|
0200
|
RC
|
—
|
5
|
5
|
$1,224.00
|
$979.20
|
$885.93
|
$1,175.04
|
$1,150.56
|
2026-04-24
|
|
0360
|
RC
|
—
|
900
|
10
|
$5,792.85
|
$4,634.28
20% off
|
$327.79
|
$36,399.37
|
$3,542.39
|
2026-04-24
|
|
14061
|
HCPCS
|
Adjacent Tissue Trans Lps Lds 10.1-30.0s
|
21
|
11
|
$2,889.08
|
$2,311.26
20% off
|
$652.79
|
$2,773.52
|
$1,069.38
|
2026-04-24
|
|
14301
|
HCPCS
|
Adjacent Tissue Trans Com All > 30 Sq Cm
|
15
|
11
|
$2,594.51
|
$2,075.61
|
$712.06
|
$2,506.10
|
$1,219.42
|
2026-04-24
|
|
15240
|
HCPCS
|
Full Thick Graft Facial 20 Cm Or <
|
32
|
11
|
$1,786.70
|
$1,429.36
20% off
|
$649.43
|
$2,265.66
|
$1,037.24
|
2026-04-24
|
|
15260
|
HCPCS
|
Full Thickness Graft Nose Lips < 20 Sq C
|
21
|
11
|
$2,503.49
|
$2,002.79
20% off
|
$679.56
|
$2,403.35
|
$1,073.47
|
2026-04-24
|
|
15733
|
HCPCS
|
Muscle Myocutaneous Fasc Fl Head Neck
|
21
|
11
|
$3,926.93
|
$3,141.54
20% off
|
$833.68
|
$3,769.85
|
$1,097.17
|
2026-04-24
|
|
15756
|
HCPCS
|
Free Muscle Flap W/microvas Anastamosis
|
21
|
11
|
$7,127.53
|
$5,702.02
20% off
|
$1,805.78
|
$6,842.43
|
$2,411.81
|
2026-04-24
|
|
15757
|
HCPCS
|
Free Skin Flap W/micro Anastomosis
|
21
|
11
|
$7,118.60
|
$5,694.88
20% off
|
$1,793.30
|
$6,833.86
|
$2,386.31
|
2026-04-24
|
|
15758
|
HCPCS
|
Free Fascia Flap W/micro Anatomosis
|
21
|
11
|
$3,798.36
|
$3,038.69
|
$1,749.53
|
$3,646.43
|
$2,077.42
|
2026-04-24
|
|
19305
|
HCPCS
|
Mastectomy Modified Radial Incl Lumph
|
25
|
11
|
$2,888.20
|
$2,310.56
|
$990.40
|
$2,772.67
|
$1,305.25
|
2026-04-24
|
|
19307
|
HCPCS
|
Mastectomy Modified Radical W/ax Lym Nod
|
25
|
11
|
$2,040.95
|
$1,632.76
20% off
|
$922.35
|
$1,959.31
|
$1,194.00
|
2026-04-24
|
|
20692
|
HCPCS
|
Multiplane External Fixation
|
32
|
11
|
$3,315.58
|
$2,652.46
20% off
|
$153.12
|
$3,182.96
|
$1,128.32
|
2026-04-24
|
|
20696
|
HCPCS
|
Application Multiplane Uni Ext Fix W/com
|
21
|
11
|
$3,376.15
|
$2,700.92
20% off
|
$972.81
|
$3,241.10
|
$1,453.46
|
2026-04-24
|
|
20955
|
HCPCS
|
Bone Graft W/micro Anastomosis Fibula
|
21
|
11
|
$7,765.83
|
$6,212.66
20% off
|
$2,076.34
|
$7,455.20
|
$3,021.95
|
2026-04-24
|
|
20956
|
HCPCS
|
Bone Graft Iliac Crest
|
21
|
11
|
$8,173.44
|
$6,538.75
20% off
|
$2,145.10
|
$7,846.50
|
$3,240.38
|
2026-04-24
|
|
20969
|
HCPCS
|
Free Ostecutaneous Flap W/micro Ana Othe
|
21
|
11
|
$8,668.37
|
$6,934.70
|
$2,143.30
|
$8,321.64
|
$3,323.44
|
2026-04-24
|
|
20970
|
HCPCS
|
Free Ostecutaneous Flap W/micro Ana Ilia
|
21
|
11
|
$8,616.58
|
$6,893.26
20% off
|
$2,314.10
|
$8,271.92
|
$3,493.28
|
2026-04-24
|
|
21044
|
HCPCS
|
Excision Malignant Tumor Mandible
|
21
|
11
|
$2,655.41
|
$2,124.33
|
$704.25
|
$2,549.19
|
$1,061.86
|
2026-04-24
|
|
21045
|
HCPCS
|
Excision Malignant Tumor Mandible Rad Re
|
21
|
11
|
$3,692.85
|
$2,954.28
|
$977.20
|
$3,545.14
|
$1,471.32
|
2026-04-24
|
|
21244
|
HCPCS
|
Reconstruction Mandible Extraoral W/bone
|
21
|
11
|
$3,126.73
|
$2,501.38
20% off
|
$825.02
|
$3,001.66
|
$1,236.68
|
2026-04-24
|
|
22999
|
HCPCS
|
Abdomen Surgery Procedure Unlisted
|
13
|
10
|
$2,701.46
|
$2,161.17
|
$1,244.30
|
$2,593.40
|
$1,931.55
|
2026-04-24
|
|
23412
|
HCPCS
|
Repair Rotator Cuff Chronic
|
21
|
11
|
$2,828.60
|
$2,262.88
|
$720.65
|
$2,715.46
|
$1,051.90
|
2026-04-24
|
|
23455
|
HCPCS
|
Repair With Labral Leg Bankart Procedure
|
21
|
11
|
$3,020.36
|
$2,416.29
|
$804.63
|
$2,899.55
|
$1,224.65
|
2026-04-24
|
|
23470
|
HCPCS
|
Shoulder Hemiarthroplasty
|
21
|
11
|
$3,641.46
|
$2,913.17
|
$991.76
|
$3,495.80
|
$1,476.30
|
2026-04-24
|
|
23472
|
HCPCS
|
Total Shoulder Arthroplasty
|
21
|
11
|
$4,513.27
|
$3,610.62
|
$1,186.33
|
$4,332.74
|
$1,778.62
|
2026-04-24
|
|
24515
|
HCPCS
|
Orif Humeral Shaft Fractue
|
21
|
11
|
$2,630.17
|
$2,104.14
|
$748.27
|
$2,524.96
|
$1,088.44
|
2026-04-24
|
|
27125
|
HCPCS
|
Hip Hemiarthroplasty
|
21
|
11
|
$3,408.04
|
$2,726.43
20% off
|
$942.86
|
$3,271.72
|
$1,392.83
|
2026-04-24
|
|
27130
|
HCPCS
|
Arthroplasty Total Hip W/wo Autograft
|
46
|
11
|
$4,061.88
|
$3,249.50
20% off
|
$169.31
|
$4,177.03
|
$1,247.62
|
2026-04-24
|
|
27245
|
HCPCS
|
Txt Intertrochameric W Intramedullary IM
|
21
|
11
|
$3,724.67
|
$2,979.74
|
$1,018.46
|
$3,575.68
|
$1,509.53
|
2026-04-24
|
|
27447
|
HCPCS
|
Total Knee Arthroplasty Assist
|
46
|
11
|
$1,435.63
|
$1,148.50
20% off
|
$168.97
|
$4,462.32
|
$1,239.30
|
2026-04-24
|
|
29827
|
HCPCS
|
Open Rotar Cuff Repair
|
21
|
11
|
$3,246.62
|
$2,597.30
|
$890.29
|
$3,116.76
|
$1,316.83
|
2026-04-24
|
|
29828
|
HCPCS
|
Arthroscopy Biceps Tenodesis
|
21
|
11
|
$3,251.62
|
$2,601.30
|
$769.11
|
$3,121.56
|
$1,130.38
|
2026-04-24
|
|
29888
|
HCPCS
|
Total Knee Arthroplasty
|
21
|
11
|
$2,981.15
|
$2,384.92
20% off
|
$811.71
|
$2,861.90
|
$1,203.88
|
2026-04-24
|
|
29915
|
HCPCS
|
Total Hip Arthroplasty
|
21
|
11
|
$3,134.15
|
$2,507.32
20% off
|
$850.41
|
$3,008.78
|
$1,265.34
|
2026-04-24
|
|
30410
|
HCPCS
|
Rhinoplasty Primary Complete Ext Parts
|
21
|
11
|
$3,794.77
|
$3,035.82
|
$1,232.20
|
$3,642.98
|
$1,462.89
|
2026-04-24
|
|
30420
|
HCPCS
|
Rhinoplasty Primary Inc Maj Scent Repair
|
21
|
11
|
$4,148.84
|
$3,319.07
20% off
|
$1,201.96
|
$3,982.89
|
$1,611.71
|
2026-04-24
|
|
31225
|
HCPCS
|
Maxillectomy Wo Orbital Exenteration
|
21
|
11
|
$5,455.39
|
$4,364.31
20% off
|
$1,453.39
|
$5,237.17
|
$2,158.76
|
2026-04-24
|
|
31230
|
HCPCS
|
Maxillectomy W Orbital Exenteration En B
|
21
|
11
|
$6,154.31
|
$4,923.45
|
$1,608.84
|
$5,908.14
|
$2,385.67
|
2026-04-24
|
|
31290
|
HCPCS
|
Nasal Sin End Surg W Rep Cereb Leak Ethm
|
21
|
11
|
$3,602.61
|
$2,882.09
|
$914.50
|
$3,458.51
|
$1,341.45
|
2026-04-24
|
|
31291
|
HCPCS
|
Nasal Sin End Surg W Rep Cereb Leak Sphe
|
21
|
11
|
$3,794.77
|
$3,035.82
|
$985.02
|
$3,642.98
|
$1,428.95
|
2026-04-24
|
|
31360
|
HCPCS
|
Laryngectomy Total Wo Radical Neck Disse
|
21
|
11
|
$5,880.66
|
$4,704.53
|
$1,662.39
|
$5,645.43
|
$2,444.96
|
2026-04-24
|
|
31365
|
HCPCS
|
Laryngectomy Total W Radical Neck Disse
|
21
|
11
|
$7,391.27
|
$5,913.02
|
$2,041.66
|
$7,095.62
|
$3,018.17
|
2026-04-24
|
|
31367
|
HCPCS
|
Laryngectomy Subtot Supragiotic Wo Rad
|
21
|
11
|
$6,808.58
|
$5,446.86
20% off
|
$1,768.50
|
$6,536.24
|
$2,585.20
|
2026-04-24
|
|
31368
|
HCPCS
|
Laryngectomy Subtot Supragiotic W Rad
|
21
|
11
|
$7,262.57
|
$5,810.06
|
$1,949.95
|
$6,972.07
|
$2,871.40
|
2026-04-24
|
|
31370
|
HCPCS
|
Partial Laryngetomy Horizontal
|
21
|
11
|
$6,089.72
|
$4,871.78
|
$1,666.45
|
$5,846.13
|
$2,431.06
|
2026-04-24
|
|
31375
|
HCPCS
|
Partial Laryngetomy Laterovertical
|
21
|
11
|
$5,726.35
|
$4,581.08
20% off
|
$1,586.78
|
$5,497.30
|
$2,303.49
|
2026-04-24
|
|
31380
|
HCPCS
|
Partial Laryngetomy Anterovertical
|
21
|
11
|
$5,663.94
|
$4,531.15
20% off
|
$1,565.70
|
$5,437.38
|
$2,274.06
|
2026-04-24
|
|
31382
|
HCPCS
|
Partial Laryngetomy Anter Latero Vertica
|
21
|
11
|
$6,198.04
|
$4,958.43
20% off
|
$1,708.61
|
$5,950.12
|
$2,494.84
|
2026-04-24
|
|
31390
|
HCPCS
|
Pharyngolaryngectomy W Radical Neck Diss
|
21
|
11
|
$8,277.46
|
$6,621.97
|
$2,241.24
|
$7,946.36
|
$3,348.53
|
2026-04-24
|
|
31395
|
HCPCS
|
Pharyngolaryngectomy W Rad Nk Dis Recon
|
21
|
11
|
$8,842.81
|
$7,074.25
|
$2,353.81
|
$8,489.10
|
$3,533.33
|
2026-04-24
|
|
31582
|
HCPCS
|
Laryngoplasty Rem Web 2 Stage W Keel Ins
|
9
|
9
|
$5,400.91
|
$4,320.73
|
$2,538.43
|
$5,184.87
|
$3,861.65
|
2026-04-24
|
|
31780
|
HCPCS
|
Excision Trach Stenosis & Anastomosis Ce
|
21
|
11
|
$3,690.86
|
$2,952.69
|
$952.16
|
$3,543.23
|
$1,402.38
|
2026-04-24
|
|
36561
|
HCPCS
|
Insertion Tunneled Cvd > 5yo
|
46
|
11
|
$2,380.94
|
$1,904.75
20% off
|
$44.59
|
$2,285.70
|
$1,096.66
|
2026-04-24
|
|
36566
|
HCPCS
|
Insert Tunneled Cv Cath
|
21
|
11
|
$1,340.48
|
$1,072.38
20% off
|
$308.64
|
$7,657.19
|
$1,260.05
|
2026-04-24
|
|
37617
|
HCPCS
|
Ligation Major Artery Abdomen
|
21
|
11
|
$3,766.37
|
$3,013.10
|
$1,093.12
|
$3,615.72
|
$1,613.76
|
2026-04-24
|
|
37660
|
HCPCS
|
Litgation Of Common Iliac Vein
|
21
|
11
|
$2,845.36
|
$2,276.29
|
$1,100.88
|
$2,731.55
|
$1,310.57
|
2026-04-24
|
|
38115
|
HCPCS
|
Repair Ruptured Spleen W/wo Part Splenec
|
46
|
11
|
$2,545.13
|
$2,036.10
20% off
|
$173.40
|
$2,443.32
|
$1,246.32
|
2026-04-24
|
|
38720
|
HCPCS
|
Cervical Lymphadenectomy Complete
|
21
|
11
|
$3,850.50
|
$3,080.40
20% off
|
$1,096.37
|
$3,696.48
|
$1,532.03
|
2026-04-24
|
|
38724
|
HCPCS
|
Cervical Lymphadenectomy Mod Rad Nk Diss
|
21
|
11
|
$4,199.36
|
$3,359.49
|
$1,163.47
|
$4,031.39
|
$1,653.89
|
2026-04-24
|
|
41120
|
HCPCS
|
Glossectomy Less Than One Half Tongue
|
21
|
11
|
$3,164.58
|
$2,531.66
20% off
|
$894.18
|
$3,038.00
|
$1,283.51
|
2026-04-24
|
|
41130
|
HCPCS
|
Glossectomy Hemiglossectomy
|
21
|
11
|
$3,874.62
|
$3,099.70
|
$1,086.10
|
$3,719.64
|
$1,584.21
|
2026-04-24
|
|
41135
|
HCPCS
|
Glossectomy Partial W Uni Rad Nk Dissect
|
21
|
11
|
$6,452.12
|
$5,161.70
|
$1,762.69
|
$6,194.04
|
$2,616.91
|
2026-04-24
|
|
41150
|
HCPCS
|
Glossectomy Composite Wo Rad Nk Dissect
|
21
|
11
|
$6,582.10
|
$5,265.68
20% off
|
$1,785.33
|
$6,318.82
|
$2,641.87
|
2026-04-24
|
|
41155
|
HCPCS
|
Glossectomy Commando Type Com Res Fl Mo
|
21
|
11
|
$8,746.12
|
$6,996.90
|
$2,406.42
|
$8,396.28
|
$3,628.00
|
2026-04-24
|
|
42120
|
HCPCS
|
Resection Palate Of Ext Resection Lessio
|
21
|
11
|
$2,899.06
|
$2,319.25
|
$836.20
|
$2,783.10
|
$1,211.97
|
2026-04-24
|
|
42415
|
HCPCS
|
Excision Parotid Tumor Lateral Lob W Dis
|
21
|
11
|
$3,446.66
|
$2,757.33
|
$848.97
|
$3,308.79
|
$1,260.63
|
2026-04-24
|
|
42420
|
HCPCS
|
Excision Parotid Tumor Total W Dissectio
|
21
|
11
|
$3,958.23
|
$3,166.58
20% off
|
$947.06
|
$3,799.90
|
$1,416.60
|
2026-04-24
|
|
42426
|
HCPCS
|
Excision Parotid Tumor Tot W Uni Rad Nk
|
21
|
11
|
$3,260.73
|
$2,608.58
20% off
|
$1,075.19
|
$3,130.30
|
$1,501.89
|
2026-04-24
|
|
42842
|
HCPCS
|
Radical Resection Of Tonsil Wo Closure
|
21
|
11
|
$2,889.84
|
$2,311.87
20% off
|
$835.17
|
$2,774.25
|
$1,208.64
|
2026-04-24
|
|
42890
|
HCPCS
|
Limited Pharyngectomy
|
21
|
11
|
$4,130.02
|
$3,304.02
|
$1,153.61
|
$3,964.82
|
$1,716.47
|
2026-04-24
|
|
42892
|
HCPCS
|
Resection Lateral Pharyngeal Wall Direct
|
21
|
11
|
$5,391.41
|
$4,313.13
|
$1,510.18
|
$5,175.75
|
$2,252.99
|
2026-04-24
|
|
42894
|
HCPCS
|
Resection Of Pharyngeal Wall W Clos W Fl
|
21
|
11
|
$6,933.11
|
$5,546.49
|
$1,907.97
|
$6,655.79
|
$2,851.07
|
2026-04-24
|
|
42953
|
HCPCS
|
Pharyngoesophageal Repair
|
21
|
11
|
$2,268.27
|
$1,814.62
|
$816.33
|
$2,177.54
|
$1,044.77
|
2026-04-24
|
|
43280
|
HCPCS
|
Laproscopic Fundoplasty
|
36
|
11
|
$2,978.23
|
$2,382.58
20% off
|
$146.21
|
$2,973.47
|
$1,316.36
|
2026-04-24
|
|
43281
|
HCPCS
|
Laproscopic Fundoplasty Repair Without Mesh
|
25
|
11
|
$4,176.82
|
$3,341.46
|
$1,286.76
|
$4,009.75
|
$1,900.46
|
2026-04-24
|
|
43282
|
HCPCS
|
Laproscopic Paraesophageal Hernia Repair
|
21
|
11
|
$5,570.84
|
$4,456.67
20% off
|
$1,446.03
|
$5,348.01
|
$2,094.11
|
2026-04-24
|
|
43310
|
HCPCS
|
Repair Esophagoplasty
|
21
|
11
|
$4,067.77
|
$3,254.22
|
$1,266.90
|
$3,905.06
|
$1,785.09
|
2026-04-24
|
|
43336
|
HCPCS
|
Repair Combined Thoracoabd W/dial Strict
|
21
|
11
|
$2,671.48
|
$2,137.18
20% off
|
$1,230.49
|
$2,564.62
|
$1,433.18
|
2026-04-24
|
|
43501
|
HCPCS
|
Incision Stomach W/suture Repair
|
32
|
11
|
$3,579.60
|
$2,863.68
20% off
|
$183.13
|
$3,436.42
|
$1,349.44
|
2026-04-24
|
|
43774
|
HCPCS
|
Lap Mvl Gastro Adjust All Parts
|
21
|
11
|
$2,964.36
|
$2,371.49
|
$818.75
|
$2,845.79
|
$1,157.07
|
2026-04-24
|
|
43820
|
HCPCS
|
Gastrojejunostomy Wo Vagotomy
|
21
|
11
|
$3,819.71
|
$3,055.77
|
$1,136.39
|
$3,666.92
|
$1,620.81
|
2026-04-24
|
|
43832
|
HCPCS
|
Gastrostomy W/gastric Tube Construction
|
25
|
11
|
$1,868.24
|
$1,494.59
20% off
|
$844.30
|
$1,793.51
|
$1,045.00
|
2026-04-24
|
|
43840
|
HCPCS
|
Gastrorrhapy Suture Of Duo Gas Ulcer
|
21
|
11
|
$2,677.14
|
$2,141.71
20% off
|
$1,149.76
|
$2,570.05
|
$1,335.44
|
2026-04-24
|
|
43860
|
HCPCS
|
Revision Gastrojejunostomy W/reconstruct
|
25
|
11
|
$5,117.89
|
$4,094.31
20% off
|
$1,370.69
|
$4,913.17
|
$2,098.65
|
2026-04-24
|
|
44005
|
HCPCS
|
Enterolysis Intestinal Adhesion
|
25
|
11
|
$3,403.43
|
$2,722.74
20% off
|
$922.84
|
$3,267.29
|
$1,403.14
|
2026-04-24
|
|
44020
|
HCPCS
|
Enterotomy Small Intestine
|
21
|
11
|
$2,794.75
|
$2,235.80
|
$827.22
|
$2,682.96
|
$1,174.95
|
2026-04-24
|
|
44110
|
HCPCS
|
Excision 1+ Lesions Small Large Intestin
|
25
|
11
|
$2,538.01
|
$2,030.41
|
$723.66
|
$2,436.49
|
$1,088.92
|
2026-04-24
|
|
44120
|
HCPCS
|
Enterectomy Resec Sml Intest Single Anas
|
36
|
11
|
$3,419.02
|
$2,735.22
|
$1,027.90
|
$3,413.55
|
$1,490.71
|
2026-04-24
|
|
44130
|
HCPCS
|
Anastomosis Intestine Separate Procedure
|
25
|
11
|
$3,062.31
|
$2,449.85
|
$1,114.08
|
$2,939.82
|
$1,410.50
|
2026-04-24
|
|
44140
|
HCPCS
|
Colectomy Partial With Anastomosis
|
25
|
11
|
$4,403.12
|
$3,522.50
|
$1,132.19
|
$4,227.00
|
$1,720.38
|
2026-04-24
|
|
44141
|
HCPCS
|
Colectomy Partial With Skin Level Cecost
|
25
|
11
|
$2,989.76
|
$2,391.81
|
$1,351.14
|
$2,870.17
|
$1,796.82
|
2026-04-24
|
|
44145
|
HCPCS
|
Colectomy With Coloproctostomy
|
25
|
11
|
$3,329.33
|
$2,663.46
20% off
|
$1,379.08
|
$3,196.16
|
$1,618.30
|
2026-04-24
|
|
44160
|
HCPCS
|
Colectomy Partial W/rem Ileum W/ileoco
|
25
|
11
|
$3,580.05
|
$2,864.04
20% off
|
$1,049.00
|
$3,436.85
|
$1,585.77
|
2026-04-24
|
|
44180
|
HCPCS
|
Laparoscopy Surgical Enterolysis
|
43
|
11
|
$2,558.56
|
$2,046.85
|
$195.91
|
$2,850.25
|
$1,183.51
|
2026-04-24
|
|
44187
|
HCPCS
|
Lap Ileostomy
|
21
|
11
|
$2,562.96
|
$2,050.37
|
$935.17
|
$2,460.44
|
$1,180.50
|
2026-04-24
|
|
44202
|
HCPCS
|
Laparoscopy Resection Of Small Intest
|
49
|
11
|
$2,738.05
|
$2,190.44
20% off
|
$186.77
|
$3,728.63
|
$1,355.84
|
2026-04-24
|
|
44204
|
HCPCS
|
Laparoscopy Colectomy Partial
|
50
|
11
|
$4,419.50
|
$3,535.60
20% off
|
$205.68
|
$4,242.72
|
$1,961.02
|
2026-04-24
|
|
44205
|
HCPCS
|
Laparoscopy Colectomy Partial
|
40
|
11
|
$3,566.21
|
$2,852.97
|
$178.79
|
$3,560.51
|
$1,659.27
|
2026-04-24
|
|
44206
|
HCPCS
|
Lap Part Colectomy W/stoma
|
21
|
11
|
$4,573.03
|
$3,658.42
20% off
|
$1,455.15
|
$4,390.11
|
$2,106.33
|
2026-04-24
|
|
44207
|
HCPCS
|
Colectomy Partial With End Colostomy
|
46
|
11
|
$3,675.74
|
$2,940.59
20% off
|
$241.04
|
$4,950.49
|
$1,767.83
|
2026-04-24
|
|
44210
|
HCPCS
|
Laparoscopy Colectomy Total
|
21
|
11
|
$4,624.99
|
$3,699.99
20% off
|
$1,490.35
|
$4,439.99
|
$2,130.28
|
2026-04-24
|
|
44238
|
HCPCS
|
Laparoscopy Procedure Intestine
|
13
|
10
|
$4,658.54
|
$3,726.83
20% off
|
$2,145.72
|
$4,472.20
|
$3,330.86
|
2026-04-24
|
|
44300
|
HCPCS
|
Enterostomy Or Cecostomy Tube Sep Proced
|
25
|
11
|
$2,692.32
|
$2,153.86
|
$719.98
|
$2,584.63
|
$1,082.43
|
2026-04-24
|
|
44320
|
HCPCS
|
Colostomy Or Skin Level Cecostomy
|
36
|
11
|
$4,062.67
|
$3,250.14
|
$1,018.47
|
$4,056.17
|
$1,464.24
|
2026-04-24
|
|
44345
|
HCPCS
|
Large Bowel Stoma
|
21
|
11
|
$2,188.18
|
$1,750.54
20% off
|
$896.96
|
$2,100.65
|
$1,041.83
|
2026-04-24
|
|
44602
|
HCPCS
|
Suture Repair Of Small Intest Perf Ulcer
|
21
|
11
|
$2,776.16
|
$2,220.93
|
$1,167.90
|
$2,665.11
|
$1,356.51
|
2026-04-24
|
|
44603
|
HCPCS
|
Suture Repair Of Small Intestine Multipl
|
25
|
11
|
$2,774.30
|
$2,219.44
20% off
|
$1,253.77
|
$2,663.33
|
$1,578.57
|
2026-04-24
|
|
44604
|
HCPCS
|
Suture Large Intestine
|
21
|
11
|
$3,272.48
|
$2,617.98
20% off
|
$883.46
|
$3,141.58
|
$1,277.26
|
2026-04-24
|
|
44626
|
HCPCS
|
Closure Of Enterostomy With Resection
|
21
|
11
|
$4,505.52
|
$3,604.42
|
$1,323.54
|
$4,325.30
|
$1,931.08
|
2026-04-24
|
|
44640
|
HCPCS
|
Closure Intestinal Cuntaneous Fistula
|
25
|
11
|
$2,812.35
|
$2,249.88
|
$1,166.43
|
$2,699.86
|
$1,368.76
|
2026-04-24
|
|
44650
|
HCPCS
|
Closure Enteroenteric/enterocolic Fistul
|
21
|
11
|
$4,075.73
|
$3,260.58
20% off
|
$1,203.61
|
$3,912.70
|
$1,741.42
|
2026-04-24
|
|
44899
|
HCPCS
|
Unlisted Procedure Meckels Diverticulum
|
13
|
10
|
$2,131.17
|
$1,704.94
|
$981.62
|
$2,045.92
|
$1,523.79
|
2026-04-24
|
|
44960
|
HCPCS
|
Appendectomy For Ruptured Appendix
|
25
|
11
|
$2,969.69
|
$2,375.75
20% off
|
$744.96
|
$2,850.90
|
$1,128.74
|
2026-04-24
|
|
45110
|
HCPCS
|
Protectomy Complete With Colostomy
|
21
|
11
|
$5,204.60
|
$4,163.68
20% off
|
$1,532.42
|
$4,996.42
|
$2,218.06
|
2026-04-24
|
|
45111
|
HCPCS
|
Excision Partial Resection Of Rectum
|
25
|
11
|
$1,926.75
|
$1,541.40
|
$870.74
|
$1,849.68
|
$1,081.74
|
2026-04-24
|
|
45160
|
HCPCS
|
Excision Rectal Tumor By Proctotomy
|
21
|
11
|
$2,897.44
|
$2,317.95
20% off
|
$880.47
|
$2,781.54
|
$1,235.26
|
2026-04-24
|
|
45541
|
HCPCS
|
Proctopexy For Prolapse Perneal Approach
|
21
|
11
|
$2,444.26
|
$1,955.41
|
$812.49
|
$2,346.49
|
$1,125.82
|
2026-04-24
|
|
45562
|
HCPCS
|
Explore Repair Drain For Rectal Injury
|
25
|
11
|
$1,879.49
|
$1,503.59
20% off
|
$849.38
|
$1,804.31
|
$1,188.61
|
2026-04-24
|
|
47015
|
HCPCS
|
Laparotomy W/aspiration And/or Injection
|
25
|
11
|
$2,007.15
|
$1,605.72
20% off
|
$907.08
|
$1,926.86
|
$1,168.54
|
2026-04-24
|
|
47350
|
HCPCS
|
Management Liver Hemorrhage Simple
|
25
|
11
|
$3,831.46
|
$3,065.17
|
$1,164.44
|
$3,678.20
|
$1,731.53
|
2026-04-24
|
|
47564
|
HCPCS
|
Lap Cholecystectomy W/exploration Duct
|
32
|
11
|
$3,007.48
|
$2,405.98
20% off
|
$958.12
|
$2,977.42
|
$1,413.52
|
2026-04-24
|
|
47605
|
HCPCS
|
Cholecystectomy Excision W/cholangiograp
|
11
|
11
|
$2,406.98
|
$1,925.58
20% off
|
$958.76
|
$2,310.70
|
$1,125.08
|
2026-04-24
|
|
47801
|
HCPCS
|
Placement Of Choledochal Stent
|
25
|
11
|
$2,907.70
|
$2,326.16
20% off
|
$939.71
|
$2,791.39
|
$1,339.29
|
2026-04-24
|
|
48140
|
HCPCS
|
Pancreatectomy Distal Subtotal
|
32
|
11
|
$4,406.43
|
$3,525.14
20% off
|
$210.83
|
$4,230.17
|
$1,553.50
|
2026-04-24
|
|
49002
|
HCPCS
|
Reopening Recent Laparotomy
|
25
|
11
|
$2,662.63
|
$2,130.10
20% off
|
$881.79
|
$2,556.12
|
$1,226.41
|
2026-04-24
|
|
49010
|
HCPCS
|
Exploration Behind Abdomen
|
21
|
11
|
$2,564.66
|
$2,051.73
|
$782.52
|
$2,462.07
|
$1,118.81
|
2026-04-24
|
|
49020
|
HCPCS
|
Incision Drainage Of Peritoneal Abscess
|
21
|
11
|
$3,304.33
|
$2,643.46
20% off
|
$1,347.83
|
$3,172.16
|
$1,565.51
|
2026-04-24
|
|
49560
|
HCPCS
|
Repair Init Incision Ventral Hernia Redu
|
15
|
11
|
$2,443.96
|
$1,955.17
|
$688.57
|
$2,346.20
|
$1,104.48
|
2026-04-24
|
|
49561
|
HCPCS
|
Repair Recurrent Ventral Hernia Strangul
|
15
|
11
|
$2,902.73
|
$2,322.18
20% off
|
$866.56
|
$2,786.62
|
$1,311.81
|
2026-04-24
|
|
49565
|
HCPCS
|
Repair Recurrent Incision Ventral Hernia
|
15
|
11
|
$2,464.80
|
$1,971.84
20% off
|
$716.70
|
$2,366.21
|
$1,113.90
|
2026-04-24
|
|
49566
|
HCPCS
|
Repair Recur Incis Ventral Hernia Incarc
|
15
|
11
|
$2,951.61
|
$2,361.29
|
$874.23
|
$2,833.55
|
$1,333.90
|
2026-04-24
|
|
49618
|
HCPCS
|
Rep Ant Abd Hernia Rcr >10 Ncr/strn
|
19
|
11
|
$3,392.80
|
$2,714.24
20% off
|
$1,022.64
|
$3,257.09
|
$1,211.32
|
2026-04-24
|
|
49654
|
HCPCS
|
Laprascopy Surg Repair Incisional Hernia
|
15
|
11
|
$2,525.63
|
$2,020.50
20% off
|
$787.69
|
$2,424.60
|
$1,055.12
|
2026-04-24
|
|
49655
|
HCPCS
|
Laparoscopy Surg Rep Incar Strang Hernia
|
15
|
11
|
$2,622.83
|
$2,098.26
20% off
|
$965.05
|
$2,517.92
|
$1,185.32
|
2026-04-24
|
|
49656
|
HCPCS
|
Lap Repair Incisional Recurrent Hernia
|
15
|
11
|
$2,323.57
|
$1,858.86
|
$855.73
|
$2,230.63
|
$1,050.07
|
2026-04-24
|
|
49657
|
HCPCS
|
Laparascopy Surg Rep Incar Strang Hern
|
15
|
11
|
$3,340.85
|
$2,672.68
20% off
|
$1,229.41
|
$3,207.22
|
$1,509.81
|
2026-04-24
|
|
49659
|
HCPCS
|
Unlisted Laparoscopy Procedure Hemioplas
|
17
|
10
|
$2,323.57
|
$1,858.86
|
$1,092.08
|
$2,319.85
|
$1,661.36
|
2026-04-24
|
|
49900
|
HCPCS
|
Suture 2ndary Abdom Wall F/evisc/dehisce
|
25
|
11
|
$2,759.42
|
$2,207.54
|
$723.57
|
$2,649.04
|
$1,053.44
|
2026-04-24
|
|
52648
|
HCPCS
|
Laser Vaporation Of Prostate
|
33
|
11
|
$1,956.67
|
$1,565.34
|
$489.69
|
$6,784.08
|
$1,878.40
|
2026-04-24
|
|
53415
|
HCPCS
|
Urethroplasty 1st Stage Recon Prost Uret
|
21
|
11
|
$2,232.44
|
$1,785.95
20% off
|
$939.24
|
$2,143.14
|
$1,090.93
|
2026-04-24
|
|
58180
|
HCPCS
|
Supracervical Abd Hysterectomy
|
50
|
11
|
$2,947.43
|
$2,357.94
20% off
|
$127.09
|
$2,829.53
|
$1,246.90
|
2026-04-24
|
|
58943
|
HCPCS
|
Oophorectomy For Ovarian, Tubal Peri Mal
|
25
|
11
|
$2,140.72
|
$1,712.58
|
$967.44
|
$2,055.09
|
$1,203.24
|
2026-04-24
|
|
59510
|
HCPCS
|
Cesarean Delivery Incl Ante/del/post Car
|
25
|
11
|
$4,535.48
|
$3,628.38
20% off
|
$2,049.69
|
$4,354.06
|
$2,567.66
|
2026-04-24
|
|
60212
|
HCPCS
|
Partial Thyroid Lob Uni W/cont Sub Lob
|
21
|
11
|
$2,990.52
|
$2,392.42
|
$877.43
|
$2,870.90
|
$1,162.62
|
2026-04-24
|
|
60225
|
HCPCS
|
Total Thyroid Lob Uni W/cont Sub Lobecto
|
21
|
11
|
$2,751.39
|
$2,201.11
20% off
|
$775.28
|
$2,641.33
|
$1,070.63
|
2026-04-24
|
|
60240
|
HCPCS
|
Thyroidectomy Total Or Complete
|
21
|
11
|
$2,928.61
|
$2,342.89
|
$756.87
|
$2,811.47
|
$1,058.64
|
2026-04-24
|
|
60252
|
HCPCS
|
Thyroidectomy Mal W/limited Neck Dissect
|
21
|
11
|
$3,944.93
|
$3,155.94
20% off
|
$1,077.27
|
$3,787.13
|
$1,520.57
|
2026-04-24
|
|
60254
|
HCPCS
|
Thyroidectomy Mal W/radical Neck Dissect
|
21
|
11
|
$5,127.72
|
$4,102.18
|
$1,354.59
|
$4,922.61
|
$1,925.30
|
2026-04-24
|
|
60500
|
HCPCS
|
Parathyroidectomy Or Exploratoin Parathy
|
21
|
11
|
$3,018.27
|
$2,414.62
|
$810.51
|
$2,897.54
|
$1,114.62
|
2026-04-24
|
|
60502
|
HCPCS
|
Parathyroidectomy Or Re-exploration
|
21
|
11
|
$3,796.41
|
$3,037.13
|
$1,090.91
|
$3,644.55
|
$1,491.36
|
2026-04-24
|
|
61575
|
HCPCS
|
Transoral Approach
|
21
|
11
|
$6,938.94
|
$5,551.15
20% off
|
$2,122.00
|
$6,661.38
|
$2,945.78
|
2026-04-24
|
|
61580
|
HCPCS
|
Craniofacial Anterior Cranial Fossa Wo M
|
21
|
11
|
$7,307.50
|
$5,846.00
20% off
|
$2,019.83
|
$7,015.20
|
$2,816.54
|
2026-04-24
|
|
61581
|
HCPCS
|
Craniofacial Anterior Cranial Fossa Inc
|
21
|
11
|
$8,067.29
|
$6,453.83
20% off
|
$2,173.14
|
$7,744.60
|
$3,047.42
|
2026-04-24
|
|
61582
|
HCPCS
|
Craniofacial Approach Anterior Fossa
|
21
|
11
|
$8,236.74
|
$6,589.39
20% off
|
$2,732.47
|
$7,907.27
|
$3,544.39
|
2026-04-24
|
|
61583
|
HCPCS
|
Craniofacial Approach Ant Fossa Intradur
|
21
|
11
|
$8,395.16
|
$6,716.13
|
$2,584.28
|
$8,059.35
|
$3,370.73
|
2026-04-24
|
|
61584
|
HCPCS
|
Orbitocranial Approach Ant Cran Fos Extr
|
21
|
11
|
$8,194.95
|
$6,555.96
20% off
|
$2,509.17
|
$7,867.15
|
$3,349.92
|
2026-04-24
|
|
61585
|
HCPCS
|
Orbitocranial App Ant Cran Fos Extr W/ex
|
21
|
11
|
$8,753.23
|
$7,002.58
20% off
|
$2,872.73
|
$8,403.10
|
$3,808.88
|
2026-04-24
|
|
61586
|
HCPCS
|
Bicoronal Trans +/- Lefort I Osteotomy
|
21
|
11
|
$6,342.61
|
$5,074.09
|
$2,339.36
|
$6,088.91
|
$2,822.55
|
2026-04-24
|
|
61590
|
HCPCS
|
Infratemporal Pre Auricular Mid Cran Fos
|
21
|
11
|
$9,261.18
|
$7,408.94
20% off
|
$2,434.07
|
$8,890.73
|
$3,528.38
|
2026-04-24
|
|
61591
|
HCPCS
|
Infratemporal Post Auricular Mid Cran Fo
|
21
|
11
|
$9,328.86
|
$7,463.09
|
$2,516.11
|
$8,955.71
|
$3,566.80
|
2026-04-24
|
|
61592
|
HCPCS
|
Orbitocranial Zygomatic App Mid Cran Fos
|
21
|
11
|
$9,148.60
|
$7,318.88
20% off
|
$2,687.72
|
$8,782.66
|
$3,704.04
|
2026-04-24
|
|
61600
|
HCPCS
|
Resection Excision Lesion Cran Foss Extr
|
21
|
11
|
$6,261.21
|
$5,008.97
|
$1,739.76
|
$6,010.76
|
$2,464.02
|
2026-04-24
|
|
61601
|
HCPCS
|
Resection Excision Lesion Cran Foss Intr
|
21
|
11
|
$6,822.26
|
$5,457.81
|
$2,127.25
|
$6,549.37
|
$2,804.94
|
2026-04-24
|
|
61605
|
HCPCS
|
Resection Excision Lesion Infra Foss Ext
|
21
|
11
|
$3,751.17
|
$3,000.94
|
$1,727.79
|
$3,601.12
|
$2,036.31
|
2026-04-24
|
|
61606
|
HCPCS
|
Resection Excision Lesion Infra Foss Int
|
21
|
11
|
$8,674.62
|
$6,939.70
|
$2,429.85
|
$8,327.64
|
$3,429.15
|
2026-04-24
|
|
61607
|
HCPCS
|
Resection Excision Lesion Parasellar Ext
|
21
|
11
|
$8,133.20
|
$6,506.56
|
$2,242.41
|
$7,807.87
|
$3,114.24
|
2026-04-24
|
|
61608
|
HCPCS
|
Resection Excision Lesion Parasellar Int
|
21
|
11
|
$9,471.56
|
$7,577.25
|
$2,790.13
|
$9,092.70
|
$3,829.28
|
2026-04-24
|
|
61618
|
HCPCS
|
Sec Rep Dura Csf Ant Mid Post Cran Fossa
|
21
|
11
|
$3,775.06
|
$3,020.05
|
$1,086.98
|
$3,624.06
|
$1,502.90
|
2026-04-24
|
|
61619
|
HCPCS
|
Sec Rep Dura Local/reg Vasc Ped/myoc Fla
|
21
|
11
|
$4,387.95
|
$3,510.36
|
$1,379.03
|
$4,212.43
|
$1,656.15
|
2026-04-24
|
|
64885
|
HCPCS
|
Nerve Graft Inc Obt Grt Head Neck 0-4 Cm
|
21
|
11
|
$3,467.50
|
$2,774.00
20% off
|
$858.03
|
$3,328.80
|
$1,286.03
|
2026-04-24
|
|
64886
|
HCPCS
|
Nerve Graft Inc Obt Grt Head Neck > 4 Cm
|
21
|
11
|
$4,092.69
|
$3,274.15
20% off
|
$1,029.68
|
$3,928.98
|
$1,491.70
|
2026-04-24
|
|
64999
|
HCPCS
|
Unlisted Procedure Nervous System
|
13
|
10
|
$2,595.29
|
$2,076.23
20% off
|
$1,195.39
|
$2,491.48
|
$1,855.63
|
2026-04-24
|
|
70336
|
HCPCS
|
MRI Temporomandibular Joints
|
13
|
11
|
$2,772.94
|
$2,218.35
20% off
|
$236.58
|
$2,662.02
|
$1,303.28
|
2026-04-24
|
|
70460
|
HCPCS
|
CT Scan Head W/con
|
13
|
11
|
$2,752.08
|
$2,201.66
20% off
|
$135.71
|
$2,642.00
|
$1,293.48
|
2026-04-24
|
|
70470
|
HCPCS
|
CT Scan Hd W&without Con
|
13
|
11
|
$2,830.81
|
$2,264.65
|
$158.36
|
$2,717.58
|
$1,330.48
|
2026-04-24
|
|
70481
|
HCPCS
|
CT Orbit/sella/outer/mid/inner Ear W/con
|
13
|
11
|
$2,889.72
|
$2,311.78
|
$164.01
|
$2,774.13
|
$1,358.17
|
2026-04-24
|
|
70482
|
HCPCS
|
CT Orbit/sella/ear With & Without Contrast
|
13
|
11
|
$3,462.16
|
$2,769.73
|
$190.88
|
$3,323.67
|
$1,627.22
|
2026-04-24
|
|
70487
|
HCPCS
|
CT Maxillofacial/sinus W/con
|
13
|
11
|
$2,534.19
|
$2,027.35
20% off
|
$138.72
|
$2,432.82
|
$1,191.07
|
2026-04-24
|
|
70488
|
HCPCS
|
CT Maxillofacial/sinus W & Without Contrast
|
13
|
11
|
$3,462.16
|
$2,769.73
|
$168.30
|
$3,323.67
|
$1,627.22
|
2026-04-24
|
|
70491
|
HCPCS
|
CT Scan Neck (soft Tissue) W Contrast
|
13
|
11
|
$2,305.97
|
$1,844.78
|
$167.98
|
$2,213.73
|
$1,083.81
|
2026-04-24
|
|
70492
|
HCPCS
|
CT Scan Neck (soft Tissue) W&wocontrast
|
13
|
11
|
$2,761.14
|
$2,208.91
20% off
|
$201.31
|
$2,650.69
|
$1,297.74
|
2026-04-24
|
|
70540
|
HCPCS
|
MRI Orbit/face/neck Wo Contrast
|
13
|
11
|
$2,772.94
|
$2,218.35
20% off
|
$204.95
|
$2,662.02
|
$1,303.28
|
2026-04-24
|
|
70542
|
HCPCS
|
MRI Orbit/face/neck W/contrast
|
13
|
11
|
$2,772.94
|
$2,218.35
20% off
|
$243.37
|
$2,662.02
|
$1,303.28
|
2026-04-24
|
|
70543
|
HCPCS
|
MRI Orbit/face/neck W/wo Contrast
|
13
|
11
|
$4,209.05
|
$3,367.24
20% off
|
$307.89
|
$4,040.69
|
$1,978.25
|
2026-04-24
|
|
70544
|
HCPCS
|
MRA Head Wo Contrast
|
13
|
11
|
$2,987.93
|
$2,390.34
20% off
|
$195.73
|
$2,868.41
|
$1,404.33
|
2026-04-24
|
|
70545
|
HCPCS
|
MRA Head With Contrast
|
13
|
11
|
$2,987.93
|
$2,390.34
20% off
|
$206.26
|
$2,868.41
|
$1,404.33
|
2026-04-24
|
|
70546
|
HCPCS
|
MRA Brain W/wo Contrast
|
13
|
11
|
$4,780.20
|
$3,824.16
20% off
|
$298.02
|
$4,588.99
|
$2,246.69
|
2026-04-24
|
|
70547
|
HCPCS
|
MRA Neck Wo Contrast
|
13
|
11
|
$2,987.93
|
$2,390.34
20% off
|
$195.73
|
$2,868.41
|
$1,404.33
|
2026-04-24
|
|
70548
|
HCPCS
|
MRA Neck With Contrast
|
13
|
11
|
$2,987.93
|
$2,390.34
20% off
|
$224.09
|
$2,868.41
|
$1,404.33
|
2026-04-24
|
|
70549
|
HCPCS
|
MRA Neck With And Without Contrast
|
25
|
11
|
$4,780.20
|
$3,824.16
20% off
|
$312.91
|
$4,879.83
|
$2,389.09
|
2026-04-24
|
|
70551
|
HCPCS
|
MRI Head Wo Contrast
|
13
|
11
|
$2,824.34
|
$2,259.47
20% off
|
$178.97
|
$2,711.37
|
$1,327.44
|
2026-04-24
|
|
70552
|
HCPCS
|
MRI Head W/contrast
|
13
|
11
|
$2,824.34
|
$2,259.47
20% off
|
$245.80
|
$2,711.37
|
$1,327.44
|
2026-04-24
|
|
70553
|
HCPCS
|
MRI Head W/wo Contrast
|
13
|
11
|
$3,997.59
|
$3,198.07
20% off
|
$290.06
|
$3,837.69
|
$1,878.87
|
2026-04-24
|
|
71260
|
HCPCS
|
CT Scan Thorax W/contrast
|
13
|
11
|
$2,305.97
|
$1,844.78
|
$152.35
|
$2,213.73
|
$1,083.81
|
2026-04-24
|
|
71270
|
HCPCS
|
CT Scan Thorax W&without Contrast
|
13
|
11
|
$3,442.62
|
$2,754.10
|
$178.79
|
$3,304.92
|
$1,618.03
|
2026-04-24
|
|
71275
|
HCPCS
|
CT Angiography, Chest W/contrast
|
13
|
11
|
$2,786.04
|
$2,228.83
20% off
|
$256.23
|
$2,674.60
|
$1,309.44
|
2026-04-24
|
|
71550
|
HCPCS
|
MRI Chest Wo Contrast
|
13
|
11
|
$3,016.86
|
$2,413.49
|
$302.99
|
$2,896.19
|
$1,417.92
|
2026-04-24
|
|
71551
|
HCPCS
|
MRI Chest W/contrast
|
13
|
11
|
$3,016.86
|
$2,413.49
|
$338.13
|
$2,896.19
|
$1,417.92
|
2026-04-24
|
|
71552
|
HCPCS
|
MRI Chest W/wo Contrast
|
13
|
11
|
$3,016.86
|
$2,413.49
|
$424.19
|
$2,896.19
|
$1,417.92
|
2026-04-24
|
|
72126
|
HCPCS
|
CT Scan Cervical Spine With Contrast
|
13
|
11
|
$2,471.55
|
$1,977.24
20% off
|
$154.02
|
$2,372.69
|
$1,161.63
|
2026-04-24
|
|
72127
|
HCPCS
|
CT Scan Cervical Spine W&wo Contrast
|
13
|
11
|
$4,145.04
|
$3,316.03
20% off
|
$179.14
|
$3,979.24
|
$1,948.17
|
2026-04-24
|
|
72129
|
HCPCS
|
CT Thoracic Spine With Contrast
|
13
|
11
|
$2,948.59
|
$2,358.87
20% off
|
$154.92
|
$2,830.65
|
$1,385.84
|
2026-04-24
|
|
72132
|
HCPCS
|
CT Scan Lumbar Spine W/contrast
|
13
|
11
|
$3,321.47
|
$2,657.18
|
$154.31
|
$3,188.61
|
$1,561.09
|
2026-04-24
|
|
72133
|
HCPCS
|
CT Scan Lumbar Spine W&without Contrast
|
13
|
11
|
$4,027.77
|
$3,222.22
|
$179.74
|
$3,866.66
|
$1,893.05
|
2026-04-24
|
|
72141
|
HCPCS
|
MRI C-spine Without Contrast
|
13
|
11
|
$2,603.71
|
$2,082.97
|
$174.74
|
$2,499.56
|
$1,223.74
|
2026-04-24
|
|
72142
|
HCPCS
|
MRI C-spine W/contrast
|
13
|
11
|
$2,603.71
|
$2,082.97
|
$250.13
|
$2,499.56
|
$1,223.74
|
2026-04-24
|
|
72146
|
HCPCS
|
MRI Thoracic Spine Wo Contrast
|
13
|
11
|
$2,748.19
|
$2,198.55
20% off
|
$174.45
|
$2,638.26
|
$1,291.65
|
2026-04-24
|
|
72147
|
HCPCS
|
MRI Thoracic Spine W/contrast
|
13
|
11
|
$2,748.19
|
$2,198.55
20% off
|
$247.91
|
$2,638.26
|
$1,291.65
|
2026-04-24
|
|
72148
|
HCPCS
|
MRI Lumbar Spine Wo Contrast
|
13
|
11
|
$2,746.03
|
$2,196.82
20% off
|
$175.66
|
$2,636.19
|
$1,290.63
|
2026-04-24
|
|
72149
|
HCPCS
|
MRI Lumbar Spine W/contrast
|
13
|
11
|
$2,746.03
|
$2,196.82
20% off
|
$246.41
|
$2,636.19
|
$1,290.63
|
2026-04-24
|
|
72156
|
HCPCS
|
MRI C-spine W/wo Contrast
|
13
|
11
|
$2,603.71
|
$2,082.97
|
$290.96
|
$2,499.56
|
$1,223.74
|
2026-04-24
|
|
72157
|
HCPCS
|
MRI Thoracic Spine W/wo Contrast
|
13
|
11
|
$4,568.57
|
$3,654.86
|
$291.57
|
$4,385.83
|
$2,147.23
|
2026-04-24
|
|
72158
|
HCPCS
|
MRI Lumbar Spine W/wo Contrast
|
13
|
11
|
$4,143.07
|
$3,314.46
|
$291.27
|
$3,977.35
|
$1,947.24
|
2026-04-24
|
|
72193
|
HCPCS
|
CT Scan Pelvis W/contrast
|
13
|
11
|
$2,786.20
|
$2,228.96
|
$205.65
|
$2,674.75
|
$1,309.51
|
2026-04-24
|
|
72194
|
HCPCS
|
CT Scan Pelvis W&without Contrast
|
13
|
11
|
$3,847.38
|
$3,077.90
20% off
|
$228.10
|
$3,693.48
|
$1,808.27
|
2026-04-24
|
|
72195
|
HCPCS
|
MRI Pelvis Wo Contrast
|
13
|
11
|
$2,805.11
|
$2,244.09
|
$207.92
|
$2,692.91
|
$1,318.40
|
2026-04-24
|
|
72196
|
HCPCS
|
MRI Pelvis W/contrast
|
13
|
11
|
$2,805.11
|
$2,244.09
|
$245.07
|
$2,692.91
|
$1,318.40
|
2026-04-24
|
|
72197
|
HCPCS
|
MRI Pelvis W/wo Contrast
|
13
|
11
|
$4,827.19
|
$3,861.75
20% off
|
$305.52
|
$4,634.10
|
$2,268.78
|
2026-04-24
|
|
72198
|
HCPCS
|
MRA Pelvis W/wo Contrast
|
13
|
11
|
$4,827.19
|
$3,861.75
20% off
|
$306.29
|
$4,634.10
|
$2,268.78
|
2026-04-24
|
|
73201
|
HCPCS
|
CT Scan Upper Extremity W/contrast
|
13
|
11
|
$2,864.37
|
$2,291.50
|
$181.86
|
$2,749.80
|
$1,346.25
|
2026-04-24
|
|
73202
|
HCPCS
|
CT Scan Upper Extremity W&without Contrast
|
13
|
11
|
$3,471.59
|
$2,777.27
20% off
|
$224.18
|
$3,332.73
|
$1,631.65
|
2026-04-24
|
|
73218
|
HCPCS
|
MRI Upper Extremity Not Joint Wo Contras
|
13
|
11
|
$2,825.18
|
$2,260.14
20% off
|
$275.92
|
$2,712.17
|
$1,327.83
|
2026-04-24
|
|
73219
|
HCPCS
|
MRI Upper Extremity Not Joint W/contrast
|
13
|
11
|
$2,825.18
|
$2,260.14
20% off
|
$300.29
|
$2,712.17
|
$1,327.83
|
2026-04-24
|
|
73220
|
HCPCS
|
MRI Upper Extremity Not Joint W/wo Contr
|
13
|
11
|
$2,825.18
|
$2,260.14
20% off
|
$370.73
|
$2,712.17
|
$1,327.83
|
2026-04-24
|
|
73221
|
HCPCS
|
MRI Upper Extremity Joint Wo Contrast
|
13
|
11
|
$2,705.23
|
$2,164.18
20% off
|
$187.48
|
$2,597.02
|
$1,271.46
|
2026-04-24
|
|
73222
|
HCPCS
|
MRI Upper Extremity Joint W/contrast
|
13
|
11
|
$2,705.23
|
$2,164.18
20% off
|
$284.94
|
$2,597.02
|
$1,271.46
|
2026-04-24
|
|
73223
|
HCPCS
|
MRI Upper Extremity Joint W/wo Contrast
|
13
|
11
|
$4,670.04
|
$3,736.03
20% off
|
$349.45
|
$4,483.24
|
$2,194.92
|
2026-04-24
|
|
73225
|
HCPCS
|
MRA Upper Extremity W/wo Contrast
|
13
|
11
|
$4,670.04
|
$3,736.03
20% off
|
$294.77
|
$4,483.24
|
$2,194.92
|
2026-04-24
|
|
73700
|
HCPCS
|
CT Scan Lower Extremity Without Contrast
|
13
|
11
|
$2,536.67
|
$2,029.34
|
$119.32
|
$2,435.20
|
$1,192.23
|
2026-04-24
|
|
73701
|
HCPCS
|
CT Scan Lower Extremity W/contrast
|
13
|
11
|
$2,864.37
|
$2,291.50
|
$151.75
|
$2,749.80
|
$1,346.25
|
2026-04-24
|
|
73702
|
HCPCS
|
CT Scan Lower Extremity W&without Contrast
|
13
|
11
|
$3,456.80
|
$2,765.44
20% off
|
$177.80
|
$3,318.53
|
$1,624.70
|
2026-04-24
|
|
73718
|
HCPCS
|
MRI Lower Extremity Not Joint Wo Contras
|
13
|
11
|
$2,783.81
|
$2,227.05
|
$203.14
|
$2,672.46
|
$1,308.39
|
2026-04-24
|
|
73719
|
HCPCS
|
MRI Lower Extremity Not Joint W/contrast
|
13
|
11
|
$2,783.81
|
$2,227.05
|
$238.56
|
$2,672.46
|
$1,308.39
|
2026-04-24
|
|
73720
|
HCPCS
|
MRI Lower Extremity Not Joint W/wocontra
|
13
|
11
|
$4,822.78
|
$3,858.22
20% off
|
$306.08
|
$4,629.87
|
$2,266.71
|
2026-04-24
|
|
73721
|
HCPCS
|
MRI Lower Extremity Joint Wo Contrast
|
13
|
11
|
$2,740.14
|
$2,192.11
20% off
|
$186.88
|
$2,630.53
|
$1,287.87
|
2026-04-24
|
|
73722
|
HCPCS
|
MRI Lower Extremity Joint W/contrast
|
13
|
11
|
$2,740.14
|
$2,192.11
20% off
|
$287.04
|
$2,630.53
|
$1,287.87
|
2026-04-24
|
|
73723
|
HCPCS
|
MRI Lower Extremity Joint W/wo Contrast
|
13
|
11
|
$4,667.81
|
$3,734.25
|
$347.94
|
$4,481.10
|
$2,193.87
|
2026-04-24
|
|
73725
|
HCPCS
|
MRA Lower Ext With Or Without Contrast
|
13
|
11
|
$4,822.78
|
$3,858.22
20% off
|
$307.02
|
$4,629.87
|
$2,266.71
|
2026-04-24
|
|
74160
|
HCPCS
|
CT Scan Abd W/con
|
13
|
11
|
$2,644.51
|
$2,115.61
|
$209.86
|
$2,538.73
|
$1,242.92
|
2026-04-24
|
|
74170
|
HCPCS
|
CT Scan Abd W&w/ocon
|
13
|
11
|
$3,347.52
|
$2,678.02
|
$236.09
|
$3,213.62
|
$1,573.33
|
2026-04-24
|
|
74176
|
HCPCS
|
CT Scan Abdomen/pelvis Without Contrast
|
13
|
11
|
$3,332.60
|
$2,666.08
20% off
|
$168.40
|
$3,199.30
|
$1,566.32
|
2026-04-24
|
|
74177
|
HCPCS
|
CT Scan Abdomen/pelvis W/contrast
|
13
|
11
|
$4,332.89
|
$3,466.31
20% off
|
$274.10
|
$4,159.57
|
$2,036.46
|
2026-04-24
|
|
74178
|
HCPCS
|
CT Scan Abdomen/pelvis W&without Contrast
|
13
|
11
|
$5,196.01
|
$4,156.81
|
$308.43
|
$4,988.17
|
$2,442.12
|
2026-04-24
|
|
74181
|
HCPCS
|
MRI Abdomen Wo Contrast
|
13
|
11
|
$2,586.89
|
$2,069.51
20% off
|
$177.51
|
$2,483.41
|
$1,215.84
|
2026-04-24
|
|
74182
|
HCPCS
|
MRI Abdomen W/contrast
|
13
|
11
|
$2,586.89
|
$2,069.51
20% off
|
$273.98
|
$2,483.41
|
$1,215.84
|
2026-04-24
|
|
74183
|
HCPCS
|
MRI Abdomen W/wo Contrast
|
13
|
11
|
$4,589.77
|
$3,671.82
|
$307.01
|
$4,406.18
|
$2,157.19
|
2026-04-24
|
|
74185
|
HCPCS
|
MRA Abdomen W/wo Contrast
|
13
|
11
|
$2,881.01
|
$2,304.81
|
$305.79
|
$2,765.77
|
$1,354.07
|
2026-04-24
|
|
75635
|
HCPCS
|
CT Angiography Abd. Aorta W/le Runoff
|
13
|
11
|
$7,145.29
|
$5,716.23
20% off
|
$374.88
|
$6,859.48
|
$3,358.29
|
2026-04-24
|
|
78278
|
HCPCS
|
Nm Gi Blood Loss Imaging
|
13
|
11
|
$2,397.49
|
$1,917.99
20% off
|
$277.11
|
$2,301.59
|
$1,126.82
|
2026-04-24
|
|
78290
|
HCPCS
|
Nm Intestine Imaging Meckel's Scan
|
13
|
11
|
$2,397.49
|
$1,917.99
20% off
|
$263.15
|
$2,301.59
|
$1,126.82
|
2026-04-24
|
|
78315
|
HCPCS
|
Nm Bone Scan 3 Phase Study
|
13
|
11
|
$2,379.68
|
$1,903.74
20% off
|
$275.06
|
$2,284.49
|
$1,118.45
|
2026-04-24
|
|
78451
|
HCPCS
|
Nm Spect Single Study Rest Or Stress
|
13
|
11
|
$3,061.40
|
$2,449.12
20% off
|
$283.22
|
$2,938.94
|
$1,438.86
|
2026-04-24
|
|
78452
|
HCPCS
|
Nm Spect Multiple Study Rest Or Stress
|
13
|
11
|
$3,488.92
|
$2,791.14
|
$388.63
|
$3,349.36
|
$1,639.79
|
2026-04-24
|
|
78464
|
HCPCS
|
Nm Spect Single Study Rest Or Stress
|
12
|
10
|
$2,456.71
|
$1,965.37
|
$1,131.56
|
$2,358.44
|
$1,160.08
|
2026-04-24
|
|
78465
|
HCPCS
|
Nm Spect Multiple Study Rest Or Stress
|
12
|
10
|
$2,888.31
|
$2,310.65
|
$1,330.36
|
$2,772.78
|
$1,363.89
|
2026-04-24
|
|
78597
|
HCPCS
|
Nm Pulmonary Quan Dif Func Ven/per Study
|
13
|
11
|
$3,234.18
|
$2,587.34
20% off
|
$163.64
|
$3,104.81
|
$1,520.06
|
2026-04-24
|
|
81162
|
HCPCS
|
Brca 1&2 Mutation 91863 Quest
|
13
|
11
|
$2,689.22
|
$2,151.38
|
$1,238.65
|
$2,581.65
|
$1,275.81
|
2026-04-24
|
|
90375
|
HCPCS
|
Nf-rabies Immune Glob 1500iu/5ml Vial
|
39
|
11
|
$1,786.05
|
$1,428.84
20% off
|
$272.19
|
$6,124.04
|
$1,360.95
|
2026-04-24
|
|
90378
|
HCPCS
|
Nf-palivizumab 100mg/1ml (synagis) Vial
|
12
|
10
|
$6,236.85
|
$4,989.48
20% off
|
$2,872.69
|
$5,987.38
|
$2,945.10
|
2026-04-24
|
|
J0129
|
HCPCS
|
Abatacept 250mg Inj Vial(orencia)
|
13
|
11
|
$2,279.34
|
$1,823.47
20% off
|
$1,049.86
|
$2,233.75
|
$1,081.36
|
2026-04-24
|
|
J0490
|
HCPCS
|
Belimumab 400mg Inj Vial(benlysta)-nf
|
26
|
11
|
$3,375.50
|
$2,700.40
20% off
|
$50.93
|
$4,753.92
|
$2,029.20
|
2026-04-24
|
|
J0517
|
HCPCS
|
Nf-benralizumab 30mg/ml Inj
|
13
|
11
|
$9,248.66
|
$7,398.93
|
$167.15
|
$8,878.71
|
$4,346.87
|
2026-04-24
|
|
J0585
|
HCPCS
|
Nf-onabotulinumtoxina Pf 200units Inj
|
26
|
11
|
$2,485.31
|
$1,988.25
|
$619.85
|
$2,798.16
|
$1,362.95
|
2026-04-24
|
|
J0630
|
HCPCS
|
Nf-calcitonin Salmon 400units/2ml Inj
|
13
|
11
|
$4,832.73
|
$3,866.18
20% off
|
$2,225.95
|
$4,736.08
|
$2,292.73
|
2026-04-24
|
|
J0875
|
HCPCS
|
Nf-dalvance IV 500mg Vial
|
13
|
11
|
$3,060.39
|
$2,448.31
20% off
|
$1,409.61
|
$2,999.18
|
$1,451.90
|
2026-04-24
|
|
J0881
|
HCPCS
|
Darbepoetin 60mcg Inj Syr (aranesp)
|
109
|
11
|
$2,551.20
|
$2,040.96
|
$2.88
|
$7,667.72
|
$1,584.53
|
2026-04-24
|
|
J0897
|
HCPCS
|
Denosumab 60mg/ml Syr(prolia)-nf
|
26
|
11
|
$4,025.87
|
$3,220.69
20% off
|
$23.74
|
$3,921.79
|
$1,910.25
|
2026-04-24
|
|
J1162
|
HCPCS
|
Digoxin Immune Fab 40mg Inj (digibind)
|
13
|
11
|
$10,095.53
|
$8,076.42
20% off
|
$4,650.00
|
$9,893.62
|
$4,789.50
|
2026-04-24
|
|
J1439
|
HCPCS
|
Ferric Carboxymaltose 750mg/15ML Inj Vl
|
13
|
11
|
$2,303.70
|
$1,842.96
|
$825.40
|
$2,211.55
|
$1,082.74
|
2026-04-24
|
|
J1459
|
HCPCS
|
Nf-immune Globulin 20gm/200ml (privigen
|
52
|
11
|
$2,266.54
|
$1,813.23
20% off
|
$466.37
|
$6,302.74
|
$1,278.12
|
2026-04-24
|
|
J1561
|
HCPCS
|
Nf-immune Globulin 20gm/200ml (gamunex)
|
13
|
11
|
$3,792.13
|
$3,033.70
20% off
|
$1,746.65
|
$3,716.29
|
$1,799.05
|
2026-04-24
|
|
J1568
|
HCPCS
|
Nf-immune Globulin 20gm/200ml (octagam)
|
39
|
11
|
$1,862.14
|
$1,489.71
20% off
|
$614.48
|
$3,863.51
|
$1,307.41
|
2026-04-24
|
|
J1745
|
HCPCS
|
Infliximab 100mg Inj Vial(remicade)
|
13
|
11
|
$2,567.46
|
$2,053.97
|
$1,182.58
|
$2,516.11
|
$1,218.05
|
2026-04-24
|
|
J1944
|
HCPCS
|
Aripiprazole Lauroxil ER 1064mg/3.9ml-nf
|
26
|
11
|
$5,572.57
|
$4,458.06
20% off
|
$1,341.91
|
$7,567.73
|
$3,184.63
|
2026-04-24
|
|
J1950
|
HCPCS
|
Nf-leuprolide 3.75mg Inj Syr
|
13
|
11
|
$2,504.92
|
$2,003.94
|
$1,153.76
|
$2,454.82
|
$1,188.38
|
2026-04-24
|
|
J2350
|
HCPCS
|
Nf-ocrevus 300mg/10ml Vial
|
14
|
11
|
$31,851.46
|
$25,481.17
|
$14,670.79
|
$31,214.43
|
$16,455.57
|
2026-04-24
|
|
J2357
|
HCPCS
|
Omalizumab 300 Mg/ 2 Ml Syringe-nf
|
13
|
11
|
$5,320.69
|
$4,256.55
20% off
|
$2,450.71
|
$5,214.28
|
$2,524.23
|
2026-04-24
|
|
J2426
|
HCPCS
|
Nf-paliperidone Palmitate 117mg/0.75ml
|
13
|
11
|
$2,928.74
|
$2,342.99
20% off
|
$1,348.98
|
$2,811.59
|
$1,389.45
|
2026-04-24
|
|
J2506
|
HCPCS
|
Nf-neulasta Onpro Kit 6 Mg/0.6 Ml
|
13
|
11
|
$9,458.28
|
$7,566.62
20% off
|
$440.70
|
$9,079.95
|
$4,445.39
|
2026-04-24
|
|
J2507
|
HCPCS
|
Nf-pegloticase 8mg/1ml Vial(krystexxa
|
13
|
11
|
$41,002.46
|
$32,801.97
|
$3,240.90
|
$39,362.36
|
$19,271.16
|
2026-04-24
|
|
J3032
|
HCPCS
|
Nf-eptinezumab IV Solution 100 Mg/1 Ml
|
13
|
11
|
$3,351.88
|
$2,681.50
20% off
|
$1,543.87
|
$3,217.80
|
$1,590.19
|
2026-04-24
|
|
J3101
|
HCPCS
|
Tnk 50mg Inj Syr(tenectepl)
|
13
|
11
|
$17,513.15
|
$14,010.52
20% off
|
$7,501.70
|
$16,812.62
|
$8,231.18
|
2026-04-24
|
|
J3111
|
HCPCS
|
Nf-romosozumab-aqqg 105 Mg/1.17 Ml Syr
|
13
|
11
|
$2,534.55
|
$2,027.64
20% off
|
$1,064.71
|
$2,433.17
|
$1,191.24
|
2026-04-24
|
|
J3240
|
HCPCS
|
Thyrotropin Alfa 0.9 Mg/ml Inj Vial-nf
|
13
|
11
|
$9,306.32
|
$7,445.06
|
$1,971.03
|
$8,934.07
|
$4,373.97
|
2026-04-24
|
|
J3262
|
HCPCS
|
Tocilizumab 400mg/20ml Sdpfv
|
39
|
11
|
$2,920.87
|
$2,336.70
|
$485.14
|
$5,608.06
|
$1,561.87
|
2026-04-24
|
|
J3358
|
HCPCS
|
Ustekinumab 130mg Inj Vial (stelara)- Nf
|
26
|
11
|
$4,274.78
|
$3,419.83
|
$1,607.66
|
$4,368.84
|
$2,138.91
|
2026-04-24
|
|
J3380
|
HCPCS
|
Vedolizumab 300mg Inj Vial(entyvio)-nf
|
13
|
11
|
$15,502.96
|
$12,402.37
|
$6,555.02
|
$14,882.84
|
$7,286.39
|
2026-04-24
|
|
J3590
|
HCPCS
|
Nf-taltz Subcutaneous Solution 80 mg/1mL
|
12
|
10
|
$12,533.92
|
$10,027.14
|
$5,773.12
|
$12,032.56
|
$5,918.63
|
2026-04-24
|
|
J7168
|
HCPCS
|
Prothrombin Complex 500u Inj (kcentra)
|
12
|
10
|
$2,655.31
|
$2,124.25
|
$1,223.04
|
$2,549.10
|
$1,253.87
|
2026-04-24
|
|
J8499
|
HCPCS
|
Nf-sofosbuvir 400mg Tab(sovaldi)
|
12
|
10
|
$3,885.92
|
$3,108.74
|
$1,789.85
|
$3,730.48
|
$1,834.97
|
2026-04-24
|
|
J9217
|
HCPCS
|
Leuprolide Acet 7.5 Mg Inj (eligard)
|
52
|
11
|
$5,032.68
|
$4,026.14
20% off
|
$748.10
|
$22,625.71
|
$3,109.50
|
2026-04-24
|
|
P9034
|
HCPCS
|
?lt Aph
|
12
|
10
|
$2,550.02
|
$2,040.02
|
$1,174.54
|
$2,448.02
|
$1,204.14
|
2026-04-24
|
|
P9055
|
HCPCS
|
Plt Cmv L/r
|
12
|
10
|
$2,541.19
|
$2,032.95
20% off
|
$1,170.47
|
$2,439.54
|
$1,199.97
|
2026-04-24
|
|
P9073
|
HCPCS
|
Plt Aph Psoralen
|
24
|
10
|
$2,634.22
|
$2,107.37
20% off
|
$1,209.55
|
$2,536.70
|
$1,243.88
|
2026-04-24
|
|
Q5108
|
HCPCS
|
Pegfilgrastim-jmdb 6mg/0.6ml(fulphilia)
|
13
|
11
|
$4,256.24
|
$3,404.99
20% off
|
$567.20
|
$4,085.99
|
$2,000.43
|
2026-04-24
|
|
Q5111
|
HCPCS
|
Pegfilgrastim-cbqv 6mg/0.6ml(udenyca)
|
13
|
11
|
$9,112.68
|
$7,290.14
20% off
|
$147.76
|
$8,748.17
|
$4,282.96
|
2026-04-24
|
|
Q5122
|
HCPCS
|
Nf-pegfilgrastim-apgf 6mg/0.6ml(nyvepria
|
13
|
11
|
$7,226.53
|
$5,781.22
20% off
|
$523.20
|
$6,937.47
|
$3,396.47
|
2026-04-24
|
|
Q9991
|
HCPCS
|
Sublocade 100mg Subq Soln ER 100mg/0.5ml
|
13
|
11
|
$4,759.53
|
$3,807.62
20% off
|
$2,192.24
|
$4,664.34
|
$2,258.01
|
2026-04-24
|
|
Q9992
|
HCPCS
|
Sublocade 300mg Subq Soln ER 300mg/1.5ml
|
13
|
11
|
$3,654.16
|
$2,923.33
|
$1,683.11
|
$3,581.08
|
$1,733.60
|
2026-04-24
|