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

PALO VERDE HOSPITAL

Blythe, CA · CCN 051339 · Rates published

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You selected 93350 (HCPCS)

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This hospital’s price: $469 across 2 payers

Source: https://hospitalpricedisclosure.com/Download.aspx?pxi=mFf*_*YSFqd65wsOm0aEz6fg*-* · observed 2026-07-01

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

6,112 distinct procedures filed
6 distinct payers
20,812 rate rows
2026-07-01 last MRF observed
Data quality

10,705 of 20,812 rate rows are consumer-grade (51.4%)

10,107 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 9,276
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 783
professional (physician) fee — not the facility price 30
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 16
placeholder amount (≤ $0.02) — excluded from medians 2
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://hospitalpricedisclosure.com/Download.aspx?pxi=mFf*_*YSFqd65wsOm0aEz6fg*-*
Found on page https://www.paloverdehospital.org/124/PaymentBilling
Discovered viaCMS hospital list
Last fetch success · 2026-10-18
Content fingerprint 839f00a1de42151e… · 6,769,234 bytes · first seen 2026-08-31

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
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 2 $64,799.98 $64,799.98 $64,799.98 nat. median
$68,423
0.9× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 2 $60,021.69 $60,021.69 $60,021.69 nat. median
$63,643
0.9× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 2 $56,432.18 $56,432.18 $56,432.18 nat. median
$75,037
0.8× median
C9150
HCPCS 		Xe129 Xenon, Diagnostic 2 $56,160.00 $56,160.00 $56,160.00 nat. median
$1,036
outlier · 54.2×
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 1 $46,510.72 $46,510.72 $46,510.72 nat. median
$45,474
1.0× median
81552
HCPCS 		Onc Uveal Mlnma Mrna 15 Gene 2 $36,374.84 $36,374.84 $36,374.84 nat. median
$8,087
outlier · 4.5×
0094U
OTHER 		Genome Rapid Sequence Alys 2 $33,958.99 $33,958.99 $33,958.99 nat. median
$7,961
outlier · 4.3×
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 2 $33,480.02 $33,480.02 $33,480.02 nat. median
$65,720
0.5× median
0267U
OTHER 		Rare Do Id Opt Gen Mapg&seq 2 $30,183.95 $30,183.95 $30,183.95 nat. median
$7,144
outlier · 4.2×
0265U
OTHER 		Rar Do Whl Gn&mtcdrl DNA Als 2 $24,524.88 $24,524.88 $24,524.88 nat. median
$5,750
outlier · 4.3×
0212U
OTHER 		Rare Ds Gen DNA Alys Proband 2 $24,522.19 $24,522.19 $24,522.19 nat. median
$5,777
outlier · 4.2×
0335U
OTHER 		Rare Ds Whl Gen Seq Fetal 2 $23,399.80 $23,399.80 $23,399.80 nat. median
$5,486
outlier · 4.3×
0214U
OTHER 		Rare Ds Xom DNA Alys Proband 2 $23,399.80 $23,399.80 $23,399.80 nat. median
$5,538
outlier · 4.2×
446
MS_DRG 		Disorders Of The Biliary Tract Without Cc/Mcc 1 $22,990.46 $22,990.46 $22,990.46 nat. median
$8,642
outlier · 2.7×
A9545
HCPCS 		I-131 Tositumomab, Rx, Per Dose 2 $22,896.90 $22,896.90 $22,896.90 nat. median
$33,684
0.7× median
0261U
OTHER 		Onc Clrct Ca Img Alys W/ai 2 $22,169.94 $22,169.94 $22,169.94 nat. median
$2,714
outlier · 8.2×
0108U
OTHER 		Gi Barrett Esoph 9 Prtn Bmrk 2 $22,169.94 $22,169.94 $22,169.94 nat. median
$5,049
outlier · 4.4×
195
MS_DRG 		Simple Pneumonia And Pleurisy Without Cc/Mcc 1 $21,528.64 $21,528.64 $21,528.64 nat. median
$6,821
outlier · 3.2×
81521
HCPCS 		Onc Breast Mrna 70 Genes 2 $21,446.10 $21,446.10 $21,446.10 nat. median
$4,067
outlier · 5.3×
81541
HCPCS 		Onc Prostate Mrna 46 Genes 2 $21,446.10 $21,446.10 $21,446.10 nat. median
$4,067
outlier · 5.3×
0211U
OTHER 		Onc Pan-tum Dna&rna Gnrj Seq 2 $21,253.33 $21,253.33 $21,253.33 nat. median
$8,793
outlier · 2.4×
81280
HCPCS 		Long Qt Synd Gene Full Seq 2 $21,097.12 $21,097.12 $21,097.12 nat. median
$844
outlier · 25.0×
0036U
OTHER 		Xome Tum & Nml Spec Seq Alys 2 $21,074.78 $21,074.78 $21,074.78 nat. median
$5,067
outlier · 4.2×
81542
HCPCS 		Onc Prostate Mrna 22 Cnt Gen 2 $20,175.09 $20,175.09 $20,175.09 nat. median
$4,067
outlier · 5.0×
J7311
HCPCS 		Fluocinolone Acetonide Implt 2 $19,710.04 $19,710.04 $19,710.04 nat. median
$441
outlier · 44.7×
419
MS_DRG 		Laparoscopic Cholecystectomy Without C.d.e. Without Cc/Mcc 1 $19,059.55 $19,059.55 $19,059.55 nat. median
$13,553
1.4× median
81529
HCPCS 		Onc Cutan Mlnma Mrna 31 Gene 2 $18,884.67 $18,884.67 $18,884.67 nat. median
$7,553
outlier · 2.5×
81162
HCPCS 		Brca1&2 Seq & Full Dup/del 2 $18,711.70 $18,711.70 $18,711.70 nat. median
$1,825
outlier · 10.3×
0026U
OTHER 		Onc Thyr Dna&mrna 112 Genes 2 $17,955.00 $17,955.00 $17,955.00 nat. median
$3,888
outlier · 4.6×
81518
HCPCS 		Onc Brst Mrna 11 Genes 2 $17,834.75 $17,834.75 $17,834.75 nat. median
$4,067
outlier · 4.4×
0340U
OTHER 		Onc Pan Ca Alys Mrd Plasma 2 $17,556.80 $17,556.80 $17,556.80 nat. median
$3,920
outlier · 4.5×
81540
HCPCS 		Oncology Tum Unknown Origin 2 $17,541.89 $17,541.89 $17,541.89 nat. median
$3,938
outlier · 4.5×
81520
HCPCS 		Onc Breast Mrna 58 Genes 2 $17,160.34 $17,160.34 $17,160.34 nat. median
$2,636
outlier · 6.5×
0045U
OTHER 		Onc Brst Dux Carc Is 12 Gene 2 $17,075.85 $17,075.85 $17,075.85 nat. median
$4,105
outlier · 4.2×
0047U
OTHER 		Onc Prst8 Mrna 17 Gene Alg 2 $17,075.85 $17,075.85 $17,075.85 nat. median
$4,105
outlier · 4.2×
81408
HCPCS 		Mopath Procedure Level 9 2 $16,777.70 $16,777.70 $16,777.70 nat. median
$938
outlier · 17.9×
81211
HCPCS 		Brca1&2 Seq & Com Dup/del 2 $16,528.72 $16,528.72 $16,528.72 nat. median
$1,691
outlier · 9.8×
0019U
OTHER 		Onc RNA Tiss Predict Alg 2 $16,459.50 $16,459.50 $16,459.50 nat. median
$3,859
outlier · 4.3×
0258U
OTHER 		Ai Psor Mrna 50-100 Gen Alg 2 $16,459.50 $16,459.50 $16,459.50 nat. median
$3,951
outlier · 4.2×
0313U
OTHER 		Onc Pncrs Dna&mrna Seq 74 2 $16,123.59 $16,123.59 $16,123.59 nat. median
$3,780
outlier · 4.3×
81435
HCPCS 		Hereditary Colon Ca Dsordrs 2 $15,951.72 $15,951.72 $15,951.72 nat. median
$1,404
outlier · 11.4×
81465
HCPCS 		Whole Mitochondrial Genome 2 $15,951.72 $15,951.72 $15,951.72 nat. median
$936
outlier · 17.0×
81436
HCPCS 		Hereditary Colon Ca Dsordrs 2 $15,951.72 $15,951.72 $15,951.72 nat. median
$710
outlier · 22.5×
81415
HCPCS 		Exome Sequence Analysis 2 $15,951.72 $15,951.72 $15,951.72 nat. median
$4,907
outlier · 3.3×
81445
HCPCS 		Targeted Genomic Seq Analys 2 $15,951.72 $15,951.72 $15,951.72 nat. median
$1,089
outlier · 14.7×
81416
HCPCS 		Exome Sequence Analysis 2 $15,951.72 $15,951.72 $15,951.72 nat. median
$12,000
1.3× median
81440
HCPCS 		Mitochondrial Gene 2 $15,951.72 $15,951.72 $15,951.72 nat. median
$3,324
outlier · 4.8×
81471
HCPCS 		X-linked Intellectual Dblt 2 $15,951.72 $15,951.72 $15,951.72 nat. median
$960
outlier · 16.6×
81470
HCPCS 		X-linked Intellectual Dblt 2 $15,951.72 $15,951.72 $15,951.72 nat. median
$972
outlier · 16.4×
81431
HCPCS 		Hearing Loss Dup/del Analys 2 $15,951.72 $15,951.72 $15,951.72 nat. median
$704
outlier · 22.7×

Other procedures at this hospital

Browse this hospital's 6,112 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
             
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 2 2 — — $64,799.98 $64,799.98 $64,799.98 2026-07-01
A9543 HCPCS Y90 Ibritumomab, Rx 2 2 — — $60,021.69 $60,021.69 $60,021.69 2026-07-01
J7330 HCPCS Cultured Chondrocytes Implnt 2 2 — — $56,432.18 $56,432.18 $56,432.18 2026-07-01
C9150 HCPCS Xe129 Xenon, Diagnostic 2 2 — — $56,160.00 $56,160.00 $56,160.00 2026-07-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 1 1 — — $46,510.72 $46,510.72 $46,510.72 2026-07-01
81552 HCPCS Onc Uveal Mlnma Mrna 15 Gene 2 2 — — $36,374.84 $36,374.84 $36,374.84 2026-07-01
0094U OTHER Genome Rapid Sequence Alys 2 2 — — $33,958.99 $33,958.99 $33,958.99 2026-07-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 2 2 — — $33,480.02 $33,480.02 $33,480.02 2026-07-01
0267U OTHER Rare Do Id Opt Gen Mapg&seq 2 2 — — $30,183.95 $30,183.95 $30,183.95 2026-07-01
0265U OTHER Rar Do Whl Gn&mtcdrl DNA Als 2 2 — — $24,524.88 $24,524.88 $24,524.88 2026-07-01
0212U OTHER Rare Ds Gen DNA Alys Proband 2 2 — — $24,522.19 $24,522.19 $24,522.19 2026-07-01
0214U OTHER Rare Ds Xom DNA Alys Proband 2 2 — — $23,399.80 $23,399.80 $23,399.80 2026-07-01
0335U OTHER Rare Ds Whl Gen Seq Fetal 2 2 — — $23,399.80 $23,399.80 $23,399.80 2026-07-01
446 MS_DRG Disorders Of The Biliary Tract Without Cc/Mcc 1 1 — — $22,990.46 $22,990.46 $22,990.46 2026-07-01
A9545 HCPCS I-131 Tositumomab, Rx, Per Dose 2 2 — — $22,896.90 $22,896.90 $22,896.90 2026-07-01
0261U OTHER Onc Clrct Ca Img Alys W/ai 2 2 — — $22,169.94 $22,169.94 $22,169.94 2026-07-01
0108U OTHER Gi Barrett Esoph 9 Prtn Bmrk 2 2 — — $22,169.94 $22,169.94 $22,169.94 2026-07-01
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc/Mcc 1 1 — — $21,528.64 $21,528.64 $21,528.64 2026-07-01
81521 HCPCS Onc Breast Mrna 70 Genes 2 2 — — $21,446.10 $21,446.10 $21,446.10 2026-07-01
81541 HCPCS Onc Prostate Mrna 46 Genes 2 2 — — $21,446.10 $21,446.10 $21,446.10 2026-07-01
0211U OTHER Onc Pan-tum Dna&rna Gnrj Seq 2 2 — — $21,253.33 $21,253.33 $21,253.33 2026-07-01
81280 HCPCS Long Qt Synd Gene Full Seq 2 2 — — $21,097.12 $21,097.12 $21,097.12 2026-07-01
0036U OTHER Xome Tum & Nml Spec Seq Alys 2 2 — — $21,074.78 $21,074.78 $21,074.78 2026-07-01
81542 HCPCS Onc Prostate Mrna 22 Cnt Gen 2 2 — — $20,175.09 $20,175.09 $20,175.09 2026-07-01
J7311 HCPCS Fluocinolone Acetonide Implt 2 2 — — $19,710.04 $19,710.04 $19,710.04 2026-07-01
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/Mcc 1 1 — — $19,059.55 $19,059.55 $19,059.55 2026-07-01
81529 HCPCS Onc Cutan Mlnma Mrna 31 Gene 2 2 — — $18,884.67 $18,884.67 $18,884.67 2026-07-01
81162 HCPCS Brca1&2 Seq & Full Dup/del 2 2 — — $18,711.70 $18,711.70 $18,711.70 2026-07-01
0026U OTHER Onc Thyr Dna&mrna 112 Genes 2 2 — — $17,955.00 $17,955.00 $17,955.00 2026-07-01
81518 HCPCS Onc Brst Mrna 11 Genes 2 2 — — $17,834.75 $17,834.75 $17,834.75 2026-07-01
0340U OTHER Onc Pan Ca Alys Mrd Plasma 2 2 — — $17,556.80 $17,556.80 $17,556.80 2026-07-01
81540 HCPCS Oncology Tum Unknown Origin 2 2 — — $17,541.89 $17,541.89 $17,541.89 2026-07-01
81520 HCPCS Onc Breast Mrna 58 Genes 2 2 — — $17,160.34 $17,160.34 $17,160.34 2026-07-01
0047U OTHER Onc Prst8 Mrna 17 Gene Alg 2 2 — — $17,075.85 $17,075.85 $17,075.85 2026-07-01
0045U OTHER Onc Brst Dux Carc Is 12 Gene 2 2 — — $17,075.85 $17,075.85 $17,075.85 2026-07-01
81408 HCPCS Mopath Procedure Level 9 2 2 — — $16,777.70 $16,777.70 $16,777.70 2026-07-01
81211 HCPCS Brca1&2 Seq & Com Dup/del 2 2 — — $16,528.72 $16,528.72 $16,528.72 2026-07-01
0258U OTHER Ai Psor Mrna 50-100 Gen Alg 2 2 — — $16,459.50 $16,459.50 $16,459.50 2026-07-01
0019U OTHER Onc RNA Tiss Predict Alg 2 2 — — $16,459.50 $16,459.50 $16,459.50 2026-07-01
0313U OTHER Onc Pncrs Dna&mrna Seq 74 2 2 — — $16,123.59 $16,123.59 $16,123.59 2026-07-01
81411 HCPCS Aortic Dysfunction/dilation 2 2 — — $15,951.72 $15,951.72 $15,951.72 2026-07-01
81416 HCPCS Exome Sequence Analysis 2 2 — — $15,951.72 $15,951.72 $15,951.72 2026-07-01
81450 HCPCS Targeted Genomic Seq Analys 2 2 — — $15,951.72 $15,951.72 $15,951.72 2026-07-01
81445 HCPCS Targeted Genomic Seq Analys 2 2 — — $15,951.72 $15,951.72 $15,951.72 2026-07-01
81426 HCPCS Genome Sequence Analysis 2 2 — — $15,951.72 $15,951.72 $15,951.72 2026-07-01
81435 HCPCS Hereditary Colon Ca Dsordrs 2 2 — — $15,951.72 $15,951.72 $15,951.72 2026-07-01
81430 HCPCS Hearing Loss Sequence Analys 2 2 — — $15,951.72 $15,951.72 $15,951.72 2026-07-01
81410 HCPCS Aortic Dysfunction/dilation 2 2 — — $15,951.72 $15,951.72 $15,951.72 2026-07-01
81519 HCPCS Oncology Breast Mrna 2 2 — — $15,951.72 $15,951.72 $15,951.72 2026-07-01
81460 HCPCS Whole Mitochondrial Genome 2 2 — — $15,951.72 $15,951.72 $15,951.72 2026-07-01
81471 HCPCS X-linked Intellectual Dblt 2 2 — — $15,951.72 $15,951.72 $15,951.72 2026-07-01
81415 HCPCS Exome Sequence Analysis 2 2 — — $15,951.72 $15,951.72 $15,951.72 2026-07-01
81425 HCPCS Genome Sequence Analysis 2 2 — — $15,951.72 $15,951.72 $15,951.72 2026-07-01
81465 HCPCS Whole Mitochondrial Genome 2 2 — — $15,951.72 $15,951.72 $15,951.72 2026-07-01
81431 HCPCS Hearing Loss Dup/del Analys 2 2 — — $15,951.72 $15,951.72 $15,951.72 2026-07-01
81455 HCPCS Targeted Genomic Seq Analys 2 2 — — $15,951.72 $15,951.72 $15,951.72 2026-07-01
81470 HCPCS X-linked Intellectual Dblt 2 2 — — $15,951.72 $15,951.72 $15,951.72 2026-07-01
81436 HCPCS Hereditary Colon Ca Dsordrs 2 2 — — $15,951.72 $15,951.72 $15,951.72 2026-07-01
81440 HCPCS Mitochondrial Gene 2 2 — — $15,951.72 $15,951.72 $15,951.72 2026-07-01
0080U OTHER Onc Lng 5 Clin Rsk Factr Alg 2 2 — — $15,765.29 $15,765.29 $15,765.29 2026-07-01
J9226 HCPCS Supprelin La Implant 2 2 — — $15,750.00 $15,750.00 $15,750.00 2026-07-01
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 1 1 — — $15,735.86 $15,735.86 $15,735.86 2026-07-01
90867 HCPCS Tcranial Magn Stim Tx Plan 2 2 — — $15,727.48 $15,727.48 $15,727.48 2026-07-01
0016M OTHER Onc Bladder Mrna 209 Gen Alg 2 2 — — $15,629.28 $15,629.28 $15,629.28 2026-07-01
0037U OTHER Trgt Gen Seq DNA 324 Genes 2 2 — — $15,431.32 $15,431.32 $15,431.32 2026-07-01
81595 HCPCS Cardiology Hrt Trnspl Mrna 2 2 — — $15,156.16 $15,156.16 $15,156.16 2026-07-01
G0419 HCPCS Sat Biopsy Prostate: >60 2 2 — — $15,126.04 $15,126.04 $15,126.04 2026-07-01
81525 HCPCS Oncology Colon Mrna 2 2 — — $14,576.17 $14,576.17 $14,576.17 2026-07-01
0055U OTHER Card Hrt Trnspl 96 DNA Seq 2 2 — — $14,511.23 $14,511.23 $14,511.23 2026-07-01
81554 HCPCS Pulm Ds Ipf Mrna 190 Gen Alg 2 2 — — $14,439.81 $14,439.81 $14,439.81 2026-07-01
81407 HCPCS Mopath Procedure Level 8 2 2 — — $14,356.57 $14,356.57 $14,356.57 2026-07-01
0262U OTHER Onc Sld Tum Rt-pcr 7 Gen 2 2 — — $14,332.08 $14,332.08 $14,332.08 2026-07-01
0266U OTHER Unxpl Cnst Hrtbl Do Gn Xprsn 2 2 — — $14,332.08 $14,332.08 $14,332.08 2026-07-01
0242U OTHER Trgt Gen Seq Alys Pnl 55-74 2 2 — — $14,164.50 $14,164.50 $14,164.50 2026-07-01
0087U OTHER Crd Hrt Trnspl Mrna 1283 Gen 2 2 — — $14,150.34 $14,150.34 $14,150.34 2026-07-01
0088U OTHER Trnsplj Kdn Algrft Rej 1494 2 2 — — $14,150.34 $14,150.34 $14,150.34 2026-07-01
0253U OTHER Rprdtve Med RNA Gen Prfl 238 2 2 — — $14,150.34 $14,150.34 $14,150.34 2026-07-01
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 1 1 — — $13,792.10 $13,792.10 $13,792.10 2026-07-01
81456 HCPCS Tgsap So/hl 51/< RNA Alys 2 2 — — $13,657.37 $13,657.37 $13,657.37 2026-07-01
0248U OTHER Onc Brn Sphrd Cll 12 Rx Pnl 2 2 — — $13,587.99 $13,587.99 $13,587.99 2026-07-01
399 MS_DRG Appendix Procedures Without Cc/Mcc 1 1 — — $13,498.00 $13,498.00 $13,498.00 2026-07-01
0018U OTHER Onc Thyr 10 Microrna Seq Alg 2 2 — — $13,445.70 $13,445.70 $13,445.70 2026-07-01
81538 HCPCS Oncology Lung 2 2 — — $13,430.04 $13,430.04 $13,430.04 2026-07-01
683 MS_DRG Renal Failure With Cc 1 1 — — $13,356.24 $13,356.24 $13,356.24 2026-07-01
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 1 1 — — $13,295.08 $13,295.08 $13,295.08 2026-07-01
603 MS_DRG Cellulitis Without Mcc 1 1 — — $13,188.01 $13,188.01 $13,188.01 2026-07-01
0048U OTHER Onc Sld Org Neo DNA 468 Gene 2 2 — — $13,076.23 $13,076.23 $13,076.23 2026-07-01
0334U OTHER Onc Sld Orgn Tgsa DNA 84/+ 2 2 — — $13,076.23 $13,076.23 $13,076.23 2026-07-01
0250U OTHER Onc Sld Org Neo DNA 505 Gene 2 2 — — $13,076.23 $13,076.23 $13,076.23 2026-07-01
0050U OTHER Trgt Gen Seq DNA 194 Genes 2 2 — — $13,062.81 $13,062.81 $13,062.81 2026-07-01
G0418 HCPCS Sat Biopsy Prostate 41-60 2 2 — — $12,723.71 $12,723.71 $12,723.71 2026-07-01
0473U OTHER Onc Sld Tum Bld/slv 648 Gene 2 2 — — $12,568.50 $12,568.50 $12,568.50 2026-07-01
0153U OTHER Onc Breast Mrna 101 Genes 2 2 — — $12,519.67 $12,519.67 $12,519.67 2026-07-01
0118U OTHER Trnsplj Don-drv Cll-fr DNA 2 2 — — $12,331.19 $12,331.19 $12,331.19 2026-07-01
J1412 HCPCS Inj Roctavian Ml 2x10^13vc G 2 2 — — $12,234.39 $12,234.39 $12,234.39 2026-07-01
0213U OTHER Rare Ds Gen DNA Alys Ea Comp 2 2 — — $12,137.28 $12,137.28 $12,137.28 2026-07-01
192 MS_DRG Chronic Obstructive Pulmonary Disease Without Cc/Mcc 1 1 — — $11,755.53 $11,755.53 $11,755.53 2026-07-01
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 2 1 — — $7,587.00 $15,735.86 $11,661.43 2026-07-01
0215U OTHER Rare Ds Xom DNA Alys Ea Comp 2 2 — — $11,531.30 $11,531.30 $11,531.30 2026-07-01
0336U OTHER Rare Ds Whl Gen Seq Bld/slv 2 2 — — $11,531.30 $11,531.30 $11,531.30 2026-07-01
81441 HCPCS Ibmfs Seq Alys Pnl 30 Genes 2 2 — — $11,453.94 $11,453.94 $11,453.94 2026-07-01
81412 HCPCS Ashkenazi Jewish Assoc Dis 2 2 — — $11,453.94 $11,453.94 $11,453.94 2026-07-01
291 MS_DRG Heart Failure And Shock With Mcc 1 1 — — $11,347.70 $11,347.70 $11,347.70 2026-07-01
81443 HCPCS Genetic Tstg Severe Inh Cond 2 2 — — $11,275.39 $11,275.39 $11,275.39 2026-07-01
0120U OTHER Onc B Cll Lymphm Mrna 58 Gen 2 2 — — $11,242.67 $11,242.67 $11,242.67 2026-07-01
0092U OTHER Onc Lng 3 Prtn Bmrk Plsm Alg 2 2 — — $11,143.17 $11,143.17 $11,143.17 2026-07-01
897 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 1 1 — — $11,140.88 $11,140.88 $11,140.88 2026-07-01
0276U OTHER Hem Inh Thrombocytopenia 23 2 2 — — $10,966.56 $10,966.56 $10,966.56 2026-07-01
81216 HCPCS Brca2 Gene Full Sequence 2 2 — — $10,342.78 $10,342.78 $10,342.78 2026-07-01
81522 HCPCS Onc Breast Mrna 12 Genes 2 2 — — $10,168.27 $10,168.27 $10,168.27 2026-07-01
728 MS_DRG Inflammation Of The Male Reproductive System Without Mcc 1 1 — — $10,136.98 $10,136.98 $10,136.98 2026-07-01
445 MS_DRG Disorders Of The Biliary Tract With Cc 1 1 — — $10,100.28 $10,100.28 $10,100.28 2026-07-01
81442 HCPCS Noonan Spectrum Disorders 2 2 — — $10,027.42 $10,027.42 $10,027.42 2026-07-01
0333U OTHER Onc Lvr Surveilanc Hcc Cfdna 2 2 — — $9,975.00 $9,975.00 $9,975.00 2026-07-01
0326U OTHER Trgt Gen Seq Alys Pnl 83+ 2 2 — — $9,975.00 $9,975.00 $9,975.00 2026-07-01
638 MS_DRG Diabetes With Cc 1 1 — — $9,943.08 $9,943.08 $9,943.08 2026-07-01
0249U OTHER Onc Brst Alys 32 Phsprtn Alg 2 2 — — $9,938.99 $9,938.99 $9,938.99 2026-07-01
0206U OTHER Neuro Alzheimer Cell Aggregj 2 2 — — $9,922.28 $9,922.28 $9,922.28 2026-07-01
0239U OTHER Trgt Gen Seq Alys Pnl 311+ 2 2 — — $9,915.15 $9,915.15 $9,915.15 2026-07-01
0217U OTHER Neuro Inh Ataxia DNA 51 Gene 2 2 — — $9,845.92 $9,845.92 $9,845.92 2026-07-01
A9572 HCPCS Indium In-111 Pentetreotide 2 2 — — $9,728.16 $9,728.16 $9,728.16 2026-07-01
0323U OTHER Iadna Cns Pthgn Next Gen Seq 2 2 — — $9,522.78 $9,522.78 $9,522.78 2026-07-01
81546 HCPCS Onc Thyr Mrna 10,196 Gen Alg 2 2 — — $9,451.51 $9,451.51 $9,451.51 2026-07-01
95829 HCPCS Surgery Electrocorticogram 2 2 — — $9,424.73 $9,424.73 $9,424.73 2026-07-01
812 MS_DRG Red Blood Cell Disorders Without Mcc 1 1 — — $9,261.38 $9,261.38 $9,261.38 2026-07-01
0053U OTHER Onc Prst8 Ca Fish Alys 4 Gen 2 2 — — $9,091.91 $9,091.91 $9,091.91 2026-07-01
0317U OTHER Onc Lung Ca 4-prb Fish Assay 2 2 — — $9,091.91 $9,091.91 $9,091.91 2026-07-01
77373 HCPCS Sbrt Delivery 2 2 — — $8,752.96 $8,752.96 $8,752.96 2026-07-01
0179U OTHER Onc Nonsm Cll Lng Ca Alys 23 2 2 — — $8,703.19 $8,703.19 $8,703.19 2026-07-01
0114U OTHER Gi Barretts Esoph Vim&ccna1 2 2 — — $8,679.90 $8,679.90 $8,679.90 2026-07-01
81214 HCPCS Brca1 Full Seq & Com Dup/del 2 2 — — $8,660.25 $8,660.25 $8,660.25 2026-07-01
0067U OTHER Onc Brst Imhchem Prfl 4 Bmrk 2 2 — — $8,496.26 $8,496.26 $8,496.26 2026-07-01
81523 HCPCS Onc Brst Mrna 70 Cnt 31 Gene 2 2 — — $8,070.02 $8,070.02 $8,070.02 2026-07-01
93590 HCPCS Perq Transcath Cls Mitral 2 2 — — $8,057.66 $8,057.66 $8,057.66 2026-07-01
81417 HCPCS Exome Re-evaluation 2 2 — — $7,975.86 $7,975.86 $7,975.86 2026-07-01
81427 HCPCS Genome Re-evaluation 2 2 — — $7,975.86 $7,975.86 $7,975.86 2026-07-01
0090U OTHER Onc Cutan Mlnma Mrna 23 Gene 2 2 — — $7,860.25 $7,860.25 $7,860.25 2026-07-01
0101U OTHER Hered Colon Ca Do 15 Genes 2 2 — — $7,810.77 $7,810.77 $7,810.77 2026-07-01
0103U OTHER Hered Ova Ca Pnl 24 Genes 2 2 — — $7,810.77 $7,810.77 $7,810.77 2026-07-01
0418U OTHER Onc Brst Aug Alg Aly Whl Sl8 2 2 — — $7,726.64 $7,726.64 $7,726.64 2026-07-01
0404U OTHER Onc Brst Semiq Meas Thym Kn 2 2 — — $7,726.64 $7,726.64 $7,726.64 2026-07-01
0315U OTHER Onc Cutan Sq Cll Ca Mrna 40 2 2 — — $7,726.64 $7,726.64 $7,726.64 2026-07-01
0314U OTHER Onc Cutan Mlnma Mrna 35 Gene 2 2 — — $7,726.64 $7,726.64 $7,726.64 2026-07-01
0295U OTHER Onc Brst Dux Carc 7 Proteins 2 2 — — $7,726.64 $7,726.64 $7,726.64 2026-07-01
0172U OTHER Onc Sld Tum Alys Brca1 Brca2 2 2 — — $7,616.51 $7,616.51 $7,616.51 2026-07-01
90868 HCPCS Tcranial Magn Stim Tx Deli 2 2 — — $7,592.92 $7,592.92 $7,592.92 2026-07-01
95715 HCPCS Veeg Ea 12-26hr Intmt Mntr 2 2 — — $7,507.09 $7,507.09 $7,507.09 2026-07-01
95716 HCPCS Veeg Ea 12-26hr Cont Mntr 2 2 — — $7,507.09 $7,507.09 $7,507.09 2026-07-01
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 1 1 — — $7,502.30 $7,502.30 $7,502.30 2026-07-01
G0417 HCPCS Sat Biopsy Prostate 21-40 2 2 — — $7,418.41 $7,418.41 $7,418.41 2026-07-01
0204U OTHER Onc Thyr Mrna Xprsn Alys 593 2 2 — — $7,339.01 $7,339.01 $7,339.01 2026-07-01
0296U OTHER Onc Orl&/orop Ca 20 Mlc Feat 2 2 — — $7,182.00 $7,182.00 $7,182.00 2026-07-01
0287U OTHER Onc Thyr Dna&mrna 112 Genes 2 2 — — $7,182.00 $7,182.00 $7,182.00 2026-07-01
81509 HCPCS Ftl Cgen Abnor 3 Proteins 2 2 — — $6,957.66 $6,957.66 $6,957.66 2026-07-01
0216U OTHER Neuro Inh Ataxia DNA 12 Com 2 2 — — $6,883.95 $6,883.95 $6,883.95 2026-07-01
G0235 HCPCS PET Not Otherwise Specified 2 2 — — $6,859.01 $6,859.01 $6,859.01 2026-07-01
0171U OTHER Trgt Gen Seq Alys Pnl DNA 23 2 2 — — $6,803.55 $6,803.55 $6,803.55 2026-07-01
93591 HCPCS Perq Transcath Cls Aortic 2 2 — — $6,688.79 $6,688.79 $6,688.79 2026-07-01
91112 HCPCS Gi Wireless Capsule Measure 2 2 — — $6,609.73 $6,609.73 $6,609.73 2026-07-01
81419 HCPCS Epilepsy Gen Seq Alys Panel 2 2 — — $6,428.49 $6,428.49 $6,428.49 2026-07-01
78816 HCPCS PET Image W/ct Full Body 2 2 — — $6,309.19 $6,309.19 $6,309.19 2026-07-01
0607U OTHER Reprdtve Med Ema Rtpcr 31bct 2 2 — — $6,303.05 $6,303.05 $6,303.05 2026-07-01
0608U OTHER Reprdtve Med Ema Rtpcr 10bct 2 2 — — $6,303.05 $6,303.05 $6,303.05 2026-07-01
95783 HCPCS Polysom <6 Yrs Cpap/bilvl 2 2 — — $6,242.21 $6,242.21 $6,242.21 2026-07-01
Q0224 HCPCS Inj, Pemivibart, 4500 Mg 2 2 — — $6,237.14 $6,237.14 $6,237.14 2026-07-01
0332U OTHER Onc Pan Tum Gen Prflg 8 DNA 2 2 — — $6,216.42 $6,216.42 $6,216.42 2026-07-01
0294U OTHER Lngvty&mrtlty Rsk Mrna 18gen 2 2 — — $6,216.42 $6,216.42 $6,216.42 2026-07-01
77371 HCPCS Srs Multisource 2 2 — — $6,182.60 $6,182.60 $6,182.60 2026-07-01
0428U OTHER Onc Brst Ctdna Alys 56/> Gen 2 2 — — $6,182.55 $6,182.55 $6,182.55 2026-07-01
75577 HCPCS Quan&char C Athrosclrtc Plaq 2 2 — — $6,144.55 $6,144.55 $6,144.55 2026-07-01
A9604 HCPCS Sm 153 Lexidronam 2 2 — — $6,076.31 $6,076.31 $6,076.31 2026-07-01
0350U OTHER Rx Metab/pcx DNA 27 Gen Alys 2 2 — — $5,984.05 $5,984.05 $5,984.05 2026-07-01
0347U OTHER Rx Metab/pcx DNA 16 Gen Alys 2 2 — — $5,984.05 $5,984.05 $5,984.05 2026-07-01
0175U OTHER Psyc Gen Alys Panel 15 Genes 2 2 — — $5,984.05 $5,984.05 $5,984.05 2026-07-01
0345U OTHER Psyc Genom Alys Pnl 15 Gen 2 2 — — $5,984.05 $5,984.05 $5,984.05 2026-07-01
78832 HCPCS Rp Loclzj Tum Spect W/ct 2 2 2 — — $5,940.61 $5,940.61 $5,940.61 2026-07-01
95782 HCPCS Polysom <6 Yrs 4/> Paramtrs 2 2 — — $5,868.99 $5,868.99 $5,868.99 2026-07-01
0174U OTHER Onc Solid Tumor 30 Prtn Trgt 2 2 — — $5,846.45 $5,846.45 $5,846.45 2026-07-01
0015M OTHER Adrnl Cortcl Tum Bchm Asy 25 2 2 — — $5,846.45 $5,846.45 $5,846.45 2026-07-01
0102U OTHER Hered Brst Ca Rltd Do 17 Gen 2 2 — — $5,840.11 $5,840.11 $5,840.11 2026-07-01
0129U OTHER Hered Brst Ca Rltd Do Panel 2 2 — — $5,840.11 $5,840.11 $5,840.11 2026-07-01
78813 HCPCS PET Image Full Body 2 2 — — $5,810.44 $5,810.44 $5,810.44 2026-07-01
0947T OTHER Mrgfus Strtctc Bl-br Disrpj 2 2 — — $5,748.04 $5,748.04 $5,748.04 2026-07-01
0218U OTHER Neuro Musc Dys Dmd Seq Alys 2 2 — — $5,728.74 $5,728.74 $5,728.74 2026-07-01
0414U OTHER Onc Lng Aug Alg Aly Whl Sld8 2 2 — — $5,727.64 $5,727.64 $5,727.64 2026-07-01
0288U OTHER Onc Lung Mrna Quan Pcr 11&3 2 2 — — $5,727.64 $5,727.64 $5,727.64 2026-07-01
81223 HCPCS Cftr Gene Full Sequence 2 2 — — $5,681.86 $5,681.86 $5,681.86 2026-07-01
0264U OTHER Rare Ds Id Opt Genome Mapg 2 2 — — $5,659.07 $5,659.07 $5,659.07 2026-07-01
0260U OTHER Rare Ds Id Opt Genome Mapg 2 2 — — $5,659.07 $5,659.07 $5,659.07 2026-07-01
77301 HCPCS Radiotherapy Dose Plan Imrt 2 2 — — $5,642.81 $5,642.81 $5,642.81 2026-07-01
89268 HCPCS Insemination Of Oocytes 2 2 — — $5,486.25 $5,486.25 $5,486.25 2026-07-01
91110 HCPCS Gi Tract Capsule Endoscopy 2 2 — — $5,429.94 $5,429.94 $5,429.94 2026-07-01
C8907 HCPCS MRI Without Cont, Breast, Bi 2 2 — — $5,408.05 $5,408.05 $5,408.05 2026-07-01
J9225 HCPCS Vantas Implant 2 2 — — $5,400.01 $5,400.01 $5,400.01 2026-07-01
A9515 HCPCS Choline C-11 2 2 — — $5,400.00 $5,400.00 $5,400.00 2026-07-01
74183 HCPCS MRI Abdomen Without & With Contrast 2 2 — — $5,303.91 $5,303.91 $5,303.91 2026-07-01
72197 HCPCS MRI Pelvis Without & With Contrast 2 2 — — $5,303.91 $5,303.91 $5,303.91 2026-07-01
78815 HCPCS PET Image W/ct Skull-thigh 2 2 — — $5,301.71 $5,301.71 $5,301.71 2026-07-01
70543 HCPCS MRI Orbt/fac/nck Without &with Contrast 2 2 — — $5,294.23 $5,294.23 $5,294.23 2026-07-01
73723 HCPCS MRI Joint Lwr Extr W/o&with Contrast 2 2 — — $5,294.23 $5,294.23 $5,294.23 2026-07-01
73223 HCPCS MRI Joint Upr Extr W/o&with Contrast 2 2 — — $5,294.23 $5,294.23 $5,294.23 2026-07-01
71552 HCPCS MRI Chest Without & With Contrast 2 2 — — $5,271.59 $5,271.59 $5,271.59 2026-07-01
89291 HCPCS Biopsy Oocyte Polar Body 2 2 — — $5,236.88 $5,236.88 $5,236.88 2026-07-01
78609 HCPCS Brain Imaging (pet) 2 2 — — $5,197.72 $5,197.72 $5,197.72 2026-07-01
0739T OTHER Abltj Mal Prst8 Mag Fld Ndct 2 2 — — $5,177.82 $5,177.82 $5,177.82 2026-07-01
77295 HCPCS 3-d Radiotherapy Plan 2 2 — — $5,171.14 $5,171.14 $5,171.14 2026-07-01
J9219 HCPCS Leuprolide Acetate Implant 2 2 — — $5,115.60 $5,115.60 $5,115.60 2026-07-01
C8904 HCPCS MRI Without Cont, Breast, Uni 2 2 — — $5,113.83 $5,113.83 $5,113.83 2026-07-01
C8903 HCPCS MRI W/cont, Breast, Uni 2 2 — — $5,113.83 $5,113.83 $5,113.83 2026-07-01
C8906 HCPCS MRI W/cont, Breast, Bi 2 2 — — $5,113.83 $5,113.83 $5,113.83 2026-07-01
C8905 HCPCS MRI Without Fol W/cont, Brst, Un 2 2 — — $5,113.83 $5,113.83 $5,113.83 2026-07-01
75894 HCPCS X-rays Transcath Therapy 2 2 — — $5,087.15 $5,087.15 $5,087.15 2026-07-01
75580 HCPCS N-invas Est C Ffr Sw Aly CTA 2 2 — — $5,070.89 $5,070.89 $5,070.89 2026-07-01
0356U OTHER Onc Orop 17 DNA Ddpcr Alg 2 2 — — $5,027.40 $5,027.40 $5,027.40 2026-07-01
J0225 HCPCS Inj, Vutrisiran, 1 Mg 2 2 — — $5,005.77 $5,005.77 $5,005.77 2026-07-01
J7310 HCPCS Ganciclovir Long Act Implant 2 2 — — $5,000.10 $5,000.10 $5,000.10 2026-07-01
G0219 HCPCS PET Img Wholbod Melano Nonco 2 2 — — $4,987.50 $4,987.50 $4,987.50 2026-07-01
G0252 HCPCS PET Imaging Initial Dx 2 2 — — $4,987.50 $4,987.50 $4,987.50 2026-07-01
78459 HCPCS Heart Muscle Imaging (pet) 2 2 — — $4,987.50 $4,987.50 $4,987.50 2026-07-01
0325U OTHER Onc Ovar Sphrd Cell Parp 2 2 — — $4,981.02 $4,981.02 $4,981.02 2026-07-01
0324U OTHER Onc Ovar Sphrd Cell 4 Rx Pnl 2 2 — — $4,981.02 $4,981.02 $4,981.02 2026-07-01
77787 HCPCS Hdr Brachytx Over 12 Chan 2 2 — — $4,932.09 $4,932.09 $4,932.09 2026-07-01
81493 HCPCS Cor Artery Disease Mrna 2 2 — — $4,911.74 $4,911.74 $4,911.74 2026-07-01
78814 HCPCS PET Image W/ct Lmtd 2 2 — — $4,862.81 $4,862.81 $4,862.81 2026-07-01
78812 HCPCS PET Image Skull-thigh 2 2 — — $4,802.96 $4,802.96 $4,802.96 2026-07-01
81298 HCPCS Msh6 Gene Full Seq 2 2 — — $4,762.86 $4,762.86 $4,762.86 2026-07-01
70546 HCPCS Mr Angiograph Head W/o&with Contrast 2 2 — — $4,744.46 $4,744.46 $4,744.46 2026-07-01
70549 HCPCS Mr Angiograph Neck W/o&with Contrast 2 2 — — $4,744.46 $4,744.46 $4,744.46 2026-07-01
89290 HCPCS Biopsy Oocyte Polar Body 2 2 — — $4,738.12 $4,738.12 $4,738.12 2026-07-01
J1675 HCPCS Histrelin Acetate 2 2 — — $4,707.01 $4,707.01 $4,707.01 2026-07-01
77772 HCPCS Hdr Rdncl Ntrstl/icav Brchtx 2 2 — — $4,699.07 $4,699.07 $4,699.07 2026-07-01
77372 HCPCS Srs Linear Based 2 2 — — $4,691.69 $4,691.69 $4,691.69 2026-07-01
70559 HCPCS MRI Brain Without & With Contrast 2 2 — — $4,620.52 $4,620.52 $4,620.52 2026-07-01
72158 HCPCS MRI Lumbar Spine Without & With Contrast 2 2 — — $4,620.52 $4,620.52 $4,620.52 2026-07-01
70553 HCPCS MRI Brain Stem Without & With Contrast 2 2 — — $4,620.52 $4,620.52 $4,620.52 2026-07-01
72157 HCPCS MRI Chest Spine Without & With Contrast 2 2 — — $4,618.72 $4,618.72 $4,618.72 2026-07-01
72156 HCPCS MRI Neck Spine Without & With Contrast 2 2 — — $4,618.72 $4,618.72 $4,618.72 2026-07-01
J0801 HCPCS Inj. Acthar Gel To 40 Units 2 2 — — $4,611.95 $4,611.95 $4,611.95 2026-07-01
0156U OTHER Copy Number Sequence Alys 2 2 — — $4,558.58 $4,558.58 $4,558.58 2026-07-01
78608 HCPCS Brain Imaging (pet) 2 2 — — $4,532.89 $4,532.89 $4,532.89 2026-07-01
78831 HCPCS Rp Loclzj Tum Spect 2 Areas 2 2 — — $4,496.53 $4,496.53 $4,496.53 2026-07-01
75896 HCPCS X-rays, Transcath Therapy 2 2 — — $4,447.60 $4,447.60 $4,447.60 2026-07-01
5361 OTHER Level 1 Laparoscopy And Related Services 2 1 — — $714.60 $8,154.45 $4,434.52 2026-07-01
0993T OTHER N-invas Assmt Car Rsk W/ct 2 2 — — $4,422.87 $4,422.87 $4,422.87 2026-07-01
0992T OTHER N-invas Assmt Car Rsk Without CT 2 2 — — $4,422.87 $4,422.87 $4,422.87 2026-07-01
77785 HCPCS Hdr Brachytx, 1 Channel 2 2 — — $4,420.72 $4,420.72 $4,420.72 2026-07-01
0170U OTHER Neuro Asd RNA Next Gen Seq 2 2 — — $4,411.54 $4,411.54 $4,411.54 2026-07-01
77786 HCPCS Hdr Brachytx, 2-12 Channel 2 2 — — $4,410.85 $4,410.85 $4,410.85 2026-07-01
91111 HCPCS Esophageal Capsule Endoscopy 2 2 — — $4,384.06 $4,384.06 $4,384.06 2026-07-01
78811 HCPCS PET Image Ltd Area 2 2 — — $4,364.06 $4,364.06 $4,364.06 2026-07-01
74712 HCPCS MRI Fetal Sngl/1st Gestation 2 2 — — $4,312.39 $4,312.39 $4,312.39 2026-07-01
0105U OTHER Neph Ckd Mult Eclia Tum Nec 2 2 — — $4,254.84 $4,254.84 $4,254.84 2026-07-01
0003U OTHER Onc Ovar 5 Prtn Ser Alg Scor 2 2 — — $4,254.84 $4,254.84 $4,254.84 2026-07-01
81175 HCPCS Asxl1 Full Gene Sequence 2 2 — — $4,253.84 $4,253.84 $4,253.84 2026-07-01
89281 HCPCS Assist Oocyte Fertilization 2 2 — — $4,239.38 $4,239.38 $4,239.38 2026-07-01
89272 HCPCS Extended Culture Of Oocytes 2 2 — — $4,239.38 $4,239.38 $4,239.38 2026-07-01
0497T OTHER Xtrnl Pt Act ECG In-off Conn 2 2 — — $4,230.10 $4,230.10 $4,230.10 2026-07-01
0426U OTHER Genome Ultra-rapid Seq Alys 2 2 — — $4,220.77 $4,220.77 $4,220.77 2026-07-01
0029U OTHER Rx Metab Advrs Trgt Seq Alys 2 2 — — $4,220.77 $4,220.77 $4,220.77 2026-07-01
0290U OTHER Pain Mgmt Mrna Gen Xprsn 36 2 2 — — $4,220.77 $4,220.77 $4,220.77 2026-07-01
0425U OTHER Genom Rpd Seq Alys Ea Cmprtr 2 2 — — $4,220.77 $4,220.77 $4,220.77 2026-07-01
0027U OTHER Jak2 Gene Trgt Seq Alys 2 2 — — $4,220.77 $4,220.77 $4,220.77 2026-07-01
81503 HCPCS Onco (ovar) Five Proteins 2 2 — — $4,196.03 $4,196.03 $4,196.03 2026-07-01
81267 HCPCS Chimerism Anal No Cell Selec 2 2 — — $4,059.53 $4,059.53 $4,059.53 2026-07-01
81558 HCPCS Trnspl Rej Kdn Mrna Qpcr 139 2 2 — — $4,050.65 $4,050.65 $4,050.65 2026-07-01
0342U OTHER Onc Pncrtc Ca Mult Ia Eclia 2 2 — — $4,017.48 $4,017.48 $4,017.48 2026-07-01
81448 HCPCS Hrdtry Perph Neurphy Panel 2 2 — — $3,998.53 $3,998.53 $3,998.53 2026-07-01
5112 OTHER Level 2 Musculoskeletal Procedures 1 1 — — $3,990.00 $3,990.00 $3,990.00 2026-07-01
81551 HCPCS Onc Prostate 3 Genes 2 2 — — $3,958.93 $3,958.93 $3,958.93 2026-07-01
J0716 HCPCS Centruroides Immune F(ab) 2 2 — — $3,937.50 $3,937.50 $3,937.50 2026-07-01
81490 HCPCS Autoimmune Rheumatoid Arthr 2 2 — — $3,932.39 $3,932.39 $3,932.39 2026-07-01
0106U OTHER Gstr Emptg 7 Timed Brth Spec 2 2 — — $3,916.63 $3,916.63 $3,916.63 2026-07-01
81185 HCPCS Cacna1a Gene Full Gene Seq 2 2 — — $3,896.98 $3,896.98 $3,896.98 2026-07-01
75563 HCPCS Card MRI W/stress Img & Dye 2 2 — — $3,876.43 $3,876.43 $3,876.43 2026-07-01
A9570 HCPCS Indium In-111 Auto Wbc 2 2 — — $3,862.35 $3,862.35 $3,862.35 2026-07-01
A9571 HCPCS Indium In-111 Auto Platelet 2 2 — — $3,862.35 $3,862.35 $3,862.35 2026-07-01
89280 HCPCS Assist Oocyte Fertilization 2 2 — — $3,840.97 $3,840.97 $3,840.97 2026-07-01
0117U OTHER Pain Mgmt 11 Endogenous Anal 2 2 — — $3,765.06 $3,765.06 $3,765.06 2026-07-01
0312U OTHER Ai Ds Sle Alys 8 Igg Autoant 2 2 — — $3,765.06 $3,765.06 $3,765.06 2026-07-01
81292 HCPCS Mlh1 Gene Full Seq 2 2 — — $3,764.37 $3,764.37 $3,764.37 2026-07-01
91113 HCPCS Gi Trc Img Intral Colon I&r 2 2 — — $3,763.37 $3,763.37 $3,763.37 2026-07-01
A9582 HCPCS Iodine I-123 Iobenguane 2 2 — — $3,655.39 $3,655.39 $3,655.39 2026-07-01
80418 HCPCS Pituitary Evaluation Panel 2 2 — — $3,644.91 $3,644.91 $3,644.91 2026-07-01
81418 HCPCS Rx Metab Gen Seq Alys Pnl 6 2 2 — — $3,642.27 $3,642.27 $3,642.27 2026-07-01
81422 HCPCS Fetal Chrmoml Microdeltj 2 2 — — $3,627.76 $3,627.76 $3,627.76 2026-07-01
81414 HCPCS Car Ion Chnnlpath Inc 2 Gns 2 2 — — $3,627.76 $3,627.76 $3,627.76 2026-07-01
81413 HCPCS Car Ion Chnnlpath Inc 10 Gns 2 2 — — $3,627.76 $3,627.76 $3,627.76 2026-07-01
81439 HCPCS Inherited Cardmypthy 5 Gns 2 2 — — $3,627.76 $3,627.76 $3,627.76 2026-07-01
78492 HCPCS Heart Image (pet) Multiple 2 2 — — $3,626.31 $3,626.31 $3,626.31 2026-07-01
87903 HCPCS Phenotype DNA HIV W/culture 2 2 — — $3,617.68 $3,617.68 $3,617.68 2026-07-01
81325 HCPCS Pmp22 Gene Full Sequence 2 2 — — $3,599.98 $3,599.98 $3,599.98 2026-07-01
Q9982 HCPCS Flutemetamol F18 Diagnostic 2 2 — — $3,563.98 $3,563.98 $3,563.98 2026-07-01
0327U OTHER Ftl Aneuploidy Trsmy DNA Seq 2 2 — — $3,560.63 $3,560.63 $3,560.63 2026-07-01
81451 HCPCS Tgsap Hl Neo 5-50 RNA Alys 2 2 — — $3,552.95 $3,552.95 $3,552.95 2026-07-01
81324 HCPCS Pmp22 Gene Dup/delet 2 2 — — $3,547.46 $3,547.46 $3,547.46 2026-07-01
C8908 HCPCS MRI Without Fol W/cont, Breast, 2 2 — — $3,543.67 $3,543.67 $3,543.67 2026-07-01
C8900 HCPCS MRA W/cont, Abd 2 2 — — $3,543.67 $3,543.67 $3,543.67 2026-07-01
C8909 HCPCS MRA W/cont, Chest 2 2 — — $3,543.67 $3,543.67 $3,543.67 2026-07-01
J0802 HCPCS Inj. (ani), Up To 40 Units 2 2 — — $3,543.19 $3,543.19 $3,543.19 2026-07-01
77386 HCPCS Ntsty Modul Rad Tx Dlvr Cplx 2 2 — — $3,531.90 $3,531.90 $3,531.90 2026-07-01
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