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

FIRST CARE HEALTH CENTER

Park River, ND · CCN 351326 · Rates published

2,124 distinct procedures filed
5 distinct payers
28,227 rate rows
2026-07-15 last MRF observed
Data quality

28,057 of 28,227 rate rows are consumer-grade (99.4%)

170 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
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 70
placeholder amount (≤ $0.02) — excluded from medians 41
percent-of-charges filed in the dollar field — excluded from medians 32
exceeds 10× this hospital's gross charge — excluded from medians 23
per-diem day rate — not a per-procedure price 4
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.firstcarehc.com/wp-content/uploads/2024/06/450232743_First-Care-Health-Center_standardcharges.csv
Found on page https://www.firstcarehc.com/resources/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-09-21
Content fingerprint 043ff46e88f07886… · 4,143,545 bytes · first seen 2026-05-08

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
J3357
HCPCS 		Ustekinumab Soln Prefilled Syringe 90 Mg/ml 5 $185.71 $17,947.35 $16,436.00 nat. median
$20,264
0.8× median
J3380
HCPCS 		Vedolizumab For IV Solution 300 Mg 5 $22.43 $10,370.15 $9,496.88 nat. median
$59
outlier · 161.5×
81162
CPT 		Fc Brca 1&2 Full Gene Sequence 5 $4,687.50 $8,906.25 $8,156.25 nat. median
$1,880
outlier · 4.3×
J2796
HCPCS 		Romiplostim For Inj 250 Mcg 5 $85.63 $7,893.28 $7,228.59 nat. median
$2,653
outlier · 2.7×
J9271
HCPCS 		Pembrolizumab IV Soln 100 Mg/4ml (25 Mg/ml) 5 $55.99 $14,102.16 $7,173.94 nat. median
$127
outlier · 56.5×
J9306
HCPCS 		Pertuzumab Soln For IV Infusion 420 Mg/14ml (30 Mg/ml) 5 $14.13 $7,588.60 $6,949.56 nat. median
$43
outlier · 162.9×
Q5117
HCPCS 		Trastuzumab-anns For IV Soln 420 Mg 5 $71.92 $7,223.70 $6,615.39 nat. median
$187
outlier · 35.3×
J2506
HCPCS 		Pegfilgrastim Soln Prefilled Syringe 6 Mg/0.6ml 4 $3,542.22 $6,730.23 $6,163.47 nat. median
$916
outlier · 6.7×
81229
CPT 		Fc Cytogenetic Constitional Microarray 5 $3,443.75 $6,914.10 $5,992.13 nat. median
$1,230
outlier · 4.9×
J9354
HCPCS 		Ado-trastuzumab Emtansine For IV Soln 100 Mg 5 $35.70 $6,041.03 $5,532.31 nat. median
$4,004
1.4× median
36556
CPT 		Hc Cvc Plmt >5 Years Old 5 $3,172.50 $6,027.75 $5,520.15 nat. median
$2,885
1.9× median
Q5111
HCPCS 		Pegfilgrastim-cbqv Soln Prefilled Syringe 6 Mg/0.6ml 5 $272.64 $5,858.12 $5,364.80 nat. median
$665
outlier · 8.1×
Q5120
HCPCS 		Pegfilgrastim-bmez Soln Prefilled Syringe 6 Mg/0.6ml 5 $300.32 $5,527.15 $5,061.70 nat. median
$347
outlier · 14.6×
J3101
HCPCS 		Tenecteplase For IV Soln Kit 50 Mg 5 $140.14 $5,900.47 $4,658.27 nat. median
$498
outlier · 9.4×
J9358
HCPCS 		Fam-trastuzumab Deruxtecan-nxki For IV Soln 100 Mg 5 $26.01 $4,746.18 $4,346.50 nat. median
$67
outlier · 64.8×
81201
CPT 		Fc Apc/Adenomatous Polyposis Coli,Full 5 $2,447.00 $4,649.30 $4,257.78 nat. median
$796
outlier · 5.4×
J9041
HCPCS 		Bortezomib For Inj 3.5 Mg 5 $48.88 $4,428.96 $4,055.99 nat. median
$89
outlier · 45.8×
81420
CPT 		Fc Fetal Chrmoml Aneuploidy 5 $2,321.00 $4,409.90 $4,038.54 nat. median
$789
outlier · 5.1×
J2182
HCPCS 		Mepolizumab Subcutaneous Solution Pref Syringe 100 Mg/ml 5 $30.97 $4,370.17 $4,002.16 nat. median
$80
outlier · 50.2×
64831
CPT 		Hc Repair Of Digit Nerve 5 $2,099.00 $3,988.10 $3,652.26 nat. median
$2,265
1.6× median
66984
CPT 		Pr Xcapsl Ctrc Rmvl Insj Io Lens Prost 5 $544.70 $5,492.90 $3,538.35 nat. median
$2,550
1.4× median
C1783
HCPCS 		Fc Ocular Implant 5 $1,999.00 $3,798.10 $3,478.26 nat. median
$2,313
1.5× median
J2353
HCPCS 		Octreotide Acetate For IM Inj Kit 20 Mg 5 $222.46 $3,556.12 $3,256.65 nat. median
$1,956
1.7× median
J9033
HCPCS 		Bendamustine HCl For IV Soln 100 Mg 5 $26.01 $3,493.49 $3,199.30 nat. median
$707
outlier · 4.5×
26180
CPT 		Hc Remove Finger Tendon 5 $1,775.50 $3,373.45 $3,089.37 nat. median
$1,749
1.8× median
50435
CPT 		Hc Check/Change Nephro Drain 5 $1,775.00 $3,372.50 $3,088.50 nat. median
$2,271
1.4× median
P9037
HCPCS 		Fc Plate Pheres Leukoredu Ir 5 $1,760.50 $3,344.95 $3,063.27 nat. median
$896
outlier · 3.4×
J2357
HCPCS 		Omalizumab Subcutaneous Soln Prefilled Syringe 150 Mg/ml 5 $40.32 $3,185.69 $2,917.42 nat. median
$682
outlier · 4.3×
V2785
HCPCS 		Fc Corneal Tissue (Human) 5 $1,654.00 $3,142.60 $2,877.96 nat. median
$4,263
0.7× median
J3262
HCPCS 		Tocilizumab IV Inj 400 Mg/20ml 5 $5.98 $3,113.24 $2,851.07 nat. median
$1,287
outlier · 2.2×
95811
CPT 		Hc Polysomnogram;Sleep Stg;4+Cpap 5 $1,612.50 $3,063.75 $2,805.75 nat. median
$1,412
2.0× median
J9264
HCPCS 		Paclitaxel Protein-bound Particles For IV Susp 100 Mg 5 $14.48 $3,024.99 $2,770.25 nat. median
$34
outlier · 81.8×
14301
CPT 		Hc Skin Tissue Rearrangement 5 $879.36 $6,500.85 $2,700.30 nat. median
$3,686
0.7× median
21550
CPT 		Hc Biopsy Of Neck/Chest 5 $1,542.50 $2,930.75 $2,683.95 nat. median
$1,740
1.5× median
44141
CPT 		Pr Part Removal Colon W Colostomy 5 $1,789.72 $3,895.08 $2,619.50 nat. median
$3,671
0.7× median
43332
CPT 		Pr Repair Paraesophageal Hiatal Hernia 4 $1,505.00 $2,859.50 $2,618.70 nat. median
$2,790
0.9× median
95810
CPT 		Hc Polysomnogram;Sleep Stg;4+ 5 $1,492.00 $2,834.80 $2,596.08 nat. median
$1,446
1.8× median
J1602
HCPCS 		Golimumab IV Soln 50 Mg/4ml 5 $18.61 $2,688.67 $2,462.26 nat. median
$55
outlier · 45.1×
81212
CPT 		Fc Brca 1&2 Full Gene Variants 5 $1,413.00 $2,684.70 $2,458.62 nat. median
$440
outlier · 5.6×
44144
CPT 		Pr Part Removal Colon W Ostomy/Mucofis 5 $1,731.35 $3,773.31 $2,456.13 nat. median
$3,579
0.7× median
P9035
HCPCS 		Fc Plat,Pher,Leukocyte Reduced 5 $1,406.50 $2,672.35 $2,447.31 nat. median
$732
outlier · 3.3×
70548
CPT 		Pr Mr Angio, Neck W/Contrast 5 $64.13 $3,422.85 $2,432.03 nat. median
$544
outlier · 4.5×
44143
CPT 		Pr Part Removal Colon W End Colostomy 5 $1,629.92 $3,552.24 $2,396.18 nat. median
$4,010
0.6× median
J0850
HCPCS 		Cytomegalovirus Immune Globulin (Human) IV Inj 5 $1,353.45 $2,571.55 $2,355.00 nat. median
$2,309
1.0× median
70547
CPT 		Pr Mr Angio, Neck 5 $58.83 $3,236.65 $2,299.72 nat. median
$402
outlier · 5.7×
81372
CPT 		Fc Hla Class 1 Typing,Low Res,Complete 5 $1,295.50 $2,461.45 $2,254.17 nat. median
$428
outlier · 5.3×
J1950
HCPCS 		Leuprolide Acetate For Inj Pediatric Kit 11.25 Mg 5 $636.87 $10,660.17 $2,248.72 nat. median
$3,343
0.7× median
90378
CPT 		Pr Palivizumab (Synagis) 5 $1,166.60 $4,433.13 $2,216.53 nat. median
$2,008
1.1× median
43281
CPT 		Pr Laps Rpr Paraesphgl Hrna Incl Fundp 4 $1,506.14 $3,298.56 $2,134.50 nat. median
$10,354
outlier · 0.2×
J9217
HCPCS 		Leuprolide Acetate For Inj Kit 7.5 Mg 5 $221.40 $6,587.10 $2,104.14 nat. median
$2,144
1.0× median

Other procedures at this hospital

Browse this hospital's 2,124 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
             
J3357 HCPCS Ustekinumab Soln Prefilled Syringe 90 Mg/ml 7 5 $18,891.95 $18,891.95 $185.71 $17,947.35 $16,436.00 2026-07-15
J3380 HCPCS Vedolizumab For IV Solution 300 Mg 7 5 $10,915.95 $10,915.95 $22.43 $10,370.15 $9,496.88 2026-07-15
81162 CPT Fc Brca 1&2 Full Gene Sequence 7 5 $9,375.00 $9,375.00 $4,687.50 $8,906.25 $8,156.25 2026-07-15
J2796 HCPCS Romiplostim For Inj 250 Mcg 7 5 $8,308.72 $8,308.72 $85.63 $7,893.28 $7,228.59 2026-07-15
J9271 HCPCS Pembrolizumab IV Soln 100 Mg/4ml (25 Mg/ml) 13 5 $14,844.38 $14,844.38 $55.99 $14,102.16 $7,173.94 2026-07-15
J9306 HCPCS Pertuzumab Soln For IV Infusion 420 Mg/14ml (30 Mg/ml) 7 5 $7,988.00 $7,988.00 $14.13 $7,588.60 $6,949.56 2026-07-15
Q5117 HCPCS Trastuzumab-anns For IV Soln 420 Mg 7 5 $7,603.90 $7,603.90 $71.92 $7,223.70 $6,615.39 2026-07-15
J2506 HCPCS Pegfilgrastim Soln Prefilled Syringe 6 Mg/0.6ml 6 4 $7,084.45 $7,084.45 $3,542.22 $6,730.23 $6,163.47 2026-07-15
81229 CPT Fc Cytogenetic Constitional Microarray 14 5 $7,082.75 $7,082.75 $3,443.75 $6,914.10 $5,992.13 2026-07-15
J9354 HCPCS Ado-trastuzumab Emtansine For IV Soln 100 Mg 7 5 $6,358.98 $6,358.98 $35.70 $6,041.03 $5,532.31 2026-07-15
36556 CPT Hc Cvc Plmt >5 Years Old 7 5 $6,345.00 $6,345.00 $3,172.50 $6,027.75 $5,520.15 2026-07-15
Q5111 HCPCS Pegfilgrastim-cbqv Soln Prefilled Syringe 6 Mg/0.6ml 7 5 $6,166.44 $6,166.44 $272.64 $5,858.12 $5,364.80 2026-07-15
Q5120 HCPCS Pegfilgrastim-bmez Soln Prefilled Syringe 6 Mg/0.6ml 7 5 $5,818.05 $5,818.05 $300.32 $5,527.15 $5,061.70 2026-07-15
J3101 HCPCS Tenecteplase For IV Soln Kit 50 Mg 13 5 $5,303.22 $5,303.22 $140.14 $5,900.47 $4,658.27 2026-07-15
J9358 HCPCS Fam-trastuzumab Deruxtecan-nxki For IV Soln 100 Mg 7 5 $4,995.98 $4,995.98 $26.01 $4,746.18 $4,346.50 2026-07-15
81201 CPT Fc Apc/Adenomatous Polyposis Coli,Full 7 5 $4,894.00 $4,894.00 $2,447.00 $4,649.30 $4,257.78 2026-07-15
J9041 HCPCS Bortezomib For Inj 3.5 Mg 7 5 $4,662.06 $4,662.06 $48.88 $4,428.96 $4,055.99 2026-07-15
81420 CPT Fc Fetal Chrmoml Aneuploidy 7 5 $4,642.00 $4,642.00 $2,321.00 $4,409.90 $4,038.54 2026-07-15
J2182 HCPCS Mepolizumab Subcutaneous Solution Pref Syringe 100 Mg/ml 7 5 $4,600.18 $4,600.18 $30.97 $4,370.17 $4,002.16 2026-07-15
64831 CPT Hc Repair Of Digit Nerve 7 5 $4,198.00 $4,198.00 $2,099.00 $3,988.10 $3,652.26 2026-07-15
66984 CPT Pr Xcapsl Ctrc Rmvl Insj Io Lens Prost 23 5 $5,242.00 $5,242.00 $544.70 $5,492.90 $3,538.35 2026-07-15
C1783 HCPCS Fc Ocular Implant 7 5 $3,998.00 $3,998.00 $1,999.00 $3,798.10 $3,478.26 2026-07-15
J2353 HCPCS Octreotide Acetate For IM Inj Kit 20 Mg 7 5 $3,743.28 $3,743.28 $222.46 $3,556.12 $3,256.65 2026-07-15
J9033 HCPCS Bendamustine HCl For IV Soln 100 Mg 7 5 $3,677.36 $3,677.36 $26.01 $3,493.49 $3,199.30 2026-07-15
26180 CPT Hc Remove Finger Tendon 7 5 $3,551.00 $3,551.00 $1,775.50 $3,373.45 $3,089.37 2026-07-15
50435 CPT Hc Check/Change Nephro Drain 7 5 $3,550.00 $3,550.00 $1,775.00 $3,372.50 $3,088.50 2026-07-15
P9037 HCPCS Fc Plate Pheres Leukoredu Ir 7 5 $3,521.00 $3,521.00 $1,760.50 $3,344.95 $3,063.27 2026-07-15
J2357 HCPCS Omalizumab Subcutaneous Soln Prefilled Syringe 150 Mg/ml 7 5 $3,353.36 $3,353.36 $40.32 $3,185.69 $2,917.42 2026-07-15
V2785 HCPCS Fc Corneal Tissue (Human) 7 5 $3,308.00 $3,308.00 $1,654.00 $3,142.60 $2,877.96 2026-07-15
J3262 HCPCS Tocilizumab IV Inj 400 Mg/20ml 7 5 $3,277.09 $3,277.09 $5.98 $3,113.24 $2,851.07 2026-07-15
95811 CPT Hc Polysomnogram;Sleep Stg;4+Cpap 7 5 $3,225.00 $3,225.00 $1,612.50 $3,063.75 $2,805.75 2026-07-15
J9264 HCPCS Paclitaxel Protein-bound Particles For IV Susp 100 Mg 7 5 $3,184.20 $3,184.20 $14.48 $3,024.99 $2,770.25 2026-07-15
14301 CPT Hc Skin Tissue Rearrangement 14 5 $4,887.50 $4,887.50 $879.36 $6,500.85 $2,700.30 2026-07-15
21550 CPT Hc Biopsy Of Neck/Chest 7 5 $3,085.00 $3,085.00 $1,542.50 $2,930.75 $2,683.95 2026-07-15
44141 CPT Pr Part Removal Colon W Colostomy 9 5 $5,239.00 $5,239.00 $1,789.72 $3,895.08 $2,619.50 2026-07-15
43332 CPT Pr Repair Paraesophageal Hiatal Hernia 6 4 $3,010.00 $3,010.00 $1,505.00 $2,859.50 $2,618.70 2026-07-15
95810 CPT Hc Polysomnogram;Sleep Stg;4+ 7 5 $2,984.00 $2,984.00 $1,492.00 $2,834.80 $2,596.08 2026-07-15
J1602 HCPCS Golimumab IV Soln 50 Mg/4ml 7 5 $2,830.18 $2,830.18 $18.61 $2,688.67 $2,462.26 2026-07-15
81212 CPT Fc Brca 1&2 Full Gene Variants 7 5 $2,826.00 $2,826.00 $1,413.00 $2,684.70 $2,458.62 2026-07-15
44144 CPT Pr Part Removal Colon W Ostomy/Mucofis 8 5 $4,818.00 $4,818.00 $1,731.35 $3,773.31 $2,456.13 2026-07-15
P9035 HCPCS Fc Plat,Pher,Leukocyte Reduced 7 5 $2,813.00 $2,813.00 $1,406.50 $2,672.35 $2,447.31 2026-07-15
70548 CPT Pr Mr Angio, Neck W/Contrast 11 5 $3,603.00 $3,603.00 $64.13 $3,422.85 $2,432.03 2026-07-15
44143 CPT Pr Part Removal Colon W End Colostomy 8 5 $4,841.00 $4,841.00 $1,629.92 $3,552.24 $2,396.18 2026-07-15
J0850 HCPCS Cytomegalovirus Immune Globulin (Human) IV Inj 7 5 $2,706.90 $2,706.90 $1,353.45 $2,571.55 $2,355.00 2026-07-15
70547 CPT Pr Mr Angio, Neck 11 5 $3,407.00 $3,407.00 $58.83 $3,236.65 $2,299.72 2026-07-15
81372 CPT Fc Hla Class 1 Typing,Low Res,Complete 7 5 $2,591.00 $2,591.00 $1,295.50 $2,461.45 $2,254.17 2026-07-15
J1950 HCPCS Leuprolide Acetate For Inj Pediatric Kit 11.25 Mg 25 5 $2,367.07 $2,367.07 $636.87 $10,660.17 $2,248.72 2026-07-15
90378 CPT Pr Palivizumab (Synagis) 19 5 $2,450.00 $2,450.00 $1,166.60 $4,433.13 $2,216.53 2026-07-15
43281 CPT Pr Laps Rpr Paraesphgl Hrna Incl Fundp 7 4 $4,269.00 $4,269.00 $1,506.14 $3,298.56 $2,134.50 2026-07-15
J9217 HCPCS Leuprolide Acetate For Inj Kit 7.5 Mg 38 5 $2,598.00 $2,598.00 $221.40 $6,587.10 $2,104.14 2026-07-15
J3358 HCPCS Ustekinumab IV Soln 130 Mg/26ml (5 Mg/ml) (For IV Infusion) 7 5 $2,400.98 $2,400.98 $12.62 $2,280.93 $2,088.85 2026-07-15
J0897 HCPCS Denosumab Inj 120 Mg/1.7ml 13 5 $3,711.10 $3,711.10 $21.80 $3,525.55 $2,080.67 2026-07-15
44660 CPT Pr Repair Bowel-bladder Fistula 8 5 $3,857.00 $3,857.00 $1,323.61 $2,839.77 $1,998.49 2026-07-15
44602 CPT Pr Suture Sm Intest,Single Perf 9 5 $3,950.00 $3,950.00 $1,377.59 $3,009.37 $1,990.34 2026-07-15
37617 CPT Pr Ligatn Of Abdomen Artery 8 5 $3,946.00 $3,946.00 $1,313.59 $2,818.75 $1,987.45 2026-07-15
44140 CPT Pr Part Removal Colon W Anastomosis 8 5 $3,893.00 $3,893.00 $1,312.11 $2,868.76 $1,935.42 2026-07-15
J9312 HCPCS Rituximab IV Soln 100 Mg/10ml 13 5 $2,022.98 $2,022.98 $96.72 $8,972.94 $1,921.83 2026-07-15
J1448 HCPCS Trilaciclib Dihydrochloride For IV Soln 300 Mg 6 4 $2,170.50 $2,170.50 $1,085.25 $2,061.97 $1,888.34 2026-07-15
95807 CPT Hc Sleep Oximetry 7 5 $2,147.00 $2,147.00 $1,073.50 $2,039.65 $1,867.89 2026-07-15
95805 CPT Hc Mslt 7 5 $2,046.00 $2,046.00 $1,023.00 $1,943.70 $1,780.02 2026-07-15
44160 CPT Pr Remvl Colon & Term Ileum W/Ileocolo 8 5 $3,556.00 $3,556.00 $1,215.71 $2,649.14 $1,776.78 2026-07-15
0120 RC — 16 2 $1,924.00 $1,924.00 $363.66 $2,472.85 $1,740.12 2026-07-15
44320 CPT Pr Colostomy 8 5 $3,506.00 $3,506.00 $1,178.11 $2,563.62 $1,733.60 2026-07-15
0360 RC — 49 5 $2,116.00 $2,116.00 $587.50 $5,869.10 $1,729.56 2026-07-15
15260 CPT Pr Full Thick Grft Nos,Ear,Lid <20sqcm 16 5 $2,418.00 $2,418.00 $853.04 $3,186.30 $1,724.93 2026-07-15
14061 CPT Pr Adj Tiss Xfer Lid,Nos,Ear 10.1-30 16 5 $2,553.00 $2,553.00 $825.01 $2,942.15 $1,719.80 2026-07-15
44120 CPT Pr Resect Small Intest,Singl Resec/Ana 8 5 $3,337.00 $3,337.00 $1,195.06 $2,612.90 $1,706.68 2026-07-15
15240 CPT Pr Full Thick Grft Head,Fac,Hand <20sq 16 5 $2,236.00 $2,236.00 $801.85 $3,186.30 $1,671.39 2026-07-15
91110 CPT Pr Gi Imag Intraluminal Esophagus-ileu 16 5 $303.00 $303.00 $114.89 $3,437.10 $1,649.78 2026-07-15
14041 CPT Pr Adj Tiss Xfer Head,Fac,Hand 10.1-30 18 5 $2,457.50 $2,457.50 $768.60 $3,186.30 $1,621.53 2026-07-15
26350 CPT Pr Repair Flexor Tendon,Hand,without Graft 16 5 $1,947.00 $1,947.00 $701.75 $5,883.35 $1,615.58 2026-07-15
27252 CPT Pr Closed Rx Trauma Hip Disloc,Anesth 16 5 $2,138.00 $2,138.00 $746.70 $2,988.70 $1,596.47 2026-07-15
43200 CPT Hc Esophagoscopy 7 5 $1,832.00 $1,832.00 $916.00 $1,740.40 $1,593.84 2026-07-15
70546 CPT Pr Mr Angio, Head, Combo 16 5 $198.00 $198.00 $87.08 $4,930.50 $1,574.52 2026-07-15
87902 CPT Fc Hepatitis C,Genotype By Nucleic Aci 7 5 $1,795.00 $1,795.00 $897.50 $1,705.25 $1,561.65 2026-07-15
43280 CPT Pr Lap,Esophagogast Fundoplasty 9 5 $2,965.00 $2,965.00 $1,055.46 $2,311.39 $1,559.62 2026-07-15
15935 CPT Pr Exc Sacr Press Ulc Bone & Flap Clo 9 5 $3,027.00 $3,027.00 $1,087.73 $2,453.45 $1,554.99 2026-07-15
J3110 HCPCS Teriparatide (Recombinant) Inj 600 Mcg/2.4ml 7 5 $1,772.47 $1,772.47 $52.40 $1,683.85 $1,542.05 2026-07-15
71552 CPT Pr Mri, Chest, Combo 16 5 $178.00 $178.00 $89.00 $4,682.55 $1,522.23 2026-07-15
J1745 HCPCS Infliximab For IV Inj 100 Mg 7 5 $1,744.51 $1,744.51 $45.52 $1,657.28 $1,517.72 2026-07-15
44345 CPT Pr Revision Of Colostomy,Complicated 8 5 $3,010.00 $3,010.00 $1,033.90 $2,238.18 $1,503.65 2026-07-15
14021 CPT Pr Adj Tiss Xfer Scalp,Extrem 10.1-30 16 5 $2,154.00 $2,154.00 $716.69 $3,186.30 $1,488.57 2026-07-15
45540 CPT Pr Fix Rectal Prolapse,Abd Apprch 9 5 $2,879.00 $2,879.00 $1,047.08 $2,241.81 $1,488.41 2026-07-15
15120 CPT Pr Split Grft,Head,Fac,Hand,Feet <100s 18 5 $2,422.00 $2,422.00 $692.13 $6,500.85 $1,480.53 2026-07-15
0721 RC — 21 5 $1,966.00 $1,966.00 $517.00 $2,355.05 $1,474.50 2026-07-15
95819 CPT Hc Eeg,Awake & Asleep 7 5 $1,687.00 $1,687.00 $843.50 $1,602.65 $1,467.69 2026-07-15
66982 CPT Hc Cataract Surgery,Cmplx 14 5 $1,767.00 $1,767.00 $746.11 $1,678.65 $1,450.34 2026-07-15
87506 CPT Fc Infect Agent Det By Nucleic Acid/Ga 7 5 $1,650.00 $1,650.00 $825.00 $1,567.50 $1,435.50 2026-07-15
49450 CPT Hc Replace G/c Tube Perc 7 5 $1,645.00 $1,645.00 $822.50 $1,562.75 $1,431.15 2026-07-15
27517 CPT Pr Closed Rx Dist Fem Epiphysis+Manip 16 5 $1,877.00 $1,877.00 $635.28 $2,603.95 $1,423.46 2026-07-15
59410 CPT Pr Obste Care,Vag Deliv+Postpartum 8 5 $2,881.00 $2,881.00 $1,010.18 $2,259.20 $1,407.14 2026-07-15
59514 CPT Pr Cesarean Delivery Only 8 5 $2,771.00 $2,771.00 $889.38 $1,938.84 $1,392.66 2026-07-15
14060 CPT Pr Adj Tiss Xfer Lid,Nos,Ear <10sqcm 18 5 $2,043.00 $2,043.00 $671.01 $3,186.30 $1,391.62 2026-07-15
62322 CPT Hc Njx Interlaminar Lmbr/Sac Without Img 7 5 $1,583.00 $1,583.00 $791.50 $1,503.85 $1,377.21 2026-07-15
14001 CPT Pr Adj Tiss Xfer Trunk 10.1-30 16 5 $1,853.00 $1,853.00 $653.26 $2,942.15 $1,373.50 2026-07-15
J7298 HCPCS Fc IUD Cont Device(Mirena) 7 5 $1,578.00 $1,578.00 $789.00 $1,499.10 $1,372.86 2026-07-15
J7307 HCPCS Pr Etonogestrel Implant System 7 5 $1,547.00 $1,547.00 $773.50 $1,469.65 $1,345.89 2026-07-15
87910 CPT Fc Genotype, Cytomegalovirus 7 5 $1,545.00 $1,545.00 $772.50 $1,467.75 $1,344.15 2026-07-15
26418 CPT Pr Repair Exten Tendon,Dorsum Fingr,Ea 16 5 $1,566.00 $1,566.00 $570.22 $3,383.90 $1,342.33 2026-07-15
44180 CPT Pr Lap, Surg Enterolysis 8 5 $2,674.00 $2,674.00 $899.46 $1,969.28 $1,330.21 2026-07-15
35226 CPT Pr Repr Bl Ves Direct,Low Extrem 8 5 $2,613.00 $2,613.00 $818.95 $1,763.78 $1,320.17 2026-07-15
14040 CPT Pr Adj Tiss Xfer Head,Fac,Hand <10sqcm 18 5 $1,969.50 $1,969.50 $629.49 $3,186.30 $1,308.26 2026-07-15
26410 CPT Pr Repair Exten Tendon,Dorsum Hand,Ea 16 5 $1,542.00 $1,542.00 $556.68 $3,373.45 $1,301.02 2026-07-15
70543 CPT Pr Mri, Face, Neck, Combo 16 5 $303.00 $303.00 $92.47 $2,996.30 $1,298.83 2026-07-15
70553 CPT Pr MRI Brain Combo 16 5 $322.00 $322.00 $101.25 $2,543.15 $1,298.83 2026-07-15
74183 CPT Pr Mri, Abdomen, Combo 17 5 $304.00 $304.00 $83.50 $4,000.45 $1,289.84 2026-07-15
72197 CPT Pr Mri, Pelvis, Combo 17 5 $280.00 $280.00 $81.50 $3,799.05 $1,288.10 2026-07-15
15220 CPT Pr Full Thick Grft Scalp,Arm,Leg <20sq 18 5 $1,933.00 $1,933.00 $614.49 $3,186.30 $1,284.35 2026-07-15
73220 CPT Pr MRI Upper Extr, W/Contrast 17 5 $288.00 $288.00 $83.50 $4,000.45 $1,282.31 2026-07-15
70549 CPT Pr Mr Angio, Neck, Combo 18 5 $233.00 $233.00 $64.50 $4,964.70 $1,280.28 2026-07-15
73720 CPT Pr Mri, Lower Extr, Without Contrast F/u B 17 5 $289.00 $289.00 $85.00 $4,000.45 $1,278.84 2026-07-15
C8929 HCPCS Hc Tte W/Wo Fol W/Con Doppler 7 5 $1,468.00 $1,468.00 $734.00 $1,394.60 $1,277.16 2026-07-15
81350 CPT Fc Ugt1a1 Gene Analysis 7 5 $1,468.00 $1,468.00 $734.00 $1,394.60 $1,277.16 2026-07-15
J1454 HCPCS Fosnetupitant-palonosetron IV Soln 235-0.25 Mg/20ml 7 5 $1,456.52 $1,456.52 $695.69 $1,383.69 $1,267.17 2026-07-15
72156 CPT Pr Mri, Cerv Spine Combo 17 5 $313.00 $313.00 $90.00 $2,567.85 $1,260.89 2026-07-15
44960 CPT Pr Appendectomy,Rupt Appendx+Abscess 8 5 $2,554.00 $2,554.00 $853.26 $1,880.86 $1,258.53 2026-07-15
81315 CPT Fc Pml/Rara,Quant,Pcr 7 5 $1,445.00 $1,445.00 $722.50 $1,372.75 $1,257.15 2026-07-15
70540 CPT Pr Mri, Face, Neck 13 5 $2,508.00 $2,508.00 $57.38 $2,382.60 $1,254.00 2026-07-15
72158 CPT Pr Mri, Lumbar Spine Combo 17 5 $324.00 $324.00 $75.00 $2,677.10 $1,242.95 2026-07-15
J7300 HCPCS Fc IUD Copper Cont(Paragard) 7 5 $1,405.50 $1,405.50 $702.75 $1,335.22 $1,222.79 2026-07-15
44110 CPT Pr Excis Bowel Lesion(S),Single Entero 9 5 $2,388.00 $2,388.00 $834.52 $1,813.45 $1,216.89 2026-07-15
35206 CPT Pr Repr Bl Ves Direct,Up Extrem 9 5 $2,290.00 $2,290.00 $765.39 $1,656.17 $1,211.68 2026-07-15
71551 CPT Pr Mri, Chest, W/Contrast 16 5 $137.00 $137.00 $68.50 $3,694.55 $1,204.36 2026-07-15
15100 CPT Pr Split Grft Trunk,Arm,Leg <100sqcm 9 5 $1,992.00 $1,992.00 $707.86 $1,517.73 $1,203.58 2026-07-15
81208 CPT Fc Bcr/abl-1 Gene,Other Breakpoint 7 5 $1,378.00 $1,378.00 $689.00 $1,309.10 $1,198.86 2026-07-15
J1439 HCPCS Ferric Carboxymaltose IV Soln 750 Mg/15ml (Fe Equivalent) 7 5 $1,373.50 $1,373.50 $1.20 $1,304.83 $1,194.94 2026-07-15
59409 CPT Hc Vaginal Delivery 23 5 $2,379.00 $2,379.00 $590.00 $3,407.65 $1,189.50 2026-07-15
73223 CPT Pr Mri, Joint Upper Extrem Combo 18 5 $281.00 $281.00 $81.50 $3,498.85 $1,189.28 2026-07-15
73723 CPT Pr Mri, Joint Of Leg. Combo 18 5 $297.00 $297.00 $75.00 $3,515.95 $1,186.88 2026-07-15
14020 CPT Pr Adj Tiss Xfer Scalp,Extrem <10sqcm 16 5 $1,598.00 $1,598.00 $567.92 $2,942.15 $1,185.05 2026-07-15
13160 CPT Pr Secd Clos Surg Wnd Exten/Complic 9 5 $2,324.00 $2,324.00 $793.19 $1,696.03 $1,181.00 2026-07-15
70545 CPT Pr Mr Angio, Head W/Contrast 14 5 $1,723.00 $1,723.00 $47.00 $3,184.40 $1,174.25 2026-07-15
72157 CPT Pr Mri, Dorsal Spine Combo 17 5 $313.00 $313.00 $90.00 $2,574.50 $1,170.00 2026-07-15
P9040 HCPCS Fc Rbc Leukoreduced Irradiat 7 5 $1,317.00 $1,317.00 $658.50 $1,251.15 $1,145.79 2026-07-15
J1459 HCPCS Immune Globulin (Human) IV Soln 20 Gm/200ml 25 5 $1,195.50 $1,195.50 $46.69 $4,522.38 $1,135.72 2026-07-15
J3095 HCPCS Telavancin HCl For IV Soln 750 Mg (Base Equivalent) 7 5 $1,299.16 $1,299.16 $6.35 $1,234.20 $1,130.27 2026-07-15
27197 CPT Pr Clsd Tx Pelvic Ring Fx Without Manipula 6 4 $1,294.00 $1,294.00 $647.00 $1,229.30 $1,125.78 2026-07-15
72142 CPT Pr Mri, Cerv Spine Contrast 15 5 $141.00 $141.00 $70.50 $2,284.75 $1,117.02 2026-07-15
J7318 HCPCS Sodium Hyaluronate Intra-articular Gel Pref Syr 60 Mg/3ml 7 5 $1,276.00 $1,276.00 $17.06 $1,212.20 $1,110.12 2026-07-15
32420 CPT Hc Pneumocentesis 7 5 $1,273.00 $1,273.00 $636.50 $1,209.35 $1,107.51 2026-07-15
70552 CPT Pr MRI Brain Contrast 15 5 $113.00 $113.00 $56.50 $2,235.35 $1,106.05 2026-07-15
25605 CPT Pr Closed Rx Dist Rad/Ulna Fx,Manipul 18 5 $1,647.00 $1,647.00 $505.05 $2,656.20 $1,099.52 2026-07-15
72149 CPT Pr Mri, Lumbar Spine Contrast 16 5 $142.00 $142.00 $71.00 $2,243.90 $1,074.24 2026-07-15
73219 CPT Pr Mri, Upper Extrem W/Contrast 15 5 $129.00 $129.00 $64.50 $3,104.60 $1,070.70 2026-07-15
58925 CPT Pr Removal Of Ovarian Cyst(S) 8 5 $2,072.00 $2,072.00 $733.21 $1,633.70 $1,067.68 2026-07-15
71550 CPT Pr Mri, Chest 17 5 $168.00 $168.00 $48.00 $3,320.25 $1,062.32 2026-07-15
58662 CPT Pr Lap,Fulgurate/Excise Lesions 9 5 $1,801.00 $1,801.00 $698.88 $1,520.63 $1,057.69 2026-07-15
70544 CPT Pr Mr Angio, Head 16 5 $158.00 $158.00 $58.83 $3,221.45 $1,051.65 2026-07-15
73725 CPT Pr Mr Angio Lower Extrem (Mra) 16 5 $142.00 $142.00 $71.00 $3,015.30 $1,046.90 2026-07-15
47562 CPT Pr Lap,Cholecystectomy 8 5 $2,031.00 $2,031.00 $642.97 $1,416.26 $1,039.20 2026-07-15
74182 CPT Pr Mri, Abdomen W/Contrast 18 5 $227.00 $227.00 $58.00 $3,562.50 $1,029.59 2026-07-15
78306 CPT Pr Bone Imaging, Whole Body 11 5 $1,512.00 $1,512.00 $76.28 $1,436.40 $1,020.60 2026-07-15
74185 CPT Pr Mr Angio Abdomen (Mra) 23 5 $245.00 $245.00 $70.50 $3,039.05 $1,015.05 2026-07-15
70542 CPT Pr Mri, Face, Neck W/Contrast 15 5 $104.00 $104.00 $52.00 $2,890.85 $1,010.22 2026-07-15
81206 CPT Fc Bcr /Abl 1(T(9:22)Major Breakpoint 7 5 $1,143.00 $1,143.00 $571.50 $1,085.85 $994.41 2026-07-15
88262 CPT Fc Chromosome Anal, 15-20 CT 7 5 $1,141.00 $1,141.00 $570.50 $1,083.95 $992.67 2026-07-15
24073 CPT Pr Exc Tumor Soft Tiss Upper Arm/Elbw 7 4 $1,980.00 $1,980.00 $680.70 $1,485.12 $990.00 2026-07-15
73722 CPT Pr Mri, Joint Of Leg W/Contrast 16 5 $137.00 $137.00 $68.50 $2,874.70 $989.27 2026-07-15
73222 CPT Pr Mri, Joint Upper Extrem W/Contrast 16 5 $129.00 $129.00 $64.50 $3,104.60 $982.81 2026-07-15
72195 CPT Pr Mri, Pelvis, Without Contrast 16 5 $187.00 $187.00 $70.88 $2,926.00 $975.01 2026-07-15
78803 CPT Chg Rp Loclzj Tum Spect 1 Area/Acquisj 12 5 $1,579.00 $1,579.00 $89.10 $1,500.05 $974.66 2026-07-15
25565 CPT Pr Closed Rx Rad/Ulna Shaft Fx,Manip 18 5 $1,349.00 $1,349.00 $461.49 $2,603.95 $973.91 2026-07-15
72147 CPT Pr Mri, Dorsal Spine Contrast 16 5 $141.00 $141.00 $70.50 $2,261.95 $967.88 2026-07-15
93306 CPT Hc Tte W/Doppler Complete 7 5 $1,105.00 $1,105.00 $552.50 $1,049.75 $961.35 2026-07-15
81335 CPT Fc Tpmt Genotype/Thiopurine S-methyltr 7 5 $1,097.00 $1,097.00 $548.50 $1,042.15 $954.39 2026-07-15
78013 CPT Hc Thyroid Imaging W/Blood Flow 7 5 $1,097.00 $1,097.00 $548.50 $1,042.15 $954.39 2026-07-15
J0129 HCPCS Abatacept For IV Soln 250 Mg 13 5 $1,003.71 $1,003.71 $62.74 $1,724.39 $953.52 2026-07-15
73218 CPT Pr Mri, Upper Extrem 17 5 $183.00 $183.00 $53.50 $2,880.40 $952.33 2026-07-15
11772 CPT Pr Remv Pilonidal Lesion Complic 11 5 $1,532.00 $1,532.00 $566.02 $1,284.53 $951.50 2026-07-15
26236 CPT Pr Part Remv Bone,Distal Phalanx 16 5 $1,202.00 $1,202.00 $436.30 $2,965.90 $947.31 2026-07-15
J9171 HCPCS Docetaxel Soln For IV Infusion 80 Mg/8ml 7 5 $1,082.32 $1,082.32 $0.68 $1,028.20 $941.62 2026-07-15
75635 CPT Pr CT Angio Aortobifemoral, Combo 18 5 $279.00 $279.00 $79.00 $2,977.30 $941.14 2026-07-15
73718 CPT Pr Mri, Lower Extrem 17 5 $180.00 $180.00 $52.50 $2,876.60 $930.33 2026-07-15
88230 CPT Fc Chromosome Analy-tis Cult 7 5 $1,066.00 $1,066.00 $533.00 $1,012.70 $927.42 2026-07-15
C1781 HCPCS Fc Deluxe Hernia Mesh 3.9 X 5.9 70 5 $1,412.00 $1,412.00 $88.50 $4,061.25 $919.52 2026-07-15
72196 CPT Pr Mri, Pelvis W/Contrast 18 5 $221.00 $221.00 $62.50 $3,136.90 $918.33 2026-07-15
70496 CPT Pr CT Angio,Head Combo,Incl Image Proc 18 5 $216.00 $216.00 $60.50 $1,995.95 $915.50 2026-07-15
27818 CPT Pr Closed Rx Trimalleolar Fx,Manip 18 5 $1,261.50 $1,261.50 $428.34 $2,656.20 $913.43 2026-07-15
70498 CPT Pr CT Angio,Neck Combo,Incl Image Proc 18 5 $216.00 $216.00 $60.50 $1,988.35 $913.01 2026-07-15
0170 RC — 4 2 $1,000.00 $1,000.00 $870.00 $950.00 $910.00 2026-07-15
P9016 HCPCS Fc Rbc Leukocytes Reduced 7 5 $1,042.00 $1,042.00 $521.00 $989.90 $906.54 2026-07-15
44950 CPT Pr Appendectomy 8 5 $1,770.00 $1,770.00 $627.01 $1,378.57 $902.16 2026-07-15
73719 CPT Pr Mri, Lower Extrem W/Contrast 18 5 $222.00 $222.00 $64.50 $3,136.90 $901.29 2026-07-15
88309 CPT Fc Surgical Pathology0level IV 7 5 $1,035.00 $1,035.00 $517.50 $983.25 $900.45 2026-07-15
27552 CPT Pr Closed Rx Knee Disloc+Anesth 9 5 $1,722.00 $1,722.00 $619.10 $1,359.00 $896.75 2026-07-15
40654 CPT Pr Repair Lip,>1/2 Vert Height 18 5 $1,399.50 $1,399.50 $428.40 $2,616.30 $895.85 2026-07-15
26952 CPT Pr Amputation Finger/Thumb+Flaps 9 5 $1,787.00 $1,787.00 $633.08 $1,469.17 $893.50 2026-07-15
J0882 HCPCS Darbepoetin Alfa Soln Prefilled Syringe 25 Mcg/0.42ml 43 5 $1,172.96 $1,172.96 $3.59 $5,460.55 $893.37 2026-07-15
19301 CPT Pr Mastectomy, Partial 9 5 $1,747.00 $1,747.00 $634.94 $1,412.64 $892.70 2026-07-15
49507 CPT Pr Repair Ing Hernia,5+Y/O,Strang 8 5 $1,738.00 $1,738.00 $572.25 $1,258.98 $888.66 2026-07-15
27810 CPT Pr Closed Tx Bimalleolar Ankle Fractur 18 5 $1,229.00 $1,229.00 $417.86 $2,603.95 $887.95 2026-07-15
73721 CPT Pr MRI Lower Extrem Jt, Without Contrast 16 5 $192.00 $192.00 $57.38 $1,635.90 $884.38 2026-07-15
J9202 HCPCS Goserelin Acetate Implant 3.6 Mg 13 5 $970.03 $970.03 $485.01 $1,117.60 $882.32 2026-07-15
74175 CPT Pr CT Angio, Abd, Combo,Incl Image Pro 16 5 $143.00 $143.00 $71.50 $2,104.25 $881.66 2026-07-15
49520 CPT Pr Repair Recurr Inguin Hern,Reducibl 8 5 $1,722.00 $1,722.00 $617.48 $1,358.28 $881.19 2026-07-15
70551 CPT Pr MRI Brain 16 5 $208.00 $208.00 $63.45 $1,519.05 $879.67 2026-07-15
81207 CPT Fc Bcr/Abl 1(t(9:22) Minor Breakpoint 7 5 $1,010.00 $1,010.00 $505.00 $959.50 $878.70 2026-07-15
23655 CPT Pr Closed Rx Shldr Disloc,Anesthesia 16 5 $1,067.00 $1,067.00 $396.85 $3,012.45 $877.01 2026-07-15
73221 CPT Pr Mri, Joint Upper Extrem 16 5 $193.00 $193.00 $57.38 $1,635.90 $875.11 2026-07-15
49553 CPT Pr Repair Femoral Hernia,Strang 8 5 $1,695.00 $1,695.00 $616.37 $1,356.83 $872.41 2026-07-15
J0740 HCPCS Cidofovir IV Inj 75 Mg/ml 7 5 $989.04 $989.04 $494.52 $939.59 $860.46 2026-07-15
J1453 HCPCS Fosaprepitant Dimeglumine For IV Infusion 150 Mg (Base Eq) 7 5 $988.67 $988.67 $0.37 $939.24 $860.14 2026-07-15
Q5121 HCPCS Infliximab-axxq For IV Inj 100 Mg 7 5 $987.70 $987.70 $54.31 $938.32 $859.30 2026-07-15
27380 CPT Pr Fix Infrapatella Tendon,Primary 9 5 $1,717.00 $1,717.00 $586.37 $1,332.18 $858.50 2026-07-15
23665 CPT Pr Closed Rx Shldr Disloc,Gr Tub Fx 16 5 $1,068.00 $1,068.00 $390.88 $2,656.20 $856.71 2026-07-15
92523 CPT Hc Eval Of Speech Sound Lang Comprehen 7 5 $981.00 $981.00 $490.50 $931.95 $853.47 2026-07-15
26115 CPT Pr Excis Soft Tissue Lesion Hand Subcu 18 5 $1,227.00 $1,227.00 $329.79 $2,930.75 $852.62 2026-07-15
26121 CPT Pr Palmar Fasciectomy 9 5 $1,644.00 $1,644.00 $590.81 $1,285.07 $851.59 2026-07-15
L8600 HCPCS Fc Breast Augmentation Impla 7 5 $978.00 $978.00 $489.00 $929.10 $850.86 2026-07-15
13132 CPT Pr Repr Cmpl Wnd Head,Fac,Hand 2.6-7.5 17 5 $1,328.00 $1,328.00 $305.57 $1,126.70 $850.44 2026-07-15
70336 CPT Pr Mri, Tmj 16 5 $115.00 $115.00 $57.50 $2,570.70 $850.24 2026-07-15
J9155 HCPCS Degarelix Acetate For Inj 120 Mg/vial (240 Mg Dose) 13 5 $1,068.66 $1,068.66 $6.42 $1,015.23 $842.28 2026-07-15
71275 CPT Pr CT Angio, Chest (non-coron), Combo, 16 5 $266.00 $266.00 $82.35 $2,106.15 $841.92 2026-07-15
74181 CPT Pr Mri, Abdomen (Mri) 17 5 $201.00 $201.00 $57.00 $2,515.60 $834.81 2026-07-15
44970 CPT Pr Lap,Appendectomy 8 5 $1,628.00 $1,628.00 $587.82 $1,291.59 $831.93 2026-07-15
J1726 HCPCS Pr Makena, 10 Mg 7 5 $956.00 $956.00 $478.00 $908.20 $831.72 2026-07-15
37618 CPT Pr Ligatn Of Extremity Artery 16 5 $1,119.00 $1,119.00 $377.85 $5,299.10 $831.35 2026-07-15
11646 CPT Pr Exc Skin Malig >4cm Face,Facial 18 5 $1,274.00 $1,274.00 $392.94 $3,988.10 $826.27 2026-07-15
49525 CPT Pr Repair Sliding Inguinal Hernia 8 5 $1,663.00 $1,663.00 $560.34 $1,231.44 $823.89 2026-07-15
87507 CPT Fc Gi Pathogen Panel, Nat 14 5 $1,394.50 $1,394.50 $281.00 $2,115.65 $823.70 2026-07-15
49083 CPT Hc Abd Paracentesis W/Imaging 13 5 $1,640.00 $1,640.00 $107.28 $1,558.00 $820.00 2026-07-15
74174 CPT Pr CT Angio Abd&Plvis Cntrst Mtrl W/Wo 14 5 $1,557.50 $1,557.50 $105.97 $2,692.30 $819.75 2026-07-15
74170 CPT Pr CT Scan Of Abdomen Combo 17 5 $174.00 $174.00 $47.00 $1,954.15 $815.12 2026-07-15
55250 CPT Pr Removal Of Sperm Duct(S) 15 5 $1,202.00 $1,202.00 $229.81 $4,066.95 $811.35 2026-07-15
70482 CPT Pr CT Scan Skull Combo 15 5 $113.00 $113.00 $56.50 $2,324.65 $809.88 2026-07-15
72148 CPT Pr Mri, Lumbar Spine 16 5 $212.00 $212.00 $63.45 $1,442.10 $802.40 2026-07-15
28192 CPT Pr Remv Foot Foreign Body,Deep 16 5 $1,272.00 $1,272.00 $315.61 $2,586.85 $795.55 2026-07-15
20103 CPT Pr Explore Wound,Extremity 18 5 $1,104.00 $1,104.00 $344.84 $1,148.55 $794.74 2026-07-15
87633 CPT Fc Respiratory Viral Molecular Panel 14 5 $1,523.50 $1,523.50 $71.00 $2,759.75 $793.70 2026-07-15
10021 CPT Hc Fna Without Image 7 5 $912.00 $912.00 $456.00 $866.40 $793.44 2026-07-15
26160 CPT Pr Excis Tendon Sheath Lesion, Hand/Fi 18 5 $1,226.50 $1,226.50 $325.64 $2,965.90 $785.05 2026-07-15
74178 CPT Chg CT Scan,Abdomen And Pelvis,Combo 14 5 $1,490.50 $1,490.50 $86.40 $2,570.70 $778.70 2026-07-15
45171 CPT Pr Exc Rectal Tumor Transanal 6 4 $1,799.00 $1,799.00 $597.02 $1,329.28 $778.11 2026-07-15
49651 CPT Pr Lap,Inguinal Hernia Repr,Recur 8 5 $1,507.00 $1,507.00 $545.06 $1,206.79 $772.15 2026-07-15
C1713 HCPCS Fc Twin Fix Screw 7 5 $886.50 $886.50 $443.25 $842.17 $771.25 2026-07-15
72146 CPT Pr Mri, Dorsal Spine 17 5 $209.00 $209.00 $51.50 $1,457.30 $767.00 2026-07-15
J7301 HCPCS Pr Skyla, 13.5 Mg 7 5 $880.00 $880.00 $440.00 $836.00 $765.60 2026-07-15
72141 CPT Pr Mri, Cerv Spine 17 5 $209.00 $209.00 $51.50 $1,454.45 $765.50 2026-07-15
11771 CPT Pr Remv Pilonidal Lesion Extens 10 5 $1,199.00 $1,199.00 $425.23 $1,022.63 $765.47 2026-07-15
27220 CPT Pr Closed Rx Acetabular Fx 9 5 $1,441.00 $1,441.00 $426.35 $972.67 $754.91 2026-07-15
40520 CPT Pr Partial Excis Lip,v-exc Prim Clos 18 5 $1,197.00 $1,197.00 $359.45 $4,564.75 $753.79 2026-07-15
88307 CPT Fc Surgical Pathology,Level V 7 5 $865.00 $865.00 $432.50 $821.75 $752.55 2026-07-15
81382 CPT Fc Hla Class Ii,Hr,One Locus,Ea 7 5 $863.00 $863.00 $431.50 $819.85 $750.81 2026-07-15
27603 CPT Pr Drain Lower Leg Deep Absc/Hematoma 9 5 $1,465.00 $1,465.00 $382.86 $988.88 $747.39 2026-07-15
73202 CPT Pr CT Scan Of Arm Combo 16 5 $95.00 $95.00 $47.50 $2,251.50 $743.85 2026-07-15
81376 CPT Fc Hla Class Ii,Lr,One Locus,Ea 7 5 $852.00 $852.00 $426.00 $809.40 $741.24 2026-07-15
38510 CPT Pr Bx/Remv,Lymph Node,Deep Cerv 11 5 $1,194.00 $1,194.00 $413.84 $972.00 $740.44 2026-07-15
58940 CPT Pr Removal Of Ovary(S) 8 5 $1,443.00 $1,443.00 $516.36 $1,179.97 $739.08 2026-07-15
27508 CPT Pr Closed Rx Femur,Distal 9 5 $1,456.00 $1,456.00 $487.89 $1,069.80 $737.55 2026-07-15
72193 CPT Pr CT Scan Of Pelvis Contrast 14 5 $999.00 $999.00 $58.44 $1,742.30 $736.38 2026-07-15
73702 CPT Pr CT Scan Of Leg Combo 16 5 $95.00 $95.00 $47.50 $2,076.70 $736.16 2026-07-15
27500 CPT Pr Closed Rx Femur Shaft Fx 11 5 $1,314.00 $1,314.00 $473.80 $1,032.84 $728.86 2026-07-15
Q5103 HCPCS Infliximab-dyyb For IV Inj 100 Mg 7 5 $833.05 $833.05 $44.06 $791.40 $724.75 2026-07-15
49505 CPT Pr Repair Ing Hernia,5+Y/O,Reducibl 8 5 $1,413.00 $1,413.00 $509.36 $1,121.99 $723.47 2026-07-15
28045 CPT Pr Excis Foot Tumor,Deep 9 5 $1,370.00 $1,370.00 $350.91 $924.75 $719.60 2026-07-15
26116 CPT Pr Excis Soft Tissue Lesion Hand Deep 9 5 $1,465.00 $1,465.00 $521.92 $1,124.16 $716.64 2026-07-15
Q0138 HCPCS Ferumoxytol Inj 510 Mg/17ml (30 Mg/ml) (Elemental Fe) 7 5 $820.94 $820.94 $1.05 $779.89 $714.22 2026-07-15
70481 CPT Pr CT Scan Skull Contrast 15 5 $109.00 $109.00 $54.50 $2,100.45 $714.21 2026-07-15
46040 CPT Pr I&d Perirectal Abscess 8 5 $1,415.00 $1,415.00 $410.30 $955.13 $713.26 2026-07-15
13152 CPT Pr Repr Cmpl Wnd Lid,Nos,Ear 2.5-7.5 18 5 $994.00 $994.00 $338.79 $968.05 $708.85 2026-07-15
36425 CPT Hc Cutdown,Venous 7 5 $809.00 $809.00 $404.50 $768.55 $703.83 2026-07-15
72127 CPT Pr CT Scan Cerv Sp Combo 16 5 $101.00 $101.00 $50.50 $2,009.25 $703.48 2026-07-15
70488 CPT Pr CT Scans Face/Jaw Combo 17 5 $156.00 $156.00 $44.00 $1,333.80 $702.00 2026-07-15
12037 CPT Pr Layr Clos Wnd Trunk,Arm,Leg >30cm 18 5 $1,088.00 $1,088.00 $324.26 $2,841.45 $697.98 2026-07-15
25505 CPT Pr Closed Rx Radial Shaft Fx,Manipulat 11 5 $1,257.00 $1,257.00 $452.90 $985.73 $696.44 2026-07-15
25111 CPT Pr Excis Primary Ganglion Wrist 16 5 $876.00 $876.00 $317.69 $3,777.20 $694.36 2026-07-15
71270 CPT Chg Diagnostic Computed Tomography Tho 17 5 $181.00 $181.00 $44.00 $1,698.60 $691.23 2026-07-15
13121 CPT Hc Repr Cmpl Wnd Scalp,Extr 2.6-7.5 25 5 $1,019.00 $1,019.00 $259.55 $999.40 $690.44 2026-07-15
70492 CPT Pr CT Neck Tissue Combo 17 5 $222.00 $222.00 $56.50 $1,984.55 $690.08 2026-07-15
27043 CPT Pr Excision Tumor Soft Tissue Pelvis&H 7 4 $1,377.00 $1,377.00 $461.13 $1,002.40 $688.50 2026-07-15
72194 CPT Pr CT Scan Of Pelvis Combo 17 5 $158.00 $158.00 $49.00 $2,159.35 $684.87 2026-07-15
74230 CPT Hc Swallowing Fcn W Cine/Video 7 5 $786.00 $786.00 $393.00 $746.70 $683.82 2026-07-15
67800 CPT Hc Excis Chalazion,Single 7 5 $785.00 $785.00 $392.50 $745.75 $682.95 2026-07-15
Q5106 HCPCS Epoetin Alfa-epbx Inj 40000 Unit/ML 7 5 $784.30 $784.30 $9.97 $745.09 $682.34 2026-07-15
74177 CPT Chg CT Scan,Abdomen And Pelvis,W Contr 14 5 $1,302.50 $1,302.50 $77.63 $2,238.20 $682.13 2026-07-15
J0248 HCPCS Remdesivir For IV Soln 100 Mg 6 4 $781.45 $781.45 $390.73 $742.38 $679.86 2026-07-15
11446 CPT Pr Exc Skin Benig >4cm Face,Facial 18 5 $973.50 $973.50 $323.40 $3,988.10 $679.14 2026-07-15
19120 CPT Pr Removal Of Breast Lesion 11 5 $1,120.00 $1,120.00 $403.76 $891.50 $675.02 2026-07-15
96413 CPT Hc Chemo,Iv Infusion,1 Hr 7 5 $771.00 $771.00 $385.50 $732.45 $670.77 2026-07-15
27230 CPT Pr Closed Rx Prox/Neck Femur Fx 9 5 $1,320.00 $1,320.00 $466.65 $1,024.14 $669.81 2026-07-15
11606 CPT Pr Exc Skin Malig >4cm Trunk,Arm,Leg 18 5 $1,052.00 $1,052.00 $316.98 $2,930.75 $668.99 2026-07-15
J9395 HCPCS Fulvestrant Inj Soln Pref Syr 250 Mg/5ml 7 5 $767.96 $767.96 $48.93 $729.56 $668.13 2026-07-15
36566 CPT Pr Insj Tun Vad Req 2 Cath 2 Sits W/Su 9 5 $979.00 $979.00 $366.13 $7,253.59 $660.83 2026-07-15
27562 CPT Pr Closed Rx Kneecap Disloc+Anesth 9 5 $1,302.00 $1,302.00 $470.04 $1,050.24 $660.55 2026-07-15
93975 CPT Pr Duplex Abd/Pel Vasc Study,Complete 13 5 $974.00 $974.00 $83.00 $925.30 $657.45 2026-07-15
27538 CPT Pr Closed Rx Tib Tuber Fx 9 5 $1,193.00 $1,193.00 $440.96 $964.71 $654.18 2026-07-15
46260 CPT Pr Hemorrhoidectomy,Int/Ext,Complx 8 5 $1,275.00 $1,275.00 $470.09 $1,033.56 $651.05 2026-07-15
P9033 HCPCS Fc Platelets Leukoreduced Ir 7 5 $740.00 $740.00 $370.00 $703.00 $643.80 2026-07-15
M0222 HCPCS Hc Bebtelovimab Admin / Infusion 7 5 $737.00 $737.00 $368.50 $700.15 $641.19 2026-07-15
M0243 HCPCS Hc Casirivi And Imdevi Infusion 7 5 $737.00 $737.00 $368.50 $700.15 $641.19 2026-07-15
96521 CPT Hc Portable Pump Refill/Maint 7 5 $737.00 $737.00 $368.50 $700.15 $641.19 2026-07-15
M0245 HCPCS Hc IV Infusion Bamlan/Etese 7 5 $737.00 $737.00 $368.50 $700.15 $641.19 2026-07-15
M0247 HCPCS Hc Sotrovimab Admin/Infusion 7 5 $737.00 $737.00 $368.50 $700.15 $641.19 2026-07-15
46280 CPT Pr Removal Anal Fistula,Complex/Multi 8 5 $1,247.00 $1,247.00 $466.68 $1,024.87 $636.24 2026-07-15
26055 CPT Pr Incise Finger Tendon Sheath 11 5 $832.00 $832.00 $300.73 $1,032.08 $624.78 2026-07-15
81270 CPT Fc Jak2 Mutation 14 5 $723.50 $723.50 $358.00 $694.45 $622.92 2026-07-15
11626 CPT Pr Exc Skin Malig >4cm Remaindr Body 18 5 $964.00 $964.00 $291.89 $3,988.10 $617.53 2026-07-15
96416 CPT Hc Chemo Prolong Infuse W/Pump 7 5 $702.00 $702.00 $351.00 $666.90 $610.74 2026-07-15
46250 CPT Pr Hemorrhoidectomy,External 8 5 $1,208.00 $1,208.00 $312.05 $815.40 $609.12 2026-07-15
74160 CPT Pr CT Scan Of Abdomen Contrast 17 5 $183.00 $183.00 $40.50 $1,700.50 $608.45 2026-07-15
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