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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

KOSSUTH REGIONAL HEALTH CENTER

Algona, IA · CCN 161353 · Rates published

2,685 distinct procedures filed
20 distinct payers
67,761 rate rows
2026-03-31 last MRF observed
Data quality

67,641 of 67,761 rate rows are consumer-grade (99.8%)

120 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 75
exceeds 10× this hospital's gross charge — excluded from medians 22
per-diem day rate — not a per-procedure price 20
placeholder amount (≤ $0.02) — excluded from medians 3
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbKRHCALGONAIA&type=CDMWithoutLabel&fileType=CSV
Found on page https://apps.para-hcfs.com/PTT/FinalLinks/Kossuth_V2.aspx
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 8b37d6fca4f1c768… · 28,889,479 bytes · first seen 2026-05-08

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
J0896
HCPCS 		Injection, Luspatercept-aamt, 0.25 Mg 19 $9,818.42 $45,380.87 $33,119.31 nat. median
$4,612
outlier · 7.2×
J1930
HCPCS 		Injection, Lanreotide, 1 Mg 19 $6,153.71 $30,727.48 $22,425.15 nat. median
$5,898
outlier · 3.8×
J3101
HCPCS 		Injection, Tenecteplase, 1 Mg 19 $6,153.71 $29,873.43 $21,801.86 nat. median
$5,949
outlier · 3.7×
J2353
HCPCS 		Injection, Octreotide, Depot Form For Intramuscular Injection, 1 Mg 19 $6,153.71 $24,023.53 $17,532.56 nat. median
$5,975
outlier · 2.9×
C1783
HCPCS 		Ocular Implant, Aqueous Drainage Assist Device 17 $7,083.58 $19,386.64 $15,844.85 nat. median
$2,220
outlier · 7.1×
J0717
HCPCS 		Injection, Certolizumab Pegol, 1 Mg (code May Be Used For Medicare When Drug Adm… 19 $1,722.73 $21,684.42 $15,825.45 nat. median
$1,372
outlier · 11.5×
Q5122
HCPCS 		Injection, Pegfilgrastim-apgf (nyvepria), Biosimilar, 0.5 Mg 19 $4,157.06 $14,372.28 $10,489.00 nat. median
$443
outlier · 23.7×
J1306
HCPCS 		Injection, Inclisiran, 1 Mg 19 $4,784.05 $13,093.18 $9,555.51 nat. median
$57
outlier · 169.0×
Q5108
HCPCS 		Injection, Pegfilgrastim-jmdb (fulphila), Biosimilar, 0.5 Mg 19 $1,722.73 $12,957.83 $9,456.72 nat. median
$1,258
outlier · 7.5×
J2506
HCPCS 		Injection, Pegfilgrastim, Excludes Biosimilar, 0.5 Mg 19 $4,651.61 $12,730.72 $9,290.98 nat. median
$2,076
outlier · 4.5×
J2182
HCPCS 		Injection, Mepolizumab, 1 Mg 19 $2,565.12 $11,723.46 $8,555.87 nat. median
$3,098
outlier · 2.8×
J7168
HCPCS 		Prothrombin Complex Concentrate (human), Kcentra, Per I.u. Of Factor Ix Activity 19 $2,565.12 $9,061.47 $6,613.13 nat. median
$18
outlier · 373.8×
J0897
HCPCS 		Injection, Denosumab, 1 Mg 19 $1,150.23 $11,702.24 $6,054.18 nat. median
$2,506
outlier · 2.4×
J1602
HCPCS 		Injection, Golimumab, 1 Mg, For Intravenous Use 19 $1,722.73 $7,389.19 $5,392.69 nat. median
$496
outlier · 10.9×
1377418_1
CDM 		Operating Room Services - General Classification 16 $2,546.76 $6,500.94 $4,889.11 nat. median
$4,889
1.0× median
28090
HCPCS 		Removal Of Growth Of Tendon Covering Or Joint Capsule Of Foot 19 $2,406.54 $6,586.32 $4,806.75 nat. median
$2,070
outlier · 2.3×
J2357
HCPCS 		Injection, Omalizumab, 5 Mg 19 $1,722.73 $10,755.58 $4,754.07 nat. median
$1,303
outlier · 3.6×
Q5119
HCPCS 		Injection, Rituximab-pvvr, Biosimilar, (ruxience), 10 Mg 19 $2,332.58 $6,383.92 $4,659.03 nat. median
$934
outlier · 5.0×
66982
HCPCS 		Complex Removal Of Cataract With Insertion Of Prosthetic Lens 19 $2,143.14 $5,941.52 $4,336.17 nat. median
$2,968
1.5× median
66984
HCPCS 		Removal Of Cataract With Insertion Of Prosthetic Lens 19 $2,143.14 $5,941.52 $4,336.17 nat. median
$2,924
1.5× median
66983
HCPCS 		Removal Of Cataract And Capsule With Insertion Of Prosthetic Lens 19 $2,143.14 $5,941.52 $4,336.17 nat. median
$2,831
1.5× median
70471
HCPCS 		Computed Tomographic Angiography (cta), Head And Neck, With Contrast Material(s)… 17 $1,710.00 $4,680.00 $3,825.00 nat. median
$729
outlier · 5.3×
J0129
HCPCS 		Injection, Abatacept, 10 Mg (code May Be Used For Medicare When Drug Administere… 19 $1,910.48 $5,228.67 $3,815.93 nat. median
$1,082
outlier · 3.5×
J3111
HCPCS 		Injection, Romosozumab-aqqg, 1 Mg 19 $1,421.77 $4,992.94 $3,643.88 nat. median
$1,003
outlier · 3.6×
59510
HCPCS 		Cesarean Delivery With Care Before And After Delivery 19 $2,154.73 $4,815.25 $3,641.10 nat. median
$3,677
1.0× median
42826
HCPCS 		Removal Of Tonsils (12 Years Or Older) 19 $1,806.52 $4,944.16 $3,608.29 nat. median
$3,387
1.1× median
42820
HCPCS 		Removal Of Tonsils And Adenoid Glands (younger Than 12 Years) 19 $1,806.52 $4,944.16 $3,608.29 nat. median
$5,580
0.6× median
J3262
HCPCS 		Injection, Tocilizumab, 1 Mg 19 $721.35 $9,735.80 $3,557.31 nat. median
$1,425
outlier · 2.5×
59400
HCPCS 		Vaginal Delivery With Care Before And After Delivery 19 $1,948.94 $4,359.99 $3,295.81 nat. median
$3,185
1.0× median
47562
HCPCS 		Removal Of Gallbladder Using An Endoscope 20 $561.02 $11,736.40 $3,239.56 nat. median
$5,956
0.5× median
78452
HCPCS 		Nuclear Medicine Studies Of Heart Muscle At Rest And With Stress And Spect 19 $1,172.79 $4,384.64 $3,199.94 nat. median
$1,765
1.8× median
J0881
HCPCS 		Injection, Darbepoetin Alfa, 1 Microgram (non-esrd Use) 19 $625.61 $8,383.42 $3,058.69 nat. median
$751
outlier · 4.1×
95811
HCPCS 		Sleep Study In Sleep Lab With Continuous Airway Pressure (6 Years Or Older) 19 $947.72 $4,022.72 $2,935.81 nat. median
$2,026
1.4× median
44050
HCPCS 		Repair Of Twisted Or Herniated Small Bowel 20 $669.20 $9,053.20 $2,894.18 nat. median
$2,805
1.0× median
49507
HCPCS 		Repair Of Trapped Groin Hernia (5 Years Or Older) 20 $504.87 $11,183.12 $2,889.73 nat. median
$3,957
0.7× median
5687985_1
CDM 		Ablation Handpiece 16 $1,490.78 $3,805.41 $2,861.90 nat. median
$2,862
1.0× median
8998837_1
CDM 		Surgimesh Xb (Tintra C-15) 16 $1,482.00 $3,783.00 $2,845.05 nat. median
$2,845
1.0× median
69436
HCPCS 		Incision Of Eardrum With Placement Of Eardrum Tube Under General Anesthesia 19 $1,420.82 $3,888.56 $2,837.90 nat. median
$1,777
1.6× median
44332
HCPCS 		44320 Colostomy Or Skin 6 $2,502.75 $3,437.11 $2,836.45 nat. median
$1,846
1.5× median
J3489
HCPCS 		Injection, Zoledronic Acid, 1 Mg 19 $1,414.65 $3,871.66 $2,825.57 nat. median
$116
outlier · 24.4×
71275
HCPCS 		CT Scan Of Blood Vessels Of Chest With Contrast 19 $488.91 $3,849.04 $2,809.06 nat. median
$735
outlier · 3.8×
74183
HCPCS 		MRI Scan Of Abdomen Before And After Contrast 19 $532.16 $3,846.96 $2,807.54 nat. median
$1,101
outlier · 2.5×
72156
HCPCS 		MRI Scan Of Upper Spinal Canal Before And After Contrast 19 $532.16 $3,839.68 $2,802.23 nat. median
$1,092
outlier · 2.6×
70553
HCPCS 		MRI Scan Of Brain Before And After Contrast 19 $532.16 $3,836.56 $2,799.95 nat. median
$1,122
outlier · 2.5×
49505
HCPCS 		Repair Of Groin Hernia (5 Years Or Older) 20 $451.41 $11,183.12 $2,798.06 nat. median
$3,829
0.7× median
8961409_1
CDM 		Omni Surgical System (or) 16 $1,444.00 $3,686.00 $2,772.10 nat. median
$2,772
1.0× median
70498
HCPCS 		CT Scan Of Blood Vessels Of Neck With Contrast 19 $488.91 $3,727.36 $2,720.26 nat. median
$722
outlier · 3.8×
72158
HCPCS 		MRI Scan Of Lower Spinal Canal Before And After Contrast 19 $532.16 $3,719.04 $2,714.18 nat. median
$1,080
outlier · 2.5×
72197
HCPCS 		MRI Scan Of Pelvis Before And After Contrast 19 $532.16 $3,715.92 $2,711.91 nat. median
$1,064
outlier · 2.5×
8980094_1
CDM 		Surgimesh Xb (Tintra C-12) 16 $1,406.00 $3,589.00 $2,699.15 nat. median
$2,699
1.0× median

Other procedures at this hospital

Browse this hospital's 2,685 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
             
43653 HCPCS Creation Of Surgical Opening From Stomach To Skin Using An Endoscope 19 19 $1,587.00 $1,269.60 20% off $503.21 $1,634.61 $1,129.50 2026-03-31
26418 HCPCS Repair Of Tendon On Top Side Of Finger 19 19 $1,930.00 $1,544.00 20% off $571.93 $1,987.90 $1,129.51 2026-03-31
G0121 HCPCS Colorectal Cancer Screening; Colonoscopy On Individual Not Meeting Criteria For … 44 20 $1,148.50 $918.80 20% off $152.74 $3,632.72 $1,130.76 2026-03-31
49550 HCPCS Repair Of Femoral Groin Hernia 19 19 $1,615.00 $1,292.00 20% off $496.10 $1,663.45 $1,130.80 2026-03-31
78582 HCPCS Nuclear Medicine Study Of Lung Ventilation And Circulation 19 19 $1,334.00 $1,067.20 $506.92 $1,387.36 $1,133.90 2026-03-31
43239 HCPCS Biopsy Of Esophagus, Stomach, And/or Upper Small Bowel Using A Flexible Endoscop… 38 20 $2,059.00 $1,647.20 20% off $115.02 $3,151.20 $1,136.02 2026-03-31
26560 HCPCS Repair Of Webbed Finger With Skin Flaps 19 19 $1,811.00 $1,448.80 20% off $579.11 $1,865.33 $1,140.00 2026-03-31
49616 HCPCS Repair Of Recurrent Entrapped Hernia Of Abdomen, 3-10 Cm In Length 19 19 $2,596.00 $2,076.80 $691.37 $2,466.20 $1,140.76 2026-03-31
43247 HCPCS Removal Of Foreign Bodies Of Esophagus, Stomach, And/or Upper Small Bowel Using … 38 20 $2,065.00 $1,652.00 20% off $145.97 $3,151.20 $1,142.20 2026-03-31
21440 HCPCS Closed Treatment Of Broken Upper Or Lower Jaw Bone 38 20 $1,751.50 $1,401.20 20% off $551.62 $3,678.41 $1,168.62 2026-03-31
43255 HCPCS Control Of Bleeding Of Esophagus, Stomach, And/or Upper Small Bowel Using A Flex… 38 20 $2,426.50 $1,941.20 20% off $165.08 $3,151.20 $1,168.67 2026-03-31
43249 HCPCS Balloon Dilation Of Esophagus, Stomach, And/or Upper Small Bowel Using A Flexibl… 38 20 $3,110.50 $2,488.40 20% off $126.88 $3,286.73 $1,168.67 2026-03-31
43251 HCPCS Removal Of Polyps Or Growths Of Esophagus, Stomach, And/or Upper Small Bowel Usi… 38 20 $2,231.00 $1,784.80 20% off $161.16 $3,151.20 $1,168.67 2026-03-31
64633 HCPCS Destruction Of Upper Or Middle Spinal Facet Joint Nerves Using Imaging Guidance,… 76 20 $2,567.57 $2,054.05 20% off $162.01 $5,747.04 $1,171.18 2026-03-31
64635 HCPCS Destruction Of Lower Or Sacral Spinal Facet Joint Nerves Using Imaging Guidance,… 76 20 $2,577.39 $2,061.91 $162.49 $5,747.04 $1,181.05 2026-03-31
Q5104 HCPCS Injection, Infliximab-abda, Biosimilar, (renflexis), 10 Mg 19 19 $1,393.73 $1,114.98 20% off $529.62 $1,562.61 $1,184.67 2026-03-31
8980117_1 CDM Secure Strap 25 16 16 $1,638.00 $1,310.40 $622.44 $1,588.86 $1,194.92 2026-03-31
14020 HCPCS Repair Of Wound Of Scalp, Arms, Or Legs By Transferring Skin, 10.0 Sq Cm Or Less 19 19 $1,939.00 $1,551.20 20% off $464.47 $1,997.17 $1,200.40 2026-03-31
11772 HCPCS Complicated Removal Of Cyst Of Tailbone 19 19 $2,021.00 $1,616.80 20% off $515.69 $2,081.63 $1,200.95 2026-03-31
7846021_2 CDM 49591 Repair Of Anterior Abdominal Hernia 4 4 $1,607.00 $1,285.60 20% off $1,205.25 $1,526.65 $1,205.25 2026-03-31
19301 HCPCS Partial Removal Of Breast 19 19 $1,847.00 $1,477.60 20% off $562.94 $1,902.41 $1,208.37 2026-03-31
5688329_1 CDM Hernia System-large 16 16 $1,658.65 $1,326.92 20% off $630.29 $1,608.89 $1,209.99 2026-03-31
1169270_1 CDM Nm Kidney Spect 16 16 $1,665.00 $1,332.00 20% off $632.70 $1,615.05 $1,214.62 2026-03-31
J7307 HCPCS Etonogestrel (contraceptive) Implant System, Including Implant And Supplies 14 14 $1,995.00 $1,596.00 20% off $59.45 $2,433.90 $1,214.63 2026-03-31
J7298 HCPCS Levonorgestrel-releasing Intrauterine Contraceptive System (mirena), 52 Mg 13 13 $1,324.80 $1,059.84 20% off $59.45 $1,616.26 $1,214.63 2026-03-31
36573 HCPCS Insertion Of Tube For Infusion With Imaging Guidance And Review By Radiologist, … 38 20 $2,301.00 $1,840.80 20% off $67.61 $3,688.88 $1,217.26 2026-03-31
45171 HCPCS Removal Of Growth Of Rectum Through Anus 19 19 $1,727.00 $1,381.60 20% off $555.42 $1,778.81 $1,218.45 2026-03-31
44340 HCPCS Simple Revision Of Superficial Scar Tissue From Surgically Created Opening Of La… 19 19 $1,746.00 $1,396.80 20% off $546.53 $1,798.38 $1,220.00 2026-03-31
59514 HCPCS Cesarean Delivery 38 20 $2,428.50 $1,942.80 20% off $607.24 $3,582.02 $1,230.07 2026-03-31
J0666 HCPCS Injection, Bupivacaine Liposome, 1 Mg 17 17 $1,449.02 $1,159.22 $550.63 $1,506.98 $1,231.67 2026-03-31
7845939_2 CDM Placement Breast Localization Device 4 4 $1,644.00 $1,315.20 20% off $1,233.00 $1,561.80 $1,233.00 2026-03-31
23655 HCPCS Closed Treatment Of Dislocated Shoulder With Manipulation Under Anesthesia 38 20 $2,227.00 $1,781.60 20% off $378.77 $3,364.40 $1,235.44 2026-03-31
78704 HCPCS Nm Kidney Imaging With Function 17 17 $1,455.00 $1,164.00 20% off $552.90 $1,513.20 $1,236.75 2026-03-31
8997868_1 CDM Surgimesh Wn 10x15cm 16 16 $1,697.50 $1,358.00 20% off $645.05 $1,646.58 $1,238.33 2026-03-31
45378 HCPCS Diagnostic Exam Of Large Bowel Using A Flexible Endoscope 41 20 $1,305.00 $1,044.00 20% off $152.60 $3,632.72 $1,242.63 2026-03-31
27087 HCPCS Removal Of Foreign Body In Tissue Or Muscle Of Pelvis Or Hip 19 19 $2,129.00 $1,703.20 20% off $535.85 $2,192.87 $1,244.50 2026-03-31
26410 HCPCS Repair Of Tendon On Top Of Hand 38 20 $1,712.00 $1,369.60 20% off $545.30 $1,827.71 $1,248.91 2026-03-31
44950 HCPCS Removal Of Appendix 19 19 $1,793.00 $1,434.40 $538.28 $1,846.79 $1,257.76 2026-03-31
27266 HCPCS Closed Treatment Of Dislocated Hip Prosthesis Under Anesthesia 41 20 $1,612.00 $1,289.60 20% off $503.90 $1,681.99 $1,258.02 2026-03-31
Q0138 HCPCS Injection, Ferumoxytol, For Treatment Of Iron Deficiency Anemia, 1 Mg (non-esrd … 19 19 $1,658.92 $1,327.14 $327.26 $1,725.28 $1,259.12 2026-03-31
8944117_1 CDM Kbd Glide 16 16 $1,732.50 $1,386.00 20% off $658.35 $1,680.53 $1,263.86 2026-03-31
5688192_1 CDM Retrieval Dev.- Roth Net 16 16 $1,750.00 $1,400.00 20% off $665.00 $1,697.50 $1,276.62 2026-03-31
55040 HCPCS Removal Of Fluid Collection In Testicle And Sperm Reservoir 38 20 $2,565.50 $2,052.40 20% off $290.99 $4,328.48 $1,289.82 2026-03-31
60200 HCPCS Incision Of Cyst Or Growth Of Thyroid 19 19 $1,858.00 $1,486.40 $561.20 $1,913.74 $1,306.59 2026-03-31
47579 HCPCS Other Procedure On Bile Duct Using An Endoscope 30 19 $3,370.00 $2,696.00 20% off $59.45 $3,504.80 $1,312.62 2026-03-31
49540 HCPCS Repair Of Abdominal Muscle Hernia 19 19 $1,893.00 $1,514.40 $571.94 $1,949.79 $1,313.70 2026-03-31
72192 HCPCS CT Scan Of Pelvis Without Contrast 19 19 $1,743.00 $1,394.40 $144.02 $1,812.72 $1,322.94 2026-03-31
74150 HCPCS CT Scan Of Abdomen Without Contrast 19 19 $1,743.00 $1,394.40 $144.02 $1,812.72 $1,322.94 2026-03-31
72128 HCPCS CT Scan Of Middle Spine Without Contrast 19 19 $1,743.00 $1,394.40 $144.02 $1,812.72 $1,322.94 2026-03-31
45380 HCPCS Biopsy Of Large Bowel Using A Flexible Endoscope 38 20 $2,399.00 $1,919.20 20% off $165.17 $3,632.72 $1,327.34 2026-03-31
45381 HCPCS Injection Beneath Lining Of Large Bowel Using A Flexible Endoscope 38 20 $2,412.00 $1,929.60 20% off $165.17 $3,632.72 $1,327.34 2026-03-31
49592 HCPCS Initial Repair Of Entrapped Hernia Of Abdomen, Less Than 3 Cm In Length 36 20 $1,298.00 $1,038.40 $385.80 $11,764.48 $1,333.70 2026-03-31
45385 HCPCS Removal Of Polyps Or Growths Of Large Bowel Using An Endoscope With Mechanical S… 38 20 $2,467.50 $1,974.00 20% off $208.30 $3,632.72 $1,333.97 2026-03-31
A4649 HCPCS Surgical Supply; Miscellaneous 68 17 $1,908.08 $1,526.47 $40.31 $2,184.00 $1,335.65 2026-03-31
78227 HCPCS Nuclear Medicine Study Of Liver And Bile Duct System With Use Of Drugs 19 19 $1,765.00 $1,412.00 20% off $466.58 $1,835.60 $1,339.64 2026-03-31
58661 HCPCS Removal Of Ovaries And/or Tubes Using An Endoscope 19 19 $2,091.00 $1,672.80 20% off $530.94 $2,153.73 $1,340.09 2026-03-31
44020 HCPCS Incision Of Small Bowel For Exploration, Biopsy, Or Removal Of Foreign Body 19 19 $2,722.00 $2,177.60 20% off $692.64 $2,585.90 $1,340.71 2026-03-31
21932 HCPCS Removal Of Growth Of Muscle Of Back Or Lower Sides, Less Than 5.0 Cm 19 19 $1,837.00 $1,469.60 20% off $562.19 $1,892.11 $1,354.97 2026-03-31
C1781 HCPCS Mesh (implantable) 221 17 $2,090.00 $1,672.00 20% off $185.27 $3,716.54 $1,357.97 2026-03-31
73700 HCPCS CT Scan Of Leg Without Contrast 57 19 $1,609.00 $1,287.20 20% off $144.02 $2,371.20 $1,367.65 2026-03-31
73200 HCPCS CT Scan Of Arm Without Contrast 57 19 $1,609.00 $1,287.20 20% off $144.02 $2,371.20 $1,367.65 2026-03-31
70460 HCPCS CT Scan Head Or Brain With Contrast 19 19 $1,823.00 $1,458.40 $395.61 $1,895.92 $1,383.66 2026-03-31
58150 HCPCS Removal Of Uterus And Cervix Through Abdomen 19 19 $2,813.00 $2,250.40 $842.82 $2,672.35 $1,390.65 2026-03-31
58660 HCPCS Removal Of Scar Tissue Of Ovaries Or Fallopian Tubes Using An Endoscope 19 19 $1,819.00 $1,455.20 20% off $565.33 $1,873.57 $1,392.34 2026-03-31
60210 HCPCS Partial Removal Of Thyroid Lobe On Side Of Neck 19 19 $1,968.00 $1,574.40 $583.93 $2,027.04 $1,401.02 2026-03-31
23073 HCPCS Removal Of Growth Of Muscle Of Shoulder, 5.0 Cm Or More 19 19 $1,882.00 $1,505.60 20% off $591.45 $1,938.46 $1,413.17 2026-03-31
71250 HCPCS CT Scan Of Chest Without Contrast 19 19 $1,862.00 $1,489.60 20% off $144.02 $1,936.48 $1,413.26 2026-03-31
70486 HCPCS CT Scan Of Face Without Contrast 19 19 $1,862.00 $1,489.60 20% off $144.02 $1,936.48 $1,413.26 2026-03-31
19120 HCPCS Removal Of Growth And Tissue Of Breast, Duct, Or Nipple 38 20 $2,578.50 $2,062.80 $364.45 $3,850.08 $1,413.80 2026-03-31
35840 HCPCS Exploration Of Abdomen For Bleeding, Blood Clot, Or Infection After Surgery 19 19 $3,345.00 $2,676.00 20% off $597.01 $3,177.75 $1,420.76 2026-03-31
70450 HCPCS CT Scan Head Or Brain Without Contrast 19 19 $1,874.00 $1,499.20 20% off $395.61 $1,948.96 $1,422.37 2026-03-31
70490 HCPCS CT Scan Of Soft Tissue Of Neck Without Contrast 19 19 $1,878.00 $1,502.40 $144.02 $1,953.12 $1,425.40 2026-03-31
28820 HCPCS Amputation Of Toe At Joint Between Forefoot And Toes 41 20 $1,392.00 $1,113.60 20% off $150.36 $6,860.88 $1,426.80 2026-03-31
31641 HCPCS Destruction Of Growth Or Narrowing Of Lung Airway Using An Endoscope 38 20 $3,253.50 $2,602.80 20% off $210.78 $6,182.80 $1,435.72 2026-03-31
26910 HCPCS Amputation Of Finger Or Thumb 19 19 $2,157.00 $1,725.60 20% off $673.35 $2,221.71 $1,440.43 2026-03-31
72193 HCPCS CT Scan Of Pelvis With Contrast 19 19 $1,903.00 $1,522.40 $395.61 $1,979.12 $1,444.38 2026-03-31
26951 HCPCS Amputation Of Finger Or Thumb With Direct Closure 38 20 $1,980.00 $1,584.00 20% off $636.44 $2,059.20 $1,444.41 2026-03-31
74160 HCPCS CT Scan Of Abdomen With Contrast 19 19 $1,907.00 $1,525.60 20% off $395.61 $1,983.28 $1,447.41 2026-03-31
46946 HCPCS Tying Of Multiple Internal Hemorrhoid Groups 38 20 $2,907.00 $2,325.60 20% off $352.03 $4,931.68 $1,453.06 2026-03-31
59410 HCPCS Vaginal Delivery With Post Delivery Care 19 19 $2,605.00 $2,084.00 20% off $854.19 $2,683.15 $1,456.64 2026-03-31
58662 HCPCS Destruction Or Removal Of Ovary Or Growth Of Pelvis Using An Endoscope 19 19 $1,895.00 $1,516.00 20% off $585.53 $1,951.85 $1,463.86 2026-03-31
47563 HCPCS Removal Of Gallbladder With X-ray Study Of Bile Ducts Using An Endoscope 19 19 $2,273.00 $1,818.40 $607.09 $2,341.19 $1,471.79 2026-03-31
73725 HCPCS MRI Scan Of Blood Vessels Of Leg 38 19 $1,944.00 $1,555.20 20% off $634.13 $2,021.76 $1,475.50 2026-03-31
72198 HCPCS MRI Scan Of Blood Vessels Of Pelvis 19 19 $1,944.00 $1,555.20 20% off $634.13 $2,021.76 $1,475.50 2026-03-31
71550 HCPCS MRI Scan Of Chest Without Contrast 19 19 $1,944.00 $1,555.20 20% off $310.68 $2,021.76 $1,475.50 2026-03-31
72195 HCPCS MRI Scan Of Pelvis Without Contrast 19 19 $1,944.00 $1,555.20 20% off $310.68 $2,021.76 $1,475.50 2026-03-31
70547 HCPCS MRI Scan Of Blood Vessels Of Neck Without Contrast 19 19 $1,944.00 $1,555.20 20% off $634.13 $2,021.76 $1,475.50 2026-03-31
73225 HCPCS MRI Scan Of Blood Vessels Of Arm 38 19 $1,944.00 $1,555.20 20% off $634.13 $2,021.76 $1,475.50 2026-03-31
72159 HCPCS MRI Scan Of Blood Vessels Of Spinal Canal 19 19 $1,944.00 $1,555.20 20% off $634.13 $2,021.76 $1,475.50 2026-03-31
70540 HCPCS MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Without Contrast 19 19 $1,944.00 $1,555.20 20% off $310.68 $2,021.76 $1,475.50 2026-03-31
70548 HCPCS MRI Scan Of Blood Vessels Of Neck With Contrast 19 19 $1,944.00 $1,555.20 20% off $634.13 $2,021.76 $1,475.50 2026-03-31
70480 HCPCS CT Scan Of Cranial Cavity Without Contrast 19 19 $1,944.00 $1,555.20 20% off $144.02 $2,021.76 $1,475.50 2026-03-31
70545 HCPCS MRI Scan Of Blood Vessels Of Head With Contrast 19 19 $1,944.00 $1,555.20 20% off $634.13 $2,021.76 $1,475.50 2026-03-31
26160 HCPCS Removal Of Growth Of Tendon Finger Or Hand 38 20 $2,786.50 $2,229.20 20% off $280.85 $3,979.04 $1,475.69 2026-03-31
23071 HCPCS Removal Of Growth Under Skin Of Shoulder Area, 3.0 Cm Or More 38 20 $2,912.00 $2,329.60 20% off $365.20 $4,866.16 $1,478.68 2026-03-31
72129 HCPCS CT Scan Of Middle Spine With Contrast 19 19 $1,957.00 $1,565.60 20% off $395.61 $2,035.28 $1,485.36 2026-03-31
72132 HCPCS CT Scan Of Lower Spine With Contrast 19 19 $1,957.00 $1,565.60 20% off $395.61 $2,035.28 $1,485.36 2026-03-31
64721 HCPCS Release And/or Relocation Of Hand Nerve 38 20 $2,855.00 $2,284.00 20% off $383.86 $4,651.92 $1,486.92 2026-03-31
T1015 HCPCS Clinic Visit/encounter, All-inclusive 74 14 $2,062.00 $1,649.60 20% off $31.70 $2,695.51 $1,494.00 2026-03-31
19380 HCPCS Surgical Change To Reconstructed Breast 19 19 $2,237.00 $1,789.60 20% off $668.73 $2,304.11 $1,494.60 2026-03-31
44005 HCPCS Release Of Intestinal Scar Tissue 19 19 $3,046.00 $2,436.80 $787.26 $2,893.70 $1,495.26 2026-03-31
21554 HCPCS Removal Of Growth Of Muscle Of Neck Or Front Of Chest, 5.0 Cm Or More 19 19 $2,018.00 $1,614.40 $612.30 $2,078.54 $1,495.90 2026-03-31
14021 HCPCS Repair Of Wound Of Scalp, Arms, Or Legs By Transferring Skin, 10.1-30.0 Sq Cm 19 19 $2,387.00 $1,909.60 20% off $571.78 $2,458.61 $1,498.20 2026-03-31
5688440_1 CDM Gelport System 16 16 $2,053.77 $1,643.02 $780.43 $1,992.16 $1,498.22 2026-03-31
15839 HCPCS Removal Of Extra Skin And Tissue Of Other Area 19 19 $2,286.00 $1,828.80 20% off $619.75 $2,354.58 $1,501.94 2026-03-31
15100 HCPCS Partial Thickness Self Skin Graft To Trunk, Arms, Or Legs, 100.0 Sq Cm Or 1% Bod… 19 19 $2,425.00 $1,940.00 20% off $598.56 $2,497.75 $1,512.20 2026-03-31
93306 HCPCS Ultrasound Of Heart With Color-depicted Blood Flow, Rate, Direction And Valve Fu… 19 19 $2,013.00 $1,610.40 $574.14 $2,093.52 $1,527.87 2026-03-31
C8929 HCPCS Transthoracic Echocardiography With Contrast, Or Without Contrast Followed By Wi… 19 19 $2,013.00 $1,610.40 $574.14 $2,093.52 $1,527.87 2026-03-31
70552 HCPCS MRI Scan Of Brain With Contrast 19 19 $2,015.00 $1,612.00 20% off $532.16 $2,095.60 $1,529.39 2026-03-31
74185 HCPCS MRI Scan Of Blood Vessels Of Abdomen 19 19 $2,015.00 $1,612.00 20% off $634.13 $2,095.60 $1,529.39 2026-03-31
73219 HCPCS MRI Scan Of Arm With Contrast 38 19 $2,015.00 $1,612.00 20% off $532.16 $2,095.60 $1,529.39 2026-03-31
73719 HCPCS MRI Scan Of Leg With Contrast 38 19 $2,015.00 $1,612.00 20% off $532.16 $2,095.60 $1,529.39 2026-03-31
74182 HCPCS MRI Scan Of Abdomen With Contrast 19 19 $2,015.00 $1,612.00 20% off $532.16 $2,095.60 $1,529.39 2026-03-31
73722 HCPCS MRI Scan Of Leg Joint With Contrast 57 19 $2,015.00 $1,612.00 20% off $532.16 $2,095.60 $1,529.39 2026-03-31
74181 HCPCS MRI Scan Of Abdomen Without Contrast 19 19 $2,015.00 $1,612.00 20% off $310.68 $2,095.60 $1,529.39 2026-03-31
72142 HCPCS MRI Scan Of Upper Spinal Canal With Contrast 19 19 $2,015.00 $1,612.00 20% off $532.16 $2,095.60 $1,529.39 2026-03-31
72196 HCPCS MRI Scan Of Pelvis With Contrast 19 19 $2,015.00 $1,612.00 20% off $532.16 $2,095.60 $1,529.39 2026-03-31
73222 HCPCS MRI Scan Of Arm Joint With Contrast 19 19 $2,015.00 $1,612.00 20% off $532.16 $2,095.60 $1,529.39 2026-03-31
71555 HCPCS MRI Scan Of Blood Vessels Of Chest 19 19 $2,015.00 $1,612.00 20% off $634.13 $2,095.60 $1,529.39 2026-03-31
72147 HCPCS MRI Scan Of Middle Spinal Canal With Contrast 19 19 $2,015.00 $1,612.00 20% off $532.16 $2,095.60 $1,529.39 2026-03-31
60220 HCPCS Removal Of Thyroid Lobe On Side Of Neck 19 19 $2,079.00 $1,663.20 20% off $579.99 $2,141.37 $1,536.90 2026-03-31
72126 HCPCS CT Scan Of Upper Spine With Contrast 19 19 $2,025.00 $1,620.00 20% off $395.61 $2,106.00 $1,536.98 2026-03-31
26055 HCPCS Incision Of Tendon Covering Of Finger 38 20 $2,832.50 $2,266.00 20% off $261.70 $4,145.44 $1,537.40 2026-03-31
27339 HCPCS Removal Of Growth Of Muscle Of Thigh Or Knee, 5.0 Cm Or More 19 19 $2,103.00 $1,682.40 $640.92 $2,166.09 $1,539.44 2026-03-31
72131 HCPCS CT Scan Of Lower Spine Without Contrast 19 19 $2,030.00 $1,624.00 20% off $144.02 $2,111.20 $1,540.77 2026-03-31
21931 HCPCS Removal Of Growth Under Skin Of Back Or Lower Sides, 3.0 Cm Or More 38 20 $2,978.50 $2,382.80 20% off $405.36 $4,866.16 $1,547.18 2026-03-31
28805 HCPCS Amputation Of Foot Across Instep 19 19 $1,960.00 $1,568.00 20% off $602.31 $2,018.80 $1,550.19 2026-03-31
78494 HCPCS Nuclear Medicine Study Of Heart Pumping Function By Labeling Red Blood Cells Wit… 19 19 $2,043.00 $1,634.40 $466.58 $2,124.72 $1,550.64 2026-03-31
47605 HCPCS Removal Of Gallbladder With X-ray Study Of Bile Ducts 19 19 $3,153.00 $2,522.40 20% off $725.94 $2,995.35 $1,553.95 2026-03-31
11406 HCPCS Removal Of Noncancer Skin Growth Of Body, Arms, Or Legs, More Than 4.0 Cm 38 20 $3,704.50 $2,963.60 20% off $207.10 $6,850.48 $1,560.12 2026-03-31
43332 HCPCS Repair Of Paraesophageal Hernia Through Abdomen 19 19 $3,203.00 $2,562.40 20% off $956.11 $3,042.85 $1,577.58 2026-03-31
70542 HCPCS MRI Scan Of Bone Of Eye Socket, Face, And/or Neck With Contrast 19 19 $2,084.00 $1,667.20 20% off $532.16 $2,167.36 $1,581.76 2026-03-31
8980672_1 CDM Ligisure 44cm (long) 16 16 $2,187.50 $1,750.00 20% off $831.25 $2,121.88 $1,595.78 2026-03-31
13160 HCPCS Extensive Or Complicated Repair Of Surface Wound Reopening 19 19 $2,204.00 $1,763.20 20% off $674.86 $2,270.12 $1,597.09 2026-03-31
J0248 HCPCS Injection, Remdesivir, 1 Mg 19 19 $2,104.31 $1,683.45 $799.64 $2,188.48 $1,597.17 2026-03-31
72125 HCPCS CT Scan Of Upper Spine Without Contrast 19 19 $2,109.00 $1,687.20 20% off $144.02 $2,193.36 $1,600.73 2026-03-31
19305 HCPCS Extensive Removal Of Breast, Chest Muscle, And Underarm Lymph Nodes 19 19 $3,209.00 $2,567.20 20% off $887.58 $3,048.55 $1,609.92 2026-03-31
70546 HCPCS MRI Scan Of Blood Vessels Of Head Before And After Contrast 19 19 $2,123.00 $1,698.40 $634.13 $2,207.92 $1,611.36 2026-03-31
15200 HCPCS Full Thickness Skin Graft To Trunk, 20.0 Sq Cm Or Less 38 20 $2,809.50 $2,247.60 20% off $553.15 $3,584.88 $1,614.28 2026-03-31
44125 HCPCS Partial Removal Of Small Bowel With Creation Of Opening To Skin 19 19 $3,249.00 $2,599.20 20% off $881.25 $3,086.55 $1,614.34 2026-03-31
70481 HCPCS CT Scan Of Cranial Cavity With Contrast 19 19 $2,159.00 $1,727.20 20% off $395.61 $2,245.36 $1,638.68 2026-03-31
J1745 HCPCS Injection, Infliximab, Excludes Biosimilar, 10 Mg 36 19 $4,468.13 $3,574.50 20% off $606.73 $4,646.86 $1,648.57 2026-03-31
76093 HCPCS MRI Breast Without Contrast Left. 34 17 $1,944.00 $1,555.20 20% off $738.72 $2,021.76 $1,652.40 2026-03-31
77058 HCPCS MRI One Breast 34 17 $1,944.00 $1,555.20 20% off $738.72 $2,021.76 $1,652.40 2026-03-31
64625 HCPCS Destruction Of Nerves Supplying Joint Between Spine And Pelvis Using Imaging Gui… 76 20 $3,426.91 $2,741.53 $165.36 $8,931.52 $1,656.12 2026-03-31
73223 HCPCS MRI Scan Of Arm Joint Before And After Contrast 57 19 $2,192.00 $1,753.60 20% off $532.16 $2,279.68 $1,663.73 2026-03-31
73720 HCPCS MRI Scan Of Leg Before And After Contrast 38 19 $2,192.00 $1,753.60 20% off $532.16 $2,279.68 $1,663.73 2026-03-31
44120 HCPCS Partial Removal Of Small Bowel With Reconnection 19 19 $3,402.00 $2,721.60 20% off $837.14 $3,231.90 $1,665.03 2026-03-31
35206 HCPCS Repair Of Blood Vessel Of Arm 19 19 $2,157.00 $1,725.60 20% off $646.73 $2,221.71 $1,665.29 2026-03-31
45172 HCPCS Removal Of Growth Of Rectum Through Anus With Removal Of A Portion Of Muscle 19 19 $2,298.00 $1,838.40 $723.59 $2,366.94 $1,675.66 2026-03-31
15240 HCPCS Full Thickness Skin Graft To Forehead, Cheeks, Chin, Mouth, Neck, Underarms, Gen… 19 19 $2,563.00 $2,050.40 $644.55 $2,639.89 $1,680.30 2026-03-31
72127 HCPCS CT Scan Of Upper Spine Before And After Contrast 19 19 $2,226.00 $1,780.80 20% off $395.61 $2,315.04 $1,689.53 2026-03-31
70488 HCPCS CT Scan Of Face Before And After Contrast 19 19 $2,226.00 $1,780.80 20% off $395.61 $2,315.04 $1,689.53 2026-03-31
70491 HCPCS CT Scan Of Soft Tissue Of Neck With Contrast 19 19 $2,261.00 $1,808.80 20% off $395.61 $2,351.44 $1,716.10 2026-03-31
19302 HCPCS Partial Removal Of Breast And Underarm Lymph Nodes 19 19 $2,537.00 $2,029.60 20% off $771.69 $2,613.11 $1,718.12 2026-03-31
70487 HCPCS CT Scan Of Face With Contrast 19 19 $2,280.00 $1,824.00 20% off $395.61 $2,371.20 $1,730.52 2026-03-31
44970 HCPCS Removal Of Appendix Using An Endoscope 38 20 $3,183.50 $2,546.80 $514.00 $6,176.38 $1,733.95 2026-03-31
1378488_1 CDM Operating Room Services - General Classification 16 16 $2,380.33 $1,904.26 20% off $904.53 $2,308.92 $1,736.45 2026-03-31
70482 HCPCS CT Scan Of Cranial Cavity Before And After Contrast 19 19 $2,292.00 $1,833.60 20% off $395.61 $2,383.68 $1,739.63 2026-03-31
50230 HCPCS Removal Of Kidney, Lymph Nodes, And/or Blood Clot From Major Vein With Partial R… 19 19 $3,500.00 $2,800.00 20% off $1,054.84 $3,325.00 $1,740.49 2026-03-31
8980096_1 CDM Secure Strap -20 16 16 $2,404.50 $1,923.60 20% off $913.71 $2,332.37 $1,754.09 2026-03-31
71260 HCPCS CT Scan Of Chest With Contrast 19 19 $2,317.00 $1,853.60 20% off $395.61 $2,409.68 $1,758.60 2026-03-31
46260 HCPCS Removal Of Multiple Hemorrhoid Groups 38 20 $3,512.00 $2,809.60 20% off $434.31 $5,900.96 $1,773.31 2026-03-31
J0490 HCPCS Injection, Belimumab, 10 Mg 19 19 $2,089.39 $1,671.51 20% off $793.97 $2,172.97 $1,775.98 2026-03-31
72194 HCPCS CT Scan Of Pelvis Before And After Contrast 19 19 $2,358.00 $1,886.40 $395.61 $2,452.32 $1,789.72 2026-03-31
72130 HCPCS CT Scan Of Middle Spine Before And After Contrast 19 19 $2,358.00 $1,886.40 $395.61 $2,452.32 $1,789.72 2026-03-31
74170 HCPCS CT Scan Of Abdomen Before And After Contrast 19 19 $2,358.00 $1,886.40 $395.61 $2,452.32 $1,789.72 2026-03-31
72133 HCPCS CT Scan Of Lower Spine Before And After Contrast 19 19 $2,358.00 $1,886.40 $395.61 $2,452.32 $1,789.72 2026-03-31
70492 HCPCS CT Scan Of Soft Tissue Of Neck Before And After Contrast 19 19 $2,358.00 $1,886.40 $395.61 $2,452.32 $1,789.72 2026-03-31
59515 HCPCS Cesarean Delivery With Care After Delivery 19 19 $3,240.00 $2,592.00 20% off $1,059.79 $3,337.20 $1,793.87 2026-03-31
47564 HCPCS Removal Of Gallbladder With Exploration Of Common Bile Duct Using An Endoscope 19 19 $2,989.00 $2,391.20 20% off $941.49 $3,078.67 $1,794.88 2026-03-31
70549 HCPCS MRI Scan Of Blood Vessels Of Neck Before And After Contrast 19 19 $2,370.00 $1,896.00 20% off $634.13 $2,464.80 $1,798.83 2026-03-31
11646 HCPCS Removal Of Cancer Skin Growth Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, More… 38 20 $3,940.50 $3,152.40 $305.58 $6,850.48 $1,803.20 2026-03-31
77059 HCPCS MRI Both Breasts 17 17 $2,123.00 $1,698.40 $806.74 $2,207.92 $1,804.55 2026-03-31
76094 HCPCS MRI Breast Without Contrast Bilateral. 17 17 $2,123.00 $1,698.40 $806.74 $2,207.92 $1,804.55 2026-03-31
44130 HCPCS Creation Of Connection Between 2 Segments Of Small Bowel 19 19 $3,664.00 $2,931.20 20% off $727.91 $3,480.80 $1,806.78 2026-03-31
44180 HCPCS Release Of Small Bowel Scar Tissue Using An Endoscope 19 19 $2,457.00 $1,965.60 20% off $767.64 $2,530.71 $1,812.57 2026-03-31
70470 HCPCS CT Scan Of Head Or Brain Before And After Contrast 19 19 $2,391.00 $1,912.80 20% off $395.61 $2,486.64 $1,814.77 2026-03-31
8980092_1 CDM Surgimesh Xb (Tintra C-10) 16 16 $2,500.00 $2,000.00 20% off $950.00 $2,425.00 $1,823.75 2026-03-31
J0585 HCPCS Injection, Onabotulinumtoxina, 1 Unit 67 19 $2,431.30 $1,945.04 20% off $6.31 $4,962.67 $1,831.42 2026-03-31
44140 HCPCS Partial Removal Of Large Bowel With Connection 19 19 $3,735.00 $2,988.00 20% off $1,049.42 $3,548.25 $1,836.52 2026-03-31
43999 HCPCS Other Procedure On Stomach 11 11 $2,466.00 $1,972.80 20% off $59.45 $2,539.98 $1,849.50 2026-03-31
19303 HCPCS Simple Complete Removal Of Breast 19 19 $2,676.00 $2,140.80 $814.66 $2,756.28 $1,871.24 2026-03-31
27880 HCPCS Amputation Of Both Lower Leg Bones 19 19 $2,499.00 $1,999.20 20% off $731.80 $2,573.97 $1,879.06 2026-03-31
49010 HCPCS Exploration Behind Abdominal Cavity 19 19 $2,569.00 $2,055.20 20% off $768.27 $2,646.07 $1,888.34 2026-03-31
9023539_1 CDM Sz 75 Cerv/Shoulder Kit 16 16 $2,588.68 $2,070.94 20% off $983.70 $2,511.02 $1,888.44 2026-03-31
9023541_1 CDM Sz 50 Cervical Kit 16 16 $2,588.68 $2,070.94 20% off $983.70 $2,511.02 $1,888.44 2026-03-31
73201 HCPCS CT Scan Of Arm With Contrast 57 19 $2,251.00 $1,800.80 20% off $395.61 $3,038.88 $1,913.35 2026-03-31
73701 HCPCS CT Scan Of Leg With Contrast Material 57 19 $2,251.00 $1,800.80 20% off $395.61 $3,038.88 $1,913.35 2026-03-31
9023561_1 CDM Sz 100 Lum/Trochant Kit 16 16 $2,627.52 $2,102.02 $998.46 $2,548.69 $1,916.78 2026-03-31
9023537_1 CDM Sz 50 Knee Kit 16 16 $2,627.52 $2,102.02 $998.46 $2,548.69 $1,916.78 2026-03-31
9023575_1 CDM Sz 75 Knee Kit 16 16 $2,666.34 $2,133.07 20% off $1,013.21 $2,586.35 $1,945.10 2026-03-31
9023579_1 CDM Sz 150 Knee/Trochant Kit 16 16 $2,666.34 $2,133.07 20% off $1,013.21 $2,586.35 $1,945.10 2026-03-31
9023577_1 CDM Thoracic Rfa Kit 16 16 $2,666.34 $2,133.07 20% off $1,013.21 $2,586.35 $1,945.10 2026-03-31
7845909_2 CDM 49560 Repair Initial Incisional Or Ventral Hernia 4 4 $2,596.00 $2,076.80 $1,947.00 $2,466.20 $1,947.00 2026-03-31
71270 HCPCS CT Scan Of Chest Before And After Contrast 19 19 $2,598.00 $2,078.40 $395.61 $2,701.92 $1,971.88 2026-03-31
71552 HCPCS MRI Scan Of Chest Before And After Contrast 19 19 $2,598.00 $2,078.40 $532.16 $2,701.92 $1,971.88 2026-03-31
70544 HCPCS MRI Scan Of Blood Vessels Of Head Without Contrast 19 19 $2,644.00 $2,115.20 20% off $634.13 $2,749.76 $2,006.80 2026-03-31
73718 HCPCS MRI Scan Of Leg Without Contrast 38 19 $2,644.00 $2,115.20 20% off $310.68 $2,749.76 $2,006.80 2026-03-31
78195 HCPCS Nuclear Medicine Study Of Lymphatic System 19 19 $2,665.00 $2,132.00 20% off $1,012.70 $2,771.60 $2,022.74 2026-03-31
60500 HCPCS Removal Or Exploration Of Parathyroid Glands 19 19 $2,698.00 $2,158.40 $800.22 $2,778.94 $2,029.45 2026-03-31
8879694_1 CDM Sling, Altis (Dr. Quinn) 16 16 $2,782.50 $2,226.00 20% off $1,057.35 $2,699.03 $2,029.84 2026-03-31
8926413_1 CDM Jada System (ob) 16 16 $2,790.00 $2,232.00 20% off $1,060.20 $2,706.30 $2,035.31 2026-03-31
35201 HCPCS Repair Of Blood Vessel Of Neck 19 19 $2,590.00 $2,072.00 20% off $751.15 $2,667.70 $2,037.39 2026-03-31
9023563_1 CDM Sz 150 Lumbar, Bilateral Kit 16 16 $2,811.38 $2,249.10 20% off $1,068.32 $2,727.04 $2,050.91 2026-03-31
44345 HCPCS Complicated Reconstruction Of Opening From Large Bowel To Skin 19 19 $2,916.00 $2,332.80 $885.58 $3,003.48 $2,051.34 2026-03-31
72157 HCPCS MRI Scan Of Middle Spinal Canal Before And After Contrast 19 19 $2,733.00 $2,186.40 $532.16 $2,842.32 $2,074.35 2026-03-31
4659360_2 CDM Laparoscopy, Surgical, Repair, Recurrent Incisional Hernia; Reductible 4 4 $2,810.00 $2,248.00 20% off $2,107.50 $2,669.50 $2,107.50 2026-03-31
5688325_1 CDM Prolift Kit,posterior 16 16 $2,890.00 $2,312.00 20% off $1,098.20 $2,803.30 $2,108.26 2026-03-31
65820 HCPCS Incision To Improve Eye Fluid Flow 19 19 $2,783.00 $2,226.40 $1,057.54 $2,894.32 $2,112.30 2026-03-31
9023581_1 CDM Sz 100 Lumbar, Bilateral 16 16 $2,895.72 $2,316.58 $1,100.37 $2,808.85 $2,112.43 2026-03-31
49594 HCPCS Initial Repair Of Entrapped Hernia Of Abdomen, 3-10 Cm In Length 36 20 $2,078.00 $1,662.40 $601.94 $9,412.00 $2,135.14 2026-03-31
43280 HCPCS Strengthening Of Muscle Between Esophagus And Stomach By Wrapping Part Of Stomac… 19 19 $2,879.00 $2,303.20 20% off $896.55 $2,965.37 $2,137.59 2026-03-31
73702 HCPCS CT Scan Of Leg Before And After Contrast 57 19 $2,520.00 $2,016.00 20% off $395.61 $3,456.96 $2,142.00 2026-03-31
73202 HCPCS CT Scan Of Arm Before And After Contrast 57 19 $2,520.00 $2,016.00 20% off $395.61 $3,456.96 $2,142.00 2026-03-31
44626 HCPCS Closure Of Surgically Created Large Or Small Bowel Opening With Bowel Removal An… 19 19 $4,426.00 $3,540.80 $1,231.11 $4,204.70 $2,148.47 2026-03-31
72141 HCPCS MRI Scan Of Upper Spinal Canal Without Contrast 19 19 $2,833.00 $2,266.40 $310.68 $2,946.32 $2,150.25 2026-03-31
8944115_1 CDM Malyugin Ring 16 16 $2,975.00 $2,380.00 20% off $1,130.50 $2,885.75 $2,170.27 2026-03-31
44603 HCPCS Suture Of Multiple Tears Or Holes In Small Bowel 19 19 $4,487.00 $3,589.60 20% off $808.74 $4,262.65 $2,179.49 2026-03-31
C1771 HCPCS Repair Device, Urinary, Incontinence, With Sling Graft 17 17 $2,590.00 $2,072.00 20% off $984.20 $2,693.60 $2,201.50 2026-03-31
74176 HCPCS CT Scan Of Abdomen And Pelvis Without Contrast 19 19 $2,902.00 $2,321.60 20% off $395.61 $3,018.08 $2,202.62 2026-03-31
19318 HCPCS Breast Reduction 19 19 $3,025.00 $2,420.00 20% off $890.15 $3,115.75 $2,234.02 2026-03-31
5688186_1 CDM Fixation Device, Sorbafix 16 16 $3,126.59 $2,501.27 20% off $1,188.10 $3,032.79 $2,280.85 2026-03-31
49329 HCPCS Other Procedure On Abdomen Using An Endoscope 11 11 $3,047.00 $2,437.60 20% off $59.45 $3,138.41 $2,285.25 2026-03-31
70496 HCPCS CT Scan Of Blood Vessels Of Head With Contrast 19 19 $3,012.00 $2,409.60 20% off $488.91 $3,132.48 $2,286.11 2026-03-31
73221 HCPCS MRI Scan Of Arm Joint Without Contrast 57 19 $3,021.00 $2,416.80 $310.68 $3,141.84 $2,292.94 2026-03-31
78707 HCPCS Nuclear Medicine Study Of Kidney, Blood Flow, And Function 19 19 $3,032.00 $2,425.60 20% off $466.58 $3,153.28 $2,301.29 2026-03-31
74178 HCPCS CT Scan Of Abdomen And Pelvis Before And After Contrast 19 19 $3,059.00 $2,447.20 20% off $395.61 $3,181.36 $2,321.78 2026-03-31
7845947_2 CDM 43324 Fundoplasty Esophago- 4 4 $3,110.00 $2,488.00 20% off $2,332.50 $2,954.50 $2,332.50 2026-03-31
70551 HCPCS MRI Scan Of Brain Without Contrast 19 19 $3,211.00 $2,568.80 $310.68 $3,339.44 $2,437.15 2026-03-31
73721 HCPCS MRI Scan Of Leg Joint Without Contrast 57 19 $3,211.00 $2,568.80 $310.68 $3,339.44 $2,437.15 2026-03-31
72148 HCPCS MRI Scan Of Lower Spinal Canal Without Contrast 19 19 $3,211.00 $2,568.80 $310.68 $3,339.44 $2,437.15 2026-03-31
74174 HCPCS CT Scan Of Blood Vessels Of Abdomen And Pelvis With Contrast 19 19 $3,254.00 $2,603.20 20% off $488.91 $3,384.16 $2,469.79 2026-03-31
74177 HCPCS CT Scan Of Abdomen And Pelvis With Contrast 19 19 $3,254.00 $2,603.20 20% off $395.61 $3,384.16 $2,469.79 2026-03-31
49650 HCPCS Repair Of Groin Hernia Using An Endoscope 38 20 $5,665.50 $4,532.40 $377.54 $10,734.88 $2,480.82 2026-03-31
44314 HCPCS Reconstruction Of Opening From Small Bowel To Skin 16 16 $2,791.00 $2,232.80 $249.66 $2,902.64 $2,503.18 2026-03-31
5688324_1 CDM Prolift Kit,anterior 16 16 $3,438.00 $2,750.40 20% off $1,306.44 $3,334.86 $2,508.02 2026-03-31
73218 HCPCS MRI Scan Of Arm Without Contrast 38 19 $3,305.00 $2,644.00 20% off $310.68 $3,437.20 $2,508.50 2026-03-31
72149 HCPCS MRI Scan Of Lower Spinal Canal With Contrast 19 19 $3,325.00 $2,660.00 20% off $532.16 $3,458.00 $2,523.68 2026-03-31
15830 HCPCS Removal Of Extra Skin And Tissue Of Abdomen 16 16 $2,993.00 $2,394.40 20% off $249.66 $3,112.72 $2,544.05 2026-03-31
78708 HCPCS Nuclear Medicine Study Of Kidney, Blood, Flow, And Function With Drug Administra… 19 19 $3,356.00 $2,684.80 $466.58 $3,490.24 $2,547.20 2026-03-31
60502 HCPCS Removal Or Re-exploration Of Parathyroid Glands 19 19 $3,619.00 $2,895.20 20% off $1,074.81 $3,727.57 $2,547.80 2026-03-31
95810 HCPCS Sleep Study In Sleep Lab (6 Years Or Older) 19 19 $3,364.00 $2,691.20 20% off $947.72 $3,498.56 $2,553.28 2026-03-31
73220 HCPCS MRI Scan Of Arm Before And After Contrast 38 19 $3,370.00 $2,696.00 20% off $532.16 $3,504.80 $2,557.83 2026-03-31
72146 HCPCS MRI Scan Of Middle Spinal Canal Without Contrast 19 19 $3,399.00 $2,719.20 20% off $310.68 $3,534.96 $2,579.84 2026-03-31
73723 HCPCS MRI Scan Of Leg Joint Before And After Contrast 57 19 $3,406.00 $2,724.80 $532.16 $3,542.24 $2,585.15 2026-03-31
5688323_1 CDM Prolift Kit,total 16 16 $3,600.00 $2,880.00 20% off $1,368.00 $3,492.00 $2,626.20 2026-03-31
J1439 HCPCS Injection, Ferric Carboxymaltose, 1 Mg 19 19 $3,483.70 $2,786.96 $625.61 $3,623.05 $2,644.13 2026-03-31
60252 HCPCS Removal Of Thyroid And Surrounding Lymph Nodes With Limited Neck Removal 19 19 $3,672.00 $2,937.60 20% off $1,065.58 $3,782.16 $2,648.53 2026-03-31
70543 HCPCS MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Before And After Contrast 19 19 $3,515.00 $2,812.00 20% off $532.16 $3,655.60 $2,667.89 2026-03-31
8980094_1 CDM Surgimesh Xb (Tintra C-12) 16 16 $3,700.00 $2,960.00 20% off $1,406.00 $3,589.00 $2,699.15 2026-03-31
72197 HCPCS MRI Scan Of Pelvis Before And After Contrast 19 19 $3,573.00 $2,858.40 20% off $532.16 $3,715.92 $2,711.91 2026-03-31
72158 HCPCS MRI Scan Of Lower Spinal Canal Before And After Contrast 19 19 $3,576.00 $2,860.80 $532.16 $3,719.04 $2,714.18 2026-03-31
70498 HCPCS CT Scan Of Blood Vessels Of Neck With Contrast 19 19 $3,584.00 $2,867.20 20% off $488.91 $3,727.36 $2,720.26 2026-03-31
8961409_1 CDM Omni Surgical System (or) 16 16 $3,800.00 $3,040.00 20% off $1,444.00 $3,686.00 $2,772.10 2026-03-31
49505 HCPCS Repair Of Groin Hernia (5 Years Or Older) 38 20 $6,109.50 $4,887.60 20% off $451.41 $11,183.12 $2,798.06 2026-03-31
70553 HCPCS MRI Scan Of Brain Before And After Contrast 19 19 $3,689.00 $2,951.20 20% off $532.16 $3,836.56 $2,799.95 2026-03-31
72156 HCPCS MRI Scan Of Upper Spinal Canal Before And After Contrast 19 19 $3,692.00 $2,953.60 20% off $532.16 $3,839.68 $2,802.23 2026-03-31
74183 HCPCS MRI Scan Of Abdomen Before And After Contrast 19 19 $3,699.00 $2,959.20 20% off $532.16 $3,846.96 $2,807.54 2026-03-31
71275 HCPCS CT Scan Of Blood Vessels Of Chest With Contrast 19 19 $3,701.00 $2,960.80 $488.91 $3,849.04 $2,809.06 2026-03-31
J3489 HCPCS Injection, Zoledronic Acid, 1 Mg 19 19 $3,722.75 $2,978.20 20% off $1,414.65 $3,871.66 $2,825.57 2026-03-31
44332 HCPCS 44320 Colostomy Or Skin 6 6 $3,337.00 $2,669.60 20% off $2,502.75 $3,437.11 $2,836.45 2026-03-31
69436 HCPCS Incision Of Eardrum With Placement Of Eardrum Tube Under General Anesthesia 19 19 $3,739.00 $2,991.20 20% off $1,420.82 $3,888.56 $2,837.90 2026-03-31
8998837_1 CDM Surgimesh Xb (Tintra C-15) 16 16 $3,900.00 $3,120.00 20% off $1,482.00 $3,783.00 $2,845.05 2026-03-31
5687985_1 CDM Ablation Handpiece 16 16 $3,923.10 $3,138.48 20% off $1,490.78 $3,805.41 $2,861.90 2026-03-31
49507 HCPCS Repair Of Trapped Groin Hernia (5 Years Or Older) 38 20 $6,198.50 $4,958.80 20% off $504.87 $11,183.12 $2,889.73 2026-03-31
44050 HCPCS Repair Of Twisted Or Herniated Small Bowel 38 20 $5,658.00 $4,526.40 20% off $669.20 $9,053.20 $2,894.18 2026-03-31
95811 HCPCS Sleep Study In Sleep Lab With Continuous Airway Pressure (6 Years Or Older) 19 19 $3,868.00 $3,094.40 20% off $947.72 $4,022.72 $2,935.81 2026-03-31
J0881 HCPCS Injection, Darbepoetin Alfa, 1 Microgram (non-esrd Use) 36 19 $8,060.98 $6,448.78 20% off $625.61 $8,383.42 $3,058.69 2026-03-31
78452 HCPCS Nuclear Medicine Studies Of Heart Muscle At Rest And With Stress And Spect 19 19 $4,216.00 $3,372.80 $1,172.79 $4,384.64 $3,199.94 2026-03-31
47562 HCPCS Removal Of Gallbladder Using An Endoscope 38 20 $6,706.00 $5,364.80 20% off $561.02 $11,736.40 $3,239.56 2026-03-31
59400 HCPCS Vaginal Delivery With Care Before And After Delivery 19 19 $4,233.00 $3,386.40 20% off $1,948.94 $4,359.99 $3,295.81 2026-03-31
J3262 HCPCS Injection, Tocilizumab, 1 Mg 53 19 $4,696.95 $3,757.56 20% off $721.35 $9,735.80 $3,557.31 2026-03-31
42826 HCPCS Removal Of Tonsils (12 Years Or Older) 19 19 $4,754.00 $3,803.20 20% off $1,806.52 $4,944.16 $3,608.29 2026-03-31
42820 HCPCS Removal Of Tonsils And Adenoid Glands (younger Than 12 Years) 19 19 $4,754.00 $3,803.20 20% off $1,806.52 $4,944.16 $3,608.29 2026-03-31
59510 HCPCS Cesarean Delivery With Care Before And After Delivery 19 19 $4,675.00 $3,740.00 20% off $2,154.73 $4,815.25 $3,641.10 2026-03-31
J3111 HCPCS Injection, Romosozumab-aqqg, 1 Mg 19 19 $4,800.90 $3,840.72 20% off $1,421.77 $4,992.94 $3,643.88 2026-03-31
J0129 HCPCS Injection, Abatacept, 10 Mg (code May Be Used For Medicare When Drug Administere… 19 19 $5,027.57 $4,022.06 $1,910.48 $5,228.67 $3,815.93 2026-03-31
70471 HCPCS Computed Tomographic Angiography (cta), Head And Neck, With Contrast Material(s)… 17 17 $4,500.00 $3,600.00 20% off $1,710.00 $4,680.00 $3,825.00 2026-03-31
66983 HCPCS Removal Of Cataract And Capsule With Insertion Of Prosthetic Lens 19 19 $5,713.00 $4,570.40 20% off $2,143.14 $5,941.52 $4,336.17 2026-03-31
66984 HCPCS Removal Of Cataract With Insertion Of Prosthetic Lens 19 19 $5,713.00 $4,570.40 20% off $2,143.14 $5,941.52 $4,336.17 2026-03-31
66982 HCPCS Complex Removal Of Cataract With Insertion Of Prosthetic Lens 19 19 $5,713.00 $4,570.40 20% off $2,143.14 $5,941.52 $4,336.17 2026-03-31
Q5119 HCPCS Injection, Rituximab-pvvr, Biosimilar, (ruxience), 10 Mg 19 19 $6,138.38 $4,910.70 20% off $2,332.58 $6,383.92 $4,659.03 2026-03-31
J2357 HCPCS Injection, Omalizumab, 5 Mg 36 19 $5,057.53 $4,046.02 20% off $1,722.73 $10,755.58 $4,754.07 2026-03-31
28090 HCPCS Removal Of Growth Of Tendon Covering Or Joint Capsule Of Foot 19 19 $6,333.00 $5,066.40 20% off $2,406.54 $6,586.32 $4,806.75 2026-03-31
1377418_1 CDM Operating Room Services - General Classification 16 16 $6,702.00 $5,361.60 $2,546.76 $6,500.94 $4,889.11 2026-03-31
J1602 HCPCS Injection, Golimumab, 1 Mg, For Intravenous Use 19 19 $7,104.99 $5,683.99 20% off $1,722.73 $7,389.19 $5,392.69 2026-03-31
J0897 HCPCS Injection, Denosumab, 1 Mg 36 19 $6,440.61 $5,152.49 $1,150.23 $11,702.24 $6,054.18 2026-03-31
J7168 HCPCS Prothrombin Complex Concentrate (human), Kcentra, Per I.u. Of Factor Ix Activity 19 19 $8,712.95 $6,970.36 20% off $2,565.12 $9,061.47 $6,613.13 2026-03-31
J2182 HCPCS Injection, Mepolizumab, 1 Mg 19 19 $11,272.56 $9,018.05 $2,565.12 $11,723.46 $8,555.87 2026-03-31
J2506 HCPCS Injection, Pegfilgrastim, Excludes Biosimilar, 0.5 Mg 19 19 $12,241.08 $9,792.86 20% off $4,651.61 $12,730.72 $9,290.98 2026-03-31
Q5108 HCPCS Injection, Pegfilgrastim-jmdb (fulphila), Biosimilar, 0.5 Mg 19 19 $12,459.45 $9,967.56 20% off $1,722.73 $12,957.83 $9,456.72 2026-03-31
J1306 HCPCS Injection, Inclisiran, 1 Mg 19 19 $12,589.60 $10,071.68 20% off $4,784.05 $13,093.18 $9,555.51 2026-03-31
Q5122 HCPCS Injection, Pegfilgrastim-apgf (nyvepria), Biosimilar, 0.5 Mg 19 19 $13,819.50 $11,055.60 20% off $4,157.06 $14,372.28 $10,489.00 2026-03-31
J0717 HCPCS Injection, Certolizumab Pegol, 1 Mg (code May Be Used For Medicare When Drug Adm… 19 19 $20,850.40 $16,680.32 20% off $1,722.73 $21,684.42 $15,825.45 2026-03-31
C1783 HCPCS Ocular Implant, Aqueous Drainage Assist Device 17 17 $18,641.00 $14,912.80 20% off $7,083.58 $19,386.64 $15,844.85 2026-03-31
J2353 HCPCS Injection, Octreotide, Depot Form For Intramuscular Injection, 1 Mg 19 19 $23,099.55 $18,479.64 20% off $6,153.71 $24,023.53 $17,532.56 2026-03-31
J3101 HCPCS Injection, Tenecteplase, 1 Mg 19 19 $28,724.45 $22,979.56 20% off $6,153.71 $29,873.43 $21,801.86 2026-03-31
J1930 HCPCS Injection, Lanreotide, 1 Mg 19 19 $29,545.65 $23,636.52 20% off $6,153.71 $30,727.48 $22,425.15 2026-03-31
J0896 HCPCS Injection, Luspatercept-aamt, 0.25 Mg 19 19 $43,635.45 $34,908.36 $9,818.42 $45,380.87 $33,119.31 2026-03-31
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