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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

CENTRAL VALLEY MEDICAL CENTER - CAH

Nephi, UT · CCN 461304 · Rates published

20,172 distinct procedures filed
31 distinct payers
868,983 rate rows
2026-03-30 last MRF observed
Data quality

6,031 of 868,983 rate rows are consumer-grade (0.7%)

862,952 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 760,505
professional (physician) fee — not the facility price 102,447
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://cvmc.goredde.com/Estimator/Files/87-0419324_Central_Valley_Medical_Center_standardcharges.csv
Found on page https://cvmc.goredde.com/Estimator/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 9ac95724c71e1d1b… · 227,231,425 bytes · first seen 2026-05-05

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
J9358
HCPCS 		Onc Pncrtc 59 Mthltn Blk Mrk 1 $29,388.00 $29,388.00 $29,388.00 nat. median
$109
outlier · 269.3×
J9271
HCPCS 		Inj Pembrolizumab 2 $10,914.81 $22,027.05 $22,027.05 nat. median
$736
outlier · 29.9×
63030
CPT 		Low Back Disk Surgery 1 $18,864.10 $18,864.10 $18,864.10 nat. median
$7,581
outlier · 2.5×
J9316
HCPCS 		Pertuzu, Trastuzu, 10 Mg 1 $17,671.90 $17,671.90 $17,671.90 nat. median
$282
outlier · 62.7×
27280
CPT 		Arthr Si Jt Opn B1grf Instrm 1 $17,091.52 $17,091.52 $17,091.52 nat. median
$5,922
outlier · 2.9×
J2323
HCPCS 		Natalizumab Injection 1 $16,266.37 $16,266.37 $16,266.37 nat. median
$197
outlier · 82.5×
28750
CPT 		Fusion Of Big Toe Joint 2 $2,168.72 $27,539.09 $14,853.90 nat. median
$6,945
outlier · 2.1×
J9299
HCPCS 		Injection, Nivolumab 1 $14,755.36 $14,755.36 $14,755.36 nat. median
$2,944
outlier · 5.0×
C1820
HCPCS 		Generator Neuro Rechg Bat Sy 4 $12,012.00 $27,323.40 $13,875.06 nat. median
$22,013
0.6× median
J3101
HCPCS 		Tenecteplase Injection 2 $13,745.20 $14,816.68 $13,745.20 nat. median
$5,957
outlier · 2.3×
J1561
HCPCS 		Gamunex-c/gammaked 1 $13,306.44 $13,306.44 $13,306.44 nat. median
$999
outlier · 13.3×
J2353
HCPCS 		Octreotide Injection, Depot 2 $5,916.46 $12,774.18 $12,774.18 nat. median
$5,975
outlier · 2.1×
55866
CPT 		Laps Surg Prst8ect Rpbic Rad 2 $2,232.28 $12,013.83 $12,013.83 nat. median
$10,517
1.1× median
28730
CPT 		Fusion Of Foot Bones 1 $11,046.04 $11,046.04 $11,046.04 nat. median
$10,278
1.1× median
63047
CPT 		Lam Facetec & Foramot Lumbar 4 $6,113.00 $17,999.77 $10,318.73 nat. median
$7,528
1.4× median
10140
CPT 		I&d Hmtma Seroma/fluid Collj 1 $9,996.94 $9,996.94 $9,996.94 nat. median
$1,654
outlier · 6.0×
C1762
HCPCS 		Conn Tiss, Human(inc Fascia) 8 $2,374.94 $10,138.67 $9,681.00 nat. median
$2,935
outlier · 3.3×
38510
CPT 		Biopsy/removal Lymph Nodes 1 $9,656.32 $9,656.32 $9,656.32 nat. median
$3,856
outlier · 2.5×
55867
CPT 		Laps Surg Prst8ect Smpl Stot 1 $9,615.07 $9,615.07 $9,615.07 nat. median
$10,248
0.9× median
Q5103
HCPCS 		Injection, Inflectra 2 $9,607.50 $9,607.50 $9,607.50 nat. median
$335
outlier · 28.6×
C1776
HCPCS 		Joint Device (implantable) 8 $4,807.53 $12,073.08 $9,547.35 nat. median
$3,432
outlier · 2.8×
11772
CPT 		Remove Pilonidal Cyst Compl 1 $9,479.79 $9,479.79 $9,479.79 nat. median
$3,073
outlier · 3.1×
27279
CPT 		Arthrd Si Jt Perq/min Nvas 1 $9,331.41 $9,331.41 $9,331.41 nat. median
$17,268
0.5× median
58573
CPT 		Tlh W/t/o Uterus Over 250 G 2 $8,839.97 $9,084.33 $9,084.33 nat. median
$10,008
0.9× median
C1897
HCPCS 		Lead, Neurostim Test Kit 2 $8,647.55 $17,883.27 $8,647.55 nat. median
$1,136
outlier · 7.6×
23466
CPT 		Repair Shoulder Capsule 1 $8,626.31 $8,626.31 $8,626.31 nat. median
$7,147
1.2× median
C1822
HCPCS 		Gen, Neuro, Hf, Rechg Bat 1 $8,595.17 $8,595.17 $8,595.17 nat. median
$31,540
outlier · 0.3×
49593
CPT 		Rpr Aa Hrn 1st 3-10 Rdc 1 $8,555.62 $8,555.62 $8,555.62 nat. median
$5,866
1.5× median
58570
CPT 		Tlh Uterus 250 G Or Less 1 $8,513.78 $8,513.78 $8,513.78 nat. median
$9,652
0.9× median
58571
CPT 		Tlh W/t/o 250 G Or Less 4 $622.56 $8,596.08 $8,449.49 nat. median
$9,808
0.9× median
27486
CPT 		Revise/replace Knee Joint 1 $8,377.29 $8,377.29 $8,377.29 nat. median
$8,742
1.0× median
27827
CPT 		Treat Lower Leg Fracture 2 $8,214.88 $8,348.04 $8,214.88 nat. median
$11,070
0.7× median
24545
CPT 		Treat Humerus Fracture 1 $8,118.61 $8,118.61 $8,118.61 nat. median
$11,725
0.7× median
27479
CPT 		Surgery To Stop Leg Growth 1 $8,016.04 $8,016.04 $8,016.04 nat. median
$7,071
1.1× median
49592
CPT 		Rpr Aa Hrn 1st < 3 Ncr/strn 3 $7,931.61 $23,058.39 $7,970.75 nat. median
$5,742
1.4× median
27442
CPT 		Revision Of Knee Joint 1 $7,863.71 $7,863.71 $7,863.71 nat. median
$11,338
0.7× median
23455
CPT 		Repair Shoulder Capsule 1 $7,857.11 $7,857.11 $7,857.11 nat. median
$7,144
1.1× median
27814
CPT 		Treatment Of Ankle Fracture 2 $6,838.84 $7,857.11 $7,857.11 nat. median
$7,021
1.1× median
26548
CPT 		Reconstruct Finger Joint 1 $7,789.91 $7,789.91 $7,789.91 nat. median
$3,682
outlier · 2.1×
29827
CPT 		Sho Arthrs Srg Rt8tr Cuf Rpr 3 $2,056.26 $7,726.63 $7,726.63 nat. median
$7,155
1.1× median
23550
CPT 		Optx Acromclv Dislc Aqt/chrn 1 $7,600.70 $7,600.70 $7,600.70 nat. median
$7,124
1.1× median
47563
CPT 		Laparo Cholecystectomy/graph 2 $7,202.69 $7,600.70 $7,600.70 nat. median
$6,043
1.3× median
27130
CPT 		Total Hip Arthroplasty 8 $3,785.41 $8,292.39 $7,534.07 nat. median
$13,100
0.6× median
29888
CPT 		Knee Arthroscopy/surgery 4 $4,445.15 $7,970.75 $7,413.66 nat. median
$7,307
1.0× median
27334
CPT 		Remove Knee Joint Lining 1 $7,266.08 $7,266.08 $7,266.08 nat. median
$3,707
2.0× median
28297
CPT 		Cor Hlx Vlgs Jt Arthrd 2 $6,262.25 $7,262.18 $7,262.18 nat. median
$7,359
1.0× median
29822
CPT 		Sho Arthrs Srg Lmtd Dbrdmt 5 $2,091.86 $7,731.35 $7,240.33 nat. median
$3,851
1.9× median
24579
CPT 		Treat Humerus Fracture 1 $7,202.69 $7,202.69 $7,202.69 nat. median
$11,303
0.6× median
27447
CPT 		Total Knee Arthroplasty 7 $3,720.46 $7,783.45 $7,137.54 nat. median
$12,649
0.6× median
58660
CPT 		Laparoscopy Lysis 1 $7,113.11 $7,113.11 $7,113.11 nat. median
$6,068
1.2× median

Other procedures at this hospital

Browse this hospital's 20,172 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
             
J9358 HCPCS Onc Pncrtc 59 Mthltn Blk Mrk 4 1 — — $29,388.00 $29,388.00 $29,388.00 2026-03-30
J9271 HCPCS Inj Pembrolizumab 5 2 — — $10,914.81 $22,027.05 $22,027.05 2026-03-30
63030 CPT Low Back Disk Surgery 4 1 — — $18,864.10 $18,864.10 $18,864.10 2026-03-30
J9316 HCPCS Pertuzu, Trastuzu, 10 Mg 1 1 — — $17,671.90 $17,671.90 $17,671.90 2026-03-30
27280 CPT Arthr Si Jt Opn B1grf Instrm 1 1 — — $17,091.52 $17,091.52 $17,091.52 2026-03-30
J2323 HCPCS Natalizumab Injection 1 1 — — $16,266.37 $16,266.37 $16,266.37 2026-03-30
28750 CPT Fusion Of Big Toe Joint 2 2 — — $2,168.72 $27,539.09 $14,853.90 2026-03-30
J9299 HCPCS Injection, Nivolumab 4 1 — — $14,755.36 $14,755.36 $14,755.36 2026-03-30
C1820 HCPCS Generator Neuro Rechg Bat Sy 9 4 — — $12,012.00 $27,323.40 $13,875.06 2026-03-30
J3101 HCPCS Tenecteplase Injection 5 2 — — $13,745.20 $14,816.68 $13,745.20 2026-03-30
J1561 HCPCS Gamunex-c/gammaked 4 1 — — $13,306.44 $13,306.44 $13,306.44 2026-03-30
J2353 HCPCS Octreotide Injection, Depot 4 2 — — $5,916.46 $12,774.18 $12,774.18 2026-03-30
55866 CPT Laps Surg Prst8ect Rpbic Rad 5 2 — — $2,232.28 $12,013.83 $12,013.83 2026-03-30
28730 CPT Fusion Of Foot Bones 2 1 — — $11,046.04 $11,046.04 $11,046.04 2026-03-30
63047 CPT Lam Facetec & Foramot Lumbar 8 4 — — $6,113.00 $17,999.77 $10,318.73 2026-03-30
10140 CPT I&d Hmtma Seroma/fluid Collj 2 1 — — $9,996.94 $9,996.94 $9,996.94 2026-03-30
C1762 HCPCS Conn Tiss, Human(inc Fascia) 14 8 — — $2,374.94 $10,138.67 $9,681.00 2026-03-30
38510 CPT Biopsy/removal Lymph Nodes 2 1 — — $9,656.32 $9,656.32 $9,656.32 2026-03-30
55867 CPT Laps Surg Prst8ect Smpl Stot 1 1 — — $9,615.07 $9,615.07 $9,615.07 2026-03-30
Q5103 HCPCS Injection, Inflectra 5 2 — — $9,607.50 $9,607.50 $9,607.50 2026-03-30
C1776 HCPCS Joint Device (implantable) 14 8 — — $4,807.53 $12,073.08 $9,547.35 2026-03-30
11772 CPT Remove Pilonidal Cyst Compl 1 1 — — $9,479.79 $9,479.79 $9,479.79 2026-03-30
27279 CPT Arthrd Si Jt Perq/min Nvas 4 1 — — $9,331.41 $9,331.41 $9,331.41 2026-03-30
58573 CPT Tlh W/t/o Uterus Over 250 G 6 2 — — $8,839.97 $9,084.33 $9,084.33 2026-03-30
C1897 HCPCS Lead, Neurostim Test Kit 4 2 — — $8,647.55 $17,883.27 $8,647.55 2026-03-30
23466 CPT Repair Shoulder Capsule 4 1 — — $8,626.31 $8,626.31 $8,626.31 2026-03-30
C1822 HCPCS Gen, Neuro, Hf, Rechg Bat 4 1 — — $8,595.17 $8,595.17 $8,595.17 2026-03-30
49593 CPT Rpr Aa Hrn 1st 3-10 Rdc 1 1 — — $8,555.62 $8,555.62 $8,555.62 2026-03-30
58570 CPT Tlh Uterus 250 G Or Less 4 1 — — $8,513.78 $8,513.78 $8,513.78 2026-03-30
58571 CPT Tlh W/t/o 250 G Or Less 8 4 — — $622.56 $8,596.08 $8,449.49 2026-03-30
27486 CPT Revise/replace Knee Joint 2 1 — — $8,377.29 $8,377.29 $8,377.29 2026-03-30
27827 CPT Treat Lower Leg Fracture 5 2 — — $8,214.88 $8,348.04 $8,214.88 2026-03-30
24545 CPT Treat Humerus Fracture 1 1 — — $8,118.61 $8,118.61 $8,118.61 2026-03-30
27479 CPT Surgery To Stop Leg Growth 2 1 — — $8,016.04 $8,016.04 $8,016.04 2026-03-30
49592 CPT Rpr Aa Hrn 1st < 3 Ncr/strn 7 3 — — $7,931.61 $23,058.39 $7,970.75 2026-03-30
27442 CPT Revision Of Knee Joint 4 1 — — $7,863.71 $7,863.71 $7,863.71 2026-03-30
27814 CPT Treatment Of Ankle Fracture 5 2 — — $6,838.84 $7,857.11 $7,857.11 2026-03-30
23455 CPT Repair Shoulder Capsule 4 1 — — $7,857.11 $7,857.11 $7,857.11 2026-03-30
26548 CPT Reconstruct Finger Joint 3 1 — — $7,789.91 $7,789.91 $7,789.91 2026-03-30
29827 CPT Sho Arthrs Srg Rt8tr Cuf Rpr 7 3 — — $2,056.26 $7,726.63 $7,726.63 2026-03-30
47563 CPT Laparo Cholecystectomy/graph 6 2 — — $7,202.69 $7,600.70 $7,600.70 2026-03-30
23550 CPT Optx Acromclv Dislc Aqt/chrn 4 1 — — $7,600.70 $7,600.70 $7,600.70 2026-03-30
27130 CPT Total Hip Arthroplasty 14 8 — — $3,785.41 $8,292.39 $7,534.07 2026-03-30
29888 CPT Knee Arthroscopy/surgery 9 4 — — $4,445.15 $7,970.75 $7,413.66 2026-03-30
27334 CPT Remove Knee Joint Lining 3 1 — — $7,266.08 $7,266.08 $7,266.08 2026-03-30
28297 CPT Cor Hlx Vlgs Jt Arthrd 6 2 — — $6,262.25 $7,262.18 $7,262.18 2026-03-30
29822 CPT Sho Arthrs Srg Lmtd Dbrdmt 11 5 — — $2,091.86 $7,731.35 $7,240.33 2026-03-30
24579 CPT Treat Humerus Fracture 2 1 — — $7,202.69 $7,202.69 $7,202.69 2026-03-30
27447 CPT Total Knee Arthroplasty 13 7 — — $3,720.46 $7,783.45 $7,137.54 2026-03-30
58660 CPT Laparoscopy Lysis 4 1 — — $7,113.11 $7,113.11 $7,113.11 2026-03-30
47562 CPT Laparoscopic Cholecystectomy 13 7 — — $2,388.10 $7,240.33 $7,087.90 2026-03-30
49591 CPT Rpr Aa Hrn 1st < 3 Cm Rdc 7 3 — — $5,374.17 $7,018.06 $7,018.06 2026-03-30
29828 CPT Sho Arthrs Srg Bicp Tenodsis 4 1 — — $6,994.25 $6,994.25 $6,994.25 2026-03-30
52310 CPT Cystoscopy And Treatment 4 2 — — $2,511.87 $6,978.42 $6,978.42 2026-03-30
63661 CPT Remove Spine Eltrd Perq Aray 4 1 — — $6,975.37 $6,975.37 $6,975.37 2026-03-30
49505 CPT Prp I/hern Init Reduc >5 Yr 2 1 — — $6,859.33 $6,859.33 $6,859.33 2026-03-30
44970 CPT Laparoscopy Appendectomy 13 7 — — $5,891.13 $7,322.02 $6,831.50 2026-03-30
28485 CPT Treat Metatarsal Fracture 4 1 — — $6,773.93 $6,773.93 $6,773.93 2026-03-30
27792 CPT Treatment Of Ankle Fracture 4 1 — — $6,750.13 $6,750.13 $6,750.13 2026-03-30
47564 CPT Laparo Cholecystectomy/explr 2 1 — — $6,716.74 $6,716.74 $6,716.74 2026-03-30
27766 CPT Optx Medial Ankle Fx 1 1 — — $6,716.50 $6,716.50 $6,716.50 2026-03-30
28120 CPT Part Removal Of Ankle/heel 6 3 — — $1,492.02 $12,743.44 $6,600.30 2026-03-30
28118 CPT Removal Of Heel Bone 4 1 — — $6,600.30 $6,600.30 $6,600.30 2026-03-30
26735 CPT Treat Finger Fracture Each 5 2 — — $6,600.30 $8,165.08 $6,600.30 2026-03-30
58661 CPT Laparoscopy Remove Adnexa 10 4 — — $5,725.19 $6,978.42 $6,575.10 2026-03-30
27652 CPT Repair/graft Achilles Tendon 4 1 — — $6,529.81 $6,529.81 $6,529.81 2026-03-30
52356 CPT Cysto/uretero W/lithotripsy 12 6 — — $2,069.83 $6,716.50 $6,506.00 2026-03-30
47600 CPT Removal Of Gallbladder 6 2 — — $6,506.00 $6,716.74 $6,506.00 2026-03-30
24575 CPT Treat Humerus Fracture 4 1 — — $6,506.00 $6,506.00 $6,506.00 2026-03-30
24342 CPT Repair Of Ruptured Tendon 9 3 — — $6,165.31 $6,645.92 $6,506.00 2026-03-30
27659 CPT Repair Of Leg Tendon Each 3 1 — — $6,480.33 $6,480.33 $6,480.33 2026-03-30
27756 CPT Treatment Of Tibia Fracture 1 1 — — $6,454.59 $6,454.59 $6,454.59 2026-03-30
C1813 HCPCS Prosthesis, Penile, Inflatab 1 1 — — $6,436.01 $6,436.01 $6,436.01 2026-03-30
28322 CPT Repair Of Metatarsals 1 1 — — $6,420.86 $6,420.86 $6,420.86 2026-03-30
25440 CPT Repair/graft Wrist Bone 3 2 — — $5,394.87 $6,419.21 $6,419.21 2026-03-30
90377 CPT Rabies Ig Ht&sol Human Im/sc 4 1 — — $6,373.76 $6,373.76 $6,373.76 2026-03-30
27698 CPT Repair Of Ankle Ligament 4 1 — — $6,343.90 $6,343.90 $6,343.90 2026-03-30
27650 CPT Repair Achilles Tendon 7 3 — — $2,216.85 $16,402.26 $6,343.90 2026-03-30
29874 CPT Knee Arthroscopy/surgery 6 2 — — $3,649.82 $6,261.88 $6,261.88 2026-03-30
25609 CPT Treat Fx Radial 3+ Frag 6 2 — — $3,545.34 $6,261.88 $6,261.88 2026-03-30
52235 CPT Cystoscopy And Treatment 6 2 — — $5,987.82 $6,261.88 $6,261.88 2026-03-30
26350 CPT Repair Finger/hand Tendon 2 1 — — $6,254.67 $6,254.67 $6,254.67 2026-03-30
64910 CPT Nerve Repair W/allograft 1 1 — — $6,171.49 $6,171.49 $6,171.49 2026-03-30
57250 CPT Repair Rectum & Vagina 2 1 — — $6,165.31 $6,165.31 $6,165.31 2026-03-30
63048 CPT Lam Facetec &foramot Ea Addl 3 2 — — $6,112.98 $9,600.30 $6,112.98 2026-03-30
54600 CPT Reduce Testis Torsion 4 1 — — $6,087.50 $6,087.50 $6,087.50 2026-03-30
26615 CPT Treat Metacarpal Fracture 8 4 — — $2,880.11 $8,931.64 $6,087.50 2026-03-30
26860 CPT Fusion Of Finger Joint 7 2 — — $6,087.50 $6,742.25 $6,087.50 2026-03-30
27676 CPT Repair Lower Leg Tendons 4 1 — — $6,041.56 $6,041.56 $6,041.56 2026-03-30
52234 CPT Cystoscopy And Treatment 2 1 — — $5,987.82 $5,987.82 $5,987.82 2026-03-30
52500 CPT Revision Of Bladder Neck 3 1 — — $5,956.50 $5,956.50 $5,956.50 2026-03-30
24341 CPT Rpr Tdn/musc Upr A/e Each 2 1 — — $5,933.97 $5,933.97 $5,933.97 2026-03-30
24345 CPT Repr Elbw Med Ligmnt W/tissu 7 2 — — $5,831.10 $6,218.42 $5,831.10 2026-03-30
57288 CPT Repair Bladder Defect 4 1 — — $5,797.43 $5,797.43 $5,797.43 2026-03-30
55060 CPT Repair Of Hydrocele 4 1 — — $5,797.43 $5,797.43 $5,797.43 2026-03-30
36561 CPT Insert Tunneled Cv Cath 6 2 — — $5,797.43 $5,956.53 $5,797.43 2026-03-30
30520 CPT Repair Of Nasal Septum 5 2 — — $5,797.43 $9,112.69 $5,797.43 2026-03-30
26850 CPT Fusion Of Knuckle 4 1 — — $5,797.43 $5,797.43 $5,797.43 2026-03-30
26776 CPT Pin Finger Dislocation 4 1 — — $5,755.86 $5,755.86 $5,755.86 2026-03-30
58662 CPT Laparoscopy Excise Lesions 10 4 — — $3,093.94 $6,087.50 $5,672.74 2026-03-30
26715 CPT Treat Knuckle Dislocation 1 1 — — $5,672.74 $5,672.74 $5,672.74 2026-03-30
42821 CPT Remove Tonsils And Adenoids 4 1 — — $5,574.70 $5,574.70 $5,574.70 2026-03-30
29837 CPT Elbow Arthroscopy/surgery 4 1 — — $5,574.70 $5,574.70 $5,574.70 2026-03-30
25448 CPT Arthroplasty, Intercarpal Or Carpometacarpal Joints; Suspension, Including Trans… 6 3 — — $3,956.30 $5,694.59 $5,574.70 2026-03-30
42825 CPT Removal Of Tonsils 4 1 — — $5,574.70 $5,574.70 $5,574.70 2026-03-30
28193 CPT Removal Of Foot Foreign Body 4 1 — — $5,574.70 $5,574.70 $5,574.70 2026-03-30
26650 CPT Treat Thumb Fracture 4 1 — — $5,574.70 $5,574.70 $5,574.70 2026-03-30
20680 CPT Removal Of Implant Deep 13 7 — — $1,109.00 $12,346.51 $5,574.70 2026-03-30
28525 CPT Treat Toe Fracture 4 1 — — $5,553.31 $5,553.31 $5,553.31 2026-03-30
26540 CPT Repair Hand Joint 7 2 — — $5,553.31 $5,694.59 $5,553.31 2026-03-30
28200 CPT Repair Of Foot Tendon 4 1 — — $5,553.31 $5,553.31 $5,553.31 2026-03-30
49320 CPT Diag Laparo Separate Proc 2 1 — — $5,493.85 $5,493.85 $5,493.85 2026-03-30
42820 CPT Remove Tonsils And Adenoids 5 3 — — $5,423.36 $5,694.59 $5,423.36 2026-03-30
24359 CPT Repair Elbow Deb/attch Open 3 1 — — $5,423.36 $5,423.36 $5,423.36 2026-03-30
11043 CPT Dbrdmt Musc&/fsca 1st 20/< 1 1 — — $5,377.82 $5,377.82 $5,377.82 2026-03-30
11042 CPT Dbrdmt Subq Tis 1st 20sqcm/< 6 3 — — $660.60 $7,030.22 $5,316.25 2026-03-30
27422 CPT Revision Of Unstable Kneecap 7 2 — — $4,931.83 $5,316.25 $5,316.25 2026-03-30
26432 CPT Repair Finger Tendon 4 1 — — $5,309.18 $5,309.18 $5,309.18 2026-03-30
29894 CPT Ankle Arthroscopy/surgery 4 1 — — $5,309.18 $5,309.18 $5,309.18 2026-03-30
28008 CPT Incision Of Foot Fascia 6 3 — — $5,309.18 $8,308.41 $5,309.18 2026-03-30
11420 CPT Exc H-f-nk-sp B9+marg 0.5/< 4 1 — — $5,309.18 $5,309.18 $5,309.18 2026-03-30
50590 CPT Fragmenting Of Kidney Stone 13 7 — — $2,637.49 $7,239.62 $5,309.18 2026-03-30
11771 CPT Remove Pilonidal Cyst Exten 1 1 — — $5,298.73 $5,298.73 $5,298.73 2026-03-30
25240 CPT Partial Removal Of Ulna 2 1 — — $5,282.78 $5,282.78 $5,282.78 2026-03-30
52640 CPT Relieve Bladder Contracture 2 1 — — $5,282.78 $5,282.78 $5,282.78 2026-03-30
56800 CPT Repair Of Vagina 2 1 — — $5,262.51 $5,262.51 $5,262.51 2026-03-30
64708 CPT Revise Arm/leg Nerve 2 1 — — $5,262.51 $5,262.51 $5,262.51 2026-03-30
23515 CPT Optx Clavicular Fx W/int Fix 8 4 — — $3,790.61 $8,026.08 $5,191.56 2026-03-30
19125 CPT Excision Breast Lesion 1 1 — — $5,072.13 $5,072.13 $5,072.13 2026-03-30
28080 CPT Removal Of Foot Lesion 5 2 — — $3,491.01 $5,072.13 $5,072.13 2026-03-30
29806 CPT Sho Arthrs Srg Capsulorraphy 10 4 — — $934.46 $6,488.50 $5,069.90 2026-03-30
46220 CPT Excise Anal Ext Tag/papilla 2 1 — — $5,031.17 $5,031.17 $5,031.17 2026-03-30
28122 CPT Partial Removal Of Foot Bone 3 2 — — $5,031.17 $5,744.98 $5,031.17 2026-03-30
63688 CPT Rev/rmv Imp Sp Npg/r Dtch Cn 1 1 — — $4,985.93 $4,985.93 $4,985.93 2026-03-30
27828 CPT Treat Lower Leg Fracture 4 1 — — $4,946.84 $4,946.84 $4,946.84 2026-03-30
25820 CPT Fusion Of Hand Bones 6 2 — — $4,816.45 $9,875.41 $4,816.45 2026-03-30
29882 CPT Knee Arthroscopy/surgery 9 3 — — $4,445.15 $7,482.50 $4,806.52 2026-03-30
49650 CPT Lap Ing Hernia Repair Init 6 3 — — $3,546.76 $6,639.33 $4,771.12 2026-03-30
27427 CPT Reconstruction Knee 1 1 — — $4,658.22 $4,658.22 $4,658.22 2026-03-30
29884 CPT Knee Arthroscopy/surgery 1 1 — — $4,655.10 $4,655.10 $4,655.10 2026-03-30
59151 CPT Treat Ectopic Pregnancy 4 2 — — $4,655.10 $6,226.93 $4,655.10 2026-03-30
19120 CPT Removal Of Breast Lesion 1 1 — — $4,635.82 $4,635.82 $4,635.82 2026-03-30
54520 CPT Removal Of Testis 1 1 — — $4,634.18 $4,634.18 $4,634.18 2026-03-30
23474 CPT Revis Reconst Shoulder Joint 4 1 — — $4,629.17 $4,629.17 $4,629.17 2026-03-30
Q5114 HCPCS Inj Ogivri 10 Mg 4 1 — — $4,623.96 $4,623.96 $4,623.96 2026-03-30
29823 CPT Sho Arthrs Srg Xtnsv Dbrdmt 5 2 — — $513.95 $4,583.88 $4,583.88 2026-03-30
24105 CPT Excision Olecranon Bursa 4 1 — — $4,583.88 $4,583.88 $4,583.88 2026-03-30
11406 CPT Exc Tr-ext B9+marg >4.0 Cm 4 1 — — $4,583.88 $4,583.88 $4,583.88 2026-03-30
29877 CPT Knee Arthroscopy/surgery 6 2 — — $1,940.57 $4,557.09 $4,557.09 2026-03-30
29875 CPT Knee Arthroscopy/surgery 7 3 — — $3,649.82 $4,557.09 $4,557.09 2026-03-30
25607 CPT Treat Fx Rad Extra-articul 6 2 — — $4,425.85 $6,396.65 $4,425.85 2026-03-30
23472 CPT Reconstruct Shoulder Joint 11 7 — — $2,406.87 $9,411.34 $4,408.52 2026-03-30
26990 CPT Drainage Of Pelvis Lesion 3 1 — — $4,393.18 $4,393.18 $4,393.18 2026-03-30
25000 CPT Incision Of Tendon Sheath 8 4 — — $854.61 $5,309.18 $4,347.27 2026-03-30
59812 CPT Treatment Of Miscarriage 4 1 — — $4,298.18 $4,298.18 $4,298.18 2026-03-30
25825 CPT Fuse Hand Bones With Graft 4 1 — — $4,231.31 $4,231.31 $4,231.31 2026-03-30
26418 CPT Repair Finger Tendon 8 3 — — $3,503.55 $5,694.59 $4,223.68 2026-03-30
J0485 HCPCS Belatacept Injection 2 1 — — $4,154.45 $4,154.45 $4,154.45 2026-03-30
52332 CPT Cystoscopy And Treatment 10 4 — — $1,762.63 $4,561.43 $4,095.63 2026-03-30
54162 CPT Lysis Penil Circumic Lesion 4 1 — — $4,095.63 $4,095.63 $4,095.63 2026-03-30
52353 CPT Cystouretero W/lithotripsy 4 1 — — $4,095.63 $4,095.63 $4,095.63 2026-03-30
23071 CPT Exc Shoulder Les Sc 3 Cm/> 1 1 — — $4,084.52 $4,084.52 $4,084.52 2026-03-30
63664 CPT Revise Spine Eltrd Plate 4 1 — — $4,062.97 $4,062.97 $4,062.97 2026-03-30
29881 CPT Knee Arthroscopy/surgery 12 6 — — $559.97 $4,183.71 $4,044.29 2026-03-30
27301 CPT Drain Thigh/knee Lesion 6 2 — — $3,589.53 $4,044.29 $4,044.29 2026-03-30
26011 CPT Drainage Of Finger Abscess 4 1 — — $4,044.29 $4,044.29 $4,044.29 2026-03-30
52601 CPT Prostatectomy (turp) 7 3 — — $758.00 $4,022.07 $4,022.07 2026-03-30
C1778 HCPCS Lead, Neurostimulator 11 6 — — $1,566.40 $7,056.00 $3,961.00 2026-03-30
27635 CPT Remove Lower Leg Bone Lesion 3 1 — — $3,934.33 $3,934.33 $3,934.33 2026-03-30
24366 CPT Reconstruct Head Of Radius 4 1 — — $3,926.96 $3,926.96 $3,926.96 2026-03-30
24666 CPT Treat Radius Fracture 2 1 — — $3,892.35 $3,892.35 $3,892.35 2026-03-30
29824 CPT Sho Arthrs Srg Dstl Claviclc 2 1 — — $3,881.16 $3,881.16 $3,881.16 2026-03-30
35207 CPT Repair Blood Vessel Lesion 3 1 — — $3,869.35 $3,869.35 $3,869.35 2026-03-30
29870 CPT Knee Arthroscopy Dx 9 3 — — $3,851.50 $3,881.16 $3,869.35 2026-03-30
28039 CPT Exc Foot/toe Tum Sc 1.5 Cm/> 3 1 — — $3,869.35 $3,869.35 $3,869.35 2026-03-30
52005 CPT Cystoscopy & Ureter Catheter 5 2 — — $2,637.49 $3,851.50 $3,851.50 2026-03-30
59820 CPT Care Of Miscarriage 5 2 — — $3,684.96 $3,851.50 $3,851.50 2026-03-30
29880 CPT Knee Arthroscopy/surgery 4 1 — — $3,851.50 $3,851.50 $3,851.50 2026-03-30
29873 CPT Knee Arthroscopy/surgery 6 2 — — $3,851.50 $4,561.43 $3,851.50 2026-03-30
11044 CPT Dbrdmt Bone 1st 20 Sq Cm/< 4 1 — — $3,851.50 $3,851.50 $3,851.50 2026-03-30
26952 CPT Amputation Of Finger/thumb 5 2 — — $3,665.70 $3,851.50 $3,851.50 2026-03-30
26951 CPT Amputation Of Finger/thumb 5 2 — — $3,665.70 $3,851.50 $3,851.50 2026-03-30
25275 CPT Repair Forearm Tendon Sheath 4 1 — — $3,851.50 $3,851.50 $3,851.50 2026-03-30
64718 CPT Revise Ulnar Nerve At Elbow 9 5 — — $646.73 $3,963.51 $3,851.50 2026-03-30
C9352 HCPCS Neuragen Nerve Guide, Per Cm 1 1 — — $3,838.38 $3,838.38 $3,838.38 2026-03-30
28735 CPT Fusion Of Foot Bones 1 1 — — $3,835.94 $3,835.94 $3,835.94 2026-03-30
27612 CPT Exploration Of Ankle Joint 1 1 — — $3,830.04 $3,830.04 $3,830.04 2026-03-30
58563 CPT Hysteroscopy Ablation 7 3 — — $3,649.82 $4,141.40 $3,787.89 2026-03-30
59320 CPT Revision Of Cervix 5 2 — — $3,787.89 $3,869.35 $3,787.89 2026-03-30
26123 CPT Release Palm Contracture 4 1 — — $3,787.89 $3,787.89 $3,787.89 2026-03-30
25111 CPT Remove Wrist Tendon Lesion 11 5 — — $1,736.82 $4,075.48 $3,684.96 2026-03-30
28060 CPT Partial Removal Foot Fascia 2 1 — — $3,649.82 $3,649.82 $3,649.82 2026-03-30
25608 CPT Treat Fx Rad Intra-articul 6 2 — — $3,314.00 $3,643.62 $3,643.62 2026-03-30
58558 CPT Hysteroscopy Biopsy 7 3 — — $3,297.07 $3,832.51 $3,607.38 2026-03-30
52224 CPT Cystoscopy And Treatment 5 2 — — $2,053.22 $3,607.38 $3,607.38 2026-03-30
64581 CPT Opn Impltj Nea Sacral Nerve 5 2 — — $3,266.19 $3,599.29 $3,599.29 2026-03-30
11422 CPT Exc H-f-nk-sp B9+marg 1.1-2 1 1 — — $3,523.15 $3,523.15 $3,523.15 2026-03-30
25575 CPT Treat Fracture Radius/ulna 4 1 — — $3,468.34 $3,468.34 $3,468.34 2026-03-30
54161 CPT Circum 28 Days Or Older 4 1 — — $3,443.97 $3,443.97 $3,443.97 2026-03-30
63650 CPT Implant Neuroelectrodes 11 6 — — $1,458.42 $7,131.33 $3,411.96 2026-03-30
63685 CPT Ins/rplc Spi Npg/rcvr Pocket 6 3 — — $2,142.93 $3,411.96 $3,411.96 2026-03-30
27385 CPT Repair Of Thigh Muscle 4 1 — — $3,378.94 $3,378.94 $3,378.94 2026-03-30
25605 CPT Treat Fracture Radius/ulna 7 3 — — $3,352.84 $3,641.36 $3,352.84 2026-03-30
25505 CPT Treat Fracture Of Radius 4 1 — — $3,352.84 $3,352.84 $3,352.84 2026-03-30
C9362 HCPCS Implnt,bon Void Filler-strip 5 2 — — $164.56 $3,352.65 $3,352.65 2026-03-30
L8680 HCPCS Implt Neurostim Elctr Each 4 1 — — $3,325.87 $3,325.87 $3,325.87 2026-03-30
J1950 HCPCS Leuprolide Acetate /3.75 Mg 5 2 — — $3,216.60 $3,323.82 $3,323.82 2026-03-30
54410 CPT Remove/replace Penis Prosth 1 1 — — $3,320.37 $3,320.37 $3,320.37 2026-03-30
52630 CPT Remove Prostate Regrowth 4 1 — — $3,316.85 $3,316.85 $3,316.85 2026-03-30
64772 CPT Incision Of Spinal Nerve 2 1 — — $3,314.00 $3,314.00 $3,314.00 2026-03-30
29848 CPT Wrist Endoscopy/surgery 14 8 — — $1,648.53 $3,531.49 $3,294.76 2026-03-30
49651 CPT Lap Ing Hernia Repair Recur 4 1 — — $3,261.40 $3,261.40 $3,261.40 2026-03-30
28805 CPT Amputation Thru Metatarsal 4 1 — — $3,258.92 $3,258.92 $3,258.92 2026-03-30
26370 CPT Repair Finger/hand Tendon 4 1 — — $3,251.71 $3,251.71 $3,251.71 2026-03-30
77049 CPT MRI Breast C-+ W/cad Bi 11 6 — — $1,595.53 $3,444.89 $3,211.76 2026-03-30
28035 CPT Decompression Of Tibia Nerve 1 1 — — $3,204.87 $3,204.87 $3,204.87 2026-03-30
62362 CPT Implant Spine Infusion Pump 4 1 — — $3,198.42 $3,198.42 $3,198.42 2026-03-30
Q5107 HCPCS Inj Mvasi 10 Mg 4 1 — — $3,188.96 $3,188.96 $3,188.96 2026-03-30
64590 CPT Ins/rpl Prph Sac/gstr Npg/r 8 3 — — $306.98 $3,338.90 $3,184.42 2026-03-30
70553 CPT MRI Brain Stem Without & With Contrast 15 9 — — $1,454.81 $3,393.21 $3,163.58 2026-03-30
24505 CPT Treat Humerus Fracture 1 1 — — $3,154.52 $3,154.52 $3,154.52 2026-03-30
55700 CPT Biopsy Of Prostate 14 8 — — $1,366.65 $3,491.25 $3,151.32 2026-03-30
52648 CPT Laser Surgery Of Prostate 9 5 — — $2,924.11 $6,319.17 $3,138.51 2026-03-30
58350 CPT Reopen Fallopian Tube 2 1 — — $3,093.94 $3,093.94 $3,093.94 2026-03-30
95972 CPT Alys Cplx Sp/pn Npgt W/prgrm 1 1 — — $3,029.94 $3,029.94 $3,029.94 2026-03-30
14040 CPT Tis Trnfr F/c/c/m/n/a/g/h/f 2 1 — — $3,005.85 $3,005.85 $3,005.85 2026-03-30
25116 CPT Remove Wrist/forearm Lesion 6 2 — — $2,994.60 $3,649.82 $2,994.60 2026-03-30
27640 CPT Partial Removal Of Tibia 1 1 — — $2,984.06 $2,984.06 $2,984.06 2026-03-30
S9034 HCPCS Eswl For Gallstones 1 1 — — $2,885.40 $2,885.40 $2,885.40 2026-03-30
27618 CPT Exc Leg/ankle Tum < 3 Cm 1 1 — — $2,880.11 $2,880.11 $2,880.11 2026-03-30
25118 CPT Excise Wrist Tendon Sheath 4 1 — — $2,877.26 $2,877.26 $2,877.26 2026-03-30
26111 CPT Exc Hand Les Sc 1.5 Cm/> 4 1 — — $2,830.88 $2,830.88 $2,830.88 2026-03-30
70552 CPT MRI Brain Stem With Contrast 2 1 — — $2,815.22 $2,815.22 $2,815.22 2026-03-30
95810 CPT Polysom 6/> Yrs 4/> Param 13 7 — — $1,386.57 $3,143.46 $2,777.24 2026-03-30
46270 CPT Remove Anal Fist Subq 2 1 — — $2,746.92 $2,746.92 $2,746.92 2026-03-30
46050 CPT Incision Of Anal Abscess 2 1 — — $2,746.92 $2,746.92 $2,746.92 2026-03-30
58555 CPT Hysteroscopy Dx Sep Proc 4 1 — — $2,742.85 $2,742.85 $2,742.85 2026-03-30
56620 CPT Partial Removal Of Vulva 4 1 — — $2,742.85 $2,742.85 $2,742.85 2026-03-30
70498 CPT CT Angiography Neck 13 7 — — $672.96 $2,905.96 $2,709.28 2026-03-30
J1930 HCPCS Lanreotide Injection 4 1 — — $2,692.45 $2,692.45 $2,692.45 2026-03-30
28285 CPT Repair Of Hammertoe 5 2 — — $2,677.12 $5,423.36 $2,677.12 2026-03-30
11750 CPT Removal Of Nail Bed 2 2 — — $2,055.33 $3,297.07 $2,676.20 2026-03-30
53854 CPT Trurl Dstrj Prst8 Tiss Rf Wv 4 1 — — $2,673.72 $2,673.72 $2,673.72 2026-03-30
64784 CPT Remove Nerve Lesion 2 1 — — $2,631.25 $2,631.25 $2,631.25 2026-03-30
52354 CPT Cystouretero W/biopsy 1 1 — — $2,627.37 $2,627.37 $2,627.37 2026-03-30
13160 CPT Sec Clsr Surg Wnd/dehsn Xtn 7 3 — — $2,575.68 $7,292.20 $2,575.68 2026-03-30
71550 CPT MRI Chest Without Contrast 3 1 — — $2,561.87 $2,561.87 $2,561.87 2026-03-30
45330 CPT Diagnostic Sigmoidoscopy 1 1 — — $2,538.30 $2,538.30 $2,538.30 2026-03-30
64790 CPT Removal Of Nerve Lesion 1 1 — — $2,535.89 $2,535.89 $2,535.89 2026-03-30
L8689 HCPCS Dme Pos 9 4 — — $1,188.00 $2,511.00 $2,511.00 2026-03-30
38505 CPT Needle Biopsy Lymph Nodes 4 1 — — $2,502.44 $2,502.44 $2,502.44 2026-03-30
24538 CPT Treat Humerus Fracture 5 2 — — $2,486.45 $3,404.34 $2,486.45 2026-03-30
19083 CPT Bx Breast 1st Lesion US Imag 7 3 — — $2,260.80 $2,394.24 $2,385.73 2026-03-30
27603 CPT Drain Lower Leg Lesion 1 1 — — $2,380.51 $2,380.51 $2,380.51 2026-03-30
55250 CPT Removal Of Sperm Duct(s) 8 4 — — $2,000.04 $4,131.27 $2,367.97 2026-03-30
46255 CPT Remove Int/ext Hem 1 Group 4 1 — — $2,352.05 $2,352.05 $2,352.05 2026-03-30
70551 CPT MRI Brain Stem Without Contrast 14 8 — — $1,130.01 $2,561.87 $2,349.90 2026-03-30
27884 CPT Amputation Follow-up Surgery 4 1 — — $2,349.65 $2,349.65 $2,349.65 2026-03-30
55150 CPT Removal Of Scrotum 1 1 — — $2,312.21 $2,312.21 $2,312.21 2026-03-30
27687 CPT Revision Of Calf Tendon 2 1 — — $2,216.86 $2,216.86 $2,216.86 2026-03-30
28119 CPT Removal Of Heel Spur 2 1 — — $2,216.85 $2,216.85 $2,216.85 2026-03-30
26765 CPT Treat Finger Fracture Each 4 1 — — $2,183.93 $2,183.93 $2,183.93 2026-03-30
11012 CPT Deb Skin Bone At Fx Site 4 1 — — $2,182.66 $2,182.66 $2,182.66 2026-03-30
71270 CPT CT Thorax Dx C-/c+ 5 2 — — $959.07 $2,128.49 $2,128.49 2026-03-30
27570 CPT Fixation Of Knee Joint 5 2 — — $1,055.08 $2,123.84 $2,123.84 2026-03-30
23700 CPT Mnpj Anes Sho Jt Fixj Aprats 7 2 — — $2,123.84 $2,278.01 $2,123.84 2026-03-30
81342 CPT Trg Gene Rearrangement Anal 1 1 — — $2,070.00 $2,070.00 $2,070.00 2026-03-30
64721 CPT Carpal Tunnel Surgery 11 5 — — $1,835.85 $3,418.47 $2,065.63 2026-03-30
28820 CPT Amputation Of Toe 6 2 — — $2,059.03 $3,881.16 $2,059.03 2026-03-30
28124 CPT Partial Removal Of Toe 4 1 — — $2,056.93 $2,056.93 $2,056.93 2026-03-30
74160 CPT CT Abdomen With Contrast 4 1 — — $2,005.64 $2,005.64 $2,005.64 2026-03-30
74170 CPT CT Abdomen Without & With Contrast 9 4 — — $1,027.49 $2,033.57 $1,990.76 2026-03-30
20103 CPT Explore Wound Extremity 1 1 — — $1,981.75 $1,981.75 $1,981.75 2026-03-30
93306 CPT Tte W/doppler Complete 14 8 — — $932.48 $2,279.72 $1,976.95 2026-03-30
25215 CPT Removal Of Wrist Bones 3 1 — — $1,974.04 $1,974.04 $1,974.04 2026-03-30
25447 CPT Repair Wrist Joints 4 2 — — $1,974.03 $5,423.36 $1,974.03 2026-03-30
25001 CPT Incise Flexor Carpi Radialis 4 1 — — $1,971.90 $1,971.90 $1,971.90 2026-03-30
26080 CPT Explore/treat Finger Joint 1 1 — — $1,967.17 $1,967.17 $1,967.17 2026-03-30
15275 CPT Skin Sub Graft Face/nk/hf/g 1 1 — — $1,946.46 $1,946.46 $1,946.46 2026-03-30
28160 CPT Partial Removal Of Toe 1 1 — — $1,937.72 $1,937.72 $1,937.72 2026-03-30
26055 CPT Incise Finger Tendon Sheath 11 5 — — $1,670.81 $4,814.76 $1,929.19 2026-03-30
26160 CPT Remove Tendon Sheath Lesion 6 3 — — $1,928.55 $5,368.45 $1,928.55 2026-03-30
74150 CPT CT Abdomen Without Contrast 5 2 — — $912.04 $1,894.97 $1,894.97 2026-03-30
70480 CPT CT Orbit/ear/fossa Without Contrast 7 3 — — $1,710.16 $1,894.97 $1,894.97 2026-03-30
70487 CPT CT Maxillofacial With Contrast 8 4 — — $1,785.53 $1,919.71 $1,888.74 2026-03-30
99291 CPT Critical Care First Hour 14 8 — — $1,634.82 $4,128.27 $1,872.62 2026-03-30
70496 CPT CT Angiography Head 14 8 — — $884.00 $2,058.62 $1,859.19 2026-03-30
73201 CPT CT Upper Extremity With Contrast 3 1 — — $1,858.20 $1,858.20 $1,858.20 2026-03-30
23430 CPT Repair Biceps Tendon 11 5 — — $1,109.00 $4,183.71 $1,830.07 2026-03-30
J1750 HCPCS Inj Iron Dextran 11 5 — — $962.36 $2,439.00 $1,826.55 2026-03-30
85240 CPT Clot Factor Viii Ahg 1 Stage 7 2 — — $1,804.67 $1,935.72 $1,804.67 2026-03-30
70490 CPT CT Soft Tissue Neck Without Contrast 7 4 — — $1,669.62 $1,833.69 $1,795.09 2026-03-30
70491 CPT CT Soft Tissue Neck With Contrast 10 4 — — $1,010.71 $2,020.27 $1,784.90 2026-03-30
49082 CPT Abd Paracentesis 3 2 — — $1,771.68 $1,909.79 $1,771.68 2026-03-30
71260 CPT CT Thorax Dx C+ 15 9 — — $903.72 $2,048.77 $1,745.82 2026-03-30
70486 CPT CT Maxillofacial Without Contrast 12 6 — — $824.21 $1,868.56 $1,742.08 2026-03-30
50391 CPT Instll Rx Agnt Into Rnal Tub 4 1 — — $1,736.82 $1,736.82 $1,736.82 2026-03-30
29826 CPT Sho Arthrs Srg Decompression 9 3 — — $915.04 $7,726.63 $1,726.30 2026-03-30
73720 CPT MRI Lwr Extremity W/O&with Contrast 11 5 — — $1,239.16 $3,418.01 $1,705.55 2026-03-30
24071 CPT Exc Arm/elbow Les Sc 3 Cm/> 1 1 — — $1,648.22 $1,648.22 $1,648.22 2026-03-30
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