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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

LYNN COUNTY HOSPITAL DISTRICT

Tahoka, TX · CCN 451351 · Rates published

Your selected procedure

You selected 93306 (CPT)

US ECHO ADLT 2DM 3CPTS

This hospital’s price: $820 across 6 payers · range $59-$1,577

Source: https://app.box.com/shared/static/gejz3pq8klidbkuoj1miathpv56qhyp5.csv · observed 2026-07-15

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

853 distinct procedures filed
6 distinct payers
18,522 rate rows
2026-07-15 last MRF observed
Data quality

18,475 of 18,522 rate rows are consumer-grade (99.7%)

47 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 47
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://app.box.com/shared/static/gejz3pq8klidbkuoj1miathpv56qhyp5.csv
Found on page https://us.flow-prod.boomi.com/f2a4d421-8a52-4b09-8a4c-8476aae2d651/play/ptt?flow-id=a91f6d2f-a3ad-4257-9185-99463fe7c6a3&flow-version-id=691a537c-ea37-41a1-96ba-24e7272b0047&hospital-id=12
Discovered viaDiscovered by HANK
Last fetch success · 2026-08-01
Content fingerprint 73b3b7bced22dc4d… · 1,247,274 bytes · first seen 2026-06-15

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
36571
CPT 		Insertion Subclvian Cath 6 $350.00 $9,111.03 $4,737.74 nat. median
$3,396
1.4× median
27052
CPT 		Closed Fx Reduction Femoral Shaft 6 $350.00 $4,593.99 $2,388.87 nat. median
$2,033
1.2× median
25565
CPT 		Closed Treatment Fx Radius Ulna 6 $350.00 $4,500.00 $2,340.00 nat. median
$1,661
1.4× median
73722
CPT 		MRI Low Ext Joint W/cont Lt 6 $1,190.09 $2,288.64 $2,288.64 nat. median
$1,279
1.8× median
73222
CPT 		MRI Upper Ext Joint W/cont 6 $1,190.09 $2,288.64 $2,288.64 nat. median
$1,282
1.8× median
59409
CPT 		Vaginal Delivery Only 6 $350.00 $8,936.31 $2,227.31 nat. median
$3,153
0.7× median
59414
CPT 		Delivery Of Placenta 6 $350.00 $3,000.00 $2,227.31 nat. median
$2,862
0.8× median
G0390
HCPCS 		Trauma Activation 6 $1,244.84 $3,913.41 $2,034.97 nat. median
$3,197
0.6× median
27087
CPT 		Soft Tissue Fb Rem Pelvis/hip Deep 6 $350.00 $9,252.09 $1,779.57 nat. median
$3,420
0.5× median
36589
CPT 		Removal Tunneled Cv Cath 1 $1,538.87 $1,538.87 $1,538.87 nat. median
$927
1.7× median
65435
CPT 		Fb Removal Eye Epithelium 6 $47.28 $2,893.92 $1,504.84 nat. median
$1,058
1.4× median
26765
CPT 		Open Tx Dis Fx Finger Or Thumb 6 $350.00 $1,467.45 $1,467.45 nat. median
$3,496
outlier · 0.4×
72156
CPT 		MRI Neck Spine Wwo Dye 6 $735.80 $1,415.00 $1,415.00 nat. median
$1,103
1.3× median
70543
CPT 		MRI Orbt Fac Nck Wwo Dye 6 $735.80 $1,415.00 $1,415.00 nat. median
$1,083
1.3× median
70553
CPT 		MRI Brain Stem W&wo Dye 6 $102.89 $1,415.00 $1,415.00 nat. median
$1,133
1.2× median
64430
CPT 		Nerve Block Inj Pudendal 6 $350.00 $2,605.35 $1,354.78 nat. median
$1,169
1.2× median
44500
CPT 		Insertion Ng Tube 6 $350.00 $2,591.07 $1,347.36 nat. median
$1,039
1.3× median
99285
CPT 		ER Lvl 5 6 $118.70 $1,835.97 $1,343.03 nat. median
$1,186
1.1× median
25605
CPT 		Closed Fx Reduction Distal Radial 6 $350.00 $4,593.99 $1,322.94 nat. median
$1,668
0.8× median
27503
CPT 		Closed Fx Reduction Supracondylar 6 $350.00 $4,593.99 $1,322.94 nat. median
$1,774
0.7× median
26418
CPT 		Wound Repair Tendon Finger 6 $350.00 $4,593.99 $1,322.94 nat. median
$2,008
0.7× median
25505
CPT 		Closed Tx Radial Fx W Manipulation 6 $350.00 $4,500.00 $1,322.94 nat. median
$1,668
0.8× median
27552
CPT 		Knee Dislocation Reduction W/sedation 6 $350.00 $4,593.99 $1,322.94 nat. median
$2,032
0.7× median
27752
CPT 		Closed Fx Red Tibial Shaft 6 $350.00 $4,593.99 $1,322.94 nat. median
$1,773
0.7× median
26410
CPT 		Repair Extensor Tendon, Hand Each 6 $350.00 $4,593.99 $1,322.94 nat. median
$1,973
0.7× median
24605
CPT 		Elbow Dislocation Reduction W/sedation 6 $350.00 $4,593.99 $1,322.94 nat. median
$1,894
0.7× median
27825
CPT 		Cl Fx Red Weightbearing Articular Dist T 6 $350.00 $4,593.99 $1,322.94 nat. median
$1,941
0.7× median
27842
CPT 		Ankle Dislocation Reduction W/sedation 6 $350.00 $4,593.99 $1,322.94 nat. median
$1,963
0.7× median
27510
CPT 		Closed Fracture Red Femoral Distal End 6 $350.00 $4,593.99 $1,322.94 nat. median
$1,703
0.8× median
27266
CPT 		Dislocated Hip Red W/sed Post Hip Arthro 6 $350.00 $4,593.99 $1,322.94 nat. median
$2,037
0.6× median
24535
CPT 		Closed Fx Reduction Supracondylar 6 $350.00 $4,593.99 $1,322.94 nat. median
$1,680
0.8× median
24505
CPT 		Closed Fx Red Humeral Shaft 6 $350.00 $4,593.99 $1,322.94 nat. median
$1,630
0.8× median
23333
CPT 		Soft Tissue Fb Removal Shoulder Deep 6 $350.00 $8,122.05 $1,321.07 nat. median
$2,918
outlier · 0.5×
27768
CPT 		Cl Fx Red Posterior Malleolus 6 $350.00 $4,593.99 $1,315.08 nat. median
$1,613
0.8× median
81490
CPT 		Vectra Da Disease Activity Test 6 $60.00 $2,522.00 $1,311.44 nat. median
$883
1.5× median
27762
CPT 		Cl Fx Reduction Medial Malleolus 6 $350.00 $4,593.99 $1,296.39 nat. median
$1,854
0.7× median
27818
CPT 		Cl Fx Reduction Trimalleolar 6 $350.00 $4,593.99 $1,294.74 nat. median
$1,671
0.8× median
27810
CPT 		Cl Fx Reduction Bimalleolar 6 $341.18 $4,593.99 $1,259.40 nat. median
$1,642
0.8× median
23605
CPT 		Closed Fx Red Proximal Humeral 6 $340.89 $4,593.99 $1,257.12 nat. median
$1,871
0.7× median
24675
CPT 		Closed Fracture Reduction Ulnar 6 $336.10 $4,593.99 $1,229.46 nat. median
$1,645
0.7× median
24655
CPT 		Closed Fx Reduction Radial Head 6 $321.68 $4,593.99 $1,199.16 nat. median
$1,596
0.8× median
27781
CPT 		Cl Fx Reduction Proximal Filbular 6 $319.70 $4,593.99 $1,187.88 nat. median
$1,926
0.6× median
A0433
HCPCS 		Als2 Advanced Life Support Level 2 6 $600.00 $1,475.00 $1,180.00 nat. median
$1,082
1.1× median
26705
CPT 		Dislocated Finger Red With Sedation 6 $305.57 $4,593.99 $1,169.13 nat. median
$1,672
0.7× median
24201
CPT 		Soft Tissue Fb Removal Upper Arm Deep 6 $293.41 $8,122.05 $1,163.37 nat. median
$2,870
outlier · 0.4×
72126
CPT 		CT Cerv Spine W/contrast 6 $587.08 $1,129.00 $1,129.00 nat. median
$756
1.5× median
72132
CPT 		CT L Spine W/contrast 6 $587.08 $1,129.00 $1,129.00 nat. median
$766
1.5× median
M0240
HCPCS 		IV Inf Regeneron Repeat 6 $702.78 $1,351.50 $1,081.20 nat. median
$547
2.0× median
M0243
HCPCS 		IV Infusion Regeneron 6 $702.78 $1,351.50 $1,081.20 nat. median
$541
2.0× median
M0245
HCPCS 		IV Infusion Bamlan/etesev 6 $702.78 $1,351.50 $1,081.20 nat. median
$552
2.0× median

Other procedures at this hospital

Browse this hospital's 853 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
36571 CPT Insertion Subclvian Cath 17 6 $9,111.03 $9,111.03 $350.00 $9,111.03 $4,737.74 2026-07-15
27052 CPT Closed Fx Reduction Femoral Shaft 17 6 $4,593.99 $4,593.99 $350.00 $4,593.99 $2,388.87 2026-07-15
25565 CPT Closed Treatment Fx Radius Ulna 17 6 $4,500.00 $4,500.00 $350.00 $4,500.00 $2,340.00 2026-07-15
73222 CPT MRI Upper Ext Joint W/cont 34 6 $2,288.64 $2,288.64 $1,190.09 $2,288.64 $2,288.64 2026-07-15
73722 CPT MRI Low Ext Joint W/cont Lt 34 6 $2,288.64 $2,288.64 $1,190.09 $2,288.64 $2,288.64 2026-07-15
59414 CPT Delivery Of Placenta 17 6 $3,000.00 $3,000.00 $350.00 $3,000.00 $2,227.31 2026-07-15
59409 CPT Vaginal Delivery Only 30 6 $2,500.00 $2,500.00 $350.00 $8,936.31 $2,227.31 2026-07-15
G0390 HCPCS Trauma Activation 17 6 $3,913.41 $3,913.41 $1,244.84 $3,913.41 $2,034.97 2026-07-15
27087 CPT Soft Tissue Fb Rem Pelvis/hip Deep 34 6 $5,515.83 $5,515.83 $350.00 $9,252.09 $1,779.57 2026-07-15
36589 CPT Removal Tunneled Cv Cath 1 1 $1,795.65 $1,795.65 $1,538.87 $1,538.87 $1,538.87 2026-07-15
65435 CPT Fb Removal Eye Epithelium 17 6 $2,893.92 $2,893.92 $47.28 $2,893.92 $1,504.84 2026-07-15
26765 CPT Open Tx Dis Fx Finger Or Thumb 17 6 $1,467.45 $1,467.45 $350.00 $1,467.45 $1,467.45 2026-07-15
70553 CPT MRI Brain Stem W&wo Dye 17 6 $1,415.00 $1,415.00 $102.89 $1,415.00 $1,415.00 2026-07-15
72156 CPT MRI Neck Spine Wwo Dye 17 6 $1,415.00 $1,415.00 $735.80 $1,415.00 $1,415.00 2026-07-15
70543 CPT MRI Orbt Fac Nck Wwo Dye 17 6 $1,415.00 $1,415.00 $735.80 $1,415.00 $1,415.00 2026-07-15
64430 CPT Nerve Block Inj Pudendal 17 6 $2,605.35 $2,605.35 $350.00 $2,605.35 $1,354.78 2026-07-15
44500 CPT Insertion Ng Tube 17 6 $2,591.07 $2,591.07 $350.00 $2,591.07 $1,347.36 2026-07-15
99285 CPT ER Lvl 5 38 6 $1,835.97 $1,835.97 $118.70 $1,835.97 $1,343.03 2026-07-15
27552 CPT Knee Dislocation Reduction W/sedation 30 6 $1,844.22 $1,844.22 $350.00 $4,593.99 $1,322.94 2026-07-15
24535 CPT Closed Fx Reduction Supracondylar 30 6 $4,593.99 $4,593.99 $350.00 $4,593.99 $1,322.94 2026-07-15
27510 CPT Closed Fracture Red Femoral Distal End 30 6 $1,977.90 $1,977.90 $350.00 $4,593.99 $1,322.94 2026-07-15
27842 CPT Ankle Dislocation Reduction W/sedation 30 6 $1,436.22 $1,436.22 $350.00 $4,593.99 $1,322.94 2026-07-15
27503 CPT Closed Fx Reduction Supracondylar 30 6 $4,593.99 $4,593.99 $350.00 $4,593.99 $1,322.94 2026-07-15
26418 CPT Wound Repair Tendon Finger 30 6 $1,790.70 $1,790.70 $350.00 $4,593.99 $1,322.94 2026-07-15
24605 CPT Elbow Dislocation Reduction W/sedation 30 6 $4,593.99 $4,593.99 $350.00 $4,593.99 $1,322.94 2026-07-15
27266 CPT Dislocated Hip Red W/sed Post Hip Arthro 30 6 $4,593.99 $4,593.99 $350.00 $4,593.99 $1,322.94 2026-07-15
26410 CPT Repair Extensor Tendon, Hand Each 30 6 $1,724.49 $1,724.49 $350.00 $4,593.99 $1,322.94 2026-07-15
25505 CPT Closed Tx Radial Fx W Manipulation 30 6 $1,358.49 $1,358.49 $350.00 $4,500.00 $1,322.94 2026-07-15
27825 CPT Cl Fx Red Weightbearing Articular Dist T 30 6 $4,593.99 $4,593.99 $350.00 $4,593.99 $1,322.94 2026-07-15
24505 CPT Closed Fx Red Humeral Shaft 30 6 $1,330.29 $1,330.29 $350.00 $4,593.99 $1,322.94 2026-07-15
25605 CPT Closed Fx Reduction Distal Radial 30 6 $4,593.99 $4,593.99 $350.00 $4,593.99 $1,322.94 2026-07-15
27752 CPT Closed Fx Red Tibial Shaft 30 6 $4,593.99 $4,593.99 $350.00 $4,593.99 $1,322.94 2026-07-15
23333 CPT Soft Tissue Fb Removal Shoulder Deep 30 6 $1,376.19 $1,376.19 $350.00 $8,122.05 $1,321.07 2026-07-15
27768 CPT Cl Fx Red Posterior Malleolus 34 6 $2,954.53 $2,954.53 $350.00 $4,593.99 $1,315.08 2026-07-15
81490 CPT Vectra Da Disease Activity Test 17 6 $2,522.00 $2,522.00 $60.00 $2,522.00 $1,311.44 2026-07-15
27762 CPT Cl Fx Reduction Medial Malleolus 34 6 $2,945.19 $2,945.19 $350.00 $4,593.99 $1,296.39 2026-07-15
27818 CPT Cl Fx Reduction Trimalleolar 34 6 $2,944.36 $2,944.36 $350.00 $4,593.99 $1,294.74 2026-07-15
27810 CPT Cl Fx Reduction Bimalleolar 34 6 $2,926.69 $2,926.69 $341.18 $4,593.99 $1,259.40 2026-07-15
23605 CPT Closed Fx Red Proximal Humeral 34 6 $2,925.55 $2,925.55 $340.89 $4,593.99 $1,257.12 2026-07-15
24675 CPT Closed Fracture Reduction Ulnar 34 6 $2,911.72 $2,911.72 $336.10 $4,593.99 $1,229.46 2026-07-15
24655 CPT Closed Fx Reduction Radial Head 34 6 $2,896.57 $2,896.57 $321.68 $4,593.99 $1,199.16 2026-07-15
27781 CPT Cl Fx Reduction Proximal Filbular 34 6 $2,890.93 $2,890.93 $319.70 $4,593.99 $1,187.88 2026-07-15
A0433 HCPCS Als2 Advanced Life Support Level 2 17 6 $1,475.00 $1,475.00 $600.00 $1,475.00 $1,180.00 2026-07-15
26705 CPT Dislocated Finger Red With Sedation 34 6 $2,881.56 $2,881.56 $305.57 $4,593.99 $1,169.13 2026-07-15
24201 CPT Soft Tissue Fb Removal Upper Arm Deep 34 6 $4,642.71 $4,642.71 $293.41 $8,122.05 $1,163.37 2026-07-15
72132 CPT CT L Spine W/contrast 17 6 $1,129.00 $1,129.00 $587.08 $1,129.00 $1,129.00 2026-07-15
72126 CPT CT Cerv Spine W/contrast 17 6 $1,129.00 $1,129.00 $587.08 $1,129.00 $1,129.00 2026-07-15
M0240 HCPCS IV Inf Regeneron Repeat 17 6 $1,351.50 $1,351.50 $702.78 $1,351.50 $1,081.20 2026-07-15
M0245 HCPCS IV Infusion Bamlan/etesev 17 6 $1,351.50 $1,351.50 $702.78 $1,351.50 $1,081.20 2026-07-15
M0243 HCPCS IV Infusion Regeneron 17 6 $1,351.50 $1,351.50 $702.78 $1,351.50 $1,081.20 2026-07-15
28193 CPT Soft Tissue Fb Rem Foot Complicated 34 6 $2,845.20 $2,845.20 $289.46 $4,634.25 $1,056.15 2026-07-15
94002 CPT Vent Management ER Only 22 6 $1,791.24 $1,791.24 $350.00 $1,791.24 $1,047.88 2026-07-15
10080 CPT Incision & Drainage Pilonidal 17 6 $2,011.08 $2,011.08 $131.24 $2,011.08 $1,045.76 2026-07-15
62272 CPT Lumbr Punctr Therapeutic 17 6 $1,976.70 $1,976.70 $350.00 $1,976.70 $1,027.88 2026-07-15
12047 CPT Repair Intermed >30 34 6 $3,111.90 $3,111.90 $286.91 $5,212.59 $1,011.21 2026-07-15
87426 CPT Respiratory Sars-cov2 Panel Inhouse 17 6 $1,251.00 $1,251.00 $60.00 $1,251.00 $1,000.80 2026-07-15
36430 CPT IV Blood Transfusion 17 6 $1,240.83 $1,240.83 $645.23 $1,240.83 $992.66 2026-07-15
23505 CPT Closed Fx Reduction Clavicular 34 6 $2,744.04 $2,744.04 $266.56 $4,500.00 $988.08 2026-07-15
97606 CPT Wd Vac >50 Sq Cm Daily 1 1 $1,139.76 $1,139.76 $976.77 $976.77 $976.77 2026-07-15
92953 CPT Temporary Transcutaneous Pacing 17 6 $1,860.30 $1,860.30 $350.00 $1,860.30 $967.36 2026-07-15
74160 CPT CT Abd W Contrast 17 6 $1,236.00 $1,236.00 $642.72 $1,236.00 $960.41 2026-07-15
70491 CPT CT Soft Tiss Neck W Contr 17 6 $1,300.00 $1,300.00 $676.00 $1,300.00 $960.41 2026-07-15
71260 CPT CT Chest W Contrast 17 6 $1,300.00 $1,300.00 $676.00 $1,300.00 $960.41 2026-07-15
72194 CPT CT Pelvis Combined 17 6 $1,442.00 $1,442.00 $749.84 $1,442.00 $960.41 2026-07-15
70470 CPT CT Head Brain Combined 17 6 $1,288.00 $1,288.00 $669.76 $1,288.00 $960.41 2026-07-15
73201 CPT CT Upper Ext W/contrast 17 6 $1,129.00 $1,129.00 $587.08 $1,129.00 $960.41 2026-07-15
70492 CPT CT Soft Tiss Neck Combine 17 6 $1,054.00 $1,054.00 $548.08 $1,054.00 $960.41 2026-07-15
74178 CPT CT Abd Pelvis Combined 17 6 $1,545.00 $1,545.00 $803.40 $1,545.00 $960.41 2026-07-15
74177 CPT CT Abd And Pelv W Contrast 17 6 $1,400.00 $1,400.00 $728.00 $1,400.00 $960.41 2026-07-15
73702 CPT CT Lower Extrem Combined 17 6 $1,053.00 $1,053.00 $547.56 $1,053.00 $960.41 2026-07-15
70496 CPT CT Angiography Head 17 6 $989.00 $989.00 $514.28 $989.00 $960.41 2026-07-15
75635 CPT CTA Abd Pelvis Wwo Aorta 17 6 $1,030.00 $1,030.00 $535.60 $1,030.00 $960.41 2026-07-15
71270 CPT CT Chest Comb Wwo Con 17 6 $1,785.00 $1,785.00 $928.20 $1,785.00 $960.41 2026-07-15
72127 CPT CT Cerv Spine W&wo Contrast 17 6 $1,100.00 $1,100.00 $572.00 $1,100.00 $960.41 2026-07-15
74170 CPT CT Abd Combined 17 6 $1,648.00 $1,648.00 $856.96 $1,648.00 $960.41 2026-07-15
70487 CPT CT Maxillofacial W Contrast 17 6 $1,300.00 $1,300.00 $676.00 $1,300.00 $960.41 2026-07-15
70498 CPT CTA Neck W Cont 17 6 $1,030.00 $1,030.00 $535.60 $1,030.00 $960.41 2026-07-15
72193 CPT CT Pelvis W Contrast 17 6 $1,236.00 $1,236.00 $642.72 $1,236.00 $960.41 2026-07-15
71275 CPT CTA Pe Chest W/cont 17 6 $1,236.00 $1,236.00 $642.72 $1,236.00 $960.41 2026-07-15
73701 CPT CT Lower Ext W/contrast 17 6 $989.00 $989.00 $514.28 $989.00 $960.41 2026-07-15
70460 CPT CT Head Brain W Contrast 17 6 $1,300.00 $1,300.00 $676.00 $1,300.00 $960.41 2026-07-15
P9022 HCPCS Bb Adm Washed Red Cells 17 6 $1,191.36 $1,191.36 $619.51 $1,191.36 $953.09 2026-07-15
12037 CPT Repair Intermed >30 34 6 $3,075.94 $3,075.94 $264.86 $5,212.59 $939.30 2026-07-15
32554 CPT Thoracentesis Insertion 17 6 $1,795.65 $1,795.65 $350.00 $1,795.65 $933.74 2026-07-15
13132 CPT Repair Compl 2.6 - 7.5 17 6 $1,795.20 $1,795.20 $350.00 $1,795.20 $933.50 2026-07-15
94003 CPT Vent Mgmt Ip Subq Day 17 6 $1,791.24 $1,791.24 $598.91 $1,791.24 $931.44 2026-07-15
99284 CPT ER Lvl 4 38 6 $1,266.00 $1,266.00 $95.47 $1,266.00 $926.08 2026-07-15
46040 CPT Incision & Drainage Perirectal 30 6 $1,225.26 $1,225.26 $341.47 $3,373.08 $917.66 2026-07-15
A0427 HCPCS Als Emergency 17 6 $1,125.00 $1,125.00 $585.00 $1,125.00 $900.00 2026-07-15
28192 CPT Removal Fb Foot Deep 34 6 $2,765.16 $2,765.16 $244.79 $4,634.25 $896.07 2026-07-15
74176 CPT CT Abd And Pelv Wo Contrast 17 6 $1,030.00 $1,030.00 $535.60 $1,030.00 $882.78 2026-07-15
72148 CPT MRI Lumbar Spine Wo Dye 17 6 $872.00 $872.00 $453.44 $872.00 $872.00 2026-07-15
73221 CPT MRI Joint Upr Extrem Wo Dye 17 6 $872.00 $872.00 $453.44 $872.00 $872.00 2026-07-15
70551 CPT MRI Brain Stem Wo Dye 17 6 $872.00 $872.00 $453.44 $872.00 $872.00 2026-07-15
72146 CPT MRI Chest Spine Wo Dye 17 6 $872.00 $872.00 $453.44 $872.00 $872.00 2026-07-15
73721 CPT MRI Jnt Of Lwr Extre Wo Dye 17 6 $872.00 $872.00 $453.44 $872.00 $872.00 2026-07-15
73718 CPT MRI Lower Extremity Wo Dye 17 6 $872.00 $872.00 $453.44 $872.00 $872.00 2026-07-15
72141 CPT MRI Neck Spine Wo Dye 17 6 $872.00 $872.00 $453.44 $872.00 $872.00 2026-07-15
49040 CPT Incision And Drainage Abdominal Abcess 17 6 $2,880.09 $2,880.09 $832.75 $2,468.24 $845.10 2026-07-15
87507 CPT Stool Gi Pathogen Panel-pcr 17 6 $1,591.00 $1,591.00 $60.00 $1,591.00 $827.32 2026-07-15
93306 CPT US Echo Adlt 2dm 3cpts 17 6 $1,576.89 $1,576.89 $58.73 $1,576.89 $819.98 2026-07-15
70544 CPT MRA Head Wo Contrast 17 6 $700.41 $700.41 $364.21 $700.41 $700.41 2026-07-15
23655 CPT Shoulder Dislocation Reduction W/sedatio 34 6 $2,646.99 $2,646.99 $325.92 $4,593.99 $700.00 2026-07-15
93307 CPT US Echo Adlt Limited Transth 17 6 $1,321.00 $1,321.00 $128.77 $1,321.00 $686.92 2026-07-15
99291 CPT Critical Care Int 30-74 Min 34 6 $1,605.22 $1,605.22 $175.54 $2,536.44 $674.00 2026-07-15
87633 CPT Respiratory Viral Panel Send Out 17 6 $1,251.00 $1,251.00 $60.00 $1,251.00 $668.92 2026-07-15
11044 CPT Debridement Bone < 20cm 34 6 $2,639.74 $2,639.74 $182.88 $4,634.25 $645.24 2026-07-15
27502 CPT Closed Fx Reduction Femoral Shaft 17 6 $2,180.01 $2,180.01 $615.94 $1,868.27 $638.53 2026-07-15
36569 CPT Midline Insertion 5yrs > 34 6 $2,438.89 $2,438.89 $76.33 $4,577.79 $631.65 2026-07-15
G0297 HCPCS CT Low Dose Scan For Lung Ca Screen 17 6 $600.00 $600.00 $312.00 $600.00 $600.00 2026-07-15
99283 CPT ER Lvl 3 38 6 $815.55 $815.55 $59.36 $815.55 $596.39 2026-07-15
12042 CPT Repair Intermed 2.6 - 7.5 17 6 $1,139.76 $1,139.76 $158.66 $1,139.76 $592.68 2026-07-15
12006 CPT Rep Simple 20.1 - 30cm 17 6 $1,139.76 $1,139.76 $304.58 $1,139.76 $592.68 2026-07-15
43752 CPT Naso/oro Gastric Tube Placement 17 6 $1,138.89 $1,138.89 $323.41 $1,138.89 $592.22 2026-07-15
65210 CPT Foreign Body Removal Eye Congunctival 17 6 $1,138.89 $1,138.89 $323.41 $1,138.89 $592.22 2026-07-15
50728 CPT Removal Of Ventral Hernia 17 6 $2,009.91 $2,009.91 $580.15 $1,722.49 $590.78 2026-07-15
70490 CPT CT Soft Tiss Neck Wo Cont 17 6 $1,100.00 $1,100.00 $434.95 $1,100.00 $572.00 2026-07-15
70450 CPT CT Head Brain Wo Contrast 17 6 $1,030.00 $1,030.00 $434.95 $1,030.00 $535.60 2026-07-15
72128 CPT CT Thoracic Spine Wo Cont 17 6 $1,030.00 $1,030.00 $434.95 $1,030.00 $535.60 2026-07-15
71250 CPT CT Chest Wo Contrast 17 6 $1,030.00 $1,030.00 $434.95 $1,030.00 $535.60 2026-07-15
73200 CPT CT Upper Extrem Wo Contr 17 6 $1,030.00 $1,030.00 $434.95 $1,030.00 $535.60 2026-07-15
70486 CPT CT Sinuses Wo Contrast 17 6 $1,030.00 $1,030.00 $434.95 $1,030.00 $535.60 2026-07-15
72131 CPT CT Lumbar Spine Wo Contrs 17 6 $1,030.00 $1,030.00 $434.95 $1,030.00 $535.60 2026-07-15
73700 CPT CT Lower Extrem Wo Contr 17 6 $1,030.00 $1,030.00 $434.95 $1,030.00 $535.60 2026-07-15
74150 CPT CT Abd Wo Contrast 17 6 $1,030.00 $1,030.00 $434.95 $1,030.00 $535.60 2026-07-15
72192 CPT CT Pelvis Wo Contrast 17 6 $1,030.00 $1,030.00 $434.95 $1,030.00 $535.60 2026-07-15
72125 CPT CT Cerv Spine Wo Contrast 17 6 $1,030.00 $1,030.00 $434.95 $1,030.00 $535.60 2026-07-15
88184 CPT Flow Cytometry First Marker 17 6 $1,027.44 $1,027.44 $60.00 $1,027.44 $534.27 2026-07-15
86905 CPT Bb Blood Group Id (donot Use) 18 6 $1,027.44 $1,027.44 $60.00 $1,027.44 $534.27 2026-07-15
10121 CPT Foreign Body Removal Sq Complx 34 6 $2,580.52 $2,580.52 $146.14 $4,634.25 $526.80 2026-07-15
87902 CPT Hepatitis C RNA Genotype 17 6 $983.00 $983.00 $60.00 $983.00 $511.16 2026-07-15
92960 CPT Cardioversion Electric Ext 34 6 $1,180.15 $1,180.15 $86.22 $1,860.30 $500.00 2026-07-15
96369 CPT Subcutaneous Therapy Infusion 1 Hr 17 6 $612.66 $612.66 $318.58 $612.66 $490.13 2026-07-15
96373 CPT Ia 17 6 $612.66 $612.66 $318.58 $612.66 $490.13 2026-07-15
86870 CPT Bb Antibody Id 29 6 $1,027.44 $1,027.44 $60.00 $1,027.44 $488.22 2026-07-15
27086 CPT Soft Tissue Fb Removal Pelvis/hip 34 6 $4,305.03 $4,305.03 $132.86 $8,122.05 $488.01 2026-07-15
31720 CPT Catheter Aspiration Nasotracheal 17 6 $609.66 $609.66 $317.02 $609.66 $487.73 2026-07-15
23330 CPT Soft Tissue Fb Removal Shoulder 34 6 $2,559.22 $2,559.22 $131.45 $4,634.25 $484.20 2026-07-15
12045 CPT Repair Intermed 12.6 - 20 30 6 $1,795.20 $1,795.20 $214.83 $1,795.20 $478.44 2026-07-15
12044 CPT Repair Wound Feet 7.6-12.5cm 30 6 $612.72 $612.72 $168.48 $1,795.20 $478.44 2026-07-15
13100 CPT Wound Rapair 30 6 $1,795.20 $1,795.20 $157.45 $1,795.20 $478.44 2026-07-15
12036 CPT Repair Intermed 20.1 - 30 30 6 $1,795.20 $1,795.20 $228.40 $1,795.20 $478.44 2026-07-15
13152 CPT Wound Repair 30 6 $1,795.20 $1,795.20 $264.58 $1,795.20 $478.44 2026-07-15
13151 CPT Repair Complex Face 1.1-2.5 30 6 $1,795.20 $1,795.20 $219.64 $1,795.20 $478.44 2026-07-15
13121 CPT Repair Complex Scalp Arm Leg 2.6-7.5 Cm 30 6 $1,795.20 $1,795.20 $201.83 $1,795.20 $478.44 2026-07-15
13120 CPT Repair Compl Sc/arms/legs 1.1-2.5 30 6 $1,795.20 $1,795.20 $182.32 $1,795.20 $478.44 2026-07-15
13101 CPT Repair Complex Trunk 2.6 Cm -7.5cm 30 6 $701.67 $701.67 $193.63 $1,795.20 $478.44 2026-07-15
93975 CPT US Renal Duplex Doppler 17 6 $904.00 $904.00 $299.99 $904.00 $470.08 2026-07-15
43753 CPT Suction Naso Gastric 17 6 $897.18 $897.18 $243.85 $897.18 $466.53 2026-07-15
94375 CPT Respiratory Flow Volume Loop 17 6 $897.18 $897.18 $323.48 $897.18 $466.53 2026-07-15
94060 CPT Bronchospasm-pre & Post Bd 17 6 $897.18 $897.18 $12.28 $897.18 $466.53 2026-07-15
93017 CPT Cardiovascular Stress Test 17 6 $897.18 $897.18 $323.48 $897.18 $466.53 2026-07-15
99345 CPT 99345 - Home Vst New Pt Unstable Signif 17 6 $578.61 $578.61 $172.14 $578.61 $462.89 2026-07-15
20605 CPT Drain Or Inj Joint/bursa 17 6 $846.60 $846.60 $23.99 $846.60 $440.23 2026-07-15
20600 CPT Aspiration Of Small Joint 17 6 $846.60 $846.60 $22.58 $846.60 $440.23 2026-07-15
64400 CPT Nerve Block Dental Block 17 6 $846.60 $846.60 $84.32 $846.60 $440.23 2026-07-15
11043 CPT Debridement Muscle Or Fascia <20 Cm 34 6 $1,117.26 $1,117.26 $124.10 $1,795.20 $439.32 2026-07-15
70480 CPT CT Orbit Sella Ear Wo Con 17 6 $515.00 $515.00 $267.80 $515.00 $434.95 2026-07-15
76705 CPT US Abdomen Limited 17 6 $475.00 $475.00 $247.00 $475.00 $429.22 2026-07-15
76700 CPT US Abdominal 17 6 $500.00 $500.00 $260.00 $500.00 $429.22 2026-07-15
76775 CPT US Renal Limited 17 6 $473.00 $473.00 $245.96 $473.00 $429.22 2026-07-15
76536 CPT US Thyroid 17 6 $475.00 $475.00 $247.00 $475.00 $429.22 2026-07-15
76856 CPT US Pelvic Mass Eval Non OB 17 6 $500.00 $500.00 $260.00 $500.00 $429.22 2026-07-15
76770 CPT US Renal 17 6 $475.00 $475.00 $247.00 $475.00 $429.22 2026-07-15
76870 CPT US Testicle 17 6 $500.00 $500.00 $260.00 $500.00 $429.22 2026-07-15
76817 CPT US Transvaginal OB 17 6 $475.00 $475.00 $30.72 $475.00 $429.22 2026-07-15
99350 CPT 99350 - Home Vs Est Pt Unstable Signif N 17 6 $531.60 $531.60 $139.92 $531.60 $425.28 2026-07-15
27501 CPT Cl Fx Red Wo Man Supracondylar 30 6 $674.07 $674.07 $210.60 $1,241.87 $399.42 2026-07-15
27508 CPT Closed Fx Red Wo/man Femoral Distal 30 6 $1,455.24 $1,455.24 $210.60 $1,247.14 $399.13 2026-07-15
27562 CPT Patellar Dislocation Red W/sedation 30 6 $674.07 $674.07 $210.60 $1,227.83 $391.78 2026-07-15
A0429 HCPCS Bls Emergency 34 6 $587.50 $587.50 $182.00 $825.00 $389.50 2026-07-15
27500 CPT Cl Fx Red Without Man Femoral Shaft 30 6 $674.07 $674.07 $210.60 $1,200.63 $385.56 2026-07-15
27230 CPT Fx Femur Closed 30 6 $674.07 $674.07 $210.60 $1,197.62 $380.75 2026-07-15
A0428 HCPCS Bls Non-emergency 17 6 $475.00 $475.00 $247.00 $475.00 $380.00 2026-07-15
28635 CPT Dislocated Toe Red Metatarsophalangeal 34 6 $2,486.45 $2,486.45 $105.16 $4,593.99 $378.90 2026-07-15
62270 CPT Lumbar Puncture 34 6 $1,175.85 $1,175.85 $50.88 $1,976.70 $375.00 2026-07-15
43763 CPT Change Of Gastrostomy Tub 17 6 $706.44 $706.44 $226.79 $706.44 $367.35 2026-07-15
51705 CPT Change Of Cystostomy Tube Simple 17 6 $706.44 $706.44 $57.15 $706.44 $367.35 2026-07-15
51700 CPT Simple Bladder Irrigation Lavage/install 17 6 $706.44 $706.44 $51.16 $706.44 $367.35 2026-07-15
25535 CPT Closed Fracture Reduction Ulnar Shaft 30 6 $1,345.98 $1,345.98 $210.60 $1,153.50 $364.64 2026-07-15
93978 CPT US Aortic Duplex 17 6 $700.41 $700.41 $153.96 $700.41 $364.21 2026-07-15
93930 CPT US Arterial Duplex Imaging U 17 6 $700.41 $700.41 $153.49 $700.41 $364.21 2026-07-15
41252 CPT Wound Repair Mouth Tongue >2.6 Cm 30 6 $698.19 $698.19 $166.50 $698.19 $363.06 2026-07-15
21899 CPT Fx Rib Closed Each 17 6 $698.19 $698.19 $174.93 $698.19 $363.06 2026-07-15
99282 CPT ER Lvl 2 38 6 $467.49 $467.49 $34.76 $467.49 $362.00 2026-07-15
93925 CPT US Arterial Duplex Imaging L 17 6 $696.00 $696.00 $294.87 $696.00 $361.92 2026-07-15
76805 CPT US Pelvic OB 17 6 $425.00 $425.00 $221.00 $425.00 $352.61 2026-07-15
23620 CPT Cl Tx Humerus Gtr Tuberocity Fx Wo Manip 17 6 $674.07 $674.07 $109.71 $674.07 $350.52 2026-07-15
28630 CPT Closed Tx Metatarsophalangeal Joint Disl 17 6 $674.07 $674.07 $90.32 $674.07 $350.52 2026-07-15
21480 CPT Closed Tx Temporomandibular Dislocation 17 6 $674.07 $674.07 $210.60 $674.07 $350.52 2026-07-15
27550 CPT Dislocated Knee Reduction 17 6 $674.07 $674.07 $210.60 $674.07 $350.52 2026-07-15
27530 CPT Fx Tibia Closed 17 6 $674.07 $674.07 $210.60 $674.07 $350.52 2026-07-15
27265 CPT Closed Tx Dislocated Hip Prosthesis 30 6 $1,224.63 $1,224.63 $210.60 $1,049.51 $350.52 2026-07-15
27197 CPT Fx Pelvic Girdle 17 6 $674.07 $674.07 $210.60 $674.07 $350.52 2026-07-15
26670 CPT Hand Dislocation Treat 17 6 $674.07 $674.07 $109.71 $674.07 $350.52 2026-07-15
87506 CPT Stool Enteric Pathogen Pcr 17 6 $343.75 $343.75 $60.00 $343.75 $342.54 2026-07-15
27840 CPT Disloc Ankle Clsd Wo Ane 30 6 $674.07 $674.07 $210.60 $975.85 $340.88 2026-07-15
27788 CPT Cl Fx Reduction Distal Fibular 30 6 $674.07 $674.07 $210.60 $971.32 $340.46 2026-07-15
26641 CPT Closed Tx Fx Thumb W Manipulation 30 6 $1,127.91 $1,127.91 $109.71 $966.62 $339.34 2026-07-15
40804 CPT Soft Tissue Fb Removal Vestibule Mouth 34 6 $1,458.63 $1,458.63 $86.78 $2,591.07 $338.10 2026-07-15
86335 CPT Urine Immunofixation Electrophoresis 17 6 $645.00 $645.00 $47.10 $645.00 $335.40 2026-07-15
76830 CPT US Transvaginal Non OB 17 6 $475.00 $475.00 $247.00 $475.00 $335.10 2026-07-15
93880 CPT US Carotid Duplex Imaging 17 6 $644.00 $644.00 $153.49 $644.00 $334.88 2026-07-15
70250 CPT Skull <4 Views 17 6 $334.00 $334.00 $173.68 $334.00 $334.00 2026-07-15
72202 CPT Sacroiliac Joints 3+ Views 17 6 $334.00 $334.00 $173.68 $334.00 $334.00 2026-07-15
77076 CPT Skeletal Survey 17 6 $334.00 $334.00 $173.68 $334.00 $334.00 2026-07-15
12056 CPT Repair Intermed 20.1 - 30 30 6 $1,139.76 $1,139.76 $304.58 $1,139.76 $333.86 2026-07-15
12057 CPT Repair Intermediate 30> 17 6 $1,198.08 $1,198.08 $304.58 $1,026.75 $333.83 2026-07-15
11760 CPT Repair Nail Bed 34 6 $1,054.61 $1,054.61 $87.91 $1,795.20 $332.00 2026-07-15
49084 CPT Peritoneal Lavage 34 6 $1,447.83 $1,447.83 $88.48 $2,591.07 $327.29 2026-07-15
12046 CPT Repair Wound Feet 20.1-30 30 6 $911.34 $911.34 $257.23 $1,795.20 $327.29 2026-07-15
12035 CPT Repair Intermed 12.6 -20 30 6 $1,139.76 $1,139.76 $192.21 $1,139.76 $327.29 2026-07-15
12034 CPT Repair Intmd Wnd S/tr/ext 7.6-12.5 Cm 30 6 $1,139.76 $1,139.76 $161.40 $1,139.76 $327.29 2026-07-15
12055 CPT Repair Intermediate 12.6-20 30 6 $863.55 $863.55 $238.58 $1,139.76 $327.29 2026-07-15
12054 CPT Repair Intermed 7.6-12.5 30 6 $1,139.76 $1,139.76 $174.97 $1,139.76 $327.29 2026-07-15
76811 CPT Fetogram 17 6 $591.00 $591.00 $78.62 $591.00 $327.04 2026-07-15
24530 CPT Closed Treatment Fx Humerus Supra/trans 30 6 $674.07 $674.07 $210.60 $890.72 $326.71 2026-07-15
64490 CPT Sterile Needle Inj Without US : Facet Thorac 34 6 $1,453.23 $1,453.23 $84.51 $2,605.35 $325.56 2026-07-15
49083 CPT Abdominal Paracentesis W/imaging Guidanc 34 6 $1,445.64 $1,445.64 $85.09 $2,591.07 $325.11 2026-07-15
24600 CPT Closed Treatment Of Elb Dislocation 30 6 $1,012.20 $1,012.20 $210.60 $867.46 $322.50 2026-07-15
46050 CPT Incision Drainage Rectal Abscess 34 6 $1,451.92 $1,451.92 $79.72 $2,612.43 $320.71 2026-07-15
24500 CPT Closed Treatment Humeral Fx Wo Manip 30 6 $990.54 $990.54 $210.60 $848.89 $319.26 2026-07-15
460 OTHER Tent Croup Daily 17 6 $398.00 $398.00 $206.96 $398.00 $318.40 2026-07-15
94660 CPT Bipap 17 6 $609.66 $609.66 $242.29 $609.66 $317.02 2026-07-15
94664 CPT Hhn Initial Treatment 17 6 $609.66 $609.66 $242.29 $609.66 $317.02 2026-07-15
94640 CPT Mdi (metered Dose Inhaler) 17 6 $609.66 $609.66 $242.29 $609.66 $317.02 2026-07-15
73522 CPT Hips Bi 3-4 Views Lt 34 6 $314.25 $314.25 $163.41 $314.25 $314.25 2026-07-15
27750 CPT Closed Fx Red Wo Manipulation Tibial Sha 30 6 $674.07 $674.07 $210.60 $818.48 $314.22 2026-07-15
72052 CPT Cervical Complete Series 17 6 $313.00 $313.00 $162.76 $313.00 $313.00 2026-07-15
72110 CPT Lumbar Series 17 6 $313.00 $313.00 $162.76 $313.00 $313.00 2026-07-15
73120 CPT Hand 2-3 Views Left 34 6 $313.00 $313.00 $162.76 $313.00 $313.00 2026-07-15
72070 CPT Thoracic Spine 2 Views 17 6 $313.00 $313.00 $162.76 $313.00 $313.00 2026-07-15
72100 CPT Lumbar Spine 2-3 Views 17 6 $313.00 $313.00 $162.76 $313.00 $313.00 2026-07-15
74022 CPT Kub And Uright Abd 17 6 $313.00 $313.00 $162.76 $313.00 $313.00 2026-07-15
71110 CPT Do Not Use 34 6 $323.50 $323.50 $162.76 $334.00 $313.00 2026-07-15
70260 CPT Skull Min 4 Views 17 6 $313.00 $313.00 $162.76 $313.00 $313.00 2026-07-15
70200 CPT Orbits Min 4 Views Left 34 6 $313.00 $313.00 $162.76 $313.00 $313.00 2026-07-15
70150 CPT Facial Bone Min 3 Views 17 6 $313.00 $313.00 $162.76 $313.00 $313.00 2026-07-15
72170 CPT Pelvis 1-2 Views 17 6 $313.00 $313.00 $162.76 $313.00 $313.00 2026-07-15
21320 CPT Closed Tx Nasal Fx W Man/stab 34 6 $2,636.45 $2,636.45 $76.89 $5,000.00 $311.46 2026-07-15
73521 CPT Hip Bilat/pelvis 2 View 17 6 $309.00 $309.00 $160.68 $309.00 $309.00 2026-07-15
93970 CPT US Venous Duplex Imaging 17 6 $591.00 $591.00 $216.01 $591.00 $307.32 2026-07-15
27760 CPT Closed Fx Reduction Wo/man Medial Malleo 30 6 $909.75 $909.75 $210.60 $779.66 $307.06 2026-07-15
27808 CPT Fx Ankle Clsd Bimalleolar 30 6 $674.07 $674.07 $210.60 $774.85 $306.91 2026-07-15
27824 CPT Fx Tibia Clsd Distal 30 6 $674.07 $674.07 $210.60 $771.33 $306.63 2026-07-15
99292 CPT Critical Care E Add 30 Min 34 6 $523.06 $523.06 $88.19 $739.00 $306.60 2026-07-15
26725 CPT Closed Fx Red Phalangeal Shaft 30 6 $902.73 $902.73 $109.71 $773.64 $306.50 2026-07-15
27520 CPT Closed Tx Patella Fx Wo Manipulation 30 6 $890.22 $890.22 $210.60 $762.92 $305.09 2026-07-15
12017 CPT Rep Smp Face 20.1-30.0 30 6 $1,139.76 $1,139.76 $126.58 $1,139.76 $304.58 2026-07-15
12016 CPT Repair Simple Face Wound 12.6-20 Cm 30 6 $367.59 $367.59 $106.94 $1,139.76 $304.58 2026-07-15
16030 CPT Burn Treatment Large 30 6 $377.46 $377.46 $106.01 $1,139.76 $304.58 2026-07-15
13131 CPT Wound Repair 30 6 $450.00 $450.00 $190.23 $1,139.76 $304.58 2026-07-15
64493 CPT Nerve Block Sterile Inj W/us Thoracic 34 6 $1,432.02 $1,432.02 $71.23 $2,605.35 $304.35 2026-07-15
23650 CPT Closed Treatment Dislocated Shoulder 30 6 $674.07 $674.07 $210.60 $674.07 $304.25 2026-07-15
97605 CPT Pt Neg Press Wound <50cm 18 6 $579.00 $579.00 $219.64 $579.00 $301.08 2026-07-15
25600 CPT Closed Treat Of Distal Radius Fx Wo Mani 30 6 $959.43 $959.43 $109.71 $822.23 $300.65 2026-07-15
27767 CPT Closed Fx Red Wo/man Posterior Malleolus 30 6 $854.79 $854.79 $109.71 $732.56 $300.18 2026-07-15
26600 CPT Closed Treatment Fx Metacarpal 30 6 $674.07 $674.07 $109.71 $729.16 $299.06 2026-07-15
76882 CPT US Xtr Nonvasc Lmt 17 6 $299.00 $299.00 $155.48 $299.00 $299.00 2026-07-15
27786 CPT Closed Tx Distal Fibula Fx 30 6 $848.43 $848.43 $210.60 $727.10 $298.92 2026-07-15
27780 CPT Fx Fibula Clsd Proximal 30 6 $674.07 $674.07 $210.60 $722.25 $298.07 2026-07-15
97597 CPT Pt Sel Debrid Per Session 17 6 $572.25 $572.25 $31.72 $572.25 $297.57 2026-07-15
36555 CPT Central Line < 5 Years 34 6 $4,670.24 $4,670.24 $69.54 $9,100.00 $295.24 2026-07-15
36556 CPT Central Line >5 Years 34 6 $4,670.18 $4,670.18 $68.98 $9,100.00 $295.18 2026-07-15
26755 CPT Closed Fx Reduction Distal Phalangeal 30 6 $674.07 $674.07 $210.60 $696.15 $293.87 2026-07-15
93225 CPT Holter Monitor 17 6 $565.00 $565.00 $136.55 $565.00 $293.80 2026-07-15
36600 CPT Abg Puncture 18 6 $365.13 $365.13 $60.00 $365.13 $292.10 2026-07-15
92950 CPT Cpr Cardio Pulmonary Resuscitation 30 6 $523.38 $523.38 $150.66 $897.18 $292.02 2026-07-15
99349 CPT 99349 - Home Visit Est Pt Mod-hi Sev 40 17 6 $364.83 $364.83 $100.62 $364.83 $291.86 2026-07-15
24670 CPT Closed Fx Reduction Wo Manip Ulnar 30 6 $793.74 $793.74 $210.60 $680.24 $290.92 2026-07-15
26075 CPT Removal Foreign Body Finger Exploratory 17 6 $988.53 $988.53 $267.41 $988.53 $289.37 2026-07-15
12005 CPT Repair Simple 12.6-20.0cm 34 6 $706.34 $706.34 $78.87 $1,139.76 $288.75 2026-07-15
26770 CPT Closed Tx Of Interphalangeal Joint Disc 30 6 $782.19 $782.19 $208.05 $674.07 $288.25 2026-07-15
25560 CPT Closed Tx Radial Ulnar Shaft Wo Manip 30 6 $770.01 $770.01 $109.71 $674.07 $287.13 2026-07-15
65220 CPT Foreign Body Eye Rem Without Slit Lamp 34 6 $694.45 $694.45 $32.79 $1,138.89 $286.71 2026-07-15
25500 CPT Closed Tx Radial Fx Wo Manipulation 30 6 $766.35 $766.35 $109.71 $674.07 $286.43 2026-07-15
76641 CPT US Breast Complete 17 6 $284.00 $284.00 $147.68 $284.00 $284.00 2026-07-15
76857 CPT US Pelvis Non OB Limited 17 6 $284.00 $284.00 $147.68 $284.00 $284.00 2026-07-15
70110 CPT Mandible Min 4 Vws Left 34 6 $297.50 $297.50 $146.64 $313.00 $282.00 2026-07-15
24650 CPT Closed Fx Red Wo/manipulatio Radial Head 30 6 $730.50 $730.50 $109.71 $674.07 $281.38 2026-07-15
23540 CPT Closed Tx Clavicle Dislocation Wo Manipu 30 6 $674.07 $674.07 $185.71 $674.07 $280.30 2026-07-15
23500 CPT Closed Treatment Fx Clavicle 30 6 $674.07 $674.07 $178.36 $674.07 $280.30 2026-07-15
27256 CPT Dislocated Spontaneous Hip Reduction 30 6 $696.99 $696.99 $197.31 $674.07 $280.30 2026-07-15
25530 CPT Closed Fx Red Wo Mani Ulnar Shaft 30 6 $674.07 $674.07 $109.71 $674.07 $280.11 2026-07-15
40805 CPT Soft Tissue Fb Removal Vestibule Complic 30 6 $566.19 $566.19 $154.34 $1,572.69 $279.43 2026-07-15
49082 CPT Abdominal Paracentesis 34 6 $1,399.97 $1,399.97 $59.36 $2,591.07 $279.43 2026-07-15
31605 CPT Cricothyrotomy 17 6 $942.30 $942.30 $274.78 $807.55 $276.74 2026-07-15
27250 CPT Dislocated Traumatic Hip Reduction 30 6 $674.07 $674.07 $150.72 $674.07 $273.74 2026-07-15
27560 CPT Closed Tx Of Dislocated Patellar 17 6 $1,008.39 $1,008.39 $210.60 $864.19 $269.10 2026-07-15
76881 CPT US Non Vascular Extremity 17 6 $475.00 $475.00 $247.00 $475.00 $267.83 2026-07-15
36557 CPT Central Venous Cath Insertion 17 6 $916.23 $916.23 $262.88 $916.23 $267.20 2026-07-15
29530 CPT Strapping Knee 22 6 $365.13 $365.13 $102.94 $365.13 $264.72 2026-07-15
51701 CPT Insertion Straight Cath 22 6 $365.13 $365.13 $102.94 $365.13 $264.72 2026-07-15
12053 CPT Repair Intermediate Face Mm 5.1-7.5 30 6 $1,139.76 $1,139.76 $158.66 $1,139.76 $262.85 2026-07-15
76642 CPT US Breast Limited 30 6 $500.00 $500.00 $147.68 $500.00 $260.00 2026-07-15
41251 CPT Wound Repair Posterior Tongue 30 6 $698.19 $698.19 $143.88 $698.19 $258.51 2026-07-15
86003 CPT Allergen Profilew/total Ige-tx/ok 29 6 $536.00 $536.00 $8.37 $536.00 $258.00 2026-07-15
26750 CPT Closed Fx Red Wo Man Distal Phangeal 30 6 $674.07 $674.07 $109.71 $674.07 $257.24 2026-07-15
26720 CPT Closed Tx Fx Phalanx Finger 30 6 $563.31 $563.31 $109.71 $674.07 $256.81 2026-07-15
12052 CPT Layer Closure Face 2.6-7.5 Cm 30 6 $569.31 $569.31 $155.76 $1,139.76 $256.53 2026-07-15
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