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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

HEGG MEMORIAL HEALTH CENTER

Rock Valley, IA · CCN 161336 · Rates published

1,001 distinct procedures filed
5 distinct payers
16,638 rate rows
2026-07-15 last MRF observed
Data quality

16,547 of 16,638 rate rows are consumer-grade (99.5%)

91 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
percent-of-charges filed in the dollar field — excluded from medians 38
exceeds 10× this hospital's gross charge — excluded from medians 29
placeholder amount (≤ $0.02) — excluded from medians 16
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 8
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.avera.org/app/files/public/ea25130d-fb76-4a5e-b172-c715eb46b09c/420932564_hegg-health-center_standardcharges.csv
Found on page https://www.avera.org/cms-hpt.txt
Discovered viaDiscovered by HANK (automated)
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-10-10
Content fingerprint 639b8daea711c4f5… · 4,046,055 bytes · first seen 2026-06-08

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 		Ocrelizumab 300 Mg/10 Ml 5 $6.09 $33,480.68 $26,646.48 nat. median
$133
outlier · 200.4×
194
MS_DRG 		Ms-DRG 194 1 $16,385.46 $16,385.46 $16,385.46 nat. median
$6,156
outlier · 2.7×
J9144
HCPCS 		Daratumumab Hyaluronida 1800Mg 5 $57.99 $17,040.06 $13,561.78 nat. median
$114
outlier · 118.5×
J3380
HCPCS 		Vedolizumab 300 Mg Vial 5 $21.16 $15,213.33 $12,107.93 nat. median
$59
outlier · 205.9×
J9380
HCPCS 		Teclistamab-cqyv 153 Mg/1.7 Ml 5 $35.48 $14,476.55 $11,521.54 nat. median
$65
outlier · 176.8×
J3101
HCPCS 		Tenecteplase 50 Mg/10 Ml Syrng 5 $0.41 $11,888.96 $9,462.14 nat. median
$498
outlier · 19.0×
J9271
HCPCS 		Pembrolizumab 100 Mg/4 Ml Vial 5 $13.37 $9,778.81 $7,782.73 nat. median
$127
outlier · 61.3×
Q5115
HCPCS 		Rituximab-abbs 500Mg/50Ml Vial 5 $34.76 $4,234.68 $3,667.15 nat. median
$368
outlier · 10.0×
Q5119
HCPCS 		Rituximab-pvvr 500Mg/50Ml Vial 5 $24.94 $4,375.62 $3,482.45 nat. median
$318
outlier · 11.0×
J9176
HCPCS 		Elotuzumab 300 Mg Vial 5 $8.46 $5,040.03 $3,329.20 nat. median
$2,022
1.6× median
J3111
HCPCS 		Romosozumab-aqqg 210 Mg/2.34Ml 5 $1.56 $4,084.55 $3,250.80 nat. median
$19
outlier · 171.1×
95811
CPT 		Polysomnogram W CPap 5 $2,431.65 $3,628.77 $3,142.44 nat. median
$1,412
outlier · 2.2×
J1569
HCPCS 		Immune Glob Gamagar 20gr/200ml 5 $21.77 $3,670.71 $2,921.43 nat. median
$946
outlier · 3.1×
95810
CPT 		Polysomnogram 5 $2,134.60 $3,185.48 $2,758.56 nat. median
$1,446
1.9× median
J0349
HCPCS 		Rezafungin 200 Mg Vial 5 $3.78 $3,431.99 $2,731.44 nat. median
$19
outlier · 144.0×
70553
CPT 		MRI Brain Wwo Contrast 5 $185.99 $4,254.42 $2,703.12 nat. median
$616
outlier · 4.4×
J0897
HCPCS 		Denosumab 60 Mg/ml Syringe 5 $9.69 $5,155.27 $2,586.95 nat. median
$86
outlier · 30.1×
15275
CPT 		Skin Substitute Graft 25 Sq Cm 5 $1,968.85 $2,938.13 $2,544.36 nat. median
$1,689
1.5× median
309
CDM 		Genetic Misc Test Group 6 5 $1,912.95 $2,854.71 $2,472.12 —
G0390
HCPCS 		Trauma Team Level 4 5 $1,757.60 $2,622.88 $2,271.36 nat. median
$3,280
0.7× median
J2426
HCPCS 		Paliperidone Palm 117mg/0.75ml 5 $14.74 $5,348.13 $2,024.58 nat. median
$2,528
0.8× median
93356
CPT 		Myocardial Strain Image Speckl 5 $1,560.65 $2,328.97 $2,016.84 nat. median
$177
outlier · 11.4×
15271
CPT 		Skin Substitute Graft 25 Sq Cm 5 $149.40 $2,938.13 $1,991.57 nat. median
$1,584
1.3× median
J0129
HCPCS 		Abatacept 250 Mg Vial 5 $43.38 $2,431.14 $1,934.89 nat. median
$122
outlier · 15.8×
71275
CPT 		CTA Chest Wwo Contrast 5 $147.65 $2,733.46 $1,831.70 nat. median
$365
outlier · 5.0×
C8929
HCPCS 		Echo M Mode 2d W Contrast 5 $1,378.00 $2,056.40 $1,780.80 nat. median
$1,169
1.5× median
J3262
HCPCS 		Tocilizumab 200 Mg/10 Ml Vial 5 $2.72 $4,539.30 $1,773.86 nat. median
$1,287
1.4× median
120
CDM 		Room Medical Unit Semi Private 5 $1,372.15 $2,047.67 $1,773.24 nat. median
$1,665
1.1× median
129
CDM 		Room Swing Bed Skilled 5 $1,260.35 $1,880.83 $1,628.76 nat. median
$855
1.9× median
27550
CPT 		Treat Knee Dislocation Rt 5 $1,175.85 $1,754.73 $1,519.56 nat. median
$444
outlier · 3.4×
49594
CPT 		Rpr Aa Hrn 1st 3-10 Ncr/Strn 5 $1,414.86 $2,038.26 $1,477.09 nat. median
$6,255
outlier · 0.2×
47563
CPT 		Lap Cholecystectomy/Graph 5 $1,391.27 $1,935.98 $1,458.45 nat. median
$6,246
outlier · 0.2×
Q4133
HCPCS 		Graft Grafixpl Prm 16Mm Disc 5 $721.50 $2,706.30 $1,445.10 nat. median
$456
outlier · 3.2×
93325
CPT 		Echo Color Doppler 5 $1,114.75 $1,663.55 $1,440.60 nat. median
$268
outlier · 5.4×
93306
CPT 		Tte W Doppler Complete 5 $1,073.15 $1,601.47 $1,386.84 nat. median
$804
1.7× median
J1439
HCPCS 		Ferric Carboxymalt 750mg/15ml 5 $1.13 $1,731.17 $1,377.80 nat. median
$5
outlier · 274.2×
93925
CPT 		Arterial Duplex Le Bi 5 $1,054.30 $1,573.34 $1,362.48 nat. median
$405
outlier · 3.4×
25605
CPT 		Fx Distal Radius W Man Lt 5 $1,022.30 $1,855.61 $1,340.72 nat. median
$1,664
0.8× median
74174
CPT 		CTA Abd&Pelv Wwo Dye 5 $177.75 $3,441.56 $1,270.15 nat. median
$549
outlier · 2.3×
360
CDM 		Ag Capsulotomy 5 $633.10 $3,252.41 $1,265.55 nat. median
$3,545
outlier · 0.4×
99291
CPT 		Critical Care 1st 30-74 Min 5 $329.00 $1,744.06 $1,182.18 nat. median
$1,120
1.1× median
J1561
HCPCS 		Immune Glob 10% 40 Gm/400 Ml 5 $3.60 $5,237.58 $1,171.72 nat. median
$994
1.2× median
J9217
HCPCS 		Leuprolide Acetate 45 Mg Syr 5 $1.47 $1,574.60 $1,149.22 nat. median
$2,144
0.5× median
49593
CPT 		Rpt Aa Hrn 1st 3-10 Rdc 5 $1,089.04 $1,568.59 $1,137.36 nat. median
$6,490
outlier · 0.2×
C8924
HCPCS 		Tte 2d W Contrast Limited 5 $874.90 $1,305.62 $1,130.64 nat. median
$557
outlier · 2.0×
24500
CPT 		Fx Humeral Shaft Wo Man Rt 5 $846.30 $1,262.94 $1,093.68 nat. median
$393
outlier · 2.8×
49505
CPT 		Prp I/Hern Init Reduc >5 Yr Rt 5 $1,022.06 $1,412.24 $1,073.16 nat. median
$4,049
outlier · 0.3×
24576
CPT 		Fx Humeral Condylar Wo Man Rt 5 $820.95 $1,225.11 $1,060.92 nat. median
$422
outlier · 2.5×
27750
CPT 		Treatment Tibia Fracture Lt 5 $808.60 $1,206.68 $1,044.96 nat. median
$422
outlier · 2.5×
70450
CPT 		CT Head/Brain Wo Contrast 5 $69.18 $1,375.46 $1,008.20 nat. median
$210
outlier · 4.8×

Other procedures at this hospital

Browse this hospital's 1,001 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
             
J2350 HCPCS Ocrelizumab 300 Mg/10 Ml 11 5 $34,516.00 — $6.09 $33,480.68 $26,646.48 2026-07-15
194 MS_DRG Ms-DRG 194 1 1 — — $16,385.46 $16,385.46 $16,385.46 2026-07-15
J9144 HCPCS Daratumumab Hyaluronida 1800Mg 11 5 $17,567.00 — $57.99 $17,040.06 $13,561.78 2026-07-15
J3380 HCPCS Vedolizumab 300 Mg Vial 11 5 $15,683.00 — $21.16 $15,213.33 $12,107.93 2026-07-15
J9380 HCPCS Teclistamab-cqyv 153 Mg/1.7 Ml 11 5 $14,924.00 — $35.48 $14,476.55 $11,521.54 2026-07-15
J3101 HCPCS Tenecteplase 50 Mg/10 Ml Syrng 11 5 $12,256.00 — $0.41 $11,888.96 $9,462.14 2026-07-15
J9271 HCPCS Pembrolizumab 100 Mg/4 Ml Vial 11 5 $10,081.00 — $13.37 $9,778.81 $7,782.73 2026-07-15
Q5115 HCPCS Rituximab-abbs 500Mg/50Ml Vial 11 5 $4,365.00 — $34.76 $4,234.68 $3,667.15 2026-07-15
Q5119 HCPCS Rituximab-pvvr 500Mg/50Ml Vial 11 5 $4,510.00 — $24.94 $4,375.62 $3,482.45 2026-07-15
J9176 HCPCS Elotuzumab 300 Mg Vial 18 5 $3,846.00 — $8.46 $5,040.03 $3,329.20 2026-07-15
J3111 HCPCS Romosozumab-aqqg 210 Mg/2.34Ml 11 5 $4,210.00 — $1.56 $4,084.55 $3,250.80 2026-07-15
95811 CPT Polysomnogram W CPap 10 5 $3,741.00 — $2,431.65 $3,628.77 $3,142.44 2026-07-15
J1569 HCPCS Immune Glob Gamagar 20gr/200ml 11 5 $3,784.00 — $21.77 $3,670.71 $2,921.43 2026-07-15
95810 CPT Polysomnogram 9 5 $3,284.00 — $2,134.60 $3,185.48 $2,758.56 2026-07-15
J0349 HCPCS Rezafungin 200 Mg Vial 11 5 $3,538.00 — $3.78 $3,431.99 $2,731.44 2026-07-15
70553 CPT MRI Brain Wwo Contrast 23 5 $3,218.00 — $185.99 $4,254.42 $2,703.12 2026-07-15
J0897 HCPCS Denosumab 60 Mg/ml Syringe 18 5 $2,918.00 — $9.69 $5,155.27 $2,586.95 2026-07-15
15275 CPT Skin Substitute Graft 25 Sq Cm 9 5 $3,029.00 — $1,968.85 $2,938.13 $2,544.36 2026-07-15
309 CDM Genetic Misc Test Group 6 9 5 $2,943.00 — $1,912.95 $2,854.71 $2,472.12 2026-07-15
G0390 HCPCS Trauma Team Level 4 9 5 $2,704.00 — $1,757.60 $2,622.88 $2,271.36 2026-07-15
J2426 HCPCS Paliperidone Palm 117mg/0.75ml 20 5 $2,142.00 — $14.74 $5,348.13 $2,024.58 2026-07-15
93356 CPT Myocardial Strain Image Speckl 9 5 $2,401.00 — $1,560.65 $2,328.97 $2,016.84 2026-07-15
15271 CPT Skin Substitute Graft 25 Sq Cm 16 5 $3,029.00 — $149.40 $2,938.13 $1,991.57 2026-07-15
J0129 HCPCS Abatacept 250 Mg Vial 11 5 $2,506.00 — $43.38 $2,431.14 $1,934.89 2026-07-15
71275 CPT CTA Chest Wwo Contrast 15 5 $2,818.00 — $147.65 $2,733.46 $1,831.70 2026-07-15
C8929 HCPCS Echo M Mode 2d W Contrast 9 5 $2,120.00 — $1,378.00 $2,056.40 $1,780.80 2026-07-15
J3262 HCPCS Tocilizumab 200 Mg/10 Ml Vial 25 5 $2,297.00 — $2.72 $4,539.30 $1,773.86 2026-07-15
120 CDM Room Medical Unit Semi Private 7 5 $2,111.00 — $1,372.15 $2,047.67 $1,773.24 2026-07-15
129 CDM Room Swing Bed Skilled 7 5 $1,939.00 — $1,260.35 $1,880.83 $1,628.76 2026-07-15
27550 CPT Treat Knee Dislocation Rt 9 5 $1,809.00 — $1,175.85 $1,754.73 $1,519.56 2026-07-15
49594 CPT Rpr Aa Hrn 1st 3-10 Ncr/Strn 7 5 $2,571.00 — $1,414.86 $2,038.26 $1,477.09 2026-07-15
47563 CPT Lap Cholecystectomy/Graph 7 5 $2,493.00 — $1,391.27 $1,935.98 $1,458.45 2026-07-15
Q4133 HCPCS Graft Grafixpl Prm 16Mm Disc 18 5 $1,950.00 — $721.50 $2,706.30 $1,445.10 2026-07-15
93325 CPT Echo Color Doppler 9 5 $1,715.00 — $1,114.75 $1,663.55 $1,440.60 2026-07-15
93306 CPT Tte W Doppler Complete 11 5 $1,651.00 — $1,073.15 $1,601.47 $1,386.84 2026-07-15
J1439 HCPCS Ferric Carboxymalt 750mg/15ml 11 5 $1,784.00 — $1.13 $1,731.17 $1,377.80 2026-07-15
93925 CPT Arterial Duplex Le Bi 9 5 $1,622.00 — $1,054.30 $1,573.34 $1,362.48 2026-07-15
25605 CPT Fx Distal Radius W Man Lt 32 5 $1,913.00 — $1,022.30 $1,855.61 $1,340.72 2026-07-15
74174 CPT CTA Abd&Pelv Wwo Dye 14 5 $1,924.50 — $177.75 $3,441.56 $1,270.15 2026-07-15
360 CDM Ag Capsulotomy 63 5 $1,515.00 — $633.10 $3,252.41 $1,265.55 2026-07-15
99291 CPT Critical Care 1st 30-74 Min 16 5 $1,798.00 — $329.00 $1,744.06 $1,182.18 2026-07-15
J1561 HCPCS Immune Glob 10% 40 Gm/400 Ml 36 5 $2,729.00 — $3.60 $5,237.58 $1,171.72 2026-07-15
J9217 HCPCS Leuprolide Acetate 45 Mg Syr 18 5 $1,623.00 — $1.47 $1,574.60 $1,149.22 2026-07-15
49593 CPT Rpt Aa Hrn 1st 3-10 Rdc 7 5 $1,975.00 — $1,089.04 $1,568.59 $1,137.36 2026-07-15
C8924 HCPCS Tte 2d W Contrast Limited 9 5 $1,346.00 — $874.90 $1,305.62 $1,130.64 2026-07-15
24500 CPT Fx Humeral Shaft Wo Man Rt 9 5 $1,302.00 — $846.30 $1,262.94 $1,093.68 2026-07-15
49505 CPT Prp I/Hern Init Reduc >5 Yr Rt 7 5 $1,864.00 — $1,022.06 $1,412.24 $1,073.16 2026-07-15
24576 CPT Fx Humeral Condylar Wo Man Rt 9 5 $1,263.00 — $820.95 $1,225.11 $1,060.92 2026-07-15
27750 CPT Treatment Tibia Fracture Lt 9 5 $1,244.00 — $808.60 $1,206.68 $1,044.96 2026-07-15
70450 CPT CT Head/Brain Wo Contrast 16 5 $1,418.00 — $69.18 $1,375.46 $1,008.20 2026-07-15
73223 CPT MRI Joint Ue Wwo Dye Rt 16 5 $3,241.00 — $175.17 $3,143.77 $981.26 2026-07-15
73723 CPT MRI Joint Le Wwo Dye Lt 32 5 $3,552.00 — $175.17 $3,445.44 $978.02 2026-07-15
27840 CPT Treat Ankle Dislocation 16 5 $1,372.00 — $775.90 $1,330.84 $975.04 2026-07-15
99285 CPT Emergency Room Visit Level 5 16 5 $1,459.00 — $267.73 $1,415.23 $959.30 2026-07-15
26765 CPT Fx Phalange Open 16 5 $1,012.00 — $658.27 $1,390.09 $957.02 2026-07-15
66821 CPT Capsulotomy Yag Cataract Rt 9 5 $1,133.00 — $736.45 $1,099.01 $951.72 2026-07-15
24530 CPT Fx Supra/Transcondylar Hum Rt 9 5 $1,133.00 — $736.45 $1,099.01 $951.72 2026-07-15
49592 CPT Rpt Aa Hrn 1st <3 Ncr/Strn 7 5 $1,660.00 — $904.88 $1,301.08 $945.08 2026-07-15
27786 CPT Fx Distal Fibula Lt 18 5 $1,121.00 — $728.65 $1,087.37 $941.64 2026-07-15
27530 CPT Treat Knee Fracture Rt 9 5 $1,105.00 — $718.25 $1,071.85 $928.20 2026-07-15
31613 CPT Tracheostoma Revision 7 5 $1,464.00 — $782.60 $1,211.48 $901.18 2026-07-15
49650 CPT Lap Ing Hernia Repair Init Lt 7 5 $1,501.00 — $848.40 $1,166.70 $893.67 2026-07-15
25560 CPT Fx Radius & Ulnar Shaft Rt 9 5 $1,046.00 — $679.90 $1,014.62 $878.64 2026-07-15
74300 CPT X-ray Bile Ducts/Pancreas 16 5 $1,229.00 — $22.23 $1,192.13 $873.82 2026-07-15
J0174 HCPCS Lecanemab-irmb 500 Mg/5Ml Vial 11 5 $1,130.00 — $0.08 $1,096.87 $872.97 2026-07-15
38510 CPT Biopsy Lymph Node Rt 7 5 $1,495.00 — $797.50 $1,141.87 $866.73 2026-07-15
73720 CPT MRI Le Wwo Dye Lt 32 5 $2,974.00 — $175.17 $2,884.78 $856.10 2026-07-15
90375 CPT Rabies Imm Glob (Human) 300u/m 11 5 $1,102.00 — $146.90 $1,069.76 $851.40 2026-07-15
93308 CPT Echo Limited 9 5 $1,011.00 — $657.15 $980.67 $849.24 2026-07-15
93970 CPT Venous Duplex 16 5 $1,283.00 — $49.31 $1,244.51 $843.58 2026-07-15
J0248 HCPCS Remdesivir 100 Mg Vial 11 5 $1,088.00 — $6.35 $1,055.52 $840.06 2026-07-15
92960 CPT Cardioversion Electric Ext 16 5 $1,236.00 — $165.12 $1,198.92 $812.67 2026-07-15
37195 CPT Thrombolytic Therapy Stroke 16 5 $991.00 — $559.20 $1,550.90 $807.66 2026-07-15
24650 CPT Fx Radial Head/Neck Wo Man Lt 18 5 $951.00 — $618.15 $922.47 $798.84 2026-07-15
40650 CPT Repr Lip Fll Thckns Vermiln On 16 5 $1,121.00 — $624.40 $1,087.37 $795.14 2026-07-15
74150 CPT CT Abdomen Wo Dye 16 5 $1,650.00 — $96.49 $1,600.50 $791.13 2026-07-15
92950 CPT Heart/Lung Resuscitation Cpr 16 5 $1,197.00 — $275.08 $1,161.09 $787.02 2026-07-15
73218 CPT MRI Ue Wo Dye Lt 32 5 $1,557.00 — $79.40 $1,510.29 $769.56 2026-07-15
41252 CPT Repair Tongue Laceration 16 5 $1,144.00 — $406.20 $1,109.68 $752.18 2026-07-15
28400 CPT Fx Calcaneus Rt 9 5 $881.00 — $572.65 $854.57 $740.04 2026-07-15
93880 CPT Extracranial Bilat Study 17 5 $1,110.00 — $57.48 $1,076.70 $738.15 2026-07-15
93975 CPT Vascular Study 9 5 $873.00 — $567.45 $846.81 $733.32 2026-07-15
90675 CPT Rabies Vax Pcec/Pf 2.5Unit Vl 11 5 $923.00 — $125.24 $895.92 $713.04 2026-07-15
74160 CPT CT Abdomen W Dye 16 5 $2,097.00 — $103.19 $2,034.09 $706.77 2026-07-15
Q5121 HCPCS Infliximab-axxq 100 Mg Vial 11 5 $840.00 — $35.88 $4,302.83 $705.76 2026-07-15
26770 CPT Dislocation Finger Wo Anes 32 5 $1,039.00 — $536.50 $1,007.83 $700.70 2026-07-15
49591 CPT Rpr Aa Hrn 1st <3 Cm Rdc 7 5 $1,989.00 — $653.22 $938.11 $682.96 2026-07-15
23500 CPT Fx Clavicle Rt 9 5 $804.00 — $522.60 $779.88 $675.36 2026-07-15
72195 CPT MRI Pelvis Wo Dye 14 5 $1,029.00 — $118.72 $1,737.27 $672.28 2026-07-15
70549 CPT MRA Neck Wwo Contrast 16 5 $2,786.00 — $146.02 $2,702.42 $666.92 2026-07-15
26600 CPT Fx Metacarpal 27 5 $634.00 — $412.65 $1,050.51 $653.62 2026-07-15
51720 CPT Bladder Instillation Chemo 9 5 $764.00 — $496.60 $741.08 $641.76 2026-07-15
28450 CPT Fx Tarsal Bone 9 5 $750.00 — $487.50 $727.50 $630.00 2026-07-15
93926 CPT Arterial Duplex Le Lt 18 5 $738.00 — $479.70 $715.86 $619.92 2026-07-15
74183 CPT MRI Abdomen Wwo Dye 16 5 $3,629.00 — $178.70 $3,520.13 $619.08 2026-07-15
26720 CPT Fx Finger/Thumb Wo Man 9 5 $726.00 — $471.90 $704.22 $609.84 2026-07-15
72192 CPT CT Pelvis Wo Dye 16 5 $1,470.00 — $88.24 $1,425.90 $597.02 2026-07-15
72193 CPT CT Pelvis W Dye 16 5 $2,192.00 — $94.13 $2,126.24 $593.33 2026-07-15
Q5135 HCPCS Tocilizumab-aazg 80 Mg/4 Ml 18 5 $662.00 — $4.40 $3,175.08 $587.58 2026-07-15
25565 CPT Fx Radial Ulnar Shaft W Man Rt 16 5 $615.00 — $399.75 $1,279.91 $581.17 2026-07-15
Q5104 HCPCS Infliximab-abda 100 Mg Vial 11 5 $680.00 — $27.85 $5,119.19 $571.86 2026-07-15
99284 CPT Emergency Room Visit Level 4 16 5 $868.00 — $184.86 $841.96 $570.71 2026-07-15
21011 CPT Excision Soft Tumor < 2 Cm 7 5 $913.00 — $514.70 $713.19 $566.74 2026-07-15
73718 CPT MRI Le Wo Dye Lt 32 5 $2,033.00 — $56.39 $1,972.01 $566.39 2026-07-15
J0881 HCPCS Darbepoe Alfa 100mcg/0.5ml Syr 32 5 $581.00 — $2.92 $2,669.46 $560.22 2026-07-15
J0666 HCPCS Bupivac Liposome 1.3% Pf 20 Ml 11 5 $663.00 — $1.42 $1,713.62 $557.59 2026-07-15
24670 CPT Fx Ulna Proximal Wo Man Lt 16 5 $626.00 — $407.53 $736.79 $556.66 2026-07-15
99292 CPT Critical Care Ea Addl 30 Min 16 5 $830.00 — $164.83 $805.10 $545.73 2026-07-15
70546 CPT MRA Head Wwo Contrast 16 5 $3,193.00 — $119.89 $3,097.21 $545.48 2026-07-15
74181 CPT MRI Abdomen Wo Dye 16 5 $1,444.00 — $118.13 $1,400.68 $544.29 2026-07-15
73721 CPT MRI Joint Le Wo Dye Rt 33 5 $2,598.00 — $110.25 $2,520.06 $542.10 2026-07-15
28510 CPT Fx Phalanges 9 5 $640.00 — $416.00 $620.80 $537.60 2026-07-15
28470 CPT Fx Metatarsal 9 5 $640.00 — $416.00 $620.80 $537.60 2026-07-15
72157 CPT MRI Chest Spine Wwo Dye 16 5 $3,380.00 — $186.58 $3,278.60 $535.35 2026-07-15
C1781 HCPCS Mesh Sheet Flat Bard 3X6In 54 5 $703.50 — $195.64 $1,159.78 $527.07 2026-07-15
11406 CPT Exc Ben Lesion >4.0 Trunk 7 5 $807.00 — $447.60 $675.58 $524.78 2026-07-15
23650 CPT Dislocation Shoulder Wo AnesLT 25 5 $615.00 — $399.75 $802.00 $524.60 2026-07-15
45385 CPT Colonoscopy W Lesion Removal 7 5 $947.00 — $482.00 $709.52 $524.10 2026-07-15
73221 CPT MRI Joint Ue Wo Dye Lt 32 5 $2,378.00 — $110.25 $2,306.66 $516.62 2026-07-15
23600 CPT Fx Prox Humeral Wo Man Lt 9 5 $615.00 — $399.75 $596.55 $516.60 2026-07-15
92523 CPT Speech Sound Lang Comprehen 9 5 $610.00 — $396.50 $591.70 $512.40 2026-07-15
97605 CPT Neg Pressure Wound Dme <50 Cm 9 5 $609.00 — $395.85 $590.73 $511.56 2026-07-15
76700 CPT Ultrasound Abdomen Complete 16 5 $775.00 — $65.65 $751.75 $509.56 2026-07-15
12035 CPT Repair Lac Interm 12.6-20.0 Cm 7 5 $848.00 — $432.80 $661.70 $506.63 2026-07-15
12032 CPT Repair Lac Interm 2.6-7.5 Cm 17 5 $640.00 — $340.90 $620.80 $494.08 2026-07-15
96413 CPT Chemotherapy Inf Initial 9 5 $588.00 — $382.20 $570.36 $493.92 2026-07-15
0202U CPT Respir Path 22 Targets Biofire 9 5 $586.00 — $380.90 $568.42 $492.24 2026-07-15
12052 CPT Repair Lac Interm 2.6-5.0 Cm 16 5 $660.00 — $356.90 $640.20 $480.70 2026-07-15
74178 CPT CT Abd & Pelv Wwo Contrast 16 5 $3,985.00 — $162.95 $3,865.45 $479.88 2026-07-15
12034 CPT Repair Lac Interm 7.6-12.5 Cm 16 5 $640.00 — $367.00 $620.80 $478.44 2026-07-15
76856 CPT Ultrasound Pelvic Complete 18 5 $661.00 — $56.01 $641.17 $474.93 2026-07-15
73201 CPT CT Ue W Dye Rt 16 5 $1,979.00 — $90.44 $1,919.63 $471.52 2026-07-15
93226 CPT ECG Monit/Report Up To 48 Hour 9 5 $561.00 — $364.65 $544.17 $471.24 2026-07-15
93922 CPT Ankle Arm Screen 9 5 $561.00 — $364.65 $544.17 $471.24 2026-07-15
C1726 HCPCS Cath Balloon EZDilate 11 5 $542.00 — $352.56 $526.13 $455.62 2026-07-15
10061 CPT I&d Abscess Comp/Multiple 16 5 $633.00 — $329.60 $614.01 $455.09 2026-07-15
G0399 HCPCS Sleep Study Type Iii Portable 10 5 $541.00 — $351.65 $524.77 $454.44 2026-07-15
15272 CPT Skin Substitute Graft Addl 25 9 5 $541.00 — $351.65 $524.77 $454.44 2026-07-15
70551 CPT MRI Brain Wo Contrast 16 5 $2,354.00 — $119.89 $2,283.38 $447.03 2026-07-15
67700 CPT Drainage Eyelid Abscess Rt 16 5 $659.00 — $220.00 $639.85 $433.72 2026-07-15
28490 CPT Fx Great Toe 9 5 $504.00 — $327.60 $488.88 $423.36 2026-07-15
70492 CPT CT Soft Tissue Neck Wwo Cont 16 5 $2,152.00 — $131.08 $2,087.44 $422.85 2026-07-15
76830 CPT Ultrasound Transvaginal 18 5 $585.00 — $56.60 $567.45 $420.32 2026-07-15
93246 CPT Ext ECG >7 Days Hook Up 11 5 $500.00 — $325.00 $485.00 $420.00 2026-07-15
93242 CPT Ext ECG 48 Hrs -7days Hook Up 9 5 $500.00 — $325.00 $485.00 $420.00 2026-07-15
46221 CPT Ligation Hemorrhoid(s) 7 5 $640.00 — $378.00 $537.38 $417.47 2026-07-15
16000 CPT Burn Treatment 1st Degree 17 5 $624.00 — $81.20 $605.28 $414.96 2026-07-15
45380 CPT Colonoscopy W Biopsy(s) 7 5 $747.00 — $382.50 $558.91 $414.70 2026-07-15
16020 CPT Dress/Debride Small Burn 16 5 $624.00 — $100.20 $605.28 $410.28 2026-07-15
70544 CPT MRA Head Wo Contrast 16 5 $2,156.00 — $97.07 $2,091.32 $408.12 2026-07-15
J1670 HCPCS Tetanus Immune Globulin 250 Un 11 5 $485.00 — $8.27 $575.76 $407.90 2026-07-15
64450 CPT Inject Anes Agent Oth Nerve Lt 16 5 $609.00 — $79.60 $590.73 $400.42 2026-07-15
76775 CPT Ultrasound Aorta 16 5 $598.00 — $47.18 $580.06 $393.19 2026-07-15
73701 CPT CT Le W Dye Rt 16 5 $2,112.00 — $94.13 $2,048.64 $391.92 2026-07-15
12031 CPT Repair Lac Intermed <2.5 Cm 16 5 $544.00 — $270.90 $528.36 $391.37 2026-07-15
72146 CPT MRI Chest Spine Wo Dye 16 5 $2,147.00 — $120.48 $2,082.59 $390.63 2026-07-15
92610 CPT Swallow Eval Non Radiol 10 5 $463.00 — $300.95 $449.11 $388.92 2026-07-15
V2787 HCPCS Iol Clareon Asph Uv 12.5d 9 5 $456.00 — $296.40 $442.32 $383.04 2026-07-15
G0121 HCPCS Screen Colonoscopy Not Hi Risk 7 5 $635.00 — $171.02 $514.81 $381.66 2026-07-15
45378 CPT Colonoscopy Diagnostic 7 5 $689.00 — $351.70 $514.44 $381.44 2026-07-15
G0105 HCPCS Screening Colonoscopy Hi Risk 7 5 $645.00 — $170.90 $514.08 $381.44 2026-07-15
73200 CPT CT Ue Wo Dye Lt 32 5 $1,541.00 — $70.19 $1,494.77 $379.30 2026-07-15
32551 CPT Insertion Chest Tube Rt 16 5 $525.00 — $284.10 $509.25 $377.21 2026-07-15
99283 CPT Emergency Room Visit Level 3 18 5 $519.00 — $108.68 $503.43 $372.90 2026-07-15
93321 CPT Doppler Echo Exam Heart 9 5 $442.00 — $287.30 $428.74 $371.28 2026-07-15
93931 CPT Arterial Duplex Ue Lt 9 5 $438.00 — $284.70 $424.86 $367.92 2026-07-15
76705 CPT Ultrasound Abdomen Limited 17 5 $551.00 — $47.77 $534.47 $366.42 2026-07-15
99236 CPT Admit/Discharge Same Day High 7 5 $189.00 — $322.41 $436.48 $365.04 2026-07-15
31500 CPT Insert Emergency Airway 16 5 $506.00 — $260.70 $490.82 $363.56 2026-07-15
43245 CPT Egd Dilate Stricture 7 5 $612.00 — $336.30 $487.14 $361.69 2026-07-15
70491 CPT CT Soft Tissue Neck W Cont 17 5 $2,036.00 — $112.02 $1,974.92 $357.53 2026-07-15
93225 CPT Holter Monitor Hook Up <48 Hrs 9 5 $420.00 — $273.00 $407.40 $352.80 2026-07-15
12041 CPT Repair Lac Interm <2.5 Cm 16 5 $482.00 — $260.90 $467.54 $350.44 2026-07-15
84207 CPT Vitamin B6 9 5 $417.00 — $271.05 $404.49 $350.28 2026-07-15
90684 CPT Pneumo Conjugate Vaccine 21 Va 13 5 $409.00 — $266.41 $474.00 $349.61 2026-07-15
V2632 HCPCS Iol Clareon Aspheric Uv 17.5d 27 5 $450.00 — $228.15 $442.32 $347.40 2026-07-15
76770 CPT Ultrasound Abdo Back Wall Comp 17 5 $519.00 — $59.76 $503.43 $345.13 2026-07-15
72158 CPT MRI Lumbar Spine Wwo Dye 16 5 $3,501.00 — $186.58 $3,395.97 $340.97 2026-07-15
115 CDM Room Hospice Respite Care 7 5 $405.00 — $263.25 $392.85 $340.20 2026-07-15
110 CDM Room Custodial Care 7 5 $405.00 — $263.25 $392.85 $340.20 2026-07-15
72156 CPT MRI Neck Spine Wwo Dye 16 5 $3,148.00 — $186.58 $3,053.56 $340.05 2026-07-15
76805 CPT OB US >14 Wk Tvta Single Fetus 16 5 $517.00 — $81.54 $501.49 $339.93 2026-07-15
93971 CPT Extremity Study Rt 35 5 $505.00 — $31.92 $489.85 $335.82 2026-07-15
70543 CPT MRI Orbit Face Neck Wwo Cont 16 5 $2,419.00 — $174.58 $2,346.43 $335.45 2026-07-15
80169 CPT Everolimus 9 5 $399.00 — $259.35 $387.03 $335.16 2026-07-15
90677 CPT Pneumo Conjugate Vaccine 20 Va 12 5 $391.00 — $254.23 $380.34 $331.09 2026-07-15
87799 CPT Bk Virus Quant Pcr, Serum 18 5 $441.00 — $175.50 $593.64 $329.85 2026-07-15
28190 CPT Remove Foreign Body Foot Rt 16 5 $458.00 — $258.00 $444.26 $329.07 2026-07-15
80145 CPT Adalimumab 9 5 $387.00 — $251.55 $375.39 $325.08 2026-07-15
11403 CPT Exc Ben Lesion 2.1-3.0 Trunk 7 5 $483.00 — $270.90 $409.56 $323.86 2026-07-15
Q0138 HCPCS Ferumoxy 510mg/17ml (non-esrd) 11 5 $419.00 — $0.33 $406.64 $323.64 2026-07-15
30903 CPT Control Anterior Hemorrhage Lt 32 5 $488.00 — $143.00 $473.36 $320.86 2026-07-15
70488 CPT CT Maxillofac Wwo Contrast 16 5 $2,379.00 — $102.60 $2,307.63 $319.79 2026-07-15
87154 CPT Culture Id By Amp Prb 6 Or 6+ 9 5 $380.00 — $247.00 $368.60 $319.20 2026-07-15
43249 CPT Esoph Egd Dilation <30 Mm 7 5 $535.00 — $292.00 $426.86 $317.67 2026-07-15
99205 CPT New Patient Level 5 High Comp 7 5 $165.00 — $257.00 $382.02 $316.98 2026-07-15
82088 CPT Aldosterone 10 5 $376.00 — $244.40 $364.72 $315.84 2026-07-15
72148 CPT MRI Lumbar Spine Wo Dye 17 5 $2,667.00 — $120.48 $2,586.99 $315.18 2026-07-15
76642 CPT Ultrasound Breast Limited Bi 32 5 $454.00 — $55.64 $730.41 $308.95 2026-07-15
77075 CPT X-rays Bone Survey Complete 16 5 $509.00 — $44.82 $493.73 $306.92 2026-07-15
90678 CPT Rsv Vaccine Bivalent 11 5 $373.00 — $41.69 $362.27 $306.80 2026-07-15
73700 CPT CT Le Wo Dye Lt 32 5 $1,617.00 — $76.65 $1,568.49 $304.63 2026-07-15
99223 CPT IP/Obs Initial High Comp 7 5 $166.00 — $270.04 $389.40 $303.59 2026-07-15
81352 CPT Tp53 Somatic Mutation, Prog 9 5 $361.00 — $234.65 $350.17 $303.24 2026-07-15
94660 CPT CPap/BiPap First Day 18 5 $370.00 — $221.65 $387.03 $299.45 2026-07-15
L1833 HCPCS Brace Knee Plymkr Md Std 9 5 $355.00 — $230.86 $344.51 $298.34 2026-07-15
P9016 HCPCS Red Blood Cells Lekoreduced 10 5 $355.00 — $230.75 $344.35 $298.20 2026-07-15
76536 CPT Ultrasound Head And Neck 16 5 $451.00 — $46.00 $437.47 $296.53 2026-07-15
11600 CPT Exc Mal Lesion <0.5 Trunk Limb 16 5 $404.00 — $218.80 $392.65 $295.71 2026-07-15
76801 CPT OB US < 14 Wks Single Fetus 16 5 $449.00 — $80.96 $435.53 $295.22 2026-07-15
96125 CPT Cognitive Performance Test St 9 5 $345.00 — $224.25 $334.65 $289.80 2026-07-15
80074 CPT Acute Hepatitis Panel 10 5 $343.00 — $222.95 $332.71 $288.12 2026-07-15
43239 CPT Egd Biopsy Single/Multiple 7 5 $483.00 — $263.10 $385.31 $287.15 2026-07-15
76870 CPT Ultrasound Scrotum 16 5 $431.00 — $51.89 $418.07 $283.38 2026-07-15
99282 CPT Emergency Room Visit Level 2 18 5 $390.00 — $64.21 $378.30 $280.22 2026-07-15
82397 CPT Igf Binding Protein 3 9 5 $333.00 — $216.45 $323.01 $279.72 2026-07-15
87497 CPT Cmv Quant By Pcr 9 5 $332.00 — $215.80 $322.04 $278.88 2026-07-15
51705 CPT Suprapubic Cath Change 9 5 $332.00 — $215.80 $322.04 $278.88 2026-07-15
70498 CPT CT Angiography Neck W Cont 16 5 $1,600.00 — $141.90 $1,552.00 $278.39 2026-07-15
52005 CPT Cystoscopy & Ureter Catheter 7 5 $670.00 — $255.40 $367.75 $278.21 2026-07-15
36430 CPT Blood Administration 9 5 $331.00 — $215.15 $321.07 $278.04 2026-07-15
86022 CPT Heparin Assoc Platelet Aby Scr 9 5 $330.00 — $214.50 $320.10 $277.20 2026-07-15
99496 CPT Transitional Care Management 16 5 $325.00 — $211.29 $402.50 $275.16 2026-07-15
80230 CPT Infliximab Qn w/Reflex To Ab,S 9 5 $326.00 — $211.90 $316.22 $273.84 2026-07-15
97597 CPT Debride Wound 1st 20 Cm 27 5 $321.00 — $32.88 $605.28 $273.81 2026-07-15
76881 CPT US Extremity Nonvasc Comp Lt 16 5 $416.00 — $73.89 $403.52 $273.52 2026-07-15
82166 CPT Mullerian Inhib Hormone 10 5 $324.00 — $210.60 $314.28 $272.16 2026-07-15
92526 CPT Dysphagia Treatment 10 5 $322.00 — $209.30 $312.34 $270.48 2026-07-15
70487 CPT CT Maxillofacial W Contrast 16 5 $2,353.00 — $91.78 $2,282.41 $268.29 2026-07-15
85303 CPT Protein C Activity 9 5 $318.00 — $206.70 $308.46 $267.12 2026-07-15
82652 CPT Vitamin D 125 Dihydroxy 9 5 $317.00 — $206.05 $307.49 $266.28 2026-07-15
11402 CPT Exc Ben Lesion 1.1-2.0 Trunk 16 5 $344.00 — $208.10 $334.46 $265.93 2026-07-15
83880 CPT Pro-b Type Natriuretic Peptide 11 5 $315.00 — $204.75 $305.55 $264.60 2026-07-15
G0438 HCPCS Annual Wellness Visit Initial 7 5 $151.00 — $184.13 $358.02 $262.69 2026-07-15
76873 CPT Echograp Trans R Pros Study 16 5 $398.00 — $131.80 $386.06 $261.69 2026-07-15
80235 CPT Lacosamide 9 5 $311.00 — $202.15 $301.67 $261.24 2026-07-15
76819 CPT Fetal Biophys Profil Wo Nst 16 5 $393.00 — $62.85 $381.21 $258.40 2026-07-15
10120 CPT I&r Foreign Body Simple 25 5 $301.00 — $189.70 $620.80 $256.78 2026-07-15
56405 CPT I & D Vulva/Perineum 25 5 $292.00 — $189.94 $330.01 $255.90 2026-07-15
10140 CPT I&d Hematoma Seroma 7 5 $417.00 — $213.40 $330.54 $255.44 2026-07-15
43235 CPT Egd Diagnostic Brush Wash 7 5 $426.00 — $234.20 $341.12 $255.08 2026-07-15
82024 CPT Acth Adrenocorticotropic Hor 9 5 $303.00 — $196.95 $293.91 $254.52 2026-07-15
Q9967 HCPCS Iohexol 300 Mg/ml 30 Ml Bottle 20 5 $180.00 — $117.00 $582.00 $253.80 2026-07-15
83970 CPT Pth 11 5 $302.00 — $196.30 $292.94 $253.68 2026-07-15
77067 CPT Mammo Screen Implant Bi 35 5 $292.00 — $62.12 $367.63 $252.03 2026-07-15
761 CDM Anoscopy 72 5 $298.00 — $124.80 $1,902.17 $249.79 2026-07-15
92524 CPT Behavral Qualit Analys Voice 9 5 $295.00 — $191.75 $286.15 $247.80 2026-07-15
70496 CPT CT Angiography Head W Cont 16 5 $1,542.00 — $141.90 $1,495.74 $246.84 2026-07-15
90651 CPT 9vHPV 3 Dose 11 5 $293.00 — $189.30 $307.61 $246.30 2026-07-15
76817 CPT Transvaginal US Obstetrical 16 5 $374.00 — $61.31 $362.78 $245.91 2026-07-15
30901 CPT Control Anterior Hemorrhage Rt 16 5 $372.00 — $104.10 $361.71 $245.18 2026-07-15
31615 CPT Tracheobronchoscopy Est Incis 7 5 $574.00 — $214.50 $315.48 $243.87 2026-07-15
J2212 HCPCS Methylnaltrexone 12mg/0.6ml Vl 9 5 $289.00 — $1.42 $281.05 $243.38 2026-07-15
11750 CPT Exc Nail Matrix Part/Complete 16 5 $325.00 — $182.00 $315.55 $242.44 2026-07-15
80197 CPT Tacrolimus 9 5 $288.00 — $187.20 $279.36 $241.92 2026-07-15
70470 CPT CT Head/Brain Wwo Contrast 16 5 $2,355.00 — $103.19 $2,284.35 $241.32 2026-07-15
82627 CPT Dheas 10 5 $284.00 — $184.60 $275.48 $238.56 2026-07-15
76816 CPT OB US Follow-up Per Fetus 16 5 $362.00 — $69.91 $351.14 $238.01 2026-07-15
11421 CPT Exc Ben Lesion 0.6-1.0 Neck 7 5 $355.00 — $196.20 $304.78 $236.58 2026-07-15
76882 CPT US Extremity Nonvasc Limit Lt 32 5 $359.00 — $56.23 $348.23 $236.05 2026-07-15
86360 CPT Cd4 And Cd8 Abs Cnt Ss5 9 5 $281.00 — $182.65 $272.57 $236.04 2026-07-15
72131 CPT CT Lumbar Spine Wo Contrast 16 5 $1,412.00 — $80.96 $1,369.64 $234.87 2026-07-15
46083 CPT Incision Thrombosed Hemorrhoid 7 5 $394.00 — $215.60 $299.04 $234.01 2026-07-15
72141 CPT MRI Neck Spine Wo Dye 16 5 $2,293.00 — $120.48 $2,224.21 $233.96 2026-07-15
99204 CPT New Patient Level 4 Mod Comp 7 5 $121.00 — $188.80 $281.18 $233.02 2026-07-15
Q5110 HCPCS Filgrastim-aafi 480 Mcg/0.8 Ml 11 5 $277.00 — $0.29 $927.00 $232.78 2026-07-15
11440 CPT Exc Ben Lesion <0.5 Face Ears 16 5 $274.00 — $178.61 $290.05 $230.82 2026-07-15
11401 CPT Exc Ben Lesion 0.6-1.0 Trunk 7 5 $341.00 — $190.30 $289.52 $229.45 2026-07-15
99222 CPT Inpatient Initial/Obs Mod Comp 7 5 $124.00 — $202.33 $274.01 $228.15 2026-07-15
74177 CPT CT Abd & Pelv W Contrast 17 5 $3,494.00 — $148.23 $3,389.18 $227.52 2026-07-15
90734 CPT Mcv4 Or MenACWY IM 11 5 $292.00 — $57.95 $283.24 $225.42 2026-07-15
81515 CPT Vpp 11 5 $266.00 — $172.90 $258.02 $223.44 2026-07-15
10060 CPT I&d Abscess Simple/Single 34 5 $245.00 — $154.41 $614.01 $222.47 2026-07-15
J1610 HCPCS Glucagon 1 Mg/ml Vial 12 5 $275.00 — $98.91 $266.89 $221.76 2026-07-15
84305 CPT Somatomedin 9 5 $264.00 — $171.60 $256.08 $221.76 2026-07-15
83090 CPT Homocystine 9 5 $264.00 — $171.60 $256.08 $221.76 2026-07-15
J9030 HCPCS Bcg Live 50 Mg Vial 11 5 $281.00 — $0.27 $273.17 $217.41 2026-07-15
46050 CPT Incision Anal Abscess 7 5 $356.00 — $198.90 $272.02 $217.05 2026-07-15
97166 CPT Ot Eval Mod Complexity 11 5 $258.00 — $167.70 $250.26 $216.72 2026-07-15
88184 CPT Flow Cytometry First Mark 9 5 $257.00 — $167.05 $249.29 $215.88 2026-07-15
97163 CPT Pt Eval High Complexity 9 5 $257.00 — $167.05 $249.29 $215.88 2026-07-15
97167 CPT Ot Eval High Complexity 10 5 $257.00 — $167.05 $249.29 $215.88 2026-07-15
84482 CPT Reverse T3 10 5 $255.00 — $165.75 $247.35 $214.20 2026-07-15
J1611 HCPCS Glucagon (Fresenius Kabi) Vial 11 5 $276.00 — $81.80 $268.36 $213.58 2026-07-15
99215 CPT Est Patient Level 5 17 5 $249.00 — $161.85 $304.86 $212.40 2026-07-15
62323 CPT Inj Epidural L/s W Guide 7 5 $822.00 — $190.60 $277.51 $210.01 2026-07-15
86300 CPT Ca 27-29 9 5 $249.00 — $161.85 $241.53 $209.16 2026-07-15
11730 CPT Avulsion Nail Plate Simp Singl 25 5 $248.00 — $95.50 $371.51 $209.00 2026-07-15
97162 CPT Pt Eval Mod Complexity 11 5 $247.00 — $160.55 $239.59 $207.48 2026-07-15
G0439 HCPCS Annual Wellness Visit Subs 7 5 $118.00 — $145.13 $282.26 $206.95 2026-07-15
72040 CPT X-ray Spine Cervical 2-3 Views 18 5 $255.00 — $18.30 $551.93 $205.53 2026-07-15
93798 CPT Cardiac Rehab Ii Monitored 9 5 $244.00 — $158.60 $236.68 $204.96 2026-07-15
77080 CPT Dexa Scan 18 5 $492.00 — $16.12 $477.24 $204.20 2026-07-15
82530 CPT Cortisol Free Urine 9 5 $243.00 — $157.95 $235.71 $204.12 2026-07-15
99495 CPT Transitional Care Management 16 5 $240.00 — $156.08 $296.53 $203.26 2026-07-15
99239 CPT IP/Obs Discharge >30 Min 7 5 $109.00 — $179.47 $243.58 $202.60 2026-07-15
82626 CPT Dhea 9 5 $240.00 — $156.00 $232.80 $201.60 2026-07-15
92522 CPT Eval St Speech Production 9 5 $240.00 — $156.00 $232.80 $201.60 2026-07-15
99233 CPT Inpatient/Obs Subsequent High 7 5 $114.00 — $184.54 $250.08 $201.12 2026-07-15
86618 CPT Lyme Disease Antibody 9 5 $238.00 — $154.70 $230.86 $199.92 2026-07-15
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