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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

PAGOSA SPRINGS MEDICAL CENTER

Pagosa Springs, CO · CCN 061328 · Rates published

1,818 distinct procedures filed
21 distinct payers
93,731 rate rows
2026-11-06 last MRF observed
Data quality

93,033 of 93,731 rate rows are consumer-grade (99.3%)

698 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
placeholder amount (≤ $0.02) — excluded from medians 579
exceeds 10× this hospital's gross charge — excluded from medians 99
percent-of-charges filed in the dollar field — excluded from medians 16
per-diem day rate — not a per-procedure price 4
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://pagosaspringsmedicalcenter.pg.revenuemasters.com/cdm-files/840866061_pagosa-springs-medical-center_standardcharges.csv
Found on page https://pagosaspringsmedicalcenter.pg.revenuemasters.com/disclaimer?
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-11-10
Content fingerprint 71c063b74e1c310a… · 13,441,236 bytes · first seen 2026-11-06

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
J9309
HCPCS 		27517827 3 $10,464.51 $10,464.51 $10,464.51 nat. median
$4,472
outlier · 2.3×
32550
HCPCS 		32550 Insertion Of Indwelling Tunneled Pleural Catheter W/cu 21 $1,255.34 $10,495.51 $8,396.40 nat. median
$4,095
outlier · 2.1×
36585
HCPCS 		36585 Replacement, Complete, Of A Picc, With Subcu 21 $1,482.03 $10,050.91 $7,934.93 nat. median
$3,330
outlier · 2.4×
12037
HCPCS 		Repair, Intermediate, Wounds Of Scalp, Axillae, Trunk And/or 21 $495.45 $9,863.19 $7,838.64 nat. median
$1,946
outlier · 4.0×
26951
HCPCS 		26951 - Amputation Finger Or Thumb, Primary Or Secondary; Wi 21 $1,745.37 $9,078.77 $7,215.24 nat. median
$3,320
outlier · 2.2×
27831
HCPCS 		27831 Closed Treatment Of Proximal Tibiofibular Joint Disloc 21 $585.43 $8,583.73 $6,866.98 nat. median
$3,207
outlier · 2.1×
26418
HCPCS 		26418 Rpair Xt Tendon, Finger 21 $1,745.37 $8,583.73 $6,821.81 nat. median
$2,007
outlier · 3.4×
J1932
HCPCS 		27584984 21 $3,102.01 $10,334.10 $6,794.88 nat. median
$112
outlier · 60.6×
J2323
HCPCS 		7397159 3 $6,794.12 $6,794.12 $6,794.12 nat. median
$252
outlier · 27.0×
27372
HCPCS 		27372 - Removal Of Foreign Body Deep, Thigh Or Knee 21 $2,299.05 $8,184.63 $6,504.62 nat. median
$3,037
outlier · 2.1×
59409
HCPCS 		59409 Delivery 21 $2,827.44 $7,340.84 $5,872.67 nat. median
$3,147
1.9× median
59414
HCPCS 		59414 Delivery Of Placenta 21 $2,499.58 $7,340.84 $5,872.67 nat. median
$2,850
outlier · 2.1×
J9360
HCPCS 		26175250 21 $2,419.34 $6,235.42 $5,300.11 nat. median
$78
outlier · 68.2×
54700
HCPCS 		54700 Drainage Of Scrotum 21 $1,854.88 $5,968.47 $4,774.78 nat. median
$2,363
outlier · 2.0×
12047
HCPCS 		Repair, Intermediate, Wounds Of Neck, Hands, Feet, And/or Ex 21 $495.45 $5,621.72 $4,467.79 nat. median
$1,821
outlier · 2.5×
38222
HCPCS 		Bone Marrow Biopsy And Aspiration 21 $1,565.59 $5,547.62 $4,438.10 nat. median
$2,804
1.6× median
20220
HCPCS 		20220 - Bone Biopsy Trocar/needle Charge 21 $832.16 $5,417.19 $4,276.73 nat. median
$1,689
outlier · 2.5×
32400
HCPCS 		32400 - Needle Biopsy Chest Linin Charge 21 $1,255.34 $5,416.24 $4,275.98 nat. median
$1,689
outlier · 2.5×
38220
HCPCS 		38220 Marrow Aspiration Only 21 $1,499.55 $5,233.46 $4,186.76 nat. median
$1,651
outlier · 2.5×
38221
HCPCS 		38221 - Bone Marrow Biops Ndl Charge 21 $1,499.55 $5,233.46 $4,186.76 nat. median
$1,668
outlier · 2.5×
19020
HCPCS 		19020 Mastotomy With Exploration Or Drainage Of Abscess, Dee 21 $1,499.55 $5,064.45 $4,051.56 nat. median
$1,978
outlier · 2.0×
23575
HCPCS 		23575 Closed Treatment Of Scapular Fracture; With Manipulati 21 $585.43 $4,752.28 $3,801.82 nat. median
$1,653
outlier · 2.3×
27502
HCPCS 		27502 Clsd Tx Fx Fem W/manip 21 $585.43 $4,752.28 $3,801.82 nat. median
$1,993
1.9× median
23505
HCPCS 		23505 Closed Treatment Of Clavicular Fracture; With Manipula 21 $585.43 $4,752.28 $3,801.82 nat. median
$1,615
outlier · 2.4×
27503
HCPCS 		27503- Closed Treatment Of Supracondylar Or Transcondylar Fe 21 $585.43 $4,748.29 $3,798.63 nat. median
$1,765
outlier · 2.2×
28192
HCPCS 		28192 Remov Of Foot Foreign B-d 21 $1,499.55 $4,745.35 $3,796.28 nat. median
$1,840
outlier · 2.1×
28193
HCPCS 		28193 Remov Of Foot Foreign B-c 21 $1,499.55 $4,745.35 $3,771.31 nat. median
$1,880
outlier · 2.0×
20520
HCPCS 		20520 - Foreign Body Removal Muscle/tendon Sheath Charge 21 $1,499.55 $4,745.35 $3,771.31 nat. median
$1,531
outlier · 2.5×
33016
HCPCS 		33016 - Pericardiocentesis, Including Imaging Guidance 21 $1,255.34 $4,642.65 $3,714.12 nat. median
$2,000
1.9× median
47000
HCPCS 		47000 - Bx Liver, Needle Perq Charge 21 $973.95 $4,617.00 $3,693.60 nat. median
$1,802
outlier · 2.0×
19081
HCPCS 		Ma Stereotactic Biopsy Bil. 21 $1,499.55 $4,576.44 $3,661.15 nat. median
$2,183
1.7× median
20225
HCPCS 		20225 - Bone Biopsy Trocar/ndl Dp Charge 21 $1,499.55 $4,576.44 $3,661.15 nat. median
$1,951
1.9× median
43262
HCPCS 		43262 Endo Cholangiopancreatogr Charge 21 $1,889.29 $4,625.84 $3,651.98 nat. median
$4,026
0.9× median
23665
HCPCS 		23665 Closed Treatment Of Shoulder Dislocation, With Fractur 21 $585.43 $4,560.95 $3,648.76 nat. median
$1,609
outlier · 2.3×
10121
HCPCS 		10121 Incision And Removal Foreign Body, Subcut; Complicated 21 $1,499.55 $4,516.11 $3,612.89 nat. median
$1,662
outlier · 2.2×
27825
HCPCS 		27825 Closed Tx Of Fx Of Weight Bearing Articular Portion Of 21 $585.43 $4,532.93 $3,602.49 nat. median
$1,926
1.9× median
32408
HCPCS 		32408 - Core Needle Biopsy, Lung Or Mediastinum, Percutaneou 21 $1,255.34 $4,467.28 $3,573.82 nat. median
$2,043
1.7× median
26011
HCPCS 		26011 Drng Finger Abscess, Comp 21 $1,446.80 $4,353.09 $3,482.47 nat. median
$1,688
outlier · 2.1×
27762
HCPCS 		27762 - Closed Treatment Of Medial Malleolus Fracture; With 21 $585.43 $4,336.37 $3,469.10 nat. median
$1,842
1.9× median
27266
HCPCS 		27266 Closed Treatment Of Post Hip Arthroplasty Dislocation; 21 $1,300.94 $4,336.37 $3,469.10 nat. median
$2,032
1.7× median
24505
HCPCS 		24505 Closed Treatment Of Humeral Shaft Fracture; With Manip 21 $585.43 $4,284.98 $3,427.98 nat. median
$1,628
outlier · 2.1×
23605
HCPCS 		23605 Closed Treatment Of Proximal Humeral Fracture; With Ma 21 $585.43 $4,284.98 $3,427.98 nat. median
$1,853
1.9× median
25635
HCPCS 		25635 Clo Tx Carpal With Manip 21 $585.43 $4,284.98 $3,427.98 nat. median
$1,638
outlier · 2.1×
24620
HCPCS 		24620 Closed Treatment Of Monteggia Type Of Fracture Disloca 21 $585.43 $4,284.98 $3,427.98 nat. median
$2,000
1.7× median
25624
HCPCS 		25624 Clsd Tx Wrist Fx W/manip 21 $585.43 $4,284.98 $3,427.98 nat. median
$1,759
1.9× median
26742
HCPCS 		26742 Treat Finger Fracture Eac 21 $585.43 $4,284.98 $3,427.98 nat. median
$1,600
outlier · 2.1×
26705
HCPCS 		26705 Treat Knuckle Dislocation 21 $1,300.94 $4,284.98 $3,427.98 nat. median
$1,670
outlier · 2.1×
24675
HCPCS 		24675 Closed Treatment Of Ulnar Fracture, Proximal End 21 $585.43 $4,284.98 $3,427.98 nat. median
$1,648
outlier · 2.1×
25565
HCPCS 		25565 - Closed Treatment Of Radial Shaft Fracture W Manipula 21 $585.43 $4,284.98 $3,427.98 nat. median
$1,648
outlier · 2.1×
25690
HCPCS 		25690 Cld Tx With Mani Lunate 21 $585.43 $4,284.98 $3,427.98 nat. median
$1,991
1.7× median

Other procedures at this hospital

Browse this hospital's 1,818 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
             
0684 RC — 42 21 $3,708.65 $2,966.92 $829.97 $5,278.20 $2,139.10 2026-11-06
0360 RC — 63 21 $2,498.50 $1,998.80 20% off $140.73 $2,860.00 $1,978.81 2026-11-06
0279 RC — 42 21 $2,191.65 $1,753.32 $788.61 $2,350.80 $1,845.54 2026-11-06
0540 RC — 147 21 $1,927.00 $1,541.60 20% off $1.14 $2,948.00 $1,575.05 2026-11-06
0483 RC — 42 21 $1,828.45 $1,462.76 20% off $558.56 $2,217.30 $1,439.60 2026-11-06
0120 RC — 34 17 $1,325.00 $1,060.00 20% off $948.00 $1,386.00 $1,224.10 2026-11-06
0361 RC — 147 21 $1,271.00 $1,016.80 20% off $244.13 $2,888.00 $1,080.35 2026-11-06
0335 RC — 21 21 $1,060.20 $848.16 20% off $411.36 $1,060.20 $901.17 2026-11-06
10005 HCPCS 10005 Fine Needle Aspiration Biopsy, Ultrasound Guidance Fir 21 21 $2,041.50 $1,633.20 20% off $648.97 $1,939.43 $1,551.54 2026-11-06
10006 HCPCS 10006 Fine Needle Aspiration Biopsy, Including Ultrasound Gu 21 21 $1,020.70 $816.56 20% off $396.03 $1,020.70 $832.16 2026-11-06
10007 HCPCS 10007 Fine Needle Aspiration Biopsy, Including Fluoroscopic 21 21 $2,041.50 $1,633.20 20% off $648.97 $1,939.43 $1,551.54 2026-11-06
10008 HCPCS 10008 Fine Needle Aspiration Biopsy, Including Fluoroscopic 21 21 $1,020.75 $816.60 20% off $396.05 $1,020.75 $832.16 2026-11-06
10009 HCPCS 10009 Fine Needle Aspiration Biopsy, Including CT Guidance; 21 21 $2,041.50 $1,633.20 20% off $648.97 $1,939.43 $1,551.54 2026-11-06
10010 HCPCS 10010 Fine Needle Aspiration Biopsy, Including CT Guidance; 21 21 $1,020.75 $816.60 20% off $396.05 $1,020.75 $832.16 2026-11-06
10011 HCPCS 10011 Fine Needle Aspiration Biopsy, Including Mr Guidance; 21 21 $2,041.50 $1,633.20 20% off $648.97 $1,939.43 $1,551.54 2026-11-06
10012 HCPCS 10012 Fine Needle Aspiration Biopsy, Including Mr Guidance; 21 21 $2,041.50 $1,633.20 20% off $792.10 $2,041.50 $1,616.87 2026-11-06
10121 HCPCS 10121 Incision And Removal Foreign Body, Subcut; Complicated 21 21 $4,753.80 $3,803.04 20% off $1,499.55 $4,516.11 $3,612.89 2026-11-06
10140 HCPCS 10140 Incision And Drainage Of Hematoma, Seroma Or Fluid Col 39 21 $4,898.40 $3,918.72 20% off $370.58 $4,653.48 $1,446.80 2026-11-06
11770 HCPCS 11770 - Excision Of Pilonidal Cyst Or Sinus, Simple 39 21 $8,421.90 $6,737.52 $370.73 $8,000.81 $1,514.15 2026-11-06
12021 HCPCS 12021 Treatment Of Superficial Wound Dehiscence; With Packin 21 21 $1,212.60 $970.08 $373.07 $1,151.97 $921.58 2026-11-06
13100 HCPCS 13100 Repair, Complex, Trunk; 1.1 Cm To 2.5 Cm 37 21 $2,270.30 $1,816.24 20% off $370.73 $2,156.79 $880.88 2026-11-06
13101 HCPCS 13101 Repair, Complex, Trunk; 2.6 Cm To 7.5 Cm 21 21 $1,361.60 $1,089.28 $528.30 $1,293.52 $1,034.82 2026-11-06
13120 HCPCS 13120 Cmplx Rpr S/a/l 1.1-2.5 Cm 21 21 $1,913.60 $1,530.88 $580.95 $1,817.92 $1,454.34 2026-11-06
13121 HCPCS 13121 - Repr Cpx Arms/legs2.6-7.5 Charge 21 21 $1,521.50 $1,217.20 20% off $580.95 $1,445.43 $1,156.34 2026-11-06
13131 HCPCS 13131 - Rep Cpx Forehd/chin 1.1-2 Charge 21 21 $1,370.70 $1,096.56 20% off $373.07 $1,302.17 $1,041.73 2026-11-06
13132 HCPCS 13132 - Rep Cpx Forehd/chin 2.6-7 Charge 21 21 $1,626.60 $1,301.28 20% off $580.95 $1,545.27 $1,236.22 2026-11-06
13151 HCPCS 13151 Cmplx Rpr E/n/e/l 1.1-2.5 Cm 21 21 $1,497.60 $1,198.08 20% off $580.95 $1,422.72 $1,138.18 2026-11-06
13152 HCPCS 13152 Cmplx Rpr E/n/e/l 2.6-7.5 Cm 21 21 $1,698.30 $1,358.64 $580.95 $1,613.39 $1,290.71 2026-11-06
19020 HCPCS 19020 Mastotomy With Exploration Or Drainage Of Abscess, Dee 21 21 $5,331.00 $4,264.80 $1,499.55 $5,064.45 $4,051.56 2026-11-06
19083 HCPCS 19083 US Breast Bx With Clip Placement, Lt; First Lesion 21 21 $2,698.10 $2,158.48 $1,046.86 $2,563.20 $2,050.56 2026-11-06
19084 HCPCS 19084 Breast Biopsy W/placement Of Device And Imaging Of Spe 21 21 $1,396.70 $1,117.36 20% off $541.92 $1,843.84 $1,187.20 2026-11-06
19120 HCPCS 19120 Excision Of Cyst, Fibroadenoma, Or Other Benign Or Mal 21 21 $1,488.80 $1,191.04 20% off $370.73 $1,843.84 $1,265.48 2026-11-06
20220 HCPCS 20220 - Bone Biopsy Trocar/needle Charge 21 21 $5,702.30 $4,561.84 20% off $832.16 $5,417.19 $4,276.73 2026-11-06
20225 HCPCS 20225 - Bone Biopsy Trocar/ndl Dp Charge 21 21 $4,817.30 $3,853.84 20% off $1,499.55 $4,576.44 $3,661.15 2026-11-06
20520 HCPCS 20520 - Foreign Body Removal Muscle/tendon Sheath Charge 22 21 $4,995.10 $3,996.08 20% off $1,499.55 $4,745.35 $3,771.31 2026-11-06
20606 HCPCS 20606 - Arthrocent, Asp/inj, Intermediate Joint W/us 21 21 $2,077.00 $1,661.60 20% off $644.34 $1,973.15 $1,578.52 2026-11-06
20680 HCPCS 20680 - Extremity Removal Of Implant Deep 21 21 $1,742.80 $1,394.24 20% off $370.73 $3,172.22 $1,481.38 2026-11-06
21011 HCPCS 21011 Excision Tumor Soft Tissue Of Face Or Scalp Subcutaneous, Less Than 2 Cm 21 21 $1,089.70 $871.76 20% off $370.73 $2,299.05 $926.25 2026-11-06
21931 HCPCS 21931 - Exc Back Les Sc 3 Cm/> Charge 21 21 $1,327.90 $1,062.32 20% off $370.73 $2,299.05 $1,128.72 2026-11-06
23330 HCPCS 23330 Removal Of Foreign Body, Shoulder; Subcutaneous 21 21 $2,112.20 $1,689.76 $819.53 $2,299.05 $1,795.37 2026-11-06
23505 HCPCS 23505 Closed Treatment Of Clavicular Fracture; With Manipula 21 21 $5,002.40 $4,001.92 $585.43 $4,752.28 $3,801.82 2026-11-06
23575 HCPCS 23575 Closed Treatment Of Scapular Fracture; With Manipulati 21 21 $5,002.40 $4,001.92 $585.43 $4,752.28 $3,801.82 2026-11-06
23600 HCPCS 23600 Closed Treatment Of Proximal Humeral Fracture; Without 37 21 $1,178.20 $942.56 20% off $207.01 $1,119.29 $844.22 2026-11-06
23605 HCPCS 23605 Closed Treatment Of Proximal Humeral Fracture; With Ma 21 21 $4,510.50 $3,608.40 20% off $585.43 $4,284.98 $3,427.98 2026-11-06
23625 HCPCS 23625 Closed Treatment Of Greater Humeral Tuberosity Frac 21 21 $1,575.60 $1,260.48 $585.43 $1,496.82 $1,247.88 2026-11-06
23665 HCPCS 23665 Closed Treatment Of Shoulder Dislocation, With Fractur 21 21 $4,801.00 $3,840.80 $585.43 $4,560.95 $3,648.76 2026-11-06
24200 HCPCS 24200 Removal Of Foreign Body, Upper Arm Or Elbow Area; Subc 39 21 $4,493.80 $3,595.04 20% off $370.73 $4,269.11 $1,743.59 2026-11-06
24505 HCPCS 24505 Closed Treatment Of Humeral Shaft Fracture; With Manip 21 21 $4,510.50 $3,608.40 20% off $585.43 $4,284.98 $3,427.98 2026-11-06
24535 HCPCS 24535 Closed Treatment Of Supracondylar Or Transcondylar Hum 21 21 $4,510.50 $3,608.40 20% off $585.43 $4,284.98 $3,427.98 2026-11-06
24620 HCPCS 24620 Closed Treatment Of Monteggia Type Of Fracture Disloca 21 21 $4,510.50 $3,608.40 20% off $585.43 $4,284.98 $3,427.98 2026-11-06
24655 HCPCS 24655 Closed Treatment Of Radial Head Or Neck Fracture; With 21 21 $2,126.80 $1,701.44 20% off $585.43 $2,020.46 $1,616.37 2026-11-06
24670 HCPCS 24670 Closed Treatment Of Ulnar Fracture, Proximal End 21 21 $2,044.60 $1,635.68 $207.01 $1,942.37 $1,553.90 2026-11-06
24675 HCPCS 24675 Closed Treatment Of Ulnar Fracture, Proximal End 21 21 $4,510.50 $3,608.40 20% off $585.43 $4,284.98 $3,427.98 2026-11-06
25505 HCPCS 25505 Closed Treatment Of Radial Shaft Fracture; With Manipu 21 21 $1,666.10 $1,332.88 $585.43 $1,582.80 $1,319.55 2026-11-06
25520 HCPCS 25520 Closed Treatment Of Radial Shaft Fracture 21 21 $2,214.20 $1,771.36 20% off $585.43 $2,103.49 $1,682.79 2026-11-06
25565 HCPCS 25565 - Closed Treatment Of Radial Shaft Fracture W Manipula 21 21 $4,510.50 $3,608.40 20% off $585.43 $4,284.98 $3,427.98 2026-11-06
25605 HCPCS 25605 Closed Treatment Of Distal Radial Fracture With Manipula 37 21 $4,679.00 $3,743.20 20% off $370.73 $4,445.05 $1,404.45 2026-11-06
25624 HCPCS 25624 Clsd Tx Wrist Fx W/manip 21 21 $4,510.50 $3,608.40 20% off $585.43 $4,284.98 $3,427.98 2026-11-06
25635 HCPCS 25635 Clo Tx Carpal With Manip 21 21 $4,510.50 $3,608.40 20% off $585.43 $4,284.98 $3,427.98 2026-11-06
J0702 HCPCS 25670666 42 21 $2,920.70 $2,336.56 20% off $0.04 $5,841.35 $1,133.24 2026-11-06
25690 HCPCS 25690 Cld Tx With Mani Lunate 21 21 $4,510.50 $3,608.40 20% off $585.43 $4,284.98 $3,427.98 2026-11-06
A9579 HCPCS 25693356 42 21 $2,248.35 $1,798.68 $0.59 $4,495.19 $872.82 2026-11-06
25075 HCPCS 25705 Exc Tumor Soft Tissue Forearm /wrist Subq 3cm 21 21 $1,536.70 $1,229.36 20% off $370.73 $2,279.49 $1,306.20 2026-11-06
26011 HCPCS 26011 Drng Finger Abscess, Comp 21 21 $4,582.20 $3,665.76 $1,446.80 $4,353.09 $3,482.47 2026-11-06
26115 HCPCS 26115 Excision Tumor Or Vascular Malformation. 21 21 $1,619.00 $1,295.20 20% off $370.73 $1,745.37 $1,376.15 2026-11-06
J9360 HCPCS 26175250 21 21 $6,235.42 $4,988.34 $2,419.34 $6,235.42 $5,300.11 2026-11-06
26418 HCPCS 26418 Rpair Xt Tendon, Finger 22 21 $9,035.50 $7,228.40 20% off $1,745.37 $8,583.73 $6,821.81 2026-11-06
26675 HCPCS 26675 Closed Tx Of Carpometacarpal Dislocation Other Than Th 21 21 $1,342.10 $1,073.68 $370.73 $1,342.10 $1,140.79 2026-11-06
26705 HCPCS 26705 Treat Knuckle Dislocation 21 21 $4,510.50 $3,608.40 20% off $1,300.94 $4,284.98 $3,427.98 2026-11-06
26742 HCPCS 26742 Treat Finger Fracture Eac 21 21 $4,510.50 $3,608.40 20% off $585.43 $4,284.98 $3,427.98 2026-11-06
26951 HCPCS 26951 - Amputation Finger Or Thumb, Primary Or Secondary; Wi 22 21 $9,556.60 $7,645.28 20% off $1,745.37 $9,078.77 $7,215.24 2026-11-06
27238 HCPCS 27238 Closed Trmt Femoral Fx 21 21 $4,510.50 $3,608.40 20% off $585.43 $4,284.98 $3,427.98 2026-11-06
27266 HCPCS 27266 Closed Treatment Of Post Hip Arthroplasty Dislocation; 21 21 $4,564.60 $3,651.68 20% off $1,300.94 $4,336.37 $3,469.10 2026-11-06
27301 HCPCS 27301 - Id Thigh Hematoma Charge 21 21 $2,729.00 $2,183.20 20% off $1,058.85 $2,592.55 $2,299.05 2026-11-06
27372 HCPCS 27372 - Removal Of Foreign Body Deep, Thigh Or Knee 22 21 $8,615.40 $6,892.32 20% off $2,299.05 $8,184.63 $6,504.62 2026-11-06
27502 HCPCS 27502 Clsd Tx Fx Fem W/manip 21 21 $5,002.40 $4,001.92 $585.43 $4,752.28 $3,801.82 2026-11-06
27503 HCPCS 27503- Closed Treatment Of Supracondylar Or Transcondylar Fe 21 21 $4,998.20 $3,998.56 20% off $585.43 $4,748.29 $3,798.63 2026-11-06
J9309 HCPCS 27517827 3 3 $0.02 — $10,464.51 $10,464.51 $10,464.51 2026-11-06
J1932 HCPCS 27584984 38 21 $7,994.86 $6,395.89 $3,102.01 $10,334.10 $6,794.88 2026-11-06
27618 HCPCS 27618 Exc Tumor Leg/ankle Subcu 21 21 $1,437.10 $1,149.68 $370.73 $2,299.05 $1,221.54 2026-11-06
27752 HCPCS 27752 - Closed Treatment Of Tibial Shaft Fracture (with Or W 21 21 $2,284.90 $1,827.92 20% off $585.43 $2,170.66 $1,736.52 2026-11-06
27760 HCPCS 27760 Closed Treatment Of Medial Malleous Fracture; Without Manipulation 37 21 $1,335.40 $1,068.32 20% off $207.01 $1,268.63 $889.10 2026-11-06
27762 HCPCS 27762 - Closed Treatment Of Medial Malleolus Fracture; With 21 21 $4,564.60 $3,651.68 20% off $585.43 $4,336.37 $3,469.10 2026-11-06
27768 HCPCS 27768 Closed Treatment Of Posterior Malleolus Fracturel W/ma 21 21 $3,333.20 $2,666.56 20% off $585.43 $3,166.54 $2,533.23 2026-11-06
27810 HCPCS 27810 Fx Bimalleolar With Manip 39 21 $4,424.20 $3,539.36 $370.73 $4,202.99 $1,296.18 2026-11-06
27818 HCPCS 27818 Cld Tx Trimal W/mani 21 21 $4,510.50 $3,608.40 20% off $585.43 $4,284.98 $3,427.98 2026-11-06
27825 HCPCS 27825 Closed Tx Of Fx Of Weight Bearing Articular Portion Of 22 21 $4,771.50 $3,817.20 20% off $585.43 $4,532.93 $3,602.49 2026-11-06
27831 HCPCS 27831 Closed Treatment Of Proximal Tibiofibular Joint Disloc 21 21 $9,035.50 $7,228.40 20% off $585.43 $8,583.73 $6,866.98 2026-11-06
28039 HCPCS 28039 Exc Tumor, Soft Tissue Foot,Toe; 1.5Cm 40 21 $8,449.00 $6,759.20 20% off $370.73 $8,026.55 $2,842.68 2026-11-06
J0775 HCPCS 28166890 3 3 — — $3,017.63 $3,017.63 $3,017.63 2026-11-06
28192 HCPCS 28192 Remov Of Foot Foreign B-d 21 21 $4,995.10 $3,996.08 20% off $1,499.55 $4,745.35 $3,796.28 2026-11-06
28193 HCPCS 28193 Remov Of Foot Foreign B-c 22 21 $4,995.10 $3,996.08 20% off $1,499.55 $4,745.35 $3,771.31 2026-11-06
28635 HCPCS 28635 Closed Treatment Of Metatarsophalangeal Joint Dislocat 40 21 $4,424.20 $3,539.36 $370.73 $4,202.99 $1,300.94 2026-11-06
J3032 HCPCS 28728929 21 21 $2,950.80 $2,360.64 20% off $17.44 $2,803.26 $2,242.61 2026-11-06
28435 HCPCS 31028435 Closed Treatment Of Talus Fracture; With Manipulation 21 21 $1,183.50 $946.80 20% off $459.20 $1,183.50 $937.33 2026-11-06
55100 HCPCS 31055100 Drainage Of Scrotal Wall Abscess 40 21 $4,898.40 $3,918.72 20% off $370.73 $4,653.48 $1,929.97 2026-11-06
31603 HCPCS 31603 Tracheostomy Emergency; Transtracheal 21 21 $4,359.00 $3,487.20 20% off $1,388.14 $4,141.05 $3,312.84 2026-11-06
32400 HCPCS 32400 - Needle Biopsy Chest Linin Charge 21 21 $5,701.30 $4,561.04 20% off $1,255.34 $5,416.24 $4,275.98 2026-11-06
32408 HCPCS 32408 - Core Needle Biopsy, Lung Or Mediastinum, Percutaneou 21 21 $4,702.40 $3,761.92 $1,255.34 $4,467.28 $3,573.82 2026-11-06
32550 HCPCS 32550 Insertion Of Indwelling Tunneled Pleural Catheter W/cu 21 21 $11,047.90 $8,838.32 20% off $1,255.34 $10,495.51 $8,396.40 2026-11-06
32554 HCPCS 32554 Thoracentesis, Needle Or Catheter, Aspiration Of The P 21 21 $2,268.20 $1,814.56 $578.50 $2,154.79 $1,723.83 2026-11-06
32555 HCPCS 32555 Thoracentesis, Needle Or Catheter, Aspiration Of The P 21 21 $2,429.40 $1,943.52 20% off $578.50 $2,307.93 $1,846.34 2026-11-06
33016 HCPCS 33016 - Pericardiocentesis, Including Imaging Guidance 21 21 $4,887.00 $3,909.60 20% off $1,255.34 $4,642.65 $3,714.12 2026-11-06
36556 HCPCS 36556 Insert Non-tunnel Cv Catheter. 21 21 $1,015.00 $812.00 20% off $393.82 $1,482.03 $862.75 2026-11-06
36573 HCPCS 36573 Insertion Of Picc, Without Subq Port Or Pump, Inc Image Gu 22 21 $4,141.30 $3,313.04 20% off $1,482.03 $3,934.24 $3,126.68 2026-11-06
36584 HCPCS 36584 Replacement, Complete, Of A Picc, Without Subcutaneous 21 21 $4,380.50 $3,504.40 20% off $1,482.03 $4,161.48 $3,285.38 2026-11-06
36585 HCPCS 36585 Replacement, Complete, Of A Picc, With Subcu 21 21 $10,579.90 $8,463.92 $1,482.03 $10,050.91 $7,934.93 2026-11-06
38220 HCPCS 38220 Marrow Aspiration Only 21 21 $5,508.90 $4,407.12 $1,499.55 $5,233.46 $4,186.76 2026-11-06
38221 HCPCS 38221 - Bone Marrow Biops Ndl Charge 21 21 $5,508.90 $4,407.12 $1,499.55 $5,233.46 $4,186.76 2026-11-06
40650 HCPCS 40650 Repair Lip, Full Thickness; Vermilion Only 21 21 $1,589.10 $1,271.28 20% off $146.41 $1,509.65 $1,207.72 2026-11-06
40652 HCPCS 40652 Repair Lip, Full Thickness; Up To Half Vertical Height 21 21 $1,589.10 $1,271.28 20% off $146.41 $1,509.65 $1,207.72 2026-11-06
40654 HCPCS 40654 Repair Lip, Full Thickness; Over One-half Vertical Height, Or Complex 21 21 $1,557.90 $1,246.32 20% off $604.47 $1,480.01 $1,233.86 2026-11-06
40831 HCPCS 40831 Closure Of Laceration, Vestibule Of Mouth; Over 2.5 Cm 21 21 $1,527.70 $1,222.16 20% off $456.82 $2,533.86 $1,298.55 2026-11-06
43262 HCPCS 43262 Endo Cholangiopancreatogr Charge 21 21 $4,869.30 $3,895.44 20% off $1,889.29 $4,625.84 $3,651.98 2026-11-06
43264 HCPCS 43264 Endo Cholangiopancreatogr Charge 21 21 $4,569.90 $3,655.92 $1,773.12 $4,341.41 $3,427.43 2026-11-06
43752 HCPCS 43752 Naso Gastric Tube Placement By Physician Charge 21 21 $976.60 $781.28 20% off $377.57 $927.77 $830.11 2026-11-06
46040 HCPCS 46040 - Incision Of Rectal Absces Charge 21 21 $1,235.50 $988.40 20% off $370.73 $1,941.25 $1,050.18 2026-11-06
46050 HCPCS 46050 - Incision And Drainage, Perineal Abscess,superficial 39 21 $2,426.30 $1,941.04 20% off $370.73 $2,304.99 $941.40 2026-11-06
46614 HCPCS 46614 Anoscopy; With Control Of Bleeding 21 21 $3,537.00 $2,829.60 20% off $1,082.91 $3,360.15 $2,688.12 2026-11-06
47000 HCPCS 47000 - Bx Liver, Needle Perq Charge 21 21 $4,860.00 $3,888.00 20% off $973.95 $4,617.00 $3,693.60 2026-11-06
49082 HCPCS 49082 - Abdom Paracentesis Dx/ther Without Imaging Guidance 21 21 $2,913.00 $2,330.40 $825.51 $2,767.35 $2,213.88 2026-11-06
49083 HCPCS 49083 Abdom Paracentesis Dx/ther W/imaging Guidance 21 21 $2,913.00 $2,330.40 $825.51 $2,767.35 $2,213.88 2026-11-06
50390 HCPCS 50390 - Aspir And/njx Renal Cyst/pelvis Needle Prq 21 21 $2,091.40 $1,673.12 20% off $500.77 $1,986.83 $1,589.46 2026-11-06
54700 HCPCS 54700 Drainage Of Scrotum 21 21 $6,282.60 $5,026.08 20% off $1,854.88 $5,968.47 $4,774.78 2026-11-06
59409 HCPCS 59409 Delivery 21 21 $7,727.20 $6,181.76 $2,827.44 $7,340.84 $5,872.67 2026-11-06
59414 HCPCS 59414 Delivery Of Placenta 21 21 $7,727.20 $6,181.76 $2,499.58 $7,340.84 $5,872.67 2026-11-06
86041 HCPCS 60001107 63 21 $1,180.60 $944.48 $33.83 $1,181.60 $897.26 2026-11-06
62272 HCPCS 62272 - Spinal Puncture Ther Drain Cerebrospinal Fluid 21 21 $2,540.00 $2,032.00 20% off $644.34 $2,413.00 $1,930.40 2026-11-06
62273 HCPCS 62273 - Injection Epidural Blood/clot Patch 21 21 $1,935.90 $1,548.72 20% off $644.34 $1,839.11 $1,471.28 2026-11-06
62284 HCPCS 62284 - Injection Procedure For Myelography 21 21 $1,430.40 $1,144.32 20% off $399.11 $1,430.40 $1,132.88 2026-11-06
62304 HCPCS 62304 - Myelography Lumbar Inj 21 21 $2,311.90 $1,849.52 20% off $740.75 $2,196.31 $1,757.04 2026-11-06
62328 HCPCS 62328 -spinal Puncture, Lumbar, Diagnostic; With Fluor Or CT 21 21 $2,120.90 $1,696.72 20% off $644.34 $2,014.86 $1,611.88 2026-11-06
64420 HCPCS 64420 - Injection, Anesthetic Agent, Intercostal Nerve, Sing 21 21 $2,401.70 $1,921.36 20% off $573.69 $2,281.62 $1,825.29 2026-11-06
64421 HCPCS 64421 - Injection, Anesthetic Agent, Intercostal Nerves, Mul 21 21 $2,395.40 $1,916.32 20% off $852.18 $2,275.63 $1,820.50 2026-11-06
64454 HCPCS 64454 Njx Aa/strd Gnclr Nrv Brnch 21 21 $2,009.30 $1,607.44 $573.69 $1,908.84 $1,527.07 2026-11-06
64463 HCPCS 64463 - Pvb Thoracic Cont Catheter Infusion W/img Gid 21 21 $1,935.90 $1,548.72 20% off $644.34 $1,839.11 $1,471.28 2026-11-06
64510 HCPCS 64510 - Injection, Anesthetic Agent; Stellate Gang 21 21 $2,658.20 $2,126.56 $852.18 $2,525.29 $2,020.23 2026-11-06
64642 HCPCS 64642Chemodenervation One Extremity 1-4 Muscle 21 21 $2,010.30 $1,608.24 20% off $573.69 $1,909.79 $1,527.83 2026-11-06
64644 HCPCS 64644 -chemodenervation 1 Extremity 5 Or More Muscles 21 21 $2,010.30 $1,608.24 20% off $573.69 $1,909.79 $1,527.83 2026-11-06
64646 HCPCS 64646 - Chemodenervation Of Trunk Muscle 1-5 Muscles 21 21 $2,010.30 $1,608.24 20% off $573.69 $1,909.79 $1,527.83 2026-11-06
64788 HCPCS 64788 - Excision Of Neurofibroma Charge 21 21 $1,151.10 $920.88 $370.73 $1,812.63 $978.44 2026-11-06
J2323 HCPCS 7397159 3 3 — — $6,794.12 $6,794.12 $6,794.12 2026-11-06
76098 HCPCS 76098 Ma Breast Tissue Specimen. 21 21 $1,691.60 $1,353.28 20% off $159.09 $1,607.02 $1,285.62 2026-11-06
85097 HCPCS 85097 - Bone Marrow, Smear Interpretation 21 21 $2,482.60 $1,986.08 20% off $776.51 $2,482.60 $2,110.21 2026-11-06
90381 HCPCS 90381 - Ins Rsv Monoclonal Antb Seasonal Dose 1 Ml 21 21 $1,340.18 $1,072.14 20% off $519.99 $1,340.18 $1,139.15 2026-11-06
92950 HCPCS 92950 Cardiopulmonary Resuscita 21 21 $1,173.10 $938.48 $280.06 $1,197.39 $997.14 2026-11-06
92960 HCPCS 92960 Cardioversion, Elective, Electrical Conversion Of Arrh 21 21 $1,852.20 $1,481.76 20% off $588.14 $1,759.59 $1,407.67 2026-11-06
96413 HCPCS 96413 - Chemotx Admn IV Nfs Tq Up 1 Hr 1/1st Sbst/drug 37 21 $1,166.70 $933.36 20% off $332.62 $1,195.67 $943.95 2026-11-06
96416 HCPCS 96416 - Chemotx Admn Tq Init Prolng Chemotx Nfus Pmp 21 21 $1,194.80 $955.84 $332.62 $1,135.06 $908.05 2026-11-06
96440 HCPCS 96440 - Chemotx Admn Pleural Cavity Reqw/thoracnts 21 21 $1,100.60 $880.48 $332.62 $1,255.34 $935.51 2026-11-06
96446 HCPCS 96446 - Chemotx Admn Prtl Cavity Port/cath 21 21 $1,100.60 $880.48 $332.62 $1,045.57 $836.46 2026-11-06
96450 HCPCS 96450 - Chemotx Admn Cns Req Spinal Puncture 21 21 $1,100.60 $880.48 $332.62 $1,045.57 $836.46 2026-11-06
99283 HCPCS 99283 - Level 3 21 21 $1,003.60 $802.88 20% off $245.03 $1,003.60 $853.06 2026-11-06
99284 HCPCS 99284 - Level 4 21 21 $1,455.00 $1,164.00 20% off $381.61 $1,455.00 $1,236.75 2026-11-06
99285 HCPCS 99285 - Level 5 21 21 $2,048.80 $1,639.04 20% off $548.11 $2,048.80 $1,741.48 2026-11-06
99291 HCPCS 99291 - Critical Care 21 21 $3,177.20 $2,541.76 $767.72 $3,177.20 $2,700.62 2026-11-06
59425 HCPCS Antepartum Care 4-6 Visits - 59425 21 21 $1,572.90 $1,258.32 20% off $324.76 $1,572.90 $1,245.74 2026-11-06
59426 HCPCS Antepartum Care 7 Or More Visits - 59426 21 21 $2,874.10 $2,299.28 $324.76 $2,874.10 $2,276.29 2026-11-06
36430 HCPCS Bill Blood Administration 21 21 $1,292.90 $1,034.32 20% off $407.75 $1,228.26 $982.60 2026-11-06
38222 HCPCS Bone Marrow Biopsy And Aspiration 21 21 $5,839.60 $4,671.68 20% off $1,565.59 $5,547.62 $4,438.10 2026-11-06
24576 HCPCS Closed Treatment Of Humeral Condylar Fracture, Medial Or Lat 37 21 $2,810.10 $2,248.08 20% off $207.01 $2,669.60 $925.02 2026-11-06
45378 HCPCS Colonoscopy 38 21 $1,271.00 $1,016.80 20% off $493.15 $1,810.70 $1,143.90 2026-11-06
74178 HCPCS CT Abdomen +Pelvis With + Without Cont 36 21 $2,168.00 $1,734.40 $368.43 $2,059.60 $1,354.90 2026-11-06
74177 HCPCS CT Abdomen +Pelvis With Cont 36 21 $1,653.20 $1,322.56 20% off $368.43 $1,570.54 $1,285.13 2026-11-06
74170 HCPCS CT Abdomen With + Without Cont 21 21 $1,930.90 $1,544.72 20% off $180.34 $1,834.36 $1,448.18 2026-11-06
74160 HCPCS CT Abdomen With Cont 36 21 $1,653.20 $1,322.56 20% off $180.34 $1,570.54 $1,285.13 2026-11-06
74150 HCPCS CT Abdomen Without Cont 51 21 $3,098.90 $2,479.12 20% off $106.88 $4,024.68 $1,643.76 2026-11-06
74174 HCPCS CT Angio Abdomen +Pelvis With Cont 36 21 $1,499.20 $1,199.36 20% off $368.43 $1,981.61 $1,236.84 2026-11-06
75635 HCPCS CT Angio Abdomen Aorta +Iliofemoral 21 21 $2,834.50 $2,267.60 20% off $180.34 $2,692.78 $2,125.88 2026-11-06
73706 HCPCS CT Angio Le Bil 21 21 $1,937.30 $1,549.84 20% off $180.34 $1,840.44 $1,452.98 2026-11-06
72191 HCPCS CT Angio Pelvis With + Without Cont 21 21 $1,523.30 $1,218.64 $180.34 $1,447.14 $1,142.48 2026-11-06
73702 HCPCS CT Ankle With + Without Cont Lt 21 21 $1,930.90 $1,544.72 20% off $180.34 $1,834.36 $1,448.18 2026-11-06
73700 HCPCS CT Ankle Without Cont Lt 21 21 $1,303.50 $1,042.80 20% off $106.88 $1,238.33 $977.63 2026-11-06
71270 HCPCS CT Chest With + Without Cont 36 21 $2,305.70 $1,844.56 $180.34 $2,190.42 $1,354.90 2026-11-06
71260 HCPCS CT Chest With Cont 21 21 $1,642.30 $1,313.84 20% off $180.34 $1,560.19 $1,231.73 2026-11-06
73202 HCPCS CT Elbow With + Without Cont Lt 21 21 $2,080.50 $1,664.40 $180.34 $1,976.48 $1,560.38 2026-11-06
73201 HCPCS CT Elbow With Cont Lt 21 21 $1,504.70 $1,203.76 20% off $368.43 $1,429.47 $1,128.53 2026-11-06
73200 HCPCS CT Elbow Without Cont Lt 21 21 $1,303.50 $1,042.80 20% off $106.88 $1,238.33 $977.63 2026-11-06
70470 HCPCS CT Head Or Brain With + Without Cont 21 21 $2,080.50 $1,664.40 $180.34 $1,976.48 $1,560.38 2026-11-06
70460 HCPCS CT Head Or Brain With Cont 21 21 $1,855.50 $1,484.40 $180.34 $1,762.73 $1,391.63 2026-11-06
70450 HCPCS CT Head Or Brain Without Cont 21 21 $1,303.50 $1,042.80 20% off $106.88 $1,238.33 $977.63 2026-11-06
70482 HCPCS CT Iac With + Without Cont 21 21 $1,782.30 $1,425.84 20% off $180.34 $1,693.19 $1,336.73 2026-11-06
73701 HCPCS CT Le With Cont Lt 36 21 $1,504.70 $1,203.76 20% off $180.34 $2,858.84 $1,241.38 2026-11-06
70492 HCPCS CT Neck Soft Tissue With + Without Cont 21 21 $1,930.90 $1,544.72 20% off $180.34 $1,834.36 $1,448.18 2026-11-06
70491 HCPCS CT Neck Soft Tissue With Cont 21 21 $1,504.70 $1,203.76 20% off $180.34 $1,429.47 $1,128.53 2026-11-06
70490 HCPCS CT Neck Soft Tissue Without Cont 21 21 $1,378.90 $1,103.12 20% off $106.88 $1,309.96 $1,034.18 2026-11-06
70481 HCPCS CT Orbit Sella Etc. With Cont 21 21 $1,504.70 $1,203.76 20% off $180.34 $1,429.47 $1,128.53 2026-11-06
70480 HCPCS CT Orbit Sella Etc. Without Cont 21 21 $1,303.50 $1,042.80 20% off $106.88 $1,238.33 $977.63 2026-11-06
72194 HCPCS CT Pelvis With + Without Cont 21 21 $2,232.40 $1,785.92 20% off $180.34 $2,120.78 $1,674.30 2026-11-06
72193 HCPCS CT Pelvis With Cont 21 21 $1,653.20 $1,322.56 20% off $180.34 $1,570.54 $1,239.90 2026-11-06
72192 HCPCS CT Pelvis Without Cont 21 21 $1,378.90 $1,103.12 20% off $106.88 $1,309.96 $1,034.18 2026-11-06
70488 HCPCS CT Sinus Or Facial With + Without Cont 21 21 $1,782.30 $1,425.84 20% off $180.34 $1,693.19 $1,336.73 2026-11-06
70487 HCPCS CT Sinus Or Facial With Cont 21 21 $1,504.70 $1,203.76 20% off $180.34 $1,429.47 $1,128.53 2026-11-06
70486 HCPCS CT Sinus Or Facial Without Cont 21 21 $1,378.90 $1,103.12 20% off $106.88 $1,309.96 $1,034.18 2026-11-06
72127 HCPCS CT Spine Cervical With + Without Cont 21 21 $1,930.90 $1,544.72 20% off $180.34 $1,834.36 $1,448.18 2026-11-06
72126 HCPCS CT Spine Cervical With Cont 21 21 $1,653.20 $1,322.56 20% off $368.43 $1,570.54 $1,239.90 2026-11-06
72125 HCPCS CT Spine Cervical Without Cont 21 21 $1,378.90 $1,103.12 20% off $106.88 $1,309.96 $1,034.18 2026-11-06
72133 HCPCS CT Spine Lumbar With + Without Cont 21 21 $2,080.50 $1,664.40 $180.34 $1,976.48 $1,560.38 2026-11-06
72132 HCPCS CT Spine Lumbar With Cont 21 21 $1,504.70 $1,203.76 20% off $368.43 $1,429.47 $1,128.53 2026-11-06
72131 HCPCS CT Spine Lumbar Without Cont 21 21 $1,378.90 $1,103.12 20% off $106.88 $1,309.96 $1,034.18 2026-11-06
72129 HCPCS CT Spine Thoracic With Cont 21 21 $2,006.20 $1,604.96 20% off $180.34 $1,905.89 $1,504.65 2026-11-06
72128 HCPCS CT Spine Thoracic Without Cont 21 21 $1,378.90 $1,103.12 20% off $106.88 $1,309.96 $1,034.18 2026-11-06
43239 HCPCS Esophagogastroduodenoscopy 21 21 $2,478.00 $1,982.40 $825.51 $2,354.10 $1,883.28 2026-11-06
11646 HCPCS Excision, Malignant Lesion Including Margins, Face, Ears, Ey 21 21 $1,446.10 $1,156.88 $370.73 $2,330.05 $1,229.19 2026-11-06
11644 HCPCS Excision, Malignant Lesion Including Margins, Face, Ears, Ey 21 21 $1,117.20 $893.76 20% off $370.73 $1,514.15 $949.62 2026-11-06
36569 HCPCS Insertion Of Central Venous Catheter For Infusion, Patient 21 21 $2,589.90 $2,071.92 20% off $1,004.88 $2,460.41 $1,968.32 2026-11-06
19082 HCPCS Ma Stereotactic Biopsy Addl Lt. 21 21 $2,408.60 $1,926.88 $934.54 $2,408.60 $1,907.61 2026-11-06
19081 HCPCS Ma Stereotactic Biopsy Bil. 21 21 $4,817.30 $3,853.84 20% off $1,499.55 $4,576.44 $3,661.15 2026-11-06
71555 HCPCS MRA Chest With + Without Cont 21 21 $2,866.90 $2,293.52 20% off $657.92 $2,866.90 $2,178.84 2026-11-06
70546 HCPCS MRA Head With + Without Cont 21 21 $3,250.10 $2,600.08 20% off $368.43 $3,087.60 $2,437.58 2026-11-06
70545 HCPCS MRA Head With Cont 36 21 $2,866.90 $2,293.52 20% off $368.43 $2,723.56 $2,091.13 2026-11-06
70544 HCPCS MRA Head Without Cont 21 21 $2,539.70 $2,031.76 $233.52 $2,412.72 $1,904.78 2026-11-06
73725 HCPCS MRA Le With + Without Cont Lt 21 21 $2,866.90 $2,293.52 20% off $657.92 $2,866.90 $2,178.84 2026-11-06
70549 HCPCS MRA Neck With + Without Cont 21 21 $3,250.10 $2,600.08 20% off $368.43 $3,087.60 $2,437.58 2026-11-06
70548 HCPCS MRA Neck With Cont 21 21 $2,866.90 $2,293.52 20% off $368.43 $2,723.56 $2,150.18 2026-11-06
72198 HCPCS MRA Pelvis With + Without Cont 21 21 $2,866.90 $2,293.52 20% off $657.92 $2,866.90 $2,178.84 2026-11-06
72159 HCPCS MRA Spine With + Without Cont 21 21 $2,866.90 $2,293.52 20% off $657.92 $2,866.90 $2,178.84 2026-11-06
73225 HCPCS MRA Ue With + Without Cont Rt 21 21 $2,866.90 $2,293.52 20% off $657.92 $2,866.90 $2,178.84 2026-11-06
74183 HCPCS MRI Abdomen With + Without Cont 21 21 $3,218.00 $2,574.40 20% off $368.43 $3,057.10 $2,413.50 2026-11-06
74182 HCPCS MRI Abdomen With Cont 21 21 $2,866.90 $2,293.52 20% off $368.43 $2,723.56 $2,150.18 2026-11-06
74181 HCPCS MRI Abdomen Without Cont 21 21 $2,514.50 $2,011.60 20% off $233.52 $2,388.78 $1,885.88 2026-11-06
73723 HCPCS MRI Ankle With + Without Cont Lt 21 21 $3,218.00 $2,574.40 20% off $368.43 $3,057.10 $2,413.50 2026-11-06
73722 HCPCS MRI Ankle With Cont Lt 21 21 $2,838.50 $2,270.80 $588.01 $2,696.58 $2,128.88 2026-11-06
73721 HCPCS MRI Ankle Without Cont Lt 21 21 $2,514.50 $2,011.60 20% off $233.52 $2,388.78 $1,885.88 2026-11-06
70553 HCPCS MRI Brain With + Without Cont 21 21 $3,250.10 $2,600.08 20% off $368.43 $3,087.60 $2,437.58 2026-11-06
70552 HCPCS MRI Brain With Cont 21 21 $2,866.90 $2,293.52 20% off $368.43 $2,723.56 $2,150.18 2026-11-06
70551 HCPCS MRI Brain Without Cont 21 21 $2,539.70 $2,031.76 $233.52 $2,412.72 $1,904.78 2026-11-06
77049 HCPCS MRI Breast With + Without Cont Bil 21 21 $2,955.00 $2,364.00 20% off $588.01 $2,955.00 $2,245.80 2026-11-06
77048 HCPCS MRI Breast With + Without Cont Lt 21 21 $2,955.00 $2,364.00 20% off $588.01 $2,955.00 $2,245.80 2026-11-06
77047 HCPCS MRI Breast Without Cont Bil 21 21 $1,831.50 $1,465.20 20% off $233.52 $1,739.93 $1,373.63 2026-11-06
77046 HCPCS MRI Breast Without Cont Lt 21 21 $1,831.50 $1,465.20 20% off $233.52 $1,739.93 $1,373.63 2026-11-06
71552 HCPCS MRI Chest With + Without Cont 21 21 $3,218.00 $2,574.40 20% off $368.43 $3,057.10 $2,413.50 2026-11-06
71551 HCPCS MRI Chest With Cont 21 21 $2,838.50 $2,270.80 $588.01 $2,696.58 $2,128.88 2026-11-06
71550 HCPCS MRI Chest Without Cont 21 21 $2,514.50 $2,011.60 20% off $233.52 $2,388.78 $1,885.88 2026-11-06
70543 HCPCS MRI Face Neck Orbit With + Without Cont 21 21 $3,218.00 $2,574.40 20% off $368.43 $3,057.10 $2,413.50 2026-11-06
70542 HCPCS MRI Face Neck Orbit With Cont 21 21 $2,838.50 $2,270.80 $368.43 $2,696.58 $2,128.88 2026-11-06
70540 HCPCS MRI Face Neck Orbit Without Cont 21 21 $2,514.50 $2,011.60 20% off $233.52 $2,388.78 $1,885.88 2026-11-06
73718 HCPCS MRI Femur Without Cont Lt 21 21 $2,514.50 $2,011.60 20% off $233.52 $2,388.78 $1,885.88 2026-11-06
73720 HCPCS MRI Foot With + Without Cont Lt 21 21 $3,218.00 $2,574.40 20% off $368.43 $3,057.10 $2,413.50 2026-11-06
73719 HCPCS MRI Foot With Cont Lt 21 21 $2,838.50 $2,270.80 $368.43 $2,696.58 $2,128.88 2026-11-06
73220 HCPCS MRI Forearm With + Without Cont Lt 21 21 $3,218.00 $2,574.40 20% off $368.43 $3,057.10 $2,413.50 2026-11-06
73219 HCPCS MRI Forearm With Cont Lt 21 21 $2,838.50 $2,270.80 $368.43 $2,696.58 $2,128.88 2026-11-06
73218 HCPCS MRI Forearm Without Cont Lt 21 21 $2,514.50 $2,011.60 20% off $233.52 $2,388.78 $1,885.88 2026-11-06
72197 HCPCS MRI Pelvis With + Without Cont 21 21 $3,218.00 $2,574.40 20% off $368.43 $3,057.10 $2,413.50 2026-11-06
72196 HCPCS MRI Pelvis With Cont 21 21 $2,838.50 $2,270.80 $368.43 $2,696.58 $2,128.88 2026-11-06
72195 HCPCS MRI Pelvis Without Cont 21 21 $2,514.50 $2,011.60 20% off $233.52 $2,388.78 $1,885.88 2026-11-06
72156 HCPCS MRI Spine Cervical With + Without Cont 21 21 $3,250.10 $2,600.08 20% off $368.43 $3,087.60 $2,437.58 2026-11-06
72142 HCPCS MRI Spine Cervical With Cont 21 21 $2,866.90 $2,293.52 20% off $368.43 $2,723.56 $2,150.18 2026-11-06
72141 HCPCS MRI Spine Cervical Without Cont 21 21 $2,539.70 $2,031.76 $233.52 $2,412.72 $1,904.78 2026-11-06
72158 HCPCS MRI Spine Lumbar With + Without Cont 21 21 $3,250.10 $2,600.08 20% off $368.43 $3,087.60 $2,437.58 2026-11-06
72149 HCPCS MRI Spine Lumbar With Cont 21 21 $2,866.90 $2,293.52 20% off $368.43 $2,723.56 $2,150.18 2026-11-06
72148 HCPCS MRI Spine Lumbar Without Cont 21 21 $2,539.70 $2,031.76 $233.52 $2,412.72 $1,904.78 2026-11-06
72157 HCPCS MRI Spine Thoracic With + Without Cont 21 21 $3,250.10 $2,600.08 20% off $368.43 $3,087.60 $2,437.58 2026-11-06
72147 HCPCS MRI Spine Thoracic With Cont 21 21 $2,866.90 $2,293.52 20% off $368.43 $2,723.56 $2,150.18 2026-11-06
72146 HCPCS MRI Spine Thoracic Without Cont 21 21 $2,539.70 $2,031.76 $233.52 $2,412.72 $1,904.78 2026-11-06
70336 HCPCS MRI Tmj 21 21 $1,966.50 $1,573.20 20% off $233.52 $1,868.18 $1,474.88 2026-11-06
73223 HCPCS MRI Ue Joint With + Without Cont Bil 36 21 $2,514.50 $2,011.60 20% off $368.43 $3,057.10 $2,074.47 2026-11-06
73221 HCPCS MRI Ue Joint Without Cont Bil 21 21 $2,514.50 $2,011.60 20% off $233.52 $2,388.78 $1,885.88 2026-11-06
73222 HCPCS MRI Wrist With Cont Lt 21 21 $2,838.50 $2,270.80 $588.01 $2,696.58 $2,128.88 2026-11-06
86366 HCPCS MuSk Antibodies Test 21 21 $1,158.30 $926.64 20% off $449.42 $1,158.30 $984.56 2026-11-06
99465 HCPCS Neonatal Resus, Complete Charge 21 21 $1,844.20 $1,475.36 20% off $588.14 $1,751.99 $1,401.59 2026-11-06
78315 HCPCS Nm Bone 3 Phase Study 21 21 $1,245.50 $996.40 20% off $388.68 $1,183.23 $946.58 2026-11-06
78226 HCPCS Nm Hepa Duct System 21 21 $1,233.70 $986.96 20% off $388.68 $1,172.02 $937.61 2026-11-06
78227 HCPCS Nm Hepa Duct System With Ef 21 21 $1,443.40 $1,154.72 20% off $504.50 $1,371.23 $1,096.98 2026-11-06
78070 HCPCS Nm Parathyroid 21 21 $1,051.00 $840.80 20% off $388.68 $1,270.73 $893.35 2026-11-06
11422 HCPCS Remove Lesion, Scalp/Neck/Hand/Foot 1.1 To 2.0 Cm Charge 39 21 $531.90 $425.52 20% off $370.73 $4,562.57 $1,514.15 2026-11-06
11423 HCPCS Remove Lesion, Scalp/Neck/Hand/Foot 2.1 To 3.0 Cm Charge 39 21 $605.00 $484.00 20% off $370.73 $4,562.57 $1,514.15 2026-11-06
11420 HCPCS Remove Lesion, Scalp/Neck/Hand/Foot < .5 Cm Charge 39 21 $380.90 $304.72 $285.68 $4,562.57 $1,514.15 2026-11-06
11426 HCPCS Remove Lesion, Scalp/Neck/Hand/Foot >4.0 Cm Charge 39 21 $1,031.00 $824.80 20% off $370.73 $8,156.89 $2,330.05 2026-11-06
11406 HCPCS Remove Lesion, Trunk/Arm/Leg >4.0 Cm Charge 39 21 $917.50 $734.00 20% off $370.73 $2,330.05 $871.63 2026-11-06
11643 HCPCS Remove Malig Lesion w/Margins, Face, Ears, Eyelids, Nose, Lips; Diam 2.1 To 3.0 39 21 $925.70 $740.56 20% off $370.73 $4,562.57 $1,514.15 2026-11-06
11620 HCPCS Remove Malig Lesion w/Margins, Scalp, Neck, Hands, Feet, Genital; Diam 0.5 Cm > 39 21 $591.10 $472.88 20% off $370.73 $4,562.57 $1,514.15 2026-11-06
11623 HCPCS Remove Malig Lesion w/Margins, Scalp, Neck, Hands, Feet, Genital; Diam 2.1 To 3. 39 21 $871.10 $696.88 20% off $370.73 $4,562.57 $1,514.15 2026-11-06
11624 HCPCS Remove Malig Lesion w/Margins, Scalp, Neck, Hands, Feet, Genital; Diam 3.1 To 4. 39 21 $990.10 $792.08 20% off $370.73 $4,562.57 $1,514.15 2026-11-06
11626 HCPCS Remove Malig Lesion w/Margins, Scalp, Neck, Hands, Feet, Genital; Diam 4.0+ Cm C 39 21 $1,191.50 $953.20 $370.73 $2,330.05 $1,040.29 2026-11-06
11606 HCPCS Remove Malig Lesion w/Margins, Trunk, Arms, Or Legs; Diam 4.0+ Cm Charge 39 21 $1,282.60 $1,026.08 20% off $370.73 $4,617.00 $1,885.68 2026-11-06
11446 HCPCS Remove Other Benign Lesion w/Margins , Face/Ears/Eyelids/Nose/Lips; Diam 4.0+ Cm 39 21 $1,130.30 $904.24 $370.73 $2,330.05 $984.69 2026-11-06
12057 HCPCS Repair, Intermediate, Wounds Of Face, Ears, Eyelids, Nose, L 21 21 $1,285.40 $1,028.32 20% off $373.07 $1,221.13 $976.90 2026-11-06
12054 HCPCS Repair, Intermediate, Wounds Of Face, Ears, Eyelids, Nose, L 21 21 $1,212.60 $970.08 $373.07 $1,151.97 $921.58 2026-11-06
12056 HCPCS Repair, Intermediate, Wounds Of Face, Ears, Eyelids, Nose, L 21 21 $1,212.60 $970.08 $373.07 $1,151.97 $921.58 2026-11-06
12055 HCPCS Repair, Intermediate, Wounds Of Face, Ears, Eyelids, Nose, L 21 21 $1,212.60 $970.08 $373.07 $1,151.97 $921.58 2026-11-06
12053 HCPCS Repair, Intermediate, Wounds Of Face, Ears, Eyelids, Nose, L 21 21 $1,147.10 $917.68 20% off $373.07 $1,089.75 $871.80 2026-11-06
12052 HCPCS Repair, Intermediate, Wounds Of Face, Ears, Eyelids, Nose, L 21 21 $1,147.10 $917.68 20% off $373.07 $1,089.75 $871.80 2026-11-06
12047 HCPCS Repair, Intermediate, Wounds Of Neck, Hands, Feet, And/or Ex 22 21 $5,917.60 $4,734.08 20% off $495.45 $5,621.72 $4,467.79 2026-11-06
12045 HCPCS Repair, Intermediate, Wounds Of Neck, Hands, Feet, And/or Ex 21 21 $1,878.20 $1,502.56 20% off $495.45 $1,784.29 $1,427.43 2026-11-06
12044 HCPCS Repair, Intermediate, Wounds Of Neck, Hands, Feet, And/or Ex 21 21 $1,775.30 $1,420.24 20% off $495.45 $1,686.54 $1,349.23 2026-11-06
12046 HCPCS Repair, Intermediate, Wounds Of Neck, Hands, Feet, And/or Ex 21 21 $1,212.60 $970.08 $470.49 $1,151.97 $921.58 2026-11-06
12037 HCPCS Repair, Intermediate, Wounds Of Scalp, Axillae, Trunk And/or 22 21 $10,382.30 $8,305.84 $495.45 $9,863.19 $7,838.64 2026-11-06
12036 HCPCS Repair, Intermediate, Wounds Of Scalp, Axillae, Trunk And/or 21 21 $2,023.80 $1,619.04 20% off $495.45 $1,922.61 $1,538.09 2026-11-06
12035 HCPCS Repair, Intermediate, Wounds Of Scalp, Axillae, Trunk And/or 21 21 $1,147.10 $917.68 20% off $373.07 $1,089.75 $871.80 2026-11-06
12031 HCPCS Repair, Intermediate, Wounds Of Scalp, Axillae, Trunk And/Or 21 21 $1,147.10 $917.68 20% off $373.07 $1,089.75 $871.80 2026-11-06
12034 HCPCS Repair, Intermediate, Wounds Of Scalp, Axillae, Trunk And/or 37 21 $1,147.10 $917.68 20% off $370.73 $1,089.75 $860.33 2026-11-06
94013 HCPCS Rt Frc 21 21 $1,591.80 $1,273.44 $134.85 $1,512.21 $1,209.77 2026-11-06
95070 HCPCS Rt Methacholine Challenge 21 21 $1,593.30 $1,274.64 $483.43 $1,593.30 $1,354.31 2026-11-06
96105 HCPCS Standardized Aphasia Assessment Charge 21 21 $1,117.00 $893.60 20% off $58.84 $1,061.15 $848.92 2026-11-06
93306 HCPCS US Echo 2d Comp 21 21 $1,691.60 $1,353.28 20% off $503.13 $1,607.02 $1,285.62 2026-11-06
93350 HCPCS US Echo 2d Rest +Stress 21 21 $1,625.40 $1,300.32 20% off $503.13 $1,544.13 $1,235.30 2026-11-06
76775 HCPCS US Renal Ltd 21 21 $1,173.50 $938.80 20% off $106.88 $1,114.83 $891.86 2026-11-06
76870 HCPCS US Scrotum +Contents 21 21 $1,290.60 $1,032.48 $106.88 $1,226.07 $980.86 2026-11-06
55250 HCPCS Vasectomy, Unilateral Or Bilateral (Separate Procedure), w/Postoperative Semen E 21 21 $974.90 $779.92 20% off $370.73 $2,713.28 $828.67 2026-11-06
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