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

Hospital For Special Care

New Britain, CT · CCN 072004 · Rates published

891 distinct procedures filed
6 distinct payers
9,436 rate rows
2026-04-01 last MRF observed
Data quality

9,434 of 9,436 rate rows are consumer-grade (100.0%)

2 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 2
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://secure.claraprice.net/price-transparency/EDXA-1712339327696/machine-readable/060646766_hospital-for-special-care_standardcharges.json
Found on page https://secure.claraprice.net/price-transparency/hospital-for-special-care
Discovered viaDiscovered by HANK
Last fetch success · 2026-09-25
Content fingerprint 62fa7edfa9926755… · 40,000 bytes · first seen 2026-05-19

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
7000080
CDM 		R&b Autism 6 $1,716.00 $4,080.00 $3,328.00 nat. median
$385
outlier · 8.6×
7000010
CDM 		R&b Ventilator 6 $1,276.00 $3,032.00 $2,682.50 nat. median
$66
outlier · 40.6×
7000050
CDM 		R&b Cmplx Cardiac 6 $1,230.00 $2,924.00 $2,635.00 nat. median
$342
outlier · 7.7×
7000020
CDM 		R&b Med Complex 6 $1,025.00 $2,690.00 $2,200.00 nat. median
$316
outlier · 7.0×
7000018
CDM 		R&b Vent Rdcd 6 $942.00 $2,690.00 $2,068.00 nat. median
$140
outlier · 14.7×
7000040
CDM 		R&b Neuro 6 $927.00 $2,690.00 $2,034.00 nat. median
$82
outlier · 24.7×
7000030
CDM 		R&b Rehabilitation 6 $880.00 $2,690.00 $1,931.00 nat. median
$38
outlier · 50.4×
64642
CPT 		Chemodenerv 1 Extr 1-4 6 $850.00 $2,021.00 $1,649.00 nat. median
$761
outlier · 2.2×
H0035
HCPCS 		Mh Part Hosp Tx Under 24 6 $718.00 $1,706.00 $1,391.50 nat. median
$397
outlier · 3.5×
95911
CPT 		Tc Nvr Condj 9-10 Stdy 6 $642.00 $1,525.00 $1,292.50 nat. median
$555
outlier · 2.3×
95913
CPT 		Tc Nvr Condj =>13 Stdy 6 $642.00 $1,525.00 $1,292.50 nat. median
$587
outlier · 2.2×
95912
CPT 		Tc Nvr Condj 11-12 Stdy 6 $642.00 $1,525.00 $1,292.50 nat. median
$565
outlier · 2.3×
64644
CPT 		Chemodenerv 1 Ext 5/>m 6 $414.00 $983.00 $802.50 nat. median
$757
1.1× median
95908
CPT 		Tc Nvr Condj 3-4 Stdy 6 $387.00 $919.00 $779.00 nat. median
$316
outlier · 2.5×
95869
CPT 		Tc EMG-thor Paraspinal Mu 6 $387.00 $919.00 $779.00 nat. median
$262
outlier · 3.0×
95868
CPT 		Tc EMG-cranial Muscles Bi 6 $387.00 $919.00 $779.00 nat. median
$321
outlier · 2.4×
43239
CPT 		Biopsy Exam Of Esophagus, Stomach Or Small Bowel Using An Endoscope 6 $402.00 $955.00 $779.00 nat. median
$1,379
0.6× median
94375
CPT 		Spirometry 6 $387.00 $919.00 $779.00 nat. median
$270
outlier · 2.9×
95909
CPT 		Tc Nvr Condj 5-6 Stdy 6 $386.00 $918.00 $778.00 nat. median
$336
outlier · 2.3×
95910
CPT 		Tc Nvr Condj 7-8 Stdy 6 $386.00 $918.00 $778.00 nat. median
$394
2.0× median
95867
CPT 		Tc EMG-cranial Muscles U 6 $385.00 $916.00 $776.00 nat. median
$299
outlier · 2.6×
1102926
CDM 		Prism 1.9 Dressing 6 $392.00 $933.00 $761.00 nat. median
$761
1.0× median
52000
CPT 		Fc Cystoscopy 6 $263.00 $923.00 $752.50 nat. median
$909
0.8× median
1104893
CDM 		Hydroferra Blu Ready Foam 6 $346.00 $823.00 $671.00 nat. median
$671
1.0× median
62328
CPT 		Fc Lumbar Punct W/ct/fluo 6 $263.00 $816.00 $665.50 nat. median
$1,021
0.7× median
62270
CPT 		Fc Lumbar Puncture Diag 6 $263.00 $816.00 $665.50 nat. median
$820
0.8× median
64647
CPT 		Chemodenerv Trunk 6 $330.00 $785.00 $640.00 nat. median
$820
0.8× median
96116
CPT 		Fc Neurobehavior Status 6 $263.00 $773.00 $630.50 nat. median
$303
outlier · 2.1×
64646
CPT 		Chemodenerv Ext Or Trk 6 $317.00 $753.00 $614.50 nat. median
$803
0.8× median
43235
CPT 		Diagnostic Exam Of Esophagus, Stomach Or Small Bowel Using An Endoscope 6 $307.00 $730.00 $595.50 nat. median
$1,316
outlier · 0.5×
51726
CPT 		Complex Cystometrogram 6 $263.00 $729.00 $594.50 nat. median
$399
1.5× median
1102801
CDM 		Flexiseal Fecal Collect 6 $287.00 $681.00 $555.50 nat. median
$556
1.0× median
1102680
CDM 		Trach 9tts 104mm 6 $280.00 $667.00 $543.50 nat. median
$1,040
0.5× median
62322
CPT 		Injection(s) Of Therapeutic Substance 6 $144.00 $1,762.00 $542.00 nat. median
$1,149
outlier · 0.5×
94660
CPT 		Cpap/bipap Init/mgt 6 $263.00 $625.00 $529.50 nat. median
$364
1.5× median
94664
CPT 		Mdi Demo, Evaluation 6 $261.00 $621.00 $526.50 nat. median
$193
outlier · 2.7×
1102982
CDM 		5.0 Cuffed Bivona Trach 6 $267.00 $634.00 $517.50 nat. median
$518
1.0× median
1102844
CDM 		4.5tts Pedi Flextend 6 $267.00 $634.00 $517.50 nat. median
$518
1.0× median
1102944
CDM 		Bivona C 9.5 Fome Cuffed 6 $267.00 $634.00 $517.50 nat. median
$518
1.0× median
1102796
CDM 		Trach Custom 9.0tts 104mm 6 $267.00 $634.00 $517.50 nat. median
$518
1.0× median
1102843
CDM 		3.5tts Pedi Flexstend 6 $267.00 $634.00 $517.50 nat. median
$518
1.0× median
94625
CPT 		Plrh Wo Continous Monitor 6 $211.00 $520.00 $452.50 nat. median
$116
outlier · 3.9×
92523
CPT 		Eval Sp Sd Prod/w Lang Co 6 $134.00 $611.00 $446.00 nat. median
$300
1.5× median
64616
CPT 		Fc Chemodenerv M Neck Dys 6 $229.00 $544.00 $443.50 nat. median
$421
1.1× median
1104056
CDM 		Mickey J Tub 16-45 6 $223.00 $530.00 $432.50 nat. median
$432
1.0× median
1104051
CDM 		Mic Tube 12-1.5 6 $220.00 $522.00 $426.00 nat. median
$426
1.0× median
94060
CPT 		Spirom Pre & Post Broncho 6 $180.00 $918.00 $411.00 nat. median
$383
1.1× median
1104074
CDM 		Trach C, 4.5tts Flextend 6 $209.00 $497.00 $405.50 nat. median
$168
outlier · 2.4×
99205
CPT 		New Patient Office Or Other Outpatient Visit, 60 Min 6 $194.00 $541.00 $405.50 nat. median
$273
1.5× median
1104113
CDM 		Trach 3.5 Neonatal Flx Tt 6 $209.00 $497.00 $405.50 nat. median
$406
1.0× median

Other procedures at this hospital

Browse this hospital's 891 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
             
1000011 CDM Daily Oxygen 10 6 $145.00 $145.00 $59.00 $141.00 $115.50 2026-04-01
1101226 CDM Trach Dblcuffed 8.0 Ptx 10 6 $161.00 $161.00 $66.00 $157.00 $128.00 2026-04-01
1101228 CDM Trach Tube, 7.5 Bivona 10 6 $175.00 $175.00 $72.00 $171.00 $139.50 2026-04-01
1101230 CDM Trach Tube Fomecuf 7mmbiv 10 6 $197.00 $197.00 $81.00 $192.00 $156.50 2026-04-01
1101232 CDM Trach Tube,8mm Bivona 10 6 $182.00 $182.00 $75.00 $177.00 $145.00 2026-04-01
1101233 CDM Trach Tube,6mm Bivona 10 6 $175.00 $175.00 $72.00 $171.00 $139.50 2026-04-01
1101234 CDM Trach Tube, 7mm Bivona 10 6 $175.00 $175.00 $72.00 $171.00 $139.50 2026-04-01
1101235 CDM Trach Tube Fomecuf 8mm 10 6 $445.00 $445.00 $182.00 $434.00 $354.00 2026-04-01
1101236 CDM Trach Tube,5mm Bivona 10 6 $175.00 $175.00 $72.00 $171.00 $139.50 2026-04-01
1101238 CDM Trach Tube, 9mm Bivona 10 6 $238.00 $238.00 $98.00 $232.00 $189.50 2026-04-01
1101240 CDM Trach Tube 9.0mm Talk 10 6 $188.00 $188.00 $77.00 $183.00 $149.50 2026-04-01
1101243 CDM Trach Tube 7mm Fomecuf 10 6 $240.00 $240.00 $98.00 $234.00 $190.50 2026-04-01
1101398 CDM Tubigrip,size F 10 6 $143.00 $143.00 $59.00 $139.00 $113.50 2026-04-01
1101764 CDM Bivona Neontl Trach Tube 10 6 $138.00 $138.00 $57.00 $135.00 $110.00 2026-04-01
1101840 CDM Trach Tube, Bivona 9 Tts 10 6 $184.00 $184.00 $75.00 $179.00 $146.00 2026-04-01
1102038 CDM Peg J Tube 10 6 $356.00 $356.00 $146.00 $347.00 $283.00 2026-04-01
1102040 CDM Passy Muir Valve For Vent 10 6 $149.00 $149.00 $61.00 $145.00 $118.50 2026-04-01
1102121 CDM Trach Tube, Divona 4.5 Mm 10 6 $149.00 $149.00 $61.00 $145.00 $118.50 2026-04-01
1102138 CDM Trach Divona 4.0cuffless 10 6 $139.00 $139.00 $57.00 $135.00 $110.50 2026-04-01
1102184 CDM Double Cuff Trach 10 6 $168.00 $168.00 $69.00 $164.00 $133.50 2026-04-01
1102202 CDM 4.0 Air Cuff Pedi Bivona 10 6 $413.00 $413.00 $169.00 $403.00 $328.00 2026-04-01
1102272 CDM Trache Tube 4.otts Neo 10 6 $413.00 $413.00 $169.00 $403.00 $328.00 2026-04-01
1102280 CDM Micky Button 120-20-2.5 10 6 $245.00 $245.00 $100.00 $239.00 $195.00 2026-04-01
1102293 CDM Headgear Blue Horizon Md 10 6 $180.00 $180.00 $74.00 $175.00 $143.00 2026-04-01
1102390 CDM 5.0 Tts Pediatric Bivona 10 6 $462.00 $462.00 $189.00 $450.00 $367.00 2026-04-01
1102448 CDM 2.5 Utrabg Baxter 2.0 Ml 10 6 $399.00 $399.00 $164.00 $389.00 $317.00 2026-04-01
1102449 CDM 4.25 Utrabg Baxter 2.0 Ml 10 6 $348.00 $348.00 $143.00 $339.00 $276.50 2026-04-01
1102461 CDM 8tts 94 Mm Bivona Trach 10 6 $373.00 $373.00 $153.00 $364.00 $296.50 2026-04-01
1102476 CDM Dextro 1.5 Utrabg 2.0 Ml 10 6 $357.00 $357.00 $146.00 $348.00 $284.00 2026-04-01
1102483 CDM Dextro 1.5 Utrabg 2.5ml 10 6 $285.00 $285.00 $117.00 $278.00 $226.50 2026-04-01
1102484 CDM Dextro 2.5 Utrabg 2.5ml 10 6 $294.00 $294.00 $121.00 $287.00 $234.00 2026-04-01
1102487 CDM Dextro 4.5 Utrabg 2.5ml 10 6 $300.00 $300.00 $123.00 $292.00 $238.50 2026-04-01
1102506 CDM 7.0 Air Cuff Mr Bivona 10 6 $182.00 $182.00 $75.00 $177.00 $145.00 2026-04-01
1102507 CDM 8.0 Air Cuff Mr Bivona 10 6 $182.00 $182.00 $75.00 $177.00 $145.00 2026-04-01
1102508 CDM 9.0 Air Cuff Mr Bivona 10 6 $181.00 $181.00 $74.00 $176.00 $144.00 2026-04-01
1102524 CDM Dextro 1.5 Ultrabag 1.5ml 10 6 $462.00 $462.00 $189.00 $450.00 $367.00 2026-04-01
1102525 CDM Dextro 2.5 Ultrabag 1.5ml 10 6 $475.00 $475.00 $195.00 $463.00 $378.00 2026-04-01
1102540 CDM Ureth Dilator Ball Cath 10 6 $185.00 $185.00 $76.00 $180.00 $147.00 2026-04-01
1102555 CDM Vapor Cartridge 10 6 $207.00 $207.00 $85.00 $202.00 $164.50 2026-04-01
1102658 CDM Aquacel Ag Rope 10 6 $241.00 $241.00 $99.00 $235.00 $191.50 2026-04-01
1102664 CDM 3.5 Cuffless Flex Bivona 10 6 $193.00 $193.00 $79.00 $188.00 $153.50 2026-04-01
1102672 CDM Wound Vac Daily Charge 10 6 $171.00 $171.00 $70.00 $167.00 $136.00 2026-04-01
1102679 CDM Promagram Dressing 10 6 $224.00 $224.00 $92.00 $218.00 $178.50 2026-04-01
1102680 CDM Trach 9tts 104mm 10 6 $684.00 $684.00 $280.00 $667.00 $543.50 2026-04-01
1102694 CDM Dressing, Ats Vac Thin 10 6 $155.00 $155.00 $64.00 $151.00 $123.00 2026-04-01
1102696 CDM Trach,8.0mm Hyderflex Mr 10 6 $247.00 $247.00 $101.00 $241.00 $196.00 2026-04-01
1102698 CDM Trach 6mr Air Cuffed 10 6 $182.00 $182.00 $75.00 $177.00 $145.00 2026-04-01
1102702 CDM Trach 7hyperflex Xtra 10 6 $258.00 $258.00 $106.00 $251.00 $205.00 2026-04-01
1102703 CDM Trach 9hyperflex Xtra 10 6 $247.00 $247.00 $101.00 $241.00 $196.00 2026-04-01
1102724 CDM Bivona 4.0 Tts Pedi 10 6 $445.00 $445.00 $182.00 $434.00 $354.00 2026-04-01
1102740 CDM Trach 4.5 Pedi Tts 10 6 $445.00 $445.00 $182.00 $434.00 $354.00 2026-04-01
1102746 CDM Trach 3.5 Pedi Cuffless 10 6 $140.00 $140.00 $57.00 $136.00 $111.00 2026-04-01
1102753 CDM Dressing, Vac Silver Med 10 6 $170.00 $170.00 $70.00 $166.00 $135.00 2026-04-01
1102766 CDM Bivona 3.5 Tts Pedi 10 6 $445.00 $445.00 $182.00 $434.00 $354.00 2026-04-01
1102786 CDM Insertion Chest Tray 10 6 $145.00 $145.00 $59.00 $141.00 $115.50 2026-04-01
1102796 CDM Trach Custom 9.0tts 104mm 10 6 $651.00 $651.00 $267.00 $634.00 $517.50 2026-04-01
1102797 CDM Pouch Seal Wnd 4.3" X 3" 10 6 $335.00 $335.00 $137.00 $327.00 $266.50 2026-04-01
1102798 CDM Pouch Seal Wnd 6.9"x4.3" 10 6 $370.00 $370.00 $152.00 $361.00 $294.00 2026-04-01
1102799 CDM Pouch Seal Wnd 9.7"x6.3" 10 6 $424.00 $424.00 $174.00 $413.00 $337.50 2026-04-01
1102801 CDM Flexiseal Fecal Collect 10 6 $699.00 $699.00 $287.00 $681.00 $555.50 2026-04-01
1102802 CDM Pouch, Flexiseal Fecal 10 6 $150.00 $150.00 $61.00 $146.00 $119.50 2026-04-01
1102825 CDM Trach, 6.0 Hyperflex 10 6 $255.00 $255.00 $105.00 $249.00 $202.50 2026-04-01
1102826 CDM Trach, 6.0 Foam Cuffed 10 6 $238.00 $238.00 $98.00 $232.00 $189.50 2026-04-01
1102830 CDM Trach Mr Hyperflex 8mm 10 6 $440.00 $440.00 $180.00 $429.00 $349.50 2026-04-01
1102831 CDM Trach Mr Hyperflex 9mm 10 6 $445.00 $445.00 $182.00 $434.00 $354.00 2026-04-01
1102841 CDM Wound Drng/w Barrier Coll 10 6 $170.00 $170.00 $70.00 $166.00 $135.00 2026-04-01
1102843 CDM 3.5tts Pedi Flexstend 10 6 $651.00 $651.00 $267.00 $634.00 $517.50 2026-04-01
1102844 CDM 4.5tts Pedi Flextend 10 6 $651.00 $651.00 $267.00 $634.00 $517.50 2026-04-01
1102847 CDM Trach Uniperc 7.0mm 10 6 $192.00 $192.00 $79.00 $187.00 $152.50 2026-04-01
1102848 CDM Trach Uniperc 8.0mm 10 6 $192.00 $192.00 $79.00 $187.00 $152.50 2026-04-01
1102849 CDM Trach Uniperc 9.00mm 10 6 $191.00 $191.00 $78.00 $186.00 $151.50 2026-04-01
1102850 CDM Dressing Prisma 10 6 $272.00 $272.00 $112.00 $265.00 $216.50 2026-04-01
1102851 CDM Dressing Aquacel Rope Ag 10 6 $237.00 $237.00 $97.00 $231.00 $188.50 2026-04-01
1102881 CDM Quattro Fx Mask Sm 10 6 $381.00 $381.00 $156.00 $371.00 $303.00 2026-04-01
1102882 CDM Quattro Fx Mask Med 10 6 $381.00 $381.00 $156.00 $371.00 $303.00 2026-04-01
1102883 CDM Quattro Fx Mask Lrg 10 6 $381.00 $381.00 $156.00 $371.00 $303.00 2026-04-01
1102884 CDM Mirage Fx Nasal Mask 10 6 $243.00 $243.00 $100.00 $237.00 $193.00 2026-04-01
1102889 CDM Trach, Mr Hyperflex 7.0 10 6 $440.00 $440.00 $180.00 $429.00 $349.50 2026-04-01
1102906 CDM Turn & Position System 10 6 $320.00 $320.00 $131.00 $312.00 $254.50 2026-04-01
1102926 CDM Prism 1.9 Dressing 10 6 $957.00 $957.00 $392.00 $933.00 $761.00 2026-04-01
1102929 CDM 4.5 Cuffless Flextend 10 6 $193.00 $193.00 $79.00 $188.00 $153.50 2026-04-01
1102931 CDM Cvp Triple Lumen W/cath 10 6 $337.00 $337.00 $138.00 $328.00 $268.00 2026-04-01
1102932 CDM Trach, Cuffless 7.0 10 6 $135.00 $135.00 $55.00 $132.00 $107.50 2026-04-01
1102944 CDM Bivona C 9.5 Fome Cuffed 10 6 $651.00 $651.00 $267.00 $634.00 $517.50 2026-04-01
1102948 CDM Pleurx DRG 500ml Vac Bot 10 6 $140.00 $140.00 $57.00 $136.00 $111.00 2026-04-01
1102967 CDM Lid, Fistula Mini 10 6 $172.00 $172.00 $71.00 $168.00 $137.00 2026-04-01
1102968 CDM Lid, Fistula Maxi 10 6 $187.00 $187.00 $77.00 $182.00 $149.00 2026-04-01
1102982 CDM 5.0 Cuffed Bivona Trach 10 6 $651.00 $651.00 $267.00 $634.00 $517.50 2026-04-01
1102983 CDM Mic. Button 14-14-2.5 10 6 $258.00 $258.00 $106.00 $251.00 $205.00 2026-04-01
1102984 CDM Mic. Button 120-16-2.0 10 6 $263.00 $263.00 $108.00 $256.00 $209.00 2026-04-01
1104009 CDM Mickey Button 0120-13-1.7 10 6 $262.00 $262.00 $107.00 $255.00 $208.00 2026-04-01
1104012 CDM Sm Wound Fistula Pouch 10 6 $331.00 $331.00 $136.00 $323.00 $263.50 2026-04-01
1104013 CDM Med Wound Fistula Pouch 10 6 $331.00 $331.00 $136.00 $323.00 $263.50 2026-04-01
1104014 CDM Lg Wound Fistula Pouch 10 6 $331.00 $331.00 $136.00 $323.00 $263.50 2026-04-01
1104019 CDM Drain Chest Mini 10 6 $254.00 $254.00 $104.00 $248.00 $201.50 2026-04-01
1104028 CDM Trach, Pedi 3.0tts 10 6 $504.00 $504.00 $207.00 $491.00 $400.50 2026-04-01
1104030 CDM Circuit, Ipv 10 6 $283.00 $283.00 $116.00 $276.00 $225.00 2026-04-01
1104035 CDM Mic Tube 120-12-1.2 10 6 $269.00 $269.00 $110.00 $262.00 $213.50 2026-04-01
1104040 CDM Trach, Bivona 4.0 Pedi Fl 10 6 $202.00 $202.00 $83.00 $197.00 $160.50 2026-04-01
1104042 CDM Mic Tube 120-24-3.5 10 6 $269.00 $269.00 $110.00 $262.00 $213.50 2026-04-01
1104049 CDM Pouch, Sensura 10 6 $174.00 $174.00 $71.00 $170.00 $138.50 2026-04-01
1104051 CDM Mic Tube 12-1.5 10 6 $536.00 $536.00 $220.00 $522.00 $426.00 2026-04-01
1104053 CDM Mic Tube 120-14-2.7 10 6 $269.00 $269.00 $110.00 $262.00 $213.50 2026-04-01
1104054 CDM Mic Tube 120-16-1.2 10 6 $269.00 $269.00 $110.00 $262.00 $213.50 2026-04-01
1104055 CDM Flextrend Uncuffed Pe 4.5 10 6 $347.00 $347.00 $142.00 $338.00 $275.50 2026-04-01
1104056 CDM Mickey J Tub 16-45 10 6 $544.00 $544.00 $223.00 $530.00 $432.50 2026-04-01
1104057 CDM Pouch, Senura Xpro Convex 10 6 $274.00 $274.00 $112.00 $267.00 $218.00 2026-04-01
1104058 CDM Micky 120-12-0.8 10 6 $269.00 $269.00 $110.00 $262.00 $213.50 2026-04-01
1104061 CDM Circuit, Hl Flow Vapother 10 6 $349.00 $349.00 $143.00 $340.00 $277.50 2026-04-01
1104066 CDM Mic Tube 120-20-3.0 10 6 $269.00 $269.00 $110.00 $262.00 $213.50 2026-04-01
1104067 CDM Mic Button 120-14-1.2 10 6 $269.00 $269.00 $110.00 $262.00 $213.50 2026-04-01
1104068 CDM Mic Button 120-14-2.0 10 6 $269.00 $269.00 $110.00 $262.00 $213.50 2026-04-01
1104073 CDM Pouch, Flextend 1-1/2 10 6 $136.00 $136.00 $56.00 $133.00 $108.00 2026-04-01
1104074 CDM Trach C, 4.5tts Flextend 10 6 $510.00 $510.00 $209.00 $497.00 $405.50 2026-04-01
1104075 CDM Mic Tube 120-14-1.7 10 6 $269.00 $269.00 $110.00 $262.00 $213.50 2026-04-01
1104076 CDM Circuit, Low Flow 10 6 $239.00 $239.00 $98.00 $233.00 $190.00 2026-04-01
1104082 CDM Mic Tube 14.1.0 10 6 $251.00 $251.00 $103.00 $245.00 $199.50 2026-04-01
1104083 CDM Mic Tube 120-14-1.5 10 6 $251.00 $251.00 $103.00 $245.00 $199.50 2026-04-01
1104084 CDM Lids, Fistula Midi 10 6 $180.00 $180.00 $74.00 $175.00 $143.00 2026-04-01
1104085 CDM Dreamwear W/hg Cushion Sm 10 6 $186.00 $186.00 $76.00 $181.00 $148.00 2026-04-01
1104086 CDM Dreamwear W/h Cushion Med 10 6 $186.00 $186.00 $76.00 $181.00 $148.00 2026-04-01
1104087 CDM Dreamwear W/hg Cushion Lg 10 6 $186.00 $186.00 $76.00 $181.00 $148.00 2026-04-01
1104088 CDM Dreamwear W/h Cush Med Wi 10 6 $186.00 $186.00 $76.00 $181.00 $148.00 2026-04-01
1104090 CDM Amara View Mask Med 10 6 $350.00 $350.00 $144.00 $341.00 $278.50 2026-04-01
1104091 CDM Amara View Mask Lg 10 6 $350.00 $350.00 $144.00 $341.00 $278.50 2026-04-01
1104098 CDM 6.0 Hyperflex Flange Adj. 10 6 $445.00 $445.00 $182.00 $434.00 $354.00 2026-04-01
1104101 CDM Amara Mask W/headgear Sm 10 6 $350.00 $350.00 $144.00 $341.00 $278.50 2026-04-01
1104106 CDM Vest, Wrap Xsmall 10 6 $199.00 $199.00 $82.00 $194.00 $158.00 2026-04-01
1104107 CDM Vest, Wrap Small 10 6 $199.00 $199.00 $82.00 $194.00 $158.00 2026-04-01
1104108 CDM Vest, Wrap Medium 10 6 $199.00 $199.00 $82.00 $194.00 $158.00 2026-04-01
1104109 CDM Vest, Wrap Large 10 6 $199.00 $199.00 $82.00 $194.00 $158.00 2026-04-01
1104110 CDM Vest, X Large 10 6 $199.00 $199.00 $82.00 $194.00 $158.00 2026-04-01
1104111 CDM Circuit Meta Neb 10 6 $234.00 $234.00 $96.00 $228.00 $186.00 2026-04-01
1104113 CDM Trach 3.5 Neonatal Flx Tt 10 6 $510.00 $510.00 $209.00 $497.00 $405.50 2026-04-01
1104121 CDM Aeroneb Ultra Starter Kit 10 6 $145.00 $145.00 $59.00 $141.00 $115.50 2026-04-01
1104820 CDM Scd Compression Large 10 6 $143.00 $143.00 $59.00 $139.00 $113.50 2026-04-01
1104832 CDM Plurogel Wound Burn Drsng 10 6 $245.00 $245.00 $100.00 $239.00 $195.00 2026-04-01
1104872 CDM Surgical Hemostat 10 6 $163.00 $163.00 $67.00 $159.00 $129.50 2026-04-01
1104887 CDM Dreamwear Full Face Fit 10 6 $415.00 $415.00 $170.00 $404.00 $330.00 2026-04-01
1104892 CDM Hydroferra Blu Foam Dress 10 6 $366.00 $366.00 $150.00 $357.00 $291.00 2026-04-01
1104893 CDM Hydroferra Blu Ready Foam 10 6 $844.00 $844.00 $346.00 $823.00 $671.00 2026-04-01
11104 CPT Fc Punch Bx Skin Sing Les 10 6 $444.00 $444.00 $182.00 $433.00 $353.00 2026-04-01
11721 CPT Fc Debridement Nails = >6 10 6 $177.00 $177.00 $73.00 $263.00 $155.50 2026-04-01
20550 CPT Fc Inj S Tend Sheath Liga 10 6 $380.00 $380.00 $156.00 $370.00 $302.00 2026-04-01
20551 CPT Fc Inj Tendon Origin 10 6 $380.00 $380.00 $156.00 $370.00 $302.00 2026-04-01
20552 CPT Fc Inj Trg Pt 1or2 Muscl 10 6 $391.00 $391.00 $160.00 $381.00 $310.50 2026-04-01
20553 CPT Fc Trigger Pt Inj=>3 Musc 10 6 $391.00 $391.00 $160.00 $381.00 $310.50 2026-04-01
31502 CPT Fc Tracheostomy Tube Chg 10 6 $328.00 $328.00 $134.00 $320.00 $272.50 2026-04-01
42699 CPT Fc Salivary Surg Proc 10 6 $316.00 $316.00 $130.00 $308.00 $267.50 2026-04-01
43235 CPT Diagnostic Exam Of Esophagus, Stomach Or Small Bowel Using An Endoscope 10 6 $749.00 $749.00 $307.00 $730.00 $595.50 2026-04-01
43239 CPT Biopsy Exam Of Esophagus, Stomach Or Small Bowel Using An Endoscope 10 6 $980.00 $980.00 $402.00 $955.00 $779.00 2026-04-01
51701 CPT Fc Insert Bladder Cathete 10 6 $288.00 $288.00 $118.00 $281.00 $253.50 2026-04-01
51726 CPT Complex Cystometrogram 10 6 $748.00 $748.00 $263.00 $729.00 $594.50 2026-04-01
51784 CPT Fc EMG Studies Urethral 10 6 $242.00 $242.00 $99.00 $263.00 $213.00 2026-04-01
52000 CPT Fc Cystoscopy 10 6 $947.00 $947.00 $263.00 $923.00 $752.50 2026-04-01
62270 CPT Fc Lumbar Puncture Diag 10 6 $837.00 $837.00 $263.00 $816.00 $665.50 2026-04-01
62322 CPT Injection(s) Of Therapeutic Substance 20 6 $1,080.00 $1,080.00 $144.00 $1,762.00 $542.00 2026-04-01
62328 CPT Fc Lumbar Punct W/ct/fluo 10 6 $837.00 $837.00 $263.00 $816.00 $665.50 2026-04-01
62367 CPT Fc Analyz Implnt Pump Without 10 6 $376.00 $376.00 $154.00 $366.00 $298.50 2026-04-01
62368 CPT Fc Analyz Implnt Pump W/r 10 6 $376.00 $376.00 $154.00 $366.00 $298.50 2026-04-01
62369 CPT Fc Anlyz Refill Pump Non 10 6 $376.00 $376.00 $154.00 $366.00 $298.50 2026-04-01
62370 CPT Fc Anly Refill Pump Md 10 6 $376.00 $376.00 $154.00 $366.00 $298.50 2026-04-01
64611 CPT Fc Chemodenerv Saliv Gls 10 6 $378.00 $378.00 $155.00 $368.00 $300.50 2026-04-01
64612 CPT Fc Destroy Nerve Face Mus 10 6 $364.00 $364.00 $149.00 $355.00 $289.50 2026-04-01
64616 CPT Fc Chemodenerv M Neck Dys 10 6 $558.00 $558.00 $229.00 $544.00 $443.50 2026-04-01
64642 CPT Chemodenerv 1 Extr 1-4 10 6 $2,074.00 $2,074.00 $850.00 $2,021.00 $1,649.00 2026-04-01
64644 CPT Chemodenerv 1 Ext 5/>m 10 6 $1,009.00 $1,009.00 $414.00 $983.00 $802.50 2026-04-01
64646 CPT Chemodenerv Ext Or Trk 10 6 $773.00 $773.00 $317.00 $753.00 $614.50 2026-04-01
64647 CPT Chemodenerv Trunk 10 6 $805.00 $805.00 $330.00 $785.00 $640.00 2026-04-01
7000010 CDM R&b Ventilator 10 6 $3,111.00 $3,111.00 $1,276.00 $3,032.00 $2,682.50 2026-04-01
7000018 CDM R&b Vent Rdcd 10 6 $2,298.00 $2,298.00 $942.00 $2,690.00 $2,068.00 2026-04-01
7000020 CDM R&b Med Complex 10 6 $2,500.00 $2,500.00 $1,025.00 $2,690.00 $2,200.00 2026-04-01
7000030 CDM R&b Rehabilitation 10 6 $2,146.00 $2,146.00 $880.00 $2,690.00 $1,931.00 2026-04-01
7000040 CDM R&b Neuro 10 6 $2,260.00 $2,260.00 $927.00 $2,690.00 $2,034.00 2026-04-01
7000050 CDM R&b Cmplx Cardiac 10 6 $3,000.00 $3,000.00 $1,230.00 $2,924.00 $2,635.00 2026-04-01
7000080 CDM R&b Autism 10 6 $4,186.00 $4,186.00 $1,716.00 $4,080.00 $3,328.00 2026-04-01
90471 CPT Immunization Fee 19yo And 10 6 $205.00 $205.00 $84.00 $200.00 $169.00 2026-04-01
90791 CPT Fc Np Diagnostic Eval 10 6 $424.00 $424.00 $174.00 $413.00 $337.50 2026-04-01
90792 CPT Fc Psych Diag Eval W/med 10 6 $440.00 $440.00 $180.00 $429.00 $349.50 2026-04-01
90832 CPT Psychotherapy, 30 Min 20 6 $224.50 $224.50 $84.00 $239.00 $181.50 2026-04-01
90834 CPT Psychotherapy, 45 Min 20 6 $326.00 $326.00 $110.00 $373.00 $252.00 2026-04-01
90837 CPT Psychotherapy, 60 Min 20 6 $388.50 $388.50 $157.00 $384.00 $320.50 2026-04-01
90846 CPT Family Psychotherapy, Not Including Patient, 50 Min 20 6 $344.00 $344.00 $132.00 $358.00 $282.50 2026-04-01
90847 CPT Family Psychotherapy, Including Patient, 50 Min 20 6 $295.50 $295.50 $109.00 $317.00 $238.00 2026-04-01
90853 CPT Group Psychotherapy 20 6 $136.50 $136.50 $54.00 $138.00 $112.50 2026-04-01
92507 CPT Trmnt Ind Cd Rvu 15 Min 10 6 $263.00 $263.00 $108.00 $256.00 $187.00 2026-04-01
92508 CPT Group Therapy Rates 10 6 $127.00 $127.00 $52.00 $163.00 $114.00 2026-04-01
92520 CPT Laryngeal Funct Studies 10 6 $384.00 $384.00 $134.00 $374.00 $273.00 2026-04-01
92521 CPT Eval Speech Fluency 10 6 $378.00 $378.00 $134.00 $368.00 $269.00 2026-04-01
92522 CPT Eval Sp Sound Production 10 6 $325.00 $325.00 $133.00 $317.00 $231.50 2026-04-01
92523 CPT Eval Sp Sd Prod/w Lang Co 10 6 $627.00 $627.00 $134.00 $611.00 $446.00 2026-04-01
92524 CPT Bh/quant Analy Voice/reso 10 6 $314.00 $314.00 $129.00 $306.00 $223.50 2026-04-01
92526 CPT Trmnt Ind Dyshagia Rvu 15 10 6 $286.00 $286.00 $117.00 $279.00 $203.50 2026-04-01
92551 CPT Screen Tst Pure Tone Air 10 6 $127.00 $127.00 $52.00 $163.00 $114.00 2026-04-01
92605 CPT Eval Pt Script Non Sp Dev 10 6 $314.00 $314.00 $129.00 $306.00 $223.50 2026-04-01
92606 CPT Thera Svcs Nonspeech 15m 10 6 $238.00 $238.00 $98.00 $232.00 $169.50 2026-04-01
92607 CPT Eval Speech Gen Dev 10 6 $438.00 $438.00 $134.00 $427.00 $311.50 2026-04-01
92608 CPT Eval Speech Gen Dev + 30 10 6 $314.00 $314.00 $129.00 $306.00 $223.50 2026-04-01
92609 CPT Thera Svcs Speech 15min 10 6 $261.00 $261.00 $107.00 $254.00 $186.00 2026-04-01
92610 CPT Bedside Dysphagia Eval 10 6 $296.00 $296.00 $121.00 $288.00 $210.50 2026-04-01
92611 CPT Modified Barium Swallow 10 6 $308.00 $308.00 $126.00 $300.00 $219.50 2026-04-01
92612 CPT Flex Fibop Endoscop Swall 10 6 $500.00 $500.00 $134.00 $487.00 $356.00 2026-04-01
94060 CPT Spirom Pre & Post Broncho 27 6 $457.00 $457.00 $180.00 $918.00 $411.00 2026-04-01
94375 CPT Spirometry 10 6 $943.00 $943.00 $387.00 $919.00 $779.00 2026-04-01
94618 CPT 6 Minute Walk Test 10 6 $384.00 $384.00 $81.00 $374.00 $317.00 2026-04-01
94625 CPT Plrh Wo Continous Monitor 10 6 $514.00 $514.00 $211.00 $520.00 $452.50 2026-04-01
94660 CPT Cpap/bipap Init/mgt 10 6 $641.00 $641.00 $263.00 $625.00 $529.50 2026-04-01
94664 CPT Mdi Demo, Evaluation 10 6 $637.00 $637.00 $261.00 $621.00 $526.50 2026-04-01
94667 CPT Init Postural Drainage 20 6 $402.00 $402.00 $157.00 $409.00 $331.50 2026-04-01
94668 CPT Postural Drainage 10 6 $384.00 $384.00 $157.00 $374.00 $317.00 2026-04-01
94762 CPT Oximetry-continuous 10 6 $469.00 $469.00 $192.00 $457.00 $387.00 2026-04-01
94799 CPT Rt Eval Or Reval 10 6 $468.00 $468.00 $192.00 $456.00 $386.50 2026-04-01
95851 CPT Range Of Motion Measuremt 11 6 $121.00 $121.00 $50.00 $161.00 $118.00 2026-04-01
95860 CPT EMG-1 Extremity 10 6 $383.00 $383.00 $157.00 $373.00 $316.00 2026-04-01
95861 CPT Tc EMG-2 Extremities 10 6 $384.00 $384.00 $157.00 $374.00 $317.00 2026-04-01
95863 CPT Tc EMG-3 Extremities 10 6 $468.00 $468.00 $192.00 $456.00 $386.50 2026-04-01
95864 CPT Tc EMG-4 Extremities 10 6 $468.00 $468.00 $192.00 $456.00 $386.50 2026-04-01
95866 CPT Tc Muscle Test Hemidiaphr 10 6 $468.00 $468.00 $192.00 $456.00 $386.50 2026-04-01
95867 CPT Tc EMG-cranial Muscles U 10 6 $940.00 $940.00 $385.00 $916.00 $776.00 2026-04-01
95868 CPT Tc EMG-cranial Muscles Bi 10 6 $943.00 $943.00 $387.00 $919.00 $779.00 2026-04-01
95869 CPT Tc EMG-thor Paraspinal Mu 10 6 $943.00 $943.00 $387.00 $919.00 $779.00 2026-04-01
95870 CPT Tc EMG-limited Study Musc 10 6 $384.00 $384.00 $157.00 $374.00 $317.00 2026-04-01
95872 CPT Tc EMG-single Fiber Elect 10 6 $469.00 $469.00 $192.00 $457.00 $387.00 2026-04-01
95873 CPT Tc Guide Nerv Dest Elec S 10 6 $178.00 $178.00 $73.00 $173.00 $147.00 2026-04-01
95874 CPT Tc Guide Nerv Destr Needl 10 6 $222.00 $222.00 $91.00 $216.00 $183.50 2026-04-01
95875 CPT Tc Ischemic Limb Exer Tes 10 6 $468.00 $468.00 $192.00 $456.00 $386.50 2026-04-01
95907 CPT Tc Nvr Condj 1-2 Stdy 10 6 $468.00 $468.00 $192.00 $456.00 $386.50 2026-04-01
95908 CPT Tc Nvr Condj 3-4 Stdy 10 6 $943.00 $943.00 $387.00 $919.00 $779.00 2026-04-01
95909 CPT Tc Nvr Condj 5-6 Stdy 10 6 $942.00 $942.00 $386.00 $918.00 $778.00 2026-04-01
95910 CPT Tc Nvr Condj 7-8 Stdy 10 6 $942.00 $942.00 $386.00 $918.00 $778.00 2026-04-01
95911 CPT Tc Nvr Condj 9-10 Stdy 10 6 $1,565.00 $1,565.00 $642.00 $1,525.00 $1,292.50 2026-04-01
95912 CPT Tc Nvr Condj 11-12 Stdy 10 6 $1,565.00 $1,565.00 $642.00 $1,525.00 $1,292.50 2026-04-01
95913 CPT Tc Nvr Condj =>13 Stdy 10 6 $1,565.00 $1,565.00 $642.00 $1,525.00 $1,292.50 2026-04-01
95923 CPT Tc Sympathetic Skin Respo 10 6 $383.00 $383.00 $157.00 $373.00 $316.00 2026-04-01
95933 CPT Tc Blink Relfex Test 10 6 $183.00 $183.00 $75.00 $178.00 $151.00 2026-04-01
95937 CPT Tc Repetitive Stim Ea Ner 10 6 $468.00 $468.00 $192.00 $456.00 $386.50 2026-04-01
95970 CPT Fc Analy Neurostim No Prg 10 6 $383.00 $383.00 $157.00 $373.00 $304.50 2026-04-01
95983 CPT Fc Alys Brn Npgt Prgrmg 10 6 $290.00 $290.00 $119.00 $283.00 $230.50 2026-04-01
95990 CPT Fc Refill/mnt Implnt P Rn 10 6 $440.00 $440.00 $180.00 $429.00 $349.50 2026-04-01
95991 CPT Fc Refill/mnt Implnt P Md 10 6 $367.00 $367.00 $150.00 $358.00 $292.00 2026-04-01
95992 CPT Canalith Repositioning 11 6 $130.00 $130.00 $53.00 $161.00 $127.00 2026-04-01
96105 CPT Assess Aphasia/hr 20 6 $271.00 $271.00 $90.00 $315.00 $197.00 2026-04-01
96112 CPT Fc Devlpmntl Test 1st Hr 10 6 $390.00 $390.00 $160.00 $380.00 $310.00 2026-04-01
96116 CPT Fc Neurobehavior Status 10 6 $793.00 $793.00 $263.00 $773.00 $630.50 2026-04-01
96125 CPT Fc Cog Testing 20 6 $287.50 $287.50 $95.00 $335.00 $208.00 2026-04-01
96130 CPT Fc Psych Test Eval 1st Hr 10 6 $424.00 $424.00 $174.00 $413.00 $337.50 2026-04-01
96132 CPT Fc Neurpsy Tst Evl 1st Hr 10 6 $424.00 $424.00 $174.00 $413.00 $337.50 2026-04-01
96136 CPT Fc Test Adminstrn 1st 30m 10 6 $146.00 $146.00 $60.00 $263.00 $128.50 2026-04-01
96138 CPT Test Adm&scr 1st 30m Tech 10 6 $138.00 $138.00 $57.00 $263.00 $121.50 2026-04-01
96139 CPT Test Adm&scr Adtl30m Tech 10 6 $138.00 $138.00 $57.00 $263.00 $121.50 2026-04-01
96156 CPT Fc H&b Assmt/reassmt 10 6 $227.00 $227.00 $93.00 $263.00 $199.50 2026-04-01
96158 CPT Fc H&b Intervention 30m 10 6 $151.00 $151.00 $62.00 $263.00 $133.00 2026-04-01
96167 CPT Fc H&b Intrvtn Fam&pt 30m 10 6 $162.00 $162.00 $66.00 $263.00 $142.50 2026-04-01
97113 CPT Pool Therapy (15min) 11 6 $113.00 $113.00 $46.00 $161.00 $110.00 2026-04-01
97116 CPT Gait/stair Train 15 M 11 6 $110.00 $110.00 $45.00 $161.00 $107.00 2026-04-01
97140 CPT Manual Therapy Techniques 11 6 $110.00 $110.00 $45.00 $161.00 $107.00 2026-04-01
97161 CPT Eval Low Complexity 20min 10 6 $261.00 $261.00 $107.00 $254.00 $172.50 2026-04-01
97162 CPT Eval Mod Complexity 30min 10 6 $272.00 $272.00 $112.00 $265.00 $176.00 2026-04-01
97163 CPT Eval High Complexity 45mi 10 6 $282.00 $282.00 $116.00 $275.00 $179.50 2026-04-01
97164 CPT Pt Re-evaluation 20 Min 10 6 $168.00 $168.00 $69.00 $164.00 $137.00 2026-04-01
97165 CPT Eval Low Complexity 30min 10 6 $261.00 $261.00 $107.00 $254.00 $172.50 2026-04-01
97166 CPT Eval Mod Complexity 45min 10 6 $272.00 $272.00 $112.00 $265.00 $176.00 2026-04-01
97167 CPT Eval High Complexity 60mi 10 6 $282.00 $282.00 $116.00 $275.00 $179.50 2026-04-01
97168 CPT Ot Re-evaluation 30 Min 10 6 $181.00 $181.00 $74.00 $176.00 $139.50 2026-04-01
97530 CPT Therapeutic/funct Act 11 6 $119.00 $119.00 $49.00 $161.00 $116.00 2026-04-01
97533 CPT Sens Int Tec Enh Sens 15m 11 6 $151.00 $151.00 $62.00 $161.00 $136.00 2026-04-01
97535 CPT Self/home Train Adl 15 M 11 6 $119.00 $119.00 $49.00 $161.00 $116.00 2026-04-01
97537 CPT Comm/work Integrate 15 M 11 6 $119.00 $119.00 $49.00 $161.00 $116.00 2026-04-01
97542 CPT Whlchr Mgt/propul Trn 15m 11 6 $119.00 $119.00 $49.00 $161.00 $116.00 2026-04-01
97550 CPT Caregiver Traing 1st 30 M 14 6 $138.00 $138.00 $57.00 $163.00 $131.50 2026-04-01
97597 CPT Rmvl Dev Tiss Wnd <20cm 17 6 $602.00 $602.00 $102.00 $587.00 $224.00 2026-04-01
97598 CPT Rmvl Dev Tiss Wnd >20cm 11 6 $238.00 $238.00 $98.00 $232.00 $161.00 2026-04-01
97750 CPT Phys Perf Test, Measure 11 6 $121.00 $121.00 $50.00 $161.00 $118.00 2026-04-01
97755 CPT Assist Tech Assessment 11 6 $127.00 $127.00 $52.00 $161.00 $124.00 2026-04-01
97760 CPT Orthotic Mgt And Training 11 6 $123.00 $123.00 $50.00 $161.00 $120.00 2026-04-01
97761 CPT Pros Fit/trn Up/low 15 M 11 6 $118.00 $118.00 $48.00 $161.00 $115.00 2026-04-01
97763 CPT Ortho/prosth Mgmt Subsq 11 6 $174.00 $174.00 $71.00 $170.00 $140.00 2026-04-01
99202 CPT Fc Office O/p New Sf 15 M 10 6 $252.00 $252.00 $103.00 $263.00 $222.00 2026-04-01
99203 CPT New Patient Office Or Other Outpatient Visit, 30 Min 20 6 $275.00 $275.00 $107.00 $282.00 $217.50 2026-04-01
99204 CPT New Patient Office Or Other Outpatient Visit, 45 Min 20 6 $389.50 $389.50 $142.00 $422.00 $311.00 2026-04-01
99205 CPT New Patient Office Or Other Outpatient Visit, 60 Min 20 6 $513.50 $513.50 $194.00 $541.00 $405.50 2026-04-01
99211 CPT Fc Min Evl Mgt-est Pt 10 6 $252.00 $252.00 $103.00 $263.00 $222.00 2026-04-01
99212 CPT Fc Office O/p Est Sf 10 M 10 6 $344.00 $344.00 $141.00 $335.00 $279.50 2026-04-01
99213 CPT Fc Office O/p Est Low 20 10 6 $344.00 $344.00 $141.00 $335.00 $279.50 2026-04-01
99214 CPT Fc Office O/p Est Mod 30 10 6 $344.00 $344.00 $141.00 $335.00 $279.50 2026-04-01
99215 CPT Fc Office O/p Est Hi 40 M 10 6 $370.00 $370.00 $152.00 $361.00 $294.00 2026-04-01
99242 CPT Fc Consult, Level 2 10 6 $252.00 $252.00 $103.00 $263.00 $222.00 2026-04-01
99243 CPT Patient Office Consultation, 40 Min 20 6 $282.50 $282.50 $107.00 $296.00 $223.00 2026-04-01
99244 CPT Patient Office Consultation, 60 Min 30 6 $450.00 $450.00 $142.00 $476.00 $326.50 2026-04-01
99245 CPT Fc Consult, Level 5 10 6 $472.00 $472.00 $194.00 $460.00 $375.50 2026-04-01
99404 CPT Fc Prev Med Cnsl Apprx 60 10 6 $250.00 $250.00 $103.00 $263.00 $220.00 2026-04-01
99497 CPT Fc Advcd Care Plan 30 Min 10 6 $194.00 $194.00 $80.00 $263.00 $171.00 2026-04-01
99498 CPT Fc Advcd Care Addl 30 Min 10 6 $182.00 $182.00 $75.00 $263.00 $160.50 2026-04-01
A9279 HCPCS Expiratory Muscle Device 10 6 $156.00 $156.00 $64.00 $152.00 $124.00 2026-04-01
G0237 HCPCS Proc Improve Strngth 15m 10 6 $249.00 $249.00 $102.00 $243.00 $205.50 2026-04-01
G0238 HCPCS Proc Improve Rt Func 15m 10 6 $177.00 $177.00 $73.00 $173.00 $146.00 2026-04-01
H0035 HCPCS Mh Part Hosp Tx Under 24 10 6 $1,750.00 $1,750.00 $718.00 $1,706.00 $1,391.50 2026-04-01
L4397 HCPCS Care Solution Afo Med 20 6 $168.50 $168.50 $53.00 $202.00 $117.00 2026-04-01
L8501 HCPCS Valve Passy Muir Purple 10 6 $149.00 $149.00 $61.00 $145.00 $118.50 2026-04-01
Q3014 HCPCS Thfc Originating Site 10 6 $252.00 $252.00 $103.00 $263.00 $222.00 2026-04-01
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