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

HAWARDEN REGIONAL HEALTHCARE

Hawarden, IA · CCN 161311 · Rates published

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You selected 93350 (HCPCS)

ECHO TTHRC R-T 2D W/WO MODE COMPLETE

This hospital’s price: $1,092 across 6 payers · range $580-$1,116

Source: https://www.hawardenregionalhealthcare.com/s/426005851_HawardenRegionalHealthcare_standardcharges.csv · observed 2026-04-24

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.

1,736 distinct procedures filed
6 distinct payers
38,229 rate rows
2026-04-24 last MRF observed
Data quality

38,157 of 38,229 rate rows are consumer-grade (99.8%)

72 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 59
per-diem day rate — not a per-procedure price 11
exceeds 10× this hospital's gross charge — excluded from medians 1
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 1
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.hawardenregionalhealthcare.com/patients-visitors/price-transparency/426005851_hawardenregionalhealthcare_standardcharges.csv
Found on page https://www.hawardenregionalhealthcare.com/patients-visitors/price-transparency
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-22
Content fingerprint 6d18e50deca21b70… · 10,702,655 bytes · first seen 2026-07-06

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
J3380
HCPCS 		Entyvio 300mg 6 $9,982.87 $19,186.42 $18,988.62 nat. median
$155
outlier · 122.9×
J3101
HCPCS 		Tenecteplase Inj 1 Mg (50 Mg Syr) 6 $7,749.99 $14,894.97 $14,741.42 nat. median
$3,787
outlier · 3.9×
J2506
HCPCS 		Neulasta Onpro Kit 6 $7,180.27 $13,800.01 $13,657.74 nat. median
$1,659
outlier · 8.2×
J0717
HCPCS 		Cimzia 2X200mg Kit 6 $6,591.26 $12,667.97 $12,537.37 nat. median
$1,635
outlier · 7.7×
29888
HCPCS 		Arthroscopic Aided Anter Cruciate Lig Rp 6 $917.48 $19,045.83 $12,466.17 nat. median
$7,336
1.7× median
49593
HCPCS 		Repair Ant Abd Hernia 1st 3-10 Cm Reduci 6 $5,730.40 $11,013.46 $10,899.92 nat. median
$5,961
1.8× median
29827
HCPCS 		Shoulder Arthroscopy W/rota Cuff Rpr 6 $1,005.90 $16,519.91 $10,812.85 nat. median
$7,187
1.5× median
29828
HCPCS 		Shoulder Arthro Biceps Tenodesis 6 $869.39 $16,519.91 $10,812.85 nat. median
$7,131
1.5× median
49505
HCPCS 		Repair Initial Inguinal Hernia 5 And Up 6 $5,606.45 $10,775.24 $10,664.16 nat. median
$3,855
outlier · 2.8×
J9355
HCPCS 		Transtuzumab Inj 440 Mg Vl 6 $5,537.21 $10,642.14 $10,532.43 nat. median
$568
outlier · 18.5×
49654
HCPCS 		Laparoscopic Repair, Incisional Hernia 6 $4,853.26 $9,327.64 $9,231.48 nat. median
$4,638
2.0× median
Q5122
HCPCS 		Nyvepria 6 Mg Inj 6 $4,526.65 $8,699.93 $8,610.24 nat. median
$561
outlier · 15.3×
J2182
HCPCS 		Nucala 100mg Syringe 6 $4,254.89 $8,177.62 $8,093.31 nat. median
$2,791
outlier · 2.9×
J9035
HCPCS 		Bevacizumab Inj (25mg/ml) 400mg Vl 6 $3,861.27 $7,421.10 $7,344.60 nat. median
$727
outlier · 10.1×
27331
HCPCS 		Arthroscopic Knee Explor/biop/loose Body 6 $473.43 $10,465.15 $6,849.80 nat. median
$3,458
2.0× median
29824
HCPCS 		Arthro Surgery Shoulder Mumford Procedur 6 $659.14 $10,465.15 $6,849.80 nat. median
$3,679
1.9× median
28045
HCPCS 		Exc Tumor Soft Tissue Foot/toe <1.5 Cm 6 $3,600.97 $6,920.82 $6,849.48 nat. median
$2,950
outlier · 2.3×
J7168
HCPCS 		K Centra 1000 Unit Range 6 $3,597.55 $6,914.25 $6,842.97 nat. median
$20
outlier · 336.4×
47562
HCPCS 		Laparoscopic Cholecystectomy 6 $638.59 $10,107.64 $6,615.81 nat. median
$5,988
1.1× median
49520
HCPCS 		Repair Recurrent Inguinal Hernia 6 $3,361.92 $6,461.38 $6,394.77 nat. median
$3,788
1.7× median
13160
HCPCS 		Secondary Closure Of Surgical Wound 6 $3,234.05 $6,215.63 $6,151.56 nat. median
$2,654
outlier · 2.3×
J2505
HCPCS 		Neulasta 6mg Sq Syr 6 $3,177.59 $10,381.19 $6,044.16 nat. median
$6,279
1.0× median
J9217
HCPCS 		Eligard Inj 45 Mg Bx 6 $3,128.69 $8,916.19 $5,951.14 nat. median
$1,573
outlier · 3.8×
28140
HCPCS 		Metatarsectomy 6 $2,922.92 $5,617.66 $5,559.74 nat. median
$3,414
1.6× median
28820
HCPCS 		Amputation Toe Metatarsophalangeal Joint 6 $2,870.77 $5,517.44 $5,460.56 nat. median
$3,394
1.6× median
29871
HCPCS 		Arthroscopy Knee Inj Lavage 6 $2,866.19 $5,508.63 $5,451.84 nat. median
$3,394
1.6× median
55040
HCPCS 		Excision Hydrocele Unilateral 6 $2,852.51 $5,482.34 $5,425.82 nat. median
$3,679
1.5× median
29875
HCPCS 		Knee Arthroscopy, Limited Synovectomy 6 $488.52 $8,049.19 $5,268.48 nat. median
$3,607
1.5× median
29877
HCPCS 		Arthros Knee Debridement/shaving Artclr 6 $604.67 $8,043.37 $5,264.66 nat. median
$3,839
1.4× median
29874
HCPCS 		Arthroscopic Knee Removal Loose Body 6 $521.72 $8,043.37 $5,264.66 nat. median
$3,765
1.4× median
29880
HCPCS 		Arthros Knee W/meniscectomy Medlat W/sha 6 $549.55 $8,043.37 $5,264.66 nat. median
$3,840
1.4× median
29823
HCPCS 		Arthroscopy Shoulder With Debride X3+ 6 $576.42 $8,043.37 $5,264.66 nat. median
$3,950
1.3× median
24105
HCPCS 		Excision, Olecran Bursa 6 $2,763.18 $5,310.65 $5,255.90 nat. median
$3,343
1.6× median
58670
HCPCS 		Laparoscopic Tubal Ligation 6 $2,758.73 $5,302.09 $5,247.43 nat. median
$5,671
0.9× median
64718
HCPCS 		Neuroplasty/ulnar Nerve Elbow 6 $2,752.68 $5,290.48 $5,235.94 nat. median
$2,512
outlier · 2.1×
49507
HCPCS 		Repair Initial Ing Hernia, Incarcerated 6 $2,735.06 $5,256.59 $5,202.40 nat. median
$3,886
1.3× median
29881
HCPCS 		Arthroscopy, Knee Surgical 6 $531.69 $8,521.16 $5,201.16 nat. median
$3,838
1.4× median
29882
HCPCS 		Arthroscopic Knee W/meniscus Rpr 6 $662.24 $7,939.22 $5,196.49 nat. median
$3,854
1.3× median
42820
HCPCS 		Tonsils/adenoids Less Than Age 12 6 $273.35 $7,938.25 $5,195.86 nat. median
$5,545
0.9× median
25000
HCPCS 		Incision Extensor Tendon Sheath Wrist 6 $2,611.17 $5,018.50 $4,966.76 nat. median
$2,115
outlier · 2.3×
49560
HCPCS 		Repair Of Incisional Or Ventral Hernia 6 $2,572.28 $4,943.76 $4,892.80 nat. median
$3,041
1.6× median
28124
HCPCS 		Partial Excision Bone:phalanx Of Toe 6 $2,544.90 $4,891.14 $4,840.72 nat. median
$3,324
1.5× median
Q0222
HCPCS 		Bebtelovimab (hrh Suppy) 175mg 6 $2,426.60 $4,663.76 $4,615.68 nat. median
$2,564
1.8× median
28122
HCPCS 		Partial Exicision Bone:tarsal/metatarsal 6 $2,338.78 $4,494.99 $4,448.65 nat. median
$3,453
1.3× median
J9041
HCPCS 		Velcade Inj (0.1 Mg) 3.5mg Vl 6 $2,337.77 $4,493.04 $4,446.72 nat. median
$144
outlier · 31.0×
69421
HCPCS 		Bilateral Myringotomy 6 $2,335.85 $4,489.34 $4,443.06 nat. median
$3,286
1.4× median
28810
HCPCS 		Amputation, Metataral, With Toe Single 6 $2,325.05 $4,468.60 $4,422.53 nat. median
$3,352
1.3× median
49585
HCPCS 		Repair Umbilical Hernia 5 Yr/> Reducible 6 $2,292.55 $4,406.14 $4,360.72 nat. median
$3,104
1.4× median
49555
HCPCS 		Repair Recur Femoral Hernia Reducible 6 $2,271.15 $4,365.00 $4,320.00 nat. median
$3,792
1.1× median
49568
HCPCS 		Implantation Of Mesh/hernia 6 $2,245.54 $4,315.78 $4,271.29 nat. median
$2,367
1.8× median

Other procedures at this hospital

Browse this hospital's 1,736 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
             
J3380 HCPCS Entyvio 300mg 14 6 $19,779.81 $16,812.84 $9,982.87 $19,186.42 $18,988.62 2026-04-24
J3101 HCPCS Tenecteplase Inj 1 Mg (50 Mg Syr) 14 6 $15,355.64 $13,052.29 $7,749.99 $14,894.97 $14,741.42 2026-04-24
J2506 HCPCS Neulasta Onpro Kit 14 6 $14,226.81 $12,092.79 $7,180.27 $13,800.01 $13,657.74 2026-04-24
J0717 HCPCS Cimzia 2X200mg Kit 14 6 $13,059.76 $11,100.80 $6,591.26 $12,667.97 $12,537.37 2026-04-24
29888 HCPCS Arthroscopic Aided Anter Cruciate Lig Rp 22 6 $19,634.88 $16,689.65 $917.48 $19,045.83 $12,466.17 2026-04-24
49593 HCPCS Repair Ant Abd Hernia 1st 3-10 Cm Reduci 14 6 $11,354.08 $9,650.97 $5,730.40 $11,013.46 $10,899.92 2026-04-24
29828 HCPCS Shoulder Arthro Biceps Tenodesis 22 6 $17,030.83 $14,476.21 $869.39 $16,519.91 $10,812.85 2026-04-24
29827 HCPCS Shoulder Arthroscopy W/rota Cuff Rpr 22 6 $17,030.83 $14,476.21 $1,005.90 $16,519.91 $10,812.85 2026-04-24
49505 HCPCS Repair Initial Inguinal Hernia 5 And Up 14 6 $11,108.49 $9,442.22 $5,606.45 $10,775.24 $10,664.16 2026-04-24
J9355 HCPCS Transtuzumab Inj 440 Mg Vl 14 6 $10,971.28 $9,325.59 $5,537.21 $10,642.14 $10,532.43 2026-04-24
49654 HCPCS Laparoscopic Repair, Incisional Hernia 14 6 $9,616.12 $8,173.70 $4,853.26 $9,327.64 $9,231.48 2026-04-24
Q5122 HCPCS Nyvepria 6 Mg Inj 14 6 $8,969.00 $7,623.65 $4,526.65 $8,699.93 $8,610.24 2026-04-24
J2182 HCPCS Nucala 100mg Syringe 14 6 $8,430.54 $7,165.96 $4,254.89 $8,177.62 $8,093.31 2026-04-24
J9035 HCPCS Bevacizumab Inj (25mg/ml) 400mg Vl 14 6 $7,650.62 $6,503.03 $3,861.27 $7,421.10 $7,344.60 2026-04-24
29824 HCPCS Arthro Surgery Shoulder Mumford Procedur 22 6 $10,788.81 $9,170.49 $659.14 $10,465.15 $6,849.80 2026-04-24
27331 HCPCS Arthroscopic Knee Explor/biop/loose Body 22 6 $10,788.81 $9,170.49 $473.43 $10,465.15 $6,849.80 2026-04-24
28045 HCPCS Exc Tumor Soft Tissue Foot/toe <1.5 Cm 14 6 $7,134.87 $6,064.64 $3,600.97 $6,920.82 $6,849.48 2026-04-24
J7168 HCPCS K Centra 1000 Unit Range 14 6 $7,128.09 $6,058.88 $3,597.55 $6,914.25 $6,842.97 2026-04-24
47562 HCPCS Laparoscopic Cholecystectomy 22 6 $10,420.25 $8,857.21 $638.59 $10,107.64 $6,615.81 2026-04-24
49520 HCPCS Repair Recurrent Inguinal Hernia 14 6 $6,661.22 $5,662.04 $3,361.92 $6,461.38 $6,394.77 2026-04-24
13160 HCPCS Secondary Closure Of Surgical Wound 14 6 $6,407.87 $5,446.69 $3,234.05 $6,215.63 $6,151.56 2026-04-24
J2505 HCPCS Neulasta 6mg Sq Syr 23 6 $6,296.00 $5,351.60 $3,177.59 $10,381.19 $6,044.16 2026-04-24
J9217 HCPCS Eligard Inj 45 Mg Bx 23 6 $6,199.10 $5,269.24 $3,128.69 $8,916.19 $5,951.14 2026-04-24
28140 HCPCS Metatarsectomy 14 6 $5,791.40 $4,922.69 $2,922.92 $5,617.66 $5,559.74 2026-04-24
28820 HCPCS Amputation Toe Metatarsophalangeal Joint 14 6 $5,688.08 $4,834.87 $2,870.77 $5,517.44 $5,460.56 2026-04-24
29871 HCPCS Arthroscopy Knee Inj Lavage 14 6 $5,679.00 $4,827.15 $2,866.19 $5,508.63 $5,451.84 2026-04-24
55040 HCPCS Excision Hydrocele Unilateral 14 6 $5,651.90 $4,804.12 $2,852.51 $5,482.34 $5,425.82 2026-04-24
29875 HCPCS Knee Arthroscopy, Limited Synovectomy 22 6 $8,298.13 $7,053.41 $488.52 $8,049.19 $5,268.48 2026-04-24
29880 HCPCS Arthros Knee W/meniscectomy Medlat W/sha 22 6 $8,292.13 $7,048.31 $549.55 $8,043.37 $5,264.66 2026-04-24
29823 HCPCS Arthroscopy Shoulder With Debride X3+ 22 6 $8,292.13 $7,048.31 $576.42 $8,043.37 $5,264.66 2026-04-24
29874 HCPCS Arthroscopic Knee Removal Loose Body 22 6 $8,292.13 $7,048.31 $521.72 $8,043.37 $5,264.66 2026-04-24
29877 HCPCS Arthros Knee Debridement/shaving Artclr 22 6 $8,292.13 $7,048.31 $604.67 $8,043.37 $5,264.66 2026-04-24
24105 HCPCS Excision, Olecran Bursa 14 6 $5,474.90 $4,653.67 $2,763.18 $5,310.65 $5,255.90 2026-04-24
58670 HCPCS Laparoscopic Tubal Ligation 14 6 $5,466.07 $4,646.16 $2,758.73 $5,302.09 $5,247.43 2026-04-24
64718 HCPCS Neuroplasty/ulnar Nerve Elbow 14 6 $5,454.10 $4,635.99 $2,752.68 $5,290.48 $5,235.94 2026-04-24
49507 HCPCS Repair Initial Ing Hernia, Incarcerated 14 6 $5,419.17 $4,606.29 $2,735.06 $5,256.59 $5,202.40 2026-04-24
29881 HCPCS Arthroscopy, Knee Surgical 31 6 $5,474.90 $4,653.67 $531.69 $8,521.16 $5,201.16 2026-04-24
29882 HCPCS Arthroscopic Knee W/meniscus Rpr 22 6 $8,184.76 $6,957.05 $662.24 $7,939.22 $5,196.49 2026-04-24
42820 HCPCS Tonsils/adenoids Less Than Age 12 22 6 $8,183.76 $6,956.20 $273.35 $7,938.25 $5,195.86 2026-04-24
25000 HCPCS Incision Extensor Tendon Sheath Wrist 14 6 $5,173.71 $4,397.65 $2,611.17 $5,018.50 $4,966.76 2026-04-24
49560 HCPCS Repair Of Incisional Or Ventral Hernia 14 6 $5,096.66 $4,332.16 $2,572.28 $4,943.76 $4,892.80 2026-04-24
28124 HCPCS Partial Excision Bone:phalanx Of Toe 14 6 $5,042.41 $4,286.05 $2,544.90 $4,891.14 $4,840.72 2026-04-24
Q0222 HCPCS Bebtelovimab (hrh Suppy) 175mg 14 6 $4,808.00 $4,086.80 $2,426.60 $4,663.76 $4,615.68 2026-04-24
28122 HCPCS Partial Exicision Bone:tarsal/metatarsal 14 6 $4,634.01 $3,938.91 $2,338.78 $4,494.99 $4,448.65 2026-04-24
J9041 HCPCS Velcade Inj (0.1 Mg) 3.5mg Vl 14 6 $4,632.00 $3,937.20 $2,337.77 $4,493.04 $4,446.72 2026-04-24
69421 HCPCS Bilateral Myringotomy 14 6 $4,628.19 $3,933.96 $2,335.85 $4,489.34 $4,443.06 2026-04-24
28810 HCPCS Amputation, Metataral, With Toe Single 14 6 $4,606.80 $3,915.78 $2,325.05 $4,468.60 $4,422.53 2026-04-24
49585 HCPCS Repair Umbilical Hernia 5 Yr/> Reducible 14 6 $4,542.41 $3,861.05 $2,292.55 $4,406.14 $4,360.72 2026-04-24
49555 HCPCS Repair Recur Femoral Hernia Reducible 14 6 $4,500.00 $3,825.00 $2,271.15 $4,365.00 $4,320.00 2026-04-24
49568 HCPCS Implantation Of Mesh/hernia 14 6 $4,449.26 $3,781.87 $2,245.54 $4,315.78 $4,271.29 2026-04-24
37609 HCPCS Biopsy Temporal Artery 22 6 $6,707.65 $5,701.50 $192.66 $6,506.42 $4,258.68 2026-04-24
11770 HCPCS Excision Of Pilonidal Cyst 14 6 $4,411.00 $3,749.35 $2,226.23 $4,278.67 $4,234.56 2026-04-24
23071 HCPCS Exc Soft Tissue Of Shoulder 3 Cm Up 14 6 $4,103.60 $3,488.06 $2,071.09 $3,980.49 $3,939.45 2026-04-24
24073 HCPCS Exc Tumor Soft Tissue Upper Arm/elbow 5> 14 6 $4,037.35 $3,431.75 $2,037.65 $3,916.23 $3,875.86 2026-04-24
74183 HCPCS MRI Abdomen Wo/w 14 6 $4,000.00 $3,400.00 $2,018.80 $3,880.00 $3,840.00 2026-04-24
J0897 HCPCS Prolia Inj 60 Mg Syr 32 6 $4,092.35 $3,478.50 $1,192.11 $7,285.53 $3,839.60 2026-04-24
70546 HCPCS Mrv Head Wo/w 14 6 $3,979.25 $3,382.36 $2,008.33 $3,859.87 $3,820.08 2026-04-24
74174 HCPCS CT Angiography Abdomen And Pelvis Wo/w 14 6 $3,964.00 $3,369.40 $2,000.63 $3,845.08 $3,805.44 2026-04-24
74178 HCPCS CT Abdomen And Pelvis Wo/w 14 6 $3,964.00 $3,369.40 $2,000.63 $3,845.08 $3,805.44 2026-04-24
28285 HCPCS Correction Hammertoe 14 6 $3,869.00 $3,288.65 $1,952.68 $3,752.93 $3,714.24 2026-04-24
27347 HCPCS Excision Lesion Knee 22 6 $5,688.08 $4,834.87 $523.93 $5,517.44 $3,611.36 2026-04-24
74177 HCPCS CT Abdomen And Pelvis W 14 6 $3,758.00 $3,194.30 $1,896.66 $3,645.26 $3,607.68 2026-04-24
30117 HCPCS Excision/destruction Nasal Lesion 22 6 $5,671.67 $4,820.92 $391.45 $5,501.52 $3,600.94 2026-04-24
42821 HCPCS Tonsils/adenoids Over Age 12 22 6 $5,671.67 $4,820.92 $285.24 $5,501.52 $3,600.94 2026-04-24
42826 HCPCS Tonsilectomy Age 12 Or Over 22 6 $5,671.67 $4,820.92 $242.48 $5,501.52 $3,600.94 2026-04-24
42140 HCPCS Uvulectomy Excision Uvula 22 6 $5,671.67 $4,820.92 $159.12 $5,501.52 $3,600.94 2026-04-24
46320 HCPCS Excision External Hemorrhoid 14 6 $3,728.41 $3,169.15 $1,881.73 $3,616.56 $3,579.28 2026-04-24
73723 HCPCS MRI Lower Extremity Any Joint wo/w(LEFT) 14 6 $3,693.79 $3,139.72 $1,864.26 $3,582.98 $3,546.04 2026-04-24
J1459 HCPCS Privigen Inj 20gm/200ml Vl 41 6 $7,000.00 $5,950.00 $809.84 $13,580.00 $3,533.59 2026-04-24
19120 HCPCS Excision Of Cyst, Fibroadenoma 14 6 $3,671.25 $3,120.56 $1,852.88 $3,561.11 $3,524.40 2026-04-24
73223 HCPCS MRI Upper Extremity And Joint Wo/w Left 14 6 $3,663.73 $3,114.17 $1,849.08 $3,553.82 $3,517.18 2026-04-24
72197 HCPCS MRI Pelviswwith/without Contrast 14 6 $3,575.61 $3,039.27 $1,804.61 $3,468.34 $3,432.59 2026-04-24
73720 HCPCS MRI Lower Extremity Non-joint Wo/w (left 14 6 $3,551.26 $3,018.57 $1,792.32 $3,444.72 $3,409.21 2026-04-24
64721 HCPCS Neuroplasty/transpos Med Nerv Carpal Tun 31 6 $3,802.94 $3,232.50 $436.93 $4,269.52 $3,367.20 2026-04-24
73220 HCPCS MRI Upper Extremity Non-joint wo/w(LEFT) 23 6 $3,467.22 $2,947.14 $1,749.91 $3,537.80 $3,328.53 2026-04-24
74176 HCPCS CT Abdomen And Pelvis Wo 14 6 $3,424.00 $2,910.40 $1,728.09 $3,321.28 $3,287.04 2026-04-24
30140 HCPCS Submucous Resect Infer Turb Bitsmr 22 6 $5,177.24 $4,400.65 $160.67 $5,021.92 $3,287.02 2026-04-24
J1439 HCPCS Ferric Carboxymaltose 14 6 $3,415.55 $2,903.22 $1,723.83 $3,313.08 $3,278.93 2026-04-24
21552 HCPCS Exc Tumor Sft Tissue Neck And Chest 3cm> 14 6 $3,400.00 $2,890.00 $1,715.98 $3,298.00 $3,264.00 2026-04-24
J1561 HCPCS Gamunex Inj 20gm/200ml Btl 32 6 $3,251.90 $2,764.12 $825.66 $6,289.29 $3,154.34 2026-04-24
14020 HCPCS Adjacent Tissue Transfer 10sq Cm Or Less 14 6 $3,245.12 $2,758.35 $1,637.81 $3,147.77 $3,115.32 2026-04-24
43251 HCPCS Esophagogastroduodenoscopy,removal Tumor 14 6 $3,126.55 $2,657.57 $1,577.97 $3,032.75 $3,001.49 2026-04-24
19081 HCPCS Bx Breast W/device 1st Lesion Stereo Gui 14 6 $3,054.00 $2,595.90 $1,541.35 $2,962.38 $2,931.84 2026-04-24
11426 HCPCS Excision B9 Lesion Margin >4 Cm 14 6 $3,048.00 $2,590.80 $1,538.33 $2,956.56 $2,926.08 2026-04-24
78452 HCPCS Lexiscan Myoview Stress Test 14 6 $3,008.27 $2,557.03 $1,518.27 $2,918.02 $2,887.94 2026-04-24
J3110 HCPCS Forteo Inj 20mcg/dose Pen 14 6 $2,984.68 $2,536.98 $1,506.37 $2,895.14 $2,865.30 2026-04-24
59409 HCPCS Vaginal Delivery Only 22 6 $4,363.65 $3,709.10 $719.03 $4,232.74 $2,814.31 2026-04-24
45388 HCPCS Colonoscopy, Flexible With Ablation 14 6 $2,861.23 $2,432.05 $1,444.06 $2,775.39 $2,746.78 2026-04-24
70553 HCPCS MRI Brain Including Brain Stem Wo/w 14 6 $2,852.00 $2,424.20 $1,439.40 $2,766.44 $2,737.92 2026-04-24
43236 HCPCS Esophagogastrodunoscopy, Submucosal Inj 14 6 $2,841.18 $2,415.00 $1,433.94 $2,755.94 $2,727.53 2026-04-24
75635 HCPCS CTA Abd Aorta W Bilat Lower Ext Runoff 14 6 $2,833.96 $2,408.87 $1,430.30 $2,748.94 $2,720.60 2026-04-24
25111 HCPCS Excision Of Ganglion Cyst 14 6 $2,781.51 $2,364.28 $1,403.83 $2,698.06 $2,670.24 2026-04-24
G0390 HCPCS Trauma Respon W/hosp Cirt 14 6 $2,773.44 $2,357.42 $1,399.76 $2,690.24 $2,662.51 2026-04-24
19083 HCPCS Breast Biopsy 14 6 $2,744.90 $2,333.17 $1,385.35 $2,662.55 $2,635.11 2026-04-24
20670 HCPCS Removal Implant Superficial (wire) 22 6 $4,148.83 $3,526.51 $146.10 $4,024.37 $2,634.09 2026-04-24
19300 HCPCS Breast Lumpectomy 14 6 $2,727.84 $2,318.66 $1,376.74 $2,646.00 $2,618.72 2026-04-24
45384 HCPCS Colonoscopy, Flexible With Hot Biopsy 14 6 $2,720.03 $2,312.03 $1,372.80 $2,638.43 $2,611.23 2026-04-24
45346 HCPCS Sigmoidoscopy Flexible Ablation Tumor 14 6 $2,690.16 $2,286.64 $1,357.72 $2,609.46 $2,582.55 2026-04-24
J0129 HCPCS Abatacept Inj 250mg Vl 14 6 $2,686.96 $2,283.92 $1,356.11 $2,606.35 $2,579.48 2026-04-24
69436 HCPCS Tympanostomy, General Anesthesia 22 6 $4,057.10 $3,448.54 $151.45 $3,935.39 $2,575.85 2026-04-24
72158 HCPCS MRI Lumbar Spine Wo/w 14 6 $2,683.00 $2,280.55 $1,354.11 $2,602.51 $2,575.68 2026-04-24
72156 HCPCS MRI Cervical Spine Wo/w 14 6 $2,683.00 $2,280.55 $1,354.11 $2,602.51 $2,575.68 2026-04-24
J1745 HCPCS Remicade Inj 100 Mg Vl 14 6 $2,682.62 $2,280.23 $1,353.92 $2,602.14 $2,575.32 2026-04-24
26055 HCPCS Tendon Sheath Incision 22 6 $4,038.57 $3,432.78 $297.89 $3,917.41 $2,564.09 2026-04-24
43245 HCPCS Egd With Esophageal Dilat 14 6 $2,658.53 $2,259.75 $1,341.76 $2,578.77 $2,552.18 2026-04-24
28825 HCPCS Amputation Toe Interphalangeal Joint 14 6 $2,623.34 $2,229.84 $1,324.00 $2,544.64 $2,518.41 2026-04-24
72157 HCPCS MRI Thoracic Spine Wo/w 14 6 $2,592.00 $2,203.20 $1,308.18 $2,514.24 $2,488.32 2026-04-24
J9202 HCPCS Zoladex Inj 10.8 Mg Vl 14 6 $2,591.80 $2,203.03 $1,308.08 $2,514.05 $2,488.13 2026-04-24
73706 HCPCS CTA Lower Extremity W Left 14 6 $2,589.63 $2,201.19 $1,306.99 $2,511.94 $2,486.05 2026-04-24
70543 HCPCS MRI Orbit/face And/or Neck Wo/w 14 6 $2,572.00 $2,186.20 $1,298.09 $2,494.84 $2,469.12 2026-04-24
45333 HCPCS Sigmoidoscopy, Flexible 14 6 $2,546.11 $2,164.19 $1,285.02 $2,469.73 $2,444.26 2026-04-24
26160 HCPCS Excision Of Lesion Of Hand Or Finger 14 6 $2,540.33 $2,159.28 $1,282.10 $2,464.12 $2,438.72 2026-04-24
70551 HCPCS MRI Brain Including Brain Stem Wo 14 6 $2,517.00 $2,139.45 $1,270.33 $2,441.49 $2,416.32 2026-04-24
72196 HCPCS MRI Pelvis W 14 6 $2,511.00 $2,134.35 $1,267.30 $2,435.67 $2,410.56 2026-04-24
95811 HCPCS Split Night/cpap Bipap 14 6 $2,500.00 $2,125.00 $1,261.75 $2,425.00 $2,400.00 2026-04-24
70547 HCPCS MRA Neck Wo 14 6 $2,500.00 $2,125.00 $1,261.75 $2,425.00 $2,400.00 2026-04-24
73718 HCPCS MRI Lower Extremity Non-joint Wo (left) 14 6 $2,483.18 $2,110.70 $1,253.26 $2,408.68 $2,383.85 2026-04-24
73221 HCPCS MRI Upper Extremity Any Joint Wo (left) 14 6 $2,477.24 $2,105.65 $1,250.26 $2,402.92 $2,378.15 2026-04-24
73218 HCPCS MRI Upper Extremity Non-joint wo(LEFT) 14 6 $2,454.13 $2,086.01 $1,238.60 $2,380.51 $2,355.97 2026-04-24
72195 HCPCS MRI Pelvis Wo 14 6 $2,403.11 $2,042.64 $1,212.85 $2,331.02 $2,306.99 2026-04-24
73721 HCPCS MRI Lower Extremity Any Joint Wo (left) 14 6 $2,401.00 $2,040.85 $1,211.78 $2,328.97 $2,304.96 2026-04-24
72149 HCPCS MRI Lumbar Spine W 14 6 $2,376.00 $2,019.60 $1,199.17 $2,304.72 $2,280.96 2026-04-24
72142 HCPCS MRI Cervical Spine W 14 6 $2,376.00 $2,019.60 $1,199.17 $2,304.72 $2,280.96 2026-04-24
72147 HCPCS MRI Thoracic Spine W 14 6 $2,376.00 $2,019.60 $1,199.17 $2,304.72 $2,280.96 2026-04-24
70498 HCPCS CT Angiography Neck Wo/w 14 6 $2,370.60 $2,015.01 $1,196.44 $2,299.48 $2,275.78 2026-04-24
72146 HCPCS MRI Thoracic Spine Wo 14 6 $2,349.00 $1,996.65 $1,185.54 $2,278.53 $2,255.04 2026-04-24
70540 HCPCS MRI Orbit/face And/or Neck Wo 14 6 $2,349.00 $1,996.65 $1,185.54 $2,278.53 $2,255.04 2026-04-24
72148 HCPCS MRI Lumbar Spine Wo 14 6 $2,349.00 $1,996.65 $1,185.54 $2,278.53 $2,255.04 2026-04-24
72141 HCPCS MRI C-spine Without 14 6 $2,349.00 $1,996.65 $1,185.54 $2,278.53 $2,255.04 2026-04-24
74181 HCPCS MRI-abdomen 23 6 $2,349.00 $1,996.65 $1,185.54 $2,425.00 $2,255.04 2026-04-24
95810 HCPCS Polysomnogram 14 6 $2,342.31 $1,990.96 $1,182.16 $2,272.04 $2,248.61 2026-04-24
19082 HCPCS Bx Breast W/device Addl Lesion Stereo Gu 14 6 $2,337.00 $1,986.45 $1,179.48 $2,266.89 $2,243.52 2026-04-24
46080 HCPCS Sphincterotomy Andal Division Sphincter 14 6 $2,334.58 $1,984.39 $1,178.26 $2,264.54 $2,241.20 2026-04-24
71275 HCPCS CT Angiography Chest Wo/w 14 6 $2,315.00 $1,967.75 $1,168.38 $2,245.55 $2,222.40 2026-04-24
J9312 HCPCS Rituxan Inj 100 Mg Vl 23 6 $2,254.84 $1,916.61 $1,138.02 $10,936.01 $2,187.19 2026-04-24
25118 HCPCS Synovectomy, Extensor Tendon Sheath 14 6 $2,274.33 $1,933.18 $1,147.85 $2,206.10 $2,183.36 2026-04-24
52310 HCPCS Flexible Cystocopy/left Stent Removal 22 6 $3,388.07 $2,879.86 $141.95 $3,286.43 $2,151.09 2026-04-24
70496 HCPCS CT Angiography Head Wo/w 14 6 $2,220.19 $1,887.16 $1,120.53 $2,153.58 $2,131.38 2026-04-24
45398 HCPCS Colonoscopy Flexible With Band Ligation 14 6 $2,185.03 $1,857.28 $1,102.78 $2,119.48 $2,097.63 2026-04-24
70549 HCPCS Mr Angiography Neck Wo/w 23 6 $2,629.00 $2,234.65 $1,090.15 $2,550.13 $2,095.20 2026-04-24
Q5103 HCPCS Inflectra 100mg 14 6 $2,177.53 $1,850.90 $1,099.00 $2,112.20 $2,090.43 2026-04-24
70544 HCPCS MRA-circle Of Willisbrain 14 6 $2,160.00 $1,836.00 $1,090.15 $2,095.20 $2,073.60 2026-04-24
45382 HCPCS Colonoscopy Flex With Control Bleeding 14 6 $2,117.00 $1,799.45 $1,068.45 $2,053.49 $2,032.32 2026-04-24
27422 HCPCS Knee Arthroscopy W Mpfl Recon W Allograf 29 6 $2,077.60 $1,765.96 $100.96 $13,993.98 $2,015.27 2026-04-24
73702 HCPCS CT Lower Extremity Wo/w (left) 14 6 $2,093.32 $1,779.32 $1,056.50 $2,030.52 $2,009.59 2026-04-24
Q0138 HCPCS Feraheme Inj 510mgvl/17ml 14 6 $2,084.20 $1,771.57 $1,051.90 $2,021.67 $2,000.83 2026-04-24
19084 HCPCS Biopsy/breast/placement Device 14 6 $2,080.81 $1,768.69 $1,050.18 $2,018.39 $1,997.58 2026-04-24
73202 HCPCS CT Upper Extremity Wo/w Left 14 6 $2,065.32 $1,755.52 $1,042.37 $2,003.36 $1,982.70 2026-04-24
70482 HCPCS CT Orbit/sella/post-fossa/ear Wo/w 14 6 $2,048.11 $1,740.89 $1,033.68 $1,986.67 $1,966.18 2026-04-24
74170 HCPCS CT Abdomen Wo/w 14 6 $2,047.00 $1,739.95 $1,033.12 $1,985.59 $1,965.12 2026-04-24
71270 HCPCS CT Chest Wo/w 14 6 $2,047.00 $1,739.95 $1,033.12 $1,985.59 $1,965.12 2026-04-24
74175 HCPCS CT Angiography Abdomen Wo/w 14 6 $2,047.00 $1,739.95 $1,033.12 $1,985.59 $1,965.12 2026-04-24
J9212 HCPCS Interferon Beta 1a Inj 3o Mcg Vl 14 6 $2,039.84 $1,733.86 $1,029.51 $1,978.64 $1,958.24 2026-04-24
45338 HCPCS Flex Sig With Polyp Removal 14 6 $2,037.55 $1,731.92 $1,028.35 $1,976.42 $1,956.05 2026-04-24
73206 HCPCS CT Angiography Upper Extremity W Left 14 6 $2,023.37 $1,719.86 $1,021.19 $1,962.67 $1,942.43 2026-04-24
45385 HCPCS Colonoscopy With Polyp Re 23 6 $2,011.86 $1,710.08 $1,015.39 $1,980.81 $1,931.38 2026-04-24
24605 HCPCS Reduce Elbow Dislocation With Anesthesia 22 6 $3,033.00 $2,578.05 $493.34 $2,942.01 $1,925.64 2026-04-24
45380 HCPCS Colonoscopy With Biopsy 14 6 $2,002.06 $1,701.75 $1,010.44 $1,942.00 $1,921.98 2026-04-24
45378 HCPCS Colonoscopy 14 6 $1,971.96 $1,676.17 $995.25 $1,912.80 $1,893.08 2026-04-24
45381 HCPCS Colon Inj India Ink 14 6 $1,971.96 $1,676.17 $995.25 $1,912.80 $1,893.08 2026-04-24
G0121 HCPCS Scrn Colonoscopy 14 6 $1,940.19 $1,649.16 $979.21 $1,881.98 $1,862.58 2026-04-24
G0105 HCPCS Scrn Colonoscopy-hi Risk 14 6 $1,940.19 $1,649.16 $979.21 $1,881.98 $1,862.58 2026-04-24
73725 HCPCS Mr Angiography Lower Ext Wo Or W(left) 14 6 $1,936.00 $1,645.60 $977.10 $1,877.92 $1,858.56 2026-04-24
72194 HCPCS CT Pelvis Wo/w 14 6 $1,917.00 $1,629.45 $967.51 $1,859.49 $1,840.32 2026-04-24
43239 HCPCS Egd With Biopsy Or Clotes 14 6 $1,904.21 $1,618.58 $961.05 $1,847.08 $1,828.04 2026-04-24
38505 HCPCS Biopsy Of Excision On Lymph Node 14 6 $1,892.63 $1,608.74 $955.21 $1,835.85 $1,816.92 2026-04-24
71260 HCPCS CT Chest W 14 6 $1,879.00 $1,597.15 $948.33 $1,822.63 $1,803.84 2026-04-24
70492 HCPCS CT Soft Tissue Neck Wo/w 14 6 $1,879.00 $1,597.15 $948.33 $1,822.63 $1,803.84 2026-04-24
72193 HCPCS CT Pelvis W 14 6 $1,879.00 $1,597.15 $948.33 $1,822.63 $1,803.84 2026-04-24
74160 HCPCS CT Abdomen W 14 6 $1,879.00 $1,597.15 $948.33 $1,822.63 $1,803.84 2026-04-24
70470 HCPCS CT Head Wo/w 14 6 $1,879.00 $1,597.15 $948.33 $1,822.63 $1,803.84 2026-04-24
70488 HCPCS CT Maxillofacial Without & W/contrast 14 6 $1,873.66 $1,592.61 $945.64 $1,817.45 $1,798.71 2026-04-24
43235 HCPCS Egd 23 6 $1,873.22 $1,592.24 $945.41 $2,123.61 $1,798.29 2026-04-24
59426 HCPCS Antepartum Care 14 6 $1,831.95 $1,557.16 $924.59 $1,776.99 $1,758.67 2026-04-24
78708 HCPCS Nuc Med Kidney Img Morph Vasc Flow W/rx 14 6 $1,816.59 $1,544.10 $916.83 $1,762.09 $1,743.92 2026-04-24
42830 HCPCS Adenoidectomy Less Than 12 Years 22 6 $2,736.39 $2,325.93 $204.36 $2,654.30 $1,737.34 2026-04-24
14040 HCPCS Tissue Transfer 14 6 $1,803.70 $1,533.15 $910.33 $1,749.59 $1,731.56 2026-04-24
73201 HCPCS CT Upper Extremity W Left 14 6 $1,793.50 $1,524.48 $905.18 $1,739.70 $1,721.76 2026-04-24
C8929 HCPCS Echo Complete With Imaging Agent 14 6 $1,773.00 $1,507.05 $894.83 $1,719.81 $1,702.08 2026-04-24
73701 HCPCS CT Lower Extremity W (left) 14 6 $1,766.91 $1,501.87 $891.76 $1,713.90 $1,696.23 2026-04-24
55700 HCPCS Biopsy Prostrate Single Or Multiple 22 6 $2,627.39 $2,233.28 $132.89 $2,548.57 $1,668.12 2026-04-24
72125 HCPCS CT Cervical Spine Wo 14 6 $1,712.00 $1,455.20 $864.05 $1,660.64 $1,643.52 2026-04-24
72192 HCPCS CT Pelvis Wo 14 6 $1,712.00 $1,455.20 $864.05 $1,660.64 $1,643.52 2026-04-24
74150 HCPCS CT Abdomen Wo 14 6 $1,712.00 $1,455.20 $864.05 $1,660.64 $1,643.52 2026-04-24
72131 HCPCS CT Lumbar Spine Wo 14 6 $1,712.00 $1,455.20 $864.05 $1,660.64 $1,643.52 2026-04-24
70481 HCPCS CT Temporal, Orbit, Sella With Contrast 14 6 $1,703.78 $1,448.21 $859.90 $1,652.67 $1,635.63 2026-04-24
21013 HCPCS Excision Tumor Face/scalp Over 2 Cm 14 6 $1,700.00 $1,445.00 $857.99 $1,649.00 $1,632.00 2026-04-24
20103 HCPCS Wound Exploration, Trauma 22 6 $2,533.65 $2,153.60 $326.35 $2,457.64 $1,608.61 2026-04-24
70487 HCPCS CT Maxillofacial W 14 6 $1,647.00 $1,399.95 $831.24 $1,597.59 $1,581.12 2026-04-24
70460 HCPCS CT Head W 14 6 $1,647.00 $1,399.95 $831.24 $1,597.59 $1,581.12 2026-04-24
70491 HCPCS CT Soft Tissue Neck W 14 6 $1,647.00 $1,399.95 $831.24 $1,597.59 $1,581.12 2026-04-24
36556 HCPCS Insertion Central Venous Catheter >5 Yrs 22 6 $2,458.97 $2,090.12 $81.71 $2,385.20 $1,561.19 2026-04-24
71250 HCPCS CT Chest Wo 14 6 $1,625.12 $1,381.35 $820.20 $1,576.37 $1,560.12 2026-04-24
69610 HCPCS Tympanic Membrane Repair 22 6 $2,457.25 $2,088.66 $261.74 $2,383.53 $1,560.11 2026-04-24
86711 HCPCS Jcv Antibody 14 6 $1,607.00 $1,365.95 $811.05 $1,558.79 $1,542.72 2026-04-24
52000 HCPCS Cystourethroscopy 22 6 $2,350.00 $1,997.50 $74.98 $2,279.50 $1,492.01 2026-04-24
19281 HCPCS Perq Device Placement Breast Loc 1st Les 14 6 $1,551.00 $1,318.35 $782.79 $1,504.47 $1,488.96 2026-04-24
11643 HCPCS Exc Malig Les Face 2.1-3. 14 6 $1,550.24 $1,317.70 $782.41 $1,503.73 $1,488.23 2026-04-24
11620 HCPCS Exc Malig Lesio 14 6 $1,550.24 $1,317.70 $782.41 $1,503.73 $1,488.23 2026-04-24
11606 HCPCS Exc.malig Lesion Trnk>4.0 14 6 $1,550.24 $1,317.70 $782.41 $1,503.73 $1,488.23 2026-04-24
11423 HCPCS Ex Bles S/n/ex G2.1-3.0cm 14 6 $1,550.24 $1,317.70 $782.41 $1,503.73 $1,488.23 2026-04-24
11404 HCPCS Excision Benign 14 6 $1,550.24 $1,317.70 $782.41 $1,503.73 $1,488.23 2026-04-24
90375 HCPCS Rabies Immune Globulin In Syr 23 6 $1,548.61 $1,316.32 $781.58 $1,524.39 $1,486.66 2026-04-24
23655 HCPCS Treat Shoulder Dislocatio 31 6 $1,552.43 $1,319.57 $431.15 $2,786.61 $1,474.81 2026-04-24
27752 HCPCS Closed Tx Tibial Shaft Fx 22 6 $2,314.00 $1,966.90 $384.73 $2,244.58 $1,469.15 2026-04-24
70450 HCPCS CT Head Wo 14 6 $1,512.00 $1,285.20 $763.11 $1,466.64 $1,451.52 2026-04-24
72128 HCPCS CT Thoracic Spine Wo 14 6 $1,512.00 $1,285.20 $763.11 $1,466.64 $1,451.52 2026-04-24
70490 HCPCS CT Soft Tissue Neck Wo 14 6 $1,512.00 $1,285.20 $763.11 $1,466.64 $1,451.52 2026-04-24
70486 HCPCS CT Maxillofacial Wo 14 6 $1,512.00 $1,285.20 $763.11 $1,466.64 $1,451.52 2026-04-24
25565 HCPCS Closed Treatmen 40 6 $1,673.00 $1,422.05 $523.48 $1,776.99 $1,451.32 2026-04-24
78264 HCPCS Nm Gastric Emptying Study 14 6 $1,507.33 $1,281.23 $760.75 $1,462.11 $1,447.04 2026-04-24
J1670 HCPCS Tetanus Imm Glob Inj [250 14 6 $1,500.10 $1,275.09 $757.10 $1,455.10 $1,440.10 2026-04-24
78315 HCPCS Nuc Med Three Phase Bone 14 6 $1,500.00 $1,275.00 $757.05 $1,455.00 $1,440.00 2026-04-24
21011 HCPCS Excission Tumor Face/scalp Less Than 2cm 14 6 $1,500.00 $1,275.00 $757.05 $1,455.00 $1,440.00 2026-04-24
J0585 HCPCS Botox 100 Unit Vial Inj 14 6 $1,465.52 $1,245.69 $739.65 $1,421.55 $1,406.89 2026-04-24
20520 HCPCS Removal Foreign Body Hand 22 6 $1,922.73 $1,634.32 $148.51 $1,865.05 $1,402.57 2026-04-24
15275 HCPCS Application Of Skin Substitute Graft 22 6 $2,202.61 $1,872.22 $50.11 $2,136.53 $1,398.43 2026-04-24
78707 HCPCS Nm Renal Scan W/flow/function Without Lasix 14 6 $1,454.32 $1,236.17 $734.00 $1,410.69 $1,396.14 2026-04-24
73700 HCPCS CT Lower Extremity Wo (left) 14 6 $1,451.00 $1,233.35 $732.32 $1,407.47 $1,392.96 2026-04-24
13132 HCPCS Repair(complex 14 6 $1,446.70 $1,229.70 $730.15 $1,403.30 $1,388.83 2026-04-24
25605 HCPCS Closed Tx Of Distal Radius Fx 31 6 $1,552.43 $1,319.57 $564.96 $1,758.63 $1,386.96 2026-04-24
J0490 HCPCS Benlysta 120 Mg Inj 14 6 $1,438.84 $1,223.01 $726.18 $1,395.67 $1,381.29 2026-04-24
0360 RC — 185 6 $1,899.00 $1,614.15 $143.84 $3,117.58 $1,379.85 2026-04-24
27252 HCPCS Closed Tx Hip Dislocation With Anethesia 22 6 $2,169.40 $1,843.99 $736.54 $2,104.32 $1,377.34 2026-04-24
27232 HCPCS Closed Reduc Femoral Fx W Mani 22 6 $2,169.40 $1,843.99 $713.18 $2,104.32 $1,377.34 2026-04-24
11406 HCPCS Excision, Benign Lesion Over 4.0 Cm 23 6 $1,432.67 $1,217.77 $723.07 $1,503.73 $1,375.37 2026-04-24
73200 HCPCS CT Upper Extremity wo(LEFT) 14 6 $1,424.00 $1,210.40 $718.69 $1,381.28 $1,367.04 2026-04-24
64490 HCPCS Injection Paravertebral Facet Joint 22 6 $2,130.17 $1,810.64 $227.16 $2,066.26 $1,352.44 2026-04-24
78582 HCPCS Nuc Med Lung Perfusion And Vent 14 6 $1,400.00 $1,190.00 $706.58 $1,358.00 $1,344.00 2026-04-24
64493 HCPCS Facet Joint Injection Lumb/sac 1 Level 22 6 $1,918.61 $1,630.82 $635.04 $1,861.05 $1,344.00 2026-04-24
78580 HCPCS Nuc Med Lung Perfusion 14 6 $1,400.00 $1,190.00 $706.58 $1,358.00 $1,344.00 2026-04-24
25535 HCPCS Closed Treat Ul 14 6 $1,396.10 $1,186.69 $704.61 $1,354.22 $1,340.26 2026-04-24
J7296 HCPCS Kyleena IUD 14 6 $1,388.15 $1,179.93 $700.60 $1,346.51 $1,332.62 2026-04-24
78320 HCPCS Bone Tomography 14 6 $1,386.00 $1,178.10 $699.51 $1,344.42 $1,330.56 2026-04-24
45330 HCPCS Flexible Sigmoidoscpy 14 6 $1,383.00 $1,175.55 $698.00 $1,341.51 $1,327.68 2026-04-24
21931 HCPCS Excision, Tumor, Back Greater Than 3 Cm 14 6 $1,375.50 $1,169.18 $694.21 $1,334.24 $1,320.48 2026-04-24
0202U OTHER Comprehensive Respiratory Pathogen Panel 7 6 $1,375.00 $1,168.75 $1,306.25 $1,333.75 $1,320.00 2025-03-12
J7298 HCPCS Levonorgestrel (iud) 52mg 14 6 $1,372.80 $1,166.88 $692.85 $1,331.62 $1,317.89 2026-04-24
12020 HCPCS Repair Wound Dehiscence Simple Closure 17 6 $1,365.63 $1,160.79 $186.05 $1,324.66 $1,297.35 2026-04-24
0450 RC — 14 6 $1,349.94 $1,079.95 20% off $681.31 $1,309.44 $1,295.94 2026-04-24
27818 HCPCS Trimalleolar Frac.w/manipulation 22 6 $1,346.76 $1,144.75 $489.38 $1,309.44 $1,282.44 2026-04-24
26705 HCPCS Treat Knuckle Dislocation 22 6 $1,349.94 $1,147.45 $408.81 $1,309.44 $1,273.94 2026-04-24
J1569 HCPCS Gammagard Inj (1 Gm Vl) 32 6 $1,569.26 $1,333.87 $661.34 $8,859.61 $1,271.06 2026-04-24
64415 HCPCS Brachial Plexus Nerve Block 22 6 $2,000.00 $1,700.00 $403.84 $1,940.00 $1,269.80 2026-04-24
26742 HCPCS Closed Tx Phalangeal Fx 22 6 $1,313.34 $1,116.34 $351.64 $1,309.44 $1,260.81 2026-04-24
13121 HCPCS Repair Complex Scallp/arm/leg 2.6-7.5 Cm 17 6 $1,322.00 $1,123.70 $228.32 $1,282.34 $1,255.90 2026-04-24
41010 HCPCS Incision Of Lingual Frenum 31 6 $1,308.91 $1,112.57 $107.13 $2,040.94 $1,243.46 2026-04-24
70336 HCPCS MRI-tmj 14 6 $1,293.00 $1,099.05 $652.58 $1,254.21 $1,241.28 2026-04-24
78306 HCPCS Nuc Med Bone/joint Imaging Whole Body 14 6 $1,288.35 $1,095.10 $650.23 $1,249.70 $1,236.82 2026-04-24
C1734 HCPCS Meniscus Root Rpr Ar-4550bc 32 6 $1,270.50 $1,079.93 $144.32 $3,627.80 $1,232.38 2026-04-24
19282 HCPCS Perq Device Placement Breast Loc Ea Lesi 14 6 $1,282.00 $1,089.70 $647.03 $1,243.54 $1,230.72 2026-04-24
C1819 HCPCS Tissue Collector Abs1050 14 6 $1,270.50 $1,079.93 $641.22 $1,232.38 $1,219.68 2026-04-24
15271 HCPCS Application Of Skin Sub Graft Trunk 22 6 $1,891.95 $1,608.16 $44.79 $1,835.19 $1,201.19 2026-04-24
J3262 HCPCS Tocilizumab 200mg/10ml IV 32 6 $1,231.04 $1,046.38 $4.35 $2,956.20 $1,194.11 2026-04-24
99291 HCPCS ER-class 6 22 6 $1,722.13 $1,463.81 $212.83 $1,670.47 $1,163.24 2026-04-24
93307 HCPCS Echo 14 6 $1,207.17 $1,026.09 $609.26 $1,170.95 $1,158.88 2026-04-24
78226 HCPCS Hepatobilliary 14 6 $1,200.00 $1,020.00 $605.64 $1,164.00 $1,152.00 2026-04-24
78227 HCPCS Nuc Med Hb Duct Sys W Gb 14 6 $1,200.00 $1,020.00 $605.64 $1,164.00 $1,152.00 2026-04-24
62321 HCPCS Epidural Thoracic/Cervical With Guidance 22 6 $1,785.52 $1,517.69 $357.60 $1,731.95 $1,133.63 2026-04-24
C1765 HCPCS Adhesion Barrier 14 6 $1,170.48 $994.91 $590.74 $1,135.37 $1,123.66 2026-04-24
60100 HCPCS Biopsy Thyroid 14 6 $1,158.68 $984.88 $584.79 $1,123.92 $1,112.34 2026-04-24
93350 HCPCS Echo Tthrc R-t 2d W/wo Mode Complete 14 6 $1,150.00 $977.50 $580.40 $1,115.50 $1,104.00 2026-04-24
59425 HCPCS Antepartum Care 14 6 $1,147.70 $975.55 $579.24 $1,113.27 $1,101.80 2026-04-24
J2760 HCPCS Phentolamine Inj Variable Dose 5 Mg Vl 14 6 $1,137.10 $966.54 $573.89 $1,102.99 $1,091.62 2026-04-24
25505 HCPCS Closed Tx Radial Shaft Fracture 22 6 $1,705.00 $1,449.25 $364.14 $1,653.85 $1,082.50 2026-04-24
62323 HCPCS Epidural Lumbar Sacral With Imaging Guid 22 6 $1,697.96 $1,443.27 $428.56 $1,647.02 $1,078.04 2026-04-24
J3489 HCPCS Zometa Inj 4mg/5ml Vl 23 6 $2,123.26 $1,804.77 $163.32 $2,059.56 $1,071.82 2026-04-24
70480 HCPCS CT Temporal Orbit, Sella Without Contrast 14 6 $1,114.25 $947.11 $562.36 $1,080.82 $1,069.68 2026-04-24
78070 HCPCS Nuc Med Parathyroid Planar Imaging 14 6 $1,100.00 $935.00 $555.17 $1,067.00 $1,056.00 2026-04-24
0202U CPT Comprehensive Respiratory Pathogen Panel 7 6 $1,375.00 $1,168.75 $693.96 $1,333.75 $1,051.88 2026-04-24
27810 HCPCS Closed Tx Bimalleolar Fracture W/mani 22 6 $1,374.29 $1,168.15 $477.28 $1,333.06 $1,050.74 2026-04-24
93970 HCPCS Bilateral Duplex Venous Extremity 14 6 $1,092.04 $928.23 $551.15 $1,059.28 $1,048.36 2026-04-24
36590 HCPCS Removal Tun Ctrp Vad W Port/pump Removal 14 6 $1,092.00 $928.20 $551.13 $1,059.24 $1,048.32 2026-04-24
45915 HCPCS Remove Rectum O 14 6 $1,076.85 $915.32 $543.49 $1,044.54 $1,033.78 2026-04-24
C1713 HCPCS Cannulated Screw(s) 2.4 158 6 $1,542.75 $1,311.34 $61.37 $4,588.10 $1,028.02 2026-04-24
93975 HCPCS Duplex Scan Bilateral 14 6 $1,046.84 $889.81 $528.34 $1,015.43 $1,004.97 2026-04-24
36569 HCPCS Picc Line Without Guidance >5 Without Pump/port 22 6 $1,567.43 $1,332.32 $395.63 $1,520.41 $995.15 2026-04-24
78014 HCPCS Thyroid Uptake W/blood Flow Sngl/mult Qu 14 6 $1,026.74 $872.73 $518.20 $995.94 $985.67 2026-04-24
54161 HCPCS Circumcision Over 28 Days 23 6 $1,940.66 $1,649.56 $328.66 $1,882.44 $979.65 2026-04-24
88307 HCPCS Tissue Exam Level V 14 6 $1,020.00 $867.00 $254.83 $989.40 $979.20 2026-04-24
93306 HCPCS Echo Tthrc Rt 2d - Bubble Echo 14 6 $1,010.00 $858.50 $509.75 $979.70 $969.60 2026-04-24
J0248 HCPCS Veklury 100mg Vial 14 6 $1,008.00 $856.80 $508.74 $977.76 $967.68 2026-04-24
27562 HCPCS Closed Tx Pat Dislocation/anethesia 22 6 $1,513.50 $1,286.48 $351.15 $1,468.10 $960.92 2026-04-24
64484 HCPCS Lumbar Injection/guidance Additional 22 6 $1,512.64 $1,285.74 $242.30 $1,467.26 $960.38 2026-04-24
11403 HCPCS Excision Benign Lesion 2.1 To 3.0 23 6 $1,893.69 $1,609.64 $332.49 $1,836.88 $955.93 2026-04-24
64447 HCPCS Femoral Nerve Block With Guidance 22 6 $1,500.00 $1,275.00 $378.59 $1,455.00 $952.35 2026-04-24
G0379 HCPCS Observation Per Hr/ Direc 14 6 $983.55 $836.02 $496.40 $954.04 $944.21 2026-04-24
27840 HCPCS Closed Reduc Ankle Dislo Without Anesthesia 22 6 $1,169.55 $994.12 $465.47 $1,134.46 $941.82 2026-04-24
93925 HCPCS Duplex Scan Art/artl Bpgs Complete 14 6 $970.91 $825.27 $490.02 $941.78 $932.07 2026-04-24
25560 HCPCS Closed Treatmen 14 6 $964.85 $820.12 $486.96 $935.90 $926.25 2026-04-24
11642 HCPCS Exc Malig Lesio 14 6 $961.40 $817.19 $485.22 $932.56 $922.95 2026-04-24
40812 HCPCS Removal Lesion Of Mucosa Of Mouth 22 6 $1,453.00 $1,235.05 $177.09 $1,409.41 $922.50 2026-04-24
93930 HCPCS Duplex Scan Upper Extremity Arterial Bil 14 6 $956.06 $812.65 $482.52 $927.38 $917.82 2026-04-24
78300 HCPCS Nuc Med Bone Limited 14 6 $950.00 $807.50 $479.46 $921.50 $912.00 2026-04-24
J2770 HCPCS Synercid 500mg Inj 14 6 $944.96 $803.22 $476.92 $916.61 $907.16 2026-04-24
96413 HCPCS Chemo Infusions 1st Hr 14 6 $943.52 $801.99 $476.19 $915.21 $905.77 2026-04-24
62322 HCPCS Epidural Lumbar Sacral Without Guidance 22 6 $1,416.83 $1,204.31 $357.60 $1,374.33 $899.54 2026-04-24
26775 HCPCS Treat Finger Dislocation 22 6 $1,071.10 $910.44 $369.54 $1,038.97 $898.91 2026-04-24
68020 HCPCS Incise/drain Co 14 6 $929.63 $790.19 $469.18 $901.74 $892.45 2026-04-24
99285 HCPCS ER-class 5 24 6 $1,302.03 $1,106.73 $181.93 $1,262.97 $878.26 2026-04-24
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