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

MORRILL COUNTY COMMUNITY HOSPITAL

Bridgeport, NE · CCN 281318 · Rates published

Your selected procedure

You selected 93306 (CPT)

Echo W/doppler Complete

This hospital’s price: $1,236 across 3 payers · range $1,080-$2,416

Source: https://secure.claraprice.net/price-transparency/JBRE-1747325086649/machine-readable · observed 2025-07-24

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.

4,161 distinct procedures filed
9 distinct payers
28,331 rate rows
2026-08-01 last MRF observed
Data quality

21,829 of 28,331 rate rows are consumer-grade (77.0%)

6,502 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
per-diem day rate — not a per-procedure price 5,866
exceeds 10× this hospital's gross charge — excluded from medians 635
placeholder amount (≤ $0.02) — excluded from medians 1
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://secure.claraprice.net/price-transparency/JBRE-1747325086649/machine-readable
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-10-25
Content fingerprint 23ba5ad2c5401e7e… · 2,745,798 bytes · first seen 2026-07-31

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
4303703
CDM 		Rho(d) Imm Glo 3 $5.00 $125,982.00 $29,180.50 nat. median
$29,180
1.0× median
4303973
CDM 		Vutrisiran 25 3 $2.00 $118,133.00 $27,359.50 nat. median
$8
outlier · 3480.9×
C1820
HCPCS 		Eterna Generator & Kit 3 $17,848.00 $38,535.00 $20,282.00 nat. median
$22,986
0.9× median
C1767
HCPCS 		Proclaim 7 Elite 3 $16,775.00 $37,147.00 $19,307.00 nat. median
$23,896
0.8× median
4360047
CDM 		Proclaim 7 Elite 3 $17,205.00 $37,147.00 $19,160.00 nat. median
$19,160
1.0× median
4351561
CDM 		Aspire Sr Generator 106 3 $16,898.00 $36,485.00 $19,010.50 nat. median
$19,010
1.0× median
4303858
CDM 		Ocrelizumab 30 3 $42.00 $46,494.00 $10,812.00 nat. median
$10,812
1.0× median
4303404
CDM 		Antivenin,crot 3 $9.00 $41,610.00 $9,645.50 nat. median
$9,646
1.0× median
4360097
CDM 		Axonics Non-recharg Neuro Impl 3 $6,683.00 $14,429.00 $7,594.00 nat. median
$34
outlier · 220.9×
47562
CPT 		Removal Of Gallbladder Using An Endoscope 3 $1,333.00 $15,620.00 $7,234.00 nat. median
$5,993
1.2× median
4303562
CDM 		Benralizumab 30 Mg/ml Syr 3 $6,475.00 $13,979.00 $7,210.00 nat. median
$7,210
1.0× median
C1889
HCPCS 		Cartiform 20x25mm Disc Arthrex 3 $4,488.00 $14,369.00 $7,109.00 nat. median
$2,369
outlier · 3.0×
4360016
CDM 		Neurostimulator 3 $6,171.00 $13,324.00 $6,942.50 nat. median
$6,942
1.0× median
29826
CPT 		Shaving Of Shoulder Bone Using Endoscope 3 $143.00 $13,082.00 $6,059.00 nat. median
$3,079
2.0× median
4303850
CDM 		Alteplase 100 3 $163.00 $25,111.00 $5,991.50 nat. median
$5,992
1.0× median
49505
CPT 		Repair Of Groin Hernia Patient Age 5 Years Or Older 3 $503.00 $11,989.00 $5,445.00 nat. median
$3,856
1.4× median
50590
CPT 		Lithotripsy 3 $4,551.00 $10,023.00 $5,171.00 nat. median
$4,382
1.2× median
3502313
CDM 		Treatment Room Level 14 3 $4,431.00 $9,758.00 $5,034.00 nat. median
$5,034
1.0× median
4303509
CDM 		Immune Globulg/gly/iga Avg 46 40 Gm/400 Ml Vi 3 $4,497.00 $9,709.00 $5,008.00 nat. median
$5,008
1.0× median
4360073
CDM 		Cartiform 20mm Disc 3 $4,488.00 $9,690.00 $4,998.00 nat. median
$4,998
1.0× median
4303842
CDM 		Natalizumab 30 3 $5.00 $20,524.00 $4,758.50 nat. median
$2
outlier · 1999.4×
4360009
CDM 		Male Sling System 3 $3,958.00 $8,545.00 $4,453.00 nat. median
$4,453
1.0× median
36475
CPT 		Endovenous Rf Therapy 1 Vein 3 $3,967.00 $8,564.00 $4,417.00 nat. median
$4,061
1.1× median
4304148
CDM 		Golimumab 50 Mg/0.5 Ml Pen.injctr 3 $3,892.00 $8,404.00 $4,335.00 nat. median
$4,335
1.0× median
4303286
CDM 		Adalimumab Inj 40 Mg/0.4 Ml 3 $3,742.00 $8,080.00 $4,167.00 nat. median
$4,167
1.0× median
4303879
CDM 		Evinacumab-dgn 3 $252.00 $16,732.00 $4,147.00 nat. median
$4,147
1.0× median
36482
CPT 		Endovenous Chem Therapy 3 $2,946.00 $8,235.00 $4,030.50 nat. median
$6,035
0.7× median
3502315
CDM 		Treatment Room Level 13 3 $3,498.00 $7,704.00 $3,974.00 nat. median
$3,974
1.0× median
4303095
CDM 		Tenecteplase 5 3 $2.00 $16,693.00 $3,868.50 nat. median
$3,868
1.0× median
29881
CPT 		Removal Of One Knee Cartilage Using An Endoscope 3 $439.00 $8,157.00 $3,778.00 nat. median
$3,830
1.0× median
361
OTHER 		Endovenous Rf Therapy 1st Vein 1 $3,743.72 $3,743.72 $3,743.72 nat. median
$1,157
outlier · 3.2×
3200070
CDM 		Endo Chem Ther With Stab Phleb 3 $3,268.00 $7,197.00 $3,713.00 nat. median
$97
outlier · 38.1×
3200071
CDM 		Endo Rf Ther With Stab Phleb 3 $3,236.00 $6,987.00 $3,604.00 nat. median
$41
outlier · 88.3×
4303582
CDM 		Denosumab 120 Mg/1.7 Ml 3 $3,080.00 $6,651.00 $3,430.00 nat. median
$3,430
1.0× median
4360119
CDM 		Lapiplasty Mini Incision Sys 3 $2,986.00 $6,447.00 $3,393.00 nat. median
$3,393
1.0× median
4303751
CDM 		Collagenase Cl 3 $19.00 $14,207.00 $3,311.00 nat. median
$72
outlier · 46.2×
4303726
CDM 		Tocilizumab 400 Mg/20 Ml Vial 3 $2,947.00 $6,363.00 $3,282.00 nat. median
$7
outlier · 453.9×
54700
CPT 		Drainage Of Scrotum 3 $2,883.00 $6,225.00 $3,211.00 nat. median
$2,374
1.4× median
4360100
CDM 		Lapiplasty System 2 3 $2,809.00 $6,065.00 $3,192.00 nat. median
$3,192
1.0× median
3502312
CDM 		Treatment Room Level 12 3 $2,658.00 $5,855.00 $3,020.50 nat. median
$3,020
1.0× median
340
OTHER 		Nm Myocardial Image Spect Multi 2 $2,524.18 $3,244.49 $2,884.34 nat. median
$901
outlier · 3.2×
4360136
CDM 		Arthroflex Decell Dermis 40x70 3 $2,443.00 $5,274.00 $2,776.00 nat. median
$2,776
1.0× median
74174
CPT 		CT-CTA Abd/pelvis W/contr 3 $2,321.00 $5,513.00 $2,740.50 nat. median
$988
outlier · 2.8×
74178
CPT 		CT Abdomen Pelvis W/wo 3 $2,273.00 $5,398.00 $2,683.50 nat. median
$1,024
outlier · 2.6×
4303742
CDM 		Pegfilgrastim- 3 $220.00 $10,525.00 $2,675.00 nat. median
$2,675
1.0× median
71555
CPT 		MRI-angiograph Chest W/wo 3 $2,341.00 $5,055.00 $2,634.00 nat. median
$1,143
outlier · 2.3×
4360019
CDM 		Tined Lead Kit W/percu Ext 3 $2,218.00 $5,267.00 $2,621.00 nat. median
$124
outlier · 21.2×
4304001
CDM 		Rituximab 500m 3 $18.00 $11,212.00 $2,615.50 nat. median
$92
outlier · 28.4×
4351577
CDM 		Axis Graft 8x12 3 $2,317.00 $5,003.00 $2,606.50 nat. median
$2,606
1.0× median
4304182
CDM 		Romosozumab 210mg/2.34ml In 2 3 $2,314.00 $4,995.00 $2,576.00 nat. median
$10
outlier · 257.6×

Other procedures at this hospital

Browse this hospital's 4,161 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
             
4303703 CDM Rho(d) Imm Glo 6 3 $66,312.50 $62,333.50 $5.00 $125,982.00 $29,180.50 2025-07-24
4303973 CDM Vutrisiran 25 6 3 $62,178.00 $58,447.50 $2.00 $118,133.00 $27,359.50 2025-07-24
C1820 HCPCS Eterna Generator & Kit 3 3 $40,563.00 $38,129.00 $17,848.00 $38,535.00 $20,282.00 2025-07-24
C1767 HCPCS Proclaim 7 Elite 6 3 $38,613.50 $36,297.00 $16,775.00 $37,147.00 $19,307.00 2025-07-24
4360047 CDM Proclaim 7 Elite 3 3 $39,102.00 $36,756.00 $17,205.00 $37,147.00 $19,160.00 2025-07-24
4351561 CDM Aspire Sr Generator 106 6 3 $38,405.00 $36,101.00 $16,898.00 $36,485.00 $19,010.50 2025-07-24
4303858 CDM Ocrelizumab 30 6 3 $24,518.00 $23,047.00 $42.00 $46,494.00 $10,812.00 2025-07-24
4303404 CDM Antivenin,crot 6 3 $21,910.00 $20,595.50 $9.00 $41,610.00 $9,645.50 2025-07-24
4360097 CDM Axonics Non-recharg Neuro Impl 3 3 $15,188.00 $14,277.00 $6,683.00 $14,429.00 $7,594.00 2025-07-24
47562 CPT Removal Of Gallbladder Using An Endoscope 9 3 $16,297.00 $15,319.00 $1,333.00 $15,620.00 $7,234.00 2025-07-24
4303562 CDM Benralizumab 30 Mg/ml Syr 3 3 $14,715.00 $13,832.00 $6,475.00 $13,979.00 $7,210.00 2025-07-24
C1889 HCPCS Cartiform 20x25mm Disc Arthrex 6 3 $12,662.50 $11,903.00 $4,488.00 $14,369.00 $7,109.00 2025-07-24
4360016 CDM Neurostimulator 6 3 $14,025.00 $13,184.00 $6,171.00 $13,324.00 $6,942.50 2025-07-24
29826 CPT Shaving Of Shoulder Bone Using Endoscope 9 3 $13,770.00 $12,944.00 $143.00 $13,082.00 $6,059.00 2025-07-24
4303850 CDM Alteplase 100 6 3 $13,401.50 $12,597.50 $163.00 $25,111.00 $5,991.50 2025-07-24
49505 CPT Repair Of Groin Hernia Patient Age 5 Years Or Older 9 3 $10,890.00 $10,237.00 $503.00 $11,989.00 $5,445.00 2025-07-24
50590 CPT Lithotripsy 6 3 $10,447.50 $9,820.50 $4,551.00 $10,023.00 $5,171.00 2025-07-24
3502313 CDM Treatment Room Level 14 6 3 $10,171.00 $9,561.00 $4,431.00 $9,758.00 $5,034.00 2025-07-24
4303509 CDM Immune Globulg/gly/iga Avg 46 40 Gm/400 Ml Vi 3 3 $10,220.00 $9,607.00 $4,497.00 $9,709.00 $5,008.00 2025-07-24
4360073 CDM Cartiform 20mm Disc 3 3 $10,200.00 $9,588.00 $4,488.00 $9,690.00 $4,998.00 2025-07-24
4303842 CDM Natalizumab 30 6 3 $10,808.00 $10,159.50 $5.00 $20,524.00 $4,758.50 2025-07-24
4360009 CDM Male Sling System 6 3 $8,995.00 $8,455.00 $3,958.00 $8,545.00 $4,453.00 2025-07-24
36475 CPT Endovenous Rf Therapy 1 Vein 3 3 $9,015.00 $8,474.00 $3,967.00 $8,564.00 $4,417.00 2025-07-24
4304148 CDM Golimumab 50 Mg/0.5 Ml Pen.injctr 3 3 $8,846.00 $8,315.00 $3,892.00 $8,404.00 $4,335.00 2025-07-24
4303286 CDM Adalimumab Inj 40 Mg/0.4 Ml 3 3 $8,505.00 $7,995.00 $3,742.00 $8,080.00 $4,167.00 2025-07-24
4303879 CDM Evinacumab-dgn 6 3 $9,093.00 $8,547.50 $252.00 $16,732.00 $4,147.00 2025-07-24
36482 CPT Endovenous Chem Therapy 12 3 $7,663.50 $7,203.50 $2,946.00 $8,235.00 $4,030.50 2025-07-24
3502315 CDM Treatment Room Level 13 6 3 $8,029.50 $7,547.50 $3,498.00 $7,704.00 $3,974.00 2025-07-24
4303095 CDM Tenecteplase 5 6 3 $8,788.50 $8,261.50 $2.00 $16,693.00 $3,868.50 2025-07-24
29881 CPT Removal Of One Knee Cartilage Using An Endoscope 9 3 $7,901.00 $7,427.00 $439.00 $8,157.00 $3,778.00 2025-07-24
361 OTHER Endovenous Rf Therapy 1st Vein 1 1 $5,665.00 $5,665.00 $3,743.72 $3,743.72 $3,743.72 2026-08-01
3200070 CDM Endo Chem Ther With Stab Phleb 6 3 $7,501.50 $7,051.00 $3,268.00 $7,197.00 $3,713.00 2025-07-24
3200071 CDM Endo Rf Ther With Stab Phleb 3 3 $7,355.00 $6,914.00 $3,236.00 $6,987.00 $3,604.00 2025-07-24
4303582 CDM Denosumab 120 Mg/1.7 Ml 3 3 $7,001.00 $6,581.00 $3,080.00 $6,651.00 $3,430.00 2025-07-24
4360119 CDM Lapiplasty Mini Incision Sys 3 3 $6,786.00 $6,379.00 $2,986.00 $6,447.00 $3,393.00 2025-07-24
4303751 CDM Collagenase Cl 6 3 $7,499.50 $7,049.50 $19.00 $14,207.00 $3,311.00 2025-07-24
4303726 CDM Tocilizumab 400 Mg/20 Ml Vial 3 3 $6,698.00 $6,296.00 $2,947.00 $6,363.00 $3,282.00 2025-07-24
54700 CPT Drainage Of Scrotum 3 3 $6,553.00 $6,160.00 $2,883.00 $6,225.00 $3,211.00 2025-07-24
4360100 CDM Lapiplasty System 2 3 3 $6,384.00 $6,001.00 $2,809.00 $6,065.00 $3,192.00 2025-07-24
3502312 CDM Treatment Room Level 12 6 3 $6,102.50 $5,736.00 $2,658.00 $5,855.00 $3,020.50 2025-07-24
340 OTHER Nm Myocardial Image Spect Multi 2 2 $4,207.50 $4,207.50 $2,524.18 $3,244.49 $2,884.34 2026-08-01
4360136 CDM Arthroflex Decell Dermis 40x70 3 3 $5,552.00 $5,219.00 $2,443.00 $5,274.00 $2,776.00 2025-07-24
74174 CPT CT-CTA Abd/pelvis W/contr 6 3 $5,539.00 $5,207.00 $2,321.00 $5,513.00 $2,740.50 2025-07-24
74178 CPT CT Abdomen Pelvis W/wo 6 3 $5,423.50 $5,098.00 $2,273.00 $5,398.00 $2,683.50 2025-07-24
4303742 CDM Pegfilgrastim- 6 3 $5,789.50 $5,442.00 $220.00 $10,525.00 $2,675.00 2025-07-24
71555 CPT MRI-angiograph Chest W/wo 6 3 $5,321.00 $5,002.00 $2,341.00 $5,055.00 $2,634.00 2025-07-24
4360019 CDM Tined Lead Kit W/percu Ext 6 3 $5,292.00 $4,974.50 $2,218.00 $5,267.00 $2,621.00 2025-07-24
4304001 CDM Rituximab 500m 6 3 $5,921.00 $5,566.00 $18.00 $11,212.00 $2,615.50 2025-07-24
4351577 CDM Axis Graft 8x12 6 3 $5,266.00 $4,950.00 $2,317.00 $5,003.00 $2,606.50 2025-07-24
4304182 CDM Romosozumab 210mg/2.34ml In 2 3 3 $5,258.00 $4,943.00 $2,314.00 $4,995.00 $2,576.00 2025-07-24
4360017 CDM Tined Lead Kit 6 3 $5,145.00 $4,836.50 $2,156.00 $5,121.00 $2,548.00 2025-07-24
4351555 CDM Balloon Kyphoplasty Kit Spine 6 3 $5,082.00 $4,777.00 $2,236.00 $4,828.00 $2,515.50 2025-07-24
10121 CPT Incision Foreign Body Com 6 3 $5,114.50 $4,807.50 $2,229.00 $4,906.00 $2,506.00 2025-07-24
4302578 CDM Interferon Bet 6 3 $5,626.00 $5,288.50 $50.00 $10,581.00 $2,504.50 2025-07-24
3200060 CDM Rhizotomy > 1 Level 3 3 $4,960.00 $4,662.00 $2,182.00 $4,712.00 $2,480.00 2025-07-24
21445 CPT Ixekizumab 80 6 3 $5,230.00 $4,916.00 $307.00 $9,274.00 $2,479.00 2025-07-24
71552 CPT MRI-chest W&without Contrast 6 3 $4,991.00 $4,692.00 $2,196.00 $4,741.00 $2,471.00 2025-07-24
76498 CPT MRI-partial Study 6 3 $4,991.00 $4,692.00 $2,196.00 $4,741.00 $2,471.00 2025-07-24
63685 CPT Insert/replace Spinal Neorstim 6 3 $4,921.00 $4,626.00 $2,144.00 $4,722.00 $2,435.50 2025-07-24
4303320 CDM Abatacept 250 Mg Vial 3 3 $4,963.00 $4,665.00 $2,184.00 $4,715.00 $2,432.00 2025-07-24
70471 CPT CT-head & Neck 3 3 $4,950.00 $4,653.00 $2,178.00 $4,703.00 $2,426.00 2025-07-24
610 OTHER MRI-lumbar Spine Without Cont 34 3 $3,312.50 $3,312.50 $1,445.52 $4,496.35 $2,423.45 2026-08-01
36466 CPT Varithena Multi Veins 6 3 $4,864.50 $4,572.50 $2,119.00 $4,667.00 $2,407.50 2025-07-24
4351833 CDM Optilume Dcb Infl 30frx5cm 3 3 $4,774.00 $4,488.00 $2,101.00 $4,535.00 $2,387.00 2025-07-24
72157 CPT MRI-thoracic Spine W&without 6 3 $4,809.00 $4,520.00 $2,116.00 $4,569.00 $2,380.50 2025-07-24
72156 CPT MRI-cervical Spine W&without 6 3 $4,809.00 $4,520.00 $2,116.00 $4,569.00 $2,380.50 2025-07-24
72158 CPT MRI-lumbar Spine W&without Co 6 3 $4,809.00 $4,520.00 $2,116.00 $4,569.00 $2,380.50 2025-07-24
4351744 CDM Rezum Device (d2201-5sb) 3 3 $4,759.00 $4,473.00 $2,094.00 $4,521.00 $2,380.00 2025-07-24
51102 CPT Aspr Bladder Insert Sp Cath 6 3 $4,807.00 $4,518.50 $2,094.00 $4,612.00 $2,379.50 2025-07-24
74177 CPT CT Scan Of Abdomen And Pelvis With Contrast 6 3 $4,784.00 $4,497.00 $2,005.00 $4,761.00 $2,367.00 2025-07-24
78452 CPT Nm-myocard Img Spct Multi 6 3 $4,779.00 $4,492.50 $2,002.00 $4,757.00 $2,364.50 2025-07-24
4360046 CDM Octrode Perm Implant 3 3 $4,823.00 $4,534.00 $2,122.00 $4,582.00 $2,363.00 2025-07-24
4303564 CDM Paliperidone Palmitate 156 Mg/ml Syringe 3 3 $4,759.00 $4,473.00 $2,094.00 $4,521.00 $2,332.00 2025-07-24
73725 CPT MRI-angio Lwr Ext Ww Rt 6 3 $4,654.00 $4,375.00 $2,048.00 $4,421.00 $2,303.50 2025-07-24
360 OTHER Chest Tube Insertion 2 2 $1,874.25 $1,874.25 $22.99 $4,538.40 $2,280.69 2026-08-01
36465 CPT Varitenasingle Vein 6 3 $4,577.50 $4,303.00 $1,994.00 $4,392.00 $2,265.50 2025-07-24
920 OTHER Electromyelogram 5 2 $3,782.50 $3,782.50 $771.65 $2,570.17 $2,251.41 2026-08-01
78451 CPT Nm Myocard Image Single 6 3 $4,530.00 $4,258.00 $1,898.00 $4,509.00 $2,241.50 2025-07-24
3502311 CDM Treatment Room Level 11 6 3 $4,497.00 $4,227.00 $1,959.00 $4,315.00 $2,226.00 2025-07-24
74249 CPT Ugi/air Contrastsb 6 3 $4,441.50 $4,175.00 $1,861.00 $4,420.00 $2,197.50 2025-07-24
72159 CPT MRI-angiograph Spinal 6 3 $4,400.00 $4,136.00 $1,936.00 $4,180.00 $2,178.00 2025-07-24
70542 CPT MRI-face/neck/orbits W/co 6 3 $4,385.00 $4,122.00 $1,929.00 $4,166.00 $2,171.00 2025-07-24
4350928 CDM Groshng Triple Lumen Tray 6 3 $4,362.00 $4,100.00 $1,919.00 $4,144.00 $2,159.00 2025-07-24
4360166 CDM Cuffmend Rotator Cuff Aug. Imp 3 3 $4,270.00 $4,014.00 $1,879.00 $4,057.00 $2,135.00 2025-07-24
4303887 CDM Nf Aripiprazole 300 Mg Suser.vial 3 3 $4,357.00 $4,096.00 $1,917.00 $4,139.00 $2,135.00 2025-07-24
46320 CPT Removal Of Hemorrhoid Clot 3 3 $4,355.00 $4,094.00 $1,916.00 $4,137.00 $2,134.00 2025-07-24
72197 CPT MRI-pelvis W&without Contrast 6 3 $4,250.00 $3,995.00 $1,870.00 $4,038.00 $2,104.00 2025-07-24
4351512 CDM Bipolar 24-26 Fr Loop 6 3 $4,248.00 $3,993.00 $1,869.00 $4,036.00 $2,103.00 2025-07-24
4303548 CDM Leuprolide 3.75 Mg Syringekit 3 3 $4,291.00 $4,034.00 $1,888.00 $4,076.00 $2,103.00 2025-07-24
72147 CPT MRI-thoracic Spine W/cont 6 3 $4,237.00 $3,983.00 $1,864.00 $4,025.00 $2,097.50 2025-07-24
4360022 CDM Comp 15mm Articular 2.5x4.5 6 3 $4,208.00 $3,956.00 $1,852.00 $3,998.00 $2,083.00 2025-07-24
71551 CPT MRI-chest W/contrast 6 3 $4,089.00 $3,844.00 $1,799.00 $3,885.00 $2,024.50 2025-07-24
4351806 CDM Omnicurve 11g 15mm Fracture Kt 3 3 $4,044.00 $3,801.00 $1,779.00 $3,842.00 $2,022.00 2025-07-24
71550 CPT MRI-chest Without Contrast 6 3 $4,050.00 $3,807.00 $1,782.00 $3,848.00 $2,005.00 2025-07-24
70553 CPT MRI Scan 6 3 $4,034.00 $3,792.00 $1,775.00 $3,832.00 $1,997.00 2025-07-24
70546 CPT MRI-angio Head W&wo 6 3 $4,022.00 $3,781.00 $1,770.00 $3,821.00 $1,991.00 2025-07-24
4303762 CDM Gamunex-c Inj Sol 10 Gm/100ml 3 3 $4,048.00 $3,805.00 $1,781.00 $3,846.00 $1,984.00 2025-07-24
53854 CPT Rezum 6 3 $4,006.00 $3,765.50 $1,745.00 $3,844.00 $1,983.00 2025-07-24
63650 CPT Percut Implant Neurostim 6 3 $4,006.00 $3,765.50 $1,745.00 $3,844.00 $1,983.00 2025-07-24
4360061 CDM Arthroflex 40x70x1.5mm Graft 3 3 $3,956.00 $3,719.00 $1,741.00 $3,758.00 $1,978.00 2025-07-24
75635 CPT CT Angio Runoff 6 3 $3,997.50 $3,758.00 $1,675.00 $3,979.00 $1,978.00 2025-07-24
74183 CPT MRI-abdomen W&without Con 6 3 $3,996.00 $3,756.00 $1,758.00 $3,796.00 $1,978.00 2025-07-24
70543 CPT MRI-face/neck W/&without Cont 6 3 $3,990.00 $3,751.00 $1,756.00 $3,791.00 $1,975.00 2025-07-24
4360076 CDM Imp Systm Fast Thrd Screw 6 3 $3,990.00 $3,751.00 $1,756.00 $3,791.00 $1,975.00 2025-07-24
4360118 CDM Arthrex Amnion Matrix 3cmx4cm 3 3 $3,920.00 $3,685.00 $1,725.00 $3,724.00 $1,960.00 2025-07-24
4360158 CDM Arthrex Rc Fibertak Speedbridg 3 3 $3,885.00 $3,652.00 $1,709.00 $3,691.00 $1,943.00 2025-07-24
Q4125 HCPCS Arthroflex 40x70x1.5mm Graft 3 3 $3,956.00 $3,719.00 $1,741.00 $3,758.00 $1,938.00 2025-07-24
70547 CPT MRI-angiograph Neck Wo Co 6 3 $3,890.00 $3,657.00 $1,712.00 $3,696.00 $1,925.50 2025-07-24
4360125 CDM Atr Md Inst 2.5mm Offst-01 3.6 3 3 $3,835.00 $3,605.00 $1,687.00 $3,643.00 $1,918.00 2025-07-24
73723 CPT MRI-lwr Ext Joint W&wo Rt 6 3 $3,873.00 $3,641.00 $1,704.00 $3,679.00 $1,917.50 2025-07-24
74185 CPT MRI-angiograph Abd W/wo 6 3 $3,873.00 $3,641.00 $1,704.00 $3,679.00 $1,917.50 2025-07-24
4303743 CDM C1 Esterase In 6 3 $4,347.50 $4,087.00 $2.00 $8,256.00 $1,914.50 2025-07-24
350 OTHER CT Abdomen Pelvis W Cont 35 4 $2,605.00 $2,605.00 $1,156.89 $4,599.90 $1,913.00 2026-08-01
72146 CPT MRI-thoracic Spine 6 3 $3,859.00 $3,627.00 $1,698.00 $3,666.00 $1,910.50 2025-07-24
29823 CPT Scope, Debridement, Extensive 6 3 $3,849.50 $3,618.50 $1,677.00 $3,694.00 $1,905.50 2025-07-24
55874 CPT Tprnl Plmt Biodegrdabl Matrl 3 3 $3,876.00 $3,643.00 $1,705.00 $3,682.00 $1,899.00 2025-07-24
4303761 CDM Calcitonin Inj 6 3 $4,195.00 $3,943.50 $91.00 $7,774.00 $1,899.00 2025-07-24
4351233 CDM Laser Vaporization Unit 3 3 $3,790.00 $3,563.00 $1,668.00 $3,601.00 $1,895.00 2025-07-24
74170 CPT CT-abdomen W/without Contrst 6 3 $3,811.50 $3,582.50 $1,597.00 $3,793.00 $1,886.00 2025-07-24
3200073 CDM Kyphoplasty 1 Level 6 3 $3,809.00 $3,580.50 $1,659.00 $3,655.00 $1,885.50 2025-07-24
77049 CPT MRI Breast Bilateral W & Without 6 3 $3,807.00 $3,579.00 $1,675.00 $3,617.00 $1,884.50 2025-07-24
70549 CPT MRI-angio Neck W&without 6 3 $3,804.00 $3,576.00 $1,674.00 $3,614.00 $1,883.00 2025-07-24
74176 CPT CT-abdomem Pelvis Wo Cont 6 3 $3,799.00 $3,571.00 $1,592.00 $3,781.00 $1,879.50 2025-07-24
73223 CPT MRI-up Ext Joint W&without Rt 6 3 $3,786.00 $3,559.00 $1,666.00 $3,597.00 $1,874.00 2025-07-24
4304162 CDM Certolizumab P 6 3 $4,252.50 $3,997.50 $3.00 $8,074.00 $1,873.00 2025-07-24
70552 CPT MRI-brain W/contrast 6 3 $3,764.00 $3,538.00 $1,656.00 $3,576.00 $1,863.00 2025-07-24
70540 CPT MRI-face Neck Or Orbits 6 3 $3,755.00 $3,530.00 $1,652.00 $3,567.00 $1,859.00 2025-07-24
3502310 CDM Treatment Room Level 10 6 3 $3,747.50 $3,522.50 $1,632.00 $3,596.00 $1,855.00 2025-07-24
3704401 CDM Premium Hearing Aid Binaural 3 3 $3,774.00 $3,548.00 $1,661.00 $3,585.00 $1,849.00 2025-07-24
11403 CPT Exc Tr-ext B9+marg 2.1-3cm 3 3 $3,760.00 $3,534.00 $1,654.00 $3,572.00 $1,842.00 2025-07-24
51706 CPT Ferric Carboxymaltose 750 Mg/15 Mlvial 3 3 $3,740.00 $3,516.00 $1,646.00 $3,553.00 $1,833.00 2025-07-24
3200054 CDM Rhizotomy 1 Level 3 3 $3,661.00 $3,441.00 $1,611.00 $3,478.00 $1,831.00 2025-07-24
93351 CPT Echo Stress EKG W/supervision 6 3 $3,696.00 $3,474.00 $1,626.00 $3,511.00 $1,829.50 2025-07-24
11426 CPT Exc Scal/nck/hnd/feet/gen >4cm 6 3 $3,670.50 $3,450.50 $1,599.00 $3,522.00 $1,816.50 2025-07-24
20670 CPT Pin Removal 6 3 $3,662.50 $3,442.50 $1,595.00 $3,514.00 $1,813.00 2025-07-24
72198 CPT MRI-angiograph Pelvis Wwo 6 3 $3,658.00 $3,439.00 $1,610.00 $3,475.00 $1,810.50 2025-07-24
70336 CPT MRI-tmj 6 3 $3,654.00 $3,435.00 $1,608.00 $3,471.00 $1,808.50 2025-07-24
72148 CPT MRI Scan Of Lower Spinal Canal 6 3 $3,630.00 $3,412.00 $1,597.00 $3,449.00 $1,797.00 2025-07-24
70545 CPT MRI-angiography Head W/co 6 3 $3,607.00 $3,391.00 $1,587.00 $3,427.00 $1,785.50 2025-07-24
480 OTHER Echo W/doppler Complete 3 3 $2,165.50 $2,165.50 $1,297.67 $2,017.33 $1,776.51 2026-08-01
70551 CPT MRI-brain Without Contrast 6 3 $3,583.00 $3,368.00 $1,577.00 $3,404.00 $1,774.00 2025-07-24
4303527 CDM Dextranomer/hy 6 3 $3,912.00 $3,677.00 $87.00 $7,245.00 $1,771.50 2025-07-24
4360012 CDM Syn Mesh Vaginal Support Systm 6 3 $3,577.00 $3,362.00 $1,574.00 $3,398.00 $1,771.00 2025-07-24
74182 CPT MRI-abdomen W/contrast 6 3 $3,568.00 $3,354.00 $1,570.00 $3,390.00 $1,766.00 2025-07-24
70544 CPT MRI-angiography Head Without 6 3 $3,568.00 $3,354.00 $1,570.00 $3,390.00 $1,766.00 2025-07-24
70548 CPT MRI-angiograph Neck W/con 6 3 $3,559.00 $3,345.00 $1,566.00 $3,381.00 $1,762.00 2025-07-24
71275 CPT CT Angiography Chest 6 3 $3,552.50 $3,339.50 $1,489.00 $3,536.00 $1,758.00 2025-07-24
28322 CPT Repair Of Metatarsals 3 3 $3,570.00 $3,356.00 $1,571.00 $3,392.00 $1,749.00 2025-07-24
72142 CPT MRI-cervical Spine W/cont 6 3 $3,512.00 $3,301.00 $1,545.00 $3,336.00 $1,738.50 2025-07-24
72196 CPT MRI-pelvis W/contrast 6 3 $3,506.00 $3,296.00 $1,543.00 $3,331.00 $1,735.50 2025-07-24
74175 CPT CT Angiography Abdomen 6 3 $3,504.00 $3,294.00 $1,468.00 $3,487.00 $1,734.00 2025-07-24
4303343 CDM Golimumab 50 M 6 3 $3,888.00 $3,655.00 $2.00 $7,383.00 $1,712.00 2025-07-24
72191 CPT CT Angiography Pelvic 6 3 $3,453.50 $3,246.50 $1,447.00 $3,437.00 $1,709.00 2025-07-24
4351690 CDM Kypho 11g 20mm Avaflex Kit 6 3 $3,446.50 $3,239.50 $1,444.00 $3,430.00 $1,707.00 2025-07-24
81445 CPT Hrdtry Renal Cancer Panel 3 3 $3,409.00 $3,204.00 $1,500.00 $3,239.00 $1,705.00 2025-07-24
72149 CPT MRI-lumbar Spine W/contra 6 3 $3,431.00 $3,225.00 $1,510.00 $3,259.00 $1,698.50 2025-07-24
74181 CPT MRI-abdomen Without Contrast 6 3 $3,416.00 $3,211.00 $1,503.00 $3,245.00 $1,691.00 2025-07-24
72133 CPT CT-lumbar W/without Contrast 6 3 $3,417.00 $3,212.00 $1,432.00 $3,401.00 $1,690.50 2025-07-24
4360155 CDM Stryker Hammertoe Cann 3x16mm 3 3 $3,348.00 $3,147.00 $1,473.00 $3,181.00 $1,674.00 2025-07-24
73722 CPT MRI-lwr Ext Joint W/cn Rt 6 3 $3,367.00 $3,165.00 $1,481.00 $3,199.00 $1,667.00 2025-07-24
72195 CPT MRI-pelvis Without Contrast 6 3 $3,339.00 $3,139.00 $1,469.00 $3,172.00 $1,653.00 2025-07-24
70498 CPT CT Angiography Carotid 6 3 $3,323.50 $3,124.00 $1,393.00 $3,308.00 $1,644.50 2025-07-24
64633 CPT Cerv Rhizotomy 1st Level 9 3 $2,024.00 $1,903.00 $873.00 $3,548.00 $1,643.00 2025-07-24
4303563 CDM Paliperidone P 6 3 $3,685.50 $3,464.00 $27.00 $6,945.00 $1,637.00 2025-07-24
C1762 HCPCS Quadlink (Fql)implant 15 3 $2,950.00 $2,773.00 $914.00 $3,520.00 $1,630.00 2025-07-24
71270 CPT CT-chest W/wo Contrast 6 3 $3,292.00 $3,094.50 $1,379.00 $3,277.00 $1,629.00 2025-07-24
4360153 CDM Hat-trick Pip Fusion 3.7mm Imp 6 3 $3,278.00 $3,081.00 $1,442.00 $3,114.00 $1,622.50 2025-07-24
4303772 CDM Botulinum Toxin Type A 200 Un 3 3 $3,306.00 $3,108.00 $1,455.00 $3,141.00 $1,620.00 2025-07-24
73220 CPT MRI-up Ext Njnt W&wo Rt 6 3 $3,269.00 $3,073.00 $1,438.00 $3,106.00 $1,618.50 2025-07-24
73225 CPT MRI-angio Up Ext Wwo Rt 6 3 $3,262.00 $3,066.00 $1,435.00 $3,099.00 $1,614.50 2025-07-24
70496 CPT CT-angio Circle Of Willis 6 3 $3,258.50 $3,063.00 $1,365.00 $3,243.00 $1,612.50 2025-07-24
72141 CPT MRI-cervical Spine Without Co 6 3 $3,258.00 $3,063.00 $1,434.00 $3,095.00 $1,612.50 2025-07-24
73720 CPT MRI-lwr Ext Njnt W&wo Rt 6 3 $3,258.00 $3,063.00 $1,434.00 $3,095.00 $1,612.50 2025-07-24
77048 CPT MRI Breast Unilat With & Without Rt 6 3 $3,194.00 $3,002.00 $1,405.00 $3,034.00 $1,581.00 2025-07-24
73719 CPT MRI-low Ext Njnt W/co Rt 6 3 $3,153.00 $2,964.00 $1,387.00 $2,995.00 $1,561.00 2025-07-24
28285 CPT Correction Hammertoe 6 3 $3,091.00 $2,905.50 $1,346.00 $2,966.00 $1,530.00 2025-07-24
78100 CPT Inclisiran Sod 6 3 $3,403.50 $3,199.00 $26.00 $6,410.00 $1,513.00 2025-07-24
4360039 CDM Spdbrg Imp Sys W/biocomp Swvlk 6 3 $3,056.00 $2,873.00 $1,345.00 $2,903.00 $1,512.50 2025-07-24
23655 CPT Dislocation Shoulder W Ma 9 3 $1,779.00 $1,672.00 $752.00 $3,259.00 $1,509.00 2025-07-24
C1713 HCPCS Quad Implant Syst 100mm 12 3 $2,511.50 $2,360.50 $424.00 $3,410.00 $1,507.00 2025-07-24
70481 CPT CT-orbit/ear/iac With Con 6 3 $3,033.50 $2,851.50 $1,271.00 $3,019.00 $1,501.00 2025-07-24
72194 CPT CT-pelvis W/without Contrast 6 3 $3,030.50 $2,849.00 $1,270.00 $3,016.00 $1,499.50 2025-07-24
4360134 CDM Arthrex Menscl Rep Biocomp Kit 3 3 $2,992.00 $2,812.00 $1,316.00 $2,842.00 $1,496.00 2025-07-24
74160 CPT CT-abdomen With Contrast 6 3 $3,010.50 $2,830.00 $1,261.00 $2,996.00 $1,489.50 2025-07-24
4351547 CDM Altis Kit Sling 6 3 $2,876.00 $2,703.50 $1,123.00 $3,040.00 $1,488.00 2025-07-24
4360164 CDM Arthrex Impl Sys Mpfl Acl 3 3 $2,969.00 $2,791.00 $1,306.00 $2,821.00 $1,485.00 2025-07-24
73718 CPT MRI-low Ext Non Joint Rt 6 3 $2,991.00 $2,812.00 $1,316.00 $2,841.00 $1,481.00 2025-07-24
73219 CPT MRI-up Ext Njnt W/con Rt 6 3 $2,973.00 $2,795.00 $1,308.00 $2,824.00 $1,472.00 2025-07-24
71260 CPT CT-chest With Contrast 6 3 $2,960.00 $2,782.50 $1,240.00 $2,946.00 $1,464.50 2025-07-24
72132 CPT CT-lumbar With Contrast 6 3 $2,942.50 $2,766.00 $1,233.00 $2,929.00 $1,456.00 2025-07-24
73206 CPT CT Angio Upper Ext W/ow/dye 6 3 $2,931.00 $2,755.50 $1,228.00 $2,917.00 $1,450.50 2025-07-24
72126 CPT CT-cervical Spine W/contr 6 3 $2,931.00 $2,755.50 $1,228.00 $2,917.00 $1,450.50 2025-07-24
4303357 CDM Tocilizumab 162 Mg/0.9 Ml Syr 3 3 $2,959.00 $2,781.00 $1,302.00 $2,811.00 $1,450.00 2025-07-24
4351510 CDM Endo Gia 60mm Reload Tan 6 3 $2,919.00 $2,744.00 $1,284.00 $2,773.00 $1,445.00 2025-07-24
72129 CPT CT-thoracic Spine With Co 6 3 $2,895.00 $2,721.50 $1,213.00 $2,881.00 $1,432.50 2025-07-24
70492 CPT CT-neck W/wo Contrast 6 3 $2,874.00 $2,701.50 $1,204.00 $2,860.00 $1,422.00 2025-07-24
73222 CPT MRI-up Ext Joint W/con Rt 6 3 $2,867.00 $2,695.00 $1,261.00 $2,724.00 $1,419.50 2025-07-24
4351685 CDM Proclaim Patient Controller 6 3 $2,860.00 $2,688.00 $1,258.00 $2,717.00 $1,415.50 2025-07-24
A0434 HCPCS Amb Als Sct 3 3 $2,825.00 $2,656.00 $1,243.00 $2,684.00 $1,413.00 2025-07-24
45380 CPT Biopsy Exam Of Large Bowel Using An Endoscope 9 3 $2,398.00 $2,254.00 $692.00 $3,040.00 $1,408.00 2025-07-24
73721 CPT MRI Scan Of Leg Joint 6 3 $2,843.00 $2,672.00 $1,251.00 $2,701.00 $1,407.50 2025-07-24
70491 CPT CT-neck With Contrast 6 3 $2,835.00 $2,665.00 $1,188.00 $2,822.00 $1,402.50 2025-07-24
4360101 CDM Lapiplasty Planter Power Plate 3 3 $2,800.00 $2,632.00 $1,232.00 $2,660.00 $1,400.00 2025-07-24
52640 CPT Relieve Bladder Contracture 3 3 $2,856.00 $2,685.00 $1,257.00 $2,713.00 $1,399.00 2025-07-24
78740 CPT Nm-urethral Reflux Study 6 3 $2,817.50 $2,648.50 $1,181.00 $2,804.00 $1,394.00 2025-07-24
64561 CPT Bladder Stim Permanent 6 3 $2,805.00 $2,636.50 $1,222.00 $2,691.00 $1,388.50 2025-07-24
72193 CPT CT Scan Of Pelvis With Contrast 6 3 $2,803.50 $2,635.50 $1,175.00 $2,790.00 $1,387.00 2025-07-24
4351511 CDM Endo Gia 60mm Medium Purple 6 3 $2,795.00 $2,627.00 $1,230.00 $2,655.00 $1,384.00 2025-07-24
3450011 CDM Amb Als Sct 3 3 $2,825.00 $2,656.00 $1,243.00 $2,684.00 $1,384.00 2025-07-24
81408 CPT Edsgg Panel 12 3 $2,792.50 $2,625.00 $179.00 $4,124.00 $1,382.00 2025-07-24
12020 CPT Tx Supfc Wnd Dehsn Smpl Clsr 6 3 $2,790.00 $2,622.50 $1,203.00 $2,703.00 $1,381.00 2025-07-24
4351796 CDM Glidescope Bflex 3.8 3 3 $2,758.00 $2,593.00 $1,214.00 $2,620.00 $1,379.00 2025-07-24
4351795 CDM Glidescope Bflex 5.0 3 3 $2,758.00 $2,593.00 $1,214.00 $2,620.00 $1,379.00 2025-07-24
72128 CPT CT-thoracic Spine Wo Cont 6 3 $2,777.50 $2,610.50 $1,164.00 $2,765.00 $1,374.50 2025-07-24
4360083 CDM Hat-trick Fsn 3.2mm Prox Impl 6 3 $2,760.00 $2,594.00 $1,214.00 $2,622.00 $1,366.00 2025-07-24
C1778 HCPCS Octrode Perm Implant 6 3 $2,726.50 $2,563.00 $277.00 $4,582.00 $1,360.50 2025-07-24
4360074 CDM Gracillis Tendon 3 3 $2,768.00 $2,602.00 $1,218.00 $2,630.00 $1,356.00 2025-07-24
72125 CPT CT-cervical Spine Without Con 6 3 $2,737.50 $2,573.50 $1,147.00 $2,725.00 $1,354.50 2025-07-24
73218 CPT MRI-up Ext Non Joint Rt 6 3 $2,732.00 $2,568.00 $1,202.00 $2,595.00 $1,352.50 2025-07-24
3000006 CDM Progressive Care Room 6 3 $2,516.50 $2,365.50 $935.00 $2,762.00 $1,351.50 2025-07-24
45385 CPT Removal Of Polyps Or Growths Of Large Bowel Using An Endoscope 9 3 $2,398.00 $2,254.00 $670.00 $2,917.00 $1,351.00 2025-07-24
36573 CPT Picc Line Insertion W/us Guid 12 3 $2,140.50 $2,012.50 $671.00 $2,833.00 $1,345.00 2025-07-24
70482 CPT CT Orbit Ear/fossa W/ow/con 6 3 $2,717.50 $2,554.50 $1,139.00 $2,705.00 $1,344.50 2025-07-24
4303278 CDM Hylan G-f 20 48 Mg/6 Ml Syring 3 3 $2,739.00 $2,575.00 $1,205.00 $2,602.00 $1,342.00 2025-07-24
29822 CPT Scope, Debridement, Small 6 3 $2,705.00 $2,542.50 $1,178.00 $2,595.00 $1,339.00 2025-07-24
70470 CPT CT-head W/without Contrast 6 3 $2,705.00 $2,542.50 $1,133.00 $2,692.00 $1,338.50 2025-07-24
4303281 CDM Leuprolide 22.5 Mg Syringe 3 3 $2,710.00 $2,547.00 $1,192.00 $2,575.00 $1,328.00 2025-07-24
3200072 CDM Stab Phlebectomy 6 3 $2,680.00 $2,519.50 $1,167.00 $2,572.00 $1,326.50 2025-07-24
3502309 CDM Treatment Room Level 9 6 3 $2,676.50 $2,516.00 $1,166.00 $2,568.00 $1,324.50 2025-07-24
28122 CPT Partial Removal Of Foot Bone 3 3 $2,690.00 $2,529.00 $1,184.00 $2,556.00 $1,318.00 2025-07-24
77012 CPT CT-guided Needle Biopsy 6 3 $2,659.00 $2,499.50 $1,114.00 $2,647.00 $1,315.50 2025-07-24
70488 CPT CT-facial/sinus W/without Cont 6 3 $2,658.00 $2,498.50 $1,114.00 $2,646.00 $1,315.50 2025-07-24
4303918 CDM Nf Aripiprazol 6 3 $2,936.50 $2,760.00 $28.00 $5,519.00 $1,308.50 2025-07-24
78801 CPT Nm-tumor Localization Mul 6 3 $2,639.00 $2,480.50 $1,106.00 $2,627.00 $1,306.00 2025-07-24
C1897 HCPCS Octrode 3 3 $2,608.00 $2,452.00 $1,148.00 $2,478.00 $1,304.00 2025-07-24
73221 CPT MRI-up Ext Joint Without C Rt 6 3 $2,619.00 $2,462.00 $1,152.00 $2,488.00 $1,296.50 2025-07-24
73702 CPT CT-low Ext W/0 & W Cont Rt 6 3 $2,614.50 $2,458.00 $1,096.00 $2,602.00 $1,293.50 2025-07-24
78582 CPT Nm-ventilation/perf Lung 6 3 $2,591.50 $2,436.00 $1,086.00 $2,579.00 $1,282.00 2025-07-24
4303786 CDM Degarelix 120 Mg Vial 3 3 $2,615.00 $2,458.00 $1,151.00 $2,484.00 $1,281.00 2025-07-24
4351632 CDM Octrode 3 3 $2,608.00 $2,452.00 $1,148.00 $2,478.00 $1,278.00 2025-07-24
94002 CPT Vent Management Initial Day 6 3 $2,575.00 $2,421.00 $1,133.00 $2,446.00 $1,275.00 2025-07-24
74150 CPT CT-abdomen Without Contrast 6 3 $2,574.00 $2,419.50 $1,078.00 $2,562.00 $1,274.00 2025-07-24
78205 CPT Nm-liver Spleen Spect 6 3 $2,550.50 $2,397.50 $1,069.00 $2,538.00 $1,262.00 2025-07-24
72131 CPT CT-lumbar Without Contrast 6 3 $2,544.50 $2,392.00 $1,066.00 $2,533.00 $1,259.00 2025-07-24
4360051 CDM Titanium Tightrope 6 3 $2,542.00 $2,389.00 $1,118.00 $2,415.00 $1,258.50 2025-07-24
4303967 CDM Nexplanon 68 Mg Implant 3 3 $2,551.00 $2,398.00 $1,122.00 $2,423.00 $1,250.00 2025-07-24
4360098 CDM Stryker 4 Hole Tibia Plate 3 3 $2,497.00 $2,347.00 $1,099.00 $2,372.00 $1,249.00 2025-07-24
4360123 CDM Stryker Dis Lat Fib 5 Hl Plate 3 3 $2,497.00 $2,347.00 $1,099.00 $2,372.00 $1,249.00 2025-07-24
4304101 CDM Nf Levonorg (Mirena) 52mg IUD 3 3 $2,545.00 $2,392.00 $1,120.00 $2,418.00 $1,247.00 2025-07-24
3704501 CDM Advanced Hearing Aid Binaural 3 3 $2,540.00 $2,388.00 $1,118.00 $2,413.00 $1,245.00 2025-07-24
4360084 CDM Arthrex Impl Dlv Sys Dstl Bcps 6 3 $2,515.00 $2,364.00 $1,107.00 $2,389.00 $1,245.00 2025-07-24
70460 CPT CT-head With Contrast 6 3 $2,513.00 $2,362.00 $1,053.00 $2,501.00 $1,243.50 2025-07-24
81162 CPT Brca1/2 Full Gene Analysis 3 3 $2,484.00 $2,335.00 $1,093.00 $2,360.00 $1,242.00 2025-07-24
73701 CPT CT-low Extremity W/con Rt 6 3 $2,509.50 $2,359.00 $1,052.00 $2,498.00 $1,241.50 2025-07-24
70490 CPT CT-neck Without Contrast 6 3 $2,509.50 $2,359.00 $1,052.00 $2,498.00 $1,241.50 2025-07-24
93306 CPT Echo W/doppler Complete 12 3 $2,498.50 $2,348.50 $1,080.00 $2,416.00 $1,236.50 2025-07-24
4351545 CDM Hat Trick Pip Fus 2.7mm 6 3 $2,496.00 $2,346.00 $1,098.00 $2,371.00 $1,235.50 2025-07-24
3200003 CDM Colonoscope 6 3 $2,495.00 $2,345.50 $1,087.00 $2,394.00 $1,235.00 2025-07-24
3200006 CDM Gastroscope 6 3 $2,495.00 $2,345.50 $1,087.00 $2,394.00 $1,235.00 2025-07-24
72192 CPT CT-pelvis Without Contrast 6 3 $2,492.00 $2,342.50 $1,044.00 $2,480.00 $1,233.00 2025-07-24
4360168 CDM Biosurge Kit 2.5cc Allosync 3 3 $2,464.00 $2,316.00 $1,084.00 $2,341.00 $1,232.00 2025-07-24
70487 CPT CT-facial/sinus With Cont 6 3 $2,441.50 $2,295.50 $1,023.00 $2,430.00 $1,208.00 2025-07-24
25605 CPT Fx Distal Radial Wtih Man 12 3 $2,015.00 $1,894.50 $532.00 $2,687.00 $1,207.50 2025-07-24
4303301 CDM Leuprolide 45 6 3 $2,720.50 $2,557.50 $9.00 $5,149.00 $1,202.50 2025-07-24
45378 CPT Diagnostic Exam Of Large Bowel Using An Endoscope 9 3 $2,398.00 $2,254.00 $521.00 $2,798.00 $1,199.00 2025-07-24
43239 CPT Biopsy Exam Of Esophagus, Stomach Or Small Bowel Using An Endoscope 9 3 $2,398.00 $2,254.00 $436.00 $2,636.00 $1,199.00 2025-07-24
A0433 HCPCS Amb Als2 Emergent 3 3 $2,388.00 $2,245.00 $1,051.00 $2,269.00 $1,194.00 2025-07-24
95913 CPT Nerve Conduction 13>studies 6 3 $2,410.50 $2,265.50 $1,039.00 $2,336.00 $1,193.00 2025-07-24
71250 CPT CT-chest Without Contrast 6 3 $2,410.00 $2,265.50 $1,010.00 $2,399.00 $1,192.50 2025-07-24
4351621 CDM Ivas Kit 13g 20mm 6 3 $2,404.00 $2,260.00 $1,058.00 $2,284.00 $1,190.00 2025-07-24
69080 CPT Infliximab-dyyb 100 Mg Vial 3 3 $2,424.00 $2,279.00 $1,067.00 $2,303.00 $1,188.00 2025-07-24
70480 CPT CT-orbit/sella/iac Without Co 12 3 $2,362.00 $2,220.00 $924.00 $2,523.00 $1,188.00 2025-07-24
78315 CPT Nm-bone 3 Phase Technique 6 3 $2,400.50 $2,256.50 $1,006.00 $2,389.00 $1,187.50 2025-07-24
4304153 CDM Ustekinumab 13 6 3 $2,684.50 $2,523.50 $5.00 $5,089.00 $1,184.00 2025-07-24
4360023 CDM Peek Meniscal Root Repair Kit 6 3 $2,372.00 $2,230.00 $1,044.00 $2,253.00 $1,174.00 2025-07-24
73201 CPT CT-up Extremity W/cont Rt 6 3 $2,373.00 $2,230.50 $994.00 $2,362.00 $1,174.00 2025-07-24
3450008 CDM Amb Als2 Emergent 3 3 $2,388.00 $2,245.00 $1,051.00 $2,269.00 $1,170.00 2025-07-24
4351509 CDM Endo Gia 45mm Reload Purple 6 3 $2,357.00 $2,216.00 $1,037.00 $2,239.00 $1,167.00 2025-07-24
73700 CPT CT-low Extremity Without Cn R 6 3 $2,337.50 $2,197.00 $979.00 $2,327.00 $1,156.50 2025-07-24
4360078 CDM Semi-tendonosis Graft 6 3 $2,331.00 $2,191.00 $1,026.00 $2,214.00 $1,154.00 2025-07-24
70450 CPT CT Scan 6 3 $2,326.00 $2,186.50 $975.00 $2,315.00 $1,151.00 2025-07-24
4303666 CDM Hyaluronate So 6 3 $2,059.50 $1,936.00 $421.00 $3,005.00 $1,150.00 2025-07-24
73200 CPT CT-up Extremity Without Co Rt 6 3 $2,307.00 $2,168.50 $967.00 $2,296.00 $1,141.50 2025-07-24
95912 CPT Nerve Conduction 11-12 Studies 6 3 $2,291.50 $2,154.00 $988.00 $2,220.00 $1,134.00 2025-07-24
52234 CPT Cystourethroscopy W/fulguratn 6 3 $2,289.00 $2,151.50 $997.00 $2,196.00 $1,133.00 2025-07-24
20680 CPT Implant Remove Deep 6 3 $2,289.00 $2,151.50 $997.00 $2,196.00 $1,133.00 2025-07-24
78216 CPT Nm Liver Spleen Vas Flo 6 3 $2,273.50 $2,137.00 $953.00 $2,263.00 $1,125.00 2025-07-24
3000009 CDM Private Isolation Room 6 3 $1,977.50 $1,859.00 $681.00 $2,288.00 $1,120.00 2025-07-24
4360113 CDM Stryker Dis Lat Fib Plt 6 Hole 3 3 $2,240.00 $2,106.00 $986.00 $2,128.00 $1,120.00 2025-07-24
4200384 CDM CT Guide Tissue Ablation 6 3 $2,242.00 $2,107.50 $939.00 $2,232.00 $1,109.50 2025-07-24
43235 CPT Diagnostic Exam Of Esophagus, Stomach Or Small Bowel Using An Endoscope 9 3 $2,398.00 $2,254.00 $276.00 $2,394.00 $1,109.00 2025-07-24
4360052 CDM Strkr 3 Hole Dstl Lat Fbla Plt 6 3 $2,234.00 $2,100.00 $983.00 $2,122.00 $1,106.00 2025-07-24
78290 CPT Nm-bowel Imaging Meckels 6 3 $2,209.50 $2,077.00 $926.00 $2,199.00 $1,093.00 2025-07-24
4351153 CDM Kypho Ndl Kit 3 3 $2,182.00 $2,051.00 $960.00 $2,073.00 $1,091.00 2025-07-24
70486 CPT CT-facial/sinus Without Cont 6 3 $2,183.00 $2,052.00 $915.00 $2,173.00 $1,080.50 2025-07-24
278 OTHER Durasphere Exp 1ml Syr 5 4 $585.00 $585.00 $641.25 $8,555.25 $1,078.48 2026-08-01
4351835 CDM Stryker 11g 15mm Ivas Elite Si 3 3 $2,156.00 $2,027.00 $949.00 $2,048.00 $1,078.00 2025-07-24
341 OTHER Nm-hepatoductal Sys W/cck 7 2 $1,763.50 $1,763.50 $580.42 $1,747.05 $1,069.74 2026-08-01
64634 CPT Cerv Rhizotomy Addl Level 9 3 $1,145.00 $1,076.00 $494.00 $4,807.00 $1,066.00 2025-07-24
78227 CPT Nm-hepatoductal Sys W/cck 6 3 $2,151.50 $2,022.50 $902.00 $2,141.00 $1,064.50 2025-07-24
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