Hospital

IRON COUNTY MEDICAL CENTER

Pilot Knob, MO · CCN 261336 · Rates published

1,939 distinct procedures filed

15 distinct payers

56,416 rate rows

2026-03-03 last MRF observed

Data quality

55,188 of 56,416 rate rows are consumer-grade (97.8%)

1,228 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 — reason	Rows
template filing: same amount across many unrelated codes — excluded	901
exceeds 10× this hospital's gross charge — excluded from medians	191
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	123
per-diem day rate — not a per-procedure price	13

Data source & audit trail ↓ Download audit trail (JSON)

Source MRF file	https://icmedcenter.slicedhealth.io/pricer/20-0889615_IronCountyMedicalCenter_StandardCharges.csv
Found on page	https://icmedcenter.slicedhealth.io/home
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-07-31
Content fingerprint	24a91e0425d2a89f… · 15,759,065 bytes · first seen 2026-05-06

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	"stelara 90 Mg/ml Syringe 1 Ea, 1 Ml"	15	$16,120.00	$41,600.00	$16,281.20	nat. median $12,959 1.3× median
J2350 HCPCS	"ocrevus 300 Mg/10 Ml Vial 300 Mg, 10 Ml"	15	$10,850.00	$28,000.00	$10,958.50	nat. median $331 outlier · 33.1×
63685 CPT	"or Insertion Or Removal Implanted Neurostimulator Pulse Generator Or Reciever"	15	$1,600.00	$23,993.84	$7,243.20	nat. median $21,025 outlier · 0.3×
J0717 HCPCS	"cimzia 2x200 Mg Vial"	15	$5,627.42	$14,522.37	$5,683.69	nat. median $1,187 outlier · 4.8×
J9312 HCPCS	"rituxan 10mg/ml 50ml (rituximab)"	15	$5,087.21	$13,128.28	$5,138.08	nat. median $1,027 outlier · 5.0×
27130 CPT	"total Hip Arthroplast"	14	$4,834.16	$12,475.26	$4,858.34	nat. median $13,040 outlier · 0.4×
64581 CPT	"or Incision For Implantation Of Neurostimulator Elect"	15	$1,600.00	$10,833.13	$4,197.84	nat. median $6,805 0.6× median
64561 CPT	"or Percutaneous Implant Of Neurostimulator"	15	$1,600.00	$10,833.13	$4,197.84	nat. median $6,632 0.6× median
31243 CPT	"or Nasal/sinus Endoscopy, Surgical; With Destruction By Cryoablation (clarifix)…	15	$1,503.81	$9,567.20	$3,707.29	nat. median $6,214 0.6× median
64590 CPT	"insertion Or Replacement Of Peripheral Or Gastric Neur Pulse Generator Or Recie…	15	$1,395.00	$16,892.00	$3,600.00	nat. median $17,900 outlier · 0.2×
69705 CPT	"or Nasopharyngoscopy, Surgical, With Dilation Of Eustachian Tube (ie, Balloon D…	15	$1,600.00	$9,276.00	$3,594.45	nat. median $5,947 0.6× median
J3101 HCPCS	"TNKase 50 Mg Kit 50 Mg, 1 Each"	15	$3,410.00	$8,800.00	$3,444.10	nat. median $3,475 1.0× median
J3590 HCPCS	"santyl Ointment 1 Ea, 30 G"	15	$168.86	$15,217.22	$3,166.22	nat. median $759 outlier · 4.2×
58661 CPT	"laparoscopy Remove"	14	$3,099.24	$7,998.05	$3,114.74	nat. median $5,935 0.5× median
Q4270 HCPCS	"wc Complete Sl, Per Square Centimeter"	15	$2,661.66	$6,868.80	$2,688.28	nat. median $1,432 1.9× median
60280 CPT	"or Excision Of Thyroglossal Duct Cyst Or Sinus"	15	$1,023.00	$8,338.88	$2,640.00	nat. median $5,940 outlier · 0.4×
27640 CPT	"partial Removal Of Tibia"	14	$2,599.50	$6,708.38	$2,612.49	nat. median $3,489 0.7× median
J0491 HCPCS	"saphnelo 300 Mg/2 Ml Vial"	15	$2,418.00	$6,240.00	$2,442.18	nat. median $60 outlier · 40.4×
42420 CPT	"or Parotidctmy W Dissec Pr Nrv Unilat Pc"	15	$989.83	$9,137.06	$2,394.75	nat. median $6,110 outlier · 0.4×
49329 CPT	"laparo Proc Abdm/pe"	14	$2,296.81	$5,927.24	$2,308.29	nat. median $6,376 outlier · 0.4×
47579 CPT	"laparoscope Proc Bi"	14	$2,296.81	$5,927.24	$2,308.29	nat. median $6,485 outlier · 0.4×
49659 CPT	"laparo Proc Hernia"	14	$2,296.81	$5,927.24	$2,308.29	nat. median $6,549 outlier · 0.4×
49651 CPT	"or Laparoscopy, Surgical Repair Recurrent Inguinal Hernia"	15	$866.76	$6,913.36	$2,236.80	nat. median $5,950 outlier · 0.4×
J1602 HCPCS	"simponi Aria (golimumab)"	15	$2,113.84	$5,455.07	$2,134.98	nat. median $228 outlier · 9.4×
55040 CPT	"or Hydrocelectomy"	15	$819.33	$5,444.17	$2,109.62	nat. median $3,669 0.6× median
42415 CPT	"or Excis Parotid Tum/par Glnd Disct Pc"	15	$817.09	$6,180.00	$2,108.62	nat. median $6,044 outlier · 0.3×
50590 CPT	"or Eswl"	15	$795.46	$6,427.20	$2,047.99	nat. median $4,399 outlier · 0.5×
54600 CPT	"or Torsion Testicle"	15	$795.46	$5,285.14	$2,047.99	nat. median $3,724 0.5× median
52352 CPT	"or Cystoureteroscopy W/removal Ureteral Stone"	15	$795.46	$5,285.14	$2,047.99	nat. median $3,925 0.5× median
54520 CPT	"or Orchiectomy"	15	$795.46	$5,285.14	$2,047.99	nat. median $3,606 0.6× median
54840 CPT	"or Excision Sprematocele"	15	$795.46	$5,285.14	$2,047.99	nat. median $2,377 0.9× median
52234 CPT	"cystoscopy & Treat"	15	$795.46	$5,285.14	$2,047.99	nat. median $3,518 0.6× median
52318 CPT	"or Cysto W/lithalopaxy >2.5cm"	15	$795.46	$5,285.14	$2,047.99	nat. median $3,746 0.5× median
52001 CPT	"or Cystoscopy And Clot Irrigation"	15	$795.46	$5,285.14	$2,047.99	nat. median $3,535 0.6× median
52351 CPT	"or Cystoureteroscopy"	15	$795.46	$5,285.14	$2,047.99	nat. median $3,661 0.6× median
51715 CPT	"or Urethral Bulking W/macroplastique"	15	$795.46	$5,285.14	$2,047.99	nat. median $3,595 0.6× median
52007 CPT	"or Cysto W/brush Biopsy Ureter/renal Pelvis"	15	$795.46	$5,285.14	$2,047.99	nat. median $3,557 0.6× median
52317 CPT	"or Cysto W/lithalopaxy <2.5cm"	15	$795.46	$5,285.14	$2,047.99	nat. median $3,642 0.6× median
49565 CPT	"repair Recur Incis Hernia"	14	$2,034.95	$5,251.47	$2,045.12	nat. median $3,120 0.7× median
49585 CPT	"repair Umbil Hern Redu"	14	$2,034.95	$5,251.47	$2,045.12	nat. median $3,157 0.6× median
30930 CPT	"or Fx Nasal Inferior Turbinate(s), Therapeutic Pc"	15	$815.30	$5,085.60	$1,970.67	nat. median $3,500 0.6× median
J0490 HCPCS	"benlysta 120 Mg Vial 120 Mg, 1 Each"	15	$638.41	$5,491.47	$1,887.73	nat. median $948 2.0× median
31257 CPT	"or Unilateral Nasal Endoscopy, Total Inc Sphenoidotomy Tc"	15	$600.16	$5,150.00	$1,854.49	nat. median $6,934 outlier · 0.3×
J1306 HCPCS	"leqvio 284 Mg/1.5 Ml Syringe 1 Ea, 1.5 Ml"	15	$1,798.00	$4,640.00	$1,815.98	nat. median $43 outlier · 42.1×
52235 CPT	"cystourethroscopy, With Fulguration (including Cryo) Pc"	15	$697.50	$5,294.20	$1,800.00	nat. median $3,601 outlier · 0.5×
49561 CPT	"or Repair Init Incisn Hernia Incarcer Pc"	15	$677.87	$4,532.00	$1,749.35	nat. median $3,190 0.5× median
49652 CPT	"or Laparoscop Rpr Ventral Umb Redc Pc"	15	$675.32	$7,650.84	$1,742.76	nat. median $5,168 outlier · 0.3×
49653 CPT	"or Laporasc Rpr Ventrl Umbil Incarc Pc"	15	$674.68	$7,653.31	$1,741.11	nat. median $5,374 outlier · 0.3×
29888 CPT	"or Arthroscopically Acl Repair/recon Pc"	15	$670.53	$7,498.40	$1,730.40	nat. median $7,307 outlier · 0.2×
30465 CPT	"or Internal Nasal Valvuloplasty Pc"	15	$670.53	$4,367.20	$1,692.29	nat. median $6,110 outlier · 0.3×

Other procedures at this hospital

Browse this hospital's 1,939 published procedures. Use the slice to choose what to show, then sort or filter any column.

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	"stelara 90 Mg/ml Syringe 1 Ea, 1 Ml"	15	15	$52,000.00	$46,800.00	$16,120.00	$41,600.00	$16,281.20	2026-03-03
J2350	HCPCS	"ocrevus 300 Mg/10 Ml Vial 300 Mg, 10 Ml"	15	15	$35,000.00	$31,500.00	$10,850.00	$28,000.00	$10,958.50	2026-03-03
63685	CPT	"or Insertion Or Removal Implanted Neurostimulator Pulse Generator Or Reciever"	29	15	$9,054.00	$8,148.60	$1,600.00	$23,993.84	$7,243.20	2026-03-03
J0717	HCPCS	"cimzia 2x200 Mg Vial"	15	15	$18,152.96	$16,337.66	$5,627.42	$14,522.37	$5,683.69	2026-03-03
J9312	HCPCS	"rituxan 10mg/ml 50ml (rituximab)"	15	15	$16,410.35	$14,769.32	$5,087.21	$13,128.28	$5,138.08	2026-03-03
27130	CPT	"total Hip Arthroplast"	14	14	$15,594.08	$14,034.67	$4,834.16	$12,475.26	$4,858.34	2026-03-03
64581	CPT	"or Incision For Implantation Of Neurostimulator Elect"	29	15	$5,260.00	$4,734.00	$1,600.00	$10,833.13	$4,197.84	2026-03-03
64561	CPT	"or Percutaneous Implant Of Neurostimulator"	29	15	$5,260.00	$4,734.00	$1,600.00	$10,833.13	$4,197.84	2026-03-03
31243	CPT	"or Nasal/sinus Endoscopy, Surgical; With Destruction By Cryoablation (clarifix)…	29	15	$4,851.00	$4,365.90	$1,503.81	$9,567.20	$3,707.29	2026-03-03
64590	CPT	"insertion Or Replacement Of Peripheral Or Gastric Neur Pulse Generator Or Recie…	29	15	$4,500.00	$4,050.00	$1,395.00	$16,892.00	$3,600.00	2026-03-03
69705	CPT	"or Nasopharyngoscopy, Surgical, With Dilation Of Eustachian Tube (ie, Balloon D…	29	15	$5,360.00	$4,824.00	$1,600.00	$9,276.00	$3,594.45	2026-03-03
J3101	HCPCS	"TNKase 50 Mg Kit 50 Mg, 1 Each"	15	15	$11,000.00	$9,900.00	$3,410.00	$8,800.00	$3,444.10	2026-03-03
J3590	HCPCS	"santyl Ointment 1 Ea, 30 G"	30	15	$9,783.11	$8,804.80	$168.86	$15,217.22	$3,166.22	2026-03-03
58661	CPT	"laparoscopy Remove"	14	14	$9,997.56	$8,997.80	$3,099.24	$7,998.05	$3,114.74	2026-03-03
Q4270	HCPCS	"wc Complete Sl, Per Square Centimeter"	15	15	$8,586.00	$7,727.40	$2,661.66	$6,868.80	$2,688.28	2026-03-03
60280	CPT	"or Excision Of Thyroglossal Duct Cyst Or Sinus"	29	15	$3,300.00	$2,970.00	$1,023.00	$8,338.88	$2,640.00	2026-03-03
27640	CPT	"partial Removal Of Tibia"	14	14	$8,385.47	$7,546.92	$2,599.50	$6,708.38	$2,612.49	2026-03-03
J0491	HCPCS	"saphnelo 300 Mg/2 Ml Vial"	15	15	$7,800.00	$7,020.00	$2,418.00	$6,240.00	$2,442.18	2026-03-03
42420	CPT	"or Parotidctmy W Dissec Pr Nrv Unilat Pc"	43	15	$7,614.22	$6,852.80	$989.83	$9,137.06	$2,394.75	2026-03-03
49329	CPT	"laparo Proc Abdm/pe"	14	14	$7,409.05	$6,668.15	$2,296.81	$5,927.24	$2,308.29	2026-03-03
49659	CPT	"laparo Proc Hernia"	14	14	$7,409.05	$6,668.15	$2,296.81	$5,927.24	$2,308.29	2026-03-03
47579	CPT	"laparoscope Proc Bi"	14	14	$7,409.05	$6,668.15	$2,296.81	$5,927.24	$2,308.29	2026-03-03
49651	CPT	"or Laparoscopy, Surgical Repair Recurrent Inguinal Hernia"	29	15	$2,796.00	$2,516.40	$866.76	$6,913.36	$2,236.80	2026-03-03
J1602	HCPCS	"simponi Aria (golimumab)"	15	15	$6,818.84	$6,136.96	$2,113.84	$5,455.07	$2,134.98	2026-03-03
55040	CPT	"or Hydrocelectomy"	29	15	$2,643.00	$2,378.70	$819.33	$5,444.17	$2,109.62	2026-03-03
42415	CPT	"or Excis Parotid Tum/par Glnd Disct Pc"	29	15	$2,635.77	$2,372.19	$817.09	$6,180.00	$2,108.62	2026-03-03
52351	CPT	"or Cystoureteroscopy"	29	15	$2,566.00	$2,309.40	$795.46	$5,285.14	$2,047.99	2026-03-03
52318	CPT	"or Cysto W/lithalopaxy >2.5cm"	29	15	$2,566.00	$2,309.40	$795.46	$5,285.14	$2,047.99	2026-03-03
54600	CPT	"or Torsion Testicle"	29	15	$2,566.00	$2,309.40	$795.46	$5,285.14	$2,047.99	2026-03-03
54840	CPT	"or Excision Sprematocele"	29	15	$2,566.00	$2,309.40	$795.46	$5,285.14	$2,047.99	2026-03-03
51715	CPT	"or Urethral Bulking W/macroplastique"	29	15	$2,566.00	$2,309.40	$795.46	$5,285.14	$2,047.99	2026-03-03
54520	CPT	"or Orchiectomy"	29	15	$2,566.00	$2,309.40	$795.46	$5,285.14	$2,047.99	2026-03-03
52001	CPT	"or Cystoscopy And Clot Irrigation"	29	15	$2,566.00	$2,309.40	$795.46	$5,285.14	$2,047.99	2026-03-03
52352	CPT	"or Cystoureteroscopy W/removal Ureteral Stone"	29	15	$2,566.00	$2,309.40	$795.46	$5,285.14	$2,047.99	2026-03-03
52007	CPT	"or Cysto W/brush Biopsy Ureter/renal Pelvis"	29	15	$2,566.00	$2,309.40	$795.46	$5,285.14	$2,047.99	2026-03-03
52234	CPT	"cystoscopy & Treat"	29	15	$2,566.00	$2,309.40	$795.46	$5,285.14	$2,047.99	2026-03-03
50590	CPT	"or Eswl"	57	15	$2,800.00	$2,520.00	$795.46	$6,427.20	$2,047.99	2026-03-03
52317	CPT	"or Cysto W/lithalopaxy <2.5cm"	29	15	$2,566.00	$2,309.40	$795.46	$5,285.14	$2,047.99	2026-03-03
49565	CPT	"repair Recur Incis Hernia"	14	14	$6,564.34	$5,907.91	$2,034.95	$5,251.47	$2,045.12	2026-03-03
49585	CPT	"repair Umbil Hern Redu"	14	14	$6,564.34	$5,907.91	$2,034.95	$5,251.47	$2,045.12	2026-03-03
30930	CPT	"or Fx Nasal Inferior Turbinate(s), Therapeutic Pc"	29	15	$2,630.00	$2,367.00	$815.30	$5,085.60	$1,970.67	2026-03-03
J0490	HCPCS	"benlysta 120 Mg Vial 120 Mg, 1 Each"	30	15	$4,461.87	$4,015.68	$638.41	$5,491.47	$1,887.73	2026-03-03
31257	CPT	"or Unilateral Nasal Endoscopy, Total Inc Sphenoidotomy Tc"	57	15	$3,872.00	$3,484.80	$600.16	$5,150.00	$1,854.49	2026-03-03
J1306	HCPCS	"leqvio 284 Mg/1.5 Ml Syringe 1 Ea, 1.5 Ml"	15	15	$5,800.00	$5,220.00	$1,798.00	$4,640.00	$1,815.98	2026-03-03
52235	CPT	"cystourethroscopy, With Fulguration (including Cryo) Pc"	29	15	$2,250.00	$2,025.00	$697.50	$5,294.20	$1,800.00	2026-03-03
49561	CPT	"or Repair Init Incisn Hernia Incarcer Pc"	29	15	$2,186.69	$1,968.02	$677.87	$4,532.00	$1,749.35	2026-03-03
49652	CPT	"or Laparoscop Rpr Ventral Umb Redc Pc"	29	15	$2,178.45	$1,960.61	$675.32	$7,650.84	$1,742.76	2026-03-03
49653	CPT	"or Laporasc Rpr Ventrl Umbil Incarc Pc"	29	15	$2,176.39	$1,958.75	$674.68	$7,653.31	$1,741.11	2026-03-03
29888	CPT	"or Arthroscopically Acl Repair/recon Pc"	29	15	$2,163.00	$1,946.70	$670.53	$7,498.40	$1,730.40	2026-03-03
30465	CPT	"or Internal Nasal Valvuloplasty Pc"	29	15	$2,163.00	$1,946.70	$670.53	$4,367.20	$1,692.29	2026-03-03
49587	CPT	"repair Umbilical Hernia, Age 5 Years Or Older; Inc Pc"	29	15	$2,100.00	$1,890.00	$651.00	$5,356.00	$1,680.00	2026-03-03
J0897	HCPCS	"prolia 60mg/ml Syring (denosumab)"	15	15	$5,277.09	$4,749.38	$1,635.90	$4,221.67	$1,652.26	2026-03-03
Q5119	HCPCS	"ruxience 500 Mg/50 Ml Vial 500 Mg, 50 Ml"	15	15	$5,172.00	$4,654.80	$1,603.32	$4,137.60	$1,619.35	2026-03-03
49654	CPT	"or Laparoscp Rpr Incis Hernia Redcl Pc"	29	15	$2,020.86	$1,818.77	$626.47	$7,475.33	$1,616.69	2026-03-03
29882	CPT	"or Arthroscopy Knee With Menisc Rpr Pc"	29	15	$1,545.00	$1,390.50	$478.95	$4,272.44	$1,600.00	2026-03-03
30140	CPT	"or Bilat Infer Turbinate Reduc Submuc Pc"	57	15	$1,501.74	$1,351.57	$232.77	$4,948.12	$1,600.00	2026-03-03
63650	CPT	"or Percutaneous Implant Neuro Tmp Pc"	29	15	$906.40	$815.76	$280.98	$4,667.96	$1,600.00	2026-03-03
29873	CPT	"or Arthroscopy Knee Surg & Lat Releas Pc"	29	15	$1,184.50	$1,066.05	$367.20	$4,161.20	$1,600.00	2026-03-03
26116	CPT	"or Excision Soft Tissue Tumor Hand/finger Subfascial <1.5cm Tc"	29	15	$1,815.00	$1,633.50	$562.65	$4,486.68	$1,600.00	2026-03-03
38510	CPT	"or Lymph Node Biopsy Neck Deep Open Pc"	29	15	$1,030.00	$927.00	$319.30	$4,202.40	$1,600.00	2026-03-03
25609	CPT	"or Distal Radial Intr Articular 3 Frg Pc"	29	15	$1,817.00	$1,635.30	$563.27	$6,176.80	$1,600.00	2026-03-03
25526	CPT	"or Orif Radial Shaft Fx Jnt Disl Tfcc Pc"	29	15	$1,590.58	$1,431.52	$493.08	$7,363.25	$1,600.00	2026-03-03
25447	CPT	"or Arthroplasty Cmc Joint Pc"	29	15	$1,854.00	$1,668.60	$574.74	$4,243.60	$1,600.00	2026-03-03
58563	CPT	"or Hysteroscopy W/thermal Ablation Pc"	29	15	$834.30	$750.87	$258.63	$5,768.82	$1,600.00	2026-03-03
69706	CPT	"or Nasopharyngoscopy, Surgical, With Dilation Of Eustachian Tube (ie, Balloon D…	29	15	$515.00	$463.50	$159.65	$7,004.00	$1,600.00	2026-03-03
26735	CPT	"or Open Trtm Phalan Shft Frct Int Fix Pc"	29	15	$1,390.50	$1,251.45	$431.06	$4,485.86	$1,600.00	2026-03-03
49650	CPT	"or Unilat Lap Init Inguin Hernia Repr Pc"	29	15	$967.17	$870.45	$299.82	$7,653.31	$1,600.00	2026-03-03
27766	CPT	"or Orif Medial Malleolus Fracture Pc"	29	15	$1,442.00	$1,297.80	$447.02	$5,771.30	$1,600.00	2026-03-03
42830	CPT	"or Adenoidectomy Prim Under Age 12 Pc"	29	15	$367.50	$330.75	$113.93	$5,323.66	$1,600.00	2026-03-03
55530	CPT	"or Excision Of Caricocele Or Ligation Of Spermatic Veins For Varicocele Pc"	29	15	$814.05	$732.65	$252.36	$5,408.00	$1,600.00	2026-03-03
36561	CPT	"or Insert Vent Ven Accs W Port 5+ Yrs Pc"	29	15	$822.97	$740.67	$255.12	$4,415.82	$1,600.00	2026-03-03
27822	CPT	"or Orif Tri-malleolor Fx Pc"	29	15	$1,239.09	$1,115.18	$384.12	$4,146.78	$1,600.00	2026-03-03
44180	CPT	"or Laparoscopic Enterolysis Sep Prc Pc"	29	15	$1,693.24	$1,523.92	$524.90	$5,772.94	$1,600.00	2026-03-03
58671	CPT	"or Laparoscopy Occlus Ovidct Devc Pc"	29	15	$788.98	$710.08	$244.58	$4,255.14	$1,600.00	2026-03-03
31287	CPT	"or Bilat Nasal/sinus Endoscopy, Surgical, With Sphenoidotom Pc"	57	15	$494.40	$444.96	$84.30	$7,172.10	$1,600.00	2026-03-03
25608	CPT	"or Orif Trat Fx Rad Intra-articul Tc"	29	15	$1,212.94	$1,091.65	$376.01	$4,589.24	$1,600.00	2026-03-03
49655	CPT	"or Lapro Hernia Repair Pc"	29	15	$1,838.55	$1,654.70	$569.95	$5,809.20	$1,600.00	2026-03-03
27814	CPT	"or Orif Bimalleolar Ankle Fx Pc"	29	15	$1,135.50	$1,021.95	$352.01	$4,136.95	$1,600.00	2026-03-03
33210	CPT	"pacemaker Transv Tem"	29	15	$10,790.00	$9,711.00	$179.13	$8,632.00	$1,600.00	2026-03-03
47562	CPT	"or Laparascopic Cholecystectomy Pc"	29	15	$1,339.00	$1,205.10	$415.09	$5,380.72	$1,600.00	2026-03-03
27418	CPT	"or Anterior Tibial Tubercleplasty Tc"	29	15	$730.49	$657.44	$226.45	$4,572.93	$1,600.00	2026-03-03
42140	CPT	"or Uvulectomy, Excision Of Uvula Pc"	29	15	$401.55	$361.40	$124.48	$5,085.14	$1,600.00	2026-03-03
23076	CPT	"or Excision, Tumor, Soft Tissue Of Shoulder Area, Subfascial (eg, Intramuscular…	29	15	$1,282.85	$1,154.57	$397.68	$4,245.12	$1,600.00	2026-03-03
31030	CPT	"or Sinusotomy, Maxillary (antrotomy); Radical (caldwell-luc) Without Removal Of…	29	15	$942.45	$848.21	$292.16	$8,774.16	$1,600.00	2026-03-03
23073	CPT	"or Excision Tumor Soft Tissue Of Shoulder Area, Subfascial (eg, Intramuscular) …	29	15	$587.83	$529.05	$182.23	$4,372.47	$1,600.00	2026-03-03
27048	CPT	"or Excision,tumor,soft Tissue Of Pelvis And Hip, Subfascial Less Than 5cm Pc"	29	15	$587.83	$529.05	$182.23	$4,372.47	$1,600.00	2026-03-03
29874	CPT	"or Knee Arthroscopy With Rmvl Ls Bdy Pc"	29	15	$1,442.00	$1,297.80	$447.02	$4,408.40	$1,600.00	2026-03-03
55041	CPT	"or Excision Of Hydrocele; Bilateral"	29	15	$1,785.00	$1,606.50	$553.35	$4,037.60	$1,564.57	2026-03-03
54830	CPT	"excision Of Local Lesion Of Epididymis Pc"	29	15	$1,313.25	$1,181.93	$407.11	$3,914.00	$1,516.68	2026-03-03
27385	CPT	"or Quadriceps Repair, Primary Pc"	29	15	$1,339.00	$1,205.10	$415.09	$3,865.14	$1,497.74	2026-03-03
49560	CPT	"or Repr Init Incision Vent Hernia Rd Pc"	29	15	$1,374.87	$1,237.38	$426.21	$3,831.70	$1,484.78	2026-03-03
42820	CPT	"or Tonsillectomy & Adenoidect <age 12 Pc"	29	15	$666.41	$599.77	$206.59	$3,831.60	$1,484.75	2026-03-03
J0129	HCPCS	"orencia (abatacept)250MG/VIAL"	15	15	$4,708.90	$4,238.01	$1,459.76	$3,767.12	$1,474.36	2026-03-03
31276	CPT	"or Unilat Nasal Endo Surg With Fr Sinus Pc"	57	15	$1,366.43	$1,229.79	$319.30	$4,125.50	$1,452.82	2026-03-03
31267	CPT	"or Unilat Nasal Endo Surg With Rem Tiss Pc"	57	15	$857.60	$771.84	$231.49	$4,125.50	$1,452.82	2026-03-03
J3262	HCPCS	"actemra 200mg/10 MLVial (Tocilizumab)"	45	15	$4,531.49	$4,078.34	$561.90	$7,671.54	$1,446.90	2026-03-03
21014	CPT	"or Excis Soft Tissue Tumor 2cm"	14	14	$4,640.15	$4,176.14	$1,438.45	$3,712.12	$1,445.64	2026-03-03
J3111	HCPCS	"evenity 210 Mg Dose-2 Syringes 2.34 Ml, 1.17 Ml"	15	15	$4,600.00	$4,140.00	$1,426.00	$3,680.00	$1,440.26	2026-03-03
31571	CPT	"or Laryngoscp Dir W Inj Vcl Crd W Mic Pc"	29	15	$618.00	$556.20	$191.58	$3,712.12	$1,438.45	2026-03-03
21556	CPT	"or Excis Subfaschal Soft Tissue Tumor Neck & Thorax <5 Cm"	29	15	$1,936.40	$1,742.76	$600.28	$3,712.12	$1,438.45	2026-03-03
41116	CPT	"or Excision Lesion Floor Of Mouth Pc"	29	15	$463.50	$417.15	$143.69	$3,708.00	$1,436.85	2026-03-03
81162	CPT	"brca1 (brca1, DNA Repair Associated), Brca2 (brca2, DNA Repair Associated) (eg,…	16	15	$4,562.20	$4,105.98	$981.32	$3,649.76	$1,421.35	2026-03-03
15002	CPT	"surgical Preparation Or Creation Of Recipient Site"	15	15	$4,506.25	$4,055.63	$1,396.94	$3,605.00	$1,410.91	2026-03-03
24359	CPT	"or Tenotomy Elbow With Debrid Tend Rpr Pc"	29	15	$1,165.54	$1,048.99	$361.32	$3,591.17	$1,391.58	2026-03-03
20670	CPT	"or Removal Of Implant;superficial (eg Buried Wire, Pin Or Rod) Sep Procedure"	29	15	$1,452.00	$1,306.80	$450.12	$3,590.17	$1,391.19	2026-03-03
24071	CPT	"or Excision Soft Tissue Tumor Upper Arm Or Elbow 3cm Or Greater"	29	15	$1,750.00	$1,575.00	$542.50	$3,587.70	$1,390.23	2026-03-03
29880	CPT	"or Arthroscopy Knee Menisc Med/lat Pc"	29	15	$1,313.25	$1,181.93	$407.11	$3,584.40	$1,388.96	2026-03-03
31535	CPT	"or Laryngoscopy, Direct, Operative, With Biopsy Pc"	29	15	$442.90	$398.61	$137.30	$3,543.20	$1,372.99	2026-03-03
24358	CPT	"or Elbow Tenotomy/lat Medial Debrid Pc"	29	15	$915.20	$823.68	$283.71	$3,524.76	$1,365.84	2026-03-03
19120	CPT	"excision Breast Lesion"	29	15	$1,389.00	$1,250.10	$430.59	$3,513.97	$1,361.66	2026-03-03
J3247	HCPCS	"cosentyx 125 Mg/5 Ml Vial 1 Ea"	15	15	$4,300.00	$3,870.00	$1,333.00	$3,440.00	$1,346.33	2026-03-03
95811	CPT	"sl Polysomnography; Age 6 Years Or Older, Sleep Staging With 4 Or More Addition…	29	15	$309.00	$278.10	$95.79	$3,427.42	$1,328.12	2026-03-03
36558	CPT	"insertion Of Tunneled Centrally Inserted Central Venous Catheter, Without Subcu…	29	15	$1,040.30	$936.27	$322.49	$3,419.60	$1,325.10	2026-03-03
26727	CPT	"or Percutaneous Clsd Reduct Phalx Ea Pc"	29	15	$786.92	$708.23	$243.95	$3,296.00	$1,277.20	2026-03-03
25071	CPT	"or Excision Tumor Soft Tis Sq 3+cm Pc"	29	15	$751.44	$676.30	$232.95	$3,296.00	$1,277.20	2026-03-03
30520	CPT	"or Septoplasty - Pc"	29	15	$1,474.96	$1,327.46	$457.24	$3,254.80	$1,261.24	2026-03-03
69436	CPT	"or Bilateral Myringotomy Tube Anesth Pc"	57	15	$663.32	$596.99	$102.81	$3,996.40	$1,261.24	2026-03-03
29877	CPT	"or Knee Arthroscopy, Chondroplasty Pc"	29	15	$1,099.05	$989.15	$340.71	$3,253.22	$1,260.62	2026-03-03
54001	CPT	"or Slitting Of Prepuce, Dorsal Or Lateral (separate Procedure); Except Newborn …	29	15	$1,200.00	$1,080.00	$372.00	$3,212.00	$1,244.65	2026-03-03
J1437	HCPCS	"monoferric 1,000 Mg/10 Ml Vial 1000 Mg, 10 Ml"	15	15	$3,950.00	$3,555.00	$1,224.50	$3,160.00	$1,236.75	2026-03-03
44950	CPT	"appendectomy"	14	14	$3,922.86	$3,530.57	$1,216.09	$3,138.29	$1,222.17	2026-03-03
38500	CPT	"or Lymphnode Excision Biopsy Pc"	29	15	$294.90	$265.41	$91.42	$3,137.30	$1,215.70	2026-03-03
55700	CPT	"ir Prostate Biopsy"	43	15	$3,877.95	$3,490.16	$466.86	$3,313.20	$1,214.19	2026-03-03
27339	CPT	"excision, Tumor, Soft Tissue Of Thigh Or Knee Area, Subfascial (eg, Intramuscul…	29	15	$1,133.00	$1,019.70	$351.23	$3,131.20	$1,213.34	2026-03-03
25606	CPT	"or Percutan Fx Distal Radial Fracture Pc"	29	15	$1,227.78	$1,105.00	$380.61	$3,122.54	$1,209.98	2026-03-03
41826	CPT	"or Excis Les Dentoalv With Simp Rpr Pc"	29	15	$463.50	$417.15	$143.69	$3,110.60	$1,205.36	2026-03-03
52281	CPT	"or Cysto W/urethral Dilation"	29	15	$1,506.00	$1,355.40	$466.86	$3,102.36	$1,202.16	2026-03-03
54161	CPT	"or Circumcision Not New Borne"	29	15	$1,506.00	$1,355.40	$466.86	$3,102.36	$1,202.16	2026-03-03
52005	CPT	"or Cysto W/retrograde Pyelograms"	29	15	$1,506.00	$1,355.40	$466.86	$3,102.36	$1,202.16	2026-03-03
52204	CPT	"or Cysto W/bladder Biopsy"	29	15	$1,506.00	$1,355.40	$466.86	$3,102.36	$1,202.16	2026-03-03
54163	CPT	"or Repair Incomplete Circumcision Pc"	29	15	$530.76	$477.68	$164.54	$3,102.36	$1,202.16	2026-03-03
52214	CPT	"or Cysto W/fulguration"	29	15	$1,506.00	$1,355.40	$466.86	$3,102.36	$1,202.16	2026-03-03
52224	CPT	"or Cysto W/fulguration Minor Lesion Without Biopsy"	29	15	$1,506.00	$1,355.40	$466.86	$3,102.36	$1,202.16	2026-03-03
52260	CPT	"or Cysto W/bladder Hydrodilation Under Anesth."	29	15	$1,506.00	$1,355.40	$466.86	$3,102.36	$1,202.16	2026-03-03
42826	CPT	"or Tonsillectomy 12+ Years Pc"	29	15	$580.92	$522.83	$180.09	$3,093.30	$1,198.65	2026-03-03
28060	CPT	"or Fasciectomy Plantar Fascia Prtl Pc"	29	15	$864.17	$777.75	$267.89	$3,062.81	$1,186.84	2026-03-03
J0875	HCPCS	"dalvance 500 Mg Vial"	15	15	$3,787.50	$3,408.75	$1,174.13	$3,030.00	$1,185.87	2026-03-03
26418	CPT	"exten Tend Repr Fing Er"	29	15	$3,795.00	$3,415.50	$536.88	$3,036.00	$1,176.45	2026-03-03
26410	CPT	"exten Tend Rpr Hand Er"	29	15	$3,795.00	$3,415.50	$528.44	$3,036.00	$1,176.45	2026-03-03
26433	CPT	"exten Tend Repr Dist Er"	29	15	$3,795.00	$3,415.50	$495.83	$3,036.00	$1,176.45	2026-03-03
0110	RC	—	4	2	$1,816.00	$1,634.40	$1,035.60	$1,334.20	$1,175.90	2026-03-03
J3358	HCPCS	"stelara 130 Mg/26 Ml Vial"	15	15	$3,750.00	$3,375.00	$1,162.50	$3,000.00	$1,174.13	2026-03-03
22903	CPT	"excision, Tumor, Soft Tissue Of Abdominal Wall, Subcutaneous; 3 Cm Or Greater P…	29	15	$1,596.50	$1,436.85	$494.92	$3,007.60	$1,165.45	2026-03-03
31531	CPT	"or Laryngoscopy Direct, Microscp Pc"	29	15	$384.30	$345.87	$119.13	$2,989.47	$1,158.42	2026-03-03
58120	CPT	"d&c Diagnostic/therapeut"	14	14	$3,692.35	$3,323.12	$1,144.63	$2,953.88	$1,150.35	2026-03-03
24605	CPT	"requiring Anesthesia"	29	15	$3,695.30	$3,325.77	$996.12	$2,956.24	$1,145.54	2026-03-03
31536	CPT	"or Laryngosc Drct Biopsy W/op Micrscp Pc"	29	15	$380.19	$342.17	$117.86	$2,939.40	$1,139.02	2026-03-03
J7327	HCPCS	"monovisc 88 Mg/4 Ml Syringe 88 Mg, 4 Ml"	15	15	$3,624.75	$3,262.28	$1,123.67	$2,899.80	$1,134.91	2026-03-03
11646	CPT	"or Excision Malignant Les Fc >4.0cm Pc"	43	15	$1,680.00	$1,512.00	$205.84	$2,953.83	$1,120.66	2026-03-03
21933	CPT	"or Excis Soft Tiss Tumor Subfasc 5cm+ Pc"	29	15	$1,641.82	$1,477.64	$508.96	$2,884.00	$1,117.55	2026-03-03
21554	CPT	"or Excision, Tumor, Soft Tissue Of Neck Or Anterior Thorax, Subfascial (eg, Int…	29	15	$1,030.00	$927.00	$319.30	$2,884.00	$1,117.55	2026-03-03
31237	CPT	"nasal/sinus Endoscopy, Surgical; With Biopsy, Poly Tc"	29	15	$350.00	$315.00	$108.50	$2,884.00	$1,117.55	2026-03-03
40814	CPT	"or Excision Mouth Lesion Complx Repai Pc"	29	15	$582.39	$524.15	$180.54	$2,864.10	$1,109.84	2026-03-03
26765	CPT	"or Orif Distal Phal Fx Fing Or Thumb Pc"	29	15	$836.12	$752.51	$259.20	$2,851.90	$1,105.11	2026-03-03
20220	CPT	"biopsy, Bone, Trocar, Or Needle; Superficial"	15	15	$3,502.00	$3,151.80	$1,085.62	$2,801.60	$1,096.48	2026-03-03
J1569	HCPCS	"gammagard Liquid [Immune Globulin Infusion (Human)]100mL"	90	15	$2,648.96	$2,384.06	$109.49	$8,476.70	$1,094.91	2026-03-03
11426	CPT	"or Excis Benign Lesion 4.0 Cm Pc"	29	15	$501.61	$451.45	$155.50	$2,817.26	$1,091.69	2026-03-03
42335	CPT	"or Sialolithotomy Subm Compl Pc"	29	15	$618.00	$556.20	$191.58	$2,801.60	$1,085.62	2026-03-03
15275	CPT	"wc Application Of Skin Substitute Graft To Face, Scalp, Eyelids, Mouth, Neck, E…	29	15	$3,484.49	$3,136.04	$79.83	$2,787.59	$1,080.19	2026-03-03
15271	CPT	"wc Application Of Skin Substitute Graft To Trunk, Arms, Legs, Total Wound Surfa…	29	15	$3,484.49	$3,136.04	$159.65	$2,787.59	$1,080.19	2026-03-03
57520	CPT	"or Conization Of Cervix (cold Knife) Pc"	29	15	$482.20	$433.98	$149.48	$2,781.99	$1,078.02	2026-03-03
31255	CPT	"or Unilat Nasal Endo Surg With Ethmoid Pc"	57	15	$1,064.84	$958.36	$220.07	$4,125.50	$1,065.75	2026-03-03
26115	CPT	"or Excis Soft Tiss Tum Subq < 1.5 Cm Pc"	29	15	$877.56	$789.80	$272.04	$2,736.50	$1,060.40	2026-03-03
10180	CPT	"or I&d Complex Post Op Wound Infctn Pc"	29	15	$322.55	$290.30	$99.99	$2,729.09	$1,057.52	2026-03-03
26160	CPT	"or Excis Lesion Sheath Jt Cap Hnd/fgr Pc"	29	15	$746.75	$672.08	$231.49	$2,719.20	$1,053.69	2026-03-03
27570	CPT	"fixation Of Knee Joint"	14	14	$3,322.98	$2,990.68	$1,030.12	$2,658.38	$1,035.28	2026-03-03
11424	CPT	"or Excis Benign Les Scp Nck 3.1-4.0cm Pc"	29	15	$412.00	$370.80	$127.72	$2,636.80	$1,021.76	2026-03-03
11624	CPT	"op Excision, Malignant Lesion Including Margins, Scalp, Neck, Hands, Feet, Geni…	29	15	$412.00	$370.80	$127.72	$2,636.80	$1,021.76	2026-03-03
95810	CPT	"sl Polysomnography; Age 6 Years Or Older, Sleep Staging With 4 Or More Addition…	29	15	$296.00	$266.40	$91.76	$2,627.42	$1,018.12	2026-03-03
27327	CPT	"or Soft Tumor Excis Thigh/knee < 3cm Pc"	29	15	$586.07	$527.46	$181.68	$2,603.02	$1,008.67	2026-03-03
43255	CPT	"or Esophagogastroduodenoscopy, Flexible, Transoral; W"	29	15	$1,075.00	$967.50	$333.25	$2,591.48	$1,004.20	2026-03-03
43244	CPT	"or Egd W/band Ligation To Esophagel/gastric Varices Pc"	29	15	$1,075.00	$967.50	$333.25	$2,591.48	$1,004.20	2026-03-03
38525	CPT	"or Biopsy/removal Lymph Nodes"	29	15	$632.55	$569.30	$196.09	$2,579.83	$999.68	2026-03-03
11446	CPT	"or Excision Benign Les Fc >4.0 Pc"	29	15	$1,509.28	$1,358.35	$467.88	$2,577.75	$998.88	2026-03-03
64718	CPT	"or Neuroplasty Trans Ulnar Nerve Pc"	29	15	$1,339.00	$1,205.10	$415.09	$2,554.40	$989.83	2026-03-03
49568	CPT	"or Implantation Of Mesh Hernia Repr Pc"	29	15	$618.00	$556.20	$191.58	$2,554.40	$989.83	2026-03-03
42821	CPT	"or Adenotonsillectomy +12 Yrs Pc"	29	15	$699.37	$629.43	$216.80	$2,542.04	$985.04	2026-03-03
31295	CPT	"or Unilat Nasal Endo With Ball Dial Max Pc"	57	15	$592.25	$533.03	$92.38	$4,532.00	$979.13	2026-03-03
31297	CPT	"or Unilat Nasal Endo With Ball Dial Sph Pc"	57	15	$570.62	$513.56	$90.75	$4,120.82	$979.13	2026-03-03
31296	CPT	"or Unilat Nasal Endo With Bal Dial Frnt Pc"	57	15	$648.90	$584.01	$108.30	$4,532.00	$979.13	2026-03-03
14020	CPT	"adjacent Tissue Transfer Or Rearrangement, Scalp, Arms And/or Legs; Defect 10 S…	29	15	$1,035.15	$931.64	$320.90	$2,513.20	$973.87	2026-03-03
49594	CPT	"or Repair Of Anterior Abdominal Hernia(s) (ie, Epigastric, Incisional, Ventral,…	29	15	$1,208.19	$1,087.37	$374.54	$8,589.38	$966.55	2026-03-03
49593	CPT	"or Repair Of Anterior Abdominal Hernia(s) (ie, Epigastric, Incisional, Ventral,…	29	15	$1,208.19	$1,087.37	$374.54	$5,323.72	$966.55	2026-03-03
23075	CPT	"excision, Tumor, Soft Tissue Of Shoulder Area, Subcutaneous; Less Than 3 Cm Pc"	29	15	$1,055.75	$950.18	$327.28	$2,492.60	$965.88	2026-03-03
20680	CPT	"or Removal Of Implant Deep Pc"	29	15	$978.50	$880.65	$303.34	$2,492.60	$965.88	2026-03-03
10121	CPT	"er Incision Removal Of Fb Complicated"	57	15	$3,113.00	$2,801.70	$139.50	$2,565.11	$965.03	2026-03-03
29881	CPT	"or Knee Arthro Meniscectomy Pc"	29	15	$1,035.15	$931.64	$320.90	$2,478.99	$960.61	2026-03-03
27632	CPT	"excision Soft Tissue Tumor, Subcutaneous; 3 Cm Or Greater Pc"	29	15	$995.00	$895.50	$308.45	$2,455.52	$951.51	2026-03-03
64721	CPT	"carpal Tunnel"	29	15	$750.00	$675.00	$232.50	$2,435.74	$943.85	2026-03-03
64635	CPT	"or Lumbar Facet Denervation 1st Level Tc"	14	14	$3,017.90	$2,716.11	$935.55	$2,414.32	$940.22	2026-03-03
J1745	HCPCS	"inFLIXimab 100 Mg Vial 100 Mg, 1 Each"	30	15	$2,323.44	$2,091.10	$502.24	$2,421.42	$938.30	2026-03-03
29875	CPT	"or Knee Arthro Synovectomy Pc"	29	15	$963.05	$866.75	$298.55	$2,410.20	$933.95	2026-03-03
J2357	HCPCS	"xolair 150 Mg/ml Syringe 150 Mg, 1 Ml"	45	15	$2,899.45	$2,609.51	$341.00	$2,960.00	$907.82	2026-03-03
49592	CPT	"or Repair Of Anterior Abdominal Hernia(s) (ie, Epigastric, Incisional, Ventral,…	29	15	$1,133.00	$1,019.70	$351.23	$8,417.98	$906.40	2026-03-03
55100	CPT	"drainage Of Scrotal Wall Abscess"	29	15	$2,900.00	$2,610.00	$294.50	$2,320.00	$899.00	2026-03-03
46320	CPT	"excision Of Thromosed Hemorrhoid Tc"	29	15	$2,880.00	$2,592.00	$99.84	$2,304.00	$892.80	2026-03-03
11606	CPT	"or Excis Malign Les Incl Margn >4.0cm Pc"	43	15	$1,313.25	$1,181.93	$395.25	$2,470.51	$892.50	2026-03-03
25111	CPT	"or Excision Ganglion Wrist Prim Pc"	29	15	$729.24	$656.32	$226.06	$2,289.07	$887.02	2026-03-03
27337	CPT	"or Excision Sft Tiss Tumr Thigh 3cm+ Pc"	29	15	$978.50	$880.65	$303.34	$2,286.60	$886.06	2026-03-03
37609	CPT	"or Ligation Or Biopsy Artery Pc"	29	15	$473.80	$426.42	$146.88	$2,266.00	$878.08	2026-03-03
20912	CPT	"or Cartilage Graft Nasal Septum Pc"	29	15	$807.18	$726.46	$250.23	$2,243.34	$869.30	2026-03-03
26756	CPT	"or Percutan Fix Distal Phalangeal Fx Pc"	29	15	$719.18	$647.26	$222.95	$2,208.32	$855.72	2026-03-03
26111	CPT	"or Excis Sft Tissue Tumor Hand 1.5cm+ Pc"	29	15	$729.35	$656.42	$226.10	$2,204.29	$854.16	2026-03-03
36573	CPT	"er Insertion Of Peripherally Inserted Central Venous Catheter (picc), Without S…	29	15	$2,750.00	$2,475.00	$68.20	$2,200.00	$852.50	2026-03-03
36555	CPT	"insert Central Caty <5yrs"	29	15	$2,750.00	$2,475.00	$116.87	$2,200.00	$852.50	2026-03-03
21011	CPT	"or Excision Soft Tissue Tumor <2.0 Cm Pc"	29	15	$667.44	$600.70	$206.91	$2,186.90	$847.42	2026-03-03
95805	CPT	"multiple Sleep Latency Test"	15	15	$2,678.00	$2,410.20	$830.18	$2,142.40	$838.48	2026-03-03
31622	CPT	"dx Bronchoscope/wash"	14	14	$2,678.00	$2,410.20	$830.18	$2,142.40	$834.33	2026-03-03
31624	CPT	"bronchoscopy Lavage"	14	14	$2,678.00	$2,410.20	$830.18	$2,142.40	$834.33	2026-03-03
31628	CPT	"bronchoscopy Lung Biopsy"	29	15	$577.98	$520.18	$179.17	$2,142.40	$830.18	2026-03-03
31623	CPT	"bronchoscopy Bronchial Lavage"	29	15	$520.15	$468.14	$161.25	$2,142.40	$830.18	2026-03-03
31625	CPT	"bronchoscopy Biopsy Pc"	29	15	$521.31	$469.18	$161.61	$2,142.40	$830.18	2026-03-03
29879	CPT	"or Knee Arthro Abrasion Chondro Pc"	43	15	$1,263.81	$1,137.43	$361.45	$3,277.05	$816.17	2026-03-03
11644	CPT	"excision Malignant Lesion Face, Ears, Eyelids, Nose, Lips. 3.1-4.0 Cm Pc"	29	15	$475.00	$427.50	$147.25	$2,101.20	$814.22	2026-03-03
24075	CPT	"or Excis Soft Tissue Tumor Arm <3cm Tc"	29	15	$930.00	$837.00	$205.84	$2,081.02	$806.39	2026-03-03
28192	CPT	"or Foreign Body Removal Deep Pc"	29	15	$556.20	$500.58	$172.42	$2,081.02	$806.39	2026-03-03
36569	CPT	"picc Insertion"	29	15	$2,500.00	$2,250.00	$775.00	$2,060.00	$798.25	2026-03-03
64633	CPT	"or Cerv/thoracic Facet Denerv 1st Lvl Pc"	29	15	$400.00	$360.00	$124.00	$2,060.00	$798.25	2026-03-03
31254	CPT	"or Bilat Nasal Endoscp Surg With Ethmd Pc"	57	15	$746.75	$672.08	$127.81	$3,749.20	$775.00	2026-03-03
J9217	HCPCS	"eligard 22.5 Mg Syringe Kit 22.5 Mg, 1 Each"	60	15	$1,864.25	$1,677.83	$77.50	$16,000.00	$775.00	2026-03-03
21932	CPT	"excision, Tumor, Soft Tissue Of Back Or Flank, Subfascial (eg, Intramuscular); …	29	15	$793.00	$713.70	$245.83	$1,960.30	$759.61	2026-03-03
21555	CPT	"excision, Tumor, Soft Tissue Of Neck Or Anterior Thorax, Subcutaneous; Less Tha…	29	15	$1,107.25	$996.53	$343.25	$1,957.00	$758.34	2026-03-03
31256	CPT	"or Unilat Nasal Endoscp Surg With Antro Pc"	57	15	$643.75	$579.38	$110.00	$3,530.84	$751.51	2026-03-03
11643	CPT	"or Excision, Malignant Lesion Including Margins, Face, Ears, Eyelids, Nose, Lip…	29	15	$412.00	$370.80	$127.72	$1,936.40	$750.36	2026-03-03
11604	CPT	"or Excision, Malignant Lesion Including Margins, Trunk, Arms, Or Legs; 3.1-4.0 …	29	15	$890.00	$801.00	$275.90	$1,879.20	$728.19	2026-03-03
11404	CPT	"or Excision Benign Lesion Including Margins Trunk Arms Or Legs 3.1 To 4.0cm"	29	15	$890.00	$801.00	$275.90	$1,878.72	$728.00	2026-03-03
J2407	HCPCS	"orbactiv 400 Mg Vial 400 Mg, 3 Eaches"	15	15	$2,310.00	$2,079.00	$716.10	$1,848.00	$723.26	2026-03-03
30802	CPT	"or Ablation Inferior Turb Intra Subm Pc"	29	15	$328.34	$295.51	$101.79	$1,864.10	$722.34	2026-03-03
25565	CPT	"or Clsd Trtmnt Radial & Ulner Fractrs Pc"	29	15	$978.50	$880.65	$303.34	$1,854.00	$718.43	2026-03-03
21013	CPT	"excision, Tumor, Soft Tissue Of Face And Scalp Pc"	29	15	$685.00	$616.50	$212.35	$1,854.00	$718.43	2026-03-03
69610	CPT	"ot Tympanic Membrane Repair With/wo Site Preparation Of Perforation For Closure…	29	15	$804.00	$723.60	$249.24	$1,851.94	$717.63	2026-03-03
21012	CPT	"excision, Tumor, Soft Tissue Of Face Or Scalp, Subcutaneous; 2 Cm Or Greater Pc…	29	15	$875.00	$787.50	$271.25	$1,849.88	$716.83	2026-03-03
27618	CPT	"excision Soft Tissue Tumor, Subcutaneous; Less Than 3 Cm Pc"	29	15	$785.00	$706.50	$243.35	$1,825.98	$707.57	2026-03-03
43239	CPT	"or Egd With Biopsy Tc"	29	15	$545.00	$490.50	$168.95	$1,825.16	$707.25	2026-03-03
38505	CPT	"biopsy Or Excision Of Lymph Node(s); By Needle Pc"	29	15	$803.40	$723.06	$249.05	$1,821.04	$705.65	2026-03-03
20520	CPT	"or Removal Of Foreign Body In Muscle Or Tendon Sheath"	29	15	$750.00	$675.00	$232.50	$1,812.80	$702.46	2026-03-03
43235	CPT	"endoscopy Upper Gi With Biop"	29	15	$238.96	$215.06	$74.08	$1,811.98	$702.14	2026-03-03
24655	CPT	"er Closed Trtmnt Of Radial Head Or Neck Fracture, With Manipulation"	29	15	$2,258.00	$2,032.20	$280.55	$1,806.40	$699.98	2026-03-03
23605	CPT	"er Closed Treatment Of Proximal Humeral (surgical Or Anatomical Neck) Fracture;…	29	15	$2,258.00	$2,032.20	$233.43	$1,806.40	$699.98	2026-03-03
25605	CPT	"er External Manipulation Tc"	29	15	$2,250.00	$2,025.00	$294.50	$1,800.00	$697.50	2026-03-03
21552	CPT	"excision Soft Tissue Tumor Neck Subq >3cm Pc"	43	15	$1,368.87	$1,231.98	$205.84	$3,285.29	$697.50	2026-03-03
45380	CPT	"or Dx Colonoscpy W/biopsy Tc"	29	15	$550.00	$495.00	$170.50	$1,756.77	$680.75	2026-03-03
13160	CPT	"or Late Clsoure Surgical Wound Tc"	14	14	$2,183.60	$1,965.24	$676.92	$1,746.88	$680.31	2026-03-03
26055	CPT	"or Trigger Finger Release"	14	14	$2,181.34	$1,963.21	$676.22	$1,745.07	$679.60	2026-03-03
56515	CPT	"or Destruction Vulvar Lesions Ext Pc"	29	15	$274.43	$246.99	$85.07	$1,738.02	$673.48	2026-03-03
45384	CPT	"lesion Remove Colonoscopy"	28	14	$1,698.47	$1,528.62	$382.52	$1,730.40	$670.53	2026-03-03
46606	CPT	"or Anoscopy With Biopsy, Single Or Multiple Pc"	29	15	$980.00	$882.00	$303.80	$1,730.40	$670.53	2026-03-03
45385	CPT	"colonscopy W/snare"	29	15	$509.85	$458.87	$158.05	$1,730.40	$670.53	2026-03-03
45382	CPT	"colonscopy Control Bleed"	43	15	$2,090.28	$1,881.25	$258.63	$2,018.80	$667.43	2026-03-03
27125	CPT	"sc Hemiarthroplasty Hip Partial Pc"	15	15	$2,110.00	$1,899.00	$654.10	$1,688.00	$660.64	2026-03-03
49591	CPT	"or Repair Of Anterior Abdominal Hernia(s) (ie, Epigastric, Incisional, Ventral,…	29	15	$816.00	$734.40	$252.96	$5,856.00	$652.80	2026-03-03
23655	CPT	"er Closed Treatment Of Shoulder Dislocation, With Manipulation; Requiring Anest…	29	15	$2,100.00	$1,890.00	$217.00	$1,680.00	$651.00	2026-03-03
25000	CPT	"or Incison Of Tendon Sheath Tc"	14	14	$2,077.51	$1,869.76	$644.03	$1,662.01	$647.25	2026-03-03
36590	CPT	"or Removal Tunneled Vad Port/pump Pc"	29	15	$489.25	$440.33	$151.67	$1,627.40	$630.62	2026-03-03
21930	CPT	"or Excision Soft Tissue Tumor Bck/fnk Tc"	29	15	$528.00	$475.20	$163.68	$1,620.23	$627.84	2026-03-03
99291	CPT	"er Critical Care 30-74 Mn"	29	15	$2,006.00	$1,805.40	$240.25	$1,604.80	$621.86	2026-03-03
43245	CPT	"or Egd Dialation Gastric Outlet Pc"	29	15	$412.00	$370.80	$127.72	$1,601.03	$620.40	2026-03-03
43250	CPT	"upper Gi Scope/w Lesion"	14	14	$1,970.02	$1,773.02	$610.71	$1,576.02	$613.76	2026-03-03
43251	CPT	"upper Gi Scope W/snare"	14	14	$1,970.02	$1,773.02	$610.71	$1,576.02	$613.76	2026-03-03
36568	CPT	"insert Picc Cath <5yrs"	15	15	$1,957.00	$1,761.30	$606.67	$1,600.00	$612.74	2026-03-03
22902	CPT	"or Excision Soft Tissue Tumor <30cm Tc"	29	15	$473.00	$425.70	$146.63	$1,600.00	$611.87	2026-03-03
L8699	HCPCS	"stimublast Putty 10cc"	15	15	$1,924.04	$1,731.64	$596.45	$1,539.23	$602.42	2026-03-03
43499	CPT	"esophagus Surgery"	14	14	$1,888.41	$1,699.57	$585.41	$1,510.73	$588.34	2026-03-03
93306	CPT	"us Echo 93306 Complete Tc"	15	15	$1,821.60	$1,639.44	$400.00	$1,457.28	$564.70	2026-03-03
74178	CPT	"ct Abd & Pelvis Wo Thn W"	30	15	$1,815.00	$1,633.50	$52.70	$1,600.00	$562.65	2026-03-03
45378	CPT	"or Colonoscopy Diagnostic Tc"	29	15	$385.00	$346.50	$119.35	$1,600.00	$558.78	2026-03-03
40650	CPT	"rep Lip Full Thickness"	29	15	$1,783.25	$1,604.93	$276.16	$1,600.00	$552.81	2026-03-03
11044	CPT	"or Debrid Bone, Dermis 1st 20sq Cm/< Tc"	71	15	$1,742.86	$1,568.57	$129.34	$2,422.56	$545.69	2026-03-03
31615	CPT	"tracheobronchoscopy"	14	14	$1,751.00	$1,575.90	$542.81	$1,400.80	$545.52	2026-03-03
27222	CPT	"er Tx. Of Hip Socket Fx W Manipulat Tc"	29	15	$1,755.98	$1,580.38	$493.07	$1,600.00	$544.35	2026-03-03
32551	CPT	"tube Thoracostomy/wtr Sl"	43	15	$1,149.48	$1,034.53	$249.55	$1,600.00	$542.50	2026-03-03
23071	CPT	"or Excision Soft Tumor Shoulder 3cm Profee"	15	15	$1,730.40	$1,557.36	$536.42	$1,600.00	$541.79	2026-03-03
90371	CPT	"hepatitis B Immune Globulin (hbig), Human, For Intramuscular Use"	15	15	$1,717.01	$1,545.31	$532.27	$1,600.00	$537.60	2026-03-03
65435	CPT	"curette Corneal Epith Er"	29	15	$1,725.00	$1,552.50	$126.48	$1,600.00	$534.75	2026-03-03
43249	CPT	"or Egd Esoph Dialiation <30mm Tc"	29	15	$313.00	$281.70	$97.03	$1,600.00	$532.59	2026-03-03
43248	CPT	"or Egd Insertion Guid Wire & Dilator Pc"	29	15	$417.15	$375.44	$129.32	$1,600.00	$528.44	2026-03-03
46040	CPT	"incision Drain Of Ischior"	29	15	$1,701.80	$1,531.62	$387.37	$1,600.00	$527.56	2026-03-03
21931	CPT	"or Excision, Tumor, Soft Tissue Of Back Or Flank, Sub"	43	15	$875.00	$787.50	$223.20	$1,771.60	$525.00	2026-03-03
52000	CPT	"or Cystoscopy"	29	15	$473.00	$425.70	$146.63	$1,600.00	$521.10	2026-03-03
31605	CPT	"tracheostomy Cricothy Er"	29	15	$1,636.38	$1,472.74	$174.30	$1,600.00	$507.28	2026-03-03
74177	CPT	"ct Abd & Pelvis W Contras"	30	15	$1,634.00	$1,470.60	$52.70	$1,600.00	$506.54	2026-03-03
Q5103	HCPCS	"inflectra 100 Mg Vial 100 Mg, 1 Each"	15	15	$1,608.46	$1,447.61	$498.62	$1,286.77	$503.61	2026-03-03
30117	CPT	"or Excis Intranasal Lesion Intrl Apch Tc"	43	15	$1,838.00	$1,654.20	$205.84	$2,884.00	$502.13	2026-03-03
20525	CPT	"or Removal Of Foreign Body In Muscle Or Tendon Sheath"	43	15	$978.50	$880.65	$207.27	$2,307.20	$501.46	2026-03-03
27266	CPT	"ed Close Tx Post Hip Arthoplasty Anes Tc"	29	15	$1,606.07	$1,445.46	$256.89	$1,600.00	$497.88	2026-03-03
64445	CPT	"sciatic Nerve Injection"	57	15	$1,313.25	$1,181.93	$28.42	$1,600.00	$486.08	2026-03-03
64493	CPT	"inject(s) Diagnostic Or Therapeutic Agent, Paravertebral Facet Joint Or Nerves …	15	15	$1,545.00	$1,390.50	$478.95	$1,600.00	$483.74	2026-03-03
59300	CPT	"episiotomy Er"	15	15	$1,500.00	$1,350.00	$465.00	$1,600.00	$469.65	2026-03-03
59414	CPT	"delivery Of Placenta Er"	15	15	$1,500.00	$1,350.00	$465.00	$1,600.00	$469.65	2026-03-03
81220	CPT	"cystic Fibrosin Expanded Screen"	16	15	$1,504.75	$1,354.28	$269.35	$1,203.80	$468.81	2026-03-03
67840	CPT	"or Excision Eyelid Lesion Pc"	29	15	$297.99	$268.19	$92.38	$1,600.00	$468.73	2026-03-03
86965	CPT	"pooling Of Platelets Or Other Blood Products"	16	15	$1,495.00	$1,345.50	$16.42	$1,196.00	$463.45	2026-03-03
69424	CPT	"or Ventilating Tube Removal Rq Anth Pc"	28	14	$1,401.92	$1,261.72	$34.71	$2,153.50	$462.03	2026-03-03
J1561	HCPCS	"gamunex-c 1 Gram/10 Ml Vial 1 G, 10 Ml"	75	15	$1,468.52	$1,321.67	$69.14	$6,727.88	$459.79	2026-03-03
21450	CPT	"mandibular Fx Er"	29	15	$844.00	$759.60	$261.64	$1,600.00	$453.41	2026-03-03
27842	CPT	"er Closed Treatment Of Ankle Dislocation; Requiring Anesthesia, With Or Without…	29	15	$1,423.00	$1,280.70	$140.74	$1,600.00	$441.13	2026-03-03
11012	CPT	"or Debrid Opn Fx Skin Sq Muscle Bone Pc"	29	15	$733.58	$660.22	$227.41	$1,600.00	$432.65	2026-03-03
55250	CPT	"or Vasectomy, Unilateral Or Bilateral (separate Procedure), Including Postopera…	57	15	$721.00	$648.90	$205.84	$3,134.25	$432.60	2026-03-03
15004	CPT	"surgical Preparation Or Creation Of Recipient Site"	15	15	$1,377.11	$1,239.40	$426.90	$1,600.00	$431.17	2026-03-03
92960	CPT	"cardioversion Elect Er"	57	15	$1,375.00	$1,237.50	$184.45	$1,600.00	$429.00	2026-03-03

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