Price Transparencybeta Hospital negotiated rates

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

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Hospital

GIBSON COMMUNITY HOSPITAL

Gibson City, IL · CCN 141317 · Rates published

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You selected 29806 (CPT)

SHOULDER ARTHROSCOPY/SURGERY

This hospital’s price: $2,083 across 17 payers · range $673-$5,666

Source: https://www.gibsonhospital.org/file/2582/370647938_gibson-area-hospital_standardcharges.csv · observed 2026-11-06

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

2,609 distinct procedures filed
17 distinct payers
504,579 rate rows
2026-11-06 last MRF observed
Data quality

502,434 of 504,579 rate rows are consumer-grade (99.6%)

2,145 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
exceeds 10× this hospital's gross charge — excluded from medians 1,596
percent-of-charges filed in the dollar field — excluded from medians 437
per-diem day rate — not a per-procedure price 65
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 40
placeholder amount (≤ $0.02) — excluded from medians 7
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.gibsonhospital.org/file/2582/370647938_gibson-area-hospital_standardcharges.csv
Found on page https://www.gibsonhospital.org/services-and-conditions/profile/financial-services
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-11-08
Content fingerprint 52cdf34e65fa9ddd… · 54,942,439 bytes · first seen 2026-11-06

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
37226
CPT 		X Ir Fem/popl Revasc W/stent 13 $11,148.50 $42,364.30 $37,904.90 nat. median
$12,847
outlier · 3.0×
37225
CPT 		X Ir Revasc W/atherectomy Incl Angioplas 13 $10,692.25 $40,630.55 $36,353.65 nat. median
$16,559
outlier · 2.2×
J9022
HCPCS 		Inj, Atezolizumab,10 Mg 14 $10,490.14 $39,862.53 $35,246.87 nat. median
$7,244
outlier · 4.9×
J9144
HCPCS 		Daratumumab, Hyaluronidase 14 $8,417.34 $37,365.93 $33,039.35 nat. median
$231
outlier · 143.2×
37241
CPT 		Ul Vascular Embolization/occlusion 13 $8,370.00 $35,373.25 $30,132.00 nat. median
$12,191
outlier · 2.5×
37238
CPT 		X Ir Placement Of Intravascular Stent 13 $8,832.25 $33,562.55 $30,029.65 nat. median
$12,456
outlier · 2.4×
37221
CPT 		X Ir Bil Kissing Stents 13 $8,593.25 $32,654.35 $29,217.05 nat. median
$12,180
outlier · 2.4×
J9228
HCPCS 		Ipilimumab Injection 14 $8,473.96 $57,086.40 $28,811.46 nat. median
$9,020
outlier · 3.2×
37243
CPT 		X Ir Vascular Embolization/occlusion Art 13 $8,408.00 $31,950.40 $28,587.20 nat. median
$12,478
outlier · 2.3×
J3380
HCPCS 		Inj Vedolizumab IV 1 Mg 14 $6,689.10 $30,198.73 $26,702.04 nat. median
$204
outlier · 131.1×
J3101
HCPCS 		Tenecteplase Injection 14 $7,193.60 $27,914.90 $24,682.65 nat. median
$4,042
outlier · 6.1×
J9306
HCPCS 		Injection, Pertuzumab, 1 Mg 14 $6,532.49 $24,823.47 $21,949.18 nat. median
$91
outlier · 241.2×
J9217
HCPCS 		Leuprolide Acetate Suspnsion 14 $786.00 $49,186.01 $21,628.73 nat. median
$1,581
outlier · 13.7×
J9271
HCPCS 		Inj Pembrolizumab 14 $6,186.25 $23,507.75 $21,033.25 nat. median
$323
outlier · 65.1×
J2353
HCPCS 		Octreotide Injection, Depot 14 $5,515.98 $26,608.46 $19,857.51 nat. median
$5,554
outlier · 3.6×
J9312
HCPCS 		Inj., Rituximab, 10 Mg 14 $5,826.49 $22,140.65 $19,577.00 nat. median
$1,109
outlier · 17.7×
J9225
HCPCS 		Vantas Implant 14 $5,166.29 $21,877.53 $19,344.34 nat. median
$6,077
outlier · 3.2×
J1950
HCPCS 		Leuprolide Acetate /3.75 Mg 14 $5,430.95 $20,637.61 $18,247.99 nat. median
$3,916
outlier · 4.7×
34701
CPT 		Evasc Rpr A-ao Ndgft 13 $5,006.50 $20,091.55 $17,553.67 nat. median
$4,941
outlier · 3.6×
J2506
HCPCS 		Inj Pegfilgrast Ex Bio 0.5mg 14 $1,576.97 $19,906.50 $17,391.99 nat. median
$1,662
outlier · 10.5×
72295
CPT 		X-ray Of Lower Spine Disk 13 $4,909.75 $18,657.05 $16,693.15 nat. median
$2,037
outlier · 8.2×
37184
CPT 		X Ir Arterial Mech Thromb Prim 13 $4,889.00 $18,578.20 $16,622.60 nat. median
$11,144
1.5× median
Q5108
HCPCS 		Injection, Fulphila 14 $1,693.37 $18,459.45 $16,322.04 nat. median
$1,244
outlier · 13.1×
Q5111
HCPCS 		Injection, Udenyca 0.5 Mg 14 $1,963.20 $18,234.55 $16,123.18 nat. median
$2,014
outlier · 8.0×
J1162
HCPCS 		Digoxin Immune Fab (ovine) 14 $4,599.31 $85,881.64 $15,637.67 nat. median
$7,098
outlier · 2.2×
50593
CPT 		CT Cryo Ablation Renal Tumor 13 $4,590.50 $17,443.90 $15,607.70 nat. median
$10,411
1.5× median
J9354
HCPCS 		Inj, Ado-trastuzumab Emt 1mg 14 $4,150.53 $25,235.19 $15,024.94 nat. median
$4,245
outlier · 3.5×
37191
CPT 		X Ivc Filter 13 $4,416.75 $16,783.65 $15,016.95 nat. median
$6,256
outlier · 2.4×
22510
CPT 		Perq Cervicothoracic Inject 13 $4,376.00 $16,628.80 $14,878.40 nat. median
$4,208
outlier · 3.5×
22511
CPT 		X Lumbarvrtebroplstyinor 13 $4,304.25 $16,356.15 $14,634.45 nat. median
$4,208
outlier · 3.5×
22513
CPT 		X Tspinekyphoplastyinor 18 $336.16 $25,314.65 $14,571.90 nat. median
$8,335
1.7× median
Q5119
HCPCS 		Inj Ruxience, 10 Mg 14 $3,775.40 $16,087.68 $14,224.90 nat. median
$818
outlier · 17.4×
22514
CPT 		X Lumbarkyphoplastyinor 18 $312.97 $20,826.85 $14,166.90 nat. median
$8,409
1.7× median
37187
CPT 		X Ir Venous Mech Thromb Prim 13 $3,957.50 $15,038.50 $13,455.50 nat. median
$10,005
1.3× median
36482
CPT 		Ul Ir Venaseal Endoven Ther Chem Ads 1st 13 $3,921.75 $14,902.65 $13,333.95 nat. median
$6,046
outlier · 2.2×
37211
CPT 		X Ir Arterial Thrombolysis Day 1 13 $3,831.50 $14,559.70 $13,027.10 nat. median
$5,550
outlier · 2.3×
J1306
HCPCS 		Injection, Inclisiran, 1 Mg 14 $3,423.05 $14,588.44 $12,899.25 nat. median
$51
outlier · 252.6×
J9035
HCPCS 		Bevacizumab Injection 14 $3,765.55 $14,309.07 $12,802.85 nat. median
$725
outlier · 17.7×
0673T
CPT 		Ul Radiofrequency Ablation Thyroid 13 $3,763.50 $14,301.30 $12,795.90 nat. median
$2,326
outlier · 5.5×
37766
CPT 		Phleb Veins - Extrem 20+ 13 $3,594.00 $13,657.20 $12,219.60 nat. median
$3,710
outlier · 3.3×
J0630
HCPCS 		Calcitonin(miacalcin):400units/2ml 14 $3,554.67 $13,764.00 $12,170.27 nat. median
$1,885
outlier · 6.5×
J0135
HCPCS 		Adalimumab Injection 13 $3,524.95 $13,394.81 $11,984.83 nat. median
$3,427
outlier · 3.5×
J2407
HCPCS 		Orbactiv(oritavancin) IV Vial: 1200mg 14 $3,096.60 $13,521.83 $11,956.15 nat. median
$80
outlier · 149.3×
J9043
HCPCS 		Cabazitaxel Injection 14 $712.99 $62,219.59 $11,739.18 nat. median
$742
outlier · 15.8×
37193
CPT 		X Ivc Filter Removal 13 $3,338.25 $12,685.35 $11,350.05 nat. median
$4,319
outlier · 2.6×
22515
CPT 		X Tspinekyphoeaaddlvl 18 $218.91 $143,564.00 $10,891.90 nat. median
$5,211
outlier · 2.1×
Q5107
HCPCS 		Inj Mvasi 10 Mg 14 $3,214.82 $12,216.33 $10,801.81 nat. median
$590
outlier · 18.3×
36475
CPT 		Ul Ir Endovenous Ablation 1st Vein 13 $3,164.00 $12,023.20 $10,757.60 nat. median
$4,061
outlier · 2.6×
37765
CPT 		Ul Micro Phleb 10-20-stabs 13 $3,143.50 $11,945.30 $10,687.90 nat. median
$3,499
outlier · 3.1×
A9521
HCPCS 		Tc99m Exametazime 13 $3,121.75 $11,862.65 $10,613.95 nat. median
$1,815
outlier · 5.8×

Other procedures at this hospital

Browse this hospital's 2,609 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
             
37226 CPT X Ir Fem/popl Revasc W/stent 20 13 $44,594.00 $44,594.00 $11,148.50 $42,364.30 $37,904.90 2026-07-15
37225 CPT X Ir Revasc W/atherectomy Incl Angioplas 20 13 $42,769.00 $42,769.00 $10,692.25 $40,630.55 $36,353.65 2026-07-15
J9022 HCPCS Inj, Atezolizumab,10 Mg 22 14 $41,960.56 $41,960.56 $10,490.14 $39,862.53 $35,246.87 2026-07-15
J9144 HCPCS Daratumumab, Hyaluronidase 22 14 $39,332.56 $39,332.56 $8,417.34 $37,365.93 $33,039.35 2026-07-15
37241 CPT Ul Vascular Embolization/occlusion 40 13 $35,357.50 $35,357.50 $8,370.00 $35,373.25 $30,132.00 2026-07-15
37238 CPT X Ir Placement Of Intravascular Stent 20 13 $35,329.00 $35,329.00 $8,832.25 $33,562.55 $30,029.65 2026-07-15
37221 CPT X Ir Bil Kissing Stents 20 13 $34,373.00 $34,373.00 $8,593.25 $32,654.35 $29,217.05 2026-07-15
J9228 HCPCS Ipilimumab Injection 22 14 $33,895.84 $33,895.84 $8,473.96 $57,086.40 $28,811.46 2026-07-15
37243 CPT X Ir Vascular Embolization/occlusion Art 20 13 $33,632.00 $33,632.00 $8,408.00 $31,950.40 $28,587.20 2026-07-15
J3380 HCPCS Inj Vedolizumab IV 1 Mg 22 14 $31,788.14 $31,788.14 $6,689.10 $30,198.73 $26,702.04 2026-07-15
J3101 HCPCS Tenecteplase Injection 22 14 $29,384.10 $29,384.10 $7,193.60 $27,914.90 $24,682.65 2026-07-15
J9306 HCPCS Injection, Pertuzumab, 1 Mg 22 14 $26,129.97 $26,129.97 $6,532.49 $24,823.47 $21,949.18 2026-07-15
J9217 HCPCS Leuprolide Acetate Suspnsion 122 14 $32,653.22 $32,653.22 $786.00 $49,186.01 $21,628.73 2026-07-15
J9271 HCPCS Inj Pembrolizumab 22 14 $24,745.00 $24,745.00 $6,186.25 $23,507.75 $21,033.25 2026-07-15
J2353 HCPCS Octreotide Injection, Depot 42 14 $22,063.90 $22,063.90 $5,515.98 $26,608.46 $19,857.51 2026-07-15
J9312 HCPCS Inj., Rituximab, 10 Mg 22 14 $23,305.95 $23,305.95 $5,826.49 $22,140.65 $19,577.00 2026-07-15
J9225 HCPCS Vantas Implant 22 14 $23,028.98 $23,028.98 $5,166.29 $21,877.53 $19,344.34 2026-07-15
J1950 HCPCS Leuprolide Acetate /3.75 Mg 22 14 $21,723.80 $21,723.80 $5,430.95 $20,637.61 $18,247.99 2026-07-15
34701 CPT Evasc Rpr A-ao Ndgft 40 13 $20,587.50 $20,587.50 $5,006.50 $20,091.55 $17,553.67 2026-07-15
J2506 HCPCS Inj Pegfilgrast Ex Bio 0.5mg 42 14 $20,954.21 $20,954.21 $1,576.97 $19,906.50 $17,391.99 2026-07-15
72295 CPT X-ray Of Lower Spine Disk 20 13 $19,639.00 $19,639.00 $4,909.75 $18,657.05 $16,693.15 2026-07-15
37184 CPT X Ir Arterial Mech Thromb Prim 20 13 $19,556.00 $19,556.00 $4,889.00 $18,578.20 $16,622.60 2026-07-15
Q5108 HCPCS Injection, Fulphila 22 14 $19,431.00 $19,431.00 $1,693.37 $18,459.45 $16,322.04 2026-07-15
Q5111 HCPCS Injection, Udenyca 0.5 Mg 22 14 $19,194.26 $19,194.26 $1,963.20 $18,234.55 $16,123.18 2026-07-15
J1162 HCPCS Digoxin Immune Fab (ovine) 22 14 $18,397.26 $18,397.26 $4,599.31 $85,881.64 $15,637.67 2026-07-15
50593 CPT CT Cryo Ablation Renal Tumor 20 13 $18,362.00 $18,362.00 $4,590.50 $17,443.90 $15,607.70 2026-07-15
J9354 HCPCS Inj, Ado-trastuzumab Emt 1mg 42 14 $26,563.36 $26,563.36 $4,150.53 $25,235.19 $15,024.94 2026-07-15
37191 CPT X Ivc Filter 20 13 $17,667.00 $17,667.00 $4,416.75 $16,783.65 $15,016.95 2026-07-15
22510 CPT Perq Cervicothoracic Inject 20 13 $17,504.00 $17,504.00 $4,376.00 $16,628.80 $14,878.40 2026-07-15
22511 CPT X Lumbarvrtebroplstyinor 20 13 $17,217.00 $17,217.00 $4,304.25 $16,356.15 $14,634.45 2026-07-15
22513 CPT X Tspinekyphoplastyinor 43 18 $16,191.00 $16,191.00 $336.16 $25,314.65 $14,571.90 2026-07-15
Q5119 HCPCS Inj Ruxience, 10 Mg 22 14 $16,934.40 $16,934.40 $3,775.40 $16,087.68 $14,224.90 2026-07-15
22514 CPT X Lumbarkyphoplastyinor 63 18 $16,471.00 $16,471.00 $312.97 $20,826.85 $14,166.90 2026-07-15
37187 CPT X Ir Venous Mech Thromb Prim 20 13 $15,830.00 $15,830.00 $3,957.50 $15,038.50 $13,455.50 2026-07-15
36482 CPT Ul Ir Venaseal Endoven Ther Chem Ads 1st 20 13 $15,687.00 $15,687.00 $3,921.75 $14,902.65 $13,333.95 2026-07-15
37211 CPT X Ir Arterial Thrombolysis Day 1 20 13 $15,326.00 $15,326.00 $3,831.50 $14,559.70 $13,027.10 2026-07-15
J1306 HCPCS Injection, Inclisiran, 1 Mg 22 14 $15,356.25 $15,356.25 $3,423.05 $14,588.44 $12,899.25 2026-07-15
J9035 HCPCS Bevacizumab Injection 22 14 $15,062.18 $15,062.18 $3,765.55 $14,309.07 $12,802.85 2026-07-15
0673T CPT Ul Radiofrequency Ablation Thyroid 20 13 $15,054.00 $15,054.00 $3,763.50 $14,301.30 $12,795.90 2026-07-15
37766 CPT Phleb Veins - Extrem 20+ 20 13 $14,376.00 $14,376.00 $3,594.00 $13,657.20 $12,219.60 2026-07-15
J0630 HCPCS Calcitonin(miacalcin):400units/2ml 22 14 $14,488.42 $14,488.42 $3,554.67 $13,764.00 $12,170.27 2026-07-15
J0135 HCPCS Adalimumab Injection 20 13 $14,099.80 $14,099.80 $3,524.95 $13,394.81 $11,984.83 2026-07-15
J2407 HCPCS Orbactiv(oritavancin) IV Vial: 1200mg 22 14 $14,233.50 $14,233.50 $3,096.60 $13,521.83 $11,956.15 2026-07-15
J9043 HCPCS Cabazitaxel Injection 42 14 $2,851.97 $2,851.97 $712.99 $62,219.59 $11,739.18 2026-07-15
37193 CPT X Ivc Filter Removal 20 13 $13,353.00 $13,353.00 $3,338.25 $12,685.35 $11,350.05 2026-07-15
22515 CPT X Tspinekyphoeaaddlvl 43 18 $151,120.00 $151,120.00 $218.91 $143,564.00 $10,891.90 2026-07-15
Q5107 HCPCS Inj Mvasi 10 Mg 22 14 $12,859.29 $12,859.29 $3,214.82 $12,216.33 $10,801.81 2026-07-15
36475 CPT Ul Ir Endovenous Ablation 1st Vein 20 13 $12,656.00 $12,656.00 $3,164.00 $12,023.20 $10,757.60 2026-07-15
37765 CPT Ul Micro Phleb 10-20-stabs 20 13 $12,574.00 $12,574.00 $3,143.50 $11,945.30 $10,687.90 2026-07-15
A9521 HCPCS Tc99m Exametazime 20 13 $12,487.00 $12,487.00 $3,121.75 $11,862.65 $10,613.95 2026-07-15
J9299 HCPCS Injection, Nivolumab 62 14 $12,389.31 $12,389.31 $1,257.52 $31,660.18 $10,407.02 2026-07-15
62380 CPT Ndsc Dcmprn 1 Ntrspc Lumbar 11 9 $11,393.00 $11,393.00 $3,417.90 $10,823.35 $10,253.70 2026-07-15
77047 CPT MRI Breast C- Bilateral 20 13 $11,904.00 $11,904.00 $2,976.00 $11,308.80 $10,118.40 2026-07-15
J7169 HCPCS Inj Andexxa, 10 Mg 22 14 $11,753.46 $11,753.46 $2,938.36 $21,510.00 $9,990.44 2026-07-15
37214 CPT X Ir Arterial Thrombolysis Day 3/cath Re 20 13 $11,714.00 $11,714.00 $2,928.50 $11,128.30 $9,956.90 2026-07-15
37213 CPT Thromblytic Art/ven Therapy 20 13 $11,714.00 $11,714.00 $2,928.50 $11,128.30 $9,956.90 2026-07-15
0282T CPT — 11 9 $11,013.00 $11,013.00 $3,303.90 $10,462.35 $9,911.70 2026-07-15
0360 RC — 1,455 13 $12,746.00 $12,746.00 $19.25 $81,251.60 $9,551.36 2026-07-15
J0881 HCPCS Darbepoetin Alfa, Non-esrd 62 14 $10,971.45 $10,971.45 $1,579.50 $17,371.46 $9,106.30 2026-07-15
22512 CPT X Vertbrplstyeaaddlvltorl 20 13 $10,599.00 $10,599.00 $2,649.75 $10,069.05 $9,009.15 2026-07-15
J9317 HCPCS Sacituzumab Govitecan-hziy 22 14 $10,547.24 $10,547.24 $2,636.81 $16,018.00 $8,965.15 2026-07-15
A9547 HCPCS Nm Dose INDIUM/.5mCi 20 13 $10,443.00 $10,443.00 $2,610.75 $9,920.85 $8,876.55 2026-07-15
47533 CPT X Ir Plmt Biliary Drainage Cath 20 13 $10,388.00 $10,388.00 $2,597.00 $9,868.60 $8,829.80 2026-07-15
37252 CPT Ul Intravascular Ultrasound Intial 20 13 $10,280.00 $10,280.00 $2,570.00 $9,766.00 $8,738.00 2026-07-15
36483 CPT Ul Ir Venaseal Endoven Ther Chem Ad Sbsq 20 13 $10,175.00 $10,175.00 $2,543.75 $9,666.25 $8,648.75 2026-07-15
20250 CPT Biopsy Vrt Bdy Open Thoracic 20 13 $10,144.00 $10,144.00 $2,536.00 $9,636.80 $8,622.40 2026-07-15
50433 CPT X Ir Nephroureteral Stent Placement 20 13 $10,115.00 $10,115.00 $2,528.75 $9,609.25 $8,597.75 2026-07-15
36573 CPT X Picc Line W Imaging 20 13 $9,987.00 $9,987.00 $2,496.75 $9,487.65 $8,488.95 2026-07-15
75736 CPT X Ir Angiography Pelvic 44 18 $10,148.00 $10,148.00 $62.25 $9,640.60 $8,422.84 2026-07-15
J3111 HCPCS Romosozumab Syr (evenity)210mg/2.34ml 22 14 $9,960.84 $9,960.84 $2,058.00 $9,462.80 $8,367.10 2026-07-15
37185 CPT X Ir Arterial Mech Thromb Sec 20 13 $9,814.00 $9,814.00 $2,453.50 $9,323.30 $8,341.90 2026-07-15
78816 CPT Nm PET CT Att Whole Body 40 13 $9,765.00 $9,765.00 $2,381.75 $9,502.85 $8,302.49 2026-07-15
75894 CPT X-rays Transcath Therapy 20 13 $9,745.00 $9,745.00 $2,436.25 $9,257.75 $8,283.25 2026-07-15
36569 CPT X Picc Line Wo Imaging 20 13 $9,456.00 $9,456.00 $2,364.00 $8,983.20 $8,037.60 2026-07-15
78815 CPT Nm PET CT Att Skull Base Mid Th 20 13 $9,386.00 $9,386.00 $2,346.50 $8,916.70 $7,978.10 2026-07-15
37188 CPT X Ir Venous Mech Thromb Sec 20 13 $9,381.00 $9,381.00 $2,345.25 $8,911.95 $7,973.85 2026-07-15
50432 CPT X Ir Plmt Nephrostomy Cath 20 13 $9,264.00 $9,264.00 $2,316.00 $8,800.80 $7,874.40 2026-07-15
C1778 HCPCS — 11 9 $8,748.00 $8,748.00 $2,624.40 $8,310.60 $7,873.20 2026-07-15
43116 CPT Partial Removal Of Esophagus 24 18 $21,297.00 $21,297.00 $2,106.30 $20,232.15 $7,831.10 2026-07-15
J1569 HCPCS Gammagard Liquid Injection 60 13 $9,433.46 $9,433.46 $263.32 $13,442.73 $7,829.77 2026-07-15
36247 CPT X Ir Arterial Cath Placement 20 13 $9,082.00 $9,082.00 $2,270.50 $8,627.90 $7,719.70 2026-07-15
47536 CPT X Ir Exchange Biliary Drainage Cath 20 13 $9,064.00 $9,064.00 $2,266.00 $8,610.80 $7,704.40 2026-07-15
74178 CPT CT Abd/pelv W/wo 20 13 $8,978.00 $8,978.00 $2,244.50 $8,529.10 $7,631.30 2026-07-15
J1602 HCPCS Golimumab For IV Use 1mg 20 13 $8,838.72 $8,838.72 $2,209.68 $8,396.78 $7,512.91 2026-07-15
78812 CPT PET Image Skull-thigh 20 13 $8,805.00 $8,805.00 $2,201.25 $8,364.75 $7,484.25 2026-07-15
78813 CPT PET Image Full Body 20 13 $8,794.00 $8,794.00 $2,198.50 $8,354.30 $7,474.90 2026-07-15
J9308 HCPCS Injection, Ramucirumab 42 14 $29,679.62 $29,679.62 $1,454.88 $28,195.64 $7,419.90 2026-07-15
70553 CPT Mr Brain W/wo 40 13 $8,613.00 $8,613.00 $2,021.75 $8,682.05 $7,278.30 2026-07-15
37253 CPT Ul Intravascular Ultrasound Additional 20 13 $8,562.00 $8,562.00 $2,140.50 $8,133.90 $7,277.70 2026-07-15
78814 CPT PET Image W/ct Lmtd 20 13 $8,482.00 $8,482.00 $2,120.50 $8,057.90 $7,209.70 2026-07-15
27052 CPT X Hip Joint Bx Bil 60 13 $7,829.00 $7,829.00 $1,957.25 $15,618.00 $7,046.10 2026-07-15
75716 CPT X Arteriogram Bil (up Or Low) 20 13 $8,287.00 $8,287.00 $2,071.75 $7,872.65 $7,043.95 2026-07-15
37200 CPT Transcatheter Biopsy 20 13 $8,126.00 $8,126.00 $2,031.50 $7,719.70 $6,907.10 2026-07-15
72158 CPT Mr L Spine W/wo 20 13 $8,087.00 $8,087.00 $2,021.75 $7,682.65 $6,873.95 2026-07-15
74183 CPT Mr Abdomen W/wo 20 13 $8,087.00 $8,087.00 $2,021.75 $7,682.65 $6,873.95 2026-07-15
47379 CPT Unlisted Laps Px Liver 11 9 $7,419.00 $7,419.00 $2,225.70 $7,048.05 $6,677.10 2026-07-15
72156 CPT Mr C Spine W/wo 20 13 $7,806.00 $7,806.00 $1,951.50 $7,415.70 $6,635.10 2026-07-15
73720 CPT * Dnu Mr Low Ext Lt W/wo (v606) 60 13 $8,087.00 $8,087.00 $806.00 $7,682.65 $6,590.91 2026-07-15
74177 CPT CT Abd/pelv With 20 13 $7,702.00 $7,702.00 $1,925.50 $7,316.90 $6,546.70 2026-07-15
36476 CPT Endovenous Rf Vein Add-on 20 13 $7,660.00 $7,660.00 $1,915.00 $7,277.00 $6,511.00 2026-07-15
72157 CPT Mr T Spine W/wo 20 13 $7,659.00 $7,659.00 $1,914.75 $7,276.05 $6,510.15 2026-07-15
J9044 HCPCS Inj, Bortezomib, Nos, 0.1 Mg 20 13 $7,616.70 $7,616.70 $1,904.17 $7,235.86 $6,474.19 2026-07-15
75710 CPT X Arteriogram Lt (up Or Low) 40 13 $7,526.00 $7,526.00 $1,881.50 $7,149.70 $6,397.10 2026-07-15
63020 CPT Neck Spine Disk Surgery 18 13 $7,638.00 $7,638.00 $1,119.97 $7,256.10 $6,339.54 2026-07-15
73723 CPT Mr Ankle Left W/wo 60 13 $7,017.00 $7,017.00 $1,754.25 $12,700.55 $6,315.30 2026-07-15
74174 CPT CTA Abd&pelv W/O&with Contrast 20 13 $7,363.00 $7,363.00 $1,840.75 $6,994.85 $6,258.55 2026-07-15
J1439 HCPCS Inj Ferric Carboxymaltos 1mg 22 14 $7,355.95 $7,355.95 $855.75 $6,988.15 $6,179.00 2026-07-15
43499 CPT Unlisted Procedure Esophagus 11 9 $6,853.00 $6,853.00 $2,055.90 $6,510.35 $6,167.70 2026-07-15
27604 CPT Drain Lower Leg Bursa 20 13 $7,256.00 $7,256.00 $1,814.00 $6,893.20 $6,167.60 2026-07-15
78811 CPT PET Image Ltd Area 20 13 $7,195.00 $7,195.00 $1,798.75 $6,835.25 $6,115.75 2026-07-15
Q2050 HCPCS Doxorubicin Inj 10mg 42 14 $10,356.44 $10,356.44 $1,455.81 $9,838.62 $6,098.41 2026-07-15
36589 CPT X Groshong Removal Catheter 20 13 $7,163.00 $7,163.00 $1,790.75 $6,804.85 $6,088.55 2026-07-15
49020 CPT Drainage Abdom Abscess Open 44 18 $6,901.00 $6,901.00 $480.00 $7,287.45 $6,038.38 2026-07-15
72142 CPT Mr C Spine With 20 13 $7,079.00 $7,079.00 $1,769.75 $6,725.05 $6,017.15 2026-07-15
61700 CPT Brain Aneurysm Repr Simple 24 18 $19,964.00 $19,964.00 $1,498.85 $18,965.80 $6,006.55 2026-07-15
J1438 HCPCS Etanercept (enbrel)syr: 50 mg/0.98ML 20 13 $7,049.88 $7,049.88 $1,762.47 $6,697.39 $5,992.40 2026-07-15
73721 CPT * Dnu Mr Jt Low Lt Wo (v606) 120 13 $7,594.00 $7,594.00 $597.00 $12,601.75 $5,968.80 2026-07-15
J3240 HCPCS Thyrotropin Injection 22 14 $7,025.80 $7,025.80 $1,756.45 $6,674.51 $5,901.67 2026-07-15
49407 CPT Image Cath Fluid Trns/vgnl 20 13 $6,924.00 $6,924.00 $1,731.00 $6,577.80 $5,885.40 2026-07-15
76094 CPT — 20 13 $6,901.00 $6,901.00 $1,725.25 $6,555.95 $5,865.85 2026-07-15
21550 CPT Ul Neck/chest Bx 20 13 $6,899.00 $6,899.00 $1,724.75 $6,554.05 $5,864.15 2026-07-15
15828 CPT Rhytidectomy Cheek Chn & Nck 33 13 $6,476.00 $6,476.00 $1,619.00 $7,905.90 $5,828.40 2026-07-15
70549 CPT MRA Neck W/wo + Reproc 20 13 $6,827.00 $6,827.00 $1,706.75 $6,485.65 $5,802.95 2026-07-15
59610 CPT Vbac Delivery 18 13 $6,920.00 $6,920.00 $2,076.00 $6,574.00 $5,743.60 2026-07-15
0278 RC — 26,000 13 $7,783.75 $7,783.75 $14.83 $214,682.52 $5,684.48 2026-07-15
73206 CPT CTA Up Ext Bil W/wo/reproc 20 13 $6,672.00 $6,672.00 $1,668.00 $6,338.40 $5,671.20 2026-07-15
72191 CPT CTA Pelv W/wo/reproc 20 13 $6,672.00 $6,672.00 $1,668.00 $6,338.40 $5,671.20 2026-07-15
49441 CPT X Ir Gastro/jejumostomy Tube Placement 20 13 $6,665.00 $6,665.00 $1,666.25 $6,331.75 $5,665.25 2026-07-15
74175 CPT CTA Abd (w Or W/o) 20 13 $6,656.00 $6,656.00 $1,664.00 $6,323.20 $5,657.60 2026-07-15
75635 CPT CTA Runofaorta/legsw/worep 20 13 $6,656.00 $6,656.00 $1,664.00 $6,323.20 $5,657.60 2026-07-15
71275 CPT CTA Chest W/wo/reproc 20 13 $6,656.00 $6,656.00 $1,664.00 $6,323.20 $5,657.60 2026-07-15
50435 CPT X Ir Exchange Nephrostomy Cath 20 13 $6,577.00 $6,577.00 $1,644.25 $6,248.15 $5,590.45 2026-07-15
27299 CPT Pelvis/hip Joint Surgery 11 9 $6,183.00 $6,183.00 $1,854.90 $5,873.85 $5,564.70 2026-07-15
73220 CPT * Dnu Mr Up Ext Lt W/wo (v606) 60 13 $6,827.00 $6,827.00 $806.00 $6,485.65 $5,564.01 2026-07-15
73223 CPT Dnu 140 13 $6,944.00 $6,944.00 $1,135.75 $7,682.65 $5,539.60 2026-07-15
74176 CPT CT Abd/pelv Without 20 13 $6,479.00 $6,479.00 $1,619.75 $6,155.05 $5,507.15 2026-07-15
J7187 HCPCS Humate-p, Inj 80 13 $6,824.92 $6,824.92 $15.58 $8,451.42 $5,467.25 2026-07-15
73718 CPT * Dnu Mr Low Ext Lt Wo (v606) 80 13 $6,488.00 $6,488.00 $597.00 $9,628.25 $5,449.92 2026-07-15
70543 CPT Mr Face W/wo 60 13 $6,250.00 $6,250.00 $1,510.75 $7,682.65 $5,438.70 2026-07-15
19081 CPT Mm Brst Strtctc 1st Lesion 20 13 $6,391.00 $6,391.00 $1,597.75 $6,071.45 $5,432.35 2026-07-15
72141 CPT Mr C Spine Without 20 13 $6,361.00 $6,361.00 $1,590.25 $6,042.95 $5,406.85 2026-07-15
73221 CPT * Dnu Mr Jt Up Lt Wo (v806) 140 13 $6,510.00 $6,510.00 $1,005.00 $12,370.90 $5,403.30 2026-07-15
70546 CPT MRA Head W + Wo Reproc 40 13 $6,286.00 $6,286.00 $1,571.50 $5,971.70 $5,343.10 2026-07-15
J9264 HCPCS Paclitaxel Protein Bound 22 14 $6,285.20 $6,285.20 $1,571.30 $7,314.00 $5,342.42 2026-07-15
59510 CPT OB Antepartum Care C Dlvr Postpartum 18 13 $6,404.00 $6,404.00 $1,921.20 $6,083.80 $5,315.32 2026-07-15
44238 CPT Laparoscope Proc, Intestine 11 9 $5,882.00 $5,882.00 $1,764.60 $5,587.90 $5,293.80 2026-07-15
70552 CPT Mr Brain With 20 13 $6,198.00 $6,198.00 $1,549.50 $5,888.10 $5,268.30 2026-07-15
72149 CPT Mr L Spine With 20 13 $6,165.00 $6,165.00 $1,541.25 $5,856.75 $5,240.25 2026-07-15
71552 CPT Mr Chest W/wo 20 13 $6,136.00 $6,136.00 $1,534.00 $5,829.20 $5,215.60 2026-07-15
62302 CPT X Myelogram Cervical 20 13 $6,129.00 $6,129.00 $1,532.25 $5,822.55 $5,209.65 2026-07-15
J1451 HCPCS Fomepizole (antizol):1.5gm/1.5ml -j/15mg 22 14 $6,197.99 $6,197.99 $813.45 $5,888.09 $5,206.31 2026-07-15
15829 CPT Rhytidectomy Smas Flap 33 13 $5,756.00 $5,756.00 $1,439.00 $6,678.50 $5,180.40 2026-07-15
J0129 HCPCS Abatacept Injection 22 14 $6,151.86 $6,151.86 $1,537.96 $5,844.27 $5,167.56 2026-07-15
70496 CPT CTA Head(cow)w/wo/reproc 20 13 $6,078.00 $6,078.00 $1,519.50 $5,774.10 $5,166.30 2026-07-15
62304 CPT X Myelogram Lumbar 20 13 $6,062.00 $6,062.00 $1,515.50 $5,758.90 $5,152.70 2026-07-15
19083 CPT Ul Breast Core Bx Lt (ea) 40 13 $6,061.00 $6,061.00 $1,515.25 $5,757.95 $5,151.85 2026-07-15
J0894 HCPCS Decitabine Injection 22 14 $6,132.70 $6,132.70 $70.75 $5,826.06 $5,151.47 2026-07-15
49657 CPT Lap Inc Hern Recur Comp 13 10 $6,006.00 $6,006.00 $1,440.51 $5,705.70 $5,105.10 2026-07-15
78454 CPT Ht Musc Image Planar Mult 20 13 $5,960.00 $5,960.00 $1,490.00 $5,662.00 $5,066.00 2026-07-15
77046 CPT MRI Breast C- Unilateral 40 13 $5,952.00 $5,952.00 $1,488.00 $5,654.40 $5,059.20 2026-07-15
20100 CPT Expl Pentrg Wound Neck 20 13 $5,947.00 $5,947.00 $1,486.75 $5,649.65 $5,054.95 2026-07-15
50590 CPT Major Surgery Extracorporeal Shockwave 44 18 $5,576.00 $5,576.00 $571.68 $18,965.80 $5,018.40 2026-07-15
72148 CPT Mr L Spine Without 20 13 $5,882.00 $5,882.00 $1,470.50 $5,587.90 $4,999.70 2026-07-15
Q5115 HCPCS Inj Truxima 10 Mg 42 14 $19,976.13 $19,976.13 $1,186.89 $18,977.32 $4,994.03 2026-07-15
72147 CPT MRI Chest Spine With Contrast 20 13 $5,873.00 $5,873.00 $1,468.25 $5,579.35 $4,992.05 2026-07-15
72194 CPT CT Pelvis W/wo 20 13 $5,852.00 $5,852.00 $1,463.00 $5,559.40 $4,974.20 2026-07-15
74182 CPT MRI Abdomen W/contrast 20 13 $5,843.00 $5,843.00 $1,460.75 $5,550.85 $4,966.55 2026-07-15
J9179 HCPCS Eribulin Mesylate Injection 22 14 $5,896.80 $5,896.80 $1,474.20 $5,601.96 $4,953.31 2026-07-15
J3262 HCPCS Tocilizumab Injection 42 14 $11,429.01 $11,429.01 $1,333.26 $10,857.56 $4,931.20 2026-07-15
73722 CPT Mr Ankle Lt W 80 13 $6,872.00 $6,872.00 $693.50 $7,859.35 $4,923.90 2026-07-15
59400 CPT Obstetrical Care 18 13 $5,927.00 $5,927.00 $1,778.10 $5,630.65 $4,919.41 2026-07-15
J9055 HCPCS Cetuximab Injection 42 14 $6,552.68 $6,552.68 $1,332.39 $10,363.95 $4,914.97 2026-07-15
36248 CPT X Ir Arterial Cath Placement Additional 20 13 $5,764.00 $5,764.00 $1,441.00 $5,475.80 $4,899.40 2026-07-15
73219 CPT MRI Upper Extremity With Contrast 80 13 $5,871.00 $5,871.00 $693.50 $5,577.45 $4,872.93 2026-07-15
72196 CPT MRI Pelvis With Contrast 20 13 $5,726.00 $5,726.00 $1,431.50 $5,439.70 $4,867.10 2026-07-15
62303 CPT X Myelogram Thoracic 20 13 $5,688.00 $5,688.00 $1,422.00 $5,403.60 $4,834.80 2026-07-15
44360 CPT Small Bowel Endoscopy 20 13 $5,684.00 $5,684.00 $1,421.00 $5,399.80 $4,831.40 2026-07-15
73719 CPT Mr Femur Left With 80 13 $5,797.00 $5,797.00 $693.50 $5,782.65 $4,811.51 2026-07-15
22861 CPT Rev Rplcm Arthrp 1ntrspc Crv 23 17 $16,003.00 $16,003.00 $1,121.23 $15,202.85 $4,800.90 2026-07-15
72146 CPT Mr T Spine Without 20 13 $5,639.00 $5,639.00 $1,409.75 $5,357.05 $4,793.15 2026-07-15
70498 CPT CTA Head/neck/carotid W Without Reprocessing 60 13 $5,789.00 $5,789.00 $934.00 $5,774.10 $4,775.92 2026-07-15
20240 CPT Bone Biopsy Open Superficial 20 13 $5,618.00 $5,618.00 $1,404.50 $5,337.10 $4,775.30 2026-07-15
15273 CPT Skin Sub Grft T/arm/lg Child 63 18 $5,871.00 $5,871.00 $126.08 $5,577.45 $4,755.51 2026-07-15
70545 CPT MRA Head W + Reproc 40 13 $5,579.00 $5,579.00 $1,360.75 $5,429.25 $4,743.45 2026-07-15
45499 CPT Laparoscope Proc Rectum 11 9 $5,235.00 $5,235.00 $1,570.50 $4,973.25 $4,711.50 2026-07-15
70542 CPT MRI Orbit/face/neck With Contrast 60 13 $5,671.00 $5,671.00 $1,297.50 $5,387.45 $4,706.93 2026-07-15
73706 CPT CTA Low Extbilatw/wo/reprc 60 13 $5,225.00 $5,225.00 $1,306.25 $9,926.55 $4,702.50 2026-07-15
70551 CPT Mr Brain Without 20 13 $5,525.00 $5,525.00 $1,381.25 $5,248.75 $4,696.25 2026-07-15
36010 CPT X Ir Intro Catheter Sup/inf Vena Cava 20 13 $5,448.00 $5,448.00 $1,362.00 $5,175.60 $4,630.80 2026-07-15
76093 CPT — 20 13 $5,435.00 $5,435.00 $1,358.75 $5,163.25 $4,619.75 2026-07-15
J2357 HCPCS Omalizumab Injection 22 14 $5,492.07 $5,492.07 $1,373.02 $5,217.47 $4,613.34 2026-07-15
73222 CPT * Dnu Mr Jt Up Lt W (v806) 120 13 $5,523.00 $5,523.00 $1,168.75 $7,106.00 $4,584.09 2026-07-15
74170 CPT CT Abdomen W/wo 20 13 $5,348.00 $5,348.00 $1,337.00 $5,080.60 $4,545.80 2026-07-15
72195 CPT Mr Pelvis Without 20 13 $5,331.00 $5,331.00 $1,332.75 $5,064.45 $4,531.35 2026-07-15
46500 CPT Ff Injection Into Hemorrhoid 20 13 $5,305.00 $5,305.00 $1,326.25 $5,039.75 $4,509.25 2026-07-15
70548 CPT Mr Angiography Neck With Contrast 20 13 $5,292.00 $5,292.00 $1,323.00 $5,027.40 $4,498.20 2026-07-15
38129 CPT Unlisted Laps Px Spleen 11 9 $4,996.00 $4,996.00 $1,498.80 $4,746.20 $4,496.40 2026-07-15
41145 CPT Tongue Removal Neck Surgery 24 18 $8,048.00 $8,048.00 $1,048.85 $7,645.60 $4,459.18 2026-07-15
90375 CPT Rabies I.G.(HyperRAB):300IntUnits/2ML 60 13 $5,041.24 $5,041.24 $1,235.96 $15,047.15 $4,449.47 2026-07-15
77084 CPT MRI Bone Marrow Blood Supply 20 13 $5,190.00 $5,190.00 $1,297.50 $4,930.50 $4,411.50 2026-07-15
71550 CPT MRI Chest Without Contrast 20 13 $5,174.00 $5,174.00 $1,293.50 $4,915.30 $4,397.90 2026-07-15
19082 CPT Mm Brst Strtctc Add Lesion 20 13 $5,173.00 $5,173.00 $1,293.25 $4,914.35 $4,397.05 2026-07-15
78451 CPT Nm Myocrdiosngl(rstorstrs) 20 13 $5,111.00 $5,111.00 $1,277.75 $4,855.45 $4,344.35 2026-07-15
71270 CPT CT Thorax Without & With Contrast 20 13 $5,091.00 $5,091.00 $1,272.75 $4,836.45 $4,327.35 2026-07-15
J9351 HCPCS Topotecan Injection 22 14 $5,142.78 $5,142.78 $44.36 $4,885.64 $4,319.93 2026-07-15
73700 CPT CT Low Ext Bilateral Without 60 13 $4,797.00 $4,797.00 $1,199.25 $9,113.35 $4,317.30 2026-07-15
70336 CPT Magnetic Image Jaw Joint 20 13 $5,069.00 $5,069.00 $1,267.25 $4,815.55 $4,308.65 2026-07-15
72198 CPT MRA Pelv With Andreproc 60 13 $5,190.00 $5,190.00 $1,134.00 $5,937.50 $4,308.45 2026-07-15
70547 CPT MRA Neck Wo + Reproc 20 13 $5,048.00 $5,048.00 $1,262.00 $4,795.60 $4,290.80 2026-07-15
15847 CPT Exc Skin Abd Add-on 44 13 $5,160.00 $5,160.00 $504.59 $5,239.25 $4,282.80 2026-07-15
73725 CPT Mr Ang Lwr Ext W Or Without Contrast 100 13 $5,190.00 $5,190.00 $1,134.00 $8,618.40 $4,281.75 2026-07-15
70544 CPT MRA Head W/o+reproc 40 13 $4,960.00 $4,960.00 $1,190.75 $4,899.15 $4,280.31 2026-07-15
49653 CPT Lap Vent/abd Hern Proc Comp 13 10 $5,017.00 $5,017.00 $1,016.31 $4,766.15 $4,264.45 2026-07-15
V5260 HCPCS Hearing Aid, Digit, Bin, Ite 90 10 $4,690.00 $4,690.00 $1,047.00 $6,355.50 $4,243.25 2026-07-15
V5140 HCPCS Behind Ear Binaural Hearing Aid Non Rechargeable 90 10 $4,690.00 $4,690.00 $1,047.00 $6,800.00 $4,243.25 2026-07-15
V5258 HCPCS Hearing Aid, Digit, Bin, Cic 90 10 $4,690.00 $4,690.00 $1,047.00 $7,200.00 $4,243.25 2026-07-15
V5261 HCPCS Hearing Aid Dig Binaural Bte Non Rechargeable 90 10 $4,690.00 $4,690.00 $1,047.00 $6,355.50 $4,243.25 2026-07-15
72133 CPT CT L Spine W/wo 20 13 $4,967.00 $4,967.00 $1,241.75 $4,718.65 $4,221.95 2026-07-15
72130 CPT CT Chest Spine Without & With Contrast 20 13 $4,967.00 $4,967.00 $1,241.75 $4,718.65 $4,221.95 2026-07-15
72127 CPT CT Neck Spine Without & With Contrast 20 13 $4,967.00 $4,967.00 $1,241.75 $4,718.65 $4,221.95 2026-07-15
V5130 HCPCS In Ear Binaural Hearing Aid 90 10 $4,690.00 $4,690.00 $1,047.00 $6,355.50 $4,221.00 2026-07-15
V5253 HCPCS Hearing Aid Binaural Bte Dig Program Non Rechargeable 90 10 $4,690.00 $4,690.00 $1,047.00 $6,355.50 $4,221.00 2026-07-15
73218 CPT Mr Forearm Left Without 100 13 $4,962.00 $4,962.00 $597.00 $4,949.50 $4,217.70 2026-07-15
74185 CPT MRA Abd Without & Reproc 40 13 $5,393.00 $5,393.00 $1,134.00 $5,937.50 $4,204.51 2026-07-15
38222 CPT CT Bone Marrow Aspiration/biopsy 20 13 $4,939.00 $4,939.00 $1,234.75 $4,692.05 $4,198.15 2026-07-15
70540 CPT Mr Face Without 40 13 $4,905.50 $4,905.50 $1,190.75 $4,795.60 $4,189.84 2026-07-15
A9595 HCPCS Piflu F-18, Dia 1 Millicurie 20 13 $4,928.00 $4,928.00 $1,232.00 $4,681.60 $4,188.80 2026-07-15
45999 CPT Unlisted Procedure Rectum 20 13 $4,905.00 $4,905.00 $1,226.25 $4,659.75 $4,169.25 2026-07-15
C8929 HCPCS Ul Echo Contrast/complete 40 13 $4,892.50 $4,892.50 $1,193.25 $4,761.40 $4,159.96 2026-07-15
33926 CPT Repr Pul Art Unifocal W/cpb 23 17 $13,864.00 $13,864.00 $1,407.80 $13,170.80 $4,159.20 2026-07-15
19084 CPT Ul Bx Breast W/device Addl Lesion US Ima 20 13 $4,873.00 $4,873.00 $1,218.25 $4,629.35 $4,142.05 2026-07-15
29999 CPT Arthroscopy Of Joint 11 9 $4,565.00 $4,565.00 $1,369.50 $4,336.75 $4,108.50 2026-07-15
27041 CPT CT Soft Tissue (deep) Biopsy 20 13 $4,758.00 $4,758.00 $1,189.50 $4,520.10 $4,044.30 2026-07-15
70492 CPT CT Neck W/wo(softtissue) 20 13 $4,753.00 $4,753.00 $1,188.25 $4,515.35 $4,040.05 2026-07-15
36140 CPT X Arteriogram Inject 20 13 $4,745.00 $4,745.00 $1,186.25 $4,507.75 $4,033.25 2026-07-15
95805 CPT Multiple Sleep Latency Testing Mslt 20 13 $4,706.00 $4,706.00 $1,176.50 $4,470.70 $4,000.10 2026-07-15
72132 CPT CT L Spine W 20 13 $4,694.00 $4,694.00 $1,173.50 $4,459.30 $3,989.90 2026-07-15
76400 CPT — 20 13 $4,675.00 $4,675.00 $1,168.75 $4,441.25 $3,973.75 2026-07-15
88348 CPT Surg Path-electron Microscopy 20 13 $4,667.00 $4,667.00 $1,166.75 $4,433.65 $3,966.95 2026-07-15
70470 CPT CT Head W/wo 20 13 $4,659.00 $4,659.00 $1,164.75 $4,426.05 $3,960.15 2026-07-15
22586 CPT Arthrd Pre-sac Ntrbdy L5-s1 23 17 $13,189.00 $13,189.00 $950.83 $12,529.55 $3,956.70 2026-07-15
J7190 HCPCS Factor Viii 142 14 $4,825.17 $4,825.17 $544.91 $7,557.26 $3,932.51 2026-07-15
74160 CPT CT Abdomen With 20 13 $4,624.00 $4,624.00 $1,156.00 $4,392.80 $3,930.40 2026-07-15
49561 CPT Rpr Ventral Hern Init, Block 14 11 $4,621.00 $4,621.00 $1,014.11 $4,389.95 $3,927.85 2026-07-15
70488 CPT CT Facial Bones W/wo 40 13 $4,611.00 $4,611.00 $1,152.75 $4,380.45 $3,919.35 2026-07-15
73702 CPT CT Low Ext W/wo Left 40 13 $4,611.00 $4,611.00 $1,152.75 $4,380.45 $3,919.35 2026-07-15
72129 CPT CT T Spine W 20 13 $4,611.00 $4,611.00 $1,152.75 $4,380.45 $3,919.35 2026-07-15
73202 CPT CT Up Ext Lt W/wo 20 13 $4,611.00 $4,611.00 $1,152.75 $4,380.45 $3,919.35 2026-07-15
49566 CPT Rerepair Ventrl Hern Block 14 11 $4,602.00 $4,602.00 $1,022.82 $4,371.90 $3,911.70 2026-07-15
72193 CPT CT Pelvis With 20 13 $4,598.00 $4,598.00 $1,149.50 $4,368.10 $3,908.30 2026-07-15
72126 CPT CT C Spine With 20 13 $4,598.00 $4,598.00 $1,149.50 $4,368.10 $3,908.30 2026-07-15
J9202 HCPCS Goserelin Acetate Implant 22 14 $4,650.03 $4,650.03 $1,162.51 $4,417.53 $3,906.03 2026-07-15
22864 CPT Rmvl Tot Arthrp 1ntrspc Crv 23 17 $12,951.00 $12,951.00 $1,051.39 $12,303.45 $3,885.30 2026-07-15
73225 CPT Mr Angio Upr Extr W/o&with Contrast 20 13 $4,536.00 $4,536.00 $1,134.00 $4,309.20 $3,855.60 2026-07-15
72159 CPT Mr Angio Spine W/o&with Contrast 20 13 $4,536.00 $4,536.00 $1,134.00 $4,309.20 $3,855.60 2026-07-15
77012 CPT CT Needle Placement CT Guidance 20 13 $4,527.00 $4,527.00 $1,131.75 $4,300.65 $3,847.95 2026-07-15
J0585 HCPCS Botox Therapeutic 100 Units: J/unit 64 13 $4,780.69 $4,780.69 $4.00 $4,768.41 $3,843.55 2026-07-15
J9010 HCPCS — 20 13 $4,517.39 $4,517.39 $1,129.35 $4,291.52 $3,839.78 2026-07-15
19340 CPT Insj Breast Implt Sm D Mast 86 18 $5,346.00 $5,346.00 $310.80 $6,177.85 $3,808.03 2026-07-15
70482 CPT CT Iac W/wo 60 13 $4,391.00 $4,391.00 $1,094.75 $4,380.45 $3,804.07 2026-07-15
27134 CPT Revise Hip Joint Replacement 48 18 $17,414.00 $17,414.00 $1,048.85 $16,543.30 $3,785.20 2026-07-15
19318 CPT Breast Reduction 86 18 $5,068.00 $5,068.00 $374.60 $6,755.45 $3,749.54 2026-07-15
81450 CPT Myeloid-ngs 20 13 $4,410.00 $4,410.00 $1,102.50 $4,189.50 $3,748.50 2026-07-15
76360 CPT — 20 13 $4,405.00 $4,405.00 $1,101.25 $4,184.75 $3,744.25 2026-07-15
26370 CPT Repair Finger/hand Tendon 44 18 $4,102.00 $4,102.00 $307.20 $8,493.00 $3,691.80 2026-07-15
38220 CPT Dx Bone Marrow Aspirations 64 18 $4,643.00 $4,643.00 $50.15 $4,527.70 $3,691.49 2026-07-15
50389 CPT X Ir Removal Of Nephrostomy Cath 20 13 $4,319.00 $4,319.00 $1,079.75 $4,103.05 $3,671.15 2026-07-15
22551 CPT Neck Spine Fuse/remove Addl 23 17 $12,199.00 $12,199.00 $1,062.48 $11,589.05 $3,659.70 2026-07-15
22633 CPT Lumbar Spine Fusion Combined 23 17 $12,193.00 $12,193.00 $1,132.79 $11,583.35 $3,657.90 2026-07-15
J1572 HCPCS Flebogamma Injection 42 14 $9,438.66 $9,438.66 $959.60 $8,966.73 $3,646.47 2026-07-15
27193091 CDM Ul Sclerotherapy Fluid Collection W/img 20 13 $4,253.00 $4,253.00 $1,063.25 $4,040.35 $3,615.05 2026-07-15
0361 RC — 60 13 $4,253.00 $4,253.00 $608.50 $15,411.85 $3,615.05 2026-07-15
64435 CPT Njx Aa&/strd Paracrv Nrv 20 13 $4,249.00 $4,249.00 $1,062.25 $4,036.55 $3,611.65 2026-07-15
48102 CPT Needle Biopsy Pancreas 40 13 $4,368.00 $4,368.00 $997.25 $4,509.65 $3,598.91 2026-07-15
73201 CPT CT Up Ext Lt W 40 13 $4,217.00 $4,217.00 $1,054.25 $4,006.15 $3,584.45 2026-07-15
15825 CPT Rhytdct Nck Pltysml Tghtg 33 13 $3,973.00 $3,973.00 $993.25 $4,541.00 $3,575.70 2026-07-15
15832 CPT Exc Excessive Skin Thigh 86 18 $4,757.00 $4,757.00 $340.15 $5,706.65 $3,560.41 2026-07-15
Q5103 HCPCS Injection, Inflectra 22 14 $4,133.07 $4,133.07 $1,033.27 $3,926.42 $3,513.11 2026-07-15
70491 CPT CT Neck W/(soft Tissue) 20 13 $4,116.00 $4,116.00 $1,029.00 $3,910.20 $3,498.60 2026-07-15
70460 CPT CT Head With 20 13 $4,103.00 $4,103.00 $1,025.75 $3,897.85 $3,487.55 2026-07-15
75898 CPT Follow-up Angiography 20 13 $4,102.00 $4,102.00 $1,025.50 $3,896.90 $3,486.70 2026-07-15
75989 CPT CT Guide Perc Drain W/cath 40 13 $4,220.50 $4,220.50 $954.00 $4,393.75 $3,453.48 2026-07-15
73701 CPT CT Low Ext W Lt 20 13 $4,062.00 $4,062.00 $1,015.50 $3,858.90 $3,452.70 2026-07-15
15835 CPT Exc Excessive Skin Buttock 44 18 $4,901.00 $4,901.00 $319.10 $4,655.95 $3,426.24 2026-07-15
J1561 HCPCS Gamunex-c/gammaked 122 14 $4,542.62 $4,542.62 $322.83 $17,261.94 $3,425.17 2026-07-15
72131 CPT CT L Spine Without 20 13 $4,022.00 $4,022.00 $1,005.50 $3,820.90 $3,418.70 2026-07-15
72125 CPT CT C Spine Without 20 13 $4,022.00 $4,022.00 $1,005.50 $3,820.90 $3,418.70 2026-07-15
49450 CPT X Ir Gastrostomy Tube Replacement 20 13 $4,018.00 $4,018.00 $1,004.50 $3,817.10 $3,415.30 2026-07-15
10030 CPT Ul Guided Fluid Collection Drainage 40 13 $3,957.50 $3,957.50 $955.25 $3,889.30 $3,398.02 2026-07-15
0352 RC — 20 13 $3,989.00 $3,989.00 $997.25 $3,789.55 $3,390.65 2026-07-15
72192 CPT CT Pelvis Without 20 13 $3,973.00 $3,973.00 $993.25 $3,774.35 $3,377.05 2026-07-15
70450 CPT CT Head Without 20 13 $3,973.00 $3,973.00 $993.25 $3,774.35 $3,377.05 2026-07-15
74150 CPT CT Abdomen Without 20 13 $3,973.00 $3,973.00 $993.25 $3,774.35 $3,377.05 2026-07-15
77021 CPT MRI Guidance Ndl Plmt Rs&i 20 13 $3,962.00 $3,962.00 $990.50 $3,763.90 $3,367.70 2026-07-15
62321 CPT CT Esi C/t Spine 83 18 $3,822.00 $3,822.00 $67.64 $4,666.40 $3,364.72 2026-07-15
70487 CPT CT Facial Bones With 40 13 $3,986.50 $3,986.50 $984.75 $3,832.30 $3,348.22 2026-07-15
44146 CPT Partial Removal Of Colon 24 18 $5,415.00 $5,415.00 $951.80 $5,144.25 $3,345.14 2026-07-15
64488 CPT Tap Block Bi Injection 20 13 $3,893.00 $3,893.00 $973.25 $3,698.35 $3,309.05 2026-07-15
V5221 HCPCS Hearing Aid Binaural Bte/bte 13 10 $3,708.00 $3,708.00 $1,112.40 $3,522.60 $3,295.00 2026-07-15
44155 CPT Removal Of Colon/ileostomy 24 18 $8,441.00 $8,441.00 $1,198.70 $8,018.95 $3,291.96 2026-07-15
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