Price Transparencybeta Hospital negotiated rates

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

GRAHAM REGIONAL MEDICAL CENTER

Graham, TX · CCN 671300 · Rates published

10,134 distinct procedures filed
12 distinct payers
207,552 rate rows
2025-07-03 last MRF observed · ⚠ 15 mo old
Data quality

204,374 of 207,552 rate rows are consumer-grade (98.5%)

3,178 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
exceeds 10× this hospital's gross charge — excluded from medians 1,939
template filing: same amount across many unrelated codes — excluded 1,068
per-diem day rate — not a per-procedure price 108
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 63

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 15 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://secure.claraprice.net/price-transparency/JXVV-1691592288793/machine-readable/752597537_graham-regional-medical-center_standardcharges.json
Found on page https://secure.claraprice.net/price-transparency/graham-regional-tx
Discovered viaDiscovered by HANK
Last fetch success · 2026-10-09
Content fingerprint 775920026ff3dccc… · 997,973 bytes · first seen 2026-05-18

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
3609015
CDM 		Interstim Battery Replacement 11 $20,076.00 $250,950.00 $56,882.00 nat. median
$21
outlier · 2668.0×
3600613
CDM 		Revision Total Knee Replacemen 11 $12,694.00 $158,676.00 $35,967.00 nat. median
$35,967
1.0× median
3609028
CDM 		Treatmt Of Tibia Fx 11 $12,090.00 $151,119.00 $34,254.00 nat. median
$9,360
outlier · 3.7×
24370
CPT 		Shoulder Hemi Arthroplasty 11 $12,090.00 $151,119.00 $34,254.00 nat. median
$12,336
outlier · 2.8×
3600702A
CDM 		Shoulder Arthroplasty, Proc 11 $9,521.00 $119,007.00 $26,975.00 nat. median
$26,975
1.0× median
43282
CPT 		Paraesophageal Hernia W/mesh 11 $9,169.00 $114,618.00 $25,980.00 nat. median
$10,337
outlier · 2.5×
3609014
CDM 		Lap Vault Suspencion 11 $8,733.00 $109,158.00 $24,742.00 nat. median
$8,733
outlier · 2.8×
1616680
CDM 		Shoulder Arthroplasty Hardware 11 $7,085.00 $177,120.00 $20,074.00 nat. median
$20,074
1.0× median
3609039
CDM 		Fusion Of Big Toe Joint 11 $6,373.00 $79,659.00 $18,056.00 nat. median
$6,388
outlier · 2.8×
22513
CPT 		Perq Vertebral Augmentation 11 $6,141.00 $76,764.00 $17,400.00 nat. median
$8,377
outlier · 2.1×
3600507
CDM 		Appendectomy, Open 11 $5,209.00 $65,115.00 $14,759.00 nat. median
$1,415
outlier · 10.4×
3600637
CDM 		Umbilical Hernia Repair 11 $5,040.00 $63,000.00 $14,280.00 nat. median
$968
outlier · 14.8×
3600583
CDM 		Mastectomy 11 $4,620.00 $57,753.00 $13,091.00 nat. median
$6,237
outlier · 2.1×
36092001
CDM 		Mast Simple Complete 11 $4,620.00 $57,744.00 $13,089.00 nat. median
$13,089
1.0× median
36092000
CDM 		Mastectomy Radical 11 $4,620.00 $57,744.00 $13,089.00 nat. median
$13,089
1.0× median
3600558
CDM 		Incisional Hernia Repair 11 $4,558.00 $56,976.00 $12,915.00 nat. median
$6,153
outlier · 2.1×
23472
CPT 		Shoulder Arthroplasty Total 12 $693.00 $158,676.00 $12,694.00 nat. median
$16,677
0.8× median
66991
CPT 		Cataract With Istent Placement 11 $4,417.00 $55,209.00 $12,514.00 nat. median
$5,640
outlier · 2.2×
47379
CPT 		Laproscopic Liver Procdure 11 $4,080.00 $51,000.00 $11,560.00 nat. median
$6,339
1.8× median
49617
CPT 		Repair An Abdominal Hernia 11 $3,891.00 $48,633.00 $11,023.00 nat. median
$4,152
outlier · 2.7×
2500048
CDM 		Alteplase Recom Tpa 1mg Inj 11 $3,659.00 $91,476.00 $10,367.00 nat. median
$10
outlier · 1068.8×
27130
CPT 		Hip Replacement Total 12 $617.00 $127,458.00 $10,197.00 nat. median
$13,091
0.8× median
250025026
CDM 		Entyninj 11 $3,679.00 $13,798.00 $9,965.00 nat. median
$9,965
1.0× median
3609035
CDM 		Hydrocele Hernia Repair 11 $3,276.00 $40,944.00 $9,281.00 nat. median
$728
outlier · 12.7×
C9781
HCPCS 		Shoulder Arthroscopy-balloon 12 $250.00 $68,511.00 $9,084.00 nat. median
$12,888
0.7× median
38585
CPT 		Biopsy/excision Lymph Node Ope 11 $3,024.00 $37,800.00 $8,568.00 nat. median
$8,746
1.0× median
3600599
CDM 		Port Placement 11 $2,947.00 $36,840.00 $8,350.00 nat. median
$8,350
1.0× median
3609009
CDM 		Removal Peritoneal Dialy Cath 11 $2,947.00 $36,840.00 $8,350.00 nat. median
$12
outlier · 695.8×
3609011
CDM 		Amputation Met W/toe Single 11 $2,916.00 $36,444.00 $8,261.00 nat. median
$3,054
outlier · 2.7×
3609030
CDM 		Cheilectomy 11 $2,916.00 $36,444.00 $8,261.00 nat. median
$21
outlier · 387.5×
3609031
CDM 		Hammertoe Correction 11 $2,916.00 $36,444.00 $8,261.00 nat. median
$25
outlier · 324.2×
47531
CPT 		Cholangiogram With Imaging 11 $2,664.00 $33,300.00 $7,548.00 nat. median
$3,320
outlier · 2.3×
3600612
CDM 		Revison Of Total Hip Rep 11 $2,646.00 $33,075.00 $7,497.00 nat. median
$3,572
outlier · 2.1×
39503
CPT 		Repair Of Diaphragm Hernia 12 $250.00 $10,244.00 $7,398.00 nat. median
$5,691
1.3× median
3609041
CDM 		Vaginal Vault Mesh Removal 11 $2,572.00 $32,154.00 $7,288.00 nat. median
$12
outlier · 607.3×
3609024
CDM 		Revise/remove Sling Repair 11 $2,572.00 $32,154.00 $7,288.00 nat. median
$551
outlier · 13.2×
3609010
CDM 		Hymenectomy 11 $2,572.00 $32,154.00 $7,288.00 nat. median
$557
outlier · 13.1×
3609032
CDM 		Transanal Polyp Excision 11 $2,515.00 $31,440.00 $7,126.00 nat. median
$910
outlier · 7.8×
C1889
HCPCS 		Inspace Balloon 11 $2,627.00 $9,852.00 $7,116.00 nat. median
$2,362
outlier · 3.0×
3600597
CDM 		Perc Pinning Upper Ext 11 $2,482.00 $31,029.00 $7,033.00 nat. median
$3,351
outlier · 2.1×
47135
CPT 		Transplantation Of Liver 12 $250.00 $9,682.00 $6,993.00 nat. median
$6,167
1.1× median
3607009
CDM 		Drainage Lymph Node Lesion 11 $2,441.00 $30,513.00 $6,916.00 nat. median
$3,295
outlier · 2.1×
37183
CPT 		Remove Hepatic Shunt (Tips) 12 $250.00 $9,482.00 $6,848.00 nat. median
$7,191
1.0× median
55873
CPT 		Cryoablate Prostate 12 $250.00 $9,464.00 $6,835.00 nat. median
$9,651
0.7× median
3609026
CDM 		Excise Excess Skin & Tissue 11 $2,325.00 $29,058.00 $6,586.00 nat. median
$2,732
outlier · 2.4×
27447
CPT 		Knee Replacement, Total 12 $616.00 $131,514.00 $6,415.00 nat. median
$12,739
0.5× median
21554
CPT 		Exc Neck Tum Deep 5cm> 11 $2,256.00 $28,200.00 $6,392.00 nat. median
$3,188
outlier · 2.0×
49605
CPT 		Repair Umbilical Lesion 12 $250.00 $8,789.00 $6,348.00 nat. median
$5,152
1.2× median
43116
CPT 		Partial Removal Of Esophagus 12 $250.00 $8,755.00 $6,323.00 nat. median
$5,038
1.3× median
3600614
CDM 		Reverse Total Shoulder Replace 11 $2,223.00 $27,783.00 $6,297.00 nat. median
$3,001
outlier · 2.1×

Other procedures at this hospital

Browse this hospital's 10,134 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
             
12527 CPT Stravix 2x4 Umbilical Tissue 15 11 $5,800.00 $5,800.00 $1,392.00 $17,400.00 $3,944.00 2025-07-03
15275 CPT Stravix 3x6 Umbilical Tissue 15 11 $5,800.00 $5,800.00 $1,392.00 $17,400.00 $3,944.00 2025-07-03
15842 CPT Flap For Face Nerve Palsy 16 12 $5,364.00 $5,364.00 $250.00 $4,828.00 $3,487.00 2025-07-03
1616461 CDM Stagraft Dbm Plus 15 11 $4,654.00 $4,654.00 $1,117.00 $27,924.00 $3,165.00 2025-07-03
1616680 CDM Shoulder Arthroplasty Hardware 15 11 $29,520.00 $29,520.00 $7,085.00 $177,120.00 $20,074.00 2025-07-03
19081 CPT Bx Breast 1st Lesion Strtctc 15 11 $5,181.00 $5,181.00 $1,243.00 $15,543.00 $3,523.00 2025-07-03
19296 CPT Place Po Breast Cath For Rad 16 12 $6,655.00 $6,655.00 $250.00 $5,990.00 $4,326.00 2025-07-03
19364 CPT Breast Reconstruction 15 11 $5,408.00 $5,408.00 $1,298.00 $4,867.00 $3,515.00 2025-07-03
20802 CPT Replantation, Arm, Complete 16 12 $5,466.00 $5,466.00 $250.00 $4,919.00 $3,553.00 2025-07-03
20805 CPT Replant Forearm, Complete 16 12 $6,491.00 $6,491.00 $250.00 $5,842.00 $4,219.00 2025-07-03
20808 CPT Replantation Hand, Complete 16 12 $7,828.00 $7,828.00 $250.00 $7,045.00 $5,088.00 2025-07-03
20838 CPT Replantation Foot, Complete 16 12 $5,545.00 $5,545.00 $250.00 $4,991.00 $3,604.00 2025-07-03
20955 CPT Fibula Bone Graft, Microvasc 16 12 $4,852.00 $4,852.00 $250.00 $4,367.00 $3,154.00 2025-07-03
20956 CPT Iliac Bone Graft, Microvasc 16 12 $5,257.00 $5,257.00 $250.00 $4,731.00 $3,417.00 2025-07-03
20957 CPT Mt Bone Graft, Microvasc 16 12 $5,475.00 $5,475.00 $250.00 $4,928.00 $3,559.00 2025-07-03
20962 CPT Other Bone Graft, Microvasc 16 12 $5,328.00 $5,328.00 $250.00 $4,795.00 $3,463.00 2025-07-03
20969 CPT Bone/skin Graft, Microvasc 16 12 $5,385.00 $5,385.00 $250.00 $4,847.00 $3,500.00 2025-07-03
20970 CPT Bone/skin Graft, Iliac Crest 16 12 $5,673.00 $5,673.00 $250.00 $5,106.00 $3,687.00 2025-07-03
20972 CPT Bone/skin Graft, Metatarsal 16 12 $5,656.00 $5,656.00 $250.00 $5,090.00 $3,676.00 2025-07-03
20973 CPT Bone/skin Graft, Great Toe 16 12 $5,971.00 $5,971.00 $250.00 $5,374.00 $3,881.00 2025-07-03
20982 CPT Ablate, Bone Tumor(s) Perq 16 12 $6,429.00 $6,429.00 $250.00 $5,786.00 $4,179.00 2025-07-03
21125 CPT Augmentation, Lower Jaw Bone 16 12 $4,930.00 $4,930.00 $250.00 $4,437.00 $3,205.00 2025-07-03
21127 CPT Augmentation, Lower Jaw Bone 16 12 $7,575.00 $7,575.00 $250.00 $6,818.00 $4,924.00 2025-07-03
21159 CPT Reconstruct Midface, Lefort 16 12 $5,134.00 $5,134.00 $250.00 $4,621.00 $3,337.00 2025-07-03
21160 CPT Reconstruct Midface, Lefort 16 12 $5,568.00 $5,568.00 $250.00 $5,011.00 $3,619.00 2025-07-03
21184 CPT Reconstruct Cranial Bone 16 12 $4,919.00 $4,919.00 $250.00 $4,427.00 $3,197.00 2025-07-03
21215 CPT Lower Jaw Bone Graft 16 12 $7,734.00 $7,734.00 $250.00 $6,961.00 $5,027.00 2025-07-03
21261 CPT Revise Eye Sockets 16 12 $4,813.00 $4,813.00 $250.00 $4,332.00 $3,128.00 2025-07-03
21552 CPT Ecx Neck Les Sc 3cm/> 15 11 $8,610.00 $8,610.00 $2,066.00 $25,830.00 $5,855.00 2025-07-03
21554 CPT Exc Neck Tum Deep 5cm> 15 11 $9,400.00 $9,400.00 $2,256.00 $28,200.00 $6,392.00 2025-07-03
22206 CPT Cut Spine 3 Col Thor 16 12 $4,918.00 $4,918.00 $250.00 $4,426.00 $3,197.00 2025-07-03
22207 CPT Cut Spine 3 Col Lumb 16 12 $4,792.00 $4,792.00 $250.00 $4,313.00 $3,115.00 2025-07-03
22513 CPT Perq Vertebral Augmentation 15 11 $25,588.00 $25,588.00 $6,141.00 $76,764.00 $17,400.00 2025-07-03
22804 CPT Fusion Of Spine 16 12 $4,839.00 $4,839.00 $250.00 $4,355.00 $3,145.00 2025-07-03
22819 CPT Kyphectomy, 3 Or More 16 12 $4,934.00 $4,934.00 $250.00 $4,441.00 $3,207.00 2025-07-03
22901 CPT Exc Abdl Tum Deep 5cm/> 15 11 $8,610.00 $8,610.00 $2,066.00 $25,830.00 $5,855.00 2025-07-03
23472 CPT Shoulder Arthroplasty Total 45 12 $39,669.00 $25,000.00 37% off $693.00 $158,676.00 $12,694.00 2025-07-03
23930 CPT I&d Axillabilateral Axilla 60 12 $8,278.00 $8,278.00 $169.00 $14,900.00 $3,973.00 2025-07-03
24370 CPT Shoulder Hemi Arthroplasty 15 11 $50,373.00 $50,373.00 $12,090.00 $151,119.00 $34,254.00 2025-07-03
2500048 CDM Alteplase Recom Tpa 1mg Inj 15 11 $15,246.00 $15,246.00 $3,659.00 $91,476.00 $10,367.00 2025-07-03
2500097 CDM Antivenin Crotal Polyval Inj 15 11 $6,615.00 $6,615.00 $1,588.00 $5,954.00 $4,300.00 2025-07-03
250025026 CDM Entyninj 15 11 $15,331.00 $15,331.00 $3,679.00 $13,798.00 $9,965.00 2025-07-03
2509793 CDM Dalvance 500 Mg Vial 15 11 $7,572.00 $7,572.00 $1,817.00 $45,432.00 $5,149.00 2025-07-03
26551 CPT Great Toe-hand Transfer 16 12 $6,538.00 $6,538.00 $250.00 $5,884.00 $4,250.00 2025-07-03
26553 CPT Single Transfer, Toe-hand 16 12 $6,494.00 $6,494.00 $250.00 $5,845.00 $4,221.00 2025-07-03
26554 CPT Double Transfer, Toe-hand 16 12 $7,563.00 $7,563.00 $250.00 $6,807.00 $4,916.00 2025-07-03
26556 CPT Toe Joint Transfer 16 12 $6,756.00 $6,756.00 $250.00 $6,080.00 $4,391.00 2025-07-03
27076 CPT Extensive Hip Surgery 16 12 $5,012.00 $5,012.00 $250.00 $4,511.00 $3,258.00 2025-07-03
27077 CPT Extensive Hip Surgery 16 12 $5,587.00 $5,587.00 $250.00 $5,028.00 $3,632.00 2025-07-03
27130 CPT Hip Replacement Total 45 12 $39,669.00 $19,000.00 52% off $617.00 $127,458.00 $10,197.00 2025-07-03
27447 CPT Knee Replacement, Total 30 12 $43,838.00 $19,000.00 57% off $616.00 $131,514.00 $6,415.00 2025-07-03
28820 CPT Amputation Of Toe 46 12 $14,372.00 $14,372.00 $139.00 $51,738.00 $4,139.00 2025-07-03
31365 CPT Removal Of Larynx 16 12 $5,026.00 $5,026.00 $250.00 $4,523.00 $3,267.00 2025-07-03
31390 CPT Removal Of Larynx & Pharynx 16 12 $5,530.00 $5,530.00 $250.00 $4,977.00 $3,595.00 2025-07-03
31395 CPT Reconstruct Larynx & Pharynx 16 12 $5,794.00 $5,794.00 $250.00 $5,215.00 $3,766.00 2025-07-03
32442 CPT Sleeve Pneumonectomy 16 12 $5,979.00 $5,979.00 $250.00 $5,381.00 $3,886.00 2025-07-03
32445 CPT Removal Of Lung 16 12 $6,920.00 $6,920.00 $250.00 $6,228.00 $4,498.00 2025-07-03
32815 CPT Close Bronchial Fistula 16 12 $5,497.00 $5,497.00 $250.00 $4,947.00 $3,573.00 2025-07-03
32851 CPT Lung Transplant, Single 16 12 $6,425.00 $6,425.00 $250.00 $5,783.00 $4,176.00 2025-07-03
32852 CPT Lung Transplant With Bypass 16 12 $6,922.00 $6,922.00 $250.00 $6,230.00 $4,499.00 2025-07-03
32853 CPT Lung Transplant, Double 16 12 $8,993.00 $8,993.00 $250.00 $8,094.00 $5,845.00 2025-07-03
32854 CPT Lung Transplant With Bypass 16 12 $9,507.00 $9,507.00 $250.00 $8,556.00 $6,180.00 2025-07-03
32998 CPT Perq Rf Ablate Tx Pul Tumor 16 12 $5,688.00 $5,688.00 $250.00 $5,119.00 $3,697.00 2025-07-03
33031 CPT Partial Removal Of Heart Sac 16 12 $4,845.00 $4,845.00 $250.00 $4,361.00 $3,149.00 2025-07-03
33300 CPT Repair Of Heart Wound 16 12 $4,793.00 $4,793.00 $250.00 $4,314.00 $3,115.00 2025-07-03
33305 CPT Repair Of Heart Wound 16 12 $7,992.00 $7,992.00 $250.00 $7,193.00 $5,195.00 2025-07-03
33406 CPT Replacement Of Aortic Valve 16 12 $5,645.00 $5,645.00 $250.00 $5,081.00 $3,669.00 2025-07-03
33410 CPT Replacement Of Aortic Valve 16 12 $4,986.00 $4,986.00 $250.00 $4,487.00 $3,241.00 2025-07-03
33411 CPT Replacement Of Aortic Valve 16 12 $6,558.00 $6,558.00 $250.00 $5,902.00 $4,263.00 2025-07-03
33412 CPT Replacement Of Aortic Valve 16 12 $6,135.00 $6,135.00 $250.00 $5,522.00 $3,988.00 2025-07-03
33413 CPT Replacement Of Aortic Valve 16 12 $6,287.00 $6,287.00 $250.00 $5,658.00 $4,087.00 2025-07-03
33425 CPT Repair Of Mitral Valve 16 12 $5,337.00 $5,337.00 $250.00 $4,803.00 $3,469.00 2025-07-03
33427 CPT Repair Of Mitral Valve 16 12 $4,775.00 $4,775.00 $250.00 $4,298.00 $3,104.00 2025-07-03
33430 CPT Replacement Of Mitral Valve 15 11 $5,487.00 $5,487.00 $1,317.00 $4,938.00 $3,567.00 2025-07-03
33463 CPT Valvuloplasty, Tricuspid 16 12 $6,015.00 $6,015.00 $250.00 $5,414.00 $3,910.00 2025-07-03
33464 CPT Valvuloplasty, Tricuspid 16 12 $4,772.00 $4,772.00 $250.00 $4,295.00 $3,102.00 2025-07-03
33465 CPT Replace Tricuspid Valve 16 12 $5,388.00 $5,388.00 $250.00 $4,849.00 $3,502.00 2025-07-03
33468 CPT Revision Of Tricuspid Valve 16 12 $4,796.00 $4,796.00 $250.00 $4,316.00 $3,117.00 2025-07-03
33513 CPT Cabg, Vein, Four 16 12 $4,841.00 $4,841.00 $250.00 $4,357.00 $3,147.00 2025-07-03
33514 CPT Cabg, Vein, Five 16 12 $5,095.00 $5,095.00 $250.00 $4,586.00 $3,312.00 2025-07-03
33516 CPT Cabg, Vein, Six Or More 16 12 $5,274.00 $5,274.00 $250.00 $4,747.00 $3,428.00 2025-07-03
33535 CPT Cabg, Arterial, Three 16 12 $4,792.00 $4,792.00 $250.00 $4,313.00 $3,115.00 2025-07-03
33536 CPT Cabg, Arterial, Four Or More 16 12 $5,163.00 $5,163.00 $250.00 $4,647.00 $3,356.00 2025-07-03
33542 CPT Removal Of Heart Lesion 16 12 $5,150.00 $5,150.00 $250.00 $4,635.00 $3,348.00 2025-07-03
33545 CPT Repair Of Heart Damage 16 12 $5,983.00 $5,983.00 $250.00 $5,385.00 $3,889.00 2025-07-03
33548 CPT Restore/remodel, Ventricle 16 12 $5,760.00 $5,760.00 $250.00 $5,184.00 $3,744.00 2025-07-03
33619 CPT Repair Single Ventricle 16 12 $5,386.00 $5,386.00 $250.00 $4,847.00 $3,501.00 2025-07-03
33860 CPT Ascending Aortic Graft 16 12 $6,025.00 $6,025.00 $250.00 $5,423.00 $3,916.00 2025-07-03
33863 CPT Ascending Aortic Graft 16 12 $6,145.00 $6,145.00 $250.00 $5,531.00 $3,994.00 2025-07-03
33864 CPT Ascending Aortic Graft 16 12 $6,281.00 $6,281.00 $250.00 $5,653.00 $4,083.00 2025-07-03
33870 CPT Transverse Aortic Arch Graft 16 12 $4,949.00 $4,949.00 $250.00 $4,454.00 $3,217.00 2025-07-03
33875 CPT Thoracic Aortic Graft 16 12 $5,357.00 $5,357.00 $250.00 $4,821.00 $3,482.00 2025-07-03
33877 CPT Thoracoabdominal Graft 16 12 $7,041.00 $7,041.00 $250.00 $6,337.00 $4,577.00 2025-07-03
33910 CPT Remove Lung Artery Emboli 16 12 $5,104.00 $5,104.00 $250.00 $4,594.00 $3,318.00 2025-07-03
33916 CPT Surgery Of Great Vessel 16 12 $8,159.00 $8,159.00 $250.00 $7,343.00 $5,303.00 2025-07-03
33935 CPT Transplantation, Heart/lung 16 12 $9,615.00 $9,615.00 $250.00 $8,654.00 $6,250.00 2025-07-03
33945 CPT Transplantation Of Heart 16 12 $9,511.00 $9,511.00 $250.00 $8,560.00 $6,182.00 2025-07-03
3500031 CDM **Cta Cardiac W/bypass 16 12 $4,750.00 $4,750.00 $1,140.00 $11,875.00 $3,159.00 2025-07-03
35092 CPT Repair Artery Rupture, Aorta 16 12 $5,062.00 $5,062.00 $250.00 $4,556.00 $3,290.00 2025-07-03
35470 CPT Transluminal Balloon Angioplasty, Perc, Tib-pero T 16 12 $4,916.00 $4,916.00 $250.00 $4,424.00 $3,195.00 2025-07-03
35471 CPT Transluminal Balloon Angioplasty, Perc,renal/visce 16 12 $5,404.00 $5,404.00 $250.00 $4,864.00 $3,513.00 2025-07-03
35474 CPT Transluminal Balloon Angioplasty, Perc, Fem-pop 16 12 $4,761.00 $4,761.00 $250.00 $4,285.00 $3,095.00 2025-07-03
35540 CPT Bypass Graft, W/vein; Aortobifemoral 16 12 $4,769.00 $4,769.00 $250.00 $4,292.00 $3,100.00 2025-07-03
3600507 CDM Appendectomy, Open 15 11 $21,705.00 $21,705.00 $5,209.00 $65,115.00 $14,759.00 2025-07-03
3600524 CDM Closed Reduction Disloc Hip 15 11 $5,975.00 $5,975.00 $1,434.00 $17,925.00 $4,063.00 2025-07-03
3600528 CDM Colectomy 15 11 $8,925.00 $8,925.00 $2,142.00 $26,775.00 $6,069.00 2025-07-03
3600541 CDM Excision Of Pilonidal Cyst 15 11 $8,768.00 $8,768.00 $2,104.00 $26,304.00 $5,962.00 2025-07-03
3600543 CDM Excision Soft Tissue Upper Ext 15 11 $8,200.00 $8,200.00 $1,968.00 $24,600.00 $5,576.00 2025-07-03
3600548 CDM Hemiarthorplasty 15 11 $5,557.00 $5,557.00 $1,334.00 $16,671.00 $3,779.00 2025-07-03
3600549 CDM Hemorrhoidectomy 15 11 $8,925.00 $8,925.00 $2,142.00 $26,775.00 $6,069.00 2025-07-03
3600558 CDM Incisional Hernia Repair 15 11 $18,992.00 $18,992.00 $4,558.00 $56,976.00 $12,915.00 2025-07-03
3600562 CDM Intestinal Anastamosis 15 11 $4,863.00 $4,863.00 $1,167.00 $14,589.00 $3,307.00 2025-07-03
3600565 CDM Laparoscopic Appendectomy 15 11 $5,292.00 $5,292.00 $1,270.00 $15,876.00 $3,599.00 2025-07-03
3600571 CDM Lap Hysterectomy 15 11 $5,292.00 $5,292.00 $1,270.00 $15,876.00 $3,599.00 2025-07-03
3600573 CDM Lap Loop Colostomy 15 11 $5,292.00 $5,292.00 $1,270.00 $15,876.00 $3,599.00 2025-07-03
3600575 CDM Lap Round Ligament Plication 15 11 $4,631.00 $4,631.00 $1,111.00 $13,893.00 $3,149.00 2025-07-03
3600576 CDM Lap Salpingo-oophorectomy 15 11 $4,863.00 $4,863.00 $1,167.00 $14,589.00 $3,307.00 2025-07-03
3600583 CDM Mastectomy 15 11 $19,251.00 $19,251.00 $4,620.00 $57,753.00 $13,091.00 2025-07-03
3600586 CDM Manipulation Under Anesthesia 15 11 $5,250.00 $5,250.00 $1,260.00 $15,750.00 $3,570.00 2025-07-03
3600594 CDM Percutaneous Endo Gastrostomy 15 11 $4,631.00 $4,631.00 $1,111.00 $13,893.00 $3,149.00 2025-07-03
3600596 CDM Perc Pinning Lower Ext 15 11 $5,557.00 $5,557.00 $1,334.00 $16,671.00 $3,779.00 2025-07-03
3600597 CDM Perc Pinning Upper Ext 15 11 $10,343.00 $10,343.00 $2,482.00 $31,029.00 $7,033.00 2025-07-03
3600599 CDM Port Placement 15 11 $12,280.00 $12,280.00 $2,947.00 $36,840.00 $8,350.00 2025-07-03
3600607 CDM Removal Of Mass 15 11 $8,610.00 $8,610.00 $2,066.00 $25,830.00 $5,855.00 2025-07-03
3600612 CDM Revison Of Total Hip Rep 15 11 $11,025.00 $11,025.00 $2,646.00 $33,075.00 $7,497.00 2025-07-03
3600613 CDM Revision Total Knee Replacemen 15 11 $52,892.00 $52,892.00 $12,694.00 $158,676.00 $35,967.00 2025-07-03
3600614 CDM Reverse Total Shoulder Replace 15 11 $9,261.00 $9,261.00 $2,223.00 $27,783.00 $6,297.00 2025-07-03
3600619 CDM Skin Graft 15 11 $4,863.00 $4,863.00 $1,167.00 $14,589.00 $3,307.00 2025-07-03
3600637 CDM Umbilical Hernia Repair 15 11 $21,000.00 $21,000.00 $5,040.00 $63,000.00 $14,280.00 2025-07-03
3600701 CDM Laparoscope 15 11 $5,557.00 $5,557.00 $1,334.00 $16,671.00 $3,779.00 2025-07-03
3600702A CDM Shoulder Arthroplasty, Proc 15 11 $39,669.00 $39,669.00 $9,521.00 $119,007.00 $26,975.00 2025-07-03
360099311 CDM Excision Trunk Marg>4.0cm 15 11 $5,198.00 $5,198.00 $1,248.00 $15,594.00 $3,535.00 2025-07-03
3607009 CDM Drainage Lymph Node Lesion 15 11 $10,171.00 $10,171.00 $2,441.00 $30,513.00 $6,916.00 2025-07-03
3609009 CDM Removal Peritoneal Dialy Cath 15 11 $12,280.00 $12,280.00 $2,947.00 $36,840.00 $8,350.00 2025-07-03
3609010 CDM Hymenectomy 15 11 $10,718.00 $10,718.00 $2,572.00 $32,154.00 $7,288.00 2025-07-03
3609011 CDM Amputation Met W/toe Single 15 11 $12,148.00 $12,148.00 $2,916.00 $36,444.00 $8,261.00 2025-07-03
3609014 CDM Lap Vault Suspencion 15 11 $36,386.00 $36,386.00 $8,733.00 $109,158.00 $24,742.00 2025-07-03
3609015 CDM Interstim Battery Replacement 15 11 $83,650.00 $83,650.00 $20,076.00 $250,950.00 $56,882.00 2025-07-03
3609019 CDM Dorsal Slit 15 11 $7,315.00 $7,315.00 $1,756.00 $21,945.00 $4,974.00 2025-07-03
3609024 CDM Revise/remove Sling Repair 15 11 $10,718.00 $10,718.00 $2,572.00 $32,154.00 $7,288.00 2025-07-03
3609025 CDM Excision Of Ganglion Cyst 15 11 $5,975.00 $5,975.00 $1,434.00 $17,925.00 $4,063.00 2025-07-03
3609026 CDM Excise Excess Skin & Tissue 15 11 $9,686.00 $9,686.00 $2,325.00 $29,058.00 $6,586.00 2025-07-03
3609028 CDM Treatmt Of Tibia Fx 15 11 $50,373.00 $50,373.00 $12,090.00 $151,119.00 $34,254.00 2025-07-03
3609030 CDM Cheilectomy 15 11 $12,148.00 $12,148.00 $2,916.00 $36,444.00 $8,261.00 2025-07-03
3609031 CDM Hammertoe Correction 15 11 $12,148.00 $12,148.00 $2,916.00 $36,444.00 $8,261.00 2025-07-03
3609032 CDM Transanal Polyp Excision 15 11 $10,480.00 $10,480.00 $2,515.00 $31,440.00 $7,126.00 2025-07-03
3609033 CDM Delaye Wound Closure 15 11 $6,997.00 $6,997.00 $1,679.00 $20,991.00 $4,758.00 2025-07-03
3609035 CDM Hydrocele Hernia Repair 15 11 $13,648.00 $13,648.00 $3,276.00 $40,944.00 $9,281.00 2025-07-03
3609039 CDM Fusion Of Big Toe Joint 15 11 $26,553.00 $26,553.00 $6,373.00 $79,659.00 $18,056.00 2025-07-03
3609041 CDM Vaginal Vault Mesh Removal 15 11 $10,718.00 $10,718.00 $2,572.00 $32,154.00 $7,288.00 2025-07-03
3609045 CDM Removal Tunneled Cv Cath 15 11 $6,032.00 $6,032.00 $1,448.00 $18,096.00 $4,102.00 2025-07-03
3609050 CDM Thumb Fusion 15 11 $6,470.00 $6,470.00 $1,553.00 $19,410.00 $4,400.00 2025-07-03
3609109 CDM Remove Foreign Body 15 11 $6,036.00 $6,036.00 $1,449.00 $18,108.00 $4,104.00 2025-07-03
36091386 CDM Gastric Balloon 15 11 $7,056.00 $7,056.00 $1,693.00 $21,168.00 $4,798.00 2025-07-03
360919996-T CDM Istent Insertion 8 5 $7,950.00 $7,950.00 $4,770.00 $6,758.00 $5,525.50 2025-07-03
36092000 CDM Mastectomy Radical 15 11 $19,248.00 $19,248.00 $4,620.00 $57,744.00 $13,089.00 2025-07-03
36092001 CDM Mast Simple Complete 15 11 $19,248.00 $19,248.00 $4,620.00 $57,744.00 $13,089.00 2025-07-03
36566 CPT Insert Tunneled Cv Cath 16 12 $7,474.00 $7,474.00 $250.00 $6,727.00 $4,858.00 2025-07-03
36573 CPT Picc Line Placement, Over 2 30 11 $7,297.50 $7,297.50 $1,448.00 $25,689.00 $4,524.00 2025-07-03
37183 CPT Remove Hepatic Shunt (Tips) 16 12 $10,536.00 $10,536.00 $250.00 $9,482.00 $6,848.00 2025-07-03
37210 CPT Embolization Uterine Fibroid 16 12 $6,075.00 $6,075.00 $250.00 $5,468.00 $3,949.00 2025-07-03
38585 CPT Biopsy/excision Lymph Node Ope 15 11 $12,600.00 $12,600.00 $3,024.00 $37,800.00 $8,568.00 2025-07-03
39503 CPT Repair Of Diaphragm Hernia 16 12 $11,382.00 $11,382.00 $250.00 $10,244.00 $7,398.00 2025-07-03
41145 CPT Tongue Removal, Neck Surgery 16 12 $5,388.00 $5,388.00 $250.00 $4,849.00 $3,502.00 2025-07-03
41155 CPT Tongue, Jaw, & Neck Surgery 16 12 $5,860.00 $5,860.00 $250.00 $5,274.00 $3,809.00 2025-07-03
43107 CPT Removal Of Esophagus 16 12 $5,854.00 $5,854.00 $250.00 $5,269.00 $3,805.00 2025-07-03
43108 CPT Removal Of Esophagus 16 12 $8,703.00 $8,703.00 $250.00 $7,833.00 $5,657.00 2025-07-03
43112 CPT Removal Of Esophagus 16 12 $6,714.00 $6,714.00 $250.00 $6,043.00 $4,364.00 2025-07-03
43113 CPT Removal Of Esophagus 16 12 $8,517.00 $8,517.00 $250.00 $7,665.00 $5,536.00 2025-07-03
43116 CPT Partial Removal Of Esophagus 16 12 $9,728.00 $9,728.00 $250.00 $8,755.00 $6,323.00 2025-07-03
43117 CPT Partial Removal Of Esophagus 16 12 $6,408.00 $6,408.00 $250.00 $5,767.00 $4,165.00 2025-07-03
43118 CPT Partial Removal Of Esophagus 16 12 $7,102.00 $7,102.00 $250.00 $6,392.00 $4,616.00 2025-07-03
43121 CPT Partial Removal Of Esophagus 16 12 $5,613.00 $5,613.00 $250.00 $5,052.00 $3,648.00 2025-07-03
43122 CPT Partial Removal Of Esophagus 16 12 $5,095.00 $5,095.00 $250.00 $4,586.00 $3,312.00 2025-07-03
43123 CPT Partial Removal Of Esophagus 16 12 $8,828.00 $8,828.00 $250.00 $7,945.00 $5,738.00 2025-07-03
43124 CPT Removal Of Esophagus 16 12 $7,472.00 $7,472.00 $250.00 $6,725.00 $4,857.00 2025-07-03
43194 CPT Esophagoscopy Removal Of Foreg 16 12 $5,560.00 $5,560.00 $1,334.00 $5,004.00 $3,614.00 2025-07-03
43282 CPT Paraesophageal Hernia W/mesh 15 11 $38,206.00 $38,206.00 $9,169.00 $114,618.00 $25,980.00 2025-07-03
43313 CPT Esophagoplasty Congenital 16 12 $5,784.00 $5,784.00 $250.00 $5,206.00 $3,760.00 2025-07-03
43314 CPT Tracheo-esophagoplasty Cong 16 12 $6,188.00 $6,188.00 $250.00 $5,569.00 $4,022.00 2025-07-03
43361 CPT Gastrointestinal Repair 16 12 $5,374.00 $5,374.00 $250.00 $4,837.00 $3,493.00 2025-07-03
43415 CPT Repair Esophagus Wound 16 12 $5,068.00 $5,068.00 $250.00 $4,561.00 $3,294.00 2025-07-03
44126 CPT Enterectomy Without Taper, Cong 16 12 $4,916.00 $4,916.00 $250.00 $4,424.00 $3,195.00 2025-07-03
44127 CPT Enterectomy W/taper, Cong 16 12 $5,672.00 $5,672.00 $250.00 $5,105.00 $3,687.00 2025-07-03
45126 CPT Pelvic Exenteration 16 12 $5,404.00 $5,404.00 $250.00 $4,864.00 $3,513.00 2025-07-03
45171 CPT Exision Rectal Tumor Transanal 15 11 $8,450.00 $8,450.00 $2,028.00 $25,350.00 $5,746.00 2025-07-03
46742 CPT Repair Of Imperforated Anus 16 12 $5,000.00 $5,000.00 $250.00 $4,500.00 $3,250.00 2025-07-03
46744 CPT Repair Of Cloacal Anomaly 16 12 $7,045.00 $7,045.00 $250.00 $6,341.00 $4,579.00 2025-07-03
46746 CPT Repair Of Cloacal Anomaly 16 12 $7,756.00 $7,756.00 $250.00 $6,980.00 $5,041.00 2025-07-03
46748 CPT Repair Of Cloacal Anomaly 16 12 $8,402.00 $8,402.00 $250.00 $7,562.00 $5,461.00 2025-07-03
47122 CPT Extensive Removal Of Liver 16 12 $6,818.00 $6,818.00 $250.00 $6,136.00 $4,432.00 2025-07-03
47125 CPT Partial Removal Of Liver 16 12 $6,117.00 $6,117.00 $250.00 $5,505.00 $3,976.00 2025-07-03
47130 CPT Partial Removal Of Liver 16 12 $6,559.00 $6,559.00 $250.00 $5,903.00 $4,263.00 2025-07-03
47135 CPT Transplantation Of Liver 16 12 $10,758.00 $10,758.00 $250.00 $9,682.00 $6,993.00 2025-07-03
47136 CPT Transplantation Of Liver 16 12 $7,378.00 $7,378.00 $250.00 $6,640.00 $4,796.00 2025-07-03
47140 CPT Partial Removal, Donor Liver 16 12 $7,126.00 $7,126.00 $250.00 $6,413.00 $4,632.00 2025-07-03
47141 CPT Partial Removal, Donor Liver 16 12 $8,510.00 $8,510.00 $250.00 $7,659.00 $5,532.00 2025-07-03
47142 CPT Partial Removal, Donor Liver 16 12 $9,370.00 $9,370.00 $250.00 $8,433.00 $6,091.00 2025-07-03
47361 CPT Repair Liver Wound 16 12 $5,979.00 $5,979.00 $250.00 $5,381.00 $3,886.00 2025-07-03
47379 CPT Laproscopic Liver Procdure 15 11 $17,000.00 $17,000.00 $4,080.00 $51,000.00 $11,560.00 2025-07-03
47382 CPT Percut Ablate Liver Rf 16 12 $6,742.00 $6,742.00 $250.00 $6,068.00 $4,382.00 2025-07-03
47531 CPT Cholangiogram With Imaging 15 11 $11,100.00 $11,100.00 $2,664.00 $33,300.00 $7,548.00 2025-07-03
47765 CPT Fuse Liver Ducts & Bowel 16 12 $6,019.00 $6,019.00 $250.00 $5,417.00 $3,912.00 2025-07-03
47780 CPT Fuse Bile Ducts And Bowel 16 12 $4,920.00 $4,920.00 $250.00 $4,428.00 $3,198.00 2025-07-03
47785 CPT Fuse Bile Ducts And Bowel 16 12 $6,415.00 $6,415.00 $250.00 $5,774.00 $4,170.00 2025-07-03
48150 CPT Partial Removal Of Pancreas 15 11 $6,194.00 $6,194.00 $1,487.00 $5,575.00 $4,026.00 2025-07-03
48152 CPT Pancreatectomy 16 12 $5,728.00 $5,728.00 $250.00 $5,155.00 $3,723.00 2025-07-03
48153 CPT Pancreatectomy 16 12 $6,158.00 $6,158.00 $250.00 $5,542.00 $4,003.00 2025-07-03
48154 CPT Pancreatectomy 16 12 $5,753.00 $5,753.00 $250.00 $5,178.00 $3,739.00 2025-07-03
48554 CPT Transpl Allograft Pancreas 16 12 $5,262.00 $5,262.00 $250.00 $4,736.00 $3,420.00 2025-07-03
49186 CPT Remove Abdom Growth 5cm Or Les 15 11 $5,909.00 $5,909.00 $1,418.00 $17,727.00 $4,018.00 2025-07-03
49405 CPT Image-guided Fluid Collection 17 12 $5,281.00 $5,281.00 $156.00 $9,242.00 $3,433.00 2025-07-03
49406 CPT Drainage Catheter Placement 16 12 $5,300.00 $5,300.00 $416.00 $9,275.00 $3,524.50 2025-07-03
49605 CPT Repair Umbilical Lesion 16 12 $9,766.00 $9,766.00 $250.00 $8,789.00 $6,348.00 2025-07-03
49617 CPT Repair An Abdominal Hernia 15 11 $16,211.00 $16,211.00 $3,891.00 $48,633.00 $11,023.00 2025-07-03
50360 CPT Transplantation Of Kidney 16 12 $4,867.00 $4,867.00 $250.00 $4,380.00 $3,164.00 2025-07-03
50365 CPT Transplantation Of Kidney 16 12 $5,803.00 $5,803.00 $250.00 $5,223.00 $3,772.00 2025-07-03
50592 CPT Perc Rf Ablate Renal Tumor 16 12 $5,123.00 $5,123.00 $250.00 $4,611.00 $3,330.00 2025-07-03
55873 CPT Cryoablate Prostate 16 12 $10,515.00 $10,515.00 $250.00 $9,464.00 $6,835.00 2025-07-03
58240 CPT Removal Of Pelvis Contents 16 12 $5,853.00 $5,853.00 $250.00 $5,268.00 $3,804.00 2025-07-03
59400 CPT Obstetric Care, Planned Vaginal Delivery 15 11 $4,805.00 $4,805.00 $1,153.00 $4,325.00 $3,123.00 2025-07-03
59510 CPT Obstetric Care, Planned Cesarean Delivery 15 11 $5,337.00 $5,337.00 $1,281.00 $4,803.00 $3,469.00 2025-07-03
59610 CPT Obstetric Care, Planned Vaginal Delivery (post Delivery By Cesarean Section) 15 11 $5,032.00 $5,032.00 $1,208.00 $4,529.00 $3,271.00 2025-07-03
59618 CPT Attempted Vbac Delivery 16 12 $5,394.00 $5,394.00 $250.00 $4,855.00 $3,506.00 2025-07-03
61322 CPT Decompressive Craniotomy 16 12 $4,787.00 $4,787.00 $250.00 $4,308.00 $3,112.00 2025-07-03
61323 CPT Decompressive Lobectomy 16 12 $4,767.00 $4,767.00 $250.00 $4,290.00 $3,099.00 2025-07-03
61512 CPT Remove Brain Lining Lesion 16 12 $5,129.00 $5,129.00 $250.00 $4,616.00 $3,334.00 2025-07-03
61518 CPT Removal Of Brain Lesion 16 12 $5,564.00 $5,564.00 $250.00 $5,008.00 $3,617.00 2025-07-03
61519 CPT Remove Brain Lining Lesion 16 12 $5,914.00 $5,914.00 $250.00 $5,323.00 $3,844.00 2025-07-03
61520 CPT Removal Of Brain Lesion 16 12 $7,462.00 $7,462.00 $250.00 $6,716.00 $4,850.00 2025-07-03
61521 CPT Removal Of Brain Lesion 16 12 $6,351.00 $6,351.00 $250.00 $5,716.00 $4,128.00 2025-07-03
61526 CPT Removal Of Brain Lesion 16 12 $6,670.00 $6,670.00 $250.00 $6,003.00 $4,336.00 2025-07-03
61530 CPT Removal Of Brain Lesion 16 12 $6,161.00 $6,161.00 $250.00 $5,545.00 $4,005.00 2025-07-03
61536 CPT Removal Of Brain Lesion 16 12 $5,178.00 $5,178.00 $250.00 $4,660.00 $3,366.00 2025-07-03
61537 CPT Removal Of Brain Tissue 16 12 $4,933.00 $4,933.00 $250.00 $4,440.00 $3,206.00 2025-07-03
61538 CPT Removal Of Brain Tissue 16 12 $5,338.00 $5,338.00 $250.00 $4,804.00 $3,470.00 2025-07-03
61545 CPT Excision Of Brain Tumor 16 12 $6,399.00 $6,399.00 $250.00 $5,759.00 $4,159.00 2025-07-03
61559 CPT Excision Of Skull/sutures 16 12 $4,830.00 $4,830.00 $250.00 $4,347.00 $3,140.00 2025-07-03
61564 CPT Excision Of Skull Tumor 16 12 $4,840.00 $4,840.00 $250.00 $4,356.00 $3,146.00 2025-07-03
61567 CPT Incision Of Brain Tissue 16 12 $5,131.00 $5,131.00 $250.00 $4,618.00 $3,335.00 2025-07-03
61575 CPT Skull Base/brainstem Surgery 16 12 $5,032.00 $5,032.00 $250.00 $4,529.00 $3,271.00 2025-07-03
61576 CPT Skull Base/brainstem Surgery 16 12 $8,361.00 $8,361.00 $250.00 $7,525.00 $5,435.00 2025-07-03
61580 CPT Craniofacial Approach, Skull 16 12 $4,928.00 $4,928.00 $250.00 $4,435.00 $3,203.00 2025-07-03
61581 CPT Craniofacial Approach, Skull 16 12 $5,339.00 $5,339.00 $250.00 $4,805.00 $3,470.00 2025-07-03
61582 CPT Craniofacial Approach, Skull 16 12 $6,033.00 $6,033.00 $250.00 $5,430.00 $3,921.00 2025-07-03
61583 CPT Craniofacial Approach, Skull 16 12 $5,845.00 $5,845.00 $250.00 $5,261.00 $3,799.00 2025-07-03
61584 CPT Orbitocranial Approach/skull 16 12 $5,732.00 $5,732.00 $250.00 $5,159.00 $3,726.00 2025-07-03
61585 CPT Orbitocranial Approach/skull 16 12 $6,513.00 $6,513.00 $250.00 $5,862.00 $4,233.00 2025-07-03
61586 CPT Resect Nasopharynx, Skull 16 12 $4,997.00 $4,997.00 $250.00 $4,497.00 $3,248.00 2025-07-03
61590 CPT Infratemporal Approach/skull 16 12 $5,975.00 $5,975.00 $250.00 $5,378.00 $3,884.00 2025-07-03
61591 CPT Infratemporal Approach/skull 16 12 $6,120.00 $6,120.00 $250.00 $5,508.00 $3,978.00 2025-07-03
61592 CPT Orbitocranial Approach/skull 16 12 $6,295.00 $6,295.00 $250.00 $5,666.00 $4,092.00 2025-07-03
61595 CPT Transtemporal Approach/skull 16 12 $4,747.00 $4,747.00 $250.00 $4,272.00 $3,086.00 2025-07-03
61596 CPT Transcochlear Approach/skull 16 12 $4,826.00 $4,826.00 $250.00 $4,343.00 $3,137.00 2025-07-03
61597 CPT Transcondylar Approach/skull 16 12 $5,830.00 $5,830.00 $250.00 $5,247.00 $3,790.00 2025-07-03
61598 CPT Transpetrosal Approach/skull 16 12 $5,675.00 $5,675.00 $250.00 $5,108.00 $3,689.00 2025-07-03
61601 CPT Resect/excise Cranial Lesion 16 12 $4,810.00 $4,810.00 $250.00 $4,329.00 $3,127.00 2025-07-03
61606 CPT Resect/excise Cranial Lesion 16 12 $5,795.00 $5,795.00 $250.00 $5,216.00 $3,767.00 2025-07-03
61607 CPT Resect/excise Cranial Lesion 16 12 $6,055.00 $6,055.00 $250.00 $5,450.00 $3,936.00 2025-07-03
61608 CPT Resect/excise Cranial Lesion 16 12 $6,530.00 $6,530.00 $250.00 $5,877.00 $4,245.00 2025-07-03
61613 CPT Remove Aneurysm, Sinus 16 12 $6,549.00 $6,549.00 $250.00 $5,894.00 $4,257.00 2025-07-03
61615 CPT Resect/excise Lesion, Skull 16 12 $5,599.00 $5,599.00 $250.00 $5,039.00 $3,639.00 2025-07-03
61616 CPT Resect/excise Lesion, Skull 16 12 $6,618.00 $6,618.00 $250.00 $5,956.00 $4,302.00 2025-07-03
61682 CPT Intracranial Vessel Surgery 16 12 $8,288.00 $8,288.00 $250.00 $7,459.00 $5,387.00 2025-07-03
61684 CPT Intracranial Vessel Surgery 16 12 $5,706.00 $5,706.00 $250.00 $5,135.00 $3,709.00 2025-07-03
61686 CPT Intracranial Vessel Surgery 16 12 $8,987.00 $8,987.00 $250.00 $8,088.00 $5,842.00 2025-07-03
61692 CPT Intracranial Vessel Surgery 16 12 $7,308.00 $7,308.00 $250.00 $6,577.00 $4,750.00 2025-07-03
61697 CPT Brain Aneurysm Repr, Complx 15 11 $8,445.00 $8,445.00 $1,910.00 $7,601.00 $5,489.00 2025-07-03
61698 CPT Brain Aneurysm Repr, Complx 16 12 $9,253.00 $9,253.00 $250.00 $8,328.00 $6,014.00 2025-07-03
61700 CPT Brain Aneurysm Repr, Simple 16 12 $6,832.00 $6,832.00 $250.00 $6,149.00 $4,441.00 2025-07-03
61702 CPT Inner Skull Vessel Surgery 16 12 $8,050.00 $8,050.00 $250.00 $7,245.00 $5,233.00 2025-07-03
61705 CPT Revise Circulation To Head 16 12 $5,226.00 $5,226.00 $250.00 $4,703.00 $3,397.00 2025-07-03
61708 CPT Revise Circulation To Head 16 12 $5,113.00 $5,113.00 $250.00 $4,602.00 $3,323.00 2025-07-03
61711 CPT Fusion Of Skull Arteries 16 12 $5,237.00 $5,237.00 $250.00 $4,713.00 $3,404.00 2025-07-03
63087 CPT Removal Of Vertebral Body 16 12 $4,857.00 $4,857.00 $250.00 $4,371.00 $3,157.00 2025-07-03
63250 CPT Revise Spinal Cord Vessels 16 12 $5,949.00 $5,949.00 $250.00 $5,354.00 $3,867.00 2025-07-03
63251 CPT Revise Spinal Cord Vessels 16 12 $6,082.00 $6,082.00 $250.00 $5,474.00 $3,953.00 2025-07-03
63252 CPT Revise Spinal Cord Vessels 16 12 $6,081.00 $6,081.00 $250.00 $5,473.00 $3,953.00 2025-07-03
63285 CPT Biopsy/excise Spinal Tumor 16 12 $5,256.00 $5,256.00 $250.00 $4,730.00 $3,416.00 2025-07-03
63286 CPT Biopsy/excise Spinal Tumor 16 12 $5,196.00 $5,196.00 $250.00 $4,676.00 $3,377.00 2025-07-03
63287 CPT Biopsy/excise Spinal Tumor 16 12 $5,510.00 $5,510.00 $250.00 $4,959.00 $3,582.00 2025-07-03
63290 CPT Biopsy/excise Spinal Tumor 16 12 $5,603.00 $5,603.00 $250.00 $5,043.00 $3,642.00 2025-07-03
63305 CPT Removal Of Vertebral Body 16 12 $5,027.00 $5,027.00 $250.00 $4,524.00 $3,268.00 2025-07-03
63306 CPT Removal Of Vertebral Body 16 12 $4,942.00 $4,942.00 $250.00 $4,448.00 $3,212.00 2025-07-03
63307 CPT Removal Of Vertebral Body 16 12 $4,838.00 $4,838.00 $250.00 $4,354.00 $3,145.00 2025-07-03
6360003 CDM Tnkase 50mg Vial 15 11 $6,568.00 $6,568.00 $1,576.00 $39,408.00 $4,466.00 2025-07-03
63650 CPT Implant Neuroelectrodes 31 12 $25,182.00 $25,182.00 $250.00 $75,546.00 $3,822.00 2025-07-03
64553 CPT Implant Neuroelectrodes 16 12 $7,193.00 $7,193.00 $250.00 $6,474.00 $4,675.00 2025-07-03
64633 CPT Destroy Cerv/thor Facet Jnt 15 11 $6,815.00 $6,815.00 $1,636.00 $20,445.00 $4,634.00 2025-07-03
66991 CPT Cataract With Istent Placement 15 11 $18,403.00 $18,403.00 $4,417.00 $55,209.00 $12,514.00 2025-07-03
66999 CPT Lacs Laser 15 11 $8,908.00 $8,908.00 $2,138.00 $26,724.00 $6,057.00 2025-07-03
69535 CPT Remove Part Of Temporal Bone 16 12 $5,269.00 $5,269.00 $250.00 $4,742.00 $3,425.00 2025-07-03
69554 CPT Remove Ear Lesion 16 12 $5,008.00 $5,008.00 $250.00 $4,507.00 $3,255.00 2025-07-03
81162 CPT Brca Panel 15 11 $4,951.00 $4,951.00 $1,188.00 $7,922.00 $3,367.00 2025-07-03
81443 CPT Genetic Testing 15 11 $6,643.00 $6,643.00 $1,594.00 $10,629.00 $4,517.00 2025-07-03
90378 CPT Synagis/palivizumab 50mg Inj 15 11 $5,844.00 $5,844.00 $1,403.00 $35,064.00 $3,974.00 2025-07-03
C1771 HCPCS Allign Hallo Device 15 11 $4,936.00 $4,936.00 $1,185.00 $29,616.00 $3,356.00 2025-07-03
C1776 HCPCS Total Hip Joint Implant 30 11 $8,000.00 $8,000.00 $1,800.00 $51,000.00 $5,525.00 2025-07-03
C1889 HCPCS Inspace Balloon 15 11 $10,947.00 $10,947.00 $2,627.00 $9,852.00 $7,116.00 2025-07-03
C9781 HCPCS Shoulder Arthroscopy-balloon 31 12 $22,837.00 $22,837.00 $250.00 $68,511.00 $9,084.00 2025-07-03
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