| Insurance | Medicare | |
| CPT | Hospital | ASC |
| 43200 | $154.12 | $314.86 |
| 43202 | $201.91 | $314.86 |
| 43235 | $216.25 | $314.86 |
| 43239 | $251.15 | $339.71 |
| 43244 | $233.67 | $339.71 |
| 43245 | $148.87 | $339.71 |
| 43246 | $200.27 | $339.71 |
| 43247 | $158.62 | $339.71 |
| 43248 | $149.24 | $339.71 |
| 43249 | $137.62 | $339.71 |
| 43250 | $149.64 | $339.71 |
| 43251 | $172.38 | $339.71 |
| 43255 | $223.14 | $339.71 |
| 43260 | $274.63 | $722.74 |
| 43261 | $288.88 | $722.74 |
| 43262 | $338.80 | $722.74 |
| 43271 | $339.02 | $722.74 |
| 43760 | $255.50 | $98.06 |
| 44360 | $123.90 | $370.21 |
| 44376 | $241.07 | $370.21 |
| 44378 | $326.38 | $370.21 |
| 44388 | $251.02 | $324.78 |
| 44389 | $287.53 | $324.78 |
| 45330 | $97.75 | $81.96 |
| 45331 | $122.63 | $225.34 |
| 45334 | $129.06 | $328.65 |
| 45338 | $277.71 | $328.65 |
| 45339 | $241.69 | $328.65 |
| 45378 | $289.36 | $349.62 |
| 45379 | $367.68 | $349.62 |
| 45380 | $346.29 | $349.62 |
| 45381 | $335.83 | $349.62 |
| 45382 | $453.60 | $349.62 |
| 45384 | $344.18 | $349.62 |
| 45385 | $391.52 | $349.62 |
| 45386 | $474.25 | $349.62 |
| 46221 | $178.28 | $123.09 |
| 46500 | $149.28 | $116.13 |
| 46930 | $142.76 | $117.46 |
| G0121 | $281.04 | $321.61 |
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