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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

HIGHLAND DISTRICT HOSPITAL

Hillsboro, OH · CCN 361332 · Rates published

1,586 distinct procedures filed
34 distinct payers
63,237 rate rows
2026-11-06 last MRF observed
Data quality

63,010 of 63,237 rate rows are consumer-grade (99.6%)

227 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
exceeds 10× this hospital's gross charge — excluded from medians 180
per-diem day rate — not a per-procedure price 34
percent-of-charges filed in the dollar field — excluded from medians 13
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://highlanddistricthospital.pg.quadax.revenuemasters.com/cdm-files/310653685_highland-district-hospital_standardcharges.csv
Found on page https://highlanddistricthospital.pg.quadax.revenuemasters.com/disclaimer
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-11-14
Content fingerprint 548c8097a9476087… · 227,434,158 bytes · first seen 2026-11-06

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
J2507
HCPCS 		Pegloticase 8 Mg/50ml IV Soln 25 $4,699.30 $101,820.79 $74,152.10 nat. median
$9,534
outlier · 7.8×
J2350
HCPCS 		Ocrelizumab 300 Mg/10ml IV Soln 25 $8,786.19 $71,917.73 $52,374.87 nat. median
$714
outlier · 73.4×
J9043
HCPCS 		Cabazitaxel 60 Mg/1.5ml IV Soln 26 $2,960.98 $48,752.14 $35,504.28 nat. median
$742
outlier · 47.9×
J9228
HCPCS 		Ipilimumab 50 Mg/10ml IV Soln 25 $8,786.19 $122,356.10 $29,691.35 nat. median
$9,020
outlier · 3.3×
J9022
HCPCS 		Atezolizumab 1200 Mg/20ml IV Soln 25 $4,699.30 $39,535.48 $28,792.14 nat. median
$7,244
outlier · 4.0×
J3101
HCPCS 		Tenecteplase 50 Mg IV Kit (*ami*) 26 $2,960.98 $28,304.96 $20,613.39 nat. median
$4,042
outlier · 5.1×
J9299
HCPCS 		Nivolumab 240 Mg/24ml IV Soln 25 $2,960.98 $26,833.63 $19,541.88 nat. median
$2,957
outlier · 6.6×
J9306
HCPCS 		Pertuzumab 420 Mg/14ml IV Soln 25 $3,007.88 $22,815.36 $16,615.53 nat. median
$91
outlier · 182.6×
J9217
HCPCS 		Leuprolide Acetate (3 Month) 22.5 Mg IM Kit 26 $1,123.45 $42,651.91 $15,132.16 nat. median
$1,581
outlier · 9.6×
J9271
HCPCS 		Pembrolizumab 100 Mg/4ml IV Soln 25 $4,699.30 $19,923.93 $14,509.82 nat. median
$323
outlier · 44.9×
J2353
HCPCS 		Octreotide Acetate 20 Mg IM Kit 25 $3,007.88 $22,894.39 $13,294.94 nat. median
$5,554
outlier · 2.4×
J1162
HCPCS 		Digoxin Immune Fab 40 Mg IV Solr 25 $2,960.98 $16,473.89 $11,997.29 nat. median
$7,098
1.7× median
J9354
HCPCS 		Ado-trastuzumab Emtansine 160 Mg IV Solr 25 $2,960.98 $21,987.51 $11,949.74 nat. median
$4,245
outlier · 2.8×
J9177
HCPCS 		Enfortumab Vedotin-ejfv 30 Mg IV Solr 25 $2,960.98 $13,955.11 $10,162.96 nat. median
$2,938
outlier · 3.5×
J9317
HCPCS 		Sacituzumab Govitecan-hziy 180 Mg IV Solr 17 $3,072.46 $8,660.11 $6,965.74 nat. median
$109
outlier · 63.6×
J9034
HCPCS 		Bendamustine Hcl 100 Mg/4ml IV Soln 25 $2,906.81 $8,193.23 $5,966.81 nat. median
$93
outlier · 64.0×
J9303
HCPCS 		Panitumumab 100 Mg/5ml IV Soln 25 $2,128.76 $24,000.74 $5,824.09 nat. median
$1,837
outlier · 3.2×
J0897
HCPCS 		Denosumab 60 Mg/ml Sc Sosy 26 $829.86 $11,425.54 $5,401.25 nat. median
$1,990
outlier · 2.7×
32408
HCPCS 		Hc Biopsy Lung/medstnm Core With Imaging 26 $1,958.40 $5,630.40 $4,345.20 nat. median
$2,043
outlier · 2.1×
J3262
HCPCS 		Tocilizumab 200 Mg/10ml IV Soln 25 $863.14 $8,796.06 $3,824.38 nat. median
$1,424
outlier · 2.7×
J2357
HCPCS 		Omalizumab 150 Mg/ml Sc Sosy 25 $1,771.28 $5,146.05 $3,747.67 nat. median
$1,246
outlier · 3.0×
J1576
HCPCS 		Immune Globulin (human)-ifas 10 Gm/100ml IV Soln 17 $270.31 $22,856.77 $3,726.65 nat. median
$85
outlier · 43.8×
J2802
HCPCS 		Romiplostim 125 Mcg Sc Solr 17 $1,617.48 $4,559.08 $3,667.08 nat. median
$2,844
1.3× median
22612
HCPCS 		Hc Lumbar Spine Fusion 34 $1,509.76 $6,032.88 $3,538.50 nat. median
$15,174
outlier · 0.2×
26565
HCPCS 		Hc Correct Metacarpal Flaw 34 $1,178.40 $9,339.84 $3,378.59 nat. median
$3,616
0.9× median
Q5123
HCPCS 		Rituximab-arrx 100 Mg/10ml IV Soln 17 $842.27 $11,870.21 $3,292.69 nat. median
$1,030
outlier · 3.2×
Q5117
HCPCS 		Trastuzumab-anns 150 Mg IV Solr 25 $1,599.73 $4,509.05 $3,283.76 nat. median
$794
outlier · 4.1×
19083
HCPCS 		Hc Biopsy Breast Localiz Devic Specmn Imag US Guide 34 $635.62 $6,456.56 $3,228.51 nat. median
$2,134
1.5× median
59409
HCPCS 		Hdh Vaginal Delivery Only 34 $952.95 $8,578.08 $3,103.03 nat. median
$3,147
1.0× median
31652
HCPCS 		Hc Bronch Ebus Samplng 1/2 Node 34 $1,613.92 $8,479.64 $3,067.41 nat. median
$4,172
0.7× median
31653
HCPCS 		Hc Bronch Ebus Samplng 3/> Node 34 $1,613.92 $8,479.64 $3,067.41 nat. median
$4,254
0.7× median
31628
HCPCS 		Hc Bronchoscopy/lung Bx Each 34 $686.42 $8,479.64 $3,067.41 nat. median
$3,647
0.8× median
31629
HCPCS 		Hc Bronchoscopy/needle Bx Each 34 $686.42 $8,479.64 $3,067.41 nat. median
$3,758
0.8× median
Q5115
HCPCS 		Rituximab-abbs 100 Mg/10ml IV Soln 25 $993.56 $14,002.31 $3,049.80 nat. median
$862
outlier · 3.5×
Q0138
HCPCS 		Ferumoxytol 510 Mg/17ml IV Soln 25 $247.55 $3,953.26 $2,879.00 nat. median
$184
outlier · 15.7×
27372
HCPCS 		Hc Removal Of Foreign Body 34 $832.41 $10,969.00 $2,840.45 nat. median
$3,037
0.9× median
45380
HCPCS 		Hc Colonoscopy And Biopsy 28 $1,116.80 $4,917.00 $2,792.00 nat. median
$1,558
1.8× median
J7326
HCPCS 		Cross-link Hyal Acid (visc) 30 Mg/3ml Ix Prsy 25 $247.55 $3,808.80 $2,773.80 nat. median
$767
outlier · 3.6×
J7318
HCPCS 		Sodium Hyaluronate 60 Mg/3ml Ix Prsy 25 $247.55 $3,692.88 $2,689.38 nat. median
$14
outlier · 199.1×
J7168
HCPCS 		Prothrombin Complex Conc Human 1000 Units IV Kit 17 $552.27 $9,485.57 $2,460.97 nat. median
$22
outlier · 111.2×
J9280
HCPCS 		Mitomycin 40 Mg IV Solr 25 $734.49 $3,312.00 $2,412.00 nat. median
$342
outlier · 7.1×
Q5103
HCPCS 		Infliximab-dyyb 100 Mg IV Solr 25 $1,111.92 $3,134.09 $2,292.32 nat. median
$286
outlier · 8.0×
24605
HCPCS 		Hc Treat Elbow Dislocation 34 $508.02 $6,167.68 $2,231.09 nat. median
$1,873
1.2× median
66761
HCPCS 		Hdh Eye Laser Iridotomy-bilateral 26 $1,001.28 $2,878.68 $2,221.59 nat. median
$802
outlier · 2.8×
21315
HCPCS 		Hc Closed Tx Nose Fx Without Stablj 34 $578.84 $6,138.24 $2,220.44 nat. median
$1,683
1.3× median
38505
HCPCS 		Hc Biopsy Lymph Nodes Perc Supfcl 34 $653.32 $5,725.16 $2,071.01 nat. median
$1,742
1.2× median
43130
HCPCS 		Hc Removal Of Esophagus Pouch 34 $881.92 $2,535.52 $2,065.84 nat. median
$5,945
outlier · 0.3×
20220
HCPCS 		Hc Biopsy Bone Superfical 34 $236.98 $5,630.40 $2,036.74 nat. median
$1,689
1.2× median
20206
HCPCS 		Hc Biopsy Muscle Percut Needle 34 $236.98 $5,630.40 $2,036.74 nat. median
$1,687
1.2× median
47000
HCPCS 		Hc Biopsy Liver Percut Needle 34 $284.53 $5,630.40 $2,036.74 nat. median
$1,802
1.1× median

Other procedures at this hospital

Browse this hospital's 1,586 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
             
0206 RC — 8 8 $1,877.00 $1,501.60 20% off $1,426.52 $1,726.84 $1,676.16 2026-11-06
0360 RC — 338 26 $2,178.00 $1,742.40 $168.64 $7,544.92 $1,459.26 2026-11-06
0110 RC — 8 8 $1,276.00 $1,020.80 20% off $969.76 $1,173.92 $1,139.47 2026-11-06
0121 RC — 8 8 $1,201.00 $960.80 20% off $912.76 $1,104.92 $1,072.49 2026-11-06
J9354 HCPCS Ado-trastuzumab Emtansine 160 Mg IV Solr 42 25 $23,899.47 $19,119.58 $2,960.98 $21,987.51 $11,949.74 2026-11-06
J2997 HCPCS Alteplase 2 Mg Ij Solr 43 26 $699.96 $559.97 $87.37 $14,573.41 $620.16 2026-11-06
J9022 HCPCS Atezolizumab 1200 Mg/20ml IV Soln 25 25 $42,973.35 $34,378.68 $4,699.30 $39,535.48 $28,792.14 2026-11-06
J9034 HCPCS Bendamustine Hcl 100 Mg/4ml IV Soln 25 25 $8,905.68 $7,124.54 20% off $2,906.81 $8,193.23 $5,966.81 2026-11-06
Q5118 HCPCS Bevacizumab-bvzr 100 Mg/4ml IV Soln 42 25 $2,208.24 $1,766.59 20% off $447.08 $8,126.32 $1,971.96 2026-11-06
J9043 HCPCS Cabazitaxel 60 Mg/1.5ml IV Soln 26 26 $52,991.46 $42,393.17 $2,960.98 $48,752.14 $35,504.28 2026-11-06
J7326 HCPCS Cross-link Hyal Acid (visc) 30 Mg/3ml Ix Prsy 25 25 $4,140.00 $3,312.00 20% off $247.55 $3,808.80 $2,773.80 2026-11-06
J0881 HCPCS Darbepoetin Alfa 40 Mcg/0.4ml Ij Sosy 111 26 $1,671.84 $1,337.47 20% off $227.37 $5,126.98 $1,337.47 2026-11-06
J0897 HCPCS Denosumab 60 Mg/ml Sc Sosy 43 26 $6,751.56 $5,401.25 $829.86 $11,425.54 $5,401.25 2026-11-06
J1190 HCPCS Dexrazoxane Hcl 500 Mg IV Solr 25 25 $1,436.40 $1,149.12 20% off $468.84 $1,321.49 $962.39 2026-11-06
J1162 HCPCS Digoxin Immune Fab 40 Mg IV Solr 25 25 $17,906.40 $14,325.12 20% off $2,960.98 $16,473.89 $11,997.29 2026-11-06
J9177 HCPCS Enfortumab Vedotin-ejfv 30 Mg IV Solr 25 25 $15,168.60 $12,134.88 20% off $2,960.98 $13,955.11 $10,162.96 2026-11-06
J1410 HCPCS Estrogens Conjugated 25 Mg Ij Solr 25 25 $1,393.41 $1,114.73 $123.61 $1,281.94 $933.58 2026-11-06
Q0138 HCPCS Ferumoxytol 510 Mg/17ml IV Soln 25 25 $4,297.02 $3,437.62 $247.55 $3,953.26 $2,879.00 2026-11-06
J9394 HCPCS Fulvestrant 250 Mg/5ml IM Sosy (fresenius) 17 17 $1,800.00 $1,440.00 20% off $587.52 $1,656.00 $1,332.00 2026-11-06
J1611 HCPCS Glucagon Emergency 1 Mg/ml Ij Solr 35 18 $1,007.28 $805.82 20% off $152.12 $926.70 $727.73 2026-11-06
93307 HCPCS Hc 2d Echo W Cont Wo Cf/doppler 34 34 $1,595.00 $1,276.00 20% off $217.67 $1,467.40 $530.82 2026-11-06
49082 HCPCS Hc Abd Paracentesis Wo Imaging 34 34 $2,954.00 $2,363.20 20% off $284.53 $2,717.68 $983.09 2026-11-06
49083 HCPCS Hc Abdominal Paracentesis W Img 34 34 $3,447.00 $2,757.60 20% off $284.53 $3,171.24 $1,147.16 2026-11-06
20982 HCPCS Hc Ablation Tx Bone 1+ Tumor Rfa W Img 34 34 $1,083.00 $866.40 20% off $346.56 $996.36 $812.25 2026-11-06
52000 HCPCS Hc And Asc Cystouretheroscopy 34 34 $895.00 $716.00 20% off $286.40 $3,671.00 $685.00 2026-11-06
20611 HCPCS Hc Arthro Asp/inj Lrg Joint W US Guidance 60 34 $976.00 $780.80 20% off $195.00 $1,346.88 $673.44 2026-11-06
20610 HCPCS Hc Arthro Asp/inj Lrg Joint Wo US Guid 86 34 $752.00 $601.60 20% off $107.66 $1,037.76 $528.24 2026-11-06
20605 HCPCS Hc Arthro Asp/inj Med Joint Wo US Guid 86 34 $976.00 $780.80 20% off $107.66 $1,346.88 $539.40 2026-11-06
10005 HCPCS Hc Aspiration Fn US Guide 1st Lesion 34 34 $2,622.00 $2,097.60 20% off $236.98 $2,412.24 $872.60 2026-11-06
36821 HCPCS Hc Av Fusion Direct Any Site 34 34 $2,103.00 $1,682.40 $672.96 $5,622.00 $1,903.22 2026-11-06
49180 HCPCS Hc Biopsy Abd/retroperitonl Mass 34 34 $6,120.00 $4,896.00 20% off $284.53 $5,630.40 $2,036.74 2026-11-06
20225 HCPCS Hc Biopsy Bone Deep 34 34 $4,658.00 $3,726.40 20% off $832.41 $4,917.00 $1,550.18 2026-11-06
20220 HCPCS Hc Biopsy Bone Superfical 34 34 $6,120.00 $4,896.00 20% off $236.98 $5,630.40 $2,036.74 2026-11-06
19083 HCPCS Hc Biopsy Breast Localiz Devic Specmn Imag US Guide 60 34 $4,679.00 $3,743.20 20% off $635.62 $6,456.56 $3,228.51 2026-11-06
19084 HCPCS Hc Biopsy Brest Localiz Dev Specmn Img US Guid Ea Addt Lesion 34 34 $2,339.00 $1,871.20 20% off $635.62 $2,151.88 $778.41 2026-11-06
47000 HCPCS Hc Biopsy Liver Percut Needle 34 34 $6,120.00 $4,896.00 20% off $284.53 $5,630.40 $2,036.74 2026-11-06
32408 HCPCS Hc Biopsy Lung/medstnm Core With Imaging 26 26 $6,120.00 $4,896.00 20% off $1,958.40 $5,630.40 $4,345.20 2026-11-06
38505 HCPCS Hc Biopsy Lymph Nodes Perc Supfcl 34 34 $6,223.00 $4,978.40 20% off $653.32 $5,725.16 $2,071.01 2026-11-06
20206 HCPCS Hc Biopsy Muscle Percut Needle 34 34 $6,120.00 $4,896.00 20% off $236.98 $5,630.40 $2,036.74 2026-11-06
31652 HCPCS Hc Bronch Ebus Samplng 1/2 Node 34 34 $9,217.00 $7,373.60 $1,613.92 $8,479.64 $3,067.41 2026-11-06
31653 HCPCS Hc Bronch Ebus Samplng 3/> Node 34 34 $9,217.00 $7,373.60 $1,613.92 $8,479.64 $3,067.41 2026-11-06
31645 HCPCS Hc Bronchoscopy Clear Airways 34 34 $5,173.00 $4,138.40 20% off $686.42 $4,759.16 $1,721.58 2026-11-06
31625 HCPCS Hc Bronchoscopy W/biopsy(s) 34 34 $5,173.00 $4,138.40 20% off $686.42 $4,917.00 $1,721.58 2026-11-06
31628 HCPCS Hc Bronchoscopy/lung Bx Each 34 34 $9,217.00 $7,373.60 $686.42 $8,479.64 $3,067.41 2026-11-06
31629 HCPCS Hc Bronchoscopy/needle Bx Each 34 34 $9,217.00 $7,373.60 $686.42 $8,479.64 $3,067.41 2026-11-06
91110 HCPCS Hc Capsule Video Endoscopy 34 34 $1,706.00 $1,364.80 20% off $545.92 $1,569.52 $1,232.64 2026-11-06
A9521 HCPCS Hc Ceretec Tc99m Exametazine/dose 34 34 $2,585.00 $2,068.00 20% off $79.78 $2,378.20 $860.29 2026-11-06
51710 HCPCS Hc Change Of Bladder Tube 26 26 $2,002.00 $1,601.60 20% off $640.64 $3,671.00 $1,613.61 2026-11-06
64643 HCPCS Hc Chemodenerv 1 Extrem 1-4 Ea 34 34 $2,081.00 $1,664.80 20% off $433.54 $1,914.52 $692.56 2026-11-06
64645 HCPCS Hc Chemodenerv 1 Extrem 5/> Ea 34 34 $2,081.00 $1,664.80 20% off $433.54 $1,914.52 $692.56 2026-11-06
64644 HCPCS Hc Chemodenerv 1 Extrem 5/> Mus 34 34 $2,081.00 $1,664.80 20% off $178.23 $1,914.52 $692.56 2026-11-06
64616 HCPCS Hc Chemodenerv Musc Neck Dyston 60 34 $857.00 $685.60 20% off $178.23 $1,182.20 $591.33 2026-11-06
64647 HCPCS Hc Chemodenervation Trunk 6+ Muscles 34 34 $2,081.00 $1,664.80 20% off $178.23 $1,914.52 $692.56 2026-11-06
32557 HCPCS Hc Chest Tube Insert With Imaging 34 34 $4,660.00 $3,728.00 20% off $468.52 $4,287.20 $1,550.85 2026-11-06
32556 HCPCS Hc Chest Tube Insertion Wo Imaging 34 34 $5,691.00 $4,552.80 $468.52 $5,235.72 $1,893.97 2026-11-06
31720 HCPCS Hc Clearance Of Airways 26 26 $714.00 $571.20 $228.48 $3,671.00 $575.49 2026-11-06
21315 HCPCS Hc Closed Tx Nose Fx Without Stablj 34 34 $6,672.00 $5,337.60 $578.84 $6,138.24 $2,220.44 2026-11-06
G0121 HCPCS Hc Colon Ca Scrn Not Hi Rsk Ind 26 26 $2,466.00 $1,972.80 20% off $789.12 $4,917.00 $1,987.60 2026-11-06
45380 HCPCS Hc Colonoscopy And Biopsy 28 28 $3,490.00 $2,792.00 20% off $1,116.80 $4,917.00 $2,792.00 2026-11-06
45381 HCPCS Hc Colonoscopy Submucous Njx 34 34 $3,490.00 $2,792.00 20% off $548.40 $4,917.00 $1,161.47 2026-11-06
44388 HCPCS Hc Colonoscopy Thru Stoma Spx 34 34 $2,466.00 $1,972.80 20% off $548.40 $3,671.00 $820.68 2026-11-06
44394 HCPCS Hc Colonoscopy Via Stoma W/snare 34 34 $3,451.00 $2,760.80 $548.40 $3,671.00 $1,148.49 2026-11-06
45386 HCPCS Hc Colonoscopy W/balloon Dilat 34 34 $3,490.00 $2,792.00 20% off $548.40 $4,917.00 $1,161.47 2026-11-06
45393 HCPCS Hc Colonoscopy W/decompression 34 34 $3,490.00 $2,792.00 20% off $548.40 $3,210.80 $1,161.47 2026-11-06
45385 HCPCS Hc Colonoscopy W/lesion Removal 34 34 $3,732.00 $2,985.60 20% off $548.40 $4,917.00 $1,242.01 2026-11-06
44389 HCPCS Hc Colonoscopy With Biopsy 34 34 $3,451.00 $2,760.80 $548.40 $3,671.00 $1,148.49 2026-11-06
G0105 HCPCS Hc Colorectal Scrn; Hi Risk Ind 27 27 $2,466.00 $1,972.80 20% off $789.12 $4,917.00 $1,972.80 2026-11-06
26565 HCPCS Hc Correct Metacarpal Flaw 34 34 $10,152.00 $8,121.60 $1,178.40 $9,339.84 $3,378.59 2026-11-06
74177 HCPCS Hc CT Abdomen Pelvis With Con 34 34 $3,384.00 $2,707.20 20% off $242.56 $3,113.28 $1,082.88 2026-11-06
74176 HCPCS Hc CT Abdomen Pelvis Without Con 34 34 $2,461.00 $1,968.80 20% off $242.56 $2,264.12 $819.02 2026-11-06
74178 HCPCS Hc CT Abdomen Pelvis Wo & W Con 34 34 $3,269.00 $2,615.20 20% off $242.56 $3,007.48 $1,046.08 2026-11-06
74160 HCPCS Hc CT Abdomen With Contrast 34 34 $1,711.00 $1,368.80 20% off $242.56 $1,574.12 $569.42 2026-11-06
74170 HCPCS Hc CT Abdomen Wo&w Contrast 34 34 $2,131.00 $1,704.80 20% off $242.56 $1,960.52 $709.20 2026-11-06
71260 HCPCS Hc CT Chest/lung With Contrast 34 34 $1,532.00 $1,225.60 20% off $242.56 $1,409.44 $509.85 2026-11-06
71270 HCPCS Hc CT Chest/lung Wo&w Contrast 34 34 $1,684.00 $1,347.20 20% off $242.56 $1,549.28 $560.43 2026-11-06
70488 HCPCS Hc CT Facial/sinus W&wo Contrast 34 34 $2,131.00 $1,704.80 20% off $242.56 $1,960.52 $709.20 2026-11-06
70487 HCPCS Hc CT Facial/sinus With Contrast 34 34 $1,832.00 $1,465.60 20% off $242.56 $1,685.44 $609.69 2026-11-06
70486 HCPCS Hc CT Facial/sinus Without Contr 34 34 $1,832.00 $1,465.60 20% off $113.15 $1,685.44 $609.69 2026-11-06
77012 HCPCS Hc CT Guidance Needle Plcmnt S&i 34 34 $2,850.00 $2,280.00 20% off $68.62 $2,622.00 $930.24 2026-11-06
70460 HCPCS Hc CT Head With Contrast 34 34 $1,859.00 $1,487.20 20% off $242.56 $1,710.28 $618.67 2026-11-06
70470 HCPCS Hc CT Head Wo&w Contrast 34 34 $2,131.00 $1,704.80 20% off $242.56 $1,960.52 $709.20 2026-11-06
73701 HCPCS Hc CT Lower Extremity W Cont 34 34 $1,859.00 $1,487.20 20% off $242.56 $1,710.28 $618.67 2026-11-06
73702 HCPCS Hc CT Lower Extremity W&wo Con 34 34 $1,859.00 $1,487.20 20% off $242.56 $1,710.28 $618.67 2026-11-06
73700 HCPCS Hc CT Lower Extremity Wo Cont 36 34 $1,532.00 $1,225.60 20% off $113.15 $1,409.44 $502.50 2026-11-06
70491 HCPCS Hc CT Neck Sft Tissue W Contrast 34 34 $1,832.00 $1,465.60 20% off $242.56 $1,685.44 $609.69 2026-11-06
70490 HCPCS Hc CT Neck Sft Tissue Wo Contrast 34 34 $1,532.00 $1,225.60 20% off $113.15 $1,409.44 $509.85 2026-11-06
70492 HCPCS Hc CT Neck Sft Tissue Wo&w Contr 34 34 $2,131.00 $1,704.80 20% off $242.56 $1,960.52 $709.20 2026-11-06
70482 HCPCS Hc CT Orbit/mstd/sella/iac Wo&w C 34 34 $1,706.00 $1,364.80 20% off $242.56 $1,569.52 $567.76 2026-11-06
70481 HCPCS Hc CT Orbits/mstd/sella With Cont 34 34 $1,532.00 $1,225.60 20% off $242.56 $1,409.44 $509.85 2026-11-06
72193 HCPCS Hc CT Pelvis With Contrast 34 34 $1,607.00 $1,285.60 20% off $242.56 $1,478.44 $534.81 2026-11-06
72194 HCPCS Hc CT Pelvis Wo&w Contrast 34 34 $1,532.00 $1,225.60 20% off $242.56 $1,409.44 $509.85 2026-11-06
72126 HCPCS Hc CT Spine Cervical W Contrast 34 34 $1,832.00 $1,465.60 20% off $242.56 $1,685.44 $609.69 2026-11-06
72127 HCPCS Hc CT Spine Cervical Wo&w Cont 34 34 $2,168.00 $1,734.40 $242.56 $1,994.56 $721.51 2026-11-06
72132 HCPCS Hc CT Spine Lumbar W Contrast 34 34 $1,859.00 $1,487.20 20% off $242.56 $1,710.28 $618.67 2026-11-06
72131 HCPCS Hc CT Spine Lumbar Wo Contrast 34 34 $1,532.00 $1,225.60 20% off $113.15 $1,409.44 $509.85 2026-11-06
72133 HCPCS Hc CT Spine Lumbar Wo&w Contrast 34 34 $2,131.00 $1,704.80 20% off $242.56 $1,960.52 $709.20 2026-11-06
72129 HCPCS Hc CT Spine Thoracic W Contrast 34 34 $1,859.00 $1,487.20 20% off $242.56 $1,710.28 $618.67 2026-11-06
72130 HCPCS Hc CT Spine Thoracic Wo&w Contr 34 34 $2,168.00 $1,734.40 $242.56 $1,994.56 $721.51 2026-11-06
73201 HCPCS Hc CT Upper Extremity W Cont 34 34 $1,859.00 $1,487.20 20% off $242.56 $1,710.28 $618.67 2026-11-06
73202 HCPCS Hc CT Upper Extremity W&wo Con 34 34 $1,859.00 $1,487.20 20% off $242.56 $1,710.28 $618.67 2026-11-06
70496 HCPCS Hc CTA Head Wo&w Contrast 34 34 $1,871.00 $1,496.80 20% off $279.34 $1,721.32 $622.67 2026-11-06
74174 HCPCS Hc CTA Abd & Pelvis W Con Incl Wo 34 34 $2,597.00 $2,077.60 20% off $279.34 $2,389.24 $864.28 2026-11-06
74175 HCPCS Hc CTA Abdomen Wo&w Contrast 34 34 $1,832.00 $1,465.60 20% off $279.34 $1,685.44 $609.69 2026-11-06
75635 HCPCS Hc CTA Abdominal Aorta W Runoff 34 34 $2,850.00 $2,280.00 20% off $279.34 $2,622.00 $930.24 2026-11-06
71275 HCPCS Hc CTA Chest W Or Wo Contrast 34 34 $2,186.00 $1,748.80 20% off $279.34 $2,011.12 $727.50 2026-11-06
70498 HCPCS Hc CTA Neck Wo&w Contrast 34 34 $3,476.00 $2,780.80 $279.34 $3,197.92 $1,112.32 2026-11-06
73206 HCPCS Hc CTA Upper Extrmty Wo&w Con 34 34 $2,613.00 $2,090.40 $279.34 $2,403.96 $869.61 2026-11-06
36593 HCPCS Hc Declot By Thrombolytics Cvad 34 34 $1,502.00 $1,201.60 20% off $170.99 $1,381.84 $499.87 2026-11-06
64612 HCPCS Hc Destroy Nerve Face Muscle 60 34 $857.00 $685.60 20% off $178.23 $1,182.20 $591.33 2026-11-06
45378 HCPCS Hc Diagnostic Colonoscopy 28 28 $2,466.00 $1,972.80 20% off $789.12 $4,917.00 $1,972.80 2026-11-06
45330 HCPCS Hc Diagnostic Sigmoidoscopy 34 34 $1,027.00 $821.60 20% off $328.64 $944.84 $575.82 2026-11-06
43450 HCPCS Hc Dilate Esophagus 1/mult Pass 34 34 $2,782.00 $2,225.60 20% off $184.45 $3,671.00 $925.85 2026-11-06
62272 HCPCS Hc Drain Cerebro Spinal Fluid 34 34 $1,834.00 $1,467.20 20% off $348.38 $3,671.00 $610.36 2026-11-06
21501 HCPCS Hc Drain Neck/chest Lesion 34 34 $691.00 $552.80 20% off $221.12 $4,917.00 $625.36 2026-11-06
31623 HCPCS Hc Dx Bronchoscope/brush 34 34 $5,173.00 $4,138.40 20% off $686.42 $4,917.00 $1,721.58 2026-11-06
31624 HCPCS Hc Dx Bronchoscope/lavage 34 34 $5,173.00 $4,138.40 20% off $686.42 $4,917.00 $1,721.58 2026-11-06
31622 HCPCS Hc Dx Bronchoscope/wash 34 34 $5,173.00 $4,138.40 20% off $686.42 $4,759.16 $1,721.58 2026-11-06
99291 HCPCS Hc Ed Visit Critical Care 34 34 $2,918.00 $2,334.40 $42.34 $2,684.56 $971.11 2026-11-06
43239 HCPCS Hc Egd Biopsy Single/multiple 34 34 $3,392.00 $2,713.60 20% off $480.68 $4,917.00 $1,128.86 2026-11-06
43255 HCPCS Hc Egd Control Bleeding Any 34 34 $3,727.00 $2,981.60 20% off $480.68 $4,917.00 $1,240.35 2026-11-06
43235 HCPCS Hc Egd Diagnostic Brush Wash 34 34 $2,420.00 $1,936.00 20% off $480.68 $3,671.00 $805.38 2026-11-06
43245 HCPCS Hc Egd Dilate Stricture 34 34 $2,431.00 $1,944.80 20% off $480.68 $4,917.00 $809.04 2026-11-06
43248 HCPCS Hc Egd Guide Wire Insertion 34 34 $3,392.00 $2,713.60 20% off $480.68 $4,917.00 $1,128.86 2026-11-06
43246 HCPCS Hc Egd Place Gastrostomy Tube 34 34 $2,178.00 $1,742.40 $480.68 $4,917.00 $724.84 2026-11-06
43247 HCPCS Hc Egd Remove Foreign Body 34 34 $3,392.00 $2,713.60 20% off $480.68 $4,917.00 $1,128.86 2026-11-06
43251 HCPCS Hc Egd Remove Lesion Snare 34 34 $3,727.00 $2,981.60 20% off $480.68 $4,917.00 $1,240.35 2026-11-06
43249 HCPCS Hc Esoph Egd Dilation <30 Mm 34 34 $2,413.00 $1,930.40 $480.68 $4,917.00 $803.05 2026-11-06
43220 HCPCS Hc Esophagoscopy Balloon <30mm 34 34 $2,431.00 $1,944.80 20% off $480.68 $3,671.00 $809.04 2026-11-06
11604 HCPCS Hc Excision Malignant Tral Lesion 4cm 34 34 $565.00 $452.00 20% off $180.80 $4,917.00 $511.32 2026-11-06
88185 HCPCS Hc Flow Cytometry Each Add Marker 34 34 $2,325.00 $1,860.00 20% off $37.42 $2,139.00 $773.76 2026-11-06
63650 HCPCS Hc Implant Neuroelectrodes 34 34 $1,214.00 $971.20 $388.48 $4,917.00 $1,098.67 2026-11-06
64555 HCPCS Hc Implant Neuroelectrodes 34 34 $956.00 $764.80 20% off $305.92 $2,300.01 $717.00 2026-11-06
62350 HCPCS Hc Implant Spinal Canal Cath 34 34 $1,175.00 $940.00 20% off $376.00 $4,917.00 $1,063.38 2026-11-06
62362 HCPCS Hc Implant Spine Infusion Pump 34 34 $1,141.00 $912.80 20% off $365.12 $4,917.00 $1,032.61 2026-11-06
46040 HCPCS Hc Incision Of Rectal Abscess 34 34 $967.00 $773.60 20% off $309.44 $5,622.00 $703.39 2026-11-06
62273 HCPCS Hc Injection Blood Patch 34 34 $2,055.00 $1,644.00 20% off $348.38 $3,671.00 $683.90 2026-11-06
36558 HCPCS Hc Insert Tunnel Cv Cath Wo Port 34 34 $1,099.00 $879.20 $351.68 $4,917.00 $994.60 2026-11-06
36561 HCPCS Hc Insert Tunnel Cvad Port 34 34 $1,058.00 $846.40 20% off $338.56 $5,622.00 $957.49 2026-11-06
22869 HCPCS Hc Insj Stablj Dev Without Dcmprn 34 34 $1,265.00 $1,012.00 20% off $404.80 $6,032.88 $948.75 2026-11-06
63685 HCPCS Hc Insrt/redo Spine N Generator 26 26 $1,069.00 $855.20 $342.08 $4,917.00 $861.62 2026-11-06
62270 HCPCS Hc Lumbar Puncture Diagnostic 34 34 $2,082.00 $1,665.60 20% off $348.38 $3,671.00 $692.89 2026-11-06
22612 HCPCS Hc Lumbar Spine Fusion 34 34 $4,718.00 $3,774.40 20% off $1,509.76 $6,032.88 $3,538.50 2026-11-06
78195 HCPCS Hc Lymphatic Mapping Day 1 34 34 $1,407.00 $1,125.60 20% off $450.24 $1,294.44 $574.84 2026-11-06
A9520 HCPCS Hc Lymphoseek Tc99m Tilmanocept Up To 0.5mci 34 34 $2,073.00 $1,658.40 $79.78 $1,907.16 $689.89 2026-11-06
32561 HCPCS Hc Lysis Tx Tnnld Cath Chest Day1 34 34 $1,855.00 $1,484.00 20% off $468.52 $1,706.60 $617.35 2026-11-06
32562 HCPCS Hc Lysis Tx Tnnld Cath Chest Subq 34 34 $1,855.00 $1,484.00 20% off $468.52 $1,706.60 $617.35 2026-11-06
74182 HCPCS Hc Mr Abdomen With Contrast 34 34 $2,771.00 $2,216.80 $237.83 $2,549.32 $922.19 2026-11-06
74181 HCPCS Hc Mr Abdomen Without Contrast 34 34 $2,771.00 $2,216.80 $157.38 $2,549.32 $922.19 2026-11-06
74183 HCPCS Hc Mr Abdomen Wo&w Contrast 34 34 $2,771.00 $2,216.80 $237.83 $2,549.32 $922.19 2026-11-06
73220 HCPCS Hc Mr Brachial Plexus Wo&w Con 53 34 $2,771.00 $2,216.80 $237.83 $3,824.44 $1,370.15 2026-11-06
70552 HCPCS Hc Mr Brain With Contrast 34 34 $2,771.00 $2,216.80 $237.83 $2,549.32 $922.19 2026-11-06
70551 HCPCS Hc Mr Brain Wo Contrast 34 34 $2,771.00 $2,216.80 $157.38 $2,549.32 $922.19 2026-11-06
70553 HCPCS Hc Mr Brain Wo&w Contrast 34 34 $3,143.00 $2,514.40 20% off $237.83 $2,891.56 $1,045.99 2026-11-06
71551 HCPCS Hc Mr Chest With Contrast 34 34 $2,771.00 $2,216.80 $237.83 $2,549.32 $922.19 2026-11-06
71550 HCPCS Hc Mr Chest Without Contrast 34 34 $2,771.00 $2,216.80 $157.38 $2,549.32 $922.19 2026-11-06
71552 HCPCS Hc Mr Chest Wo&w Contrast 34 34 $2,771.00 $2,216.80 $237.83 $2,549.32 $922.19 2026-11-06
73722 HCPCS Hc Mr Lower Ext Jnt W Contrast 53 34 $3,214.00 $2,571.20 20% off $237.83 $4,435.32 $1,589.00 2026-11-06
73721 HCPCS Hc Mr Lower Ext Jnt Wo Con 53 34 $2,771.00 $2,216.80 $157.38 $3,823.52 $1,369.82 2026-11-06
73723 HCPCS Hc Mr Lower Ext Jnt Wo&w Con 53 34 $2,771.00 $2,216.80 $237.83 $3,823.52 $1,369.82 2026-11-06
73719 HCPCS Hc Mr Lower Ext Xcl Jnt W Con 53 34 $2,771.00 $2,216.80 $237.83 $3,823.52 $1,369.82 2026-11-06
73718 HCPCS Hc Mr Lower Ext Xcl Jnt Wo Con 53 34 $2,771.00 $2,216.80 $157.38 $3,823.52 $1,369.82 2026-11-06
73720 HCPCS Hc Mr Lower Ext Xcl Jnt Wo&w Con 53 34 $2,771.00 $2,216.80 $237.83 $3,824.44 $1,370.15 2026-11-06
70540 HCPCS Hc Mr Orbit/face/neck Wo Contrast 34 34 $2,771.00 $2,216.80 $157.38 $2,549.32 $922.19 2026-11-06
70542 HCPCS Hc Mr Orbits/face/neck With Con 34 34 $2,771.00 $2,216.80 $237.83 $2,549.32 $922.19 2026-11-06
70543 HCPCS Hc Mr Orbits/face/neckwo&w Con 34 34 $2,771.00 $2,216.80 $237.83 $2,549.32 $922.19 2026-11-06
72196 HCPCS Hc Mr Pelvis With Contrast 34 34 $2,991.00 $2,392.80 $237.83 $2,751.72 $995.40 2026-11-06
72195 HCPCS Hc Mr Pelvis Without Contrast 34 34 $2,771.00 $2,216.80 $157.38 $2,549.32 $922.19 2026-11-06
72197 HCPCS Hc Mr Pelvis Wo&w Contrast 34 34 $3,143.00 $2,514.40 20% off $237.83 $2,891.56 $1,045.99 2026-11-06
72142 HCPCS Hc Mr Spine Cervical W Contrast 34 34 $2,771.00 $2,216.80 $237.83 $2,549.32 $922.19 2026-11-06
72156 HCPCS Hc Mr Spine Cervical Wo&w Cont 34 34 $3,143.00 $2,514.40 20% off $237.83 $2,891.56 $1,045.99 2026-11-06
72141 HCPCS Hc Mr Spine Cervicalwo Contrast 34 34 $2,771.00 $2,216.80 $157.38 $2,549.32 $922.19 2026-11-06
72149 HCPCS Hc Mr Spine Lumbar W Contrast 34 34 $2,771.00 $2,216.80 $237.83 $2,549.32 $922.19 2026-11-06
72148 HCPCS Hc Mr Spine Lumbar Wo Contrast 34 34 $2,771.00 $2,216.80 $157.38 $2,549.32 $922.19 2026-11-06
72158 HCPCS Hc Mr Spine Lumbar Wo&w Contrast 34 34 $3,143.00 $2,514.40 20% off $237.83 $2,891.56 $1,045.99 2026-11-06
72147 HCPCS Hc Mr Spine Thoracic W Contrast 34 34 $2,771.00 $2,216.80 $237.83 $2,549.32 $922.19 2026-11-06
72146 HCPCS Hc Mr Spine Thoracic Wo Contrast 34 34 $2,771.00 $2,216.80 $157.38 $2,549.32 $922.19 2026-11-06
72157 HCPCS Hc Mr Spine Thoracic Wo&w Con 34 34 $3,143.00 $2,514.40 20% off $237.83 $2,891.56 $1,045.99 2026-11-06
70336 HCPCS Hc Mr Temporomandibular Jt Wo Con 34 34 $2,243.00 $1,794.40 $157.38 $2,063.56 $746.47 2026-11-06
73222 HCPCS Hc Mr Upper Ext Jnt W Contrast 53 34 $3,214.00 $2,571.20 20% off $237.83 $4,435.32 $1,589.00 2026-11-06
73223 HCPCS Hc Mr Upper Ext Jnt Wo&w Con 53 34 $2,771.00 $2,216.80 $237.83 $3,823.52 $1,369.82 2026-11-06
73219 HCPCS Hc Mr Upper Ext Xcl Jnt W Con 53 34 $2,243.00 $1,794.40 $237.83 $3,095.80 $1,109.10 2026-11-06
73218 HCPCS Hc Mr Upper Ext Xcl Jnt Wo Con 53 34 $2,243.00 $1,794.40 $157.38 $3,095.80 $1,109.10 2026-11-06
73221 HCPCS Hc Mr Upperext Jnt Wo Con 53 34 $2,243.00 $1,794.40 $157.38 $3,095.80 $1,109.10 2026-11-06
74185 HCPCS Hc MRA Abdomen Without Contrast 53 34 $2,771.00 $2,216.80 $191.44 $2,877.76 $1,030.99 2026-11-06
71555 HCPCS Hc MRA Chest Without & With Con 34 34 $2,771.00 $2,216.80 $191.44 $2,549.32 $922.19 2026-11-06
70545 HCPCS Hc MRA Head With Contrast 34 34 $2,771.00 $2,216.80 $191.44 $2,549.32 $922.19 2026-11-06
70544 HCPCS Hc MRA Head Without Contrast 34 34 $2,771.00 $2,216.80 $191.44 $2,549.32 $922.19 2026-11-06
70546 HCPCS Hc MRA Head Wo&w Contrast 34 34 $2,771.00 $2,216.80 $191.44 $2,549.32 $922.19 2026-11-06
73725 HCPCS Hc MRA Lower Ext Wo&w Contrast 53 34 $2,771.00 $2,216.80 $191.44 $3,823.52 $1,369.82 2026-11-06
70549 HCPCS Hc MRA Neck W0&w Contrast 34 34 $2,771.00 $2,216.80 $191.44 $2,549.32 $922.19 2026-11-06
70548 HCPCS Hc MRA Neck With Contrast 34 34 $2,771.00 $2,216.80 $191.44 $2,549.32 $922.19 2026-11-06
70547 HCPCS Hc MRA Neck Without Contrast 34 34 $2,771.00 $2,216.80 $191.44 $2,549.32 $922.19 2026-11-06
72198 HCPCS Hc MRA Pelvis Without Contrast 34 34 $2,771.00 $2,216.80 $191.44 $2,549.32 $922.19 2026-11-06
72159 HCPCS Hc MRA Spinal Canal Wo&w Contrast 34 34 $2,771.00 $2,216.80 $191.44 $2,549.32 $922.19 2026-11-06
73225 HCPCS Hc MRA Upper Ext Wo&w Con 53 34 $2,771.00 $2,216.80 $191.44 $3,823.52 $1,369.82 2026-11-06
62305 HCPCS Hc Myelogram 2+ Regions Lumbar Inj Same Md 34 34 $3,644.00 $2,915.20 20% off $234.46 $3,352.48 $1,212.72 2026-11-06
62302 HCPCS Hc Myelogram Cervical Via Lumbar Inj Same Md 34 34 $2,429.00 $1,943.20 20% off $234.46 $2,234.68 $808.37 2026-11-06
62304 HCPCS Hc Myelogram Lumbarvia Lumbar Inj Same Md 34 34 $2,429.00 $1,943.20 20% off $234.46 $2,234.68 $808.37 2026-11-06
95911 HCPCS Hc Nerve Conduction 9 - 10 Studies 34 34 $1,599.00 $1,279.20 20% off $241.33 $1,471.08 $532.14 2026-11-06
78278 HCPCS Hc Nm Gastrointestnl Bld Loss Acute 34 34 $1,081.00 $864.80 20% off $345.92 $994.52 $574.84 2026-11-06
78215 HCPCS Hc Nm Liver & Spleen Imaging Static 34 34 $1,068.00 $854.40 20% off $341.76 $982.56 $574.84 2026-11-06
78580 HCPCS Hc Nm Lung Perfusion Img Particulate 34 34 $886.00 $708.80 20% off $283.52 $815.12 $574.84 2026-11-06
78579 HCPCS Hc Nm Lung Ventilation Xe Sgl Proj 34 34 $886.00 $708.80 20% off $283.52 $815.12 $574.84 2026-11-06
78452 HCPCS Hc Nm Myocard Perf Spect Mult Comp 34 34 $3,550.00 $2,840.00 20% off $547.47 $3,266.00 $1,181.44 2026-11-06
78451 HCPCS Hc Nm Myocard Perf Spect Sgl Comp 34 34 $2,365.00 $1,892.00 20% off $547.47 $2,175.80 $787.07 2026-11-06
78582 HCPCS Hc Nm Pulmonary Vent & Perfusion Img 34 34 $2,164.00 $1,731.20 20% off $547.47 $1,990.88 $720.17 2026-11-06
78803 HCPCS Hc Nm Tumor/abscess Loc Spect Sngl Area/day 34 34 $819.00 $655.20 $262.08 $753.48 $563.89 2026-11-06
22513 HCPCS Hc Perq Vertebral Augmentation 34 34 $1,507.00 $1,205.60 20% off $482.24 $2,465.84 $1,130.25 2026-11-06
22514 HCPCS Hc Perq Vertebral Augmentation 34 34 $1,404.00 $1,123.20 $449.28 $2,465.84 $1,053.00 2026-11-06
78815 HCPCS Hc PET CT Skull To Mid-thigh 34 34 $4,488.00 $3,590.40 20% off $721.13 $4,128.96 $1,493.61 2026-11-06
78816 HCPCS Hc PET CT Whole Body 34 34 $4,488.00 $3,590.40 20% off $721.13 $4,128.96 $1,493.61 2026-11-06
36573 HCPCS Hc Picc Line Insert Incl Img Wo Port 34 34 $3,219.00 $2,575.20 20% off $474.03 $2,961.48 $1,071.28 2026-11-06
45300 HCPCS Hc Proctosigmoidoscopy Dx 34 34 $1,348.00 $1,078.40 $431.36 $1,240.16 $575.82 2026-11-06
36902 HCPCS Hc Pta Periph Dialysis Sys Incls Angio Dialysis Circ 34 34 $764.00 $611.20 $244.48 $1,632.32 $573.00 2026-11-06
36905 HCPCS Hc Pta W Thromb Any Meth Periph Dialys Circ Incl Angio Comp 34 34 $1,413.00 $1,130.40 $452.16 $3,022.11 $1,059.75 2026-11-06
43130 HCPCS Hc Removal Of Esophagus Pouch 34 34 $2,756.00 $2,204.80 $881.92 $2,535.52 $2,065.84 2026-11-06
28193 HCPCS Hc Removal Of Foot Foreign Body 34 34 $1,030.00 $824.00 20% off $329.60 $6,945.00 $932.15 2026-11-06
28192 HCPCS Hc Removal Of Foot Foreign Body 53 34 $852.00 $681.60 20% off $272.64 $4,917.00 $766.80 2026-11-06
27372 HCPCS Hc Removal Of Foreign Body 34 34 $8,535.00 $6,828.00 20% off $832.41 $10,969.00 $2,840.45 2026-11-06
11772 HCPCS Hc Remove Pilonidal Cyst Compl 34 34 $1,283.00 $1,026.40 $410.56 $5,622.00 $1,087.45 2026-11-06
11771 HCPCS Hc Remove Pilonidal Cyst Exten 34 34 $1,063.00 $850.40 20% off $340.16 $5,622.00 $962.02 2026-11-06
45915 HCPCS Hc Remove Rectal Obstruction 34 34 $785.00 $628.00 20% off $251.20 $3,671.00 $690.00 2026-11-06
26418 HCPCS Hc Repair Finger Tendon 34 34 $754.00 $603.20 $241.28 $6,945.00 $682.37 2026-11-06
40652 HCPCS Hc Repair Lip 34 34 $770.00 $616.00 20% off $246.40 $5,622.00 $601.99 2026-11-06
36580 HCPCS Hc Repl Non Tunnel Cntrl Cv Cath 34 34 $4,831.00 $3,864.80 $474.03 $4,444.52 $1,607.76 2026-11-06
36581 HCPCS Hc Replace Tunneled Cntrl Cv Cath 34 34 $576.00 $460.80 20% off $184.32 $4,917.00 $521.28 2026-11-06
63663 HCPCS Hc Revise Spine Eltrd Perq Aray 34 34 $1,330.00 $1,064.00 20% off $425.60 $2,300.01 $997.50 2026-11-06
63688 HCPCS Hc Revise/remove Neuroreceiver 34 34 $1,105.00 $884.00 20% off $353.60 $3,671.00 $1,000.02 2026-11-06
45340 HCPCS Hc Sig W/tndsc Balloon Dilation 34 34 $1,631.00 $1,304.80 20% off $521.92 $3,671.00 $575.82 2026-11-06
45331 HCPCS Hc Sigmoidoscopy And Biopsy 34 34 $1,363.00 $1,090.40 $436.16 $3,671.00 $575.82 2026-11-06
45334 HCPCS Hc Sigmoidoscopy For Bleeding 34 34 $1,631.00 $1,304.80 20% off $521.92 $3,671.00 $575.82 2026-11-06
45346 HCPCS Hc Sigmoidoscopy W/ablation 34 34 $1,631.00 $1,304.80 20% off $521.92 $1,500.52 $575.82 2026-11-06
45338 HCPCS Hc Sigmoidoscopy W/tumr Remove 34 34 $1,631.00 $1,304.80 20% off $521.92 $3,671.00 $575.82 2026-11-06
76080 HCPCS Hc Sinus Tract Study S&i 34 34 $1,645.00 $1,316.00 20% off $87.85 $1,513.40 $547.46 2026-11-06
44366 HCPCS Hc Small Bowel Endoscopy 34 34 $5,675.00 $4,540.00 20% off $924.44 $5,221.00 $1,888.64 2026-11-06
44360 HCPCS Hc Small Bowel Endoscopy 34 34 $5,625.00 $4,500.00 20% off $480.68 $5,175.00 $1,872.00 2026-11-06
44382 HCPCS Hc Small Bowel Endoscopy 34 34 $2,439.00 $1,951.20 20% off $548.40 $3,671.00 $811.69 2026-11-06
44380 HCPCS Hc Small Bowel Endoscopy Br/wa 34 34 $2,591.00 $2,072.80 $548.40 $3,671.00 $862.29 2026-11-06
36903 HCPCS Hc Stent/pta Periph Dialysis Sys Incl Angio Dialys Circ 34 34 $953.00 $762.40 20% off $304.96 $5,456.45 $714.75 2026-11-06
36906 HCPCS Hc Stent/pta W Thromb Any Meth Perph Dialys Circ Incl Angio Comp 34 34 $1,528.00 $1,222.40 $488.96 $5,456.45 $1,146.00 2026-11-06
32555 HCPCS Hc Thoracentesis Aspirate Only W Imaging 34 34 $2,807.00 $2,245.60 20% off $468.52 $2,582.44 $934.17 2026-11-06
32554 HCPCS Hc Thoracentesis Wo Imaging 34 34 $1,855.00 $1,484.00 20% off $468.52 $1,706.60 $617.35 2026-11-06
27842 HCPCS Hc Treat Ankle Dislocation 34 34 $827.00 $661.60 20% off $264.64 $3,671.00 $533.42 2026-11-06
23675 HCPCS Hc Treat Dislocation/fracture 34 34 $5,013.00 $4,010.40 20% off $181.79 $4,917.00 $1,668.32 2026-11-06
24605 HCPCS Hc Treat Elbow Dislocation 34 34 $6,704.00 $5,363.20 20% off $508.02 $6,167.68 $2,231.09 2026-11-06
26785 HCPCS Hc Treat Finger Dislocation 34 34 $1,135.00 $908.00 20% off $363.20 $4,917.00 $1,027.17 2026-11-06
28605 HCPCS Hc Treat Foot Dislocation 34 34 $1,169.00 $935.20 $374.08 $3,671.00 $533.42 2026-11-06
27266 HCPCS Hc Treat Hip Dislocation 34 34 $1,384.00 $1,107.20 $442.88 $4,917.00 $533.42 2026-11-06
27252 HCPCS Hc Treat Hip Dislocation 34 34 $919.00 $735.20 $294.08 $4,917.00 $533.42 2026-11-06
27562 HCPCS Hc Treat Kneecap Dislocation 34 34 $945.00 $756.00 20% off $302.40 $3,671.00 $533.42 2026-11-06
26705 HCPCS Hc Treat Knuckle Dislocation 34 34 $664.00 $531.20 $212.48 $4,917.00 $527.23 2026-11-06
23655 HCPCS Hc Treat Shoulder Dislocation 53 34 $845.00 $676.00 20% off $270.40 $3,671.00 $533.42 2026-11-06
25650 HCPCS Hc Treat Wrist Bone Fracture 60 34 $880.00 $704.00 20% off $181.79 $1,214.40 $607.20 2026-11-06
27502 HCPCS Hc Treatment Of Thigh Fracture 34 34 $1,996.00 $1,596.80 20% off $181.79 $4,917.00 $664.27 2026-11-06
27510 HCPCS Hc Treatment Of Thigh Fracture 34 34 $1,721.00 $1,376.80 20% off $181.79 $3,671.00 $572.75 2026-11-06
62328 HCPCS Hc Xr Lumbar Puncture Diag W Imaging 34 34 $2,800.00 $2,240.00 20% off $348.38 $2,576.00 $931.84 2026-11-06
27232 HCPCS Hdh Cl Tx Feml Fx W Manip W Without Sktl Trct 60 34 $2,071.00 $1,656.80 20% off $181.79 $2,858.44 $1,428.99 2026-11-06
52281 HCPCS Hdh Cysto With Calibration Or Dilation 34 34 $2,908.00 $2,326.40 $656.96 $2,675.36 $967.79 2026-11-06
52310 HCPCS Hdh Cysto With Rmvl Stent Or Fb 34 34 $2,908.00 $2,326.40 $656.96 $2,675.36 $967.79 2026-11-06
65855 HCPCS Hdh Eye Argon Laser Trabeculo 26 26 $2,018.00 $1,614.40 $645.76 $1,856.56 $1,432.78 2026-11-06
66761 HCPCS Hdh Eye Laser Iridotomy-bilateral 26 26 $3,129.00 $2,503.20 20% off $1,001.28 $2,878.68 $2,221.59 2026-11-06
66821 HCPCS Hdh Eye Laser Post Capsul Yag Bilat 52 26 $2,764.00 $2,211.20 20% off $707.52 $3,051.64 $1,636.14 2026-11-06
95913 HCPCS Hdh Nerve Conduction 13+ Studies 34 34 $1,599.00 $1,279.20 20% off $241.33 $1,471.08 $532.14 2026-11-06
C1788 HCPCS Hdh Port Power Low Profile Sngl 35 34 $2,080.00 $1,664.00 20% off $123.78 $1,913.60 $685.57 2026-11-06
Q4197 HCPCS Hdh Puraply Xt Per Sq Cm 8 8 — — $678.55 $712.48 $698.91 2026-11-06
65235 HCPCS Hdh Rmvl Fb, Intraoclar; From Anter Cham 60 34 $1,304.00 $1,043.20 $234.80 $1,799.52 $899.76 2026-11-06
59409 HCPCS Hdh Vaginal Delivery Only 34 34 $9,324.00 $7,459.20 20% off $952.95 $8,578.08 $3,103.03 2026-11-06
J7325 HCPCS Hylan G-f 20 16 Mg/2ml Ix Sosy 42 25 $1,643.54 $1,314.83 20% off $247.55 $4,536.17 $1,467.68 2026-11-06
J1576 HCPCS Immune Globulin (human)-ifas 10 Gm/100ml IV Soln 102 17 $6,211.08 $4,968.86 $270.31 $22,856.77 $3,726.65 2026-11-06
J1745 HCPCS Infliximab 100 Mg IV Solr 25 25 $1,710.00 $1,368.00 20% off $558.14 $2,292.32 $1,515.06 2026-11-06
Q5121 HCPCS Infliximab-axxq 100 Mg IV Solr 25 25 $1,800.00 $1,440.00 20% off $587.52 $2,292.32 $1,594.80 2026-11-06
Q5103 HCPCS Infliximab-dyyb 100 Mg IV Solr 25 25 $3,406.62 $2,725.30 $1,111.92 $3,134.09 $2,292.32 2026-11-06
J9228 HCPCS Ipilimumab 50 Mg/10ml IV Soln 42 25 $33,249.00 $26,599.20 20% off $8,786.19 $122,356.10 $29,691.35 2026-11-06
J9217 HCPCS Leuprolide Acetate (3 Month) 22.5 Mg IM Kit 60 26 $23,179.98 $18,543.98 20% off $1,123.45 $42,651.91 $15,132.16 2026-11-06
Q9968 HCPCS Methylene Blue (antidote) 1 % IV Soln 26 26 $750.00 $600.00 20% off $6.58 $690.00 $502.50 2026-11-06
J9280 HCPCS Mitomycin 40 Mg IV Solr 25 25 $3,600.00 $2,880.00 20% off $734.49 $3,312.00 $2,412.00 2026-11-06
J9299 HCPCS Nivolumab 240 Mg/24ml IV Soln 25 25 $29,166.99 $23,333.59 20% off $2,960.98 $26,833.63 $19,541.88 2026-11-06
J2350 HCPCS Ocrelizumab 300 Mg/10ml IV Soln 25 25 $78,171.45 $62,537.16 $8,786.19 $71,917.73 $52,374.87 2026-11-06
J2353 HCPCS Octreotide Acetate 20 Mg IM Kit 42 25 $16,618.68 $13,294.94 20% off $3,007.88 $22,894.39 $13,294.94 2026-11-06
J2357 HCPCS Omalizumab 150 Mg/ml Sc Sosy 25 25 $5,593.53 $4,474.82 20% off $1,771.28 $5,146.05 $3,747.67 2026-11-06
J0585 HCPCS Onabotulinumtoxina 100 Units Ij Solr 25 25 $2,343.60 $1,874.88 $447.08 $2,156.11 $1,570.21 2026-11-06
J9303 HCPCS Panitumumab 100 Mg/5ml IV Soln 42 25 $6,521.94 $5,217.55 20% off $2,128.76 $24,000.74 $5,824.09 2026-11-06
J2507 HCPCS Pegloticase 8 Mg/50ml IV Soln 25 25 $110,674.77 $88,539.82 $4,699.30 $101,820.79 $74,152.10 2026-11-06
J9271 HCPCS Pembrolizumab 100 Mg/4ml IV Soln 25 25 $21,656.45 $17,325.16 20% off $4,699.30 $19,923.93 $14,509.82 2026-11-06
J9306 HCPCS Pertuzumab 420 Mg/14ml IV Soln 25 25 $24,799.30 $19,839.44 20% off $3,007.88 $22,815.36 $16,615.53 2026-11-06
90677 HCPCS Pneumococcal 20-val Conj Vacc 0.5 Ml IM Susy 34 17 $986.40 $789.12 20% off $292.44 $990.70 $746.03 2026-11-06
J7168 HCPCS Prothrombin Complex Conc Human 1000 Units IV Kit 34 17 $6,001.20 $4,800.96 20% off $552.27 $9,485.57 $2,460.97 2026-11-06
90675 HCPCS Rabies Virus Vaccine, Hdc IM Susr 42 25 $1,689.15 $1,351.32 20% off $10.38 $1,554.02 $1,157.80 2026-11-06
Q5115 HCPCS Rituximab-abbs 100 Mg/10ml IV Soln 42 25 $3,043.98 $2,435.18 20% off $993.56 $14,002.31 $3,049.80 2026-11-06
Q5123 HCPCS Rituximab-arrx 100 Mg/10ml IV Soln 34 17 $7,741.44 $6,193.15 20% off $842.27 $11,870.21 $3,292.69 2026-11-06
J2802 HCPCS Romiplostim 125 Mcg Sc Solr 17 17 $4,955.52 $3,964.42 $1,617.48 $4,559.08 $3,667.08 2026-11-06
J9317 HCPCS Sacituzumab Govitecan-hziy 180 Mg IV Solr 17 17 $9,413.16 $7,530.53 $3,072.46 $8,660.11 $6,965.74 2026-11-06
J7328 HCPCS Sodium Hyaluronate (viscosup) 16.8 Mg/2ml Ix Sosy 25 25 $1,396.80 $1,117.44 $123.61 $1,285.06 $935.86 2026-11-06
J7323 HCPCS Sodium Hyaluronate (viscosup) 20 Mg/2ml Ix Sosy 25 25 $1,298.27 $1,038.62 $123.61 $1,194.41 $869.84 2026-11-06
J7329 HCPCS Sodium Hyaluronate (viscosup) 25 Mg/2.5ml Ix Sosy 25 25 $1,623.12 $1,298.50 $247.55 $1,493.27 $1,087.49 2026-11-06
J7318 HCPCS Sodium Hyaluronate 60 Mg/3ml Ix Prsy 25 25 $4,014.00 $3,211.20 20% off $247.55 $3,692.88 $2,689.38 2026-11-06
J1447 HCPCS Tbo-filgrastim 300 Mcg/0.5ml Sc Sosy 42 25 $899.49 $719.59 20% off $247.55 $827.77 $638.82 2026-11-06
J3101 HCPCS Tenecteplase 50 Mg IV Kit (*ami*) 26 26 $30,766.26 $24,613.01 $2,960.98 $28,304.96 $20,613.39 2026-11-06
J3262 HCPCS Tocilizumab 200 Mg/10ml IV Soln 42 25 $4,780.47 $3,824.38 $863.14 $8,796.06 $3,824.38 2026-11-06
Q5117 HCPCS Trastuzumab-anns 150 Mg IV Solr 25 25 $4,901.14 $3,920.91 20% off $1,599.73 $4,509.05 $3,283.76 2026-11-06
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