Price Transparency 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

1,735 distinct procedures filed
6 distinct payers
15,437 rate rows
2025-03-12 last MRF observed · ⚠ 15 mo old
Data quality

15,423 of 15,437 rate rows are consumer-grade (99.9%)

14 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 14

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 15 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.hawardenregionalhealthcare.com/s/426005851_HawardenRegionalHealthcare_standardcharges.csv
Found on page https://www.hawardenregionalhealthcare.com/patients-visitors/price-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint b02b83be81e65e07… · 3,709,240 bytes · first seen 2026-05-06

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 $18,790.82 $19,186.42 $18,988.62 nat. median
$288
outlier · 65.9×
29888
HCPCS 		Arthroscopic Aided Anter Cruciate Lig Rp 6 $2,764.55 $19,045.83 $18,849.49 nat. median
$7,307
outlier · 2.6×
29827
HCPCS 		Shoulder Arthroscopy W/rota Cuff Rpr 6 $3,013.93 $16,519.91 $16,349.60 nat. median
$7,155
outlier · 2.3×
29828
HCPCS 		Shoulder Arthro Biceps Tenodesis 6 $2,544.16 $16,519.91 $16,349.60 nat. median
$7,134
outlier · 2.3×
J3101
HCPCS 		Tenecteplase Inj 1 Mg (50 Mg Syr) 6 $14,587.86 $14,894.97 $14,741.42 nat. median
$5,949
outlier · 2.5×
27422
HCPCS 		Knee Arthroscopy W Mpfl Recon W Allograf 6 $190.00 $13,993.98 $13,849.71 nat. median
$7,144
1.9× median
J2506
HCPCS 		Neulasta Onpro Kit 6 $13,515.47 $13,800.01 $13,657.74 nat. median
$2,076
outlier · 6.6×
J0717
HCPCS 		Cimzia 2X200mg Kit 6 $12,406.77 $12,667.97 $12,537.37 nat. median
$1,372
outlier · 9.1×
49593
HCPCS 		Repair Ant Abd Hernia 1st 3-10 Cm Reduci 6 $10,786.38 $11,013.46 $10,899.92 nat. median
$5,868
1.9× median
49505
HCPCS 		Repair Initial Inguinal Hernia 5 And Up 6 $10,553.07 $10,775.24 $10,664.16 nat. median
$3,829
outlier · 2.8×
J9355
HCPCS 		Transtuzumab Inj 440 Mg Vl 6 $10,422.72 $10,642.14 $10,532.43 nat. median
$989
outlier · 10.7×
27331
HCPCS 		Arthroscopic Knee Explor/biop/loose Body 6 $1,163.82 $10,465.15 $10,357.26 nat. median
$3,549
outlier · 2.9×
29824
HCPCS 		Arthro Surgery Shoulder Mumford Procedur 6 $1,678.06 $10,465.15 $10,357.26 nat. median
$3,840
outlier · 2.7×
47562
HCPCS 		Laparoscopic Cholecystectomy 6 $2,024.12 $10,107.64 $10,003.44 nat. median
$5,956
1.7× median
49654
HCPCS 		Laparoscopic Repair, Incisional Hernia 6 $9,135.31 $9,327.64 $9,231.48 nat. median
$5,322
1.7× median
Q5122
HCPCS 		Nyvepria 6 Mg Inj 6 $8,520.55 $8,699.93 $8,610.24 nat. median
$443
outlier · 19.4×
J2182
HCPCS 		Nucala 100mg Syringe 6 $8,009.01 $8,177.62 $8,093.31 nat. median
$3,098
outlier · 2.6×
29875
HCPCS 		Knee Arthroscopy, Limited Synovectomy 6 $1,246.95 $8,049.19 $7,966.20 nat. median
$3,666
outlier · 2.2×
29874
HCPCS 		Arthroscopic Knee Removal Loose Body 6 $1,390.01 $8,043.37 $7,960.44 nat. median
$3,840
outlier · 2.1×
29877
HCPCS 		Arthros Knee Debridement/shaving Artclr 6 $1,604.60 $8,043.37 $7,960.44 nat. median
$3,961
outlier · 2.0×
29823
HCPCS 		Arthroscopy Shoulder With Debride X3+ 6 $1,542.73 $8,043.37 $7,960.44 nat. median
$4,123
1.9× median
29880
HCPCS 		Arthros Knee W/meniscectomy Medlat W/sha 6 $1,428.68 $8,043.37 $7,960.44 nat. median
$3,917
outlier · 2.0×
29882
HCPCS 		Arthroscopic Knee W/meniscus Rpr 6 $1,855.92 $7,939.22 $7,857.37 nat. median
$3,993
2.0× median
42820
HCPCS 		Tonsils/adenoids Less Than Age 12 6 $813.83 $7,938.25 $7,856.41 nat. median
$5,580
1.4× median
J9035
HCPCS 		Bevacizumab Inj (25mg/ml) 400mg Vl 6 $7,268.09 $7,421.10 $7,344.60 nat. median
$767
outlier · 9.6×
28045
HCPCS 		Exc Tumor Soft Tissue Foot/toe <1.5 Cm 6 $6,778.13 $6,920.82 $6,849.48 nat. median
$2,986
outlier · 2.3×
J7168
HCPCS 		K Centra 1000 Unit Range 6 $6,771.69 $6,914.25 $6,842.97 nat. median
$18
outlier · 386.8×
J1459
HCPCS 		Privigen Inj 20gm/200ml Vl 6 $1,524.37 $13,580.00 $6,720.00 nat. median
$1,228
outlier · 5.5×
37609
HCPCS 		Biopsy Temporal Artery 6 $589.64 $6,506.42 $6,439.35 nat. median
$1,912
outlier · 3.4×
49520
HCPCS 		Repair Recurrent Inguinal Hernia 6 $6,328.16 $6,461.38 $6,394.77 nat. median
$3,817
1.7× median
J1561
HCPCS 		Gamunex Inj 20gm/200ml Btl 6 $1,554.15 $6,289.29 $6,224.45 nat. median
$999
outlier · 6.2×
13160
HCPCS 		Secondary Closure Of Surgical Wound 6 $6,087.48 $6,215.63 $6,151.56 nat. median
$2,764
outlier · 2.2×
J2505
HCPCS 		Neulasta 6mg Sq Syr 6 $5,981.20 $10,381.19 $6,044.16 nat. median
$6,803
0.9× median
J9217
HCPCS 		Eligard Inj 45 Mg Bx 6 $5,889.14 $8,916.19 $5,951.14 nat. median
$1,523
outlier · 3.9×
28140
HCPCS 		Metatarsectomy 6 $5,501.83 $5,617.66 $5,559.74 nat. median
$3,506
1.6× median
27347
HCPCS 		Excision Lesion Knee 6 $1,301.08 $5,517.44 $5,460.56 nat. median
$3,750
1.5× median
28820
HCPCS 		Amputation Toe Metatarsophalangeal Joint 6 $5,403.68 $5,517.44 $5,460.56 nat. median
$3,382
1.6× median
29871
HCPCS 		Arthroscopy Knee Inj Lavage 6 $5,395.05 $5,508.63 $5,451.84 nat. median
$3,463
1.6× median
42821
HCPCS 		Tonsils/adenoids Over Age 12 6 $842.90 $5,501.52 $5,444.81 nat. median
$3,418
1.6× median
30117
HCPCS 		Excision/destruction Nasal Lesion 6 $755.91 $5,501.52 $5,444.81 nat. median
$3,308
1.6× median
42140
HCPCS 		Uvulectomy Excision Uvula 6 $328.65 $5,501.52 $5,444.81 nat. median
$3,242
1.7× median
42826
HCPCS 		Tonsilectomy Age 12 Or Over 6 $666.98 $5,501.52 $5,444.81 nat. median
$3,387
1.6× median
55040
HCPCS 		Excision Hydrocele Unilateral 6 $5,369.30 $5,482.34 $5,425.82 nat. median
$3,652
1.5× median
24105
HCPCS 		Excision, Olecran Bursa 6 $5,201.16 $5,310.65 $5,255.90 nat. median
$3,334
1.6× median
29881
HCPCS 		Arthroscopy, Knee Surgical 6 $1,359.08 $8,521.16 $5,255.90 nat. median
$3,871
1.4× median
58670
HCPCS 		Laparoscopic Tubal Ligation 6 $5,192.77 $5,302.09 $5,247.43 nat. median
$5,656
0.9× median
64718
HCPCS 		Neuroplasty/ulnar Nerve Elbow 6 $5,181.40 $5,290.48 $5,235.94 nat. median
$2,545
outlier · 2.1×
49507
HCPCS 		Repair Initial Ing Hernia, Incarcerated 6 $5,148.21 $5,256.59 $5,202.40 nat. median
$3,957
1.3× median
30140
HCPCS 		Submucous Resect Infer Turb Bitsmr 6 $579.98 $5,021.92 $4,970.15 nat. median
$3,349
1.5× median
25000
HCPCS 		Incision Extensor Tendon Sheath Wrist 6 $4,915.02 $5,018.50 $4,966.76 nat. median
$2,120
outlier · 2.3×

Other procedures at this hospital

Browse this hospital's 1,735 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
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 7 6 $19,779.81 $16,812.84 $18,790.82 $19,186.42 $18,988.62 2025-03-12
29888 HCPCS Arthroscopic Aided Anter Cruciate Lig Rp 9 6 $19,634.88 $16,689.65 $2,764.55 $19,045.83 $18,849.49 2025-03-12
29828 HCPCS Shoulder Arthro Biceps Tenodesis 9 6 $17,030.83 $14,476.21 $2,544.16 $16,519.91 $16,349.60 2025-03-12
29827 HCPCS Shoulder Arthroscopy W/rota Cuff Rpr 9 6 $17,030.83 $14,476.21 $3,013.93 $16,519.91 $16,349.60 2025-03-12
J3101 HCPCS Tenecteplase Inj 1 Mg (50 Mg Syr) 7 6 $15,355.64 $13,052.29 $14,587.86 $14,894.97 $14,741.42 2025-03-12
27422 HCPCS Knee Arthroscopy W Mpfl Recon W Allograf 11 6 $14,426.78 $12,262.76 $190.00 $13,993.98 $13,849.71 2025-03-12
J2506 HCPCS Neulasta Onpro Kit 7 6 $14,226.81 $12,092.79 $13,515.47 $13,800.01 $13,657.74 2025-03-12
J0717 HCPCS Cimzia 2X200mg Kit 7 6 $13,059.76 $11,100.80 $12,406.77 $12,667.97 $12,537.37 2025-03-12
49593 HCPCS Repair Ant Abd Hernia 1st 3-10 Cm Reduci 7 6 $11,354.08 $9,650.97 $10,786.38 $11,013.46 $10,899.92 2025-03-12
49505 HCPCS Repair Initial Inguinal Hernia 5 And Up 7 6 $11,108.49 $9,442.22 $10,553.07 $10,775.24 $10,664.16 2025-03-12
J9355 HCPCS Transtuzumab Inj 440 Mg Vl 7 6 $10,971.28 $9,325.59 $10,422.72 $10,642.14 $10,532.43 2025-03-12
29824 HCPCS Arthro Surgery Shoulder Mumford Procedur 9 6 $10,788.81 $9,170.49 $1,678.06 $10,465.15 $10,357.26 2025-03-12
27331 HCPCS Arthroscopic Knee Explor/biop/loose Body 9 6 $10,788.81 $9,170.49 $1,163.82 $10,465.15 $10,357.26 2025-03-12
47562 HCPCS Laparoscopic Cholecystectomy 9 6 $10,420.25 $8,857.21 $2,024.12 $10,107.64 $10,003.44 2025-03-12
49654 HCPCS Laparoscopic Repair, Incisional Hernia 7 6 $9,616.12 $8,173.70 $9,135.31 $9,327.64 $9,231.48 2025-03-12
Q5122 HCPCS Nyvepria 6 Mg Inj 7 6 $8,969.00 $7,623.65 $8,520.55 $8,699.93 $8,610.24 2025-03-12
J2182 HCPCS Nucala 100mg Syringe 7 6 $8,430.54 $7,165.96 $8,009.01 $8,177.62 $8,093.31 2025-03-12
29875 HCPCS Knee Arthroscopy, Limited Synovectomy 9 6 $8,298.13 $7,053.41 $1,246.95 $8,049.19 $7,966.20 2025-03-12
29877 HCPCS Arthros Knee Debridement/shaving Artclr 9 6 $8,292.13 $7,048.31 $1,604.60 $8,043.37 $7,960.44 2025-03-12
29880 HCPCS Arthros Knee W/meniscectomy Medlat W/sha 9 6 $8,292.13 $7,048.31 $1,428.68 $8,043.37 $7,960.44 2025-03-12
29874 HCPCS Arthroscopic Knee Removal Loose Body 9 6 $8,292.13 $7,048.31 $1,390.01 $8,043.37 $7,960.44 2025-03-12
29823 HCPCS Arthroscopy Shoulder With Debride X3+ 9 6 $8,292.13 $7,048.31 $1,542.73 $8,043.37 $7,960.44 2025-03-12
29882 HCPCS Arthroscopic Knee W/meniscus Rpr 9 6 $8,184.76 $6,957.05 $1,855.92 $7,939.22 $7,857.37 2025-03-12
42820 HCPCS Tonsils/adenoids Less Than Age 12 9 6 $8,183.76 $6,956.20 $813.83 $7,938.25 $7,856.41 2025-03-12
J9035 HCPCS Bevacizumab Inj (25mg/ml) 400mg Vl 7 6 $7,650.62 $6,503.03 $7,268.09 $7,421.10 $7,344.60 2025-03-12
28045 HCPCS Exc Tumor Soft Tissue Foot/toe <1.5 Cm 7 6 $7,134.87 $6,064.64 $6,778.13 $6,920.82 $6,849.48 2025-03-12
J7168 HCPCS K Centra 1000 Unit Range 7 6 $7,128.09 $6,058.88 $6,771.69 $6,914.25 $6,842.97 2025-03-12
J1459 HCPCS Privigen Inj 20gm/200ml Vl 13 6 $7,000.00 $5,950.00 $1,524.37 $13,580.00 $6,720.00 2025-03-12
37609 HCPCS Biopsy Temporal Artery 9 6 $6,707.65 $5,701.50 $589.64 $6,506.42 $6,439.35 2025-03-12
49520 HCPCS Repair Recurrent Inguinal Hernia 7 6 $6,661.22 $5,662.04 $6,328.16 $6,461.38 $6,394.77 2025-03-12
J1561 HCPCS Gamunex Inj 20gm/200ml Btl 11 6 $6,483.80 $5,511.23 $1,554.15 $6,289.29 $6,224.45 2025-03-12
13160 HCPCS Secondary Closure Of Surgical Wound 7 6 $6,407.87 $5,446.69 $6,087.48 $6,215.63 $6,151.56 2025-03-12
J2505 HCPCS Neulasta 6mg Sq Syr 9 6 $6,296.00 $5,351.60 $5,981.20 $10,381.19 $6,044.16 2025-03-12
J9217 HCPCS Eligard Inj 45 Mg Bx 9 6 $6,199.10 $5,269.24 $5,889.14 $8,916.19 $5,951.14 2025-03-12
28140 HCPCS Metatarsectomy 7 6 $5,791.40 $4,922.69 $5,501.83 $5,617.66 $5,559.74 2025-03-12
27347 HCPCS Excision Lesion Knee 9 6 $5,688.08 $4,834.87 $1,301.08 $5,517.44 $5,460.56 2025-03-12
28820 HCPCS Amputation Toe Metatarsophalangeal Joint 7 6 $5,688.08 $4,834.87 $5,403.68 $5,517.44 $5,460.56 2025-03-12
29871 HCPCS Arthroscopy Knee Inj Lavage 7 6 $5,679.00 $4,827.15 $5,395.05 $5,508.63 $5,451.84 2025-03-12
42826 HCPCS Tonsilectomy Age 12 Or Over 9 6 $5,671.67 $4,820.92 $666.98 $5,501.52 $5,444.81 2025-03-12
30117 HCPCS Excision/destruction Nasal Lesion 9 6 $5,671.67 $4,820.92 $755.91 $5,501.52 $5,444.81 2025-03-12
42821 HCPCS Tonsils/adenoids Over Age 12 9 6 $5,671.67 $4,820.92 $842.90 $5,501.52 $5,444.81 2025-03-12
42140 HCPCS Uvulectomy Excision Uvula 9 6 $5,671.67 $4,820.92 $328.65 $5,501.52 $5,444.81 2025-03-12
55040 HCPCS Excision Hydrocele Unilateral 7 6 $5,651.90 $4,804.12 $5,369.30 $5,482.34 $5,425.82 2025-03-12
24105 HCPCS Excision, Olecran Bursa 7 6 $5,474.90 $4,653.67 $5,201.16 $5,310.65 $5,255.90 2025-03-12
29881 HCPCS Arthroscopy, Knee Surgical 11 6 $5,474.90 $4,653.67 $1,359.08 $8,521.16 $5,255.90 2025-03-12
58670 HCPCS Laparoscopic Tubal Ligation 7 6 $5,466.07 $4,646.16 $5,192.77 $5,302.09 $5,247.43 2025-03-12
64718 HCPCS Neuroplasty/ulnar Nerve Elbow 7 6 $5,454.10 $4,635.99 $5,181.40 $5,290.48 $5,235.94 2025-03-12
49507 HCPCS Repair Initial Ing Hernia, Incarcerated 7 6 $5,419.17 $4,606.29 $5,148.21 $5,256.59 $5,202.40 2025-03-12
30140 HCPCS Submucous Resect Infer Turb Bitsmr 9 6 $5,177.24 $4,400.65 $579.98 $5,021.92 $4,970.15 2025-03-12
25000 HCPCS Incision Extensor Tendon Sheath Wrist 7 6 $5,173.71 $4,397.65 $4,915.02 $5,018.50 $4,966.76 2025-03-12
49560 HCPCS Repair Of Incisional Or Ventral Hernia 7 6 $5,096.66 $4,332.16 $4,841.83 $4,943.76 $4,892.80 2025-03-12
28124 HCPCS Partial Excision Bone:phalanx Of Toe 7 6 $5,042.41 $4,286.05 $4,790.29 $4,891.14 $4,840.72 2025-03-12
Q0222 HCPCS Bebtelovimab (hrh Suppy) 175mg 7 6 $4,808.00 $4,086.80 $4,567.60 $4,663.76 $4,615.68 2025-03-12
C1776 HCPCS Allograft Implantable Device 13 6 $4,771.80 $4,056.03 $134.29 $4,628.65 $4,533.21 2025-03-12
28122 HCPCS Partial Exicision Bone:tarsal/metatarsal 7 6 $4,634.01 $3,938.91 $4,402.31 $4,494.99 $4,448.65 2025-03-12
J9041 HCPCS Velcade Inj (0.1 Mg) 3.5mg Vl 7 6 $4,632.00 $3,937.20 $4,400.40 $4,493.04 $4,446.72 2025-03-12
69421 HCPCS Bilateral Myringotomy 7 6 $4,628.19 $3,933.96 $4,396.78 $4,489.34 $4,443.06 2025-03-12
28810 HCPCS Amputation, Metataral, With Toe Single 7 6 $4,606.80 $3,915.78 $4,376.46 $4,468.60 $4,422.53 2025-03-12
49585 HCPCS Repair Umbilical Hernia 5 Yr/> Reducible 7 6 $4,542.41 $3,861.05 $4,315.29 $4,406.14 $4,360.72 2025-03-12
49555 HCPCS Repair Recur Femoral Hernia Reducible 7 6 $4,500.00 $3,825.00 $4,275.00 $4,365.00 $4,320.00 2025-03-12
49568 HCPCS Implantation Of Mesh/hernia 7 6 $4,449.26 $3,781.87 $4,226.80 $4,315.78 $4,271.29 2025-03-12
11770 HCPCS Excision Of Pilonidal Cyst 7 6 $4,411.00 $3,749.35 $4,190.45 $4,278.67 $4,234.56 2025-03-12
59409 HCPCS Vaginal Delivery Only 9 6 $4,363.65 $3,709.10 $2,243.21 $4,232.74 $4,189.10 2025-03-12
20670 HCPCS Removal Implant Superficial (wire) 9 6 $4,148.83 $3,526.51 $346.06 $4,024.37 $3,982.88 2025-03-12
23071 HCPCS Exc Soft Tissue Of Shoulder 3 Cm Up 7 6 $4,103.60 $3,488.06 $3,898.42 $3,980.49 $3,939.45 2025-03-12
J0897 HCPCS Prolia Inj 60 Mg Syr 11 6 $4,092.35 $3,478.50 $2,243.92 $7,285.53 $3,928.66 2025-03-12
69436 HCPCS Tympanostomy, General Anesthesia 9 6 $4,057.10 $3,448.54 $388.59 $3,935.39 $3,894.82 2025-03-12
26055 HCPCS Tendon Sheath Incision 9 6 $4,038.57 $3,432.78 $601.25 $3,917.41 $3,877.03 2025-03-12
24073 HCPCS Exc Tumor Soft Tissue Upper Arm/elbow 5> 7 6 $4,037.35 $3,431.75 $3,835.48 $3,916.23 $3,875.86 2025-03-12
74183 HCPCS MRI Abdomen Wo/w 7 6 $4,000.00 $3,400.00 $3,800.00 $3,880.00 $3,840.00 2025-03-12
70546 HCPCS Mrv Head Wo/w 7 6 $3,979.25 $3,382.36 $3,780.29 $3,859.87 $3,820.08 2025-03-12
74178 HCPCS CT Abdomen And Pelvis Wo/w 7 6 $3,964.00 $3,369.40 $3,765.80 $3,845.08 $3,805.44 2025-03-12
74174 HCPCS CT Angiography Abdomen And Pelvis Wo/w 7 6 $3,964.00 $3,369.40 $3,765.80 $3,845.08 $3,805.44 2025-03-12
28285 HCPCS Correction Hammertoe 7 6 $3,869.00 $3,288.65 $3,675.55 $3,752.93 $3,714.24 2025-03-12
64721 HCPCS Neuroplasty/transpos Med Nerv Carpal Tun 11 6 $3,802.94 $3,232.50 $960.83 $4,269.52 $3,650.82 2025-03-12
74177 HCPCS CT Abdomen And Pelvis W 7 6 $3,758.00 $3,194.30 $3,570.10 $3,645.26 $3,607.68 2025-03-12
C1734 HCPCS Meniscus Root Rpr Ar-4550bc 11 6 $3,740.00 $3,179.00 $271.65 $3,627.80 $3,590.40 2025-03-12
46320 HCPCS Excision External Hemorrhoid 7 6 $3,728.41 $3,169.15 $3,541.99 $3,616.56 $3,579.28 2025-03-12
73723 HCPCS MRI Lower Extremity Any Joint wo/w(LEFT) 7 6 $3,693.79 $3,139.72 $3,509.10 $3,582.98 $3,546.04 2025-03-12
19120 HCPCS Excision Of Cyst, Fibroadenoma 7 6 $3,671.25 $3,120.56 $3,487.69 $3,561.11 $3,524.40 2025-03-12
73223 HCPCS MRI Upper Extremity And Joint Wo/w Left 7 6 $3,663.73 $3,114.17 $3,480.54 $3,553.82 $3,517.18 2025-03-12
72197 HCPCS MRI Pelviswwith/without Contrast 7 6 $3,575.61 $3,039.27 $3,396.83 $3,468.34 $3,432.59 2025-03-12
73720 HCPCS MRI Lower Extremity Non-joint Wo/w (left 7 6 $3,551.26 $3,018.57 $3,373.70 $3,444.72 $3,409.21 2025-03-12
73220 HCPCS MRI Upper Extremity Non-joint wo/w(LEFT) 9 6 $3,467.22 $2,947.14 $3,293.86 $3,537.80 $3,328.53 2025-03-12
74176 HCPCS CT Abdomen And Pelvis Wo 7 6 $3,424.00 $2,910.40 $3,252.80 $3,321.28 $3,287.04 2025-03-12
J1439 HCPCS Ferric Carboxymaltose 7 6 $3,415.55 $2,903.22 $3,244.77 $3,313.08 $3,278.93 2025-03-12
21552 HCPCS Exc Tumor Sft Tissue Neck And Chest 3cm> 7 6 $3,400.00 $2,890.00 $3,230.00 $3,298.00 $3,264.00 2025-03-12
52310 HCPCS Flexible Cystocopy/left Stent Removal 9 6 $3,388.07 $2,879.86 $543.25 $3,286.43 $3,252.55 2025-03-12
14020 HCPCS Adjacent Tissue Transfer 10sq Cm Or Less 7 6 $3,245.12 $2,758.35 $3,082.86 $3,147.77 $3,115.32 2025-03-12
43251 HCPCS Esophagogastroduodenoscopy,removal Tumor 7 6 $3,126.55 $2,657.57 $2,970.22 $3,032.75 $3,001.49 2025-03-12
19081 HCPCS Bx Breast W/device 1st Lesion Stereo Gui 7 6 $3,054.00 $2,595.90 $2,901.30 $2,962.38 $2,931.84 2025-03-12
11426 HCPCS Excision B9 Lesion Margin >4 Cm 7 6 $3,048.00 $2,590.80 $2,895.60 $2,956.56 $2,926.08 2025-03-12
J3262 HCPCS Tocilizumab 200mg/10ml IV 11 6 $3,047.63 $2,590.49 $8.19 $2,956.20 $2,925.72 2025-03-12
24605 HCPCS Reduce Elbow Dislocation With Anesthesia 9 6 $3,033.00 $2,578.05 $1,282.44 $2,942.01 $2,911.68 2025-03-12
78452 HCPCS Lexiscan Myoview Stress Test 7 6 $3,008.27 $2,557.03 $2,857.86 $2,918.02 $2,887.94 2025-03-12
J3110 HCPCS Forteo Inj 20mcg/dose Pen 7 6 $2,984.68 $2,536.98 $2,835.45 $2,895.14 $2,865.30 2025-03-12
23655 HCPCS Treat Shoulder Dislocatio 11 6 $2,872.79 $2,441.87 $1,282.44 $2,786.61 $2,757.88 2025-03-12
45388 HCPCS Colonoscopy, Flexible With Ablation 7 6 $2,861.23 $2,432.05 $2,718.17 $2,775.39 $2,746.78 2025-03-12
70553 HCPCS MRI Brain Including Brain Stem Wo/w 7 6 $2,852.00 $2,424.20 $2,709.40 $2,766.44 $2,737.92 2025-03-12
43236 HCPCS Esophagogastrodunoscopy, Submucosal Inj 7 6 $2,841.18 $2,415.00 $2,699.12 $2,755.94 $2,727.53 2025-03-12
75635 HCPCS CTA Abd Aorta W Bilat Lower Ext Runoff 7 6 $2,833.96 $2,408.87 $2,692.26 $2,748.94 $2,720.60 2025-03-12
25111 HCPCS Excision Of Ganglion Cyst 7 6 $2,781.51 $2,364.28 $2,642.43 $2,698.06 $2,670.24 2025-03-12
G0390 HCPCS Trauma Respon W/hosp Cirt 7 6 $2,773.44 $2,357.42 $2,634.77 $2,690.24 $2,662.51 2025-03-12
19083 HCPCS Breast Biopsy 7 6 $2,744.90 $2,333.17 $2,607.66 $2,662.55 $2,635.11 2025-03-12
42830 HCPCS Adenoidectomy Less Than 12 Years 9 6 $2,736.39 $2,325.93 $512.32 $2,654.30 $2,626.93 2025-03-12
19300 HCPCS Breast Lumpectomy 7 6 $2,727.84 $2,318.66 $2,591.45 $2,646.00 $2,618.72 2025-03-12
45384 HCPCS Colonoscopy, Flexible With Hot Biopsy 7 6 $2,720.03 $2,312.03 $2,584.03 $2,638.43 $2,611.23 2025-03-12
45346 HCPCS Sigmoidoscopy Flexible Ablation Tumor 7 6 $2,690.16 $2,286.64 $2,555.65 $2,609.46 $2,582.55 2025-03-12
J0129 HCPCS Abatacept Inj 250mg Vl 7 6 $2,686.96 $2,283.92 $2,552.61 $2,606.35 $2,579.48 2025-03-12
72158 HCPCS MRI Lumbar Spine Wo/w 7 6 $2,683.00 $2,280.55 $2,548.85 $2,602.51 $2,575.68 2025-03-12
72156 HCPCS MRI Cervical Spine Wo/w 7 6 $2,683.00 $2,280.55 $2,548.85 $2,602.51 $2,575.68 2025-03-12
J1745 HCPCS Remicade Inj 100 Mg Vl 7 6 $2,682.62 $2,280.23 $2,548.49 $2,602.14 $2,575.32 2025-03-12
43245 HCPCS Egd With Esophageal Dilat 7 6 $2,658.53 $2,259.75 $2,525.60 $2,578.77 $2,552.18 2025-03-12
70549 HCPCS Mr Angiography Neck Wo/w 9 6 $2,629.00 $2,234.65 $2,052.00 $2,550.13 $2,523.84 2025-03-12
55700 HCPCS Biopsy Prostrate Single Or Multiple 9 6 $2,627.39 $2,233.28 $483.31 $2,548.57 $2,522.30 2025-03-12
28825 HCPCS Amputation Toe Interphalangeal Joint 7 6 $2,623.34 $2,229.84 $2,492.17 $2,544.64 $2,518.41 2025-03-12
72157 HCPCS MRI Thoracic Spine Wo/w 7 6 $2,592.00 $2,203.20 $2,462.40 $2,514.24 $2,488.32 2025-03-12
J9202 HCPCS Zoladex Inj 10.8 Mg Vl 7 6 $2,591.80 $2,203.03 $2,462.21 $2,514.05 $2,488.13 2025-03-12
73706 HCPCS CTA Lower Extremity W Left 7 6 $2,589.63 $2,201.19 $2,460.15 $2,511.94 $2,486.05 2025-03-12
70543 HCPCS MRI Orbit/face And/or Neck Wo/w 7 6 $2,572.00 $2,186.20 $2,443.40 $2,494.84 $2,469.12 2025-03-12
45333 HCPCS Sigmoidoscopy, Flexible 7 6 $2,546.11 $2,164.19 $2,418.80 $2,469.73 $2,444.26 2025-03-12
26160 HCPCS Excision Of Lesion Of Hand Or Finger 7 6 $2,540.33 $2,159.28 $2,413.31 $2,464.12 $2,438.72 2025-03-12
20103 HCPCS Wound Exploration, Trauma 9 6 $2,533.65 $2,153.60 $907.33 $2,457.64 $2,432.30 2025-03-12
10140 HCPCS Drainage Of Hematoma/flui 9 6 $2,533.65 $2,153.60 $301.17 $2,457.64 $2,432.30 2025-03-12
70551 HCPCS MRI Brain Including Brain Stem Wo 7 6 $2,517.00 $2,139.45 $2,391.15 $2,441.49 $2,416.32 2025-03-12
72196 HCPCS MRI Pelvis W 7 6 $2,511.00 $2,134.35 $2,385.45 $2,435.67 $2,410.56 2025-03-12
95811 HCPCS Split Night/cpap Bipap 7 6 $2,500.00 $2,125.00 $2,375.00 $2,425.00 $2,400.00 2025-03-12
70547 HCPCS MRA Neck Wo 7 6 $2,500.00 $2,125.00 $2,375.00 $2,425.00 $2,400.00 2025-03-12
73718 HCPCS MRI Lower Extremity Non-joint Wo (left) 7 6 $2,483.18 $2,110.70 $2,359.02 $2,408.68 $2,383.85 2025-03-12
73221 HCPCS MRI Upper Extremity Any Joint Wo (left) 7 6 $2,477.24 $2,105.65 $2,353.38 $2,402.92 $2,378.15 2025-03-12
36556 HCPCS Insertion Central Venous Catheter >5 Yrs 9 6 $2,458.97 $2,090.12 $1,168.01 $2,385.20 $2,360.61 2025-03-12
69610 HCPCS Tympanic Membrane Repair 9 6 $2,457.25 $2,088.66 $864.17 $2,383.53 $2,358.96 2025-03-12
73218 HCPCS MRI Upper Extremity Non-joint wo(LEFT) 7 6 $2,454.13 $2,086.01 $2,331.42 $2,380.51 $2,355.97 2025-03-12
72195 HCPCS MRI Pelvis Wo 7 6 $2,403.11 $2,042.64 $2,282.95 $2,331.02 $2,306.99 2025-03-12
73721 HCPCS MRI Lower Extremity Any Joint Wo (left) 7 6 $2,401.00 $2,040.85 $2,280.95 $2,328.97 $2,304.96 2025-03-12
72142 HCPCS MRI Cervical Spine W 7 6 $2,376.00 $2,019.60 $2,257.20 $2,304.72 $2,280.96 2025-03-12
72147 HCPCS MRI Thoracic Spine W 7 6 $2,376.00 $2,019.60 $2,257.20 $2,304.72 $2,280.96 2025-03-12
72149 HCPCS MRI Lumbar Spine W 7 6 $2,376.00 $2,019.60 $2,257.20 $2,304.72 $2,280.96 2025-03-12
70498 HCPCS CT Angiography Neck Wo/w 7 6 $2,370.60 $2,015.01 $2,252.07 $2,299.48 $2,275.78 2025-03-12
52000 HCPCS Cystourethroscopy 9 6 $2,350.00 $1,997.50 $295.79 $2,279.50 $2,256.00 2025-03-12
72148 HCPCS MRI Lumbar Spine Wo 7 6 $2,349.00 $1,996.65 $2,231.55 $2,278.53 $2,255.04 2025-03-12
72141 HCPCS MRI C-spine Without 7 6 $2,349.00 $1,996.65 $2,231.55 $2,278.53 $2,255.04 2025-03-12
72146 HCPCS MRI Thoracic Spine Wo 7 6 $2,349.00 $1,996.65 $2,231.55 $2,278.53 $2,255.04 2025-03-12
70540 HCPCS MRI Orbit/face And/or Neck Wo 7 6 $2,349.00 $1,996.65 $2,231.55 $2,278.53 $2,255.04 2025-03-12
74181 HCPCS MRI-abdomen 9 6 $2,349.00 $1,996.65 $2,231.55 $2,425.00 $2,255.04 2025-03-12
95810 HCPCS Polysomnogram 7 6 $2,342.31 $1,990.96 $2,225.19 $2,272.04 $2,248.61 2025-03-12
19082 HCPCS Bx Breast W/device Addl Lesion Stereo Gu 7 6 $2,337.00 $1,986.45 $2,220.15 $2,266.89 $2,243.52 2025-03-12
46080 HCPCS Sphincterotomy Andal Division Sphincter 7 6 $2,334.58 $1,984.39 $2,217.85 $2,264.54 $2,241.20 2025-03-12
71275 HCPCS CT Angiography Chest Wo/w 7 6 $2,315.00 $1,967.75 $2,199.25 $2,245.55 $2,222.40 2025-03-12
27752 HCPCS Closed Tx Tibial Shaft Fx 9 6 $2,314.00 $1,966.90 $477.77 $2,244.58 $2,221.44 2025-03-12
25118 HCPCS Synovectomy, Extensor Tendon Sheath 7 6 $2,274.33 $1,933.18 $2,160.61 $2,206.10 $2,183.36 2025-03-12
J9312 HCPCS Rituxan Inj 100 Mg Vl 9 6 $2,254.84 $1,916.61 $2,142.10 $10,936.01 $2,164.64 2025-03-12
70496 HCPCS CT Angiography Head Wo/w 7 6 $2,220.19 $1,887.16 $2,109.18 $2,153.58 $2,131.38 2025-03-12
15275 HCPCS Application Of Skin Substitute Graft 9 6 $2,202.61 $1,872.22 $94.29 $2,136.53 $2,114.51 2025-03-12
45398 HCPCS Colonoscopy Flexible With Band Ligation 7 6 $2,185.03 $1,857.28 $2,075.78 $2,119.48 $2,097.63 2025-03-12
Q5103 HCPCS Inflectra 100mg 7 6 $2,177.53 $1,850.90 $2,068.65 $2,112.20 $2,090.43 2025-03-12
27252 HCPCS Closed Tx Hip Dislocation With Anethesia 9 6 $2,169.40 $1,843.99 $1,030.46 $2,104.32 $2,082.62 2025-03-12
27232 HCPCS Closed Reduc Femoral Fx W Mani 9 6 $2,169.40 $1,843.99 $1,030.46 $2,104.32 $2,082.62 2025-03-12
70544 HCPCS MRA-circle Of Willisbrain 7 6 $2,160.00 $1,836.00 $2,052.00 $2,095.20 $2,073.60 2025-03-12
64490 HCPCS Injection Paravertebral Facet Joint 9 6 $2,130.17 $1,810.64 $427.50 $2,066.26 $2,044.96 2025-03-12
J3489 HCPCS Zometa Inj 4mg/5ml Vl 9 6 $2,123.26 $1,804.77 $307.42 $2,059.56 $2,038.33 2025-03-12
45382 HCPCS Colonoscopy Flex With Control Bleeding 7 6 $2,117.00 $1,799.45 $2,011.15 $2,053.49 $2,032.32 2025-03-12
41010 HCPCS Incision Of Lingual Frenum 11 6 $2,104.06 $1,788.45 $214.60 $2,040.94 $2,019.90 2025-03-12
73702 HCPCS CT Lower Extremity Wo/w (left) 7 6 $2,093.32 $1,779.32 $1,988.65 $2,030.52 $2,009.59 2025-03-12
Q0138 HCPCS Feraheme Inj 510mgvl/17ml 7 6 $2,084.20 $1,771.57 $1,979.99 $2,021.67 $2,000.83 2025-03-12
19084 HCPCS Biopsy/breast/placement Device 7 6 $2,080.81 $1,768.69 $1,976.77 $2,018.39 $1,997.58 2025-03-12
73202 HCPCS CT Upper Extremity Wo/w Left 7 6 $2,065.32 $1,755.52 $1,962.05 $2,003.36 $1,982.70 2025-03-12
28190 HCPCS Removal Of Foreign Body Foot Sub Q 11 6 $2,063.64 $1,754.09 $550.37 $2,001.73 $1,981.10 2025-03-12
70482 HCPCS CT Orbit/sella/post-fossa/ear Wo/w 7 6 $2,048.11 $1,740.89 $1,945.70 $1,986.67 $1,966.18 2025-03-12
71270 HCPCS CT Chest Wo/w 7 6 $2,047.00 $1,739.95 $1,944.65 $1,985.59 $1,965.12 2025-03-12
74170 HCPCS CT Abdomen Wo/w 7 6 $2,047.00 $1,739.95 $1,944.65 $1,985.59 $1,965.12 2025-03-12
74175 HCPCS CT Angiography Abdomen Wo/w 7 6 $2,047.00 $1,739.95 $1,944.65 $1,985.59 $1,965.12 2025-03-12
J9212 HCPCS Interferon Beta 1a Inj 3o Mcg Vl 7 6 $2,039.84 $1,733.86 $1,937.85 $1,978.64 $1,958.24 2025-03-12
45338 HCPCS Flex Sig With Polyp Removal 7 6 $2,037.55 $1,731.92 $1,935.67 $1,976.42 $1,956.05 2025-03-12
73206 HCPCS CT Angiography Upper Extremity W Left 7 6 $2,023.37 $1,719.86 $1,922.20 $1,962.67 $1,942.43 2025-03-12
45385 HCPCS Colonoscopy With Polyp Re 9 6 $2,011.86 $1,710.08 $1,911.27 $1,980.81 $1,931.38 2025-03-12
45380 HCPCS Colonoscopy With Biopsy 7 6 $2,002.06 $1,701.75 $1,901.96 $1,942.00 $1,921.98 2025-03-12
64415 HCPCS Brachial Plexus Nerve Block 9 6 $2,000.00 $1,700.00 $760.00 $1,940.00 $1,920.00 2025-03-12
45381 HCPCS Colon Inj India Ink 7 6 $1,971.96 $1,676.17 $1,873.36 $1,912.80 $1,893.08 2025-03-12
45378 HCPCS Colonoscopy 7 6 $1,971.96 $1,676.17 $1,873.36 $1,912.80 $1,893.08 2025-03-12
54161 HCPCS Circumcision Over 28 Days 9 6 $1,940.66 $1,649.56 $618.64 $1,882.44 $1,863.04 2025-03-12
G0105 HCPCS Scrn Colonoscopy-hi Risk 7 6 $1,940.19 $1,649.16 $1,843.18 $1,881.98 $1,862.58 2025-03-12
G0121 HCPCS Scrn Colonoscopy 7 6 $1,940.19 $1,649.16 $1,843.18 $1,881.98 $1,862.58 2025-03-12
73725 HCPCS Mr Angiography Lower Ext Wo Or W(left) 7 6 $1,936.00 $1,645.60 $1,839.20 $1,877.92 $1,858.56 2025-03-12
20520 HCPCS Removal Foreign Body Hand 9 6 $1,922.73 $1,634.32 $1,306.72 $1,865.05 $1,845.82 2025-03-12
64493 HCPCS Facet Joint Injection Lumb/sac 1 Level 9 6 $1,918.61 $1,630.82 $1,195.10 $1,861.05 $1,841.87 2025-03-12
72194 HCPCS CT Pelvis Wo/w 7 6 $1,917.00 $1,629.45 $1,821.15 $1,859.49 $1,840.32 2025-03-12
43239 HCPCS Egd With Biopsy Or Clotes 7 6 $1,904.21 $1,618.58 $1,809.00 $1,847.08 $1,828.04 2025-03-12
11403 HCPCS Excision Benign Lesion 2.1 To 3.0 9 6 $1,893.69 $1,609.64 $625.84 $1,836.88 $1,817.94 2025-03-12
38505 HCPCS Biopsy Of Excision On Lymph Node 7 6 $1,892.63 $1,608.74 $1,798.00 $1,835.85 $1,816.92 2025-03-12
15271 HCPCS Application Of Skin Sub Graft Trunk 9 6 $1,891.95 $1,608.16 $84.29 $1,835.19 $1,816.27 2025-03-12
70492 HCPCS CT Soft Tissue Neck Wo/w 7 6 $1,879.00 $1,597.15 $1,785.05 $1,822.63 $1,803.84 2025-03-12
74160 HCPCS CT Abdomen W 7 6 $1,879.00 $1,597.15 $1,785.05 $1,822.63 $1,803.84 2025-03-12
71260 HCPCS CT Chest W 7 6 $1,879.00 $1,597.15 $1,785.05 $1,822.63 $1,803.84 2025-03-12
72193 HCPCS CT Pelvis W 7 6 $1,879.00 $1,597.15 $1,785.05 $1,822.63 $1,803.84 2025-03-12
70470 HCPCS CT Head Wo/w 7 6 $1,879.00 $1,597.15 $1,785.05 $1,822.63 $1,803.84 2025-03-12
70488 HCPCS CT Maxillofacial Without & W/contrast 7 6 $1,873.66 $1,592.61 $1,779.98 $1,817.45 $1,798.71 2025-03-12
43235 HCPCS Egd 9 6 $1,873.22 $1,592.24 $1,779.56 $2,123.61 $1,798.29 2025-03-12
59426 HCPCS Antepartum Care 7 6 $1,831.95 $1,557.16 $1,740.35 $1,776.99 $1,758.67 2025-03-12
78708 HCPCS Nuc Med Kidney Img Morph Vasc Flow W/rx 7 6 $1,816.59 $1,544.10 $1,725.76 $1,762.09 $1,743.92 2025-03-12
25605 HCPCS Closed Tx Of Distal Radius Fx 11 6 $1,813.02 $1,541.07 $1,333.12 $1,758.63 $1,740.50 2025-03-12
14040 HCPCS Tissue Transfer 7 6 $1,803.70 $1,533.15 $1,713.52 $1,749.59 $1,731.56 2025-03-12
73201 HCPCS CT Upper Extremity W Left 7 6 $1,793.50 $1,524.48 $1,703.82 $1,739.70 $1,721.76 2025-03-12
62321 HCPCS Epidural Thoracic/Cervical With Guidance 9 6 $1,785.52 $1,517.69 $673.00 $1,731.95 $1,714.10 2025-03-12
C8929 HCPCS Echo Complete With Imaging Agent 7 6 $1,773.00 $1,507.05 $1,684.35 $1,719.81 $1,702.08 2025-03-12
73701 HCPCS CT Lower Extremity W (left) 7 6 $1,766.91 $1,501.87 $1,678.56 $1,713.90 $1,696.23 2025-03-12
0360 RC — 45 6 $1,744.00 $1,482.40 $270.75 $3,117.58 $1,691.68 2025-03-12
99291 HCPCS ER-class 6 9 6 $1,722.13 $1,463.81 $988.25 $1,670.47 $1,653.24 2025-03-12
72131 HCPCS CT Lumbar Spine Wo 7 6 $1,712.00 $1,455.20 $1,626.40 $1,660.64 $1,643.52 2025-03-12
72125 HCPCS CT Cervical Spine Wo 7 6 $1,712.00 $1,455.20 $1,626.40 $1,660.64 $1,643.52 2025-03-12
74150 HCPCS CT Abdomen Wo 7 6 $1,712.00 $1,455.20 $1,626.40 $1,660.64 $1,643.52 2025-03-12
72192 HCPCS CT Pelvis Wo 7 6 $1,712.00 $1,455.20 $1,626.40 $1,660.64 $1,643.52 2025-03-12
25505 HCPCS Closed Tx Radial Shaft Fracture 9 6 $1,705.00 $1,449.25 $452.20 $1,653.85 $1,636.80 2025-03-12
70481 HCPCS CT Temporal, Orbit, Sella With Contrast 7 6 $1,703.78 $1,448.21 $1,618.59 $1,652.67 $1,635.63 2025-03-12
21013 HCPCS Excision Tumor Face/scalp Over 2 Cm 7 6 $1,700.00 $1,445.00 $1,615.00 $1,649.00 $1,632.00 2025-03-12
62323 HCPCS Epidural Lumbar Sacral With Imaging Guid 9 6 $1,697.96 $1,443.27 $806.53 $1,647.02 $1,630.04 2025-03-12
25565 HCPCS Closed Tx Fracture Radius Ulna 13 6 $1,673.00 $1,422.05 $1,398.40 $1,776.99 $1,606.08 2025-03-12
70491 HCPCS CT Soft Tissue Neck W 7 6 $1,647.00 $1,399.95 $1,564.65 $1,597.59 $1,581.12 2025-03-12
70460 HCPCS CT Head W 7 6 $1,647.00 $1,399.95 $1,564.65 $1,597.59 $1,581.12 2025-03-12
70487 HCPCS CT Maxillofacial W 7 6 $1,647.00 $1,399.95 $1,564.65 $1,597.59 $1,581.12 2025-03-12
71250 HCPCS CT Chest Wo 7 6 $1,625.12 $1,381.35 $1,543.86 $1,576.37 $1,560.12 2025-03-12
86711 HCPCS Jcv Antibody 7 6 $1,607.00 $1,365.95 $1,526.65 $1,558.79 $1,542.72 2025-03-12
36569 HCPCS Picc Line Without Guidance >5 Without Pump/port 9 6 $1,567.43 $1,332.32 $744.53 $1,520.41 $1,504.73 2025-03-12
19281 HCPCS Perq Device Placement Breast Loc 1st Les 7 6 $1,551.00 $1,318.35 $1,473.45 $1,504.47 $1,488.96 2025-03-12
11404 HCPCS Excision Benign 7 6 $1,550.24 $1,317.70 $1,472.73 $1,503.73 $1,488.23 2025-03-12
11643 HCPCS Exc Malig Les Face 2.1-3. 7 6 $1,550.24 $1,317.70 $1,472.73 $1,503.73 $1,488.23 2025-03-12
11620 HCPCS Exc Malig Lesio 7 6 $1,550.24 $1,317.70 $1,472.73 $1,503.73 $1,488.23 2025-03-12
11606 HCPCS Exc.malig Lesion Trnk>4.0 7 6 $1,550.24 $1,317.70 $1,472.73 $1,503.73 $1,488.23 2025-03-12
11423 HCPCS Ex Bles S/n/ex G2.1-3.0cm 7 6 $1,550.24 $1,317.70 $1,472.73 $1,503.73 $1,488.23 2025-03-12
90375 HCPCS Rabies Immune Globulin In Syr 9 6 $1,548.61 $1,316.32 $1,471.18 $1,524.39 $1,486.66 2025-03-12
27562 HCPCS Closed Tx Pat Dislocation/anethesia 9 6 $1,513.50 $1,286.48 $436.07 $1,468.10 $1,452.96 2025-03-12
64484 HCPCS Lumbar Injection/guidance Additional 9 6 $1,512.64 $1,285.74 $456.00 $1,467.26 $1,452.13 2025-03-12
70450 HCPCS CT Head Wo 7 6 $1,512.00 $1,285.20 $1,436.40 $1,466.64 $1,451.52 2025-03-12
72128 HCPCS CT Thoracic Spine Wo 7 6 $1,512.00 $1,285.20 $1,436.40 $1,466.64 $1,451.52 2025-03-12
70486 HCPCS CT Maxillofacial Wo 7 6 $1,512.00 $1,285.20 $1,436.40 $1,466.64 $1,451.52 2025-03-12
70490 HCPCS CT Soft Tissue Neck Wo 7 6 $1,512.00 $1,285.20 $1,436.40 $1,466.64 $1,451.52 2025-03-12
78264 HCPCS Nm Gastric Emptying Study 7 6 $1,507.33 $1,281.23 $1,431.96 $1,462.11 $1,447.04 2025-03-12
J1670 HCPCS Tetanus Imm Glob Inj [250 7 6 $1,500.10 $1,275.09 $1,425.10 $1,455.10 $1,440.10 2025-03-12
78315 HCPCS Nuc Med Three Phase Bone 7 6 $1,500.00 $1,275.00 $1,425.00 $1,455.00 $1,440.00 2025-03-12
64447 HCPCS Femoral Nerve Block With Guidance 9 6 $1,500.00 $1,275.00 $712.50 $1,455.00 $1,440.00 2025-03-12
21011 HCPCS Excission Tumor Face/scalp Less Than 2cm 7 6 $1,500.00 $1,275.00 $1,425.00 $1,455.00 $1,440.00 2025-03-12
C1713 HCPCS Cannulated Screw(s) 2.4 39 6 $1,507.70 $1,281.55 $115.52 $4,588.10 $1,432.32 2025-03-12
J0585 HCPCS Botox 100 Unit Vial Inj 7 6 $1,465.52 $1,245.69 $1,392.24 $1,421.55 $1,406.89 2025-03-12
78707 HCPCS Nm Renal Scan W/flow/function Without Lasix 7 6 $1,454.32 $1,236.17 $1,381.60 $1,410.69 $1,396.14 2025-03-12
40812 HCPCS Removal Lesion Of Mucosa Of Mouth 9 6 $1,453.00 $1,235.05 $458.18 $1,409.41 $1,394.88 2025-03-12
73700 HCPCS CT Lower Extremity Wo (left) 7 6 $1,451.00 $1,233.35 $1,378.45 $1,407.47 $1,392.96 2025-03-12
13132 HCPCS Repair(complex 7 6 $1,446.70 $1,229.70 $1,374.36 $1,403.30 $1,388.83 2025-03-12
J0490 HCPCS Benlysta 120 Mg Inj 7 6 $1,438.84 $1,223.01 $1,366.90 $1,395.67 $1,381.29 2025-03-12
11406 HCPCS Excision, Benign Lesion Over 4.0 Cm 9 6 $1,432.67 $1,217.77 $1,361.04 $1,503.73 $1,375.37 2025-03-12
73200 HCPCS CT Upper Extremity wo(LEFT) 7 6 $1,424.00 $1,210.40 $1,352.80 $1,381.28 $1,367.04 2025-03-12
62322 HCPCS Epidural Lumbar Sacral Without Guidance 9 6 $1,416.83 $1,204.31 $673.00 $1,374.33 $1,360.16 2025-03-12
78582 HCPCS Nuc Med Lung Perfusion And Vent 7 6 $1,400.00 $1,190.00 $1,330.00 $1,358.00 $1,344.00 2025-03-12
78580 HCPCS Nuc Med Lung Perfusion 7 6 $1,400.00 $1,190.00 $1,330.00 $1,358.00 $1,344.00 2025-03-12
25535 HCPCS Closed Treat Ul 7 6 $1,396.10 $1,186.69 $1,326.30 $1,354.22 $1,340.26 2025-03-12
J7296 HCPCS Kyleena IUD 7 6 $1,388.15 $1,179.93 $1,318.74 $1,346.51 $1,332.62 2025-03-12
78320 HCPCS Bone Tomography 7 6 $1,386.00 $1,178.10 $1,316.70 $1,344.42 $1,330.56 2025-03-12
45330 HCPCS Flexible Sigmoidoscpy 7 6 $1,383.00 $1,175.55 $1,313.85 $1,341.51 $1,327.68 2025-03-12
21931 HCPCS Excision, Tumor, Back Greater Than 3 Cm 7 6 $1,375.50 $1,169.18 $1,306.72 $1,334.24 $1,320.48 2025-03-12
0202U HCPCS Comprehensive Respiratory Pathogen Panel 7 6 $1,375.00 $1,168.75 $1,306.25 $1,333.75 $1,320.00 2025-03-12
27810 HCPCS Closed Tx Bimalleolar Fracture W/mani 9 6 $1,374.29 $1,168.15 $1,028.49 $1,333.06 $1,319.32 2025-03-12
31237 HCPCS Debridement Sinus Cavity Bilateral 9 6 $1,374.00 $1,167.90 $502.64 $1,332.78 $1,319.04 2025-03-12
J7298 HCPCS Levonorgestrel (iud) 52mg 7 6 $1,372.80 $1,166.88 $1,304.16 $1,331.62 $1,317.89 2025-03-12
12020 HCPCS Repair Wound Dehiscence Simple Closure 7 6 $1,365.63 $1,160.79 $1,297.35 $1,324.66 $1,311.01 2025-03-12
27842 HCPCS Reduce Ankle Dislocation 9 6 $1,349.94 $1,147.45 $442.45 $1,309.44 $1,295.94 2025-03-12
26705 HCPCS Treat Knuckle Dislocation 9 6 $1,349.94 $1,147.45 $1,247.67 $1,309.44 $1,295.94 2025-03-12
0450 RC — 7 6 $1,349.94 $1,079.95 20% off $1,282.44 $1,309.44 $1,295.94 2025-03-12
27818 HCPCS Trimalleolar Frac.w/manipulation 9 6 $1,346.76 $1,144.75 $1,279.42 $1,309.44 $1,292.89 2025-03-12
13121 HCPCS Repair Complex Scallp/arm/leg 2.6-7.5 Cm 7 6 $1,322.00 $1,123.70 $1,255.90 $1,282.34 $1,269.12 2025-03-12
26742 HCPCS Closed Tx Phalangeal Fx 9 6 $1,313.34 $1,116.34 $1,247.67 $1,309.44 $1,260.81 2025-03-12
J1569 HCPCS Gammagard Inj (1 Gm Vl) 11 6 $1,310.37 $1,113.81 $1,244.85 $8,859.61 $1,257.95 2025-03-12
99285 HCPCS ER-class 5 9 6 $1,302.03 $1,106.73 $860.15 $1,262.97 $1,249.95 2025-03-12
64450 HCPCS Injection Other Peripheral Nerve/branch 9 6 $1,297.18 $1,102.60 $459.00 $1,258.26 $1,245.29 2025-03-12
70336 HCPCS MRI-tmj 7 6 $1,293.00 $1,099.05 $1,228.35 $1,254.21 $1,241.28 2025-03-12
78306 HCPCS Nuc Med Bone/joint Imaging Whole Body 7 6 $1,288.35 $1,095.10 $1,223.93 $1,249.70 $1,236.82 2025-03-12
19282 HCPCS Perq Device Placement Breast Loc Ea Lesi 7 6 $1,282.00 $1,089.70 $1,217.90 $1,243.54 $1,230.72 2025-03-12
C1819 HCPCS Tissue Collector Abs1050 7 6 $1,270.50 $1,079.93 $1,206.98 $1,232.38 $1,219.68 2025-03-12
10005 HCPCS Fine Needle Aspiration Biopsy With Ultra 9 6 $1,220.02 $1,037.02 $282.25 $1,183.42 $1,171.22 2025-03-12
93307 HCPCS Echo 7 6 $1,207.17 $1,026.09 $1,146.81 $1,170.95 $1,158.88 2025-03-12
78227 HCPCS Nuc Med Hb Duct Sys W Gb 7 6 $1,200.00 $1,020.00 $1,140.00 $1,164.00 $1,152.00 2025-03-12
64483 HCPCS Lumbar Or Sacral, Single Level With Image 9 6 $1,200.00 $1,020.00 $760.00 $1,164.00 $1,152.00 2025-03-12
78226 HCPCS Hepatobilliary 7 6 $1,200.00 $1,020.00 $1,140.00 $1,164.00 $1,152.00 2025-03-12
40806 HCPCS Incision Labial Frenum Frenotomy 9 6 $1,175.24 $998.95 $59.94 $1,139.98 $1,128.23 2025-03-12
C1765 HCPCS Adhesion Barrier 7 6 $1,170.48 $994.91 $1,111.96 $1,135.37 $1,123.66 2025-03-12
27840 HCPCS Closed Reduc Ankle Dislo Without Anesthesia 9 6 $1,169.55 $994.12 $922.40 $1,134.46 $1,122.77 2025-03-12
64491 HCPCS Inj Paravertbral Facet Jt Second Leve 9 6 $1,166.46 $991.49 $456.00 $1,131.47 $1,119.81 2025-03-12
60100 HCPCS Biopsy Thyroid 7 6 $1,158.68 $984.88 $1,100.75 $1,123.92 $1,112.34 2025-03-12
93350 HCPCS Echo Tthrc R-t 2d W/wo Mode Complete 7 6 $1,150.00 $977.50 $1,092.50 $1,115.50 $1,104.00 2025-03-12
59425 HCPCS Antepartum Care 7 6 $1,147.70 $975.55 $1,090.32 $1,113.27 $1,101.80 2025-03-12
J2760 HCPCS Phentolamine Inj Variable Dose 5 Mg Vl 7 6 $1,137.10 $966.54 $1,080.24 $1,102.99 $1,091.62 2025-03-12
70480 HCPCS CT Temporal Orbit, Sella Without Contrast 7 6 $1,114.25 $947.11 $1,058.54 $1,080.82 $1,069.68 2025-03-12
78070 HCPCS Nuc Med Parathyroid Planar Imaging 7 6 $1,100.00 $935.00 $1,045.00 $1,067.00 $1,056.00 2025-03-12
93970 HCPCS Bilateral Duplex Venous Extremity 7 6 $1,092.04 $928.23 $1,037.44 $1,059.28 $1,048.36 2025-03-12
36590 HCPCS Removal Tun Ctrp Vad W Port/pump Removal 7 6 $1,092.00 $928.20 $1,037.40 $1,059.24 $1,048.32 2025-03-12
64494 HCPCS Facet Joint Paravert Injection 2 Levels 9 6 $1,087.25 $924.16 $533.50 $1,054.63 $1,043.76 2025-03-12
45915 HCPCS Remove Rectum O 7 6 $1,076.85 $915.32 $1,023.01 $1,044.54 $1,033.78 2025-03-12
26775 HCPCS Treat Finger Dislocation 9 6 $1,071.10 $910.44 $880.37 $1,038.97 $1,028.26 2025-03-12
87507 HCPCS Enteric Panel Without C Diff 9 6 $1,063.40 $903.89 $439.94 $1,031.50 $1,020.87 2025-03-12
64492 HCPCS Injection Paravertebral Facet Third 9 6 $1,049.28 $891.89 $427.50 $1,017.80 $1,007.31 2025-03-12
93975 HCPCS Duplex Scan Bilateral 7 6 $1,046.84 $889.81 $994.50 $1,015.43 $1,004.97 2025-03-12
78014 HCPCS Thyroid Uptake W/blood Flow Sngl/mult Qu 7 6 $1,026.74 $872.73 $975.40 $995.94 $985.67 2025-03-12
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