|
Q4265
|
HCPCS
|
Neostim Tl, Per Square Centimeter
|
108
|
28
|
$81,403.98
|
$81,403.98
|
$132.50
|
$154,667.56
|
$66,120.38
|
2026-09-28
|
|
Q4238
|
HCPCS
|
Derm-maxx, Per Square Centimeter
|
108
|
28
|
$61,206.00
|
$61,206.00
|
$132.50
|
$116,291.40
|
$50,317.45
|
2026-09-28
|
|
J2350
|
HCPCS
|
Injection, Ocrelizumab, 1 Mg
|
28
|
28
|
$34,640.98
|
$34,640.98
|
$57.92
|
$32,908.93
|
$28,478.35
|
2026-09-28
|
|
J2327
|
HCPCS
|
Injection, Risankizumab-rzaa, Intravenous, 1 Mg
|
28
|
28
|
$18,215.47
|
$18,215.47
|
$13.80
|
$17,304.70
|
$14,974.94
|
2026-09-28
|
|
J3101
|
HCPCS
|
Injection, Tenecteplase, 1 Mg
|
28
|
28
|
$13,442.63
|
$13,442.63
|
$206.55
|
$47,049.21
|
$12,703.28
|
2026-09-28
|
|
J3380
|
HCPCS
|
Injection, Vedolizumab, Intravenous, 1 Mg
|
28
|
28
|
$14,716.84
|
$14,716.84
|
$20.54
|
$13,981.00
|
$12,098.72
|
2026-09-28
|
|
24073
|
HCPCS
|
Removal Of Growth Of Muscle Of Upper Arm Or Elbow, 5.0 Cm Or More
|
28
|
28
|
$10,713.06
|
$10,713.06
|
$820.81
|
$10,177.41
|
$8,807.21
|
2026-09-28
|
|
58661
|
HCPCS
|
Removal Of Ovaries And/or Tubes Using An Endoscope
|
28
|
28
|
$10,634.81
|
$10,634.81
|
$488.97
|
$10,103.07
|
$8,742.88
|
2026-09-28
|
|
46080
|
HCPCS
|
Incision Of Sphincter Of Anus
|
28
|
28
|
$10,362.60
|
$10,362.60
|
$104.24
|
$9,844.47
|
$8,519.09
|
2026-09-28
|
|
J9332
|
HCPCS
|
Injection, Efgartigimod Alfa-fcab, 2mg
|
28
|
28
|
$9,130.81
|
$9,130.81
|
$30.93
|
$8,674.27
|
$7,506.44
|
2026-09-28
|
|
44970
|
HCPCS
|
Removal Of Appendix Using An Endoscope
|
28
|
28
|
$8,882.20
|
$8,882.20
|
$273.27
|
$8,438.09
|
$7,302.06
|
2026-09-28
|
|
J9312
|
HCPCS
|
Injection, Rituximab, 10 Mg
|
28
|
28
|
$8,455.50
|
$8,455.50
|
$69.61
|
$8,032.73
|
$6,951.26
|
2026-09-28
|
|
J0896
|
HCPCS
|
Injection, Luspatercept-aamt, 0.25 Mg
|
48
|
28
|
$20,929.81
|
$20,929.81
|
$41.34
|
$19,883.32
|
$6,627.79
|
2026-09-28
|
|
49615
|
HCPCS
|
Repair Of Recurrent Sliding Hernia Of Abdomen, 3-10 Cm In Length
|
28
|
28
|
$8,016.22
|
$8,016.22
|
$517.50
|
$7,615.41
|
$6,602.49
|
2026-09-28
|
|
44950
|
HCPCS
|
Removal Of Appendix
|
28
|
28
|
$7,502.64
|
$7,502.64
|
$574.61
|
$7,127.51
|
$6,580.97
|
2026-09-28
|
|
54001
|
HCPCS
|
Incision Of Foreskin
|
28
|
28
|
$7,879.01
|
$7,879.01
|
$135.52
|
$7,485.06
|
$6,477.34
|
2026-09-28
|
|
49650
|
HCPCS
|
Repair Of Groin Hernia Using An Endoscope
|
28
|
28
|
$7,616.61
|
$7,616.61
|
$264.71
|
$7,235.78
|
$6,261.61
|
2026-09-28
|
|
58670
|
HCPCS
|
Destruction Of Fallopian Tubes Using An Endoscope
|
28
|
28
|
$6,949.71
|
$6,949.71
|
$421.39
|
$6,602.22
|
$6,145.59
|
2026-09-28
|
|
49594
|
HCPCS
|
Initial Repair Of Entrapped Hernia Of Abdomen, 3-10 Cm In Length
|
28
|
28
|
$6,862.05
|
$6,862.05
|
$602.38
|
$6,518.95
|
$6,145.59
|
2026-09-28
|
|
58600
|
HCPCS
|
Tying Or Incision Of Fallopian Tubes
|
28
|
28
|
$7,470.64
|
$7,470.64
|
$1,086.57
|
$7,097.11
|
$6,141.61
|
2026-09-28
|
|
25260
|
HCPCS
|
Primary Repair Of Tendon Or Muscle Of Palm Side Of Forearm Or Wrist
|
28
|
28
|
$7,105.39
|
$7,105.39
|
$536.16
|
$6,750.12
|
$5,841.34
|
2026-09-28
|
|
21554
|
HCPCS
|
Removal Of Growth Of Muscle Of Neck Or Front Of Chest, 5.0 Cm Or More
|
28
|
28
|
$6,970.68
|
$6,970.68
|
$605.36
|
$6,622.15
|
$5,730.59
|
2026-09-28
|
|
19300
|
HCPCS
|
Removal Of Extra Breast Tissue In Male
|
28
|
28
|
$6,746.64
|
$6,746.64
|
$656.31
|
$6,409.31
|
$5,546.41
|
2026-09-28
|
|
A0434
|
HCPCS
|
Specialty Care Transport (sct)
|
28
|
28
|
$5,786.90
|
$5,786.90
|
$921.61
|
$20,254.15
|
$5,468.62
|
2026-09-28
|
|
54520
|
HCPCS
|
Simple Removal Of Testicle
|
28
|
28
|
$6,604.27
|
$6,604.27
|
$363.13
|
$6,274.06
|
$5,429.37
|
2026-09-28
|
|
55500
|
HCPCS
|
Removal Of Fluid Collection In Sperm Cord
|
28
|
28
|
$6,314.00
|
$6,314.00
|
$363.13
|
$5,998.30
|
$5,190.74
|
2026-09-28
|
|
21933
|
HCPCS
|
Removal Of Growth Of Muscle Of Back Or Lower Sides, 5.0 Cm Or More
|
28
|
28
|
$6,309.60
|
$6,309.60
|
$609.08
|
$5,994.12
|
$5,187.12
|
2026-09-28
|
|
46260
|
HCPCS
|
Removal Of Multiple Hemorrhoid Groups
|
28
|
28
|
$6,284.21
|
$6,284.21
|
$382.35
|
$5,970.00
|
$5,166.25
|
2026-09-28
|
|
42330
|
HCPCS
|
Uncomplicated Removal Of Saliva Gland Stone From Inside Mouth
|
28
|
28
|
$6,282.98
|
$6,282.98
|
$81.53
|
$5,968.83
|
$5,165.24
|
2026-09-28
|
|
27327
|
HCPCS
|
Removal Of Growth Under Skin Of Thigh Or Knee, 3.0 Cm Or More
|
28
|
28
|
$6,169.79
|
$6,169.79
|
$384.59
|
$5,861.30
|
$5,072.18
|
2026-09-28
|
|
A0433
|
HCPCS
|
Advanced Life Support, Level 2 (als 2)
|
28
|
28
|
$5,352.91
|
$5,352.91
|
$779.83
|
$18,735.19
|
$5,058.50
|
2026-09-28
|
|
41008
|
HCPCS
|
Drainage Of Abscess, Cyst, Or Blood Accumulation Under Jaw Bone From Inside Mout…
|
28
|
28
|
$6,137.94
|
$6,137.94
|
$218.91
|
$5,831.04
|
$5,046.00
|
2026-09-28
|
|
27301
|
HCPCS
|
Drainage Of Deep Abscess Or Blood Accumulation Of Thigh Or Knee
|
48
|
28
|
$5,346.10
|
$5,346.10
|
$505.20
|
$5,283.47
|
$4,954.49
|
2026-09-28
|
|
46275
|
HCPCS
|
Repair Of Abnormal Drainage Tract In Anal Sphincter
|
28
|
28
|
$5,952.28
|
$5,952.28
|
$507.33
|
$5,654.67
|
$4,893.36
|
2026-09-28
|
|
23930
|
HCPCS
|
Drainage Of Deep Abscess Or Blood Accumulation Of Upper Arm Or Elbow
|
28
|
28
|
$5,904.85
|
$5,904.85
|
$232.83
|
$5,609.61
|
$4,854.38
|
2026-09-28
|
|
11771
|
HCPCS
|
Extensive Removal Of Cyst Of Tailbone
|
28
|
28
|
$5,796.40
|
$5,796.40
|
$423.48
|
$5,506.58
|
$4,765.22
|
2026-09-28
|
|
38500
|
HCPCS
|
Biopsy Or Removal Of Lymph Nodes
|
28
|
28
|
$5,753.34
|
$5,753.34
|
$96.05
|
$5,465.67
|
$4,729.82
|
2026-09-28
|
|
25073
|
HCPCS
|
Removal Of Growth Of Muscle Of Forearm Or Wrist, 3.0 Cm Or More
|
28
|
28
|
$5,698.17
|
$5,698.17
|
$630.15
|
$5,413.26
|
$4,684.47
|
2026-09-28
|
|
36561
|
HCPCS
|
Insertion Of Central Venous Tube With Port (5 Years Or Older)
|
28
|
28
|
$5,662.63
|
$5,662.63
|
$260.00
|
$5,379.50
|
$4,655.25
|
2026-09-28
|
|
20525
|
HCPCS
|
Complicated Removal Of Foreign Body In Deep Muscle Or Tendon
|
28
|
28
|
$5,661.44
|
$5,661.44
|
$416.00
|
$5,378.37
|
$4,654.27
|
2026-09-28
|
|
21552
|
HCPCS
|
Removal Of Growth Of Soft Tissue Under Skin Of Neck Or Front Of Chest, 3.0 Cm Or…
|
28
|
28
|
$5,625.33
|
$5,625.33
|
$530.83
|
$5,344.06
|
$4,624.59
|
2026-09-28
|
|
19120
|
HCPCS
|
Removal Of Growth And Tissue Of Breast, Duct, Or Nipple
|
28
|
28
|
$5,613.19
|
$5,613.19
|
$210.72
|
$5,332.53
|
$4,614.60
|
2026-09-28
|
|
A0427
|
HCPCS
|
Ambulance Service, Advanced Life Support, Emergency Transport, Level 1 (als 1 - …
|
28
|
28
|
$4,848.88
|
$4,848.88
|
$538.79
|
$16,971.08
|
$4,582.19
|
2026-09-28
|
|
27337
|
HCPCS
|
Removal Of Growth Under Skin Of Thigh Or Knee, Less Than 3.0 Cm
|
28
|
28
|
$5,405.70
|
$5,405.70
|
$495.04
|
$5,135.42
|
$4,444.03
|
2026-09-28
|
|
27632
|
HCPCS
|
Removal Of Growth Under Skin Of Leg Or Ankle, 3.0 Cm Or More
|
28
|
28
|
$5,337.27
|
$5,337.27
|
$489.70
|
$5,070.41
|
$4,387.77
|
2026-09-28
|
|
67924
|
HCPCS
|
Extensive Repair Of Turning-inward Eyelid Defect
|
28
|
28
|
$5,304.52
|
$5,304.52
|
$421.82
|
$5,039.29
|
$4,360.85
|
2026-09-28
|
|
46255
|
HCPCS
|
Removal Of Single External And Internal Hemorrhoid Group
|
28
|
28
|
$5,304.17
|
$5,304.17
|
$423.48
|
$5,038.96
|
$4,360.56
|
2026-09-28
|
|
21931
|
HCPCS
|
Removal Of Growth Under Skin Of Back Or Lower Sides, 3.0 Cm Or More
|
28
|
28
|
$5,269.95
|
$5,269.95
|
$386.08
|
$5,006.45
|
$4,332.42
|
2026-09-28
|
|
64488
|
HCPCS
|
Injection Of Local Anesthetic For Abdominal Wall Pain Control On Both Sides Usin…
|
24
|
24
|
$4,706.54
|
$4,706.54
|
$53.55
|
$4,471.21
|
$4,299.42
|
2026-09-28
|
|
36558
|
HCPCS
|
Insertion Of Tunneled Central Venous Tube For Infusion (5 Years Or Older)
|
28
|
28
|
$5,162.00
|
$5,162.00
|
$135.63
|
$4,903.90
|
$4,243.68
|
2026-09-28
|
|
23071
|
HCPCS
|
Removal Of Growth Under Skin Of Shoulder Area, 3.0 Cm Or More
|
28
|
28
|
$5,132.00
|
$5,132.00
|
$344.38
|
$4,875.40
|
$4,219.01
|
2026-09-28
|
|
24071
|
HCPCS
|
Removal Of Growth Under Skin Of Upper Arm Or Elbow, 3.0 Cm Or More
|
28
|
28
|
$5,130.88
|
$5,130.88
|
$334.70
|
$4,874.34
|
$4,218.09
|
2026-09-28
|
|
45317
|
HCPCS
|
Control Of Bleeding Of Lower Large Bowel Using An Endoscope
|
28
|
28
|
$5,069.19
|
$5,069.19
|
$123.36
|
$4,815.73
|
$4,167.38
|
2026-09-28
|
|
19101
|
HCPCS
|
Biopsy Of Breast Through Incision
|
28
|
28
|
$5,045.91
|
$5,045.91
|
$295.31
|
$4,793.61
|
$4,148.24
|
2026-09-28
|
|
51102
|
HCPCS
|
Aspiration Of Bladder With Insertion Of Bladder Tube To Skin
|
28
|
28
|
$5,025.38
|
$5,025.38
|
$275.50
|
$4,774.11
|
$4,131.36
|
2026-09-28
|
|
21012
|
HCPCS
|
Removal Of Growth Under Skin Of Face Or Scalp, 2.0 Cm Or More
|
28
|
28
|
$4,954.30
|
$4,954.30
|
$281.09
|
$4,706.59
|
$4,072.93
|
2026-09-28
|
|
11623
|
HCPCS
|
Removal Of Cancer Skin Growth Of Scalp, Neck, Hands, Feet, Or Genitals, 2.1-3.0 …
|
28
|
28
|
$4,882.56
|
$4,882.56
|
$262.74
|
$4,638.43
|
$4,013.95
|
2026-09-28
|
|
59812
|
HCPCS
|
Treatment Of Miscarriage
|
28
|
28
|
$4,861.60
|
$4,861.60
|
$168.65
|
$4,618.52
|
$3,996.72
|
2026-09-28
|
|
10121
|
HCPCS
|
Removal Of Foreign Body From Tissue, Accessed Beneath The Skin, Complex
|
48
|
28
|
$7,136.78
|
$7,136.78
|
$134.70
|
$6,779.94
|
$3,980.01
|
2026-09-28
|
|
66982
|
HCPCS
|
Complex Removal Of Cataract With Insertion Of Prosthetic Lens
|
28
|
28
|
$4,839.53
|
$4,839.53
|
$1,008.93
|
$4,597.55
|
$3,978.57
|
2026-09-28
|
|
21555
|
HCPCS
|
Removal Of Growth Under Skin Of Neck Or Front Of Chest, Less Than 3.0 Cm
|
28
|
28
|
$4,839.53
|
$4,839.53
|
$474.74
|
$4,597.55
|
$3,978.57
|
2026-09-28
|
|
36590
|
HCPCS
|
Removal Of Central Venous Tube With Port Or Pump
|
48
|
28
|
$5,403.50
|
$5,403.50
|
$160.09
|
$5,133.33
|
$3,977.66
|
2026-09-28
|
|
11646
|
HCPCS
|
Removal Of Cancer Skin Growth Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, More…
|
28
|
28
|
$4,807.52
|
$4,807.52
|
$354.43
|
$4,567.14
|
$3,952.26
|
2026-09-28
|
|
58120
|
HCPCS
|
Dilation And Scraping Of Uterus
|
28
|
28
|
$4,786.54
|
$4,786.54
|
$222.95
|
$4,547.21
|
$3,935.01
|
2026-09-28
|
|
1378482_1
|
CDM
|
Operating Room Services - General Classification
|
21
|
21
|
$4,173.40
|
$4,173.40
|
$1,800.00
|
$3,964.73
|
$3,923.00
|
2026-09-28
|
|
22902
|
HCPCS
|
Removal Of Growth Of Soft Tissue Of Abdominal Wall, Less Than 3.0 Cm
|
28
|
28
|
$4,767.79
|
$4,767.79
|
$512.67
|
$4,529.40
|
$3,919.60
|
2026-09-28
|
|
11426
|
HCPCS
|
Removal Of Noncancer Skin Growth Of Scalp, Neck, Hands, Feet, Or Genitals, More …
|
28
|
28
|
$4,676.18
|
$4,676.18
|
$344.44
|
$4,442.37
|
$3,844.29
|
2026-09-28
|
|
11644
|
HCPCS
|
Removal Of Cancer Skin Growth Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 3.1-…
|
28
|
28
|
$4,575.82
|
$4,575.82
|
$279.23
|
$4,347.03
|
$3,761.78
|
2026-09-28
|
|
42800
|
HCPCS
|
Biopsy Of Back Of Throat
|
28
|
28
|
$4,558.13
|
$4,558.13
|
$66.27
|
$4,330.22
|
$3,747.24
|
2026-09-28
|
|
74174
|
HCPCS
|
CT Scan Of Blood Vessels Of Abdomen And Pelvis With Contrast
|
48
|
28
|
$4,159.69
|
$4,159.69
|
$338.61
|
$3,951.71
|
$3,742.71
|
2026-09-28
|
|
67904
|
HCPCS
|
Repair Of Tendon Of Upper Eyelid
|
28
|
28
|
$4,495.58
|
$4,495.58
|
$601.64
|
$4,270.80
|
$3,695.82
|
2026-09-28
|
|
74178
|
HCPCS
|
CT Scan Of Abdomen And Pelvis Before And After Contrast
|
28
|
28
|
$4,475.41
|
$4,475.41
|
$338.61
|
$4,251.64
|
$3,679.23
|
2026-09-28
|
|
12036
|
HCPCS
|
Intermediate Repair Of Wound Of Scalp, Underarms, Trunk, Arms, Or Legs, 20.1-30.…
|
28
|
28
|
$4,442.99
|
$4,442.99
|
$158.23
|
$4,220.84
|
$3,652.59
|
2026-09-28
|
|
66984
|
HCPCS
|
Removal Of Cataract With Insertion Of Prosthetic Lens
|
28
|
28
|
$4,434.49
|
$4,434.49
|
$1,005.21
|
$4,212.77
|
$3,645.60
|
2026-09-28
|
|
26432
|
HCPCS
|
Closed Treatment Of Tendon Of Upper Side Of Finger
|
28
|
28
|
$4,430.63
|
$4,430.63
|
$359.40
|
$4,209.10
|
$3,642.42
|
2026-09-28
|
|
25071
|
HCPCS
|
Removal Of Growth Under Skin Of Forearm Or Wrist, 3.0 Cm Or More
|
28
|
28
|
$4,394.75
|
$4,394.75
|
$351.08
|
$4,175.01
|
$3,612.92
|
2026-09-28
|
|
49505
|
HCPCS
|
Repair Of Groin Hernia (5 Years Or Older)
|
28
|
28
|
$3,954.40
|
$3,954.40
|
$493.45
|
$3,756.68
|
$3,612.34
|
2026-09-28
|
|
24200
|
HCPCS
|
Removal Of Foreign Body Of Upper Arm Or Elbow Area, Accessed Beneath The Skin
|
28
|
28
|
$4,369.26
|
$4,369.26
|
$110.57
|
$4,150.80
|
$3,591.97
|
2026-09-28
|
|
44960
|
HCPCS
|
Removal Of Ruptured Infected Appendix
|
48
|
28
|
$3,763.46
|
$3,763.46
|
$725.75
|
$6,659.50
|
$3,575.29
|
2026-09-28
|
|
74177
|
HCPCS
|
CT Scan Of Abdomen And Pelvis With Contrast
|
48
|
28
|
$3,961.06
|
$3,961.06
|
$338.61
|
$3,763.01
|
$3,563.99
|
2026-09-28
|
|
32557
|
HCPCS
|
Drainage Of Fluid From Chest Cavity With Insertion Of Indwelling Tube Using Imag…
|
28
|
28
|
$4,208.67
|
$4,208.67
|
$101.27
|
$3,998.24
|
$3,459.95
|
2026-09-28
|
|
46040
|
HCPCS
|
Drainage Of Deep Abscess In Rectum
|
28
|
28
|
$4,204.47
|
$4,204.47
|
$178.70
|
$3,994.25
|
$3,456.49
|
2026-09-28
|
|
55250
|
HCPCS
|
Removal Of Sperm Duct
|
28
|
28
|
$4,157.46
|
$4,157.46
|
$260.61
|
$3,949.59
|
$3,417.85
|
2026-09-28
|
|
59409
|
HCPCS
|
Vaginal Delivery
|
28
|
28
|
$4,150.49
|
$4,150.49
|
$780.72
|
$3,942.97
|
$3,412.11
|
2026-09-28
|
|
11606
|
HCPCS
|
Removal Of Cancer Skin Growth Of Body, Arms, Or Legs, More Than 4.0 Cm
|
28
|
28
|
$4,122.14
|
$4,122.14
|
$227.10
|
$3,916.03
|
$3,388.81
|
2026-09-28
|
|
11446
|
HCPCS
|
Removal Of Noncancer Skin Growth Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, M…
|
28
|
28
|
$4,072.48
|
$4,072.48
|
$278.48
|
$3,868.86
|
$3,347.98
|
2026-09-28
|
|
11982
|
HCPCS
|
Removal Of Drug Delivery Implant From Tissue
|
48
|
28
|
$4,345.02
|
$4,345.02
|
$161.27
|
$4,127.77
|
$3,335.24
|
2026-09-28
|
|
24075
|
HCPCS
|
Removal Of Growth Under Skin Of Upper Arm Or Elbow, Less Than 3.0 Cm
|
28
|
28
|
$4,043.79
|
$4,043.79
|
$337.30
|
$3,841.60
|
$3,324.40
|
2026-09-28
|
|
46250
|
HCPCS
|
Removal Of Multiple External Hemorrhoids
|
28
|
28
|
$3,993.59
|
$3,993.59
|
$202.53
|
$3,793.91
|
$3,283.13
|
2026-09-28
|
|
32556
|
HCPCS
|
Drainage Of Fluid From Chest Cavity With Insertion Of Indwelling Tube
|
28
|
28
|
$3,964.57
|
$3,964.57
|
$92.33
|
$3,766.34
|
$3,259.28
|
2026-09-28
|
|
21930
|
HCPCS
|
Removal Of Growth Under Skin Of Back Or Lower Sides, Less Than 3.0 Cm
|
28
|
28
|
$3,915.76
|
$3,915.76
|
$532.42
|
$3,719.97
|
$3,219.14
|
2026-09-28
|
|
43250
|
HCPCS
|
Removal Of Polyps Or Growths Of Esophagus, Stomach, And/or Upper Small Bowel Usi…
|
28
|
28
|
$3,904.66
|
$3,904.66
|
$244.97
|
$3,709.43
|
$3,210.02
|
2026-09-28
|
|
72156
|
HCPCS
|
MRI Scan Of Upper Spinal Canal Before And After Contrast
|
28
|
28
|
$3,888.04
|
$3,888.04
|
$338.61
|
$3,693.64
|
$3,196.36
|
2026-09-28
|
|
45905
|
HCPCS
|
Dilation Of Sphincter Of Anus Under Anesthesia
|
28
|
28
|
$3,883.76
|
$3,883.76
|
$150.78
|
$3,689.57
|
$3,192.84
|
2026-09-28
|
|
72157
|
HCPCS
|
MRI Scan Of Middle Spinal Canal Before And After Contrast
|
28
|
28
|
$3,876.90
|
$3,876.90
|
$338.61
|
$3,683.06
|
$3,187.20
|
2026-09-28
|
|
72158
|
HCPCS
|
MRI Scan Of Lower Spinal Canal Before And After Contrast
|
28
|
28
|
$3,856.83
|
$3,856.83
|
$338.61
|
$3,663.99
|
$3,170.70
|
2026-09-28
|
|
70553
|
HCPCS
|
MRI Scan Of Brain Before And After Contrast
|
28
|
28
|
$3,801.09
|
$3,801.09
|
$338.61
|
$3,611.04
|
$3,124.88
|
2026-09-28
|
|
54055
|
HCPCS
|
Simple Destruction Of Growth Of Penis Using Electric Current
|
28
|
28
|
$3,793.74
|
$3,793.74
|
$126.95
|
$3,604.05
|
$3,118.83
|
2026-09-28
|
|
10140
|
HCPCS
|
Drainage Of Blood Or Fluid Accumulation
|
48
|
28
|
$3,489.17
|
$3,489.17
|
$71.56
|
$3,314.71
|
$3,108.33
|
2026-09-28
|
|
71552
|
HCPCS
|
MRI Scan Of Chest Before And After Contrast
|
28
|
28
|
$3,744.24
|
$3,744.24
|
$338.61
|
$3,557.03
|
$3,078.14
|
2026-09-28
|
|
74183
|
HCPCS
|
MRI Scan Of Abdomen Before And After Contrast
|
28
|
28
|
$3,743.13
|
$3,743.13
|
$338.61
|
$3,555.97
|
$3,077.22
|
2026-09-28
|
|
40654
|
HCPCS
|
Repair Of Vertical Lip Wound Extending To Over Half Of Lip
|
28
|
28
|
$3,733.97
|
$3,733.97
|
$538.30
|
$3,547.27
|
$3,069.70
|
2026-09-28
|
|
46922
|
HCPCS
|
Simple Removal Of Growth Of Anus
|
48
|
28
|
$3,206.12
|
$3,206.12
|
$95.31
|
$4,714.98
|
$3,045.81
|
2026-09-28
|
|
72197
|
HCPCS
|
MRI Scan Of Pelvis Before And After Contrast
|
28
|
28
|
$3,700.78
|
$3,700.78
|
$338.61
|
$3,515.74
|
$3,042.41
|
2026-09-28
|
|
A0429
|
HCPCS
|
Ambulance Service, Basic Life Support, Emergency Transport (bls-emergency)
|
28
|
28
|
$3,216.61
|
$3,216.61
|
$453.72
|
$11,258.14
|
$3,039.70
|
2026-09-28
|
|
45398
|
HCPCS
|
Banding Of Hemorrhoids Using A Flexible Endoscope (colonoscope)
|
24
|
24
|
$3,322.00
|
$3,322.00
|
$1,161.43
|
$3,155.90
|
$3,034.65
|
2026-09-28
|
|
11044
|
HCPCS
|
Removal Of Bone, 20.0 Sq Cm Or Less
|
28
|
28
|
$3,678.60
|
$3,678.60
|
$290.51
|
$3,494.67
|
$3,024.18
|
2026-09-28
|
|
70543
|
HCPCS
|
MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Before And After Contrast
|
28
|
28
|
$3,657.29
|
$3,657.29
|
$338.61
|
$3,474.43
|
$3,006.65
|
2026-09-28
|
|
70471
|
HCPCS
|
Computed Tomographic Angiography (cta), Head And Neck, With Contrast Material(s)…
|
24
|
24
|
$3,282.50
|
$3,282.50
|
$338.61
|
$3,118.38
|
$2,998.56
|
2026-09-28
|
|
J1602
|
HCPCS
|
Injection, Golimumab, 1 Mg, For Intravenous Use
|
28
|
28
|
$3,600.00
|
$3,600.00
|
$10.48
|
$3,420.00
|
$2,959.56
|
2026-09-28
|
|
11643
|
HCPCS
|
Removal Of Cancer Skin Growth Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 2.1-…
|
28
|
28
|
$3,590.19
|
$3,590.19
|
$230.83
|
$3,410.68
|
$2,951.49
|
2026-09-28
|
|
73723
|
HCPCS
|
MRI Scan Of Leg Joint Before And After Contrast
|
28
|
28
|
$3,580.39
|
$3,580.39
|
$338.61
|
$3,401.37
|
$2,943.44
|
2026-09-28
|
|
73223
|
HCPCS
|
MRI Scan Of Arm Joint Before And After Contrast
|
28
|
28
|
$3,579.28
|
$3,579.28
|
$338.61
|
$3,400.32
|
$2,942.53
|
2026-09-28
|
|
70549
|
HCPCS
|
MRI Scan Of Blood Vessels Of Neck Before And After Contrast
|
28
|
28
|
$3,564.78
|
$3,564.78
|
$338.61
|
$3,386.54
|
$2,930.61
|
2026-09-28
|
|
49593
|
HCPCS
|
Initial Repair Of Sliding Hernia Of Abdomen, 3-10 Cm In Length
|
28
|
28
|
$3,159.46
|
$3,159.46
|
$463.51
|
$6,614.04
|
$2,928.03
|
2026-09-28
|
|
11424
|
HCPCS
|
Removal Of Noncancer Skin Growth Of Scalp, Neck, Hands, Feet, Or Genitals, 3.1-4…
|
28
|
28
|
$3,544.55
|
$3,544.55
|
$145.26
|
$3,367.32
|
$2,913.97
|
2026-09-28
|
|
11406
|
HCPCS
|
Removal Of Noncancer Skin Growth Of Body, Arms, Or Legs, More Than 4.0 Cm
|
28
|
28
|
$3,497.48
|
$3,497.48
|
$193.22
|
$3,322.61
|
$2,875.28
|
2026-09-28
|
|
73720
|
HCPCS
|
MRI Scan Of Leg Before And After Contrast
|
28
|
28
|
$3,475.61
|
$3,475.61
|
$338.61
|
$3,301.83
|
$2,857.30
|
2026-09-28
|
|
49520
|
HCPCS
|
Repair Of Groin Hernia That Is Not Trapped
|
28
|
28
|
$3,070.36
|
$3,070.36
|
$605.06
|
$3,657.95
|
$2,845.45
|
2026-09-28
|
|
23065
|
HCPCS
|
Biopsy Of Surface Tissue Of Shoulder
|
28
|
28
|
$3,450.14
|
$3,450.14
|
$84.14
|
$3,277.63
|
$2,836.36
|
2026-09-28
|
|
73220
|
HCPCS
|
MRI Scan Of Arm Before And After Contrast
|
28
|
28
|
$3,416.53
|
$3,416.53
|
$338.61
|
$3,245.70
|
$2,808.73
|
2026-09-28
|
|
20103
|
HCPCS
|
Exploration Of Wound Of Arm Or Leg
|
28
|
28
|
$3,385.83
|
$3,385.83
|
$261.68
|
$3,216.54
|
$2,783.49
|
2026-09-28
|
|
21315
|
HCPCS
|
Closed Treatment Of Broken Nose Bone With Manipulation
|
28
|
28
|
$3,367.87
|
$3,367.87
|
$79.30
|
$3,199.48
|
$2,768.72
|
2026-09-28
|
|
11441
|
HCPCS
|
Removal Of Noncancer Skin Growth Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 0…
|
28
|
28
|
$3,336.34
|
$3,336.34
|
$74.46
|
$3,169.52
|
$2,742.80
|
2026-09-28
|
|
49591
|
HCPCS
|
Initial Repair Of Sliding Hernia Of Abdomen, Less Than 3 Cm In Length
|
28
|
28
|
$2,948.21
|
$2,948.21
|
$277.74
|
$3,657.95
|
$2,732.26
|
2026-09-28
|
|
73225
|
HCPCS
|
MRI Scan Of Blood Vessels Of Arm
|
28
|
28
|
$3,309.51
|
$3,309.51
|
$330.09
|
$3,144.03
|
$2,720.75
|
2026-09-28
|
|
44392
|
HCPCS
|
Removal Of Growths Or Polyps Of Large Bowel By Electrical Cautery Using An Endos…
|
28
|
28
|
$3,302.13
|
$3,302.13
|
$239.02
|
$3,137.02
|
$2,714.68
|
2026-09-28
|
|
74176
|
HCPCS
|
CT Scan Of Abdomen And Pelvis Without Contrast
|
28
|
28
|
$3,287.10
|
$3,287.10
|
$231.58
|
$3,122.75
|
$2,702.32
|
2026-09-28
|
|
J0897
|
HCPCS
|
Injection, Denosumab, 1 Mg
|
48
|
28
|
$3,215.01
|
$3,215.01
|
$28.60
|
$3,054.26
|
$2,671.90
|
2026-09-28
|
|
71551
|
HCPCS
|
MRI Scan Of Chest With Contrast
|
28
|
28
|
$3,238.17
|
$3,238.17
|
$598.40
|
$3,076.26
|
$2,662.10
|
2026-09-28
|
|
43246
|
HCPCS
|
Insertion Of Stomach Tube Using A Flexible Endoscope
|
28
|
28
|
$3,235.92
|
$3,235.92
|
$242.00
|
$3,074.12
|
$2,660.25
|
2026-09-28
|
|
41010
|
HCPCS
|
Incision Of Tissue Connecting Tongue And Floor Of Mouth
|
28
|
28
|
$3,232.61
|
$3,232.61
|
$153.02
|
$3,070.98
|
$2,657.53
|
2026-09-28
|
|
67921
|
HCPCS
|
Suture Repair Of Turning-inward Eyelid Defect
|
28
|
28
|
$3,225.63
|
$3,225.63
|
$234.92
|
$3,064.35
|
$2,651.79
|
2026-09-28
|
|
47562
|
HCPCS
|
Removal Of Gallbladder Using An Endoscope
|
28
|
28
|
$2,837.49
|
$2,837.49
|
$668.60
|
$6,176.47
|
$2,629.64
|
2026-09-28
|
|
36140
|
HCPCS
|
Insertion Of Needle Or Tube Into Artery Of Arm Or Leg
|
28
|
28
|
$3,183.77
|
$3,183.77
|
$71.18
|
$3,024.58
|
$2,617.38
|
2026-09-28
|
|
Q4196
|
HCPCS
|
Puraply Am, Per Square Centimeter
|
168
|
28
|
$2,836.90
|
$2,836.90
|
$132.50
|
$8,893.67
|
$2,587.25
|
2026-09-28
|
|
11404
|
HCPCS
|
Removal Of Noncancer Skin Growth Of Body, Arms, Or Legs, 3.1-4.0 Cm
|
28
|
28
|
$3,135.48
|
$3,135.48
|
$88.61
|
$2,978.71
|
$2,577.68
|
2026-09-28
|
|
11423
|
HCPCS
|
Removal Of Noncancer Skin Growth Of Scalp, Neck, Hands, Feet, Or Genitals, 2.1-3…
|
28
|
28
|
$3,118.09
|
$3,118.09
|
$124.43
|
$2,962.19
|
$2,563.38
|
2026-09-28
|
|
15275
|
HCPCS
|
Application Of Skin Substitute Graft To Wound Of Face, Scalp, Eyelids, Mouth, Ne…
|
28
|
28
|
$3,114.37
|
$3,114.37
|
$119.18
|
$2,958.65
|
$2,560.32
|
2026-09-28
|
|
70552
|
HCPCS
|
MRI Scan Of Brain With Contrast
|
28
|
28
|
$3,051.88
|
$3,051.88
|
$338.61
|
$2,899.29
|
$2,508.95
|
2026-09-28
|
|
72149
|
HCPCS
|
MRI Scan Of Lower Spinal Canal With Contrast
|
28
|
28
|
$3,047.53
|
$3,047.53
|
$338.61
|
$2,895.15
|
$2,505.38
|
2026-09-28
|
|
72142
|
HCPCS
|
MRI Scan Of Upper Spinal Canal With Contrast
|
28
|
28
|
$3,043.21
|
$3,043.21
|
$338.61
|
$2,891.05
|
$2,501.82
|
2026-09-28
|
|
40812
|
HCPCS
|
Removal Of Growth Of Mouth With Simple Repair
|
28
|
28
|
$3,034.86
|
$3,034.86
|
$86.00
|
$2,883.12
|
$2,494.95
|
2026-09-28
|
|
71275
|
HCPCS
|
CT Scan Of Blood Vessels Of Chest With Contrast
|
28
|
28
|
$3,029.84
|
$3,029.84
|
$170.24
|
$2,878.35
|
$2,490.83
|
2026-09-28
|
|
72196
|
HCPCS
|
MRI Scan Of Pelvis With Contrast
|
28
|
28
|
$3,029.74
|
$3,029.74
|
$338.61
|
$2,878.25
|
$2,490.75
|
2026-09-28
|
|
75635
|
HCPCS
|
CT Scan Of Abdominal Aorta And Both Leg Arteries With Contrast
|
28
|
28
|
$3,024.18
|
$3,024.18
|
$170.24
|
$2,872.97
|
$2,486.18
|
2026-09-28
|
|
74182
|
HCPCS
|
MRI Scan Of Abdomen With Contrast
|
28
|
28
|
$3,023.03
|
$3,023.03
|
$338.61
|
$2,871.88
|
$2,485.23
|
2026-09-28
|
|
72147
|
HCPCS
|
MRI Scan Of Middle Spinal Canal With Contrast
|
28
|
28
|
$3,017.24
|
$3,017.24
|
$338.61
|
$2,866.38
|
$2,480.47
|
2026-09-28
|
|
43244
|
HCPCS
|
Tying Of Dilated Veins Of Stomach And/or Esophagus Using A Flexible Endoscope
|
28
|
28
|
$3,004.14
|
$3,004.14
|
$214.82
|
$2,853.93
|
$2,469.70
|
2026-09-28
|
|
43255
|
HCPCS
|
Control Of Bleeding Of Esophagus, Stomach, And/or Upper Small Bowel Using A Flex…
|
28
|
28
|
$3,001.94
|
$3,001.94
|
$412.81
|
$2,851.84
|
$2,467.89
|
2026-09-28
|
|
70542
|
HCPCS
|
MRI Scan Of Bone Of Eye Socket, Face, And/or Neck With Contrast
|
28
|
28
|
$2,985.85
|
$2,985.85
|
$338.61
|
$2,836.56
|
$2,454.67
|
2026-09-28
|
|
72133
|
HCPCS
|
CT Scan Of Lower Spine Before And After Contrast
|
28
|
28
|
$2,973.65
|
$2,973.65
|
$170.24
|
$2,824.97
|
$2,444.64
|
2026-09-28
|
|
70336
|
HCPCS
|
MRI Scan Of Jaw Joint
|
28
|
28
|
$2,571.60
|
$2,571.60
|
$231.58
|
$9,000.60
|
$2,430.16
|
2026-09-28
|
|
70498
|
HCPCS
|
CT Scan Of Blood Vessels Of Neck With Contrast
|
48
|
28
|
$2,686.64
|
$2,686.64
|
$170.24
|
$2,552.31
|
$2,417.32
|
2026-09-28
|
|
72127
|
HCPCS
|
CT Scan Of Upper Spine Before And After Contrast
|
28
|
28
|
$2,934.63
|
$2,934.63
|
$170.24
|
$2,787.90
|
$2,412.56
|
2026-09-28
|
|
64447
|
HCPCS
|
Injection Of Anesthetic Agent And/or Steroid Into Thigh Nerve (femoral Nerve)
|
28
|
28
|
$2,905.92
|
$2,905.92
|
$49.14
|
$2,760.62
|
$2,388.96
|
2026-09-28
|
|
73702
|
HCPCS
|
CT Scan Of Leg Before And After Contrast
|
48
|
28
|
$5,151.30
|
$5,151.30
|
$170.24
|
$4,893.74
|
$2,375.60
|
2026-09-28
|
|
G0105
|
HCPCS
|
Colorectal Cancer Screening; Colonoscopy On Individual At High Risk
|
28
|
28
|
$2,509.71
|
$2,509.71
|
$902.60
|
$8,783.99
|
$2,371.68
|
2026-09-28
|
|
73719
|
HCPCS
|
MRI Scan Of Leg With Contrast
|
28
|
28
|
$2,817.03
|
$2,817.03
|
$338.61
|
$2,676.18
|
$2,358.71
|
2026-09-28
|
|
13100
|
HCPCS
|
Complicated Repair Of Wound Of Trunk, 1.1-2.5 Cm
|
28
|
28
|
$2,856.26
|
$2,856.26
|
$110.57
|
$2,713.45
|
$2,348.14
|
2026-09-28
|
|
70548
|
HCPCS
|
MRI Scan Of Blood Vessels Of Neck With Contrast
|
28
|
28
|
$2,855.85
|
$2,855.85
|
$338.61
|
$2,713.06
|
$2,347.80
|
2026-09-28
|
|
Q4197
|
HCPCS
|
Puraply Xt, Per Square Centimeter
|
109
|
28
|
$3,648.57
|
$3,648.57
|
$132.50
|
$5,090.66
|
$2,346.94
|
2026-09-28
|
|
11403
|
HCPCS
|
Removal Of Noncancer Skin Growth Of Body, Arms, Or Legs, 2.1-3.0 Cm
|
48
|
28
|
$2,563.77
|
$2,563.77
|
$81.16
|
$2,435.58
|
$2,331.93
|
2026-09-28
|
|
11420
|
HCPCS
|
Removal Of Noncancer Skin Growth Of Scalp, Neck, Hands, Feet, Or Genitals, 0.5 C…
|
48
|
28
|
$2,615.45
|
$2,615.45
|
$76.37
|
$2,484.68
|
$2,329.96
|
2026-09-28
|
|
74175
|
HCPCS
|
CT Scan Of Blood Vessels Of Abdomen With Contrast
|
28
|
28
|
$2,815.22
|
$2,815.22
|
$170.24
|
$2,674.46
|
$2,314.39
|
2026-09-28
|
|
73222
|
HCPCS
|
MRI Scan Of Arm Joint With Contrast
|
28
|
28
|
$2,814.86
|
$2,814.86
|
$494.14
|
$2,674.12
|
$2,314.10
|
2026-09-28
|
|
74170
|
HCPCS
|
CT Scan Of Abdomen Before And After Contrast
|
28
|
28
|
$2,810.62
|
$2,810.62
|
$170.24
|
$2,670.09
|
$2,310.61
|
2026-09-28
|
|
A0426
|
HCPCS
|
Ambulance Service, Advanced Life Support, Non-emergency Transport, Level 1 (als …
|
28
|
28
|
$2,429.94
|
$2,429.94
|
$340.29
|
$8,504.79
|
$2,296.29
|
2026-09-28
|
|
73722
|
HCPCS
|
MRI Scan Of Leg Joint With Contrast
|
28
|
28
|
$2,791.05
|
$2,791.05
|
$654.95
|
$2,651.50
|
$2,294.52
|
2026-09-28
|
|
15271
|
HCPCS
|
Application Of Skin Substitute Graft To Wound Of Trunk, Arms, Or Legs, 25.0 Sq C…
|
28
|
28
|
$2,787.30
|
$2,787.30
|
$72.23
|
$2,647.94
|
$2,291.44
|
2026-09-28
|
|
45388
|
HCPCS
|
Destruction Of Polyp Or Growth Of Large Bowel Using A Flexible Endoscope
|
24
|
24
|
$2,503.08
|
$2,503.08
|
$1,161.43
|
$2,377.93
|
$2,286.56
|
2026-09-28
|
|
72130
|
HCPCS
|
CT Scan Of Middle Spine Before And After Contrast
|
28
|
28
|
$2,780.78
|
$2,780.78
|
$170.24
|
$2,641.74
|
$2,286.08
|
2026-09-28
|
|
11604
|
HCPCS
|
Removal Of Cancer Skin Growth Of Body, Arms, Or Legs, 3.1-4.0 Cm
|
28
|
28
|
$2,762.44
|
$2,762.44
|
$181.68
|
$2,624.32
|
$2,271.01
|
2026-09-28
|
|
73219
|
HCPCS
|
MRI Scan Of Arm With Contrast
|
28
|
28
|
$2,744.51
|
$2,744.51
|
$338.61
|
$2,607.28
|
$2,256.26
|
2026-09-28
|
|
71270
|
HCPCS
|
CT Scan Of Chest Before And After Contrast
|
28
|
28
|
$2,714.19
|
$2,714.19
|
$170.24
|
$2,578.48
|
$2,231.34
|
2026-09-28
|
|
72194
|
HCPCS
|
CT Scan Of Pelvis Before And After Contrast
|
28
|
28
|
$2,714.19
|
$2,714.19
|
$170.24
|
$2,578.48
|
$2,231.34
|
2026-09-28
|
|
70496
|
HCPCS
|
CT Scan Of Blood Vessels Of Head With Contrast
|
28
|
28
|
$2,706.15
|
$2,706.15
|
$170.24
|
$2,570.84
|
$2,224.73
|
2026-09-28
|
|
70540
|
HCPCS
|
MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Without Contrast
|
28
|
28
|
$2,705.35
|
$2,705.35
|
$231.58
|
$2,570.08
|
$2,224.07
|
2026-09-28
|
|
26011
|
HCPCS
|
Complicated Drainage Of Abscess In Finger
|
28
|
28
|
$2,698.11
|
$2,698.11
|
$203.47
|
$2,563.20
|
$2,218.12
|
2026-09-28
|
|
45380
|
HCPCS
|
Biopsy Of Large Bowel Using A Flexible Endoscope
|
28
|
28
|
$2,697.34
|
$2,697.34
|
$330.23
|
$2,562.47
|
$2,217.48
|
2026-09-28
|
|
74181
|
HCPCS
|
MRI Scan Of Abdomen Without Contrast
|
28
|
28
|
$2,696.44
|
$2,696.44
|
$231.58
|
$2,561.62
|
$2,216.74
|
2026-09-28
|
|
72148
|
HCPCS
|
MRI Scan Of Lower Spinal Canal Without Contrast
|
28
|
28
|
$2,694.22
|
$2,694.22
|
$231.58
|
$2,559.51
|
$2,214.92
|
2026-09-28
|
|
72141
|
HCPCS
|
MRI Scan Of Upper Spinal Canal Without Contrast
|
28
|
28
|
$2,688.64
|
$2,688.64
|
$231.58
|
$2,554.21
|
$2,210.33
|
2026-09-28
|
|
11422
|
HCPCS
|
Removal Of Noncancer Skin Growth Of Scalp, Neck, Hands, Feet, Or Genitals, 1.1-2…
|
28
|
28
|
$2,686.30
|
$2,686.30
|
$106.27
|
$2,551.99
|
$2,208.41
|
2026-09-28
|
|
72191
|
HCPCS
|
CT Scan Of Blood Vessels Of Pelvis With Contrast
|
28
|
28
|
$2,684.32
|
$2,684.32
|
$170.24
|
$2,550.10
|
$2,206.78
|
2026-09-28
|
|
72146
|
HCPCS
|
MRI Scan Of Middle Spinal Canal Without Contrast
|
28
|
28
|
$2,684.18
|
$2,684.18
|
$231.58
|
$2,549.97
|
$2,206.66
|
2026-09-28
|
|
J1439
|
HCPCS
|
Injection, Ferric Carboxymaltose, 1 Mg
|
28
|
28
|
$2,680.70
|
$2,680.70
|
$1.08
|
$2,546.67
|
$2,203.81
|
2026-09-28
|
|
99291
|
HCPCS
|
Critical Care, First 30-74 Minutes
|
28
|
28
|
$2,674.01
|
$2,674.01
|
$174.42
|
$2,540.31
|
$2,198.31
|
2026-09-28
|
|
71550
|
HCPCS
|
MRI Scan Of Chest Without Contrast
|
28
|
28
|
$2,670.80
|
$2,670.80
|
$231.58
|
$2,537.26
|
$2,195.66
|
2026-09-28
|
|
11642
|
HCPCS
|
Removal Of Cancer Skin Growth Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 1.1-…
|
28
|
28
|
$2,665.32
|
$2,665.32
|
$186.15
|
$2,532.05
|
$2,191.16
|
2026-09-28
|
|
21011
|
HCPCS
|
Removal Of Growth Under Skin Of Face Or Scalp, Less Than 2.0 Cm
|
28
|
28
|
$2,659.80
|
$2,659.80
|
$387.17
|
$2,526.81
|
$2,186.62
|
2026-09-28
|
|
70551
|
HCPCS
|
MRI Scan Of Brain Without Contrast
|
28
|
28
|
$2,657.43
|
$2,657.43
|
$231.58
|
$2,524.56
|
$2,184.68
|
2026-09-28
|
|
43249
|
HCPCS
|
Balloon Dilation Of Esophagus, Stomach, And/or Upper Small Bowel Using A Flexibl…
|
28
|
28
|
$2,652.08
|
$2,652.08
|
$319.89
|
$2,519.48
|
$2,180.28
|
2026-09-28
|
|
72126
|
HCPCS
|
CT Scan Of Upper Spine With Contrast
|
28
|
28
|
$2,631.52
|
$2,631.52
|
$297.58
|
$2,499.94
|
$2,163.38
|
2026-09-28
|
|
64449
|
HCPCS
|
Injection By Continuous Infusion Of Anesthetic Agent Into Lower Back Nerve Bundl…
|
28
|
28
|
$2,625.47
|
$2,625.47
|
$91.62
|
$2,494.20
|
$2,158.40
|
2026-09-28
|
|
45384
|
HCPCS
|
Removal Of Polyps Or Growths Of Large Bowel Using A Flexible Endoscope With Elec…
|
28
|
28
|
$2,614.56
|
$2,614.56
|
$374.91
|
$2,483.83
|
$2,149.43
|
2026-09-28
|
|
72132
|
HCPCS
|
CT Scan Of Lower Spine With Contrast
|
28
|
28
|
$2,609.70
|
$2,609.70
|
$296.65
|
$2,479.22
|
$2,145.43
|
2026-09-28
|
|
1378483_1
|
CDM
|
Operating Room Services - General Classification
|
21
|
21
|
$2,281.61
|
$2,281.61
|
$1,235.49
|
$2,167.53
|
$2,144.71
|
2026-09-28
|
|
73706
|
HCPCS
|
CT Scan Of Blood Vessels Of Lower Leg With Contrast
|
28
|
28
|
$2,608.56
|
$2,608.56
|
$170.24
|
$2,478.13
|
$2,144.50
|
2026-09-28
|
|
55100
|
HCPCS
|
Drainage Of Abscess Of Scrotum
|
28
|
28
|
$2,593.63
|
$2,593.63
|
$195.09
|
$2,463.95
|
$2,132.22
|
2026-09-28
|
|
11622
|
HCPCS
|
Removal Of Cancer Skin Growth Of Scalp, Neck, Hands, Feet, Or Genitals, 1.1-2.0 …
|
28
|
28
|
$2,588.06
|
$2,588.06
|
$239.24
|
$2,458.66
|
$2,127.64
|
2026-09-28
|
|
72195
|
HCPCS
|
MRI Scan Of Pelvis Without Contrast
|
28
|
28
|
$2,586.08
|
$2,586.08
|
$231.58
|
$2,456.78
|
$2,126.02
|
2026-09-28
|
|
73718
|
HCPCS
|
MRI Scan Of Leg Without Contrast
|
28
|
28
|
$2,537.04
|
$2,537.04
|
$231.58
|
$2,410.19
|
$2,115.51
|
2026-09-28
|
|
J0129
|
HCPCS
|
Injection, Abatacept, 10 Mg (code May Be Used For Medicare When Drug Administere…
|
28
|
28
|
$2,570.76
|
$2,570.76
|
$43.57
|
$2,442.22
|
$2,113.42
|
2026-09-28
|
|
70547
|
HCPCS
|
MRI Scan Of Blood Vessels Of Neck Without Contrast
|
28
|
28
|
$2,558.22
|
$2,558.22
|
$231.58
|
$2,430.31
|
$2,103.11
|
2026-09-28
|
|
70544
|
HCPCS
|
MRI Scan Of Blood Vessels Of Head Without Contrast
|
28
|
28
|
$2,555.99
|
$2,555.99
|
$231.58
|
$2,428.19
|
$2,101.28
|
2026-09-28
|
|
73721
|
HCPCS
|
MRI Scan Of Leg Joint Without Contrast
|
28
|
28
|
$2,551.52
|
$2,551.52
|
$231.58
|
$2,423.94
|
$2,097.61
|
2026-09-28
|
|
36556
|
HCPCS
|
Insertion Of Non-tunneled Central Venous Tube For Infusion (5 Years Or Older)
|
28
|
28
|
$2,262.96
|
$2,262.96
|
$74.21
|
$3,225.87
|
$2,097.19
|
2026-09-28
|
|
73701
|
HCPCS
|
CT Scan Of Leg With Contrast Material
|
48
|
28
|
$2,198.67
|
$2,198.67
|
$170.24
|
$4,302.79
|
$2,088.74
|
2026-09-28
|
|
73221
|
HCPCS
|
MRI Scan Of Arm Joint Without Contrast
|
28
|
28
|
$2,538.15
|
$2,538.15
|
$231.58
|
$2,411.24
|
$2,086.61
|
2026-09-28
|
|
72129
|
HCPCS
|
CT Scan Of Middle Spine With Contrast
|
28
|
28
|
$2,535.07
|
$2,535.07
|
$170.24
|
$2,408.32
|
$2,084.08
|
2026-09-28
|
|
11640
|
HCPCS
|
Removal Of Cancer Skin Growth Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 0.5 …
|
28
|
28
|
$2,528.47
|
$2,528.47
|
$126.58
|
$2,402.05
|
$2,078.65
|
2026-09-28
|
|
73206
|
HCPCS
|
CT Scan Of Blood Vessels Of Arm With Contrast
|
28
|
28
|
$2,525.89
|
$2,525.89
|
$170.24
|
$2,399.60
|
$2,076.53
|
2026-09-28
|
|
70492
|
HCPCS
|
CT Scan Of Soft Tissue Of Neck Before And After Contrast
|
28
|
28
|
$2,507.53
|
$2,507.53
|
$170.24
|
$2,382.15
|
$2,061.44
|
2026-09-28
|
|
73202
|
HCPCS
|
CT Scan Of Arm Before And After Contrast
|
28
|
28
|
$2,502.92
|
$2,502.92
|
$170.24
|
$2,377.77
|
$2,057.65
|
2026-09-28
|
|
46050
|
HCPCS
|
Drainage Of Superficial Rectal Abscess Surrounding Anus
|
28
|
28
|
$2,500.63
|
$2,500.63
|
$79.67
|
$2,375.60
|
$2,055.77
|
2026-09-28
|
|
43239
|
HCPCS
|
Biopsy Of Esophagus, Stomach, And/or Upper Small Bowel Using A Flexible Endoscop…
|
28
|
28
|
$2,498.68
|
$2,498.68
|
$234.18
|
$2,373.75
|
$2,054.16
|
2026-09-28
|
|
73218
|
HCPCS
|
MRI Scan Of Arm Without Contrast
|
28
|
28
|
$2,496.91
|
$2,496.91
|
$231.58
|
$2,372.06
|
$2,052.71
|
2026-09-28
|
|
70470
|
HCPCS
|
CT Scan Of Head Or Brain Before And After Contrast
|
28
|
28
|
$2,491.44
|
$2,491.44
|
$170.24
|
$2,366.87
|
$2,048.21
|
2026-09-28
|
|
70488
|
HCPCS
|
CT Scan Of Face Before And After Contrast
|
28
|
28
|
$2,490.29
|
$2,490.29
|
$170.24
|
$2,365.78
|
$2,047.27
|
2026-09-28
|
|
45378
|
HCPCS
|
Diagnostic Exam Of Large Bowel Using A Flexible Endoscope
|
28
|
28
|
$2,478.80
|
$2,478.80
|
$295.23
|
$2,354.86
|
$2,037.82
|
2026-09-28
|
|
11603
|
HCPCS
|
Removal Of Cancer Skin Growth Of Body, Arms, Or Legs, 2.1-3.0 Cm
|
28
|
28
|
$2,470.21
|
$2,470.21
|
$168.28
|
$2,346.70
|
$2,030.76
|
2026-09-28
|
|
8231157_1
|
CDM
|
Room & Board - Semi-private (two Beds) - General Classification
|
18
|
18
|
$2,119.45
|
$2,119.45
|
$438.73
|
$2,032.76
|
$2,013.48
|
2026-09-28
|
|
44388
|
HCPCS
|
Diagnostic Exam Of Large Bowel Using An Endoscope Inserted Through Surgically Cr…
|
28
|
28
|
$2,440.18
|
$2,440.18
|
$160.09
|
$2,318.17
|
$2,006.07
|
2026-09-28
|
|
57100
|
HCPCS
|
Simple Biopsy Of Vaginal Mucous Membrane
|
28
|
28
|
$2,411.49
|
$2,411.49
|
$41.04
|
$2,290.92
|
$1,982.49
|
2026-09-28
|
|
20612
|
HCPCS
|
Aspiration And/or Injection Of Cyst Of Tendon
|
28
|
28
|
$2,407.63
|
$2,407.63
|
$54.36
|
$2,287.25
|
$1,979.31
|
2026-09-28
|
|
74160
|
HCPCS
|
CT Scan Of Abdomen With Contrast
|
28
|
28
|
$2,395.00
|
$2,395.00
|
$170.24
|
$2,275.25
|
$1,968.93
|
2026-09-28
|
|
72270
|
HCPCS
|
Review By Radiologist Of Multiple Spinal Canals Image
|
28
|
28
|
$2,394.96
|
$2,394.96
|
$161.97
|
$2,275.21
|
$1,968.90
|
2026-09-28
|
|
72193
|
HCPCS
|
CT Scan Of Pelvis With Contrast
|
28
|
28
|
$2,381.23
|
$2,381.23
|
$170.24
|
$2,262.17
|
$1,957.61
|
2026-09-28
|
|
70482
|
HCPCS
|
CT Scan Of Cranial Cavity Before And After Contrast
|
28
|
28
|
$2,380.62
|
$2,380.62
|
$170.24
|
$2,261.59
|
$1,957.11
|
2026-09-28
|
|
62302
|
HCPCS
|
X-ray Of Upper Spinal Canal With Review By Radiologist
|
28
|
28
|
$2,367.60
|
$2,367.60
|
$108.34
|
$2,249.22
|
$1,946.41
|
2026-09-28
|
|
J3111
|
HCPCS
|
Injection, Romosozumab-aqqg, 1 Mg
|
28
|
28
|
$2,366.03
|
$2,366.03
|
$12.10
|
$2,247.73
|
$1,945.12
|
2026-09-28
|
|
36584
|
HCPCS
|
Replacement Of Peripherally Inserted Central Venous Tube (picc) With Review By R…
|
28
|
28
|
$2,357.09
|
$2,357.09
|
$63.30
|
$2,239.24
|
$1,937.76
|
2026-09-28
|
|
13121
|
HCPCS
|
Complicated Repair Of Wound Of Scalp, Arms, Or Legs, 2.6-7.5 Cm
|
48
|
28
|
$2,168.81
|
$2,168.81
|
$168.65
|
$2,060.37
|
$1,932.09
|
2026-09-28
|
|
71260
|
HCPCS
|
CT Scan Of Chest With Contrast
|
28
|
28
|
$2,345.44
|
$2,345.44
|
$170.24
|
$2,228.17
|
$1,928.18
|
2026-09-28
|
|
13132
|
HCPCS
|
Complicated Repair Of Wound Of Forehead, Cheeks, Chin, Mouth, Neck, Underarms, G…
|
48
|
28
|
$3,122.75
|
$3,122.75
|
$363.13
|
$2,966.61
|
$1,912.41
|
2026-09-28
|
|
11010
|
HCPCS
|
Removal Of Foreign Material From Skin And Tissue At Open Broken And/or Dislocate…
|
28
|
28
|
$2,325.83
|
$2,325.83
|
$323.08
|
$2,209.54
|
$1,912.07
|
2026-09-28
|
|
70481
|
HCPCS
|
CT Scan Of Cranial Cavity With Contrast
|
28
|
28
|
$2,311.19
|
$2,311.19
|
$170.24
|
$2,195.63
|
$1,900.03
|
2026-09-28
|
|
Q4160
|
HCPCS
|
Nushield, Per Square Centimeter
|
150
|
28
|
$2,206.48
|
$2,206.48
|
$132.50
|
$5,315.25
|
$1,896.52
|
2026-09-28
|
|
12045
|
HCPCS
|
Intermediate Repair Of Wound Of Neck, Hands, Feet, Or Genitals, 12.6-20.0 Cm
|
28
|
28
|
$2,279.24
|
$2,279.24
|
$176.23
|
$2,165.28
|
$1,873.76
|
2026-09-28
|
|
62321
|
HCPCS
|
Injection Of Substance Into Middle Or Upper Spine Canal Using Imaging Guidance
|
28
|
28
|
$2,268.40
|
$2,268.40
|
$223.38
|
$2,154.98
|
$1,864.85
|
2026-09-28
|
|
11442
|
HCPCS
|
Removal Of Noncancer Skin Growth Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 1…
|
28
|
28
|
$2,261.38
|
$2,261.38
|
$80.04
|
$2,148.31
|
$1,859.08
|
2026-09-28
|
|
70487
|
HCPCS
|
CT Scan Of Face With Contrast
|
28
|
28
|
$2,260.67
|
$2,260.67
|
$170.24
|
$2,147.64
|
$1,858.49
|
2026-09-28
|
|
43235
|
HCPCS
|
Diagnostic Exam Of Esophagus, Stomach, And/or Upper Small Bowel Using A Flexible…
|
28
|
28
|
$2,255.87
|
$2,255.87
|
$224.12
|
$2,143.08
|
$1,854.55
|
2026-09-28
|
|
15272
|
HCPCS
|
Application Of Skin Substitute Graft To Wound Of Trunk, Arms, Or Legs, Each Addi…
|
28
|
28
|
$2,245.23
|
$2,245.23
|
$13.61
|
$2,132.97
|
$1,845.80
|
2026-09-28
|
|
62323
|
HCPCS
|
Injection Of Substance Into Lower Spine Canal Using Imaging Guidance
|
28
|
28
|
$2,236.07
|
$2,236.07
|
$220.03
|
$2,124.27
|
$1,838.28
|
2026-09-28
|
|
27752
|
HCPCS
|
Closed Treatment Of Middle Part Of Broken Shin Bone With Manipulation
|
28
|
28
|
$2,218.18
|
$2,218.18
|
$272.52
|
$2,107.27
|
$1,823.57
|
2026-09-28
|
|
74185
|
HCPCS
|
MRI Scan Of Blood Vessels Of Abdomen
|
28
|
28
|
$2,014.25
|
$2,014.25
|
$342.43
|
$1,913.54
|
$1,819.97
|
2026-09-28
|
|
73725
|
HCPCS
|
MRI Scan Of Blood Vessels Of Leg
|
28
|
28
|
$2,034.30
|
$2,034.30
|
$343.80
|
$1,932.59
|
$1,819.87
|
2026-09-28
|
|
72198
|
HCPCS
|
MRI Scan Of Blood Vessels Of Pelvis
|
28
|
28
|
$2,032.08
|
$2,032.08
|
$343.13
|
$1,930.48
|
$1,817.48
|
2026-09-28
|
|
36569
|
HCPCS
|
Insertion Of Tube For Infusion (5 Years Or Older)
|
28
|
28
|
$2,205.56
|
$2,205.56
|
$57.52
|
$2,095.28
|
$1,813.19
|
2026-09-28
|
|
64483
|
HCPCS
|
Injection Of Anesthetic And/or Steroid Drug Into Sacral Spine Nerve Root Using I…
|
50
|
28
|
$2,042.12
|
$2,042.12
|
$143.34
|
$1,940.01
|
$1,811.14
|
2026-09-28
|
|
70491
|
HCPCS
|
CT Scan Of Soft Tissue Of Neck With Contrast
|
28
|
28
|
$2,200.97
|
$2,200.97
|
$170.24
|
$2,090.92
|
$1,809.42
|
2026-09-28
|
|
71555
|
HCPCS
|
MRI Scan Of Blood Vessels Of Chest
|
28
|
28
|
$2,106.76
|
$2,106.76
|
$341.39
|
$2,001.42
|
$1,808.26
|
2026-09-28
|
|
64490
|
HCPCS
|
Injection Of Upper Or Middle Spine Facet Joint Using Imaging Guidance, Single Le…
|
49
|
28
|
$1,999.75
|
$1,999.75
|
$160.83
|
$1,899.76
|
$1,800.00
|
2026-09-28
|
|
77012
|
HCPCS
|
Review By Radiologist Of CT Guidance For Needle Placement
|
49
|
28
|
$2,028.74
|
$2,028.74
|
$122.54
|
$1,927.30
|
$1,800.00
|
2026-09-28
|
|
58301
|
HCPCS
|
Removal Of IUD
|
28
|
28
|
$2,186.65
|
$2,186.65
|
$48.64
|
$2,077.32
|
$1,798.93
|
2026-09-28
|
|
27502
|
HCPCS
|
Closed Treatment Of Broken Thigh Bone At Midportion With Manipulation
|
28
|
28
|
$1,960.41
|
$1,960.41
|
$513.20
|
$1,862.39
|
$1,790.34
|
2026-09-28
|
|
93306
|
HCPCS
|
Ultrasound Of Heart With Color-depicted Blood Flow, Rate, Direction And Valve Fu…
|
28
|
28
|
$2,164.23
|
$2,164.23
|
$343.91
|
$2,056.02
|
$1,789.72
|
2026-09-28
|
|
70460
|
HCPCS
|
CT Scan Head Or Brain With Contrast
|
28
|
28
|
$2,148.15
|
$2,148.15
|
$170.24
|
$2,040.74
|
$1,783.11
|
2026-09-28
|
|
73201
|
HCPCS
|
CT Scan Of Arm With Contrast
|
28
|
28
|
$2,148.15
|
$2,148.15
|
$289.05
|
$2,040.74
|
$1,783.11
|
2026-09-28
|
|
11641
|
HCPCS
|
Removal Of Cancer Skin Growth Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 0.6-…
|
28
|
28
|
$2,144.40
|
$2,144.40
|
$168.65
|
$2,037.18
|
$1,781.57
|
2026-09-28
|
|
72125
|
HCPCS
|
CT Scan Of Upper Spine Without Contrast
|
28
|
28
|
$2,118.30
|
$2,118.30
|
$101.47
|
$2,012.39
|
$1,770.84
|
2026-09-28
|
|
64493
|
HCPCS
|
Injection Of Lower Or Sacral Spine Facet Joint Using Imaging Guidance, Single Le…
|
49
|
28
|
$1,936.22
|
$1,936.22
|
$144.45
|
$1,839.41
|
$1,767.03
|
2026-09-28
|
|
45381
|
HCPCS
|
Injection Beneath Lining Of Large Bowel Using A Flexible Endoscope
|
28
|
28
|
$2,099.14
|
$2,099.14
|
$412.88
|
$1,994.18
|
$1,762.95
|
2026-09-28
|
|
A0428
|
HCPCS
|
Ambulance Service, Basic Life Support, Non-emergency Transport, (bls)
|
28
|
28
|
$1,861.61
|
$1,861.61
|
$283.57
|
$6,515.64
|
$1,759.22
|
2026-09-28
|
|
72131
|
HCPCS
|
CT Scan Of Lower Spine Without Contrast
|
28
|
28
|
$2,078.13
|
$2,078.13
|
$101.47
|
$1,974.22
|
$1,754.32
|
2026-09-28
|
|
64510
|
HCPCS
|
Injection Of Anesthetic Agent Into Sympathetic Nerve Bundle
|
28
|
28
|
$2,059.47
|
$2,059.47
|
$60.68
|
$1,956.50
|
$1,746.65
|
2026-09-28
|
|
28475
|
HCPCS
|
Closed Treatment Of Broken Foot With Manipulation
|
28
|
28
|
$2,041.38
|
$2,041.38
|
$222.16
|
$1,939.31
|
$1,739.21
|
2026-09-28
|
|
10081
|
HCPCS
|
Complicated Drainage Of Cyst Of Tailbone
|
28
|
28
|
$2,033.34
|
$2,033.34
|
$165.72
|
$1,931.67
|
$1,735.90
|
2026-09-28
|
|
72128
|
HCPCS
|
CT Scan Of Middle Spine Without Contrast
|
28
|
28
|
$2,031.04
|
$2,031.04
|
$101.47
|
$1,929.49
|
$1,734.96
|
2026-09-28
|
|
25520
|
HCPCS
|
Closed Treatment Of Broken Midpart Of Forearm Bone On Thumb Side And Dislocated …
|
28
|
28
|
$2,017.27
|
$2,017.27
|
$323.90
|
$1,916.41
|
$1,729.30
|
2026-09-28
|
|
74150
|
HCPCS
|
CT Scan Of Abdomen Without Contrast
|
28
|
28
|
$1,958.72
|
$1,958.72
|
$101.47
|
$1,860.78
|
$1,699.38
|
2026-09-28
|
|
49451
|
HCPCS
|
Replacement Of Small Bowel Tube Using Fluoroscopic Guidance With Contrast
|
28
|
28
|
$1,857.07
|
$1,857.07
|
$677.96
|
$1,857.07
|
$1,695.97
|
2026-09-28
|
|
73700
|
HCPCS
|
CT Scan Of Leg Without Contrast
|
49
|
28
|
$1,779.61
|
$1,779.61
|
$101.47
|
$3,482.69
|
$1,690.63
|
2026-09-28
|
|
11043
|
HCPCS
|
Removal Of Muscle And/or Tissue, 20.0 Sq Cm Or Less
|
49
|
28
|
$1,866.85
|
$1,866.85
|
$225.36
|
$1,773.51
|
$1,686.87
|
2026-09-28
|
|
36573
|
HCPCS
|
Insertion Of Tube For Infusion With Imaging Guidance And Review By Radiologist, …
|
49
|
28
|
$3,394.89
|
$3,394.89
|
$363.34
|
$3,225.15
|
$1,677.88
|
2026-09-28
|
|
11000
|
HCPCS
|
Removal Of Inflamed Or Infected Skin, Up To 10% Of Body Surface
|
28
|
28
|
$1,928.86
|
$1,928.86
|
$28.30
|
$1,832.42
|
$1,673.48
|
2026-09-28
|
|
56605
|
HCPCS
|
Biopsy Of Growth Of External Female Genitals, First Growth
|
28
|
28
|
$1,925.41
|
$1,925.41
|
$58.78
|
$1,829.14
|
$1,670.49
|
2026-09-28
|
|
11106
|
HCPCS
|
Incision Biopsy, First Skin Growth
|
28
|
28
|
$1,913.94
|
$1,913.94
|
$194.92
|
$1,818.24
|
$1,660.54
|
2026-09-28
|
|
70480
|
HCPCS
|
CT Scan Of Cranial Cavity Without Contrast
|
28
|
28
|
$1,908.20
|
$1,908.20
|
$101.47
|
$1,812.79
|
$1,655.56
|
2026-09-28
|
|
J1561
|
HCPCS
|
Injection, Immune Globulin, (gamunex-c/gammaked), Non-lyophilized (e.g., Liquid)…
|
49
|
28
|
$1,739.88
|
$1,739.88
|
$46.56
|
$6,607.27
|
$1,652.89
|
2026-09-28
|
|
71250
|
HCPCS
|
CT Scan Of Chest Without Contrast
|
28
|
28
|
$1,903.60
|
$1,903.60
|
$101.47
|
$1,808.42
|
$1,651.57
|
2026-09-28
|
|
11602
|
HCPCS
|
Removal Of Cancer Skin Growth Of Body, Arms, Or Legs, 1.1-2.0 Cm
|
28
|
28
|
$1,899.39
|
$1,899.39
|
$84.51
|
$1,804.42
|
$1,647.91
|
2026-09-28
|
|
32555
|
HCPCS
|
Aspiration Of Fluid From Chest Cavity Using Imaging Guidance
|
70
|
28
|
$1,962.97
|
$1,962.97
|
$92.33
|
$2,867.87
|
$1,624.32
|
2026-09-28
|
|
11443
|
HCPCS
|
Removal Of Noncancer Skin Growth Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 2…
|
28
|
28
|
$1,772.56
|
$1,772.56
|
$99.03
|
$1,687.37
|
$1,619.23
|
2026-09-28
|
|
11402
|
HCPCS
|
Removal Of Noncancer Skin Growth Of Body, Arms, Or Legs, 1.1-2.0 Cm
|
28
|
28
|
$1,866.28
|
$1,866.28
|
$71.85
|
$1,772.97
|
$1,619.18
|
2026-09-28
|
|
70450
|
HCPCS
|
CT Scan Head Or Brain Without Contrast
|
28
|
28
|
$1,843.91
|
$1,843.91
|
$101.47
|
$1,751.71
|
$1,599.78
|
2026-09-28
|
|
70490
|
HCPCS
|
CT Scan Of Soft Tissue Of Neck Without Contrast
|
28
|
28
|
$1,840.45
|
$1,840.45
|
$101.47
|
$1,748.43
|
$1,596.78
|
2026-09-28
|
|
99285
|
HCPCS
|
Emergency Department Visit With High Level Of Medical Decision Making
|
28
|
28
|
$1,828.97
|
$1,828.97
|
$155.03
|
$1,737.52
|
$1,586.82
|
2026-09-28
|
|
72240
|
HCPCS
|
Review By Radiologist Of Upper Spinal Canal Image
|
28
|
28
|
$1,819.21
|
$1,819.21
|
$125.58
|
$1,728.25
|
$1,578.35
|
2026-09-28
|
|
8085548_1
|
CDM
|
Room & Board - Semi-private (two Beds) - General Classification
|
18
|
18
|
$1,659.05
|
$1,659.05
|
$343.42
|
$1,591.19
|
$1,576.10
|
2026-09-28
|
|
P9037
|
HCPCS
|
Platelets, Pheresis, Leukocytes Reduced, Irradiated, Each Unit
|
28
|
28
|
$1,715.52
|
$1,715.52
|
$646.58
|
$1,715.52
|
$1,566.70
|
2026-09-28
|
|
70486
|
HCPCS
|
CT Scan Of Face Without Contrast
|
28
|
28
|
$1,800.26
|
$1,800.26
|
$101.47
|
$1,710.25
|
$1,561.91
|
2026-09-28
|
|
49083
|
HCPCS
|
Drainage Of Fluid From Abdominal Cavity Using Imaging Guidance
|
70
|
28
|
$1,795.68
|
$1,795.68
|
$89.85
|
$2,881.12
|
$1,557.93
|
2026-09-28
|
|
73200
|
HCPCS
|
CT Scan Of Arm Without Contrast
|
28
|
28
|
$1,787.63
|
$1,787.63
|
$101.47
|
$1,698.25
|
$1,550.95
|
2026-09-28
|
|
25565
|
HCPCS
|
Closed Treatment Of Broken Midpart Of Both Forearm Bones With Manipulation
|
28
|
28
|
$1,669.38
|
$1,669.38
|
$381.29
|
$1,642.82
|
$1,542.83
|
2026-09-28
|
|
27818
|
HCPCS
|
Closed Treatment Of 3 Broken Lower Leg Bones At Ankle With Manipulation
|
28
|
28
|
$1,655.60
|
$1,655.60
|
$373.29
|
$1,642.82
|
$1,534.33
|
2026-09-28
|
|
72265
|
HCPCS
|
Review By Radiologist Of Lower Spinal Canal Image
|
28
|
28
|
$1,768.36
|
$1,768.36
|
$117.59
|
$1,679.94
|
$1,534.23
|
2026-09-28
|
|
11400
|
HCPCS
|
Removal Of Noncancer Skin Growth Of Body, Arms, Or Legs, 0.5 Cm Or Less
|
28
|
28
|
$1,761.44
|
$1,761.44
|
$58.08
|
$1,673.37
|
$1,528.22
|
2026-09-28
|