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

SAINT JAMES HOSPITAL

Pontiac, IL · CCN 140161 · Rates published

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You selected 93306 (HCPCS)

Tte w/doppler complete

This hospital’s price: $591 across 3 payers · range $586-$597

Source: https://osf-p-001.sitecorecontenthub.cloud/api/public/content/370662570_osf-saint-james-john-w-albrecht-medical-center_standardcharges.json · observed 2026-03-31

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.

3,457 distinct procedures filed
14 distinct payers
11,961 rate rows
2026-03-31 last MRF observed
Data quality

10,939 of 11,961 rate rows are consumer-grade (91.5%)

1,022 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 1,022
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://osf-p-001.sitecorecontenthub.cloud/api/public/content/370662570_osf-saint-james-john-w-albrecht-medical-center_standardcharges.json
Found on page https://www.osfhealthcare.org/patients-visitors/billing-insurance/price-transparency
Discovered viaDiscovered by HANK
Last fetch success · 2026-09-21
Content fingerprint db6a2b21d3a969ab… · 17,847,964 bytes · first seen 2026-05-05

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
5342
OTHER 		Level 2 Abdominal/Peritoneal/Biliary And Related Procedures 3 $4,915.27 $50,288.95 $26,467.60 nat. median
$7,083
outlier · 3.7×
5361
OTHER 		Level 1 Laparoscopy And Related Services 7 $3,043.20 $49,255.85 $22,437.00 nat. median
$6,026
outlier · 3.7×
9512
OTHER 		Rbc Leukocytes Reduced 1 $19,254.55 $19,254.55 $19,254.55 nat. median
$190
outlier · 101.4×
5372
OTHER 		Level 2 Urology And Related Services 1 $17,628.80 $17,628.80 $17,628.80 nat. median
$692
outlier · 25.5×
5115
OTHER 		Level 5 Musculoskeletal Procedures 5 $1,809.75 $70,612.75 $14,366.63 nat. median
$13,292
1.1× median
1003T
OTHER 		Arthrp 1st Crp/mtcrpl Prostc 3 $13,758.17 $14,033.33 $13,895.75 nat. median
$13,407
1.0× median
81416
HCPCS 		Exome Sequence Analysis 3 $12,000.00 $12,240.00 $12,120.00 nat. median
$12,000
1.0× median
5114
OTHER 		Level 4 Musculoskeletal Procedures 4 $7,861.97 $44,361.05 $10,298.28 nat. median
$7,377
1.4× median
5182
OTHER 		Level 2 Vascular Procedures 2 $1,699.62 $15,823.15 $8,761.38 nat. median
$1,604
outlier · 5.5×
0315U
OTHER 		Onc Cutan Sq Cll Ca Mrna 40 3 $8,500.00 $8,670.00 $8,585.00 nat. median
$8,925
1.0× median
0211U
OTHER 		Onc Pan-tum Dna&rna Gnrj Seq 3 $8,455.00 $8,624.10 $8,539.55 nat. median
$8,878
1.0× median
81552
HCPCS 		Onc Uveal Mlnma Mrna 15 Gene 3 $7,776.00 $7,931.52 $7,853.76 nat. median
$7,932
1.0× median
27713
HCPCS 		Osteot Tibia Imed Lngth Dev 3 $7,775.89 $7,931.41 $7,853.65 nat. median
$7,805
1.0× median
27458
HCPCS 		Osteot Femur Imed Lngth Dev 3 $7,775.89 $7,931.41 $7,853.65 nat. median
$7,829
1.0× median
62330
HCPCS 		Dcmprn Prq Rmv Lig Flv 1lmbr 3 $7,775.89 $7,931.41 $7,853.65 nat. median
$7,595
1.0× median
0426U
OTHER 		Genome Ultra-rapid Seq Alys 3 $7,582.20 $7,733.84 $7,658.02 nat. median
$7,810
1.0× median
0582U
OTHER 		Rare Ds Rpd Whlgen DNA Vrnts 3 $7,582.20 $7,733.84 $7,658.02 nat. median
$7,848
1.0× median
0094U
OTHER 		Genome Rapid Sequence Alys 3 $7,582.20 $7,733.84 $7,658.02 nat. median
$7,961
1.0× median
81529
HCPCS 		Onc Cutan Mlnma Mrna 31 Gene 3 $7,193.00 $7,336.86 $7,264.93 nat. median
$7,337
1.0× median
C8006
HCPCS 		Inst Pleu-perit Shnt W Pump 3 $6,937.47 $7,076.22 $7,006.84 nat. median
$6,702
1.0× median
0267U
OTHER 		Rare Do Id Opt Gen Mapg&seq 3 $6,739.33 $6,874.12 $6,806.72 nat. median
$7,076
1.0× median
0265U
OTHER 		Rar Do Whl Gn&mtcdrl DNA Als 3 $5,475.80 $5,585.32 $5,530.56 nat. median
$5,750
1.0× median
0212U
OTHER 		Rare Ds Gen DNA Alys Proband 3 $5,475.20 $5,584.70 $5,529.95 nat. median
$5,749
1.0× median
5341
OTHER 		Level 1 Abdominal/Peritoneal/Biliary And Related Procedures 7 $3,892.25 $31,717.15 $5,494.10 nat. median
$3,678
1.5× median
0295U
OTHER 		Onc Brst Dux Carc 7 Proteins 3 $5,435.00 $5,543.70 $5,489.35 nat. median
$5,607
1.0× median
81554
HCPCS 		Pulm Ds Ipf Mrna 190 Gen Alg 3 $5,409.60 $5,517.79 $5,463.70 nat. median
$5,572
1.0× median
55970
HCPCS 		Sex Transformation M To F 3 $5,360.72 $5,467.93 $5,414.33 nat. median
$5,328
1.0× median
0214U
OTHER 		Rare Ds Xom DNA Alys Proband 3 $5,224.60 $5,329.09 $5,276.85 nat. median
$5,486
1.0× median
0335U
OTHER 		Rare Ds Whl Gen Seq Fetal 3 $5,224.60 $5,329.09 $5,276.85 nat. median
$5,486
1.0× median
81425
HCPCS 		Genome Sequence Analysis 3 $5,031.20 $5,131.82 $5,081.51 nat. median
$5,031
1.0× median
0567U
OTHER 		Rare Ds Whl Gen Seq Srs&lrs 3 $5,031.20 $5,131.82 $5,081.51 nat. median
$5,207
1.0× median
0532U
OTHER 		Rare Ds Whlgen&mitochdrl DNA 3 $5,031.20 $5,131.82 $5,081.51 nat. median
$5,207
1.0× median
0326U
OTHER 		Trgt Gen Seq Alys Pnl 83+ 3 $5,000.00 $5,100.00 $5,050.00 nat. median
$5,200
1.0× median
0242U
OTHER 		Trgt Gen Seq Alys Pnl 55-74 3 $5,000.00 $5,100.00 $5,050.00 nat. median
$5,175
1.0× median
0108U
OTHER 		Gi Barrett Esoph 9 Prtn Bmrk 3 $4,950.00 $5,049.00 $4,999.50 nat. median
$5,185
1.0× median
81415
HCPCS 		Exome Sequence Analysis 3 $4,780.00 $4,875.60 $4,827.80 nat. median
$4,780
1.0× median
0036U
OTHER 		Xome Tum & Nml Spec Seq Alys 3 $4,780.00 $4,875.60 $4,827.80 nat. median
$5,019
1.0× median
0473U
OTHER 		Onc Sld Tum Bld/slv 648 Gene 3 $4,500.00 $4,590.00 $4,545.00 nat. median
$4,590
1.0× median
0971T
OTHER 		Ablt Mal Brst Tum Pq Lsr Uni 3 $4,195.85 $4,279.77 $4,237.81 nat. median
$4,494
0.9× median
0970T
OTHER 		Ablt B9 Brst Tum Perq Lsr Ea 3 $4,195.85 $4,279.77 $4,237.81 nat. median
$4,494
0.9× median
0300U
OTHER 		Onc Pan Tum Whl Gen Seq&opt 3 $4,183.13 $4,266.79 $4,224.96 nat. median
$4,392
1.0× median
5091
OTHER 		Level 1 Breast/Lymphatic Surgery And Related Procedures 1 $4,205.50 $4,205.50 $4,205.50 nat. median
$3,929
1.1× median
0425U
OTHER 		Genom Rpd Seq Alys Ea Cmprtr 3 $4,094.39 $4,176.28 $4,135.33 nat. median
$4,217
1.0× median
0306U
OTHER 		Onc Mrd Nxt-gnrj Alys 1st 3 $3,878.45 $3,956.02 $3,917.23 nat. median
$4,072
1.0× median
0560U
OTHER 		Onc Mrd Gsa Cfdna Baseline 3 $3,878.45 $3,956.02 $3,917.23 nat. median
$4,014
1.0× median
81521
HCPCS 		Onc Breast Mrna 70 Genes 3 $3,873.00 $3,950.46 $3,911.73 nat. median
$3,950
1.0× median
81541
HCPCS 		Onc Prostate Mrna 46 Genes 3 $3,873.00 $3,950.46 $3,911.73 nat. median
$3,950
1.0× median
0288U
OTHER 		Onc Lung Mrna Quan Pcr 11&3 3 $3,873.00 $3,950.46 $3,911.73 nat. median
$4,067
1.0× median
81522
HCPCS 		Onc Breast Mrna 12 Genes 3 $3,873.00 $3,950.46 $3,911.73 nat. median
$3,912
1.0× median
81542
HCPCS 		Onc Prostate Mrna 22 Cnt Gen 3 $3,873.00 $3,950.46 $3,911.73 nat. median
$3,950
1.0× median

Other procedures at this hospital

Browse this hospital's 3,457 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
             
5342 OTHER Level 2 Abdominal/Peritoneal/Biliary And Related Procedures 4 3 — — $4,915.27 $50,288.95 $26,467.60 2026-03-31
5361 OTHER Level 1 Laparoscopy And Related Services 9 7 — — $3,043.20 $49,255.85 $22,437.00 2026-03-31
9512 OTHER Rbc Leukocytes Reduced 1 1 — — $19,254.55 $19,254.55 $19,254.55 2026-03-31
5372 OTHER Level 2 Urology And Related Services 1 1 — — $17,628.80 $17,628.80 $17,628.80 2026-03-31
5115 OTHER Level 5 Musculoskeletal Procedures 5 5 — — $1,809.75 $70,612.75 $14,366.63 2026-03-31
1003T OTHER Arthrp 1st Crp/mtcrpl Prostc 3 3 — — $13,758.17 $14,033.33 $13,895.75 2026-03-31
81416 HCPCS Exome Sequence Analysis 3 3 — — $12,000.00 $12,240.00 $12,120.00 2026-03-31
5114 OTHER Level 4 Musculoskeletal Procedures 5 4 — — $7,861.97 $44,361.05 $10,298.28 2026-03-31
5182 OTHER Level 2 Vascular Procedures 2 2 — — $1,699.62 $15,823.15 $8,761.38 2026-03-31
0315U OTHER Onc Cutan Sq Cll Ca Mrna 40 3 3 — — $8,500.00 $8,670.00 $8,585.00 2026-03-31
0211U OTHER Onc Pan-tum Dna&rna Gnrj Seq 3 3 — — $8,455.00 $8,624.10 $8,539.55 2026-03-31
81552 HCPCS Onc Uveal Mlnma Mrna 15 Gene 3 3 — — $7,776.00 $7,931.52 $7,853.76 2026-03-31
27713 HCPCS Osteot Tibia Imed Lngth Dev 3 3 — — $7,775.89 $7,931.41 $7,853.65 2026-03-31
27458 HCPCS Osteot Femur Imed Lngth Dev 3 3 — — $7,775.89 $7,931.41 $7,853.65 2026-03-31
62330 HCPCS Dcmprn Prq Rmv Lig Flv 1lmbr 3 3 — — $7,775.89 $7,931.41 $7,853.65 2026-03-31
0582U OTHER Rare Ds Rpd Whlgen DNA Vrnts 3 3 — — $7,582.20 $7,733.84 $7,658.02 2026-03-31
0094U OTHER Genome Rapid Sequence Alys 3 3 — — $7,582.20 $7,733.84 $7,658.02 2026-03-31
0426U OTHER Genome Ultra-rapid Seq Alys 3 3 — — $7,582.20 $7,733.84 $7,658.02 2026-03-31
81529 HCPCS Onc Cutan Mlnma Mrna 31 Gene 3 3 — — $7,193.00 $7,336.86 $7,264.93 2026-03-31
C8006 HCPCS Inst Pleu-perit Shnt W Pump 3 3 — — $6,937.47 $7,076.22 $7,006.84 2026-03-31
0267U OTHER Rare Do Id Opt Gen Mapg&seq 3 3 — — $6,739.33 $6,874.12 $6,806.72 2026-03-31
0265U OTHER Rar Do Whl Gn&mtcdrl DNA Als 3 3 — — $5,475.80 $5,585.32 $5,530.56 2026-03-31
0212U OTHER Rare Ds Gen DNA Alys Proband 3 3 — — $5,475.20 $5,584.70 $5,529.95 2026-03-31
5341 OTHER Level 1 Abdominal/Peritoneal/Biliary And Related Procedures 8 7 — — $3,892.25 $31,717.15 $5,494.10 2026-03-31
0295U OTHER Onc Brst Dux Carc 7 Proteins 3 3 — — $5,435.00 $5,543.70 $5,489.35 2026-03-31
81554 HCPCS Pulm Ds Ipf Mrna 190 Gen Alg 3 3 — — $5,409.60 $5,517.79 $5,463.70 2026-03-31
55970 HCPCS Sex Transformation M To F 3 3 — — $5,360.72 $5,467.93 $5,414.33 2026-03-31
0335U OTHER Rare Ds Whl Gen Seq Fetal 3 3 — — $5,224.60 $5,329.09 $5,276.85 2026-03-31
0214U OTHER Rare Ds Xom DNA Alys Proband 3 3 — — $5,224.60 $5,329.09 $5,276.85 2026-03-31
0532U OTHER Rare Ds Whlgen&mitochdrl DNA 3 3 — — $5,031.20 $5,131.82 $5,081.51 2026-03-31
81425 HCPCS Genome Sequence Analysis 3 3 — — $5,031.20 $5,131.82 $5,081.51 2026-03-31
0567U OTHER Rare Ds Whl Gen Seq Srs&lrs 3 3 — — $5,031.20 $5,131.82 $5,081.51 2026-03-31
0326U OTHER Trgt Gen Seq Alys Pnl 83+ 3 3 — — $5,000.00 $5,100.00 $5,050.00 2026-03-31
0242U OTHER Trgt Gen Seq Alys Pnl 55-74 3 3 — — $5,000.00 $5,100.00 $5,050.00 2026-03-31
0108U OTHER Gi Barrett Esoph 9 Prtn Bmrk 3 3 — — $4,950.00 $5,049.00 $4,999.50 2026-03-31
0036U OTHER Xome Tum & Nml Spec Seq Alys 3 3 — — $4,780.00 $4,875.60 $4,827.80 2026-03-31
81415 HCPCS Exome Sequence Analysis 3 3 — — $4,780.00 $4,875.60 $4,827.80 2026-03-31
0473U OTHER Onc Sld Tum Bld/slv 648 Gene 3 3 — — $4,500.00 $4,590.00 $4,545.00 2026-03-31
0971T OTHER Ablt Mal Brst Tum Pq Lsr Uni 3 3 — — $4,195.85 $4,279.77 $4,237.81 2026-03-31
0970T OTHER Ablt B9 Brst Tum Perq Lsr Ea 3 3 — — $4,195.85 $4,279.77 $4,237.81 2026-03-31
0300U OTHER Onc Pan Tum Whl Gen Seq&opt 3 3 — — $4,183.13 $4,266.79 $4,224.96 2026-03-31
5091 OTHER Level 1 Breast/Lymphatic Surgery And Related Procedures 1 1 — — $4,205.50 $4,205.50 $4,205.50 2026-03-31
0425U OTHER Genom Rpd Seq Alys Ea Cmprtr 3 3 — — $4,094.39 $4,176.28 $4,135.33 2026-03-31
0306U OTHER Onc Mrd Nxt-gnrj Alys 1st 3 3 — — $3,878.45 $3,956.02 $3,917.23 2026-03-31
0560U OTHER Onc Mrd Gsa Cfdna Baseline 3 3 — — $3,878.45 $3,956.02 $3,917.23 2026-03-31
0045U OTHER Onc Brst Dux Carc Is 12 Gene 3 3 — — $3,873.00 $3,950.46 $3,911.73 2026-03-31
81521 HCPCS Onc Breast Mrna 70 Genes 3 3 — — $3,873.00 $3,950.46 $3,911.73 2026-03-31
81541 HCPCS Onc Prostate Mrna 46 Genes 3 3 — — $3,873.00 $3,950.46 $3,911.73 2026-03-31
81523 HCPCS Onc Brst Mrna 70 Cnt 31 Gene 3 3 — — $3,873.00 $3,950.46 $3,911.73 2026-03-31
0288U OTHER Onc Lung Mrna Quan Pcr 11&3 3 3 — — $3,873.00 $3,950.46 $3,911.73 2026-03-31
0578U OTHER Onc Cutan Mln RNA Qpcr 10gen 3 3 — — $3,873.00 $3,950.46 $3,911.73 2026-03-31
81542 HCPCS Onc Prostate Mrna 22 Cnt Gen 3 3 — — $3,873.00 $3,950.46 $3,911.73 2026-03-31
81519 HCPCS Oncology Breast Mrna 3 3 — — $3,873.00 $3,950.46 $3,911.73 2026-03-31
0047U OTHER Onc Prst8 Mrna 17 Gene Alg 3 3 — — $3,873.00 $3,950.46 $3,911.73 2026-03-31
81518 HCPCS Onc Brst Mrna 11 Genes 3 3 — — $3,873.00 $3,950.46 $3,911.73 2026-03-31
81522 HCPCS Onc Breast Mrna 12 Genes 3 3 — — $3,873.00 $3,950.46 $3,911.73 2026-03-31
0497U OTHER Onc Prst8 Mrna Rt-pcr 6 Gene 3 3 — — $3,873.00 $3,950.46 $3,911.73 2026-03-31
0873T OTHER Revj Subq Prtl Asct Pmp Sys 3 3 — — $3,836.82 $3,913.56 $3,875.19 2026-03-31
0872T OTHER Rplcmt Ndwllg Bldr&prtl Cath 3 3 — — $3,836.82 $3,913.56 $3,875.19 2026-03-31
0874T OTHER Rmvl Pertl Ascites Pmp Sys 3 3 — — $3,836.82 $3,913.56 $3,875.19 2026-03-31
0583U OTHER Rare Ds Rpd Whlgen Cmptr DNA 3 3 — — $3,791.10 $3,866.92 $3,829.01 2026-03-31
81540 HCPCS Oncology Tum Unknown Origin 3 3 — — $3,750.00 $3,825.00 $3,787.50 2026-03-31
0019U OTHER Onc RNA Tiss Predict Alg 3 3 — — $3,675.00 $3,748.50 $3,711.75 2026-03-31
0258U OTHER Ai Psor Mrna 50-100 Gen Alg 3 3 — — $3,675.00 $3,748.50 $3,711.75 2026-03-31
0485U OTHER Onc Sol Tum Cfdna&rna Ngs Gm 3 3 — — $3,649.48 $3,722.47 $3,685.97 2026-03-31
0313U OTHER Onc Pncrs Dna&mrna Seq 74 3 3 — — $3,600.00 $3,672.00 $3,636.00 2026-03-31
81546 HCPCS Onc Thyr Mrna 10,196 Gen Alg 3 3 — — $3,600.00 $3,672.00 $3,636.00 2026-03-31
0026U OTHER Onc Thyr Dna&mrna 112 Genes 3 3 — — $3,600.00 $3,672.00 $3,636.00 2026-03-31
0391U OTHER Onc Sld Tum Dna&rna 437 Gen 3 3 — — $3,600.00 $3,672.00 $3,636.00 2026-03-31
0287U OTHER Onc Thyr Dna&mrna 112 Genes 3 3 — — $3,600.00 $3,672.00 $3,636.00 2026-03-31
0362U OTHER Onc Pap Thyr Ca RNA 82&10 3 3 — — $3,600.00 $3,672.00 $3,636.00 2026-03-31
0340U OTHER Onc Pan Ca Alys Mrd Plasma 3 3 — — $3,590.00 $3,661.80 $3,625.90 2026-03-31
0792 OTHER Inj, Glycopyrrolate, 0.1 Mg 1 1 — — $3,625.36 $3,625.36 $3,625.36 2026-03-31
5113 OTHER Level 3 Musculoskeletal Procedures 10 8 — — $1,473.36 $22,743.56 $3,569.09 2026-03-31
0080U OTHER Onc Lng 5 Clin Rsk Factr Alg 3 3 — — $3,520.00 $3,590.40 $3,555.20 2026-03-31
D7874 HCPCS Tmj Arthroscopy Disc Reposit 3 3 — — $3,506.34 $3,576.46 $3,541.40 2026-03-31
0869T OTHER Njx B1 Sub Mtrl Hw Fixj Aug 3 3 — — $3,506.34 $3,576.46 $3,541.40 2026-03-31
61892 HCPCS Rmv Sk-mnt Crnl Nstm Pg/rcvr 3 3 — — $3,506.34 $3,576.46 $3,541.40 2026-03-31
25448 HCPCS Arthrp Ntrcrpl/crp/mtcrp Ssp 3 3 — — $3,506.34 $3,576.46 $3,541.40 2026-03-31
0958T OTHER Rmv S-sclp Eltr Ra Rcvr&tlmt 3 3 — — $3,506.34 $3,576.46 $3,541.40 2026-03-31
0244U OTHER Onc Solid Orgn DNA 257 Genes 3 3 — — $3,500.00 $3,570.00 $3,535.00 2026-03-31
0334U OTHER Onc Sld Orgn Tgsa DNA 84/+ 3 3 — — $3,500.00 $3,570.00 $3,535.00 2026-03-31
0037U OTHER Trgt Gen Seq DNA 324 Genes 3 3 — — $3,500.00 $3,570.00 $3,535.00 2026-03-31
0388U OTHER Onc Nonsm Cll Lng Ca 37 Gen 3 3 — — $3,500.00 $3,570.00 $3,535.00 2026-03-31
0239U OTHER Trgt Gen Seq Alys Pnl 311+ 3 3 — — $3,500.00 $3,570.00 $3,535.00 2026-03-31
0016M OTHER Onc Bladder Mrna 209 Gen Alg 3 3 — — $3,489.63 $3,559.42 $3,524.53 2026-03-31
5414 OTHER Level 4 Gynecologic Procedures 7 6 — — $2,015.47 $19,253.30 $3,495.77 2026-03-31
0329U OTHER Onc Neo Xome&trns Seq Alys 3 3 — — $3,437.98 $3,506.74 $3,472.36 2026-03-31
5183 OTHER Level 3 Vascular Procedures 2 2 — — $3,446.49 $3,448.99 $3,447.74 2026-03-31
75746 HCPCS Artery X-rays Lung 3 3 — — $3,383.62 $3,451.29 $3,417.45 2026-03-31
75731 HCPCS Artery X-rays Adrenal Gland 3 3 — — $3,383.62 $3,451.29 $3,417.45 2026-03-31
75741 HCPCS Artery X-rays Lung 3 3 — — $3,383.62 $3,451.29 $3,417.45 2026-03-31
0799T OTHER Tcat Rmvl 2chmbr Ldls Pm Ra 3 3 — — $3,383.62 $3,451.29 $3,417.45 2026-03-31
75600 HCPCS Contrast Exam Thoracic Aorta 3 3 — — $3,383.62 $3,451.29 $3,417.45 2026-03-31
75743 HCPCS Artery X-rays Lungs 3 3 — — $3,383.62 $3,451.29 $3,417.45 2026-03-31
75710 HCPCS Artery X-rays Arm/leg 3 3 — — $3,383.62 $3,451.29 $3,417.45 2026-03-31
75825 HCPCS Vein X-ray Trunk 3 3 — — $3,383.62 $3,451.29 $3,417.45 2026-03-31
75840 HCPCS Vein X-ray Adrenal Gland 3 3 — — $3,383.62 $3,451.29 $3,417.45 2026-03-31
75756 HCPCS Artery X-rays Chest 3 3 — — $3,383.62 $3,451.29 $3,417.45 2026-03-31
75716 HCPCS Artery X-rays Arms/legs 3 3 — — $3,383.62 $3,451.29 $3,417.45 2026-03-31
75887 HCPCS Vein X-ray Liver Without Hemodyn 3 3 — — $3,383.62 $3,451.29 $3,417.45 2026-03-31
0800T OTHER Tcat Rmvl 2chmbr Ldls Pm Rv 3 3 — — $3,383.62 $3,451.29 $3,417.45 2026-03-31
75810 HCPCS Vein X-ray Spleen/liver 3 3 — — $3,383.62 $3,451.29 $3,417.45 2026-03-31
75891 HCPCS Vein X-ray Liver 3 3 — — $3,383.62 $3,451.29 $3,417.45 2026-03-31
75625 HCPCS Contrast Exam Abdominl Aorta 3 3 — — $3,383.62 $3,451.29 $3,417.45 2026-03-31
75898 HCPCS Follow-up Angiography 3 3 — — $3,383.62 $3,451.29 $3,417.45 2026-03-31
0824T OTHER Tcat Rmv 1chmbr Ldls Pm Ra 3 3 — — $3,383.62 $3,451.29 $3,417.45 2026-03-31
75889 HCPCS Vein X-ray Liver W/hemodynam 3 3 — — $3,383.62 $3,451.29 $3,417.45 2026-03-31
75860 HCPCS Vein X-ray Neck 3 3 — — $3,383.62 $3,451.29 $3,417.45 2026-03-31
75630 HCPCS X-ray Aorta Leg Arteries 3 3 — — $3,383.62 $3,451.29 $3,417.45 2026-03-31
75833 HCPCS Vein X-ray Kidneys 3 3 — — $3,383.62 $3,451.29 $3,417.45 2026-03-31
75831 HCPCS Vein X-ray Kidney 3 3 — — $3,383.62 $3,451.29 $3,417.45 2026-03-31
75807 HCPCS Lymph Vessel X-ray Trunk 3 3 — — $3,383.62 $3,451.29 $3,417.45 2026-03-31
75805 HCPCS Lymph Vessel X-ray Trunk 3 3 — — $3,383.62 $3,451.29 $3,417.45 2026-03-31
75885 HCPCS Vein X-ray Liver W/hemodynam 3 3 — — $3,383.62 $3,451.29 $3,417.45 2026-03-31
75733 HCPCS Artery X-rays Adrenals 3 3 — — $3,383.62 $3,451.29 $3,417.45 2026-03-31
0798T OTHER Tcat Rmv 2chmbr Ldls Pm Cmpl 3 3 — — $3,383.62 $3,451.29 $3,417.45 2026-03-31
75870 HCPCS Vein X-ray Skull 3 3 — — $3,383.62 $3,451.29 $3,417.45 2026-03-31
81440 HCPCS Mitochondrial Gene 3 3 — — $3,324.00 $3,390.48 $3,357.24 2026-03-31
0379U OTHER Tgsap Sl Or Neo Dna523&rna55 3 3 — — $3,288.51 $3,354.28 $3,321.40 2026-03-31
0539U OTHER Onc Sol Tumor Cfctdna 152gen 3 3 — — $3,288.51 $3,354.28 $3,321.40 2026-03-31
81464 HCPCS So Gsap Cll Fr Mcrstl Ins 3 3 — — $3,288.51 $3,354.28 $3,321.40 2026-03-31
5694 OTHER Level 4 Drug Administration 7 6 — — $853.48 $122,864.30 $3,284.94 2026-03-31
81595 HCPCS Cardiology Hrt Trnspl Mrna 3 3 — — $3,240.00 $3,304.80 $3,272.40 2026-03-31
81558 HCPCS Trnspl Rej Kdn Mrna Qpcr 139 3 3 — — $3,240.00 $3,304.80 $3,272.40 2026-03-31
0576U OTHER Trnsplj Med Lar Quan Ddcfdna 3 3 — — $3,240.00 $3,304.80 $3,272.40 2026-03-31
0055U OTHER Card Hrt Trnspl 96 DNA Seq 3 3 — — $3,240.00 $3,304.80 $3,272.40 2026-03-31
0266U OTHER Unxpl Cnst Hrtbl Do Gn Xprsn 3 3 — — $3,200.00 $3,264.00 $3,232.00 2026-03-31
0262U OTHER Onc Sld Tum Rt-pcr 7 Gen 3 3 — — $3,200.00 $3,264.00 $3,232.00 2026-03-31
0087U OTHER Crd Hrt Trnspl Mrna 1283 Gen 3 3 — — $3,159.42 $3,222.61 $3,191.01 2026-03-31
0088U OTHER Trnsplj Kdn Algrft Rej 1494 3 3 — — $3,159.42 $3,222.61 $3,191.01 2026-03-31
0253U OTHER Rprdtve Med RNA Gen Prfl 238 3 3 — — $3,159.42 $3,222.61 $3,191.01 2026-03-31
0153U OTHER Onc Breast Mrna 101 Genes 3 3 — — $3,159.42 $3,222.61 $3,191.01 2026-03-31
9501 OTHER Platelet Pheres Leukoreduced 1 1 — — $3,161.35 $3,161.35 $3,161.35 2026-03-31
81525 HCPCS Oncology Colon Mrna 3 3 — — $3,116.00 $3,178.32 $3,147.16 2026-03-31
5491 OTHER Level 1 Intraocular Procedures 4 4 — — $2,500.36 $3,656.19 $3,100.82 2026-03-31
0525U OTHER Onc Sphrd Cell Cul 11-rx Pnl 3 3 — — $3,033.86 $3,094.54 $3,064.20 2026-03-31
0248U OTHER Onc Brn Sphrd Cll 12 Rx Pnl 3 3 — — $3,033.86 $3,094.54 $3,064.20 2026-03-31
0511U OTHER Onc Sol Tum 3dmicroenvir 36+ 3 3 — — $3,033.86 $3,094.54 $3,064.20 2026-03-31
0435U OTHER Onc Chemo Rx Cytox Csc 14 Rx 3 3 — — $3,033.86 $3,094.54 $3,064.20 2026-03-31
0172U OTHER Onc Sld Tum Alys Brca1 Brca2 3 3 — — $3,030.00 $3,090.60 $3,060.30 2026-03-31
0018U OTHER Onc Thyr 10 Microrna Seq Alg 3 3 — — $3,002.09 $3,062.13 $3,032.11 2026-03-31
81459 HCPCS So Neo Gsap Dna/dna&rna 3 3 — — $2,989.55 $3,049.34 $3,019.45 2026-03-31
0543U OTHER Onc Sol Tum Ngs DNA 517 Gens 3 3 — — $2,989.55 $3,049.34 $3,019.45 2026-03-31
0538U OTHER Onc Sol Tum Ngts Ffpe 600gen 3 3 — — $2,989.55 $3,049.34 $3,019.45 2026-03-31
5313 OTHER Level 3 Lower Gi Procedures 1 1 — — $3,012.70 $3,012.70 $3,012.70 2026-03-31
C9796 HCPCS Rpr Intst Excl Anrect Fist 3 3 — — $2,974.45 $3,033.94 $3,004.19 2026-03-31
0530U OTHER Onc Pan-sol Tum Ctdna 77 Gen 3 3 — — $2,919.60 $2,977.99 $2,948.80 2026-03-31
0297U OTHER Onc Pan Tum Whl Gen Seq DNA 3 3 — — $2,919.60 $2,977.99 $2,948.80 2026-03-31
0048U OTHER Onc Sld Org Neo DNA 468 Gene 3 3 — — $2,919.60 $2,977.99 $2,948.80 2026-03-31
0250U OTHER Onc Sld Org Neo DNA 505 Gene 3 3 — — $2,919.60 $2,977.99 $2,948.80 2026-03-31
0444U OTHER Onc Sld Orgn Neo Tgsap 361 3 3 — — $2,919.60 $2,977.99 $2,948.80 2026-03-31
0298U OTHER Onc Pan Tum Whl Trns Seq RNA 3 3 — — $2,919.60 $2,977.99 $2,948.80 2026-03-31
0592U OTHER Onc Hl Neo DNA Tgs 417 Genes 3 3 — — $2,919.60 $2,977.99 $2,948.80 2026-03-31
0586U OTHER Onc Mrna Gen Xprsn 216 Genes 3 3 — — $2,919.60 $2,977.99 $2,948.80 2026-03-31
0585U OTHER Tgsap So Neo Cfdna 521 Genes 3 3 — — $2,919.60 $2,977.99 $2,948.80 2026-03-31
0571U OTHER Onc Sol Tum Dna80&rna10g Ngs 3 3 — — $2,919.60 $2,977.99 $2,948.80 2026-03-31
0409U OTHER Onc Sld Tum DNA 80 & RNA 36 3 3 — — $2,919.60 $2,977.99 $2,948.80 2026-03-31
0487U OTHER Onc Sol Tum Cfcdna Tgsap 84 3 3 — — $2,919.60 $2,977.99 $2,948.80 2026-03-31
81455 HCPCS Targeted Genomic Seq Analys 3 3 — — $2,919.60 $2,977.99 $2,948.80 2026-03-31
81456 HCPCS Tgsap So/hl 51/< RNA Alys 3 3 — — $2,919.60 $2,977.99 $2,948.80 2026-03-31
0050U OTHER Trgt Gen Seq DNA 194 Genes 3 3 — — $2,916.60 $2,974.93 $2,945.77 2026-03-31
N905 OTHER Not Recognized By Opps 5 4 — — $340.97 $7,605.00 $2,934.62 2026-03-31
81538 HCPCS Oncology Lung 3 3 — — $2,871.00 $2,928.42 $2,899.71 2026-03-31
0417U OTHER Rare Ds Alys 335 Nuc Genes 3 3 — — $2,842.53 $2,899.38 $2,870.96 2026-03-31
0118U OTHER Trnsplj Don-drv Cll-fr DNA 3 3 — — $2,753.25 $2,808.32 $2,780.78 2026-03-31
0493U OTHER Trnspl Med Quan Dd-cfdna Ngs 3 3 — — $2,753.25 $2,808.32 $2,780.78 2026-03-31
0540U OTHER Trnsplj Med Quan Dd-cfdna 3 3 — — $2,753.25 $2,808.32 $2,780.78 2026-03-31
81426 HCPCS Genome Sequence Analysis 3 3 — — $2,709.95 $2,764.15 $2,737.05 2026-03-31
0213U OTHER Rare Ds Gen DNA Alys Ea Comp 3 3 — — $2,709.95 $2,764.15 $2,737.05 2026-03-31
0320U OTHER Neph RNA Psttrnspl Perph Bld 3 3 — — $2,650.00 $2,703.00 $2,676.50 2026-03-31
0319U OTHER Neph RNA Pretrnspl Perph Bld 3 3 — — $2,650.00 $2,703.00 $2,676.50 2026-03-31
0215U OTHER Rare Ds Xom DNA Alys Ea Comp 3 3 — — $2,574.65 $2,626.14 $2,600.40 2026-03-31
0336U OTHER Rare Ds Whl Gen Seq Bld/slv 3 3 — — $2,574.65 $2,626.14 $2,600.40 2026-03-31
0261U OTHER Onc Clrct Ca Img Alys W/ai 3 3 — — $2,513.25 $2,563.52 $2,538.38 2026-03-31
0120U OTHER Onc B Cll Lymphm Mrna 58 Gen 3 3 — — $2,510.21 $2,560.41 $2,535.31 2026-03-31
0017M OTHER Onc Dlbcl Mrna 20 Genes Alg 3 3 — — $2,510.21 $2,560.41 $2,535.31 2026-03-31
81520 HCPCS Onc Breast Mrna 58 Genes 3 3 — — $2,510.21 $2,560.41 $2,535.31 2026-03-31
0092U OTHER Onc Lng 3 Prtn Bmrk Plsm Alg 3 3 — — $2,488.00 $2,537.76 $2,512.88 2026-03-31
0996T OTHER Ins&sclr Fix Caps Bag Prosth 3 3 — — $2,473.11 $2,522.57 $2,497.84 2026-03-31
81412 HCPCS Ashkenazi Jewish Assoc Dis 3 3 — — $2,448.56 $2,497.53 $2,473.05 2026-03-31
81419 HCPCS Epilepsy Gen Seq Alys Panel 3 3 — — $2,448.56 $2,497.53 $2,473.05 2026-03-31
81441 HCPCS Ibmfs Seq Alys Pnl 30 Genes 3 3 — — $2,448.56 $2,497.53 $2,473.05 2026-03-31
0276U OTHER Hem Inh Thrombocytopenia 23 3 3 — — $2,448.56 $2,497.53 $2,473.05 2026-03-31
81443 HCPCS Genetic Tstg Severe Inh Cond 3 3 — — $2,448.56 $2,497.53 $2,473.05 2026-03-31
0491U OTHER Onc Sol Tum Ctc Slct ER Prtn 3 3 — — $2,435.00 $2,483.70 $2,459.35 2026-03-31
0492U OTHER Onc Sol Tum Ctc Slctn Pd-l1 3 3 — — $2,435.00 $2,483.70 $2,459.35 2026-03-31
0337U OTHER Onc Plsm Cell Do&myeloma Id 3 3 — — $2,435.00 $2,483.70 $2,459.35 2026-03-31
0490U OTHER Onc Cutan/uveal Mlnma Cd146 3 3 — — $2,435.00 $2,483.70 $2,459.35 2026-03-31
0338U OTHER Onc Sld Tum Crcg Tum Cl Slct 3 3 — — $2,435.00 $2,483.70 $2,459.35 2026-03-31
81427 HCPCS Genome Re-evaluation 3 3 — — $2,337.65 $2,384.40 $2,361.03 2026-03-31
0218U OTHER Neuro Musc Dys Dmd Seq Alys 3 3 — — $2,279.00 $2,324.58 $2,301.79 2026-03-31
0249U OTHER Onc Brst Alys 32 Phsprtn Alg 3 3 — — $2,219.13 $2,263.51 $2,241.32 2026-03-31
0206U OTHER Neuro Alzheimer Cell Aggregj 3 3 — — $2,215.40 $2,259.71 $2,237.55 2026-03-31
0863T OTHER Rlcj Pg Wcs Lv Trnsmtr Only 3 3 — — $2,211.05 $2,255.27 $2,233.16 2026-03-31
15017 HCPCS App Skn Cll Ssp F/n/g/hf 1st 3 3 — — $2,211.05 $2,255.27 $2,233.16 2026-03-31
G0465 HCPCS Autolog Prp Diab Wound Ulcer 3 3 — — $2,211.05 $2,255.27 $2,233.16 2026-03-31
G0460 HCPCS Autologous Prp For Ulcers 3 3 — — $2,211.05 $2,255.27 $2,233.16 2026-03-31
G0429 HCPCS Dermal Filler Injection(s) 3 3 — — $2,211.05 $2,255.27 $2,233.16 2026-03-31
15011 HCPCS Hrv Skn Cll Ssp Agrft 1st 25 3 3 — — $2,211.05 $2,255.27 $2,233.16 2026-03-31
15015 HCPCS App Skn Cl Ssp Agrft T/a/l 1 3 3 — — $2,211.05 $2,255.27 $2,233.16 2026-03-31
0862T OTHER Rlcj Pg Wcs Lv Battery Only 3 3 — — $2,211.05 $2,255.27 $2,233.16 2026-03-31
0925T OTHER Rlcj Skin Pocket Ccm-d Pg 3 3 — — $2,211.05 $2,255.27 $2,233.16 2026-03-31
0303U OTHER Hem Rbc Ads Whl Bld Hypoxic 3 3 — — $2,201.62 $2,245.65 $2,223.64 2026-03-31
0217U OTHER Neuro Inh Ataxia DNA 51 Gene 3 3 — — $2,198.35 $2,242.32 $2,220.33 2026-03-31
5073 OTHER Level 3 Excision/ Biopsy/ Incision And Drainage 3 3 — — $2,007.87 $3,154.68 $2,216.84 2026-03-31
81442 HCPCS Noonan Spectrum Disorders 3 3 — — $2,143.60 $2,186.47 $2,165.04 2026-03-31
5431 OTHER Level 1 Nerve Procedures 8 7 — — $350.00 $10,536.15 $2,158.79 2026-03-31
5054 OTHER Level 4 Skin Procedures 3 3 — — $2,001.37 $10,870.00 $2,153.13 2026-03-31
0152U OTHER Nfct Bct Fng Prst DNA >1000 3 3 — — $2,126.20 $2,168.72 $2,147.46 2026-03-31
0323U OTHER Iadna Cns Pthgn Next Gen Seq 3 3 — — $2,126.20 $2,168.72 $2,147.46 2026-03-31
0480U OTHER Nfct Ds Csf Metag Ngs Alys 3 3 — — $2,126.20 $2,168.72 $2,147.46 2026-03-31
64728 HCPCS Dcmprn Median Nrv Carpl Tunl 3 3 — — $2,092.58 $2,134.43 $2,113.50 2026-03-31
72295 HCPCS X-ray Of Lower Spine Disk 3 3 — — $2,092.58 $2,134.43 $2,113.50 2026-03-31
72285 HCPCS Discography Cerv/thor Spine 3 3 — — $2,092.58 $2,134.43 $2,113.50 2026-03-31
0304U OTHER Hem Rbc Ads Whl Bld Normoxic 3 3 — — $2,075.80 $2,117.32 $2,096.56 2026-03-31
5302 OTHER Level 2 Upper Gi Procedures 7 6 — — $836.35 $14,772.80 $2,083.97 2026-03-31
0317U OTHER Onc Lung Ca 4-prb Fish Assay 3 3 — — $2,030.00 $2,070.60 $2,050.30 2026-03-31
81551 HCPCS Onc Prostate 3 Genes 3 3 — — $2,030.00 $2,070.60 $2,050.30 2026-03-31
0364U OTHER Onc Hl Neo Gen Seq Alys Alg 3 3 — — $2,007.25 $2,047.40 $2,027.32 2026-03-31
81408 HCPCS Mopath Procedure Level 9 3 3 — — $2,000.00 $2,040.00 $2,020.00 2026-03-31
5415 OTHER Level 5 Gynecologic Procedures 1 1 — — $2,015.47 $2,015.47 $2,015.47 2026-03-31
5312 OTHER Level 2 Lower Gi Procedures 15 9 — — $854.60 $15,417.55 $1,973.75 2026-03-31
0170U OTHER Neuro Asd RNA Next Gen Seq 3 3 — — $1,950.00 $1,989.00 $1,969.50 2026-03-31
0296U OTHER Onc Orl&/orop Ca 20 Mlc Feat 3 3 — — $1,950.00 $1,989.00 $1,969.50 2026-03-31
0090U OTHER Onc Cutan Mlnma Mrna 23 Gene 3 3 — — $1,950.00 $1,989.00 $1,969.50 2026-03-31
0022U OTHER Trgt Gen Seq Dna&rna 23 Gene 3 3 — — $1,950.00 $1,989.00 $1,969.50 2026-03-31
0314U OTHER Onc Cutan Mlnma Mrna 35 Gene 3 3 — — $1,950.00 $1,989.00 $1,969.50 2026-03-31
0179U OTHER Onc Nonsm Cll Lng Ca Alys 23 3 3 — — $1,943.21 $1,982.07 $1,962.64 2026-03-31
0422U OTHER Onc Pan Solid Tum Alys DNA 3 3 — — $1,943.21 $1,982.07 $1,962.64 2026-03-31
0465U OTHER Onc Urthl Carc DNA Qmsp 2gen 3 3 — — $1,938.01 $1,976.77 $1,957.39 2026-03-31
0114U OTHER Gi Barretts Esoph Vim&ccna1 3 3 — — $1,938.01 $1,976.77 $1,957.39 2026-03-31
0506U OTHER Gi Barretts Esophgl Cell 89 3 3 — — $1,938.01 $1,976.77 $1,957.39 2026-03-31
0341U OTHER Ftl Aneup DNA Seq Cmpr Alys 3 3 — — $1,900.20 $1,938.20 $1,919.20 2026-03-31
0067U OTHER Onc Brst Imhchem Prfl 4 Bmrk 3 3 — — $1,897.00 $1,934.94 $1,915.97 2026-03-31
L8693 HCPCS Aud Osseo Dev, Abutment 3 3 — — $1,867.13 $1,904.47 $1,885.80 2026-03-31
81195 HCPCS Cytog Genom-wid Alys Hem Mal 3 3 — — $1,863.22 $1,900.48 $1,881.85 2026-03-31
0299U OTHER Onc Pan Tum Whl Gen Opt Mapg 3 3 — — $1,863.22 $1,900.48 $1,881.85 2026-03-31
0331U OTHER Onc Hl Neo Opt Gen Mapping 3 3 — — $1,863.22 $1,900.48 $1,881.85 2026-03-31
81162 HCPCS Brca1&2 Seq & Full Dup/del 3 3 — — $1,824.88 $1,861.38 $1,843.13 2026-03-31
0356U OTHER Onc Orop 17 DNA Ddpcr Alg 3 3 — — $1,800.00 $1,836.00 $1,818.00 2026-03-31
5072 OTHER Level 2 Excision/ Biopsy/ Incision And Drainage 9 7 — — $350.00 $9,241.50 $1,792.83 2026-03-31
0405U OTHER Onc Pncrtc 59 Mthltn Blk Mrk 3 3 — — $1,770.48 $1,805.89 $1,788.18 2026-03-31
0318U OTHER Ped Whl Gen Mthyltn Alys 50+ 3 3 — — $1,770.48 $1,805.89 $1,788.18 2026-03-31
60660 HCPCS Abltj 1/+thyr Ndul 1lobe Prq 3 3 — — $1,769.88 $1,805.28 $1,787.58 2026-03-31
0959T OTHER Rmv/rplc Magnet Coil Assem 3 3 — — $1,769.88 $1,805.28 $1,787.58 2026-03-31
0291U OTHER Psyc Mood Do Mrna 144 Genes 3 3 — — $1,755.00 $1,790.10 $1,772.55 2026-03-31
0292U OTHER Psyc Strs Do Mrna 72 Genes 3 3 — — $1,755.00 $1,790.10 $1,772.55 2026-03-31
0398U OTHER Gi Baret Esph DNA Mthyln Aly 3 3 — — $1,755.00 $1,790.10 $1,772.55 2026-03-31
0101U OTHER Hered Colon Ca Do 15 Genes 3 3 — — $1,743.95 $1,778.83 $1,761.39 2026-03-31
0103U OTHER Hered Ova Ca Pnl 24 Genes 3 3 — — $1,743.95 $1,778.83 $1,761.39 2026-03-31
0156U OTHER Copy Number Sequence Alys 3 3 — — $1,740.00 $1,774.80 $1,757.40 2026-03-31
0957T OTHER Rev S-sclp Eltr Ra Rcvr&tlmt 3 3 — — $1,723.15 $1,757.62 $1,740.39 2026-03-31
5692 OTHER Level 2 Drug Administration 10 8 — — $79.46 $17,571.60 $1,715.68 2026-03-31
75827 HCPCS Vein X-ray Chest 3 3 — — $1,686.89 $1,720.63 $1,703.76 2026-03-31
75822 HCPCS Vein X-ray Arms/legs 3 3 — — $1,686.89 $1,720.63 $1,703.76 2026-03-31
75820 HCPCS Vein X-ray Arm/leg 3 3 — — $1,686.89 $1,720.63 $1,703.76 2026-03-31
75803 HCPCS Lymph Vessel X-ray Arms/legs 3 3 — — $1,686.89 $1,720.63 $1,703.76 2026-03-31
A4563 HCPCS Vag Inser Rectal Control Sys 3 3 — — $1,680.58 $1,714.19 $1,697.39 2026-03-31
5594 OTHER Level 4 Nuclear Medicine And Related Services 16 11 — — $1,110.82 $11,307.00 $1,680.22 2026-03-31
0486U OTHER Onc Pan Sol Tum Ngs Cfctdna 3 3 — — $1,644.25 $1,677.14 $1,660.69 2026-03-31
81430 HCPCS Hearing Loss Sequence Analys 3 3 — — $1,625.00 $1,657.50 $1,641.25 2026-03-31
5041 OTHER Critical Care 13 11 — — $191.31 $12,930.00 $1,619.24 2026-03-31
5241 OTHER Level 1 Blood Product Exchange And Related Services 6 5 — — $669.35 $42,495.00 $1,556.45 2026-03-31
0216U OTHER Neuro Inh Ataxia DNA 12 Com 3 3 — — $1,537.02 $1,567.76 $1,552.39 2026-03-31
78608 HCPCS Brain Imaging (pet) 3 3 — — $1,532.36 $1,563.01 $1,547.68 2026-03-31
78832 HCPCS Rp Loclzj Tum Spect W/ct 2 3 3 — — $1,532.36 $1,563.01 $1,547.68 2026-03-31
78814 HCPCS PET Image W/ct Lmtd 3 3 — — $1,532.36 $1,563.01 $1,547.68 2026-03-31
78813 HCPCS PET Image Full Body 3 3 — — $1,532.36 $1,563.01 $1,547.68 2026-03-31
78492 HCPCS Heart Image (pet) Multiple 3 3 — — $1,532.36 $1,563.01 $1,547.68 2026-03-31
78491 HCPCS Heart Image (pet) Single 3 3 — — $1,532.36 $1,563.01 $1,547.68 2026-03-31
78816 HCPCS PET Image W/ct Full Body 3 3 — — $1,532.36 $1,563.01 $1,547.68 2026-03-31
78815 HCPCS PET Image W/ct Skull-thigh 3 3 — — $1,532.36 $1,563.01 $1,547.68 2026-03-31
78812 HCPCS PET Image Skull-thigh 3 3 — — $1,532.36 $1,563.01 $1,547.68 2026-03-31
78429 HCPCS Myocrd Img PET 1 Std W/ct 3 3 — — $1,532.36 $1,563.01 $1,547.68 2026-03-31
78430 HCPCS Myocrd Img PET Rst/strs W/ct 3 3 — — $1,532.36 $1,563.01 $1,547.68 2026-03-31
0467U OTHER Onc Bldr DNA Ngs 60gen&aneup 3 3 — — $1,519.06 $1,549.44 $1,534.25 2026-03-31
0171U OTHER Trgt Gen Seq Alys Pnl DNA 23 3 3 — — $1,519.06 $1,549.44 $1,534.25 2026-03-31
0436U OTHER Onc Lng Plsm Alys 388 Prtn 3 3 — — $1,504.24 $1,534.32 $1,519.28 2026-03-31
0537U OTHER Onc Clrct Ca Cfdna >2500 Dmr 3 3 — — $1,495.00 $1,524.90 $1,509.95 2026-03-31
81509 HCPCS Ftl Cgen Abnor 3 Proteins 3 3 — — $1,487.37 $1,517.12 $1,502.24 2026-03-31
5443 OTHER Level 3 Nerve Injections 11 10 — — $954.05 $7,455.60 $1,475.22 2026-03-31
5593 OTHER Level 3 Nuclear Medicine And Related Services 18 12 — — $291.50 $14,011.00 $1,458.72 2026-03-31
5112 OTHER Level 2 Musculoskeletal Procedures 8 8 — — $641.62 $8,973.05 $1,444.03 2026-03-31
78650 HCPCS Csf Leakage Imaging 3 3 — — $1,387.37 $1,415.12 $1,401.24 2026-03-31
78831 HCPCS Rp Loclzj Tum Spect 2 Areas 3 3 — — $1,387.37 $1,415.12 $1,401.24 2026-03-31
78830 HCPCS Rp Loclzj Tum Spect W/ct 1 3 3 — — $1,387.37 $1,415.12 $1,401.24 2026-03-31
78456 HCPCS Acute Venous Thrombus Image 3 3 — — $1,387.37 $1,415.12 $1,401.24 2026-03-31
78452 HCPCS Ht Muscle Image Spect Mult 3 3 — — $1,387.37 $1,415.12 $1,401.24 2026-03-31
78453 HCPCS Ht Muscle Image Planar Sing 3 3 — — $1,387.37 $1,415.12 $1,401.24 2026-03-31
78454 HCPCS Ht Musc Image Planar Mult 3 3 — — $1,387.37 $1,415.12 $1,401.24 2026-03-31
78451 HCPCS Ht Muscle Image Spect Sing 3 3 — — $1,387.37 $1,415.12 $1,401.24 2026-03-31
78459 HCPCS Heart Muscle Imaging (pet) 3 3 — — $1,387.37 $1,415.12 $1,401.24 2026-03-31
78811 HCPCS PET Image Ltd Area 3 3 — — $1,387.37 $1,415.12 $1,401.24 2026-03-31
0332T OTHER Heart Symp Image Plnr Spect 3 3 — — $1,387.37 $1,415.12 $1,401.24 2026-03-31
78111 HCPCS Plasma Volume Multiple 3 3 — — $1,387.37 $1,415.12 $1,401.24 2026-03-31
78110 HCPCS Plasma Volume Single 3 3 — — $1,387.37 $1,415.12 $1,401.24 2026-03-31
0331T OTHER Heart Symp Image Plnr 3 3 — — $1,387.37 $1,415.12 $1,401.24 2026-03-31
78075 HCPCS Adrenal Cortex & Medulla Img 3 3 — — $1,387.37 $1,415.12 $1,401.24 2026-03-31
0523U OTHER Onc Soltum DNA Ngs Snv 22gen 3 3 — — $1,352.09 $1,379.13 $1,365.61 2026-03-31
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