|
300
|
MS_DRG
|
Peripheral Vascular Disorders With Cc
|
5
|
5
|
$53,179.07
|
$53,179.07
|
$43,606.84
|
$47,861.16
|
$45,202.21
|
2026-02-13
|
|
J2350
|
HCPCS
|
Injection, Ocrelizumab, 1 Mg
|
22
|
22
|
$53,406.00
|
$53,406.00
|
$21,362.40
|
$117,204.87
|
$43,926.43
|
2026-02-13
|
|
813
|
MS_DRG
|
Coagulation Disorders
|
5
|
5
|
$47,332.58
|
$47,332.58
|
$38,812.72
|
$42,599.32
|
$40,232.69
|
2026-02-13
|
|
444
|
MS_DRG
|
Disorders Of The Biliary Tract With Mcc
|
5
|
5
|
$47,137.74
|
$47,137.74
|
$38,652.95
|
$42,423.97
|
$40,067.08
|
2026-02-13
|
|
605
|
MS_DRG
|
Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc
|
5
|
5
|
$42,524.78
|
$42,524.78
|
$34,870.32
|
$38,272.30
|
$36,146.06
|
2026-02-13
|
|
419
|
MS_DRG
|
Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc
|
5
|
5
|
$40,951.89
|
$40,951.89
|
$33,580.55
|
$36,856.70
|
$34,809.11
|
2026-02-13
|
|
J9309
|
HCPCS
|
Injection, Polatuzumab Vedotin-piiq, 1 Mg
|
22
|
22
|
$41,390.10
|
$41,390.10
|
$16,556.04
|
$82,780.20
|
$34,043.35
|
2026-02-13
|
|
373
|
MS_DRG
|
Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/mcc
|
5
|
5
|
$38,767.30
|
$38,767.30
|
$31,789.19
|
$34,890.57
|
$32,952.21
|
2026-02-13
|
|
399
|
MS_DRG
|
Appendix Procedures Without Cc/mcc
|
5
|
5
|
$38,061.35
|
$38,061.35
|
$31,210.31
|
$34,255.22
|
$32,352.15
|
2026-02-13
|
|
808
|
MS_DRG
|
Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co…
|
5
|
5
|
$37,897.82
|
$37,897.82
|
$31,076.21
|
$34,108.04
|
$32,213.15
|
2026-02-13
|
|
J9228
|
HCPCS
|
Injection, Ipilimumab, 1 Mg
|
40
|
22
|
$22,605.00
|
$22,605.00
|
$9,042.00
|
$144,200.00
|
$28,840.00
|
2026-02-13
|
|
602
|
MS_DRG
|
Cellulitis With Mcc
|
5
|
5
|
$32,911.07
|
$32,911.07
|
$26,987.08
|
$29,619.96
|
$27,974.41
|
2026-02-13
|
|
J9043
|
HCPCS
|
Injection, Cabazitaxel, 1 Mg
|
22
|
22
|
$43,822.33
|
$43,822.33
|
$17,528.93
|
$87,644.66
|
$27,874.15
|
2026-02-13
|
|
682
|
MS_DRG
|
Renal Failure With Mcc
|
5
|
5
|
$32,733.76
|
$32,733.76
|
$26,841.68
|
$29,460.38
|
$27,823.70
|
2026-02-13
|
|
176
|
MS_DRG
|
Pulmonary Embolism Without Mcc
|
5
|
5
|
$31,991.22
|
$31,991.22
|
$26,232.80
|
$28,792.09
|
$27,192.53
|
2026-02-13
|
|
64
|
MS_DRG
|
Intracranial Hemorrhage Or Cerebral Infarction With Mcc
|
5
|
5
|
$31,529.34
|
$31,529.34
|
$25,854.06
|
$28,376.41
|
$26,799.94
|
2026-02-13
|
|
177
|
MS_DRG
|
Respiratory Infections And Inflammations With Mcc
|
5
|
5
|
$30,894.12
|
$30,894.12
|
$25,333.18
|
$27,804.71
|
$26,260.00
|
2026-02-13
|
|
J9301
|
HCPCS
|
Injection, Obinutuzumab, 10 Mg
|
22
|
22
|
$35,843.84
|
$35,843.84
|
$14,337.54
|
$71,687.68
|
$25,001.89
|
2026-02-13
|
|
J0870
|
HCPCS
|
Injection, Imetelstat, 1 Mg
|
18
|
18
|
$30,556.55
|
$30,556.55
|
$12,222.62
|
$61,113.10
|
$24,521.63
|
2026-02-13
|
|
J9119
|
HCPCS
|
Injection, Cemiplimab-rwlc, 1 Mg
|
22
|
22
|
$30,993.45
|
$30,993.45
|
$12,397.38
|
$61,986.90
|
$24,196.21
|
2026-02-13
|
|
562
|
MS_DRG
|
Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit…
|
5
|
5
|
$28,429.00
|
$28,429.00
|
$23,311.78
|
$25,586.10
|
$24,164.65
|
2026-02-13
|
|
293
|
MS_DRG
|
Heart Failure And Shock Without Cc/mcc
|
5
|
5
|
$28,396.77
|
$28,396.77
|
$23,285.35
|
$25,557.09
|
$24,137.25
|
2026-02-13
|
|
811
|
MS_DRG
|
Red Blood Cell Disorders With Mcc
|
5
|
5
|
$28,226.24
|
$28,226.24
|
$23,145.51
|
$25,403.61
|
$23,992.30
|
2026-02-13
|
|
J1930
|
HCPCS
|
Injection, Lanreotide, 1 Mg
|
22
|
22
|
$28,701.00
|
$28,701.00
|
$11,480.40
|
$57,402.00
|
$23,606.58
|
2026-02-13
|
|
871
|
MS_DRG
|
Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc
|
5
|
5
|
$27,246.29
|
$27,246.29
|
$22,341.96
|
$24,521.66
|
$23,159.35
|
2026-02-13
|
|
J3590
|
HCPCS
|
Unclassified Biologics
|
18
|
18
|
$27,425.00
|
$27,425.00
|
$10,970.00
|
$54,850.00
|
$22,008.57
|
2026-02-13
|
|
81
|
MS_DRG
|
Nontraumatic Stupor And Coma Without Mcc
|
5
|
5
|
$25,160.06
|
$25,160.06
|
$20,631.25
|
$22,644.05
|
$21,386.05
|
2026-02-13
|
|
390
|
MS_DRG
|
Gastrointestinal Obstruction Without Cc/mcc
|
5
|
5
|
$24,354.88
|
$24,354.88
|
$19,971.00
|
$21,919.39
|
$20,701.65
|
2026-02-13
|
|
551
|
MS_DRG
|
Medical Back Problems With Mcc
|
5
|
5
|
$24,346.27
|
$24,346.27
|
$19,963.94
|
$21,911.64
|
$20,694.33
|
2026-02-13
|
|
J9144
|
HCPCS
|
Injection, Daratumumab, 10 Mg And Hyaluronidase-fihj
|
40
|
22
|
$27,456.00
|
$27,456.00
|
$10,948.40
|
$54,912.00
|
$20,627.28
|
2026-02-13
|
|
299
|
MS_DRG
|
Peripheral Vascular Disorders With Mcc
|
5
|
5
|
$24,189.56
|
$24,189.56
|
$19,835.44
|
$21,770.60
|
$20,561.13
|
2026-02-13
|
|
J3380
|
HCPCS
|
Injection, Vedolizumab, Intravenous, 1 Mg
|
22
|
22
|
$24,544.00
|
$24,544.00
|
$9,817.60
|
$49,088.00
|
$20,187.44
|
2026-02-13
|
|
812
|
MS_DRG
|
Red Blood Cell Disorders Without Mcc
|
5
|
5
|
$23,380.26
|
$23,380.26
|
$19,171.81
|
$21,042.23
|
$19,873.22
|
2026-02-13
|
|
100
|
MS_DRG
|
Seizures With Mcc
|
5
|
5
|
$23,318.73
|
$23,318.73
|
$19,121.36
|
$20,986.86
|
$19,820.92
|
2026-02-13
|
|
923
|
MS_DRG
|
Other Injury, Poisoning And Toxic Effect Diagnoses Without Mcc
|
5
|
5
|
$23,125.23
|
$23,125.23
|
$18,962.69
|
$20,812.71
|
$19,656.45
|
2026-02-13
|
|
683
|
MS_DRG
|
Renal Failure With Cc
|
5
|
5
|
$23,115.09
|
$23,115.09
|
$18,954.37
|
$20,803.58
|
$19,647.82
|
2026-02-13
|
|
153
|
MS_DRG
|
Otitis Media And Uri Without Mcc
|
5
|
5
|
$22,812.52
|
$22,812.52
|
$18,706.27
|
$20,531.27
|
$19,390.64
|
2026-02-13
|
|
178
|
MS_DRG
|
Respiratory Infections And Inflammations With Cc
|
5
|
5
|
$22,532.39
|
$22,532.39
|
$18,476.56
|
$20,279.15
|
$19,152.53
|
2026-02-13
|
|
439
|
MS_DRG
|
Disorders Of Pancreas Except Malignancy With Cc
|
5
|
5
|
$22,470.21
|
$22,470.21
|
$18,425.57
|
$20,223.19
|
$19,099.68
|
2026-02-13
|
|
65
|
MS_DRG
|
Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours
|
5
|
5
|
$22,038.57
|
$22,038.57
|
$18,071.62
|
$19,834.71
|
$18,732.78
|
2026-02-13
|
|
864
|
MS_DRG
|
Fever And Inflammatory Conditions
|
5
|
5
|
$21,903.23
|
$21,903.23
|
$17,960.65
|
$19,712.91
|
$18,617.75
|
2026-02-13
|
|
836
|
MS_DRG
|
Acute Leukemia Without Cc/mcc
|
5
|
5
|
$21,817.27
|
$21,817.27
|
$17,890.16
|
$19,635.54
|
$18,544.68
|
2026-02-13
|
|
193
|
MS_DRG
|
Simple Pneumonia And Pleurisy With Mcc
|
5
|
5
|
$21,775.64
|
$21,775.64
|
$17,856.02
|
$19,598.07
|
$18,509.29
|
2026-02-13
|
|
205
|
MS_DRG
|
Other Respiratory System Diagnoses With Mcc
|
5
|
5
|
$20,962.24
|
$20,962.24
|
$17,189.04
|
$18,866.02
|
$17,817.90
|
2026-02-13
|
|
190
|
MS_DRG
|
Chronic Obstructive Pulmonary Disease With Mcc
|
5
|
5
|
$20,921.75
|
$20,921.75
|
$17,155.84
|
$18,829.58
|
$17,783.49
|
2026-02-13
|
|
92
|
MS_DRG
|
Other Disorders Of Nervous System With Cc
|
5
|
5
|
$20,885.07
|
$20,885.07
|
$17,125.76
|
$18,796.56
|
$17,752.31
|
2026-02-13
|
|
87
|
MS_DRG
|
Traumatic Stupor And Coma <1 Hour Without Cc/mcc
|
5
|
5
|
$20,870.88
|
$20,870.88
|
$17,114.12
|
$18,783.79
|
$17,740.25
|
2026-02-13
|
|
292
|
MS_DRG
|
Heart Failure And Shock With Cc
|
5
|
5
|
$20,673.85
|
$20,673.85
|
$16,952.56
|
$18,606.46
|
$17,572.77
|
2026-02-13
|
|
194
|
MS_DRG
|
Simple Pneumonia And Pleurisy With Cc
|
5
|
5
|
$20,556.51
|
$20,556.51
|
$16,856.34
|
$18,500.86
|
$17,473.04
|
2026-02-13
|
|
189
|
MS_DRG
|
Pulmonary Edema And Respiratory Failure
|
5
|
5
|
$20,365.42
|
$20,365.42
|
$16,699.65
|
$18,328.88
|
$17,310.61
|
2026-02-13
|
|
195
|
MS_DRG
|
Simple Pneumonia And Pleurisy Without Cc/mcc
|
5
|
5
|
$19,856.03
|
$19,856.03
|
$16,281.94
|
$17,870.43
|
$16,877.63
|
2026-02-13
|
|
175
|
MS_DRG
|
Pulmonary Embolism With Mcc Or Acute Cor Pulmonale
|
5
|
5
|
$19,657.43
|
$19,657.43
|
$16,119.09
|
$17,691.69
|
$16,708.82
|
2026-02-13
|
|
301
|
MS_DRG
|
Peripheral Vascular Disorders Without Cc/mcc
|
5
|
5
|
$19,076.71
|
$19,076.71
|
$15,642.90
|
$17,169.04
|
$16,215.20
|
2026-02-13
|
|
392
|
MS_DRG
|
Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc
|
5
|
5
|
$18,859.58
|
$18,859.58
|
$15,464.86
|
$16,973.63
|
$16,030.65
|
2026-02-13
|
|
536
|
MS_DRG
|
Fractures Of Hip And Pelvis Without Mcc
|
5
|
5
|
$18,590.21
|
$18,590.21
|
$15,243.97
|
$16,731.18
|
$15,801.67
|
2026-02-13
|
|
291
|
MS_DRG
|
Heart Failure And Shock With Mcc
|
5
|
5
|
$18,560.57
|
$18,560.57
|
$15,219.67
|
$16,704.51
|
$15,776.48
|
2026-02-13
|
|
J9306
|
HCPCS
|
Injection, Pertuzumab, 1 Mg
|
22
|
22
|
$19,040.05
|
$19,040.05
|
$7,616.02
|
$38,080.10
|
$15,660.44
|
2026-02-13
|
|
897
|
MS_DRG
|
Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc
|
5
|
5
|
$18,352.25
|
$18,352.25
|
$15,048.85
|
$16,517.03
|
$15,599.41
|
2026-02-13
|
|
641
|
MS_DRG
|
Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou…
|
5
|
5
|
$18,149.87
|
$18,149.87
|
$14,882.89
|
$16,334.88
|
$15,427.39
|
2026-02-13
|
|
684
|
MS_DRG
|
Renal Failure Without Cc/mcc
|
5
|
5
|
$17,994.07
|
$17,994.07
|
$14,755.14
|
$16,194.66
|
$15,294.96
|
2026-02-13
|
|
690
|
MS_DRG
|
Kidney And Urinary Tract Infections Without Mcc
|
5
|
5
|
$17,349.24
|
$17,349.24
|
$14,226.37
|
$15,614.31
|
$14,746.85
|
2026-02-13
|
|
191
|
MS_DRG
|
Chronic Obstructive Pulmonary Disease With Cc
|
5
|
5
|
$17,180.02
|
$17,180.02
|
$14,087.61
|
$15,462.01
|
$14,603.01
|
2026-02-13
|
|
J0896
|
HCPCS
|
Injection, Luspatercept-aamt, 0.25 Mg
|
40
|
22
|
$36,307.25
|
$36,307.25
|
$4,844.99
|
$72,614.50
|
$14,522.90
|
2026-02-13
|
|
948
|
MS_DRG
|
Signs And Symptoms Without Mcc
|
5
|
5
|
$16,503.77
|
$16,503.77
|
$13,533.09
|
$14,853.39
|
$14,028.21
|
2026-02-13
|
|
58670
|
HCPCS
|
Destruction Of Fallopian Tubes Using An Endoscope
|
22
|
22
|
$16,845.00
|
$16,845.00
|
$6,738.00
|
$23,122.23
|
$13,812.90
|
2026-02-13
|
|
638
|
MS_DRG
|
Diabetes With Cc
|
5
|
5
|
$16,216.06
|
$16,216.06
|
$13,297.17
|
$14,594.45
|
$13,783.65
|
2026-02-13
|
|
830500860_1
|
CDM
|
Epifix 5Cm X 6Cm
|
18
|
18
|
$17,087.00
|
$17,087.00
|
$6,834.80
|
$34,174.00
|
$13,712.32
|
2026-02-13
|
|
49320
|
HCPCS
|
Diagnostic Exam Of Abdomen Using An Endoscope
|
22
|
22
|
$16,666.00
|
$16,666.00
|
$6,666.40
|
$19,950.47
|
$13,666.12
|
2026-02-13
|
|
J0517
|
HCPCS
|
Injection, Benralizumab, 1 Mg
|
22
|
22
|
$16,550.00
|
$16,550.00
|
$6,620.00
|
$33,100.00
|
$13,612.38
|
2026-02-13
|
|
49565
|
HCPCS
|
Repair Recurrent Incisional Or Ventral Hernia; Reducible
|
18
|
18
|
$16,788.00
|
$16,788.00
|
$6,715.20
|
$15,109.20
|
$13,472.37
|
2026-02-13
|
|
58661
|
HCPCS
|
Removal Of Ovaries And/or Tubes Using An Endoscope
|
22
|
22
|
$16,260.00
|
$16,260.00
|
$6,504.00
|
$23,122.23
|
$13,333.20
|
2026-02-13
|
|
J9271
|
HCPCS
|
Injection, Pembrolizumab, 1 Mg
|
22
|
22
|
$16,126.00
|
$16,126.00
|
$6,450.40
|
$38,571.80
|
$13,263.64
|
2026-02-13
|
|
445
|
MS_DRG
|
Disorders Of The Biliary Tract With Cc
|
5
|
5
|
$15,419.80
|
$15,419.80
|
$12,644.24
|
$13,877.82
|
$13,106.83
|
2026-02-13
|
|
432
|
MS_DRG
|
Cirrhosis And Alcoholic Hepatitis With Mcc
|
5
|
5
|
$14,958.88
|
$14,958.88
|
$12,266.28
|
$13,462.99
|
$12,715.05
|
2026-02-13
|
|
58563
|
HCPCS
|
Exam Of Uterus With Destruction Of Lining Of Uterus Using An Endoscope
|
22
|
22
|
$17,432.00
|
$17,432.00
|
$6,972.80
|
$15,688.80
|
$12,685.46
|
2026-02-13
|
|
593
|
MS_DRG
|
Skin Ulcers With Cc
|
5
|
5
|
$14,770.92
|
$14,770.92
|
$12,112.15
|
$13,293.82
|
$12,555.28
|
2026-02-13
|
|
308
|
MS_DRG
|
Cardiac Arrhythmia And Conduction Disorders With Mcc
|
5
|
5
|
$14,533.61
|
$14,533.61
|
$11,917.56
|
$13,080.25
|
$12,353.57
|
2026-02-13
|
|
872
|
MS_DRG
|
Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc
|
5
|
5
|
$14,507.86
|
$14,507.86
|
$11,896.44
|
$13,057.07
|
$12,331.68
|
2026-02-13
|
|
312
|
MS_DRG
|
Syncope And Collapse
|
5
|
5
|
$14,220.77
|
$14,220.77
|
$11,661.03
|
$12,798.69
|
$12,087.65
|
2026-02-13
|
|
J2506
|
HCPCS
|
Injection, Pegfilgrastim, Excludes Biosimilar, 0.5 Mg
|
22
|
22
|
$19,269.00
|
$19,269.00
|
$7,707.60
|
$38,538.00
|
$11,823.43
|
2026-02-13
|
|
42831
|
HCPCS
|
Primary Removal Of Adenoids (12 Years Or Older)
|
22
|
22
|
$17,392.00
|
$17,392.00
|
$6,956.80
|
$15,652.80
|
$11,677.65
|
2026-02-13
|
|
309
|
MS_DRG
|
Cardiac Arrhythmia And Conduction Disorders With Cc
|
5
|
5
|
$13,479.07
|
$13,479.07
|
$11,052.84
|
$12,131.16
|
$11,457.21
|
2026-02-13
|
|
389
|
MS_DRG
|
Gastrointestinal Obstruction With Cc
|
5
|
5
|
$13,384.47
|
$13,384.47
|
$10,975.27
|
$12,046.02
|
$11,376.80
|
2026-02-13
|
|
830502955_1
|
CDM
|
Pod Mtp Right Ortholoc
|
18
|
18
|
$14,170.75
|
$14,170.75
|
$5,668.30
|
$12,753.68
|
$11,372.03
|
2026-02-13
|
|
42836
|
HCPCS
|
Secondary Removal Of Adenoids (12 Years Or Older)
|
22
|
22
|
$15,560.00
|
$15,560.00
|
$6,224.00
|
$14,004.00
|
$11,018.12
|
2026-02-13
|
|
42835
|
HCPCS
|
Secondary Removal Of Adenoids (younger Than 12 Years)
|
22
|
22
|
$15,560.00
|
$15,560.00
|
$6,224.00
|
$14,004.00
|
$11,018.12
|
2026-02-13
|
|
42825
|
HCPCS
|
Removal Of Tonsils (younger Than 12 Years)
|
22
|
22
|
$14,456.00
|
$14,456.00
|
$5,782.40
|
$13,010.40
|
$10,833.05
|
2026-02-13
|
|
42820
|
HCPCS
|
Removal Of Tonsils And Adenoid Glands (younger Than 12 Years)
|
22
|
22
|
$13,555.00
|
$13,555.00
|
$5,422.00
|
$12,199.50
|
$10,833.05
|
2026-02-13
|
|
J2783
|
HCPCS
|
Injection, Rasburicase, 0.5 Mg
|
22
|
22
|
$15,661.00
|
$15,661.00
|
$6,264.40
|
$31,322.00
|
$10,524.55
|
2026-02-13
|
|
830502639_1
|
CDM
|
Pod Right Ortholoc
|
18
|
18
|
$12,939.00
|
$12,939.00
|
$5,175.60
|
$11,645.10
|
$10,383.55
|
2026-02-13
|
|
42826
|
HCPCS
|
Removal Of Tonsils (12 Years Or Older)
|
22
|
22
|
$12,589.00
|
$12,589.00
|
$5,035.60
|
$11,330.10
|
$10,322.98
|
2026-02-13
|
|
81455
|
HCPCS
|
Genomic Sequence Analysis Panel Of DNA Or Combined DNA And RNA Of 51 Or More Gen…
|
22
|
22
|
$12,616.00
|
$12,616.00
|
$5,046.40
|
$11,354.40
|
$10,312.13
|
2026-02-13
|
|
603
|
MS_DRG
|
Cellulitis Without Mcc
|
5
|
5
|
$11,849.69
|
$11,849.69
|
$9,716.74
|
$10,664.72
|
$10,072.23
|
2026-02-13
|
|
28022
|
HCPCS
|
Incision Of Midfoot Joint For Exploration, Fluid Drainage, Or Removal Of Foreign…
|
22
|
22
|
$12,035.00
|
$12,035.00
|
$4,814.00
|
$11,664.79
|
$9,868.70
|
2026-02-13
|
|
42830
|
HCPCS
|
Primary Removal Of Adenoids (younger Than 12 Years)
|
22
|
22
|
$12,012.00
|
$12,012.00
|
$4,804.80
|
$10,833.05
|
$9,849.84
|
2026-02-13
|
|
Q5111
|
HCPCS
|
Injection, Pegfilgrastim-cbqv (udenyca), Biosimilar, 0.5 Mg
|
22
|
22
|
$12,540.00
|
$12,540.00
|
$5,016.00
|
$25,080.00
|
$9,773.18
|
2026-02-13
|
|
Q5120
|
HCPCS
|
Injection, Pegfilgrastim-bmez (ziextenzo), Biosimilar, 0.5 Mg
|
22
|
22
|
$11,792.00
|
$11,792.00
|
$4,716.80
|
$23,584.00
|
$9,698.92
|
2026-02-13
|
|
J3101
|
HCPCS
|
Injection, Tenecteplase, 1 Mg
|
22
|
22
|
$11,430.00
|
$11,430.00
|
$4,572.00
|
$24,196.21
|
$9,401.17
|
2026-02-13
|
|
58558
|
HCPCS
|
Biopsy Of Lining Of Uterus And/or Removal Of Polyp Using An Endoscope
|
22
|
22
|
$11,242.00
|
$11,242.00
|
$4,496.80
|
$12,685.46
|
$9,218.44
|
2026-02-13
|
|
49507
|
HCPCS
|
Repair Of Trapped Groin Hernia (5 Years Or Older)
|
42
|
22
|
$22,678.00
|
$22,678.00
|
$405.43
|
$20,410.20
|
$9,071.20
|
2026-02-13
|
|
42821
|
HCPCS
|
Removal Of Tonsils And Adenoid Glands (12 Years Or Older)
|
22
|
22
|
$10,957.00
|
$10,957.00
|
$4,382.80
|
$10,833.05
|
$8,984.74
|
2026-02-13
|
|
378
|
MS_DRG
|
Gastrointestinal Hemorrhage With Cc
|
5
|
5
|
$10,545.09
|
$10,545.09
|
$8,646.97
|
$9,490.58
|
$8,963.33
|
2026-02-13
|
|
28750
|
HCPCS
|
Fusion Of Big Toe At Joint With Foot
|
43
|
22
|
$21,879.00
|
$21,879.00
|
$59.45
|
$29,742.86
|
$8,751.60
|
2026-02-13
|
|
28825
|
HCPCS
|
Amputation Of Toe At Toe Joint
|
22
|
22
|
$10,419.00
|
$10,419.00
|
$4,167.60
|
$11,664.79
|
$8,543.58
|
2026-02-13
|
|
28289
|
HCPCS
|
Correction Of Rigid Deformity Of First Joint Of Big Toe
|
22
|
22
|
$10,419.00
|
$10,419.00
|
$4,167.60
|
$29,742.86
|
$8,543.58
|
2026-02-13
|
|
49618
|
HCPCS
|
Repair Of Recurrent Entrapped Hernia Of Abdomen, More Than 10 Cm In Length
|
36
|
22
|
$21,084.00
|
$21,084.00
|
$791.02
|
$23,548.69
|
$8,433.60
|
2026-02-13
|
|
49614
|
HCPCS
|
Repair Of Recurrent Entrapped Hernia Of Abdomen, Less Than 3 Cm In Length
|
36
|
22
|
$21,072.00
|
$21,072.00
|
$564.16
|
$23,548.69
|
$8,428.80
|
2026-02-13
|
|
49596
|
HCPCS
|
Initial Repair Of Entrapped Hernia Of Abdomen, More Than 10 Cm In Length
|
36
|
22
|
$21,072.00
|
$21,072.00
|
$1,010.66
|
$23,548.69
|
$8,428.80
|
2026-02-13
|
|
49616
|
HCPCS
|
Repair Of Recurrent Entrapped Hernia Of Abdomen, 3-10 Cm In Length
|
36
|
22
|
$21,072.00
|
$21,072.00
|
$844.92
|
$23,548.69
|
$8,428.80
|
2026-02-13
|
|
563
|
MS_DRG
|
Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit…
|
5
|
5
|
$9,872.92
|
$9,872.92
|
$8,095.79
|
$8,885.63
|
$8,391.98
|
2026-02-13
|
|
52356
|
HCPCS
|
Crushing Of Stone Of Ureter With Insertion Of Stent Using An Endoscope
|
42
|
22
|
$20,334.50
|
$20,334.50
|
$378.12
|
$22,129.78
|
$8,133.80
|
2026-02-13
|
|
52353
|
HCPCS
|
Crushing Of Stone Of Ureter Using An Endoscope
|
42
|
22
|
$20,334.50
|
$20,334.50
|
$268.16
|
$18,301.05
|
$8,133.80
|
2026-02-13
|
|
J1306
|
HCPCS
|
Injection, Inclisiran, 1 Mg
|
22
|
22
|
$9,887.00
|
$9,887.00
|
$3,954.80
|
$19,774.00
|
$8,132.06
|
2026-02-13
|
|
7080000058_1
|
CDM
|
Anes, Mon Sed 218-232mins
|
18
|
18
|
$10,090.00
|
$10,090.00
|
$4,036.00
|
$9,081.00
|
$8,097.22
|
2026-02-13
|
|
951
|
MS_DRG
|
Other Factors Influencing Health Status
|
5
|
5
|
$9,394.93
|
$9,394.93
|
$7,703.84
|
$8,455.43
|
$7,985.69
|
2026-02-13
|
|
J2353
|
HCPCS
|
Injection, Octreotide, Depot Form For Intramuscular Injection, 1 Mg
|
58
|
22
|
$13,066.00
|
$13,066.00
|
$1,935.60
|
$39,114.00
|
$7,920.59
|
2026-02-13
|
|
J0840
|
HCPCS
|
Injection, Crotalidae Polyvalent Immune Fab (ovine), Up To 1 Gram
|
22
|
22
|
$9,609.00
|
$9,609.00
|
$3,843.60
|
$38,571.80
|
$7,903.41
|
2026-02-13
|
|
728
|
MS_DRG
|
Inflammation Of The Male Reproductive System Without Mcc
|
5
|
5
|
$9,295.34
|
$9,295.34
|
$7,622.18
|
$8,365.81
|
$7,901.04
|
2026-02-13
|
|
830502602_1
|
CDM
|
Pod Pro-dense 5cc
|
18
|
18
|
$9,549.00
|
$9,549.00
|
$3,819.60
|
$8,594.10
|
$7,663.08
|
2026-02-13
|
|
49592
|
HCPCS
|
Initial Repair Of Entrapped Hernia Of Abdomen, Less Than 3 Cm In Length
|
36
|
22
|
$19,156.00
|
$19,156.00
|
$469.74
|
$23,548.69
|
$7,662.40
|
2026-02-13
|
|
49594
|
HCPCS
|
Initial Repair Of Entrapped Hernia Of Abdomen, 3-10 Cm In Length
|
36
|
22
|
$19,156.00
|
$19,156.00
|
$736.04
|
$23,548.69
|
$7,662.40
|
2026-02-13
|
|
110085_1
|
CDM
|
HyperRabImmunoglobulin10MLVial
|
18
|
18
|
$9,519.78
|
$9,519.78
|
$3,807.91
|
$8,567.80
|
$7,639.62
|
2026-02-13
|
|
7080000055_1
|
CDM
|
Anes, Mon Sed 203-217mins
|
18
|
18
|
$9,467.00
|
$9,467.00
|
$3,786.80
|
$8,520.30
|
$7,597.27
|
2026-02-13
|
|
57
|
MS_DRG
|
Degenerative Nervous System Disorders Without Mcc
|
5
|
5
|
$8,897.31
|
$8,897.31
|
$7,295.79
|
$8,007.58
|
$7,562.71
|
2026-02-13
|
|
J9299
|
HCPCS
|
Injection, Nivolumab, 1 Mg
|
76
|
22
|
$9,093.00
|
$9,093.00
|
$1,479.20
|
$43,366.00
|
$7,501.73
|
2026-02-13
|
|
49568
|
HCPCS
|
Implantation Of Mesh Or Other Prosthesis For Open Incisional Or Ventral Hernia R…
|
18
|
18
|
$9,261.00
|
$9,261.00
|
$3,704.40
|
$8,334.90
|
$7,431.95
|
2026-02-13
|
|
28039
|
HCPCS
|
Removal (1.5 Centimeters Or Greater) Tissue Growth Beneath The Skin Of Foot Or T…
|
22
|
22
|
$9,042.00
|
$9,042.00
|
$3,616.80
|
$11,664.79
|
$7,414.44
|
2026-02-13
|
|
28299
|
HCPCS
|
Correction Of Bunion With 2 Areas Of Realignment
|
61
|
22
|
$9,005.00
|
$9,005.00
|
$282.65
|
$29,742.86
|
$7,384.10
|
2026-02-13
|
|
44970
|
HCPCS
|
Removal Of Appendix Using An Endoscope
|
42
|
22
|
$18,432.00
|
$18,432.00
|
$592.94
|
$20,833.56
|
$7,372.80
|
2026-02-13
|
|
830500859_1
|
CDM
|
Epifix 4Cm X 4Cm
|
18
|
18
|
$8,987.00
|
$8,987.00
|
$3,594.80
|
$17,974.00
|
$7,212.07
|
2026-02-13
|
|
7080000054_1
|
CDM
|
Anes, Mon Sed 188-202mins
|
18
|
18
|
$8,845.00
|
$8,845.00
|
$3,538.00
|
$7,960.50
|
$7,098.11
|
2026-02-13
|
|
49651
|
HCPCS
|
Repair Of Recurrent Groin Hernia Using An Endoscope
|
84
|
22
|
$17,628.00
|
$17,628.00
|
$112.40
|
$31,728.60
|
$7,051.20
|
2026-02-13
|
|
36563
|
HCPCS
|
Insertion Of Central Venous Tube With Pump
|
43
|
22
|
$17,555.00
|
$17,555.00
|
$122.34
|
$15,799.50
|
$7,022.00
|
2026-02-13
|
|
J9217
|
HCPCS
|
Leuprolide Acetate (for Depot Suspension), 7.5 Mg
|
58
|
22
|
$17,525.00
|
$17,525.00
|
$1,739.53
|
$35,072.00
|
$7,014.40
|
2026-02-13
|
|
58353
|
HCPCS
|
Destruction Of Lining Of Uterus
|
22
|
22
|
$8,277.00
|
$8,277.00
|
$3,310.80
|
$12,685.46
|
$6,787.14
|
2026-02-13
|
|
49650
|
HCPCS
|
Repair Of Groin Hernia Using An Endoscope
|
84
|
22
|
$16,756.00
|
$16,756.00
|
$426.45
|
$31,728.60
|
$6,702.40
|
2026-02-13
|
|
47562
|
HCPCS
|
Removal Of Gallbladder Using An Endoscope
|
42
|
22
|
$16,756.00
|
$16,756.00
|
$651.84
|
$18,740.10
|
$6,702.40
|
2026-02-13
|
|
J0630
|
HCPCS
|
Injection, Calcitonin Salmon, Up To 400 Units
|
40
|
22
|
$9,408.00
|
$9,408.00
|
$3,199.62
|
$18,816.00
|
$6,599.22
|
2026-02-13
|
|
7080000053_1
|
CDM
|
Anes, Mon Sed 173-187mins
|
18
|
18
|
$8,222.00
|
$8,222.00
|
$3,288.80
|
$7,399.80
|
$6,598.16
|
2026-02-13
|
|
47563
|
HCPCS
|
Removal Of Gallbladder With X-ray Study Of Bile Ducts Using An Endoscope
|
42
|
22
|
$16,159.00
|
$16,159.00
|
$709.50
|
$18,740.10
|
$6,463.60
|
2026-02-13
|
|
305
|
MS_DRG
|
Hypertension Without Mcc
|
5
|
5
|
$7,472.21
|
$7,472.21
|
$6,127.21
|
$6,724.99
|
$6,351.38
|
2026-02-13
|
|
J9034
|
HCPCS
|
Injection, Bendamustine Hcl (bendeka), 1 Mg
|
22
|
22
|
$7,437.00
|
$7,437.00
|
$2,974.80
|
$14,874.00
|
$6,116.93
|
2026-02-13
|
|
J9358
|
HCPCS
|
Injection, Fam-trastuzumab Deruxtecan-nxki, 1 Mg
|
22
|
22
|
$7,418.00
|
$7,418.00
|
$2,967.20
|
$14,836.00
|
$6,101.31
|
2026-02-13
|
|
7080000052_1
|
CDM
|
Anes, Mon Sed 158-172mins
|
18
|
18
|
$7,599.00
|
$7,599.00
|
$3,039.60
|
$6,839.10
|
$6,098.20
|
2026-02-13
|
|
830502595_1
|
CDM
|
Pod Left Ortholoc
|
18
|
18
|
$7,515.50
|
$7,515.50
|
$3,006.20
|
$6,763.95
|
$6,031.19
|
2026-02-13
|
|
310
|
MS_DRG
|
Cardiac Arrhythmia And Conduction Disorders Without Cc/mcc
|
5
|
5
|
$6,838.23
|
$6,838.23
|
$5,607.35
|
$6,154.41
|
$5,812.50
|
2026-02-13
|
|
66982
|
HCPCS
|
Complex Removal Of Cataract With Insertion Of Prosthetic Lens
|
22
|
22
|
$7,017.00
|
$7,017.00
|
$2,806.80
|
$9,315.76
|
$5,753.94
|
2026-02-13
|
|
49615
|
HCPCS
|
Repair Of Recurrent Sliding Hernia Of Abdomen, 3-10 Cm In Length
|
36
|
22
|
$14,320.00
|
$14,320.00
|
$628.69
|
$23,548.69
|
$5,728.00
|
2026-02-13
|
|
49613
|
HCPCS
|
Repair Of Recurrent Sliding Hernia Of Abdomen, Less Than 3 Cm In Length
|
36
|
22
|
$14,320.00
|
$14,320.00
|
$414.83
|
$23,548.69
|
$5,728.00
|
2026-02-13
|
|
49617
|
HCPCS
|
Repair Of Recurrent Sliding Hernia Of Abdomen, More Than 10 Cm In Length
|
36
|
22
|
$14,320.00
|
$14,320.00
|
$537.16
|
$23,548.69
|
$5,728.00
|
2026-02-13
|
|
68110
|
HCPCS
|
Removal Of Growth Of Eyelid Lining, 1.0 Cm Or Less
|
22
|
22
|
$8,166.00
|
$8,166.00
|
$3,266.40
|
$7,349.40
|
$5,689.96
|
2026-02-13
|
|
J9312
|
HCPCS
|
Injection, Rituximab, 10 Mg
|
40
|
22
|
$2,919.00
|
$2,919.00
|
$1,167.60
|
$28,386.00
|
$5,677.20
|
2026-02-13
|
|
7080000051_1
|
CDM
|
Anes, Mon Sed 143-157 Mins
|
18
|
18
|
$6,977.00
|
$6,977.00
|
$2,790.80
|
$6,279.30
|
$5,599.05
|
2026-02-13
|
|
552
|
MS_DRG
|
Medical Back Problems Without Mcc
|
5
|
5
|
$6,555.22
|
$6,555.22
|
$5,375.28
|
$5,899.70
|
$5,571.94
|
2026-02-13
|
|
52317
|
HCPCS
|
Crushing, Fragmenting, And Removal Of Bladder Stones, Less Than 2.5 Cm
|
43
|
22
|
$13,796.00
|
$13,796.00
|
$258.24
|
$12,416.40
|
$5,518.40
|
2026-02-13
|
|
52214
|
HCPCS
|
Destruction Of Tissue Of Bladder, Urethra, Or Surrounding Glands Using An Endosc…
|
43
|
22
|
$13,796.00
|
$13,796.00
|
$158.00
|
$12,416.40
|
$5,518.40
|
2026-02-13
|
|
52351
|
HCPCS
|
Diagnostic Exam Of Bladder, Urethra, And Ureter Or Kidney Using An Endoscope
|
42
|
22
|
$13,796.00
|
$13,796.00
|
$67.80
|
$12,416.40
|
$5,518.40
|
2026-02-13
|
|
52318
|
HCPCS
|
Crushing, Fragmenting, And Removal Of Bladder Stones, More Than 2.5 Cm
|
42
|
22
|
$13,796.00
|
$13,796.00
|
$142.42
|
$12,416.40
|
$5,518.40
|
2026-02-13
|
|
52352
|
HCPCS
|
Removal Or Manipulation Of Stone In Ureter Or Kidney Using An Endoscope
|
42
|
22
|
$13,796.00
|
$13,796.00
|
$58.60
|
$12,416.40
|
$5,518.40
|
2026-02-13
|
|
52332
|
HCPCS
|
Insertion Of Stent In Ureter Using An Endoscope
|
43
|
22
|
$13,796.00
|
$13,796.00
|
$143.28
|
$12,416.40
|
$5,518.40
|
2026-02-13
|
|
J3111
|
HCPCS
|
Injection, Romosozumab-aqqg, 1 Mg
|
22
|
22
|
$6,713.00
|
$6,713.00
|
$2,685.20
|
$13,426.00
|
$5,278.55
|
2026-02-13
|
|
28295
|
HCPCS
|
Correction Of Bunion With Alignment Correction Of Midfoot Bone Toward Ankle
|
43
|
22
|
$13,129.00
|
$13,129.00
|
$189.48
|
$29,742.86
|
$5,251.60
|
2026-02-13
|
|
49593
|
HCPCS
|
Initial Repair Of Sliding Hernia Of Abdomen, 3-10 Cm In Length
|
36
|
22
|
$13,018.00
|
$13,018.00
|
$565.11
|
$23,548.69
|
$5,207.20
|
2026-02-13
|
|
49595
|
HCPCS
|
Initial Repair Of Sliding Hernia Of Abdomen, More Than 10 Cm In Length
|
36
|
22
|
$13,018.00
|
$13,018.00
|
$354.70
|
$23,548.69
|
$5,207.20
|
2026-02-13
|
|
49591
|
HCPCS
|
Initial Repair Of Sliding Hernia Of Abdomen, Less Than 3 Cm In Length
|
36
|
22
|
$13,018.00
|
$13,018.00
|
$337.41
|
$23,548.69
|
$5,207.20
|
2026-02-13
|
|
J9317
|
HCPCS
|
Injection, Sacituzumab Govitecan-hziy, 2.5 Mg
|
22
|
22
|
$7,311.58
|
$7,311.58
|
$2,924.63
|
$14,623.16
|
$5,152.49
|
2026-02-13
|
|
Q5115
|
HCPCS
|
Injection, Rituximab-abbs, Biosimilar, (truxima), 10 Mg
|
40
|
22
|
$12,783.25
|
$12,783.25
|
$1,054.66
|
$25,566.50
|
$5,113.30
|
2026-02-13
|
|
7080000050_1
|
CDM
|
Anes, Mon Sed 128-142mins
|
18
|
18
|
$6,354.00
|
$6,354.00
|
$2,541.60
|
$5,718.60
|
$5,099.09
|
2026-02-13
|
|
38510
|
HCPCS
|
Biopsy Or Removal Of Deep Lymph Nodes Of Neck
|
43
|
22
|
$12,635.00
|
$12,635.00
|
$188.20
|
$17,345.49
|
$5,054.00
|
2026-02-13
|
|
78452
|
HCPCS
|
Nuclear Medicine Studies Of Heart Muscle At Rest And With Stress And Spect
|
22
|
22
|
$7,195.00
|
$7,195.00
|
$2,878.00
|
$6,475.50
|
$4,992.15
|
2026-02-13
|
|
49520
|
HCPCS
|
Repair Of Groin Hernia That Is Not Trapped
|
42
|
22
|
$12,397.00
|
$12,397.00
|
$453.22
|
$19,232.79
|
$4,958.80
|
2026-02-13
|
|
28308
|
HCPCS
|
Incision Or Partial Removal Of Foot Bone (other Than Big Toe) To Straighten Toe
|
43
|
22
|
$12,035.00
|
$12,035.00
|
$369.69
|
$11,664.79
|
$4,814.00
|
2026-02-13
|
|
28270
|
HCPCS
|
Incision Of Joint Capsule Of Foot And Toe
|
43
|
22
|
$12,035.00
|
$12,035.00
|
$315.15
|
$11,664.79
|
$4,814.00
|
2026-02-13
|
|
38531
|
HCPCS
|
Biopsy Or Removal Of Lymph Nodes Of Groin
|
42
|
22
|
$12,033.00
|
$12,033.00
|
$438.26
|
$17,345.49
|
$4,813.20
|
2026-02-13
|
|
78802
|
HCPCS
|
Nuclear Medicine Study, Whole Body
|
43
|
22
|
$13,808.00
|
$13,808.00
|
$34.61
|
$12,427.20
|
$4,803.89
|
2026-02-13
|
|
47605
|
HCPCS
|
Removal Of Gallbladder With X-ray Study Of Bile Ducts
|
42
|
22
|
$11,901.00
|
$11,901.00
|
$1,110.72
|
$29,592.74
|
$4,760.40
|
2026-02-13
|
|
47531
|
HCPCS
|
Injection Of Bile Duct For X-ray Through Already Existing Skin Access Using Imag…
|
43
|
22
|
$11,825.00
|
$11,825.00
|
$63.15
|
$10,642.50
|
$4,730.00
|
2026-02-13
|
|
49505
|
HCPCS
|
Repair Of Groin Hernia (5 Years Or Older)
|
84
|
22
|
$11,823.00
|
$11,823.00
|
$298.55
|
$20,410.20
|
$4,729.20
|
2026-02-13
|
|
830501002_1
|
CDM
|
Smart Toe 2 Implant 15MMAngled
|
18
|
18
|
$5,828.00
|
$5,828.00
|
$2,331.20
|
$5,245.20
|
$4,676.97
|
2026-02-13
|
|
7080000049_1
|
CDM
|
Anes, Mon Sed 113-127mins
|
18
|
18
|
$5,731.00
|
$5,731.00
|
$2,292.40
|
$5,157.90
|
$4,599.13
|
2026-02-13
|
|
78800
|
HCPCS
|
Nuclear Medicine Study, 1 Area
|
43
|
22
|
$11,392.00
|
$11,392.00
|
$28.85
|
$10,252.80
|
$4,556.80
|
2026-02-13
|
|
J9173
|
HCPCS
|
Injection, Durvalumab, 10 Mg
|
40
|
22
|
$2,779.00
|
$2,779.00
|
$1,111.60
|
$22,520.00
|
$4,504.00
|
2026-02-13
|
|
81405
|
HCPCS
|
Molecular Pathology Procedure Level 6 Genetic Analysis
|
22
|
22
|
$7,843.16
|
$7,843.16
|
$729.05
|
$7,058.84
|
$4,431.39
|
2026-02-13
|
|
81479
|
HCPCS
|
Molecular Pathology Procedure
|
22
|
22
|
$7,843.16
|
$7,843.16
|
$206.17
|
$7,058.84
|
$4,431.39
|
2026-02-13
|
|
28285
|
HCPCS
|
Correction Of Toe Joint Deformity
|
43
|
22
|
$10,940.00
|
$10,940.00
|
$247.44
|
$11,664.79
|
$4,376.00
|
2026-02-13
|
|
J9218
|
HCPCS
|
Leuprolide Acetate, Per 1 Mg
|
18
|
18
|
$5,435.28
|
$5,435.28
|
$2,174.11
|
$10,870.56
|
$4,361.81
|
2026-02-13
|
|
J9047
|
HCPCS
|
Injection, Carfilzomib, 1 Mg
|
58
|
22
|
$5,320.80
|
$5,320.80
|
$710.44
|
$21,423.16
|
$4,284.63
|
2026-02-13
|
|
J9303
|
HCPCS
|
Injection, Panitumumab, 10 Mg
|
58
|
22
|
$5,190.00
|
$5,190.00
|
$1,766.80
|
$34,734.00
|
$4,281.75
|
2026-02-13
|
|
21501
|
HCPCS
|
Drainage Of Deep Abscess Or Blood Accumulation In Soft Tissue Of Neck Or Chest
|
43
|
22
|
$10,445.00
|
$10,445.00
|
$325.78
|
$12,637.64
|
$4,178.00
|
2026-02-13
|
|
36582
|
HCPCS
|
Replacement Of Tunneled Central Venous Tube With Port
|
43
|
22
|
$10,427.00
|
$10,427.00
|
$268.81
|
$11,565.62
|
$4,170.80
|
2026-02-13
|
|
28240
|
HCPCS
|
Release Or Lengthening Of Tendon In Foot
|
43
|
22
|
$10,419.00
|
$10,419.00
|
$275.06
|
$11,664.79
|
$4,167.60
|
2026-02-13
|
|
49585
|
HCPCS
|
Repair Umbilical Hernia, Age 5 Years Or Older; Reducible
|
29
|
22
|
$10,395.00
|
$10,395.00
|
$58.00
|
$9,355.50
|
$4,158.00
|
2026-02-13
|
|
46922
|
HCPCS
|
Simple Removal Of Growth Of Anus
|
43
|
22
|
$10,389.00
|
$10,389.00
|
$133.07
|
$9,350.10
|
$4,155.60
|
2026-02-13
|
|
J0897
|
HCPCS
|
Injection, Denosumab, 1 Mg
|
44
|
22
|
$6,678.00
|
$6,678.00
|
$1,883.20
|
$17,296.00
|
$4,119.50
|
2026-02-13
|
|
7080000043_1
|
CDM
|
Anes, Mon Sed 98-112mins
|
18
|
18
|
$5,109.00
|
$5,109.00
|
$2,043.60
|
$4,598.10
|
$4,099.98
|
2026-02-13
|
|
38525
|
HCPCS
|
Biopsy Or Removal Of Deep Lymph Nodes Of Underarm
|
42
|
22
|
$10,129.00
|
$10,129.00
|
$432.79
|
$17,345.49
|
$4,051.60
|
2026-02-13
|
|
19301
|
HCPCS
|
Partial Removal Of Breast
|
42
|
22
|
$10,129.00
|
$10,129.00
|
$460.18
|
$17,755.49
|
$4,051.60
|
2026-02-13
|
|
19125
|
HCPCS
|
Removal Of Growth Of Breast Identified By X-ray Marker, First Growth
|
43
|
22
|
$10,129.00
|
$10,129.00
|
$454.87
|
$9,116.10
|
$4,051.60
|
2026-02-13
|
|
J0875
|
HCPCS
|
Injection, Dalbavancin, 5 Mg
|
22
|
22
|
$4,900.00
|
$4,900.00
|
$1,960.00
|
$19,434.26
|
$4,030.25
|
2026-02-13
|
|
21552
|
HCPCS
|
Removal Of Growth Of Soft Tissue Under Skin Of Neck Or Front Of Chest, 3.0 Cm Or…
|
42
|
22
|
$10,018.00
|
$10,018.00
|
$438.32
|
$12,637.64
|
$4,007.20
|
2026-02-13
|
|
95805
|
HCPCS
|
Sleep Study, Multiple Trials
|
22
|
22
|
$4,863.00
|
$4,863.00
|
$1,945.20
|
$4,376.70
|
$3,987.66
|
2026-02-13
|
|
J9264
|
HCPCS
|
Injection, Paclitaxel Protein-bound Particles, 1 Mg
|
22
|
22
|
$4,840.18
|
$4,840.18
|
$1,936.07
|
$9,680.36
|
$3,981.05
|
2026-02-13
|
|
J9355
|
HCPCS
|
Injection, Trastuzumab, Excludes Biosimilar, 10 Mg
|
22
|
22
|
$4,775.25
|
$4,775.25
|
$1,910.10
|
$9,773.18
|
$3,927.64
|
2026-02-13
|
|
J3032
|
HCPCS
|
Injection, Eptinezumab-jjmr, 1 Mg
|
22
|
22
|
$4,767.83
|
$4,767.83
|
$1,907.13
|
$9,535.66
|
$3,921.54
|
2026-02-13
|
|
J9035
|
HCPCS
|
Injection, Bevacizumab, 10 Mg
|
40
|
22
|
$2,491.00
|
$2,491.00
|
$996.40
|
$19,328.00
|
$3,865.60
|
2026-02-13
|
|
46255
|
HCPCS
|
Removal Of Single External And Internal Hemorrhoid Group
|
43
|
22
|
$9,628.00
|
$9,628.00
|
$71.40
|
$12,278.21
|
$3,851.20
|
2026-02-13
|
|
46924
|
HCPCS
|
Extensive Destruction Of Growth Of Anus
|
43
|
22
|
$9,599.00
|
$9,599.00
|
$174.35
|
$8,639.10
|
$3,839.60
|
2026-02-13
|
|
11771
|
HCPCS
|
Extensive Removal Of Cyst Of Tailbone
|
43
|
22
|
$9,495.00
|
$9,495.00
|
$69.70
|
$9,757.11
|
$3,798.00
|
2026-02-13
|
|
46270
|
HCPCS
|
Repair Of Abnormal Anal Drainage Tract
|
43
|
22
|
$9,405.00
|
$9,405.00
|
$125.51
|
$12,278.21
|
$3,762.00
|
2026-02-13
|
|
46230
|
HCPCS
|
Removal Of Multiple External Noncancer Growths Of Anus
|
43
|
22
|
$9,405.00
|
$9,405.00
|
$59.37
|
$8,464.50
|
$3,762.00
|
2026-02-13
|
|
46250
|
HCPCS
|
Removal Of Multiple External Hemorrhoids
|
43
|
22
|
$9,405.00
|
$9,405.00
|
$71.40
|
$12,278.21
|
$3,762.00
|
2026-02-13
|
|
46260
|
HCPCS
|
Removal Of Multiple Hemorrhoid Groups
|
42
|
22
|
$9,405.00
|
$9,405.00
|
$88.48
|
$12,278.21
|
$3,762.00
|
2026-02-13
|
|
20680
|
HCPCS
|
Removal Of Deep Implant From Bone
|
43
|
22
|
$9,400.00
|
$9,400.00
|
$177.28
|
$12,635.29
|
$3,760.00
|
2026-02-13
|
|
36561
|
HCPCS
|
Insertion Of Central Venous Tube With Port (5 Years Or Older)
|
43
|
22
|
$9,266.00
|
$9,266.00
|
$31.36
|
$11,565.62
|
$3,706.40
|
2026-02-13
|
|
66984
|
HCPCS
|
Removal Of Cataract With Insertion Of Prosthetic Lens
|
22
|
22
|
$4,427.00
|
$4,427.00
|
$1,770.80
|
$9,315.76
|
$3,630.14
|
2026-02-13
|
|
11426
|
HCPCS
|
Removal Of Noncancer Skin Growth Of Scalp, Neck, Hands, Feet, Or Genitals, More …
|
43
|
22
|
$9,042.00
|
$9,042.00
|
$113.96
|
$9,757.11
|
$3,616.80
|
2026-02-13
|
|
7080000034_1
|
CDM
|
Anes, Mon Sed 83-97 Mins
|
18
|
18
|
$4,486.00
|
$4,486.00
|
$1,794.40
|
$4,037.40
|
$3,600.02
|
2026-02-13
|
|
46280
|
HCPCS
|
Repair Of Abnormal Drainage Tract Around Anal Sphincter
|
42
|
22
|
$8,994.00
|
$8,994.00
|
$462.31
|
$12,278.21
|
$3,597.60
|
2026-02-13
|
|
45990
|
HCPCS
|
Diagnostic Exam Of Anus And Rectum Under Anesthesia
|
42
|
22
|
$8,994.00
|
$8,994.00
|
$102.90
|
$8,094.60
|
$3,597.60
|
2026-02-13
|
|
47600
|
HCPCS
|
Removal Of Gallbladder
|
42
|
22
|
$7,021.00
|
$7,021.00
|
$1,055.11
|
$29,592.74
|
$3,591.00
|
2026-02-13
|
|
830501414_1
|
CDM
|
Mesh 8x10 Inch Bard
|
18
|
18
|
$4,380.00
|
$4,380.00
|
$1,752.00
|
$3,942.00
|
$3,514.95
|
2026-02-13
|
|
J2357
|
HCPCS
|
Injection, Omalizumab, 5 Mg
|
22
|
22
|
$4,169.88
|
$4,169.88
|
$1,667.95
|
$8,339.76
|
$3,429.73
|
2026-02-13
|
|
830502957_1
|
CDM
|
Pod Ortholoc Plating System
|
18
|
18
|
$4,258.75
|
$4,258.75
|
$1,703.50
|
$3,832.88
|
$3,417.65
|
2026-02-13
|
|
J9179
|
HCPCS
|
Injection, Eribulin Mesylate, 0.1 Mg
|
44
|
22
|
$4,181.75
|
$4,181.75
|
$1,647.40
|
$8,490.00
|
$3,397.76
|
2026-02-13
|
|
830502591_1
|
CDM
|
Pod Ez Clip Fixation Device
|
18
|
18
|
$4,221.00
|
$4,221.00
|
$1,688.40
|
$3,798.90
|
$3,387.35
|
2026-02-13
|
|
J0129
|
HCPCS
|
Injection, Abatacept, 10 Mg (code May Be Used For Medicare When Drug Administere…
|
22
|
22
|
$4,058.00
|
$4,058.00
|
$1,623.20
|
$9,773.18
|
$3,337.70
|
2026-02-13
|
|
J9033
|
HCPCS
|
Injection, Bendamustine Hydrochloride, 1 Mg
|
40
|
22
|
$8,201.00
|
$8,201.00
|
$850.40
|
$16,402.00
|
$3,280.40
|
2026-02-13
|
|
52310
|
HCPCS
|
Simple Removal Of Foreign Body, Stone, Or Stent In Urethra Or Bladder Using An E…
|
43
|
22
|
$8,194.00
|
$8,194.00
|
$138.67
|
$8,498.52
|
$3,277.60
|
2026-02-13
|
|
55250
|
HCPCS
|
Removal Of Sperm Duct
|
43
|
22
|
$8,194.00
|
$8,194.00
|
$217.81
|
$12,915.15
|
$3,277.60
|
2026-02-13
|
|
51040
|
HCPCS
|
Incision Of Bladder With Drainage
|
42
|
22
|
$8,194.00
|
$8,194.00
|
$274.03
|
$8,498.52
|
$3,277.60
|
2026-02-13
|
|
52287
|
HCPCS
|
Exam With Injections Of Chemical For Destruction Of Bladder Using An Endoscope
|
43
|
22
|
$8,194.00
|
$8,194.00
|
$154.41
|
$8,498.52
|
$3,277.60
|
2026-02-13
|
|
20611
|
HCPCS
|
Aspiration And/or Injection Of Fluid Large Joint Using Ultrasound Guidance
|
22
|
22
|
$5,400.75
|
$5,400.75
|
$2,160.30
|
$4,860.68
|
$3,196.39
|
2026-02-13
|
|
95811
|
HCPCS
|
Sleep Study In Sleep Lab With Continuous Airway Pressure (6 Years Or Older)
|
43
|
22
|
$7,903.00
|
$7,903.00
|
$60.65
|
$7,112.70
|
$3,161.20
|
2026-02-13
|
|
7080000031_1
|
CDM
|
Anes, Mon Sed 68-82 Mins
|
18
|
18
|
$3,863.00
|
$3,863.00
|
$1,545.20
|
$3,476.70
|
$3,100.06
|
2026-02-13
|
|
830500858_1
|
CDM
|
Epifix 2Cm X 4Cm
|
18
|
18
|
$3,857.00
|
$3,857.00
|
$1,542.80
|
$7,714.00
|
$3,095.24
|
2026-02-13
|
|
Q2050
|
HCPCS
|
Injection, Doxorubicin Hydrochloride, Liposomal, Not Otherwise Specified, 10 Mg
|
40
|
22
|
$8,185.00
|
$8,185.00
|
$1,230.00
|
$16,370.00
|
$3,021.24
|
2026-02-13
|
|
830501413_1
|
CDM
|
Mesh 8 Inch Bard
|
18
|
18
|
$3,720.00
|
$3,720.00
|
$1,488.00
|
$3,348.00
|
$2,985.30
|
2026-02-13
|
|
830502891_1
|
CDM
|
Pod Smart Toe Dip 13mm
|
18
|
18
|
$3,693.00
|
$3,693.00
|
$1,477.20
|
$3,323.70
|
$2,963.64
|
2026-02-13
|
|
830502890_1
|
CDM
|
Pod Smart Toe 2- 15mm Angled
|
18
|
18
|
$3,693.00
|
$3,693.00
|
$1,477.20
|
$3,323.70
|
$2,963.64
|
2026-02-13
|
|
88184
|
HCPCS
|
Flow Cytometry Technique For DNA Or Cell Analysis, First Marker
|
22
|
22
|
$5,228.75
|
$5,228.75
|
$806.66
|
$4,705.88
|
$2,954.24
|
2026-02-13
|
|
85060
|
HCPCS
|
Blood Smear Interpretation By Physician With Written Report
|
22
|
22
|
$5,228.75
|
$5,228.75
|
$26.26
|
$4,705.88
|
$2,954.24
|
2026-02-13
|
|
830501412_1
|
CDM
|
Mesh 7x9 Inch Bard
|
18
|
18
|
$3,615.00
|
$3,615.00
|
$1,446.00
|
$3,253.50
|
$2,901.04
|
2026-02-13
|
|
J1745
|
HCPCS
|
Injection, Infliximab, Excludes Biosimilar, 10 Mg
|
22
|
22
|
$3,519.00
|
$3,519.00
|
$1,407.60
|
$7,038.00
|
$2,894.38
|
2026-02-13
|
|
C8930
|
HCPCS
|
Transthoracic Echocardiography, With Contrast, Or Without Contrast Followed By W…
|
22
|
22
|
$4,485.00
|
$4,485.00
|
$1,794.00
|
$4,036.50
|
$2,796.36
|
2026-02-13
|
|
830501464_1
|
CDM
|
Myosure Reach Tissue Remvl Dev
|
18
|
18
|
$3,465.00
|
$3,465.00
|
$1,386.00
|
$3,118.50
|
$2,780.66
|
2026-02-13
|
|
J9041
|
HCPCS
|
Injection, Bortezomib, 0.1 Mg
|
22
|
22
|
$4,909.00
|
$4,909.00
|
$1,599.21
|
$9,818.00
|
$2,773.59
|
2026-02-13
|
|
830500857_1
|
CDM
|
Epifix 2Cm X 3Cm
|
18
|
18
|
$3,434.00
|
$3,434.00
|
$1,373.60
|
$6,868.00
|
$2,755.78
|
2026-02-13
|
|
52204
|
HCPCS
|
Biopsy Of Bladder Using An Endoscope
|
43
|
22
|
$6,828.50
|
$6,828.50
|
$130.61
|
$8,498.52
|
$2,731.40
|
2026-02-13
|
|
93350
|
HCPCS
|
Ultrasound Of Heart During Rest, Exercise And/or Drug-induced Stress With Report
|
22
|
22
|
$4,217.00
|
$4,217.00
|
$1,686.80
|
$3,795.30
|
$2,699.89
|
2026-02-13
|
|
70547
|
HCPCS
|
MRI Scan Of Blood Vessels Of Neck Without Contrast
|
22
|
22
|
$3,625.50
|
$3,625.50
|
$1,450.20
|
$3,262.95
|
$2,683.76
|
2026-02-13
|
|
C8929
|
HCPCS
|
Transthoracic Echocardiography With Contrast, Or Without Contrast Followed By Wi…
|
22
|
22
|
$4,146.00
|
$4,146.00
|
$1,658.40
|
$3,731.40
|
$2,674.32
|
2026-02-13
|
|
J1439
|
HCPCS
|
Injection, Ferric Carboxymaltose, 1 Mg
|
22
|
22
|
$3,864.00
|
$3,864.00
|
$1,545.60
|
$7,728.00
|
$2,631.01
|
2026-02-13
|
|
7080000037_1
|
CDM
|
Anes, Mon Sed 53-67 Mins
|
18
|
18
|
$3,241.00
|
$3,241.00
|
$1,296.40
|
$2,916.90
|
$2,600.90
|
2026-02-13
|
|
78472
|
HCPCS
|
Nuclear Medicine Study Of Heart Pumping Function By Labeling Red Blood Cells Wit…
|
22
|
22
|
$4,392.00
|
$4,392.00
|
$1,756.80
|
$3,952.80
|
$2,583.95
|
2026-02-13
|
|
J9145
|
HCPCS
|
Injection, Daratumumab, 10 Mg
|
36
|
18
|
$4,066.00
|
$4,066.00
|
$670.00
|
$12,914.00
|
$2,582.80
|
2026-02-13
|
|
78451
|
HCPCS
|
Nuclear Medicine Study Of Heart Muscle At Rest And With Stress And Spect
|
22
|
22
|
$3,115.00
|
$3,115.00
|
$1,246.00
|
$4,803.89
|
$2,554.30
|
2026-02-13
|
|
64721
|
HCPCS
|
Release And/or Relocation Of Hand Nerve
|
43
|
22
|
$6,292.00
|
$6,292.00
|
$312.53
|
$7,348.90
|
$2,516.80
|
2026-02-13
|
|
43251
|
HCPCS
|
Removal Of Polyps Or Growths Of Esophagus, Stomach, And/or Upper Small Bowel Usi…
|
43
|
22
|
$6,249.00
|
$6,249.00
|
$176.25
|
$5,624.10
|
$2,499.60
|
2026-02-13
|
|
43249
|
HCPCS
|
Balloon Dilation Of Esophagus, Stomach, And/or Upper Small Bowel Using A Flexibl…
|
43
|
22
|
$6,249.00
|
$6,249.00
|
$138.49
|
$5,624.10
|
$2,499.60
|
2026-02-13
|
|
43233
|
HCPCS
|
Balloon Dilation Of Esophagus, Stomach, And/or Upper Small Bowel Using A Flexibl…
|
42
|
22
|
$6,249.00
|
$6,249.00
|
$192.74
|
$5,624.10
|
$2,499.60
|
2026-02-13
|
|
J0881
|
HCPCS
|
Injection, Darbepoetin Alfa, 1 Microgram (non-esrd Use)
|
102
|
22
|
$4,659.00
|
$4,659.00
|
$377.52
|
$23,250.00
|
$2,479.94
|
2026-02-13
|
|
43246
|
HCPCS
|
Insertion Of Stomach Tube Using A Flexible Endoscope
|
42
|
22
|
$6,096.00
|
$6,096.00
|
$184.43
|
$5,486.40
|
$2,438.40
|
2026-02-13
|
|
15275
|
HCPCS
|
Application Of Skin Substitute Graft To Wound Of Face, Scalp, Eyelids, Mouth, Ne…
|
61
|
22
|
$3,471.00
|
$3,471.00
|
$86.36
|
$10,597.87
|
$2,416.40
|
2026-02-13
|
|
15273
|
HCPCS
|
Skin Substitute Graft To Wound 100.0 Sq Cm Or More Of Trunk, Arms, Or Legs, 100.…
|
43
|
22
|
$5,995.00
|
$5,995.00
|
$180.11
|
$10,597.87
|
$2,398.00
|
2026-02-13
|
|
830500856_1
|
CDM
|
Epifix 2Cm X 2Cm
|
18
|
18
|
$2,957.00
|
$2,957.00
|
$1,182.80
|
$5,914.00
|
$2,372.99
|
2026-02-13
|
|
Q5103
|
HCPCS
|
Injection, Infliximab-dyyb, Biosimilar, (inflectra), 10 Mg
|
22
|
22
|
$2,854.00
|
$2,854.00
|
$1,141.60
|
$5,708.00
|
$2,347.41
|
2026-02-13
|
|
830503284_1
|
CDM
|
Uretero-renoscope
|
18
|
18
|
$2,925.00
|
$2,925.00
|
$1,170.00
|
$2,632.50
|
$2,347.32
|
2026-02-13
|
|
830501543_1
|
CDM
|
Novasure
|
18
|
18
|
$2,905.00
|
$2,905.00
|
$1,162.00
|
$2,614.50
|
$2,331.26
|
2026-02-13
|
|
95810
|
HCPCS
|
Sleep Study In Sleep Lab (6 Years Or Older)
|
43
|
22
|
$5,817.00
|
$5,817.00
|
$89.78
|
$5,235.30
|
$2,326.80
|
2026-02-13
|
|
86366
|
HCPCS
|
Test For Muscle-specific Kinase Antibody
|
18
|
18
|
$2,866.00
|
$2,866.00
|
$1,146.40
|
$2,579.40
|
$2,299.97
|
2026-02-13
|
|
43250
|
HCPCS
|
Removal Of Polyps Or Growths Of Esophagus, Stomach, And/or Upper Small Bowel Usi…
|
43
|
22
|
$5,726.00
|
$5,726.00
|
$156.91
|
$5,264.05
|
$2,290.40
|
2026-02-13
|
|
27040
|
HCPCS
|
Biopsy Of Surface Tissue Of Pelvis And Hip
|
43
|
22
|
$5,671.00
|
$5,671.00
|
$184.43
|
$9,767.30
|
$2,268.40
|
2026-02-13
|
|
21555
|
HCPCS
|
Removal Of Growth Under Skin Of Neck Or Front Of Chest, Less Than 3.0 Cm
|
43
|
22
|
$5,671.00
|
$5,671.00
|
$297.86
|
$12,637.64
|
$2,268.40
|
2026-02-13
|
|
25111
|
HCPCS
|
Removal Of First Cyst Of Wrist
|
42
|
22
|
$5,602.00
|
$5,602.00
|
$295.13
|
$7,120.77
|
$2,240.80
|
2026-02-13
|
|
70546
|
HCPCS
|
MRI Scan Of Blood Vessels Of Head Before And After Contrast
|
43
|
22
|
$5,576.00
|
$5,576.00
|
$28.70
|
$5,018.40
|
$2,230.40
|
2026-02-13
|
|
7010000631_1
|
CDM
|
Mds Fish Panel
|
18
|
18
|
$2,770.00
|
$2,770.00
|
$1,108.00
|
$2,493.00
|
$2,222.93
|
2026-02-13
|
|
11423
|
HCPCS
|
Removal Of Noncancer Skin Growth Of Scalp, Neck, Hands, Feet, Or Genitals, 2.1-3…
|
43
|
22
|
$5,512.00
|
$5,512.00
|
$83.34
|
$6,601.03
|
$2,204.80
|
2026-02-13
|
|
11404
|
HCPCS
|
Removal Of Noncancer Skin Growth Of Body, Arms, Or Legs, 3.1-4.0 Cm
|
43
|
22
|
$5,512.00
|
$5,512.00
|
$99.88
|
$6,601.03
|
$2,204.80
|
2026-02-13
|
|
10140
|
HCPCS
|
Drainage Of Blood Or Fluid Accumulation
|
61
|
22
|
$3,481.00
|
$3,481.00
|
$25.49
|
$5,855.13
|
$2,204.80
|
2026-02-13
|
|
J1569
|
HCPCS
|
Injection, Immune Globulin, (gammagard Liquid), Non-lyophilized, (e.g., Liquid),…
|
116
|
22
|
$3,648.00
|
$3,648.00
|
$180.00
|
$29,092.00
|
$2,193.30
|
2026-02-13
|
|
830503002_1
|
CDM
|
Pod Stravix Pl Umb Tissue
|
18
|
18
|
$2,730.00
|
$2,730.00
|
$1,092.00
|
$2,457.00
|
$2,190.82
|
2026-02-13
|
|
21012
|
HCPCS
|
Removal Of Growth Under Skin Of Face Or Scalp, 2.0 Cm Or More
|
42
|
22
|
$5,457.00
|
$5,457.00
|
$328.05
|
$9,767.30
|
$2,182.80
|
2026-02-13
|
|
36597
|
HCPCS
|
Repositioning Of Central Venous Tube Using Fluoroscopic Guidance
|
43
|
22
|
$5,454.00
|
$5,454.00
|
$54.26
|
$4,908.60
|
$2,181.60
|
2026-02-13
|
|
36569
|
HCPCS
|
Insertion Of Tube For Infusion (5 Years Or Older)
|
40
|
22
|
$2,643.00
|
$2,643.00
|
$1,057.20
|
$5,988.79
|
$2,180.48
|
2026-02-13
|
|
72149
|
HCPCS
|
MRI Scan Of Lower Spinal Canal With Contrast
|
61
|
22
|
$3,897.00
|
$3,897.00
|
$79.61
|
$4,854.60
|
$2,157.60
|
2026-02-13
|
|
7015000012_1
|
CDM
|
Plasmapheresis
|
18
|
18
|
$2,686.00
|
$2,686.00
|
$1,074.40
|
$2,417.40
|
$2,155.52
|
2026-02-13
|
|
104027_1
|
CDM
|
Sodium Nitroprusside 50 Mg/2ml
|
18
|
18
|
$2,658.00
|
$2,658.00
|
$1,063.20
|
$2,392.20
|
$2,133.05
|
2026-02-13
|
|
74177
|
HCPCS
|
CT Scan Of Abdomen And Pelvis With Contrast
|
61
|
22
|
$5,160.00
|
$5,160.00
|
$81.16
|
$4,766.40
|
$2,115.60
|
2026-02-13
|
|
81420
|
HCPCS
|
Test For Detecting Genes Associated With Fetal Disease, Aneuploidy Genomic Seque…
|
22
|
22
|
$2,570.00
|
$2,570.00
|
$1,028.00
|
$2,902.48
|
$2,107.40
|
2026-02-13
|
|
7080000036_1
|
CDM
|
Anes, Mon Sed 38-52 Mins
|
18
|
18
|
$2,618.00
|
$2,618.00
|
$1,047.20
|
$2,356.20
|
$2,100.95
|
2026-02-13
|
|
11424
|
HCPCS
|
Removal Of Noncancer Skin Growth Of Scalp, Neck, Hands, Feet, Or Genitals, 3.1-4…
|
43
|
22
|
$5,249.00
|
$5,249.00
|
$100.43
|
$6,601.03
|
$2,099.60
|
2026-02-13
|
|
11626
|
HCPCS
|
Removal Of Cancer Skin Growth Of Scalp, Neck, Hands, Feet, Or Genitals, More Tha…
|
43
|
22
|
$5,249.00
|
$5,249.00
|
$21.10
|
$9,757.11
|
$2,099.60
|
2026-02-13
|
|
642
|
MS_DRG
|
Inborn And Other Disorders Of Metabolism
|
5
|
5
|
$2,458.00
|
$2,458.00
|
$2,015.56
|
$2,212.20
|
$2,089.30
|
2026-02-13
|
|
78830
|
HCPCS
|
Nuclear Medicine Study, Spect Imaging With Concurrent CT Scan, 1 Area Or Single …
|
43
|
22
|
$5,222.00
|
$5,222.00
|
$7.98
|
$4,803.89
|
$2,088.80
|
2026-02-13
|
|
830501411_1
|
CDM
|
Mesh 6x8 Inch Bard
|
18
|
18
|
$2,595.00
|
$2,595.00
|
$1,038.00
|
$2,335.50
|
$2,082.49
|
2026-02-13
|
|
71552
|
HCPCS
|
MRI Scan Of Chest Before And After Contrast
|
43
|
22
|
$5,163.00
|
$5,163.00
|
$89.06
|
$4,646.70
|
$2,065.20
|
2026-02-13
|
|
40812
|
HCPCS
|
Removal Of Growth Of Mouth With Simple Repair
|
43
|
22
|
$5,102.00
|
$5,102.00
|
$166.70
|
$9,920.56
|
$2,040.80
|
2026-02-13
|
|
74174
|
HCPCS
|
CT Scan Of Blood Vessels Of Abdomen And Pelvis With Contrast
|
43
|
22
|
$5,439.00
|
$5,439.00
|
$97.69
|
$4,895.10
|
$2,027.23
|
2026-02-13
|
|
74175
|
HCPCS
|
CT Scan Of Blood Vessels Of Abdomen With Contrast
|
43
|
22
|
$5,175.00
|
$5,175.00
|
$80.57
|
$4,657.50
|
$2,027.23
|
2026-02-13
|
|
70543
|
HCPCS
|
MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Before And After Contrast
|
43
|
22
|
$4,960.00
|
$4,960.00
|
$28.39
|
$4,464.00
|
$1,984.00
|
2026-02-13
|