|
CMG-1904D
|
LOCAL
|
Inpatient Rehab Per Discharge: Guillain-barre
|
1
|
1
|
$49,619.53
|
—
|
$45,979.08
|
$45,979.08
|
$45,979.08
|
2026-07-19
|
|
CMG-0305B
|
LOCAL
|
Inpatient Rehab Per Discharge: Non-traumatic Brain Injury
|
1
|
1
|
$45,083.74
|
—
|
$39,843.82
|
$39,843.82
|
$39,843.82
|
2026-07-19
|
|
CMG-0106B
|
LOCAL
|
Inpatient Rehab Per Discharge: Stroke
|
1
|
1
|
$54,951.30
|
—
|
$38,832.08
|
$38,832.08
|
$38,832.08
|
2026-07-19
|
|
CMG-0505D
|
LOCAL
|
Inpatient Rehab Per Discharge: Non-traumatic Spinal Cord Injury
|
1
|
1
|
$41,914.93
|
—
|
$36,431.88
|
$36,431.88
|
$36,431.88
|
2026-07-19
|
|
CMG-0505A
|
LOCAL
|
Inpatient Rehab Per Discharge: Non-traumatic Spinal Cord Injury
|
1
|
1
|
$38,625.11
|
—
|
$34,333.25
|
$34,333.25
|
$34,333.25
|
2026-07-19
|
|
CMG-0105D
|
LOCAL
|
Inpatient Rehab Per Discharge: Stroke
|
1
|
1
|
$38,288.57
|
—
|
$33,690.92
|
$33,690.92
|
$33,690.92
|
2026-07-19
|
|
CMG-0105A
|
LOCAL
|
Inpatient Rehab Per Discharge: Stroke
|
2
|
2
|
$36,490.51
|
—
|
$31,945.83
|
$32,249.34
|
$32,097.58
|
2026-07-19
|
|
CMG-1705D
|
LOCAL
|
Inpatient Rehab Per Discharge: Major Multiple Trauma Without Brain Or Spinal Cor…
|
1
|
1
|
$35,686.96
|
—
|
$31,539.18
|
$31,539.18
|
$31,539.18
|
2026-07-19
|
|
CMG-0406A
|
LOCAL
|
Inpatient Rehab Per Discharge: Traumatic Spinal Cord Injury
|
1
|
1
|
$45,864.60
|
—
|
$29,971.01
|
$29,971.01
|
$29,971.01
|
2026-07-19
|
|
CMG-1004D
|
LOCAL
|
Inpatient Rehab Per Discharge: Amputation, Lower Extremity
|
1
|
1
|
$32,867.93
|
—
|
$29,047.80
|
$29,047.80
|
$29,047.80
|
2026-07-19
|
|
CMG-0205C
|
LOCAL
|
Inpatient Rehab Per Discharge: Traumatic Brain Injury
|
1
|
1
|
$41,086.80
|
—
|
$28,882.10
|
$28,882.10
|
$28,882.10
|
2026-07-19
|
|
CMG-0904C
|
LOCAL
|
Inpatient Rehab Per Discharge: Other Orthopedic
|
1
|
1
|
$32,431.18
|
—
|
$28,337.56
|
$28,337.56
|
$28,337.56
|
2026-07-19
|
|
CMG-0904D
|
LOCAL
|
Inpatient Rehab Per Discharge: Other Orthopedic
|
1
|
1
|
$30,228.51
|
—
|
$28,250.75
|
$28,250.75
|
$28,250.75
|
2026-07-19
|
|
CMG-2004C
|
LOCAL
|
Inpatient Rehab Per Discharge: Miscellaneous
|
1
|
1
|
$31,824.26
|
—
|
$28,248.57
|
$28,248.57
|
$28,248.57
|
2026-07-19
|
|
CMG-2005D
|
LOCAL
|
Inpatient Rehab Per Discharge: Miscellaneous
|
1
|
1
|
$31,336.46
|
—
|
$28,034.08
|
$28,034.08
|
$28,034.08
|
2026-07-19
|
|
CMG-2005C
|
LOCAL
|
Inpatient Rehab Per Discharge: Miscellaneous
|
1
|
1
|
$33,544.80
|
—
|
$27,465.43
|
$27,465.43
|
$27,465.43
|
2026-07-19
|
|
CMG-0704D
|
LOCAL
|
Inpatient Rehab Per Discharge: Fracture Of Lower Extremity
|
1
|
1
|
$32,244.00
|
—
|
$26,928.38
|
$26,928.38
|
$26,928.38
|
2026-07-19
|
|
CMG-0604D
|
LOCAL
|
Inpatient Rehab Per Discharge: Neurological
|
1
|
1
|
$32,909.52
|
—
|
$26,732.56
|
$26,732.56
|
$26,732.56
|
2026-07-19
|
|
CMG-0304D
|
LOCAL
|
Inpatient Rehab Per Discharge: Non-traumatic Brain Injury
|
1
|
1
|
$30,043.22
|
—
|
$26,551.40
|
$26,551.40
|
$26,551.40
|
2026-07-19
|
|
CMG-2004D
|
LOCAL
|
Inpatient Rehab Per Discharge: Miscellaneous
|
1
|
1
|
$29,729.37
|
—
|
$26,274.02
|
$26,274.02
|
$26,274.02
|
2026-07-19
|
|
CMG-0704C
|
LOCAL
|
Inpatient Rehab Per Discharge: Fracture Of Lower Extremity
|
1
|
1
|
$34,038.27
|
—
|
$26,053.51
|
$26,053.51
|
$26,053.51
|
2026-07-19
|
|
CMG-1404D
|
LOCAL
|
Inpatient Rehab Per Discharge: Cardiac
|
1
|
1
|
$29,716.13
|
—
|
$25,848.80
|
$25,848.80
|
$25,848.80
|
2026-07-19
|
|
CMG-0305A
|
LOCAL
|
Inpatient Rehab Per Discharge: Non-traumatic Brain Injury
|
1
|
1
|
$31,228.69
|
—
|
$25,406.68
|
$25,406.68
|
$25,406.68
|
2026-07-19
|
|
CMG-0805D
|
LOCAL
|
Inpatient Rehab Per Discharge: Replacement Of Lower Extremity Joint
|
1
|
1
|
$28,511.76
|
—
|
$25,385.15
|
$25,385.15
|
$25,385.15
|
2026-07-19
|
|
CMG-0704A
|
LOCAL
|
Inpatient Rehab Per Discharge: Fracture Of Lower Extremity
|
1
|
1
|
$29,789.87
|
—
|
$25,107.73
|
$25,107.73
|
$25,107.73
|
2026-07-19
|
|
CMG-0603C
|
LOCAL
|
Inpatient Rehab Per Discharge: Neurological
|
1
|
1
|
$28,109.04
|
—
|
$24,985.67
|
$24,985.67
|
$24,985.67
|
2026-07-19
|
|
CMG-0104D
|
LOCAL
|
Inpatient Rehab Per Discharge: Stroke
|
2
|
2
|
$30,619.89
|
—
|
$24,524.07
|
$24,709.04
|
$24,616.56
|
2026-07-19
|
|
CMG-0204D
|
LOCAL
|
Inpatient Rehab Per Discharge: Traumatic Brain Injury
|
1
|
1
|
$29,133.80
|
—
|
$23,395.67
|
$23,395.67
|
$23,395.67
|
2026-07-19
|
|
CMG-2004A
|
LOCAL
|
Inpatient Rehab Per Discharge: Miscellaneous
|
1
|
1
|
$27,059.70
|
—
|
$21,700.92
|
$21,700.92
|
$21,700.92
|
2026-07-19
|
|
CMG-0703A
|
LOCAL
|
Inpatient Rehab Per Discharge: Fracture Of Lower Extremity
|
1
|
1
|
$24,386.25
|
—
|
$21,088.53
|
$21,088.53
|
$21,088.53
|
2026-07-19
|
|
CMG-0303D
|
LOCAL
|
Inpatient Rehab Per Discharge: Non-traumatic Brain Injury
|
1
|
1
|
$25,912.04
|
—
|
$20,680.79
|
$20,680.79
|
$20,680.79
|
2026-07-19
|
|
CMG-2003D
|
LOCAL
|
Inpatient Rehab Per Discharge: Miscellaneous
|
1
|
1
|
$24,864.60
|
—
|
$20,436.49
|
$20,436.49
|
$20,436.49
|
2026-07-19
|
|
CMG-0203D
|
LOCAL
|
Inpatient Rehab Per Discharge: Traumatic Brain Injury
|
1
|
1
|
$23,490.06
|
—
|
$19,724.03
|
$19,724.03
|
$19,724.03
|
2026-07-19
|
|
CMG-0603A
|
LOCAL
|
Inpatient Rehab Per Discharge: Neurological
|
1
|
1
|
$23,665.89
|
—
|
$18,563.28
|
$18,563.28
|
$18,563.28
|
2026-07-19
|
|
CMG-1404B
|
LOCAL
|
Inpatient Rehab Per Discharge: Cardiac
|
1
|
1
|
$40,570.64
|
—
|
$7,890.00
|
$7,890.00
|
$7,890.00
|
2026-07-19
|
|
CMG-0403A
|
LOCAL
|
Inpatient Rehab Per Discharge: Traumatic Spinal Cord Injury
|
1
|
1
|
$28,948.51
|
—
|
$5,500.00
|
$5,500.00
|
$5,500.00
|
2026-07-19
|
|
CMG-0305D
|
LOCAL
|
Inpatient Rehab Per Discharge: Non-traumatic Brain Injury
|
1
|
1
|
$33,132.63
|
—
|
$4,590.00
|
$4,590.00
|
$4,590.00
|
2026-07-19
|
|
0128
|
RC
|
—
|
11
|
11
|
$2,065.00
|
—
|
$1,830.04
|
$1,830.04
|
$1,830.04
|
2026-07-19
|
|
0118
|
RC
|
—
|
11
|
11
|
$2,065.00
|
—
|
$1,830.04
|
$1,830.04
|
$1,830.04
|
2026-07-19
|
|
97035
|
CPT
|
Pt Ultrasound 15min
|
40
|
14
|
$65.00
|
—
|
$196.22
|
$196.22
|
$196.22
|
2026-07-19
|
|
97530
|
CPT
|
Ot Ther Act 15min
|
42
|
14
|
$65.00
|
—
|
$196.22
|
$196.22
|
$196.22
|
2026-07-19
|
|
97014
|
CPT
|
Ot Estim Unatt/nonwound 1unit
|
42
|
14
|
$65.00
|
—
|
$196.22
|
$196.22
|
$196.22
|
2026-07-19
|
|
X3928
|
HCPCS
|
Pt Mc Case Cnslt/rpt
|
21
|
14
|
$255.00
|
—
|
$196.22
|
$196.22
|
$196.22
|
2026-07-19
|
|
X3920
|
HCPCS
|
Pt Mc Eval Rpt Int 30
|
21
|
14
|
$268.80
|
—
|
$196.22
|
$196.22
|
$196.22
|
2026-07-19
|
|
29105
|
CPT
|
Ot Stat Long Arm Spl Shldr-hnd
|
21
|
14
|
$195.00
|
—
|
$196.22
|
$196.22
|
$196.22
|
2026-07-19
|
|
97551
|
CPT
|
Ot Caregiver Trng, Addl 15 Min
|
63
|
14
|
$95.60
|
—
|
$158.63
|
$196.22
|
$196.22
|
2026-07-19
|
|
X3926
|
HCPCS
|
Pt Mc Cs Cnf/rpt Ini 30
|
21
|
14
|
$128.00
|
—
|
$196.22
|
$196.22
|
$196.22
|
2026-07-19
|
|
97163
|
CPT
|
Pt Eval High Complex 1unit
|
21
|
14
|
$260.00
|
—
|
$196.22
|
$196.22
|
$196.22
|
2026-07-19
|
|
97116
|
CPT
|
Pt Gait Trn 15min
|
21
|
14
|
$65.00
|
—
|
$196.22
|
$196.22
|
$196.22
|
2026-07-19
|
|
97533
|
CPT
|
Ot Sens Intg 15min
|
42
|
14
|
$65.00
|
—
|
$196.22
|
$196.22
|
$196.22
|
2026-07-19
|
|
97750
|
CPT
|
Ot Phy Prfm Test 1unit
|
40
|
14
|
$65.00
|
—
|
$196.22
|
$196.22
|
$196.22
|
2026-07-19
|
|
X3918
|
HCPCS
|
Pt Mc Hub Tnk/pl Tpy +15
|
21
|
14
|
$97.90
|
—
|
$196.22
|
$196.22
|
$196.22
|
2026-07-19
|
|
97012
|
CPT
|
Pt Traction Mech 1unit
|
21
|
14
|
$65.00
|
—
|
$196.22
|
$196.22
|
$196.22
|
2026-07-19
|
|
29065
|
CPT
|
Ot Appl Cast Shl-hand
|
21
|
14
|
$195.00
|
—
|
$196.22
|
$196.22
|
$196.22
|
2026-07-19
|
|
97036
|
CPT
|
Ot Hubbard Tank 15 Min
|
21
|
14
|
$65.00
|
—
|
$196.22
|
$196.22
|
$196.22
|
2026-07-19
|
|
97016
|
CPT
|
Ot Vasopneumatic 1unit
|
42
|
14
|
$130.00
|
—
|
$196.22
|
$196.22
|
$196.22
|
2026-07-19
|
|
97535
|
CPT
|
Ot Adl Slf Care Trn 15min
|
42
|
14
|
$100.00
|
—
|
$196.22
|
$196.22
|
$196.22
|
2026-07-19
|
|
90901
|
CPT
|
Ot Biofeedback 1 Unit
|
63
|
14
|
$65.00
|
—
|
$158.63
|
$196.22
|
$196.22
|
2026-07-19
|
|
G0283
|
HCPCS
|
Ot Mcr Estim Unatended 1unit
|
42
|
14
|
$65.00
|
—
|
$196.22
|
$196.22
|
$196.22
|
2026-07-19
|
|
97537
|
CPT
|
Ot Comm Reint 15min
|
42
|
14
|
$65.00
|
—
|
$196.22
|
$196.22
|
$196.22
|
2026-07-19
|
|
97124
|
CPT
|
Ot Massage 15min
|
42
|
14
|
$65.00
|
—
|
$196.22
|
$196.22
|
$196.22
|
2026-07-19
|
|
97022
|
CPT
|
Ot Whirlpool 15min
|
42
|
14
|
$74.00
|
—
|
$196.22
|
$196.22
|
$196.22
|
2026-07-19
|
|
97018
|
CPT
|
Ot Parrafin Bath 1unit
|
42
|
14
|
$65.00
|
—
|
$196.22
|
$196.22
|
$196.22
|
2026-07-19
|
|
96112
|
CPT
|
Ot Developmental Test First 60
|
21
|
14
|
$260.00
|
—
|
$196.22
|
$196.22
|
$196.22
|
2026-07-19
|
|
97110
|
CPT
|
Ot Ther Ex 15min
|
42
|
14
|
$65.00
|
—
|
$196.22
|
$196.22
|
$196.22
|
2026-07-19
|
|
97550
|
CPT
|
Ot Caregvr Trn 1st 30m 1 Unit
|
63
|
14
|
$178.12
|
—
|
$158.63
|
$196.22
|
$196.22
|
2026-07-19
|
|
97167
|
CPT
|
Ot Eval High Complex 1unit
|
21
|
14
|
$260.00
|
—
|
$196.22
|
$196.22
|
$196.22
|
2026-07-19
|
|
29130
|
CPT
|
Ot Stat Finger Splint
|
21
|
14
|
$130.00
|
—
|
$196.22
|
$196.22
|
$196.22
|
2026-07-19
|
|
98972
|
CPT
|
Ot TeleHealth Svc 21+ Min
|
63
|
14
|
$274.00
|
—
|
$158.63
|
$196.22
|
$196.22
|
2026-07-19
|
|
X3930
|
HCPCS
|
Pt Mc Cs Cnf/rpt Add 15
|
21
|
14
|
$64.00
|
—
|
$196.22
|
$196.22
|
$196.22
|
2026-07-19
|
|
29131
|
CPT
|
Ot Dyn Finger Splint
|
21
|
14
|
$130.00
|
—
|
$196.22
|
$196.22
|
$196.22
|
2026-07-19
|
|
20561
|
CPT
|
Ot Dry Ndl 3+ Muscles 1unit
|
42
|
14
|
$130.00
|
—
|
$196.22
|
$196.22
|
$196.22
|
2026-07-19
|
|
97752
|
CPT
|
Pt Group Caregiver Trng 1 Unit
|
21
|
14
|
$41.92
|
—
|
$196.22
|
$196.22
|
$196.22
|
2026-07-19
|
|
20560
|
CPT
|
Ot Dry Ndl 1or2 Muscles 1unit
|
42
|
14
|
$130.00
|
—
|
$196.22
|
$196.22
|
$196.22
|
2026-07-19
|
|
97760
|
CPT
|
Ot Init Orth Fit/trn 15min
|
42
|
14
|
$65.00
|
—
|
$196.22
|
$196.22
|
$196.22
|
2026-07-19
|
|
X3900
|
HCPCS
|
Pt Mc Sgl Mod One Initl 30
|
21
|
14
|
$195.75
|
—
|
$196.22
|
$196.22
|
$196.22
|
2026-07-19
|
|
X3922
|
HCPCS
|
Pt Mc Eval Rpt +15
|
21
|
14
|
$127.15
|
—
|
$196.22
|
$196.22
|
$196.22
|
2026-07-19
|
|
X3906
|
HCPCS
|
Pt Mc Treatment +15m
|
21
|
14
|
$127.15
|
—
|
$196.22
|
$196.22
|
$196.22
|
2026-07-19
|
|
97763
|
CPT
|
Ot Ortho/pros Fit/train
|
40
|
14
|
$65.00
|
—
|
$196.22
|
$196.22
|
$196.22
|
2026-07-19
|
|
97542
|
CPT
|
Ot Wheelchair Mgt 15m
|
42
|
14
|
$65.00
|
—
|
$196.22
|
$196.22
|
$196.22
|
2026-07-19
|
|
97761
|
CPT
|
Ot Init Pros Trn 15min
|
42
|
14
|
$65.00
|
—
|
$196.22
|
$196.22
|
$196.22
|
2026-07-19
|
|
98970
|
CPT
|
Ot TeleHealth Svc 5-10 M
|
61
|
14
|
$84.75
|
—
|
$158.63
|
$196.22
|
$196.22
|
2026-07-19
|
|
97166
|
CPT
|
Ot Eval Mod Complex 1unit
|
19
|
13
|
$260.00
|
—
|
$196.22
|
$196.22
|
$196.22
|
2026-07-19
|
|
97164
|
CPT
|
Pt Re Eval 1unit
|
21
|
14
|
$260.00
|
—
|
$196.22
|
$196.22
|
$196.22
|
2026-07-19
|
|
X3904
|
HCPCS
|
Pt Mc Treatment 30m
|
21
|
14
|
$254.20
|
—
|
$196.22
|
$196.22
|
$196.22
|
2026-07-19
|
|
X3902
|
HCPCS
|
Pt Mc Sgl Mod 1 Area +15
|
21
|
14
|
$97.90
|
—
|
$196.22
|
$196.22
|
$196.22
|
2026-07-19
|
|
97034
|
CPT
|
Ot Contrast Bath 15min
|
42
|
14
|
$65.00
|
—
|
$196.22
|
$196.22
|
$196.22
|
2026-07-19
|
|
97168
|
CPT
|
Ot Re Eval 1unit
|
19
|
13
|
$260.00
|
—
|
$196.22
|
$196.22
|
$196.22
|
2026-07-19
|
|
97140
|
CPT
|
Ot Manual Therapy 15min
|
42
|
14
|
$65.00
|
—
|
$196.22
|
$196.22
|
$196.22
|
2026-07-19
|
|
97113
|
CPT
|
Ot Aquatic Therapy 15min
|
42
|
14
|
$65.00
|
—
|
$196.22
|
$196.22
|
$196.22
|
2026-07-19
|
|
97033
|
CPT
|
Ot Iontophoresis 15min
|
42
|
14
|
$65.00
|
—
|
$196.22
|
$196.22
|
$196.22
|
2026-07-19
|
|
96113
|
CPT
|
Ot Developmental Test Ea Add 3
|
42
|
14
|
$130.00
|
—
|
$196.22
|
$196.22
|
$196.22
|
2026-07-19
|
|
97112
|
CPT
|
Ot Neuro Re-ed 15min
|
42
|
14
|
$65.00
|
—
|
$196.22
|
$196.22
|
$196.22
|
2026-07-19
|
|
29125
|
CPT
|
Ot Stat Shrt Arm Spl Frarm-hnd
|
21
|
14
|
$130.00
|
—
|
$196.22
|
$196.22
|
$196.22
|
2026-07-19
|
|
98971
|
CPT
|
Ot TeleHealth Svc 11-20 M
|
63
|
14
|
$169.55
|
—
|
$158.63
|
$196.22
|
$196.22
|
2026-07-19
|
|
90912
|
CPT
|
Pt Biofeed Peri/rectal Int 15m
|
21
|
14
|
$65.00
|
—
|
$196.22
|
$196.22
|
$196.22
|
2026-07-19
|
|
90913
|
CPT
|
Pt Biofeed Peri/rectal Ea 15m
|
21
|
14
|
$65.00
|
—
|
$196.22
|
$196.22
|
$196.22
|
2026-07-19
|
|
95992
|
CPT
|
Ot Canalith Reposition 1unit
|
42
|
14
|
$130.00
|
—
|
$196.22
|
$196.22
|
$196.22
|
2026-07-19
|
|
97026
|
CPT
|
Ot Infrared 1unit
|
42
|
14
|
$65.00
|
—
|
$196.22
|
$196.22
|
$196.22
|
2026-07-19
|
|
97032
|
CPT
|
Ot Estim Manual/attend 15min
|
38
|
13
|
$65.00
|
—
|
$196.22
|
$196.22
|
$196.22
|
2026-07-19
|
|
97161
|
CPT
|
Pt Eval Low Complex 1unit
|
21
|
14
|
$260.00
|
—
|
$196.22
|
$196.22
|
$196.22
|
2026-07-19
|
|
97162
|
CPT
|
Pt Eval Mod Complex 1unit
|
21
|
14
|
$260.00
|
—
|
$196.22
|
$196.22
|
$196.22
|
2026-07-19
|
|
29126
|
CPT
|
Ot Dyn Shrt Arm Spl Frarm-hnd
|
21
|
14
|
$195.00
|
—
|
$196.22
|
$196.22
|
$196.22
|
2026-07-19
|
|
97165
|
CPT
|
Ot Eval Low Complex 1unit
|
21
|
14
|
$260.00
|
—
|
$196.22
|
$196.22
|
$196.22
|
2026-07-19
|
|
X3916
|
HCPCS
|
Pt Mc Hub Tnk/pool Tpy Int 30
|
21
|
14
|
$195.75
|
—
|
$196.22
|
$196.22
|
$196.22
|
2026-07-19
|
|
G2062
|
HCPCS
|
Pt Mcr Dig E/m Svc 11-20 Min
|
42
|
14
|
$169.55
|
—
|
$158.63
|
$196.22
|
$177.43
|
2026-07-19
|
|
G2063
|
HCPCS
|
Ot Mcr Dig E/m Svc 21+ Min
|
42
|
14
|
$274.00
|
—
|
$158.63
|
$196.22
|
$177.43
|
2026-07-19
|
|
97552
|
CPT
|
Ot Group Caregiver Trng 1 Unit
|
42
|
14
|
$41.92
|
—
|
$158.63
|
$196.22
|
$177.43
|
2026-07-19
|
|
97130
|
CPT
|
Ot Cog Tx Ea Addl 15min
|
42
|
14
|
$65.00
|
—
|
$158.63
|
$196.22
|
$177.43
|
2026-07-19
|
|
X4303
|
HCPCS
|
St Mc Spch/lang Ther In Per Hr
|
21
|
14
|
$508.45
|
—
|
$158.63
|
$158.63
|
$158.63
|
2026-07-19
|
|
92608
|
CPT
|
St Aac Gen Device Ea Add 30m
|
19
|
13
|
$130.00
|
—
|
$158.63
|
$158.63
|
$158.63
|
2026-07-19
|
|
92522
|
CPT
|
St Eval Sound Production 1unit
|
19
|
13
|
$150.00
|
—
|
$158.63
|
$158.63
|
$158.63
|
2026-07-19
|
|
92523
|
CPT
|
St Eval Snd/lan/comp/exp 1unit
|
19
|
13
|
$325.00
|
—
|
$158.63
|
$158.63
|
$158.63
|
2026-07-19
|
|
92607
|
CPT
|
St Aac Gen Device Eval 1 Unit
|
21
|
14
|
$260.00
|
—
|
$158.63
|
$158.63
|
$158.63
|
2026-07-19
|
|
92526
|
CPT
|
St Swallow Tx 1unit
|
21
|
14
|
$260.00
|
—
|
$158.63
|
$158.63
|
$158.63
|
2026-07-19
|
|
X4301
|
HCPCS
|
St Mc Speech Eval
|
21
|
14
|
$391.55
|
—
|
$158.63
|
$158.63
|
$158.63
|
2026-07-19
|
|
X4304
|
HCPCS
|
St Mc Spch/lng Ther Ind Per 1/
|
21
|
14
|
$195.75
|
—
|
$158.63
|
$158.63
|
$158.63
|
2026-07-19
|
|
X4300
|
HCPCS
|
St Mc Language Eval
|
21
|
14
|
$391.55
|
—
|
$158.63
|
$158.63
|
$158.63
|
2026-07-19
|
|
G2061
|
HCPCS
|
St Mcr Dig E/m Svc 5-10min
|
40
|
14
|
$84.75
|
—
|
$158.63
|
$196.22
|
$158.63
|
2026-07-19
|
|
97129
|
CPT
|
St Cog Tx Initial 15min
|
40
|
14
|
$65.00
|
—
|
$158.63
|
$196.22
|
$158.63
|
2026-07-19
|
|
96125
|
CPT
|
St Cog Perf Eval 1unit
|
21
|
14
|
$260.00
|
—
|
$158.63
|
$158.63
|
$158.63
|
2026-07-19
|
|
96105
|
CPT
|
St Aphasia Assessment 1unit
|
21
|
14
|
$260.00
|
—
|
$158.63
|
$158.63
|
$158.63
|
2026-07-19
|
|
92524
|
CPT
|
St Eval Voice/resonance 1unit
|
19
|
13
|
$325.00
|
—
|
$158.63
|
$158.63
|
$158.63
|
2026-07-19
|
|
92609
|
CPT
|
St Speech Gen Device Tx 1 Unit
|
21
|
14
|
$260.00
|
—
|
$158.63
|
$158.63
|
$158.63
|
2026-07-19
|
|
92507
|
CPT
|
St Speech Tx 1unit
|
21
|
14
|
$260.00
|
—
|
$158.63
|
$158.63
|
$158.63
|
2026-07-19
|
|
92508
|
CPT
|
St Group Therapy 1unit
|
21
|
14
|
$55.00
|
—
|
$158.63
|
$158.63
|
$158.63
|
2026-07-19
|
|
92521
|
CPT
|
St Eval Speech Fluency 1unit
|
19
|
13
|
$325.00
|
—
|
$158.63
|
$158.63
|
$158.63
|
2026-07-19
|
|
92610
|
CPT
|
St Swallow Eval 1unit
|
19
|
13
|
$325.00
|
—
|
$158.63
|
$158.63
|
$158.63
|
2026-07-19
|
|
72052
|
CPT
|
Xr Spine Cervical 2-3 View
|
0
|
0
|
$296.00
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
72040
|
CPT
|
Xr Spine Cervical Complete
|
0
|
0
|
$172.52
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
49441
|
CPT
|
Surg - Ins Jejun Tube W/flu
|
0
|
0
|
$4,976.43
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
72020
|
CPT
|
Xr Spine 1 View
|
0
|
0
|
$105.60
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
71552
|
CPT
|
Mr Chest W/wo
|
0
|
0
|
$2,573.52
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
49440
|
CPT
|
Surg - J-tube W/exist Peg
|
0
|
0
|
$4,976.43
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
29730
|
CPT
|
Ot Aquatic Therapy Ind
|
0
|
0
|
$65.00
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
71551
|
CPT
|
Mr Chest W
|
0
|
0
|
$2,017.80
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
71550
|
CPT
|
Mr Chest Wo
|
0
|
0
|
$1,625.26
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
49406
|
CPT
|
Surg - Image-guide Fld Coll Ir
|
0
|
0
|
$4,310.97
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
71275
|
CPT
|
CT Angio Chest
|
0
|
0
|
$1,342.20
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
74263
|
CPT
|
CT Colonography Screening
|
0
|
0
|
$336.00
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
71270
|
CPT
|
CT Chest Abd Pelvis W/wo Contr
|
0
|
0
|
$1,231.80
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
49084
|
CPT
|
Paracentesis
|
0
|
0
|
$2,428.80
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
29705
|
CPT
|
Ot Gait Train 15 Min
|
0
|
0
|
$100.00
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
71260
|
CPT
|
CT Chest Abd Pelvis W
|
0
|
0
|
$1,367.00
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
71250
|
CPT
|
CT Chest Abd Pelvis Wo Contras
|
0
|
0
|
$1,072.48
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
49082
|
CPT
|
Paracentesis
|
0
|
0
|
$2,802.30
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
71130
|
CPT
|
Xr Strenoclavic Joingt >3 View
|
0
|
0
|
$144.25
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
71120
|
CPT
|
Xr Sternum 2 View
|
0
|
0
|
$270.00
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
43246
|
CPT
|
Peg
|
0
|
0
|
$4,875.00
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
29700
|
CPT
|
Ot Cog Skill 15 Min
|
0
|
0
|
$94.00
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
71110
|
CPT
|
Xr Ribs 3 View Bilat
|
0
|
0
|
$180.04
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
71101
|
CPT
|
Xr Ribs 3 View Rt
|
0
|
0
|
$151.90
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
43235
|
CPT
|
Upper Gastro/Endoscopy
|
0
|
0
|
$2,834.00
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
71048
|
CPT
|
Xr Chest 4+ Views
|
0
|
0
|
$203.92
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
74170
|
CPT
|
CT Abdomen W/wo
|
0
|
0
|
$1,769.88
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
71047
|
CPT
|
Xr Chest 3 Views
|
0
|
0
|
$168.16
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
43200
|
CPT
|
Gastroscopy
|
0
|
0
|
$1,347.20
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
29580
|
CPT
|
Ot Rem Dev Tis Adl
|
0
|
0
|
$83.50
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
10160
|
CPT
|
Surg - Puncture Aspiration, CT
|
0
|
0
|
$1,059.00
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
71046
|
CPT
|
Xr Chest 2 Views
|
0
|
0
|
$136.36
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
71045
|
CPT
|
Xr Chest 1 View
|
0
|
0
|
$104.16
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
37193
|
CPT
|
Surg - Removal Ivc Filter
|
0
|
0
|
$8,770.89
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
70559
|
CPT
|
MRI - Brain Without & With Contrast
|
0
|
0
|
$638.00
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
70558
|
CPT
|
MRI - Brain With Contrast
|
0
|
0
|
$638.00
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
37191
|
CPT
|
Surg - Ivc Filter Insertion
|
0
|
0
|
$14,610.75
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
29540
|
CPT
|
Ot Taping
|
0
|
0
|
$90.21
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
70557
|
CPT
|
MRI - Brain Without Contrast
|
0
|
0
|
$1,686.00
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
70553
|
CPT
|
MRI Brain/stem Wo/w
|
0
|
0
|
$2,852.72
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
36620
|
CPT
|
Rt Insertion Cath Artery
|
0
|
0
|
$177.17
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
70551
|
CPT
|
MRI Brain Wo
|
0
|
0
|
$1,824.96
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
70549
|
CPT
|
MRI Angiograph Neck W/o&with Contrast
|
0
|
0
|
$2,728.92
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
36600
|
CPT
|
Rt Arterial Puncture
|
0
|
0
|
$122.32
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
29530
|
CPT
|
Ot Rem Gaunt,boot, Cast
|
0
|
0
|
$115.67
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
29075
|
CPT
|
Ot Strap Elbow/wrist
|
0
|
0
|
$69.00
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
70548
|
CPT
|
MRI Angiography Neck With Contrast
|
0
|
0
|
$2,173.96
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
70547
|
CPT
|
MRI Angiography Neck
|
0
|
0
|
$1,748.32
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
36590
|
CPT
|
Removal Of Groshong
|
0
|
0
|
$887.05
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
70544
|
CPT
|
MRI Angiogram Head Without Contrast
|
0
|
0
|
$1,763.72
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
70543
|
CPT
|
Mr Orbit, Face, Neck W/w0
|
0
|
0
|
$1,209.90
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
36589
|
CPT
|
Removal Of Central Line
|
0
|
0
|
$1,469.30
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
29515
|
CPT
|
Pt St Splint Sht Leg
|
0
|
0
|
$178.00
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
70542
|
CPT
|
Mr Orbit, Face, Neck W
|
0
|
0
|
$1,787.00
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
70540
|
CPT
|
Mr Orbit, Face, Neck Without
|
0
|
0
|
$1,209.90
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
36584
|
CPT
|
Surg - Replace Picc Cath
|
0
|
0
|
$4,308.48
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
70498
|
CPT
|
CT Angio Neck
|
0
|
0
|
$1,866.80
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
73503
|
CPT
|
Xr Hip Complete Bilateral
|
0
|
0
|
$392.00
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
70496
|
CPT
|
CT Angio Head
|
0
|
0
|
$1,866.80
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
36569
|
CPT
|
Picc Line Insertion
|
0
|
0
|
$4,308.48
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
29505
|
CPT
|
Pt Tx Splint Lng Leg
|
0
|
0
|
$140.00
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
10060
|
CPT
|
Incision/Drainage Of Abcess
|
0
|
0
|
$414.15
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
0226U
|
CPT
|
Svn Sar,elisa,pl Ser
|
0
|
0
|
$300.00
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
73551
|
CPT
|
Xr Femur 1 Views - Bi
|
0
|
0
|
$122.64
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
73552
|
CPT
|
Xr Femur >2 Views - Bilat
|
0
|
0
|
$170.28
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
73560
|
CPT
|
Xr Knee 1-2 View Bilateral
|
0
|
0
|
$93.60
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
73562
|
CPT
|
Xr Knee 3 View Bilateral
|
0
|
0
|
$117.40
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
73564
|
CPT
|
Xr Knee 4+ View Bilateral
|
0
|
0
|
$185.84
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
73565
|
CPT
|
Xr Knees - Standing Bilateral
|
0
|
0
|
$150.08
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
73580
|
CPT
|
Xr Knee Joint W/contrast - Bi
|
0
|
0
|
$579.96
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
73590
|
CPT
|
Xr Tib/fib Bilateral
|
0
|
0
|
$121.96
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
73600
|
CPT
|
Xr Ankle 2 Views Bilateral
|
0
|
0
|
$124.92
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
73610
|
CPT
|
Xr Ankle Complete Bilateral
|
0
|
0
|
$142.80
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
73615
|
CPT
|
Xr Ankle W/contrast - Lt
|
0
|
0
|
$384.15
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
73620
|
CPT
|
Xr Foot 2 View Bilat
|
0
|
0
|
$120.48
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
73630
|
CPT
|
Xr Foot 3 Views - Bilat
|
0
|
0
|
$139.80
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
73650
|
CPT
|
Xr Calcaneus (heel) 2 View Bi
|
0
|
0
|
$123.48
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
73660
|
CPT
|
Xr Toe Great Lt
|
0
|
0
|
$129.36
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
73700
|
CPT
|
CT Lower Extremity Right W
|
0
|
0
|
$1,072.40
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
73701
|
CPT
|
CT Extremity Lower Left W
|
0
|
0
|
$1,328.20
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
73702
|
CPT
|
CT Extremity Lower Left W/wo
|
0
|
0
|
$1,692.44
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
73706
|
CPT
|
CTA Lower Ext W/wo Lt
|
0
|
0
|
$1,899.68
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
73718
|
CPT
|
Mr Extremity Left Lower Wo
|
0
|
0
|
$1,796.52
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
73719
|
CPT
|
Mr Extremity Right Lower W/wo
|
0
|
0
|
$1,794.92
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
73720
|
CPT
|
MRI Lwr Extremity W/o&with Contrast
|
0
|
0
|
$2,230.28
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
73721
|
CPT
|
Mr Ext Lower Joint Without Lt
|
0
|
0
|
$1,800.92
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
73722
|
CPT
|
Mr Ext Lower Joint Rt With
|
0
|
0
|
$1,847.36
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
73723
|
CPT
|
MRI Joint Lwr Extr W/o&with Contrast
|
0
|
0
|
$2,805.04
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
73725
|
CPT
|
MRI Ang Lwr Ext W Or Without Contrast
|
0
|
0
|
$2,433.12
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
74000
|
CPT
|
Xr Abdomen 1 View (kub)
|
0
|
0
|
$126.72
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
74019
|
CPT
|
Xr Abdomen 2 Views
|
0
|
0
|
$155.64
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
74022
|
CPT
|
Xr Abdomen Complete
|
0
|
0
|
$212.84
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
74150
|
CPT
|
CT Abdomen Wo
|
0
|
0
|
$1,085.96
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
74160
|
CPT
|
CT Abdomen W
|
0
|
0
|
$1,468.04
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
73502
|
CPT
|
Xr Hip 2 View Bilateral
|
0
|
0
|
$182.78
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
74174
|
CPT
|
CT Ang Abd&pelv W/o&with Contrast
|
0
|
0
|
$1,522.36
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
74175
|
CPT
|
CTA Abdomen W/wo
|
0
|
0
|
$1,901.08
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
74176
|
CPT
|
CT Abd/pelvis Wo
|
0
|
0
|
$880.92
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
74177
|
CPT
|
CT Abd/pelvis With Contrast
|
0
|
0
|
$1,489.40
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
74178
|
CPT
|
CT Abd/pelvis W & Without Contrast
|
0
|
0
|
$1,362.90
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
74181
|
CPT
|
Mr Abdomen Wo
|
0
|
0
|
$1,819.04
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
74182
|
CPT
|
MRI Abdomen With
|
0
|
0
|
$2,290.36
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
74183
|
CPT
|
Mr Abdomen W/wo
|
0
|
0
|
$2,827.44
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
74185
|
CPT
|
MRI Angio Abdom W Or Without Contrast
|
0
|
0
|
$2,422.72
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
74220
|
CPT
|
Xr Esophagus Complete
|
0
|
0
|
$397.20
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
74230
|
CPT
|
Xr Barium Swallow - Modified
|
0
|
0
|
$403.24
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
74250
|
CPT
|
Xr Small Intestine
|
0
|
0
|
$120.60
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
74251
|
CPT
|
Xr Sm Bow Via Entero
|
0
|
0
|
$638.00
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
74261
|
CPT
|
CT Colonography Dx
|
0
|
0
|
$1,357.80
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
74262
|
CPT
|
CT Colonography Dx With Contrast
|
0
|
0
|
$1,846.72
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
73501
|
CPT
|
Xr Hip Unilat 1 View Left
|
0
|
0
|
$131.36
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
74270
|
CPT
|
Xr Colon W/c W/wo K
|
0
|
0
|
$638.00
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
74280
|
CPT
|
Xr Colon W Barium
|
0
|
0
|
$638.00
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
74290
|
CPT
|
Xr Gallbladder W/contr
|
0
|
0
|
$638.00
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
74300
|
CPT
|
Xr Bile Ducts/pancreas
|
0
|
0
|
$188.00
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
74328
|
CPT
|
Xr Bile Duct Endoscopy
|
0
|
0
|
$57.00
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
74329
|
CPT
|
Xr Pancreas Endoscopy
|
0
|
0
|
$113.00
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
74330
|
CPT
|
Xr Bile/panc Endoscopy
|
0
|
0
|
$113.00
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
74340
|
CPT
|
Xr Gi Tube w/Guide
|
0
|
0
|
$620.04
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
74355
|
CPT
|
Xr Peg Tube w/Guide
|
0
|
0
|
$145.00
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
74360
|
CPT
|
Xr Gi Dilation w/Guide
|
0
|
0
|
$88.00
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
74363
|
CPT
|
Xr Bile Duct Dilation
|
0
|
0
|
$138.00
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
74400
|
CPT
|
Xr Pyelo W/wo Kub
|
0
|
0
|
$492.32
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
74410
|
CPT
|
Xr Urography Drip &/bolus
|
0
|
0
|
$638.00
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
74415
|
CPT
|
Xr Urography W/nephroto
|
0
|
0
|
$638.00
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
74420
|
CPT
|
Xr Urography Retro W/without Kub
|
0
|
0
|
$1,336.00
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
70492
|
CPT
|
CT Soft Tissue Neck W/wo
|
0
|
0
|
$1.00
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
73223
|
CPT
|
Mr Ext Lower Joint Ww Lt
|
0
|
0
|
$2,081.36
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
73222
|
CPT
|
MRI Joint Upr Extrem With Contrast
|
0
|
0
|
$1,679.64
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
70491
|
CPT
|
CT Soft Tissue Neck W
|
0
|
0
|
$1,361.20
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
36568
|
CPT
|
Surg - Insert Picc Cath <5 Yrs
|
0
|
0
|
$4,308.48
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
73221
|
CPT
|
Mr Extr Left Upper Joint Without
|
0
|
0
|
$1,802.40
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
73220
|
CPT
|
Mr Extremity Left Upper W/wo
|
0
|
0
|
$2,216.04
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
70490
|
CPT
|
CT Soft Tissue Neck Wo
|
0
|
0
|
$1,129.20
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
73219
|
CPT
|
Mr Extremity Right Upper With
|
0
|
0
|
$1,791.00
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
73218
|
CPT
|
Mr Extr Left Upper Without
|
0
|
0
|
$1,615.08
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
70488
|
CPT
|
CT Maxillofacial W/wo
|
0
|
0
|
$908.64
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
36558
|
CPT
|
Surg - Insertion Of Tunneled
|
0
|
0
|
$1.00
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
29445
|
CPT
|
Ot App Rigd Leg Cst
|
0
|
0
|
$378.00
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
73206
|
CPT
|
CTA Up Ext W/o&with Contrast Unilatera
|
0
|
0
|
$1,711.45
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
73202
|
CPT
|
CT Extremity Upper Left W/wo
|
0
|
0
|
$1,683.52
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
70487
|
CPT
|
CT Maxillofacial W
|
0
|
0
|
$746.84
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
73201
|
CPT
|
CT Extremity Upper Left W
|
0
|
0
|
$1,316.32
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
73200
|
CPT
|
CT Extremity Upper Left Wo
|
0
|
0
|
$1,072.40
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
70486
|
CPT
|
CT Maxillofacial Wo
|
0
|
0
|
$1,097.92
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
36556
|
CPT
|
Central Line Insertion
|
0
|
0
|
$1,340.85
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
73140
|
CPT
|
Xr Finger 2nd-rt
|
0
|
0
|
$138.28
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
73130
|
CPT
|
Xr Hand - 3 Views - Bilateral
|
0
|
0
|
$141.28
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
70482
|
CPT
|
CT Iac W/wo
|
0
|
0
|
$1,778.88
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
73120
|
CPT
|
Xr Hand - 2 Views - Bilateral
|
0
|
0
|
$121.96
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
73110
|
CPT
|
Xr Wrist Complete Bi
|
0
|
0
|
$160.64
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
70481
|
CPT
|
CT Iac With
|
0
|
0
|
$1,606.36
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
36514
|
CPT
|
Pathogen Reduced Platelet Pher
|
0
|
0
|
$1.00
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
29405
|
CPT
|
Pt App Sht Leg Cast
|
0
|
0
|
$217.00
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
20979
|
CPT
|
Pt US Bone Stim
|
0
|
0
|
$115.00
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
73100
|
CPT
|
Xr Wrist 2 View Bilateral
|
0
|
0
|
$136.76
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
73090
|
CPT
|
Xr Forearm 2 View Left
|
0
|
0
|
$123.48
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
70480
|
CPT
|
CT Iac Wo
|
0
|
0
|
$1,129.20
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
73080
|
CPT
|
Xr Elbow 3 Views Bilat
|
0
|
0
|
$150.20
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
73070
|
CPT
|
Xr Elbow 2 Views Bilat
|
0
|
0
|
$124.92
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
70470
|
CPT
|
CT Head W/wo
|
0
|
0
|
$1,362.52
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
36430
|
CPT
|
Transfusion/Day
|
0
|
0
|
$1,322.70
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
73060
|
CPT
|
Xr Humerus Bilateral
|
0
|
0
|
$129.40
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
73050
|
CPT
|
Xr Shoulder Acromioclavicular
|
0
|
0
|
$270.00
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
70460
|
CPT
|
CT Head W
|
0
|
0
|
$1,126.16
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
73030
|
CPT
|
Xr Shoulder 2v Bilat
|
0
|
0
|
$136.76
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
73020
|
CPT
|
Xr Shoulder 1v Bilat
|
0
|
0
|
$104.16
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
70450
|
CPT
|
CT Head Wo
|
0
|
0
|
$864.28
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
36000
|
CPT
|
Mid Line Cath
|
0
|
0
|
$3,320.90
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
29280
|
CPT
|
Ot Rem Dev Tis 20/<
|
0
|
0
|
$85.00
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
73010
|
CPT
|
Xr Shoulder Blade
|
0
|
0
|
$135.24
|
—
|
—
|
—
|
—
|
2026-07-19
|
|
73000
|
CPT
|
Xr Clavicle Bilateral
|
0
|
0
|
$111.05
|
—
|
—
|
—
|
—
|
2026-07-19
|