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

SEDGWICK COUNTY MEMORIAL HOSPITAL

Julesburg, CO · CCN 061310 · Rates published

1,793 distinct procedures filed
6 distinct payers
14,720 rate rows
2025-10-21 last MRF observed
Data quality

14,670 of 14,720 rate rows are consumer-grade (99.7%)

50 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
exceeds 10× this hospital's gross charge — excluded from medians 48
per-diem day rate — not a per-procedure price 2
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://secure.claraprice.net/price-transparency/KWNF-1755280847857/machine-readable/840816593_sedgwick-county-health-center_standardcharges.json
Found on page https://schealth.org/cms-hpt.txt
Discovered viaCMS hospital list
Last fetch success · 2026-06-08
Content fingerprint 2ac3fc53e4bdbcd4… · 3,144,575 bytes · first seen 2026-06-08

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
C1788
HCPCS 		Implantable Port 6 $2,965.00 $12,848.00 $8,895.00 nat. median
$644
outlier · 13.8×
74174
CPT 		CT Angio Abdomen And Pelvis 6 $2,541.00 $11,010.00 $7,622.00 nat. median
$959
outlier · 7.9×
70470
CPT 		CT Brain/head With + Without Contrast 6 $2,210.00 $9,576.00 $6,629.00 nat. median
$618
outlier · 10.7×
74178
CPT 		CT Abdomen And Pelvis With + Without Contrast 6 $2,145.00 $9,296.00 $6,436.00 nat. median
$979
outlier · 6.6×
70496
CPT 		CT Angio Brain/head 6 $2,115.00 $9,164.00 $6,344.00 nat. median
$729
outlier · 8.7×
71275
CPT 		CT Angio Chest 6 $2,115.00 $9,164.00 $6,344.00 nat. median
$736
outlier · 8.6×
74175
CPT 		CT Angio Abdomen 6 $2,115.00 $9,164.00 $6,344.00 nat. median
$710
outlier · 8.9×
70498
CPT 		70498 CT Angio Neck 6 $2,115.00 $9,164.00 $6,344.00 nat. median
$722
outlier · 8.8×
36561
CPT 		36561insert Tunneled Cv Cath Age 5yr > 6 $1,896.00 $8,215.00 $5,687.00 nat. median
$3,693
1.5× median
78452
CPT 		Nm Myocardial Spect Multiple Studies 6 $1,701.00 $7,370.00 $5,102.00 nat. median
$1,767
outlier · 2.9×
70549
CPT 		MRA Neck With + Without Contrast 6 $1,668.00 $7,228.00 $5,004.00 nat. median
$1,051
outlier · 4.8×
70546
CPT 		MRA Brain/head With + Without Contrast 6 $1,668.00 $7,228.00 $5,004.00 nat. median
$1,043
outlier · 4.8×
73225
CPT 		MRA Upper Extremity With + Without Cnt Left 6 $1,668.00 $7,228.00 $5,004.00 nat. median
$1,201
outlier · 4.2×
73725
CPT 		MRA Lower Extremity With + Without Cnt Left 6 $1,668.00 $7,228.00 $5,004.00 nat. median
$1,228
outlier · 4.1×
72198
CPT 		MRA Pelvis With + Without Contrast 6 $1,668.00 $7,228.00 $5,004.00 nat. median
$1,149
outlier · 4.4×
1168665-RT
CDM 		MRA Lower Extremity With + Without Cnt Right 6 $1,668.00 $7,228.00 $5,004.00 nat. median
$5,004
1.0× median
71555
CPT 		MRA Chest With + Without Contrast 6 $1,668.00 $7,228.00 $5,004.00 nat. median
$1,140
outlier · 4.4×
74177
CPT 		CT Scan Of Abdomen And Pelvis With Contrast 6 $1,626.00 $7,045.00 $4,877.00 nat. median
$928
outlier · 5.3×
70460
CPT 		CT Brain/head With Contrast 6 $1,626.00 $7,045.00 $4,877.00 nat. median
$582
outlier · 8.4×
72157
CPT 		MRI Spine Thoracic With + Without Contrast 6 $1,620.00 $7,020.00 $4,860.00 nat. median
$1,094
outlier · 4.4×
70553
CPT 		MRI Scan 6 $1,620.00 $7,020.00 $4,860.00 nat. median
$1,122
outlier · 4.3×
73720
CPT 		MRI Femur With + Without Contrast Lt 6 $1,620.00 $7,020.00 $4,860.00 nat. median
$1,190
outlier · 4.1×
72197
CPT 		MRI Pelvis With + Without Contrast 6 $1,620.00 $7,020.00 $4,860.00 nat. median
$1,065
outlier · 4.6×
74183
CPT 		MRI Abdomen With + Without Contrast 6 $1,620.00 $7,020.00 $4,860.00 nat. median
$1,102
outlier · 4.4×
72156
CPT 		MRI Spine Cervical With + Without Contrast 6 $1,620.00 $7,020.00 $4,860.00 nat. median
$1,092
outlier · 4.4×
72158
CPT 		MRI Spine Lumbar With + Without Contrast 6 $1,620.00 $7,020.00 $4,860.00 nat. median
$1,081
outlier · 4.5×
73723
CPT 		MRI Ankle With + Without Contrast Left 6 $1,620.00 $7,020.00 $4,860.00 nat. median
$1,264
outlier · 3.8×
71552
CPT 		MRI Chest With + Without Contrast 6 $1,620.00 $7,020.00 $4,860.00 nat. median
$1,093
outlier · 4.4×
70543
CPT 		MRI Face Neck Orbit With + Without Contrast 6 $1,620.00 $7,020.00 $4,860.00 nat. median
$1,079
outlier · 4.5×
73220
CPT 		MRI Forearm With + Without Contrast Left 6 $1,620.00 $7,020.00 $4,860.00 nat. median
$1,185
outlier · 4.1×
73702
CPT 		CT Lower Extremity W/+without Contrast Left 6 $1,602.00 $6,943.00 $4,807.00 nat. median
$710
outlier · 6.8×
73206
CPT 		CT Angio Upper Extremity Left 6 $1,602.00 $6,943.00 $4,807.00 nat. median
$697
outlier · 6.9×
78598
CPT 		Nm Lung Vent/perf Imaging 6 $1,460.00 $6,326.00 $4,379.00 nat. median
$783
outlier · 5.6×
74176
CPT 		CT Abdomen And Pelvis Without Contrast 6 $1,381.00 $5,985.00 $4,144.00 nat. median
$685
outlier · 6.0×
72127
CPT 		CT Spine Cervical With + Without Contrast 6 $1,271.00 $5,506.00 $3,812.00 nat. median
$595
outlier · 6.4×
72191
CPT 		CT Angio Pelvis 6 $1,271.00 $5,506.00 $3,812.00 nat. median
$602
outlier · 6.3×
71270
CPT 		CT Chest With + Without Contrast 6 $1,271.00 $5,506.00 $3,812.00 nat. median
$661
outlier · 5.8×
78597
CPT 		Nm Lung Perfusion Differential Imaging 6 $1,178.00 $5,105.00 $3,534.00 nat. median
$568
outlier · 6.2×
72130
CPT 		CT Spine Thoracic With + Without Contrast 6 $1,143.00 $4,954.00 $3,430.00 nat. median
$593
outlier · 5.8×
70482
CPT 		CT Orbits Sella With + Without Contrast 6 $1,143.00 $4,954.00 $3,430.00 nat. median
$650
outlier · 5.3×
75635
CPT 		CT Angio Abdominal Aorta With Runoff 6 $1,143.00 $4,954.00 $3,430.00 nat. median
$706
outlier · 4.9×
72133
CPT 		CT Spine Lumbar With + Without Contrast 6 $1,143.00 $4,954.00 $3,430.00 nat. median
$616
outlier · 5.6×
70492
CPT 		CT Neck Soft Tissue With + Without Contrast 6 $1,143.00 $4,954.00 $3,430.00 nat. median
$634
outlier · 5.4×
72194
CPT 		CT Pelvis With + Without Contrast 6 $1,143.00 $4,954.00 $3,430.00 nat. median
$658
outlier · 5.2×
70488
CPT 		CT Maxillofacial With + Without Contrast 6 $1,143.00 $4,954.00 $3,430.00 nat. median
$634
outlier · 5.4×
74170
CPT 		CT Abdomen With + Without Contrast 6 $1,143.00 $4,954.00 $3,430.00 nat. median
$703
outlier · 4.9×
78579
CPT 		Nm Lung Ventilation Imaging 6 $1,127.00 $4,883.00 $3,380.00 nat. median
$572
outlier · 5.9×
78580
CPT 		Nm Lung Perfusion Imaging 6 $1,127.00 $4,883.00 $3,380.00 nat. median
$631
outlier · 5.4×
95810
CPT 		Sleep Study 6 $1,124.00 $4,871.00 $3,372.00 nat. median
$1,870
1.8× median
95811
CPT 		Diagnostic Split Sleep Study 6 $1,124.00 $4,871.00 $3,372.00 nat. median
$2,026
1.7× median

Other procedures at this hospital

Browse this hospital's 1,793 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
             
C1788 HCPCS Implantable Port 7 6 $9,883.00 $9,883.00 $2,965.00 $12,848.00 $8,895.00 2025-10-21
74174 CPT CT Angio Abdomen And Pelvis 7 6 $8,469.00 $8,469.00 $2,541.00 $11,010.00 $7,622.00 2025-10-21
70470 CPT CT Brain/head With + Without Contrast 7 6 $7,366.00 $7,366.00 $2,210.00 $9,576.00 $6,629.00 2025-10-21
74178 CPT CT Abdomen And Pelvis With + Without Contrast 7 6 $7,151.00 $7,151.00 $2,145.00 $9,296.00 $6,436.00 2025-10-21
74175 CPT CT Angio Abdomen 7 6 $7,049.00 $7,049.00 $2,115.00 $9,164.00 $6,344.00 2025-10-21
70498 CPT 70498 CT Angio Neck 7 6 $7,049.00 $7,049.00 $2,115.00 $9,164.00 $6,344.00 2025-10-21
71275 CPT CT Angio Chest 7 6 $7,049.00 $7,049.00 $2,115.00 $9,164.00 $6,344.00 2025-10-21
70496 CPT CT Angio Brain/head 7 6 $7,049.00 $7,049.00 $2,115.00 $9,164.00 $6,344.00 2025-10-21
36561 CPT 36561insert Tunneled Cv Cath Age 5yr > 7 6 $6,319.00 $6,319.00 $1,896.00 $8,215.00 $5,687.00 2025-10-21
78452 CPT Nm Myocardial Spect Multiple Studies 7 6 $5,669.00 $5,669.00 $1,701.00 $7,370.00 $5,102.00 2025-10-21
70549 CPT MRA Neck With + Without Contrast 7 6 $5,560.00 $5,560.00 $1,668.00 $7,228.00 $5,004.00 2025-10-21
73225 CPT MRA Upper Extremity With + Without Cnt Left 7 6 $5,560.00 $5,560.00 $1,668.00 $7,228.00 $5,004.00 2025-10-21
1168665-RT CDM MRA Lower Extremity With + Without Cnt Right 7 6 $5,560.00 $5,560.00 $1,668.00 $7,228.00 $5,004.00 2025-10-21
73725 CPT MRA Lower Extremity With + Without Cnt Left 7 6 $5,560.00 $5,560.00 $1,668.00 $7,228.00 $5,004.00 2025-10-21
72198 CPT MRA Pelvis With + Without Contrast 7 6 $5,560.00 $5,560.00 $1,668.00 $7,228.00 $5,004.00 2025-10-21
71555 CPT MRA Chest With + Without Contrast 7 6 $5,560.00 $5,560.00 $1,668.00 $7,228.00 $5,004.00 2025-10-21
70546 CPT MRA Brain/head With + Without Contrast 7 6 $5,560.00 $5,560.00 $1,668.00 $7,228.00 $5,004.00 2025-10-21
74177 CPT CT Scan Of Abdomen And Pelvis With Contrast 7 6 $5,419.00 $5,419.00 $1,626.00 $7,045.00 $4,877.00 2025-10-21
70460 CPT CT Brain/head With Contrast 7 6 $5,419.00 $5,419.00 $1,626.00 $7,045.00 $4,877.00 2025-10-21
73720 CPT MRI Femur With + Without Contrast Lt 7 6 $5,400.00 $5,400.00 $1,620.00 $7,020.00 $4,860.00 2025-10-21
71552 CPT MRI Chest With + Without Contrast 7 6 $5,400.00 $5,400.00 $1,620.00 $7,020.00 $4,860.00 2025-10-21
73220 CPT MRI Forearm With + Without Contrast Left 7 6 $5,400.00 $5,400.00 $1,620.00 $7,020.00 $4,860.00 2025-10-21
72158 CPT MRI Spine Lumbar With + Without Contrast 7 6 $5,400.00 $5,400.00 $1,620.00 $7,020.00 $4,860.00 2025-10-21
74183 CPT MRI Abdomen With + Without Contrast 7 6 $5,400.00 $5,400.00 $1,620.00 $7,020.00 $4,860.00 2025-10-21
70553 CPT MRI Scan 7 6 $5,400.00 $5,400.00 $1,620.00 $7,020.00 $4,860.00 2025-10-21
70543 CPT MRI Face Neck Orbit With + Without Contrast 7 6 $5,400.00 $5,400.00 $1,620.00 $7,020.00 $4,860.00 2025-10-21
72156 CPT MRI Spine Cervical With + Without Contrast 7 6 $5,400.00 $5,400.00 $1,620.00 $7,020.00 $4,860.00 2025-10-21
72197 CPT MRI Pelvis With + Without Contrast 7 6 $5,400.00 $5,400.00 $1,620.00 $7,020.00 $4,860.00 2025-10-21
73723 CPT MRI Ankle With + Without Contrast Left 7 6 $5,400.00 $5,400.00 $1,620.00 $7,020.00 $4,860.00 2025-10-21
72157 CPT MRI Spine Thoracic With + Without Contrast 7 6 $5,400.00 $5,400.00 $1,620.00 $7,020.00 $4,860.00 2025-10-21
73206 CPT CT Angio Upper Extremity Left 7 6 $5,341.00 $5,341.00 $1,602.00 $6,943.00 $4,807.00 2025-10-21
73702 CPT CT Lower Extremity W/+without Contrast Left 7 6 $5,341.00 $5,341.00 $1,602.00 $6,943.00 $4,807.00 2025-10-21
78598 CPT Nm Lung Vent/perf Imaging 7 6 $4,866.00 $4,866.00 $1,460.00 $6,326.00 $4,379.00 2025-10-21
74176 CPT CT Abdomen And Pelvis Without Contrast 7 6 $4,604.00 $4,604.00 $1,381.00 $5,985.00 $4,144.00 2025-10-21
72191 CPT CT Angio Pelvis 7 6 $4,235.00 $4,235.00 $1,271.00 $5,506.00 $3,812.00 2025-10-21
71270 CPT CT Chest With + Without Contrast 7 6 $4,235.00 $4,235.00 $1,271.00 $5,506.00 $3,812.00 2025-10-21
72127 CPT CT Spine Cervical With + Without Contrast 7 6 $4,235.00 $4,235.00 $1,271.00 $5,506.00 $3,812.00 2025-10-21
78597 CPT Nm Lung Perfusion Differential Imaging 7 6 $3,927.00 $3,927.00 $1,178.00 $5,105.00 $3,534.00 2025-10-21
72194 CPT CT Pelvis With + Without Contrast 7 6 $3,811.00 $3,811.00 $1,143.00 $4,954.00 $3,430.00 2025-10-21
72133 CPT CT Spine Lumbar With + Without Contrast 7 6 $3,811.00 $3,811.00 $1,143.00 $4,954.00 $3,430.00 2025-10-21
70482 CPT CT Orbits Sella With + Without Contrast 7 6 $3,811.00 $3,811.00 $1,143.00 $4,954.00 $3,430.00 2025-10-21
72130 CPT CT Spine Thoracic With + Without Contrast 7 6 $3,811.00 $3,811.00 $1,143.00 $4,954.00 $3,430.00 2025-10-21
70492 CPT CT Neck Soft Tissue With + Without Contrast 7 6 $3,811.00 $3,811.00 $1,143.00 $4,954.00 $3,430.00 2025-10-21
70488 CPT CT Maxillofacial With + Without Contrast 7 6 $3,811.00 $3,811.00 $1,143.00 $4,954.00 $3,430.00 2025-10-21
74170 CPT CT Abdomen With + Without Contrast 7 6 $3,811.00 $3,811.00 $1,143.00 $4,954.00 $3,430.00 2025-10-21
75635 CPT CT Angio Abdominal Aorta With Runoff 7 6 $3,811.00 $3,811.00 $1,143.00 $4,954.00 $3,430.00 2025-10-21
78579 CPT Nm Lung Ventilation Imaging 7 6 $3,756.00 $3,756.00 $1,127.00 $4,883.00 $3,380.00 2025-10-21
78580 CPT Nm Lung Perfusion Imaging 7 6 $3,756.00 $3,756.00 $1,127.00 $4,883.00 $3,380.00 2025-10-21
95811 CPT Diagnostic Split Sleep Study 7 6 $3,747.00 $3,747.00 $1,124.00 $4,871.00 $3,372.00 2025-10-21
95810 CPT Sleep Study 7 6 $3,747.00 $3,747.00 $1,124.00 $4,871.00 $3,372.00 2025-10-21
73202 CPT CT Upper Extremity W/+without Contrast Left 7 6 $3,683.00 $3,683.00 $1,105.00 $4,788.00 $3,315.00 2025-10-21
1168319-RT CDM CT Upper Extremity W/+without Contrast Right 7 6 $3,683.00 $3,683.00 $1,105.00 $4,788.00 $3,315.00 2025-10-21
72129 CPT CT Spine Thoracic With Contrast 7 6 $3,683.00 $3,683.00 $1,105.00 $4,788.00 $3,315.00 2025-10-21
70545 CPT MRA Brain/head With Contrast 7 6 $3,503.00 $3,503.00 $1,051.00 $4,554.00 $3,153.00 2025-10-21
70548 CPT MRA Neck With Contrast 7 6 $3,503.00 $3,503.00 $1,051.00 $4,554.00 $3,153.00 2025-10-21
78290 CPT Nm Intestine Imaging Meckels 7 6 $3,444.00 $3,444.00 $1,033.00 $4,477.00 $3,100.00 2025-10-21
70544 CPT MRA Brain/head Without Contrast 7 6 $3,428.00 $3,428.00 $1,028.00 $4,456.00 $3,085.00 2025-10-21
70547 CPT MRA Neck Without Contrast 7 6 $3,428.00 $3,428.00 $1,028.00 $4,456.00 $3,085.00 2025-10-21
72147 CPT MRI Spine Thoracic With Contrast 7 6 $3,403.00 $3,403.00 $1,021.00 $4,424.00 $3,063.00 2025-10-21
73719 CPT MRI Femur With Contrast Left 7 6 $3,403.00 $3,403.00 $1,021.00 $4,424.00 $3,063.00 2025-10-21
73219 CPT MRI Forearm With Contrast Left 7 6 $3,403.00 $3,403.00 $1,021.00 $4,424.00 $3,063.00 2025-10-21
71551 CPT MRI Chest With Contrast 7 6 $3,403.00 $3,403.00 $1,021.00 $4,424.00 $3,063.00 2025-10-21
74182 CPT MRI Abdomen With Contrast 7 6 $3,403.00 $3,403.00 $1,021.00 $4,424.00 $3,063.00 2025-10-21
73223 CPT MRI Elbow With + Without Contrast Left 14 6 $4,401.50 $4,401.50 $1,021.00 $7,020.00 $3,063.00 2025-10-21
72149 CPT MRI Spine Lumbar With Contrast 7 6 $3,403.00 $3,403.00 $1,021.00 $4,424.00 $3,063.00 2025-10-21
73722 CPT MRI Hip With Contrast Left 7 6 $3,403.00 $3,403.00 $1,021.00 $4,424.00 $3,063.00 2025-10-21
70487 CPT CT Maxillofacial With Contrast 14 6 $3,624.00 $3,624.00 $1,021.00 $4,999.00 $3,063.00 2025-10-21
72142 CPT MRI Spine Cervical With Contrast 7 6 $3,403.00 $3,403.00 $1,021.00 $4,424.00 $3,063.00 2025-10-21
70542 CPT MRI Face Neck Orbit With Contrast 7 6 $3,403.00 $3,403.00 $1,021.00 $4,424.00 $3,063.00 2025-10-21
72196 CPT MRI Pelvis With Contrast 7 6 $3,403.00 $3,403.00 $1,021.00 $4,424.00 $3,063.00 2025-10-21
74185 CPT MRA Abdomen With + Without Contrast 21 6 $5,400.00 $5,400.00 $1,021.00 $7,228.00 $3,063.00 2025-10-21
73222 CPT MRI Elbow With Contrast Left 7 6 $3,403.00 $3,403.00 $1,021.00 $4,424.00 $3,063.00 2025-10-21
70552 CPT MRI Brain With Contrast 7 6 $3,403.00 $3,403.00 $1,021.00 $4,424.00 $3,063.00 2025-10-21
72141 CPT MRI Spine Cervical Without Contrast 7 6 $3,328.00 $3,328.00 $998.00 $4,326.00 $2,995.00 2025-10-21
73721 CPT MRI Scan Of Leg Joint 7 6 $3,328.00 $3,328.00 $998.00 $4,326.00 $2,995.00 2025-10-21
70540 CPT MRI Face Neck Orbit Without Contrast 7 6 $3,328.00 $3,328.00 $998.00 $4,326.00 $2,995.00 2025-10-21
73221 CPT MRI Elbow Without Contrast Left 7 6 $3,328.00 $3,328.00 $998.00 $4,326.00 $2,995.00 2025-10-21
70551 CPT MRI Brain Without Contrast 7 6 $3,328.00 $3,328.00 $998.00 $4,326.00 $2,995.00 2025-10-21
70336 CPT MRI Tmj 7 6 $3,328.00 $3,328.00 $998.00 $4,326.00 $2,995.00 2025-10-21
73718 CPT MRI Femur Without Contrast Lt 7 6 $3,328.00 $3,328.00 $998.00 $4,326.00 $2,995.00 2025-10-21
74181 CPT MRI Abdomen Without Contrast 7 6 $3,328.00 $3,328.00 $998.00 $4,326.00 $2,995.00 2025-10-21
72195 CPT MRI Pelvis Without Contrast 7 6 $3,328.00 $3,328.00 $998.00 $4,326.00 $2,995.00 2025-10-21
73218 CPT MRI Forearm Without Contrast Left 7 6 $3,328.00 $3,328.00 $998.00 $4,326.00 $2,995.00 2025-10-21
72146 CPT MRI Spine Thoracic Without Contrast 7 6 $3,328.00 $3,328.00 $998.00 $4,326.00 $2,995.00 2025-10-21
72148 CPT MRI Scan Of Lower Spinal Canal 7 6 $3,328.00 $3,328.00 $998.00 $4,326.00 $2,995.00 2025-10-21
71550 CPT MRI Chest Without Contrast 7 6 $3,328.00 $3,328.00 $998.00 $4,326.00 $2,995.00 2025-10-21
78472 CPT Nm Cardiac Blood Pool Single Rest/stress 7 6 $3,187.00 $3,187.00 $956.00 $4,143.00 $2,868.00 2025-10-21
27266 CPT 27266-hip Post Arthroplasty W/anesthesia 7 6 $3,139.00 $3,139.00 $942.00 $4,081.00 $2,825.00 2025-10-21
71260 CPT CT Chest With Contrast 7 6 $2,994.00 $2,994.00 $898.00 $3,892.00 $2,695.00 2025-10-21
72132 CPT CT Spine Lumbar With Contrast 7 6 $2,994.00 $2,994.00 $898.00 $3,892.00 $2,695.00 2025-10-21
72126 CPT CT Spine Cervical With Contrast 7 6 $2,994.00 $2,994.00 $898.00 $3,892.00 $2,695.00 2025-10-21
70481 CPT CT Orbits Sella With Contrast 7 6 $2,994.00 $2,994.00 $898.00 $3,892.00 $2,695.00 2025-10-21
70491 CPT CT Neck Soft Tissue With Contrast 7 6 $2,994.00 $2,994.00 $898.00 $3,892.00 $2,695.00 2025-10-21
73706 CPT CT Angio Lower Extremity Left 7 6 $2,994.00 $2,994.00 $898.00 $3,892.00 $2,695.00 2025-10-21
74160 CPT CT Abdomen With Contrast 7 6 $2,994.00 $2,994.00 $898.00 $3,892.00 $2,695.00 2025-10-21
73201 CPT CT Upper Extremity With Contrast Left 7 6 $2,994.00 $2,994.00 $898.00 $3,892.00 $2,695.00 2025-10-21
72193 CPT CT Scan Of Pelvis With Contrast 7 6 $2,994.00 $2,994.00 $898.00 $3,892.00 $2,695.00 2025-10-21
78709 CPT Nm Kidney Imaging Multiple W/+without Pharm 7 6 $2,880.00 $2,880.00 $864.00 $3,744.00 $2,592.00 2025-10-21
78708 CPT Nm Kidney Imaging Single With Pharm 7 6 $2,857.00 $2,857.00 $857.00 $3,714.00 $2,571.00 2025-10-21
25248 CPT 25248exploration, Forearm/wrist 7 6 $2,843.00 $2,843.00 $853.00 $3,696.00 $2,559.00 2025-10-21
78227 CPT Nm Hepatobiliary Imaging With Drug 7 6 $2,826.00 $2,826.00 $848.00 $3,674.00 $2,543.00 2025-10-21
78707 CPT Nm Kidney Imaging Single Without Pharm 7 6 $2,826.00 $2,826.00 $848.00 $3,674.00 $2,543.00 2025-10-21
2120847 CDM Room/bed: Telemetry 7 6 $2,768.00 $2,768.00 $830.00 $3,598.00 $2,491.00 2025-10-21
78701 CPT Nm Kidney Morphology With Vascular Flow 7 6 $2,692.00 $2,692.00 $808.00 $3,500.00 $2,423.00 2025-10-21
36573 CPT 36573 Insj Picc Rs&l 5+ Yrs Charge 7 6 $2,688.00 $2,688.00 $806.00 $3,494.00 $2,419.00 2025-10-21
21315 CPT 21315 Closed Tx Nasal Fracture Without Stabilization 7 6 $2,670.00 $2,670.00 $801.00 $3,471.00 $2,403.00 2025-10-21
78451 CPT Nm Myocardial Spect Single Study 7 6 $2,652.00 $2,652.00 $796.00 $3,448.00 $2,387.00 2025-10-21
78226 CPT Nm Hepatobiliary Imaging 7 6 $2,532.00 $2,532.00 $760.00 $3,292.00 $2,279.00 2025-10-21
64454 CPT 64454 Bilat Njx Aa&/strd Gnclr Nrv Brnch 7 6 $2,497.00 $2,497.00 $749.00 $3,246.00 $2,247.00 2025-10-21
78216 CPT Nm Liver/spleen Imaging With Vascular Flow 7 6 $2,470.00 $2,470.00 $741.00 $3,211.00 $2,223.00 2025-10-21
73701 CPT CT Lower Extremity With Contrast Left 7 6 $2,428.00 $2,428.00 $728.00 $3,156.00 $2,185.00 2025-10-21
78700 CPT Nm Kidney Imaging 7 6 $2,377.00 $2,377.00 $713.00 $3,090.00 $2,139.00 2025-10-21
64488 CPT 64488 Petipheral Nerve Blocks, Tap Block Includes Imaging Guidance-bilateral 7 6 $2,310.00 $2,310.00 $693.00 $3,003.00 $2,079.00 2025-10-21
74150 CPT CT Abdomen Without Contrast 7 6 $2,304.00 $2,304.00 $691.00 $2,995.00 $2,074.00 2025-10-21
70480 CPT CT Orbits Sella Without Contrast 7 6 $2,304.00 $2,304.00 $691.00 $2,995.00 $2,074.00 2025-10-21
72192 CPT CT Pelvis Without Contrast 7 6 $2,304.00 $2,304.00 $691.00 $2,995.00 $2,074.00 2025-10-21
72128 CPT CT Spine Thoracic Without Contrast 7 6 $2,304.00 $2,304.00 $691.00 $2,995.00 $2,074.00 2025-10-21
72131 CPT CT Spine Lumbar Without Contrast 7 6 $2,304.00 $2,304.00 $691.00 $2,995.00 $2,074.00 2025-10-21
70490 CPT CT Neck Soft Tissue Without Contrast 7 6 $2,304.00 $2,304.00 $691.00 $2,995.00 $2,074.00 2025-10-21
73700 CPT CT Lower Extremity Without Contrast Left 7 6 $2,304.00 $2,304.00 $691.00 $2,995.00 $2,074.00 2025-10-21
72125 CPT CT Spine Cervical Without Contrast 7 6 $2,304.00 $2,304.00 $691.00 $2,995.00 $2,074.00 2025-10-21
70486 CPT CT Maxillofacial Without Contrast 7 6 $2,304.00 $2,304.00 $691.00 $2,995.00 $2,074.00 2025-10-21
73200 CPT CT Upper Extremity Without Contrast Left 7 6 $2,304.00 $2,304.00 $691.00 $2,995.00 $2,074.00 2025-10-21
70450 CPT CT Scan 7 6 $2,304.00 $2,304.00 $691.00 $2,995.00 $2,074.00 2025-10-21
5412974 CDM Room/bed: Pediatrics 7 6 $2,191.00 $2,191.00 $657.00 $2,848.00 $1,972.00 2025-10-21
8231157 CDM Room/bed: Inpatient 7 6 $2,191.00 $2,191.00 $657.00 $2,848.00 $1,972.00 2025-10-21
J7307 HCPCS J7307 Etonogestrel (Contraceptive) Implant System, Including Implant And Supplie… 7 6 $2,093.00 $2,093.00 $628.00 $2,721.00 $1,884.00 2025-10-21
J7301 HCPCS 13.5 Mg Levonorgestrelamb Levonorgestrel Charge 7 6 $2,093.00 $2,093.00 $628.00 $2,721.00 $1,884.00 2025-10-21
J7300 HCPCS J7300 Intrauterine Copper Contraceptive 7 6 $2,093.00 $2,093.00 $628.00 $2,721.00 $1,884.00 2025-10-21
71250 CPT CT Chest High Resolution 14 6 $2,198.00 $2,198.00 $628.00 $2,995.00 $1,883.00 2025-10-21
71271 CPT CT Low Dose Lung Screening 7 6 $2,092.00 $2,092.00 $628.00 $2,720.00 $1,883.00 2025-10-21
92950 CPT 92950-cardiopulmonary Resuscitation 7 6 $2,053.00 $2,053.00 $616.00 $2,669.00 $1,848.00 2025-10-21
8325078 CDM Room/bed: Hospice 7 6 $2,028.00 $2,028.00 $608.00 $2,636.00 $1,825.00 2025-10-21
J7298 HCPCS J7298 Levonorgestrel-releasing Intrauterine Contraceptive System, 52 Mg 7 6 $2,014.00 $2,014.00 $604.00 $2,618.00 $1,813.00 2025-10-21
14060 CPT 14060 Adjacent Tissue Transfer Or Rearrangement, Eyelids, Nose, Ears And/or Lips… 7 6 $2,003.00 $2,003.00 $601.00 $2,604.00 $1,803.00 2025-10-21
78278 CPT Nm Gastrointestinal Blood Loss Imaging 7 6 $1,989.00 $1,989.00 $597.00 $2,586.00 $1,790.00 2025-10-21
J7296 HCPCS J7296 Levonorgestrel-releasing Intrauterine Contraceptive System, (Kyleena), 19.… 7 6 $1,920.00 $1,920.00 $576.00 $2,496.00 $1,728.00 2025-10-21
78315 CPT Nm Bone Three Phase Study 7 6 $1,904.00 $1,904.00 $571.00 $2,475.00 $1,714.00 2025-10-21
78306 CPT Nm Bone Imaging Whole Body 7 6 $1,838.00 $1,838.00 $551.00 $2,389.00 $1,654.00 2025-10-21
78264 CPT Nm Gastric Emptying Study 7 6 $1,838.00 $1,838.00 $551.00 $2,389.00 $1,654.00 2025-10-21
64479 CDM 64479 Inj, Anesthetic Agent/steroid, Transforaminal Epidural With Image Guidance; … 7 6 $1,796.00 $1,796.00 $539.00 $2,335.00 $1,616.00 2025-10-21
64415 CPT 64415 Sgl Nbi Brachial Plexus 7 6 $1,788.00 $1,788.00 $536.00 $2,324.00 $1,609.00 2025-10-21
64493 CPT 64493 Bilateral Injection(s), Diagnostic Or Therapeutic Agent, Paravertebral Fa… 14 6 $1,770.00 $1,770.00 $523.00 $2,335.00 $1,570.00 2025-10-21
64490 CPT 64490 Bilat Injection,diagnostic Or Therapeutic Agent, Paravertebral Facet Joint… 14 6 $1,770.00 $1,770.00 $523.00 $2,335.00 $1,570.00 2025-10-21
64479 CPT 64479 Injection(s), Anesthetic Agent(s) And/or Steroid; Transforaminal Epidural,… 14 6 $1,770.00 $1,770.00 $523.00 $2,335.00 $1,570.00 2025-10-21
78305 CPT Nm Bone Imaging Multiple Areas 7 6 $1,724.00 $1,724.00 $517.00 $2,241.00 $1,552.00 2025-10-21
78014 CPT Nm Thyroid Uptake 7 6 $1,693.00 $1,693.00 $508.00 $2,201.00 $1,524.00 2025-10-21
11646 CPT 11646 Excision, Malignant Lesion Including Margins, Face, Ears, Eyelids, Nose, L… 7 6 $1,659.00 $1,659.00 $498.00 $2,157.00 $1,493.00 2025-10-21
40812 CPT 40812excision Lesion Vestibule Of Mouth 7 6 $1,632.00 $1,632.00 $490.00 $2,122.00 $1,469.00 2025-10-21
27096 CPT 27096 Si Joint Injection Techfee 7 6 $1,585.00 $1,585.00 $476.00 $2,061.00 $1,427.00 2025-10-21
78215 CPT Nm Liver/spleen Static 7 6 $1,584.00 $1,584.00 $475.00 $2,059.00 $1,426.00 2025-10-21
67700 CPT 67700-drain Abscess Blepharotomy/eyelid 7 6 $1,564.00 $1,564.00 $469.00 $2,033.00 $1,408.00 2025-10-21
36556 CPT 36556-central Line Greater Than/equal To 5 Years 7 6 $1,558.00 $1,558.00 $467.00 $2,025.00 $1,402.00 2025-10-21
78300 CPT Nm Bone Imaging Limited 7 6 $1,546.00 $1,546.00 $464.00 $2,010.00 $1,391.00 2025-10-21
24587 CPT 24587 Open Treatment Of Periarticular Fracture And/or Dislocation Of The Elbow (… 7 6 $1,540.00 $1,540.00 $462.00 $2,002.00 $1,386.00 2025-10-21
24586 CPT 24586 Open Treatment Of Periarticular Fracture And/or Dislocation Of The Elbow 7 6 $1,527.00 $1,527.00 $458.00 $1,985.00 $1,374.00 2025-10-21
78071 CPT Nm Parathyroid Imaging With Spect 7 6 $1,515.00 $1,515.00 $455.00 $1,970.00 $1,364.00 2025-10-21
47562 CPT Removal Of Gallbladder Using An Endoscope 7 6 $1,508.00 $1,508.00 $452.00 $1,960.00 $1,357.00 2025-10-21
G0390 HCPCS G0390-811 Preactivation Trauma Response 7 6 $1,500.00 $1,500.00 $450.00 $1,950.00 $1,350.00 2025-10-21
93306 CPT US Echo Bubble Study Eo 14 6 $1,712.50 $1,712.50 $446.00 $2,521.00 $1,337.00 2025-10-21
24605 CPT 24605 Treatment Closed Elbow Dislocation Req Anes Profee 7 6 $1,482.00 $1,482.00 $445.00 $1,927.00 $1,334.00 2025-10-21
25609 CPT 25609 Trt Open Distal Radial Profee 7 6 $1,469.00 $1,469.00 $441.00 $1,910.00 $1,322.00 2025-10-21
78740 CPT Nm Ureteral Reflux Study 7 6 $1,408.00 $1,408.00 $422.00 $1,830.00 $1,267.00 2025-10-21
14061 CPT 14061 Adj Tissue Transfer/rearrangement, Eyelids/nose/ears And/or Lips; Defect 1… 7 6 $1,404.00 $1,404.00 $421.00 $1,825.00 $1,264.00 2025-10-21
64418 CPT 64418 Inj Anesthestic Agent Suprascapular Nerve 7 6 $1,391.00 $1,391.00 $417.00 $1,808.00 $1,252.00 2025-10-21
62328 CPT 62328 Dx Lumbr Spi Pnxrw/flour/ct 7 6 $1,379.00 $1,379.00 $414.00 $1,793.00 $1,241.00 2025-10-21
64445 CPT 64445 Petipheral Nerve Blocks, Sciatic Nerve-single 7 6 $1,364.00 $1,364.00 $409.00 $1,773.00 $1,228.00 2025-10-21
64491 CDM 64491 Injection Paravertebral Facet Jointsecond Level 7 6 $1,363.00 $1,363.00 $409.00 $1,772.00 $1,227.00 2025-10-21
64450 CDM 64450injection, Anesthetic Agent; Other Peripheral Nerve Or Branch 7 6 $1,363.00 $1,363.00 $409.00 $1,772.00 $1,227.00 2025-10-21
64494 CDM 64494 Bil Injection(s), Diagnostic Or Therapeutic Agent, Paravertebral Facet (z… 7 6 $1,363.00 $1,363.00 $409.00 $1,772.00 $1,227.00 2025-10-21
64491 CPT 64491 Lt Injection(s), Diagnostic Or Therapeutic Agent, Paravertebral Facet (Zyg… 14 6 $1,575.50 $1,575.50 $409.00 $2,324.00 $1,227.00 2025-10-21
21451 CPT 21451-clsd Tx Mandibularfracture W/manip 7 6 $1,359.00 $1,359.00 $408.00 $1,767.00 $1,223.00 2025-10-21
25526 CPT 25526 Open Tx Radial Shaft Fx, Open Tx Joint Dislocation, Includes Repair Of Fib… 7 6 $1,350.00 $1,350.00 $405.00 $1,755.00 $1,215.00 2025-10-21
A4301 HCPCS Powerpicc Solo 7 6 $1,332.00 $1,332.00 $400.00 $1,732.00 $1,199.00 2025-10-21
64494 CPT 64494 Bilat Injection(s), Diagnostic Or Therapeutic Agent, Paravertebral Facet (… 14 6 $1,343.00 $1,343.00 $397.00 $1,772.00 $1,191.00 2025-10-21
64480 CPT 64480 Inj Ea Add, Anesthetic Agent(s) And/or Steroid; Transforaminal Epidural, W… 14 6 $1,343.00 $1,343.00 $397.00 $1,772.00 $1,191.00 2025-10-21
64451 CPT 64451 Bil Injection(s), Anesthetic Agent(s) And/or Steroid; Nerves Innervating … 14 6 $1,343.00 $1,343.00 $397.00 $1,772.00 $1,191.00 2025-10-21
62321 CPT 62321 Esi Cervical Or Thoracic With Fluoroscopy 14 6 $1,343.00 $1,343.00 $397.00 $1,772.00 $1,191.00 2025-10-21
64447 CPT 64447 Petipheral Nerve Blocks, Femoral Nerve, Single 7 6 $1,321.00 $1,321.00 $396.00 $1,717.00 $1,189.00 2025-10-21
11771 CPT 11771excision Pilonidal Cyst/sinus 7 6 $1,318.00 $1,318.00 $395.00 $1,713.00 $1,186.00 2025-10-21
64450 CPT 64450 Peripheral N Block 14 6 $1,338.00 $1,338.00 $394.00 $1,772.00 $1,182.00 2025-10-21
78013 CPT Nm Thyroid Imaging 7 6 $1,311.00 $1,311.00 $393.00 $1,704.00 $1,180.00 2025-10-21
78761 CPT Nm Testicular Imaging With Vascular Flow 7 6 $1,311.00 $1,311.00 $393.00 $1,704.00 $1,180.00 2025-10-21
78070 CPT Nm Parathyroid Imaging 7 6 $1,311.00 $1,311.00 $393.00 $1,704.00 $1,180.00 2025-10-21
P9073 HCPCS E8341 Aph Plt Acda>pasc Lr Psoralen 1 7 6 $1,308.00 $1,308.00 $392.00 $1,700.00 $1,177.00 2025-10-21
99291 CPT 99291 Critical Care First Hour Profee 14 6 $2,329.50 $2,329.50 $283.00 $4,832.00 $1,170.00 2025-10-21
25565 CPT 25565 Closed Tx Radialulnar Shaft Fractures W/manj 14 6 $1,617.00 $1,617.00 $389.00 $2,519.00 $1,166.00 2025-10-21
92960 CPT 92960 External Electrical Cardioversion 7 6 $1,282.00 $1,282.00 $385.00 $1,667.00 $1,154.00 2025-10-21
28810 CPT 28810 -amputation, Metatarsal; Toe 7 6 $1,273.00 $1,273.00 $382.00 $1,655.00 $1,146.00 2025-10-21
25575 CPT 25575 Radius And Ulna Orif Profee 7 6 $1,268.00 $1,268.00 $380.00 $1,648.00 $1,141.00 2025-10-21
45385 CPT Removal Of Polyps Or Growths Of Large Bowel Using An Endoscope 21 6 $1,498.00 $1,498.00 $159.00 $4,940.00 $1,140.00 2025-10-21
G0379 HCPCS Direct To Obs Charge 7 6 $1,266.00 $1,266.00 $380.00 $1,646.00 $1,139.00 2025-10-21
27842 CPT 27842 Cltx Ankle Dislc Req Anes W/wo Prq Skel Fixj Profee 14 6 $1,515.00 $1,515.00 $380.00 $2,293.00 $1,139.00 2025-10-21
27508 CPT 27508-femoral Without Manipulation 7 6 $1,258.00 $1,258.00 $377.00 $1,635.00 $1,132.00 2025-10-21
62270 CPT 62270 Spinal Puncture, Lumbar, Diagnostic 7 6 $1,238.00 $1,238.00 $371.00 $1,609.00 $1,114.00 2025-10-21
36558 CPT 36558insert Central Venous Cath Without Port 7 6 $1,234.00 $1,234.00 $370.00 $1,604.00 $1,111.00 2025-10-21
27250 CPT 27250-hip Traumatic Without Anesthesia 7 6 $1,233.00 $1,233.00 $370.00 $1,603.00 $1,110.00 2025-10-21
11446 CPT 11446 Excision, Benign Lesion Including Margins; Face, Ears, Eyelids, Nose, Lips… 7 6 $1,224.00 $1,224.00 $367.00 $1,591.00 $1,102.00 2025-10-21
25605 CPT 25605-distal Radial With Manipulation 14 6 $1,588.50 $1,588.50 $365.00 $2,548.00 $1,095.00 2025-10-21
17286 CPT 17286 Destruction Mal Lesion F/e/e/n/l/m >4.0 Cm 7 6 $1,178.00 $1,178.00 $353.00 $1,531.00 $1,060.00 2025-10-21
86363 CPT Myelin Oligodendrocyte Glycoprotein Igg Assay, Serumpspc 7 6 $1,163.00 $1,163.00 $349.00 $1,512.00 $1,047.00 2025-10-21
64483 CPT Injection(s) Of Anesthetic Into Lower Spine Using Imaging Guidance 21 6 $1,796.00 $1,796.00 $203.00 $4,534.00 $1,046.00 2025-10-21
77075 CPT Xr Bone Survey Complete 7 6 $1,161.00 $1,161.00 $348.00 $1,509.00 $1,045.00 2025-10-21
25608 CPT 25608 Open Treatment Distal Fracture Profee 7 6 $1,158.00 $1,158.00 $347.00 $1,505.00 $1,042.00 2025-10-21
24620 CPT 24620 Closed Tx Monteggia Fx Dislocation Elbow W/manj Profee 7 6 $1,157.00 $1,157.00 $347.00 $1,504.00 $1,041.00 2025-10-21
CP17680014017342524 CDM Respiratory Panel 7 6 $1,156.00 $1,156.00 $347.00 $1,503.00 $1,040.00 2025-10-21
27550 CPT 27550-knee Without Anesthesia 7 6 $1,145.00 $1,145.00 $344.00 $1,489.00 $1,031.00 2025-10-21
13152 CPT 13152 Repair Complex Eyelid/nose/ear/lip 2.6-7.5 Cm 14 6 $1,159.50 $1,159.50 $342.00 $1,531.00 $1,027.00 2025-10-21
13160 CPT 13160 Secondary Closure Of Surgical Wound Dehiscence Extensive/complicated Profe… 14 6 $1,234.00 $1,234.00 $341.00 $1,732.00 $1,022.00 2025-10-21
32554 CPT 32554-thoracentesis Without Imaging Guidance 7 6 $1,110.00 $1,110.00 $333.00 $1,443.00 $999.00 2025-10-21
87497 CPT Cytomegalovirus DNA Detection & Quantitation Pspc 7 6 $1,109.00 $1,109.00 $333.00 $1,442.00 $998.00 2025-10-21
25525 CPT 25525 Open Treatment Of Radius Shft W Int Fix Profee 7 6 $1,105.00 $1,105.00 $332.00 $1,437.00 $995.00 2025-10-21
11626 CPT 11626 Excision, Malignant Lesion Including Margins, Scalp, Neck, Hands, Feet, Ge… 14 6 $1,179.50 $1,179.50 $329.00 $1,639.00 $988.00 2025-10-21
25505 CPT 25505 Closed Tx Radial Shaft Fracture W/manipulation Profee 14 6 $1,320.00 $1,320.00 $327.00 $2,014.00 $982.00 2025-10-21
93356 CPT Sdgw Myocardial Strain 7 6 $1,088.00 $1,088.00 $326.00 $1,414.00 $979.00 2025-10-21
19125 CPT 19125excision Breast Lesion 7 6 $1,077.00 $1,077.00 $323.00 $1,400.00 $969.00 2025-10-21
27230 CPT 27230femoral Proximal End/neck Without Manipulation 7 6 $1,077.00 $1,077.00 $323.00 $1,400.00 $969.00 2025-10-21
10030 CPT 10030 Image Guided Catheter Fluir Collection Drainage 7 6 $1,076.00 $1,076.00 $323.00 $1,399.00 $968.00 2025-10-21
11426 CPT 11426 Excision, Benign Lesion Including Margins; Scalp, Neck, Hands, Feet, Genit… 7 6 $1,070.00 $1,070.00 $321.00 $1,391.00 $963.00 2025-10-21
25680 CPT 25680trans-scaphoperilunar Type; W/manip 7 6 $1,067.00 $1,067.00 $320.00 $1,387.00 $960.00 2025-10-21
27372 CPT 27372deep, Thigh Region/knee Area 7 6 $1,061.00 $1,061.00 $318.00 $1,379.00 $955.00 2025-10-21
25607 CPT 25607 Trt Open Fx Radial Distal Profee 7 6 $1,032.00 $1,032.00 $310.00 $1,342.00 $929.00 2025-10-21
24666 CPT 24666 Radial Head Replacement Profee 7 6 $1,032.00 $1,032.00 $310.00 $1,342.00 $929.00 2025-10-21
13132 CPT 13132 Repair Complex F/c/c/m/n/ax/g/h/f 2.6-7.5 Cm 14 6 $1,308.50 $1,308.50 $309.00 $2,063.00 $927.00 2025-10-21
65420 CPT 65420removal Of Lesion Cornea Of Eye 7 6 $1,027.00 $1,027.00 $308.00 $1,335.00 $924.00 2025-10-21
37506015 CDM Ligasure Maryland Jaw Laparoscopic Sealer/divider 7 6 $1,019.00 $1,019.00 $306.00 $1,325.00 $917.00 2025-10-21
81206 CPT Bcr::abl By Rt, Qual Pspc 7 6 $1,018.00 $1,018.00 $305.00 $1,323.00 $916.00 2025-10-21
25628 CPT 25628 Open Trmt Of Carpal Scaphoid Fracture, Includes Internal Fixation Profee 7 6 $1,011.00 $1,011.00 $303.00 $1,314.00 $910.00 2025-10-21
23650 CPT 23650-shoulder Without Anesthesia 7 6 $1,001.00 $1,001.00 $300.00 $1,301.00 $901.00 2025-10-21
24615 CPT 24615 Open Treatment Of Acute Or Chronic Elbow Dislocation 7 6 $999.00 $999.00 $300.00 $1,299.00 $899.00 2025-10-21
11444 CPT 11444 Excision, Benign Lesion Including Margins; Face, Ears, Eyelids, Nose, Lips… 7 6 $994.00 $994.00 $298.00 $1,292.00 $895.00 2025-10-21
11606 CPT 11606 Excision, Malignant Lesion Including Margins, Trunk, Arms, Or Legs; >4.0cm 7 6 $992.00 $992.00 $298.00 $1,290.00 $893.00 2025-10-21
99285 CPT 99285 Emergency Dept Visit Level 5 Profee 14 6 $1,870.50 $1,870.50 $192.00 $4,031.00 $881.00 2025-10-21
26075 CPT 26075arthorotomy, Removal Of Foreign Body, Mcp 7 6 $970.00 $970.00 $291.00 $1,261.00 $873.00 2025-10-21
26765 CPT 26765-distal Phalangeal Open 7 6 $968.00 $968.00 $290.00 $1,258.00 $871.00 2025-10-21
32556 CPT 32556 Pleural Drainage, Percutaneous, With Insertion Of Indwelling Catheter; Wit… 14 6 $1,612.50 $1,612.50 $232.00 $3,188.00 $870.50 2025-10-21
56740 CPT 56740excision On Vulva/perineum/intrioitus 7 6 $959.00 $959.00 $288.00 $1,247.00 $863.00 2025-10-21
25574 CPT 25574 Open Tx Radial And Ulnar Shaft Fx, With Internal Fixation; Of Radius Or Ul… 7 6 $950.00 $950.00 $285.00 $1,235.00 $855.00 2025-10-21
24635 CPT 24635 Orif Monteggia Fx Profee 7 6 $949.00 $949.00 $285.00 $1,234.00 $854.00 2025-10-21
25515 CPT 25515 Open Treatmentradial Shaft Fracture Includes Internal Fixation Profee 7 6 $943.00 $943.00 $283.00 $1,226.00 $849.00 2025-10-21
25606 CPT 25606 Perq Skel Fixj Distal Radial Fx/epiphysl Sep Profee 7 6 $933.00 $933.00 $280.00 $1,213.00 $840.00 2025-10-21
23655 CPT 23655-shoulder With Anesthesia 7 6 $932.00 $932.00 $280.00 $1,212.00 $839.00 2025-10-21
87517 CPT Hepatitis B Virus DNA Quantitative Pspc 7 6 $931.00 $931.00 $279.00 $1,210.00 $838.00 2025-10-21
24655 CPT 24655 Closed Tx Radial Head/neck Fx W/manipulation Profee 14 6 $1,024.50 $1,024.50 $277.00 $1,463.00 $832.00 2025-10-21
11450 CPT 11450 Excision Of Skin/subcutaneous Tissue For Hidradenitis, Axillary; With Simple… 14 6 $1,031.50 $1,031.50 $277.00 $1,482.00 $831.00 2025-10-21
99245 CPT 99245 Office Consult New Or Est. L5 Pt 80 Min 7 6 $922.00 $922.00 $277.00 $1,199.00 $830.00 2025-10-21
93970 CPT US Lower Ext Venous Duplex Bilateral 14 6 $967.50 $967.50 $276.00 $1,318.00 $829.00 2025-10-21
93930 CPT US Upper Ext Arterial Duplex Bilateral 7 6 $921.00 $921.00 $276.00 $1,197.00 $829.00 2025-10-21
24685 CPT 24685 Orif Prox Ulna Profee 7 6 $921.00 $921.00 $276.00 $1,197.00 $829.00 2025-10-21
93880 CPT US Carotid Duplex Bilateral 7 6 $921.00 $921.00 $276.00 $1,197.00 $829.00 2025-10-21
30906 CPT 30906 Ctrl Nsl Hem Pst Nsl Pk Q Profee 7 6 $911.00 $911.00 $273.00 $1,184.00 $820.00 2025-10-21
25500 CPT 25500 Treat Fracture Of Radius Profee 7 6 $906.00 $906.00 $272.00 $1,178.00 $815.00 2025-10-21
45378 CPT Diagnostic Exam Of Large Bowel Using An Endoscope 21 6 $903.00 $903.00 $135.00 $4,940.00 $813.00 2025-10-21
11624 CPT 11624 Excision, Malignant Lesion Including Margins, Scalp, Neck, Hands, Feet, Ge… 14 6 $947.50 $947.50 $269.00 $1,300.00 $806.00 2025-10-21
27562 CPT 27562-patella W/anethesia 7 6 $896.00 $896.00 $269.00 $1,165.00 $806.00 2025-10-21
8016157-QZ CDM 00630 Proc In Lumbar Region Not Specified Profee 6 6 $730.00 $730.00 $219.00 $3,716.00 $803.00 2025-10-21
8016156 CDM 00600 Anesth Cerv Spine Cord Surgery Profee 6 6 $730.00 $730.00 $219.00 $3,716.00 $803.00 2025-10-21
17108 CPT 17108 Destruction Of Cutaneous Vascular Proliferative Lesions (Eg, Laser Techniq… 7 6 $888.00 $888.00 $266.00 $1,154.00 $799.00 2025-10-21
99236 CPT 99236 Obs High Mdm 85 Min Sds Profee 7 6 $884.00 $884.00 $265.00 $1,149.00 $796.00 2025-10-21
25545 CPT 25545 Open Tmt Shaft Fracture Includes Internal Fixation When Performed Profee 7 6 $878.00 $878.00 $263.00 $1,141.00 $790.00 2025-10-21
37506011 CDM Zzendopath Xcel Bladeless Trocars 11mm 7 6 $871.00 $871.00 $261.00 $1,132.00 $784.00 2025-10-21
49505 CPT Repair Of Groin Hernia Patient Age 5 Years Or Older 7 6 $861.00 $861.00 $258.00 $1,119.00 $775.00 2025-10-21
37505011 CDM Ligasure Curved, Small Jaw, Open Sealer/divider 7 6 $855.00 $855.00 $257.00 $1,112.00 $770.00 2025-10-21
11406 CPT 11406 Excision, Benign Lesion Including Margins; Trunk, Arms Or Legs; >4.0cm 7 6 $855.00 $855.00 $257.00 $1,112.00 $770.00 2025-10-21
28475 CPT 28475metatarsal W/manipulation 7 6 $853.00 $853.00 $256.00 $1,109.00 $768.00 2025-10-21
25675 CPT 25675-clsd Treat Distal Radioulnar Disloc With Manip 7 6 $852.00 $852.00 $256.00 $1,108.00 $767.00 2025-10-21
72082 CPT Xr Spine Entire 7 6 $844.00 $844.00 $253.00 $1,097.00 $760.00 2025-10-21
23600 CPT 23600proximal Humeral Without Manipulation 7 6 $842.00 $842.00 $253.00 $1,095.00 $758.00 2025-10-21
65220 CPT 65220-corneal Without Slit Lamp 7 6 $840.00 $840.00 $252.00 $1,092.00 $756.00 2025-10-21
11604 CPT 11604 Excision, Malignant Lesion Including Margins, Trunk, Arms, Or Legs; 3.1-4.… 14 6 $1,064.50 $1,064.50 $249.00 $1,689.00 $747.00 2025-10-21
32551 CPT 32551-insertion Chest Tube 7 6 $827.00 $827.00 $248.00 $1,075.00 $744.00 2025-10-21
27824 CPT 27824-distal Tibia Without Manip 7 6 $822.00 $822.00 $247.00 $1,069.00 $740.00 2025-10-21
73521 CPT Xr Hips 2 Views W/ap Pelvis Bilat 7 6 $820.00 $820.00 $246.00 $1,066.00 $738.00 2025-10-21
93971 CPT US Lower Ext Venous Duplex Left 7 6 $813.00 $813.00 $244.00 $1,057.00 $732.00 2025-10-21
93926 CPT US Lower Ext Arterial Duplex Left 7 6 $813.00 $813.00 $244.00 $1,057.00 $732.00 2025-10-21
26615 CPT 26615 Open Trt Fx Metacarpal Profee 7 6 $805.00 $805.00 $242.00 $1,047.00 $725.00 2025-10-21
12057 CPT 12057 Repair Intermediate F/e/e/n/l&/muc >30.0 Cm Profee 14 6 $966.50 $966.50 $241.00 $1,468.00 $724.00 2025-10-21
C1781 HCPCS Bg Medical Surgimesh Wn 14 6 $1,255.50 $1,255.50 $241.00 $2,220.00 $723.00 2025-10-21
25645 CPT 25645 Open Treatment Of Carpal Bone Fracture Each Bone. Profee 7 6 $801.00 $801.00 $240.00 $1,041.00 $721.00 2025-10-21
43752 CPT 43752 Naso-or Oro-gastric Tube 7 6 $801.00 $801.00 $240.00 $1,041.00 $721.00 2025-10-21
11643 CPT 11643 Excision, Malignant Lesion Including Margins, Face, Ears, Eyelids, Nose, L… 14 6 $907.00 $907.00 $240.00 $1,318.00 $720.00 2025-10-21
37501110 CDM Endopath Xcel Bladeless Trocars 12mm 7 6 $798.00 $798.00 $239.00 $1,037.00 $718.00 2025-10-21
25520 CPT 25520 Clx Rdl Shft Fx/clx Dislc Profee 7 6 $796.00 $796.00 $239.00 $1,035.00 $716.00 2025-10-21
25600 CPT 25600 Cltx Dstl Radial Fx/epiphysl Sep Without Manj Profee 14 6 $901.50 $901.50 $237.00 $1,316.00 $712.00 2025-10-21
10160 CPT 10160-aspiration Abscess/cyst/hematoma 7 6 $786.00 $786.00 $236.00 $1,022.00 $707.00 2025-10-21
72074 CPT Xr Spine Thoracic 4+ Views 7 6 $784.00 $784.00 $235.00 $1,019.00 $706.00 2025-10-21
87902 CPT Hepatitis C Virus Genotyping Pspc 7 6 $783.00 $783.00 $235.00 $1,018.00 $705.00 2025-10-21
10121 CPT 10121 Incision And Removal Of Foreign Body, Subcutaneous Tissues; Complicated 7 6 $782.00 $782.00 $235.00 $1,017.00 $704.00 2025-10-21
17004 CPT 17004 Destruction, Premalignant Lesions, 15 Or More Lesions 7 6 $779.00 $779.00 $234.00 $1,013.00 $701.00 2025-10-21
P9040 HCPCS E0332 Rbc Cpd As1 500 Lr Irr 7 6 $777.00 $777.00 $233.00 $1,010.00 $699.00 2025-10-21
12047 CPT 12047 Repair Intermediate N/h/f/xtrnl Gent >30.0 Cm Profee 14 6 $818.50 $818.50 $233.00 $1,119.00 $698.00 2025-10-21
87483 CPT Meningitis/encephalitis Panel (Rps) Pspc 7 6 $769.00 $769.00 $231.00 $1,000.00 $692.00 2025-10-21
12055 CPT 12055 Repair Intermediate F/e/e/n/l&/muc 12.6-20.0cm 14 6 $1,023.00 $1,023.00 $228.00 $1,671.00 $685.00 2025-10-21
17283 CPT 17283 Destruction Malignant Lesion F/e/e/n/l/m 2.1-3.0cm 7 6 $744.00 $744.00 $223.00 $967.00 $670.00 2025-10-21
93304 CPT US Echo 2d Limited Eo 7 6 $743.00 $743.00 $223.00 $966.00 $669.00 2025-10-21
17274 CPT 17274 Destruction Malignant Lesion S/n/h/f/g 3.1-4.0cm 7 6 $743.00 $743.00 $223.00 $966.00 $669.00 2025-10-21
11622 CPT 11622 Excision, Malignant Lesion Including Margins, Scalp, Neck, Hands, Feet, Ge… 14 6 $748.50 $748.50 $221.00 $991.00 $662.00 2025-10-21
76999 CPT US Unlisted Procedure 7 6 $732.00 $732.00 $220.00 $952.00 $659.00 2025-10-21
93931 CPT US Upper Ext Arterial Duplex Left 7 6 $732.00 $732.00 $220.00 $952.00 $659.00 2025-10-21
76700 CPT Ultrasound Of Abdomen 7 6 $732.00 $732.00 $220.00 $952.00 $659.00 2025-10-21
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