	Gross	Cash	Min $	Max $	Avg median	Last observed

11765	CPT	Wedge Excis Sk Nail Fol	4	4	$150.00	$150.00	$95.00	$499.00	$116.50	2026-09-21
83874	CPT	Myoglobin *	4	4	$171.00	$171.00	$15.00	$137.00	$118.00	2026-09-21
24500	CPT	Clo Tx Hum Sft Fx Without M	4	4	$153.00	$153.00	$96.00	$303.00	$118.50	2026-09-21
82489	CPT	Thin Layer Analyte Ne	3	3	$158.00	$158.00	$100.00	$126.00	$119.00	2026-09-21
82710	CPT	Fattotal (Quant) *	4	4	$175.00	$175.00	$19.00	$140.00	$120.50	2026-09-21
82554	CPT	Cpk Isoforms	4	4	$176.00	$176.00	$14.00	$141.00	$121.50	2026-09-21
83921	CPT	Methylmalonic Acid	4	4	$177.00	$177.00	$24.00	$142.00	$122.50	2026-09-21
70120	CPT	Xr Mastoid <3 View A Si	4	4	$159.00	$159.00	$100.00	$128.00	$123.00	2026-09-21
70250	CPT	Xr Skull <4 Views	4	4	$159.00	$159.00	$100.00	$128.00	$123.00	2026-09-21
51719	CPT	Dicyclomine 20 Mg/2ml	3	3	$164.00	$164.00	$103.00	$131.00	$123.00	2026-09-21
16025	CPT	Debrid Wubq Wo Anes Med	4	4	$160.00	$160.00	$101.00	$246.00	$124.00	2026-09-21
85379	CPT	D Dimer	7	4	$175.00	$175.00	$12.00	$140.00	$124.00	2026-09-21
82232	CPT	Beta 2 Microglobulin	4	4	$181.00	$181.00	$19.00	$145.00	$125.00	2026-09-21
275516	CDM	Splint Short Leg	2	2	$161.00	$161.00	$121.00	$129.00	$125.00	2026-09-21
275984	CDM	Cast, Leg, Adlt,s/w/hl,	3	3	$166.00	$166.00	$105.00	$133.00	$125.00	2026-09-21
73562	CPT	Xr Knee 3 Views	4	4	$181.00	$181.00	$107.00	$145.00	$125.00	2026-09-21
70100	CPT	Xr Mandible <4 Views	4	4	$181.00	$181.00	$107.00	$145.00	$125.00	2026-09-21
71100	CPT	Xr Ribs Unilateral 2 Vi	4	4	$181.00	$181.00	$107.00	$145.00	$125.00	2026-09-21
73502	CPT	Xr Hip 2-3 Views	4	4	$181.00	$181.00	$107.00	$145.00	$125.00	2026-09-21
73110	CPT	Xr Wrist Min 3 Views Co	4	4	$181.00	$181.00	$107.00	$145.00	$125.00	2026-09-21
73592	CPT	Xr Low Extrem Infant 2v	4	4	$181.00	$181.00	$107.00	$145.00	$125.00	2026-09-21
71046	CPT	Xr Chest 2 Views	4	4	$181.00	$181.00	$107.00	$145.00	$125.00	2026-09-21
82951	CPT	Glucose Tolerance 3hr	4	4	$181.00	$181.00	$15.00	$145.00	$125.00	2026-09-21
10080	CPT	I&d Pilonidal Cyst Simp	4	4	$164.00	$164.00	$103.00	$869.00	$127.00	2026-09-21
87338	CPT	Helicobacter Pylori S	4	4	$184.00	$184.00	$17.00	$147.00	$127.00	2026-09-21
83880	CPT	Natriuretic Peptide	4	4	$185.00	$185.00	$45.00	$148.00	$128.00	2026-09-21
84597	CPT	Vitamin K	4	4	$185.00	$185.00	$16.00	$148.00	$128.00	2026-09-21
76881	CPT	U/s Extremity Nonvascul	7	4	$347.00	$347.00	$77.00	$278.00	$128.00	2026-09-21
84244	CPT	Plasma Renin	4	4	$185.00	$185.00	$25.00	$148.00	$128.00	2026-09-21
73030	CPT	Xr Shoulder Complete	4	4	$185.00	$185.00	$107.00	$148.00	$128.00	2026-09-21
86777	CPT	Toxoplasmosis*	4	4	$186.00	$186.00	$17.00	$149.00	$128.50	2026-09-21
70210	CPT	Xr Sinus Paranasal <3 V	4	4	$187.00	$187.00	$107.00	$150.00	$129.00	2026-09-21
E0194	HCPCS	Air Fluidized Bed	3	3	$172.00	$172.00	$108.00	$138.00	$129.00	2026-09-21
76641	CPT	U/s Breast Complete Uni	4	4	$175.00	$175.00	$110.00	$140.00	$129.50	2026-09-21
84402	CPT	Testosterone Free	4	4	$188.00	$188.00	$29.00	$150.00	$129.50	2026-09-21
86812	CPT	Hla-b27	4	4	$189.00	$189.00	$30.00	$151.00	$130.50	2026-09-21
24565	CPT	Clo Tx Fx Humeral W Man	3	3	$175.00	$175.00	$110.00	$140.00	$131.00	2026-09-21
83872	CPT	Synovial Fluid Analys	4	4	$191.00	$191.00	$7.00	$153.00	$131.50	2026-09-21
73092	CPT	Xr Upper Extremity Infa	4	4	$181.00	$181.00	$114.00	$145.00	$132.00	2026-09-21
258158	CDM	Td Adult & Adolescent U	3	3	$176.00	$176.00	$111.00	$141.00	$132.00	2026-09-21
72070	CPT	Xr Spine Thoracic 2 Vie	4	4	$181.00	$181.00	$114.00	$145.00	$132.00	2026-09-21
73010	CPT	Xr Scapula Complete	4	4	$181.00	$181.00	$114.00	$145.00	$132.00	2026-09-21
74019	CPT	Xr Abdomen 2 Views	4	4	$181.00	$181.00	$114.00	$145.00	$132.00	2026-09-21
76977	CPT	Bone Density	4	4	$183.00	$183.00	$115.00	$146.00	$132.50	2026-09-21
72200	CPT	Xr Sacroiliac Jt <3view	4	4	$184.00	$184.00	$116.00	$147.00	$133.00	2026-09-21
93926	CPT	Art Dop Unilateral Low	4	4	$185.00	$185.00	$117.00	$148.00	$133.50	2026-09-21
82677	CPT	Estriol, Placental, S	4	4	$194.00	$194.00	$28.00	$155.00	$134.00	2026-09-21
40991	CPT	Phytonadione 10mg/1ml	3	3	$180.00	$180.00	$113.00	$144.00	$135.00	2026-09-21
30901	CPT	Cont Nasal Hemorr Ant S	4	4	$174.00	$174.00	$110.00	$163.00	$135.00	2026-09-21
28400	CPT	Clo Tx Calcaneal Fx Without	4	4	$174.00	$174.00	$110.00	$303.00	$135.00	2026-09-21
24530	CPT	Clo Tx Sup/tran Hum Without	4	4	$175.00	$175.00	$110.00	$303.00	$135.50	2026-09-21
86160	CPT	Complement Total (Ch	4	4	$197.00	$197.00	$14.00	$158.00	$136.00	2026-09-21
82671	CPT	Estrogens, Total, Uri	4	4	$199.00	$199.00	$37.00	$159.00	$137.00	2026-09-21
86618	CPT	Lyme Antibodies	4	4	$199.00	$199.00	$20.00	$159.00	$137.00	2026-09-21
71110	CPT	Xr Ribs Bilateral 3 Vie	4	4	$194.00	$194.00	$122.00	$155.00	$137.00	2026-09-21
29505	CPT	Applic Long Leg Splint	4	4	$178.00	$178.00	$112.00	$199.00	$138.00	2026-09-21
83883	CPT	Nephelometry Ea Analy	7	4	$220.00	$220.00	$16.00	$176.00	$139.00	2026-09-21
92953	CPT	Tempor Transut Pacing	4	4	$180.00	$180.00	$113.00	$811.00	$139.50	2026-09-21
90909	CPT	Hydrocortisone 250mg	3	3	$187.00	$187.00	$118.00	$150.00	$140.00	2026-09-21
93320	CPT	Cardiac Doppler	3	3	$186.00	$186.00	$117.00	$149.00	$140.00	2026-09-21
E0193	HCPCS	Powered Air Flotation	3	3	$186.00	$186.00	$117.00	$149.00	$140.00	2026-09-21
E0373	HCPCS	Pressure Reduce Mattres	3	3	$186.00	$186.00	$117.00	$149.00	$140.00	2026-09-21
82952	CPT	Glucose Tolerance5	10	4	$216.00	$216.00	$5.00	$183.00	$140.00	2026-09-21
93325	CPT	Doppler Color Flow	3	3	$188.00	$188.00	$118.00	$150.00	$141.00	2026-09-21
12001	CPT	Rpr S/n/ax/gen/trk2.5cm	7	4	$200.00	$200.00	$112.00	$246.00	$142.00	2026-09-21
12011	CPT	Rpr F/e/e/n/l/m/2.5cm/<	4	4	$186.00	$186.00	$117.00	$246.00	$144.50	2026-09-21
93308	CPT	Limited Echo	4	4	$186.00	$186.00	$117.00	$293.00	$144.50	2026-09-21
84591	CPT	Vitamin Nos	4	4	$210.00	$210.00	$20.00	$168.00	$145.00	2026-09-21
96360	CPT	IV Inf Hydrat Ini 31min	4	4	$187.00	$187.00	$118.00	$261.00	$145.00	2026-09-21
93307	CPT	Echo Comp Without Color Flo	4	4	$188.00	$188.00	$118.00	$293.00	$145.50	2026-09-21
72072	CPT	Xr Spine Thoracic 3 Vie	4	4	$212.00	$212.00	$128.00	$170.00	$146.50	2026-09-21
72120	CPT	Xr Spine L/s Bend Only	4	4	$212.00	$212.00	$128.00	$170.00	$146.50	2026-09-21
70110	CPT	Xr Mandible Cmplt 4 Vie	4	4	$212.00	$212.00	$128.00	$170.00	$146.50	2026-09-21
70200	CPT	Xr Orbits Complete 4 Vi	4	4	$212.00	$212.00	$128.00	$170.00	$146.50	2026-09-21
70220	CPT	Xr Sinuses Complete 3 V	4	4	$212.00	$212.00	$107.00	$170.00	$146.50	2026-09-21
71130	CPT	Xr Sternoclavicular Jt	4	4	$212.00	$212.00	$107.00	$170.00	$146.50	2026-09-21
70380	CPT	Xr Salivary Gland/calcu	4	4	$212.00	$212.00	$107.00	$170.00	$146.50	2026-09-21
71120	CPT	Xr Sternum 2 Views	4	4	$212.00	$212.00	$107.00	$170.00	$146.50	2026-09-21
73564	CPT	Xr Knee 4 Views	4	4	$212.00	$212.00	$128.00	$170.00	$146.50	2026-09-21
72100	CPT	Xr Spine Lumsac 2-3 Vie	4	4	$212.00	$212.00	$128.00	$170.00	$146.50	2026-09-21
71101	CPT	Xr Ribs A/p Chest 3 Vie	4	4	$212.00	$212.00	$128.00	$170.00	$146.50	2026-09-21
72050	CPT	Xr Spine Cervical 4 Vie	4	4	$212.00	$212.00	$128.00	$170.00	$146.50	2026-09-21
71047	CPT	Chest 3 Views	4	4	$212.00	$212.00	$107.00	$170.00	$146.50	2026-09-21
72190	CPT	Xr Pelvis 3 Views	4	4	$212.00	$212.00	$128.00	$170.00	$146.50	2026-09-21
73050	CPT	Xr Acromclav Jt W/wo We	4	4	$212.00	$212.00	$107.00	$170.00	$146.50	2026-09-21
87521	CPT	Hepatitis C Amplif Pr	4	4	$215.00	$215.00	$40.00	$172.00	$148.00	2026-09-21
11730	CPT	Avuls Nail Pt Par/comp	4	4	$191.00	$191.00	$120.00	$246.00	$148.00	2026-09-21
21800	CPT	Clo Tx Rib Fx Uncomp Ea	3	3	$197.00	$197.00	$124.00	$158.00	$148.00	2026-09-21
275980	CDM	Cast, Leg, Adlt,l/w/hl,	3	3	$199.00	$199.00	$125.00	$159.00	$149.00	2026-09-21
12002	CPT	Rp S/n/ax/gen/trk2.6-7.	7	4	$200.00	$200.00	$117.00	$246.00	$149.00	2026-09-21
27786	CPT	Clo Tx Fx Fibula Without Ma	4	4	$193.00	$193.00	$122.00	$303.00	$149.50	2026-09-21
25600	CPT	Clo Tx Dist Radial Fx W	4	4	$193.00	$193.00	$122.00	$303.00	$149.50	2026-09-21
40830	CPT	Clo Lac Vest Mouth 2.5	7	4	$238.00	$238.00	$63.00	$291.00	$150.00	2026-09-21
470009	CDM	Transport Only	3	3	$200.00	$200.00	$126.00	$160.00	$150.00	2026-09-21
83695	CPT	Apolipoprotein Each	4	4	$219.00	$219.00	$16.00	$175.00	$151.00	2026-09-21
86316	CPT	Immu Tumor Anti/oth Q	4	4	$220.00	$220.00	$24.00	$176.00	$152.00	2026-09-21
L1830	HCPCS	Knee Immobilizer 16"	4	4	$221.00	$221.00	$73.00	$177.00	$152.50	2026-09-21
80173	CPT	Haloperidol	4	4	$221.00	$221.00	$18.00	$177.00	$152.50	2026-09-21
86665	CPT	Ebv Panel	4	4	$222.00	$222.00	$21.00	$178.00	$153.50	2026-09-21
69200	CPT	Remov Fb Ext Aud Can Wo	4	4	$200.00	$200.00	$126.00	$163.00	$155.00	2026-09-21
56420	CPT	I&d Bartholin's Gland C	4	4	$200.00	$200.00	$126.00	$248.00	$155.00	2026-09-21
86325	CPT	Protein Electro,spina	10	4	$246.00	$246.00	$27.00	$201.00	$156.50	2026-09-21
99292	CPT	Critical Care Addl 30 M	3	3	$209.00	$209.00	$132.00	$167.00	$157.00	2026-09-21
275613	CDM	Boot Cast	3	3	$209.00	$209.00	$132.00	$167.00	$157.00	2026-09-21
20552	CPT	Trigger Point Inj 1/2 M	7	4	$249.00	$249.00	$63.00	$377.00	$157.00	2026-09-21
80048	CPT	Basic Metabolic Panel	4	4	$228.00	$228.00	$10.00	$182.00	$157.50	2026-09-21
28510	CPT	Clo Tx Fx Phal Not G To	4	4	$204.00	$204.00	$129.00	$303.00	$158.00	2026-09-21
72202	CPT	Xr Cacroiliac Jt >3 Vie	7	4	$212.00	$212.00	$128.00	$170.00	$158.00	2026-09-21
78131	CPT	Olanzapine 10mg	3	3	$211.00	$211.00	$133.00	$169.00	$158.00	2026-09-21
10160	CPT	Puncture Drainage Of Le	7	4	$252.00	$252.00	$63.00	$499.00	$159.00	2026-09-21
86694	CPT	Herpes Type I&ii Sero	4	4	$231.00	$231.00	$17.00	$185.00	$159.50	2026-09-21
76870	CPT	U/s Scrotum & Contents	7	4	$268.00	$268.00	$126.00	$214.00	$160.00	2026-09-21
26740	CPT	Clo Tx Artic Fx Phalan	4	4	$206.00	$206.00	$130.00	$303.00	$160.00	2026-09-21
86689	CPT	HIV Confirm	4	4	$235.00	$235.00	$22.00	$188.00	$162.00	2026-09-21
28515	CPT	Clo Tx Fx Phalange Not	4	4	$209.00	$209.00	$132.00	$303.00	$162.00	2026-09-21
70150	CPT	Xr Facial Bones Min 3 V	4	4	$236.00	$236.00	$128.00	$189.00	$163.00	2026-09-21
36420	CPT	Sulfametho-trime 800-16	1	1	$3.00	$3.00	$163.00	$163.00	$163.00	2026-09-21
275597	CDM	Brace Gel Cast Ankle	3	3	$219.00	$219.00	$138.00	$175.00	$164.00	2026-09-21
305185	CDM	Trh Stimulate	3	3	$219.00	$219.00	$138.00	$175.00	$164.00	2026-09-21
25650	CPT	Closed Tx Ulnar Styloid	4	4	$213.00	$213.00	$134.00	$303.00	$165.00	2026-09-21
26750	CPT	Clo Tx Dis Phalan Fx Fi	7	4	$247.00	$247.00	$130.00	$303.00	$165.00	2026-09-21
24670	CPT	Clo Tx Prox Ulnar Fx With	4	4	$214.00	$214.00	$135.00	$303.00	$166.00	2026-09-21
24640	CPT	Clo Tx Radial Head Sub	4	4	$214.00	$214.00	$135.00	$303.00	$166.00	2026-09-21
46083	CPT	Incs Thrombos Hem Ext	4	4	$214.00	$214.00	$135.00	$307.00	$166.00	2026-09-21
73565	CPT	Xr Knees Bilat Ap/stand	4	4	$244.00	$244.00	$107.00	$195.00	$168.50	2026-09-21
70130	CPT	Xr Mastoid 3 Views A Si	4	4	$244.00	$244.00	$128.00	$195.00	$168.50	2026-09-21
70330	CPT	Xr Tmj O/c Bilateral	4	4	$244.00	$244.00	$107.00	$195.00	$168.50	2026-09-21
77072	CPT	Xr Bone Length Study	7	4	$340.00	$340.00	$128.00	$272.00	$170.00	2026-09-21
82656	CPT	Elastase,pancreatic F	4	4	$250.00	$250.00	$13.00	$200.00	$173.00	2026-09-21
10140	CPT	I&d Hematoma/seroma/flu	4	4	$228.00	$228.00	$144.00	$2,028.00	$176.50	2026-09-21
86644	CPT	C M V Antibodies Igg	4	4	$257.00	$257.00	$17.00	$206.00	$177.50	2026-09-21
12031	CPT	Layer Clo Sclp/ax/2.5 O	4	4	$230.00	$230.00	$145.00	$499.00	$178.50	2026-09-21
43760	CPT	Change Gastrostom Tube	3	3	$239.00	$239.00	$151.00	$191.00	$179.00	2026-09-21
83519	CPT	Achr Block Antibodies	4	4	$260.00	$260.00	$21.00	$208.00	$179.50	2026-09-21
82360	CPT	Quantitative Analysis	4	4	$260.00	$260.00	$15.00	$208.00	$179.50	2026-09-21
83050	CPT	Methemoglobin *	4	4	$261.00	$261.00	$9.00	$209.00	$180.00	2026-09-21
275585	CDM	Tube, Gastrostomy	3	3	$242.00	$242.00	$152.00	$194.00	$182.00	2026-09-21
275466	CDM	Ent:gastrostomy Tube 20	3	3	$242.00	$242.00	$152.00	$194.00	$182.00	2026-09-21
275465	CDM	Ent:gastrostomy Tube 18	3	3	$242.00	$242.00	$152.00	$194.00	$182.00	2026-09-21
A0150	HCPCS	Amb Ser Als1 Non Emerge	6	3	$260.50	$260.50	$142.00	$237.00	$183.00	2026-09-21
26725	CPT	Clo Tx Phalangeal Fx With	4	4	$239.00	$239.00	$151.00	$303.00	$185.00	2026-09-21
72110	CPT	X-ray Of Lower Back	4	4	$269.00	$269.00	$128.00	$215.00	$185.50	2026-09-21
72074	CPT	Xr Thoracic 4 Views	4	4	$269.00	$269.00	$128.00	$215.00	$185.50	2026-09-21
74022	CPT	Xr Abd Series 2> W Ches	4	4	$269.00	$269.00	$128.00	$215.00	$185.50	2026-09-21
73522	CPT	Xray Hip Bil W Pelvis 3	4	4	$269.00	$269.00	$128.00	$215.00	$185.50	2026-09-21
72082	CPT	Xr Spine 2-3 Views	4	4	$269.00	$269.00	$128.00	$215.00	$185.50	2026-09-21
28660	CPT	Clo Tx Metatarphal Jt	7	4	$248.00	$248.00	$151.00	$303.00	$186.00	2026-09-21
99283	CPT	Emergency Department Vi	4	4	$243.00	$243.00	$153.00	$335.00	$188.00	2026-09-21
81256	CPT	Hfe Hemochromatosis	4	4	$275.00	$275.00	$75.00	$220.00	$189.50	2026-09-21
36334	CPT	Ife Serum	3	3	$253.00	$253.00	$159.00	$202.00	$190.00	2026-09-21
73520	CPT	Xr Hip Bil 2v Inc A/p P	3	3	$254.00	$254.00	$160.00	$203.00	$191.00	2026-09-21
28470	CPT	Clo Tx Metatarsal Fx Wo	4	4	$247.00	$247.00	$156.00	$303.00	$191.50	2026-09-21
28490	CPT	Clo Tx Fx G Toe Phal Wo	4	4	$248.00	$248.00	$156.00	$303.00	$192.00	2026-09-21
30903	CPT	Contrl Nasal Hem Ant Co	4	4	$278.00	$278.00	$163.00	$222.00	$192.00	2026-09-21
82384	CPT	Plasma Catechol Fract	4	4	$279.00	$279.00	$29.00	$223.00	$192.50	2026-09-21
87428	CPT	Sarscov2 +Flu A&b	4	4	$279.00	$279.00	$81.00	$223.00	$192.50	2026-09-21
275522	CDM	Straight Teleform Tip 6	3	3	$257.00	$257.00	$162.00	$206.00	$193.00	2026-09-21
93924	CPT	U/s Lower Extrem Rest/t	4	4	$250.00	$250.00	$158.00	$265.00	$194.00	2026-09-21
12004	CPT	Rpr S/n/ax/gen/tk7.6-12	4	4	$250.00	$250.00	$158.00	$246.00	$194.00	2026-09-21
20520	CPT	Remov Fb Mus/ten She Si	4	4	$251.00	$251.00	$158.00	$2,028.00	$194.50	2026-09-21
80157	CPT	Carbamazepine S/p Fre	4	4	$282.00	$282.00	$15.00	$226.00	$195.00	2026-09-21
83088	CPT	Histamine	4	4	$287.00	$287.00	$34.00	$230.00	$198.00	2026-09-21
305174	CDM	Food Screen	3	3	$267.00	$267.00	$168.00	$214.00	$200.00	2026-09-21
83013	CPT	H Pylori Breath Test	4	4	$295.00	$295.00	$77.00	$236.00	$203.50	2026-09-21
72114	CPT	Xr Spine Ls W Bend 6 Vi	4	4	$297.00	$297.00	$128.00	$238.00	$205.00	2026-09-21
70260	CPT	Xr Skull Complete 4 Vie	4	4	$297.00	$297.00	$128.00	$238.00	$205.00	2026-09-21
31505	CPT	Laryngscp Indir Sep Pro	4	4	$265.00	$265.00	$167.00	$245.00	$205.50	2026-09-21
26770	CPT	Clo Tx Ip Jtt Dis Sng W	4	4	$265.00	$265.00	$167.00	$303.00	$205.50	2026-09-21
73521	CPT	Xray Hips Bil W Pelvis	4	4	$298.00	$298.00	$128.00	$238.00	$206.00	2026-09-21
80053	CPT	Blood Test, Comprehensive Group Of Blood Chemicals	7	4	$342.00	$342.00	$12.00	$274.00	$207.00	2026-09-21
275879	CDM	Hinged Knee Brace	3	3	$277.00	$277.00	$175.00	$222.00	$208.00	2026-09-21
83582	CPT	Fractionated 17ketost	4	4	$303.00	$303.00	$18.00	$242.00	$209.00	2026-09-21
12013	CPT	Sim Repr Face/ea/2.6-5.	4	4	$270.00	$270.00	$170.00	$246.00	$209.50	2026-09-21
74210	CPT	Xr Pharynx Cervical Eso	4	4	$273.00	$273.00	$172.00	$218.00	$210.00	2026-09-21
26605	CPT	Clo Tx Fx Metacarp W Ma	4	4	$271.00	$271.00	$171.00	$303.00	$210.00	2026-09-21
L4396	HCPCS	Rt Static Afo Positioni	4	4	$272.00	$272.00	$171.00	$239.00	$211.00	2026-09-21
80301	CPT	Drug Screen Blood	3	3	$290.00	$290.00	$183.00	$232.00	$218.00	2026-09-21
12041	CPT	Lay Clo Neck/hands 2.5	4	4	$283.00	$283.00	$178.00	$499.00	$219.00	2026-09-21
26720	CPT	Clo Tx Phal Shaft Fx Pr	4	4	$284.00	$284.00	$179.00	$303.00	$220.00	2026-09-21
91105	CPT	Gastric Intub Asp Lav T	3	3	$297.00	$297.00	$187.00	$238.00	$223.00	2026-09-21
76061	CPT	Xr Bone Survey	3	3	$297.00	$297.00	$187.00	$238.00	$223.00	2026-09-21
16030	CPT	Debrid Subq Wo Large	4	4	$289.00	$289.00	$182.00	$499.00	$224.00	2026-09-21
86335	CPT	Ife Other Than Serum	4	4	$325.00	$325.00	$34.00	$260.00	$224.50	2026-09-21
71048	CPT	Xr Chest Complete 4 Vie	4	4	$327.00	$327.00	$128.00	$262.00	$225.50	2026-09-21
76815	CPT	U/s Placenta Study	10	4	$337.00	$337.00	$117.00	$306.00	$226.50	2026-09-21
76775	CPT	U/s Retroperitoneal Lim	10	4	$337.00	$337.00	$118.00	$306.00	$226.50	2026-09-21
46040	CPT	I&d Ischio/perirect Abs	4	4	$295.00	$295.00	$186.00	$1,469.00	$228.50	2026-09-21
46050	CPT	I&d Perianal Abscess Su	4	4	$295.00	$295.00	$186.00	$1,142.00	$228.50	2026-09-21
28630	CPT	Clo Tx Metphal Jt Dis W	4	4	$295.00	$295.00	$186.00	$303.00	$228.50	2026-09-21
86611	CPT	Cat Scratch Antibody	4	4	$332.00	$332.00	$12.00	$266.00	$229.00	2026-09-21
11750	CPT	Removal Nail Bed	4	4	$300.00	$300.00	$189.00	$499.00	$232.50	2026-09-21
97597	CPT	Rmvl Devital Tis 20 Cm/	4	4	$300.00	$300.00	$189.00	$246.00	$232.50	2026-09-21
76536	CPT	U/s Head Neck Soft Tiss	4	4	$337.00	$337.00	$128.00	$270.00	$232.50	2026-09-21
76062	CPT	Xr Bone Survey Axial	3	3	$311.00	$311.00	$196.00	$249.00	$233.00	2026-09-21
41240	CPT	Repr Lac 2.5/ant 2/3 To	3	3	$310.00	$310.00	$195.00	$248.00	$233.00	2026-09-21
275558	CDM	Ivt:filter For Platelet	2	2	$302.00	$302.00	$227.00	$242.00	$234.50	2026-09-21
72052	CPT	Xr Spine Cervical 6>	7	4	$350.00	$350.00	$128.00	$280.00	$236.00	2026-09-21
275622	CDM	Tray Subclavian	3	3	$317.00	$317.00	$200.00	$254.00	$238.00	2026-09-21
12032	CPT	Lay Clo Sclp/ax/tr 2.6-	4	4	$308.00	$308.00	$194.00	$499.00	$238.50	2026-09-21
275886	CDM	Midline 4fr.	3	3	$322.00	$322.00	$203.00	$258.00	$242.00	2026-09-21
275885	CDM	Midline 3fr	3	3	$322.00	$322.00	$203.00	$258.00	$242.00	2026-09-21
49080	CPT	Peritoncentes Abd Parac	3	3	$324.00	$324.00	$204.00	$259.00	$243.00	2026-09-21
275333	CDM	Cath, 7fr Lumen 16c	3	3	$324.00	$324.00	$204.00	$259.00	$243.00	2026-09-21
82088	CPT	Aldosterone	7	4	$363.00	$363.00	$47.00	$290.00	$245.00	2026-09-21
11042	CPT	Debrid Skin Subq Tissue	7	4	$396.00	$396.00	$62.00	$499.00	$249.00	2026-09-21
71111	CPT	Xr Ribs W/ap Chest 4 Vi	4	4	$362.00	$362.00	$128.00	$290.00	$250.00	2026-09-21
23600	CPT	Clo Tx Prox Humeral Fx	4	4	$324.00	$324.00	$204.00	$303.00	$251.00	2026-09-21
13100	CPT	Repr Complx Tr 1.1-2.5	4	4	$324.00	$324.00	$204.00	$907.00	$251.00	2026-09-21
10061	CPT	I&d Abscess Complic/mx	4	4	$324.00	$324.00	$204.00	$499.00	$251.00	2026-09-21
93888	CPT	Tdc Limited	4	4	$367.00	$367.00	$128.00	$294.00	$253.00	2026-09-21
93922	CPT	Ankle/arm Index	4	4	$367.00	$367.00	$163.00	$294.00	$253.00	2026-09-21
87490	CPT	Chlamydiazyme	4	4	$367.00	$367.00	$26.00	$294.00	$253.00	2026-09-21
93931	CPT	Arterial Doppler Up Ext	4	4	$367.00	$367.00	$128.00	$294.00	$253.00	2026-09-21
87320	CPT	Chlamydia Serology *3	4	4	$367.00	$367.00	$17.00	$294.00	$253.00	2026-09-21
12014	CPT	Simp Repr Face/ea 5.1-7	4	4	$363.00	$363.00	$229.00	$290.00	$259.00	2026-09-21
80074	CPT	Acute Hepatitis Panel	4	4	$380.00	$380.00	$55.00	$304.00	$262.00	2026-09-21
76705	CPT	U/s Abdomen Ruq	4	4	$382.00	$382.00	$128.00	$306.00	$264.00	2026-09-21
76604	CPT	U/s Chest	4	4	$382.00	$382.00	$128.00	$306.00	$264.00	2026-09-21
76770	CPT	U/s Retroperitoneal	4	4	$382.00	$382.00	$128.00	$306.00	$264.00	2026-09-21
275887	CDM	Cath 4.0 Picc Without Tray	3	3	$360.00	$360.00	$227.00	$288.00	$270.00	2026-09-21
76936	CPT	Art Dop Pseudoaneurysm	4	4	$367.00	$367.00	$231.00	$294.00	$270.00	2026-09-21
93923	CPT	Segmental Pressure	4	4	$367.00	$367.00	$231.00	$294.00	$270.00	2026-09-21
87497	CPT	Cytomegvirus,quanti,p	4	4	$397.00	$397.00	$49.00	$318.00	$274.00	2026-09-21
12005	CPT	Sim Repr Sclp/ax/12.6-2	4	4	$354.00	$354.00	$223.00	$499.00	$274.50	2026-09-21
12042	CPT	Lay Clo Neck/ha/ft 2.6-	4	4	$354.00	$354.00	$223.00	$499.00	$274.50	2026-09-21
12051	CPT	Lay Clo Fa/er/noos 2.5	4	4	$354.00	$354.00	$223.00	$499.00	$274.50	2026-09-21
93925	CPT	Arterial Dopp Bil Low E	7	4	$367.00	$367.00	$221.00	$294.00	$275.00	2026-09-21
21480	CPT	Clo Tx Tempomandi Dis S	4	4	$358.00	$358.00	$226.00	$303.00	$277.50	2026-09-21
76700	CPT	Ultrasound Of Abdomen	7	4	$586.00	$586.00	$128.00	$469.00	$280.00	2026-09-21
88180	CPT	B And T Lymphocytes *	3	3	$374.00	$374.00	$236.00	$299.00	$281.00	2026-09-21
31500	CPT	Intuba Endotrac Emer Pr	4	4	$365.00	$365.00	$230.00	$292.00	$282.50	2026-09-21
93930	CPT	Arterial Doppler Up Ext	4	4	$367.00	$367.00	$231.00	$294.00	$284.00	2026-09-21
275156	CDM	Tube, Blakemore	3	3	$379.00	$379.00	$239.00	$303.00	$284.00	2026-09-21
42809	CPT	Remov Fb From Pharynx	4	4	$371.00	$371.00	$234.00	$548.00	$287.50	2026-09-21
25605	CPT	Clo Tx Fx D/radius W/ma	4	4	$377.00	$377.00	$238.00	$1,974.00	$292.50	2026-09-21
93975	CPT	Peri Vascular Lab	7	4	$2,398.00	$2,398.00	$208.00	$1,918.00	$293.00	2026-09-21
26700	CPT	Clo Tx Mcp Disl Sng W/m	4	4	$378.00	$378.00	$238.00	$303.00	$293.00	2026-09-21
26600	CPT	Clo Tx Metacarp Sing Wo	4	4	$378.00	$378.00	$238.00	$303.00	$293.00	2026-09-21
27760	CPT	Clo Tx Med Malleolus Fx	4	4	$386.00	$386.00	$243.00	$309.00	$296.50	2026-09-21
23500	CPT	Clo Tx Clav Fx Wo Manip	4	4	$404.00	$404.00	$255.00	$323.00	$303.00	2026-09-21
87799	CPT	Bk Virus Rt-DNA Pcr	4	4	$442.00	$442.00	$49.00	$354.00	$305.00	2026-09-21
86003	CPT	Regional Screen	4	4	$443.00	$443.00	$6.00	$354.00	$305.50	2026-09-21
93880	CPT	Carotid Doppler	7	4	$560.00	$560.00	$241.00	$448.00	$306.00	2026-09-21
12034	CPT	Lay Clo Sclp/ax/tr7.6-1	4	4	$396.00	$396.00	$249.00	$499.00	$307.00	2026-09-21
74400	CPT	Xr Pyelogram Ivp	4	4	$447.00	$447.00	$215.00	$358.00	$308.50	2026-09-21
54700	CPT	Inc Drain Epidid, Testi	4	4	$400.00	$400.00	$252.00	$2,566.00	$310.00	2026-09-21
A0427	HCPCS	Ambul Ser Als1 Emergenc	4	4	$400.00	$400.00	$252.00	$612.00	$310.00	2026-09-21
36481	CPT	Placmt Cen Ven Cath>age	3	3	$414.00	$414.00	$261.00	$331.00	$311.00	2026-09-21
76856	CPT	U/s Pelvic	4	4	$458.00	$458.00	$128.00	$366.00	$316.50	2026-09-21
27560	CPT	Clo Tx Patel Dislo Wo A	4	4	$452.00	$452.00	$285.00	$362.00	$321.00	2026-09-21
12015	CPT	Simp Repr Face/ea 7.6-1	4	4	$474.00	$474.00	$246.00	$379.00	$327.50	2026-09-21
27840	CPT	Clo Tx Ank Disloc Wo An	4	4	$472.00	$472.00	$297.00	$378.00	$328.50	2026-09-21
99284	CPT	Emergency Department Vi	4	4	$426.00	$426.00	$268.00	$512.00	$330.50	2026-09-21
76805	CPT	Abdomial Ultrasound Of Pregnant Uterus	4	4	$483.00	$483.00	$128.00	$386.00	$333.00	2026-09-21
305173	CDM	Pediatric Screen	3	3	$449.00	$449.00	$283.00	$359.00	$337.00	2026-09-21
A0010	HCPCS	Ambul Ser Als 2	9	3	$450.00	$450.00	$221.00	$560.00	$338.00	2026-09-21
33010	CPT	Pericardiocentesis Init	3	3	$454.00	$454.00	$286.00	$363.00	$341.00	2026-09-21
12052	CPT	Lay Clo Fa/ea/lip 2.6-5	4	4	$441.00	$441.00	$278.00	$499.00	$342.00	2026-09-21
30906	CPT	Nas Hem Post W/pack Sub	4	4	$501.00	$501.00	$291.00	$401.00	$346.00	2026-09-21
28190	CPT	Remov Fb Foot Subq	4	4	$446.00	$446.00	$281.00	$869.00	$346.00	2026-09-21
10121	CPT	Incs & Remov Fb Subq Co	4	4	$457.00	$457.00	$288.00	$2,028.00	$354.50	2026-09-21
12044	CPT	Lay Clo Nck/ha/ft 7.6-1	4	4	$458.00	$458.00	$289.00	$907.00	$355.00	2026-09-21
30905	CPT	Contl Nasal Hem Post With	4	4	$535.00	$535.00	$163.00	$428.00	$369.00	2026-09-21
23650	CPT	Clo Tx Shoul Disloc W/m	4	4	$538.00	$538.00	$303.00	$430.00	$371.50	2026-09-21
80050	CPT	General Health Panel	3	3	$500.00	$500.00	$315.00	$400.00	$375.00	2026-09-21
24600	CPT	Tx Clo Elbow Disloc Wo	4	4	$549.00	$549.00	$303.00	$439.00	$379.00	2026-09-21
93886	CPT	Tcd Complete	4	4	$560.00	$560.00	$293.00	$448.00	$386.50	2026-09-21
13120	CPT	Repr Cplx Scp/1.-2.5	4	4	$509.00	$509.00	$321.00	$499.00	$394.50	2026-09-21
27550	CPT	Clo Tx Knee Disloc Wo A	4	4	$576.00	$576.00	$303.00	$461.00	$397.50	2026-09-21
93970	CPT	Venous Doppler Extrem B	4	4	$600.00	$600.00	$293.00	$480.00	$414.00	2026-09-21
12035	CPT	Lay Clo Sclp/ax/12.6-20	4	4	$537.00	$537.00	$338.00	$499.00	$416.50	2026-09-21
92960	CPT	Card Ele Conver Arrhy E	4	4	$539.00	$539.00	$340.00	$811.00	$417.50	2026-09-21
23675	CPT	Clo Dislo Shoulder Fx W	4	4	$550.00	$550.00	$347.00	$1,974.00	$426.50	2026-09-21
32002	CPT	Thoracente W/insrt Tube	3	3	$584.00	$584.00	$368.00	$467.00	$438.00	2026-09-21
11760	CPT	Repair Nail Bed	4	4	$571.00	$571.00	$360.00	$907.00	$442.50	2026-09-21
92950	CPT	Cariopul Resuscitation	4	4	$647.00	$647.00	$265.00	$518.00	$446.50	2026-09-21
13101	CPT	Repr Complx Trunk 2.6-7	4	4	$576.00	$576.00	$363.00	$907.00	$446.50	2026-09-21
12053	CPT	Lay Clo Fa/ea/lip 5.1-7	4	4	$582.00	$582.00	$367.00	$499.00	$451.50	2026-09-21
12016	CPT	Simp Repr Face/er/12.6-	4	4	$585.00	$585.00	$369.00	$499.00	$453.50	2026-09-21
13131	CPT	Repr Cplx Fhead/chn1.1-	4	4	$594.00	$594.00	$374.00	$499.00	$460.50	2026-09-21
12045	CPT	Lay Clo Nek/ha/ft12.6-2	4	4	$599.00	$599.00	$377.00	$907.00	$464.00	2026-09-21
63323	CPT	Glucagon Recomb 1mg	3	3	$630.00	$630.00	$397.00	$504.00	$473.00	2026-09-21
76830	CPT	Ultrasound Pelvis Through Vagina	4	4	$700.00	$700.00	$128.00	$560.00	$483.00	2026-09-21
76817	CPT	U/s Transvag Pregnant	4	4	$700.00	$700.00	$128.00	$560.00	$483.00	2026-09-21
11303	CPT	Diphenhydramine 12.5mg/	1	1	$3.00	$3.00	$499.00	$499.00	$499.00	2026-09-21
99285	CPT	Emergency Department Vi	4	4	$677.00	$677.00	$427.00	$731.00	$525.00	2026-09-21
12054	CPT	Lay Clo Fa/ea/lip 7.6-1	4	4	$758.00	$758.00	$478.00	$606.00	$534.00	2026-09-21
13121	CPT	Repr Cplx Scalp/2.6-7.5	4	4	$779.00	$779.00	$491.00	$623.00	$541.50	2026-09-21
20525	CPT	Remov Fb Mus/t She Deep	4	4	$736.00	$736.00	$464.00	$3,566.00	$570.50	2026-09-21
27250	CPT	Clo Tx Hip Dis Trauma W	4	4	$872.00	$872.00	$303.00	$698.00	$601.50	2026-09-21
93306	CPT	Tte W/doppler Complete	7	4	$1,280.00	$1,280.00	$236.00	$1,024.00	$671.00	2026-09-21
32020	CPT	Tube Throacost W/wo Wa	3	3	$970.00	$970.00	$611.00	$776.00	$728.00	2026-09-21
92977	CPT	Throm Coro IV Infusion	3	3	$999.00	$999.00	$629.00	$799.00	$749.00	2026-09-21
13132	CPT	Rpr Cplx Fhead/chn 2.6-	4	4	$1,151.00	$1,151.00	$499.00	$921.00	$794.00	2026-09-21
99291	CPT	Critical Care Cont Care	7	4	$1,263.00	$1,263.00	$261.00	$1,014.00	$796.00	2026-09-21
12017	CPT	Sim Repr Fa/ea/no/20.1-	4	4	$1,166.00	$1,166.00	$499.00	$933.00	$805.00	2026-09-21
31530	CPT	Larynscp Dir W/fb Remov	4	4	$1,057.00	$1,057.00	$666.00	$2,185.00	$819.50	2026-09-21
93971	CPT	Duplex Scan Unilat Extr	10	4	$1,248.00	$1,248.00	$128.00	$1,116.00	$832.50	2026-09-21
46074	CPT	Conj Estrogen 25mg Im/i	3	3	$1,583.00	$1,583.00	$997.00	$1,266.00	$1,187.00	2026-09-21
57400	CPT	Bisacodyl Ec 5 Mg Tab	1	1	$3.00	$3.00	$3,974.00	$3,974.00	$3,974.00	2026-09-21

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