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

BEAR LAKE MEMORIAL HOSPITAL

Montpelier, ID · CCN 131316 · Rates published

Your selected procedure

You selected 93306 (HCPCS)

US ECHO COMPLETE

This hospital’s price: $1,084 across 6 payers · range $174-$1,492

Source: https://blmh.health/wp-content/uploads/2025/05/826001195_bear-lake-county-memorial-hospital_standardcharges.csv.csv · observed 2026-07-15

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

1,672 distinct procedures filed
6 distinct payers
18,421 rate rows
2026-07-15 last MRF observed
Data quality

17,938 of 18,421 rate rows are consumer-grade (97.4%)

483 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
template filing: same amount across many unrelated codes — excluded 477
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 5
per-diem day rate — not a per-procedure price 1
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://blmh.health/wp-content/uploads/2025/05/826001195_bear-lake-county-memorial-hospital_standardcharges.csv.csv
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-10-03
Content fingerprint 3bf585cde8d770da… · 5,458,929 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
J9043
HCPCS 		Jevtana IV Soln 60mg/1.5ml (per 1mg),zero Drug Amount Discarded/not Administered… 6 $143.23 $9,680.60 $6,686.60 nat. median
$509
outlier · 13.1×
J9218
HCPCS 		Lupron Depot 30mg IM Kit 6 $11.47 $8,825.06 $6,095.66 nat. median
$448
outlier · 13.6×
78815
HCPCS 		Nm PET Image W/ct Skull-thigh 6 $2,421.12 $6,021.76 $4,102.73 nat. median
$1,679
outlier · 2.4×
0274
RC 		6 $1,458.21 $3,626.83 $3,047.28 nat. median
$264
outlier · 11.5×
78452
HCPCS 		Nm Myocardial Perfusion Spect (chemical 6 $374.33 $3,332.50 $3,042.72 nat. median
$1,464
outlier · 2.1×
22514
HCPCS 		Vertebroplasty Lumbar Perq 6 $1,094.15 $2,805.50 $2,693.28 nat. median
$7,967
outlier · 0.3×
95811
HCPCS 		Rt Sleep Study Cpap 6 $582.58 $3,551.17 $2,581.01 nat. median
$1,412
1.8× median
15273
HCPCS 		Apply Skin Graft To Trunk 100 Sq Cm 6 $269.17 $3,282.96 $2,386.07 nat. median
$2,471
1.0× median
95810
HCPCS 		Rt Sleep Study Baseline 6 $556.43 $3,230.10 $2,347.65 nat. median
$1,446
1.6× median
81201
HCPCS 		Adenomatous Polyposis Coli Gene Mutation 6 $702.00 $3,357.66 $2,319.20 nat. median
$796
outlier · 2.9×
22510
HCPCS 		Perq Cervicothoracic Inject 6 $1,069.19 $2,659.26 $2,067.67 nat. median
$4,019
0.5× median
22511
HCPCS 		Perq Lumbrosacral Injection 6 $1,062.56 $2,642.76 $2,058.67 nat. median
$4,044
0.5× median
24071
HCPCS 		Exc Tumor Soft Tissue Upper Arm 6 $363.39 $2,767.41 $2,011.37 nat. median
$2,932
0.7× median
22903
HCPCS 		Exc Tumor Soft Tissue Abd Wall Subq 3 Cm,assistant Surgery 6 $62.71 $2,732.49 $1,985.99 nat. median
$2,940
0.7× median
43249
HCPCS 		Egd Balloon Dil Eso <30mm 6 $801.06 $2,018.44 $1,951.30 nat. median
$1,996
1.0× median
11770
HCPCS 		Excision Pilonidal Cyst Simple 6 $305.58 $2,606.88 $1,894.68 nat. median
$2,914
0.7× median
81162
HCPCS 		Brca 1 & 2 Comp Analysis (BRCAssure) 6 $753.48 $1,932.00 $1,854.72 nat. median
$1,880
1.0× median
81223
HCPCS 		Pancreatitis Panel Sequencing 6 $449.10 $2,635.00 $1,820.06 nat. median
$549
outlier · 3.3×
73725
HCPCS 		Mr Angio Lower Ext W/wo, Left,left Side Of Body 6 $304.44 $2,618.03 $1,808.33 nat. median
$774
outlier · 2.3×
81408
HCPCS 		Fbn1 Marfan Syndrome 6 $729.79 $1,871.25 $1,807.55 nat. median
$2,000
0.9× median
43233
HCPCS 		Egd Balloon Dil Esoph 30 Mm/> 6 $202.28 $1,820.08 $1,757.02 nat. median
$2,041
0.9× median
43245
HCPCS 		Egd Dilation Gastric/duodenal Stricture 6 $508.72 $1,820.08 $1,757.02 nat. median
$2,031
0.9× median
43250
HCPCS 		Egd Flex Rmvl Les Hot Biopsy 6 $390.17 $1,820.08 $1,757.02 nat. median
$2,004
0.9× median
25071
HCPCS 		Exc Forearm Les Sc 3 Cm/>,assistant Surgery 6 $61.06 $2,398.32 $1,743.12 nat. median
$1,937
0.9× median
78804
HCPCS 		Nm Tumor Local Spec 6 $488.47 $2,537.50 $1,700.12 nat. median
$893
1.9× median
J3246
HCPCS 		Aggrastat 12.5 Mg/250 Ml Bag Per 25 Mg 5 $8.08 $1,724.66 $1,689.10 nat. median
$202
outlier · 8.4×
P9035
HCPCS 		Bb Unit Platepheresis 6 $787.61 $1,958.92 $1,645.89 nat. median
$732
outlier · 2.2×
77049
HCPCS 		Mr Breast Bilateral W/wo W Cad 6 $310.28 $2,344.49 $1,619.39 nat. median
$683
outlier · 2.4×
74185
HCPCS 		MRA Abdomen W/wo 6 $304.38 $2,327.03 $1,607.33 nat. median
$853
1.9× median
0100
RC 		5 $521.42 $2,782.93 $1,581.10 nat. median
$852
1.9× median
81405
HCPCS 		Alzheimers Ngs Diag Test 6 $271.22 $2,220.33 $1,533.63 nat. median
$355
outlier · 4.3×
0720
RC 		6 $602.55 $2,968.20 $1,498.65 nat. median
$720
outlier · 2.1×
45378
HCPCS 		Colonoscopy Without Biopsy 6 $301.01 $2,026.81 $1,473.10 nat. median
$1,062
1.4× median
G0105
HCPCS 		Colonoscopy High Risk 6 $301.01 $2,011.78 $1,462.17 nat. median
$1,190
1.2× median
J1950
HCPCS 		Lupron Depot 45 Mg IM (per 3.75 Mg) 6 Mo 6 $580.71 $1,489.00 $1,429.44 nat. median
$3,343
outlier · 0.4×
A9569
HCPCS 		Technetium Tc-99m Auto Wbc 6 $683.87 $1,700.90 $1,429.10 nat. median
$1,675
0.9× median
0750
RC 		6 $583.64 $1,992.38 $1,421.68 nat. median
$1,677
0.8× median
45385
HCPCS 		Colonosopy W/lesion Removal 6 $400.83 $1,944.24 $1,413.08 nat. median
$1,486
1.0× median
J2506
HCPCS 		Neulasta 6mg/0.6ml (per 0.5 Mg) Chemo,zero Drug Amount Discarded/not Administere… 6 $668.27 $1,662.10 $1,396.50 nat. median
$916
1.5× median
77047
HCPCS 		Mr Breast Bilateral Wo 6 $198.77 $2,012.75 $1,390.25 nat. median
$307
outlier · 4.5×
99291
HCPCS 		Critical Care 1st 30 - 74 Min 6 $248.16 $1,901.20 $1,381.80 nat. median
$1,120
1.2× median
23655
HCPCS 		Close Shoulder Dis W Manip W Anes 6 $372.85 $1,372.06 $1,330.95 nat. median
$1,810
0.7× median
70553
HCPCS 		Mr Brain W/wo Contrast 6 $289.69 $2,895.94 $1,286.37 nat. median
$616
outlier · 2.1×
72158
HCPCS 		Mr Spine Lumbar W/wo Contrast 6 $289.98 $2,884.78 $1,284.12 nat. median
$616
outlier · 2.1×
72157
HCPCS 		Mr Spine Thoracic W/wo Contrast 6 $291.16 $2,884.78 $1,284.12 nat. median
$624
outlier · 2.1×
12037
HCPCS 		Lac Med S/a/t/e >30cm 6 $430.42 $1,764.92 $1,282.74 nat. median
$1,899
0.7× median
12047
HCPCS 		Lac Med N/h/f/g >30,assistant Surgery 6 $76.89 $1,764.92 $1,282.74 nat. median
$1,795
0.7× median
A9552
HCPCS 		Nm F18 Fdg 6 $612.89 $1,524.36 $1,280.77 nat. median
$627
outlier · 2.0×
45380
HCPCS 		Colonoscopy Flexible With Biopsy 6 $380.33 $1,746.36 $1,269.26 nat. median
$1,441
0.9× median
15275
HCPCS 		Apply Skin Sub To Face 25 Or Less Sq Cm 6 $142.65 $1,741.64 $1,265.83 nat. median
$1,689
0.7× median

Other procedures at this hospital

Browse this hospital's 1,672 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
             
J9043 HCPCS Jevtana IV Soln 60mg/1.5ml (per 1mg),zero Drug Amount Discarded/not Administered… 6 6 $9,980.00 $8,483.00 $143.23 $9,680.60 $6,686.60 2026-07-15
J9218 HCPCS Lupron Depot 30mg IM Kit 6 6 $9,098.00 $7,733.30 $11.47 $8,825.06 $6,095.66 2026-07-15
78815 HCPCS Nm PET Image W/ct Skull-thigh 6 6 $6,208.00 $5,276.80 $2,421.12 $6,021.76 $4,102.73 2026-07-15
0274 RC — 6 6 $3,739.00 $3,178.15 $1,458.21 $3,626.83 $3,047.28 2026-07-15
78452 HCPCS Nm Myocardial Perfusion Spect (chemical 10 6 $3,332.50 $2,832.63 $374.33 $3,332.50 $3,042.72 2026-07-15
22514 HCPCS Vertebroplasty Lumbar Perq 6 6 $2,805.50 $2,384.68 $1,094.15 $2,805.50 $2,693.28 2026-07-15
95811 HCPCS Rt Sleep Study Cpap 6 6 $3,661.00 $3,111.85 $582.58 $3,551.17 $2,581.01 2026-07-15
15273 HCPCS Apply Skin Graft To Trunk 100 Sq Cm 6 6 $3,384.50 $2,876.83 $269.17 $3,282.96 $2,386.07 2026-07-15
95810 HCPCS Rt Sleep Study Baseline 6 6 $3,330.00 $2,830.50 $556.43 $3,230.10 $2,347.65 2026-07-15
81201 HCPCS Adenomatous Polyposis Coli Gene Mutation 6 6 $3,461.50 $2,942.28 $702.00 $3,357.66 $2,319.20 2026-07-15
22510 HCPCS Perq Cervicothoracic Inject 6 6 $2,741.50 $2,330.28 $1,069.19 $2,659.26 $2,067.67 2026-07-15
22511 HCPCS Perq Lumbrosacral Injection 6 6 $2,724.50 $2,315.83 $1,062.56 $2,642.76 $2,058.67 2026-07-15
24071 HCPCS Exc Tumor Soft Tissue Upper Arm 6 6 $2,853.00 $2,425.05 $363.39 $2,767.41 $2,011.37 2026-07-15
22903 HCPCS Exc Tumor Soft Tissue Abd Wall Subq 3 Cm,assistant Surgery 6 6 $2,817.00 $2,394.45 $62.71 $2,732.49 $1,985.99 2026-07-15
43249 HCPCS Egd Balloon Dil Eso <30mm 11 6 $2,080.87 $1,768.74 $801.06 $2,018.44 $1,951.30 2026-07-15
11770 HCPCS Excision Pilonidal Cyst Simple 6 6 $2,687.50 $2,284.38 $305.58 $2,606.88 $1,894.68 2026-07-15
81162 HCPCS Brca 1 & 2 Comp Analysis (BRCAssure) 6 6 $1,932.00 $1,642.20 $753.48 $1,932.00 $1,854.72 2026-07-15
81223 HCPCS Pancreatitis Panel Sequencing 6 6 $2,716.50 $2,309.03 $449.10 $2,635.00 $1,820.06 2026-07-15
73725 HCPCS Mr Angio Lower Ext W/wo, Left,left Side Of Body 12 6 $2,699.00 $2,294.15 $304.44 $2,618.03 $1,808.33 2026-07-15
81408 HCPCS Fbn1 Marfan Syndrome 6 6 $1,871.25 $1,590.56 $729.79 $1,871.25 $1,807.55 2026-07-15
43245 HCPCS Egd Dilation Gastric/duodenal Stricture 11 6 $1,876.37 $1,594.91 $508.72 $1,820.08 $1,757.02 2026-07-15
43250 HCPCS Egd Flex Rmvl Les Hot Biopsy 11 6 $1,876.37 $1,594.91 $390.17 $1,820.08 $1,757.02 2026-07-15
43233 HCPCS Egd Balloon Dil Esoph 30 Mm/> 11 6 $1,876.37 $1,594.91 $202.28 $1,820.08 $1,757.02 2026-07-15
25071 HCPCS Exc Forearm Les Sc 3 Cm/>,assistant Surgery 6 6 $2,472.50 $2,101.63 $61.06 $2,398.32 $1,743.12 2026-07-15
78804 HCPCS Nm Tumor Local Spec 6 6 $2,537.50 $2,156.88 $488.47 $2,537.50 $1,700.12 2026-07-15
J3246 HCPCS Aggrastat 12.5 Mg/250 Ml Bag Per 25 Mg 5 5 $1,778.00 $1,511.30 $8.08 $1,724.66 $1,689.10 2026-07-15
P9035 HCPCS Bb Unit Platepheresis 6 6 $2,019.50 $1,716.58 $787.61 $1,958.92 $1,645.89 2026-07-15
77049 HCPCS Mr Breast Bilateral W/wo W Cad 6 6 $2,417.00 $2,054.45 $310.28 $2,344.49 $1,619.39 2026-07-15
74185 HCPCS MRA Abdomen W/wo 6 6 $2,399.00 $2,039.15 $304.38 $2,327.03 $1,607.33 2026-07-15
0100 RC — 41 5 $1,801.00 $1,530.85 $521.42 $2,782.93 $1,581.10 2026-07-15
81405 HCPCS Alzheimers Ngs Diag Test 6 6 $2,289.00 $1,945.65 $271.22 $2,220.33 $1,533.63 2026-07-15
0720 RC — 31 6 $2,142.00 $1,820.70 $602.55 $2,968.20 $1,498.65 2026-07-15
45378 HCPCS Colonoscopy Without Biopsy 6 6 $2,089.49 $1,776.07 $301.01 $2,026.81 $1,473.10 2026-07-15
G0105 HCPCS Colonoscopy High Risk 6 6 $2,074.00 $1,762.90 $301.01 $2,011.78 $1,462.17 2026-07-15
J1950 HCPCS Lupron Depot 45 Mg IM (per 3.75 Mg) 6 Mo 6 6 $1,489.00 $1,265.65 $580.71 $1,489.00 $1,429.44 2026-07-15
A9569 HCPCS Technetium Tc-99m Auto Wbc 6 6 $1,753.50 $1,490.48 $683.87 $1,700.90 $1,429.10 2026-07-15
0750 RC — 11 6 $1,496.50 $1,272.03 $583.64 $1,992.38 $1,421.68 2026-07-15
45385 HCPCS Colonosopy W/lesion Removal 6 6 $2,004.37 $1,703.71 $400.83 $1,944.24 $1,413.08 2026-07-15
J2506 HCPCS Neulasta 6mg/0.6ml (per 0.5 Mg) Chemo,zero Drug Amount Discarded/not Administere… 6 6 $1,713.50 $1,456.48 $668.27 $1,662.10 $1,396.50 2026-07-15
77047 HCPCS Mr Breast Bilateral Wo 6 6 $2,075.00 $1,763.75 $198.77 $2,012.75 $1,390.25 2026-07-15
99291 HCPCS Critical Care 1st 30 - 74 Min 6 6 $1,960.00 $1,666.00 $248.16 $1,901.20 $1,381.80 2026-07-15
23655 HCPCS Close Shoulder Dis W Manip W Anes 11 6 $1,414.50 $1,202.33 $372.85 $1,372.06 $1,330.95 2026-07-15
70553 HCPCS Mr Brain W/wo Contrast 6 6 $2,985.50 $2,537.68 $289.69 $2,895.94 $1,286.37 2026-07-15
72158 HCPCS Mr Spine Lumbar W/wo Contrast 6 6 $2,974.00 $2,527.90 $289.98 $2,884.78 $1,284.12 2026-07-15
72157 HCPCS Mr Spine Thoracic W/wo Contrast 6 6 $2,974.00 $2,527.90 $291.16 $2,884.78 $1,284.12 2026-07-15
12047 HCPCS Lac Med N/h/f/g >30,assistant Surgery 6 6 $1,819.50 $1,546.58 $76.89 $1,764.92 $1,282.74 2026-07-15
12037 HCPCS Lac Med S/a/t/e >30cm 6 6 $1,819.50 $1,546.58 $430.42 $1,764.92 $1,282.74 2026-07-15
A9552 HCPCS Nm F18 Fdg 6 6 $1,571.50 $1,335.78 $612.89 $1,524.36 $1,280.77 2026-07-15
45380 HCPCS Colonoscopy Flexible With Biopsy 6 6 $1,800.37 $1,530.31 $380.33 $1,746.36 $1,269.26 2026-07-15
15277 HCPCS Apply Skin Sub To Face 100 Sq Cm 6 6 $1,795.50 $1,526.18 $301.22 $1,741.64 $1,265.83 2026-07-15
15271 HCPCS Apply Skin Graft To Trunk 25 Sq Cm Or Le 6 6 $1,795.50 $1,526.18 $136.24 $1,741.64 $1,265.83 2026-07-15
15275 HCPCS Apply Skin Sub To Face 25 Or Less Sq Cm 6 6 $1,795.50 $1,526.18 $142.65 $1,741.64 $1,265.83 2026-07-15
90999 HCPCS Hemodialysis Treatment 6 6 $1,549.00 $1,316.65 $604.11 $1,502.53 $1,262.43 2026-07-15
74183 HCPCS Mr Abdominal W &with Contrast 6 6 $2,733.00 $2,323.05 $306.31 $2,651.01 $1,237.13 2026-07-15
70543 HCPCS Mr Orbt/fac/nck Without & With Contrast 6 6 $2,721.50 $2,313.28 $307.04 $2,639.86 $1,234.89 2026-07-15
72147 HCPCS Mr Spine Thoracic With Contrast 6 6 $2,711.50 $2,304.78 $247.19 $2,630.16 $1,232.94 2026-07-15
72156 HCPCS Mr Spine Cervical W/wo Contrast 6 6 $2,711.50 $2,304.78 $290.57 $2,630.16 $1,232.94 2026-07-15
73222 HCPCS Mr Jt Upper Ext With Contrast Left,left Side Of Body 12 6 $2,699.50 $2,294.58 $280.93 $2,618.52 $1,230.60 2026-07-15
10140 HCPCS I&d Hematoma/seroma 11 6 $1,292.50 $1,098.63 $151.16 $1,478.76 $1,227.88 2026-07-15
70552 HCPCS Mr Brain With Contrast 6 6 $2,680.50 $2,278.43 $245.72 $2,600.08 $1,226.89 2026-07-15
32556 HCPCS Drain Fluid F Chest W Ins Of Indw Tube 6 6 $1,726.00 $1,467.10 $629.60 $1,674.22 $1,216.83 2026-07-15
77048 HCPCS MRI Breast Left W/wo Contrast,left Side Of Body 12 6 $1,816.00 $1,543.60 $304.25 $1,761.52 $1,216.72 2026-07-15
81404 HCPCS Fatty Acid Oxidation Disorders Pan Arup 6 6 $1,800.00 $1,530.00 $247.35 $1,746.00 $1,206.00 2026-07-15
70546 HCPCS MRA Brain With & Without Contrast 6 6 $2,572.50 $2,186.63 $297.69 $2,495.32 $1,205.84 2026-07-15
73723 HCPCS Mr Lower Joint W & Without Contrast 6 6 $2,523.00 $2,144.55 $346.98 $2,447.31 $1,196.18 2026-07-15
73720 HCPCS Mr Lower Extremity W/& Without , Left,left Side Of Body 12 6 $2,523.00 $2,144.55 $305.28 $2,447.31 $1,196.18 2026-07-15
72197 HCPCS Mr Pelvis W/wo Contrast 6 6 $2,516.00 $2,138.60 $305.13 $2,440.52 $1,194.82 2026-07-15
74178 HCPCS CT Abd Pelvis W/wo Contrast 6 6 $3,355.50 $2,852.18 $293.18 $3,254.84 $1,193.29 2026-07-15
15274 HCPCS Apply Skin Graft To Trunk Addtl100 Sq Cm 6 6 $1,692.00 $1,438.20 $69.97 $1,641.24 $1,192.86 2026-07-15
72149 HCPCS Mr Spine Lumbar With Contrast 6 6 $2,496.50 $2,122.03 $245.14 $2,421.60 $1,191.02 2026-07-15
72142 HCPCS Mr Spine Cervical With Contrast 6 6 $2,487.00 $2,113.95 $249.54 $2,412.39 $1,189.16 2026-07-15
73223 HCPCS Mr Joint Upr Ext Without & With Contrast Left,left Side Of Body 12 6 $2,465.50 $2,095.68 $347.87 $2,391.54 $1,184.97 2026-07-15
45331 HCPCS Sigmoidoscopy Flx W/biopsy Singl/multipl 6 6 $1,677.98 $1,426.28 $248.09 $1,627.64 $1,182.97 2026-07-15
70548 HCPCS MRA Neck With Contrast 6 6 $2,455.00 $2,086.75 $223.30 $2,381.35 $1,182.92 2026-07-15
73722 HCPCS Mr Joint Lower Extr W/contrast Lt,left Side Of Body 12 6 $2,452.00 $2,084.20 $282.40 $2,378.44 $1,182.34 2026-07-15
78451 HCPCS Nm Myocardial Perfusion Ef 6 6 $1,761.50 $1,497.28 $272.57 $1,761.50 $1,180.20 2026-07-15
36556 HCPCS Central Line Insertion >5 Years 13 6 $1,214.00 $1,031.90 $98.28 $2,950.74 $1,177.58 2026-07-15
71271 HCPCS CT Thorax Lung Cancer Screening 6 6 $1,663.50 $1,413.98 $125.26 $1,613.60 $1,172.76 2026-07-15
99285 HCPCS E&m Level 5 6 6 $1,647.00 $1,399.95 $159.00 $1,597.59 $1,161.13 2026-07-15
64635 HCPCS Fjn Lumb/sac Single 11 6 $2,310.00 $1,963.50 $387.50 $2,240.70 $1,153.78 2026-07-15
74177 HCPCS CT Abd Pelvis With Contrast 6 6 $3,106.50 $2,640.53 $262.15 $3,013.30 $1,144.74 2026-07-15
73220 HCPCS Mr Upper Extremity, Left W/wo Contrast 6 6 $2,193.50 $1,864.48 $369.16 $2,127.70 $1,131.93 2026-07-15
64454 HCPCS Nerve Block/perpheral Nerve 8 6 $2,662.00 $2,262.70 $98.28 $2,582.14 $1,131.35 2026-07-15
38505 HCPCS US Lymph Node Bx 6 6 $1,603.50 $1,362.98 $153.68 $1,555.40 $1,130.46 2026-07-15
P9034 HCPCS Bb Unit Platelet 6 6 $1,382.00 $1,174.70 $538.98 $1,340.54 $1,126.33 2026-07-15
81229 HCPCS Cytogenomic Snp Microarray 6 6 $1,171.00 $995.35 $456.69 $1,160.00 $1,124.16 2026-07-15
G0390 HCPCS Tse Priority 1 16 6 $1,340.00 $1,139.00 $455.13 $1,477.31 $1,120.32 2026-07-15
72196 HCPCS Mr Pelvis With Contrast 6 6 $2,116.50 $1,799.03 $243.52 $2,053.00 $1,116.91 2026-07-15
70549 HCPCS MRA Neck W/wo Contrast 6 6 $2,084.50 $1,771.83 $312.60 $2,021.96 $1,110.68 2026-07-15
27266 HCPCS Cltx Post Hip Arthrp Dislc Req Anes 6 6 $1,562.00 $1,327.70 $525.30 $1,515.14 $1,101.21 2026-07-15
93306 HCPCS US Echo Complete 6 6 $1,538.00 $1,307.30 $173.98 $1,491.86 $1,084.29 2026-07-15
33016 HCPCS Pericardiocentesis With Imaging Guidance 6 6 $1,523.50 $1,294.98 $201.43 $1,477.80 $1,074.07 2026-07-15
27252 HCPCS Cltx Hip Disloc Trmatc W Anes 6 6 $1,522.00 $1,293.70 $593.58 $1,476.34 $1,073.01 2026-07-15
25605 HCPCS Cltx Dstl Rdl Fx/epiphysl Sep W Man 6 6 $1,509.50 $1,283.08 $496.31 $1,464.22 $1,064.19 2026-07-15
27842 HCPCS Cltx Ankle Dislc Req Anes W Wo Prq Skel 6 6 $1,509.50 $1,283.08 $448.47 $1,464.22 $1,064.19 2026-07-15
27752 HCPCS Cltx Tibial Shaft Fx W Man W/wo Skel Tra 6 6 $1,509.50 $1,283.08 $489.32 $1,464.22 $1,064.19 2026-07-15
27810 HCPCS Cltx Bimalleolar Ankle Fx W Mani 6 6 $1,509.50 $1,283.08 $436.81 $1,464.22 $1,064.19 2026-07-15
27510 HCPCS Cltx Fem Fx Dstl End Med/lat Cond W Man 6 6 $1,509.50 $1,283.08 $588.71 $1,464.22 $1,064.19 2026-07-15
23505 HCPCS Closed Treat Clav Fx With Manip 6 6 $1,509.50 $1,283.08 $334.21 $1,464.22 $1,064.19 2026-07-15
81410 HCPCS Ehlers Danlos Syndrome 6 6 $2,163.50 $1,838.98 $453.60 $2,098.60 $1,059.93 2026-07-15
21485 HCPCS Closed Reduction Ofthe Mandular Jaw W An 6 6 $1,349.50 $1,147.08 $526.31 $1,309.02 $1,059.80 2026-07-15
43247 HCPCS Egd Remove Foreign Body 11 6 $1,138.87 $968.04 $336.24 $1,104.70 $1,056.40 2026-07-15
43235 HCPCS Egd Diagnostic Brush Wash 11 6 $1,138.87 $968.04 $253.14 $1,104.70 $1,056.40 2026-07-15
43239 HCPCS Egd W/biopsy Single/multiple 11 6 $1,112.00 $945.20 $327.17 $1,428.68 $1,056.40 2026-07-15
32551 HCPCS Chest Tube Insertion Hemothorax 11 6 $1,099.50 $934.58 $136.78 $1,477.80 $1,044.52 2026-07-15
75822 HCPCS CT Venography Extremity Bilateral 6 6 $1,553.44 $1,320.42 $114.33 $1,553.44 $1,040.81 2026-07-15
36430 HCPCS Blood Admin/unit Op 31 6 $1,126.50 $957.53 $37.45 $2,222.76 $1,036.93 2026-07-15
74174 HCPCS CT Angio Abd & Pelv Without & With Contrast 6 6 $2,551.50 $2,168.78 $300.84 $2,474.96 $1,036.51 2026-07-15
78803 HCPCS Nm Bone Spect 6 6 $1,805.00 $1,534.25 $295.74 $1,750.85 $1,036.09 2026-07-15
21315 HCPCS Closed Reduct Nose 6 6 $1,466.00 $1,246.10 $136.53 $1,422.02 $1,033.53 2026-07-15
94002 HCPCS Rt Ventilator Assist Management 1st Day 6 6 $1,446.00 $1,229.10 $83.50 $1,402.62 $1,019.43 2026-07-15
78709 HCPCS Nm Renal Scan For Hypertension 6 6 $1,645.50 $1,398.68 $294.69 $1,596.14 $1,004.99 2026-07-15
27327 HCPCS Exc Tumor Thigh Knee Subcu 6 6 $1,421.50 $1,208.28 $438.59 $1,378.86 $1,002.15 2026-07-15
78708 HCPCS Nm Renal Scan For Obstruction 6 6 $1,588.50 $1,350.23 $152.50 $1,540.84 $993.87 2026-07-15
74181 HCPCS Mr Abdomen With Contrast 9 6 $2,513.00 $2,136.05 $177.80 $2,437.61 $980.07 2026-07-15
71270 HCPCS CT Chest W/wo Contrast 6 6 $2,170.00 $1,844.50 $177.91 $2,104.90 $962.12 2026-07-15
74176 HCPCS CT Kub 9 6 $1,407.00 $1,195.95 $167.91 $2,388.14 $960.18 2026-07-15
70551 HCPCS Mr Brain Without Contrast 6 6 $2,715.00 $2,307.75 $178.74 $2,633.55 $953.41 2026-07-15
70336 HCPCS Mr Temporomandibular Joint 6 6 $2,715.00 $2,307.75 $237.04 $2,633.55 $953.41 2026-07-15
21552 HCPCS Exc Neck Les Sc 3 Cm/>,assistant Surgery 6 6 $1,314.50 $1,117.33 $63.81 $1,275.06 $926.72 2026-07-15
88120 HCPCS Urine, Fish (bladder Cancer) 6 6 $1,391.50 $1,182.78 $495.39 $1,349.76 $926.30 2026-07-15
73221 HCPCS Mr Upper Joint Left,left Side Of Body 12 6 $2,456.00 $2,087.60 $184.81 $2,382.32 $902.90 2026-07-15
10180 HCPCS I&d Complex Post Op/infect 11 6 $928.00 $788.80 $231.65 $2,444.40 $900.16 2026-07-15
72132 HCPCS CT Spine Lumbar With Contrast 6 6 $1,801.50 $1,531.28 $153.88 $1,747.46 $890.26 2026-07-15
99284 HCPCS E&m Level 4 6 6 $1,257.00 $1,068.45 $109.70 $1,219.29 $886.19 2026-07-15
72146 HCPCS Mr Spine Thoracic Without Contrast 6 6 $2,326.50 $1,977.53 $173.75 $2,256.70 $877.65 2026-07-15
72148 HCPCS Mr Spine Lumbar Without Contrast 6 6 $2,326.50 $1,977.53 $174.04 $2,256.70 $877.65 2026-07-15
72141 HCPCS Mr Spine Cervical Without Contrast 6 6 $2,326.50 $1,977.53 $173.45 $2,256.70 $877.65 2026-07-15
78227 HCPCS Nm Biliary Scan(hida)w/ef 6 6 $1,832.00 $1,557.20 $344.28 $1,777.04 $872.85 2026-07-15
92950 HCPCS Rt Cpr 11 6 $918.00 $780.30 $287.78 $1,001.04 $872.10 2026-07-15
26410 HCPCS Repair Extensor Tendon Hand Primary Or S 6 6 $1,235.00 $1,049.75 $481.65 $1,197.95 $870.67 2026-07-15
78315 HCPCS Nm Bone Scan 3 Phase 6 6 $1,809.50 $1,538.08 $274.88 $1,755.22 $868.47 2026-07-15
92960 HCPCS Cardioversion 11 6 $931.50 $791.78 $138.16 $903.56 $867.82 2026-07-15
72126 HCPCS CT Spine Cervical W/contrast 6 6 $1,672.50 $1,421.63 $153.29 $1,622.32 $865.11 2026-07-15
93970 HCPCS US Venous Up/low-bil 11 6 $1,365.50 $1,160.68 $163.35 $1,324.54 $856.90 2026-07-15
78226 HCPCS Nm Biliary Scan(hida) Without Ef 6 6 $1,729.00 $1,469.65 $256.57 $1,677.13 $852.76 2026-07-15
78472 HCPCS Nm Muga Scan 6 6 $1,713.00 $1,456.05 $183.56 $1,661.61 $849.64 2026-07-15
70547 HCPCS Mr Neck Without Cont 9 6 $1,847.00 $1,569.95 $195.67 $1,791.59 $847.97 2026-07-15
78801 HCPCS Nm Tumor Local Multi 6 6 $1,698.00 $1,443.30 $216.15 $1,647.06 $846.72 2026-07-15
93350 HCPCS US Echo Transthorasic Stress Testing 6 6 $1,199.50 $1,019.58 $164.13 $1,163.52 $845.64 2026-07-15
Q5122 HCPCS Nyvepria Subq 6mg/0.6ml (per 0.5 Mg) Pfs,zero Drug Amount Discarded/not Administ… 6 6 $1,031.00 $876.35 $402.09 $1,000.07 $840.27 2026-07-15
25075 HCPCS Exc Forearm Les Sc < 3 Cm 6 6 $1,187.00 $1,008.95 $455.76 $1,151.39 $836.84 2026-07-15
72195 HCPCS Mr Pelvis Without Contrast 6 6 $2,116.50 $1,799.03 $206.88 $2,053.00 $836.71 2026-07-15
78306 HCPCS Nm Bone Scan Whole Body 6 6 $1,628.50 $1,384.23 $234.02 $1,579.64 $833.17 2026-07-15
73718 HCPCS Mr Lower Extremity Left,right Side Of Body 6 6 $2,082.00 $1,769.70 $201.70 $2,019.54 $829.98 2026-07-15
78278 HCPCS Nm Gi Bleed Scan 6 6 $1,596.00 $1,356.60 $276.85 $1,548.12 $826.83 2026-07-15
21555 HCPCS Exc Tumor Neck Thor Subcut < 3 C.m. 6 6 $1,162.50 $988.13 $383.95 $1,127.62 $819.57 2026-07-15
21011 HCPCS Excision, Tumor, Soft Tissue Of Face Or,assistant Surgery 6 6 $1,159.00 $985.15 $53.30 $1,124.23 $817.10 2026-07-15
93880 HCPCS US Carotid Bilateral 6 6 $1,146.00 $974.10 $166.14 $1,111.62 $807.93 2026-07-15
93971 HCPCS US Venous Up/low-uni Rt 11 6 $847.00 $719.95 $104.59 $845.36 $804.65 2026-07-15
78264 HCPCS Nm Gastric Empty Study 6 6 $1,479.00 $1,257.15 $261.86 $1,434.63 $804.01 2026-07-15
73201 HCPCS CT Upper Extremity With Contrast 6 6 $1,344.00 $1,142.40 $181.01 $1,303.68 $801.05 2026-07-15
78014 HCPCS Nm Thyroid Scan With Uptake 6 6 $1,447.00 $1,229.95 $188.89 $1,403.59 $797.78 2026-07-15
77074 HCPCS X Ray Bone Survey Limited 6 6 $3,264.00 $2,774.40 $54.11 $3,166.08 $792.55 2026-07-15
70540 HCPCS MRI Neck Wo Contrast 6 6 $1,888.50 $1,605.23 $204.64 $1,831.84 $792.25 2026-07-15
93930 HCPCS US Arterial Up Ext Bil 6 6 $1,123.00 $954.55 $174.08 $1,089.31 $791.71 2026-07-15
64633 HCPCS Anesthesia Unit X 15min 9 6 $2,024.50 $1,720.83 $98.28 $1,963.76 $789.56 2026-07-15
73218 HCPCS Mr Upper Extremity Without Contrast Left,left Side Of Body 12 6 $1,874.50 $1,593.33 $248.22 $1,818.26 $789.51 2026-07-15
73721 HCPCS Mr Lower Joint Left,left Side Of Body 12 6 $1,852.50 $1,574.63 $184.52 $1,796.92 $785.23 2026-07-15
32408 HCPCS CT Percut Bx Lung/mediastinum 6 6 $878.00 $746.30 $342.42 $851.66 $779.40 2026-07-15
78070 HCPCS Nm Parathyriod Scan 6 6 $1,345.50 $1,143.68 $234.43 $1,305.14 $777.99 2026-07-15
12007 HCPCS Lac Simple Over 30 6 6 $1,103.50 $937.98 $202.17 $1,070.40 $777.96 2026-07-15
11044 HCPCS Debridement, Bone First 20 Sq Cm Or Less 6 6 $1,103.00 $937.55 $276.39 $1,069.91 $777.62 2026-07-15
70544 HCPCS Mrv Brain Without Contrast 6 6 $1,810.50 $1,538.93 $195.09 $1,756.18 $777.04 2026-07-15
93925 HCPCS US Arterial Leg Bil 6 6 $1,102.00 $936.70 $208.88 $1,068.94 $776.91 2026-07-15
78800 HCPCS Nm Tumor Local Limited 6 6 $1,305.00 $1,109.25 $166.08 $1,265.85 $770.09 2026-07-15
71275 HCPCS CT Chest Angiography 6 6 $2,034.50 $1,729.33 $252.38 $1,973.46 $763.87 2026-07-15
46040 HCPCS I&d Ischlorecta/perirec 11 6 $798.50 $678.73 $311.42 $1,089.80 $758.58 2026-07-15
59412 HCPCS External Cephalic Version W/wo Tocolysis 6 6 $1,071.50 $910.78 $88.33 $1,039.36 $755.40 2026-07-15
78580 HCPCS Nm Lung Perfusion 6 6 $1,217.00 $1,034.45 $188.72 $1,180.49 $752.92 2026-07-15
78290 HCPCS Nm Meckels Diverticulum 6 6 $1,215.50 $1,033.18 $260.80 $1,179.04 $752.63 2026-07-15
70482 HCPCS CT Temporal Bones Wo And W 6 6 $1,963.50 $1,668.98 $190.30 $1,904.60 $750.02 2026-07-15
93923 HCPCS US Arterial Low Ext Bil 6 6 $1,063.00 $903.55 $114.43 $1,031.11 $749.41 2026-07-15
90679 HCPCS Arexvy (rsv) 120mcg/0.5ml 6 6 $919.50 $781.58 $358.61 $891.92 $749.39 2026-07-15
19084 HCPCS US Breast Bx Ea Addtl Lesion Lt,left Side Of Body 12 6 $1,061.50 $902.28 $321.56 $1,029.66 $748.36 2026-07-15
78300 HCPCS Nm Bone Scan Limited 6 6 $1,186.50 $1,008.53 $179.55 $1,150.90 $746.98 2026-07-15
78216 HCPCS Nm Liver/spleen Scan 6 6 $1,175.00 $998.75 $109.18 $1,139.75 $744.74 2026-07-15
73706 HCPCS CT Angio Lower Extremity Without & With Contrast 6 6 $1,922.00 $1,633.70 $288.04 $1,864.34 $741.92 2026-07-15
75635 HCPCS CT Abdominal Aorta W/runoff 6 6 $1,914.00 $1,626.90 $309.24 $1,856.58 $740.37 2026-07-15
20822 HCPCS Reattach Fingertip,assistant Surgery 11 6 $777.50 $660.88 $252.11 $1,464.22 $738.62 2026-07-15
71260 HCPCS CT Chest With Contrast 6 6 $1,898.50 $1,613.73 $151.64 $1,841.54 $737.35 2026-07-15
70492 HCPCS CT Head/neck Soft Tissue W/wo Contrast 6 6 $1,893.00 $1,609.05 $200.89 $1,836.21 $736.27 2026-07-15
78453 HCPCS Nm Myocardial Perfusion Wall Motion 6 6 $1,098.50 $933.73 $234.14 $1,098.50 $736.00 2026-07-15
77012 HCPCS CT Needle Guidance Placement 6 6 $1,096.00 $931.60 $105.83 $1,063.12 $734.32 2026-07-15
94003 HCPCS Rt Ventilator Assist Management Subseque 6 6 $1,040.50 $884.43 $58.44 $1,009.28 $733.56 2026-07-15
64483 HCPCS Trans Epi L/s 1st Level 11 6 $767.00 $651.95 $217.75 $842.93 $728.65 2026-07-15
72194 HCPCS CT Pelvis W/wo Contrast 6 6 $1,850.50 $1,572.93 $217.95 $1,794.98 $727.99 2026-07-15
70488 HCPCS CT Maxillofacial Area Without & With Contrast 6 6 $1,827.50 $1,553.38 $167.10 $1,772.68 $723.50 2026-07-15
93015 HCPCS Nm Cardio Stress Test W/interpret & Rpt 6 6 $1,023.00 $869.55 $65.98 $992.31 $721.22 2026-07-15
70480 HCPCS CT Inner Ear 9 6 $1,846.00 $1,569.10 $144.81 $1,790.62 $719.94 2026-07-15
62281 HCPCS Epidural Cerv/thorac 11 6 $923.00 $784.55 $214.01 $895.31 $719.62 2026-07-15
0450 RC — 6 6 $882.50 $750.13 $344.18 $856.02 $719.24 2026-07-15
11750 HCPCS Nail-matrix Exc 11 6 $809.50 $688.08 $143.80 $785.22 $718.20 2026-07-15
70470 HCPCS CT Brain Skull W/wo Contrast 6 6 $1,797.00 $1,527.45 $157.70 $1,743.09 $717.55 2026-07-15
62321 HCPCS Cervial Or Thoracic Epidural W/guidance 16 6 $755.50 $642.18 $231.12 $743.99 $716.30 2026-07-15
26775 HCPCS Cl Tx Iphal Jt Dislc W Man W Anes 6 6 $1,009.50 $858.08 $367.01 $979.22 $711.69 2026-07-15
70481 HCPCS CT Orbit Ear Fossa W Contrast 6 6 $1,744.00 $1,482.40 $163.60 $1,691.68 $707.21 2026-07-15
62323 HCPCS Lumbar Or Sacral Epidural With Guidance 11 6 $752.50 $639.63 $227.00 $729.92 $704.42 2026-07-15
A9502 HCPCS Nm Myoview 6 6 $863.00 $733.55 $336.57 $837.11 $703.35 2026-07-15
74175 HCPCS CT Angio Abdom Without & With Contrast 6 6 $1,698.50 $1,443.73 $258.22 $1,647.54 $698.35 2026-07-15
70487 HCPCS CT Maxillofacial With Contrast 6 6 $1,694.50 $1,440.33 $138.34 $1,643.66 $697.57 2026-07-15
70498 HCPCS CT Neck Angiography 6 6 $1,694.50 $1,440.33 $245.73 $1,643.66 $697.57 2026-07-15
64490 HCPCS Inj Para Fa Jnt C/t 1 Level W Guid 16 6 $1,327.00 $1,127.95 $172.13 $1,378.86 $694.08 2026-07-15
74160 HCPCS CT Abdomen With Contrast 6 6 $1,663.50 $1,413.98 $193.86 $1,613.60 $691.52 2026-07-15
70496 HCPCS CT Brain Angiography 6 6 $1,662.50 $1,413.13 $246.31 $1,612.62 $691.33 2026-07-15
81420 HCPCS Materni-t21 Plus Core + Sca 17 6 $897.50 $762.88 $266.57 $992.31 $688.75 2026-07-15
75820 HCPCS CT Venograph Extremity Uni 6 6 $1,025.00 $871.25 $95.37 $1,025.00 $686.75 2026-07-15
J9202 HCPCS Zoladex Subq Impl 3.6mg (chemo)per 3.6mg,zero Drug Amount Discarded/not Administ… 6 6 $913.50 $776.48 $338.12 $886.10 $684.55 2026-07-15
12034 HCPCS Layer Close Sate 7.6>12.5 11 6 $740.50 $629.43 $280.22 $718.28 $682.58 2026-07-15
72193 HCPCS CT Pelvis With Contrast 6 6 $1,612.50 $1,370.63 $189.41 $1,564.12 $681.58 2026-07-15
21550 HCPCS Biopsy Neck/thorax 6 6 $960.00 $816.00 $235.14 $931.20 $676.80 2026-07-15
76942 HCPCS Ultrasound Guide For Biopsy 22 6 $775.50 $659.18 $51.30 $1,143.63 $673.44 2026-07-15
62284 HCPCS Injection Procedure Myelography Of Spine 6 6 $954.50 $811.33 $163.81 $925.86 $672.92 2026-07-15
13152 HCPCS Lac Complex Eyelid/lip/nose/ear 2.6-7.5c 6 6 $945.00 $803.25 $368.55 $916.65 $669.39 2026-07-15
70491 HCPCS CT Neck/soft Tissue W Contrast 6 6 $1,543.50 $1,311.98 $167.43 $1,497.20 $668.12 2026-07-15
74170 HCPCS CT Abdomen W/wo Contrast 6 6 $1,519.50 $1,291.58 $220.45 $1,473.92 $663.44 2026-07-15
27781 HCPCS Cltx Prox Fibul/shft Fx W Mani 6 6 $938.00 $797.30 $365.82 $909.86 $661.29 2026-07-15
27788 HCPCS Cltx Dstl Fib Fx Lat Malls W Mani 6 6 $938.00 $797.30 $365.82 $909.86 $661.29 2026-07-15
41113 HCPCS Exc Tongue Lesion W Closure 6 6 $933.50 $793.48 $323.12 $905.50 $658.12 2026-07-15
15278 HCPCS Apply Skin Sub To Face Addtl100 Sq Cm 6 6 $933.00 $793.05 $82.76 $905.01 $657.76 2026-07-15
15276 HCPCS Apply Skin Sub To Face Addtl 25 Sq Cm 6 6 $933.00 $793.05 $29.40 $905.01 $657.76 2026-07-15
15272 HCPCS Apply Skin Graft To Trunk Addtl 25 Sq Cm 6 6 $933.00 $793.05 $21.84 $905.01 $657.76 2026-07-15
70460 HCPCS CT Brain Skull With Contrast 6 6 $1,478.00 $1,256.30 $135.11 $1,433.66 $655.35 2026-07-15
62324 HCPCS Steroid Epidural 6 6 $924.50 $785.83 $123.44 $896.76 $651.77 2026-07-15
P9016 HCPCS Bb Prbc Wbc Reduced 6 6 $798.50 $678.73 $311.42 $774.54 $650.78 2026-07-15
12056 HCPCS Lac Med Face/ear 20.1-30cm 6 6 $822.50 $699.13 $320.78 $797.82 $646.72 2026-07-15
C9809 HCPCS Smart Tip Iovera 11 6 $1,656.00 $1,407.60 $20.87 $1,606.32 $645.84 2026-07-15
62273 HCPCS Steroid Epidural; Blood Or Clot Patch 11 6 $993.00 $844.05 $150.80 $963.21 $640.30 2026-07-15
64493 HCPCS Inj Para Fa Jnt L/s 1 Lev W Guid 16 6 $795.50 $676.18 $158.46 $786.67 $636.48 2026-07-15
93017 HCPCS Nm Cardio Stress Test Without Interpret & R 6 6 $901.00 $765.85 $33.49 $873.97 $635.21 2026-07-15
93882 HCPCS US Carotid Unilateral 6 6 $900.50 $765.43 $108.56 $873.48 $634.86 2026-07-15
73206 HCPCS CT Angiography Upper Ext With Contrast 6 6 $1,356.00 $1,152.60 $269.17 $1,315.32 $631.56 2026-07-15
49084 HCPCS Paritoneal Lavage With Imaging Guidance 6 6 $893.50 $759.48 $93.58 $866.70 $629.91 2026-07-15
13101 HCPCS Repair Complex Trunk 2.6-7.5cm 6 6 $892.50 $758.63 $348.08 $865.72 $629.22 2026-07-15
73701 HCPCS CT Lower Ext W Contrast Left,left Side Of Body 12 6 $1,344.00 $1,142.40 $151.35 $1,303.68 $629.21 2026-07-15
64425 HCPCS Nerve Block Iloingunial Nerver 6 6 $891.50 $757.78 $97.87 $864.76 $628.50 2026-07-15
90935 HCPCS Hemodialysis Training 6 6 $888.50 $755.23 $64.93 $861.84 $626.39 2026-07-15
0761 RC — 6 6 $767.00 $651.95 $299.13 $743.99 $625.11 2026-07-15
78013 HCPCS Nm Thyroid Scan 6 6 $922.00 $783.70 $148.56 $922.00 $617.74 2026-07-15
74150 HCPCS CT Abdomen Without Contrast 9 6 $1,567.50 $1,332.38 $124.56 $1,520.48 $611.33 2026-07-15
87632 HCPCS Pneumonia Panel By Pcr (caribou) 6 6 $910.70 $774.10 $218.06 $901.29 $610.16 2026-07-15
74300 HCPCS Or Cholangiography/pancreatography 6 6 $743.00 $631.55 $289.77 $720.71 $605.55 2026-07-15
76810 HCPCS US Pelvis OB Comp Multiple 6 6 $900.50 $765.43 $78.55 $873.48 $603.34 2026-07-15
20220 HCPCS Bone Biopsy Trocar/needle 6 6 $852.50 $724.63 $202.32 $826.92 $601.01 2026-07-15
12036 HCPCS Lac Med S/a/t/e 20.1-30cm 6 6 $850.00 $722.50 $331.50 $824.50 $599.25 2026-07-15
57455 HCPCS Colposcopy Cervix Uppr/adjcnt Vagina W/c 6 6 $849.50 $722.08 $143.75 $824.02 $598.89 2026-07-15
12055 HCPCS Lac Med Face/ear 12.6-20cm 6 6 $790.50 $671.93 $308.30 $766.78 $596.68 2026-07-15
36569 HCPCS Picc Lin Insertion >5yr 16 6 $1,251.00 $1,063.35 $83.99 $1,477.80 $584.82 2026-07-15
Q5111 HCPCS Udenyca Subq Sol 6mg/0.6ml (per 0.5mg),zero Drug Amount Discarded/not Administer… 6 6 $829.50 $705.08 $267.79 $804.62 $584.79 2026-07-15
20103 HCPCS Wound Exploratation Extremity 6 6 $701.50 $596.28 $273.59 $680.46 $580.93 2026-07-15
11047 HCPCS Debridement, Bone Add 20 Sq Cm Or Less 6 6 $823.50 $699.98 $106.91 $798.80 $580.57 2026-07-15
12057 HCPCS Lac Med Face/ear >30cm,assistant Surgery 6 6 $822.00 $698.70 $85.49 $797.34 $579.51 2026-07-15
64479 HCPCS Anesthesia Unit X 15min 6 6 $819.00 $696.15 $236.39 $794.43 $577.39 2026-07-15
64636 HCPCS Fjn Lumb/sac Ea Addtl 11 6 $1,254.50 $1,066.33 $207.31 $1,216.86 $577.07 2026-07-15
12046 HCPCS Lac Med N/h/f/g 20.1-30cm 6 6 $752.00 $639.20 $293.28 $729.44 $576.37 2026-07-15
93978 HCPCS US Abdominal Aorta 6 6 $815.00 $692.75 $158.23 $790.55 $574.58 2026-07-15
25675 HCPCS Closed Tx Distl Radioulnar Dsl W Mani 6 6 $742.00 $630.70 $289.38 $719.74 $564.26 2026-07-15
93308 HCPCS Op US Echo Limited 6 6 $799.00 $679.15 $86.76 $775.03 $563.29 2026-07-15
13151 HCPCS Lac Complex Eyelid/lip/nose/ear 1.1-2.5c 6 6 $783.50 $665.98 $305.57 $760.00 $559.97 2026-07-15
12035 HCPCS Lac Med S/a/t/e 12.6-20cm 6 6 $790.50 $671.93 $308.30 $766.78 $557.31 2026-07-15
12020 HCPCS Closure Of Split Wound 6 6 $790.50 $671.93 $265.48 $766.78 $557.31 2026-07-15
12006 HCPCS Lac Simple 20.1 To 30 6 6 $790.50 $671.93 $181.10 $766.78 $557.31 2026-07-15
99292 HCPCS Critical Care Ea Add 30 Min 6 6 $790.00 $671.50 $108.51 $766.30 $556.95 2026-07-15
13121 HCPCS Repair Complex Scalp 2.6-7.5cm 6 6 $775.50 $659.18 $302.45 $752.24 $556.68 2026-07-15
99156 HCPCS Mod Sed Oth Phys/qhp 5/>yrs 6 6 $785.00 $667.25 $67.21 $761.45 $553.42 2026-07-15
13132 HCPCS Lac Complex N/h/f/g 2.6-7.5cm 6 6 $718.50 $610.73 $280.22 $696.94 $550.32 2026-07-15
93931 HCPCS US Arterial Up Ext Ltd Lt 6 6 $775.50 $659.18 $108.12 $752.24 $546.73 2026-07-15
10005 HCPCS Fn Needle Bx W/us Gdn 1st Lesion 6 6 $775.50 $659.18 $119.22 $752.24 $546.73 2026-07-15
61782 HCPCS Strtctc Cptr Asstd Px Extradural Cranial 6 6 $769.50 $654.08 $154.22 $746.42 $542.50 2026-07-15
49083 HCPCS Paracentesis With Imaging Guidance 11 6 $570.50 $484.93 $222.50 $866.70 $541.98 2026-07-15
59000 HCPCS Amniocentesis 6 6 $767.00 $651.95 $102.50 $743.99 $540.74 2026-07-15
64421 HCPCS Nerve Block 6 6 $767.00 $651.95 $30.28 $743.99 $540.74 2026-07-15
62326 HCPCS Caudel Nerve Block 6 6 $767.00 $651.95 $123.11 $743.99 $540.74 2026-07-15
62320 HCPCS Steroid Epidural 6 6 $767.00 $651.95 $141.55 $743.99 $540.74 2026-07-15
J9217 HCPCS Eligard 45mg Sdv (per 7.5mg) 6 Month,zero Drug Amount Discarded/not Administered… 6 6 $804.50 $683.83 $190.08 $780.36 $539.02 2026-07-15
64486 HCPCS Anesthesia Unit X 15min 11 6 $567.00 $481.95 $97.87 $796.37 $538.65 2026-07-15
95806 HCPCS Rt Home Sleep Test 6 6 $760.50 $646.43 $86.63 $737.68 $536.15 2026-07-15
12018 HCPCS Lac Face/ear Simple >30,assistant Surgery 6 6 $754.50 $641.33 $24.42 $731.86 $531.92 2026-07-15
55250 HCPCS Vasectomy 6 6 $754.00 $640.90 $294.06 $731.38 $531.57 2026-07-15
72192 HCPCS CT Pelvis Without Contrast 9 6 $1,356.00 $1,152.60 $121.33 $1,315.32 $528.84 2026-07-15
93926 HCPCS US Arterial Low Art Ltd Rt 6 6 $748.00 $635.80 $125.30 $725.56 $527.34 2026-07-15
64487 HCPCS Tap Block Uni By Infusion 16 6 $621.50 $528.28 $182.01 $930.72 $526.08 2026-07-15
12041 HCPCS Layer Close N,h,f,g 2.5>less 11 6 $567.00 $481.95 $215.09 $549.99 $523.92 2026-07-15
10061 HCPCS I&d Abscess Complicated/multi 11 6 $566.50 $481.53 $192.10 $549.50 $522.98 2026-07-15
76946 HCPCS US Amniocentesis 6 6 $775.50 $659.18 $27.88 $752.24 $519.59 2026-07-15
24600 HCPCS Closed Elbow Tx Dislocation Wo Anes 6 6 $721.00 $612.85 $281.19 $699.37 $517.30 2026-07-15
31500 HCPCS Rt Intubation Ett 16 6 $779.00 $662.15 $126.37 $894.82 $515.04 2026-07-15
12045 HCPCS Lac Med N/h/f/g 12.6-20cm 6 6 $699.00 $594.15 $272.61 $678.03 $514.63 2026-07-15
64447 HCPCS Anesthesia Unit X 15min 6 6 $726.50 $617.53 $104.32 $704.70 $512.18 2026-07-15
27840 HCPCS Cltx Ankle Dislo Wo Anes 6 6 $701.50 $596.28 $273.59 $680.46 $510.84 2026-07-15
99283 HCPCS E&m Level 3 6 6 $724.50 $615.83 $64.42 $702.76 $510.77 2026-07-15
12054 HCPCS Lac Med Face/ear 7.6-12.5cm 6 6 $718.50 $610.73 $280.22 $696.94 $510.23 2026-07-15
20950 HCPCS Mntr Fluid Pressure Muscle 6 6 $717.00 $609.45 $226.58 $695.49 $505.49 2026-07-15
27096 HCPCS Si Joint Injection 16 6 $536.50 $456.03 $146.74 $658.14 $504.69 2026-07-15
36555 HCPCS Anesthesia Unit X 15min 6 6 $715.50 $608.18 $165.26 $694.04 $504.43 2026-07-15
81402 HCPCS Reflex Mpl For Jak 2 6 6 $750.00 $637.50 $135.30 $727.50 $502.50 2026-07-15
71250 HCPCS CT Chest Without Contrast 6 6 $1,663.50 $1,413.98 $121.30 $1,613.60 $498.75 2026-07-15
23075 HCPCS Exc Soft Tissue Tumor 6 6 $568.50 $483.23 $221.72 $551.44 $496.76 2026-07-15
90371 HCPCS Hepatitis B Immune Globulin 1 Ml Vl 6 6 $703.00 $597.55 $126.86 $681.91 $495.62 2026-07-15
69110 HCPCS Exc Exter Ear Partial Simple 6 6 $606.50 $515.53 $236.54 $588.30 $495.10 2026-07-15
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