Hospital

CHEROKEE REGIONAL MEDICAL CENTER

Cherokee, IA · CCN 161362 · Rates published

Your selected procedure

You selected 93306 (CPT)

HC TTE W/ DOPPLER COMPLETE

This hospital’s price: $558 across 8 payers · range $203-$1,046

Source: https://cherokeermc.org/hubfs/420707096_Sioux-Valley-Memorial-Hospital-Association_StandardCharges-6.csv · observed 2026-05-22

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

1,021 distinct procedures filed

27 distinct payers

212,714 rate rows

2026-05-22 last MRF observed

Data quality

56,686 of 212,714 rate rows are consumer-grade (26.6%)

156,028 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 — reason	Rows
per-diem day rate — not a per-procedure price	155,744
percent-of-charges filed in the dollar field — excluded from medians	152
placeholder amount (≤ $0.02) — excluded from medians	114
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	18

Data source & audit trail ↓ Download audit trail (JSON)

Source MRF file	https://cherokeermc.org/hubfs/420707096_Sioux-Valley-Memorial-Hospital-Association_StandardCharges-6.csv
Found on page	https://cherokeermc.org/patients-visitors/price-transparency/
Discovered via	CMS hospital list
Last fetch	not_modified · 2026-10-22
Content fingerprint	2bd39f2969881b40… · 30,000,175 bytes · first seen 2026-05-09

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
C1781 HCPCS	Hc Mesh (implantable) Lvl 1	8	$289.38	$33,728.75	$10,540.20	nat. median $1,412 outlier · 7.5×
L8614 HCPCS	Hc Cochlear Implant System Lvl 7	8	$10,057.28	$16,458.00	$10,246.50	nat. median $22,351 outlier · 0.5×
C1734 HCPCS	Hc Orth/devic/drug Bn/bn,tis/bn Lvl 6	8	$6,080.69	$16,458.00	$10,156.92	nat. median $2,565 outlier · 4.0×
C1776 HCPCS	Hc Joint Device (implantable) Lvl 1	8	$130.38	$31,621.15	$9,583.00	nat. median $3,394 outlier · 2.8×
C1713 HCPCS	Hc Anchor/screw Bn/bn,tis/bn Lvl 1	8	$109.20	$30,107.55	$9,561.00	nat. median $863 outlier · 11.1×
C1762 HCPCS	Hc Conn Tiss, Human (inc Fascia) Lvl 3	8	$3,047.50	$20,027.15	$9,452.85	nat. median $2,940 outlier · 3.2×
C9359 HCPCS	Hc Implnt,bon Void Filler-putty Lvl 8	8	$7,109.95	$13,415.00	$7,243.50	nat. median $1,472 outlier · 4.9×
C1763 HCPCS	Hc Conn Tiss, Non-human Lvl 2	8	$1,756.95	$16,458.00	$6,994.73	nat. median $2,299 outlier · 3.0×
L8699 HCPCS	Hc Prosthetic Implant Nos Lvl 6	8	$3,047.50	$17,918.45	$5,750.00	nat. median $2,008 outlier · 2.9×
C1889 HCPCS	Hc Implant/insert Device Noc Lvl 9	8	$3,944.26	$7,442.00	$4,018.50	nat. median $2,369 1.7× median
J2507 HCPCS	Pegloticase 8 Mg/ml IV Soln	8	$3,890.54	$7,340.64	$3,963.50	nat. median $9,200 outlier · 0.4×
J0630 HCPCS	Calcitonin (salmon) 200 Unit/ml Ij Soln	8	$3,366.40	$6,351.70	$3,429.50	nat. median $1,894 1.8× median
C1783 HCPCS	Hc Ocular Imp Aqueous Drain Lvl 11	8	$3,249.96	$6,132.00	$3,310.50	nat. median $2,321 1.4× median
78816 CPT	Hc Nm PET Image W CT Whole Body	8	$2,899.10	$5,470.00	$2,953.50	nat. median $2,788 1.1× median
78815 CPT	Hc Nm PET Image W CT Skull Thigh	8	$2,899.10	$5,470.00	$2,953.50	nat. median $2,820 1.0× median
A9520 HCPCS	Hc Tc99 Tilmanocept Diag To 0.5 Mci	8	$2,729.50	$5,150.00	$2,780.50	nat. median $1,012 outlier · 2.7×
70553 CPT	Hc MRI Brain W Wo Contrast	8	$1,090.29	$4,920.00	$2,607.60	nat. median $1,133 outlier · 2.3×
74178 CPT	Hc CT Abd & Pelvis W Wo Contr 1+ Reg/sec	8	$916.89	$4,657.00	$2,514.78	nat. median $1,024 outlier · 2.5×
95811 CPT	Hc Pss W 4/> Param W Cpap/bipap 6+ Yrs	8	$2,331.72	$4,448.00	$2,446.40	nat. median $1,894 1.3× median
72158 CPT	Hc MRI Spine Lumbar W Wo Contrast	8	$1,116.05	$4,544.00	$2,408.32	nat. median $1,093 outlier · 2.2×
74177 CPT	Hc CT Abdomen & Pelvis W Contrast	8	$916.24	$4,453.00	$2,400.44	nat. median $974 outlier · 2.5×
64633 CPT	Hc Destroy Cerv/thor Facet Jnt Unil	8	$2,312.39	$4,363.00	$2,355.50	nat. median $2,325 1.0× median
72157 CPT	Hc MRI Spine Thoracic W Wo Contrast	8	$558.02	$4,387.00	$2,325.11	nat. median $1,105 outlier · 2.1×
74183 CPT	Hc MRI Abdomen W Wo Contrast	8	$1,090.29	$4,379.00	$2,320.87	nat. median $1,100 outlier · 2.1×
72197 CPT	Hc MRI Pelvis W Wo Contrast	8	$1,090.29	$4,266.00	$2,260.98	nat. median $1,063 outlier · 2.1×
78452 CPT	Hc Nm Heart Muscle Spect Mult	8	$2,210.10	$4,170.00	$2,251.50	nat. median $1,816 1.2× median
64635 CPT	Hc Destroy Lumb/sac Facet Jnt Unil	8	$2,197.91	$4,147.00	$2,238.50	nat. median $2,392 0.9× median
23605 CPT	Hc Cl Tx Prox Humeral Fx W Manip	8	$2,161.87	$4,079.00	$2,202.00	nat. median $1,871 1.2× median
70549 CPT	Hc MRA Neck W Wo Contrast	8	$719.30	$4,147.00	$2,197.91	nat. median $1,055 outlier · 2.1×
73720 CPT	Hc MRI Low Extr Not Joint W Wo Contr	8	$2,153.92	$4,064.00	$2,194.00	nat. median $1,129 1.9× median
95810 CPT	Hc Pss W 4/> Param W Tech 6+ Yrs	8	$2,088.72	$3,985.00	$2,191.75	nat. median $1,825 1.2× median
73220 CPT	Hc MRI Up Extr Not Joint W Wo Contr	8	$2,113.64	$3,988.00	$2,153.00	nat. median $1,130 1.9× median
73723 CPT	Hc MRI Low Extr Any Joint W Wo Contr	8	$2,044.21	$3,857.00	$2,082.50	nat. median $1,192 1.7× median
71552 CPT	Hc MRI Chest W Wo Contrast	8	$1,956.23	$3,691.00	$1,993.00	nat. median $1,097 1.8× median
75635 CPT	Hc CT Angiography Aorta Iliofemoral Runoff	8	$1,886.80	$3,560.00	$1,958.00	nat. median $722 outlier · 2.7×
73223 CPT	Hc MRI Up Extr Any Joint W Wo Contr	8	$1,850.76	$3,492.00	$1,885.00	nat. median $1,158 1.6× median
74176 CPT	Hc CT Abd & Pelvis Wo Contrast	8	$916.24	$3,518.00	$1,878.25	nat. median $694 outlier · 2.7×
27252 CPT	Hc Cl Tx Trauma Hip Disloc W Anesth	8	$1,778.15	$3,355.00	$1,811.50	nat. median $2,022 0.9× median
36561 CPT	Hc Insert Cv Access Device Tunneled > 5 Yrs	8	$1,679.04	$5,153.42	$1,742.40	nat. median $3,741 outlier · 0.5×
72156 CPT	Hc MRI Spine Cervical W Wo Contrast	8	$1,116.05	$3,143.00	$1,665.79	nat. median $1,103 1.5× median
70543 CPT	Hc MRI Orbit Face Neck W Wo Contrast	8	$992.02	$3,116.00	$1,651.48	nat. median $1,083 1.5× median
74174 CPT	Hc CT Angio Abd And Pelv Wo W Contrast	8	$365.76	$3,077.00	$1,646.92	nat. median $988 1.7× median
27562 CPT	Hc Cl Tx Patellar Dislocation W Anesth	8	$1,493.54	$2,818.00	$1,521.00	nat. median $657 outlier · 2.3×
73222 CPT	Hc MRI Up Extr Any Joint W Contrast	8	$1,436.83	$2,711.00	$1,463.50	nat. median $1,282 1.1× median
70540 CPT	Hc MRI Orbit Face Neck Wo Contrast	8	$1,435.24	$2,708.00	$1,462.00	nat. median $794 1.8× median
71550 CPT	Hc MRI Chest Wo Contrast	8	$1,403.44	$2,648.00	$1,429.50	nat. median $820 1.7× median
72194 CPT	Hc CT Pelvis W Wo Contrast	8	$1,399.20	$2,640.00	$1,425.50	nat. median $664 outlier · 2.1×
64483 CPT	Hc Inj(s) Foramen Epidural L/s Sgl Lev	8	$1,351.50	$2,550.00	$1,376.50	nat. median $1,302 1.1× median
70552 CPT	Hc MRI Brain W Contrast	8	$1,339.84	$2,528.00	$1,364.50	nat. median $962 1.4× median
28192 CPT	Hc Rem Deep Fb Of Foot	8	$1,312.81	$2,477.00	$1,337.00	nat. median $1,857 0.7× median

Other procedures at this hospital

Browse this hospital's 1,021 published procedures. Use the slice to choose what to show, then sort or filter any column.

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

C1781	HCPCS	Hc Mesh (implantable) Lvl 1	562	8	$17,249.00	$15,524.10	$289.38	$33,728.75	$10,540.20	2026-05-22
L8614	HCPCS	Hc Cochlear Implant System Lvl 7	26	8	$18,976.00	$17,078.40	$10,057.28	$16,458.00	$10,246.50	2026-05-22
C1734	HCPCS	Hc Orth/devic/drug Bn/bn,tis/bn Lvl 6	48	8	$11,473.00	$10,325.70	$6,080.69	$16,458.00	$10,156.92	2026-05-22
C1776	HCPCS	Hc Joint Device (implantable) Lvl 1	308	8	$13,415.00	$12,073.50	$130.38	$31,621.15	$9,583.00	2026-05-22
C1713	HCPCS	Hc Anchor/screw Bn/bn,tis/bn Lvl 1	216	8	$13,415.00	$12,073.50	$109.20	$30,107.55	$9,561.00	2026-05-22
C1762	HCPCS	Hc Conn Tiss, Human (inc Fascia) Lvl 3	216	8	$15,332.00	$13,798.80	$3,047.50	$20,027.15	$9,452.85	2026-05-22
C9359	HCPCS	Hc Implnt,bon Void Filler-putty Lvl 8	26	8	$13,415.00	$12,073.50	$7,109.95	$13,415.00	$7,243.50	2026-05-22
C1763	HCPCS	Hc Conn Tiss, Non-human Lvl 2	116	8	$9,583.00	$8,624.70	$1,756.95	$16,458.00	$6,994.73	2026-05-22
L8699	HCPCS	Hc Prosthetic Implant Nos Lvl 6	50	8	$5,750.00	$5,175.00	$3,047.50	$17,918.45	$5,750.00	2026-05-22
C1889	HCPCS	Hc Implant/insert Device Noc Lvl 9	26	8	$7,442.00	$6,697.80	$3,944.26	$7,442.00	$4,018.50	2026-05-22
J2507	HCPCS	Pegloticase 8 Mg/ml IV Soln	26	8	$7,340.64	$7,340.64	$3,890.54	$7,340.64	$3,963.50	2026-05-22
J0630	HCPCS	Calcitonin (salmon) 200 Unit/ml Ij Soln	26	8	$6,351.70	$6,351.70	$3,366.40	$6,351.70	$3,429.50	2026-05-22
C1783	HCPCS	Hc Ocular Imp Aqueous Drain Lvl 11	26	8	$6,132.00	$5,518.80	$3,249.96	$6,132.00	$3,310.50	2026-05-22
78816	CPT	Hc Nm PET Image W CT Whole Body	26	8	$5,470.00	$4,923.00	$2,899.10	$5,470.00	$2,953.50	2026-05-22
78815	CPT	Hc Nm PET Image W CT Skull Thigh	26	8	$5,470.00	$4,923.00	$2,899.10	$5,470.00	$2,953.50	2026-05-22
A9520	HCPCS	Hc Tc99 Tilmanocept Diag To 0.5 Mci	26	8	$5,150.00	$4,635.00	$2,729.50	$5,150.00	$2,780.50	2026-05-22
70553	CPT	Hc MRI Brain W Wo Contrast	26	8	$4,920.00	$4,428.00	$1,090.29	$4,920.00	$2,607.60	2026-05-22
74178	CPT	Hc CT Abd & Pelvis W Wo Contr 1+ Reg/sec	26	8	$4,657.00	$4,191.30	$916.89	$4,657.00	$2,514.78	2026-05-22
95811	CPT	Hc Pss W 4/> Param W Cpap/bipap 6+ Yrs	26	8	$4,448.00	$4,003.20	$2,331.72	$4,448.00	$2,446.40	2026-05-22
72158	CPT	Hc MRI Spine Lumbar W Wo Contrast	26	8	$4,544.00	$4,089.60	$1,116.05	$4,544.00	$2,408.32	2026-05-22
74177	CPT	Hc CT Abdomen & Pelvis W Contrast	26	8	$4,453.00	$4,007.70	$916.24	$4,453.00	$2,400.44	2026-05-22
64633	CPT	Hc Destroy Cerv/thor Facet Jnt Unil	26	8	$4,363.00	$3,926.70	$2,312.39	$4,363.00	$2,355.50	2026-05-22
72157	CPT	Hc MRI Spine Thoracic W Wo Contrast	26	8	$4,387.00	$3,948.30	$558.02	$4,387.00	$2,325.11	2026-05-22
74183	CPT	Hc MRI Abdomen W Wo Contrast	26	8	$4,379.00	$3,941.10	$1,090.29	$4,379.00	$2,320.87	2026-05-22
72197	CPT	Hc MRI Pelvis W Wo Contrast	26	8	$4,266.00	$3,839.40	$1,090.29	$4,266.00	$2,260.98	2026-05-22
78452	CPT	Hc Nm Heart Muscle Spect Mult	26	8	$4,170.00	$3,753.00	$2,210.10	$4,170.00	$2,251.50	2026-05-22
64635	CPT	Hc Destroy Lumb/sac Facet Jnt Unil	26	8	$4,147.00	$3,732.30	$2,197.91	$4,147.00	$2,238.50	2026-05-22
23605	CPT	Hc Cl Tx Prox Humeral Fx W Manip	26	8	$4,079.00	$3,671.10	$2,161.87	$4,079.00	$2,202.00	2026-05-22
70549	CPT	Hc MRA Neck W Wo Contrast	26	8	$4,147.00	$3,732.30	$719.30	$4,147.00	$2,197.91	2026-05-22
73720	CPT	Hc MRI Low Extr Not Joint W Wo Contr	26	8	$4,064.00	$3,657.60	$2,153.92	$4,064.00	$2,194.00	2026-05-22
95810	CPT	Hc Pss W 4/> Param W Tech 6+ Yrs	26	8	$3,985.00	$3,586.50	$2,088.72	$3,985.00	$2,191.75	2026-05-22
73220	CPT	Hc MRI Up Extr Not Joint W Wo Contr	26	8	$3,988.00	$3,589.20	$2,113.64	$3,988.00	$2,153.00	2026-05-22
73723	CPT	Hc MRI Low Extr Any Joint W Wo Contr	26	8	$3,857.00	$3,471.30	$2,044.21	$3,857.00	$2,082.50	2026-05-22
71552	CPT	Hc MRI Chest W Wo Contrast	26	8	$3,691.00	$3,321.90	$1,956.23	$3,691.00	$1,993.00	2026-05-22
75635	CPT	Hc CT Angiography Aorta Iliofemoral Runoff	26	8	$3,560.00	$3,204.00	$1,886.80	$3,560.00	$1,958.00	2026-05-22
73223	CPT	Hc MRI Up Extr Any Joint W Wo Contr	26	8	$3,492.00	$3,142.80	$1,850.76	$3,492.00	$1,885.00	2026-05-22
74176	CPT	Hc CT Abd & Pelvis Wo Contrast	26	8	$3,518.00	$3,166.20	$916.24	$3,518.00	$1,878.25	2026-05-22
27252	CPT	Hc Cl Tx Trauma Hip Disloc W Anesth	26	8	$3,355.00	$3,019.50	$1,778.15	$3,355.00	$1,811.50	2026-05-22
36561	CPT	Hc Insert Cv Access Device Tunneled > 5 Yrs	26	8	$3,168.00	$2,851.20	$1,679.04	$5,153.42	$1,742.40	2026-05-22
72156	CPT	Hc MRI Spine Cervical W Wo Contrast	26	8	$3,143.00	$2,828.70	$1,116.05	$3,143.00	$1,665.79	2026-05-22
70543	CPT	Hc MRI Orbit Face Neck W Wo Contrast	26	8	$3,116.00	$2,804.40	$992.02	$3,116.00	$1,651.48	2026-05-22
74174	CPT	Hc CT Angio Abd And Pelv Wo W Contrast	26	8	$3,077.00	$2,769.30	$365.76	$3,077.00	$1,646.92	2026-05-22
27562	CPT	Hc Cl Tx Patellar Dislocation W Anesth	26	8	$2,818.00	$2,536.20	$1,493.54	$2,818.00	$1,521.00	2026-05-22
73222	CPT	Hc MRI Up Extr Any Joint W Contrast	26	8	$2,711.00	$2,439.90	$1,436.83	$2,711.00	$1,463.50	2026-05-22
70540	CPT	Hc MRI Orbit Face Neck Wo Contrast	26	8	$2,708.00	$2,437.20	$1,435.24	$2,708.00	$1,462.00	2026-05-22
71550	CPT	Hc MRI Chest Wo Contrast	26	8	$2,648.00	$2,383.20	$1,403.44	$2,648.00	$1,429.50	2026-05-22
72194	CPT	Hc CT Pelvis W Wo Contrast	26	8	$2,640.00	$2,376.00	$1,399.20	$2,640.00	$1,425.50	2026-05-22
64483	CPT	Hc Inj(s) Foramen Epidural L/s Sgl Lev	26	8	$2,550.00	$2,295.00	$1,351.50	$2,550.00	$1,376.50	2026-05-22
70552	CPT	Hc MRI Brain W Contrast	26	8	$2,528.00	$2,275.20	$1,339.84	$2,528.00	$1,364.50	2026-05-22
28192	CPT	Hc Rem Deep Fb Of Foot	26	8	$2,477.00	$2,229.30	$1,312.81	$2,477.00	$1,337.00	2026-05-22
A9562	HCPCS	Hc Tc99m Mag3 To 15 Mci	26	8	$2,472.00	$2,224.80	$1,310.16	$2,472.00	$1,334.50	2026-05-22
62321	CPT	Hc Inj Interlam C/t W Img	26	8	$2,385.00	$2,146.50	$1,171.26	$2,385.00	$1,311.75	2026-05-22
70471	CPT	Hc CTA Head & Neck W Contrast & Noncontrast Img	26	8	$2,388.00	$2,149.20	$1,265.64	$2,388.00	$1,289.00	2026-05-22
19083	CPT	Hc Bx Breast 1st Lesion US Imag	26	8	$2,379.00	$2,141.10	$1,260.87	$2,379.00	$1,284.00	2026-05-22
72193	CPT	Hc CT Pelvis W Contrast	26	8	$2,356.00	$2,120.40	$916.89	$2,356.00	$1,248.68	2026-05-22
64493	CPT	Hc Inj Paravert F Jnt L/s 1 Lev	26	8	$2,264.00	$2,037.60	$1,199.92	$2,264.00	$1,222.00	2026-05-22
27096	CPT	Hc Sij Anesth/steriod Inj Pain	52	8	$1,791.50	$1,612.35	$588.83	$2,472.00	$1,210.58	2026-05-22
70545	CPT	Hc MRA Head W Contrast	26	8	$2,242.00	$2,017.80	$1,188.26	$2,242.00	$1,210.50	2026-05-22
49083	CPT	Hc Abd Paracentesis W/imaging	26	8	$2,199.00	$1,979.10	$1,165.47	$2,199.00	$1,209.45	2026-05-22
36569	CPT	Hc Ins Picc Age Wo Img 5 Yrs/>	26	8	$2,186.00	$1,967.40	$1,158.58	$2,186.00	$1,202.30	2026-05-22
27266	CPT	Hc Cl Tx Postop Hip Disloc W Anesth	26	8	$2,200.00	$1,980.00	$1,166.00	$2,200.00	$1,188.00	2026-05-22
36573	CPT	Hc Ins Picc Rs&i 5 Yr+	26	8	$2,186.00	$1,967.40	$1,158.58	$2,186.00	$1,180.00	2026-05-22
G0390	HCPCS	Hc Full Trauma Respons W Cc Fac Lev 4	26	8	$2,179.00	$1,961.10	$1,154.87	$2,179.00	$1,176.00	2026-05-22
70551	CPT	Hc MRI Brain Wo Contrast	26	8	$2,201.00	$1,980.90	$791.44	$2,201.00	$1,166.53	2026-05-22
72148	CPT	Hc MRI Spine Lumbar Wo Contrast	26	8	$2,176.00	$1,958.40	$791.44	$2,176.00	$1,153.28	2026-05-22
64490	CPT	Hc Inj Paravert F Jnt C/t 1 Lev	26	8	$2,136.00	$1,922.40	$1,132.08	$2,136.00	$1,153.00	2026-05-22
73722	CPT	Hc MRI Low Extr Any Joint W Contrast	26	8	$2,117.00	$1,905.30	$1,122.01	$2,117.00	$1,143.00	2026-05-22
70546	CPT	Hc MRA Head W Wo Contrast	26	8	$2,112.00	$1,900.80	$1,119.36	$2,112.00	$1,140.00	2026-05-22
J9202	HCPCS	Goserelin Acetate 3.6 Mg Sc Impl	26	8	$2,150.64	$2,150.64	$771.66	$2,150.64	$1,139.84	2026-05-22
72149	CPT	Hc MRI Spine Lumbar W Contrast	26	8	$2,111.00	$1,899.90	$1,118.83	$2,111.00	$1,139.50	2026-05-22
71275	CPT	Hc CT Angiography Chest W Wo Contrast	26	8	$2,121.00	$1,908.90	$731.51	$2,121.00	$1,132.45	2026-05-22
74181	CPT	Hc MRI Abdomen Wo Contrast	26	8	$2,130.00	$1,917.00	$399.09	$2,130.00	$1,128.90	2026-05-22
73702	CPT	Hc CT Lower Extr W Wo Contrast	26	8	$2,081.00	$1,872.90	$1,102.93	$2,081.00	$1,123.00	2026-05-22
73202	CPT	Hc CT Upper Extr W Wo Contrast	26	8	$2,081.00	$1,872.90	$1,102.93	$2,081.00	$1,123.00	2026-05-22
72142	CPT	Hc MRI Spine Cervical W Contrast	26	8	$2,078.00	$1,870.20	$1,101.34	$2,078.00	$1,121.50	2026-05-22
27752	CPT	Hc Cl Tx Tib Shft Fx W Manip	26	8	$2,064.00	$1,857.60	$1,093.92	$2,064.00	$1,114.00	2026-05-22
24605	CPT	Hc Tx Cl Elbow Disloc W Anesth	26	8	$2,055.00	$1,849.50	$1,089.15	$2,055.00	$1,109.50	2026-05-22
74175	CPT	Hc CT Angiography Abdomen W Wo Contrast	26	8	$2,050.00	$1,845.00	$1,086.50	$2,050.00	$1,106.50	2026-05-22
70498	CPT	Hc CT Angiography Neck W Wo Contrast	26	8	$2,083.00	$1,874.70	$365.76	$2,083.00	$1,103.99	2026-05-22
27818	CPT	Hc Cl Tx Trimall Ankle Fx W Manip	26	8	$2,019.00	$1,817.10	$1,070.07	$2,019.00	$1,090.00	2026-05-22
73206	CPT	Hc CT Angiography Upper Extr W Wo Contrast	26	8	$1,984.00	$1,785.60	$1,051.52	$1,984.00	$1,071.00	2026-05-22
72133	CPT	Hc CT Lumbar Spine W Wo Contrast	26	8	$1,939.00	$1,745.10	$1,027.67	$1,939.00	$1,046.50	2026-05-22
25260	CPT	Hc Rep Tendn/mscl Farm/wrist	26	8	$1,936.00	$1,742.40	$1,026.08	$1,936.00	$1,045.00	2026-05-22
72146	CPT	Hc MRI Spine Thoracic Wo Contrast	26	8	$1,969.00	$1,772.10	$720.11	$1,969.00	$1,043.57	2026-05-22
95805	CPT	Hc Mslt/mwt; Global	26	8	$1,925.00	$1,732.50	$1,020.25	$1,925.00	$1,039.00	2026-05-22
99291	CPT	Hc Critical Care 30-74 Min	26	8	$1,942.00	$1,747.80	$298.57	$1,942.00	$1,029.26	2026-05-22
70547	CPT	Hc MRA Neck Wo Contrast	26	8	$1,906.00	$1,715.40	$1,010.18	$1,906.00	$1,029.00	2026-05-22
72127	CPT	Hc CT Cervical Spine W Wo Contrast	26	8	$1,892.00	$1,702.80	$1,002.76	$1,892.00	$1,021.00	2026-05-22
70496	CPT	Hc CT Angiography Head W Wo Contrast	26	8	$1,909.00	$1,718.10	$365.76	$1,909.00	$1,011.77	2026-05-22
70544	CPT	Hc MRA Head Wo Contrast	26	8	$1,906.00	$1,715.40	$719.30	$1,906.00	$1,010.18	2026-05-22
13152	CPT	Hc Crep E/n/e/l 2.6-7.5 Cm	26	8	$1,821.00	$1,638.90	$965.13	$1,821.00	$983.00	2026-05-22
73721	CPT	Hc MRI Low Extr Any Joint Wo Contrast	26	8	$1,816.00	$1,634.40	$962.48	$1,816.00	$980.00	2026-05-22
77012	CPT	Hc CT Guidance Needle Placement	26	8	$1,812.00	$1,630.80	$960.36	$1,812.00	$978.00	2026-05-22
25565	CPT	Hc Cl Tx Radial & Ulna Fx W Manip	26	8	$1,803.00	$1,622.70	$955.59	$1,803.00	$973.00	2026-05-22
72141	CPT	Hc MRI Spine Cervical Wo Contrast	26	8	$1,805.00	$1,624.50	$791.44	$1,805.00	$956.65	2026-05-22
64640	CPT	Hc Destr W Neurolytic Other Periph Nrv	26	8	$1,767.00	$1,590.30	$936.51	$1,767.00	$953.50	2026-05-22
23655	CPT	Hc Cl Tx Shldr Disl W Manip W Anesth	26	8	$1,762.00	$1,585.80	$933.86	$1,762.00	$951.00	2026-05-22
25605	CPT	Hc Tx Fracture D Radius/ulna W Manip	26	8	$1,746.00	$1,571.40	$925.38	$1,746.00	$942.50	2026-05-22
71270	CPT	Hc CT Chest W Wo Contrast Diag	26	8	$1,712.00	$1,540.80	$907.36	$1,712.00	$941.60	2026-05-22
27603	CPT	Hc I&d Leg/ankle Deep Absc/hematoma	26	8	$1,736.00	$1,562.40	$920.08	$1,736.00	$937.00	2026-05-22
45398	CPT	Hc Colonoscopy W/band Ligation	26	8	$1,695.00	$1,525.50	$898.35	$1,695.00	$932.25	2026-05-22
74185	CPT	Hc MRA Abdomen Wo Contrast	26	8	$1,723.00	$1,550.70	$913.19	$1,723.00	$930.00	2026-05-22
73201	CPT	Hc CT Upper Extr W Contrast	26	8	$1,719.00	$1,547.10	$911.07	$1,719.00	$928.00	2026-05-22
73221	CPT	Hc MRI Up Extr Any Joint Wo Contrast	26	8	$1,712.00	$1,540.80	$907.36	$1,712.00	$924.00	2026-05-22
72195	CPT	Hc MRI Pelvis Wo Contrast	26	8	$1,738.00	$1,564.20	$791.44	$1,738.00	$921.14	2026-05-22
73718	CPT	Hc MRI Low Extr Not Joint Wo Contrast	26	8	$1,699.00	$1,529.10	$900.47	$1,699.00	$917.00	2026-05-22
19283	CPT	Hc Perq Dev Breast 1st Les Stereotact	26	8	$1,676.00	$1,508.40	$888.28	$1,676.00	$904.50	2026-05-22
70492	CPT	Hc CT Soft Tissue Neck W Wo Contrast	26	8	$1,647.00	$1,482.30	$872.91	$1,647.00	$888.50	2026-05-22
73706	CPT	Hc CT Angiography Lower Extr W Wo Contrast	26	8	$1,643.00	$1,478.70	$870.79	$1,643.00	$886.50	2026-05-22
70488	CPT	Hc CT Maxillofacial W Wo Contrast	26	8	$1,600.00	$1,440.00	$848.00	$1,600.00	$880.00	2026-05-22
36556	CPT	Hc Ins Non-tunnel Cv Cath 5 Yrs/>	26	8	$1,628.00	$1,465.20	$862.84	$1,628.00	$878.50	2026-05-22
70482	CPT	Hc CT Orbit Sella Mid Inner Ear W Wo Contr	26	8	$1,568.00	$1,411.20	$831.04	$1,568.00	$862.40	2026-05-22
74170	CPT	Hc CT Abdomen W Wo Contrast	26	8	$1,567.00	$1,410.30	$821.34	$1,567.00	$861.85	2026-05-22
78195	CPT	Hc Nm Lymph Or Lymph Node Imaging	26	8	$1,592.00	$1,432.80	$843.76	$1,592.00	$859.00	2026-05-22
73218	CPT	Hc MRI Up Extr Not Joint Wo Contrast	26	8	$1,490.00	$1,341.00	$789.70	$1,490.00	$804.00	2026-05-22
70487	CPT	Hc CT Maxillofacial W Contrast	26	8	$1,428.00	$1,285.20	$756.84	$1,428.00	$785.40	2026-05-22
71260	CPT	Hc CT Chest W Contrast Diag	26	8	$1,425.00	$1,282.50	$373.41	$1,425.00	$783.75	2026-05-22
78598	CPT	Hc Nm Lung Perf&ventilat Diferentl	26	8	$1,445.00	$1,300.50	$765.85	$1,445.00	$779.50	2026-05-22
27550	CPT	Hc Cl Tx Knee Disl Wo Anesth	26	8	$1,438.00	$1,294.20	$762.14	$1,438.00	$776.00	2026-05-22
70470	CPT	Hc CT Head Or Brain W Wo Contrast	26	8	$1,400.00	$1,260.00	$742.00	$1,400.00	$770.00	2026-05-22
77047	CPT	Hc MRI Breast Wo Contrast Bilat	26	8	$1,421.00	$1,278.90	$753.13	$1,421.00	$767.00	2026-05-22
64494	CPT	Hc Inj Paravert F Jnt L/s 2 Lev	52	8	$1,242.50	$1,118.25	$223.66	$2,063.00	$757.70	2026-05-22
78473	CPT	Hc Nm Cardiac Blood Pool Mult	26	8	$1,399.00	$1,259.10	$741.47	$1,399.00	$755.00	2026-05-22
38505	CPT	Hc Bx Lymph Nodes Perc Superficial	26	8	$1,396.00	$1,256.40	$739.88	$1,396.00	$753.00	2026-05-22
70481	CPT	Hc CT Orbit Sella Mid Inner Ear W Contr	26	8	$1,372.00	$1,234.80	$727.16	$1,372.00	$740.50	2026-05-22
45399	CPT	Hc Unlisted Procedure Colon	26	8	$1,367.00	$1,230.30	$724.51	$1,367.00	$737.50	2026-05-22
Q4159	HCPCS	Hc Affinity Per Sq Cm Lvl 3	98	8	$1,082.00	$973.80	$386.37	$2,009.00	$737.23	2026-05-22
70491	CPT	Hc CT Soft Tissue Neck W Contrast	26	8	$1,372.00	$1,234.80	$727.16	$1,372.00	$732.60	2026-05-22
77049	CPT	Hc MRI Breast W Wo Contrast W/cad Bilat	26	8	$1,313.00	$1,181.70	$695.89	$1,313.00	$722.15	2026-05-22
78582	CPT	Hc Nm Lung Ventilat&perfus Imaging	26	8	$1,338.00	$1,204.20	$709.14	$1,338.00	$722.00	2026-05-22
77048	CPT	Hc MRI Breast W Wo Contrast W/cad Uni	26	8	$1,322.00	$1,189.80	$700.66	$1,322.00	$713.50	2026-05-22
25675	CPT	Hc Cl Tx Dstl Radioulnar Disloc W Manip	26	8	$1,318.00	$1,186.20	$698.54	$1,318.00	$711.00	2026-05-22
74160	CPT	Hc CT Abdomen W Contrast	26	8	$1,318.00	$1,186.20	$698.54	$1,318.00	$711.00	2026-05-22
78315	CPT	Hc Nm Bone Imaging 3 Phase	26	8	$1,275.00	$1,147.50	$675.75	$1,275.00	$688.00	2026-05-22
19084	CPT	Hc Bx Breast Add Lesion US Imag	26	8	$1,273.00	$1,145.70	$674.69	$1,273.00	$687.00	2026-05-22
C8908	HCPCS	Hc MRI Breast W Wo Contrast Bilat	26	8	$1,249.00	$1,124.10	$661.97	$1,249.00	$686.95	2026-05-22
72147	CPT	Hc MRI Spine Thoracic W Contrast	26	8	$1,272.00	$1,144.80	$674.16	$1,272.00	$686.50	2026-05-22
78472	CPT	Hc Nm Cardiac Blood Pool Sgl	26	8	$1,230.00	$1,107.00	$651.90	$1,230.00	$663.50	2026-05-22
72131	CPT	Hc CT Lumbar Spine Wo Contrast	26	8	$1,230.00	$1,107.00	$172.21	$1,230.00	$656.70	2026-05-22
71250	CPT	Hc CT Chest Wo Contrast Diag	26	8	$1,239.00	$1,115.10	$344.00	$1,239.00	$656.67	2026-05-22
J2805	HCPCS	Hc Sincalide 5 Mcg Inj	26	8	$1,236.00	$1,112.40	$123.62	$1,236.00	$655.08	2026-05-22
62323	CPT	Hc Inj Interlam L/s W Img	26	8	$1,179.00	$1,061.10	$451.71	$1,524.35	$648.45	2026-05-22
A0433	HCPCS	Hc Als 2	26	8	$1,199.00	$1,079.10	$635.47	$1,199.00	$647.00	2026-05-22
78227	CPT	Hc Nm Hepatobil Syst Image W/drug	26	8	$1,212.00	$1,090.80	$642.36	$1,212.00	$646.80	2026-05-22
26725	CPT	Hc Cl Tx Phalang Shft Fx W Manip	26	8	$1,196.00	$1,076.40	$633.88	$1,196.00	$645.00	2026-05-22
26605	CPT	Hc Cl Tx Mc Fx Sgl W Manip	26	8	$1,196.00	$1,076.40	$633.88	$1,196.00	$645.00	2026-05-22
70490	CPT	Hc CT Soft Tissue Neck Wo Contrast	26	8	$1,196.00	$1,076.40	$633.88	$1,196.00	$645.00	2026-05-22
78071	CPT	Hc Parathyrd Planar W/wo Subtr	26	8	$1,186.00	$1,067.40	$628.58	$1,186.00	$640.00	2026-05-22
94002	CPT	Hc Vent Mgmt Inpat Init Day	26	8	$1,179.00	$1,061.10	$624.87	$1,179.00	$636.00	2026-05-22
78708	CPT	Hc Nm Kidney Flow Funct W Drug	26	8	$1,154.00	$1,038.60	$611.62	$1,154.00	$634.70	2026-05-22
78306	CPT	Hc Nm Bone Imaging Whole Body	26	8	$1,151.00	$1,035.90	$610.03	$1,151.00	$633.05	2026-05-22
70460	CPT	Hc CT Head Or Brain W Contrast	26	8	$1,169.00	$1,052.10	$619.57	$1,169.00	$630.50	2026-05-22
99285	CPT	Hc Ed Level 5 Visit	40	8	$1,165.00	$1,048.50	$29.68	$1,185.00	$628.67	2026-05-22
74150	CPT	Hc CT Abdomen Wo Contrast	26	8	$1,165.00	$1,048.50	$617.45	$1,165.00	$628.50	2026-05-22
90381	CPT	Hc Rsv Monoc Antb Seasn 1 Ml IM	26	8	$1,144.00	$1,029.60	$606.32	$1,144.00	$617.50	2026-05-22
73701	CPT	Hc CT Lower Extr W Contrast	26	8	$1,131.00	$1,017.90	$599.43	$1,131.00	$610.50	2026-05-22
38792	CPT	Hc Inj Ra Tracer Id Sentinel Node	26	8	$1,124.00	$1,011.60	$595.72	$1,124.00	$606.50	2026-05-22
90380	CPT	Nirsevimab-alip 50 Mg/0.5ml IM Sosy	74	8	$1,127.00	$1,087.40	$576.32	$1,144.00	$606.32	2026-05-22
72125	CPT	Hc CT Cervical Spine Wo Contrast	26	8	$1,142.00	$1,027.80	$172.21	$1,142.00	$604.30	2026-05-22
72128	CPT	Hc CT Thoracic Spine Wo Contrast	26	8	$1,140.00	$1,026.00	$172.21	$1,140.00	$604.20	2026-05-22
M0249	HCPCS	Hc Adm Tocilizu Covid-19 1st	26	8	$1,118.00	$1,006.20	$592.54	$1,118.00	$603.00	2026-05-22
78264	CPT	Hc Nm Gastric Emptying Study	26	8	$1,109.00	$998.10	$587.77	$1,109.00	$598.00	2026-05-22
46040	CPT	Hc I&d Perirectal Or Ischial Abscess	26	8	$1,102.00	$991.80	$584.06	$1,102.00	$595.00	2026-05-22
J2506	HCPCS	Pegfilgrastim 6 Mg/0.6ml Sc Sosy	26	8	$1,076.96	$1,076.96	$570.79	$7,048.48	$592.33	2026-05-22
78707	CPT	Hc Nm Kidney Flow Funct Wo Drug	26	8	$1,084.00	$975.60	$574.52	$1,084.00	$585.00	2026-05-22
70480	CPT	Hc CT Orbit Sella Mid Inner Ear Wo Contr	26	8	$1,102.00	$991.80	$344.42	$1,102.00	$584.06	2026-05-22
70486	CPT	Hc CT Maxillofacial Wo Contrast	26	8	$1,095.00	$985.50	$344.00	$1,095.00	$580.35	2026-05-22
64451	CPT	Hc Inj Anesth/ster Si Joint Nrv Nrvtg	26	8	$1,060.00	$954.00	$561.80	$1,060.00	$572.00	2026-05-22
24600	CPT	Hc Tx Cl Elbow Disloc Wo Anesth	26	8	$1,049.00	$944.10	$555.97	$1,049.00	$565.50	2026-05-22
93306	CPT	Hc Tte With Doppler Complete	26	8	$1,046.00	$941.40	$203.00	$1,046.00	$558.25	2026-05-22
13151	CPT	Hc Crep E/n/e/l 1.1-2.5 Cm	26	8	$1,024.00	$921.60	$542.72	$1,024.00	$552.50	2026-05-22
25600	CPT	Hc Tx Fracture D Radius/ulna Wo Manip	26	8	$1,022.00	$919.80	$541.66	$1,022.00	$551.50	2026-05-22
32555	CPT	Hc Aspirate Pleura With Imaging	26	8	$1,015.00	$913.50	$537.95	$1,015.00	$547.50	2026-05-22
72192	CPT	Hc CT Pelvis Wo Contrast	26	8	$1,033.00	$929.70	$344.00	$1,033.00	$547.49	2026-05-22
70450	CPT	Hc CT Head Or Brain Wo Contrast	26	8	$1,016.00	$914.40	$538.48	$1,016.00	$542.30	2026-05-22
10009	CPT	Hc Fna Bx W/ct Gdn 1st Les	26	8	$1,005.00	$904.50	$532.65	$1,005.00	$542.00	2026-05-22
J7297	HCPCS	Levonorgestrel 20.1 Mcg/day Iu IUD	26	8	$986.60	$986.60	$522.90	$986.60	$532.00	2026-05-22
72191	CPT	Hc CT Angiography Pelvis W Wo Contrast	26	8	$984.00	$885.60	$521.52	$984.00	$531.00	2026-05-22
13121	CPT	Hc Crep S/a/l 2.6-7.5 Cm	26	8	$974.00	$876.60	$516.22	$974.00	$525.50	2026-05-22
64624	CPT	Hc Destr W Neurolytic Genicular Nrv	26	8	$970.00	$873.00	$514.10	$970.00	$523.50	2026-05-22
20225	CPT	Hc Bx Bone Trocar Ndl Deep	26	8	$964.00	$867.60	$510.92	$964.00	$520.00	2026-05-22
J9217	HCPCS	Leuprolide Acetate (3 Month) 22.5 Mg Sc Kit	50	8	$974.88	$974.88	$485.77	$974.88	$516.69	2026-05-22
13153	CPT	Hc Crep E/n/e/l Ea Addtl 5 Cm/<	26	8	$958.00	$862.20	$507.74	$958.00	$516.50	2026-05-22
93925	CPT	Hc Duplex Le Art/bpg; Bilat	26	8	$942.00	$847.80	$375.06	$942.00	$513.77	2026-05-22
27560	CPT	Hc Cl Tx Patellar Dislocation Wo Anesth	26	8	$948.00	$853.20	$502.44	$948.00	$511.50	2026-05-22
13131	CPT	Hc Crep F/g/h/f 1.1-2.5 Cm	26	8	$923.00	$830.70	$489.19	$923.00	$507.65	2026-05-22
21320	CPT	Hc Cl Tx Nasal Bone Fx W Manip W Stabiliz	26	8	$933.00	$839.70	$494.49	$933.00	$503.50	2026-05-22
27786	CPT	Hc Cl Tx Dstl Fib Fx Wo Manip	26	8	$930.00	$837.00	$492.90	$930.00	$501.50	2026-05-22
A9552	HCPCS	Hc F18 Fdg To 45 Mci	26	8	$925.00	$832.50	$490.25	$925.00	$499.00	2026-05-22
73200	CPT	Hc CT Upper Extr Wo Contrast	26	8	$921.00	$828.90	$488.13	$921.00	$497.00	2026-05-22
62322	CPT	Hc Inj Interlam L/s Wo Img	26	8	$917.00	$825.30	$486.01	$917.00	$495.00	2026-05-22
J1823	HCPCS	Inebilizumab-cdon 100 Mg/10ml IV Soln	26	8	$914.26	$914.26	$484.56	$914.26	$493.00	2026-05-22
78803	CPT	Hc Nm Tumor Localiz Spect 1 Area/day	26	8	$913.00	$821.70	$483.89	$913.00	$492.50	2026-05-22
Q4186	HCPCS	Hc Epifix Per Sq Cm Lvl 3	26	8	$907.00	$816.30	$480.71	$907.00	$489.00	2026-05-22
90675	CPT	Rabies Vaccine, Pcec IM Susr	76	8	$910.96	$910.96	$263.94	$915.35	$485.14	2026-05-22
11760	CPT	Hc Repair Nail Bed	26	8	$896.00	$806.40	$474.88	$896.00	$483.00	2026-05-22
36430	CPT	Hc Transfusion Blood Or Component Per Unit	26	8	$870.00	$783.00	$359.90	$911.52	$478.50	2026-05-22
75989	CPT	Hc Drainage Cath Placement W Img Guidance	26	8	$887.00	$798.30	$470.11	$887.00	$478.50	2026-05-22
78014	CPT	Hc Thyroid Imag W/blood Flow Sgl/mult Quan	26	8	$878.00	$790.20	$465.34	$878.00	$473.50	2026-05-22
Q4234	HCPCS	Hc Xcellerate Per 1 Sq Cm Lvl 10	26	8	$874.00	$786.60	$463.22	$874.00	$471.50	2026-05-22
19281	CPT	Hc Perq Dev Breast 1st Les Mammo	26	8	$868.00	$781.20	$460.04	$868.00	$468.50	2026-05-22
13132	CPT	Hc Crep F/g/h/f 2.6-7.5 Cm	26	8	$857.00	$771.30	$454.21	$857.00	$462.50	2026-05-22
12042	CPT	Hc Int Rep N/h/f/g 2.6-7.5 Cm	26	8	$857.00	$771.30	$454.21	$857.00	$462.50	2026-05-22
93975	CPT	Hc US Duplex Arterial Flow Compl	26	8	$871.00	$783.90	$216.33	$871.00	$461.63	2026-05-22
36593	CPT	Hc Declot Vascular Device	26	8	$852.00	$766.80	$446.58	$852.00	$459.50	2026-05-22
92950	CPT	Hc Cpr	26	8	$850.00	$765.00	$450.50	$850.00	$458.50	2026-05-22
12036	CPT	Hc Int Rep S/a/t/ex 20.1-30.0 Cm	26	8	$840.00	$756.00	$445.20	$840.00	$453.50	2026-05-22
78226	CPT	Hc Nm Hepatobiliary System Imaging	26	8	$837.00	$753.30	$443.61	$837.00	$451.50	2026-05-22
64520	CPT	Hc Inj Anesth Lumb/thor Sympathetic	26	8	$830.00	$747.00	$439.90	$830.00	$447.50	2026-05-22
A0427	HCPCS	Hc Als 1 Emergent	26	8	$828.00	$745.20	$438.84	$828.00	$446.50	2026-05-22
59025	CPT	Hc Fetal Non-stress Test	52	8	$634.00	$570.60	$224.19	$845.00	$445.93	2026-05-22
10121	CPT	Hc Inc & Rem Fb Sq Compl	26	8	$819.00	$737.10	$434.07	$819.00	$442.00	2026-05-22
90837	CPT	Hc Psytx W Pt 60 Min (>53 Min)	26	8	$817.00	$735.30	$433.01	$817.00	$441.00	2026-05-22
73700	CPT	Hc CT Lower Extr Wo Contrast	26	8	$814.00	$732.60	$431.42	$814.00	$439.00	2026-05-22
23650	CPT	Hc Cl Tx Shldr Disl W Mani Wo Anesth	26	8	$812.00	$730.80	$430.36	$812.00	$438.00	2026-05-22
90834	CPT	Hc Psytx W Pt 45 Min (38-52 Min)	26	8	$802.00	$721.80	$425.06	$802.00	$433.00	2026-05-22
C7901	HCPCS	Hc Hopd Mntl Hlt, 30-60 Min	26	8	$802.00	$721.80	$425.06	$802.00	$433.00	2026-05-22
12034	CPT	Hc Int Rep S/a/t/ex 7.6-12.5 Cm	26	8	$782.00	$703.80	$414.46	$1,068.70	$430.10	2026-05-22
12052	CPT	Hc Int Rep F/e/n/l/mm 2.6-5.0 Cm	26	8	$775.00	$697.50	$410.75	$1,127.76	$426.25	2026-05-22
12035	CPT	Hc Int Rep S/a/t/ex 12.6-20.0 Cm	26	8	$789.00	$710.10	$413.64	$789.00	$425.50	2026-05-22
93970	CPT	Hc Duplex Ext Veins; Bilat	26	8	$800.00	$720.00	$320.10	$800.00	$424.00	2026-05-22
27810	CPT	Hc Cl Tx Bimalleolar Ankle Fx W Manip	26	8	$785.00	$706.50	$416.05	$785.00	$423.50	2026-05-22
72126	CPT	Hc CT Cervical Spine W Contrast	26	8	$782.00	$703.80	$414.46	$782.00	$422.00	2026-05-22
90853	CPT	Hc Relapse Prevention Group	26	8	$780.00	$702.00	$413.40	$780.00	$421.00	2026-05-22
C7903	HCPCS	Hc Hopd Mntl Hlt, Grp	26	8	$780.00	$702.00	$413.40	$780.00	$421.00	2026-05-22
G0410	HCPCS	Hc Group Psych Partial Hosp 45-50m	26	8	$780.00	$702.00	$413.40	$780.00	$421.00	2026-05-22
62273	CPT	Hc Inj Epidural Blood Or Clot Patch	26	8	$772.00	$694.80	$409.16	$772.00	$416.50	2026-05-22
26700	CPT	Hc Cl Tx Mcp Disloc Sgl W Manip	26	8	$772.00	$694.80	$409.16	$772.00	$416.50	2026-05-22
12032	CPT	Hc Int Rep S/a/t/ex 2.6-7.5 Cm	26	8	$753.00	$677.70	$399.09	$753.00	$414.15	2026-05-22
32551	CPT	Hc Insertion Of Chest Tube	26	8	$758.00	$682.20	$401.74	$758.00	$408.50	2026-05-22
62272	CPT	Hc Spinal Puncture Drain Csf	26	8	$754.00	$678.60	$399.62	$754.00	$406.50	2026-05-22
93880	CPT	Hc Carotid Duplex Scan; Bilat	26	8	$739.00	$665.10	$143.40	$739.00	$406.45	2026-05-22
27840	CPT	Hc Cl Tx Ankle Dislocation Wo Anesth	26	8	$751.00	$675.90	$398.03	$751.00	$405.50	2026-05-22
93930	CPT	Hc Duplex Ue Art/bpg; Bilat	26	8	$737.00	$663.30	$390.61	$737.00	$397.50	2026-05-22
A0426	HCPCS	Hc Als 1	26	8	$737.00	$663.30	$390.61	$737.00	$397.50	2026-05-22
90377	CPT	Rabies Immune Globulin 300 Unit/2ml Ij Soln	78	8	$718.06	$718.06	$250.98	$3,389.12	$392.33	2026-05-22
64447	CPT	Hc Inj Anesth/ster Femoral Nrv	26	8	$727.00	$654.30	$385.31	$727.00	$392.00	2026-05-22
43762	CPT	Hc Rplc Gtube No Revisn Trc	26	8	$724.00	$651.60	$383.72	$724.00	$390.50	2026-05-22
26770	CPT	Hc Cl Tx Ip Jnt D W Manip Wo Anesth	26	8	$719.00	$647.10	$381.07	$719.00	$388.00	2026-05-22
12041	CPT	Hc Int Rep N/h/f/g 2.5 Cm/<	26	8	$719.00	$647.10	$381.07	$719.00	$388.00	2026-05-22
Q5111	HCPCS	Pegfilgrastim-cbqv 6 Mg/0.6ml Sc Sosy	26	8	$703.13	$703.13	$372.66	$1,275.96	$386.72	2026-05-22
23500	CPT	Hc Cl Tx Clavicular Fx Wo Manip	26	8	$708.00	$637.20	$375.24	$708.00	$382.00	2026-05-22
93976	CPT	Hc Duplex Arterial Flow Limited	26	8	$713.00	$641.70	$138.40	$713.00	$377.89	2026-05-22
A0429	HCPCS	Hc Bls Emergency	26	8	$699.00	$629.10	$370.47	$699.00	$377.00	2026-05-22
12051	CPT	Hc Int Rep F/e/n/l/mm 2.5 Cm/<	26	8	$685.00	$616.50	$363.05	$685.00	$376.75	2026-05-22
G0177	HCPCS	Hc Opps/php Train & Educ Serv	26	8	$691.00	$621.90	$366.23	$691.00	$373.00	2026-05-22
G0176	HCPCS	Hc Opps/php Activity Therapy 45+ Min	26	8	$691.00	$621.90	$366.23	$691.00	$373.00	2026-05-22
94660	CPT	Hc Pos Airway Pressure Cpap/bipap Initial	48	8	$701.00	$630.90	$147.87	$701.00	$371.53	2026-05-22
76942	CPT	Hc US Guided Needle Placement	26	8	$675.00	$607.50	$357.75	$764.60	$371.25	2026-05-22
78701	CPT	Hc Nm Kidney Imaging With Flow	26	8	$685.00	$616.50	$363.05	$685.00	$369.50	2026-05-22
25660	CPT	Hc Cltx Rad/intercarpl Disl 1+ Bone W Manip	26	8	$685.00	$616.50	$363.05	$685.00	$369.50	2026-05-22
99284	CPT	Hc Ed Level 4 Visit	38	8	$692.00	$622.80	$29.68	$835.78	$366.76	2026-05-22
90678	CPT	Rsv Pre-fusion F A&b Vac Rcmb 120 Mcg/0.5ml IM Solr	26	8	$677.50	$677.50	$359.08	$677.50	$365.50	2026-05-22
64425	CPT	Hc Inj Anesth/ster Ilioing/iliohypogastric	26	8	$675.00	$607.50	$357.75	$675.00	$364.00	2026-05-22
64421	CPT	Hc Inj Anesth/ster Intercost Nrv Addtl Lev	26	8	$675.00	$607.50	$357.75	$675.00	$364.00	2026-05-22
64420	CPT	Hc Inj Anesth/ster Intercostal Nerve Sgl Lev	26	8	$675.00	$607.50	$357.75	$675.00	$364.00	2026-05-22
51720	CPT	Hc Treatment Of Bladder Lesion	26	8	$675.00	$607.50	$357.75	$675.00	$364.00	2026-05-22
Q5122	HCPCS	Pegfilgrastim-apgf 6 Mg/0.6ml Sc Sosy	26	8	$661.46	$661.46	$350.58	$1,158.60	$363.80	2026-05-22
27265	CPT	Hc Cl Tx Post Hip Disloc Wo Anesth	26	8	$671.00	$603.90	$355.63	$671.00	$362.00	2026-05-22
Q4133	HCPCS	Hc Grafix Prime Pl/stravix Per 1 Sq Cm Lvl 2	50	8	$362.00	$325.80	$191.86	$729.00	$362.00	2026-05-22
76377	CPT	Hc 3d Render W Postprocess	26	8	$666.00	$599.40	$352.98	$666.00	$359.00	2026-05-22
64510	CPT	Hc Inj Anesth Stellate Ganglion	26	8	$665.00	$598.50	$352.45	$665.00	$358.50	2026-05-22
26641	CPT	Hc Cl Tx Cmc Disloc Thumb W Manip	26	8	$665.00	$598.50	$352.45	$665.00	$358.50	2026-05-22
12053	CPT	Hc Int Rep F/e/n/l/mm 5.1-7.5 Cm	26	8	$660.00	$594.00	$349.80	$660.00	$356.00	2026-05-22
90832	CPT	Hc Psytx W Pt 30 Min (16-37 Min)	26	8	$647.00	$582.30	$342.91	$647.00	$348.50	2026-05-22
C7900	HCPCS	Hc Hopd Mntl Hlt, 15-29 Min	26	8	$647.00	$582.30	$342.91	$647.00	$348.50	2026-05-22
78070	CPT	Hc Nm Parathyroid Imaging	26	8	$647.00	$582.30	$342.91	$647.00	$348.50	2026-05-22
12054	CPT	Hc Int Rep F/e/n/l/mm 7.6-12.5 Cm	26	8	$632.00	$568.80	$334.96	$1,023.80	$347.60	2026-05-22
96413	CPT	Hc Chemo, IV Infusion, 1 Hr	26	8	$607.00	$546.30	$318.06	$607.00	$347.51	2026-05-22
64445	CPT	Hc Inj Anesth/ster Sciatic Nrv	26	8	$644.00	$579.60	$341.32	$644.00	$347.50	2026-05-22
26755	CPT	Hc Cl Tx D Phal Fx Fgr/thmb W Manip	26	8	$645.00	$580.50	$341.85	$645.00	$347.50	2026-05-22
41800	CPT	Hc Dr Absc Cyst Hematom Dentoalveolar	26	8	$644.00	$579.60	$341.32	$644.00	$347.50	2026-05-22
95910	CPT	Hc Nrv Conduct Tst 7-8 Studies	26	8	$641.00	$576.90	$339.73	$641.00	$345.50	2026-05-22
71271	CPT	Hc CT Thorax Lung Cancer Screen	26	8	$626.00	$563.40	$121.40	$626.00	$344.30	2026-05-22
20220	CPT	Hc Bx Bone Trocar Ndl Superficial	26	8	$637.00	$573.30	$337.61	$637.00	$343.50	2026-05-22
12031	CPT	Hc Int Rep S/a/t/ex 2.5 Cm/<	26	8	$636.00	$572.40	$337.08	$636.00	$343.00	2026-05-22
78013	CPT	Hc Thyroid Imag W/blood Flow	26	8	$628.00	$565.20	$332.84	$628.00	$338.50	2026-05-22
64615	CPT	Hc Chemodenerv Musc Migraine	26	8	$613.00	$551.70	$321.30	$613.00	$337.15	2026-05-22
28190	CPT	Hc Rem Fb Foot Sq	26	8	$625.00	$562.50	$331.25	$625.00	$337.00	2026-05-22
47000	CPT	Hc Bx Needle Liver Perc	26	8	$624.00	$561.60	$330.72	$624.00	$336.50	2026-05-22
41115	CPT	Hc Excision Of Lingual Frenum (frenectomy)	26	8	$624.00	$561.60	$330.72	$624.00	$336.50	2026-05-22
92610	CPT	Hc Evaluate Swallowing Function	26	8	$622.00	$559.80	$329.66	$622.00	$335.50	2026-05-22
J1610	HCPCS	Glucagon Hcl (rdna) 1 Mg Ij Solr	50	8	$587.51	$587.51	$195.79	$625.63	$331.58	2026-05-22
25535	CPT	Hc Cl Tx Ulnar Shft Fx W Manip	26	8	$615.00	$553.50	$325.95	$615.00	$331.50	2026-05-22
97607	CPT	Hc Neg Press Wnd Tx <=50 Sq Cm (non-dme)	26	8	$615.00	$553.50	$325.95	$615.00	$331.50	2026-05-22
93926	CPT	Hc Duplex Le Art/bpg; Unil/limit	26	8	$613.00	$551.70	$324.89	$613.00	$330.50	2026-05-22
90677	CPT	Pneumococcal 20-val Conj Vacc 0.5 Ml IM Susy	50	8	$610.65	$610.65	$321.63	$610.65	$329.00	2026-05-22
28470	CPT	Hc Cl Tx Metatarsal Fx Wo Manip	26	8	$608.00	$547.20	$322.24	$608.00	$328.00	2026-05-22
A0428	HCPCS	Hc Bls Non Emergent	26	8	$607.00	$546.30	$321.71	$607.00	$327.00	2026-05-22
24200	CPT	Hc Rem Fb Up Arm Or Elbow Sq	26	8	$604.00	$543.60	$320.12	$604.00	$326.00	2026-05-22
29580	CPT	Hc Unna Boot Strapping	52	8	$472.00	$424.80	$166.95	$629.00	$324.19	2026-05-22
56405	CPT	Hc I & D Of Vulva Or Perineal Abscess	26	8	$594.00	$534.60	$314.82	$594.00	$320.00	2026-05-22
32554	CPT	Hc Aspirate Pleura Without Imaging	26	8	$594.00	$534.60	$314.82	$594.00	$320.00	2026-05-22
28515	CPT	Hc Cl Tx Fx Phalanx/phalang W Manip	26	8	$590.00	$531.00	$312.70	$590.00	$318.00	2026-05-22
27250	CPT	Hc Cl Tx Trauma Hip Disloc Wo Anesth	26	8	$589.00	$530.10	$312.17	$589.00	$317.50	2026-05-22
46608	CPT	Hc Anoscopy; W Rem Fb	26	8	$582.00	$523.80	$308.46	$582.00	$314.00	2026-05-22
95913	CPT	Hc Nrv Conduct Tst 13/> Studies	26	8	$582.00	$523.80	$308.46	$582.00	$314.00	2026-05-22
95806	CPT	Hc Sleep Study Unatt & Resp Efft	26	8	$568.00	$511.20	$297.54	$568.00	$312.40	2026-05-22
76998	CPT	Hc US Guidance Intraoperative	26	8	$577.00	$519.30	$305.81	$577.00	$311.00	2026-05-22
G0399	HCPCS	Hc Home Sleep Test/type 3 Porta	26	8	$568.00	$511.20	$301.04	$568.00	$306.50	2026-05-22

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