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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

GEORGE C GRAPE COMMUNITY HOSPITAL

Hamburg, IA · CCN 161324 · Rates published

Your selected procedure

You selected 93306 (HCPCS)

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function

This hospital’s price: $2,003 across 7 payers · range $1,055-$2,089

Source: https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbGCHHAMBURGIA&type=CDMWithoutLabel&fileType=CSV · observed 2026-02-19

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.

3,832 distinct procedures filed
7 distinct payers
24,547 rate rows
2026-02-19 last MRF observed
Data quality

24,350 of 24,547 rate rows are consumer-grade (99.2%)

197 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
template filing: same amount across many unrelated codes — excluded 123
exceeds 10× this hospital's gross charge — excluded from medians 49
percent-of-charges filed in the dollar field — excluded from medians 25
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbGCHHAMBURGIA&type=CDMWithoutLabel&fileType=CSV
Found on page https://apps.para-hcfs.com/PTT/FinalLinks/GeorgeGrape.aspx
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-22
Content fingerprint 66fa74f1bb07fd46… · 8,422,300 bytes · first seen 2026-05-13

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
J2350
HCPCS 		Injection, Ocrelizumab, 1 Mg 5 $24,950.50 $48,403.97 $47,356.05 nat. median
$414
outlier · 114.3×
Q4256
HCPCS 		Mlg-complete, Per Square Centimeter 5 $8,940.50 $68,975.73 $26,449.53 nat. median
$878
outlier · 30.1×
J9022
HCPCS 		Injection, Atezolizumab, 10 Mg 5 $13,540.00 $26,267.60 $25,698.92 nat. median
$6,720
outlier · 3.8×
07511799
CDM 		Pacemaker Kit 5 $10,649.50 $20,660.03 $20,212.75 nat. median
$20,213
1.0× median
J3380
HCPCS 		Injection, Vedolizumab, Intravenous, 1 Mg 5 $10,396.00 $20,168.24 $19,731.61 nat. median
$155
outlier · 127.7×
J9285
HCPCS 		Injection, Olaratumab, 10 Mg 5 $9,592.50 $18,609.45 $18,206.57 nat. median
$127
outlier · 143.7×
J9299
HCPCS 		Injection, Nivolumab, 1 Mg 5 $9,500.00 $18,430.00 $18,031.00 nat. median
$2,849
outlier · 6.3×
J0517
HCPCS 		Injection, Benralizumab, 1 Mg 5 $9,344.00 $18,127.36 $17,734.91 nat. median
$919
outlier · 19.3×
J2506
HCPCS 		Injection, Pegfilgrastim, Excludes Biosimilar, 0.5 Mg 5 $8,689.00 $17,908.14 $16,682.88 nat. median
$1,659
outlier · 10.1×
J9301
HCPCS 		Injection, Obinutuzumab, 10 Mg 5 $8,185.00 $15,878.90 $15,535.13 nat. median
$286
outlier · 54.3×
J0717
HCPCS 		Injection, Certolizumab Pegol, 1 Mg (code May Be Used For Medicare When Drug Adm… 5 $7,440.00 $14,433.60 $14,121.12 nat. median
$1,635
outlier · 8.6×
J9271
HCPCS 		Injection, Pembrolizumab, 1 Mg 5 $7,374.00 $14,305.56 $13,995.85 nat. median
$275
outlier · 51.0×
J1449
HCPCS 		Injection, Eflapegrastim-xnst, 0.1 Mg 5 $5,614.00 $10,891.16 $10,655.37 nat. median
$30
outlier · 355.2×
Q5122
HCPCS 		Injection, Pegfilgrastim-apgf (nyvepria), Biosimilar, 0.5 Mg 5 $5,314.50 $10,310.13 $10,086.92 nat. median
$561
outlier · 18.0×
J2353
HCPCS 		Injection, Octreotide, Depot Form For Intramuscular Injection, 1 Mg 5 $5,069.00 $15,603.42 $9,732.48 nat. median
$5,623
1.7× median
49652
HCPCS 		Laparoscopy, Surgical, Repair, Ventral, Umbilical, Spigelian Or Epigastric Herni… 7 $4,973.00 $9,647.62 $9,249.78 nat. median
$5,038
1.8× median
02001740
CDM 		Firazyr 30 Mg/3 Ml Syringe 5 $4,834.00 $9,377.96 $9,174.93 nat. median
$9,175
1.0× median
Q5108
HCPCS 		Injection, Pegfilgrastim-jmdb (fulphila), Biosimilar, 0.5 Mg 5 $4,678.00 $9,075.32 $8,878.84 nat. median
$1,244
outlier · 7.1×
Q5123
HCPCS 		Injection, Rituximab-arrx, Biosimilar, (riabni), 10 Mg 5 $4,661.50 $9,043.31 $8,847.53 nat. median
$1,006
outlier · 8.8×
J9041
HCPCS 		Injection, Bortezomib, 0.1 Mg 5 $4,551.50 $8,829.91 $8,638.75 nat. median
$144
outlier · 60.2×
J1306
HCPCS 		Injection, Inclisiran, 1 Mg 5 $4,453.50 $8,639.79 $8,452.74 nat. median
$44
outlier · 193.3×
02001255
CDM 		Tnkase 50 Mg Kit 5 $4,403.00 $8,541.82 $8,356.89 nat. median
$8,357
1.0× median
02001739
CDM 		Haegarda 3,000 Unit Vial 5 $4,294.00 $8,330.36 $8,150.01 nat. median
$8,150
1.0× median
46255
HCPCS 		Removal Of Single External And Internal Hemorrhoid Group 7 $4,178.50 $8,106.29 $7,772.01 nat. median
$2,849
outlier · 2.7×
Q5107
HCPCS 		Injection, Bevacizumab-awwb, Biosimilar, (mvasi), 10 Mg 5 $4,002.50 $7,764.85 $7,596.75 nat. median
$563
outlier · 13.5×
28292
HCPCS 		Correction Of Bunion 7 $3,796.00 $13,334.01 $7,212.40 nat. median
$3,590
outlier · 2.0×
49507
HCPCS 		Repair Of Trapped Groin Hernia (5 Years Or Older) 7 $3,790.50 $8,569.13 $7,201.95 nat. median
$3,886
1.9× median
J9145
HCPCS 		Injection, Daratumumab, 10 Mg 5 $3,759.00 $7,292.46 $7,134.58 nat. median
$611
outlier · 11.7×
52234
HCPCS 		Destruction And/or Removal Of Growth Of Bladder And Urethra Using An Endoscope,… 7 $2,514.11 $7,022.80 $6,733.20 nat. median
$3,512
1.9× median
36582
HCPCS 		Replacement Of Tunneled Central Venous Tube With Port 7 $3,462.00 $6,716.28 $6,439.32 nat. median
$3,752
1.7× median
11450
HCPCS 		Removal Of Skin And Tissue Of Underarms For Inflamed Sweat Glands With Simple Or… 7 $3,392.00 $6,580.48 $6,309.12 nat. median
$2,849
outlier · 2.2×
29880
HCPCS 		Removal Of Both Knee Cartilages Using An Endoscope 7 $3,331.00 $6,462.14 $6,195.66 nat. median
$3,840
1.6× median
J3111
HCPCS 		Injection, Romosozumab-aqqg, 1 Mg 5 $3,256.50 $6,317.61 $6,180.84 nat. median
$696
outlier · 8.9×
49505
HCPCS 		Repair Of Groin Hernia (5 Years Or Older) 7 $3,243.50 $8,569.13 $6,162.65 nat. median
$3,855
1.6× median
49585
HCPCS 		Repair Umbilical Hernia, Age 5 Years Or Older; Reducible 7 $3,243.50 $8,569.13 $6,162.65 nat. median
$3,104
2.0× median
49520
HCPCS 		Repair Of Groin Hernia That Is Not Trapped 7 $3,243.50 $8,569.13 $6,162.65 nat. median
$3,788
1.6× median
49560
HCPCS 		Repair Initial Incisional Or Ventral Hernia; Reducible 7 $3,210.00 $9,015.08 $6,099.00 nat. median
$3,041
outlier · 2.0×
J2997
HCPCS 		Injection, Alteplase Recombinant, 1 Mg 5 $349.50 $22,177.11 $6,054.76 nat. median
$500
outlier · 12.1×
46270
HCPCS 		Repair Of Abnormal Anal Drainage Tract 7 $3,235.50 $6,276.87 $6,018.03 nat. median
$2,850
outlier · 2.1×
Q5130
HCPCS 		Injection, Pegfilgrastim-pbbk (fylnetra), Biosimilar, 0.5 Mg 5 $3,119.00 $6,050.86 $5,919.86 nat. median
$353
outlier · 16.8×
28289
HCPCS 		Correction Of Rigid Deformity Of First Joint Of Big Toe 7 $3,109.50 $13,334.01 $5,908.05 nat. median
$3,519
1.7× median
21933
HCPCS 		Removal Of Growth Of Muscle Of Back Or Lower Sides, 5.0 Cm Or More 7 $3,132.50 $6,077.05 $5,826.45 nat. median
$3,144
1.9× median
58925
HCPCS 		Removal Of Cysts Of Ovaries 7 $3,019.50 $7,558.52 $5,737.05 nat. median
$5,001
1.1× median
J0875
HCPCS 		Injection, Dalbavancin, 5 Mg 5 $3,000.50 $5,820.97 $5,694.95 nat. median
$435
outlier · 13.1×
42820
HCPCS 		Removal Of Tonsils And Adenoid Glands (younger Than 12 Years) 7 $3,036.00 $5,889.84 $5,646.96 nat. median
$5,545
1.0× median
58940
HCPCS 		Removal Of Ovaries 7 $2,955.00 $5,896.55 $5,608.59 nat. median
$2,145
outlier · 2.6×
55041
HCPCS 		Removal Of Fluid Collection In Both Testicles And Sperm Reservoirs 7 $3,009.50 $5,838.43 $5,597.67 nat. median
$3,911
1.4× median
21554
HCPCS 		Removal Of Growth Of Muscle Of Neck Or Front Of Chest, 5.0 Cm Or More 7 $2,974.50 $5,770.53 $5,532.57 nat. median
$3,188
1.7× median
44604
HCPCS 		Suture Of Tear Or Hole In Large Bowel 7 $2,906.00 $8,671.44 $5,521.40 nat. median
$2,688
outlier · 2.1×
49587
HCPCS 		Repair Umbilical Hernia, Age 5 Years Or Older; Incarcerated Or Strangulated 7 $2,890.00 $8,569.13 $5,491.00 nat. median
$3,482
1.6× median

Other procedures at this hospital

Browse this hospital's 3,832 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
             
J2350 HCPCS Injection, Ocrelizumab, 1 Mg 5 5 $49,901.00 $44,910.90 $24,950.50 $48,403.97 $47,356.05 2026-02-19
Q4256 HCPCS Mlg-complete, Per Square Centimeter 10 5 $44,495.00 $40,045.50 $8,940.50 $68,975.73 $26,449.53 2026-02-19
J9022 HCPCS Injection, Atezolizumab, 10 Mg 5 5 $27,080.00 $24,372.00 $13,540.00 $26,267.60 $25,698.92 2026-02-19
07511799 CDM Pacemaker Kit 5 5 $21,299.00 $19,169.10 $10,649.50 $20,660.03 $20,212.75 2026-02-19
J3380 HCPCS Injection, Vedolizumab, Intravenous, 1 Mg 5 5 $20,792.00 $18,712.80 $10,396.00 $20,168.24 $19,731.61 2026-02-19
J9285 HCPCS Injection, Olaratumab, 10 Mg 5 5 $19,185.00 $17,266.50 $9,592.50 $18,609.45 $18,206.57 2026-02-19
J9299 HCPCS Injection, Nivolumab, 1 Mg 5 5 $19,000.00 $17,100.00 $9,500.00 $18,430.00 $18,031.00 2026-02-19
J0517 HCPCS Injection, Benralizumab, 1 Mg 5 5 $18,688.00 $16,819.20 $9,344.00 $18,127.36 $17,734.91 2026-02-19
J2506 HCPCS Injection, Pegfilgrastim, Excludes Biosimilar, 0.5 Mg 10 5 $17,920.00 $16,128.00 $8,689.00 $17,908.14 $16,682.88 2026-02-19
J9301 HCPCS Injection, Obinutuzumab, 10 Mg 5 5 $16,370.00 $14,733.00 $8,185.00 $15,878.90 $15,535.13 2026-02-19
J0717 HCPCS Injection, Certolizumab Pegol, 1 Mg (code May Be Used For Medicare When Drug Adm… 5 5 $14,880.00 $13,392.00 $7,440.00 $14,433.60 $14,121.12 2026-02-19
J9271 HCPCS Injection, Pembrolizumab, 1 Mg 5 5 $14,748.00 $13,273.20 $7,374.00 $14,305.56 $13,995.85 2026-02-19
J1449 HCPCS Injection, Eflapegrastim-xnst, 0.1 Mg 5 5 $11,228.00 $10,105.20 $5,614.00 $10,891.16 $10,655.37 2026-02-19
Q5122 HCPCS Injection, Pegfilgrastim-apgf (nyvepria), Biosimilar, 0.5 Mg 5 5 $10,629.00 $9,566.10 $5,314.50 $10,310.13 $10,086.92 2026-02-19
J2353 HCPCS Injection, Octreotide, Depot Form For Intramuscular Injection, 1 Mg 10 5 $13,112.00 $11,800.80 $5,069.00 $15,603.42 $9,732.48 2026-02-19
49652 HCPCS Laparoscopy, Surgical, Repair, Ventral, Umbilical, Spigelian Or Epigastric Herni… 7 7 $9,946.00 $8,951.40 $4,973.00 $9,647.62 $9,249.78 2026-02-19
02001740 CDM Firazyr 30 Mg/3 Ml Syringe 5 5 $9,668.00 $8,701.20 $4,834.00 $9,377.96 $9,174.93 2026-02-19
Q5108 HCPCS Injection, Pegfilgrastim-jmdb (fulphila), Biosimilar, 0.5 Mg 5 5 $9,356.00 $8,420.40 $4,678.00 $9,075.32 $8,878.84 2026-02-19
Q5123 HCPCS Injection, Rituximab-arrx, Biosimilar, (riabni), 10 Mg 5 5 $9,323.00 $8,390.70 $4,661.50 $9,043.31 $8,847.53 2026-02-19
J9041 HCPCS Injection, Bortezomib, 0.1 Mg 5 5 $9,103.00 $8,192.70 $4,551.50 $8,829.91 $8,638.75 2026-02-19
J1306 HCPCS Injection, Inclisiran, 1 Mg 5 5 $8,907.00 $8,016.30 $4,453.50 $8,639.79 $8,452.74 2026-02-19
02001255 CDM Tnkase 50 Mg Kit 5 5 $8,806.00 $7,925.40 $4,403.00 $8,541.82 $8,356.89 2026-02-19
02001739 CDM Haegarda 3,000 Unit Vial 5 5 $8,588.00 $7,729.20 $4,294.00 $8,330.36 $8,150.01 2026-02-19
46255 HCPCS Removal Of Single External And Internal Hemorrhoid Group 7 7 $8,357.00 $7,521.30 $4,178.50 $8,106.29 $7,772.01 2026-02-19
Q5107 HCPCS Injection, Bevacizumab-awwb, Biosimilar, (mvasi), 10 Mg 5 5 $8,005.00 $7,204.50 $4,002.50 $7,764.85 $7,596.75 2026-02-19
28292 HCPCS Correction Of Bunion 7 7 $7,592.00 $6,832.80 $3,796.00 $13,334.01 $7,212.40 2026-02-19
49507 HCPCS Repair Of Trapped Groin Hernia (5 Years Or Older) 7 7 $7,581.00 $6,822.90 $3,790.50 $8,569.13 $7,201.95 2026-02-19
J9145 HCPCS Injection, Daratumumab, 10 Mg 5 5 $7,518.00 $6,766.20 $3,759.00 $7,292.46 $7,134.58 2026-02-19
52234 HCPCS Destruction And/or Removal Of Growth Of Bladder And Urethra Using An Endoscope, … 7 7 $7,240.00 $6,516.00 $2,514.11 $7,022.80 $6,733.20 2026-02-19
36582 HCPCS Replacement Of Tunneled Central Venous Tube With Port 7 7 $6,924.00 $6,231.60 $3,462.00 $6,716.28 $6,439.32 2026-02-19
11450 HCPCS Removal Of Skin And Tissue Of Underarms For Inflamed Sweat Glands With Simple Or… 7 7 $6,784.00 $6,105.60 $3,392.00 $6,580.48 $6,309.12 2026-02-19
29880 HCPCS Removal Of Both Knee Cartilages Using An Endoscope 7 7 $6,662.00 $5,995.80 $3,331.00 $6,462.14 $6,195.66 2026-02-19
J3111 HCPCS Injection, Romosozumab-aqqg, 1 Mg 5 5 $6,513.00 $5,861.70 $3,256.50 $6,317.61 $6,180.84 2026-02-19
49520 HCPCS Repair Of Groin Hernia That Is Not Trapped 7 7 $6,487.00 $5,838.30 $3,243.50 $8,569.13 $6,162.65 2026-02-19
49585 HCPCS Repair Umbilical Hernia, Age 5 Years Or Older; Reducible 7 7 $6,487.00 $5,838.30 $3,243.50 $8,569.13 $6,162.65 2026-02-19
49505 HCPCS Repair Of Groin Hernia (5 Years Or Older) 7 7 $6,487.00 $5,838.30 $3,243.50 $8,569.13 $6,162.65 2026-02-19
49560 HCPCS Repair Initial Incisional Or Ventral Hernia; Reducible 7 7 $6,420.00 $5,778.00 $3,210.00 $9,015.08 $6,099.00 2026-02-19
J2997 HCPCS Injection, Alteplase Recombinant, 1 Mg 10 5 $11,781.00 $10,602.90 $349.50 $22,177.11 $6,054.76 2026-02-19
46270 HCPCS Repair Of Abnormal Anal Drainage Tract 7 7 $6,471.00 $5,823.90 $3,235.50 $6,276.87 $6,018.03 2026-02-19
Q5130 HCPCS Injection, Pegfilgrastim-pbbk (fylnetra), Biosimilar, 0.5 Mg 5 5 $6,238.00 $5,614.20 $3,119.00 $6,050.86 $5,919.86 2026-02-19
28289 HCPCS Correction Of Rigid Deformity Of First Joint Of Big Toe 7 7 $6,219.00 $5,597.10 $3,109.50 $13,334.01 $5,908.05 2026-02-19
21933 HCPCS Removal Of Growth Of Muscle Of Back Or Lower Sides, 5.0 Cm Or More 7 7 $6,265.00 $5,638.50 $3,132.50 $6,077.05 $5,826.45 2026-02-19
58925 HCPCS Removal Of Cysts Of Ovaries 7 7 $6,039.00 $5,435.10 $3,019.50 $7,558.52 $5,737.05 2026-02-19
J0875 HCPCS Injection, Dalbavancin, 5 Mg 5 5 $6,001.00 $5,400.90 $3,000.50 $5,820.97 $5,694.95 2026-02-19
42820 HCPCS Removal Of Tonsils And Adenoid Glands (younger Than 12 Years) 7 7 $6,072.00 $5,464.80 $3,036.00 $5,889.84 $5,646.96 2026-02-19
58940 HCPCS Removal Of Ovaries 7 7 $5,910.00 $5,319.00 $2,955.00 $5,896.55 $5,608.59 2026-02-19
55041 HCPCS Removal Of Fluid Collection In Both Testicles And Sperm Reservoirs 7 7 $6,019.00 $5,417.10 $3,009.50 $5,838.43 $5,597.67 2026-02-19
21554 HCPCS Removal Of Growth Of Muscle Of Neck Or Front Of Chest, 5.0 Cm Or More 7 7 $5,949.00 $5,354.10 $2,974.50 $5,770.53 $5,532.57 2026-02-19
44604 HCPCS Suture Of Tear Or Hole In Large Bowel 7 7 $5,812.00 $5,230.80 $2,906.00 $8,671.44 $5,521.40 2026-02-19
58662 HCPCS Destruction Or Removal Of Ovary Or Growth Of Pelvis Using An Endoscope 7 7 $5,780.00 $5,202.00 $2,890.00 $7,558.52 $5,491.00 2026-02-19
49587 HCPCS Repair Umbilical Hernia, Age 5 Years Or Older; Incarcerated Or Strangulated 7 7 $5,780.00 $5,202.00 $2,890.00 $8,569.13 $5,491.00 2026-02-19
J9355 HCPCS Injection, Trastuzumab, Excludes Biosimilar, 10 Mg 5 5 $5,776.00 $5,198.40 $2,888.00 $5,602.72 $5,481.42 2026-02-19
J9217 HCPCS Leuprolide Acetate (for Depot Suspension), 7.5 Mg 25 5 $5,868.00 $5,281.20 $204.50 $29,443.38 $5,457.24 2026-02-19
Q0222 HCPCS Injection, Bebtelovimab, 175 Mg 5 5 $5,688.00 $5,119.20 $2,844.00 $5,517.36 $5,397.91 2026-02-19
52235 HCPCS Destruction And/or Removal Of Growth Of Bladder And Urethra Using An Endoscope, … 7 7 $5,797.00 $5,217.30 $2,514.11 $5,623.09 $5,391.21 2026-02-19
36561 HCPCS Insertion Of Central Venous Tube With Port (5 Years Or Older) 7 7 $5,776.00 $5,198.40 $2,888.00 $5,602.72 $5,371.68 2026-02-19
J0897 HCPCS Injection, Denosumab, 1 Mg 10 5 $6,853.00 $6,167.70 $2,788.00 $7,886.10 $5,352.96 2026-02-19
27619 HCPCS Removal Of Growth Of Muscle Of Leg Or Ankle, Less Than 5.0 Cm 7 7 $5,722.00 $5,149.80 $2,861.00 $5,550.34 $5,321.46 2026-02-19
J9035 HCPCS Injection, Bevacizumab, 10 Mg 10 5 $8,855.00 $7,969.50 $1,771.00 $13,742.96 $5,259.87 2026-02-19
11426 HCPCS Removal Of Noncancer Skin Growth Of Scalp, Neck, Hands, Feet, Or Genitals, More … 7 7 $5,624.00 $5,061.60 $2,812.00 $5,455.28 $5,249.10 2026-02-19
J2783 HCPCS Injection, Rasburicase, 0.5 Mg 5 5 $5,520.00 $4,968.00 $2,760.00 $5,354.40 $5,238.48 2026-02-19
07511355 CDM GYN Elevate 5 5 $5,491.00 $4,941.90 $2,745.50 $5,326.27 $5,210.96 2026-02-19
52630 HCPCS Complete Removal Of Remaining Or Regrown Prostate Tissue With Control Of Bleedin… 7 7 $5,465.00 $4,918.50 $2,732.50 $9,435.26 $5,191.75 2026-02-19
J9312 HCPCS Injection, Rituximab, 10 Mg 10 5 $8,656.50 $7,790.85 $1,697.00 $13,501.43 $5,125.84 2026-02-19
07511350 CDM GYN Prolift Total Kit 5 5 $5,307.00 $4,776.30 $2,653.50 $5,147.79 $5,036.34 2026-02-19
28090 HCPCS Removal Of Growth Of Tendon Covering Or Joint Capsule Of Foot 7 7 $5,240.00 $4,716.00 $2,620.00 $5,257.69 $4,972.76 2026-02-19
28315 HCPCS Removal Of Small Bone Underlying Long Bone Of Foot At Big Toe Joint 7 7 $5,228.00 $4,705.20 $2,614.00 $5,257.69 $4,961.37 2026-02-19
23071 HCPCS Removal Of Growth Under Skin Of Shoulder Area, 3.0 Cm Or More 7 7 $5,315.00 $4,783.50 $2,657.50 $5,155.55 $4,942.95 2026-02-19
11770 HCPCS Simple Removal Of Cyst Of Tailbone 7 7 $5,315.00 $4,783.50 $2,595.65 $5,155.55 $4,942.95 2026-02-19
J9400 HCPCS Injection, Ziv-aflibercept, 1 Mg 5 5 $5,202.00 $4,681.80 $2,601.00 $5,045.94 $4,936.70 2026-02-19
52224 HCPCS Destruction Of Growth Of Bladder And Urethra Using An Endoscope, Less Than 0.5 C… 7 7 $5,242.00 $4,717.80 $2,514.11 $5,084.74 $4,875.06 2026-02-19
52601 HCPCS Removal Of Prostate Gland Using An Electrocautery Knife Through Urethra With Con… 7 7 $5,129.00 $4,616.10 $2,564.50 $9,435.26 $4,872.55 2026-02-19
J3358 HCPCS Ustekinumab, For Intravenous Injection, 1 Mg 5 5 $5,044.00 $4,539.60 $2,522.00 $4,892.68 $4,786.76 2026-02-19
28008 HCPCS Incision Of Connective Tissue Of Foot And/or Toe 7 7 $5,041.00 $4,536.90 $2,520.50 $5,257.69 $4,783.91 2026-02-19
Q4170 HCPCS Cygnus, Per Square Centimeter 5 5 $4,990.00 $4,491.00 $2,495.00 $4,840.30 $4,735.51 2026-02-19
Q4267 HCPCS Neostim Dl, Per Square Centimeter 5 5 $4,990.00 $4,491.00 $2,495.00 $4,840.30 $4,735.51 2026-02-19
46947 HCPCS Stapling Of Internal Hemorrhoid 7 7 $5,027.00 $4,524.30 $2,513.50 $4,876.19 $4,710.21 2026-02-19
47562 HCPCS Removal Of Gallbladder Using An Endoscope 7 7 $4,946.00 $4,451.40 $2,473.00 $8,993.22 $4,698.70 2026-02-19
Q4161 HCPCS Bio-connekt Wound Matrix, Per Square Centimeter 15 5 $4,990.00 $4,491.00 $1,039.50 $6,050.86 $4,640.70 2026-02-19
Q0138 HCPCS Injection, Ferumoxytol, For Treatment Of Iron Deficiency Anemia, 1 Mg (non-esrd … 5 5 $4,852.00 $4,366.80 $2,426.00 $4,706.44 $4,604.55 2026-02-19
54522 HCPCS Partial Removal Of Testicle 7 7 $4,886.00 $4,397.40 $2,443.00 $4,739.42 $4,543.98 2026-02-19
78816 HCPCS Nuclear Medicine Study Whole Body With CT Scan 7 7 $8,912.00 $8,020.80 $2,418.50 $8,644.64 $4,456.00 2026-02-19
25111 HCPCS Removal Of First Cyst Of Wrist 7 7 $4,757.00 $4,281.30 $2,378.50 $4,614.29 $4,424.01 2026-02-19
52214 HCPCS Destruction Of Tissue Of Bladder, Urethra, Or Surrounding Glands Using An Endosc… 7 7 $4,721.00 $4,248.90 $2,360.50 $4,579.37 $4,390.53 2026-02-19
46260 HCPCS Removal Of Multiple Hemorrhoid Groups 7 7 $4,626.00 $4,163.40 $2,313.00 $4,710.21 $4,390.07 2026-02-19
27632 HCPCS Removal Of Growth Under Skin Of Leg Or Ankle, 3.0 Cm Or More 7 7 $4,596.00 $4,136.40 $2,298.00 $7,210.19 $4,366.20 2026-02-19
11606 HCPCS Removal Of Cancer Skin Growth Of Body, Arms, Or Legs, More Than 4.0 Cm 7 7 $4,585.00 $4,126.50 $2,292.50 $5,249.10 $4,355.75 2026-02-19
Q5120 HCPCS Injection, Pegfilgrastim-bmez (ziextenzo), Biosimilar, 0.5 Mg 5 5 $4,540.00 $4,086.00 $2,270.00 $4,403.80 $4,308.46 2026-02-19
J7336 HCPCS Capsaicin 8% Patch, Per Square Centimeter 15 5 $4,535.00 $4,081.50 $1,134.00 $8,793.05 $4,303.72 2026-02-19
78815 HCPCS Nuclear Medicine Study From Skull Base To Mid-thigh With CT Scan 7 7 $8,607.00 $7,746.30 $2,418.50 $8,348.79 $4,303.50 2026-02-19
27337 HCPCS Removal Of Growth Under Skin Of Thigh Or Knee, Less Than 3.0 Cm 7 7 $4,596.00 $4,136.40 $2,298.00 $4,458.12 $4,274.28 2026-02-19
Q5126 HCPCS Injection, Bevacizumab-maly, Biosimilar, (alymsys), 10 Mg 10 5 $7,125.50 $6,412.95 $1,464.50 $10,982.34 $4,251.07 2026-02-19
07511341 CDM GYN Apogee System W/intepro 5 5 $4,471.00 $4,023.90 $2,235.50 $4,336.87 $4,242.98 2026-02-19
26160 HCPCS Removal Of Growth Of Tendon Finger Or Hand 7 7 $4,557.00 $4,101.30 $2,278.50 $4,420.29 $4,238.01 2026-02-19
J1569 HCPCS Injection, Immune Globulin, (gammagard Liquid), Non-lyophilized, (e.g., Liquid),… 20 5 $6,453.00 $5,807.70 $1,145.50 $19,013.94 $4,212.09 2026-02-19
46320 HCPCS Removal Of External Hemorrhoid With Blood Clot 7 7 $4,512.00 $4,060.80 $2,256.00 $4,376.64 $4,196.16 2026-02-19
07511351 CDM GYN Uterine Thermachoice 5 5 $4,372.00 $3,934.80 $2,186.00 $4,240.84 $4,149.03 2026-02-19
95811 HCPCS Sleep Study In Sleep Lab With Continuous Airway Pressure (6 Years Or Older) 7 7 $4,396.00 $3,956.40 $2,198.00 $4,264.12 $4,088.28 2026-02-19
52310 HCPCS Simple Removal Of Foreign Body, Stone, Or Stent In Urethra Or Bladder Using An E… 7 7 $4,375.00 $3,937.50 $2,187.50 $4,243.75 $4,068.75 2026-02-19
25000 HCPCS Incision Or The Tendon Covering On The Top Side Of The Wrist 7 7 $4,281.00 $3,852.90 $2,140.50 $4,406.40 $4,062.67 2026-02-19
24071 HCPCS Removal Of Growth Under Skin Of Upper Arm Or Elbow, 3.0 Cm Or More 7 7 $4,338.00 $3,904.20 $2,169.00 $4,207.86 $4,034.34 2026-02-19
43251 HCPCS Removal Of Polyps Or Growths Of Esophagus, Stomach, And/or Upper Small Bowel Usi… 7 7 $4,267.00 $3,840.30 $2,133.50 $4,138.99 $3,968.31 2026-02-19
43245 HCPCS Dilation Of Stomach Outlet Using A Flexible Endoscope 7 7 $4,267.00 $3,840.30 $2,133.50 $4,138.99 $3,968.31 2026-02-19
43246 HCPCS Insertion Of Stomach Tube Using A Flexible Endoscope 7 7 $4,267.00 $3,840.30 $2,133.50 $4,138.99 $3,968.31 2026-02-19
36573 HCPCS Insertion Of Tube For Infusion With Imaging Guidance And Review By Radiologist, … 7 7 $4,185.00 $3,766.50 $2,092.50 $4,059.45 $3,892.05 2026-02-19
J3240 HCPCS Injection, Thyrotropin Alpha, 0.9 Mg, Provided In 1.1 Mg Vial 5 5 $4,093.00 $3,683.70 $2,046.50 $3,970.21 $3,884.26 2026-02-19
Q4165 HCPCS Keramatrix Or Kerasorb, Per Square Centimeter 5 5 $4,086.00 $3,677.40 $2,043.00 $3,963.42 $3,877.61 2026-02-19
J7325 HCPCS Hyaluronan Or Derivative, Synvisc Or Synvisc-one, For Intra-articular Injection,… 5 5 $4,058.00 $3,652.20 $2,029.00 $3,936.26 $3,851.04 2026-02-19
19120 HCPCS Removal Of Growth And Tissue Of Breast, Duct, Or Nipple 7 7 $4,109.00 $3,698.10 $2,054.50 $3,985.73 $3,821.37 2026-02-19
81455 HCPCS Genomic Sequence Analysis Panel Of DNA Or Combined DNA And RNA Of 51 Or More Gen… 7 7 $4,086.00 $3,677.40 $663.62 $3,963.42 $3,799.98 2026-02-19
38510 HCPCS Biopsy Or Removal Of Deep Lymph Nodes Of Neck 7 7 $3,990.00 $3,591.00 $1,995.00 $4,961.69 $3,790.50 2026-02-19
64784 HCPCS Removal Of Growth Of Peripheral Nerve 7 7 $4,065.00 $3,658.50 $2,032.50 $3,943.05 $3,780.45 2026-02-19
J9395 HCPCS Injection, Fulvestrant, 25 Mg 5 5 $3,903.00 $3,512.70 $1,951.50 $3,785.91 $3,703.95 2026-02-19
07511349 CDM GYN Linx Sling - Suprapubic 5 5 $3,879.00 $3,491.10 $1,939.50 $3,762.63 $3,681.17 2026-02-19
J1439 HCPCS Injection, Ferric Carboxymaltose, 1 Mg 5 5 $3,875.00 $3,487.50 $1,937.50 $3,758.75 $3,677.38 2026-02-19
J1745 HCPCS Injection, Infliximab, Excludes Biosimilar, 10 Mg 5 5 $3,859.00 $3,473.10 $1,929.50 $3,743.23 $3,662.19 2026-02-19
28288 HCPCS Removal Of Foot Bone Spur 7 7 $3,780.00 $3,402.00 $1,890.00 $5,257.69 $3,591.00 2026-02-19
95810 HCPCS Sleep Study In Sleep Lab (6 Years Or Older) 7 7 $3,859.00 $3,473.10 $1,929.50 $3,743.23 $3,588.87 2026-02-19
Q4238 HCPCS Derm-maxx, Per Square Centimeter 5 5 $3,743.00 $3,368.70 $1,871.50 $3,630.71 $3,552.11 2026-02-19
49565 HCPCS Repair Recurrent Incisional Or Ventral Hernia; Reducible 7 7 $3,647.00 $3,282.30 $1,823.50 $9,015.08 $3,464.65 2026-02-19
J9308 HCPCS Injection, Ramucirumab, 5 Mg 5 5 $3,594.00 $3,234.60 $1,797.00 $3,486.18 $3,410.71 2026-02-19
20670 HCPCS Removal Of Surface Implant From Bone 7 7 $3,588.00 $3,229.20 $1,794.00 $4,443.11 $3,408.60 2026-02-19
21931 HCPCS Removal Of Growth Under Skin Of Back Or Lower Sides, 3.0 Cm Or More 7 7 $3,575.00 $3,217.50 $1,787.50 $3,728.49 $3,392.68 2026-02-19
46220 HCPCS Removal Of Single External Noncancer Growth Of Anus 7 7 $3,571.00 $3,213.90 $1,785.50 $3,779.26 $3,392.45 2026-02-19
J7298 HCPCS Levonorgestrel-releasing Intrauterine Contraceptive System (mirena), 52 Mg 5 5 $3,535.00 $3,181.50 $1,767.50 $3,428.95 $3,354.72 2026-02-19
J7296 HCPCS Levonorgestrel-releasing Intrauterine Contraceptive System, (kyleena), 19.5 Mg 5 5 $3,535.00 $3,181.50 $1,767.50 $3,428.95 $3,354.72 2026-02-19
45379 HCPCS Removal Of Foreign Bodies In Large Bowel Using A Flexible Endoscope 7 7 $3,594.00 $3,234.60 $1,797.00 $3,486.18 $3,342.42 2026-02-19
45380 HCPCS Biopsy Of Large Bowel Using A Flexible Endoscope 7 7 $3,594.00 $3,234.60 $1,797.00 $3,486.18 $3,342.42 2026-02-19
45378 HCPCS Diagnostic Exam Of Large Bowel Using A Flexible Endoscope 7 7 $3,594.00 $3,234.60 $1,797.00 $3,486.18 $3,342.42 2026-02-19
43235 HCPCS Diagnostic Exam Of Esophagus, Stomach, And/or Upper Small Bowel Using A Flexible… 7 7 $3,584.00 $3,225.60 $1,792.00 $3,476.48 $3,333.12 2026-02-19
J9280 HCPCS Injection, Mitomycin, 5 Mg 5 5 $3,507.00 $3,156.30 $1,753.50 $3,401.79 $3,328.14 2026-02-19
58661 HCPCS Removal Of Ovaries And/or Tubes Using An Endoscope 7 7 $3,482.00 $3,133.80 $1,741.00 $7,558.52 $3,307.90 2026-02-19
11604 HCPCS Removal Of Cancer Skin Growth Of Body, Arms, Or Legs, 3.1-4.0 Cm 7 7 $3,520.00 $3,168.00 $1,760.00 $3,414.40 $3,273.60 2026-02-19
43239 HCPCS Biopsy Of Esophagus, Stomach, And/or Upper Small Bowel Using A Flexible Endoscop… 7 7 $3,473.00 $3,125.70 $1,736.50 $3,368.81 $3,229.89 2026-02-19
J9179 HCPCS Injection, Eribulin Mesylate, 0.1 Mg 5 5 $3,359.00 $3,023.10 $1,679.50 $3,258.23 $3,187.69 2026-02-19
26111 HCPCS Removal (1.5 Centimeters Or Greater) Tissue Beneath The Skin Growth Of Hand Or F… 7 7 $3,368.00 $3,031.20 $1,684.00 $3,266.96 $3,176.33 2026-02-19
45385 HCPCS Removal Of Polyps Or Growths Of Large Bowel Using An Endoscope With Mechanical S… 7 7 $3,358.00 $3,022.20 $1,679.00 $3,257.26 $3,122.94 2026-02-19
43249 HCPCS Balloon Dilation Of Esophagus, Stomach, And/or Upper Small Bowel Using A Flexibl… 7 7 $3,358.00 $3,022.20 $1,679.00 $3,257.26 $3,122.94 2026-02-19
J2357 HCPCS Injection, Omalizumab, 5 Mg 5 5 $3,278.00 $2,950.20 $1,639.00 $3,179.66 $3,110.82 2026-02-19
69110 HCPCS Partial Removal Of External Ear With Simple Repair 7 7 $3,268.00 $2,941.20 $1,634.00 $4,188.50 $3,104.60 2026-02-19
46040 HCPCS Drainage Of Deep Abscess In Rectum 7 7 $3,241.00 $2,916.90 $1,620.50 $3,779.26 $3,078.95 2026-02-19
J0894 HCPCS Injection, Decitabine, 1 Mg 5 5 $3,230.00 $2,907.00 $1,615.00 $3,133.10 $3,065.27 2026-02-19
J9264 HCPCS Injection, Paclitaxel Protein-bound Particles, 1 Mg 5 5 $3,198.00 $2,878.20 $1,599.00 $3,102.06 $3,034.90 2026-02-19
G0104 HCPCS Colorectal Cancer Screening; Flexible Sigmoidoscopy 7 7 $3,230.00 $2,907.00 $1,615.00 $3,133.10 $3,003.90 2026-02-19
11406 HCPCS Removal Of Noncancer Skin Growth Of Body, Arms, Or Legs, More Than 4.0 Cm 12 7 $4,159.00 $3,743.10 $148.50 $5,249.10 $2,973.68 2026-02-19
Q4205 HCPCS Membrane Graft Or Membrane Wrap, Per Square Centimeter 5 5 $3,119.00 $2,807.10 $1,559.50 $3,025.43 $2,959.93 2026-02-19
29881 HCPCS Removal Of Knee Cartilage Using An Endoscope 7 7 $3,039.00 $2,735.10 $1,519.50 $5,236.61 $2,887.05 2026-02-19
29877 HCPCS Removal Or Shaving Of Knee Joint Cartilage Using An Endoscope 7 7 $3,039.00 $2,735.10 $1,519.50 $5,236.61 $2,887.05 2026-02-19
J9017 HCPCS Injection, Arsenic Trioxide, 1 Mg 5 5 $3,023.00 $2,720.70 $1,511.50 $2,932.31 $2,868.83 2026-02-19
72158 HCPCS MRI Scan Of Lower Spinal Canal Before And After Contrast 7 7 $5,707.00 $5,136.30 $601.74 $5,535.79 $2,853.50 2026-02-19
72157 HCPCS MRI Scan Of Middle Spinal Canal Before And After Contrast 7 7 $5,707.00 $5,136.30 $601.74 $5,535.79 $2,853.50 2026-02-19
70553 HCPCS MRI Scan Of Brain Before And After Contrast 7 7 $5,707.00 $5,136.30 $601.74 $5,535.79 $2,853.50 2026-02-19
73720 HCPCS MRI Scan Of Leg Before And After Contrast 21 7 $5,707.00 $5,136.30 $601.74 $5,535.79 $2,853.50 2026-02-19
72156 HCPCS MRI Scan Of Upper Spinal Canal Before And After Contrast 7 7 $5,707.00 $5,136.30 $601.74 $5,535.79 $2,853.50 2026-02-19
74183 HCPCS MRI Scan Of Abdomen Before And After Contrast 7 7 $5,659.00 $5,093.10 $601.74 $5,489.23 $2,829.50 2026-02-19
G0105 HCPCS Colorectal Cancer Screening; Colonoscopy On Individual At High Risk 7 7 $2,923.00 $2,630.70 $1,461.50 $2,835.31 $2,773.93 2026-02-19
73723 HCPCS MRI Scan Of Leg Joint Before And After Contrast 21 7 $5,542.00 $4,987.80 $601.74 $5,375.74 $2,771.00 2026-02-19
Q5119 HCPCS Injection, Rituximab-pvvr, Biosimilar, (ruxience), 10 Mg 5 5 $2,914.00 $2,622.60 $1,457.00 $2,826.58 $2,765.39 2026-02-19
J7301 HCPCS Levonorgestrel-releasing Intrauterine Contraceptive System (skyla), 13.5 Mg 5 5 $2,911.00 $2,619.90 $1,455.50 $2,823.67 $2,762.54 2026-02-19
G0121 HCPCS Colorectal Cancer Screening; Colonoscopy On Individual Not Meeting Criteria For … 7 7 $2,895.00 $2,605.50 $1,447.50 $2,808.15 $2,747.36 2026-02-19
43270 HCPCS Destruction Of Polyp Or Growth Of Esophagus, Stomach, And/or Upper Small Bowel U… 7 7 $2,853.00 $2,567.70 $1,426.50 $4,479.04 $2,710.35 2026-02-19
Q5118 HCPCS Injection, Bevacizumab-bvzr, Biosimilar, (zirabev), 10 Mg 5 5 $2,801.00 $2,520.90 $1,400.50 $2,716.97 $2,658.15 2026-02-19
Q5145 HCPCS Injection, Adalimumab-afzb (abrilada), Biosimilar, 1 Mg 5 5 $2,801.00 $2,520.90 $1,400.50 $2,716.97 $2,658.15 2026-02-19
22900 HCPCS Removal Of Growth Of Muscle Of Abdomen, Less Than 5.0 Cm 7 7 $2,755.00 $2,479.50 $1,377.50 $3,728.49 $2,617.25 2026-02-19
74174 HCPCS CT Scan Of Blood Vessels Of Abdomen And Pelvis With Contrast 7 7 $5,177.00 $4,659.30 $601.74 $5,021.69 $2,588.50 2026-02-19
30520 HCPCS Reshaping Of Nasal Cartilage 7 7 $2,717.00 $2,445.30 $1,358.50 $5,857.50 $2,581.15 2026-02-19
28232 HCPCS Incision To Lengthen Toe Tendon 7 7 $2,682.00 $2,413.80 $1,341.00 $5,257.69 $2,547.90 2026-02-19
14040 HCPCS Repair Of Wound Of Forehead, Cheeks, Chin, Mouth, Neck, Underarms, Genitals, Han… 7 7 $2,644.00 $2,379.60 $1,322.00 $3,434.06 $2,511.80 2026-02-19
07511369 CDM Hernia Ventralight St 4.5 Cir 5 5 $2,646.00 $2,381.40 $1,323.00 $2,566.62 $2,511.05 2026-02-19
74178 HCPCS CT Scan Of Abdomen And Pelvis Before And After Contrast 7 7 $5,020.00 $4,518.00 $601.74 $4,869.40 $2,510.00 2026-02-19
78588 HCPCS Nm Lung Perfusion/ventilation 5 5 $2,601.00 $2,340.90 $1,300.50 $2,522.97 $2,468.35 2026-02-19
J7307 HCPCS Etonogestrel (contraceptive) Implant System, Including Implant And Supplies 5 5 $2,599.00 $2,339.10 $1,299.50 $2,521.03 $2,466.45 2026-02-19
75552 HCPCS MRI Myocardium 5 5 $2,570.00 $2,313.00 $1,285.00 $2,492.90 $2,438.93 2026-02-19
J9305 HCPCS Injection, Pemetrexed, Not Otherwise Specified, 10 Mg 5 5 $2,568.00 $2,311.20 $1,284.00 $2,490.96 $2,437.03 2026-02-19
02001420 CDM Trelegy Ellipta 200-62.5-25 5 5 $2,567.00 $2,310.30 $1,283.50 $2,489.99 $2,436.08 2026-02-19
73220 HCPCS MRI Scan Of Arm Before And After Contrast 21 7 $5,707.00 $5,136.30 $601.74 $5,535.79 $2,418.93 2026-02-19
11424 HCPCS Removal Of Noncancer Skin Growth Of Scalp, Neck, Hands, Feet, Or Genitals, 3.1-4… 12 7 $4,315.00 $3,883.50 $81.00 $4,185.55 $2,376.57 2026-02-19
02001880 CDM Ozempic 0.25-0.5 Mg/dose Pen 5 5 $2,495.00 $2,245.50 $1,247.50 $2,420.15 $2,367.76 2026-02-19
24075 HCPCS Removal Of Growth Under Skin Of Upper Arm Or Elbow, Less Than 3.0 Cm 7 7 $2,475.00 $2,227.50 $1,237.50 $3,728.49 $2,351.25 2026-02-19
27327 HCPCS Removal Of Growth Under Skin Of Thigh Or Knee, 3.0 Cm Or More 7 7 $2,475.00 $2,227.50 $1,237.50 $3,728.49 $2,351.25 2026-02-19
J0185 HCPCS Injection, Aprepitant, 1 Mg 5 5 $2,409.00 $2,168.10 $1,204.50 $2,336.73 $2,286.14 2026-02-19
74177 HCPCS CT Scan Of Abdomen And Pelvis With Contrast 7 7 $4,515.00 $4,063.50 $601.74 $4,379.55 $2,257.50 2026-02-19
78585 HCPCS Nm Pulmonary Perfusion Rebreathing & Was 5 5 $2,377.00 $2,139.30 $1,188.50 $2,305.69 $2,255.77 2026-02-19
07511328 CDM Mesh Kugel Composix Oval 8x10c 5 5 $2,372.00 $2,134.80 $1,186.00 $2,300.84 $2,251.03 2026-02-19
19083 HCPCS Biopsy Of Breast And Placement Of Locating Device Using Ultrasound, First Growth 7 7 $2,357.00 $2,121.30 $1,178.50 $2,950.62 $2,239.15 2026-02-19
21930 HCPCS Removal Of Growth Under Skin Of Back Or Lower Sides, Less Than 3.0 Cm 7 7 $2,351.00 $2,115.90 $1,175.50 $3,728.49 $2,233.45 2026-02-19
11423 HCPCS Removal Of Noncancer Skin Growth Of Scalp, Neck, Hands, Feet, Or Genitals, 2.1-3… 12 7 $3,579.00 $3,221.10 $81.00 $3,471.63 $2,192.57 2026-02-19
46505 HCPCS Injection Of Agent To Destroy Nerve To Internal Sphincter Of Anus 7 7 $2,288.00 $2,059.20 $1,144.00 $3,779.26 $2,173.60 2026-02-19
J9155 HCPCS Injection, Degarelix, 1 Mg 10 5 $3,440.00 $3,096.00 $955.00 $4,820.90 $2,168.85 2026-02-19
94640 HCPCS Inhalation Treatment For Airway Obstruction Or Sputum Production 102 7 $2,772.00 $2,494.80 $126.00 $18,577.44 $2,153.47 2026-02-19
93303 HCPCS Ultrasound Of Heart For Congenital Defect 7 7 $2,310.00 $2,079.00 $1,155.00 $2,240.70 $2,148.30 2026-02-19
78803 HCPCS Nuclear Medicine Study, Spect Imaging, 1 Area Or Single Acquisition, Single Day … 19 7 $2,377.00 $2,139.30 $1,039.50 $3,471.63 $2,146.19 2026-02-19
78630 HCPCS Nuclear Medicine Study Of Cerebrospinal Fluid Flow After Injection Of Contrast I… 7 7 $2,601.00 $2,340.90 $799.65 $2,522.97 $2,146.19 2026-02-19
78452 HCPCS Nuclear Medicine Studies Of Heart Muscle At Rest And With Stress And Spect 7 7 $3,863.00 $3,476.70 $1,931.50 $3,747.11 $2,146.19 2026-02-19
58120 HCPCS Dilation And Scraping Of Uterus 7 7 $2,250.00 $2,025.00 $1,125.00 $5,896.55 $2,137.50 2026-02-19
J0248 HCPCS Injection, Remdesivir, 1 Mg 5 5 $2,236.00 $2,012.40 $1,118.00 $2,168.92 $2,121.96 2026-02-19
64635 HCPCS Destruction Of Lower Or Sacral Spinal Facet Joint Nerves Using Imaging Guidance,… 12 7 $4,250.00 $3,825.00 $179.51 $4,122.50 $2,103.66 2026-02-19
07511359 CDM Mesh Kugel Composix Hernia Pat 5 5 $2,206.00 $1,985.40 $1,103.00 $2,139.82 $2,093.49 2026-02-19
C8902 HCPCS Magnetic Resonance Angiography Without Contrast Followed By With Contrast, Abdom… 7 7 $4,159.00 $3,743.10 $572.16 $4,034.23 $2,079.50 2026-02-19
70544 HCPCS MRI Scan Of Blood Vessels Of Head Without Contrast 7 7 $4,159.00 $3,743.10 $376.00 $4,034.23 $2,079.50 2026-02-19
70546 HCPCS MRI Scan Of Blood Vessels Of Head Before And After Contrast 7 7 $4,159.00 $3,743.10 $572.16 $4,034.23 $2,079.50 2026-02-19
49083 HCPCS Drainage Of Fluid From Abdominal Cavity Using Imaging Guidance 7 7 $2,219.00 $1,997.10 $1,109.50 $2,152.43 $2,063.67 2026-02-19
02001522 CDM Cabometyx 60 Mg Tablet 5 5 $2,174.00 $1,956.60 $1,087.00 $2,108.78 $2,063.13 2026-02-19
07511144 CDM Port Bard Power Port 5 5 $2,148.00 $1,933.20 $1,074.00 $2,083.56 $2,038.45 2026-02-19
C1781 HCPCS Mesh (implantable) 25 5 $2,127.00 $1,914.30 $711.00 $7,377.82 $2,018.52 2026-02-19
74176 HCPCS CT Scan Of Abdomen And Pelvis Without Contrast 7 7 $4,011.00 $3,609.90 $376.00 $3,890.67 $2,005.50 2026-02-19
93306 HCPCS Ultrasound Of Heart With Color-depicted Blood Flow, Rate, Direction And Valve Fu… 12 7 $2,154.00 $1,938.60 $1,055.00 $2,089.38 $2,002.81 2026-02-19
J1459 HCPCS Injection, Immune Globulin (privigen), Intravenous, Non-lyophilized (e.g., Liqui… 5 5 $2,104.00 $1,893.60 $1,052.00 $2,040.88 $1,996.70 2026-02-19
72197 HCPCS MRI Scan Of Pelvis Before And After Contrast 7 7 $3,991.00 $3,591.90 $601.74 $3,871.27 $1,995.50 2026-02-19
90677 HCPCS Pneumococcal Conjugate Vaccine, 20 Valent (pcv20), For Intramuscular Use 7 7 $2,122.00 $1,909.80 $285.02 $2,058.34 $1,973.46 2026-02-19
26055 HCPCS Incision Of Tendon Covering Of Finger 7 7 $2,076.00 $1,868.40 $1,038.00 $3,176.33 $1,972.20 2026-02-19
71552 HCPCS MRI Scan Of Chest Before And After Contrast 7 7 $3,936.00 $3,542.40 $601.74 $3,817.92 $1,968.00 2026-02-19
C8900 HCPCS Magnetic Resonance Angiography With Contrast, Abdomen 7 7 $3,936.00 $3,542.40 $572.16 $3,817.92 $1,968.00 2026-02-19
70543 HCPCS MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Before And After Contrast 7 7 $3,936.00 $3,542.40 $601.74 $3,817.92 $1,968.00 2026-02-19
C8911 HCPCS Magnetic Resonance Angiography Without Contrast Followed By With Contrast, Chest… 7 7 $3,936.00 $3,542.40 $572.16 $3,817.92 $1,968.00 2026-02-19
70545 HCPCS MRI Scan Of Blood Vessels Of Head With Contrast 7 7 $3,936.00 $3,542.40 $572.16 $3,817.92 $1,968.00 2026-02-19
70552 HCPCS MRI Scan Of Brain With Contrast 7 7 $3,903.00 $3,512.70 $601.74 $3,785.91 $1,951.50 2026-02-19
78451 HCPCS Nuclear Medicine Study Of Heart Muscle At Rest And With Stress And Spect 7 7 $2,046.00 $1,841.40 $1,023.00 $2,146.19 $1,948.33 2026-02-19
78201 HCPCS Nuclear Medicine Study Of Liver 7 7 $2,079.00 $1,871.10 $799.65 $2,146.19 $1,948.33 2026-02-19
62326 HCPCS Insertion Of Tube And Injection Of Substance Into Lower Spine Canal 7 7 $2,085.00 $1,876.50 $1,042.50 $2,022.45 $1,939.05 2026-02-19
02001696 CDM Lenvima 10 Mg Daily Dose 5 5 $2,033.00 $1,829.70 $1,016.50 $1,972.01 $1,929.32 2026-02-19
02001701 CDM Lenvima 4 Mg Capsule 5 5 $2,033.00 $1,829.70 $1,016.50 $1,972.01 $1,929.32 2026-02-19
74181 HCPCS MRI Scan Of Abdomen Without Contrast 7 7 $3,841.00 $3,456.90 $376.00 $3,725.77 $1,920.50 2026-02-19
49593 HCPCS Initial Repair Of Sliding Hernia Of Abdomen, 3-10 Cm In Length 5 5 $2,005.00 $1,804.50 $1,002.50 $1,944.85 $1,902.75 2026-02-19
90671 HCPCS Pneumococcal Conjugate Vaccine, 15 Valent (pcv15), For Intramuscular Use 7 7 $2,030.00 $1,827.00 $285.02 $1,969.10 $1,887.90 2026-02-19
J3489 HCPCS Injection, Zoledronic Acid, 1 Mg 15 5 $2,009.00 $1,808.10 $671.50 $1,970.07 $1,868.37 2026-02-19
70551 HCPCS MRI Scan Of Brain Without Contrast 7 7 $3,714.00 $3,342.60 $376.00 $3,602.58 $1,857.00 2026-02-19
70549 HCPCS MRI Scan Of Blood Vessels Of Neck Before And After Contrast 7 7 $3,714.00 $3,342.60 $572.16 $3,602.58 $1,857.00 2026-02-19
C8901 HCPCS Magnetic Resonance Angiography Without Contrast, Abdomen 7 7 $3,714.00 $3,342.60 $376.00 $3,602.58 $1,857.00 2026-02-19
72149 HCPCS MRI Scan Of Lower Spinal Canal With Contrast 7 7 $3,714.00 $3,342.60 $601.74 $3,602.58 $1,857.00 2026-02-19
70542 HCPCS MRI Scan Of Bone Of Eye Socket, Face, And/or Neck With Contrast 7 7 $3,714.00 $3,342.60 $601.74 $3,602.58 $1,857.00 2026-02-19
72142 HCPCS MRI Scan Of Upper Spinal Canal With Contrast 7 7 $3,714.00 $3,342.60 $601.74 $3,602.58 $1,857.00 2026-02-19
C8909 HCPCS Magnetic Resonance Angiography With Contrast, Chest (excluding Myocardium) 7 7 $3,714.00 $3,342.60 $572.16 $3,602.58 $1,857.00 2026-02-19
C8920 HCPCS Magnetic Resonance Angiography Without Contrast Followed By With Contrast, Pelvi… 7 7 $3,714.00 $3,342.60 $572.16 $3,602.58 $1,857.00 2026-02-19
71551 HCPCS MRI Scan Of Chest With Contrast 7 7 $3,714.00 $3,342.60 $941.55 $3,602.58 $1,857.00 2026-02-19
72147 HCPCS MRI Scan Of Middle Spinal Canal With Contrast 7 7 $3,714.00 $3,342.60 $601.74 $3,602.58 $1,857.00 2026-02-19
02001525 CDM Aimovig 140 Mg/ml Autoinjector 5 5 $1,951.00 $1,755.90 $975.50 $1,892.47 $1,851.50 2026-02-19
49084 HCPCS Irrigation Of Abdominal Cavity 7 7 $1,960.00 $1,764.00 $980.00 $1,901.20 $1,822.80 2026-02-19
02001828 CDM Biovair (membrane Restore) (non Qcode) 5 5 $1,918.00 $1,726.20 $959.00 $1,860.46 $1,820.18 2026-02-19
J9202 HCPCS Goserelin Acetate Implant, Per 3.6 Mg 5 5 $1,913.00 $1,721.70 $956.50 $1,855.61 $1,815.44 2026-02-19
13101 HCPCS Complicated Repair Of Wound Of Trunk, 2.6-7.5 Cm 7 7 $1,947.00 $1,752.30 $689.15 $1,888.59 $1,810.71 2026-02-19
46221 HCPCS Removal Of External Hemorrhoids By Rubber Banding 7 7 $1,904.00 $1,713.60 $952.00 $3,779.26 $1,808.80 2026-02-19
02001822 CDM Emgality 120 Mg/ml Pen 5 5 $1,851.00 $1,665.90 $925.50 $1,795.47 $1,756.60 2026-02-19
81379 HCPCS Hla Class I Typing High Resolution 7 7 $1,884.00 $1,695.60 $134.00 $1,827.48 $1,752.12 2026-02-19
07511361 CDM Mesh 4x6 Proceed Ventral 5 5 $1,845.00 $1,660.50 $922.50 $1,789.65 $1,750.91 2026-02-19
72148 HCPCS MRI Scan Of Lower Spinal Canal Without Contrast 7 7 $3,491.00 $3,141.90 $376.00 $3,386.27 $1,745.50 2026-02-19
72196 HCPCS MRI Scan Of Pelvis With Contrast 7 7 $3,491.00 $3,141.90 $601.74 $3,386.27 $1,745.50 2026-02-19
72141 HCPCS MRI Scan Of Upper Spinal Canal Without Contrast 7 7 $3,491.00 $3,141.90 $376.00 $3,386.27 $1,745.50 2026-02-19
70540 HCPCS MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Without Contrast 7 7 $3,491.00 $3,141.90 $376.00 $3,386.27 $1,745.50 2026-02-19
72146 HCPCS MRI Scan Of Middle Spinal Canal Without Contrast 7 7 $3,491.00 $3,141.90 $376.00 $3,386.27 $1,745.50 2026-02-19
P9019 HCPCS Platelets, Each Unit 12 7 $1,844.00 $1,659.60 $445.25 $1,797.41 $1,736.62 2026-02-19
70548 HCPCS MRI Scan Of Blood Vessels Of Neck With Contrast 7 7 $3,440.00 $3,096.00 $572.16 $3,336.80 $1,720.00 2026-02-19
04177012 CDM CT Guided Needle Biopsy 5 5 $1,807.00 $1,626.30 $903.50 $1,752.79 $1,714.84 2026-02-19
02001241 CDM Lumason 25 Mg Vial 5 5 $1,792.00 $1,612.80 $896.00 $1,738.24 $1,700.61 2026-02-19
78215 HCPCS Nuclear Medicine Study Of Liver And Spleen 7 7 $1,784.00 $1,605.60 $615.98 $2,146.19 $1,694.80 2026-02-19
78278 HCPCS Nuclear Medicine Study To Assess Blood Loss 7 7 $1,784.00 $1,605.60 $615.98 $2,146.19 $1,694.80 2026-02-19
02001171 CDM Flovent Hfa 220 Mcg Inhaler 5 5 $1,781.00 $1,602.90 $890.50 $1,727.57 $1,690.17 2026-02-19
45388 HCPCS Destruction Of Polyp Or Growth Of Large Bowel Using A Flexible Endoscope 7 7 $1,778.00 $1,600.20 $889.00 $2,783.48 $1,689.10 2026-02-19
36569 HCPCS Insertion Of Tube For Infusion (5 Years Or Older) 7 7 $1,750.00 $1,575.00 $875.00 $2,944.37 $1,662.50 2026-02-19
70547 HCPCS MRI Scan Of Blood Vessels Of Neck Without Contrast 7 7 $3,267.00 $2,940.30 $376.00 $3,168.99 $1,633.50 2026-02-19
72195 HCPCS MRI Scan Of Pelvis Without Contrast 7 7 $3,267.00 $2,940.30 $376.00 $3,168.99 $1,633.50 2026-02-19
75635 HCPCS CT Scan Of Abdominal Aorta And Both Leg Arteries With Contrast 7 7 $3,231.00 $2,907.90 $291.89 $3,134.07 $1,615.50 2026-02-19
88261 HCPCS Chromosome Analysis For Genetic Defects, Count 5 Cells 7 7 $1,736.00 $1,562.40 $134.00 $1,683.92 $1,614.48 2026-02-19
78580 HCPCS Nuclear Medicine Study Of Lung Circulation 7 7 $1,687.00 $1,518.30 $615.98 $2,146.19 $1,602.65 2026-02-19
74175 HCPCS CT Scan Of Blood Vessels Of Abdomen With Contrast 7 7 $3,195.00 $2,875.50 $291.89 $3,099.15 $1,597.50 2026-02-19
A9552 HCPCS Fluorodeoxyglucose F-18 Fdg, Diagnostic, Per Study Dose, Up To 45 Millicuries 10 5 $1,684.50 $1,516.05 $824.00 $1,669.37 $1,582.08 2026-02-19
62320 HCPCS Injection Of Substance Into Middle Or Upper Spine Canal 7 7 $1,676.00 $1,508.40 $838.00 $1,625.72 $1,558.68 2026-02-19
07510007 CDM Rental Equip Force Triad Energy Platform 5 5 $1,642.00 $1,477.80 $821.00 $1,592.74 $1,558.26 2026-02-19
74170 HCPCS CT Scan Of Abdomen Before And After Contrast 7 7 $3,105.00 $2,794.50 $291.89 $3,011.85 $1,552.50 2026-02-19
64721 HCPCS Release And/or Relocation Of Hand Nerve 7 7 $1,629.00 $1,466.10 $814.50 $3,564.48 $1,547.55 2026-02-19
02001173 CDM Serevent Diskus 50 Mcg 5 5 $1,626.00 $1,463.40 $813.00 $1,577.22 $1,543.07 2026-02-19
J2469 HCPCS Injection, Palonosetron Hcl, 25 Mcg 5 5 $1,625.00 $1,462.50 $812.50 $1,576.25 $1,542.13 2026-02-19
70498 HCPCS CT Scan Of Blood Vessels Of Neck With Contrast 7 7 $3,046.00 $2,741.40 $291.89 $2,954.62 $1,523.00 2026-02-19
72191 HCPCS CT Scan Of Blood Vessels Of Pelvis With Contrast 7 7 $3,045.00 $2,740.50 $291.89 $2,953.65 $1,522.50 2026-02-19
73225 HCPCS MRI Scan Of Blood Vessels Of Arm 21 7 $3,045.00 $2,740.50 $462.34 $2,953.65 $1,522.50 2026-02-19
C8914 HCPCS Magnetic Resonance Angiography Without Contrast Followed By With Contrast, Lower… 14 7 $3,045.00 $2,740.50 $572.16 $2,953.65 $1,522.50 2026-02-19
70496 HCPCS CT Scan Of Blood Vessels Of Head With Contrast 7 7 $3,045.00 $2,740.50 $291.89 $2,953.65 $1,522.50 2026-02-19
73223 HCPCS MRI Scan Of Arm Joint Before And After Contrast 21 7 $3,045.00 $2,740.50 $601.74 $2,953.65 $1,522.50 2026-02-19
93350 HCPCS Ultrasound Of Heart During Rest, Exercise And/or Drug-induced Stress With Report 12 7 $1,636.00 $1,472.40 $800.50 $1,586.92 $1,520.15 2026-02-19
36571 HCPCS Insertion Of Central Venous Tube With Port For Infusion (5 Years Or Older) 7 7 $1,588.00 $1,429.20 $794.00 $2,944.37 $1,508.60 2026-02-19
71275 HCPCS CT Scan Of Blood Vessels Of Chest With Contrast 7 7 $3,011.00 $2,709.90 $291.89 $2,920.67 $1,505.50 2026-02-19
72194 HCPCS CT Scan Of Pelvis Before And After Contrast 7 7 $2,971.00 $2,673.90 $291.89 $2,881.87 $1,485.50 2026-02-19
64451 HCPCS Injection Of Anesthetic Agent And/or Steroid Into Spine And Pelvis Nerve Using I… 12 7 $1,604.00 $1,443.60 $76.13 $2,293.80 $1,467.08 2026-02-19
62322 HCPCS Injection Of Substance Into Lower Spine Canal 17 7 $1,676.00 $1,508.40 $81.00 $1,681.98 $1,465.94 2026-02-19
64421 HCPCS Injection Of Anesthetic Agent And/or Steroid Into Multiple Rib Nerves For Region… 7 7 $1,540.00 $1,386.00 $770.00 $2,293.80 $1,463.00 2026-02-19
72133 HCPCS CT Scan Of Lower Spine Before And After Contrast 7 7 $2,859.00 $2,573.10 $291.89 $2,773.23 $1,429.50 2026-02-19
71270 HCPCS CT Scan Of Chest Before And After Contrast 7 7 $2,859.00 $2,573.10 $291.89 $2,773.23 $1,429.50 2026-02-19
72130 HCPCS CT Scan Of Middle Spine Before And After Contrast 7 7 $2,859.00 $2,573.10 $291.89 $2,773.23 $1,429.50 2026-02-19
72127 HCPCS CT Scan Of Upper Spine Before And After Contrast 7 7 $2,859.00 $2,573.10 $291.89 $2,773.23 $1,429.50 2026-02-19
11106 HCPCS Incision Biopsy, First Skin Growth 7 7 $1,537.00 $1,383.30 $689.15 $1,490.89 $1,429.41 2026-02-19
J0881 HCPCS Injection, Darbepoetin Alfa, 1 Microgram (non-esrd Use) 5 5 $1,498.00 $1,348.20 $749.00 $1,453.06 $1,421.60 2026-02-19
07511659 CDM Endo Needle Access/insufflat 5 5 $1,494.00 $1,344.60 $747.00 $1,449.18 $1,417.81 2026-02-19
51040 HCPCS Incision Of Bladder With Drainage 7 7 $1,486.00 $1,337.40 $743.00 $2,769.43 $1,411.70 2026-02-19
78070 HCPCS Nuclear Medicine Study Of Parathyroid 7 7 $1,486.00 $1,337.40 $615.98 $2,146.19 $1,411.70 2026-02-19
73719 HCPCS MRI Scan Of Leg With Contrast 21 7 $2,823.00 $2,540.70 $601.74 $2,738.31 $1,411.50 2026-02-19
73706 HCPCS CT Scan Of Blood Vessels Of Lower Leg With Contrast 7 7 $2,823.00 $2,540.70 $291.89 $2,738.31 $1,411.50 2026-02-19
73206 HCPCS CT Scan Of Blood Vessels Of Arm With Contrast 7 7 $2,823.00 $2,540.70 $291.89 $2,738.31 $1,411.50 2026-02-19
73722 HCPCS MRI Scan Of Leg Joint With Contrast 14 7 $2,823.00 $2,540.70 $941.55 $2,738.31 $1,411.50 2026-02-19
70336 HCPCS MRI Scan Of Jaw Joint 7 7 $2,823.00 $2,540.70 $376.00 $2,738.31 $1,411.50 2026-02-19
78007 HCPCS Nm Endo Thyroid Img/up 5 5 $1,486.00 $1,337.40 $743.00 $1,441.42 $1,410.21 2026-02-19
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