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

Northern Maine Medical Center

Fort Kent, ME · CCN 200052 · Rates published

2,385 distinct procedures filed
22 distinct payers
257,198 rate rows
2026-03-25 last MRF observed
Data quality

218,077 of 257,198 rate rows are consumer-grade (84.8%)

39,121 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 24,458
exceeds 10× this hospital's gross charge — excluded from medians 6,394
placeholder amount (≤ $0.02) — excluded from medians 4,132
template filing: same amount across many unrelated codes — excluded 3,757
percent-of-charges filed in the dollar field — excluded from medians 264
per-diem day rate — not a per-procedure price 116
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://nmmc.org/wp-content/uploads/2026/05/010234189_northern-maine_medical-center_standardcharges.csv
Found on page https://nmmc.org/billing-and-financial-services/#pricing-and-estimates
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-03
Content fingerprint 9511b2b6a0214e6b… · 66,024,252 bytes · first seen 2026-05-17

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
23615
HCPCS 		23615 Optx Prox Humeral Fx W Int Fixj Rpr Tuberosi 21 $13,526.31 $45,034.00 $38,278.90 nat. median
$11,459
outlier · 3.3×
33208
HCPCS 		33208 Insrt New Rplcmt Heart Pm Atrial And Vent 21 $11,011.79 $36,629.00 $31,134.65 nat. median
$11,506
outlier · 2.7×
33207
HCPCS 		33207 Ins New Rplc Prm Pacemaker W Transv Eltrd Ve 21 $11,011.79 $32,591.00 $27,702.35 nat. median
$11,657
outlier · 2.4×
33206
HCPCS 		33206 Ins New Rplcmt Prm Pacemakr W Trans Eltrd At 21 $11,011.79 $32,591.00 $27,702.35 nat. median
$11,506
outlier · 2.4×
33213
HCPCS 		33213 Ins Pacemaker Pulse Gen Only W Exist Dual Le 21 $11,011.79 $32,591.00 $27,702.35 nat. median
$10,915
outlier · 2.5×
33231
HCPCS 		33231 Insj Implntbl Defib Pulse Gen W Exist Multil 21 $15,400.00 $28,000.00 $25,228.00 nat. median
$31,377
0.8× median
33270
HCPCS 		33270 Ins Rplcmnt Perm Subq Impltbl Dfb W Subq Elt 21 $15,400.00 $28,000.00 $25,228.00 nat. median
$32,475
0.8× median
33249
HCPCS 		33249 Insj Rplcmt Perm Dfb W Trnsvns Lds 1 Dual Ch 21 $15,400.00 $28,000.00 $25,228.00 nat. median
$32,069
0.8× median
J2350
HCPCS 		Ocrelizumab 300 Mg 10 Ml 20 $59.41 $35,485.88 $25,035.29 nat. median
$133
outlier · 188.3×
33285
HCPCS 		33285 Insertion Subq Cardiac Rhythm Monitor W Prgr 21 $8,718.61 $28,329.00 $24,079.65 nat. median
$9,474
outlier · 2.5×
33240
HCPCS 		33240 Insj Implntbl Defib Pulse Gen W 1 Existing L 21 $15,400.00 $28,000.00 $23,800.00 nat. median
$23,398
1.0× median
33230
HCPCS 		33230 Insj Implntbl Defib Pulse Gen W Exist Dual L 21 $15,400.00 $28,000.00 $23,800.00 nat. median
$23,060
1.0× median
C2621
HCPCS 		62109287 18 $14,818.65 $26,943.00 $23,399.99 nat. median
$11,743
2.0× median
23472
HCPCS 		23472 Arthroplasty Glenohumeral Joint Total Shou 21 $2,095.49 $40,803.00 $22,890.48 nat. median
$16,735
1.4× median
27828
HCPCS 		27828 Open Tx Of Fx Of Articular Distal Tibia W 21 $2,095.49 $40,803.00 $22,890.48 nat. median
$10,376
outlier · 2.2×
27447
HCPCS 		27447 Arthroplasty Knee Condyle And Plateau Med 21 $2,095.49 $40,803.00 $22,890.48 nat. median
$12,374
1.8× median
27446
HCPCS 		27446 Arthroplasty Knee Condyle And Plateau Med 21 $2,095.49 $40,803.00 $22,890.48 nat. median
$12,905
1.8× median
27827
HCPCS 		27827 Open Tx Of Fx Of Articular Distal Tibia W 21 $2,095.49 $40,803.00 $22,890.48 nat. median
$9,750
outlier · 2.3×
51860
HCPCS 		51860 Cystorrhaphy Suture Of Bladder Wound Injur 20 $9,973.47 $32,348.00 $22,821.51 nat. median
$5,769
outlier · 4.0×
33212
HCPCS 		33212 Ins Pm Pls Gen W Exist Single Lead 21 $8,718.61 $25,929.00 $22,039.65 nat. median
$8,717
outlier · 2.5×
J3357
HCPCS 		Ustekinumab 45 Mg 0.5 Ml 18 $13,782.21 $25,058.57 $21,763.36 nat. median
$20,264
1.1× median
27130
HCPCS 		27130 Arthroplasty Acetabular And Proximal Femora 21 $2,095.49 $38,536.00 $21,618.70 nat. median
$12,734
1.7× median
28485
HCPCS 		28485 Open Treatment Metatarsal Fracture Each 21 $7,644.85 $25,003.00 $21,252.55 nat. median
$7,199
outlier · 3.0×
27654
HCPCS 		27654 Repair Secondary Achilles Tendon W Wo Graft 21 $7,644.85 $25,003.00 $21,252.55 nat. median
$7,221
outlier · 2.9×
27698
HCPCS 		27698 Repair Secondary Disrupted Ligament Ankle Co 21 $7,644.85 $25,003.00 $21,252.55 nat. median
$6,466
outlier · 3.3×
27350
HCPCS 		27350 Patellectomy Hemipatellectomy 21 $7,644.85 $25,003.00 $21,252.55 nat. median
$6,293
outlier · 3.4×
33228
HCPCS 		33228 Removal Of Pacemaker W Replacement Of Pulse 21 $2,095.49 $34,407.00 $19,302.33 nat. median
$11,484
1.7× median
24341
HCPCS 		24341 Repair Tendon Muscle Upper Arm Elbow Ea Tdn 21 $7,644.85 $21,835.00 $18,559.75 nat. median
$6,500
outlier · 2.9×
33271
HCPCS 		33271 Insj Subq Impltbl Dfb Elctrd 21 $8,718.61 $21,000.00 $17,850.00 nat. median
$8,690
outlier · 2.1×
J9043
HCPCS 		Cabazitaxel 60 Mg 1.5 Ml 20 $227.28 $24,964.47 $17,612.43 nat. median
$509
outlier · 34.6×
J1744
HCPCS 		Icatibant 10 Mg Ml Sol 18 $10,484.22 $19,062.21 $16,555.53 nat. median
$312
outlier · 53.0×
58552
HCPCS 		58552 Laparoscopy Surgical With Vaginal Hysterec 20 $2,095.49 $29,473.00 $16,372.25 nat. median
$10,168
1.6× median
58554
HCPCS 		58554 Laparoscopy Surgical With Vaginal Hysterec 20 $2,095.49 $29,473.00 $16,372.25 nat. median
$9,620
1.7× median
33210
HCPCS 		33210 Insert Replace Of Temporary Transvenous Sing 21 $141.35 $28,870.00 $15,290.55 nat. median
$8,372
1.8× median
C1785
HCPCS 		62109280 18 $9,645.90 $17,538.00 $15,231.75 nat. median
$7,020
outlier · 2.2×
J0896
HCPCS 		Luspatercept Aamt 75 Mg Pow 20 $41.98 $20,929.81 $14,765.98 nat. median
$228
outlier · 64.9×
49596
HCPCS 		49596 Rpr Aa Hernia 1st > 10 Cm Ncrc8 Strangulated 18 $9,287.85 $16,887.00 $14,666.36 nat. median
$4,951
outlier · 3.0×
27829
HCPCS 		27829 Open Tx Of Distal Tibiofibular Joint Disrupt 21 $2,095.49 $25,004.00 $14,027.24 nat. median
$6,837
outlier · 2.1×
23515
HCPCS 		23515 Open Treatment Of Clavicular Fracture Inclu 21 $2,095.49 $25,004.00 $14,027.24 nat. median
$7,165
2.0× median
J9022
HCPCS 		Atezolizumab 1200 Mg 20 Ml 20 $91.34 $19,090.64 $13,468.44 nat. median
$1,229
outlier · 11.0×
J2327
HCPCS 		Risankizumab Rzaa 60 Mg Ml Sol 20 $14.94 $18,215.48 $12,851.02 nat. median
$48
outlier · 267.9×
27823
HCPCS 		27823 Open Treatment Of Trimalleolar Ankle Fractur 21 $2,095.49 $22,727.00 $12,749.85 nat. median
$6,708
1.9× median
29827
HCPCS 		29827 Arthroscopy Shoulder Surgical With Rotato 21 $2,095.49 $22,164.00 $12,434.00 nat. median
$7,413
1.7× median
29806
HCPCS 		29806 Arthroscopy Shoulder Surgical Capsulorrha 21 $2,095.49 $22,164.00 $12,434.00 nat. median
$7,073
1.8× median
29828
HCPCS 		29828 Arthroscopy Shoulder Surgical Biceps Teno 21 $2,095.49 $22,164.00 $12,434.00 nat. median
$7,292
1.7× median
27822
HCPCS 		27822 Open Treatment Of Trimalleolar Ankle Fractur 21 $2,095.49 $22,164.00 $12,434.00 nat. median
$7,082
1.8× median
25609
HCPCS 		25609 Open Tx Distal Radial Intra-articular Fx Or 21 $2,095.49 $22,164.00 $12,434.00 nat. median
$7,138
1.7× median
27792
HCPCS 		27792 Open Treatment Of Distal Fibular Fracture I 21 $2,095.49 $22,164.00 $12,434.00 nat. median
$7,254
1.7× median
25607
HCPCS 		25607 Open Tx Distal Radial Extra-articular Fx Or 21 $2,095.49 $22,164.00 $12,434.00 nat. median
$7,280
1.7× median
27524
HCPCS 		27524 Open Treatment Of Patellar Fracture With In 21 $2,095.49 $21,432.00 $12,023.35 nat. median
$7,141
1.7× median

Other procedures at this hospital

Browse this hospital's 2,385 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
             
23615 HCPCS 23615 Optx Prox Humeral Fx W Int Fixj Rpr Tuberosi 42 21 $45,034.00 $30.00 100% off $13,526.31 $45,034.00 $38,278.90 2026-03-25
33208 HCPCS 33208 Insrt New Rplcmt Heart Pm Atrial And Vent 42 21 $36,629.00 $30.00 100% off $11,011.79 $36,629.00 $31,134.65 2026-03-25
33213 HCPCS 33213 Ins Pacemaker Pulse Gen Only W Exist Dual Le 42 21 $32,591.00 $30.00 100% off $11,011.79 $32,591.00 $27,702.35 2026-03-25
33207 HCPCS 33207 Ins New Rplc Prm Pacemaker W Transv Eltrd Ve 42 21 $32,591.00 $30.00 100% off $11,011.79 $32,591.00 $27,702.35 2026-03-25
33206 HCPCS 33206 Ins New Rplcmt Prm Pacemakr W Trans Eltrd At 42 21 $32,591.00 $30.00 100% off $11,011.79 $32,591.00 $27,702.35 2026-03-25
33249 HCPCS 33249 Insj Rplcmt Perm Dfb W Trnsvns Lds 1 Dual Ch 42 21 $28,000.00 $30.00 100% off $15,400.00 $28,000.00 $25,228.00 2026-03-25
33270 HCPCS 33270 Ins Rplcmnt Perm Subq Impltbl Dfb W Subq Elt 42 21 $28,000.00 $30.00 100% off $15,400.00 $28,000.00 $25,228.00 2026-03-25
33231 HCPCS 33231 Insj Implntbl Defib Pulse Gen W Exist Multil 42 21 $28,000.00 $30.00 100% off $15,400.00 $28,000.00 $25,228.00 2026-03-25
J2350 HCPCS Ocrelizumab 300 Mg 10 Ml 40 20 $35,485.88 $30.00 100% off $59.41 $35,485.88 $25,035.29 2026-03-25
33285 HCPCS 33285 Insertion Subq Cardiac Rhythm Monitor W Prgr 42 21 $28,329.00 $30.00 100% off $8,718.61 $28,329.00 $24,079.65 2026-03-25
33230 HCPCS 33230 Insj Implntbl Defib Pulse Gen W Exist Dual L 42 21 $28,000.00 $30.00 100% off $15,400.00 $28,000.00 $23,800.00 2026-03-25
33240 HCPCS 33240 Insj Implntbl Defib Pulse Gen W 1 Existing L 42 21 $28,000.00 $30.00 100% off $15,400.00 $28,000.00 $23,800.00 2026-03-25
C2621 HCPCS 62109287 36 18 $26,943.00 $30.00 100% off $14,818.65 $26,943.00 $23,399.99 2026-03-25
27446 HCPCS 27446 Arthroplasty Knee Condyle And Plateau Med 46 21 $40,803.00 $30.00 100% off $2,095.49 $40,803.00 $22,890.48 2026-03-25
23472 HCPCS 23472 Arthroplasty Glenohumeral Joint Total Shou 46 21 $40,803.00 $30.00 100% off $2,095.49 $40,803.00 $22,890.48 2026-03-25
27828 HCPCS 27828 Open Tx Of Fx Of Articular Distal Tibia W 46 21 $40,803.00 $30.00 100% off $2,095.49 $40,803.00 $22,890.48 2026-03-25
27827 HCPCS 27827 Open Tx Of Fx Of Articular Distal Tibia W 46 21 $40,803.00 $30.00 100% off $2,095.49 $40,803.00 $22,890.48 2026-03-25
27447 HCPCS 27447 Arthroplasty Knee Condyle And Plateau Med 46 21 $40,803.00 $30.00 100% off $2,095.49 $40,803.00 $22,890.48 2026-03-25
51860 HCPCS 51860 Cystorrhaphy Suture Of Bladder Wound Injur 40 20 $32,348.00 $30.00 100% off $9,973.47 $32,348.00 $22,821.51 2026-03-25
33212 HCPCS 33212 Ins Pm Pls Gen W Exist Single Lead 42 21 $25,929.00 $30.00 100% off $8,718.61 $25,929.00 $22,039.65 2026-03-25
J3357 HCPCS Ustekinumab 45 Mg 0.5 Ml 36 18 $25,058.57 $30.00 100% off $13,782.21 $25,058.57 $21,763.36 2026-03-25
27130 HCPCS 27130 Arthroplasty Acetabular And Proximal Femora 46 21 $38,536.00 $30.00 100% off $2,095.49 $38,536.00 $21,618.70 2026-03-25
27698 HCPCS 27698 Repair Secondary Disrupted Ligament Ankle Co 42 21 $25,003.00 $30.00 100% off $7,644.85 $25,003.00 $21,252.55 2026-03-25
27654 HCPCS 27654 Repair Secondary Achilles Tendon W Wo Graft 42 21 $25,003.00 $30.00 100% off $7,644.85 $25,003.00 $21,252.55 2026-03-25
27350 HCPCS 27350 Patellectomy Hemipatellectomy 42 21 $25,003.00 $30.00 100% off $7,644.85 $25,003.00 $21,252.55 2026-03-25
28485 HCPCS 28485 Open Treatment Metatarsal Fracture Each 42 21 $25,003.00 $30.00 100% off $7,644.85 $25,003.00 $21,252.55 2026-03-25
33228 HCPCS 33228 Removal Of Pacemaker W Replacement Of Pulse 46 21 $34,407.00 $30.00 100% off $2,095.49 $34,407.00 $19,302.33 2026-03-25
24341 HCPCS 24341 Repair Tendon Muscle Upper Arm Elbow Ea Tdn 42 21 $21,835.00 $30.00 100% off $7,644.85 $21,835.00 $18,559.75 2026-03-25
33271 HCPCS 33271 Insj Subq Impltbl Dfb Elctrd 42 21 $21,000.00 $30.00 100% off $8,718.61 $21,000.00 $17,850.00 2026-03-25
J9043 HCPCS Cabazitaxel 60 Mg 1.5 Ml 40 20 $24,964.47 $30.00 100% off $227.28 $24,964.47 $17,612.43 2026-03-25
J1744 HCPCS Icatibant 10 Mg Ml Sol 36 18 $19,062.21 $30.00 100% off $10,484.22 $19,062.21 $16,555.53 2026-03-25
58554 HCPCS 58554 Laparoscopy Surgical With Vaginal Hysterec 44 20 $29,473.00 $30.00 100% off $2,095.49 $29,473.00 $16,372.25 2026-03-25
58552 HCPCS 58552 Laparoscopy Surgical With Vaginal Hysterec 44 20 $29,473.00 $30.00 100% off $2,095.49 $29,473.00 $16,372.25 2026-03-25
33210 HCPCS 33210 Insert Replace Of Temporary Transvenous Sing 126 21 $27,801.00 $30.00 100% off $141.35 $28,870.00 $15,290.55 2026-03-25
C1785 HCPCS 62109280 36 18 $17,538.00 $30.00 100% off $9,645.90 $17,538.00 $15,231.75 2026-03-25
J0896 HCPCS Luspatercept Aamt 75 Mg Pow 40 20 $20,929.81 $30.00 100% off $41.98 $20,929.81 $14,765.98 2026-03-25
49596 HCPCS 49596 Rpr Aa Hernia 1st > 10 Cm Ncrc8 Strangulated 36 18 $16,887.00 $30.00 100% off $9,287.85 $16,887.00 $14,666.36 2026-03-25
23515 HCPCS 23515 Open Treatment Of Clavicular Fracture Inclu 46 21 $25,004.00 $30.00 100% off $2,095.49 $25,004.00 $14,027.24 2026-03-25
27829 HCPCS 27829 Open Tx Of Distal Tibiofibular Joint Disrupt 46 21 $25,004.00 $30.00 100% off $2,095.49 $25,004.00 $14,027.24 2026-03-25
J9022 HCPCS Atezolizumab 1200 Mg 20 Ml 40 20 $19,090.64 $30.00 100% off $91.34 $19,090.64 $13,468.44 2026-03-25
J2327 HCPCS Risankizumab Rzaa 60 Mg Ml Sol 40 20 $18,215.48 $30.00 100% off $14.94 $18,215.48 $12,851.02 2026-03-25
27823 HCPCS 27823 Open Treatment Of Trimalleolar Ankle Fractur 46 21 $22,727.00 $30.00 100% off $2,095.49 $22,727.00 $12,749.85 2026-03-25
25607 HCPCS 25607 Open Tx Distal Radial Extra-articular Fx Or 46 21 $22,164.00 $30.00 100% off $2,095.49 $22,164.00 $12,434.00 2026-03-25
29806 HCPCS 29806 Arthroscopy Shoulder Surgical Capsulorrha 46 21 $22,164.00 $30.00 100% off $2,095.49 $22,164.00 $12,434.00 2026-03-25
29828 HCPCS 29828 Arthroscopy Shoulder Surgical Biceps Teno 46 21 $22,164.00 $30.00 100% off $2,095.49 $22,164.00 $12,434.00 2026-03-25
25609 HCPCS 25609 Open Tx Distal Radial Intra-articular Fx Or 46 21 $22,164.00 $30.00 100% off $2,095.49 $22,164.00 $12,434.00 2026-03-25
29827 HCPCS 29827 Arthroscopy Shoulder Surgical With Rotato 46 21 $22,164.00 $30.00 100% off $2,095.49 $22,164.00 $12,434.00 2026-03-25
27822 HCPCS 27822 Open Treatment Of Trimalleolar Ankle Fractur 46 21 $22,164.00 $30.00 100% off $2,095.49 $22,164.00 $12,434.00 2026-03-25
27792 HCPCS 27792 Open Treatment Of Distal Fibular Fracture I 46 21 $22,164.00 $30.00 100% off $2,095.49 $22,164.00 $12,434.00 2026-03-25
27385 HCPCS 27385 Repair Of Thigh Muscle 46 21 $21,432.00 $30.00 100% off $2,095.49 $21,432.00 $12,023.35 2026-03-25
27524 HCPCS 27524 Open Treatment Of Patellar Fracture With In 46 21 $21,432.00 $30.00 100% off $2,095.49 $21,432.00 $12,023.35 2026-03-25
49322 HCPCS 49322 Laparoscopy Surgical With Aspiration Of Ca 40 20 $16,744.00 $30.00 100% off $6,369.32 $16,744.00 $11,812.89 2026-03-25
49566 HCPCS 49566 Repair Recurrent Incisional Or Ventral Herni 40 18 $16,744.00 $30.00 100% off $2,095.49 $16,744.00 $11,812.89 2026-03-25
27650 HCPCS 27650 Repair Primary Open Or Percutaneous Ruptu 46 21 $20,727.00 $30.00 100% off $2,095.49 $20,727.00 $11,627.85 2026-03-25
23430 HCPCS 23430 Tenodesis Of Long Tendon Of Biceps 46 21 $20,727.00 $30.00 100% off $2,095.49 $20,727.00 $11,627.85 2026-03-25
28322 HCPCS 28322 Repair Nonunion Or Malunion 46 21 $20,727.00 $30.00 100% off $2,095.49 $20,727.00 $11,627.85 2026-03-25
29888 HCPCS 29888 Arthroscopically Aided Anterior Cruciate Lig 46 21 $20,727.00 $30.00 100% off $2,095.49 $20,727.00 $11,627.85 2026-03-25
23410 HCPCS 23410 Repair Of Ruptured Musculotendinous Cuff (eg 46 21 $20,727.00 $30.00 100% off $2,095.49 $20,727.00 $11,627.85 2026-03-25
25652 HCPCS 25652 Open Treatment Of Ulnar Styloid Fracture 46 21 $20,727.00 $30.00 100% off $2,095.49 $20,727.00 $11,627.85 2026-03-25
25405 HCPCS 25405 Repair Of Nonunion Or Malunion Radius Or Ul 46 21 $20,727.00 $30.00 100% off $2,095.49 $20,727.00 $11,627.85 2026-03-25
20690 HCPCS 20690 Application Of A Uniplane (pins Or Wires In 46 21 $20,727.00 $30.00 100% off $2,095.49 $20,727.00 $11,627.85 2026-03-25
29855 HCPCS 29855 Arthroscopically Aided Treatment Of Tibial F 46 21 $20,727.00 $30.00 100% off $2,095.49 $20,727.00 $11,627.85 2026-03-25
23412 HCPCS 23412 Repair Of Ruptured Musculotendinous Cuff (eg 46 21 $20,727.00 $30.00 100% off $2,095.49 $20,727.00 $11,627.85 2026-03-25
27766 HCPCS 27766 Open Treatment Of Medial Malleolus Fracture 46 21 $20,727.00 $30.00 100% off $2,095.49 $20,727.00 $11,627.85 2026-03-25
25575 HCPCS 25575 Open Tx Of Radius And Ulna Fx 46 21 $20,727.00 $30.00 100% off $2,095.49 $20,727.00 $11,627.85 2026-03-25
29807 HCPCS 29807 Arthroscopy Shoulder Surgical Repair Of S 46 21 $20,727.00 $30.00 100% off $2,095.49 $20,727.00 $11,627.85 2026-03-25
27814 HCPCS 27814 Open Treatment Of Bimalleolar Ankle Fracture 46 21 $20,727.00 $30.00 100% off $2,095.49 $20,727.00 $11,627.85 2026-03-25
24582 HCPCS 24582 Percutaneous Skeletal Fixation Of Humeral Co 46 21 $20,727.00 $30.00 100% off $2,095.49 $20,727.00 $11,627.85 2026-03-25
28750 HCPCS 28750 Arthrodesis Great Toe Metatarsophalangeal 46 21 $20,727.00 $30.00 100% off $2,095.49 $20,727.00 $11,627.85 2026-03-25
J1930 HCPCS Lanreotide 120 Mg 0.5 Ml Sc Sol 40 20 $16,006.79 $30.00 100% off $34.05 $16,006.79 $11,292.79 2026-03-25
47564 HCPCS 47564 Laparoscopy Surgical Cholecystectomy With 44 20 $19,703.00 $30.00 100% off $2,095.49 $19,703.00 $11,228.11 2026-03-25
J3380 HCPCS Vedolizumab 300 Mg Pow 40 20 $15,599.84 $30.00 100% off $21.31 $15,599.84 $11,005.69 2026-03-25
19307 HCPCS 19307 Mastectomy Modified Radical Including Axil 46 21 $19,260.00 $30.00 100% off $2,095.49 $19,260.00 $10,804.86 2026-03-25
19303 HCPCS 19303 Mastectomy Simple Complete 46 21 $19,256.00 $30.00 100% off $2,095.49 $19,256.00 $10,802.62 2026-03-25
49190 HCPCS Open Exc Dstrj Intra-abdl Tumor Cyst >30 Cm 36 18 $12,362.00 $30.00 100% off $6,799.10 $12,362.00 $10,736.40 2026-03-25
49189 HCPCS Open Exc Dstrj Intra-abdl Tumor Cst 20.1-30 Cm 36 18 $12,062.00 $30.00 100% off $6,634.10 $12,062.00 $10,475.85 2026-03-25
49188 HCPCS Open Exc Dstrj Intra-abdl Tumor Cst 10.1-20 Cm 36 18 $11,762.00 $30.00 100% off $6,469.10 $11,762.00 $10,215.30 2026-03-25
49187 HCPCS Open Exc Dstrj Intra-abdl Tumor Cst 5.1-10 Cm 36 18 $11,462.00 $30.00 100% off $6,304.10 $11,462.00 $9,954.75 2026-03-25
J3101 HCPCS Tenecteplase 50 Mg Pow 40 20 $14,089.68 $30.00 100% off $172.22 $14,089.68 $9,940.27 2026-03-25
53446 HCPCS 53446 Remove Uro Sphincter 44 20 $17,775.00 $30.00 100% off $2,095.49 $17,775.00 $9,874.01 2026-03-25
44204 HCPCS 44204 Laparoscopy Surgical Colectomy Partial W 40 18 $13,898.00 $30.00 100% off $2,095.49 $13,898.00 $9,805.04 2026-03-25
57288 HCPCS 57288 Sling Operation For Stress Incontinence (eg 44 20 $17,521.00 $30.00 100% off $2,095.49 $17,521.00 $9,732.92 2026-03-25
44206 HCPCS 44206 Lap Part Colectomy W Stoma 40 18 $13,744.00 $30.00 100% off $2,095.49 $13,744.00 $9,696.39 2026-03-25
49186 HCPCS Open Exc Dstrj Intra-abdl Tumor Cst 5 Cm Or Less 36 18 $11,162.00 $30.00 100% off $6,139.10 $11,162.00 $9,694.19 2026-03-25
49203 HCPCS Excision Destruction Open Abdominal Tumor 5 Cm < 36 18 $11,162.00 $30.00 100% off $6,139.10 $11,162.00 $9,694.19 2026-03-25
J0596 HCPCS Conestat Alfa 2100 Intl Units Pow 40 20 $13,725.00 $30.00 100% off $36.77 $13,725.00 $9,682.99 2026-03-25
26615 HCPCS 26615 Open Tx Metacarpal Fracture Single Ea Bone 42 21 $11,356.00 $30.00 100% off $3,447.24 $11,356.00 $9,652.60 2026-03-25
47563 HCPCS 47563 Lap Cholecystectomy W Cholangiography 44 20 $16,910.00 $30.00 100% off $2,095.49 $16,910.00 $9,393.51 2026-03-25
49594 HCPCS 49594 Anterior Abd Hernia Rpr 1st 3-10 Strangulate 44 20 $16,887.00 $30.00 100% off $2,095.49 $16,887.00 $9,380.73 2026-03-25
49592 HCPCS 49592 Anterior Abd Hernia Rpr 1st<3cm Strangulated 44 20 $16,887.00 $30.00 100% off $2,095.49 $16,887.00 $9,380.73 2026-03-25
49329 HCPCS 49329 Lap Procedure Abd Peritoneum Omentum 44 20 $16,744.00 $30.00 100% off $2,095.49 $16,744.00 $9,301.29 2026-03-25
58661 HCPCS 58661 Laparoscopy Surgical With Removal Of Adnex 44 20 $16,744.00 $30.00 100% off $2,095.49 $16,744.00 $9,301.29 2026-03-25
49320 HCPCS 49320 Laparoscopy Abdomen Peritoneum And Omentu 44 20 $16,744.00 $30.00 100% off $2,095.49 $16,744.00 $9,301.29 2026-03-25
49650 HCPCS 49650 Laparoscopy Surgical Repair Initial Inguin 44 20 $16,744.00 $30.00 100% off $2,095.49 $16,744.00 $9,301.29 2026-03-25
49321 HCPCS 49321 Laparoscopy Surgical With Biopsy (single O 44 20 $16,744.00 $30.00 100% off $2,095.49 $16,744.00 $9,301.29 2026-03-25
58662 HCPCS 58662 Laparoscopy Surgical W Fulguration Or Exc 44 20 $16,744.00 $30.00 100% off $2,095.49 $16,744.00 $9,301.29 2026-03-25
44180 HCPCS 44180 Laparoscopy Surgical Enterolysis (freeing 44 20 $16,744.00 $30.00 100% off $2,095.49 $16,744.00 $9,301.29 2026-03-25
58670 HCPCS 58670 Laparoscopy Surgical With Fulguration Of O 44 20 $16,504.00 $30.00 100% off $2,095.49 $16,504.00 $9,167.97 2026-03-25
44950 HCPCS 44950 Appendectomy 44 20 $15,914.00 $30.00 100% off $2,095.49 $15,914.00 $8,840.23 2026-03-25
J2427 HCPCS Paliperidone 546 Mg 1.75 Ml 40 20 $12,523.63 $30.00 100% off $13.00 $12,523.63 $8,835.42 2026-03-25
47562 HCPCS 47562 Laparoscopy Surgical Cholecystectomy 44 20 $15,814.00 $30.00 100% off $2,095.49 $15,814.00 $8,784.67 2026-03-25
44970 HCPCS 44970 Laparoscopy Surgical Appendectomy 44 20 $15,814.00 $30.00 100% off $2,095.49 $15,814.00 $8,784.67 2026-03-25
58353 HCPCS 58353 Endometrial Ablation Thermal Without Hyste 44 20 $15,604.00 $30.00 100% off $2,095.49 $15,604.00 $8,668.02 2026-03-25
58262 HCPCS 58262 Vaginal Hysterectomy For Uterus 250 G Or Le 44 20 $15,491.00 $30.00 100% off $2,095.49 $15,491.00 $8,605.25 2026-03-25
55520 HCPCS 55520 Exc Lesion Spermatic Cord Separate Procedure 40 20 $12,071.00 $30.00 100% off $3,713.77 $12,071.00 $8,516.09 2026-03-25
11626 HCPCS 11626 �exc Malignant Lesion S N H F G >4.0 Cm 42 21 $10,017.00 $30.00 100% off $3,060.29 $10,017.00 $8,514.45 2026-03-25
57120 HCPCS 57120 Colpocleisis (le Fort Type) 44 20 $15,018.00 $30.00 100% off $2,095.49 $15,018.00 $8,342.50 2026-03-25
J9306 HCPCS Pertuzumab 420 Mg 14 Ml 40 20 $11,748.20 $30.00 100% off $17.02 $11,748.20 $8,288.35 2026-03-25
J2506 HCPCS Pegfilgrastim 6 Mg 0.6 Ml Onpro Sol 40 20 $11,552.38 $30.00 100% off $89.34 $11,552.38 $8,150.20 2026-03-25
52240 HCPCS 52240 Cystourethroscopy With Fulguration And Or R 44 20 $14,600.00 $30.00 100% off $2,095.49 $14,600.00 $8,110.30 2026-03-25
52601 HCPCS 52601 Transurethral Electrosurgical Resection Of P 44 20 $14,600.00 $30.00 100% off $2,095.49 $14,600.00 $8,110.30 2026-03-25
57268 HCPCS 57268 Repair Of Enterocele Vaginal Approach (sepa 44 20 $14,591.00 $30.00 100% off $2,095.49 $14,591.00 $8,105.30 2026-03-25
58925 HCPCS 58925 Ovarian Cystectomy Unilateral Or Bilateral 44 20 $14,591.00 $30.00 100% off $2,095.49 $14,591.00 $8,105.30 2026-03-25
57240 HCPCS 57240 Anterior Colporrhaphy Repair Of Cystocele W 44 20 $14,591.00 $30.00 100% off $2,095.49 $14,591.00 $8,105.30 2026-03-25
49587 HCPCS 49587 Repair Umbilical Hernia Age 5 Years Or Olde 40 18 $11,258.00 $30.00 100% off $2,095.49 $11,258.00 $7,942.52 2026-03-25
57720 HCPCS 57720 Trachelorrhaphy Plastic Repair Of Uterine 40 20 $10,688.00 $30.00 100% off $3,410.50 $10,688.00 $7,540.39 2026-03-25
49591 HCPCS 49591 Repair Anterior Abdominal Hernia Less Than 3 44 20 $13,389.00 $30.00 100% off $2,095.49 $13,389.00 $7,437.59 2026-03-25
54640 HCPCS 54640: Orchiopexy Inguinal Or Scrotal Approach 44 20 $13,389.00 $30.00 100% off $2,095.49 $13,389.00 $7,437.59 2026-03-25
49560 HCPCS 49560 Repair Initial Incisional Or Ventral Hernia 40 18 $10,528.00 $30.00 100% off $2,095.49 $10,528.00 $7,427.50 2026-03-25
49585 HCPCS 49585 Repair Umbilical Hernia Age 5 Years Or Olde 40 18 $10,528.00 $30.00 100% off $2,095.49 $10,528.00 $7,427.50 2026-03-25
49561 HCPCS 49561 Repair Initial Incisional Or Ventral Hernia 40 18 $10,528.00 $30.00 100% off $2,095.49 $10,528.00 $7,427.50 2026-03-25
11462 HCPCS 11462 Excision Hidradenitis Inguinal Smpl Intrm Rp 42 21 $8,672.00 $30.00 100% off $3,060.29 $8,672.00 $7,371.20 2026-03-25
27632 HCPCS 27632 Excision Tumor Soft Tissue Leg Ankle Subq 3 42 21 $8,672.00 $30.00 100% off $3,060.29 $8,672.00 $7,371.20 2026-03-25
52235 HCPCS 52235 Cysto W Fulgurat Med Bladtumor 44 20 $13,174.00 $30.00 100% off $2,095.49 $13,174.00 $7,318.15 2026-03-25
J0717 HCPCS Certolizumab 200 Mg Ml Kit 40 20 $10,294.55 $30.00 100% off $3.91 $10,294.55 $7,262.81 2026-03-25
38531 HCPCS 38531 Biopsy Or Excision Of Lymph Node(s) Open I 44 20 $12,995.00 $30.00 100% off $2,095.49 $12,995.00 $7,218.73 2026-03-25
J2353 HCPCS Octreotide 30 Mg IM Inj 76 20 $12,442.61 $30.00 100% off $203.58 $12,442.61 $7,216.66 2026-03-25
J0517 HCPCS Benralizumab 30 Mg Ml 40 20 $10,218.15 $30.00 100% off $164.59 $10,218.15 $7,208.91 2026-03-25
J9271 HCPCS Pembrolizumab 25 Mg Ml 40 20 $10,003.54 $30.00 100% off $60.29 $10,003.54 $7,057.50 2026-03-25
49521 HCPCS 49521 Repair Recurrent Inguinal Hernia Any Age I 44 20 $11,258.00 $30.00 100% off $2,095.49 $11,258.00 $6,838.19 2026-03-25
J2783 HCPCS Rasburicase 7.5 Mg IV Inj 40 20 $9,670.63 $30.00 100% off $377.52 $9,670.63 $6,822.63 2026-03-25
52234 HCPCS 52234 Cystourethroscopy With Fulguration (includi 44 20 $12,116.00 $30.00 100% off $2,095.49 $12,116.00 $6,730.44 2026-03-25
54830 HCPCS 54830 Excision Of Local Lesion Of Epididymis 44 20 $12,116.00 $30.00 100% off $2,095.49 $12,116.00 $6,730.44 2026-03-25
J9309 HCPCS Polatuzumab Vedotin 30 Mg Pow 76 20 $6,766.61 $30.00 100% off $136.67 $31,577.47 $6,665.11 2026-03-25
25270 HCPCS 25270 Repair Tendon Or Muscle Extensor Forearm 46 21 $11,252.00 $30.00 100% off $2,095.49 $11,252.00 $6,312.37 2026-03-25
28810 HCPCS 28810: Amputation Metatarsal W Toe Single 46 21 $11,252.00 $30.00 100% off $2,095.49 $11,252.00 $6,312.37 2026-03-25
24105 HCPCS 24105 Excision Olecranon Bursa 46 21 $11,252.00 $30.00 100% off $2,095.49 $11,252.00 $6,312.37 2026-03-25
29876 HCPCS 29876 Arthroscopy Knee Surgical Synovectomy Ma 46 21 $11,252.00 $30.00 100% off $2,095.49 $11,252.00 $6,312.37 2026-03-25
28505 HCPCS 28505: Open Treatment Of Fracture Great Toe Phal 46 21 $11,252.00 $30.00 100% off $2,095.49 $11,252.00 $6,312.37 2026-03-25
49507 HCPCS 49507 Repair Initial Inguinal Hernia Age 5 Years 44 20 $11,258.00 $30.00 100% off $2,095.49 $11,258.00 $6,253.82 2026-03-25
49505 HCPCS 49505 Repair Initial Inguinal Hernia Age 5 Years 44 20 $11,258.00 $30.00 100% off $2,095.49 $11,258.00 $6,253.82 2026-03-25
J1162 HCPCS Digoxin Immune Fab 40 Mg Inj 40 20 $8,609.40 $30.00 100% off $4,735.17 $8,609.40 $6,243.11 2026-03-25
55110 HCPCS 55110 Scrotal Exploration 44 20 $10,880.00 $30.00 100% off $2,095.49 $10,880.00 $6,043.84 2026-03-25
49553 HCPCS 49553 Repair Initial Femoral Hernia Any Age Inca 44 20 $10,839.00 $30.00 100% off $2,095.49 $10,839.00 $6,021.07 2026-03-25
0360 RC — 72 18 $10,633.50 $30.00 100% off $146.85 $21,000.00 $5,908.50 2026-03-25
19120 HCPCS 19120 Excision Of Cyst Fibroadenoma Or Other Ben 46 21 $10,449.00 $30.00 100% off $2,095.49 $10,449.00 $5,861.89 2026-03-25
55040 HCPCS 55040 Excision Of Hydrocele Unilateral 44 20 $10,528.00 $30.00 100% off $2,095.49 $10,528.00 $5,848.31 2026-03-25
49250 HCPCS 49250 Umbilectomy Omphalectomy Excision Of Umbil 44 20 $10,528.00 $30.00 100% off $2,095.49 $10,528.00 $5,848.31 2026-03-25
55041 HCPCS 55041 Excision Of Hydrocele Bilateral 44 20 $10,528.00 $30.00 100% off $2,095.49 $10,528.00 $5,848.31 2026-03-25
49520 HCPCS 49520 Repair Recurrent Inguinal Hernia Any Age R 44 20 $10,528.00 $30.00 100% off $2,095.49 $10,528.00 $5,848.31 2026-03-25
38500 HCPCS 38500 Biopsy Or Excision Of Lymph Node(s) Open 44 20 $10,449.00 $30.00 100% off $2,095.49 $10,449.00 $5,804.42 2026-03-25
38510 HCPCS 38510 Biopsy Or Excision Of Lymph Node(s) Open D 44 20 $10,449.00 $30.00 100% off $2,095.49 $10,449.00 $5,804.42 2026-03-25
38525 HCPCS 38525 Biopsy Or Excision Of Lymph Node(s) Open D 44 20 $10,449.00 $30.00 100% off $2,095.49 $10,449.00 $5,804.42 2026-03-25
81455 HCPCS 81439-hereditary Cardiomyopathy Gen Seq Analys 5 G 44 20 $10,219.00 $30.00 100% off $2,095.49 $10,219.00 $5,676.65 2026-03-25
54520 HCPCS 54520 Excision Procedures On The Testis 44 20 $10,174.00 $30.00 100% off $2,095.49 $10,174.00 $5,651.65 2026-03-25
52332 HCPCS 52332 Cystourethroscopy With Insertion Of Indwell 44 20 $10,174.00 $30.00 100% off $2,095.49 $10,174.00 $5,651.65 2026-03-25
52224 HCPCS 52224 Cystoscopy And Treatment 44 20 $10,174.00 $30.00 100% off $2,095.49 $10,174.00 $5,651.65 2026-03-25
51715 HCPCS 51715 Endoscopic Injection Of Implant Material In 44 20 $10,174.00 $30.00 100% off $2,095.49 $10,174.00 $5,651.65 2026-03-25
29880 HCPCS 29880 Arthroscopy Knee Surgical With Meniscecto 46 21 $10,072.00 $30.00 100% off $2,095.49 $10,072.00 $5,650.39 2026-03-25
29883 HCPCS 29883 Arthroscopy Knee Surgical With Meniscus R 46 21 $10,072.00 $30.00 100% off $2,095.49 $10,072.00 $5,650.39 2026-03-25
43257 HCPCS 43257 Egd W Delivery Of Thermal Energy To The Mus 80 20 $9,408.00 $30.00 100% off $2,095.49 $10,161.00 $5,644.43 2026-03-25
29882 HCPCS 29882 Arthroscopy Knee Surgical With Meniscus R 46 21 $10,022.00 $30.00 100% off $2,095.49 $10,022.00 $5,622.34 2026-03-25
29881 HCPCS 29881 Arthroscopy Knee Surgical With Meniscecto 46 21 $10,022.00 $30.00 100% off $2,095.49 $10,022.00 $5,622.34 2026-03-25
C1763 HCPCS 62102650 36 18 $6,367.50 $30.00 100% off $3,502.13 $6,367.50 $5,530.18 2026-03-25
11771 HCPCS 11771 Exc Pilonidal Cyst Or Sinus Exten 46 21 $9,765.00 $30.00 100% off $2,095.49 $9,765.00 $5,478.17 2026-03-25
11770 HCPCS 11770: Excision Of Pilonidal Cyst Or Sinus Simple 46 21 $9,765.00 $30.00 100% off $2,095.49 $9,765.00 $5,478.17 2026-03-25
27603 HCPCS 27603 Incision And Drainage Leg Or Ankle Deep Ab 46 21 $9,765.00 $30.00 100% off $2,095.49 $9,765.00 $5,478.17 2026-03-25
J0139 HCPCS Adalimumab 40 Mg 0.4 Ml Kit 36 18 $6,230.36 $30.00 100% off $3,426.70 $6,230.36 $5,411.07 2026-03-25
J0135 HCPCS Adalimumab 40 Mg 0.8 Ml Subq Sol 36 18 $6,230.36 $30.00 100% off $3,426.70 $6,230.36 $5,411.07 2026-03-25
27630 HCPCS 27630 Excision Of Lesion Of Tendon Sheath Or Capsu 46 21 $9,645.00 $30.00 100% off $2,095.49 $9,645.00 $5,410.85 2026-03-25
57250 HCPCS 57250 Posterior Colporrhaphy Repair Of Rectocele 44 20 $9,728.00 $30.00 100% off $2,095.49 $9,728.00 $5,403.90 2026-03-25
36556 HCPCS 36556 Insertion Of Non-tunneled Central Venous Cat 122 20 $9,755.00 $30.00 100% off $75.90 $10,130.00 $5,365.25 2026-03-25
35206 HCPCS 35206 Repair Blood Vessel Direct Upper Extremity 46 21 $9,473.00 $30.00 100% off $2,095.49 $9,473.00 $5,314.35 2026-03-25
Q5111 HCPCS Udenyca Pegfilgrastim Cbqv 6 Mg 0.6 Ml Sol 40 20 $7,515.00 $30.00 100% off $106.33 $7,515.00 $5,301.84 2026-03-25
36561 HCPCS 36561 Insertion Of Tunneled Centrally Inserted Cen 44 20 $9,473.00 $30.00 100% off $2,095.49 $9,473.00 $5,262.25 2026-03-25
28110 HCPCS 28110 Ostectomy Partial Excision Fifth Metatarsa 46 21 $9,372.00 $30.00 100% off $2,095.49 $9,372.00 $5,257.69 2026-03-25
26020 HCPCS 26020 Drainage Of Tendon Sheath Digit And Or Palm 46 21 $9,372.00 $30.00 100% off $2,095.49 $9,372.00 $5,257.69 2026-03-25
29824 HCPCS 29824 Arthroscopy Shoulder Surgical Distal Clav 46 21 $9,372.00 $30.00 100% off $2,095.49 $9,372.00 $5,257.69 2026-03-25
25606 HCPCS 25606 Percutaneous Skeletal Fixation Of Distal Rad 46 21 $9,372.00 $30.00 100% off $2,095.49 $9,372.00 $5,257.69 2026-03-25
29874 HCPCS 29874 Arthroscopy Knee Surgical For Removal Of 46 21 $9,372.00 $30.00 100% off $2,095.49 $9,372.00 $5,257.69 2026-03-25
29877 HCPCS 29877 Arthroscopy Knee Surgical Debridement Sha 46 21 $9,372.00 $30.00 100% off $2,095.49 $9,372.00 $5,257.69 2026-03-25
25447 HCPCS 25447 Arthroplasty Interposition Intercarpal Or 46 21 $9,372.00 $30.00 100% off $2,095.49 $9,372.00 $5,257.69 2026-03-25
25028 HCPCS 25028 Incision And Drainage Forearm And Or Wrist 46 21 $9,372.00 $30.00 100% off $2,095.49 $9,372.00 $5,257.69 2026-03-25
27340 HCPCS 27340 Excision Prepatellar Bursa 46 21 $9,372.00 $30.00 100% off $2,095.49 $9,372.00 $5,257.69 2026-03-25
28289 HCPCS 28289 Hallux Rigidus Correction W Cheilectomy De 46 21 $9,372.00 $30.00 100% off $2,095.49 $9,372.00 $5,257.69 2026-03-25
29825 HCPCS 29825 Arthroscopy Shoulder Surgical With Lysis 46 21 $9,372.00 $30.00 100% off $2,095.49 $9,372.00 $5,257.69 2026-03-25
29879 HCPCS 29879 Arthroscopy Knee Surgical Abrasion Arthro 46 21 $9,372.00 $30.00 100% off $2,095.49 $9,372.00 $5,257.69 2026-03-25
28285 HCPCS 28285 Correction Hammertoe (eg Interphalangeal F 46 21 $9,372.00 $30.00 100% off $2,095.49 $9,372.00 $5,257.69 2026-03-25
28208 HCPCS 28208 Repair Tendon Extensor Foot Primary Or S 46 21 $9,372.00 $30.00 100% off $2,095.49 $9,372.00 $5,257.69 2026-03-25
23130 HCPCS 23130 Acromioplasty Or Acromionectomy Partial Wi 46 21 $9,372.00 $30.00 100% off $2,095.49 $9,372.00 $5,257.69 2026-03-25
23120 HCPCS 23120 Claviculectomy Partialng Biopsy And Or Exci 46 21 $9,372.00 $30.00 100% off $2,095.49 $9,372.00 $5,257.69 2026-03-25
28476 HCPCS 28476 Percutaneous Skeletal Fixation Of Metatarsal 46 21 $9,372.00 $30.00 100% off $2,095.49 $9,372.00 $5,257.69 2026-03-25
28104 HCPCS 28104 Excision Or Curettage Of Bone Cyst Or Benign 46 21 $9,372.00 $30.00 100% off $2,095.49 $9,372.00 $5,257.69 2026-03-25
28118 HCPCS 28118 Ostectomy Calcaneus 46 21 $9,372.00 $30.00 100% off $2,095.49 $9,372.00 $5,257.69 2026-03-25
27641 HCPCS 27641 Partial Excision Bone Fibula 46 21 $9,372.00 $30.00 100% off $2,095.49 $9,372.00 $5,257.69 2026-03-25
28296 HCPCS 28296 Correction Hallux Valgus (bunion) With Or 46 21 $9,372.00 $30.00 100% off $2,095.49 $9,372.00 $5,257.69 2026-03-25
29898 HCPCS 29898 Arthroscopy Ankle (tibiotalar And Fibulotal 46 21 $9,372.00 $30.00 100% off $2,095.49 $9,372.00 $5,257.69 2026-03-25
27496 HCPCS 27496 Decompression Fasciotomy Thigh And Or Knee 46 21 $9,372.00 $30.00 100% off $2,095.49 $9,372.00 $5,257.69 2026-03-25
29893 HCPCS 29893 Endoscopic Plantar Fasciotomy 46 21 $9,372.00 $30.00 100% off $2,095.49 $9,372.00 $5,257.69 2026-03-25
29823 HCPCS 29823 Arthroscopy Shoulder Surgical Debridement 46 21 $9,372.00 $30.00 100% off $2,095.49 $9,372.00 $5,257.69 2026-03-25
28825 HCPCS 28825 Amputation Toe Interphalangeal Joint 46 21 $9,372.00 $30.00 100% off $2,095.49 $9,372.00 $5,257.69 2026-03-25
26860 HCPCS 26860 Arthrodesis Interphalangeal Joint With Or 46 21 $9,372.00 $30.00 100% off $2,095.49 $9,372.00 $5,257.69 2026-03-25
26776 HCPCS 26776 Percutaneous Skeletal Fixation Of Interphala 46 21 $9,372.00 $30.00 100% off $2,095.49 $9,372.00 $5,257.69 2026-03-25
28313 HCPCS 28313 Reconstruction Angular Deformity Of Toe So 46 21 $9,372.00 $30.00 100% off $2,095.49 $9,372.00 $5,257.69 2026-03-25
29897 HCPCS 29897 Arthroscopy Ankle (tibiotalar And Fibulotal 46 21 $9,372.00 $30.00 100% off $2,095.49 $9,372.00 $5,257.69 2026-03-25
26665 HCPCS 26665 Open Treatment Of Carpometacarpal Fracture D 46 21 $9,372.00 $30.00 100% off $2,095.49 $9,372.00 $5,257.69 2026-03-25
26608 HCPCS 26608 Percutaneous Skeletal Fixation Of Metacarpal 46 21 $9,372.00 $30.00 100% off $2,095.49 $9,372.00 $5,257.69 2026-03-25
26437 HCPCS 26437 Realignment Of Extensor Tendon Hand Each T 46 21 $9,372.00 $30.00 100% off $2,095.49 $9,372.00 $5,257.69 2026-03-25
29871 HCPCS 29871 Arthroscopy Knee Surgical For Infection 46 21 $9,372.00 $30.00 100% off $2,095.49 $9,372.00 $5,257.69 2026-03-25
26350 HCPCS 26350 Repair Or Advancement Flexor Tendon Primar 46 21 $9,372.00 $30.00 100% off $2,095.49 $9,372.00 $5,257.69 2026-03-25
26236 HCPCS 26236 Partial Excision Of Bone Distal Phalanx Of 46 21 $9,372.00 $30.00 100% off $1,694.11 $9,372.00 $5,257.69 2026-03-25
26123 HCPCS 26123 Fasciectomy Palm Only W Or W O Z-plasty 46 21 $9,372.00 $30.00 100% off $2,095.49 $9,372.00 $5,257.69 2026-03-25
26951 HCPCS 26951 Amputation Finger Or Thumb Primary Or Seco 84 21 $8,677.00 $30.00 100% off $2,095.49 $9,372.00 $5,235.74 2026-03-25
36558 HCPCS 36558 Insertion Of Tunneled Centrally Inserted Cen 80 20 $8,771.00 $30.00 100% off $2,095.49 $9,473.00 $5,210.15 2026-03-25
J2356 HCPCS Tezepelumab Ekko 210 Mg 1.91 Ml Sol 40 20 $7,271.50 $30.00 100% off $18.01 $7,271.50 $5,130.05 2026-03-25
26418 HCPCS 26418 Repair Extensor Tendon Finger Primary Or 84 21 $5,879.00 $30.00 99% off $1,694.11 $6,105.00 $5,093.20 2026-03-25
58120 HCPCS 58120 Dilation And Curettage 44 20 $9,161.00 $30.00 100% off $2,095.49 $9,161.00 $5,088.93 2026-03-25
40810 HCPCS 40810 Excision Of Lesion Of Mucosa And Submucosa 44 20 $9,053.00 $30.00 100% off $2,095.49 $9,053.00 $5,028.94 2026-03-25
26410 HCPCS 26410 Repair Ext Tendon Hand Prim Second W Out 42 21 $5,878.00 $30.00 99% off $1,694.11 $5,878.00 $4,996.30 2026-03-25
Q5120 HCPCS Ziextenzo Pegfilgrastim Bmez 6 Mg 0.6 Ml Sol 40 20 $7,065.96 $30.00 100% off $30.32 $7,065.96 $4,985.03 2026-03-25
Q5122 HCPCS Pegfilgrastim Apgf 6 Mg 0.6 Ml Sol 40 20 $7,065.00 $30.00 100% off $131.16 $7,065.00 $4,984.36 2026-03-25
29822 HCPCS 29822 Arthroscopy Shoulder Surgical Debridement 46 21 $8,851.00 $30.00 100% off $2,095.49 $8,851.00 $4,965.41 2026-03-25
J0597 HCPCS C1 Esterase Inhibitor Human 500 Intl Units Kit 40 20 $6,908.27 $30.00 100% off $75.86 $6,908.27 $4,873.78 2026-03-25
J0565 HCPCS Bezlotoxumab 25 Mg Ml Sol 40 20 $6,840.00 $30.00 100% off $39.83 $6,840.00 $4,825.62 2026-03-25
59820 HCPCS 59820 Treatment Of Missed Abortion Completed Surg 44 20 $8,683.00 $30.00 100% off $2,095.49 $8,683.00 $4,823.40 2026-03-25
59812 HCPCS 59812 Treatment Of Incomplete Abortion Any Trimes 44 20 $8,683.00 $30.00 100% off $2,095.49 $8,683.00 $4,823.40 2026-03-25
57410 HCPCS 57410 Pelvic Examination Under Anesthesia (other T 44 20 $8,683.00 $30.00 100% off $2,095.49 $8,683.00 $4,823.40 2026-03-25
59409 HCPCS 59409 Vaginal Delivery Only With Or Without Episi 44 20 $8,683.00 $30.00 100% off $2,095.49 $8,683.00 $4,823.40 2026-03-25
59412 HCPCS 59412 External Cephalic Version With Or Without T 44 20 $8,683.00 $30.00 100% off $2,095.49 $8,683.00 $4,823.40 2026-03-25
59414 HCPCS 59414 Delivery Of Placenta (separate Procedure) 44 20 $8,683.00 $30.00 100% off $2,095.49 $8,683.00 $4,823.40 2026-03-25
58558 HCPCS 58558 Hysteroscopy Surgical W Biopsy Of Endomet 44 20 $8,683.00 $30.00 100% off $2,095.49 $8,683.00 $4,823.40 2026-03-25
57522 HCPCS 57522 Conization Of Cervix 44 20 $8,683.00 $30.00 100% off $2,095.49 $8,683.00 $4,823.40 2026-03-25
56441 HCPCS 56441 Lysis Of Labial Adhesions 44 20 $8,683.00 $30.00 100% off $2,095.49 $8,683.00 $4,823.40 2026-03-25
26011 HCPCS 26011 Drainage Finger Abscess Complicated 42 21 $5,671.00 $30.00 99% off $1,740.05 $5,671.00 $4,820.35 2026-03-25
20206 HCPCS 20206 Biopsy Muscle Perc Needle 42 21 $5,656.00 $30.00 99% off $1,740.05 $5,656.00 $4,807.60 2026-03-25
46270 HCPCS 46270 Surgical Treatment Of Anal Fistula (fistulec 44 20 $8,645.00 $30.00 100% off $2,095.49 $8,645.00 $4,802.30 2026-03-25
45349 HCPCS 45349 Flex Sig W Emr Of Polyp 44 20 $8,645.00 $30.00 100% off $2,095.49 $8,645.00 $4,802.30 2026-03-25
20694 HCPCS 20694 Removal External Fixation System Under Anes 42 21 $5,601.00 $30.00 99% off $1,694.11 $5,601.00 $4,760.85 2026-03-25
21933 HCPCS 21933 Excision Tumor Soft Tissue Of Back Or Flan 46 21 $8,391.00 $30.00 100% off $2,095.49 $8,391.00 $4,707.35 2026-03-25
22901 HCPCS 22901 Excision Tumor Soft Tissue Of Abdominal Wa 46 21 $8,370.00 $30.00 100% off $2,095.49 $8,370.00 $4,695.57 2026-03-25
20205 HCPCS 20205 Biopsy Muscle Deep 46 21 $8,370.00 $30.00 100% off $2,095.49 $8,370.00 $4,695.57 2026-03-25
38222 HCPCS 38222 Bone Marrow Biopsy(ies) And Aspiration(s) 44 20 $8,391.00 $30.00 100% off $2,095.49 $8,391.00 $4,661.20 2026-03-25
67010 HCPCS 67010 Removal Of Vitreous Anterior Approach (open 44 20 $8,163.00 $30.00 100% off $2,095.49 $8,163.00 $4,534.55 2026-03-25
67005 HCPCS 67005 Removal Of Vitreous Anterior Approach (open 44 20 $8,163.00 $30.00 100% off $2,095.49 $8,163.00 $4,534.55 2026-03-25
66840 HCPCS 66840 Removal Of Lens Material Aspiration Techniq 44 20 $8,163.00 $30.00 100% off $2,095.49 $8,163.00 $4,534.55 2026-03-25
66850 HCPCS 66850 Removal Of Lens Material Phacofragmentation 44 20 $8,163.00 $30.00 100% off $2,095.49 $8,163.00 $4,534.55 2026-03-25
45171 HCPCS 45171 Excision Of Rectal Tumor Transanal Approach 44 20 $8,084.00 $30.00 100% off $2,095.49 $8,084.00 $4,490.66 2026-03-25
46260 HCPCS 46260 Hemorrhoidectomy Internal And External 2 O 44 20 $8,084.00 $30.00 100% off $2,095.49 $8,084.00 $4,490.66 2026-03-25
46255 HCPCS 46255 Hemorrhoidectomy Internal And External Sin 44 20 $8,084.00 $30.00 100% off $2,095.49 $8,084.00 $4,490.66 2026-03-25
46922 HCPCS 46922 Surgical Excision Destruction Of Lesion (s) 44 20 $8,084.00 $30.00 100% off $2,095.49 $8,084.00 $4,490.66 2026-03-25
66984 HCPCS 66984 Extracapsular Cataract Removal W Insertion 40 20 $6,363.00 $30.00 100% off $2,431.43 $6,363.00 $4,489.10 2026-03-25
55700 HCPCS 55700 Biopsy Of Prostate 40 18 $6,336.00 $30.00 100% off $2,095.49 $6,336.00 $4,470.05 2026-03-25
68110 HCPCS 68110 Excision Of Lesion Conjunctiva 1cm 44 20 $7,992.00 $30.00 100% off $2,095.49 $7,992.00 $4,439.56 2026-03-25
28039 HCPCS 28039 Excision Tumor Soft Tissue Of Foot Or Toe 46 21 $7,847.00 $30.00 100% off $2,095.49 $7,847.00 $4,402.17 2026-03-25
24201 HCPCS 24201 Removal Of Foreign Body Upper Arm Or Elbow 46 21 $7,847.00 $30.00 100% off $2,095.49 $7,847.00 $4,402.17 2026-03-25
23073 HCPCS 23073 Excision Tumor Soft Tissue Of Shoulder Are 46 21 $7,847.00 $30.00 100% off $2,095.49 $7,847.00 $4,402.17 2026-03-25
22903 HCPCS 22903 Excision Tumor Soft Tissue Of Abdominal Wa 46 21 $7,847.00 $30.00 100% off $2,095.49 $7,847.00 $4,402.17 2026-03-25
21932 HCPCS 21932 Excision Tumor Soft Tissue Of Back Or Flan 46 21 $7,847.00 $30.00 100% off $2,095.49 $7,847.00 $4,402.17 2026-03-25
21552 HCPCS 21552 Excision Tumor Soft Tissue Of Neck Or Ante 46 21 $7,847.00 $30.00 100% off $2,095.49 $7,847.00 $4,402.17 2026-03-25
20680 HCPCS 20680 Removal Of Implant Deep (buried Wire Pin 46 21 $7,847.00 $30.00 100% off $2,095.49 $7,847.00 $4,402.17 2026-03-25
20525 HCPCS 20525 Removal Of Foreign Body In Muscle Or Tendon 46 21 $7,847.00 $30.00 100% off $2,095.49 $7,847.00 $4,402.17 2026-03-25
27337 HCPCS 27337 Excision Tumor Soft Tissue Of Thigh Or Kne 46 21 $7,847.00 $30.00 100% off $2,095.49 $7,847.00 $4,402.17 2026-03-25
27301 HCPCS 27301 Incision And Drainage Deep Abscess Bursa 46 21 $7,847.00 $30.00 100% off $2,095.49 $7,847.00 $4,402.17 2026-03-25
11646 HCPCS 11646 Exc Malig Lesion Face > 4.0 Cm 46 21 $7,847.00 $30.00 100% off $2,095.49 $7,847.00 $4,402.17 2026-03-25
27043 HCPCS 27043 Excision Tumor Soft Tissue Of Pelvis And H 46 21 $7,847.00 $30.00 100% off $2,095.49 $7,847.00 $4,402.17 2026-03-25
11012 HCPCS 11012 Debridement Open Fx Dislocation To Bone 46 21 $7,847.00 $30.00 100% off $2,095.49 $7,847.00 $4,402.17 2026-03-25
C1776 HCPCS 62101819 1,836 18 $5,934.00 $30.00 99% off $0.55 $23,907.00 $4,354.15 2026-03-25
J2182 HCPCS Mepolizumab 100 Mg Pow 40 20 $6,141.13 $30.00 100% off $31.27 $6,141.13 $4,332.57 2026-03-25
11444 HCPCS 11444 Exc B9 Les Mrgn Xcp Sk Tg F E E N L M 3.1-4. 42 21 $4,979.00 $30.00 99% off $1,740.05 $4,979.00 $4,232.15 2026-03-25
27570 HCPCS 27570 Manipulation Knee Joint Under General Anesth 42 21 $4,905.00 $30.00 99% off $1,694.11 $4,905.00 $4,169.25 2026-03-25
10121 HCPCS 10121 Incision And Removal Foreign Body Comp Fac 84 21 $4,795.00 $30.00 99% off $1,740.05 $4,979.00 $4,153.95 2026-03-25
J1437 HCPCS Ferric Derisomaltose 100 Mg Ml Sol 40 20 $5,844.18 $30.00 99% off $22.02 $5,844.18 $4,123.07 2026-03-25
25565 HCPCS 25565 Closed Treatment Of Radial And Ulnar Shaft F 84 21 $4,747.00 $30.00 99% off $1,694.11 $4,930.00 $4,112.73 2026-03-25
23665 HCPCS 23665 Closed Treatmentshoulder Dislocation W Fra 84 21 $4,747.00 $30.00 99% off $1,694.11 $4,930.00 $4,112.73 2026-03-25
23605 HCPCS 23605 Closed Treatment Of Proximal Humeral Fractur 84 21 $4,747.00 $30.00 99% off $1,694.11 $4,930.00 $4,112.73 2026-03-25
27266 HCPCS 27266 Closed Treatment Of Post Hip Arthroplasty Di 84 21 $4,747.00 $30.00 99% off $1,694.11 $4,930.00 $4,112.73 2026-03-25
J9299 HCPCS Nivolumab 10 Mg Ml 4 Ml 112 20 $5,613.70 $30.00 99% off $32.96 $13,472.89 $3,960.47 2026-03-25
52005 HCPCS 52005 Cystourethroscopy With Ureteral Catheteriza 44 20 $7,012.00 $30.00 100% off $2,095.49 $7,012.00 $3,895.16 2026-03-25
54700 HCPCS 54700: Incision And Drainage Of Epididymis Testis 44 20 $7,012.00 $30.00 100% off $2,095.49 $7,012.00 $3,895.16 2026-03-25
66982 HCPCS 66982 Extracapsular Cataract Removal W Insertion 44 20 $6,873.00 $30.00 100% off $2,095.49 $6,873.00 $3,817.95 2026-03-25
J9145 HCPCS Daratumumab 20 Mg Ml 40 20 $5,294.40 $30.00 99% off $71.37 $5,294.40 $3,735.20 2026-03-25
49440 HCPCS 49440 Insertion Of Gastrostomy Tube Percutaneous 44 20 $6,584.00 $30.00 100% off $2,021.68 $6,584.00 $3,657.41 2026-03-25
C1888 HCPCS 62102258 36 18 $4,125.66 $30.00 99% off $2,269.11 $4,125.66 $3,583.14 2026-03-25
54161 HCPCS 54161 Circumcision Surgical Excision Other Than C 44 20 $6,425.00 $30.00 100% off $2,095.49 $6,425.00 $3,569.09 2026-03-25
54150 HCPCS 54150 Excision Procedures On The Penis 44 20 $6,336.00 $30.00 100% off $2,095.49 $6,336.00 $3,519.65 2026-03-25
55250 HCPCS 55250 Vasectomy 44 20 $6,336.00 $30.00 100% off $2,095.49 $6,336.00 $3,519.65 2026-03-25
13160 HCPCS 13160 Late Closure Wound 46 21 $6,061.00 $30.00 100% off $2,095.49 $6,061.00 $3,504.05 2026-03-25
0200 RC — 26 11 $3,776.00 $30.00 99% off $2,022.21 $3,662.72 $3,473.92 2026-03-25
64721 HCPCS 64721 Neuroplasty And Or Transposition Median Ner 44 20 $6,214.00 $30.00 100% off $2,057.31 $6,214.00 $3,451.88 2026-03-25
55100 HCPCS 55100 Drain Scrotum Abcess 80 20 $4,795.00 $30.00 99% off $1,740.05 $4,979.00 $3,434.48 2026-03-25
J9176 HCPCS Elotuzumab 300 Mg Pow 76 20 $3,937.12 $30.00 99% off $7.89 $5,249.45 $3,419.39 2026-03-25
J2798 HCPCS Risperidone 90 Mg Pow 76 20 $3,913.40 $30.00 99% off $12.14 $5,217.91 $3,398.79 2026-03-25
36569 HCPCS 36569-picc Line Insertion >= 5 Years 80 20 $4,607.00 $30.00 99% off $1,658.46 $4,976.00 $3,353.74 2026-03-25
52287 HCPCS 52287 Cystourethroscopy With Injection(s) For Che 44 20 $6,011.00 $30.00 100% off $2,095.49 $6,011.00 $3,339.11 2026-03-25
52310 HCPCS 52310 Cystourethroscopy With Removal Of Foreign 44 20 $5,925.00 $30.00 99% off $2,095.49 $5,925.00 $3,291.34 2026-03-25
55120 HCPCS 55120 Removal Of Foreign Body In Scrotum 44 20 $5,925.00 $30.00 99% off $2,095.49 $5,925.00 $3,291.34 2026-03-25
54840 HCPCS 54840 Excision Of Spermatocele With Or Without Ep 44 20 $5,925.00 $30.00 99% off $2,095.49 $5,925.00 $3,291.34 2026-03-25
52204 HCPCS 52204 Cystourethroscopy W Biopsy 44 20 $5,925.00 $30.00 99% off $2,095.49 $5,925.00 $3,291.34 2026-03-25
J9217 HCPCS Leuprolide 30 Mg 4 Months Kit 292 20 $4,878.24 $30.00 99% off $176.45 $14,717.70 $3,257.89 2026-03-25
64788 HCPCS 64788 Excision Of Neurofibroma Or Neurolemmoma Cu 44 20 $5,811.00 $30.00 99% off $2,057.31 $5,811.00 $3,228.01 2026-03-25
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