Price Transparency 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

BEAUREGARD MEMORIAL HOSPITAL

Deridder, LA · CCN 190050 · Rates published

1,350 distinct procedures filed
7 distinct payers
31,620 rate rows
2026-02-18 last MRF observed
Data quality

30,185 of 31,620 rate rows are consumer-grade (95.5%)

1,435 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
template filing: same amount across many unrelated codes — excluded 1,407
per-diem day rate — not a per-procedure price 27
exceeds 10× this hospital's gross charge — excluded from medians 1
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.beauregard.org/media/p/9396/720491106_beauregard-health-system_standardcharges.csv
Found on page https://www.beauregard.org/cms-hpt.txt
Discovered viaCMS hospital list
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-06-13
Content fingerprint d8d65619d66b1031… · 11,260,452 bytes · first seen 2026-05-14

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
J1950
HCPCS 		Lupron 45mg Syr Depot 7 $100.00 $59,238.80 $50,352.98 nat. median
$4,344
outlier · 11.6×
J9022
HCPCS 		Tecentrig 1200mg Vial 7 $100.00 $54,910.40 $46,673.84 nat. median
$6,911
outlier · 6.8×
J9119
HCPCS 		Libtayo 350mg/7ml Vial 7 $100.00 $52,139.60 $44,318.66 nat. median
$91
outlier · 488.0×
J9144
CPT 		Darzalex Faspro 1800mg/15ml Vi 7 $15,300.47 $48,630.80 $41,336.18 nat. median
$232
outlier · 178.1×
J1930
HCPCS 		Lanreotide 120mg/0.5ml 7 $100.00 $43,985.20 $37,387.42 nat. median
$5,873
outlier · 6.4×
J9228
HCPCS 		Yervoy 5mg/ml 10ml Vial 7 $100.00 $41,652.00 $35,404.20 nat. median
$9,890
outlier · 3.6×
J3101
HCPCS 		Tnkase Kit 7 $100.00 $38,167.60 $32,442.46 nat. median
$5,957
outlier · 5.4×
J9217
HCPCS 		Lupron Depot 22.5mg 7 $100.00 $39,492.00 $31,100.00 nat. median
$1,521
outlier · 20.4×
J9301
HCPCS 		Gazyva 1000mg 40ml Vial 7 $100.00 $34,155.20 $29,031.92 nat. median
$314
outlier · 92.6×
J9306
HCPCS 		Perjeta 420mg Vial 7 $100.00 $31,688.00 $26,934.80 nat. median
$85
outlier · 317.2×
J2506
CPT 		Neulasta 6mg/0.6ml 7 $9,288.61 $29,522.80 $25,094.38 nat. median
$2,076
outlier · 12.1×
J0517
HCPCS 		Fasenra 30mg Syringe 7 $100.00 $26,896.80 $22,862.28 nat. median
$914
outlier · 25.0×
37227
CPT 		Peripheral Vas Le, Stent & Ath 7 $7,202.79 $22,893.24 $20,031.59 nat. median
$18,025
1.1× median
J9312
HCPCS 		Rituxan 500mg Vial 7 $100.00 $21,609.22 $18,367.83 nat. median
$1,242
outlier · 14.8×
J9299
HCPCS 		Opdivo 240m/24ml Vial 7 $100.00 $36,538.56 $18,269.04 nat. median
$2,944
outlier · 6.2×
Q5111
HCPCS 		Undenyca 6mg On-body 7 $100.00 $19,205.20 $16,324.42 nat. median
$2,102
outlier · 7.8×
37229
CPT 		Peripheral Vas Le, Atherectomy 7 $5,699.09 $18,113.90 $15,849.67 nat. median
$16,929
0.9× median
37225
CPT 		Peripheral Vas Le Atherectomy 7 $5,298.43 $16,840.46 $14,735.41 nat. median
$16,320
0.9× median
37228
CPT 		Pta Tibioper Each Vessel 7 $5,290.60 $16,815.56 $14,713.62 nat. median
$10,888
1.4× median
Q5112
HCPCS 		Ontruzant 420mg Vial 7 $100.00 $17,061.60 $14,502.36 nat. median
$63
outlier · 229.8×
J2182
HCPCS 		Nucala 100mg 7 $100.00 $17,020.00 $14,467.00 nat. median
$3,087
outlier · 4.7×
50590
CPT 		Esl Lithotripter 7 $100.00 $15,833.64 $13,854.44 nat. median
$4,400
outlier · 3.1×
J1437
HCPCS 		MonoFerric 1000mg/10ml Vial 7 $100.00 $16,154.00 $13,730.90 nat. median
$42
outlier · 330.5×
C1602
CPT 		Cerament G 10ml 7 $4,150.03 $23,798.40 $13,190.40 nat. median
$5,750
outlier · 2.3×
J9177
HCPCS 		Padcev 20mg Vial 7 $100.00 $19,382.20 $12,921.40 nat. median
$3,113
outlier · 4.2×
Q5130
CPT 		Fylnetra 6mg Vial 7 $4,341.83 $13,800.00 $11,730.00 nat. median
$335
outlier · 35.0×
93460
CPT 		Cor Art R L Heart Lv S&i 7 $100.00 $11,967.24 $10,172.15 nat. median
$6,361
1.6× median
J0897
HCPCS 		Prolia 60mg/ml 1ml Inj 7 $100.00 $15,869.20 $8,886.00 nat. median
$2,502
outlier · 3.6×
Q5158
CPT 		Conexxence Denosumab-bnht 60mg 7 $2,632.91 $15,392.80 $8,368.40 nat. median
$3,275
outlier · 2.6×
J9303
HCPCS 		Vectibix 100mg 5ml Vial 7 $100.00 $35,001.34 $8,333.59 nat. median
$1,888
outlier · 4.4×
0275
RC 		Quik-pace Adult Electrode 7 $33.36 $45,827.20 $8,020.40 nat. median
$2,062
outlier · 3.9×
C9353
HCPCS 		Nerve Cap 7 $100.00 $9,264.00 $7,874.40 nat. median
$3,495
outlier · 2.3×
J3032
HCPCS 		Vyepti 100mg Vial 7 $100.00 $8,924.40 $7,585.74 nat. median
$71
outlier · 106.4×
J9047
HCPCS 		Kyprolis 30mg 7 $100.00 $13,704.42 $7,360.00 nat. median
$1,668
outlier · 4.4×
93459
CPT 		Cor Art L Heart Lv Bypss Ima 7 $100.00 $8,331.08 $7,081.42 nat. median
$6,389
1.1× median
Q5157
CPT 		Stoboclo 60mg/1ml 7 $2,578.67 $8,196.00 $6,966.60 nat. median
$2,987
outlier · 2.3×
33210
CPT 		Temp Pacer Sgl Chamber 7 $100.00 $7,952.88 $6,958.77 nat. median
$8,289
0.8× median
J0875
HCPCS 		Dalvance 500mg Vial 7 $100.00 $8,184.00 $6,956.40 nat. median
$1,071
outlier · 6.5×
J9074
CPT 		Cyclophosphamide 2gm Vial 7 $2,385.36 $7,581.60 $6,444.36 nat. median
$6
outlier · 1011.7×
93458
CPT 		Cor Art L Heart Lv S&i 7 $100.00 $7,360.00 $6,256.00 nat. median
$6,395
1.0× median
J1439
HCPCS 		Injectafer 50mg/ml 15ml Vial 7 $100.00 $7,112.80 $6,045.88 nat. median
$63
outlier · 95.7×
37224
CPT 		Pta Fem/pop Each Vessel 7 $2,119.38 $6,736.20 $5,894.18 nat. median
$7,244
0.8× median
J9324
CPT 		Pemrydi 100mg Vial 7 $1,387.65 $22,714.10 $5,778.45 nat. median
$90
outlier · 64.4×
J1459
HCPCS 		Privigen 5gm/50ml Infusion 7 $100.00 $18,181.42 $5,720.33 nat. median
$1,227
outlier · 4.7×
C1889
HCPCS 		Verawrap 7 $100.00 $7,830.40 $5,686.40 nat. median
$2,392
outlier · 2.4×
93454
CPT 		Cor Art, S&i 7 $100.00 $6,586.28 $5,598.34 nat. median
$5,709
1.0× median
37221
CPT 		Peripheral Vas Le Stent, Iliac 7 $1,881.94 $5,981.52 $5,233.83 nat. median
$11,953
outlier · 0.4×
93455
CPT 		Cor Art Bypss Ima Graft Si 7 $100.00 $6,095.20 $5,180.92 nat. median
$5,661
0.9× median
V2790
HCPCS 		Axolotl Dualgrat 2cmx3cm 7 $100.00 $6,144.00 $5,120.00 nat. median
$1,695
outlier · 3.0×
J1569
HCPCS 		Gammagard 20gm/200ml 7 $100.00 $16,064.25 $5,054.21 nat. median
$1,048
outlier · 4.8×

Other procedures at this hospital

Browse this hospital's 1,350 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
             
J1950 HCPCS Lupron 45mg Syr Depot 7 7 $74,048.50 — $100.00 $59,238.80 $50,352.98 2026-02-18
J9022 HCPCS Tecentrig 1200mg Vial 7 7 $68,638.00 — $100.00 $54,910.40 $46,673.84 2026-02-18
J9119 HCPCS Libtayo 350mg/7ml Vial 7 7 $65,174.50 — $100.00 $52,139.60 $44,318.66 2026-02-18
J9144 CPT Darzalex Faspro 1800mg/15ml Vi 7 7 $60,788.50 — $15,300.47 $48,630.80 $41,336.18 2026-02-18
J1930 HCPCS Lanreotide 120mg/0.5ml 13 7 $51,133.00 — $100.00 $43,985.20 $37,387.42 2026-02-18
J9228 HCPCS Yervoy 5mg/ml 10ml Vial 7 7 $52,065.00 — $100.00 $41,652.00 $35,404.20 2026-02-18
J3101 HCPCS Tnkase Kit 7 7 $47,709.50 — $100.00 $38,167.60 $32,442.46 2026-02-18
J9217 HCPCS Lupron Depot 22.5mg 13 7 $38,875.00 — $100.00 $39,492.00 $31,100.00 2026-02-18
J9301 HCPCS Gazyva 1000mg 40ml Vial 7 7 $42,694.00 — $100.00 $34,155.20 $29,031.92 2026-02-18
J9306 HCPCS Perjeta 420mg Vial 7 7 $39,610.00 — $100.00 $31,688.00 $26,934.80 2026-02-18
J2506 CPT Neulasta 6mg/0.6ml 7 7 $36,903.50 — $9,288.61 $29,522.80 $25,094.38 2026-02-18
J0517 HCPCS Fasenra 30mg Syringe 7 7 $33,621.00 — $100.00 $26,896.80 $22,862.28 2026-02-18
37227 CPT Peripheral Vas Le, Stent & Ath 7 7 $28,616.55 — $7,202.79 $22,893.24 $20,031.59 2026-02-18
J9312 HCPCS Rituxan 500mg Vial 7 7 $27,011.52 — $100.00 $21,609.22 $18,367.83 2026-02-18
J9299 HCPCS Opdivo 240m/24ml Vial 13 7 $45,673.20 — $100.00 $36,538.56 $18,269.04 2026-02-18
Q5111 HCPCS Undenyca 6mg On-body 7 7 $24,006.50 — $100.00 $19,205.20 $16,324.42 2026-02-18
37229 CPT Peripheral Vas Le, Atherectomy 7 7 $22,642.38 — $5,699.09 $18,113.90 $15,849.67 2026-02-18
37225 CPT Peripheral Vas Le Atherectomy 7 7 $21,050.58 — $5,298.43 $16,840.46 $14,735.41 2026-02-18
37228 CPT Pta Tibioper Each Vessel 7 7 $21,019.45 — $5,290.60 $16,815.56 $14,713.62 2026-02-18
Q5112 HCPCS Ontruzant 420mg Vial 7 7 $21,327.00 — $100.00 $17,061.60 $14,502.36 2026-02-18
J2182 HCPCS Nucala 100mg 7 7 $21,275.00 — $100.00 $17,020.00 $14,467.00 2026-02-18
50590 CPT Esl Lithotripter 7 7 $19,792.05 — $100.00 $15,833.64 $13,854.44 2026-02-18
J1437 HCPCS MonoFerric 1000mg/10ml Vial 7 7 $20,192.50 — $100.00 $16,154.00 $13,730.90 2026-02-18
C1602 CPT Cerament G 10ml 14 7 $23,118.00 — $4,150.03 $23,798.40 $13,190.40 2026-02-18
J9177 HCPCS Padcev 20mg Vial 13 7 $16,151.75 — $100.00 $19,382.20 $12,921.40 2026-02-18
Q5130 CPT Fylnetra 6mg Vial 7 7 $17,250.00 — $4,341.83 $13,800.00 $11,730.00 2026-02-18
93460 CPT Cor Art R L Heart Lv S&i 7 7 $14,959.05 — $100.00 $11,967.24 $10,172.15 2026-02-18
J0897 HCPCS Prolia 60mg/ml 1ml Inj 13 7 $11,107.50 — $100.00 $15,869.20 $8,886.00 2026-02-18
Q5158 CPT Conexxence Denosumab-bnht 60mg 14 7 $14,850.75 — $2,632.91 $15,392.80 $8,368.40 2026-02-18
J9303 HCPCS Vectibix 100mg 5ml Vial 13 7 $10,416.99 — $100.00 $35,001.34 $8,333.59 2026-02-18
0275 RC Quik-pace Adult Electrode 154 7 $12,568.88 — $33.36 $45,827.20 $8,020.40 2026-02-18
C9353 HCPCS Nerve Cap 7 7 $11,580.00 — $100.00 $9,264.00 $7,874.40 2026-02-18
J3032 HCPCS Vyepti 100mg Vial 7 7 $11,155.50 — $100.00 $8,924.40 $7,585.74 2026-02-18
J9047 HCPCS Kyprolis 30mg 13 7 $9,200.00 — $100.00 $13,704.42 $7,360.00 2026-02-18
93459 CPT Cor Art L Heart Lv Bypss Ima 7 7 $10,413.85 — $100.00 $8,331.08 $7,081.42 2026-02-18
Q5157 CPT Stoboclo 60mg/1ml 7 7 $10,245.00 — $2,578.67 $8,196.00 $6,966.60 2026-02-18
33210 CPT Temp Pacer Sgl Chamber 7 7 $9,941.10 — $100.00 $7,952.88 $6,958.77 2026-02-18
J0875 HCPCS Dalvance 500mg Vial 7 7 $10,230.00 — $100.00 $8,184.00 $6,956.40 2026-02-18
J9074 CPT Cyclophosphamide 2gm Vial 7 7 $9,477.00 — $2,385.36 $7,581.60 $6,444.36 2026-02-18
93458 CPT Cor Art L Heart Lv S&i 7 7 $9,200.00 — $100.00 $7,360.00 $6,256.00 2026-02-18
J1439 HCPCS Injectafer 50mg/ml 15ml Vial 7 7 $8,891.00 — $100.00 $7,112.80 $6,045.88 2026-02-18
37224 CPT Pta Fem/pop Each Vessel 7 7 $8,420.25 — $2,119.38 $6,736.20 $5,894.18 2026-02-18
J9324 CPT Pemrydi 100mg Vial 14 7 $16,952.86 — $1,387.65 $22,714.10 $5,778.45 2026-02-18
J1459 HCPCS Privigen 5gm/50ml Infusion 19 7 $11,363.15 — $100.00 $18,181.42 $5,720.33 2026-02-18
C1889 HCPCS Verawrap 13 7 $7,108.00 — $100.00 $7,830.40 $5,686.40 2026-02-18
93454 CPT Cor Art, S&i 7 7 $8,232.85 — $100.00 $6,586.28 $5,598.34 2026-02-18
37221 CPT Peripheral Vas Le Stent, Iliac 7 7 $7,476.90 — $1,881.94 $5,981.52 $5,233.83 2026-02-18
93455 CPT Cor Art Bypss Ima Graft Si 7 7 $7,619.00 — $100.00 $6,095.20 $5,180.92 2026-02-18
V2790 HCPCS Axolotl Dualgrat 2cmx3cm 13 7 $7,680.00 — $100.00 $6,144.00 $5,120.00 2026-02-18
J1569 HCPCS Gammagard 20gm/200ml 19 7 $10,040.07 — $100.00 $16,064.25 $5,054.21 2026-02-18
J9280 HCPCS Mitomycin 40mg 7 7 $7,268.00 — $100.00 $5,814.40 $4,942.24 2026-02-18
37236 CPT Peripheral Vas UE/Renal Artery 7 7 $7,035.25 — $100.00 $5,628.20 $4,924.68 2026-02-18
90377 CPT Kedrab 150iu/ml 10ml Vial 13 7 $64,662.00 — $100.00 $51,729.60 $4,921.20 2026-02-18
C1776 HCPCS Rts 1st Mpj Implant 7 7 $7,180.00 — $100.00 $5,744.00 $4,882.40 2026-02-18
Q0138 HCPCS Feraheme 510mg Vial 7 7 $6,863.50 — $100.00 $5,490.80 $4,667.18 2026-02-18
Q5126 CPT Alymsys 100mg/4ml Vial 14 7 $12,395.00 — $1,247.55 $15,866.80 $4,478.65 2026-02-18
J1561 HCPCS Gamunex-c 10% 5gm/50ml 19 7 $8,552.55 — $100.00 $13,684.14 $4,305.37 2026-02-18
C1771 HCPCS Tvt Sling 7 7 $6,135.84 — $100.00 $4,908.67 $4,172.37 2026-02-18
28005 CPT Incision Bone Cortex 7 7 $6,057.23 — $100.00 $4,845.78 $4,118.92 2026-02-18
J9202 HCPCS Zoladex 3.6mg Implant 7 7 $6,046.00 — $100.00 $4,836.80 $4,111.28 2026-02-18
C1763 HCPCS Morpheus Bone Graft 19 7 $7,800.00 — $100.00 $6,400.00 $4,000.00 2026-02-18
45385 CPT Colonoscopy W/polypectomy 7 7 $5,508.75 — $100.00 $4,407.00 $3,856.13 2026-02-18
J7297 HCPCS Liletta 52mg 7 7 $5,625.50 — $100.00 $4,500.40 $3,825.34 2026-02-18
A2029 CPT Mirotract Wound Matrix 7 7 $5,580.00 — $1,404.49 $4,464.00 $3,794.40 2026-02-18
A2025 CPT Miro3d Wound Matrix 7 7 $5,540.00 — $1,394.42 $4,432.00 $3,767.20 2026-02-18
74178 CPT CT Urogram Wwo 7 7 $5,537.60 — $100.00 $4,430.08 $3,765.57 2026-02-18
86711 CPT Jcv Antibody 7 7 $5,452.00 — $16.89 $4,361.60 $3,707.36 2026-02-18
81479 CPT Comprehensive Hereditary Cance 7 7 $5,323.05 — $100.00 $4,258.44 $3,619.67 2026-02-18
Q4196 HCPCS Pruaply Am 3x4 7 7 $5,280.00 — $100.00 $4,224.00 $3,590.40 2026-02-18
78452 CPT Nm Cardioite Stress Test 7 7 $5,188.05 — $100.00 $4,150.44 $3,527.87 2026-02-18
C1727 HCPCS Novasure Device 7 7 $5,152.00 — $100.00 $4,121.60 $3,503.36 2026-02-18
75756 CPT Angio Internal Mammary 7 7 $4,985.15 — $100.00 $3,988.12 $3,389.90 2026-02-18
90675 CPT Rabavert 2.5iu/ml 7 7 $4,955.00 — $100.00 $3,964.00 $3,369.40 2026-02-18
J9055 HCPCS Erbitux 100mg Vial 7 7 $4,881.98 — $100.00 $3,905.58 $3,319.75 2026-02-18
J1568 HCPCS Octagam 10% 20gm/200ml 13 7 $22,339.00 — $100.00 $17,871.20 $3,302.25 2026-02-18
81432 CPT Brca Panel Plus 7 7 $4,796.28 — $100.00 $3,837.02 $3,261.47 2026-02-18
74177 CPT CT Abd & Pelvis W Contrast 7 7 $4,750.00 — $100.00 $3,800.00 $3,230.00 2026-02-18
24201 CPT Arm,upr Remove Fb Deep 7 7 $4,649.40 — $100.00 $3,719.52 $3,161.59 2026-02-18
J9294 CPT Alimta 500mg Vial 7 7 $4,560.00 — $1,147.75 $3,648.00 $3,100.80 2026-02-18
74176 CPT CT Abd & Pelvis Without Contrast 7 7 $4,435.15 — $100.00 $3,548.12 $3,015.90 2026-02-18
72157 CPT MRI Thoracic W&wo Contrast 7 7 $4,408.20 — $100.00 $3,526.56 $2,997.58 2026-02-18
72156 CPT MRI Cervical W&wo Contrast 7 7 $4,408.20 — $100.00 $3,526.56 $2,997.58 2026-02-18
72158 CPT MRI Lumbar W&wo Contrast 7 7 $4,408.20 — $100.00 $3,526.56 $2,997.58 2026-02-18
15002 CPT Surg Prep Trunk, Arms, Legs 7 7 $4,372.50 — $100.00 $3,498.00 $2,973.30 2026-02-18
15275 CPT Wc Skin sub/App 25 Cm (feet) 7 7 $4,288.40 — $100.00 $3,430.72 $2,916.11 2026-02-18
15271 CPT Wc Skin substitute/App 1st 25 7 7 $4,287.50 — $100.00 $3,430.00 $2,915.50 2026-02-18
Q5107 HCPCS Mvasi 100mg/4ml 13 7 $3,608.36 — $100.00 $11,546.80 $2,886.69 2026-02-18
A2007 CPT Restrata Wound Matrix 1.3x2.5 28 7 $4,780.00 — $453.06 $7,968.00 $2,880.00 2026-02-18
J0248 CPT Remdesivir 100mg Vial 7 7 $4,196.50 — $1,056.26 $3,357.20 $2,853.62 2026-02-18
78582 CPT Nm Lung Vent And Perfusion 7 7 $4,159.45 — $100.00 $3,327.56 $2,828.43 2026-02-18
L8699 HCPCS UroLift Implant Cartridge 7 7 $4,100.00 — $100.00 $3,280.00 $2,788.00 2026-02-18
95811 CPT Cpap Titration 7 7 $3,989.00 — $100.00 $3,191.20 $2,712.52 2026-02-18
45378 CPT Colonoscope-incomplete 7 7 $3,800.05 — $100.00 $3,040.04 $2,660.04 2026-02-18
G0121 HCPCS Colorectal Scr Colon N/hirisk 7 7 $3,800.05 — $100.00 $3,040.04 $2,660.04 2026-02-18
11406 CPT Exc Lesion > 4.0 Cm 7 7 $3,766.55 — $100.00 $3,013.24 $2,561.25 2026-02-18
J0885 HCPCS Procrit 20,000 Units 20 7 $5,078.00 — $100.00 $8,124.40 $2,547.57 2026-02-18
0920 RC Multiple Sleep Latency 14 7 $3,588.50 — $827.84 $3,110.40 $2,540.32 2026-02-18
43245 CPT Egd W/dilation Outlet 7 7 $3,620.95 — $100.00 $2,896.76 $2,534.67 2026-02-18
A2002 CPT Mirragen 2.5 X 2.5cm 7 7 $3,700.00 — $931.29 $2,960.00 $2,516.00 2026-02-18
G0269 HCPCS Closure Device Placement 7 7 $3,683.80 — $100.00 $2,947.04 $2,504.98 2026-02-18
73720 CPT MRI Rt Femur/thigh Wwo 7 7 $3,654.40 — $100.00 $2,923.52 $2,484.99 2026-02-18
73220 CPT MRI Lt Hand Wwo 7 7 $3,611.10 — $100.00 $2,888.88 $2,455.55 2026-02-18
28010 CPT Percant Flexor Tentomy Single 7 7 $3,556.28 — $100.00 $2,845.02 $2,418.27 2026-02-18
11044 CPT Wc Debridement Subq Tissue/Mus 7 7 $3,517.50 — $100.00 $2,814.00 $2,391.90 2026-02-18
J0666 CPT Exparel 266mg/20ml Vial 7 7 $3,454.00 — $869.37 $2,763.20 $2,348.72 2026-02-18
45382 CPT Colonoscopy W/control Of Bleed 7 7 $3,306.55 — $100.00 $2,645.24 $2,314.59 2026-02-18
43247 CPT Egd Fb/fb Removal 7 7 $3,302.75 — $100.00 $2,642.20 $2,311.93 2026-02-18
43255 CPT Gastro W/control Of Bleed 7 7 $3,265.00 — $100.00 $2,612.00 $2,285.50 2026-02-18
43251 CPT Egd W/polyp Rem W/snare 7 7 $3,226.50 — $100.00 $2,581.20 $2,258.55 2026-02-18
C9359 HCPCS Nanobone Sbx Putty 2.5ml 31 7 $4,580.00 — $100.00 $6,512.00 $2,252.80 2026-02-18
J0894 HCPCS Dacogen 50mg Vial 7 7 $3,312.00 — $100.00 $2,649.60 $2,252.16 2026-02-18
70553 CPT MRI Iac W&wo Contrast 7 7 $3,304.20 — $100.00 $2,643.36 $2,246.86 2026-02-18
J1434 CPT Focinvez 150mg Rtu Vial 7 7 $3,251.50 — $818.40 $2,601.20 $2,211.02 2026-02-18
72133 CPT CT L-spine W & Without Contrast 7 7 $3,229.65 — $100.00 $2,583.72 $2,196.16 2026-02-18
10140 CPT I&d Hematoma, Seroma Or Fluid 13 7 $2,695.90 — $100.00 $2,873.98 $2,156.72 2026-02-18
J1442 HCPCS Neupogen 300mcg 0.5ml Syringe 7 7 $3,170.50 — $100.00 $2,536.40 $2,155.94 2026-02-18
A2021 CPT Neomatrix 8mm 35 7 $4,252.00 — $362.45 $5,318.40 $2,126.00 2026-02-18
72132 CPT CT L-spine W/contrast 7 7 $3,088.65 — $100.00 $2,470.92 $2,100.28 2026-02-18
J0561 HCPCS Bicillin L-a 1.2mu 7 7 $3,045.00 — $100.00 $2,436.00 $2,070.60 2026-02-18
G0105 HCPCS Colorectal Scr Colon Hirisk 7 7 $2,948.15 — $100.00 $2,358.52 $2,063.71 2026-02-18
75716 CPT S&i Extremity Bilateral 7 7 $3,019.30 — $100.00 $2,415.44 $2,053.12 2026-02-18
56420 CPT Abcess Bartholin's Gland I&d 7 7 $2,984.95 — $100.00 $2,387.96 $2,029.77 2026-02-18
75630 CPT S&i Aorta With Runoffs 7 7 $2,982.40 — $100.00 $2,385.92 $2,028.03 2026-02-18
43246 CPT Egd W/plcmnt Peg 7 7 $2,841.15 — $100.00 $2,272.92 $1,988.81 2026-02-18
78227 CPT Nm Biliary Scan W/cck 7 7 $2,878.40 — $100.00 $2,302.72 $1,957.31 2026-02-18
78226 CPT Nm Gallbladder Without Cck 7 7 $2,878.40 — $100.00 $2,302.72 $1,957.31 2026-02-18
90684 CPT Capvaxive 21 0.5ml Syringe 7 7 $2,863.00 — $720.62 $2,290.40 $1,946.84 2026-02-18
45331 CPT Sigmoidoscopy W/bx 7 7 $2,780.85 — $100.00 $2,224.68 $1,946.60 2026-02-18
55700 CPT Bx Prostate Transrectal 7 7 $2,841.00 — $715.08 $2,272.80 $1,931.88 2026-02-18
73706 CPT CT Angio Lower Ext W & Without Contrast 7 7 $2,837.75 — $100.00 $2,270.20 $1,929.67 2026-02-18
75710 CPT S&i Extremity Unilateral 7 7 $2,779.40 — $100.00 $2,223.52 $1,889.99 2026-02-18
72194 CPT CT Pelvis W & Without Contrast 7 7 $2,777.00 — $100.00 $2,221.60 $1,888.36 2026-02-18
44388 CPT Colonoscopy Thru Stoma Dx 7 7 $2,692.75 — $100.00 $2,154.20 $1,884.93 2026-02-18
73723 CPT MRI Lt Hip Wwo 7 7 $2,735.80 — $100.00 $2,188.64 $1,860.34 2026-02-18
11770 CPT Exc Pilonidal Cyst Simple 7 7 $2,724.75 — $100.00 $2,179.80 $1,852.83 2026-02-18
C9756 HCPCS Indocyanine Green 25mg Vial 7 7 $2,715.50 — $100.00 $2,172.40 $1,846.54 2026-02-18
38505 CPT Bx Needle Cer,ing,ax,lymph 7 7 $2,695.90 — $100.00 $2,156.72 $1,833.21 2026-02-18
19083 CPT Bx Breast Loc Device 7 7 $2,695.90 — $100.00 $2,156.72 $1,833.21 2026-02-18
31605 CPT Tracheostomy Cricothyroid 7 7 $2,693.95 — $100.00 $2,155.16 $1,831.89 2026-02-18
78315 CPT Nm 3-phase Bone Scan 7 7 $2,668.60 — $100.00 $2,134.88 $1,814.65 2026-02-18
0350 RC CT Lower Ext Without Contrst Bilat 94 7 $3,106.85 — $162.77 $3,716.24 $1,805.49 2026-02-18
70549 CPT MRA Neck W&without Contrast 7 7 $2,642.85 — $100.00 $2,114.28 $1,797.14 2026-02-18
78278 CPT Nm Gi Bleed 7 7 $2,638.25 — $100.00 $2,110.60 $1,794.01 2026-02-18
73223 CPT MRI Rt Wrist Wwo 7 7 $2,637.70 — $100.00 $2,110.16 $1,793.64 2026-02-18
74170 CPT CT Abdomen W & Without Contrast 7 7 $2,630.80 — $100.00 $2,104.64 $1,788.94 2026-02-18
72127 CPT CT C-spine W & Without Contrast 7 7 $2,613.50 — $100.00 $2,090.80 $1,777.18 2026-02-18
Q5101 HCPCS Zarxio 300mcg Srn 7 7 $2,606.50 — $100.00 $2,085.20 $1,772.42 2026-02-18
45380 CPT Colonoscopy W/bx 7 7 $2,527.85 — $100.00 $2,022.28 $1,769.50 2026-02-18
30930 CPT Nasal Trbnt Fx Therapeutic 7 7 $2,601.85 — $100.00 $2,081.48 $1,769.26 2026-02-18
30802 CPT Cauterize, Inner Nose/intramur 7 7 $2,601.85 — $100.00 $2,081.48 $1,769.26 2026-02-18
72129 CPT CT T-spine W/contrast 7 7 $2,574.65 — $100.00 $2,059.72 $1,750.76 2026-02-18
71270 CPT CT Thorax W & Without Contrast 7 7 $2,570.65 — $100.00 $2,056.52 $1,748.04 2026-02-18
45333 CPT Sigmoidoscopy W/rem Tumor 7 7 $2,490.50 — $100.00 $1,992.40 $1,743.35 2026-02-18
72147 CPT MRI Thoracic W/contrast 7 7 $2,562.70 — $100.00 $2,050.16 $1,742.64 2026-02-18
70470 CPT CT Brain W & Without Contrast 7 7 $2,526.25 — $100.00 $2,021.00 $1,717.85 2026-02-18
43239 CPT Egd W/bx 7 7 $2,427.20 — $100.00 $1,941.76 $1,699.04 2026-02-18
0750 RC Esophagoscopy With Fb Removal 203 7 $2,543.50 — $217.76 $3,704.76 $1,687.69 2026-02-18
72149 CPT MRI Lumbar W/contrast 7 7 $2,472.40 — $100.00 $1,977.92 $1,681.23 2026-02-18
70552 CPT MRI Brain W/contrast 7 7 $2,463.65 — $100.00 $1,970.92 $1,675.28 2026-02-18
0361 RC Peripheral Vas UE/Renal Artery 651 7 $2,548.40 — $14.62 $49,536.00 $1,663.45 2026-02-18
C1876 HCPCS Abbott Peripheral Stent 13 7 $3,400.00 — $100.00 $2,720.00 $1,648.00 2026-02-18
75635 CPT CT Angio Aorta W/bil Runoff 7 7 $2,383.05 — $100.00 $1,906.44 $1,620.47 2026-02-18
74174 CPT CT Angio Abd & Pelvis W & Wo 7 7 $2,360.60 — $100.00 $1,888.48 $1,605.21 2026-02-18
73206 CPT CT Angio Upp Ext W & Without Contrast 7 7 $2,360.60 — $100.00 $1,888.48 $1,605.21 2026-02-18
71275 CPT CT Angio Chest W & Without Contrast 7 7 $2,360.60 — $100.00 $1,888.48 $1,605.21 2026-02-18
70498 CPT CT Angio Neck W & Without Contrast 7 7 $2,360.60 — $100.00 $1,888.48 $1,605.21 2026-02-18
73201 CPT CT Upper Ext Lt W/cont 7 7 $2,342.20 — $100.00 $1,873.76 $1,592.70 2026-02-18
71260 CPT CT Thorax W/contrast 7 7 $2,325.60 — $100.00 $1,860.48 $1,581.41 2026-02-18
72131 CPT CT L-spine Without Contrast 7 7 $2,309.80 — $100.00 $1,847.84 $1,570.66 2026-02-18
J9395 HCPCS Faslodex 250mg Syringe 7 7 $2,300.00 — $100.00 $1,840.00 $1,564.00 2026-02-18
74175 CPT CT Angio Abdomen W & Without Contrast 7 7 $2,295.45 — $100.00 $1,836.36 $1,560.91 2026-02-18
70492 CPT CT Nk Soft Tiss W Wo Contrast 7 7 $2,286.80 — $100.00 $1,829.44 $1,555.02 2026-02-18
70482 CPT CT Orbits/sella/iam W & Without 7 7 $2,284.05 — $100.00 $1,827.24 $1,553.15 2026-02-18
70488 CPT CT Facial W & Without Contrast 7 7 $2,281.80 — $100.00 $1,825.44 $1,551.62 2026-02-18
23655 CPT Shoulder Disloc W/manip W/anes 7 7 $2,272.25 — $100.00 $1,817.80 $1,545.13 2026-02-18
73702 CPT CT Lowr Ext W & Without Cont Left 14 7 $2,248.80 — $100.00 $1,799.04 $1,529.18 2026-02-18
Q9968 HCPCS Methylene Blue 0.5% 10ml Amp 7 7 $2,227.00 — $100.00 $1,781.60 $1,514.36 2026-02-18
45330 CPT Sigmoidoscopy Flex 7 7 $2,137.45 — $100.00 $1,709.96 $1,496.22 2026-02-18
C1874 HCPCS Medtronic Des Coronary Stent 7 7 $2,200.00 — $100.00 $1,760.00 $1,496.00 2026-02-18
70460 CPT CT Brain W/contrast 7 7 $2,200.00 — $100.00 $1,760.00 $1,496.00 2026-02-18
70496 CPT CT Angio Head W & Without Contrast 7 7 $2,173.30 — $100.00 $1,738.64 $1,477.84 2026-02-18
27842 CPT Ankle Disl Clsd Tx W/anesth 7 7 $2,164.05 — $100.00 $1,731.24 $1,471.55 2026-02-18
36556 CPT Non-tunld Central Venous Cath 7 7 $2,157.55 — $100.00 $1,726.04 $1,467.13 2026-02-18
J1611 CPT Glucagon 1mg Amp 7 7 $2,156.50 — $542.79 $1,725.20 $1,466.42 2026-02-18
0203 RC ICU Pediatric 4 4 $1,830.00 — $1,244.40 $1,464.00 $1,464.00 2026-02-18
70551 CPT MRI Iac Without Contrast 7 7 $2,150.00 — $100.00 $1,720.00 $1,462.00 2026-02-18
70487 CPT CT Sinus W Contrast 7 7 $2,150.00 — $100.00 $1,720.00 $1,462.00 2026-02-18
72125 CPT CT C-spine Without Contrast 7 7 $2,130.50 — $100.00 $1,704.40 $1,448.74 2026-02-18
72128 CPT CT T-spine Without Contrast 7 7 $2,103.00 — $100.00 $1,682.40 $1,430.04 2026-02-18
94002 CPT Ventilation Initial 7 7 $2,098.20 — $100.00 $1,678.56 $1,426.78 2026-02-18
72193 CPT CT Pelvis W/contrast 7 7 $2,096.95 — $100.00 $1,677.56 $1,425.93 2026-02-18
70450 CPT CT Brain Without Contrast 7 7 $2,096.20 — $100.00 $1,676.96 $1,425.42 2026-02-18
74160 CPT CT Abdomen W/contrast 7 7 $2,078.95 — $100.00 $1,663.16 $1,413.69 2026-02-18
J2997 HCPCS Activase Cathflo 2mg 13 7 $1,759.50 — $100.00 $40,482.00 $1,407.60 2026-02-18
70336 CPT MRI Tmj Without 7 7 $2,047.30 — $100.00 $1,637.84 $1,392.16 2026-02-18
43235 CPT Egd Diag 7 7 $1,983.95 — $100.00 $1,587.16 $1,388.77 2026-02-18
72192 CPT CT Pelvis Without Contrast 7 7 $2,037.30 — $100.00 $1,629.84 $1,385.36 2026-02-18
J9075 CPT Cyclophosphamide Gm 1 14 7 $2,229.75 — $442.87 $2,160.00 $1,378.80 2026-02-18
78580 CPT Nm Lung Perfusion Aero 7 7 $2,014.15 — $100.00 $1,611.32 $1,369.62 2026-02-18
78306 CPT Nm Bone Scan Whole 7 7 $2,000.35 — $100.00 $1,600.28 $1,360.24 2026-02-18
25605 CPT Radial/ulnar Fx W/manip 7 7 $1,996.30 — $100.00 $1,597.04 $1,357.48 2026-02-18
73200 CPT CT Upper Ext Without Contrast Left 14 7 $1,994.15 — $100.00 $1,595.32 $1,356.02 2026-02-18
13160 CPT Extend Repair Surface Wound Re 7 7 $1,989.40 — $100.00 $1,591.52 $1,352.79 2026-02-18
88185 CPT Cytometry Each Addl 7 7 $1,980.00 — $19.31 $1,584.00 $1,346.40 2026-02-18
88184 CPT Cytometry First Marker 7 7 $1,980.00 — $54.87 $1,584.00 $1,346.40 2026-02-18
74150 CPT CT Abdomen Without Contrast 7 7 $1,978.60 — $100.00 $1,582.88 $1,345.45 2026-02-18
74182 CPT MRI Abdomen W/contrast 7 7 $1,964.05 — $100.00 $1,571.24 $1,335.55 2026-02-18
0610 RC MRI Chest Without Contrast 105 7 $1,964.05 — $352.38 $12,008.36 $1,335.55 2026-02-18
73700 CPT CT Lower Ext Without Contrst Left 14 7 $1,959.60 — $100.00 $1,567.68 $1,332.53 2026-02-18
71250 CPT CT Thorax Without Contrast 7 7 $1,951.45 — $100.00 $1,561.16 $1,326.99 2026-02-18
70543 CPT MRI Orbit Face Nck W&wo Cntrst 7 7 $1,932.65 — $100.00 $1,546.12 $1,314.20 2026-02-18
54150 CPT Circ W/clamp And Block 7 7 $1,873.20 — $100.00 $1,498.56 $1,311.24 2026-02-18
72195 CPT MRI Pelvis Without Contrast 7 7 $1,750.00 — $100.00 $1,400.00 $1,296.00 2026-02-18
72148 CPT MRI Lumbar Without Contrast 7 7 $1,750.00 — $100.00 $1,400.00 $1,296.00 2026-02-18
72146 CPT MRI Thoracic Without Contrast 7 7 $1,750.00 — $100.00 $1,400.00 $1,296.00 2026-02-18
72141 CPT MRI Cervical Without Contrast 7 7 $1,750.00 — $100.00 $1,400.00 $1,296.00 2026-02-18
70544 CPT Mrv Head Without 7 7 $1,750.00 — $100.00 $1,400.00 $1,296.00 2026-02-18
73718 CPT MRI Lt Tib/fib Wo 7 7 $1,750.00 — $100.00 $1,400.00 $1,296.00 2026-02-18
0618 RC MRA Abd W/contrast 7 7 $1,750.00 — $440.48 $1,400.00 $1,296.00 2026-02-18
73218 CPT MRI Lt Hand Wo 14 7 $1,750.00 — $100.00 $1,400.00 $1,296.00 2026-02-18
0481 RC Right Heart 112 7 $2,587.15 — $37.76 $11,511.48 $1,287.72 2026-02-18
93306 CPT Echo W/cfd 7 7 $1,864.85 — $100.00 $1,491.88 $1,268.10 2026-02-18
99291 CPT Critical 1st Hour 7 7 $1,849.90 — $100.00 $1,479.92 $1,257.93 2026-02-18
92941 CPT Pci Of Acute Mi, W/combination 7 7 $1,782.38 — $100.00 $1,425.90 $1,247.67 2026-02-18
70481 CPT CT Orbits/sella/iam With 7 7 $1,825.80 — $100.00 $1,460.64 $1,241.54 2026-02-18
10061 CPT I&d Complex 7 7 $1,824.35 — $100.00 $1,459.48 $1,240.56 2026-02-18
78708 CPT Renal Scan With Lasix 7 7 $1,814.70 — $100.00 $1,451.76 $1,234.00 2026-02-18
J2212 HCPCS Relistor 12mg 7 7 $1,774.50 — $100.00 $1,419.60 $1,206.66 2026-02-18
70486 CPT CT Sinus Without Contrast 7 7 $1,766.30 — $100.00 $1,413.04 $1,201.08 2026-02-18
70491 CPT CT Nk Soft Tiss W/contrast 7 7 $1,760.15 — $100.00 $1,408.12 $1,196.90 2026-02-18
J9046 CPT Velcade 3.5mg Vial 7 7 $1,725.00 — $434.18 $1,380.00 $1,173.00 2026-02-18
70480 CPT CT Orbits/sella/iam Wo 7 7 $1,717.70 — $100.00 $1,374.16 $1,168.04 2026-02-18
74181 CPT MRI Abdomen Without Contrast 7 7 $1,455.70 — $100.00 $1,296.00 $1,164.56 2026-02-18
70540 CPT MRI Orbit Face Neck Wo Contrst 7 7 $1,455.70 — $100.00 $1,296.00 $1,164.56 2026-02-18
73721 CPT MRI Lt Ankle Wo 14 7 $1,455.70 — $100.00 $1,296.00 $1,164.56 2026-02-18
73221 CPT MRI Lt Shoulder Wo 14 7 $1,455.70 — $100.00 $1,296.00 $1,164.56 2026-02-18
62273 CPT Bloodpatch Injection Lumbar 7 7 $1,710.65 — $100.00 $1,368.52 $1,163.24 2026-02-18
C1753 HCPCS Ivus Eagle Eye Platinum 13 7 $2,940.00 — $100.00 $2,352.00 $1,158.40 2026-02-18
0278 RC Depuy Drill Bit 3,927 7 $2,016.75 — $1.03 $41,584.00 $1,153.28 2026-02-18
70490 CPT CT Nk Soft Tiss Without Contrast 7 7 $1,667.80 — $100.00 $1,334.24 $1,134.10 2026-02-18
32551 CPT Tube Throacostomy 7 7 $1,652.45 — $100.00 $1,321.96 $1,123.67 2026-02-18
44392 CPT Colonoscopy W/polyp Removal 7 7 $1,600.00 — $100.00 $1,280.00 $1,120.00 2026-02-18
92928 CPT Intracoronary Stent W/ptca Sin 7 7 $1,585.58 — $100.00 $1,268.46 $1,109.91 2026-02-18
78195 CPT Nm Lymphoscintigraphy Imaging 7 7 $1,575.00 — $100.00 $1,260.00 $1,071.00 2026-02-18
81256 CPT Hereditary Hemoch DNA Mutation 7 7 $1,572.00 — $100.00 $1,257.60 $1,068.96 2026-02-18
92937 CPT Pci Of Bypass Graft W/any Comb 7 7 $1,517.85 — $100.00 $1,214.28 $1,062.50 2026-02-18
73701 CPT CT Lower Ext W/contrast Left 14 7 $1,553.35 — $100.00 $1,242.68 $1,056.28 2026-02-18
83918 CPT Organic Acids Quant Urine 7 7 $1,516.00 — $22.39 $1,212.80 $1,030.88 2026-02-18
0200 RC ICU Room/board 8 4 $1,425.00 — $693.60 $1,464.00 $1,030.20 2026-02-18
G0104 HCPCS Colorectal Scr Flex Sig 7 7 $1,419.90 — $100.00 $1,135.92 $993.93 2026-02-18
70547 CPT MRA Neck Wo Contrast 7 7 $1,234.00 — $100.00 $1,296.00 $987.20 2026-02-18
94660 CPT Cpap 7 7 $1,438.55 — $100.00 $1,150.84 $978.21 2026-02-18
36589 CPT Rem Implant Cath Without Port 7 7 $1,412.90 — $100.00 $1,130.32 $960.77 2026-02-18
91035 CPT G-esoph Reflx Test W/electrod 13 7 $1,362.12 — $100.00 $1,089.70 $953.48 2026-02-18
C1760 HCPCS Angioseal Closure St Jude 7 7 $1,400.00 — $100.00 $1,120.00 $952.00 2026-02-18
72126 CPT CT Cervical Spine W/contrast 7 7 $1,220.00 — $100.00 $976.00 $950.00 2026-02-18
0290 RC Traction Splint 7 7 $1,350.06 — $339.81 $1,080.05 $918.04 2026-02-18
78014 CPT Nm Thyroid Scan & Uptake 7 7 $1,349.95 — $100.00 $1,079.96 $917.97 2026-02-18
43763 CPT G-tube Replacemnt Without Imgng Wi 7 7 $1,304.55 — $100.00 $1,043.64 $913.19 2026-02-18
15004 CPT Surg Prep Scar Face Hands Feet 7 7 $1,337.23 — $100.00 $1,069.78 $909.32 2026-02-18
A7041 HCPCS Pleur Evac Meter 7 7 $1,330.75 — $100.00 $1,064.60 $904.91 2026-02-18
36573 CPT Picc Line Insertion W/imaging 7 7 $1,326.20 — $100.00 $1,060.96 $901.82 2026-02-18
C1713 HCPCS Dynanail Guide Wire 2.4mm 325 7 $1,400.00 — $20.14 $43,200.00 $900.00 2026-02-18
92960 CPT Cardioversion 7 7 $1,322.10 — $100.00 $1,057.68 $899.03 2026-02-18
0391 RC Blood Administration 1 Unit 49 7 $1,320.85 — $318.99 $1,129.32 $898.18 2026-02-18
11043 CPT Wc Debrid Sub Tissue Muscle 7 7 $1,310.43 — $100.00 $1,048.34 $891.09 2026-02-18
J2248 HCPCS Mycamine 100mg Vial 7 7 $1,309.00 — $100.00 $1,047.20 $890.12 2026-02-18
36430 CPT Blood Transfusion 1 Unit 19 7 $1,284.80 — $100.00 $1,041.72 $885.46 2026-02-18
Q5125 CPT Releuko 480mcg/0.8ml 14 7 $1,426.50 — $276.24 $1,404.40 $877.88 2026-02-18
49083 CPT Paracentesis With Imaging 7 7 $1,246.60 — $100.00 $997.28 $847.69 2026-02-18
49082 CPT Paracentesis Without Imaging 7 7 $1,246.60 — $100.00 $997.28 $847.69 2026-02-18
J1980 HCPCS Levsin 0.5mg Amp 7 7 $1,230.50 — $100.00 $984.40 $836.74 2026-02-18
24600 CPT Elbow Dslctn Rdctn Without Anesth 7 7 $1,230.00 — $100.00 $984.00 $836.40 2026-02-18
78264 CPT Nm Gastric Emptying 7 7 $1,227.30 — $100.00 $981.84 $834.56 2026-02-18
74183 CPT MRI Abdomen W&without Contrast 12 7 $2,669.85 — $100.00 $2,135.88 $833.26 2026-02-18
72197 CPT MRI Pelvis W&without Contrast 12 7 $2,639.10 — $100.00 $2,111.28 $830.06 2026-02-18
84393 CPT Phosphorylated Tau217 7 7 $1,220.63 — $307.23 $976.50 $830.03 2026-02-18
0329 RC Mm Needle Loc Rt 14 7 $1,203.95 — $303.03 $963.16 $818.69 2026-02-18
0112 RC Labor & Delivery Rooms 16 4 $1,121.50 — $333.20 $1,160.00 $816.80 2026-02-18
93925 CPT Duplex Low-ext-art-bilat 7 7 $1,193.95 — $100.00 $955.16 $811.89 2026-02-18
81291 CPT Mthfr DNA Mutation 7 7 $1,192.00 — $100.00 $953.60 $810.56 2026-02-18
A9500 HCPCS Nm Sestamibi 10 Mci Cardio 7 7 $1,188.70 — $100.00 $950.96 $808.32 2026-02-18
81301 CPT Microsatellite Instability 7 7 $1,187.45 — $100.00 $949.96 $807.47 2026-02-18
0483 RC Echo Tee 28 7 $1,230.53 — $182.34 $1,334.88 $800.35 2026-02-18
99285 CPT ER Level 5 7 7 $1,168.85 — $100.00 $935.08 $794.82 2026-02-18
C1788 HCPCS Power Port 7 7 $1,160.00 — $100.00 $928.00 $788.80 2026-02-18
0172 RC Nursery Level Ii Room/board 12 4 $980.00 — $655.28 $1,196.00 $784.00 2026-02-18
69000 CPT Abcess Extrnl Ear Smpl 7 7 $1,145.65 — $100.00 $916.52 $779.04 2026-02-18
10080 CPT Abcess, Pilonidal I&d Simple 7 7 $1,145.62 — $100.00 $916.50 $779.02 2026-02-18
0340 RC Nm Liver/spleen Scan 56 7 $1,445.05 — $155.40 $1,716.24 $777.06 2026-02-18
10005 CPT Fine Needle W/us/ Image1st Les 14 7 $1,136.73 — $100.00 $909.38 $772.98 2026-02-18
24530 CPT Humeral Fx Without Manip 7 7 $1,129.35 — $100.00 $903.48 $767.96 2026-02-18
78070 CPT Nm Parathyroid Imaging 7 7 $1,123.95 — $100.00 $899.16 $764.29 2026-02-18
86052 CPT Aquaporin-4 (Neuromyelitis Opt 7 7 $1,120.00 — $281.90 $896.00 $761.60 2026-02-18
90732 CPT Pneumovax-23 0.5mg Vial 7 7 $1,112.50 — $100.00 $890.00 $756.50 2026-02-18
93567 CPT Inj Supra Aort 7 7 $1,110.20 — $100.00 $888.16 $754.94 2026-02-18
19100 CPT Bx Breast Percutan,needle Core 7 7 $1,098.85 — $100.00 $879.08 $747.22 2026-02-18
31500 CPT Endotracheal Intubation 7 7 $1,085.80 — $100.00 $868.64 $738.34 2026-02-18
88309 CPT Gross & Micro Level Vi 7 7 $1,081.85 — $100.00 $865.48 $735.66 2026-02-18
89322 CPT Semen Analysis W/strict Morph 7 7 $1,080.00 — $100.00 $864.00 $734.40 2026-02-18
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