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

CAMERON REGIONAL MEDICAL CENTER

Cameron, MO · CCN 260057 · Rates published

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You selected 93306 (CPT)

CV ECHO COMPLETE W DOP AND COLOR DOP

This hospital’s price: $516 across 6 payers · range $67-$1,834

Source: https://www.cameronregional.org/440668347_cameron-regional-medical-center_standardcharges.csv · observed 2026-10-09

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.

3,608 distinct procedures filed
6 distinct payers
48,966 rate rows
2026-10-09 last MRF observed
Data quality

46,380 of 48,966 rate rows are consumer-grade (94.7%)

2,586 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
exceeds 10× this hospital's gross charge — excluded from medians 2,377
per-diem day rate — not a per-procedure price 151
percent-of-charges filed in the dollar field — excluded from medians 42
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 8
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 8
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.cameronregional.org/440668347_cameron-regional-medical-center_standardcharges.csv
Found on page https://cameronregional.org/cms-hpt.txt
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-09
Content fingerprint d0b609e794088fea… · 11,604,188 bytes · first seen 2026-10-09

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
793
MS_DRG 		Full Term Neonate With Major Problems 4 $21,681.92 $30,910.05 $29,721.20 nat. median
$33,753
0.9× median
791
MS_DRG 		Prematurity With Major Problems 4 $21,106.80 $30,090.15 $28,932.84 nat. median
$34,598
0.8× median
469
MS_DRG 		Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 5 $15,772.64 $30,811.25 $21,805.78 nat. median
$29,492
0.7× median
C1767
HCPCS 		Interstim Ii Neurostimulator 5 $123.84 $40,912.20 $20,235.50 nat. median
$23,881
0.8× median
J9309
HCPCS 		Polivy 140 Mg Vial *chemo* 6 $17,902.50 $23,240.70 $19,530.00 nat. median
$4,472
outlier · 4.4×
63685
CPT 		Inc/repl Spine Nstim Pg/rcvr 5 $313.21 $29,813.80 $18,088.40 nat. median
$21,040
0.9× median
792
MS_DRG 		Prematurity Without Major Problems 4 $12,735.84 $18,156.39 $17,458.07 nat. median
$20,578
0.8× median
56
MS_DRG 		Degenerative Nervous System Disorders With Mcc 5 $12,080.12 $23,598.05 $16,700.85 nat. median
$21,152
0.8× median
64
MS_DRG 		Intracranial Hemorrhage Or Cerebral Infarction With Mcc 5 $10,457.20 $20,427.74 $14,457.15 nat. median
$19,268
0.8× median
470
MS_DRG 		Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without… 5 $10,030.28 $19,593.77 $13,866.93 nat. median
$18,831
0.7× median
J9153
HCPCS 		Vyxeos 44 Mg/100 Mg Vial 6 $11,267.83 $17,671.86 $13,612.78 nat. median
$632
outlier · 21.5×
J9043
HCPCS 		Jevtana 60 Mg Vial *chemo* 6 $10,425.39 $14,182.08 $13,534.05 nat. median
$735
outlier · 18.4×
J3245
HCPCS 		Ilumya 100 Mg/ml Pre Filled Syrng : 1 Ml 6 $11,852.78 $15,387.06 $12,930.30 nat. median
$256
outlier · 50.5×
789
MS_DRG 		Neonates, Died Or Transferred To Another Acute Care Facility 4 $9,371.44 $13,360.06 $12,846.21 nat. median
$16,213
0.8× median
C1786
HCPCS 		Pacemaker Model (e2sr01) 5 $800.00 $16,386.30 $12,622.50 nat. median
$7,842
1.6× median
J9144
HCPCS 		Darzalex Faspro 1800 Mg-30,000 Units/15 6 $9,075.28 $13,360.65 $11,781.36 nat. median
$211
outlier · 55.7×
884
MS_DRG 		Organic Disturbances And Intellectual Disability 5 $8,366.28 $16,343.21 $11,566.44 nat. median
$14,262
0.8× median
280
MS_DRG 		Acute Myocardial Infarction, Discharged Alive With Mcc 6 $8,341.32 $16,294.45 $11,434.14 nat. median
$15,670
0.7× median
177
MS_DRG 		Respiratory Infections And Inflammations With Mcc 5 $8,126.04 $15,873.91 $11,234.31 nat. median
$15,405
0.7× median
682
MS_DRG 		Renal Failure With Mcc 5 $7,701.20 $15,044.00 $10,646.96 nat. median
$14,443
0.7× median
794
MS_DRG 		Neonate With Other Significant Problems 4 $7,674.68 $10,941.13 $10,520.32 nat. median
$12,618
0.8× median
62362
CPT 		Impl/repl Pr Pump For Infusion 5 $330.92 $17,291.45 $10,492.90 nat. median
$16,426
0.6× median
J2267
HCPCS 		Omvoh 300 Mg/15 Ml Vial 6 $7,287.78 $13,430.98 $10,229.39 nat. median
$90
outlier · 113.5×
602
MS_DRG 		Cellulitis With Mcc 5 $7,390.76 $14,437.57 $10,217.78 nat. median
$14,036
0.7× median
885
MS_DRG 		Psychoses 5 $7,263.36 $14,188.69 $10,041.65 nat. median
$12,315
0.8× median
J9119
HCPCS 		Libtayo 350 Mg/7 Ml Vial 6 $7,576.53 $10,662.65 $9,835.71 nat. median
$91
outlier · 108.0×
640
MS_DRG 		Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 5 $6,945.12 $13,567.02 $9,601.67 nat. median
$12,851
0.7× median
193
MS_DRG 		Simple Pneumonia And Pleurisy With Mcc 5 $6,834.88 $13,351.68 $9,449.27 nat. median
$12,877
0.7× median
57
MS_DRG 		Degenerative Nervous System Disorders Without Mcc 5 $6,737.12 $13,160.70 $9,314.11 nat. median
$12,550
0.7× median
291
MS_DRG 		Heart Failure And Shock With Mcc 5 $6,675.76 $13,040.84 $9,229.28 nat. median
$12,775
0.7× median
391
MS_DRG 		Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 5 $6,595.16 $12,883.39 $9,117.85 nat. median
$12,544
0.7× median
189
MS_DRG 		Pulmonary Edema And Respiratory Failure 5 $6,424.08 $12,549.19 $8,881.33 nat. median
$12,282
0.7× median
308
MS_DRG 		Cardiac Arrhythmia And Conduction Disorders With Mcc 5 $6,260.80 $12,230.23 $8,655.60 nat. median
$11,997
0.7× median
33206
CPT 		Interv Insertion Transvenous Pacemaker 6 $6,451.50 $10,238.74 $8,618.15 nat. median
$11,252
0.8× median
33207
CPT 		Interv Insertion Pacemaker Ventrical 6 $6,451.50 $10,238.74 $8,618.15 nat. median
$11,506
0.7× median
C1785
HCPCS 		Pacemaker Sigma (sdr303) 5 $800.00 $15,422.40 $8,451.59 nat. median
$6,717
1.3× median
689
MS_DRG 		Kidney And Urinary Tract Infections With Mcc 5 $6,033.56 $11,786.33 $8,341.44 nat. median
$11,515
0.7× median
J9022
HCPCS 		Tecentriq 1200 Mg/20 Ml Vial 6 $6,339.03 $11,399.23 $8,229.21 nat. median
$6,720
1.2× median
190
MS_DRG 		Chronic Obstructive Pulmonary Disease With Mcc 5 $5,760.04 $11,252.02 $7,963.30 nat. median
$11,073
0.7× median
787
MS_DRG 		Cesarean Section Without Sterilization With Cc 6 $3,255.00 $10,500.00 $7,336.85 nat. median
$10,913
0.7× median
J9301
HCPCS 		Gazyva 1000 Mg/40 Ml Vial *chemo* 6 $5,225.00 $8,215.58 $7,334.00 nat. median
$286
outlier · 25.6×
33208
CPT 		Interv Insertion Pacemaker Atrial & Vent 6 $471.08 $10,238.74 $7,278.47 nat. median
$11,862
0.6× median
65
MS_DRG 		Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 5 $5,253.56 $10,262.63 $7,263.09 nat. median
$10,477
0.7× median
178
MS_DRG 		Respiratory Infections And Inflammations With Cc 5 $5,075.20 $9,914.21 $7,016.50 nat. median
$10,207
0.7× median
J9228
HCPCS 		Yervoy 50 Mg/10 Ml Vial *chemo* 6 $5,338.03 $9,540.91 $6,929.73 nat. median
$8,966
0.8× median
281
MS_DRG 		Acute Myocardial Infarction, Discharged Alive With Cc 6 $4,779.32 $9,336.22 $6,663.48 nat. median
$9,717
0.7× median
638
MS_DRG 		Diabetes With Cc 5 $4,660.24 $9,103.60 $6,442.82 nat. median
$9,230
0.7× median
788
MS_DRG 		Cesarean Section Without Sterilization Without Cc/mcc 6 $3,255.00 $10,500.00 $6,298.87 nat. median
$9,600
0.7× median
683
MS_DRG 		Renal Failure With Cc 5 $4,554.16 $8,896.38 $6,296.16 nat. median
$9,113
0.7× median
603
MS_DRG 		Cellulitis Without Mcc 5 $4,528.68 $8,846.60 $6,260.93 nat. median
$8,991
0.7× median

Other procedures at this hospital

Browse this hospital's 3,608 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
             
793 MS_DRG Full Term Neonate With Major Problems 8 4 — — $21,681.92 $30,910.05 $29,721.20 2026-10-09
791 MS_DRG Prematurity With Major Problems 8 4 — — $21,106.80 $30,090.15 $28,932.84 2026-10-09
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 10 5 — — $15,772.64 $30,811.25 $21,805.78 2026-10-09
C1767 HCPCS Interstim Ii Neurostimulator 49 5 $32,255.00 — $123.84 $40,912.20 $20,235.50 2026-10-09
J9309 HCPCS Polivy 140 Mg Vial *chemo* 9 6 $32,550.00 — $17,902.50 $23,240.70 $19,530.00 2026-10-09
63685 CPT Inc/repl Spine Nstim Pg/rcvr 15 5 $32,888.00 — $313.21 $29,813.80 $18,088.40 2026-10-09
792 MS_DRG Prematurity Without Major Problems 8 4 — — $12,735.84 $18,156.39 $17,458.07 2026-10-09
56 MS_DRG Degenerative Nervous System Disorders With Mcc 10 5 — — $12,080.12 $23,598.05 $16,700.85 2026-10-09
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 10 5 — — $10,457.20 $20,427.74 $14,457.15 2026-10-09
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 10 5 — — $10,030.28 $19,593.77 $13,866.93 2026-10-09
J9153 HCPCS Vyxeos 44 Mg/100 Mg Vial 9 6 $24,750.50 — $11,267.83 $17,671.86 $13,612.78 2026-10-09
J9043 HCPCS Jevtana 60 Mg Vial *chemo* 9 6 $18,955.25 — $10,425.39 $14,182.08 $13,534.05 2026-10-09
J3245 HCPCS Ilumya 100 Mg/ml Pre Filled Syrng : 1 Ml 9 6 $21,550.50 — $11,852.78 $15,387.06 $12,930.30 2026-10-09
789 MS_DRG Neonates, Died Or Transferred To Another Acute Care Facility 8 4 — — $9,371.44 $13,360.06 $12,846.21 2026-10-09
C1786 HCPCS Pacemaker Model (e2sr01) 7 5 $22,950.00 — $800.00 $16,386.30 $12,622.50 2026-10-09
J9144 HCPCS Darzalex Faspro 1800 Mg-30,000 Units/15 9 6 $16,500.50 — $9,075.28 $13,360.65 $11,781.36 2026-10-09
884 MS_DRG Organic Disturbances And Intellectual Disability 10 5 — — $8,366.28 $16,343.21 $11,566.44 2026-10-09
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 12 6 — — $8,341.32 $16,294.45 $11,434.14 2026-10-09
177 MS_DRG Respiratory Infections And Inflammations With Mcc 10 5 — — $8,126.04 $15,873.91 $11,234.31 2026-10-09
682 MS_DRG Renal Failure With Mcc 10 5 — — $7,701.20 $15,044.00 $10,646.96 2026-10-09
794 MS_DRG Neonate With Other Significant Problems 8 4 — — $7,674.68 $10,941.13 $10,520.32 2026-10-09
62362 CPT Impl/repl Pr Pump For Infusion 15 5 $19,078.00 — $330.92 $17,291.45 $10,492.90 2026-10-09
J2267 HCPCS Omvoh 300 Mg/15 Ml Vial 11 6 $13,250.50 — $7,287.78 $13,430.98 $10,229.39 2026-10-09
602 MS_DRG Cellulitis With Mcc 10 5 — — $7,390.76 $14,437.57 $10,217.78 2026-10-09
885 MS_DRG Psychoses 10 5 — — $7,263.36 $14,188.69 $10,041.65 2026-10-09
J9119 HCPCS Libtayo 350 Mg/7 Ml Vial 9 6 $13,955.50 — $7,576.53 $10,662.65 $9,835.71 2026-10-09
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 10 5 — — $6,945.12 $13,567.02 $9,601.67 2026-10-09
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 10 5 — — $6,834.88 $13,351.68 $9,449.27 2026-10-09
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 10 5 — — $6,737.12 $13,160.70 $9,314.11 2026-10-09
291 MS_DRG Heart Failure And Shock With Mcc 10 5 — — $6,675.76 $13,040.84 $9,229.28 2026-10-09
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 10 5 — — $6,595.16 $12,883.39 $9,117.85 2026-10-09
189 MS_DRG Pulmonary Edema And Respiratory Failure 10 5 — — $6,424.08 $12,549.19 $8,881.33 2026-10-09
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 10 5 — — $6,260.80 $12,230.23 $8,655.60 2026-10-09
33206 CPT Interv Insertion Transvenous Pacemaker 12 6 $11,730.00 — $6,451.50 $10,238.74 $8,618.15 2026-10-09
33207 CPT Interv Insertion Pacemaker Ventrical 12 6 $11,730.00 — $6,451.50 $10,238.74 $8,618.15 2026-10-09
C1785 HCPCS Pacemaker Sigma (sdr303) 13 5 $13,185.00 — $800.00 $15,422.40 $8,451.59 2026-10-09
689 MS_DRG Kidney And Urinary Tract Infections With Mcc 10 5 — — $6,033.56 $11,786.33 $8,341.44 2026-10-09
J9022 HCPCS Tecentriq 1200 Mg/20 Ml Vial 9 6 $11,525.50 — $6,339.03 $11,399.23 $8,229.21 2026-10-09
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 10 5 — — $5,760.04 $11,252.02 $7,963.30 2026-10-09
787 MS_DRG Cesarean Section Without Sterilization With Cc 12 6 — — $3,255.00 $10,500.00 $7,336.85 2026-10-09
J9301 HCPCS Gazyva 1000 Mg/40 Ml Vial *chemo* 11 6 $9,500.00 — $5,225.00 $8,215.58 $7,334.00 2026-10-09
33208 CPT Interv Insertion Pacemaker Atrial & Vent 18 6 $11,730.00 — $471.08 $10,238.74 $7,278.47 2026-10-09
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 10 5 — — $5,253.56 $10,262.63 $7,263.09 2026-10-09
178 MS_DRG Respiratory Infections And Inflammations With Cc 10 5 — — $5,075.20 $9,914.21 $7,016.50 2026-10-09
J9228 HCPCS Yervoy 50 Mg/10 Ml Vial *chemo* 9 6 $9,705.50 — $5,338.03 $9,540.91 $6,929.73 2026-10-09
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 12 6 — — $4,779.32 $9,336.22 $6,663.48 2026-10-09
638 MS_DRG Diabetes With Cc 10 5 — — $4,660.24 $9,103.60 $6,442.82 2026-10-09
788 MS_DRG Cesarean Section Without Sterilization Without Cc/mcc 12 6 — — $3,255.00 $10,500.00 $6,298.87 2026-10-09
683 MS_DRG Renal Failure With Cc 10 5 — — $4,554.16 $8,896.38 $6,296.16 2026-10-09
603 MS_DRG Cellulitis Without Mcc 10 5 — — $4,528.68 $8,846.60 $6,260.93 2026-10-09
J9307 HCPCS Folotyn 20 Mg/ml Vial *chemo* 18 6 $7,650.00 — $3,355.00 $16,333.37 $6,233.00 2026-10-09
J3101 HCPCS Tnkase 50mg Injection 14 6 $4,546.00 — $2,500.30 $8,955.49 $6,213.00 2026-10-09
J0896 HCPCS Reblozyl 25 Mg Vial 18 6 $9,666.83 — $2,658.38 $13,098.38 $6,170.64 2026-10-09
292 MS_DRG Heart Failure And Shock With Cc 10 5 — — $4,414.80 $8,624.14 $6,103.49 2026-10-09
22514 CPT Perq Vertebral Augmentation 13 5 $10,565.00 — $437.85 $7,543.41 $6,089.90 2026-10-09
J3380 HCPCS Entyvio 300 Mg Vial 9 6 $8,500.00 — $4,675.00 $6,649.03 $6,069.00 2026-10-09
796 MS_DRG Vaginal Delivery With Sterilization And/or D&c With Mcc 12 6 — — $2,320.00 $8,651.20 $6,065.92 2026-10-09
191 MS_DRG Chronic Obstructive Pulmonary Disease With Cc 10 5 — — $4,383.60 $8,563.19 $6,060.35 2026-10-09
690 MS_DRG Kidney And Urinary Tract Infections Without Mcc 10 5 — — $4,209.40 $8,222.90 $5,819.52 2026-10-09
194 MS_DRG Simple Pneumonia And Pleurisy With Cc 10 5 — — $4,190.68 $8,186.33 $5,793.65 2026-10-09
22513 CPT Perq Vertebral Augmentation 13 5 $9,010.00 — $469.06 $6,989.06 $5,775.41 2026-10-09
J9042 HCPCS Adcetris 50mg Vial 9 6 $8,052.00 — $4,428.60 $13,449.28 $5,749.13 2026-10-09
392 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc 10 5 — — $4,053.92 $7,919.18 $5,604.57 2026-10-09
641 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou… 10 5 — — $4,046.64 $7,904.96 $5,594.51 2026-10-09
797 MS_DRG Vaginal Delivery With Sterilization And/or D&c With Cc 12 6 — — $2,320.00 $8,500.00 $5,565.20 2026-10-09
798 MS_DRG Vaginal Delivery With Sterilization And/or D&c Without Cc/mcc 12 6 — — $2,320.00 $8,500.00 $5,435.07 2026-10-09
179 MS_DRG Respiratory Infections And Inflammations Without Cc/mcc 10 5 — — $3,926.00 $7,669.29 $5,427.72 2026-10-09
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 10 5 — — $3,825.64 $7,473.24 $5,288.98 2026-10-09
282 MS_DRG Acute Myocardial Infarction, Discharged Alive Without Cc/mcc 12 6 — — $3,760.12 $7,560.00 $5,242.48 2026-10-09
J9271 HCPCS Keytruda 100 Mg/4 Ml Vial *chemo* 9 6 $7,850.75 — $3,987.91 $6,270.26 $5,177.04 2026-10-09
J9999 HCPCS Zepzelca 4 Mg Vial *chemo* 5 4 $8,450.00 — $4,647.50 $6,033.30 $5,070.00 2026-10-09
66 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc 10 5 — — $3,558.88 $6,952.14 $4,920.17 2026-10-09
807 MS_DRG Vaginal Delivery Without Sterilization Or D&c Without Cc/mcc 10 5 — — $3,505.84 $6,848.52 $4,846.84 2026-10-09
J9306 HCPCS Perjeta 420 Mg/14 Ml Vial 9 6 $6,575.00 — $3,616.25 $7,433.03 $4,694.55 2026-10-09
Q4197 HCPCS Puraply Am Xt 6x9 20 5 $11,250.00 — $70.70 $23,133.60 $4,633.20 2026-10-09
63650 CPT Perc Impl Ns Electrode Array; Epidural 14 5 $7,775.00 — $382.43 $6,420.81 $4,630.01 2026-10-09
192 MS_DRG Chronic Obstructive Pulmonary Disease Without Cc/mcc 10 5 — — $3,338.40 $6,521.44 $4,615.36 2026-10-09
195 MS_DRG Simple Pneumonia And Pleurisy Without Cc/mcc 10 5 — — $3,268.20 $6,384.30 $4,518.31 2026-10-09
33210 CPT Insertion Of Temp Sing Cham Pacing Elect 16 6 $8,791.00 — $147.10 $8,096.80 $4,395.50 2026-10-09
684 MS_DRG Renal Failure Without Cc/mcc 10 5 — — $3,121.56 $6,097.85 $4,315.58 2026-10-09
Q5111 HCPCS Udenyca 6 Mg/0.6 Ml Inj 12 6 $7,240.50 — $1,276.01 $5,589.67 $4,163.29 2026-10-09
J2353 HCPCS Sandostatin Lar 20mg Injection 20 6 $6,150.50 — $2,950.75 $6,351.79 $4,071.66 2026-10-09
J0717 HCPCS Cimzia 200mg Inj: Charge Per 200 Mg 9 6 $7,401.50 — $782.60 $5,284.67 $4,070.83 2026-10-09
310 MS_DRG Cardiac Arrhythmia And Conduction Disorders Without Cc/mcc 10 5 — — $2,943.72 $5,750.44 $4,069.71 2026-10-09
293 MS_DRG Heart Failure And Shock Without Cc/mcc 10 5 — — $2,943.20 $5,749.43 $4,068.99 2026-10-09
Q4107 HCPCS Graft Jacket Ulcer Repair Skin Use This 15 5 $7,305.00 — $2,115.60 $5,215.77 $3,997.50 2026-10-09
J2506 HCPCS Neulasta 6mg Inj 9 6 $7,240.50 — $1,072.13 $5,169.72 $3,982.28 2026-10-09
J0840 HCPCS Crofab Antivenom Vial 9 6 $7,055.25 — $1,828.72 $5,037.45 $3,880.39 2026-10-09
47579 CPT Interv Lap Cholang 13 6 $5,457.00 — $1,877.21 $5,708.04 $3,792.62 2026-10-09
J1162 HCPCS Digifab Injection 40 Mg Vial 9 6 $5,250.50 — $2,887.78 $5,374.96 $3,748.86 2026-10-09
J0565 HCPCS Zinplava 1000 Mg/40 Ml Vial 9 6 $5,250.50 — $2,887.78 $4,141.80 $3,748.86 2026-10-09
Q5108 HCPCS Fulphila 6 Mg/0.6 Ml Inj 12 6 $7,240.50 — $1,189.54 $5,169.72 $3,580.95 2026-10-09
J9303 HCPCS Vectibix 100 Mg/5 Ml Vial *chemo* 18 6 $5,989.38 — $1,317.66 $7,198.05 $3,535.08 2026-10-09
C2623 HCPCS Lutonix 100 5 $6,150.00 — $800.00 $7,068.60 $3,522.15 2026-10-09
47563 CPT Interv Lap Cholangiogram 15 6 $5,457.00 — $545.34 $5,708.04 $3,497.94 2026-10-09
59514 CPT OB Cesarean Delivery 10 6 $6,000.00 — $836.75 $4,284.00 $3,450.00 2026-10-09
27405 CPT Repr Torn Collateral Knee Ligam 16 6 $6,768.00 — $512.72 $6,989.06 $3,384.00 2026-10-09
J9308 HCPCS Cyramza 100 Mg/10 Ml Vial *chemo* 18 6 $5,550.00 — $1,017.50 $7,733.34 $3,317.09 2026-10-09
J3590 HCPCS Gazyva 100 Mg/ns 100 Ml Ivpb *chemo* 10 4 $5,727.75 — $1,075.53 $6,783.00 $3,310.61 2026-10-09
J9299 HCPCS Opdivo 100 Mg/10 Ml Vial *chemo* 36 6 $5,026.50 — $1,180.30 $8,227.81 $3,296.40 2026-10-09
Q4106 HCPCS Dermagraft 8 5 $5,460.00 — $1,878.24 $3,898.44 $3,276.00 2026-10-09
43265 CPT Interv Endo Lithro Of Stones 19 6 $5,339.00 — $347.20 $5,823.92 $3,203.40 2026-10-09
95811 CPT Sleep Study W/c Pap Full-split 13 6 $5,804.00 — $867.31 $4,144.06 $3,192.20 2026-10-09
J9177 HCPCS Padcev 20 Mg Vial *chemo* 18 6 $5,025.62 — $2,211.28 $4,585.53 $3,186.97 2026-10-09
C1725 HCPCS Lifestent Vascular Biliary 201 5 $5,625.00 — $233.92 $13,026.93 $3,105.90 2026-10-09
53850 CPT Prostatic Microwave Thermotherapy 8 5 $3,500.00 — $1,925.00 $3,374.30 $3,092.35 2026-10-09
62365 CPT Rem Sq Rsvr/pump For Prev Epid Dr Inf 15 5 $5,544.00 — $257.03 $6,265.41 $3,049.20 2026-10-09
81455 CPT Pan-heme Ngs 10 6 $4,285.00 — $2,356.75 $3,036.38 $2,833.14 2026-10-09
C1776 HCPCS Evolution Mp Ps Femoral Comp 4r 209 5 $4,950.00 — $237.06 $28,809.90 $2,821.50 2026-10-09
26756 CPT Percutaneous Skeletal Fix Distal Phal Fx 9 6 $2,603.50 — $1,301.75 $3,174.36 $2,765.97 2026-10-09
J1744 HCPCS Icatibant 30 Mg/3 Ml Syringe 9 6 $3,750.75 — $2,062.91 $4,068.20 $2,678.04 2026-10-09
J2182 HCPCS Nucala 100 Mg Vial 9 6 $3,685.00 — $2,026.75 $3,252.08 $2,631.09 2026-10-09
35201 CPT Repair Blood Vessel Direct Neck 16 6 $5,197.00 — $702.70 $5,288.66 $2,598.50 2026-10-09
J9047 HCPCS Kyprolis 30 Mg Vial : *chemo* 18 6 $4,275.00 — $1,567.50 $4,069.80 $2,584.95 2026-10-09
95810 CPT Sleep Study Poly 13 6 $4,674.00 — $867.31 $3,337.24 $2,570.70 2026-10-09
78815 CPT Pe Skull Base-mid Thigh Eval Imaging 12 6 $6,709.00 — $1,243.42 $5,179.35 $2,558.48 2026-10-09
J3111 HCPCS Evenity 210 Mg/2.34 Ml 9 6 $3,575.50 — $1,966.53 $2,636.09 $2,534.70 2026-10-09
J2993 HCPCS Retavase 10 Unit Inj *half-kit* 18 6 $2,566.62 — $770.00 $6,041.52 $2,529.28 2026-10-09
26952 CPT Amp Fing Any Jnt W/local Advancemen Flap 10 6 $3,115.00 — $526.18 $3,174.36 $2,381.34 2026-10-09
J9317 HCPCS Trodelvy 180 Mg Vial 9 6 $3,285.50 — $1,807.03 $2,716.35 $2,345.85 2026-10-09
Q4159 HCPCS Affinity 1.5x1.5 16 5 $3,750.00 — $204.96 $7,389.90 $2,328.75 2026-10-09
47533 CPT Interv T Tube 13 6 $3,500.00 — $1,204.00 $3,452.65 $2,328.32 2026-10-09
47531 CPT Interv Lap Cholang W/bx 13 6 $3,500.00 — $1,204.00 $3,452.65 $2,328.32 2026-10-09
47532 CPT Transhepatic Cholang 13 6 $3,500.00 — $1,204.00 $3,452.65 $2,328.32 2026-10-09
59409 CPT OB Delivery 21 6 $4,200.00 — $601.65 $3,110.69 $2,310.00 2026-10-09
50590 CPT Lithotripsy 13 5 $3,500.00 — $528.21 $3,374.30 $2,243.50 2026-10-09
36475 CPT Endovenous Rf 1st Vein 14 5 $3,750.00 — $255.18 $3,079.35 $2,233.12 2026-10-09
J0349 HCPCS Rezzayo 200 Mg Vial 9 6 $3,150.00 — $1,732.50 $2,249.10 $2,125.00 2026-10-09
J9312 HCPCS *rituxan 100 Mg/10 Ml Vial *brand Name* 18 6 $3,675.50 — $674.03 $4,373.61 $2,122.02 2026-10-09
J2783 HCPCS Elitek 1.5 Mg Injection *chemo* 9 6 $3,850.50 — $1,132.56 $2,749.26 $2,117.78 2026-10-09
Q4160 HCPCS Nushield 3x4 Cm 9 5 $4,200.00 — $599.70 $2,998.80 $2,100.00 2026-10-09
J3315 HCPCS Trelstar 22.5 Mg IM Pwder 18 6 $3,100.25 — $742.50 $3,463.26 $2,074.64 2026-10-09
43261 CPT Interv Endo Cholang Pan W/x 19 6 $3,354.00 — $252.85 $3,722.16 $2,012.40 2026-10-09
43262 CPT Interv Edo Cholag Wsphinct 19 6 $3,354.00 — $267.37 $3,722.16 $2,012.40 2026-10-09
43260 CPT Interv Endo Cholag Pancreat 19 6 $3,354.00 — $241.06 $3,722.16 $2,012.40 2026-10-09
43264 CPT Interv Endo Cholang Pancr Duc 21 6 $3,354.00 — $309.17 $3,722.16 $2,012.40 2026-10-09
J9176 HCPCS Empliciti 300 Mg Vial *chemo* 9 6 $2,800.00 — $1,540.00 $2,460.12 $1,999.20 2026-10-09
J9041 HCPCS Velcade 3.5 Mg Sdv : Chemotherapy 5 4 $3,250.00 — $1,787.50 $2,320.50 $1,950.00 2026-10-09
J2426 HCPCS Invega Sustenna IM Susp ER 156mg 18 6 $2,463.00 — $1,127.78 $3,677.41 $1,948.16 2026-10-09
61312 CPT Craniectomy; Evac Hematom St Ed Sd 7 5 $2,685.00 — $1,550.50 $2,909.12 $1,939.41 2026-10-09
21552 CPT Exc Neck Les Sc 3 Cm/> 18 6 $3,100.00 — $338.37 $2,800.08 $1,923.55 2026-10-09
J2407 HCPCS Orbactiv 1200 Mg/d5w 1000 Ml *ivpb* 18 6 $3,161.00 — $869.28 $3,579.26 $1,900.46 2026-10-09
81408 CPT Mopath Procedure Level 9 10 6 $2,500.00 — $1,375.00 $2,080.00 $1,900.00 2026-10-09
A2007 HCPCS Restrata 2.5cm X 2.5cm - 6.25 Sq Cm 13 5 $2,935.00 — $800.00 $3,480.75 $1,881.34 2026-10-09
63688 CPT Rev Or Rem Impl Spinal Ns Pg Or Receiver 15 5 $3,419.00 — $276.33 $3,364.55 $1,880.45 2026-10-09
J9173 HCPCS Imfinzi 120 Mg/2.4 Ml Vial *chemo* 18 6 $3,007.25 — $640.20 $4,426.24 $1,865.04 2026-10-09
35820 CPT Expl Postop Hemor/thromb/inf; Chest 7 5 $2,604.00 — $1,499.06 $2,780.27 $1,853.51 2026-10-09
81162 CPT Brcassure Comprehensive Panel 10 6 $3,166.00 — $1,642.39 $2,029.41 $1,824.88 2026-10-09
44208 CPT L Colectomy/coloproctostomy 7 5 $2,375.00 — $1,482.49 $2,717.31 $1,811.54 2026-10-09
66984 CPT Cataract Remv W/implant 12 6 $1,734.75 — $954.11 $2,231.35 $1,809.61 2026-10-09
J0897 HCPCS Prolia 60mg/ml Inj 26 6 $2,850.50 — $1,168.75 $3,666.62 $1,798.05 2026-10-09
L5400 HCPCS Rigid Dressing 12 6 $4,176.00 — $800.00 $2,981.66 $1,790.25 2026-10-09
41105 CPT Incision Of Lingual Frenum (frenotomy) 18 5 $2,649.00 — $100.46 $3,172.85 $1,770.26 2026-10-09
38222 CPT Bone Marrow Bx & Asp 15 5 $3,200.00 — $68.74 $2,800.08 $1,760.00 2026-10-09
41110 CPT Excise Tongue Lesion Wo Closure 15 5 $3,150.00 — $116.82 $3,172.85 $1,732.50 2026-10-09
26735 CPT Op Tx Phalan Shaft Wo Ma 17 6 $3,115.00 — $450.34 $21,774.26 $1,713.25 2026-10-09
45110 CPT Proctectomy Complete W/colostomy 7 5 $4,856.00 — $1,370.86 $2,499.08 $1,666.05 2026-10-09
C9399 HCPCS Amjevita 40 Mg/0.4 Ml Injection 8 5 $2,755.50 — $947.89 $1,967.43 $1,653.30 2026-10-09
Q4195 HCPCS Puraply 35 5 $3,300.00 — $373.15 $17,350.20 $1,650.00 2026-10-09
15120 CPT Skn Splnt A Graft Fac/nck 16 6 $3,284.00 — $632.56 $3,581.71 $1,642.00 2026-10-09
15740 CPT Flap Island Pedicle 8 5 $1,273.00 — $700.15 $1,789.62 $1,640.09 2026-10-09
31622 CPT Bronchoscopydiag 20 6 $3,466.00 — $120.98 $2,474.72 $1,622.24 2026-10-09
43263 CPT Interv Endo Cholag Pres/sphi 19 6 $3,354.00 — $267.37 $2,394.76 $1,617.15 2026-10-09
20680 CPT Rem Imp; Deep 15 6 $2,824.00 — $386.67 $2,800.08 $1,602.77 2026-10-09
19081 CPT Interv Needle Loc 11 5 $3,928.00 — $1,351.23 $2,804.59 $1,585.16 2026-10-09
22551 CPT Arthrd Ant Ntrbdy Cervical 7 5 $2,125.00 — $1,277.06 $2,373.18 $1,582.12 2026-10-09
31645 CPT Bronchoscopyther 20 6 $2,911.00 — $134.49 $2,078.45 $1,570.48 2026-10-09
69145 CPT Exc St Lesion Ext Auditory Canal 15 5 $2,850.00 — $229.38 $2,800.08 $1,567.50 2026-10-09
35646 CPT Bypass Graft W/oth Thn Vein Aortfem-by 7 5 $4,819.00 — $1,269.21 $2,348.16 $1,565.44 2026-10-09
Q5120 HCPCS Ziextenzo 6 Mg/0.6 Ml Inj 12 6 $3,250.50 — $363.88 $2,320.86 $1,565.07 2026-10-09
15150 CPT Cult Epiderm Graph T/arm/leg 9 6 $1,839.00 — $919.50 $1,789.62 $1,559.38 2026-10-09
15110 CPT Epidrm Autograft 9 6 $1,839.00 — $919.50 $1,789.62 $1,559.38 2026-10-09
26951 CPT Amp Finger Or Thumb Any Jnt W/direct Clo 16 6 $3,115.00 — $537.39 $3,174.36 $1,557.50 2026-10-09
23472 CPT 01638 Anesthesia For Open Or Surgical Ar 1 1 $58.00 — $1,543.73 $1,543.73 $1,543.73 2026-10-09
J2428 HCPCS Invega Sustenna IM Susp ER 117 Mg 9 6 $2,151.00 — $1,183.05 $2,039.84 $1,535.81 2026-10-09
32652 CPT Thorascopy Sug W Tot Pulm Decortication 7 5 $3,160.00 — $1,239.53 $2,293.26 $1,528.84 2026-10-09
35566 CPT Bypass Graft Femoral Vein 7 5 $4,381.00 — $1,239.20 $2,291.61 $1,527.74 2026-10-09
38221 CPT Bone Marrow Bx 22 6 $2,862.00 — $63.73 $2,043.47 $1,524.19 2026-10-09
C1893 HCPCS Pacemaker Lead A (4074-53cm) 8 5 $2,902.50 — $800.00 $2,072.39 $1,523.82 2026-10-09
43860 CPT Rev Gastrjejunal Anas W/recontr 7 5 $5,188.00 — $1,237.91 $2,283.89 $1,522.59 2026-10-09
L0640 HCPCS Lso Ap/lat Control 2 Shell Panel 12 6 $3,750.00 — $800.00 $2,677.50 $1,521.76 2026-10-09
C1815 HCPCS Miniarc 32 5 $4,175.25 — $354.49 $7,541.45 $1,512.02 2026-10-09
43453 CPT Dilate Esophagus Over Guide Wire 12 6 $1,191.00 — $655.05 $1,855.92 $1,505.14 2026-10-09
44603 CPT Suture Small Intestines 7 5 $3,014.00 — $1,218.14 $2,251.10 $1,500.73 2026-10-09
59414 CPT Delivery Of Placenta 20 6 $2,500.00 — $85.06 $3,110.69 $1,500.00 2026-10-09
J3110 HCPCS Forteo Sq Soln 20mcg/dose Pen *non-formu 5 4 $2,500.00 — $1,375.00 $1,785.00 $1,500.00 2026-10-09
L2030 HCPCS Brace Dble Upright 12 6 $3,650.00 — $800.00 $2,606.10 $1,483.57 2026-10-09
40810 CPT Exc Les Mouth Vestibule Wo Repair 15 5 $2,683.00 — $109.88 $3,172.85 $1,475.65 2026-10-09
42104 CPT Exc Lesion Palate Uvula; Wo Closure 15 5 $2,650.00 — $122.45 $3,172.85 $1,457.50 2026-10-09
27618 CPT Exc Leg/ankle Tum < 3 Cm 8 5 $1,202.00 — $661.10 $1,585.16 $1,452.70 2026-10-09
19083 CPT US Init Guided Breast Biopsy 18 5 $3,986.00 — $141.12 $2,846.00 $1,452.70 2026-10-09
26432 CPT Clsd Tx Distal Exten Tedon W/wo Per Pin 8 5 $1,163.50 — $639.93 $1,565.76 $1,434.93 2026-10-09
795 MS_DRG Normal Newborn 9 4 — — $950.00 $1,578.00 $1,424.19 2026-10-09
38220 CPT Bone Marrow Asp 21 6 $2,825.00 — $61.69 $2,017.05 $1,412.50 2026-10-09
20525 CPT F B Rem Musc Deep 17 6 $2,824.00 — $228.62 $2,800.08 $1,412.00 2026-10-09
24201 CPT F B Rem Upper Arm Deep 16 6 $2,824.00 — $369.59 $2,800.08 $1,412.00 2026-10-09
J0875 HCPCS Dalvance 500 Mg Vial 11 6 $2,350.50 — $156.13 $4,571.70 $1,410.30 2026-10-09
78814 CPT Pe Limited Area Eval Imaging 10 6 $3,105.00 — $1,243.42 $1,990.31 $1,399.57 2026-10-09
78816 CPT Pe Whole Body Eval Imaging Wbbs* 10 6 $5,783.00 — $1,243.42 $3,706.90 $1,399.57 2026-10-09
78608 CPT Pe Brain Metabolic Imaging Eval 10 6 $3,000.00 — $1,243.42 $1,923.00 $1,399.57 2026-10-09
75822 CPT Venogram Bilateral 10 6 $1,299.00 — $714.45 $1,519.81 $1,392.82 2026-10-09
44055 CPT Correction Of Malrotation By Lysis 7 5 $3,255.00 — $1,124.42 $2,083.94 $1,389.29 2026-10-09
23200 CPT Resect Clavicle Tumor 7 5 $1,932.00 — $1,131.88 $2,082.99 $1,388.66 2026-10-09
11044 CPT Deb Bone 20 Sq Cm/< 15 5 $2,668.00 — $208.08 $1,904.95 $1,381.22 2026-10-09
47000 CPT CT Interv Biop Liver 19 6 $4,274.00 — $80.09 $3,051.64 $1,381.22 2026-10-09
27130 CPT 01214 Total Hip Arthro W/wo Auto-all 1 1 $58.00 — $1,372.59 $1,372.59 $1,372.59 2026-10-09
L0631 HCPCS Brace Lumbar Sacral Orthosis 12 6 $2,958.00 — $800.00 $2,112.01 $1,368.04 2026-10-09
C1897 HCPCS Enh St Trial Ld Kit 15 5 $1,882.00 — $647.41 $4,284.00 $1,343.75 2026-10-09
35331 CPT Thromboendarterectomy W/wo Grft Abdo Aor 7 5 $4,251.50 — $1,079.14 $1,996.61 $1,331.07 2026-10-09
40819 CPT Excision Of Frenum Labial Or Buccal 8 5 $1,350.00 — $742.50 $1,449.21 $1,328.12 2026-10-09
J1459 HCPCS Privigen Immune Glob 10% IV 10 Gm/100 Ml 36 6 $2,175.00 — $398.75 $4,221.32 $1,325.16 2026-10-09
21320 CPT Clsd X Nas/bon Fr W/stab 16 6 $2,649.00 — $87.57 $3,172.85 $1,324.50 2026-10-09
32484 CPT Removal Lung Segmentectomy 7 5 $4,130.00 — $1,070.69 $1,981.26 $1,320.84 2026-10-09
42408 CPT Excise Sublingual Salivary Cyst 15 5 $2,392.00 — $318.16 $3,172.85 $1,315.60 2026-10-09
11406 CPT Exc Ben Les Tal Over 4.0 Cm 24 5 $2,250.00 — $228.22 $2,303.36 $1,309.36 2026-10-09
Q5129 HCPCS Vegzelma 400 Mg/16 Ml Vial *chemo* 23 6 $3,800.00 — $326.80 $2,713.20 $1,307.20 2026-10-09
76942 CPT Mm Breast Cyst Aspiration 32 6 $2,176.00 — $7.19 $1,584.92 $1,305.60 2026-10-09
J1602 HCPCS Simponi Aria 50 Mg/4 Ml Vial 9 6 $2,357.50 — $551.95 $1,683.26 $1,296.63 2026-10-09
J9395 HCPCS Faslodex IM Soln 250 Mg/5 Ml Syringe 9 6 $2,350.50 — $67.28 $1,678.26 $1,292.78 2026-10-09
44640 CPT Close Intestinal Cutaneous Fistula 7 5 $1,930.00 — $1,053.37 $1,938.87 $1,292.58 2026-10-09
20220 CPT CT Interv Biopsy Spine 12 6 $1,633.00 — $898.15 $1,585.16 $1,285.56 2026-10-09
32400 CPT CT Interv Biop Pleura 24 6 $1,633.00 — $898.15 $1,585.16 $1,285.56 2026-10-09
62269 CPT CT Interv Biop Spine 12 6 $1,633.00 — $898.15 $1,585.16 $1,285.56 2026-10-09
J9055 HCPCS Erbitux 200mg/100ml Vial 18 6 $2,088.00 — $783.69 $1,821.24 $1,281.67 2026-10-09
35556 CPT Bypass Graft Vein Femoral-popliteal 7 5 $3,796.00 — $1,039.05 $1,921.40 $1,280.93 2026-10-09
27301 CPT I & D Complex Abscess Knee Or Thigh 16 6 $2,556.00 — $470.25 $2,800.08 $1,278.00 2026-10-09
31625 CPT Bronchoscopyw/biop 20 6 $2,201.00 — $142.52 $1,687.13 $1,271.37 2026-10-09
95808 CPT Polysomnography Study 13 6 $2,394.00 — $823.54 $1,709.32 $1,266.43 2026-10-09
42800 CPT Biopsy; Oropharynx 15 5 $2,649.00 — $106.82 $1,891.39 $1,262.77 2026-10-09
47350 CPT Simp Sut Liver Wnd 7 5 $2,000.00 — $1,035.77 $1,892.39 $1,261.59 2026-10-09
J2802 HCPCS Nplate 125 Mcg Vial 9 6 $1,755.50 — $965.53 $1,431.69 $1,253.43 2026-10-09
78459 CPT Pe Myocardial Imaging Metobolic Eval 10 6 $3,000.00 — $1,112.90 $1,923.00 $1,252.65 2026-10-09
37766 CPT Phleb Veins - Extrem 20+ 13 5 $2,275.00 — $305.32 $3,079.35 $1,251.25 2026-10-09
37765 CPT Stab Phleb Veins Xtr 10-20 13 5 $2,275.00 — $247.05 $3,079.35 $1,251.25 2026-10-09
44660 CPT Close Enteroves Fist; Wo Int/bldr Resect 7 5 $2,018.00 — $1,000.93 $1,861.16 $1,240.77 2026-10-09
36556 CPT Central Line Subclavian > 5yrs 19 6 $2,052.00 — $77.99 $3,079.35 $1,231.20 2026-10-09
78452 CPT Nm Myocar Perf Spect Str/rst 17 6 $4,682.00 — $79.97 $3,001.16 $1,228.09 2026-10-09
37617 CPT Ligation Major Artery; Abdomen 7 5 $1,741.00 — $987.04 $1,835.00 $1,223.33 2026-10-09
55810 CPT Prostatectomy Per Rad 7 5 $3,514.00 — $975.24 $1,810.91 $1,207.27 2026-10-09
21630 CPT Rad Resect Of Sternum 7 5 $1,545.00 — $988.64 $1,808.72 $1,205.81 2026-10-09
47564 CPT 00790 Anesth For Intraperitoneal Proc In 1 1 $58.00 — $1,203.12 $1,203.12 $1,203.12 2026-10-09
38505 CPT Interv Needle Lymph Node Biopsy 20 6 $2,067.00 — $78.70 $1,585.16 $1,194.15 2026-10-09
J3262 HCPCS Actemra 200 Mg/10 Ml Vial 27 6 $2,062.50 — $453.75 $2,945.25 $1,187.26 2026-10-09
L8606 HCPCS Axionics Bulkamid Urethral Buling System 15 5 $3,450.00 — $302.98 $2,463.30 $1,186.80 2026-10-09
81229 CPT Chromosome Microarray 10 6 $2,760.00 — $1,044.00 $1,769.16 $1,183.20 2026-10-09
78802 CPT Nm Tumor Localization Whole Body 10 6 $1,460.00 — $803.00 $1,277.21 $1,170.49 2026-10-09
C1771 HCPCS Desara Sling System 20 5 $3,078.00 — $373.15 $2,477.58 $1,169.50 2026-10-09
64624 CPT Dstrj Nulyt Agt Gnclr Nrv 15 5 $2,125.00 — $134.79 $1,910.49 $1,168.75 2026-10-09
36569 CPT Picc Insertion 5 Yrs Or Older 21 6 $1,937.00 — $87.82 $1,519.81 $1,162.20 2026-10-09
35206 CPT Repair Blood Vessel Direct Upper Ext 17 6 $2,305.00 — $588.42 $3,079.35 $1,152.50 2026-10-09
J7307 HCPCS Etonogestrel (contraceptive) Implant Sys 1 1 $3,650.00 — $1,147.76 $1,147.76 $1,147.76 2026-10-09
J0129 HCPCS Orencia 250mg Vial 9 6 $1,950.50 — $1,072.78 $1,392.66 $1,146.83 2026-10-09
19085 CPT US Clip Placement 17 5 $2,041.00 — $165.09 $1,585.16 $1,143.63 2026-10-09
L1945 HCPCS Custom Molded Floor Reaction Afo 12 6 $2,400.00 — $800.00 $1,713.60 $1,142.29 2026-10-09
69635 CPT Tympanopl W Antrot/mastoidot; Wo Ocr 7 5 $1,587.00 — $970.68 $1,708.71 $1,139.14 2026-10-09
Q4186 HCPCS Epifix 18mm 11 5 $2,275.00 — $151.17 $1,624.35 $1,137.50 2026-10-09
31238 CPT Nasal/sinus Endoscopy Control Nasal Hemo 18 5 $1,885.00 — $153.71 $8,918.14 $1,122.52 2026-10-09
31576 CPT Laryngoscopy W/biopsy 13 6 $1,579.00 — $543.18 $1,687.13 $1,115.15 2026-10-09
Q5107 HCPCS Mvasi 400 Mg/16 Ml Vial *chemo* 23 6 $4,602.00 — $278.62 $2,713.20 $1,114.48 2026-10-09
58943 CPT Removal Of Ovary (s) 7 5 $1,508.00 — $884.41 $1,663.05 $1,108.70 2026-10-09
27236 CPT Open Tr Fem Fract 7 5 $2,815.00 — $898.82 $1,651.07 $1,100.71 2026-10-09
J9264 HCPCS Abraxane 100 Mg Vial 9 6 $1,950.00 — $1,054.30 $1,392.30 $1,096.47 2026-10-09
44125 CPT Resect Sm Int ; W Enterostomy 7 5 $1,539.00 — $888.56 $1,637.78 $1,091.85 2026-10-09
C1763 HCPCS Hernia Repair 13 X 15 44 5 $1,870.00 — $592.65 $15,422.40 $1,091.70 2026-10-09
58150 CPT Anes Total Hysterectomy 1 1 $58.00 — $1,089.98 $1,089.98 $1,089.98 2026-10-09
J9155 HCPCS Firmagon 240 Mg Injection Kit 12 6 $2,475.50 — $1,024.80 $1,767.51 $1,088.87 2026-10-09
29916 CPT 01464 Anesthesia Hip Arthro W/labral Rep 1 1 $58.00 — $1,088.23 $1,088.23 $1,088.23 2026-10-09
27170 CPT Bone Gft Fem Head Neck It Or St 7 5 $1,493.00 — $878.30 $1,622.24 $1,081.49 2026-10-09
47015 CPT Laparotomy W Asp/inj Hepatic Parasite 7 5 $1,750.00 — $884.81 $1,620.09 $1,080.06 2026-10-09
J7300 HCPCS Paragard Implant System J7300 1 1 $975.00 — $1,076.87 $1,076.87 $1,076.87 2026-10-09
J0485 HCPCS Nulojix 250 Mg Vial 9 6 $1,950.50 — $971.75 $1,392.66 $1,072.78 2026-10-09
63661 CPT Remove Spine Eltrd Perq Aray 15 5 $1,937.00 — $305.06 $1,910.49 $1,065.35 2026-10-09
L1970 HCPCS Metallic Upright Afo 12 6 $2,250.00 — $800.00 $1,606.50 $1,060.76 2026-10-09
15121 CPT Skin Splnt A-graft 4 3 $2,015.00 — $1,007.50 $1,291.62 $1,057.88 2026-10-09
19285 CPT Needle Loc US Guidance Rt 15 6 $3,068.00 — $520.77 $2,190.55 $1,055.39 2026-10-09
21601 CPT Exc Chest Wall Tumor W/ribs 7 5 $1,515.00 — $867.92 $1,582.68 $1,055.12 2026-10-09
27372 CPT Rem F B Deep Thigh-knee 15 5 $1,915.00 — $370.62 $2,800.08 $1,053.25 2026-10-09
78451 CPT Nm Myocardial Perfusion Planar 17 6 $1,752.00 — $48.88 $1,277.21 $1,051.20 2026-10-09
20670 CPT Removal Of Implant Super 15 5 $1,910.00 — $132.02 $1,585.16 $1,050.50 2026-10-09
J9263 HCPCS Eloxatin 100 Mg/20 Ml Vial *chemo* 5 4 $1,750.00 — $962.50 $1,249.50 $1,050.00 2026-10-09
73225 CPT Mr Upper Extremity Left W Without Contr 8 3 $2,249.00 — $850.00 $1,441.61 $1,043.47 2026-10-09
29888 CPT 01400 Anesth Arthroscopy Aided Ant Cruc 1 1 $58.00 — $1,041.85 $1,041.85 $1,041.85 2026-10-09
31237 CPT Nasal/sinus Endoscopy Debridement 15 5 $1,885.00 — $147.51 $1,687.13 $1,036.75 2026-10-09
35301 CPT Thromboendarterectomy 7 5 $3,811.00 — $840.98 $1,554.72 $1,036.48 2026-10-09
43328 CDM Esoph Fundoplasty Thor 7 5 $3,068.00 — $840.68 $1,552.53 $1,035.02 2026-10-09
51102 CPT Asp Bladder W/ins Of Suprapubic Cath 17 6 $2,066.00 — $130.37 $2,004.16 $1,033.00 2026-10-09
15101 CPT Skin Splt Grft T/a/l A 16 6 $1,679.00 — $130.37 $2,004.16 $1,033.00 2026-10-09
50780 CPT Ureteroneocystostomy; Sgl Uret To Bldr 7 5 $1,642.00 — $829.85 $1,544.48 $1,029.65 2026-10-09
49060 CPT Drain Retropertional Abcess Open 7 5 $1,845.00 — $830.20 $1,537.98 $1,025.32 2026-10-09
78803 CPT Nm Liver Imaging Spect 16 6 $1,460.00 — $297.55 $1,277.21 $1,024.38 2026-10-09
35525 CPT Art Byp Grft Brachial-brchl 7 5 $1,400.00 — $843.37 $1,525.35 $1,016.90 2026-10-09
41822 CPT Excision Of Gum Lesion 14 5 $1,700.00 — $184.73 $1,449.21 $1,012.35 2026-10-09
15100 CPT Skin Splt Graft Trnk/arm/leg 16 6 $2,015.00 — $654.69 $1,789.62 $1,007.50 2026-10-09
J7325 HCPCS Synvisc 16 Mg/2 Ml Injection 18 6 $2,000.00 — $127.22 $1,606.50 $1,006.25 2026-10-09
78454 CPT Nm Gated Ejection Fract 17 6 $1,666.00 — $48.30 $1,277.21 $999.60 2026-10-09
24435 CPT Repair Humerus Malunion W Autograft 7 5 $1,370.00 — $814.65 $1,494.21 $996.14 2026-10-09
58262 CPT 00944 Anesthesia Vaginal Hysterectomy Fo 1 1 $58.00 — $995.43 $995.43 $995.43 2026-10-09
C1713 HCPCS Persona Hex Screw 2.5mm X 25mm 91 6 $2,355.00 — $110.68 $6,351.03 $990.72 2026-10-09
25071 CPT Exc Forearm Les Sc 3 15 5 $1,800.00 — $321.01 $1,585.16 $990.00 2026-10-09
44180 CPT Anes For Enterolysis 1 1 $58.00 — $989.95 $989.95 $989.95 2026-10-09
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