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

MILLINOCKET REGIONAL HOSPITAL

Millinocket, ME · CCN 201307 · Rates published

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You selected 27447 (HCPCS)

ARTHROPLASTY KNEE MED & LAT

This hospital’s price: $2,399 across 8 payers · range $1,146-$5,511

Source: https://www.mrhme.org/wp-content/uploads/2025/12/010223482-1275646150_millinocket-regional-hospital_standardcharges.csv · observed 2025-12-18

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

8,412 distinct procedures filed
10 distinct payers
41,184 rate rows
2026-07-31 last MRF observed
Data quality

33,535 of 41,184 rate rows are consumer-grade (81.4%)

7,649 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 6,424
placeholder amount (≤ $0.02) — excluded from medians 1,205
per-diem day rate — not a per-procedure price 20
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://mrhme.org/files/01-0223482_millinocket-regional-hospital_standardcharges.csv
Found on page https://www.mrhme.org/patient-resources/hospital-pricing/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-12

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
$12,959
1.6× median
J2350
HCPCS 		Ocrelizumab 300mg Inj 9 $15,400.84 $34,797.81 $17,552.98 nat. median
$331
outlier · 53.1×
J9042
HCPCS 		BRENTUXimab 50mg/10ml Inj Vial 9 $11,629.76 $26,277.15 $12,667.28 nat. median
$885
outlier · 14.3×
J9022
HCPCS 		Atezolizumab 1200mg/20ml Inj 9 $8,080.94 $18,258.69 $10,704.07 nat. median
$5,498
1.9× median
J0896
HCPCS 		Luspatercept Aamt 25mg Vial 9 $4,055.49 $27,488.94 $10,664.68 nat. median
$4,503
outlier · 2.4×
J1628
HCPCS 		Guselkumab 100mg/1ml Inj 9 $7,336.57 $22,891.95 $10,338.30 nat. median
$196
outlier · 52.6×
J9228
HCPCS 		Ipilimumab 50 Mg/10 Ml Vial 9 $8,923.49 $20,162.40 $9,105.60 nat. median
$8,184
1.1× median
J2327
HCPCS 		Risankizumab-rzaa 600mg Inj 9 $7,494.41 $16,933.44 $8,725.92 nat. median
$961
outlier · 9.1×
J9144
HCPCS 		Daratumumab-hyaluronid 1800mg 9 $3,955.48 $9,417.80 $8,523.11 nat. median
$202
outlier · 42.2×
J3101
HCPCS 		Tenecteplase 50mg Inj(tnk) 9 $5,935.68 $13,411.53 $8,424.96 nat. median
$3,475
outlier · 2.4×
J0870
HCPCS 		Imetelstat (Rytelo) 47mg Vial 9 $2,609.54 $23,584.80 $8,167.19 nat. median
$3,358
outlier · 2.4×
J9223
HCPCS 		Lurbinectedin 4mg Inj 9 $5,772.28 $13,042.32 $8,080.10 nat. median
$605
outlier · 13.4×
J9301
HCPCS 		Obinutuzumab 1000 Mg/40 Ml Inj 9 $6,377.74 $14,410.35 $7,689.18 nat. median
$272
outlier · 28.3×
J2323
HCPCS 		Natalizumab 300mg/15ml Inj 9 $6,758.06 $15,269.67 $7,093.04 nat. median
$136
outlier · 52.2×
J9299
HCPCS 		Nivolumab (Opdivo) 120mg/12mL 9 $3,881.04 $13,600.32 $6,952.07 nat. median
$2,649
outlier · 2.6×
J3380
HCPCS 		Vedolizumab 300mg Inj Vial 9 $6,486.23 $15,153.42 $6,843.48 nat. median
$150
outlier · 45.7×
J9063
HCPCS 		Mirvetuximab Soravtansine Gynx 9 $6,675.33 $15,082.74 $6,812.96 nat. median
$198
outlier · 34.4×
J9271
HCPCS 		Pembrolizumab 100mg/4ml Vial 9 $4,469.15 $10,097.94 $5,739.08 nat. median
$254
outlier · 22.6×
J2997
HCPCS 		Activase 50 Mg 9 $184.53 $15,248.28 $5,372.64 nat. median
$488
outlier · 11.0×
J0491
HCPCS 		Anifrolumab Fnia 300mg/2ml Inj 9 $5,205.51 $11,761.71 $5,322.58 nat. median
$60
outlier · 88.0×
J0517
HCPCS 		Benralizumab 30mg/1ml Inj 9 $4,001.16 $9,040.53 $4,943.02 nat. median
$801
outlier · 6.2×
J1162
HCPCS 		Digoxin Immune 40mg Inj Vial 9 $3,476.79 $7,855.71 $4,869.21 nat. median
$7,100
0.7× median
27299
HCPCS 		Unlisted Procedure, Pelvis/hip 7 $4,608.80 $6,123.12 $4,608.80 nat. median
$845
outlier · 5.5×
J0139
HCPCS 		Adalimumab 40mg/0.4ml Inj Pen 8 $2,778.30 $6,277.50 $4,410.79 nat. median
$3,072
1.4× median
J2506
HCPCS 		Pegfilgrastim/onpro 6mg/0.6ml 9 $686.77 $9,748.26 $4,402.44 nat. median
$1,555
outlier · 2.8×
J3240
HCPCS 		Thyrotropin Alfa 0.9mg/mL Vial 9 $2,070.98 $9,402.89 $4,246.46 nat. median
$2,938
1.4× median
J2353
HCPCS 		Octreotide Lar Depot 20mg Kit 9 $1,820.92 $15,060.42 $4,159.10 nat. median
$5,513
0.8× median
Q4187
HCPCS 		Epicord 2 X3 Expandable 9 $237.03 $8,784.78 $3,967.32 nat. median
$505
outlier · 7.9×
J2356
HCPCS 		Tezepelumab-ekko 210mg Inj 9 $3,155.74 $7,130.31 $3,766.35 nat. median
$75
outlier · 50.1×
Q4186
HCPCS 		Epifix Mesh 3.5cm X 3.5cm 9 $147.32 $8,483.46 $3,535.14 nat. median
$441
outlier · 8.0×
49605
HCPCS 		Rpr Lg Omphalocele/gastroschis 8 $3,171.07 $5,068.07 $3,527.37 nat. median
$5,187
0.7× median
Q5111
HCPCS 		Pegfilgrastim-cbqv 6mg/0.6ml 9 $1,599.88 $7,513.47 $3,393.18 nat. median
$1,862
1.8× median
J9035
HCPCS 		Bevacizumab 400mg/16ml Inj Vl 9 $2,863.52 $7,385.13 $3,335.22 nat. median
$677
outlier · 4.9×
Q5122
HCPCS 		Pegfilgrastim-apgf 6mg/0.6ml 9 $1,552.78 $7,063.35 $3,189.90 nat. median
$559
outlier · 5.7×
J9312
HCPCS 		riTUXimab 100MG/10ml Inj 9 $744.12 $8,706.66 $3,166.49 nat. median
$1,027
outlier · 3.1×
J9217
HCPCS 		Leuprolide Acetate 22.5mg Inj 9 $152.31 $20,238.66 $3,050.10 nat. median
$1,518
outlier · 2.0×
J9319
HCPCS 		Romidepsin 10mg Inj Vial 9 $2,300.02 $5,196.84 $3,045.35 nat. median
$94
outlier · 32.4×
81455
HCPCS 		Genomic Sequence >50 Genes 9 $2,327.60 $5,259.15 $2,861.21 nat. median
$2,934
1.0× median
J0135
HCPCS 		Adalimumab 40mg/0.8ml Inj Syr 9 $1,782.06 $6,277.50 $2,835.00 nat. median
$3,399
0.8× median
J9173
HCPCS 		Durvalumab 120mg/2.4mL Inj Vl 9 $943.39 $7,103.34 $2,637.68 nat. median
$1,035
outlier · 2.5×
J0897
HCPCS 		Denosumab 120mg/1.7ml Subcut 9 $1,306.83 $5,431.20 $2,634.36 nat. median
$1,965
1.3× median
J3111
HCPCS 		Romosozumab 210 Mg/2.34 Ml Inj 9 $2,470.42 $5,639.52 $2,546.88 nat. median
$657
outlier · 3.9×
J2357
HCPCS 		Omalizumab 150mg Inj (xolair) 9 $1,071.81 $6,417.00 $2,403.41 nat. median
$1,217
2.0× median
27447
HCPCS 		Assist Arthroplasty Knee Condy 8 $1,146.13 $5,511.18 $2,398.55 nat. median
$12,699
outlier · 0.2×
27236
HCPCS 		Assist Open Tx Fem Fx Prox End 8 $1,068.19 $4,141.29 $2,377.19 nat. median
$4,779
outlier · 0.5×
90378
HCPCS 		Palivizumab 50mg/0.5ml Inj 8 $1,493.70 $3,374.97 $2,371.37 nat. median
$2,124
1.1× median
27486
HCPCS 		Assist Revsn Tot Knee Arthro 1 8 $1,255.31 $5,227.53 $2,332.69 nat. median
$8,769
outlier · 0.3×
27244
HCPCS 		Assist Tx Inter/pr/subtrchntri 8 $1,098.98 $4,239.87 $2,227.67 nat. median
$4,779
outlier · 0.5×
J0717
HCPCS 		Certolizumab Pegol 200mg Inj 9 $879.26 $4,823.91 $2,178.54 nat. median
$1,187
1.8× median
44146
HCPCS 		Colectomy Prtl W/coloproctosto 8 $1,850.49 $5,544.66 $2,160.43 nat. median
$3,449
0.6× median

Other procedures at this hospital

Browse this hospital's 8,412 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
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
27299 HCPCS Unlisted Procedure, Pelvis/hip 7 7 $6,584.00 $5,925.60 $4,608.80 $6,123.12 $4,608.80 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
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
29999 HCPCS Arthroscopy Joint 7 7 $2,634.00 $2,370.60 $1,843.80 $2,449.62 $1,843.80 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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