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Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

PINCKNEYVILLE COMMUNITY HOSPITAL

Pinckneyville, IL · CCN 141307 · Rates published

3,178 distinct procedures filed
26 distinct payers
167,393 rate rows
2026-07-30 last MRF observed
Data quality

164,332 of 167,393 rate rows are consumer-grade (98.2%)

3,061 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
per-diem day rate — not a per-procedure price 1,819
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 639
exceeds 10× this hospital's gross charge — excluded from medians 459
percent-of-charges filed in the dollar field — excluded from medians 136
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 8
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbPCAHPINCKNEYVILLEIL&type=CDMWithoutLabel&fileType=CSV
Found on page https://apps.para-hcfs.com/PTT/FinalLinks/PinckneyvilleCommunity.aspx
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-15
Content fingerprint 4b15fa3a656b527b… · 29,855,731 bytes · first seen 2026-07-17

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
J2350
HCPCS 		Injection, Ocrelizumab, 1 Mg 22 $19,760.22 $117,204.87 $43,926.43 nat. median
$133
outlier · 330.4×
J9309
HCPCS 		Injection, Polatuzumab Vedotin-piiq, 1 Mg 22 $15,314.34 $82,780.20 $34,043.35 nat. median
$399
outlier · 85.4×
J9228
HCPCS 		Injection, Ipilimumab, 1 Mg 22 $8,363.85 $144,200.00 $28,025.27 nat. median
$6,073
outlier · 4.6×
J9043
HCPCS 		Injection, Cabazitaxel, 1 Mg 22 $16,214.26 $87,644.66 $27,874.15 nat. median
$509
outlier · 54.8×
J9301
HCPCS 		Injection, Obinutuzumab, 10 Mg 22 $13,262.22 $71,687.68 $25,001.89 nat. median
$170
outlier · 147.2×
J0870
HCPCS 		Injection, Imetelstat, 1 Mg 18 $11,305.92 $61,113.10 $24,521.63 nat. median
$103
outlier · 239.0×
J9119
HCPCS 		Injection, Cemiplimab-rwlc, 1 Mg 22 $11,467.58 $61,986.90 $24,196.21 nat. median
$53
outlier · 454.3×
J1930
HCPCS 		Injection, Lanreotide, 1 Mg 22 $10,619.37 $57,402.00 $23,606.58 nat. median
$261
outlier · 90.4×
J3590
HCPCS 		Unclassified Biologics 18 $10,147.25 $54,850.00 $22,008.57 nat. median
$1,549
outlier · 14.2×
J9144
HCPCS 		Injection, Daratumumab, 10 Mg And Hyaluronidase-fihj 22 $10,127.27 $54,912.00 $20,627.28 nat. median
$114
outlier · 180.2×
J3380
HCPCS 		Injection, Vedolizumab, Intravenous, 1 Mg 22 $9,081.28 $49,088.00 $20,187.44 nat. median
$59
outlier · 343.3×
J9306
HCPCS 		Injection, Pertuzumab, 1 Mg 22 $7,044.82 $38,080.10 $15,660.44 nat. median
$43
outlier · 367.1×
J0896
HCPCS 		Injection, Luspatercept-aamt, 0.25 Mg 22 $4,481.62 $72,614.50 $14,112.63 nat. median
$228
outlier · 62.0×
58670
HCPCS 		Destruction Of Fallopian Tubes Using An Endoscope 22 $6,232.65 $23,122.23 $13,812.90 nat. median
$6,176
outlier · 2.2×
830500860_1
CDM 		Epifix 5Cm X 6Cm 18 $6,322.19 $34,174.00 $13,712.32 —
49320
HCPCS 		Diagnostic Exam Of Abdomen Using An Endoscope 22 $6,166.42 $19,950.47 $13,666.12 nat. median
$6,026
outlier · 2.3×
J0517
HCPCS 		Injection, Benralizumab, 1 Mg 22 $6,123.50 $33,100.00 $13,612.38 nat. median
$404
outlier · 33.7×
49565
HCPCS 		Repair Recurrent Incisional Or Ventral Hernia; Reducible 18 $6,211.56 $15,109.20 $13,472.37 nat. median
$3,005
outlier · 4.5×
58661
HCPCS 		Removal Of Ovaries And/or Tubes Using An Endoscope 22 $6,016.20 $23,122.23 $13,333.20 nat. median
$5,852
outlier · 2.3×
J9271
HCPCS 		Injection, Pembrolizumab, 1 Mg 22 $5,966.62 $38,571.80 $13,263.64 nat. median
$127
outlier · 104.4×
58563
HCPCS 		Exam Of Uterus With Destruction Of Lining Of Uterus Using An Endoscope 22 $6,449.84 $15,688.80 $12,685.46 nat. median
$5,302
outlier · 2.4×
J2506
HCPCS 		Injection, Pegfilgrastim, Excludes Biosimilar, 0.5 Mg 22 $7,129.53 $38,538.00 $11,823.43 nat. median
$916
outlier · 12.9×
42831
HCPCS 		Primary Removal Of Adenoids (12 Years Or Older) 22 $6,435.04 $15,652.80 $11,677.65 nat. median
$3,397
outlier · 3.4×
830502955_1
CDM 		Pod Mtp Right Ortholoc 18 $5,243.18 $12,753.68 $11,372.03 —
42836
HCPCS 		Secondary Removal Of Adenoids (12 Years Or Older) 22 $5,757.20 $14,004.00 $11,018.12 nat. median
$3,372
outlier · 3.3×
42835
HCPCS 		Secondary Removal Of Adenoids (younger Than 12 Years) 22 $5,757.20 $14,004.00 $11,018.12 nat. median
$3,484
outlier · 3.2×
42825
HCPCS 		Removal Of Tonsils (younger Than 12 Years) 22 $5,348.72 $13,010.40 $10,833.05 nat. median
$5,725
1.9× median
42820
HCPCS 		Removal Of Tonsils And Adenoid Glands (younger Than 12 Years) 22 $5,015.35 $12,199.50 $10,833.05 nat. median
$5,689
1.9× median
J2783
HCPCS 		Injection, Rasburicase, 0.5 Mg 22 $5,794.57 $31,322.00 $10,524.55 nat. median
$1,129
outlier · 9.3×
830502639_1
CDM 		Pod Right Ortholoc 18 $4,787.43 $11,645.10 $10,383.55 —
42826
HCPCS 		Removal Of Tonsils (12 Years Or Older) 22 $4,657.93 $11,330.10 $10,322.98 nat. median
$3,457
outlier · 3.0×
81455
HCPCS 		Genomic Sequence Analysis Panel Of DNA Or Combined DNA And RNA Of 51 Or More Gen… 22 $4,667.92 $11,354.40 $10,312.13 nat. median
$2,920
outlier · 3.5×
28022
HCPCS 		Incision Of Midfoot Joint For Exploration, Fluid Drainage, Or Removal Of Foreign… 22 $4,452.95 $11,664.79 $9,868.70 nat. median
$3,187
outlier · 3.1×
42830
HCPCS 		Primary Removal Of Adenoids (younger Than 12 Years) 22 $4,444.44 $10,833.05 $9,849.84 nat. median
$3,462
outlier · 2.8×
Q5111
HCPCS 		Injection, Pegfilgrastim-cbqv (udenyca), Biosimilar, 0.5 Mg 22 $4,639.80 $25,080.00 $9,773.18 nat. median
$665
outlier · 14.7×
Q5120
HCPCS 		Injection, Pegfilgrastim-bmez (ziextenzo), Biosimilar, 0.5 Mg 22 $4,363.04 $23,584.00 $9,698.92 nat. median
$347
outlier · 28.0×
J3101
HCPCS 		Injection, Tenecteplase, 1 Mg 22 $4,229.10 $24,196.21 $9,401.17 nat. median
$498
outlier · 18.9×
58558
HCPCS 		Biopsy Of Lining Of Uterus And/or Removal Of Polyp Using An Endoscope 22 $4,159.54 $12,685.46 $9,218.44 nat. median
$3,316
outlier · 2.8×
42821
HCPCS 		Removal Of Tonsils And Adenoid Glands (12 Years Or Older) 22 $4,054.09 $10,833.05 $8,984.74 nat. median
$3,457
outlier · 2.6×
28289
HCPCS 		Correction Of Rigid Deformity Of First Joint Of Big Toe 22 $3,855.03 $29,742.86 $8,543.58 nat. median
$3,692
outlier · 2.3×
28825
HCPCS 		Amputation Of Toe At Toe Joint 22 $3,855.03 $11,664.79 $8,543.58 nat. median
$3,245
outlier · 2.6×
49618
HCPCS 		Repair Of Recurrent Entrapped Hernia Of Abdomen, More Than 10 Cm In Length 22 $791.02 $23,548.69 $8,433.60 nat. median
$5,711
1.5× median
49614
HCPCS 		Repair Of Recurrent Entrapped Hernia Of Abdomen, Less Than 3 Cm In Length 22 $564.16 $23,548.69 $8,428.80 nat. median
$6,305
1.3× median
49596
HCPCS 		Initial Repair Of Entrapped Hernia Of Abdomen, More Than 10 Cm In Length 22 $1,010.66 $23,548.69 $8,428.80 nat. median
$4,951
1.7× median
49616
HCPCS 		Repair Of Recurrent Entrapped Hernia Of Abdomen, 3-10 Cm In Length 22 $844.92 $23,548.69 $8,428.80 nat. median
$5,322
1.6× median
49507
HCPCS 		Repair Of Trapped Groin Hernia (5 Years Or Older) 22 $405.43 $20,410.20 $8,390.86 nat. median
$4,323
1.9× median
J1306
HCPCS 		Injection, Inclisiran, 1 Mg 22 $3,658.19 $19,774.00 $8,132.06 nat. median
$25
outlier · 322.7×
7080000058_1
CDM 		Anes, Mon Sed 218-232mins 18 $3,733.30 $9,081.00 $8,097.22 —
28750
HCPCS 		Fusion Of Big Toe At Joint With Foot 22 $59.45 $29,742.86 $8,095.23 nat. median
$7,165
1.1× median
J0840
HCPCS 		Injection, Crotalidae Polyvalent Immune Fab (ovine), Up To 1 Gram 22 $3,555.33 $38,571.80 $7,903.41 nat. median
$3,496
outlier · 2.3×

Other procedures at this hospital

Browse this hospital's 3,178 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
             
J2350 HCPCS Injection, Ocrelizumab, 1 Mg 42 22 $53,406.00 $53,406.00 $19,760.22 $117,204.87 $43,926.43 2026-06-08
J9309 HCPCS Injection, Polatuzumab Vedotin-piiq, 1 Mg 42 22 $41,390.10 $41,390.10 $15,314.34 $82,780.20 $34,043.35 2026-06-08
J9228 HCPCS Injection, Ipilimumab, 1 Mg 76 22 $22,605.00 $22,605.00 $8,363.85 $144,200.00 $28,025.27 2026-06-08
J9043 HCPCS Injection, Cabazitaxel, 1 Mg 42 22 $43,822.33 $43,822.33 $16,214.26 $87,644.66 $27,874.15 2026-06-08
J9301 HCPCS Injection, Obinutuzumab, 10 Mg 42 22 $35,843.84 $35,843.84 $13,262.22 $71,687.68 $25,001.89 2026-06-08
J0870 HCPCS Injection, Imetelstat, 1 Mg 34 18 $30,556.55 $30,556.55 $11,305.92 $61,113.10 $24,521.63 2026-06-08
J9119 HCPCS Injection, Cemiplimab-rwlc, 1 Mg 42 22 $30,993.45 $30,993.45 $11,467.58 $61,986.90 $24,196.21 2026-06-08
J1930 HCPCS Injection, Lanreotide, 1 Mg 42 22 $28,701.00 $28,701.00 $10,619.37 $57,402.00 $23,606.58 2026-06-08
J3590 HCPCS Unclassified Biologics 34 18 $27,425.00 $27,425.00 $10,147.25 $54,850.00 $22,008.57 2026-06-08
J9144 HCPCS Injection, Daratumumab, 10 Mg And Hyaluronidase-fihj 76 22 $27,456.00 $27,456.00 $10,127.27 $54,912.00 $20,627.28 2026-06-08
J3380 HCPCS Injection, Vedolizumab, Intravenous, 1 Mg 42 22 $24,544.00 $24,544.00 $9,081.28 $49,088.00 $20,187.44 2026-06-08
J9306 HCPCS Injection, Pertuzumab, 1 Mg 42 22 $19,040.05 $19,040.05 $7,044.82 $38,080.10 $15,660.44 2026-06-08
J0896 HCPCS Injection, Luspatercept-aamt, 0.25 Mg 76 22 $36,307.25 $36,307.25 $4,481.62 $72,614.50 $14,112.63 2026-06-08
58670 HCPCS Destruction Of Fallopian Tubes Using An Endoscope 42 22 $16,845.00 $16,845.00 $6,232.65 $23,122.23 $13,812.90 2026-06-08
830500860_1 CDM Epifix 5Cm X 6Cm 34 18 $17,087.00 $17,087.00 $6,322.19 $34,174.00 $13,712.32 2026-06-08
49320 HCPCS Diagnostic Exam Of Abdomen Using An Endoscope 42 22 $16,666.00 $16,666.00 $6,166.42 $19,950.47 $13,666.12 2026-06-08
J0517 HCPCS Injection, Benralizumab, 1 Mg 42 22 $16,550.00 $16,550.00 $6,123.50 $33,100.00 $13,612.38 2026-06-08
49565 HCPCS Repair Recurrent Incisional Or Ventral Hernia; Reducible 34 18 $16,788.00 $16,788.00 $6,211.56 $15,109.20 $13,472.37 2026-06-08
58661 HCPCS Removal Of Ovaries And/or Tubes Using An Endoscope 42 22 $16,260.00 $16,260.00 $6,016.20 $23,122.23 $13,333.20 2026-06-08
J9271 HCPCS Injection, Pembrolizumab, 1 Mg 42 22 $16,126.00 $16,126.00 $5,966.62 $38,571.80 $13,263.64 2026-06-08
58563 HCPCS Exam Of Uterus With Destruction Of Lining Of Uterus Using An Endoscope 42 22 $17,432.00 $17,432.00 $6,449.84 $15,688.80 $12,685.46 2026-06-08
J2506 HCPCS Injection, Pegfilgrastim, Excludes Biosimilar, 0.5 Mg 42 22 $19,269.00 $19,269.00 $7,129.53 $38,538.00 $11,823.43 2026-06-08
42831 HCPCS Primary Removal Of Adenoids (12 Years Or Older) 42 22 $17,392.00 $17,392.00 $6,435.04 $15,652.80 $11,677.65 2026-06-08
830502955_1 CDM Pod Mtp Right Ortholoc 34 18 $14,170.75 $14,170.75 $5,243.18 $12,753.68 $11,372.03 2026-06-08
42836 HCPCS Secondary Removal Of Adenoids (12 Years Or Older) 42 22 $15,560.00 $15,560.00 $5,757.20 $14,004.00 $11,018.12 2026-06-08
42835 HCPCS Secondary Removal Of Adenoids (younger Than 12 Years) 42 22 $15,560.00 $15,560.00 $5,757.20 $14,004.00 $11,018.12 2026-06-08
42820 HCPCS Removal Of Tonsils And Adenoid Glands (younger Than 12 Years) 42 22 $13,555.00 $13,555.00 $5,015.35 $12,199.50 $10,833.05 2026-06-08
42825 HCPCS Removal Of Tonsils (younger Than 12 Years) 42 22 $14,456.00 $14,456.00 $5,348.72 $13,010.40 $10,833.05 2026-06-08
J2783 HCPCS Injection, Rasburicase, 0.5 Mg 42 22 $15,661.00 $15,661.00 $5,794.57 $31,322.00 $10,524.55 2026-06-08
830502639_1 CDM Pod Right Ortholoc 34 18 $12,939.00 $12,939.00 $4,787.43 $11,645.10 $10,383.55 2026-06-08
42826 HCPCS Removal Of Tonsils (12 Years Or Older) 42 22 $12,589.00 $12,589.00 $4,657.93 $11,330.10 $10,322.98 2026-06-08
81455 HCPCS Genomic Sequence Analysis Panel Of DNA Or Combined DNA And RNA Of 51 Or More Gen… 42 22 $12,616.00 $12,616.00 $4,667.92 $11,354.40 $10,312.13 2026-06-08
28022 HCPCS Incision Of Midfoot Joint For Exploration, Fluid Drainage, Or Removal Of Foreign… 42 22 $12,035.00 $12,035.00 $4,452.95 $11,664.79 $9,868.70 2026-06-08
42830 HCPCS Primary Removal Of Adenoids (younger Than 12 Years) 42 22 $12,012.00 $12,012.00 $4,444.44 $10,833.05 $9,849.84 2026-06-08
Q5111 HCPCS Injection, Pegfilgrastim-cbqv (udenyca), Biosimilar, 0.5 Mg 42 22 $12,540.00 $12,540.00 $4,639.80 $25,080.00 $9,773.18 2026-06-08
Q5120 HCPCS Injection, Pegfilgrastim-bmez (ziextenzo), Biosimilar, 0.5 Mg 42 22 $11,792.00 $11,792.00 $4,363.04 $23,584.00 $9,698.92 2026-06-08
J3101 HCPCS Injection, Tenecteplase, 1 Mg 42 22 $11,430.00 $11,430.00 $4,229.10 $24,196.21 $9,401.17 2026-06-08
58558 HCPCS Biopsy Of Lining Of Uterus And/or Removal Of Polyp Using An Endoscope 42 22 $11,242.00 $11,242.00 $4,159.54 $12,685.46 $9,218.44 2026-06-08
42821 HCPCS Removal Of Tonsils And Adenoid Glands (12 Years Or Older) 42 22 $10,957.00 $10,957.00 $4,054.09 $10,833.05 $8,984.74 2026-06-08
28289 HCPCS Correction Of Rigid Deformity Of First Joint Of Big Toe 42 22 $10,419.00 $10,419.00 $3,855.03 $29,742.86 $8,543.58 2026-06-08
28825 HCPCS Amputation Of Toe At Toe Joint 42 22 $10,419.00 $10,419.00 $3,855.03 $11,664.79 $8,543.58 2026-06-08
49618 HCPCS Repair Of Recurrent Entrapped Hernia Of Abdomen, More Than 10 Cm In Length 69 22 $21,084.00 $21,084.00 $791.02 $23,548.69 $8,433.60 2026-06-08
49616 HCPCS Repair Of Recurrent Entrapped Hernia Of Abdomen, 3-10 Cm In Length 69 22 $21,072.00 $21,072.00 $844.92 $23,548.69 $8,428.80 2026-06-08
49596 HCPCS Initial Repair Of Entrapped Hernia Of Abdomen, More Than 10 Cm In Length 69 22 $21,072.00 $21,072.00 $1,010.66 $23,548.69 $8,428.80 2026-06-08
49614 HCPCS Repair Of Recurrent Entrapped Hernia Of Abdomen, Less Than 3 Cm In Length 69 22 $21,072.00 $21,072.00 $564.16 $23,548.69 $8,428.80 2026-06-08
49507 HCPCS Repair Of Trapped Groin Hernia (5 Years Or Older) 80 22 $22,678.00 $22,678.00 $405.43 $20,410.20 $8,390.86 2026-06-08
J1306 HCPCS Injection, Inclisiran, 1 Mg 42 22 $9,887.00 $9,887.00 $3,658.19 $19,774.00 $8,132.06 2026-06-08
7080000058_1 CDM Anes, Mon Sed 218-232mins 34 18 $10,090.00 $10,090.00 $3,733.30 $9,081.00 $8,097.22 2026-06-08
28750 HCPCS Fusion Of Big Toe At Joint With Foot 82 22 $21,879.00 $21,879.00 $59.45 $29,742.86 $8,095.23 2026-06-08
J0840 HCPCS Injection, Crotalidae Polyvalent Immune Fab (ovine), Up To 1 Gram 42 22 $9,609.00 $9,609.00 $3,555.33 $38,571.80 $7,903.41 2026-06-08
J2353 HCPCS Injection, Octreotide, Depot Form For Intramuscular Injection, 1 Mg 110 22 $13,066.00 $13,066.00 $1,790.43 $39,114.00 $7,822.80 2026-06-08
830502602_1 CDM Pod Pro-dense 5cc 34 18 $9,549.00 $9,549.00 $3,533.13 $8,594.10 $7,663.08 2026-06-08
49592 HCPCS Initial Repair Of Entrapped Hernia Of Abdomen, Less Than 3 Cm In Length 69 22 $19,156.00 $19,156.00 $469.74 $23,548.69 $7,662.40 2026-06-08
49594 HCPCS Initial Repair Of Entrapped Hernia Of Abdomen, 3-10 Cm In Length 69 22 $19,156.00 $19,156.00 $736.04 $23,548.69 $7,662.40 2026-06-08
110085_1 CDM HyperRabImmunoglobulin10MLVial 34 18 $9,519.78 $9,519.78 $3,522.32 $8,567.80 $7,639.62 2026-06-08
7080000055_1 CDM Anes, Mon Sed 203-217mins 34 18 $9,467.00 $9,467.00 $3,502.79 $8,520.30 $7,597.27 2026-06-08
52353 HCPCS Crushing Of Stone Of Ureter Using An Endoscope 80 22 $20,334.50 $20,334.50 $268.16 $18,301.05 $7,523.77 2026-06-08
52356 HCPCS Crushing Of Stone Of Ureter With Insertion Of Stent Using An Endoscope 80 22 $20,334.50 $20,334.50 $378.12 $22,129.78 $7,523.77 2026-06-08
J9299 HCPCS Injection, Nivolumab, 1 Mg 144 22 $9,093.00 $9,093.00 $1,368.26 $43,366.00 $7,501.73 2026-06-08
49568 HCPCS Implantation Of Mesh Or Other Prosthesis For Open Incisional Or Ventral Hernia R… 34 18 $9,261.00 $9,261.00 $3,426.57 $8,334.90 $7,431.95 2026-06-08
28039 HCPCS Removal (1.5 Centimeters Or Greater) Tissue Growth Beneath The Skin Of Foot Or T… 42 22 $9,042.00 $9,042.00 $3,345.54 $11,664.79 $7,414.44 2026-06-08
28299 HCPCS Correction Of Bunion With 2 Areas Of Realignment 116 22 $9,005.00 $9,005.00 $282.65 $29,742.86 $7,384.10 2026-06-08
830500859_1 CDM Epifix 4Cm X 4Cm 34 18 $8,987.00 $8,987.00 $3,325.19 $17,974.00 $7,212.07 2026-06-08
7080000054_1 CDM Anes, Mon Sed 188-202mins 34 18 $8,845.00 $8,845.00 $3,272.65 $7,960.50 $7,098.11 2026-06-08
J9217 HCPCS Leuprolide Acetate (for Depot Suspension), 7.5 Mg 110 22 $17,525.00 $17,525.00 $1,739.53 $35,072.00 $7,010.00 2026-06-08
44970 HCPCS Removal Of Appendix Using An Endoscope 80 22 $18,432.00 $18,432.00 $592.94 $20,833.56 $6,819.84 2026-06-08
58353 HCPCS Destruction Of Lining Of Uterus 42 22 $8,277.00 $8,277.00 $3,062.49 $12,685.46 $6,787.14 2026-06-08
J0630 HCPCS Injection, Calcitonin Salmon, Up To 400 Units 76 22 $9,408.00 $9,408.00 $2,959.65 $18,816.00 $6,599.22 2026-06-08
7080000053_1 CDM Anes, Mon Sed 173-187mins 34 18 $8,222.00 $8,222.00 $3,042.14 $7,399.80 $6,598.16 2026-06-08
49651 HCPCS Repair Of Recurrent Groin Hernia Using An Endoscope 160 22 $17,628.00 $17,628.00 $112.40 $31,728.60 $6,587.59 2026-06-08
36563 HCPCS Insertion Of Central Venous Tube With Pump 82 22 $17,555.00 $17,555.00 $122.34 $15,799.50 $6,495.35 2026-06-08
49650 HCPCS Repair Of Groin Hernia Using An Endoscope 160 22 $16,756.00 $16,756.00 $426.45 $31,728.60 $6,261.72 2026-06-08
47562 HCPCS Removal Of Gallbladder Using An Endoscope 80 22 $16,756.00 $16,756.00 $651.84 $18,740.10 $6,199.72 2026-06-08
J9034 HCPCS Injection, Bendamustine Hcl (bendeka), 1 Mg 42 22 $7,437.00 $7,437.00 $2,751.69 $14,874.00 $6,116.93 2026-06-08
J9358 HCPCS Injection, Fam-trastuzumab Deruxtecan-nxki, 1 Mg 42 22 $7,418.00 $7,418.00 $2,744.66 $14,836.00 $6,101.31 2026-06-08
7080000052_1 CDM Anes, Mon Sed 158-172mins 34 18 $7,599.00 $7,599.00 $2,811.63 $6,839.10 $6,098.20 2026-06-08
830502595_1 CDM Pod Left Ortholoc 34 18 $7,515.50 $7,515.50 $2,780.74 $6,763.95 $6,031.19 2026-06-08
47563 HCPCS Removal Of Gallbladder With X-ray Study Of Bile Ducts Using An Endoscope 80 22 $16,159.00 $16,159.00 $709.50 $18,740.10 $5,978.83 2026-06-08
66982 HCPCS Complex Removal Of Cataract With Insertion Of Prosthetic Lens 42 22 $7,017.00 $7,017.00 $2,596.29 $9,315.76 $5,753.94 2026-06-08
49613 HCPCS Repair Of Recurrent Sliding Hernia Of Abdomen, Less Than 3 Cm In Length 69 22 $14,320.00 $14,320.00 $414.83 $23,548.69 $5,728.00 2026-06-08
49615 HCPCS Repair Of Recurrent Sliding Hernia Of Abdomen, 3-10 Cm In Length 69 22 $14,320.00 $14,320.00 $628.69 $23,548.69 $5,728.00 2026-06-08
49617 HCPCS Repair Of Recurrent Sliding Hernia Of Abdomen, More Than 10 Cm In Length 69 22 $14,320.00 $14,320.00 $537.16 $23,548.69 $5,728.00 2026-06-08
68110 HCPCS Removal Of Growth Of Eyelid Lining, 1.0 Cm Or Less 42 22 $8,166.00 $8,166.00 $3,021.42 $7,349.40 $5,689.96 2026-06-08
7080000051_1 CDM Anes, Mon Sed 143-157 Mins 34 18 $6,977.00 $6,977.00 $2,581.49 $6,279.30 $5,599.05 2026-06-08
J9312 HCPCS Injection, Rituximab, 10 Mg 76 22 $2,919.00 $2,919.00 $1,080.03 $28,386.00 $5,516.82 2026-06-08
J3111 HCPCS Injection, Romosozumab-aqqg, 1 Mg 42 22 $6,713.00 $6,713.00 $2,483.81 $13,426.00 $5,278.55 2026-06-08
49591 HCPCS Initial Repair Of Sliding Hernia Of Abdomen, Less Than 3 Cm In Length 69 22 $13,018.00 $13,018.00 $337.41 $23,548.69 $5,207.20 2026-06-08
49593 HCPCS Initial Repair Of Sliding Hernia Of Abdomen, 3-10 Cm In Length 69 22 $13,018.00 $13,018.00 $565.11 $23,548.69 $5,207.20 2026-06-08
49595 HCPCS Initial Repair Of Sliding Hernia Of Abdomen, More Than 10 Cm In Length 69 22 $13,018.00 $13,018.00 $354.70 $23,548.69 $5,207.20 2026-06-08
J9317 HCPCS Injection, Sacituzumab Govitecan-hziy, 2.5 Mg 42 22 $7,311.58 $7,311.58 $2,705.28 $14,623.16 $5,152.49 2026-06-08
52214 HCPCS Destruction Of Tissue Of Bladder, Urethra, Or Surrounding Glands Using An Endosc… 82 22 $13,796.00 $13,796.00 $158.00 $12,416.40 $5,104.52 2026-06-08
52351 HCPCS Diagnostic Exam Of Bladder, Urethra, And Ureter Or Kidney Using An Endoscope 80 22 $13,796.00 $13,796.00 $67.80 $12,416.40 $5,104.52 2026-06-08
52318 HCPCS Crushing, Fragmenting, And Removal Of Bladder Stones, More Than 2.5 Cm 80 22 $13,796.00 $13,796.00 $142.42 $12,416.40 $5,104.52 2026-06-08
52332 HCPCS Insertion Of Stent In Ureter Using An Endoscope 82 22 $13,796.00 $13,796.00 $143.28 $12,416.40 $5,104.52 2026-06-08
52317 HCPCS Crushing, Fragmenting, And Removal Of Bladder Stones, Less Than 2.5 Cm 82 22 $13,796.00 $13,796.00 $258.24 $12,416.40 $5,104.52 2026-06-08
52352 HCPCS Removal Or Manipulation Of Stone In Ureter Or Kidney Using An Endoscope 80 22 $13,796.00 $13,796.00 $58.60 $12,416.40 $5,104.52 2026-06-08
7080000050_1 CDM Anes, Mon Sed 128-142mins 34 18 $6,354.00 $6,354.00 $2,350.98 $5,718.60 $5,099.09 2026-06-08
78452 HCPCS Nuclear Medicine Studies Of Heart Muscle At Rest And With Stress And Spect 42 22 $7,195.00 $7,195.00 $2,662.15 $6,475.50 $4,992.15 2026-06-08
Q5115 HCPCS Injection, Rituximab-abbs, Biosimilar, (truxima), 10 Mg 76 22 $12,783.25 $12,783.25 $975.56 $25,566.50 $4,968.85 2026-06-08
28295 HCPCS Correction Of Bunion With Alignment Correction Of Midfoot Bone Toward Ankle 82 22 $13,129.00 $13,129.00 $189.48 $29,742.86 $4,857.73 2026-06-08
78802 HCPCS Nuclear Medicine Study, Whole Body 82 22 $13,808.00 $13,808.00 $34.61 $12,427.20 $4,803.89 2026-06-08
830501002_1 CDM Smart Toe 2 Implant 15MMAngled 34 18 $5,828.00 $5,828.00 $2,156.36 $5,245.20 $4,676.97 2026-06-08
38510 HCPCS Biopsy Or Removal Of Deep Lymph Nodes Of Neck 82 22 $12,635.00 $12,635.00 $188.20 $17,345.49 $4,674.95 2026-06-08
7080000049_1 CDM Anes, Mon Sed 113-127mins 34 18 $5,731.00 $5,731.00 $2,120.47 $5,157.90 $4,599.13 2026-06-08
49520 HCPCS Repair Of Groin Hernia That Is Not Trapped 80 22 $12,397.00 $12,397.00 $453.22 $19,232.79 $4,586.89 2026-06-08
28270 HCPCS Incision Of Joint Capsule Of Foot And Toe 82 22 $12,035.00 $12,035.00 $315.15 $11,664.79 $4,452.95 2026-06-08
28308 HCPCS Incision Or Partial Removal Of Foot Bone (other Than Big Toe) To Straighten Toe 82 22 $12,035.00 $12,035.00 $369.69 $11,664.79 $4,452.95 2026-06-08
38531 HCPCS Biopsy Or Removal Of Lymph Nodes Of Groin 80 22 $12,033.00 $12,033.00 $438.26 $17,345.49 $4,452.21 2026-06-08
81479 HCPCS Molecular Pathology Procedure 42 22 $7,843.16 $7,843.16 $206.17 $7,058.84 $4,431.39 2026-06-08
81405 HCPCS Molecular Pathology Procedure Level 6 Genetic Analysis 42 22 $7,843.16 $7,843.16 $729.05 $7,058.84 $4,431.39 2026-06-08
49505 HCPCS Repair Of Groin Hernia (5 Years Or Older) 160 22 $11,823.00 $11,823.00 $298.55 $20,410.20 $4,418.26 2026-06-08
47605 HCPCS Removal Of Gallbladder With X-ray Study Of Bile Ducts 80 22 $11,901.00 $11,901.00 $1,110.72 $29,592.74 $4,403.37 2026-06-08
J9173 HCPCS Injection, Durvalumab, 10 Mg 76 22 $2,779.00 $2,779.00 $1,028.23 $22,520.00 $4,376.76 2026-06-08
47531 HCPCS Injection Of Bile Duct For X-ray Through Already Existing Skin Access Using Imag… 82 22 $11,825.00 $11,825.00 $63.15 $10,642.50 $4,375.25 2026-06-08
J9218 HCPCS Leuprolide Acetate, Per 1 Mg 34 18 $5,435.28 $5,435.28 $2,011.05 $10,870.56 $4,361.81 2026-06-08
J9303 HCPCS Injection, Panitumumab, 10 Mg 110 22 $5,190.00 $5,190.00 $1,634.29 $34,734.00 $4,281.75 2026-06-08
78800 HCPCS Nuclear Medicine Study, 1 Area 82 22 $11,392.00 $11,392.00 $28.85 $10,252.80 $4,215.04 2026-06-08
J9047 HCPCS Injection, Carfilzomib, 1 Mg 110 22 $5,320.80 $5,320.80 $657.16 $21,423.16 $4,176.83 2026-06-08
49585 HCPCS Repair Umbilical Hernia, Age 5 Years Or Older; Reducible 56 22 $10,395.00 $10,395.00 $58.00 $9,355.50 $4,158.00 2026-06-08
J0897 HCPCS Injection, Denosumab, 1 Mg 84 22 $6,678.00 $6,678.00 $1,741.96 $17,296.00 $4,119.50 2026-06-08
7080000043_1 CDM Anes, Mon Sed 98-112mins 34 18 $5,109.00 $5,109.00 $1,890.33 $4,598.10 $4,099.98 2026-06-08
28285 HCPCS Correction Of Toe Joint Deformity 82 22 $10,940.00 $10,940.00 $247.44 $11,664.79 $4,047.80 2026-06-08
J0875 HCPCS Injection, Dalbavancin, 5 Mg 42 22 $4,900.00 $4,900.00 $1,813.00 $19,434.26 $4,030.25 2026-06-08
95805 HCPCS Sleep Study, Multiple Trials 42 22 $4,863.00 $4,863.00 $1,799.31 $4,376.70 $3,987.66 2026-06-08
J9264 HCPCS Injection, Paclitaxel Protein-bound Particles, 1 Mg 42 22 $4,840.18 $4,840.18 $1,790.87 $9,680.36 $3,981.05 2026-06-08
J9355 HCPCS Injection, Trastuzumab, Excludes Biosimilar, 10 Mg 42 22 $4,775.25 $4,775.25 $1,766.84 $9,773.18 $3,927.64 2026-06-08
J3032 HCPCS Injection, Eptinezumab-jjmr, 1 Mg 42 22 $4,767.83 $4,767.83 $1,764.10 $9,535.66 $3,921.54 2026-06-08
21501 HCPCS Drainage Of Deep Abscess Or Blood Accumulation In Soft Tissue Of Neck Or Chest 82 22 $10,445.00 $10,445.00 $325.78 $12,637.64 $3,864.65 2026-06-08
36582 HCPCS Replacement Of Tunneled Central Venous Tube With Port 82 22 $10,427.00 $10,427.00 $268.81 $11,565.62 $3,857.99 2026-06-08
28240 HCPCS Release Or Lengthening Of Tendon In Foot 82 22 $10,419.00 $10,419.00 $275.06 $11,664.79 $3,855.03 2026-06-08
46922 HCPCS Simple Removal Of Growth Of Anus 82 22 $10,389.00 $10,389.00 $133.07 $9,350.10 $3,843.93 2026-06-08
J9035 HCPCS Injection, Bevacizumab, 10 Mg 76 22 $2,491.00 $2,491.00 $921.67 $19,328.00 $3,756.39 2026-06-08
38525 HCPCS Biopsy Or Removal Of Deep Lymph Nodes Of Underarm 80 22 $10,129.00 $10,129.00 $432.79 $17,345.49 $3,747.73 2026-06-08
19301 HCPCS Partial Removal Of Breast 80 22 $10,129.00 $10,129.00 $460.18 $17,755.49 $3,747.73 2026-06-08
19125 HCPCS Removal Of Growth Of Breast Identified By X-ray Marker, First Growth 82 22 $10,129.00 $10,129.00 $454.87 $9,116.10 $3,747.73 2026-06-08
21552 HCPCS Removal Of Growth Of Soft Tissue Under Skin Of Neck Or Front Of Chest, 3.0 Cm Or… 80 22 $10,018.00 $10,018.00 $438.32 $12,637.64 $3,706.66 2026-06-08
47600 HCPCS Removal Of Gallbladder 80 22 $7,021.00 $7,021.00 $1,055.11 $29,592.74 $3,693.60 2026-06-08
66984 HCPCS Removal Of Cataract With Insertion Of Prosthetic Lens 42 22 $4,427.00 $4,427.00 $1,637.99 $9,315.76 $3,630.14 2026-06-08
7080000034_1 CDM Anes, Mon Sed 83-97 Mins 34 18 $4,486.00 $4,486.00 $1,659.82 $4,037.40 $3,600.02 2026-06-08
46255 HCPCS Removal Of Single External And Internal Hemorrhoid Group 82 22 $9,628.00 $9,628.00 $71.40 $12,278.21 $3,562.36 2026-06-08
46924 HCPCS Extensive Destruction Of Growth Of Anus 82 22 $9,599.00 $9,599.00 $174.35 $8,639.10 $3,551.63 2026-06-08
830501414_1 CDM Mesh 8x10 Inch Bard 34 18 $4,380.00 $4,380.00 $1,620.60 $3,942.00 $3,514.95 2026-06-08
11771 HCPCS Extensive Removal Of Cyst Of Tailbone 82 22 $9,495.00 $9,495.00 $69.70 $9,757.11 $3,513.15 2026-06-08
46260 HCPCS Removal Of Multiple Hemorrhoid Groups 80 22 $9,405.00 $9,405.00 $88.48 $12,278.21 $3,479.85 2026-06-08
46230 HCPCS Removal Of Multiple External Noncancer Growths Of Anus 82 22 $9,405.00 $9,405.00 $59.37 $8,464.50 $3,479.85 2026-06-08
46250 HCPCS Removal Of Multiple External Hemorrhoids 82 22 $9,405.00 $9,405.00 $71.40 $12,278.21 $3,479.85 2026-06-08
46270 HCPCS Repair Of Abnormal Anal Drainage Tract 82 22 $9,405.00 $9,405.00 $125.51 $12,278.21 $3,479.85 2026-06-08
20680 HCPCS Removal Of Deep Implant From Bone 82 22 $9,400.00 $9,400.00 $177.28 $12,635.29 $3,478.00 2026-06-08
J2357 HCPCS Injection, Omalizumab, 5 Mg 42 22 $4,169.88 $4,169.88 $1,542.86 $8,339.76 $3,429.73 2026-06-08
36561 HCPCS Insertion Of Central Venous Tube With Port (5 Years Or Older) 82 22 $9,266.00 $9,266.00 $31.36 $11,565.62 $3,428.42 2026-06-08
830502957_1 CDM Pod Ortholoc Plating System 34 18 $4,258.75 $4,258.75 $1,575.74 $3,832.88 $3,417.65 2026-06-08
J9179 HCPCS Injection, Eribulin Mesylate, 0.1 Mg 84 22 $4,181.75 $4,181.75 $1,523.85 $8,490.00 $3,397.76 2026-06-08
830502591_1 CDM Pod Ez Clip Fixation Device 34 18 $4,221.00 $4,221.00 $1,561.77 $3,798.90 $3,387.35 2026-06-08
11426 HCPCS Removal Of Noncancer Skin Growth Of Scalp, Neck, Hands, Feet, Or Genitals, More … 82 22 $9,042.00 $9,042.00 $113.96 $9,757.11 $3,345.54 2026-06-08
J0129 HCPCS Injection, Abatacept, 10 Mg (code May Be Used For Medicare When Drug Administere… 42 22 $4,058.00 $4,058.00 $1,501.46 $9,773.18 $3,337.70 2026-06-08
45990 HCPCS Diagnostic Exam Of Anus And Rectum Under Anesthesia 80 22 $8,994.00 $8,994.00 $102.90 $8,094.60 $3,327.78 2026-06-08
46280 HCPCS Repair Of Abnormal Drainage Tract Around Anal Sphincter 80 22 $8,994.00 $8,994.00 $462.31 $12,278.21 $3,327.78 2026-06-08
20611 HCPCS Aspiration And/or Injection Of Fluid Large Joint Using Ultrasound Guidance 42 22 $5,400.75 $5,400.75 $1,998.28 $4,860.68 $3,196.39 2026-06-08
J9033 HCPCS Injection, Bendamustine Hydrochloride, 1 Mg 76 22 $8,201.00 $8,201.00 $786.62 $16,402.00 $3,187.73 2026-06-08
7080000031_1 CDM Anes, Mon Sed 68-82 Mins 34 18 $3,863.00 $3,863.00 $1,429.31 $3,476.70 $3,100.06 2026-06-08
830500858_1 CDM Epifix 2Cm X 4Cm 34 18 $3,857.00 $3,857.00 $1,427.09 $7,714.00 $3,095.24 2026-06-08
51040 HCPCS Incision Of Bladder With Drainage 80 22 $8,194.00 $8,194.00 $274.03 $8,498.52 $3,031.78 2026-06-08
52287 HCPCS Exam With Injections Of Chemical For Destruction Of Bladder Using An Endoscope 82 22 $8,194.00 $8,194.00 $154.41 $8,498.52 $3,031.78 2026-06-08
55250 HCPCS Removal Of Sperm Duct 82 22 $8,194.00 $8,194.00 $217.81 $12,915.15 $3,031.78 2026-06-08
52310 HCPCS Simple Removal Of Foreign Body, Stone, Or Stent In Urethra Or Bladder Using An E… 82 22 $8,194.00 $8,194.00 $138.67 $8,498.52 $3,031.78 2026-06-08
Q2050 HCPCS Injection, Doxorubicin Hydrochloride, Liposomal, Not Otherwise Specified, 10 Mg 76 22 $8,185.00 $8,185.00 $1,137.75 $16,370.00 $3,021.24 2026-06-08
830501413_1 CDM Mesh 8 Inch Bard 34 18 $3,720.00 $3,720.00 $1,376.40 $3,348.00 $2,985.30 2026-06-08
830502890_1 CDM Pod Smart Toe 2- 15mm Angled 34 18 $3,693.00 $3,693.00 $1,366.41 $3,323.70 $2,963.64 2026-06-08
830502891_1 CDM Pod Smart Toe Dip 13mm 34 18 $3,693.00 $3,693.00 $1,366.41 $3,323.70 $2,963.64 2026-06-08
88184 HCPCS Flow Cytometry Technique For DNA Or Cell Analysis, First Marker 42 22 $5,228.75 $5,228.75 $806.66 $4,705.88 $2,954.24 2026-06-08
85060 HCPCS Blood Smear Interpretation By Physician With Written Report 42 22 $5,228.75 $5,228.75 $26.26 $4,705.88 $2,954.24 2026-06-08
95811 HCPCS Sleep Study In Sleep Lab With Continuous Airway Pressure (6 Years Or Older) 82 22 $7,903.00 $7,903.00 $60.65 $7,112.70 $2,924.11 2026-06-08
830501412_1 CDM Mesh 7x9 Inch Bard 34 18 $3,615.00 $3,615.00 $1,337.55 $3,253.50 $2,901.04 2026-06-08
J1745 HCPCS Injection, Infliximab, Excludes Biosimilar, 10 Mg 42 22 $3,519.00 $3,519.00 $1,302.03 $7,038.00 $2,894.38 2026-06-08
C8930 HCPCS Transthoracic Echocardiography, With Contrast, Or Without Contrast Followed By W… 42 22 $4,485.00 $4,485.00 $1,659.45 $4,036.50 $2,796.36 2026-06-08
830501464_1 CDM Myosure Reach Tissue Remvl Dev 34 18 $3,465.00 $3,465.00 $1,282.05 $3,118.50 $2,780.66 2026-06-08
J9041 HCPCS Injection, Bortezomib, 0.1 Mg 42 22 $4,909.00 $4,909.00 $1,599.21 $9,818.00 $2,773.59 2026-06-08
830500857_1 CDM Epifix 2Cm X 3Cm 34 18 $3,434.00 $3,434.00 $1,270.58 $6,868.00 $2,755.78 2026-06-08
93350 HCPCS Ultrasound Of Heart During Rest, Exercise And/or Drug-induced Stress With Report 42 22 $4,217.00 $4,217.00 $1,560.29 $3,795.30 $2,699.89 2026-06-08
70547 HCPCS MRI Scan Of Blood Vessels Of Neck Without Contrast 42 22 $3,625.50 $3,625.50 $1,341.44 $3,262.95 $2,683.76 2026-06-08
C8929 HCPCS Transthoracic Echocardiography With Contrast, Or Without Contrast Followed By Wi… 42 22 $4,146.00 $4,146.00 $1,534.02 $3,731.40 $2,674.32 2026-06-08
J1439 HCPCS Injection, Ferric Carboxymaltose, 1 Mg 42 22 $3,864.00 $3,864.00 $1,429.68 $7,728.00 $2,631.01 2026-06-08
7080000037_1 CDM Anes, Mon Sed 53-67 Mins 34 18 $3,241.00 $3,241.00 $1,199.17 $2,916.90 $2,600.90 2026-06-08
78472 HCPCS Nuclear Medicine Study Of Heart Pumping Function By Labeling Red Blood Cells Wit… 42 22 $4,392.00 $4,392.00 $1,625.04 $3,952.80 $2,583.95 2026-06-08
78451 HCPCS Nuclear Medicine Study Of Heart Muscle At Rest And With Stress And Spect 42 22 $3,115.00 $3,115.00 $1,152.55 $4,803.89 $2,554.30 2026-06-08
52204 HCPCS Biopsy Of Bladder Using An Endoscope 82 22 $6,828.50 $6,828.50 $130.61 $8,498.52 $2,526.55 2026-06-08
J0881 HCPCS Injection, Darbepoetin Alfa, 1 Microgram (non-esrd Use) 194 22 $4,659.00 $4,659.00 $349.21 $23,250.00 $2,479.94 2026-06-08
360 OTHER Diagnostic Brush/wash Colonoscopy 2 1 $2,922.25 $2,922.25 $1,909.12 $2,935.57 $2,422.35 2026-07-30
J9145 HCPCS Injection, Daratumumab, 10 Mg 68 18 $4,066.00 $4,066.00 $619.75 $12,914.00 $2,389.09 2026-06-08
830500856_1 CDM Epifix 2Cm X 2Cm 34 18 $2,957.00 $2,957.00 $1,094.09 $5,914.00 $2,372.99 2026-06-08
15275 HCPCS Application Of Skin Substitute Graft To Wound Of Face, Scalp, Eyelids, Mouth, Ne… 116 22 $3,471.00 $3,471.00 $86.36 $10,597.87 $2,348.14 2026-06-08
Q5103 HCPCS Injection, Infliximab-dyyb, Biosimilar, (inflectra), 10 Mg 42 22 $2,854.00 $2,854.00 $1,055.98 $5,708.00 $2,347.41 2026-06-08
830503284_1 CDM Uretero-renoscope 34 18 $2,925.00 $2,925.00 $1,082.25 $2,632.50 $2,347.32 2026-06-08
830501543_1 CDM Novasure 34 18 $2,905.00 $2,905.00 $1,074.85 $2,614.50 $2,331.26 2026-06-08
64721 HCPCS Release And/or Relocation Of Hand Nerve 82 22 $6,292.00 $6,292.00 $312.53 $7,348.90 $2,328.04 2026-06-08
43249 HCPCS Balloon Dilation Of Esophagus, Stomach, And/or Upper Small Bowel Using A Flexibl… 82 22 $6,249.00 $6,249.00 $138.49 $5,624.10 $2,312.13 2026-06-08
43251 HCPCS Removal Of Polyps Or Growths Of Esophagus, Stomach, And/or Upper Small Bowel Usi… 82 22 $6,249.00 $6,249.00 $176.25 $5,624.10 $2,312.13 2026-06-08
43233 HCPCS Balloon Dilation Of Esophagus, Stomach, And/or Upper Small Bowel Using A Flexibl… 80 22 $6,249.00 $6,249.00 $192.74 $5,624.10 $2,312.13 2026-06-08
86366 HCPCS Test For Muscle-specific Kinase Antibody 34 18 $2,866.00 $2,866.00 $1,060.42 $2,579.40 $2,299.97 2026-06-08
43246 HCPCS Insertion Of Stomach Tube Using A Flexible Endoscope 80 22 $6,096.00 $6,096.00 $184.43 $5,486.40 $2,255.52 2026-06-08
7010000631_1 CDM Mds Fish Panel 34 18 $2,770.00 $2,770.00 $1,024.90 $2,493.00 $2,222.93 2026-06-08
15273 HCPCS Skin Substitute Graft To Wound 100.0 Sq Cm Or More Of Trunk, Arms, Or Legs, 100.… 82 22 $5,995.00 $5,995.00 $180.11 $10,597.87 $2,218.15 2026-06-08
J1569 HCPCS Injection, Immune Globulin, (gammagard Liquid), Non-lyophilized, (e.g., Liquid),… 220 22 $3,648.00 $3,648.00 $166.50 $29,092.00 $2,193.30 2026-06-08
830503002_1 CDM Pod Stravix Pl Umb Tissue 34 18 $2,730.00 $2,730.00 $1,010.10 $2,457.00 $2,190.82 2026-06-08
36569 HCPCS Insertion Of Tube For Infusion (5 Years Or Older) 76 22 $2,643.00 $2,643.00 $977.91 $5,988.79 $2,180.48 2026-06-08
7015000012_1 CDM Plasmapheresis 34 18 $2,686.00 $2,686.00 $993.82 $2,417.40 $2,155.52 2026-06-08
95810 HCPCS Sleep Study In Sleep Lab (6 Years Or Older) 82 22 $5,817.00 $5,817.00 $89.78 $5,235.30 $2,152.29 2026-06-08
10140 HCPCS Drainage Of Blood Or Fluid Accumulation 116 22 $3,481.00 $3,481.00 $25.49 $5,855.13 $2,142.52 2026-06-08
104027_1 CDM Sodium Nitroprusside 50 Mg/2ml 34 18 $2,658.00 $2,658.00 $983.46 $2,392.20 $2,133.05 2026-06-08
43250 HCPCS Removal Of Polyps Or Growths Of Esophagus, Stomach, And/or Upper Small Bowel Usi… 82 22 $5,726.00 $5,726.00 $156.91 $5,264.05 $2,118.62 2026-06-08
81420 HCPCS Test For Detecting Genes Associated With Fetal Disease, Aneuploidy Genomic Seque… 42 22 $2,570.00 $2,570.00 $950.90 $2,902.48 $2,107.40 2026-06-08
7080000036_1 CDM Anes, Mon Sed 38-52 Mins 34 18 $2,618.00 $2,618.00 $968.66 $2,356.20 $2,100.95 2026-06-08
27040 HCPCS Biopsy Of Surface Tissue Of Pelvis And Hip 82 22 $5,671.00 $5,671.00 $184.43 $9,767.30 $2,098.27 2026-06-08
21555 HCPCS Removal Of Growth Under Skin Of Neck Or Front Of Chest, Less Than 3.0 Cm 82 22 $5,671.00 $5,671.00 $297.86 $12,637.64 $2,098.27 2026-06-08
72149 HCPCS MRI Scan Of Lower Spinal Canal With Contrast 116 22 $3,897.00 $3,897.00 $79.61 $4,854.60 $2,096.65 2026-06-08
830501411_1 CDM Mesh 6x8 Inch Bard 34 18 $2,595.00 $2,595.00 $960.15 $2,335.50 $2,082.49 2026-06-08
25111 HCPCS Removal Of First Cyst Of Wrist 80 22 $5,602.00 $5,602.00 $295.13 $7,120.77 $2,072.74 2026-06-08
70546 HCPCS MRI Scan Of Blood Vessels Of Head Before And After Contrast 82 22 $5,576.00 $5,576.00 $28.70 $5,018.40 $2,063.12 2026-06-08
11423 HCPCS Removal Of Noncancer Skin Growth Of Scalp, Neck, Hands, Feet, Or Genitals, 2.1-3… 82 22 $5,512.00 $5,512.00 $83.34 $6,601.03 $2,039.44 2026-06-08
11404 HCPCS Removal Of Noncancer Skin Growth Of Body, Arms, Or Legs, 3.1-4.0 Cm 82 22 $5,512.00 $5,512.00 $99.88 $6,601.03 $2,039.44 2026-06-08
74177 HCPCS CT Scan Of Abdomen And Pelvis With Contrast 116 22 $5,160.00 $5,160.00 $81.16 $4,766.40 $2,031.36 2026-06-08
21012 HCPCS Removal Of Growth Under Skin Of Face Or Scalp, 2.0 Cm Or More 80 22 $5,457.00 $5,457.00 $328.05 $9,767.30 $2,019.09 2026-06-08
36597 HCPCS Repositioning Of Central Venous Tube Using Fluoroscopic Guidance 82 22 $5,454.00 $5,454.00 $54.26 $4,908.60 $2,017.98 2026-06-08
74174 HCPCS CT Scan Of Blood Vessels Of Abdomen And Pelvis With Contrast 82 22 $5,439.00 $5,439.00 $97.69 $4,895.10 $2,012.43 2026-06-08
11424 HCPCS Removal Of Noncancer Skin Growth Of Scalp, Neck, Hands, Feet, Or Genitals, 3.1-4… 82 22 $5,249.00 $5,249.00 $100.43 $6,601.03 $1,942.13 2026-06-08
11626 HCPCS Removal Of Cancer Skin Growth Of Scalp, Neck, Hands, Feet, Or Genitals, More Tha… 82 22 $5,249.00 $5,249.00 $21.10 $9,757.11 $1,942.13 2026-06-08
78830 HCPCS Nuclear Medicine Study, Spect Imaging With Concurrent CT Scan, 1 Area Or Single … 82 22 $5,222.00 $5,222.00 $7.98 $4,803.89 $1,932.14 2026-06-08
J0490 HCPCS Injection, Belimumab, 10 Mg 76 22 $4,946.00 $4,946.00 $575.35 $9,892.00 $1,922.51 2026-06-08
C8924 HCPCS Transthoracic Echocardiography With Contrast, Or Without Contrast Followed By Wi… 42 22 $2,342.00 $2,342.00 $866.54 $2,363.53 $1,920.44 2026-06-08
74175 HCPCS CT Scan Of Blood Vessels Of Abdomen With Contrast 82 22 $5,175.00 $5,175.00 $80.57 $4,657.50 $1,914.75 2026-06-08
73222 HCPCS MRI Scan Of Arm Joint With Contrast 166 22 $2,659.00 $2,659.00 $71.76 $2,393.10 $1,914.48 2026-06-08
71552 HCPCS MRI Scan Of Chest Before And After Contrast 82 22 $5,163.00 $5,163.00 $89.06 $4,646.70 $1,910.31 2026-06-08
40812 HCPCS Removal Of Growth Of Mouth With Simple Repair 82 22 $5,102.00 $5,102.00 $166.70 $9,920.56 $1,887.74 2026-06-08
Q5104 HCPCS Injection, Infliximab-abda, Biosimilar, (renflexis), 10 Mg 42 22 $2,276.00 $2,276.00 $842.12 $5,278.55 $1,872.01 2026-06-08
J9155 HCPCS Injection, Degarelix, 1 Mg 76 22 $3,801.00 $3,801.00 $851.74 $7,602.00 $1,847.36 2026-06-08
85097 HCPCS Bone Marrow, Smear Interpretation 42 22 $2,240.00 $2,240.00 $828.80 $2,902.48 $1,836.80 2026-06-08
70543 HCPCS MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Before And After Contrast 82 22 $4,960.00 $4,960.00 $28.39 $4,464.00 $1,835.20 2026-06-08
335 OTHER Chemo Adm Infusion Ea Addtl Hr 1 1 $195.25 $195.25 $1,834.53 $1,834.53 $1,834.53 2026-07-30
73220 HCPCS MRI Scan Of Arm Before And After Contrast 124 22 $4,511.00 $4,511.00 $43.00 $4,059.90 $1,826.95 2026-06-08
70498 HCPCS CT Scan Of Blood Vessels Of Neck With Contrast 82 22 $4,885.00 $4,885.00 $29.48 $4,396.50 $1,807.45 2026-06-08
94002 HCPCS Initial Hospital Inpatient Or Observation Ventilation Assistance And Management 42 22 $2,204.00 $2,204.00 $815.48 $5,771.64 $1,807.28 2026-06-08
830501410_1 CDM Mesh 6 Inch Bard 34 18 $2,232.00 $2,232.00 $825.84 $2,008.80 $1,791.18 2026-06-08
J1561 HCPCS Injection, Immune Globulin, (gamunex-c/gammaked), Non-lyophilized (e.g., Liquid)… 212 22 $4,118.00 $4,118.00 $157.62 $32,848.00 $1,770.30 2026-06-08
72198 HCPCS MRI Scan Of Blood Vessels Of Pelvis 82 22 $4,761.00 $4,761.00 $40.80 $4,284.90 $1,761.57 2026-06-08
71555 HCPCS MRI Scan Of Blood Vessels Of Chest 82 22 $4,761.00 $4,761.00 $79.07 $4,284.90 $1,761.57 2026-06-08
73725 HCPCS MRI Scan Of Blood Vessels Of Leg 124 22 $4,347.00 $4,347.00 $79.68 $3,912.30 $1,760.53 2026-06-08
J9305 HCPCS Injection, Pemetrexed, Not Otherwise Specified, 10 Mg 42 22 $2,122.00 $2,122.00 $785.14 $6,882.46 $1,745.35 2026-06-08
103995_1 CDM Cyanokit 5gm Vial 250ml 34 18 $2,159.00 $2,159.00 $798.83 $1,943.10 $1,732.60 2026-06-08
78579 HCPCS Nuclear Medicine Study Of Lung Ventilation 82 22 $4,673.00 $4,673.00 $21.02 $4,803.89 $1,729.01 2026-06-08
78708 HCPCS Nuclear Medicine Study Of Kidney, Blood, Flow, And Function With Drug Administra… 82 22 $4,623.00 $4,623.00 $52.08 $4,160.70 $1,710.51 2026-06-08
830502959_1 CDM Pod Reamer 20mm 34 18 $2,130.75 $2,130.75 $788.38 $1,917.68 $1,709.93 2026-06-08
830502958_1 CDM Pod Reamer 18mm 34 18 $2,130.75 $2,130.75 $788.38 $1,917.68 $1,709.93 2026-06-08
27618 HCPCS Removal Of Growth Under Skin Of Leg Or Ankle, Less Than 3.0 Cm 82 22 $4,590.00 $4,590.00 $253.13 $9,767.30 $1,698.30 2026-06-08
25075 HCPCS Removal Of Growth Under Skin Of Forearm Or Wrist, Less Than 3.0 Cm 82 22 $4,590.00 $4,590.00 $307.45 $9,273.43 $1,698.30 2026-06-08
24075 HCPCS Removal Of Growth Under Skin Of Upper Arm Or Elbow, Less Than 3.0 Cm 82 22 $4,590.00 $4,590.00 $321.00 $9,767.30 $1,698.30 2026-06-08
21931 HCPCS Removal Of Growth Under Skin Of Back Or Lower Sides, 3.0 Cm Or More 80 22 $4,590.00 $4,590.00 $462.15 $9,767.30 $1,698.30 2026-06-08
73723 HCPCS MRI Scan Of Leg Joint Before And After Contrast 124 22 $4,175.00 $4,175.00 $70.72 $3,757.50 $1,690.88 2026-06-08
73223 HCPCS MRI Scan Of Arm Joint Before And After Contrast 124 22 $4,175.00 $4,175.00 $37.04 $3,757.50 $1,690.88 2026-06-08
94003 HCPCS Follow-up Inpatient Or Observation Ventilation Assistance And Management 42 22 $2,047.00 $2,047.00 $757.39 $5,771.64 $1,678.54 2026-06-08
830501463_1 CDM Myosure Lite Tissue Remvl Dev 34 18 $2,085.00 $2,085.00 $771.45 $1,876.50 $1,673.22 2026-06-08
830502983_1 CDM Pod Lag Ortholoc 3.5x32 34 18 $2,078.00 $2,078.00 $768.86 $1,870.20 $1,667.60 2026-06-08
73702 HCPCS CT Scan Of Leg Before And After Contrast 166 22 $3,294.00 $3,294.00 $53.28 $5,389.20 $1,659.18 2026-06-08
74178 HCPCS CT Scan Of Abdomen And Pelvis Before And After Contrast 82 22 $5,296.00 $5,296.00 $54.27 $4,766.40 $1,659.18 2026-06-08
73701 HCPCS CT Scan Of Leg With Contrast Material 166 22 $3,160.00 $3,160.00 $51.09 $5,169.60 $1,659.18 2026-06-08
74176 HCPCS CT Scan Of Abdomen And Pelvis Without Contrast 82 22 $4,893.00 $4,893.00 $76.87 $4,403.70 $1,659.18 2026-06-08
78582 HCPCS Nuclear Medicine Study Of Lung Ventilation And Circulation 82 22 $4,472.00 $4,472.00 $46.05 $4,803.89 $1,654.64 2026-06-08
830500855_1 CDM Epifix 18 Mm Disk 34 18 $2,057.00 $2,057.00 $761.09 $4,114.00 $1,650.74 2026-06-08
71275 HCPCS CT Scan Of Blood Vessels Of Chest With Contrast 82 22 $4,450.00 $4,450.00 $80.86 $4,005.00 $1,646.50 2026-06-08
72158 HCPCS MRI Scan Of Lower Spinal Canal Before And After Contrast 82 22 $4,421.00 $4,421.00 $42.04 $3,978.90 $1,635.77 2026-06-08
45385 HCPCS Removal Of Polyps Or Growths Of Large Bowel Using An Endoscope With Mechanical S… 82 22 $4,410.00 $4,410.00 $228.04 $5,378.89 $1,631.70 2026-06-08
45382 HCPCS Control Of Bleeding Of Upper Large Bowel Using A Flexible Endoscope 82 22 $4,410.00 $4,410.00 $231.11 $5,378.89 $1,631.70 2026-06-08
45381 HCPCS Injection Beneath Lining Of Large Bowel Using A Flexible Endoscope 82 22 $4,410.00 $4,410.00 $181.44 $5,378.89 $1,631.70 2026-06-08
45380 HCPCS Biopsy Of Large Bowel Using A Flexible Endoscope 82 22 $4,410.00 $4,410.00 $39.09 $5,378.89 $1,631.70 2026-06-08
45384 HCPCS Removal Of Polyps Or Growths Of Large Bowel Using A Flexible Endoscope With Elec… 82 22 $4,410.00 $4,410.00 $210.49 $5,378.89 $1,631.70 2026-06-08
75635 HCPCS CT Scan Of Abdominal Aorta And Both Leg Arteries With Contrast 116 22 $3,492.00 $3,492.00 $78.45 $3,765.60 $1,626.32 2026-06-08
72156 HCPCS MRI Scan Of Upper Spinal Canal Before And After Contrast 82 22 $4,392.00 $4,392.00 $85.66 $3,952.80 $1,625.04 2026-06-08
46930 HCPCS Destruction Of Internal Hemorrhoids Using Heat 82 22 $4,029.00 $4,029.00 $144.38 $7,849.82 $1,611.60 2026-06-08
73225 HCPCS MRI Scan Of Blood Vessels Of Arm 82 22 $4,347.00 $4,347.00 $22.09 $3,912.30 $1,608.39 2026-06-08
74185 HCPCS MRI Scan Of Blood Vessels Of Abdomen 82 22 $4,329.00 $4,329.00 $79.35 $3,896.10 $1,601.73 2026-06-08
7080000057_1 CDM Anes, Mon Sed 23-37 Mins 34 18 $1,995.00 $1,995.00 $738.15 $1,795.50 $1,600.99 2026-06-08
60100 HCPCS Needle Biopsy Of Thyroid Through Skin 42 22 $1,938.00 $1,938.00 $717.06 $3,727.17 $1,589.16 2026-06-08
402 OTHER US Abdominal Sono 2 1 $1,421.12 $1,421.12 $570.49 $2,594.71 $1,582.60 2026-07-30
72157 HCPCS MRI Scan Of Middle Spinal Canal Before And After Contrast 82 22 $4,271.00 $4,271.00 $72.03 $3,843.90 $1,580.27 2026-06-08
70482 HCPCS CT Scan Of Cranial Cavity Before And After Contrast 116 22 $3,358.00 $3,358.00 $55.89 $3,657.60 $1,579.67 2026-06-08
88377 HCPCS Microscopic Genetic Analysis Of Tissue, Manual, Each Additional Multiplex Stain … 42 22 $2,761.00 $2,761.00 $718.07 $2,484.90 $1,559.97 2026-06-08
6230000023_1 CDM ER Procedure Lv4 34 18 $1,924.00 $1,924.00 $711.88 $1,731.60 $1,544.01 2026-06-08
Q0138 HCPCS Injection, Ferumoxytol, For Treatment Of Iron Deficiency Anemia, 1 Mg (non-esrd … 42 22 $2,732.00 $2,732.00 $1,010.84 $5,464.00 $1,543.58 2026-06-08
830502956_1 CDM Pod Lag Ortholoc 3.5x26 34 18 $1,912.00 $1,912.00 $707.44 $1,720.80 $1,534.38 2026-06-08
72147 HCPCS MRI Scan Of Middle Spinal Canal With Contrast 82 22 $4,137.00 $4,137.00 $70.00 $3,723.30 $1,530.69 2026-06-08
81445 HCPCS Genomic Sequence Analysis Panel Of DNA Or Combined DNA And RNA Of 5-50 Genes Ass… 76 22 $1,831.00 $1,831.00 $677.47 $2,297.70 $1,510.58 2026-06-08
P9073 HCPCS Platelets, Pheresis, Pathogen-reduced, Each Unit 42 22 $2,036.00 $2,036.00 $753.32 $1,832.40 $1,507.49 2026-06-08
P9037 HCPCS Platelets, Pheresis, Leukocytes Reduced, Irradiated, Each Unit 42 22 $2,091.00 $2,091.00 $773.67 $1,881.90 $1,507.49 2026-06-08
P9053 HCPCS Platelets, Pheresis, Leukocytes Reduced, Cmv-negative, Irradiated, Each Unit 42 22 $2,076.00 $2,076.00 $768.12 $1,868.40 $1,507.49 2026-06-08
P9055 HCPCS Platelets, Leukocytes Reduced, Cmv-negative, Apheresis/pheresis, Each Unit 42 22 $1,820.00 $1,820.00 $673.40 $1,638.00 $1,492.40 2026-06-08
73201 HCPCS CT Scan Of Arm With Contrast 124 22 $3,682.00 $3,682.00 $51.09 $3,313.80 $1,491.21 2026-06-08
46320 HCPCS Removal Of External Hemorrhoid With Blood Clot 82 22 $4,029.00 $4,029.00 $108.91 $7,849.82 $1,490.73 2026-06-08
90381 HCPCS Respiratory Syncytial Virus Antibody, 1.0 Ml Dosage For Injection Into Muscle 42 22 $1,816.75 $1,816.75 $277.71 $5,278.55 $1,489.74 2026-06-08
90380 HCPCS Respiratory Syncytial Virus Antibody, 0.5 Ml Dosage For Injection Into Muscle 42 22 $1,816.75 $1,816.75 $277.71 $5,278.55 $1,489.74 2026-06-08
43239 HCPCS Biopsy Of Esophagus, Stomach, And/or Upper Small Bowel Using A Flexible Endoscop… 82 22 $4,025.00 $4,025.00 $125.46 $5,264.05 $1,489.25 2026-06-08
46040 HCPCS Drainage Of Deep Abscess In Rectum 88 22 $1,936.00 $1,936.00 $413.14 $7,849.82 $1,487.70 2026-06-08
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