|
50592
|
CPT
|
Biopsy Salivary Gland Needle
|
1
|
1
|
$600.00
|
$600.00
|
$5,348.00
|
$5,348.00
|
$5,348.00
|
2026-05-22
|
|
36563
|
CPT
|
Venograp,adrenal,bila,select
|
1
|
1
|
$900.00
|
$900.00
|
$5,093.00
|
$5,093.00
|
$5,093.00
|
2026-05-22
|
|
37182
|
CPT
|
Plcmt Interstitial Devi Intra-
|
4
|
4
|
$600.00
|
$600.00
|
$3,000.00
|
$3,600.00
|
$3,550.00
|
2026-05-22
|
|
43262
|
CPT
|
Change Cystostomy Tube Simple
|
1
|
1
|
$600.00
|
$600.00
|
$3,549.00
|
$3,549.00
|
$3,549.00
|
2026-05-22
|
|
50590
|
CPT
|
MRI Brain Stem With Contrast
|
4
|
4
|
$1,000.00
|
$1,000.00
|
$2,500.00
|
$3,850.00
|
$3,515.50
|
2026-05-22
|
|
37229
|
CPT
|
Place Cath Second Abd-pelv-low
|
1
|
1
|
$375.00
|
$375.00
|
$3,500.00
|
$3,500.00
|
$3,500.00
|
2026-05-22
|
|
37191
|
CPT
|
Insti Chest Tube Lyric Sub Day
|
6
|
6
|
$600.00
|
$600.00
|
$1,200.00
|
$6,000.00
|
$3,400.00
|
2026-05-22
|
|
37228
|
CPT
|
Place Cath Artery Abd-pelv-low
|
5
|
5
|
$500.00
|
$500.00
|
$1,200.00
|
$4,800.00
|
$3,300.00
|
2026-05-22
|
|
37241
|
CPT
|
Biopsy Thyroid,percutaneous
|
3
|
3
|
$800.00
|
$800.00
|
$2,100.00
|
$3,500.00
|
$3,300.00
|
2026-05-22
|
|
32998
|
CPT
|
CT Pelvis Without & With Contrast
|
2
|
2
|
$495.00
|
$495.00
|
$3,000.00
|
$3,500.00
|
$3,250.00
|
2026-05-22
|
|
75894
|
CPT
|
Vein X-ray Skull Epidural
|
2
|
2
|
$1,200.00
|
$1,200.00
|
$3,000.00
|
$3,500.00
|
$3,250.00
|
2026-05-22
|
|
52332
|
CPT
|
Ercp Cal Removal
|
1
|
1
|
$3,200.00
|
$3,200.00
|
$3,231.00
|
$3,231.00
|
$3,231.00
|
2026-05-22
|
|
54000
|
CPT
|
Calcitriol 0.25 Mcg Cap
|
1
|
1
|
$4.00
|
$4.00
|
$3,231.00
|
$3,231.00
|
$3,231.00
|
2026-05-22
|
|
49421
|
CPT
|
Plcmt Nephrostomy Cath
|
1
|
1
|
$800.00
|
$800.00
|
$3,206.00
|
$3,206.00
|
$3,206.00
|
2026-05-22
|
|
37248
|
CPT
|
Renal Bila (w Or Without Flush) An
|
4
|
4
|
$742.00
|
$742.00
|
$1,200.00
|
$5,297.00
|
$3,150.00
|
2026-05-22
|
|
37224
|
CPT
|
Select Subclavian/inno Artery
|
6
|
6
|
$768.00
|
$768.00
|
$1,200.00
|
$5,297.00
|
$3,150.00
|
2026-05-22
|
|
22511
|
CPT
|
CT Angiography Chest
|
1
|
1
|
$540.00
|
$540.00
|
$3,000.00
|
$3,000.00
|
$3,000.00
|
2026-05-22
|
|
37221
|
CPT
|
Renal Superlective Unilateral
|
5
|
5
|
$700.00
|
$700.00
|
$1,200.00
|
$4,800.00
|
$3,000.00
|
2026-05-22
|
|
37226
|
CPT
|
Sel Vertebral Artery W Angio I
|
5
|
5
|
$768.00
|
$768.00
|
$1,200.00
|
$4,800.00
|
$3,000.00
|
2026-05-22
|
|
37232
|
CPT
|
Place Cath Third Order Or More
|
3
|
3
|
$450.00
|
$450.00
|
$1,200.00
|
$3,300.00
|
$3,000.00
|
2026-05-22
|
|
22510
|
CPT
|
CT Thorax Cancer Scre Without Con
|
1
|
1
|
$495.00
|
$495.00
|
$3,000.00
|
$3,000.00
|
$3,000.00
|
2026-05-22
|
|
43276
|
CPT
|
Injection Proc. Cysto/void
|
2
|
2
|
$600.00
|
$600.00
|
$665.00
|
$5,282.00
|
$2,973.50
|
2026-05-22
|
|
43265
|
CPT
|
Plcmt Ure Stent New Acc W Sep
|
2
|
2
|
$600.00
|
$600.00
|
$665.00
|
$5,282.00
|
$2,973.50
|
2026-05-22
|
|
43274
|
CPT
|
Plcmt Ureteral Stent Exist Rep
|
2
|
2
|
$600.00
|
$600.00
|
$665.00
|
$5,282.00
|
$2,973.50
|
2026-05-22
|
|
36560
|
CPT
|
Venography Cava Sup (Svc)
|
1
|
1
|
$606.00
|
$606.00
|
$2,954.00
|
$2,954.00
|
$2,954.00
|
2026-05-22
|
|
36565
|
CPT
|
Removal Ureteral Stent Percuta
|
1
|
1
|
$800.00
|
$800.00
|
$2,954.00
|
$2,954.00
|
$2,954.00
|
2026-05-22
|
|
37188
|
CPT
|
Pleural Drainage Perc W Image
|
3
|
3
|
$700.00
|
$700.00
|
$2,000.00
|
$3,300.00
|
$2,954.00
|
2026-05-22
|
|
36254
|
CPT
|
Biopsy Renal,percutaneous
|
1
|
1
|
$502.00
|
$502.00
|
$2,954.00
|
$2,954.00
|
$2,954.00
|
2026-05-22
|
|
37222
|
CPT
|
Neurolytic Inj/inf Single Epid
|
2
|
2
|
$800.00
|
$800.00
|
$2,000.00
|
$3,300.00
|
$2,650.00
|
2026-05-22
|
|
37187
|
CPT
|
Pleural Drainage Perc Without Imag
|
2
|
2
|
$700.00
|
$700.00
|
$2,000.00
|
$3,300.00
|
$2,650.00
|
2026-05-22
|
|
36902
|
CPT
|
Biopsy Pleura Percutaneous
|
6
|
6
|
$800.00
|
$800.00
|
$1,200.00
|
$5,500.00
|
$2,650.00
|
2026-05-22
|
|
27047
|
CPT
|
CT Maxillofacial With Contrast
|
1
|
1
|
$477.00
|
$477.00
|
$2,634.00
|
$2,634.00
|
$2,634.00
|
2026-05-22
|
|
37213
|
CPT
|
Change Cystostomy Tube Complex
|
4
|
4
|
$600.00
|
$600.00
|
$1,700.00
|
$3,300.00
|
$2,527.00
|
2026-05-22
|
|
36904
|
CPT
|
Extrapleural Enucleation
|
6
|
6
|
$600.00
|
$600.00
|
$1,200.00
|
$5,500.00
|
$2,500.00
|
2026-05-22
|
|
75726
|
CPT
|
Peritoneal Lavage Incl Image G
|
4
|
4
|
$600.00
|
$600.00
|
$1,140.00
|
$5,093.00
|
$2,400.00
|
2026-05-22
|
|
43264
|
CPT
|
Balloon Dilation Ureteral Stri
|
2
|
2
|
$800.00
|
$800.00
|
$665.00
|
$3,549.00
|
$2,107.00
|
2026-05-22
|
|
43277
|
CPT
|
Exchange Nephrostomy Cath Perc
|
2
|
2
|
$800.00
|
$800.00
|
$665.00
|
$3,549.00
|
$2,107.00
|
2026-05-22
|
|
43260
|
CPT
|
Plcmt Nephroureteral Cath Perc
|
2
|
2
|
$800.00
|
$800.00
|
$665.00
|
$3,549.00
|
$2,107.00
|
2026-05-22
|
|
36475
|
CPT
|
CT Angio Abdominal Arteries
|
7
|
7
|
$1,200.00
|
$1,200.00
|
$1,140.00
|
$3,500.00
|
$2,100.00
|
2026-05-22
|
|
75889
|
CPT
|
Contrast Inj Abscess Cyst
|
2
|
2
|
$600.00
|
$600.00
|
$1,200.00
|
$2,954.00
|
$2,077.00
|
2026-05-22
|
|
43195
|
CPT
|
Spinal Puncture Lumbar Diagnos
|
2
|
2
|
$1,200.00
|
$1,200.00
|
$475.00
|
$3,549.00
|
$2,012.00
|
2026-05-22
|
|
36907
|
CPT
|
Abscess Drainage,pleural
|
5
|
5
|
$600.00
|
$600.00
|
$1,200.00
|
$3,500.00
|
$2,000.00
|
2026-05-22
|
|
50436
|
CPT
|
Pta Initial Vein
|
3
|
3
|
$600.00
|
$600.00
|
$1,700.00
|
$3,231.00
|
$2,000.00
|
2026-05-22
|
|
36905
|
CPT
|
Inser Indwelling Tunneled Pleu
|
5
|
5
|
$600.00
|
$600.00
|
$1,200.00
|
$5,500.00
|
$2,000.00
|
2026-05-22
|
|
47382
|
CPT
|
Ins/tunneled Central Ven Cathe
|
4
|
4
|
$500.00
|
$500.00
|
$450.00
|
$3,500.00
|
$1,937.50
|
2026-05-22
|
|
50433
|
CPT
|
Dx Bone Marrow Biopsies
|
6
|
6
|
$600.00
|
$600.00
|
$1,200.00
|
$3,300.00
|
$1,900.00
|
2026-05-22
|
|
52648
|
CPT
|
CT Maxillofacial Without Contrast
|
3
|
3
|
$451.00
|
$451.00
|
$1,750.00
|
$2,300.00
|
$1,900.00
|
2026-05-22
|
|
36476
|
CPT
|
Cat Scan Follow-up Study
|
6
|
6
|
$500.00
|
$500.00
|
$1,140.00
|
$3,500.00
|
$1,900.00
|
2026-05-22
|
|
55700
|
CPT
|
Biopsy Of Prostate Gland
|
1
|
1
|
$3,200.00
|
$3,200.00
|
$1,888.00
|
$1,888.00
|
$1,888.00
|
2026-05-22
|
|
50688
|
CPT
|
Ercp Cal Destruction
|
1
|
1
|
$3,200.00
|
$3,200.00
|
$1,888.00
|
$1,888.00
|
$1,888.00
|
2026-05-22
|
|
37192
|
CPT
|
Pericardiocentesis
|
6
|
6
|
$600.00
|
$600.00
|
$1,200.00
|
$3,300.00
|
$1,850.00
|
2026-05-22
|
|
37765
|
CPT
|
Inj Sclerosant Spider Vein
|
6
|
6
|
$600.00
|
$600.00
|
$1,200.00
|
$3,300.00
|
$1,850.00
|
2026-05-22
|
|
37193
|
CPT
|
Endovasc Repa 1 Viceral Artery
|
6
|
6
|
$600.00
|
$600.00
|
$1,200.00
|
$3,300.00
|
$1,850.00
|
2026-05-22
|
|
50432
|
CPT
|
Dx Bone Marrow Aspirations
|
6
|
6
|
$600.00
|
$600.00
|
$1,200.00
|
$3,300.00
|
$1,794.00
|
2026-05-22
|
|
50435
|
CPT
|
Biopsy Lymph Nodes Sup. Perc
|
6
|
6
|
$800.00
|
$800.00
|
$1,200.00
|
$3,300.00
|
$1,794.00
|
2026-05-22
|
|
50384
|
CPT
|
Artherectomy W/pta Ve Perf Uni
|
6
|
6
|
$500.00
|
$500.00
|
$1,200.00
|
$3,300.00
|
$1,794.00
|
2026-05-22
|
|
43246
|
CPT
|
Contrast Inj For Any G-tube Pe
|
1
|
1
|
$1,200.00
|
$1,200.00
|
$1,764.00
|
$1,764.00
|
$1,764.00
|
2026-05-22
|
|
49441
|
CPT
|
Introduction Cath Aorta
|
1
|
1
|
$600.00
|
$600.00
|
$1,764.00
|
$1,764.00
|
$1,764.00
|
2026-05-22
|
|
32556
|
CPT
|
CT Angiograph Pelv W/o&with Contrast
|
1
|
1
|
$540.00
|
$540.00
|
$1,764.00
|
$1,764.00
|
$1,764.00
|
2026-05-22
|
|
49440
|
CPT
|
Inj Myelography/com Tomograp
|
1
|
1
|
$800.00
|
$800.00
|
$1,764.00
|
$1,764.00
|
$1,764.00
|
2026-05-22
|
|
49446
|
CPT
|
Inj Antegrade Nepho/ureter Exi
|
1
|
1
|
$800.00
|
$800.00
|
$1,764.00
|
$1,764.00
|
$1,764.00
|
2026-05-22
|
|
49423
|
CPT
|
Venous Infusion For Thrombolys
|
6
|
6
|
$800.00
|
$800.00
|
$1,200.00
|
$3,300.00
|
$1,732.00
|
2026-05-22
|
|
37214
|
CPT
|
Carotid/vertebral,dir Puntu
|
4
|
4
|
$225.00
|
$225.00
|
$1,200.00
|
$2,100.00
|
$1,700.00
|
2026-05-22
|
|
36468
|
CPT
|
CT Hrt W/3d Image
|
5
|
5
|
$250.00
|
$250.00
|
$370.00
|
$2,000.00
|
$1,700.00
|
2026-05-22
|
|
37215
|
CPT
|
Place Cath Artery First Order
|
3
|
3
|
$315.00
|
$315.00
|
$1,200.00
|
$1,700.00
|
$1,700.00
|
2026-05-22
|
|
37766
|
CPT
|
Inj Sclerosant Sol Single Vein
|
5
|
5
|
$600.00
|
$600.00
|
$1,200.00
|
$3,300.00
|
$1,700.00
|
2026-05-22
|
|
36471
|
CPT
|
CT Angio Hrt W/3d Image
|
5
|
5
|
$494.00
|
$494.00
|
$370.00
|
$3,300.00
|
$1,700.00
|
2026-05-22
|
|
49424
|
CPT
|
Trombolytic Infusion Final Day
|
4
|
4
|
$800.00
|
$800.00
|
$1,200.00
|
$3,300.00
|
$1,700.00
|
2026-05-22
|
|
36470
|
CPT
|
CT Hrt W/3d Image Congen
|
5
|
5
|
$269.00
|
$269.00
|
$370.00
|
$2,000.00
|
$1,700.00
|
2026-05-22
|
|
37212
|
CPT
|
Hepatic Venogram W/wo Pre
|
4
|
4
|
$215.00
|
$215.00
|
$1,200.00
|
$2,100.00
|
$1,700.00
|
2026-05-22
|
|
50695
|
CPT
|
Biopsy Liver,percu Separate
|
5
|
5
|
$600.00
|
$600.00
|
$1,200.00
|
$3,300.00
|
$1,700.00
|
2026-05-22
|
|
50693
|
CPT
|
Introd Long Gastroinstest Tube
|
6
|
6
|
$600.00
|
$600.00
|
$650.00
|
$3,300.00
|
$1,700.00
|
2026-05-22
|
|
36555
|
CPT
|
CT Scan For Needle Biopsy
|
7
|
7
|
$630.00
|
$630.00
|
$475.00
|
$3,300.00
|
$1,700.00
|
2026-05-22
|
|
36903
|
CPT
|
Biopsy Lung Percutaneous Inclu
|
5
|
5
|
$800.00
|
$800.00
|
$1,200.00
|
$5,500.00
|
$1,700.00
|
2026-05-22
|
|
36557
|
CPT
|
CT Bone Density Axial
|
5
|
5
|
$275.00
|
$275.00
|
$665.00
|
$2,000.00
|
$1,700.00
|
2026-05-22
|
|
37211
|
CPT
|
Superior Or Inferior Cava,cath
|
3
|
3
|
$175.00
|
$175.00
|
$1,200.00
|
$1,700.00
|
$1,700.00
|
2026-05-22
|
|
36593
|
CPT
|
Aspiration/inj Bone Cyst
|
3
|
3
|
$600.00
|
$600.00
|
$314.00
|
$2,000.00
|
$1,700.00
|
2026-05-22
|
|
36571
|
CPT
|
Puncture Aspiration Abs Hemato
|
7
|
7
|
$400.00
|
$400.00
|
$1,140.00
|
$3,300.00
|
$1,700.00
|
2026-05-22
|
|
37197
|
CPT
|
Extre Vein Needle/intracath Un
|
5
|
5
|
$500.00
|
$500.00
|
$1,200.00
|
$3,300.00
|
$1,700.00
|
2026-05-22
|
|
36556
|
CPT
|
CT Guide For Tissue Ablation
|
5
|
5
|
$263.00
|
$263.00
|
$475.00
|
$2,000.00
|
$1,700.00
|
2026-05-22
|
|
49422
|
CPT
|
Arterial Thrombolytic Infusion
|
5
|
5
|
$800.00
|
$800.00
|
$475.00
|
$2,954.00
|
$1,700.00
|
2026-05-22
|
|
49418
|
CPT
|
Transcatheter F.b. Retrieval
|
5
|
5
|
$800.00
|
$800.00
|
$1,200.00
|
$3,300.00
|
$1,700.00
|
2026-05-22
|
|
36590
|
CPT
|
Small Joint Or Bursa W/e US
|
7
|
7
|
$600.00
|
$600.00
|
$475.00
|
$3,300.00
|
$1,700.00
|
2026-05-22
|
|
36582
|
CPT
|
Biopsy Bone Deep,percutan
|
5
|
5
|
$200.00
|
$200.00
|
$1,140.00
|
$2,000.00
|
$1,700.00
|
2026-05-22
|
|
50387
|
CPT
|
Transluminal Angioplasty
|
3
|
3
|
$500.00
|
$500.00
|
$650.00
|
$1,888.00
|
$1,700.00
|
2026-05-22
|
|
36598
|
CPT
|
Vertebroplasty(cervicothiracic
|
6
|
6
|
$600.00
|
$600.00
|
$199.00
|
$3,300.00
|
$1,700.00
|
2026-05-22
|
|
50694
|
CPT
|
Abscess Drainage,appendiceal
|
5
|
5
|
$600.00
|
$600.00
|
$1,200.00
|
$3,300.00
|
$1,700.00
|
2026-05-22
|
|
50386
|
CPT
|
Stent Placement W/pta Perf Uni
|
3
|
3
|
$500.00
|
$500.00
|
$1,700.00
|
$1,888.00
|
$1,700.00
|
2026-05-22
|
|
50389
|
CPT
|
Tibial/peroneal Vasc W Pta Ang
|
7
|
7
|
$500.00
|
$500.00
|
$475.00
|
$3,300.00
|
$1,700.00
|
2026-05-22
|
|
36597
|
CPT
|
Temporomandibular Joing Inj
|
6
|
6
|
$600.00
|
$600.00
|
$1,200.00
|
$3,300.00
|
$1,700.00
|
2026-05-22
|
|
78816
|
CPT
|
Perc Device Breast Add MRI Gui
|
5
|
5
|
$300.00
|
$300.00
|
$1,014.00
|
$2,300.00
|
$1,600.00
|
2026-05-22
|
|
78814
|
CPT
|
CT Angio Upr Extrm W/o&with Contrast
|
5
|
5
|
$350.00
|
$350.00
|
$1,003.00
|
$2,000.00
|
$1,600.00
|
2026-05-22
|
|
78815
|
CPT
|
Perc Device Breast 1st MRI Gui
|
5
|
5
|
$300.00
|
$300.00
|
$1,013.00
|
$2,250.00
|
$1,600.00
|
2026-05-22
|
|
36901
|
CPT
|
Vertebroplasty(lumbosacral)
|
6
|
6
|
$600.00
|
$600.00
|
$1,200.00
|
$5,500.00
|
$1,592.00
|
2026-05-22
|
|
47531
|
CPT
|
Tunneled, No Port, No Pump
|
6
|
6
|
$375.00
|
$375.00
|
$1,080.00
|
$3,206.00
|
$1,525.00
|
2026-05-22
|
|
47534
|
CPT
|
Removal Tunneled No Port,no Pm
|
4
|
4
|
$300.00
|
$300.00
|
$1,080.00
|
$2,000.00
|
$1,525.00
|
2026-05-22
|
|
19081
|
CPT
|
Cervical Myelogram Via Lumbar
|
1
|
1
|
$600.00
|
$600.00
|
$1,503.00
|
$1,503.00
|
$1,503.00
|
2026-05-22
|
|
20200
|
CPT
|
Removal Ureteral Stent Transur
|
1
|
1
|
$800.00
|
$800.00
|
$1,503.00
|
$1,503.00
|
$1,503.00
|
2026-05-22
|
|
19083
|
CPT
|
Lumbosacral Myelogram Via Lumb
|
1
|
1
|
$600.00
|
$600.00
|
$1,503.00
|
$1,503.00
|
$1,503.00
|
2026-05-22
|
|
19085
|
CPT
|
Stent Intravasc Perc Vessel
|
1
|
1
|
$600.00
|
$600.00
|
$1,503.00
|
$1,503.00
|
$1,503.00
|
2026-05-22
|
|
19281
|
CPT
|
Tube Convert Gastr To Jejun
|
1
|
1
|
$600.00
|
$600.00
|
$1,503.00
|
$1,503.00
|
$1,503.00
|
2026-05-22
|
|
38220
|
CPT
|
Inj Sclerosant Sol Multip Vein
|
1
|
1
|
$600.00
|
$600.00
|
$1,503.00
|
$1,503.00
|
$1,503.00
|
2026-05-22
|
|
36246
|
CPT
|
CT Abd & Pelv 1/> Regns
|
4
|
4
|
$727.00
|
$727.00
|
$1,080.00
|
$2,875.00
|
$1,495.00
|
2026-05-22
|
|
36245
|
CPT
|
CT Abd & Pelv W/contrast
|
4
|
4
|
$727.00
|
$727.00
|
$1,080.00
|
$2,875.00
|
$1,495.00
|
2026-05-22
|
|
36584
|
CPT
|
Egd W/percutaneous Gastro Tube
|
1
|
1
|
$500.00
|
$500.00
|
$1,484.00
|
$1,484.00
|
$1,484.00
|
2026-05-22
|
|
36580
|
CPT
|
Change Tube Drain Cath Cont
|
1
|
1
|
$150.00
|
$150.00
|
$1,484.00
|
$1,484.00
|
$1,484.00
|
2026-05-22
|
|
36576
|
CPT
|
Transcatheter Biopsy
|
1
|
1
|
$625.00
|
$625.00
|
$1,484.00
|
$1,484.00
|
$1,484.00
|
2026-05-22
|
|
78813
|
CPT
|
Perc Device Breast 1st US Guid
|
5
|
5
|
$300.00
|
$300.00
|
$1,000.00
|
$1,750.00
|
$1,450.00
|
2026-05-22
|
|
78812
|
CPT
|
Perc Device Breast Add Stereot
|
5
|
5
|
$300.00
|
$300.00
|
$1,000.00
|
$1,750.00
|
$1,450.00
|
2026-05-22
|
|
36514
|
CPT
|
Embolization Any Method
|
1
|
1
|
$600.00
|
$600.00
|
$1,422.00
|
$1,422.00
|
$1,422.00
|
2026-05-22
|
|
78811
|
CPT
|
Perc Device Breast 1st Stereot
|
5
|
5
|
$300.00
|
$300.00
|
$1,000.00
|
$1,750.00
|
$1,400.00
|
2026-05-22
|
|
78110
|
CPT
|
Alprazolam 1mg Tab
|
1
|
1
|
$3.00
|
$3.00
|
$1,316.00
|
$1,316.00
|
$1,316.00
|
2026-05-22
|
|
75827
|
CPT
|
Rem Tunneled Peritoneal Cathet
|
2
|
2
|
$600.00
|
$600.00
|
$1,140.00
|
$1,484.00
|
$1,312.00
|
2026-05-22
|
|
36012
|
CPT
|
Embolization Central Nervous S
|
3
|
3
|
$600.00
|
$600.00
|
$1,140.00
|
$1,850.00
|
$1,300.00
|
2026-05-22
|
|
75605
|
CPT
|
Abscess Drain,subdiaphagmat
|
3
|
3
|
$600.00
|
$600.00
|
$1,140.00
|
$5,093.00
|
$1,300.00
|
2026-05-22
|
|
36252
|
CPT
|
CT Hrt Without Contrast W/ca Test
|
3
|
3
|
$250.00
|
$250.00
|
$1,080.00
|
$1,850.00
|
$1,300.00
|
2026-05-22
|
|
75842
|
CPT
|
Change Abscess Cyst Drain Unde
|
3
|
3
|
$600.00
|
$600.00
|
$1,140.00
|
$5,093.00
|
$1,300.00
|
2026-05-22
|
|
75825
|
CPT
|
Ins Periton Tunneled Cath W/im
|
4
|
4
|
$600.00
|
$600.00
|
$1,140.00
|
$2,954.00
|
$1,250.00
|
2026-05-22
|
|
75822
|
CPT
|
Image Gui Cath Peri/ret Transv
|
4
|
4
|
$800.00
|
$800.00
|
$1,140.00
|
$1,484.00
|
$1,250.00
|
2026-05-22
|
|
75716
|
CPT
|
X-ray Guide Gu Dilation
|
4
|
4
|
$1,227.00
|
$1,227.00
|
$1,140.00
|
$2,954.00
|
$1,250.00
|
2026-05-22
|
|
75625
|
CPT
|
Abscess Drain,retroperitoneal
|
4
|
4
|
$600.00
|
$600.00
|
$1,140.00
|
$2,954.00
|
$1,250.00
|
2026-05-22
|
|
36226
|
CPT
|
CT Abd & Pelvis Without Contrast
|
6
|
6
|
$702.00
|
$702.00
|
$1,080.00
|
$5,093.00
|
$1,250.00
|
2026-05-22
|
|
36225
|
CPT
|
CT Angio Abd&pelv W/o&with Contrast
|
6
|
6
|
$450.00
|
$450.00
|
$1,080.00
|
$2,954.00
|
$1,250.00
|
2026-05-22
|
|
36222
|
CPT
|
CT Angio Lwr Extr W/o&with Contrast
|
6
|
6
|
$540.00
|
$540.00
|
$1,080.00
|
$2,954.00
|
$1,250.00
|
2026-05-22
|
|
75743
|
CPT
|
Biopsy Abdomen/retro Percuta
|
4
|
4
|
$600.00
|
$600.00
|
$1,140.00
|
$2,954.00
|
$1,250.00
|
2026-05-22
|
|
36568
|
CPT
|
Exc Tumor Soft Tissue Pelvis &
|
6
|
6
|
$1,960.00
|
$1,960.00
|
$475.00
|
$3,300.00
|
$1,250.00
|
2026-05-22
|
|
75630
|
CPT
|
Drain Extraperitoneal Lymphoce
|
4
|
4
|
$600.00
|
$600.00
|
$1,140.00
|
$2,954.00
|
$1,250.00
|
2026-05-22
|
|
36248
|
CPT
|
CT Colonography Dx With Contrast
|
4
|
4
|
$275.00
|
$275.00
|
$1,080.00
|
$1,850.00
|
$1,220.00
|
2026-05-22
|
|
36247
|
CPT
|
CT Colonography Dx
|
4
|
4
|
$350.00
|
$350.00
|
$1,080.00
|
$1,850.00
|
$1,220.00
|
2026-05-22
|
|
36100
|
CPT
|
CT Lower Extremity With Contrast
|
4
|
4
|
$463.00
|
$463.00
|
$1,080.00
|
$1,850.00
|
$1,220.00
|
2026-05-22
|
|
43275
|
CPT
|
Abla Renal Tumor Perc Radiofre
|
2
|
2
|
$600.00
|
$600.00
|
$665.00
|
$1,764.00
|
$1,214.50
|
2026-05-22
|
|
78608
|
CPT
|
Perc Device Breast Add Mamo
|
2
|
2
|
$300.00
|
$300.00
|
$970.00
|
$1,450.00
|
$1,210.00
|
2026-05-22
|
|
36253
|
CPT
|
Computed Tomography, Abdomen;
|
5
|
5
|
$468.00
|
$468.00
|
$1,080.00
|
$1,850.00
|
$1,200.00
|
2026-05-22
|
|
36227
|
CPT
|
CT Angio Abdom Without & With Contrast
|
5
|
5
|
$540.00
|
$540.00
|
$1,080.00
|
$1,850.00
|
$1,200.00
|
2026-05-22
|
|
36224
|
CPT
|
CT Abdomen Without & With Contrast
|
5
|
5
|
$495.00
|
$495.00
|
$1,080.00
|
$1,850.00
|
$1,200.00
|
2026-05-22
|
|
75774
|
CPT
|
Sclerotheraphy Fluid Collectio
|
3
|
3
|
$600.00
|
$600.00
|
$1,140.00
|
$1,300.00
|
$1,200.00
|
2026-05-22
|
|
36223
|
CPT
|
Computed Tomography, Abdomen;
|
5
|
5
|
$451.00
|
$451.00
|
$1,080.00
|
$1,850.00
|
$1,200.00
|
2026-05-22
|
|
36215
|
CPT
|
CT Lwr Extremity W/o&with Contrast
|
5
|
5
|
$495.00
|
$495.00
|
$1,080.00
|
$1,850.00
|
$1,200.00
|
2026-05-22
|
|
36011
|
CPT
|
CT Lower Extremity Without Contrast
|
5
|
5
|
$420.00
|
$420.00
|
$1,080.00
|
$1,850.00
|
$1,200.00
|
2026-05-22
|
|
36010
|
CPT
|
CT Angio Upr Extrm W/o&with Contrast
|
5
|
5
|
$540.00
|
$540.00
|
$1,080.00
|
$1,850.00
|
$1,200.00
|
2026-05-22
|
|
36005
|
CPT
|
CT Uppr Extremity W/o&with Contrast
|
5
|
5
|
$486.00
|
$486.00
|
$1,080.00
|
$1,850.00
|
$1,200.00
|
2026-05-22
|
|
36581
|
CPT
|
Biopsy Bone Superficial
|
5
|
5
|
$250.00
|
$250.00
|
$475.00
|
$1,300.00
|
$1,200.00
|
2026-05-22
|
|
47536
|
CPT
|
Removal Tunneled Central Venou
|
5
|
5
|
$300.00
|
$300.00
|
$1,080.00
|
$2,000.00
|
$1,200.00
|
2026-05-22
|
|
36569
|
CPT
|
Drainage By Catheter Soft Tiss
|
5
|
5
|
$300.00
|
$300.00
|
$475.00
|
$1,484.00
|
$1,200.00
|
2026-05-22
|
|
47541
|
CPT
|
Con Inj W/fluor Eval Cv Device
|
5
|
5
|
$200.00
|
$200.00
|
$1,080.00
|
$2,000.00
|
$1,200.00
|
2026-05-22
|
|
75710
|
CPT
|
X-ray Urethra/bladder
|
3
|
3
|
$266.00
|
$266.00
|
$1,140.00
|
$1,300.00
|
$1,200.00
|
2026-05-22
|
|
50431
|
CPT
|
Stab Phlebectomy Var Vein 21 +
|
6
|
6
|
$600.00
|
$600.00
|
$633.00
|
$1,850.00
|
$1,170.00
|
2026-05-22
|
|
50430
|
CPT
|
Stab Phlebectomy Var Vei 10-20
|
6
|
6
|
$600.00
|
$600.00
|
$633.00
|
$1,850.00
|
$1,170.00
|
2026-05-22
|
|
47533
|
CPT
|
Tunneled Port
|
4
|
4
|
$188.00
|
$188.00
|
$1,080.00
|
$1,850.00
|
$1,170.00
|
2026-05-22
|
|
75820
|
CPT
|
Artery X-rays Chest
|
7
|
7
|
$1,200.00
|
$1,200.00
|
$20.00
|
$1,484.00
|
$1,153.00
|
2026-05-22
|
|
51600
|
CPT
|
Abscess Cyst Drainage, Liver
|
5
|
5
|
$600.00
|
$600.00
|
$750.00
|
$1,850.00
|
$1,140.00
|
2026-05-22
|
|
47539
|
CPT
|
Reposition Central Venous Cath
|
3
|
3
|
$125.00
|
$125.00
|
$1,080.00
|
$1,200.00
|
$1,140.00
|
2026-05-22
|
|
43453
|
CPT
|
Biopsies Spinal Cord
|
2
|
2
|
$800.00
|
$800.00
|
$475.00
|
$1,764.00
|
$1,119.50
|
2026-05-22
|
|
47537
|
CPT
|
Thrombolytic Decloting Of Vasc
|
4
|
4
|
$125.00
|
$125.00
|
$840.00
|
$1,200.00
|
$1,110.00
|
2026-05-22
|
|
49442
|
CPT
|
Renal Superlective Bilateral
|
1
|
1
|
$800.00
|
$800.00
|
$1,094.00
|
$1,094.00
|
$1,094.00
|
2026-05-22
|
|
80418
|
CPT
|
Renin Stimulation Panel
|
4
|
4
|
$1,364.00
|
$1,364.00
|
$55.00
|
$1,375.00
|
$875.00
|
2026-05-22
|
|
78832
|
CPT
|
Tumor Imaging Mult Areas
|
4
|
4
|
$378.00
|
$378.00
|
$140.00
|
$1,450.00
|
$854.50
|
2026-05-22
|
|
49460
|
CPT
|
Revascularization Endovasc Ope
|
1
|
1
|
$500.00
|
$500.00
|
$840.00
|
$840.00
|
$840.00
|
2026-05-22
|
|
49452
|
CPT
|
Replac Duo/jejun Tube Perc
|
1
|
1
|
$1,200.00
|
$1,200.00
|
$840.00
|
$840.00
|
$840.00
|
2026-05-22
|
|
49451
|
CPT
|
Select Inno/cca W Cerv Cere Ex
|
1
|
1
|
$768.00
|
$768.00
|
$840.00
|
$840.00
|
$840.00
|
2026-05-22
|
|
49450
|
CPT
|
Transcath Stnt Cca W/dis Embo
|
1
|
1
|
$800.00
|
$800.00
|
$840.00
|
$840.00
|
$840.00
|
2026-05-22
|
|
44500
|
CPT
|
Tunneled <5 No Port,no Pump
|
1
|
1
|
$250.00
|
$250.00
|
$840.00
|
$840.00
|
$840.00
|
2026-05-22
|
|
78459
|
CPT
|
Vein X-ray Skull Epidural
|
2
|
2
|
$425.00
|
$425.00
|
$275.00
|
$1,316.00
|
$795.50
|
2026-05-22
|
|
49082
|
CPT
|
Tips Revision
|
4
|
4
|
$800.00
|
$800.00
|
$450.00
|
$875.00
|
$752.50
|
2026-05-22
|
|
72240
|
CPT
|
Removal/replace Ext Nephrouret
|
1
|
1
|
$800.00
|
$800.00
|
$742.00
|
$742.00
|
$742.00
|
2026-05-22
|
|
72270
|
CPT
|
Nephrostomy
|
1
|
1
|
$600.00
|
$600.00
|
$742.00
|
$742.00
|
$742.00
|
2026-05-22
|
|
72255
|
CPT
|
Removal Nephrostomy Tube Fluor
|
1
|
1
|
$800.00
|
$800.00
|
$742.00
|
$742.00
|
$742.00
|
2026-05-22
|
|
47490
|
CPT
|
Replace Cath Central Venous Ac
|
6
|
6
|
$800.00
|
$800.00
|
$630.00
|
$3,206.00
|
$725.00
|
2026-05-22
|
|
50020
|
CPT
|
Stent Placement W/pta Within
|
4
|
4
|
$500.00
|
$500.00
|
$650.00
|
$1,888.00
|
$725.00
|
2026-05-22
|
|
32557
|
CPT
|
Computed Tomography, Pelvis; W
|
6
|
6
|
$451.00
|
$451.00
|
$630.00
|
$1,850.00
|
$725.00
|
2026-05-22
|
|
49040
|
CPT
|
Angioplasty Central Dialysis S
|
2
|
2
|
$600.00
|
$600.00
|
$700.00
|
$750.00
|
$725.00
|
2026-05-22
|
|
32553
|
CPT
|
CT Lumbar Spine Without Contrast
|
6
|
6
|
$451.00
|
$451.00
|
$630.00
|
$1,850.00
|
$725.00
|
2026-05-22
|
|
32550
|
CPT
|
Computed Tomography, Thoracic
|
6
|
6
|
$486.00
|
$486.00
|
$630.00
|
$3,206.00
|
$725.00
|
2026-05-22
|
|
32551
|
CPT
|
Computed Tomography, Thoracic
|
4
|
4
|
$486.00
|
$486.00
|
$650.00
|
$1,484.00
|
$725.00
|
2026-05-22
|
|
49407
|
CPT
|
Inc Filter Retriveral (Removal
|
7
|
7
|
$800.00
|
$800.00
|
$630.00
|
$1,850.00
|
$700.00
|
2026-05-22
|
|
49406
|
CPT
|
Repositioning Vena Cava Filter
|
7
|
7
|
$650.00
|
$650.00
|
$630.00
|
$1,850.00
|
$700.00
|
2026-05-22
|
|
49405
|
CPT
|
Transcatheter Ivc Filter
|
7
|
7
|
$600.00
|
$600.00
|
$630.00
|
$1,850.00
|
$700.00
|
2026-05-22
|
|
49084
|
CPT
|
Venous Mech Tromb-day 1
|
7
|
7
|
$600.00
|
$600.00
|
$630.00
|
$1,850.00
|
$700.00
|
2026-05-22
|
|
49060
|
CPT
|
Dialysis Circ Permanet Vasc Em
|
3
|
3
|
$600.00
|
$600.00
|
$650.00
|
$750.00
|
$700.00
|
2026-05-22
|
|
49020
|
CPT
|
Thrombectomy/thromboly W/angio
|
3
|
3
|
$600.00
|
$600.00
|
$650.00
|
$750.00
|
$700.00
|
2026-05-22
|
|
47010
|
CPT
|
Nontunneled Picc Without (Chil<5)
|
3
|
3
|
$250.00
|
$250.00
|
$665.00
|
$750.00
|
$700.00
|
2026-05-22
|
|
32540
|
CPT
|
CT Neck Spine Without & With Contrast
|
5
|
5
|
$486.00
|
$486.00
|
$630.00
|
$1,850.00
|
$700.00
|
2026-05-22
|
|
32555
|
CPT
|
CT Lumbar Spine Without & With Contrast
|
6
|
6
|
$486.00
|
$486.00
|
$582.00
|
$1,850.00
|
$675.00
|
2026-05-22
|
|
32554
|
CPT
|
CT Lumbar Spine With Contrast
|
6
|
6
|
$486.00
|
$486.00
|
$582.00
|
$1,850.00
|
$675.00
|
2026-05-22
|
|
32552
|
CPT
|
CT Chest Spine Without & With Contrast
|
6
|
6
|
$486.00
|
$486.00
|
$582.00
|
$1,850.00
|
$675.00
|
2026-05-22
|
|
20225
|
CPT
|
CT Angiography Head
|
7
|
7
|
$540.00
|
$540.00
|
$450.00
|
$1,503.00
|
$665.00
|
2026-05-22
|
|
10160
|
CPT
|
CT Soft Tissue Neck Without Contrast
|
7
|
7
|
$901.00
|
$901.00
|
$370.00
|
$1,850.00
|
$665.00
|
2026-05-22
|
|
36578
|
CPT
|
Biopsy Muscle,percutneous
|
1
|
1
|
$100.00
|
$100.00
|
$665.00
|
$665.00
|
$665.00
|
2026-05-22
|
|
49083
|
CPT
|
Secondary Mech Thromb Suction
|
7
|
7
|
$600.00
|
$600.00
|
$475.00
|
$1,850.00
|
$665.00
|
2026-05-22
|
|
44900
|
CPT
|
Tunneled(5+ Older) No Port,pum
|
1
|
1
|
$300.00
|
$300.00
|
$665.00
|
$665.00
|
$665.00
|
2026-05-22
|
|
64490
|
CPT
|
Pancreas Pseudocyst Ext Drain
|
2
|
2
|
$600.00
|
$600.00
|
$475.00
|
$845.00
|
$660.00
|
2026-05-22
|
|
64479
|
CPT
|
Placement Choledochal Stent
|
2
|
2
|
$600.00
|
$600.00
|
$475.00
|
$845.00
|
$660.00
|
2026-05-22
|
|
62282
|
CPT
|
Plcmt Bile Duct Stent New Without
|
2
|
2
|
$600.00
|
$600.00
|
$475.00
|
$845.00
|
$660.00
|
2026-05-22
|
|
10030
|
CPT
|
CT Maxillofacial Without & With Contrast
|
6
|
6
|
$495.00
|
$495.00
|
$630.00
|
$1,850.00
|
$658.50
|
2026-05-22
|
|
78831
|
CPT
|
Tumor Imaging Limited Area
|
4
|
4
|
$378.00
|
$378.00
|
$140.00
|
$1,316.00
|
$657.50
|
2026-05-22
|
|
43450
|
CPT
|
Percutaneous Aspiration Spinal
|
2
|
2
|
$800.00
|
$800.00
|
$475.00
|
$840.00
|
$657.50
|
2026-05-22
|
|
78452
|
CPT
|
Vein X-ray Kidney
|
6
|
6
|
$425.00
|
$425.00
|
$275.00
|
$1,316.00
|
$655.00
|
2026-05-22
|
|
19000
|
CPT
|
2 Tunneled Cath 2 Access
|
1
|
1
|
$600.00
|
$600.00
|
$652.00
|
$652.00
|
$652.00
|
2026-05-22
|
|
10035
|
CPT
|
Extremity,unilateral Angiograp
|
1
|
1
|
$688.00
|
$688.00
|
$652.00
|
$652.00
|
$652.00
|
2026-05-22
|
|
19287
|
CPT
|
Ercp Naso Biliary/panc Tube
|
1
|
1
|
$3,200.00
|
$3,200.00
|
$652.00
|
$652.00
|
$652.00
|
2026-05-22
|
|
19285
|
CPT
|
Ercp Biliary Duct
|
1
|
1
|
$3,200.00
|
$3,200.00
|
$652.00
|
$652.00
|
$652.00
|
2026-05-22
|
|
19283
|
CPT
|
Ercp
|
1
|
1
|
$3,200.00
|
$3,200.00
|
$652.00
|
$652.00
|
$652.00
|
2026-05-22
|
|
32408
|
CPT
|
Computed Tomography, Cervical
|
3
|
3
|
$486.00
|
$486.00
|
$475.00
|
$1,503.00
|
$650.00
|
2026-05-22
|
|
32400
|
CPT
|
Computed Tomography, Cervical
|
5
|
5
|
$451.00
|
$451.00
|
$475.00
|
$1,503.00
|
$650.00
|
2026-05-22
|
|
78454
|
CPT
|
Bone Imaging Whole Body
|
5
|
5
|
$510.00
|
$510.00
|
$125.00
|
$1,316.00
|
$650.00
|
2026-05-22
|
|
38221
|
CPT
|
Endovenous Ablat Ther 1st Vein
|
3
|
3
|
$600.00
|
$600.00
|
$475.00
|
$1,503.00
|
$650.00
|
2026-05-22
|
|
20206
|
CPT
|
CT Soft Tissue Neck With Contrast
|
7
|
7
|
$451.00
|
$451.00
|
$450.00
|
$1,503.00
|
$650.00
|
2026-05-22
|
|
33016
|
CPT
|
CT Upper Extremity Without Contrast
|
3
|
3
|
$468.00
|
$468.00
|
$630.00
|
$1,484.00
|
$650.00
|
2026-05-22
|
|
71551
|
CPT
|
Dx Mammo Incl Cad Uni
|
7
|
7
|
$117.00
|
$117.00
|
$439.00
|
$742.00
|
$650.00
|
2026-05-22
|
|
10004
|
CPT
|
Intercostal Nerve Block,single
|
3
|
3
|
$600.00
|
$600.00
|
$475.00
|
$875.00
|
$650.00
|
2026-05-22
|
|
70549
|
CPT
|
3d Render W/intrp Postproces
|
7
|
7
|
$300.00
|
$300.00
|
$356.00
|
$715.00
|
$640.00
|
2026-05-22
|
|
77048
|
CPT
|
PET Image W/ct Full Body
|
4
|
4
|
$1,350.00
|
$1,350.00
|
$404.00
|
$752.00
|
$637.50
|
2026-05-22
|
|
72159
|
CPT
|
OB US Follow-up Per Fetus
|
6
|
6
|
$81.00
|
$81.00
|
$520.00
|
$730.00
|
$637.50
|
2026-05-22
|
|
77049
|
CPT
|
Tee Placem Transeso Probe Onl
|
4
|
4
|
$650.00
|
$650.00
|
$412.00
|
$752.00
|
$637.50
|
2026-05-22
|
|
74185
|
CPT
|
PET Image Ltd Area
|
6
|
6
|
$788.00
|
$788.00
|
$520.00
|
$715.00
|
$637.50
|
2026-05-22
|
|
73725
|
CPT
|
Emergency Room Level 4
|
6
|
6
|
$300.00
|
$300.00
|
$520.00
|
$715.00
|
$637.50
|
2026-05-22
|
|
70543
|
CPT
|
Echocardiography, Fetal, Cardi
|
7
|
7
|
$423.00
|
$423.00
|
$356.00
|
$715.00
|
$625.00
|
2026-05-22
|
|
70542
|
CPT
|
CT Hrt W/3d Image Congen
|
7
|
7
|
$250.00
|
$250.00
|
$356.00
|
$715.00
|
$625.00
|
2026-05-22
|
|
70540
|
CPT
|
CT Hrt W/3d Image
|
7
|
7
|
$250.00
|
$250.00
|
$227.00
|
$715.00
|
$625.00
|
2026-05-22
|
|
77046
|
CPT
|
PET Image W/ct Lmtd
|
5
|
5
|
$1,000.00
|
$1,000.00
|
$227.00
|
$715.00
|
$625.00
|
2026-05-22
|
|
70336
|
CPT
|
CT Hrt Without Contrast W/ca Test
|
7
|
7
|
$250.00
|
$250.00
|
$227.00
|
$715.00
|
$625.00
|
2026-05-22
|
|
72146
|
CPT
|
PET Image Skull-thigh
|
7
|
7
|
$2,100.00
|
$2,100.00
|
$227.00
|
$715.00
|
$625.00
|
2026-05-22
|
|
74181
|
CPT
|
Emergency Room Level 5
|
7
|
7
|
$300.00
|
$300.00
|
$227.00
|
$715.00
|
$625.00
|
2026-05-22
|
|
72141
|
CPT
|
Brain Imaging, Positron Emissi
|
7
|
7
|
$2,500.00
|
$2,500.00
|
$227.00
|
$715.00
|
$625.00
|
2026-05-22
|
|
72142
|
CPT
|
PET Image Ltd Area
|
7
|
7
|
$2,100.00
|
$2,100.00
|
$356.00
|
$730.00
|
$625.00
|
2026-05-22
|
|
72157
|
CPT
|
OB US Nuchal Meas 1 Gest
|
7
|
7
|
$188.00
|
$188.00
|
$356.00
|
$730.00
|
$625.00
|
2026-05-22
|
|
73221
|
CPT
|
US Exam Pelvic Limited
|
7
|
7
|
$74.00
|
$74.00
|
$227.00
|
$715.00
|
$625.00
|
2026-05-22
|
|
72195
|
CPT
|
Transvaginal US Obstetric
|
7
|
7
|
$81.00
|
$81.00
|
$227.00
|
$715.00
|
$625.00
|
2026-05-22
|
|
73720
|
CPT
|
US Guide Vascular Access
|
7
|
7
|
$125.00
|
$125.00
|
$356.00
|
$715.00
|
$625.00
|
2026-05-22
|
|
73722
|
CPT
|
Emergency Room Level 2
|
7
|
7
|
$300.00
|
$300.00
|
$543.00
|
$742.00
|
$625.00
|
2026-05-22
|
|
74182
|
CPT
|
Scr Mammo Bi Incl Cad
|
7
|
7
|
$225.00
|
$225.00
|
$356.00
|
$715.00
|
$625.00
|
2026-05-22
|
|
74183
|
CPT
|
Brain Imaging, Positron Emissi
|
7
|
7
|
$800.00
|
$800.00
|
$356.00
|
$715.00
|
$625.00
|
2026-05-22
|
|
60100
|
CPT
|
Inj Cholangiogram Existi Acces
|
6
|
6
|
$600.00
|
$600.00
|
$450.00
|
$875.00
|
$625.00
|
2026-05-22
|
|
77047
|
CPT
|
PET Image W/ct Skull-thigh
|
5
|
5
|
$1,250.00
|
$1,250.00
|
$227.00
|
$715.00
|
$625.00
|
2026-05-22
|
|
70544
|
CPT
|
CT Angio Abdominal Arteries
|
7
|
7
|
$540.00
|
$540.00
|
$227.00
|
$715.00
|
$625.00
|
2026-05-22
|
|
49185
|
CPT
|
Ins Endovas Vena Cava Filtr Ap
|
6
|
6
|
$800.00
|
$800.00
|
$450.00
|
$1,503.00
|
$625.00
|
2026-05-22
|
|
49180
|
CPT
|
Venous Mech Tromb Repeat Sub D
|
6
|
6
|
$600.00
|
$600.00
|
$475.00
|
$1,503.00
|
$625.00
|
2026-05-22
|
|
72147
|
CPT
|
PET Image Full Body
|
7
|
7
|
$2,100.00
|
$2,100.00
|
$356.00
|
$730.00
|
$625.00
|
2026-05-22
|
|
73223
|
CPT
|
US Transrectal
|
7
|
7
|
$96.00
|
$96.00
|
$356.00
|
$715.00
|
$625.00
|
2026-05-22
|
|
73219
|
CPT
|
Echo Exam Uterus
|
7
|
7
|
$75.00
|
$75.00
|
$356.00
|
$715.00
|
$625.00
|
2026-05-22
|
|
71552
|
CPT
|
Dx Mammo Incl Cad Bi
|
7
|
7
|
$124.00
|
$124.00
|
$356.00
|
$715.00
|
$625.00
|
2026-05-22
|
|
71550
|
CPT
|
US Exam Abdom Complete
|
7
|
7
|
$93.00
|
$93.00
|
$227.00
|
$715.00
|
$625.00
|
2026-05-22
|
|
73721
|
CPT
|
MRI Scan Of Leg Joint
|
7
|
7
|
$300.00
|
$300.00
|
$227.00
|
$715.00
|
$625.00
|
2026-05-22
|
|
72149
|
CPT
|
PET Image W/ct Skull-thigh
|
7
|
7
|
$4,050.00
|
$4,050.00
|
$356.00
|
$730.00
|
$625.00
|
2026-05-22
|
|
72156
|
CPT
|
PET Image W/ct Full Body
|
7
|
7
|
$4,600.00
|
$4,600.00
|
$356.00
|
$730.00
|
$625.00
|
2026-05-22
|
|
72148
|
CPT
|
MRI Scan Of Lower Spinal Canal
|
7
|
7
|
$2,300.00
|
$2,300.00
|
$227.00
|
$715.00
|
$625.00
|
2026-05-22
|
|
72196
|
CPT
|
Ventilation Assit Subsequent
|
7
|
7
|
$150.00
|
$150.00
|
$356.00
|
$715.00
|
$625.00
|
2026-05-22
|
|
73222
|
CPT
|
US Exam Scrotum
|
5
|
5
|
$68.00
|
$68.00
|
$543.00
|
$650.00
|
$625.00
|
2026-05-22
|
|
70553
|
CPT
|
MRI Scan
|
7
|
7
|
$930.00
|
$930.00
|
$356.00
|
$750.00
|
$625.00
|
2026-05-22
|
|
70552
|
CPT
|
US Compl Joint R-t W/img
|
7
|
7
|
$135.00
|
$135.00
|
$356.00
|
$730.00
|
$625.00
|
2026-05-22
|
|
70551
|
CPT
|
3d Render W/intrp Postproces
|
7
|
7
|
$300.00
|
$300.00
|
$227.00
|
$715.00
|
$625.00
|
2026-05-22
|
|
70547
|
CPT
|
CT Guide For Tissue Ablation
|
7
|
7
|
$263.00
|
$263.00
|
$227.00
|
$715.00
|
$625.00
|
2026-05-22
|
|
70546
|
CPT
|
CT Scan For Needle Biopsy
|
7
|
7
|
$500.00
|
$500.00
|
$356.00
|
$715.00
|
$625.00
|
2026-05-22
|
|
73723
|
CPT
|
Emergency Room Level 3
|
7
|
7
|
$300.00
|
$300.00
|
$330.00
|
$715.00
|
$620.00
|
2026-05-22
|
|
73719
|
CPT
|
US Lmtd Jt/nonvasc Xtr Strux
|
7
|
7
|
$131.00
|
$131.00
|
$356.00
|
$715.00
|
$620.00
|
2026-05-22
|
|
70548
|
CPT
|
CT Bone Density Axial
|
7
|
7
|
$275.00
|
$275.00
|
$350.00
|
$715.00
|
$620.00
|
2026-05-22
|
|
42400
|
CPT
|
Ins Non-tunneled Cen Cath <5
|
7
|
7
|
$500.00
|
$500.00
|
$450.00
|
$875.00
|
$600.00
|
2026-05-22
|
|
10010
|
CPT
|
Abdominal Aortogram Serialogra
|
5
|
5
|
$751.00
|
$751.00
|
$475.00
|
$875.00
|
$600.00
|
2026-05-22
|
|
72198
|
CPT
|
Echocardiography, Fetal, Cardi
|
6
|
6
|
$121.00
|
$121.00
|
$442.00
|
$715.00
|
$600.00
|
2026-05-22
|
|
20615
|
CPT
|
Computed Tomography, Thorax; W
|
7
|
7
|
$468.00
|
$468.00
|
$450.00
|
$875.00
|
$600.00
|
2026-05-22
|
|
62269
|
CPT
|
Exchange Biliary Drainage Cath
|
7
|
7
|
$600.00
|
$600.00
|
$450.00
|
$1,503.00
|
$600.00
|
2026-05-22
|
|
62268
|
CPT
|
Perc Placement Drain Cath Int
|
7
|
7
|
$400.00
|
$400.00
|
$450.00
|
$875.00
|
$600.00
|
2026-05-22
|
|
10006
|
CPT
|
Nerve Root Blk/transf L/sw/ima
|
5
|
5
|
$600.00
|
$600.00
|
$475.00
|
$875.00
|
$600.00
|
2026-05-22
|
|
10009
|
CPT
|
Thoracic Aortogram
|
7
|
7
|
$690.00
|
$690.00
|
$450.00
|
$875.00
|
$600.00
|
2026-05-22
|
|
50390
|
CPT
|
Revascularization, Endovascul
|
7
|
7
|
$600.00
|
$600.00
|
$450.00
|
$875.00
|
$600.00
|
2026-05-22
|
|
50200
|
CPT
|
Revas Endovas Perc Fem Pol W T
|
7
|
7
|
$500.00
|
$500.00
|
$450.00
|
$1,503.00
|
$600.00
|
2026-05-22
|
|
20220
|
CPT
|
CT Sft Tsue Nck Without & With Contrast
|
7
|
7
|
$954.00
|
$954.00
|
$450.00
|
$1,503.00
|
$600.00
|
2026-05-22
|
|
10008
|
CPT
|
Facet Inj Cerv/thor 2w/imaging
|
5
|
5
|
$600.00
|
$600.00
|
$475.00
|
$875.00
|
$600.00
|
2026-05-22
|
|
10005
|
CPT
|
Nerve Root Blk/trans C/t W/img
|
7
|
7
|
$600.00
|
$600.00
|
$450.00
|
$875.00
|
$600.00
|
2026-05-22
|
|
47000
|
CPT
|
Tunneled Port 5+ Older
|
7
|
7
|
$300.00
|
$300.00
|
$450.00
|
$1,503.00
|
$600.00
|
2026-05-22
|
|
71555
|
CPT
|
Scr Mammo Bi Incl Cad
|
6
|
6
|
$225.00
|
$225.00
|
$390.00
|
$715.00
|
$600.00
|
2026-05-22
|
|
73220
|
CPT
|
US Exam Pelvic Complete
|
6
|
6
|
$66.00
|
$66.00
|
$356.00
|
$650.00
|
$600.00
|
2026-05-22
|
|
10007
|
CPT
|
Facet Inj Cerv/thor 1w/imaging
|
7
|
7
|
$600.00
|
$600.00
|
$450.00
|
$875.00
|
$600.00
|
2026-05-22
|
|
36575
|
CPT
|
Transcatheter Therapy,emboliza
|
1
|
1
|
$1,250.00
|
$1,250.00
|
$582.00
|
$582.00
|
$582.00
|
2026-05-22
|
|
75801
|
CPT
|
Image Guided Collect Drain Cat
|
1
|
1
|
$600.00
|
$600.00
|
$582.00
|
$582.00
|
$582.00
|
2026-05-22
|
|
32562
|
CPT
|
Computed Tomography, Pelvis; W
|
1
|
1
|
$468.00
|
$468.00
|
$582.00
|
$582.00
|
$582.00
|
2026-05-22
|
|
94002
|
CPT
|
Biopsy Prostate
|
1
|
1
|
$500.00
|
$500.00
|
$581.00
|
$581.00
|
$581.00
|
2026-05-22
|
|
94003
|
CPT
|
Blood (Whole) Transfusion
|
1
|
1
|
$500.00
|
$500.00
|
$581.00
|
$581.00
|
$581.00
|
2026-05-22
|
|
70545
|
CPT
|
Cat Scan Follow-up Study
|
7
|
7
|
$300.00
|
$300.00
|
$356.00
|
$715.00
|
$575.00
|
2026-05-22
|
|
87633
|
CPT
|
N.gonorrhoeae DNA Quant
|
3
|
3
|
$419.00
|
$419.00
|
$56.00
|
$575.00
|
$573.00
|
2026-05-22
|
|
70557
|
CPT
|
US Guide Vascular Access
|
4
|
4
|
$125.00
|
$125.00
|
$390.00
|
$650.00
|
$568.00
|
2026-05-22
|
|
38505
|
CPT
|
Endovenous Ablat The Subs Vein
|
6
|
6
|
$600.00
|
$600.00
|
$450.00
|
$1,503.00
|
$562.50
|
2026-05-22
|
|
64420
|
CPT
|
Balloon Dilat Biliary Duct/amp
|
2
|
2
|
$600.00
|
$600.00
|
$475.00
|
$641.00
|
$558.00
|
2026-05-22
|
|
51710
|
CPT
|
Perc. Cholecystostomy
|
2
|
2
|
$600.00
|
$600.00
|
$475.00
|
$633.00
|
$554.00
|
2026-05-22
|
|
73718
|
CPT
|
US Compl Joint R-t W/img
|
4
|
4
|
$63.00
|
$63.00
|
$227.00
|
$625.00
|
$547.50
|
2026-05-22
|
|
64483
|
CPT
|
Injection(s) Of Anesthetic Into Lower Spine Using Imaging Guidance
|
4
|
4
|
$800.00
|
$800.00
|
$475.00
|
$845.00
|
$537.50
|
2026-05-22
|
|
62284
|
CPT
|
Plcmt Access Biliary Perc New
|
4
|
4
|
$600.00
|
$600.00
|
$450.00
|
$875.00
|
$537.50
|
2026-05-22
|
|
62270
|
CPT
|
Removal Biliary Drainage Cath
|
6
|
6
|
$600.00
|
$600.00
|
$450.00
|
$875.00
|
$537.50
|
2026-05-22
|
|
36589
|
CPT
|
Fistula Or Sinus Tract Study
|
2
|
2
|
$75.00
|
$75.00
|
$475.00
|
$582.00
|
$528.50
|
2026-05-22
|
|
73225
|
CPT
|
Echograp Trans R Pros Study
|
3
|
3
|
$62.00
|
$62.00
|
$421.00
|
$575.00
|
$520.00
|
2026-05-22
|
|
81528
|
CPT
|
Hla I Typing 1 Allele Hr
|
1
|
1
|
$407.00
|
$407.00
|
$509.00
|
$509.00
|
$509.00
|
2026-05-22
|
|
78121
|
CPT
|
Ampicillin 500mg Cap
|
1
|
1
|
$1.00
|
$1.00
|
$501.00
|
$501.00
|
$501.00
|
2026-05-22
|
|
78598
|
CPT
|
Heart Image Spect
|
1
|
1
|
$550.00
|
$550.00
|
$501.00
|
$501.00
|
$501.00
|
2026-05-22
|
|
93271
|
CPT
|
Mr Angiography Head Without Contrast
|
5
|
5
|
$1,000.00
|
$1,000.00
|
$75.00
|
$500.00
|
$500.00
|
2026-05-22
|
|
78451
|
CPT
|
Bone Imaging Limited Area
|
5
|
5
|
$333.00
|
$333.00
|
$220.00
|
$1,316.00
|
$480.00
|
2026-05-22
|
|
75736
|
CPT
|
Contrast Exam Thoracic Aorta
|
7
|
7
|
$1,200.00
|
$1,200.00
|
$160.00
|
$5,093.00
|
$480.00
|
2026-05-22
|
|
64491
|
CPT
|
Abscess Drainage Of Peritoneal
|
1
|
1
|
$600.00
|
$600.00
|
$475.00
|
$475.00
|
$475.00
|
2026-05-22
|
|
20600
|
CPT
|
Computed Tomography, Thorax; W
|
7
|
7
|
$451.00
|
$451.00
|
$275.00
|
$875.00
|
$475.00
|
2026-05-22
|
|
48102
|
CPT
|
Cath Dialysis Cir W/angio Sten
|
5
|
5
|
$600.00
|
$600.00
|
$450.00
|
$1,503.00
|
$475.00
|
2026-05-22
|
|
47015
|
CPT
|
Non Tunneled Picc(5+older)
|
1
|
1
|
$400.00
|
$400.00
|
$475.00
|
$475.00
|
$475.00
|
2026-05-22
|