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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

HOWARD COUNTY MEDICAL CENTER

St Paul, NE · CCN 281338 · Rates published

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You selected 27447 (CPT)

This facility hasn’t published a payer-negotiated rate for this exact code. See its full rate list below.

2,976 distinct procedures filed
22 distinct payers
605,616 rate rows
2026-02-04 last MRF observed
Data quality

119,978 of 605,616 rate rows are consumer-grade (19.8%)

485,638 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
professional (physician) fee — not the facility price 482,074
placeholder amount (≤ $0.02) — excluded from medians 3,290
percent-of-charges filed in the dollar field — excluded from medians 144
per-diem day rate — not a per-procedure price 80
exceeds 10× this hospital's gross charge — excluded from medians 50
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/8107/470681056_howard-county-medical-center_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/HowardCountyMedicalCenter/8107
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-03
Content fingerprint 94785ebbc44fd345… · 89,785,868 bytes · first seen 2026-05-06

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
J3245
HCPCS 		Tildrakizumab Injection 100mg 22 $11,233.40 $21,568.13 $19,209.12 nat. median
$256
outlier · 75.0×
J2327
HCPCS 		Risankizumab-rzaa 600mg/10ml 22 $10,636.53 $20,422.13 $18,188.46 nat. median
$961
outlier · 18.9×
J9334
HCPCS 		Efgartigimod-hyaluronidas-qvfc 22 $10,062.80 $19,320.58 $17,207.39 nat. median
$77
outlier · 224.2×
J3380
HCPCS 		Vedolizumab 300mg Ml Vial 22 $24.97 $17,979.70 $16,013.17 nat. median
$150
outlier · 106.9×
81416
CPT 		Exome Sequence Analysis 1 $12,000.00 $12,000.00 $12,000.00 nat. median
$12,000
1.0× median
J9144
HCPCS 		Daratumumab-hyaluronidase-fihj 22 $6,614.93 $12,700.66 $11,311.52 nat. median
$202
outlier · 56.0×
J2406
HCPCS 		Oritavan Diphospha 1200 Mg Vi 22 $6,008.50 $11,536.32 $10,274.53 nat. median
$59
outlier · 175.3×
J0717
HCPCS 		Certollizmab (cimzia) 400 Mg 22 $5,257.03 $10,093.49 $8,989.51 nat. median
$1,187
outlier · 7.6×
J3101
HCPCS 		Tenecteplase 50mg Syr 22 $5,193.30 $9,971.14 $8,880.55 nat. median
$3,475
outlier · 2.6×
J0517
HCPCS 		Benralizumab 30mg/1ml 22 $191.89 $9,837.46 $8,761.49 nat. median
$801
outlier · 10.9×
0315U
CPT 		Onc Cutan Sq Cll Ca Mrna 40 1 $8,500.00 $8,500.00 $8,500.00 nat. median
$8,670
1.0× median
0211U
CPT 		Onc Pan-tum Dna&rna Gnrj Seq 1 $8,455.00 $8,455.00 $8,455.00 nat. median
$8,455
1.0× median
J2997
HCPCS 		Alteplase 100mg/100ml Via 22 $215.83 $9,726.72 $8,130.93 nat. median
$488
outlier · 16.7×
81552
CPT 		Onc Uveal Mlnma Mrna 15 Gene 1 $7,776.00 $7,776.00 $7,776.00 nat. median
$8,087
1.0× median
0094U
CPT 		Genome Rapid Sequence Alys 1 $7,582.20 $7,582.20 $7,582.20 nat. median
$7,734
1.0× median
81529
CPT 		Onc Cutan Mlnma Mrna 31 Gene 1 $7,193.00 $7,193.00 $7,193.00 nat. median
$7,553
1.0× median
G0413
HCPCS 		Pelvic Ring Fracture Uni/bil 1 $7,143.73 $7,143.73 $7,143.73 nat. median
$7,144
1.0× median
J2278
HCPCS 		Ziconotide 25mcg/ml Vial 22 $4,016.40 $7,711.49 $6,868.05 nat. median
$16
outlier · 435.5×
C1889
HCPCS 		Mild Kit 22 $2,483.37 $7,602.14 $6,770.66 nat. median
$2,377
outlier · 2.8×
J1449
HCPCS 		Eflapegrastim-xnst 13.2mg/.6ml 22 $3,945.00 $7,574.40 $6,745.95 nat. median
$29
outlier · 229.5×
0267U
CPT 		Rare Do Id Opt Gen Mapg&seq 1 $6,739.33 $6,739.33 $6,739.33 nat. median
$6,908
1.0× median
J2356
HCPCS 		Tezepelumab-ekko 210mg/1.91ml 22 $3,830.35 $7,354.27 $6,549.90 nat. median
$75
outlier · 87.1×
J2353
HCPCS 		Sandostatin 20mg Lar 22 $3,090.53 $7,769.81 $6,495.07 nat. median
$5,513
1.2× median
Q5115
HCPCS 		Rituxamab-abbs 500mg/50ml 22 $3,708.75 $7,120.80 $6,341.97 nat. median
$801
outlier · 7.9×
Q5111
HCPCS 		Pegfilgrastim-cbqv 6mg/.6ml 22 $3,660.63 $7,028.40 $6,259.67 nat. median
$1,862
outlier · 3.4×
36475
CPT 		Ir Endovenous Rf 1st Vein 22 $3,225.50 $6,192.96 $5,515.60 nat. median
$4,061
1.4× median
0265U
CPT 		Rar Do Whl Gn&mtcdrl DNA Als 1 $5,475.80 $5,475.80 $5,475.80 nat. median
$5,585
1.0× median
0212U
CPT 		Rare Ds Gen DNA Alys Proband 1 $5,475.20 $5,475.20 $5,475.20 nat. median
$5,585
1.0× median
81554
CPT 		Pulm Ds Ipf Mrna 190 Gen Alg 1 $5,445.00 $5,445.00 $5,445.00 nat. median
$5,680
1.0× median
0295U
CPT 		Onc Brst Dux Carc 7 Proteins 1 $5,435.00 $5,435.00 $5,435.00 nat. median
$5,462
1.0× median
J2182
HCPCS 		Mepolizumab 100 Mg Vial 22 $34.54 $6,067.15 $5,403.56 nat. median
$2,559
outlier · 2.1×
J1306
HCPCS 		Inclisian Sodium 284mg/1.5ml 22 $3,146.78 $6,041.81 $5,380.98 nat. median
$43
outlier · 124.8×
0214U
CPT 		Rare Ds Xom DNA Alys Proband 1 $5,224.60 $5,224.60 $5,224.60 nat. median
$5,329
1.0× median
0335U
CPT 		Rare Ds Whl Gen Seq Fetal 1 $5,224.60 $5,224.60 $5,224.60 nat. median
$5,329
1.0× median
81425
CPT 		Genome Sequence Analysis 1 $5,031.20 $5,031.20 $5,031.20 nat. median
$5,132
1.0× median
0326U
CPT 		Trgt Gen Seq Alys Pnl 83+ 1 $5,000.00 $5,000.00 $5,000.00 nat. median
$5,100
1.0× median
0242U
CPT 		Trgt Gen Seq Alys Pnl 55-74 1 $5,000.00 $5,000.00 $5,000.00 nat. median
$5,100
1.0× median
0108U
CPT 		Gi Barrett Esoph 9 Prtn Bmrk 1 $4,950.00 $4,950.00 $4,950.00 nat. median
$5,049
1.0× median
81415
CPT 		Exome Sequence Analysis 1 $4,780.00 $4,780.00 $4,780.00 nat. median
$4,923
1.0× median
0036U
CPT 		Xome Tum & Nml Spec Seq Alys 1 $4,780.00 $4,780.00 $4,780.00 nat. median
$4,923
1.0× median
J1942
HCPCS 		Aristada 882mg/3.2ml Injectabl 22 $2,791.75 $5,360.16 $4,773.90 nat. median
$1,370
outlier · 3.5×
J2505
HCPCS 		Pegfilgrastim 6mg/0.6ml S 22 $2,755.00 $5,289.60 $4,711.05 nat. median
$6,405
0.7× median
64636
CPT 		Bilat Rfa Lumbar Or Sacral Add 22 $1,450.00 $5,568.00 $4,654.50 nat. median
$1,229
outlier · 3.8×
74174
CPT 		CT Angio Abd&pelv W/O&with Contrast 22 $1,854.53 $5,143.68 $4,581.09 nat. median
$982
outlier · 4.7×
0473U
CPT 		Onc Sld Tum Bld/slv 648 Gene 1 $4,500.00 $4,500.00 $4,500.00 nat. median
$4,590
1.0× median
Q5120
HCPCS 		Pegfilgrastim-bmez 6mg/0.6ml 22 $2,453.48 $4,710.67 $4,195.44 nat. median
$357
outlier · 11.7×
0300U
CPT 		Onc Pan Tum Whl Gen Seq&opt 1 $4,183.13 $4,183.13 $4,183.13 nat. median
$4,267
1.0× median
95811
CPT 		Titration/split Night 22 $1,704.22 $4,647.36 $4,139.06 nat. median
$1,923
outlier · 2.2×
J3315
HCPCS 		Triptorelin Pamoate 11.25 Mg/2 22 $2,406.13 $9,225.07 $4,114.48 nat. median
$878
outlier · 4.7×
78452
CPT 		Nm Ht Muscle Image Spect Mult 22 $1,692.98 $4,616.64 $4,111.69 nat. median
$1,777
outlier · 2.3×

Other procedures at this hospital

Browse this hospital's 2,976 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
             
J3245 HCPCS Tildrakizumab Injection 100mg 70 22 $22,466.80 $22,466.80 $11,233.40 $21,568.13 $19,209.12 2026-02-04
J2327 HCPCS Risankizumab-rzaa 600mg/10ml 70 22 $21,273.05 $21,273.05 $10,636.53 $20,422.13 $18,188.46 2026-02-04
J9334 HCPCS Efgartigimod-hyaluronidas-qvfc 70 22 $20,125.60 $20,125.60 $10,062.80 $19,320.58 $17,207.39 2026-02-04
J3380 HCPCS Vedolizumab 300mg Ml Vial 74 22 $18,728.85 $18,728.85 $24.97 $17,979.70 $16,013.17 2026-02-04
81416 CPT Exome Sequence Analysis 2 1 — — $12,000.00 $12,000.00 $12,000.00 2026-02-04
J9144 HCPCS Daratumumab-hyaluronidase-fihj 70 22 $13,229.85 $13,229.85 $6,614.93 $12,700.66 $11,311.52 2026-02-04
J2406 HCPCS Oritavan Diphospha 1200 Mg Vi 70 22 $12,017.00 $12,017.00 $6,008.50 $11,536.32 $10,274.53 2026-02-04
J0717 HCPCS Certollizmab (cimzia) 400 Mg 70 22 $10,514.05 $10,514.05 $5,257.03 $10,093.49 $8,989.51 2026-02-04
J3101 HCPCS Tenecteplase 50mg Syr 70 22 $10,386.60 $10,386.60 $5,193.30 $9,971.14 $8,880.55 2026-02-04
J0517 HCPCS Benralizumab 30mg/1ml 74 22 $10,247.35 $10,247.35 $191.89 $9,837.46 $8,761.49 2026-02-04
0315U CPT Onc Cutan Sq Cll Ca Mrna 40 2 1 — — $8,500.00 $8,500.00 $8,500.00 2026-02-04
0211U CPT Onc Pan-tum Dna&rna Gnrj Seq 2 1 — — $8,455.00 $8,455.00 $8,455.00 2026-02-04
J2997 HCPCS Alteplase 100mg/100ml Via 104 22 $10,132.00 $10,132.00 $215.83 $9,726.72 $8,130.93 2026-02-04
81552 CPT Onc Uveal Mlnma Mrna 15 Gene 2 1 — — $7,776.00 $7,776.00 $7,776.00 2026-02-04
0094U CPT Genome Rapid Sequence Alys 2 1 — — $7,582.20 $7,582.20 $7,582.20 2026-02-04
81529 CPT Onc Cutan Mlnma Mrna 31 Gene 2 1 — — $7,193.00 $7,193.00 $7,193.00 2026-02-04
G0413 HCPCS Pelvic Ring Fracture Uni/bil 2 1 — — $7,143.73 $7,143.73 $7,143.73 2026-02-04
J2278 HCPCS Ziconotide 25mcg/ml Vial 70 22 $8,032.80 $8,032.80 $4,016.40 $7,711.49 $6,868.05 2026-02-04
C1889 HCPCS Mild Kit 70 22 $7,918.90 $7,918.90 $2,483.37 $7,602.14 $6,770.66 2026-02-04
J1449 HCPCS Eflapegrastim-xnst 13.2mg/.6ml 70 22 $7,890.00 $7,890.00 $3,945.00 $7,574.40 $6,745.95 2026-02-04
0267U CPT Rare Do Id Opt Gen Mapg&seq 2 1 — — $6,739.33 $6,739.33 $6,739.33 2026-02-04
J2356 HCPCS Tezepelumab-ekko 210mg/1.91ml 70 22 $7,660.70 $7,660.70 $3,830.35 $7,354.27 $6,549.90 2026-02-04
J2353 HCPCS Sandostatin 20mg Lar 104 22 $8,093.55 $8,093.55 $3,090.53 $7,769.81 $6,495.07 2026-02-04
Q5115 HCPCS Rituxamab-abbs 500mg/50ml 70 22 $7,417.50 $7,417.50 $3,708.75 $7,120.80 $6,341.97 2026-02-04
Q5111 HCPCS Pegfilgrastim-cbqv 6mg/.6ml 70 22 $7,321.25 $7,321.25 $3,660.63 $7,028.40 $6,259.67 2026-02-04
36475 CPT Ir Endovenous Rf 1st Vein 70 22 $6,451.00 $6,451.00 $3,225.50 $6,192.96 $5,515.60 2026-02-04
0265U CPT Rar Do Whl Gn&mtcdrl DNA Als 2 1 — — $5,475.80 $5,475.80 $5,475.80 2026-02-04
0212U CPT Rare Ds Gen DNA Alys Proband 2 1 — — $5,475.20 $5,475.20 $5,475.20 2026-02-04
81554 CPT Pulm Ds Ipf Mrna 190 Gen Alg 2 1 — — $5,445.00 $5,445.00 $5,445.00 2026-02-04
0295U CPT Onc Brst Dux Carc 7 Proteins 2 1 — — $5,435.00 $5,435.00 $5,435.00 2026-02-04
J2182 HCPCS Mepolizumab 100 Mg Vial 74 22 $6,319.95 $6,319.95 $34.54 $6,067.15 $5,403.56 2026-02-04
J1306 HCPCS Inclisian Sodium 284mg/1.5ml 70 22 $6,293.55 $6,293.55 $3,146.78 $6,041.81 $5,380.98 2026-02-04
0335U CPT Rare Ds Whl Gen Seq Fetal 2 1 — — $5,224.60 $5,224.60 $5,224.60 2026-02-04
0214U CPT Rare Ds Xom DNA Alys Proband 2 1 — — $5,224.60 $5,224.60 $5,224.60 2026-02-04
81425 CPT Genome Sequence Analysis 2 1 — — $5,031.20 $5,031.20 $5,031.20 2026-02-04
0326U CPT Trgt Gen Seq Alys Pnl 83+ 2 1 — — $5,000.00 $5,000.00 $5,000.00 2026-02-04
0242U CPT Trgt Gen Seq Alys Pnl 55-74 2 1 — — $5,000.00 $5,000.00 $5,000.00 2026-02-04
0108U CPT Gi Barrett Esoph 9 Prtn Bmrk 2 1 — — $4,950.00 $4,950.00 $4,950.00 2026-02-04
81415 CPT Exome Sequence Analysis 2 1 — — $4,780.00 $4,780.00 $4,780.00 2026-02-04
0036U CPT Xome Tum & Nml Spec Seq Alys 2 1 — — $4,780.00 $4,780.00 $4,780.00 2026-02-04
J1942 HCPCS Aristada 882mg/3.2ml Injectabl 70 22 $5,583.50 $5,583.50 $2,791.75 $5,360.16 $4,773.90 2026-02-04
J2505 HCPCS Pegfilgrastim 6mg/0.6ml S 70 22 $5,510.00 $5,510.00 $2,755.00 $5,289.60 $4,711.05 2026-02-04
64636 CPT Bilat Rfa Lumbar Or Sacral Add 104 22 $5,800.00 $5,800.00 $1,450.00 $5,568.00 $4,654.50 2026-02-04
74174 CPT CT Angio Abd&pelv W/O&with Contrast 70 22 $5,358.00 $5,358.00 $1,854.53 $5,143.68 $4,581.09 2026-02-04
0473U CPT Onc Sld Tum Bld/slv 648 Gene 2 1 — — $4,500.00 $4,500.00 $4,500.00 2026-02-04
Q5120 HCPCS Pegfilgrastim-bmez 6mg/0.6ml 70 22 $4,906.95 $4,906.95 $2,453.48 $4,710.67 $4,195.44 2026-02-04
0300U CPT Onc Pan Tum Whl Gen Seq&opt 2 1 — — $4,183.13 $4,183.13 $4,183.13 2026-02-04
95811 CPT Titration/split Night 70 22 $4,841.00 $4,841.00 $1,704.22 $4,647.36 $4,139.06 2026-02-04
J3315 HCPCS Triptorelin Pamoate 11.25 Mg/2 104 22 $4,812.25 $4,812.25 $2,406.13 $9,225.07 $4,114.48 2026-02-04
78452 CPT Nm Ht Muscle Image Spect Mult 74 22 $4,809.00 $4,809.00 $1,692.98 $4,616.64 $4,111.69 2026-02-04
70553 CPT MRI Brain Wow Contrast 70 22 $4,627.00 $4,627.00 $1,628.80 $4,441.92 $3,956.09 2026-02-04
72157 CPT MRI Thoracic Wow Contrast 70 22 $4,622.00 $4,622.00 $1,444.95 $4,437.12 $3,951.81 2026-02-04
J3111 HCPCS Romosozumab Evenity 210mg/2.3 70 22 $4,615.65 $4,615.65 $1,673.63 $4,431.02 $3,946.38 2026-02-04
0340U CPT Onc Pan Ca Alys Mrd Plasma 2 1 — — $3,920.00 $3,920.00 $3,920.00 2026-02-04
72158 CPT MRI Lumbar Wow Contrast 70 22 $4,582.00 $4,582.00 $1,444.95 $4,398.72 $3,917.61 2026-02-04
72156 CPT MRI Cervical Wow Contrast 70 22 $4,555.00 $4,555.00 $2,277.50 $4,372.80 $3,894.53 2026-02-04
0306U CPT Onc Mrd Nxt-gnrj Alys 1st 2 1 — — $3,878.45 $3,878.45 $3,878.45 2026-02-04
0045U CPT Onc Brst Dux Carc Is 12 Gene 2 1 — — $3,873.00 $3,873.00 $3,873.00 2026-02-04
81522 CPT Onc Breast Mrna 12 Genes 2 1 — — $3,873.00 $3,873.00 $3,873.00 2026-02-04
81542 CPT Onc Prostate Mrna 22 Cnt Gen 2 1 — — $3,873.00 $3,873.00 $3,873.00 2026-02-04
81521 CPT Onc Breast Mrna 70 Genes 2 1 — — $3,873.00 $3,873.00 $3,873.00 2026-02-04
0497U CPT Onc Prst8 Mrna Rt-pcr 6genes 2 1 — — $3,873.00 $3,873.00 $3,873.00 2026-02-04
81541 CPT Onc Prostate Mrna 46 Genes 2 1 — — $3,873.00 $3,873.00 $3,873.00 2026-02-04
81523 CPT Onc Brst Mrna 70 Cnt 31 Gene 2 1 — — $3,873.00 $3,873.00 $3,873.00 2026-02-04
81518 CPT Onc Brst Mrna 11 Genes 2 1 — — $3,873.00 $3,873.00 $3,873.00 2026-02-04
0047U CPT Onc Prst8 Mrna 17 Gene Alg 2 1 — — $3,873.00 $3,873.00 $3,873.00 2026-02-04
0288U CPT Onc Lung Mrna Quan Pcr 11&3 2 1 — — $3,873.00 $3,873.00 $3,873.00 2026-02-04
81519 CPT Oncology Breast Mrna 2 1 — — $3,873.00 $3,873.00 $3,873.00 2026-02-04
63650 CPT Implant Neuroelectrodes 70 22 $4,487.00 $4,487.00 $373.12 $4,307.52 $3,836.39 2026-02-04
J2426 HCPCS Paliperidone 234mg/1.5ml 138 22 $6,261.05 $6,261.05 $1,569.00 $6,010.61 $3,803.03 2026-02-04
74183 CPT MRI Abdomen Wow Contrast 70 22 $4,407.00 $4,407.00 $1,341.89 $4,230.72 $3,767.99 2026-02-04
81540 CPT Oncology Tum Unknown Origin 2 1 — — $3,750.00 $3,750.00 $3,750.00 2026-02-04
J3032 HCPCS Eptinezumab-jjmr 100mg/ml 74 22 $4,374.20 $4,374.20 $20.45 $4,199.23 $3,739.94 2026-02-04
0170 RC Nursery 38 18 $624.00 $624.00 $468.00 $3,703.00 $3,703.00 2026-02-04
73223 CPT MRI Up Ext(j)wow Contra-left 104 22 $4,307.00 $4,307.00 $2,153.50 $4,258.56 $3,682.49 2026-02-04
0258U CPT Ai Psor Mrna 50-100 Gen Alg 2 1 — — $3,675.00 $3,675.00 $3,675.00 2026-02-04
0019U CPT Onc RNA Tiss Predict Alg 2 1 — — $3,675.00 $3,675.00 $3,675.00 2026-02-04
74178 CPT CT Abd/pelvis W/wo Contrast 74 22 $4,237.00 $4,237.00 $1,317.53 $4,067.52 $3,622.64 2026-02-04
64628 CPT Trml Dstrj Ios Bvn 1st 2 L/s 70 22 $4,223.00 $4,223.00 $2,111.50 $4,054.08 $3,610.66 2026-02-04
0391U CPT Onc Sld Tum Dna&rna 437 Gen 2 1 — — $3,600.00 $3,600.00 $3,600.00 2026-02-04
81546 CPT Onc Thyr Mrna 10,196 Gen Alg 2 1 — — $3,600.00 $3,600.00 $3,600.00 2026-02-04
0362U CPT Onc Pap Thyr Ca RNA 82&10 2 1 — — $3,600.00 $3,600.00 $3,600.00 2026-02-04
0287U CPT Onc Thyr Dna&mrna 112 Genes 2 1 — — $3,600.00 $3,600.00 $3,600.00 2026-02-04
0313U CPT Onc Pncrs Dna&mrna Seq 74 2 1 — — $3,600.00 $3,600.00 $3,600.00 2026-02-04
0026U CPT Onc Thyr Dna&mrna 112 Genes 2 1 — — $3,600.00 $3,600.00 $3,600.00 2026-02-04
72197 CPT MRI Pelvis Wow Contrast 70 22 $4,141.00 $4,141.00 $1,457.65 $3,975.36 $3,540.55 2026-02-04
0080U CPT Onc Lng 5 Clin Rsk Factr Alg 2 1 — — $3,520.00 $3,520.00 $3,520.00 2026-02-04
70543 CPT MRI Orbit Wow Contrast 70 22 $4,116.00 $4,116.00 $1,253.15 $3,951.36 $3,519.18 2026-02-04
64635 CPT Bilat Rfa Lumbar Or Sacral 104 22 $4,100.00 $4,100.00 $804.48 $10,325.46 $3,505.50 2026-02-04
0388U CPT Onc Nonsm Cll Lng Ca 37 Gen 2 1 — — $3,500.00 $3,500.00 $3,500.00 2026-02-04
0244U CPT Onc Solid Orgn DNA 257 Genes 2 1 — — $3,500.00 $3,500.00 $3,500.00 2026-02-04
0239U CPT Trgt Gen Seq Alys Pnl 311+ 2 1 — — $3,500.00 $3,500.00 $3,500.00 2026-02-04
0334U CPT Onc Sld Orgn Tgsa DNA 84/+ 2 1 — — $3,500.00 $3,500.00 $3,500.00 2026-02-04
0037U CPT Trgt Gen Seq DNA 324 Genes 2 1 — — $3,500.00 $3,500.00 $3,500.00 2026-02-04
0016M CPT Onc Bladder Mrna 219 Gen Alg 2 1 — — $3,489.63 $3,489.63 $3,489.63 2026-02-04
70551 CPT MRI Brain Wo Contrast 70 22 $4,070.00 $4,070.00 $1,239.03 $3,907.20 $3,479.85 2026-02-04
75635 CPT CTA Abdominal Aorta Runoff 70 22 $4,061.00 $4,061.00 $1,417.43 $3,898.56 $3,472.16 2026-02-04
72146 CPT MRI Thoracic Wo Contrast 70 22 $4,047.00 $4,047.00 $1,424.66 $3,885.12 $3,460.18 2026-02-04
0329U CPT Onc Neo Xome&trns Seq Alys 2 1 — — $3,437.98 $3,437.98 $3,437.98 2026-02-04
J9217 HCPCS Leuprolide Acetate 30 Mg 206 22 $5,150.00 $5,150.00 $846.93 $10,831.73 $3,431.66 2026-02-04
70549 CPT MRA Neck Wow Contrast 70 22 $4,009.00 $4,009.00 $2,004.50 $3,848.64 $3,427.70 2026-02-04
72141 CPT MRI Cervical Wo Contrast 70 22 $4,002.00 $4,002.00 $769.50 $3,841.92 $3,421.71 2026-02-04
64633 CPT Bilat Rfa Cervical Or Thoracic 104 22 $5,964.00 $5,964.00 $398.48 $7,641.90 $3,399.48 2026-02-04
74185 CPT MRA Abdomen Wow Contrast 70 22 $3,958.00 $3,958.00 $1,979.00 $3,799.68 $3,384.09 2026-02-04
72148 CPT MRI Lumbar Wo Contrast 74 22 $3,924.00 $3,924.00 $769.50 $3,767.04 $3,355.02 2026-02-04
81440 CPT Mitochondrial Gene 2 1 — — $3,324.00 $3,324.00 $3,324.00 2026-02-04
95810 CPT Diagnostic Sleep Study 70 22 $3,873.00 $3,873.00 $1,363.38 $3,718.08 $3,311.41 2026-02-04
81464 CPT So Gsap Cll Fr Mcrstl Ins 2 1 — — $3,288.51 $3,288.51 $3,288.51 2026-02-04
0379U CPT Tgsap Sl Or Neo Dna523&rna55 2 1 — — $3,288.51 $3,288.51 $3,288.51 2026-02-04
71275 CPT CTA Chest Wow Contrast 70 22 $3,824.00 $3,824.00 $1,193.57 $3,671.04 $3,269.52 2026-02-04
81595 CPT Cardiology Hrt Trnspl Mrna 2 1 — — $3,240.00 $3,240.00 $3,240.00 2026-02-04
81558 CPT Trnspl Rej Kdn Mrna Qpcr 139 2 1 — — $3,240.00 $3,240.00 $3,240.00 2026-02-04
0055U CPT Card Hrt Trnspl 96 DNA Seq 2 1 — — $3,240.00 $3,240.00 $3,240.00 2026-02-04
74175 CPT CTA Abdomen Wow Contrast 70 22 $3,785.00 $3,785.00 $1,892.50 $3,633.60 $3,236.18 2026-02-04
70544 CPT MRA Head Wo Contrast 70 22 $3,751.00 $3,751.00 $657.38 $3,600.96 $3,207.11 2026-02-04
0266U CPT Unxpl Cnst Hrtbl Do Gn Xprsn 2 1 — — $3,200.00 $3,200.00 $3,200.00 2026-02-04
0262U CPT Onc Sld Tum Rt-pcr 7 Gen 2 1 — — $3,200.00 $3,200.00 $3,200.00 2026-02-04
74181 CPT MRI Abdomen Wo Contrast 70 22 $3,741.00 $3,741.00 $1,316.96 $3,591.36 $3,198.55 2026-02-04
73723 CPT MRI Lower Ext(joint) Wow-left 70 22 $3,714.00 $3,714.00 $1,857.00 $3,565.44 $3,175.47 2026-02-04
73722 CPT MRI Lower Ext(joint)w-right 70 22 $3,704.00 $3,704.00 $1,852.00 $3,555.84 $3,166.92 2026-02-04
0088U CPT Trnsplj Kdn Algrft Rej 1494 2 1 — — $3,159.42 $3,159.42 $3,159.42 2026-02-04
0087U CPT Crd Hrt Trnspl Mrna 1283 Gen 2 1 — — $3,159.42 $3,159.42 $3,159.42 2026-02-04
0253U CPT Rprdtve Med RNA Gen Prfl 238 2 1 — — $3,159.42 $3,159.42 $3,159.42 2026-02-04
0153U CPT Onc Breast Mrna 101 Genes 2 1 — — $3,159.42 $3,159.42 $3,159.42 2026-02-04
Q5108 HCPCS Pegfilgrastim-jmdb 6mg Inj 70 22 $3,668.15 $3,668.15 $1,834.08 $3,521.42 $3,136.26 2026-02-04
81525 CPT Oncology Colon Mrna 2 1 — — $3,116.00 $3,116.00 $3,116.00 2026-02-04
Q4275 HCPCS Esano Aca, Per Square Cm 70 22 $3,570.00 $3,570.00 $1,785.00 $3,492.72 $3,052.35 2026-02-04
73720 CPT MRI Lower Ext(no Joint)wow-rt 70 22 $3,569.00 $3,569.00 $1,256.41 $3,426.24 $3,051.49 2026-02-04
73202 CPT CT Up Ext Wow Contrast-right 70 22 $3,568.00 $3,568.00 $1,784.00 $3,425.28 $3,050.64 2026-02-04
0248U CPT Onc Brn Sphrd Cll 12 Rx Pnl 2 1 — — $3,033.86 $3,033.86 $3,033.86 2026-02-04
0435U CPT Onc Chemo Rx Cytox Csc 14 Rx 2 1 — — $3,033.86 $3,033.86 $3,033.86 2026-02-04
0511U CPT Onc Sol Tum 3dmicroenvir 36+ 2 1 — — $3,033.86 $3,033.86 $3,033.86 2026-02-04
0172U CPT Onc Sld Tum Alys Brca1 Brca2 2 1 — — $3,030.00 $3,030.00 $3,030.00 2026-02-04
J9355 HCPCS Trastuzumab 150mg Vial 70 22 $3,531.50 $3,531.50 $1,765.75 $3,390.24 $3,019.43 2026-02-04
73220 CPT MRI Up Ext(nj)wow Contra-left 70 22 $3,518.00 $3,518.00 $1,759.00 $3,377.28 $3,007.89 2026-02-04
J1602 HCPCS Simponi Aria (golimumab) 74 22 $3,513.60 $3,513.60 $13.97 $3,373.06 $3,004.13 2026-02-04
0018U CPT Onc Thyr 10 Microrna Seq Alg 2 1 — — $3,002.09 $3,002.09 $3,002.09 2026-02-04
81459 CPT So Neo Gsap Dna/dna&rna 2 1 — — $2,989.55 $2,989.55 $2,989.55 2026-02-04
81162 CPT Brca1&2 Gen Full Seq Dup/del 70 22 $3,488.00 $3,488.00 $1,744.00 $3,348.48 $2,982.24 2026-02-04
0250U CPT Onc Sld Org Neo DNA 505 Gene 2 1 — — $2,919.60 $2,919.60 $2,919.60 2026-02-04
0048U CPT Onc Sld Org Neo DNA 468 Gene 2 1 — — $2,919.60 $2,919.60 $2,919.60 2026-02-04
81455 CPT So/hl 51/>gsap Dna/dna&rna 2 1 — — $2,919.60 $2,919.60 $2,919.60 2026-02-04
81456 CPT So/hl 51/>gsap RNA Alys 2 1 — — $2,919.60 $2,919.60 $2,919.60 2026-02-04
0204U CPT Onc Thyr Mrna Xprsn Alys 593 2 1 — — $2,919.60 $2,919.60 $2,919.60 2026-02-04
0487U CPT Onc Sol Tum Cfcdna Tgsap 84 2 1 — — $2,919.60 $2,919.60 $2,919.60 2026-02-04
0409U CPT Onc Sld Tum DNA 80 & RNA 36 2 1 — — $2,919.60 $2,919.60 $2,919.60 2026-02-04
0444U CPT Onc Sld Orgn Neo Tgsap 361 2 1 — — $2,919.60 $2,919.60 $2,919.60 2026-02-04
0298U CPT Onc Pan Tum Whl Trns Seq RNA 2 1 — — $2,919.60 $2,919.60 $2,919.60 2026-02-04
0297U CPT Onc Pan Tum Whl Gen Seq DNA 2 1 — — $2,919.60 $2,919.60 $2,919.60 2026-02-04
0050U CPT Trgt Gen Seq DNA 194 Genes 2 1 — — $2,916.60 $2,916.60 $2,916.60 2026-02-04
71270 CPT CT Chest Wow Contrast 70 22 $3,399.00 $3,399.00 $1,232.48 $3,263.04 $2,906.14 2026-02-04
74170 CPT CT Abdomen Wow Contrast 70 22 $3,396.00 $3,396.00 $1,183.89 $3,260.16 $2,903.58 2026-02-04
81538 CPT Oncology Lung 2 1 — — $2,871.00 $2,871.00 $2,871.00 2026-02-04
70547 CPT MRA Neck Wo Contrast 70 22 $3,357.00 $3,357.00 $1,678.50 $3,222.72 $2,870.24 2026-02-04
72195 CPT MRI Pelvis Wo Contrast 70 22 $3,355.00 $3,355.00 $1,117.67 $3,220.80 $2,868.53 2026-02-04
0417U CPT Rare Ds Alys 335 Nuc Genes 2 1 — — $2,842.53 $2,842.53 $2,842.53 2026-02-04
J0897 HCPCS Denosumab 60mg/1ml Syr 104 22 $3,297.05 $3,297.05 $1,648.53 $5,809.97 $2,818.98 2026-02-04
74177 CPT CT Abd/pelvis W Contrast 74 22 $3,999.00 $3,999.00 $1,401.43 $3,839.04 $2,785.01 2026-02-04
64721 CPT Carpal Tunnel Surgery 70 22 $3,226.00 $3,226.00 $1,153.59 $3,096.96 $2,758.23 2026-02-04
0118U CPT Trnsplj Don-drv Cll-fr DNA 2 1 — — $2,753.25 $2,753.25 $2,753.25 2026-02-04
0493U CPT Trnspl Med Quan Dd-cfdna Ngs 2 1 — — $2,753.25 $2,753.25 $2,753.25 2026-02-04
73702 CPT CT Low Ext Wow Contrast-left 70 22 $3,213.00 $3,213.00 $1,606.50 $3,084.48 $2,747.11 2026-02-04
70496 CPT CTA Head Wow Contrast 70 22 $3,180.00 $3,180.00 $1,002.21 $3,052.80 $2,718.90 2026-02-04
81426 CPT Genome Sequence Analysis 2 1 — — $2,709.95 $2,709.95 $2,709.95 2026-02-04
0213U CPT Rare Ds Gen DNA Alys Ea Comp 2 1 — — $2,709.95 $2,709.95 $2,709.95 2026-02-04
J1950 HCPCS Leuprolide Acetate 3.75mg 70 22 $3,166.95 $3,166.95 $1,583.48 $3,040.27 $2,707.74 2026-02-04
38505 CPT Needle Biopsy Lymph Nodes 70 22 $3,163.00 $3,163.00 $1,581.50 $3,036.48 $2,704.36 2026-02-04
70492 CPT CT Neck Wow Contrast 70 22 $3,130.00 $3,130.00 $973.43 $3,004.80 $2,676.15 2026-02-04
70498 CPT CTA Neck Wow Contrast 70 22 $3,130.00 $3,130.00 $1,002.21 $3,004.80 $2,676.15 2026-02-04
J0875 HCPCS Dalbavancin 500mg Vial 70 22 $3,128.50 $3,128.50 $1,564.25 $3,003.36 $2,674.87 2026-02-04
0320U CPT Neph RNA Psttrnspl Perph Bld 2 1 — — $2,650.00 $2,650.00 $2,650.00 2026-02-04
0319U CPT Neph RNA Pretrnspl Perph Bld 2 1 — — $2,650.00 $2,650.00 $2,650.00 2026-02-04
G0390 HCPCS Trauma Activation With Hosp Cc 70 22 $3,090.00 $3,090.00 $1,545.00 $2,966.40 $2,641.95 2026-02-04
74160 CPT CT Abdomen W Contrast 70 22 $3,086.00 $3,086.00 $1,543.00 $2,962.56 $2,638.53 2026-02-04
0215U CPT Rare Ds Xom DNA Alys Ea Comp 2 1 — — $2,574.65 $2,574.65 $2,574.65 2026-02-04
0336U CPT Rare Ds Whl Gen Seq Bld/slv 2 1 — — $2,574.65 $2,574.65 $2,574.65 2026-02-04
71260 CPT CT Chest With Contrast 74 22 $3,000.00 $3,000.00 $1,046.10 $2,880.00 $2,565.00 2026-02-04
64629 CPT Trml Dstrj Ios Bvn Ea Addl 70 22 $2,987.00 $2,987.00 $1,493.50 $2,867.52 $2,553.89 2026-02-04
64634 CPT Rfa-cervical Or Thoracic Add 104 22 $3,174.00 $3,174.00 $793.50 $3,047.04 $2,547.14 2026-02-04
73721 CPT MRI Lower Ext(joint)wo-left 74 22 $2,965.00 $2,965.00 $1,041.28 $2,846.40 $2,535.07 2026-02-04
73221 CPT MRI Up Ext(j)wo Contra-right 70 22 $2,944.00 $2,944.00 $796.84 $2,826.24 $2,517.12 2026-02-04
0261U CPT Onc Clrct Ca Img Alys W/ai 2 1 — — $2,513.25 $2,513.25 $2,513.25 2026-02-04
73218 CPT MRI Up Ext(nj)wo Contrast-left 70 22 $2,936.00 $2,936.00 $1,033.41 $2,818.56 $2,510.28 2026-02-04
73718 CPT MRI Lowr Ext(no Joint)wo-right 70 22 $2,936.00 $2,936.00 $893.76 $2,818.56 $2,510.28 2026-02-04
0120U CPT Onc B Cll Lymphm Mrna 58 Gen 2 1 — — $2,510.21 $2,510.21 $2,510.21 2026-02-04
81520 CPT Onc Breast Mrna 58 Genes 2 1 — — $2,510.21 $2,510.21 $2,510.21 2026-02-04
0017M CPT Onc Dlbcl Mrna 20 Genes Alg 2 1 — — $2,510.21 $2,510.21 $2,510.21 2026-02-04
72193 CPT CT Pelvis With Contrast 70 22 $2,926.00 $2,926.00 $1,463.00 $2,808.96 $2,501.73 2026-02-04
0092U CPT Onc Lng 3 Prtn Bmrk Plsm Alg 2 1 — — $2,488.00 $2,488.00 $2,488.00 2026-02-04
70470 CPT CT Head Wow Contrast 74 22 $2,895.00 $2,895.00 $861.07 $2,779.20 $2,475.22 2026-02-04
0276U CPT Hem Inh Thrombocytopenia 42 2 1 — — $2,448.56 $2,448.56 $2,448.56 2026-02-04
81419 CPT Epilepsy Gen Seq Alys Panel 2 1 — — $2,448.56 $2,448.56 $2,448.56 2026-02-04
81441 CPT Ibmfs Seq Alys Pnl 30 Genes 2 1 — — $2,448.56 $2,448.56 $2,448.56 2026-02-04
81443 CPT Genetic Tstg Severe Inh Cond 2 1 — — $2,448.56 $2,448.56 $2,448.56 2026-02-04
81412 CPT Ashkenazi Jewish Assoc Dis 2 1 — — $2,448.56 $2,448.56 $2,448.56 2026-02-04
0491U CPT Onc Sol Tum Ctc Slct ER Prtn 2 1 — — $2,435.00 $2,435.00 $2,435.00 2026-02-04
0338U CPT Onc Sld Tum Crcg Tum Cl Slct 2 1 — — $2,435.00 $2,435.00 $2,435.00 2026-02-04
0492U CPT Onc Sol Tum Ctc Slctn Pd-l1 2 1 — — $2,435.00 $2,435.00 $2,435.00 2026-02-04
0490U CPT Onc Cutan/uveal Mlnma Cd146 2 1 — — $2,435.00 $2,435.00 $2,435.00 2026-02-04
0337U CPT Onc Plsm Cell Do&myeloma Id 2 1 — — $2,435.00 $2,435.00 $2,435.00 2026-02-04
74176 CPT CT Abd/pelvis Wo Contrast 74 22 $2,842.00 $2,842.00 $990.99 $2,728.32 $2,429.91 2026-02-04
Q5136 HCPCS Denosumab-bbdz Jubbonti 60mg/1 70 22 $2,822.25 $2,822.25 $1,411.13 $2,709.36 $2,413.03 2026-02-04
J0401 HCPCS Abilify Maintena 400mg Syr 104 22 $3,630.55 $3,630.55 $6.78 $3,485.33 $2,396.16 2026-02-04
65235 CPT Ed Rmv Foreign Body From Eye 70 22 $2,755.00 $2,755.00 $1,377.50 $2,644.80 $2,355.53 2026-02-04
73701 CPT CT Low Ext W Contrast-left 70 22 $2,747.00 $2,747.00 $1,373.50 $2,637.12 $2,348.68 2026-02-04
81427 CPT Genome Re-evaluation 2 1 — — $2,337.65 $2,337.65 $2,337.65 2026-02-04
70491 CPT CT Neck With Contrast 70 22 $2,716.00 $2,716.00 $867.83 $2,607.36 $2,322.18 2026-02-04
70488 CPT CT Maxillofacial Wow Contrast 70 22 $2,709.00 $2,709.00 $1,354.50 $2,600.64 $2,316.20 2026-02-04
70482 CPT CT Orbit Wow Contrast 70 22 $2,696.00 $2,696.00 $1,348.00 $2,588.16 $2,305.08 2026-02-04
0684 RC Trauma Activation Without Hosp Cc 70 22 $2,678.00 $2,678.00 $1,339.00 $2,570.88 $2,289.69 2026-02-04
74150 CPT CT Abdomen Wo Contrast 70 22 $2,670.00 $2,670.00 $1,335.00 $2,563.20 $2,282.85 2026-02-04
72131 CPT CT Lumbar Spine Wo Contrast 70 22 $2,669.00 $2,669.00 $852.44 $2,562.24 $2,281.99 2026-02-04
0218U CPT Neuro Musc Dys Dmd Seq Alys 2 1 — — $2,279.00 $2,279.00 $2,279.00 2026-02-04
64530 CPT Nerve Block Inj Celiac Pelus 70 22 $2,647.00 $2,647.00 $1,323.50 $2,541.12 $2,263.18 2026-02-04
72128 CPT CT T-spine Without Contrast 70 22 $2,626.00 $2,626.00 $872.21 $2,520.96 $2,245.23 2026-02-04
70481 CPT CT Orbit W Contrast 70 22 $2,625.00 $2,625.00 $951.82 $2,520.00 $2,244.38 2026-02-04
73201 CPT CT Up Ext With Contrast-right 70 22 $2,623.00 $2,623.00 $1,311.50 $2,518.08 $2,242.66 2026-02-04
71250 CPT CT Chest Wo Contrast 70 22 $2,618.00 $2,618.00 $912.66 $2,513.28 $2,238.39 2026-02-04
72192 CPT CT Pelvis Wo Contrast 70 22 $2,618.00 $2,618.00 $852.44 $2,513.28 $2,238.39 2026-02-04
0249U CPT Onc Brst Alys 32 Phsprtn Alg 2 1 — — $2,219.13 $2,219.13 $2,219.13 2026-02-04
J1439 HCPCS Ferric Carboxymaltose 750mg/15 70 22 $2,592.05 $2,592.05 $1,296.03 $2,488.37 $2,216.20 2026-02-04
0206U CPT Neuro Alzheimer Cell Aggregj 2 1 — — $2,215.40 $2,215.40 $2,215.40 2026-02-04
0303U CPT Hem Rbc Ads Whl Bld Hypoxic 2 1 — — $2,201.62 $2,201.62 $2,201.62 2026-02-04
0217U CPT Neuro Inh Ataxia DNA 51 Gene 2 1 — — $2,198.35 $2,198.35 $2,198.35 2026-02-04
73700 CPT CT Low Ext Wo Contrast-left 70 22 $2,550.00 $2,550.00 $792.98 $2,448.00 $2,180.25 2026-02-04
19083 CPT Bx Breast 1st Lesion US Imag 70 22 $2,513.00 $2,513.00 $1,144.66 $3,335.03 $2,148.61 2026-02-04
81442 CPT Noonan Spectrum Disorders 2 1 — — $2,143.60 $2,143.60 $2,143.60 2026-02-04
64624 CPT Dstrj Nulyt Agt Gnclr Nrv 70 22 $2,492.00 $2,492.00 $1,246.00 $2,392.32 $2,130.66 2026-02-04
0323U CPT Iadna Cns Pthgn Next Gen Seq 2 1 — — $2,126.20 $2,126.20 $2,126.20 2026-02-04
0152U CPT Nfct Ds DNA Untrgt Ngnrj Seq 2 1 — — $2,126.20 $2,126.20 $2,126.20 2026-02-04
0480U CPT Nfct Ds Csf Metag Ngs Alys 2 1 — — $2,126.20 $2,126.20 $2,126.20 2026-02-04
73200 CPT CT Up Ext Wo Contrast-left 70 22 $2,436.00 $2,436.00 $757.40 $2,338.56 $2,082.78 2026-02-04
0304U CPT Hem Rbc Ads Whl Bld Normoxic 2 1 — — $2,075.80 $2,075.80 $2,075.80 2026-02-04
J7325 HCPCS Hyaluronate Sodium 8mg/ml 70 22 $2,411.85 $2,411.85 $1,205.93 $2,315.38 $2,062.14 2026-02-04
70490 CPT CT Neck Wo Contrast 70 22 $2,383.00 $2,383.00 $1,191.50 $2,287.68 $2,037.46 2026-02-04
0317U CPT Onc Lung Ca 4-prb Fish Assay 2 1 — — $2,030.00 $2,030.00 $2,030.00 2026-02-04
81551 CPT Onc Prostate 3 Genes 2 1 — — $2,030.00 $2,030.00 $2,030.00 2026-02-04
70487 CPT CT Maxillofacial W Contrast 70 22 $2,351.00 $2,351.00 $1,175.50 $2,256.96 $2,010.11 2026-02-04
0364U CPT Onc Hl Neo Gen Seq Alys Alg 2 1 — — $2,007.25 $2,007.25 $2,007.25 2026-02-04
81408 CPT Mopath Procedure Level 9 2 1 — — $2,000.00 $2,000.00 $2,000.00 2026-02-04
70480 CPT CT Orbit Wo Contrast 70 22 $2,286.00 $2,286.00 $596.18 $2,194.56 $1,954.53 2026-02-04
0022U CPT Tgsap Nsm Lung Neo Dna&rna23 2 1 — — $1,950.00 $1,950.00 $1,950.00 2026-02-04
0090U CPT Onc Cutan Mlnma Mrna 23 Gene 2 1 — — $1,950.00 $1,950.00 $1,950.00 2026-02-04
0170U CPT Neuro Asd RNA Next Gen Seq 2 1 — — $1,950.00 $1,950.00 $1,950.00 2026-02-04
0314U CPT Onc Cutan Mlnma Mrna 35 Gene 2 1 — — $1,950.00 $1,950.00 $1,950.00 2026-02-04
0296U CPT Onc Orl&/orop Ca 20 Mlc Feat 2 1 — — $1,950.00 $1,950.00 $1,950.00 2026-02-04
0179U CPT Onc Nonsm Cll Lng Ca Alys 23 2 1 — — $1,943.21 $1,943.21 $1,943.21 2026-02-04
0506U CPT Gi Barretts Esophgl Cell 89 2 1 — — $1,938.01 $1,938.01 $1,938.01 2026-02-04
0114U CPT Gi Barretts Esoph Vim&ccna1 2 1 — — $1,938.01 $1,938.01 $1,938.01 2026-02-04
0465U CPT Onc Urthl Carc DNA Qmsp 2gen 2 1 — — $1,938.01 $1,938.01 $1,938.01 2026-02-04
0341U CPT Ftl Aneup DNA Seq Cmpr Alys 2 1 — — $1,900.20 $1,900.20 $1,900.20 2026-02-04
0067U CPT Onc Brst Imhchem Prfl 4 Bmrk 2 1 — — $1,897.00 $1,897.00 $1,897.00 2026-02-04
J1569 HCPCS Ivig 5gm 210 22 $1,973.40 $1,973.40 $49.98 $11,323.39 $1,894.46 2026-02-04
64517 CPT Nerve Block Inj Hypogas Plxs 70 22 $2,210.00 $2,210.00 $1,105.00 $2,121.60 $1,889.55 2026-02-04
J3240 HCPCS Thyrotropin Alfa 0.9mg/ml 70 22 $2,198.00 $2,198.00 $1,099.00 $2,110.08 $1,879.29 2026-02-04
72125 CPT CT Cervical Spine Wo Contrast 70 22 $2,495.00 $2,495.00 $821.65 $2,395.20 $1,871.25 2026-02-04
36590 CPT Removal Tunneled Cv Cath 70 22 $2,184.00 $2,184.00 $1,092.00 $2,096.64 $1,867.32 2026-02-04
0299U CPT Onc Pan Tum Whl Gen Opt Mapg 2 1 — — $1,863.22 $1,863.22 $1,863.22 2026-02-04
0331U CPT Onc Hl Neo Opt Gen Mapping 2 1 — — $1,863.22 $1,863.22 $1,863.22 2026-02-04
99292 CPT Critical Care, Addl 30 Min 70 22 $2,163.00 $2,163.00 $1,081.50 $2,076.48 $1,849.37 2026-02-04
78227 CPT Nm Hepatic System Imag W Pha 70 22 $2,141.00 $2,141.00 $651.97 $2,055.36 $1,830.56 2026-02-04
Q5102 HCPCS Infliximab Dyyb (inflectra) 70 22 $2,138.15 $2,138.15 $1,069.08 $2,052.62 $1,828.12 2026-02-04
0449U CPT Car Scr Sev Inh Cond 5 Genes 2 1 — — $1,824.88 $1,824.88 $1,824.88 2026-02-04
0356U CPT Onc Orop/anal 17 DNA Ddpcr 2 1 — — $1,800.00 $1,800.00 $1,800.00 2026-02-04
70460 CPT CT Head With Contrast 70 22 $2,104.00 $2,104.00 $1,052.00 $2,019.84 $1,798.92 2026-02-04
64520 CPT Nerve Block Lumbar/thoracic 70 22 $2,100.00 $2,100.00 $1,050.00 $2,016.00 $1,795.50 2026-02-04
90375 CPT Rabies Immune Globulin 3ml 138 22 $3,587.65 $3,587.65 $318.40 $3,444.14 $1,793.83 2026-02-04
J1561 HCPCS Immune Globulin IV 10gm V 176 22 $2,617.95 $2,617.95 $56.37 $6,434.21 $1,789.26 2026-02-04
0405U CPT Onc Pncrtc 59 Mthltn Blk Mrk 2 1 — — $1,770.48 $1,770.48 $1,770.48 2026-02-04
0318U CPT Ped Whl Gen Mthyltn Alys 50+ 2 1 — — $1,770.48 $1,770.48 $1,770.48 2026-02-04
70486 CPT CT Sinus 70 22 $2,057.00 $2,057.00 $669.69 $1,974.72 $1,758.73 2026-02-04
0398U CPT Gi Baret Esph DNA Mthyln Aly 2 1 — — $1,755.00 $1,755.00 $1,755.00 2026-02-04
0292U CPT Psyc Strs Do Mrna 72 Genes 2 1 — — $1,755.00 $1,755.00 $1,755.00 2026-02-04
0291U CPT Psyc Mood Do Mrna 144 Genes 2 1 — — $1,755.00 $1,755.00 $1,755.00 2026-02-04
93306 CPT Tte W/doppler Complete 70 22 $2,339.00 $2,339.00 $807.87 $2,245.44 $1,754.25 2026-02-04
0103U CPT Hered Ova Ca Pnl 24 Genes 2 1 — — $1,743.95 $1,743.95 $1,743.95 2026-02-04
0101U CPT Hered Colon Ca Do 15 Genes 2 1 — — $1,743.95 $1,743.95 $1,743.95 2026-02-04
0156U CPT Copy Number Sequence Alys 2 1 — — $1,740.00 $1,740.00 $1,740.00 2026-02-04
64479 CPT Transforaminal Cervical/thorac 70 22 $2,014.00 $2,014.00 $1,007.00 $1,933.44 $1,721.97 2026-02-04
78315 CPT Nm Bone And Or Joint 3 Phase 70 22 $1,985.00 $1,985.00 $992.50 $1,905.60 $1,697.17 2026-02-04
J9202 HCPCS Goserelin Acetate Implant 70 22 $1,981.95 $1,981.95 $990.98 $1,902.67 $1,694.57 2026-02-04
J7318 HCPCS Hyaluronate Sodium Stabil 60m 70 22 $1,966.25 $1,966.25 $983.13 $1,887.60 $1,681.14 2026-02-04
64493 CPT Mbb Lumbar Or Sacral 1st Lev 104 22 $1,787.00 $1,787.00 $893.50 $3,331.20 $1,626.17 2026-02-04
81430 CPT Hearing Loss Sequence Analys 2 1 — — $1,625.00 $1,625.00 $1,625.00 2026-02-04
25605 CPT Ed Frac Distl Rad & Ulna W/man 70 22 $1,900.00 $1,900.00 $950.00 $1,824.00 $1,624.50 2026-02-04
J3487 HCPCS Zoledronic Acid 4 Mg/5ml 70 22 $1,899.00 $1,899.00 $949.50 $1,823.04 $1,623.64 2026-02-04
99291 CPT ER - Critical Care 70 22 $1,885.00 $1,885.00 $160.84 $3,251.98 $1,611.67 2026-02-04
36569 CPT Op Insert Picc Cath 70 22 $1,854.00 $1,854.00 $927.00 $1,779.84 $1,585.17 2026-02-04
27301 CPT Ed I&d Dp Absc Burs/hemt Th/kn 70 22 $1,844.00 $1,844.00 $922.00 $1,770.24 $1,576.62 2026-02-04
64491 CPT Bilat Mbb Cerv Or Thor 2nd Lev 104 22 $1,934.00 $1,934.00 $483.50 $1,856.64 $1,552.03 2026-02-04
27752 CPT Ed Treatment Of Tibia Fracture 70 22 $1,809.00 $1,809.00 $904.50 $1,736.64 $1,546.69 2026-02-04
0216U CPT Neuro Inh Ataxia DNA 12 Com 2 1 — — $1,537.02 $1,537.02 $1,537.02 2026-02-04
78306 CPT Nm Bone And Or Jnt Whole Bod 70 22 $1,779.00 $1,779.00 $424.25 $1,707.84 $1,521.05 2026-02-04
0467U CPT Onc Bldr DNA Ngs 60gen&aneup 2 1 — — $1,519.06 $1,519.06 $1,519.06 2026-02-04
0171U CPT Trgt Gen Seq Alys Pnl DNA 23 2 1 — — $1,519.06 $1,519.06 $1,519.06 2026-02-04
24605 CPT Ed Trt Elbow Dislctn, W/anths 70 22 $1,773.00 $1,773.00 $886.50 $1,702.08 $1,515.91 2026-02-04
J0630 HCPCS Calcitonin,salmon,synthetic 40 70 22 $1,765.00 $1,765.00 $882.50 $1,694.40 $1,509.08 2026-02-04
0537U CPT Onc Clrct Ca Cfdna >2500 Dmr 2 1 — — $1,495.00 $1,495.00 $1,495.00 2026-02-04
81509 CPT Ftl Cgen Abnor 3 Proteins 2 1 — — $1,487.37 $1,487.37 $1,487.37 2026-02-04
25565 CPT Ed Treat Fractre Radius & Ulna 70 22 $1,727.00 $1,727.00 $863.50 $1,657.92 $1,476.59 2026-02-04
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