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Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

ASHLEY MEDICAL CENTER

Ashley, ND · CCN 351322 · Rates published

1,091 distinct procedures filed
14 distinct payers
23,799 rate rows
2026-03-16 last MRF observed
Data quality

1,428 of 23,799 rate rows are consumer-grade (6.0%)

22,371 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 20,283
per-diem day rate — not a per-procedure price 1,941
exceeds 10× this hospital's gross charge — excluded from medians 147
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://irp.cdn-website.com/5b245649/files/uploaded/450255914_ashley-medical-center_standardcharges.csv
Found on page https://www.amctoday.org/financial
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-18
Content fingerprint 2233ebc9a38aa694… · 13,204,865 bytes · first seen 2026-05-09

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 		8 $4,765.90 $4,765.90 $4,765.90 nat. median
$1,017
outlier · 4.7×
0110
RC 		8 $4,765.90 $4,765.90 $4,765.90 nat. median
$979
outlier · 4.9×
70543
HCPCS 		MRI Orbit/face/neck W&without Contrast 2 $3,286.83 $4,540.00 $3,913.41 nat. median
$1,079
outlier · 3.6×
72158
HCPCS 		MRI L Spine W&without - Lumbar 1 $3,462.45 $3,462.45 $3,462.45 nat. median
$1,081
outlier · 3.2×
70553
HCPCS 		MRI Brain W&without Contrast 4 $3,324.65 $4,624.00 $3,462.45 nat. median
$1,122
outlier · 3.1×
74183
HCPCS 		MRI Abdomen W&without 3 $2,606.03 $4,556.00 $3,404.67 nat. median
$1,102
outlier · 3.1×
73723
HCPCS 		MRI Ext Lower Lt Joint W&W/O,Left 1 $3,399.55 $3,399.55 $3,399.55 nat. median
$1,264
outlier · 2.7×
72157
HCPCS 		MRI T Spine W & Without - Thoracic 1 $3,305.97 $3,305.97 $3,305.97 nat. median
$1,094
outlier · 3.0×
72197
HCPCS 		MRI Pelvis W&without 1 $3,297.17 $3,297.17 $3,297.17 nat. median
$1,065
outlier · 3.1×
73720
HCPCS 		MRI Ext Lower Lt Non-joint W&W/O,Left 1 $3,285.59 $3,285.59 $3,285.59 nat. median
$1,190
outlier · 2.8×
72156
HCPCS 		MRI C Spine W&without - Cervical 2 $3,091.64 $3,181.79 $3,136.72 nat. median
$1,092
outlier · 2.9×
0360
RC 		1 $2,874.40 $2,874.40 $2,874.40 nat. median
$2,181
1.3× median
70547
HCPCS 		MRA Neck Without Contrast 1 $2,720.69 $2,720.69 $2,720.69 nat. median
$751
outlier · 3.6×
70544
HCPCS 		MRA Head Without Contrast 1 $2,593.84 $2,593.84 $2,593.84 nat. median
$817
outlier · 3.2×
45384
HCPCS 		Colonoscopy W Lesion Removal Hot Snare 1 $2,583.37 $2,583.37 $2,583.37 nat. median
$1,676
1.5× median
72195
HCPCS 		MRI Pelvis Without Contrast 1 $2,562.39 $2,562.39 $2,562.39 nat. median
$787
outlier · 3.3×
73718
HCPCS 		MRI Ext Lower Lt Non-joint WO,Left 3 $2,446.76 $2,548.17 $2,534.55 nat. median
$917
outlier · 2.8×
74181
HCPCS 		MRI Abdomen Without Contrast 2 $2,198.45 $2,857.00 $2,527.72 nat. median
$820
outlier · 3.1×
74174
HCPCS 		CT Angio Abd/pel W 2 $2,456.96 $2,475.63 $2,466.30 nat. median
$959
outlier · 2.6×
73218
HCPCS 		MRI Ext Upper Lt Non-joint WO,Left 1 $2,395.42 $2,395.42 $2,395.42 nat. median
$896
outlier · 2.7×
45378
HCPCS 		Colonoscopy Dx 3 $188.95 $3,259.00 $2,343.23 nat. median
$1,331
1.8× median
73721
HCPCS 		MRI Ext Lower Lt Joint W/O,Left 4 $2,086.53 $2,902.00 $2,173.02 nat. median
$899
outlier · 2.4×
74178
HCPCS 		CT Abd/pel W&without Cont 3 $2,064.96 $2,150.55 $2,143.57 nat. median
$979
outlier · 2.2×
70551
HCPCS 		MRI Brain Without Contrast 3 $2,029.25 $2,099.64 $2,088.42 nat. median
$772
outlier · 2.7×
73221
HCPCS 		MRI Ext Upper Lt Joint W/O,Left 4 $1,915.17 $2,829.00 $2,047.34 nat. median
$880
outlier · 2.3×
72141
HCPCS 		MRI C Spine Without - Cervical 4 $1,830.68 $2,695.00 $2,011.74 nat. median
$766
outlier · 2.6×
70498
HCPCS 		CT Angio Neck W 2 $1,807.07 $1,869.75 $1,838.41 nat. median
$722
outlier · 2.5×
74177
HCPCS 		CT Abd/pel W Cont 4 $1,696.60 $2,001.60 $1,836.22 nat. median
$928
2.0× median
72146
HCPCS 		MRI T Spine Without - Thoracic 3 $1,821.07 $2,439.00 $1,826.32 nat. median
$772
outlier · 2.4×
72148
HCPCS 		MRI L Spine Without - Lumbar 4 $1,752.20 $2,437.00 $1,824.83 nat. median
$770
outlier · 2.4×
71275
HCPCS 		CT Angio Chest W 2 $1,733.98 $1,794.12 $1,764.05 nat. median
$736
outlier · 2.4×
73702
HCPCS 		CT Low Ext Lt W&without CONT,Left 1 $1,744.29 $1,744.29 $1,744.29 nat. median
$710
outlier · 2.5×
70496
HCPCS 		CT Angio Head W 2 $1,688.39 $1,746.95 $1,717.67 nat. median
$729
outlier · 2.4×
11420
HCPCS 		Exc B9 + Marg 0.5 1 $43.69 $3,314.94 $1,679.32 nat. median
$1,519
1.1× median
G0121
HCPCS 		Colonoscopy (screening) 1 $192.39 $2,676.07 $1,434.23 nat. median
$1,368
1.0× median
G0105
HCPCS 		Colonoscopy (screen Hi Risk) 1 $192.20 $2,676.07 $1,434.14 nat. median
$1,410
1.0× median
71260
HCPCS 		CT Chest W Cont 3 $1,370.68 $1,418.23 $1,417.15 nat. median
$646
outlier · 2.2×
73701
HCPCS 		CT Low Ext Lt W CONT,Left 2 $1,368.98 $1,425.72 $1,401.82 nat. median
$710
2.0× median
45380
HCPCS 		Colonoscopy W/biopsy 1 $205.24 $2,542.32 $1,373.78 nat. median
$1,566
0.9× median
70491
HCPCS 		CT Neck W Contrast 2 $1,277.13 $1,360.55 $1,318.84 nat. median
$617
outlier · 2.1×
43239
HCPCS 		Egd/gastroscopy 2 $141.10 $2,041.24 $1,138.78 nat. median
$1,377
0.8× median
43235
HCPCS 		Egd Dx Brush Wash 1 $125.42 $2,125.84 $1,125.63 nat. median
$1,340
0.8× median
72125
HCPCS 		CT Cervical Spine Without 5 $1,025.95 $1,489.00 $1,113.51 nat. median
$469
outlier · 2.4×
72128
HCPCS 		CT Thoracic Spine Without 3 $1,109.72 $1,482.00 $1,110.29 nat. median
$449
outlier · 2.5×
72131
HCPCS 		CT Lumbar Spine Without 4 $1,059.80 $1,474.00 $1,103.73 nat. median
$449
outlier · 2.5×
99285
HCPCS 		ER Significant THREAT,same Day As Other Service 2 $151.81 $1,146.41 $1,100.78 nat. median
$1,227
0.9× median
71250
HCPCS 		CT Chest Without Cont 4 $838.43 $1,466.00 $1,098.06 nat. median
$473
outlier · 2.3×
73700
HCPCS 		CT Low Ext Lt Without CONT,Left 2 $1,059.81 $1,103.73 $1,081.77 nat. median
$555
1.9× median
73200
HCPCS 		CT Upp Ext Lt Without CONT,Left 1 $1,067.79 $1,067.79 $1,067.79 nat. median
$548
1.9× median
70486
HCPCS 		CT Face/sin/jaw Without 4 $932.84 $1,289.00 $998.20 nat. median
$463
outlier · 2.2×

Other procedures at this hospital

Browse this hospital's 1,091 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
             
0110 RC — 8 8 $8.00 $8.00 $4,765.90 $4,765.90 $4,765.90 2026-03-16
0120 RC — 8 8 $414.00 $414.00 $4,765.90 $4,765.90 $4,765.90 2026-03-16
70543 HCPCS MRI Orbit/face/neck W&without Contrast 2 2 $4,540.00 $4,540.00 $3,286.83 $4,540.00 $3,913.41 2026-03-16
72158 HCPCS MRI L Spine W&without - Lumbar 1 1 $4,624.00 $4,624.00 $3,462.45 $3,462.45 $3,462.45 2026-03-16
70553 HCPCS MRI Brain W&without Contrast 5 4 $4,624.00 $4,624.00 $3,324.65 $4,624.00 $3,462.45 2026-03-16
74183 HCPCS MRI Abdomen W&without 4 3 $4,556.00 $4,556.00 $2,606.03 $4,556.00 $3,404.67 2026-03-16
73723 HCPCS MRI Ext Lower Lt Joint W&W/O,Left 1 1 $4,540.00 $4,540.00 $3,399.55 $3,399.55 $3,399.55 2026-03-16
72157 HCPCS MRI T Spine W & Without - Thoracic 1 1 $4,598.00 $4,598.00 $3,305.97 $3,305.97 $3,305.97 2026-03-16
72197 HCPCS MRI Pelvis W&without 1 1 $4,556.00 $4,556.00 $3,297.17 $3,297.17 $3,297.17 2026-03-16
73720 HCPCS MRI Ext Lower Lt Non-joint W&W/O,Left 1 1 $4,540.00 $4,540.00 $3,285.59 $3,285.59 $3,285.59 2026-03-16
72156 HCPCS MRI C Spine W&without - Cervical 2 2 $4,272.00 $4,272.00 $3,091.64 $3,181.79 $3,136.72 2026-03-16
0360 RC — 1 1 $777.74 $777.74 $2,874.40 $2,874.40 $2,874.40 2026-03-16
70547 HCPCS MRA Neck Without Contrast 1 1 $3,784.00 $3,784.00 $2,720.69 $2,720.69 $2,720.69 2026-03-16
70544 HCPCS MRA Head Without Contrast 1 1 $3,464.00 $3,464.00 $2,593.84 $2,593.84 $2,593.84 2026-03-16
45384 HCPCS Colonoscopy W Lesion Removal Hot Snare 1 1 $3,593.00 $3,593.00 $2,583.37 $2,583.37 $2,583.37 2026-03-16
72195 HCPCS MRI Pelvis Without Contrast 1 1 $3,422.00 $3,422.00 $2,562.39 $2,562.39 $2,562.39 2026-03-16
73718 HCPCS MRI Ext Lower Lt Non-joint WO,Left 5 3 $3,403.00 $3,403.00 $2,446.76 $2,548.17 $2,534.55 2026-03-16
74181 HCPCS MRI Abdomen Without Contrast 2 2 $2,943.00 $2,943.00 $2,198.45 $2,857.00 $2,527.72 2026-03-16
74174 HCPCS CT Angio Abd/pel W 2 2 $3,395.00 $3,395.00 $2,456.96 $2,475.63 $2,466.30 2026-03-16
73218 HCPCS MRI Ext Upper Lt Non-joint WO,Left 1 1 $3,526.00 $3,526.00 $2,395.42 $2,395.42 $2,395.42 2026-03-16
45378 HCPCS Colonoscopy Dx 7 3 $3,259.00 $3,259.00 $188.95 $3,259.00 $2,343.23 2026-03-16
73721 HCPCS MRI Ext Lower Lt Joint W/O,Left 7 4 $2,902.00 $2,902.00 $2,086.53 $2,902.00 $2,173.02 2026-03-16
74178 HCPCS CT Abd/pel W&without Cont 3 3 $2,872.00 $2,872.00 $2,064.96 $2,150.55 $2,143.57 2026-03-16
70551 HCPCS MRI Brain Without Contrast 3 3 $2,804.00 $2,804.00 $2,029.25 $2,099.64 $2,088.42 2026-03-16
73221 HCPCS MRI Ext Upper Lt Joint W/O,Left 5 4 $2,829.00 $2,829.00 $1,915.17 $2,829.00 $2,047.34 2026-03-16
72141 HCPCS MRI C Spine Without - Cervical 5 4 $2,695.00 $2,695.00 $1,830.68 $2,695.00 $2,011.74 2026-03-16
70498 HCPCS CT Angio Neck W 2 2 $2,497.00 $2,497.00 $1,807.07 $1,869.75 $1,838.41 2026-03-16
74177 HCPCS CT Abd/pel W Cont 4 4 $2,502.00 $2,502.00 $1,696.60 $2,001.60 $1,836.22 2026-03-16
72146 HCPCS MRI T Spine Without - Thoracic 3 3 $2,439.00 $2,439.00 $1,821.07 $2,439.00 $1,826.32 2026-03-16
72148 HCPCS MRI L Spine Without - Lumbar 5 4 $2,437.00 $2,437.00 $1,752.20 $2,437.00 $1,824.83 2026-03-16
71275 HCPCS CT Angio Chest W 2 2 $2,396.00 $2,396.00 $1,733.98 $1,794.12 $1,764.05 2026-03-16
73702 HCPCS CT Low Ext Lt W&without CONT,Left 1 1 $2,426.00 $2,426.00 $1,744.29 $1,744.29 $1,744.29 2026-03-16
70496 HCPCS CT Angio Head W 2 2 $2,333.00 $2,333.00 $1,688.39 $1,746.95 $1,717.67 2026-03-16
11420 HCPCS Exc B9 + Marg 0.5 2 1 $228.00 $228.00 $43.69 $3,314.94 $1,679.32 2026-03-16
G0121 HCPCS Colonoscopy (screening) 2 1 $3,593.00 $3,593.00 $192.39 $2,676.07 $1,434.23 2026-03-16
G0105 HCPCS Colonoscopy (screen Hi Risk) 2 1 $3,593.00 $3,593.00 $192.20 $2,676.07 $1,434.14 2026-03-16
71260 HCPCS CT Chest W Cont 3 3 $1,894.00 $1,894.00 $1,370.68 $1,418.23 $1,417.15 2026-03-16
73701 HCPCS CT Low Ext Lt W CONT,Left 4 2 $1,904.00 $1,904.00 $1,368.98 $1,425.72 $1,401.82 2026-03-16
45380 HCPCS Colonoscopy W/biopsy 2 1 $852.75 $852.75 $205.24 $2,542.32 $1,373.78 2026-03-16
70491 HCPCS CT Neck W Contrast 2 2 $1,880.00 $1,880.00 $1,277.13 $1,360.55 $1,318.84 2026-03-16
43239 HCPCS Egd/gastroscopy 4 2 $2,839.00 $2,839.00 $141.10 $2,041.24 $1,138.78 2026-03-16
43235 HCPCS Egd Dx Brush Wash 2 1 $2,839.00 $2,839.00 $125.42 $2,125.84 $1,125.63 2026-03-16
72125 HCPCS CT Cervical Spine Without 5 5 $1,489.00 $1,489.00 $1,025.95 $1,489.00 $1,113.51 2026-03-16
72128 HCPCS CT Thoracic Spine Without 3 3 $1,482.00 $1,482.00 $1,109.72 $1,482.00 $1,110.29 2026-03-16
72131 HCPCS CT Lumbar Spine Without 5 4 $1,474.00 $1,474.00 $1,059.80 $1,474.00 $1,103.73 2026-03-16
99285 HCPCS ER Significant THREAT,same Day As Other Service 3 2 $481.00 $481.00 $151.81 $1,146.41 $1,100.78 2026-03-16
71250 HCPCS CT Chest Without Cont 4 4 $1,466.00 $1,466.00 $838.43 $1,466.00 $1,098.06 2026-03-16
73700 HCPCS CT Low Ext Lt Without CONT,Left 2 2 $1,474.00 $1,474.00 $1,059.81 $1,103.73 $1,081.77 2026-03-16
73200 HCPCS CT Upp Ext Lt Without CONT,Left 1 1 $1,469.00 $1,469.00 $1,067.79 $1,067.79 $1,067.79 2026-03-16
70486 HCPCS CT Face/sin/jaw Without 4 4 $1,289.00 $1,289.00 $932.84 $1,289.00 $998.20 2026-03-16
74176 HCPCS CT Abd/pel Without Contrast 3 3 $1,321.00 $1,321.00 $949.79 $1,321.00 $989.16 2026-03-16
70487 HCPCS CT Face/sin/jaw W Cont 2 2 $1,579.00 $1,579.00 $903.24 $1,072.79 $988.01 2026-03-16
93970 HCPCS US Venous Dopp Bilat - Doppler Ven 1 1 $1,232.00 $1,232.00 $922.52 $922.52 $922.52 2026-03-16
72192 HCPCS CT Pelvic Without Cont 2 2 $1,260.00 $1,260.00 $868.33 $943.49 $905.91 2026-03-16
93306 HCPCS US Echocardiogram 4 4 $1,194.00 $1,194.00 $858.48 $1,194.00 $893.93 2026-03-16
74150 HCPCS CT Abd Without Cont 1 1 $1,221.00 $1,221.00 $877.89 $877.89 $877.89 2026-03-16
93880 HCPCS US Carotid Duplex Bilateral 2 2 $1,174.00 $1,174.00 $844.10 $879.09 $861.60 2026-03-16
36430 HCPCS Blood Adm 1 Unit 2 2 $1,070.00 $1,070.00 $801.22 $915.62 $858.42 2026-03-16
70490 HCPCS CT Neck Without Contrast 1 1 $1,459.00 $1,459.00 $834.31 $834.31 $834.31 2026-03-16
G0379 HCPCS Direct Admit 1 1 $1,069.00 $1,069.00 $800.47 $800.47 $800.47 2026-03-16
99284 HCPCS ER High SEVERITY,same Day As Other Service 9 5 $332.00 $332.00 $104.80 $1,090.00 $783.71 2026-03-16
11604 HCPCS Excision Mal Extremity 3.1-4.0 2 1 $982.00 $982.00 $221.01 $1,333.12 $777.06 2026-03-16
70450 HCPCS CT Head Without Cont 5 4 $1,014.00 $1,014.00 $686.87 $1,014.00 $729.06 2026-03-16
93971 HCPCS US Venous Dopp Lt Unilat - DOPPLER,Left 2 2 $814.00 $814.00 $609.52 $814.00 $711.76 2026-03-16
11421 HCPCS Exc Hd-face .6-1cm (fnp),np Or Pa 1 1 $300.50 $300.50 $706.05 $706.05 $706.05 2026-03-16
90677 HCPCS Cln - Prevnar 20 2 2 $327.50 $327.50 $306.64 $890.62 $598.63 2026-03-16
P9016 HCPCS Leukocyte Poor Blood 2 2 $902.00 $902.00 $516.14 $675.42 $595.78 2026-03-16
71271 HCPCS CT Low Dose Chest Without Screening 3 2 $689.00 $689.00 $495.39 $689.00 $513.17 2026-03-16
96360 HCPCS IV Hydration 1st Hr 3 3 $525.00 $525.00 $380.39 $525.00 $508.00 2026-03-16
99283 HCPCS ER Moderate SEVERITY,same Day As Other Service 10 5 $195.75 $195.75 $61.56 $696.00 $472.80 2026-03-16
11642 HCPCS Exc Malignant Lesion (fnp),np Or Pa 2 1 $500.00 $500.00 $189.58 $735.32 $462.45 2026-03-16
76700 HCPCS US Abd Complete - Abdominal 4 3 $615.00 $615.00 $415.69 $615.00 $445.32 2026-03-16
96365 HCPCS ER IV Therapy 1st Hr 4 3 $508.00 $508.00 $365.25 $508.00 $444.19 2026-03-16
76770 HCPCS US Renal/aorta/nodes 2 2 $603.00 $603.00 $436.39 $451.53 $443.96 2026-03-16
76536 HCPCS US Thyroid B-scan 3 3 $604.00 $604.00 $434.27 $452.28 $436.75 2026-03-16
Q5108 HCPCS Fulphila Subcutaneous Solution 6mg/0. 2 2 $7,469.00 $7,469.00 $366.73 $466.07 $416.40 2026-03-16
76881 HCPCS US Ext Nonvas Complete 1 1 $570.00 $570.00 $409.83 $409.83 $409.83 2026-03-16
96374 HCPCS ER Ivp Infusion 2 2 $508.00 $508.00 $367.63 $445.78 $406.70 2026-03-16
77067 HCPCS Ma Mammo Bilat Screening 4 4 $541.00 $541.00 $87.65 $432.80 $395.96 2026-03-16
11106 HCPCS Skin Biopsy 1 1 $534.00 $534.00 $383.94 $383.94 $383.94 2026-03-16
76856 HCPCS US Pelvic Complete 2 2 $521.00 $521.00 $374.59 $390.12 $382.36 2026-03-16
76870 HCPCS US Scrotum 1 1 $527.00 $527.00 $378.92 $378.92 $378.92 2026-03-16
91320 HCPCS Snf Comirnaty Covid Booster 2025-26 1 1 $385.00 $385.00 $373.53 $373.53 $373.53 2026-03-16
77080 HCPCS Bd Bone Density 4 3 $482.00 $482.00 $346.55 $462.33 $353.40 2026-03-16
76705 HCPCS US Abd Limited - Abdominal 2 2 $473.00 $473.00 $340.08 $354.18 $347.13 2026-03-16
97161 HCPCS Pt Evaluation,physical Therapist Service 6 5 $429.00 $429.00 $308.14 $442.00 $342.29 2026-03-16
90792 HCPCS Psych Diag Eval W/med Srvcs 4 3 $527.50 $527.50 $268.57 $420.24 $337.02 2026-03-16
87799 HCPCS Bk Virus Quantitative Naat, PLASMA,Ref Lab 1 1 $442.50 $442.50 $329.57 $329.57 $329.57 2026-03-16
11606 HCPCS Excise Malignant Marg >4cm 1 1 $2,329.00 $2,329.00 $323.88 $323.88 $323.88 2026-03-16
99204 HCPCS Office Visit-new Patient 3 3 $389.50 $389.50 $264.32 $327.24 $308.42 2026-03-16
11401 HCPCS Excision Benign Lesion .6-1.0 (phy),np Or Pa 4 2 $424.00 $424.00 $94.89 $620.72 $303.22 2026-03-16
99215 HCPCS Office O/p Est Hi 40-54 Min 5 4 $419.00 $419.00 $214.74 $351.75 $290.82 2026-03-16
80074 HCPCS Hepatitis Panel ACUTE,Ref Lab 1 1 $396.50 $396.50 $286.94 $286.94 $286.94 2026-03-16
99282 HCPCS ER Low SEVERITY,same Day As Other Service 6 5 $115.25 $115.25 $264.59 $368.00 $285.35 2026-03-16
11602 HCPCS Excision Mal 1.1-2.0 Cm 2 1 $442.50 $442.50 $169.23 $399.86 $284.55 2026-03-16
10060 HCPCS I & D (fnp),np Or Pa 1 1 $343.00 $343.00 $279.56 $279.56 $279.56 2026-03-16
76642 HCPCS US B-scan Lt Limited - Breast SCAN,Left 2 2 $373.00 $373.00 $277.81 $279.30 $278.56 2026-03-16
82166 HCPCS Anti-mullerian HORMONE,Ref Lab 1 1 $386.00 $386.00 $277.53 $277.53 $277.53 2026-03-16
99397 HCPCS Prev Med Eval > 65 Yr 2 2 $366.00 $366.00 $261.66 $291.49 $276.58 2026-03-16
99305 HCPCS Nursing Facility Care Initial 3 3 $360.50 $360.50 $205.24 $290.82 $269.61 2026-03-16
99309 HCPCS Nursing Facility Subs Care 3 3 $292.50 $292.50 $205.24 $290.82 $269.61 2026-03-16
99212 HCPCS Op Visit Estab Pt (phy) 3 3 $81.00 $81.00 $103.82 $290.82 $269.61 2026-03-16
82088 HCPCS Aldosterone SERUM,Ref Lab 1 1 $355.00 $355.00 $264.40 $264.40 $264.40 2026-03-16
99308 HCPCS Nursing Facility Subs Care 3 3 $201.50 $201.50 $205.24 $290.82 $264.32 2026-03-16
99223 HCPCS Initial Care High (phy) 2 2 $460.50 $460.50 $152.49 $373.94 $263.22 2026-03-16
83970 HCPCS Parathyroid H Intact Wo/ CA,Ref Lab 4 3 $359.50 $359.50 $41.28 $359.50 $263.12 2026-03-16
45385 HCPCS Colonoscopy W Lesion Removal 3 2 $3,593.00 $3,593.00 $205.24 $2,055.13 $259.45 2026-03-16
99394 HCPCS Prev Med Exam 12-17 Yrs 2 2 $310.50 $310.50 $247.38 $269.61 $258.50 2026-03-16
99396 HCPCS Prev Med Eval 40-64 Yrs 2 2 $339.50 $339.50 $242.45 $270.52 $256.49 2026-03-16
99214 HCPCS Office O/p Est Mod 30-39 Min 5 4 $298.50 $298.50 $152.54 $290.82 $251.06 2026-03-16
82024 HCPCS Adrenocorticotropic HORMONE,Ref Lab 3 2 $337.00 $337.00 $242.30 $337.00 $251.00 2026-03-16
99315 HCPCS Nursing Home Discharge 2 2 $220.50 $220.50 $205.24 $290.82 $248.03 2026-03-16
G0438 HCPCS Annual Wellness Exam 2 2 $450.50 $450.50 $205.24 $290.82 $248.03 2026-03-16
11055 HCPCS Paring Lesion 2 2 $190.50 $190.50 $205.24 $290.82 $248.03 2026-03-16
G0439 HCPCS Annual Wellness Subsequent 2 2 $355.00 $355.00 $205.24 $290.82 $248.03 2026-03-16
99348 HCPCS Home Visit-estab Patient 2 2 $208.00 $208.00 $205.24 $290.82 $248.03 2026-03-16
99349 HCPCS Home Visit-estab Patient 2 2 $344.00 $344.00 $205.24 $290.82 $248.03 2026-03-16
99393 HCPCS Well Child Exam 5-11 Yrs 2 2 $284.50 $284.50 $226.40 $269.61 $248.00 2026-03-16
80307 HCPCS Drug Screen 9 Panel Serum Or PLASMA,Ref Lab 2 2 $598.50 $598.50 $62.14 $430.32 $246.23 2026-03-16
17110 HCPCS Destruct Lesion 1-14 2 2 $300.00 $300.00 $237.78 $243.15 $240.47 2026-03-16
51702 HCPCS Foley Cath Insertion 2 2 $319.00 $319.00 $238.87 $240.02 $239.44 2026-03-16
99391 HCPCS Prev Med Visit Under 1 Yr 2 2 $267.00 $267.00 $208.42 $269.61 $239.01 2026-03-16
90750 HCPCS Cln - Shingrix 1 1 $236.50 $236.50 $236.50 $236.50 $236.50 2026-03-16
99307 HCPCS Nursing Facility Subs Care 2 2 $108.00 $108.00 $205.24 $264.32 $234.78 2026-03-16
99233 HCPCS Subsequent Care-h C 2 2 $319.50 $319.50 $211.97 $254.60 $233.28 2026-03-16
99203 HCPCS Office Visit-new Patient 3 3 $260.00 $260.00 $205.82 $269.61 $232.20 2026-03-16
12001 HCPCS Repair Trunk 2.5cm 7 4 $278.00 $278.00 $38.24 $300.00 $231.95 2026-03-16
11102 HCPCS Biopsy Skin Lesion 8 5 $101.50 $101.50 $33.04 $310.00 $228.56 2026-03-16
99291 HCPCS Critical Care 30-74 Min 2 1 $733.00 $733.00 $205.24 $250.00 $227.62 2026-03-16
0710 RC — 5 4 $321.00 $321.00 $141.65 $654.55 $227.37 2026-03-16
87493 HCPCS C Difficile Toxin By PCR,Ref Lab 4 4 $305.50 $305.50 $37.27 $244.40 $223.59 2026-03-16
80050 HCPCS General Health Plan Panel 3 2 $299.00 $299.00 $50.13 $296.01 $221.81 2026-03-16
99382 HCPCS Prev Med Early Child 1-4 2 2 $312.50 $312.50 $205.24 $234.99 $220.11 2026-03-16
87491 HCPCS Chlamydia AMPLIFIED,Ref Lab 1 1 $305.50 $305.50 $219.66 $219.66 $219.66 2026-03-16
87591 HCPCS Gonorrhoeae AMPLIFIED,Ref Lab 1 1 $305.50 $305.50 $219.66 $219.66 $219.66 2026-03-16
83880 HCPCS B-type Natriuret Peptide (npl) Send OUT,Ref Lab 4 4 $296.00 $296.00 $39.26 $220.46 $216.64 2026-03-16
99392 HCPCS Prev Med Early Child Age 1-4 3 3 $284.50 $284.50 $205.24 $269.61 $216.16 2026-03-16
86581 HCPCS Streptococcus Pneumoniae Ab IGG,Ref Lab 1 1 $290.00 $290.00 $208.51 $208.51 $208.51 2026-03-16
12020 HCPCS Repair Wound Dehiscence 1 1 $815.50 $815.50 $205.24 $205.24 $205.24 2026-03-16
29345 HCPCS Long Leg Cast 1 1 $381.50 $381.50 $205.24 $205.24 $205.24 2026-03-16
J2730 HCPCS Cln - Lidocaine Hcl 2% 8 7 $109.00 $109.00 $205.24 $205.24 $205.24 2026-03-16
G0101 HCPCS Cx/vag Ca Screen Pelvic 1 1 $106.50 $106.50 $205.24 $205.24 $205.24 2026-03-16
12017 HCPCS Repair Of Face 20-30cm 1 1 $580.00 $580.00 $205.24 $205.24 $205.24 2026-03-16
J2001 HCPCS Cln - Lidocaine Hcl 1% 8 7 $2.00 $2.00 $205.24 $205.24 $205.24 2026-03-16
Q3014 HCPCS Telehealth Site Fee 1 1 $102.00 $102.00 $205.24 $205.24 $205.24 2026-03-16
93270 HCPCS Mcot Live Holter Monitor Hook-up &Record 1 1 $75.00 $75.00 $205.24 $205.24 $205.24 2026-03-16
29125 HCPCS Apply Shortarm Splint 1 1 $183.50 $183.50 $205.24 $205.24 $205.24 2026-03-16
99244 HCPCS Consulation Op-level 4 1 1 $460.50 $460.50 $205.24 $205.24 $205.24 2026-03-16
12015 HCPCS Laceration Repair Face 7.5-12cm 1 1 $306.00 $306.00 $205.24 $205.24 $205.24 2026-03-16
11201 HCPCS Removal Addtl Skin Tags 1 1 $43.50 $43.50 $205.24 $205.24 $205.24 2026-03-16
29086 HCPCS Apply Finger Cast 1 1 $219.00 $219.00 $205.24 $205.24 $205.24 2026-03-16
J7325 HCPCS Synvisc Or Synvisc One 1 1 $12.00 $12.00 $205.24 $205.24 $205.24 2026-03-16
S9981 HCPCS Mr Copying Fee Pg 1-25 1 1 $20.00 $20.00 $205.24 $205.24 $205.24 2026-03-16
29085 HCPCS Apply Hand/wrist Cast 1 1 $252.00 $252.00 $205.24 $205.24 $205.24 2026-03-16
29075 HCPCS Application Of Forearm Cast (fnp),np Or Pa 1 1 $241.00 $241.00 $205.24 $205.24 $205.24 2026-03-16
99381 HCPCS Newborn Evaluation 1 1 $298.00 $298.00 $205.24 $205.24 $205.24 2026-03-16
29065 HCPCS Application Of Long Arm Cast 1 1 $461.00 $461.00 $205.24 $205.24 $205.24 2026-03-16
99241 HCPCS Consult Op Level I (phy) 1 1 $84.00 $84.00 $205.24 $205.24 $205.24 2026-03-16
J1940 HCPCS Cln - Furosemide 40 Mg/4 Ml 8 7 $2.00 $2.00 $205.24 $205.24 $205.24 2026-03-16
J3360 HCPCS Valium (diazepam) 5 Mg/ml Vial 1 1 $135.73 $135.73 $205.24 $205.24 $205.24 2026-03-16
99225 HCPCS Subsequent Obser Care Moderate (fnp) 1 1 $189.00 $189.00 $205.24 $205.24 $205.24 2026-03-16
J2930 HCPCS Methyprednisolone Inj 8 7 $7.00 $7.00 $205.24 $205.24 $205.24 2026-03-16
99243 HCPCS Consulation Op-level 3 1 1 $307.50 $307.50 $205.24 $205.24 $205.24 2026-03-16
99383 HCPCS Prev Med Late Child 5-11 1 1 $324.50 $324.50 $205.24 $205.24 $205.24 2026-03-16
L1810 HCPCS Knee Orthosis Elastic W Joint 1 1 $150.00 $150.00 $205.24 $205.24 $205.24 2026-03-16
L4387 HCPCS Cam Walker 1 1 $255.00 $255.00 $205.24 $205.24 $205.24 2026-03-16
90732 HCPCS Snf Prevnar 23 (pneumo) 0.5 Ml Vial 1 1 $151.00 $151.00 $205.24 $205.24 $205.24 2026-03-16
12005 HCPCS Repair Of Trunk 12.6-20.0cm 1 1 $478.50 $478.50 $205.24 $205.24 $205.24 2026-03-16
99000 HCPCS Collection/conveyance To Lab 1 1 $21.00 $21.00 $205.24 $205.24 $205.24 2026-03-16
99242 HCPCS Consult Op Level Ii 1 1 $177.00 $177.00 $205.24 $205.24 $205.24 2026-03-16
10120 HCPCS Removal Forgein Body (fnp),np Or Pa 1 1 $411.50 $411.50 $205.24 $205.24 $205.24 2026-03-16
99318 HCPCS Annual Nursing Fac Assessment 1 1 $245.00 $245.00 $205.24 $205.24 $205.24 2026-03-16
99384 HCPCS Prev Med Adolescent 12-17 1 1 $364.00 $364.00 $205.24 $205.24 $205.24 2026-03-16
99234 HCPCS Hospital Care Low (fnp),np Or Pa 1 1 $263.50 $263.50 $205.24 $205.24 $205.24 2026-03-16
99350 HCPCS Home Visit-estab Patient 1 1 $499.50 $499.50 $205.24 $205.24 $205.24 2026-03-16
J7620 HCPCS Cln - Albuterol Sulfate 2.5 Mg/3 Ml 1 1 $2.00 $2.00 $205.24 $205.24 $205.24 2026-03-16
24071 HCPCS Escision Arm/elbow 1 1 $4,306.00 $4,306.00 $205.24 $205.24 $205.24 2026-03-16
E0114 HCPCS Crutches Underarm Not Wood 1 1 $87.00 $87.00 $205.24 $205.24 $205.24 2026-03-16
11982 HCPCS Remove Drug Implant Device 1 1 $300.50 $300.50 $205.24 $205.24 $205.24 2026-03-16
J1010 HCPCS Depo-medrol(methylprednisolon)40 Mg/1 Ml 1 1 $30.00 $30.00 $205.24 $205.24 $205.24 2026-03-16
83026 HCPCS Hemoglobulin Electrophoresis 1 1 $11.00 $11.00 $205.24 $205.24 $205.24 2026-03-16
11760 HCPCS Repair Of Nailbed 1 1 $844.00 $844.00 $205.24 $205.24 $205.24 2026-03-16
J7644 HCPCS Inhalation Ipratr Bromid 1 1 $2.00 $2.00 $205.24 $205.24 $205.24 2026-03-16
L3908 HCPCS Wrist Splint With Ctrl Cock-up 1 1 $87.00 $87.00 $205.24 $205.24 $205.24 2026-03-16
82962 HCPCS Glucoscan 1 1 $9.00 $9.00 $205.24 $205.24 $205.24 2026-03-16
11750 HCPCS Removal Of Nail Bed 1 1 $551.00 $551.00 $205.24 $205.24 $205.24 2026-03-16
11730 HCPCS Removal Of Nail Plate 3 2 $311.00 $311.00 $57.28 $332.93 $205.24 2026-03-16
90670 HCPCS Snf-prevnar 13 (pneumo) 0.5 Ml Vial 1 1 $587.48 $587.48 $205.24 $205.24 $205.24 2026-03-16
11000 HCPCS Debride Infected Skin 1 1 $819.00 $819.00 $205.24 $205.24 $205.24 2026-03-16
90675 HCPCS Rabies Vaccine Intradermal US 1 1 $413.50 $413.50 $205.24 $205.24 $205.24 2026-03-16
99385 HCPCS Prev Med Adolescent 18-39 1 1 $354.00 $354.00 $205.24 $205.24 $205.24 2026-03-16
S9982 HCPCS Mr Copying Fee Per Page 1 1 $0.75 $0.75 $205.24 $205.24 $205.24 2026-03-16
11719 HCPCS Trimming Nails 1 1 $39.00 $39.00 $205.24 $205.24 $205.24 2026-03-16
90746 HCPCS Cln - Engerix-b 1 1 $80.00 $80.00 $205.24 $205.24 $205.24 2026-03-16
20610 HCPCS Joint Injection 1 1 $400.00 $400.00 $205.24 $205.24 $205.24 2026-03-16
99220 HCPCS Initial Obser Visit Hc (fnp) 1 1 $480.00 $480.00 $205.24 $205.24 $205.24 2026-03-16
99304 HCPCS Nursing Facility Care Initial 1 1 $218.00 $218.00 $205.24 $205.24 $205.24 2026-03-16
93244 HCPCS Cln - Epatch Interpretation 1 1 $62.00 $62.00 $205.24 $205.24 $205.24 2026-03-16
20605 HCPCS Apiration/injection Of Joint 1 1 $149.00 $149.00 $205.24 $205.24 $205.24 2026-03-16
99202 HCPCS Office Visit-new Patient 1 1 $166.50 $166.50 $205.24 $205.24 $205.24 2026-03-16
20600 HCPCS Arthocentesis Asp/inj Joint 1 1 $147.00 $147.00 $205.24 $205.24 $205.24 2026-03-16
21931 HCPCS Exc Back Lesion 3cm> 1 1 $2,491.00 $2,491.00 $205.24 $205.24 $205.24 2026-03-16
99343 HCPCS Home Visit-new Patient 1 1 $321.50 $321.50 $205.24 $205.24 $205.24 2026-03-16
99345 HCPCS Home Visit-new Patient 1 1 $544.00 $544.00 $205.24 $205.24 $205.24 2026-03-16
G0402 HCPCS Welcome To Medicare 1 1 $451.50 $451.50 $205.24 $205.24 $205.24 2026-03-16
88142 HCPCS Cytopath Cervical Or Vaginal 1 1 $61.00 $61.00 $205.24 $205.24 $205.24 2026-03-16
20553 HCPCS Joint Injection Trigger Point 1 1 $463.00 $463.00 $205.24 $205.24 $205.24 2026-03-16
99236 HCPCS Hospital Care Hi (phy) 3 3 $560.50 $560.50 $182.04 $391.12 $205.24 2026-03-16
20552 HCPCS Muscle Injection 1 1 $130.00 $130.00 $205.24 $205.24 $205.24 2026-03-16
L1830 HCPCS Knee Immob Canvas Long Pre Ots 1 1 $89.50 $89.50 $205.24 $205.24 $205.24 2026-03-16
69210 HCPCS Removal Impacted Ear Wax(unilateral) 1 1 $163.00 $163.00 $205.24 $205.24 $205.24 2026-03-16
97597 HCPCS Rmvl Devital Tis 20 Cm/< 1 1 $271.50 $271.50 $205.24 $205.24 $205.24 2026-03-16
20550 HCPCS Inj Tendon Sheath 1 1 $159.00 $159.00 $205.24 $205.24 $205.24 2026-03-16
24600 HCPCS Elbow Reduction 1 1 $420.00 $420.00 $205.24 $205.24 $205.24 2026-03-16
69200 HCPCS Removal Forgein Body Ear Canal 1 1 $229.00 $229.00 $205.24 $205.24 $205.24 2026-03-16
25600 HCPCS Distal Radial Fracture 1 1 $978.00 $978.00 $205.24 $205.24 $205.24 2026-03-16
12004 HCPCS Repair .6-12.5 Cm (fnp),np Or Pa 1 1 $359.50 $359.50 $205.24 $205.24 $205.24 2026-03-16
99387 HCPCS Prev Med New Pt; 65+ 1 1 $443.00 $443.00 $205.24 $205.24 $205.24 2026-03-16
1999 HCPCS Anesthesia 8 7 $146.00 $146.00 $205.24 $205.24 $205.24 2026-03-16
93272 HCPCS Cln - Mcot Interpretation 1 1 $64.50 $64.50 $205.24 $205.24 $205.24 2026-03-16
90685 HCPCS Flu Vac No Prsv 4 Val 6-35 1 1 $24.50 $24.50 $205.24 $205.24 $205.24 2026-03-16
99239 HCPCS Hospital Discharge-high 1 1 $310.50 $310.50 $205.24 $205.24 $205.24 2026-03-16
65210 HCPCS Removal Forgein Body Eye 1 1 $102.00 $102.00 $205.24 $205.24 $205.24 2026-03-16
19120 HCPCS Remove Breast Lesion 1 1 $5,051.00 $5,051.00 $205.24 $205.24 $205.24 2026-03-16
A4565 HCPCS Sling Cradle Arm 1 1 $14.00 $14.00 $205.24 $205.24 $205.24 2026-03-16
17340 HCPCS Crytherapy 1 1 $144.50 $144.50 $205.24 $205.24 $205.24 2026-03-16
11403 HCPCS Excision Extremity 2.1-3 Cm 1 1 $536.00 $536.00 $205.24 $205.24 $205.24 2026-03-16
58301 HCPCS IUD Removal 1 1 $298.00 $298.00 $205.24 $205.24 $205.24 2026-03-16
J0698 HCPCS Cefotaxime Sodium Inj 1 1 $12.50 $12.50 $205.24 $205.24 $205.24 2026-03-16
90688 HCPCS Cln - Fluzone Quadrivalent 1 1 $23.50 $23.50 $205.24 $205.24 $205.24 2026-03-16
12013 HCPCS Repair Lacerations 2.6-5.0 Cm 3 2 $309.00 $309.00 $58.84 $208.74 $205.24 2026-03-16
11200 HCPCS Removal Of Skin Tags<w15 3 2 $211.50 $211.50 $83.54 $215.70 $205.24 2026-03-16
17250 HCPCS Cauterization Tissue 1 1 $424.00 $424.00 $205.24 $205.24 $205.24 2026-03-16
99245 HCPCS Consulation Op-level 5 1 1 $561.00 $561.00 $205.24 $205.24 $205.24 2026-03-16
55250 HCPCS Vasectomy 1 1 $3,120.00 $3,120.00 $205.24 $205.24 $205.24 2026-03-16
12014 HCPCS Laceration Repair 5.0- 7.5 Cm 1 1 $385.50 $385.50 $205.24 $205.24 $205.24 2026-03-16
94640 HCPCS Nebulizer Treatment 1 1 $22.00 $22.00 $205.24 $205.24 $205.24 2026-03-16
95115 HCPCS Allergan Immunotherapt 1 1 $29.00 $29.00 $205.24 $205.24 $205.24 2026-03-16
54056 HCPCS Cyrotherapy Lesions 1 1 $401.50 $401.50 $205.24 $205.24 $205.24 2026-03-16
17111 HCPCS Wart Destruction 1 1 $362.50 $362.50 $205.24 $205.24 $205.24 2026-03-16
10140 HCPCS I & D Fluid 1 1 $462.50 $462.50 $205.24 $205.24 $205.24 2026-03-16
49587 HCPCS Repair Umbilical Hernia 1 1 $5,624.00 $5,624.00 $205.24 $205.24 $205.24 2026-03-16
11402 HCPCS Excision Extremity 1.1-2cm 7 3 $392.00 $392.00 $92.67 $1,183.27 $205.24 2026-03-16
12016 HCPCS Repair Laceration > 12.6 Cm 1 1 $602.00 $602.00 $205.24 $205.24 $205.24 2026-03-16
99347 HCPCS Home Visit-estab Patient 1 1 $122.50 $122.50 $205.24 $205.24 $205.24 2026-03-16
29126 HCPCS Apply Short Arm Splint Dyn 1 1 $222.50 $222.50 $205.24 $205.24 $205.24 2026-03-16
29130 HCPCS Finger Splint 1 1 $118.00 $118.00 $205.24 $205.24 $205.24 2026-03-16
49561 HCPCS Hernia Repair Init Block 1 1 $5,624.00 $5,624.00 $205.24 $205.24 $205.24 2026-03-16
29131 HCPCS Application Of Finger Splint 1 1 $106.00 $106.00 $205.24 $205.24 $205.24 2026-03-16
49560 HCPCS Repair Vental Hernia Reducibl 1 1 $1,898.00 $1,898.00 $205.24 $205.24 $205.24 2026-03-16
17000 HCPCS Destruct Premalignant Lesion (fnp),np Or Pa 3 3 $186.00 $186.00 $140.16 $290.82 $205.24 2026-03-16
49505 HCPCS Hernia Repair 1 1 $5,348.00 $5,348.00 $205.24 $205.24 $205.24 2026-03-16
90700 HCPCS Immunization; Dtap 1 1 $38.00 $38.00 $205.24 $205.24 $205.24 2026-03-16
29355 HCPCS Long Leg Casting Walker 1 1 $398.00 $398.00 $205.24 $205.24 $205.24 2026-03-16
99255 HCPCS Inpatient Consultation 1 1 $501.00 $501.00 $205.24 $205.24 $205.24 2026-03-16
45307 HCPCS Proctoscope Foreign Body 1 1 $575.00 $575.00 $205.24 $205.24 $205.24 2026-03-16
45305 HCPCS Procto With Biopsy 1 1 $484.00 $484.00 $205.24 $205.24 $205.24 2026-03-16
43249 HCPCS Egd Dilation <30mm 1 1 $2,775.00 $2,775.00 $205.24 $205.24 $205.24 2026-03-16
99235 HCPCS Hospital Care Mod (phy) 1 1 $428.50 $428.50 $205.24 $205.24 $205.24 2026-03-16
J0171 HCPCS Cln - Epinephrine Hcl 1 Mg/10 Ml 1 1 $2.00 $2.00 $205.24 $205.24 $205.24 2026-03-16
J1160 HCPCS Digoxin 500 Mcg/2 Ml Ivp 1 1 $30.00 $30.00 $205.24 $205.24 $205.24 2026-03-16
12052 HCPCS Facial Wound Repair (fnp),np Or Pa 1 1 $551.00 $551.00 $205.24 $205.24 $205.24 2026-03-16
99217 HCPCS Op Obser D/c (fnp) 1 1 $189.00 $189.00 $205.24 $205.24 $205.24 2026-03-16
99292 HCPCS Critical Care Ea Add 30 Min 1 1 $324.50 $324.50 $205.24 $205.24 $205.24 2026-03-16
10080 HCPCS I & D Pilonidal Cyst 1 1 $998.00 $998.00 $205.24 $205.24 $205.24 2026-03-16
12051 HCPCS Interm Repair 1 1 $551.00 $551.00 $205.24 $205.24 $205.24 2026-03-16
99254 HCPCS Ip Consulation 1 1 $415.50 $415.50 $205.24 $205.24 $205.24 2026-03-16
12042 HCPCS Intermediate Repair 2.6-7.5 Cm 1 1 $551.00 $551.00 $205.24 $205.24 $205.24 2026-03-16
99219 HCPCS Initial Obser Visit Mc (fnp) 1 1 $351.00 $351.00 $205.24 $205.24 $205.24 2026-03-16
90740 HCPCS Hepatitis B Vaccine 3 Shots 1 1 $241.00 $241.00 $205.24 $205.24 $205.24 2026-03-16
99341 HCPCS Home Visit-new Patient 1 1 $133.50 $133.50 $205.24 $205.24 $205.24 2026-03-16
97750 HCPCS Pt Physical Performance Test 1 1 $279.00 $279.00 $205.24 $205.24 $205.24 2026-03-16
99218 HCPCS Initial Obser Visit Lc (fnp) 1 1 $259.00 $259.00 $205.24 $205.24 $205.24 2026-03-16
90744 HCPCS Immunization; Hepatitis B 1 1 $36.00 $36.00 $205.24 $205.24 $205.24 2026-03-16
12041 HCPCS Interm Repair 0-2.5cm 1 1 $551.00 $551.00 $205.24 $205.24 $205.24 2026-03-16
99251 HCPCS Ip Consult 1 1 $122.50 $122.50 $205.24 $205.24 $205.24 2026-03-16
99140 HCPCS Anesthesia ER Conditions 1 1 $52.00 $52.00 $205.24 $205.24 $205.24 2026-03-16
99253 HCPCS Ip Consulation 1 1 $287.00 $287.00 $205.24 $205.24 $205.24 2026-03-16
12034 HCPCS Intermediate Repair (fnp),np Or Pa 1 1 $562.00 $562.00 $205.24 $205.24 $205.24 2026-03-16
99386 HCPCS Prev Med Visit New Pt 40-64 Yr 1 1 $408.00 $408.00 $205.24 $205.24 $205.24 2026-03-16
36680 HCPCS Intraosseous Needle Placement 1 1 $899.00 $899.00 $205.24 $205.24 $205.24 2026-03-16
99252 HCPCS Inpatient Consultation 1 1 $187.00 $187.00 $205.24 $205.24 $205.24 2026-03-16
29580 HCPCS Unna Boot 1 1 $171.50 $171.50 $205.24 $205.24 $205.24 2026-03-16
99224 HCPCS Subsequent Obser Care Low (fnp) 1 1 $103.00 $103.00 $205.24 $205.24 $205.24 2026-03-16
12032 HCPCS Intermediate Repair 2.6-7.5cm 3 2 $542.50 $542.50 $169.91 $412.59 $205.24 2026-03-16
12031 HCPCS Intermediate Repair 2.5 Cm 1 1 $551.00 $551.00 $205.24 $205.24 $205.24 2026-03-16
99316 HCPCS Discharge 1 1 $353.50 $353.50 $205.24 $205.24 $205.24 2026-03-16
29440 HCPCS Add Walker To Cast 1 1 $120.00 $120.00 $205.24 $205.24 $205.24 2026-03-16
29405 HCPCS Short Leg Cast 1 1 $440.00 $440.00 $205.24 $205.24 $205.24 2026-03-16
99100 HCPCS Anesthesia Extreme Age 1 1 $52.00 $52.00 $205.24 $205.24 $205.24 2026-03-16
88305 HCPCS Level 4 PATHOLOGY,Ref Lab 2 2 $269.50 $269.50 $201.80 $201.97 $201.88 2026-03-16
86923 HCPCS Crossmatch, ELECTRONIC,Ref Lab 1 1 $271.00 $271.00 $201.84 $201.84 $201.84 2026-03-16
65205 HCPCS Remove Forgein Body Eye 2 2 $236.00 $236.00 $188.80 $205.24 $197.02 2026-03-16
99395 HCPCS Prev Med; 18-39 2 1 $319.50 $319.50 $138.27 $254.60 $196.44 2026-03-16
88342 HCPCS IMMUNOCYTOCHEMISTRY,Ref Lab 1 1 $280.00 $280.00 $195.94 $195.94 $195.94 2026-03-16
82306 HCPCS Vitamin D 25-hydrox ( D2 & D3),Ref Lab 4 3 $258.50 $258.50 $185.86 $258.50 $192.53 2026-03-16
73521 HCPCS Xr Hip Bil 2v - Pelvis 1 1 $255.00 $255.00 $190.94 $190.94 $190.94 2026-03-16
86335 HCPCS Other Fluid W CONCENTRATION,Ref Lab 1 1 $255.50 $255.50 $190.30 $190.30 $190.30 2026-03-16
99213 HCPCS Office O/p Est Low 20-29 Min 5 4 $212.00 $212.00 $108.17 $290.82 $186.87 2026-03-16
82626 HCPCS DHEA,Ref Lab 2 1 $221.50 $221.50 $159.25 $212.85 $186.05 2026-03-16
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