|
J2350
|
HCPCS
|
Injection, Ocrelizumab, 1 Mg
|
11
|
11
|
$19,477.81
|
$19,477.81
|
$72.29
|
$17,530.03
|
$17,530.03
|
2026-03-03
|
|
J3101
|
HCPCS
|
Injection, Tenecteplase, 1 Mg
|
31
|
11
|
$10,362.08
|
$10,362.08
|
$196.97
|
$10,080.06
|
$7,686.90
|
2026-03-03
|
|
19303
|
HCPCS
|
Simple Complete Removal Of Breast
|
11
|
11
|
$10,195.92
|
$10,195.92
|
$2,122.00
|
$9,176.33
|
$7,242.71
|
2026-03-03
|
|
47563
|
HCPCS
|
Removal Of Gallbladder With X-ray Study Of Bile Ducts Using An Endoscope
|
11
|
11
|
$7,886.23
|
$7,886.23
|
$3,094.00
|
$7,097.61
|
$6,871.99
|
2026-03-03
|
|
J2506
|
HCPCS
|
Injection, Pegfilgrastim, Excludes Biosimilar, 0.5 Mg
|
10
|
10
|
$7,376.13
|
$7,376.13
|
$3,648.97
|
$6,638.52
|
$6,638.52
|
2026-03-03
|
|
J9312
|
HCPCS
|
Injection, Rituximab, 10 Mg
|
11
|
11
|
$6,961.85
|
$6,961.85
|
$97.04
|
$6,265.67
|
$6,265.67
|
2026-03-03
|
|
20982
|
HCPCS
|
Destruction Of Growths And Adjacent Soft Tissue
|
10
|
10
|
$6,762.60
|
$6,762.60
|
$3,345.46
|
$6,086.34
|
$6,086.34
|
2026-03-03
|
|
81450
|
HCPCS
|
Genomic Sequence Analysis Panel Of DNA Or Combined DNA And RNA Of 5-50 Genes Ass…
|
10
|
10
|
$6,710.58
|
$6,710.58
|
$3,319.72
|
$50,968.87
|
$6,039.52
|
2026-03-03
|
|
47562
|
HCPCS
|
Removal Of Gallbladder Using An Endoscope
|
11
|
11
|
$6,492.10
|
$6,492.10
|
$3,094.00
|
$6,871.99
|
$5,842.89
|
2026-03-03
|
|
J2997
|
HCPCS
|
Injection, Alteplase Recombinant, 1 Mg
|
31
|
11
|
$6,270.27
|
$6,270.27
|
$112.88
|
$11,286.48
|
$5,643.24
|
2026-03-03
|
|
19301
|
HCPCS
|
Partial Removal Of Breast
|
11
|
11
|
$7,464.87
|
$7,464.87
|
$1,708.00
|
$6,718.38
|
$5,598.43
|
2026-03-03
|
|
44970
|
HCPCS
|
Removal Of Appendix Using An Endoscope
|
11
|
11
|
$7,235.98
|
$7,235.98
|
$3,094.00
|
$6,512.38
|
$5,451.98
|
2026-03-03
|
|
36569
|
HCPCS
|
Insertion Of Tube For Infusion (5 Years Or Older)
|
11
|
11
|
$5,878.26
|
$5,878.26
|
$773.97
|
$5,290.43
|
$5,290.43
|
2026-03-03
|
|
23073
|
HCPCS
|
Removal Of Growth Of Muscle Of Shoulder, 5.0 Cm Or More
|
11
|
11
|
$5,732.60
|
$5,732.60
|
$2,835.92
|
$5,159.34
|
$5,159.34
|
2026-03-03
|
|
Q5120
|
HCPCS
|
Injection, Pegfilgrastim-bmez (ziextenzo), Biosimilar, 0.5 Mg
|
11
|
11
|
$5,567.38
|
$5,567.38
|
$40.34
|
$5,010.64
|
$5,010.64
|
2026-03-03
|
|
22511
|
HCPCS
|
Stabilization Of Lower Spine Bone
|
10
|
10
|
$5,514.12
|
$5,514.12
|
$2,727.84
|
$4,962.71
|
$4,962.71
|
2026-03-03
|
|
36561
|
HCPCS
|
Insertion Of Central Venous Tube With Port (5 Years Or Older)
|
21
|
11
|
$5,545.74
|
$5,545.74
|
$2,122.00
|
$4,991.17
|
$4,906.89
|
2026-03-03
|
|
49418
|
HCPCS
|
Insertion Of Abdominal Tube Using Imaging Guidance With Review By Radiologist
|
11
|
11
|
$5,326.85
|
$5,326.85
|
$2,635.19
|
$4,794.17
|
$4,794.17
|
2026-03-03
|
|
27301
|
HCPCS
|
Drainage Of Deep Abscess Or Blood Accumulation Of Thigh Or Knee
|
11
|
11
|
$5,233.21
|
$5,233.21
|
$2,588.87
|
$4,709.89
|
$4,709.89
|
2026-03-03
|
|
J1306
|
HCPCS
|
Injection, Inclisiran, 1 Mg
|
10
|
10
|
$4,888.29
|
$4,888.29
|
$2,418.24
|
$4,399.46
|
$4,399.46
|
2026-03-03
|
|
62304
|
HCPCS
|
X-ray Of Lower Spinal Canal With Review By Radiologist
|
22
|
11
|
$4,636.10
|
$4,636.10
|
$2,293.48
|
$4,172.49
|
$4,172.49
|
2026-03-03
|
|
22514
|
HCPCS
|
Treatment Of Broken Lower Spine Bone With Placement Of Stabilizing Device
|
11
|
11
|
$4,593.37
|
$4,593.37
|
$2,272.34
|
$8,401.55
|
$4,134.03
|
2026-03-03
|
|
0201T
|
OTHER
|
Injections Of Both Sides Of Sacrum For Enlargement, 2 Or More Needles, Accessed …
|
10
|
10
|
$4,593.37
|
$4,593.37
|
$2,272.34
|
$4,134.03
|
$4,134.03
|
2026-03-03
|
|
22513
|
HCPCS
|
Treatment Of Broken Middle Spine Bone With Placement Of Stabilizing Device Using…
|
11
|
11
|
$4,593.37
|
$4,593.37
|
$2,272.34
|
$8,401.55
|
$4,134.03
|
2026-03-03
|
|
49505
|
HCPCS
|
Repair Of Groin Hernia (5 Years Or Older)
|
11
|
11
|
$5,123.97
|
$5,123.97
|
$2,122.00
|
$4,611.57
|
$4,120.43
|
2026-03-03
|
|
62303
|
HCPCS
|
X-ray Of Middle Spinal Canal With Review By Radiologist
|
11
|
11
|
$4,432.10
|
$4,432.10
|
$2,192.56
|
$3,988.89
|
$3,988.89
|
2026-03-03
|
|
62302
|
HCPCS
|
X-ray Of Upper Spinal Canal With Review By Radiologist
|
11
|
11
|
$4,432.10
|
$4,432.10
|
$2,192.56
|
$3,988.89
|
$3,988.89
|
2026-03-03
|
|
62305
|
HCPCS
|
X-ray Of Multiple Regions Of Spinal Canal With Review By Radiologist
|
11
|
11
|
$4,432.10
|
$4,432.10
|
$2,192.56
|
$3,988.89
|
$3,988.89
|
2026-03-03
|
|
72270
|
HCPCS
|
Review By Radiologist Of Multiple Spinal Canals Image
|
11
|
11
|
$4,259.40
|
$4,259.40
|
$2,107.13
|
$3,833.46
|
$3,833.46
|
2026-03-03
|
|
11043
|
HCPCS
|
Removal Of Muscle And/or Tissue, 20.0 Sq Cm Or Less
|
11
|
11
|
$4,238.59
|
$4,238.59
|
$38.38
|
$3,814.73
|
$3,814.73
|
2026-03-03
|
|
50435
|
HCPCS
|
Replacement Of Kidney Drainage Tube Using Imaging Guidance With Review By Radiol…
|
10
|
10
|
$4,182.00
|
$4,182.00
|
$2,068.84
|
$3,763.80
|
$3,763.80
|
2026-03-03
|
|
11446
|
HCPCS
|
Removal Of Noncancer Skin Growth Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, M…
|
11
|
11
|
$3,901.50
|
$3,901.50
|
$1,930.07
|
$3,511.35
|
$3,511.35
|
2026-03-03
|
|
72255
|
HCPCS
|
Review By Radiologist Of Middle Spinal Canal Image
|
11
|
11
|
$3,771.45
|
$3,771.45
|
$1,865.74
|
$3,394.31
|
$3,394.31
|
2026-03-03
|
|
72240
|
HCPCS
|
Review By Radiologist Of Upper Spinal Canal Image
|
11
|
11
|
$3,771.45
|
$3,771.45
|
$1,865.74
|
$3,394.31
|
$3,394.31
|
2026-03-03
|
|
72265
|
HCPCS
|
Review By Radiologist Of Lower Spinal Canal Image
|
11
|
11
|
$3,771.45
|
$3,771.45
|
$1,865.74
|
$3,394.31
|
$3,394.31
|
2026-03-03
|
|
Q5115
|
HCPCS
|
Injection, Rituximab-abbs, Biosimilar, (truxima), 10 Mg
|
11
|
11
|
$3,743.25
|
$3,743.25
|
$41.59
|
$3,368.93
|
$3,368.93
|
2026-03-03
|
|
28090
|
HCPCS
|
Removal Of Growth Of Tendon Covering Or Joint Capsule Of Foot
|
21
|
11
|
$3,778.07
|
$3,778.07
|
$1,708.00
|
$3,400.26
|
$3,324.08
|
2026-03-03
|
|
46250
|
HCPCS
|
Removal Of Multiple External Hemorrhoids
|
11
|
11
|
$4,054.79
|
$4,054.79
|
$1,708.00
|
$3,649.31
|
$3,219.88
|
2026-03-03
|
|
50200
|
HCPCS
|
Needle Biopsy Of Kidney
|
11
|
11
|
$3,516.55
|
$3,516.55
|
$1,739.64
|
$3,164.90
|
$3,164.90
|
2026-03-03
|
|
J7168
|
HCPCS
|
Prothrombin Complex Concentrate (human), Kcentra, Per I.u. Of Factor Ix Activity
|
11
|
11
|
$3,428.57
|
$3,428.57
|
$3.62
|
$3,085.71
|
$3,085.71
|
2026-03-03
|
|
38500
|
HCPCS
|
Biopsy Or Removal Of Lymph Nodes
|
11
|
11
|
$3,381.30
|
$3,381.30
|
$1,672.73
|
$3,043.17
|
$3,043.17
|
2026-03-03
|
|
19120
|
HCPCS
|
Removal Of Growth And Tissue Of Breast, Duct, Or Nipple
|
11
|
11
|
$3,331.36
|
$3,331.36
|
$1,648.02
|
$4,142.99
|
$2,998.22
|
2026-03-03
|
|
22903
|
HCPCS
|
Removal Of Growth Of Soft Tissue Of Abdominal Wall, 3.0 Cm Or More
|
21
|
11
|
$3,381.30
|
$3,381.30
|
$1,595.53
|
$3,043.17
|
$2,902.72
|
2026-03-03
|
|
J1569
|
HCPCS
|
Injection, Immune Globulin, (gammagard Liquid), Non-lyophilized, (e.g., Liquid),…
|
21
|
11
|
$3,204.84
|
$3,204.84
|
$55.60
|
$4,326.53
|
$2,884.36
|
2026-03-03
|
|
46260
|
HCPCS
|
Removal Of Multiple Hemorrhoid Groups
|
11
|
11
|
$3,954.56
|
$3,954.56
|
$1,708.00
|
$3,559.10
|
$2,869.41
|
2026-03-03
|
|
21931
|
HCPCS
|
Removal Of Growth Under Skin Of Back Or Lower Sides, 3.0 Cm Or More
|
21
|
11
|
$3,173.22
|
$3,173.22
|
$1,569.79
|
$3,230.44
|
$2,855.90
|
2026-03-03
|
|
27337
|
HCPCS
|
Removal Of Growth Under Skin Of Thigh Or Knee, Less Than 3.0 Cm
|
11
|
11
|
$4,311.42
|
$4,311.42
|
$1,708.00
|
$3,880.28
|
$2,853.25
|
2026-03-03
|
|
21556
|
HCPCS
|
Removal Of Growth Of Muscle Of Neck Or Front Of Chest, Less Than 5.0 Cm
|
11
|
11
|
$4,213.62
|
$4,213.62
|
$1,708.00
|
$3,792.26
|
$2,812.85
|
2026-03-03
|
|
11643
|
HCPCS
|
Removal Of Cancer Skin Growth Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 2.1-…
|
11
|
11
|
$3,069.18
|
$3,069.18
|
$1,036.26
|
$2,762.26
|
$2,762.26
|
2026-03-03
|
|
42826
|
HCPCS
|
Removal Of Tonsils (12 Years Or Older)
|
11
|
11
|
$3,011.96
|
$3,011.96
|
$1,490.02
|
$2,785.47
|
$2,710.76
|
2026-03-03
|
|
66985
|
HCPCS
|
Insertion Of Prosthetic Lens
|
11
|
11
|
$3,381.30
|
$3,381.30
|
$1,672.73
|
$3,043.17
|
$2,705.79
|
2026-03-03
|
|
66984
|
HCPCS
|
Removal Of Cataract With Insertion Of Prosthetic Lens
|
11
|
11
|
$3,121.20
|
$3,121.20
|
$1,544.06
|
$2,809.08
|
$2,705.79
|
2026-03-03
|
|
44140
|
HCPCS
|
Partial Removal Of Large Bowel With Connection
|
10
|
10
|
$3,823.47
|
$3,823.47
|
$1,162.00
|
$3,441.12
|
$2,695.55
|
2026-03-03
|
|
11626
|
HCPCS
|
Removal Of Cancer Skin Growth Of Scalp, Neck, Hands, Feet, Or Genitals, More Tha…
|
12
|
11
|
$2,991.15
|
$2,991.15
|
$1,479.72
|
$3,084.55
|
$2,692.04
|
2026-03-03
|
|
11450
|
HCPCS
|
Removal Of Skin And Tissue Of Underarms For Inflamed Sweat Glands With Simple Or…
|
11
|
11
|
$2,971.38
|
$2,971.38
|
$1,469.94
|
$3,084.55
|
$2,674.24
|
2026-03-03
|
|
38720
|
HCPCS
|
Removal Of Lymph Nodes Of Neck
|
10
|
10
|
$2,965.14
|
$2,965.14
|
$1,466.85
|
$2,668.63
|
$2,668.63
|
2026-03-03
|
|
36590
|
HCPCS
|
Removal Of Central Venous Tube With Port Or Pump
|
32
|
11
|
$2,932.50
|
$2,932.50
|
$1,162.00
|
$2,706.12
|
$2,639.25
|
2026-03-03
|
|
66982
|
HCPCS
|
Complex Removal Of Cataract With Insertion Of Prosthetic Lens
|
11
|
11
|
$3,225.24
|
$3,225.24
|
$1,595.53
|
$2,902.72
|
$2,631.05
|
2026-03-03
|
|
19084
|
HCPCS
|
Biopsy Of Breast And Placement Of Locating Device Using Ultrasound, Each Additio…
|
11
|
11
|
$2,856.00
|
$2,856.00
|
$1,412.86
|
$2,570.40
|
$2,570.40
|
2026-03-03
|
|
49525
|
HCPCS
|
Repair Of Sliding Groin Hernia
|
11
|
11
|
$2,798.68
|
$2,798.68
|
$1,384.51
|
$4,120.43
|
$2,518.81
|
2026-03-03
|
|
42820
|
HCPCS
|
Removal Of Tonsils And Adenoid Glands (younger Than 12 Years)
|
11
|
11
|
$2,725.85
|
$2,725.85
|
$1,348.48
|
$6,386.01
|
$2,453.27
|
2026-03-03
|
|
36573
|
HCPCS
|
Insertion Of Tube For Infusion With Imaging Guidance And Review By Radiologist, …
|
20
|
10
|
$4,031.55
|
$4,031.55
|
$1,080.84
|
$5,290.43
|
$2,437.17
|
2026-03-03
|
|
11623
|
HCPCS
|
Removal Of Cancer Skin Growth Of Scalp, Neck, Hands, Feet, Or Genitals, 2.1-3.0 …
|
21
|
11
|
$2,705.04
|
$2,705.04
|
$771.00
|
$2,574.99
|
$2,434.54
|
2026-03-03
|
|
66840
|
HCPCS
|
Aspiration Of Lens Material By Aspiration
|
11
|
11
|
$3,468.00
|
$3,468.00
|
$1,708.00
|
$3,121.20
|
$2,356.33
|
2026-03-03
|
|
11646
|
HCPCS
|
Removal Of Cancer Skin Growth Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, More…
|
21
|
11
|
$2,611.40
|
$2,611.40
|
$1,291.86
|
$2,593.72
|
$2,350.26
|
2026-03-03
|
|
11444
|
HCPCS
|
Removal Of Noncancer Skin Growth Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 3…
|
11
|
11
|
$2,595.80
|
$2,595.80
|
$1,284.14
|
$2,336.22
|
$2,336.22
|
2026-03-03
|
|
25111
|
HCPCS
|
Removal Of First Cyst Of Wrist
|
33
|
11
|
$3,381.30
|
$3,381.30
|
$1,556.92
|
$3,043.17
|
$2,330.07
|
2026-03-03
|
|
26160
|
HCPCS
|
Removal Of Growth Of Tendon Finger Or Hand
|
12
|
11
|
$2,861.10
|
$2,861.10
|
$1,162.00
|
$2,574.99
|
$2,324.76
|
2026-03-03
|
|
42825
|
HCPCS
|
Removal Of Tonsils (younger Than 12 Years)
|
11
|
11
|
$2,580.19
|
$2,580.19
|
$1,276.42
|
$6,386.01
|
$2,322.17
|
2026-03-03
|
|
46922
|
HCPCS
|
Simple Removal Of Growth Of Anus
|
11
|
11
|
$2,548.98
|
$2,548.98
|
$1,260.98
|
$2,294.08
|
$2,294.08
|
2026-03-03
|
|
38222
|
HCPCS
|
Biopsy And Aspiration Of Bone Marrow Sample For Diagnosis
|
20
|
10
|
$2,555.22
|
$2,555.22
|
$1,251.71
|
$2,322.17
|
$2,277.23
|
2026-03-03
|
|
11426
|
HCPCS
|
Removal Of Noncancer Skin Growth Of Scalp, Neck, Hands, Feet, Or Genitals, More …
|
21
|
11
|
$2,538.58
|
$2,538.58
|
$1,250.69
|
$2,284.72
|
$2,275.35
|
2026-03-03
|
|
46255
|
HCPCS
|
Removal Of Single External And Internal Hemorrhoid Group
|
11
|
11
|
$3,435.63
|
$3,435.63
|
$1,699.61
|
$3,092.07
|
$2,273.51
|
2026-03-03
|
|
12035
|
HCPCS
|
Intermediate Repair Of Wound Of Scalp, Underarms, Trunk, Arms, Or Legs, 12.6-20.…
|
11
|
11
|
$2,512.57
|
$2,512.57
|
$1,242.97
|
$2,261.31
|
$2,261.31
|
2026-03-03
|
|
J0897
|
HCPCS
|
Injection, Denosumab, 1 Mg
|
21
|
11
|
$2,474.70
|
$2,474.70
|
$32.42
|
$2,405.00
|
$2,227.23
|
2026-03-03
|
|
36576
|
HCPCS
|
Repair Of Central Venous Tube For Infusion With Port Or Pump
|
11
|
11
|
$3,017.16
|
$3,017.16
|
$771.00
|
$2,715.44
|
$2,224.02
|
2026-03-03
|
|
14020
|
HCPCS
|
Repair Of Wound Of Scalp, Arms, Or Legs By Transferring Skin, 10.0 Sq Cm Or Less
|
11
|
11
|
$3,116.00
|
$3,116.00
|
$1,162.00
|
$2,804.40
|
$2,187.66
|
2026-03-03
|
|
74174
|
HCPCS
|
CT Scan Of Blood Vessels Of Abdomen And Pelvis With Contrast
|
11
|
11
|
$2,424.13
|
$2,424.13
|
$1,199.22
|
$2,181.72
|
$2,181.72
|
2026-03-03
|
|
0200T
|
OTHER
|
Injections Of One Side Of Sacrum For Enlargement, 1 Or More Needles, Accessed Th…
|
10
|
10
|
$2,418.93
|
$2,418.93
|
$1,196.64
|
$2,177.04
|
$2,177.04
|
2026-03-03
|
|
22515
|
HCPCS
|
Treatment Of Broken Spine Bone With Stabilizing Device, Each Additional Segment
|
10
|
10
|
$2,418.93
|
$2,418.93
|
$1,196.64
|
$2,177.04
|
$2,177.04
|
2026-03-03
|
|
J3032
|
HCPCS
|
Injection, Eptinezumab-jjmr, 1 Mg
|
11
|
11
|
$2,414.93
|
$2,414.93
|
$23.23
|
$2,173.44
|
$2,173.44
|
2026-03-03
|
|
19083
|
HCPCS
|
Biopsy Of Breast And Placement Of Locating Device Using Ultrasound, First Growth
|
33
|
11
|
$2,389.92
|
$2,389.92
|
$1,182.29
|
$2,339.06
|
$2,150.93
|
2026-03-03
|
|
21012
|
HCPCS
|
Removal Of Growth Under Skin Of Face Or Scalp, 2.0 Cm Or More
|
21
|
11
|
$2,548.98
|
$2,548.98
|
$771.00
|
$2,294.08
|
$2,130.22
|
2026-03-03
|
|
26123
|
HCPCS
|
Removal Of Connective Tissue Of Palm And Release Of Finger, First Digit
|
11
|
11
|
$2,653.02
|
$2,653.02
|
$1,312.45
|
$2,387.72
|
$2,122.00
|
2026-03-03
|
|
32550
|
HCPCS
|
Insertion Of Indwelling Tube For Drainage Of Lung Fluid
|
10
|
10
|
$2,340.90
|
$2,340.90
|
$1,158.04
|
$2,106.81
|
$2,106.81
|
2026-03-03
|
|
24071
|
HCPCS
|
Removal Of Growth Under Skin Of Upper Arm Or Elbow, 3.0 Cm Or More
|
21
|
11
|
$2,299.28
|
$2,299.28
|
$1,137.45
|
$2,200.45
|
$2,069.35
|
2026-03-03
|
|
17111
|
HCPCS
|
Destruction Of Skin Growth, 15 Or More Growths
|
12
|
11
|
$2,548.98
|
$2,548.98
|
$449.00
|
$2,294.08
|
$2,046.95
|
2026-03-03
|
|
J0840
|
HCPCS
|
Injection, Crotalidae Polyvalent Immune Fab (ovine), Up To 1 Gram
|
11
|
11
|
$2,267.78
|
$2,267.78
|
$1,121.87
|
$2,436.16
|
$2,041.00
|
2026-03-03
|
|
25076
|
HCPCS
|
Removal Of Growth Of Muscle Of Forearm Or Wrist, Less Than 3.0 Cm
|
11
|
11
|
$2,236.86
|
$2,236.86
|
$1,106.57
|
$2,013.17
|
$2,013.17
|
2026-03-03
|
|
26111
|
HCPCS
|
Removal (1.5 Centimeters Or Greater) Tissue Beneath The Skin Growth Of Hand Or F…
|
11
|
11
|
$2,216.05
|
$2,216.05
|
$1,096.28
|
$1,994.45
|
$1,994.45
|
2026-03-03
|
|
26075
|
HCPCS
|
Incision Of Lower Finger Joint For Exploration, Fluid Drainage, Or Removal Of Fo…
|
11
|
11
|
$2,184.84
|
$2,184.84
|
$1,080.84
|
$1,966.36
|
$1,966.36
|
2026-03-03
|
|
78452
|
HCPCS
|
Nuclear Medicine Studies Of Heart Muscle At Rest And With Stress And Spect
|
11
|
11
|
$2,184.84
|
$2,184.84
|
$1,080.84
|
$1,966.36
|
$1,966.36
|
2026-03-03
|
|
J1459
|
HCPCS
|
Injection, Immune Globulin (privigen), Intravenous, Non-lyophilized (e.g., Liqui…
|
41
|
11
|
$4,200.77
|
$4,200.77
|
$61.96
|
$7,560.00
|
$1,890.34
|
2026-03-03
|
|
11443
|
HCPCS
|
Removal Of Noncancer Skin Growth Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 2…
|
11
|
11
|
$2,080.80
|
$2,080.80
|
$1,029.37
|
$1,872.72
|
$1,872.72
|
2026-03-03
|
|
55060
|
HCPCS
|
Repair Of Fluid Collection In Testicle And Sperm Reservoir
|
10
|
10
|
$2,262.87
|
$2,262.87
|
$1,119.44
|
$2,036.58
|
$1,872.29
|
2026-03-03
|
|
19101
|
HCPCS
|
Biopsy Of Breast Through Incision
|
21
|
11
|
$2,184.84
|
$2,184.84
|
$1,003.64
|
$1,966.36
|
$1,825.90
|
2026-03-03
|
|
46220
|
HCPCS
|
Removal Of Single External Noncancer Growth Of Anus
|
11
|
11
|
$2,013.17
|
$2,013.17
|
$995.92
|
$1,811.85
|
$1,811.85
|
2026-03-03
|
|
Q5157
|
HCPCS
|
Injection, Denosumab-bmwo (stoboclo/osenvelt), Biosimilar, 1 Mg
|
10
|
10
|
$2,002.88
|
$2,002.88
|
$990.82
|
$1,802.59
|
$1,802.59
|
2026-03-03
|
|
10061
|
HCPCS
|
Complicated Or Multiple Drainage Of Skin Abscess
|
21
|
11
|
$2,002.77
|
$2,002.77
|
$449.00
|
$1,811.85
|
$1,802.49
|
2026-03-03
|
|
2120839
|
CDM
|
Room & Board - Private (one Bed) - General Classification
|
5
|
5
|
$2,000.00
|
$2,000.00
|
$1,800.00
|
$1,800.00
|
$1,800.00
|
2026-03-03
|
|
J0630
|
HCPCS
|
Injection, Calcitonin Salmon, Up To 400 Units
|
31
|
11
|
$1,989.00
|
$1,989.00
|
$453.20
|
$3,473.26
|
$1,790.10
|
2026-03-03
|
|
93306
|
HCPCS
|
Ultrasound Of Heart With Color-depicted Blood Flow, Rate, Direction And Valve Fu…
|
11
|
11
|
$2,143.22
|
$2,143.22
|
$1,060.25
|
$1,928.90
|
$1,774.00
|
2026-03-03
|
|
19020
|
HCPCS
|
Drainage Of Abscess Of Breast
|
11
|
11
|
$2,783.07
|
$2,783.07
|
$1,376.78
|
$2,504.76
|
$1,766.49
|
2026-03-03
|
|
55250
|
HCPCS
|
Removal Of Sperm Duct
|
21
|
11
|
$2,028.78
|
$2,028.78
|
$952.17
|
$2,244.28
|
$1,732.27
|
2026-03-03
|
|
11770
|
HCPCS
|
Simple Removal Of Cyst Of Tailbone
|
11
|
11
|
$2,288.88
|
$2,288.88
|
$1,132.31
|
$2,059.99
|
$1,714.98
|
2026-03-03
|
|
25073
|
HCPCS
|
Removal Of Growth Of Muscle Of Forearm Or Wrist, 3.0 Cm Or More
|
11
|
11
|
$2,132.82
|
$2,132.82
|
$1,055.11
|
$1,919.54
|
$1,708.00
|
2026-03-03
|
|
75635
|
HCPCS
|
CT Scan Of Abdominal Aorta And Both Leg Arteries With Contrast
|
11
|
11
|
$1,850.00
|
$1,850.00
|
$915.20
|
$1,665.00
|
$1,665.00
|
2026-03-03
|
|
J3262
|
HCPCS
|
Injection, Tocilizumab, 1 Mg
|
31
|
11
|
$1,841.76
|
$1,841.76
|
$7.44
|
$3,406.10
|
$1,657.58
|
2026-03-03
|
|
45905
|
HCPCS
|
Dilation Of Sphincter Of Anus Under Anesthesia
|
10
|
10
|
$2,340.90
|
$2,340.90
|
$1,158.04
|
$2,106.81
|
$1,650.34
|
2026-03-03
|
|
74175
|
HCPCS
|
CT Scan Of Blood Vessels Of Abdomen With Contrast
|
11
|
11
|
$1,833.18
|
$1,833.18
|
$906.87
|
$1,649.86
|
$1,649.86
|
2026-03-03
|
|
20525
|
HCPCS
|
Complicated Removal Of Foreign Body In Deep Muscle Or Tendon
|
21
|
11
|
$3,329.28
|
$3,329.28
|
$202.35
|
$2,996.35
|
$1,646.99
|
2026-03-03
|
|
70471
|
HCPCS
|
Computed Tomographic Angiography (cta), Head And Neck, With Contrast Material(s)…
|
10
|
10
|
$1,820.00
|
$1,820.00
|
$900.35
|
$1,638.00
|
$1,638.00
|
2026-03-03
|
|
J3111
|
HCPCS
|
Injection, Romosozumab-aqqg, 1 Mg
|
21
|
11
|
$1,803.86
|
$1,803.86
|
$13.80
|
$1,753.24
|
$1,623.47
|
2026-03-03
|
|
70496
|
HCPCS
|
CT Scan Of Blood Vessels Of Head With Contrast
|
11
|
11
|
$1,791.57
|
$1,791.57
|
$886.29
|
$1,612.41
|
$1,612.41
|
2026-03-03
|
|
70498
|
HCPCS
|
CT Scan Of Blood Vessels Of Neck With Contrast
|
11
|
11
|
$1,791.57
|
$1,791.57
|
$886.29
|
$1,612.41
|
$1,612.41
|
2026-03-03
|
|
24075
|
HCPCS
|
Removal Of Growth Under Skin Of Upper Arm Or Elbow, Less Than 3.0 Cm
|
11
|
11
|
$1,789.49
|
$1,789.49
|
$885.26
|
$1,610.54
|
$1,610.54
|
2026-03-03
|
|
71275
|
HCPCS
|
CT Scan Of Blood Vessels Of Chest With Contrast
|
11
|
11
|
$1,766.60
|
$1,766.60
|
$873.94
|
$1,589.94
|
$1,589.94
|
2026-03-03
|
|
11644
|
HCPCS
|
Removal Of Cancer Skin Growth Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 3.1-…
|
21
|
11
|
$1,747.87
|
$1,747.87
|
$864.67
|
$1,615.22
|
$1,573.08
|
2026-03-03
|
|
43249
|
HCPCS
|
Balloon Dilation Of Esophagus, Stomach, And/or Upper Small Bowel Using A Flexibl…
|
11
|
11
|
$2,366.91
|
$2,366.91
|
$1,162.00
|
$2,130.22
|
$1,566.51
|
2026-03-03
|
|
11604
|
HCPCS
|
Removal Of Cancer Skin Growth Of Body, Arms, Or Legs, 3.1-4.0 Cm
|
21
|
11
|
$1,862.32
|
$1,862.32
|
$771.00
|
$1,676.09
|
$1,563.72
|
2026-03-03
|
|
11606
|
HCPCS
|
Removal Of Cancer Skin Growth Of Body, Arms, Or Legs, More Than 4.0 Cm
|
30
|
11
|
$2,913.12
|
$2,913.12
|
$152.00
|
$2,715.44
|
$1,538.75
|
2026-03-03
|
|
35221
|
HCPCS
|
Repair Of Blood Vessel Of Abdomen
|
11
|
11
|
$2,248.30
|
$2,248.30
|
$1,112.23
|
$2,023.47
|
$1,538.23
|
2026-03-03
|
|
11406
|
HCPCS
|
Removal Of Noncancer Skin Growth Of Body, Arms, Or Legs, More Than 4.0 Cm
|
31
|
11
|
$3,009.00
|
$3,009.00
|
$168.54
|
$2,749.41
|
$1,534.59
|
2026-03-03
|
|
Q5103
|
HCPCS
|
Injection, Infliximab-dyyb, Biosimilar, (inflectra), 10 Mg
|
11
|
11
|
$1,686.24
|
$1,686.24
|
$44.97
|
$1,517.62
|
$1,517.62
|
2026-03-03
|
|
62323
|
HCPCS
|
Injection Of Substance Into Lower Spine Canal Using Imaging Guidance
|
11
|
11
|
$1,683.00
|
$1,683.00
|
$832.58
|
$1,514.70
|
$1,514.70
|
2026-03-03
|
|
62321
|
HCPCS
|
Injection Of Substance Into Middle Or Upper Spine Canal Using Imaging Guidance
|
11
|
11
|
$1,683.00
|
$1,683.00
|
$832.58
|
$1,514.70
|
$1,514.70
|
2026-03-03
|
|
43510
|
HCPCS
|
Insertion Of Permanent Stomach Tube With Dilation Of Esophagus
|
10
|
10
|
$2,065.19
|
$2,065.19
|
$1,021.65
|
$1,858.67
|
$1,510.34
|
2026-03-03
|
|
J2407
|
HCPCS
|
Injection, Oritavancin (orbactiv), 10 Mg
|
11
|
11
|
$1,674.00
|
$1,674.00
|
$35.50
|
$1,506.60
|
$1,506.60
|
2026-03-03
|
|
5677408
|
CDM
|
Tc99m Sestamibi Prep Kit
|
10
|
10
|
$1,669.40
|
$1,669.40
|
$825.85
|
$1,502.46
|
$1,502.46
|
2026-03-03
|
|
J1745
|
HCPCS
|
Injection, Infliximab, Excludes Biosimilar, 10 Mg
|
21
|
11
|
$1,655.45
|
$1,655.45
|
$39.57
|
$1,553.62
|
$1,489.91
|
2026-03-03
|
|
45385
|
HCPCS
|
Removal Of Polyps Or Growths Of Large Bowel Using An Endoscope With Mechanical S…
|
11
|
11
|
$2,288.88
|
$2,288.88
|
$1,132.31
|
$2,059.99
|
$1,486.72
|
2026-03-03
|
|
49000
|
HCPCS
|
Exploration Of Abdominal Cavity
|
11
|
11
|
$1,630.45
|
$1,630.45
|
$806.58
|
$2,122.00
|
$1,467.41
|
2026-03-03
|
|
49406
|
HCPCS
|
Drainage Of Fluid Collection Of Abdominal Cavity By Tube Using Imaging Guidance
|
10
|
10
|
$1,597.01
|
$1,597.01
|
$790.04
|
$1,437.31
|
$1,437.31
|
2026-03-03
|
|
74280
|
HCPCS
|
Double Contrast X-ray Of Large Intestine
|
11
|
11
|
$1,584.53
|
$1,584.53
|
$783.87
|
$1,426.08
|
$1,426.08
|
2026-03-03
|
|
43659
|
HCPCS
|
Other Procedure On Stomach Using An Endoscope
|
10
|
10
|
$1,565.80
|
$1,565.80
|
$774.60
|
$2,519.00
|
$1,409.22
|
2026-03-03
|
|
28190
|
HCPCS
|
Removal Of Foreign Body Of Foot Tissue, Accessed Beneath The Skin
|
22
|
11
|
$2,138.96
|
$2,138.96
|
$112.88
|
$4,755.23
|
$1,395.46
|
2026-03-03
|
|
64680
|
HCPCS
|
Injection Of Agent To Destroy Abdominal Nerve Bundle
|
10
|
10
|
$1,550.20
|
$1,550.20
|
$766.88
|
$1,395.18
|
$1,395.18
|
2026-03-03
|
|
47000
|
HCPCS
|
Needle Biopsy Of Liver Through Skin
|
22
|
11
|
$1,534.59
|
$1,534.59
|
$759.16
|
$1,381.13
|
$1,381.13
|
2026-03-03
|
|
78451
|
HCPCS
|
Nuclear Medicine Study Of Heart Muscle At Rest And With Stress And Spect
|
11
|
11
|
$1,508.58
|
$1,508.58
|
$746.29
|
$1,357.72
|
$1,357.72
|
2026-03-03
|
|
38221
|
HCPCS
|
Biopsy Of Bone Marrow
|
20
|
10
|
$1,525.74
|
$1,525.74
|
$746.29
|
$1,388.62
|
$1,357.72
|
2026-03-03
|
|
J1568
|
HCPCS
|
Injection, Immune Globulin, (octagam), Intravenous, Non-lyophilized (e.g., Liqui…
|
21
|
11
|
$3,182.40
|
$3,182.40
|
$60.44
|
$2,864.16
|
$1,355.67
|
2026-03-03
|
|
43251
|
HCPCS
|
Removal Of Polyps Or Growths Of Esophagus, Stomach, And/or Upper Small Bowel Usi…
|
11
|
11
|
$2,028.78
|
$2,028.78
|
$1,003.64
|
$1,825.90
|
$1,353.40
|
2026-03-03
|
|
A9562
|
HCPCS
|
Technetium Tc-99m Mertiatide, Diagnostic, Per Study Dose, Up To 15 Millicuries
|
11
|
11
|
$1,495.72
|
$1,495.72
|
$215.13
|
$1,346.15
|
$1,346.15
|
2026-03-03
|
|
45381
|
HCPCS
|
Injection Beneath Lining Of Large Bowel Using A Flexible Endoscope
|
11
|
11
|
$2,028.78
|
$2,028.78
|
$1,003.64
|
$1,825.90
|
$1,321.08
|
2026-03-03
|
|
45384
|
HCPCS
|
Removal Of Polyps Or Growths Of Large Bowel Using A Flexible Endoscope With Elec…
|
11
|
11
|
$2,002.77
|
$2,002.77
|
$990.77
|
$1,802.49
|
$1,321.08
|
2026-03-03
|
|
27339
|
HCPCS
|
Removal Of Growth Of Muscle Of Thigh Or Knee, 5.0 Cm Or More
|
11
|
11
|
$1,446.16
|
$1,446.16
|
$715.42
|
$1,708.00
|
$1,301.54
|
2026-03-03
|
|
11424
|
HCPCS
|
Removal Of Noncancer Skin Growth Of Scalp, Neck, Hands, Feet, Or Genitals, 3.1-4…
|
21
|
11
|
$2,574.99
|
$2,574.99
|
$126.41
|
$2,317.49
|
$1,273.85
|
2026-03-03
|
|
46050
|
HCPCS
|
Drainage Of Superficial Rectal Abscess Surrounding Anus
|
11
|
11
|
$1,404.54
|
$1,404.54
|
$694.83
|
$1,264.09
|
$1,264.09
|
2026-03-03
|
|
25075
|
HCPCS
|
Removal Of Growth Under Skin Of Forearm Or Wrist, Less Than 3.0 Cm
|
11
|
11
|
$2,444.94
|
$2,444.94
|
$1,162.00
|
$2,200.45
|
$1,246.92
|
2026-03-03
|
|
20225
|
HCPCS
|
Deep Biopsy Of Bone Using Needle Or Trocar
|
11
|
11
|
$1,378.53
|
$1,378.53
|
$681.96
|
$1,240.68
|
$1,240.68
|
2026-03-03
|
|
78708
|
HCPCS
|
Nuclear Medicine Study Of Kidney, Blood, Flow, And Function With Drug Administra…
|
11
|
11
|
$1,377.00
|
$1,377.00
|
$681.20
|
$1,239.30
|
$1,239.30
|
2026-03-03
|
|
J1439
|
HCPCS
|
Injection, Ferric Carboxymaltose, 1 Mg
|
11
|
11
|
$1,364.81
|
$1,364.81
|
$1.40
|
$1,228.33
|
$1,228.33
|
2026-03-03
|
|
11423
|
HCPCS
|
Removal Of Noncancer Skin Growth Of Scalp, Neck, Hands, Feet, Or Genitals, 2.1-3…
|
30
|
11
|
$2,236.86
|
$2,236.86
|
$118.83
|
$2,153.63
|
$1,220.39
|
2026-03-03
|
|
J0666
|
HCPCS
|
Injection, Bupivacaine Liposome, 1 Mg
|
10
|
10
|
$1,336.64
|
$1,336.64
|
$661.24
|
$1,202.98
|
$1,202.98
|
2026-03-03
|
|
64484
|
HCPCS
|
Injection Of Anesthetic And/or Steroid Drug Into Sacral Spine Nerve Root Using I…
|
11
|
11
|
$1,331.71
|
$1,331.71
|
$658.80
|
$1,198.54
|
$1,198.54
|
2026-03-03
|
|
27041
|
HCPCS
|
Biopsy Of Deep Tissue Of Pelvis And Hip
|
11
|
11
|
$1,320.90
|
$1,320.90
|
$653.45
|
$1,188.81
|
$1,188.81
|
2026-03-03
|
|
43250
|
HCPCS
|
Removal Of Polyps Or Growths Of Esophagus, Stomach, And/or Upper Small Bowel Usi…
|
11
|
11
|
$1,768.68
|
$1,768.68
|
$874.97
|
$1,591.81
|
$1,172.61
|
2026-03-03
|
|
32557
|
HCPCS
|
Drainage Of Fluid From Chest Cavity With Insertion Of Indwelling Tube Using Imag…
|
11
|
11
|
$1,300.50
|
$1,300.50
|
$643.36
|
$1,170.45
|
$1,170.45
|
2026-03-03
|
|
64492
|
HCPCS
|
Injection Of Upper Or Middle Spine Facet Joint Using Imaging Guidance, Third And…
|
11
|
11
|
$1,300.50
|
$1,300.50
|
$643.36
|
$1,170.45
|
$1,170.45
|
2026-03-03
|
|
43235
|
HCPCS
|
Diagnostic Exam Of Esophagus, Stomach, And/or Upper Small Bowel Using A Flexible…
|
11
|
11
|
$1,591.81
|
$1,591.81
|
$787.47
|
$1,432.63
|
$1,162.00
|
2026-03-03
|
|
44388
|
HCPCS
|
Diagnostic Exam Of Large Bowel Using An Endoscope Inserted Through Surgically Cr…
|
11
|
11
|
$1,439.91
|
$1,439.91
|
$712.32
|
$1,295.92
|
$1,162.00
|
2026-03-03
|
|
44361
|
HCPCS
|
Biopsy Of Small Bowel (except Ileum) Using An Endoscope
|
11
|
11
|
$1,534.59
|
$1,534.59
|
$759.16
|
$1,381.13
|
$1,162.00
|
2026-03-03
|
|
44360
|
HCPCS
|
Diagnostic Exam Of Small Bowel (excluding Lower Small Intestine) Using An Endosc…
|
11
|
11
|
$1,356.68
|
$1,356.68
|
$671.15
|
$1,221.01
|
$1,162.00
|
2026-03-03
|
|
12051
|
HCPCS
|
Intermediate Repair Of Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 2.5 C…
|
22
|
11
|
$1,720.85
|
$1,720.85
|
$131.45
|
$2,879.31
|
$1,148.87
|
2026-03-03
|
|
4280580
|
CDM
|
Nitroprusside 25 mg/mL IV Sol 2 Ml [frks]
|
10
|
10
|
$1,275.21
|
$1,275.21
|
$630.85
|
$1,147.69
|
$1,147.69
|
2026-03-03
|
|
64721
|
HCPCS
|
Release And/or Relocation Of Hand Nerve
|
11
|
11
|
$1,274.49
|
$1,274.49
|
$630.49
|
$1,708.00
|
$1,147.04
|
2026-03-03
|
|
36589
|
HCPCS
|
Removal Of Tunneled Central Venous Tube
|
11
|
11
|
$1,269.29
|
$1,269.29
|
$627.92
|
$1,142.36
|
$1,142.36
|
2026-03-03
|
|
J7307
|
HCPCS
|
Etonogestrel (contraceptive) Implant System, Including Implant And Supplies
|
11
|
11
|
$1,266.67
|
$1,266.67
|
$626.62
|
$1,651.17
|
$1,140.00
|
2026-03-03
|
|
88275
|
HCPCS
|
Chromosome Analysis For Genetic Defects, Analyze 100-300 Cells
|
11
|
11
|
$1,248.48
|
$1,248.48
|
$147.53
|
$1,123.63
|
$1,123.63
|
2026-03-03
|
|
27043
|
HCPCS
|
Removal Of Growth Under Skin Of Pelvis And Hip, 3.0 Cm Or More
|
11
|
11
|
$1,248.48
|
$1,248.48
|
$431.27
|
$1,123.63
|
$1,123.63
|
2026-03-03
|
|
11642
|
HCPCS
|
Removal Of Cancer Skin Growth Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 1.1-…
|
21
|
11
|
$1,258.88
|
$1,258.88
|
$617.62
|
$1,132.99
|
$1,123.63
|
2026-03-03
|
|
45100
|
HCPCS
|
Biopsy Of Anal And/or Rectal Wall Through Anus
|
11
|
11
|
$1,248.48
|
$1,248.48
|
$617.62
|
$1,123.63
|
$1,123.63
|
2026-03-03
|
|
74740
|
HCPCS
|
Review By Radiologist Of Uterine Tube And Ovary Image
|
11
|
11
|
$1,247.44
|
$1,247.44
|
$359.60
|
$1,122.70
|
$1,122.70
|
2026-03-03
|
|
30300
|
HCPCS
|
Removal Of Foreign Body In Nose
|
11
|
11
|
$1,246.40
|
$1,246.40
|
$616.59
|
$1,121.76
|
$1,121.76
|
2026-03-03
|
|
Q0138
|
HCPCS
|
Injection, Ferumoxytol, For Treatment Of Iron Deficiency Anemia, 1 Mg (non-esrd …
|
11
|
11
|
$1,244.61
|
$1,244.61
|
$0.51
|
$1,120.15
|
$1,120.15
|
2026-03-03
|
|
43247
|
HCPCS
|
Removal Of Foreign Bodies Of Esophagus, Stomach, And/or Upper Small Bowel Using …
|
32
|
11
|
$1,976.76
|
$1,976.76
|
$139.51
|
$3,125.14
|
$1,114.27
|
2026-03-03
|
|
42400
|
HCPCS
|
Needle Biopsy Of Saliva Gland
|
10
|
10
|
$1,230.79
|
$1,230.79
|
$608.87
|
$1,107.71
|
$1,107.71
|
2026-03-03
|
|
49180
|
HCPCS
|
Needle Biopsy Of Growth Of Abdominal Cavity
|
11
|
11
|
$1,220.39
|
$1,220.39
|
$603.73
|
$1,930.94
|
$1,098.35
|
2026-03-03
|
|
87154
|
HCPCS
|
Amplifed Nucleic Acid Probe Typing Of Disease Agent In Blood Culture Specimen
|
10
|
10
|
$1,196.46
|
$1,196.46
|
$591.89
|
$2,609.00
|
$1,076.81
|
2026-03-03
|
|
23076
|
HCPCS
|
Removal Of Growth Of Muscle Of Shoulder, Less Than 5.0 Cm
|
11
|
11
|
$1,196.46
|
$1,196.46
|
$591.89
|
$1,076.81
|
$1,076.81
|
2026-03-03
|
|
11622
|
HCPCS
|
Removal Of Cancer Skin Growth Of Scalp, Neck, Hands, Feet, Or Genitals, 1.1-2.0 …
|
11
|
11
|
$1,196.46
|
$1,196.46
|
$591.89
|
$1,076.81
|
$1,076.81
|
2026-03-03
|
|
25605
|
HCPCS
|
Closed Treatment Of Broken Or Growth Plate Separate Of Forearm Bone At Wrist Wit…
|
22
|
11
|
$1,453.50
|
$1,453.50
|
$473.02
|
$3,424.15
|
$1,076.04
|
2026-03-03
|
|
32555
|
HCPCS
|
Aspiration Of Fluid From Chest Cavity Using Imaging Guidance
|
22
|
11
|
$1,194.38
|
$1,194.38
|
$590.86
|
$1,074.94
|
$1,074.94
|
2026-03-03
|
|
12034
|
HCPCS
|
Intermediate Repair Of Wound Of Scalp, Underarms, Trunk, Arms, Or Legs, 7.6-12.5…
|
21
|
11
|
$2,158.83
|
$2,158.83
|
$145.13
|
$1,942.95
|
$1,067.97
|
2026-03-03
|
|
11404
|
HCPCS
|
Removal Of Noncancer Skin Growth Of Body, Arms, Or Legs, 3.1-4.0 Cm
|
30
|
11
|
$2,044.39
|
$2,044.39
|
$129.54
|
$1,868.04
|
$1,058.56
|
2026-03-03
|
|
45380
|
HCPCS
|
Biopsy Of Large Bowel Using A Flexible Endoscope
|
19
|
11
|
$2,070.40
|
$2,070.40
|
$152.00
|
$1,863.36
|
$1,055.90
|
2026-03-03
|
|
45378
|
HCPCS
|
Diagnostic Exam Of Large Bowel Using A Flexible Endoscope
|
19
|
11
|
$2,054.79
|
$2,054.79
|
$152.00
|
$1,849.31
|
$1,047.94
|
2026-03-03
|
|
64620
|
HCPCS
|
Injection Of Agent To Destroy Rib Nerve
|
11
|
11
|
$1,164.00
|
$1,164.00
|
$551.00
|
$1,047.60
|
$1,047.60
|
2026-03-03
|
|
11420
|
HCPCS
|
Removal Of Noncancer Skin Growth Of Scalp, Neck, Hands, Feet, Or Genitals, 0.5 C…
|
11
|
11
|
$1,160.05
|
$1,160.05
|
$573.88
|
$1,805.43
|
$1,044.05
|
2026-03-03
|
|
72198
|
HCPCS
|
MRI Scan Of Blood Vessels Of Pelvis
|
11
|
11
|
$1,153.80
|
$1,153.80
|
$570.78
|
$1,038.42
|
$1,038.42
|
2026-03-03
|
|
64421
|
HCPCS
|
Injection Of Anesthetic Agent And/or Steroid Into Multiple Rib Nerves For Region…
|
11
|
11
|
$1,153.60
|
$1,153.60
|
$570.69
|
$1,038.24
|
$1,038.24
|
2026-03-03
|
|
10121
|
HCPCS
|
Removal Of Foreign Body From Tissue, Accessed Beneath The Skin, Complex
|
21
|
11
|
$2,080.80
|
$2,080.80
|
$150.75
|
$1,872.72
|
$1,029.37
|
2026-03-03
|
|
4300818
|
CDM
|
Nitroprusside 25 mg/mL IV Sol 2 Ml [frks]
|
10
|
10
|
$1,142.16
|
$1,142.16
|
$565.03
|
$1,027.94
|
$1,027.94
|
2026-03-03
|
|
26055
|
HCPCS
|
Incision Of Tendon Covering Of Finger
|
19
|
11
|
$1,979.88
|
$1,979.88
|
$152.00
|
$1,781.89
|
$1,009.74
|
2026-03-03
|
|
G0105
|
HCPCS
|
Colorectal Cancer Screening; Colonoscopy On Individual At High Risk
|
11
|
11
|
$1,378.53
|
$1,378.53
|
$681.96
|
$1,240.68
|
$1,006.97
|
2026-03-03
|
|
G0121
|
HCPCS
|
Colorectal Cancer Screening; Colonoscopy On Individual Not Meeting Criteria For …
|
11
|
11
|
$1,534.59
|
$1,534.59
|
$759.16
|
$1,381.13
|
$1,006.97
|
2026-03-03
|
|
70546
|
HCPCS
|
MRI Scan Of Blood Vessels Of Head Before And After Contrast
|
11
|
11
|
$1,106.99
|
$1,106.99
|
$547.63
|
$996.29
|
$996.29
|
2026-03-03
|
|
J0881
|
HCPCS
|
Injection, Darbepoetin Alfa, 1 Microgram (non-esrd Use)
|
11
|
11
|
$1,101.85
|
$1,101.85
|
$3.77
|
$991.67
|
$991.67
|
2026-03-03
|
|
J7298
|
HCPCS
|
Levonorgestrel-releasing Intrauterine Contraceptive System (mirena), 52 Mg
|
11
|
11
|
$1,100.00
|
$1,100.00
|
$544.17
|
$1,651.90
|
$990.00
|
2026-03-03
|
|
64491
|
HCPCS
|
Injection Of Upper Or Middle Spine Facet Joint Using Imaging Guidance, Second Le…
|
11
|
11
|
$1,092.42
|
$1,092.42
|
$540.42
|
$983.18
|
$983.18
|
2026-03-03
|
|
49083
|
HCPCS
|
Drainage Of Fluid From Abdominal Cavity Using Imaging Guidance
|
22
|
11
|
$1,092.42
|
$1,092.42
|
$540.42
|
$1,079.61
|
$983.18
|
2026-03-03
|
|
J1451
|
HCPCS
|
Injection, Fomepizole, 15 Mg
|
31
|
11
|
$1,344.40
|
$1,344.40
|
$15.34
|
$1,771.20
|
$973.57
|
2026-03-03
|
|
6482546
|
CDM
|
Tobradex Eye Ointment
|
10
|
10
|
$1,074.08
|
$1,074.08
|
$531.35
|
$966.67
|
$966.67
|
2026-03-03
|
|
32408
|
HCPCS
|
Core Needle Biopsy Of Lung Or Center Cavity Of Chest (mediastinum), Accessed Thr…
|
22
|
11
|
$1,071.00
|
$1,071.00
|
$348.45
|
$963.90
|
$963.90
|
2026-03-03
|
|
70549
|
HCPCS
|
MRI Scan Of Blood Vessels Of Neck Before And After Contrast
|
11
|
11
|
$1,070.57
|
$1,070.57
|
$529.61
|
$963.51
|
$963.51
|
2026-03-03
|
|
70545
|
HCPCS
|
MRI Scan Of Blood Vessels Of Head With Contrast
|
11
|
11
|
$1,068.49
|
$1,068.49
|
$528.58
|
$961.64
|
$961.64
|
2026-03-03
|
|
11442
|
HCPCS
|
Removal Of Noncancer Skin Growth Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 1…
|
20
|
11
|
$1,883.12
|
$1,883.12
|
$111.69
|
$1,694.81
|
$960.39
|
2026-03-03
|
|
88264
|
HCPCS
|
Chromosome Analysis For Genetic Defects, Analyze 20-25 Cells
|
11
|
11
|
$1,066.41
|
$1,066.41
|
$527.55
|
$1,542.14
|
$959.77
|
2026-03-03
|
|
62267
|
HCPCS
|
Aspiration Of Spinal Disc Tissue For Diagnostic Purposes
|
10
|
10
|
$1,066.41
|
$1,066.41
|
$527.55
|
$959.77
|
$959.77
|
2026-03-03
|
|
74185
|
HCPCS
|
MRI Scan Of Blood Vessels Of Abdomen
|
11
|
11
|
$1,052.88
|
$1,052.88
|
$520.86
|
$947.59
|
$947.59
|
2026-03-03
|
|
70544
|
HCPCS
|
MRI Scan Of Blood Vessels Of Head Without Contrast
|
11
|
11
|
$1,047.68
|
$1,047.68
|
$518.29
|
$942.91
|
$942.91
|
2026-03-03
|
|
11422
|
HCPCS
|
Removal Of Noncancer Skin Growth Of Scalp, Neck, Hands, Feet, Or Genitals, 1.1-2…
|
20
|
11
|
$1,846.71
|
$1,846.71
|
$140.25
|
$1,805.43
|
$941.82
|
2026-03-03
|
|
93799
|
HCPCS
|
Other Cardiovascular Service Or Procedure
|
10
|
10
|
$1,045.60
|
$1,045.60
|
$517.26
|
$941.04
|
$941.04
|
2026-03-03
|
|
43239
|
HCPCS
|
Biopsy Of Esophagus, Stomach, And/or Upper Small Bowel Using A Flexible Endoscop…
|
19
|
11
|
$1,820.70
|
$1,820.70
|
$152.00
|
$1,638.63
|
$928.56
|
2026-03-03
|
|
70548
|
HCPCS
|
MRI Scan Of Blood Vessels Of Neck With Contrast
|
11
|
11
|
$1,030.00
|
$1,030.00
|
$509.54
|
$927.00
|
$927.00
|
2026-03-03
|
|
38505
|
HCPCS
|
Needle Biopsy Or Removal Of Surface Lymph Nodes
|
11
|
11
|
$1,024.79
|
$1,024.79
|
$506.96
|
$922.31
|
$922.31
|
2026-03-03
|
|
12032
|
HCPCS
|
Intermediate Repair Of Wound Of Scalp, Underarms, Trunk, Arms, Or Legs, 2.6-7.5 …
|
42
|
11
|
$1,773.83
|
$1,773.83
|
$145.89
|
$1,638.63
|
$916.62
|
2026-03-03
|
|
70547
|
HCPCS
|
MRI Scan Of Blood Vessels Of Neck Without Contrast
|
11
|
11
|
$1,011.27
|
$1,011.27
|
$500.28
|
$910.14
|
$910.14
|
2026-03-03
|
|
66821
|
HCPCS
|
Removal Of Recurring Cataract In Lens Capsule Using A Laser
|
11
|
11
|
$1,196.46
|
$1,196.46
|
$591.89
|
$1,076.81
|
$910.01
|
2026-03-03
|
|
65290
|
HCPCS
|
Repair Of Wound Of Eye Muscle Or Tendon
|
11
|
11
|
$1,008.93
|
$1,008.93
|
$369.74
|
$4,438.63
|
$908.04
|
2026-03-03
|
|
73206
|
HCPCS
|
CT Scan Of Blood Vessels Of Arm With Contrast
|
20
|
10
|
$1,004.00
|
$1,004.00
|
$496.68
|
$903.60
|
$903.60
|
2026-03-03
|
|
90675
|
HCPCS
|
Rabies Vaccine For Injection Into Muscle
|
51
|
11
|
$1,153.60
|
$1,153.60
|
$489.44
|
$1,161.22
|
$890.42
|
2026-03-03
|
|
23500
|
HCPCS
|
Closed Treatment Of Broken Collar Bone
|
11
|
11
|
$988.38
|
$988.38
|
$488.95
|
$889.54
|
$889.54
|
2026-03-03
|
|
20206
|
HCPCS
|
Needle Biopsy Of Muscle
|
11
|
11
|
$988.38
|
$988.38
|
$488.95
|
$889.54
|
$889.54
|
2026-03-03
|
|
46999
|
HCPCS
|
Other Procedure On Anus
|
10
|
10
|
$1,105.74
|
$1,105.74
|
$547.01
|
$995.17
|
$883.09
|
2026-03-03
|
|
72156
|
HCPCS
|
MRI Scan Of Upper Spinal Canal Before And After Contrast
|
11
|
11
|
$981.10
|
$981.10
|
$485.35
|
$882.99
|
$882.99
|
2026-03-03
|
|
4868269
|
CDM
|
Santyl Ointment
|
10
|
10
|
$977.80
|
$977.80
|
$483.72
|
$880.02
|
$880.02
|
2026-03-03
|
|
15004
|
HCPCS
|
Preparation Of Skin Graft Site Of Face, Scalp, Eyelids, Mouth, Neck, Ears, Aroun…
|
11
|
11
|
$972.77
|
$972.77
|
$481.23
|
$1,025.15
|
$875.49
|
2026-03-03
|
|
32554
|
HCPCS
|
Aspiration Of Fluid From Chest Cavity
|
11
|
11
|
$962.37
|
$962.37
|
$476.08
|
$866.13
|
$866.13
|
2026-03-03
|
|
88237
|
HCPCS
|
Tissue Culture For Tumor Disorders Of Bone Marrow And Blood Cells
|
11
|
11
|
$962.37
|
$962.37
|
$476.08
|
$1,383.41
|
$866.13
|
2026-03-03
|
|
73718
|
HCPCS
|
MRI Scan Of Leg Without Contrast
|
22
|
11
|
$961.00
|
$961.00
|
$475.41
|
$864.90
|
$864.90
|
2026-03-03
|
|
10140
|
HCPCS
|
Drainage Of Blood Or Fluid Accumulation
|
32
|
11
|
$1,654.24
|
$1,654.24
|
$101.27
|
$2,833.37
|
$859.58
|
2026-03-03
|
|
78707
|
HCPCS
|
Nuclear Medicine Study Of Kidney, Blood Flow, And Function
|
10
|
10
|
$953.01
|
$953.01
|
$471.45
|
$857.71
|
$857.71
|
2026-03-03
|
|
90375
|
HCPCS
|
Rabies Immune Globulin For Injection
|
11
|
11
|
$950.09
|
$950.09
|
$398.51
|
$855.08
|
$855.08
|
2026-03-03
|
|
11421
|
HCPCS
|
Removal Of Noncancer Skin Growth Of Scalp, Neck, Hands, Feet, Or Genitals, 0.6-1…
|
29
|
11
|
$1,654.24
|
$1,654.24
|
$121.13
|
$1,516.91
|
$843.66
|
2026-03-03
|
|
11403
|
HCPCS
|
Removal Of Noncancer Skin Growth Of Body, Arms, Or Legs, 2.1-3.0 Cm
|
20
|
11
|
$1,815.50
|
$1,815.50
|
$140.25
|
$1,633.95
|
$840.85
|
2026-03-03
|
|
72157
|
HCPCS
|
MRI Scan Of Middle Spinal Canal Before And After Contrast
|
11
|
11
|
$933.24
|
$933.24
|
$461.67
|
$839.92
|
$839.92
|
2026-03-03
|
|
73220
|
HCPCS
|
MRI Scan Of Arm Before And After Contrast
|
22
|
11
|
$933.00
|
$933.00
|
$461.56
|
$839.70
|
$839.70
|
2026-03-03
|
|
J1442
|
HCPCS
|
Injection, Filgrastim (g-csf), Excludes Biosimilars, 1 Microgram
|
11
|
11
|
$929.76
|
$929.76
|
$1.21
|
$836.78
|
$836.78
|
2026-03-03
|
|
72158
|
HCPCS
|
MRI Scan Of Lower Spinal Canal Before And After Contrast
|
11
|
11
|
$929.08
|
$929.08
|
$459.62
|
$836.17
|
$836.17
|
2026-03-03
|
|
70553
|
HCPCS
|
MRI Scan Of Brain Before And After Contrast
|
11
|
11
|
$929.08
|
$929.08
|
$459.62
|
$836.17
|
$836.17
|
2026-03-03
|
|
99285
|
HCPCS
|
Emergency Department Visit With High Level Of Medical Decision Making
|
33
|
11
|
$1,612.62
|
$1,612.62
|
$153.24
|
$2,579.79
|
$822.44
|
2026-03-03
|
|
10120
|
HCPCS
|
Removal Of Foreign Body From Tissue, Accessed Beneath The Skin, Simple
|
23
|
11
|
$1,612.62
|
$1,612.62
|
$89.62
|
$1,451.36
|
$822.44
|
2026-03-03
|
|
74178
|
HCPCS
|
CT Scan Of Abdomen And Pelvis Before And After Contrast
|
11
|
11
|
$910.35
|
$910.35
|
$450.35
|
$819.32
|
$819.32
|
2026-03-03
|
|
73525
|
HCPCS
|
Review By Radiologist Of Hip Joint Image
|
30
|
10
|
$910.35
|
$910.35
|
$450.35
|
$819.32
|
$819.32
|
2026-03-03
|
|
11441
|
HCPCS
|
Removal Of Noncancer Skin Growth Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 0…
|
20
|
11
|
$1,716.66
|
$1,716.66
|
$140.25
|
$1,544.99
|
$816.40
|
2026-03-03
|
|
74183
|
HCPCS
|
MRI Scan Of Abdomen Before And After Contrast
|
11
|
11
|
$904.11
|
$904.11
|
$447.26
|
$813.70
|
$813.70
|
2026-03-03
|
|
73719
|
HCPCS
|
MRI Scan Of Leg With Contrast
|
22
|
11
|
$903.00
|
$903.00
|
$446.71
|
$812.70
|
$812.70
|
2026-03-03
|
|
73722
|
HCPCS
|
MRI Scan Of Leg Joint With Contrast
|
22
|
11
|
$903.00
|
$903.00
|
$446.71
|
$812.70
|
$812.70
|
2026-03-03
|
|
73219
|
HCPCS
|
MRI Scan Of Arm With Contrast
|
22
|
11
|
$903.00
|
$903.00
|
$446.71
|
$812.70
|
$812.70
|
2026-03-03
|
|
45330
|
HCPCS
|
Diagnostic Exam Of Lower Portion Of Large Bowel Using A Flexible Endoscope
|
11
|
11
|
$1,100.74
|
$1,100.74
|
$544.54
|
$990.67
|
$808.00
|
2026-03-03
|
|
45300
|
HCPCS
|
Diagnostic Exam Of Rectum And Lower Large Bowel Using An Endoscope
|
11
|
11
|
$1,196.46
|
$1,196.46
|
$591.89
|
$1,076.81
|
$808.00
|
2026-03-03
|
|
11400
|
HCPCS
|
Removal Of Noncancer Skin Growth Of Body, Arms, Or Legs, 0.5 Cm Or Less
|
20
|
11
|
$1,669.84
|
$1,669.84
|
$73.95
|
$1,502.86
|
$804.82
|
2026-03-03
|
|
73218
|
HCPCS
|
MRI Scan Of Arm Without Contrast
|
33
|
11
|
$893.00
|
$893.00
|
$441.77
|
$836.17
|
$803.70
|
2026-03-03
|
|
73720
|
HCPCS
|
MRI Scan Of Leg Before And After Contrast
|
22
|
11
|
$891.00
|
$891.00
|
$440.78
|
$801.90
|
$801.90
|
2026-03-03
|
|
70552
|
HCPCS
|
MRI Scan Of Brain With Contrast
|
11
|
11
|
$890.58
|
$890.58
|
$440.57
|
$801.52
|
$801.52
|
2026-03-03
|
|
62320
|
HCPCS
|
Injection Of Substance Into Middle Or Upper Spine Canal
|
11
|
11
|
$889.82
|
$889.82
|
$440.19
|
$800.84
|
$800.84
|
2026-03-03
|
|
78582
|
HCPCS
|
Nuclear Medicine Study Of Lung Ventilation And Circulation
|
11
|
11
|
$888.50
|
$888.50
|
$439.54
|
$799.65
|
$799.65
|
2026-03-03
|
|
72149
|
HCPCS
|
MRI Scan Of Lower Spinal Canal With Contrast
|
11
|
11
|
$887.46
|
$887.46
|
$439.03
|
$798.71
|
$798.71
|
2026-03-03
|
|
50390
|
HCPCS
|
Aspiration And/or Injection Of Cyst Of Kidney
|
11
|
11
|
$887.46
|
$887.46
|
$439.03
|
$798.71
|
$798.71
|
2026-03-03
|
|
10005
|
HCPCS
|
Fine Needle Aspiration Biopsy Using Ultrasound Guidance, First Growth
|
30
|
11
|
$990.00
|
$990.00
|
$452.92
|
$927.00
|
$797.50
|
2026-03-03
|
|
6098454
|
CDM
|
Cetacaine Spray
|
10
|
10
|
$885.02
|
$885.02
|
$437.82
|
$796.52
|
$796.52
|
2026-03-03
|
|
87507
|
HCPCS
|
Detection Test By Nucleic Acid For Digestive Tract Pathogen, Multiple Types Or S…
|
11
|
11
|
$884.34
|
$884.34
|
$437.48
|
$3,685.75
|
$795.91
|
2026-03-03
|
|
99291
|
HCPCS
|
Critical Care, First 30-74 Minutes
|
22
|
11
|
$932.20
|
$932.20
|
$178.83
|
$2,496.00
|
$792.86
|
2026-03-03
|
|
64479
|
HCPCS
|
Injection Of Anesthetic And/or Steroid Drug Into Upper Or Middle Spine Nerve Roo…
|
11
|
11
|
$879.14
|
$879.14
|
$434.91
|
$791.23
|
$791.23
|
2026-03-03
|
|
72197
|
HCPCS
|
MRI Scan Of Pelvis Before And After Contrast
|
11
|
11
|
$877.06
|
$877.06
|
$433.88
|
$789.35
|
$789.35
|
2026-03-03
|
|
10006
|
HCPCS
|
Fine Needle Aspiration Biopsy Using Ultrasound Guidance, Each Additional Growth
|
10
|
10
|
$1,030.00
|
$1,030.00
|
$509.54
|
$927.00
|
$785.32
|
2026-03-03
|
|
70551
|
HCPCS
|
MRI Scan Of Brain Without Contrast
|
11
|
11
|
$869.77
|
$869.77
|
$430.28
|
$782.79
|
$782.79
|
2026-03-03
|
|
73223
|
HCPCS
|
MRI Scan Of Arm Joint Before And After Contrast
|
22
|
11
|
$868.00
|
$868.00
|
$429.40
|
$781.20
|
$781.20
|
2026-03-03
|
|
72142
|
HCPCS
|
MRI Scan Of Upper Spinal Canal With Contrast
|
11
|
11
|
$864.57
|
$864.57
|
$427.70
|
$778.11
|
$778.11
|
2026-03-03
|
|
72196
|
HCPCS
|
MRI Scan Of Pelvis With Contrast
|
11
|
11
|
$862.49
|
$862.49
|
$426.67
|
$776.24
|
$776.24
|
2026-03-03
|
|
72147
|
HCPCS
|
MRI Scan Of Middle Spinal Canal With Contrast
|
11
|
11
|
$856.25
|
$856.25
|
$423.59
|
$770.63
|
$770.63
|
2026-03-03
|
|
10160
|
HCPCS
|
Aspiration Of Abscess, Blood, Or Cyst
|
43
|
11
|
$1,402.50
|
$1,402.50
|
$80.28
|
$2,261.87
|
$769.38
|
2026-03-03
|
|
62322
|
HCPCS
|
Injection Of Substance Into Lower Spine Canal
|
11
|
11
|
$842.72
|
$842.72
|
$416.89
|
$758.45
|
$758.45
|
2026-03-03
|
|
74182
|
HCPCS
|
MRI Scan Of Abdomen With Contrast
|
11
|
11
|
$842.72
|
$842.72
|
$416.89
|
$758.45
|
$758.45
|
2026-03-03
|
|
74181
|
HCPCS
|
MRI Scan Of Abdomen Without Contrast
|
11
|
11
|
$842.72
|
$842.72
|
$416.89
|
$758.45
|
$758.45
|
2026-03-03
|
|
12031
|
HCPCS
|
Intermediate Repair Of Wound Of Scalp, Underarms, Trunk, Arms, Or Legs, 2.5 Cm O…
|
32
|
11
|
$1,100.58
|
$1,100.58
|
$117.48
|
$1,357.72
|
$757.84
|
2026-03-03
|
|
74177
|
HCPCS
|
CT Scan Of Abdomen And Pelvis With Contrast
|
11
|
11
|
$837.52
|
$837.52
|
$414.32
|
$753.77
|
$753.77
|
2026-03-03
|
|
72195
|
HCPCS
|
MRI Scan Of Pelvis Without Contrast
|
11
|
11
|
$836.48
|
$836.48
|
$413.81
|
$752.83
|
$752.83
|
2026-03-03
|
|
72148
|
HCPCS
|
MRI Scan Of Lower Spinal Canal Without Contrast
|
11
|
11
|
$835.44
|
$835.44
|
$413.29
|
$751.90
|
$751.90
|
2026-03-03
|
|
72141
|
HCPCS
|
MRI Scan Of Upper Spinal Canal Without Contrast
|
11
|
11
|
$835.44
|
$835.44
|
$413.29
|
$751.90
|
$751.90
|
2026-03-03
|
|
72146
|
HCPCS
|
MRI Scan Of Middle Spinal Canal Without Contrast
|
11
|
11
|
$835.44
|
$835.44
|
$413.29
|
$751.90
|
$751.90
|
2026-03-03
|
|
73723
|
HCPCS
|
MRI Scan Of Leg Joint Before And After Contrast
|
22
|
11
|
$833.00
|
$833.00
|
$412.09
|
$749.70
|
$749.70
|
2026-03-03
|
|
78278
|
HCPCS
|
Nuclear Medicine Study To Assess Blood Loss
|
10
|
10
|
$832.32
|
$832.32
|
$411.75
|
$749.09
|
$749.09
|
2026-03-03
|
|
64494
|
HCPCS
|
Injection Of Lower Or Sacral Spine Facet Joint Using Imaging Guidance, Second Le…
|
22
|
11
|
$1,003.99
|
$1,003.99
|
$39.55
|
$2,350.92
|
$749.09
|
2026-03-03
|
|
64495
|
HCPCS
|
Injection Of Lower Or Sacral Spine Facet Joint Using Imaging Guidance, Third And…
|
33
|
11
|
$832.32
|
$832.32
|
$38.38
|
$3,350.28
|
$749.09
|
2026-03-03
|
|
93308
|
HCPCS
|
Ultrasound Of Heart, Follow-up
|
11
|
11
|
$831.28
|
$831.28
|
$411.23
|
$1,787.00
|
$748.15
|
2026-03-03
|
|
4617109
|
CDM
|
Stress Test (Rad)
|
6
|
6
|
$831.28
|
$831.28
|
$748.15
|
$748.15
|
$748.15
|
2026-03-03
|
|
73222
|
HCPCS
|
MRI Scan Of Arm Joint With Contrast
|
22
|
11
|
$828.00
|
$828.00
|
$409.61
|
$745.20
|
$745.20
|
2026-03-03
|
|
P9037
|
HCPCS
|
Platelets, Pheresis, Leukocytes Reduced, Irradiated, Each Unit
|
10
|
10
|
$1,040.40
|
$1,040.40
|
$150.00
|
$936.36
|
$733.48
|
2026-03-03
|
|
70336
|
HCPCS
|
MRI Scan Of Jaw Joint
|
11
|
11
|
$811.51
|
$811.51
|
$401.45
|
$730.36
|
$730.36
|
2026-03-03
|
|
13132
|
HCPCS
|
Complicated Repair Of Wound Of Forehead, Cheeks, Chin, Mouth, Neck, Underarms, G…
|
22
|
11
|
$918.00
|
$918.00
|
$223.43
|
$2,408.96
|
$730.17
|
2026-03-03
|
|
78315
|
HCPCS
|
Nuclear Medicine Study Of Bone Taken At Different Times
|
11
|
11
|
$807.35
|
$807.35
|
$347.52
|
$726.62
|
$726.62
|
2026-03-03
|
|
J2760
|
HCPCS
|
Injection, Phentolamine Mesylate, Up To 5 Mg
|
31
|
11
|
$1,159.92
|
$1,159.92
|
$356.18
|
$1,319.22
|
$725.13
|
2026-03-03
|
|
12053
|
HCPCS
|
Intermediate Repair Of Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 5.1-7…
|
32
|
11
|
$1,336.91
|
$1,336.91
|
$165.10
|
$2,324.57
|
$723.86
|
2026-03-03
|
|
73221
|
HCPCS
|
MRI Scan Of Arm Joint Without Contrast
|
22
|
11
|
$803.00
|
$803.00
|
$397.24
|
$722.70
|
$722.70
|
2026-03-03
|
|
73721
|
HCPCS
|
MRI Scan Of Leg Joint Without Contrast
|
22
|
11
|
$803.00
|
$803.00
|
$397.24
|
$722.70
|
$722.70
|
2026-03-03
|
|
4441947
|
CDM
|
Room & Board - Private (one Bed) - General Classification
|
5
|
5
|
$800.00
|
$800.00
|
$720.00
|
$720.00
|
$720.00
|
2026-03-03
|
|
78227
|
HCPCS
|
Nuclear Medicine Study Of Liver And Bile Duct System With Use Of Drugs
|
11
|
11
|
$790.70
|
$790.70
|
$391.16
|
$711.63
|
$711.63
|
2026-03-03
|
|
77002
|
HCPCS
|
Fluoroscopic Guidance For Needle Placement
|
22
|
11
|
$780.30
|
$780.30
|
$372.61
|
$702.27
|
$702.27
|
2026-03-03
|