Hospital

BANDERA FAMILY HOSPITAL

San Antonio, TX · CCN 670336 · Rates published

1,085 distinct procedures filed

1 distinct payers

1,788 rate rows

2026-05-23 last MRF observed

Data quality

1,786 of 1,788 rate rows are consumer-grade (99.9%)

2 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
exceeds 10× this hospital's gross charge — excluded from medians	1
placeholder amount (≤ $0.02) — excluded from medians	1

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

Source MRF file	https://fhsmc.com/price-transparency/920323729_bandera-family-hospital_standardcharges.csv
Found on page	https://fhsmc.com/price-transparency-page/
Discovered via	Discovered by HANK (automated)
Last fetch	Latest re-check couldn't be parsed — showing last good data · 2026-05-17
Content fingerprint	29ef91e0de3c4b1f… · 434,848 bytes · first seen 2026-05-09

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code	Description	Payers	Min $	Max $	Avg median	vs national
63685 OTHER	Insj/rplcmt Spi Npgr Dir/induxive Coupling	1	$3,230.90	$30,473.59	$16,852.24	nat. median $25,009 0.7× median
63655 OTHER	Lam Impltj Nstim Eltrds Plate/paddle Edrl	1	$8,070.20	$21,444.39	$14,757.29	nat. median $16,128 0.9× median
22856 OTHER	Tot Disc Arthrp Art Disc Ant Appro 1 Ntrspc Crv	1	$5,492.80	$18,390.05	$11,941.42	nat. median $13,626 0.9× median
22612 OTHER	Arthrodesis Posterior/posterolateral Lumbar	1	$5,076.50	$18,390.05	$11,733.27	nat. median $10,318 1.1× median
22630 OTHER	Arthrodesis Posterior Interbody Lumbar	1	$4,958.00	$18,390.05	$11,674.02	nat. median $12,295 0.9× median
29856 OTHER	Arthrs Aid Tibial Fx Prox Unicondylar Bicondylar	1	$9,502.50	$12,866.82	$11,184.66	nat. median $4,727 outlier · 2.4×
54417 OTHER	Rmvl & Rplcmt Penile Prosthesis Infected Field	1	$8,541.90	$12,992.42	$10,767.16	nat. median $8,976 1.2× median
22551 OTHER	Arthrd Ant Interbody Decompress Cervical Belw C2	1	$6,231.20	$12,866.82	$9,549.01	nat. median $11,661 0.8× median
44021 OTHER	Enterotomy Small Intestine Other Than Duodenum For Decom	1	$9,265.90	$9,265.90	$9,265.90	nat. median $2,149 outlier · 4.3×
27514 OTHER	Open Tx Femoral Fracture Distal Med/lat Condyle	1	$9,211.50	$9,211.50	$9,211.50	nat. median $5,047 1.8× median
28445 OTHER	Open Treatment Talus Fracture	1	$7,143.73	$9,994.40	$8,569.06	nat. median $6,088 1.4× median
27535 OTHER	Open Tx Tibial Fracture Proximal Unicondylar	1	$8,555.40	$8,555.40	$8,555.40	nat. median $4,197 outlier · 2.0×
44208 OTHER	Laps Colectmy Prtl W/colopxtstmy Lw Anast W/clst	1	$8,533.40	$8,533.40	$8,533.40	nat. median $5,584 1.5× median
29807 OTHER	Arthroscopy Shoulder Surgical Repair Slap Lesion	1	$7,143.73	$9,870.30	$8,507.01	nat. median $6,989 1.2× median
28299 OTHER	Corrj Hallux Valgus W/sesmdc W/2 Osteot	1	$7,143.73	$9,368.50	$8,256.11	nat. median $6,224 1.3× median
27823 OTHER	Open Tx Trimalleolar Ankle Fx W/fixj Pst Lip	1	$7,143.73	$9,361.90	$8,252.81	nat. median $6,919 1.2× median
22513 OTHER	Perq Vert Agmntj Cavity Crtj Uni/bi Cannulation	1	$7,143.73	$9,349.60	$8,246.67	nat. median $7,204 1.1× median
23585 OTHER	Open Tx Scapular Fx W/internal Fixation If Pfrmd	1	$7,143.73	$9,331.00	$8,237.36	nat. median $6,019 1.4× median
29888 OTHER	Arthrs Aided Ant Cruciate Ligm Rpr/agmntj/rcnstj	1	$7,143.73	$9,292.70	$8,218.22	nat. median $7,273 1.1× median
22514 OTHER	Perq Vert Agmntj Cavity Crtj Uni/bi Cannulj Lmbr	1	$7,143.73	$9,109.00	$8,126.36	nat. median $7,206 1.1× median
37187 OTHER	Prq Transluminal Mechanical Thrombectomy Vein	1	$4,772.60	$11,340.57	$8,056.59	nat. median $7,659 1.1× median
27415 OTHER	Osteochondral Allograft Knee Open	1	$3,103.20	$12,866.82	$7,985.01	nat. median $9,464 0.8× median
63030 OTHER	Lamnotmy Incl W/dcmprsn Nrv Root 1 Intrspc Lumbr	1	$7,143.73	$8,777.00	$7,960.36	nat. median $7,169 1.1× median
29828 OTHER	Arthroscopy Shoulder Biceps Tenodesis	1	$7,143.73	$8,753.30	$7,948.51	nat. median $7,079 1.1× median
30430 OTHER	Rhinoplasty Secondary Minor Revision	1	$5,915.66	$9,968.70	$7,942.18	nat. median $5,266 1.5× median
25575 OTHER	Open Tx Radial&ulnar Shaft Fx W/fixj Radius&ulna	1	$7,143.73	$8,689.40	$7,916.56	nat. median $6,784 1.2× median
27235 OTHER	Prq Skel Fixj Femoral Fx Prox End Neck	1	$7,143.73	$8,673.90	$7,908.81	nat. median $6,611 1.2× median
27540 OTHER	Open Tx Intercondylar Spine/tubrst Fracture Knee	1	$7,819.40	$7,819.40	$7,819.40	nat. median $4,758 1.6× median
27027 OTHER	Decompression Fasciotomy Pelvic Compartment Uni	1	$7,143.73	$8,451.30	$7,797.51	nat. median $5,820 1.3× median
30465 OTHER	Repair Nasal Vestibular Stenosis	1	$5,915.66	$9,609.90	$7,762.78	nat. median $5,938 1.3× median
27822 OTHER	Open Tx Trimalleolar Ankle Fx Without Fixj Pst Lip	1	$7,143.73	$8,304.50	$7,724.11	nat. median $6,902 1.1× median
19325 OTHER	Mammaplasty Augmentation W/prosthetic Implant	1	$5,870.50	$9,569.05	$7,719.77	nat. median $8,060 1.0× median
23412 OTHER	Open Repair Of Rotator Cuff Chronic	1	$7,143.73	$8,166.60	$7,655.16	nat. median $7,029 1.1× median
29867 OTHER	Arthroscopy Knee Osteochondral Allograft	1	$2,219.80	$12,866.82	$7,543.31	nat. median $10,318 0.7× median
23410 OTHER	Open Repair Of Rotator Cuff Acute	1	$7,143.73	$7,857.90	$7,500.81	nat. median $6,535 1.1× median
57289 OTHER	Pereyra Px W/anterior Colporrhaphy	1	$7,394.81	$7,513.50	$7,454.16	nat. median $5,800 1.3× median
64912 OTHER	Nerve Repair W/nerve Allograft First Strand	1	$6,404.07	$8,483.10	$7,443.59	nat. median $6,133 1.2× median
27848 OTHER	Optx Ankle Dislocation W/repair/int/xtrnl Fixj	1	$7,143.73	$7,619.00	$7,381.36	nat. median $4,791 1.5× median
24342 OTHER	Rinsj Rptd Biceps/triceps Tdn Dstl W/wo Tdn Grf	1	$7,143.73	$7,433.20	$7,288.47	nat. median $6,906 1.1× median
27832 OTHER	Open Tx Prox Tibfib Joint Dislocate Exc Prox Fib	1	$7,143.73	$7,298.70	$7,221.22	nat. median $5,624 1.3× median
22842 OTHER	Posterior Segmental Instrumentation 3-6 Vrt Seg	1	$7,215.30	$7,215.30	$7,215.30	nat. median $793 outlier · 9.1×
28750 OTHER	Arthrodesis Great Toe Metatarsophalangeal Joint	1	$7,143.73	$7,279.80	$7,211.76	nat. median $7,134 1.0× median
27524 OTHER	Optx Patllr Fx W/int Fixj/patllc&soft Tiss Rpr	1	$7,143.73	$7,235.00	$7,189.36	nat. median $6,936 1.0× median
24341 OTHER	Repair Tendon/muscle Upper Arm/elbow Ea	1	$7,143.73	$7,211.00	$7,177.36	nat. median $6,577 1.1× median
62380 OTHER	Ndsc Dcmprn Spinal Cord 1 W/lamot Ntrspc Lumbar	1	$7,143.73	$7,143.73	$7,143.73	nat. median $7,404 1.0× median
23430 OTHER	Tenodesis Long Tendon Biceps	1	$7,140.20	$7,143.73	$7,141.97	nat. median $7,087 1.0× median
22840 OTHER	Posterior Non-segmental Instrumentation	1	$7,129.80	$7,129.80	$7,129.80	nat. median $1,006 outlier · 7.1×
20932 OTHER	Osteoarticular Allograft W/articular Surf & Bone	1	$7,118.00	$7,118.00	$7,118.00	nat. median $814 outlier · 8.7×
25628 OTHER	Open Tx Carpal Scaphoid Navicular Fracture	1	$6,936.30	$7,143.73	$7,040.01	nat. median $6,701 1.1× median
23515 OTHER	Open Tx Clavicular Fracture Internal Fixation	1	$6,924.10	$7,143.73	$7,033.91	nat. median $7,171 1.0× median

Other procedures at this hospital

Browse this hospital's 1,085 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

50592	OTHER	Abltj 1/> Renal Tumor Prq Uni Radiofrequency	2	1	$24,426.00	$21,983.40	$4,397.00	$5,834.36	$5,115.68	2026-05-23
14060	OTHER	Adjnt Tis Trnsfr/reargmt Any Area 30.1-60 Sq Cm	2	1	$8,664.00	$7,797.60	$1,829.23	$7,264.10	$4,546.67	2026-05-23
14001	OTHER	Adjt Tis Reargmt Eye/nose/ear/lip 10.1-30.0 Sqcm	2	1	$30,172.00	$27,154.80	$1,829.23	$7,660.80	$4,745.01	2026-05-23
14061	OTHER	Adjt Tis Trnsfr/reargmt Defec Ea Addl 30 Sqcm	2	1	$7,467.00	$6,720.30	$1,829.23	$9,421.40	$5,625.32	2026-05-23
26951	OTHER	Amp F/th 1/2 Jt/phalanx W/neurect W/dir Clsr	2	1	$10,375.90	$9,338.31	$3,244.61	$6,641.70	$4,943.15	2026-05-23
22845	OTHER	Anterior Instrumentation 2-3 Vertebral Segments	1	1	$14,212.00	$12,790.80	$6,862.50	$6,862.50	$6,862.50	2026-05-23
20690	OTHER	Application Uniplane External Fixation System	2	1	$13,338.00	$12,004.20	$5,716.40	$7,143.73	$6,430.06	2026-05-23
22551	OTHER	Arthrd Ant Interbody Decompress Cervical Belw C2	2	1	$30,020.00	$27,018.00	$6,231.20	$12,866.82	$9,549.01	2026-05-23
22552	OTHER	Arthrd Ant Interdy Cervcl Belw C2 Ea Addl Ntrspc	1	1	$22,648.00	$20,383.20	$3,748.70	$3,748.70	$3,748.70	2026-05-23
22556	OTHER	Arthrd Ant Min Discectomy Interbody Thoracic	1	1	$34,800.40	$31,320.36	$6,096.50	$6,096.50	$6,096.50	2026-05-23
22558	OTHER	Arthrodesis Anterior Interbody Lumbar	1	1	$45,600.00	$41,040.00	$4,548.40	$4,548.40	$4,548.40	2026-05-23
28750	OTHER	Arthrodesis Great Toe Metatarsophalangeal Joint	2	1	$30,780.00	$27,702.00	$7,143.73	$7,279.80	$7,211.76	2026-05-23
22632	OTHER	Arthrodesis Posterior Interbody Ea Addl	1	1	$13,224.00	$11,901.60	$3,033.20	$3,033.20	$3,033.20	2026-05-23
22630	OTHER	Arthrodesis Posterior Interbody Lumbar	2	1	$20,748.00	$18,673.20	$4,958.00	$18,390.05	$11,674.02	2026-05-23
22614	OTHER	Arthrodesis Posterior/posterolateral Ea Addl	1	1	$13,545.48	$12,190.93	$3,701.80	$3,701.80	$3,701.80	2026-05-23
22612	OTHER	Arthrodesis Posterior/posterolateral Lumbar	2	1	$22,800.00	$20,520.00	$5,076.50	$18,390.05	$11,733.27	2026-05-23
22600	OTHER	Arthrodesis Pst/pstlat Cervical Belw C2 Sgm	1	1	$9,654.00	$8,688.60	$2,505.80	$2,505.80	$2,505.80	2026-05-23
27280	OTHER	Arthrodesis Sacroiliac Joint W/obtaining Graft	1	1	$33,744.00	$30,369.60	$3,026.30	$3,026.30	$3,026.30	2026-05-23
29898	OTHER	Arthroscopy Ankle Surgical Debridement Extensive	2	1	$31,616.00	$28,454.40	$3,244.61	$5,370.60	$4,307.61	2026-05-23
29894	OTHER	Arthroscopy Ankle W/removal Loose/foreign Body	2	1	$13,965.00	$12,568.50	$3,244.61	$4,855.20	$4,049.90	2026-05-23
29870	OTHER	Arthroscopy Knee Diagnostic With Or Without Synovial Biopsy (separate Procedure)	2	1	$16,131.00	$14,517.90	$3,244.61	$5,273.00	$4,258.81	2026-05-23
29871	OTHER	Arthroscopy Knee Infection Lavage & Drainage	2	1	$19,152.00	$17,236.80	$3,244.61	$4,965.30	$4,104.95	2026-05-23
29873	OTHER	Arthroscopy Knee Lateral Release	2	1	$14,763.00	$13,286.70	$3,244.61	$5,171.60	$4,208.11	2026-05-23
29867	OTHER	Arthroscopy Knee Osteochondral Allograft	2	1	$12,438.00	$11,194.20	$2,219.80	$12,866.82	$7,543.31	2026-05-23
29874	OTHER	Arthroscopy Knee Removal Loose/foreign Body	2	1	$6,078.00	$5,470.20	$3,244.61	$5,154.30	$4,199.45	2026-05-23
29876	OTHER	Arthroscopy Knee Synovectomy 2/>compartments	2	1	$27,778.00	$25,000.20	$3,244.61	$6,274.20	$4,759.40	2026-05-23
29882	OTHER	Arthroscopy Knee W/meniscus Rpr Medial/lateral	2	1	$6,126.00	$5,513.40	$3,244.61	$6,607.80	$4,926.20	2026-05-23
29828	OTHER	Arthroscopy Shoulder Biceps Tenodesis	2	1	$10,408.20	$9,367.38	$7,143.73	$8,753.30	$7,948.51	2026-05-23
29805	OTHER	Arthroscopy Shoulder Diagnostic With Or Without Synovial Biopsy (separate Proced…	2	1	$23,940.00	$21,546.00	$3,244.61	$4,532.30	$3,888.45	2026-05-23
29824	OTHER	Arthroscopy Shoulder Distal Claviculectomy	2	1	$14,371.60	$12,934.44	$3,244.61	$6,502.30	$4,873.45	2026-05-23
29827	OTHER	Arthroscopy Shoulder Rotator Cuff Repair	2	1	$13,653.40	$12,288.06	$191.80	$7,143.73	$3,667.76	2026-05-23
29823	OTHER	Arthroscopy Shoulder Surg Debridement Extensive	2	1	$27,246.00	$24,521.40	$3,244.61	$5,690.60	$4,467.61	2026-05-23
29822	OTHER	Arthroscopy Shoulder Surg Debridement Limited	2	1	$29,548.80	$26,593.92	$3,244.61	$5,212.70	$4,228.65	2026-05-23
29821	OTHER	Arthroscopy Shoulder Surg Synovectomy Complete	2	1	$7,182.00	$6,463.80	$3,244.61	$5,710.30	$4,477.45	2026-05-23
29820	OTHER	Arthroscopy Shoulder Surg Synovectomy Partial	2	1	$6,360.00	$5,724.00	$5,145.60	$7,143.73	$6,144.66	2026-05-23
29806	OTHER	Arthroscopy Shoulder Surgical Capsulorrhaphy	2	1	$22,496.00	$20,246.40	$107.50	$7,143.73	$3,625.61	2026-05-23
29807	OTHER	Arthroscopy Shoulder Surgical Repair Slap Lesion	2	1	$4,603.70	$4,143.33	$7,143.73	$9,870.30	$8,507.01	2026-05-23
29856	OTHER	Arthrs Aid Tibial Fx Prox Unicondylar Bicondylar	2	1	$20,782.20	$18,703.98	$9,502.50	$12,866.82	$11,184.66	2026-05-23
29888	OTHER	Arthrs Aided Ant Cruciate Ligm Rpr/agmntj/rcnstj	2	1	$41,496.00	$37,346.40	$7,143.73	$9,292.70	$8,218.22	2026-05-23
29881	OTHER	Arthrs Kne Surg W/meniscectomy Med/lat W/shvg	2	1	$35,131.00	$31,617.90	$3,244.61	$5,206.50	$4,225.56	2026-05-23
29879	OTHER	Arthrs Knee Abrasion Arthrp/mlt Drlg/microfx	2	1	$6,954.00	$6,258.60	$3,244.61	$6,358.70	$4,801.65	2026-05-23
29880	OTHER	Arthrs Knee W/meniscectomy Med&lat W/shaving	2	1	$37,525.00	$33,772.50	$3,244.61	$5,402.20	$4,323.40	2026-05-23
26070	OTHER	Arthrt Expl Drg/rmvl Loose/fb Carp/mtcrpl Jt	2	1	$12,988.40	$11,689.56	$1,600.41	$3,137.30	$2,368.86	2026-05-23
27310	OTHER	Arthrt Kne W/expl Drg/rmvl Fb	2	1	$14,897.90	$13,408.11	$3,244.61	$7,042.30	$5,143.45	2026-05-23
25040	OTHER	Arthrt Rdcrpl/midcarpl Jt W/expl Drg/rmvl Fb	2	1	$14,820.00	$13,338.00	$3,244.61	$5,401.10	$4,322.86	2026-05-23
20225	OTHER	Biopsy Bone Trocar/needle Deep	2	1	$2,229.00	$2,006.10	$1,620.24	$3,429.60	$2,524.92	2026-05-23
15770	OTHER	Blepharoplasty Lower Eyelid Herniated Fat Pad	2	1	$14,820.00	$13,338.00	$3,660.97	$6,408.30	$5,034.64	2026-05-23
15821	OTHER	Blepharoplasty Upper Eyelid	2	1	$10,944.00	$9,849.60	$1,829.23	$5,795.80	$3,812.52	2026-05-23
15822	OTHER	Blepharoplasty Upper Eyelid	2	1	$13,452.00	$12,106.80	$1,829.23	$4,298.70	$3,063.97	2026-05-23
20902	OTHER	Bone Graft Any Donor Area Major/large	2	1	$21,888.00	$19,699.20	$2,594.30	$7,143.73	$4,869.01	2026-05-23
20900	OTHER	Bone Graft Any Donor Area Minor/small	2	1	$35,644.00	$32,079.60	$3,536.30	$7,143.73	$5,340.01	2026-05-23
38232	OTHER	Bone Marrow Harvest Transplantation Autologous	2	1	$18,240.00	$16,416.00	$1,763.30	$4,685.17	$3,224.23	2026-05-23
23020	OTHER	Capsular Contracture Release	2	1	$32,300.00	$29,070.00	$3,244.61	$6,646.20	$4,945.40	2026-05-23
20912	OTHER	Cartilage Graft Nasal Septum	2	1	$16,530.00	$14,877.00	$3,660.97	$4,593.90	$4,127.43	2026-05-23
27818	OTHER	Closed Treatment Of Trimalleolar Ankle Fracture; With Manipulation	2	1	$15,428.00	$13,885.20	$1,600.41	$4,816.70	$3,208.56	2026-05-23
27768	OTHER	Closed Treatment Pst Malleolus Fracture W/manj	2	1	$7,163.00	$6,446.70	$1,600.41	$4,370.20	$2,985.31	2026-05-23
25650	OTHER	Closed Treatment Ulnar Styloid Fracture	2	1	$4,457.40	$4,011.66	$239.88	$3,243.40	$1,741.64	2026-05-23
27840	OTHER	Closed Tx Ankle Dislocation Without Anesthesia	2	1	$7,980.00	$7,182.00	$239.88	$3,777.00	$2,008.44	2026-05-23
27810	OTHER	Closed Tx Bimalleolar Ankle Fracture W/manj	2	1	$14,516.00	$13,064.40	$1,600.41	$4,633.20	$3,116.81	2026-05-23
27808	OTHER	Closed Tx Bimalleolar Ankle Fracture Without Manj	2	1	$4,560.00	$4,104.00	$239.88	$3,301.20	$1,770.54	2026-05-23
25624	OTHER	Closed Tx Carpal Scaphoid Fracture W/manj	2	1	$9,804.00	$8,823.60	$1,600.41	$4,813.20	$3,206.81	2026-05-23
24620	OTHER	Closed Tx Monteggia Fx Dislocation Elbow W/manj	2	1	$5,217.40	$4,695.66	$1,600.41	$5,704.80	$3,652.61	2026-05-23
27560	OTHER	Closed Tx Patellar Dislocation Without Anesthesia	2	1	$9,424.00	$8,481.60	$239.88	$3,656.70	$1,948.29	2026-05-23
27520	OTHER	Closed Tx Patellar Fracture Without Manipulation	2	1	$1,504.80	$1,354.32	$239.88	$3,206.50	$1,723.19	2026-05-23
630839	OTHER	Closed Tx Radial Head W Manip	2	1	$5,200.00	$4,680.00	$1,600.41	$4,398.10	$2,999.26	2026-05-23
25505	OTHER	Closed Tx Radial Shaft Fracture With Manipulation	2	1	$12,190.40	$10,971.36	$1,600.41	$4,962.40	$3,281.40	2026-05-23
25565	OTHER	Closed Tx Radial&ulnar Shaft Fractures W/manj	2	1	$4,332.00	$3,898.80	$1,600.41	$5,070.20	$3,335.31	2026-05-23
12020	OTHER	Closure Of Split Wound	2	1	$22,347.80	$20,113.02	$612.13	$2,790.90	$1,701.51	2026-05-23
24500	OTHER	Clsd Tx Humeral Shaft Fracture Without Manipulation	2	1	$2,166.00	$1,949.40	$239.88	$3,567.40	$1,903.64	2026-05-23
23655	OTHER	Clsd Tx Shoulder Dislc W/manipulation Req Anes	2	1	$20,444.00	$18,399.60	$1,600.41	$3,960.20	$2,780.31	2026-05-23
23650	OTHER	Clsd Tx Shoulder Dislc W/manipulation Without Anes	2	1	$10,222.00	$9,199.80	$239.88	$3,285.10	$1,762.49	2026-05-23
26641	OTHER	Cltx Carpo/metacarpal Dislocation Thumb W/manj	2	1	$2,397.00	$2,157.30	$239.88	$4,111.50	$2,175.69	2026-05-23
26755	OTHER	Cltx Dstl Phlngl Fx Fngr/thmb W/manj Ea	2	1	$1,711.90	$1,540.71	$239.88	$3,173.10	$1,706.49	2026-05-23
25600	OTHER	Cltx Dstl Radial Fx/epiphysl Sep Without Manj	2	1	$1,140.00	$1,026.00	$239.88	$3,339.60	$1,789.74	2026-05-23
27825	OTHER	Cltx Fx W8 Brg Artclr Prtn Dstl Tib W/skel Tracj	2	1	$4,752.00	$4,276.80	$1,600.41	$5,322.90	$3,461.65	2026-05-23
27824	OTHER	Cltx Fx W8 Brg Artclr Prtn Dstl Tibia Without Manj	2	1	$1,368.00	$1,231.20	$239.88	$3,098.10	$1,668.99	2026-05-23
24576	OTHER	Cltx Humeral Condylar Fx Medial/lat Without Manj	2	1	$4,417.50	$3,975.75	$239.88	$3,460.50	$1,850.19	2026-05-23
24505	OTHER	Cltx Humeral Shft Fx W/manj W/wo Skeletal Tracj	2	1	$2,386.40	$2,147.76	$1,600.41	$4,918.60	$3,259.51	2026-05-23
26775	OTHER	Cltx Iphal Jt Dislc W/manj Req Anes	2	1	$3,057.10	$2,751.39	$265.58	$3,875.50	$2,070.54	2026-05-23
27760	OTHER	Cltx Medial Malleolus Fx Without Manipulation	2	1	$2,247.00	$2,022.30	$239.88	$3,283.00	$1,761.44	2026-05-23
26700	OTHER	Cltx Metacarpophalangeal Dislc W/manj Without Anes	2	1	$1,413.60	$1,272.24	$239.88	$3,357.50	$1,798.69	2026-05-23
23600	OTHER	Cltx Proximal Humeral Fracture Without Manipulation	2	1	$1,026.00	$923.40	$239.88	$3,288.30	$1,764.09	2026-05-23
25660	OTHER	Cltx Rdcrpl/intercarpl Dislc 1/> Bones W/manj	2	1	$6,545.88	$5,891.29	$239.88	$4,388.80	$2,314.34	2026-05-23
25520	OTHER	Cltx Rdl Shft Fx&cltx Dislc Dstl Rad/uln Jt	2	1	$5,916.60	$5,324.94	$1,600.41	$5,628.30	$3,614.36	2026-05-23
24535	OTHER	Cltx Sprcndylr/transcndylr Humeral Fx W/manj	2	1	$4,692.00	$4,222.80	$1,600.41	$6,060.60	$3,830.51	2026-05-23
24530	OTHER	Cltx Sprcndylr/transcndylr Humeral Fx W/wo Manj	2	1	$5,318.10	$4,786.29	$239.88	$3,764.80	$2,002.34	2026-05-23
27750	OTHER	Cltx Tibial Shaft Fx Without Manipulation	2	1	$2,280.00	$2,052.00	$239.88	$3,413.90	$1,826.89	2026-05-23
27816	OTHER	Cltx Trimalleolar Ankle Fx Without Manipulation	2	1	$4,457.40	$4,011.66	$239.88	$3,252.90	$1,746.39	2026-05-23
13152	OTHER	Cmplx Rpr E/n/e/l 2.6-7.5 Cm	2	1	$9,855.30	$8,869.77	$612.13	$4,613.60	$2,612.87	2026-05-23
13121	OTHER	Cmplx Rpr S/a/l 2.6-7.5 Cm	2	1	$2,736.00	$2,462.40	$612.13	$3,939.30	$2,275.72	2026-05-23
13100	OTHER	Cmplx Trunk 1.1 > 2.5	2	1	$4,332.00	$3,898.80	$612.13	$3,154.60	$1,883.36	2026-05-23
13120	OTHER	Complx Scalp 1.1 > 2.5	2	1	$1,995.00	$1,795.50	$612.13	$3,287.00	$1,949.57	2026-05-23
13101	OTHER	Complx Truck 2.6 > 7.5	2	1	$2,470.00	$2,223.00	$612.13	$3,664.60	$2,138.36	2026-05-23
23415	OTHER	Coracoacromial Ligament Releas W/woacromioplasty	2	1	$18,240.00	$16,416.00	$6,738.70	$7,143.73	$6,941.22	2026-05-23
32408	OTHER	Core Needle Bx Lung/mediastinum Perq W/img	2	1	$2,591.00	$2,331.90	$1,620.24	$7,544.50	$4,582.37	2026-05-23
28285	OTHER	Correction Hammertoe	2	1	$8,664.00	$7,797.60	$3,244.61	$5,062.00	$4,153.31	2026-05-23
28299	OTHER	Corrj Hallux Valgus W/sesmdc W/2 Osteot	2	1	$26,231.40	$23,608.26	$7,143.73	$9,368.50	$8,256.11	2026-05-23
28296	OTHER	Corrj Hallux Valgus W/sesmdc W/dist Metar Osteot	2	1	$18,050.00	$16,245.00	$3,244.61	$8,186.30	$5,715.45	2026-05-23
62100	OTHER	Crx Rpr Dural/csf Leak Rhinorrhea/otorrhea	1	1	$25,030.60	$22,527.54	$5,026.70	$5,026.70	$5,026.70	2026-05-23
27600	OTHER	Dcmprn Fasct Leg Ant&/lat Compartments Only	2	1	$13,623.00	$12,260.70	$3,244.61	$3,829.00	$3,536.81	2026-05-23
27602	OTHER	Dcmprn Fasct Leg Ant&/lat&pst Cmprt	2	1	$23,826.00	$21,443.40	$3,244.61	$4,512.70	$3,878.65	2026-05-23
27601	OTHER	Dcmprn Fasct Leg Post Compartment Only	2	1	$14,774.40	$13,296.96	$3,244.61	$4,193.50	$3,719.06	2026-05-23
62287	OTHER	Dcmprn Perq Nucleus Pulposus 1/> Levels Lumbar	2	1	$23,680.00	$21,312.00	$1,952.77	$5,702.20	$3,827.48	2026-05-23
11011	OTHER	Debride Skin Musc At Fx Site	2	1	$23,119.20	$20,807.28	$703.59	$4,657.30	$2,680.45	2026-05-23
11044	OTHER	Debridement Bone Muscle &/fascia 20 Sq Cm/<	2	1	$14,972.00	$13,474.80	$1,620.24	$2,916.50	$2,268.37	2026-05-23
27027	OTHER	Decompression Fasciotomy Pelvic Compartment Uni	2	1	$11,709.70	$10,538.73	$7,143.73	$8,451.30	$7,797.51	2026-05-23
57800	OTHER	Dilation Cervical Canal Instrumental Spx	2	1	$25,353.60	$22,818.24	$722.40	$3,179.53	$1,950.97	2026-05-23
69005	OTHER	Drainage External Ear Abscess/hematoma Cmplx	2	1	$9,120.00	$8,208.00	$1,620.24	$2,045.50	$1,832.87	2026-05-23
26011	OTHER	Drainage Finger Abscess Complicated	2	1	$5,451.10	$4,905.99	$1,620.24	$4,330.00	$2,975.12	2026-05-23
64634	OTHER	Dstr Nrolytc Agnt Parverteb Fct Addl Crvcl/thora	1	1	$4,598.00	$4,138.20	$2,303.40	$2,303.40	$2,303.40	2026-05-23
64636	OTHER	Dstr Nrolytc Agnt Parverteb Fct Addl Lmbr/sacral	1	1	$5,525.20	$4,972.68	$2,159.90	$2,159.90	$2,159.90	2026-05-23
64633	OTHER	Dstr Nrolytc Agnt Parverteb Fct Sngl Crvcl/thora	2	1	$5,394.10	$4,854.69	$1,952.77	$3,998.10	$2,975.43	2026-05-23
64635	OTHER	Dstr Nrolytc Agnt Parverteb Fct Sngl Lmbr/sacral	2	1	$4,332.00	$3,898.80	$1,952.77	$4,031.80	$2,992.28	2026-05-23
62005	OTHER	Elvtn Deprs Skl Fx Compound/commind Xdrl	1	1	$20,109.60	$18,098.64	$2,242.70	$2,242.70	$2,242.70	2026-05-23
29893	OTHER	Endoscopic Plantar Fasciotomy	2	1	$14,816.20	$13,334.58	$3,244.61	$6,202.60	$4,723.61	2026-05-23
44021	OTHER	Enterotomy Small Intestine Other Than Duodenum For Decom	1	1	$15,580.00	$14,022.00	$9,265.90	$9,265.90	$9,265.90	2026-05-23
31200	OTHER	Ethmoidectomy Intranasal Anterior	2	1	$18,595.68	$16,736.11	$5,812.00	$5,915.66	$5,863.83	2026-05-23
31201	OTHER	Ethmoidectomy Intranasal Total	2	1	$23,078.16	$20,770.34	$1,481.28	$7,298.30	$4,389.79	2026-05-23
64784	OTHER	Exc Neuroma Major Peripheral Nrv Xcp Sciatic	2	1	$6,494.20	$5,844.78	$1,952.77	$6,961.30	$4,457.03	2026-05-23
11626	OTHER	Exc S/n/h/f/g Mal+mrg >4 Cm	2	1	$29,129.28	$26,216.35	$2,862.05	$3,811.60	$3,336.82	2026-05-23
11406	OTHER	Exc Tr-ext B9+marg >4.0 Cm	2	1	$20,976.00	$18,878.40	$1,620.24	$3,007.00	$2,313.62	2026-05-23
15836	OTHER	Excision Excessive Skin Arm	2	1	$25,080.00	$22,572.00	$2,862.05	$7,591.40	$5,226.73	2026-05-23
15838	OTHER	Excision Excessive Skin Submental Fat Pad	2	1	$7,524.00	$6,771.60	$2,862.05	$6,190.70	$4,526.38	2026-05-23
15839	OTHER	Excision Excessive Skin Submental Other Areas	2	1	$12,768.00	$11,491.20	$2,862.05	$8,442.40	$5,652.23	2026-05-23
24105	OTHER	Excision Olecranon Bursa	2	1	$13,051.10	$11,745.99	$3,244.61	$3,497.30	$3,370.95	2026-05-23
15830	OTHER	Excision Skin Abd Infraumbilical Panniculectomy	2	1	$28,614.00	$25,752.60	$1,171.40	$6,521.46	$3,846.43	2026-05-23
27345	OTHER	Excision Synovial Cyst Popliteal Space	2	1	$4,515.00	$4,063.50	$3,244.61	$4,719.70	$3,982.15	2026-05-23
28039	OTHER	Excision Tumor Soft Tis Foot/toe Subq 1.5 Cm/>	2	1	$5,418.80	$4,876.92	$2,862.05	$4,413.50	$3,637.78	2026-05-23
28043	OTHER	Excision Tumor Soft Tissue Foot/toe Subq <1.5cm	2	1	$14,516.00	$13,064.40	$1,620.24	$3,553.80	$2,587.02	2026-05-23
24110	OTHER	Excision/curtg Bone Cyst/benign Tumor Humerus	2	1	$13,262.76	$11,936.48	$3,244.61	$5,707.90	$4,476.26	2026-05-23
45563	OTHER	Expl Rpr & Presacral DRG Rectal Inj W/colostomy	1	1	$26,495.50	$23,845.95	$5,716.90	$5,716.90	$5,716.90	2026-05-23
99291	OTHER	Facility Critical Care First Hour	2	1	$10,095.84	$9,086.26	$842.61	$2,588.10	$1,715.36	2026-05-23
28060	OTHER	Fasciectomy Plantar Fascia Partial Spx	2	1	$28,652.00	$25,786.80	$3,244.61	$4,822.80	$4,033.70	2026-05-23
28008	OTHER	Fasciotomy Foot&/toe	2	1	$12,540.00	$11,286.00	$3,244.61	$3,992.80	$3,618.70	2026-05-23
27687	OTHER	Gastrocnemius Recession	2	1	$32,961.20	$29,665.08	$3,244.61	$4,368.80	$3,806.70	2026-05-23
14302	OTHER	Graft Derma-fat-fascia	1	1	$8,892.00	$8,002.80	$2,029.50	$2,029.50	$2,029.50	2026-05-23
21235	OTHER	Graft Ear Crtlg Autogenous Nose/ear	2	1	$21,432.00	$19,288.80	$5,915.66	$6,918.80	$6,417.23	2026-05-23
15769	OTHER	Grafting Autologous Tissue Harvested By Direct Incision	2	1	$15,964.56	$14,368.10	$3,660.97	$4,574.20	$4,117.59	2026-05-23
99236	OTHER	Hospital Discharge Day Management 30 Min/	1	1	$1,915.20	$1,723.68	$1,961.30	$1,961.30	$1,961.30	2026-05-23
10180	OTHER	I & D Complex Postop	2	1	$13,516.60	$12,164.94	$2,457.00	$2,862.05	$2,659.53	2026-05-23
27301	OTHER	I&d Deep Absc Bursa/hematoma Thigh/knee Region	2	1	$14,820.00	$13,338.00	$2,862.05	$6,351.30	$4,606.68	2026-05-23
25028	OTHER	I&d Forearm&/wrist Deep Abscess/hematoma	2	1	$15,048.00	$13,543.20	$3,244.61	$6,444.00	$4,844.31	2026-05-23
23030	OTHER	I&d Shoulder Deep Abscess/hematoma	2	1	$15,048.00	$13,543.20	$2,862.05	$4,088.10	$3,475.07	2026-05-23
23930	OTHER	I&d Upper Arm/elbow Deep Abscess/hematoma	2	1	$22,116.00	$19,904.40	$2,862.05	$3,346.10	$3,104.07	2026-05-23
10030	OTHER	Image-guided Catheter Fluid Collection Drainage	2	1	$6,862.80	$6,176.52	$703.59	$5,721.29	$3,212.44	2026-05-23
64787	OTHER	Implantation Nerve End Bone/muscle	1	1	$7,296.00	$6,566.40	$2,222.60	$2,222.60	$2,222.60	2026-05-23
27603	OTHER	Incision & Drainage Leg/ankle Abscess/hematoma	2	1	$12,312.00	$11,080.80	$2,862.05	$4,885.90	$3,873.97	2026-05-23
10081	OTHER	Incision & Drainage Of Pilonidal Cyst Complicated	2	1	$5,177.50	$4,659.75	$703.59	$3,148.30	$1,925.95	2026-05-23
10121	OTHER	Incision & Removal Foreign Body Subq Tiss Compl	2	1	$6,412.50	$5,771.25	$1,620.24	$2,477.50	$2,048.87	2026-05-23
99215	OTHER	Initial Observation Care	1	1	$798.00	$718.20	$1,708.90	$1,708.90	$1,708.90	2026-05-23
36558	OTHER	Insert Tunneled Cv Cath	2	1	$14,896.00	$13,406.40	$3,147.50	$7,287.20	$5,217.35	2026-05-23
22853	OTHER	Insj Biomchn Dev Intervertebral Dsc Spc W/arthrd	1	1	$29,412.00	$26,470.80	$2,436.80	$2,436.80	$2,436.80	2026-05-23
22854	OTHER	Insj Biomchn Dev Vrt Corpectomy Defect W/arthrd	1	1	$11,172.00	$10,054.80	$3,172.60	$3,172.60	$3,172.60	2026-05-23
36556	OTHER	Insj Non-tunneled Central Venous Cath Age 5 Yr/>	2	1	$8,018.00	$7,216.20	$1,931.60	$3,147.50	$2,539.55	2026-05-23
63685	OTHER	Insj/rplcmt Spi Npgr Dir/induxive Coupling	2	1	$71,440.00	$64,296.00	$3,230.90	$30,473.59	$16,852.24	2026-05-23
12053	OTHER	Intmd Rpr Face/mm 5.1-7.5 Cm	2	1	$15,010.00	$13,509.00	$399.53	$3,365.50	$1,882.52	2026-05-23
12054	OTHER	Intmd Rpr Face/mm 7.6-12.5cm	2	1	$11,324.00	$10,191.60	$399.53	$3,545.10	$1,972.31	2026-05-23
12045	OTHER	Intmd Rpr N-hf/genit12.6-20	2	1	$3,420.00	$3,078.00	$612.13	$3,848.60	$2,230.36	2026-05-23
12044	OTHER	Intmd Rpr N-hf/genit7.6-12.5	2	1	$1,482.00	$1,333.80	$612.13	$3,555.00	$2,083.57	2026-05-23
12035	OTHER	Intmd Rpr S/a/t/ext 12.6-20	2	1	$6,203.50	$5,583.15	$399.53	$3,630.30	$2,014.92	2026-05-23
12036	OTHER	Intmd Rpr S/a/t/ext 20.1-30	2	1	$3,648.00	$3,283.20	$612.13	$4,067.40	$2,339.76	2026-05-23
12034	OTHER	Intmd Rpr S/tr/ext 7.6-12.5	2	1	$4,924.80	$4,432.32	$399.53	$3,105.10	$1,752.31	2026-05-23
41008	OTHER	Intraoral I&d Tongue/floor Submndblr Space	2	1	$8,308.00	$7,477.20	$3,243.07	$3,740.20	$3,491.64	2026-05-23
63045	OTHER	Lam Facetectomy & Foramotomy 1 Segment Cervical	2	1	$18,034.80	$16,231.32	$2,340.40	$7,143.73	$4,742.07	2026-05-23
63047	OTHER	Lam Facetectomy & Foramotomy 1 Segment Lumbar	2	1	$74,879.00	$67,391.10	$603.20	$7,143.73	$3,873.47	2026-05-23
63046	OTHER	Lam Facetectomy & Foramotomy 1 Segment Thoracic	2	1	$19,494.00	$17,544.60	$1,789.00	$7,143.73	$4,466.36	2026-05-23
63048	OTHER	Lam Facetectomy&foramtomy 1 Sgm Ea Crv Thrc/lmbr	1	1	$16,416.00	$14,774.40	$1,992.70	$1,992.70	$1,992.70	2026-05-23
63655	OTHER	Lam Impltj Nstim Eltrds Plate/paddle Edrl	2	1	$13,775.00	$12,397.50	$8,070.20	$21,444.39	$14,757.29	2026-05-23
63050	OTHER	Laminectomy Cerv 2 Or More Vert Seg	1	1	$23,940.00	$21,546.00	$4,206.10	$4,206.10	$4,206.10	2026-05-23
63016	OTHER	Laminectomy Without Ffd > 2 Vert Seg Thoracic	2	1	$46,247.52	$41,622.77	$4,614.30	$7,143.73	$5,879.01	2026-05-23
63020	OTHER	Lamnotmy Incl W/dcmprsn Nrv Root 1 Intrspc Cervc	2	1	$17,210.20	$15,489.18	$561.20	$7,143.73	$3,852.47	2026-05-23
63030	OTHER	Lamnotmy Incl W/dcmprsn Nrv Root 1 Intrspc Lumbr	2	1	$64,448.00	$58,003.20	$7,143.73	$8,777.00	$7,960.36	2026-05-23
63035	OTHER	Lamnotmy W/dcmprsn Nrv Each Addl Crvcl/lmbr	1	1	$56,240.00	$50,616.00	$2,198.10	$2,198.10	$2,198.10	2026-05-23
63051	OTHER	Lamoplasty Cervical Dcmprn Cord 2/> Seg Rcnstj	1	1	$27,170.00	$24,453.00	$6,142.10	$6,142.10	$6,142.10	2026-05-23
63042	OTHER	Lamot Prtl Ffd Exc Disc Reexpl 1 Ntrspc Lumbar	2	1	$19,836.00	$17,852.40	$2,376.20	$7,143.73	$4,759.97	2026-05-23
44970	OTHER	Laparoscopic Appendectomy	2	1	$42,408.00	$38,167.20	$5,750.70	$5,834.36	$5,792.53	2026-05-23
47563	OTHER	Laparoscopy Surg Cholecystectomy	2	1	$52,820.00	$47,538.00	$5,834.36	$6,860.50	$6,347.43	2026-05-23
47562	OTHER	Laparoscopy Surg Cholecystectomy	2	1	$52,440.00	$47,196.00	$5,834.36	$6,308.80	$6,071.58	2026-05-23
44208	OTHER	Laps Colectmy Prtl W/colopxtstmy Lw Anast W/clst	1	1	$31,477.30	$28,329.57	$8,533.40	$8,533.40	$8,533.40	2026-05-23
43644	OTHER	Laps Gstr Rstcv Px W/byp Roux-en-y Limb <150 Cm	1	1	$85,969.68	$77,372.71	$6,498.60	$6,498.60	$6,498.60	2026-05-23
19325	OTHER	Mammaplasty Augmentation W/prosthetic Implant	2	1	$20,292.00	$18,262.80	$5,870.50	$9,569.05	$7,719.77	2026-05-23
23700	OTHER	Manj W/anes Shoulder Joint W/fixation Apparatus	2	1	$13,908.00	$12,517.20	$1,600.41	$1,884.10	$1,742.26	2026-05-23
19300	OTHER	Mastectomy Gynecomastia	2	1	$27,702.00	$24,931.80	$3,829.28	$5,421.10	$4,625.19	2026-05-23
19316	OTHER	Mastopexy	2	1	$24,624.00	$22,161.60	$6,521.46	$7,544.20	$7,032.83	2026-05-23
69990	OTHER	Microsurg Tqs Req Use Operating Microscope	1	1	$15,960.00	$14,364.00	$2,058.80	$2,058.80	$2,058.80	2026-05-23
71551	OTHER	MRI Chest W/contrast Material	2	1	$3,200.00	$2,880.00	$790.06	$2,726.51	$1,758.29	2026-05-23
62380	OTHER	Ndsc Dcmprn Spinal Cord 1 W/lamot Ntrspc Lumbar	1	1	$25,214.00	$22,692.60	$7,143.73	$7,143.73	$7,143.73	2026-05-23
64910	OTHER	Nerve Repair W/conduit Each Nerve	2	1	$9,154.20	$8,238.78	$6,404.07	$7,254.10	$6,829.09	2026-05-23
64912	OTHER	Nerve Repair W/nerve Allograft First Strand	2	1	$11,609.76	$10,448.78	$6,404.07	$8,483.10	$7,443.59	2026-05-23
64721	OTHER	Neuroplasty &/transpos Median Nrv Carpal Tunne	2	1	$23,104.00	$20,793.60	$1,952.77	$4,278.70	$3,115.73	2026-05-23
64704	OTHER	Neuroplasty Nerve Hand/foot	2	1	$14,782.00	$13,303.80	$1,952.77	$3,119.80	$2,536.28	2026-05-23
64708	OTHER	Neurp Major Prph Nrv Arm/leg Opn Oth/thn Spec	2	1	$13,908.00	$12,517.20	$1,952.77	$4,850.90	$3,401.84	2026-05-23
64479	OTHER	Njx Anes&/strd W/img Tfrml Edrl Crv/thrc 1 Lvl	2	1	$4,218.00	$3,796.20	$890.29	$2,460.90	$1,675.60	2026-05-23
59409	OTHER	Obstetrical Care	2	1	$33,960.60	$30,564.54	$3,179.53	$7,575.00	$5,377.26	2026-05-23
99205	OTHER	Office Outpatient Visit 10 Minutes	1	1	$1,767.00	$1,590.30	$2,099.90	$2,099.90	$2,099.90	2026-05-23
23410	OTHER	Open Repair Of Rotator Cuff Acute	2	1	$21,280.00	$19,152.00	$7,143.73	$7,857.90	$7,500.81	2026-05-23
23412	OTHER	Open Repair Of Rotator Cuff Chronic	2	1	$40,660.00	$36,594.00	$7,143.73	$8,166.60	$7,655.16	2026-05-23
28415	OTHER	Open Treatment Calcaneal Fracture	2	1	$54,340.00	$48,906.00	$686.80	$7,143.73	$3,915.26	2026-05-23
27827	OTHER	Open Treatment Fracture Distal Tibia Only	2	1	$31,920.00	$28,728.00	$667.10	$12,866.82	$6,766.96	2026-05-23
27766	OTHER	Open Treatment Medial Malleolus Fracture	2	1	$22,971.00	$20,673.90	$5,820.70	$7,143.73	$6,482.22	2026-05-23
28485	OTHER	Open Treatment Metatarsal Fracture Each	2	1	$17,556.00	$15,800.40	$5,383.50	$7,143.73	$6,263.61	2026-05-23
Metlyte8	OTHER	Open Treatment Of The Distal Tibiofibular Joint (syndesmosis), Including Interna…	2	1	$19,608.00	$17,647.20	$6,722.80	$7,143.73	$6,933.26	2026-05-23
25515	OTHER	Open Treatment Radial Shaft Fracture	2	1	$22,138.80	$19,924.92	$6,468.70	$7,143.73	$6,806.22	2026-05-23
28445	OTHER	Open Treatment Talus Fracture	2	1	$22,971.00	$20,673.90	$7,143.73	$9,994.40	$8,569.06	2026-05-23
21490	OTHER	Open Treatment Temporomandibular Dislocation	2	1	$18,810.00	$16,929.00	$3,243.07	$7,598.80	$5,420.93	2026-05-23
24685	OTHER	Open Treatment Ulnar Fracture Proximal End	2	1	$40,470.00	$36,423.00	$6,299.30	$7,143.73	$6,721.51	2026-05-23
25652	OTHER	Open Treatment Ulnar Styloid Fracture	2	1	$13,680.00	$12,312.00	$6,034.30	$7,143.73	$6,589.01	2026-05-23
23550	OTHER	Open Tx Acromioclavicular Dislc Acute/chronic	2	1	$35,492.00	$31,942.80	$5,506.60	$7,143.73	$6,325.16	2026-05-23
25628	OTHER	Open Tx Carpal Scaphoid Navicular Fracture	2	1	$18,023.40	$16,221.06	$6,936.30	$7,143.73	$7,040.01	2026-05-23
26665	OTHER	Open Tx Carpometacarpal Fracture Dislocate Thumb	2	1	$18,901.20	$17,011.08	$3,244.61	$6,066.50	$4,655.56	2026-05-23
23515	OTHER	Open Tx Clavicular Fracture Internal Fixation	2	1	$50,692.00	$45,622.80	$6,924.10	$7,143.73	$7,033.91	2026-05-23
27792	OTHER	Open Tx Distal Fibular Fracture Lat Malleolus	2	1	$5,736.00	$5,162.40	$6,174.90	$7,143.73	$6,659.31	2026-05-23
27514	OTHER	Open Tx Femoral Fracture Distal Med/lat Condyle	1	1	$17,100.00	$15,390.00	$9,211.50	$9,211.50	$9,211.50	2026-05-23
27540	OTHER	Open Tx Intercondylar Spine/tubrst Fracture Knee	1	1	$28,842.00	$25,957.80	$7,819.40	$7,819.40	$7,819.40	2026-05-23
26615	OTHER	Open Tx Metacarpal Fracture Single Ea Bone	2	1	$25,123.70	$22,611.33	$3,244.61	$5,571.20	$4,407.90	2026-05-23
26735	OTHER	Open Tx Phalangeal Shaft Fracture Prox/middle Ea	2	1	$19,380.00	$17,442.00	$3,244.61	$5,751.40	$4,498.01	2026-05-23
27832	OTHER	Open Tx Prox Tibfib Joint Dislocate Exc Prox Fib	2	1	$14,015.16	$12,613.64	$7,143.73	$7,298.70	$7,221.22	2026-05-23
25575	OTHER	Open Tx Radial&ulnar Shaft Fx W/fixj Radius&ulna	2	1	$30,747.70	$27,672.93	$7,143.73	$8,689.40	$7,916.56	2026-05-23
23585	OTHER	Open Tx Scapular Fx W/internal Fixation If Pfrmd	2	1	$7,362.00	$6,625.80	$7,143.73	$9,331.00	$8,237.36	2026-05-23
27535	OTHER	Open Tx Tibial Fracture Proximal Unicondylar	1	1	$64,372.00	$57,934.80	$8,555.40	$8,555.40	$8,555.40	2026-05-23
27823	OTHER	Open Tx Trimalleolar Ankle Fx W/fixj Pst Lip	2	1	$55,480.00	$49,932.00	$7,143.73	$9,361.90	$8,252.81	2026-05-23
27822	OTHER	Open Tx Trimalleolar Ankle Fx Without Fixj Pst Lip	2	1	$43,601.20	$39,241.08	$7,143.73	$8,304.50	$7,724.11	2026-05-23
23552	OTHER	Optx Acromclav Dislc Acute/chronic W/fascial Grf	2	1	$33,516.00	$30,164.40	$6,215.70	$7,143.73	$6,679.72	2026-05-23
27848	OTHER	Optx Ankle Dislocation W/repair/int/xtrnl Fixj	2	1	$20,314.80	$18,283.32	$7,143.73	$7,619.00	$7,381.36	2026-05-23
25609	OTHER	Optx Dstl Radl I-artic Fx/epiphysl Sep 3 Frag	2	1	$49,400.00	$44,460.00	$113.20	$7,143.73	$3,628.46	2026-05-23
27524	OTHER	Optx Patllr Fx W/int Fixj/patllc&soft Tiss Rpr	2	1	$21,774.00	$19,596.60	$7,143.73	$7,235.00	$7,189.36	2026-05-23
28288	OTHER	Ostc Prtl Exostc/condylc Metar Head	2	1	$9,690.00	$8,721.00	$3,244.61	$5,619.20	$4,431.90	2026-05-23
28118	OTHER	Ostectomy Calcaneus	2	1	$12,654.00	$11,388.60	$3,244.61	$5,681.60	$4,463.11	2026-05-23
28110	OTHER	Ostectomy Prtl 5th Metar Head Spx	2	1	$22,420.00	$20,178.00	$3,244.61	$4,313.10	$3,778.86	2026-05-23
28116	OTHER	Ostectomy Tarsal Coalition	2	1	$42,575.20	$38,317.68	$3,244.61	$6,408.10	$4,826.36	2026-05-23
20932	OTHER	Osteoarticular Allograft W/articular Surf & Bone	1	1	$24,225.00	$21,802.50	$7,118.00	$7,118.00	$7,118.00	2026-05-23
27415	OTHER	Osteochondral Allograft Knee Open	2	1	$22,765.80	$20,489.22	$3,103.20	$12,866.82	$7,985.01	2026-05-23
69300	OTHER	Otoplasty Protruding Ear	2	1	$22,114.10	$19,902.69	$3,243.07	$6,071.90	$4,657.48	2026-05-23
24147	OTHER	Partial Excision Bone Olecranon Process	2	1	$12,410.80	$11,169.72	$3,244.61	$6,061.10	$4,652.86	2026-05-23
57289	OTHER	Pereyra Px W/anterior Colporrhaphy	2	1	$35,449.44	$31,904.50	$7,394.81	$7,513.50	$7,454.16	2026-05-23
25606	OTHER	Perq Skel Fixj Distal Radial Fx/epiphysl Sep	2	1	$12,524.80	$11,272.32	$3,244.61	$6,466.40	$4,855.51	2026-05-23
22513	OTHER	Perq Vert Agmntj Cavity Crtj Uni/bi Cannulation	2	1	$31,920.00	$28,728.00	$7,143.73	$9,349.60	$8,246.67	2026-05-23
22515	OTHER	Perq Vert Agmntj Cavity Crtj Uni/bi Cannulj Each	1	1	$30,780.00	$27,702.00	$5,173.40	$5,173.40	$5,173.40	2026-05-23
22514	OTHER	Perq Vert Agmntj Cavity Crtj Uni/bi Cannulj Lmbr	2	1	$38,532.00	$34,678.80	$7,143.73	$9,109.00	$8,126.36	2026-05-23
22840	OTHER	Posterior Non-segmental Instrumentation	1	1	$18,240.00	$16,416.00	$7,129.80	$7,129.80	$7,129.80	2026-05-23
22842	OTHER	Posterior Segmental Instrumentation 3-6 Vrt Seg	1	1	$12,809.04	$11,528.14	$7,215.30	$7,215.30	$7,215.30	2026-05-23
63650	OTHER	Prq Impltj Nstim Electrode Array Epidural	2	1	$33,440.00	$30,096.00	$225.40	$6,562.90	$3,394.15	2026-05-23
27235	OTHER	Prq Skel Fixj Femoral Fx Prox End Neck	2	1	$42,936.96	$38,643.26	$7,143.73	$8,673.90	$7,908.81	2026-05-23
27509	OTHER	Prq Skeletal Fixj Femoral Fx Distal	2	1	$13,313.30	$11,981.97	$6,469.50	$7,143.73	$6,806.61	2026-05-23
26608	OTHER	Prq Skeletal Fixj Metacarpal Fx Each Bone	2	1	$12,800.30	$11,520.27	$3,244.61	$4,661.80	$3,953.20	2026-05-23
37187	OTHER	Prq Transluminal Mechanical Thrombectomy Vein	2	1	$20,710.00	$18,639.00	$4,772.60	$11,340.57	$8,056.59	2026-05-23
27360	OTHER	Prtl Exc Bone Femur Prox Tibia&/fibula	2	1	$8,145.00	$7,330.50	$3,244.61	$8,592.50	$5,918.56	2026-05-23
28035	OTHER	Release Tarsal Tunnel	2	1	$30,552.00	$27,496.80	$1,952.77	$4,981.50	$3,467.14	2026-05-23
20680	OTHER	Removal Implant Deep	2	1	$16,188.00	$14,569.20	$2,862.05	$5,610.60	$4,236.33	2026-05-23
11772	OTHER	Remove Pilonidal Cyst/sinus Complex	2	1	$18,240.00	$16,416.00	$2,862.05	$7,207.20	$5,034.62	2026-05-23
11771	OTHER	Remove Pilonidal Cyst/sinus Exten	2	1	$32,756.00	$29,480.40	$2,862.05	$5,874.50	$4,368.27	2026-05-23
11770	OTHER	Remove Pilonidal Cyst/sinus Simple	2	1	$22,800.00	$20,520.00	$2,862.05	$3,233.40	$3,047.73	2026-05-23
50200	OTHER	Renal Biopsy Prq Trocar/needle	2	1	$4,648.00	$4,183.20	$1,620.24	$4,577.70	$3,098.97	2026-05-23
67900	OTHER	Repair Brow Ptosis	2	1	$10,450.00	$9,405.00	$2,332.96	$6,030.90	$4,181.93	2026-05-23
13151	OTHER	Repair Complex Eyelid/nose/ear/lip 1.1-2.5 Cm	2	1	$3,078.00	$2,770.20	$612.13	$3,932.90	$2,272.51	2026-05-23
13132	OTHER	Repair Complex F/c/c/m/x/g/h/f 2.6-7.5 Cm	2	1	$6,764.00	$6,087.60	$612.13	$4,368.60	$2,490.37	2026-05-23
13131	OTHER	Repair Complex F/c/m/x/g/h/f 1.2-2.5cm	2	1	$2,508.00	$2,257.20	$399.53	$3,604.40	$2,001.96	2026-05-23
26410	OTHER	Repair Extensor Tendon Hand Without Graft Each	2	1	$8,821.70	$7,939.53	$1,600.41	$5,635.80	$3,618.11	2026-05-23
30465	OTHER	Repair Nasal Vestibular Stenosis	2	1	$17,499.00	$15,749.10	$5,915.66	$9,609.90	$7,762.78	2026-05-23
27650	OTHER	Repair Primary Open/prq Ruptured Achilles Tendon	2	1	$31,266.40	$28,139.76	$6,321.20	$7,143.73	$6,732.47	2026-05-23
26562	OTHER	Repair Syndactyly Each Space Complex	2	1	$27,018.00	$24,316.20	$3,049.50	$3,244.61	$3,147.06	2026-05-23
28208	OTHER	Repair Tendon Extensor Foot 1/2 Each Tendon	2	1	$23,826.00	$21,443.40	$3,244.61	$4,492.30	$3,868.45	2026-05-23
24341	OTHER	Repair Tendon/muscle Upper Arm/elbow Ea	2	1	$22,800.00	$20,520.00	$7,143.73	$7,211.00	$7,177.36	2026-05-23
63688	OTHER	Revj/rmvl Implanted Spinal Neurostim Generator	2	1	$36,556.00	$32,900.40	$2,855.50	$3,439.01	$3,147.26	2026-05-23
64585	OTHER	Revj/rmvl Peripheral Neurostimulator Electrode	2	1	$18,190.60	$16,371.54	$2,231.20	$3,439.01	$2,835.11	2026-05-23
30420	OTHER	Rhinoplasty Primary W/major Septal Repair	2	1	$23,679.70	$21,311.73	$3,515.30	$5,915.66	$4,715.48	2026-05-23
30435	OTHER	Rhinoplasty Secondary Intermediate Revision	2	1	$33,687.00	$30,318.30	$2,494.10	$5,915.66	$4,204.88	2026-05-23
30450	OTHER	Rhinoplasty Secondary Major Revision	2	1	$32,604.00	$29,343.60	$5,915.66	$6,400.10	$6,157.88	2026-05-23
30430	OTHER	Rhinoplasty Secondary Minor Revision	2	1	$19,950.00	$17,955.00	$5,915.66	$9,968.70	$7,942.18	2026-05-23
30462	OTHER	Rhinp Dfrm Colum Lngth Tip Septum Osteot	2	1	$41,733.12	$37,559.81	$5,010.80	$5,915.66	$5,463.23	2026-05-23
30410	OTHER	Rhinp Prim Complete Xtrnl Parts	2	1	$25,840.00	$23,256.00	$3,209.70	$5,915.66	$4,562.68	2026-05-23
30400	OTHER	Rhinp Prim Lat&alar Crtlgs&/elvtn Nasal Ti	2	1	$13,894.70	$12,505.23	$1,441.10	$5,915.66	$3,678.38	2026-05-23
15825	OTHER	Rhytidectomy Neck W/platysmal Tightening	1	1	$35,112.00	$31,600.80	$3,660.97	$3,660.97	$3,660.97	2026-05-23
24342	OTHER	Rinsj Rptd Biceps/triceps Tdn Dstl W/wo Tdn Grf	2	1	$29,640.00	$26,676.00	$7,143.73	$7,433.20	$7,288.47	2026-05-23
54417	OTHER	Rmvl & Rplcmt Penile Prosthesis Infected Field	2	1	$40,813.90	$36,732.51	$8,541.90	$12,992.42	$10,767.16	2026-05-23
45915	OTHER	Rmvl Fecal Impaction/fb Spx Under Anes	2	1	$28,690.00	$25,821.00	$1,179.08	$3,322.30	$2,250.69	2026-05-23
20525	OTHER	Rmvl Foreign Body Muscle/tendon Sheath Deep/comp	2	1	$14,364.00	$12,927.60	$2,862.05	$4,334.00	$3,598.03	2026-05-23
25260	OTHER	Rpr Tdn/musc Flxr F/arm&/wrst Prim 1 Ea Tdn/mu	2	1	$9,500.00	$8,550.00	$3,244.61	$6,137.90	$4,691.26	2026-05-23
30620	OTHER	Septal/other Intranasal Dermatoplasty	2	1	$46,489.20	$41,840.28	$5,915.66	$6,247.50	$6,081.58	2026-05-23
30520	OTHER	Septoplasty/submucous Resecj W/wo Cartilage Grf	2	1	$25,862.80	$23,276.52	$3,243.07	$6,298.80	$4,770.94	2026-05-23
14301	OTHER	Sub Grft F/s/n/h/f/g/m/d <100sq Cm 1st 25 Sq Cm	2	1	$10,260.00	$9,234.00	$198.00	$3,660.97	$1,929.48	2026-05-23
30140	OTHER	Submucous Rescj Inferior Turbinate Prtl/compl	2	1	$25,840.00	$23,256.00	$2,769.30	$3,243.07	$3,006.19	2026-05-23
15877	OTHER	Suction Assisted Lipectomy Trunk	1	1	$20,520.00	$18,468.00	$3,660.97	$3,660.97	$3,660.97	2026-05-23
27380	OTHER	Suture Infrapatellar Tendon Primary	2	1	$10,185.90	$9,167.31	$5,950.40	$7,143.73	$6,547.06	2026-05-23
23430	OTHER	Tenodesis Long Tendon Biceps	2	1	$37,240.00	$33,516.00	$7,140.20	$7,143.73	$7,141.97	2026-05-23
27006	OTHER	Tenotomy Abductors&/extensor Hip Open Spx	2	1	$14,991.00	$13,491.90	$3,244.61	$6,850.40	$5,047.51	2026-05-23
28234	OTHER	Tenotomy Open Extensor Foot/toe Each Tendon	2	1	$4,693.00	$4,223.70	$1,600.41	$3,818.40	$2,709.40	2026-05-23
32110	OTHER	Thorcom Ctrl Traumtc Hemrrg&/rpr Lng Tear	1	1	$23,259.80	$20,933.82	$3,923.90	$3,923.90	$3,923.90	2026-05-23
22856	OTHER	Tot Disc Arthrp Art Disc Ant Appro 1 Ntrspc Crv	2	1	$39,330.00	$35,397.00	$5,492.80	$18,390.05	$11,941.42	2026-05-23
63056	OTHER	Transpedicular Dcmprn Spinal Cord 1 Seg Lumbar	2	1	$31,864.00	$28,677.60	$4,219.90	$7,143.73	$5,681.81	2026-05-23
26725	OTHER	Treat Finger Fracture Each	2	1	$5,869.10	$5,282.19	$239.88	$3,363.90	$1,801.89	2026-05-23
25605	OTHER	Treat Fracture Radius/ulna	2	1	$13,452.00	$12,106.80	$1,600.41	$5,269.50	$3,434.95	2026-05-23
26605	OTHER	Treat Metacarpal Fracture	2	1	$4,788.00	$4,309.20	$239.88	$3,240.00	$1,739.94	2026-05-23
24600	OTHER	Treatment Closed Elbow Dislocation Without Anes	2	1	$6,270.00	$5,643.00	$239.88	$3,712.10	$1,975.99	2026-05-23
27752	OTHER	Treatment Of Tibia Fracture	2	1	$6,729.80	$6,056.82	$1,600.41	$5,196.50	$3,398.45	2026-05-23
37248	OTHER	Trlml Balo Angiop Open/perq W/img S&i 1st Vein	2	1	$23,572.00	$21,214.80	$1,826.20	$5,701.52	$3,763.86	2026-05-23
28230	OTHER	Tx Opn Tendon Flexor Foot Single/mult Tendon Spx	2	1	$9,291.00	$8,361.90	$1,600.41	$4,031.50	$2,815.95	2026-05-23
50955	OTHER	Ureteral Endoscopy Via Ureterostomy W/biopsy	2	1	$42,335.04	$38,101.54	$4,063.20	$5,083.62	$4,573.41	2026-05-23
63081	OTHER	Vertebral Corpectomy Ant Dcmprn Cervical 1 Seg	1	1	$13,930.80	$12,537.72	$6,839.20	$6,839.20	$6,839.20	2026-05-23
63082	OTHER	Vertebral Corpectomy Dcmprn Cervical Ea Seg	1	1	$4,290.20	$3,861.18	$2,514.80	$2,514.80	$2,514.80	2026-05-23

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