Price Transparency Hospital negotiated rates

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

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Hospital

DOCTORS' CENTER BAYAMON

Bayamon, PR · CCN 400102 · Rates published

2,142 distinct procedures filed
7 distinct payers
17,774 rate rows
2025-10-20 last MRF observed
Data quality

9,121 of 17,774 rate rows are consumer-grade (51.3%)

8,653 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 8,468
exceeds 10× this hospital's gross charge — excluded from medians 185
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://secure.claraprice.net/price-transparency/MYXK-1698155707958/machine-readable/660265947_doctors-center-hospital---bayamón_standardcharges.json
Found on page https://secure.claraprice.net/price-transparency/dchpr-bayamon
Discovered viaDiscovered by HANK (automated)
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-05-19
Content fingerprint 4a18b7668749a204… · 293,211 bytes · first seen 2026-05-19

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
A9604
HCPCS 		Quadramet (sm-153) 1 $17,260.00 $17,260.00 $17,260.00 nat. median
$11,413
1.5× median
93653
CPT 		Icar Ablt Arrhyt Foc Supravent 2 $4,500.00 $22,012.00 $13,256.00 nat. median
$26,156
0.5× median
93654
CPT 		Icar Ablt Arrhyt Foc Ventri Ec 2 $4,500.00 $22,012.00 $13,256.00 nat. median
$26,704
outlier · 0.5×
23405
CPT 		Chlorhexidine 4% Skin Cleanser (60ml Ud) 1 $6,631.00 $6,631.00 $6,631.00 nat. median
$6,437
1.0× median
25420
CPT 		Colchicine* 0.6 Mg Tab 1 $6,631.00 $6,631.00 $6,631.00 nat. median
$7,171
0.9× median
23585
CPT 		Mesalamine 400mg Cap 1 $6,631.00 $6,631.00 $6,631.00 nat. median
$7,145
0.9× median
28103
CPT 		Nitroglycerin 2% Oint 1 $6,631.00 $6,631.00 $6,631.00 nat. median
$6,849
1.0× median
93650
CPT 		Icar Cath Ablation Atrioven No 2 $4,500.00 $6,922.00 $5,711.00 nat. median
$9,332
0.6× median
49491
CPT 		Sertraline 100 Mg Tab 1 $5,348.00 $5,348.00 $5,348.00 nat. median
$6,186
0.9× median
62380
CPT 		Endoscopic Descompressi Spinal 2 $3,900.00 $6,631.00 $5,265.50 nat. median
$7,673
0.7× median
93624
CPT 		Electrophy Follow Up Study W P 2 $2,400.00 $6,922.00 $4,661.00 nat. median
$7,829
0.6× median
93620
CPT 		Compre Electrophysiolog Arrhyt 2 $2,400.00 $6,922.00 $4,661.00 nat. median
$8,805
0.5× median
A9600
HCPCS 		Metastron 1 $4,157.00 $4,157.00 $4,157.00 nat. median
$4,907
0.8× median
37183
CPT 		Tips Revision 3 $3,500.00 $4,000.00 $3,600.00 nat. median
$7,031
0.5× median
37182
CPT 		Tips 3 $3,500.00 $4,000.00 $3,600.00 nat. median
$7,502
outlier · 0.5×
19499
CPT 		Mibb Device 1 $3,533.00 $3,533.00 $3,533.00 nat. median
$3,721
0.9× median
50590
CPT 		Lithotripsy Extracorporeal Sho 6 $3,000.00 $4,050.00 $3,500.00 nat. median
$4,400
0.8× median
81211
CPT 		Brca1&2 Seq & Com Dup/del 1 $3,340.00 $3,340.00 $3,340.00 nat. median
$1,691
2.0× median
54000
CPT 		Calcitriol 0.25 Mcg Cap 1 $3,231.00 $3,231.00 $3,231.00 nat. median
$3,424
0.9× median
43276
CPT 		Ercp Stent Exchange W/dilate 2 $989.00 $5,282.00 $3,135.50 nat. median
$6,019
0.5× median
93458
CPT 		Left Heart Catherization Retro 1 $3,020.00 $3,020.00 $3,020.00 nat. median
$6,395
outlier · 0.5×
22511
CPT 		Vertebroplasty(lumbosacral) 1 $3,000.00 $3,000.00 $3,000.00 nat. median
$4,208
0.7× median
22510
CPT 		Vertebroplasty(cervicothiracic 1 $3,000.00 $3,000.00 $3,000.00 nat. median
$4,220
0.7× median
31300
CPT 		Laryngotomy(thyrotomy,laryngofissure) 1 $2,984.00 $2,984.00 $2,984.00 nat. median
$3,637
0.8× median
75625
CPT 		Aortography,abd By Serialograp 1 $2,954.00 $2,954.00 $2,954.00 nat. median
$3,180
0.9× median
75885
CPT 		Vein X-ray Liver W/hemodynam 1 $2,954.00 $2,954.00 $2,954.00 nat. median
$3,065
1.0× median
93505
CPT 		Endomycardial Biopsy 1 $2,954.00 $2,954.00 $2,954.00 nat. median
$3,652
0.8× median
49429
CPT 		Removal Peritoneal Venous Shun 1 $2,954.00 $2,954.00 $2,954.00 nat. median
$3,416
0.9× median
58345
CPT 		Fallopian Dilatation 1 $2,898.00 $2,898.00 $2,898.00 nat. median
$3,409
0.9× median
57400
CPT 		Glucose 15 Gm/oz Gel 1 $2,898.00 $2,898.00 $2,898.00 nat. median
$3,282
0.9× median
37220
CPT 		Pta Illiac Artery Md 4 $1,200.00 $5,297.00 $2,750.00 nat. median
$7,180
outlier · 0.4×
75842
CPT 		Vein X-ray Adrenal Glands 2 $188.00 $5,093.00 $2,640.50 nat. median
$3,845
0.7× median
75605
CPT 		Contrast Exam Thoracic Aorta 2 $181.00 $5,093.00 $2,637.00 nat. median
$4,985
0.5× median
75705
CPT 		Artery X-rays Spine 2 $177.00 $5,093.00 $2,635.00 nat. median
$5,049
0.5× median
21501
CPT 		Drain Soft Tissues Neck/thorax 1 $2,634.00 $2,634.00 $2,634.00 nat. median
$2,993
0.9× median
75736
CPT 		Artery X-rays Pelvis 2 $160.00 $5,093.00 $2,626.50 nat. median
$4,936
0.5× median
75893
CPT 		Venous Sampling By Catheter 2 $150.00 $5,093.00 $2,621.50 nat. median
$4,948
0.5× median
46615
CPT 		Anoscopy W Ablation Tumor Lesi 1 $2,602.00 $2,602.00 $2,602.00 nat. median
$2,778
0.9× median
93640
CPT 		Ephys Eval Cvdfb Lds Init Impl 1 $2,400.00 $2,400.00 $2,400.00 nat. median
$1,799
1.3× median
50433
CPT 		Plcmt Nephroureteral Cath New 2 $1,200.00 $3,231.00 $2,215.50 nat. median
$3,812
0.6× median
36473
CPT 		Endovenous Mechanochemical 1st 2 $1,200.00 $2,954.00 $2,077.00 nat. median
$3,470
0.6× median
37766
CPT 		Stab Phlebectomy Var Vein 21 + 2 $1,200.00 $2,954.00 $2,077.00 nat. median
$3,908
0.5× median
37188
CPT 		Venous Mech Tromb Repeat Sub D 2 $1,200.00 $2,954.00 $2,077.00 nat. median
$4,098
0.5× median
37765
CPT 		Stab Phlebectomy Var Vei 10-20 2 $1,200.00 $2,954.00 $2,077.00 nat. median
$3,574
0.6× median
93454
CPT 		Cath Placement Coronary Art 5 $1,680.00 $3,020.00 $2,070.00 nat. median
$5,709
outlier · 0.4×
93453
CPT 		Comb Rt & Lf Heart Cath & Ventri 5 $1,680.00 $3,020.00 $2,070.00 nat. median
$5,744
outlier · 0.4×
93451
CPT 		Right Heart Catherization 5 $1,680.00 $3,020.00 $2,070.00 nat. median
$4,834
outlier · 0.4×
93452
CPT 		Insertion Of Catheter Into Left Heart For Diagnosis 6 $1,680.00 $3,020.00 $2,035.00 nat. median
$5,130
outlier · 0.4×
93531
CPT 		Comb Rt Heart Cath Retrogr Lt 4 $1,680.00 $2,226.00 $2,035.00 nat. median
$4,683
outlier · 0.4×
93530
CPT 		Right Heart Cath Congenital Ca 4 $1,680.00 $2,226.00 $2,035.00 nat. median
$3,854
0.5× median

Other procedures at this hospital

Browse this hospital's 2,142 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
             
72156 CPT MRI Neck Spine Without & With Contrast 7 7 $425.00 $425.00 $356.00 $730.00 $650.00 2025-10-20
72157 CPT MRI Chest Spine Without & With Contrast 7 7 $425.00 $425.00 $356.00 $730.00 $650.00 2025-10-20
73221 CPT MRI Joint Upr Extrem Without Contrast 7 7 $400.00 $400.00 $227.00 $650.00 $650.00 2025-10-20
70552 CPT MRI Brain Stem With Contrast 7 7 $425.00 $425.00 $356.00 $730.00 $650.00 2025-10-20
70540 CPT MRI Orbit/face/neck Without Contrast 7 7 $400.00 $400.00 $227.00 $650.00 $650.00 2025-10-20
47399 CPT Liver Ablation 1 1 $300.00 $300.00 $652.00 $652.00 $652.00 2025-10-20
19287 CPT Perc Device Breast 1st Mr Guid 1 1 $225.00 $225.00 $652.00 $652.00 $652.00 2025-10-20
10009 CPT Fine Needle Aspiration CT 1st 1 1 $150.00 $150.00 $652.00 $652.00 $652.00 2025-10-20
11421 CPT Lesion Diameter 0 6 To 1 0 Cm 1 1 $75.00 $75.00 $652.00 $652.00 $652.00 2025-10-20
19285 CPT Perc Device 1st Ultraso 1 1 $225.00 $225.00 $652.00 $652.00 $652.00 2025-10-20
19283 CPT Perc Device Breast 1st Stereot 1 1 $225.00 $225.00 $652.00 $652.00 $652.00 2025-10-20
11402 CPT Lesion Diameter 1 1 To 2 0 Cm 1 1 $75.00 $75.00 $652.00 $652.00 $652.00 2025-10-20
10035 CPT Wire Localization Soft Tissue 1 1 $300.00 $300.00 $652.00 $652.00 $652.00 2025-10-20
35226 CPT Repair Blood Direct;lower Extr 1 1 $300.00 $300.00 $652.00 $652.00 $652.00 2025-10-20
78832 CPT Nuclear Localization/abscess 3 3 $263.00 $263.00 $140.00 $1,450.00 $653.00 2025-10-20
81213 CPT Brca1&2 Uncom Dup/del Var 1 1 $1,744.00 $1,744.00 $656.00 $656.00 $656.00 2025-10-20
10030 CPT Drainage By Catheter Soft Tiss 4 4 $150.00 $150.00 $630.00 $700.00 $658.50 2025-10-20
36557 CPT Tunneled <5 No Port,no Pump 2 2 $125.00 $125.00 $120.00 $1,200.00 $660.00 2025-10-20
47490 CPT Perc. Cholecystostomy 5 5 $300.00 $300.00 $630.00 $970.00 $665.00 2025-10-20
33016 CPT Pericardiocentesis 3 3 $300.00 $300.00 $630.00 $1,484.00 $665.00 2025-10-20
32557 CPT Pleural Drainage Perc W Imagin 3 3 $300.00 $300.00 $630.00 $1,484.00 $665.00 2025-10-20
32554 CPT Therapeutic Thoracentesis 5 5 $100.00 $100.00 $582.00 $700.00 $665.00 2025-10-20
49407 CPT Image Gui Cath Peri/ret Transv 3 3 $400.00 $400.00 $630.00 $1,503.00 $665.00 2025-10-20
49406 CPT Image Gui Cath Peri/ret Perc 5 5 $300.00 $300.00 $630.00 $1,503.00 $700.00 2025-10-20
49405 CPT Image Guided Collect Drain Cat 5 5 $300.00 $300.00 $630.00 $1,503.00 $700.00 2025-10-20
49020 CPT Abcess Drain Of Peritoneal 3 3 $300.00 $300.00 $650.00 $1,075.00 $700.00 2025-10-20
62305 CPT Myelogram,two Or More Regions 1 1 $300.00 $300.00 $742.00 $742.00 $742.00 2025-10-20
62303 CPT Thoracic Myelogram, Via Lumbar 1 1 $300.00 $300.00 $742.00 $742.00 $742.00 2025-10-20
62302 CPT Cervical Myelogram, Via Lumbar 1 1 $300.00 $300.00 $742.00 $742.00 $742.00 2025-10-20
37195 CPT Thrombolysis Cerebral,intraven 2 2 $400.00 $400.00 $314.00 $1,200.00 $757.00 2025-10-20
81321 CPT Pten Gene Full Sequence 1 1 $1,798.00 $1,798.00 $760.00 $760.00 $760.00 2025-10-20
75822 CPT Vein X-ray Arms/legs 2 2 $200.00 $200.00 $50.00 $1,484.00 $767.00 2025-10-20
81298 CPT Msh6 Gene Full Seq 3 3 $861.00 $861.00 $564.00 $1,508.00 $780.00 2025-10-20
36471 CPT Inj Sclerosant Sol Multip Vein 2 2 $300.00 $300.00 $370.00 $1,200.00 $785.00 2025-10-20
36470 CPT Inj Sclerosant Sol Single Vein 2 2 $300.00 $300.00 $370.00 $1,200.00 $785.00 2025-10-20
36468 CPT Inj Sclerosant Spider Vein 2 2 $300.00 $300.00 $370.00 $1,200.00 $785.00 2025-10-20
75803 CPT Lymph Vessel X-ray Arms/legs 2 2 $450.00 $450.00 $92.00 $1,484.00 $788.00 2025-10-20
81292 CPT Mlh1 Gene Full Seq 3 3 $1,934.00 $1,934.00 $578.00 $1,360.00 $800.00 2025-10-20
75827 CPT Vein X-ray Chest 6 6 $606.00 $606.00 $320.00 $1,484.00 $809.50 2025-10-20
75825 CPT Vein X-ray Trunk 6 6 $606.00 $606.00 $320.00 $2,954.00 $809.50 2025-10-20
44500 CPT Introd Long Gastroinstest Tube 1 1 $300.00 $300.00 $840.00 $840.00 $840.00 2025-10-20
49460 CPT Mechanical Removal Obstructed 1 1 $600.00 $600.00 $840.00 $840.00 $840.00 2025-10-20
49452 CPT Replacem Gj-tube Percutaneous 1 1 $600.00 $600.00 $840.00 $840.00 $840.00 2025-10-20
49451 CPT Replac Distodged J-tube 1 1 $600.00 $600.00 $840.00 $840.00 $840.00 2025-10-20
49450 CPT Replac Gastro/cecos Tube W/flu 1 1 $600.00 $600.00 $840.00 $840.00 $840.00 2025-10-20
49082 CPT Abdominal Paracentesis (Diagnostic/therapeutic) 1 1 $150.00 $150.00 $840.00 $840.00 $840.00 2025-10-20
62322 CPT Injection(s) Of Therapeutic Substance 1 1 $300.00 $300.00 $845.00 $845.00 $845.00 2025-10-20
64493 CPT Facet Inj Lumb/sac 1st W/img 1 1 $300.00 $300.00 $845.00 $845.00 $845.00 2025-10-20
64510 CPT Stellate Ganglion Block (Cervi 1 1 $300.00 $300.00 $845.00 $845.00 $845.00 2025-10-20
64490 CPT Facet Inj Cerv/thor 1w/imaging 1 1 $300.00 $300.00 $845.00 $845.00 $845.00 2025-10-20
62282 CPT Neurolytic Inj/inf Single Epid 1 1 $400.00 $400.00 $845.00 $845.00 $845.00 2025-10-20
62327 CPT Inj.indewelling Cath,lumbw/ima 1 1 $300.00 $300.00 $845.00 $845.00 $845.00 2025-10-20
62324 CPT Inj Indewelling Cath,cervw/o I 1 1 $300.00 $300.00 $845.00 $845.00 $845.00 2025-10-20
62325 CPT Inj Indewelling Cath,cerv W/i 1 1 $300.00 $300.00 $845.00 $845.00 $845.00 2025-10-20
64479 CPT Nerve Root Blk/trans C/t W/img 1 1 $300.00 $300.00 $845.00 $845.00 $845.00 2025-10-20
64421 CPT Intercostal Nerves Block Multi 1 1 $300.00 $300.00 $845.00 $845.00 $845.00 2025-10-20
62281 CPT Neurolytic Inj/cerv Or Thor 1 1 $400.00 $400.00 $845.00 $845.00 $845.00 2025-10-20
64530 CPT Celiac Nerve Block 1 1 $300.00 $300.00 $845.00 $845.00 $845.00 2025-10-20
62280 CPT Neurolytic Inj/inf Subarachnoi 1 1 $400.00 $400.00 $845.00 $845.00 $845.00 2025-10-20
62326 CPT Inj Indewelling Cath,lumbw/oim 1 1 $300.00 $300.00 $845.00 $845.00 $845.00 2025-10-20
45331 CPT Sigmoidoscopy W Biopsy Sin/mul 1 1 $700.00 $700.00 $847.00 $847.00 $847.00 2025-10-20
78491 CPT Heart Image (Pet) Single 3 3 $800.00 $800.00 $867.00 $1,450.00 $879.00 2025-10-20
36246 CPT Initial Second 4 4 $188.00 $188.00 $725.00 $1,080.00 $883.00 2025-10-20
36002 CPT Injection Procedures Percutane 2 2 $300.00 $300.00 $582.00 $1,200.00 $891.00 2025-10-20
81317 CPT Pms2 Gene Full Seq Analysis 4 4 $2,338.00 $2,338.00 $707.00 $1,199.00 $902.50 2025-10-20
81295 CPT Msh2 Gene Full Seq 3 3 $454.00 $454.00 $665.00 $1,244.00 $920.00 2025-10-20
49423 CPT Change Abscess Drain(injection 2 2 $300.00 $300.00 $80.00 $1,764.00 $922.00 2025-10-20
43270 CPT Egd Lesion Ablation 2 2 $700.00 $700.00 $90.00 $1,764.00 $927.00 2025-10-20
43254 CPT Egd W Endo Mucosal Resection 2 2 $700.00 $700.00 $119.00 $1,764.00 $941.50 2025-10-20
50693 CPT Plcmt Ureteral Stent Exist Rep 2 2 $300.00 $300.00 $700.00 $1,200.00 $950.00 2025-10-20
80418 CPT Pituitary Evaluation Panel 5 5 $600.00 $600.00 $55.00 $1,375.00 $950.00 2025-10-20
51101 CPT Aspiration Bladder By Intracat 1 1 $300.00 $300.00 $969.00 $969.00 $969.00 2025-10-20
78459 CPT Heart Muscle Imaging (Pet) 3 3 $1,000.00 $1,000.00 $275.00 $1,316.00 $969.00 2025-10-20
74485 CPT X-ray Guide Gu Dilation 2 2 $600.00 $600.00 $65.00 $1,888.00 $976.50 2025-10-20
A9596 HCPCS Gallium 68 Psma 11 (Illuccix) 1 1 $5,000.00 $5,000.00 $992.00 $992.00 $992.00 2025-10-20
32551 CPT Abscess Drainage,pleural 2 2 $300.00 $300.00 $500.00 $1,484.00 $992.00 2025-10-20
64483 CPT Injection(s) Of Anesthetic Into Lower Spine Using Imaging Guidance 2 2 $300.00 $300.00 $845.00 $1,140.00 $992.50 2025-10-20
38221 CPT Diagnostic Bone Marrow; Biopsy 2 2 $300.00 $300.00 $500.00 $1,503.00 $1,001.50 2025-10-20
81401 CPT Mantel Cell Lymphoma Bcl-1/jh 1 1 $1,155.00 $1,155.00 $1,012.00 $1,012.00 $1,012.00 2025-10-20
47537 CPT Removal Biliary Drainage Cath 3 3 $300.00 $300.00 $840.00 $1,200.00 $1,080.00 2025-10-20
50431 CPT Inj Antegrade Nepho/ureter Exi 3 3 $400.00 $400.00 $633.00 $1,140.00 $1,080.00 2025-10-20
36253 CPT Renal Superlective Unilateral 1 1 $300.00 $300.00 $1,080.00 $1,080.00 $1,080.00 2025-10-20
36013 CPT Introduction Of Catheter 3 3 $300.00 $300.00 $131.00 $1,215.00 $1,080.00 2025-10-20
36012 CPT Second Order Branch 3 3 $300.00 $300.00 $171.00 $1,219.00 $1,080.00 2025-10-20
50430 CPT Inj Proc Nephros/uretero New A 3 3 $300.00 $300.00 $633.00 $1,140.00 $1,080.00 2025-10-20
49060 CPT Drainage Retroperitoneal Absce 3 3 $300.00 $300.00 $700.00 $1,105.00 $1,090.00 2025-10-20
45386 CPT Colonoscopy W Transendoscopic 1 1 $500.00 $500.00 $1,094.00 $1,094.00 $1,094.00 2025-10-20
45384 CPT Colonoscopy W Removal Of Tumor 1 1 $500.00 $500.00 $1,094.00 $1,094.00 $1,094.00 2025-10-20
49442 CPT Ins Cecostomy Other Clonic Tub 1 1 $600.00 $600.00 $1,094.00 $1,094.00 $1,094.00 2025-10-20
36299 CPT Juglar Vein 2 2 $300.00 $300.00 $1,080.00 $1,140.00 $1,110.00 2025-10-20
47541 CPT Plcmt Access Biliary Perc New 3 3 $300.00 $300.00 $1,080.00 $1,200.00 $1,140.00 2025-10-20
47540 CPT Plcmt Bile Duct Stent New W Dr 2 2 $300.00 $300.00 $1,080.00 $1,200.00 $1,140.00 2025-10-20
47539 CPT Plcmt Bile Duct Stent New Without 2 2 $300.00 $300.00 $1,080.00 $1,200.00 $1,140.00 2025-10-20
47536 CPT Exchange Biliary Drainage Cath 2 2 $300.00 $300.00 $1,080.00 $1,200.00 $1,140.00 2025-10-20
47535 CPT Conversion Ext Bil Draing Cath 2 2 $300.00 $300.00 $1,080.00 $1,200.00 $1,140.00 2025-10-20
47532 CPT Injection Cholangiogram New Ac 2 2 $300.00 $300.00 $1,080.00 $1,200.00 $1,140.00 2025-10-20
47531 CPT Inj Cholangiogram Existi Acces 3 3 $300.00 $300.00 $1,080.00 $1,200.00 $1,140.00 2025-10-20
47533 CPT Placemt Biliary Drainage Cath 2 2 $300.00 $300.00 $1,080.00 $1,200.00 $1,140.00 2025-10-20
36216 CPT Initial Second 3 3 $300.00 $300.00 $1,080.00 $1,200.00 $1,140.00 2025-10-20
37253 CPT Intravasc US Add Noncoronary V 3 3 $300.00 $300.00 $1,080.00 $2,000.00 $1,140.00 2025-10-20
37252 CPT Intravasc US Initial Noncorona 3 3 $300.00 $300.00 $1,080.00 $2,000.00 $1,140.00 2025-10-20
36014 CPT Catheter Placement 4 4 $300.00 $300.00 $149.00 $1,322.00 $1,148.50 2025-10-20
43263 CPT Ercp W P/measure Of Sphincter 6 6 $3,200.00 $3,200.00 $925.00 $1,764.00 $1,150.00 2025-10-20
36217 CPT Initial Third 4 4 $300.00 $300.00 $234.00 $1,305.00 $1,153.00 2025-10-20
36247 CPT Initial Third 4 4 $300.00 $300.00 $124.00 $1,444.00 $1,154.00 2025-10-20
36005 CPT Injection Procedure For Extrem 5 5 $250.00 $250.00 $1,080.00 $1,245.00 $1,195.00 2025-10-20
36556 CPT Non Tunneled (5+older) 3 3 $125.00 $125.00 $81.00 $1,222.00 $1,200.00 2025-10-20
36474 CPT Endovenous Mechanochemical Add 1 1 $300.00 $300.00 $1,200.00 $1,200.00 $1,200.00 2025-10-20
36558 CPT Tunneled(5+older)noport,pum Md 3 3 $150.00 $150.00 $90.00 $1,255.00 $1,200.00 2025-10-20
43274 CPT Ercp Ins Nasobiliar/pancrea 3 3 $3,200.00 $3,200.00 $989.00 $5,282.00 $1,200.00 2025-10-20
36901 CPT Intro Cath Dialysis Circuit 3 3 $300.00 $300.00 $1,200.00 $1,484.00 $1,200.00 2025-10-20
36254 CPT Renal Superlective Bilateral 5 5 $300.00 $300.00 $1,080.00 $2,954.00 $1,200.00 2025-10-20
43261 CPT Ercp W Biopsy, Sing/mult 6 6 $3,200.00 $3,200.00 $989.00 $3,549.00 $1,200.00 2025-10-20
36252 CPT Renal Selec,bil,angiogram Incl 3 3 $300.00 $300.00 $1,080.00 $2,954.00 $1,200.00 2025-10-20
36251 CPT Renal Selec,uni,angiogram Incl 4 4 $300.00 $300.00 $1,080.00 $2,954.00 $1,200.00 2025-10-20
36560 CPT Tunneled Cath.w/port(child<5) 2 2 $150.00 $150.00 $1,200.00 $1,200.00 $1,200.00 2025-10-20
37234 CPT Transluminal Stent Placement 1 1 $300.00 $300.00 $1,200.00 $1,200.00 $1,200.00 2025-10-20
37232 CPT Revascularization, Endovascul 1 1 $300.00 $300.00 $1,200.00 $1,200.00 $1,200.00 2025-10-20
37230 CPT Tib/peroneal Vasc W Trans Sten 1 1 $250.00 $250.00 $1,200.00 $1,200.00 $1,200.00 2025-10-20
37228 CPT Ta, Tibioperoneal Vessel 1 1 $300.00 $300.00 $1,200.00 $1,200.00 $1,200.00 2025-10-20
37217 CPT Stent,open Ipsilateral Cervic 1 1 $250.00 $250.00 $1,200.00 $1,200.00 $1,200.00 2025-10-20
37216 CPT Intravasc Stent Without Dis Emboli 1 1 $400.00 $400.00 $1,200.00 $1,200.00 $1,200.00 2025-10-20
49424 CPT Contrast Inj Asses Abscess Cys 2 2 $300.00 $300.00 $1,200.00 $1,200.00 $1,200.00 2025-10-20
37193 CPT Inc Filter Retriveral (Removal 3 3 $400.00 $400.00 $1,200.00 $2,954.00 $1,200.00 2025-10-20
37192 CPT Inc Filter Respositioning 3 3 $400.00 $400.00 $1,200.00 $2,954.00 $1,200.00 2025-10-20
37187 CPT Venous Mech Tromb-day 1 1 1 $300.00 $300.00 $1,200.00 $1,200.00 $1,200.00 2025-10-20
37186 CPT Secondary Mech Thromb Suction 1 1 $300.00 $300.00 $1,200.00 $1,200.00 $1,200.00 2025-10-20
37185 CPT Primary Arterial Tromb 2nd Sub 1 1 $300.00 $300.00 $1,200.00 $1,200.00 $1,200.00 2025-10-20
36907 CPT Angioplasty Central Dialysis S 2 2 $300.00 $300.00 $1,200.00 $1,200.00 $1,200.00 2025-10-20
36906 CPT Thrombect/thrombol W/ang & Ste 2 2 $300.00 $300.00 $1,200.00 $1,200.00 $1,200.00 2025-10-20
36905 CPT Thrombectomy/thromboly W/angio 2 2 $300.00 $300.00 $1,200.00 $1,200.00 $1,200.00 2025-10-20
36904 CPT Mech Thrombectomy Or Thromboly 2 2 $300.00 $300.00 $1,200.00 $1,200.00 $1,200.00 2025-10-20
36903 CPT Cath Dialysis Cir W/angio Sten 2 2 $300.00 $300.00 $1,200.00 $1,200.00 $1,200.00 2025-10-20
36902 CPT Cath Dialysis Circuit W/angiop 2 2 $300.00 $300.00 $1,200.00 $1,200.00 $1,200.00 2025-10-20
50695 CPT Plcmt Ure Stent New Acc W Sep 1 1 $300.00 $300.00 $1,200.00 $1,200.00 $1,200.00 2025-10-20
36595 CPT Cva Maintenance Fibria Strippi 3 3 $300.00 $300.00 $1,200.00 $2,954.00 $1,200.00 2025-10-20
36565 CPT 2 Tunneled Cath 2 Access 3 3 $300.00 $300.00 $1,200.00 $2,954.00 $1,200.00 2025-10-20
36590 CPT Removal Tunneled Central Venou 3 3 $150.00 $150.00 $1,200.00 $1,484.00 $1,200.00 2025-10-20
36563 CPT Tunneled Cath W/pump 2 2 $300.00 $300.00 $1,200.00 $1,200.00 $1,200.00 2025-10-20
49418 CPT Ins Periton Tunneled Cath W/im 1 1 $300.00 $300.00 $1,200.00 $1,200.00 $1,200.00 2025-10-20
36578 CPT Replace Cath Central Venous Ac 3 3 $400.00 $400.00 $1,200.00 $2,954.00 $1,200.00 2025-10-20
36575 CPT Repair Of Tunneled 3 3 $300.00 $300.00 $582.00 $1,200.00 $1,200.00 2025-10-20
36570 CPT Inserted Central Venous(sqport 2 2 $250.00 $250.00 $1,200.00 $1,200.00 $1,200.00 2025-10-20
36568 CPT Non-tunneled Picc(child<5) 3 3 $200.00 $200.00 $1,200.00 $1,484.00 $1,200.00 2025-10-20
36566 CPT 2 Tunneled Cath 2access Sites 2 2 $300.00 $300.00 $1,200.00 $1,200.00 $1,200.00 2025-10-20
36248 CPT Aditional Order Abdominal 4 4 $300.00 $300.00 $1,080.00 $1,290.00 $1,201.00 2025-10-20
36160 CPT Introd Of Niddle Or Intracathe 3 3 $300.00 $300.00 $1,140.00 $1,299.00 $1,216.00 2025-10-20
78492 CPT Heart Image (Pet) Multiple 2 2 $400.00 $400.00 $986.00 $1,450.00 $1,218.00 2025-10-20
36015 CPT Catheter Placement 3 3 $300.00 $300.00 $1,080.00 $1,371.00 $1,219.00 2025-10-20
36010 CPT Introd Cath Sup/inf Vena Cava 4 4 $300.00 $300.00 $1,080.00 $1,295.00 $1,221.50 2025-10-20
36581 CPT Tunneled,no Port,no Pump 4 4 $188.00 $188.00 $1,140.00 $1,370.00 $1,225.00 2025-10-20
36514 CPT Uso Terapeutic Plasmaferesis 5 5 $2,000.00 $2,000.00 $1,200.00 $1,422.00 $1,250.00 2025-10-20
36561 CPT Tunneled Port 5+older Md 4 4 $150.00 $150.00 $1,140.00 $1,380.00 $1,252.00 2025-10-20
36215 CPT Catheter Placement 4 4 $300.00 $300.00 $1,080.00 $1,390.00 $1,264.50 2025-10-20
43260 CPT Ercp 6 6 $3,200.00 $3,200.00 $1,100.00 $3,549.00 $1,268.00 2025-10-20
36569 CPT Non Tunneled Picc(5+older) 5 5 $200.00 $200.00 $1,140.00 $1,484.00 $1,281.00 2025-10-20
49411 CPT Place Ins Mark Perq Abd/pel Re 1 1 $338.00 $338.00 $1,284.00 $1,284.00 $1,284.00 2025-10-20
50387 CPT Removal/replace Ext Nephrouret 2 2 $400.00 $400.00 $700.00 $1,888.00 $1,294.00 2025-10-20
47511 CPT Intro Percu Biliary Drai Ca Md 2 2 $300.00 $300.00 $1,200.00 $1,542.00 $1,371.00 2025-10-20
43264 CPT Ercp Calculus/calc Removal 6 6 $3,200.00 $3,200.00 $1,100.00 $3,549.00 $1,373.00 2025-10-20
43265 CPT Ercp Calculus/calc Destruct 6 6 $3,200.00 $3,200.00 $1,100.00 $5,282.00 $1,373.00 2025-10-20
43275 CPT Ercp Remove Forgn Body Duct 2 2 $3,200.00 $3,200.00 $989.00 $1,764.00 $1,376.50 2025-10-20
47525 CPT Change Of Biliary Drain Ca Md 1 1 $300.00 $300.00 $1,380.00 $1,380.00 $1,380.00 2025-10-20
78811 CPT PET Image Ltd Area 6 6 $750.00 $750.00 $1,000.00 $1,750.00 $1,444.00 2025-10-20
50694 CPT Plcmt Ure Stent New Acc Without Se 2 2 $300.00 $300.00 $1,200.00 $1,700.00 $1,450.00 2025-10-20
43262 CPT Ercp Spincterotomy/papillotomy 6 6 $3,200.00 $3,200.00 $1,100.00 $3,549.00 $1,458.00 2025-10-20
78813 CPT PET Image Full Body 6 6 $750.00 $750.00 $1,000.00 $1,750.00 $1,469.00 2025-10-20
78812 CPT PET Image Skull-thigh 6 6 $750.00 $750.00 $1,000.00 $1,750.00 $1,469.00 2025-10-20
36580 CPT Venous Access Non Tunneled 1 1 $188.00 $188.00 $1,484.00 $1,484.00 $1,484.00 2025-10-20
36596 CPT Cva Maintenance Through Lumen 1 1 $300.00 $300.00 $1,484.00 $1,484.00 $1,484.00 2025-10-20
26160 CPT Excision Of Lesion Of Tendon 1 1 $150.00 $150.00 $1,490.00 $1,490.00 $1,490.00 2025-10-20
22505 CPT Saline Nasal Drops (Baby Ayr) 1 1 $2.00 $2.00 $1,490.00 $1,490.00 $1,490.00 2025-10-20
62269 CPT Biopsies Spinal Cord Md 1 1 $400.00 $400.00 $1,503.00 $1,503.00 $1,503.00 2025-10-20
19281 CPT Perc Device Breast 1st Imag 1 1 $225.00 $225.00 $1,503.00 $1,503.00 $1,503.00 2025-10-20
38220 CPT Dx Bone Marrow Aspirations 1 1 $300.00 $300.00 $1,503.00 $1,503.00 $1,503.00 2025-10-20
19085 CPT Bx 1st Lesion Magnetic Resonan 1 1 $500.00 $500.00 $1,503.00 $1,503.00 $1,503.00 2025-10-20
19083 CPT Bx 1st Lesion Ultrasound Guid 1 1 $500.00 $500.00 $1,503.00 $1,503.00 $1,503.00 2025-10-20
21550 CPT Biopsy Soft Tissue Neck/thorax 1 1 $500.00 $500.00 $1,503.00 $1,503.00 $1,503.00 2025-10-20
19081 CPT Bx 1st Lesion Stereotac Guidan 1 1 $500.00 $500.00 $1,503.00 $1,503.00 $1,503.00 2025-10-20
75741 CPT Artery X-rays Lung 2 2 $714.00 $714.00 $58.00 $2,954.00 $1,506.00 2025-10-20
75805 CPT Lymph Vessel X-ray Trunk 2 2 $475.00 $475.00 $93.00 $2,954.00 $1,523.50 2025-10-20
75807 CPT Lymph Vessel X-ray Trunk 2 2 $525.00 $525.00 $100.00 $2,954.00 $1,527.00 2025-10-20
50435 CPT Exchange Nephrostomy Cath Perc 2 2 $400.00 $400.00 $1,200.00 $1,888.00 $1,544.00 2025-10-20
50384 CPT Removal Ureteral Stent Percuta 2 2 $400.00 $400.00 $1,200.00 $1,888.00 $1,544.00 2025-10-20
50434 CPT Convert Nephrostomy Catheter 2 2 $400.00 $400.00 $1,200.00 $1,888.00 $1,544.00 2025-10-20
75756 CPT Artery X-rays Chest 2 2 $688.00 $688.00 $140.00 $2,954.00 $1,547.00 2025-10-20
75746 CPT Artery X-rays Lung 2 2 $688.00 $688.00 $160.00 $2,954.00 $1,557.00 2025-10-20
75831 CPT Vein X-ray Kidney 2 2 $850.00 $850.00 $160.00 $2,954.00 $1,557.00 2025-10-20
75810 CPT Vein X-ray Spleen/liver 2 2 $850.00 $850.00 $160.00 $2,954.00 $1,557.00 2025-10-20
75733 CPT Artery X-rays Adrenals 2 2 $714.00 $714.00 $163.00 $2,954.00 $1,558.50 2025-10-20
75743 CPT Artery X-rays Lungs 2 2 $768.00 $768.00 $169.00 $2,954.00 $1,561.50 2025-10-20
75716 CPT Angiography,extremity Bilatera 2 2 $750.00 $750.00 $175.00 $2,954.00 $1,564.50 2025-10-20
75731 CPT Artery X-rays Adrenal Gland 2 2 $688.00 $688.00 $180.00 $2,954.00 $1,567.00 2025-10-20
75889 CPT Vein X-ray Liver W/hemodynam 2 2 $850.00 $850.00 $180.00 $2,954.00 $1,567.00 2025-10-20
75887 CPT Vein X-ray Liver Without Hemodyn 2 2 $900.00 $900.00 $185.00 $2,954.00 $1,569.50 2025-10-20
75833 CPT Vein X-ray Kidneys 2 2 $900.00 $900.00 $188.00 $2,954.00 $1,571.00 2025-10-20
75630 CPT X-ray Aorta Leg Arteries 2 2 $738.00 $738.00 $201.00 $2,954.00 $1,577.50 2025-10-20
75840 CPT Vein X-ray Adrenal Gland 2 2 $850.00 $850.00 $212.00 $2,954.00 $1,583.00 2025-10-20
36476 CPT Endovenous Ablat The Subs Vein 2 2 $300.00 $300.00 $1,200.00 $2,000.00 $1,600.00 2025-10-20
36479 CPT Endovenous Ablat Laser Sub Vei 2 2 $300.00 $300.00 $1,200.00 $2,000.00 $1,600.00 2025-10-20
37243 CPT Tumor Organ Ischemia/inf Embol 2 2 $300.00 $300.00 $1,200.00 $2,000.00 $1,600.00 2025-10-20
37241 CPT Venous Embolization Hemorrhage 2 2 $300.00 $300.00 $1,200.00 $2,000.00 $1,600.00 2025-10-20
37223 CPT Stent Placement W/pta Within 2 2 $250.00 $250.00 $1,200.00 $2,000.00 $1,600.00 2025-10-20
37222 CPT Pta Each Add'i Ipsilateral Ili 2 2 $250.00 $250.00 $1,200.00 $2,000.00 $1,600.00 2025-10-20
37221 CPT Stent Placement W/pta Pef Uni 2 2 $250.00 $250.00 $1,200.00 $2,000.00 $1,600.00 2025-10-20
37211 CPT Arterial Thrombolytic Infusion 2 2 $400.00 $400.00 $1,200.00 $2,000.00 $1,600.00 2025-10-20
37191 CPT Ivc Endovas Vena Cava Filtr Ap 2 2 $400.00 $400.00 $1,200.00 $2,000.00 $1,600.00 2025-10-20
37184 CPT Primary Arterial Tromb Initial 2 2 $300.00 $300.00 $1,200.00 $2,000.00 $1,600.00 2025-10-20
78608 CPT Brain Imaging (Pet) 4 4 $800.00 $800.00 $970.00 $1,750.00 $1,600.00 2025-10-20
37226 CPT Stent Placement W/pta Perf Uni 2 2 $250.00 $250.00 $1,200.00 $2,000.00 $1,600.00 2025-10-20
37237 CPT Intrav Stent Open/perc Add Art 2 2 $300.00 $300.00 $1,200.00 $2,000.00 $1,600.00 2025-10-20
37239 CPT Intrav Stent Open/perc Add Vei 2 2 $300.00 $300.00 $1,200.00 $2,000.00 $1,600.00 2025-10-20
37236 CPT Intrav Stent Open/perc Ini Art 2 2 $300.00 $300.00 $1,200.00 $2,000.00 $1,600.00 2025-10-20
37244 CPT Arterial/venous Hemorrhage Emb 2 2 $300.00 $300.00 $1,200.00 $2,000.00 $1,600.00 2025-10-20
37224 CPT Revascularization Endovascular 2 2 $300.00 $300.00 $1,200.00 $2,000.00 $1,600.00 2025-10-20
37242 CPT Arterial Embolization Hemorrha 2 2 $300.00 $300.00 $1,200.00 $2,000.00 $1,600.00 2025-10-20
37238 CPT Intrav Stent Open/perc Ini Vei 2 2 $300.00 $300.00 $1,200.00 $2,000.00 $1,600.00 2025-10-20
78814 CPT PET Image W/ct Lmtd 6 6 $950.00 $950.00 $1,003.00 $2,000.00 $1,603.50 2025-10-20
78815 CPT PET Image W/ct Skull-thigh 6 6 $1,250.00 $1,250.00 $1,013.00 $2,250.00 $1,607.50 2025-10-20
49422 CPT Rem Tunneled Peritoneal Cathet 3 3 $300.00 $300.00 $1,200.00 $2,954.00 $1,700.00 2025-10-20
50432 CPT Nephrostogram(thru Exi Cath) 3 3 $400.00 $400.00 $1,200.00 $1,888.00 $1,700.00 2025-10-20
78816 CPT PET Image W/ct Full Body 7 7 $1,350.00 $1,350.00 $1,014.00 $3,000.00 $1,743.00 2025-10-20
81214 CPT Brca1 Full Seq & Com Dup/del 1 1 $4,304.00 $4,304.00 $1,750.00 $1,750.00 $1,750.00 2025-10-20
93642 CPT Ephys Eval Cvdfb Promg/repro P 2 2 $2,000.00 $2,000.00 $1,103.00 $2,400.00 $1,751.50 2025-10-20
43251 CPT Esophagoga Remove Lesion Snare 1 1 $700.00 $700.00 $1,764.00 $1,764.00 $1,764.00 2025-10-20
43453 CPT Esophaus Dilation Md 1 1 $300.00 $300.00 $1,764.00 $1,764.00 $1,764.00 2025-10-20
32556 CPT Pleural Drainage Perc Without Imag 1 1 $350.00 $350.00 $1,764.00 $1,764.00 $1,764.00 2025-10-20
49446 CPT Conversion G-tube To G-j Tube 1 1 $600.00 $600.00 $1,764.00 $1,764.00 $1,764.00 2025-10-20
64635 CPT Destr Lumbar/sacral Single Fac 1 1 $300.00 $300.00 $1,789.00 $1,789.00 $1,789.00 2025-10-20
64633 CPT Destr Cerv/thoracic Single Fac 1 1 $300.00 $300.00 $1,789.00 $1,789.00 $1,789.00 2025-10-20
93503 CPT Insert Placement Flow Cath Monitoring 4 4 $750.00 $750.00 $1,484.00 $2,226.00 $1,840.00 2025-10-20
50385 CPT Remov/replace Uret Stent Trans 1 1 $400.00 $400.00 $1,888.00 $1,888.00 $1,888.00 2025-10-20
50382 CPT Remov/replace Uret Stent Percu 1 1 $400.00 $400.00 $1,888.00 $1,888.00 $1,888.00 2025-10-20
50386 CPT Removal Ureteral Stent Transur 1 1 $400.00 $400.00 $1,888.00 $1,888.00 $1,888.00 2025-10-20
54001 CPT Flecainide 100mg Tab 1 1 $4.00 $4.00 $1,888.00 $1,888.00 $1,888.00 2025-10-20
51102 CPT Aspiration Bladder W Ins Supra 1 1 $300.00 $300.00 $1,888.00 $1,888.00 $1,888.00 2025-10-20
93541 CPT Injec Cardiac Cath Pulmo Angio 3 3 $350.00 $350.00 $1,680.00 $2,226.00 $2,000.00 2025-10-20
37197 CPT Transcath Retrieval Foreign Bo 3 3 $413.00 $413.00 $1,200.00 $2,954.00 $2,000.00 2025-10-20
93540 CPT Injec Cardiac Cath Opac Aortoc 3 3 $350.00 $350.00 $1,680.00 $2,226.00 $2,000.00 2025-10-20
37214 CPT Trombolytic Infusion Final Day 3 3 $400.00 $400.00 $1,200.00 $2,954.00 $2,000.00 2025-10-20
93542 CPT Injec Cardiac Cath Sel Rt Vent 3 3 $350.00 $350.00 $1,680.00 $2,226.00 $2,000.00 2025-10-20
93543 CPT Injec Cardiac Cath Sel Lt Vent 3 3 $350.00 $350.00 $1,680.00 $2,226.00 $2,000.00 2025-10-20
37212 CPT Venous Infusion For Thrombolys 3 3 $400.00 $400.00 $1,200.00 $2,954.00 $2,000.00 2025-10-20
37213 CPT Continued Trombolytic Inf Suse 3 3 $400.00 $400.00 $1,200.00 $2,954.00 $2,000.00 2025-10-20
93544 CPT Injec Cardiac Cath Aortography 3 3 $350.00 $350.00 $1,680.00 $2,226.00 $2,000.00 2025-10-20
36478 CPT Endovenous Ablat Laser 1st Vei 3 3 $300.00 $300.00 $1,200.00 $2,954.00 $2,000.00 2025-10-20
36475 CPT Endovenous Ablat Ther 1st Vein 3 3 $300.00 $300.00 $1,200.00 $2,954.00 $2,000.00 2025-10-20
J3240 HCPCS Thyrogen(alpha-1 Antitrypsin 2 1 1 $1,750.00 $1,750.00 $2,021.00 $2,021.00 $2,021.00 2025-10-20
93531 CPT Comb Rt Heart Cath Retrogr Lt 4 4 $2,200.00 $2,200.00 $1,680.00 $2,226.00 $2,035.00 2025-10-20
93532 CPT Comb Rt Heart Cath Trans Lt Tr 4 4 $2,200.00 $2,200.00 $1,680.00 $2,226.00 $2,035.00 2025-10-20
93530 CPT Right Heart Cath Congenital Ca 4 4 $2,200.00 $2,200.00 $1,680.00 $2,226.00 $2,035.00 2025-10-20
93533 CPT Comb Rt Heart Cath Trans Lt He 4 4 $2,200.00 $2,200.00 $1,680.00 $2,226.00 $2,035.00 2025-10-20
93452 CPT Insertion Of Catheter Into Left Heart For Diagnosis 6 6 $2,200.00 $2,200.00 $1,680.00 $3,020.00 $2,035.00 2025-10-20
93454 CPT Cath Placement Coronary Art 5 5 $2,200.00 $2,200.00 $1,680.00 $3,020.00 $2,070.00 2025-10-20
93453 CPT Comb Rt & Lf Heart Cath & Ventri 5 5 $2,500.00 $2,500.00 $1,680.00 $3,020.00 $2,070.00 2025-10-20
93451 CPT Right Heart Catherization 5 5 $2,200.00 $2,200.00 $1,680.00 $3,020.00 $2,070.00 2025-10-20
37188 CPT Venous Mech Tromb Repeat Sub D 2 2 $300.00 $300.00 $1,200.00 $2,954.00 $2,077.00 2025-10-20
37766 CPT Stab Phlebectomy Var Vein 21 + 2 2 $300.00 $300.00 $1,200.00 $2,954.00 $2,077.00 2025-10-20
37765 CPT Stab Phlebectomy Var Vei 10-20 2 2 $300.00 $300.00 $1,200.00 $2,954.00 $2,077.00 2025-10-20
36473 CPT Endovenous Mechanochemical 1st 2 2 $300.00 $300.00 $1,200.00 $2,954.00 $2,077.00 2025-10-20
50433 CPT Plcmt Nephroureteral Cath New 2 2 $400.00 $400.00 $1,200.00 $3,231.00 $2,215.50 2025-10-20
93640 CPT Ephys Eval Cvdfb Lds Init Impl 1 1 $2,000.00 $2,000.00 $2,400.00 $2,400.00 $2,400.00 2025-10-20
46615 CPT Anoscopy W Ablation Tumor Lesi 1 1 $500.00 $500.00 $2,602.00 $2,602.00 $2,602.00 2025-10-20
75893 CPT Venous Sampling By Catheter 2 2 $875.00 $875.00 $150.00 $5,093.00 $2,621.50 2025-10-20
75736 CPT Artery X-rays Pelvis 2 2 $688.00 $688.00 $160.00 $5,093.00 $2,626.50 2025-10-20
21501 CPT Drain Soft Tissues Neck/thorax 1 1 $300.00 $300.00 $2,634.00 $2,634.00 $2,634.00 2025-10-20
75705 CPT Artery X-rays Spine 2 2 $830.00 $830.00 $177.00 $5,093.00 $2,635.00 2025-10-20
75605 CPT Contrast Exam Thoracic Aorta 2 2 $690.00 $690.00 $181.00 $5,093.00 $2,637.00 2025-10-20
75842 CPT Vein X-ray Adrenal Glands 2 2 $900.00 $900.00 $188.00 $5,093.00 $2,640.50 2025-10-20
37220 CPT Pta Illiac Artery Md 4 4 $700.00 $700.00 $1,200.00 $5,297.00 $2,750.00 2025-10-20
58345 CPT Fallopian Dilatation 1 1 $300.00 $300.00 $2,898.00 $2,898.00 $2,898.00 2025-10-20
57400 CPT Glucose 15 Gm/oz Gel 1 1 $4.00 $4.00 $2,898.00 $2,898.00 $2,898.00 2025-10-20
49429 CPT Removal Peritoneal Venous Shun 1 1 $300.00 $300.00 $2,954.00 $2,954.00 $2,954.00 2025-10-20
75885 CPT Vein X-ray Liver W/hemodynam 1 1 $900.00 $900.00 $2,954.00 $2,954.00 $2,954.00 2025-10-20
75625 CPT Aortography,abd By Serialograp 1 1 $750.00 $750.00 $2,954.00 $2,954.00 $2,954.00 2025-10-20
93505 CPT Endomycardial Biopsy 1 1 $750.00 $750.00 $2,954.00 $2,954.00 $2,954.00 2025-10-20
31300 CPT Laryngotomy(thyrotomy,laryngofissure) 1 1 $450.00 $450.00 $2,984.00 $2,984.00 $2,984.00 2025-10-20
22511 CPT Vertebroplasty(lumbosacral) 1 1 $300.00 $300.00 $3,000.00 $3,000.00 $3,000.00 2025-10-20
22510 CPT Vertebroplasty(cervicothiracic 1 1 $300.00 $300.00 $3,000.00 $3,000.00 $3,000.00 2025-10-20
93458 CPT Left Heart Catherization Retro 1 1 $2,200.00 $2,200.00 $3,020.00 $3,020.00 $3,020.00 2025-10-20
43276 CPT Ercp Stent Exchange W/dilate 2 2 $3,200.00 $3,200.00 $989.00 $5,282.00 $3,135.50 2025-10-20
54000 CPT Calcitriol 0.25 Mcg Cap 1 1 $1.00 $1.00 $3,231.00 $3,231.00 $3,231.00 2025-10-20
81211 CPT Brca1&2 Seq & Com Dup/del 1 1 $6,534.00 $6,534.00 $3,340.00 $3,340.00 $3,340.00 2025-10-20
50590 CPT Lithotripsy Extracorporeal Sho 6 6 $3,500.00 $3,500.00 $3,000.00 $4,050.00 $3,500.00 2025-10-20
19499 CPT Mibb Device 1 1 $500.00 $500.00 $3,533.00 $3,533.00 $3,533.00 2025-10-20
37182 CPT Tips 3 3 $400.00 $400.00 $3,500.00 $4,000.00 $3,600.00 2025-10-20
37183 CPT Tips Revision 3 3 $400.00 $400.00 $3,500.00 $4,000.00 $3,600.00 2025-10-20
A9600 HCPCS Metastron 1 1 $4,200.00 $4,200.00 $4,157.00 $4,157.00 $4,157.00 2025-10-20
93620 CPT Compre Electrophysiolog Arrhyt 2 2 $2,000.00 $2,000.00 $2,400.00 $6,922.00 $4,661.00 2025-10-20
93624 CPT Electrophy Follow Up Study W P 2 2 $2,000.00 $2,000.00 $2,400.00 $6,922.00 $4,661.00 2025-10-20
62380 CPT Endoscopic Descompressi Spinal 2 2 $7,250.00 $7,250.00 $3,900.00 $6,631.00 $5,265.50 2025-10-20
49491 CPT Sertraline 100 Mg Tab 1 1 $3.00 $3.00 $5,348.00 $5,348.00 $5,348.00 2025-10-20
93650 CPT Icar Cath Ablation Atrioven No 2 2 $2,000.00 $2,000.00 $4,500.00 $6,922.00 $5,711.00 2025-10-20
25420 CPT Colchicine* 0.6 Mg Tab 1 1 $6.00 $6.00 $6,631.00 $6,631.00 $6,631.00 2025-10-20
28103 CPT Nitroglycerin 2% Oint 1 1 $2.00 $2.00 $6,631.00 $6,631.00 $6,631.00 2025-10-20
23585 CPT Mesalamine 400mg Cap 1 1 $3.00 $3.00 $6,631.00 $6,631.00 $6,631.00 2025-10-20
23405 CPT Chlorhexidine 4% Skin Cleanser (60ml Ud) 1 1 $1.00 $1.00 $6,631.00 $6,631.00 $6,631.00 2025-10-20
93654 CPT Icar Ablt Arrhyt Foc Ventri Ec 2 2 $7,000.00 $7,000.00 $4,500.00 $22,012.00 $13,256.00 2025-10-20
93653 CPT Icar Ablt Arrhyt Foc Supravent 2 2 $7,000.00 $7,000.00 $4,500.00 $22,012.00 $13,256.00 2025-10-20
A9604 HCPCS Quadramet (sm-153) 1 1 $3,200.00 $3,200.00 $17,260.00 $17,260.00 $17,260.00 2025-10-20
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