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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

NEMAHA COUNTY HOSPITAL

Auburn, NE · CCN 281324 · Rates published

1,241 distinct procedures filed
21 distinct payers
49,383 rate rows
2026-08-10 last MRF observed
Data quality

49,370 of 49,383 rate rows are consumer-grade (100.0%)

13 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
placeholder amount (≤ $0.02) — excluded from medians 13
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://nemahacountyhospital.com/wp-content/uploads/2022/10/470471042_Nemaha-County-Hospital_standard-charges.csv
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-11-10
Content fingerprint 62a47044173abd8a… · 601,940 bytes · first seen 2026-05-05

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
J1930
HCPCS 		Lanreotide (somatuline) inj:120mg/0.5mL+ 10 $11,276.50 $20,047.10 $11,502.03 nat. median
$5,001
outlier · 2.3×
J3380
HCPCS 		Vedolizumab (entyvio) Ivpb:300mg + 10 $10,614.13 $18,869.57 $10,826.41 nat. median
$204
outlier · 53.2×
J1459
HCPCS 		Immune Globulin (PRIVIGEN):40gm/400mL + 10 $10,244.61 $18,212.64 $10,449.50 nat. median
$1,409
outlier · 7.4×
J3101
HCPCS 		Tenecteplase (tnkase) Inj:25mg - Stroke+ 10 $9,565.91 $17,229.12 $9,885.21 nat. median
$4,042
outlier · 2.4×
J2353
HCPCS 		SandoSTATIN(OCTREOTIDE)INJ:30MG + 10 $8,062.82 $14,333.90 $8,224.08 nat. median
$5,554
1.5× median
J9271
HCPCS 		Pembrolizumab (keytruda) Ivpb:100mg + 10 $7,157.02 $12,723.60 $7,300.17 nat. median
$323
outlier · 22.6×
J1449
HCPCS 		Eflapegrastim-xnst inj:13.2mg/0.6mL* 10 $5,810.62 $10,329.98 $5,926.83 nat. median
$31
outlier · 191.1×
J1162
HCPCS 		Digoxin Immune Fab (DigiFab) Inj:40mg 10 $5,453.49 $9,695.09 $5,562.56 nat. median
$7,098
0.8× median
J2356
HCPCS 		Tezepelumab (tezspire) inj:210mg/1.91mL 10 $5,350.75 $9,512.45 $5,457.77 nat. median
$85
outlier · 64.3×
Q5111
HCPCS 		Pegfilgrastim-cbqv (udenyca) Inj:6mg + 10 $4,869.72 $8,657.28 $4,967.11 nat. median
$2,014
outlier · 2.5×
78816
CPT 		CT Pet/ct Whole Body-initial 10 $4,696.38 $8,349.12 $4,790.31 nat. median
$2,784
1.7× median
J1306
HCPCS 		Inclisiran (leqvio) inj:284mg/1.5mL 10 $4,593.91 $8,166.96 $4,685.79 nat. median
$51
outlier · 91.8×
J2426
HCPCS 		Paliperidone (invega Sustenna) Inj:234mg 10 $4,467.58 $7,942.37 $4,556.93 nat. median
$2,488
1.8× median
J0897
HCPCS 		Denosumab (xgeva) Injection:120mg 10 $2,503.47 $7,777.30 $4,374.73 nat. median
$1,990
outlier · 2.2×
0360
RC 		10 $1,765.80 $9,638.40 $4,294.00 nat. median
$1,999
outlier · 2.1×
J0840
HCPCS 		Crotalidae Polyvalent (crofab) Inj:1gm 10 $4,002.99 $7,116.43 $4,083.05 nat. median
$3,454
1.2× median
404
OTHER 		CT Pet/ct Limited Area 11 $3,573.04 $6,391.68 $3,928.22 nat. median
$1,950
outlier · 2.0×
78815
CPT 		CT Pet/ct Skull Base-mid Thigh Initial 10 $3,821.04 $6,792.96 $3,897.46 nat. median
$2,810
1.4× median
78451
CPT 		Nmmyoperfsingle 10 $3,718.44 $6,610.56 $3,792.81 nat. median
$1,542
outlier · 2.5×
J1439
HCPCS 		Ferric Carboxymaltose inj:750mg/15mL + 10 $3,707.40 $6,590.93 $3,781.54 nat. median
$19
outlier · 194.1×
J0401
HCPCS 		ARIPiprazole (abilify MAINTENA)inj:400mg 10 $3,529.66 $6,274.94 $3,600.25 nat. median
$1,956
1.8× median
J2802
HCPCS 		Romiplostim (nplate) Inj:125mcg + 10 $1,966.84 $6,327.12 $3,527.81 nat. median
$2,844
1.2× median
78814
CPT 		CT Pet/ct Limited Area 10 $3,425.76 $6,090.24 $3,494.28 nat. median
$2,377
1.5× median
J3111
HCPCS 		Romosozumab (evenity) inj:210mg/2.34mL+ 10 $3,398.57 $6,041.90 $3,466.54 nat. median
$734
outlier · 4.7×
73720
CPT 		Mr Lo Ext No Joint Wwo Bil 10 $2,021.22 $6,108.48 $3,439.79 nat. median
$1,123
outlier · 3.1×
74174
CPT 		CT CTA Abd & Pel With & Without Cont 10 $3,363.66 $5,979.84 $3,430.93 nat. median
$980
outlier · 3.5×
J9217
HCPCS 		Leuprolide (eligard) Injection: 45mg 10 $1,843.96 $6,030.82 $3,335.24 nat. median
$1,581
outlier · 2.1×
74178
CPT 		CT Abdomen/pelvis W&without Cont 10 $3,195.18 $5,680.32 $3,259.08 nat. median
$1,023
outlier · 3.2×
360
OTHER 		Addtnl Injection W/flouro Csp/thor/s2 11 $619.50 $8,985.60 $3,079.80 nat. median
$3,224
1.0× median
75557
CPT 		Mr Cardiac 10 $2,920.32 $5,191.68 $2,978.73 nat. median
$538
outlier · 5.5×
73702
CPT 		CT Lo Ext Wwocon-bi 10 $1,728.00 $5,222.40 $2,940.80 nat. median
$710
outlier · 4.1×
73218
CPT 		Mr Up Ext No Jnt-bi 10 $1,721.52 $5,203.20 $2,929.88 nat. median
$864
outlier · 3.4×
C1897
HCPCS 		Lead Neurostim Test Kit 10 $2,824.74 $5,021.76 $2,881.23 nat. median
$1,170
outlier · 2.5×
74177
CPT 		CT Abdomen/pelvis W Cont 10 $2,769.66 $4,923.84 $2,825.05 nat. median
$970
outlier · 2.9×
73202
CPT 		CT Up Ext W&wo Con-bi 10 $1,630.26 $4,926.72 $2,774.38 nat. median
$714
outlier · 3.9×
73718
CPT 		Mr Lo Ext No Jnt-bi 10 $1,629.72 $4,925.76 $2,773.65 nat. median
$866
outlier · 3.2×
90375
CPT 		Rabies Immune Globulin soln:300iu/mL 3mL 10 $2,645.78 $4,703.62 $2,698.70 nat. median
$1,054
outlier · 2.6×
78452
CPT 		Nmmyoperfmulti 10 $2,631.96 $4,679.04 $2,684.60 nat. median
$1,797
1.5× median
95811
CPT 		Rt Sleep Study/split N 10 $2,602.80 $4,627.20 $2,654.86 nat. median
$1,887
1.4× median
J3032
HCPCS 		Eptinezumab-jjmr (vyepti) inj:100mg/mL + 10 $2,597.29 $4,617.41 $2,649.24 nat. median
$84
outlier · 31.7×
Q5108
HCPCS 		Pegfilgrastim-jmdb (fulphila) Inj:6mg + 10 $2,570.13 $4,569.12 $2,621.53 nat. median
$1,244
outlier · 2.1×
J7168
HCPCS 		Prothrombin Complex (kcentra) Inj:1000u 10 $2,566.00 $4,561.78 $2,617.32 nat. median
$22
outlier · 118.3×
72156
CPT 		Mr C Spine W&without Con 10 $2,534.76 $4,506.24 $2,585.46 nat. median
$1,096
outlier · 2.4×
72157
CPT 		Mr T Spine W&without Con 10 $2,516.94 $4,474.56 $2,567.28 nat. median
$1,099
outlier · 2.3×
74183
CPT 		Mr Abdomen W&wo Contrast 10 $2,501.82 $4,447.68 $2,551.86 nat. median
$1,096
outlier · 2.3×
73221
CPT 		Mr Up Ext Jnt-bi 10 $1,492.56 $4,511.04 $2,540.17 nat. median
$844
outlier · 3.0×
72158
CPT 		Mr L Spine W&without Con 10 $2,482.38 $4,413.12 $2,532.03 nat. median
$1,083
outlier · 2.3×
95810
CPT 		Rt Full Sleep Study 10 $2,464.56 $4,381.44 $2,513.85 nat. median
$1,814
1.4× median
70553
CPT 		Mr Brain W&without Cont 10 $2,364.66 $4,203.84 $2,411.95 nat. median
$1,122
outlier · 2.1×
612
OTHER 		Mr C Spine W Contr 11 $1,856.14 $4,064.64 $2,397.17 nat. median
$1,880
1.3× median

Other procedures at this hospital

Browse this hospital's 1,241 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
             
0360 RC — 559 10 $6,420.00 $6,420.00 $1,765.80 $9,638.40 $4,294.00 2026-08-10
0722 RC — 13 10 $1,845.00 $1,845.00 $996.30 $1,771.20 $1,016.23 2026-08-10
0120 RC — 39 10 $1,500.00 $1,500.00 $378.00 $1,658.88 $826.20 2026-08-10
0278 RC — 897 10 $876.00 $876.00 $67.50 $18,468.00 $581.20 2026-08-10
93975 CPT Abdominal Vessels & Organs (renal) Doppl 13 10 $1,250.00 $1,250.00 $675.00 $1,200.00 $688.50 2026-08-10
921 OTHER Abdominal Vessels Duplex Comp Doppler 187 11 $1,042.00 $1,042.00 $59.00 $1,377.60 $641.92 2026-07-05
93978 CPT Abdominal Vessels Duplex Comp Doppler 13 10 $1,159.00 $1,159.00 $625.86 $1,112.64 $638.38 2026-08-10
93979 CPT Abdominal Vessels Duplex Limited Doppler 13 10 $941.00 $941.00 $508.14 $903.36 $518.30 2026-08-10
360 OTHER Addtnl Injection W/flouro Csp/thor/s2 583 11 $4,400.00 $4,400.00 $619.50 $8,985.60 $3,079.80 2026-07-05
64480 CPT Addtnl Injection W/flouro Csp/thor/s2 13 10 $1,100.00 $1,100.00 $594.00 $1,056.00 $605.88 2026-08-10
761 OTHER Amnio-ther Fld Redu/s1 143 11 $560.00 $560.00 $49.56 $2,899.20 $413.00 2026-07-05
370 OTHER Anes Equip 121-150 132 11 $783.00 $783.00 $220.66 $1,054.08 $518.80 2026-07-05
93924 CPT Ankle/arm Index With Exer 13 10 $1,011.00 $1,011.00 $545.94 $970.56 $556.86 2026-08-10
J0401 HCPCS ARIPiprazole (abilify MAINTENA)inj:400mg 13 10 $6,536.40 $6,536.40 $3,529.66 $6,274.94 $3,600.25 2026-08-10
93923 CPT Art Seg Upper 13 10 $1,002.00 $1,002.00 $541.08 $961.92 $551.90 2026-08-10
93925 CPT Arterial Dop-lo Bi 13 10 $1,304.00 $1,304.00 $704.16 $1,251.84 $718.24 2026-08-10
93926 CPT Arterial Dop-lo Lmt 13 10 $1,012.00 $1,012.00 $546.48 $971.52 $557.41 2026-08-10
93930 CPT Arterial Dop-up Bi 13 10 $1,160.00 $1,160.00 $626.40 $1,113.60 $638.93 2026-08-10
93931 CPT Arterial Dop-up Lmt 13 10 $960.00 $960.00 $518.40 $921.60 $528.77 2026-08-10
81206 CPT Bcr-abl1, Major (p210) #8340 13 10 $950.00 $950.00 $513.00 $912.00 $523.26 2026-08-10
56605 CPT Biopsy Of Vulva/perineum 13 10 $1,460.00 $1,460.00 $788.40 $1,401.60 $804.17 2026-08-10
722 OTHER Birthing Service 11 11 $1,845.00 $1,845.00 $1,088.55 $1,771.20 $1,110.32 2026-07-05
391 OTHER Blood Administration 11 11 $1,400.00 $1,400.00 $826.00 $1,344.00 $842.52 2026-07-05
36430 CPT Blood Administration 1-4 Hrs 39 10 $870.00 $870.00 $378.00 $998.40 $561.60 2026-08-10
92960 CPT Cardioversion 13 10 $1,820.00 $1,820.00 $982.80 $1,747.20 $1,002.46 2026-08-10
93880 CPT Carotid Dop-bil 13 10 $1,596.00 $1,596.00 $861.84 $1,532.16 $879.08 2026-08-10
93882 CPT Carotid Dop-ltd 13 10 $880.00 $880.00 $475.20 $844.80 $484.70 2026-08-10
64721 CPT Carpal Tunnel Surgery 13 10 $2,442.00 $2,442.00 $1,318.68 $2,344.32 $1,345.05 2026-08-10
51720 CPT Chemo Bladder Insti 13 10 $856.00 $856.00 $462.24 $821.76 $471.48 2026-08-10
96416 CPT Chemo Prolonged Infusion 8+hrs 13 10 $702.00 $702.00 $379.08 $673.92 $386.66 2026-08-10
25605 CPT Closed Tx Radial Fx W Manipulation 13 10 $948.00 $948.00 $511.92 $910.08 $522.16 2026-08-10
23600 CPT Cltx Prox Humrl Fx Without Mnpj 13 10 $726.00 $726.00 $392.04 $696.96 $399.88 2026-08-10
45378 CPT Colonoscopy Screen-not High Risk 26 10 $1,254.50 $1,254.50 $175.50 $2,096.64 $745.68 2026-08-10
44388 CPT Colonoscopy Thru Stoma Spx 13 10 $2,828.00 $2,828.00 $1,527.12 $2,714.88 $1,557.66 2026-08-10
44394 CPT Colonoscopy Thru Stoma With Polypectomy 13 10 $3,994.00 $3,994.00 $2,156.76 $3,834.24 $2,199.90 2026-08-10
45381 CPT Colonoscopy With Directed Submucosal Inj 13 10 $1,788.00 $1,788.00 $965.52 $1,716.48 $984.83 2026-08-10
45380 CPT Colonoscopy W/bx Or Forcep Polypectomy 26 10 $1,591.00 $1,591.00 $227.34 $2,650.56 $947.55 2026-08-10
45385 CPT Colonoscopy W/polypectomy 26 10 $1,755.50 $1,755.50 $235.98 $2,951.04 $1,039.74 2026-08-10
J0840 HCPCS Crotalidae Polyvalent (crofab) Inj:1gm 13 10 $7,412.95 $7,412.95 $4,002.99 $7,116.43 $4,083.05 2026-08-10
74170 CPT CT Abdomen W&without Co 13 10 $3,339.00 $3,339.00 $1,803.06 $3,205.44 $1,839.12 2026-08-10
74160 CPT CT Abdomen With Cont 13 10 $2,853.00 $2,853.00 $1,540.62 $2,738.88 $1,571.43 2026-08-10
74150 CPT CT Abdomen Without Cont 13 10 $2,697.00 $2,697.00 $1,456.38 $2,589.12 $1,485.51 2026-08-10
74177 CPT CT Abdomen/pelvis W Cont 13 10 $5,129.00 $5,129.00 $2,769.66 $4,923.84 $2,825.05 2026-08-10
352 OTHER CT Abdomen/pelvis W Cont 352 11 $2,641.50 $2,641.50 $88.50 $5,424.96 $1,734.89 2026-07-05
74178 CPT CT Abdomen/pelvis W&without Cont 13 10 $5,917.00 $5,917.00 $3,195.18 $5,680.32 $3,259.08 2026-08-10
74176 CPT CT Abdomen/pelvis Without Cont 13 10 $4,200.00 $4,200.00 $2,268.00 $4,032.00 $2,313.36 2026-08-10
72125 CPT CT C Spine Without Cont 13 10 $2,670.00 $2,670.00 $1,441.80 $2,563.20 $1,470.64 2026-08-10
71270 CPT CT Chest W&without Cont 13 10 $3,198.00 $3,198.00 $1,726.92 $3,070.08 $1,761.46 2026-08-10
71260 CPT CT Chest With Contra 13 10 $2,817.00 $2,817.00 $1,521.18 $2,704.32 $1,551.60 2026-08-10
71250 CPT CT Chest Without Cont 13 10 $2,545.00 $2,545.00 $1,374.30 $2,443.20 $1,401.79 2026-08-10
72127 CPT CT Cspine W&without Con 13 10 $2,704.00 $2,704.00 $1,460.16 $2,595.84 $1,489.36 2026-08-10
74174 CPT CT CTA Abd & Pel With & Without Cont 13 10 $6,229.00 $6,229.00 $3,363.66 $5,979.84 $3,430.93 2026-08-10
74175 CPT CT CTA Abdomen With Cont 13 10 $3,631.00 $3,631.00 $1,960.74 $3,485.76 $1,999.95 2026-08-10
71275 CPT CT CTA Chest With Contra 13 10 $3,736.00 $3,736.00 $2,017.44 $3,586.56 $2,057.79 2026-08-10
70496 CPT CT CTA Head W&wo 13 10 $3,337.00 $3,337.00 $1,801.98 $3,203.52 $1,838.02 2026-08-10
70498 CPT CT CTA Neck W&wo 13 10 $3,301.00 $3,301.00 $1,782.54 $3,168.96 $1,818.19 2026-08-10
72191 CPT CT CTA Pelvis With Cont 13 10 $3,077.00 $3,077.00 $1,661.58 $2,953.92 $1,694.81 2026-08-10
75635 CPT CT CTA Runoff 13 10 $3,905.00 $3,905.00 $2,108.70 $3,748.80 $2,150.87 2026-08-10
70470 CPT CT Head W&without Cont 13 10 $2,933.00 $2,933.00 $1,583.82 $2,815.68 $1,615.50 2026-08-10
351 OTHER CT Head With Cont 132 11 $2,226.00 $2,226.00 $1,118.64 $2,726.40 $1,408.81 2026-07-05
70460 CPT CT Head With Cont 13 10 $2,544.00 $2,544.00 $1,373.76 $2,442.24 $1,401.24 2026-08-10
70450 CPT CT Head Without Cont 13 10 $2,244.00 $2,244.00 $1,211.76 $2,154.24 $1,236.00 2026-08-10
72132 CPT CT L Spine With Cont 13 10 $2,872.00 $2,872.00 $1,550.88 $2,757.12 $1,581.90 2026-08-10
72131 CPT CT L Spine Without Cont 13 10 $2,700.00 $2,700.00 $1,458.00 $2,592.00 $1,487.16 2026-08-10
76380 CPT CT Limited Or F/u Study 13 10 $1,794.00 $1,794.00 $968.76 $1,722.24 $988.14 2026-08-10
73701 CPT CT Lo Ext W/con-bi 26 10 $2,944.50 $2,944.50 $1,432.62 $3,106.56 $1,764.91 2026-08-10
73700 CPT CT Lo Ext Wo Con-bi 26 10 $3,298.00 $3,298.00 $1,319.22 $3,986.88 $2,245.09 2026-08-10
73702 CPT CT Lo Ext Wwocon-bi 26 10 $4,320.00 $4,320.00 $1,728.00 $5,222.40 $2,940.80 2026-08-10
72133 CPT CT Lspine W&without Con 13 10 $2,891.00 $2,891.00 $1,561.14 $2,775.36 $1,592.36 2026-08-10
70488 CPT CT Maxiloface W&without 13 10 $2,832.00 $2,832.00 $1,529.28 $2,718.72 $1,559.87 2026-08-10
70487 CPT CT Maxiloface With Co 13 10 $2,395.00 $2,395.00 $1,293.30 $2,299.20 $1,319.17 2026-08-10
70486 CPT CT Maxiloface Without C 13 10 $2,062.00 $2,062.00 $1,113.48 $1,979.52 $1,135.75 2026-08-10
70481 CPT CT Orbit/sella/temporal W/co 13 10 $2,805.00 $2,805.00 $1,514.70 $2,692.80 $1,544.99 2026-08-10
70480 CPT CT Orbit/sella/temporal Without 13 10 $2,415.00 $2,415.00 $1,304.10 $2,318.40 $1,330.18 2026-08-10
70482 CPT CT Orbt/sella/temporal W&without 13 10 $2,713.00 $2,713.00 $1,465.02 $2,604.48 $1,494.32 2026-08-10
72194 CPT CT Pelvis W&without Con 13 10 $3,147.00 $3,147.00 $1,699.38 $3,021.12 $1,733.37 2026-08-10
72193 CPT CT Pelvis With Contr 13 10 $2,956.00 $2,956.00 $1,596.24 $2,837.76 $1,628.16 2026-08-10
72192 CPT CT Pelvis Without Cont 13 10 $2,529.00 $2,529.00 $1,365.66 $2,427.84 $1,392.97 2026-08-10
404 OTHER CT Pet/ct Limited Area 33 11 $6,454.00 $6,454.00 $3,573.04 $6,391.68 $3,928.22 2026-07-05
78814 CPT CT Pet/ct Limited Area 13 10 $6,344.00 $6,344.00 $3,425.76 $6,090.24 $3,494.28 2026-08-10
78815 CPT CT Pet/ct Skull Base-mid Thigh Initial 13 10 $7,076.00 $7,076.00 $3,821.04 $6,792.96 $3,897.46 2026-08-10
78816 CPT CT Pet/ct Whole Body-initial 13 10 $8,697.00 $8,697.00 $4,696.38 $8,349.12 $4,790.31 2026-08-10
255 OTHER CT Pet/fluorodeoxyglucose Fdg Up To 45ml 11 11 $1,012.00 $1,012.00 $597.08 $971.52 $609.02 2026-07-05
70492 CPT CT Soft Tissue Neck W&without Cont 13 10 $2,952.00 $2,952.00 $1,594.08 $2,833.92 $1,625.96 2026-08-10
70491 CPT CT Soft Tissue Neck With Cont 13 10 $2,622.00 $2,622.00 $1,415.88 $2,517.12 $1,444.20 2026-08-10
70490 CPT CT Soft Tissue Neck Without Cont 13 10 $2,383.00 $2,383.00 $1,286.82 $2,287.68 $1,312.56 2026-08-10
72129 CPT CT T Spine W Con 13 10 $2,691.00 $2,691.00 $1,453.14 $2,583.36 $1,482.20 2026-08-10
72128 CPT CT T Spine Without Cont 13 10 $2,643.00 $2,643.00 $1,427.22 $2,537.28 $1,455.76 2026-08-10
72130 CPT CT Tspine W&without Con 13 10 $2,970.00 $2,970.00 $1,603.80 $2,851.20 $1,635.88 2026-08-10
73202 CPT CT Up Ext W&wo Con-bi 26 10 $4,075.50 $4,075.50 $1,630.26 $4,926.72 $2,774.38 2026-08-10
73201 CPT CT Up Ext W/con-bi 26 10 $3,506.00 $3,506.00 $1,402.38 $4,238.40 $2,386.67 2026-08-10
73200 CPT CT Up Ext Wo Con-bi 26 10 $3,120.00 $3,120.00 $1,247.94 $3,771.84 $2,123.89 2026-08-10
52351 CPT Cystouretero & Or Pyeloscope 26 10 $827.00 $827.00 $396.90 $882.24 $501.23 2026-08-10
J0875 HCPCS Dalbavancin (dalvance) Ivpb: 500mg 13 10 $4,056.40 $4,056.40 $2,190.46 $3,894.14 $2,234.27 2026-08-10
J0897 HCPCS Denosumab (xgeva) Injection:120mg 26 10 $6,368.70 $6,368.70 $2,503.47 $7,777.30 $4,374.73 2026-08-10
93990 CPT Dialysis Graft Duplex Doppler 13 10 $928.00 $928.00 $501.12 $890.88 $511.14 2026-08-10
J1162 HCPCS Digoxin Immune Fab (DigiFab) Inj:40mg 13 10 $10,099.05 $10,099.05 $5,453.49 $9,695.09 $5,562.56 2026-08-10
81232 CPT Dihydropyrimidine Dehydrogenase (dpyd) 13 10 $705.00 $705.00 $380.70 $676.80 $388.31 2026-08-10
93306 CPT Echo With Color Doppler 13 10 $2,574.00 $2,574.00 $1,389.96 $2,471.04 $1,417.76 2026-08-10
J1449 HCPCS Eflapegrastim-xnst inj:13.2mg/0.6mL* 13 10 $10,760.40 $10,760.40 $5,810.62 $10,329.98 $5,926.83 2026-08-10
43251 CPT Endo With Snare Polypectomy 13 10 $2,730.00 $2,730.00 $1,474.20 $2,620.80 $1,503.68 2026-08-10
43239 CPT Endo W/bx 26 10 $1,512.00 $1,512.00 $197.64 $2,551.68 $893.34 2026-08-10
43450 CPT Endo W/dilatation 26 10 $1,549.00 $1,549.00 $39.96 $2,903.04 $852.00 2026-08-10
43235 CPT Endoscopy 26 10 $1,340.00 $1,340.00 $61.56 $2,463.36 $747.54 2026-08-10
87506 CPT Enteric Pathogens Panel By Pcr(test8446) 13 10 $700.00 $700.00 $378.00 $672.00 $385.56 2026-08-10
Q5106 HCPCS Epoetin Alfa (retacrit) Inj: 3,000u/mL 26 10 $708.08 $708.08 $78.17 $1,220.54 $412.76 2026-08-10
J3032 HCPCS Eptinezumab-jjmr (vyepti) inj:100mg/mL + 13 10 $4,809.80 $4,809.80 $2,597.29 $4,617.41 $2,649.24 2026-08-10
99284 CPT ER Visit -4 13 10 $930.00 $930.00 $502.20 $892.80 $512.24 2026-08-10
99285 CPT ER Visit -5 13 10 $1,420.00 $1,420.00 $766.80 $1,363.20 $782.14 2026-08-10
99291 CPT ER-critical Care 13 10 $2,000.00 $2,000.00 $1,080.00 $1,920.00 $1,101.60 2026-08-10
G0390 HCPCS ER-trauma Response Code 13 10 $2,180.00 $2,180.00 $1,177.20 $2,092.80 $1,200.74 2026-08-10
684 OTHER ER-trauma Response Code 11 11 $1,400.00 $1,400.00 $826.00 $1,344.00 $842.52 2026-07-05
J1410 HCPCS Estrogen (premarin) Injection:25mg 13 10 $1,059.95 $1,059.95 $572.37 $1,017.55 $583.82 2026-08-10
56821 CPT Exam Biopsy Of Vulva W Scope 13 10 $1,814.00 $1,814.00 $979.56 $1,741.44 $999.15 2026-08-10
22903 CPT Exc Abd Les Sc 3 Cm/> 13 10 $1,302.00 $1,302.00 $703.08 $1,249.92 $717.14 2026-08-10
21933 CPT Exc Back Tum Deep 5 Cm/> 13 10 $983.00 $983.00 $530.82 $943.68 $541.44 2026-08-10
11406 CPT Exc Tr-ext B9+marg >4.0 Cm 13 10 $803.00 $803.00 $433.62 $770.88 $442.29 2026-08-10
J1439 HCPCS Ferric Carboxymaltose inj:750mg/15mL + 13 10 $6,865.55 $6,865.55 $3,707.40 $6,590.93 $3,781.54 2026-08-10
Q5101 HCPCS Filgrastim-sndz (ZARXIO)inj:480mcg/0.8mL 13 10 $1,205.00 $1,205.00 $650.70 $1,156.80 $663.71 2026-08-10
750 OTHER Flex Sig Colon/s10 11 11 $1,925.00 $1,925.00 $1,135.75 $1,848.00 $1,158.47 2026-07-05
45330 CPT Flexible Sigmoidoscopy 13 10 $1,573.00 $1,573.00 $849.42 $1,510.08 $866.41 2026-08-10
J1451 HCPCS Fomepizole (antizol) inj:1500mg/1.5mL 13 10 $3,780.00 $3,780.00 $2,041.20 $3,628.80 $2,082.02 2026-08-10
87507 CPT Gastrointestinal Pathogen Panel #8384 13 10 $757.00 $757.00 $408.78 $726.72 $416.96 2026-08-10
J1610 HCPCS Glucagon (GlucaGen) Injection:1mg 13 10 $768.60 $768.60 $415.04 $737.86 $423.34 2026-08-10
93226 CPT Holter Analysis 13 10 $816.00 $816.00 $440.64 $783.36 $449.45 2026-08-10
J7323 HCPCS Hyaluronate (euflexxa) inj:20mg/2mL+ 13 10 $973.70 $973.70 $525.80 $934.75 $536.31 2026-08-10
J7324 HCPCS Hyaluronate (orthovisc) inj:30mg/2mL + 13 10 $1,312.10 $1,312.10 $708.53 $1,259.62 $722.70 2026-08-10
J7325 HCPCS Hyaluronate (synvisc One) inj:48mg/6mL+ 26 10 $2,352.32 $2,352.32 $676.73 $3,313.39 $1,533.42 2026-08-10
J1561 HCPCS Immune Globulin (gamunex-c):10gm/100ml + 13 10 $3,572.10 $3,572.10 $1,928.93 $3,429.22 $1,967.51 2026-08-10
J1459 HCPCS Immune Globulin (PRIVIGEN):40gm/400mL + 13 10 $18,971.50 $18,971.50 $10,244.61 $18,212.64 $10,449.50 2026-08-10
64555 CPT Implant Neuroelectrodes 13 10 $1,010.00 $1,010.00 $545.40 $969.60 $556.31 2026-08-10
J1306 HCPCS Inclisiran (leqvio) inj:284mg/1.5mL 13 10 $8,507.25 $8,507.25 $4,593.91 $8,166.96 $4,685.79 2026-08-10
64490 CPT Inj Paravert F Jnt C/t 1 Lev 13 10 $1,465.00 $1,465.00 $791.10 $1,406.40 $806.92 2026-08-10
64491 CPT Inj Paravert F Jnt C/t 2 Lev 13 10 $1,036.00 $1,036.00 $559.44 $994.56 $570.63 2026-08-10
64493 CPT Inj Paravert F Jnt L/s 1 Lev 13 10 $1,595.00 $1,595.00 $861.30 $1,531.20 $878.53 2026-08-10
81270 CPT Jak-2(v617f Mutation, Qual) W Rflx #7758 13 10 $883.00 $883.00 $476.82 $847.68 $486.36 2026-08-10
81273 CPT Kit(d816v) Mutation By ddPCR Arup 13 10 $874.00 $874.00 $471.96 $839.04 $481.40 2026-08-10
29876 CPT Knee Arthroscopy/surgery 13 10 $1,059.00 $1,059.00 $571.86 $1,016.64 $583.30 2026-08-10
J1930 HCPCS Lanreotide (somatuline) inj:120mg/0.5mL+ 13 10 $20,882.40 $20,882.40 $11,276.50 $20,047.10 $11,502.03 2026-08-10
C1897 HCPCS Lead Neurostim Test Kit 13 10 $5,231.00 $5,231.00 $2,824.74 $5,021.76 $2,881.23 2026-08-10
J9217 HCPCS Leuprolide (eligard) Injection: 45mg 26 10 $4,848.43 $4,848.43 $1,843.96 $6,030.82 $3,335.24 2026-08-10
93308 CPT Limited Echo 13 10 $1,032.00 $1,032.00 $557.28 $990.72 $568.43 2026-08-10
710 OTHER Monitored Recovery 110 11 $1,283.50 $1,283.50 $137.47 $1,874.88 $842.52 2026-07-05
610 OTHER Mr Abdomen MRA W/wo 187 11 $3,349.00 $3,349.00 $1,499.78 $4,885.44 $2,174.74 2026-07-05
74185 CPT Mr Abdomen MRA W/wo 13 10 $3,833.00 $3,833.00 $2,069.82 $3,679.68 $2,111.22 2026-08-10
74183 CPT Mr Abdomen W&wo Contrast 13 10 $4,633.00 $4,633.00 $2,501.82 $4,447.68 $2,551.86 2026-08-10
74181 CPT Mr Abdomen Without Contrast 13 10 $3,648.00 $3,648.00 $1,969.92 $3,502.08 $2,009.32 2026-08-10
74182 CPT Mr Abdomen With Contrast 13 10 $4,264.00 $4,264.00 $2,302.56 $4,093.44 $2,348.61 2026-08-10
611 OTHER Mr Brain Limited 99 11 $3,463.00 $3,463.00 $1,812.48 $3,750.72 $2,189.49 2026-07-05
70545 CPT Mr Brain Mra/mrv W&without Contrast 13 10 $3,675.00 $3,675.00 $1,984.50 $3,528.00 $2,024.19 2026-08-10
70544 CPT Mr Brain Mra/mrv Without Contrast 13 10 $3,675.00 $3,675.00 $1,984.50 $3,528.00 $2,024.19 2026-08-10
70552 CPT Mr Brain W Contrast 13 10 $4,191.00 $4,191.00 $2,263.14 $4,023.36 $2,308.40 2026-08-10
70553 CPT Mr Brain W&without Cont 13 10 $4,379.00 $4,379.00 $2,364.66 $4,203.84 $2,411.95 2026-08-10
70551 CPT Mr Brain Without Cont 13 10 $3,852.00 $3,852.00 $2,080.08 $3,697.92 $2,121.68 2026-08-10
612 OTHER Mr C Spine W Contr 99 11 $3,458.00 $3,458.00 $1,856.14 $4,064.64 $2,397.17 2026-07-05
72142 CPT Mr C Spine W Contr 13 10 $3,750.00 $3,750.00 $2,025.00 $3,600.00 $2,065.50 2026-08-10
72156 CPT Mr C Spine W&without Con 13 10 $4,694.00 $4,694.00 $2,534.76 $4,506.24 $2,585.46 2026-08-10
72141 CPT Mr C Spine Without Cont 13 10 $3,724.00 $3,724.00 $2,010.96 $3,575.04 $2,051.18 2026-08-10
75557 CPT Mr Cardiac 13 10 $5,408.00 $5,408.00 $2,920.32 $5,191.68 $2,978.73 2026-08-10
71550 CPT Mr Chest 13 10 $3,934.00 $3,934.00 $2,124.36 $3,776.64 $2,166.85 2026-08-10
72158 CPT Mr L Spine W&without Con 13 10 $4,597.00 $4,597.00 $2,482.38 $4,413.12 $2,532.03 2026-08-10
72149 CPT Mr L Spine W/cont 13 10 $4,162.00 $4,162.00 $2,247.48 $3,995.52 $2,292.43 2026-08-10
72148 CPT Mr L Spine Without Cont 13 10 $3,686.00 $3,686.00 $1,990.44 $3,538.56 $2,030.25 2026-08-10
73721 CPT Mr Lo Ext Jnt-bi Wo 26 10 $2,889.00 $2,889.00 $1,505.52 $2,870.40 $1,630.74 2026-08-10
73723 CPT Mr Lo Ext Jnt-l W&without Cont 13 10 $3,745.00 $3,745.00 $2,022.30 $3,595.20 $2,062.75 2026-08-10
73722 CPT Mr Lo Ext Jnt-r W Cont 13 10 $3,650.00 $3,650.00 $1,971.00 $3,504.00 $2,010.42 2026-08-10
73718 CPT Mr Lo Ext No Jnt-bi 26 10 $4,074.50 $4,074.50 $1,629.72 $4,925.76 $2,773.65 2026-08-10
73720 CPT Mr Lo Ext No Joint Wwo Bil 26 10 $5,053.00 $5,053.00 $2,021.22 $6,108.48 $3,439.79 2026-08-10
73725 CPT Mr MRA Lo Ext W Or Without Lt 13 10 $3,016.00 $3,016.00 $1,628.64 $2,895.36 $1,661.21 2026-08-10
70549 CPT Mr MRA Of Neck W & Without Contrast 13 10 $4,149.00 $4,149.00 $2,240.46 $3,983.04 $2,285.27 2026-08-10
70548 CPT Mr MRA Of Neck With Contrast 13 10 $3,508.00 $3,508.00 $1,894.32 $3,367.68 $1,932.21 2026-08-10
70547 CPT Mr MRA Of Neck Without Contrast 13 10 $3,460.00 $3,460.00 $1,868.40 $3,321.60 $1,905.77 2026-08-10
70543 CPT Mr Orbit Fac Neck W&wo 13 10 $3,996.00 $3,996.00 $2,157.84 $3,836.16 $2,201.00 2026-08-10
70540 CPT Mr Orbit Neck Without Contrast 13 10 $3,395.00 $3,395.00 $1,833.30 $3,259.20 $1,869.97 2026-08-10
72195 CPT Mr Pelvis Without 13 10 $3,350.00 $3,350.00 $1,809.00 $3,216.00 $1,845.18 2026-08-10
72197 CPT Mr Pelvis W/wo Contrast 13 10 $4,348.00 $4,348.00 $2,347.92 $4,174.08 $2,394.88 2026-08-10
72157 CPT Mr T Spine W&without Con 13 10 $4,661.00 $4,661.00 $2,516.94 $4,474.56 $2,567.28 2026-08-10
72147 CPT Mr T Spine W/cont 13 10 $3,568.00 $3,568.00 $1,926.72 $3,425.28 $1,965.25 2026-08-10
72146 CPT Mr T Spine Without Cont 13 10 $3,836.00 $3,836.00 $2,071.44 $3,682.56 $2,112.87 2026-08-10
73221 CPT Mr Up Ext Jnt-bi 26 10 $3,731.50 $3,731.50 $1,492.56 $4,511.04 $2,540.17 2026-08-10
73218 CPT Mr Up Ext No Jnt-bi 26 10 $4,304.00 $4,304.00 $1,721.52 $5,203.20 $2,929.88 2026-08-10
73220 CPT Mr Upper Extremity Non Joint W & Wo Con 13 10 $3,754.00 $3,754.00 $2,027.16 $3,603.84 $2,067.70 2026-08-10
73223 CPT Mr Upper Extremity Without & W Contrast 13 10 $4,250.00 $4,250.00 $2,295.00 $4,080.00 $2,340.90 2026-08-10
P9040 HCPCS Nch Bld Proc Fee Ldcirr 13 10 $815.00 $815.00 $440.10 $782.40 $448.90 2026-08-10
390 OTHER Nch Bld Proc Fee-ldc 55 11 $632.00 $632.00 $119.18 $865.92 $459.61 2026-07-05
P9016 HCPCS Nch Bld Proc Fee-ldc 13 10 $810.00 $810.00 $437.40 $777.60 $446.15 2026-08-10
P9032 HCPCS Nch Platelet Proc Fee Ldcirr 13 10 $1,950.00 $1,950.00 $1,053.00 $1,872.00 $1,074.06 2026-08-10
P9019 HCPCS Nch Platelet Proc Fee-ldc 13 10 $832.00 $832.00 $449.28 $798.72 $458.27 2026-08-10
64418 CPT Njx Aa&/strd Sprscap Nrv 13 10 $1,077.00 $1,077.00 $581.58 $1,033.92 $593.21 2026-08-10
64484 CPT Njx Aa&/strd Tfrm Epi L/s Ea 13 10 $725.00 $725.00 $391.50 $696.00 $399.33 2026-08-10
64483 CPT Njx Aa&/strd Tfrm Epi L/s1 13 10 $1,364.00 $1,364.00 $736.56 $1,309.44 $751.29 2026-08-10
62323 CPT Njx Interlaminar Lmbr/sac 13 10 $1,297.00 $1,297.00 $700.38 $1,245.12 $714.39 2026-08-10
78315 CPT Nm Bone 3 Phase 13 10 $2,331.00 $2,331.00 $1,258.74 $2,237.76 $1,283.91 2026-08-10
341 OTHER Nm Bone 3 Phase 165 11 $1,836.00 $1,836.00 $731.01 $4,001.28 $1,134.99 2026-07-05
78300 CPT Nm Bone Limited 13 10 $1,468.00 $1,468.00 $792.72 $1,409.28 $808.57 2026-08-10
78305 CPT Nm Bone Mult 13 10 $1,468.00 $1,468.00 $792.72 $1,409.28 $808.57 2026-08-10
78306 CPT Nm Bone Total 13 10 $1,993.00 $1,993.00 $1,076.22 $1,913.28 $1,097.74 2026-08-10
78472 CPT Nm Gated Blood 13 10 $2,449.00 $2,449.00 $1,322.46 $2,351.04 $1,348.91 2026-08-10
78227 CPT Nm Hepatobiliary Imaging With & Without Gbef 13 10 $2,130.00 $2,130.00 $1,150.20 $2,044.80 $1,173.20 2026-08-10
78226 CPT Nm Hepatobiliary Imaging Without Gbef 13 10 $2,157.00 $2,157.00 $1,164.78 $2,070.72 $1,188.08 2026-08-10
78215 CPT Nm Liver & Spleen 13 10 $2,236.00 $2,236.00 $1,207.44 $2,146.56 $1,231.59 2026-08-10
78290 CPT Nm Meckel's Scan 13 10 $1,468.00 $1,468.00 $792.72 $1,409.28 $808.57 2026-08-10
78070 CPT Nm Parathyroid Image 13 10 $1,468.00 $1,468.00 $792.72 $1,409.28 $808.57 2026-08-10
78708 CPT Nm Renal Scan Lasix Washout (mag3) 13 10 $1,930.00 $1,930.00 $1,042.20 $1,852.80 $1,063.04 2026-08-10
78701 CPT Nm Renal W/vasc 13 10 $1,884.00 $1,884.00 $1,017.36 $1,808.64 $1,037.71 2026-08-10
78761 CPT Nm Testicular Image 13 10 $2,243.00 $2,243.00 $1,211.22 $2,153.28 $1,235.44 2026-08-10
78452 CPT Nmmyoperfmulti 13 10 $4,874.00 $4,874.00 $2,631.96 $4,679.04 $2,684.60 2026-08-10
78451 CPT Nmmyoperfsingle 13 10 $6,886.00 $6,886.00 $3,718.44 $6,610.56 $3,792.81 2026-08-10
J0585 HCPCS OnabotulinumtoxinA (botox)inj:100 Units+ 13 10 $1,757.70 $1,757.70 $949.16 $1,687.39 $968.14 2026-08-10
J9264 HCPCS Paclitaxel-protien Bound Inj: 100mg+ 13 10 $3,732.90 $3,732.90 $2,015.77 $3,583.58 $2,056.08 2026-08-10
J2426 HCPCS Paliperidone (invega Sustenna) Inj:234mg 13 10 $8,273.30 $8,273.30 $4,467.58 $7,942.37 $4,556.93 2026-08-10
Q5111 HCPCS Pegfilgrastim-cbqv (udenyca) Inj:6mg + 13 10 $9,018.00 $9,018.00 $4,869.72 $8,657.28 $4,967.11 2026-08-10
Q5108 HCPCS Pegfilgrastim-jmdb (fulphila) Inj:6mg + 13 10 $4,759.50 $4,759.50 $2,570.13 $4,569.12 $2,621.53 2026-08-10
J9271 HCPCS Pembrolizumab (keytruda) Ivpb:100mg + 13 10 $13,253.75 $13,253.75 $7,157.02 $12,723.60 $7,300.17 2026-08-10
J0561 HCPCS Penicillin-g (bicillin LA)inj:1.2mmu/2mL 13 10 $708.90 $708.90 $382.81 $680.54 $390.46 2026-08-10
54360 CPT Penis Plastic Surgery 26 10 $1,983.00 $1,983.00 $943.92 $2,129.28 $1,209.70 2026-08-10
52000 CPT Phys Pro Fee-cystoscopy 26 10 $712.50 $712.50 $40.50 $1,296.00 $400.50 2026-08-10
52310 CPT Phys Pro Fee-cystoscopy & Treatment 26 10 $1,003.00 $1,003.00 $75.60 $1,791.36 $571.02 2026-08-10
52287 CPT Phys Pro Fee-cystoscopy Chemodenervation 26 10 $1,113.00 $1,113.00 $84.24 $1,987.20 $633.78 2026-08-10
28750 CPT Phys Pro Fee-fusion Of Big Toe Joint 26 10 $668.50 $668.50 $246.78 $844.80 $456.96 2026-08-10
28755 CPT Phys Pro Fee-fusion Of Big Toe Joint 13 10 $800.00 $800.00 $432.00 $768.00 $440.64 2026-08-10
14040 CPT Phys Pro Fee-tis Trnfr F/c/c/m/n/a/g/h/f 13 10 $1,495.00 $1,495.00 $807.30 $1,435.20 $823.45 2026-08-10
36573 CPT Picc Insertion 13 10 $3,020.00 $3,020.00 $1,630.80 $2,899.20 $1,663.42 2026-08-10
81315 CPT Pml/rara Quant By Pcr #8554 13 10 $1,244.00 $1,244.00 $671.76 $1,194.24 $685.20 2026-08-10
90677 CPT Pneumococcal (prevnar 20) vaccine:0.5mL 13 10 $794.45 $794.45 $429.00 $762.67 $437.58 2026-08-10
635 OTHER Procrit(epoetin)inj:20,000u Esrd* 11 11 $1,141.15 $1,141.15 $673.28 $1,095.50 $686.74 2026-07-05
J7168 HCPCS Prothrombin Complex (kcentra) Inj:1000u 13 10 $4,751.85 $4,751.85 $2,566.00 $4,561.78 $2,617.32 2026-08-10
90375 CPT Rabies Immune Globulin soln:300iu/mL 3mL 13 10 $4,899.60 $4,899.60 $2,645.78 $4,703.62 $2,698.70 2026-08-10
90675 CPT Rabies Vaccine Injection: 2.5iu/mL 13 10 $1,266.85 $1,266.85 $684.10 $1,216.18 $697.78 2026-08-10
26440 CPT Release Palm/finger Tendon 13 10 $1,523.00 $1,523.00 $822.42 $1,462.08 $838.87 2026-08-10
J0248 HCPCS Remdesivir (veklury) Ivpb:100mg 13 10 $1,543.00 $1,543.00 $833.22 $1,481.28 $849.88 2026-08-10
66850 CPT Removal Of Lens Material 13 10 $2,469.00 $2,469.00 $1,333.26 $2,370.24 $1,359.93 2026-08-10
11772 CPT Remove Pilonidal Cyst Compl 13 10 $964.00 $964.00 $520.56 $925.44 $530.97 2026-08-10
87633 CPT Respiratory Viral Panel Pcr, #10345 13 10 $751.00 $751.00 $405.54 $720.96 $413.65 2026-08-10
92950 CPT Resuscitation Fee 13 10 $1,063.00 $1,063.00 $574.02 $1,020.48 $585.50 2026-08-10
120 OTHER Rm Chg Icf 33 11 $1,190.00 $1,190.00 $230.75 $5,579.40 $1,330.00 2026-07-05
J2802 HCPCS Romiplostim (nplate) Inj:125mcg + 26 10 $5,116.52 $5,116.52 $1,966.84 $6,327.12 $3,527.81 2026-08-10
J3111 HCPCS Romosozumab (evenity) inj:210mg/2.34mL+ 13 10 $6,293.65 $6,293.65 $3,398.57 $6,041.90 $3,466.54 2026-08-10
94640 CPT Rt Aerosol/mdi Tx-1 78 10 $1,085.00 $1,085.00 $167.40 $1,785.60 $676.30 2026-08-10
410 OTHER Rt Aerosol/mdi Tx-1 154 11 $588.00 $588.00 $74.34 $1,370.88 $413.00 2026-07-05
94660 CPT Rt Cpap/bipap Management 13 10 $1,041.00 $1,041.00 $562.14 $999.36 $573.38 2026-08-10
95810 CPT Rt Full Sleep Study 13 10 $4,564.00 $4,564.00 $2,464.56 $4,381.44 $2,513.85 2026-08-10
920 OTHER Rt Full Sleep Study 33 11 $3,855.00 $3,855.00 $283.20 $4,062.72 $2,319.94 2026-07-05
94726 CPT Rt Plethysmography 13 10 $700.00 $700.00 $378.00 $672.00 $385.56 2026-08-10
95811 CPT Rt Sleep Study/split N 13 10 $4,820.00 $4,820.00 $2,602.80 $4,627.20 $2,654.86 2026-08-10
J2353 HCPCS SandoSTATIN(OCTREOTIDE)INJ:30MG + 13 10 $14,931.15 $14,931.15 $8,062.82 $14,333.90 $8,224.08 2026-08-10
45331 CPT Sigmoidoscopy With Biopsy 26 10 $926.00 $926.00 $38.88 $1,708.80 $515.16 2026-08-10
45333 CPT Sigmoidoscopy With Polypectomy 13 10 $1,959.00 $1,959.00 $1,057.86 $1,880.64 $1,079.02 2026-08-10
93350 CPT Stress Echo 13 10 $1,950.00 $1,950.00 $1,053.00 $1,872.00 $1,074.06 2026-08-10
93017 CPT Stress Testing 13 10 $1,338.00 $1,338.00 $722.52 $1,284.48 $736.97 2026-08-10
482 OTHER Stress Testing 11 11 $1,032.00 $1,032.00 $608.88 $990.72 $621.06 2026-07-05
64486 CPT Tap Block Unil By Injection 13 10 $1,228.00 $1,228.00 $663.12 $1,178.88 $676.38 2026-08-10
93312 CPT Tee 13 10 $3,126.00 $3,126.00 $1,688.04 $3,000.96 $1,721.80 2026-08-10
J3101 HCPCS Tenecteplase (tnkase) Inj:25mg - Stroke+ 26 10 $17,830.83 $17,830.83 $9,565.91 $17,229.12 $9,885.21 2026-08-10
90389 CPT Tetanus Immune Globulin Inj: 250units 13 10 $1,752.75 $1,752.75 $946.49 $1,682.64 $965.41 2026-08-10
J2356 HCPCS Tezepelumab (tezspire) inj:210mg/1.91mL 13 10 $9,908.80 $9,908.80 $5,350.75 $9,512.45 $5,457.77 2026-08-10
64479 CPT Tfesi With Imaging Cervical/thoracic/s4 13 10 $1,900.00 $1,900.00 $1,026.00 $1,824.00 $1,046.52 2026-08-10
93886 CPT Trancranial Dop 13 10 $1,629.00 $1,629.00 $879.66 $1,563.84 $897.25 2026-08-10
25600 CPT Treat Fracture Radius/ulna 13 10 $791.00 $791.00 $427.14 $759.36 $435.68 2026-08-10
27246 CPT Treat Thigh Fracture 13 10 $703.00 $703.00 $379.62 $674.88 $387.21 2026-08-10
76700 CPT US Abdomen 13 10 $984.00 $984.00 $531.36 $944.64 $541.99 2026-08-10
402 OTHER US Abdomen 231 11 $600.00 $600.00 $227.74 $832.32 $402.00 2026-07-05
76705 CPT US Abdomen Limit 13 10 $757.00 $757.00 $408.78 $726.72 $416.96 2026-08-10
76942 CPT US Guide, Cyst Asp Or Nedl Bx 13 10 $832.00 $832.00 $449.28 $798.72 $458.27 2026-08-10
76856 CPT US Pelvic Nonpreg 13 10 $861.00 $861.00 $464.94 $826.56 $474.24 2026-08-10
76805 CPT US Pelvis Com OB > 14wks 13 10 $893.00 $893.00 $482.22 $857.28 $491.86 2026-08-10
76801 CPT US Preg Uterus Rt W/image 1st Trimester 13 10 $773.00 $773.00 $417.42 $742.08 $425.77 2026-08-10
76770 CPT US Retroperitoneal Complete 13 10 $890.00 $890.00 $480.60 $854.40 $490.21 2026-08-10
76870 CPT US Scrotum/content 13 10 $752.00 $752.00 $406.08 $721.92 $414.20 2026-08-10
76830 CPT US Transvaginal 13 10 $733.00 $733.00 $395.82 $703.68 $403.74 2026-08-10
55250 CPT Vasectomy 13 10 $2,261.00 $2,261.00 $1,220.94 $2,170.56 $1,245.36 2026-08-10
J3380 HCPCS Vedolizumab (entyvio) Ivpb:300mg + 13 10 $19,655.80 $19,655.80 $10,614.13 $18,869.57 $10,826.41 2026-08-10
93970 CPT Venous Dop-bil 13 10 $1,533.00 $1,533.00 $827.82 $1,471.68 $844.38 2026-08-10
93971 CPT Venous Dop-ltd 13 10 $1,233.00 $1,233.00 $665.82 $1,183.68 $679.14 2026-08-10
J2357 HCPCS Xolair(omalizumab)inj:150mg + 13 10 $3,915.45 $3,915.45 $2,114.34 $3,758.83 $2,156.63 2026-08-10
77075 CPT Xr Bone Survey Complet 13 10 $960.00 $960.00 $518.40 $921.60 $528.77 2026-08-10
74430 CPT Xr Cystogram 13 10 $790.00 $790.00 $426.60 $758.40 $435.13 2026-08-10
74220 CPT Xr Esophagus 13 10 $740.00 $740.00 $399.60 $710.40 $407.59 2026-08-10
76000 CPT Xr Fluoroscopy Up To 1 Hour 13 10 $750.00 $750.00 $405.00 $720.00 $413.10 2026-08-10
77002 CPT Xr Fluoroscopy/needle Placement 13 10 $1,157.00 $1,157.00 $624.78 $1,110.72 $637.28 2026-08-10
77001 CPT Xr Fluoroscopy/venous Access Device 13 10 $1,058.00 $1,058.00 $571.32 $1,015.68 $582.75 2026-08-10
49440 CPT Xr Gastrostomy Tube Pl 13 10 $4,300.00 $4,300.00 $2,322.00 $4,128.00 $2,368.44 2026-08-10
74400 CPT Xr Ivpw/wo Kub W/wo To 13 10 $1,248.00 $1,248.00 $673.92 $1,198.08 $687.40 2026-08-10
74300 CPT Xr Oper Cholangiogr 13 10 $838.00 $838.00 $452.52 $804.48 $461.57 2026-08-10
75809 CPT Xr Shunt Series 13 10 $817.00 $817.00 $441.18 $784.32 $450.00 2026-08-10
72052 CPT Xr Spine Cervical 6 Views Or More 13 10 $706.00 $706.00 $381.24 $677.76 $388.86 2026-08-10
72114 CPT Xr Spine Ls Min 6 Views 13 10 $700.00 $700.00 $378.00 $672.00 $385.56 2026-08-10
74455 CPT Xr Urethrocysio Void 13 10 $754.00 $754.00 $407.16 $723.84 $415.30 2026-08-10
74450 CPT Xr Urethrocystography 13 10 $872.00 $872.00 $470.88 $837.12 $480.30 2026-08-10
74420 CPT Xr Urography, Retrograde, W/wo Kub 13 10 $1,299.00 $1,299.00 $701.46 $1,247.04 $715.49 2026-08-10
75820 CPT Xr Venography Uni 13 10 $1,664.00 $1,664.00 $898.56 $1,597.44 $916.53 2026-08-10
66821 CPT Yag Laser 13 10 $1,207.00 $1,207.00 $651.78 $1,158.72 $664.82 2026-08-10
J3489 HCPCS Zoledronic Acid (zometa) inj:4mg/5mL 26 10 $625.00 $625.00 $145.80 $940.80 $394.20 2026-08-10
88262 CPT ~chromosome Analysis 13 10 $792.00 $792.00 $427.68 $760.32 $436.23 2026-08-10
88271 CPT ~cytogenetics, DNA Probe 13 10 $792.00 $792.00 $427.68 $760.32 $436.23 2026-08-10
88374 CPT ~fish Auto Professional 13 10 $1,838.00 $1,838.00 $992.52 $1,764.48 $1,012.37 2026-08-10
88184 CPT ~flow Cytometry 13 10 $801.00 $801.00 $432.54 $768.96 $441.19 2026-08-10
88341 CPT ~surgical Path Viii 88341 13 10 $842.00 $842.00 $454.68 $808.32 $463.77 2026-08-10
88360 CPT ~surgical Path Xiii 88360 13 10 $836.00 $836.00 $451.44 $802.56 $460.47 2026-08-10
88230 CPT ~tissue Culture Nonneoplastic Disorder 13 10 $799.00 $799.00 $431.46 $767.04 $440.09 2026-08-10
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