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

4,475 distinct procedures filed
18 distinct payers
243,617 rate rows
2026-07-15 last MRF observed
Data quality

242,460 of 243,617 rate rows are consumer-grade (99.5%)

1,157 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
placeholder amount (≤ $0.02) — excluded from medians 636
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 238
percent-of-charges filed in the dollar field — excluded from medians 213
exceeds 10× this hospital's gross charge — excluded from medians 46
per-diem day rate — not a per-procedure price 24
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 success · 2026-08-11
Content fingerprint 36edd4932e40e13f… · 2,205,045 bytes · first seen 2026-05-15

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
$12,642
outlier · 3.0×
37225
CPT 		X Ir Revasc W/atherectomy Incl Angioplas 13 $10,692.25 $40,630.55 $36,353.65 nat. median
$16,382
outlier · 2.2×
J9022
HCPCS 		Tecentriq (atezolizumab)vial:1200mg/20ml 14 $10,490.14 $39,862.53 $35,246.87 nat. median
$5,498
outlier · 6.4×
J9144
HCPCS 		Daratumumab-hya(darzalex)sdv:1800mg/15ml 14 $8,417.34 $37,365.93 $33,039.35 nat. median
$202
outlier · 163.5×
37241
CPT 		Ul Vascular Embolization/occlusion 13 $8,370.00 $35,373.25 $30,132.00 nat. median
$12,087
outlier · 2.5×
37238
CPT 		X Ir Placement Of Intravascular Stent 13 $8,832.25 $33,562.55 $30,029.65 nat. median
$12,243
outlier · 2.5×
37221
CPT 		X Ir Bil Kissing Stents 13 $8,593.25 $32,654.35 $29,217.05 nat. median
$12,054
outlier · 2.4×
J9228
HCPCS 		Ipilimumab(yervoy)iv: 50mg/10ml 14 $8,473.96 $57,086.40 $28,811.46 nat. median
$8,184
outlier · 3.5×
37243
CPT 		X Ir Vascular Embolization/occlusion Art 13 $8,408.00 $31,950.40 $28,587.20 nat. median
$12,343
outlier · 2.3×
J3380
HCPCS 		Entyvio (vedolizumab) Vial 300mg 14 $6,689.10 $30,198.73 $26,702.04 nat. median
$150
outlier · 178.3×
J3101
HCPCS 		TENECTEPLASE(TNKase)KIT:50MG 14 $7,193.60 $27,914.90 $24,682.65 nat. median
$3,475
outlier · 7.1×
J9306
HCPCS 		Perjeta (pertuzumab) Vial: 420mg/14ml 14 $6,532.49 $24,823.47 $21,949.18 nat. median
$67
outlier · 329.2×
J9217
HCPCS 		Leuprolide(lupron)syr30mg:per7.5mg-men 14 $786.00 $49,186.01 $21,628.73 nat. median
$1,518
outlier · 14.2×
J9271
HCPCS 		Keytruda (pembrolizumab) Vial: 100mg/4ml 14 $6,186.25 $23,507.75 $21,033.25 nat. median
$254
outlier · 82.9×
J2353
HCPCS 		OCTREOTIDE(SandoSTIN Lar) Kit:30mg J/1 14 $5,515.98 $26,608.46 $19,857.51 nat. median
$5,513
outlier · 3.6×
J9312
HCPCS 		riTUXimab(RITUXAN)VIAL:500MG/50ML 14 $5,826.49 $22,140.65 $19,577.00 nat. median
$1,027
outlier · 19.1×
J9225
HCPCS 		Histrelin Acet(vantas)implant:50mg 14 $5,166.29 $21,877.53 $19,344.34 nat. median
$6,115
outlier · 3.2×
J1950
HCPCS 		Leuprolide(lupron Depo)(3months) 11.25mg 14 $5,430.95 $20,637.61 $18,247.99 nat. median
$3,885
outlier · 4.7×
34701
CPT 		X Ir Aaa Repair 13 $5,006.50 $20,091.55 $17,553.67 nat. median
$4,985
outlier · 3.5×
J2506
HCPCS 		Pegfilgrastim(neulasta)syr 6mg/0.6ml 14 $1,576.97 $19,906.50 $17,391.99 nat. median
$1,555
outlier · 11.2×
72295
CPT 		X Lumbar Discogram 13 $4,909.75 $18,657.05 $16,693.15 nat. median
$2,023
outlier · 8.2×
37184
CPT 		X Ir Arterial Mech Thromb Prim 13 $4,889.00 $18,578.20 $16,622.60 nat. median
$10,750
1.5× median
Q5108
HCPCS 		Pegfilgrastim-jmdb(fulphila)syr6mg/0.6ml 14 $1,693.37 $18,459.45 $16,322.04 nat. median
$1,244
outlier · 13.1×
Q5111
HCPCS 		Pegfilgrastim-cbqv(udenyca)syr 6mg/0.6ml 14 $1,963.20 $18,234.55 $16,123.18 nat. median
$1,862
outlier · 8.7×
J1162
HCPCS 		Digoxin Immune Fab(digifab)vial:40mg 14 $4,599.31 $85,881.64 $15,637.67 nat. median
$7,100
outlier · 2.2×
50593
CPT 		CT Cryo Ablation Renal Tumor 13 $4,590.50 $17,443.90 $15,607.70 nat. median
$10,309
1.5× median
J9354
HCPCS 		Kadcyla (ado-trastuzumab) Vial 160mg 14 $4,150.53 $25,235.19 $15,024.94 nat. median
$4,097
outlier · 3.7×
37191
CPT 		X Ivc Filter 13 $4,416.75 $16,783.65 $15,016.95 nat. median
$6,251
outlier · 2.4×
22510
CPT 		X Tspinevrtebroplstyinor 13 $4,376.00 $16,628.80 $14,878.40 nat. median
$4,216
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 		Perq Vertebral Augmentation 18 $336.16 $25,314.65 $14,571.90 nat. median
$8,294
1.8× median
Q5119
HCPCS 		Rituximab-pvvr(ruxience)vial:500mg/50ml 14 $3,775.40 $16,087.68 $14,224.90 nat. median
$751
outlier · 18.9×
22514
CPT 		Kyphoplasty Perq Vertebral Augmentation 18 $312.97 $20,826.85 $14,166.90 nat. median
$8,313
1.7× median
37187
CPT 		X Ir Venous Mech Thromb Prim 13 $3,957.50 $15,038.50 $13,455.50 nat. median
$9,847
1.4× median
36482
CPT 		Ul Ir Venaseal Endoven Ther Chem Ads 1st 13 $3,921.75 $14,902.65 $13,333.95 nat. median
$6,035
outlier · 2.2×
37211
CPT 		X Ir Arterial Thrombolysis Day 1 13 $3,831.50 $14,559.70 $13,027.10 nat. median
$5,490
outlier · 2.4×
J1306
HCPCS 		Inclisiran (leqvio) Syr: 284mg/1.5ml 14 $3,423.05 $14,588.44 $12,899.25 nat. median
$43
outlier · 299.1×
J9035
HCPCS 		Bevacizumab(avastin):400mg/16ml 14 $3,765.55 $14,309.07 $12,802.85 nat. median
$677
outlier · 18.9×
0673T
CPT 		Ul Radiofrequency Ablation Thyroid 13 $3,763.50 $14,301.30 $12,795.90 nat. median
$2,231
outlier · 5.7×
37766
CPT 		Ul Micro Phleb 20 Plus Stabs 13 $3,594.00 $13,657.20 $12,219.60 nat. median
$3,725
outlier · 3.3×
J0630
HCPCS 		Calcitonin(miacalcin):400units/2ml 14 $3,554.67 $13,764.00 $12,170.27 nat. median
$1,889
outlier · 6.4×
J0135
HCPCS 		Adalimumab (humira) Syringe 40mg/0.8ml 13 $3,524.95 $13,394.81 $11,984.83 nat. median
$3,399
outlier · 3.5×
J2407
HCPCS 		Orbactiv(oritavancin) IV Vial: 1200mg 14 $3,096.60 $13,521.83 $11,956.15 nat. median
$72
outlier · 166.7×
J9043
HCPCS 		Cabazitaxel(jevtana)60mg/1.5ml:j/1mg 14 $712.99 $62,219.59 $11,739.18 nat. median
$709
outlier · 16.6×
37193
CPT 		X Ivc Filter Removal 13 $3,338.25 $12,685.35 $11,350.05 nat. median
$4,318
outlier · 2.6×
22515
CPT 		Perq Vertebral Augmentation 18 $218.91 $143,564.00 $10,891.90 nat. median
$5,290
outlier · 2.1×
Q5107
HCPCS 		Bevacizumab-awwb(mvasi):400mg/16ml 14 $3,214.82 $12,216.33 $10,801.81 nat. median
$483
outlier · 22.3×
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
$3,546
outlier · 3.0×
A9521
HCPCS 		Nm Dose Ceretec/dose (<25mCi) 13 $3,121.75 $11,862.65 $10,613.95 nat. median
$1,829
outlier · 5.8×

Other procedures at this hospital

Browse this hospital's 4,475 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
             
0360 RC — 1,455 13 $12,746.00 $12,746.00 $19.25 $81,251.60 $9,551.36 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
0361 RC — 60 13 $4,253.00 $4,253.00 $608.50 $15,411.85 $3,615.05 2026-07-15
0352 RC — 20 13 $3,989.00 $3,989.00 $997.25 $3,789.55 $3,390.65 2026-07-15
76360 CPT * Dnu CT Guide Needle Bx(v0107) 20 13 $4,405.00 $4,405.00 $1,101.25 $4,184.75 $3,744.25 2026-07-15
76400 CPT * Dnu Mr Bone Marrow(v0107) 20 13 $4,675.00 $4,675.00 $1,168.75 $4,441.25 $3,973.75 2026-07-15
76094 CPT * Dnu Mr Breast Bil W/wo(v0107) 20 13 $6,901.00 $6,901.00 $1,725.25 $6,555.95 $5,865.85 2026-07-15
76093 CPT * Dnu Mr Breast Rt W/wo(v0107) 20 13 $5,435.00 $5,435.00 $1,358.75 $5,163.25 $4,619.75 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
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
73223 CPT * Dnu Mr Jt Up Lt W/wo (v806) 140 13 $6,944.00 $6,944.00 $1,135.75 $7,682.65 $5,539.60 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
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
73718 CPT * Dnu Mr Low Ext Rt Wo (v606) 80 13 $6,488.00 $6,488.00 $597.00 $9,628.25 $5,449.92 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
73722 CPT * Mr Jt Low Lt W (v606) 80 13 $6,872.00 $6,872.00 $693.50 $7,859.35 $4,923.90 2026-07-15
73719 CPT * Mr Low Ext Lt W (v606) 80 13 $5,797.00 $5,797.00 $693.50 $5,782.65 $4,811.51 2026-07-15
73219 CPT * Mr Up Ext Lt W (v606) 80 13 $5,871.00 $5,871.00 $693.50 $5,577.45 $4,872.93 2026-07-15
73218 CPT * Mr Up Ext Lt Wo (v606) 100 13 $4,962.00 $4,962.00 $597.00 $4,949.50 $4,217.70 2026-07-15
70498 CPT *dnu CTA Neck/carotid W/wo/reproc Pfa) 60 13 $5,789.00 $5,789.00 $934.00 $5,774.10 $4,775.92 2026-07-15
J9351 HCPCS *topotecan(hycamtin)vial:4mg(v1011) 22 14 $5,142.78 $5,142.78 $44.36 $4,885.64 $4,319.93 2026-07-15
J0129 HCPCS Abatacept (orencia) 250 Mg Vial 22 14 $6,151.86 $6,151.86 $1,537.96 $5,844.27 $5,167.56 2026-07-15
15847 CPT Abdominoplasty Total Sal Abdomen 44 13 $5,160.00 $5,160.00 $504.59 $5,239.25 $4,282.80 2026-07-15
J0135 HCPCS Adalimumab (humira) Syringe 40mg/0.8ml 20 13 $14,099.80 $14,099.80 $3,524.95 $13,394.81 $11,984.83 2026-07-15
J7169 HCPCS Andexanet Alfa(andexxa)iv Vial:200mg 22 14 $11,753.46 $11,753.46 $2,938.36 $21,510.00 $9,990.44 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
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
J9035 HCPCS Bevacizumab(avastin):400mg/16ml 22 14 $15,062.18 $15,062.18 $3,765.55 $14,309.07 $12,802.85 2026-07-15
Q5107 HCPCS Bevacizumab-awwb(mvasi):400mg/16ml 22 14 $12,859.29 $12,859.29 $3,214.82 $12,216.33 $10,801.81 2026-07-15
38220 CPT Bone Marrow Aspiration 64 18 $4,643.00 $4,643.00 $50.15 $4,527.70 $3,691.49 2026-07-15
J9044 HCPCS Bortezomib (velcade) Vial:3.5mg 20 13 $7,616.70 $7,616.70 $1,904.17 $7,235.86 $6,474.19 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
20240 CPT Bx Bone,open;superficial 20 13 $5,618.00 $5,618.00 $1,404.50 $5,337.10 $4,775.30 2026-07-15
J9043 HCPCS Cabazitaxel(jevtana)60mg/1.5ml:j/1mg 42 14 $2,851.97 $2,851.97 $712.99 $62,219.59 $11,739.18 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
J9010 HCPCS Campath Sdpf: 30mg/ml J/10mg 20 13 $4,517.39 $4,517.39 $1,129.35 $4,291.52 $3,839.78 2026-07-15
J9055 HCPCS Cetuximab(erbitux)200mg/100ml:j /10mg 42 14 $6,552.68 $6,552.68 $1,332.39 $10,363.95 $4,914.97 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
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
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
74150 CPT CT Abdomen Without 20 13 $3,973.00 $3,973.00 $993.25 $3,774.35 $3,377.05 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
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
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
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
72127 CPT CT C Spine W/wo 20 13 $4,967.00 $4,967.00 $1,241.75 $4,718.65 $4,221.95 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
49407 CPT CT Drainage Of Ovarian Cyst 20 13 $6,924.00 $6,924.00 $1,731.00 $6,577.80 $5,885.40 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
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
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
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
70450 CPT CT Head Without 20 13 $3,973.00 $3,973.00 $993.25 $3,774.35 $3,377.05 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
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
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
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
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
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
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
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
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
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
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
48102 CPT CT Pancreas Bx 40 13 $4,368.00 $4,368.00 $997.25 $4,509.65 $3,598.91 2026-07-15
64435 CPT CT Paracervical Nerve Block 20 13 $4,249.00 $4,249.00 $1,062.25 $4,036.55 $3,611.65 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
72192 CPT CT Pelvis Without 20 13 $3,973.00 $3,973.00 $993.25 $3,774.35 $3,377.05 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
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
74176 CPT CT Stone (abd/pelv W/o) 20 13 $6,479.00 $6,479.00 $1,619.75 $6,155.05 $5,507.15 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
72130 CPT CT T Spine W/wo 20 13 $4,967.00 $4,967.00 $1,241.75 $4,718.65 $4,221.95 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
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
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
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
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
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
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
73706 CPT CTA Low Ext Lt W/wo/reproc 60 13 $5,225.00 $5,225.00 $1,306.25 $9,926.55 $4,702.50 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
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
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
J9308 HCPCS Cyramza (ramucirumab) Vial 500mg 42 14 $29,679.62 $29,679.62 $1,454.88 $28,195.64 $7,419.90 2026-07-15
J9144 HCPCS Daratumumab-hya(darzalex)sdv:1800mg/15ml 22 14 $39,332.56 $39,332.56 $8,417.34 $37,365.93 $33,039.35 2026-07-15
J0881 HCPCS Darbepoetin(aranesp)syr:200mcg/0.4ml 62 14 $10,971.45 $10,971.45 $1,579.50 $17,371.46 $9,106.30 2026-07-15
J0894 HCPCS Decitabine Vial: 50mg 22 14 $6,132.70 $6,132.70 $70.75 $5,826.06 $5,151.47 2026-07-15
J1162 HCPCS Digoxin Immune Fab(digifab)vial:40mg 22 14 $18,397.26 $18,397.26 $4,599.31 $85,881.64 $15,637.67 2026-07-15
Q2050 HCPCS DOXOrubicin Liposomal Vial: 50mg/25ml 42 14 $10,356.44 $10,356.44 $1,455.81 $9,838.62 $6,098.41 2026-07-15
49020 CPT Drain Abdominal Abscess 44 18 $6,901.00 $6,901.00 $480.00 $7,287.45 $6,038.38 2026-07-15
44360 CPT Endoscopy Small Intestine 20 13 $5,684.00 $5,684.00 $1,421.00 $5,399.80 $4,831.40 2026-07-15
J3380 HCPCS Entyvio (vedolizumab) Vial 300mg 22 14 $31,788.14 $31,788.14 $6,689.10 $30,198.73 $26,702.04 2026-07-15
J9179 HCPCS Eribulin (halaven) Vial:1mg/2ml 22 14 $5,896.80 $5,896.80 $1,474.20 $5,601.96 $4,953.31 2026-07-15
43499 CPT Esophagus Surgery Procedure 11 9 $6,853.00 $6,853.00 $2,055.90 $6,510.35 $6,167.70 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
15832 CPT Excise Excessive Skin Tissue 86 18 $4,757.00 $4,757.00 $340.15 $5,706.65 $3,560.41 2026-07-15
15835 CPT Excise Excessive Skin Tissue 44 18 $4,901.00 $4,901.00 $319.10 $4,655.95 $3,426.24 2026-07-15
J7190 HCPCS Factor Viii (hemofil-m): 538 Units/10ml 142 14 $4,825.17 $4,825.17 $544.91 $7,557.26 $3,932.51 2026-07-15
J7187 HCPCS Factor Viii (humate-p):1 Unit J/1 80 13 $6,824.92 $6,824.92 $15.58 $8,451.42 $5,467.25 2026-07-15
J1439 HCPCS Ferric Carbox(injectafer)vial:750mg/15ml 22 14 $7,355.95 $7,355.95 $855.75 $6,988.15 $6,179.00 2026-07-15
20100 CPT Ff Exploration Penetrating Wound, Neck 20 13 $5,947.00 $5,947.00 $1,486.75 $5,649.65 $5,054.95 2026-07-15
27604 CPT Ff I&d Bursa (ankle) 20 13 $7,256.00 $7,256.00 $1,814.00 $6,893.20 $6,167.60 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
45999 CPT Ff Unlisted Procedure Rectum 20 13 $4,905.00 $4,905.00 $1,226.25 $4,659.75 $4,169.25 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
50590 CPT Fragmenting Of Kidney Stone 44 18 $5,576.00 $5,576.00 $571.68 $18,965.80 $5,018.40 2026-07-15
J1569 HCPCS Gammaglob(gammagard)20gm/200ml:j 500mg 60 13 $9,433.46 $9,433.46 $263.32 $13,442.73 $7,829.77 2026-07-15
J1602 HCPCS Golimumab (simponi) Vial: 50mg/4ml 20 13 $8,838.72 $8,838.72 $2,209.68 $8,396.78 $7,512.91 2026-07-15
J9202 HCPCS Goserelin Acetate (zoladex) Imp : 3.6mg 22 14 $4,650.03 $4,650.03 $1,162.51 $4,417.53 $3,906.03 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
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
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
V5258 HCPCS Hearing Aid Dig Binaural Cic Non Rechargeable 90 10 $4,690.00 $4,690.00 $1,047.00 $7,200.00 $4,243.25 2026-07-15
V5260 HCPCS Hearing Aid Dig Binaural Ite Non Rechargeable 90 10 $4,690.00 $4,690.00 $1,047.00 $6,355.50 $4,243.25 2026-07-15
J9225 HCPCS Histrelin Acet(vantas)implant:50mg 22 14 $23,028.98 $23,028.98 $5,166.29 $21,877.53 $19,344.34 2026-07-15
19340 CPT Immt Insj Brst Prosth Flwg Mastopexy Mast/rcnst 86 18 $5,346.00 $5,346.00 $310.80 $6,177.85 $3,808.03 2026-07-15
J1572 HCPCS Immune Globulin(flebogama)sdv:20gm/200ml 42 14 $9,438.66 $9,438.66 $959.60 $8,966.73 $3,646.47 2026-07-15
J1561 HCPCS Immune Globulin(gamunex-c)sdv:20gm/200ml 122 14 $4,542.62 $4,542.62 $322.83 $17,261.94 $3,425.17 2026-07-15
V5130 HCPCS In Ear Binaural Hearing Aid ReChargeable 90 10 $4,690.00 $4,690.00 $1,047.00 $6,355.50 $4,221.00 2026-07-15
J1306 HCPCS Inclisiran (leqvio) Syr: 284mg/1.5ml 22 14 $15,356.25 $15,356.25 $3,423.05 $14,588.44 $12,899.25 2026-07-15
Q5103 HCPCS Infliximab-dyyb(inflectra Pr)vial 100mg 22 14 $4,133.07 $4,133.07 $1,033.27 $3,926.42 $3,513.11 2026-07-15
J9228 HCPCS Ipilimumab(yervoy)iv: 50mg/10ml 22 14 $33,895.84 $33,895.84 $8,473.96 $57,086.40 $28,811.46 2026-07-15
J9354 HCPCS Kadcyla (ado-trastuzumab) Vial 160mg 42 14 $26,563.36 $26,563.36 $4,150.53 $25,235.19 $15,024.94 2026-07-15
J9271 HCPCS Keytruda (pembrolizumab) Vial: 100mg/4ml 22 14 $24,745.00 $24,745.00 $6,186.25 $23,507.75 $21,033.25 2026-07-15
22514 CPT Kyphoplasty Perq Vertebral Augmentation 63 18 $16,471.00 $16,471.00 $312.97 $20,826.85 $14,166.90 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
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
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
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
38129 CPT Laparoscope Proc, Spleen 11 9 $4,996.00 $4,996.00 $1,498.80 $4,746.20 $4,496.40 2026-07-15
47379 CPT Laparoscope Procedure, Liver 11 9 $7,419.00 $7,419.00 $2,225.70 $7,048.05 $6,677.10 2026-07-15
C1778 HCPCS Lead, Neurostimulator 11 9 $8,748.00 $8,748.00 $2,624.40 $8,310.60 $7,873.20 2026-07-15
J1950 HCPCS Leuprolide(lupron Depo)(3months) 11.25mg 22 14 $21,723.80 $21,723.80 $5,430.95 $20,637.61 $18,247.99 2026-07-15
J9217 HCPCS Leuprolide(lupron)syr30mg:per7.5mg-men 122 14 $32,653.22 $32,653.22 $786.00 $49,186.01 $21,628.73 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
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
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
74182 CPT Mr Abdomen With 20 13 $5,843.00 $5,843.00 $1,460.75 $5,550.85 $4,966.55 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
77084 CPT Mr Bone Marrow 20 13 $5,190.00 $5,190.00 $1,297.50 $4,930.50 $4,411.50 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
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
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
77047 CPT Mr Breast Bil W/wo 20 13 $11,904.00 $11,904.00 $2,976.00 $11,308.80 $10,118.40 2026-07-15
77046 CPT Mr Breast Lt W/wo 40 13 $5,952.00 $5,952.00 $1,488.00 $5,654.40 $5,059.20 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
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
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
71550 CPT Mr Chest Without 20 13 $5,174.00 $5,174.00 $1,293.50 $4,915.30 $4,397.90 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
73723 CPT Mr Hip Bilateral W/wo 60 13 $7,017.00 $7,017.00 $1,754.25 $12,700.55 $6,315.30 2026-07-15
70542 CPT Mr Iac And Brain With 60 13 $5,671.00 $5,671.00 $1,297.50 $5,387.45 $4,706.93 2026-07-15
70543 CPT Mr Iac W/wo 60 13 $6,250.00 $6,250.00 $1,510.75 $7,682.65 $5,438.70 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
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
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
77021 CPT Mr Ndl Place/bx Or Asp 20 13 $3,962.00 $3,962.00 $990.50 $3,763.90 $3,367.70 2026-07-15
70540 CPT Mr Neck Without 40 13 $4,905.50 $4,905.50 $1,190.75 $4,795.60 $4,189.84 2026-07-15
72196 CPT Mr Pelvis With 20 13 $5,726.00 $5,726.00 $1,431.50 $5,439.70 $4,867.10 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
72147 CPT Mr T Spine With 20 13 $5,873.00 $5,873.00 $1,468.25 $5,579.35 $4,992.05 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
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
70336 CPT Mr Tmj 20 13 $5,069.00 $5,069.00 $1,267.25 $4,815.55 $4,308.65 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
72159 CPT MRA C Spine Wo + Reproc 20 13 $4,536.00 $4,536.00 $1,134.00 $4,309.20 $3,855.60 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
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
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
73725 CPT MRA Low Ext Lt W/andreproc 100 13 $5,190.00 $5,190.00 $1,134.00 $8,618.40 $4,281.75 2026-07-15
70548 CPT MRA Neck W +reproc 20 13 $5,292.00 $5,292.00 $1,323.00 $5,027.40 $4,498.20 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
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
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
73225 CPT MRA Upper Ext W/wo Contrast 20 13 $4,536.00 $4,536.00 $1,134.00 $4,309.20 $3,855.60 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
81450 CPT Myeloid-ngs 20 13 $4,410.00 $4,410.00 $1,102.50 $4,189.50 $3,748.50 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
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
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
J9299 HCPCS Nivolumab(opdivo)100mg/10ml 62 14 $12,389.31 $12,389.31 $1,257.52 $31,660.18 $10,407.02 2026-07-15
A9521 HCPCS Nm Dose Ceretec/dose (<25mCi) 20 13 $12,487.00 $12,487.00 $3,121.75 $11,862.65 $10,613.95 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
A9595 HCPCS Nm Dose Piflufolastat F-18 Diagnostic 20 13 $4,928.00 $4,928.00 $1,232.00 $4,681.60 $4,188.80 2026-07-15
78454 CPT Nm Myocardial Perfusion Planar Mult Stdy 20 13 $5,960.00 $5,960.00 $1,490.00 $5,662.00 $5,066.00 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
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
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
78814 CPT Nm PET CT For Att Ltd 20 13 $8,482.00 $8,482.00 $2,120.50 $8,057.90 $7,209.70 2026-07-15
78811 CPT Nm PET Ltd Of Chest Head/neck 20 13 $7,195.00 $7,195.00 $1,798.75 $6,835.25 $6,115.75 2026-07-15
78812 CPT Nm PET Skull Base To Mid Thigh 20 13 $8,805.00 $8,805.00 $2,201.25 $8,364.75 $7,484.25 2026-07-15
78813 CPT Nm PET Whole Body 20 13 $8,794.00 $8,794.00 $2,198.50 $8,354.30 $7,474.90 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
59400 CPT Obstetrical Care 18 13 $5,927.00 $5,927.00 $1,778.10 $5,630.65 $4,919.41 2026-07-15
J2353 HCPCS OCTREOTIDE(SandoSTIN Lar) Kit:30mg J/1 42 14 $22,063.90 $22,063.90 $5,515.98 $26,608.46 $19,857.51 2026-07-15
J2357 HCPCS Omalizumab(xolair) Vl:150mg 22 14 $5,492.07 $5,492.07 $1,373.02 $5,217.47 $4,613.34 2026-07-15
J0585 HCPCS Onabotulinumtoxina Inj 64 13 $4,780.69 $4,780.69 $4.00 $4,768.41 $3,843.55 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
J9264 HCPCS Paclitaxel Protien-bound(abraxane):100mg 22 14 $6,285.20 $6,285.20 $1,571.30 $7,314.00 $5,342.42 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
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
J2506 HCPCS Pegfilgrastim(neulasta)syr 6mg/0.6ml 42 14 $20,954.21 $20,954.21 $1,576.97 $19,906.50 $17,391.99 2026-07-15
Q5111 HCPCS Pegfilgrastim-cbqv(udenyca)syr 6mg/0.6ml 22 14 $19,194.26 $19,194.26 $1,963.20 $18,234.55 $16,123.18 2026-07-15
Q5108 HCPCS Pegfilgrastim-jmdb(fulphila)syr6mg/0.6ml 22 14 $19,431.00 $19,431.00 $1,693.37 $18,459.45 $16,322.04 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
0282T CPT Periph Field Stimul Trial 11 9 $11,013.00 $11,013.00 $3,303.90 $10,462.35 $9,911.70 2026-07-15
J9306 HCPCS Perjeta (pertuzumab) Vial: 420mg/14ml 22 14 $26,129.97 $26,129.97 $6,532.49 $24,823.47 $21,949.18 2026-07-15
22513 CPT Perq Vertebral Augmentation 43 18 $16,191.00 $16,191.00 $336.16 $25,314.65 $14,571.90 2026-07-15
22515 CPT Perq Vertebral Augmentation 43 18 $151,120.00 $151,120.00 $218.91 $143,564.00 $10,891.90 2026-07-15
22586 CPT Prescrl Fuse With Instr L5/s1 23 17 $13,189.00 $13,189.00 $950.83 $12,529.55 $3,956.70 2026-07-15
90375 CPT Rabies I.g.(hyperrab S/d)vial:10ml 60 13 $5,041.24 $5,041.24 $1,235.96 $15,047.15 $4,449.47 2026-07-15
19318 CPT Reduction Mammaplasty 86 18 $5,068.00 $5,068.00 $374.60 $6,755.45 $3,749.54 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
22864 CPT Remove Cerv Artif Disc 23 17 $12,951.00 $12,951.00 $1,051.39 $12,303.45 $3,885.30 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
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
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
22861 CPT Revise Cerv Artific Disc 23 17 $16,003.00 $16,003.00 $1,121.23 $15,202.85 $4,800.90 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
15829 CPT Rhytidectomy Cheek Lift Smas Flap 33 13 $5,756.00 $5,756.00 $1,439.00 $6,678.50 $5,180.40 2026-07-15
15828 CPT Rhytidectomy Cheek Lift Smas Neck Lift 33 13 $6,476.00 $6,476.00 $1,619.00 $7,905.90 $5,828.40 2026-07-15
15825 CPT Rhytidectomy Necklift W/platsymal Tight 33 13 $3,973.00 $3,973.00 $993.25 $4,541.00 $3,575.70 2026-07-15
J9312 HCPCS riTUXimab(RITUXAN)VIAL:500MG/50ML 22 14 $23,305.95 $23,305.95 $5,826.49 $22,140.65 $19,577.00 2026-07-15
Q5115 HCPCS Rituximab-abbs(truxima)vial:500mg/50ml 42 14 $19,976.13 $19,976.13 $1,186.89 $18,977.32 $4,994.03 2026-07-15
Q5119 HCPCS Rituximab-pvvr(ruxience)vial:500mg/50ml 22 14 $16,934.40 $16,934.40 $3,775.40 $16,087.68 $14,224.90 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
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
J9317 HCPCS Sacituzumab Gov (trodelvy) Vial 180mg 22 14 $10,547.24 $10,547.24 $2,636.81 $16,018.00 $8,965.15 2026-07-15
15273 CPT Skin Sub Graft Trunk/arm/leg Child 63 18 $5,871.00 $5,871.00 $126.08 $5,577.45 $4,755.51 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
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
J9022 HCPCS Tecentriq (atezolizumab)vial:1200mg/20ml 22 14 $41,960.56 $41,960.56 $10,490.14 $39,862.53 $35,246.87 2026-07-15
J3101 HCPCS TENECTEPLASE(TNKase)KIT:50MG 22 14 $29,384.10 $29,384.10 $7,193.60 $27,914.90 $24,682.65 2026-07-15
J3240 HCPCS Thyrotropin(thyrogen):0.9mg/ml J/0.9 22 14 $7,025.80 $7,025.80 $1,756.45 $6,674.51 $5,901.67 2026-07-15
J3262 HCPCS Tocilizumab (actemra) Vial: 400mg/20ml 42 14 $11,429.01 $11,429.01 $1,333.26 $10,857.56 $4,931.20 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
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
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
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
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
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
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
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
36476 CPT Ul Ir Endovenous Ablation Vein Add-on 20 13 $7,660.00 $7,660.00 $1,915.00 $7,277.00 $6,511.00 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
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
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
37766 CPT Ul Micro Phleb 20 Plus Stabs 20 13 $14,376.00 $14,376.00 $3,594.00 $13,657.20 $12,219.60 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
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
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
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
59610 CPT Vbac Delivery 18 13 $6,920.00 $6,920.00 $2,076.00 $6,574.00 $5,743.60 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
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
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
62321 CPT X Esi C-t Spine 83 18 $3,822.00 $3,822.00 $67.64 $4,666.40 $3,364.72 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
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
34701 CPT X Ir Aaa Repair 40 13 $20,587.50 $20,587.50 $5,006.50 $20,091.55 $17,553.67 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
75898 CPT X Ir Angiography Through Existing Cath 20 13 $4,102.00 $4,102.00 $1,025.50 $3,896.90 $3,486.70 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
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
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
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
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
37213 CPT X Ir Arterial Thrombolysis Day 2 20 13 $11,714.00 $11,714.00 $2,928.50 $11,128.30 $9,956.90 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
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
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
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
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
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
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
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
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
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
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
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
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
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
37200 CPT X Ir Transcatheter Biopsy 20 13 $8,126.00 $8,126.00 $2,031.50 $7,719.70 $6,907.10 2026-07-15
75894 CPT X Ir Transcatheter Embolization 20 13 $9,745.00 $9,745.00 $2,436.25 $9,257.75 $8,283.25 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
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
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
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
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
72295 CPT X Lumbar Discogram 20 13 $19,639.00 $19,639.00 $4,909.75 $18,657.05 $16,693.15 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
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
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
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
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
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
20250 CPT X Tspinevrtebrobxinor 20 13 $10,144.00 $10,144.00 $2,536.00 $9,636.80 $8,622.40 2026-07-15
22510 CPT X Tspinevrtebroplstyinor 20 13 $17,504.00 $17,504.00 $4,376.00 $16,628.80 $14,878.40 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
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