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

DUNDY COUNTY HOSPITAL

Benkelman, NE · CCN 281340 · Rates published

3,632 distinct procedures filed
10 distinct payers
64,480 rate rows
2026-05-27 last MRF observed
Data quality

64,139 of 64,480 rate rows are consumer-grade (99.5%)

341 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
exceeds 10× this hospital's gross charge — excluded from medians 183
template filing: same amount across many unrelated codes — excluded 158
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://secure.claraprice.net/price-transparency/GGVV-1725057844241/machine-readable/47-0487831_dundy-county-hospital_standardcharges.json
Found on page https://secure.claraprice.net/price-transparency/dundy-county-ne
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-05-19
Content fingerprint c5645f72ab4f4c31… · 218,389 bytes · first seen 2026-05-18

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
Q4205
HCPCS 		Membrane Wrap 2 X 3 10 $13,908.00 $39,415.00 $18,351.50 nat. median
$1,024
outlier · 17.9×
J3101
HCPCS 		Tnkase Inj [50 Mg] 10 $10,336.00 $29,291.00 $13,638.00 nat. median
$5,957
outlier · 2.3×
J9217
HCPCS 		Eligard 22.5 Mg Inj Kit 10 $6,665.00 $25,506.00 $11,700.00 nat. median
$1,521
outlier · 7.7×
J0517
HCPCS 		Fasenra Pen Subq Soln 30mg/1ml 10 $7,096.00 $20,110.00 $9,363.00 nat. median
$914
outlier · 10.2×
J2353
HCPCS 		Sandostatin Syr [30mg] Kit 10 $6,930.00 $19,640.00 $9,144.00 nat. median
$5,975
1.5× median
J3380
HCPCS 		Entyvio 300mg 20ml Vl 10 $6,793.00 $19,250.00 $8,963.00 nat. median
$280
outlier · 32.0×
J2506
HCPCS 		Neulasta Onpro Kit 6mg/0.6ml 10 $4,459.00 $20,943.00 $8,828.00 nat. median
$2,076
outlier · 4.3×
J2997
HCPCS 		Activase Tpa 100 Mg58 Mil Iu Vial 10 $231.00 $37,410.00 $8,709.00 nat. median
$545
outlier · 16.0×
J2356
HCPCS 		Tezspire 210mg Pfs 1.91ml 10 $6,241.00 $17,686.00 $8,234.50 nat. median
$66
outlier · 125.1×
J2323
HCPCS 		Tysabri Inj 300mg/15ml15ml Sdv 10 $6,087.00 $17,251.00 $8,031.50 nat. median
$197
outlier · 40.7×
J1162
HCPCS 		Digifab Inj 40 Mg 10 $5,958.00 $16,885.00 $7,861.50 nat. median
$7,308
1.1× median
J9271
HCPCS 		Keytruda 100mg/4ml Sdv 10 $4,301.00 $12,188.00 $5,674.50 nat. median
$736
outlier · 7.7×
J2357
HCPCS 		Omalizumab (Xolair) 300 Mg/2ml Pfs 10 $4,248.00 $12,039.00 $5,605.50 nat. median
$1,302
outlier · 4.3×
J1602
HCPCS 		Simponi 100 Mg Pfs 1ml Syr 10 $2,191.00 $14,153.00 $5,256.00 nat. median
$505
outlier · 10.4×
800023
CDM 		Oper Rm 300-315min 10 $3,729.00 $10,567.00 $4,920.00 nat. median
$6
outlier · 867.7×
800012
CDM 		Oper Rm 286-300min 10 $3,591.00 $10,177.00 $4,738.50 nat. median
$484
outlier · 9.8×
800011
CDM 		Oper Rm 271-285min 10 $3,457.00 $9,796.00 $4,560.50 nat. median
$74
outlier · 61.3×
J9312
HCPCS 		Rituxan 100mg/10ml Vl 10 $1,373.00 $13,980.00 $4,412.00 nat. median
$1,242
outlier · 3.6×
800022
CDM 		Oper Rm 256-270min 10 $3,321.00 $9,410.00 $4,381.50 nat. median
$2
outlier · 2679.8×
J0840
HCPCS 		Nf- Crofab Antivenin Inj 1 Gm 10 $3,265.00 $9,252.00 $4,307.50 nat. median
$3,427
1.3× median
J1561
HCPCS 		Gamunex-c 10% 10gm Vl 100ml 10 $1,500.00 $11,299.00 $4,300.50 nat. median
$999
outlier · 4.3×
800010
CDM 		Oper Rm 241-255min 10 $3,186.00 $9,028.00 $4,203.50 nat. median
$14
outlier · 299.4×
J9202
HCPCS 		Zoladex Implant 10.8 Mg (3 Mo. Implant) 10 $3,159.00 $8,951.00 $4,167.50 nat. median
$1,879
outlier · 2.2×
800021
CDM 		Oper Rm 226-240min 10 $3,048.00 $8,637.00 $4,021.00 nat. median
$1
J3262
HCPCS 		Tocilizumab (Actemra) 400mg/20ml 10 $3,044.00 $8,625.00 $4,016.00 nat. median
$1,425
outlier · 2.8×
74178
CPT 		CT Abdomen/pelvis W/wo 10 $2,940.00 $8,332.00 $3,879.00 nat. median
$979
outlier · 4.0×
J7168
HCPCS 		Kcentra 1096iu Vial 10 $2,938.00 $8,325.00 $3,876.00 nat. median
$18
outlier · 217.6×
800020
CDM 		Oper Rm 211-225min 10 $2,915.00 $8,260.00 $3,846.00 nat. median
$5
outlier · 700.5×
73223
CPT 		MRI Elbow W/wo Left 10 $2,162.00 $8,108.00 $3,719.00 nat. median
$1,225
outlier · 3.0×
800019
CDM 		Oper Rm 196-210min 10 $2,775.00 $7,864.00 $3,662.00 nat. median
$14
outlier · 256.1×
73722
CPT 		MRI Ankle W Left 10 $2,482.00 $7,744.00 $3,570.00 nat. median
$1,302
outlier · 2.7×
800018
CDM 		Oper Rm 181-195min 10 $2,640.00 $7,482.00 $3,483.50 nat. median
$14
outlier · 240.4×
73220
CPT 		MRI Forearm W/wo Left 10 $2,463.00 $7,514.00 $3,464.00 nat. median
$1,185
outlier · 2.9×
73723
CPT 		MRI Ankle W/wo Left 10 $2,040.00 $7,744.00 $3,463.50 nat. median
$1,264
outlier · 2.7×
J0897
HCPCS 		Prolia Inj Syr 60 Mg/ml 10 $2,336.00 $7,307.00 $3,369.00 nat. median
$2,502
1.3× median
74177
CPT 		CT Scan Of Abdomen And Pelvis With Contrast 10 $2,520.00 $7,140.00 $3,324.50 nat. median
$928
outlier · 3.6×
78452
CPT 		Nm Myocardial Spec Stress Test 10 $2,517.00 $7,133.00 $3,321.50 nat. median
$1,767
1.9× median
J9035
HCPCS 		Avastin Inj 100 Mg / 4ml Vl 10 $1,183.00 $9,254.00 $3,309.50 nat. median
$765
outlier · 4.3×
800017
CDM 		Oper Rm 166-180min 10 $2,503.00 $7,094.00 $3,302.50 nat. median
$3,172
1.0× median
73720
CPT 		MRI Femur W/wo Left 10 $2,025.00 $6,980.00 $3,202.00 nat. median
$1,190
outlier · 2.7×
70553
CPT 		MRI Scan 10 $2,391.00 $6,775.00 $3,154.50 nat. median
$1,122
outlier · 2.8×
72156
CPT 		MRI C Spine W/wo 10 $2,372.00 $6,721.00 $3,129.50 nat. median
$1,092
outlier · 2.9×
72158
CPT 		MRI L Spine W/wo 10 $2,372.00 $6,721.00 $3,129.50 nat. median
$1,081
outlier · 2.9×
800016
CDM 		Oper Rm 151-165min 10 $2,368.00 $6,709.00 $3,124.00 nat. median
$30
outlier · 104.1×
J3032
HCPCS 		Eptinezumab-jjmr (Vyepti) 100mg/ml 10 $2,360.00 $6,688.00 $3,114.00 nat. median
$71
outlier · 43.7×
72157
CPT 		MRI T Spine W/wo 10 $2,353.00 $6,668.00 $3,104.50 nat. median
$1,094
outlier · 2.8×
59510
CPT 		Obstetric Care, Planned Cesarean Delivery 10 $2,322.00 $6,579.00 $3,063.00 nat. median
$3,677
0.8× median
75635
CPT 		CT Angio Aorta W Runoff 10 $2,310.00 $6,545.00 $3,047.00 nat. median
$706
outlier · 4.3×
800015
CDM 		Oper Rm 136-150min 10 $2,233.00 $6,328.00 $2,946.50 nat. median
$46
outlier · 64.4×
74183
CPT 		MRI Abdomen W/wo 10 $2,233.00 $6,327.00 $2,945.50 nat. median
$1,102
outlier · 2.7×

Other procedures at this hospital

Browse this hospital's 3,632 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
             
Q4205 HCPCS Membrane Wrap 2 X 3 14 10 $27,816.00 $25,034.00 $13,908.00 $39,415.00 $18,351.50 2026-05-27
J3101 HCPCS Tnkase Inj [50 Mg] 14 10 $20,671.00 $18,604.00 $10,336.00 $29,291.00 $13,638.00 2026-05-27
J9217 HCPCS Eligard 22.5 Mg Inj Kit 28 10 $15,665.00 $14,098.50 $6,665.00 $25,506.00 $11,700.00 2026-05-27
J0517 HCPCS Fasenra Pen Subq Soln 30mg/1ml 14 10 $14,192.00 $12,773.00 $7,096.00 $20,110.00 $9,363.00 2026-05-27
J2353 HCPCS Sandostatin Syr [30mg] Kit 14 10 $13,860.00 $12,474.00 $6,930.00 $19,640.00 $9,144.00 2026-05-27
J3380 HCPCS Entyvio 300mg 20ml Vl 14 10 $13,585.00 $12,227.00 $6,793.00 $19,250.00 $8,963.00 2026-05-27
J2506 HCPCS Neulasta Onpro Kit 6mg/0.6ml 28 10 $11,848.50 $10,663.50 $4,459.00 $20,943.00 $8,828.00 2026-05-27
J2997 HCPCS Activase Tpa 100 Mg58 Mil Iu Vial 42 10 $13,201.00 $11,881.00 $231.00 $37,410.00 $8,709.00 2026-05-27
J2356 HCPCS Tezspire 210mg Pfs 1.91ml 14 10 $12,481.00 $11,233.00 $6,241.00 $17,686.00 $8,234.50 2026-05-27
J2323 HCPCS Tysabri Inj 300mg/15ml15ml Sdv 14 10 $12,174.00 $10,957.00 $6,087.00 $17,251.00 $8,031.50 2026-05-27
J1162 HCPCS Digifab Inj 40 Mg 14 10 $11,916.00 $10,724.00 $5,958.00 $16,885.00 $7,861.50 2026-05-27
J9271 HCPCS Keytruda 100mg/4ml Sdv 14 10 $8,601.00 $7,741.00 $4,301.00 $12,188.00 $5,674.50 2026-05-27
J2357 HCPCS Omalizumab (Xolair) 300 Mg/2ml Pfs 14 10 $8,496.00 $7,646.00 $4,248.00 $12,039.00 $5,605.50 2026-05-27
J1602 HCPCS Simponi 100 Mg Pfs 1ml Syr 28 10 $7,184.50 $6,466.00 $2,191.00 $14,153.00 $5,256.00 2026-05-27
800023 CDM Oper Rm 300-315min 14 10 $7,457.00 $6,711.00 $3,729.00 $10,567.00 $4,920.00 2026-05-27
800012 CDM Oper Rm 286-300min 14 10 $7,182.00 $6,464.00 $3,591.00 $10,177.00 $4,738.50 2026-05-27
800011 CDM Oper Rm 271-285min 14 10 $6,913.00 $6,222.00 $3,457.00 $9,796.00 $4,560.50 2026-05-27
J9312 HCPCS Rituxan 100mg/10ml Vl 28 10 $6,306.00 $5,675.00 $1,373.00 $13,980.00 $4,412.00 2026-05-27
800022 CDM Oper Rm 256-270min 14 10 $6,641.00 $5,977.00 $3,321.00 $9,410.00 $4,381.50 2026-05-27
J0840 HCPCS Nf- Crofab Antivenin Inj 1 Gm 14 10 $6,529.00 $5,876.00 $3,265.00 $9,252.00 $4,307.50 2026-05-27
J1561 HCPCS Gamunex-c 10% 10gm Vl 100ml 56 10 $6,250.00 $5,625.00 $1,500.00 $11,299.00 $4,300.50 2026-05-27
800010 CDM Oper Rm 241-255min 14 10 $6,371.00 $5,734.00 $3,186.00 $9,028.00 $4,203.50 2026-05-27
J9202 HCPCS Zoladex Implant 10.8 Mg (3 Mo. Implant) 14 10 $6,317.00 $5,685.00 $3,159.00 $8,951.00 $4,167.50 2026-05-27
800021 CDM Oper Rm 226-240min 14 10 $6,095.00 $5,486.00 $3,048.00 $8,637.00 $4,021.00 2026-05-27
J3262 HCPCS Tocilizumab (Actemra) 400mg/20ml 14 10 $6,087.00 $5,478.00 $3,044.00 $8,625.00 $4,016.00 2026-05-27
74178 CPT CT Abdomen/pelvis W/wo 14 10 $5,880.00 $5,292.00 $2,940.00 $8,332.00 $3,879.00 2026-05-27
J7168 HCPCS Kcentra 1096iu Vial 14 10 $5,875.00 $5,288.00 $2,938.00 $8,325.00 $3,876.00 2026-05-27
800020 CDM Oper Rm 211-225min 14 10 $5,829.00 $5,246.00 $2,915.00 $8,260.00 $3,846.00 2026-05-27
73223 CPT MRI Elbow W/wo Left 28 10 $5,023.00 $4,521.00 $2,162.00 $8,108.00 $3,719.00 2026-05-27
800019 CDM Oper Rm 196-210min 14 10 $5,550.00 $4,995.00 $2,775.00 $7,864.00 $3,662.00 2026-05-27
73722 CPT MRI Ankle W Left 28 10 $5,214.50 $4,693.50 $2,482.00 $7,744.00 $3,570.00 2026-05-27
800018 CDM Oper Rm 181-195min 14 10 $5,280.00 $4,752.00 $2,640.00 $7,482.00 $3,483.50 2026-05-27
73220 CPT MRI Forearm W/wo Left 28 10 $5,114.50 $4,603.00 $2,463.00 $7,514.00 $3,464.00 2026-05-27
73723 CPT MRI Ankle W/wo Left 42 10 $4,964.00 $4,468.00 $2,040.00 $7,744.00 $3,463.50 2026-05-27
J0897 HCPCS Prolia Inj Syr 60 Mg/ml 28 10 $4,914.50 $4,423.00 $2,336.00 $7,307.00 $3,369.00 2026-05-27
74177 CPT CT Scan Of Abdomen And Pelvis With Contrast 14 10 $5,039.00 $4,535.00 $2,520.00 $7,140.00 $3,324.50 2026-05-27
78452 CPT Nm Myocardial Spec Stress Test 14 10 $5,034.00 $4,531.00 $2,517.00 $7,133.00 $3,321.50 2026-05-27
J9035 HCPCS Avastin Inj 100 Mg / 4ml Vl 28 10 $4,448.50 $4,003.50 $1,183.00 $9,254.00 $3,309.50 2026-05-27
800017 CDM Oper Rm 166-180min 14 10 $5,006.00 $4,505.00 $2,503.00 $7,094.00 $3,302.50 2026-05-27
73720 CPT MRI Femur W/wo Left 28 10 $4,487.50 $4,038.50 $2,025.00 $6,980.00 $3,202.00 2026-05-27
70553 CPT MRI Scan 14 10 $4,781.00 $4,303.00 $2,391.00 $6,775.00 $3,154.50 2026-05-27
72158 CPT MRI L Spine W/wo 14 10 $4,743.00 $4,269.00 $2,372.00 $6,721.00 $3,129.50 2026-05-27
72156 CPT MRI C Spine W/wo 14 10 $4,743.00 $4,269.00 $2,372.00 $6,721.00 $3,129.50 2026-05-27
800016 CDM Oper Rm 151-165min 14 10 $4,735.00 $4,262.00 $2,368.00 $6,709.00 $3,124.00 2026-05-27
J3032 HCPCS Eptinezumab-jjmr (Vyepti) 100mg/ml 14 10 $4,720.00 $4,248.00 $2,360.00 $6,688.00 $3,114.00 2026-05-27
72157 CPT MRI T Spine W/wo 14 10 $4,706.00 $4,235.00 $2,353.00 $6,668.00 $3,104.50 2026-05-27
59510 CPT Obstetric Care, Planned Cesarean Delivery 14 10 $4,643.00 $4,179.00 $2,322.00 $6,579.00 $3,063.00 2026-05-27
75635 CPT CT Angio Aorta W Runoff 14 10 $4,619.00 $4,157.00 $2,310.00 $6,545.00 $3,047.00 2026-05-27
800015 CDM Oper Rm 136-150min 14 10 $4,466.00 $4,019.00 $2,233.00 $6,328.00 $2,946.50 2026-05-27
74183 CPT MRI Abdomen W/wo 14 10 $4,465.00 $4,019.00 $2,233.00 $6,327.00 $2,945.50 2026-05-27
29826 CPT Shaving Of Shoulder Bone Using Endoscope 14 10 $4,381.00 $3,943.00 $2,191.00 $6,208.00 $2,890.50 2026-05-27
29881 CPT Removal Of One Knee Cartilage Using An Endoscope 14 10 $4,381.00 $3,943.00 $2,191.00 $6,208.00 $2,890.50 2026-05-27
72197 CPT MRI Pelvis W/wo 14 10 $4,324.00 $3,892.00 $2,162.00 $6,127.00 $2,853.00 2026-05-27
71552 CPT MRI-chest-w & Without Cont 14 10 $4,324.00 $3,892.00 $2,162.00 $6,127.00 $2,853.00 2026-05-27
70543 CPT MRI Orbit/face/neck W/wo 14 10 $4,324.00 $3,892.00 $2,162.00 $6,127.00 $2,853.00 2026-05-27
70549 CPT Mr Angio Neck W/wo 14 10 $4,249.00 $3,824.00 $2,125.00 $6,021.00 $2,803.00 2026-05-27
70548 CPT Mr Angio Neck W 14 10 $4,210.00 $3,789.00 $2,105.00 $5,966.00 $2,777.50 2026-05-27
800014 CDM Oper Rm 121-135min 14 10 $4,195.00 $3,776.00 $2,098.00 $5,944.00 $2,767.50 2026-05-27
72142 CPT MRI C Spine W 14 10 $4,156.00 $3,740.00 $2,078.00 $5,889.00 $2,741.50 2026-05-27
73222 CPT MRI Elbow W Left 42 10 $4,059.00 $3,653.00 $1,811.00 $5,923.00 $2,716.50 2026-05-27
72147 CPT MRI T Spine W 14 10 $4,106.00 $3,695.00 $2,053.00 $5,818.00 $2,709.00 2026-05-27
74176 CPT CT Abdomen/pelvis Wo 14 10 $4,104.00 $3,694.00 $2,052.00 $5,815.00 $2,707.50 2026-05-27
72148 CPT MRI Scan Of Lower Spinal Canal 14 10 $4,079.00 $3,671.00 $2,040.00 $5,780.00 $2,691.00 2026-05-27
59400 CPT Obstetric Care, Planned Vaginal Delivery 14 10 $4,079.00 $3,671.00 $2,040.00 $5,780.00 $2,691.00 2026-05-27
73219 CPT MRI Forearm W Left 28 10 $4,061.00 $3,655.00 $2,025.00 $5,771.00 $2,679.00 2026-05-27
70552 CPT MRI Brain W 14 10 $4,049.00 $3,644.00 $2,025.00 $5,737.00 $2,671.00 2026-05-27
73719 CPT MRI Femur W Left 28 10 $3,847.00 $3,462.50 $1,811.00 $5,771.00 $2,660.50 2026-05-27
72141 CPT MRI C Spine Wo 14 10 $3,957.00 $3,561.00 $1,979.00 $5,607.00 $2,610.50 2026-05-27
800013 CDM Oper Rm 106-120min 14 10 $3,921.00 $3,529.00 $1,961.00 $5,556.00 $2,587.00 2026-05-27
72198 CPT Mr Angio Pelvis W/wo 14 10 $3,901.00 $3,511.00 $1,951.00 $5,528.00 $2,573.50 2026-05-27
74185 CPT Mr Angio Abdomen W/wo 14 10 $3,901.00 $3,511.00 $1,951.00 $5,528.00 $2,573.50 2026-05-27
70498 CPT CT Angio Neck 14 10 $3,894.00 $3,505.00 $1,947.00 $5,518.00 $2,569.00 2026-05-27
47562 CPT Removal Of Gallbladder Using An Endoscope 28 10 $3,706.00 $3,335.50 $1,754.00 $5,532.00 $2,550.50 2026-05-27
70542 CPT MRI Orbit/face/neck W 14 10 $3,857.00 $3,471.00 $1,929.00 $5,465.00 $2,544.50 2026-05-27
72146 CPT MRI T Spine Wo 14 10 $3,857.00 $3,471.00 $1,929.00 $5,465.00 $2,544.50 2026-05-27
72149 CPT MRI L Spine W 14 10 $3,830.00 $3,447.00 $1,915.00 $5,427.00 $2,526.50 2026-05-27
70551 CPT MRI Brain Wo 14 10 $3,814.00 $3,433.00 $1,907.00 $5,404.00 $2,516.50 2026-05-27
74182 CPT MRI Abdomen W 28 10 $3,477.50 $3,129.50 $1,550.00 $5,464.00 $2,506.00 2026-05-27
95811 CPT Dia Polysonogram 11 14 10 $3,791.00 $3,412.00 $1,896.00 $5,372.00 $2,501.00 2026-05-27
71275 CPT CT Angio Chest W 14 10 $3,765.00 $3,389.00 $1,883.00 $5,335.00 $2,484.00 2026-05-27
73225 CPT MRI Up Extrem W Or Without 14 10 $3,758.00 $3,382.00 $1,879.00 $5,325.00 $2,479.50 2026-05-27
70544 CPT Mr Angio Brain 14 10 $3,753.00 $3,378.00 $1,877.00 $5,318.00 $2,476.00 2026-05-27
74174 CPT CT Angio Abdomen/pelvis 14 10 $3,751.00 $3,376.00 $1,876.00 $5,315.00 $2,475.00 2026-05-27
73718 CPT MRI Femur Wo Left 28 10 $3,448.50 $3,104.00 $1,587.00 $5,277.00 $2,421.00 2026-05-27
74175 CPT CT Angio Abd Aorta 14 10 $3,670.00 $3,303.00 $1,835.00 $5,200.00 $2,421.00 2026-05-27
73218 CPT MRI Forearm Wo Left 42 10 $3,615.00 $3,254.00 $1,587.00 $5,277.00 $2,409.00 2026-05-27
1100025 CDM Procedure Colonoscopy/egd 14 10 $3,650.00 $3,285.00 $1,825.00 $5,172.00 $2,408.00 2026-05-27
800009 CDM Oper Rm 91-105min 14 10 $3,649.00 $3,284.00 $1,825.00 $5,171.00 $2,407.50 2026-05-27
70547 CPT Mr Angio Neck Wo 14 10 $3,647.00 $3,282.00 $1,824.00 $5,168.00 $2,406.00 2026-05-27
72196 CPT MRI Pelvis W 14 10 $3,621.00 $3,259.00 $1,811.00 $5,131.00 $2,389.00 2026-05-27
74181 CPT MRI Abdomen Wo 14 10 $3,621.00 $3,259.00 $1,811.00 $5,131.00 $2,389.00 2026-05-27
71550 CPT MRI Chest Without Contrast 14 10 $3,621.00 $3,259.00 $1,811.00 $5,131.00 $2,389.00 2026-05-27
75557 CPT MRI Myocardium Wo Contrast 14 10 $3,621.00 $3,259.00 $1,811.00 $5,131.00 $2,389.00 2026-05-27
71551 CPT MRI-chest-with Contrast 14 10 $3,621.00 $3,259.00 $1,811.00 $5,131.00 $2,389.00 2026-05-27
71555 CPT MRI Chest Wo/w Contrast 14 10 $3,618.00 $3,256.00 $1,809.00 $5,127.00 $2,387.00 2026-05-27
70540 CPT MRI Orbit/face/neck Wo 14 10 $3,618.00 $3,256.00 $1,809.00 $5,127.00 $2,387.00 2026-05-27
95810 CPT Sleep Study 14 10 $3,611.00 $3,250.00 $1,806.00 $5,117.00 $2,382.50 2026-05-27
70496 CPT CT Angio Head 14 10 $3,468.00 $3,121.00 $1,734.00 $4,914.00 $2,288.00 2026-05-27
73721 CPT MRI Scan Of Leg Joint 28 10 $3,332.50 $2,999.50 $1,587.00 $4,948.00 $2,281.00 2026-05-27
73221 CPT MRI Elbow Wo Left 56 10 $3,415.00 $3,073.50 $1,587.00 $4,948.00 $2,270.00 2026-05-27
71270 CPT CT Chest W/wo 14 10 $3,433.00 $3,090.00 $1,717.00 $4,865.00 $2,265.00 2026-05-27
64493 CPT Oper Rm 76-90min 14 10 $3,371.00 $3,034.00 $1,686.00 $4,777.00 $2,224.00 2026-05-27
Q5118 HCPCS Zirabev 100mg Sdv 4ml 28 10 $3,205.00 $2,884.50 $663.00 $7,204.00 $2,210.50 2026-05-27
72195 CPT MRI Pelvis Wo 14 10 $3,294.00 $2,965.00 $1,647.00 $4,668.00 $2,173.50 2026-05-27
74170 CPT CT Abdomen W/wo 14 10 $3,271.00 $2,944.00 $1,636.00 $4,635.00 $2,158.00 2026-05-27
72132 CPT CT L Spine W 14 10 $3,253.00 $2,928.00 $1,627.00 $4,610.00 $2,146.50 2026-05-27
72194 CPT CT Pelvis W/wo 14 10 $3,196.00 $2,876.00 $1,598.00 $4,529.00 $2,108.50 2026-05-27
9901895 CDM Ventralex Hernia Patch Circle Lg 14 10 $3,174.00 $2,857.00 $1,587.00 $4,498.00 $2,094.00 2026-05-27
J0841 HCPCS Crotalidae Immune F(ab')2 (Equine) 14 10 $3,168.00 $2,851.00 $1,584.00 $4,489.00 $2,090.00 2026-05-27
45380 CPT Biopsy Exam Of Large Bowel Using An Endoscope 28 10 $3,011.00 $2,710.00 $1,425.00 $4,495.00 $2,072.00 2026-05-27
800007 CDM Oper Rm 61-75min 14 10 $3,052.00 $2,747.00 $1,526.00 $4,325.00 $2,013.50 2026-05-27
71260 CPT CT Chest W 14 10 $3,045.00 $2,741.00 $1,523.00 $4,315.00 $2,009.00 2026-05-27
9901950 CDM Tkl Spdbrg Imp Sys W/bs Swvlk &Ndl 14 10 $3,010.00 $2,709.00 $1,505.00 $4,265.00 $1,986.00 2026-05-27
70492 CPT CT Soft Tissue Neck W/wo 14 10 $2,992.00 $2,693.00 $1,496.00 $4,240.00 $1,974.00 2026-05-27
1100018 CDM Procedure Gastroscopy 14 10 $2,976.00 $2,678.00 $1,488.00 $4,217.00 $1,963.50 2026-05-27
74160 CPT CT Abdomen W 14 10 $2,972.00 $2,675.00 $1,486.00 $4,211.00 $1,960.50 2026-05-27
J1439 HCPCS Injectafer 750mg/100ml 28 10 $2,768.00 $2,491.50 $1,272.00 $4,240.00 $1,945.00 2026-05-27
70336 CPT MRI Tempromandibular Joint 14 10 $2,927.00 $2,634.00 $1,464.00 $4,148.00 $1,931.50 2026-05-27
70482 CPT CT Orbit Iac W/wo 14 10 $2,915.00 $2,624.00 $1,458.00 $4,131.00 $1,923.50 2026-05-27
73702 CPT CT Lower Extrem W/wo Left 14 10 $2,915.00 $2,624.00 $1,458.00 $4,131.00 $1,923.50 2026-05-27
70470 CPT CT Head W/wo 14 10 $2,892.00 $2,603.00 $1,446.00 $4,098.00 $1,908.00 2026-05-27
J9395 HCPCS Faslodex 250mg/5ml Syr 14 10 $2,891.00 $2,602.00 $1,446.00 $4,097.00 $1,907.50 2026-05-27
72130 CPT CT T Spine W/wo 14 10 $2,877.00 $2,589.00 $1,439.00 $4,077.00 $1,898.00 2026-05-27
49654 CPT Laparoscopy/rpr Hernia 14 10 $2,871.00 $2,584.00 $1,436.00 $4,068.00 $1,894.00 2026-05-27
9901894 CDM Ventralex Hernia Patch Circle Med 14 10 $2,853.00 $2,568.00 $1,427.00 $4,043.00 $1,882.50 2026-05-27
70481 CPT CT Orbit Iac W 14 10 $2,843.00 $2,559.00 $1,422.00 $4,029.00 $1,875.50 2026-05-27
70488 CPT CT Facial Bone/sinuses W/wo 14 10 $2,843.00 $2,559.00 $1,422.00 $4,029.00 $1,875.50 2026-05-27
72193 CPT CT Scan Of Pelvis With Contrast 14 10 $2,823.00 $2,541.00 $1,412.00 $4,000.00 $1,862.50 2026-05-27
1000025 CDM Procedure Colon/gastro 14 10 $2,808.00 $2,527.00 $1,404.00 $3,979.00 $1,852.50 2026-05-27
72125 CPT CT C Spine Wo 14 10 $2,803.00 $2,523.00 $1,402.00 $3,972.00 $1,849.00 2026-05-27
1100017 CDM Procedure Rm Colonscopy 14 10 $2,801.00 $2,521.00 $1,401.00 $3,969.00 $1,848.00 2026-05-27
70460 CPT CT Head W 14 10 $2,787.00 $2,508.00 $1,394.00 $3,949.00 $1,839.00 2026-05-27
73202 CPT CT Upper Extrem W/wo Left 14 10 $2,766.00 $2,489.00 $1,383.00 $3,919.00 $1,825.00 2026-05-27
72129 CPT CT T Spine W 14 10 $2,765.00 $2,489.00 $1,383.00 $3,918.00 $1,824.00 2026-05-27
72127 CPT CT C Spine W/wo 14 10 $2,765.00 $2,489.00 $1,383.00 $3,918.00 $1,824.00 2026-05-27
72133 CPT CT L Spine W/wo 14 10 $2,765.00 $2,489.00 $1,383.00 $3,918.00 $1,824.00 2026-05-27
73706 CPT CT Angio Lower Extremity 14 10 $2,756.00 $2,480.00 $1,378.00 $3,905.00 $1,818.00 2026-05-27
9901971 CDM Biocomposite Meniscal Root Repair Kit 14 10 $2,720.00 $2,448.00 $1,360.00 $3,854.00 $1,794.50 2026-05-27
77059 CPT MRI Breast Bil W &Or Wo 14 10 $2,715.00 $2,444.00 $1,358.00 $3,847.00 $1,791.00 2026-05-27
72126 CPT CT C Spine W 14 10 $2,694.00 $2,425.00 $1,347.00 $3,817.00 $1,777.50 2026-05-27
9901893 CDM Ventralex Hernia Patch Circle Small 14 10 $2,683.00 $2,415.00 $1,342.00 $3,802.00 $1,770.00 2026-05-27
800006 CDM Oper Rm 46-60min 14 10 $2,669.00 $2,402.00 $1,335.00 $3,782.00 $1,761.00 2026-05-27
72128 CPT CT T Spine Wo 14 10 $2,623.00 $2,361.00 $1,312.00 $3,717.00 $1,730.50 2026-05-27
70491 CPT CT Soft Tissue Neck W 14 10 $2,619.00 $2,357.00 $1,310.00 $3,711.00 $1,727.50 2026-05-27
J0585 HCPCS Botox Inj 100 U/vl 28 10 $2,445.00 $2,200.50 $815.00 $4,619.00 $1,715.50 2026-05-27
70487 CPT CT Facial Bone/sinuses W 14 10 $2,578.00 $2,320.00 $1,289.00 $3,653.00 $1,700.50 2026-05-27
72131 CPT CT L Spine Wo 14 10 $2,572.00 $2,315.00 $1,286.00 $3,645.00 $1,697.00 2026-05-27
73725 CPT MRI Lw Extremity W Or Without 14 10 $2,572.00 $2,315.00 $1,286.00 $3,645.00 $1,697.00 2026-05-27
71250 CPT CT Chest Wo 14 10 $2,554.00 $2,299.00 $1,277.00 $3,619.00 $1,685.00 2026-05-27
72192 CPT CT Pelvis Wo 14 10 $2,541.00 $2,287.00 $1,271.00 $3,601.00 $1,676.50 2026-05-27
74150 CPT CT Abdomen Wo 14 10 $2,480.00 $2,232.00 $1,240.00 $3,514.00 $1,636.00 2026-05-27
77058 CPT MRI Breast Unil W &/Or Wo 14 10 $2,449.00 $2,204.00 $1,225.00 $3,470.00 $1,616.00 2026-05-27
9908037 CDM Txb Procdure Pack 14 10 $2,448.00 $2,203.00 $1,224.00 $3,469.00 $1,615.00 2026-05-27
70480 CPT CT Orbit Iac Wo 14 10 $2,443.00 $2,199.00 $1,222.00 $3,462.00 $1,612.00 2026-05-27
G0390 HCPCS ER Dept Full Act Trauma 28 10 $2,118.00 $1,906.00 $804.00 $3,724.00 $1,592.00 2026-05-27
78315 CPT Nm Bone Scan/3 Phs Tech 14 10 $2,399.00 $2,159.00 $1,200.00 $3,399.00 $1,583.00 2026-05-27
90378 CPT Synagis 100mg 28 10 $2,169.00 $1,952.50 $758.00 $4,000.00 $1,537.50 2026-05-27
73701 CPT CT Lower Extrem W Left 14 10 $2,322.00 $2,090.00 $1,161.00 $3,290.00 $1,531.50 2026-05-27
70450 CPT CT Scan 14 10 $2,320.00 $2,088.00 $1,160.00 $3,287.00 $1,530.50 2026-05-27
73201 CPT CT Upper Extremity W Left 14 10 $2,320.00 $2,088.00 $1,160.00 $3,287.00 $1,530.50 2026-05-27
J9055 HCPCS Cetuximab Inj 100 Mg/50ml 28 10 $2,097.50 $1,888.00 $648.00 $4,109.00 $1,526.00 2026-05-27
800005 CDM Oper Rm 31-45min 14 10 $2,230.00 $2,007.00 $1,115.00 $3,160.00 $1,471.00 2026-05-27
73200 CPT CT Upper Extrem Wo Left 14 10 $2,221.00 $1,999.00 $1,111.00 $3,147.00 $1,465.50 2026-05-27
J9000 HCPCS Doxorubicin Hcl 50mg Sdv 25ml 14 10 $2,208.00 $1,987.00 $1,104.00 $3,129.00 $1,457.00 2026-05-27
70490 CPT CT Soft Tissue Neck Wo 14 10 $2,165.00 $1,949.00 $1,083.00 $3,068.00 $1,428.00 2026-05-27
J1572 HCPCS Flebogamma Dif 10% 10gm/100ml Vl 28 10 $1,996.50 $1,797.00 $697.00 $3,683.00 $1,415.00 2026-05-27
78803 CPT Nm Bone Spect 14 10 $2,113.00 $1,902.00 $1,057.00 $2,994.00 $1,394.00 2026-05-27
78306 CPT Nm Bone Scan Whole Body 14 10 $2,082.00 $1,874.00 $1,041.00 $2,950.00 $1,373.50 2026-05-27
70486 CPT CT Facial Bone/sinuses Wo 14 10 $2,080.00 $1,872.00 $1,040.00 $2,947.00 $1,372.50 2026-05-27
78264 CPT Nm Gastric Emptying Study 14 10 $2,057.00 $1,851.00 $1,029.00 $2,915.00 $1,357.00 2026-05-27
1000018 CDM Procedure Gastroscopy 14 10 $2,036.00 $1,832.00 $1,018.00 $2,885.00 $1,343.50 2026-05-27
1000017 CDM Procedure Colonscopy 14 10 $2,036.00 $1,832.00 $1,018.00 $2,885.00 $1,343.50 2026-05-27
J7325 HCPCS Cl Synvisc One 48 Mg/6ml 28 10 $1,780.50 $1,602.50 $757.00 $2,901.00 $1,331.00 2026-05-27
78227 CPT Nm Hida Hepato W/cck 14 10 $2,016.00 $1,814.00 $1,008.00 $2,857.00 $1,330.50 2026-05-27
78226 CPT Nm Hida Hepato Wo Cck 14 10 $2,016.00 $1,814.00 $1,008.00 $2,857.00 $1,330.50 2026-05-27
1100007 CDM Cystoscope Procedure 14 10 $2,009.00 $1,808.00 $1,005.00 $2,847.00 $1,325.50 2026-05-27
13160 CPT Delayed Closure Of Surg Wound 14 10 $1,983.00 $1,785.00 $992.00 $2,810.00 $1,308.50 2026-05-27
49505 CPT Repair Of Groin Hernia Patient Age 5 Years Or Older 28 10 $1,895.50 $1,706.00 $897.00 $2,830.00 $1,304.50 2026-05-27
27301 CPT I & D Abscess Thigh/knee 14 10 $1,922.00 $1,730.00 $961.00 $2,723.00 $1,268.00 2026-05-27
59514 CPT Cesarean Delivery Only 14 10 $1,913.00 $1,722.00 $957.00 $2,711.00 $1,262.00 2026-05-27
11005 CPT Debridement Inf Skin Abd Wall 14 10 $1,906.00 $1,715.00 $953.00 $2,701.00 $1,257.50 2026-05-27
45385 CPT Removal Of Polyps Or Growths Of Large Bowel Using An Endoscope 28 10 $1,808.50 $1,628.00 $856.00 $2,699.00 $1,244.50 2026-05-27
900003 CDM Anes Supplies 6hr 14 10 $1,873.00 $1,686.00 $937.00 $2,654.00 $1,236.00 2026-05-27
9900370 CDM Thompson Hip 45 14 10 $1,869.00 $1,682.00 $935.00 $2,648.00 $1,233.00 2026-05-27
78451 CPT Nm Myocard Spec-sng Study 14 10 $1,862.00 $1,676.00 $931.00 $2,638.00 $1,228.50 2026-05-27
81228 CPT Hereditary Colon Cancer Cgh Array Gene 14 10 $1,862.00 $1,676.00 $931.00 $2,638.00 $1,228.50 2026-05-27
9900324 CDM Pins Thompson 14 10 $1,861.00 $1,675.00 $931.00 $2,637.00 $1,228.00 2026-05-27
9900467 CDM Rf 2 Probes Hook 14 10 $1,853.00 $1,668.00 $927.00 $2,626.00 $1,222.50 2026-05-27
27236 CPT Open Tx Of Femoral Fx 14 10 $1,845.00 $1,661.00 $923.00 $2,614.00 $1,217.00 2026-05-27
9901567 CDM Low Profile Port 14 10 $1,845.00 $1,661.00 $923.00 $2,614.00 $1,217.00 2026-05-27
73700 CPT CT Lower Extrem Wo Left 14 10 $1,839.00 $1,655.00 $920.00 $2,606.00 $1,213.00 2026-05-27
J3487 HCPCS Zometa Inj [4mg/5ml] 14 10 $1,828.00 $1,645.00 $914.00 $2,590.00 $1,206.00 2026-05-27
59410 CPT Vaginal Delivery W/post Care 14 10 $1,801.00 $1,621.00 $901.00 $2,552.00 $1,188.00 2026-05-27
78709 CPT Nm Kidney Img/multi Stud 14 10 $1,798.00 $1,618.00 $899.00 $2,548.00 $1,186.00 2026-05-27
9901198 CDM Arthroscope Surg Sys 14 10 $1,790.00 $1,611.00 $895.00 $2,536.00 $1,181.00 2026-05-27
59426 CPT Antepartm Care Only 28 10 $1,615.50 $1,454.00 $711.00 $2,565.00 $1,177.00 2026-05-27
78708 CPT Nm Kidney Func Flo/mag3 28 10 $1,750.00 $1,575.00 $851.00 $2,548.00 $1,174.50 2026-05-27
78582 CPT Nm Ventil & Perfus-lung 14 10 $1,775.00 $1,598.00 $888.00 $2,515.00 $1,171.00 2026-05-27
76811 CPT US OB Rare Complex 14 10 $1,758.00 $1,582.00 $879.00 $2,491.00 $1,160.00 2026-05-27
800004 CDM Oper Rm 16-30min 14 10 $1,745.00 $1,571.00 $873.00 $2,473.00 $1,151.50 2026-05-27
1000015 CDM Procedure Cystoscope 14 10 $1,739.00 $1,565.00 $870.00 $2,464.00 $1,147.50 2026-05-27
36430 CPT Bl Admin 1hr 84 10 $1,611.50 $1,450.00 $558.00 $3,177.00 $1,134.00 2026-05-27
1405056 CDM Remdesivir / Ns Ivpb: 200mg/250ml 14 10 $1,716.00 $1,544.00 $858.00 $2,432.00 $1,132.50 2026-05-27
J3304 HCPCS Zilretta 32mg Vial 14 10 $1,713.00 $1,542.00 $857.00 $2,427.00 $1,130.50 2026-05-27
93880 CPT US Carotid Duplex Bil 28 10 $1,690.00 $1,521.00 $829.00 $2,441.00 $1,125.50 2026-05-27
9900369 CDM Lap-chole Scope 14 10 $1,700.00 $1,530.00 $850.00 $2,409.00 $1,121.50 2026-05-27
9900232 CDM Power Port 14 10 $1,699.00 $1,529.00 $850.00 $2,407.00 $1,120.50 2026-05-27
J0248 HCPCS Remdesivir 100mg/20ml Vl 28 10 $1,607.50 $1,446.50 $750.00 $2,432.00 $1,119.50 2026-05-27
11772 CPT Pilonidal Cystectomy Complicated 28 10 $1,605.00 $1,445.00 $763.00 $2,388.00 $1,100.50 2026-05-27
78707 CPT Nm Kidney Imaging Func 14 10 $1,632.00 $1,469.00 $816.00 $2,313.00 $1,076.50 2026-05-27
78305 CPT Nm Bone/joint Mult Area 14 10 $1,621.00 $1,459.00 $811.00 $2,297.00 $1,069.50 2026-05-27
14020 CPT Adjacent Tissue Trnsf Or Rearran/scalp 14 10 $1,620.00 $1,458.00 $810.00 $2,296.00 $1,069.00 2026-05-27
J0588 HCPCS Incobotulinumtoxin A (Xeomin)100u/vl 14 10 $1,615.00 $1,454.00 $808.00 $2,288.00 $1,065.50 2026-05-27
93930 CPT US Arterial Duplex Arms Bilat 14 10 $1,605.00 $1,445.00 $803.00 $2,274.00 $1,059.00 2026-05-27
93970 CPT US Venous Duplex Bilat Legs 14 10 $1,605.00 $1,445.00 $803.00 $2,274.00 $1,059.00 2026-05-27
800002 CDM Or Epidural Procedure W/guide 14 10 $1,604.00 $1,444.00 $802.00 $2,273.00 $1,058.00 2026-05-27
800024 CDM Or Procedure W Guide 14 10 $1,604.00 $1,444.00 $802.00 $2,273.00 $1,058.00 2026-05-27
100004 CDM Advanced Care Acute 14 10 $1,600.00 $1,440.00 $800.00 $2,267.00 $1,055.50 2026-05-27
59409 CPT Vaginal Delivery Only 14 10 $1,593.00 $1,434.00 $797.00 $2,257.00 $1,051.00 2026-05-27
93925 CPT US Arterial Duplex Legs Bilat 28 10 $1,574.00 $1,417.00 $772.00 $2,274.00 $1,048.50 2026-05-27
J9330 HCPCS Temsirolimus 25mg/ml 14 10 $1,584.00 $1,426.00 $792.00 $2,245.00 $1,045.00 2026-05-27
900024 CDM Anesthesia Supplies 5hrs 14 10 $1,580.00 $1,422.00 $790.00 $2,239.00 $1,042.50 2026-05-27
78278 CPT Nm G.i. Bleed 14 10 $1,575.00 $1,418.00 $788.00 $2,232.00 $1,039.00 2026-05-27
900029 CDM Or Procedure W/guide 14 10 $1,542.00 $1,388.00 $771.00 $2,185.00 $1,017.00 2026-05-27
99291 CPT Critical Care 30-74 Min 56 10 $1,399.00 $1,259.00 $221.00 $3,066.00 $1,016.50 2026-05-27
78070 CPT Nm Parathyroid Scan 14 10 $1,529.00 $1,376.00 $765.00 $2,167.00 $1,009.00 2026-05-27
78580 CPT Nm Pulmonary Perfusion 14 10 $1,528.00 $1,375.00 $764.00 $2,165.00 $1,008.00 2026-05-27
900012 CDM Anes Supplies 43/4hr 14 10 $1,513.00 $1,362.00 $757.00 $2,144.00 $998.00 2026-05-27
25028 CPT I & D Deep Abcess Forearm/wrist 14 10 $1,505.00 $1,355.00 $753.00 $2,133.00 $993.00 2026-05-27
78290 CPT Nm Bowel Imaging Meckels 14 10 $1,504.00 $1,354.00 $752.00 $2,131.00 $992.00 2026-05-27
93350 CPT Stress Echo 14 10 $1,504.00 $1,354.00 $752.00 $2,131.00 $992.00 2026-05-27
93975 CPT US Renal Artery Duplex Complete 28 10 $1,483.00 $1,335.00 $727.00 $2,143.00 $988.00 2026-05-27
J9155 HCPCS Firmagon 80 Mg Kit 14 10 $1,496.00 $1,346.00 $748.00 $2,120.00 $987.00 2026-05-27
11012 CPT Debridement Open Fracture 14 10 $1,476.00 $1,328.00 $738.00 $2,091.00 $974.00 2026-05-27
9901010 CDM Lg Mesh Perfix Plug 14 10 $1,469.00 $1,322.00 $735.00 $2,082.00 $969.00 2026-05-27
9901512 CDM Kit Stabil Shld 14 10 $1,466.00 $1,319.00 $733.00 $2,077.00 $967.00 2026-05-27
Q5103 HCPCS Inflectra 100mg Vl 14 10 $1,455.00 $1,310.00 $728.00 $2,062.00 $960.00 2026-05-27
9901009 CDM Med Mesh Perfix Plug 14 10 $1,455.00 $1,310.00 $728.00 $2,062.00 $960.00 2026-05-27
J7307 HCPCS Cl Nexplanon 14 10 $1,444.00 $1,300.00 $722.00 $2,046.00 $952.50 2026-05-27
900011 CDM Anes Supplies 41/2hr 14 10 $1,441.00 $1,297.00 $721.00 $2,042.00 $950.50 2026-05-27
11004 CPT Debridement Ext Genitalia & Peri 14 10 $1,430.00 $1,287.00 $715.00 $2,026.00 $943.50 2026-05-27
20103 CPT Wound Exploration Extermity 14 10 $1,425.00 $1,283.00 $713.00 $2,019.00 $940.50 2026-05-27
9901530 CDM Artho Intermediary Tubing 14 10 $1,421.00 $1,279.00 $711.00 $2,014.00 $937.50 2026-05-27
93306 CPT Echo 2d Complete 14 10 $1,371.00 $1,234.00 $686.00 $1,943.00 $904.50 2026-05-27
900010 CDM Anes Supplies 41/4hr 14 10 $1,369.00 $1,232.00 $685.00 $1,940.00 $903.50 2026-05-27
15050 CPT Pinch Graft > 2cm 14 10 $1,325.00 $1,193.00 $663.00 $1,878.00 $874.00 2026-05-27
77001 CPT US Imaging Guidance 28 10 $1,226.00 $1,103.50 $439.00 $2,232.00 $873.50 2026-05-27
81405 CPT Tp53 (Tumor Protein 53) Gene 14 10 $1,319.00 $1,187.00 $660.00 $1,869.00 $870.00 2026-05-27
74400 CPT Xr Ivp Bolis/drip Radiology 14 10 $1,314.00 $1,183.00 $657.00 $1,862.00 $867.00 2026-05-27
Q5101 HCPCS Zarixo 400mcg 0.8ml 14 10 $1,312.00 $1,181.00 $656.00 $1,859.00 $865.50 2026-05-27
78300 CPT Nm Bone Joint Img Limt 14 10 $1,305.00 $1,175.00 $653.00 $1,849.00 $861.00 2026-05-27
900002 CDM Anes Supplies 4hr 14 10 $1,298.00 $1,168.00 $649.00 $1,839.00 $856.50 2026-05-27
G0378 HCPCS Obs Extra 834 10 $1,126.00 $1,013.00 $14.00 $3,534.00 $846.50 2026-05-27
49421 CPT Insert Permanent Catheter 14 10 $1,276.00 $1,148.00 $638.00 $1,808.00 $842.00 2026-05-27
45378 CPT Diagnostic Exam Of Large Bowel Using An Endoscope 42 10 $1,286.00 $1,157.00 $416.00 $2,028.00 $840.00 2026-05-27
3500037 CDM US Venous Duplex 14 10 $1,272.00 $1,145.00 $636.00 $1,802.00 $839.00 2026-05-27
93931 CPT US Arterial Duplex Arms Left 28 10 $1,247.50 $1,123.00 $612.00 $1,802.00 $831.00 2026-05-27
93926 CPT US Arterial Duplex Legs Left 28 10 $1,247.50 $1,123.00 $612.00 $1,802.00 $831.00 2026-05-27
93971 CPT US Venous Duplex Leg Left 28 10 $1,247.50 $1,123.00 $612.00 $1,802.00 $831.00 2026-05-27
76700 CPT Ultrasound Of Abdomen 14 10 $1,260.00 $1,134.00 $630.00 $1,785.00 $831.00 2026-05-27
11646 CPT Excise Mal Lesion Ovr 4 Cm Face/ears 14 10 $1,259.00 $1,133.00 $630.00 $1,784.00 $831.00 2026-05-27
81450 CPT Myeloproliferative Neoplasm Panel By Ngs 14 10 $1,260.00 $1,134.00 $630.00 $1,785.00 $831.00 2026-05-27
43239 CPT Biopsy Exam Of Esophagus, Stomach Or Small Bowel Using An Endoscope 28 10 $1,201.50 $1,081.00 $569.00 $1,794.00 $827.00 2026-05-27
78579 CPT Nm Pulmonary Ventilation 14 10 $1,249.00 $1,124.00 $625.00 $1,770.00 $824.00 2026-05-27
76705 CPT US Abdomen Single Organ/ Quad 42 10 $1,177.00 $1,059.00 $576.00 $1,790.00 $821.00 2026-05-27
76817 CPT US OB Vaginal 14 10 $1,233.00 $1,110.00 $617.00 $1,747.00 $813.00 2026-05-27
76604 CPT US Chest 14 10 $1,233.00 $1,110.00 $617.00 $1,747.00 $813.00 2026-05-27
900021 CDM Anes Supplies 3 3/4hr 14 10 $1,228.00 $1,105.00 $614.00 $1,740.00 $810.00 2026-05-27
25605 CPT Clsd Tx W/mnipultn Distl Radial Fx 14 10 $1,225.00 $1,103.00 $613.00 $1,736.00 $808.00 2026-05-27
J2760 HCPCS Regitine Inj [5 Mg] 14 10 $1,221.00 $1,099.00 $611.00 $1,730.00 $806.00 2026-05-27
800003 CDM Oper Rm 1-15min 14 10 $1,199.00 $1,079.00 $600.00 $1,699.00 $791.00 2026-05-27
3000350 CDM Analyzer Panel 14 10 $1,194.00 $1,075.00 $597.00 $1,692.00 $788.00 2026-05-27
100001 CDM Ip Acute 14 10 $1,190.00 $1,071.00 $595.00 $1,686.00 $785.00 2026-05-27
19120 CPT Removal Of One Or More Breast Growth, Open Procedure 42 10 $1,128.00 $1,015.00 $507.00 $1,743.00 $780.50 2026-05-27
J1740 HCPCS Boniva Inj Syr 3 Mg/3 Ml 14 10 $1,182.00 $1,064.00 $591.00 $1,675.00 $780.00 2026-05-27
71271 CPT CT Low Dose Lung 14 10 $1,174.00 $1,057.00 $587.00 $1,664.00 $774.50 2026-05-27
13132 CPT Repair Complex 2.6-7.5 Cm F/m/n/a/g/h/f 14 10 $1,167.00 $1,050.00 $584.00 $1,654.00 $770.00 2026-05-27
27768 CPT Closed Treatment Ankle W Manip 14 10 $1,160.00 $1,044.00 $580.00 $1,644.00 $765.50 2026-05-27
900020 CDM Anes Supplies 3 1/2hr 14 10 $1,155.00 $1,040.00 $578.00 $1,637.00 $762.00 2026-05-27
25071 CPT Excise Lesionforearm Or Wrist >3cm 14 10 $1,155.00 $1,040.00 $578.00 $1,637.00 $762.00 2026-05-27
27501 CPT Clsd Tx Fem Fx W/wo Ext 14 10 $1,154.00 $1,039.00 $577.00 $1,635.00 $761.50 2026-05-27
11771 CPT Pilonidal Cystectomy Extensive 14 10 $1,153.00 $1,038.00 $577.00 $1,634.00 $760.50 2026-05-27
26951 CPT Amputate Finger W/direct Closure 14 10 $1,150.00 $1,035.00 $575.00 $1,630.00 $758.50 2026-05-27
93924 CPT Padnet Arterial Study 28 10 $1,072.50 $965.50 $367.00 $1,999.00 $757.00 2026-05-27
J0256 HCPCS Hh Prolastin-c Liq 1000mg/20ml Vl 28 10 $1,037.50 $933.50 $260.00 $2,205.00 $756.50 2026-05-27
1405057 CDM Remdesivir / Ns Ivpb: 100mg/100ml 14 10 $1,144.00 $1,030.00 $572.00 $1,621.00 $754.50 2026-05-27
27372 CPT Removal Foreign Bodyknee 14 10 $1,140.00 $1,026.00 $570.00 $1,615.00 $752.00 2026-05-27
76818 CPT US Ob/biophysical Profile 14 10 $1,132.00 $1,019.00 $566.00 $1,604.00 $747.00 2026-05-27
9901799 CDM PET Slim Port 6fr 14 10 $1,132.00 $1,019.00 $566.00 $1,604.00 $747.00 2026-05-27
P9035 HCPCS Bb Platelet 1 Unit 14 10 $1,132.00 $1,019.00 $566.00 $1,604.00 $747.00 2026-05-27
28193 CPT Removal Foreign Bodyfoot, Deep 14 10 $1,126.00 $1,013.00 $563.00 $1,596.00 $743.00 2026-05-27
76805 CPT Abdomial Ultrasound Of Pregnant Uterus 14 10 $1,125.00 $1,013.00 $563.00 $1,594.00 $742.50 2026-05-27
25075 CPT Excise Lesionforearm Or Wrist <3cm 14 10 $1,124.00 $1,012.00 $562.00 $1,593.00 $741.50 2026-05-27
43235 CPT Diagnostic Exam Of Esophagus, Stomach Or Small Bowel Using An Endoscope 28 10 $1,068.00 $961.50 $506.00 $1,594.00 $735.00 2026-05-27
93271 CPT Event Monitor Analysis 14 10 $1,112.00 $1,001.00 $556.00 $1,576.00 $733.50 2026-05-27
11606 CPT Excise Mal Lesion Over 4 Cm Trunk/arm 14 10 $1,097.00 $987.00 $549.00 $1,554.00 $723.50 2026-05-27
93308 CPT Echo 2d Limited Or F/u 14 10 $1,088.00 $979.00 $544.00 $1,542.00 $717.50 2026-05-27
12045 CPT Repair Intermediate 12.6-20 Cm N/h/f/g 14 10 $1,084.00 $976.00 $542.00 $1,536.00 $715.50 2026-05-27
900019 CDM Anes Supplies 3 1/4hr 14 10 $1,083.00 $975.00 $542.00 $1,535.00 $714.50 2026-05-27
J1442 HCPCS Neupogen Inj 300 Mcg 1ml 28 10 $1,013.50 $912.00 $465.00 $1,556.00 $714.00 2026-05-27
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