Price Transparency 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

SOUTH CENTRAL HEALTH

Wishek, ND · CCN 351321 · Rates published

861 distinct procedures filed
11 distinct payers
13,412 rate rows
2024-12-23 last MRF observed · ⚠ 18 mo old
Data quality

6 of 13,412 rate rows are consumer-grade (0.0%)

13,406 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 13,398
per-diem day rate — not a per-procedure price 8

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 18 months old.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://schealthnd.com/wp-content/uploads/2024/12/450358986_wishek-hospital-clinic-association_standardcharges.csv
Found on page https://schealthnd.com/patient-resources/patient-portal-2/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-18
Content fingerprint 32bede0eb0a26d25… · 6,805,083 bytes · first seen 2026-05-14

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
0120
RC 		6 $5,163.48 $5,163.48 $5,163.48 nat. median
$1,017
outlier · 5.1×
00811
HCPCS 		Anesth/lower Endo Procedures - 00811 0 — — — nat. median
$360
11310
HCPCS 		11310 Shaving Of Lesion; Face, Ears, Eyelids, Nose, Lips, Mucous Membrane; < 0.5… 0 — — — nat. median
$225
01470
HCPCS 		Anes Nrv/mus/tnd/fasc Lower Leg/ankle/foot NOS_x0014_ - 01470 0 — — — nat. median
$447
01480
HCPCS 		Open Procedures On Bones Of Lower Leg, Ankle, FOOT_x0014_ - 01480 0 — — — nat. median
$269
10021
HCPCS 		10021-aspiration Fine Needle Without Imaging 0 — — — nat. median
$447
11055
HCPCS 		11055-paring/cut Lesion Benign Single 0 — — — nat. median
$212
10061
HCPCS 		10061-i&d Abscess/Cyst/Hematoma Complicated 0 — — — nat. median
$503
10080
HCPCS 		10080-i&d Pilonidal Cyst Simple 0 — — — nat. median
$699
10120
HCPCS 		10120-subcutaneous Tissue Simple 0 — — — nat. median
$450
10140
HCPCS 		10140-i&d Hematoma/Seroma/Fluid 0 — — — nat. median
$1,654
10160
HCPCS 		10160-aspiration Abscess/Cyst/Hematoma 0 — — — nat. median
$444
11000
HCPCS 		11000-extensive Eczematous/Infected Skin Less Than 10% 0 — — — nat. median
$575
11042
HCPCS 		11042-sq Tissue Less Than/Equal To 1st 20 Sq Cm 0 — — — nat. median
$537
10060
HCPCS 		10060-i&d Abscess/Cyst/Hematoma Simple 0 — — — nat. median
$302
11102
HCPCS 		11102 Tangential Biopsy Skin Single Lesion 0 — — — nat. median
$278
11103
HCPCS 		11103 Tangential Biopsy Of Skin (shave,curette); Each Addtl Lesion 0 — — — nat. median
$155
11104
HCPCS 		11104 Punch Biopsy Of Skin (including Simple Closure, When Performed); Single Le… 0 — — — nat. median
$403
11105
HCPCS 		11105 Punch Biopsy Of Skin; Each Addtl Lesion 0 — — — nat. median
$179
11106
HCPCS 		11106 Incisional Biopsy Of Skin; Single Lesion 0 — — — nat. median
$644
11107
HCPCS 		11107 Incisional Biopsy Of Skin; Each Addtl Lesion 0 — — — nat. median
$239
11200
HCPCS 		11200-removal Skin Tag Up To 15 0 — — — nat. median
$243
11201
HCPCS 		11201 Removal Of Skin Tags (16+) 0 — — — nat. median
$104
11300
HCPCS 		11300 Shaving Of Epidermal Or Dermal Lesion, Single Lesion, Trunk, Arms Or Legs;… 0 — — — nat. median
$369
11301
HCPCS 		11301 Shaving Of Epidermal Or Dermal Lesion, Single Lesion, Trunk, Arms Or Legs;… 0 — — — nat. median
$227
11302
HCPCS 		11302 Shaving Of Epidermal Or Dermal Lesion, Single Lesion, Trunk, Arms Or Legs;… 0 — — — nat. median
$239
11303
HCPCS 		11303 Shaving Of Epidermal Or Dermal Lesion, Single Lesion, Trunk, Arms Or Legs;… 0 — — — nat. median
$417
11305
HCPCS 		11305-shave Lesion Scalp/Hand/Feet/Genital <= 0.5 Cm 0 — — — nat. median
$215
11306
HCPCS 		11306 Shaving Of Epidermal Or Dermal Lesion; Scalp, Neck, Hands, Feet, Genitalia… 0 — — — nat. median
$229
11307
HCPCS 		11307 Shaving Of Epidermal Or Dermal Lesion; Scalp, Neck, Hands, Feet, Genitalia… 0 — — — nat. median
$224
00812
HCPCS 		Anesthesia Screening Colonoscopy - 00812 0 — — — nat. median
$200
11311
HCPCS 		11311 Shaving Of Lesion; Face, Ears, Eyelids, Nose, Lips, Mucous Membrane; 0.6-1… 0 — — — nat. median
$230
11312
HCPCS 		11312 Shaving Of Lesion; Face, Ears, Eyelids, Nose, Lips, Mucous Membrane; 1.1-2… 0 — — — nat. median
$409
11313
HCPCS 		11313 Shaving Of Epidermal Or Dermal Lesion, Single Lesion, Face, Ears, Eyelids,… 0 — — — nat. median
$420
11400
HCPCS 		11400-excision Lesion Benign Trunk/Extremity <= 0.5 Cm 0 — — — nat. median
$713
11401
HCPCS 		11401 Excision, Benign Lesion Including Margins, Except Skin Tag (unless Listed… 0 — — — nat. median
$487
11402
HCPCS 		11402-excision Lesion Benign Trunk/Extremity 1.1-2.0 Cm 0 — — — nat. median
$762
11403
HCPCS 		11403 Excision, Benign Lesion Including Margins, Except Skin Tag (unless Listed… 0 — — — nat. median
$782
11404
HCPCS 		11404 Excision, Benign Lesion Including Margins, Except Skin Tag (unless Listed… 0 — — — nat. median
$1,616
11406
HCPCS 		11406 Excision, Benign Lesion Including Margins, Except Skin Tag (unless Listed… 0 — — — nat. median
$1,766
11420
HCPCS 		11420 Excision, Benign, Lesion Including Margins; Scalp, Nexk, Hands, Feet, Geni… 0 — — — nat. median
$1,519
11421
HCPCS 		11421 Excision, Benign Lesion Including Margins, Except Skin Tag (unless Listed… 0 — — — nat. median
$772
11422
HCPCS 		11422 Excision, Benign Lesion Including Margins, Except Skin Tag (unless Listed… 0 — — — nat. median
$1,544
11423
HCPCS 		11423 Excision, Benign Lesion Including Margins, Except Skin Tag (unless Listed… 0 — — — nat. median
$1,605
11424
HCPCS 		11424 Excision, Benign Lesion Including Margins, Except Skin Tag (unless Listed… 0 — — — nat. median
$1,696
11426
HCPCS 		11426 Excision, Benign Lesion Including Margins, Except Skin Tag (unless Listed… 0 — — — nat. median
$2,746
11440
HCPCS 		11440-excise Lesion Benign Face Less Than/Equal To 0.5 Cm 0 — — — nat. median
$721
11441
HCPCS 		11441 Excision, Other Benign Lesion Including Margins, Except Skin Tag (unless L… 0 — — — nat. median
$733
11442
HCPCS 		11442 Excision, Other Benign Lesion Including Margins, Except Skin Tag (unless L… 0 — — — nat. median
$786
00732
HCPCS 		Anesthesia For Upper Gastrointestinal Endoscopic Procedures - 00732 0 — — — nat. median
$4,300

Other procedures at this hospital

Browse this hospital's 861 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
             
0120 RC — 6 6 $1,350.00 $1,215.00 $5,163.48 $5,163.48 $5,163.48 2024-12-23
00811 HCPCS Anesth/lower Endo Procedures - 00811 0 0 $78.00 $70.20 — — — 2024-12-23
73120 HCPCS Xr Hand 2 Views Bilateral 0 0 $112.00 $100.80 — — — 2024-12-23
01470 HCPCS Anes Nrv/mus/tnd/fasc Lower Leg/ankle/foot NOS_x0014_ - 01470 0 0 $78.00 $70.20 — — — 2024-12-23
01480 HCPCS Open Procedures On Bones Of Lower Leg, Ankle, FOOT_x0014_ - 01480 0 0 $78.00 $70.20 — — — 2024-12-23
10021 HCPCS 10021-aspiration Fine Needle Without Imaging 0 0 $621.00 $558.90 — — — 2024-12-23
28660 HCPCS 28660-interphalangeal Foot Without Anesthesia 0 0 $435.00 $391.50 — — — 2024-12-23
10061 HCPCS 10061-i&d Abscess/Cyst/Hematoma Complicated 0 0 $621.00 $558.90 — — — 2024-12-23
10080 HCPCS 10080-i&d Pilonidal Cyst Simple 0 0 $1,117.00 $1,005.30 — — — 2024-12-23
10120 HCPCS 10120-subcutaneous Tissue Simple 0 0 $621.00 $558.90 — — — 2024-12-23
10140 HCPCS 10140-i&d Hematoma/Seroma/Fluid 0 0 $2,528.00 $2,275.20 — — — 2024-12-23
10160 HCPCS 10160-aspiration Abscess/Cyst/Hematoma 0 0 $621.00 $558.90 — — — 2024-12-23
11000 HCPCS 11000-extensive Eczematous/Infected Skin Less Than 10% 0 0 $942.00 $847.80 — — — 2024-12-23
11042 HCPCS 11042-sq Tissue Less Than/Equal To 1st 20 Sq Cm 0 0 $621.00 $558.90 — — — 2024-12-23
11643 HCPCS 11643 Excision, Malignant Lesion Including Margins, Face, Ears, Eyelids, Nose, L… 0 0 $2,528.00 $2,275.20 — — — 2024-12-23
11102 HCPCS 11102 Tangential Biopsy Skin Single Lesion 0 0 $323.00 $290.70 — — — 2024-12-23
11103 HCPCS 11103 Tangential Biopsy Of Skin (shave,curette); Each Addtl Lesion 0 0 $125.00 $112.50 — — — 2024-12-23
11104 HCPCS 11104 Punch Biopsy Of Skin (including Simple Closure, When Performed); Single Le… 0 0 $621.00 $558.90 — — — 2024-12-23
11105 HCPCS 11105 Punch Biopsy Of Skin; Each Addtl Lesion 0 0 $125.00 $112.50 — — — 2024-12-23
11106 HCPCS 11106 Incisional Biopsy Of Skin; Single Lesion 0 0 $942.00 $847.80 — — — 2024-12-23
11107 HCPCS 11107 Incisional Biopsy Of Skin; Each Addtl Lesion 0 0 $150.00 $135.00 — — — 2024-12-23
11200 HCPCS 11200-removal Skin Tag Up To 15 0 0 $323.00 $290.70 — — — 2024-12-23
11201 HCPCS 11201 Removal Of Skin Tags (16+) 0 0 $70.00 $63.00 — — — 2024-12-23
11300 HCPCS 11300 Shaving Of Epidermal Or Dermal Lesion, Single Lesion, Trunk, Arms Or Legs;… 0 0 $621.00 $558.90 — — — 2024-12-23
11301 HCPCS 11301 Shaving Of Epidermal Or Dermal Lesion, Single Lesion, Trunk, Arms Or Legs;… 0 0 $323.00 $290.70 — — — 2024-12-23
11302 HCPCS 11302 Shaving Of Epidermal Or Dermal Lesion, Single Lesion, Trunk, Arms Or Legs;… 0 0 $323.00 $290.70 — — — 2024-12-23
11303 HCPCS 11303 Shaving Of Epidermal Or Dermal Lesion, Single Lesion, Trunk, Arms Or Legs;… 0 0 $621.00 $558.90 — — — 2024-12-23
11305 HCPCS 11305-shave Lesion Scalp/Hand/Feet/Genital <= 0.5 Cm 0 0 $323.00 $290.70 — — — 2024-12-23
11306 HCPCS 11306 Shaving Of Epidermal Or Dermal Lesion; Scalp, Neck, Hands, Feet, Genitalia… 0 0 $323.00 $290.70 — — — 2024-12-23
11307 HCPCS 11307 Shaving Of Epidermal Or Dermal Lesion; Scalp, Neck, Hands, Feet, Genitalia… 0 0 $323.00 $290.70 — — — 2024-12-23
11310 HCPCS 11310 Shaving Of Lesion; Face, Ears, Eyelids, Nose, Lips, Mucous Membrane; < 0.5… 0 0 $323.00 $290.70 — — — 2024-12-23
11311 HCPCS 11311 Shaving Of Lesion; Face, Ears, Eyelids, Nose, Lips, Mucous Membrane; 0.6-1… 0 0 $323.00 $290.70 — — — 2024-12-23
11312 HCPCS 11312 Shaving Of Lesion; Face, Ears, Eyelids, Nose, Lips, Mucous Membrane; 1.1-2… 0 0 $621.00 $558.90 — — — 2024-12-23
11313 HCPCS 11313 Shaving Of Epidermal Or Dermal Lesion, Single Lesion, Face, Ears, Eyelids,… 0 0 $621.00 $558.90 — — — 2024-12-23
11400 HCPCS 11400-excision Lesion Benign Trunk/Extremity <= 0.5 Cm 0 0 $1,117.00 $1,005.30 — — — 2024-12-23
11401 HCPCS 11401 Excision, Benign Lesion Including Margins, Except Skin Tag (unless Listed … 0 0 $621.00 $558.90 — — — 2024-12-23
11402 HCPCS 11402-excision Lesion Benign Trunk/Extremity 1.1-2.0 Cm 0 0 $1,117.00 $1,005.30 — — — 2024-12-23
11403 HCPCS 11403 Excision, Benign Lesion Including Margins, Except Skin Tag (unless Listed … 0 0 $1,117.00 $1,005.30 — — — 2024-12-23
11404 HCPCS 11404 Excision, Benign Lesion Including Margins, Except Skin Tag (unless Listed … 0 0 $2,528.00 $2,275.20 — — — 2024-12-23
11406 HCPCS 11406 Excision, Benign Lesion Including Margins, Except Skin Tag (unless Listed … 0 0 $2,528.00 $2,275.20 — — — 2024-12-23
11420 HCPCS 11420 Excision, Benign, Lesion Including Margins; Scalp, Nexk, Hands, Feet, Geni… 0 0 $2,528.00 $2,275.20 — — — 2024-12-23
11421 HCPCS 11421 Excision, Benign Lesion Including Margins, Except Skin Tag (unless Listed … 0 0 $1,117.00 $1,005.30 — — — 2024-12-23
11422 HCPCS 11422 Excision, Benign Lesion Including Margins, Except Skin Tag (unless Listed … 0 0 $2,528.00 $2,275.20 — — — 2024-12-23
11423 HCPCS 11423 Excision, Benign Lesion Including Margins, Except Skin Tag (unless Listed … 0 0 $2,528.00 $2,275.20 — — — 2024-12-23
11424 HCPCS 11424 Excision, Benign Lesion Including Margins, Except Skin Tag (unless Listed … 0 0 $2,528.00 $2,275.20 — — — 2024-12-23
11426 HCPCS 11426 Excision, Benign Lesion Including Margins, Except Skin Tag (unless Listed … 0 0 $4,301.00 $3,870.90 — — — 2024-12-23
11440 HCPCS 11440-excise Lesion Benign Face Less Than/Equal To 0.5 Cm 0 0 $1,117.00 $1,005.30 — — — 2024-12-23
11441 HCPCS 11441 Excision, Other Benign Lesion Including Margins, Except Skin Tag (unless L… 0 0 $1,117.00 $1,005.30 — — — 2024-12-23
11442 HCPCS 11442 Excision, Other Benign Lesion Including Margins, Except Skin Tag (unless L… 0 0 $1,117.00 $1,005.30 — — — 2024-12-23
11443 HCPCS 11443 Excision, Other Benign Lesion Including Margins, Except Skin Tag (unless L… 0 0 $2,528.00 $2,275.20 — — — 2024-12-23
11600 HCPCS 11600 Excision, Malignant Lesion Including Margins, Trunk, Arms, Or Legs; Excise… 0 0 $1,117.00 $1,005.30 — — — 2024-12-23
11601 HCPCS 11601 Excision, Malignant Lesion Including Margins, Trunk, Arms, Or Legs; Excise… 0 0 $1,117.00 $1,005.30 — — — 2024-12-23
11602 HCPCS 11602 Excision, Malignant Lesion Including Margins, Trunk, Arms, Or Legs; Excise… 0 0 $947.00 $852.30 — — — 2024-12-23
11603 HCPCS 11603 Excision, Malignant Lesion Including Margins, Trunk, Arms, Or Legs; Excise… 0 0 $1,117.00 $1,005.30 — — — 2024-12-23
11604 HCPCS 11604 Excision, Malignant Lesion Including Margins, Trunk, Arms, Or Legs; Excise… 0 0 $1,117.00 $1,005.30 — — — 2024-12-23
11606 HCPCS 11606 Excision, Malignant Lesion Including Margins, Trunk, Arms, Or Legs; Excise… 0 0 $2,528.00 $2,275.20 — — — 2024-12-23
11621 HCPCS 11621 Excision, Malignant Lesion Including Margins, Scalp, Neck, Hands, Feet, Ge… 0 0 $1,117.00 $1,005.30 — — — 2024-12-23
11622 HCPCS 11622 Excision, Malignant Lesion Including Margins, Scalp, Neck, Hands, Feet, Ge… 0 0 $1,117.00 $1,005.30 — — — 2024-12-23
11623 HCPCS 11623 Excision, Malignant Lesion Including Margins, Scalp, Neck, Hands, Feet, Ge… 0 0 $2,528.00 $2,275.20 — — — 2024-12-23
11640 HCPCS 11640 Excision, Malignant Lesion Including Margins, Face, Ears, Eyelids, Nose, L… 0 0 $1,117.00 $1,005.30 — — — 2024-12-23
11641 HCPCS 11641 Excision, Malignant Lesion Including Margins, Face, Ears, Eyelids, Nose, L… 0 0 $1,117.00 $1,005.30 — — — 2024-12-23
11642 HCPCS 11642 Excision, Malignant Lesion Including Margins, Face, Ears, Eyelids, Nose, L… 0 0 $1,117.00 $1,005.30 — — — 2024-12-23
11055 HCPCS 11055-paring/cut Lesion Benign Single 0 0 $323.00 $290.70 — — — 2024-12-23
11644 HCPCS 11644 Excision, Malignant Lesion Including Margins, Face, Ears, Eyelids, Nose, L… 0 0 $2,528.00 $2,275.20 — — — 2024-12-23
11646 HCPCS 11646 Excision, Malignant Lesion Including Margins, Face, Ears, Eyelids, Nose, L… 0 0 $4,301.00 $3,870.90 — — — 2024-12-23
11719 HCPCS 11719-trimming Nails Nondystrophic 0 0 $101.00 $90.90 — — — 2024-12-23
11720 HCPCS 11720-nails 1 To 5 0 0 $113.00 $101.70 — — — 2024-12-23
11730 HCPCS 11730-avulsion Nail Plate Single 0 0 $323.00 $290.70 — — — 2024-12-23
11732 HCPCS 11732-avulsion Nail Plate Each Addl 0 0 $232.00 $208.80 — — — 2024-12-23
11740 HCPCS 11740-evacuation Subungual Hematoma 0 0 $201.00 $180.90 — — — 2024-12-23
11750 HCPCS 11750-excision Nail & Matrix 0 0 $690.00 $621.00 — — — 2024-12-23
11765 HCPCS 11765-wedge Excision Skin Nail Fold 0 0 $621.00 $558.90 — — — 2024-12-23
12001 HCPCS 12001-scalp/neck/trunk/genital/extremity <= 2.5 Cm 0 0 $323.00 $290.70 — — — 2024-12-23
12002 HCPCS 12002-scalp/neck/trunk/genital/extremity 2.6-7.5 Cm 0 0 $323.00 $290.70 — — — 2024-12-23
12004 HCPCS 12004-scalp/neck/trunk/genital/extremity 7.6-12.5 Cm 0 0 $323.00 $290.70 — — — 2024-12-23
12005 HCPCS 12005-scalp/neck/trunk/genital/extremity 12.6-20.0 Cm 0 0 $621.00 $558.90 — — — 2024-12-23
12011 HCPCS 12011-face/ear/eyelid/nose/lip Less Than/Equal To 2.5 Cm 0 0 $323.00 $290.70 — — — 2024-12-23
12013 HCPCS 12013-face/ear/eyelid/nose/lip 2.6-5.0 Cm 0 0 $323.00 $290.70 — — — 2024-12-23
12014 HCPCS 12014-face/ear/eyelid/nose/lip 5.1-7.5 Cm 0 0 $323.00 $290.70 — — — 2024-12-23
12015 HCPCS 12015-face/ear/eyelid/nose/lip 7.6-12.5 Cm 0 0 $323.00 $290.70 — — — 2024-12-23
12016 HCPCS 12016-face/ear/eyelid/nose/lip 12.6-20.0 Cm 0 0 $621.00 $558.90 — — — 2024-12-23
12020 HCPCS 12020-treatment Superficial Wound Dehiscence 0 0 $942.00 $847.80 — — — 2024-12-23
12031 HCPCS 12031-scalp/trunk/extremity Less Than/Equal To 2.5 Cm 0 0 $621.00 $558.90 — — — 2024-12-23
12032 HCPCS 12032-scalp/trunk/extremity 2.6-7.5cm 0 0 $621.00 $558.90 — — — 2024-12-23
12034 HCPCS 12034-scalp/trunk/extremity 7.6-12.5 Cm 0 0 $621.00 $558.90 — — — 2024-12-23
12036 HCPCS 12036-scalp/trunk/extremity 20.1-30.0 Cm 0 0 $942.00 $847.80 — — — 2024-12-23
12041 HCPCS 12041-neck/hand/feet/genital Less Than/Equal To 2.5 Cm 0 0 $621.00 $558.90 — — — 2024-12-23
12042 HCPCS 12042-neck/hand/feet/genital 2.6-7.5 Cm 0 0 $621.00 $558.90 — — — 2024-12-23
12044 HCPCS 12044-neck/hand/feet/genital 7.6-12.5 Cm 0 0 $942.00 $847.80 — — — 2024-12-23
12045 HCPCS 12045-neck/hand/feet/genital 12.6-20.0 Cm 0 0 $942.00 $847.80 — — — 2024-12-23
12051 HCPCS 12051-face/ear/eye/nose/lip Less Than/Equal To 2.5 Cm 0 0 $621.00 $558.90 — — — 2024-12-23
12052 HCPCS 12052-face/ear/eye/nose/lip 2.6-5.0 Cm 0 0 $621.00 $558.90 — — — 2024-12-23
12053 HCPCS 12053-face/ear/eye/nose/lip 5.1-7.5 Cm 0 0 $621.00 $558.90 — — — 2024-12-23
12054 HCPCS 12054-face/ear/eye/nose/lip 7.6-12.5 Cm 0 0 $621.00 $558.90 — — — 2024-12-23
13100 HCPCS 13100-trunk 1.1-2.5 Cm 0 0 $942.00 $847.80 — — — 2024-12-23
13121 HCPCS 13121-scalp/arms/legs 2.6-7.5 Cm 0 0 $942.00 $847.80 — — — 2024-12-23
13122 HCPCS 13122-scalp/arms/legs Each Addl 5 Cm 0 0 $200.00 $180.00 — — — 2024-12-23
13131 HCPCS 13131-face/neck/hand/feet/genital 1.1-2.5 Cm 0 0 $621.00 $558.90 — — — 2024-12-23
13132 HCPCS 13132-face/neck/hand/feet/genital 2.6-7.5 Cm 0 0 $942.00 $847.80 — — — 2024-12-23
13133 HCPCS 13133-face/neck/hand/feet/genital Each Addl 5 Cm 0 0 $515.00 $463.50 — — — 2024-12-23
13151 HCPCS 13151-eyes/ears/nose/lip 1.1-2.5 Cm 0 0 $942.00 $847.80 — — — 2024-12-23
13152 HCPCS 13152-eye/ear/nose/lip 2.6-7.5 Cm 0 0 $942.00 $847.80 — — — 2024-12-23
16020 HCPCS 16020-burn Dressings/Debridement Small 0 0 $323.00 $290.70 — — — 2024-12-23
17000 HCPCS 17000 Destruction (eg, Laser Surgery, Electrosurgery, Cryosurgery, Chemosurgery,… 0 0 $323.00 $290.70 — — — 2024-12-23
17003 HCPCS 17003 Destruction (eg, Laser Surgery, Electrosurgery, Cryosurgery, Chemosurgery,… 0 0 $65.00 $58.50 — — — 2024-12-23
17106 HCPCS 17106 Destruction Of Cutaneous Vascular Proliferative Lesions (eg, Laser Techniq… 0 0 $942.00 $847.80 — — — 2024-12-23
17110 HCPCS 17110 Destruction (eg, Laser Surgery, Electrosurgery, Cryosurgery, Chemosurgery,… 0 0 $323.00 $290.70 — — — 2024-12-23
17111 HCPCS 17111 Destruction Of Benign Lesions; 15 + Lesions 0 0 $323.00 $290.70 — — — 2024-12-23
17250 HCPCS 17250-chemical Cauterization Granulation Tissue 0 0 $323.00 $290.70 — — — 2024-12-23
17282 HCPCS 17282 Destruction, Malignant Lesion, Face, Ears, Eyelids, Nose, Lips, Lesion Dia… 0 0 $621.00 $558.90 — — — 2024-12-23
20552 HCPCS 20552-inject Trigger Point 1-2 Muscles 0 0 $479.00 $431.10 — — — 2024-12-23
20560 HCPCS Pt Needle Without Inject 1-2 Muscles Units 0 0 $25.00 $22.50 — — — 2024-12-23
20561 HCPCS Pt Needle Without Inject 3+ Muscles Units 0 0 $30.00 $27.00 — — — 2024-12-23
20600 HCPCS 20600-small Joint Aspirate/Inject Without US 0 0 $479.00 $431.10 — — — 2024-12-23
20605 HCPCS 20605-intermediate Aspiration/Inj Without US 0 0 $479.00 $431.10 — — — 2024-12-23
20610 HCPCS 20610-major Joint Aspirate/Inject Without US 0 0 $479.00 $431.10 — — — 2024-12-23
23650 HCPCS 23650-shoulder Without Anesthesia 0 0 $435.00 $391.50 — — — 2024-12-23
24200 HCPCS 24200-upper Arm/Elbow Subcutaneous 0 0 $2,661.00 $2,394.90 — — — 2024-12-23
25600 HCPCS 25600-distal Radial Without Manipulation 0 0 $453.00 $407.70 — — — 2024-12-23
26010 HCPCS 26010-i&d Finger Abscess Simple 0 0 $435.00 $391.50 — — — 2024-12-23
26770 HCPCS 26770-interphalangeal Hand Without Anesthesia 0 0 $435.00 $391.50 — — — 2024-12-23
27250 HCPCS 27250-hip Traumatic Without Anesthesia 0 0 $435.00 $391.50 — — — 2024-12-23
27560 HCPCS Treatment Of Knee Dislocation Institutional 0 0 $400.00 $360.00 — — — 2024-12-23
27750 HCPCS 27750 Closed Treatment Of Tibial Shaft Fracture; Without Manipulation 0 0 $453.00 $407.70 — — — 2024-12-23
27786 HCPCS 27786-distal Fibular Without Manipulation 0 0 $453.00 $407.70 — — — 2024-12-23
27840 HCPCS 27840 - Closed Treatment Of Ankle Dislocation; Without Anesthesia 0 0 $1,050.00 $945.00 — — — 2024-12-23
10060 HCPCS 10060-i&d Abscess/Cyst/Hematoma Simple 0 0 $323.00 $290.70 — — — 2024-12-23
29065 HCPCS 29065-application Cast Shoulder To Hand (long Arm) 0 0 $456.00 $410.40 — — — 2024-12-23
29075 HCPCS 29075-cast Application Elbow To Finger (short Arm) 0 0 $456.00 $410.40 — — — 2024-12-23
29085 HCPCS 29085-app Cast Hand And Lower Forearm (gauntlet) 0 0 $396.00 $356.40 — — — 2024-12-23
29105 HCPCS 29105-long Arm 0 0 $260.00 $234.00 — — — 2024-12-23
29125 HCPCS 29125-short Arm 0 0 $215.00 $193.50 — — — 2024-12-23
29130 HCPCS 29130-finger 0 0 $206.00 $185.40 — — — 2024-12-23
29345 HCPCS 29345-application Of Long Leg Cast Thigh To Toes 0 0 $456.00 $410.40 — — — 2024-12-23
29405 HCPCS 29405-app Of Short Leg Cast (below Knee To Toes) 0 0 $388.00 $349.20 — — — 2024-12-23
29505 HCPCS 29505-long Leg 0 0 $260.00 $234.00 — — — 2024-12-23
29515 HCPCS 29515-short Leg 0 0 $260.00 $234.00 — — — 2024-12-23
30300 HCPCS 30300-intranasal 0 0 $196.00 $176.40 — — — 2024-12-23
30901 HCPCS 30901-anterior Simple 0 0 $215.00 $193.50 — — — 2024-12-23
30903 HCPCS 30903-anterior Complex 0 0 $255.00 $229.50 — — — 2024-12-23
30905 HCPCS 30905-posterior Initial 0 0 $255.00 $229.50 — — — 2024-12-23
30906 HCPCS 30906-posterior Subsequent 0 0 $357.00 $321.30 — — — 2024-12-23
31500 HCPCS 31500-endotracheal Intubation 0 0 $371.00 $333.90 — — — 2024-12-23
36415 HCPCS Venipuncture 0 0 $17.00 $15.30 — — — 2024-12-23
36430 HCPCS 36430 Blood Transfusion Up To 2 Units Charge 0 0 $850.00 $765.00 — — — 2024-12-23
36591 HCPCS 36591 Draw Blood Off Venous Device Charge 0 0 $175.00 $157.50 — — — 2024-12-23
36592 HCPCS 36592 Blood Draw From Picc Line Charge 0 0 $175.00 $157.50 — — — 2024-12-23
36600 HCPCS Collection: Arterial Draw 0 0 $230.00 $207.00 — — — 2024-12-23
36680 HCPCS 36680-place Needle Intraosseous Infusion 0 0 $753.00 $677.70 — — — 2024-12-23
40490 HCPCS 40490 Biopsy Of Lip 0 0 $593.00 $533.70 — — — 2024-12-23
40812 HCPCS 40812 Excision Of Lesion Of Mucosa And Submucosa, Vestibule Of Mouth; With Simpl… 0 0 $4,456.00 $4,010.40 — — — 2024-12-23
40831 HCPCS 40831-closure Of Laceration, Vestibule Of Mouth, ProFee 0 0 $875.00 $787.50 — — — 2024-12-23
43235 HCPCS Esophagogastroduodenoscopy 0 0 $1,574.00 $1,416.60 — — — 2024-12-23
43239 HCPCS Esophagogastroduodenoscopy Biopsy 0 0 $1,574.00 $1,416.60 — — — 2024-12-23
43251 HCPCS Esophagogastroduodenoscopy Excision Lesion 0 0 $3,160.00 $2,844.00 — — — 2024-12-23
45378 HCPCS Colonoscopy Diagnostic 0 0 $1,543.00 $1,388.70 — — — 2024-12-23
45380 HCPCS Colonoscopy Biopsy 0 0 $2,016.00 $1,814.40 — — — 2024-12-23
45384 HCPCS Colonoscopy With Hot Biopsy 0 0 $2,016.00 $1,814.40 — — — 2024-12-23
45385 HCPCS Colonoscopy With Snare Technique 0 0 $2,016.00 $1,814.40 — — — 2024-12-23
46050 HCPCS 46050-i&d Perianal Abscess Superficial 0 0 $1,543.00 $1,388.70 — — — 2024-12-23
46083 HCPCS 46083-incision Hemorrhoid Thrombosed External 0 0 $518.00 $466.20 — — — 2024-12-23
51700 HCPCS 51700-bladder Irrigation Simple Lavage/Instill 0 0 $484.00 $435.60 — — — 2024-12-23
51701 HCPCS 51701-insert Bladder Cath Non-dwelling 0 0 $215.00 $193.50 — — — 2024-12-23
51702 HCPCS 51702-insertion Indwelling Catheter 0 0 $215.00 $193.50 — — — 2024-12-23
51703 HCPCS 51703-insert Indwelling Cath Complicated 0 0 $257.00 $231.30 — — — 2024-12-23
51720 HCPCS 51720 Bladder Instillation Of Anticarcinogenic Agent (including Retention Time) 0 0 $484.00 $435.60 — — — 2024-12-23
51798 HCPCS Bladder Scan 0 0 $166.00 $149.40 — — — 2024-12-23
62270 HCPCS 62270-lumbar Puncture Diagnostic 0 0 $1,368.00 $1,231.20 — — — 2024-12-23
65205 HCPCS 65205-conjuctival Superficial 0 0 $248.00 $223.20 — — — 2024-12-23
65220 HCPCS 65220-corneal Without Slit Lamp 0 0 $797.00 $717.30 — — — 2024-12-23
67700 HCPCS 67700-drain Abscess Blepharotomy/Eyelid 0 0 $649.00 $584.10 — — — 2024-12-23
67938 HCPCS 67938-eyelid Embedded Foreign Body 0 0 $649.00 $584.10 — — — 2024-12-23
69000 HCPCS 69000-drainage External Ear Abscess/Hematoma 0 0 $1,341.00 $1,206.90 — — — 2024-12-23
69100 HCPCS 69100 Biopsy External Ear 0 0 $456.00 $410.40 — — — 2024-12-23
69200 HCPCS 69200-external Auditory Canal 0 0 $241.00 $216.90 — — — 2024-12-23
69209 HCPCS 69209-cerumen Irrigation/Lavage 0 0 $125.00 $112.50 — — — 2024-12-23
69210 HCPCS 69210-cerumen With Instrumentation 0 0 $126.00 $113.40 — — — 2024-12-23
70030 HCPCS Xr Foreign Body Localization Eye 0 0 $136.00 $122.40 — — — 2024-12-23
70100 HCPCS Xr Mandible Less Than 4 Views 0 0 $143.00 $128.70 — — — 2024-12-23
70150 HCPCS Xr Facial Bones 3+ Views 0 0 $168.00 $151.20 — — — 2024-12-23
70160 HCPCS Xr Nasal Bones 3+ Views 0 0 $143.00 $128.70 — — — 2024-12-23
70210 HCPCS Xr Sinuses Paranasal < 3 Views 0 0 $131.00 $117.90 — — — 2024-12-23
70250 HCPCS Xr Shunt Series 0 0 $147.00 $132.30 — — — 2024-12-23
70260 HCPCS Xr Skull Complete 0 0 $155.00 $139.50 — — — 2024-12-23
70360 HCPCS Xr Neck Soft Tissue 0 0 $124.00 $111.60 — — — 2024-12-23
70450 HCPCS CT Head Without Contrast 0 0 $831.00 $747.90 — — — 2024-12-23
70460 HCPCS CT Head With Contrast 0 0 $1,000.00 $900.00 — — — 2024-12-23
70470 HCPCS CT Head With + Without Contrast 0 0 $1,290.00 $1,161.00 — — — 2024-12-23
70480 HCPCS CT Iac Without Contrast 0 0 $1,628.00 $1,465.20 — — — 2024-12-23
70486 HCPCS CT Maxillofacial Without Contrast 0 0 $1,030.00 $927.00 — — — 2024-12-23
70490 HCPCS CT Neck Soft Tissue Without Contrast 0 0 $1,169.00 $1,052.10 — — — 2024-12-23
70491 HCPCS CT Neck Soft Tissue With Contrast 0 0 $1,507.00 $1,356.30 — — — 2024-12-23
70492 HCPCS CT Neck Soft Tissue With + Without Contrast 0 0 $1,862.00 $1,675.80 — — — 2024-12-23
70496 HCPCS CT Angio Brain/Head 0 0 $2,032.00 $1,828.80 — — — 2024-12-23
70498 HCPCS CT Angio Neck 0 0 $2,175.00 $1,957.50 — — — 2024-12-23
70540 HCPCS MRI Face Neck Orbit Without Contrast 0 0 $2,213.00 $1,991.70 — — — 2024-12-23
70543 HCPCS MRI Face Neck Orbit With + Without Contrast 0 0 $3,025.00 $2,722.50 — — — 2024-12-23
70544 HCPCS MRA Brain/Head Without Contrast 0 0 $2,854.00 $2,568.60 — — — 2024-12-23
70547 HCPCS MRA Neck Without Contrast 0 0 $2,825.00 $2,542.50 — — — 2024-12-23
70548 HCPCS MRA Neck With Contrast 0 0 $3,034.00 $2,730.60 — — — 2024-12-23
70551 HCPCS MRI Brain Without Contrast 0 0 $1,775.00 $1,597.50 — — — 2024-12-23
70553 HCPCS MRI Brain With + Without Contrast 0 0 $2,700.00 $2,430.00 — — — 2024-12-23
71045 HCPCS Xr Chest 1 View 0 0 $91.00 $81.90 — — — 2024-12-23
71046 HCPCS Xr Chest 2 Views 0 0 $124.00 $111.60 — — — 2024-12-23
71047 HCPCS Xr Chest 2 Views With Apical Lordotic 0 0 $142.00 $127.80 — — — 2024-12-23
71048 HCPCS Xr Chest 4+ Views 0 0 $147.00 $132.30 — — — 2024-12-23
71100 HCPCS Xr Ribs 2 Views Left 0 0 $149.00 $134.10 — — — 2024-12-23
71101 HCPCS Xr Ribs 3 Views Left 0 0 $155.00 $139.50 — — — 2024-12-23
71111 HCPCS Xr Ribs 4+ Views Bilat With Pa Chest 0 0 $360.00 $324.00 — — — 2024-12-23
71120 HCPCS Xr Sternum 2+ Views 0 0 $117.00 $105.30 — — — 2024-12-23
71130 HCPCS Xr Sternoclavicular Joint(s) 0 0 $150.00 $135.00 — — — 2024-12-23
71250 HCPCS CT Chest Without Contrast 0 0 $1,175.00 $1,057.50 — — — 2024-12-23
71260 HCPCS CT Chest With Contrast 0 0 $1,517.00 $1,365.30 — — — 2024-12-23
71270 HCPCS CT Chest With + Without Contrast 0 0 $2,031.00 $1,827.90 — — — 2024-12-23
71271 HCPCS CT Low Dose Lung Screening 0 0 $1,100.00 $990.00 — — — 2024-12-23
71275 HCPCS CT Angio Chest 0 0 $2,085.00 $1,876.50 — — — 2024-12-23
71552 HCPCS MRI Chest With + Without Contrast 0 0 $3,150.00 $2,835.00 — — — 2024-12-23
72020 HCPCS Xr Spine 1 View Specify Level 0 0 $92.00 $82.80 — — — 2024-12-23
72040 HCPCS Xr Spine Cervical 2 Or 3 Views 0 0 $150.00 $135.00 — — — 2024-12-23
72050 HCPCS Xr Spine Cervical 4 Or 5 Views 0 0 $192.00 $172.80 — — — 2024-12-23
72052 HCPCS Xr Spine Cervical 6+ Views 0 0 $232.00 $208.80 — — — 2024-12-23
72070 HCPCS Xr Spine Thoracic 2 Views 0 0 $128.00 $115.20 — — — 2024-12-23
72080 HCPCS Xr Spine Thoracolumbar 2+ Views 0 0 $136.00 $122.40 — — — 2024-12-23
72100 HCPCS Xr Spine Lumbosacral 2 Or 3 Views 0 0 $158.00 $142.20 — — — 2024-12-23
72110 HCPCS Xr Spine Lumbosacral 4+ Views 0 0 $205.00 $184.50 — — — 2024-12-23
72125 HCPCS CT Spine Cervical Without Contrast 0 0 $1,300.00 $1,170.00 — — — 2024-12-23
72128 HCPCS CT Spine Thoracic Without Contrast 0 0 $1,256.00 $1,130.40 — — — 2024-12-23
72129 HCPCS CT Spine Thoracic With Contrast 0 0 $1,617.00 $1,455.30 — — — 2024-12-23
72130 HCPCS CT Spine Thoracic With + Without Contrast 0 0 $1,809.00 $1,628.10 — — — 2024-12-23
72131 HCPCS CT Spine Lumbar Without Contrast 0 0 $1,249.00 $1,124.10 — — — 2024-12-23
72132 HCPCS CT Spine Lumbar With Contrast 0 0 $1,608.00 $1,447.20 — — — 2024-12-23
72141 HCPCS MRI Spine Cervical Without Contrast 0 0 $1,675.00 $1,507.50 — — — 2024-12-23
72146 HCPCS MRI Spine Thoracic Without Contrast 0 0 $1,650.00 $1,485.00 — — — 2024-12-23
72148 HCPCS MRI Spine Lumbar Without Contrast 0 0 $1,565.00 $1,408.50 — — — 2024-12-23
72156 HCPCS MRI Spine Cervical With + Without Contrast 0 0 $2,525.00 $2,272.50 — — — 2024-12-23
72157 HCPCS MRI Spine Thoracic With + Without Contrast 0 0 $2,600.00 $2,340.00 — — — 2024-12-23
72158 HCPCS MRI Spine Lumbar With + Without Contrast 0 0 $2,700.00 $2,430.00 — — — 2024-12-23
72170 HCPCS Xr Pelvis 1 Or 2 Views 0 0 $135.00 $121.50 — — — 2024-12-23
72192 HCPCS CT Pelvis Without Contrast 0 0 $990.00 $891.00 — — — 2024-12-23
72193 HCPCS CT Pelvis With Contrast 0 0 $1,780.00 $1,602.00 — — — 2024-12-23
72195 HCPCS MRI Pelvis Without Contrast 0 0 $2,568.00 $2,311.20 — — — 2024-12-23
72202 HCPCS Xr Sacroiliac Joints 3+ Views 0 0 $137.00 $123.30 — — — 2024-12-23
72220 HCPCS Xr Sacrum/Coccyx 2+ Views 0 0 $126.00 $113.40 — — — 2024-12-23
73000 HCPCS Xr Clavicle Bilat 0 0 $126.00 $113.40 — — — 2024-12-23
73010 HCPCS Xr Scapula Bilat 0 0 $124.00 $111.60 — — — 2024-12-23
73020 HCPCS Xr Shoulder 1 View Bilateral 0 0 $90.00 $81.00 — — — 2024-12-23
73030 HCPCS Xr Shoulder Complete 2+ Views Bilat 0 0 $130.00 $117.00 — — — 2024-12-23
73050 HCPCS Xr Ac Joint Left 0 0 $136.00 $122.40 — — — 2024-12-23
73060 HCPCS Xr Humerus Bilat 0 0 $131.00 $117.90 — — — 2024-12-23
73070 HCPCS Xr Elbow 2 Views Bilateral 0 0 $117.00 $105.30 — — — 2024-12-23
73080 HCPCS Xr Elbow Complete 3+ Views Bilateral 0 0 $139.00 $125.10 — — — 2024-12-23
73090 HCPCS Xr Forearm 2 Views Bilateral 0 0 $114.00 $102.60 — — — 2024-12-23
73100 HCPCS Xr Wrist 2 Views Bilateral 0 0 $137.00 $123.30 — — — 2024-12-23
73110 HCPCS Xr Wrist Complete 3+ Views Bilateral 0 0 $166.00 $149.40 — — — 2024-12-23
00812 HCPCS Anesthesia Screening Colonoscopy - 00812 0 0 $78.00 $70.20 — — — 2024-12-23
73130 HCPCS Xr Hand Complete 3+ Views Bilateral 0 0 $141.00 $126.90 — — — 2024-12-23
73140 HCPCS Xr Finger, 2+ Views Left 0 0 $148.00 $133.20 — — — 2024-12-23
73200 HCPCS CT Upper Extremity Without Contrast Bilat 0 0 $1,268.00 $1,141.20 — — — 2024-12-23
73201 HCPCS CT Upper Extremity With Contrast Bilat 0 0 $1,554.00 $1,398.60 — — — 2024-12-23
73202 HCPCS CT Lower Extremity W/+without Contrast Left 0 0 $2,047.00 $1,842.30 — — — 2024-12-23
73218 HCPCS MRI Upper Extremity Without Contrast Bilat 0 0 $2,636.00 $2,372.40 — — — 2024-12-23
73220 HCPCS MRI Upper Extremity With + Without Cnt Bilat 0 0 $3,450.00 $3,105.00 — — — 2024-12-23
73221 HCPCS MRI Shoulder Without Contrast Bilat 0 0 $1,700.00 $1,530.00 — — — 2024-12-23
73222 HCPCS MRI Shoulder With Contrast Bilat 0 0 $2,619.00 $2,357.10 — — — 2024-12-23
73223 HCPCS MRI Shoulder With + Without Contrast Left 0 0 $3,251.00 $2,925.90 — — — 2024-12-23
73501 HCPCS Xr Hip 1 View Bilateral 0 0 $134.00 $120.60 — — — 2024-12-23
73502 HCPCS Xr Hip 2-3 Views Left 0 0 $190.00 $171.00 — — — 2024-12-23
73521 HCPCS Xr Hips 2 Views Bilat 0 0 $294.00 $264.60 — — — 2024-12-23
73552 HCPCS Xr Femur 1 View Bilat 0 0 $159.00 $143.10 — — — 2024-12-23
73560 HCPCS Xr Knee 1 Or 2 Views Bilateral 0 0 $136.00 $122.40 — — — 2024-12-23
73562 HCPCS Xr Knee 3 Views Bilateral 0 0 $152.00 $136.80 — — — 2024-12-23
73564 HCPCS Xr Knee Complete 4+ Views Bilateral 0 0 $179.00 $161.10 — — — 2024-12-23
73565 HCPCS Xr Knee 1 View Standing Ap Bilateral 0 0 $314.00 $282.60 — — — 2024-12-23
73590 HCPCS Xr Tibia/Fibula Bilateral 0 0 $129.00 $116.10 — — — 2024-12-23
73600 HCPCS Xr Ankle 2 Views Bilateral 0 0 $135.00 $121.50 — — — 2024-12-23
73610 HCPCS Xr Ankle Complete 3+ Views Bilateral 0 0 $148.00 $133.20 — — — 2024-12-23
73620 HCPCS Xr Foot 2 Views Bilateral 0 0 $113.00 $101.70 — — — 2024-12-23
73630 HCPCS Xr Foot Complete 3+ Views Bilateral 0 0 $137.00 $123.30 — — — 2024-12-23
73650 HCPCS Xr Calcaneus Bilateral 0 0 $116.00 $104.40 — — — 2024-12-23
73660 HCPCS Xr Toe, 2+ Views Left 0 0 $125.00 $112.50 — — — 2024-12-23
73700 HCPCS CT Lower Extremity Without Contrast Bilat 0 0 $1,249.00 $1,124.10 — — — 2024-12-23
73701 HCPCS CT Lower Extremity With Contrast Bilat 0 0 $1,616.00 $1,454.40 — — — 2024-12-23
73718 HCPCS MRI Femur Without Contrast Bilat 0 0 $2,477.00 $2,229.30 — — — 2024-12-23
73719 HCPCS MRI Femur With Contrast Bilat 0 0 $2,660.00 $2,394.00 — — — 2024-12-23
73720 HCPCS MRI Tibia/Fibula With + Without Contrast Bilat 0 0 $3,372.00 $3,034.80 — — — 2024-12-23
73721 HCPCS MRI Lower Extremity Without Contrast Bilat 0 0 $1,750.00 $1,575.00 — — — 2024-12-23
73722 HCPCS MRI Lower Extremity With Contrast Left 0 0 $2,560.00 $2,304.00 — — — 2024-12-23
73723 HCPCS MRI Lower Extremity With + Without Contrast Bilat 0 0 $3,230.00 $2,907.00 — — — 2024-12-23
74018 HCPCS Xr Abdomen 1 View 0 0 $110.00 $99.00 — — — 2024-12-23
74019 HCPCS Xr Abdomen 2 Views 0 0 $146.00 $131.40 — — — 2024-12-23
74021 HCPCS Xr Abdomen 3+ Views 0 0 $161.00 $144.90 — — — 2024-12-23
74022 HCPCS Xr Abdomen Series + Chest 1 View 0 0 $187.00 $168.30 — — — 2024-12-23
74150 HCPCS CT Abdomen Without Contrast 0 0 $967.00 $870.30 — — — 2024-12-23
74160 HCPCS CT Abdomen With Contrast 0 0 $1,774.00 $1,596.60 — — — 2024-12-23
74170 HCPCS CT Abdomen With + Without Contrast 0 0 $2,075.00 $1,867.50 — — — 2024-12-23
74174 HCPCS CT Angio Abdomen And Pelvis 0 0 $2,958.00 $2,662.20 — — — 2024-12-23
74176 HCPCS CT Abdomen And Pelvis Without Contrast 0 0 $1,150.00 $1,035.00 — — — 2024-12-23
74177 HCPCS CT Abdomen And Pelvis With Contrast 0 0 $2,275.00 $2,047.50 — — — 2024-12-23
74178 HCPCS CT Abdomen And Pelvis With + Without Contrast 0 0 $2,591.00 $2,331.90 — — — 2024-12-23
00732 HCPCS Anesthesia For Upper Gastrointestinal Endoscopic Procedures - 00732 0 0 $78.00 $70.20 — — — 2024-12-23
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