Hospital

COULEE MEDICAL CENTER

Grand Coulee, WA · CCN 501308 · Rates published

19,339 distinct procedures filed

43 distinct payers

545,594 rate rows

2026-05-13 last MRF observed

Data quality

293,895 of 545,594 rate rows are consumer-grade (53.9%)

251,699 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	234,052
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only	14,573
per-diem day rate — not a per-procedure price	3,068
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	6

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

Source MRF file	https://couleemedical.goredde.com/Estimator/Files/91-1557904_Coulee_Medical_Center_standardcharges.csv
Found on page	https://couleemedical.goredde.com/Estimator/Location.aspx
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-09-20
Content fingerprint	5eaeb6f3f6107d9c… · 101,450,557 bytes · first seen 2026-05-08

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
Q0480 HCPCS	Dme Pos	21	$99,999.91	$99,999.91	$99,999.91	nat. median $108,243 0.9× median
A9543 HCPCS	Y90 Ibritumomab, Rx	21	$70,418.21	$70,418.21	$70,418.21	nat. median $65,477 1.1× median
J2350 HCPCS	Ocrelizumab 300 Mg/10 Ml IV Soln [cch]	21	$15,146.32	$60,585.29	$54,526.76	nat. median $133 outlier · 410.1×
27880 CPT	Amputation, Leg, Through Tibia And Fibula; ProFee	43	$508.48	$46,315.50	$41,683.95	nat. median $4,366 outlier · 9.5×
20692 CPT	Application Of A Multiplane (pins Or Wires In More Than 1 Plane), Unilateral, Ex…	43	$652.35	$31,298.40	$28,168.56	nat. median $8,004 outlier · 3.5×
J1930 HCPCS	Lanreotide 120 Mg/0.5 Ml Sub-q Soln [cch]	21	$7,714.00	$30,856.01	$27,770.41	nat. median $261 outlier · 106.3×
J3380 HCPCS	Vedolizumab 300 Mg Inj Vial [cch]	21	$6,861.69	$27,446.79	$24,702.11	nat. median $59 outlier · 420.1×
49010 CPT	Exploration, Retroperitoneal Area With Or Without Biopsy(s) (separate Procedure)…	43	$520.82	$26,188.05	$23,569.24	nat. median $5,220 outlier · 4.5×
J3101 HCPCS	Tenecteplase 50 Mg Powder Kit [cch]	21	$6,131.00	$24,524.00	$22,071.60	nat. median $498 outlier · 44.3×
Q0483 HCPCS	Dme Pos	21	$21,027.58	$21,027.58	$21,027.58	nat. median $22,635 0.9× median
44603 CPT	Suture Of Small Intestine (enterorrhaphy) For Perforated Ulcer, Diverticulum, Wo…	43	$913.71	$22,234.80	$20,011.32	nat. median $2,903 outlier · 6.9×
J2506 HCPCS	Pegfilgrastim 6 Mg/0.6 Ml SubQ Inj Syringe [cch]	21	$5,177.82	$20,711.30	$18,640.17	nat. median $916 outlier · 20.4×
Q0489 HCPCS	Dme Pos	21	$18,229.76	$18,229.76	$18,229.76	nat. median $19,623 0.9× median
44661 CPT	Closure Of Enterovesical Fistula; With Intestine And/or Bladder Resection ProFee	43	$872.52	$19,280.10	$17,352.09	nat. median $2,756 outlier · 6.3×
Q0481 HCPCS	Dme Pos	21	$16,296.36	$16,296.36	$16,296.36	nat. median $16,720 1.0× median
49204 CPT	Excision Or Destruction, Open, Intra-abdominal Tumors, Cysts Or Endometriomas, 1…	36	$864.93	$18,420.15	$15,933.43	nat. median $5,505 outlier · 2.9×
44602 CPT	Suture Of Small Intestine (enterorrhaphy) For Perforated Ulcer, Diverticulum, Wo…	43	$793.95	$17,427.90	$15,685.11	nat. median $3,962 outlier · 4.0×
27654 CPT	Repair, Secondary, Achilles Tendon, With Or Without Graft ProFee	43	$417.19	$17,097.15	$15,387.43	nat. median $7,221 outlier · 2.1×
27405 CPT	Repair, Primary, Torn Ligament And/or Capsule, Knee; Collateral ProFee	43	$396.31	$17,096.10	$15,386.49	nat. median $6,466 outlier · 2.4×
27829 CPT	Open Treatment Of Distal Tibiofibular Joint (syndesmosis) Disruption, Includes I…	43	$416.81	$17,096.10	$15,386.49	nat. median $6,837 outlier · 2.3×
23515 CPT	Open Treatment Of Clavicular Fracture, Includes Internal Fixation, When Performe…	43	$422.50	$17,096.10	$15,386.49	nat. median $7,165 outlier · 2.1×
27700 CPT	Arthroplasty, Ankle; ProFee	43	$355.88	$17,096.10	$15,386.49	nat. median $7,011 outlier · 2.2×
29888 CPT	Arthroscopically Aided Anterior Cruciate Ligament Repair/augmentation Or Reconst…	43	$565.61	$17,096.10	$15,386.49	nat. median $7,221 outlier · 2.1×
27524 CPT	Open Treatment Of Patellar Fracture, With Internal Fixation And/or Partial Or Co…	43	$440.34	$17,095.05	$15,385.54	nat. median $7,141 outlier · 2.2×
29807 CPT	Arthroscopy, Shoulder, Surgical; Repair Of Slap Lesion ProFee	43	$601.30	$17,095.05	$15,385.54	nat. median $7,073 outlier · 2.2×
27695 CPT	Repair, Primary, Disrupted Ligament, Ankle; Collateral ProFee	43	$284.14	$17,095.05	$15,385.54	nat. median $6,613 outlier · 2.3×
J3111 HCPCS	Romosozumab 2 Syringe Kit 105 Mg/1.17 Ml Per Syringe [cch]	21	$4,040.01	$16,160.04	$14,544.04	nat. median $19 outlier · 765.5×
44130 CPT	Enteroenterostomy, Anastomosis Of Intestine, With Or Without Cutaneous Enterosto…	43	$746.31	$15,587.25	$14,028.52	nat. median $2,810 outlier · 5.0×
J1162 HCPCS	Digoxin Immune Fab 40 Mg Inj [cch]	21	$3,787.18	$15,148.73	$13,633.85	nat. median $6,265 outlier · 2.2×
J0717 HCPCS	Certolizumab 200 Mg Kit [cch]	21	$3,735.78	$14,943.15	$13,448.84	nat. median $29 outlier · 463.4×
Q0479 HCPCS	Dme Pos	21	$13,427.75	$13,427.75	$13,427.75	nat. median $14,835 0.9× median
44160 CPT	Colectomy, Partial, With Removal Of Terminal Ileum With Ileocolostomy ProFee	43	$704.55	$14,726.25	$13,253.62	nat. median $3,388 outlier · 3.9×
58573 CPT	Laparoscopy, Surgical, With Total Hysterectomy, For Uterus Greater Than 250 G; W…	43	$700.37	$14,205.45	$12,784.90	nat. median $10,411 1.2× median
58570 CPT	Laparoscopy, Surgical, With Total Hysterectomy, For Uterus 250 G Or Less; ProFee	43	$466.92	$13,022.10	$11,719.89	nat. median $9,932 1.2× median
49561 CPT	Repair Initial Incisional Or Ventral Hernia; Incarcerated Or Strangulated ProFee	36	$3,036.07	$12,144.30	$11,719.24	nat. median $2,931 outlier · 4.0×
90375 CPT	Rabies Ig Im/sc	1	$11,597.94	$11,597.94	$11,597.94	nat. median $789 outlier · 14.7×
44960 CPT	Appendectomy; For Ruptured Appendix With Abscess Or Generalized Peritonitis ProF…	43	$498.99	$11,449.20	$10,304.28	nat. median $2,862 outlier · 3.6×
J0840 HCPCS	Antivenin - Crotalidae (Crofab) Vial [cch]	21	$2,580.35	$10,321.42	$9,289.28	nat. median $3,496 outlier · 2.7×
58542 CPT	Laparoscopy, Surgical, Supracervical Hysterectomy, For Uterus 250 G Or Less; Wit…	43	$480.01	$10,212.30	$9,191.07	nat. median $9,795 0.9× median
49402 CPT	Removal Of Peritoneal Foreign Body From Peritoneal Cavity ProFee	43	$486.28	$9,934.05	$8,940.64	nat. median $3,766 outlier · 2.4×
J2426 HCPCS	Paliperidone 234 Mg/1.5 Ml Syringe [cch]	21	$2,157.90	$25,889.88	$8,545.31	nat. median $2,528 outlier · 3.4×
49525 CPT	Repair Inguinal Hernia, Sliding, Any Age ProFee	43	$329.50	$9,374.40	$8,436.96	nat. median $3,791 outlier · 2.2×
15273 CPT	Application Of Skin Substitute Graft To Trunk, Arms, Legs, Total Wound Surface A…	43	$182.78	$9,320.85	$8,388.76	nat. median $2,471 outlier · 3.4×
44204 CPT	Laparoscopy, Surgical; Colectomy, Partial, With Anastomosis ProFee	43	$1,486.66	$9,315.60	$8,384.04	nat. median $4,854 1.7× median
27822 CPT	Open Treatment Of Trimalleolar Ankle Fracture, Includes Internal Fixation, When…	43	$513.61	$9,145.50	$8,230.95	nat. median $7,082 1.2× median
27792 CPT	Open Treatment Of Distal Fibular Fracture (lateral Malleolus), Includes Internal…	43	$378.28	$9,110.85	$8,199.76	nat. median $7,254 1.1× median
27814 CPT	Open Treatment Of Bimalleolar Ankle Fracture (eg, Lateral And Medial Malleoli, O…	43	$446.80	$8,925.00	$8,032.50	nat. median $7,169 1.1× median
59622 CPT	Cesarean Delivery Only, Following Attempted Vaginal Delivery After Previous Cesa…	43	$1,176.26	$8,551.20	$7,696.08	nat. median $2,350 outlier · 3.3×
57120 CPT	Colpocleisis (le Fort Type) ProFee	43	$309.19	$8,520.75	$7,668.67	nat. median $5,067 1.5× median
59618 CPT	Routine Obstetric Care Including Antepartum Care, Cesarean Delivery, And Postpar…	43	$2,348.14	$8,482.95	$7,634.65	nat. median $2,932 outlier · 2.6×

Other procedures at this hospital

Browse this hospital's 19,339 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

Q0480	HCPCS	Dme Pos	23	21	—	—	$99,999.91	$99,999.91	$99,999.91	2026-01-21
A9543	HCPCS	Y90 Ibritumomab, Rx	23	21	—	—	$70,418.21	$70,418.21	$70,418.21	2026-01-21
J2350	HCPCS	Ocrelizumab 300 Mg/10 Ml IV Soln [cch]	23	21	$60,585.30	$54,526.77	$15,146.32	$60,585.29	$54,526.76	2026-01-21
27880	CPT	Amputation, Leg, Through Tibia And Fibula; ProFee	59	43	$46,315.50	$41,683.95	$508.48	$46,315.50	$41,683.95	2026-05-13
20692	CPT	Application Of A Multiplane (pins Or Wires In More Than 1 Plane), Unilateral, Ex…	59	43	$31,298.40	$28,168.56	$652.35	$31,298.40	$28,168.56	2026-05-13
J1930	HCPCS	Lanreotide 120 Mg/0.5 Ml Sub-q Soln [cch]	23	21	$30,856.01	$27,770.41	$7,714.00	$30,856.01	$27,770.41	2026-01-21
J3380	HCPCS	Vedolizumab 300 Mg Inj Vial [cch]	23	21	$27,446.80	$24,702.12	$6,861.69	$27,446.79	$24,702.11	2026-01-21
49010	CPT	Exploration, Retroperitoneal Area With Or Without Biopsy(s) (separate Procedure)…	59	43	$26,188.05	$23,569.24	$520.82	$26,188.05	$23,569.24	2026-05-13
J3101	HCPCS	Tenecteplase 50 Mg Powder Kit [cch]	23	21	$24,524.00	$22,071.60	$6,131.00	$24,524.00	$22,071.60	2026-01-21
Q0483	HCPCS	Dme Pos	23	21	—	—	$21,027.58	$21,027.58	$21,027.58	2026-01-21
44603	CPT	Suture Of Small Intestine (enterorrhaphy) For Perforated Ulcer, Diverticulum, Wo…	59	43	$22,234.80	$20,011.32	$913.71	$22,234.80	$20,011.32	2026-05-13
J2506	HCPCS	Pegfilgrastim 6 Mg/0.6 Ml SubQ Inj Syringe [cch]	23	21	$20,711.30	$18,640.17	$5,177.82	$20,711.30	$18,640.17	2026-01-21
Q0489	HCPCS	Dme Pos	23	21	—	—	$18,229.76	$18,229.76	$18,229.76	2026-01-21
44661	CPT	Closure Of Enterovesical Fistula; With Intestine And/or Bladder Resection ProFee	59	43	$19,280.10	$17,352.09	$872.52	$19,280.10	$17,352.09	2026-05-13
Q0481	HCPCS	Dme Pos	23	21	—	—	$16,296.36	$16,296.36	$16,296.36	2026-01-21
49204	CPT	Excision Or Destruction, Open, Intra-abdominal Tumors, Cysts Or Endometriomas, 1…	36	36	$18,420.15	$16,578.13	$864.93	$18,420.15	$15,933.43	2026-05-13
44602	CPT	Suture Of Small Intestine (enterorrhaphy) For Perforated Ulcer, Diverticulum, Wo…	59	43	$17,427.90	$15,685.11	$793.95	$17,427.90	$15,685.11	2026-05-13
27654	CPT	Repair, Secondary, Achilles Tendon, With Or Without Graft ProFee	59	43	$17,097.15	$15,387.43	$417.19	$17,097.15	$15,387.43	2026-05-13
29888	CPT	Arthroscopically Aided Anterior Cruciate Ligament Repair/augmentation Or Reconst…	59	43	$17,096.10	$15,386.49	$565.61	$17,096.10	$15,386.49	2026-05-13
27829	CPT	Open Treatment Of Distal Tibiofibular Joint (syndesmosis) Disruption, Includes I…	59	43	$17,096.10	$15,386.49	$416.81	$17,096.10	$15,386.49	2026-05-13
23515	CPT	Open Treatment Of Clavicular Fracture, Includes Internal Fixation, When Performe…	59	43	$17,096.10	$15,386.49	$422.50	$17,096.10	$15,386.49	2026-05-13
27405	CPT	Repair, Primary, Torn Ligament And/or Capsule, Knee; Collateral ProFee	59	43	$17,096.10	$15,386.49	$396.31	$17,096.10	$15,386.49	2026-05-13
27700	CPT	Arthroplasty, Ankle; ProFee	59	43	$17,096.10	$15,386.49	$355.88	$17,096.10	$15,386.49	2026-05-13
27524	CPT	Open Treatment Of Patellar Fracture, With Internal Fixation And/or Partial Or Co…	59	43	$17,095.05	$15,385.55	$440.34	$17,095.05	$15,385.54	2026-05-13
27695	CPT	Repair, Primary, Disrupted Ligament, Ankle; Collateral ProFee	59	43	$17,095.05	$15,385.55	$284.14	$17,095.05	$15,385.54	2026-05-13
29807	CPT	Arthroscopy, Shoulder, Surgical; Repair Of Slap Lesion ProFee	59	43	$17,095.05	$15,385.55	$601.30	$17,095.05	$15,385.54	2026-05-13
J3111	HCPCS	Romosozumab 2 Syringe Kit 105 Mg/1.17 Ml Per Syringe [cch]	23	21	$16,160.05	$14,544.04	$4,040.01	$16,160.04	$14,544.04	2026-01-21
44130	CPT	Enteroenterostomy, Anastomosis Of Intestine, With Or Without Cutaneous Enterosto…	59	43	$15,587.25	$14,028.52	$746.31	$15,587.25	$14,028.52	2026-05-13
J1162	HCPCS	Digoxin Immune Fab 40 Mg Inj [cch]	23	21	$15,148.73	$13,633.86	$3,787.18	$15,148.73	$13,633.85	2026-01-21
J0717	HCPCS	Certolizumab 200 Mg Kit [cch]	23	21	$14,943.16	$13,448.84	$3,735.78	$14,943.15	$13,448.84	2026-01-21
Q0479	HCPCS	Dme Pos	23	21	—	—	$13,427.75	$13,427.75	$13,427.75	2026-01-21
44160	CPT	Colectomy, Partial, With Removal Of Terminal Ileum With Ileocolostomy ProFee	59	43	$14,726.25	$13,253.63	$704.55	$14,726.25	$13,253.62	2026-05-13
58573	CPT	Laparoscopy, Surgical, With Total Hysterectomy, For Uterus Greater Than 250 G; W…	59	43	$14,205.45	$12,784.91	$700.37	$14,205.45	$12,784.90	2026-05-13
58570	CPT	Laparoscopy, Surgical, With Total Hysterectomy, For Uterus 250 G Or Less; ProFee	59	43	$13,022.10	$11,719.89	$466.92	$13,022.10	$11,719.89	2026-05-13
49561	CPT	Repair Initial Incisional Or Ventral Hernia; Incarcerated Or Strangulated ProFee	36	36	$12,144.30	$10,929.87	$3,036.07	$12,144.30	$11,719.24	2026-05-13
90375	CPT	Rabies Ig Im/sc	1	1	—	—	$11,597.94	$11,597.94	$11,597.94	2026-01-21
44960	CPT	Appendectomy; For Ruptured Appendix With Abscess Or Generalized Peritonitis ProF…	59	43	$11,449.20	$10,304.28	$498.99	$11,449.20	$10,304.28	2026-05-13
J0840	HCPCS	Antivenin - Crotalidae (Crofab) Vial [cch]	23	21	$10,321.42	$9,289.28	$2,580.35	$10,321.42	$9,289.28	2026-01-21
58542	CPT	Laparoscopy, Surgical, Supracervical Hysterectomy, For Uterus 250 G Or Less; Wit…	59	43	$10,212.30	$9,191.07	$480.01	$10,212.30	$9,191.07	2026-05-13
49402	CPT	Removal Of Peritoneal Foreign Body From Peritoneal Cavity ProFee	59	43	$9,934.05	$8,940.65	$486.28	$9,934.05	$8,940.64	2026-05-13
J2426	HCPCS	Paliperidone 234 Mg/1.5 Ml Syringe [cch]	46	21	$17,260.76	$15,534.69	$2,157.90	$25,889.88	$8,545.31	2026-01-21
49525	CPT	Repair Inguinal Hernia, Sliding, Any Age ProFee	59	43	$9,374.40	$8,436.96	$329.50	$9,374.40	$8,436.96	2026-05-13
15273	CPT	Application Of Skin Substitute Graft To Trunk, Arms, Legs, Total Wound Surface A…	59	43	$9,320.85	$8,388.76	$182.78	$9,320.85	$8,388.76	2026-05-13
44204	CPT	Laparoscopy, Surgical; Colectomy, Partial, With Anastomosis ProFee	59	43	$9,315.60	$8,384.04	$1,486.66	$9,315.60	$8,384.04	2026-05-13
27822	CPT	Open Treatment Of Trimalleolar Ankle Fracture, Includes Internal Fixation, When …	59	43	$9,145.50	$8,230.95	$513.61	$9,145.50	$8,230.95	2026-05-13
27792	CPT	Open Treatment Of Distal Fibular Fracture (lateral Malleolus), Includes Internal…	59	43	$9,110.85	$8,199.76	$378.28	$9,110.85	$8,199.76	2026-05-13
27814	CPT	Open Treatment Of Bimalleolar Ankle Fracture (eg, Lateral And Medial Malleoli, O…	59	43	$8,925.00	$8,032.50	$446.80	$8,925.00	$8,032.50	2026-05-13
59622	CPT	Cesarean Delivery Only, Following Attempted Vaginal Delivery After Previous Cesa…	59	43	$8,551.20	$7,696.08	$1,176.26	$8,551.20	$7,696.08	2026-05-13
57120	CPT	Colpocleisis (le Fort Type) ProFee	59	43	$8,520.75	$7,668.68	$309.19	$8,520.75	$7,668.67	2026-05-13
59618	CPT	Routine Obstetric Care Including Antepartum Care, Cesarean Delivery, And Postpar…	59	43	$8,482.95	$7,634.65	$2,348.14	$8,482.95	$7,634.65	2026-05-13
49540	CPT	Repair Lumbar Hernia ProFee	59	43	$8,479.80	$7,631.82	$389.48	$8,479.80	$7,631.82	2026-05-13
J1569	HCPCS	Immune Globulin 10% (100 Mg/ml) 100 Ml IV Sol [cch]	69	21	$8,948.15	$8,053.33	$1,118.83	$13,420.97	$7,605.92	2026-01-21
81552	CPT	Onc Uveal Mlnma Mrna 15 Gene	23	21	—	—	$7,548.94	$7,548.94	$7,548.94	2026-01-21
59510	CPT	Routine Obstetric Care Including Antepartum Care, Cesarean Delivery, And Postpar…	59	43	$8,377.95	$7,540.15	$2,109.27	$8,377.95	$7,540.15	2026-05-13
15734	CPT	Muscle, Myocutaneous, Or Fasciocutaneous Flap; Trunk ProFee	59	43	$8,204.70	$7,384.23	$860.95	$8,204.70	$7,384.23	2026-05-13
37231	CPT	Tib/per Revasc Stent & Ather	23	21	—	—	$7,237.00	$7,237.00	$7,237.00	2026-01-21
49521	CPT	Repair Recurrent Inguinal Hernia, Any Age; Incarcerated Or Strangulated ProFee	59	43	$8,020.95	$7,218.85	$409.97	$8,020.95	$7,218.85	2026-05-13
26445	CPT	Tenolysis, Extensor Tendon, Hand Or Finger, Each Tendon ProFee	59	43	$7,984.20	$7,185.78	$369.17	$7,984.20	$7,185.78	2026-05-13
27310	CPT	Arthrotomy, Knee, With Exploration, Drainage, Or Removal Of Foreign Body (eg, In…	59	43	$7,984.20	$7,185.78	$428.58	$7,984.20	$7,185.78	2026-05-13
28805	CPT	Amputation, Foot; Transmetatarsal ProFee	59	43	$7,984.20	$7,185.78	$405.42	$7,984.20	$7,185.78	2026-05-13
29824	CPT	Arthroscopy, Shoulder, Surgical; Distal Claviculectomy Including Distal Articula…	59	43	$7,984.20	$7,185.78	$397.07	$7,984.20	$7,185.78	2026-05-13
25295	CPT	Tenolysis, Flexor Or Extensor Tendon, Forearm And/or Wrist, Single, Each Tendon …	59	43	$7,984.20	$7,185.78	$311.85	$7,984.20	$7,185.78	2026-05-13
27620	CPT	Arthrotomy, Ankle, With Joint Exploration, With Or Without Biopsy, With Or Witho…	59	43	$7,982.10	$7,183.89	$260.79	$7,982.10	$7,183.89	2026-05-13
28160	CPT	Hemiphalangectomy Or Interphalangeal Joint Excision, Toe, Proximal End Of Phalan…	59	43	$7,982.10	$7,183.89	$241.43	$7,982.10	$7,183.89	2026-05-13
26910	CPT	Amputation, Metacarpal, With Finger Or Thumb (ray Amputation), Single, With Or W…	59	43	$7,982.10	$7,183.89	$456.86	$7,982.10	$7,183.89	2026-05-13
26860	CPT	Arthrodesis, Interphalangeal Joint, With Or Without Internal Fixation; ProFee	59	43	$7,982.10	$7,183.89	$371.25	$7,982.10	$7,183.89	2026-05-13
29895	CPT	Arthroscopy, Ankle (tibiotalar And Fibulotalar Joints), Surgical; Synovectomy, P…	59	43	$7,977.90	$7,180.11	$270.28	$7,977.90	$7,180.11	2026-05-13
59610	CPT	Routine Obstetric Care Including Antepartum Care, Vaginal Delivery (with Or With…	59	43	$7,951.65	$7,156.48	$2,199.79	$7,951.65	$7,156.48	2026-05-13
29898	CPT	Arthroscopy, Ankle (tibiotalar And Fibulotalar Joints), Surgical; Debridement, E…	59	43	$7,934.85	$7,141.36	$327.03	$7,934.85	$7,141.36	2026-05-13
29823	CPT	Arthroscopy, Shoulder, Surgical; Debridement, Extensive ProFee	59	43	$7,934.85	$7,141.36	$347.34	$7,934.85	$7,141.36	2026-05-13
36582	CPT	Replacement, Complete, Of A Tunneled Centrally Inserted Central Venous Access De…	59	43	$7,731.15	$6,958.03	$276.71	$7,731.15	$6,958.03	2026-05-13
58263	CPT	Vaginal Hysterectomy, For Uterus 250 G Or Less; With Removal Of Tube(s), And/or …	59	43	$7,718.55	$6,946.69	$573.58	$7,718.55	$6,946.69	2026-05-13
47563	CPT	Laparoscopy, Surgical; Cholecystectomy With Cholangiography ProFee	59	43	$7,684.95	$6,916.45	$410.92	$7,684.95	$6,916.45	2026-05-13
59614	CPT	Vaginal Delivery Only, After Previous Cesarean Delivery (with Or Without Episiot…	59	43	$7,669.20	$6,902.28	$990.24	$7,669.20	$6,902.28	2026-05-13
37227	CPT	Fem/popl Revasc Stnt & Ather	23	21	—	—	$6,892.89	$6,892.89	$6,892.89	2026-01-21
59400	CPT	Routine Obstetric Care Including Antepartum Care, Vaginal Delivery (with Or With…	59	43	$7,560.00	$6,804.00	$2,109.27	$7,560.00	$6,804.00	2026-05-13
44950	CPT	Appendectomy; ProFee	59	43	$7,473.90	$6,726.51	$365.75	$7,473.90	$6,726.51	2026-05-13
51992	CPT	Laparoscopy, Surgical; Sling Operation For Stress Incontinence (eg, Fascia Or Sy…	59	43	$7,466.55	$6,719.90	$476.22	$7,466.55	$6,719.89	2026-05-13
58150	CPT	Total Abdominal Hysterectomy (corpus And Cervix), With Or Without Removal Of Tub…	59	43	$7,374.15	$6,636.73	$583.83	$7,374.15	$6,636.73	2026-05-13
44340	CPT	Revision Of Colostomy; Simple (release Of Superficial Scar) (separate Procedure)…	59	43	$7,331.10	$6,597.99	$361.76	$7,331.10	$6,597.99	2026-05-13
A9572	HCPCS	Indium In-111 Pentetreotide	23	21	—	—	$6,470.64	$6,470.64	$6,470.64	2026-01-21
99468	CPT	Int Ip Neonat Cc<28d ProFee	59	43	$7,176.75	$6,459.07	$510.76	$7,176.75	$6,459.07	2026-05-13
22901	CPT	Excision, Tumor, Soft Tissue Of Abdominal Wall, Subfascial (eg, Intramuscular); …	59	43	$7,130.55	$6,417.49	$383.02	$7,130.55	$6,417.49	2026-05-13
21556	CPT	Excision, Tumor, Soft Tissue Of Neck Or Anterior Thorax, Subfascial (eg, Intramu…	59	43	$7,032.90	$6,329.61	$309.00	$7,032.90	$6,329.61	2026-05-13
21554	CPT	Excision, Tumor, Soft Tissue Of Neck Or Anterior Thorax, Subfascial (eg, Intramu…	59	43	$6,970.95	$6,273.85	$422.12	$6,970.95	$6,273.85	2026-05-13
57410	CPT	Pelvic Examination Under Anesthesia (other Than Local) ProFee	59	43	$6,828.15	$6,145.34	$60.55	$6,828.15	$6,145.33	2026-05-13
49321	CPT	Laparoscopy, Surgical; With Biopsy (single Or Multiple) ProFee	59	43	$6,818.70	$6,136.83	$197.58	$6,818.70	$6,136.83	2026-05-13
36837	CPT	Prq Av Fstl Crt Uxtr Sep Acs	23	21	—	—	$6,100.27	$6,100.27	$6,100.27	2026-01-21
49553	CPT	Repair Initial Femoral Hernia, Any Age; Incarcerated Or Strangulated ProFee	59	43	$6,725.25	$6,052.73	$362.90	$6,725.25	$6,052.72	2026-05-13
58262	CPT	Vaginal Hysterectomy, For Uterus 250 G Or Less; With Removal Of Tube(s), And/or …	59	43	$6,640.20	$5,976.18	$535.05	$6,640.20	$5,976.18	2026-05-13
58563	CPT	Hysteroscopy, Surgical; With Endometrial Ablation (eg, Endometrial Resection, El…	59	43	$6,610.80	$5,949.72	$239.65	$6,610.80	$5,949.72	2026-05-13
59620	CPT	Cesarean Delivery Only, Following Attempted Vaginal Delivery After Previous Cesa…	59	43	$6,476.40	$5,828.76	$809.48	$6,476.40	$5,828.76	2026-05-13
58720	CPT	Salpingo-oophorectomy, Complete Or Partial, Unilateral Or Bilateral (separate Pr…	59	43	$6,440.70	$5,796.63	$438.82	$6,440.70	$5,796.63	2026-05-13
99471	CPT	Ped Critical Care Initial 29 D-24mo ProFee	59	43	$6,435.45	$5,791.90	$441.86	$6,435.45	$5,791.90	2026-05-13
J7168	HCPCS	Prothrombin Complex (Kcentra) ~ 1000 Units [cch]	23	21	$6,426.95	$5,784.26	$1,606.73	$6,426.95	$5,784.25	2026-01-21
J1944	HCPCS	ARIPiprazole 662 Mg/2.4 Ml Syringe [cch]	23	21	$6,273.74	$5,646.37	$1,568.43	$6,273.74	$5,646.36	2026-01-21
71552	CPT	MRI Chest With + Without Contrast	59	43	$6,213.90	$5,592.51	$299.89	$6,213.90	$5,592.51	2026-05-13
29874	CPT	Arthroscopy, Knee, Surgical; For Removal Of Loose Body Or Foreign Body (eg, Oste…	59	43	$6,146.70	$5,532.03	$314.12	$6,146.70	$5,532.03	2026-05-13
44143	CPT	Colectomy, Partial; With End Colostomy And Closure Of Distal Segment (hartmann T…	59	43	$6,083.70	$5,475.33	$937.06	$6,083.70	$5,475.33	2026-05-13
37230	CPT	Tib/per Revasc W/stent	23	21	—	—	$5,471.07	$5,471.07	$5,471.07	2026-01-21
37229	CPT	Tib/per Revasc W/ather	23	21	—	—	$5,463.67	$5,463.67	$5,463.67	2026-01-21
58180	CPT	Supracervical Abdominal Hysterectomy (subtotal Hysterectomy), With Or Without Re…	59	43	$6,048.00	$5,443.20	$552.14	$6,048.00	$5,443.20	2026-05-13
37225	CPT	Fem/popl Revas W/ather	23	21	—	—	$5,380.16	$5,380.16	$5,380.16	2026-01-21
44120	CPT	Enterectomy, Resection Of Small Intestine; Single Resection And Anastomosis ProF…	59	43	$5,916.75	$5,325.07	$691.64	$5,916.75	$5,325.07	2026-05-13
37243	CPT	Vasc Embolize/occlude Organ	23	21	—	—	$5,321.89	$5,321.89	$5,321.89	2026-01-21
J3032	HCPCS	Vyepti (eptinezumab Jjmr) 100 mg/mL Inj Soln [cch]	23	21	$5,900.33	$5,310.30	$1,475.08	$5,900.33	$5,310.29	2026-01-21
29877	CPT	Arthroscopy, Knee, Surgical; Debridement/shaving Of Articular Cartilage (chondro…	59	43	$5,878.95	$5,291.06	$363.66	$5,878.95	$5,291.05	2026-05-13
22900	CPT	Excision, Tumor, Soft Tissue Of Abdominal Wall, Subfascial (eg, Intramuscular); …	59	43	$5,867.40	$5,280.66	$326.65	$5,867.40	$5,280.66	2026-05-13
44626	CPT	Closure Of Enterostomy, Large Or Small Intestine; With Resection And Colorectal …	59	43	$5,852.70	$5,267.43	$899.29	$5,852.70	$5,267.43	2026-05-13
64718	CPT	Neuroplasty And/or Transposition; Ulnar Nerve At Elbow ProFee	59	43	$5,814.90	$5,233.41	$355.31	$5,814.90	$5,233.41	2026-05-13
49020	CPT	Drainage Of Peritoneal Abscess Or Localized Peritonitis, Exclusive Of Appendicea…	59	43	$5,802.30	$5,222.07	$904.60	$5,802.30	$5,222.07	2026-05-13
44145	CPT	Colectomy, Partial; With Coloproctostomy (low Pelvic Anastomosis) ProFee	59	43	$5,775.00	$5,197.50	$934.02	$5,775.00	$5,197.50	2026-05-13
J0875	HCPCS	Dalbavancin 500 Mg Inj [cch]	23	21	$5,743.18	$5,168.86	$1,435.79	$5,743.18	$5,168.86	2026-01-21
Q0482	HCPCS	Dme Pos	23	21	—	—	$5,104.33	$5,104.33	$5,104.33	2026-01-21
J0490	HCPCS	Belimumab 400 Mg Inj Vial [cch]	23	21	$5,637.67	$5,073.90	$1,409.41	$5,637.67	$5,073.90	2026-01-21
57260	CPT	Combined Anteroposterior Colporrhaphy; ProFee	59	43	$5,619.60	$5,057.64	$450.02	$5,619.60	$5,057.64	2026-05-13
J0897	HCPCS	Denosumab 60 mg/mL Syringe [cch]	46	21	$5,685.90	$5,117.30	$1,401.51	$5,765.72	$5,045.45	2026-01-21
37226	CPT	Fem/popl Revasc W/stent	23	21	—	—	$5,008.33	$5,008.33	$5,008.33	2026-01-21
28825	CPT	Amputation, Toe; Interphalangeal Joint ProFee	59	43	$5,493.60	$4,944.24	$169.27	$5,493.60	$4,944.24	2026-05-13
36561	CPT	Insertion Of Tunneled Centrally Inserted Central Venous Access Device, With Subc…	59	43	$5,462.10	$4,915.89	$320.36	$5,462.10	$4,915.89	2026-05-13
81425	CPT	Genome Sequence Analysis	23	21	—	—	$4,884.29	$4,884.29	$4,884.29	2026-01-21
25606	CPT	Percutaneous Skeletal Fixation Of Distal Radial Fracture Or Epiphyseal Separatio…	59	43	$5,390.70	$4,851.63	$394.60	$5,390.70	$4,851.63	2026-05-13
42972	CPT	Control Of Nasopharyngeal Hemorrhage, Primary Or Secondary (eg, Postadenoidectom…	59	43	$5,353.95	$4,818.56	$296.66	$5,353.95	$4,818.55	2026-05-13
73223	CPT	MRI Elbow With + Without Contrast Left	131	43	$5,032.65	$4,529.39	$245.61	$5,283.60	$4,755.24	2026-05-13
73720	CPT	MRI Femur With + Without Contrast Left	167	43	$5,154.98	$4,639.48	$212.96	$5,280.45	$4,752.40	2026-05-13
58562	CPT	Hysteroscopy, Surgical; With Removal Of Impacted Foreign Body ProFee	59	43	$5,212.20	$4,690.98	$216.18	$5,212.20	$4,690.98	2026-05-13
Q0495	HCPCS	Dme Pos	23	21	—	—	$4,684.58	$4,684.58	$4,684.58	2026-01-21
23073	CPT	Excision, Tumor, Soft Tissue Of Shoulder Area, Subfascial (eg, Intramuscular); 5…	59	43	$5,155.50	$4,639.95	$403.52	$5,155.50	$4,639.95	2026-05-13
71551	CPT	MRI Chest With Contrast	59	43	$5,141.85	$4,627.66	$237.44	$5,141.85	$4,627.66	2026-05-13
24565	CPT	Cltx Humeral Epicondylar Fx Medial/lat W/manj TechFee	59	43	$5,110.35	$4,599.31	$325.32	$5,110.35	$4,599.31	2026-05-13
22903	CPT	Excision, Tumor, Soft Tissue Of Abdominal Wall, Subcutaneous; 3 Cm Or Greater Pr…	59	43	$5,048.40	$4,543.56	$254.53	$5,048.40	$4,543.56	2026-05-13
73220	CPT	MRI Forearm With + Without Contrast Left	95	43	$5,032.65	$4,529.39	$260.22	$5,032.65	$4,529.39	2026-05-13
73723	CPT	MRI Ankle With + Without Contrast Left	95	43	$5,029.50	$4,526.55	$244.66	$5,029.50	$4,526.55	2026-05-13
26020	CPT	Drainage Of Tendon Sheath, Digit And/or Palm, Each ProFee	59	43	$5,017.95	$4,516.15	$329.12	$5,017.95	$4,516.15	2026-05-13
49329	CPT	Unlisted Laparoscopy Procedure, Abdomen, Peritoneum And Omentum ProFee	59	43	$4,957.05	$4,461.35	$1,239.26	$4,957.05	$4,461.35	2026-05-13
49002	CPT	Reopening Of Recent Laparotomy ProFee	59	43	$4,953.90	$4,458.51	$591.24	$4,953.90	$4,458.51	2026-05-13
A9571	HCPCS	Indium In-111 Auto Platelet	23	21	—	—	$4,443.84	$4,443.84	$4,443.84	2026-01-21
A9570	HCPCS	Indium In-111 Auto Wbc	23	21	—	—	$4,443.84	$4,443.84	$4,443.84	2026-01-21
44140	CPT	Colectomy, Partial; With Anastomosis ProFee	59	43	$4,900.35	$4,410.31	$760.73	$4,900.35	$4,410.31	2026-05-13
75635	CPT	CT Angio Abdomen Aorta + Iliofemoral	59	43	$4,874.10	$4,386.69	$256.61	$4,874.10	$4,386.69	2026-05-13
37242	CPT	Vasc Embolize/occlude Artery	23	21	—	—	$4,378.76	$4,378.76	$4,378.76	2026-01-21
26685	CPT	Open Treatment Of Carpometacarpal Dislocation, Other Than Thumb; Includes Intern…	59	43	$4,862.55	$4,376.30	$340.70	$4,862.55	$4,376.29	2026-05-13
57106	CPT	Vaginectomy, Partial Removal Of Vaginal Wall; ProFee	59	43	$4,855.20	$4,369.68	$314.31	$4,855.20	$4,369.68	2026-05-13
J7327	HCPCS	Hyaluronan 88 Mg/4 Ml Syringe [cch]	23	21	$4,842.52	$4,358.27	$1,210.63	$4,842.52	$4,358.26	2026-01-21
27842	CPT	Cltx Ankle Dislc Req Anes W/wo Prq Skel Fixj TechFee	59	43	$4,828.95	$4,346.06	$290.02	$4,828.95	$4,346.06	2026-05-13
55500	CPT	Excision Of Hydrocele Of Spermatic Cord, Unilateral (separate Procedure) ProFee	59	43	$4,827.90	$4,345.11	$226.25	$4,827.90	$4,345.11	2026-05-13
32556	CPT	Pleural Drainage, Percutaneous, With Insertion Of Indwelling Catheter; Without I…	59	43	$4,819.50	$4,337.55	$119.06	$4,819.50	$4,337.55	2026-05-13
J9217	HCPCS	Leuprolide 22.5 Mg/3 Months Powleuprolide 22.5 Mg/3 Months Sub-q Inj Kit [cch]	46	21	$10,243.76	$9,219.38	$1,093.71	$16,112.64	$4,331.11	2026-01-21
J1439	HCPCS	Ferric Carboxymaltose 750 Mg/15 Ml Inj [cch]	23	21	$4,807.91	$4,327.12	$1,201.97	$4,807.91	$4,327.12	2026-01-21
36836	CPT	Prq Av Fstl Crtj Uxtr 1 Acs	23	21	—	—	$4,285.75	$4,285.75	$4,285.75	2026-01-21
A9600	HCPCS	Sr89 Strontium	23	21	—	—	$4,275.00	$4,275.00	$4,275.00	2026-01-21
15240	CPT	Full Thickness Graft, Free, Including Direct Closure Of Donor Site, Forehead, Ch…	59	43	$4,674.60	$4,207.14	$547.96	$4,674.60	$4,207.14	2026-05-13
28118	CPT	Ostectomy, Calcaneus; ProFee	59	43	$4,646.25	$4,181.63	$355.50	$4,646.25	$4,181.62	2026-05-13
74183	CPT	MRI Abdomen With + Without Contrast	95	43	$4,506.08	$4,055.47	$213.53	$4,615.80	$4,154.22	2026-05-13
72197	CPT	MRI Pelvis With + Without Contrast	59	43	$4,599.00	$4,139.10	$212.77	$4,599.00	$4,139.10	2026-05-13
59515	CPT	Cesarean Delivery Only; Including Postpartum Care ProFee	59	43	$4,573.80	$4,116.42	$922.20	$4,573.80	$4,116.42	2026-05-13
Q0484	HCPCS	Dme Pos	23	21	—	—	$4,083.50	$4,083.50	$4,083.50	2026-01-21
38525	CPT	Biopsy Or Excision Of Lymph Node(s); Open, Deep Axillary Node(s) ProFee	59	43	$4,536.00	$4,082.40	$253.77	$4,536.00	$4,082.40	2026-05-13
58805	CPT	Drainage Of Ovarian Cyst(s), Unilateral Or Bilateral (separate Procedure); Abdom…	59	43	$4,531.80	$4,078.62	$250.35	$4,531.80	$4,078.62	2026-05-13
11426	CPT	Excision, Benign Lesion Including Margins, Except Skin Tag (unless Listed Elsewh…	59	43	$4,528.65	$4,075.78	$193.98	$4,528.65	$4,075.78	2026-05-13
23675	CPT	Cltx Shoulder Dislc W/surg/antmcl Neck Fx W/manj TechFee	59	43	$4,508.70	$4,057.83	$329.88	$4,508.70	$4,057.83	2026-05-13
27752	CPT	Cltx Tibial Shaft Fx W/manj W/wo Skel Tracj TechFee	59	43	$4,503.45	$4,053.11	$320.01	$4,503.45	$4,053.11	2026-05-13
37244	CPT	Vasc Embolize/occlude Bleed	23	21	—	—	$4,051.91	$4,051.91	$4,051.91	2026-01-21
44188	CPT	Laparoscopy, Surgical, Colostomy Or Skin Level Cecostomy ProFee	59	43	$4,487.70	$4,038.93	$693.35	$4,487.70	$4,038.93	2026-05-13
A9542	HCPCS	In111 Ibritumomab, Dx	23	21	—	—	$3,990.00	$3,990.00	$3,990.00	2026-01-21
49999	CPT	Unlisted Procedure, Abdomen, Peritoneum And Omentum ProFee	59	43	$4,421.55	$3,979.39	$1,105.38	$4,421.55	$3,979.39	2026-05-13
25565	CPT	Closed Tx Radial&ulnar Shaft Fractures W/manj TechFee	59	43	$4,353.30	$3,917.97	$312.99	$4,353.30	$3,917.97	2026-05-13
25624	CPT	Closed Tx Carpal Scaphoid Fracture W/manj TechFee	59	43	$4,353.30	$3,917.97	$296.85	$4,353.30	$3,917.97	2026-05-13
70543	CPT	MRI Face Neck Orbit With + Without Contrast	95	43	$4,220.48	$3,798.43	$213.72	$4,323.90	$3,891.51	2026-05-13
72198	CPT	MRA Pelvis With Contrast	59	43	$4,323.90	$3,891.51	$213.34	$4,323.90	$3,891.51	2026-05-13
73725	CPT	MRA Lower Extremity With Contrast Left	59	43	$4,313.40	$3,882.06	$211.63	$4,313.40	$3,882.06	2026-05-13
71555	CPT	MRA Chest With Contrast	59	43	$4,298.70	$3,868.83	$210.68	$4,298.70	$3,868.83	2026-05-13
11771	CPT	Excision Of Pilonidal Cyst Or Sinus; Extensive ProFee	59	43	$4,296.60	$3,866.94	$372.39	$4,296.60	$3,866.94	2026-05-13
58561	CPT	Hysteroscopy, Surgical; With Removal Of Leiomyomata ProFee	59	43	$4,246.20	$3,821.58	$203.66	$4,246.20	$3,821.58	2026-05-13
49322	CPT	Laparoscopy, Surgical; With Aspiration Of Cavity Or Cyst (eg, Ovarian Cyst) (sin…	59	43	$4,237.80	$3,814.02	$214.86	$4,237.80	$3,814.02	2026-05-13
23665	CPT	Cltx Shoulder Dislc W/fx Humeral Tubrst W/manj TechFee	59	43	$4,231.50	$3,808.35	$261.55	$4,231.50	$3,808.35	2026-05-13
57061	CPT	Destruction Of Vaginal Lesion(s); Simple (eg, Laser Surgery, Electrosurgery, Cry…	59	43	$4,207.35	$3,786.61	$100.98	$4,207.35	$3,786.61	2026-05-13
J0129	HCPCS	Abatacept 250 Mg IV Inj [cch]	23	21	$4,203.61	$3,783.25	$1,050.90	$4,203.61	$3,783.24	2026-01-21
43281	CPT	Laparoscopy, Surgical, Repair Of Paraesophageal Hernia, Includes Fundoplasty, Wh…	59	43	$4,197.90	$3,778.11	$867.78	$4,197.90	$3,778.11	2026-05-13
Q4180	HCPCS	Revita 6x8 Graft	161	21	$5,379.15	$4,841.24	$472.50	$15,993.60	$3,773.17	2026-01-21
J2997	HCPCS	Alteplase 100 Mg IV Inj [cch]	46	21	$14,215.68	$12,794.12	$140.23	$27,870.41	$3,764.27	2026-01-21
81523	CPT	Onc Brst Mrna 70 Cnt 31 Gene	23	21	—	—	$3,759.91	$3,759.91	$3,759.91	2026-01-21
81518	CPT	Onc Brst Mrna 11 Genes	23	21	—	—	$3,759.91	$3,759.91	$3,759.91	2026-01-21
81522	CPT	Onc Breast Mrna 12 Genes	23	21	—	—	$3,759.91	$3,759.91	$3,759.91	2026-01-21
81541	CPT	Onc Prostate Mrna 46 Genes	23	21	—	—	$3,759.91	$3,759.91	$3,759.91	2026-01-21
81519	CPT	Oncology Breast Mrna	23	21	—	—	$3,759.91	$3,759.91	$3,759.91	2026-01-21
81521	CPT	Onc Breast Mrna 70 Genes	23	21	—	—	$3,759.91	$3,759.91	$3,759.91	2026-01-21
47U	OTHER	Onc Prst8 Mrna 17 Gene Alg	23	21	—	—	$3,759.91	$3,759.91	$3,759.91	2026-01-21
81542	CPT	Onc Prostate Mrna 22 Cnt Gen	23	21	—	—	$3,759.91	$3,759.91	$3,759.91	2026-01-21
27825	CPT	Cltx Fx W8 Brg Artclr Prtn Dstl Tib W/skel Tracj TechFee	59	43	$4,176.90	$3,759.21	$324.56	$4,176.90	$3,759.21	2026-05-13
73722	CPT	MRI Ankle With Contrast Left	167	43	$4,149.60	$3,734.64	$198.72	$4,166.40	$3,749.76	2026-05-13
73719	CPT	MRI Femur With Contrast Left	95	43	$4,166.40	$3,749.76	$165.70	$4,166.40	$3,749.76	2026-05-13
35840	CPT	Exploration For Postoperative Hemorrhage, Thrombosis Or Infection; Abdomen ProFe…	59	43	$4,160.10	$3,744.09	$683.10	$4,160.10	$3,744.09	2026-05-13
27301	CPT	I&d Deep Absc Bursa/hematoma Thigh/knee Region TechFee	99	43	$4,152.75	$3,737.48	$399.73	$5,355.00	$3,737.47	2026-05-13
A9557	HCPCS	Tc99m Bicisate	23	21	—	—	$3,722.82	$3,722.82	$3,722.82	2026-01-21
73222	CPT	MRI Elbow With Contrast Left	95	43	$4,132.80	$3,719.52	$198.53	$4,132.80	$3,719.52	2026-05-13
73219	CPT	MRI Forearm With Contrast Left	95	43	$4,132.80	$3,719.52	$210.68	$4,132.80	$3,719.52	2026-05-13
27768	CPT	Closed Treatment Of Posterior Malleolus Fracture; With Manipulation. TechFee	59	43	$4,126.50	$3,713.85	$267.43	$4,126.50	$3,713.85	2026-05-13
26115	CPT	Excision, Tumor Or Vascular Malformation, Soft Tissue Of Hand Or Finger, Subcuta…	59	43	$4,126.50	$3,713.85	$331.97	$4,126.50	$3,713.85	2026-05-13
58565	CPT	Hysteroscopy, Surgical; With Bilateral Fallopian Tube Cannulation To Induce Occl…	59	43	$4,124.40	$3,711.96	$454.22	$4,124.40	$3,711.96	2026-05-13
54520	CPT	Orchiectomy, Simple (including Subcapsular), With Or Without Testicular Prosthes…	59	43	$4,111.80	$3,700.62	$188.66	$4,111.80	$3,700.62	2026-05-13
11626	CPT	Excision, Malignant Lesion Including Margins, Scalp, Neck, Hands, Feet, Genitali…	59	43	$4,110.75	$3,699.68	$239.53	$4,110.75	$3,699.67	2026-05-13
74185	CPT	MRA Abdomen With Contrast	59	43	$4,108.65	$3,697.78	$212.77	$4,108.65	$3,697.78	2026-05-13
74182	CPT	MRI Abdomen With Contrast	59	43	$4,108.65	$3,697.78	$191.51	$4,108.65	$3,697.78	2026-05-13
27500	CPT	Closed Treat Femoral Shaft Fracture, Without Manipulation TechFee	59	43	$4,093.95	$3,684.55	$311.09	$4,093.95	$3,684.55	2026-05-13
47383	CPT	Perq Abltj Lvr Cryoablation	23	21	—	—	$3,677.81	$3,677.81	$3,677.81	2026-01-21
27762	CPT	Cltx Medial Malls Fx W/manj W/wo Skn/skel Tracj TechFee	59	43	$4,069.80	$3,662.82	$290.21	$4,069.80	$3,662.82	2026-05-13
57135	CPT	Excision Of Vaginal Cyst Or Tumor ProFee	59	43	$4,065.60	$3,659.04	$147.67	$4,065.60	$3,659.04	2026-05-13
23605	CPT	Cltx Prox Humrl Fx W/manj W/wo Skeletal Tracj TechFee	59	43	$4,062.45	$3,656.20	$283.00	$4,062.45	$3,656.20	2026-05-13
11423	CPT	Excision, Benign Lesion Including Margins, Except Skin Tag (unless Listed Elsewh…	59	43	$4,051.95	$3,646.76	$121.66	$4,051.95	$3,646.75	2026-05-13
25071	CPT	Excision, Tumor, Soft Tissue Of Forearm And/or Wrist Area, Subcutaneous; 3 Cm Or…	59	43	$4,051.95	$3,646.76	$246.93	$4,051.95	$3,646.75	2026-05-13
21555	CPT	Excision, Tumor, Soft Tissue Of Neck Or Anterior Thorax, Subcutaneous; Less Than…	59	43	$4,051.95	$3,646.76	$258.70	$4,051.95	$3,646.75	2026-05-13
21012	CPT	Excision, Tumor, Soft Tissue Of Face Or Scalp, Subcutaneous; 2 Cm Or Greater Pro…	59	43	$4,050.90	$3,645.81	$198.15	$4,050.90	$3,645.81	2026-05-13
44345	CPT	Revision Of Colostomy; Complicated (reconstruction In-depth) (separate Procedure…	59	43	$4,037.25	$3,633.53	$599.21	$4,037.25	$3,633.52	2026-05-13
44005	CPT	Enterolysis (freeing Of Intestinal Adhesion) (separate Procedure) ProFee	59	43	$4,037.25	$3,633.53	$618.76	$4,037.25	$3,633.52	2026-05-13
Q4187	HCPCS	Epicord 3x5	46	21	$6,359.33	$5,723.40	$911.66	$9,072.00	$3,610.18	2026-01-21
37183	CPT	Revision Tips	23	21	—	—	$3,607.97	$3,607.97	$3,607.97	2026-01-21
20680	CPT	Removal Of Implant; Deep (eg, Buried Wire, Pin, Screw, Metal Band, Nail, Rod Or …	59	43	$3,996.30	$3,596.67	$356.64	$3,996.30	$3,596.67	2026-05-13
26210	CPT	Excision Or Curettage Of Bone Cyst Or Benign Tumor Of Proximal, Middle, Or Dista…	59	43	$3,987.90	$3,589.11	$266.67	$3,987.90	$3,589.11	2026-05-13
26160	CPT	Excision Of Lesion Of Tendon Sheath Or Joint Capsule (eg, Cyst, Mucous Cyst, Or …	59	43	$3,987.90	$3,589.11	$322.55	$3,987.90	$3,589.11	2026-05-13
27266	CPT	Cltx Post Hip Arthrp Dislc Req Anes TechFee	99	43	$5,481.00	$4,932.90	$343.35	$5,481.00	$3,586.28	2026-05-13
20694	CPT	Removal, Under Anesthesia, Of External Fixation System ProFee	59	43	$3,984.75	$3,586.28	$256.04	$3,984.75	$3,586.27	2026-05-13
11606	CPT	Excision, Malignant Lesion Including Margins, Trunk, Arms, Or Legs; Excised Diam…	59	43	$3,967.95	$3,571.16	$263.45	$3,967.95	$3,571.15	2026-05-13
74174	CPT	CT Angio Abdomen And Pelvis	95	43	$3,960.60	$3,564.54	$239.15	$3,960.60	$3,564.54	2026-05-13
J2357	HCPCS	Omalizumab 150 Mg SubQ Inj [cch]	23	21	$3,942.76	$3,548.48	$985.69	$3,942.76	$3,548.48	2026-01-21
24655	CPT	Closed Tx Radial Head/neck Fx W/manipulation TechFee	59	43	$3,936.45	$3,542.80	$270.66	$3,936.45	$3,542.80	2026-05-13
11646	CPT	Excision, Malignant Lesion Including Margins, Face, Ears, Eyelids, Nose, Lips; E…	59	43	$3,912.30	$3,521.07	$296.47	$3,912.30	$3,521.07	2026-05-13
55873	CPT	Cryoablate Prostate	23	21	—	—	$3,511.92	$3,511.92	$3,511.92	2026-01-21
47600	CPT	Cholecystectomy; ProFee	59	43	$3,893.40	$3,504.06	$609.27	$3,893.40	$3,504.06	2026-05-13
81546	CPT	Onc Thyr Mrna 10,196 Gen Alg	23	21	—	—	$3,494.88	$3,494.88	$3,494.88	2026-01-21
72157	CPT	MRI Spine Thoracic With + Without Contrast	59	43	$3,881.85	$3,493.66	$201.57	$3,881.85	$3,493.66	2026-05-13
29806	CPT	Arthroscopy, Shoulder, Surgical; Capsulorrhaphy ProFee	59	43	$3,871.35	$3,484.22	$614.20	$3,871.35	$3,484.21	2026-05-13
72156	CPT	MRI Spine Cervical With + Without Contrast	59	43	$3,869.25	$3,482.32	$201.19	$3,869.25	$3,482.32	2026-05-13
25248	CPT	Exploration With Removal Of Deep Foreign Body, Forearm Or Wrist TechFee	59	43	$3,866.10	$3,479.49	$245.42	$3,866.10	$3,479.49	2026-05-13
44604	CPT	Suture Of Large Intestine (colorrhaphy) For Perforated Ulcer, Diverticulum, Woun…	59	43	$3,865.05	$3,478.55	$597.31	$3,865.05	$3,478.54	2026-05-13
72158	CPT	MRI Spine Lumbar With + Without Contrast	59	43	$3,855.60	$3,470.04	$200.62	$3,855.60	$3,470.04	2026-05-13
29827	CPT	Arthroscopy, Shoulder, Surgical; With Rotator Cuff Repair ProFee	59	43	$3,851.40	$3,466.26	$619.71	$3,851.40	$3,466.26	2026-05-13
74177	CPT	CT Abdomen And Pelvis With Contrast	95	43	$3,847.20	$3,462.48	$191.89	$3,847.20	$3,462.48	2026-05-13
27818	CPT	Cltx Trimalleolar Ankle Fx W/manipulation TechFee	59	43	$3,845.10	$3,460.59	$294.95	$3,845.10	$3,460.59	2026-05-13
70553	CPT	MRI Brain With + Without Contrast	59	43	$3,839.85	$3,455.86	$200.05	$3,839.85	$3,455.86	2026-05-13
29866	CPT	Arthroscopy, Knee, Surgical; Osteochondral Autograft(s) (eg, Mosaicplasty) (incl…	59	43	$3,838.80	$3,454.92	$611.92	$3,838.80	$3,454.92	2026-05-13
60271	CPT	Thyroidectomy, Including Substernal Thyroid; Cervical Approach ProFee	59	43	$3,827.25	$3,444.53	$605.28	$3,827.25	$3,444.52	2026-05-13
46275	CPT	Surgical Treatment Of Anal Fistula (fistulectomy/fistulotomy); Intersphincteric …	59	43	$3,823.05	$3,440.74	$335.76	$3,823.05	$3,440.74	2026-05-13
25660	CPT	Closed Treat Radio/intercarp Disloc 1-more Bones W/manip TechFee	59	43	$3,814.65	$3,433.18	$268.95	$3,814.65	$3,433.18	2026-05-13
47900	CPT	Suture Of Extrahepatic Biliary Duct For Pre-existing Injury (separate Procedure)…	59	43	$3,790.50	$3,411.45	$785.03	$3,790.50	$3,411.45	2026-05-13
46040	CPT	Incision And Drainage Of Ischiorectal And/or Perirectal Abscess (separate Proced…	59	43	$3,788.40	$3,409.56	$328.93	$3,788.40	$3,409.56	2026-05-13
59410	CPT	Vaginal Delivery Only (with Or Without Episiotomy And/or Forceps); Including Pos…	59	43	$3,768.45	$3,391.61	$922.20	$3,768.45	$3,391.60	2026-05-13
Q4186	HCPCS	Epifix 7x7 Graft	191	21	$3,738.00	$3,364.20	$151.60	$26,243.70	$3,364.20	2026-01-21
44800	CPT	Excision Of Meckel's Diverticulum (diverticulectomy) Or Omphalomesenteric Duct P…	59	43	$3,720.15	$3,348.14	$443.95	$3,720.15	$3,348.13	2026-05-13
36906	CPT	Thrmbc/nfs Dialysis Circuit	23	21	—	—	$3,325.54	$3,325.54	$3,325.54	2026-01-21
49568	CPT	Implantation Of Mesh Or Other Prosthesis For Open Incisional Or Ventral Hernia R…	36	36	$3,442.95	$3,098.66	$860.74	$3,442.95	$3,322.45	2026-05-13
J7298	HCPCS	Iud, Mirena	23	21	$3,661.35	$3,295.22	$915.33	$3,661.35	$3,295.21	2026-01-21
26705	CPT	Cltx Metacarpophalangeal Dislc W/manj W/anes TechFee	59	43	$3,643.50	$3,279.15	$264.78	$3,643.50	$3,279.15	2026-05-13
72196	CPT	MRI Pelvis With Contrast	59	43	$3,619.35	$3,257.41	$169.49	$3,619.35	$3,257.41	2026-05-13
56633	CPT	Vulvectomy, Radical, Complete; ProFee	59	43	$3,613.05	$3,251.74	$713.09	$3,613.05	$3,251.74	2026-05-13
74178	CPT	CT Abdomen And Pelvis With + Without Contrast	59	43	$3,613.05	$3,251.74	$215.05	$3,613.05	$3,251.74	2026-05-13
74176	CPT	CT Abdomen And Pelvis Without Contrast	95	43	$3,574.73	$3,217.25	$113.31	$3,613.05	$3,251.74	2026-05-13
81440	CPT	Mitochondrial Gene	23	21	—	—	$3,226.94	$3,226.94	$3,226.94	2026-01-21
39503	CPT	Repair Of Diaphragm Hernia	23	21	—	—	$3,210.33	$3,210.33	$3,210.33	2026-01-21
27372	CPT	Removal Of Foreign Body, Deep, Thigh Region Or Knee Area TechFee	59	43	$3,561.60	$3,205.44	$351.70	$3,561.60	$3,205.44	2026-05-13
20983	CPT	Ablate Bone Tumor(s) Perq	23	21	—	—	$3,150.92	$3,150.92	$3,150.92	2026-01-21
27265	CPT	Cltx Post Hip Arthrp Dislc Without Anes TechFee	59	43	$3,497.55	$3,147.80	$246.93	$3,497.55	$3,147.80	2026-05-13
26608	CPT	Percutaneous Skeletal Fixation Of Metacarpal Fracture, Each Bone ProFee	59	43	$3,484.95	$3,136.45	$287.36	$3,484.95	$3,136.45	2026-05-13
11005	CPT	Debridement Of Skin, Subcutaneous Tissue, Muscle And Fascia For Necrotizing Soft…	59	43	$3,461.85	$3,115.66	$432.37	$3,461.85	$3,115.66	2026-05-13
J3262	HCPCS	Tocilizumab 200 Mg IV Soln [cch]	69	21	$3,454.98	$3,109.48	$361.79	$8,571.97	$3,109.48	2026-01-21
27560	CPT	Closed Tx Patellar Dislocation Without Anesthesia TechFee	59	43	$3,446.10	$3,101.49	$226.06	$3,446.10	$3,101.49	2026-05-13
73225	CPT	MRA Upper Extremity With Contrast Left	59	43	$3,445.05	$3,100.55	$216.57	$3,445.05	$3,100.55	2026-05-13
72159	CPT	MRA Spinal Contents With + Without Contrast	59	43	$3,445.05	$3,100.55	$218.65	$3,445.05	$3,100.55	2026-05-13
42821	CPT	Tonsillectomy And Adenoidectomy; Age 12 Or Over ProFee	59	43	$3,444.00	$3,099.60	$178.98	$3,444.00	$3,099.60	2026-05-13
70544	CPT	MRA Brain/Head Without Contrast	59	43	$3,441.90	$3,097.71	$135.52	$3,441.90	$3,097.71	2026-05-13
70548	CPT	MRA Neck With Contrast	59	43	$3,441.90	$3,097.71	$154.69	$3,441.90	$3,097.71	2026-05-13
73706	CPT	CT Angio Lower Extremity Bilateral	131	43	$3,440.85	$3,096.76	$203.09	$3,440.85	$3,096.76	2026-05-13
47135	CPT	Transplantation Of Liver	23	21	—	—	$3,048.05	$3,048.05	$3,048.05	2026-01-21
58140	CPT	Myomectomy, Excision Of Fibroid Tumor(s) Of Uterus, 1 To 4 Intramural Myoma(s) W…	59	43	$3,386.25	$3,047.63	$539.04	$3,386.25	$3,047.62	2026-05-13
49618	CPT	Rpr Of Anterior Abd Hern(s), Any Appr,recur,mesh Or Othr, > 3cm Incarcerate/stra…	59	43	$3,383.10	$3,044.79	$698.29	$3,383.10	$3,044.79	2026-05-13
58290	CPT	Vaginal Hysterectomy, For Uterus Greater Than 250 G; ProFee	59	43	$3,378.90	$3,041.01	$662.79	$3,378.90	$3,041.01	2026-05-13
70552	CPT	MRI Brain With Contrast	59	43	$3,365.25	$3,028.72	$170.06	$3,365.25	$3,028.72	2026-05-13
23655	CPT	Clsd Tx Shoulder Dislc W/manipulation Req Anes TechFee	99	43	$4,180.05	$3,762.05	$243.33	$4,180.05	$3,023.05	2026-05-13
46250	CPT	Hemorrhoidectomy, External, 2 Or More Columns/groups ProFee	59	43	$3,358.95	$3,023.05	$285.27	$3,358.95	$3,023.05	2026-05-13
44180	CPT	Laparoscopy, Surgical, Enterolysis (freeing Of Intestinal Adhesion) (separate Pr…	59	43	$3,358.95	$3,023.05	$522.72	$3,358.95	$3,023.05	2026-05-13
27025	CPT	Fasciotomy, Hip Or Thigh, Any Type ProFee	59	43	$3,355.80	$3,020.22	$536.19	$3,355.80	$3,020.22	2026-05-13
32994	CPT	Ablate Pulm Tumor Perq Crybl	23	21	—	—	$3,019.58	$3,019.58	$3,019.58	2026-01-21
70542	CPT	MRI Face Neck Orbit With Contrast	59	43	$3,331.65	$2,998.49	$169.49	$3,331.65	$2,998.49	2026-05-13
29828	CPT	Arthroscopy, Shoulder, Surgical; Biceps Tenodesis ProFee	59	43	$3,323.25	$2,990.93	$532.21	$3,323.25	$2,990.92	2026-05-13
72195	CPT	MRI Pelvis Without Contrast	95	43	$3,242.93	$2,918.63	$144.44	$3,322.20	$2,989.98	2026-05-13
59514	CPT	Cesarean Delivery Only; ProFee	59	43	$3,320.10	$2,988.09	$694.13	$3,320.10	$2,988.09	2026-05-13
59612	CPT	Vaginal Delivery Only, After Previous Cesarean Delivery (with Or Without Episiot…	59	43	$3,320.10	$2,988.09	$782.03	$3,320.10	$2,988.09	2026-05-13
27750	CPT	Cltx Tibial Shaft Fx Without Manipulation TechFee	59	43	$3,316.95	$2,985.26	$210.87	$3,316.95	$2,985.26	2026-05-13
93975	CPT	US Abdomen Doppler Complete	95	43	$3,307.50	$2,976.75	$161.14	$3,307.50	$2,976.75	2026-05-13
73206	CPT	CT Angio Upper Extremity Bilateral	131	43	$3,299.10	$2,969.19	$186.58	$3,299.10	$2,969.19	2026-05-13
27640	CPT	Partial Excision (craterization, Saucerization, Or Diaphysectomy), Bone (eg, Ost…	59	43	$3,283.35	$2,955.01	$483.43	$3,283.35	$2,955.01	2026-05-13
24576	CPT	Cltx Humeral Condylar Fx Medial/lat Without Manj TechFee	59	43	$3,282.30	$2,954.07	$214.48	$3,282.30	$2,954.07	2026-05-13
72142	CPT	MRI Spine Cervical With Contrast	59	43	$3,282.30	$2,954.07	$173.29	$3,282.30	$2,954.07	2026-05-13
58553	CPT	Laparoscopy, Surgical, With Vaginal Hysterectomy, For Uterus Greater Than 250 G;…	59	43	$3,280.20	$2,952.18	$643.43	$3,280.20	$2,952.18	2026-05-13
26735	CPT	Open Treatment Of Phalangeal Shaft Fracture, Proximal Or Middle Phalanx, Finger …	59	43	$3,273.90	$2,946.51	$351.70	$3,273.90	$2,946.51	2026-05-13
71275	CPT	CT Angio Chest	95	43	$3,256.05	$2,930.45	$175.95	$3,256.05	$2,930.45	2026-05-13
72147	CPT	MRI Spine Thoracic With Contrast	59	43	$3,253.95	$2,928.55	$171.96	$3,253.95	$2,928.55	2026-05-13
57720	CPT	Trachelorrhaphy, Plastic Repair Of Uterine Cervix, Vaginal Approach ProFee	59	43	$3,251.85	$2,926.66	$196.64	$3,251.85	$2,926.66	2026-05-13
58571	CPT	Laparoscopy, Surgical, With Total Hysterectomy, For Uterus 250 G Or Less; With R…	59	43	$3,234.00	$2,910.60	$524.24	$3,234.00	$2,910.60	2026-05-13
92950	CPT	Cardiopulmonary Resuscitation TechFee	99	43	$3,234.00	$2,910.60	$176.81	$3,630.90	$2,910.60	2026-05-13

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