Price Transparency Hospital negotiated rates

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

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Hospital

MILLINOCKET REGIONAL HOSPITAL

Millinocket, ME · CCN 201307 · Rates published

1,988 distinct procedures filed
9 distinct payers
34,761 rate rows
2025-12-18 last MRF observed
Data quality

33,487 of 34,761 rate rows are consumer-grade (96.3%)

1,274 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
placeholder amount (≤ $0.02) — excluded from medians 1,202
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 52
per-diem day rate — not a per-procedure price 20
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.mrhme.org/wp-content/uploads/2025/12/010223482-1275646150_millinocket-regional-hospital_standardcharges.csv
Found on page https://www.mrhme.org/patient-resources/hospital-pricing/
Discovered viaDiscovered by HANK (automated)
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-05-18
Content fingerprint 68d82b8840241ec7… · 24,330,079 bytes · first seen 2026-05-18

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
J3357
HCPCS 		Ustekinumab 90mg/1ml Inj Syr 9 $13,748.88 $45,115.23 $20,374.62 nat. median
$14,292
1.4× median
J2350
HCPCS 		Ocrelizumab 300mg Inj 9 $15,400.84 $34,797.81 $17,552.98 nat. median
$683
outlier · 25.7×
J9042
HCPCS 		BRENTUXimab 50mg/10ml Inj Vial 9 $11,629.76 $26,277.15 $12,667.28 nat. median
$1,037
outlier · 12.2×
J9022
HCPCS 		Atezolizumab 1200mg/20ml Inj 9 $8,080.94 $18,258.69 $10,704.07 nat. median
$6,911
1.5× median
J0896
HCPCS 		Luspatercept Aamt 25mg Vial 9 $4,055.49 $27,488.94 $10,664.68 nat. median
$4,606
outlier · 2.3×
J1628
HCPCS 		Guselkumab 100mg/1ml Inj 9 $7,336.57 $22,891.95 $10,338.30 nat. median
$208
outlier · 49.8×
J9228
HCPCS 		Ipilimumab 50 Mg/10 Ml Vial 9 $8,923.49 $20,162.40 $9,105.60 nat. median
$9,890
0.9× median
J2327
HCPCS 		Risankizumab-rzaa 600mg Inj 9 $7,494.41 $16,933.44 $8,725.92 nat. median
$2,241
outlier · 3.9×
J9144
HCPCS 		Daratumumab-hyaluronid 1800mg 9 $3,955.48 $9,417.80 $8,523.11 nat. median
$232
outlier · 36.7×
J3101
HCPCS 		Tenecteplase 50mg Inj(tnk) 9 $5,935.68 $13,411.53 $8,424.96 nat. median
$5,957
1.4× median
J0870
HCPCS 		Imetelstat (Rytelo) 47mg Vial 9 $2,609.54 $23,584.80 $8,167.19 nat. median
$3,609
outlier · 2.3×
J9223
HCPCS 		Lurbinectedin 4mg Inj 9 $5,772.28 $13,042.32 $8,080.10 nat. median
$626
outlier · 12.9×
J9301
HCPCS 		Obinutuzumab 1000 Mg/40 Ml Inj 9 $6,377.74 $14,410.35 $7,689.18 nat. median
$314
outlier · 24.5×
J2323
HCPCS 		Natalizumab 300mg/15ml Inj 9 $6,758.06 $15,269.67 $7,093.04 nat. median
$197
outlier · 36.0×
J9299
HCPCS 		Nivolumab (Opdivo) 120mg/12mL 9 $3,881.04 $13,600.32 $6,952.07 nat. median
$2,944
outlier · 2.4×
J3380
HCPCS 		Vedolizumab 300mg Inj Vial 9 $6,486.23 $15,153.42 $6,843.48 nat. median
$280
outlier · 24.4×
J9063
HCPCS 		Mirvetuximab Soravtansine Gynx 9 $6,675.33 $15,082.74 $6,812.96 nat. median
$214
outlier · 31.8×
27299
HCPCS 		Unlisted Procedure, Pelvis/hip 3 $5,859.76 $6,123.12 $5,991.44 nat. median
$714
outlier · 8.4×
J9271
HCPCS 		Pembrolizumab 100mg/4ml Vial 9 $4,469.15 $10,097.94 $5,739.08 nat. median
$736
outlier · 7.8×
J2997
HCPCS 		Activase 50 Mg 9 $184.53 $15,248.28 $5,372.64 nat. median
$545
outlier · 9.9×
J0491
HCPCS 		Anifrolumab Fnia 300mg/2ml Inj 9 $5,205.51 $11,761.71 $5,322.58 nat. median
$54
outlier · 99.1×
J0517
HCPCS 		Benralizumab 30mg/1ml Inj 9 $4,001.16 $9,040.53 $4,943.02 nat. median
$914
outlier · 5.4×
J1162
HCPCS 		Digoxin Immune 40mg Inj Vial 9 $3,476.79 $7,855.71 $4,869.21 nat. median
$7,308
0.7× median
J0139
HCPCS 		Adalimumab 40mg/0.4ml Inj Pen 8 $2,778.30 $6,277.50 $4,410.79 nat. median
$3,402
1.3× median
J2506
HCPCS 		Pegfilgrastim/onpro 6mg/0.6ml 9 $686.77 $9,748.26 $4,402.44 nat. median
$2,076
outlier · 2.1×
J3240
HCPCS 		Thyrotropin Alfa 0.9mg/mL Vial 9 $2,070.98 $9,402.89 $4,246.46 nat. median
$2,976
1.4× median
J2353
HCPCS 		Octreotide Lar Depot 20mg Kit 9 $1,820.92 $15,060.42 $4,159.10 nat. median
$5,975
0.7× median
Q4187
HCPCS 		Epicord 2 X3 Expandable 9 $237.03 $8,784.78 $3,967.32 nat. median
$472
outlier · 8.4×
J2356
HCPCS 		Tezepelumab-ekko 210mg Inj 9 $3,155.74 $7,130.31 $3,766.35 nat. median
$66
outlier · 57.2×
Q4186
HCPCS 		Epifix Mesh 3.5cm X 3.5cm 9 $147.32 $8,483.46 $3,535.14 nat. median
$398
outlier · 8.9×
49605
HCPCS 		Rpr Lg Omphalocele/gastroschis 8 $3,171.07 $5,068.07 $3,527.37 nat. median
$4,895
0.7× median
Q5111
HCPCS 		Pegfilgrastim-cbqv 6mg/0.6ml 9 $1,599.88 $7,513.47 $3,393.18 nat. median
$2,102
1.6× median
J9035
HCPCS 		Bevacizumab 400mg/16ml Inj Vl 9 $2,863.52 $7,385.13 $3,335.22 nat. median
$765
outlier · 4.4×
Q5122
HCPCS 		Pegfilgrastim-apgf 6mg/0.6ml 9 $1,552.78 $7,063.35 $3,189.90 nat. median
$439
outlier · 7.3×
J9312
HCPCS 		riTUXimab 100MG/10ml Inj 9 $744.12 $8,706.66 $3,166.49 nat. median
$1,242
outlier · 2.5×
J9217
HCPCS 		Leuprolide Acetate 22.5mg Inj 9 $152.31 $20,238.66 $3,050.10 nat. median
$1,521
outlier · 2.0×
J9319
HCPCS 		Romidepsin 10mg Inj Vial 9 $2,300.02 $5,196.84 $3,045.35 nat. median
$93
outlier · 32.8×
81455
HCPCS 		Genomic Sequence >50 Genes 9 $2,327.60 $5,259.15 $2,861.21 nat. median
$2,920
1.0× median
J0135
HCPCS 		Adalimumab 40mg/0.8ml Inj Syr 9 $1,782.06 $6,277.50 $2,835.00 nat. median
$3,838
0.7× median
J9173
HCPCS 		Durvalumab 120mg/2.4mL Inj Vl 9 $943.39 $7,103.34 $2,637.68 nat. median
$1,151
outlier · 2.3×
J0897
HCPCS 		Denosumab 120mg/1.7ml Subcut 9 $1,306.83 $5,431.20 $2,634.36 nat. median
$2,502
1.1× median
J3111
HCPCS 		Romosozumab 210 Mg/2.34 Ml Inj 9 $2,470.42 $5,639.52 $2,546.88 nat. median
$1,003
outlier · 2.5×
J2357
HCPCS 		Omalizumab 150mg Inj (xolair) 9 $1,071.81 $6,417.00 $2,403.41 nat. median
$1,302
1.8× median
27447
HCPCS 		Assist Arthroplasty Knee Condy 8 $1,146.13 $5,511.18 $2,398.55 nat. median
$12,649
outlier · 0.2×
29999
HCPCS 		Arthroscopy Joint 3 $2,344.26 $2,449.62 $2,396.94 nat. median
$1,451
1.7× median
27236
HCPCS 		Assist Open Tx Fem Fx Prox End 8 $1,068.19 $4,141.29 $2,377.19 nat. median
$4,896
outlier · 0.5×
90378
HCPCS 		Palivizumab 50mg/0.5ml Inj 8 $1,493.70 $3,374.97 $2,371.37 nat. median
$1,994
1.2× median
27486
HCPCS 		Assist Revsn Tot Knee Arthro 1 8 $1,255.31 $5,227.53 $2,332.69 nat. median
$8,742
outlier · 0.3×
27244
HCPCS 		Assist Tx Inter/pr/subtrchntri 8 $1,098.98 $4,239.87 $2,227.67 nat. median
$4,919
outlier · 0.5×
J0717
HCPCS 		Certolizumab Pegol 200mg Inj 9 $879.26 $4,823.91 $2,178.54 nat. median
$1,372
1.6× median

Other procedures at this hospital

Browse this hospital's 1,988 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
             
J3357 HCPCS Ustekinumab 90mg/1ml Inj Syr 9 9 $48,511.00 $43,659.90 $13,748.88 $45,115.23 $20,374.62 2025-12-18
J2350 HCPCS Ocrelizumab 300mg Inj 9 9 $37,417.00 $33,675.30 $15,400.84 $34,797.81 $17,552.98 2025-12-18
J9042 HCPCS BRENTUXimab 50mg/10ml Inj Vial 9 9 $28,255.00 $25,429.50 $11,629.76 $26,277.15 $12,667.28 2025-12-18
J9022 HCPCS Atezolizumab 1200mg/20ml Inj 9 9 $19,633.00 $17,669.70 $8,080.94 $18,258.69 $10,704.07 2025-12-18
J0896 HCPCS Luspatercept Aamt 25mg Vial 18 9 $19,705.50 $17,734.95 $4,055.49 $27,488.94 $10,664.68 2025-12-18
J1628 HCPCS Guselkumab 100mg/1ml Inj 9 9 $24,615.00 $22,153.50 $7,336.57 $22,891.95 $10,338.30 2025-12-18
J9228 HCPCS Ipilimumab 50 Mg/10 Ml Vial 9 9 $21,680.00 $19,512.00 $8,923.49 $20,162.40 $9,105.60 2025-12-18
J2327 HCPCS Risankizumab-rzaa 600mg Inj 9 9 $18,208.00 $16,387.20 $7,494.41 $16,933.44 $8,725.92 2025-12-18
J9144 HCPCS Daratumumab-hyaluronid 1800mg 9 9 $9,610.00 $8,649.00 $3,955.48 $9,417.80 $8,523.11 2025-12-18
J3101 HCPCS Tenecteplase 50mg Inj(tnk) 9 9 $14,421.00 $12,978.90 $5,935.68 $13,411.53 $8,424.96 2025-12-18
J0870 HCPCS Imetelstat (Rytelo) 47mg Vial 18 9 $15,850.00 $14,265.00 $2,609.54 $23,584.80 $8,167.19 2025-12-18
J9223 HCPCS Lurbinectedin 4mg Inj 9 9 $14,024.00 $12,621.60 $5,772.28 $13,042.32 $8,080.10 2025-12-18
J9301 HCPCS Obinutuzumab 1000 Mg/40 Ml Inj 9 9 $15,495.00 $13,945.50 $6,377.74 $14,410.35 $7,689.18 2025-12-18
J2323 HCPCS Natalizumab 300mg/15ml Inj 9 9 $16,419.00 $14,777.10 $6,758.06 $15,269.67 $7,093.04 2025-12-18
J9299 HCPCS Nivolumab (Opdivo) 120mg/12mL 18 9 $12,069.00 $10,862.10 $3,881.04 $13,600.32 $6,952.07 2025-12-18
J3380 HCPCS Vedolizumab 300mg Inj Vial 9 9 $16,294.00 $14,664.60 $6,486.23 $15,153.42 $6,843.48 2025-12-18
J9063 HCPCS Mirvetuximab Soravtansine Gynx 9 9 $16,218.00 $14,596.20 $6,675.33 $15,082.74 $6,812.96 2025-12-18
27299 HCPCS Unlisted Procedure, Pelvis/hip 3 3 $6,584.00 $5,925.60 $5,859.76 $6,123.12 $5,991.44 2025-12-18
J9271 HCPCS Pembrolizumab 100mg/4ml Vial 9 9 $10,858.00 $9,772.20 $4,469.15 $10,097.94 $5,739.08 2025-12-18
J2997 HCPCS Activase 50 Mg 27 9 $12,792.00 $11,512.80 $184.53 $15,248.28 $5,372.64 2025-12-18
J0491 HCPCS Anifrolumab Fnia 300mg/2ml Inj 9 9 $12,647.00 $11,382.30 $5,205.51 $11,761.71 $5,322.58 2025-12-18
J0517 HCPCS Benralizumab 30mg/1ml Inj 9 9 $9,721.00 $8,748.90 $4,001.16 $9,040.53 $4,943.02 2025-12-18
J1162 HCPCS Digoxin Immune 40mg Inj Vial 9 9 $8,447.00 $7,602.30 $3,476.79 $7,855.71 $4,869.21 2025-12-18
J0139 HCPCS Adalimumab 40mg/0.4ml Inj Pen 8 8 $6,750.00 $6,075.00 $2,778.30 $6,277.50 $4,410.79 2025-12-18
J2506 HCPCS Pegfilgrastim/onpro 6mg/0.6ml 17 9 $10,482.00 $9,433.80 $686.77 $9,748.26 $4,402.44 2025-12-18
J3240 HCPCS Thyrotropin Alfa 0.9mg/mL Vial 9 9 $10,110.63 $9,099.57 $2,070.98 $9,402.89 $4,246.46 2025-12-18
J2353 HCPCS Octreotide Lar Depot 20mg Kit 43 9 $8,672.00 $7,804.80 $1,820.92 $15,060.42 $4,159.10 2025-12-18
Q4187 HCPCS Epicord 2 X3 Expandable 17 9 $9,446.00 $8,501.40 $237.03 $8,784.78 $3,967.32 2025-12-18
J2356 HCPCS Tezepelumab-ekko 210mg Inj 9 9 $7,667.00 $6,900.30 $3,155.74 $7,130.31 $3,766.35 2025-12-18
Q4186 HCPCS Epifix Mesh 3.5cm X 3.5cm 41 9 $8,065.00 $7,258.50 $147.32 $8,483.46 $3,535.14 2025-12-18
49605 HCPCS Rpr Lg Omphalocele/gastroschis 8 8 $3,563.00 $3,206.70 $3,171.07 $5,068.07 $3,527.37 2025-12-18
Q5111 HCPCS Pegfilgrastim-cbqv 6mg/0.6ml 9 9 $8,079.00 $7,271.10 $1,599.88 $7,513.47 $3,393.18 2025-12-18
J9035 HCPCS Bevacizumab 400mg/16ml Inj Vl 9 9 $7,941.00 $7,146.90 $2,863.52 $7,385.13 $3,335.22 2025-12-18
Q5122 HCPCS Pegfilgrastim-apgf 6mg/0.6ml 9 9 $7,595.00 $6,835.50 $1,552.78 $7,063.35 $3,189.90 2025-12-18
J9312 HCPCS riTUXimab 100MG/10ml Inj 18 9 $6,085.50 $5,476.95 $744.12 $8,706.66 $3,166.49 2025-12-18
J9217 HCPCS Leuprolide Acetate 22.5mg Inj 44 9 $7,334.00 $6,600.60 $152.31 $20,238.66 $3,050.10 2025-12-18
J9319 HCPCS Romidepsin 10mg Inj Vial 9 9 $5,588.00 $5,029.20 $2,300.02 $5,196.84 $3,045.35 2025-12-18
81455 HCPCS Genomic Sequence >50 Genes 9 9 $5,655.00 $5,089.50 $2,327.60 $5,259.15 $2,861.21 2025-12-18
J0135 HCPCS Adalimumab 40mg/0.8ml Inj Syr 9 9 $6,750.00 $6,075.00 $1,782.06 $6,277.50 $2,835.00 2025-12-18
J9173 HCPCS Durvalumab 120mg/2.4mL Inj Vl 18 9 $4,965.00 $4,468.50 $943.39 $7,103.34 $2,637.68 2025-12-18
J0897 HCPCS Denosumab 120mg/1.7ml Subcut 18 9 $4,507.50 $4,056.75 $1,306.83 $5,431.20 $2,634.36 2025-12-18
J3111 HCPCS Romosozumab 210 Mg/2.34 Ml Inj 9 9 $6,064.00 $5,457.60 $2,470.42 $5,639.52 $2,546.88 2025-12-18
J2357 HCPCS Omalizumab 150mg Inj (xolair) 18 9 $4,752.00 $4,276.80 $1,071.81 $6,417.00 $2,403.41 2025-12-18
27447 HCPCS Assist Arthroplasty Knee Condy 11 8 $2,695.00 $2,425.50 $1,146.13 $5,511.18 $2,398.55 2025-12-18
29999 HCPCS Arthroscopy Joint 3 3 $2,634.00 $2,370.60 $2,344.26 $2,449.62 $2,396.94 2025-12-18
27236 HCPCS Assist Open Tx Fem Fx Prox End 11 8 $2,671.00 $2,403.90 $1,068.19 $4,141.29 $2,377.19 2025-12-18
90378 HCPCS Palivizumab 50mg/0.5ml Inj 8 8 $3,629.00 $3,266.10 $1,493.70 $3,374.97 $2,371.37 2025-12-18
27486 HCPCS Assist Revsn Tot Knee Arthro 1 11 8 $2,621.00 $2,358.90 $1,255.31 $5,227.53 $2,332.69 2025-12-18
27244 HCPCS Assist Tx Inter/pr/subtrchntri 11 8 $2,503.00 $2,252.70 $1,098.98 $4,239.87 $2,227.67 2025-12-18
J0717 HCPCS Certolizumab Pegol 200mg Inj 9 9 $5,187.00 $4,668.30 $879.26 $4,823.91 $2,178.54 2025-12-18
44146 HCPCS Colectomy Prtl W/coloproctosto 8 8 $5,962.00 $5,365.80 $1,850.49 $5,544.66 $2,160.43 2025-12-18
27590 HCPCS Amputation Thigh Thru Femur Bi 11 8 $3,580.00 $3,222.00 $688.62 $3,329.40 $2,124.43 2025-12-18
23412 HCPCS Assist Repair Ruptur Musculote 11 8 $2,313.00 $2,081.70 $766.99 $4,011.09 $2,058.57 2025-12-18
J1602 HCPCS Golimumab 50 Mg/4 Ml Inj Vial 9 9 $4,871.00 $4,383.90 $540.42 $4,530.03 $2,045.82 2025-12-18
J9023 HCPCS Avelumab 200mg Inj 9 9 $3,566.00 $3,209.40 $1,467.77 $3,316.38 $1,965.86 2025-12-18
27134 HCPCS Assist Revsn Total Hip Arthro 13 8 $1,537.00 $1,383.30 $1,367.93 $7,742.25 $1,949.32 2025-12-18
J9264 HCPCS Paclitaxel Protn Bnd 100mg Inj 17 9 $3,082.00 $2,773.80 $1,187.96 $4,298.46 $1,941.24 2025-12-18
Q9992 HCPCS Buprenorphine ER 300mg Inj 9 9 $3,658.00 $3,292.20 $1,505.63 $3,401.94 $1,937.02 2025-12-18
Q9991 HCPCS Buprenorphine ER 100mg Inj 9 9 $3,841.00 $3,456.90 $1,580.96 $3,572.13 $1,937.02 2025-12-18
23420 HCPCS Assist Reconstruction Rotator 11 8 $2,170.00 $1,953.00 $877.17 $3,281.97 $1,931.30 2025-12-18
J7168 HCPCS Prothrombin Concentrate 500iu 16 8 $3,340.00 $3,006.00 $905.52 $4,166.40 $1,916.39 2025-12-18
90375 HCPCS Rabies Imm Glbln Inj 26 9 $4,388.00 $3,949.20 $261.11 $7,324.68 $1,833.56 2025-12-18
27487 HCPCS Rev Tot Knee Arthroplst Fem&ti 8 8 $6,984.00 $6,285.60 $1,562.66 $6,495.12 $1,824.38 2025-12-18
0370 RC — 296 8 $3,174.00 $2,856.60 $34.99 $6,114.75 $1,793.36 2025-12-18
71552 HCPCS MRI Chest W/wo Contrast 9 9 $4,247.00 $3,822.30 $417.81 $3,949.71 $1,783.74 2025-12-18
C8929 HCPCS US Echo Bubble Study 8 8 $2,638.15 $2,374.34 $1,085.86 $2,453.48 $1,723.90 2025-12-18
Q5116 HCPCS Trastuzumab-qyyp 420mg Inj 9 9 $4,093.00 $3,683.70 $1,177.83 $3,806.49 $1,719.06 2025-12-18
J1950 HCPCS Leuprolide Acetate 3.75mg Inj 9 9 $3,193.00 $2,873.70 $1,314.24 $2,969.49 $1,702.36 2025-12-18
27488 HCPCS Assist Rmvl Prosth Tot Knee Pr 11 8 $1,911.00 $1,719.90 $1,075.15 $4,276.14 $1,700.79 2025-12-18
J3358 HCPCS Ustekinumab 130mg/26ml Inj 9 9 $3,696.00 $3,326.40 $1,521.27 $3,437.28 $1,693.15 2025-12-18
73723 HCPCS MRI Rt Le Joint W&without Contrast 9 9 $4,015.00 $3,613.50 $342.43 $3,733.95 $1,686.30 2025-12-18
73223 HCPCS MRI Rt Ue Joint W&without Contrast 9 9 $3,992.00 $3,592.80 $343.29 $3,712.56 $1,676.64 2025-12-18
49020 HCPCS Drainage Periton Abscess/local 8 8 $3,914.00 $3,522.60 $1,411.36 $3,640.02 $1,647.74 2025-12-18
J9047 HCPCS Carfilzomib 10mg Inj 27 9 $2,722.00 $2,449.80 $466.75 $5,061.99 $1,619.65 2025-12-18
74183 HCPCS MRI Abdomen W/wo Contrast 9 9 $3,833.00 $3,449.70 $302.34 $3,564.69 $1,609.86 2025-12-18
78803 HCPCS Bone Spect 9 9 $3,808.00 $3,427.20 $295.80 $3,541.44 $1,599.36 2025-12-18
70549 HCPCS MRA Neck W&without Contrast 9 9 $3,808.00 $3,427.20 $308.43 $3,541.44 $1,599.36 2025-12-18
73220 HCPCS MRI Rt Ue Not Joint W&without Cont 9 9 $3,788.00 $3,409.20 $364.34 $3,522.84 $1,590.96 2025-12-18
70543 HCPCS MRI Orbit/face/neck W&without Cont 9 9 $3,776.00 $3,398.40 $303.06 $3,511.68 $1,585.92 2025-12-18
Q5108 HCPCS Pegfilgrastim-jmdb 6mg/0.6ml 9 9 $3,774.00 $3,396.60 $1,219.57 $3,509.82 $1,585.08 2025-12-18
44204 HCPCS Lap, Colectomy Partial W/anast 8 8 $2,495.00 $2,245.50 $1,357.07 $2,320.35 $1,584.37 2025-12-18
J1561 HCPCS Gamunex-c 10% 10gram/100ml 45 9 $2,728.00 $2,455.20 $235.35 $7,650.18 $1,567.98 2025-12-18
23130 HCPCS Assist Partial Rep Or Rmvl Of 11 8 $1,739.00 $1,565.10 $559.97 $2,073.90 $1,547.71 2025-12-18
72157 HCPCS MRI Thoracic Spine W&without Contr 9 9 $3,650.00 $3,285.00 $287.45 $3,394.50 $1,533.00 2025-12-18
72158 HCPCS MRI Lumbar Spine W&without Contras 9 9 $3,644.00 $3,279.60 $286.30 $3,388.92 $1,530.48 2025-12-18
27137 HCPCS Revision Of Hip 8 8 $6,583.00 $5,924.70 $1,307.28 $6,122.19 $1,526.22 2025-12-18
72156 HCPCS MRI Cervical Spine W&without Contr 9 9 $3,633.00 $3,269.70 $286.88 $3,378.69 $1,525.86 2025-12-18
73720 HCPCS MRI Rt Le Not Joint W&without Cont 9 9 $3,632.00 $3,268.80 $301.33 $3,377.76 $1,525.44 2025-12-18
J1459 HCPCS Immune Globuliin 40gm 400ml IV 36 9 $2,440.50 $2,196.45 $494.23 $10,227.21 $1,513.39 2025-12-18
23472 HCPCS Total Shoulder Replacement 8 8 $3,051.00 $2,745.90 $1,290.76 $2,837.43 $1,506.95 2025-12-18
74178 HCPCS CT Abd/Pel W&without Cont 9 9 $3,575.00 $3,217.50 $302.27 $3,324.75 $1,501.50 2025-12-18
19081 HCPCS Needle Core Bx, Percutaneous 9 9 $3,538.00 $3,184.20 $427.71 $3,290.34 $1,485.96 2025-12-18
23120 HCPCS Assist Claviculectomy Partial 11 8 $1,645.00 $1,480.50 $532.55 $1,998.57 $1,464.05 2025-12-18
J3262 HCPCS Actemra 200mg/10ml Inj Vial 27 9 $3,237.00 $2,913.30 $453.62 $4,816.47 $1,445.22 2025-12-18
J1438 HCPCS Etanercept 50mg/1ml Sureclick 9 9 $3,437.00 $3,093.30 $806.96 $3,196.41 $1,443.54 2025-12-18
27245 HCPCS Assist Tx Inter/pr/subtrchntri 11 8 $1,580.00 $1,422.00 $1,097.71 $3,668.85 $1,406.20 2025-12-18
44140 HCPCS Colectomy Partial W/anastomosi 8 8 $4,078.00 $3,670.20 $1,187.03 $3,792.54 $1,385.85 2025-12-18
24685 HCPCS Assist Open Rx Ulnar Fx 11 8 $1,528.00 $1,375.20 $592.21 $2,369.64 $1,359.92 2025-12-18
29881 HCPCS Assist Arthroscopy W/menisc Me 11 8 $1,527.00 $1,374.30 $489.39 $2,896.95 $1,359.03 2025-12-18
32110 HCPCS Thoracotomy 16 9 $1,475.00 $1,327.50 $607.11 $3,427.98 $1,357.00 2025-12-18
73225 HCPCS MRA Rt Ue W&without Contrast 9 9 $3,229.00 $2,906.10 $290.58 $3,229.00 $1,356.18 2025-12-18
86711 HCPCS Jcv Antibody/Index/Reflux To I 9 9 $3,252.00 $2,926.80 $16.55 $3,024.36 $1,351.91 2025-12-18
29867 HCPCS Arthroscopy Knee, Osteochond 8 8 $4,381.00 $3,942.90 $1,146.65 $4,074.33 $1,338.70 2025-12-18
27814 HCPCS Assist Open Tx Bimalleolar Ank 11 8 $1,494.00 $1,344.60 $687.82 $2,705.37 $1,329.66 2025-12-18
71555 HCPCS MRA Chest W/contrast 9 9 $3,157.00 $2,841.30 $297.18 $2,936.01 $1,325.94 2025-12-18
27130 HCPCS Assist Arthroplasty Acetab/pro 12 8 $1,317.00 $1,185.30 $1,147.49 $3,207.57 $1,319.62 2025-12-18
64561 HCPCS Bilat Prq Impltj Neurostim Elt 7 7 $3,132.00 $2,818.80 $628.64 $2,850.12 $1,302.02 2025-12-18
78452 HCPCS Nm Cardiac Stress/tread 9 9 $3,034.00 $2,730.60 $369.29 $2,821.62 $1,274.28 2025-12-18
49203 HCPCS Exc/destruction Open Abd Tumor 8 8 $3,471.00 $3,123.90 $1,086.69 $3,228.03 $1,268.70 2025-12-18
44120 HCPCS Enterectomy W/anastomosis 8 8 $3,856.00 $3,470.40 $1,080.70 $3,586.08 $1,261.70 2025-12-18
74177 HCPCS CT Abd/Pel With Cont 9 9 $2,992.00 $2,692.80 $269.99 $2,782.56 $1,256.64 2025-12-18
73722 HCPCS MRI Rt Le Joint W/contrast 9 9 $2,988.00 $2,689.20 $278.58 $2,778.84 $1,254.96 2025-12-18
27536 HCPCS Optx Tibial Fx Prox Bicon W/wo 8 8 $3,825.00 $3,442.50 $1,064.28 $3,557.25 $1,242.53 2025-12-18
27792 HCPCS Assist Open Tx Distal Fibular 11 8 $1,395.00 $1,255.50 $581.40 $2,232.93 $1,241.55 2025-12-18
72198 HCPCS MRA Pelvis W&without Contrast 9 9 $2,941.00 $2,646.90 $301.90 $2,735.13 $1,235.22 2025-12-18
27470 HCPCS Rpr Non/mal Femur Dstl H/n Without 8 8 $4,427.00 $3,984.30 $1,056.89 $4,117.11 $1,233.90 2025-12-18
27829 HCPCS Assist Open Tx Distal Tibiofib 11 8 $1,383.00 $1,244.70 $633.09 $3,208.50 $1,230.87 2025-12-18
73222 HCPCS MRI Rt Ue Joint W/contrst 9 9 $2,926.00 $2,633.40 $277.13 $2,721.18 $1,228.92 2025-12-18
74185 HCPCS MRA Abdomen W/wo Contrast 9 9 $2,860.00 $2,574.00 $300.45 $2,659.80 $1,201.20 2025-12-18
27446 HCPCS Arthroplasty Knee Med Or Lat 8 8 $4,850.00 $4,365.00 $1,027.51 $4,510.50 $1,199.61 2025-12-18
A9520 HCPCS Technetium Tc-99m (Lymphoseek) 8 8 $1,835.00 $1,651.50 $755.29 $1,706.55 $1,199.08 2025-12-18
73219 HCPCS MRI Rt Ue Not Joint W/contrast 9 9 $2,843.00 $2,558.70 $293.92 $2,643.99 $1,194.06 2025-12-18
0120 RC — 24 4 $1,311.50 $1,180.35 $823.25 $2,059.95 $1,190.63 2025-12-18
29873 HCPCS Assist Arthroscopy Knee W/lat 11 8 $1,332.00 $1,198.80 $486.35 $2,270.13 $1,185.48 2025-12-18
27125 HCPCS Hemiarthroplasty Hip Partial 8 8 $4,709.00 $4,238.10 $1,013.59 $4,379.37 $1,183.36 2025-12-18
78195 HCPCS Sentinal/lymph Node Imaging 9 9 $2,803.00 $2,522.70 $277.71 $2,606.79 $1,177.26 2025-12-18
27428 HCPCS Curciate Lig Repair 8 8 $4,510.00 $4,059.00 $1,004.61 $4,194.30 $1,172.87 2025-12-18
27827 HCPCS Open Tx Fx Artic Dist Tibia 8 8 $3,951.00 $3,555.90 $1,002.66 $3,674.43 $1,170.59 2025-12-18
29874 HCPCS Assist Arthroscopy Knee Rem Fb 11 8 $1,304.00 $1,173.60 $484.45 $2,445.90 $1,160.56 2025-12-18
27524 HCPCS Assist Open Tx Patellar Fx W/i 11 8 $1,298.00 $1,168.20 $679.36 $2,691.42 $1,155.22 2025-12-18
70542 HCPCS MRI Orbit/face/neck W/contrast 9 9 $2,710.00 $2,439.00 $238.93 $2,587.76 $1,138.20 2025-12-18
72149 HCPCS MRI Lumbar Spine W/contrast 9 9 $2,703.00 $2,432.70 $242.01 $2,587.76 $1,135.26 2025-12-18
44005 HCPCS Enterolysis Of Intestines 8 8 $3,327.00 $2,994.30 $965.96 $3,094.11 $1,127.74 2025-12-18
72142 HCPCS MRI Cervical Spine W/contrast 9 9 $2,682.00 $2,413.80 $246.35 $2,587.76 $1,126.44 2025-12-18
J1439 HCPCS Ferric Carboxymalt 750mg/15ml 9 9 $2,675.00 $2,407.50 $840.84 $2,487.75 $1,123.50 2025-12-18
29880 HCPCS Assist Arthro W/mesiscectomy M 11 8 $1,259.00 $1,133.10 $507.66 $3,060.63 $1,120.51 2025-12-18
29827 HCPCS Arthroscopy W/rotator Cuff 8 8 $2,860.00 $2,574.00 $957.47 $2,659.80 $1,117.83 2025-12-18
47600 HCPCS Cholecystectomy 8 8 $3,245.00 $2,920.50 $949.98 $3,017.85 $1,109.09 2025-12-18
29806 HCPCS Shoulder Arthroscopy, Surg, Ca 8 8 $3,811.00 $3,429.90 $949.33 $3,544.23 $1,108.33 2025-12-18
24430 HCPCS Repair Humerus 8 8 $3,911.00 $3,519.90 $948.55 $3,637.23 $1,107.42 2025-12-18
73725 HCPCS MRA Rt Le W&without Contrast 9 9 $2,631.00 $2,367.90 $300.51 $2,589.94 $1,105.02 2025-12-18
72147 HCPCS MRI Thoracic Spine W/contrast 9 9 $2,628.00 $2,365.20 $243.92 $2,587.76 $1,103.76 2025-12-18
29875 HCPCS Assist Arthroscoy Synovectomy 11 8 $1,230.00 $1,107.00 $449.26 $2,292.45 $1,094.70 2025-12-18
70552 HCPCS MRI Head W/contrast 9 9 $2,602.00 $2,341.80 $242.47 $2,587.76 $1,092.84 2025-12-18
74182 HCPCS MRI Abdomen W/contrast 9 9 $2,601.00 $2,340.90 $269.83 $2,587.76 $1,092.42 2025-12-18
27502 HCPCS Closed Tx Femoral Shaft Fx 16 9 $2,613.00 $2,351.70 $678.43 $2,430.09 $1,091.87 2025-12-18
J0129 HCPCS Abatacept 250mg Inj Vial 9 9 $2,396.00 $2,156.40 $986.19 $2,228.28 $1,090.10 2025-12-18
44310 HCPCS Ileostomy/jejunostomy Non-tube 8 8 $3,306.00 $2,975.40 $921.89 $3,074.58 $1,076.29 2025-12-18
71550 HCPCS MRI Chest W/out Contrast 9 9 $2,558.00 $2,302.20 $298.11 $2,378.94 $1,074.36 2025-12-18
26615 HCPCS Assist Open Tx Metacarpal Frac 11 8 $1,207.00 $1,086.30 $524.27 $1,822.80 $1,074.23 2025-12-18
73719 HCPCS MRI Rt Le Not Joint W/contrast 9 9 $2,551.00 $2,295.90 $234.88 $2,551.00 $1,071.42 2025-12-18
72196 HCPCS MRI Pelvis W/contrast 9 9 $2,546.00 $2,291.40 $240.31 $2,546.00 $1,069.32 2025-12-18
25608 HCPCS Assist Open Red-intfx Rad/ulna 11 8 $1,190.00 $1,071.00 $749.84 $2,413.35 $1,059.10 2025-12-18
49596 HCPCS Rpr Aa Hernia 1st > 10 Cm Ncrc 8 8 $3,226.00 $2,903.40 $906.77 $3,000.18 $1,058.64 2025-12-18
27870 HCPCS Arthrodesis-fusion Ankle 8 8 $3,995.00 $3,595.50 $906.60 $3,715.35 $1,058.44 2025-12-18
52648 HCPCS Laser Surgery Of Prostate 8 8 $3,961.00 $3,564.90 $718.72 $3,683.73 $1,053.25 2025-12-18
44625 HCPCS Repair Bowel Opening 8 8 $3,359.00 $3,023.10 $895.87 $3,123.87 $1,045.90 2025-12-18
73218 HCPCS MRI Rt Ue Not Joint Without Contra 9 9 $2,476.00 $2,228.40 $268.08 $2,302.68 $1,039.92 2025-12-18
71551 HCPCS MRI Chest W/contrast 9 9 $2,465.00 $2,218.50 $332.34 $2,465.00 $1,035.30 2025-12-18
78709 HCPCS Nm Renal W/flow W/lasix 9 9 $2,463.00 $2,216.70 $290.74 $2,290.59 $1,034.46 2025-12-18
27759 HCPCS Assist Tx Tibl Shft Fx Imed IM 13 8 $398.00 $358.20 $354.22 $3,647.46 $1,029.30 2025-12-18
27823 HCPCS Open Tx Trimallr Ankle Fx With F 8 8 $3,768.00 $3,391.20 $880.60 $3,504.24 $1,028.09 2025-12-18
70336 HCPCS MRI Tmj 9 9 $2,434.00 $2,190.60 $233.92 $2,263.62 $1,022.28 2025-12-18
29888 HCPCS Arthroscopic Ligament Repair 8 8 $5,487.00 $4,938.30 $873.36 $5,102.91 $1,019.63 2025-12-18
54830 HCPCS Excision Local Lesion Epididym 12 8 $2,464.00 $2,217.60 $337.53 $2,291.52 $1,014.18 2025-12-18
27702 HCPCS Reconstruct Ankle Joint 8 8 $4,344.00 $3,909.60 $864.35 $4,039.92 $1,009.12 2025-12-18
51550 HCPCS Cystectomy Partial Simple 8 8 $3,209.00 $2,888.10 $863.89 $2,984.37 $1,008.58 2025-12-18
44020 HCPCS Enterotomy Sm Int Oth/duo Bxfb 8 8 $2,768.00 $2,491.20 $863.60 $2,574.24 $1,008.23 2025-12-18
27514 HCPCS Assist Open Tx Femoral Fx Dist 11 8 $1,086.00 $977.40 $864.08 $3,584.22 $1,003.63 2025-12-18
27240 HCPCS Closed Red-int Fix Femur 8 8 $2,558.00 $2,302.20 $857.98 $2,378.94 $1,001.67 2025-12-18
19303 HCPCS Unilateral Simple Mastectomy 8 8 $3,172.00 $2,854.80 $851.52 $2,949.96 $994.14 2025-12-18
70547 HCPCS MRA Neck Without Contrast 9 9 $2,367.00 $2,130.30 $193.08 $2,201.31 $994.14 2025-12-18
74176 HCPCS CT Abd/pelvis Without Cont (ivp) 9 9 $2,376.00 $2,138.40 $165.75 $2,209.68 $987.74 2025-12-18
50600 HCPCS Ureterotomy W/explor Or Draina 8 8 $2,969.00 $2,672.10 $843.19 $2,761.17 $984.41 2025-12-18
54328 HCPCS Revise Penis/urethra 8 8 $5,210.00 $4,689.00 $842.75 $4,845.30 $983.89 2025-12-18
70540 HCPCS MRI Face/orbit/neck Without Contra 9 9 $2,331.00 $2,097.90 $201.89 $2,167.83 $979.02 2025-12-18
23680 HCPCS Treat Dislocation/fracture 8 8 $3,841.00 $3,456.90 $837.40 $3,572.13 $977.65 2025-12-18
70553 HCPCS MRI Head W&without Contrast 9 9 $2,324.00 $2,091.60 $286.00 $2,324.00 $976.08 2025-12-18
15277 HCPCS Skin Sub F/n/fh/ >100 Sq Cm 1s 9 9 $2,306.00 $2,075.40 $300.32 $2,144.58 $968.52 2025-12-18
72195 HCPCS MRI Pelvis W/out Contrast 9 9 $2,305.00 $2,074.50 $204.13 $2,143.65 $968.10 2025-12-18
74170 HCPCS CT Abd W&without Contr 9 9 $2,297.00 $2,067.30 $231.54 $2,136.21 $964.74 2025-12-18
73718 HCPCS MRI Rt Le Not Joint Without Contra 9 9 $2,291.00 $2,061.90 $198.99 $2,130.63 $962.22 2025-12-18
70548 HCPCS MRA Neck W/contrast 9 9 $2,289.00 $2,060.10 $220.36 $2,289.00 $961.38 2025-12-18
29828 HCPCS Arthroscopy Biceps Tenodesis 8 8 $2,346.00 $2,111.40 $822.43 $2,181.78 $960.17 2025-12-18
25575 HCPCS Open Tx Radial&ulnar Shaft Fx 8 8 $2,889.00 $2,600.10 $816.40 $2,686.77 $953.13 2025-12-18
44180 HCPCS Lap, Enterolysis 8 8 $2,995.00 $2,695.50 $815.76 $2,785.35 $952.38 2025-12-18
70496 HCPCS CT Angio Of Circle Of Willis 9 9 $2,266.00 $2,039.40 $247.60 $2,131.35 $951.72 2025-12-18
27235 HCPCS Open Tx Fem Fx Prox End/neck 8 8 $3,622.00 $3,259.80 $814.24 $3,368.46 $950.62 2025-12-18
15273 HCPCS Skin Sub T/a/l >100 Sq Cm 1st 9 9 $2,254.00 $2,028.60 $268.35 $2,096.22 $946.68 2025-12-18
27758 HCPCS Open Redtn Int Fix Tibia Fibul 8 8 $3,460.00 $3,114.00 $806.08 $3,217.80 $941.09 2025-12-18
19302 HCPCS Regional Lymph Node Excision 8 8 $2,999.00 $2,699.10 $805.01 $2,789.07 $939.85 2025-12-18
70544 HCPCS MRA Head Without Contrast 9 9 $2,235.00 $2,011.50 $192.50 $2,107.31 $938.70 2025-12-18
23655 HCPCS Reduction Shoulder W/anes 16 9 $2,235.00 $2,011.50 $372.31 $3,154.56 $933.91 2025-12-18
J0885 HCPCS Epoetin 20,000 Units Non Esrd 18 9 $1,698.50 $1,528.65 $150.45 $2,216.19 $932.88 2025-12-18
23615 HCPCS Treat Humerus Fracture 8 8 $2,964.00 $2,667.60 $795.58 $2,756.52 $928.83 2025-12-18
24515 HCPCS Open Tx Hum Shaft Fx W/plate/s 8 8 $3,150.00 $2,835.00 $793.03 $2,929.50 $925.85 2025-12-18
J0881 HCPCS Darbepoetin 150mcg Inj 63 9 $1,996.00 $1,796.40 $73.38 $4,211.04 $922.40 2025-12-18
25607 HCPCS Assist Treat Fx Rad Extra-arti 11 8 $1,036.00 $932.40 $672.51 $1,890.69 $922.04 2025-12-18
70546 HCPCS MRA Head W&without Contrast 9 9 $2,189.00 $1,970.10 $293.74 $2,189.00 $919.38 2025-12-18
49617 HCPCS Rpr Aa Hernia Recr >10 Cm Red 8 8 $3,733.00 $3,359.70 $785.10 $3,471.69 $916.59 2025-12-18
0360 RC — 128 8 $1,757.00 $1,581.30 $19.76 $7,293.06 $915.12 2025-12-18
27822 HCPCS Open Tx Trimallr Ankle Fx Wo F 8 8 $3,285.00 $2,956.50 $781.35 $3,055.05 $912.22 2025-12-18
72197 HCPCS MRI Pelvis W&without Contrast 9 9 $2,171.00 $1,953.90 $301.18 $2,171.00 $911.82 2025-12-18
70498 HCPCS CTA Neck 9 9 $2,170.00 $1,953.00 $247.31 $2,131.35 $911.40 2025-12-18
71275 HCPCS CTA Chest Non Coro (pe Protoco 9 9 $2,167.00 $1,950.30 $252.55 $2,131.35 $910.14 2025-12-18
44960 HCPCS Appendectomy Perforated 8 8 $2,532.00 $2,278.80 $776.93 $2,354.76 $907.06 2025-12-18
72193 HCPCS CT Pelvis With Contrast 9 9 $2,152.00 $1,936.80 $202.31 $2,001.36 $903.84 2025-12-18
78582 HCPCS Lung Scan Both Studies 9 9 $2,135.00 $1,921.50 $259.57 $1,985.55 $896.70 2025-12-18
26123 HCPCS Fascectomy, Partl Palmar W Rel 8 8 $3,262.00 $2,935.80 $760.15 $3,033.66 $887.46 2025-12-18
73701 HCPCS CT Lower Extremity W/contrast 9 9 $2,104.00 $1,893.60 $149.35 $1,956.72 $883.68 2025-12-18
72146 HCPCS MRI Thoracic Spine Without Contras 9 9 $2,104.00 $1,893.60 $171.48 $2,104.00 $883.68 2025-12-18
24579 HCPCS Open Tx Humeral Condylar Fx 8 8 $2,962.00 $2,665.80 $754.57 $2,754.66 $880.96 2025-12-18
35860 HCPCS Expl Limb Vessels 8 8 $1,672.00 $1,504.80 $733.56 $1,554.96 $856.42 2025-12-18
15275 HCPCS Skin Sub F/n/fh/ <100 Sq Cm 1s 9 9 $2,032.00 $1,828.80 $141.31 $1,889.76 $853.44 2025-12-18
J0081 HCPCS Darbepoetin 60mcg Inj(aranesp) 8 8 $1,305.00 $1,174.50 $537.14 $1,213.65 $852.75 2025-12-18
54405 HCPCS Insj Multi-component Inftbl Pe 8 8 $7,160.00 $6,444.00 $728.57 $6,658.80 $850.60 2025-12-18
59514 HCPCS Caesarian Delivery 16 9 $922.00 $829.80 $379.50 $2,143.65 $848.24 2025-12-18
78278 HCPCS Gi Bleed 9 9 $2,017.00 $1,815.30 $273.17 $1,875.81 $847.14 2025-12-18
74181 HCPCS MRI Abdomen W/out Contrast 9 9 $2,008.00 $1,807.20 $175.48 $2,008.00 $843.36 2025-12-18
15271 HCPCS Skin Sub T/a/l <100 Sqcm 1st 9 9 $2,007.00 $1,806.30 $135.23 $1,866.51 $842.94 2025-12-18
72133 HCPCS CT Lum Spine W&without Contrast 9 9 $2,000.00 $1,800.00 $176.19 $2,000.00 $840.00 2025-12-18
27407 HCPCS Rep Pri Torn Lig And/or Cap Kn 8 8 $3,101.00 $2,790.90 $719.24 $2,883.93 $839.70 2025-12-18
15240 HCPCS Fth/gft Fr W/dir Clsr F/c/c/m/ 8 8 $2,208.00 $1,987.20 $821.28 $2,053.44 $833.76 2025-12-18
29855 HCPCS Arthroscopy Knee, W/menisectom 8 8 $3,315.00 $2,983.50 $703.34 $3,082.95 $821.13 2025-12-18
28725 HCPCS Arthrodesis Subtalar 8 8 $2,957.00 $2,661.30 $702.64 $2,750.01 $820.33 2025-12-18
59409 HCPCS Vaginal Delivery 16 9 $1,568.00 $1,411.20 $645.39 $1,909.29 $819.29 2025-12-18
71270 HCPCS CT Chest W&without Cont 9 9 $1,950.00 $1,755.00 $175.57 $1,950.00 $819.00 2025-12-18
43500 HCPCS Gastrotomy, W/explor Or Fb 8 8 $2,232.00 $2,008.80 $699.56 $2,075.76 $816.73 2025-12-18
20103 HCPCS Explore Wound Extremity 19 9 $1,034.00 $930.60 $354.16 $1,603.32 $809.01 2025-12-18
P9034 HCPCS Plateletpheresis, Ea Unit 8 8 $1,231.00 $1,107.90 $506.68 $1,144.83 $804.39 2025-12-18
81270 HCPCS Jak2 V617f Mutation With Reflex 9 9 $1,924.00 $1,731.60 $89.83 $1,789.32 $799.84 2025-12-18
33210 HCPCS Transvenous Pacer 19 9 $878.00 $790.20 $140.35 $8,291.88 $798.98 2025-12-18
72194 HCPCS CT Pelvis W&without Contrast 9 9 $1,900.00 $1,710.00 $223.31 $1,900.00 $798.00 2025-12-18
72130 HCPCS CT Thor Spine W&without Contrast 9 9 $1,900.00 $1,710.00 $177.93 $1,900.00 $798.00 2025-12-18
72127 HCPCS CT Cerv Spine W&without Contrast 9 9 $1,900.00 $1,710.00 $175.91 $1,900.00 $798.00 2025-12-18
49000 HCPCS Exploratory Laparotomy 8 8 $2,614.00 $2,352.60 $683.26 $2,431.02 $797.69 2025-12-18
24341 HCPCS Rep Tendon/muscle Upper Arm/el 8 8 $2,476.00 $2,228.40 $677.97 $2,302.68 $791.53 2025-12-18
74160 HCPCS CT Abd W/contr 9 9 $1,884.00 $1,695.60 $206.01 $1,805.97 $791.28 2025-12-18
70460 HCPCS CT Head With Contrast 9 9 $1,878.00 $1,690.20 $133.35 $1,746.54 $788.76 2025-12-18
71260 HCPCS CT Chest With Cont 9 9 $1,876.00 $1,688.40 $149.64 $1,744.68 $787.92 2025-12-18
27420 HCPCS Revision Of Unstable Kneecap 8 8 $3,626.00 $3,263.40 $673.97 $3,372.18 $786.85 2025-12-18
27422 HCPCS Revision Of Unstable Kneecap 8 8 $3,517.00 $3,165.30 $671.14 $3,270.81 $783.56 2025-12-18
27252 HCPCS Clsd Tx Hip Disloc Traum, W/an 16 9 $1,426.00 $1,283.40 $586.94 $2,192.01 $783.42 2025-12-18
27430 HCPCS Quadricepsplasty 8 8 $2,867.00 $2,580.30 $668.98 $2,666.31 $781.01 2025-12-18
57288 HCPCS Sling Operation For Stress Inc 8 8 $3,058.00 $2,752.20 $667.31 $2,843.94 $779.08 2025-12-18
45388 HCPCS Colonoscopy W Ablation 8 8 $1,434.00 $1,290.60 $275.37 $1,405.32 $778.62 2025-12-18
28295 HCPCS Correction Hallux Valgus 8 8 $2,942.00 $2,647.80 $623.28 $2,736.06 $771.62 2025-12-18
73702 HCPCS CT Lower Extremity W&without Contr 9 9 $1,837.00 $1,653.30 $174.69 $1,837.00 $771.54 2025-12-18
49594 HCPCS Rpr Aa Hernia 1st 3-10 Cm 8 8 $3,126.00 $2,813.40 $658.56 $2,907.18 $768.86 2025-12-18
52601 HCPCS Prostatectomy (turp) 8 8 $2,798.00 $2,518.20 $655.71 $2,602.14 $765.53 2025-12-18
28730 HCPCS Fusion Of Foot Bones 8 8 $2,754.00 $2,478.60 $655.37 $2,561.22 $765.13 2025-12-18
70470 HCPCS CT Head W&without Contrast 9 9 $1,818.00 $1,636.20 $155.64 $1,690.74 $763.56 2025-12-18
25628 HCPCS Open Tx Carpal Scaphoid Navic 8 8 $2,534.00 $2,280.60 $652.72 $2,356.62 $762.05 2025-12-18
73721 HCPCS MRI Rt Le Joint Without Contrast 9 9 $1,814.00 $1,632.60 $182.12 $1,814.00 $761.88 2025-12-18
93306 HCPCS US Echo W/dop & Color Flow 9 9 $1,810.00 $1,629.00 $171.60 $1,683.30 $760.20 2025-12-18
54360 HCPCS Plastic Rpr Penis Correct Angu 8 8 $5,187.00 $4,668.30 $650.36 $4,823.91 $759.28 2025-12-18
54416 HCPCS Rmvl & Rplcmt Non-nfltbl/nfltb 8 8 $4,195.00 $3,775.50 $647.06 $3,901.35 $755.43 2025-12-18
78473 HCPCS Muga 9 9 $1,778.00 $1,600.20 $231.07 $1,677.12 $746.76 2025-12-18
47563 HCPCS Lap Chole W Cholangiography 8 8 $3,292.00 $2,962.80 $638.75 $3,061.56 $745.74 2025-12-18
28805 HCPCS Amputation Foot Transmetatarsa 8 8 $2,160.00 $1,944.00 $638.18 $2,008.80 $745.06 2025-12-18
78264 HCPCS Gastric Emptying Study 9 9 $1,772.00 $1,594.80 $258.43 $1,647.96 $744.24 2025-12-18
26951 HCPCS Amputation Of Finger 8 8 $1,399.00 $1,259.10 $626.05 $1,301.07 $730.90 2025-12-18
J1212 HCPCS Dimethyl Sulfoxide Irrigation 9 9 $1,547.00 $1,392.30 $636.75 $1,438.71 $728.04 2025-12-18
28737 HCPCS Revision Of Foot Bones 8 8 $2,014.00 $1,812.60 $622.85 $1,873.02 $727.16 2025-12-18
81351 HCPCS Tp53 Full Gene Sequence 9 9 $1,728.00 $1,555.20 $629.01 $1,728.00 $725.76 2025-12-18
27334 HCPCS Knee Synovect 8 8 $3,011.00 $2,709.90 $621.21 $2,800.23 $725.25 2025-12-18
70545 HCPCS MRA Head W/contrast 9 9 $1,726.00 $1,553.40 $203.21 $1,726.00 $724.92 2025-12-18
73221 HCPCS MRI Rt Ue Joint Without Contrast 9 9 $1,724.00 $1,551.60 $182.41 $1,724.00 $724.08 2025-12-18
72159 HCPCS MRA Spinal Canal W&without Contras 9 9 $1,721.00 $1,548.90 $304.38 $1,721.00 $722.82 2025-12-18
J0248 HCPCS Remdesivir 100 Mg/ 20 Ml Inj 9 9 $1,709.00 $1,538.10 $659.44 $1,589.37 $717.78 2025-12-18
25565 HCPCS Treat Fracture Radius&ulna Rt 13 9 $1,742.00 $1,567.80 $476.98 $1,620.06 $717.01 2025-12-18
70482 HCPCS CT Orbits W&without Cont 9 9 $1,700.00 $1,530.00 $187.78 $1,700.00 $714.00 2025-12-18
27509 HCPCS Closed Reduction-int Fix Femur 8 8 $2,401.00 $2,160.90 $608.25 $2,232.93 $710.12 2025-12-18
25606 HCPCS Treat Fx Distal Radial 8 8 $2,038.00 $1,834.20 $607.96 $1,895.34 $709.79 2025-12-18
35226 HCPCS Repair Blood Vessel 16 9 $754.00 $678.60 $310.35 $1,191.33 $709.31 2025-12-18
70551 HCPCS MRI Head Without Contrast 9 9 $1,688.00 $1,519.20 $176.40 $1,688.00 $708.96 2025-12-18
70492 HCPCS CT Neck W&without Contrast 9 9 $1,675.00 $1,507.50 $198.20 $1,675.00 $703.50 2025-12-18
29824 HCPCS Assist Arthroscopy Distal Clav 13 8 $461.00 $414.90 $410.29 $2,142.72 $702.80 2025-12-18
24359 HCPCS Rep Elb Deb/soft Tissue And/or 8 8 $2,535.00 $2,281.50 $601.04 $2,357.55 $701.71 2025-12-18
26990 HCPCS Assist I&d Pelvis/hip Jt Area 13 8 $283.00 $254.70 $251.87 $1,893.48 $698.50 2025-12-18
25605 HCPCS Wrist Reduction 20 9 $1,686.00 $1,517.40 $416.13 $1,567.98 $693.96 2025-12-18
72148 HCPCS MRI Lumbar Spine Without Contrast 9 9 $1,650.00 $1,485.00 $171.77 $1,650.00 $693.00 2025-12-18
73202 HCPCS CT Upper Extremity W&without Contr 9 9 $1,650.00 $1,485.00 $219.47 $1,650.00 $693.00 2025-12-18
28740 HCPCS Arthrodesis Midtrsll/trsmtrs 8 8 $2,737.00 $2,463.30 $641.11 $2,545.41 $692.81 2025-12-18
70491 HCPCS CT Neck With Contrast 9 9 $1,643.00 $1,478.70 $165.21 $1,594.11 $690.06 2025-12-18
64581 HCPCS Open Implant Nea Sacral Nerve 8 8 $2,622.00 $2,359.80 $590.37 $2,438.46 $689.25 2025-12-18
29876 HCPCS Arthroscopy Synovectomy Major 8 8 $3,431.00 $3,087.90 $589.41 $3,190.83 $688.13 2025-12-18
47562 HCPCS Laparoscopy Chole 8 8 $2,744.00 $2,469.60 $587.60 $2,551.92 $686.01 2025-12-18
81352 HCPCS Tp53 Somatic Mutation Prognost 9 9 $1,631.00 $1,467.90 $322.92 $1,631.00 $685.02 2025-12-18
19301 HCPCS Local Exc Breast Lesion 8 8 $1,630.00 $1,467.00 $586.14 $1,515.90 $684.31 2025-12-18
20680 HCPCS Assist Pin Removal Deep 11 8 $768.00 $691.20 $435.04 $1,103.91 $683.52 2025-12-18
23552 HCPCS Open Tx Clavicle Dislocation 8 8 $2,509.00 $2,258.10 $584.85 $2,333.37 $682.81 2025-12-18
J7325 HCPCS Hyaluronate Sodium 48mg/6ml Pf 18 9 $1,433.00 $1,289.70 $8.91 $1,514.04 $680.27 2025-12-18
54300 HCPCS Penis Straightening Chordee 8 8 $4,519.00 $4,067.10 $582.38 $4,202.67 $679.92 2025-12-18
36571 HCPCS Insertion Picvad >5yrs 8 8 $2,268.00 $2,041.20 $316.37 $2,109.24 $679.26 2025-12-18
72141 HCPCS MRI Cervical Spine Without Contras 9 9 $1,617.00 $1,455.30 $171.20 $1,617.00 $679.14 2025-12-18
86727 HCPCS Encephalitis Panel Csf 9 9 $1,628.00 $1,465.20 $12.61 $1,514.04 $676.78 2025-12-18
72126 HCPCS CT Cervical Spine W/contrast 9 9 $1,610.00 $1,449.00 $151.25 $1,610.00 $676.20 2025-12-18
78227 HCPCS Nm Hepatobiliary Scan W/cck 9 9 $1,609.00 $1,448.10 $339.69 $1,609.00 $675.78 2025-12-18
78701 HCPCS Nm Renal & Flow 9 9 $1,607.00 $1,446.30 $179.13 $1,494.51 $674.94 2025-12-18
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