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

PEMBINA COUNTY MEMORIAL HOSPITAL

Cavalier, ND · CCN 351319 · Rates published

Your selected procedure

You selected 93306 (CPT)

HC TTE W/DOPPLER COMPLETE

This hospital’s price: $391 across 11 payers · range $376-$660

Source: https://machine-readable-files.com/pembina-county-memorial-hospital/456013474_Pembina-County-Memorial-Hospital-Association_standardcharges.csv · observed 2025-11-13

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

590 distinct procedures filed
21 distinct payers
2,541 rate rows
2025-11-13 last MRF observed
Data quality

2,477 of 2,541 rate rows are consumer-grade (97.5%)

64 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
professional (physician) fee — not the facility price 64
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://machine-readable-files.com/pembina-county-memorial-hospital/456013474_Pembina-County-Memorial-Hospital-Association_standardcharges.csv
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-10-23
Content fingerprint 7d9e0dd6744e8e1c… · 1,252,530 bytes · first seen 2026-05-13

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
47562
CPT 		Hc Laparoscopic Cholecystectomy 2 $5,571.75 $6,776.03 $6,173.89 nat. median
$5,988
1.0× median
49507
CPT 		Hc Rpr Initial Hernia >5 Yrs Strang 1 $3,834.12 $3,834.12 $3,834.12 nat. median
$3,886
1.0× median
72156
CPT 		Hc MRI C-spine W/wo Dye 1 $2,554.44 $2,554.44 $2,554.44 nat. median
$1,110
outlier · 2.3×
74183
CPT 		Hc MRI Abdomen W/wo Dye 4 $1,771.56 $2,154.46 $1,887.32 nat. median
$1,105
1.7× median
11441
CPT 		Hc Exc Skin Benig 0.6-1cm Face,facial 1 $1,853.61 $1,853.61 $1,853.61 nat. median
$723
outlier · 2.6×
70543
CPT 		Hc MRI Orbit/face/neck W/wo Dye 2 $1,812.60 $1,878.52 $1,845.56 nat. median
$1,087
1.7× median
70553
CPT 		Hc MRI-brain W/wo Dye 7 $1,571.49 $2,431.80 $1,714.24 nat. median
$1,136
1.5× median
74178
CPT 		Hc CT Abd/pelvis W/o&w Contrast 4 $1,438.56 $1,834.00 $1,597.62 nat. median
$1,027
1.6× median
11406
CPT 		Hc Exc Skin Benig >4cm Trunk,arm,leg 1 $1,546.90 $1,546.90 $1,546.90 nat. median
$1,750
0.9× median
73723
CPT 		Hc MRI Lower Ext Joint W/wo Dye 2 $1,215.50 $1,743.06 $1,479.28 nat. median
$1,199
1.2× median
74177
CPT 		Hc CT Abd/pelvis W/contrast 14 $1,212.39 $2,020.65 $1,260.61 nat. median
$976
1.3× median
73718
CPT 		Hc MRI Lower Ext Without Contrast 4 $1,169.00 $1,489.16 $1,239.65 nat. median
$870
1.4× median
71275
CPT 		Hc CTA Chest 5 $893.20 $1,399.09 $1,164.46 nat. median
$759
1.5× median
70551
CPT 		Hc MRI-brain/brain Stem 3 $967.92 $1,162.75 $1,156.10 nat. median
$787
1.5× median
71270
CPT 		Hc CT Thorax W+wo Contrast 1 $1,154.87 $1,154.87 $1,154.87 nat. median
$684
1.7× median
70496
CPT 		Hc CTA Head 8 $161.13 $1,341.34 $1,145.52 nat. median
$752
1.5× median
72193
CPT 		Hc CT Pelvis With Contrast 1 $1,137.54 $1,137.54 $1,137.54 nat. median
$643
1.8× median
C1781
HCPCS 		Pc Mesh: Implantable 2 $1,095.20 $1,131.46 $1,113.33 nat. median
$1,410
0.8× median
74181
CPT 		Hc MRI-abdomen Without Contrast 1 $1,089.53 $1,089.53 $1,089.53 nat. median
$820
1.3× median
73721
CPT 		Hc MRI-lower Ext Joint Without Contrast 8 $1,010.61 $1,648.89 $1,076.22 nat. median
$856
1.3× median
73221
CPT 		Hc MRI-upper Ext Joint Without Contrast 7 $1,010.61 $1,200.67 $1,068.38 nat. median
$844
1.3× median
72146
CPT 		Hc MRI-t-spine Without Contrast 4 $931.81 $1,463.82 $1,028.57 nat. median
$800
1.3× median
72141
CPT 		Hc MRI-c-spine Without Contrast 6 $894.90 $1,460.10 $1,023.07 nat. median
$785
1.3× median
86366
CPT 		Pc Musk Autoantibody, S 1 $993.72 $993.72 $993.72 nat. median
$42
outlier · 23.8×
70480
CPT 		Hc CT Orbits/fossa/sella/iac 2 $962.66 $978.58 $970.62 nat. median
$481
outlier · 2.0×
72148
CPT 		Hc MRI-l-spine Without Contrast 11 $897.18 $1,574.00 $962.66 nat. median
$807
1.2× median
71271
CPT 		Hc Ldct For Lung Cancer Screen 6 $902.88 $1,098.02 $942.95 nat. median
$215
outlier · 4.4×
99285
CPT 		Pr Emergency Department Visit High Mdm 5 $699.79 $1,365.00 $808.08 nat. median
$1,187
0.7× median
71260
CPT 		Hc CT Thorax W Contrast 9 $758.67 $922.64 $802.78 nat. median
$651
1.2× median
70470
CPT 		Hc CT Brain W/wo Dye 1 $796.38 $796.38 $796.38 nat. median
$629
1.3× median
84393
CPT 		Pc Phospho - Tall, P 1 $779.69 $779.69 $779.69 nat. median
$160
outlier · 4.9×
72125
CPT 		Hc CT Spine Cervical Without Contrast 9 $705.10 $844.31 $721.06 nat. median
$480
1.5× median
87507
CPT 		Pc Gi Pathogen Panel, Pcr, F 3 $698.82 $1,226.00 $709.24 nat. median
$552
1.3× median
81206
CPT 		Pc Bcr/abl P210 1 $688.55 $688.55 $688.55 nat. median
$240
outlier · 2.9×
71250
CPT 		Hc CT Thorax Wo Contrast 12 $605.91 $988.59 $661.26 nat. median
$469
1.4× median
74176
CPT 		Hc CT Abd/pelvis Without Contrast 12 $601.35 $1,108.00 $650.59 nat. median
$694
0.9× median
72192
CPT 		Hc CT Pelvis Without Contrast 5 $602.56 $693.89 $612.21 nat. median
$463
1.3× median
92523
CPT 		Hc Eval Of Speech Sound Lang Comprehen 3 $505.03 $605.16 $605.16 nat. median
$300
outlier · 2.0×
70486
CPT 		Hc CT Facial Bones Without Contrast 6 $532.21 $623.18 $546.76 nat. median
$481
1.1× median
80230
CPT 		Pc Drug Assay Infliximab 1 $532.00 $532.00 $532.00 nat. median
$82
outlier · 6.5×
36430
CPT 		Pc Transf Blood/blood Compon 3 $510.24 $539.43 $522.14 nat. median
$708
0.7× median
70450
CPT 		Hc CT Brain Without Contrast 12 $468.54 $725.76 $499.06 nat. median
$454
1.1× median
81376
CPT 		Pc Hla Ii Typing Locus Lr 2 $454.52 $535.84 $495.18 nat. median
$202
outlier · 2.5×
99284
CPT 		Hc Ed Level IV 14 $471.39 $827.00 $489.58 nat. median
$754
0.6× median
27808
CPT 		Hc Closed Rx Bimalleolar Fx 1 $464.00 $464.00 $464.00 nat. median
$456
1.0× median
87153
CPT 		Pc Aerobe Ident By Sequencing Is 1 $459.59 $459.59 $459.59 nat. median
$181
outlier · 2.5×
93880
CPT 		Hc Carotid Doppler 4 $394.86 $420.73 $411.47 nat. median
$531
0.8× median
92522
CPT 		Hc Eval Of Speech Production 3 $284.21 $410.00 $410.00 nat. median
$216
1.9× median
28510
CPT 		Hc Closed Rx Toe Fx 2 $350.75 $464.00 $407.38 nat. median
$317
1.3× median
93970
CPT 		Hc Venous Imaging 4 $393.68 $460.97 $406.46 nat. median
$565
0.7× median

Other procedures at this hospital

Browse this hospital's 590 published procedures. Use the slice to choose what to show, then sort or filter any column.

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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
             
47562 CPT Hc Laparoscopic Cholecystectomy 2 2 $10,264.00 $10,264.00 $5,571.75 $6,776.03 $6,173.89 2025-11-13
49507 CPT Hc Rpr Initial Hernia >5 Yrs Strang 1 1 $6,583.00 $6,583.00 $3,834.12 $3,834.12 $3,834.12 2025-11-13
72156 CPT Hc MRI C-spine W/wo Dye 1 1 $3,041.00 $3,041.00 $2,554.44 $2,554.44 $2,554.44 2025-11-13
74183 CPT Hc MRI Abdomen W/wo Dye 4 4 $3,264.00 $3,264.00 $1,771.56 $2,154.46 $1,887.32 2025-11-13
11441 CPT Hc Exc Skin Benig 0.6-1cm Face,facial 1 1 $1,173.00 $1,173.00 $1,853.61 $1,853.61 $1,853.61 2025-11-13
70543 CPT Hc MRI Orbit/face/neck W/wo Dye 2 2 $3,339.00 $3,339.00 $1,812.60 $1,878.52 $1,845.56 2025-11-13
70553 CPT Hc MRI-brain W/wo Dye 7 7 $2,895.00 $2,895.00 $1,571.49 $2,431.80 $1,714.24 2025-11-13
74178 CPT Hc CT Abd/pelvis W/o&w Contrast 4 4 $2,552.00 $2,552.00 $1,438.56 $1,834.00 $1,597.62 2025-11-13
11406 CPT Hc Exc Skin Benig >4cm Trunk,arm,leg 1 1 $2,782.00 $2,782.00 $1,546.90 $1,546.90 $1,546.90 2025-11-13
73723 CPT Hc MRI Lower Ext Joint W/wo Dye 2 2 $2,993.00 $2,993.00 $1,215.50 $1,743.06 $1,479.28 2025-11-13
74177 CPT Hc CT Abd/pelvis W/contrast 14 14 $2,234.00 $2,234.00 $1,212.39 $2,020.65 $1,260.61 2025-11-13
73718 CPT Hc MRI Lower Ext Without Contrast 4 4 $2,199.00 $2,199.00 $1,169.00 $1,489.16 $1,239.65 2025-11-13
71275 CPT Hc CTA Chest 5 5 $2,066.00 $2,066.00 $893.20 $1,399.09 $1,164.46 2025-11-13
70551 CPT Hc MRI-brain/brain Stem 3 3 $1,717.00 $1,717.00 $967.92 $1,162.75 $1,156.10 2025-11-13
71270 CPT Hc CT Thorax W+wo Contrast 1 1 $1,750.00 $1,750.00 $1,154.87 $1,154.87 $1,154.87 2025-11-13
70496 CPT Hc CTA Head 9 8 $2,032.00 $2,032.00 $161.13 $1,341.34 $1,145.52 2025-11-13
72193 CPT Hc CT Pelvis With Contrast 1 1 $1,724.00 $1,724.00 $1,137.54 $1,137.54 $1,137.54 2025-11-13
C1781 HCPCS Pc Mesh: Implantable 2 2 $1,943.00 $1,943.00 $1,095.20 $1,131.46 $1,113.33 2025-11-13
74181 CPT Hc MRI-abdomen Without Contrast 1 1 $1,930.00 $1,930.00 $1,089.53 $1,089.53 $1,089.53 2025-11-13
73721 CPT Hc MRI-lower Ext Joint Without Contrast 8 8 $1,773.00 $1,773.00 $1,010.61 $1,648.89 $1,076.22 2025-11-13
73221 CPT Hc MRI-upper Ext Joint Without Contrast 7 7 $1,773.00 $1,773.00 $1,010.61 $1,200.67 $1,068.38 2025-11-13
72146 CPT Hc MRI-t-spine Without Contrast 4 4 $1,574.00 $1,574.00 $931.81 $1,463.82 $1,028.57 2025-11-13
72141 CPT Hc MRI-c-spine Without Contrast 6 6 $1,649.00 $1,649.00 $894.90 $1,460.10 $1,023.07 2025-11-13
86366 CPT Pc Musk Autoantibody, S 1 1 $1,775.00 $1,775.00 $993.72 $993.72 $993.72 2025-11-13
70480 CPT Hc CT Orbits/fossa/sella/iac 2 2 $1,653.00 $1,653.00 $962.66 $978.58 $970.62 2025-11-13
72148 CPT Hc MRI-l-spine Without Contrast 11 11 $1,574.00 $1,574.00 $897.18 $1,574.00 $962.66 2025-11-13
71271 CPT Hc Ldct For Lung Cancer Screen 6 6 $1,584.00 $1,584.00 $902.88 $1,098.02 $942.95 2025-11-13
99285 CPT Pr Emergency Department Visit High Mdm 5 5 $1,434.00 $1,434.00 $699.79 $1,365.00 $808.08 2025-11-13
71260 CPT Hc CT Thorax W Contrast 9 9 $1,398.00 $1,398.00 $758.67 $922.64 $802.78 2025-11-13
70470 CPT Hc CT Brain W/wo Dye 1 1 $1,252.00 $1,252.00 $796.38 $796.38 $796.38 2025-11-13
84393 CPT Pc Phospho - Tall, P 1 1 $1,300.00 $1,300.00 $779.69 $779.69 $779.69 2025-11-13
72125 CPT Hc CT Spine Cervical Without Contrast 9 9 $1,279.00 $1,279.00 $705.10 $844.31 $721.06 2025-11-13
87507 CPT Pc Gi Pathogen Panel, Pcr, F 3 3 $1,226.00 $1,226.00 $698.82 $1,226.00 $709.24 2025-11-13
81206 CPT Pc Bcr/abl P210 1 1 $1,171.00 $1,171.00 $688.55 $688.55 $688.55 2025-11-13
71250 CPT Hc CT Thorax Wo Contrast 12 12 $1,117.00 $1,117.00 $605.91 $988.59 $661.26 2025-11-13
74176 CPT Hc CT Abd/pelvis Without Contrast 12 12 $1,108.00 $1,108.00 $601.35 $1,108.00 $650.59 2025-11-13
72192 CPT Hc CT Pelvis Without Contrast 5 5 $1,052.00 $1,052.00 $602.56 $693.89 $612.21 2025-11-13
92523 CPT Hc Eval Of Speech Sound Lang Comprehen 3 3 $873.00 $873.00 $505.03 $605.16 $605.16 2025-11-13
70486 CPT Hc CT Facial Bones Without Contrast 6 6 $944.00 $944.00 $532.21 $623.18 $546.76 2025-11-13
80230 CPT Pc Drug Assay Infliximab 1 1 $532.00 $532.00 $532.00 $532.00 $532.00 2025-11-13
36430 CPT Pc Transf Blood/blood Compon 3 3 $927.00 $927.00 $510.24 $539.43 $522.14 2025-11-13
70450 CPT Hc CT Brain Without Contrast 12 12 $864.00 $864.00 $468.54 $725.76 $499.06 2025-11-13
81376 CPT Pc Hla Ii Typing Locus Lr 2 2 $812.00 $812.00 $454.52 $535.84 $495.18 2025-11-13
99284 CPT Hc Ed Level IV 14 14 $869.00 $869.00 $471.39 $827.00 $489.58 2025-11-13
27808 CPT Hc Closed Rx Bimalleolar Fx 1 1 $464.00 $464.00 $464.00 $464.00 $464.00 2025-11-13
87153 CPT Pc Aerobe Ident By Sequencing Is 1 1 $663.00 $663.00 $459.59 $459.59 $459.59 2025-11-13
93880 CPT Hc Carotid Doppler 4 4 $701.00 $701.00 $394.86 $420.73 $411.47 2025-11-13
92522 CPT Hc Eval Of Speech Production 3 3 $410.00 $410.00 $284.21 $410.00 $410.00 2025-11-13
28510 CPT Hc Closed Rx Toe Fx 2 2 $506.00 $506.00 $350.75 $464.00 $407.38 2025-11-13
93970 CPT Hc Venous Imaging 4 4 $699.00 $699.00 $393.68 $460.97 $406.46 2025-11-13
96413 CPT Hc Chemo,iv Infusion,1 Hr 6 6 $708.00 $708.00 $399.01 $467.22 $402.45 2025-11-13
93306 CPT Hc Tte W/doppler Complete 11 11 $693.00 $693.00 $376.20 $660.00 $390.72 2025-11-13
82657 CPT Pc Tpmt Activity Profile,rb 1 1 $343.00 $343.00 $376.40 $376.40 $376.40 2025-11-13
77066 CPT Hc Diagnostic Mammo Cad Bilateral 3 3 $599.00 $599.00 $354.61 $415.22 $367.66 2025-11-13
76805 CPT Hc US Pregnancy >=14wks Sngl Fetus 1 1 $553.00 $553.00 $364.62 $364.62 $364.62 2025-11-13
20610 CPT Pr Arthrocentesis Aspir&/inj Major Jt/bursa Without US 1 1 $536.00 $536.00 $362.97 $362.97 $362.97 2025-11-13
93976 CPT Hc Duplex Abd Organ Follow Up 3 3 $540.00 $540.00 $304.67 $356.30 $319.68 2025-11-13
76801 CPT Hc US OB Complete(<14 Wks) 1 1 $471.00 $471.00 $318.96 $318.96 $318.96 2025-11-13
76830 CPT Hc US Transvaginal 5 5 $482.00 $482.00 $265.53 $436.05 $318.17 2025-11-13
80280 CPT Pc Vedolizumab 1 1 $313.00 $313.00 $313.00 $313.00 $313.00 2025-11-13
96125 CPT Hc Cognitive Test/hr + Report 1 1 $511.00 $511.00 $308.68 $308.68 $308.68 2025-11-13
76700 CPT Hc US Exam Abdomen Complete 3 3 $515.00 $515.00 $293.55 $357.00 $304.88 2025-11-13
76856 CPT Hc US Pelvic Complete 6 6 $483.00 $483.00 $266.11 $437.00 $302.40 2025-11-13
76770 CPT Hc US Retroperit (renal Laaa) 8 8 $528.00 $528.00 $290.40 $443.52 $299.07 2025-11-13
83009 CPT Pc Ab Helicobacter Pylori 3 3 $515.00 $515.00 $283.46 $339.66 $297.72 2025-11-13
99205 CPT Pr Office/outpatient New High Mdm 60 Minutes 2 2 $491.00 $491.00 $297.56 $297.56 $297.56 2025-11-13
77067 CPT Hc Screening Mammo Cad Bilateral 9 9 $495.00 $495.00 $87.65 $393.53 $296.88 2025-11-13
96365 CPT Hc Ther/proph/diag IV Inf,init 11 11 $520.00 $520.00 $282.15 $415.80 $293.04 2025-11-13
99283 CPT Hc Ed Level Iii 14 14 $516.00 $516.00 $279.87 $491.00 $292.58 2025-11-13
87536 CPT Pc HIV - 1 Includes Reverse Transcription 1 1 $539.00 $539.00 $292.41 $292.41 $292.41 2025-11-13
81513 CPT Quantitative Real-time Amp 7 7 $496.00 $496.00 $282.72 $461.28 $291.65 2025-11-13
76536 CPT Hc US Exam Head/neck 7 7 $482.00 $482.00 $235.21 $457.90 $289.38 2025-11-13
J2353 HCPCS Octreotide Acetate For IM Inj Kit 20 Mg 1 1 $9,126.79 $9,126.79 $273.70 $273.70 $273.70 2025-11-13
81256 CPT Pc Hemochromatosis Hpe 1 1 $461.00 $461.00 $272.07 $272.07 $272.07 2025-11-13
99195 CPT Hc Phlebotomy In Infusion Ctr 4 4 $440.00 $440.00 $248.05 $351.96 $269.25 2025-11-13
76706 CPT Hc Ultrasound Exam Aaa Screen 1 1 $434.00 $434.00 $268.13 $268.13 $268.13 2025-11-13
99204 CPT Pr Office/outpatient New Moderate Mdm 45 Minutes 3 3 $375.00 $375.00 $151.00 $269.00 $266.81 2025-11-13
83013 CPT Pc H Pylori,urease 4 4 $476.00 $476.00 $262.06 $314.01 $266.36 2025-11-13
82805 CPT Pc Gases, Blood Calc 5 5 $472.00 $472.00 $255.93 $283.08 $264.01 2025-11-13
96360 CPT Hc Hydration IV Infusion,init 12 12 $460.00 $460.00 $249.66 $386.40 $259.30 2025-11-13
12014 CPT Hc Repr Superf Wnd Face 5.1-7.5 1 1 $454.00 $454.00 $259.09 $259.09 $259.09 2025-11-13
99215 CPT Pr Office/outpatient Established High Mdm 40 Min 8 8 $451.00 $451.00 $151.00 $254.96 $254.96 2025-11-13
99496 CPT Pr Transj Care Mgmt High Mdm F2f 7 Cal D Discharge 2 2 $451.00 $451.00 $254.96 $254.96 $254.96 2025-11-13
J9223 HCPCS Lurbinectedin For IV Soln 4 Mg 1 1 $16,364.90 $16,364.90 $249.94 $249.94 $249.94 2025-11-13
93971 CPT Hc Unilat/ltd Venous 6 6 $428.00 $428.00 $231.99 $282.13 $247.16 2025-11-13
J9303 HCPCS Panitumumab IV Soln 100 Mg/5ml 1 1 $4,256.26 $4,256.26 $243.77 $243.77 $243.77 2025-11-13
Q9957 HCPCS Perflutren Lipid Microsphere IV Susp 6.52 Mg/ml 1 1 $703.00 $703.00 $243.66 $243.66 $243.66 2025-11-13
76775 CPT Hc US Retroperit Ltd (renal,laaa) 5 5 $411.00 $411.00 $236.90 $271.04 $243.31 2025-11-13
76870 CPT Hc US Scrotum 4 4 $388.00 $388.00 $218.72 $308.46 $242.75 2025-11-13
99305 CPT Pr Initial Nursing Facility Care Mod Mdm 35 Minutes 1 1 $391.00 $391.00 $242.61 $242.61 $242.61 2025-11-13
92524 CPT Hc Behavioral Qualit Analys Voice 1 1 $396.00 $396.00 $242.19 $242.19 $242.19 2025-11-13
99203 CPT Pr Office/outpatient New Low Mdm 30 Minutes 1 1 $236.00 $236.00 $233.76 $233.76 $233.76 2025-11-13
76705 CPT Hc US Echo Exam Of Abdomen 7 7 $414.00 $414.00 $227.92 $394.00 $233.25 2025-11-13
99495 CPT Pr Transj Care Mgmt Mod Mdm F2f 14 Cal D Discharge 3 3 $336.00 $336.00 $233.16 $233.16 $233.16 2025-11-13
99214 CPT Pr Office/outpatient Established Mod Mdm 30 Min 10 10 $336.00 $336.00 $151.00 $320.00 $233.16 2025-11-13
86480 CPT Pc Quantiferron (mayo) 3 3 $412.00 $412.00 $223.44 $271.73 $226.77 2025-11-13
92507 CPT Hc Speech/hearing Therapy Indiv 4 4 $326.00 $326.00 $192.99 $326.00 $225.98 2025-11-13
80051 CPT Pc Electrolyte Panel 2 2 $59.00 $59.00 $199.77 $247.80 $223.79 2025-11-13
10060 CPT Hc I & D Abscess, Smpl 2 2 $385.00 $385.00 $187.88 $253.71 $220.80 2025-11-13
86360 CPT Pc T Cells;absolute Cd4 & Cd 2 2 $360.00 $360.00 $194.94 $243.79 $219.37 2025-11-13
99304 CPT Pr Initial Nursing Facility Care Sf/low Mdm 25 Min 4 4 $273.00 $273.00 $151.00 $221.16 $218.41 2025-11-13
76817 CPT Hc US Transvaginal(ob) 1 1 $328.00 $328.00 $216.27 $216.27 $216.27 2025-11-13
97165 CPT Hc Ot Eval Low Complex 30 Min 12 12 $370.00 $370.00 $204.63 $359.00 $213.97 2025-11-13
99202 CPT Pr Office/outpatient New Sf Mdm 15 Minutes 6 6 $157.00 $157.00 $213.76 $213.76 $213.76 2025-11-13
99342 CPT Pr Home/res Visit New Patient Low Mdm 30 Minutes 1 1 $234.00 $234.00 $213.56 $213.56 $213.56 2025-11-13
G0439 HCPCS Pr Ppps, Subseq Visit 6 6 $319.00 $319.00 $151.00 $303.00 $213.56 2025-11-13
G0438 HCPCS Pr Ppps, Initial Visit 6 6 $478.00 $478.00 $151.00 $455.00 $213.56 2025-11-13
99213 CPT Pr Office/outpatient Established Low Mdm 20 Min 8 8 $229.00 $229.00 $151.00 $215.67 $212.76 2025-11-13
87522 CPT Pc Hepatitis C 2 2 $343.00 $343.00 $198.08 $225.98 $212.03 2025-11-13
G0402 HCPCS Pr Ippe 3 3 $516.00 $516.00 $151.00 $215.67 $211.44 2025-11-13
84433 CPT Pc Tpmt Activity Profile 1 1 $359.00 $359.00 $207.19 $207.19 $207.19 2025-11-13
Q5108 HCPCS Pegfilgrastim-jmdb Soln Prefilled Syringe 6 Mg/0.6ml 1 1 $4,167.25 $4,167.25 $205.60 $205.60 $205.60 2025-11-13
80074 CPT Pc Acute Hepatitis Panel 2 2 $332.00 $332.00 $182.80 $219.05 $200.93 2025-11-13
83970 CPT Pc Parathyroid Hormone 10 10 $340.00 $340.00 $184.11 $271.32 $199.92 2025-11-13
97163 CPT Hc Pt Eval High Complex 45 Min 1 1 $345.00 $345.00 $198.29 $198.29 $198.29 2025-11-13
P9016 HCPCS Pc Rbcs; Leuk-reduced Ea Unt 3 3 $350.00 $350.00 $192.64 $203.67 $197.14 2025-11-13
83020 CPT Pc Hemoglobin Electro 1 1 $87.00 $87.00 $195.48 $195.48 $195.48 2025-11-13
J9217 HCPCS Leuprolide Acetate For Inj Kit 7.5 Mg 4 4 $3,465.31 $3,465.31 $173.59 $200.76 $194.95 2025-11-13
80050 CPT Pc General Health Panel 5 5 $293.00 $293.00 $161.40 $279.00 $193.40 2025-11-13
97162 CPT Hc Pt Eval Mod Complex 30 Min 7 7 $335.00 $335.00 $184.94 $272.53 $192.07 2025-11-13
82088 CPT Pc Aldosterone 2 2 $313.00 $313.00 $172.39 $206.57 $189.48 2025-11-13
97161 CPT Hc Pt Eval Low Complex 20 Min 11 11 $324.00 $324.00 $178.95 $231.00 $188.90 2025-11-13
87624 CPT Pc Hpv High-risk Types 1 1 $281.00 $281.00 $185.08 $185.08 $185.08 2025-11-13
87493 CPT Pc Inf Agent Det Acid 3 3 $281.00 $281.00 $157.00 $212.27 $185.08 2025-11-13
87529 CPT Pc Hsv Pcr 3 3 $281.00 $281.00 $162.23 $248.31 $185.08 2025-11-13
86359 CPT Pc T Cells; Total Count 2 2 $289.00 $289.00 $156.75 $195.71 $176.23 2025-11-13
99282 CPT Hc Ed Level Ii 14 14 $312.00 $312.00 $152.25 $297.00 $175.82 2025-11-13
82024 CPT Pc Acth 3 3 $290.00 $290.00 $162.29 $191.32 $170.52 2025-11-13
87591 CPT Pc N. Gonorrhoeae;amplif Pr 4 4 $281.00 $281.00 $152.19 $248.31 $169.76 2025-11-13
87491 CPT Pc Chlamydia;ampl Probe Tech 4 4 $281.00 $281.00 $152.19 $248.31 $169.76 2025-11-13
82542 CPT Pc Gc-ms,quantitative 1 1 $244.00 $244.00 $169.15 $169.15 $169.15 2025-11-13
87641 CPT Pc Mrsa By Pcr 10 10 $290.00 $290.00 $157.32 $290.00 $167.46 2025-11-13
82955 CPT Pc G-6-pd,qn,rbc 1 1 $141.00 $141.00 $167.06 $167.06 $167.06 2025-11-13
70498 CPT Chg CT Angiography Neck W/contrast/noncontrast 1 1 $281.00 $281.00 $165.47 $165.47 $165.47 2025-11-13
L4386 HCPCS Pc Walker Boot 3 3 $244.00 $244.00 $160.82 $232.00 $165.24 2025-11-13
83520 CPT Pc Immunoassay Nos 3 3 $242.00 $242.00 $135.24 $159.44 $159.43 2025-11-13
87150 CPT Pc Culture,typing,id By Dna/rna Amp Probe Ea Organism 6 6 $281.00 $281.00 $137.13 $224.28 $157.00 2025-11-13
83880 CPT Pc Bnp 10 10 $277.00 $277.00 $149.91 $220.92 $156.19 2025-11-13
J3245 HCPCS Tildrakizumab-asmn Subcutaneous Soln Pref Syringe 100 Mg/ml 1 1 $26,260.39 $26,260.39 $155.46 $155.46 $155.46 2025-11-13
36600 CPT Pc Arterial Collection 1 1 $259.00 $259.00 $155.34 $155.34 $155.34 2025-11-13
29515 CPT Hc Apply Lower Leg Splint 2 2 $209.00 $209.00 $117.81 $192.71 $155.26 2025-11-13
82627 CPT Pc Dhea Sulfate 1 1 $262.00 $262.00 $154.06 $154.06 $154.06 2025-11-13
99499 CPT Pr Unlisted Evaluation And Management Service 1 1 $39.00 $39.00 $151.00 $151.00 $151.00 2025-11-13
82507 CPT Pc Citrate 1 1 $217.00 $217.00 $150.42 $150.42 $150.42 2025-11-13
97168 CPT Hc Ot Re-eval Est Plan Of Care 1 1 $267.00 $267.00 $149.83 $149.83 $149.83 2025-11-13
72114 CPT Hc Lumbar Comp W Bending 1 1 $252.00 $252.00 $149.18 $149.18 $149.18 2025-11-13
83021 CPT Pc Hemoglobin A2 And F 1 1 $121.00 $121.00 $149.03 $149.03 $149.03 2025-11-13
88312 CPT Pc Special Stain Group 1 1 1 $271.00 $271.00 $147.06 $147.06 $147.06 2025-11-13
72050 CPT Hc Cervical Spine 4 Or 5 Views 2 2 $197.00 $197.00 $129.62 $162.69 $146.16 2025-11-13
83521 CPT Pc Kappa Free Light Chain, S 3 3 $220.00 $220.00 $122.89 $175.56 $144.87 2025-11-13
87798 CPT Pc Malaria Pcr W/parasit 3 3 $250.00 $250.00 $139.94 $164.98 $143.84 2025-11-13
82306 CPT Pc Mayo 25-hydroxyvitamin D2/d3 9 9 $257.00 $257.00 $139.08 $204.96 $143.47 2025-11-13
88341 CPT Pc Ihc Addl Stain Ea 1 1 $217.00 $217.00 $142.80 $142.80 $142.80 2025-11-13
84207 CPT Pc B-6 1 1 $216.00 $216.00 $142.11 $142.11 $142.11 2025-11-13
86920 CPT Pc Compatability Test Is 3 3 $252.00 $252.00 $138.84 $146.79 $142.08 2025-11-13
88342 CPT Pc Immunohistochemistry 6 6 $247.00 $247.00 $135.94 $197.40 $141.43 2025-11-13
88305 CPT Hc Surgical Path-level IV 13 10 $246.00 $246.00 $133.38 $217.62 $140.35 2025-11-13
86922 CPT Pc Compatability Antiglob 1 1 $252.00 $252.00 $138.84 $138.84 $138.84 2025-11-13
J2997 HCPCS Alteplase For Inj 2 Mg 1 1 $484.19 $484.19 $136.24 $136.24 $136.24 2025-11-13
82978 CPT Pc Glutathione 1 1 $95.00 $95.00 $135.17 $135.17 $135.17 2025-11-13
97164 CPT Hc Pt Re-eval Est Plan Of Care 3 3 $234.00 $234.00 $131.20 $134.27 $134.27 2025-11-13
83883 CPT Pc Nephelometry Nes 2 2 $209.00 $209.00 $122.89 $144.87 $133.88 2025-11-13
88184 CPT Pc Flow Cytometry 1st Marker 3 3 $238.00 $238.00 $133.79 $156.66 $133.79 2025-11-13
73564 CPT Hc Knee 4 Or More Views 2 2 $165.00 $165.00 $108.83 $157.00 $132.91 2025-11-13
82670 CPT Pc Estradiol 5 5 $229.00 $229.00 $126.11 $183.12 $132.46 2025-11-13
96367 CPT Hc Ther/prop/dg Addl Seq IV Inf 1 1 $147.00 $147.00 $130.20 $130.20 $130.20 2025-11-13
99281 CPT Hc Ed Level I 10 10 $229.00 $229.00 $124.26 $218.00 $129.06 2025-11-13
77080 CPT Hc Dexascan 8 8 $224.00 $224.00 $109.31 $188.79 $126.56 2025-11-13
G0328 HCPCS Pc Colorectal Fit Cancer Screen 4 4 $222.00 $222.00 $120.27 $146.26 $126.13 2025-11-13
86160 CPT Pc Compliment Antigen, Each 4 4 $192.00 $192.00 $112.90 $161.28 $126.04 2025-11-13
99307 CPT Pr Sbsq Nursing Facility Care Sf Mdm 10 Minutes 1 1 $132.00 $132.00 $125.00 $125.00 $125.00 2025-11-13
83915 CPT Pc Assay Of Nucleotidase 1 1 $80.00 $80.00 $124.77 $124.77 $124.77 2025-11-13
83001 CPT Pc Fsh 3 3 $154.00 $154.00 $101.20 $146.00 $122.64 2025-11-13
86762 CPT Pc Antibody Rubella 2 2 $151.00 $151.00 $104.67 $140.43 $122.55 2025-11-13
84087 CPT Pc Phosphohexose Isomerase 1 1 $74.00 $74.00 $120.61 $120.61 $120.61 2025-11-13
86812 CPT Pc Hla-b27 1 1 $181.00 $181.00 $119.23 $119.23 $119.23 2025-11-13
84445 CPT Pc Thyroid Stim Immunoglob 1 1 $217.00 $217.00 $117.42 $117.42 $117.42 2025-11-13
87389 CPT Pc Viral Serology 4 4 $193.00 $193.00 $105.86 $193.00 $117.22 2025-11-13
84540 CPT Pc Urea Nitroen,u 1 1 $169.00 $169.00 $117.15 $117.15 $117.15 2025-11-13
84392 CPT Pc Sulfate,urine 1 1 $169.00 $169.00 $117.15 $117.15 $117.15 2025-11-13
84220 CPT Pc Pyruvate Kinase 1 1 $68.00 $68.00 $116.45 $116.45 $116.45 2025-11-13
91322 CPT Pr Sarscov2 Vaccine 50 Mcg/0.5 Ml For IM Use 6 6 $175.00 $175.00 $106.33 $162.75 $115.99 2025-11-13
82384 CPT Pc Catecholimines, Fract 1 1 $194.00 $194.00 $115.20 $115.20 $115.20 2025-11-13
97530 CPT Hc Therap Activity 15min 4 4 $170.00 $170.00 $100.92 $121.00 $114.75 2025-11-13
86304 CPT Pc Immunoassay Tumor Ca 125 1 1 $172.00 $172.00 $112.99 $112.99 $112.99 2025-11-13
84402 CPT Pc Testosterone Free 5 5 $195.00 $195.00 $105.45 $155.40 $112.41 2025-11-13
84403 CPT Pc Testosterone Total 6 6 $199.00 $199.00 $109.33 $158.76 $112.28 2025-11-13
82626 CPT Pc Dhea 1 1 $194.00 $194.00 $111.80 $111.80 $111.80 2025-11-13
83068 CPT Pc Hemoglobin, Unstable 1 1 $61.00 $61.00 $111.60 $111.60 $111.60 2025-11-13
G0123 HCPCS Pc Screening Cytopathology 1 1 $167.00 $167.00 $110.21 $110.21 $110.21 2025-11-13
86696 CPT Pc Hsv Type 2 Ab,igg 2 2 $142.00 $142.00 $93.58 $125.55 $109.56 2025-11-13
73502 CPT Hc X-ray Exam Hip Uni 2-3 Vw 11 11 $184.00 $184.00 $89.79 $154.56 $108.93 2025-11-13
84255 CPT Pc Selenium, Serum 1 1 $187.00 $187.00 $108.15 $108.15 $108.15 2025-11-13
76882 CPT Hc US Xtr Non-vasc Lmtd 4 4 $174.00 $174.00 $97.68 $117.83 $107.75 2025-11-13
84305 CPT Pc Igf (soma - C) 1 1 $163.00 $163.00 $107.44 $107.44 $107.44 2025-11-13
84144 CPT Pc Progesterone 2 2 $172.00 $172.00 $99.04 $112.99 $106.02 2025-11-13
77081 CPT Hc Dexa Bone Density Peripheral 1 1 $217.00 $217.00 $105.89 $105.89 $105.89 2025-11-13
84146 CPT Pc Prolactin 1 1 $160.00 $160.00 $105.36 $105.36 $105.36 2025-11-13
84681 CPT Pc C-peptide 2 2 $159.00 $159.00 $104.67 $104.67 $104.67 2025-11-13
72110 CPT Hc Lumbar Spine Com 2 2 $187.00 $187.00 $102.97 $105.38 $104.17 2025-11-13
72190 CPT Hc Pelvis Minimum 3 Views 2 2 $162.00 $162.00 $95.90 $108.83 $102.37 2025-11-13
84145 CPT Pc Procalcitonin 5 5 $179.00 $179.00 $99.96 $117.84 $101.96 2025-11-13
76604 CPT Hc US Exam Chest 3 3 $162.00 $162.00 $89.08 $109.70 $101.90 2025-11-13
84244 CPT Pc Renin 2 2 $168.00 $168.00 $92.56 $110.91 $101.73 2025-11-13
84432 CPT Pc Thyroglobulin 2 2 $168.00 $168.00 $92.56 $110.91 $101.73 2025-11-13
J9173 HCPCS Durvalumab Soln For IV Infusion 500 Mg/10ml (50 Mg/ml) 1 1 $8,782.16 $8,782.16 $101.45 $101.45 $101.45 2025-11-13
84270 CPT Pc Sex Hormone Binding Glob 2 2 $154.00 $154.00 $101.20 $101.20 $101.20 2025-11-13
85379 CPT Pc D-dimer Quant 5 5 $172.00 $172.00 $99.50 $119.23 $101.14 2025-11-13
82525 CPT Pc Copper 3 3 $151.00 $151.00 $91.75 $104.67 $99.97 2025-11-13
85384 CPT Pc Fibrinogen Activity 1 1 $143.00 $143.00 $99.12 $99.12 $99.12 2025-11-13
88112 CPT Pc Cytopathology Tl Non-GYN 1 1 $150.00 $150.00 $98.43 $98.43 $98.43 2025-11-13
86235 CPT Pc Extract Nuc Antgn Ea Add' 3 3 $150.00 $150.00 $83.50 $119.28 $98.43 2025-11-13
Q5104 HCPCS Infliximab-abda For IV Inj 100 Mg 2 2 $1,519.66 $1,519.66 $89.97 $105.34 $97.66 2025-11-13
86606 CPT Pc Aspergillus Fumigatus Igg 1 1 $160.00 $160.00 $95.96 $95.96 $95.96 2025-11-13
90480 CPT Pr Imm Admn Sarscov2 Vaccine Single Dose 3 3 $51.00 $51.00 $41.71 $144.15 $94.18 2025-11-13
84425 CPT Pc Thiamin Vit B1 (mayo) 1 1 $142.00 $142.00 $93.58 $93.58 $93.58 2025-11-13
83002 CPT Pc Lh 2 2 $154.00 $154.00 $85.85 $101.20 $93.53 2025-11-13
85220 CPT Pc Factor V 1 1 $145.00 $145.00 $91.36 $91.36 $91.36 2025-11-13
73080 CPT Hc Elbow Min 3 Views 3 3 $134.00 $134.00 $75.18 $127.00 $90.74 2025-11-13
84630 CPT Pc Zinc 3 3 $137.00 $137.00 $83.24 $94.96 $90.70 2025-11-13
70150 CPT Hc Facial Bones Min 3 Views 1 1 $160.00 $160.00 $89.98 $89.98 $89.98 2025-11-13
73565 CPT Hc Standing Knees 7 7 $151.00 $151.00 $81.51 $99.12 $89.39 2025-11-13
73140 CPT Hc Finger Min 2 Views 4 4 $142.00 $142.00 $80.97 $113.40 $88.07 2025-11-13
93798 CPT Hc Phase Ii Monitored 5 5 $154.00 $154.00 $86.43 $129.36 $87.86 2025-11-13
83993 CPT Pc Calprotectin 5 5 $151.00 $151.00 $82.72 $113.69 $86.89 2025-11-13
96417 CPT Hc Chemo IV Infus Ea Addl Seq 1 1 $147.00 $147.00 $85.71 $85.71 $85.71 2025-11-13
84166 CPT Pc Protein Electro, Urine 1 1 $149.00 $149.00 $85.67 $85.67 $85.67 2025-11-13
97535 CPT Hc Self-care/hm Mgmt Tx 15min 5 5 $147.00 $147.00 $80.94 $98.44 $85.37 2025-11-13
72040 CPT Hc Cervical Spine 2/3 Views 7 7 $146.00 $146.00 $79.23 $132.05 $85.01 2025-11-13
G0103 HCPCS Pc Psa, Total Screening 9 9 $152.00 $152.00 $82.08 $120.96 $84.67 2025-11-13
80299 CPT Pc Quant Of Drug, Not Elsewh 4 4 $151.00 $151.00 $84.08 $102.25 $84.08 2025-11-13
73110 CPT Hc Wrist Comp Min 3 Views 9 9 $150.00 $150.00 $80.94 $98.43 $84.06 2025-11-13
73562 CPT Hc Knee Min 3 Views Bilateral 11 11 $147.00 $147.00 $80.99 $117.60 $83.79 2025-11-13
96402 CPT Hc Chemo Hormon Antineopl Sc IM 4 4 $147.00 $147.00 $79.80 $85.62 $83.59 2025-11-13
82378 CPT Pc Cea 1 1 $142.00 $142.00 $83.50 $83.50 $83.50 2025-11-13
86803 CPT Pc Hepatitis C Antibody 8 8 $142.00 $142.00 $78.09 $113.40 $83.50 2025-11-13
82785 CPT Pc Gammaglobulin Ige 1 1 $126.00 $126.00 $83.19 $83.19 $83.19 2025-11-13
96368 CPT Hc Ther/diag Concurrent Infusion 4 4 $147.00 $147.00 $80.99 $85.62 $82.88 2025-11-13
96415 CPT Hc Chemo,iv Infusion,addl Hr 3 3 $147.00 $147.00 $82.88 $82.88 $82.88 2025-11-13
96372 CPT Hc Ther/proph/diag Inj,sc/im 9 9 $147.00 $147.00 $79.80 $97.04 $82.88 2025-11-13
82232 CPT Pc Beta-2 Microglobulin 2 2 $136.00 $136.00 $75.85 $89.42 $82.63 2025-11-13
84702 CPT Pc Hcg-quantitive 3 3 $125.00 $125.00 $61.00 $84.65 $82.49 2025-11-13
J9144 HCPCS Daratumumab-hyaluronidase-fihj Inj 1800-30000 Mg-unit/15ml 1 1 $21,417.58 $21,417.58 $82.48 $82.48 $82.48 2025-11-13
88304 CPT Hc Surgical Path-level Iii 4 4 $144.00 $144.00 $78.09 $94.97 $82.44 2025-11-13
80158 CPT Pc Cyclosporine 1 1 $150.00 $150.00 $82.14 $82.14 $82.14 2025-11-13
73100 CPT Hc Wrist 2 Views 1 1 $124.00 $124.00 $81.79 $81.79 $81.79 2025-11-13
82139 CPT Pc Amiino Acids 6 Or Mor Quan Ea 1 1 $100.00 $100.00 $81.10 $81.10 $81.10 2025-11-13
82017 CPT Pc Acylcarnitines Quan Ea 1 1 $123.00 $123.00 $81.10 $81.10 $81.10 2025-11-13
74019 CPT Hc Xray Abdomen 2 Views 8 8 $143.00 $143.00 $77.52 $126.48 $80.51 2025-11-13
L3923 HCPCS Pc Thumb Spica 1 1 $122.00 $122.00 $80.41 $80.41 $80.41 2025-11-13
84443 CPT Pc Tsh 14 14 $139.00 $139.00 $75.24 $139.00 $79.68 2025-11-13
77077 CPT Hc Joint Survey,sngl V,2 Or M Joints 2 2 $134.00 $134.00 $74.62 $84.57 $79.59 2025-11-13
72072 CPT Hc Thoracic Spine 3 Views 3 3 $139.00 $139.00 $78.14 $91.50 $79.56 2025-11-13
84481 CPT Pc T-3; Free 6 6 $140.00 $140.00 $75.81 $92.19 $79.50 2025-11-13
84153 CPT Pc Psa Total Diagnostic 8 8 $142.00 $142.00 $76.95 $93.58 $79.38 2025-11-13
73521 CPT Hc X-ray Exam Hip Bil 2 Vw 3 3 $120.00 $120.00 $72.37 $88.80 $79.02 2025-11-13
87651 CPT Pc Strep A DNA Amp Probe 2 2 $131.00 $131.00 $71.73 $85.95 $78.84 2025-11-13
83921 CPT Pc Organic Acid (mma) 2 2 $128.00 $128.00 $73.52 $83.88 $78.70 2025-11-13
83525 CPT Pc Insulin, Total 2 2 $97.00 $97.00 $63.77 $92.00 $77.89 2025-11-13
86664 CPT Pc Antibody Ebv Nuclear 3 3 $118.00 $118.00 $65.86 $94.08 $77.63 2025-11-13
86644 CPT Pc Antibody Cmv 1 1 $112.00 $112.00 $77.63 $77.63 $77.63 2025-11-13
86665 CPT Pc Ebv,capsid 3 3 $118.00 $118.00 $65.86 $94.08 $77.63 2025-11-13
84446 CPT Pc Vitamin E - Lab 1 1 $117.00 $117.00 $76.94 $76.94 $76.94 2025-11-13
82397 CPT Pc Chemiluminescent Assay 1 1 $111.00 $111.00 $76.94 $76.94 $76.94 2025-11-13
72100 CPT Hc Lumbar Spine 2 Views 10 10 $135.00 $135.00 $72.96 $128.00 $76.34 2025-11-13
86695 CPT Pc Hsv Type 1 Ab,igg 2 2 $99.00 $99.00 $65.16 $87.42 $76.29 2025-11-13
97116 CPT Hc Gait Training 4 4 $130.00 $130.00 $74.59 $88.03 $76.28 2025-11-13
97110 CPT Hc Therap Ex 15min 12 12 $131.00 $131.00 $72.39 $127.00 $75.83 2025-11-13
72202 CPT Hc Sacroiliac Joints 3 3 $134.00 $134.00 $72.39 $88.03 $75.58 2025-11-13
86677 CPT Pc Ab Helicobact Pylori 2 2 $122.00 $122.00 $70.48 $80.41 $75.44 2025-11-13
73130 CPT Hc Hand Min 3 Views 9 9 $130.00 $130.00 $71.15 $103.32 $75.43 2025-11-13
83090 CPT Pc Homocystine 1 1 $130.00 $130.00 $74.73 $74.73 $74.73 2025-11-13
72080 CPT Hc Thoracolumbar 2 Views 1 1 $133.00 $133.00 $74.59 $74.59 $74.59 2025-11-13
76857 CPT Hc US Pelvic Limited 5 5 $126.00 $126.00 $71.04 $120.00 $74.59 2025-11-13
97140 CPT Hc Manual Therapy 15min 4 4 $120.00 $120.00 $68.67 $116.00 $74.54 2025-11-13
73120 CPT Hc Hand 2 Views 1 1 $110.00 $110.00 $74.49 $74.49 $74.49 2025-11-13
73560 CPT Hc Knee 1 Or 2 Views 10 10 $126.00 $126.00 $68.40 $95.40 $74.48 2025-11-13
86645 CPT Pc Cytomegalovirus 1 1 $113.00 $113.00 $74.17 $74.17 $74.17 2025-11-13
73552 CPT Hc X-ray Exam Femur 2/> 6 6 $129.00 $129.00 $69.54 $122.00 $74.05 2025-11-13
73610 CPT Hc Ankle Min 3 Views 9 9 $132.00 $132.00 $71.25 $125.00 $74.00 2025-11-13
J1745 HCPCS Infliximab For IV Inj 100 Mg 3 3 $1,240.43 $1,240.43 $72.43 $73.43 $73.43 2025-11-13
86618 CPT Pc Antibody Borelia Lyme 4 4 $120.00 $120.00 $67.03 $95.76 $73.03 2025-11-13
82533 CPT Pc Cortisol, Total 5 5 $124.00 $124.00 $68.26 $81.79 $72.91 2025-11-13
84466 CPT Pc Transferrin 1 1 $107.00 $107.00 $72.46 $72.46 $72.46 2025-11-13
72170 CPT Hc Pelvis 7 7 $126.00 $126.00 $69.54 $122.00 $72.22 2025-11-13
70360 CPT Hc Soft Tissue Neck 1 1 $110.00 $110.00 $72.09 $72.09 $72.09 2025-11-13
86800 CPT Pc Thyroglobulin Antibody 2 2 $128.00 $128.00 $69.99 $73.52 $71.75 2025-11-13
87661 CPT Trichomonas Vaginalis 7 7 $129.00 $129.00 $69.54 $113.46 $71.74 2025-11-13
87481 CPT Pc Candida Species, Amp Probe 7 7 $129.00 $129.00 $69.54 $113.46 $71.74 2025-11-13
86735 CPT Pc Mmr Titer 1 1 $109.00 $109.00 $71.39 $71.39 $71.39 2025-11-13
82784 CPT Pc Gammaglobulin A,d,g,m Eac 3 3 $121.00 $121.00 $71.15 $83.88 $71.15 2025-11-13
82105 CPT Pc Alpha Fetoprotein, Serum 3 3 $121.00 $121.00 $67.62 $72.57 $71.15 2025-11-13
73600 CPT Hc X-ray Ankle 2 Views 1 1 $120.00 $120.00 $71.04 $71.04 $71.04 2025-11-13
82140 CPT Pc Ammonia 4 4 $122.00 $122.00 $66.12 $80.41 $70.05 2025-11-13
73650 CPT Hc Heel Min 2 Views 1 1 $107.00 $107.00 $70.01 $70.01 $70.01 2025-11-13
83945 CPT Pc Oxalate 1 1 $107.00 $107.00 $70.01 $70.01 $70.01 2025-11-13
82607 CPT Pc Cyanocobalamin (vit B12) 10 10 $125.00 $125.00 $65.42 $99.96 $69.97 2025-11-13
86706 CPT Pc Hepatitis B Sur Antibody 2 2 $110.00 $110.00 $63.63 $76.25 $69.94 2025-11-13
84482 CPT Pc T3;reverse 1 1 $121.00 $121.00 $69.87 $69.87 $69.87 2025-11-13
86850 CPT Pc Antibody Screen Rbc 5 5 $121.00 $121.00 $66.52 $106.95 $69.87 2025-11-13
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