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

KIT CARSON COUNTY MEMORIAL HOSPITAL

Burlington, CO · CCN 061313 · Rates published

1,789 distinct procedures filed
7 distinct payers
25,686 rate rows
2026-07-15 last MRF observed
Data quality

25,223 of 25,686 rate rows are consumer-grade (98.2%)

463 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 456
per-diem day rate — not a per-procedure price 6
placeholder amount (≤ $0.02) — excluded from medians 1
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.kcchsd.org/wp-content/uploads/2025/02/841435504_kitcarson_county_memorial_hospital_standardcharges.csv
Found on page https://www.kcchsd.org/pricing-transparency/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-14
Content fingerprint 110c29d8b63ef82f… · 12,752,200 bytes · first seen 2026-05-09

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
J9144
HCPCS 		Daratumumab, Hyaluronidase 6 $50.36 $19,726.88 $8,338.17 nat. median
$114
outlier · 72.8×
J7169
HCPCS 		Inj Andexxa, 10 Mg 7 $4,180.23 $14,792.50 $7,135.94 nat. median
$260
outlier · 27.4×
J3101
HCPCS 		Tenecteplase Injection 6 $159.18 $14,706.44 $6,216.12 nat. median
$498
outlier · 12.5×
J9356
HCPCS 		Inj. Herceptin Hylecta, 10mg 6 $61.80 $11,677.58 $4,935.88 nat. median
$117
outlier · 42.3×
J9217
HCPCS 		Leuprolide Acetate Suspnsion 6 $159.85 $16,494.89 $4,934.31 nat. median
$2,144
outlier · 2.3×
J0840
HCPCS 		Crotalidae Poly Immune Fab 7 $1,744.05 $7,854.27 $4,059.51 nat. median
$3,496
1.2× median
J7168
HCPCS 		Prothrombin Complex Kcentra 7 $2,066.79 $4,989.51 $3,528.15 nat. median
$589
outlier · 6.0×
J9299
HCPCS 		Injection, Nivolumab 6 $31.65 $7,428.62 $3,139.93 nat. median
$1,811
1.7× median
0170
RC 		5 $2,599.20 $5,899.60 $2,801.36 nat. median
$1,043
outlier · 2.7×
59510
HCPCS 		Cesarean Delivery 7 $1,574.13 $3,724.15 $2,792.77 nat. median
$3,349
0.8× median
J9176
HCPCS 		Injection, Elotuzumab, 1mg 6 $7.57 $6,564.59 $2,774.72 nat. median
$2,022
1.4× median
59820
HCPCS 		Care Of Miscarriage 7 $424.85 $6,453.79 $2,700.61 nat. median
$3,415
0.8× median
59812
HCPCS 		Treatment Of Miscarriage 7 $348.58 $6,327.90 $2,647.93 nat. median
$3,343
0.8× median
J0717
HCPCS 		Certolizumab Pegol Inj 1mg 6 $3.82 $6,264.06 $2,647.69 nat. median
$29
outlier · 91.2×
26685
HCPCS 		Treat Hand Dislocation 7 $500.00 $6,294.33 $2,633.89 nat. median
$3,385
0.8× median
28545
HCPCS 		Treat Foot Dislocation 7 $317.94 $6,294.33 $2,633.89 nat. median
$3,406
0.8× median
0120
RC 		5 $2,043.00 $5,621.50 $2,619.00 nat. median
$856
outlier · 3.1×
90375
HCPCS 		Rabies Ig Im/sc 6 $274.76 $6,092.12 $2,575.02 nat. median
$789
outlier · 3.3×
J0897
HCPCS 		Denosumab Injection 6 $27.11 $5,717.51 $2,416.68 nat. median
$86
outlier · 28.1×
13160
HCPCS 		Sec Clsr Surg Wnd/dehsn Xtn 7 $500.00 $5,331.83 $2,231.12 nat. median
$2,668
0.8× median
51040
HCPCS 		Incise & Drain Bladder 7 $285.40 $5,246.27 $2,195.32 nat. median
$2,358
0.9× median
10121
HCPCS 		Inc&rmvl Fb Subq Tiss Comp 6 $258.66 $5,184.43 $2,147.53 nat. median
$1,652
1.3× median
20670
HCPCS 		Removal Implant Superficial 7 $345.60 $4,970.43 $2,079.89 nat. median
$1,810
1.1× median
J1950
HCPCS 		Leuprolide Acetate /3.75 Mg 7 $1,437.28 $3,469.78 $2,043.49 nat. median
$3,343
0.6× median
32556
HCPCS 		Insert Cath Pleura Without Image 7 $500.00 $4,819.36 $2,016.68 nat. median
$1,964
1.0× median
25611
HCPCS 		7 $500.00 $4,036.76 $1,987.32 nat. median
$6,350
outlier · 0.3×
Q5115
HCPCS 		Inj Truxima 10 Mg 6 $31.19 $6,220.95 $1,860.83 nat. median
$368
outlier · 5.1×
P9035
HCPCS 		Platelet Pheres Leukoreduced 7 $1,050.71 $2,536.55 $1,793.63 nat. median
$732
outlier · 2.5×
21320
HCPCS 		Clsd Tx Nsl Fx W/mnpj&stablj 7 $212.72 $4,248.68 $1,777.87 nat. median
$3,146
0.6× median
21451
HCPCS 		Cltx Mndblr Fx W/mnpj 7 $500.00 $4,248.68 $1,777.87 nat. median
$1,938
0.9× median
21936
HCPCS 		Resect Back Tum 5 Cm/> 7 $1,177.71 $2,786.29 $1,769.40 nat. median
$2,867
0.6× median
0360
RC 		7 $405.01 $12,988.30 $1,671.30 nat. median
$1,707
1.0× median
53265
HCPCS 		Treatment Of Urethra Lesion 7 $223.69 $3,960.18 $1,657.15 nat. median
$2,214
0.7× median
54700
HCPCS 		I&d Epdidyms Tstis&/scrot Sp 7 $207.84 $3,960.18 $1,657.15 nat. median
$2,148
0.8× median
53020
HCPCS 		Incision Of Urethra 6 $92.43 $3,960.18 $1,640.41 nat. median
$2,285
0.7× median
95810
HCPCS 		Polysom 6/> Yrs 4/> Param 7 $622.58 $3,207.11 $1,635.21 nat. median
$1,446
1.1× median
G0390
HCPCS 		Trauma Respons W/hosp Criti 7 $956.00 $2,307.92 $1,631.96 nat. median
$3,280
outlier · 0.5×
0684
RC 		7 $956.00 $2,307.92 $1,631.96 nat. median
$7,500
outlier · 0.2×
26418
HCPCS 		Repair Finger Tendon 7 $500.00 $3,829.06 $1,602.28 nat. median
$2,058
0.8× median
23605
HCPCS 		Cltx Prx Hmrl Fx Mnpj+-tract 7 $476.75 $3,829.06 $1,602.28 nat. median
$1,778
0.9× median
26951
HCPCS 		Amputation Of Finger/thumb 7 $500.00 $3,829.06 $1,602.28 nat. median
$3,337
outlier · 0.5×
78452
HCPCS 		Ht Muscle Image Spect Mult 7 $418.74 $3,201.12 $1,581.49 nat. median
$1,464
1.1× median
10180
HCPCS 		I&d Complex Po Wound Infctj 7 $257.02 $3,724.15 $1,558.39 nat. median
$2,882
0.5× median
20525
HCPCS 		Rmvl Fb Musc/tdn Deep/comp 7 $456.94 $3,724.15 $1,558.39 nat. median
$2,969
0.5× median
28193
HCPCS 		Removal Of Foot Foreign Body 7 $500.00 $3,724.15 $1,558.39 nat. median
$2,114
0.7× median
27372
HCPCS 		Removal Of Foreign Body 7 $500.00 $3,724.15 $1,558.39 nat. median
$3,009
0.5× median
28192
HCPCS 		Removal Of Foot Foreign Body 7 $447.71 $3,724.15 $1,558.39 nat. median
$1,746
0.9× median
45383
HCPCS 		7 $864.75 $2,087.62 $1,476.18 nat. median
$1,840
0.8× median
81162
HCPCS 		Brca1&2 Gen Full Seq Dup/del 7 $802.95 $2,734.86 $1,462.44 nat. median
$1,880
0.8× median
10140
HCPCS 		I&d Hmtma Seroma/fluid Collj 6 $166.14 $3,504.89 $1,451.82 nat. median
$1,664
0.9× median

Other procedures at this hospital

Browse this hospital's 1,789 published procedures. Use the slice to choose what to show, then sort or filter any column.

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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
             
J9144 HCPCS Daratumumab-hyalur 1800mg Sdv 7 6 $20,336.99 $17,286.44 $50.36 $19,726.88 $8,338.17 2026-07-15
J7169 HCPCS Andexxa Low Dose(recombinant) 200mg 14 7 $10,403.75 $8,843.19 $4,180.23 $14,792.50 $7,135.94 2026-07-15
J3101 HCPCS Tenecteplase 50mg Vial (TNKase) 7 6 $15,161.28 $12,887.09 $159.18 $14,706.44 $6,216.12 2026-07-15
J9356 HCPCS Trastuzumab-hyaluronidase 600mg/5ml 7 6 $12,038.74 $10,232.93 $61.80 $11,677.58 $4,935.88 2026-07-15
J9217 HCPCS Leuprolide 22.5 Syringe (Lupron Depo) 25 6 $12,034.91 $10,229.67 $159.85 $16,494.89 $4,934.31 2026-07-15
J0840 HCPCS CroFab Rattlesnake Antivenin 8 7 $8,097.19 $6,882.61 $1,744.05 $7,854.27 $4,059.51 2026-07-15
J7168 HCPCS Prothrombin Complex 1000u Vial 8 7 $5,143.82 $4,372.25 $2,066.79 $4,989.51 $3,528.15 2026-07-15
J9299 HCPCS Nivolumab 10mg/mL 24mL Vial 7 6 $7,658.37 $6,509.61 $31.65 $7,428.62 $3,139.93 2026-07-15
0170 RC — 5 5 $2,888.00 $2,454.80 $2,599.20 $5,899.60 $2,801.36 2026-07-15
59510 HCPCS C Section Delivery Profee 8 7 $3,839.33 $3,263.43 $1,574.13 $3,724.15 $2,792.77 2026-07-15
J9176 HCPCS Elotuzumab 400mg Sdv 13 6 $6,767.62 $5,752.48 $7.57 $6,564.59 $2,774.72 2026-07-15
59820 HCPCS Care Miscarriage 8 7 $6,653.39 $5,655.38 $424.85 $6,453.79 $2,700.61 2026-07-15
59812 HCPCS Treat Miscarriage 8 7 $6,523.61 $5,545.07 $348.58 $6,327.90 $2,647.93 2026-07-15
J0717 HCPCS Certolizumab 200mg Vial 7 6 $6,457.79 $5,489.12 $3.82 $6,264.06 $2,647.69 2026-07-15
28545 HCPCS Foot Dislocation 8 7 $6,489.00 $5,515.65 $317.94 $6,294.33 $2,633.89 2026-07-15
26685 HCPCS Openreduccarpometacarpdis 8 7 $6,489.00 $5,515.65 $500.00 $6,294.33 $2,633.89 2026-07-15
0120 RC — 11 5 $2,700.00 $2,295.00 $2,043.00 $5,621.50 $2,619.00 2026-07-15
90375 HCPCS Rabies Immune Globulin 5 Ml 300IU/1mL 7 6 $6,280.54 $5,338.46 $274.76 $6,092.12 $2,575.02 2026-07-15
J0897 HCPCS Denosumab 60mg/mL Syr (Prolia) 13 6 $3,153.12 $2,680.15 $27.11 $5,717.51 $2,416.68 2026-07-15
13160 HCPCS Wnd Dehis/extcomplex 8 7 $5,496.73 $4,672.22 $500.00 $5,331.83 $2,231.12 2026-07-15
51040 HCPCS Instertion Subrapubic Catheter 8 7 $5,408.53 $4,597.25 $285.40 $5,246.27 $2,195.32 2026-07-15
10121 HCPCS I&r Of Foreign Body Sub Tissue Complicat 7 6 $5,344.77 $4,543.05 $258.66 $5,184.43 $2,147.53 2026-07-15
20670 HCPCS Implantremovalsuperficial 8 7 $5,124.15 $4,355.53 $345.60 $4,970.43 $2,079.89 2026-07-15
J1950 HCPCS Leuprolide 3.75mg Syr 8 7 $3,577.09 $3,040.53 $1,437.28 $3,469.78 $2,043.49 2026-07-15
32556 HCPCS Pleural Drainage Percut, W Wo Imaging Gu 8 7 $4,968.41 $4,223.15 $500.00 $4,819.36 $2,016.68 2026-07-15
25611 HCPCS Treatfxradius/ulnawmanip 8 7 $4,161.61 $3,537.37 $500.00 $4,036.76 $1,987.32 2026-07-15
Q5115 HCPCS Rituximab-abbs 10mg/ml 50ml Vial 13 6 $6,413.35 $5,451.35 $31.19 $6,220.95 $1,860.83 2026-07-15
P9035 HCPCS Platelets Leuko Reduced 8 7 $2,615.00 $2,222.75 $1,050.71 $2,536.55 $1,793.63 2026-07-15
21320 HCPCS Treatment Nose Fx, Wstablz 8 7 $4,380.08 $3,723.07 $212.72 $4,248.68 $1,777.87 2026-07-15
21451 HCPCS Treat Lower Jaw Fx W Manip 8 7 $4,380.08 $3,723.07 $500.00 $4,248.68 $1,777.87 2026-07-15
21936 HCPCS Resect Back Tum 5 Cm/> 8 7 $2,872.46 $2,441.59 $1,177.71 $2,786.29 $1,769.40 2026-07-15
0360 RC — 38 7 $3,183.00 $2,705.55 $405.01 $12,988.30 $1,671.30 2026-07-15
53265 HCPCS Exciseurethralcaruncle 8 7 $4,082.66 $3,470.26 $223.69 $3,960.18 $1,657.15 2026-07-15
54700 HCPCS I Depididymisscrotumtestis 8 7 $4,082.66 $3,470.26 $207.84 $3,960.18 $1,657.15 2026-07-15
53020 HCPCS Meatotomy 7 6 $4,082.66 $3,470.26 $92.43 $3,960.18 $1,640.41 2026-07-15
95810 HCPCS Sleep Study Age 6 Yrs Or Older 14 7 $3,306.30 $2,810.36 $622.58 $3,207.11 $1,635.21 2026-07-15
G0390 HCPCS Trauma Activation Ems Arrival 8 7 $2,379.30 $2,022.41 $956.00 $2,307.92 $1,631.96 2026-07-15
0684 RC — 8 7 $2,379.30 $2,022.41 $956.00 $2,307.92 $1,631.96 2026-07-15
26951 HCPCS Amputation Finger Or Thumb 8 7 $3,947.48 $3,355.36 $500.00 $3,829.06 $1,602.28 2026-07-15
26418 HCPCS Repair Finger Tendon 8 7 $3,947.48 $3,355.36 $500.00 $3,829.06 $1,602.28 2026-07-15
23605 HCPCS Treathumerusfxwmanip 8 7 $3,947.48 $3,355.36 $476.75 $3,829.06 $1,602.28 2026-07-15
78452 HCPCS Nm Myocardial Spect Multi 8 7 $3,300.12 $2,805.10 $418.74 $3,201.12 $1,581.49 2026-07-15
27372 HCPCS Remove Foreign Body,deep Th 8 7 $3,839.33 $3,263.43 $500.00 $3,724.15 $1,558.39 2026-07-15
28192 HCPCS Rmv Fbfoot;deep 8 7 $3,839.33 $3,263.43 $447.71 $3,724.15 $1,558.39 2026-07-15
20525 HCPCS Rmv Fbmuscletendoncomplex, 8 7 $3,839.33 $3,263.43 $456.94 $3,724.15 $1,558.39 2026-07-15
10180 HCPCS I Dcmplx Periop Wnd Infect 8 7 $3,839.33 $3,263.43 $257.02 $3,724.15 $1,558.39 2026-07-15
28193 HCPCS Rmv Fbfoot;complicated 8 7 $3,839.33 $3,263.43 $500.00 $3,724.15 $1,558.39 2026-07-15
45383 HCPCS Colonoscopy W Ablation Hot 8 7 $2,152.19 $1,829.36 $864.75 $2,087.62 $1,476.18 2026-07-15
81162 HCPCS Brca1 And Brca2 8 7 $2,819.44 $2,396.52 $802.95 $2,734.86 $1,462.44 2026-07-15
10140 HCPCS I&d Of Hematoma, Seroma Or Fluid Collec 7 6 $3,613.29 $3,071.30 $166.14 $3,504.89 $1,451.82 2026-07-15
24605 HCPCS Treatment Elbow Dislocation 8 7 $3,550.95 $3,018.31 $478.07 $3,444.42 $1,441.33 2026-07-15
49566 HCPCS Ventral Recurrent Incarcera Strangulated 8 7 $2,697.26 $2,292.67 $933.29 $2,616.34 $1,440.35 2026-07-15
45385 HCPCS Colonscopy W Removal By Sna 8 7 $2,966.02 $2,521.12 $438.76 $2,877.04 $1,436.99 2026-07-15
43249 HCPCS Microtech Dil Bal 18-20 20 7 $1,674.78 $1,423.56 $625.88 $3,461.88 $1,434.00 2026-07-15
95811 HCPCS Sleep Study W Intitiation Of Cpap Tx/ven 8 7 $2,778.37 $2,361.61 $652.00 $2,695.02 $1,406.32 2026-07-15
25605 HCPCS Treat Fx Radius/ulna W Mani 8 7 $3,420.63 $2,907.54 $500.00 $3,318.01 $1,388.43 2026-07-15
44377 HCPCS Endoscopy Small Intestine With Biopsy 8 7 $2,941.68 $2,500.43 $281.50 $2,853.43 $1,386.78 2026-07-15
44376 HCPCS Endoscopy Small Intestinal 8 7 $2,941.68 $2,500.43 $268.41 $2,853.43 $1,383.51 2026-07-15
70553 HCPCS MRI Brain Wwo Con 8 7 $3,325.00 $2,826.25 $319.71 $3,225.25 $1,349.62 2026-07-15
49561 HCPCS Ventral Initial Incarcerate Strangulated 8 7 $2,331.71 $1,981.95 $925.20 $2,261.76 $1,328.73 2026-07-15
23655 HCPCS Treat Shoudler Disloc W Ane 8 7 $3,234.77 $2,749.55 $409.85 $3,137.73 $1,312.99 2026-07-15
70549 HCPCS MRI Carotids Wwo MRA 8 7 $3,200.00 $2,720.00 $347.72 $3,104.00 $1,298.88 2026-07-15
36563 HCPCS Placement Of Ctral Venous W Pump 11 7 $2,249.52 $1,912.09 $394.51 $2,182.03 $1,288.27 2026-07-15
81229 HCPCS Chromosomal Microarray 8 7 $3,136.35 $2,665.90 $510.40 $3,042.26 $1,273.04 2026-07-15
72158 HCPCS MRI Lumbar Spine Wwo Con 8 7 $3,100.00 $2,635.00 $320.04 $3,007.00 $1,258.29 2026-07-15
72157 HCPCS MRI Thoracic Spine Wwo Con 8 7 $3,100.00 $2,635.00 $321.37 $3,007.00 $1,258.29 2026-07-15
74183 HCPCS MRI Abdomen Wwo 8 7 $3,100.00 $2,635.00 $338.93 $3,007.00 $1,258.29 2026-07-15
72156 HCPCS MRI Cervical Spine Wwo Con 8 7 $3,100.00 $2,635.00 $320.70 $3,007.00 $1,258.29 2026-07-15
72197 HCPCS MRI Pelvis Wwo Con 8 7 $3,100.00 $2,635.00 $337.59 $3,007.00 $1,258.29 2026-07-15
73218 HCPCS MRI Extrmty Up Bilat Wo Con Mri,distinct Service 24 7 $2,630.21 $2,235.68 $303.18 $3,826.95 $1,252.82 2026-07-15
36571 HCPCS Picc Insert W Port Younger Than 5 Yrs 8 7 $2,249.52 $1,912.09 $340.85 $2,182.03 $1,217.53 2026-07-15
11420 HCPCS Excisebenlesionnk,hd,ft,.5 7 6 $3,010.90 $2,559.27 $124.51 $2,920.57 $1,209.78 2026-07-15
24577 HCPCS Treathumerusfxcondylarwman 8 7 $2,974.13 $2,528.01 $500.00 $2,884.91 $1,207.20 2026-07-15
26705 HCPCS Treat Knuckle Dislocation 8 7 $2,974.13 $2,528.01 $446.75 $2,884.91 $1,207.20 2026-07-15
26607 HCPCS Treat Metacarpal Fracture 8 7 $2,974.13 $2,528.01 $500.00 $2,884.91 $1,207.20 2026-07-15
23665 HCPCS Treat Shldr Disloc Fx >humeral 8 7 $2,974.13 $2,528.01 $443.52 $2,884.91 $1,207.20 2026-07-15
27503 HCPCS Treatment Of Thigh Fracture 8 7 $2,974.13 $2,528.01 $500.00 $2,884.91 $1,207.20 2026-07-15
27810 HCPCS Treat Ankle Fracture 8 7 $2,974.13 $2,528.01 $480.77 $2,884.91 $1,207.20 2026-07-15
27502 HCPCS Treatment Of Thigh Fracture 8 7 $2,974.13 $2,528.01 $500.00 $2,884.91 $1,207.20 2026-07-15
28455 HCPCS Treat Midfoot Fx, Each 8 7 $2,974.13 $2,528.01 $257.29 $2,884.91 $1,207.20 2026-07-15
25565 HCPCS Treat Fx Radius&ulna W Mani 8 7 $2,974.13 $2,528.01 $500.00 $2,884.91 $1,207.20 2026-07-15
23505 HCPCS Treat Clavicle Fx W Manip 8 7 $2,974.13 $2,528.01 $368.73 $2,884.91 $1,207.20 2026-07-15
23625 HCPCS Treathumerusfxwmanip 8 7 $2,974.13 $2,528.01 $389.24 $2,884.91 $1,207.20 2026-07-15
23575 HCPCS Treat Shoulder Blade Fx W/manip 8 7 $2,974.13 $2,528.01 $419.73 $2,884.91 $1,207.20 2026-07-15
28635 HCPCS Toe Dislocation 8 7 $2,974.13 $2,528.01 $170.28 $2,884.91 $1,207.20 2026-07-15
23520 HCPCS Treatclavicledislocatew Man 8 7 $2,974.13 $2,528.01 $249.24 $2,884.91 $1,207.20 2026-07-15
28575 HCPCS Foot Dislocation 8 7 $2,974.13 $2,528.01 $386.82 $2,884.91 $1,207.20 2026-07-15
27252 HCPCS Treat Hip Dislocation 8 7 $2,974.13 $2,528.01 $500.00 $2,884.91 $1,207.20 2026-07-15
27238 HCPCS Treat Thigh Fracture 8 7 $2,974.13 $2,528.01 $467.82 $2,884.91 $1,207.20 2026-07-15
25520 HCPCS Treatfxradiusgaleazzi 8 7 $2,974.13 $2,528.01 $500.00 $2,884.91 $1,207.20 2026-07-15
25505 HCPCS Treat Fx Radius W Manip 8 7 $2,974.13 $2,528.01 $500.00 $2,884.91 $1,207.20 2026-07-15
27825 HCPCS Treat Lower Leg Fracture 8 7 $2,974.13 $2,528.01 $500.00 $2,884.91 $1,207.20 2026-07-15
24675 HCPCS Treat Ulnar Fx W Manip 8 7 $2,974.13 $2,528.01 $466.65 $2,884.91 $1,207.20 2026-07-15
28435 HCPCS Treat Ankle Fx 8 7 $2,974.13 $2,528.01 $378.00 $2,884.91 $1,207.20 2026-07-15
27818 HCPCS Treatment Of Ankle Fracture 8 7 $2,974.13 $2,528.01 $499.03 $2,884.91 $1,207.20 2026-07-15
27842 HCPCS Treat Ankle Dislocation 8 7 $2,974.13 $2,528.01 $490.21 $2,884.91 $1,207.20 2026-07-15
27831 HCPCS Treat Lower Leg Dislocation 8 7 $2,974.13 $2,528.01 $413.56 $2,884.91 $1,207.20 2026-07-15
27752 HCPCS Treatment Tibia Fracture 8 7 $2,974.13 $2,528.01 $500.00 $2,884.91 $1,207.20 2026-07-15
24620 HCPCS Treatelbowfxw/omanip 8 7 $2,974.13 $2,528.01 $500.00 $2,884.91 $1,207.20 2026-07-15
25690 HCPCS Treat Wrist Dislocation 8 7 $2,974.13 $2,528.01 $495.58 $2,884.91 $1,207.20 2026-07-15
27781 HCPCS Treatment Fibula Fracture 8 7 $2,974.13 $2,528.01 $445.38 $2,884.91 $1,207.20 2026-07-15
25624 HCPCS Treat Wrist Fx 8 7 $2,974.13 $2,528.01 $500.00 $2,884.91 $1,207.20 2026-07-15
24565 HCPCS Treathumerusfxepiconwmanip 8 7 $2,974.13 $2,528.01 $500.00 $2,884.91 $1,207.20 2026-07-15
24655 HCPCS Treat Radius Fx W/manip 8 7 $2,974.13 $2,528.01 $458.47 $2,884.91 $1,207.20 2026-07-15
24535 HCPCS Treathumerusfxsupracwmanip 8 7 $2,974.13 $2,528.01 $500.00 $2,884.91 $1,207.20 2026-07-15
27532 HCPCS Treat Knee Fracture 8 7 $2,974.13 $2,528.01 $500.00 $2,884.91 $1,207.20 2026-07-15
24505 HCPCS Treat Humeral Shaft Fx W Ma 8 7 $2,974.13 $2,528.01 $500.00 $2,884.91 $1,207.20 2026-07-15
27517 HCPCS Treat Thigh Fx Growth Plate 8 7 $2,974.13 $2,528.01 $500.00 $2,884.91 $1,207.20 2026-07-15
27510 HCPCS Treatment Of Thigh Fracture 8 7 $2,974.13 $2,528.01 $500.00 $2,884.91 $1,207.20 2026-07-15
23675 HCPCS Treat Shoulder Dislocation 8 7 $2,974.13 $2,528.01 $500.00 $2,884.91 $1,207.20 2026-07-15
26675 HCPCS Treat Hand Dislocation 8 7 $2,974.13 $2,528.01 $471.36 $2,884.91 $1,207.20 2026-07-15
26742 HCPCS Treat Finger Fracture, Each 8 7 $2,974.13 $2,528.01 $381.41 $2,884.91 $1,207.20 2026-07-15
25635 HCPCS Treat Wrist Fx 8 7 $2,974.13 $2,528.01 $476.70 $2,884.91 $1,207.20 2026-07-15
27552 HCPCS Treat Knee Dislocation 8 7 $2,974.13 $2,528.01 $500.00 $2,884.91 $1,207.20 2026-07-15
26645 HCPCS Treat Thumb Fracture 8 7 $2,974.13 $2,528.01 $441.51 $2,884.91 $1,207.20 2026-07-15
J2357 HCPCS Omalizumab 150 Mg Vial (Xolair) 7 6 $2,932.76 $2,492.85 $37.00 $2,844.78 $1,202.43 2026-07-15
47600 HCPCS Cholecystectomy 8 7 $1,750.95 $1,488.31 $717.89 $1,698.42 $1,193.85 2026-07-15
81420 HCPCS Qnatal Advanced 8 7 $2,935.50 $2,495.18 $333.98 $2,847.44 $1,191.53 2026-07-15
92960 HCPCS Cardiovertexternal 9 7 $2,902.75 $2,467.34 $148.88 $2,815.67 $1,190.13 2026-07-15
G0121 HCPCS Screening Colon Non High Ri 14 7 $2,215.99 $1,883.59 $330.67 $2,686.89 $1,187.89 2026-07-15
G0105 HCPCS Colonoscopy High Risk Mcr Disc Prcdr,distinct Service 16 7 $2,492.99 $2,119.04 $165.07 $2,686.89 $1,187.83 2026-07-15
74178 HCPCS CT Urogram 8 7 $2,920.00 $2,482.00 $339.68 $2,832.40 $1,185.23 2026-07-15
70548 HCPCS MRI Carotids W Con MRA 8 7 $2,915.00 $2,477.75 $247.49 $2,827.55 $1,183.20 2026-07-15
78451 HCPCS Nm Myocardial Spect Single 8 7 $2,470.15 $2,099.63 $303.89 $2,396.05 $1,181.37 2026-07-15
45384 HCPCS Colonoscopy W Removal Hot B 8 7 $2,372.81 $2,016.89 $471.68 $2,301.63 $1,179.75 2026-07-15
43250 HCPCS Upper Endo W Removal Hot Bx 8 7 $2,379.03 $2,022.18 $433.22 $2,307.66 $1,172.92 2026-07-15
J3262 HCPCS Tocilizumab 80 Mg / 4ml Vial 19 6 $2,835.41 $2,410.10 $5.85 $5,513.22 $1,162.52 2026-07-15
27266 HCPCS Treat Hip Dislocation 8 7 $2,825.42 $2,401.61 $500.00 $2,740.66 $1,146.84 2026-07-15
27257 HCPCS Treat Hip Dislocation 8 7 $2,825.42 $2,401.61 $351.55 $2,740.66 $1,146.84 2026-07-15
72196 HCPCS MRI Pelvis W Con 8 7 $2,800.00 $2,380.00 $269.45 $2,716.00 $1,136.52 2026-07-15
70552 HCPCS MRI Brain W Con 8 7 $2,795.00 $2,375.75 $271.72 $2,711.15 $1,134.49 2026-07-15
45380 HCPCS Colonoscopy W Bx One Or Mor 8 7 $2,292.78 $1,948.86 $419.48 $2,224.00 $1,130.89 2026-07-15
45330 HCPCS Sig.scope Flexible Diagnost 8 7 $2,408.50 $2,047.23 $183.80 $2,336.24 $1,123.75 2026-07-15
43239 HCPCS Upper Endo W Bx One Or More 8 7 $2,298.19 $1,953.46 $363.02 $2,229.24 $1,119.20 2026-07-15
70547 HCPCS MRI Carotids Wo Con MRA 8 7 $2,755.00 $2,341.75 $217.35 $2,672.35 $1,118.26 2026-07-15
74182 HCPCS MRI Abdomen W 8 7 $2,750.00 $2,337.50 $303.51 $2,667.50 $1,116.22 2026-07-15
49557 HCPCS Femoral Recurrent Incarcera Strangulated 8 7 $2,078.64 $1,766.84 $693.76 $2,016.28 $1,103.63 2026-07-15
21315 HCPCS Treatment Nose Fx Without Stablz 8 7 $2,703.75 $2,298.19 $152.03 $2,622.64 $1,097.45 2026-07-15
36561 HCPCS Ins Tunneled Cv Cath >5yo W Port 5+ Yrs 8 7 $2,249.52 $1,912.09 $360.65 $2,182.03 $1,096.82 2026-07-15
49565 HCPCS Ventral Recurrent Reducible 8 7 $1,863.42 $1,583.91 $764.00 $1,807.52 $1,083.98 2026-07-15
43270 HCPCS Upper Endo W Ablation Hot B 8 7 $2,027.81 $1,723.64 $696.34 $1,966.98 $1,081.53 2026-07-15
43255 HCPCS Upper Endo W Control Of Ble 8 7 $2,027.81 $1,723.64 $597.75 $1,966.98 $1,056.88 2026-07-15
28190 HCPCS Rmv Fbfoot;subq 8 7 $2,595.60 $2,206.26 $233.02 $2,517.73 $1,053.56 2026-07-15
20520 HCPCS Rmv Fbmuscletendonsimple 8 7 $2,595.60 $2,206.26 $214.18 $2,517.73 $1,053.56 2026-07-15
20103 HCPCS Explore Penet. Wound-extrem 8 7 $2,595.60 $2,206.26 $500.00 $2,517.73 $1,053.56 2026-07-15
74177 HCPCS CT Abdomen Pelvis W Con 8 7 $2,575.00 $2,188.75 $303.30 $2,497.75 $1,045.20 2026-07-15
74176 HCPCS CT Abdomen Pelvis Wo Con 8 7 $2,575.00 $2,188.75 $183.40 $2,497.75 $1,045.20 2026-07-15
44970 HCPCS Appendectomy 8 7 $2,007.26 $1,706.17 $580.48 $1,947.04 $1,043.37 2026-07-15
73223 HCPCS MRI Elbow Wwo Lt,left 24 7 $2,081.89 $1,769.61 $386.40 $3,029.67 $1,028.24 2026-07-15
73723 HCPCS MRI Ankle Wwo Lt,left 24 7 $2,178.45 $1,851.68 $385.39 $2,783.49 $1,023.08 2026-07-15
49521 HCPCS Inguinal Recurernt Incarcer Strangulated 8 7 $1,847.20 $1,570.12 $690.74 $1,791.78 $1,017.81 2026-07-15
73720 HCPCS MRI Extrmty Low Bilat,distinct Service 24 7 $2,081.89 $1,769.61 $338.00 $3,029.67 $1,016.14 2026-07-15
70551 HCPCS MRI Brain Wo Con 8 7 $2,500.00 $2,125.00 $196.85 $2,425.00 $1,014.75 2026-07-15
72142 HCPCS MRI Cervical Spine W Con 8 7 $2,500.00 $2,125.00 $276.25 $2,425.00 $1,014.75 2026-07-15
72149 HCPCS MRI Lumbar Spine W Con 8 7 $2,500.00 $2,125.00 $271.24 $2,425.00 $1,014.75 2026-07-15
74181 HCPCS MRI Abdomen Wo 8 7 $2,500.00 $2,125.00 $195.88 $2,425.00 $1,014.75 2026-07-15
43235 HCPCS Upper Gastro Endoscopy 8 7 $2,080.81 $1,768.69 $280.14 $2,018.39 $1,001.20 2026-07-15
27045 HCPCS Excision Hip Profee 8 7 $1,696.87 $1,442.34 $695.72 $1,645.96 $995.45 2026-07-15
45338 HCPCS Sig.scope W Snare Removal 8 7 $2,054.85 $1,746.62 $290.88 $1,993.20 $992.26 2026-07-15
43200 HCPCS Esophagus 8 7 $2,054.85 $1,746.62 $256.50 $1,993.20 $983.67 2026-07-15
C1781 HCPCS Kugel Hernia Patch Md 176 7 $1,636.86 $1,391.33 $236.68 $4,044.10 $977.36 2026-07-15
75820 HCPCS US Venogram Lower Ext Tech 8 7 $2,105.25 $1,789.46 $104.08 $2,042.09 $968.12 2026-07-15
45382 HCPCS Colonoscopy W Control Bleed 14 7 $2,372.81 $2,016.89 $281.40 $2,301.63 $963.12 2026-07-15
45005 HCPCS I&d Rectal Abscess 8 7 $2,368.49 $2,013.22 $312.90 $2,297.44 $961.37 2026-07-15
36582 HCPCS Port Replacement Tunneled 8 7 $1,945.62 $1,653.78 $312.11 $1,887.25 $961.26 2026-07-15
73220 HCPCS MRI Extrmty Up Bilat Mri,distinct Service 24 7 $1,816.92 $1,544.38 $410.70 $2,643.62 $960.78 2026-07-15
99291 HCPCS Critcare1st 30- 74min. 14 7 $2,763.23 $2,348.75 $233.13 $2,680.33 $960.11 2026-07-15
49520 HCPCS Inguinal Recurrent Reducibl 8 7 $1,795.29 $1,526.00 $610.47 $1,741.43 $956.01 2026-07-15
73222 HCPCS MRI Elbow W Con Lt,left 24 7 $1,892.63 $1,608.74 $312.41 $2,753.77 $954.57 2026-07-15
72133 HCPCS CT Lumbar Spine Wwo Con 8 7 $2,350.00 $1,997.50 $197.56 $2,279.50 $953.87 2026-07-15
72194 HCPCS CT Pelvis Wwo Con 8 7 $2,350.00 $1,997.50 $252.11 $2,279.50 $953.87 2026-07-15
71270 HCPCS CT Chest Wwo Con 8 7 $2,350.00 $1,997.50 $196.92 $2,279.50 $953.87 2026-07-15
72127 HCPCS CT Cervical Spine Wwo 8 7 $2,350.00 $1,997.50 $197.22 $2,279.50 $953.87 2026-07-15
72130 HCPCS CT Thoracic Spine Wwo Con 8 7 $2,350.00 $1,997.50 $199.56 $2,279.50 $953.87 2026-07-15
92950 HCPCS Cpr 8 7 $1,946.70 $1,654.70 $311.54 $1,888.30 $949.04 2026-07-15
64488 HCPCS Profee Tap Block By Inj, Bilateral 14 7 $1,341.06 $1,139.90 $65.73 $2,277.50 $943.41 2026-07-15
73719 HCPCS MRI Extrmty Low Bilat W,distinct Service 24 7 $1,892.63 $1,608.74 $263.68 $2,753.77 $942.38 2026-07-15
51010 HCPCS Aspbladwinsertsuprapubic 8 7 $1,822.33 $1,548.98 $500.00 $1,767.66 $940.49 2026-07-15
72141 HCPCS MRI Cervical Spine Wo Con 8 7 $2,300.00 $1,955.00 $190.85 $2,231.00 $933.57 2026-07-15
72146 HCPCS MRI Thoracic Spine Wo Con 8 7 $2,300.00 $1,955.00 $191.18 $2,231.00 $933.57 2026-07-15
72148 HCPCS MRI Lumbar Spine Wo Con 8 7 $2,300.00 $1,955.00 $191.51 $2,231.00 $933.57 2026-07-15
J1439 HCPCS Ferric Carboxymaltose 50mg/ml 15ml 7 6 $2,271.15 $1,930.48 $1.08 $2,203.02 $931.17 2026-07-15
93306 HCPCS Echocardiogram 8 7 $1,972.66 $1,676.76 $191.35 $1,913.48 $930.60 2026-07-15
49550 HCPCS Femoral Initial Reducible 8 7 $1,745.54 $1,483.71 $559.21 $1,693.17 $920.93 2026-07-15
49525 HCPCS Repair Bilat Ingl Hernia Sl,distinct Service 8 7 $1,277.25 $1,085.66 $523.67 $1,238.93 $919.36 2026-07-15
21300 HCPCS Treatskull Fx,w/oper 8 7 $1,766.09 $1,501.18 $500.00 $1,713.11 $915.33 2026-07-15
49505 HCPCS Profee Rep Initial Ingu Hernia Over 5 Yr 8 7 $1,745.54 $1,483.71 $506.46 $1,693.17 $907.74 2026-07-15
49555 HCPCS Femoral Recurrent Reducible 8 7 $1,699.04 $1,444.18 $584.00 $1,648.07 $906.32 2026-07-15
73722 HCPCS MRI Ankle W Lt,left 24 7 $1,665.51 $1,415.68 $314.08 $2,423.32 $899.90 2026-07-15
72195 HCPCS MRI Pelvis Wo Con 8 7 $2,200.00 $1,870.00 $228.93 $2,134.00 $892.98 2026-07-15
36569 HCPCS Picc Insert Wo Port/pump Wo Imag Guid <5 14 7 $1,066.36 $906.41 $89.01 $2,133.78 $883.87 2026-07-15
49553 HCPCS Femoral Initial Incarcerate Strangulated 8 7 $1,529.24 $1,299.85 $610.52 $1,483.36 $874.52 2026-07-15
70470 HCPCS CT Head Wwo Con 8 7 $2,150.00 $1,827.50 $173.86 $2,085.50 $872.68 2026-07-15
73725 HCPCS MRI Ex Low Wwo Lt,left 24 7 $1,514.10 $1,286.99 $338.54 $2,203.02 $869.31 2026-07-15
49507 HCPCS Inguinal Initial Incarcerat Strangulated 8 7 $1,623.33 $1,379.83 $568.08 $1,574.63 $868.46 2026-07-15
73219 HCPCS MRI Extrmty Up Bilat W Con Mri,distinct Service 24 7 $1,514.10 $1,286.99 $331.77 $2,203.02 $867.61 2026-07-15
32554 HCPCS Thoracentisis 8 7 $2,132.72 $1,812.81 $225.21 $2,068.74 $865.67 2026-07-15
73718 HCPCS MRI Extrmty Low Bilat Wo Mri,distinct Service 24 7 $1,609.27 $1,367.88 $223.48 $2,341.49 $863.62 2026-07-15
49083 HCPCS Paracentesis Ultrasound Guided 8 7 $2,124.93 $1,806.19 $281.78 $2,061.18 $862.51 2026-07-15
73221 HCPCS MRI Elbow Wo Lt,left 24 7 $1,616.07 $1,373.66 $204.38 $2,760.51 $860.49 2026-07-15
73721 HCPCS MRI Ankle Wo Lt,left 24 7 $1,616.07 $1,373.66 $204.05 $2,298.93 $860.41 2026-07-15
25535 HCPCS Treat Fx Ulna W Manip 8 7 $2,090.00 $1,776.50 $500.00 $2,027.30 $848.33 2026-07-15
74174 HCPCS CT CTA Abd And Pelvis 8 7 $2,081.89 $1,769.61 $381.85 $2,019.43 $845.04 2026-07-15
62311 HCPCS Epidural Lumbar Sacral 8 7 $1,595.21 $1,355.93 $500.00 $1,547.35 $838.86 2026-07-15
Q5107 HCPCS Bevacizumab-awwb 400mg/16mL Vial 13 6 $3,462.10 $2,942.79 $28.16 $3,358.24 $835.75 2026-07-15
45333 HCPCS Sig.scope W Hot Bx Rmv 8 7 $1,689.85 $1,436.37 $316.92 $1,639.15 $835.44 2026-07-15
93307 HCPCS Echocardiogram Echo 8 7 $1,786.05 $1,518.14 $133.52 $1,732.47 $832.64 2026-07-15
A9539 HCPCS Nm Dtpa Renal Imaging Static 26 7 $950.64 $808.04 $370.67 $2,009.99 $831.43 2026-07-15
27562 HCPCS Treat Kneecap Dislocation 8 7 $2,045.00 $1,738.25 $492.36 $1,983.65 $830.07 2026-07-15
J0585 HCPCS Botox ( Botulinum Type A) 200 Units Vial 19 6 $1,601.65 $1,361.40 $6.34 $3,152.41 $826.76 2026-07-15
45331 HCPCS Sig.flexible W Bx One Or Mo 8 7 $1,689.85 $1,436.37 $277.95 $1,639.15 $825.69 2026-07-15
A9541 HCPCS Nm Sulfur Coll Liverspl Spec 20 7 $1,102.05 $936.74 $384.14 $1,959.63 $820.01 2026-07-15
52287 HCPCS Cystourethroscopy W Injection For 8 7 $1,630.00 $1,385.50 $358.60 $1,581.10 $819.08 2026-07-15
78315 HCPCS Nm Bone 3 Phase Technique 8 7 $1,655.00 $1,406.75 $308.33 $1,605.35 $817.69 2026-07-15
71275 HCPCS CT CTA Chest 8 7 $1,990.99 $1,692.34 $283.20 $1,931.26 $808.14 2026-07-15
64999 HCPCS Profee Unlisted Proc Nervous System 14 7 $1,164.80 $990.08 $436.98 $1,129.86 $798.94 2026-07-15
M0247 HCPCS Infusion, Sotrovimab 8 7 $1,158.75 $984.94 $465.59 $1,123.99 $794.79 2026-07-15
M0245 HCPCS Infusion, Bamlanivimab-xxxx, 700 Mg 8 7 $1,158.75 $984.94 $465.59 $1,123.99 $794.79 2026-07-15
78227 HCPCS Nm Hepatoductal Sys Gb W Cck 8 7 $1,541.14 $1,309.97 $387.87 $1,494.91 $786.63 2026-07-15
70546 HCPCS MRI MRA Brain Wwo Con 8 7 $1,773.66 $1,507.61 $332.23 $1,720.45 $781.10 2026-07-15
70543 HCPCS MRI Orbits/neck/face Wwo 8 7 $1,773.66 $1,507.61 $340.00 $1,720.45 $781.10 2026-07-15
72129 HCPCS CT Thoracic Spine W Con 8 7 $1,920.00 $1,632.00 $170.59 $1,862.40 $779.33 2026-07-15
72126 HCPCS CT Cervical Spine W Con 8 7 $1,920.00 $1,632.00 $168.99 $1,862.40 $779.33 2026-07-15
72132 HCPCS CT Lumbar Spine W Con 8 7 $1,920.00 $1,632.00 $169.67 $1,862.40 $779.33 2026-07-15
71260 HCPCS CT Chest W Con 8 7 $1,915.00 $1,627.75 $167.41 $1,857.55 $777.30 2026-07-15
66984 HCPCS Profee Cataract Surgery,distinct Service 8 7 $1,660.00 $1,411.00 $104.80 $1,610.20 $769.05 2026-07-15
62322 HCPCS Profee Inj Lumbar/sacral Wo Imag Guid 14 7 $1,164.80 $990.08 $85.97 $1,851.58 $766.98 2026-07-15
74185 HCPCS MRI Abdomen W Or Wo MRA 8 7 $1,676.33 $1,424.88 $338.57 $1,626.04 $761.15 2026-07-15
88309 HCPCS Level Vi Surgical Path 8 7 $1,462.62 $1,243.23 $424.03 $1,418.74 $760.53 2026-07-15
71552 HCPCS MRI Chest Wwo Con MRI 8 7 $1,665.51 $1,415.68 $471.89 $1,615.54 $758.93 2026-07-15
71555 HCPCS MRI MRA Chest W Or Wo Con 8 7 $1,665.51 $1,415.68 $334.69 $1,615.54 $758.93 2026-07-15
31603 HCPCS Trach,emerproc 8 7 $1,865.59 $1,585.75 $301.36 $1,809.62 $757.24 2026-07-15
72193 HCPCS CT Pelvis W Con 8 7 $1,865.00 $1,585.25 $228.16 $1,809.05 $757.00 2026-07-15
78220 HCPCS Nm Liver Function Complete 8 7 $1,102.05 $936.74 $442.80 $1,068.99 $755.89 2026-07-15
43242 HCPCS Egd US Fine Needle Bx Aspir 8 7 $1,538.97 $1,308.12 $248.01 $1,492.80 $750.69 2026-07-15
J9202 HCPCS Zoladex Implant 3.6mg 8 7 $1,174.97 $998.72 $472.11 $1,139.72 $747.46 2026-07-15
70540 HCPCS MRI Orbits/neck/face Wo Con 8 7 $1,609.27 $1,367.88 $226.82 $1,560.99 $747.40 2026-07-15
70544 HCPCS MRI MRA Brain Wo Con 8 7 $1,609.27 $1,367.88 $216.69 $1,560.99 $747.40 2026-07-15
43248 HCPCS Upper Endo.w Dil Over G-wir 14 7 $1,838.55 $1,562.77 $181.12 $1,783.39 $746.27 2026-07-15
43247 HCPCS Egd With Reoval Of Foreign 14 7 $1,838.55 $1,562.77 $192.36 $1,783.39 $746.27 2026-07-15
72125 HCPCS CT Cervical Spine Wo Con 8 7 $1,825.00 $1,551.25 $130.40 $1,770.25 $740.76 2026-07-15
62270 HCPCS Spinal Puncture, Lumbar, Diagnostic 9 7 $1,806.11 $1,535.19 $142.45 $1,751.93 $740.51 2026-07-15
A9538 HCPCS Nm Pyp Myocard Pyp Qual Quant 8 7 $1,068.52 $908.24 $429.33 $1,036.46 $732.89 2026-07-15
71551 HCPCS MRI Chest W Con MRI 8 7 $1,514.10 $1,286.99 $375.60 $1,468.68 $727.89 2026-07-15
70450 HCPCS CT Head Wo Con 8 7 $1,780.00 $1,513.00 $106.92 $1,726.60 $722.50 2026-07-15
70460 HCPCS CT Head W Con 8 7 $1,780.00 $1,513.00 $148.76 $1,726.60 $722.50 2026-07-15
71250 HCPCS CT Chest Wo Con 8 7 $1,780.00 $1,513.00 $133.22 $1,726.60 $722.50 2026-07-15
11045 HCPCS Debrideskin/tis> 20sqcm 7 6 $1,779.07 $1,512.21 $38.50 $1,725.70 $714.83 2026-07-15
72192 HCPCS CT Pelvis Wo Con 8 7 $1,760.00 $1,496.00 $133.20 $1,707.20 $714.38 2026-07-15
72131 HCPCS CT Lumbar Spine Wo Con 8 7 $1,760.00 $1,496.00 $129.73 $1,707.20 $714.38 2026-07-15
78306 HCPCS Nm Bone Imaging Whole Body 8 7 $1,445.00 $1,228.25 $262.57 $1,401.65 $712.28 2026-07-15
99285 HCPCS ER Level 5 14 7 $2,276.30 $1,934.86 $165.45 $2,208.01 $711.93 2026-07-15
15851 HCPCS Remove Sutures With Anesthesi Placed By Di 7 6 $1,767.48 $1,502.36 $54.58 $1,714.46 $710.18 2026-07-15
72128 HCPCS CT Thoracic Spine Wo Con 8 7 $1,745.00 $1,483.25 $130.07 $1,692.65 $708.30 2026-07-15
78454 HCPCS Nm Myocardial Muga Multi 8 7 $1,345.18 $1,143.40 $388.10 $1,304.82 $698.99 2026-07-15
49587 HCPCS Umbilical Incarcerated Strangulated 8 7 $1,227.50 $1,043.38 $481.00 $1,190.68 $694.50 2026-07-15
45386 HCPCS Colonoscopy W Transendoscop Balloon Dila 8 7 $1,407.03 $1,195.98 $231.15 $1,364.82 $690.76 2026-07-15
78226 HCPCS Nm Hepatoductal Sys Gb Wo Cck 8 7 $1,377.56 $1,170.93 $288.78 $1,336.23 $688.65 2026-07-15
78582 HCPCS Nm Ventilation And Perfusion 8 7 $1,372.42 $1,166.56 $294.65 $1,331.25 $687.82 2026-07-15
49572 HCPCS Epigastric Incarcerated/str 8 7 $1,103.13 $937.66 $452.28 $1,070.04 $680.51 2026-07-15
93970 HCPCS US Venous Insufficiency Bilateral 8 7 $1,412.71 $1,200.80 $183.02 $1,370.33 $677.94 2026-07-15
78708 HCPCS Nm Renal Flow & Func. Single W/pharm 8 7 $1,415.00 $1,202.75 $173.54 $1,372.55 $676.60 2026-07-15
49585 HCPCS Profee Rep Umbilical Hernia Over 5 Yrs 8 7 $1,227.50 $1,043.38 $450.50 $1,190.68 $669.33 2026-07-15
78453 HCPCS Nm Myocardial Muga Single 8 7 $1,345.18 $1,143.40 $262.03 $1,304.82 $667.47 2026-07-15
78709 HCPCS Nm Renal Flow & Func. Multi W/wo Pharm 8 7 $1,307.27 $1,111.18 $329.06 $1,268.05 $667.27 2026-07-15
78070 HCPCS Nm Parathyroid Imaging 8 7 $1,339.00 $1,138.15 $263.32 $1,298.83 $665.03 2026-07-15
32555 HCPCS Thoracentesis, Needle Or Cath W IM 8 7 $1,623.57 $1,380.03 $302.02 $1,574.86 $659.00 2026-07-15
A9560 HCPCS Nm Ultra Tag Gastroint Blood L (isotope) 14 7 $956.05 $812.64 $384.14 $1,036.46 $655.75 2026-07-15
62273 HCPCS Inj, Epi, Of Blood Or Clot 14 7 $1,595.21 $1,355.93 $124.87 $1,547.35 $647.50 2026-07-15
64450 HCPCS Injection(s), Anesthetic Agent, Steroir; 7 6 $1,609.41 $1,368.00 $72.53 $1,561.13 $646.66 2026-07-15
93880 HCPCS US Carotid Doppler Bilat 8 7 $1,336.68 $1,136.18 $185.81 $1,296.58 $644.62 2026-07-15
70336 HCPCS MRI Tmj Wo Con 8 7 $1,286.99 $1,093.94 $263.21 $1,248.38 $641.73 2026-07-15
73201 HCPCS CT Elbow W Con Bilateral,distinct Service 34 7 $1,589.81 $1,351.34 $200.79 $1,542.12 $638.78 2026-07-15
45398 HCPCS Colonoscopy W Band Ligation 8 7 $1,051.22 $893.54 $255.48 $1,019.68 $637.58 2026-07-15
74170 HCPCS CT Abdomen Wwo Con 8 7 $1,561.69 $1,327.44 $260.80 $1,514.84 $633.88 2026-07-15
78704 HCPCS Nm Renal Imaging Function 8 7 $922.52 $784.14 $370.67 $894.84 $632.75 2026-07-15
46280 HCPCS Ana Fistula 8 7 $1,045.81 $888.94 $428.78 $1,014.44 $632.48 2026-07-15
76498 HCPCS MRI Incomplete Exam 8 7 $919.28 $781.39 $369.36 $891.70 $630.53 2026-07-15
70482 HCPCS CT Head Neck Face Wwo Con 13 7 $936.58 $796.09 $210.92 $1,455.00 $602.70 2026-07-15
43760 HCPCS Change Gastrostomy Tube 8 7 $1,017.69 $865.04 $408.90 $987.16 $601.98 2026-07-15
93925 HCPCS US Ex Low Art Bi Duplex 8 7 $1,210.20 $1,028.67 $234.47 $1,173.89 $600.18 2026-07-15
78264 HCPCS Nm Gastric Emptying Study 8 7 $1,168.00 $992.80 $294.64 $1,132.96 $596.34 2026-07-15
26725 HCPCS Treat Finger Fracture, Each 8 7 $1,455.00 $1,236.75 $351.07 $1,411.35 $590.59 2026-07-15
24200 HCPCS Removalfbupperarm 8 7 $1,449.21 $1,231.83 $219.36 $1,405.73 $588.24 2026-07-15
73700 HCPCS CT Extrmty Low Bil Wo Con Ct,distinct Service 39 7 $1,073.26 $912.27 $130.07 $1,561.59 $585.57 2026-07-15
A9540 HCPCS Nm Maa Pulmonary Perfusion (isotope) 14 7 $843.57 $717.03 $338.94 $1,331.25 $578.60 2026-07-15
78587 HCPCS Nm Pulmonary Ventilation 8 7 $843.57 $717.03 $338.94 $818.26 $578.60 2026-07-15
A9567 HCPCS Nm Dtpa Aerosol Pulm Vent (isotope) 14 7 $843.57 $717.03 $338.94 $1,331.25 $578.60 2026-07-15
74160 HCPCS CT Abdomen W Con 8 7 $1,420.01 $1,207.01 $231.94 $1,377.41 $576.38 2026-07-15
70492 HCPCS CT Neck Soft Tissue Wwo Con 8 7 $1,420.01 $1,207.01 $221.35 $1,377.41 $576.38 2026-07-15
70498 HCPCS CT CTA Neck 8 7 $1,420.01 $1,207.01 $277.44 $1,377.41 $576.38 2026-07-15
75635 HCPCS CT CTA Abdomen/pelvis Runoff 8 7 $1,420.01 $1,207.01 $412.94 $1,377.41 $576.38 2026-07-15
70496 HCPCS CT CTA Head 8 7 $1,420.01 $1,207.01 $277.77 $1,377.41 $576.38 2026-07-15
74175 HCPCS CT CTA Abdomen 8 7 $1,420.01 $1,207.01 $307.24 $1,377.41 $576.38 2026-07-15
93975 HCPCS US Renal Artery 8 7 $1,140.98 $969.83 $258.18 $1,106.75 $575.13 2026-07-15
64635 HCPCS Profee Anest Dest W Img Lub Or Sac Singl 8 7 $1,164.80 $990.08 $213.66 $1,129.86 $574.66 2026-07-15
27816 HCPCS Treatment Of Ankle Fracture 8 7 $1,405.00 $1,194.25 $340.80 $1,362.85 $570.29 2026-07-15
49082 HCPCS Ab Paracentesis 20 7 $869.00 $738.65 $203.57 $1,363.77 $564.91 2026-07-15
G0332 HCPCS IV Ig Pre-administration 8 7 $820.86 $697.73 $329.82 $796.23 $563.02 2026-07-15
94002 HCPCS Profee Ventilation Ip/obs Initial Day 20 7 $1,378.84 $1,172.01 $86.81 $2,498.85 $559.66 2026-07-15
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