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

BEAUREGARD MEMORIAL HOSPITAL

Deridder, LA · CCN 190050 · Rates published

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You selected 93306 (CPT)

ECHO W/CFD

This hospital’s price: $1,268 across 7 payers · range $100-$1,492

Source: https://www.beauregard.org/media/p/9396/720491106_beauregard-health-system_standardcharges.csv · observed 2026-02-18

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.

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

30,181 of 31,620 rate rows are consumer-grade (95.4%)

1,439 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 1,324
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 87
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 not_modified · 2026-09-20
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
$3,921
outlier · 12.8×
J9022
HCPCS 		Tecentrig 1200mg Vial 7 $100.00 $54,910.40 $46,673.84 nat. median
$6,720
outlier · 6.9×
J9119
HCPCS 		Libtayo 350mg/7ml Vial 7 $100.00 $52,139.60 $44,318.66 nat. median
$91
outlier · 486.8×
J9144
HCPCS 		Darzalex Faspro 1800mg/15ml Vi 7 $15,300.47 $48,630.80 $41,336.18 nat. median
$211
outlier · 195.5×
J1930
HCPCS 		Lanreotide 120mg/0.5ml 7 $100.00 $43,985.20 $37,387.42 nat. median
$5,088
outlier · 7.3×
J9228
HCPCS 		Yervoy 5mg/ml 10ml Vial 7 $100.00 $41,652.00 $35,404.20 nat. median
$8,966
outlier · 3.9×
J3101
HCPCS 		Tnkase Kit 7 $100.00 $38,167.60 $32,442.46 nat. median
$3,787
outlier · 8.6×
J9217
HCPCS 		Lupron Depot 22.5mg 7 $100.00 $39,492.00 $31,100.00 nat. median
$1,573
outlier · 19.8×
J9301
HCPCS 		Gazyva 1000mg 40ml Vial 7 $100.00 $34,155.20 $29,031.92 nat. median
$286
outlier · 101.4×
J9306
HCPCS 		Perjeta 420mg Vial 7 $100.00 $31,688.00 $26,934.80 nat. median
$75
outlier · 358.7×
J2506
HCPCS 		Neulasta 6mg/0.6ml 7 $9,288.61 $29,522.80 $25,094.38 nat. median
$1,659
outlier · 15.1×
J0517
HCPCS 		Fasenra 30mg Syringe 7 $100.00 $26,896.80 $22,862.28 nat. median
$919
outlier · 24.9×
37227
CPT 		Peripheral Vas Le, Stent & Ath 7 $7,202.79 $22,893.24 $20,031.59 nat. median
$18,411
1.1× median
J9312
HCPCS 		Rituxan 500mg Vial 7 $100.00 $21,609.22 $18,367.83 nat. median
$1,063
outlier · 17.3×
J9299
HCPCS 		Opdivo 240m/24ml Vial 7 $100.00 $36,538.56 $18,269.04 nat. median
$2,849
outlier · 6.4×
Q5111
HCPCS 		Undenyca 6mg On-body 7 $100.00 $19,205.20 $16,324.42 nat. median
$1,984
outlier · 8.2×
37229
CPT 		Peripheral Vas Le, Atherectomy 7 $5,699.09 $18,113.90 $15,849.67 nat. median
$17,132
0.9× median
50590
CPT 		Esl Lithotripter 6 $4,981.66 $15,833.64 $14,844.04 nat. median
$4,382
outlier · 3.4×
37225
CPT 		Peripheral Vas Le Atherectomy 7 $5,298.43 $16,840.46 $14,735.41 nat. median
$16,454
0.9× median
37228
CPT 		Pta Tibioper Each Vessel 7 $5,290.60 $16,815.56 $14,713.62 nat. median
$11,020
1.3× median
Q5112
HCPCS 		Ontruzant 420mg Vial 7 $100.00 $17,061.60 $14,502.36 nat. median
$69
outlier · 210.0×
J2182
HCPCS 		Nucala 100mg 7 $100.00 $17,020.00 $14,467.00 nat. median
$2,791
outlier · 5.2×
J1437
HCPCS 		MonoFerric 1000mg/10ml Vial 7 $100.00 $16,154.00 $13,730.90 nat. median
$45
outlier · 304.0×
C1602
HCPCS 		Cerament G 10ml 7 $4,150.03 $23,798.40 $13,190.40 nat. median
$6,302
outlier · 2.1×
J9177
HCPCS 		Padcev 20mg Vial 7 $100.00 $19,382.20 $12,921.40 nat. median
$2,933
outlier · 4.4×
Q5130
HCPCS 		Fylnetra 6mg Vial 7 $4,341.83 $13,800.00 $11,730.00 nat. median
$353
outlier · 33.2×
93460
CPT 		Cor Art R L Heart Lv S&i 7 $100.00 $11,967.24 $10,172.15 nat. median
$6,070
1.7× median
J0897
HCPCS 		Prolia 60mg/ml 1ml Inj 7 $100.00 $15,869.20 $8,886.00 nat. median
$1,982
outlier · 4.5×
Q5158
HCPCS 		Conexxence Denosumab-bnht 60mg 7 $2,632.91 $15,392.80 $8,368.40 nat. median
$2,559
outlier · 3.3×
J9303
HCPCS 		Vectibix 100mg 5ml Vial 7 $100.00 $35,001.34 $8,333.59 nat. median
$1,789
outlier · 4.7×
0275
RC 		Quik-pace Adult Electrode 7 $33.36 $45,827.20 $8,020.40 nat. median
$9,913
0.8× median
C9353
HCPCS 		Nerve Cap 7 $100.00 $9,264.00 $7,874.40 nat. median
$3,344
outlier · 2.4×
J3032
HCPCS 		Vyepti 100mg Vial 7 $100.00 $8,924.40 $7,585.74 nat. median
$73
outlier · 104.4×
J9047
HCPCS 		Kyprolis 30mg 7 $100.00 $13,704.42 $7,360.00 nat. median
$1,597
outlier · 4.6×
93459
CPT 		Cor Art L Heart Lv Bypss Ima 7 $100.00 $8,331.08 $7,081.42 nat. median
$6,122
1.2× median
Q5157
HCPCS 		Stoboclo 60mg/1ml 7 $2,578.67 $8,196.00 $6,966.60 nat. median
$2,511
outlier · 2.8×
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
$435
outlier · 16.0×
93458
CPT 		Cor Art L Heart Lv S&i 6 $2,315.64 $7,360.00 $6,808.00 nat. median
$6,209
1.1× median
J9074
HCPCS 		Cyclophosphamide 2gm Vial 7 $2,385.36 $7,581.60 $6,444.36 nat. median
$8
outlier · 847.9×
J1439
HCPCS 		Injectafer 50mg/ml 15ml Vial 7 $100.00 $7,112.80 $6,045.88 nat. median
$14
outlier · 447.8×
37224
CPT 		Pta Fem/pop Each Vessel 7 $2,119.38 $6,736.20 $5,894.18 nat. median
$7,274
0.8× median
J9324
HCPCS 		Pemrydi 100mg Vial 7 $1,387.65 $22,714.10 $5,778.45 nat. median
$87
outlier · 66.8×
J1459
HCPCS 		Privigen 5gm/50ml Infusion 7 $100.00 $18,181.42 $5,720.33 nat. median
$1,371
outlier · 4.2×
C1889
HCPCS 		Verawrap 7 $100.00 $7,830.40 $5,686.40 nat. median
$2,362
outlier · 2.4×
93454
CPT 		Cor Art, S&i 7 $100.00 $6,586.28 $5,598.34 nat. median
$5,564
1.0× median
37221
CPT 		Peripheral Vas Le Stent, Iliac 7 $1,881.94 $5,981.52 $5,233.83 nat. median
$12,097
outlier · 0.4×
93455
CPT 		Cor Art Bypss Ima Graft Si 7 $100.00 $6,095.20 $5,180.92 nat. median
$5,597
0.9× median
V2790
HCPCS 		Axolotl Dualgrat 2cmx3cm 7 $100.00 $6,144.00 $5,120.00 nat. median
$1,805
outlier · 2.8×
J1569
HCPCS 		Gammagard 20gm/200ml 7 $100.00 $16,064.25 $5,054.21 nat. median
$1,074
outlier · 4.7×

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.

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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 HCPCS 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 HCPCS 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
50590 CPT Esl Lithotripter 6 6 $19,792.05 — $4,981.66 $15,833.64 $14,844.04 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
J1437 HCPCS MonoFerric 1000mg/10ml Vial 7 7 $20,192.50 — $100.00 $16,154.00 $13,730.90 2026-02-18
C1602 HCPCS 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 HCPCS 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 HCPCS 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 HCPCS 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
93458 CPT Cor Art L Heart Lv S&i 6 6 $9,200.00 — $2,315.64 $7,360.00 $6,808.00 2026-02-18
J9074 HCPCS Cyclophosphamide 2gm Vial 7 7 $9,477.00 — $2,385.36 $7,581.60 $6,444.36 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 HCPCS 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 HCPCS 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
78452 CPT Nm Cardioite Stress Test 6 6 $5,188.05 — $1,305.83 $4,150.44 $3,839.15 2026-02-18
J7297 HCPCS Liletta 52mg 7 7 $5,625.50 — $100.00 $4,500.40 $3,825.34 2026-02-18
A2029 HCPCS Mirotract Wound Matrix 7 7 $5,580.00 — $1,404.49 $4,464.00 $3,794.40 2026-02-18
A2025 HCPCS 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
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 HCPCS 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
72156 CPT MRI Cervical W&wo Contrast 7 7 $4,408.20 — $100.00 $3,526.56 $2,997.58 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
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 HCPCS Restrata Wound Matrix 1.3x2.5 28 7 $4,780.00 — $453.06 $7,968.00 $2,880.00 2026-02-18
J0248 HCPCS 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 HCPCS 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 HCPCS 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 HCPCS 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 HCPCS 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
30802 CPT Cauterize, Inner Nose/intramur 7 7 $2,601.85 — $100.00 $2,081.48 $1,769.26 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
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
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
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
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
70460 CPT CT Brain W/contrast 7 7 $2,200.00 — $100.00 $1,760.00 $1,496.00 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
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 HCPCS 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 HCPCS 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
92928 CPT Intracoronary Stent W/ptca Sin 6 6 $1,585.58 — $399.09 $1,268.46 $1,189.18 2026-02-18
J9046 HCPCS 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
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 HCPCS 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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