Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

MARSHALL COUNTY HOSPITAL

Benton, KY · CCN 181327 · Rates published

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You selected 93306 (HCPCS)

US ECHO CARDIOGRAM COMPLETE

This hospital’s price: $664 across 7 payers · range $650-$877

Source: https://www.marshallcountyhospital.org/docs/610601267_marshall-county-hospital_standardcharges.csv · observed 2026-04-07

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

1,324 distinct procedures filed
16 distinct payers
47,543 rate rows
2026-04-07 last MRF observed
Data quality

47,178 of 47,543 rate rows are consumer-grade (99.2%)

365 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 335
per-diem day rate — not a per-procedure price 24
exceeds 10× this hospital's gross charge — excluded from medians 6
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.marshallcountyhospital.org/docs/610601267_marshall-county-hospital_standardcharges.csv
Found on page https://www.marshallcountyhospital.org/getpage.php?name=GOOD_FAITH_ESTIMATE
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-11
Content fingerprint 65ac006c893feb14… · 35,727,733 bytes · first seen 2026-05-09

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
J3357
HCPCS 		Stelara (ustekinumab) Inj: 45mg/0.5ml *1 16 $27,461.30 $37,033.17 $32,247.24 nat. median
$14,697
outlier · 2.2×
J1628
HCPCS 		Tremfya (guselkumab) Subq:100mg/1ml *1 16 $27,365.38 $36,903.81 $32,134.60 nat. median
$229
outlier · 140.5×
J2997
HCPCS 		Activase(gen For-tpa)inj:100mg 16 $18,227.53 $24,580.89 $21,404.21 nat. median
$500
outlier · 42.8×
J2327
HCPCS 		Skyrizi Syring 75mg/0.83ml *2 16 $16,965.69 $22,879.23 $19,922.46 nat. median
$1,767
outlier · 11.3×
J3101
HCPCS 		Tenecteplase(tnkase): 50mg 16 $16,153.51 $21,783.95 $18,968.73 nat. median
$3,787
outlier · 5.0×
C1820
HCPCS 		Neurostimulator 97715 16 $15,262.13 $24,440.97 $17,922.00 nat. median
$22,969
0.8× median
J1162
HCPCS 		Digoxin Immune Fab (digifab) Inj: 40 Mg 16 $9,525.56 $12,845.77 $11,185.67 nat. median
$7,165
1.6× median
J1306
HCPCS 		Leqvio 284mg/1.5ml Inj 16 $7,022.92 $9,470.82 $8,246.87 nat. median
$44
outlier · 188.6×
J0840
HCPCS 		Crofab Antivenin Inj : 1 Vial 16 $6,910.56 $9,319.29 $8,114.93 nat. median
$3,452
outlier · 2.4×
J0139
HCPCS 		Humira (adalimumab) Pen: 40mg/0.4ml *2 16 $5,207.43 $9,834.46 $7,441.40 nat. median
$3,513
outlier · 2.1×
J0717
HCPCS 		Cimzia (certolizumab) Inj: 200mg/ml *2 16 $5,603.84 $7,557.09 $6,580.47 nat. median
$1,635
outlier · 4.0×
J3111
HCPCS 		Evenity (romosozumab) 210mg/2.34ml *1 16 $5,009.93 $6,756.17 $5,883.05 nat. median
$696
outlier · 8.5×
15272
HCPCS 		Skin Sub App Tr,ar,leg Total Wound >100s 16 $4,665.45 $6,291.63 $5,478.54 nat. median
$404
outlier · 13.5×
15120
HCPCS 		Split Thickness Autograft F/h/ft 1st100s 16 $4,665.45 $6,291.63 $5,478.54 nat. median
$3,643
1.5× median
J3590
HCPCS 		Praxbind(idarucizumab) Inj: 5gm=2 X50ml 16 $4,545.60 $55,122.01 $5,337.81 nat. median
$775
outlier · 6.9×
84999
HCPCS 		Path Oncotype Dx Ip 16 $4,643.03 $5,993.68 $5,318.35 nat. median
$65
outlier · 82.3×
J1602
HCPCS 		Simponi Aria 50mg/4ml 16 $4,212.06 $5,680.21 $4,946.14 nat. median
$261
outlier · 19.0×
10180
HCPCS 		I & D Post-op Infection 16 $4,011.38 $5,409.57 $4,710.48 nat. median
$2,862
1.6× median
L8689
HCPCS 		Bs Precision Charging System Kit 16 $3,974.51 $5,359.86 $4,667.19 nat. median
$2,285
outlier · 2.0×
J1438
HCPCS 		Enbrel(etanercept)inj: 50mg/ml 1ml *4 16 $3,713.00 $5,007.21 $4,360.10 nat. median
$1,670
outlier · 2.6×
J0897
HCPCS 		Prolia (denosumab): 60mg/ml *1 16 $3,364.80 $4,537.63 $3,951.22 nat. median
$1,982
2.0× median
J2315
HCPCS 		Naltrexone (vivitrol) 380mg IM Inj 16 $3,293.70 $4,441.75 $3,867.72 nat. median
$10
outlier · 373.3×
C1776
HCPCS 		Trident Tritanium Clusterhold 54mm E 16 $415.14 $7,529.04 $3,480.98 nat. median
$3,390
1.0× median
C1778
HCPCS 		Medtronic Lead Kit 75cm 977a275 16 $2,861.65 $7,573.68 $3,360.38 nat. median
$4,400
0.8× median
15277
HCPCS 		Skin Sub App H,f,h, Total Wound >100s 16 $2,612.59 $3,523.23 $3,067.91 nat. median
$2,073
1.5× median
15274
HCPCS 		Skin Sub App Tr,ar,leg Total Woud Add 10 16 $2,612.59 $3,523.23 $3,067.91 nat. median
$799
outlier · 3.8×
15271
HCPCS 		Skin Sub App Tr,ar,leg Total Wound 100 S 16 $2,612.59 $3,523.23 $3,067.91 nat. median
$1,725
1.8× median
15115
HCPCS 		Epidermal Autograft F/h/ft 1st 100sqcm 16 $2,612.59 $3,523.23 $3,067.91 nat. median
$2,167
1.4× median
15110
HCPCS 		Epidermal Autograft, Tr/arm/leg 1st100sq 16 $2,612.59 $3,523.23 $3,067.91 nat. median
$2,188
1.4× median
15100
HCPCS 		Splt Thickness Autograft/tr/arm/leg 100s 16 $2,612.59 $3,523.23 $3,067.91 nat. median
$2,291
1.3× median
15002
HCPCS 		Surg Prep Tr/ar/leg 1st 100sqcm 16 $2,612.59 $3,523.23 $3,067.91 nat. median
$1,700
1.8× median
15275
HCPCS 		Skin Sub App H,f,h, Total Wound >100s 16 $2,612.59 $3,523.23 $3,067.91 nat. median
$1,713
1.8× median
J3262
HCPCS 		Actemra (tocilizumab)subq:162mg/0.9ml *1 16 $2,333.24 $6,719.33 $2,739.88 nat. median
$1,413
1.9× median
20220
HCPCS 		Biopsy Of Bone Sup Needle 16 $2,320.06 $3,128.74 $2,724.40 nat. median
$1,692
1.6× median
11047
HCPCS 		Debridment Sq Tis Bone Addl 16 $2,320.06 $3,128.74 $2,724.40 nat. median
$948
outlier · 2.9×
20225
HCPCS 		Biopsy Of Bone Deep Needle 16 $2,320.06 $3,128.74 $2,724.40 nat. median
$1,965
1.4× median
28001
HCPCS 		Level 3 I/d Drain Bursa Foot 16 $2,320.06 $3,128.74 $2,724.40 nat. median
$1,684
1.6× median
10140
HCPCS 		I & D Hematoma 16 $2,320.06 $3,128.74 $2,724.40 nat. median
$1,660
1.6× median
11044
HCPCS 		Debridment Sq Tis Bone 20sqcm 16 $2,320.06 $3,128.74 $2,724.40 nat. median
$1,752
1.6× median
J2407
HCPCS 		Orbactiv (oritavancin) Inj: 400mg 16 $2,280.83 $3,075.83 $2,678.33 nat. median
$76
outlier · 35.5×
A9569
HCPCS 		Nm R/p Tc99m Tagged (ceretec) 16 $2,234.74 $3,013.68 $2,624.21 nat. median
$1,915
1.4× median
81408
HCPCS 		Zz Marfan Reflex Panel 16 $2,290.93 $2,957.35 $2,624.14 nat. median
$938
outlier · 2.8×
28010
HCPCS 		Tenotomy Toe Single 16 $2,215.17 $2,987.29 $2,601.23 nat. median
$1,771
1.5× median
J0129
HCPCS 		Orencia (abatacept) Inj: 125mg/1ml *4 16 $2,203.56 $2,971.63 $2,587.59 nat. median
$902
outlier · 2.9×
0200
RC 		9 $709.33 $3,597.69 $2,153.51 nat. median
$3,916
0.5× median
49000
HCPCS 		Ligasure Impact Open Seal/div 16 $1,818.15 $2,451.88 $2,135.01 nat. median
$2,442
0.9× median
0110
RC 		9 $389.73 $3,597.69 $1,993.71 nat. median
$961
outlier · 2.1×
74174
HCPCS 		CTA Abd & Pelvis W Contrast 16 $890.00 $2,880.60 $1,885.30 nat. median
$998
1.9× median
19083
HCPCS 		US Breast Biopsy Vac Assit 16 $1,543.50 $2,081.50 $1,812.50 nat. median
$2,147
0.8× median
81229
HCPCS 		Snp Microarray Reveal 16 $1,544.30 $1,993.54 $1,768.92 nat. median
$1,323
1.3× median

Other procedures at this hospital

Browse this hospital's 1,324 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J3357 HCPCS Stelara (ustekinumab) Inj: 45mg/0.5ml *1 19 16 $44,478.94 $44,478.94 $27,461.30 $37,033.17 $32,247.24 2026-04-07
J1628 HCPCS Tremfya (guselkumab) Subq:100mg/1ml *1 19 16 $44,323.58 $44,323.58 $27,365.38 $36,903.81 $32,134.60 2026-04-07
J2997 HCPCS Activase(gen For-tpa)inj:100mg 19 16 $29,523.05 $29,523.05 $18,227.53 $24,580.89 $21,404.21 2026-04-07
J2327 HCPCS Skyrizi Syring 75mg/0.83ml *2 19 16 $27,479.26 $27,479.26 $16,965.69 $22,879.23 $19,922.46 2026-04-07
J3101 HCPCS Tenecteplase(tnkase): 50mg 19 16 $26,163.76 $26,163.76 $16,153.51 $21,783.95 $18,968.73 2026-04-07
C1820 HCPCS Neurostimulator 97715 28 16 $24,720.00 $24,720.00 $15,262.13 $24,440.97 $17,922.00 2026-04-07
J1162 HCPCS Digoxin Immune Fab (digifab) Inj: 40 Mg 19 16 $15,428.50 $15,428.50 $9,525.56 $12,845.77 $11,185.67 2026-04-07
J1306 HCPCS Leqvio 284mg/1.5ml Inj 19 16 $11,375.00 $11,375.00 $7,022.92 $9,470.82 $8,246.87 2026-04-07
J0840 HCPCS Crofab Antivenin Inj : 1 Vial 19 16 $11,193.00 $11,193.00 $6,910.56 $9,319.29 $8,114.93 2026-04-07
J0139 HCPCS Humira (adalimumab) Pen: 40mg/0.4ml *2 28 16 $11,811.75 $11,811.75 $5,207.43 $9,834.46 $7,441.40 2026-04-07
J0717 HCPCS Cimzia (certolizumab) Inj: 200mg/ml *2 19 16 $9,076.50 $9,076.50 $5,603.84 $7,557.09 $6,580.47 2026-04-07
J3111 HCPCS Evenity (romosozumab) 210mg/2.34ml *1 19 16 $8,114.55 $8,114.55 $5,009.93 $6,756.17 $5,883.05 2026-04-07
15272 HCPCS Skin Sub App Tr,ar,leg Total Wound >100s 19 16 $7,556.60 $7,556.60 $4,665.45 $6,291.63 $5,478.54 2026-04-07
15120 HCPCS Split Thickness Autograft F/h/ft 1st100s 19 16 $7,556.60 $7,556.60 $4,665.45 $6,291.63 $5,478.54 2026-04-07
J3590 HCPCS Praxbind(idarucizumab) Inj: 5gm=2 X50ml 28 16 $7,362.49 $7,362.49 $4,545.60 $55,122.01 $5,337.81 2026-04-07
84999 HCPCS Path Oncotype Dx Ip 19 16 $7,520.30 $7,520.30 $4,643.03 $5,993.68 $5,318.35 2026-04-07
J1602 HCPCS Simponi Aria 50mg/4ml 19 16 $6,822.25 $6,822.25 $4,212.06 $5,680.21 $4,946.14 2026-04-07
10180 HCPCS I & D Post-op Infection 19 16 $6,497.20 $6,497.20 $4,011.38 $5,409.57 $4,710.48 2026-04-07
L8689 HCPCS Bs Precision Charging System Kit 19 16 $6,437.50 $6,437.50 $3,974.51 $5,359.86 $4,667.19 2026-04-07
J1438 HCPCS Enbrel(etanercept)inj: 50mg/ml 1ml *4 19 16 $6,013.94 $6,013.94 $3,713.00 $5,007.21 $4,360.10 2026-04-07
J0897 HCPCS Prolia (denosumab): 60mg/ml *1 19 16 $5,449.95 $5,449.95 $3,364.80 $4,537.63 $3,951.22 2026-04-07
J2315 HCPCS Naltrexone (vivitrol) 380mg IM Inj 19 16 $5,334.80 $5,334.80 $3,293.70 $4,441.75 $3,867.72 2026-04-07
C1776 HCPCS Trident Tritanium Clusterhold 54mm E 244 16 $4,685.62 $4,685.62 $415.14 $7,529.04 $3,480.98 2026-04-07
C1778 HCPCS Medtronic Lead Kit 75cm 977a275 37 16 $4,635.00 $4,635.00 $2,861.65 $7,573.68 $3,360.38 2026-04-07
15100 HCPCS Splt Thickness Autograft/tr/arm/leg 100s 19 16 $4,231.60 $4,231.60 $2,612.59 $3,523.23 $3,067.91 2026-04-07
15115 HCPCS Epidermal Autograft F/h/ft 1st 100sqcm 19 16 $4,231.60 $4,231.60 $2,612.59 $3,523.23 $3,067.91 2026-04-07
15002 HCPCS Surg Prep Tr/ar/leg 1st 100sqcm 19 16 $4,231.60 $4,231.60 $2,612.59 $3,523.23 $3,067.91 2026-04-07
15274 HCPCS Skin Sub App Tr,ar,leg Total Woud Add 10 19 16 $4,231.60 $4,231.60 $2,612.59 $3,523.23 $3,067.91 2026-04-07
15277 HCPCS Skin Sub App H,f,h, Total Wound >100s 19 16 $4,231.60 $4,231.60 $2,612.59 $3,523.23 $3,067.91 2026-04-07
15275 HCPCS Skin Sub App H,f,h, Total Wound >100s 19 16 $4,231.60 $4,231.60 $2,612.59 $3,523.23 $3,067.91 2026-04-07
15110 HCPCS Epidermal Autograft, Tr/arm/leg 1st100sq 19 16 $4,231.60 $4,231.60 $2,612.59 $3,523.23 $3,067.91 2026-04-07
15271 HCPCS Skin Sub App Tr,ar,leg Total Wound 100 S 19 16 $4,231.60 $4,231.60 $2,612.59 $3,523.23 $3,067.91 2026-04-07
J3262 HCPCS Actemra (tocilizumab)subq:162mg/0.9ml *1 28 16 $3,779.15 $3,779.15 $2,333.24 $6,719.33 $2,739.88 2026-04-07
28001 HCPCS Level 3 I/d Drain Bursa Foot 19 16 $3,757.80 $3,757.80 $2,320.06 $3,128.74 $2,724.40 2026-04-07
20225 HCPCS Biopsy Of Bone Deep Needle 19 16 $3,757.80 $3,757.80 $2,320.06 $3,128.74 $2,724.40 2026-04-07
10140 HCPCS I & D Hematoma 19 16 $3,757.80 $3,757.80 $2,320.06 $3,128.74 $2,724.40 2026-04-07
11047 HCPCS Debridment Sq Tis Bone Addl 19 16 $3,757.80 $3,757.80 $2,320.06 $3,128.74 $2,724.40 2026-04-07
20220 HCPCS Biopsy Of Bone Sup Needle 19 16 $3,757.80 $3,757.80 $2,320.06 $3,128.74 $2,724.40 2026-04-07
11044 HCPCS Debridment Sq Tis Bone 20sqcm 19 16 $3,757.80 $3,757.80 $2,320.06 $3,128.74 $2,724.40 2026-04-07
J2407 HCPCS Orbactiv (oritavancin) Inj: 400mg 19 16 $3,694.25 $3,694.25 $2,280.83 $3,075.83 $2,678.33 2026-04-07
A9569 HCPCS Nm R/p Tc99m Tagged (ceretec) 19 16 $3,619.60 $3,619.60 $2,234.74 $3,013.68 $2,624.21 2026-04-07
81408 HCPCS Zz Marfan Reflex Panel 19 16 $3,710.60 $3,710.60 $2,290.93 $2,957.35 $2,624.14 2026-04-07
28010 HCPCS Tenotomy Toe Single 19 16 $3,587.90 $3,587.90 $2,215.17 $2,987.29 $2,601.23 2026-04-07
J0129 HCPCS Orencia (abatacept) Inj: 125mg/1ml *4 19 16 $3,569.10 $3,569.10 $2,203.56 $2,971.63 $2,587.59 2026-04-07
0200 RC — 10 9 $890.00 $890.00 $709.33 $3,597.69 $2,153.51 2026-04-07
49000 HCPCS Ligasure Impact Open Seal/div 19 16 $2,944.85 $2,944.85 $1,818.15 $2,451.88 $2,135.01 2026-04-07
0110 RC — 10 9 $489.00 $489.00 $389.73 $3,597.69 $1,993.71 2026-04-07
74174 HCPCS CTA Abd & Pelvis W Contrast 19 16 $3,614.30 $3,614.30 $890.00 $2,880.60 $1,885.30 2026-04-07
19083 HCPCS US Breast Biopsy Vac Assit 19 16 $2,500.00 $2,500.00 $1,543.50 $2,081.50 $1,812.50 2026-04-07
81229 HCPCS Snp Microarray Reveal 19 16 $2,501.30 $2,501.30 $1,544.30 $1,993.54 $1,768.92 2026-04-07
J0885 HCPCS Procrit (epoetin) Vial :40,000 Units/ml 19 16 $2,251.35 $2,251.35 $1,389.98 $1,874.47 $1,632.22 2026-04-07
C1787 HCPCS Medtronic Controller 97745nt 37 16 $2,188.80 $2,188.80 $1,232.14 $2,143.94 $1,586.88 2026-04-07
70553 HCPCS MRI Brain W Wo Contrast 19 16 $2,519.80 $2,519.80 $700.00 $2,242.62 $1,555.72 2026-04-07
74182 HCPCS MRI Abdomen W Contrast 26 16 $2,470.80 $2,470.80 $700.00 $1,971.06 $1,525.47 2026-04-07
J1745 HCPCS Inflectra (infliximab) Inj: 100mg 19 16 $2,067.00 $2,067.00 $1,276.17 $1,720.98 $1,498.58 2026-04-07
72197 HCPCS MRI Pelvis W/wo Contrast 19 16 $2,872.90 $2,872.90 $700.00 $2,289.70 $1,494.85 2026-04-07
72157 HCPCS MRI Thoracic W/wo Contrast 19 16 $2,872.90 $2,872.90 $700.00 $2,289.70 $1,494.85 2026-04-07
74183 HCPCS MRI Cholangiogram W/wo Contrast 21 16 $2,872.90 $2,872.90 $700.00 $2,289.70 $1,494.85 2026-04-07
72158 HCPCS MRI Lumbar W/wo Contrast 19 16 $2,872.90 $2,872.90 $700.00 $2,289.70 $1,494.85 2026-04-07
72156 HCPCS MRI Cervical W / Wo Contrast 19 16 $2,872.90 $2,872.90 $700.00 $2,289.70 $1,494.85 2026-04-07
73723 HCPCS MRI Lower Joint Lt Wwo Contrast 57 16 $2,872.90 $2,872.90 $700.00 $2,289.70 $1,494.85 2026-04-07
73223 HCPCS MRI Upper Joint Lt Wwo Contrast 38 16 $2,872.90 $2,872.90 $700.00 $2,289.70 $1,494.85 2026-04-07
71552 HCPCS MRI Chest W/wo Contrast 19 16 $2,872.90 $2,872.90 $700.00 $2,289.70 $1,494.85 2026-04-07
73220 HCPCS MRI Upper Extremity Lt Wwo Contrast 38 16 $2,872.90 $2,872.90 $700.00 $2,289.70 $1,494.85 2026-04-07
73720 HCPCS MRI Lower Extremity Lt W/wo Contrast 38 16 $2,872.90 $2,872.90 $700.00 $2,289.70 $1,494.85 2026-04-07
75574 HCPCS CTA Coronary 19 16 $2,575.00 $2,575.00 $890.00 $2,052.28 $1,471.14 2026-04-07
43235 HCPCS Gastroscopy 19 16 $1,974.50 $1,974.50 $1,219.06 $1,643.97 $1,431.52 2026-04-07
45378 HCPCS Colonoscopy 19 16 $1,974.50 $1,974.50 $1,219.06 $1,643.97 $1,431.52 2026-04-07
70549 HCPCS MRI Angio Neck W/wo Contrast 19 16 $2,519.80 $2,519.80 $700.00 $2,008.28 $1,354.14 2026-04-07
70543 HCPCS MRI Orbit Face W/wo Contrast 19 16 $2,519.80 $2,519.80 $700.00 $2,008.28 $1,354.14 2026-04-07
74185 HCPCS MRI Angio Abdomen W Contrast 33 16 $2,470.80 $2,470.80 $700.00 $2,289.70 $1,334.62 2026-04-07
73725 HCPCS MRI Angio Lower Ext W Contrast 33 16 $2,470.80 $2,470.80 $700.00 $2,289.70 $1,334.62 2026-04-07
73719 HCPCS MRI Lower Extremity Lt W Contrast 38 16 $2,470.80 $2,470.80 $700.00 $1,969.23 $1,334.62 2026-04-07
72196 HCPCS MRI Pelvis W Contrast 19 16 $2,470.80 $2,470.80 $700.00 $1,969.23 $1,334.62 2026-04-07
73225 HCPCS MRI Angio Upper Ext Lt W 66 16 $2,470.80 $2,470.80 $700.00 $2,289.70 $1,334.62 2026-04-07
73222 HCPCS MRI Upper Joint Lt W Contrast 38 16 $2,470.80 $2,470.80 $700.00 $1,969.23 $1,334.62 2026-04-07
73219 HCPCS MRI Upper Extremity Lt W Contrast 38 16 $2,470.80 $2,470.80 $700.00 $1,969.23 $1,334.62 2026-04-07
73722 HCPCS MRI Lower Joint Lt W Contrast 38 16 $2,470.80 $2,470.80 $700.00 $1,969.23 $1,334.62 2026-04-07
72198 HCPCS MRI Angio Pelvis W Contrast 33 16 $2,470.80 $2,470.80 $700.00 $2,289.70 $1,334.62 2026-04-07
72159 HCPCS MRI Angio Spinal Canal W 33 16 $2,470.80 $2,470.80 $700.00 $2,289.70 $1,334.62 2026-04-07
72149 HCPCS MRI Lumbar W Contrast 19 16 $2,470.80 $2,470.80 $700.00 $1,969.23 $1,334.62 2026-04-07
72147 HCPCS MRI Thoracic W Contrast 19 16 $2,470.80 $2,470.80 $700.00 $1,969.23 $1,334.62 2026-04-07
72142 HCPCS MRI Cervical W Contrast 19 16 $2,470.80 $2,470.80 $700.00 $1,969.23 $1,334.62 2026-04-07
71551 HCPCS MRI Chest W Contrast 19 16 $2,470.80 $2,470.80 $700.00 $1,969.23 $1,334.62 2026-04-07
J1670 HCPCS Hypertet(tetanus Immune Globulin) 250 Un 19 16 $1,839.39 $1,839.39 $1,135.64 $1,531.48 $1,333.56 2026-04-07
78452 HCPCS Nm Myocardial Perfusion Multiple 19 16 $1,814.80 $1,814.80 $1,088.88 $1,715.17 $1,315.72 2026-04-07
74178 HCPCS CT Abd & Pelvis W & Without 19 16 $2,152.50 $2,152.50 $890.00 $1,715.54 $1,302.77 2026-04-07
74177 HCPCS CT Abd & Pelvis With Contrast 19 16 $1,993.10 $1,993.10 $890.00 $1,773.86 $1,239.25 2026-04-07
74176 HCPCS CT Abd & Pelvis Wo 19 16 $1,985.10 $1,985.10 $890.00 $1,582.12 $1,236.06 2026-04-07
70552 HCPCS MRI Brain W Contrast 19 16 $2,167.80 $2,167.80 $700.00 $1,727.74 $1,213.87 2026-04-07
70548 HCPCS MRI Angio Neck W Contrast 19 16 $2,167.80 $2,167.80 $700.00 $1,727.74 $1,213.87 2026-04-07
88381 HCPCS Path Microdissection Manual 19 16 $2,820.10 $2,820.10 $165.47 $2,247.62 $1,206.55 2026-04-07
72141 HCPCS MRI Cervical Wo Contrast 19 16 $1,977.30 $1,977.30 $700.00 $1,759.80 $1,186.38 2026-04-07
72148 HCPCS MRI Lumbar Wo Contrast 19 16 $1,977.30 $1,977.30 $700.00 $1,575.91 $1,186.38 2026-04-07
73706 HCPCS CTA Lower Extremities W/contrast 19 16 $1,807.20 $1,807.20 $890.00 $1,440.34 $1,165.17 2026-04-07
72191 HCPCS CTA Pelvis W/contrast 19 16 $1,807.20 $1,807.20 $890.00 $1,440.34 $1,165.17 2026-04-07
70498 HCPCS CTA Carotids & Vertebrals 19 16 $1,807.20 $1,807.20 $890.00 $1,440.34 $1,165.17 2026-04-07
71270 HCPCS CT Chest W & Wo 19 16 $1,807.20 $1,807.20 $890.00 $1,440.34 $1,165.17 2026-04-07
70496 HCPCS CTA Brain W/contrast 19 16 $1,807.20 $1,807.20 $890.00 $1,440.34 $1,165.17 2026-04-07
73206 HCPCS CTA Upper Extremity W/contrast 19 16 $1,807.20 $1,807.20 $890.00 $1,440.34 $1,165.17 2026-04-07
74175 HCPCS CTA Abdomen W/contrast 19 16 $1,807.20 $1,807.20 $890.00 $1,440.34 $1,165.17 2026-04-07
75635 HCPCS CTA Abd W/femoral Runoff 19 16 $1,807.20 $1,807.20 $890.00 $1,440.34 $1,165.17 2026-04-07
28190 HCPCS Removal Fb Subq Foot 19 16 $1,582.70 $1,582.70 $977.16 $1,317.76 $1,147.46 2026-04-07
10080 HCPCS Drainage Of Pilonidal Cyst 19 16 $1,582.70 $1,582.70 $977.16 $1,317.76 $1,147.46 2026-04-07
71275 HCPCS CTA Chest W/contrast 19 16 $1,807.20 $1,807.20 $890.00 $1,440.34 $1,138.54 2026-04-07
74181 HCPCS MRI Abdomen Wo Contrast 19 16 $1,977.30 $1,977.30 $700.00 $1,575.91 $1,137.95 2026-04-07
73721 HCPCS MRI Lower Joint Lt Wo Contrast 38 16 $1,977.30 $1,977.30 $700.00 $1,759.80 $1,137.95 2026-04-07
73221 HCPCS MRI Upper Joint Lt Wo Contrast 38 16 $1,977.30 $1,977.30 $700.00 $1,575.91 $1,137.95 2026-04-07
73218 HCPCS MRI Upper Extremity Lt Wo Contrast 38 16 $1,977.30 $1,977.30 $700.00 $1,575.91 $1,137.95 2026-04-07
72195 HCPCS MRI Pelvis Wo Contrast 19 16 $1,977.30 $1,977.30 $700.00 $1,575.91 $1,137.95 2026-04-07
72146 HCPCS MRI Thoracic Wo Contrast 19 16 $1,977.30 $1,977.30 $700.00 $1,759.80 $1,137.95 2026-04-07
71550 HCPCS MRI Chest Wo Contrast 19 16 $1,977.30 $1,977.30 $700.00 $1,575.91 $1,137.95 2026-04-07
73718 HCPCS MRI Lower Extremity Lt Wo Contrast 38 16 $1,977.30 $1,977.30 $700.00 $1,575.91 $1,137.95 2026-04-07
0360 RC — 28 16 $1,763.30 $1,763.30 $280.43 $1,468.12 $1,110.88 2026-04-07
88239 HCPCS Path Chromsome Analysis 19 16 $1,503.70 $1,503.70 $928.38 $1,198.45 $1,063.41 2026-04-07
99291 HCPCS Critical Care 19 16 $1,448.20 $1,448.20 $894.12 $1,448.20 $1,049.94 2026-04-07
70551 HCPCS MRI Brain Wo Contrast 19 16 $1,734.50 $1,734.50 $700.00 $1,382.40 $1,041.20 2026-04-07
70547 HCPCS MRI Angio Neck Wo Contrast 19 16 $1,734.50 $1,734.50 $700.00 $1,382.40 $1,041.20 2026-04-07
70544 HCPCS MRI Angio Head Wo Contrast 19 16 $1,734.50 $1,734.50 $700.00 $1,382.40 $1,041.20 2026-04-07
70540 HCPCS MRI Orbit Face Wo Contrast 19 16 $1,734.50 $1,734.50 $700.00 $1,382.40 $1,041.20 2026-04-07
76497 HCPCS CT Screening Whole Body 19 16 $1,491.70 $1,491.70 $890.00 $1,188.88 $1,039.44 2026-04-07
0278 RC — 5,293 16 $1,413.70 $1,413.70 $19.38 $28,395.07 $1,008.86 2026-04-07
78306 HCPCS Nm Bone Scan Whole Body 19 16 $1,390.60 $1,390.60 $858.56 $1,157.81 $1,008.18 2026-04-07
78227 HCPCS Nm Hida Scan W Ejection Fraction 19 16 $1,361.30 $1,361.30 $816.78 $1,133.42 $986.95 2026-04-07
74170 HCPCS CT Abdomen W & Wo 19 16 $1,376.90 $1,376.90 $850.10 $1,097.39 $973.75 2026-04-07
70488 HCPCS CT Sinus W & Wo 19 16 $1,376.90 $1,376.90 $826.14 $1,097.39 $973.75 2026-04-07
70470 HCPCS CT Head W & Wo 19 16 $1,376.90 $1,376.90 $850.10 $1,097.39 $973.75 2026-04-07
73702 HCPCS CT Lower Ext W & Wo Contrast 19 16 $1,376.90 $1,376.90 $850.10 $1,097.39 $973.75 2026-04-07
72133 HCPCS CT Lumbar Spine W & Wo 19 16 $1,376.90 $1,376.90 $850.10 $1,097.39 $973.75 2026-04-07
72130 HCPCS CT Thoracic Spine W & Without 19 16 $1,376.90 $1,376.90 $850.10 $1,097.39 $973.75 2026-04-07
11046 HCPCS Debridment Sq Tis Addl 19 16 $1,319.40 $1,319.40 $814.60 $1,098.53 $956.57 2026-04-07
15278 HCPCS Skin Sub App H,f,h, Total Woud Add 100 19 16 $1,319.40 $1,319.40 $814.60 $1,098.53 $956.57 2026-04-07
15276 HCPCS Skin Sub App H,f,h, Total Woud Add 25 19 16 $1,319.40 $1,319.40 $814.60 $1,098.53 $956.57 2026-04-07
15273 HCPCS Skin Sub App Tr,ar,leg Total Woud Ad 25s 19 16 $1,319.40 $1,319.40 $814.60 $1,098.53 $956.57 2026-04-07
11043 HCPCS Debridment Sq Tis 20sqcm 19 16 $1,319.40 $1,319.40 $814.60 $1,098.53 $956.57 2026-04-07
15004 HCPCS Surg Prep Face/hand/feet 1st 100sqcm 19 16 $1,319.40 $1,319.40 $814.60 $1,098.53 $956.57 2026-04-07
12020 HCPCS Simple Cl Wound Dehiscence 19 16 $1,319.40 $1,319.40 $814.60 $1,098.53 $956.57 2026-04-07
78226 HCPCS Nm Hida Scan Only 19 16 $1,309.80 $1,309.80 $808.67 $1,090.54 $949.61 2026-04-07
78315 HCPCS Nm Bone Scan 3 Phase 19 16 $1,274.80 $1,274.80 $787.06 $1,061.40 $924.23 2026-04-07
70492 HCPCS CT Neck W & Wo 19 16 $1,286.30 $1,286.30 $794.16 $1,025.18 $909.67 2026-04-07
72127 HCPCS CT Cervical Spine W & Wo 19 16 $1,286.30 $1,286.30 $794.16 $1,025.18 $909.67 2026-04-07
70482 HCPCS CT Orbits W & Wo 26 16 $1,376.90 $1,376.90 $701.37 $1,097.39 $890.00 2026-04-07
78582 HCPCS Nm Lung Ventilation / Perfusion 19 16 $1,224.00 $1,224.00 $755.70 $1,019.10 $887.40 2026-04-07
78278 HCPCS Nm Bleeding Scan 19 16 $1,217.50 $1,217.50 $751.68 $1,013.69 $882.68 2026-04-07
78014 HCPCS Nm Thyroid Scan And Uptake I 123 19 16 $1,142.60 $1,142.60 $685.56 $951.33 $828.38 2026-04-07
31622 HCPCS Bronchoscopy 19 16 $1,135.20 $1,135.20 $700.88 $945.17 $823.02 2026-04-07
C1788 HCPCS Mediport Powerport Single 9.6 Sub 2-1067 19 16 $1,114.50 $1,114.50 $688.10 $1,965.00 $808.01 2026-04-07
71250 HCPCS CT Chest Wo Contrast 26 16 $1,136.00 $1,136.00 $701.37 $1,097.39 $803.38 2026-04-07
74160 HCPCS CT Abdomen W Contrast 19 16 $1,136.00 $1,136.00 $701.37 $905.39 $803.38 2026-04-07
74150 HCPCS CT Abdomen Wo Contrast 19 16 $1,136.00 $1,136.00 $701.37 $905.39 $803.38 2026-04-07
70491 HCPCS CT Neck W Cont 19 16 $1,136.00 $1,136.00 $701.37 $1,011.04 $803.38 2026-04-07
70490 HCPCS CT Neck Wo Cont 19 16 $1,136.00 $1,136.00 $110.11 $905.39 $803.38 2026-04-07
73701 HCPCS CT Lower Ext W Contrast 19 16 $1,136.00 $1,136.00 $701.37 $905.39 $803.38 2026-04-07
70487 HCPCS CT Facial W Contrast 19 16 $1,136.00 $1,136.00 $681.60 $905.39 $803.38 2026-04-07
73700 HCPCS CT Lower Ext Wo Contrast 19 16 $1,136.00 $1,136.00 $701.37 $905.39 $803.38 2026-04-07
70481 HCPCS CT Orbits W Contrast 19 16 $1,136.00 $1,136.00 $701.37 $905.39 $803.38 2026-04-07
70480 HCPCS CT Post Fossa Wo Cont 19 16 $1,136.00 $1,136.00 $701.37 $905.39 $803.38 2026-04-07
70460 HCPCS CT Head W Cont 19 16 $1,136.00 $1,136.00 $701.37 $905.39 $803.38 2026-04-07
73201 HCPCS CT Upper Ext W/contrast 19 16 $1,136.00 $1,136.00 $701.37 $905.39 $803.38 2026-04-07
73200 HCPCS CT Upper Ext Wo 19 16 $1,136.00 $1,136.00 $681.60 $905.39 $803.38 2026-04-07
71260 HCPCS CT Chest W Contrast 19 16 $1,136.00 $1,136.00 $701.37 $1,011.04 $803.38 2026-04-07
72194 HCPCS CT Pelvis W & Wo 19 16 $1,136.00 $1,136.00 $701.37 $905.39 $803.38 2026-04-07
72193 HCPCS CT Pelvis W Contrast 19 16 $1,136.00 $1,136.00 $701.37 $905.39 $803.38 2026-04-07
72192 HCPCS CT Pelvis Wo Contrast 19 16 $1,136.00 $1,136.00 $701.37 $1,136.00 $803.38 2026-04-07
72128 HCPCS CT Thoracic Spine Wo Cont 19 16 $1,136.00 $1,136.00 $701.37 $1,136.00 $803.38 2026-04-07
72126 HCPCS CT Cervical Spine W/contrast 19 16 $1,136.00 $1,136.00 $701.37 $905.39 $803.38 2026-04-07
72125 HCPCS CT Cervical Spine Wo Cont 19 16 $1,136.00 $1,136.00 $549.93 $905.39 $803.38 2026-04-07
78709 HCPCS Nm Renal Imag W/vasc Flow/func W/wo Capi 19 16 $1,099.20 $1,099.20 $678.65 $915.19 $796.92 2026-04-07
64417 HCPCS Block Anes Axillary 19 16 $1,070.90 $1,070.90 $661.18 $891.63 $776.40 2026-04-07
64415 HCPCS Block Anes Intrascalene 19 16 $1,070.90 $1,070.90 $661.18 $891.63 $776.40 2026-04-07
93306 HCPCS US Echo Cardiogram Complete 19 16 $1,053.40 $1,053.40 $650.37 $877.06 $763.72 2026-04-07
78264 HCPCS Nm Gastric Emptying 19 16 $1,044.20 $1,044.20 $644.69 $869.40 $757.04 2026-04-07
C1762 HCPCS Graft Net Tissue Collector 19 16 $1,041.00 $1,041.00 $642.71 $866.74 $754.73 2026-04-07
78473 HCPCS Nm Muga Stress 19 16 $1,036.70 $1,036.70 $640.06 $863.16 $751.61 2026-04-07
81405 HCPCS Gia Sequencing 19 16 $1,060.90 $1,060.90 $655.00 $845.54 $750.27 2026-04-07
70486 HCPCS CT Facial Bones Wo 19 16 $1,136.00 $1,136.00 $664.59 $905.39 $715.68 2026-04-07
70450 HCPCS CT Head Wo Contrast 19 16 $1,136.00 $1,136.00 $536.34 $905.39 $715.68 2026-04-07
72131 HCPCS CT Lumbar Spine Wo Contrast 19 16 $1,136.00 $1,136.00 $546.33 $905.39 $715.68 2026-04-07
45330 HCPCS Flex Sigmoidoscopy 19 16 $986.70 $986.70 $609.19 $821.53 $715.36 2026-04-07
32554 HCPCS Thoracentesis Procedure 19 16 $986.70 $986.70 $609.19 $821.53 $715.36 2026-04-07
94002 HCPCS Artificial Mech Vent Intital 19 16 $984.40 $984.40 $607.77 $819.61 $713.69 2026-04-07
78195 HCPCS Nm Lymphoscintigraphy 19 16 $977.30 $977.30 $603.39 $813.70 $708.54 2026-04-07
70336 HCPCS MRI Tmj Bil Wo Contrast 38 16 $1,410.10 $1,410.10 $580.48 $1,498.36 $700.00 2026-04-07
74330 HCPCS Evcp-billary & Pancreas 19 16 $955.50 $955.50 $589.92 $795.55 $692.74 2026-04-07
C1713 HCPCS Val Kreulock Screw,ti,2.4x20 478 16 $1,057.50 $1,057.50 $100.20 $8,194.87 $688.27 2026-04-07
J0561 HCPCS Bicillin La Inj: 1.2 Mu :2ml Adult 19 16 $946.15 $946.15 $584.15 $787.76 $685.96 2026-04-07
11107 HCPCS Incisional Biopsy Skin Addl 19 16 $931.90 $931.90 $575.36 $775.90 $675.63 2026-04-07
11106 HCPCS Incisional Biopsy Skin 1 Les 19 16 $931.90 $931.90 $575.36 $775.90 $675.63 2026-04-07
81302 HCPCS Mecp 2 Gene (rett) 19 16 $939.70 $939.70 $580.17 $748.94 $664.55 2026-04-07
78300 HCPCS Nm Bone Scan Limited 19 16 $907.90 $907.90 $560.54 $755.92 $658.23 2026-04-07
0120 RC — 10 6 $350.00 $350.00 $278.95 $1,938.32 $656.73 2026-04-07
93350 HCPCS US Cardiac Stress Test 19 16 $902.90 $902.90 $557.45 $751.75 $654.60 2026-04-07
94003 HCPCS Artificial Mech Vent Subsequent Day 19 16 $888.50 $888.50 $548.56 $739.77 $644.16 2026-04-07
94660 HCPCS Bipap Initial 28 16 $888.50 $888.50 $492.31 $739.77 $644.16 2026-04-07
C9290 HCPCS Exparel 1.3% Susp. Inj. 10ml 19 16 $859.00 $859.00 $530.35 $715.20 $622.77 2026-04-07
10160 HCPCS Puncture Aspiration Of Abscess 19 16 $858.10 $858.10 $529.79 $714.45 $622.12 2026-04-07
11750 HCPCS Permanent Nail Removal 19 16 $858.10 $858.10 $529.79 $714.45 $622.12 2026-04-07
97607 HCPCS Negative Pressure Wound Tx <50sqcm Disp 19 16 $858.10 $858.10 $529.79 $714.45 $622.12 2026-04-07
16030 HCPCS Debridement/dress Partial Thick Burn Lar 19 16 $858.10 $858.10 $529.79 $714.45 $622.12 2026-04-07
11045 HCPCS Debridment Sq Tissue Each Addl 19 16 $858.10 $858.10 $529.79 $714.45 $622.12 2026-04-07
97608 HCPCS Negative Pressure Wound Tx >50sqcm Disp 19 16 $858.10 $858.10 $529.79 $714.45 $622.12 2026-04-07
10120 HCPCS Incision & Removal Foreign Body Simple 19 16 $858.10 $858.10 $529.79 $714.45 $622.12 2026-04-07
10061 HCPCS I & D Complicated/multi 19 16 $858.10 $858.10 $529.79 $714.45 $622.12 2026-04-07
11042 HCPCS Debridment Sq Tissue 20sqcm 19 16 $858.10 $858.10 $529.79 $736.91 $622.12 2026-04-07
78472 HCPCS Nm Muga 19 16 $844.10 $844.10 $521.14 $702.80 $611.97 2026-04-07
72084 HCPCS Xr Total Spine Min 6 Views 19 16 $842.50 $842.50 $520.16 $701.47 $610.82 2026-04-07
J1442 HCPCS Neupogen (filgrastim) Vial: 480mcg/0.8ml 19 16 $829.05 $829.05 $511.85 $690.27 $601.06 2026-04-07
64447 HCPCS Block Anes Adductor Canal 19 16 $819.60 $819.60 $506.02 $682.40 $594.21 2026-04-07
64450 HCPCS Block Anes Fascia Iliaca 19 16 $819.60 $819.60 $506.02 $682.40 $594.21 2026-04-07
64445 HCPCS Block Anes Sciatic Popliteal 19 16 $819.60 $819.60 $506.02 $682.40 $594.21 2026-04-07
L8699 HCPCS X MRI Anchor 28 16 $937.50 $937.50 $119.29 $780.56 $590.62 2026-04-07
88348 HCPCS Electron Microscopy 19 16 $911.90 $911.90 $421.86 $726.78 $574.32 2026-04-07
76700 HCPCS US Abdomen 19 16 $770.40 $770.40 $462.24 $641.44 $558.54 2026-04-07
P9035 HCPCS Bb Platelet Processing Pheresis 1 Unit 19 16 $764.80 $764.80 $472.18 $636.77 $554.48 2026-04-07
93970 HCPCS US Venous Blood Flow Bilateral 19 16 $758.10 $758.10 $468.05 $631.19 $549.62 2026-04-07
93975 HCPCS US Renal W/doppler 19 16 $738.00 $738.00 $455.64 $656.82 $535.05 2026-04-07
78140 HCPCS Nm Hemangioma Rbc 19 16 $737.60 $737.60 $455.40 $614.13 $534.76 2026-04-07
93880 HCPCS US Carotid Duplex Scan 19 16 $725.90 $725.90 $448.17 $604.38 $526.27 2026-04-07
99292 HCPCS Critical Care Addl 19 16 $723.60 $723.60 $446.75 $723.60 $524.61 2026-04-07
78708 HCPCS Nm Renal Imag W/vasc Flow/function W/cap 19 16 $721.30 $721.30 $445.33 $600.55 $522.94 2026-04-07
94004 HCPCS Vapo Therm Subsequent 19 16 $717.40 $717.40 $442.92 $597.31 $520.12 2026-04-07
76856 HCPCS US Pelvic 19 16 $716.80 $716.80 $430.08 $682.32 $519.68 2026-04-07
76775 HCPCS US Renal 19 16 $716.80 $716.80 $430.08 $637.95 $519.68 2026-04-07
78451 HCPCS Nm Myocardial Single Spect 19 16 $708.90 $708.90 $437.68 $590.23 $513.96 2026-04-07
76815 HCPCS US OB Limited 19 16 $704.70 $704.70 $435.08 $586.73 $510.90 2026-04-07
87902 HCPCS Zz Hepatitis C Virus Genotyping 19 16 $708.00 $708.00 $437.12 $564.28 $500.70 2026-04-07
J1610 HCPCS Glucagon (glucagen) Inj: 1mg 19 16 $681.88 $681.88 $420.99 $567.73 $494.36 2026-04-07
20605 HCPCS Aspiration Inj Intm Joint Bursa 19 16 $676.20 $676.20 $417.49 $563.00 $490.25 2026-04-07
20600 HCPCS Aspiration Inj Small Joint Bursa 19 16 $676.20 $676.20 $417.49 $563.00 $490.25 2026-04-07
78580 HCPCS Nm Lung Scan Perfusion 19 16 $674.50 $674.50 $416.44 $561.59 $489.01 2026-04-07
0343 RC — 19 16 $663.40 $663.40 $409.58 $552.35 $480.96 2026-04-07
93971 HCPCS US Venous Blood Flow Unilateral 19 16 $656.70 $656.70 $394.02 $584.46 $476.11 2026-04-07
29445 HCPCS Total Contact Cast Leg 19 16 $643.70 $643.70 $397.42 $535.94 $466.68 2026-04-07
29700 HCPCS Removal Gauntlet Body Body Cast 19 16 $643.70 $643.70 $397.42 $535.94 $466.68 2026-04-07
69420 HCPCS Myringotomy 19 16 $640.90 $640.90 $395.69 $533.61 $464.65 2026-04-07
92950 HCPCS Cardio Pulmonary Resusitation 19 16 $636.60 $636.60 $393.04 $530.03 $461.54 2026-04-07
93923 HCPCS US Lower Art Bilateral 28 16 $725.90 $725.90 $229.36 $604.38 $457.32 2026-04-07
72083 HCPCS Xr Total Spine 4-5 Views 19 16 $630.30 $630.30 $389.15 $524.79 $456.97 2026-04-07
87507 HCPCS Culture Stool DNA Comprehensive 26 16 $716.80 $716.80 $168.74 $571.29 $451.58 2026-04-07
99285 HCPCS ER Level 5 19 16 $619.70 $619.70 $371.82 $619.70 $449.28 2026-04-07
88275 HCPCS Path Molecular Cyto 100-300 Cells 19 16 $626.60 $626.60 $386.86 $499.40 $443.13 2026-04-07
93017 HCPCS Cardiac Stress Test 19 16 $608.90 $608.90 $365.34 $506.97 $441.45 2026-04-07
76817 HCPCS US OB Transvaginal 19 16 $597.50 $597.50 $368.89 $497.48 $433.19 2026-04-07
93978 HCPCS US Aorta Color Flow 19 16 $597.50 $597.50 $368.89 $497.48 $433.19 2026-04-07
88377 HCPCS Path Hc Morph Analysis Insita Per Spec E 19 16 $655.70 $655.70 $339.66 $522.59 $431.12 2026-04-07
M0222 HCPCS Injection Bebtelovimab 19 16 $584.20 $584.20 $360.69 $486.40 $423.55 2026-04-07
78707 HCPCS Nm Renal Function Study Without Capitopril 19 16 $568.60 $568.60 $351.06 $473.42 $412.24 2026-04-07
76870 HCPCS US Scrotum And Contents 19 16 $568.60 $568.60 $230.77 $506.05 $412.24 2026-04-07
72052 HCPCS Xr Spine Cervical 5 Views Or More 19 16 $567.50 $567.50 $350.37 $505.08 $411.44 2026-04-07
81500 HCPCS Ovarian Risk Panel Roma 19 16 $579.20 $579.20 $357.60 $461.62 $409.61 2026-04-07
93225 HCPCS Holter Monitor 19 16 $550.80 $550.80 $340.06 $458.60 $399.33 2026-04-07
0710 RC — 46 16 $618.90 $618.90 $113.54 $613.74 $389.91 2026-04-07
73521 HCPCS Xr Hips Bilateral W/pelvis 19 16 $537.40 $537.40 $322.44 $447.44 $389.62 2026-04-07
71111 HCPCS Xr Chest & Ribs Bilateral 4 Views Min 19 16 $537.40 $537.40 $331.79 $447.44 $389.62 2026-04-07
C1751 HCPCS Hickman 9.0 Fr Dual Pedi 0600580 19 16 $537.40 $537.40 $331.79 $447.44 $389.62 2026-04-07
36430 HCPCS Blood Administration 1 Unit 64 16 $551.80 $551.80 $212.76 $631.19 $383.41 2026-04-07
C9088 HCPCS Zynrelef ER 200mg/6mg - 7ml Inj 19 16 $528.80 $528.80 $326.48 $440.28 $383.38 2026-04-07
78761 HCPCS Nm Testicular Imaging W/flow 19 16 $517.30 $517.30 $319.38 $430.70 $375.04 2026-04-07
99284 HCPCS ER Level 4 19 16 $513.60 $513.60 $317.10 $513.60 $372.36 2026-04-07
73564 HCPCS Xr Knee Lt Complete W Sunrise & Tun 38 16 $507.30 $507.30 $304.38 $422.38 $367.80 2026-04-07
93930 HCPCS US Thoracic Outlet Syndrome 19 16 $507.30 $507.30 $313.21 $422.38 $367.80 2026-04-07
70260 HCPCS Xr Skull 4 Views 19 16 $507.30 $507.30 $313.21 $422.38 $367.80 2026-04-07
72114 HCPCS Xr Spine Lumbar Complete W/f & E Views 19 16 $507.30 $507.30 $313.21 $422.38 $367.80 2026-04-07
72110 HCPCS Xr Spine Lumbar W5 Oblique 19 16 $507.30 $507.30 $304.38 $465.66 $367.80 2026-04-07
76811 HCPCS US OB Complete 19 16 $507.30 $507.30 $313.21 $422.38 $367.80 2026-04-07
74455 HCPCS Rf Cystogram Voiding 19 16 $507.30 $507.30 $313.21 $422.38 $367.80 2026-04-07
74280 HCPCS Rf Barium Enema W/air 19 16 $507.30 $507.30 $313.21 $422.38 $367.80 2026-04-07
74240 HCPCS Rf Upper Gi 37 16 $507.30 $507.30 $313.21 $711.04 $367.80 2026-04-07
78071 HCPCS Nm Parathyroid With Spect 19 16 $500.00 $500.00 $308.70 $416.30 $362.50 2026-04-07
74329 HCPCS Evcp-cholangiogram (billary Tree) 19 16 $489.50 $489.50 $302.21 $407.56 $354.88 2026-04-07
78601 HCPCS Nm Brain Flow 19 16 $486.20 $486.20 $300.18 $404.81 $352.50 2026-04-07
78305 HCPCS Nm Bone Flow 19 16 $486.20 $486.20 $300.18 $404.81 $352.50 2026-04-07
A9562 HCPCS R/p Mag 3 15 Mci (technesium) 19 16 $485.70 $485.70 $299.87 $404.39 $352.13 2026-04-07
78701 HCPCS Nm Renal Scan W Vascular Flow 19 16 $483.80 $483.80 $298.69 $402.81 $350.75 2026-04-07
12002 HCPCS Repair Super Wound 2.6 Cm-7.5cm 19 16 $482.20 $482.20 $297.71 $401.48 $349.60 2026-04-07
12001 HCPCS Repair Super Wound 2.5 Cm Or Less 19 16 $482.20 $482.20 $297.71 $401.48 $349.60 2026-04-07
11056 HCPCS Trim Skin Lesion 2-4 Lesions 19 16 $482.20 $482.20 $297.71 $401.48 $349.60 2026-04-07
11732 HCPCS Remove Nail Plate Addl 19 16 $482.20 $482.20 $297.71 $401.48 $349.60 2026-04-07
11730 HCPCS Remove Nail Plate 19 16 $482.20 $482.20 $297.71 $401.48 $349.60 2026-04-07
17250 HCPCS Chemical Cautery Of Tissue 19 16 $482.20 $482.20 $297.71 $401.48 $349.60 2026-04-07
16025 HCPCS Debridement/dress Partial Thick Burn Med 19 16 $482.20 $482.20 $297.71 $401.48 $349.60 2026-04-07
16020 HCPCS Debridement/dressing Partial Thick Burn 19 16 $482.20 $482.20 $297.71 $401.48 $349.60 2026-04-07
11055 HCPCS Trim Skin Lesion 19 16 $482.20 $482.20 $297.71 $401.48 $349.60 2026-04-07
16000 HCPCS Initial Treatment Of Burns 19 16 $482.20 $482.20 $297.71 $401.48 $349.60 2026-04-07
11105 HCPCS Punch Biopsy Skin Each Addl 19 16 $482.20 $482.20 $297.71 $401.48 $349.60 2026-04-07
11057 HCPCS Trim Skin Lesion >4 Lesions 19 16 $482.20 $482.20 $297.71 $401.48 $349.60 2026-04-07
11104 HCPCS Punch Biopsy Skin 1 Lesion 19 16 $482.20 $482.20 $297.71 $401.48 $349.60 2026-04-07
11103 HCPCS Tangential Biopsy Skin 1 Lesion 19 16 $482.20 $482.20 $297.71 $401.48 $349.60 2026-04-07
11102 HCPCS Tangential Biopsy Skin 1 Lesion 19 16 $482.20 $482.20 $297.71 $401.48 $349.60 2026-04-07
76942 HCPCS US Guidance Needle Placement Only 46 16 $507.30 $507.30 $184.48 $556.93 $348.00 2026-04-07
83013 HCPCS Helicobacter Pylori 19 16 $488.40 $488.40 $301.54 $389.25 $345.39 2026-04-07
78215 HCPCS Nm Liver Spleen Scan 19 16 $471.80 $471.80 $291.29 $392.82 $342.06 2026-04-07
74430 HCPCS Rf Cystogram 19 16 $471.70 $471.70 $291.23 $392.74 $341.99 2026-04-07
74021 HCPCS Xr Abdomen 3 Views 19 16 $467.30 $467.30 $288.51 $389.07 $338.79 2026-04-07
74022 HCPCS Xr Acute Abd Series 19 16 $466.00 $466.00 $185.28 $414.74 $337.85 2026-04-07
74248 HCPCS Rf Upper Gi W Sm Bowel Ft 19 16 $466.00 $466.00 $287.71 $387.99 $337.85 2026-04-07
70150 HCPCS Xr Facial Bones 3 Views 19 16 $459.40 $459.40 $283.63 $382.50 $333.06 2026-04-07
77073 HCPCS CT Leg Lt Length 28 16 $459.00 $459.00 $275.12 $382.16 $332.77 2026-04-07
76536 HCPCS US Neck Thyroid 19 16 $458.30 $458.30 $274.98 $407.89 $332.27 2026-04-07
74270 HCPCS Rf Colon 19 16 $458.30 $458.30 $282.96 $381.58 $332.27 2026-04-07
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