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

GENOA COMMUNITY HOSPITAL

Genoa, NE · CCN 281312 · Rates published

Your selected procedure

You selected 70551 (CPT)

Mribrainw/ocontrast

This hospital’s price: $2,227 across 4 payers · range $2,227-$4,186

Source: https://secure.claraprice.net/price-transparency/60faecd27d40231ea612e844/machine-readable/47-6006197_genoa-medical-facilities_standardcharges.json · observed 2026-03-13

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.

2,789 distinct procedures filed
4 distinct payers
13,754 rate rows
2026-03-13 last MRF observed
Data quality

13,724 of 13,754 rate rows are consumer-grade (99.8%)

30 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 30
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://secure.claraprice.net/price-transparency/60faecd27d40231ea612e844/machine-readable/47-6006197_genoa-medical-facilities_standardcharges.json
Found on page https://www.genoamedical.org/getpage.php
Discovered viaDiscovered by HANK
Last fetch success · 2026-09-25
Content fingerprint 3ed40bf7847545fa… · 5,133,514 bytes · first seen 2026-09-25

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
CSM140
CDM 		Surgimesh/tintrae-1522 4 $3,800.00 $7,143.00 $3,800.00 nat. median
$3,800
1.0× median
74178
CPT 		Ctabdandpelviswithandw/ocontrast 4 $3,408.00 $6,408.00 $3,408.00 nat. median
$539
outlier · 6.3×
74174
CPT 		CTA Angiogram Abdomen/pelvis With Contrast 4 $3,313.00 $6,229.00 $3,313.00 nat. median
$549
outlier · 6.0×
59510
CPT 		Obstetric Care, Planned Cesarean Delivery 4 $3,205.00 $6,025.00 $3,205.00 nat. median
$3,349
1.0× median
SL1000
CDM 		Lapcholeinstruments-york 4 $3,149.00 $5,921.00 $3,149.00 nat. median
$3,149
1.0× median
74177
CPT 		CT Scan Of Abdomen And Pelvis With Contrast 4 $2,871.00 $5,397.00 $2,871.00 nat. median
$501
outlier · 5.7×
72157
CPT 		Mrit-spinew/o&wcontrast 4 $2,656.00 $4,993.00 $2,656.00 nat. median
$624
outlier · 4.3×
95811
CPT 		Splitnightpolysomnogram(sleepstudy) 4 $2,653.00 $4,988.00 $2,653.00 nat. median
$1,412
1.9× median
74183
CPT 		Mriabdomenw/oandwcontrast 4 $2,647.00 $4,977.00 $2,647.00 nat. median
$611
outlier · 4.3×
72156
CPT 		Mric-spinew/o&wcontrast 4 $2,624.00 $4,934.00 $2,624.00 nat. median
$625
outlier · 4.2×
CSM327
CDM 		Mesh,parietex10x8 4 $2,592.00 $4,873.00 $2,592.00 nat. median
$2,592
1.0× median
CSM139
CDM 		Surgimesh/tintrac-15 4 $2,519.00 $4,736.00 $2,519.00 nat. median
$2,519
1.0× median
72197
CPT 		Mripelvisw/oandwcontrast 4 $2,507.00 $4,713.00 $2,507.00 nat. median
$606
outlier · 4.1×
72158
CPT 		Mril-spinew/o&wcontrast 4 $2,472.00 $4,646.00 $2,472.00 nat. median
$616
outlier · 4.0×
74176
CPT 		Ctabdandpelviswithoutcontrast 4 $2,458.00 $4,621.00 $2,458.00 nat. median
$333
outlier · 7.4×
CSS228
CDM 		Staplerceea25mm 4 $2,397.00 $4,507.00 $2,397.00 nat. median
$2,397
1.0× median
CSS227
CDM 		Staplerceea28mm 4 $2,397.00 $4,507.00 $2,397.00 nat. median
$2,397
1.0× median
CSS229
CDM 		Staplerceea31mm 4 $2,396.00 $4,504.00 $2,396.00 nat. median
$2,396
1.0× median
PE200
CDM 		Evenity(romosozumab Aqqg) 210mg/2.34ml Syringe 4 $2,384.00 $4,481.00 $2,384.00 nat. median
$2,384
1.0× median
70553
CPT 		MRI Scan 4 $2,369.00 $4,453.00 $2,369.00 nat. median
$616
outlier · 3.8×
95810
CPT 		Sleep Study 4 $2,361.00 $4,439.00 $2,361.00 nat. median
$1,446
1.6× median
392
CDM 		Platelets 4 $2,359.00 $4,436.00 $2,359.00 nat. median
$1
36569
CDM 		Picclineinsertion/columbushospital 4 $2,348.00 $4,415.00 $2,348.00 nat. median
$2,348
1.0× median
73223
CPT 		Mriupperextjointw/o&w 4 $2,326.00 $4,374.00 $2,326.00 nat. median
$757
outlier · 3.1×
70552
CPT 		Mribrainwcontrast 4 $2,295.00 $4,314.00 $2,295.00 nat. median
$597
outlier · 3.8×
73723
CPT 		Mrilowerextjointw/o&w 4 $2,266.00 $4,260.00 $2,266.00 nat. median
$756
outlier · 3.0×
71552
CPT 		Mrichestw/oandwcontrast 4 $2,253.00 $4,235.00 $2,253.00 nat. median
$691
outlier · 3.3×
75635
CPT 		CTA Of Abdomen W/runoff-with And W/out Contrast 4 $2,241.00 $4,213.00 $2,241.00 nat. median
$355
outlier · 6.3×
CSM134
CDM 		Mriimplantedportbardport 4 $2,233.00 $4,197.00 $2,233.00 nat. median
$2,233
1.0× median
70551
CPT 		Mribrainw/ocontrast 4 $2,227.00 $4,186.00 $2,227.00 nat. median
$429
outlier · 5.2×
70543
CPT 		Mriorbit/face/s.t.neckw/o&w 4 $2,203.00 $4,142.00 $2,203.00 nat. median
$605
outlier · 3.6×
74185
CPT 		Mriabdomenw/oandorwcontrast 4 $2,197.00 $4,131.00 $2,197.00 nat. median
$853
outlier · 2.6×
72141
CPT 		Mric-spinew/ocontrast 4 $2,170.00 $4,080.00 $2,170.00 nat. median
$429
outlier · 5.1×
73220
CPT 		Mriupperextnon-jointw/o&w 4 $2,169.00 $4,079.00 $2,169.00 nat. median
$737
outlier · 2.9×
72146
CPT 		Mrit-spinew/ocontrast 4 $2,118.00 $3,982.00 $2,118.00 nat. median
$421
outlier · 5.0×
73722
CPT 		Mrilowerextjointw/ 4 $2,115.00 $3,975.00 $2,115.00 nat. median
$1,003
outlier · 2.1×
72148
CPT 		MRI Scan Of Lower Spinal Canal 4 $2,086.00 $3,921.00 $2,086.00 nat. median
$408
outlier · 5.1×
70544
CPT 		Mriheadw/ocontrast 4 $2,064.00 $3,880.00 $2,064.00 nat. median
$435
outlier · 4.7×
71275
CPT 		CT Angiography Chest 4 $2,059.00 $3,871.00 $2,059.00 nat. median
$365
outlier · 5.6×
72142
CPT 		Mric-spinewcontrast 4 $2,041.00 $3,838.00 $2,041.00 nat. median
$541
outlier · 3.8×
73720
CPT 		Mrilowerextnonjointw/o&w 4 $2,021.00 $3,800.00 $2,021.00 nat. median
$754
outlier · 2.7×
74175
CPT 		CT Angiography Abdomen W/contrast/noncontrast 4 $2,020.00 $3,798.00 $2,020.00 nat. median
$355
outlier · 5.7×
74181
CPT 		Mriabdomenw/ocontrast 4 $2,015.00 $3,789.00 $2,015.00 nat. median
$428
outlier · 4.7×
72198
CPT 		Mripelvisw/oandorwcontrast 4 $1,974.00 $3,710.00 $1,974.00 nat. median
$735
outlier · 2.7×
73222
CPT 		Mriupperextjointwcontrast 4 $1,974.00 $3,711.00 $1,974.00 nat. median
$1,026
1.9× median
73725
CPT 		Mrilowerextw/oandorw 4 $1,974.00 $3,710.00 $1,974.00 nat. median
$774
outlier · 2.5×
72195
CPT 		Mripelvisw/ocontrast 4 $1,971.00 $3,705.00 $1,971.00 nat. median
$437
outlier · 4.5×
72149
CPT 		Mril-spinew/contrast 4 $1,950.00 $3,666.00 $1,950.00 nat. median
$549
outlier · 3.5×
CSM245
CDM 		Mesh,parietex6x4 4 $1,942.00 $3,650.00 $1,942.00 nat. median
$1,942
1.0× median
SC1000
CDM 		Colonoscopy-procedurew/oanes 4 $1,928.00 $3,625.00 $1,928.00 nat. median
$1,928
1.0× median

Other procedures at this hospital

Browse this hospital's 2,789 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
             
CSM140 CDM Surgimesh/tintrae-1522 4 4 $6,440.00 $5,796.00 $3,800.00 $7,143.00 $3,800.00 2026-03-13
74178 CPT Ctabdandpelviswithandw/ocontrast 4 4 $5,777.00 $5,199.00 $3,408.00 $6,408.00 $3,408.00 2026-03-13
74174 CPT CTA Angiogram Abdomen/pelvis With Contrast 4 4 $5,616.00 $5,054.00 $3,313.00 $6,229.00 $3,313.00 2026-03-13
59510 CPT Obstetric Care, Planned Cesarean Delivery 4 4 $5,432.00 $4,889.00 $3,205.00 $6,025.00 $3,205.00 2026-03-13
SL1000 CDM Lapcholeinstruments-york 4 4 $5,338.00 $4,804.00 $3,149.00 $5,921.00 $3,149.00 2026-03-13
74177 CPT CT Scan Of Abdomen And Pelvis With Contrast 4 4 $4,866.00 $4,379.00 $2,871.00 $5,397.00 $2,871.00 2026-03-13
72157 CPT Mrit-spinew/o&wcontrast 4 4 $4,501.00 $4,051.00 $2,656.00 $4,993.00 $2,656.00 2026-03-13
95811 CPT Splitnightpolysomnogram(sleepstudy) 4 4 $4,497.00 $4,047.00 $2,653.00 $4,988.00 $2,653.00 2026-03-13
74183 CPT Mriabdomenw/oandwcontrast 4 4 $4,487.00 $4,038.00 $2,647.00 $4,977.00 $2,647.00 2026-03-13
72156 CPT Mric-spinew/o&wcontrast 4 4 $4,448.00 $4,003.00 $2,624.00 $4,934.00 $2,624.00 2026-03-13
CSM327 CDM Mesh,parietex10x8 4 4 $4,393.00 $3,954.00 $2,592.00 $4,873.00 $2,592.00 2026-03-13
CSM139 CDM Surgimesh/tintrac-15 4 4 $4,270.00 $3,843.00 $2,519.00 $4,736.00 $2,519.00 2026-03-13
72197 CPT Mripelvisw/oandwcontrast 4 4 $4,249.00 $3,824.00 $2,507.00 $4,713.00 $2,507.00 2026-03-13
72158 CPT Mril-spinew/o&wcontrast 4 4 $4,189.00 $3,770.00 $2,472.00 $4,646.00 $2,472.00 2026-03-13
74176 CPT Ctabdandpelviswithoutcontrast 4 4 $4,166.00 $3,749.00 $2,458.00 $4,621.00 $2,458.00 2026-03-13
CSS228 CDM Staplerceea25mm 4 4 $4,063.00 $3,657.00 $2,397.00 $4,507.00 $2,397.00 2026-03-13
CSS227 CDM Staplerceea28mm 4 4 $4,063.00 $3,657.00 $2,397.00 $4,507.00 $2,397.00 2026-03-13
CSS229 CDM Staplerceea31mm 4 4 $4,061.00 $3,655.00 $2,396.00 $4,504.00 $2,396.00 2026-03-13
PE200 CDM Evenity(romosozumab Aqqg) 210mg/2.34ml Syringe 4 4 $4,040.00 $3,636.00 $2,384.00 $4,481.00 $2,384.00 2026-03-13
70553 CPT MRI Scan 4 4 $4,015.00 $3,614.00 $2,369.00 $4,453.00 $2,369.00 2026-03-13
95810 CPT Sleep Study 4 4 $4,002.00 $3,602.00 $2,361.00 $4,439.00 $2,361.00 2026-03-13
392 CDM Platelets 4 4 $3,999.00 $3,599.00 $2,359.00 $4,436.00 $2,359.00 2026-03-13
36569 CDM Picclineinsertion/columbushospital 4 4 $3,980.00 $3,582.00 $2,348.00 $4,415.00 $2,348.00 2026-03-13
73223 CPT Mriupperextjointw/o&w 4 4 $3,943.00 $3,549.00 $2,326.00 $4,374.00 $2,326.00 2026-03-13
70552 CPT Mribrainwcontrast 4 4 $3,889.00 $3,500.00 $2,295.00 $4,314.00 $2,295.00 2026-03-13
73723 CPT Mrilowerextjointw/o&w 4 4 $3,841.00 $3,457.00 $2,266.00 $4,260.00 $2,266.00 2026-03-13
71552 CPT Mrichestw/oandwcontrast 4 4 $3,818.00 $3,436.00 $2,253.00 $4,235.00 $2,253.00 2026-03-13
75635 CPT CTA Of Abdomen W/runoff-with And W/out Contrast 4 4 $3,798.00 $3,418.00 $2,241.00 $4,213.00 $2,241.00 2026-03-13
CSM134 CDM Mriimplantedportbardport 4 4 $3,784.00 $3,406.00 $2,233.00 $4,197.00 $2,233.00 2026-03-13
70551 CPT Mribrainw/ocontrast 4 4 $3,774.00 $3,397.00 $2,227.00 $4,186.00 $2,227.00 2026-03-13
70543 CPT Mriorbit/face/s.t.neckw/o&w 4 4 $3,734.00 $3,361.00 $2,203.00 $4,142.00 $2,203.00 2026-03-13
74185 CPT Mriabdomenw/oandorwcontrast 4 4 $3,724.00 $3,352.00 $2,197.00 $4,131.00 $2,197.00 2026-03-13
72141 CPT Mric-spinew/ocontrast 4 4 $3,678.00 $3,310.00 $2,170.00 $4,080.00 $2,170.00 2026-03-13
73220 CPT Mriupperextnon-jointw/o&w 4 4 $3,677.00 $3,309.00 $2,169.00 $4,079.00 $2,169.00 2026-03-13
72146 CPT Mrit-spinew/ocontrast 4 4 $3,590.00 $3,231.00 $2,118.00 $3,982.00 $2,118.00 2026-03-13
73722 CPT Mrilowerextjointw/ 4 4 $3,584.00 $3,226.00 $2,115.00 $3,975.00 $2,115.00 2026-03-13
72148 CPT MRI Scan Of Lower Spinal Canal 4 4 $3,535.00 $3,182.00 $2,086.00 $3,921.00 $2,086.00 2026-03-13
70544 CPT Mriheadw/ocontrast 4 4 $3,498.00 $3,148.00 $2,064.00 $3,880.00 $2,064.00 2026-03-13
71275 CPT CT Angiography Chest 4 4 $3,490.00 $3,141.00 $2,059.00 $3,871.00 $2,059.00 2026-03-13
72142 CPT Mric-spinewcontrast 4 4 $3,460.00 $3,114.00 $2,041.00 $3,838.00 $2,041.00 2026-03-13
73720 CPT Mrilowerextnonjointw/o&w 4 4 $3,426.00 $3,083.00 $2,021.00 $3,800.00 $2,021.00 2026-03-13
74175 CPT CT Angiography Abdomen W/contrast/noncontrast 4 4 $3,424.00 $3,082.00 $2,020.00 $3,798.00 $2,020.00 2026-03-13
74181 CPT Mriabdomenw/ocontrast 4 4 $3,416.00 $3,074.00 $2,015.00 $3,789.00 $2,015.00 2026-03-13
73725 CPT Mrilowerextw/oandorw 4 4 $3,345.00 $3,011.00 $1,974.00 $3,710.00 $1,974.00 2026-03-13
73222 CPT Mriupperextjointwcontrast 4 4 $3,346.00 $3,011.00 $1,974.00 $3,711.00 $1,974.00 2026-03-13
72198 CPT Mripelvisw/oandorwcontrast 4 4 $3,345.00 $3,011.00 $1,974.00 $3,710.00 $1,974.00 2026-03-13
72195 CPT Mripelvisw/ocontrast 4 4 $3,340.00 $3,006.00 $1,971.00 $3,705.00 $1,971.00 2026-03-13
72149 CPT Mril-spinew/contrast 4 4 $3,305.00 $2,975.00 $1,950.00 $3,666.00 $1,950.00 2026-03-13
CSM245 CDM Mesh,parietex6x4 4 4 $3,291.00 $2,962.00 $1,942.00 $3,650.00 $1,942.00 2026-03-13
SE1000 CDM Endoscopy/upperprocw/oanes. 4 4 $3,268.00 $2,941.00 $1,928.00 $3,625.00 $1,928.00 2026-03-13
SC1000 CDM Colonoscopy-procedurew/oanes 4 4 $3,268.00 $2,941.00 $1,928.00 $3,625.00 $1,928.00 2026-03-13
70540 CPT Mriorbit/face/softtissueneckw/o 4 4 $3,217.00 $2,895.00 $1,898.00 $3,568.00 $1,898.00 2026-03-13
70546 CPT Mriheadw/oandwcontrast 4 4 $3,202.00 $2,882.00 $1,889.00 $3,552.00 $1,889.00 2026-03-13
71270 CPT CT Chestwithandwithoutcontrast 4 4 $3,130.00 $2,817.00 $1,847.00 $3,472.00 $1,847.00 2026-03-13
70496 CPT CT Angiography Head W/contrast/noncontrast 4 4 $3,120.00 $2,808.00 $1,841.00 $3,461.00 $1,841.00 2026-03-13
72196 CPT Mripelviswcontrast 4 4 $3,113.00 $2,802.00 $1,837.00 $3,453.00 $1,837.00 2026-03-13
74170 CPT Ctscanabdomenwith&w/outcontrast 4 4 $3,062.00 $2,756.00 $1,807.00 $3,396.00 $1,807.00 2026-03-13
70498 CPT CT Angiography Neck W/contrast/noncontrast 4 4 $3,016.00 $2,714.00 $1,779.00 $3,345.00 $1,779.00 2026-03-13
72132 CPT CT L-spinewithcontrast 4 4 $2,986.00 $2,687.00 $1,762.00 $3,312.00 $1,762.00 2026-03-13
70492 CPT CT Neckwithandwithoutcontrast 4 4 $2,982.00 $2,684.00 $1,759.00 $3,308.00 $1,759.00 2026-03-13
71551 CPT Mrichestwcontrast 4 4 $2,966.00 $2,669.00 $1,750.00 $3,290.00 $1,750.00 2026-03-13
74182 CPT Mriabdomenw/contrast 4 4 $2,966.00 $2,669.00 $1,750.00 $3,290.00 $1,750.00 2026-03-13
44346 CPT Psmc Rev Colostomy W Rep Parac 4 4 $2,930.00 $2,637.00 $1,729.00 $3,250.00 $1,729.00 2026-03-13
73718 CPT Mrilowerext.nonjointw/o 4 4 $2,922.00 $2,630.00 $1,724.00 $3,241.00 $1,724.00 2026-03-13
72133 CPT L-spinectw/wocontrast 4 4 $2,891.00 $2,602.00 $1,706.00 $3,207.00 $1,706.00 2026-03-13
SL1001 CDM Lapcholedisposables-york 4 4 $2,862.00 $2,576.00 $1,689.00 $3,175.00 $1,689.00 2026-03-13
73218 CPT Mriupperextremitynon-jointw/o 4 4 $2,845.00 $2,561.00 $1,679.00 $3,156.00 $1,679.00 2026-03-13
44005 CPT Psmc Incision / Ensterolysis 4 4 $2,843.00 $2,559.00 $1,677.00 $3,153.00 $1,677.00 2026-03-13
74160 CPT CT Upperabdwithcontrast 4 4 $2,836.00 $2,552.00 $1,673.00 $3,146.00 $1,673.00 2026-03-13
72193 CPT CT Scan Of Pelvis With Contrast 4 4 $2,825.00 $2,543.00 $1,667.00 $3,133.00 $1,667.00 2026-03-13
70545 CPT Mriheadwcontrast 4 4 $2,816.00 $2,534.00 $1,661.00 $3,124.00 $1,661.00 2026-03-13
SE1001 CDM Endopaddleretract12mm 4 4 $2,798.00 $2,518.00 $1,651.00 $3,104.00 $1,651.00 2026-03-13
72194 CPT CT Lowerabd&pelvicw/wocontrast 4 4 $2,794.00 $2,515.00 $1,648.00 $3,099.00 $1,648.00 2026-03-13
71260 CPT CT Chestwithcontrast 4 4 $2,782.00 $2,504.00 $1,641.00 $3,086.00 $1,641.00 2026-03-13
73702 CPT Ctlowerextremityw/wocontrast 4 4 $2,766.00 $2,489.00 $1,632.00 $3,068.00 $1,632.00 2026-03-13
73721 CPT MRI Scan Of Leg Joint 4 4 $2,753.00 $2,478.00 $1,624.00 $3,054.00 $1,624.00 2026-03-13
73221 CPT Mriupperextjointw/o 4 4 $2,735.00 $2,462.00 $1,614.00 $3,034.00 $1,614.00 2026-03-13
70482 CPT Ctorbit/sella/postfossawandw/ocont 4 4 $2,730.00 $2,457.00 $1,611.00 $3,028.00 $1,611.00 2026-03-13
70336 CPT Mritmj 4 4 $2,682.00 $2,414.00 $1,582.00 $2,975.00 $1,582.00 2026-03-13
72126 CPT CT C-spinewithcontrast 4 4 $2,671.00 $2,404.00 $1,576.00 $2,963.00 $1,576.00 2026-03-13
CSM138 CDM Surgimesh/tintrac-10 4 4 $2,660.00 $2,394.00 $1,569.00 $2,950.00 $1,569.00 2026-03-13
70481 CPT Ctorbit/sella/postfossawithcontrast 4 4 $2,642.00 $2,378.00 $1,559.00 $2,931.00 $1,559.00 2026-03-13
71550 CPT Mrichestw/ocontrast 4 4 $2,620.00 $2,358.00 $1,546.00 $2,906.00 $1,546.00 2026-03-13
72125 CPT Ctscanc-spinew/ocontrast 4 4 $2,618.00 $2,356.00 $1,545.00 $2,904.00 $1,545.00 2026-03-13
70491 CPT CT Neckwithcontrast 4 4 $2,607.00 $2,346.00 $1,538.00 $2,892.00 $1,538.00 2026-03-13
70542 CPT Mriorbit/face/softtissueneckw 4 4 $2,605.00 $2,345.00 $1,537.00 $2,889.00 $1,537.00 2026-03-13
73219 CPT Mriupperextremitynon-jointw/ 4 4 $2,603.00 $2,343.00 $1,536.00 $2,887.00 $1,536.00 2026-03-13
73719 CPT Mrilowerextnonjointw/ 4 4 $2,585.00 $2,327.00 $1,525.00 $2,867.00 $1,525.00 2026-03-13
72128 CPT Ctthoracic Spine, Without Contrast 4 4 $2,563.00 $2,307.00 $1,512.00 $2,843.00 $1,512.00 2026-03-13
72131 CPT CT L-spinewithoutcontrast 4 4 $2,563.00 $2,307.00 $1,512.00 $2,843.00 $1,512.00 2026-03-13
73201 CPT CT Upperextremitywithcontrast 4 4 $2,469.00 $2,222.00 $1,457.00 $2,739.00 $1,457.00 2026-03-13
73701 CPT Ctscanlowerextremitiesw/contrast 4 4 $2,454.00 $2,209.00 $1,448.00 $2,722.00 $1,448.00 2026-03-13
70488 CPT Ctmaxillofacialwandwocontrast 4 4 $2,416.00 $2,174.00 $1,425.00 $2,680.00 $1,425.00 2026-03-13
71250 CPT CT Chest Without Contrast 4 4 $2,413.00 $2,172.00 $1,424.00 $2,676.00 $1,424.00 2026-03-13
72147 CPT Mrit-spinewcontrast 4 4 $2,412.00 $2,171.00 $1,423.00 $2,675.00 $1,423.00 2026-03-13
72192 CPT Ctpelvisw/ocontrast 4 4 $2,382.00 $2,144.00 $1,405.00 $2,642.00 $1,405.00 2026-03-13
74150 CPT Ctscanabdomw/ocontrast 4 4 $2,374.00 $2,137.00 $1,401.00 $2,633.00 $1,401.00 2026-03-13
70470 CPT Ctscanheadwandw/ocontrast 4 4 $2,366.00 $2,129.00 $1,396.00 $2,624.00 $1,396.00 2026-03-13
P9037 HCPCS Platelets, Pheresis, Leukoreducedirradiated 4 4 $2,349.00 $2,114.00 $1,386.00 $2,606.00 $1,386.00 2026-03-13
70490 CPT CT Neckw/ocontrast 4 4 $2,343.00 $2,109.00 $1,382.00 $2,599.00 $1,382.00 2026-03-13
70460 CPT Ctheadwithcontrast 4 4 $2,330.00 $2,097.00 $1,375.00 $2,584.00 $1,375.00 2026-03-13
73700 CPT Ctlowerextremitywocontrast 4 4 $2,325.00 $2,093.00 $1,372.00 $2,579.00 $1,372.00 2026-03-13
93306 CPT Echocardiogram, Cardiac Doppler Pw-cw, Color Flow 4 4 $2,324.00 $2,092.00 $1,371.00 $2,578.00 $1,371.00 2026-03-13
72130 CPT T-spinectw/wocontrast 4 4 $2,314.00 $2,083.00 $1,365.00 $2,567.00 $1,365.00 2026-03-13
CSE186 CDM Endocholekit 4 4 $2,303.00 $2,073.00 $1,359.00 $2,554.00 $1,359.00 2026-03-13
CSL119 CDM Linearcutter45mmatw45 4 4 $2,248.00 $2,023.00 $1,326.00 $2,493.00 $1,326.00 2026-03-13
44110 CPT Pspolypectomy 4 4 $2,206.00 $1,985.00 $1,302.00 $2,447.00 $1,302.00 2026-03-13
46260 CPT Ps Hemorrhoidectomy,ent&ext Comp,ext 4 4 $2,204.00 $1,984.00 $1,300.00 $2,445.00 $1,300.00 2026-03-13
3021 CDM Private Roomisolation/monitoring 4 4 $2,162.00 $1,946.00 $1,276.00 $2,398.00 $1,276.00 2026-03-13
J2357 HCPCS Xolair (Omalizumab) 150mg/unit 1 Bottle 8 4 $1,652.50 $1,487.00 $654.00 $2,436.00 $1,263.00 2026-03-13
70450 CPT CT Scan 4 4 $2,136.00 $1,922.00 $1,260.00 $2,369.00 $1,260.00 2026-03-13
26910 CPT Ps Amputation,metacarpal-fing/thumb 4 4 $2,101.00 $1,891.00 $1,240.00 $2,330.00 $1,240.00 2026-03-13
70480 CPT Ctorbit/sella/posteriorpossaw/ocont 4 4 $2,082.00 $1,874.00 $1,228.00 $2,309.00 $1,228.00 2026-03-13
73200 CPT CT Upperextremitywocontrast 4 4 $2,069.00 $1,862.00 $1,221.00 $2,295.00 $1,221.00 2026-03-13
58700 CPT Psmc Exc Salpingectomy(com.or Parti) 4 4 $2,062.00 $1,856.00 $1,217.00 $2,287.00 $1,217.00 2026-03-13
25605 CPT Psmc Closed Tx Dis Frac W/mani 4 4 $2,055.00 $1,850.00 $1,212.00 $2,279.00 $1,212.00 2026-03-13
49560 CPT Psmc Repair Initial Incisional 4 4 $2,044.00 $1,840.00 $1,206.00 $2,267.00 $1,206.00 2026-03-13
70486 CPT Ctmaxillofacialwo/contrast 4 4 $2,028.00 $1,825.00 $1,197.00 $2,249.00 $1,197.00 2026-03-13
J7325 HCPCS Synvisconepersingleshot 4 4 $1,981.00 $1,783.00 $1,169.00 $2,197.00 $1,169.00 2026-03-13
P9035 HCPCS Platelets, Pheresisleukoreduced 4 4 $1,980.00 $1,782.00 $1,168.00 $2,196.00 $1,168.00 2026-03-13
IVP350 CDM Port-a-cath 4 4 $1,965.00 $1,769.00 $1,159.00 $2,180.00 $1,159.00 2026-03-13
70487 CPT Ctmaxillofacialwithcontrast 4 4 $1,947.00 $1,752.00 $1,149.00 $2,160.00 $1,149.00 2026-03-13
93307 CPT Echocardiogram 4 4 $1,904.00 $1,714.00 $1,123.00 $2,112.00 $1,123.00 2026-03-13
26746 CPT Ps Open Treatment Of Fracture 4 4 $1,898.00 $1,708.00 $1,120.00 $2,105.00 $1,120.00 2026-03-13
3912 CDM Irradiated1-donorpherecedplatelet 4 4 $1,888.00 $1,699.00 $1,114.00 $2,094.00 $1,114.00 2026-03-13
59426 CPT Ps OB Clinic Visits 4 4 $1,883.00 $1,695.00 $1,111.00 $2,089.00 $1,111.00 2026-03-13
3911 CDM Bloodtrans_specperunittot 4 4 $1,878.00 $1,690.00 $1,108.00 $2,083.00 $1,108.00 2026-03-13
93351 CPT Echocardiography, Transthoracic Stress Echo, Real-time With IM 4 4 $1,865.00 $1,679.00 $1,100.00 $2,069.00 $1,100.00 2026-03-13
26951 CPT Psmc Amputation, Finger Or Thumb 4 4 $1,857.00 $1,671.00 $1,096.00 $2,060.00 $1,096.00 2026-03-13
J1439 HCPCS Injectafer 750mg Vial 4 4 $1,850.00 $1,665.00 $1,092.00 $2,052.00 $1,092.00 2026-03-13
17308 CPT Injectafer 750mg Vial 4 4 $1,850.00 $1,665.00 $1,092.00 $2,052.00 $1,092.00 2026-03-13
CSA164 CDM Absorbatack5mmlong 4 4 $1,840.00 $1,656.00 $1,086.00 $2,041.00 $1,086.00 2026-03-13
CSI110 CDM Insertioncentralsubclavianline 4 4 $1,788.00 $1,609.00 $1,055.00 $1,983.00 $1,055.00 2026-03-13
25565 CPT Psmc Fracture Closed Treatment With Manipulation 4 4 $1,739.00 $1,565.00 $1,026.00 $1,929.00 $1,026.00 2026-03-13
3020 CDM Private Roomisolation 4 4 $1,707.00 $1,536.00 $1,007.00 $1,893.00 $1,007.00 2026-03-13
49553 CPT Psmc Repair Initial Femoral He 4 4 $1,674.00 $1,507.00 $988.00 $1,857.00 $988.00 2026-03-13
CSLB222 CDM Bazookabedrentalpermonth 4 4 $1,673.00 $1,506.00 $987.00 $1,856.00 $987.00 2026-03-13
391 CDM Bloodtransf-totalperunit 4 4 $1,661.00 $1,495.00 $980.00 $1,842.00 $980.00 2026-03-13
73202 CPT CT Upperextremityw/wocontrast 4 4 $1,649.00 $1,484.00 $973.00 $1,829.00 $973.00 2026-03-13
27372 CPT Ps Foreign Body,deep Thigh Knee Rem 4 4 $1,635.00 $1,472.00 $965.00 $1,814.00 $965.00 2026-03-13
12056 CPT Psmc Inter.repair 20.1-30.0cm 4 4 $1,627.00 $1,464.00 $960.00 $1,805.00 $960.00 2026-03-13
CSA163 CDM Absorbatack5mmshort 4 4 $1,596.00 $1,436.00 $942.00 $1,770.00 $942.00 2026-03-13
3011 CDM Semi-private Room With Monitoring 4 4 $1,593.00 $1,434.00 $940.00 $1,767.00 $940.00 2026-03-13
93350 CPT Stressechocardiogram 4 4 $1,587.00 $1,428.00 $936.00 $1,760.00 $936.00 2026-03-13
10061RHC CDM Incision And Drainage Of Abscesscomplicated Or Multiple 4 4 $1,584.00 $1,426.00 $935.00 $1,757.00 $935.00 2026-03-13
10061PR CDM Incision And Drainage Of Abscesscomplicated Or Multiple 4 4 $1,584.00 $1,426.00 $935.00 $1,757.00 $935.00 2026-03-13
92960 CPT Cardioversion-external 4 4 $1,532.00 $1,379.00 $904.00 $1,699.00 $904.00 2026-03-13
93880 CPT Carotiddoppler 4 4 $1,531.00 $1,378.00 $903.00 $1,698.00 $903.00 2026-03-13
CSG245 CDM Mesh-goretexdual 4 4 $1,525.00 $1,373.00 $900.00 $1,692.00 $900.00 2026-03-13
P9040 HCPCS Red Blood Cell Leukoreduced Irradiated Per Unit 4 4 $1,500.00 $1,350.00 $885.00 $1,664.00 $885.00 2026-03-13
SH2000 CDM Hemorroidectomy 4 4 $1,488.00 $1,339.00 $878.00 $1,650.00 $878.00 2026-03-13
88185 CPT Flowcytometryadd'l 8 4 $1,452.50 $1,307.50 $42.00 $3,143.00 $875.50 2026-03-13
93970 CPT Venousdopplerbilateral 4 4 $1,472.00 $1,325.00 $868.00 $1,633.00 $868.00 2026-03-13
93976 CPT Duplexscanartlinflow/vensoutflowltd 4 4 $1,465.00 $1,319.00 $864.00 $1,625.00 $864.00 2026-03-13
49505 CPT Repair Of Groin Hernia Patient Age 5 Years Or Older 4 4 $1,458.00 $1,312.00 $860.00 $1,617.00 $860.00 2026-03-13
13300 CPT Psmc Comp. Lac Repair Over 7.5cm 4 4 $1,453.00 $1,308.00 $857.00 $1,612.00 $857.00 2026-03-13
24600 CPT Psmc Treat Elbow Dislocation 4 4 $1,446.00 $1,301.00 $853.00 $1,604.00 $853.00 2026-03-13
36430 CPT Blood Transfusion 1 To 2 Hours 24 4 $1,340.00 $1,206.00 $637.00 $1,775.00 $852.00 2026-03-13
CSS222 CDM Staplerta604.8mm 4 4 $1,442.00 $1,298.00 $851.00 $1,599.00 $851.00 2026-03-13
A0428 HCPCS Ambulance Bls Rate 4 4 $1,404.00 $1,264.00 $828.00 $1,557.00 $828.00 2026-03-13
99291 CPT Criticalcaree/m30-74minutes 16 4 $1,649.50 $1,485.00 $187.00 $1,966.00 $822.00 2026-03-13
G0390 HCPCS Traumaresponseteam 4 4 $1,386.00 $1,247.00 $818.00 $1,537.00 $818.00 2026-03-13
P9016 HCPCS Red Blood Cellsleukoreduced, Each Unit 4 4 $1,380.00 $1,242.00 $814.00 $1,531.00 $814.00 2026-03-13
84393 CPT Phospho-tau Protein 4 4 $1,380.00 $1,242.00 $814.00 $1,531.00 $814.00 2026-03-13
CSC175 CDM Clipapplier5mmal326ligaclip 4 4 $1,369.00 $1,232.00 $808.00 $1,518.00 $808.00 2026-03-13
65235 CPT Psmc Removal Of Fb From Eye 4 4 $1,362.00 $1,226.00 $804.00 $1,511.00 $804.00 2026-03-13
12037 CPT Psmc Inter.repair Over 30.0cm 4 4 $1,348.00 $1,213.00 $795.00 $1,495.00 $795.00 2026-03-13
8051 CDM Lymphoma 4 4 $1,333.00 $1,200.00 $786.00 $1,479.00 $786.00 2026-03-13
8050 CDM Luekemia 4 4 $1,333.00 $1,200.00 $786.00 $1,479.00 $786.00 2026-03-13
26607 CPT Ps Closed Trmt Of Metacarpal Fracture W 4 4 $1,315.00 $1,184.00 $776.00 $1,459.00 $776.00 2026-03-13
CSL130 CDM Ligaclipapplieral326 4 4 $1,310.00 $1,179.00 $773.00 $1,453.00 $773.00 2026-03-13
19120 CPT Removal Of One Or More Breast Growth, Open Procedure 4 4 $1,309.00 $1,178.00 $772.00 $1,452.00 $772.00 2026-03-13
23605 CPT Psmc Closed Treatment Of Proxi 4 4 $1,305.00 $1,175.00 $770.00 $1,448.00 $770.00 2026-03-13
CSV250 CDM Valtrac25,28,31mm(york) 4 4 $1,289.00 $1,160.00 $761.00 $1,430.00 $761.00 2026-03-13
CSC126 CDM Ceea25,28,31mm(york) 4 4 $1,285.00 $1,157.00 $758.00 $1,425.00 $758.00 2026-03-13
CSM957 CDM Mesh,surgimesht-ezplug4" 4 4 $1,283.00 $1,155.00 $757.00 $1,423.00 $757.00 2026-03-13
CSE126 CDM Endocatch15mm 4 4 $1,262.00 $1,136.00 $745.00 $1,400.00 $745.00 2026-03-13
24505 CPT Psmc Frac W Man W/wo Skel Traction 4 4 $1,263.00 $1,137.00 $745.00 $1,401.00 $745.00 2026-03-13
3917 CDM Blooddeglycerolized 4 4 $1,260.00 $1,134.00 $743.00 $1,398.00 $743.00 2026-03-13
93925 CPT Lowerextdoppler-bilateral 4 4 $1,246.00 $1,121.00 $735.00 $1,382.00 $735.00 2026-03-13
CSE128 CDM Endocatch10mmgoldsterile 4 4 $1,246.00 $1,121.00 $735.00 $1,382.00 $735.00 2026-03-13
23650 CPT Psmc Closed Treatment Shoulder 4 4 $1,246.00 $1,121.00 $735.00 $1,382.00 $735.00 2026-03-13
49585 CPT Psmc Repair Umb Hernia 5yrs An 4 4 $1,241.00 $1,117.00 $732.00 $1,377.00 $732.00 2026-03-13
12018 CPT Psmc Lac Repairface/ears/eye/lips Over 30.0cm 4 4 $1,234.00 $1,111.00 $728.00 $1,369.00 $728.00 2026-03-13
11446 CPT Psexcision Benign Lesions Over 4.0cm 4 4 $1,234.00 $1,111.00 $728.00 $1,369.00 $728.00 2026-03-13
CSS221 CDM Reloadablestapler3.8mm#gia6038s 4 4 $1,228.00 $1,105.00 $725.00 $1,362.00 $725.00 2026-03-13
81244 CPT Fragilex-positvemethylation 4 4 $1,220.00 $1,098.00 $720.00 $1,353.00 $720.00 2026-03-13
3211 CDM Surgicalprocedure1st30min 4 4 $1,217.00 $1,095.00 $718.00 $1,350.00 $718.00 2026-03-13
11646 CPT Ps Exc Magl Lesion Face, Ears Etc 4.0cm 4 4 $1,210.00 $1,089.00 $714.00 $1,342.00 $714.00 2026-03-13
93930 CPT Arteryupperextbilatduplex 4 4 $1,185.00 $1,067.00 $699.00 $1,314.00 $699.00 2026-03-13
G0410 HCPCS Group Psychotherapy Php/iop 4 4 $1,170.00 $1,053.00 $690.00 $1,298.00 $690.00 2026-03-13
69110 CPT Psmc Exc External Ear,partial, 4 4 $1,162.00 $1,046.00 $686.00 $1,289.00 $686.00 2026-03-13
59425 CPT Ps OB 4-6 Visits 4 4 $1,159.00 $1,043.00 $684.00 $1,286.00 $684.00 2026-03-13
CSE141 CDM Endoscopicapplierclip 4 4 $1,159.00 $1,043.00 $684.00 $1,286.00 $684.00 2026-03-13
12036 CPT Ps Laceration Rep Intermediate 20.1-30.0 4 4 $1,154.00 $1,039.00 $681.00 $1,280.00 $681.00 2026-03-13
13132 CPT Psmc Comp. Repair 2.6-7.5cm 4 4 $1,149.00 $1,034.00 $678.00 $1,274.00 $678.00 2026-03-13
24500 CPT Closed Treatment Of Humeral Shaft Fracture W/out Manipulation 4 4 $1,133.00 $1,020.00 $668.00 $1,257.00 $668.00 2026-03-13
93971 CPT Venousduplexlimiteddoppler 4 4 $1,120.00 $1,008.00 $661.00 $1,242.00 $661.00 2026-03-13
CSP155 CDM Ponskydeluxe"pull"pegkit 4 4 $1,118.00 $1,006.00 $660.00 $1,240.00 $660.00 2026-03-13
13151 CPT Ps Repair-complex 1.1cm To 2.5cm 4 4 $1,117.00 $1,005.00 $659.00 $1,239.00 $659.00 2026-03-13
93975 CPT US Renalartery 4 4 $1,116.00 $1,004.00 $658.00 $1,238.00 $658.00 2026-03-13
12017 CPT Psmc Lac Repairface/ear/eye/lips 20.1-30.0cm 4 4 $1,103.00 $993.00 $651.00 $1,223.00 $651.00 2026-03-13
93017 CPT Stresstestwithtmst 4 4 $1,095.00 $986.00 $646.00 $1,215.00 $646.00 2026-03-13
3010 CDM Room-semiprivate 4 4 $1,094.00 $985.00 $645.00 $1,213.00 $645.00 2026-03-13
C7903 HCPCS Remote Group Psychotherapy 4 4 $1,086.00 $977.00 $641.00 $1,205.00 $641.00 2026-03-13
11606 CPT Psmc Excision Malignant Lesion>4cm 4 4 $1,078.00 $970.00 $636.00 $1,196.00 $636.00 2026-03-13
24105 CPT Psexic,olecranon Bursa 4 4 $1,067.00 $960.00 $630.00 $1,184.00 $630.00 2026-03-13
Q5101 HCPCS Zarxio (Filgrastin) 480mcg/0.8ml 4 4 $1,053.00 $948.00 $621.00 $1,168.00 $621.00 2026-03-13
3916 CDM Bloodfrozen 4 4 $1,047.00 $942.00 $618.00 $1,161.00 $618.00 2026-03-13
24071 CPT Excision, Tumor Soft Tissue Of Upper Arm Or Elbow Area, Subcutaneous 3 Cm Or Gre… 4 4 $1,046.00 $941.00 $617.00 $1,160.00 $617.00 2026-03-13
11626 CPT Psmalignant Lesion Over 4.0cm 4 4 $1,039.00 $935.00 $613.00 $1,152.00 $613.00 2026-03-13
M0243 HCPCS IV Infusion Or Post Administration Monitoring 4 4 $1,037.00 $933.00 $612.00 $1,150.00 $612.00 2026-03-13
C7901 HCPCS 30-60 Minutesremote Service Individual Psychotherapy 4 4 $1,033.00 $930.00 $609.00 $1,146.00 $609.00 2026-03-13
3913 CDM Washedrbc's 4 4 $1,029.00 $926.00 $607.00 $1,141.00 $607.00 2026-03-13
21930 CPT Excision, Tumor, Soft Tissue Of Back Or Flank, Subcutaneous; Less Than 3 Cm 4 4 $1,022.00 $920.00 $603.00 $1,134.00 $603.00 2026-03-13
20525 CPT Psmc Removal Of Foreign Body, Complicate 4 4 $1,018.00 $916.00 $601.00 $1,129.00 $601.00 2026-03-13
CSF114 CDM Flextrayendopath-lapchole 4 4 $1,016.00 $914.00 $599.00 $1,127.00 $599.00 2026-03-13
27840 CPT Professional Fee- Closed Treatment Of Ankle Without Anesthia 4 4 $1,014.00 $913.00 $598.00 $1,125.00 $598.00 2026-03-13
93926 CPT Arterial Duplex Unlimited Lower 4 4 $1,013.00 $912.00 $598.00 $1,124.00 $598.00 2026-03-13
76942 CPT U/sguidance,needlebiopsy 4 4 $1,011.00 $910.00 $596.00 $1,121.00 $596.00 2026-03-13
3015 CDM Room-swingbed 4 4 $993.00 $894.00 $586.00 $1,101.00 $586.00 2026-03-13
CSS801 CDM Staplergia/60-3.8mm 4 4 $994.00 $895.00 $586.00 $1,103.00 $586.00 2026-03-13
CSL118 CDM Linearstaplereloads3.8mm 4 4 $990.00 $891.00 $584.00 $1,098.00 $584.00 2026-03-13
25600 CPT Closed Treatment Of Distal Radial Fracture; Without Manipulation 4 4 $988.00 $889.00 $583.00 $1,096.00 $583.00 2026-03-13
CSM149 CDM Surgimesh10x15 4 4 $988.00 $889.00 $583.00 $1,096.00 $583.00 2026-03-13
27824 CPT Closed Treatment Of Fracture Of Weight Bearing Articular Portion Of Distal Tibia… 4 4 $982.00 $884.00 $579.00 $1,089.00 $579.00 2026-03-13
26725 CPT Psmc Closed Treatment Phalangea 4 4 $980.00 $882.00 $578.00 $1,087.00 $578.00 2026-03-13
CSM3851 CDM Meshplugx-large 4 4 $973.00 $876.00 $574.00 $1,079.00 $574.00 2026-03-13
93015 CPT Cardiovascular Stress Test Using Maximal Or Submax 4 4 $973.00 $876.00 $574.00 $1,079.00 $574.00 2026-03-13
12045 CPT Psmc Laceration Repair Intermed 4 4 $972.00 $875.00 $573.00 $1,078.00 $573.00 2026-03-13
CSM724 CDM Mesh,surgimesht10154x6 4 4 $972.00 $875.00 $573.00 $1,078.00 $573.00 2026-03-13
81206 CPT Bcr/abl1major 4 4 $969.00 $872.00 $572.00 $1,075.00 $572.00 2026-03-13
5350 CDM Bloodtxleukored./irrad/cmv/unit 4 4 $967.00 $870.00 $571.00 $1,073.00 $571.00 2026-03-13
93923 CPT Artery,segmentalpressure,bilateral 4 4 $963.00 $867.00 $568.00 $1,068.00 $568.00 2026-03-13
13121 CPT Ps Rep.complex Scalp,arms,legs 3cm. 4 4 $946.00 $851.00 $558.00 $1,049.00 $558.00 2026-03-13
12054 CPT Psmc Inter.repair 7.6-12.5cm 4 4 $944.00 $850.00 $557.00 $1,047.00 $557.00 2026-03-13
CSG116 CDM Goreherniaplug 4 4 $932.00 $839.00 $550.00 $1,034.00 $550.00 2026-03-13
CSM725 CDM Goremicromeshplus 4 4 $933.00 $840.00 $550.00 $1,035.00 $550.00 2026-03-13
CSG375 CDM Gia60instrument(york) 4 4 $925.00 $833.00 $546.00 $1,026.00 $546.00 2026-03-13
46230 CPT Psexc.of Ext. Hemmorrhoid Tags 4 4 $926.00 $833.00 $546.00 $1,027.00 $546.00 2026-03-13
77075 CPT Skeletal Radiologic Examination Osseous Survey Compl 4 4 $917.00 $825.00 $541.00 $1,017.00 $541.00 2026-03-13
12035 CPT Psmc Inter.repair 12.6-20.0cm 4 4 $917.00 $825.00 $541.00 $1,017.00 $541.00 2026-03-13
76700 CPT Ultrasound Of Abdomen 4 4 $914.00 $823.00 $539.00 $1,014.00 $539.00 2026-03-13
73040 CPT Shoulder Arthrography With Supervision 4 4 $910.00 $819.00 $537.00 $1,009.00 $537.00 2026-03-13
93924 CPT Arterialseg.&exercise,lowerdopp 4 4 $908.00 $817.00 $536.00 $1,007.00 $536.00 2026-03-13
93308 CPT Echolimitedorfollowup 4 4 $900.00 $810.00 $531.00 $998.00 $531.00 2026-03-13
84150 CDM Prostaglandinpgd-2 4 4 $900.00 $810.00 $531.00 $998.00 $531.00 2026-03-13
93304 CPT Echocardiogram Limited Study 4 4 $887.00 $798.00 $523.00 $984.00 $523.00 2026-03-13
26600 CPT Psmc Fracture Closed Treatment Without Manipulation 4 4 $882.00 $794.00 $520.00 $978.00 $520.00 2026-03-13
CSD602 CDM Truclosedrainagesystem/box(5) 4 4 $881.00 $793.00 $520.00 $977.00 $520.00 2026-03-13
93931 CPT Arteryupperextunlimitedduplex 4 4 $880.00 $792.00 $519.00 $976.00 $519.00 2026-03-13
74280 CPT Bariumenema,aircontrast 4 4 $877.00 $789.00 $517.00 $973.00 $517.00 2026-03-13
12007 CPT Psmc Lac Repairscalp/neck Over 30.0cm 4 4 $872.00 $785.00 $514.00 $967.00 $514.00 2026-03-13
11644 CPT Ps Excision Malig Lesion 3.1-4.0 4 4 $869.00 $782.00 $513.00 $964.00 $513.00 2026-03-13
76770 CPT Retroperitonalcompleteus 4 4 $866.00 $779.00 $511.00 $961.00 $511.00 2026-03-13
12016 CPT Psmc Lac Repairface/ears/eye/lips 12.6-20.0cm 4 4 $862.00 $776.00 $509.00 $956.00 $509.00 2026-03-13
76856 CPT Pelvic,completeultrasound 4 4 $858.00 $772.00 $506.00 $952.00 $506.00 2026-03-13
13131 CPT Psmc Comp. Lac Repair 2.6-7.5cm 4 4 $855.00 $770.00 $504.00 $948.00 $504.00 2026-03-13
87633 CPT Infectious Agent Detection By Nucleic Acid (Dna Or Rna) 8 4 $691.50 $622.50 $313.00 $946.00 $503.00 2026-03-13
74270 CPT Bariumenema 4 4 $851.00 $766.00 $502.00 $944.00 $502.00 2026-03-13
99292 CPT Criticalcaree/m,add'l30minutes 16 4 $1,000.50 $900.50 $94.00 $1,634.00 $502.00 2026-03-13
13101 CPT Psrep.complex 2.6cm-7.5cm 4 4 $847.00 $762.00 $500.00 $939.00 $500.00 2026-03-13
17106 CPT Destruction Cutaneous Vasc Proliferative <10cm 4 4 $840.00 $756.00 $496.00 $932.00 $496.00 2026-03-13
SR1000 CDM Retractiiendoinstrument 4 4 $835.00 $752.00 $493.00 $926.00 $493.00 2026-03-13
3915 CDM Bloodleukoreduced,quad 4 4 $817.00 $735.00 $482.00 $906.00 $482.00 2026-03-13
CSS206 CDM Staplereloads45mmtr45b 4 4 $817.00 $735.00 $482.00 $906.00 $482.00 2026-03-13
11624 CPT Psmc Excision Malignant Lesion3.1-4cm 4 4 $816.00 $734.00 $481.00 $905.00 $481.00 2026-03-13
11426 CPT Psmc Exc Benign Lesion Scalp 4 4 $801.00 $721.00 $473.00 $888.00 $473.00 2026-03-13
CSA171 CDM Arrowtwo-lumencentralvenouscathkit 4 4 $795.00 $716.00 $469.00 $882.00 $469.00 2026-03-13
21320 CPT Ps Closed Trmt Nasal Wth Bone Frmt 4 4 $794.00 $715.00 $468.00 $881.00 $468.00 2026-03-13
CSL121 CDM Ligaclipercaer320 4 4 $791.00 $712.00 $467.00 $877.00 $467.00 2026-03-13
76872 CPT Prostate-transrectalultrasound 4 4 $790.00 $711.00 $466.00 $876.00 $466.00 2026-03-13
12006 CPT Psmc Lac Repair -scalp/neck 20.1-30cm 4 4 $788.00 $709.00 $465.00 $874.00 $465.00 2026-03-13
87506 CPT Gastrointestinalpathogenpanel 4 4 $787.00 $708.00 $464.00 $873.00 $464.00 2026-03-13
970222 CDM Wholeblood 4 4 $785.00 $707.00 $463.00 $871.00 $463.00 2026-03-13
12044 CPT Psmc Lac Repair Intermediatescalp/trunk 7.6-12.5cm 4 4 $778.00 $700.00 $459.00 $863.00 $459.00 2026-03-13
30013 CDM T&blymphocyteassay 4 4 $778.00 $700.00 $459.00 $863.00 $459.00 2026-03-13
CSE140 CDM Autosutureendostitch10cmm 4 4 $778.00 $700.00 $459.00 $863.00 $459.00 2026-03-13
27760 CPT Psmc Fracture Cl0sed Treatment 4 4 $774.00 $697.00 $457.00 $859.00 $457.00 2026-03-13
87902 CPT Hcvviralrna--ultraquant 4 4 $773.00 $696.00 $456.00 $857.00 $456.00 2026-03-13
CSG114 CDM Groshongnxtclearvue4frpicc 4 4 $773.00 $696.00 $456.00 $857.00 $456.00 2026-03-13
12053 CPT Psmc Inter.repair 5.1-7.5cm 4 4 $769.00 $692.00 $454.00 $853.00 $454.00 2026-03-13
3914 CDM Bloodleukoreduced 4 4 $770.00 $693.00 $454.00 $854.00 $454.00 2026-03-13
CSP206 CDM Picclinesupplies/cch 4 4 $768.00 $691.00 $453.00 $852.00 $453.00 2026-03-13
74400 CPT Ivp 4 4 $766.00 $689.00 $452.00 $850.00 $452.00 2026-03-13
76805 CPT Abdomial Ultrasound Of Pregnant Uterus 4 4 $765.00 $689.00 $451.00 $849.00 $451.00 2026-03-13
12034 CPT Psmc Intermediate Layer Closur 4 4 $763.00 $687.00 $450.00 $846.00 $450.00 2026-03-13
87536 CPT Quantitativehtlviiirna 4 4 $763.00 $687.00 $450.00 $846.00 $450.00 2026-03-13
TEST1012 CDM Breastcancerprofile 4 4 $760.00 $684.00 $448.00 $843.00 $448.00 2026-03-13
90853 CDM Group Psychotherapy 4 4 $758.00 $682.00 $447.00 $841.00 $447.00 2026-03-13
99285 CPT Emergency Department Visit For The Evaluation And Management Of A Patient, Which… 8 4 $1,083.00 $975.00 $160.00 $1,114.00 $446.00 2026-03-13
93226 CPT Holtermonitor(2of2cpt'stouse) 4 4 $754.00 $679.00 $445.00 $836.00 $445.00 2026-03-13
25505 CPT Procedure Roomclosed Treatment Of Fracture With Manipulation 12 4 $1,168.00 $1,051.00 $103.00 $1,296.00 $445.00 2026-03-13
CSR111 CDM Replacementconnfor4frgroshong 4 4 $749.00 $674.00 $442.00 $831.00 $442.00 2026-03-13
CSR114 CDM Replconnfor4frgroshongnxtclearvue 4 4 $749.00 $674.00 $442.00 $831.00 $442.00 2026-03-13
25622 CPT Psmc Treatment Closed Carpal S 4 4 $749.00 $674.00 $442.00 $831.00 $442.00 2026-03-13
93271 CPT Monitormonitor30day+93270code 4 4 $743.00 $669.00 $438.00 $824.00 $438.00 2026-03-13
PTK125 CDM Kneebrace-special 4 4 $737.00 $663.00 $435.00 $817.00 $435.00 2026-03-13
74300 CPT Cholangiogram-intraoperative 4 4 $732.00 $659.00 $432.00 $812.00 $432.00 2026-03-13
86975 CDM Incubationofserumw/drugs 4 4 $729.00 $656.00 $430.00 $809.00 $430.00 2026-03-13
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