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

PENDER COMMUNITY HOSPITAL

Pender, NE · CCN 281349 · Rates published

2,370 distinct procedures filed
4 distinct payers
11,930 rate rows
2025-06-17 last MRF observed · ⚠ 16 mo old
Data quality

11,930 of 11,930 rate rows are consumer-grade (100.0%)

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

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 16 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)
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
Discovered viaDiscovered by HANK
Last fetch success · 2026-09-25
Content fingerprint 27906a7fc4065a61… · 2,684,158 bytes · first seen 2026-07-31

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
58150
CPT 		Total Hysterectomy 4 $15,500.00 $16,174.00 $15,879.25 nat. median
$3,499
outlier · 4.5×
27792
CPT 		Fx And/or Disl Leg/ankle Joint 4 $13,639.00 $14,232.00 $13,972.75 nat. median
$7,254
1.9× median
27650
CPT 		Rpr Prim Open/precu Achilles 4 $13,362.00 $13,943.00 $13,689.00 nat. median
$6,837
outlier · 2.0×
58605
CPT 		Ligate Fallop Tube Abd/va 4 $13,207.00 $13,781.00 $13,529.75 nat. median
$1,950
outlier · 6.9×
55869
CPT 		Lap Prostate W/bilateral Lymph 4 $12,230.00 $12,761.00 $12,528.50 nat. median
$11,101
1.1× median
27446
CPT 		Unicompartmental Knee Arthro 4 $11,925.00 $12,444.00 $12,216.75 nat. median
$12,905
0.9× median
59514
CPT 		Cesarean Delivery Only 4 $11,909.00 $12,427.00 $12,200.50 nat. median
$2,304
outlier · 5.3×
27447
CPT 		Tot Knee Arthroplasty 4 $11,386.00 $11,881.00 $11,664.25 nat. median
$12,374
0.9× median
27685
CPT 		Lengthen/shorten Ten Leg/ankle 4 $11,000.00 $11,479.00 $11,269.50 nat. median
$3,458
outlier · 3.3×
58571
CPT 		Lap Tot Hystrec 250 Gm/<w/rmvl 4 $10,966.00 $11,443.00 $11,234.50 nat. median
$10,013
1.1× median
55868
CPT 		Lap Prostate W/lymph Bx 4 $9,783.00 $10,209.00 $10,022.50 nat. median
$11,565
0.9× median
3601299
CDM 		Lsh W/t/o Ut 250 G Or Les 4 $9,681.00 $10,102.00 $9,918.00 —
27698
CPT 		Rpr Sec Dis Lig Ankle 4 $9,213.00 $9,613.00 $9,438.00 nat. median
$6,466
1.5× median
58720
CPT 		Removal Of Ovary/tube(s) 4 $8,770.00 $9,152.00 $8,984.75 nat. median
$2,980
outlier · 3.0×
23472
CPT 		Arthplasty Total Shoulder 4 $8,447.00 $8,814.00 $8,653.25 nat. median
$16,735
0.5× median
430070311
CDM 		Lanreotide 120 Mg/0.5 Ml Syr 4 $8,418.00 $8,784.00 $8,624.00 —
38571
CPT 		Laps Surg Bilateral Total Pelv 4 $8,317.00 $8,678.00 $8,520.25 nat. median
$9,567
0.9× median
58180
CPT 		Supracrvx Abd Hyst W/wo Rmvl 4 $8,271.00 $8,630.00 $8,473.25 nat. median
$3,970
outlier · 2.1×
27130
CPT 		Total Hip Arthroplasty 4 $8,270.00 $8,629.00 $8,472.25 nat. median
$12,734
0.7× median
28485
CPT 		Open Tx Of Metatar Fx 4 $8,232.00 $8,590.00 $8,433.50 nat. median
$7,199
1.2× median
52214
CPT 		Cystourethroscopy W/fulg 4 $8,158.00 $8,512.00 $8,357.25 nat. median
$3,595
outlier · 2.3×
56620
CPT 		Simple Partial Vuvectomy 4 $8,001.00 $8,349.00 $8,196.75 nat. median
$3,415
outlier · 2.4×
33285
CPT 		Insert Subcu Crd Rthm Mon 4 $7,869.00 $8,211.00 $8,061.25 nat. median
$9,474
0.9× median
430070012
CDM 		Alteplase 100 Mg/100 Ml Vial 4 $7,857.00 $8,198.00 $8,049.00 —
29888
CPT 		Arthro Aided Ant Cr Lig Rpr 4 $7,839.00 $8,180.00 $8,031.00 nat. median
$7,221
1.1× median
55530
CPT 		Revise Spermatic Cord Veins 4 $7,706.00 $8,041.00 $7,894.25 nat. median
$3,601
outlier · 2.2×
27814
CPT 		Tx Of Ankle Fracture 4 $7,705.00 $8,040.00 $7,893.50 nat. median
$7,169
1.1× median
27422
CPT 		Rec Disl Patella W Mscl Adv 4 $7,686.00 $8,020.00 $7,873.75 nat. median
$6,837
1.2× median
58611
CPT 		Ligate Fal Tube W Csectio 4 $7,665.00 $7,998.00 $7,852.00 nat. median
$756
outlier · 10.4×
3601445
CDM 		Rev Tot Kn Arth Fem&tibial Com 4 $7,600.00 $7,931.00 $7,786.00 —
25607
CPT 		Open Red W/inter Fix Wrist 4 $7,491.00 $7,816.00 $7,673.75 nat. median
$7,280
1.1× median
44238
CPT 		Unlisted Lapor Exct Rectum 4 $7,461.00 $7,786.00 $7,643.75 nat. median
$6,420
1.2× median
3601266
CDM 		Lap Inc Hernia Repair 4 $7,382.00 $7,703.00 $7,562.75 —
55866
CPT 		Surgical Removal Of Prostate And Surrounding Lymph Nodes Using An Endoscope 4 $4,778.00 $10,209.00 $7,458.38 nat. median
$10,013
0.7× median
28755
CPT 		Arthrodesis Grt Toe Int Joint 4 $7,216.00 $7,530.00 $7,392.75 nat. median
$5,227
1.4× median
64764
CPT 		Vedolizumab 300 Mg Vial 4 $7,096.00 $7,404.00 $7,269.25 nat. median
$6,998
1.0× median
52001
CPT 		Cystourethroscopy W/irrigation 4 $7,095.00 $7,404.00 $7,268.50 nat. median
$3,424
outlier · 2.1×
49595
CPT 		Int Rpr Hernia >10cm 4 $7,082.00 $7,390.00 $7,255.25 nat. median
$6,382
1.1× median
3601275
CDM 		Lap; Cholecystectomy W Ch 4 $6,983.00 $7,286.00 $7,153.75 nat. median
$472
outlier · 15.2×
3601272
CDM 		Lap Vent/abd Hernia Repai 4 $6,906.00 $7,207.00 $7,075.50 —
3601335
CDM 		Fx Open Proximal Humeral 4 $6,885.00 $7,185.00 $7,053.75 —
27412
CPT 		Autologous Chondro Impl Knee 4 $6,869.00 $7,167.00 $7,036.75 nat. median
$7,614
0.9× median
15740
CPT 		Flap; Island Axial Vessel 4 $6,848.00 $7,145.00 $7,015.00 nat. median
$2,250
outlier · 3.1×
58552
CPT 		Laparo-vag Hyst Incl T/o 4 $6,837.00 $7,135.00 $7,004.50 nat. median
$10,168
0.7× median
47562
CPT 		Removal Of Gallbladder Using An Endoscope 4 $6,540.00 $7,342.00 $6,954.25 nat. median
$6,043
1.2× median
3601014
CDM 		Arthroscop Rotator Cuff Repr 4 $6,415.00 $6,694.00 $6,572.00 —
49650
CPT 		Lap Hernia Ing Repair Initial 4 $6,395.00 $6,673.00 $6,551.25 nat. median
$5,726
1.1× median
28310
CPT 		Revision Big Toe 4 $6,381.00 $6,659.00 $6,537.25 nat. median
$4,575
1.4× median
58661
CPT 		Laparscopic Ov And/or Fl Tube 4 $6,357.00 $6,634.00 $6,512.75 nat. median
$5,852
1.1× median
27702
CPT 		Arthro Ankletotal Ankle 4 $6,238.00 $6,509.00 $6,390.25 nat. median
$14,000
outlier · 0.5×

Other procedures at this hospital

Browse this hospital's 2,370 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
             
50242 CPT Tenecteplase 50 Mg/10 Ml Vial 20 4 $18,776.00 $15,960.00 $1,274.00 $18,025.00 $6,117.95 2025-06-17
58150 CPT Total Hysterectomy 4 4 $16,848.00 $14,321.00 $15,500.00 $16,174.00 $15,879.25 2025-06-17
27792 CPT Fx And/or Disl Leg/ankle Joint 4 4 $14,825.00 $12,601.00 $13,639.00 $14,232.00 $13,972.75 2025-06-17
27650 CPT Rpr Prim Open/precu Achilles 4 4 $14,524.00 $12,345.00 $13,362.00 $13,943.00 $13,689.00 2025-06-17
58605 CPT Ligate Fallop Tube Abd/va 4 4 $14,355.00 $12,202.00 $13,207.00 $13,781.00 $13,529.75 2025-06-17
55869 CPT Lap Prostate W/bilateral Lymph 4 4 $13,293.00 $11,299.00 $12,230.00 $12,761.00 $12,528.50 2025-06-17
27446 CPT Unicompartmental Knee Arthro 4 4 $12,962.00 $11,018.00 $11,925.00 $12,444.00 $12,216.75 2025-06-17
59514 CPT Cesarean Delivery Only 4 4 $12,945.00 $11,003.00 $11,909.00 $12,427.00 $12,200.50 2025-06-17
27447 CPT Tot Knee Arthroplasty 4 4 $12,376.00 $10,520.00 $11,386.00 $11,881.00 $11,664.25 2025-06-17
27685 CPT Lengthen/shorten Ten Leg/ankle 4 4 $11,957.00 $10,163.00 $11,000.00 $11,479.00 $11,269.50 2025-06-17
58571 CPT Lap Tot Hystrec 250 Gm/<w/rmvl 4 4 $11,920.00 $10,132.00 $10,966.00 $11,443.00 $11,234.50 2025-06-17
55868 CPT Lap Prostate W/lymph Bx 4 4 $10,634.00 $9,039.00 $9,783.00 $10,209.00 $10,022.50 2025-06-17
55866 CPT Surgical Removal Of Prostate And Surrounding Lymph Nodes Using An Endoscope 8 4 $10,634.00 $9,039.00 $4,778.00 $10,209.00 $7,458.38 2025-06-17
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 $9,918.00 2025-06-17
27698 CPT Rpr Sec Dis Lig Ankle 4 4 $10,014.00 $8,512.00 $9,213.00 $9,613.00 $9,438.00 2025-06-17
58720 CPT Removal Of Ovary/tube(s) 4 4 $9,533.00 $8,103.00 $8,770.00 $9,152.00 $8,984.75 2025-06-17
23472 CPT Arthplasty Total Shoulder 4 4 $9,181.00 $7,804.00 $8,447.00 $8,814.00 $8,653.25 2025-06-17
430070311 CDM Lanreotide 120 Mg/0.5 Ml Syr 4 4 $9,150.00 $7,778.00 $8,418.00 $8,784.00 $8,624.00 2025-06-17
38571 CPT Laps Surg Bilateral Total Pelv 4 4 $9,040.00 $7,684.00 $8,317.00 $8,678.00 $8,520.25 2025-06-17
58180 CPT Supracrvx Abd Hyst W/wo Rmvl 4 4 $8,990.00 $7,642.00 $8,271.00 $8,630.00 $8,473.25 2025-06-17
27130 CPT Total Hip Arthroplasty 4 4 $8,989.00 $7,641.00 $8,270.00 $8,629.00 $8,472.25 2025-06-17
28485 CPT Open Tx Of Metatar Fx 4 4 $8,948.00 $7,606.00 $8,232.00 $8,590.00 $8,433.50 2025-06-17
52214 CPT Cystourethroscopy W/fulg 4 4 $8,867.00 $7,537.00 $8,158.00 $8,512.00 $8,357.25 2025-06-17
56620 CPT Simple Partial Vuvectomy 4 4 $8,697.00 $7,392.00 $8,001.00 $8,349.00 $8,196.75 2025-06-17
33285 CPT Insert Subcu Crd Rthm Mon 4 4 $8,553.00 $7,270.00 $7,869.00 $8,211.00 $8,061.25 2025-06-17
430070012 CDM Alteplase 100 Mg/100 Ml Vial 4 4 $8,540.00 $7,259.00 $7,857.00 $8,198.00 $8,049.00 2025-06-17
29888 CPT Arthro Aided Ant Cr Lig Rpr 4 4 $8,521.00 $7,243.00 $7,839.00 $8,180.00 $8,031.00 2025-06-17
55530 CPT Revise Spermatic Cord Veins 4 4 $8,376.00 $7,120.00 $7,706.00 $8,041.00 $7,894.25 2025-06-17
27814 CPT Tx Of Ankle Fracture 4 4 $8,375.00 $7,119.00 $7,705.00 $8,040.00 $7,893.50 2025-06-17
27422 CPT Rec Disl Patella W Mscl Adv 4 4 $8,354.00 $7,101.00 $7,686.00 $8,020.00 $7,873.75 2025-06-17
58611 CPT Ligate Fal Tube W Csectio 4 4 $8,331.00 $7,081.00 $7,665.00 $7,998.00 $7,852.00 2025-06-17
3601445 CDM Rev Tot Kn Arth Fem&tibial Com 4 4 $8,261.00 $7,022.00 $7,600.00 $7,931.00 $7,786.00 2025-06-17
25607 CPT Open Red W/inter Fix Wrist 4 4 $8,142.00 $6,921.00 $7,491.00 $7,816.00 $7,673.75 2025-06-17
44238 CPT Unlisted Lapor Exct Rectum 4 4 $8,110.00 $6,894.00 $7,461.00 $7,786.00 $7,643.75 2025-06-17
3601266 CDM Lap Inc Hernia Repair 4 4 $8,024.00 $6,820.00 $7,382.00 $7,703.00 $7,562.75 2025-06-17
28755 CPT Arthrodesis Grt Toe Int Joint 4 4 $7,844.00 $6,667.00 $7,216.00 $7,530.00 $7,392.75 2025-06-17
64764 CPT Vedolizumab 300 Mg Vial 4 4 $7,713.00 $6,556.00 $7,096.00 $7,404.00 $7,269.25 2025-06-17
52001 CPT Cystourethroscopy W/irrigation 4 4 $7,712.00 $6,555.00 $7,095.00 $7,404.00 $7,268.50 2025-06-17
49595 CPT Int Rpr Hernia >10cm 4 4 $7,698.00 $6,543.00 $7,082.00 $7,390.00 $7,255.25 2025-06-17
47562 CPT Removal Of Gallbladder Using An Endoscope 8 4 $7,648.00 $6,501.00 $6,540.00 $7,342.00 $6,954.25 2025-06-17
3601275 CDM Lap; Cholecystectomy W Ch 4 4 $7,590.00 $6,452.00 $6,983.00 $7,286.00 $7,153.75 2025-06-17
3601272 CDM Lap Vent/abd Hernia Repai 4 4 $7,507.00 $6,381.00 $6,906.00 $7,207.00 $7,075.50 2025-06-17
3601335 CDM Fx Open Proximal Humeral 4 4 $7,484.00 $6,361.00 $6,885.00 $7,185.00 $7,053.75 2025-06-17
27412 CPT Autologous Chondro Impl Knee 4 4 $7,466.00 $6,346.00 $6,869.00 $7,167.00 $7,036.75 2025-06-17
15740 CPT Flap; Island Axial Vessel 4 4 $7,443.00 $6,327.00 $6,848.00 $7,145.00 $7,015.00 2025-06-17
58552 CPT Laparo-vag Hyst Incl T/o 4 4 $7,432.00 $6,317.00 $6,837.00 $7,135.00 $7,004.50 2025-06-17
3601014 CDM Arthroscop Rotator Cuff Repr 4 4 $6,973.00 $5,927.00 $6,415.00 $6,694.00 $6,572.00 2025-06-17
49650 CPT Lap Hernia Ing Repair Initial 4 4 $6,951.00 $5,908.00 $6,395.00 $6,673.00 $6,551.25 2025-06-17
28310 CPT Revision Big Toe 4 4 $6,936.00 $5,896.00 $6,381.00 $6,659.00 $6,537.25 2025-06-17
58661 CPT Laparscopic Ov And/or Fl Tube 4 4 $6,910.00 $5,874.00 $6,357.00 $6,634.00 $6,512.75 2025-06-17
27702 CPT Arthro Ankletotal Ankle 4 4 $6,780.00 $5,763.00 $6,238.00 $6,509.00 $6,390.25 2025-06-17
49505 CPT Repair Of Groin Hernia Patient Age 5 Years Or Older 8 4 $6,735.00 $5,725.00 $5,575.00 $6,466.00 $6,029.62 2025-06-17
44394 CPT Colonoscopy Thru Ex Stoma 4 4 $6,710.00 $5,704.00 $6,173.00 $6,442.00 $6,324.25 2025-06-17
49651 CPT Lap Ing Hernia Repair Recur 4 4 $6,694.00 $5,690.00 $6,158.00 $6,426.00 $6,308.75 2025-06-17
52332 CPT Ureteral Stent Placement 4 4 $6,674.00 $5,673.00 $6,140.00 $6,407.00 $6,290.25 2025-06-17
28750 CPT Surgical Rpr Metatar/big Toe 4 4 $6,611.00 $5,619.00 $6,082.00 $6,347.00 $6,230.75 2025-06-17
74347 CPT Leuprolide 45 Mg Syringe 4 4 $6,548.00 $5,566.00 $6,024.00 $6,286.00 $6,171.50 2025-06-17
44970 CPT Laparoscopy; Appendectomy 4 4 $6,544.00 $5,562.00 $6,020.00 $6,282.00 $6,167.50 2025-06-17
49520 CPT Rerepair Ing Hernia Reduc 4 4 $6,414.00 $5,452.00 $5,901.00 $6,157.00 $6,045.00 2025-06-17
430070351 CDM Natalizumab 300 Mg/15 Ml Vial 4 4 $6,397.00 $5,437.00 $5,885.00 $6,141.00 $6,029.00 2025-06-17
49593 CPT Rpr Aa Hernia 1st 3-10cm Red 4 4 $6,285.00 $5,342.00 $5,782.00 $6,034.00 $5,923.75 2025-06-17
58600 CPT Ligate Fal Tube Abd Or Va 4 4 $6,260.00 $5,321.00 $5,759.00 $6,010.00 $5,900.00 2025-06-17
28200 CPT Rpr Flxr Tndn Foot 4 4 $6,259.00 $5,320.00 $5,758.00 $6,009.00 $5,899.00 2025-06-17
59160 CPT Curettage Postpartum 4 4 $6,249.00 $5,312.00 $5,749.00 $5,999.00 $5,889.75 2025-06-17
28299 CPT Correction Of Bunion 4 4 $6,242.00 $5,306.00 $5,743.00 $5,992.00 $5,883.00 2025-06-17
58660 CPT Laparoscopy Lysis 4 4 $6,183.00 $5,256.00 $5,688.00 $5,936.00 $5,827.50 2025-06-17
58353 CPT Thermal Endometr Ablation 8 4 $6,166.00 $5,241.00 $1,705.00 $5,919.00 $3,779.00 2025-06-17
29806 CPT Arthro Should Caps 4 4 $6,158.00 $5,234.00 $5,665.00 $5,912.00 $5,804.00 2025-06-17
50544 CPT Laparoscopic Pyeloplasty 4 4 $6,031.00 $5,126.00 $5,549.00 $5,790.00 $5,684.25 2025-06-17
58262 CPT Vag Hyst Incl T/o =<250gm 4 4 $5,907.00 $5,021.00 $5,434.00 $5,671.00 $5,567.50 2025-06-17
54440 CPT Operation Of Penis For Injury 4 4 $5,878.00 $4,996.00 $5,408.00 $5,643.00 $5,540.00 2025-06-17
28730 CPT Arthrodesis Midtar/tarso 2+ 4 4 $5,828.00 $4,954.00 $5,362.00 $5,595.00 $5,493.00 2025-06-17
74178 CPT CT Urogram 8 4 $5,777.00 $4,910.00 $3,745.00 $5,546.00 $4,640.75 2025-06-17
57120 CPT Colpocleisis 4 4 $5,749.00 $4,887.00 $5,289.00 $5,519.00 $5,418.50 2025-06-17
11770 CPT Exc Pilonidal Cyst Simple 8 4 $5,727.00 $4,868.00 $1,027.00 $5,498.00 $3,224.75 2025-06-17
3601022 CDM Arthr Shoulder, Slap Lesion 4 4 $5,674.00 $4,823.00 $5,220.00 $5,447.00 $5,347.75 2025-06-17
69145 CPT Remove Ear Canal Lesion(s 4 4 $5,616.00 $4,774.00 $5,167.00 $5,391.00 $5,293.00 2025-06-17
42831 CPT Adenoidectomy >12years 4 4 $5,599.00 $4,759.00 $5,151.00 $5,375.00 $5,277.00 2025-06-17
55060 CPT Repair Of Hydrocele 4 4 $5,598.00 $4,758.00 $5,150.00 $5,374.00 $5,276.00 2025-06-17
28300 CPT Rpr/revis/recon Of Foot/toes 4 4 $5,580.00 $4,743.00 $5,134.00 $5,357.00 $5,259.25 2025-06-17
29881 CPT Removal Of One Knee Cartilage Using An Endoscope 8 4 $5,547.00 $4,715.00 $4,820.00 $5,325.00 $5,082.88 2025-06-17
58563 CPT Hysteroscopy Endometrial Ablat 4 4 $5,517.00 $4,689.00 $5,076.00 $5,296.00 $5,199.75 2025-06-17
3601450 CDM Rpr 1st Fem Hrna Any Age Reduc 4 4 $5,513.00 $4,686.00 $5,072.00 $5,292.00 $5,195.75 2025-06-17
3601018 CDM Arthroscopy Of Joint 4 4 $5,452.00 $4,634.00 $5,016.00 $5,234.00 $5,138.50 2025-06-17
3601260 CDM Knee Arthroscopy/surgery 4 4 $5,412.00 $4,600.00 $4,979.00 $5,196.00 $5,100.75 2025-06-17
52601 CPT Transurethral Res Of Prostate 4 4 $5,358.00 $4,554.00 $4,929.00 $5,144.00 $5,050.00 2025-06-17
3601453 CDM Rpr Umbil Hern Block 5+ Y 4 4 $5,261.00 $4,472.00 $4,840.00 $5,051.00 $4,958.50 2025-06-17
3601004 CDM Anterior Colporrhaphy Rep 4 4 $5,170.00 $4,395.00 $4,756.00 $4,963.00 $4,872.75 2025-06-17
29826 CPT Shaving Of Shoulder Bone Using Endoscope 8 4 $5,145.00 $4,373.00 $4,024.00 $4,939.00 $4,485.75 2025-06-17
42820 CPT Removal Of Tonsils And Adenoid Glands, Patient Younger Than Age 12 8 4 $5,136.00 $4,366.00 $3,950.00 $4,931.00 $4,443.38 2025-06-17
36561 CPT Ins Tunneled Cvad W Port 4 4 $5,101.00 $4,336.00 $4,693.00 $4,897.00 $4,807.75 2025-06-17
430070344 CDM Benralizumab 30 Mg/ml Syringe 4 4 $5,024.00 $4,270.00 $4,622.00 $4,823.00 $4,735.25 2025-06-17
3601456 CDM Ventral Hernia 4 4 $5,009.00 $4,258.00 $4,608.00 $4,809.00 $4,721.00 2025-06-17
52310 CPT Cysto W Rem Fb/stnt Ureth 8 4 $4,965.00 $4,220.00 $901.00 $4,766.00 $2,801.12 2025-06-17
74174 CPT CT Angio Abd/pel With Without Cont 4 4 $4,960.00 $4,216.00 $4,563.00 $4,762.00 $4,674.75 2025-06-17
27687 CPT Rpr/revis/recon Ankle Jnt 4 4 $4,929.00 $4,190.00 $4,535.00 $4,732.00 $4,645.75 2025-06-17
46260 CPT Remove In/ex Hem Groups 2 4 4 $4,922.00 $4,184.00 $4,528.00 $4,725.00 $4,639.00 2025-06-17
74177 CPT CT Scan Of Abdomen And Pelvis With Contrast 4 4 $4,891.00 $4,157.00 $4,500.00 $4,695.00 $4,609.75 2025-06-17
95811 CPT Polysomnography W/cpap 4 4 $4,888.00 $4,155.00 $4,497.00 $4,692.00 $4,607.00 2025-06-17
3601025 CDM Arthrs Knee Drlg Osteochond If 4 4 $4,881.00 $4,149.00 $4,491.00 $4,686.00 $4,600.50 2025-06-17
7211007 CDM Labor Room >24hrs 4 4 $4,789.00 $4,071.00 $4,406.00 $4,597.00 $4,513.75 2025-06-17
3601010 CDM Arthrodesis Midtar/tarso 1 4 4 $4,765.00 $4,050.00 $4,384.00 $4,574.00 $4,491.00 2025-06-17
57250 CPT Rectocele Repair 4 4 $4,740.00 $4,029.00 $4,361.00 $4,550.00 $4,467.50 2025-06-17
74182 CPT MRI Whole Body Stir 8 4 $4,740.00 $4,029.00 $1,503.00 $4,550.00 $3,003.75 2025-06-17
19120 CPT Removal Of One Or More Breast Growth, Open Procedure 8 4 $4,730.00 $4,021.00 $1,776.00 $4,541.00 $3,138.75 2025-06-17
26160 CPT Remove Tendon Sheath Lesion 4 4 $4,719.00 $4,011.00 $4,341.00 $4,530.00 $4,447.50 2025-06-17
44206 CPT Immune Globulin 10% 40 Gm/400 Ml 8 4 $4,717.00 $4,009.00 $1,085.00 $4,528.00 $2,778.50 2025-06-17
430070387 CDM Rituximab 500 Mg/50 Ml Vial 4 4 $4,698.00 $3,993.00 $4,322.00 $4,510.00 $4,427.75 2025-06-17
24105 CPT Excision Olecranon Bursa 4 4 $4,695.00 $3,991.00 $4,319.00 $4,507.00 $4,424.75 2025-06-17
28208 CPT Rpr Of Ext Tendon Foot 4 4 $4,680.00 $3,978.00 $4,306.00 $4,493.00 $4,411.00 2025-06-17
28272 CPT Release Of Toe Joint Ea 8 4 $4,680.00 $3,978.00 $451.00 $4,493.00 $2,436.50 2025-06-17
3601474 CDM Surg Tx Incompl Abortion 4 4 $4,640.00 $3,944.00 $4,269.00 $4,454.00 $4,373.25 2025-06-17
44389 CPT Colonoscopy Stoma W/biopsy 4 4 $4,630.00 $3,936.00 $4,260.00 $4,445.00 $4,364.00 2025-06-17
20680 CPT Removal Of Implant Deep 4 4 $4,610.00 $3,919.00 $4,241.00 $4,426.00 $4,345.00 2025-06-17
29824 CPT Arthr Shoulder Distal Clavicul 4 4 $4,597.00 $3,907.00 $4,229.00 $4,413.00 $4,332.50 2025-06-17
430070215 CDM Pegfilgrastim 6 Mg/0.6 Ml Syr 4 4 $4,553.00 $3,870.00 $4,189.00 $4,371.00 $4,291.25 2025-06-17
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 $4,276.25 2025-06-17
3601258 CDM Knee Arthroscopy/surgery 4 4 $4,527.00 $3,848.00 $4,165.00 $4,346.00 $4,266.75 2025-06-17
11771 CPT Exc Pilonidal Cyst Extensive 4 4 $4,526.00 $3,847.00 $4,164.00 $4,345.00 $4,265.75 2025-06-17
74183 CPT MRI Enterography 8 4 $4,507.00 $3,831.00 $4,145.00 $4,327.00 $4,247.12 2025-06-17
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 $4,241.25 2025-06-17
3601454 CDM Umbil Hernia 4 4 $4,499.00 $3,824.00 $4,139.00 $4,319.00 $4,240.25 2025-06-17
72156 CPT MRI C Spine With & Without Contrast 4 4 $4,473.00 $3,802.00 $4,115.00 $4,294.00 $4,215.75 2025-06-17
3601419 CDM Rep Init Inci/ Ventral He 4 4 $4,471.00 $3,800.00 $4,113.00 $4,292.00 $4,213.75 2025-06-17
72157 CPT MRI T Spine With & Without Contrast 4 4 $4,465.00 $3,795.00 $4,108.00 $4,286.00 $4,208.25 2025-06-17
73223 CPT MRI Joint Up Ext With & Without Rt 8 4 $4,453.00 $3,785.00 $4,095.00 $4,275.00 $4,196.00 2025-06-17
42826 CPT Removal Of Tonsils > 12yrs 4 4 $4,437.00 $3,771.00 $4,082.00 $4,260.00 $4,182.00 2025-06-17
74176 CPT CT Abd/pel Without Contrast 4 4 $4,416.00 $3,754.00 $4,063.00 $4,239.00 $4,162.00 2025-06-17
70553 CPT MRI Scan 4 4 $4,386.00 $3,728.00 $4,035.00 $4,211.00 $4,134.00 2025-06-17
23071 CPT Exc Shoulder Les Sc 3 Cm/> 8 4 $4,385.00 $3,727.00 $2,882.00 $4,210.00 $3,542.88 2025-06-17
52318 CPT Cystolitholapaxy 4 4 $4,370.00 $3,715.00 $4,020.00 $4,195.00 $4,118.75 2025-06-17
430070405 CDM Tezepelumab-ekko 210 Mg/1.91ml 4 4 $4,369.00 $3,714.00 $4,019.00 $4,194.00 $4,117.75 2025-06-17
78452 CPT Myocardial Perfusion Stre 4 4 $4,367.00 $3,712.00 $4,018.00 $4,192.00 $4,116.00 2025-06-17
11772 CPT Exc Pilonidal Cyst Complex 4 4 $4,365.00 $3,710.00 $4,016.00 $4,190.00 $4,114.00 2025-06-17
49592 CPT Rpr Aa Hernia 1st <3 Cm 4 4 $4,333.00 $3,683.00 $3,986.00 $4,160.00 $4,083.75 2025-06-17
72197 CPT MRI Pelvis With & Without Contrast 4 4 $4,330.00 $3,681.00 $3,984.00 $4,157.00 $4,081.25 2025-06-17
44955 CPT Appy; Done For Indicat Pu 4 4 $4,323.00 $3,675.00 $3,977.00 $4,150.00 $4,074.50 2025-06-17
28289 CPT Cheilectomy 1st Mp Jt Without Impl 4 4 $4,323.00 $3,675.00 $3,977.00 $4,150.00 $4,074.50 2025-06-17
3601016 CDM Arthr Knee Synovect 2/>compart 4 4 $4,322.00 $3,674.00 $3,976.00 $4,149.00 $4,073.50 2025-06-17
25111 CPT Excision Of Ganglion Wrist 4 4 $4,319.00 $3,671.00 $3,973.00 $4,146.00 $4,070.50 2025-06-17
72158 CPT MRI L Spine With Without Contrast 4 4 $4,317.00 $3,669.00 $3,972.00 $4,144.00 $4,068.75 2025-06-17
3601019 CDM Arthroscopy Biceps Tenodesis 4 4 $4,305.00 $3,659.00 $3,961.00 $4,133.00 $4,057.75 2025-06-17
95810 CPT Sleep Study 4 4 $4,297.00 $3,652.00 $3,953.00 $4,125.00 $4,049.75 2025-06-17
54161 CPT Circum 28 Days Or Older 4 4 $4,293.00 $3,649.00 $3,950.00 $4,121.00 $4,046.00 2025-06-17
70549 CPT MRA Neck With Without Contrast 4 4 $4,275.00 $3,634.00 $3,933.00 $4,104.00 $4,029.00 2025-06-17
29879 CPT Arthroscopy Knee; Abras A 4 4 $4,270.00 $3,630.00 $3,928.00 $4,099.00 $4,024.50 2025-06-17
3601026 CDM Arthrs Knee W/meniscec Med&lat 4 4 $4,262.00 $3,623.00 $3,921.00 $4,092.00 $4,017.00 2025-06-17
30520 CPT Septoplasty 4 4 $4,261.00 $3,622.00 $3,920.00 $4,091.00 $4,016.00 2025-06-17
29823 CPT Arthr Shoulder Surg Debride 3 4 4 $4,239.00 $3,603.00 $3,900.00 $4,069.00 $3,995.25 2025-06-17
42821 CPT T & A; Age 12 Or More 4 4 $4,233.00 $3,598.00 $3,894.00 $4,064.00 $3,989.50 2025-06-17
3601124 CDM Excision Tumor Abd Wall <3cm 4 4 $4,220.00 $3,587.00 $3,882.00 $4,051.00 $3,977.25 2025-06-17
28122 CPT Partial Removal Of Foot Bone 4 4 $4,206.00 $3,575.00 $3,870.00 $4,038.00 $3,964.50 2025-06-17
27691 CPT Rpr/rvisn/recons Of Tib/fib 4 4 $4,202.00 $3,572.00 $3,866.00 $4,034.00 $3,960.50 2025-06-17
7211006 CDM Labor Room 20-24hrs 4 4 $4,152.00 $3,529.00 $3,820.00 $3,986.00 $3,913.25 2025-06-17
49591 CPT Rpr Aa Hernia 1st <3cm Reduc 4 4 $4,150.00 $3,528.00 $3,818.00 $3,984.00 $3,911.50 2025-06-17
74185 CPT MRA Abdomen With Or Without Conrast 4 4 $4,116.00 $3,499.00 $3,787.00 $3,951.00 $3,879.25 2025-06-17
3601011 CDM Arthrodesis Subtala 4 4 $4,016.00 $3,414.00 $3,695.00 $3,855.00 $3,785.00 2025-06-17
28296 CPT Resection Of Proximal Phalanx 4 4 $3,973.00 $3,377.00 $3,655.00 $3,814.00 $3,744.50 2025-06-17
70551 CPT MRI Brain Without Contrast 4 4 $3,957.00 $3,363.00 $3,640.00 $3,799.00 $3,729.50 2025-06-17
28112 CPT Ostectomy Other Metatarsal 4 4 $3,953.00 $3,360.00 $3,637.00 $3,795.00 $3,725.75 2025-06-17
70552 CPT MRI Brain With Contrast 4 4 $3,913.00 $3,326.00 $3,600.00 $3,756.00 $3,687.75 2025-06-17
52441 CPT Urolift Initial 8 4 $3,913.00 $3,326.00 $2,677.00 $3,756.00 $3,215.25 2025-06-17
70546 CPT MRA Head With Without Contrast 8 4 $3,910.00 $3,324.00 $3,242.00 $3,754.00 $3,503.38 2025-06-17
20670 CPT Removal Of Implant Superficial 4 4 $3,892.00 $3,308.00 $3,581.00 $3,736.00 $3,668.00 2025-06-17
74181 CPT MRI Abdomen Without Contrast 4 4 $3,878.00 $3,296.00 $3,568.00 $3,723.00 $3,655.00 2025-06-17
72147 CPT MRI Th Spine With Contrast 4 4 $3,875.00 $3,294.00 $3,565.00 $3,720.00 $3,652.25 2025-06-17
28285 CPT Hammertoe One Toe 4 4 $3,869.00 $3,289.00 $3,559.00 $3,714.00 $3,646.50 2025-06-17
44950 CPT Appendectomy 4 4 $3,843.00 $3,267.00 $3,536.00 $3,689.00 $3,622.00 2025-06-17
70543 CPT MRI Orbt/face/ Neck Without With Contrast 4 4 $3,832.00 $3,257.00 $3,525.00 $3,679.00 $3,611.50 2025-06-17
45335 CPT Sigmoidoscopy With Submucous Inj 4 4 $3,820.00 $3,247.00 $3,514.00 $3,667.00 $3,600.25 2025-06-17
58570 CPT Laparos W/tot Hyst 250gm/< 4 4 $3,775.00 $3,209.00 $3,473.00 $3,624.00 $3,558.00 2025-06-17
81408 CPT Molecular Path Proc Level 9 4 4 $3,774.00 $3,208.00 $3,472.00 $3,623.00 $3,557.00 2025-06-17
64718 CPT Ulnar Nerve At Elbow 4 4 $3,773.00 $3,207.00 $3,471.00 $3,622.00 $3,556.00 2025-06-17
49613 CPT Rpr Aa Hernia Recr < 3 Cm Redu 4 4 $3,739.00 $3,178.00 $3,440.00 $3,589.00 $3,524.00 2025-06-17
72146 CPT MRI T Spine Without Contrast 4 4 $3,716.00 $3,159.00 $3,419.00 $3,567.00 $3,502.25 2025-06-17
58670 CPT Laparoscopy, Tubal Cauterys 4 4 $3,712.00 $3,155.00 $3,415.00 $3,564.00 $3,498.50 2025-06-17
72141 CPT MRI Cervical Spine Without 4 4 $3,710.00 $3,154.00 $3,413.00 $3,562.00 $3,496.75 2025-06-17
73220 CPT MRI Up Ext With Without Contrast Lt 4 4 $3,709.00 $3,153.00 $3,412.00 $3,561.00 $3,495.75 2025-06-17
78451 CPT Myocardial Perfrest 4 4 $3,708.00 $3,152.00 $3,411.00 $3,560.00 $3,495.00 2025-06-17
41113 CPT Rem Lesion W Cl Post 1/3 4 4 $3,674.00 $3,123.00 $3,380.00 $3,527.00 $3,462.75 2025-06-17
72142 CPT MRI C Spine With Contrast 4 4 $3,669.00 $3,119.00 $3,375.00 $3,522.00 $3,458.00 2025-06-17
52442 CPT Urolifteach Additional 8 4 $3,657.00 $3,108.00 $1,642.00 $3,511.00 $2,564.62 2025-06-17
72196 CPT MRI Pelvis With Contrast 4 4 $3,651.00 $3,103.00 $3,359.00 $3,505.00 $3,441.00 2025-06-17
70548 CPT MRA Neck With Contrast 4 4 $3,651.00 $3,103.00 $3,359.00 $3,505.00 $3,441.00 2025-06-17
72149 CPT MRI Lumbar Spine With Contrast 4 4 $3,644.00 $3,097.00 $3,352.00 $3,498.00 $3,434.25 2025-06-17
3601102 CDM Diag Laparoscopy Separate Proc 4 4 $3,641.00 $3,095.00 $3,350.00 $3,495.00 $3,431.75 2025-06-17
73723 CPT MRI Low Ext Joint With & Without Rt 8 4 $3,624.00 $3,080.00 $3,333.00 $3,479.00 $3,415.25 2025-06-17
81162 CPT Brca1 Brca2 Gene Alys Full 4 4 $3,609.00 $3,068.00 $3,320.00 $3,465.00 $3,401.50 2025-06-17
19301 CPT Mastectomy Partial 4 4 $3,584.00 $3,046.00 $3,297.00 $3,441.00 $3,378.00 2025-06-17
58573 CPT Lap Tot Hystrec >250 Gm W/rmvl 4 4 $3,572.00 $3,036.00 $3,286.00 $3,429.00 $3,366.50 2025-06-17
28292 CPT Corrj Hallux Valgus W/sesmdc 4 4 $3,568.00 $3,033.00 $3,283.00 $3,425.00 $3,363.00 2025-06-17
73720 CPT MRI Low Ext With Without Cont Rt 8 4 $3,562.00 $3,028.00 $3,276.00 $3,420.00 $3,356.75 2025-06-17
52204 CPT Cystoscopy W/biopsy(s) 4 4 $3,553.00 $3,020.00 $3,269.00 $3,411.00 $3,348.75 2025-06-17
28820 CPT Amputation Toe Metaphalangeal 8 4 $3,549.00 $3,017.00 $2,102.00 $3,407.00 $2,749.38 2025-06-17
72148 CPT MRI Scan Of Lower Spinal Canal 4 4 $3,546.00 $3,014.00 $3,262.00 $3,404.00 $3,342.00 2025-06-17
70547 CPT MRA Neck Without Contrast 4 4 $3,533.00 $3,003.00 $3,250.00 $3,392.00 $3,329.75 2025-06-17
56700 CPT Partial Removal Of Hymen 4 4 $3,525.00 $2,996.00 $3,243.00 $3,384.00 $3,322.50 2025-06-17
7211005 CDM Labor Room 16-20hrs 4 4 $3,514.00 $2,987.00 $3,233.00 $3,373.00 $3,311.75 2025-06-17
73222 CPT MRI Joint Up Ext With Cont Lt 4 4 $3,476.00 $2,955.00 $3,198.00 $3,337.00 $3,276.00 2025-06-17
3601001 CDM Amputate Metatar W/toe Single 4 4 $3,464.00 $2,944.00 $3,187.00 $3,325.00 $3,264.75 2025-06-17
72195 CPT MRI Pelvis Without Contrast 4 4 $3,460.00 $2,941.00 $3,183.00 $3,322.00 $3,261.00 2025-06-17
1201013 CDM Swb Airborne Isolation 4 4 $3,460.00 $2,941.00 $3,183.00 $3,322.00 $3,261.00 2025-06-17
70540 CPT MRI Orbit, Face, Neck Without 4 4 $3,459.00 $2,940.00 $3,182.00 $3,321.00 $3,260.00 2025-06-17
64721 CPT Carpal Tunnel Release 4 4 $3,451.00 $2,933.00 $3,175.00 $3,313.00 $3,252.50 2025-06-17
71552 CPT MRI Chest W & Wo Contrast 4 4 $3,432.00 $2,917.00 $3,157.00 $3,295.00 $3,234.50 2025-06-17
74170 CPT CT Abdomen With Without Contrast 4 4 $3,418.00 $2,905.00 $3,145.00 $3,281.00 $3,221.50 2025-06-17
42830 CPT Removal Of Adenoids 1' <1 4 4 $3,418.00 $2,905.00 $3,145.00 $3,281.00 $3,221.50 2025-06-17
71550 CPT MRI Chest Without Contrast 4 4 $3,416.00 $2,904.00 $3,143.00 $3,279.00 $3,219.50 2025-06-17
64561 CPT Prq Implt Neurostim Sac With Img 4 4 $3,393.00 $2,884.00 $3,122.00 $3,257.00 $3,197.75 2025-06-17
49568 CPT Hernia Repair W/mesh 4 4 $3,392.00 $2,883.00 $3,121.00 $3,256.00 $3,196.75 2025-06-17
430070404 CDM Paliperidone 234 Mg/1.5 Ml Syr 4 4 $3,361.00 $2,857.00 $3,092.00 $3,227.00 $3,167.75 2025-06-17
29822 CPT Arthr Shoulder Surg Debrid 1-2 4 4 $3,360.00 $2,856.00 $3,091.00 $3,226.00 $3,166.75 2025-06-17
74175 CPT CT Angio Abdomen With Without Cont 4 4 $3,353.00 $2,850.00 $3,085.00 $3,219.00 $3,160.25 2025-06-17
3601316 CDM Myringoplasty 4 4 $3,336.00 $2,836.00 $3,069.00 $3,203.00 $3,144.25 2025-06-17
28308 CPT Osteot W/wo Lng/st/cor Mt Xcp1 4 4 $3,315.00 $2,818.00 $3,050.00 $3,182.00 $3,124.25 2025-06-17
430070066 CDM Denosumab 120 Mg/1.7 Ml Vial 4 4 $3,313.00 $2,816.00 $3,048.00 $3,180.00 $3,122.25 2025-06-17
3601015 CDM Arthr Knee Diagn W/wo Synovia 4 4 $3,313.00 $2,816.00 $3,048.00 $3,180.00 $3,122.25 2025-06-17
78100 CPT Inclisiran 284 Mg/1.5 Ml Syr 4 4 $3,298.00 $2,803.00 $3,034.00 $3,166.00 $3,108.25 2025-06-17
1201011 CDM OB Airborn Isolation 4 4 $3,295.00 $2,801.00 $3,031.00 $3,163.00 $3,105.25 2025-06-17
1201009 CDM Airborne Isolation 4 4 $3,295.00 $2,801.00 $3,031.00 $3,163.00 $3,105.25 2025-06-17
59400 CPT Obstetric Care, Planned Vaginal Delivery 4 4 $3,288.00 $2,795.00 $3,025.00 $3,156.00 $3,099.00 2025-06-17
45385 CPT Removal Of Polyps Or Growths Of Large Bowel Using An Endoscope 4 4 $3,283.00 $2,791.00 $3,020.00 $3,152.00 $3,094.25 2025-06-17
71275 CPT CT Angio Chest With Without Contrast 4 4 $3,268.00 $2,778.00 $3,007.00 $3,137.00 $3,080.25 2025-06-17
28119 CPT Ostec Calc Spur W/wo Plnt Fasc 4 4 $3,233.00 $2,748.00 $2,974.00 $3,104.00 $3,047.00 2025-06-17
3601292 CDM Wound Dehiscence Complicated 4 4 $3,226.00 $2,742.00 $2,968.00 $3,097.00 $3,040.50 2025-06-17
73722 CPT MRI Low Ext Joint With Cont Lt 4 4 $3,222.00 $2,739.00 $2,964.00 $3,093.00 $3,036.75 2025-06-17
73718 CPT MRI Low Ext Without Contrast Lt 4 4 $3,215.00 $2,733.00 $2,958.00 $3,086.00 $3,030.00 2025-06-17
69610 CPT Repair Of Eardrum 4 4 $3,207.00 $2,726.00 $2,950.00 $3,079.00 $3,022.75 2025-06-17
28304 CPT Osteotomy Of Tarsal Bones 4 4 $3,199.00 $2,719.00 $2,943.00 $3,071.00 $3,015.00 2025-06-17
70545 CPT MRA Head With Contrast 8 4 $3,187.00 $2,709.00 $2,256.00 $3,060.00 $2,657.50 2025-06-17
15847 CPT Exc Excess Skin Abdo 4 4 $3,178.00 $2,701.00 $2,924.00 $3,051.00 $2,995.25 2025-06-17
72132 CPT CT L Spine With Contrast 4 4 $3,177.00 $2,700.00 $2,923.00 $3,050.00 $2,994.25 2025-06-17
28270 CPT Release Of Foot Contractu 4 4 $3,158.00 $2,684.00 $2,905.00 $3,032.00 $2,976.50 2025-06-17
45331 CPT Sigmoidoscopy, Flex W/biopsy 4 4 $3,151.00 $2,678.00 $2,899.00 $3,025.00 $2,969.75 2025-06-17
27652 CPT Rpr Pri Open/prq Rupt Ach W/gr 4 4 $3,150.00 $2,678.00 $2,898.00 $3,024.00 $2,969.00 2025-06-17
69436 CPT Tympanostomy G Anes Bilat 4 4 $3,149.00 $2,677.00 $2,897.00 $3,023.00 $2,968.00 2025-06-17
71270 CPT CT Chest With Without Contrast 4 4 $3,131.00 $2,661.00 $2,881.00 $3,006.00 $2,951.00 2025-06-17
28124 CPT Partial Removal Of Toe 4 4 $3,128.00 $2,659.00 $2,878.00 $3,003.00 $2,948.25 2025-06-17
28232 CPT Incision Of Toe Tendon 4 4 $3,123.00 $2,655.00 $2,873.00 $2,998.00 $2,943.50 2025-06-17
26055 CPT Trigger Finger Release 4 4 $3,123.00 $2,655.00 $2,873.00 $2,998.00 $2,943.50 2025-06-17
72194 CPT CT Pelvis With Without Contrast 4 4 $3,097.00 $2,632.00 $2,849.00 $2,973.00 $2,918.75 2025-06-17
28825 CPT Amputation Toe Interphal Joint 4 4 $3,086.00 $2,623.00 $2,839.00 $2,963.00 $2,908.75 2025-06-17
58120 CPT D&c (Not Ob) 4 4 $3,080.00 $2,618.00 $2,834.00 $2,957.00 $2,903.00 2025-06-17
27635 CPT Exc Bone Cyst/tumor Fibula 4 4 $3,040.00 $2,584.00 $2,797.00 $2,918.00 $2,865.25 2025-06-17
1201012 CDM Swb Isolation 4 4 $3,035.00 $2,580.00 $2,792.00 $2,914.00 $2,860.50 2025-06-17
27870 CPT Arthrodesis Ankle 4 4 $3,010.00 $2,559.00 $2,769.00 $2,890.00 $2,837.00 2025-06-17
22903 CPT Excision Tumor Abd Wall >3cm 4 4 $3,008.00 $2,557.00 $2,767.00 $2,888.00 $2,835.25 2025-06-17
3601407 CDM Removal Of Tonsils <12 Yr 4 4 $2,993.00 $2,544.00 $2,754.00 $2,873.00 $2,820.75 2025-06-17
54360 CPT Rpr Penis Correct Angulation 4 4 $2,990.00 $2,542.00 $2,751.00 $2,870.00 $2,818.25 2025-06-17
73218 CPT MRI Up Ext Without Contrast Lt 4 4 $2,989.00 $2,541.00 $2,750.00 $2,869.00 $2,817.25 2025-06-17
3601177 CDM Exc/curettage Cyst/tumor Femur 4 4 $2,985.00 $2,537.00 $2,746.00 $2,866.00 $2,813.50 2025-06-17
64581 CPT Implt Neurostim Eltrd Sacral 4 4 $2,970.00 $2,525.00 $2,732.00 $2,851.00 $2,799.25 2025-06-17
58558 CPT Hysteroscopy W/wo D&c 4 4 $2,961.00 $2,517.00 $2,724.00 $2,843.00 $2,790.75 2025-06-17
54840 CPT Spermatocelectomy W/orw/o Epid 4 4 $2,931.00 $2,491.00 $2,697.00 $2,814.00 $2,762.50 2025-06-17
72133 CPT CT L Spine With Without Contrast 4 4 $2,927.00 $2,488.00 $2,693.00 $2,810.00 $2,758.75 2025-06-17
73702 CPT CT Low Ext With Without Contrast Lt 4 4 $2,911.00 $2,474.00 $2,678.00 $2,795.00 $2,743.50 2025-06-17
1201010 CDM OB Isolation 4 4 $2,890.00 $2,457.00 $2,659.00 $2,774.00 $2,724.00 2025-06-17
1201008 CDM Isolation 4 4 $2,890.00 $2,457.00 $2,659.00 $2,774.00 $2,724.00 2025-06-17
70492 CPT CT Neck With Without Contrast 4 4 $2,888.00 $2,455.00 $2,657.00 $2,772.00 $2,722.00 2025-06-17
19100 CPT Bx Breast Percut Without Image 4 4 $2,884.00 $2,451.00 $2,653.00 $2,769.00 $2,718.25 2025-06-17
52317 CPT Litholapaxy Simp/sm <2.5cm 4 4 $2,882.00 $2,450.00 $2,651.00 $2,767.00 $2,716.25 2025-06-17
7211004 CDM Labor Room 12-16hrs 4 4 $2,877.00 $2,445.00 $2,647.00 $2,762.00 $2,711.50 2025-06-17
74160 CPT CT Abdomen With Contrast 4 4 $2,863.00 $2,434.00 $2,634.00 $2,748.00 $2,698.25 2025-06-17
69424 CPT Rem Ventil Tube Under Ane 4 4 $2,852.00 $2,424.00 $2,624.00 $2,738.00 $2,688.00 2025-06-17
73721 CPT MRI Scan Of Leg Joint 8 4 $2,843.00 $2,417.00 $2,571.00 $2,729.00 $2,656.75 2025-06-17
64510 CPT Diag/ther Inj Stel Ganglion 4 4 $2,840.00 $2,414.00 $2,613.00 $2,726.00 $2,676.75 2025-06-17
73221 CPT Upper Extr Jt Without Contrast Lt 4 4 $2,838.00 $2,412.00 $2,611.00 $2,724.00 $2,674.75 2025-06-17
35226 CPT Repair Bld Vessel Direct; 4 4 $2,823.00 $2,400.00 $2,597.00 $2,710.00 $2,660.75 2025-06-17
52235 CPT Transurethral Res Of Blad Tum 4 4 $2,818.00 $2,395.00 $2,593.00 $2,705.00 $2,656.00 2025-06-17
45380 CPT Biopsy Exam Of Large Bowel Using An Endoscope 4 4 $2,810.00 $2,389.00 $2,585.00 $2,698.00 $2,648.50 2025-06-17
72193 CPT CT Scan Of Pelvis With Contrast 4 4 $2,797.00 $2,377.00 $2,573.00 $2,685.00 $2,636.00 2025-06-17
70470 CPT CT Head With And Without Cont 4 4 $2,763.00 $2,349.00 $2,542.00 $2,652.00 $2,604.00 2025-06-17
70544 CPT MRA Head Without Contrast 4 4 $2,762.00 $2,348.00 $2,541.00 $2,652.00 $2,603.25 2025-06-17
26111 CPT Exc Hand Les Sc 1.5 Cm/> 4 4 $2,759.00 $2,345.00 $2,538.00 $2,649.00 $2,600.25 2025-06-17
2001001 CDM Intensive Care 4 4 $2,755.00 $2,342.00 $2,535.00 $2,645.00 $2,596.75 2025-06-17
72125 CPT CT C Spine Without Contrast 4 4 $2,747.00 $2,335.00 $2,527.00 $2,637.00 $2,589.00 2025-06-17
75635 CPT CT Angio Abd/pel With Runoff 4 4 $2,735.00 $2,325.00 $2,516.00 $2,626.00 $2,577.75 2025-06-17
3601467 CDM Adj Tiss Transf Other 10 Sq C 4 4 $2,721.00 $2,313.00 $2,503.00 $2,612.00 $2,564.50 2025-06-17
70336 CPT MRI Temporomandibular Joi 4 4 $2,720.00 $2,312.00 $2,502.00 $2,611.00 $2,563.50 2025-06-17
59820 CPT Tx Missed Abor 1st Trimester 4 4 $2,709.00 $2,303.00 $2,492.00 $2,601.00 $2,553.25 2025-06-17
3601173 CDM Exc Tumr Sft Ts Ft/toe 1.5cm/< 4 4 $2,708.00 $2,302.00 $2,491.00 $2,600.00 $2,552.50 2025-06-17
70482 CPT CT Orb/iac/temp With Without Cont 4 4 $2,694.00 $2,290.00 $2,478.00 $2,586.00 $2,538.75 2025-06-17
70491 CPT CT Neck With Contrast 4 4 $2,675.00 $2,274.00 $2,461.00 $2,568.00 $2,521.25 2025-06-17
30140 CPT Submuc Rescj Inf Turb Prtl/com 4 4 $2,673.00 $2,272.00 $2,459.00 $2,566.00 $2,519.25 2025-06-17
71250 CPT CT Chest Without Contrast 4 4 $2,671.00 $2,270.00 $2,457.00 $2,564.00 $2,517.25 2025-06-17
54300 CPT Penis Straightening Chordee 4 4 $2,669.00 $2,269.00 $2,455.00 $2,562.00 $2,515.50 2025-06-17
94003 CPT Vent Mgmt Ip Subq Day 4 4 $2,666.00 $2,266.00 $2,453.00 $2,559.00 $2,512.75 2025-06-17
14000 CPT Adj Tiss Transf Trunk 10 Sq Cm 4 4 $2,659.00 $2,260.00 $2,446.00 $2,553.00 $2,506.00 2025-06-17
70488 CPT CT Maxillofacial With Without Cont 4 4 $2,655.00 $2,257.00 $2,443.00 $2,549.00 $2,502.50 2025-06-17
430070394 CDM Romosozumab-aqqg 210mg/2.34ml 4 4 $2,629.00 $2,235.00 $2,419.00 $2,524.00 $2,478.00 2025-06-17
93312 CPT Tee 4 4 $2,625.00 $2,231.00 $2,415.00 $2,520.00 $2,474.25 2025-06-17
70481 CPT CT Orb/iac/temp With Contrast 4 4 $2,623.00 $2,230.00 $2,413.00 $2,518.00 $2,472.25 2025-06-17
70496 CPT CT Angio Head With Without Contrast 4 4 $2,612.00 $2,220.00 $2,403.00 $2,508.00 $2,461.75 2025-06-17
72129 CPT CT T Spine With Contrast 4 4 $2,603.00 $2,213.00 $2,395.00 $2,499.00 $2,453.50 2025-06-17
19300 CPT Mastectomy Gynecomastia 4 4 $2,598.00 $2,208.00 $2,390.00 $2,494.00 $2,448.50 2025-06-17
50474 CPT Certolizumab 400 Mg (200 Mg/ Ml X2) Kit 4 4 $2,593.00 $2,204.00 $2,386.00 $2,489.00 $2,443.75 2025-06-17
23120 CPT Claviculectomy Partial 4 4 $2,592.00 $2,203.00 $2,385.00 $2,488.00 $2,442.75 2025-06-17
78582 CPT Pulmonary Ventila & Perfu 4 4 $2,592.00 $2,203.00 $2,385.00 $2,488.00 $2,442.75 2025-06-17
G0121 HCPCS Colorec Scr (Not Hi Risk) 4 4 $2,592.00 $2,203.00 $2,385.00 $2,488.00 $2,442.75 2025-06-17
70498 CPT CT Angio Neck With Without Contrast 4 4 $2,585.00 $2,197.00 $2,378.00 $2,482.00 $2,436.50 2025-06-17
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