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

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Hospital

NORTHERN MAINE MEDICAL CENTER

Fort Kent, ME · CCN 201317 · Rates published

2,376 distinct procedures filed
21 distinct payers
109,382 rate rows
2026-03-25 last MRF observed
Data quality

107,126 of 109,382 rate rows are consumer-grade (97.9%)

2,256 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 2,066
percent-of-charges filed in the dollar field — excluded from medians 132
per-diem day rate — not a per-procedure price 58

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
23615
HCPCS 		23615 Optx Prox Humeral Fx W Int Fixj Rpr Tuberosi 21 $13,526.31 $45,034.00 $38,278.90 nat. median
$11,037
outlier · 3.5×
27827
HCPCS 		27827 Open Tx Of Fx Of Articular Distal Tibia W 21 $13,526.31 $40,803.00 $34,682.55 nat. median
$11,070
outlier · 3.1×
23472
HCPCS 		23472 Arthroplasty Glenohumeral Joint Total Shou 21 $18,472.91 $40,803.00 $34,682.55 nat. median
$16,400
outlier · 2.1×
27447
HCPCS 		27447 Arthroplasty Knee Condyle And Plateau Med 21 $13,526.31 $40,803.00 $34,682.55 nat. median
$12,649
outlier · 2.7×
27446
HCPCS 		27446 Arthroplasty Knee Condyle And Plateau Med 21 $13,526.31 $40,803.00 $34,682.55 nat. median
$12,483
outlier · 2.8×
27828
HCPCS 		27828 Open Tx Of Fx Of Articular Distal Tibia W 21 $13,526.31 $40,803.00 $34,682.55 nat. median
$10,714
outlier · 3.2×
27130
HCPCS 		27130 Arthroplasty Acetabular And Proximal Femora 21 $13,526.31 $38,536.00 $32,755.60 nat. median
$13,100
outlier · 2.5×
33208
HCPCS 		33208 Insrt New Rplcmt Heart Pm Atrial And Vent 21 $11,011.79 $36,629.00 $31,134.65 nat. median
$11,773
outlier · 2.6×
33228
HCPCS 		33228 Removal Of Pacemaker W Replacement Of Pulse 21 $11,011.79 $34,407.00 $29,245.95 nat. median
$11,435
outlier · 2.6×
33213
HCPCS 		33213 Ins Pacemaker Pulse Gen Only W Exist Dual Le 21 $11,011.79 $32,591.00 $27,702.35 nat. median
$10,813
outlier · 2.6×
33206
HCPCS 		33206 Ins New Rplcmt Prm Pacemakr W Trans Eltrd At 21 $11,011.79 $32,591.00 $27,702.35 nat. median
$11,266
outlier · 2.5×
33207
HCPCS 		33207 Ins New Rplc Prm Pacemaker W Transv Eltrd Ve 21 $11,011.79 $32,591.00 $27,702.35 nat. median
$11,490
outlier · 2.4×
33249
HCPCS 		33249 Insj Rplcmt Perm Dfb W Trnsvns Lds 1 Dual Ch 21 $15,400.00 $28,000.00 $25,228.00 nat. median
$31,833
0.8× median
33231
HCPCS 		33231 Insj Implntbl Defib Pulse Gen W Exist Multil 21 $15,400.00 $28,000.00 $25,228.00 nat. median
$30,121
0.8× median
33270
HCPCS 		33270 Ins Rplcmnt Perm Subq Impltbl Dfb W Subq Elt 21 $15,400.00 $28,000.00 $25,228.00 nat. median
$32,221
0.8× median
J2350
HCPCS 		Ocrelizumab 300 Mg 10 Ml 20 $59.41 $35,485.88 $25,035.29 nat. median
$683
outlier · 36.7×
33285
HCPCS 		33285 Insertion Subq Cardiac Rhythm Monitor W Prgr 21 $8,718.61 $28,329.00 $24,079.65 nat. median
$8,844
outlier · 2.7×
33230
HCPCS 		33230 Insj Implntbl Defib Pulse Gen W Exist Dual L 21 $15,400.00 $28,000.00 $23,800.00 nat. median
$22,360
1.1× median
33240
HCPCS 		33240 Insj Implntbl Defib Pulse Gen W 1 Existing L 21 $15,400.00 $28,000.00 $23,800.00 nat. median
$22,137
1.1× median
C2621
HCPCS 		62109287 18 $14,818.65 $26,943.00 $23,399.99 nat. median
$10,188
outlier · 2.3×
51860
HCPCS 		51860 Cystorrhaphy Suture Of Bladder Wound Injur 20 $9,973.47 $32,348.00 $22,821.51 nat. median
$8,425
outlier · 2.7×
33212
HCPCS 		33212 Ins Pm Pls Gen W Exist Single Lead 21 $8,718.61 $25,929.00 $22,039.65 nat. median
$8,821
outlier · 2.5×
J3357
HCPCS 		Ustekinumab 45 Mg 0.5 Ml 18 $13,782.21 $25,058.57 $21,763.36 nat. median
$14,292
1.5× median
27829
HCPCS 		27829 Open Tx Of Distal Tibiofibular Joint Disrupt 21 $7,644.85 $25,004.00 $21,253.40 nat. median
$6,771
outlier · 3.1×
23515
HCPCS 		23515 Open Treatment Of Clavicular Fracture Inclu 21 $7,644.85 $25,004.00 $21,253.40 nat. median
$6,951
outlier · 3.1×
28485
HCPCS 		28485 Open Treatment Metatarsal Fracture Each 21 $7,644.85 $25,003.00 $21,252.55 nat. median
$7,113
outlier · 3.0×
27698
HCPCS 		27698 Repair Secondary Disrupted Ligament Ankle Co 21 $7,644.85 $25,003.00 $21,252.55 nat. median
$6,626
outlier · 3.2×
27350
HCPCS 		27350 Patellectomy Hemipatellectomy 21 $7,644.85 $25,003.00 $21,252.55 nat. median
$6,623
outlier · 3.2×
27654
HCPCS 		27654 Repair Secondary Achilles Tendon W Wo Graft 21 $7,644.85 $25,003.00 $21,252.55 nat. median
$6,809
outlier · 3.1×
58554
HCPCS 		58554 Laparoscopy Surgical With Vaginal Hysterec 20 $11,199.15 $29,473.00 $20,793.20 nat. median
$9,791
outlier · 2.1×
58552
HCPCS 		58552 Laparoscopy Surgical With Vaginal Hysterec 20 $11,199.15 $29,473.00 $20,793.20 nat. median
$9,808
outlier · 2.1×
27823
HCPCS 		27823 Open Treatment Of Trimalleolar Ankle Fractur 21 $7,644.85 $22,727.00 $19,317.95 nat. median
$6,962
outlier · 2.8×
25609
HCPCS 		25609 Open Tx Distal Radial Intra-articular Fx Or 21 $7,644.85 $22,164.00 $18,839.40 nat. median
$7,254
outlier · 2.6×
29806
HCPCS 		29806 Arthroscopy Shoulder Surgical Capsulorrha 21 $7,644.85 $22,164.00 $18,839.40 nat. median
$7,171
outlier · 2.6×
25607
HCPCS 		25607 Open Tx Distal Radial Extra-articular Fx Or 21 $7,644.85 $22,164.00 $18,839.40 nat. median
$6,999
outlier · 2.7×
29827
HCPCS 		29827 Arthroscopy Shoulder Surgical With Rotato 21 $7,644.85 $22,164.00 $18,839.40 nat. median
$7,155
outlier · 2.6×
29828
HCPCS 		29828 Arthroscopy Shoulder Surgical Biceps Teno 21 $7,644.85 $22,164.00 $18,839.40 nat. median
$7,133
outlier · 2.6×
27792
HCPCS 		27792 Open Treatment Of Distal Fibular Fracture I 21 $7,644.85 $22,164.00 $18,839.40 nat. median
$6,844
outlier · 2.8×
27822
HCPCS 		27822 Open Treatment Of Trimalleolar Ankle Fractur 21 $7,644.85 $22,164.00 $18,839.40 nat. median
$7,144
outlier · 2.6×
24341
HCPCS 		24341 Repair Tendon Muscle Upper Arm Elbow Ea Tdn 21 $7,644.85 $21,835.00 $18,559.75 nat. median
$7,079
outlier · 2.6×
27385
HCPCS 		27385 Repair Of Thigh Muscle 21 $7,644.85 $21,432.00 $18,217.20 nat. median
$6,704
outlier · 2.7×
27524
HCPCS 		27524 Open Treatment Of Patellar Fracture With In 21 $7,644.85 $21,432.00 $18,217.20 nat. median
$6,994
outlier · 2.6×
33271
HCPCS 		33271 Insj Subq Impltbl Dfb Elctrd 21 $8,718.61 $21,000.00 $17,850.00 nat. median
$8,455
outlier · 2.1×
25652
HCPCS 		25652 Open Treatment Of Ulnar Styloid Fracture 21 $7,644.85 $20,727.00 $17,617.95 nat. median
$7,090
outlier · 2.5×
29807
HCPCS 		29807 Arthroscopy Shoulder Surgical Repair Of S 21 $7,644.85 $20,727.00 $17,617.95 nat. median
$7,113
outlier · 2.5×
28750
HCPCS 		28750 Arthrodesis Great Toe Metatarsophalangeal 21 $7,644.85 $20,727.00 $17,617.95 nat. median
$6,945
outlier · 2.5×
24582
HCPCS 		24582 Percutaneous Skeletal Fixation Of Humeral Co 21 $7,644.85 $20,727.00 $17,617.95 nat. median
$6,645
outlier · 2.7×
29888
HCPCS 		29888 Arthroscopically Aided Anterior Cruciate Lig 21 $7,644.85 $20,727.00 $17,617.95 nat. median
$7,307
outlier · 2.4×
29855
HCPCS 		29855 Arthroscopically Aided Treatment Of Tibial F 21 $7,644.85 $20,727.00 $17,617.95 nat. median
$7,195
outlier · 2.4×
25405
HCPCS 		25405 Repair Of Nonunion Or Malunion Radius Or Ul 21 $7,644.85 $20,727.00 $17,617.95 nat. median
$7,223
outlier · 2.4×

Other procedures at this hospital

Browse this hospital's 2,376 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
             
23615 HCPCS 23615 Optx Prox Humeral Fx W Int Fixj Rpr Tuberosi 21 21 $45,034.00 $30.00 100% off $13,526.31 $45,034.00 $38,278.90 2026-03-25
23472 HCPCS 23472 Arthroplasty Glenohumeral Joint Total Shou 21 21 $40,803.00 $30.00 100% off $18,472.91 $40,803.00 $34,682.55 2026-03-25
27446 HCPCS 27446 Arthroplasty Knee Condyle And Plateau Med 21 21 $40,803.00 $30.00 100% off $13,526.31 $40,803.00 $34,682.55 2026-03-25
27827 HCPCS 27827 Open Tx Of Fx Of Articular Distal Tibia W 21 21 $40,803.00 $30.00 100% off $13,526.31 $40,803.00 $34,682.55 2026-03-25
27828 HCPCS 27828 Open Tx Of Fx Of Articular Distal Tibia W 21 21 $40,803.00 $30.00 100% off $13,526.31 $40,803.00 $34,682.55 2026-03-25
27447 HCPCS 27447 Arthroplasty Knee Condyle And Plateau Med 21 21 $40,803.00 $30.00 100% off $13,526.31 $40,803.00 $34,682.55 2026-03-25
27130 HCPCS 27130 Arthroplasty Acetabular And Proximal Femora 21 21 $38,536.00 $30.00 100% off $13,526.31 $38,536.00 $32,755.60 2026-03-25
33208 HCPCS 33208 Insrt New Rplcmt Heart Pm Atrial And Vent 21 21 $36,629.00 $30.00 100% off $11,011.79 $36,629.00 $31,134.65 2026-03-25
33228 HCPCS 33228 Removal Of Pacemaker W Replacement Of Pulse 21 21 $34,407.00 $30.00 100% off $11,011.79 $34,407.00 $29,245.95 2026-03-25
33207 HCPCS 33207 Ins New Rplc Prm Pacemaker W Transv Eltrd Ve 21 21 $32,591.00 $30.00 100% off $11,011.79 $32,591.00 $27,702.35 2026-03-25
33213 HCPCS 33213 Ins Pacemaker Pulse Gen Only W Exist Dual Le 21 21 $32,591.00 $30.00 100% off $11,011.79 $32,591.00 $27,702.35 2026-03-25
33206 HCPCS 33206 Ins New Rplcmt Prm Pacemakr W Trans Eltrd At 21 21 $32,591.00 $30.00 100% off $11,011.79 $32,591.00 $27,702.35 2026-03-25
33231 HCPCS 33231 Insj Implntbl Defib Pulse Gen W Exist Multil 21 21 $28,000.00 $30.00 100% off $15,400.00 $28,000.00 $25,228.00 2026-03-25
33249 HCPCS 33249 Insj Rplcmt Perm Dfb W Trnsvns Lds 1 Dual Ch 21 21 $28,000.00 $30.00 100% off $15,400.00 $28,000.00 $25,228.00 2026-03-25
33270 HCPCS 33270 Ins Rplcmnt Perm Subq Impltbl Dfb W Subq Elt 21 21 $28,000.00 $30.00 100% off $15,400.00 $28,000.00 $25,228.00 2026-03-25
J2350 HCPCS Ocrelizumab 300 Mg 10 Ml 20 20 $35,485.88 $30.00 100% off $59.41 $35,485.88 $25,035.29 2026-03-25
33285 HCPCS 33285 Insertion Subq Cardiac Rhythm Monitor W Prgr 21 21 $28,329.00 $30.00 100% off $8,718.61 $28,329.00 $24,079.65 2026-03-25
33230 HCPCS 33230 Insj Implntbl Defib Pulse Gen W Exist Dual L 21 21 $28,000.00 $30.00 100% off $15,400.00 $28,000.00 $23,800.00 2026-03-25
33240 HCPCS 33240 Insj Implntbl Defib Pulse Gen W 1 Existing L 21 21 $28,000.00 $30.00 100% off $15,400.00 $28,000.00 $23,800.00 2026-03-25
C2621 HCPCS 62109287 18 18 $26,943.00 $30.00 100% off $14,818.65 $26,943.00 $23,399.99 2026-03-25
51860 HCPCS 51860 Cystorrhaphy Suture Of Bladder Wound Injur 20 20 $32,348.00 $30.00 100% off $9,973.47 $32,348.00 $22,821.51 2026-03-25
33212 HCPCS 33212 Ins Pm Pls Gen W Exist Single Lead 21 21 $25,929.00 $30.00 100% off $8,718.61 $25,929.00 $22,039.65 2026-03-25
J3357 HCPCS Ustekinumab 45 Mg 0.5 Ml 18 18 $25,058.57 $30.00 100% off $13,782.21 $25,058.57 $21,763.36 2026-03-25
27829 HCPCS 27829 Open Tx Of Distal Tibiofibular Joint Disrupt 21 21 $25,004.00 $30.00 100% off $7,644.85 $25,004.00 $21,253.40 2026-03-25
23515 HCPCS 23515 Open Treatment Of Clavicular Fracture Inclu 21 21 $25,004.00 $30.00 100% off $7,644.85 $25,004.00 $21,253.40 2026-03-25
28485 HCPCS 28485 Open Treatment Metatarsal Fracture Each 21 21 $25,003.00 $30.00 100% off $7,644.85 $25,003.00 $21,252.55 2026-03-25
27654 HCPCS 27654 Repair Secondary Achilles Tendon W Wo Graft 21 21 $25,003.00 $30.00 100% off $7,644.85 $25,003.00 $21,252.55 2026-03-25
27698 HCPCS 27698 Repair Secondary Disrupted Ligament Ankle Co 21 21 $25,003.00 $30.00 100% off $7,644.85 $25,003.00 $21,252.55 2026-03-25
27350 HCPCS 27350 Patellectomy Hemipatellectomy 21 21 $25,003.00 $30.00 100% off $7,644.85 $25,003.00 $21,252.55 2026-03-25
58554 HCPCS 58554 Laparoscopy Surgical With Vaginal Hysterec 20 20 $29,473.00 $30.00 100% off $11,199.15 $29,473.00 $20,793.20 2026-03-25
58552 HCPCS 58552 Laparoscopy Surgical With Vaginal Hysterec 20 20 $29,473.00 $30.00 100% off $11,199.15 $29,473.00 $20,793.20 2026-03-25
27823 HCPCS 27823 Open Treatment Of Trimalleolar Ankle Fractur 21 21 $22,727.00 $30.00 100% off $7,644.85 $22,727.00 $19,317.95 2026-03-25
25607 HCPCS 25607 Open Tx Distal Radial Extra-articular Fx Or 21 21 $22,164.00 $30.00 100% off $7,644.85 $22,164.00 $18,839.40 2026-03-25
27822 HCPCS 27822 Open Treatment Of Trimalleolar Ankle Fractur 21 21 $22,164.00 $30.00 100% off $7,644.85 $22,164.00 $18,839.40 2026-03-25
25609 HCPCS 25609 Open Tx Distal Radial Intra-articular Fx Or 21 21 $22,164.00 $30.00 100% off $7,644.85 $22,164.00 $18,839.40 2026-03-25
29806 HCPCS 29806 Arthroscopy Shoulder Surgical Capsulorrha 21 21 $22,164.00 $30.00 100% off $7,644.85 $22,164.00 $18,839.40 2026-03-25
29828 HCPCS 29828 Arthroscopy Shoulder Surgical Biceps Teno 21 21 $22,164.00 $30.00 100% off $7,644.85 $22,164.00 $18,839.40 2026-03-25
29827 HCPCS 29827 Arthroscopy Shoulder Surgical With Rotato 21 21 $22,164.00 $30.00 100% off $7,644.85 $22,164.00 $18,839.40 2026-03-25
27792 HCPCS 27792 Open Treatment Of Distal Fibular Fracture I 21 21 $22,164.00 $30.00 100% off $7,644.85 $22,164.00 $18,839.40 2026-03-25
24341 HCPCS 24341 Repair Tendon Muscle Upper Arm Elbow Ea Tdn 21 21 $21,835.00 $30.00 100% off $7,644.85 $21,835.00 $18,559.75 2026-03-25
27385 HCPCS 27385 Repair Of Thigh Muscle 21 21 $21,432.00 $30.00 100% off $7,644.85 $21,432.00 $18,217.20 2026-03-25
27524 HCPCS 27524 Open Treatment Of Patellar Fracture With In 21 21 $21,432.00 $30.00 100% off $7,644.85 $21,432.00 $18,217.20 2026-03-25
33271 HCPCS 33271 Insj Subq Impltbl Dfb Elctrd 21 21 $21,000.00 $30.00 100% off $8,718.61 $21,000.00 $17,850.00 2026-03-25
23430 HCPCS 23430 Tenodesis Of Long Tendon Of Biceps 21 21 $20,727.00 $30.00 100% off $7,644.85 $20,727.00 $17,617.95 2026-03-25
23410 HCPCS 23410 Repair Of Ruptured Musculotendinous Cuff (eg 21 21 $20,727.00 $30.00 100% off $7,644.85 $20,727.00 $17,617.95 2026-03-25
27650 HCPCS 27650 Repair Primary Open Or Percutaneous Ruptu 21 21 $20,727.00 $30.00 100% off $7,644.85 $20,727.00 $17,617.95 2026-03-25
25405 HCPCS 25405 Repair Of Nonunion Or Malunion Radius Or Ul 21 21 $20,727.00 $30.00 100% off $7,644.85 $20,727.00 $17,617.95 2026-03-25
25575 HCPCS 25575 Open Tx Of Radius And Ulna Fx 21 21 $20,727.00 $30.00 100% off $7,644.85 $20,727.00 $17,617.95 2026-03-25
29855 HCPCS 29855 Arthroscopically Aided Treatment Of Tibial F 21 21 $20,727.00 $30.00 100% off $7,644.85 $20,727.00 $17,617.95 2026-03-25
23412 HCPCS 23412 Repair Of Ruptured Musculotendinous Cuff (eg 21 21 $20,727.00 $30.00 100% off $7,644.85 $20,727.00 $17,617.95 2026-03-25
25652 HCPCS 25652 Open Treatment Of Ulnar Styloid Fracture 21 21 $20,727.00 $30.00 100% off $7,644.85 $20,727.00 $17,617.95 2026-03-25
29888 HCPCS 29888 Arthroscopically Aided Anterior Cruciate Lig 21 21 $20,727.00 $30.00 100% off $7,644.85 $20,727.00 $17,617.95 2026-03-25
29807 HCPCS 29807 Arthroscopy Shoulder Surgical Repair Of S 21 21 $20,727.00 $30.00 100% off $7,644.85 $20,727.00 $17,617.95 2026-03-25
27766 HCPCS 27766 Open Treatment Of Medial Malleolus Fracture 21 21 $20,727.00 $30.00 100% off $7,644.85 $20,727.00 $17,617.95 2026-03-25
27814 HCPCS 27814 Open Treatment Of Bimalleolar Ankle Fracture 21 21 $20,727.00 $30.00 100% off $7,644.85 $20,727.00 $17,617.95 2026-03-25
20690 HCPCS 20690 Application Of A Uniplane (pins Or Wires In 21 21 $20,727.00 $30.00 100% off $7,644.85 $20,727.00 $17,617.95 2026-03-25
24582 HCPCS 24582 Percutaneous Skeletal Fixation Of Humeral Co 21 21 $20,727.00 $30.00 100% off $7,644.85 $20,727.00 $17,617.95 2026-03-25
28322 HCPCS 28322 Repair Nonunion Or Malunion 21 21 $20,727.00 $30.00 100% off $7,644.85 $20,727.00 $17,617.95 2026-03-25
28750 HCPCS 28750 Arthrodesis Great Toe Metatarsophalangeal 21 21 $20,727.00 $30.00 100% off $7,644.85 $20,727.00 $17,617.95 2026-03-25
J9043 HCPCS Cabazitaxel 60 Mg 1.5 Ml 20 20 $24,964.47 $30.00 100% off $227.28 $24,964.47 $17,612.43 2026-03-25
J1744 HCPCS Icatibant 10 Mg Ml Sol 18 18 $19,062.21 $30.00 100% off $10,484.22 $19,062.21 $16,555.53 2026-03-25
19307 HCPCS 19307 Mastectomy Modified Radical Including Axil 21 21 $19,260.00 $30.00 100% off $6,995.81 $19,260.00 $16,371.00 2026-03-25
19303 HCPCS 19303 Mastectomy Simple Complete 21 21 $19,256.00 $30.00 100% off $6,995.81 $19,256.00 $16,367.60 2026-03-25
33210 HCPCS 33210 Insert Replace Of Temporary Transvenous Sing 61 21 $27,801.00 $30.00 100% off $141.35 $28,870.00 $15,596.36 2026-03-25
C1785 HCPCS 62109280 18 18 $17,538.00 $30.00 100% off $9,645.90 $17,538.00 $15,231.75 2026-03-25
J0896 HCPCS Luspatercept Aamt 75 Mg Pow 20 20 $20,929.81 $30.00 100% off $41.98 $20,929.81 $14,765.98 2026-03-25
49596 HCPCS 49596 Rpr Aa Hernia 1st > 10 Cm Ncrc8 Strangulated 18 18 $16,887.00 $30.00 100% off $9,287.85 $16,887.00 $14,666.36 2026-03-25
49566 HCPCS 49566 Repair Recurrent Incisional Or Ventral Herni 18 18 $16,744.00 $30.00 100% off $9,209.20 $16,744.00 $14,542.17 2026-03-25
47564 HCPCS 47564 Laparoscopy Surgical Cholecystectomy With 20 20 $19,703.00 $30.00 100% off $10,836.65 $19,703.00 $14,002.31 2026-03-25
J9022 HCPCS Atezolizumab 1200 Mg 20 Ml 20 20 $19,090.64 $30.00 100% off $91.34 $19,090.64 $13,468.44 2026-03-25
J2327 HCPCS Risankizumab Rzaa 60 Mg Ml Sol 20 20 $18,215.48 $30.00 100% off $14.94 $18,215.48 $12,851.02 2026-03-25
53446 HCPCS 53446 Remove Uro Sphincter 20 20 $17,775.00 $30.00 100% off $5,648.97 $17,775.00 $12,540.26 2026-03-25
57288 HCPCS 57288 Sling Operation For Stress Incontinence (eg 20 20 $17,521.00 $30.00 100% off $5,270.37 $17,521.00 $12,361.07 2026-03-25
44204 HCPCS 44204 Laparoscopy Surgical Colectomy Partial W 18 18 $13,898.00 $30.00 100% off $7,643.90 $13,898.00 $12,070.42 2026-03-25
44206 HCPCS 44206 Lap Part Colectomy W Stoma 18 18 $13,744.00 $30.00 100% off $7,559.20 $13,744.00 $11,936.67 2026-03-25
47563 HCPCS 47563 Lap Cholecystectomy W Cholangiography 20 20 $16,910.00 $30.00 100% off $6,369.32 $16,910.00 $11,930.01 2026-03-25
49592 HCPCS 49592 Anterior Abd Hernia Rpr 1st<3cm Strangulated 20 20 $16,887.00 $30.00 100% off $6,369.32 $16,887.00 $11,913.78 2026-03-25
49594 HCPCS 49594 Anterior Abd Hernia Rpr 1st 3-10 Strangulate 20 20 $16,887.00 $30.00 100% off $6,369.32 $16,887.00 $11,913.78 2026-03-25
58662 HCPCS 58662 Laparoscopy Surgical W Fulguration Or Exc 20 20 $16,744.00 $30.00 100% off $6,369.32 $16,744.00 $11,812.89 2026-03-25
49329 HCPCS 49329 Lap Procedure Abd Peritoneum Omentum 20 20 $16,744.00 $30.00 100% off $6,369.32 $16,744.00 $11,812.89 2026-03-25
49321 HCPCS 49321 Laparoscopy Surgical With Biopsy (single O 20 20 $16,744.00 $30.00 100% off $6,369.32 $16,744.00 $11,812.89 2026-03-25
49320 HCPCS 49320 Laparoscopy Abdomen Peritoneum And Omentu 20 20 $16,744.00 $30.00 100% off $6,369.32 $16,744.00 $11,812.89 2026-03-25
44180 HCPCS 44180 Laparoscopy Surgical Enterolysis (freeing 20 20 $16,744.00 $30.00 100% off $6,369.32 $16,744.00 $11,812.89 2026-03-25
58661 HCPCS 58661 Laparoscopy Surgical With Removal Of Adnex 20 20 $16,744.00 $30.00 100% off $6,369.32 $16,744.00 $11,812.89 2026-03-25
49650 HCPCS 49650 Laparoscopy Surgical Repair Initial Inguin 20 20 $16,744.00 $30.00 100% off $6,369.32 $16,744.00 $11,812.89 2026-03-25
49322 HCPCS 49322 Laparoscopy Surgical With Aspiration Of Ca 20 20 $16,744.00 $30.00 100% off $6,369.32 $16,744.00 $11,812.89 2026-03-25
58670 HCPCS 58670 Laparoscopy Surgical With Fulguration Of O 20 20 $16,504.00 $30.00 100% off $6,369.32 $16,504.00 $11,643.57 2026-03-25
J1930 HCPCS Lanreotide 120 Mg 0.5 Ml Sc Sol 20 20 $16,006.79 $30.00 100% off $34.05 $16,006.79 $11,292.79 2026-03-25
44950 HCPCS 44950 Appendectomy 20 20 $15,914.00 $30.00 100% off $6,820.55 $15,914.00 $11,227.33 2026-03-25
47562 HCPCS 47562 Laparoscopy Surgical Cholecystectomy 20 20 $15,814.00 $30.00 100% off $6,369.32 $15,814.00 $11,156.77 2026-03-25
44970 HCPCS 44970 Laparoscopy Surgical Appendectomy 20 20 $15,814.00 $30.00 100% off $6,369.32 $15,814.00 $11,156.77 2026-03-25
58353 HCPCS 58353 Endometrial Ablation Thermal Without Hyste 20 20 $15,604.00 $30.00 100% off $5,270.37 $15,604.00 $11,008.62 2026-03-25
J3380 HCPCS Vedolizumab 300 Mg Pow 20 20 $15,599.84 $30.00 100% off $21.31 $15,599.84 $11,005.69 2026-03-25
58262 HCPCS 58262 Vaginal Hysterectomy For Uterus 250 G Or Le 20 20 $15,491.00 $30.00 100% off $5,270.37 $15,491.00 $10,928.90 2026-03-25
49190 HCPCS Open Exc Dstrj Intra-abdl Tumor Cyst >30 Cm 18 18 $12,362.00 $30.00 100% off $6,799.10 $12,362.00 $10,736.40 2026-03-25
57120 HCPCS 57120 Colpocleisis (le Fort Type) 20 20 $15,018.00 $30.00 100% off $5,270.37 $15,018.00 $10,595.20 2026-03-25
49189 HCPCS Open Exc Dstrj Intra-abdl Tumor Cst 20.1-30 Cm 18 18 $12,062.00 $30.00 100% off $6,634.10 $12,062.00 $10,475.85 2026-03-25
52601 HCPCS 52601 Transurethral Electrosurgical Resection Of P 20 20 $14,600.00 $30.00 100% off $5,648.97 $14,600.00 $10,300.30 2026-03-25
52240 HCPCS 52240 Cystourethroscopy With Fulguration And Or R 20 20 $14,600.00 $30.00 100% off $5,648.97 $14,600.00 $10,300.30 2026-03-25
57268 HCPCS 57268 Repair Of Enterocele Vaginal Approach (sepa 20 20 $14,591.00 $30.00 100% off $5,270.37 $14,591.00 $10,293.95 2026-03-25
58925 HCPCS 58925 Ovarian Cystectomy Unilateral Or Bilateral 20 20 $14,591.00 $30.00 100% off $5,270.37 $14,591.00 $10,293.95 2026-03-25
57240 HCPCS 57240 Anterior Colporrhaphy Repair Of Cystocele W 20 20 $14,591.00 $30.00 100% off $5,270.37 $14,591.00 $10,293.95 2026-03-25
49188 HCPCS Open Exc Dstrj Intra-abdl Tumor Cst 10.1-20 Cm 18 18 $11,762.00 $30.00 100% off $6,469.10 $11,762.00 $10,215.30 2026-03-25
49187 HCPCS Open Exc Dstrj Intra-abdl Tumor Cst 5.1-10 Cm 18 18 $11,462.00 $30.00 100% off $6,304.10 $11,462.00 $9,954.75 2026-03-25
J3101 HCPCS Tenecteplase 50 Mg Pow 20 20 $14,089.68 $30.00 100% off $172.22 $14,089.68 $9,940.27 2026-03-25
49587 HCPCS 49587 Repair Umbilical Hernia Age 5 Years Or Olde 18 18 $11,258.00 $30.00 100% off $6,191.90 $11,258.00 $9,777.58 2026-03-25
49186 HCPCS Open Exc Dstrj Intra-abdl Tumor Cst 5 Cm Or Less 18 18 $11,162.00 $30.00 100% off $6,139.10 $11,162.00 $9,694.19 2026-03-25
49203 HCPCS Excision Destruction Open Abdominal Tumor 5 Cm < 18 18 $11,162.00 $30.00 100% off $6,139.10 $11,162.00 $9,694.19 2026-03-25
J0596 HCPCS Conestat Alfa 2100 Intl Units Pow 20 20 $13,725.00 $30.00 100% off $36.77 $13,725.00 $9,682.99 2026-03-25
26615 HCPCS 26615 Open Tx Metacarpal Fracture Single Ea Bone 21 21 $11,356.00 $30.00 100% off $3,447.24 $11,356.00 $9,652.60 2026-03-25
29876 HCPCS 29876 Arthroscopy Knee Surgical Synovectomy Ma 21 21 $11,252.00 $30.00 100% off $3,447.24 $11,252.00 $9,564.20 2026-03-25
25270 HCPCS 25270 Repair Tendon Or Muscle Extensor Forearm 21 21 $11,252.00 $30.00 100% off $3,447.24 $11,252.00 $9,564.20 2026-03-25
24105 HCPCS 24105 Excision Olecranon Bursa 21 21 $11,252.00 $30.00 100% off $3,447.24 $11,252.00 $9,564.20 2026-03-25
28505 HCPCS 28505: Open Treatment Of Fracture Great Toe Phal 21 21 $11,252.00 $30.00 100% off $3,447.24 $11,252.00 $9,564.20 2026-03-25
28810 HCPCS 28810: Amputation Metatarsal W Toe Single 21 21 $11,252.00 $30.00 100% off $3,447.24 $11,252.00 $9,564.20 2026-03-25
54640 HCPCS 54640: Orchiopexy Inguinal Or Scrotal Approach 20 20 $13,389.00 $30.00 100% off $3,772.16 $13,389.00 $9,445.94 2026-03-25
49591 HCPCS 49591 Repair Anterior Abdominal Hernia Less Than 3 20 20 $13,389.00 $30.00 100% off $3,772.16 $13,389.00 $9,445.94 2026-03-25
52235 HCPCS 52235 Cysto W Fulgurat Med Bladtumor 20 20 $13,174.00 $30.00 100% off $3,713.77 $13,174.00 $9,294.25 2026-03-25
38531 HCPCS 38531 Biopsy Or Excision Of Lymph Node(s) Open I 20 20 $12,995.00 $30.00 100% off $4,125.14 $12,995.00 $9,167.98 2026-03-25
49585 HCPCS 49585 Repair Umbilical Hernia Age 5 Years Or Olde 18 18 $10,528.00 $30.00 100% off $5,790.40 $10,528.00 $9,143.57 2026-03-25
49560 HCPCS 49560 Repair Initial Incisional Or Ventral Hernia 18 18 $10,528.00 $30.00 100% off $5,790.40 $10,528.00 $9,143.57 2026-03-25
49561 HCPCS 49561 Repair Initial Incisional Or Ventral Hernia 18 18 $10,528.00 $30.00 100% off $5,790.40 $10,528.00 $9,143.57 2026-03-25
19120 HCPCS 19120 Excision Of Cyst Fibroadenoma Or Other Ben 21 21 $10,449.00 $30.00 100% off $4,125.14 $10,449.00 $8,881.65 2026-03-25
J2427 HCPCS Paliperidone 546 Mg 1.75 Ml 20 20 $12,523.63 $30.00 100% off $13.00 $12,523.63 $8,835.42 2026-03-25
29880 HCPCS 29880 Arthroscopy Knee Surgical With Meniscecto 21 21 $10,072.00 $30.00 100% off $3,447.24 $10,072.00 $8,561.20 2026-03-25
29883 HCPCS 29883 Arthroscopy Knee Surgical With Meniscus R 21 21 $10,072.00 $30.00 100% off $3,447.24 $10,072.00 $8,561.20 2026-03-25
54830 HCPCS 54830 Excision Of Local Lesion Of Epididymis 20 20 $12,116.00 $30.00 100% off $3,713.77 $12,116.00 $8,547.84 2026-03-25
52234 HCPCS 52234 Cystourethroscopy With Fulguration (includi 20 20 $12,116.00 $30.00 100% off $3,713.77 $12,116.00 $8,547.84 2026-03-25
29881 HCPCS 29881 Arthroscopy Knee Surgical With Meniscecto 21 21 $10,022.00 $30.00 100% off $3,447.24 $10,022.00 $8,518.70 2026-03-25
29882 HCPCS 29882 Arthroscopy Knee Surgical With Meniscus R 21 21 $10,022.00 $30.00 100% off $3,447.24 $10,022.00 $8,518.70 2026-03-25
55520 HCPCS 55520 Exc Lesion Spermatic Cord Separate Procedure 20 20 $12,071.00 $30.00 100% off $3,713.77 $12,071.00 $8,516.09 2026-03-25
11626 HCPCS 11626 �exc Malignant Lesion S N H F G >4.0 Cm 21 21 $10,017.00 $30.00 100% off $3,060.29 $10,017.00 $8,514.45 2026-03-25
11771 HCPCS 11771 Exc Pilonidal Cyst Or Sinus Exten 21 21 $9,765.00 $30.00 100% off $3,060.29 $9,765.00 $8,300.25 2026-03-25
11770 HCPCS 11770: Excision Of Pilonidal Cyst Or Sinus Simple 21 21 $9,765.00 $30.00 100% off $3,060.29 $9,765.00 $8,300.25 2026-03-25
27603 HCPCS 27603 Incision And Drainage Leg Or Ankle Deep Ab 21 21 $9,765.00 $30.00 100% off $3,060.29 $9,765.00 $8,300.25 2026-03-25
J9306 HCPCS Pertuzumab 420 Mg 14 Ml 20 20 $11,748.20 $30.00 100% off $17.02 $11,748.20 $8,288.35 2026-03-25
49521 HCPCS 49521 Repair Recurrent Inguinal Hernia Any Age I 20 20 $11,258.00 $30.00 100% off $6,191.90 $11,258.00 $8,212.56 2026-03-25
27630 HCPCS 27630 Excision Of Lesion Of Tendon Sheath Or Capsu 21 21 $9,645.00 $30.00 100% off $3,447.24 $9,645.00 $8,198.25 2026-03-25
J2506 HCPCS Pegfilgrastim 6 Mg 0.6 Ml Onpro Sol 20 20 $11,552.38 $30.00 100% off $89.34 $11,552.38 $8,150.20 2026-03-25
35206 HCPCS 35206 Repair Blood Vessel Direct Upper Extremity 21 21 $9,473.00 $30.00 100% off $3,326.59 $9,473.00 $8,052.05 2026-03-25
29823 HCPCS 29823 Arthroscopy Shoulder Surgical Debridement 21 21 $9,372.00 $30.00 100% off $3,447.24 $9,372.00 $7,966.20 2026-03-25
28104 HCPCS 28104 Excision Or Curettage Of Bone Cyst Or Benign 21 21 $9,372.00 $30.00 100% off $3,447.24 $9,372.00 $7,966.20 2026-03-25
25606 HCPCS 25606 Percutaneous Skeletal Fixation Of Distal Rad 21 21 $9,372.00 $30.00 100% off $3,447.24 $9,372.00 $7,966.20 2026-03-25
28118 HCPCS 28118 Ostectomy Calcaneus 21 21 $9,372.00 $30.00 100% off $3,447.24 $9,372.00 $7,966.20 2026-03-25
28289 HCPCS 28289 Hallux Rigidus Correction W Cheilectomy De 21 21 $9,372.00 $30.00 100% off $3,447.24 $9,372.00 $7,966.20 2026-03-25
28110 HCPCS 28110 Ostectomy Partial Excision Fifth Metatarsa 21 21 $9,372.00 $30.00 100% off $3,447.24 $9,372.00 $7,966.20 2026-03-25
25028 HCPCS 25028 Incision And Drainage Forearm And Or Wrist 21 21 $9,372.00 $30.00 100% off $3,447.24 $9,372.00 $7,966.20 2026-03-25
27340 HCPCS 27340 Excision Prepatellar Bursa 21 21 $9,372.00 $30.00 100% off $3,447.24 $9,372.00 $7,966.20 2026-03-25
29871 HCPCS 29871 Arthroscopy Knee Surgical For Infection 21 21 $9,372.00 $30.00 100% off $3,447.24 $9,372.00 $7,966.20 2026-03-25
29874 HCPCS 29874 Arthroscopy Knee Surgical For Removal Of 21 21 $9,372.00 $30.00 100% off $3,447.24 $9,372.00 $7,966.20 2026-03-25
28825 HCPCS 28825 Amputation Toe Interphalangeal Joint 21 21 $9,372.00 $30.00 100% off $3,447.24 $9,372.00 $7,966.20 2026-03-25
27641 HCPCS 27641 Partial Excision Bone Fibula 21 21 $9,372.00 $30.00 100% off $3,447.24 $9,372.00 $7,966.20 2026-03-25
29877 HCPCS 29877 Arthroscopy Knee Surgical Debridement Sha 21 21 $9,372.00 $30.00 100% off $3,447.24 $9,372.00 $7,966.20 2026-03-25
29825 HCPCS 29825 Arthroscopy Shoulder Surgical With Lysis 21 21 $9,372.00 $30.00 100% off $3,447.24 $9,372.00 $7,966.20 2026-03-25
23130 HCPCS 23130 Acromioplasty Or Acromionectomy Partial Wi 21 21 $9,372.00 $30.00 100% off $3,447.24 $9,372.00 $7,966.20 2026-03-25
23120 HCPCS 23120 Claviculectomy Partialng Biopsy And Or Exci 21 21 $9,372.00 $30.00 100% off $3,447.24 $9,372.00 $7,966.20 2026-03-25
28296 HCPCS 28296 Correction Hallux Valgus (bunion) With Or 21 21 $9,372.00 $30.00 100% off $3,447.24 $9,372.00 $7,966.20 2026-03-25
26020 HCPCS 26020 Drainage Of Tendon Sheath Digit And Or Palm 21 21 $9,372.00 $30.00 100% off $3,447.24 $9,372.00 $7,966.20 2026-03-25
29879 HCPCS 29879 Arthroscopy Knee Surgical Abrasion Arthro 21 21 $9,372.00 $30.00 100% off $3,447.24 $9,372.00 $7,966.20 2026-03-25
28208 HCPCS 28208 Repair Tendon Extensor Foot Primary Or S 21 21 $9,372.00 $30.00 100% off $3,447.24 $9,372.00 $7,966.20 2026-03-25
28313 HCPCS 28313 Reconstruction Angular Deformity Of Toe So 21 21 $9,372.00 $30.00 100% off $3,447.24 $9,372.00 $7,966.20 2026-03-25
29898 HCPCS 29898 Arthroscopy Ankle (tibiotalar And Fibulotal 21 21 $9,372.00 $30.00 100% off $3,447.24 $9,372.00 $7,966.20 2026-03-25
29897 HCPCS 29897 Arthroscopy Ankle (tibiotalar And Fibulotal 21 21 $9,372.00 $30.00 100% off $3,447.24 $9,372.00 $7,966.20 2026-03-25
27496 HCPCS 27496 Decompression Fasciotomy Thigh And Or Knee 21 21 $9,372.00 $30.00 100% off $3,447.24 $9,372.00 $7,966.20 2026-03-25
25447 HCPCS 25447 Arthroplasty Interposition Intercarpal Or 21 21 $9,372.00 $30.00 100% off $3,447.24 $9,372.00 $7,966.20 2026-03-25
28285 HCPCS 28285 Correction Hammertoe (eg Interphalangeal F 21 21 $9,372.00 $30.00 100% off $3,447.24 $9,372.00 $7,966.20 2026-03-25
26860 HCPCS 26860 Arthrodesis Interphalangeal Joint With Or 21 21 $9,372.00 $30.00 100% off $3,447.24 $9,372.00 $7,966.20 2026-03-25
26776 HCPCS 26776 Percutaneous Skeletal Fixation Of Interphala 21 21 $9,372.00 $30.00 100% off $3,447.24 $9,372.00 $7,966.20 2026-03-25
28476 HCPCS 28476 Percutaneous Skeletal Fixation Of Metatarsal 21 21 $9,372.00 $30.00 100% off $3,447.24 $9,372.00 $7,966.20 2026-03-25
26665 HCPCS 26665 Open Treatment Of Carpometacarpal Fracture D 21 21 $9,372.00 $30.00 100% off $3,447.24 $9,372.00 $7,966.20 2026-03-25
29893 HCPCS 29893 Endoscopic Plantar Fasciotomy 21 21 $9,372.00 $30.00 100% off $3,447.24 $9,372.00 $7,966.20 2026-03-25
29824 HCPCS 29824 Arthroscopy Shoulder Surgical Distal Clav 21 21 $9,372.00 $30.00 100% off $3,447.24 $9,372.00 $7,966.20 2026-03-25
26123 HCPCS 26123 Fasciectomy Palm Only W Or W O Z-plasty 21 21 $9,372.00 $30.00 100% off $3,447.24 $9,372.00 $7,966.20 2026-03-25
26437 HCPCS 26437 Realignment Of Extensor Tendon Hand Each T 21 21 $9,372.00 $30.00 100% off $3,447.24 $9,372.00 $7,966.20 2026-03-25
26350 HCPCS 26350 Repair Or Advancement Flexor Tendon Primar 21 21 $9,372.00 $30.00 100% off $3,447.24 $9,372.00 $7,966.20 2026-03-25
26236 HCPCS 26236 Partial Excision Of Bone Distal Phalanx Of 21 21 $9,372.00 $30.00 100% off $1,694.11 $9,372.00 $7,966.20 2026-03-25
26608 HCPCS 26608 Percutaneous Skeletal Fixation Of Metacarpal 21 21 $9,372.00 $30.00 100% off $3,447.24 $9,372.00 $7,966.20 2026-03-25
49507 HCPCS 49507 Repair Initial Inguinal Hernia Age 5 Years 20 20 $11,258.00 $30.00 100% off $3,772.16 $11,258.00 $7,942.52 2026-03-25
49505 HCPCS 49505 Repair Initial Inguinal Hernia Age 5 Years 20 20 $11,258.00 $30.00 100% off $3,772.16 $11,258.00 $7,942.52 2026-03-25
55110 HCPCS 55110 Scrotal Exploration 20 20 $10,880.00 $30.00 100% off $3,713.77 $10,880.00 $7,675.84 2026-03-25
49553 HCPCS 49553 Repair Initial Femoral Hernia Any Age Inca 20 20 $10,839.00 $30.00 100% off $3,772.16 $10,839.00 $7,646.91 2026-03-25
57720 HCPCS 57720 Trachelorrhaphy Plastic Repair Of Uterine 20 20 $10,688.00 $30.00 100% off $3,410.50 $10,688.00 $7,540.39 2026-03-25
29822 HCPCS 29822 Arthroscopy Shoulder Surgical Debridement 21 21 $8,851.00 $30.00 100% off $3,447.24 $8,851.00 $7,523.35 2026-03-25
55041 HCPCS 55041 Excision Of Hydrocele Bilateral 20 20 $10,528.00 $30.00 100% off $3,772.16 $10,528.00 $7,427.50 2026-03-25
55040 HCPCS 55040 Excision Of Hydrocele Unilateral 20 20 $10,528.00 $30.00 100% off $3,772.16 $10,528.00 $7,427.50 2026-03-25
49520 HCPCS 49520 Repair Recurrent Inguinal Hernia Any Age R 20 20 $10,528.00 $30.00 100% off $3,772.16 $10,528.00 $7,427.50 2026-03-25
49250 HCPCS 49250 Umbilectomy Omphalectomy Excision Of Umbil 20 20 $10,528.00 $30.00 100% off $3,772.16 $10,528.00 $7,427.50 2026-03-25
38500 HCPCS 38500 Biopsy Or Excision Of Lymph Node(s) Open 20 20 $10,449.00 $30.00 100% off $4,125.14 $10,449.00 $7,371.77 2026-03-25
38510 HCPCS 38510 Biopsy Or Excision Of Lymph Node(s) Open D 20 20 $10,449.00 $30.00 100% off $4,125.14 $10,449.00 $7,371.77 2026-03-25
38525 HCPCS 38525 Biopsy Or Excision Of Lymph Node(s) Open D 20 20 $10,449.00 $30.00 100% off $4,125.14 $10,449.00 $7,371.77 2026-03-25
27632 HCPCS 27632 Excision Tumor Soft Tissue Leg Ankle Subq 3 21 21 $8,672.00 $30.00 100% off $3,060.29 $8,672.00 $7,371.20 2026-03-25
11462 HCPCS 11462 Excision Hidradenitis Inguinal Smpl Intrm Rp 21 21 $8,672.00 $30.00 100% off $3,060.29 $8,672.00 $7,371.20 2026-03-25
J0717 HCPCS Certolizumab 200 Mg Ml Kit 20 20 $10,294.55 $30.00 100% off $3.91 $10,294.55 $7,262.81 2026-03-25
J2353 HCPCS Octreotide 30 Mg IM Inj 38 20 $12,442.61 $30.00 100% off $203.58 $12,442.61 $7,216.66 2026-03-25
J0517 HCPCS Benralizumab 30 Mg Ml 20 20 $10,218.15 $30.00 100% off $164.59 $10,218.15 $7,208.91 2026-03-25
54520 HCPCS 54520 Excision Procedures On The Testis 20 20 $10,174.00 $30.00 100% off $3,713.77 $10,174.00 $7,177.75 2026-03-25
51715 HCPCS 51715 Endoscopic Injection Of Implant Material In 20 20 $10,174.00 $30.00 100% off $3,713.77 $10,174.00 $7,177.75 2026-03-25
52224 HCPCS 52224 Cystoscopy And Treatment 20 20 $10,174.00 $30.00 100% off $3,713.77 $10,174.00 $7,177.75 2026-03-25
52332 HCPCS 52332 Cystourethroscopy With Insertion Of Indwell 20 20 $10,174.00 $30.00 100% off $3,713.77 $10,174.00 $7,177.75 2026-03-25
21933 HCPCS 21933 Excision Tumor Soft Tissue Of Back Or Flan 21 21 $8,391.00 $30.00 100% off $3,060.29 $8,391.00 $7,132.35 2026-03-25
22901 HCPCS 22901 Excision Tumor Soft Tissue Of Abdominal Wa 21 21 $8,370.00 $30.00 100% off $3,060.29 $8,370.00 $7,114.50 2026-03-25
20205 HCPCS 20205 Biopsy Muscle Deep 21 21 $8,370.00 $30.00 100% off $3,060.29 $8,370.00 $7,114.50 2026-03-25
J9271 HCPCS Pembrolizumab 25 Mg Ml 20 20 $10,003.54 $30.00 100% off $60.29 $10,003.54 $7,057.50 2026-03-25
81455 HCPCS 81439-hereditary Cardiomyopathy Gen Seq Analys 5 G 20 20 $10,219.00 $30.00 100% off $2,919.60 $10,219.00 $6,962.34 2026-03-25
57250 HCPCS 57250 Posterior Colporrhaphy Repair Of Rectocele 20 20 $9,728.00 $30.00 100% off $5,270.37 $9,728.00 $6,863.10 2026-03-25
J2783 HCPCS Rasburicase 7.5 Mg IV Inj 20 20 $9,670.63 $30.00 100% off $377.52 $9,670.63 $6,822.63 2026-03-25
36561 HCPCS 36561 Insertion Of Tunneled Centrally Inserted Cen 20 20 $9,473.00 $30.00 100% off $3,326.59 $9,473.00 $6,683.20 2026-03-25
28039 HCPCS 28039 Excision Tumor Soft Tissue Of Foot Or Toe 21 21 $7,847.00 $30.00 100% off $3,060.29 $7,847.00 $6,669.95 2026-03-25
27337 HCPCS 27337 Excision Tumor Soft Tissue Of Thigh Or Kne 21 21 $7,847.00 $30.00 100% off $3,060.29 $7,847.00 $6,669.95 2026-03-25
24201 HCPCS 24201 Removal Of Foreign Body Upper Arm Or Elbow 21 21 $7,847.00 $30.00 100% off $3,060.29 $7,847.00 $6,669.95 2026-03-25
23073 HCPCS 23073 Excision Tumor Soft Tissue Of Shoulder Are 21 21 $7,847.00 $30.00 100% off $3,060.29 $7,847.00 $6,669.95 2026-03-25
22903 HCPCS 22903 Excision Tumor Soft Tissue Of Abdominal Wa 21 21 $7,847.00 $30.00 100% off $3,060.29 $7,847.00 $6,669.95 2026-03-25
21932 HCPCS 21932 Excision Tumor Soft Tissue Of Back Or Flan 21 21 $7,847.00 $30.00 100% off $3,060.29 $7,847.00 $6,669.95 2026-03-25
21552 HCPCS 21552 Excision Tumor Soft Tissue Of Neck Or Ante 21 21 $7,847.00 $30.00 100% off $3,060.29 $7,847.00 $6,669.95 2026-03-25
20680 HCPCS 20680 Removal Of Implant Deep (buried Wire Pin 21 21 $7,847.00 $30.00 100% off $3,060.29 $7,847.00 $6,669.95 2026-03-25
20525 HCPCS 20525 Removal Of Foreign Body In Muscle Or Tendon 21 21 $7,847.00 $30.00 100% off $3,060.29 $7,847.00 $6,669.95 2026-03-25
27301 HCPCS 27301 Incision And Drainage Deep Abscess Bursa 21 21 $7,847.00 $30.00 100% off $3,060.29 $7,847.00 $6,669.95 2026-03-25
11646 HCPCS 11646 Exc Malig Lesion Face > 4.0 Cm 21 21 $7,847.00 $30.00 100% off $3,060.29 $7,847.00 $6,669.95 2026-03-25
11012 HCPCS 11012 Debridement Open Fx Dislocation To Bone 21 21 $7,847.00 $30.00 100% off $3,060.29 $7,847.00 $6,669.95 2026-03-25
27043 HCPCS 27043 Excision Tumor Soft Tissue Of Pelvis And H 21 21 $7,847.00 $30.00 100% off $3,060.29 $7,847.00 $6,669.95 2026-03-25
J9309 HCPCS Polatuzumab Vedotin 30 Mg Pow 38 20 $6,766.61 $30.00 100% off $136.67 $31,577.47 $6,665.11 2026-03-25
58120 HCPCS 58120 Dilation And Curettage 20 20 $9,161.00 $30.00 100% off $3,410.50 $9,161.00 $6,463.09 2026-03-25
40810 HCPCS 40810 Excision Of Lesion Of Mucosa And Submucosa 20 20 $9,053.00 $30.00 100% off $3,493.03 $9,053.00 $6,386.89 2026-03-25
J1162 HCPCS Digoxin Immune Fab 40 Mg Inj 20 20 $8,609.40 $30.00 100% off $4,735.17 $8,609.40 $6,243.11 2026-03-25
56441 HCPCS 56441 Lysis Of Labial Adhesions 20 20 $8,683.00 $30.00 100% off $3,410.50 $8,683.00 $6,125.85 2026-03-25
58558 HCPCS 58558 Hysteroscopy Surgical W Biopsy Of Endomet 20 20 $8,683.00 $30.00 100% off $3,410.50 $8,683.00 $6,125.85 2026-03-25
57410 HCPCS 57410 Pelvic Examination Under Anesthesia (other T 20 20 $8,683.00 $30.00 100% off $3,410.50 $8,683.00 $6,125.85 2026-03-25
59812 HCPCS 59812 Treatment Of Incomplete Abortion Any Trimes 20 20 $8,683.00 $30.00 100% off $3,410.50 $8,683.00 $6,125.85 2026-03-25
59409 HCPCS 59409 Vaginal Delivery Only With Or Without Episi 20 20 $8,683.00 $30.00 100% off $3,410.50 $8,683.00 $6,125.85 2026-03-25
59412 HCPCS 59412 External Cephalic Version With Or Without T 20 20 $8,683.00 $30.00 100% off $3,410.50 $8,683.00 $6,125.85 2026-03-25
57522 HCPCS 57522 Conization Of Cervix 20 20 $8,683.00 $30.00 100% off $3,410.50 $8,683.00 $6,125.85 2026-03-25
59414 HCPCS 59414 Delivery Of Placenta (separate Procedure) 20 20 $8,683.00 $30.00 100% off $3,410.50 $8,683.00 $6,125.85 2026-03-25
59820 HCPCS 59820 Treatment Of Missed Abortion Completed Surg 20 20 $8,683.00 $30.00 100% off $3,410.50 $8,683.00 $6,125.85 2026-03-25
45349 HCPCS 45349 Flex Sig W Emr Of Polyp 20 20 $8,645.00 $30.00 100% off $2,924.32 $8,645.00 $6,099.05 2026-03-25
46270 HCPCS 46270 Surgical Treatment Of Anal Fistula (fistulec 20 20 $8,645.00 $30.00 100% off $2,924.32 $8,645.00 $6,099.05 2026-03-25
38222 HCPCS 38222 Bone Marrow Biopsy(ies) And Aspiration(s) 20 20 $8,391.00 $30.00 100% off $3,060.29 $8,391.00 $5,919.85 2026-03-25
0360 RC — 36 18 $10,633.50 $30.00 100% off $146.85 $21,000.00 $5,908.50 2026-03-25
67005 HCPCS 67005 Removal Of Vitreous Anterior Approach (open 20 20 $8,163.00 $30.00 100% off $2,431.43 $8,163.00 $5,758.99 2026-03-25
67010 HCPCS 67010 Removal Of Vitreous Anterior Approach (open 20 20 $8,163.00 $30.00 100% off $2,431.43 $8,163.00 $5,758.99 2026-03-25
66840 HCPCS 66840 Removal Of Lens Material Aspiration Techniq 20 20 $8,163.00 $30.00 100% off $2,431.43 $8,163.00 $5,758.99 2026-03-25
66850 HCPCS 66850 Removal Of Lens Material Phacofragmentation 20 20 $8,163.00 $30.00 100% off $2,431.43 $8,163.00 $5,758.99 2026-03-25
43257 HCPCS 43257 Egd W Delivery Of Thermal Energy To The Mus 38 20 $10,161.00 $30.00 100% off $3,559.60 $10,161.00 $5,720.49 2026-03-25
45171 HCPCS 45171 Excision Of Rectal Tumor Transanal Approach 20 20 $8,084.00 $30.00 100% off $2,924.32 $8,084.00 $5,703.26 2026-03-25
46922 HCPCS 46922 Surgical Excision Destruction Of Lesion (s) 20 20 $8,084.00 $30.00 100% off $2,924.32 $8,084.00 $5,703.26 2026-03-25
46260 HCPCS 46260 Hemorrhoidectomy Internal And External 2 O 20 20 $8,084.00 $30.00 100% off $2,924.32 $8,084.00 $5,703.26 2026-03-25
46255 HCPCS 46255 Hemorrhoidectomy Internal And External Sin 20 20 $8,084.00 $30.00 100% off $2,924.32 $8,084.00 $5,703.26 2026-03-25
68110 HCPCS 68110 Excision Of Lesion Conjunctiva 1cm 20 20 $7,992.00 $30.00 100% off $2,504.82 $7,992.00 $5,638.35 2026-03-25
C1763 HCPCS 62102650 18 18 $6,367.50 $30.00 100% off $3,502.13 $6,367.50 $5,530.18 2026-03-25
55700 HCPCS 55700 Biopsy Of Prostate 18 18 $6,336.00 $30.00 100% off $3,484.80 $6,336.00 $5,502.82 2026-03-25
36556 HCPCS 36556 Insert Non-tunnel Cv Cath Pro Ed Profee 59 20 $9,755.00 $30.00 100% off $75.90 $10,130.00 $5,472.56 2026-03-25
J0139 HCPCS Adalimumab 40 Mg 0.4 Ml Kit 18 18 $6,230.36 $30.00 100% off $3,426.70 $6,230.36 $5,411.07 2026-03-25
J0135 HCPCS Adalimumab 40 Mg 0.8 Ml Subq Sol 18 18 $6,230.36 $30.00 100% off $3,426.70 $6,230.36 $5,411.07 2026-03-25
Q5111 HCPCS Udenyca Pegfilgrastim Cbqv 6 Mg 0.6 Ml Sol 20 20 $7,515.00 $30.00 100% off $106.33 $7,515.00 $5,301.84 2026-03-25
26951 HCPCS 26951 Amputation Finger Or Thumb Primary Or Seco 40 21 $9,372.00 $30.00 100% off $3,232.90 $9,372.00 $5,276.89 2026-03-25
36558 HCPCS 36558 Insertion Of Tunneled Centrally Inserted Cen 38 20 $9,473.00 $30.00 100% off $3,130.05 $9,473.00 $5,210.15 2026-03-25
26418 HCPCS 26418 Repair Extensor Tendon Finger Primary Or 40 21 $6,105.00 $30.00 100% off $1,694.11 $6,105.00 $5,201.96 2026-03-25
13160 HCPCS 13160 Late Closure Wound 21 21 $6,061.00 $30.00 100% off $3,333.55 $6,061.00 $5,151.85 2026-03-25
J2356 HCPCS Tezepelumab Ekko 210 Mg 1.91 Ml Sol 20 20 $7,271.50 $30.00 100% off $18.01 $7,271.50 $5,130.05 2026-03-25
26410 HCPCS 26410 Repair Ext Tendon Hand Prim Second W Out 21 21 $5,878.00 $30.00 99% off $1,694.11 $5,878.00 $4,996.30 2026-03-25
Q5120 HCPCS Ziextenzo Pegfilgrastim Bmez 6 Mg 0.6 Ml Sol 20 20 $7,065.96 $30.00 100% off $30.32 $7,065.96 $4,985.03 2026-03-25
Q5122 HCPCS Pegfilgrastim Apgf 6 Mg 0.6 Ml Sol 20 20 $7,065.00 $30.00 100% off $131.16 $7,065.00 $4,984.36 2026-03-25
54700 HCPCS 54700: Incision And Drainage Of Epididymis Testis 20 20 $7,012.00 $30.00 100% off $2,202.34 $7,012.00 $4,946.97 2026-03-25
52005 HCPCS 52005 Cystourethroscopy With Ureteral Catheteriza 20 20 $7,012.00 $30.00 100% off $2,202.34 $7,012.00 $4,946.97 2026-03-25
J0597 HCPCS C1 Esterase Inhibitor Human 500 Intl Units Kit 20 20 $6,908.27 $30.00 100% off $75.86 $6,908.27 $4,873.78 2026-03-25
66982 HCPCS 66982 Extracapsular Cataract Removal W Insertion 20 20 $6,873.00 $30.00 100% off $2,431.43 $6,873.00 $4,848.90 2026-03-25
J0565 HCPCS Bezlotoxumab 25 Mg Ml Sol 20 20 $6,840.00 $30.00 100% off $39.83 $6,840.00 $4,825.62 2026-03-25
26011 HCPCS 26011 Drainage Finger Abscess Complicated 21 21 $5,671.00 $30.00 99% off $1,740.05 $5,671.00 $4,820.35 2026-03-25
15100 HCPCS 15100 Split-thickness Autograft Trunk Arms Legs 21 21 $5,668.00 $30.00 99% off $2,029.68 $5,668.00 $4,817.80 2026-03-25
14040 HCPCS 14040 Adj Tis Trans Forehead < 10 Sq Cm 21 21 $5,668.00 $30.00 99% off $2,029.68 $5,668.00 $4,817.80 2026-03-25
14020 HCPCS 14020 Adjacent Tissue Transfer Or Rearrangement S 21 21 $5,668.00 $30.00 99% off $2,029.68 $5,668.00 $4,817.80 2026-03-25
20220 HCPCS 20220 Biopsy Bone Trocar Or Needle Superficial 21 21 $5,656.00 $30.00 99% off $1,740.05 $5,656.00 $4,807.60 2026-03-25
20206 HCPCS 20206 Biopsy Muscle Perc Needle 21 21 $5,656.00 $30.00 99% off $1,740.05 $5,656.00 $4,807.60 2026-03-25
20694 HCPCS 20694 Removal External Fixation System Under Anes 21 21 $5,601.00 $30.00 99% off $1,694.11 $5,601.00 $4,760.85 2026-03-25
49440 HCPCS 49440 Insertion Of Gastrostomy Tube Percutaneous 20 20 $6,584.00 $30.00 100% off $2,021.68 $6,584.00 $4,645.01 2026-03-25
28092 HCPCS 28092 Excision Of Lesion Tendon Tendon Sheath ( 21 21 $5,423.00 $30.00 99% off $1,694.11 $5,423.00 $4,609.55 2026-03-25
54161 HCPCS 54161 Circumcision Surgical Excision Other Than C 20 20 $6,425.00 $30.00 100% off $2,202.34 $6,425.00 $4,532.84 2026-03-25
66984 HCPCS 66984 Extracapsular Cataract Removal W Insertion 20 20 $6,363.00 $30.00 100% off $2,431.43 $6,363.00 $4,489.10 2026-03-25
55250 HCPCS 55250 Vasectomy 20 20 $6,336.00 $30.00 100% off $2,202.34 $6,336.00 $4,470.05 2026-03-25
54150 HCPCS 54150 Excision Procedures On The Penis 20 20 $6,336.00 $30.00 100% off $2,202.34 $6,336.00 $4,470.05 2026-03-25
64721 HCPCS 64721 Neuroplasty And Or Transposition Median Ner 20 20 $6,214.00 $30.00 100% off $2,057.31 $6,214.00 $4,383.98 2026-03-25
C1776 HCPCS 62101819 918 18 $5,934.00 $30.00 99% off $0.55 $23,907.00 $4,354.15 2026-03-25
J2182 HCPCS Mepolizumab 100 Mg Pow 20 20 $6,141.13 $30.00 100% off $31.27 $6,141.13 $4,332.57 2026-03-25
10121 HCPCS 10121 Incision And Removal Foreign Body Comp Fac 40 21 $4,979.00 $30.00 99% off $1,740.05 $4,979.00 $4,242.66 2026-03-25
52287 HCPCS 52287 Cystourethroscopy With Injection(s) For Che 20 20 $6,011.00 $30.00 100% off $2,202.34 $6,011.00 $4,240.76 2026-03-25
11444 HCPCS 11444 Exc B9 Les Mrgn Xcp Sk Tg F E E N L M 3.1-4. 21 21 $4,979.00 $30.00 99% off $1,740.05 $4,979.00 $4,232.15 2026-03-25
11443 HCPCS 11443 Exc Benign Lesion Face 2.1 To 3.0 Cm 21 21 $4,979.00 $30.00 99% off $1,740.05 $4,979.00 $4,232.15 2026-03-25
11424 HCPCS 11424 Exc Benign Lesion Scalp 3.1 To 4 Cm 21 21 $4,979.00 $30.00 99% off $1,740.05 $4,979.00 $4,232.15 2026-03-25
11422 HCPCS 11422 Exec Benign Lesion Scalp 1.1 To 2 Cm 21 21 $4,979.00 $30.00 99% off $1,740.05 $4,979.00 $4,232.15 2026-03-25
11420 HCPCS 11420 Exc Benign Lesion Scalp To 0.5 Cm 21 21 $4,979.00 $30.00 99% off $1,740.05 $4,979.00 $4,232.15 2026-03-25
11406 HCPCS 11406 Exc Benign Lesion > 4.0 Cm 21 21 $4,979.00 $30.00 99% off $1,740.05 $4,979.00 $4,232.15 2026-03-25
11404 HCPCS 11404 Exc Benign Lesion 3.1 To 4.0 Cm 21 21 $4,979.00 $30.00 99% off $1,740.05 $4,979.00 $4,232.15 2026-03-25
11623 HCPCS 11623 Exc Malig Lesion Scalp 2.1 To 3.0 Cm 21 21 $4,979.00 $30.00 99% off $1,740.05 $4,979.00 $4,232.15 2026-03-25
31622 HCPCS 31622 Bronchoscopy Rigid Or Flexible Including F 21 21 $4,951.00 $30.00 99% off $1,875.23 $4,951.00 $4,208.35 2026-03-25
25565 HCPCS 25565 Closed Treatment Of Radial And Ulnar Shaft F 40 21 $4,930.00 $30.00 99% off $1,694.11 $4,930.00 $4,200.55 2026-03-25
23665 HCPCS 23665 Closed Treatmentshoulder Dislocation W Fra 40 21 $4,930.00 $30.00 99% off $1,694.11 $4,930.00 $4,200.55 2026-03-25
23605 HCPCS 23605 Closed Treatment Of Proximal Humeral Fractur 40 21 $4,930.00 $30.00 99% off $1,694.11 $4,930.00 $4,200.55 2026-03-25
27266 HCPCS 27266 Closed Treatment Of Post Hip Arthroplasty Di 40 21 $4,930.00 $30.00 99% off $1,694.11 $4,930.00 $4,200.55 2026-03-25
26055 HCPCS 26055 Tendon Sheath Incision (eg For Trigger Fing 21 21 $4,930.00 $30.00 99% off $1,694.11 $4,930.00 $4,190.50 2026-03-25
55120 HCPCS 55120 Removal Of Foreign Body In Scrotum 20 20 $5,925.00 $30.00 99% off $2,202.34 $5,925.00 $4,180.09 2026-03-25
54840 HCPCS 54840 Excision Of Spermatocele With Or Without Ep 20 20 $5,925.00 $30.00 99% off $2,202.34 $5,925.00 $4,180.09 2026-03-25
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