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 93306 (CPT)

Echocardiogram, Cardiac Doppler Pw-cw, Color Flow

This hospital’s price: $1,371 across 4 payers · range $1,371-$2,578

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/476006197_genoa-medical_standardcharges.json
Found on page https://secure.claraprice.net/price-transparency/genoa-medical
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-25
Content fingerprint 806c625d2dbecc84… · 3,199,895 bytes · first seen 2026-07-30

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
$1,024
outlier · 3.3×
74174
CPT 		CTA Angiogram Abdomen/pelvis With Contrast 4 $3,313.00 $6,229.00 $3,313.00 nat. median
$988
outlier · 3.4×
59510
CPT 		Obstetric Care, Planned Cesarean Delivery 4 $3,205.00 $6,025.00 $3,205.00 nat. median
$3,648
0.9× 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
$974
outlier · 2.9×
72157
CPT 		Mrit-spinew/o&wcontrast 4 $2,656.00 $4,993.00 $2,656.00 nat. median
$1,105
outlier · 2.4×
95811
CPT 		Splitnightpolysomnogram(sleepstudy) 4 $2,653.00 $4,988.00 $2,653.00 nat. median
$1,894
1.4× median
74183
CPT 		Mriabdomenw/oandwcontrast 4 $2,647.00 $4,977.00 $2,647.00 nat. median
$1,100
outlier · 2.4×
72156
CPT 		Mric-spinew/o&wcontrast 4 $2,624.00 $4,934.00 $2,624.00 nat. median
$1,103
outlier · 2.4×
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
$1,063
outlier · 2.4×
72158
CPT 		Mril-spinew/o&wcontrast 4 $2,472.00 $4,646.00 $2,472.00 nat. median
$1,093
outlier · 2.3×
74176
CPT 		Ctabdandpelviswithoutcontrast 4 $2,458.00 $4,621.00 $2,458.00 nat. median
$694
outlier · 3.5×
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
$1,133
outlier · 2.1×
95810
CPT 		Sleep Study 4 $2,361.00 $4,439.00 $2,361.00 nat. median
$1,825
1.3× median
392
CDM 		Platelets 4 $2,359.00 $4,436.00 $2,359.00 nat. median
$0
36569
CDM 		Picclineinsertion/columbushospital 4 $2,348.00 $4,415.00 $2,348.00 nat. median
$766
outlier · 3.1×
73223
CPT 		Mriupperextjointw/o&w 4 $2,326.00 $4,374.00 $2,326.00 nat. median
$1,158
outlier · 2.0×
70552
CPT 		Mribrainwcontrast 4 $2,295.00 $4,314.00 $2,295.00 nat. median
$962
outlier · 2.4×
73723
CPT 		Mrilowerextjointw/o&w 4 $2,266.00 $4,260.00 $2,266.00 nat. median
$1,192
1.9× median
71552
CPT 		Mrichestw/oandwcontrast 4 $2,253.00 $4,235.00 $2,253.00 nat. median
$1,097
outlier · 2.1×
75635
CPT 		CTA Of Abdomen W/runoff-with And W/out Contrast 4 $2,241.00 $4,213.00 $2,241.00 nat. median
$722
outlier · 3.1×
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
$784
outlier · 2.8×
70543
CPT 		Mriorbit/face/s.t.neckw/o&w 4 $2,203.00 $4,142.00 $2,203.00 nat. median
$1,083
outlier · 2.0×
74185
CPT 		Mriabdomenw/oandorwcontrast 4 $2,197.00 $4,131.00 $2,197.00 nat. median
$1,241
1.8× median
72141
CPT 		Mric-spinew/ocontrast 4 $2,170.00 $4,080.00 $2,170.00 nat. median
$781
outlier · 2.8×
73220
CPT 		Mriupperextnon-jointw/o&w 4 $2,169.00 $4,079.00 $2,169.00 nat. median
$1,130
1.9× median
72146
CPT 		Mrit-spinew/ocontrast 4 $2,118.00 $3,982.00 $2,118.00 nat. median
$797
outlier · 2.7×
73722
CPT 		Mrilowerextjointw/ 4 $2,115.00 $3,975.00 $2,115.00 nat. median
$1,279
1.7× median
72148
CPT 		MRI Scan Of Lower Spinal Canal 4 $2,086.00 $3,921.00 $2,086.00 nat. median
$805
outlier · 2.6×
70544
CPT 		Mriheadw/ocontrast 4 $2,064.00 $3,880.00 $2,064.00 nat. median
$826
outlier · 2.5×
71275
CPT 		CT Angiography Chest 4 $2,059.00 $3,871.00 $2,059.00 nat. median
$754
outlier · 2.7×
72142
CPT 		Mric-spinewcontrast 4 $2,041.00 $3,838.00 $2,041.00 nat. median
$975
outlier · 2.1×
73720
CPT 		Mrilowerextnonjointw/o&w 4 $2,021.00 $3,800.00 $2,021.00 nat. median
$1,129
1.8× median
74175
CPT 		CT Angiography Abdomen W/contrast/noncontrast 4 $2,020.00 $3,798.00 $2,020.00 nat. median
$714
outlier · 2.8×
74181
CPT 		Mriabdomenw/ocontrast 4 $2,015.00 $3,789.00 $2,015.00 nat. median
$820
outlier · 2.5×
72198
CPT 		Mripelvisw/oandorwcontrast 4 $1,974.00 $3,710.00 $1,974.00 nat. median
$1,128
1.7× median
73222
CPT 		Mriupperextjointwcontrast 4 $1,974.00 $3,711.00 $1,974.00 nat. median
$1,282
1.5× median
73725
CPT 		Mrilowerextw/oandorw 4 $1,974.00 $3,710.00 $1,974.00 nat. median
$1,248
1.6× median
72195
CPT 		Mripelvisw/ocontrast 4 $1,971.00 $3,705.00 $1,971.00 nat. median
$806
outlier · 2.4×
72149
CPT 		Mril-spinew/contrast 4 $1,950.00 $3,666.00 $1,950.00 nat. median
$978
2.0× median
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.

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
             
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
CSS227 CDM Staplerceea28mm 4 4 $4,063.00 $3,657.00 $2,397.00 $4,507.00 $2,397.00 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
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
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
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
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
74182 CPT Mriabdomenw/contrast 4 4 $2,966.00 $2,669.00 $1,750.00 $3,290.00 $1,750.00 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
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
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
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
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
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
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
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
84393 CPT Phospho-tau Protein 4 4 $1,380.00 $1,242.00 $814.00 $1,531.00 $814.00 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
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
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
CSE126 CDM Endocatch15mm 4 4 $1,262.00 $1,136.00 $745.00 $1,400.00 $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
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
93925 CPT Lowerextdoppler-bilateral 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
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
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
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
CSM149 CDM Surgimesh10x15 4 4 $988.00 $889.00 $583.00 $1,096.00 $583.00 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
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
CSM725 CDM Goremicromeshplus 4 4 $933.00 $840.00 $550.00 $1,035.00 $550.00 2026-03-13
CSG116 CDM Goreherniaplug 4 4 $932.00 $839.00 $550.00 $1,034.00 $550.00 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
CSG375 CDM Gia60instrument(york) 4 4 $925.00 $833.00 $546.00 $1,026.00 $546.00 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
77075 CPT Skeletal Radiologic Examination Osseous Survey Compl 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
84150 CDM Prostaglandinpgd-2 4 4 $900.00 $810.00 $531.00 $998.00 $531.00 2026-03-13
93308 CPT Echolimitedorfollowup 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
99292 CPT Criticalcaree/m,add'l30minutes 16 4 $1,000.50 $900.50 $94.00 $1,634.00 $502.00 2026-03-13
74270 CPT Bariumenema 4 4 $851.00 $766.00 $502.00 $944.00 $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
CSS206 CDM Staplereloads45mmtr45b 4 4 $817.00 $735.00 $482.00 $906.00 $482.00 2026-03-13
3915 CDM Bloodleukoreduced,quad 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
30013 CDM T&blymphocyteassay 4 4 $778.00 $700.00 $459.00 $863.00 $459.00 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
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
CSG114 CDM Groshongnxtclearvue4frpicc 4 4 $773.00 $696.00 $456.00 $857.00 $456.00 2026-03-13
87902 CPT Hcvviralrna--ultraquant 4 4 $773.00 $696.00 $456.00 $857.00 $456.00 2026-03-13
3914 CDM Bloodleukoreduced 4 4 $770.00 $693.00 $454.00 $854.00 $454.00 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
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
87536 CPT Quantitativehtlviiirna 4 4 $763.00 $687.00 $450.00 $846.00 $450.00 2026-03-13
12034 CPT Psmc Intermediate Layer Closur 4 4 $763.00 $687.00 $450.00 $846.00 $450.00 2026-03-13
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
CSR114 CDM Replconnfor4frgroshongnxtclearvue 4 4 $749.00 $674.00 $442.00 $831.00 $442.00 2026-03-13
CSR111 CDM Replacementconnfor4frgroshong 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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