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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

PENDER COMMUNITY HOSPITAL

Pender, NE · CCN 281349 · Rates published

2,298 distinct procedures filed
4 distinct payers
11,797 rate rows
2026-05-27 last MRF observed
Data quality

11,797 of 11,797 rate rows are consumer-grade (100.0%)

Every filed rate row passes our consumer-grade checks — none are excluded from the medians.

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Source MRF file https://secure.claraprice.net/price-transparency/TJON-1688566031190/machine-readable/470711662_pender-community-hospital_standardcharges.json
Found on page https://secure.claraprice.net/price-transparency/pender-community-ne
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Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-05-19
Content fingerprint 05d87bcf10433387… · 116,125 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
58150
CPT 		Total Hysterectomy 4 $15,500.00 $16,174.00 $15,921.50 nat. median
$3,282
outlier · 4.9×
27792
CPT 		Fx And/or Disl Leg/ankle Joint 4 $13,639.00 $14,232.00 $14,010.00 nat. median
$6,844
outlier · 2.0×
27650
CPT 		Rpr Prim Open/precu Achilles 4 $13,362.00 $13,943.00 $13,725.50 nat. median
$6,601
outlier · 2.1×
58605
CPT 		Ligate Fallop Tube Abd/va 4 $13,207.00 $13,781.00 $13,565.50 nat. median
$1,925
outlier · 7.0×
55869
CPT 		Lap Rdc Prostatectomy Bil 4 $12,230.00 $12,761.00 $12,561.50 nat. median
$11,434
1.1× median
27446
CPT 		Unicompartmental Knee Arthro 4 $11,925.00 $12,444.00 $12,249.00 nat. median
$12,483
1.0× median
59514
CPT 		Cesarean Delivery Only 4 $11,909.00 $12,427.00 $12,233.00 nat. median
$2,550
outlier · 4.8×
27447
CPT 		Tot Knee Arthroplasty 4 $11,386.00 $11,881.00 $11,695.00 nat. median
$12,649
0.9× median
27685
CPT 		Lengthen/shorten Ten Leg/ankle 4 $11,000.00 $11,479.00 $11,299.50 nat. median
$3,727
outlier · 3.0×
58571
CPT 		Lap Tot Hystrec 250 Gm/<w/rmvl 4 $10,966.00 $11,443.00 $11,264.50 nat. median
$9,808
1.1× median
55868
CPT 		Lap Rdcl Prostatectomy 4 $9,783.00 $10,209.00 $10,049.00 nat. median
$11,656
0.9× median
3601299
CDM 		Lsh W/t/o Ut 250 G Or Les 4 $9,681.00 $10,102.00 $9,944.50 nat. median
$28
outlier · 358.0×
27698
CPT 		Rpr Sec Dis Lig Ankle 4 $9,213.00 $9,613.00 $9,463.00 nat. median
$6,626
1.4× median
58720
CPT 		Removal Of Ovary/tube(s) 4 $8,770.00 $9,152.00 $9,008.50 nat. median
$2,511
outlier · 3.6×
23472
CPT 		Arthplasty Total Shoulder 4 $8,447.00 $8,814.00 $8,676.00 nat. median
$16,400
0.5× median
58180
CPT 		Supracrvx Abd Hyst W/wo Rmvl 4 $8,271.00 $8,630.00 $8,496.00 nat. median
$3,304
outlier · 2.6×
27130
CPT 		Total Hip Arthroplasty 4 $8,270.00 $8,629.00 $8,495.00 nat. median
$13,100
0.6× median
28485
CPT 		Open Tx Of Metatar Fx 4 $8,232.00 $8,590.00 $8,456.00 nat. median
$7,113
1.2× median
52214
CPT 		Cystourethroscopy W/fulg 4 $8,158.00 $8,512.00 $8,379.50 nat. median
$3,466
outlier · 2.4×
430070012
CDM 		Alteplase 100 Mg/100 Ml Vial 4 $7,857.00 $8,198.00 $8,070.50 nat. median
$8,070
1.0× median
29888
CPT 		Arthro Aided Ant Cr Lig Rpr 4 $7,839.00 $8,180.00 $8,052.50 nat. median
$7,307
1.1× median
55530
CPT 		Revise Spermatic Cord Veins 4 $7,706.00 $8,041.00 $7,915.00 nat. median
$3,689
outlier · 2.1×
27814
CPT 		Tx Of Ankle Fracture 4 $7,705.00 $8,040.00 $7,914.50 nat. median
$7,021
1.1× median
58611
CPT 		Ligate Fal Tube W Csectio 4 $7,665.00 $7,998.00 $7,872.50 nat. median
$990
outlier · 7.9×
3601445
CDM 		Rev Tot Kn Arth Fem&tibial Com 4 $7,600.00 $7,931.00 $7,806.50 nat. median
$7,806
1.0× median
25607
CPT 		Open Red W/inter Fix Wrist 4 $7,491.00 $7,816.00 $7,694.00 nat. median
$6,999
1.1× median
50242
CPT 		Ocrelizumab 300 Mg/10 Ml Vial 4 $2,548.00 $18,025.00 $7,609.00 nat. median
$360
outlier · 21.1×
3601266
CDM 		Lap Inc Hernia Repair 4 $7,382.00 $7,703.00 $7,583.00 nat. median
$7,583
1.0× median
28755
CPT 		Arthrodesis Grt Toe Int Joint 4 $7,216.00 $7,530.00 $7,412.50 nat. median
$6,223
1.2× median
64764
CPT 		Vedolizumab 300 Mg Vial 4 $7,096.00 $7,404.00 $7,288.50 nat. median
$7,460
1.0× median
52001
CPT 		Cystourethroscopy W/irrigation 4 $7,095.00 $7,404.00 $7,287.50 nat. median
$3,533
outlier · 2.1×
3601275
CDM 		Lap; Cholecystectomy W Ch 4 $6,983.00 $7,286.00 $7,173.00 nat. median
$25
outlier · 285.0×
3601272
CDM 		Lap Vent/abd Hernia Repai 4 $6,906.00 $7,207.00 $7,094.50 nat. median
$16
outlier · 435.5×
3601335
CDM 		Open Fx Humerus, Proximal 4 $6,885.00 $7,185.00 $7,072.50 nat. median
$7,072
1.0× median
27412
CPT 		Autologous Chondro Impl Knee 4 $6,869.00 $7,167.00 $7,055.50 nat. median
$7,620
0.9× median
58552
CPT 		Laparo-vag Hyst Incl T/o 4 $6,837.00 $7,135.00 $7,023.00 nat. median
$9,808
0.7× median
3601014
CDM 		Arthroscop Rotator Cuff Repr 4 $6,415.00 $6,694.00 $6,589.50 nat. median
$6,590
1.0× median
49650
CPT 		Lap Hernia Ing Repair Initial 4 $6,395.00 $6,673.00 $6,568.50 nat. median
$5,742
1.1× median
28310
CPT 		Revision Big Toe 4 $6,381.00 $6,659.00 $6,554.50 nat. median
$6,355
1.0× median
58661
CPT 		Laparscopic Ov And/or Fl Tube 4 $6,357.00 $6,634.00 $6,530.00 nat. median
$5,899
1.1× median
49651
CPT 		Lap Ing Hernia Repair Recur 4 $6,158.00 $6,426.00 $6,325.50 nat. median
$5,891
1.1× median
52332
CPT 		Ureteral Stent Placement 4 $6,140.00 $6,407.00 $6,307.00 nat. median
$3,601
1.8× median
28750
CPT 		Surgical Rpr Metatar/big Toe 4 $6,082.00 $6,347.00 $6,247.00 nat. median
$6,945
0.9× median
74347
CPT 		Leuprolide 45 Mg Syringe 4 $6,024.00 $6,286.00 $6,188.00 nat. median
$810
outlier · 7.6×
44970
CPT 		Laparoscopy; Appendectomy 4 $6,020.00 $6,282.00 $6,184.00 nat. median
$6,034
1.0× median
49520
CPT 		Rerepair Ing Hernia Reduc 4 $5,901.00 $6,157.00 $6,061.00 nat. median
$3,818
1.6× median
49593
CPT 		Rpr Aa Hernia 1st 3-10cm Red 4 $5,782.00 $6,034.00 $5,939.50 nat. median
$5,866
1.0× median
58600
CPT 		Ligate Fal Tube Abd Or Va 4 $5,759.00 $6,010.00 $5,915.50 nat. median
$3,265
1.8× median
28200
CPT 		Rpr Flxr Tndn Foot 4 $5,758.00 $6,009.00 $5,914.50 nat. median
$3,446
1.7× median
59160
CPT 		Curettage Postpartum 4 $5,749.00 $5,999.00 $5,905.50 nat. median
$3,161
1.9× median

Other procedures at this hospital

Browse this hospital's 2,298 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
             
58150 CPT Total Hysterectomy 4 4 $16,848.00 $14,321.00 $15,500.00 $16,174.00 $15,921.50 2026-05-27
27792 CPT Fx And/or Disl Leg/ankle Joint 4 4 $14,825.00 $12,601.00 $13,639.00 $14,232.00 $14,010.00 2026-05-27
27650 CPT Rpr Prim Open/precu Achilles 4 4 $14,524.00 $12,345.00 $13,362.00 $13,943.00 $13,725.50 2026-05-27
58605 CPT Ligate Fallop Tube Abd/va 4 4 $14,355.00 $12,202.00 $13,207.00 $13,781.00 $13,565.50 2026-05-27
55869 CPT Lap Rdc Prostatectomy Bil 4 4 $13,293.00 $11,299.00 $12,230.00 $12,761.00 $12,561.50 2026-05-27
27446 CPT Unicompartmental Knee Arthro 4 4 $12,962.00 $11,018.00 $11,925.00 $12,444.00 $12,249.00 2026-05-27
59514 CPT Cesarean Delivery Only 4 4 $12,945.00 $11,003.00 $11,909.00 $12,427.00 $12,233.00 2026-05-27
27447 CPT Tot Knee Arthroplasty 4 4 $12,376.00 $10,520.00 $11,386.00 $11,881.00 $11,695.00 2026-05-27
27685 CPT Lengthen/shorten Ten Leg/ankle 4 4 $11,957.00 $10,163.00 $11,000.00 $11,479.00 $11,299.50 2026-05-27
58571 CPT Lap Tot Hystrec 250 Gm/<w/rmvl 4 4 $11,920.00 $10,132.00 $10,966.00 $11,443.00 $11,264.50 2026-05-27
55868 CPT Lap Rdcl Prostatectomy 4 4 $10,634.00 $9,039.00 $9,783.00 $10,209.00 $10,049.00 2026-05-27
3601299 CDM Lsh W/t/o Ut 250 G Or Les 4 4 $10,523.00 $8,945.00 $9,681.00 $10,102.00 $9,944.50 2026-05-27
27698 CPT Rpr Sec Dis Lig Ankle 4 4 $10,014.00 $8,512.00 $9,213.00 $9,613.00 $9,463.00 2026-05-27
58720 CPT Removal Of Ovary/tube(s) 4 4 $9,533.00 $8,103.00 $8,770.00 $9,152.00 $9,008.50 2026-05-27
23472 CPT Arthplasty Total Shoulder 4 4 $9,181.00 $7,804.00 $8,447.00 $8,814.00 $8,676.00 2026-05-27
58180 CPT Supracrvx Abd Hyst W/wo Rmvl 4 4 $8,990.00 $7,642.00 $8,271.00 $8,630.00 $8,496.00 2026-05-27
27130 CPT Total Hip Arthroplasty 4 4 $8,989.00 $7,641.00 $8,270.00 $8,629.00 $8,495.00 2026-05-27
28485 CPT Open Tx Of Metatar Fx 4 4 $8,948.00 $7,606.00 $8,232.00 $8,590.00 $8,456.00 2026-05-27
52214 CPT Cystourethroscopy W/fulg 4 4 $8,867.00 $7,537.00 $8,158.00 $8,512.00 $8,379.50 2026-05-27
430070012 CDM Alteplase 100 Mg/100 Ml Vial 4 4 $8,540.00 $7,259.00 $7,857.00 $8,198.00 $8,070.50 2026-05-27
29888 CPT Arthro Aided Ant Cr Lig Rpr 4 4 $8,521.00 $7,243.00 $7,839.00 $8,180.00 $8,052.50 2026-05-27
55530 CPT Revise Spermatic Cord Veins 4 4 $8,376.00 $7,120.00 $7,706.00 $8,041.00 $7,915.00 2026-05-27
27814 CPT Tx Of Ankle Fracture 4 4 $8,375.00 $7,119.00 $7,705.00 $8,040.00 $7,914.50 2026-05-27
58611 CPT Ligate Fal Tube W Csectio 4 4 $8,331.00 $7,081.00 $7,665.00 $7,998.00 $7,872.50 2026-05-27
3601445 CDM Rev Tot Kn Arth Fem&tibial Com 4 4 $8,261.00 $7,022.00 $7,600.00 $7,931.00 $7,806.50 2026-05-27
25607 CPT Open Red W/inter Fix Wrist 4 4 $8,142.00 $6,921.00 $7,491.00 $7,816.00 $7,694.00 2026-05-27
50242 CPT Ocrelizumab 300 Mg/10 Ml Vial 12 4 $8,052.00 $6,844.00 $2,548.00 $18,025.00 $7,609.00 2026-05-27
3601266 CDM Lap Inc Hernia Repair 4 4 $8,024.00 $6,820.00 $7,382.00 $7,703.00 $7,583.00 2026-05-27
28755 CPT Arthrodesis Grt Toe Int Joint 4 4 $7,844.00 $6,667.00 $7,216.00 $7,530.00 $7,412.50 2026-05-27
64764 CPT Vedolizumab 300 Mg Vial 4 4 $7,713.00 $6,556.00 $7,096.00 $7,404.00 $7,288.50 2026-05-27
52001 CPT Cystourethroscopy W/irrigation 4 4 $7,712.00 $6,555.00 $7,095.00 $7,404.00 $7,287.50 2026-05-27
3601275 CDM Lap; Cholecystectomy W Ch 4 4 $7,590.00 $6,452.00 $6,983.00 $7,286.00 $7,173.00 2026-05-27
3601272 CDM Lap Vent/abd Hernia Repai 4 4 $7,507.00 $6,381.00 $6,906.00 $7,207.00 $7,094.50 2026-05-27
3601335 CDM Open Fx Humerus, Proximal 4 4 $7,484.00 $6,361.00 $6,885.00 $7,185.00 $7,072.50 2026-05-27
27412 CPT Autologous Chondro Impl Knee 4 4 $7,466.00 $6,346.00 $6,869.00 $7,167.00 $7,055.50 2026-05-27
58552 CPT Laparo-vag Hyst Incl T/o 4 4 $7,432.00 $6,317.00 $6,837.00 $7,135.00 $7,023.00 2026-05-27
3601014 CDM Arthroscop Rotator Cuff Repr 4 4 $6,973.00 $5,927.00 $6,415.00 $6,694.00 $6,589.50 2026-05-27
49650 CPT Lap Hernia Ing Repair Initial 4 4 $6,951.00 $5,908.00 $6,395.00 $6,673.00 $6,568.50 2026-05-27
28310 CPT Revision Big Toe 4 4 $6,936.00 $5,896.00 $6,381.00 $6,659.00 $6,554.50 2026-05-27
58661 CPT Laparscopic Ov And/or Fl Tube 4 4 $6,910.00 $5,874.00 $6,357.00 $6,634.00 $6,530.00 2026-05-27
49651 CPT Lap Ing Hernia Repair Recur 4 4 $6,694.00 $5,690.00 $6,158.00 $6,426.00 $6,325.50 2026-05-27
52332 CPT Ureteral Stent Placement 4 4 $6,674.00 $5,673.00 $6,140.00 $6,407.00 $6,307.00 2026-05-27
28750 CPT Surgical Rpr Metatar/big Toe 4 4 $6,611.00 $5,619.00 $6,082.00 $6,347.00 $6,247.00 2026-05-27
74347 CPT Leuprolide 45 Mg Syringe 4 4 $6,548.00 $5,566.00 $6,024.00 $6,286.00 $6,188.00 2026-05-27
44970 CPT Laparoscopy; Appendectomy 4 4 $6,544.00 $5,562.00 $6,020.00 $6,282.00 $6,184.00 2026-05-27
49520 CPT Rerepair Ing Hernia Reduc 4 4 $6,414.00 $5,452.00 $5,901.00 $6,157.00 $6,061.00 2026-05-27
49593 CPT Rpr Aa Hernia 1st 3-10cm Red 4 4 $6,285.00 $5,342.00 $5,782.00 $6,034.00 $5,939.50 2026-05-27
58600 CPT Ligate Fal Tube Abd Or Va 4 4 $6,260.00 $5,321.00 $5,759.00 $6,010.00 $5,915.50 2026-05-27
28200 CPT Rpr Flxr Tndn Foot 4 4 $6,259.00 $5,320.00 $5,758.00 $6,009.00 $5,914.50 2026-05-27
59160 CPT Curettage Postpartum 4 4 $6,249.00 $5,312.00 $5,749.00 $5,999.00 $5,905.50 2026-05-27
28299 CPT Correction Of Bunion 4 4 $6,242.00 $5,306.00 $5,743.00 $5,992.00 $5,898.50 2026-05-27
58660 CPT Laparoscopy Lysis 4 4 $6,183.00 $5,256.00 $5,688.00 $5,936.00 $5,843.00 2026-05-27
29806 CPT Arthro Should Caps 4 4 $6,158.00 $5,234.00 $5,665.00 $5,912.00 $5,819.50 2026-05-27
50544 CPT Laparoscopic Pyeloplasty 4 4 $6,031.00 $5,126.00 $5,549.00 $5,790.00 $5,699.00 2026-05-27
58262 CPT Vag Hyst Incl T/o =<250gm 4 4 $5,907.00 $5,021.00 $5,434.00 $5,671.00 $5,582.50 2026-05-27
54440 CPT Operation Of Penis For Injury 4 4 $5,878.00 $4,996.00 $5,408.00 $5,643.00 $5,554.50 2026-05-27
55866 CPT Surgical Removal Of Prostate And Surrounding Lymph Nodes Using An Endoscope 12 4 $5,874.00 $4,993.00 $1,351.00 $5,745.00 $5,513.50 2026-05-27
28730 CPT Arthrodesis Midtar/tarso 2+ 4 4 $5,828.00 $4,954.00 $5,362.00 $5,595.00 $5,507.50 2026-05-27
47562 CPT Removal Of Gallbladder Using An Endoscope 8 4 $5,769.50 $4,904.00 $3,580.00 $7,342.00 $5,385.50 2026-05-27
3601022 CDM Arthr Shoulder, Slap Lesion 4 4 $5,674.00 $4,823.00 $5,220.00 $5,447.00 $5,362.00 2026-05-27
69145 CPT Remove Ear Canal Lesion(s 4 4 $5,616.00 $4,774.00 $5,167.00 $5,391.00 $5,307.00 2026-05-27
55060 CPT Repair Of Hydrocele 4 4 $5,598.00 $4,758.00 $5,150.00 $5,374.00 $5,290.00 2026-05-27
28300 CPT Rpr/revis/recon Of Foot/toes 4 4 $5,580.00 $4,743.00 $5,134.00 $5,357.00 $5,273.00 2026-05-27
58563 CPT Hysteroscopy Endometrial Ablat 4 4 $5,517.00 $4,689.00 $5,076.00 $5,296.00 $5,213.50 2026-05-27
3601450 CDM Rpr 1st Fem Hrna Any Age Reduc 4 4 $5,513.00 $4,686.00 $5,072.00 $5,292.00 $5,209.50 2026-05-27
3601018 CDM Arthroscopy Of Joint 4 4 $5,452.00 $4,634.00 $5,016.00 $5,234.00 $5,152.00 2026-05-27
3601260 CDM Knee Arthroscopy/surgery 4 4 $5,412.00 $4,600.00 $4,979.00 $5,196.00 $5,114.00 2026-05-27
52601 CPT Transurethral Res Of Prostate 4 4 $5,358.00 $4,554.00 $4,929.00 $5,144.00 $5,063.50 2026-05-27
3601453 CDM Rpr Umbil Hern Block 5+ Y 4 4 $5,261.00 $4,472.00 $4,840.00 $5,051.00 $4,971.50 2026-05-27
3601004 CDM Anterior Colporrhaphy Rep 4 4 $5,170.00 $4,395.00 $4,756.00 $4,963.00 $4,886.00 2026-05-27
49505 CPT Repair Of Groin Hernia Patient Age 5 Years Or Older 8 4 $5,217.50 $4,435.00 $3,404.00 $6,466.00 $4,874.00 2026-05-27
29826 CPT Shaving Of Shoulder Bone Using Endoscope 4 4 $5,145.00 $4,373.00 $4,733.00 $4,939.00 $4,862.00 2026-05-27
36561 CPT Ins Tunneled Cvad W Port 4 4 $5,101.00 $4,336.00 $4,693.00 $4,897.00 $4,820.50 2026-05-27
59510 CPT Obstetric Care, Planned Cesarean Delivery 4 4 $5,038.00 $4,282.00 $4,635.00 $4,836.00 $4,761.00 2026-05-27
430070344 CDM Benralizumab 30 Mg/ml Syringe 4 4 $5,024.00 $4,270.00 $4,622.00 $4,823.00 $4,748.00 2026-05-27
3601456 CDM Ventral Hernia 4 4 $5,009.00 $4,258.00 $4,608.00 $4,809.00 $4,733.50 2026-05-27
74174 CPT CT Angio Abd/pel With Without Cont 4 4 $4,960.00 $4,216.00 $4,563.00 $4,762.00 $4,687.00 2026-05-27
27687 CPT Rpr/revis/recon Ankle Jnt 4 4 $4,929.00 $4,190.00 $4,535.00 $4,732.00 $4,658.00 2026-05-27
46260 CPT Remove In/ex Hem Groups 2 4 4 $4,922.00 $4,184.00 $4,528.00 $4,725.00 $4,651.50 2026-05-27
74177 CPT CT Scan Of Abdomen And Pelvis With Contrast 4 4 $4,891.00 $4,157.00 $4,500.00 $4,695.00 $4,622.00 2026-05-27
95811 CPT Polysomnography W/cpap 4 4 $4,888.00 $4,155.00 $4,497.00 $4,692.00 $4,619.50 2026-05-27
3601025 CDM Arthrs Knee Drlg Osteochond If 4 4 $4,881.00 $4,149.00 $4,491.00 $4,686.00 $4,612.50 2026-05-27
74178 CPT CT Abd/pel With Without Contrast 8 4 $4,924.00 $4,185.00 $3,745.00 $5,546.00 $4,611.50 2026-05-27
7211007 CDM Labor Room >24hrs 4 4 $4,789.00 $4,071.00 $4,406.00 $4,597.00 $4,526.00 2026-05-27
3601010 CDM Arthrodesis Midtar/tarso 1 4 4 $4,765.00 $4,050.00 $4,384.00 $4,574.00 $4,503.00 2026-05-27
57250 CPT Rectocele Repair 4 4 $4,740.00 $4,029.00 $4,361.00 $4,550.00 $4,479.50 2026-05-27
26160 CPT Remove Tendon Sheath Lesion 4 4 $4,719.00 $4,011.00 $4,341.00 $4,530.00 $4,459.50 2026-05-27
430070387 CDM Rituximab 500 Mg/50 Ml Vial 4 4 $4,698.00 $3,993.00 $4,322.00 $4,510.00 $4,439.50 2026-05-27
24105 CPT Removal Of Elbow Bursa 4 4 $4,695.00 $3,991.00 $4,319.00 $4,507.00 $4,436.50 2026-05-27
28208 CPT Rpr Of Ext Tendon Foot 4 4 $4,680.00 $3,978.00 $4,306.00 $4,493.00 $4,422.50 2026-05-27
3601474 CDM Surg Tx Incompl Abortion 4 4 $4,640.00 $3,944.00 $4,269.00 $4,454.00 $4,385.00 2026-05-27
20680 CPT Removal Of Support Implant 4 4 $4,610.00 $3,919.00 $4,241.00 $4,426.00 $4,356.50 2026-05-27
29824 CPT Arthr Shoulder Distal Clavicul 4 4 $4,597.00 $3,907.00 $4,229.00 $4,413.00 $4,344.00 2026-05-27
44394 CPT Colonoscopy Thru Ex Stoma 4 4 $4,590.00 $3,902.00 $4,223.00 $4,406.00 $4,338.00 2026-05-27
430070407 CDM Immune Globulin 10% (Gamunex C) 40 Gm/400 Ml 4 4 $4,537.00 $3,856.00 $4,174.00 $4,356.00 $4,287.50 2026-05-27
3601258 CDM Knee Arthroscopy/surgery 4 4 $4,527.00 $3,848.00 $4,165.00 $4,346.00 $4,278.00 2026-05-27
11771 CPT Exc Pilonidal Cyst Extensive 4 4 $4,526.00 $3,847.00 $4,164.00 $4,345.00 $4,277.00 2026-05-27
430070215 CDM Pegfilgrastim 6 Mg/0.6 Ml Syr 4 4 $4,519.00 $3,841.00 $4,157.00 $4,338.00 $4,270.50 2026-05-27
74183 CPT MRI Abdomen With & Without Contrast 8 4 $4,506.00 $3,830.00 $4,145.00 $4,327.00 $4,258.50 2026-05-27
76961 CPT Eflapegrastim-xnst 13.2 Mg/0.6 Ml Syringe 4 4 $4,500.00 $3,825.00 $4,140.00 $4,320.00 $4,252.50 2026-05-27
3601454 CDM Umbil Hernia 4 4 $4,499.00 $3,824.00 $4,139.00 $4,319.00 $4,251.50 2026-05-27
72156 CPT MRI C Spine With & Without Contrast 4 4 $4,473.00 $3,802.00 $4,115.00 $4,294.00 $4,227.00 2026-05-27
3601419 CDM Rep Init Inci/ Ventral He 4 4 $4,471.00 $3,800.00 $4,113.00 $4,292.00 $4,225.00 2026-05-27
72157 CPT MRI T Spine With & Without Contrast 4 4 $4,465.00 $3,795.00 $4,108.00 $4,286.00 $4,219.50 2026-05-27
73223 CPT MRI Joint Up Ext With & Without Lt 8 4 $4,452.00 $3,784.00 $4,095.00 $4,275.00 $4,207.00 2026-05-27
42820 CPT Removal Of Tonsils And Adenoid Glands, Patient Younger Than Age 12 8 4 $4,476.50 $3,805.00 $3,512.00 $4,931.00 $4,194.50 2026-05-27
42826 CPT Removal Of Tonsils > 12yrs 4 4 $4,437.00 $3,771.00 $4,082.00 $4,260.00 $4,193.00 2026-05-27
74176 CPT CT Abd/pel Without Contrast 4 4 $4,416.00 $3,754.00 $4,063.00 $4,239.00 $4,173.00 2026-05-27
70553 CPT MRI Scan 4 4 $4,386.00 $3,728.00 $4,035.00 $4,211.00 $4,145.00 2026-05-27
52318 CPT Cystolitholapaxy 4 4 $4,370.00 $3,715.00 $4,020.00 $4,195.00 $4,130.00 2026-05-27
430070405 CDM Tezepelumab-ekko 210 Mg/1.91ml 4 4 $4,369.00 $3,714.00 $4,019.00 $4,194.00 $4,129.00 2026-05-27
78452 CPT Myocardial Perfusion Stre 4 4 $4,367.00 $3,712.00 $4,018.00 $4,192.00 $4,127.00 2026-05-27
11772 CPT Exc Pilonidal Cyst Complex 4 4 $4,365.00 $3,710.00 $4,016.00 $4,190.00 $4,125.00 2026-05-27
49592 CPT Rpr Aa Hernia 1st <3 Cm 4 4 $4,333.00 $3,683.00 $3,986.00 $4,160.00 $4,094.50 2026-05-27
72197 CPT MRI Pelvis With & Without Contrast 4 4 $4,330.00 $3,681.00 $3,984.00 $4,157.00 $4,092.00 2026-05-27
28289 CPT Cheilectomy 1st Mp Jt Without Impl 4 4 $4,323.00 $3,675.00 $3,977.00 $4,150.00 $4,085.50 2026-05-27
44955 CPT Appy; Done For Indicat Pu 4 4 $4,323.00 $3,675.00 $3,977.00 $4,150.00 $4,085.50 2026-05-27
3601016 CDM Arthr Knee Synovect 2/>compart 4 4 $4,322.00 $3,674.00 $3,976.00 $4,149.00 $4,084.50 2026-05-27
25111 CPT Excision Of Ganglion Wrist 4 4 $4,319.00 $3,671.00 $3,973.00 $4,146.00 $4,081.50 2026-05-27
72158 CPT MRI L Spine With Without Contrast 4 4 $4,317.00 $3,669.00 $3,972.00 $4,144.00 $4,079.50 2026-05-27
3601019 CDM Arthroscopy Biceps Tenodesis 4 4 $4,305.00 $3,659.00 $3,961.00 $4,133.00 $4,068.50 2026-05-27
54161 CPT Circum 28 Days Or Older 4 4 $4,293.00 $3,649.00 $3,950.00 $4,121.00 $4,056.50 2026-05-27
70549 CPT MRA Neck With Without Contrast 4 4 $4,275.00 $3,634.00 $3,933.00 $4,104.00 $4,039.50 2026-05-27
3601026 CDM Arthrs Knee W/meniscec Med&lat 4 4 $4,262.00 $3,623.00 $3,921.00 $4,092.00 $4,027.50 2026-05-27
30520 CPT Septoplasty 4 4 $4,261.00 $3,622.00 $3,920.00 $4,091.00 $4,026.50 2026-05-27
29823 CPT Arthr Shoulder Surg Debride 3 4 4 $4,239.00 $3,603.00 $3,900.00 $4,069.00 $4,006.00 2026-05-27
42821 CPT T & A; Age 12 Or More 4 4 $4,233.00 $3,598.00 $3,894.00 $4,064.00 $4,000.00 2026-05-27
3601124 CDM Exc Abd Les Sc < 3 Cm 4 4 $4,220.00 $3,587.00 $3,882.00 $4,051.00 $3,988.00 2026-05-27
28122 CPT Partial Removal Of Foot Bone 4 4 $4,206.00 $3,575.00 $3,870.00 $4,038.00 $3,975.00 2026-05-27
27691 CPT Rpr/rvisn/recons Of Tib/fib 4 4 $4,202.00 $3,572.00 $3,866.00 $4,034.00 $3,971.00 2026-05-27
59400 CPT Obstetric Care, Planned Vaginal Delivery 8 4 $4,209.00 $3,578.00 $3,025.00 $4,925.00 $3,938.00 2026-05-27
7211006 CDM Labor Room 20-24hrs 4 4 $4,152.00 $3,529.00 $3,820.00 $3,986.00 $3,923.50 2026-05-27
49591 CPT Rpr Aa Hernia 1st <3cm Reduc 4 4 $4,150.00 $3,528.00 $3,818.00 $3,984.00 $3,922.00 2026-05-27
74185 CPT MRA Abdomen With Or Without Conrast 4 4 $4,116.00 $3,499.00 $3,787.00 $3,951.00 $3,889.50 2026-05-27
1201009 CDM Airborne Isolation 4 4 $4,041.00 $3,435.00 $3,718.00 $3,879.00 $3,819.00 2026-05-27
3601011 CDM Arthrodesis Subtala 4 4 $4,016.00 $3,414.00 $3,695.00 $3,855.00 $3,795.00 2026-05-27
28296 CPT Resection Of Proximal Phalanx 4 4 $3,973.00 $3,377.00 $3,655.00 $3,814.00 $3,754.50 2026-05-27
70551 CPT MRI Brain Without Contrast 4 4 $3,957.00 $3,363.00 $3,640.00 $3,799.00 $3,739.50 2026-05-27
28112 CPT Ostectomy Other Metatarsal 4 4 $3,953.00 $3,360.00 $3,637.00 $3,795.00 $3,735.50 2026-05-27
58353 CPT Endometr Ablate Thermal 8 4 $4,009.50 $3,408.00 $1,705.00 $5,919.00 $3,726.00 2026-05-27
70552 CPT MRI Brain With Contrast 4 4 $3,913.00 $3,326.00 $3,600.00 $3,756.00 $3,697.50 2026-05-27
20670 CPT Removal Of Support Implant 4 4 $3,892.00 $3,308.00 $3,581.00 $3,736.00 $3,677.50 2026-05-27
74181 CPT MRI Abdomen Without Contrast 4 4 $3,878.00 $3,296.00 $3,568.00 $3,723.00 $3,664.50 2026-05-27
72147 CPT MRI Th Spine With Contrast 4 4 $3,875.00 $3,294.00 $3,565.00 $3,720.00 $3,662.00 2026-05-27
28285 CPT Hammertoe One Toe 4 4 $3,869.00 $3,289.00 $3,559.00 $3,714.00 $3,656.50 2026-05-27
44950 CPT Appendectomy 4 4 $3,843.00 $3,267.00 $3,536.00 $3,689.00 $3,631.50 2026-05-27
70543 CPT MRI Orbt/face/ Neck Without With Contrast 4 4 $3,832.00 $3,257.00 $3,525.00 $3,679.00 $3,621.00 2026-05-27
58570 CPT Laparos W/tot Hyst 250gm/< 4 4 $3,775.00 $3,209.00 $3,473.00 $3,624.00 $3,567.50 2026-05-27
81408 CPT Molecular Path Proc Level 9 4 4 $3,774.00 $3,208.00 $3,472.00 $3,623.00 $3,566.50 2026-05-27
64718 CPT Ulnar Nerve At Elbow 4 4 $3,773.00 $3,207.00 $3,471.00 $3,622.00 $3,565.50 2026-05-27
38571 CPT Laps Surg Bilateral Total Pelv 4 4 $3,750.00 $3,188.00 $3,450.00 $3,600.00 $3,544.00 2026-05-27
49613 CPT Rpr Aa Hernia Recr < 3 Cm Redu 4 4 $3,739.00 $3,178.00 $3,440.00 $3,589.00 $3,533.50 2026-05-27
72146 CPT MRI T Spine Without Contrast 4 4 $3,716.00 $3,159.00 $3,419.00 $3,567.00 $3,511.50 2026-05-27
58670 CPT Laparoscopy, Tubal Cauterys 4 4 $3,712.00 $3,155.00 $3,415.00 $3,564.00 $3,507.50 2026-05-27
72141 CPT MRI Cervical Spine Without 4 4 $3,710.00 $3,154.00 $3,413.00 $3,562.00 $3,506.00 2026-05-27
73220 CPT MRI Up Ext With Without Contrast Lt 4 4 $3,709.00 $3,153.00 $3,412.00 $3,561.00 $3,505.00 2026-05-27
78451 CPT Myocardial Perfrest 4 4 $3,708.00 $3,152.00 $3,411.00 $3,560.00 $3,504.50 2026-05-27
70546 CPT MRA Head W & Wo Contrast 8 4 $3,717.00 $3,159.50 $3,242.00 $3,754.00 $3,490.00 2026-05-27
41113 CPT Rem Lesion W Cl Post 1/3 4 4 $3,674.00 $3,123.00 $3,380.00 $3,527.00 $3,472.00 2026-05-27
72142 CPT MRI C Spine With Contrast 4 4 $3,669.00 $3,119.00 $3,375.00 $3,522.00 $3,467.50 2026-05-27
70548 CPT MRA Neck With Contrast 4 4 $3,651.00 $3,103.00 $3,359.00 $3,505.00 $3,450.00 2026-05-27
72196 CPT MRI Pelvis With Contrast 4 4 $3,651.00 $3,103.00 $3,359.00 $3,505.00 $3,450.00 2026-05-27
72149 CPT MRI Lumbar Spine With Contrast 4 4 $3,644.00 $3,097.00 $3,352.00 $3,498.00 $3,443.50 2026-05-27
3601102 CDM Diag Laparoscopy Separate Proc 4 4 $3,641.00 $3,095.00 $3,350.00 $3,495.00 $3,441.00 2026-05-27
73723 CPT MRI Low Ext Joint With & Without Lt 8 4 $3,623.50 $3,080.00 $3,333.00 $3,479.00 $3,424.50 2026-05-27
81162 CPT Brca1 Brca2 Gene Alys Full 4 4 $3,609.00 $3,068.00 $3,320.00 $3,465.00 $3,410.50 2026-05-27
19301 CPT Mastectomy Partial 4 4 $3,584.00 $3,046.00 $3,297.00 $3,441.00 $3,387.00 2026-05-27
58573 CPT Lap Tot Hystrec >250 Gm W/rmvl 4 4 $3,572.00 $3,036.00 $3,286.00 $3,429.00 $3,375.50 2026-05-27
28292 CPT Corrj Hallux Valgus W/sesmdc 4 4 $3,568.00 $3,033.00 $3,283.00 $3,425.00 $3,372.00 2026-05-27
73720 CPT MRI Low Ext With Without Cont Rt 8 4 $3,561.50 $3,027.50 $3,276.00 $3,420.00 $3,365.50 2026-05-27
52204 CPT Cystoscopy W/biopsy(s) 4 4 $3,553.00 $3,020.00 $3,269.00 $3,411.00 $3,357.50 2026-05-27
72148 CPT MRI Scan Of Lower Spinal Canal 4 4 $3,546.00 $3,014.00 $3,262.00 $3,404.00 $3,351.00 2026-05-27
1201008 CDM Isolation 4 4 $3,545.00 $3,013.00 $3,261.00 $3,403.00 $3,350.00 2026-05-27
70547 CPT MRA Neck Without Contrast 4 4 $3,533.00 $3,003.00 $3,250.00 $3,392.00 $3,338.50 2026-05-27
56700 CPT Partial Removal Of Hymen 4 4 $3,525.00 $2,996.00 $3,243.00 $3,384.00 $3,331.50 2026-05-27
7211005 CDM Labor Room 16-20hrs 4 4 $3,514.00 $2,987.00 $3,233.00 $3,373.00 $3,320.50 2026-05-27
73222 CPT MRI Joint Up Ext With Cont Lt 4 4 $3,476.00 $2,955.00 $3,198.00 $3,337.00 $3,284.50 2026-05-27
3601001 CDM Amputate Metatar W/toe Single 4 4 $3,464.00 $2,944.00 $3,187.00 $3,325.00 $3,273.50 2026-05-27
72195 CPT MRI Pelvis Without Contrast 4 4 $3,460.00 $2,941.00 $3,183.00 $3,322.00 $3,269.50 2026-05-27
1201013 CDM Swb Airborne Isolation 4 4 $3,460.00 $2,941.00 $3,183.00 $3,322.00 $3,269.50 2026-05-27
70540 CPT MRI Orbit, Face, Neck Without 4 4 $3,459.00 $2,940.00 $3,182.00 $3,321.00 $3,268.50 2026-05-27
64721 CPT Carpal Tunnel Release 4 4 $3,451.00 $2,933.00 $3,175.00 $3,313.00 $3,261.00 2026-05-27
71552 CPT MRI Chest W & Wo Contrast 4 4 $3,432.00 $2,917.00 $3,157.00 $3,295.00 $3,243.00 2026-05-27
74170 CPT CT Abdomen With Without Contrast 4 4 $3,418.00 $2,905.00 $3,145.00 $3,281.00 $3,230.00 2026-05-27
42830 CPT Removal Of Adenoids 1' <1 4 4 $3,418.00 $2,905.00 $3,145.00 $3,281.00 $3,230.00 2026-05-27
71550 CPT MRI Chest Without Contrast 4 4 $3,416.00 $2,904.00 $3,143.00 $3,279.00 $3,228.00 2026-05-27
64561 CPT Prq Implt Neurostim Sac With Img 4 4 $3,393.00 $2,884.00 $3,122.00 $3,257.00 $3,206.00 2026-05-27
49568 CPT Hernia Repair W/mesh 4 4 $3,392.00 $2,883.00 $3,121.00 $3,256.00 $3,205.00 2026-05-27
52441 CPT Urolift Initial 8 4 $3,411.50 $2,900.00 $2,677.00 $3,756.00 $3,197.00 2026-05-27
29822 CPT Arthr Shoulder Surg Debrid 1-2 4 4 $3,360.00 $2,856.00 $3,091.00 $3,226.00 $3,175.00 2026-05-27
11770 CPT Exc Pilonidal Cyst Simple 8 4 $3,421.50 $2,908.50 $1,027.00 $5,498.00 $3,170.00 2026-05-27
74175 CPT CT Angio Abdomen With Without Cont 4 4 $3,353.00 $2,850.00 $3,085.00 $3,219.00 $3,168.50 2026-05-27
3601316 CDM Myringoplasty 4 4 $3,336.00 $2,836.00 $3,069.00 $3,203.00 $3,152.50 2026-05-27
28308 CPT Osteot W/wo Lng/st/cor Mt Xcp1 4 4 $3,315.00 $2,818.00 $3,050.00 $3,182.00 $3,132.50 2026-05-27
3601015 CDM Arthr Knee Diagn W/wo Synovia 4 4 $3,313.00 $2,816.00 $3,048.00 $3,180.00 $3,130.50 2026-05-27
78100 CPT Inclisiran 284 Mg/1.5 Ml Syr 4 4 $3,298.00 $2,803.00 $3,034.00 $3,166.00 $3,116.50 2026-05-27
19120 CPT Removal Of One Or More Breast Growth, Open Procedure 8 4 $3,330.00 $2,831.00 $1,776.00 $4,541.00 $3,102.50 2026-05-27
71275 CPT CT Angio Chest With Without Contrast 4 4 $3,268.00 $2,778.00 $3,007.00 $3,137.00 $3,088.50 2026-05-27
430070404 CDM Paliperidone 234 Mg/1.5 Ml Syr 4 4 $3,261.00 $2,772.00 $3,000.00 $3,131.00 $3,081.50 2026-05-27
28119 CPT Ostec Calc Spur W/wo Plnt Fasc 4 4 $3,233.00 $2,748.00 $2,974.00 $3,104.00 $3,055.00 2026-05-27
3601292 CDM Late Closure Of Wound 4 4 $3,226.00 $2,742.00 $2,968.00 $3,097.00 $3,048.50 2026-05-27
73722 CPT MRI Low Ext Joint With Cont Lt 4 4 $3,222.00 $2,739.00 $2,964.00 $3,093.00 $3,045.00 2026-05-27
29881 CPT Removal Of One Knee Cartilage Using An Endoscope 8 4 $3,284.50 $2,792.00 $940.00 $5,325.00 $3,042.00 2026-05-27
430070066 CDM Denosumab 120 Mg/1.7 Ml Vial 4 4 $3,216.00 $2,734.00 $2,959.00 $3,087.00 $3,039.00 2026-05-27
73718 CPT MRI Low Ext Without Contrast Lt 4 4 $3,215.00 $2,733.00 $2,958.00 $3,086.00 $3,038.00 2026-05-27
69610 CPT Repair Of Eardrum 4 4 $3,207.00 $2,726.00 $2,950.00 $3,079.00 $3,031.00 2026-05-27
28304 CPT Osteotomy Of Tarsal Bones 4 4 $3,199.00 $2,719.00 $2,943.00 $3,071.00 $3,023.00 2026-05-27
15847 CPT Exc Excess Skin Abdo 4 4 $3,178.00 $2,701.00 $2,924.00 $3,051.00 $3,003.00 2026-05-27
72132 CPT CT L Spine With Contrast 4 4 $3,177.00 $2,700.00 $2,923.00 $3,050.00 $3,002.00 2026-05-27
28270 CPT Release Of Foot Contractu 4 4 $3,158.00 $2,684.00 $2,905.00 $3,032.00 $2,984.50 2026-05-27
27652 CPT Rpr Pri Open/prq Rupt Ach W/gr 4 4 $3,150.00 $2,678.00 $2,898.00 $3,024.00 $2,977.00 2026-05-27
69436 CPT Tympanostomy G Anes Bilat 4 4 $3,149.00 $2,677.00 $2,897.00 $3,023.00 $2,976.00 2026-05-27
74182 CPT MRI Abdomen With Contrast 8 4 $3,187.00 $2,709.00 $1,503.00 $4,550.00 $2,965.00 2026-05-27
23071 CPT Exc Shoulder Les Sc 3 Cm/> 4 4 $3,133.00 $2,663.00 $2,882.00 $3,008.00 $2,960.50 2026-05-27
71270 CPT CT Chest With Without Contrast 4 4 $3,131.00 $2,661.00 $2,881.00 $3,006.00 $2,958.50 2026-05-27
28124 CPT Partial Removal Of Toe 4 4 $3,128.00 $2,659.00 $2,878.00 $3,003.00 $2,956.00 2026-05-27
26055 CPT Trigger Finger Release 4 4 $3,123.00 $2,655.00 $2,873.00 $2,998.00 $2,951.50 2026-05-27
72194 CPT CT Pelvis With Without Contrast 4 4 $3,097.00 $2,632.00 $2,849.00 $2,973.00 $2,926.50 2026-05-27
28825 CPT Amputation Toe Interphal Joint 4 4 $3,086.00 $2,623.00 $2,839.00 $2,963.00 $2,916.50 2026-05-27
58120 CPT D&c (Not Ob) 4 4 $3,080.00 $2,618.00 $2,834.00 $2,957.00 $2,910.50 2026-05-27
1201011 CDM OB Airborn Isolation 4 4 $3,077.00 $2,615.00 $2,831.00 $2,954.00 $2,907.50 2026-05-27
27635 CPT Exc Bone Cyst/tumor Fibula 4 4 $3,040.00 $2,584.00 $2,797.00 $2,918.00 $2,873.00 2026-05-27
1201012 CDM Swb Isolation 4 4 $3,035.00 $2,580.00 $2,792.00 $2,914.00 $2,868.00 2026-05-27
27870 CPT Arthrodesis Ankle 4 4 $3,010.00 $2,559.00 $2,769.00 $2,890.00 $2,844.50 2026-05-27
22903 CPT Exc Abd Les Sc 3 Cm/> 4 4 $3,008.00 $2,557.00 $2,767.00 $2,888.00 $2,843.00 2026-05-27
3601407 CDM Removal Of Tonsils <12 Yr 4 4 $2,993.00 $2,544.00 $2,754.00 $2,873.00 $2,828.00 2026-05-27
54360 CPT Rpr Penis Correct Angulation 4 4 $2,990.00 $2,542.00 $2,751.00 $2,870.00 $2,826.00 2026-05-27
73218 CPT MRI Up Ext Without Contrast Lt 4 4 $2,989.00 $2,541.00 $2,750.00 $2,869.00 $2,825.00 2026-05-27
3601177 CDM Exc/curettage Cyst/tumor Femur 4 4 $2,985.00 $2,537.00 $2,746.00 $2,866.00 $2,821.00 2026-05-27
64581 CPT Implt Neurostim Eltrd Sacral 4 4 $2,970.00 $2,525.00 $2,732.00 $2,851.00 $2,807.00 2026-05-27
58558 CPT Hysteroscopy W/wo D&c 4 4 $2,961.00 $2,517.00 $2,724.00 $2,843.00 $2,798.00 2026-05-27
54840 CPT Spermatocelectomy W/orw/o Epid 4 4 $2,931.00 $2,491.00 $2,697.00 $2,814.00 $2,769.50 2026-05-27
72133 CPT CT L Spine With Without Contrast 4 4 $2,927.00 $2,488.00 $2,693.00 $2,810.00 $2,766.00 2026-05-27
52310 CPT Cysto W Rem Fb/stnt Ureth 8 4 $2,972.00 $2,526.00 $901.00 $4,766.00 $2,754.00 2026-05-27
73702 CPT CT Low Ext With Without Contrast Lt 4 4 $2,911.00 $2,474.00 $2,678.00 $2,795.00 $2,750.50 2026-05-27
70492 CPT CT Neck With Without Contrast 4 4 $2,888.00 $2,455.00 $2,657.00 $2,772.00 $2,729.50 2026-05-27
28820 CPT Amputation Toe Metaphalangeal 8 4 $2,917.00 $2,479.50 $2,102.00 $3,407.00 $2,729.50 2026-05-27
19100 CPT Bx Breast Percut Without Image 4 4 $2,884.00 $2,451.00 $2,653.00 $2,769.00 $2,725.50 2026-05-27
52317 CPT Litholapaxy Simp/sm <2.5cm 4 4 $2,882.00 $2,450.00 $2,651.00 $2,767.00 $2,723.50 2026-05-27
7211004 CDM Labor Room 12-16hrs 4 4 $2,877.00 $2,445.00 $2,647.00 $2,762.00 $2,718.50 2026-05-27
74160 CPT CT Abdomen With Contrast 4 4 $2,863.00 $2,434.00 $2,634.00 $2,748.00 $2,705.50 2026-05-27
69424 CPT Rem Ventil Tube Under Ane 4 4 $2,852.00 $2,424.00 $2,624.00 $2,738.00 $2,695.00 2026-05-27
73221 CPT Upper Extr Jt Without Contrast Lt 4 4 $2,838.00 $2,412.00 $2,611.00 $2,724.00 $2,682.00 2026-05-27
35226 CPT Repair Bld Vessel Direct; 4 4 $2,823.00 $2,400.00 $2,597.00 $2,710.00 $2,668.00 2026-05-27
73721 CPT MRI Scan Of Leg Joint 8 4 $2,819.00 $2,396.50 $2,571.00 $2,729.00 $2,663.50 2026-05-27
52235 CPT Transurethral Res Of Blad Tum 4 4 $2,818.00 $2,395.00 $2,593.00 $2,705.00 $2,663.00 2026-05-27
72193 CPT CT Scan Of Pelvis With Contrast 4 4 $2,797.00 $2,377.00 $2,573.00 $2,685.00 $2,643.00 2026-05-27
70545 CPT MRA Head With Contrast 8 4 $2,819.50 $2,396.50 $2,256.00 $3,060.00 $2,643.00 2026-05-27
70470 CPT CT Head With And Without Cont 4 4 $2,763.00 $2,349.00 $2,542.00 $2,652.00 $2,611.00 2026-05-27
70544 CPT MRA Head Without Contrast 4 4 $2,762.00 $2,348.00 $2,541.00 $2,652.00 $2,610.00 2026-05-27
26111 CPT Exc Hand Les Sc 1.5 Cm/> 4 4 $2,759.00 $2,345.00 $2,538.00 $2,649.00 $2,607.00 2026-05-27
2001001 CDM Intensive Care 4 4 $2,755.00 $2,342.00 $2,535.00 $2,645.00 $2,603.50 2026-05-27
72125 CPT CT C Spine Without Contrast 4 4 $2,747.00 $2,335.00 $2,527.00 $2,637.00 $2,596.00 2026-05-27
75635 CPT CT Angio Abd/pel With Runoff 4 4 $2,735.00 $2,325.00 $2,516.00 $2,626.00 $2,584.50 2026-05-27
1201010 CDM OB Isolation 4 4 $2,730.00 $2,321.00 $2,512.00 $2,621.00 $2,580.00 2026-05-27
3601467 CDM Skin Tissue Rearrangement 4 4 $2,721.00 $2,313.00 $2,503.00 $2,612.00 $2,571.50 2026-05-27
70336 CPT MRI Temporomandibular Joi 4 4 $2,720.00 $2,312.00 $2,502.00 $2,611.00 $2,570.50 2026-05-27
59820 CPT Tx Missed Abor 1st Trimester 4 4 $2,709.00 $2,303.00 $2,492.00 $2,601.00 $2,560.00 2026-05-27
3601173 CDM Exc Tumr Sft Ts Ft/toe 1.5cm/< 4 4 $2,708.00 $2,302.00 $2,491.00 $2,600.00 $2,559.50 2026-05-27
70482 CPT CT Orb/iac/temp With Without Cont 4 4 $2,694.00 $2,290.00 $2,478.00 $2,586.00 $2,545.50 2026-05-27
52442 CPT Urolifteach Additional 8 4 $2,721.00 $2,312.50 $1,642.00 $3,511.00 $2,539.00 2026-05-27
70491 CPT CT Neck With Contrast 4 4 $2,675.00 $2,274.00 $2,461.00 $2,568.00 $2,528.00 2026-05-27
30140 CPT Submuc Rescj Inf Turb Prtl/com 4 4 $2,673.00 $2,272.00 $2,459.00 $2,566.00 $2,526.00 2026-05-27
71250 CPT CT Chest Without Contrast 4 4 $2,671.00 $2,270.00 $2,457.00 $2,564.00 $2,524.00 2026-05-27
54300 CPT Penis Straightening Chordee 4 4 $2,669.00 $2,269.00 $2,455.00 $2,562.00 $2,522.50 2026-05-27
94003 CPT Vent Mgmt Ip Subq Day 4 4 $2,666.00 $2,266.00 $2,453.00 $2,559.00 $2,519.50 2026-05-27
14000 CPT Adj Tiss Tnsf/reara Tnk 10sq 4 4 $2,659.00 $2,260.00 $2,446.00 $2,553.00 $2,512.50 2026-05-27
70488 CPT CT Maxillofacial With Without Cont 4 4 $2,655.00 $2,257.00 $2,443.00 $2,549.00 $2,509.00 2026-05-27
10180 CPT I&d Postop Wound, Complex 8 4 $2,690.00 $2,286.50 $974.00 $4,148.00 $2,496.00 2026-05-27
430070394 CDM Romosozumab-aqqg 210mg/2.34ml 4 4 $2,629.00 $2,235.00 $2,419.00 $2,524.00 $2,484.50 2026-05-27
93312 CPT Tee 4 4 $2,625.00 $2,231.00 $2,415.00 $2,520.00 $2,481.00 2026-05-27
70481 CPT CT Orb/iac/temp With Contrast 4 4 $2,623.00 $2,230.00 $2,413.00 $2,518.00 $2,479.00 2026-05-27
70496 CPT CT Angio Head With Without Contrast 4 4 $2,612.00 $2,220.00 $2,403.00 $2,508.00 $2,468.00 2026-05-27
45385 CPT Removal Of Polyps Or Growths Of Large Bowel Using An Endoscope 8 4 $2,632.50 $2,238.00 $1,823.00 $3,152.00 $2,461.50 2026-05-27
72129 CPT CT T Spine With Contrast 4 4 $2,603.00 $2,213.00 $2,395.00 $2,499.00 $2,460.00 2026-05-27
19300 CPT Mastectomy Gynecomastia 4 4 $2,598.00 $2,208.00 $2,390.00 $2,494.00 $2,455.00 2026-05-27
50474 CPT Certolizumab 400 Mg (200 Mg/ Ml X2) Kit 4 4 $2,593.00 $2,204.00 $2,386.00 $2,489.00 $2,450.00 2026-05-27
23120 CPT Claviculectomy Partial 4 4 $2,592.00 $2,203.00 $2,385.00 $2,488.00 $2,449.00 2026-05-27
G0121 HCPCS Colorec Scr (Not Hi Risk) 4 4 $2,592.00 $2,203.00 $2,385.00 $2,488.00 $2,449.00 2026-05-27
78582 CPT Pulmonary Ventila & Perfu 4 4 $2,592.00 $2,203.00 $2,385.00 $2,488.00 $2,449.00 2026-05-27
70498 CPT CT Angio Neck With Without Contrast 4 4 $2,585.00 $2,197.00 $2,378.00 $2,482.00 $2,443.00 2026-05-27
72128 CPT CT T Spine Without Contrast 4 4 $2,580.00 $2,193.00 $2,374.00 $2,477.00 $2,438.00 2026-05-27
71260 CPT CT Chest With Contrast 4 4 $2,578.00 $2,191.00 $2,372.00 $2,475.00 $2,436.00 2026-05-27
72131 CPT CT L Spine Without Contrast 4 4 $2,576.00 $2,190.00 $2,370.00 $2,473.00 $2,434.00 2026-05-27
28760 CPT Arthrd W/trans Halluc-1st Meta 4 4 $2,568.00 $2,183.00 $2,363.00 $2,465.00 $2,427.00 2026-05-27
58562 CPT Hysteroscopy With Fb Removal 4 4 $2,553.00 $2,170.00 $2,349.00 $2,451.00 $2,412.50 2026-05-27
93306 CPT Echo 2d Complete 4 4 $2,540.00 $2,159.00 $2,337.00 $2,438.00 $2,400.50 2026-05-27
74150 CPT CT Abdomen Without Contrast 4 4 $2,528.00 $2,149.00 $2,326.00 $2,427.00 $2,389.00 2026-05-27
28272 CPT Release Of Toe Joint Ea 8 4 $2,585.00 $2,197.50 $451.00 $4,493.00 $2,388.00 2026-05-27
11644 CPT Exc Face-mm Malig+marg 3.1-4 8 4 $2,549.50 $2,167.00 $1,539.00 $3,289.00 $2,379.00 2026-05-27
73701 CPT CT Lower Ext With Contrast Rt 4 4 $2,510.00 $2,134.00 $2,309.00 $2,410.00 $2,372.00 2026-05-27
26951 CPT Amp Fing/thumb W/dir Closr 4 4 $2,502.00 $2,127.00 $2,302.00 $2,402.00 $2,364.50 2026-05-27
72192 CPT CT Pelvis Without Contrast 4 4 $2,485.00 $2,112.00 $2,286.00 $2,386.00 $2,348.50 2026-05-27
95810 CPT Sleep Study 8 4 $2,529.00 $2,149.50 $700.00 $4,125.00 $2,342.00 2026-05-27
73201 CPT CT Up Ext With Contrast Rt 4 4 $2,451.00 $2,083.00 $2,255.00 $2,353.00 $2,316.00 2026-05-27
74366 CPT Leuprolide 11.25 Mg Syringe 4 4 $2,444.00 $2,077.00 $2,248.00 $2,346.00 $2,309.50 2026-05-27
73200 CPT CT Up Ext Without Contrast Rt 4 4 $2,441.00 $2,075.00 $2,246.00 $2,343.00 $2,307.00 2026-05-27
J7298 HCPCS Mirena 8 4 $2,429.50 $2,065.50 $2,235.00 $2,333.00 $2,296.00 2026-05-27
J7307 HCPCS Estonogestrel Impl (Nexplanon) 4 4 $2,429.00 $2,065.00 $2,235.00 $2,332.00 $2,295.50 2026-05-27
23073 CPT Exc Tumr Sft Tiss Shld 5+cm 4 4 $2,415.00 $2,053.00 $2,222.00 $2,318.00 $2,282.00 2026-05-27
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