|
J3101
|
HCPCS
|
Injection, Tenecteplase, 1 Mg
|
9
|
9
|
$19,716.00
|
$17,744.40
|
$223.77
|
$19,913.16
|
$15,043.31
|
2026-04-28
|
|
J9332
|
HCPCS
|
Injection, Efgartigimod Alfa-fcab, 2mg
|
8
|
8
|
$15,485.95
|
$13,937.36
|
$9,291.57
|
$15,640.81
|
$12,876.57
|
2026-04-28
|
|
949
|
MS_DRG
|
Aftercare With Cc/mcc
|
3
|
3
|
$31,258.31
|
$28,132.48
|
$9,129.97
|
$12,321.68
|
$12,199.68
|
2026-04-28
|
|
559
|
MS_DRG
|
Aftercare, Musculoskeletal System And Connective Tissue With Mcc
|
3
|
3
|
$30,278.72
|
$27,250.85
|
$11,437.20
|
$15,343.84
|
$11,551.57
|
2026-04-28
|
|
314
|
MS_DRG
|
Other Circulatory System Diagnoses With Mcc
|
3
|
3
|
$27,245.71
|
$24,521.14
|
$11,151.27
|
$17,148.61
|
$11,262.78
|
2026-04-28
|
|
551
|
MS_DRG
|
Medical Back Problems With Mcc
|
3
|
3
|
$6,362.60
|
$5,726.34
|
$10,261.71
|
$13,386.89
|
$10,364.33
|
2026-04-28
|
|
J0517
|
HCPCS
|
Injection, Benralizumab, 1 Mg
|
9
|
9
|
$12,946.60
|
$11,651.94
|
$266.22
|
$13,076.07
|
$9,878.26
|
2026-04-28
|
|
J2356
|
HCPCS
|
Injection, Tezepelumab-ekko, 1 Mg
|
8
|
8
|
$10,931.30
|
$9,838.17
|
$6,558.78
|
$11,040.61
|
$9,089.38
|
2026-04-28
|
|
J9312
|
HCPCS
|
Injection, Rituximab, 10 Mg
|
9
|
9
|
$11,754.00
|
$10,578.60
|
$138.23
|
$11,871.54
|
$8,968.30
|
2026-04-28
|
|
560
|
MS_DRG
|
Aftercare, Musculoskeletal System And Connective Tissue With Cc
|
3
|
3
|
$38,867.22
|
$34,980.50
|
$8,609.67
|
$8,851.10
|
$8,695.77
|
2026-04-28
|
|
377
|
MS_DRG
|
Gastrointestinal Hemorrhage With Mcc
|
3
|
3
|
$8,912.64
|
$8,021.38
|
$8,450.82
|
$14,816.56
|
$8,535.33
|
2026-04-28
|
|
J2997
|
HCPCS
|
Injection, Alteplase Recombinant, 1 Mg
|
25
|
9
|
$10,625.45
|
$9,562.91
|
$145.33
|
$21,453.28
|
$8,107.22
|
2026-04-28
|
|
540
|
MS_DRG
|
Osteomyelitis With Cc
|
3
|
3
|
$28,321.72
|
$25,489.55
|
$7,942.50
|
$10,706.88
|
$8,021.93
|
2026-04-28
|
|
871
|
MS_DRG
|
Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc
|
2
|
2
|
$4,450.45
|
$4,005.41
|
$7,942.50
|
$8,021.93
|
$7,982.22
|
2026-04-28
|
|
J3590
|
HCPCS
|
Unclassified Biologics
|
8
|
8
|
$9,479.07
|
$8,531.16
|
$5,687.44
|
$9,573.86
|
$7,881.84
|
2026-04-28
|
|
947
|
MS_DRG
|
Signs And Symptoms With Mcc
|
3
|
3
|
$29,950.28
|
$26,955.25
|
$7,529.49
|
$9,821.77
|
$7,604.78
|
2026-04-28
|
|
73
|
MS_DRG
|
Cranial And Peripheral Nerve Disorders With Mcc
|
3
|
3
|
$7,696.83
|
$6,927.15
|
$7,243.56
|
$11,951.47
|
$7,316.00
|
2026-04-28
|
|
J2182
|
HCPCS
|
Injection, Mepolizumab, 1 Mg
|
9
|
9
|
$9,508.72
|
$8,557.85
|
$48.51
|
$9,603.81
|
$7,255.15
|
2026-04-28
|
|
299
|
MS_DRG
|
Peripheral Vascular Disorders With Mcc
|
3
|
3
|
$6,292.12
|
$5,662.91
|
$7,180.02
|
$12,607.07
|
$7,251.82
|
2026-04-28
|
|
Q5120
|
HCPCS
|
Injection, Pegfilgrastim-bmez (ziextenzo), Biosimilar, 0.5 Mg
|
9
|
9
|
$9,480.35
|
$8,532.32
|
$296.78
|
$9,575.15
|
$7,233.51
|
2026-04-28
|
|
948
|
MS_DRG
|
Signs And Symptoms Without Mcc
|
3
|
3
|
$5,480.95
|
$4,932.86
|
$6,474.64
|
$7,187.64
|
$7,116.48
|
2026-04-28
|
|
602
|
MS_DRG
|
Cellulitis With Mcc
|
3
|
3
|
$56,960.00
|
$51,264.00
|
$7,021.17
|
$11,927.61
|
$7,091.38
|
2026-04-28
|
|
391
|
MS_DRG
|
Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc
|
3
|
3
|
$4,717.46
|
$4,245.71
|
$6,957.63
|
$10,275.84
|
$7,027.21
|
2026-04-28
|
|
689
|
MS_DRG
|
Kidney And Urinary Tract Infections With Mcc
|
3
|
3
|
$16,581.09
|
$14,922.98
|
$6,576.39
|
$9,165.34
|
$6,642.15
|
2026-04-28
|
|
177
|
MS_DRG
|
Respiratory Infections And Inflammations With Mcc
|
3
|
3
|
$114,563.00
|
$103,106.70
|
$6,290.46
|
$18,539.78
|
$6,353.36
|
2026-04-28
|
|
J2353
|
HCPCS
|
Injection, Octreotide, Depot Form For Intramuscular Injection, 1 Mg
|
17
|
9
|
$6,905.02
|
$6,214.52
|
$329.79
|
$14,178.93
|
$6,214.52
|
2026-04-28
|
|
20205
|
HCPCS
|
Deep Biopsy Of Muscle
|
9
|
9
|
$7,912.80
|
$7,121.52
|
$4,747.68
|
$7,991.93
|
$6,085.76
|
2026-04-28
|
|
811
|
MS_DRG
|
Red Blood Cell Disorders With Mcc
|
2
|
2
|
$3,160.40
|
$2,844.36
|
$5,972.76
|
$6,032.49
|
$6,002.62
|
2026-04-28
|
|
52310
|
HCPCS
|
Simple Removal Of Foreign Body, Stone, Or Stent In Urethra Or Bladder Using An E…
|
9
|
9
|
$7,747.62
|
$6,972.86
|
$4,648.57
|
$7,825.10
|
$5,958.32
|
2026-04-28
|
|
J1561
|
HCPCS
|
Injection, Immune Globulin, (gamunex-c/gammaked), Non-lyophilized (e.g., Liquid)…
|
9
|
9
|
$6,542.50
|
$5,888.25
|
$71.55
|
$9,813.75
|
$5,888.25
|
2026-04-28
|
|
537
|
MS_DRG
|
Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh With Cc/mcc
|
2
|
2
|
$2,314.41
|
$2,082.97
|
$5,845.68
|
$5,904.14
|
$5,874.91
|
2026-04-28
|
|
291
|
MS_DRG
|
Heart Failure And Shock With Mcc
|
2
|
2
|
$3,807.95
|
$3,427.15
|
$5,813.91
|
$5,872.05
|
$5,842.98
|
2026-04-28
|
|
J0840
|
HCPCS
|
Injection, Crotalidae Polyvalent Immune Fab (ovine), Up To 1 Gram
|
17
|
9
|
$7,419.77
|
$6,677.79
|
$4,192.16
|
$7,493.97
|
$5,661.28
|
2026-04-28
|
|
375
|
MS_DRG
|
Digestive Malignancy With Cc
|
3
|
3
|
$10,390.74
|
$9,351.67
|
$5,591.52
|
$10,004.40
|
$5,647.44
|
2026-04-28
|
|
593
|
MS_DRG
|
Skin Ulcers With Cc
|
3
|
3
|
$17,693.13
|
$15,923.82
|
$5,559.75
|
$9,382.50
|
$5,615.35
|
2026-04-28
|
|
637
|
MS_DRG
|
Diabetes With Mcc
|
3
|
3
|
$15,233.51
|
$13,710.16
|
$5,559.75
|
$11,323.83
|
$5,615.35
|
2026-04-28
|
|
563
|
MS_DRG
|
Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit…
|
3
|
3
|
$8,912.29
|
$8,021.06
|
$5,496.21
|
$7,174.66
|
$5,551.17
|
2026-04-28
|
|
281
|
MS_DRG
|
Acute Myocardial Infarction, Discharged Alive With Cc
|
3
|
3
|
$9,759.27
|
$8,783.34
|
$5,432.67
|
$10,588.00
|
$5,487.00
|
2026-04-28
|
|
36262
|
HCPCS
|
Removal Of Implanted Arterial Infusion Pump
|
9
|
9
|
$7,138.97
|
$6,425.07
|
$357.60
|
$7,210.36
|
$5,447.03
|
2026-04-28
|
|
175
|
MS_DRG
|
Pulmonary Embolism With Mcc Or Acute Cor Pulmonale
|
3
|
3
|
$7,342.63
|
$6,608.37
|
$5,305.59
|
$12,717.30
|
$5,358.65
|
2026-04-28
|
|
640
|
MS_DRG
|
Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M…
|
3
|
3
|
$4,711.69
|
$4,240.52
|
$5,305.59
|
$10,124.48
|
$5,358.65
|
2026-04-28
|
|
06000375
|
CDM
|
Hyperrab S/d Inj (150iu/ml) (10 Ml)
|
6
|
6
|
$7,722.92
|
$6,950.63
|
$4,633.75
|
$6,950.63
|
$5,325.34
|
2026-04-28
|
|
282
|
MS_DRG
|
Acute Myocardial Infarction, Discharged Alive Without Cc/mcc
|
3
|
3
|
$2,954.51
|
$2,659.06
|
$5,178.51
|
$8,391.74
|
$5,230.30
|
2026-04-28
|
|
37700
|
HCPCS
|
Tying And Division Of Long Leg Vein
|
9
|
9
|
$6,605.16
|
$5,944.64
|
$556.56
|
$6,671.21
|
$5,039.74
|
2026-04-28
|
|
304
|
MS_DRG
|
Hypertension With Mcc
|
3
|
3
|
$9,987.30
|
$8,988.57
|
$4,987.89
|
$9,023.86
|
$5,037.77
|
2026-04-28
|
|
19101
|
HCPCS
|
Biopsy Of Breast Through Incision
|
9
|
9
|
$6,592.73
|
$5,933.46
|
$1,944.06
|
$6,658.66
|
$5,030.25
|
2026-04-28
|
|
07054018
|
CDM
|
Ipg Enpulse Battery
|
6
|
6
|
$7,265.00
|
$6,538.50
|
$4,359.00
|
$6,538.50
|
$5,009.59
|
2026-04-28
|
|
536
|
MS_DRG
|
Fractures Of Hip And Pelvis Without Mcc
|
3
|
3
|
$19,041.75
|
$17,137.57
|
$4,956.12
|
$6,532.73
|
$5,005.68
|
2026-04-28
|
|
682
|
MS_DRG
|
Renal Failure With Mcc
|
3
|
3
|
$9,535.50
|
$8,581.95
|
$4,956.12
|
$13,365.10
|
$5,005.68
|
2026-04-28
|
|
561
|
MS_DRG
|
Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc
|
3
|
3
|
$19,248.71
|
$17,323.84
|
$4,924.35
|
$6,518.23
|
$4,973.59
|
2026-04-28
|
|
552
|
MS_DRG
|
Medical Back Problems Without Mcc
|
3
|
3
|
$8,126.48
|
$7,313.83
|
$4,860.81
|
$7,760.34
|
$4,909.42
|
2026-04-28
|
|
43870
|
HCPCS
|
Closure Of Surgically Created Opening From Stomach To Skin
|
8
|
8
|
$5,824.81
|
$5,242.33
|
$3,494.89
|
$5,883.06
|
$4,843.33
|
2026-04-28
|
|
872
|
MS_DRG
|
Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc
|
3
|
3
|
$12,768.64
|
$11,491.78
|
$4,701.96
|
$9,283.55
|
$4,748.98
|
2026-04-28
|
|
292
|
MS_DRG
|
Heart Failure And Shock With Cc
|
3
|
3
|
$12,423.42
|
$11,181.08
|
$4,670.19
|
$7,103.09
|
$4,716.89
|
2026-04-28
|
|
74
|
MS_DRG
|
Cranial And Peripheral Nerve Disorders Without Mcc
|
3
|
3
|
$8,303.74
|
$7,473.36
|
$4,670.19
|
$8,382.23
|
$4,716.89
|
2026-04-28
|
|
641
|
MS_DRG
|
Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou…
|
3
|
3
|
$6,719.60
|
$6,047.64
|
$4,670.19
|
$6,720.07
|
$4,716.89
|
2026-04-28
|
|
36561
|
HCPCS
|
Insertion Of Central Venous Tube With Port (5 Years Or Older)
|
9
|
9
|
$5,229.54
|
$4,706.59
|
$3,190.02
|
$7,844.31
|
$4,706.59
|
2026-04-28
|
|
189
|
MS_DRG
|
Pulmonary Edema And Respiratory Failure
|
3
|
3
|
$9,185.07
|
$8,266.56
|
$4,638.42
|
$12,483.48
|
$4,684.80
|
2026-04-28
|
|
193
|
MS_DRG
|
Simple Pneumonia And Pleurisy With Mcc
|
3
|
3
|
$7,607.71
|
$6,846.94
|
$4,574.88
|
$11,421.82
|
$4,620.63
|
2026-04-28
|
|
Q5108
|
HCPCS
|
Injection, Pegfilgrastim-jmdb (fulphila), Biosimilar, 0.5 Mg
|
17
|
9
|
$10,383.75
|
$9,345.38
|
$298.94
|
$10,487.59
|
$4,517.85
|
2026-04-28
|
|
J3247
|
HCPCS
|
Injection, Secukinumab, Intravenous, 1 Mg
|
8
|
8
|
$5,403.77
|
$4,863.39
|
$3,242.26
|
$5,457.81
|
$4,493.24
|
2026-04-28
|
|
J0897
|
HCPCS
|
Injection, Denosumab, 1 Mg
|
17
|
9
|
$7,218.42
|
$6,496.58
|
$34.74
|
$7,290.60
|
$4,403.24
|
2026-04-28
|
|
439
|
MS_DRG
|
Disorders Of Pancreas Except Malignancy With Cc
|
3
|
3
|
$7,127.65
|
$6,414.89
|
$4,320.72
|
$6,952.56
|
$4,363.93
|
2026-04-28
|
|
699
|
MS_DRG
|
Other Kidney And Urinary Tract Diagnoses With Cc
|
3
|
3
|
$4,301.92
|
$3,871.73
|
$4,320.72
|
$8,448.03
|
$4,363.93
|
2026-04-28
|
|
605
|
MS_DRG
|
Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc
|
3
|
3
|
$5,234.41
|
$4,710.97
|
$4,288.95
|
$7,435.42
|
$4,331.84
|
2026-04-28
|
|
57410
|
HCPCS
|
Pelvic Exam Under Anesthesia
|
9
|
9
|
$5,615.10
|
$5,053.59
|
$1,980.47
|
$5,671.25
|
$4,284.32
|
2026-04-28
|
|
194
|
MS_DRG
|
Simple Pneumonia And Pleurisy With Cc
|
3
|
3
|
$6,886.29
|
$6,197.66
|
$4,193.64
|
$8,732.75
|
$4,235.58
|
2026-04-28
|
|
55250
|
HCPCS
|
Removal Of Sperm Duct
|
9
|
9
|
$5,511.62
|
$4,960.46
|
$1,717.80
|
$5,566.74
|
$4,205.37
|
2026-04-28
|
|
372
|
MS_DRG
|
Major Gastrointestinal Disorders And Peritoneal Infections With Cc
|
3
|
3
|
$6,264.49
|
$5,638.04
|
$4,098.33
|
$9,358.35
|
$4,139.31
|
2026-04-28
|
|
690
|
MS_DRG
|
Kidney And Urinary Tract Infections Without Mcc
|
3
|
3
|
$3,816.88
|
$3,435.19
|
$4,034.79
|
$7,138.10
|
$4,075.14
|
2026-04-28
|
|
603
|
MS_DRG
|
Cellulitis Without Mcc
|
3
|
3
|
$4,589.16
|
$4,130.24
|
$4,003.02
|
$7,631.41
|
$4,043.05
|
2026-04-28
|
|
307
|
MS_DRG
|
Cardiac Congenital And Valvular Disorders Without Mcc
|
3
|
3
|
$7,920.86
|
$7,128.77
|
$4,003.02
|
$7,159.85
|
$4,043.05
|
2026-04-28
|
|
951
|
MS_DRG
|
Other Factors Influencing Health Status
|
3
|
3
|
$3,571.47
|
$3,214.32
|
$3,939.48
|
$5,712.45
|
$3,978.87
|
2026-04-28
|
|
21552
|
HCPCS
|
Removal Of Growth Of Soft Tissue Under Skin Of Neck Or Front Of Chest, 3.0 Cm Or…
|
9
|
9
|
$5,055.75
|
$4,550.18
|
$3,033.45
|
$5,106.31
|
$3,964.84
|
2026-04-28
|
|
202
|
MS_DRG
|
Bronchitis And Asthma With Cc/mcc
|
3
|
3
|
$14,541.46
|
$13,087.31
|
$3,844.17
|
$8,283.39
|
$3,882.61
|
2026-04-28
|
|
01500002
|
CDM
|
Obstetrical Care
|
6
|
6
|
$5,613.45
|
$5,052.11
|
$3,368.07
|
$5,052.11
|
$3,870.76
|
2026-04-28
|
|
23140
|
HCPCS
|
Removal Of Cyst Or Growth Of Collar Bone Or Shoulder Blade
|
9
|
9
|
$5,051.30
|
$4,546.17
|
$3,030.78
|
$5,101.81
|
$3,854.14
|
2026-04-28
|
|
45307
|
HCPCS
|
Removal Of Foreign Bodies From Rectum And/or Lower Large Bowel Using A Rigid End…
|
9
|
9
|
$5,041.68
|
$4,537.51
|
$1,040.30
|
$5,092.10
|
$3,846.80
|
2026-04-28
|
|
178
|
MS_DRG
|
Respiratory Infections And Inflammations With Cc
|
3
|
3
|
$8,457.70
|
$7,611.93
|
$3,780.63
|
$14,750.00
|
$3,818.44
|
2026-04-28
|
|
26735
|
HCPCS
|
Treatment Of Broken Finger At Midportion Or Part Near Hand
|
16
|
9
|
$6,201.55
|
$5,581.40
|
$407.97
|
$6,263.57
|
$3,751.94
|
2026-04-28
|
|
101
|
MS_DRG
|
Seizures Without Mcc
|
2
|
2
|
$1,804.09
|
$1,623.68
|
$3,717.09
|
$3,754.26
|
$3,735.68
|
2026-04-28
|
|
197
|
MS_DRG
|
Interstitial Lung Disease With Cc
|
3
|
3
|
$6,184.10
|
$5,565.69
|
$3,653.55
|
$9,613.06
|
$3,690.09
|
2026-04-28
|
|
J1602
|
HCPCS
|
Injection, Golimumab, 1 Mg, For Intravenous Use
|
9
|
9
|
$4,830.65
|
$4,347.59
|
$23.87
|
$4,878.96
|
$3,685.79
|
2026-04-28
|
|
206
|
MS_DRG
|
Other Respiratory System Diagnoses Without Mcc
|
3
|
3
|
$6,715.05
|
$6,043.54
|
$3,621.78
|
$7,288.18
|
$3,658.00
|
2026-04-28
|
|
J9202
|
HCPCS
|
Goserelin Acetate Implant, Per 3.6 Mg
|
9
|
9
|
$4,774.37
|
$4,296.93
|
$902.85
|
$4,822.11
|
$3,642.84
|
2026-04-28
|
|
J3032
|
HCPCS
|
Injection, Eptinezumab-jjmr, 1 Mg
|
9
|
9
|
$4,730.37
|
$4,257.33
|
$26.61
|
$4,777.67
|
$3,609.27
|
2026-04-28
|
|
195
|
MS_DRG
|
Simple Pneumonia And Pleurisy Without Cc/mcc
|
3
|
3
|
$21,650.06
|
$19,485.05
|
$3,558.24
|
$6,673.57
|
$3,593.82
|
2026-04-28
|
|
446
|
MS_DRG
|
Disorders Of The Biliary Tract Without Cc/mcc
|
3
|
3
|
$2,523.63
|
$2,271.27
|
$3,494.70
|
$6,717.29
|
$3,529.65
|
2026-04-28
|
|
392
|
MS_DRG
|
Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc
|
3
|
3
|
$7,784.26
|
$7,005.83
|
$3,494.70
|
$6,825.90
|
$3,529.65
|
2026-04-28
|
|
638
|
MS_DRG
|
Diabetes With Cc
|
3
|
3
|
$21,720.21
|
$19,548.19
|
$3,462.93
|
$7,612.69
|
$3,497.56
|
2026-04-28
|
|
897
|
MS_DRG
|
Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc
|
3
|
3
|
$5,958.87
|
$5,362.98
|
$3,462.93
|
$8,255.89
|
$3,497.56
|
2026-04-28
|
|
36556
|
HCPCS
|
Insertion Of Non-tunneled Central Venous Tube For Infusion (5 Years Or Older)
|
9
|
9
|
$4,463.63
|
$4,017.27
|
$2,678.18
|
$4,508.27
|
$3,432.99
|
2026-04-28
|
|
440
|
MS_DRG
|
Disorders Of Pancreas Except Malignancy Without Cc/mcc
|
3
|
3
|
$8,994.52
|
$8,095.07
|
$3,367.62
|
$5,548.78
|
$3,401.30
|
2026-04-28
|
|
694
|
MS_DRG
|
Urinary Stones Without Mcc
|
3
|
3
|
$2,554.34
|
$2,298.91
|
$3,335.85
|
$7,282.02
|
$3,369.21
|
2026-04-28
|
|
14040
|
HCPCS
|
Repair Of Wound Of Forehead, Cheeks, Chin, Mouth, Neck, Underarms, Genitals, Han…
|
9
|
9
|
$4,292.12
|
$3,862.91
|
$2,289.96
|
$4,335.04
|
$3,274.89
|
2026-04-28
|
|
14060
|
HCPCS
|
Repair Of Wound Of Eyelids, Nose, Ears, Or Lips By Transferring Skin, 10.0 Sq Cm…
|
9
|
9
|
$4,280.57
|
$3,852.51
|
$2,457.13
|
$4,323.38
|
$3,266.07
|
2026-04-28
|
|
191
|
MS_DRG
|
Chronic Obstructive Pulmonary Disease With Cc
|
2
|
2
|
$1,664.70
|
$1,498.23
|
$3,240.54
|
$3,272.95
|
$3,256.74
|
2026-04-28
|
|
46040
|
HCPCS
|
Drainage Of Deep Abscess In Rectum
|
9
|
9
|
$4,215.02
|
$3,793.52
|
$2,529.01
|
$4,257.17
|
$3,216.06
|
2026-04-28
|
|
313
|
MS_DRG
|
Chest Pain
|
3
|
3
|
$20,804.06
|
$18,723.65
|
$3,145.23
|
$6,301.15
|
$3,176.68
|
2026-04-28
|
|
24071
|
HCPCS
|
Removal Of Growth Under Skin Of Upper Arm Or Elbow, 3.0 Cm Or More
|
9
|
9
|
$4,128.86
|
$3,715.97
|
$2,223.64
|
$4,170.15
|
$3,150.32
|
2026-04-28
|
|
204
|
MS_DRG
|
Respiratory Signs And Symptoms
|
3
|
3
|
$9,161.53
|
$8,245.38
|
$3,113.46
|
$6,721.69
|
$3,144.59
|
2026-04-28
|
|
103
|
MS_DRG
|
Headaches Without Mcc
|
3
|
3
|
$8,024.60
|
$7,222.14
|
$3,113.46
|
$4,985.45
|
$3,144.59
|
2026-04-28
|
|
20670
|
HCPCS
|
Removal Of Surface Implant From Bone
|
9
|
9
|
$4,079.81
|
$3,671.83
|
$1,336.79
|
$4,120.61
|
$3,112.90
|
2026-04-28
|
|
66
|
MS_DRG
|
Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc
|
3
|
3
|
$8,269.70
|
$7,442.73
|
$3,081.69
|
$8,748.55
|
$3,112.51
|
2026-04-28
|
|
311
|
MS_DRG
|
Angina Pectoris
|
3
|
3
|
$2,643.39
|
$2,379.05
|
$3,081.69
|
$5,745.82
|
$3,112.51
|
2026-04-28
|
|
316
|
MS_DRG
|
Other Circulatory System Diagnoses Without Cc/mcc
|
3
|
3
|
$6,758.35
|
$6,082.52
|
$2,986.38
|
$5,950.64
|
$3,016.24
|
2026-04-28
|
|
J0875
|
HCPCS
|
Injection, Dalbavancin, 5 Mg
|
9
|
9
|
$3,919.80
|
$3,527.82
|
$24.05
|
$3,959.00
|
$2,990.81
|
2026-04-28
|
|
390
|
MS_DRG
|
Gastrointestinal Obstruction Without Cc/mcc
|
3
|
3
|
$8,327.07
|
$7,494.36
|
$2,954.61
|
$5,295.46
|
$2,984.16
|
2026-04-28
|
|
303
|
MS_DRG
|
Atherosclerosis Without Mcc
|
3
|
3
|
$18,523.27
|
$16,670.94
|
$2,954.61
|
$5,573.89
|
$2,984.16
|
2026-04-28
|
|
179
|
MS_DRG
|
Respiratory Infections And Inflammations Without Cc/mcc
|
3
|
3
|
$8,248.74
|
$7,423.87
|
$2,922.84
|
$11,790.38
|
$2,952.07
|
2026-04-28
|
|
379
|
MS_DRG
|
Gastrointestinal Hemorrhage Without Cc/mcc
|
3
|
3
|
$5,297.91
|
$4,768.12
|
$2,922.84
|
$5,241.56
|
$2,952.07
|
2026-04-28
|
|
309
|
MS_DRG
|
Cardiac Arrhythmia And Conduction Disorders With Cc
|
3
|
3
|
$30,256.69
|
$27,231.02
|
$2,859.30
|
$6,831.29
|
$2,887.89
|
2026-04-28
|
|
26951
|
HCPCS
|
Amputation Of Finger Or Thumb With Direct Closure
|
16
|
9
|
$5,100.00
|
$4,590.00
|
$495.76
|
$5,151.00
|
$2,878.49
|
2026-04-28
|
|
52281
|
HCPCS
|
Dilation Of Urethra Using An Endoscope
|
9
|
9
|
$3,731.68
|
$3,358.51
|
$2,148.22
|
$3,769.00
|
$2,847.27
|
2026-04-28
|
|
J2426
|
HCPCS
|
Injection, Paliperidone Palmitate Extended Release (invega Sustenna), 1 Mg
|
9
|
9
|
$3,630.62
|
$3,267.56
|
$21.02
|
$3,666.93
|
$2,770.16
|
2026-04-28
|
|
78452
|
HCPCS
|
Nuclear Medicine Studies Of Heart Muscle At Rest And With Stress And Spect
|
9
|
9
|
$3,583.71
|
$3,225.34
|
$1,890.15
|
$3,619.55
|
$2,734.37
|
2026-04-28
|
|
64624
|
HCPCS
|
Destruction Of Nerve Branches Of Knee Using Imaging Guidance
|
28
|
8
|
$4,496.92
|
$4,047.23
|
$123.61
|
$4,541.89
|
$2,720.64
|
2026-04-28
|
|
914
|
MS_DRG
|
Traumatic Injury Without Mcc
|
3
|
3
|
$14,182.92
|
$12,764.63
|
$2,668.68
|
$7,380.16
|
$2,695.37
|
2026-04-28
|
|
293
|
MS_DRG
|
Heart Failure And Shock Without Cc/mcc
|
3
|
3
|
$10,375.70
|
$9,338.13
|
$2,668.68
|
$5,415.53
|
$2,695.37
|
2026-04-28
|
|
684
|
MS_DRG
|
Renal Failure Without Cc/mcc
|
3
|
3
|
$8,690.31
|
$7,821.28
|
$2,541.60
|
$7,641.80
|
$2,567.02
|
2026-04-28
|
|
53600
|
HCPCS
|
Initial Dilation Of Urethra In Male Using Dilator
|
9
|
9
|
$3,316.52
|
$2,984.87
|
$1,989.91
|
$3,349.69
|
$2,550.04
|
2026-04-28
|
|
53620
|
HCPCS
|
Initial Dilation Of Urethra In Male Using Filiform Dilator
|
9
|
9
|
$3,316.52
|
$2,984.87
|
$1,989.91
|
$3,349.69
|
$2,550.04
|
2026-04-28
|
|
J3111
|
HCPCS
|
Injection, Romosozumab-aqqg, 1 Mg
|
9
|
9
|
$3,296.15
|
$2,966.54
|
$15.51
|
$3,329.11
|
$2,514.96
|
2026-04-28
|
|
36590
|
HCPCS
|
Removal Of Central Venous Tube With Port Or Pump
|
9
|
9
|
$3,040.91
|
$2,736.82
|
$1,824.55
|
$3,071.32
|
$2,455.11
|
2026-04-28
|
|
25120
|
HCPCS
|
Removal Of Cyst Or Growth Of Lower Forearm Bone
|
9
|
9
|
$3,096.65
|
$2,786.99
|
$1,857.99
|
$3,127.62
|
$2,446.01
|
2026-04-28
|
|
47000
|
HCPCS
|
Needle Biopsy Of Liver Through Skin
|
9
|
9
|
$3,201.50
|
$2,881.35
|
$1,273.07
|
$3,233.52
|
$2,442.74
|
2026-04-28
|
|
J0881
|
HCPCS
|
Injection, Darbepoetin Alfa, 1 Microgram (non-esrd Use)
|
25
|
9
|
$3,158.87
|
$2,842.98
|
$5.46
|
$5,980.01
|
$2,410.22
|
2026-04-28
|
|
395
|
MS_DRG
|
Other Digestive System Diagnoses Without Cc/mcc
|
3
|
3
|
$5,473.05
|
$4,925.75
|
$2,350.98
|
$5,359.20
|
$2,374.49
|
2026-04-28
|
|
74174
|
HCPCS
|
CT Scan Of Blood Vessels Of Abdomen And Pelvis With Contrast
|
9
|
9
|
$3,096.65
|
$2,786.99
|
$1,857.99
|
$3,127.62
|
$2,362.74
|
2026-04-28
|
|
90376
|
HCPCS
|
Rabies Immune Globulin For Injection Beneath The Skin And/or Into Muscle, Heat-t…
|
17
|
9
|
$1,562.12
|
$1,405.91
|
$477.69
|
$11,655.75
|
$2,343.18
|
2026-04-28
|
|
310
|
MS_DRG
|
Cardiac Arrhythmia And Conduction Disorders Without Cc/mcc
|
3
|
3
|
$30,262.67
|
$27,236.40
|
$2,255.67
|
$5,014.15
|
$2,278.23
|
2026-04-28
|
|
J0717
|
HCPCS
|
Injection, Certolizumab Pegol, 1 Mg (code May Be Used For Medicare When Drug Adm…
|
9
|
9
|
$2,522.50
|
$2,270.25
|
$9.37
|
$3,783.75
|
$2,270.25
|
2026-04-28
|
|
11443
|
HCPCS
|
Removal Of Noncancer Skin Growth Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 2…
|
17
|
9
|
$2,910.85
|
$2,619.77
|
$1,718.98
|
$2,939.96
|
$2,220.98
|
2026-04-28
|
|
J7307
|
HCPCS
|
Etonogestrel (contraceptive) Implant System, Including Implant And Supplies
|
9
|
9
|
$2,900.70
|
$2,610.63
|
$1,740.42
|
$2,929.71
|
$2,213.23
|
2026-04-28
|
|
11423
|
HCPCS
|
Removal Of Noncancer Skin Growth Of Scalp, Neck, Hands, Feet, Or Genitals, 2.1-3…
|
9
|
9
|
$2,865.00
|
$2,578.50
|
$1,719.00
|
$2,893.65
|
$2,186.00
|
2026-04-28
|
|
153
|
MS_DRG
|
Otitis Media And Uri Without Mcc
|
3
|
3
|
$12,737.50
|
$11,463.75
|
$2,160.36
|
$5,866.73
|
$2,181.96
|
2026-04-28
|
|
J1745
|
HCPCS
|
Injection, Infliximab, Excludes Biosimilar, 10 Mg
|
9
|
9
|
$2,818.47
|
$2,536.62
|
$58.05
|
$2,846.65
|
$2,150.49
|
2026-04-28
|
|
93306
|
HCPCS
|
Ultrasound Of Heart With Color-depicted Blood Flow, Rate, Direction And Valve Fu…
|
9
|
9
|
$2,762.19
|
$2,485.97
|
$1,657.31
|
$2,789.81
|
$2,107.55
|
2026-04-28
|
|
46221
|
HCPCS
|
Removal Of External Hemorrhoids By Rubber Banding
|
9
|
9
|
$2,732.54
|
$2,459.29
|
$1,639.52
|
$2,759.87
|
$2,101.41
|
2026-04-28
|
|
38221
|
HCPCS
|
Biopsy Of Bone Marrow
|
8
|
8
|
$2,513.98
|
$2,262.58
|
$1,508.39
|
$2,539.12
|
$2,090.38
|
2026-04-28
|
|
J2357
|
HCPCS
|
Injection, Omalizumab, 5 Mg
|
9
|
9
|
$2,721.65
|
$2,449.49
|
$62.75
|
$2,748.87
|
$2,076.62
|
2026-04-28
|
|
43245
|
HCPCS
|
Dilation Of Stomach Outlet Using A Flexible Endoscope
|
9
|
9
|
$2,400.00
|
$2,160.00
|
$1,440.00
|
$2,424.00
|
$2,035.09
|
2026-04-28
|
|
45385
|
HCPCS
|
Removal Of Polyps Or Growths Of Large Bowel Using An Endoscope With Mechanical S…
|
9
|
9
|
$2,663.13
|
$2,396.82
|
$1,597.88
|
$2,689.76
|
$2,031.97
|
2026-04-28
|
|
28190
|
HCPCS
|
Removal Of Foreign Body Of Foot Tissue, Accessed Beneath The Skin
|
16
|
9
|
$3,334.72
|
$3,001.25
|
$116.21
|
$3,368.07
|
$2,017.51
|
2026-04-28
|
|
11406
|
HCPCS
|
Removal Of Noncancer Skin Growth Of Body, Arms, Or Legs, More Than 4.0 Cm
|
16
|
9
|
$3,282.45
|
$2,954.21
|
$247.05
|
$3,315.27
|
$1,985.88
|
2026-04-28
|
|
45398
|
HCPCS
|
Banding Of Hemorrhoids Using A Flexible Endoscope (colonoscope)
|
9
|
9
|
$2,572.50
|
$2,315.25
|
$1,543.50
|
$2,598.23
|
$1,962.82
|
2026-04-28
|
|
J7300
|
HCPCS
|
Intrauterine Copper Contraceptive
|
9
|
9
|
$2,567.50
|
$2,310.75
|
$1,540.50
|
$2,593.18
|
$1,959.00
|
2026-04-28
|
|
45384
|
HCPCS
|
Removal Of Polyps Or Growths Of Large Bowel Using A Flexible Endoscope With Elec…
|
9
|
9
|
$2,549.17
|
$2,294.25
|
$1,529.50
|
$2,574.66
|
$1,945.02
|
2026-04-28
|
|
64635
|
HCPCS
|
Destruction Of Lower Or Sacral Spinal Facet Joint Nerves Using Imaging Guidance,…
|
45
|
8
|
$3,233.49
|
$2,910.14
|
$160.64
|
$6,531.65
|
$1,940.09
|
2026-04-28
|
|
64454
|
HCPCS
|
Injection Of Anesthetic Agent And/or Steroid Into Knee Nerve Branch Using Imagin…
|
45
|
9
|
$3,227.60
|
$2,904.84
|
$68.16
|
$6,519.75
|
$1,936.56
|
2026-04-28
|
|
11642
|
HCPCS
|
Removal Of Cancer Skin Growth Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 1.1-…
|
9
|
9
|
$2,513.98
|
$2,262.58
|
$1,022.09
|
$2,539.12
|
$1,918.17
|
2026-04-28
|
|
46220
|
HCPCS
|
Removal Of Single External Noncancer Growth Of Anus
|
9
|
9
|
$2,100.00
|
$1,890.00
|
$1,260.00
|
$2,121.00
|
$1,890.00
|
2026-04-28
|
|
25600
|
HCPCS
|
Closed Treatment Of Broken Forearm (radius) Bone At The Wrist Area On The Thumb …
|
9
|
9
|
$2,434.70
|
$2,191.23
|
$1,460.82
|
$2,459.05
|
$1,872.54
|
2026-04-28
|
|
11404
|
HCPCS
|
Removal Of Noncancer Skin Growth Of Body, Arms, Or Legs, 3.1-4.0 Cm
|
16
|
9
|
$3,089.63
|
$2,780.67
|
$247.05
|
$3,120.53
|
$1,869.22
|
2026-04-28
|
|
64633
|
HCPCS
|
Destruction Of Upper Or Middle Spinal Facet Joint Nerves Using Imaging Guidance,…
|
30
|
8
|
$3,653.62
|
$3,288.26
|
$160.22
|
$6,077.64
|
$1,820.28
|
2026-04-28
|
|
75635
|
HCPCS
|
CT Scan Of Abdominal Aorta And Both Leg Arteries With Contrast
|
9
|
9
|
$2,303.91
|
$2,073.52
|
$1,382.35
|
$2,326.95
|
$1,757.88
|
2026-04-28
|
|
J1439
|
HCPCS
|
Injection, Ferric Carboxymaltose, 1 Mg
|
9
|
9
|
$2,302.17
|
$2,071.95
|
$1.91
|
$2,325.19
|
$1,756.56
|
2026-04-28
|
|
11422
|
HCPCS
|
Removal Of Noncancer Skin Growth Of Scalp, Neck, Hands, Feet, Or Genitals, 1.1-2…
|
24
|
9
|
$2,665.00
|
$2,398.50
|
$241.20
|
$2,893.61
|
$1,754.82
|
2026-04-28
|
|
J7298
|
HCPCS
|
Levonorgestrel-releasing Intrauterine Contraceptive System (mirena), 52 Mg
|
17
|
9
|
$2,764.25
|
$2,487.83
|
$1,168.20
|
$2,791.89
|
$1,752.30
|
2026-04-28
|
|
J3489
|
HCPCS
|
Injection, Zoledronic Acid, 1 Mg
|
17
|
9
|
$3,043.07
|
$2,738.76
|
$11.05
|
$3,073.50
|
$1,742.76
|
2026-04-28
|
|
11643
|
HCPCS
|
Removal Of Cancer Skin Growth Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 2.1-…
|
24
|
9
|
$2,513.98
|
$2,262.58
|
$247.05
|
$2,893.61
|
$1,733.31
|
2026-04-28
|
|
J1162
|
HCPCS
|
Injection, Digoxin Immune Fab (ovine), Per Vial
|
9
|
9
|
$1,921.37
|
$1,729.23
|
$1,152.82
|
$7,141.75
|
$1,729.23
|
2026-04-28
|
|
J9395
|
HCPCS
|
Injection, Fulvestrant, 25 Mg
|
9
|
9
|
$2,237.32
|
$2,013.59
|
$19.30
|
$2,259.69
|
$1,707.08
|
2026-04-28
|
|
74175
|
HCPCS
|
CT Scan Of Blood Vessels Of Abdomen With Contrast
|
9
|
9
|
$2,180.04
|
$1,962.04
|
$1,308.02
|
$2,201.84
|
$1,663.37
|
2026-04-28
|
|
70498
|
HCPCS
|
CT Scan Of Blood Vessels Of Neck With Contrast
|
9
|
9
|
$2,180.04
|
$1,962.04
|
$1,308.02
|
$2,201.84
|
$1,663.37
|
2026-04-28
|
|
70496
|
HCPCS
|
CT Scan Of Blood Vessels Of Head With Contrast
|
9
|
9
|
$2,180.04
|
$1,962.04
|
$1,308.02
|
$2,201.84
|
$1,663.37
|
2026-04-28
|
|
71275
|
HCPCS
|
CT Scan Of Blood Vessels Of Chest With Contrast
|
9
|
9
|
$2,180.04
|
$1,962.04
|
$1,308.02
|
$2,201.84
|
$1,663.37
|
2026-04-28
|
|
11421
|
HCPCS
|
Removal Of Noncancer Skin Growth Of Scalp, Neck, Hands, Feet, Or Genitals, 0.6-1…
|
24
|
9
|
$2,328.00
|
$2,095.20
|
$203.40
|
$2,755.82
|
$1,650.76
|
2026-04-28
|
|
11442
|
HCPCS
|
Removal Of Noncancer Skin Growth Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 1…
|
16
|
9
|
$2,864.96
|
$2,578.46
|
$247.05
|
$2,893.61
|
$1,648.82
|
2026-04-28
|
|
J1569
|
HCPCS
|
Injection, Immune Globulin, (gammagard Liquid), Non-lyophilized, (e.g., Liquid),…
|
41
|
9
|
$2,110.25
|
$1,899.23
|
$72.95
|
$6,373.86
|
$1,610.12
|
2026-04-28
|
|
12031
|
HCPCS
|
Intermediate Repair Of Wound Of Scalp, Underarms, Trunk, Arms, Or Legs, 2.5 Cm O…
|
24
|
9
|
$2,536.31
|
$2,282.68
|
$106.47
|
$2,673.95
|
$1,601.72
|
2026-04-28
|
|
01006672
|
CDM
|
Gastro - Intestinal (gi) Services - General Classification
|
6
|
6
|
$2,303.87
|
$2,073.48
|
$1,382.32
|
$2,073.48
|
$1,588.63
|
2026-04-28
|
|
01006673
|
CDM
|
Gastro - Intestinal (gi) Services - General Classification
|
6
|
6
|
$2,269.26
|
$2,042.33
|
$1,361.56
|
$2,042.33
|
$1,564.77
|
2026-04-28
|
|
64421
|
HCPCS
|
Injection Of Anesthetic Agent And/or Steroid Into Multiple Rib Nerves For Region…
|
9
|
9
|
$2,044.02
|
$1,839.62
|
$975.28
|
$2,064.46
|
$1,559.59
|
2026-04-28
|
|
25565
|
HCPCS
|
Closed Treatment Of Broken Midpart Of Both Forearm Bones With Manipulation
|
25
|
9
|
$2,498.55
|
$2,248.70
|
$430.77
|
$2,523.54
|
$1,539.36
|
2026-04-28
|
|
45378
|
HCPCS
|
Diagnostic Exam Of Large Bowel Using A Flexible Endoscope
|
9
|
9
|
$1,701.17
|
$1,531.05
|
$1,020.70
|
$1,718.18
|
$1,531.05
|
2026-04-28
|
|
11403
|
HCPCS
|
Removal Of Noncancer Skin Growth Of Body, Arms, Or Legs, 2.1-3.0 Cm
|
16
|
9
|
$2,513.98
|
$2,262.58
|
$247.05
|
$2,539.12
|
$1,520.96
|
2026-04-28
|
|
11623
|
HCPCS
|
Removal Of Cancer Skin Growth Of Scalp, Neck, Hands, Feet, Or Genitals, 2.1-3.0 …
|
16
|
9
|
$2,887.50
|
$2,598.75
|
$247.05
|
$2,916.38
|
$1,504.80
|
2026-04-28
|
|
53660
|
HCPCS
|
Initial Dilation Of Urethra In Female
|
9
|
9
|
$1,937.89
|
$1,744.10
|
$1,162.73
|
$1,957.27
|
$1,490.23
|
2026-04-28
|
|
73223
|
HCPCS
|
MRI Scan Of Arm Joint Before And After Contrast
|
18
|
9
|
$1,950.89
|
$1,755.80
|
$677.50
|
$1,970.40
|
$1,488.53
|
2026-04-28
|
|
73222
|
HCPCS
|
MRI Scan Of Arm Joint With Contrast
|
9
|
9
|
$1,950.89
|
$1,755.80
|
$677.50
|
$1,970.40
|
$1,488.53
|
2026-04-28
|
|
71551
|
HCPCS
|
MRI Scan Of Chest With Contrast
|
9
|
9
|
$1,950.89
|
$1,755.80
|
$677.50
|
$1,970.40
|
$1,488.53
|
2026-04-28
|
|
46050
|
HCPCS
|
Drainage Of Superficial Rectal Abscess Surrounding Anus
|
9
|
9
|
$1,937.89
|
$1,744.10
|
$1,162.73
|
$1,957.27
|
$1,478.61
|
2026-04-28
|
|
11603
|
HCPCS
|
Removal Of Cancer Skin Growth Of Body, Arms, Or Legs, 2.1-3.0 Cm
|
16
|
9
|
$2,513.98
|
$2,262.58
|
$247.05
|
$2,539.12
|
$1,475.91
|
2026-04-28
|
|
J1566
|
HCPCS
|
Injection, Immune Globulin, Intravenous, Lyophilized (e.g., Powder), Not Otherwi…
|
9
|
9
|
$1,922.20
|
$1,729.98
|
$115.68
|
$1,941.42
|
$1,466.64
|
2026-04-28
|
|
01005561
|
CDM
|
Gastro - Intestinal (gi) Services - General Classification
|
6
|
6
|
$2,079.39
|
$1,871.45
|
$1,247.63
|
$1,871.45
|
$1,433.84
|
2026-04-28
|
|
64510
|
HCPCS
|
Injection Of Anesthetic Agent Into Sympathetic Nerve Bundle
|
16
|
9
|
$3,233.49
|
$2,910.14
|
$57.75
|
$3,265.82
|
$1,430.38
|
2026-04-28
|
|
13152
|
HCPCS
|
Complicated Repair Of Wound Of Eyelids, Nose, Ears, Or Lip, 2.6-7.5 Cm
|
16
|
9
|
$2,359.35
|
$2,123.42
|
$224.19
|
$2,382.94
|
$1,427.40
|
2026-04-28
|
|
10121
|
HCPCS
|
Removal Of Foreign Body From Tissue, Accessed Beneath The Skin, Complex
|
16
|
9
|
$2,353.45
|
$2,118.11
|
$136.62
|
$2,376.98
|
$1,423.84
|
2026-04-28
|
|
12051
|
HCPCS
|
Intermediate Repair Of Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 2.5 C…
|
9
|
9
|
$1,857.99
|
$1,672.19
|
$920.67
|
$1,876.57
|
$1,417.65
|
2026-04-28
|
|
62321
|
HCPCS
|
Injection Of Substance Into Middle Or Upper Spine Canal Using Imaging Guidance
|
16
|
9
|
$2,631.86
|
$2,368.67
|
$88.78
|
$2,658.18
|
$1,408.54
|
2026-04-28
|
|
23700
|
HCPCS
|
Manipulation Of Shoulder Joint Under Anesthesia
|
9
|
9
|
$1,820.84
|
$1,638.76
|
$1,092.50
|
$1,839.05
|
$1,389.30
|
2026-04-28
|
|
25605
|
HCPCS
|
Closed Treatment Of Broken Or Growth Plate Separate Of Forearm Bone At Wrist Wit…
|
16
|
9
|
$2,279.13
|
$2,051.22
|
$455.36
|
$2,301.92
|
$1,378.88
|
2026-04-28
|
|
64492
|
HCPCS
|
Injection Of Upper Or Middle Spine Facet Joint Using Imaging Guidance, Third And…
|
16
|
9
|
$2,591.91
|
$2,332.72
|
$47.94
|
$2,617.83
|
$1,367.30
|
2026-04-28
|
|
27810
|
HCPCS
|
Closed Treatment Of 2 Broken Lower Leg Bones At Ankle With Manipulation
|
16
|
9
|
$2,247.00
|
$2,022.30
|
$352.65
|
$2,269.47
|
$1,359.43
|
2026-04-28
|
|
64483
|
HCPCS
|
Injection Of Anesthetic And/or Steroid Drug Into Sacral Spine Nerve Root Using I…
|
48
|
9
|
$3,246.46
|
$2,921.81
|
$92.33
|
$6,559.05
|
$1,347.15
|
2026-04-28
|
|
J2407
|
HCPCS
|
Injection, Oritavancin (orbactiv), 10 Mg
|
9
|
9
|
$1,492.64
|
$1,343.38
|
$40.56
|
$2,238.96
|
$1,343.38
|
2026-04-28
|
|
25535
|
HCPCS
|
Closed Treatment Of Broken Midpart Of Forearm Bone On Small Finger Side With Man…
|
16
|
9
|
$2,205.00
|
$1,984.50
|
$391.04
|
$2,227.05
|
$1,334.03
|
2026-04-28
|
|
IS
|
CDM
|
Room & Board - Private (one Bed) - General Classification
|
5
|
5
|
$1,425.00
|
$1,282.50
|
$1,020.30
|
$1,439.25
|
$1,282.50
|
2026-04-28
|
|
SM
|
CDM
|
Room & Board - Semi-private (two Beds) - General Classification
|
5
|
5
|
$1,425.00
|
$1,282.50
|
$1,020.30
|
$1,439.25
|
$1,282.50
|
2026-04-28
|
|
62323
|
HCPCS
|
Injection Of Substance Into Lower Spine Canal Using Imaging Guidance
|
16
|
9
|
$2,194.20
|
$1,974.78
|
$82.81
|
$2,216.14
|
$1,277.24
|
2026-04-28
|
|
01500105
|
CDM
|
Chest Tube Insert
|
6
|
6
|
$1,846.85
|
$1,662.17
|
$1,108.11
|
$1,662.17
|
$1,273.49
|
2026-04-28
|
|
J9264
|
HCPCS
|
Injection, Paclitaxel Protein-bound Particles, 1 Mg
|
9
|
9
|
$1,626.20
|
$1,463.58
|
$23.37
|
$1,642.46
|
$1,240.79
|
2026-04-28
|
|
J0585
|
HCPCS
|
Injection, Onabotulinumtoxina, 1 Unit
|
9
|
9
|
$1,625.00
|
$1,462.50
|
$10.15
|
$1,641.25
|
$1,239.88
|
2026-04-28
|
|
32551
|
HCPCS
|
Removal Of Fluid From Between Lung And Chest Cavity
|
8
|
8
|
$1,488.32
|
$1,339.49
|
$892.99
|
$1,503.20
|
$1,237.54
|
2026-04-28
|
|
44500
|
HCPCS
|
Dilation Of Stomach And/or Small Bowel Using Long Gastrointestinal Tube
|
8
|
8
|
$1,484.42
|
$1,335.98
|
$890.65
|
$1,499.26
|
$1,234.30
|
2026-04-28
|
|
32557
|
HCPCS
|
Drainage Of Fluid From Chest Cavity With Insertion Of Indwelling Tube Using Imag…
|
16
|
9
|
$2,250.00
|
$2,025.00
|
$122.19
|
$2,272.50
|
$1,230.26
|
2026-04-28
|
|
99291
|
HCPCS
|
Critical Care, First 30-74 Minutes
|
16
|
9
|
$2,026.43
|
$1,823.79
|
$170.92
|
$2,046.69
|
$1,225.99
|
2026-04-28
|
|
49082
|
HCPCS
|
Drainage Of Fluid From Abdominal Cavity
|
9
|
9
|
$1,600.00
|
$1,440.00
|
$739.91
|
$1,616.00
|
$1,220.80
|
2026-04-28
|
|
30300
|
HCPCS
|
Removal Of Foreign Body In Nose
|
9
|
9
|
$1,571.12
|
$1,414.01
|
$942.67
|
$1,586.83
|
$1,208.05
|
2026-04-28
|
|
J3315
|
HCPCS
|
Injection, Triptorelin Pamoate, 3.75 Mg
|
17
|
9
|
$1,185.40
|
$1,066.86
|
$577.86
|
$2,951.62
|
$1,197.25
|
2026-04-28
|
|
36589
|
HCPCS
|
Removal Of Tunneled Central Venous Tube
|
32
|
9
|
$1,587.67
|
$1,428.90
|
$247.05
|
$2,381.51
|
$1,191.66
|
2026-04-28
|
|
23655
|
HCPCS
|
Closed Treatment Of Dislocated Shoulder With Manipulation Under Anesthesia
|
9
|
9
|
$1,560.71
|
$1,404.64
|
$936.43
|
$1,576.32
|
$1,190.82
|
2026-04-28
|
|
92960
|
HCPCS
|
External Shock To Heart To Regulate Heart Beat
|
8
|
8
|
$1,430.98
|
$1,287.88
|
$858.59
|
$1,445.29
|
$1,189.86
|
2026-04-28
|
|
01005563
|
CDM
|
Specialty Services - Treatment Room
|
6
|
6
|
$1,722.22
|
$1,550.00
|
$1,033.33
|
$1,550.00
|
$1,187.55
|
2026-04-28
|
|
01805563
|
CDM
|
Specialty Services - Treatment Room
|
6
|
6
|
$1,722.22
|
$1,550.00
|
$1,033.33
|
$1,550.00
|
$1,187.55
|
2026-04-28
|
|
27096
|
HCPCS
|
Injection Of Anesthetic Or Steroid Into Joint Between Lower Spine And Hip Bone U…
|
48
|
9
|
$2,477.32
|
$2,229.59
|
$67.95
|
$4,051.11
|
$1,178.17
|
2026-04-28
|
|
11641
|
HCPCS
|
Removal Of Cancer Skin Growth Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 0.6-…
|
16
|
9
|
$2,513.98
|
$2,262.58
|
$247.05
|
$2,539.12
|
$1,177.47
|
2026-04-28
|
|
11441
|
HCPCS
|
Removal Of Noncancer Skin Growth Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 0…
|
16
|
9
|
$1,944.39
|
$1,749.95
|
$247.05
|
$1,963.83
|
$1,176.36
|
2026-04-28
|
|
01005555
|
CDM
|
Gastro - Intestinal (gi) Services - General Classification
|
6
|
6
|
$1,701.17
|
$1,531.05
|
$1,020.70
|
$1,531.05
|
$1,173.04
|
2026-04-28
|
|
01005556
|
CDM
|
Gastro - Intestinal (gi) Services - General Classification
|
6
|
6
|
$1,701.17
|
$1,531.05
|
$1,020.70
|
$1,531.05
|
$1,173.04
|
2026-04-28
|
|
01805557
|
CDM
|
Gastro - Intestinal (gi) Services - General Classification
|
6
|
6
|
$1,701.17
|
$1,531.05
|
$1,020.70
|
$1,531.05
|
$1,173.04
|
2026-04-28
|
|
01805556
|
CDM
|
Gastro - Intestinal (gi) Services - General Classification
|
6
|
6
|
$1,701.17
|
$1,531.05
|
$1,020.70
|
$1,531.05
|
$1,173.04
|
2026-04-28
|
|
01805555
|
CDM
|
Gastro - Intestinal (gi) Services - General Classification
|
6
|
6
|
$1,701.17
|
$1,531.05
|
$1,020.70
|
$1,531.05
|
$1,173.04
|
2026-04-28
|
|
87507
|
HCPCS
|
Detection Test By Nucleic Acid For Digestive Tract Pathogen, Multiple Types Or S…
|
9
|
9
|
$1,486.39
|
$1,337.75
|
$891.83
|
$1,501.25
|
$1,170.94
|
2026-04-28
|
|
81206
|
HCPCS
|
Translocation Analysis (bcr/abl1) Major Breakpoint
|
9
|
9
|
$1,533.58
|
$1,380.22
|
$249.63
|
$1,548.92
|
$1,170.12
|
2026-04-28
|
|
36573
|
HCPCS
|
Insertion Of Tube For Infusion With Imaging Guidance And Review By Radiologist, …
|
23
|
8
|
$1,857.99
|
$1,672.19
|
$68.14
|
$1,876.57
|
$1,144.71
|
2026-04-28
|
|
32555
|
HCPCS
|
Aspiration Of Fluid From Chest Cavity Using Imaging Guidance
|
25
|
9
|
$1,488.32
|
$1,339.49
|
$686.60
|
$1,876.57
|
$1,135.59
|
2026-04-28
|
|
12052
|
HCPCS
|
Intermediate Repair Of Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 2.6-5…
|
17
|
9
|
$1,486.39
|
$1,337.75
|
$885.70
|
$1,501.25
|
$1,135.23
|
2026-04-28
|
|
60100
|
HCPCS
|
Needle Biopsy Of Thyroid Through Skin
|
9
|
9
|
$1,482.20
|
$1,333.98
|
$570.86
|
$1,497.02
|
$1,130.92
|
2026-04-28
|
|
78598
|
HCPCS
|
Nuclear Medicine Study Of Lung Ventilation And Circulation And Blood Flow To Lun…
|
8
|
8
|
$1,350.08
|
$1,215.07
|
$810.05
|
$1,363.58
|
$1,122.59
|
2026-04-28
|
|
78707
|
HCPCS
|
Nuclear Medicine Study Of Kidney, Blood Flow, And Function
|
8
|
8
|
$1,350.08
|
$1,215.07
|
$810.05
|
$1,363.58
|
$1,122.59
|
2026-04-28
|
|
93307
|
HCPCS
|
Ultrasound Of Heart
|
9
|
9
|
$1,450.24
|
$1,305.22
|
$741.21
|
$1,464.74
|
$1,106.53
|
2026-04-28
|
|
64493
|
HCPCS
|
Injection Of Lower Or Sacral Spine Facet Joint Using Imaging Guidance, Single Le…
|
32
|
9
|
$2,641.57
|
$2,377.42
|
$75.48
|
$4,898.15
|
$1,102.60
|
2026-04-28
|
|
37609
|
HCPCS
|
Tying Or Biopsy Of Artery On Side Of Skull
|
8
|
8
|
$1,320.10
|
$1,188.09
|
$792.06
|
$1,333.30
|
$1,097.66
|
2026-04-28
|
|
99285
|
HCPCS
|
Emergency Department Visit With High Level Of Medical Decision Making
|
16
|
9
|
$1,809.13
|
$1,628.22
|
$98.48
|
$1,827.22
|
$1,094.53
|
2026-04-28
|
|
46600
|
HCPCS
|
Diagnostic Exam Of Anus Using An Endoscope
|
9
|
9
|
$1,416.35
|
$1,274.72
|
$849.81
|
$1,430.51
|
$1,088.41
|
2026-04-28
|
|
06000592
|
CDM
|
Hyperrab S/d Inj (150iu/ml) (2 Ml)
|
6
|
6
|
$1,577.87
|
$1,420.08
|
$946.72
|
$1,420.08
|
$1,088.02
|
2026-04-28
|
|
72147
|
HCPCS
|
MRI Scan Of Middle Spinal Canal With Contrast
|
9
|
9
|
$1,424.64
|
$1,282.18
|
$677.50
|
$1,438.89
|
$1,087.00
|
2026-04-28
|
|
74182
|
HCPCS
|
MRI Scan Of Abdomen With Contrast
|
9
|
9
|
$1,424.64
|
$1,282.18
|
$677.50
|
$1,438.89
|
$1,087.00
|
2026-04-28
|
|
72158
|
HCPCS
|
MRI Scan Of Lower Spinal Canal Before And After Contrast
|
9
|
9
|
$1,424.64
|
$1,282.18
|
$677.50
|
$1,438.89
|
$1,087.00
|
2026-04-28
|
|
73219
|
HCPCS
|
MRI Scan Of Arm With Contrast
|
9
|
9
|
$1,424.64
|
$1,282.18
|
$677.50
|
$1,438.89
|
$1,087.00
|
2026-04-28
|
|
72156
|
HCPCS
|
MRI Scan Of Upper Spinal Canal Before And After Contrast
|
9
|
9
|
$1,424.64
|
$1,282.18
|
$677.50
|
$1,438.89
|
$1,087.00
|
2026-04-28
|
|
72142
|
HCPCS
|
MRI Scan Of Upper Spinal Canal With Contrast
|
9
|
9
|
$1,424.64
|
$1,282.18
|
$677.50
|
$1,438.89
|
$1,087.00
|
2026-04-28
|
|
71552
|
HCPCS
|
MRI Scan Of Chest Before And After Contrast
|
9
|
9
|
$1,424.64
|
$1,282.18
|
$677.50
|
$1,438.89
|
$1,087.00
|
2026-04-28
|
|
72197
|
HCPCS
|
MRI Scan Of Pelvis Before And After Contrast
|
9
|
9
|
$1,424.64
|
$1,282.18
|
$677.50
|
$1,438.89
|
$1,087.00
|
2026-04-28
|
|
73220
|
HCPCS
|
MRI Scan Of Arm Before And After Contrast
|
18
|
9
|
$1,424.64
|
$1,282.18
|
$677.50
|
$1,438.89
|
$1,087.00
|
2026-04-28
|
|
73723
|
HCPCS
|
MRI Scan Of Leg Joint Before And After Contrast
|
18
|
9
|
$1,424.64
|
$1,282.18
|
$677.50
|
$1,438.89
|
$1,087.00
|
2026-04-28
|
|
70553
|
HCPCS
|
MRI Scan Of Brain Before And After Contrast
|
9
|
9
|
$1,424.64
|
$1,282.18
|
$677.50
|
$1,438.89
|
$1,087.00
|
2026-04-28
|
|
70549
|
HCPCS
|
MRI Scan Of Blood Vessels Of Neck Before And After Contrast
|
9
|
9
|
$1,424.64
|
$1,282.18
|
$815.34
|
$1,438.89
|
$1,087.00
|
2026-04-28
|
|
70546
|
HCPCS
|
MRI Scan Of Blood Vessels Of Head Before And After Contrast
|
9
|
9
|
$1,424.64
|
$1,282.18
|
$815.34
|
$1,438.89
|
$1,087.00
|
2026-04-28
|
|
72157
|
HCPCS
|
MRI Scan Of Middle Spinal Canal Before And After Contrast
|
9
|
9
|
$1,424.64
|
$1,282.18
|
$677.50
|
$1,438.89
|
$1,087.00
|
2026-04-28
|
|
72196
|
HCPCS
|
MRI Scan Of Pelvis With Contrast
|
9
|
9
|
$1,424.64
|
$1,282.18
|
$677.50
|
$1,438.89
|
$1,087.00
|
2026-04-28
|
|
72149
|
HCPCS
|
MRI Scan Of Lower Spinal Canal With Contrast
|
9
|
9
|
$1,424.64
|
$1,282.18
|
$677.50
|
$1,438.89
|
$1,087.00
|
2026-04-28
|
|
73720
|
HCPCS
|
MRI Scan Of Leg Before And After Contrast
|
18
|
9
|
$1,424.64
|
$1,282.18
|
$677.50
|
$1,438.89
|
$1,087.00
|
2026-04-28
|
|
74183
|
HCPCS
|
MRI Scan Of Abdomen Before And After Contrast
|
9
|
9
|
$1,424.64
|
$1,282.18
|
$677.50
|
$1,438.89
|
$1,087.00
|
2026-04-28
|
|
J7325
|
HCPCS
|
Hyaluronan Or Derivative, Synvisc Or Synvisc-one, For Intra-articular Injection,…
|
17
|
9
|
$1,603.05
|
$1,442.75
|
$17.68
|
$1,619.08
|
$1,083.78
|
2026-04-28
|
|
78708
|
HCPCS
|
Nuclear Medicine Study Of Kidney, Blood, Flow, And Function With Drug Administra…
|
9
|
9
|
$1,407.25
|
$1,266.53
|
$844.35
|
$1,421.32
|
$1,081.50
|
2026-04-28
|
|
P9034
|
HCPCS
|
Platelets, Pheresis, Each Unit
|
8
|
8
|
$1,293.05
|
$1,163.75
|
$775.83
|
$1,305.98
|
$1,075.17
|
2026-04-28
|
|
13132
|
HCPCS
|
Complicated Repair Of Wound Of Forehead, Cheeks, Chin, Mouth, Neck, Underarms, G…
|
16
|
9
|
$1,769.51
|
$1,592.56
|
$202.50
|
$1,787.21
|
$1,070.56
|
2026-04-28
|
|
64490
|
HCPCS
|
Injection Of Upper Or Middle Spine Facet Joint Using Imaging Guidance, Single Le…
|
32
|
9
|
$2,849.61
|
$2,564.65
|
$87.31
|
$5,495.07
|
$1,067.87
|
2026-04-28
|
|
70543
|
HCPCS
|
MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Before And After Contrast
|
9
|
9
|
$1,390.94
|
$1,251.85
|
$677.50
|
$1,404.85
|
$1,061.29
|
2026-04-28
|
|
32554
|
HCPCS
|
Aspiration Of Fluid From Chest Cavity
|
9
|
9
|
$1,375.38
|
$1,237.84
|
$825.23
|
$1,389.13
|
$1,049.41
|
2026-04-28
|
|
26770
|
HCPCS
|
Closed Treatment Of Dislocated Finger Joint With Manipulation
|
9
|
9
|
$1,355.22
|
$1,219.70
|
$813.13
|
$1,368.77
|
$1,041.60
|
2026-04-28
|
|
26700
|
HCPCS
|
Closed Treatment Of Dislocated Hand Joint At Base Of Finger With Manipulation
|
9
|
9
|
$1,355.22
|
$1,219.70
|
$813.13
|
$1,368.77
|
$1,041.60
|
2026-04-28
|
|
11402
|
HCPCS
|
Removal Of Noncancer Skin Growth Of Body, Arms, Or Legs, 1.1-2.0 Cm
|
31
|
9
|
$1,706.96
|
$1,536.26
|
$81.63
|
$1,754.88
|
$1,041.25
|
2026-04-28
|
|
51720
|
HCPCS
|
Instillation Of Anti-cancer Drug Into Bladder
|
9
|
9
|
$1,352.62
|
$1,217.36
|
$811.57
|
$1,366.15
|
$1,040.30
|
2026-04-28
|
|
45330
|
HCPCS
|
Diagnostic Exam Of Lower Portion Of Large Bowel Using A Flexible Endoscope
|
9
|
9
|
$1,362.52
|
$1,226.27
|
$817.51
|
$1,376.15
|
$1,040.30
|
2026-04-28
|
|
78227
|
HCPCS
|
Nuclear Medicine Study Of Liver And Bile Duct System With Use Of Drugs
|
9
|
9
|
$1,337.10
|
$1,203.39
|
$681.91
|
$1,350.47
|
$1,020.21
|
2026-04-28
|
|
17110
|
HCPCS
|
Destruction Of Skin Growth, 1-14 Growths
|
16
|
9
|
$1,662.16
|
$1,495.94
|
$148.80
|
$1,678.78
|
$1,005.61
|
2026-04-28
|
|
SS
|
CDM
|
Room & Board - Semi-private (two Beds) - General Classification
|
5
|
5
|
$1,106.00
|
$995.40
|
$791.90
|
$1,117.06
|
$995.40
|
2026-04-28
|
|
11760
|
HCPCS
|
Repair Of Fingernail Or Toenail Bed
|
9
|
9
|
$1,303.77
|
$1,173.39
|
$478.54
|
$1,316.81
|
$994.78
|
2026-04-28
|
|
62322
|
HCPCS
|
Injection Of Substance Into Lower Spine Canal
|
16
|
9
|
$2,044.02
|
$1,839.62
|
$68.89
|
$2,064.46
|
$992.27
|
2026-04-28
|
|
06006011
|
CDM
|
Veklury 100 Mg Vial
|
6
|
6
|
$1,438.70
|
$1,294.83
|
$863.22
|
$1,294.83
|
$992.06
|
2026-04-28
|
|
64484
|
HCPCS
|
Injection Of Anesthetic And/or Steroid Drug Into Sacral Spine Nerve Root Using I…
|
32
|
9
|
$1,623.24
|
$1,460.92
|
$41.05
|
$1,639.47
|
$982.06
|
2026-04-28
|
|
55100
|
HCPCS
|
Drainage Of Abscess Of Scrotum
|
15
|
8
|
$1,629.08
|
$1,466.17
|
$147.52
|
$1,645.37
|
$977.45
|
2026-04-28
|
|
69000
|
HCPCS
|
Simple Drainage Of Abscess Or Blood Accumulation Of External Ear
|
15
|
8
|
$1,627.20
|
$1,464.48
|
$247.05
|
$1,643.47
|
$976.32
|
2026-04-28
|
|
64636
|
HCPCS
|
Destruction Of Lower Or Sacral Spinal Facet Joint Nerves Using Imaging Guidance,…
|
45
|
8
|
$1,617.34
|
$1,455.61
|
$47.38
|
$3,111.45
|
$970.40
|
2026-04-28
|
|
10160
|
HCPCS
|
Aspiration Of Abscess, Blood, Or Cyst
|
16
|
9
|
$1,586.72
|
$1,428.05
|
$178.80
|
$1,602.59
|
$959.96
|
2026-04-28
|
|
92977
|
HCPCS
|
Removal Of Heart Artery Blood Clot By Dissolving
|
9
|
9
|
$1,243.37
|
$1,119.03
|
$746.02
|
$1,255.80
|
$955.78
|
2026-04-28
|
|
78305
|
HCPCS
|
Nuclear Medicine Study Of Bone And/or Joint Multiple Areas
|
8
|
8
|
$1,145.82
|
$1,031.24
|
$687.49
|
$1,157.28
|
$952.75
|
2026-04-28
|
|
94002
|
HCPCS
|
Initial Hospital Inpatient Or Observation Ventilation Assistance And Management
|
8
|
8
|
$1,138.11
|
$1,024.30
|
$682.87
|
$1,149.49
|
$946.34
|
2026-04-28
|
|
12044
|
HCPCS
|
Intermediate Repair Of Wound Of Neck, Hands, Feet, Or Genitals, 7.6-12.5 Cm
|
16
|
9
|
$1,554.21
|
$1,398.79
|
$151.97
|
$1,569.75
|
$940.30
|
2026-04-28
|
|
74178
|
HCPCS
|
CT Scan Of Abdomen And Pelvis Before And After Contrast
|
9
|
9
|
$1,213.88
|
$1,092.49
|
$589.07
|
$1,226.02
|
$926.19
|
2026-04-28
|
|
72133
|
HCPCS
|
CT Scan Of Lower Spine Before And After Contrast
|
9
|
9
|
$1,213.88
|
$1,092.49
|
$589.07
|
$1,226.02
|
$926.19
|
2026-04-28
|
|
72194
|
HCPCS
|
CT Scan Of Pelvis Before And After Contrast
|
9
|
9
|
$1,213.88
|
$1,092.49
|
$589.07
|
$1,226.02
|
$926.19
|
2026-04-28
|
|
74170
|
HCPCS
|
CT Scan Of Abdomen Before And After Contrast
|
9
|
9
|
$1,213.88
|
$1,092.49
|
$589.07
|
$1,226.02
|
$926.19
|
2026-04-28
|
|
71270
|
HCPCS
|
CT Scan Of Chest Before And After Contrast
|
9
|
9
|
$1,213.88
|
$1,092.49
|
$589.07
|
$1,226.02
|
$926.19
|
2026-04-28
|
|
72127
|
HCPCS
|
CT Scan Of Upper Spine Before And After Contrast
|
9
|
9
|
$1,213.88
|
$1,092.49
|
$589.07
|
$1,226.02
|
$926.19
|
2026-04-28
|
|
73202
|
HCPCS
|
CT Scan Of Arm Before And After Contrast
|
18
|
9
|
$1,213.88
|
$1,092.49
|
$589.07
|
$1,226.02
|
$926.19
|
2026-04-28
|
|
70492
|
HCPCS
|
CT Scan Of Soft Tissue Of Neck Before And After Contrast
|
9
|
9
|
$1,213.88
|
$1,092.49
|
$589.07
|
$1,226.02
|
$926.19
|
2026-04-28
|
|
70482
|
HCPCS
|
CT Scan Of Cranial Cavity Before And After Contrast
|
9
|
9
|
$1,213.88
|
$1,092.49
|
$589.07
|
$1,226.02
|
$926.19
|
2026-04-28
|
|
70470
|
HCPCS
|
CT Scan Of Head Or Brain Before And After Contrast
|
9
|
9
|
$1,213.88
|
$1,092.49
|
$589.07
|
$1,226.02
|
$926.19
|
2026-04-28
|
|
72130
|
HCPCS
|
CT Scan Of Middle Spine Before And After Contrast
|
9
|
9
|
$1,213.88
|
$1,092.49
|
$589.07
|
$1,226.02
|
$926.19
|
2026-04-28
|
|
73702
|
HCPCS
|
CT Scan Of Leg Before And After Contrast
|
18
|
9
|
$1,213.88
|
$1,092.49
|
$589.07
|
$1,226.02
|
$926.19
|
2026-04-28
|
|
11440
|
HCPCS
|
Removal Of Noncancer Skin Growth Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 0…
|
31
|
9
|
$1,507.39
|
$1,356.65
|
$77.72
|
$1,626.36
|
$919.51
|
2026-04-28
|
|
74185
|
HCPCS
|
MRI Scan Of Blood Vessels Of Abdomen
|
9
|
9
|
$1,196.02
|
$1,076.42
|
$717.61
|
$1,207.98
|
$912.56
|
2026-04-28
|
|
71555
|
HCPCS
|
MRI Scan Of Blood Vessels Of Chest
|
9
|
9
|
$1,196.02
|
$1,076.42
|
$717.61
|
$1,207.98
|
$912.56
|
2026-04-28
|
|
70548
|
HCPCS
|
MRI Scan Of Blood Vessels Of Neck With Contrast
|
9
|
9
|
$1,196.02
|
$1,076.42
|
$717.61
|
$1,207.98
|
$912.56
|
2026-04-28
|
|
70547
|
HCPCS
|
MRI Scan Of Blood Vessels Of Neck Without Contrast
|
9
|
9
|
$1,196.02
|
$1,076.42
|
$717.61
|
$1,207.98
|
$912.56
|
2026-04-28
|