|
J1950
|
HCPCS
|
Injection, Leuprolide Acetate (for Depot Suspension), Per 3.75 Mg
|
16
|
8
|
$14,700.00
|
$14,700.00
|
$776.69
|
$24,990.00
|
$13,230.00
|
2026-05-28
|
|
J2997
|
HCPCS
|
Injection, Alteplase Recombinant, 1 Mg
|
16
|
8
|
$10,890.00
|
$10,890.00
|
$53.62
|
$18,513.00
|
$9,801.00
|
2026-05-28
|
|
00830
|
HCPCS
|
Anesthesia For Other Repair Of Lower Abdomen Hernia (1 Year Or Older)
|
14
|
7
|
$4,472.00
|
$4,472.00
|
$1,900.60
|
$7,602.40
|
$4,248.40
|
2026-05-28
|
|
00840
|
HCPCS
|
Anesthesia For Other Procedure On Lower Abdomen
|
14
|
7
|
$4,472.00
|
$4,472.00
|
$1,900.60
|
$7,602.40
|
$4,248.40
|
2026-05-28
|
|
4551641
|
CDM
|
Mycromesh-18 Cm X 24 Cm
|
14
|
7
|
$4,310.40
|
$4,310.40
|
$1,831.92
|
$7,327.68
|
$4,094.88
|
2026-05-28
|
|
J0630
|
HCPCS
|
Injection, Calcitonin Salmon, Up To 400 Units
|
16
|
8
|
$3,879.03
|
$3,879.03
|
$1,417.27
|
$6,594.35
|
$3,491.13
|
2026-05-28
|
|
71270
|
HCPCS
|
CT Scan Of Chest Before And After Contrast
|
16
|
8
|
$3,200.00
|
$3,200.00
|
$215.18
|
$5,440.00
|
$2,880.00
|
2026-05-28
|
|
49507
|
HCPCS
|
Repair Of Trapped Groin Hernia (5 Years Or Older)
|
14
|
7
|
$3,025.94
|
$3,025.94
|
$366.03
|
$4,120.43
|
$2,874.64
|
2026-05-28
|
|
49585
|
HCPCS
|
Repair Umbilical Hernia, Age 5 Years Or Older; Reducible
|
12
|
6
|
$3,383.95
|
$3,383.95
|
$366.03
|
$3,214.75
|
$2,850.83
|
2026-05-28
|
|
J3111
|
HCPCS
|
Injection, Romosozumab-aqqg, 1 Mg
|
12
|
6
|
$3,000.00
|
$3,000.00
|
$13.80
|
$5,100.00
|
$2,850.00
|
2026-05-28
|
|
71271
|
HCPCS
|
Low Dose CT Scan Of Chest For Lung Cancer Screening
|
6
|
6
|
$3,000.00
|
$3,000.00
|
$480.41
|
$5,100.00
|
$2,850.00
|
2026-05-28
|
|
4554108
|
CDM
|
Hernia Patch 6.4 Cm Ventralex
|
14
|
7
|
$2,989.03
|
$2,989.03
|
$1,270.34
|
$5,081.35
|
$2,839.58
|
2026-05-28
|
|
71260
|
HCPCS
|
CT Scan Of Chest With Contrast
|
16
|
8
|
$3,150.00
|
$3,150.00
|
$215.18
|
$5,355.00
|
$2,835.00
|
2026-05-28
|
|
Q0247
|
HCPCS
|
Injection, Sotrovimab, 500 Mg
|
12
|
6
|
$2,954.00
|
$2,954.00
|
$2,510.90
|
$5,021.80
|
$2,827.58
|
2026-05-28
|
|
4554204
|
CDM
|
Hernia Patch Ventralex St Medium
|
14
|
7
|
$2,874.20
|
$2,874.20
|
$1,221.54
|
$4,886.14
|
$2,730.49
|
2026-05-28
|
|
Q0240
|
HCPCS
|
Injection, Casirivimab And Imdevimab, 600 Mg
|
12
|
6
|
$2,800.00
|
$2,800.00
|
$0.10
|
$4,760.00
|
$2,660.00
|
2026-05-28
|
|
4554107
|
CDM
|
Hernia Patch 4.3 Cm Ventralex
|
14
|
7
|
$2,553.79
|
$2,553.79
|
$1,085.36
|
$4,341.44
|
$2,426.10
|
2026-05-28
|
|
J1611
|
HCPCS
|
Injection, Glucagon Hydrochloride (fresenius Kabi), Not Therapeutically Equivale…
|
14
|
7
|
$2,552.00
|
$2,552.00
|
$1,084.60
|
$4,338.40
|
$2,424.40
|
2026-05-28
|
|
74178
|
HCPCS
|
CT Scan Of Abdomen And Pelvis Before And After Contrast
|
16
|
8
|
$2,600.00
|
$2,600.00
|
$215.18
|
$4,420.00
|
$2,340.00
|
2026-05-28
|
|
4554205
|
CDM
|
Hernia Patch Ventralex St Small
|
14
|
7
|
$2,458.16
|
$2,458.16
|
$1,044.72
|
$4,178.87
|
$2,335.25
|
2026-05-28
|
|
49561
|
HCPCS
|
Repair Initial Incisional Or Ventral Hernia; Incarcerated Or Strangulated
|
12
|
6
|
$2,872.13
|
$2,872.13
|
$366.03
|
$2,728.52
|
$2,317.43
|
2026-05-28
|
|
J1610
|
HCPCS
|
Injection, Glucagon Hydrochloride, Per 1 Mg
|
16
|
8
|
$2,552.00
|
$2,552.00
|
$121.76
|
$4,338.40
|
$2,296.80
|
2026-05-28
|
|
4554203
|
CDM
|
Hernia Light Plug
|
14
|
7
|
$2,337.89
|
$2,337.89
|
$993.60
|
$3,974.41
|
$2,221.00
|
2026-05-28
|
|
J7304
|
HCPCS
|
Contraceptive Supply, Hormone Containing Patch, Each
|
14
|
7
|
$2,271.60
|
$2,271.60
|
$965.43
|
$3,861.72
|
$2,158.02
|
2026-05-28
|
|
J0897
|
HCPCS
|
Injection, Denosumab, 1 Mg
|
26
|
8
|
$2,060.00
|
$2,060.00
|
$11.67
|
$7,347.40
|
$2,060.00
|
2026-05-28
|
|
74176
|
HCPCS
|
CT Scan Of Abdomen And Pelvis Without Contrast
|
16
|
8
|
$2,275.00
|
$2,275.00
|
$215.18
|
$3,867.50
|
$2,047.50
|
2026-05-28
|
|
74177
|
HCPCS
|
CT Scan Of Abdomen And Pelvis With Contrast
|
24
|
8
|
$2,275.00
|
$2,275.00
|
$215.18
|
$3,867.50
|
$2,047.50
|
2026-05-28
|
|
4551132
|
CDM
|
Endoclip Applier
|
14
|
7
|
$2,067.50
|
$2,067.50
|
$878.69
|
$3,514.75
|
$1,964.13
|
2026-05-28
|
|
J7309
|
HCPCS
|
Methyl Aminolevulinate (mal) For Topical Administration, 16.8%, 1 Gram
|
16
|
8
|
$2,176.00
|
$2,176.00
|
$48.52
|
$3,699.20
|
$1,958.40
|
2026-05-28
|
|
74175
|
HCPCS
|
CT Scan Of Blood Vessels Of Abdomen With Contrast
|
16
|
8
|
$2,100.00
|
$2,100.00
|
$558.05
|
$3,570.00
|
$1,890.00
|
2026-05-28
|
|
J0129
|
HCPCS
|
Injection, Abatacept, 10 Mg (code May Be Used For Medicare When Drug Administere…
|
8
|
8
|
$2,040.00
|
$2,040.00
|
$32.96
|
$3,468.00
|
$1,836.00
|
2026-05-28
|
|
93306
|
HCPCS
|
Ultrasound Of Heart With Color-depicted Blood Flow, Rate, Direction And Valve Fu…
|
16
|
8
|
$1,988.00
|
$1,988.00
|
$720.58
|
$3,379.60
|
$1,789.20
|
2026-05-28
|
|
00740
|
HCPCS
|
Anesthesia For Upper Gastrointestinal Endoscopic Procedures, Endoscope Introduce…
|
14
|
7
|
$1,810.00
|
$1,810.00
|
$769.25
|
$3,077.00
|
$1,719.50
|
2026-05-28
|
|
J7307
|
HCPCS
|
Etonogestrel (contraceptive) Implant System, Including Implant And Supplies
|
14
|
7
|
$2,176.00
|
$2,176.00
|
$366.03
|
$2,067.20
|
$1,651.17
|
2026-05-28
|
|
26123
|
HCPCS
|
Removal Of Connective Tissue Of Palm And Release Of Finger, First Digit
|
14
|
7
|
$1,725.00
|
$1,725.00
|
$366.03
|
$1,980.61
|
$1,638.75
|
2026-05-28
|
|
36558
|
HCPCS
|
Insertion Of Tunneled Central Venous Tube For Infusion (5 Years Or Older)
|
26
|
8
|
$1,923.00
|
$1,923.00
|
$215.97
|
$3,269.10
|
$1,634.55
|
2026-05-28
|
|
4554053
|
CDM
|
Mycromesh -5 Cm X 15 Cm
|
14
|
7
|
$1,698.52
|
$1,698.52
|
$721.87
|
$2,887.48
|
$1,613.59
|
2026-05-28
|
|
73720
|
HCPCS
|
MRI Scan Of Leg Before And After Contrast
|
32
|
8
|
$1,775.00
|
$1,775.00
|
$247.48
|
$3,017.50
|
$1,597.50
|
2026-05-28
|
|
72158
|
HCPCS
|
MRI Scan Of Lower Spinal Canal Before And After Contrast
|
16
|
8
|
$1,775.00
|
$1,775.00
|
$247.48
|
$3,017.50
|
$1,597.50
|
2026-05-28
|
|
72157
|
HCPCS
|
MRI Scan Of Middle Spinal Canal Before And After Contrast
|
16
|
8
|
$1,713.75
|
$1,713.75
|
$247.48
|
$2,913.38
|
$1,542.38
|
2026-05-28
|
|
70553
|
HCPCS
|
MRI Scan Of Brain Before And After Contrast
|
16
|
8
|
$1,713.75
|
$1,713.75
|
$247.48
|
$2,913.38
|
$1,542.38
|
2026-05-28
|
|
72156
|
HCPCS
|
MRI Scan Of Upper Spinal Canal Before And After Contrast
|
16
|
8
|
$1,713.75
|
$1,713.75
|
$247.48
|
$2,913.38
|
$1,542.38
|
2026-05-28
|
|
35226
|
HCPCS
|
Repair Of Blood Vessel Of Leg
|
24
|
8
|
$1,490.69
|
$1,490.69
|
$366.03
|
$3,884.50
|
$1,492.54
|
2026-05-28
|
|
12017
|
HCPCS
|
Simple Repair Of Surface Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 20.…
|
24
|
8
|
$793.50
|
$793.50
|
$366.03
|
$3,882.38
|
$1,492.54
|
2026-05-28
|
|
44950
|
HCPCS
|
Removal Of Appendix
|
14
|
7
|
$1,525.19
|
$1,525.19
|
$366.03
|
$5,906.48
|
$1,448.93
|
2026-05-28
|
|
72194
|
HCPCS
|
CT Scan Of Pelvis Before And After Contrast
|
16
|
8
|
$1,600.00
|
$1,600.00
|
$215.18
|
$2,720.00
|
$1,440.00
|
2026-05-28
|
|
J0841
|
HCPCS
|
Injection, Crotalidae Immune F(ab')2 (equine), 120 Mg
|
16
|
8
|
$1,510.00
|
$1,510.00
|
$739.01
|
$2,567.00
|
$1,434.50
|
2026-05-28
|
|
49582
|
HCPCS
|
Repair Umbilical Hernia, Younger Than Age 5 Years; Incarcerated Or Strangulated
|
12
|
6
|
$1,581.25
|
$1,581.25
|
$366.03
|
$1,903.80
|
$1,423.12
|
2026-05-28
|
|
25565
|
HCPCS
|
Closed Treatment Of Broken Midpart Of Both Forearm Bones With Manipulation
|
24
|
8
|
$1,259.25
|
$1,259.25
|
$366.03
|
$3,600.60
|
$1,411.20
|
2026-05-28
|
|
74170
|
HCPCS
|
CT Scan Of Abdomen Before And After Contrast
|
16
|
8
|
$1,550.00
|
$1,550.00
|
$215.18
|
$2,635.00
|
$1,395.00
|
2026-05-28
|
|
72130
|
HCPCS
|
CT Scan Of Middle Spine Before And After Contrast
|
16
|
8
|
$1,525.00
|
$1,525.00
|
$215.18
|
$2,592.50
|
$1,372.50
|
2026-05-28
|
|
70460
|
HCPCS
|
CT Scan Head Or Brain With Contrast
|
16
|
8
|
$1,500.00
|
$1,500.00
|
$215.18
|
$2,550.00
|
$1,350.00
|
2026-05-28
|
|
72125
|
HCPCS
|
CT Scan Of Upper Spine Without Contrast
|
16
|
8
|
$1,500.00
|
$1,500.00
|
$215.18
|
$2,550.00
|
$1,350.00
|
2026-05-28
|
|
70482
|
HCPCS
|
CT Scan Of Cranial Cavity Before And After Contrast
|
16
|
8
|
$1,495.00
|
$1,495.00
|
$215.18
|
$2,541.50
|
$1,345.50
|
2026-05-28
|
|
86972
|
HCPCS
|
Pretreatment Of Red Blood Cells For Use In Red Blood Cells Antibody Analysis And…
|
14
|
7
|
$1,410.00
|
$1,410.00
|
$599.25
|
$2,397.00
|
$1,339.50
|
2026-05-28
|
|
72132
|
HCPCS
|
CT Scan Of Lower Spine With Contrast
|
16
|
8
|
$1,475.00
|
$1,475.00
|
$215.18
|
$2,507.50
|
$1,327.50
|
2026-05-28
|
|
70470
|
HCPCS
|
CT Scan Of Head Or Brain Before And After Contrast
|
16
|
8
|
$1,475.00
|
$1,475.00
|
$215.18
|
$2,507.50
|
$1,327.50
|
2026-05-28
|
|
70488
|
HCPCS
|
CT Scan Of Face Before And After Contrast
|
16
|
8
|
$1,475.00
|
$1,475.00
|
$215.18
|
$2,507.50
|
$1,327.50
|
2026-05-28
|
|
72133
|
HCPCS
|
CT Scan Of Lower Spine Before And After Contrast
|
16
|
8
|
$1,475.00
|
$1,475.00
|
$215.18
|
$2,507.50
|
$1,327.50
|
2026-05-28
|
|
72193
|
HCPCS
|
CT Scan Of Pelvis With Contrast
|
16
|
8
|
$1,475.00
|
$1,475.00
|
$215.18
|
$2,507.50
|
$1,327.50
|
2026-05-28
|
|
72131
|
HCPCS
|
CT Scan Of Lower Spine Without Contrast
|
16
|
8
|
$1,475.00
|
$1,475.00
|
$215.18
|
$2,507.50
|
$1,327.50
|
2026-05-28
|
|
71250
|
HCPCS
|
CT Scan Of Chest Without Contrast
|
32
|
8
|
$2,418.75
|
$2,418.75
|
$215.18
|
$5,886.25
|
$1,306.25
|
2026-05-28
|
|
46260
|
HCPCS
|
Removal Of Multiple Hemorrhoid Groups
|
14
|
7
|
$1,374.25
|
$1,374.25
|
$366.03
|
$2,869.41
|
$1,305.54
|
2026-05-28
|
|
70481
|
HCPCS
|
CT Scan Of Cranial Cavity With Contrast
|
16
|
8
|
$1,450.00
|
$1,450.00
|
$215.18
|
$2,465.00
|
$1,305.00
|
2026-05-28
|
|
73723
|
HCPCS
|
MRI Scan Of Leg Joint Before And After Contrast
|
16
|
8
|
$1,450.00
|
$1,450.00
|
$247.48
|
$2,465.00
|
$1,305.00
|
2026-05-28
|
|
72192
|
HCPCS
|
CT Scan Of Pelvis Without Contrast
|
16
|
8
|
$1,450.00
|
$1,450.00
|
$215.18
|
$2,465.00
|
$1,305.00
|
2026-05-28
|
|
74150
|
HCPCS
|
CT Scan Of Abdomen Without Contrast
|
16
|
8
|
$1,450.00
|
$1,450.00
|
$215.18
|
$2,465.00
|
$1,305.00
|
2026-05-28
|
|
70336
|
HCPCS
|
MRI Scan Of Jaw Joint
|
16
|
8
|
$1,443.00
|
$1,443.00
|
$247.48
|
$2,453.10
|
$1,298.70
|
2026-05-28
|
|
72142
|
HCPCS
|
MRI Scan Of Upper Spinal Canal With Contrast
|
16
|
8
|
$1,442.50
|
$1,442.50
|
$247.48
|
$2,452.25
|
$1,298.26
|
2026-05-28
|
|
72146
|
HCPCS
|
MRI Scan Of Middle Spinal Canal Without Contrast
|
16
|
8
|
$1,442.50
|
$1,442.50
|
$247.48
|
$2,452.25
|
$1,298.26
|
2026-05-28
|
|
72141
|
HCPCS
|
MRI Scan Of Upper Spinal Canal Without Contrast
|
16
|
8
|
$1,442.50
|
$1,442.50
|
$247.48
|
$2,452.25
|
$1,298.26
|
2026-05-28
|
|
72147
|
HCPCS
|
MRI Scan Of Middle Spinal Canal With Contrast
|
16
|
8
|
$1,442.50
|
$1,442.50
|
$247.48
|
$2,452.25
|
$1,298.26
|
2026-05-28
|
|
72149
|
HCPCS
|
MRI Scan Of Lower Spinal Canal With Contrast
|
16
|
8
|
$1,442.50
|
$1,442.50
|
$247.48
|
$2,452.25
|
$1,298.26
|
2026-05-28
|
|
72148
|
HCPCS
|
MRI Scan Of Lower Spinal Canal Without Contrast
|
32
|
8
|
$1,442.50
|
$1,442.50
|
$247.48
|
$2,452.25
|
$1,298.26
|
2026-05-28
|
|
11406
|
HCPCS
|
Removal Of Noncancer Skin Growth Of Body, Arms, Or Legs, More Than 4.0 Cm
|
14
|
7
|
$1,351.25
|
$1,351.25
|
$366.03
|
$2,077.57
|
$1,283.69
|
2026-05-28
|
|
70498
|
HCPCS
|
CT Scan Of Blood Vessels Of Neck With Contrast
|
16
|
8
|
$1,425.00
|
$1,425.00
|
$545.38
|
$2,422.50
|
$1,282.50
|
2026-05-28
|
|
88184
|
HCPCS
|
Flow Cytometry Technique For DNA Or Cell Analysis, First Marker
|
16
|
8
|
$1,419.33
|
$1,419.33
|
$82.07
|
$2,412.86
|
$1,277.39
|
2026-05-28
|
|
15100
|
HCPCS
|
Partial Thickness Self Skin Graft To Trunk, Arms, Or Legs, 100.0 Sq Cm Or 1% Bod…
|
24
|
8
|
$1,437.50
|
$1,437.50
|
$366.03
|
$3,746.09
|
$1,268.94
|
2026-05-28
|
|
74160
|
HCPCS
|
CT Scan Of Abdomen With Contrast
|
16
|
8
|
$1,400.00
|
$1,400.00
|
$215.18
|
$2,380.00
|
$1,260.00
|
2026-05-28
|
|
73223
|
HCPCS
|
MRI Scan Of Arm Joint Before And After Contrast
|
32
|
8
|
$1,400.00
|
$1,400.00
|
$247.48
|
$2,380.00
|
$1,260.00
|
2026-05-28
|
|
73722
|
HCPCS
|
MRI Scan Of Leg Joint With Contrast
|
32
|
8
|
$1,400.00
|
$1,400.00
|
$247.48
|
$2,380.00
|
$1,260.00
|
2026-05-28
|
|
J7298
|
HCPCS
|
Levonorgestrel-releasing Intrauterine Contraceptive System (mirena), 52 Mg
|
14
|
7
|
$1,293.75
|
$1,293.75
|
$366.03
|
$1,651.90
|
$1,229.06
|
2026-05-28
|
|
27301
|
HCPCS
|
Drainage Of Deep Abscess Or Blood Accumulation Of Thigh Or Knee
|
14
|
7
|
$1,286.56
|
$1,286.56
|
$366.03
|
$3,669.33
|
$1,222.23
|
2026-05-28
|
|
49255
|
HCPCS
|
Removal Of Lining Covering Abdominal Organs
|
12
|
6
|
$1,437.50
|
$1,437.50
|
$366.03
|
$1,365.63
|
$1,221.88
|
2026-05-28
|
|
47100
|
HCPCS
|
Partial Removal Of Liver Tissue
|
12
|
6
|
$1,430.31
|
$1,430.31
|
$366.03
|
$1,358.79
|
$1,215.76
|
2026-05-28
|
|
73222
|
HCPCS
|
MRI Scan Of Arm Joint With Contrast
|
32
|
8
|
$1,350.00
|
$1,350.00
|
$247.48
|
$2,295.00
|
$1,215.00
|
2026-05-28
|
|
73719
|
HCPCS
|
MRI Scan Of Leg With Contrast
|
32
|
8
|
$1,350.00
|
$1,350.00
|
$247.48
|
$2,295.00
|
$1,215.00
|
2026-05-28
|
|
70492
|
HCPCS
|
CT Scan Of Soft Tissue Of Neck Before And After Contrast
|
16
|
8
|
$1,345.00
|
$1,345.00
|
$215.18
|
$2,286.50
|
$1,210.50
|
2026-05-28
|
|
15240
|
HCPCS
|
Full Thickness Skin Graft To Forehead, Cheeks, Chin, Mouth, Neck, Underarms, Gen…
|
24
|
8
|
$1,824.75
|
$1,824.75
|
$366.03
|
$3,312.80
|
$1,178.42
|
2026-05-28
|
|
70450
|
HCPCS
|
CT Scan Head Or Brain Without Contrast
|
32
|
8
|
$1,300.00
|
$1,300.00
|
$215.18
|
$2,295.00
|
$1,167.50
|
2026-05-28
|
|
73718
|
HCPCS
|
MRI Scan Of Leg Without Contrast
|
32
|
8
|
$1,296.00
|
$1,296.00
|
$247.48
|
$2,203.20
|
$1,166.40
|
2026-05-28
|
|
73221
|
HCPCS
|
MRI Scan Of Arm Joint Without Contrast
|
48
|
8
|
$1,296.00
|
$1,296.00
|
$247.48
|
$2,203.20
|
$1,166.40
|
2026-05-28
|
|
73721
|
HCPCS
|
MRI Scan Of Leg Joint Without Contrast
|
32
|
8
|
$1,296.00
|
$1,296.00
|
$247.48
|
$2,203.20
|
$1,166.40
|
2026-05-28
|
|
70491
|
HCPCS
|
CT Scan Of Soft Tissue Of Neck With Contrast
|
16
|
8
|
$1,295.00
|
$1,295.00
|
$215.18
|
$2,201.50
|
$1,165.50
|
2026-05-28
|
|
70487
|
HCPCS
|
CT Scan Of Face With Contrast
|
16
|
8
|
$1,295.00
|
$1,295.00
|
$215.18
|
$2,201.50
|
$1,165.50
|
2026-05-28
|
|
11646
|
HCPCS
|
Removal Of Cancer Skin Growth Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, More…
|
14
|
7
|
$1,226.19
|
$1,226.19
|
$366.03
|
$1,896.78
|
$1,164.88
|
2026-05-28
|
|
72191
|
HCPCS
|
CT Scan Of Blood Vessels Of Pelvis With Contrast
|
14
|
7
|
$1,200.00
|
$1,200.00
|
$510.00
|
$2,040.00
|
$1,140.00
|
2026-05-28
|
|
94002
|
HCPCS
|
Initial Hospital Inpatient Or Observation Ventilation Assistance And Management
|
14
|
7
|
$1,200.00
|
$1,200.00
|
$510.00
|
$2,040.00
|
$1,140.00
|
2026-05-28
|
|
26776
|
HCPCS
|
Placement Of Stabilizing Device For Dislocated Finger Joint With Manipulation
|
14
|
7
|
$1,545.31
|
$1,545.31
|
$366.03
|
$1,468.04
|
$1,126.15
|
2026-05-28
|
|
72129
|
HCPCS
|
CT Scan Of Middle Spine With Contrast
|
16
|
8
|
$1,250.00
|
$1,250.00
|
$215.18
|
$2,125.00
|
$1,125.00
|
2026-05-28
|
|
75635
|
HCPCS
|
CT Scan Of Abdominal Aorta And Both Leg Arteries With Contrast
|
16
|
8
|
$1,150.00
|
$1,150.00
|
$587.77
|
$1,955.00
|
$1,121.25
|
2026-05-28
|
|
70496
|
HCPCS
|
CT Scan Of Blood Vessels Of Head With Contrast
|
16
|
8
|
$1,150.00
|
$1,150.00
|
$544.94
|
$1,955.00
|
$1,092.50
|
2026-05-28
|
|
72127
|
HCPCS
|
CT Scan Of Upper Spine Before And After Contrast
|
16
|
8
|
$1,200.00
|
$1,200.00
|
$215.18
|
$2,040.00
|
$1,080.00
|
2026-05-28
|
|
36481
|
HCPCS
|
Insertion Of Tube Into Portal Vein Of Liver
|
12
|
6
|
$1,267.45
|
$1,267.45
|
$366.03
|
$1,204.08
|
$1,077.33
|
2026-05-28
|
|
70486
|
HCPCS
|
CT Scan Of Face Without Contrast
|
26
|
8
|
$1,275.00
|
$1,275.00
|
$215.18
|
$2,167.50
|
$1,075.00
|
2026-05-28
|
|
13152
|
HCPCS
|
Complicated Repair Of Wound Of Eyelids, Nose, Ears, Or Lip, 2.6-7.5 Cm
|
14
|
7
|
$1,128.44
|
$1,128.44
|
$366.03
|
$1,618.02
|
$1,072.02
|
2026-05-28
|
|
71275
|
HCPCS
|
CT Scan Of Blood Vessels Of Chest With Contrast
|
16
|
8
|
$1,075.00
|
$1,075.00
|
$537.95
|
$1,827.50
|
$1,048.12
|
2026-05-28
|
|
0097U
|
OTHER
|
Gastrointestinal Pathogen, Multiplex Reverse Transcription And Multiplex Amplifi…
|
14
|
7
|
$1,090.00
|
$1,090.00
|
$463.25
|
$1,853.00
|
$1,035.50
|
2026-05-28
|
|
73701
|
HCPCS
|
CT Scan Of Leg With Contrast Material
|
16
|
8
|
$1,150.00
|
$1,150.00
|
$215.18
|
$1,955.00
|
$1,035.00
|
2026-05-28
|
|
11644
|
HCPCS
|
Removal Of Cancer Skin Growth Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 3.1-…
|
14
|
7
|
$1,083.88
|
$1,083.88
|
$366.03
|
$1,315.02
|
$1,029.69
|
2026-05-28
|
|
28505
|
HCPCS
|
Treatment Of Broken Great Toe
|
24
|
8
|
$1,046.99
|
$1,046.99
|
$366.03
|
$2,157.36
|
$1,029.57
|
2026-05-28
|
|
12034
|
HCPCS
|
Intermediate Repair Of Wound Of Scalp, Underarms, Trunk, Arms, Or Legs, 7.6-12.5…
|
24
|
8
|
$455.69
|
$455.69
|
$366.03
|
$1,943.10
|
$1,028.70
|
2026-05-28
|
|
25605
|
HCPCS
|
Closed Treatment Of Broken Or Growth Plate Separate Of Forearm Bone At Wrist Wit…
|
14
|
7
|
$1,066.63
|
$1,066.63
|
$366.03
|
$1,434.20
|
$1,013.30
|
2026-05-28
|
|
11626
|
HCPCS
|
Removal Of Cancer Skin Growth Of Scalp, Neck, Hands, Feet, Or Genitals, More Tha…
|
14
|
7
|
$1,055.13
|
$1,055.13
|
$366.03
|
$3,084.55
|
$1,002.37
|
2026-05-28
|
|
26055
|
HCPCS
|
Incision Of Tendon Covering Of Finger
|
34
|
8
|
$1,114.06
|
$1,114.06
|
$261.94
|
$2,001.75
|
$1,000.88
|
2026-05-28
|
|
G0123
|
HCPCS
|
Screening Cytopathology, Cervical Or Vaginal (any Reporting System), Collected I…
|
10
|
5
|
$1,994.00
|
$1,994.00
|
$20.26
|
$1,694.90
|
$997.00
|
2026-05-28
|
|
74183
|
HCPCS
|
MRI Scan Of Abdomen Before And After Contrast
|
8
|
8
|
$1,091.00
|
$1,091.00
|
$247.48
|
$1,854.70
|
$981.90
|
2026-05-28
|
|
15152300
|
CDM
|
Room & Board - Semi-private (two Beds) - General Classification
|
10
|
5
|
$1,150.00
|
$1,150.00
|
$488.75
|
$1,092.50
|
$977.50
|
2026-05-28
|
|
4551621
|
CDM
|
Port-a-cath
|
14
|
7
|
$1,025.25
|
$1,025.25
|
$435.73
|
$1,742.93
|
$973.99
|
2026-05-28
|
|
31623
|
HCPCS
|
Exam Of Lung Airways Using An Endoscope
|
14
|
7
|
$1,024.94
|
$1,024.94
|
$366.03
|
$1,612.97
|
$973.69
|
2026-05-28
|
|
59426
|
HCPCS
|
Predelivery Care, 7 Or More Visits
|
12
|
6
|
$1,143.00
|
$1,143.00
|
$366.03
|
$1,085.85
|
$971.55
|
2026-05-28
|
|
70543
|
HCPCS
|
MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Before And After Contrast
|
16
|
8
|
$1,075.00
|
$1,075.00
|
$247.48
|
$1,827.50
|
$967.50
|
2026-05-28
|
|
73702
|
HCPCS
|
CT Scan Of Leg Before And After Contrast
|
32
|
8
|
$1,075.00
|
$1,075.00
|
$215.18
|
$1,827.50
|
$967.50
|
2026-05-28
|
|
4554713
|
CDM
|
Powerpicc 5fr Triple Lumen
|
14
|
7
|
$1,012.00
|
$1,012.00
|
$430.10
|
$1,720.40
|
$961.40
|
2026-05-28
|
|
26080
|
HCPCS
|
Incision Of Finger Joint For Exploration, Fluid Drainage, Or Removal Of Foreign …
|
14
|
7
|
$1,010.56
|
$1,010.56
|
$366.03
|
$1,454.40
|
$960.03
|
2026-05-28
|
|
23700
|
HCPCS
|
Manipulation Of Shoulder Joint Under Anesthesia
|
14
|
7
|
$1,007.69
|
$1,007.69
|
$366.03
|
$1,062.52
|
$957.31
|
2026-05-28
|
|
46250
|
HCPCS
|
Removal Of Multiple External Hemorrhoids
|
14
|
7
|
$1,006.25
|
$1,006.25
|
$366.03
|
$3,219.88
|
$955.94
|
2026-05-28
|
|
73202
|
HCPCS
|
CT Scan Of Arm Before And After Contrast
|
16
|
8
|
$1,050.00
|
$1,050.00
|
$215.18
|
$1,785.00
|
$945.00
|
2026-05-28
|
|
70540
|
HCPCS
|
MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Without Contrast
|
16
|
8
|
$1,050.00
|
$1,050.00
|
$247.48
|
$1,785.00
|
$945.00
|
2026-05-28
|
|
30300
|
HCPCS
|
Removal Of Foreign Body In Nose
|
34
|
8
|
$1,100.00
|
$1,100.00
|
$105.73
|
$1,870.00
|
$935.00
|
2026-05-28
|
|
4551589
|
CDM
|
Mycromesh -5 Cm X 10 Cm
|
14
|
7
|
$975.36
|
$975.36
|
$414.53
|
$1,658.11
|
$926.59
|
2026-05-28
|
|
70542
|
HCPCS
|
MRI Scan Of Bone Of Eye Socket, Face, And/or Neck With Contrast
|
16
|
8
|
$1,025.00
|
$1,025.00
|
$247.48
|
$1,742.50
|
$922.50
|
2026-05-28
|
|
72196
|
HCPCS
|
MRI Scan Of Pelvis With Contrast
|
16
|
8
|
$1,025.00
|
$1,025.00
|
$247.48
|
$1,742.50
|
$922.50
|
2026-05-28
|
|
73220
|
HCPCS
|
MRI Scan Of Arm Before And After Contrast
|
32
|
8
|
$1,025.00
|
$1,025.00
|
$247.48
|
$1,742.50
|
$922.50
|
2026-05-28
|
|
27340
|
HCPCS
|
Removal Of Fluid-filled Sac From Joint At Front Of Knee
|
14
|
7
|
$971.01
|
$971.01
|
$366.03
|
$2,700.74
|
$922.46
|
2026-05-28
|
|
43215
|
HCPCS
|
Removal Of Foreign Bodies In Esophagus Using A Flexible Endoscope
|
14
|
7
|
$1,252.06
|
$1,252.06
|
$366.03
|
$1,189.46
|
$914.05
|
2026-05-28
|
|
73700
|
HCPCS
|
CT Scan Of Leg Without Contrast
|
32
|
8
|
$1,012.50
|
$1,012.50
|
$215.18
|
$1,785.00
|
$909.38
|
2026-05-28
|
|
73200
|
HCPCS
|
CT Scan Of Arm Without Contrast
|
32
|
8
|
$1,012.50
|
$1,012.50
|
$215.18
|
$1,785.00
|
$909.38
|
2026-05-28
|
|
24535
|
HCPCS
|
Closed Treatment Of Upper Arm Bone Broken At Elbow With Manipulation
|
34
|
8
|
$879.53
|
$879.53
|
$366.03
|
$3,000.50
|
$908.73
|
2026-05-28
|
|
31720
|
HCPCS
|
Insertion Of Tube Into Airway For Aspiration Of Secretions
|
16
|
8
|
$1,000.00
|
$1,000.00
|
$325.85
|
$1,700.00
|
$900.00
|
2026-05-28
|
|
15823
|
HCPCS
|
Removal Of Excessive Skin And Fat Of Upper Eyelid
|
16
|
8
|
$982.00
|
$982.00
|
$18.05
|
$1,669.40
|
$883.80
|
2026-05-28
|
|
72128
|
HCPCS
|
CT Scan Of Middle Spine Without Contrast
|
16
|
8
|
$975.00
|
$975.00
|
$215.18
|
$1,657.50
|
$877.50
|
2026-05-28
|
|
70490
|
HCPCS
|
CT Scan Of Soft Tissue Of Neck Without Contrast
|
16
|
8
|
$975.00
|
$975.00
|
$215.18
|
$1,657.50
|
$877.50
|
2026-05-28
|
|
73201
|
HCPCS
|
CT Scan Of Arm With Contrast
|
16
|
8
|
$975.00
|
$975.00
|
$215.18
|
$1,657.50
|
$877.50
|
2026-05-28
|
|
72197
|
HCPCS
|
MRI Scan Of Pelvis Before And After Contrast
|
16
|
8
|
$975.00
|
$975.00
|
$247.48
|
$1,657.50
|
$877.50
|
2026-05-28
|
|
73219
|
HCPCS
|
MRI Scan Of Arm With Contrast
|
32
|
8
|
$975.00
|
$975.00
|
$247.48
|
$1,657.50
|
$877.50
|
2026-05-28
|
|
26952
|
HCPCS
|
Amputation Of Finger Or Thumb With Tissue Flap
|
14
|
7
|
$918.83
|
$918.83
|
$366.03
|
$2,094.74
|
$872.89
|
2026-05-28
|
|
70551
|
HCPCS
|
MRI Scan Of Brain Without Contrast
|
16
|
8
|
$969.06
|
$969.06
|
$247.48
|
$1,647.40
|
$872.15
|
2026-05-28
|
|
72195
|
HCPCS
|
MRI Scan Of Pelvis Without Contrast
|
16
|
8
|
$969.06
|
$969.06
|
$247.48
|
$1,647.40
|
$872.15
|
2026-05-28
|
|
73218
|
HCPCS
|
MRI Scan Of Arm Without Contrast
|
32
|
8
|
$969.06
|
$969.06
|
$247.48
|
$1,647.40
|
$872.15
|
2026-05-28
|
|
11606
|
HCPCS
|
Removal Of Cancer Skin Growth Of Body, Arms, Or Legs, More Than 4.0 Cm
|
14
|
7
|
$915.69
|
$915.69
|
$366.03
|
$1,998.79
|
$869.91
|
2026-05-28
|
|
36589
|
HCPCS
|
Removal Of Tunneled Central Venous Tube
|
14
|
7
|
$902.75
|
$902.75
|
$366.03
|
$958.49
|
$857.61
|
2026-05-28
|
|
23650
|
HCPCS
|
Closed Treatment Of Dislocated Shoulder With Manipulation
|
26
|
8
|
$1,201.25
|
$1,201.25
|
$332.52
|
$2,042.13
|
$844.55
|
2026-05-28
|
|
11624
|
HCPCS
|
Removal Of Cancer Skin Growth Of Scalp, Neck, Hands, Feet, Or Genitals, 3.1-4.0 …
|
14
|
7
|
$884.06
|
$884.06
|
$366.03
|
$1,805.43
|
$839.86
|
2026-05-28
|
|
4554109
|
CDM
|
Picc Line Kit 3 Fr Single Lumen
|
14
|
7
|
$877.51
|
$877.51
|
$372.94
|
$1,491.77
|
$833.63
|
2026-05-28
|
|
25505
|
HCPCS
|
Closed Treatment Of Broken Midpart Of Forearm Bone On Thumb Side With Manipulati…
|
28
|
8
|
$977.50
|
$977.50
|
$366.03
|
$1,661.75
|
$830.88
|
2026-05-28
|
|
11643
|
HCPCS
|
Removal Of Cancer Skin Growth Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 2.1-…
|
14
|
7
|
$868.25
|
$868.25
|
$366.03
|
$1,036.26
|
$824.84
|
2026-05-28
|
|
95819
|
HCPCS
|
Measurement Of Brain Wave Activity (eeg), Awake And Asleep
|
16
|
8
|
$900.00
|
$900.00
|
$164.56
|
$1,530.00
|
$810.00
|
2026-05-28
|
|
70544
|
HCPCS
|
MRI Scan Of Blood Vessels Of Head Without Contrast
|
16
|
8
|
$892.50
|
$892.50
|
$297.83
|
$1,517.25
|
$803.25
|
2026-05-28
|
|
26770
|
HCPCS
|
Closed Treatment Of Dislocated Finger Joint With Manipulation
|
24
|
8
|
$501.69
|
$501.69
|
$366.03
|
$2,042.13
|
$784.98
|
2026-05-28
|
|
12015
|
HCPCS
|
Simple Repair Of Surface Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 7.6…
|
24
|
8
|
$416.88
|
$416.88
|
$354.35
|
$2,042.13
|
$784.98
|
2026-05-28
|
|
12005
|
HCPCS
|
Simple Repair Of Surface Wound Of Scalp, Neck, Underarms, Trunk, Arms, Or Legs, …
|
24
|
8
|
$376.63
|
$376.63
|
$320.14
|
$2,042.13
|
$784.98
|
2026-05-28
|
|
49020
|
HCPCS
|
Drainage Of Abdominal Abscess Or Infection
|
12
|
6
|
$917.13
|
$917.13
|
$366.03
|
$871.27
|
$779.56
|
2026-05-28
|
|
49000
|
HCPCS
|
Exploration Of Abdominal Cavity
|
14
|
7
|
$917.13
|
$917.13
|
$366.03
|
$1,202.00
|
$779.56
|
2026-05-28
|
|
27603
|
HCPCS
|
Drainage Of Deep Abscess Or Blood Accumulation Of Leg Or Ankle
|
14
|
7
|
$882.63
|
$882.63
|
$366.03
|
$838.50
|
$769.50
|
2026-05-28
|
|
13132
|
HCPCS
|
Complicated Repair Of Wound Of Forehead, Cheeks, Chin, Mouth, Neck, Underarms, G…
|
34
|
8
|
$801.25
|
$801.25
|
$235.19
|
$1,362.13
|
$761.19
|
2026-05-28
|
|
12055
|
HCPCS
|
Intermediate Repair Of Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 12.6-…
|
14
|
7
|
$790.63
|
$790.63
|
$366.03
|
$1,363.50
|
$751.10
|
2026-05-28
|
|
J7300
|
HCPCS
|
Intrauterine Copper Contraceptive
|
14
|
7
|
$790.63
|
$790.63
|
$366.03
|
$1,549.38
|
$751.10
|
2026-05-28
|
|
P9035
|
HCPCS
|
Platelets, Pheresis, Leukocytes Reduced, Each Unit
|
14
|
7
|
$775.00
|
$775.00
|
$329.38
|
$1,317.50
|
$736.25
|
2026-05-28
|
|
31525
|
HCPCS
|
Diagnostic Exam Of Voice Box Using An Endoscope
|
14
|
7
|
$761.88
|
$761.88
|
$366.03
|
$4,467.23
|
$723.79
|
2026-05-28
|
|
239999
|
CDM
|
Veklury 100 Mg Vial
|
14
|
7
|
$761.00
|
$761.00
|
$323.43
|
$1,293.70
|
$722.95
|
2026-05-28
|
|
27355
|
HCPCS
|
Removal Of Cyst Or Growth Of Thigh Bone
|
14
|
7
|
$756.85
|
$756.85
|
$366.03
|
$1,077.67
|
$719.01
|
2026-05-28
|
|
11623
|
HCPCS
|
Removal Of Cancer Skin Growth Of Scalp, Neck, Hands, Feet, Or Genitals, 2.1-3.0 …
|
14
|
7
|
$753.25
|
$753.25
|
$366.03
|
$1,805.43
|
$715.59
|
2026-05-28
|
|
11770
|
HCPCS
|
Simple Removal Of Cyst Of Tailbone
|
14
|
7
|
$752.21
|
$752.21
|
$366.03
|
$1,714.98
|
$714.60
|
2026-05-28
|
|
97610
|
HCPCS
|
Therapy Procedure Using Ultrasound
|
7
|
7
|
$752.00
|
$752.00
|
$319.60
|
$1,278.40
|
$714.40
|
2026-05-28
|
|
84445
|
HCPCS
|
Thyroid Stimulating Immune Globulins (thyroid Related Protein) Level
|
16
|
8
|
$790.86
|
$790.86
|
$220.97
|
$1,344.46
|
$711.78
|
2026-05-28
|
|
27810
|
HCPCS
|
Closed Treatment Of 2 Broken Lower Leg Bones At Ankle With Manipulation
|
26
|
8
|
$756.00
|
$756.00
|
$420.71
|
$1,454.40
|
$701.00
|
2026-05-28
|
|
11043
|
HCPCS
|
Removal Of Muscle And/or Tissue, 20.0 Sq Cm Or Less
|
14
|
7
|
$877.48
|
$877.48
|
$131.10
|
$833.61
|
$700.21
|
2026-05-28
|
|
32554
|
HCPCS
|
Aspiration Of Fluid From Chest Cavity
|
26
|
8
|
$1,000.00
|
$1,000.00
|
$255.00
|
$1,700.00
|
$698.25
|
2026-05-28
|
|
70552
|
HCPCS
|
MRI Scan Of Brain With Contrast
|
16
|
8
|
$775.25
|
$775.25
|
$247.48
|
$1,317.93
|
$697.73
|
2026-05-28
|
|
4554098
|
CDM
|
Endo Pouch Retriver
|
14
|
7
|
$729.30
|
$729.30
|
$309.95
|
$1,239.81
|
$692.84
|
2026-05-28
|
|
27265
|
HCPCS
|
Closed Treatment Of Dislocated Hip Prosthesis
|
24
|
8
|
$871.13
|
$871.13
|
$366.03
|
$827.57
|
$692.58
|
2026-05-28
|
|
4551397
|
CDM
|
Surgiwand
|
14
|
7
|
$724.39
|
$724.39
|
$307.87
|
$1,231.46
|
$688.17
|
2026-05-28
|
|
4554110
|
CDM
|
Versaport 5-12mm Blunt Trocar
|
14
|
7
|
$708.29
|
$708.29
|
$301.02
|
$1,204.09
|
$672.88
|
2026-05-28
|
|
94003
|
HCPCS
|
Follow-up Inpatient Or Observation Ventilation Assistance And Management
|
14
|
7
|
$700.00
|
$700.00
|
$297.50
|
$1,190.00
|
$665.00
|
2026-05-28
|
|
27562
|
HCPCS
|
Closed Treatment Of Dislocated Kneecap Under Anesthesia
|
14
|
7
|
$697.19
|
$697.19
|
$366.03
|
$2,526.01
|
$662.33
|
2026-05-28
|
|
99285
|
HCPCS
|
Emergency Department Visit With High Level Of Medical Decision Making
|
26
|
8
|
$779.00
|
$779.00
|
$161.31
|
$1,324.30
|
$662.15
|
2026-05-28
|
|
11983
|
HCPCS
|
Removal With Reinsertion Of Drug Delivery Implant Into Tissue
|
12
|
6
|
$777.00
|
$777.00
|
$330.23
|
$738.15
|
$660.45
|
2026-05-28
|
|
99291
|
HCPCS
|
Critical Care, First 30-74 Minutes
|
26
|
8
|
$767.89
|
$767.89
|
$188.24
|
$1,305.41
|
$652.71
|
2026-05-28
|
|
23655
|
HCPCS
|
Closed Treatment Of Dislocated Shoulder With Manipulation Under Anesthesia
|
34
|
8
|
$1,201.25
|
$1,201.25
|
$366.03
|
$2,042.13
|
$649.03
|
2026-05-28
|
|
26418
|
HCPCS
|
Repair Of Tendon On Top Side Of Finger
|
14
|
7
|
$681.38
|
$681.38
|
$366.03
|
$3,017.88
|
$647.31
|
2026-05-28
|
|
11604
|
HCPCS
|
Removal Of Cancer Skin Growth Of Body, Arms, Or Legs, 3.1-4.0 Cm
|
14
|
7
|
$678.50
|
$678.50
|
$366.03
|
$1,186.55
|
$644.58
|
2026-05-28
|
|
4554299
|
CDM
|
Cpr Pad Electrode
|
14
|
7
|
$672.00
|
$672.00
|
$285.60
|
$1,142.40
|
$638.40
|
2026-05-28
|
|
24600
|
HCPCS
|
Repair Of Dislocated Elbow
|
24
|
8
|
$850.00
|
$850.00
|
$363.57
|
$826.20
|
$638.25
|
2026-05-28
|
|
83992
|
HCPCS
|
Pcp Drug Level
|
16
|
8
|
$697.03
|
$697.03
|
$26.41
|
$1,184.95
|
$627.33
|
2026-05-28
|
|
24075
|
HCPCS
|
Removal Of Growth Under Skin Of Upper Arm Or Elbow, Less Than 3.0 Cm
|
28
|
8
|
$681.78
|
$681.78
|
$291.08
|
$1,284.72
|
$625.95
|
2026-05-28
|
|
76536
|
HCPCS
|
Ultrasound Scan Of Head And Neck Soft Tissue
|
26
|
8
|
$630.00
|
$630.00
|
$226.10
|
$1,239.30
|
$619.65
|
2026-05-28
|
|
93975
|
HCPCS
|
Complete Ultrasound Of Abdomen And Pelvis Artery And Vein Blood Flow
|
16
|
8
|
$686.36
|
$686.36
|
$226.10
|
$1,166.81
|
$617.72
|
2026-05-28
|
|
19120
|
HCPCS
|
Removal Of Growth And Tissue Of Breast, Duct, Or Nipple
|
14
|
7
|
$646.88
|
$646.88
|
$366.03
|
$4,142.99
|
$614.54
|
2026-05-28
|
|
93880
|
HCPCS
|
Ultrasound Of Both Sides Of Head And Neck Blood Flow
|
16
|
8
|
$680.00
|
$680.00
|
$226.10
|
$1,156.00
|
$612.00
|
2026-05-28
|
|
13121
|
HCPCS
|
Complicated Repair Of Wound Of Scalp, Arms, Or Legs, 2.6-7.5 Cm
|
34
|
8
|
$718.75
|
$718.75
|
$201.38
|
$1,211.76
|
$605.88
|
2026-05-28
|
|
54700
|
HCPCS
|
Incision And Drainage Of Sperm Reservoir, Testis, And/or Scrotal Area
|
14
|
7
|
$708.69
|
$708.69
|
$301.19
|
$1,102.31
|
$602.39
|
2026-05-28
|
|
26641
|
HCPCS
|
Closed Treatment Of Dislocated Thumb At Wrist With Manipulation
|
14
|
7
|
$623.88
|
$623.88
|
$366.03
|
$809.01
|
$592.69
|
2026-05-28
|
|
87902
|
HCPCS
|
Analysis Test By Nucleic Acid For Hepatitis C Virus
|
16
|
8
|
$656.35
|
$656.35
|
$259.81
|
$1,115.80
|
$590.71
|
2026-05-28
|
|
93970
|
HCPCS
|
Ultrasound Study Of Arm Or Leg Veins With Compression And Maneuvers
|
16
|
8
|
$654.00
|
$654.00
|
$226.10
|
$1,111.80
|
$588.60
|
2026-05-28
|
|
00400
|
HCPCS
|
Anesthesia For Other Procedure On Skin Of Arms, Legs, And Front Body
|
14
|
7
|
$614.00
|
$614.00
|
$260.95
|
$1,043.80
|
$583.30
|
2026-05-28
|
|
64550
|
HCPCS
|
Appl Surface Neurostimulator
|
14
|
7
|
$614.00
|
$614.00
|
$260.95
|
$1,043.80
|
$583.30
|
2026-05-28
|
|
594250521
|
CDM
|
Rev - Fs-rural/clinic
|
12
|
6
|
$684.00
|
$684.00
|
$290.70
|
$649.80
|
$581.40
|
2026-05-28
|
|
26433
|
HCPCS
|
Repair Of Tendon On Upper Side Of End Of Finger
|
14
|
7
|
$681.38
|
$681.38
|
$289.59
|
$1,402.45
|
$579.17
|
2026-05-28
|
|
M0243
|
HCPCS
|
Intravenous Infusion Or Subcutaneous Injection, Casirivimab And Imdevimab Includ…
|
12
|
6
|
$600.00
|
$600.00
|
$342.32
|
$1,020.00
|
$570.00
|
2026-05-28
|
|
24640
|
HCPCS
|
Closed Treatment Of Dislocated Forearm Bone On Thumb Side At Elbow With Manipula…
|
28
|
8
|
$668.00
|
$668.00
|
$67.59
|
$1,135.60
|
$567.80
|
2026-05-28
|
|
49999
|
HCPCS
|
Other Procedure On Abdomen
|
12
|
6
|
$661.25
|
$661.25
|
$281.03
|
$628.19
|
$562.06
|
2026-05-28
|
|
11622
|
HCPCS
|
Removal Of Cancer Skin Growth Of Scalp, Neck, Hands, Feet, Or Genitals, 1.1-2.0 …
|
14
|
7
|
$589.38
|
$589.38
|
$361.50
|
$783.57
|
$559.91
|
2026-05-28
|
|
21337
|
HCPCS
|
Closed Treatment Of Broken Bone Separating Nose Airways
|
14
|
7
|
$588.43
|
$588.43
|
$290.70
|
$618.12
|
$559.01
|
2026-05-28
|
|
4554077
|
CDM
|
Defib Pad Kit - Zoll
|
14
|
7
|
$587.35
|
$587.35
|
$249.62
|
$998.50
|
$557.98
|
2026-05-28
|
|
87633
|
HCPCS
|
Detection Test By Nucleic Acid For Multiple Types Of Respiratory Virus, Multiple…
|
16
|
8
|
$457.71
|
$457.71
|
$389.05
|
$1,398.85
|
$557.79
|
2026-05-28
|
|
27530
|
HCPCS
|
Closed Treatment Of Broken Shin Bone
|
14
|
7
|
$586.50
|
$586.50
|
$366.03
|
$1,454.40
|
$557.18
|
2026-05-28
|
|
65235
|
HCPCS
|
Removal Of Foreign Body In Eye Or Lens
|
14
|
7
|
$862.50
|
$862.50
|
$261.25
|
$819.38
|
$555.50
|
2026-05-28
|
|
26775
|
HCPCS
|
Closed Treatment Of Dislocated Finger Joint With Manipulation Under Anesthesia
|
14
|
7
|
$582.19
|
$582.19
|
$366.03
|
$809.01
|
$553.08
|
2026-05-28
|
|
49568
|
HCPCS
|
Implantation Of Mesh Or Other Prosthesis For Open Incisional Or Ventral Hernia R…
|
12
|
6
|
$582.19
|
$582.19
|
$366.03
|
$3,821.85
|
$553.08
|
2026-05-28
|
|
15152301
|
CDM
|
Room & Board - Semi-private (two Beds) - General Classification
|
10
|
5
|
$643.25
|
$643.25
|
$273.38
|
$611.09
|
$546.76
|
2026-05-28
|
|
36590
|
HCPCS
|
Removal Of Central Venous Tube With Port Or Pump
|
14
|
7
|
$575.00
|
$575.00
|
$366.03
|
$1,906.88
|
$546.25
|
2026-05-28
|
|
49083
|
HCPCS
|
Drainage Of Fluid From Abdominal Cavity Using Imaging Guidance
|
16
|
8
|
$556.00
|
$556.00
|
$327.28
|
$1,079.61
|
$542.10
|
2026-05-28
|
|
27250
|
HCPCS
|
Closed Treatment Of Dislocated Hip
|
14
|
7
|
$816.50
|
$816.50
|
$254.60
|
$775.68
|
$541.36
|
2026-05-28
|
|
25248
|
HCPCS
|
Removal Of Deep Foreign Body In Forearm Or Wrist
|
14
|
7
|
$930.06
|
$930.06
|
$254.60
|
$883.56
|
$541.36
|
2026-05-28
|
|
93017
|
HCPCS
|
Exercise Or Drug-induced Heart Stress Test With Electrocardiogram (ecg)
|
16
|
8
|
$600.00
|
$600.00
|
$167.60
|
$1,020.00
|
$540.00
|
2026-05-28
|
|
76506
|
HCPCS
|
Ultrasound Scan Of Brain
|
16
|
8
|
$600.00
|
$600.00
|
$226.10
|
$1,020.00
|
$540.00
|
2026-05-28
|
|
29065
|
HCPCS
|
Application Of Shoulder To Hand Cast
|
44
|
8
|
$548.75
|
$548.75
|
$186.95
|
$1,094.38
|
$534.25
|
2026-05-28
|
|
12007
|
HCPCS
|
Simple Repair Of Surface Wound To Scalp, Neck, Underarms, Trunk, Arms, Or Legs, …
|
14
|
7
|
$557.75
|
$557.75
|
$366.03
|
$1,538.23
|
$529.86
|
2026-05-28
|
|
62322
|
HCPCS
|
Injection Of Substance Into Lower Spine Canal
|
14
|
7
|
$554.88
|
$554.88
|
$276.93
|
$588.83
|
$527.14
|
2026-05-28
|
|
4554099
|
CDM
|
Endoloop
|
14
|
7
|
$553.96
|
$553.96
|
$235.43
|
$941.73
|
$526.26
|
2026-05-28
|
|
11426
|
HCPCS
|
Removal Of Noncancer Skin Growth Of Scalp, Neck, Hands, Feet, Or Genitals, More …
|
14
|
7
|
$553.44
|
$553.44
|
$366.03
|
$1,882.64
|
$525.77
|
2026-05-28
|
|
26755
|
HCPCS
|
Closed Treatment Of Broken End Of Finger Or Thumb With Manipulation
|
28
|
8
|
$647.00
|
$647.00
|
$254.60
|
$1,099.90
|
$525.28
|
2026-05-28
|
|
11752
|
HCPCS
|
Remove Nail Bed/tip
|
12
|
6
|
$613.04
|
$613.04
|
$260.54
|
$582.39
|
$521.08
|
2026-05-28
|
|
19101
|
HCPCS
|
Biopsy Of Breast Through Incision
|
14
|
7
|
$547.80
|
$547.80
|
$366.03
|
$1,509.95
|
$520.41
|
2026-05-28
|
|
12045
|
HCPCS
|
Intermediate Repair Of Wound Of Neck, Hands, Feet, Or Genitals, 12.6-20.0 Cm
|
14
|
7
|
$546.25
|
$546.25
|
$366.03
|
$1,086.76
|
$518.94
|
2026-05-28
|
|
26075
|
HCPCS
|
Incision Of Lower Finger Joint For Exploration, Fluid Drainage, Or Removal Of Fo…
|
14
|
7
|
$537.63
|
$537.63
|
$366.03
|
$1,454.40
|
$510.75
|
2026-05-28
|
|
20005
|
HCPCS
|
I&d Abscess Subfascial
|
26
|
7
|
$1,200.00
|
$1,200.00
|
$106.91
|
$2,040.00
|
$510.00
|
2026-05-28
|
|
64721
|
HCPCS
|
Release And/or Relocation Of Hand Nerve
|
10
|
5
|
$596.89
|
$596.89
|
$384.89
|
$725.12
|
$507.36
|
2026-05-28
|
|
13101
|
HCPCS
|
Complicated Repair Of Wound Of Trunk, 2.6-7.5 Cm
|
14
|
7
|
$550.56
|
$550.56
|
$253.65
|
$539.34
|
$507.30
|
2026-05-28
|
|
76700
|
HCPCS
|
Complete Ultrasound Scan Of Abdomen
|
16
|
8
|
$562.00
|
$562.00
|
$71.25
|
$955.40
|
$505.80
|
2026-05-28
|
|
13120
|
HCPCS
|
Complicated Repair Of Wound Of Scalp, Arms, Or Legs, 1.1-2.5 Cm
|
34
|
8
|
$665.00
|
$665.00
|
$145.83
|
$1,130.50
|
$503.41
|
2026-05-28
|
|
12016
|
HCPCS
|
Simple Repair Of Surface Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 12.…
|
34
|
8
|
$527.56
|
$527.56
|
$110.73
|
$2,042.13
|
$501.18
|
2026-05-28
|
|
99284
|
HCPCS
|
Emergency Department Visit With Moderate Level Of Medical Decision Making
|
26
|
8
|
$589.00
|
$589.00
|
$111.00
|
$1,001.30
|
$500.65
|
2026-05-28
|
|
27630
|
HCPCS
|
Removal Of Growth Of Leg And/or Ankle Tendon Lining Or Capsule
|
14
|
7
|
$526.61
|
$526.61
|
$366.03
|
$2,356.33
|
$500.28
|
2026-05-28
|
|
92523
|
HCPCS
|
Evaluation Of Speech Sound Production With Evaluation Of Language Comprehension …
|
24
|
8
|
$551.67
|
$551.67
|
$54.63
|
$937.84
|
$496.50
|
2026-05-28
|
|
26115
|
HCPCS
|
Removal (less Than 1.5 Centimeters) Tissue Beneath The Skin Growth Of Hand Or Fi…
|
24
|
8
|
$519.23
|
$519.23
|
$292.83
|
$1,199.88
|
$493.27
|
2026-05-28
|
|
65220
|
HCPCS
|
Removal Of Foreign Body In Cornea
|
34
|
8
|
$805.00
|
$805.00
|
$35.13
|
$1,368.50
|
$480.70
|
2026-05-28
|
|
25600
|
HCPCS
|
Closed Treatment Of Broken Forearm (radius) Bone At The Wrist Area On The Thumb …
|
14
|
7
|
$506.00
|
$506.00
|
$249.78
|
$1,368.00
|
$480.70
|
2026-05-28
|
|
76770
|
HCPCS
|
Complete Ultrasound Scan Behind Abdominal Cavity
|
26
|
8
|
$502.50
|
$502.50
|
$71.25
|
$889.10
|
$477.38
|
2026-05-28
|
|
94617
|
HCPCS
|
Test For Exercise-induced Spasm Of Lung Airways
|
14
|
7
|
$500.00
|
$500.00
|
$212.50
|
$850.00
|
$475.00
|
2026-05-28
|
|
94060,TC
|
CDM
|
Pft Pre/post Bronchodilation
|
14
|
7
|
$500.00
|
$500.00
|
$212.50
|
$850.00
|
$475.00
|
2026-05-28
|
|
11444
|
HCPCS
|
Removal Of Noncancer Skin Growth Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 3…
|
14
|
7
|
$498.81
|
$498.81
|
$366.03
|
$1,919.00
|
$473.87
|
2026-05-28
|
|
24500
|
HCPCS
|
Closed Treatment Of Broken Middle Part Of Upper Arm Bone
|
14
|
7
|
$497.38
|
$497.38
|
$366.03
|
$1,454.40
|
$472.51
|
2026-05-28
|
|
22900
|
HCPCS
|
Removal Of Growth Of Muscle Of Abdomen, Less Than 5.0 Cm
|
14
|
7
|
$496.05
|
$496.05
|
$235.60
|
$500.96
|
$471.20
|
2026-05-28
|
|
28043
|
HCPCS
|
Removal (less Than 1.5 Centimeters) Tissue Growth Beneath The Skin Of Foot Or To…
|
16
|
8
|
$460.50
|
$460.50
|
$391.43
|
$1,010.00
|
$467.75
|
2026-05-28
|
|
93923
|
HCPCS
|
Complete Ultrasound Study Of Arm And Leg Arteries
|
24
|
8
|
$399.63
|
$399.63
|
$226.10
|
$1,111.80
|
$466.48
|
2026-05-28
|
|
93971
|
HCPCS
|
Ultrasound Study Of One Arm Or Leg Veins With Compression And Maneuvers
|
24
|
8
|
$301.88
|
$301.88
|
$226.10
|
$1,111.80
|
$466.48
|
2026-05-28
|
|
29075
|
HCPCS
|
Application Of Elbow To Finger Cast
|
44
|
8
|
$415.00
|
$415.00
|
$161.29
|
$1,094.38
|
$466.04
|
2026-05-28
|
|
25111
|
HCPCS
|
Removal Of First Cyst Of Wrist
|
14
|
7
|
$488.75
|
$488.75
|
$366.03
|
$2,330.07
|
$464.31
|
2026-05-28
|
|
17110
|
HCPCS
|
Destruction Of Skin Growth, 1-14 Growths
|
24
|
8
|
$185.60
|
$185.60
|
$157.76
|
$933.85
|
$463.61
|
2026-05-28
|
|
27372
|
HCPCS
|
Removal Of Foreign Body Deep In Tissue Of Thigh Or Knee
|
14
|
7
|
$484.44
|
$484.44
|
$366.03
|
$4,754.07
|
$460.22
|
2026-05-28
|
|
99483
|
HCPCS
|
Assessment Of And Care Planning For Patient With Impaired Thought Processing, Ty…
|
14
|
7
|
$484.00
|
$484.00
|
$205.70
|
$822.80
|
$459.80
|
2026-05-28
|
|
45385
|
HCPCS
|
Removal Of Polyps Or Growths Of Large Bowel Using An Endoscope With Mechanical S…
|
14
|
7
|
$483.00
|
$483.00
|
$366.03
|
$1,486.72
|
$458.85
|
2026-05-28
|
|
4551278
|
CDM
|
Performax Mask Stnd Elbow
|
14
|
7
|
$475.50
|
$475.50
|
$202.09
|
$808.35
|
$451.73
|
2026-05-28
|
|
P9016
|
HCPCS
|
Red Blood Cells, Leukocytes Reduced, Each Unit
|
16
|
8
|
$463.00
|
$463.00
|
$251.30
|
$787.10
|
$451.43
|
2026-05-28
|
|
27780
|
HCPCS
|
Closed Treatment Of Broken Middle Or Upper End Of Outside Lower Leg Bone
|
14
|
7
|
$474.38
|
$474.38
|
$366.03
|
$1,454.40
|
$450.66
|
2026-05-28
|
|
10140
|
HCPCS
|
Drainage Of Blood Or Fluid Accumulation
|
24
|
8
|
$185.44
|
$185.44
|
$157.62
|
$1,186.75
|
$448.88
|
2026-05-28
|
|
10120
|
HCPCS
|
Removal Of Foreign Body From Tissue, Accessed Beneath The Skin, Simple
|
26
|
8
|
$472.50
|
$472.50
|
$94.34
|
$1,075.65
|
$448.88
|
2026-05-28
|
|
43760
|
HCPCS
|
Change Gastrostomy Tube
|
12
|
6
|
$524.69
|
$524.69
|
$222.99
|
$498.46
|
$445.99
|
2026-05-28
|
|
4551143
|
CDM
|
Versaport 5-12mm Trocar
|
14
|
7
|
$466.66
|
$466.66
|
$198.33
|
$793.32
|
$443.33
|
2026-05-28
|
|
81271
|
HCPCS
|
Gene Analysis (Huntingtin) For Abnormal Alleles
|
14
|
7
|
$465.00
|
$465.00
|
$197.63
|
$790.50
|
$441.75
|
2026-05-28
|
|
24650
|
HCPCS
|
Closed Treatment Of Broken Forearm Bone On Thumb Side At Elbow
|
14
|
7
|
$462.88
|
$462.88
|
$366.03
|
$809.01
|
$439.74
|
2026-05-28
|
|
12044
|
HCPCS
|
Intermediate Repair Of Wound Of Neck, Hands, Feet, Or Genitals, 7.6-12.5 Cm
|
14
|
7
|
$460.00
|
$460.00
|
$366.03
|
$809.01
|
$437.00
|
2026-05-28
|
|
10080
|
HCPCS
|
Simple Drainage Of Cyst Of Tailbone
|
24
|
8
|
$189.75
|
$189.75
|
$161.29
|
$982.73
|
$437.00
|
2026-05-28
|
|
12006
|
HCPCS
|
Simple Repair Of Surface Wound Of Scalp, Neck, Underarms, Trunk, Arms, Or Legs, …
|
34
|
8
|
$460.00
|
$460.00
|
$99.39
|
$3,882.38
|
$437.00
|
2026-05-28
|
|
82131
|
HCPCS
|
Amino Acid Analysis, Quantitative, Each Specimen
|
16
|
8
|
$481.17
|
$481.17
|
$134.44
|
$817.99
|
$433.05
|
2026-05-28
|
|
26600
|
HCPCS
|
Closed Treatment Of Broken Hand Bone
|
14
|
7
|
$562.06
|
$562.06
|
$203.30
|
$533.96
|
$432.28
|
2026-05-28
|
|
12053
|
HCPCS
|
Intermediate Repair Of Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 5.1-7…
|
34
|
8
|
$429.80
|
$429.80
|
$173.79
|
$973.64
|
$429.80
|
2026-05-28
|
|
81331
|
HCPCS
|
Methylation Analysis (small Nuclear Ribonucleoprotein Polypeptide N And Ubiquiti…
|
14
|
7
|
$451.20
|
$451.20
|
$191.76
|
$767.04
|
$428.64
|
2026-05-28
|
|
26125
|
HCPCS
|
Removal Of Connective Tissue Of Palm And Release Of Finger, Each Additional Digi…
|
12
|
6
|
$503.13
|
$503.13
|
$213.83
|
$477.97
|
$427.66
|
2026-05-28
|
|
31500
|
HCPCS
|
Emergent Insertion Of Breathing Tube Into Windpipe Using An Endoscope
|
24
|
7
|
$500.00
|
$500.00
|
$123.16
|
$850.00
|
$425.00
|
2026-05-28
|
|
92950
|
HCPCS
|
Manual Attempt To Restore Blood Circulation And Breathing
|
44
|
8
|
$500.00
|
$500.00
|
$145.55
|
$850.00
|
$425.00
|
2026-05-28
|
|
19100
|
HCPCS
|
Needle Biopsy Of Breast
|
14
|
7
|
$473.00
|
$473.00
|
$212.33
|
$451.47
|
$424.65
|
2026-05-28
|
|
11441
|
HCPCS
|
Removal Of Noncancer Skin Growth Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 0…
|
14
|
7
|
$445.63
|
$445.63
|
$366.03
|
$1,092.50
|
$423.35
|
2026-05-28
|
|
20680
|
HCPCS
|
Removal Of Deep Implant From Bone
|
10
|
5
|
$471.51
|
$471.51
|
$361.06
|
$863.00
|
$422.44
|
2026-05-28
|
|
13151
|
HCPCS
|
Complicated Repair Of Wound Of Eyelids, Nose, Ears, Or Lip, 1.1-2.5 Cm
|
26
|
8
|
$421.50
|
$421.50
|
$217.64
|
$1,315.02
|
$421.50
|
2026-05-28
|
|
15050
|
HCPCS
|
Skin Graft To Tip Of Finger Or Toe, 2.0 Cm Or Less
|
10
|
5
|
$491.00
|
$491.00
|
$392.51
|
$790.00
|
$417.35
|
2026-05-28
|
|
4551276
|
CDM
|
Af531 Niv Full Face Mask Medium
|
14
|
7
|
$438.80
|
$438.80
|
$186.49
|
$745.96
|
$416.86
|
2026-05-28
|
|
4551142
|
CDM
|
Versaport 5mm Trocar
|
14
|
7
|
$438.46
|
$438.46
|
$186.35
|
$745.38
|
$416.54
|
2026-05-28
|
|
11640
|
HCPCS
|
Removal Of Cancer Skin Growth Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 0.5 …
|
14
|
7
|
$438.44
|
$438.44
|
$237.98
|
$506.01
|
$416.52
|
2026-05-28
|
|
4551293
|
CDM
|
Safe-t Thora-para Tray
|
14
|
7
|
$437.15
|
$437.15
|
$185.79
|
$743.16
|
$415.29
|
2026-05-28
|
|
4551122
|
CDM
|
Scd Sleeves- Xlg-pr
|
14
|
7
|
$435.71
|
$435.71
|
$185.18
|
$740.71
|
$413.92
|
2026-05-28
|
|
4551277
|
CDM
|
Af531 Niv Full Face Mask Lg
|
14
|
7
|
$435.09
|
$435.09
|
$184.91
|
$739.65
|
$413.34
|
2026-05-28
|
|
4551275
|
CDM
|
Af531 Full Face Masks Sm
|
14
|
7
|
$435.09
|
$435.09
|
$184.91
|
$739.65
|
$413.34
|
2026-05-28
|
|
11424
|
HCPCS
|
Removal Of Noncancer Skin Growth Of Scalp, Neck, Hands, Feet, Or Genitals, 3.1-4…
|
14
|
7
|
$434.13
|
$434.13
|
$366.03
|
$1,801.84
|
$412.42
|
2026-05-28
|
|
20520
|
HCPCS
|
Removal Of Foreign Body In Muscle Or Tendon
|
14
|
7
|
$432.69
|
$432.69
|
$285.00
|
$606.00
|
$411.06
|
2026-05-28
|
|
12052
|
HCPCS
|
Intermediate Repair Of Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 2.6-5…
|
34
|
8
|
$429.80
|
$429.80
|
$160.54
|
$829.35
|
$408.31
|
2026-05-28
|
|
26725
|
HCPCS
|
Closed Treatment Of Broken Finger Or Thumb At Midportion Or Part Near Hand With …
|
14
|
7
|
$426.45
|
$426.45
|
$362.48
|
$1,137.26
|
$405.13
|
2026-05-28
|
|
46270
|
HCPCS
|
Repair Of Abnormal Anal Drainage Tract
|
14
|
7
|
$425.50
|
$425.50
|
$361.68
|
$2,312.90
|
$404.23
|
2026-05-28
|