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

ROSEBUD HEALTH CARE CENTER

Forsyth, MT · CCN 271327 · Rates published

Your selected procedure

You selected 93306 (HCPCS)

US ECHO COMPLETE

This hospital’s price: $1,319 across 11 payers · range $193-$1,333

Source: https://www.rosebudhcc.org/wp-content/uploads/2026/06/June-2026-810405434_rosebud-community-hospital_standardcharges.csv · observed 2026-10-12

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.

1,062 distinct procedures filed
11 distinct payers
42,764 rate rows
2026-10-12 last MRF observed
Data quality

42,759 of 42,764 rate rows are consumer-grade (100.0%)

5 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
placeholder amount (≤ $0.02) — excluded from medians 2
per-diem day rate — not a per-procedure price 1
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.rosebudhcc.org/810405434_rosebud-community-hospital_standardcharges.csv
Found on page https://www.rosebudhcc.org/price-transparency/
Discovered viaCMS hospital list
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-10-22
Content fingerprint 55126c9f2fb2538c… · 917,806 bytes · first seen 2026-05-09

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
J3101
HCPCS 		Tenecteplase (tnkase) 50mg Inj 11 $159.18 $13,065.41 $9,231.99 nat. median
$3,787
outlier · 2.4×
J2997
HCPCS 		Alteplase (cathflo Activase) 2mg Inj 11 $89.65 $13,118.38 $6,497.16 nat. median
$500
outlier · 13.0×
J1162
HCPCS 		Digoxin Immune Fab (digifab) 40mg Inj 11 $3,188.13 $4,928.03 $4,928.03 nat. median
$7,165
0.7× median
J2798
HCPCS 		Risperidone ER (perseris) 90mg/0.6ml Inj 11 $11.95 $3,835.13 $3,796.00 nat. median
$16
outlier · 236.1×
70471
HCPCS 		CTA Head/neck 11 $369.22 $3,846.50 $3,768.00 nat. median
$815
outlier · 4.6×
72156
HCPCS 		MRI C-spine W/wo 11 $311.61 $3,416.28 $3,346.56 nat. median
$1,110
outlier · 3.0×
70553
HCPCS 		MRI Brain Wo/w Contrast 11 $310.62 $3,217.34 $3,184.51 nat. median
$1,136
outlier · 2.8×
5872197
OTHER 		MRI Pelvis W & Without 7 $2,507.50 $2,891.00 $2,891.00 nat. median
$2,891
1.0× median
J0897
HCPCS 		Denosumab (prolia) 60mg/1ml Inj 11 $27.11 $2,953.17 $2,865.03 nat. median
$1,982
1.4× median
72158
HCPCS 		MRI L-spine W/wo 11 $311.93 $2,891.00 $2,861.50 nat. median
$1,097
outlier · 2.6×
74183
HCPCS 		MRI Abdomen W & Without 11 $329.28 $2,890.02 $2,860.53 nat. median
$1,105
outlier · 2.6×
72197
HCPCS 		MRI Pelvis W & Without 11 $327.64 $2,891.00 $2,832.00 nat. median
$1,074
outlier · 2.6×
72157
HCPCS 		MRI T-spine W/wo 11 $312.26 $2,891.00 $2,832.00 nat. median
$1,114
outlier · 2.5×
70543
HCPCS 		MRI Neck Wo/w Contrast 11 $330.27 $2,832.20 $2,803.30 nat. median
$1,087
outlier · 2.6×
70546
HCPCS 		MRA Brain W/wo Contrast 11 $321.10 $2,750.86 $2,694.72 nat. median
$1,073
outlier · 2.5×
72149
HCPCS 		MRI L-spine W 11 $264.15 $2,670.50 $2,643.25 nat. median
$979
outlier · 2.7×
73723
HCPCS 		MRI Ankle Lt W & Without 11 $373.80 $2,989.98 $2,556.82 nat. median
$1,199
outlier · 2.1×
70552
HCPCS 		MRI Brain W Contrast 11 $263.49 $2,582.30 $2,555.95 nat. median
$965
outlier · 2.6×
73720
HCPCS 		MRI Foot Lt W & Without 11 $328.30 $2,556.82 $2,504.64 nat. median
$1,135
outlier · 2.2×
70549
HCPCS 		MRA Carotids W/wo 11 $336.48 $2,492.14 $2,441.28 nat. median
$1,063
outlier · 2.3×
72148
HCPCS 		MRI L-spine Without 11 $187.88 $2,459.80 $2,434.70 nat. median
$807
outlier · 3.0×
72141
HCPCS 		MRI C-spine Without 11 $186.90 $2,424.52 $2,399.78 nat. median
$785
outlier · 3.1×
71550
HCPCS 		MRI Chest Wo 11 $326.34 $2,401.00 $2,352.00 nat. median
$820
outlier · 2.9×
73221
HCPCS 		MRI Shoulder Right Wo 11 $200.98 $2,550.94 $2,314.76 nat. median
$844
outlier · 2.7×
73721
HCPCS 		MRI Knee Right Without 11 $200.32 $2,302.02 $2,278.53 nat. median
$856
outlier · 2.7×
74181
HCPCS 		MRI Abdomen Without 11 $189.85 $2,298.10 $2,251.20 nat. median
$820
outlier · 2.7×
73220
HCPCS 		MRI Hand Lt Wo / W 11 $398.67 $2,273.60 $2,250.40 nat. median
$1,136
2.0× median
70551
HCPCS 		MRI Brain Without Contrast 11 $191.48 $2,266.74 $2,243.61 nat. median
$787
outlier · 2.9×
71275
HCPCS 		CTA Chest 11 $274.95 $2,254.34 $2,223.08 nat. median
$759
outlier · 2.9×
72127
HCPCS 		CT C-spine With & Without Contrast 11 $192.14 $2,190.30 $2,167.95 nat. median
$617
outlier · 3.5×
74178
HCPCS 		CT Abd/pel W/wo 11 $331.25 $2,140.08 $2,118.24 nat. median
$1,027
outlier · 2.1×
73718
HCPCS 		MRI Femur Right Without 11 $217.99 $2,084.46 $2,063.19 nat. median
$870
outlier · 2.4×
70498
HCPCS 		CTA Carotids 11 $268.40 $2,027.62 $2,006.93 nat. median
$744
outlier · 2.7×
74177
HCPCS 		CT Abd/pelvis W Contrast 11 $294.26 $2,009.93 $1,989.42 nat. median
$976
outlier · 2.0×
72126
HCPCS 		CT C-spine With Contrast 11 $164.96 $1,994.30 $1,973.95 nat. median
$758
outlier · 2.6×
72133
HCPCS 		CT L-spine With & Without Contrast 11 $192.80 $2,339.26 $1,890.42 nat. median
$637
outlier · 3.0×
73206
HCPCS 		CTA Upper Arm Runoff-lt,left Side Of Body 11 $289.68 $1,826.03 $1,826.03 nat. median
$694
outlier · 2.6×
70496
HCPCS 		CTA Head 11 $268.40 $1,819.66 $1,801.10 nat. median
$752
outlier · 2.4×
70481
HCPCS 		CT Orbit/sella/iac W/contrast 11 $176.10 $1,791.68 $1,755.11 nat. median
$632
outlier · 2.8×
75635
HCPCS 		CTA Abdomen 11 $402.93 $1,785.07 $1,747.34 nat. median
$727
outlier · 2.4×
87507
HCPCS 		Gastrointestinal Panel-molecular 11 $408.44 $1,764.00 $1,746.00 nat. median
$552
outlier · 3.2×
74174
HCPCS 		CTA Abdominal Aorta 11 $370.85 $1,747.34 $1,729.51 nat. median
$998
1.7× median
70544
HCPCS 		MRA Head Without Contrast 11 $210.46 $1,763.02 $1,727.04 nat. median
$829
outlier · 2.1×
74170
HCPCS 		CT Abd W & Without Contrast 11 $253.67 $1,735.73 $1,718.02 nat. median
$714
outlier · 2.4×
72195
HCPCS 		MRI Pelvis Without 11 $222.90 $1,724.80 $1,707.20 nat. median
$811
outlier · 2.1×
74176
HCPCS 		CT Abdomen/pelvis Without Contrast 11 $179.37 $1,720.88 $1,703.32 nat. median
$694
outlier · 2.5×
70488
HCPCS 		CT Sinus W & Without Contrast 11 $180.35 $1,702.75 $1,685.38 nat. median
$639
outlier · 2.6×
72194
HCPCS 		CT Pelvis With & Without 11 $245.49 $1,663.80 $1,646.82 nat. median
$672
outlier · 2.5×
72146
HCPCS 		MRI T-spine Without 11 $186.57 $1,661.10 $1,644.15 nat. median
$800
outlier · 2.1×
J3590
HCPCS 		Romosozumab-a (evenity) 105mg/1.17ml Inj 7 $1,423.24 $1,640.91 $1,640.91 nat. median
$775
outlier · 2.1×

Other procedures at this hospital

Browse this hospital's 1,062 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
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
             
J3101 HCPCS Tenecteplase (tnkase) 50mg Inj 25 11 $9,420.40 $9,420.40 $159.18 $13,065.41 $9,231.99 2026-10-12
J2997 HCPCS Alteplase (cathflo Activase) 2mg Inj 73 11 $6,698.10 $6,698.10 $89.65 $13,118.38 $6,497.16 2026-10-12
J1162 HCPCS Digoxin Immune Fab (digifab) 40mg Inj 25 11 $5,028.60 $5,028.60 $3,188.13 $4,928.03 $4,928.03 2026-10-12
J2798 HCPCS Risperidone ER (perseris) 90mg/0.6ml Inj 25 11 $3,913.40 $3,913.40 $11.95 $3,835.13 $3,796.00 2026-10-12
70471 HCPCS CTA Head/neck 11 11 $3,925.00 $3,925.00 $369.22 $3,846.50 $3,768.00 2026-10-12
72156 HCPCS MRI C-spine W/wo 11 11 $3,486.00 $3,486.00 $311.61 $3,416.28 $3,346.56 2026-10-12
70553 HCPCS MRI Brain Wo/w Contrast 25 11 $3,283.00 $3,283.00 $310.62 $3,217.34 $3,184.51 2026-10-12
5872197 OTHER MRI Pelvis W & Without 14 7 $2,950.00 $2,950.00 $2,507.50 $2,891.00 $2,891.00 2026-07-15
J0897 HCPCS Denosumab (prolia) 60mg/1ml Inj 25 11 $2,923.50 $2,923.50 $27.11 $2,953.17 $2,865.03 2026-10-12
72158 HCPCS MRI L-spine W/wo 25 11 $2,950.00 $2,950.00 $311.93 $2,891.00 $2,861.50 2026-10-12
74183 HCPCS MRI Abdomen W & Without 25 11 $2,949.00 $2,949.00 $329.28 $2,890.02 $2,860.53 2026-10-12
72197 HCPCS MRI Pelvis W & Without 11 11 $2,950.00 $2,950.00 $327.64 $2,891.00 $2,832.00 2026-10-12
72157 HCPCS MRI T-spine W/wo 11 11 $2,950.00 $2,950.00 $312.26 $2,891.00 $2,832.00 2026-10-12
70543 HCPCS MRI Neck Wo/w Contrast 25 11 $2,890.00 $2,890.00 $330.27 $2,832.20 $2,803.30 2026-10-12
70546 HCPCS MRA Brain W/wo Contrast 11 11 $2,807.00 $2,807.00 $321.10 $2,750.86 $2,694.72 2026-10-12
72149 HCPCS MRI L-spine W 25 11 $2,725.00 $2,725.00 $264.15 $2,670.50 $2,643.25 2026-10-12
73723 HCPCS MRI Ankle Lt W & Without 35 11 $2,609.00 $2,609.00 $373.80 $2,989.98 $2,556.82 2026-10-12
70552 HCPCS MRI Brain W Contrast 25 11 $2,635.00 $2,635.00 $263.49 $2,582.30 $2,555.95 2026-10-12
73720 HCPCS MRI Foot Lt W & Without 11 11 $2,609.00 $2,609.00 $328.30 $2,556.82 $2,504.64 2026-10-12
70549 HCPCS MRA Carotids W/wo 11 11 $2,543.00 $2,543.00 $336.48 $2,492.14 $2,441.28 2026-10-12
72148 HCPCS MRI L-spine Without 25 11 $2,510.00 $2,510.00 $187.88 $2,459.80 $2,434.70 2026-10-12
72141 HCPCS MRI C-spine Without 25 11 $2,474.00 $2,474.00 $186.90 $2,424.52 $2,399.78 2026-10-12
71550 HCPCS MRI Chest Wo 11 11 $2,450.00 $2,450.00 $326.34 $2,401.00 $2,352.00 2026-10-12
73221 HCPCS MRI Shoulder Right Wo 35 11 $2,362.00 $2,362.00 $200.98 $2,550.94 $2,314.76 2026-10-12
73721 HCPCS MRI Knee Right Without 25 11 $2,349.00 $2,349.00 $200.32 $2,302.02 $2,278.53 2026-10-12
74181 HCPCS MRI Abdomen Without 11 11 $2,345.00 $2,345.00 $189.85 $2,298.10 $2,251.20 2026-10-12
73220 HCPCS MRI Hand Lt Wo / W 25 11 $2,320.00 $2,320.00 $398.67 $2,273.60 $2,250.40 2026-10-12
70551 HCPCS MRI Brain Without Contrast 25 11 $2,313.00 $2,313.00 $191.48 $2,266.74 $2,243.61 2026-10-12
71275 HCPCS CTA Chest 49 11 $2,268.45 $2,268.45 $274.95 $2,254.34 $2,223.08 2026-10-12
72127 HCPCS CT C-spine With & Without Contrast 25 11 $2,235.00 $2,235.00 $192.14 $2,190.30 $2,167.95 2026-10-12
74178 HCPCS CT Abd/pel W/wo 25 11 $2,183.75 $2,183.75 $331.25 $2,140.08 $2,118.24 2026-10-12
73718 HCPCS MRI Femur Right Without 25 11 $2,127.00 $2,127.00 $217.99 $2,084.46 $2,063.19 2026-10-12
70498 HCPCS CTA Carotids 25 11 $2,069.00 $2,069.00 $268.40 $2,027.62 $2,006.93 2026-10-12
74177 HCPCS CT Abd/pelvis W Contrast 25 11 $2,050.95 $2,050.95 $294.26 $2,009.93 $1,989.42 2026-10-12
72126 HCPCS CT C-spine With Contrast 25 11 $2,035.00 $2,035.00 $164.96 $1,994.30 $1,973.95 2026-10-12
72133 HCPCS CT L-spine With & Without Contrast 25 11 $1,929.00 $1,929.00 $192.80 $2,339.26 $1,890.42 2026-10-12
73206 HCPCS CTA Upper Arm Runoff-lt,left Side Of Body 39 11 $1,863.30 $1,863.30 $289.68 $1,826.03 $1,826.03 2026-10-12
70496 HCPCS CTA Head 25 11 $1,856.80 $1,856.80 $268.40 $1,819.66 $1,801.10 2026-10-12
70481 HCPCS CT Orbit/sella/iac W/contrast 11 11 $1,828.24 $1,828.24 $176.10 $1,791.68 $1,755.11 2026-10-12
75635 HCPCS CTA Abdomen 73 11 $1,806.00 $1,806.00 $402.93 $1,785.07 $1,747.34 2026-10-12
87507 HCPCS Gastrointestinal Panel-molecular 25 11 $1,800.00 $1,800.00 $408.44 $1,764.00 $1,746.00 2026-10-12
74174 HCPCS CTA Abdominal Aorta 25 11 $1,783.00 $1,783.00 $370.85 $1,747.34 $1,729.51 2026-10-12
70544 HCPCS MRA Head Without Contrast 11 11 $1,799.00 $1,799.00 $210.46 $1,763.02 $1,727.04 2026-10-12
74170 HCPCS CT Abd W & Without Contrast 25 11 $1,771.15 $1,771.15 $253.67 $1,735.73 $1,718.02 2026-10-12
72195 HCPCS MRI Pelvis Without 25 11 $1,760.00 $1,760.00 $222.90 $1,724.80 $1,707.20 2026-10-12
74176 HCPCS CT Abdomen/pelvis Without Contrast 25 11 $1,756.00 $1,756.00 $179.37 $1,720.88 $1,703.32 2026-10-12
70488 HCPCS CT Sinus W & Without Contrast 25 11 $1,737.50 $1,737.50 $180.35 $1,702.75 $1,685.38 2026-10-12
72194 HCPCS CT Pelvis With & Without 25 11 $1,697.75 $1,697.75 $245.49 $1,663.80 $1,646.82 2026-10-12
72146 HCPCS MRI T-spine Without 25 11 $1,695.00 $1,695.00 $186.57 $1,661.10 $1,644.15 2026-10-12
J3590 HCPCS Romosozumab-a (evenity) 105mg/1.17ml Inj 14 7 $1,674.40 $1,674.40 $1,423.24 $1,640.91 $1,640.91 2026-07-15
72128 HCPCS CT T-spine Without Contrast 25 11 $1,683.50 $1,683.50 $127.65 $1,649.83 $1,633.00 2026-10-12
J3111 HCPCS Romosozumab-a (evenity) 105mg/1.17ml Inj,zero Drug Amount Discarded 11 11 $1,674.40 $1,674.40 $11.26 $1,640.91 $1,607.42 2026-10-12
74160 HCPCS CT Abdomen With IV Contrast 25 11 $1,610.05 $1,610.05 $225.53 $1,577.85 $1,561.75 2026-10-12
70492 HCPCS CT St Neck With & Without Contrast 25 11 $1,607.75 $1,607.75 $215.37 $1,575.60 $1,559.52 2026-10-12
72193 HCPCS CT Pelvis With Contrast 25 11 $1,591.70 $1,591.70 $221.26 $1,559.87 $1,543.95 2026-10-12
71270 HCPCS CT Heart With & Without Contrast 49 11 $1,560.00 $1,560.00 $191.81 $1,720.14 $1,528.80 2026-10-12
73218 HCPCS MRI Hand Rt Without Contrast 25 11 $1,565.00 $1,565.00 $297.20 $1,533.70 $1,518.05 2026-10-12
73701 HCPCS CT Lower Extremity Bilateral 63 11 $1,559.00 $1,559.00 $162.68 $1,527.82 $1,513.36 2026-10-12
70470 HCPCS CT Head With & Without Contrast 25 11 $1,531.75 $1,531.75 $169.55 $1,501.12 $1,485.80 2026-10-12
70491 HCPCS CT St Neck With Contrast 25 11 $1,500.60 $1,500.60 $179.69 $1,470.59 $1,455.58 2026-10-12
81339 HCPCS Mpl Sequence Analysis 25 11 $1,481.60 $1,481.60 $181.50 $1,451.97 $1,437.15 2026-10-12
71260 HCPCS CT Heart With Contrast 49 11 $1,462.30 $1,462.30 $163.33 $1,589.12 $1,433.05 2026-10-12
72125 HCPCS CT C-spine Without Contrast 25 11 $1,476.00 $1,476.00 $127.98 $1,446.48 $1,431.72 2026-10-12
73201 HCPCS CT Upper Extremity With Lt,left Side Of Body 39 11 $1,439.75 $1,439.75 $195.41 $1,633.42 $1,410.96 2026-10-12
J7301 HCPCS Cl-levonorgestrel Implant (skyla)13.5mg 10 10 $1,444.83 $1,444.83 $916.02 $1,415.93 $1,394.26 2026-10-12
72192 HCPCS CT Pelvis Without Contrast 25 11 $1,430.15 $1,430.15 $129.95 $1,401.55 $1,387.25 2026-10-12
70487 HCPCS CT Sinus With Contrast 25 11 $1,427.75 $1,427.75 $148.60 $1,399.20 $1,384.92 2026-10-12
70460 HCPCS CT Head With Contrast 25 11 $1,423.00 $1,423.00 $145.32 $1,394.54 $1,380.31 2026-10-12
74150 HCPCS CT Abdomen Without Contrast 25 11 $1,394.55 $1,394.55 $133.54 $1,366.66 $1,352.71 2026-10-12
73700 HCPCS CT Ankle Unilateral-lt,left Side Of Body 77 11 $1,391.25 $1,391.25 $127.65 $1,364.90 $1,335.60 2026-10-12
72131 HCPCS CT L-spine Without Contrast 25 11 $1,367.75 $1,367.75 $127.32 $1,340.40 $1,326.72 2026-10-12
93306 HCPCS US Echo Complete 25 11 $1,360.00 $1,360.00 $192.80 $1,332.80 $1,319.20 2026-10-12
70480 HCPCS CT Iac Without 25 11 $1,329.10 $1,329.10 $155.14 $1,302.52 $1,289.23 2026-10-12
G0390 HCPCS Trauma Response Team W/hosp Critic 24 10 $1,308.11 $1,308.11 $829.34 $1,281.95 $1,275.41 2026-10-12
73200 HCPCS CT Elbow Unilateral-lt 67 11 $1,289.75 $1,289.75 $157.44 $1,364.90 $1,263.96 2026-10-12
70490 HCPCS CT St Neck Without Contrast 25 11 $1,267.60 $1,267.60 $146.64 $1,242.25 $1,229.57 2026-10-12
70486 HCPCS CT Sinus Without Contrast 26 11 $1,250.75 $1,250.75 $125.69 $1,225.74 $1,206.97 2026-10-12
81338 HCPCS Mpl Mutation 25 11 $1,202.64 $1,202.64 $147.32 $1,178.59 $1,166.56 2026-10-12
70450 HCPCS CT Head Without Contrast 25 11 $1,191.55 $1,191.55 $104.41 $1,167.72 $1,155.80 2026-10-12
93880 HCPCS US Carotid Bilateral 25 11 $1,131.45 $1,131.45 $185.26 $1,108.82 $1,097.51 2026-10-12
90376 HCPCS Rabies Immune Globulin (hyperrab) Inj 25 11 $1,216.20 $1,216.20 $222.53 $1,191.88 $1,033.77 2026-10-12
81206 HCPCS Bcr/abl 1 Major P210 11 11 $1,073.10 $1,073.10 $160.68 $1,051.64 $1,030.18 2026-10-12
J7325 HCPCS Hylan G-f 20 (synvisc One) 48mg/6ml Inj 25 11 $1,045.30 $1,045.30 $8.98 $1,024.39 $1,013.94 2026-10-12
87506 HCPCS Extended Enteric Bacterial Panel 11 11 $1,049.16 $1,049.16 $257.73 $1,028.18 $1,007.19 2026-10-12
87633 HCPCS Respiratory Virus 25 11 $1,032.27 $1,032.27 $408.44 $1,011.62 $1,001.30 2026-10-12
81219 HCPCS Calr Exon 9 Mutation 11 11 $978.04 $978.04 $119.20 $958.48 $938.92 2026-10-12
93307 HCPCS US 2d Complete,technical Component 25 11 $847.00 $847.00 $135.18 $830.06 $821.59 2026-10-12
93970 HCPCS US Extremity Bilateral Venous Complete 25 11 $839.50 $839.50 $180.35 $822.71 $814.32 2026-10-12
36430 HCPCS Ed - Transfusion Blood 1hr 193 11 $820.00 $820.00 $46.48 $1,195.60 $803.60 2026-10-12
27752 HCPCS Ed Closed Tx Tib/fib Fx W/manipulation 34 11 $832.14 $832.14 $527.58 $832.14 $798.85 2026-10-12
J1442 HCPCS Filgrastim (neupogen) 480mcg/0.8ml Inj 25 11 $817.80 $817.80 $0.96 $801.44 $793.27 2026-10-12
87902 HCPCS Hepatitis C Genotyping (pcr)-serum 25 11 $809.33 $809.33 $252.30 $798.04 $789.90 2026-10-12
81207 HCPCS Bcr/abl 1 Minor P190 11 11 $819.07 $819.07 $141.94 $802.69 $786.31 2026-10-12
25505 HCPCS Edp Clsd Tx Of Fx/dis Radius With Manip 34 11 $713.49 $713.49 $452.35 $713.49 $688.52 2026-10-12
76770 HCPCS US Retroperitoneal Complete 25 11 $702.07 $702.07 $104.09 $688.03 $681.01 2026-10-12
76818 HCPCS US Fetal Biophysical Profile 25 11 $666.00 $666.00 $119.47 $652.68 $646.02 2026-10-12
J7307 HCPCS Cl-etonogestral Implant (nexplanon)68mg 24 10 $651.80 $651.80 $524.20 $810.28 $638.76 2026-10-12
76700 HCPCS US Abdomen Complete 25 11 $655.81 $655.81 $111.95 $642.69 $636.14 2026-10-12
90677 HCPCS Cl-pneumococcal 20 (prevnar 20) 25 11 $747.50 $747.50 $260.76 $732.55 $635.38 2026-10-12
27788 HCPCS Edp Closed Tx Ankle Fx W/manipulation 34 11 $661.82 $661.82 $419.59 $661.82 $635.35 2026-10-12
76805 HCPCS US OB Complete 25 11 $643.00 $643.00 $133.22 $630.14 $623.71 2026-10-12
93308 HCPCS US 2d Limited,technical Component 25 11 $629.00 $629.00 $99.18 $616.42 $610.13 2026-10-12
76830 HCPCS US Pelvic Transvaginal 25 11 $622.25 $622.25 $115.22 $609.80 $603.58 2026-10-12
93971 HCPCS US Extremity Unilateral Venous Rt 49 11 $612.50 $612.50 $113.91 $801.00 $600.25 2026-10-12
72010 HCPCS Xr Complete Spine Ap View 24 10 $615.00 $615.00 $389.91 $602.70 $599.62 2026-10-12
0120 RC — 253 9 $742.14 $742.14 $210.52 $2,299.00 $593.71 2026-10-12
12037 HCPCS Edp Lac Rpr Intrmdt S/a/t/ext >30cm 59 11 $738.47 $738.47 $313.18 $738.47 $590.78 2026-10-12
76870 HCPCS US Scrotum 25 11 $603.25 $603.25 $96.56 $591.18 $585.15 2026-10-12
13132 HCPCS Edp Lac Rpr Cmplx F/c/c/m 2.6-7.5 83 11 $593.30 $593.30 $272.68 $729.75 $581.43 2026-10-12
76881 HCPCS US Extremity Nonvascular 25 11 $596.62 $596.62 $52.69 $584.69 $578.72 2026-10-12
76942 HCPCS US Guided Needle Placement 25 11 $596.00 $596.00 $62.85 $584.08 $578.12 2026-10-12
76817 HCPCS US Tvs OB 25 11 $590.75 $590.75 $90.99 $578.94 $573.03 2026-10-12
76705 HCPCS US Abdomen Limited 25 11 $583.25 $583.25 $84.45 $571.58 $565.75 2026-10-12
76801 HCPCS US OB 1st Trimester 25 11 $573.00 $573.00 $114.56 $561.54 $555.81 2026-10-12
27560 HCPCS Edp Closed Tx Dislocated Patella W Manip 34 11 $575.25 $575.25 $364.71 $575.25 $552.24 2026-10-12
76536 HCPCS US Thyroid 25 11 $563.50 $563.50 $106.38 $552.23 $546.60 2026-10-12
81270 HCPCS Jak2 Gene Mutation 25 11 $547.50 $547.50 $89.83 $980.00 $536.55 2026-10-12
81271 HCPCS Huntington Disease 25 11 $550.00 $550.00 $134.26 $539.00 $533.50 2026-10-12
80145 HCPCS Adalimumab Ab And Concentrate 25 11 $545.00 $545.00 $37.80 $539.00 $533.50 2026-10-12
76775 HCPCS US Retroperitoneal Limited 25 11 $548.50 $548.50 $59.57 $537.53 $532.04 2026-10-12
77075 HCPCS Osseous Survey Complete 25 11 $531.75 $531.75 $95.90 $521.12 $515.80 2026-10-12
90675 HCPCS Rabies Vaccine (rabavert) 25 11 $519.50 $519.50 $321.22 $675.33 $509.11 2026-10-12
81240 HCPCS Prothrombin( G20210a) Variant 11 11 $525.52 $525.52 $64.38 $515.01 $504.50 2026-10-12
87505 HCPCS Enteric Bacterial Panel 21 11 $513.16 $513.16 $125.72 $502.93 $492.66 2026-10-12
76810 HCPCS US OB >14wks Add Fetus 25 11 $502.00 $502.00 $86.74 $491.96 $486.94 2026-10-12
12044 HCPCS Ed Lac Rpr Intrmdt N/h/f/geni 7.6-12.5cm 19 11 $495.00 $495.00 $214.90 $1,427.86 $485.10 2026-10-12
11983 HCPCS Nexplanon Removal And Reinsertion 25 11 $495.00 $495.00 $141.71 $485.10 $480.15 2026-10-12
11982 HCPCS Nexplanon Removal 25 11 $495.00 $495.00 $112.26 $485.10 $480.15 2026-10-12
99291 HCPCS Edp Critical Care First 30-74min 58 11 $488.00 $488.00 $224.32 $1,313.20 $478.24 2026-10-12
97605 HCPCS Neg Pressure Wound Ther <50cm 25 11 $466.20 $466.20 $41.24 $456.88 $452.21 2026-10-12
97606 HCPCS Neg Pressure Wound Ther >50cm 25 11 $466.20 $466.20 $49.42 $456.88 $452.21 2026-10-12
76604 HCPCS US Chest 25 11 $461.75 $461.75 $59.90 $452.52 $447.90 2026-10-12
93320 HCPCS US Cardiac Doppler Complete 25 11 $459.75 $459.75 $50.41 $450.56 $445.96 2026-10-12
J0561 HCPCS Penicillin G (bicillin L-a) 1,200,000 Un 25 11 $445.96 $445.96 $26.28 $437.04 $432.58 2026-10-12
99255 HCPCS Hosp In/obs Consult 80 Met Or Exceeded 22 10 $466.00 $466.00 $295.44 $456.68 $426.39 2026-10-12
76816 HCPCS US OB F/u Repeat 25 11 $438.50 $438.50 $109.00 $429.73 $425.34 2026-10-12
J1610 HCPCS Glucagon (glucagen Emer Kit) 1mg Inj 25 11 $436.80 $436.80 $180.50 $428.06 $423.70 2026-10-12
26770 HCPCS Edp Closed Tx Dislocated Finger W/manipu 34 11 $439.00 $439.00 $278.33 $439.00 $421.44 2026-10-12
99236 HCPCS Admit/disc Same Day Iii Obs/inpt 23 11 $458.40 $458.40 $185.90 $449.23 $419.44 2026-10-12
74022 HCPCS Xr Abdomen Acute Series 25 11 $429.27 $429.27 $48.44 $420.68 $416.39 2026-10-12
12034 HCPCS Ed Lac Rpr Intrmdt S/a/t/ext 7.6-12.5 19 11 $429.00 $429.00 $202.86 $459.05 $416.13 2026-10-12
76857 HCPCS US Pelvis Limited 25 11 $426.00 $426.00 $50.08 $417.48 $413.22 2026-10-12
76802 HCPCS US OB 1st Tri Add Fetus 25 11 $425.50 $425.50 $59.24 $416.99 $412.74 2026-10-12
76815 HCPCS US OB Limited 25 11 $420.50 $420.50 $79.86 $412.09 $407.88 2026-10-12
72052 HCPCS Xr Cervical Spine Complete View 25 11 $416.85 $416.85 $61.53 $408.51 $404.34 2026-10-12
12032 HCPCS Edp Lac Rpr Intrmdt S/a/t/ext 2.6-7.5 82 11 $428.50 $428.50 $185.94 $468.42 $399.85 2026-10-12
84445 HCPCS Thyroid Stimulating Immunoglobulin 25 11 $406.88 $406.88 $49.84 $403.64 $398.74 2026-10-12
71250 HCPCS Ldct Chest Surveillance 49 11 $405.00 $405.00 $129.95 $1,368.47 $396.90 2026-10-12
71271 HCPCS CT Ldct Chest Screening 25 11 $405.00 $405.00 $133.54 $396.90 $392.85 2026-10-12
72110 HCPCS Xr L-spine Complete 25 11 $401.25 $401.25 $52.37 $393.22 $389.21 2026-10-12
76856 HCPCS US Pelvic GYN Complete 49 11 $640.25 $640.25 $103.11 $627.44 $389.06 2026-10-12
J1327 HCPCS Eptifibatide (integrilin) 75mg/100ml Inj 24 10 $388.00 $388.00 $245.99 $380.24 $378.30 2026-10-12
G0379 HCPCS Observation Direct Admission 24 10 $384.00 $384.00 $243.46 $376.32 $374.40 2026-10-12
86356 HCPCS Pnh By Flow Cytometry 35 11 $414.20 $414.20 $26.24 $410.82 $372.78 2026-10-12
13131 HCPCS Cl Lac Rpr Comp Face/ext 1.1-2.5 Cm 25 11 $378.00 $378.00 $239.65 $370.44 $370.44 2026-10-12
80325 HCPCS Amphetamines Quant Urine 25 11 $377.64 $377.64 $12.74 $374.99 $370.09 2026-10-12
99235 HCPCS Admit/disc Same Day Ii Obs/inpt 23 11 $399.95 $399.95 $140.08 $391.95 $365.95 2026-10-12
86361 HCPCS Cd4 11 11 $380.84 $380.84 $26.24 $373.22 $365.61 2026-10-12
86360 HCPCS Cd8 11 11 $380.84 $380.84 $46.04 $373.22 $365.61 2026-10-12
26320 HCPCS Removal Of Implant Finger Or Hand 25 11 $373.80 $373.80 $236.99 $366.32 $362.59 2026-10-12
73521 HCPCS Xr Bil Hip With Ap Pelvis-rt,right Side Of Body 49 11 $372.50 $372.50 $40.92 $365.12 $361.39 2026-10-12
99254 HCPCS Hosp In/obs Consult 60 Met Or Exceeded 22 10 $386.00 $386.00 $244.72 $378.28 $353.19 2026-10-12
99285 HCPCS Edp ER Visit V 58 11 $357.16 $357.16 $167.88 $823.20 $350.02 2026-10-12
90651 HCPCS Cl-hpv 9-valent Vacc (gardasil 9) Inj 24 10 $356.50 $356.50 $257.09 $397.40 $349.37 2026-10-12
74019 HCPCS Xr Abdomen 2v 25 11 $350.19 $350.19 $35.35 $343.19 $339.68 2026-10-12
87517 HCPCS Hbv By Quantitative Naat 25 11 $342.72 $342.72 $41.98 $340.77 $335.87 2026-10-12
87522 HCPCS Hepatitis C Viral RNA Quant (pcr)-serum 25 11 $342.72 $342.72 $41.98 $340.77 $335.87 2026-10-12
93321 HCPCS US Cardiac Doppler Limited 25 11 $341.25 $341.25 $24.87 $334.42 $331.01 2026-10-12
70330 HCPCS Xr Tmj Bilateral 25 11 $340.95 $340.95 $52.37 $334.13 $330.72 2026-10-12
92523 HCPCS St Eval Sound Production/lang Comp,speech-language Pathology 11 11 $341.00 $341.00 $216.19 $334.18 $327.36 2026-10-12
99234 HCPCS Admit/disc Same Day I Obs/inpt 23 11 $357.40 $357.40 $86.41 $350.25 $327.02 2026-10-12
87799 HCPCS Bk Virus 25 11 $331.10 $331.10 $41.98 $329.38 $324.48 2026-10-12
99220 HCPCS Obs Initial Visit Iii 23 11 $351.00 $351.00 $175.15 $343.98 $321.17 2026-10-12
99223 HCPCS Hosp Inpatient Initial Level Iii 23 11 $351.00 $351.00 $153.17 $343.98 $321.17 2026-10-12
72082 HCPCS Xr Scoliosis Series 25 11 $324.00 $324.00 $70.37 $317.52 $314.28 2026-10-12
72080 HCPCS Xr Thoracolumbar 2 View 25 11 $323.27 $323.27 $34.37 $316.80 $313.57 2026-10-12
G0480 HCPCS Clobazam And Metabolite 70 11 $320.40 $320.40 $53.13 $588.00 $313.44 2026-10-12
83970 HCPCS Pth Intact 25 11 $319.50 $319.50 $40.45 $318.01 $313.11 2026-10-12
73522 HCPCS Xr Bil Hips 3-4 Views 25 11 $322.75 $322.75 $53.35 $316.30 $313.07 2026-10-12
11604 HCPCS Excision Malig Lesion 3.1 - 4.0 Cm 25 11 $320.30 $320.30 $203.07 $313.89 $310.69 2026-10-12
73030 HCPCS Xr Shoulder Unilateral-lt,left Side Of Body 39 11 $316.29 $316.29 $35.03 $309.96 $309.96 2026-10-12
93225 HCPCS Holter 24 Hrs 25 11 $319.00 $319.00 $17.68 $312.62 $309.43 2026-10-12
93270 HCPCS Holter Extended Monitor 25 11 $319.00 $319.00 $8.18 $312.62 $309.43 2026-10-12
93246 HCPCS Holter 7-14 Days 25 11 $319.00 $319.00 $11.46 $312.62 $309.43 2026-10-12
70110 HCPCS Xr Mandible Bilateral 25 11 $317.00 $317.00 $42.23 $310.66 $307.49 2026-10-12
P9021 HCPCS Prbc Unit 1 Interp 34 10 $309.34 $309.34 $196.12 $612.50 $303.15 2026-10-12
82024 HCPCS Acth 25 11 $308.96 $308.96 $37.85 $307.68 $302.78 2026-10-12
31500 HCPCS Edp Intubation 58 11 $313.10 $313.10 $130.24 $318.50 $302.14 2026-10-12
81256 HCPCS Hemochromatosis Mutation 25 11 $308.22 $308.22 $64.05 $306.96 $302.06 2026-10-12
71110 HCPCS Xr Ribs Bilateral 25 11 $311.20 $311.20 $41.90 $304.98 $301.86 2026-10-12
82652 HCPCS Vitamin D3 25 11 $308.00 $308.00 $37.73 $306.74 $301.84 2026-10-12
73562 HCPCS Xr Knee 3 View-lt,left Side Of Body 39 11 $306.75 $306.75 $41.57 $300.62 $300.62 2026-10-12
83880 HCPCS Pro-bnp 49 11 $311.08 $311.08 $38.47 $312.70 $299.96 2026-10-12
93325 HCPCS US Color Flow Doppler,m 25 11 $309.00 $309.00 $23.24 $302.82 $299.73 2026-10-12
72072 HCPCS Xr T-spine + Swimmers 25 11 $307.85 $307.85 $37.97 $301.69 $298.61 2026-10-12
70200 HCPCS Xr Orbits 25 11 $302.75 $302.75 $45.82 $296.70 $293.67 2026-10-12
90620 HCPCS Cl-meningococcal Group B Vacc (bexsero) 24 10 $300.80 $300.80 $190.71 $294.78 $293.28 2026-10-12
72100 HCPCS Xr L-spine Routine 25 11 $299.75 $299.75 $39.60 $293.76 $290.76 2026-10-12
41251 HCPCS Ed Lac Rpr Mouth Post.1/3 Tongue <2.5 Cm 20 11 $378.00 $378.00 $187.66 $370.44 $290.08 2026-10-12
86355 HCPCS B Cells Total Count 11 11 $301.84 $301.84 $36.98 $295.80 $289.77 2026-10-12
71101 HCPCS Xr Ribs Uni & Pa Chest-lt,left Side Of Body 39 11 $295.00 $295.00 $40.92 $289.10 $289.10 2026-10-12
72040 HCPCS Xr Cervical Spine Ap Lat 25 11 $296.75 $296.75 $38.96 $290.82 $287.85 2026-10-12
88307 HCPCS Path Dx High 25 11 $289.72 $289.72 $186.61 $288.44 $283.93 2026-10-12
94060 HCPCS Pft Pre/post,technical Component 25 11 $291.00 $291.00 $42.55 $285.18 $282.27 2026-10-12
82088 HCPCS Aldosterone 25 11 $287.10 $287.10 $39.94 $286.26 $281.36 2026-10-12
11642 HCPCS Excision Malig.lesion 1.1-2.0 Cm 25 11 $289.80 $289.80 $183.73 $284.00 $281.11 2026-10-12
90710 HCPCS Cl-measles/mumps/rubulla/vari (proquad) 48 10 $323.25 $323.25 $181.45 $395.80 $280.48 2026-10-12
93242 HCPCS Holter 3-7 Days 25 11 $285.00 $285.00 $11.46 $279.30 $276.45 2026-10-12
71046 HCPCS Xr Chest 2 Views 25 11 $285.00 $285.00 $32.41 $279.30 $276.45 2026-10-12
87486 HCPCS Chlamydia Pneumonia 25 11 $280.72 $280.72 $34.39 $280.01 $275.11 2026-10-12
87491 HCPCS Chlamydia DNA Probe 25 11 $280.72 $280.72 $34.39 $280.01 $275.11 2026-10-12
71100 HCPCS Xr Ribs Unilateral-lt,left Side Of Body 39 11 $280.50 $280.50 $35.35 $274.89 $274.89 2026-10-12
83013 HCPCS H Pylori Breath Test 25 11 $282.91 $282.91 $66.01 $277.25 $274.42 2026-10-12
87661 HCPCS Trichomonas Vaginalis By Tma 11 11 $285.72 $285.72 $34.39 $280.01 $274.29 2026-10-12
87529 HCPCS Cu Herpes 35 11 $280.72 $280.72 $34.39 $280.01 $274.29 2026-10-12
87521 HCPCS Hcv RNA By Pcr 35 11 $280.72 $280.72 $34.39 $280.01 $274.29 2026-10-12
73590 HCPCS Xr Tibia/fibula - Lt,left Side Of Body 39 11 $279.82 $279.82 $30.77 $274.22 $274.22 2026-10-12
73080 HCPCS Xr Elbow Complete 3v-lt,left Side Of Body 39 11 $279.75 $279.75 $32.41 $274.16 $274.16 2026-10-12
92950 HCPCS Edp Cardiopulmonary Resuscitation 59 11 $279.31 $279.31 $177.08 $406.70 $273.72 2026-10-12
72202 HCPCS Xr S/i Joints 3 View 25 11 $281.00 $281.00 $37.97 $275.38 $272.57 2026-10-12
73000 HCPCS Xr Clavicle Unilateral-lt,left Side Of Body 39 11 $277.67 $277.67 $32.73 $272.12 $272.12 2026-10-12
70260 HCPCS Xr Skull Entire 25 11 $280.25 $280.25 $42.88 $274.64 $271.84 2026-10-12
73552 HCPCS Xr Femur Unilateral-lt,left Side Of Body 39 11 $277.24 $277.24 $35.03 $271.70 $271.70 2026-10-12
73560 HCPCS Xr Knee Ap/lat Unilateral-lt,left Side Of Body 39 11 $276.95 $276.95 $33.71 $271.41 $271.36 2026-10-12
73070 HCPCS Xr Elbow Limited 2v Unilateral-lt,left Side Of Body 39 11 $276.57 $276.57 $28.80 $271.04 $271.04 2026-10-12
73110 HCPCS Xr Wrist Unilateral-lt,left Side Of Body 39 11 $275.50 $275.50 $41.90 $269.99 $269.99 2026-10-12
12051 HCPCS Cl Lac Rpr Int Face/ears <=2.5cm 25 11 $275.10 $275.10 $174.41 $269.60 $269.60 2026-10-12
73610 HCPCS Xr Ankle Routine-rt,right Side Of Body 39 11 $272.61 $272.61 $36.33 $267.16 $267.16 2026-10-12
73130 HCPCS Xr Hand Routine-lt,left Side Of Body 49 11 $274.70 $274.70 $37.32 $269.26 $266.51 2026-10-12
73630 HCPCS Xr Foot Complete Unilateral-lt,left Side Of Body 39 11 $271.05 $271.05 $33.39 $265.63 $265.63 2026-10-12
73020 HCPCS Xr Shoulder Limited-lt,left Side Of Body 39 11 $269.93 $269.93 $21.28 $264.53 $264.53 2026-10-12
71045 HCPCS Xr Chest 1 View 25 11 $271.83 $271.83 $24.87 $266.39 $263.68 2026-10-12
11623 HCPCS Excision Malignant Lesion 2.1-3 25 11 $268.80 $268.80 $170.42 $263.42 $263.42 2026-10-12
0320 RC — 10 10 $272.61 $272.61 $172.83 $267.16 $263.07 2026-10-12
96360 HCPCS Ed IV Infus Hydration Initial 31m-1h 25 11 $269.66 $269.66 $32.73 $264.27 $261.57 2026-10-12
70150 HCPCS Xr Facial Bones Complete 25 11 $268.85 $268.85 $45.82 $263.47 $260.78 2026-10-12
96365 HCPCS Ed IV Infusion Initial Up To 1 Hr 26 11 $269.66 $269.66 $65.79 $264.27 $260.22 2026-10-12
65222 HCPCS Removal Of Foreign Body Eye 25 11 $267.80 $267.80 $65.46 $262.44 $259.77 2026-10-12
73501 HCPCS Xr Hip 1 View-lt,left Side Of Body 39 11 $264.49 $264.49 $33.06 $259.20 $259.20 2026-10-12
70220 HCPCS Xr Sinus 3 Views 25 11 $265.60 $265.60 $36.99 $260.29 $257.63 2026-10-12
12006 HCPCS Edp Lac Simple S/n/ext 20.1-30cm 59 11 $319.73 $319.73 $113.19 $319.73 $255.78 2026-10-12
72070 HCPCS Xr T-spine Routine 25 11 $263.55 $263.55 $32.41 $258.28 $255.64 2026-10-12
73060 HCPCS Xr Humerus Unilateral-lt,left Side Of Body 39 11 $260.75 $260.75 $31.42 $255.54 $255.54 2026-10-12
80321 HCPCS Phosphatidylethanol 25 11 $260.20 $260.20 $13.20 $259.90 $255.00 2026-10-12
90734 HCPCS Cl-meningococcal Acy&w-135con (menactra) 34 10 $270.40 $270.40 $164.92 $264.99 $254.93 2026-10-12
80074 HCPCS Acute Hepatitis Panel 25 11 $258.20 $258.20 $46.68 $257.94 $253.04 2026-10-12
99306 HCPCS Nursing Facility Initial Admit 48 11 $290.99 $290.99 $163.57 $285.17 $252.84 2026-10-12
70140 HCPCS Xr Face Limited 25 11 $257.50 $257.50 $31.10 $252.35 $249.78 2026-10-12
99222 HCPCS Hosp Inpatient Initial Level Ii 23 11 $272.75 $272.75 $114.55 $267.30 $249.57 2026-10-12
99219 HCPCS Obs Initial Visit Ii 23 11 $271.55 $271.55 $129.73 $266.12 $248.47 2026-10-12
95800 HCPCS Sleep Study 25 11 $255.30 $255.30 $138.45 $250.19 $247.64 2026-10-12
72220 HCPCS Xr Sacrum/coccyx 2 View 25 11 $254.75 $254.75 $31.42 $249.66 $247.11 2026-10-12
71120 HCPCS Xr Sternum 2 Views 25 11 $253.25 $253.25 $32.41 $248.18 $245.65 2026-10-12
12035 HCPCS Edp Lac Rpr Intmd S/a/t/ext12.6-20cm 59 11 $244.85 $244.85 $155.23 $420.42 $244.85 2026-10-12
73010 HCPCS Xr Scapula Unilateral-lt,left Side Of Body 39 11 $249.78 $249.78 $24.55 $244.78 $244.74 2026-10-12
73140 HCPCS Xr Fingers-lt,left Side Of Body 39 11 $249.25 $249.25 $38.62 $244.26 $244.26 2026-10-12
80307 HCPCS Salicylates 49 11 $300.00 $300.00 $60.90 $294.00 $243.59 2026-10-12
71130 HCPCS Xr Sterno-clavicular Joint 25 11 $251.00 $251.00 $40.59 $245.98 $243.47 2026-10-12
99253 HCPCS Hosp In/obs Consult 45 Met Or Exceeded 22 10 $266.00 $266.00 $168.64 $260.68 $243.39 2026-10-12
90670 HCPCS Pneumococcal 13-val Conj (prevnar 13) 25 11 $248.30 $248.30 $157.42 $243.33 $243.33 2026-10-12
73050 HCPCS Xr Shoulder Bilat Acromioclav Joint Vw-l,left Side Of Body 39 11 $248.00 $248.00 $29.78 $243.04 $243.04 2026-10-12
90792 HCPCS Psychiatric Diagnostic Med Eval- Np 25 11 $249.33 $249.33 $158.08 $244.34 $241.85 2026-10-12
97167 HCPCS Ot Ther Eval- High Complexity,ot Service 25 11 $249.00 $249.00 $98.53 $244.02 $241.53 2026-10-12
83010 HCPCS Haptoglobin 25 11 $246.25 $246.25 $12.33 $246.22 $241.32 2026-10-12
99284 HCPCS Edp ER Visit IV 58 11 $246.00 $246.00 $115.86 $611.52 $241.08 2026-10-12
70250 HCPCS Xr Skull Limited 25 11 $248.25 $248.25 $35.03 $243.28 $240.80 2026-10-12
73090 HCPCS Xr Forearm Unilateral-lt,left Side Of Body 39 11 $245.41 $245.41 $28.48 $240.50 $240.50 2026-10-12
70160 HCPCS Xr Nasal Bones-complete 25 11 $247.75 $247.75 $36.66 $242.80 $240.32 2026-10-12
J1756 HCPCS Iron Sucrose (venofer) 100mg/5ml Inj 25 11 $247.10 $247.10 $0.23 $242.16 $239.69 2026-10-12
73100 HCPCS Xr Wrist 2 View-lt,left Side Of Body 39 11 $244.50 $244.50 $33.71 $239.61 $239.61 2026-10-12
73600 HCPCS Xr Ankle 2 View-lt,left Side Of Body 39 11 $241.50 $241.50 $31.75 $236.67 $236.67 2026-10-12
73502 HCPCS Xr Hip Unilateral-lt,left Side Of Body 77 11 $296.63 $296.63 $47.78 $290.70 $236.67 2026-10-12
70210 HCPCS Xr Sinus 1-2 Views 25 11 $242.75 $242.75 $31.75 $237.90 $235.47 2026-10-12
86320 HCPCS Immunoelectrophoresis-serum 24 10 $239.36 $239.36 $154.92 $239.47 $234.57 2026-10-12
73620 HCPCS Xr Foot 2 View-lt,left Side Of Body 39 11 $239.25 $239.25 $28.15 $234.46 $234.46 2026-10-12
12005 HCPCS Edp Lac Rpr Smpl S/n/a/gen/t 12.6-20 83 11 $243.60 $243.60 $87.62 $273.62 $232.58 2026-10-12
11641 HCPCS Excision Malignant Lesion 1.1- 25 11 $237.30 $237.30 $150.45 $232.55 $232.39 2026-10-12
72170 HCPCS Xr Pelvis Ap View 25 11 $239.00 $239.00 $27.50 $234.22 $231.83 2026-10-12
99205 HCPCS New Patient Level V 25 11 $235.20 $235.20 $149.12 $230.50 $230.50 2026-10-12
12031 HCPCS Edp Lac Intra S/a/t/ext <2.5 84 11 $234.20 $234.20 $145.27 $409.79 $229.52 2026-10-12
70360 HCPCS Xr Neck Soft Tissue Unilateral 25 11 $236.50 $236.50 $30.44 $231.77 $229.40 2026-10-12
91322 HCPCS Covid-19 Moderna Vaccine 0.5 Ml 25 11 $236.28 $236.28 $149.80 $231.55 $229.19 2026-10-12
86335 HCPCS Immunoelectro-urine (24 Hr) 24 10 $234.80 $234.80 $148.86 $230.10 $228.93 2026-10-12
73120 HCPCS Xr Hand Limited-lt,left Side Of Body 39 11 $231.50 $231.50 $30.77 $226.87 $226.87 2026-10-12
70100 HCPCS Xr Mandible 2-3 Views,technical Component 25 11 $233.70 $233.70 $39.60 $229.03 $226.69 2026-10-12
73650 HCPCS Xr Calcaneousl Routine-lt,left Side Of Body 39 11 $230.00 $230.00 $27.82 $225.40 $225.40 2026-10-12
72020 HCPCS Xr Spine 1 View 25 11 $232.25 $232.25 $23.24 $227.60 $225.28 2026-10-12
82670 HCPCS Estradiol 25 11 $229.45 $229.45 $27.38 $229.76 $224.86 2026-10-12
11404 HCPCS Excision Benign Lesion 3.1 To 4.0c 25 11 $228.90 $228.90 $145.12 $224.32 $224.32 2026-10-12
E0601 HCPCS Cpap Auto Titrating Unit 8 8 $240.00 $240.00 $152.16 $235.20 $223.20 2026-10-12
73565 HCPCS Xr Bil Ap Wb Knee 25 11 $229.19 $229.19 $41.24 $224.61 $222.31 2026-10-12
97166 HCPCS Ot Ther Eval- Moderate Complexity,ot Service 25 11 $229.00 $229.00 $98.53 $224.42 $222.13 2026-10-12
58300 HCPCS IUD Insertion 24 10 $227.40 $227.40 $144.17 $222.85 $221.72 2026-10-12
76010 HCPCS Xr Foreign Body Child Cxr/abd 25 11 $227.85 $227.85 $28.15 $223.29 $221.01 2026-10-12
58301 HCPCS IUD Removal 25 11 $227.40 $227.40 $109.31 $222.85 $220.58 2026-10-12
84207 HCPCS Vitamin B6 25 11 $224.80 $224.80 $27.54 $225.20 $220.30 2026-10-12
86927 HCPCS Ffp Unit 1 Available 24 10 $225.00 $225.00 $142.65 $220.50 $219.38 2026-10-12
73660 HCPCS Xr Toes-lt,left Side Of Body 39 11 $223.75 $223.75 $28.15 $219.28 $219.28 2026-10-12
99358 HCPCS Non Contact E/m 11 11 $227.04 $227.04 $108.42 $222.50 $217.96 2026-10-12
16025 HCPCS Edp Dres/debrid Par-thick Burn 5-10% Bsa 34 11 $225.90 $225.90 $114.79 $225.90 $216.86 2026-10-12
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