|
27279
|
CPT
|
Pm Arthrodesis Sacroiliac Joint Left Charge
|
344
|
44
|
$54,006.00
|
$54,006.00
|
$2,640.41
|
$68,904.40
|
$24,272.76
|
2026-03-10
|
|
63685
|
CPT
|
Pm Insert/replace Spinal Neuro Generator Charge
|
40
|
10
|
$60,953.00
|
$60,953.00
|
$1,068.84
|
$51,810.05
|
$20,420.40
|
2026-03-10
|
|
J3380
|
HCPCS
|
64764-0300-20 - Vedolizumab 300 Mg Intravenous Injection [jers]
|
110
|
44
|
$22,463.78
|
$22,463.78
|
$21.32
|
$19,094.21
|
$16,814.14
|
2026-03-10
|
|
9247243
|
CDM
|
00527-5137-62 - Oseltamivir 6 mg/mL Pow
|
88
|
44
|
$20,778.00
|
$20,778.00
|
$13,443.37
|
$17,661.30
|
$15,552.33
|
2026-03-10
|
|
C1820
|
HCPCS
|
Ins Intellis Adaptivestim Pain
|
118
|
44
|
$19,986.00
|
$19,986.00
|
$475.80
|
$16,988.10
|
$14,989.50
|
2026-03-10
|
|
62362
|
CPT
|
Pm Epi Infusion Programmable Pump Charge
|
40
|
10
|
$43,898.00
|
$43,898.00
|
$1,133.54
|
$37,313.30
|
$14,945.60
|
2026-03-10
|
|
J3101
|
HCPCS
|
50242-0120-47 - Tenecteplase 50 Mg Intravenous Injection [jers]
|
112
|
44
|
$19,913.42
|
$19,913.42
|
$159.21
|
$16,926.41
|
$14,905.19
|
2026-03-10
|
|
9233674
|
CDM
|
27241-0139-09 - Oseltamivir 6 mg/mL Pow
|
88
|
44
|
$19,683.60
|
$19,683.60
|
$12,735.29
|
$16,731.06
|
$14,733.17
|
2026-03-10
|
|
8809716
|
CDM
|
70710-1165-06 - Oseltamivir 6 mg/mL Oral Suspension 60 Ml [jers]
|
88
|
44
|
$19,683.60
|
$19,683.60
|
$12,735.29
|
$16,731.06
|
$14,733.17
|
2026-03-10
|
|
64628
|
CPT
|
Pm Intracept 1 To 2 Vertebra Bod Lum/sac Charge
|
80
|
10
|
$41,599.00
|
$41,599.00
|
$1,737.84
|
$35,359.15
|
$14,598.83
|
2026-03-10
|
|
62360
|
CPT
|
Pm Pain Pump Implantation Or Replacement Charge
|
40
|
10
|
$43,155.00
|
$43,155.00
|
$889.63
|
$36,681.75
|
$14,545.02
|
2026-03-10
|
|
0201T
|
CPT
|
Pm Sacroplasty 2 Or More Needles Bilat Charge
|
108
|
44
|
$28,520.00
|
$28,520.00
|
$4,567.82
|
$24,242.00
|
$14,404.91
|
2026-03-10
|
|
22869
|
CPT
|
Pm Vertiflex Charge
|
80
|
10
|
$39,148.00
|
$39,148.00
|
$1,162.66
|
$33,275.80
|
$13,428.10
|
2026-03-10
|
|
22514
|
CPT
|
Pm Kyphoplasty Lumbar Charge
|
108
|
44
|
$27,328.00
|
$27,328.00
|
$1,737.84
|
$23,228.80
|
$12,483.32
|
2026-03-10
|
|
22513
|
CPT
|
Pm Kyphoplasty Thoracic Charge
|
108
|
44
|
$27,328.00
|
$27,328.00
|
$1,711.32
|
$23,228.80
|
$12,470.06
|
2026-03-10
|
|
20982
|
CPT
|
Pm Osteocool Rf Ablation Charge
|
108
|
44
|
$27,327.00
|
$27,327.00
|
$1,199.54
|
$23,227.95
|
$12,213.75
|
2026-03-10
|
|
0200T
|
CPT
|
Pm Sacroplasty 1 Or More Needles Left Charge
|
216
|
44
|
$22,815.00
|
$22,815.00
|
$4,567.82
|
$19,392.75
|
$11,980.28
|
2026-03-10
|
|
63688
|
CPT
|
Pm Revision/removal Neuro Stim Generator Perc Charge
|
108
|
44
|
$26,188.00
|
$26,188.00
|
$1,310.18
|
$22,259.80
|
$11,784.99
|
2026-03-10
|
|
62330
|
CPT
|
Pm Mild Charge
|
108
|
44
|
$24,871.00
|
$24,871.00
|
$1,711.32
|
$21,140.35
|
$11,425.83
|
2026-03-10
|
|
62365
|
CPT
|
Pm Removal Subcutaneous Reservoir/pump Charge
|
40
|
10
|
$33,231.00
|
$33,231.00
|
$784.81
|
$28,246.35
|
$11,265.75
|
2026-03-10
|
|
62350
|
CPT
|
Pm Implant Spinal Canal Catheter Charge
|
108
|
44
|
$24,312.00
|
$24,312.00
|
$1,152.95
|
$20,665.20
|
$10,909.08
|
2026-03-10
|
|
27324
|
CPT
|
US Biopsy Soft Tissue Thigh/Knee Deep
|
88
|
44
|
$14,310.00
|
$14,310.00
|
$9,258.57
|
$12,163.50
|
$10,711.03
|
2026-03-10
|
|
59409
|
CPT
|
59409-vaginal Delivery Only
|
148
|
44
|
$22,257.00
|
$22,257.00
|
$1,666.67
|
$18,918.45
|
$10,626.42
|
2026-03-10
|
|
27087
|
CPT
|
27087 - Pelvis Or Hip; Deep
|
118
|
44
|
$22,712.00
|
$22,712.00
|
$1,689.32
|
$19,305.20
|
$10,497.26
|
2026-03-10
|
|
C2618
|
HCPCS
|
Rf Probe
|
88
|
44
|
$13,857.00
|
$13,857.00
|
$9,007.05
|
$11,778.45
|
$10,392.75
|
2026-03-10
|
|
9146078
|
CDM
|
Probe Ablation Radiofrequency Bipolar
|
88
|
44
|
$13,857.00
|
$13,857.00
|
$8,965.48
|
$11,778.45
|
$10,371.97
|
2026-03-10
|
|
C1772
|
HCPCS
|
Pump Synchromed Ii
|
118
|
44
|
$13,389.00
|
$13,389.00
|
$8,702.85
|
$12,633.55
|
$10,041.75
|
2026-03-10
|
|
9213231
|
CDM
|
72578-0129-08 - metroNIDAZOLE Topical 0.75% Cre
|
88
|
44
|
$13,050.00
|
$13,050.00
|
$8,443.35
|
$11,092.50
|
$9,767.92
|
2026-03-10
|
|
20690
|
CPT
|
Application Of A Uniplane, Unilateral, External Fixation System 20690
|
142
|
24
|
$1,837.00
|
$1,837.00
|
$1,188.54
|
$12,899.20
|
$9,758.02
|
2026-03-10
|
|
J0717
|
HCPCS
|
50474-0710-79 - Certolizumab 200 mg/mL Kit {jers}
|
110
|
44
|
$12,961.34
|
$12,961.34
|
$4.37
|
$11,017.14
|
$9,701.57
|
2026-03-10
|
|
24201
|
CPT
|
24201 - Upper Arm/Elbow Deep
|
118
|
44
|
$20,034.00
|
$20,034.00
|
$1,533.39
|
$17,028.90
|
$9,281.15
|
2026-03-10
|
|
23333
|
CPT
|
23333 - Shoulder; Deep
|
118
|
44
|
$20,034.00
|
$20,034.00
|
$1,258.42
|
$17,028.90
|
$9,143.66
|
2026-03-10
|
|
J1162
|
HCPCS
|
50633-0120-11 - Digoxin Immune Fab 40 Mg Intravenous Injection [jers]
|
98
|
44
|
$11,937.60
|
$11,937.60
|
$7,723.63
|
$10,146.96
|
$8,935.30
|
2026-03-10
|
|
63650
|
CPT
|
Pm Insert Neurostimulator Electrode Charge
|
108
|
44
|
$19,418.00
|
$19,418.00
|
$1,197.60
|
$16,505.30
|
$8,851.45
|
2026-03-10
|
|
J9312
|
HCPCS
|
50242-0053-06 - riTUXimab 10 mg/mL Intravenous Solution 50 Ml [jers]
|
108
|
44
|
$11,274.24
|
$11,274.24
|
$74.90
|
$9,583.10
|
$8,438.76
|
2026-03-10
|
|
15830
|
CPT
|
15830 Excision, Excessive Skin And Subcutaneous Tissue; Abdomen, Infraumbilical …
|
178
|
44
|
$3,599.00
|
$3,599.00
|
$2,321.44
|
$14,136.35
|
$8,228.90
|
2026-03-10
|
|
64454
|
CPT
|
Ir Genicular Nerve Ablation Left - Report
|
264
|
44
|
$10,487.00
|
$10,487.00
|
$532.73
|
$17,827.90
|
$7,849.52
|
2026-03-10
|
|
28576
|
CPT
|
28576 - Talotarsal Joint W/manipulation
|
120
|
15
|
$21,431.00
|
$21,431.00
|
$775.11
|
$42,505.10
|
$7,611.65
|
2026-03-10
|
|
36556
|
CPT
|
36556-central Line Greater Than/Equal To 5 Years
|
60
|
15
|
$22,033.00
|
$22,033.00
|
$592.01
|
$18,728.05
|
$7,516.55
|
2026-03-10
|
|
59414
|
CPT
|
59414 - Delivery Of Placenta
|
60
|
15
|
$22,257.00
|
$22,257.00
|
$267.86
|
$18,918.45
|
$7,376.09
|
2026-03-10
|
|
36555
|
CPT
|
36555-insert Cntl Venous Cath; >5yr
|
60
|
15
|
$22,033.00
|
$22,033.00
|
$344.20
|
$18,728.05
|
$7,353.77
|
2026-03-10
|
|
60545
|
CPT
|
CT Biopsy Adrenal
|
38
|
19
|
$11,200.00
|
$11,200.00
|
$437.00
|
$8,960.00
|
$7,246.40
|
2026-03-10
|
|
36561
|
CPT
|
Central IV Access Type: -> Non-tunneled
|
88
|
44
|
$9,442.00
|
$9,442.00
|
$6,108.97
|
$8,025.70
|
$7,067.34
|
2026-03-10
|
|
9328333
|
CDM
|
Duodenoscope Single Use ( Bx 1)
|
88
|
44
|
$9,390.00
|
$9,390.00
|
$6,075.33
|
$7,981.50
|
$7,028.41
|
2026-03-10
|
|
27086
|
CPT
|
27086 - Pelvis Or Hip; Subcutaneous Tissue
|
60
|
15
|
$20,034.00
|
$20,034.00
|
$467.78
|
$17,028.90
|
$6,788.28
|
2026-03-10
|
|
9328334
|
CDM
|
Duodenoscope Single Use (bx 2)
|
88
|
44
|
$8,790.00
|
$8,790.00
|
$5,687.13
|
$7,471.50
|
$6,579.31
|
2026-03-10
|
|
9039012
|
CDM
|
Tri Ts Femur Sz5 Right
|
88
|
44
|
$8,235.00
|
$8,235.00
|
$5,352.75
|
$6,999.75
|
$6,176.25
|
2026-03-10
|
|
51102
|
CPT
|
Catheterization Suprapubic Bladder
|
88
|
44
|
$8,112.00
|
$8,112.00
|
$5,248.46
|
$6,895.20
|
$6,071.83
|
2026-03-10
|
|
27323
|
CPT
|
US Biopsy Soft Tissue Thigh/Knee Super
|
88
|
44
|
$8,100.00
|
$8,100.00
|
$1,661.95
|
$6,885.00
|
$6,062.85
|
2026-03-10
|
|
64451
|
CPT
|
Ir Injection Nerves Si Joint Bilateral
|
352
|
44
|
$10,291.50
|
$10,291.50
|
$479.33
|
$12,007.95
|
$6,004.40
|
2026-03-10
|
|
9039364
|
CDM
|
Reunion S Press-fit Humeral Stem 13mml97
|
88
|
44
|
$7,945.00
|
$7,945.00
|
$5,164.25
|
$6,753.25
|
$5,958.75
|
2026-03-10
|
|
12047
|
CPT
|
12047-neck/hand/feet/genital Greater Than 30.0 Cm
|
118
|
44
|
$12,805.00
|
$12,805.00
|
$975.03
|
$10,884.25
|
$5,929.64
|
2026-03-10
|
|
64629
|
CPT
|
Pm Intracept - Ea Addl Level
|
108
|
44
|
$13,015.00
|
$13,015.00
|
$778.34
|
$11,062.75
|
$5,920.55
|
2026-03-10
|
|
12037
|
CPT
|
12037-scalp/trunk/extremity Greater Than 30.0 Cm
|
118
|
44
|
$12,805.00
|
$12,805.00
|
$911.62
|
$10,884.25
|
$5,897.94
|
2026-03-10
|
|
9328335
|
CDM
|
Gore Viabil Short Wire Biliary Endoprosthesis 10mm C 6cm 8.5fr
|
88
|
44
|
$7,800.00
|
$7,800.00
|
$5,046.60
|
$6,630.00
|
$5,838.30
|
2026-03-10
|
|
27503
|
CPT
|
27503-femoral W/manipulation
|
118
|
44
|
$11,203.00
|
$11,203.00
|
$2,125.40
|
$9,522.55
|
$5,823.98
|
2026-03-10
|
|
27502
|
CPT
|
27502-femoral Shaft With Manipulation
|
118
|
44
|
$11,203.00
|
$11,203.00
|
$2,086.58
|
$9,522.55
|
$5,804.56
|
2026-03-10
|
|
27252
|
CPT
|
27252 - Hip Traumatic With Anesthesia
|
118
|
44
|
$11,203.00
|
$11,203.00
|
$1,988.88
|
$9,522.55
|
$5,755.72
|
2026-03-10
|
|
63663
|
CPT
|
Pm Revision/replacement Of Spinal Stimulator Electrodes Charge
|
108
|
44
|
$12,264.00
|
$12,264.00
|
$1,085.02
|
$10,424.40
|
$5,754.71
|
2026-03-10
|
|
J0840
|
HCPCS
|
50633-0110-12 - Antivenin (Crotalidae Ovine) Polyvalent Intravenous Injection [j…
|
108
|
44
|
$7,675.20
|
$7,675.20
|
$4,965.85
|
$6,523.92
|
$5,744.89
|
2026-03-10
|
|
27510
|
CPT
|
27510-femoral Distal With Manipulation
|
118
|
44
|
$11,203.00
|
$11,203.00
|
$1,860.13
|
$9,522.55
|
$5,691.34
|
2026-03-10
|
|
27552
|
CPT
|
27552-knee With Anesthesia
|
118
|
44
|
$11,203.00
|
$11,203.00
|
$1,680.26
|
$9,522.55
|
$5,601.40
|
2026-03-10
|
|
8809298
|
CDM
|
68682-0464-10 - Brinzolamide 1% Ophthalmic Suspension 10 Ml [jers]
|
88
|
44
|
$7,405.60
|
$7,405.60
|
$4,791.42
|
$6,294.76
|
$5,543.09
|
2026-03-10
|
|
26418
|
CPT
|
26418 - Repair Finger Without Graft
|
118
|
44
|
$11,203.00
|
$11,203.00
|
$1,543.10
|
$9,522.55
|
$5,532.82
|
2026-03-10
|
|
27266
|
CPT
|
27266-hip Post Arthroplasty w/Anesthesia
|
118
|
44
|
$11,203.00
|
$11,203.00
|
$1,540.51
|
$9,522.55
|
$5,531.53
|
2026-03-10
|
|
J3111
|
HCPCS
|
55513-0880-02 - Romosozumab-aqqg 105 Mg/1.17 Ml Subcutaneous Solution 1.17 Ml [j…
|
158
|
44
|
$7,382.00
|
$7,382.00
|
$10.99
|
$6,274.70
|
$5,525.43
|
2026-03-10
|
|
24535
|
CPT
|
24535-supracondylar W/manipulation
|
118
|
44
|
$11,203.00
|
$11,203.00
|
$1,526.27
|
$9,522.55
|
$5,524.41
|
2026-03-10
|
|
26410
|
CPT
|
26410-repair; Hand
|
118
|
44
|
$11,203.00
|
$11,203.00
|
$1,496.51
|
$9,522.55
|
$5,509.53
|
2026-03-10
|
|
25605
|
CPT
|
25605-distal Radial With Manipulation
|
118
|
44
|
$11,203.00
|
$11,203.00
|
$577.61
|
$9,522.55
|
$5,477.83
|
2026-03-10
|
|
25565
|
CPT
|
25565-radial&ulnar Shaft With Manipulation
|
118
|
44
|
$11,203.00
|
$11,203.00
|
$1,374.23
|
$9,522.55
|
$5,448.39
|
2026-03-10
|
|
27825
|
CPT
|
27825-distal Tibia With Traction Or Manipulation
|
118
|
44
|
$11,203.00
|
$11,203.00
|
$1,339.29
|
$9,522.55
|
$5,430.92
|
2026-03-10
|
|
27752
|
CPT
|
27752-tibial Shaft With Manipulation
|
118
|
44
|
$11,203.00
|
$11,203.00
|
$1,328.94
|
$9,522.55
|
$5,425.74
|
2026-03-10
|
|
27818
|
CPT
|
27818-trimalleolar Ankle With Manipulation
|
118
|
44
|
$11,203.00
|
$11,203.00
|
$1,308.88
|
$9,522.55
|
$5,415.72
|
2026-03-10
|
|
27842
|
CPT
|
27842 - Ankle With Anesthesia
|
118
|
44
|
$11,203.00
|
$11,203.00
|
$1,305.65
|
$9,522.55
|
$5,414.10
|
2026-03-10
|
|
27762
|
CPT
|
27762-medial Malleolus With Manipulation
|
118
|
44
|
$11,203.00
|
$11,203.00
|
$1,281.06
|
$9,522.55
|
$5,401.81
|
2026-03-10
|
|
24605
|
CPT
|
24605-elbow With Anesthesia
|
118
|
44
|
$11,203.00
|
$11,203.00
|
$1,278.47
|
$9,522.55
|
$5,400.51
|
2026-03-10
|
|
9341406
|
CDM
|
Wallflex Biliary Rx Fc Rmv US 8 X 60
|
88
|
44
|
$7,200.00
|
$7,200.00
|
$4,658.40
|
$6,120.00
|
$5,389.20
|
2026-03-10
|
|
9341405
|
CDM
|
Wallflex Biliary Rx Fc Rmv US 10 X 60
|
88
|
44
|
$7,200.00
|
$7,200.00
|
$4,658.40
|
$6,120.00
|
$5,389.20
|
2026-03-10
|
|
27810
|
CPT
|
27810-bimalleolar Ankle With Manipulation
|
118
|
44
|
$11,203.00
|
$11,203.00
|
$1,255.83
|
$9,522.55
|
$5,389.19
|
2026-03-10
|
|
25505
|
CPT
|
25505-radial Shaft With Manipulation
|
148
|
44
|
$11,203.00
|
$11,203.00
|
$1,027.44
|
$9,522.55
|
$5,375.28
|
2026-03-10
|
|
24505
|
CPT
|
24505-humeral Shaft With Manipulation
|
118
|
44
|
$11,203.00
|
$11,203.00
|
$1,204.71
|
$9,522.55
|
$5,363.63
|
2026-03-10
|
|
27768
|
CPT
|
27768-posterior Malleolus With Manipulation
|
118
|
44
|
$11,203.00
|
$11,203.00
|
$1,187.25
|
$9,522.55
|
$5,354.90
|
2026-03-10
|
|
24655
|
CPT
|
24655 - Radial Head/Neck With Manipulation
|
118
|
44
|
$11,203.00
|
$11,203.00
|
$1,184.01
|
$9,522.55
|
$5,353.28
|
2026-03-10
|
|
27781
|
CPT
|
27781-proximal Fibula/Shaft
|
118
|
44
|
$11,203.00
|
$11,203.00
|
$1,151.01
|
$9,522.55
|
$5,336.78
|
2026-03-10
|
|
26705
|
CPT
|
26705 - Metacarp W/manip & Anesthesia
|
118
|
44
|
$11,203.00
|
$11,203.00
|
$1,151.01
|
$9,522.55
|
$5,336.78
|
2026-03-10
|
|
26645
|
CPT
|
26645 - Carpometacarpal, Thumb W/manipulation
|
178
|
44
|
$8,002.00
|
$8,002.00
|
$788.69
|
$9,522.55
|
$5,333.55
|
2026-03-10
|
|
23605
|
CPT
|
23605-proximal Humeral With Manipulation
|
118
|
44
|
$11,203.00
|
$11,203.00
|
$1,141.31
|
$9,522.55
|
$5,331.93
|
2026-03-10
|
|
24675
|
CPT
|
24675-ulna Proximal End With Manipulation
|
118
|
44
|
$11,203.00
|
$11,203.00
|
$1,114.13
|
$9,522.55
|
$5,318.34
|
2026-03-10
|
|
28193
|
CPT
|
28193 - Foot Complicated
|
118
|
44
|
$11,342.00
|
$11,342.00
|
$975.68
|
$9,640.70
|
$5,308.19
|
2026-03-10
|
|
62327
|
CPT
|
Ir Epi Morphine Trial With Cath Lum/Sac
|
88
|
44
|
$7,085.00
|
$7,085.00
|
$914.30
|
$6,022.25
|
$5,303.12
|
2026-03-10
|
|
23655
|
CPT
|
23655-shoulder With Anesthesia
|
118
|
44
|
$11,203.00
|
$11,203.00
|
$1,077.90
|
$9,522.55
|
$5,300.23
|
2026-03-10
|
|
20103
|
CPT
|
20103-explore Penetrating Wound Extremity
|
118
|
44
|
$11,342.00
|
$11,342.00
|
$949.15
|
$9,640.70
|
$5,294.93
|
2026-03-10
|
|
27257
|
CPT
|
27257 - Hip With Manipulation & Anesthesia
|
118
|
44
|
$11,203.00
|
$11,203.00
|
$962.74
|
$9,522.55
|
$5,242.65
|
2026-03-10
|
|
23505
|
CPT
|
23505-clavicular W/manipulation
|
118
|
44
|
$11,203.00
|
$11,203.00
|
$958.21
|
$9,522.55
|
$5,240.38
|
2026-03-10
|
|
36571
|
CPT
|
36571 Insert Of Periph Insert Cent Venous Access Device, With subQ Port; > 5yrs
|
128
|
44
|
$9,521.00
|
$9,521.00
|
$606.89
|
$8,092.85
|
$5,113.65
|
2026-03-10
|
|
55100
|
CPT
|
55100-drainage Scrotal Wall Abscess
|
118
|
44
|
$11,342.00
|
$11,342.00
|
$520.84
|
$9,640.70
|
$5,080.77
|
2026-03-10
|
|
32551
|
CPT
|
32551-insertion Chest Tube
|
118
|
44
|
$10,874.00
|
$10,874.00
|
$487.19
|
$9,242.90
|
$4,865.05
|
2026-03-10
|
|
64624
|
CPT
|
Pm Genicular Nerve Ablation Bilat Charge
|
324
|
44
|
$10,451.00
|
$10,451.00
|
$685.82
|
$17,827.05
|
$4,784.59
|
2026-03-10
|
|
62355
|
CPT
|
Pm Removal Intrathecal/epidural Cath Charge
|
108
|
44
|
$10,234.00
|
$10,234.00
|
$716.23
|
$8,698.90
|
$4,707.56
|
2026-03-10
|
|
9039284
|
CDM
|
Pump Crossflow Arthroscopic Integrated
|
88
|
44
|
$6,270.00
|
$6,270.00
|
$4,056.69
|
$5,329.50
|
$4,693.10
|
2026-03-10
|
|
9178599
|
CDM
|
Icm Lnq22 Lnq Ii
|
88
|
44
|
$6,068.00
|
$6,068.00
|
$3,944.20
|
$5,157.80
|
$4,551.00
|
2026-03-10
|
|
L8630
|
HCPCS
|
Triathlon Cr Fem Component
|
208
|
44
|
$5,643.00
|
$5,643.00
|
$764.40
|
$5,582.80
|
$4,514.40
|
2026-03-10
|
|
9348167
|
CDM
|
Handset Hh9030scs Intl
|
88
|
44
|
$6,000.00
|
$6,000.00
|
$3,882.00
|
$5,100.00
|
$4,491.00
|
2026-03-10
|
|
64640
|
CPT
|
Pm Peripheral Addl Nerve
|
296
|
44
|
$6,673.00
|
$6,673.00
|
$233.57
|
$8,508.50
|
$4,487.81
|
2026-03-10
|
|
22870
|
CPT
|
Pm Vertiflex - Additional Level
|
40
|
10
|
$13,050.00
|
$13,050.00
|
$323.50
|
$11,092.50
|
$4,434.18
|
2026-03-10
|
|
22515
|
CPT
|
Pm Percut Vertebral Augment - T/l - Add Charge
|
108
|
44
|
$8,734.00
|
$8,734.00
|
$778.34
|
$7,423.90
|
$4,101.12
|
2026-03-10
|
|
46040
|
CPT
|
46040-i&d Ischiorectal/Perirectal Abscess
|
148
|
44
|
$8,254.00
|
$8,254.00
|
$1,062.37
|
$7,015.90
|
$4,079.90
|
2026-03-10
|
|
63661
|
CPT
|
Pm Removal Of Spinal Stimulator Electrodes Charge
|
108
|
44
|
$8,430.00
|
$8,430.00
|
$940.74
|
$7,165.50
|
$4,053.12
|
2026-03-10
|
|
72285
|
CPT
|
Pm Discography Thoracic Or Cervical Charge
|
40
|
10
|
$12,201.00
|
$12,201.00
|
$106.76
|
$10,370.85
|
$4,017.15
|
2026-03-10
|
|
72295
|
CPT
|
Pm Discography Lumbar Charge
|
40
|
10
|
$12,201.00
|
$12,201.00
|
$77.64
|
$10,370.85
|
$3,998.03
|
2026-03-10
|
|
23330
|
CPT
|
23330 - Removal Foreign Body In Shoulder
|
60
|
15
|
$11,342.00
|
$11,342.00
|
$445.14
|
$9,640.70
|
$3,961.53
|
2026-03-10
|
|
C8929
|
HCPCS
|
Jers US Echo Complete With Contrast
|
136
|
44
|
$5,367.00
|
$5,367.00
|
$3,472.45
|
$4,561.95
|
$3,740.80
|
2026-03-10
|
|
20206
|
CPT
|
US Biopsy Muscle
|
116
|
44
|
$8,101.00
|
$8,101.00
|
$354.00
|
$6,885.85
|
$3,619.93
|
2026-03-10
|
|
9039325
|
CDM
|
Recharger Intellis Rtm 97755
|
88
|
44
|
$4,812.00
|
$4,812.00
|
$3,113.36
|
$4,090.20
|
$3,601.78
|
2026-03-10
|
|
J1602
|
HCPCS
|
57894-0350-01 - Golimumab 50 Mg/4 Ml Intravenous Solution 4 Ml [jers]
|
108
|
44
|
$4,798.06
|
$4,798.06
|
$10.88
|
$4,078.35
|
$3,591.34
|
2026-03-10
|
|
36573
|
CPT
|
36573 Insertion Of Peripherally Inserted Central Venous Catheter (picc)
|
88
|
44
|
$4,784.00
|
$4,784.00
|
$3,095.25
|
$4,066.40
|
$3,580.82
|
2026-03-10
|
|
32400
|
CPT
|
CT Biopsy Pleura
|
88
|
44
|
$4,701.00
|
$4,701.00
|
$3,041.55
|
$3,995.85
|
$3,518.70
|
2026-03-10
|
|
64633
|
CPT
|
Pm Cerv/thor Nerve Ablation Bilat Charge
|
324
|
44
|
$7,447.00
|
$7,447.00
|
$465.00
|
$9,494.50
|
$3,513.39
|
2026-03-10
|
|
64635
|
CPT
|
Pm Lumb/sacr Nerve Ablation Left Charge
|
384
|
44
|
$7,447.00
|
$7,447.00
|
$365.56
|
$9,494.50
|
$3,513.39
|
2026-03-10
|
|
47000
|
CPT
|
CT Biopsy Liver
|
88
|
44
|
$8,072.00
|
$8,072.00
|
$437.00
|
$6,457.60
|
$3,447.30
|
2026-03-10
|
|
32408
|
CPT
|
CT Biopsy Lung/Mediastinum
|
88
|
44
|
$8,072.00
|
$8,072.00
|
$437.00
|
$6,457.60
|
$3,447.30
|
2026-03-10
|
|
27040
|
CPT
|
CT Biopsy Soft Tissue Pelvis
|
88
|
44
|
$8,072.00
|
$8,072.00
|
$437.00
|
$6,457.60
|
$3,447.30
|
2026-03-10
|
|
50200
|
CPT
|
CT Biopsy Renal
|
88
|
44
|
$8,072.00
|
$8,072.00
|
$437.00
|
$6,457.60
|
$3,447.30
|
2026-03-10
|
|
C1771
|
HCPCS
|
System Gynegare Tvt Obturator
|
88
|
44
|
$4,452.00
|
$4,452.00
|
$2,893.80
|
$3,784.20
|
$3,339.00
|
2026-03-10
|
|
9039036
|
CDM
|
Impl Sys,mpfl,tightrope
|
88
|
44
|
$4,343.00
|
$4,343.00
|
$2,822.95
|
$3,691.55
|
$3,257.25
|
2026-03-10
|
|
49083
|
CPT
|
49083-abdominal Paracentesis With Imaging Guide
|
148
|
44
|
$6,563.00
|
$6,563.00
|
$687.11
|
$5,578.55
|
$3,132.83
|
2026-03-10
|
|
11470
|
CPT
|
11470 Exc Skin/subq Tissue For Hidradenitis, Perianal/perineal/umbilical; With Sim…
|
178
|
44
|
$879.00
|
$879.00
|
$566.13
|
$5,609.15
|
$3,087.64
|
2026-03-10
|
|
55876
|
CPT
|
US Radiation Therapy Marker Placement
|
88
|
44
|
$4,104.00
|
$4,104.00
|
$2,655.29
|
$3,488.40
|
$3,071.84
|
2026-03-10
|
|
8901161
|
CDM
|
Ir Arthrodesis Sacroiliac Joint Left - Report
|
88
|
44
|
$4,081.00
|
$4,081.00
|
$2,640.41
|
$3,468.85
|
$3,054.63
|
2026-03-10
|
|
49082
|
CPT
|
49082-abdominal Paracentesis Without Imaging Guide
|
118
|
44
|
$6,563.00
|
$6,563.00
|
$497.54
|
$5,578.55
|
$3,038.05
|
2026-03-10
|
|
11450
|
CPT
|
11450 Excision Of Skin/subcutaneous Tissue For Hidradenitis, Axillary; With Simple…
|
178
|
44
|
$805.00
|
$805.00
|
$518.25
|
$5,546.25
|
$3,032.25
|
2026-03-10
|
|
Q5103
|
HCPCS
|
00069-0809-01 - Infliximab-dyyb 100 Mg Intravenous Injection [jers]
|
108
|
44
|
$4,050.00
|
$4,050.00
|
$17.30
|
$3,442.50
|
$3,031.43
|
2026-03-10
|
|
Q5136
|
HCPCS
|
61314-0240-63 - Denosumab Bbdz 60 mg/mL Sol
|
110
|
44
|
$4,050.00
|
$4,050.00
|
$27.10
|
$3,442.50
|
$3,031.43
|
2026-03-10
|
|
J1442
|
HCPCS
|
55513-0209-91 - Filgrastim 480 Mcg/0.8 Ml Sol
|
108
|
44
|
$4,050.00
|
$4,050.00
|
$2,620.35
|
$3,442.50
|
$3,031.43
|
2026-03-10
|
|
J2357
|
HCPCS
|
50242-0215-01 - Omalizumab 150 mg/mL Sol
|
108
|
44
|
$4,050.00
|
$4,050.00
|
$2,620.35
|
$3,442.50
|
$3,031.43
|
2026-03-10
|
|
J3262
|
HCPCS
|
50242-0136-01 - Tocilizumab 20 mg/mL Intravenous Solution 10 Ml [jers]
|
108
|
44
|
$4,050.00
|
$4,050.00
|
$2,620.35
|
$3,442.50
|
$3,031.43
|
2026-03-10
|
|
J0897
|
HCPCS
|
55513-0710-01 - Denosumab 60 mg/mL Subcutaneous Solution 1 Ml [jers]
|
224
|
44
|
$4,050.00
|
$4,050.00
|
$24.78
|
$5,870.02
|
$3,031.43
|
2026-03-10
|
|
9345740
|
CDM
|
50242-0135-01 - Tocilizumab 20 mg/mL Sol
|
88
|
44
|
$4,050.00
|
$4,050.00
|
$2,620.35
|
$3,442.50
|
$3,031.43
|
2026-03-10
|
|
J1745
|
HCPCS
|
57894-0030-01 - inFLIXimab 100 Mg Intravenous Injection [jers]
|
108
|
44
|
$4,050.00
|
$4,050.00
|
$2,620.35
|
$3,442.50
|
$3,031.43
|
2026-03-10
|
|
J0129
|
HCPCS
|
00003-2187-13 - Abatacept 250 Mg Intravenous Injection [jers]
|
108
|
44
|
$4,050.00
|
$4,050.00
|
$2,620.35
|
$3,442.50
|
$3,031.43
|
2026-03-10
|
|
64625
|
CPT
|
Pm Sacral Nerve Rf Ablation Charge
|
108
|
44
|
$6,673.00
|
$6,673.00
|
$382.38
|
$5,672.05
|
$3,027.22
|
2026-03-10
|
|
9068079
|
CDM
|
Apligraf Commercial 44 Sq Cm
|
88
|
44
|
$4,035.00
|
$4,035.00
|
$2,610.65
|
$3,429.75
|
$3,020.20
|
2026-03-10
|
|
J2426
|
HCPCS
|
50458-0562-01 - Paliperidone 117 Mg/0.75 Ml Intramuscular Suspension, Extended R…
|
108
|
44
|
$4,017.70
|
$4,017.70
|
$2,599.45
|
$3,415.05
|
$3,007.25
|
2026-03-10
|
|
11462
|
CPT
|
11462 Excision Of Skin/subcutaneous Tissue For Hidradenitis, Inguinal; With Simple…
|
148
|
44
|
$764.00
|
$764.00
|
$494.31
|
$5,514.80
|
$3,004.55
|
2026-03-10
|
|
9115718
|
CDM
|
Puraply Am 3 X 4
|
88
|
44
|
$3,960.00
|
$3,960.00
|
$2,562.12
|
$3,366.00
|
$2,964.06
|
2026-03-10
|
|
40804
|
CPT
|
40804 - Vestibule Of Mouth; Simple
|
118
|
44
|
$6,563.00
|
$6,563.00
|
$310.56
|
$5,578.55
|
$2,944.55
|
2026-03-10
|
|
9133341
|
CDM
|
Cardioversion Charge
|
88
|
44
|
$3,846.00
|
$3,846.00
|
$2,488.36
|
$3,269.10
|
$2,878.73
|
2026-03-10
|
|
J7307
|
HCPCS
|
Amb Med Charge (Etonogestrel) -> J7307 Implant System
|
98
|
44
|
$3,826.00
|
$3,826.00
|
$2,475.42
|
$3,468.00
|
$2,863.76
|
2026-03-10
|
|
62281
|
CPT
|
Pm Epidurogram Charge
|
108
|
44
|
$6,353.00
|
$6,353.00
|
$302.80
|
$5,400.05
|
$2,851.43
|
2026-03-10
|
|
C8928
|
HCPCS
|
US Stress Echo With Treadmill
|
88
|
44
|
$3,799.00
|
$3,799.00
|
$2,457.95
|
$3,229.15
|
$2,843.55
|
2026-03-10
|
|
93351
|
CPT
|
93351 Echo, Trans, W/image, M-mode, Stress Test, Induced Stress, With Interp; Cont…
|
88
|
44
|
$3,799.00
|
$3,799.00
|
$2,457.95
|
$3,229.15
|
$2,843.55
|
2026-03-10
|
|
23931
|
CPT
|
23931-i&d Elbow Abscess/Bursa/Hematoma
|
60
|
15
|
$8,101.00
|
$8,101.00
|
$313.15
|
$6,885.85
|
$2,826.38
|
2026-03-10
|
|
15958
|
CPT
|
15958 Excision, Trochanteric Pressure Ulcer, For Musc/myocut Flap/skin Graft Clo…
|
88
|
44
|
$3,758.00
|
$3,758.00
|
$2,431.43
|
$3,194.30
|
$2,812.86
|
2026-03-10
|
|
74178
|
CPT
|
74178 CT Abd & Pelvis W & Without Contrast: AddOn
|
88
|
44
|
$6,481.00
|
$6,481.00
|
$437.00
|
$5,184.80
|
$2,810.90
|
2026-03-10
|
|
55700
|
CPT
|
US Biopsy Prostate
|
88
|
44
|
$6,144.00
|
$6,144.00
|
$354.00
|
$5,222.40
|
$2,788.20
|
2026-03-10
|
|
15956
|
CPT
|
15956 Excision, Trochanteric Pressure Ulcer, For Muscle/myocutaneous Flap/skin G…
|
88
|
44
|
$3,693.00
|
$3,693.00
|
$2,389.37
|
$3,139.05
|
$2,764.21
|
2026-03-10
|
|
C1785
|
HCPCS
|
Pacemaker Replacement Ipg W3dr01 Azure S Dr MRI
|
88
|
44
|
$4,094.21
|
$4,094.21
|
$2,047.11
|
$3,480.08
|
$2,763.59
|
2026-03-10
|
|
19000
|
CPT
|
19000 Puncture Aspiration Of Cyst Of Breast
|
264
|
44
|
$3,661.00
|
$3,661.00
|
$211.57
|
$3,111.85
|
$2,740.26
|
2026-03-10
|
|
J7296
|
HCPCS
|
Amb Med Charge (Levonorgestrel) -> J7296 19.5mg Levonorgestrel IUD
|
98
|
44
|
$3,642.00
|
$3,642.00
|
$2,356.37
|
$3,095.70
|
$2,726.03
|
2026-03-10
|
|
J7168
|
HCPCS
|
63833-0386-02 - Prothrombin Complex - Pow {jers}
|
150
|
44
|
$3,630.12
|
$3,630.12
|
$2.10
|
$6,445.07
|
$2,717.14
|
2026-03-10
|
|
A9521
|
HCPCS
|
Jers Nm Ceretec Wbc Iso Per Study
|
88
|
44
|
$5,146.00
|
$5,146.00
|
$1,005.00
|
$4,374.10
|
$2,689.55
|
2026-03-10
|
|
A9551
|
HCPCS
|
Jers Nm Tc Dmsa Per Dose
|
88
|
44
|
$5,081.00
|
$5,081.00
|
$1,005.00
|
$4,318.85
|
$2,661.93
|
2026-03-10
|
|
93306
|
CPT
|
Jers US Echo Complete
|
280
|
44
|
$3,799.00
|
$3,799.00
|
$130.05
|
$4,561.95
|
$2,647.90
|
2026-03-10
|
|
9040535
|
CDM
|
Surgical Probe
|
88
|
44
|
$3,524.00
|
$3,524.00
|
$2,280.03
|
$2,995.40
|
$2,637.72
|
2026-03-10
|
|
95810
|
CPT
|
95810 Sleep Staging
|
176
|
44
|
$4,814.00
|
$4,814.00
|
$1,039.94
|
$4,091.90
|
$2,636.95
|
2026-03-10
|
|
95811
|
CPT
|
95811 Sleep Staging With Cpap
|
176
|
44
|
$4,814.00
|
$4,814.00
|
$956.73
|
$4,091.90
|
$2,636.95
|
2026-03-10
|
|
8879461
|
CDM
|
Novasure
|
88
|
44
|
$3,517.00
|
$3,517.00
|
$2,275.50
|
$2,989.45
|
$2,632.47
|
2026-03-10
|
|
C1176
|
HCPCS
|
Distal Medial Tibia Plate Right 8hole
|
88
|
44
|
$3,501.00
|
$3,501.00
|
$2,275.65
|
$2,975.85
|
$2,625.75
|
2026-03-10
|
|
9039044
|
CDM
|
Tibial Nail ?11x330mm
|
88
|
44
|
$3,470.00
|
$3,470.00
|
$2,255.50
|
$2,949.50
|
$2,602.50
|
2026-03-10
|
|
22511
|
CPT
|
Pm Vertebroplasty Lumbosacral Charge
|
108
|
44
|
$4,479.00
|
$4,479.00
|
$1,393.64
|
$3,807.15
|
$2,600.39
|
2026-03-10
|
|
9040113
|
CDM
|
Localizer Surgical Probe
|
88
|
44
|
$3,474.00
|
$3,474.00
|
$2,247.68
|
$2,952.90
|
$2,600.29
|
2026-03-10
|
|
C1897
|
HCPCS
|
Lead Trial Compact 1x8
|
88
|
44
|
$3,449.00
|
$3,449.00
|
$714.72
|
$2,931.65
|
$2,586.75
|
2026-03-10
|
|
38505
|
CPT
|
CT Biopsy Lymph Node
|
118
|
44
|
$3,440.00
|
$3,440.00
|
$1,667.11
|
$7,169.75
|
$2,574.84
|
2026-03-10
|
|
J7300
|
HCPCS
|
Amb Med Charge (Copper) -> J7300 Copper IUD
|
98
|
44
|
$3,417.00
|
$3,417.00
|
$2,210.80
|
$2,904.45
|
$2,557.62
|
2026-03-10
|
|
78469
|
CPT
|
Nm Myocard Infar Avid Planar Tomo Spect
|
88
|
44
|
$4,758.00
|
$4,758.00
|
$1,005.00
|
$4,044.30
|
$2,524.65
|
2026-03-10
|
|
78452
|
CPT
|
Nm Myocardial Spect Rest And Stress
|
88
|
44
|
$4,758.00
|
$4,758.00
|
$1,005.00
|
$4,044.30
|
$2,524.65
|
2026-03-10
|
|
78451
|
CPT
|
Nm Myocardial Spect Single Study
|
88
|
44
|
$4,758.00
|
$4,758.00
|
$1,005.00
|
$4,044.30
|
$2,524.65
|
2026-03-10
|
|
78454
|
CPT
|
Nm Myocardial Planar Rest And Stress
|
88
|
44
|
$4,758.00
|
$4,758.00
|
$1,005.00
|
$4,044.30
|
$2,524.65
|
2026-03-10
|
|
78201
|
CPT
|
Nm Liver Imaging Static
|
88
|
44
|
$4,758.00
|
$4,758.00
|
$1,005.00
|
$4,044.30
|
$2,524.65
|
2026-03-10
|
|
78650
|
CPT
|
Nm Cerebrospinal Fluid Leakage Detection
|
88
|
44
|
$4,758.00
|
$4,758.00
|
$1,005.00
|
$4,044.30
|
$2,524.65
|
2026-03-10
|
|
9249069
|
CDM
|
Bone Tamp Ke102
|
88
|
44
|
$3,345.00
|
$3,345.00
|
$2,164.22
|
$2,843.25
|
$2,503.74
|
2026-03-10
|
|
74177
|
CPT
|
74177 CT Abd & Pelvis W/contrast Profee: AddOn
|
108
|
44
|
$5,712.00
|
$5,712.00
|
$437.00
|
$5,026.40
|
$2,503.30
|
2026-03-10
|
|
J7298
|
HCPCS
|
Amb Med Charge (Levonorgestrel) -> J7298, 52 Mg Levonorgestrel Iud, 5yr
|
98
|
44
|
$3,306.00
|
$3,306.00
|
$2,138.98
|
$2,810.10
|
$2,474.54
|
2026-03-10
|
|
C1734
|
HCPCS
|
Augment Injectable Kit 1.5cc Injectable Usa
|
88
|
44
|
$3,291.43
|
$3,291.43
|
$2,139.43
|
$2,797.72
|
$2,468.57
|
2026-03-10
|
|
9040153
|
CDM
|
Device Fixation Reliatack
|
88
|
44
|
$3,162.00
|
$3,162.00
|
$2,045.81
|
$2,687.70
|
$2,366.76
|
2026-03-10
|
|
22510
|
CPT
|
Pm Vertebroplasty Cervicothoracic Charge
|
108
|
44
|
$4,479.00
|
$4,479.00
|
$905.80
|
$3,807.15
|
$2,356.47
|
2026-03-10
|
|
V2501
|
HCPCS
|
Size 2 Accolade Ii 127 Deg
|
88
|
44
|
$3,135.00
|
$3,135.00
|
$2,037.75
|
$2,664.75
|
$2,351.25
|
2026-03-10
|
|
13151
|
CPT
|
13151-eyes/ears/nose/lip 1.1-2.5 Cm
|
148
|
44
|
$4,285.00
|
$4,285.00
|
$779.64
|
$3,642.25
|
$2,340.99
|
2026-03-10
|
|
9039220
|
CDM
|
Bone Tamp 15/2 Express Ii Ibt
|
88
|
44
|
$3,126.00
|
$3,126.00
|
$2,022.52
|
$2,657.10
|
$2,339.81
|
2026-03-10
|
|
9040578
|
CDM
|
Bone Tamp Ke202
|
88
|
44
|
$3,126.00
|
$3,126.00
|
$2,022.52
|
$2,657.10
|
$2,339.81
|
2026-03-10
|
|
9070434
|
CDM
|
2.4 Ti Va-lcp 2clmn Vlr Dst Radius Pl6h Sahft/rt
|
88
|
44
|
$3,106.00
|
$3,106.00
|
$2,018.90
|
$2,640.10
|
$2,329.50
|
2026-03-10
|
|
9039363
|
CDM
|
Reunion Tsa Sr Humeral Head 44x19
|
88
|
44
|
$3,098.00
|
$3,098.00
|
$2,013.70
|
$2,633.30
|
$2,323.50
|
2026-03-10
|
|
65435
|
CPT
|
65435 - Removal Of Corneal Epithelium
|
60
|
15
|
$6,780.00
|
$6,780.00
|
$179.87
|
$5,763.00
|
$2,311.48
|
2026-03-10
|
|
9040854
|
CDM
|
Sealer Divider Ligasure Retractable L-hook Laparoscopic 44cm
|
88
|
44
|
$3,074.00
|
$3,074.00
|
$1,988.88
|
$2,612.90
|
$2,300.89
|
2026-03-10
|
|
19083
|
CPT
|
19083 Biopsy, Breast, With Localization Device; First Lesion, Including Ultrasound…
|
176
|
44
|
$4,989.00
|
$4,989.00
|
$354.00
|
$4,240.65
|
$2,297.32
|
2026-03-10
|
|
92961
|
CPT
|
92961 - Cardioversion, Elective; Internal
|
118
|
44
|
$4,581.00
|
$4,581.00
|
$700.05
|
$3,893.85
|
$2,296.95
|
2026-03-10
|
|
64493
|
CPT
|
Ir Facet Injection Lumb/Sacr Lv1 Bilat
|
264
|
44
|
$3,044.00
|
$3,044.00
|
$684.91
|
$3,881.95
|
$2,278.43
|
2026-03-10
|
|
64479
|
CPT
|
Ir Injection Cerv/Thor Transforam Bilat
|
264
|
44
|
$3,044.00
|
$3,044.00
|
$1,969.47
|
$3,881.95
|
$2,278.43
|
2026-03-10
|
|
64490
|
CPT
|
Ir Facet Injection Cerv/Thor Lv1 Bilat
|
264
|
44
|
$3,044.00
|
$3,044.00
|
$631.77
|
$3,881.95
|
$2,278.43
|
2026-03-10
|
|
64483
|
CPT
|
64483 Injection Transforaminal Epidural - Single Level
|
264
|
44
|
$3,044.00
|
$3,044.00
|
$684.91
|
$3,881.95
|
$2,278.43
|
2026-03-10
|
|
15953
|
CPT
|
15953 Excision, Trochanteric Pressure Ulcer, With Skin Flap Closure; With Ostect…
|
88
|
44
|
$3,044.00
|
$3,044.00
|
$1,969.47
|
$2,587.40
|
$2,278.43
|
2026-03-10
|
|
13152
|
CPT
|
13152-eye/ear/nose/lip 2.6-7.5 Cm
|
118
|
44
|
$4,285.00
|
$4,285.00
|
$899.33
|
$3,642.25
|
$2,270.79
|
2026-03-10
|
|
13132
|
CPT
|
13132-face/neck/hand/feet/genital 2.6-7.5 Cm
|
118
|
44
|
$4,285.00
|
$4,285.00
|
$893.51
|
$3,642.25
|
$2,267.88
|
2026-03-10
|
|
9133340
|
CDM
|
Tee Charge
|
88
|
44
|
$3,024.00
|
$3,024.00
|
$1,956.53
|
$2,570.40
|
$2,263.47
|
2026-03-10
|
|
93312
|
CPT
|
US Echo Tee
|
88
|
44
|
$3,024.00
|
$3,024.00
|
$507.76
|
$2,570.40
|
$2,263.47
|
2026-03-10
|
|
12046
|
CPT
|
12046-neck/hand/feet/genital 20.1-30.0 Cm
|
118
|
44
|
$4,285.00
|
$4,285.00
|
$869.57
|
$3,642.25
|
$2,255.91
|
2026-03-10
|
|
11421
|
CPT
|
11421 - Excision Benign S/n/h/f 0.6 - 1 Cm
|
152
|
44
|
$4,925.00
|
$4,925.00
|
$287.92
|
$4,186.25
|
$2,237.09
|
2026-03-10
|
|
9347565
|
CDM
|
Fastgrafter Autograft Harvesting System
|
88
|
44
|
$2,985.00
|
$2,985.00
|
$1,931.30
|
$2,537.25
|
$2,234.28
|
2026-03-10
|
|
49180
|
CPT
|
CT Biopsy Soft Tissue Abdomen
|
88
|
44
|
$4,989.00
|
$4,989.00
|
$437.00
|
$3,991.20
|
$2,214.10
|
2026-03-10
|
|
12036
|
CPT
|
12036-scalp/trunk/extremity 20.1-30.0 Cm
|
148
|
44
|
$4,285.00
|
$4,285.00
|
$564.83
|
$3,642.25
|
$2,209.65
|
2026-03-10
|
|
59514
|
CPT
|
Cesarean Delivery Only 59514
|
88
|
44
|
$2,951.00
|
$2,951.00
|
$1,909.30
|
$2,508.35
|
$2,208.82
|
2026-03-10
|
|
13121
|
CPT
|
13121-scalp/arms/legs 2.6-7.5 Cm
|
118
|
44
|
$4,285.00
|
$4,285.00
|
$760.87
|
$3,642.25
|
$2,201.56
|
2026-03-10
|
|
70553
|
CPT
|
70553 MRI Brain With + Without Contrast: AddOn
|
88
|
44
|
$4,207.00
|
$4,207.00
|
$816.00
|
$3,575.95
|
$2,195.97
|
2026-03-10
|
|
9039023
|
CDM
|
Mtp Fusion Medium Odg Lt Ortholoc
|
88
|
44
|
$2,925.00
|
$2,925.00
|
$1,901.25
|
$2,486.25
|
$2,193.75
|
2026-03-10
|
|
C1776
|
HCPCS
|
Entasis Drill Sacroiliac 7mm
|
3,350
|
44
|
$2,799.50
|
$2,799.50
|
$86.13
|
$27,795.00
|
$2,189.60
|
2026-03-10
|
|
9039291
|
CDM
|
Mtp Fusion Small Odg Rt 3di Plating
|
88
|
44
|
$2,925.00
|
$2,925.00
|
$1,892.48
|
$2,486.25
|
$2,189.36
|
2026-03-10
|
|
12045
|
CPT
|
12045-neck/hand/feet/genital 12.6-20.0 Cm
|
118
|
44
|
$4,285.00
|
$4,285.00
|
$726.58
|
$3,642.25
|
$2,184.41
|
2026-03-10
|
|
J1439
|
HCPCS
|
00517-0650-01 - Ferric Carboxymaltose (as Elemental Iron) 50 mg/mL Intravenous S…
|
110
|
44
|
$2,899.15
|
$2,899.15
|
$1.09
|
$2,464.28
|
$2,170.01
|
2026-03-10
|
|
9270694
|
CDM
|
Dart-fire Edge Inst Pack 2.0mm Headless
|
88
|
44
|
$2,874.00
|
$2,874.00
|
$1,859.48
|
$2,442.90
|
$2,151.19
|
2026-03-10
|
|
13101
|
CPT
|
13101-trunk 2.6-7.5 Cm
|
118
|
44
|
$4,285.00
|
$4,285.00
|
$654.76
|
$3,642.25
|
$2,148.51
|
2026-03-10
|
|
13120
|
CPT
|
13120-scalp/arms/legs 1.1-2.5 Cm
|
118
|
44
|
$4,285.00
|
$4,285.00
|
$614.00
|
$3,642.25
|
$2,128.12
|
2026-03-10
|
|
15933
|
CPT
|
15933 Excision, Sacral Pressure Ulcer, With Primary Suture; With Ostectomy
|
88
|
44
|
$2,831.00
|
$2,831.00
|
$1,831.66
|
$2,406.35
|
$2,119.01
|
2026-03-10
|
|
92960
|
CPT
|
92960 - Cardioversion; Elective
|
148
|
44
|
$4,581.00
|
$4,581.00
|
$329.97
|
$3,893.85
|
$2,111.91
|
2026-03-10
|
|
12044
|
CPT
|
12044-neck/hand/feet/genital 7.6-12.5 Cm
|
118
|
44
|
$4,285.00
|
$4,285.00
|
$575.18
|
$3,642.25
|
$2,108.72
|
2026-03-10
|
|
21550
|
CPT
|
Biopsy, Soft Tissue Of Neck Or Thorax 21550
|
334
|
44
|
$3,240.00
|
$3,240.00
|
$298.91
|
$6,457.60
|
$2,106.00
|
2026-03-10
|
|
96381
|
CPT
|
96381 Admin Beyfortus Without Counseling By Physician Or Other Qualified Health Care…
|
98
|
44
|
$2,800.00
|
$2,800.00
|
$1,811.60
|
$2,380.00
|
$2,095.80
|
2026-03-10
|
|
13100
|
CPT
|
13100-trunk 1.1-2.5 Cm
|
118
|
44
|
$4,285.00
|
$4,285.00
|
$537.01
|
$3,642.25
|
$2,089.63
|
2026-03-10
|
|
15952
|
CPT
|
15952 Excision, Trochanteric Pressure Ulcer, With Skin Flap Closure;
|
88
|
44
|
$2,765.00
|
$2,765.00
|
$1,788.96
|
$2,350.25
|
$2,069.61
|
2026-03-10
|
|
15835
|
CPT
|
Excision, Excessive Skin And Subcutaneous Tissue, Buttock 15835
|
226
|
24
|
$2,943.00
|
$2,943.00
|
$1,827.13
|
$6,838.40
|
$2,060.10
|
2026-03-10
|
|
64530
|
CPT
|
Ir Injection Celiac Plexus Block
|
88
|
44
|
$2,750.00
|
$2,750.00
|
$1,779.25
|
$2,337.50
|
$2,058.38
|
2026-03-10
|
|
64520
|
CPT
|
Ir Injection Lumb/Thor Sympathetic Nerve
|
88
|
44
|
$2,750.00
|
$2,750.00
|
$1,779.25
|
$2,337.50
|
$2,058.38
|
2026-03-10
|
|
64510
|
CPT
|
Ir Injection Stellate Ganglion
|
88
|
44
|
$2,750.00
|
$2,750.00
|
$1,779.25
|
$2,337.50
|
$2,058.38
|
2026-03-10
|
|
32554
|
CPT
|
32554-thoracentesis Without Imaging Guidance
|
118
|
44
|
$4,328.00
|
$4,328.00
|
$381.73
|
$3,678.80
|
$2,030.27
|
2026-03-10
|
|
15260
|
CPT
|
15260 Full Thickness Graft, Free, Direct Closure Of Donor Site, Nose/ears/eyelid…
|
88
|
44
|
$2,712.00
|
$2,712.00
|
$1,754.66
|
$2,305.20
|
$2,029.93
|
2026-03-10
|
|
9185272
|
CDM
|
27437-0056-01 - Levalbuterol 45 Mcg/inh Aer
|
88
|
44
|
$2,708.40
|
$2,708.40
|
$1,752.33
|
$2,302.14
|
$2,027.23
|
2026-03-10
|
|
15951
|
CPT
|
15951 Excision, Trochanteric Pressure Ulcer, With Primary Suture; With Ostectomy
|
88
|
44
|
$2,707.00
|
$2,707.00
|
$1,751.43
|
$2,300.95
|
$2,026.19
|
2026-03-10
|
|
9127804
|
CDM
|
Puraply Am 2 X 4
|
88
|
44
|
$2,700.00
|
$2,700.00
|
$1,746.90
|
$2,295.00
|
$2,020.95
|
2026-03-10
|
|
9270295
|
CDM
|
Recharge System
|
88
|
44
|
$2,700.00
|
$2,700.00
|
$1,746.90
|
$2,295.00
|
$2,020.95
|
2026-03-10
|
|
9270294
|
CDM
|
Comm Hnadset Ket
|
88
|
44
|
$2,700.00
|
$2,700.00
|
$1,746.90
|
$2,295.00
|
$2,020.95
|
2026-03-10
|
|
11760
|
CPT
|
11760-repair Of Nail Bed
|
118
|
44
|
$4,285.00
|
$4,285.00
|
$367.50
|
$3,642.25
|
$2,004.88
|
2026-03-10
|
|
9039326
|
CDM
|
Controller Intellis Ptm Nontrial 97745nt
|
88
|
44
|
$2,649.00
|
$2,649.00
|
$1,713.90
|
$2,251.65
|
$1,982.78
|
2026-03-10
|
|
73223
|
CPT
|
MRI Elbow With + Without Contrast Left
|
176
|
44
|
$3,646.00
|
$3,646.00
|
$816.00
|
$3,099.10
|
$1,957.55
|
2026-03-10
|
|
73222
|
CPT
|
MRI Elbow With Contrast Left
|
176
|
44
|
$3,646.00
|
$3,646.00
|
$816.00
|
$3,099.10
|
$1,957.55
|
2026-03-10
|
|
74182
|
CPT
|
MRI Abdomen With Contrast
|
88
|
44
|
$3,646.00
|
$3,646.00
|
$816.00
|
$3,099.10
|
$1,957.55
|
2026-03-10
|
|
73723
|
CPT
|
MRI Ankle With + Without Contrast Left
|
196
|
44
|
$3,646.00
|
$3,646.00
|
$816.00
|
$3,099.10
|
$1,957.55
|
2026-03-10
|
|
27535
|
CPT
|
27535 Open Treatment Of Tibial Fracture, Proximal; Unicondylar, Includes Interna…
|
132
|
24
|
$2,895.00
|
$2,895.00
|
$1,787.66
|
$2,460.75
|
$1,934.10
|
2026-03-10
|
|
8809577
|
CDM
|
63402-0510-01 - Levalbuterol 45 Mcg/inh Inhalation Aerosol [jers]
|
88
|
44
|
$2,579.40
|
$2,579.40
|
$1,668.87
|
$2,192.49
|
$1,930.68
|
2026-03-10
|
|
9035147
|
CDM
|
Dissector Ligasure Exact
|
88
|
44
|
$2,559.00
|
$2,559.00
|
$1,655.67
|
$2,175.15
|
$1,915.41
|
2026-03-10
|
|
J7327
|
HCPCS
|
Amb Med Charge (Hyaluronan) -> J7327 Hyaluronan Inj
|
128
|
44
|
$1,129.00
|
$1,129.00
|
$730.46
|
$3,088.90
|
$1,909.68
|
2026-03-10
|
|
C8924
|
HCPCS
|
Jers US Echo Limited With Contrast
|
136
|
44
|
$2,738.00
|
$2,738.00
|
$1,771.49
|
$2,327.30
|
$1,908.39
|
2026-03-10
|
|
C1778
|
HCPCS
|
Lead 5mm Compact 1x8 MRI
|
88
|
44
|
$2,540.00
|
$2,540.00
|
$420.93
|
$2,159.00
|
$1,905.00
|
2026-03-10
|
|
J7297
|
HCPCS
|
Amb Med Charge (Levonorgestrel) -> J7297 Liletta 52mg
|
98
|
44
|
$2,535.00
|
$2,535.00
|
$1,640.15
|
$2,154.75
|
$1,897.45
|
2026-03-10
|
|
71552
|
CPT
|
MRI Chest With + Without Contrast
|
88
|
44
|
$3,363.00
|
$3,363.00
|
$816.00
|
$2,858.55
|
$1,837.28
|
2026-03-10
|
|
72197
|
CPT
|
MRI Pelvis With + Without Contrast
|
88
|
44
|
$3,362.00
|
$3,362.00
|
$816.00
|
$2,857.70
|
$1,836.85
|
2026-03-10
|
|
28615
|
CPT
|
Open Treatment Of Tarsometatarsal Joint Dislocation, Includes Internal Fixation,…
|
42
|
21
|
$2,599.00
|
$2,599.00
|
$1,681.55
|
$2,079.20
|
$1,819.30
|
2026-03-10
|
|
13160
|
CPT
|
13160 Secondary Closure Of Surgical Wound Or Dehiscence, Extensive Or Complicate…
|
88
|
44
|
$2,427.00
|
$2,427.00
|
$1,570.27
|
$2,062.95
|
$1,816.61
|
2026-03-10
|
|
62321
|
CPT
|
Ir Injection Cerv/Thor Interlaminar
|
88
|
44
|
$2,418.00
|
$2,418.00
|
$710.35
|
$2,418.00
|
$1,809.88
|
2026-03-10
|
|
9039006
|
CDM
|
Imlpl Delivery Sys, Distal Biceps Bc
|
88
|
44
|
$2,396.00
|
$2,396.00
|
$1,557.40
|
$2,036.60
|
$1,797.00
|
2026-03-10
|
|
40805
|
CPT
|
40805 - Vestivule Of Mouth; Complicated
|
118
|
44
|
$3,565.00
|
$3,565.00
|
$555.13
|
$3,030.25
|
$1,792.69
|
2026-03-10
|
|
9127802
|
CDM
|
Nushield 2 X 3
|
88
|
44
|
$2,385.00
|
$2,385.00
|
$1,543.10
|
$2,027.25
|
$1,785.17
|
2026-03-10
|
|
J7301
|
HCPCS
|
Amb Med Charge (Levonorgestrel) -> J7301, 13.5 Mg Levonorgestrel IUD
|
98
|
44
|
$2,382.00
|
$2,382.00
|
$1,541.15
|
$2,024.70
|
$1,782.92
|
2026-03-10
|
|
70482
|
CPT
|
CT Iac With + Without Contrast
|
88
|
44
|
$3,867.00
|
$3,867.00
|
$437.00
|
$3,093.60
|
$1,765.30
|
2026-03-10
|
|
71270
|
CPT
|
CT Chest/Abdomen/Pelvis With + Without Cont
|
152
|
44
|
$3,867.00
|
$3,867.00
|
$106.76
|
$3,093.60
|
$1,765.30
|
2026-03-10
|
|
12057
|
CPT
|
12057-face/ear/eye/nose/lip Greater Than 30.0 Cm
|
118
|
44
|
$2,797.00
|
$2,797.00
|
$1,152.95
|
$2,377.45
|
$1,765.20
|
2026-03-10
|
|
G0260
|
HCPCS
|
27096 Injection Procedure For Sacroiliac Joint, Anesthetic/steroid, With Image G…
|
264
|
44
|
$2,355.00
|
$2,355.00
|
$355.18
|
$3,240.20
|
$1,762.72
|
2026-03-10
|
|
94002
|
CPT
|
Rt Charge Ventilator Initiate -> Yes
|
88
|
44
|
$2,355.00
|
$2,355.00
|
$678.11
|
$2,001.75
|
$1,762.72
|
2026-03-10
|
|
62304
|
CPT
|
Xr Myelogram Lumbosacral Spine
|
88
|
44
|
$3,819.00
|
$3,819.00
|
$265.00
|
$3,246.15
|
$1,755.58
|
2026-03-10
|
|
72265
|
CPT
|
Xr Myelogram Lumbosacral Spine
|
88
|
44
|
$3,819.00
|
$3,819.00
|
$265.00
|
$3,246.15
|
$1,755.58
|
2026-03-10
|
|
62305
|
CPT
|
Xr Myelogram 2 Or More Regions With Inject
|
88
|
44
|
$3,819.00
|
$3,819.00
|
$265.00
|
$3,246.15
|
$1,755.58
|
2026-03-10
|
|
72270
|
CPT
|
Xr Myelogram 2 Or More Regions With Inject
|
88
|
44
|
$3,819.00
|
$3,819.00
|
$265.00
|
$3,246.15
|
$1,755.58
|
2026-03-10
|
|
73202
|
CPT
|
CT Elbow With + Without Contrast Left
|
176
|
44
|
$3,839.00
|
$3,839.00
|
$437.00
|
$3,071.20
|
$1,754.10
|
2026-03-10
|
|
73206
|
CPT
|
CT Angio Upper Extermity Bilateral
|
88
|
44
|
$3,839.00
|
$3,839.00
|
$437.00
|
$3,071.20
|
$1,754.10
|
2026-03-10
|
|
74176
|
CPT
|
74176 CT Abd & Pelvis Without Contrast: AddOn
|
88
|
44
|
$3,835.00
|
$3,835.00
|
$437.00
|
$3,068.00
|
$1,752.50
|
2026-03-10
|
|
36593
|
CPT
|
36593-declot By Thrombolytic Agent
|
88
|
44
|
$2,322.00
|
$2,322.00
|
$1,502.33
|
$1,973.70
|
$1,738.02
|
2026-03-10
|
|
10005
|
CPT
|
US Fine Needle Aspiration With Guidance
|
88
|
44
|
$3,661.00
|
$3,661.00
|
$354.00
|
$3,111.85
|
$1,732.92
|
2026-03-10
|
|
12056
|
CPT
|
12056-face/ear/eye/nose/lip 20.1-30.0 Cm
|
118
|
44
|
$2,797.00
|
$2,797.00
|
$1,039.08
|
$2,377.45
|
$1,708.27
|
2026-03-10
|
|
72157
|
CPT
|
MRI Spine Thoracic With + Without Contrast
|
88
|
44
|
$3,040.00
|
$3,040.00
|
$816.00
|
$2,584.00
|
$1,700.00
|
2026-03-10
|
|
70543
|
CPT
|
70543 MRI Orbit With + Without Contrast: AddOn
|
182
|
44
|
$3,040.00
|
$3,040.00
|
$366.33
|
$2,584.00
|
$1,700.00
|
2026-03-10
|
|
74183
|
CPT
|
MRI Abdomen With + Without Contrast
|
88
|
44
|
$3,040.00
|
$3,040.00
|
$816.00
|
$2,584.00
|
$1,700.00
|
2026-03-10
|
|
73720
|
CPT
|
MRI Femur With + Without Contrast Left
|
176
|
44
|
$3,040.00
|
$3,040.00
|
$816.00
|
$2,584.00
|
$1,700.00
|
2026-03-10
|
|
73725
|
CPT
|
MRA Lower Extremity Without Contrast Left - Report
|
216
|
44
|
$3,040.00
|
$3,040.00
|
$816.00
|
$2,584.00
|
$1,700.00
|
2026-03-10
|
|
71555
|
CPT
|
MRA Chest Without Contrast - Report
|
108
|
44
|
$3,040.00
|
$3,040.00
|
$816.00
|
$2,584.00
|
$1,700.00
|
2026-03-10
|
|
74185
|
CPT
|
MRA Abdomen With + Without Contrast
|
108
|
44
|
$3,040.00
|
$3,040.00
|
$816.00
|
$2,584.00
|
$1,700.00
|
2026-03-10
|
|
C8911
|
HCPCS
|
MRA Chest With + Without Contrast
|
88
|
44
|
$3,040.00
|
$3,040.00
|
$816.00
|
$2,584.00
|
$1,700.00
|
2026-03-10
|
|
72156
|
CPT
|
MRI Spine Cervical With + Without Contrast
|
88
|
44
|
$3,040.00
|
$3,040.00
|
$816.00
|
$2,584.00
|
$1,700.00
|
2026-03-10
|
|
C8902
|
HCPCS
|
MRA Abdomen With + Without Contrast
|
88
|
44
|
$3,040.00
|
$3,040.00
|
$816.00
|
$2,584.00
|
$1,700.00
|
2026-03-10
|
|
70549
|
CPT
|
MRA Neck With + Without Contrast
|
88
|
44
|
$3,040.00
|
$3,040.00
|
$816.00
|
$2,584.00
|
$1,700.00
|
2026-03-10
|
|
72158
|
CPT
|
MRI Spine Lumbar With + Without Contrast
|
88
|
44
|
$3,040.00
|
$3,040.00
|
$816.00
|
$2,584.00
|
$1,700.00
|
2026-03-10
|
|
C8914
|
HCPCS
|
MRA Lower Extremity With + Without Cnt Left
|
176
|
44
|
$3,040.00
|
$3,040.00
|
$816.00
|
$2,584.00
|
$1,700.00
|
2026-03-10
|
|
15931
|
CPT
|
15931 Excision, Sacral Pressure Ulcer, With Primary Suture;
|
88
|
44
|
$2,208.00
|
$2,208.00
|
$1,428.58
|
$1,876.80
|
$1,652.69
|
2026-03-10
|
|
9039259
|
CDM
|
Intracept Inst. Additional Level
|
88
|
44
|
$2,195.00
|
$2,195.00
|
$1,420.17
|
$1,865.75
|
$1,642.96
|
2026-03-10
|
|
9040723
|
CDM
|
Vb Kit, Gen 3
|
88
|
44
|
$2,195.00
|
$2,195.00
|
$1,420.17
|
$1,865.75
|
$1,642.96
|
2026-03-10
|
|
Q0138
|
HCPCS
|
00781-3154-01 - Ferumoxytol 30 mg/mL Sol
|
152
|
44
|
$2,172.84
|
$2,172.84
|
$0.32
|
$2,364.05
|
$1,626.37
|
2026-03-10
|
|
73219
|
CPT
|
MRI Forearm With Contrast Left
|
176
|
44
|
$2,853.00
|
$2,853.00
|
$816.00
|
$2,425.05
|
$1,620.53
|
2026-03-10
|
|
73220
|
CPT
|
MRI Forearm With + Without Contrast Left
|
176
|
44
|
$2,853.00
|
$2,853.00
|
$816.00
|
$2,425.05
|
$1,620.53
|
2026-03-10
|
|
36430
|
CPT
|
Blood Product Administration Charge
|
118
|
44
|
$2,161.00
|
$2,161.00
|
$401.18
|
$1,836.85
|
$1,617.51
|
2026-03-10
|
|
8175336
|
CDM
|
Room/bed: Swing Bed
|
54
|
26
|
$339.00
|
$339.00
|
$580.00
|
$1,615.48
|
$1,615.48
|
2026-03-10
|
|
2120839
|
CDM
|
Room/bed: Private
|
52
|
26
|
$701.00
|
$701.00
|
$1,615.48
|
$1,615.48
|
$1,615.48
|
2026-03-10
|
|
59400
|
CPT
|
Routine Obstetric Care Including Antepartum Care, Vaginal Delivery And Postpartu…
|
52
|
26
|
$7,627.00
|
$7,627.00
|
$1,615.48
|
$1,615.48
|
$1,615.48
|
2026-03-10
|
|
9114290
|
CDM
|
Room/bed: Critical Care
|
52
|
26
|
$1,525.00
|
$1,525.00
|
$500.00
|
$1,615.48
|
$1,615.48
|
2026-03-10
|