Price Transparencybeta Hospital negotiated rates

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

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Hospital

FAULKTON AREA MEDICAL CENTER

Faulkton, SD · CCN 431301 · Rates published

1,107 distinct procedures filed
10 distinct payers
13,529 rate rows
2026-05-13 last MRF observed
Data quality

13,239 of 13,529 rate rows are consumer-grade (97.9%)

290 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 282
exceeds 10× this hospital's gross charge — excluded from medians 7
placeholder amount (≤ $0.02) — excluded from medians 1
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://faulktonmedical.org/wp-content/uploads/363317416_Faulkton-Area-Medical-Center_standardcharges.csv
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-05-18
Content fingerprint e5b396d5dd2c2816… · 1,759,304 bytes · first seen 2026-05-13

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
74178
CPT 		CT Abdomen And Pelvis With And Without Contrast 9 $6,001.60 $7,550.40 $7,550.40 nat. median
$979
outlier · 7.7×
73702
CPT 		CT Extremity Lower With And Without Contrast 9 $6,001.60 $7,550.40 $7,550.40 nat. median
$710
outlier · 10.6×
73202
CPT 		CT Extremity Upper With And Without Contrast 9 $6,001.60 $7,550.40 $7,550.40 nat. median
$725
outlier · 10.4×
73201
CPT 		CT Extremity Upper With Contrast 9 $5,066.95 $6,374.55 $6,374.55 nat. median
$827
outlier · 7.7×
71250
CPT 		CT Chest Without Cont 9 $4,430.68 $5,574.07 $5,574.07 nat. median
$473
outlier · 11.8×
74177
CPT 		CT Abdomen And Pelvis With Contrast 9 $3,446.43 $4,335.82 $4,335.82 nat. median
$928
outlier · 4.7×
74183
CPT 		MRI Abdomen With And Without Contrast 9 $3,388.30 $4,262.70 $4,262.70 nat. median
$1,102
outlier · 3.9×
74174
CPT 		CTA Abdomen And Pelvis 9 $3,374.35 $4,245.15 $4,245.15 nat. median
$959
outlier · 4.4×
72197
CPT 		MRI Pelvis With + Without Cont 9 $3,251.12 $4,090.12 $4,090.12 nat. median
$1,065
outlier · 3.8×
70491
CPT 		CT Neck With Contrast 9 $3,148.05 $3,960.45 $3,960.45 nat. median
$617
outlier · 6.4×
74170
CPT 		CT Abdomen With + Without Cont 9 $3,000.80 $3,775.20 $3,775.20 nat. median
$703
outlier · 5.4×
74176
CPT 		CT Abdomen +Pelvis With Oral Cont Only 9 $3,000.80 $3,775.20 $3,775.20 nat. median
$685
outlier · 5.5×
70470
CPT 		CT Head With And Without Contrast 9 $3,000.80 $3,775.20 $3,775.20 nat. median
$618
outlier · 6.1×
70492
CPT 		CT Neck With And Without Contrast 9 $3,000.80 $3,775.20 $3,775.20 nat. median
$634
outlier · 6.0×
72194
CPT 		CT Pelvis With And Without Contrast 9 $3,000.80 $3,775.20 $3,775.20 nat. median
$658
outlier · 5.7×
70488
CPT 		CT Maxillofacial With And Without Contrast 9 $3,000.80 $3,775.20 $3,775.20 nat. median
$634
outlier · 6.0×
71270
CPT 		CT Chest With + Without Cont 9 $3,000.80 $3,775.20 $3,775.20 nat. median
$661
outlier · 5.7×
73700
CPT 		CT Extremity Lower Without Contrast 9 $2,997.70 $3,771.30 $3,771.30 nat. median
$555
outlier · 6.8×
73200
CPT 		CT Extremity Upper (Elbow) Without Contrast 9 $2,997.70 $3,771.30 $3,771.30 nat. median
$548
outlier · 6.9×
95811
CPT 		95811 Sleep Study With Titration Charge 9 $2,900.05 $3,648.45 $3,648.45 nat. median
$2,026
1.8× median
52224
CPT 		Cysto With Fulgeration Less Than 0.5cm 9 $2,793.88 $3,514.88 $3,514.88 nat. median
$3,459
1.0× median
71260
CPT 		72160 CT Chest W/cont 9 $2,745.82 $3,454.43 $3,454.43 nat. median
$646
outlier · 5.3×
72129
CPT 		CT Tspine With Contrast 9 $2,722.57 $3,425.18 $3,425.18 nat. median
$584
outlier · 5.9×
73720
CPT 		MRI Femur With + Without Cont Lt 9 $2,718.70 $3,420.30 $3,420.30 nat. median
$1,190
outlier · 2.9×
73701
CPT 		CT Extremity Lower With Contrast (Left) 9 $2,664.45 $3,352.05 $3,352.05 nat. median
$710
outlier · 4.7×
70543
CPT 		MRI Orbit, Face And Neck With And Without Contrast 9 $2,652.82 $3,337.43 $3,337.43 nat. median
$1,079
outlier · 3.1×
72156
CPT 		MRI Cspine With And Without Contrast 9 $2,595.47 $3,265.28 $3,265.28 nat. median
$1,092
outlier · 3.0×
70553
CPT 		MRI Brain With And Without Contrast 9 $2,595.47 $3,265.28 $3,265.28 nat. median
$1,122
outlier · 2.9×
64633
CPT 		Dest. By Nuro Agent; Cerv/thora 9 $2,587.72 $3,255.53 $3,255.53 nat. median
$2,311
1.4× median
64634
CPT 		Dest. By Nuro Agent; Cerv/thor Add 9 $2,587.72 $3,255.53 $3,255.53 nat. median
$1,070
outlier · 3.0×
70481
CPT 		CT Iac With Cont 9 $2,541.22 $3,197.03 $3,197.03 nat. median
$630
outlier · 5.1×
72158
CPT 		MRI Lspine With And Without Contrast 9 $2,538.12 $3,193.12 $3,193.12 nat. median
$1,081
outlier · 3.0×
70496
CPT 		CT Angio Head 9 $2,504.03 $3,150.22 $3,150.22 nat. median
$729
outlier · 4.3×
70498
CPT 		CT Angio Neck 9 $2,496.28 $3,140.47 $3,140.47 nat. median
$722
outlier · 4.3×
73220
CPT 		MRI Elbow With + Without Cont Lt 9 $2,482.32 $3,122.93 $3,122.93 nat. median
$1,185
outlier · 2.6×
70549
CPT 		MRA-neck With And Without Contrast 9 $2,466.82 $3,103.43 $3,103.43 nat. median
$1,051
outlier · 3.0×
95810
CPT 		Sleep Study 9 $2,466.05 $3,102.45 $3,102.45 nat. median
$1,870
1.7× median
74181
CPT 		MRI Abdomen Without Contrast 9 $2,462.18 $3,097.57 $3,097.57 nat. median
$820
outlier · 3.8×
74182
CPT 		MRI Abdomen With Contrast 9 $2,462.18 $3,097.57 $3,097.57 nat. median
$991
outlier · 3.1×
95805
CPT 		Multiple Sleep Latency Test 9 $2,394.75 $3,012.75 $3,012.75 nat. median
$1,268
outlier · 2.4×
72195
CPT 		MRI Pelvis Without Contrast 9 $2,383.90 $2,999.10 $2,999.10 nat. median
$787
outlier · 3.8×
72132
CPT 		CT Lspine With Contrast 9 $2,324.22 $2,924.03 $2,924.03 nat. median
$760
outlier · 3.8×
75635
CPT 		CT Angio Abdomen + Lower Extremity W Run 9 $2,318.80 $2,917.20 $2,917.20 nat. median
$706
outlier · 4.1×
72157
CPT 		MRI Tspine With And Without Contrast 9 $2,304.85 $2,899.65 $2,899.65 nat. median
$1,094
outlier · 2.7×
63650
CPT 		Percutaneous Implantation Of A Neurostimulator Electrode Arr 9 $298.65 $5,870.18 $2,878.20 nat. median
$7,241
outlier · 0.4×
70547
CPT 		MRA-neck Without Contrast 9 $2,287.80 $2,878.20 $2,878.20 nat. median
$751
outlier · 3.8×
71275
CPT 		CTA Chest 9 $2,247.50 $2,827.50 $2,827.50 nat. median
$736
outlier · 3.8×
72193
CPT 		CT Pelvis With Contrast 9 $2,221.15 $2,794.35 $2,794.35 nat. median
$629
outlier · 4.4×
72126
CPT 		CT Cspine With Contrast 9 $2,211.85 $2,782.65 $2,782.65 nat. median
$755
outlier · 3.7×
72146
CPT 		MRI Tspine Without Contrast 9 $2,188.60 $2,753.40 $2,753.40 nat. median
$772
outlier · 3.6×

Other procedures at this hospital

Browse this hospital's 1,107 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
             
73202 CPT CT Extremity Upper With And Without Contrast 9 9 $7,744.00 $6,195.20 20% off $6,001.60 $7,550.40 $7,550.40 2026-05-13
73702 CPT CT Extremity Lower With And Without Contrast 9 9 $7,744.00 $6,195.20 20% off $6,001.60 $7,550.40 $7,550.40 2026-05-13
74178 CPT CT Abdomen And Pelvis With And Without Contrast 9 9 $7,744.00 $6,195.20 20% off $6,001.60 $7,550.40 $7,550.40 2026-05-13
73201 CPT CT Extremity Upper With Contrast 9 9 $6,538.00 $5,230.40 20% off $5,066.95 $6,374.55 $6,374.55 2026-05-13
71250 CPT CT Chest Without Cont 9 9 $5,717.00 $4,573.60 $4,430.68 $5,574.07 $5,574.07 2026-05-13
74177 CPT CT Abdomen And Pelvis With Contrast 9 9 $4,447.00 $3,557.60 20% off $3,446.43 $4,335.82 $4,335.82 2026-05-13
74183 CPT MRI Abdomen With And Without Contrast 9 9 $4,372.00 $3,497.60 20% off $3,388.30 $4,262.70 $4,262.70 2026-05-13
74174 CPT CTA Abdomen And Pelvis 9 9 $4,354.00 $3,483.20 20% off $3,374.35 $4,245.15 $4,245.15 2026-05-13
72197 CPT MRI Pelvis With + Without Cont 9 9 $4,195.00 $3,356.00 20% off $3,251.12 $4,090.12 $4,090.12 2026-05-13
70491 CPT CT Neck With Contrast 9 9 $4,062.00 $3,249.60 20% off $3,148.05 $3,960.45 $3,960.45 2026-05-13
72194 CPT CT Pelvis With And Without Contrast 9 9 $3,872.00 $3,097.60 20% off $3,000.80 $3,775.20 $3,775.20 2026-05-13
74170 CPT CT Abdomen With + Without Cont 9 9 $3,872.00 $3,097.60 20% off $3,000.80 $3,775.20 $3,775.20 2026-05-13
70470 CPT CT Head With And Without Contrast 9 9 $3,872.00 $3,097.60 20% off $3,000.80 $3,775.20 $3,775.20 2026-05-13
70488 CPT CT Maxillofacial With And Without Contrast 9 9 $3,872.00 $3,097.60 20% off $3,000.80 $3,775.20 $3,775.20 2026-05-13
71270 CPT CT Chest With + Without Cont 9 9 $3,872.00 $3,097.60 20% off $3,000.80 $3,775.20 $3,775.20 2026-05-13
70492 CPT CT Neck With And Without Contrast 9 9 $3,872.00 $3,097.60 20% off $3,000.80 $3,775.20 $3,775.20 2026-05-13
74176 CPT CT Abdomen +Pelvis With Oral Cont Only 9 9 $3,872.00 $3,097.60 20% off $3,000.80 $3,775.20 $3,775.20 2026-05-13
73200 CPT CT Extremity Upper (Elbow) Without Contrast 9 9 $3,868.00 $3,094.40 20% off $2,997.70 $3,771.30 $3,771.30 2026-05-13
73700 CPT CT Extremity Lower Without Contrast 9 9 $3,868.00 $3,094.40 20% off $2,997.70 $3,771.30 $3,771.30 2026-05-13
95811 CPT 95811 Sleep Study With Titration Charge 9 9 $3,742.00 $2,993.60 20% off $2,900.05 $3,648.45 $3,648.45 2026-05-13
52224 CPT Cysto With Fulgeration Less Than 0.5cm 9 9 $3,605.00 $2,884.00 20% off $2,793.88 $3,514.88 $3,514.88 2026-05-13
71260 CPT 72160 CT Chest W/cont 9 9 $3,543.00 $2,834.40 20% off $2,745.82 $3,454.43 $3,454.43 2026-05-13
72129 CPT CT Tspine With Contrast 9 9 $3,513.00 $2,810.40 20% off $2,722.57 $3,425.18 $3,425.18 2026-05-13
73720 CPT MRI Femur With + Without Cont Lt 9 9 $3,508.00 $2,806.40 20% off $2,718.70 $3,420.30 $3,420.30 2026-05-13
73701 CPT CT Extremity Lower With Contrast (Left) 9 9 $3,438.00 $2,750.40 20% off $2,664.45 $3,352.05 $3,352.05 2026-05-13
70543 CPT MRI Orbit, Face And Neck With And Without Contrast 9 9 $3,423.00 $2,738.40 20% off $2,652.82 $3,337.43 $3,337.43 2026-05-13
72156 CPT MRI Cspine With And Without Contrast 9 9 $3,349.00 $2,679.20 20% off $2,595.47 $3,265.28 $3,265.28 2026-05-13
70553 CPT MRI Brain With And Without Contrast 9 9 $3,349.00 $2,679.20 20% off $2,595.47 $3,265.28 $3,265.28 2026-05-13
64634 CPT Dest. By Nuro Agent; Cerv/thor Add 9 9 $3,339.00 $2,671.20 20% off $2,587.72 $3,255.53 $3,255.53 2026-05-13
64633 CPT Dest. By Nuro Agent; Cerv/thora 9 9 $3,339.00 $2,671.20 20% off $2,587.72 $3,255.53 $3,255.53 2026-05-13
70481 CPT CT Iac With Cont 9 9 $3,279.00 $2,623.20 20% off $2,541.22 $3,197.03 $3,197.03 2026-05-13
72158 CPT MRI Lspine With And Without Contrast 9 9 $3,275.00 $2,620.00 20% off $2,538.12 $3,193.12 $3,193.12 2026-05-13
70496 CPT CT Angio Head 9 9 $3,231.00 $2,584.80 $2,504.03 $3,150.22 $3,150.22 2026-05-13
70498 CPT CT Angio Neck 9 9 $3,221.00 $2,576.80 $2,496.28 $3,140.47 $3,140.47 2026-05-13
73220 CPT MRI Elbow With + Without Cont Lt 9 9 $3,203.00 $2,562.40 20% off $2,482.32 $3,122.93 $3,122.93 2026-05-13
70549 CPT MRA-neck With And Without Contrast 9 9 $3,183.00 $2,546.40 20% off $2,466.82 $3,103.43 $3,103.43 2026-05-13
95810 CPT Sleep Study 9 9 $3,182.00 $2,545.60 20% off $2,466.05 $3,102.45 $3,102.45 2026-05-13
74181 CPT MRI Abdomen Without Contrast 9 9 $3,177.00 $2,541.60 20% off $2,462.18 $3,097.57 $3,097.57 2026-05-13
74182 CPT MRI Abdomen With Contrast 9 9 $3,177.00 $2,541.60 20% off $2,462.18 $3,097.57 $3,097.57 2026-05-13
95805 CPT Multiple Sleep Latency Test 9 9 $3,090.00 $2,472.00 20% off $2,394.75 $3,012.75 $3,012.75 2026-05-13
72195 CPT MRI Pelvis Without Contrast 9 9 $3,076.00 $2,460.80 $2,383.90 $2,999.10 $2,999.10 2026-05-13
72132 CPT CT Lspine With Contrast 9 9 $2,999.00 $2,399.20 20% off $2,324.22 $2,924.03 $2,924.03 2026-05-13
75635 CPT CT Angio Abdomen + Lower Extremity W Run 9 9 $2,992.00 $2,393.60 20% off $2,318.80 $2,917.20 $2,917.20 2026-05-13
72157 CPT MRI Tspine With And Without Contrast 9 9 $2,974.00 $2,379.20 20% off $2,304.85 $2,899.65 $2,899.65 2026-05-13
63650 CPT Percutaneous Implantation Of A Neurostimulator Electrode Arr 16 9 $1,127.00 $957.95 $298.65 $5,870.18 $2,878.20 2026-05-13
70547 CPT MRA-neck Without Contrast 9 9 $2,952.00 $2,361.60 20% off $2,287.80 $2,878.20 $2,878.20 2026-05-13
71275 CPT CTA Chest 9 9 $2,900.00 $2,320.00 20% off $2,247.50 $2,827.50 $2,827.50 2026-05-13
72193 CPT CT Pelvis With Contrast 9 9 $2,866.00 $2,292.80 $2,221.15 $2,794.35 $2,794.35 2026-05-13
72126 CPT CT Cspine With Contrast 9 9 $2,854.00 $2,283.20 20% off $2,211.85 $2,782.65 $2,782.65 2026-05-13
72146 CPT MRI Tspine Without Contrast 9 9 $2,824.00 $2,259.20 20% off $2,188.60 $2,753.40 $2,753.40 2026-05-13
74175 CPT CT Angio Abdomen 9 9 $2,800.00 $2,240.00 20% off $2,170.00 $2,730.00 $2,730.00 2026-05-13
73723 CPT MRI Ankle With + Without Cont Lt 9 9 $2,768.00 $2,214.40 $2,145.20 $2,698.80 $2,698.80 2026-05-13
72149 CPT MRI Spinal Canal Lumbar With Contrast 9 9 $2,761.00 $2,208.80 $2,139.78 $2,691.97 $2,691.97 2026-05-13
72148 CPT MRI Lspine Without Contrast 9 9 $2,732.00 $2,185.60 20% off $2,117.30 $2,663.70 $2,663.70 2026-05-13
70540 CPT MRI Orbit, Face And Neck Without Contrast 9 9 $2,732.00 $2,185.60 20% off $2,117.30 $2,663.70 $2,663.70 2026-05-13
72141 CPT MRI Cspine Without Contrast 9 9 $2,730.00 $2,184.00 20% off $2,115.75 $2,661.75 $2,661.75 2026-05-13
70552 CPT MRI Brain With Contrast 9 9 $2,730.00 $2,184.00 20% off $2,115.75 $2,661.75 $2,661.75 2026-05-13
70460 CPT CT Head With Contrast 9 9 $2,715.00 $2,172.00 20% off $2,104.12 $2,647.12 $2,647.12 2026-05-13
70480 CPT CT Ear Out, Middle Or Inner Without 9 9 $2,710.00 $2,168.00 20% off $2,100.25 $2,642.25 $2,642.25 2026-05-13
73221 CPT MRI Elbow Without Cont Lt 9 9 $2,699.00 $2,159.20 20% off $2,091.72 $2,631.53 $2,631.53 2026-05-13
73219 CPT MRI Forearm With + Without Cont Lt 9 9 $2,683.00 $2,146.40 $2,079.32 $2,615.93 $2,615.93 2026-05-13
70544 CPT MRA-head Without Contrast 9 9 $2,573.00 $2,058.40 $1,994.08 $2,508.68 $2,508.68 2026-05-13
73721 CPT MRI Ankle Without Cont Lt 9 9 $2,570.00 $2,056.00 20% off $1,991.75 $2,505.75 $2,505.75 2026-05-13
72192 CPT CT Pelvis Without Contrast 9 9 $2,559.00 $2,047.20 20% off $1,983.22 $2,495.03 $2,495.03 2026-05-13
70551 CPT MRI Pituitary Without Contrast 9 9 $2,546.00 $2,036.80 20% off $1,973.15 $2,482.35 $2,482.35 2026-05-13
70450 CPT CT Head Without Contrast 9 9 $2,515.00 $2,012.00 20% off $1,949.12 $2,452.12 $2,452.12 2026-05-13
74160 CPT CT Abdomen With Contrast 9 9 $2,378.00 $1,902.40 $1,842.95 $2,318.55 $2,318.55 2026-05-13
45388 CPT Colonoscopy With Ablation - Physician 13 7 $1,597.00 $1,357.45 $265.30 $7,520.79 $2,261.03 2026-05-13
73718 CPT MRI Femur Without Cont Lt 9 9 $2,300.00 $1,840.00 20% off $1,782.50 $2,242.50 $2,242.50 2026-05-13
64530 CPT Famc Celiac Plexus 9 9 $2,267.00 $1,813.60 20% off $1,756.92 $2,210.32 $2,210.32 2026-05-13
78452 CPT Myocardial Thallium Stress Test 9 9 $2,234.00 $1,787.20 20% off $1,731.35 $2,178.15 $2,178.15 2026-05-13
74150 CPT CT Abdomen Without Contrast 9 9 $2,182.00 $1,745.60 20% off $1,691.05 $2,127.45 $2,127.45 2026-05-13
70487 CPT CT Maxillofacial With Contrast 9 9 $2,162.00 $1,729.60 20% off $1,675.55 $2,107.95 $2,107.95 2026-05-13
78071 CPT Parathyroid Scan With Spect 9 9 $1,997.00 $1,697.45 $1,547.67 $1,947.08 $1,947.08 2026-05-13
73218 CPT MRI Forearm Without Cont Lt 9 9 $1,979.00 $1,682.15 $1,533.72 $1,929.53 $1,929.53 2026-05-13
70486 CPT CT Maxillofacial Without Contrast 9 9 $1,969.00 $1,673.65 $1,525.97 $1,919.78 $1,919.78 2026-05-13
70490 CPT CT Neck Without Contrast 9 9 $1,934.00 $1,643.90 $1,498.85 $1,885.65 $1,885.65 2026-05-13
76380 CPT CT Scan Limited Study 9 9 $1,934.00 $1,643.90 $1,498.85 $1,885.65 $1,885.65 2026-05-13
72128 CPT CT Tspine Without Contrast 9 9 $1,934.00 $1,643.90 $1,498.85 $1,885.65 $1,885.65 2026-05-13
72125 CPT CT Cspine Without Contrast 9 9 $1,934.00 $1,643.90 $1,498.85 $1,885.65 $1,885.65 2026-05-13
72131 CPT CT Lspine Without Contrast 9 9 $1,934.00 $1,643.90 $1,498.85 $1,885.65 $1,885.65 2026-05-13
78070 CPT Parathyroid Scan-mobile 9 9 $1,797.00 $1,527.45 $1,392.67 $1,752.08 $1,752.08 2026-05-13
93303 CPT US Pediatric Echo Complete 9 9 $1,683.00 $1,430.55 $1,304.33 $1,640.92 $1,640.92 2026-05-13
93306 CPT Echo Complete 9 9 $1,683.00 $1,430.55 $1,304.33 $1,640.92 $1,640.92 2026-05-13
64479 CPT Injection Foramen Epidural C/t 9 9 $1,661.00 $1,411.85 $1,287.28 $1,619.47 $1,619.47 2026-05-13
78306 CPT Nm Bone Whole Body 9 9 $1,559.00 $1,325.15 $1,208.22 $1,520.03 $1,520.03 2026-05-13
64421 CPT Nerve Blk; Intercostal, Mult, Regional Charge 13 7 $803.00 $722.70 $24.63 $1,819.35 $1,446.15 2026-05-13
77075 CPT Osseous Survey Complete 9 9 $1,418.00 $1,205.30 $1,098.95 $1,382.55 $1,382.55 2026-05-13
64480 CPT Injection Foramen Epidural Additional 9 9 $1,416.00 $1,203.60 $1,097.40 $1,380.60 $1,380.60 2026-05-13
78227 CPT Hepatobiliary Scan (hida) 9 9 $1,408.00 $1,196.80 $1,091.20 $1,372.80 $1,372.80 2026-05-13
64492 CPT Famc 3rd Level Paravertebral Facet 9 9 $1,335.00 $1,134.75 $1,034.62 $1,301.62 $1,301.62 2026-05-13
64420 CPT Injection(s), Anesthetic Agent(s) And/or Steroid; Intercosta 9 9 $1,301.00 $1,105.85 $1,008.27 $1,268.47 $1,268.47 2026-05-13
78315 CPT Nm Bone Scan 9 9 $1,298.00 $1,103.30 $1,005.95 $1,265.55 $1,265.55 2026-05-13
43251 CPT ProFee - Removal Endoscopy By Snare 16 9 $920.00 $828.00 $192.40 $1,852.50 $1,245.24 2026-05-13
45384 CPT Colonoscopy Removal Tumor/polyp/les 9 9 $2,843.00 $2,274.40 $224.36 $1,505.25 $1,214.00 2026-05-13
13160 CPT Secondary Closure Surg Wound/dehsn 10 9 $1,741.00 $1,479.85 $461.37 $1,961.79 $1,211.58 2026-05-13
45385 CPT Colonoscopy/polyp Removal 16 9 $1,685.00 $1,432.25 $249.32 $2,216.18 $1,157.18 2026-05-13
59409 CPT Vaginal Delivery Only 16 9 $2,164.00 $1,731.20 20% off $573.46 $1,549.74 $1,151.47 2026-05-13
81400 CPT Facor V, R2 Mutation 9 9 $1,150.00 $977.50 $891.25 $1,121.25 $1,121.25 2026-05-13
45380 CPT Colonoscopy With Biopsy 16 9 $1,495.00 $1,270.75 $197.06 $2,410.20 $1,114.89 2026-05-13
36430 CPT Blood Administration 12 Hours 9 9 $1,096.00 $931.60 $849.40 $1,068.60 $1,068.60 2026-05-13
93350 CPT Stress Echocardiogram 9 9 $1,091.00 $927.35 $845.52 $1,063.72 $1,063.72 2026-05-13
93307 CPT Echocardiogram -2d Flow 9 9 $1,041.00 $884.85 $806.77 $1,014.98 $1,014.98 2026-05-13
64635 CPT Destroy Lumb/sac Facet Joint 16 9 $506.00 $455.40 $134.09 $3,255.53 $1,012.59 2026-05-13
64999 CPT Injection, Anesthetic Agent; Cervical Plexus 9 9 $1,028.00 $873.80 $796.70 $1,002.30 $1,002.30 2026-05-13
76700 CPT US Abdomen Complete 9 9 $1,006.00 $855.10 $779.65 $980.85 $980.85 2026-05-13
76641 CPT US Breast Comp Lt 9 9 $986.00 $887.40 $764.15 $961.35 $961.35 2026-05-13
71111 CPT Ribs Bilateral With Pa Chest, Minimum 4 Views 9 9 $983.00 $884.70 $761.83 $958.42 $958.42 2026-05-13
43239 CPT Egd With Biopsy 16 9 $1,682.00 $1,429.70 $136.48 $2,100.15 $949.84 2026-05-13
78014 CPT I123 Thyroid Uptake Scan 9 9 $974.00 $876.60 $754.85 $949.65 $949.65 2026-05-13
64624 CPT Destruction By Neurolytic Agent, Genicular Nerve Branches In 16 9 $1,130.00 $960.50 $145.13 $2,348.78 $948.66 2026-05-13
93970 CPT US Venous Bilateral Extremity 9 9 $968.00 $871.20 $750.20 $943.80 $943.80 2026-05-13
93271 CPT 30 Day Event Monitor-receiving Data 9 9 $961.00 $864.90 $744.77 $936.98 $936.98 2026-05-13
26160 CPT Excis Ganglion Cyst Hand,finger 9 9 $1,024.00 $870.40 $271.36 $1,580.41 $925.88 2026-05-13
25605 CPT Clos Tx Fx Distal Rad With Manip 16 9 $381.00 $342.90 $100.97 $1,358.72 $920.70 2026-05-13
76856 CPT US Pelvis 9 9 $937.00 $843.30 $726.17 $913.58 $913.58 2026-05-13
93880 CPT US Carotid Bilateral With Doppler 9 9 $932.00 $838.80 $722.30 $908.70 $908.70 2026-05-13
27310 CPT Exploration Of Knee Joint 13 7 $286.00 $257.40 $75.79 $1,810.70 $885.30 2026-05-13
71100 CPT Ribs Unilateral 2 Views 9 9 $896.00 $806.40 $694.40 $873.60 $873.60 2026-05-13
93925 CPT US Arterial Lower Extremity Bilateral 9 9 $893.00 $803.70 $692.08 $870.67 $870.67 2026-05-13
45378 CPT Colonoscopy Beyond Splenic Flex 16 9 $1,386.00 $1,178.10 $181.42 $2,341.95 $864.20 2026-05-13
76819 CPT US Fetal Biophys Profile Addl Gest 9 9 $867.00 $780.30 $671.92 $845.33 $845.33 2026-05-13
24076 CPT Excision, Tumor, Soft Tissue Less 5 Cm 9 9 $1,218.00 $1,035.30 $322.77 $1,341.25 $832.01 2026-05-13
93268 CPT Event Recording Up To 30 Days; External 9 9 $851.00 $765.90 $659.52 $829.73 $829.73 2026-05-13
13132 CPT Rep Lac Comp 2.6-7.5face,head,neck 16 9 $1,381.00 $1,173.85 $299.59 $1,224.33 $826.49 2026-05-13
38500 CPT ProFee Biopsy Or Excision Of Lymph Node(s); Open, Superficia 16 9 $800.00 $720.00 $212.00 $2,498.93 $818.12 2026-05-13
93975 CPT US Arterial Inflow/Venous Outflow: Complete 9 9 $820.00 $738.00 $635.50 $799.50 $799.50 2026-05-13
76642 CPT US Breast Ltd Lt 9 9 $820.00 $738.00 $635.50 $799.50 $799.50 2026-05-13
76870 CPT US Scrotum 9 9 $820.00 $738.00 $635.50 $799.50 $799.50 2026-05-13
76000 CPT Xr Fluoro C-arm Up To 1 HourXR Fluoro C-arm Up To 1 Hour 9 9 $819.00 $737.10 $634.73 $798.52 $798.52 2026-05-13
11646 CPT Excision Malignant Lesion Over 4.0 Cm 9 9 $1,172.00 $996.20 $310.58 $1,276.17 $793.38 2026-05-13
52204 CPT Cystourethroscopy, With Biopsy 9 9 $813.00 $731.70 $630.08 $792.67 $792.67 2026-05-13
32555 CPT 32555 Thoracentesis - Provider Fee 16 9 $518.00 $466.20 $106.52 $2,029.95 $792.23 2026-05-13
21930 CPT Excision Tumor Soft Tissue Back/flank 9 9 $1,129.00 $959.65 $299.19 $1,266.81 $783.00 2026-05-13
73564 CPT Knee 4+ Views With Sunrise 9 9 $790.00 $711.00 $612.25 $770.25 $770.25 2026-05-13
43235 CPT Egd Panendoscopy 16 9 $1,421.00 $1,207.85 $120.83 $2,094.30 $768.38 2026-05-13
93924 CPT Abi- Periph. Art. Study- Pre/post Exer. 9 9 $771.00 $693.90 $597.52 $751.73 $751.73 2026-05-13
27810 CPT Closed Tx Ankle Fracture With Manip 9 9 $1,076.00 $914.60 $285.14 $1,184.96 $735.05 2026-05-13
94660 CPT 94660 Cpap 9 9 $742.00 $667.80 $575.05 $723.45 $723.45 2026-05-13
73120 CPT Hand 2 Views 9 9 $732.00 $658.80 $567.30 $713.70 $713.70 2026-05-13
73130 CPT Hand Minimum 3 Views 9 9 $732.00 $658.80 $567.30 $713.70 $713.70 2026-05-13
73562 CPT Knee 3 Views 9 9 $732.00 $658.80 $567.30 $713.70 $713.70 2026-05-13
62370 CPT Electrical Analysis Implant Pump 9 9 $726.00 $653.40 $562.65 $707.85 $707.85 2026-05-13
26770 CPT Pf Treat Finger Dislocation 16 9 $259.00 $233.10 $68.64 $1,070.55 $704.26 2026-05-13
55250 CPT Vasectomy 9 9 $1,170.00 $994.50 $230.68 $904.49 $688.64 2026-05-13
93923 CPT Abi- Periph. Arterial Study 9 9 $702.00 $631.80 $544.05 $684.45 $684.45 2026-05-13
24605 CPT ER Closed Reduction Elbow With Anesth 9 9 $701.00 $630.90 $543.27 $683.48 $683.48 2026-05-13
73620 CPT Foot Ap Lateral 9 9 $698.00 $628.20 $540.95 $680.55 $680.55 2026-05-13
13151 CPT Rep Lac Com1.o-2.5lip,eyelid,nose,ea 16 9 $991.00 $891.90 $262.62 $1,095.05 $667.88 2026-05-13
93226 CPT Holter Monitor Scan Report 9 9 $684.00 $615.60 $530.10 $666.90 $666.90 2026-05-13
13131 CPT Rep Lac Comp 1.1-2.5face,hand,neck 16 9 $1,114.00 $946.90 $240.00 $1,008.93 $665.86 2026-05-13
13121 CPT Rep Lac Comp 2.6-7.5 Scalp,extremity 16 9 $1,044.00 $887.40 $255.65 $1,111.26 $664.95 2026-05-13
11626 CPT Excision; Malignant Lesion Over 4.0 Cm 9 9 $1,066.00 $906.10 $282.49 $1,028.29 $663.59 2026-05-13
69110 CPT Excision External Ear; Partial, Simple 9 9 $391.00 $351.90 $103.61 $1,220.46 $662.03 2026-05-13
73080 CPT Elbow Minimum 3 Views 9 9 $678.00 $610.20 $525.45 $661.05 $661.05 2026-05-13
87497 CPT Cmv DNA By Pcr, Quant 12 7 $851.00 $765.90 $29.97 $829.73 $659.52 2026-05-13
64788 CPT Excision Of Neurofibroma Or Neurolemmoma 9 9 $1,020.00 $867.00 $270.30 $996.62 $634.95 2026-05-13
23655 CPT Closed Tx Shoulder Disloc. With Anesth 16 9 $930.00 $837.00 $246.45 $1,022.60 $634.52 2026-05-13
76706 CPT US Aaa Screening 9 9 $650.00 $585.00 $503.75 $633.75 $633.75 2026-05-13
20103 CPT Wound Explor\extremi 5 5 $140.00 $126.00 $37.10 $1,324.00 $633.12 2026-05-13
49083 CPT Paracentesis Abd With Imaging 9 9 $1,183.00 $1,005.55 $103.86 $797.16 $631.60 2026-05-13
73590 CPT Tib/Fib Ap Lateral 9 9 $646.00 $581.40 $500.65 $629.85 $629.85 2026-05-13
93308 CPT Echo Limited 9 9 $645.00 $580.50 $499.88 $628.88 $628.88 2026-05-13
62321 CPT Therapeutic Injection-provider Fee 16 9 $253.00 $227.70 $67.05 $1,512.22 $628.11 2026-05-13
62323 CPT Injection - Lumbar/sacral With Image 16 9 $144.00 $129.60 $38.16 $1,346.47 $619.80 2026-05-13
11606 CPT 11606 Phys Excision, Malignant Lesions On The Skin 16 9 $396.00 $356.40 $104.94 $1,128.30 $616.62 2026-05-13
73610 CPT Ankle Minimum 3 Views 9 9 $632.00 $568.80 $489.80 $616.20 $616.20 2026-05-13
87633 CPT Respiratory Virus Panel By Pcr 15 9 $792.00 $712.80 $209.88 $772.20 $613.80 2026-05-13
73030 CPT Shoulder Complete Minimum 2 Views 9 9 $628.00 $565.20 $486.70 $612.30 $612.30 2026-05-13
11644 CPT 11644 Phys Exc Malignant Lesion Inc Margins, F/e/e/n/l 9 9 $856.00 $770.40 $226.84 $988.69 $607.76 2026-05-13
92950 CPT Cpr 16 9 $449.00 $404.10 $118.98 $926.25 $607.70 2026-05-13
52000 CPT Cystourethroscopy 9 9 $622.00 $559.80 $482.05 $606.45 $606.45 2026-05-13
72110 CPT L-spine Minimum 4 Views 9 9 $620.00 $558.00 $480.50 $604.50 $604.50 2026-05-13
62369 CPT Elect. Anlys Implanted Pain Pump 9 9 $615.00 $553.50 $476.62 $599.62 $599.62 2026-05-13
12020 CPT Treat/dehiscince Treatment Room 9 9 $613.00 $551.70 $475.07 $597.67 $597.67 2026-05-13
73060 CPT Humerus Minimum 2 Views 9 9 $610.00 $549.00 $472.75 $594.75 $594.75 2026-05-13
11446 CPT Excis Les. Face,ears,nose,lips 9 9 $737.00 $663.30 $195.31 $981.34 $588.33 2026-05-13
93931 CPT US Arterial Upper Extremity Unilateral (Left) 9 9 $603.00 $542.70 $467.32 $587.92 $587.92 2026-05-13
93926 CPT US Arterial Lower Extremity Unilateral (Left) 9 9 $603.00 $542.70 $467.32 $587.92 $587.92 2026-05-13
93971 CPT US Venous Unilateral Extremity (Left) 9 9 $603.00 $542.70 $467.32 $587.92 $587.92 2026-05-13
76881 CPT US Extremity Nonvascular Complete 9 9 $599.00 $539.10 $464.23 $584.02 $584.02 2026-05-13
45330 CPT Sigmoidoscopy 16 9 $1,125.00 $956.25 $56.26 $1,073.47 $579.38 2026-05-13
76536 CPT US Soft Tissue (Head And Neck) 9 9 $592.00 $532.80 $458.80 $577.20 $577.20 2026-05-13
87799 CPT Bk Virus Plasma 12 7 $741.00 $666.90 $29.97 $722.48 $574.27 2026-05-13
72052 CPT C-spine Complete; Oblique, Flex, Ext 9 9 $589.00 $530.10 $456.48 $574.27 $574.27 2026-05-13
76604 CPT US Soft Tissue Chest Wall 9 9 $589.00 $530.10 $456.48 $574.27 $574.27 2026-05-13
46050 CPT Id Perianal Abscess 9 9 $1,300.00 $1,105.00 $102.19 $688.10 $559.00 2026-05-13
99291 CPT Critical Care 30-74 Min Prov 16 9 $922.00 $829.80 $210.04 $1,315.28 $556.80 2026-05-13
26775 CPT Closed Treatment; Joint Disloc W Ane 9 9 $434.00 $390.60 $115.01 $995.34 $555.17 2026-05-13
96360 CPT IV Infusion Hydrat. 31 Min- 1hr - Emerg 9 9 $568.00 $511.20 $440.20 $553.80 $553.80 2026-05-13
74230 CPT Cine/Video Swallow Study 9 9 $565.00 $508.50 $437.88 $550.88 $550.88 2026-05-13
64454 CPT Genicular Nerve Block 16 9 $983.00 $884.70 $81.55 $1,200.22 $548.71 2026-05-13
73110 CPT Wrist Complete Minimum 3 Views 9 9 $562.00 $505.80 $435.55 $547.95 $547.95 2026-05-13
76775 CPT US Abdominal Aorta 9 9 $561.00 $504.90 $434.77 $546.98 $546.98 2026-05-13
76770 CPT US Renal Bilateral With Bladder 9 9 $560.00 $504.00 $434.00 $546.00 $546.00 2026-05-13
64520 CPT Injection For Nerve Block 16 9 $144.00 $129.60 $38.16 $1,512.22 $544.36 2026-05-13
73630 CPT Foot Minimum 3 Views (Left) 13 7 $349.00 $314.10 $14.25 $680.55 $540.95 2026-05-13
90375 CPT 90375 Rabies Immunoglobulin (Hyperrab) 300 Units/ML 8 8 $2,131.00 $1,704.80 20% off $278.24 $1,183.31 $539.82 2026-05-13
74022 CPT Abdomen Flat, Upright And Pa Chest 9 9 $553.00 $497.70 $428.57 $539.17 $539.17 2026-05-13
24640 CPT Closed Tx Nursemaid Elbow With Manip 16 9 $1,010.00 $858.50 $80.56 $856.05 $535.18 2026-05-13
11604 CPT Excision- Malignant Lesion 3.1-4.0 Cm 16 9 $794.00 $714.60 $210.41 $795.96 $534.75 2026-05-13
95991 CPT Refill/main Implt Pump/resvr Rx Dlvr 9 9 $544.00 $489.60 $421.60 $530.40 $530.40 2026-05-13
17106 CPT Destruction Of Cutaneous Vascular Prolif 9 9 $729.00 $656.10 $193.19 $867.10 $530.14 2026-05-13
45005 CPT 45005 Incision And Drainage Of Abscess; Rectum 9 9 $911.00 $819.90 $166.44 $798.94 $529.61 2026-05-13
11624 CPT 11624 Phys Exc S/N/H/F/G/Mal And Mrg 3.1-4 Cm 9 9 $750.00 $675.00 $198.75 $858.33 $528.54 2026-05-13
96365 CPT IV Infusion 1st Med Up To 1 Hour- ER 9 9 $541.00 $486.90 $419.27 $527.48 $527.48 2026-05-13
64483 CPT Injection(s), Anesthetic Agent And/or Steroid, Transforamina 17 9 $220.00 $198.00 $58.30 $1,418.62 $524.00 2026-05-13
24600 CPT Closed Tx Elbow Disloc 9 9 $407.00 $366.30 $107.86 $933.22 $520.54 2026-05-13
13120 CPT Rep Lac. Comp 1.1-2.5 Scalp,extremit 16 9 $788.00 $709.20 $208.82 $925.22 $519.67 2026-05-13
12045 CPT Lac Ext 12.6-20.0 Layer Hand Foot 16 9 $672.00 $604.80 $178.08 $1,037.67 $516.75 2026-05-13
64636 CPT Destroy L/s Facet Joint Additional 16 9 $137.00 $123.30 $36.30 $3,255.53 $516.48 2026-05-13
87901 CPT HIV-1 Genotyping Atl 15 9 $862.00 $775.80 $180.11 $840.45 $512.43 2026-05-13
71110 CPT Ribs Bilateral 3 Views 9 9 $525.00 $472.50 $406.88 $511.88 $511.88 2026-05-13
93930 CPT US Ue Art Duplex Bil: Complete Bilateral Study. 16 9 $983.00 $884.70 $58.80 $958.42 $511.07 2026-05-13
11643 CPT 11643 Phys Exc F/e/e/n/l Mal + Mrg 2.1-3 9 9 $805.00 $724.50 $213.32 $805.49 $509.40 2026-05-13
25600 CPT Clos Tx Fx Distal Radius No Manipula 16 9 $676.00 $608.40 $179.14 $860.45 $507.00 2026-05-13
19101 CPT Breast Biopsy, Incisional 9 9 $575.00 $517.50 $152.38 $861.01 $506.69 2026-05-13
93320 CPT Cardiac Doppler, Pw-cw 9 9 $515.00 $463.50 $399.12 $502.12 $502.12 2026-05-13
76376 CPT 3d Rendering With Interp Post Processing 9 9 $512.00 $460.80 $396.80 $499.20 $499.20 2026-05-13
12035 CPT Lac/lay/ext;12.6-20. 16 9 $654.00 $588.60 $173.31 $1,005.62 $498.23 2026-05-13
11426 CPT Excis Lesi Head,scalpneck Feet >4.0 10 9 $516.00 $464.40 $136.74 $846.09 $491.42 2026-05-13
72050 CPT Cervical Spine Minimum 4 Views 9 9 $500.00 $450.00 $387.50 $487.50 $487.50 2026-05-13
54001 CPT 54001 Slitting Of Prepuce Profee 16 9 $820.00 $738.00 $140.81 $1,517.10 $487.02 2026-05-13
11406 CPT 11406 Phys Tr-ext B9+marg>4.0 Cm - Famc 9 9 $632.00 $568.80 $167.48 $802.18 $484.83 2026-05-13
71101 CPT Ribs Unilateral With Pa Chest, Minimum 3 Views (Left) 9 9 $491.00 $441.90 $380.52 $478.73 $478.73 2026-05-13
26700 CPT Clos Tx Metacarpphlang Dislocation 9 9 $416.00 $374.40 $110.24 $842.34 $476.29 2026-05-13
33286 CPT Removal Of Patient Activated Cardiac Event Recorder 16 9 $883.00 $794.70 $83.88 $1,626.30 $474.61 2026-05-13
12054 CPT 12054 ER Lac Repair Face 7.6-12.5 Cm 16 9 $564.00 $507.60 $149.46 $990.98 $473.85 2026-05-13
96413 CPT Chemo Infusion 1 Hour 9 9 $486.00 $437.40 $376.65 $473.85 $473.85 2026-05-13
26010 CPT Id Deep Abcess,hematoma Finger Sim 10 9 $266.00 $239.40 $70.49 $872.89 $471.69 2026-05-13
70250 CPT Skull <4 Views 9 9 $483.00 $434.70 $374.32 $470.93 $470.93 2026-05-13
11043 CPT Skin Subcuta Tis Mus 9 9 $803.00 $722.70 $152.46 $589.53 $469.70 2026-05-13
36590 CPT Removal Tunneled Cv Cath 9 9 $479.00 $431.10 $371.23 $467.02 $467.02 2026-05-13
76705 CPT US Fast Scan (Limited Abdominal) 9 9 $473.00 $425.70 $366.57 $461.18 $461.18 2026-05-13
76830 CPT Famc US Pelvis Transvaginal 9 9 $470.00 $423.00 $364.25 $458.25 $458.25 2026-05-13
26725 CPT Closed Tx Of Phalangeal With Manipulation 16 9 $597.00 $537.30 $158.21 $865.04 $458.25 2026-05-13
76937 CPT 76937 US Guide Vascular Access 9 9 $464.00 $417.60 $359.60 $452.40 $452.40 2026-05-13
64490 CPT Nxj Dx/ther Agt Pvrt Face 16 9 $241.00 $216.90 $63.87 $1,301.62 $451.96 2026-05-13
73070 CPT Elbow Ap Lateral 9 9 $462.00 $415.80 $358.05 $450.45 $450.45 2026-05-13
23650 CPT Reduc Shoulder Dislo 16 9 $320.00 $288.00 $84.80 $813.50 $449.15 2026-05-13
73552 CPT Femur Ap Lateral 9 9 $458.00 $412.20 $354.95 $446.55 $446.55 2026-05-13
72040 CPT Cervical Spine Ap Lateral 9 9 $457.00 $411.30 $354.18 $445.57 $445.57 2026-05-13
73560 CPT Knee 1-2 Views 9 9 $456.00 $410.40 $353.40 $444.60 $444.60 2026-05-13
73600 CPT Ankle-ap Lateral 9 9 $454.00 $408.60 $351.85 $442.65 $442.65 2026-05-13
12044 CPT Lac Ext 7.6-12.5 Layer Hand Foot 16 9 $521.00 $468.90 $138.06 $981.09 $439.73 2026-05-13
23931 CPT Id Bursa,uparm,elbow 9 9 $261.00 $234.90 $69.17 $795.27 $432.22 2026-05-13
25560 CPT Fx Rad Ulnar Conserv 9 9 $452.00 $406.80 $119.78 $735.55 $427.67 2026-05-13
99285 CPT 99285 - Ed ProFee - High Mdm 16 9 $695.00 $625.50 $173.09 $745.88 $427.10 2026-05-13
96368 CPT IV Infusion 2nd Med Each Add Hr 9 9 $437.00 $393.30 $338.68 $426.07 $426.07 2026-05-13
96366 CPT IV Infusion 1st Med Each Add Hour- ER 9 9 $437.00 $393.30 $338.68 $426.07 $426.07 2026-05-13
76882 CPT US Extremity Limited 9 9 $437.00 $393.30 $338.68 $426.07 $426.07 2026-05-13
96374 CPT IV Push Med Init/single 9 9 $436.00 $392.40 $337.90 $425.10 $425.10 2026-05-13
72100 CPT L-spine Ap Lateral 9 9 $433.00 $389.70 $335.57 $422.18 $422.18 2026-05-13
72120 CPT L-spine Flex Ext Views 9 9 $433.00 $389.70 $335.57 $422.18 $422.18 2026-05-13
12052 CPT Lac Face 2.6-5.0cm 16 9 $511.00 $459.90 $135.41 $808.63 $422.18 2026-05-13
90679 CPT 90679 Arexvy Rsv Adult Vaccine 6 6 $840.00 $756.00 $222.60 $522.90 $420.07 2026-05-13
64493 CPT Para Vertebral Lumbar Joint 16 9 $207.00 $186.30 $54.85 $1,301.62 $416.71 2026-05-13
12034 CPT Lac/lay/ext;7.6-12.5 17 9 $564.00 $507.60 $149.46 $857.95 $416.32 2026-05-13
30117 CPT Removal Lesion, Intranasal 3 3 $201.00 $180.90 $53.27 $965.05 $416.09 2026-05-13
93922 CPT Toe Brachial Index 9 9 $425.00 $382.50 $329.38 $414.38 $414.38 2026-05-13
11642 CPT 11642 Exc Malig Face Ears 1 To 2cm Charge 9 9 $505.00 $454.50 $133.82 $689.37 $411.60 2026-05-13
76857 CPT US Bladder Only (Limited Or Follow Up) 9 9 $422.00 $379.80 $327.05 $411.45 $411.45 2026-05-13
73521 CPT Hips Bilateral Minimum 2 Views Each And Ap Pelvis 9 9 $421.00 $378.90 $326.27 $410.48 $410.48 2026-05-13
67700 CPT Under Incision Procedures On Eyelids 9 9 $202.00 $181.80 $53.53 $764.16 $408.85 2026-05-13
62368 CPT Analyze Sp Infusion Pump With Reprog 9 9 $417.00 $375.30 $323.18 $406.57 $406.57 2026-05-13
25500 CPT Rad Shaft Fx Conserv 9 9 $335.00 $301.50 $88.78 $721.29 $405.04 2026-05-13
24650 CPT Closed Tx Fx Radial Head Or Neck Nom 9 9 $491.00 $441.90 $130.12 $673.79 $401.95 2026-05-13
12042 CPT Lac Ext 2.6-7.5cm/layer Hand Foot 16 9 $546.00 $491.40 $144.69 $796.14 $398.77 2026-05-13
12032 CPT 12032 Phys Intermed Skin Closure 2.6cm-7.5cm 16 9 $619.00 $557.10 $164.03 $791.04 $398.77 2026-05-13
73551 CPT Femur 1 View 9 9 $404.00 $363.60 $313.10 $393.90 $393.90 2026-05-13
96367 CPT IV Infusion 1st Med;each Add. Hr 9 9 $403.00 $362.70 $312.32 $392.93 $392.93 2026-05-13
28190 CPT 28190 Removal Foreign Body Foot Subcutaneous ProFee 9 9 $645.00 $580.50 $133.15 $650.38 $391.76 2026-05-13
77073 CPT Bone Length Study 9 9 $399.00 $359.10 $309.23 $389.02 $389.02 2026-05-13
62320 CPT Epidural Steroid Injeciton 16 9 $253.00 $227.70 $67.05 $1,346.47 $388.04 2026-05-13
11622 CPT Excis 1.1-2.0cm/malig Neck Hand Foot 9 9 $447.00 $402.30 $118.45 $652.21 $385.33 2026-05-13
88307 CPT Pathology Level V (op) 16 9 $495.00 $445.50 $131.18 $510.63 $383.62 2026-05-13
92611 CPT Motion Fluoroscopy/swallow 9 9 $393.00 $353.70 $304.57 $383.18 $383.18 2026-05-13
0251U CPT 0251u Hepcidin IDx 11 7 $485.00 $436.50 $0.54 $472.88 $375.88 2026-05-13
80280 CPT Vedolizumab Quantitation With Antibodies, Serum 12 7 $480.00 $432.00 $19.67 $468.00 $372.00 2026-05-13
24065 CPT Biopsy Soft Tis Uparm Elbow Superfic 9 9 $261.00 $234.90 $69.17 $673.91 $371.54 2026-05-13
70220 CPT Sinuses Minimum 3 Views 9 9 $379.00 $341.10 $293.73 $369.52 $369.52 2026-05-13
12051 CPT Lac Face Under 2.5 16 9 $484.00 $435.60 $128.26 $728.48 $368.55 2026-05-13
87536 CPT HIV-1 RNA Quant Real-time Pcr Atl 9 9 $378.00 $340.20 $292.95 $368.55 $368.55 2026-05-13
11621 CPT 11621 Excision Malignant Lesion; 0.6cm To 1cm 9 9 $526.00 $473.40 $139.39 $593.18 $366.29 2026-05-13
36569 CPT 36569 Insj Prph Cvc Without Subq Port/pmp Age 5 Yr/> ProFee 16 9 $652.00 $586.80 $92.87 $552.83 $365.92 2026-05-13
74019 CPT Abdomen Decub/Flat Or Upright 9 9 $375.00 $337.50 $290.62 $365.62 $365.62 2026-05-13
90675 CPT 90675 Rabies Vaccine (Imovax Rabies Vaccine) 2.5 Units 9 8 $967.00 $870.30 $256.25 $601.96 $361.59 2026-05-13
90710 CPT 90710 Ped MMR/Varicella Vaccine w/Diluent (proquad) 8 8 $786.00 $707.40 $208.29 $489.29 $360.55 2026-05-13
73010 CPT Scapula Complete 2 Views 9 9 $366.00 $329.40 $283.65 $356.85 $356.85 2026-05-13
77067 CPT Mammogram Screening Bilateral With Cad 9 9 $364.00 $327.60 $282.10 $354.90 $354.90 2026-05-13
32554 CPT 32554 Thoracentesis W/out Imaging Profee 10 9 $507.00 $456.30 $86.88 $618.91 $352.89 2026-05-13
70210 CPT Sinuses <3 Views 9 9 $361.00 $324.90 $279.77 $351.98 $351.98 2026-05-13
70030 CPT Waters View; Detection Of Foreign Body 9 9 $361.00 $324.90 $279.77 $351.98 $351.98 2026-05-13
11443 CPT 11443 Phys Exc Face-mm B9+marg 2.1 To 3cm 17 9 $452.00 $406.80 $104.14 $582.01 $350.89 2026-05-13
71130 CPT Sternoclavicular Joints 9 9 $359.00 $323.10 $278.23 $350.02 $350.02 2026-05-13
10180 CPT I D Post-op Wound\complex 16 9 $529.00 $476.10 $140.19 $663.46 $349.05 2026-05-13
99483 CPT 99483 Cognitive Assessment Care Plan Service 6 6 $66.00 $59.40 $17.49 $466.00 $349.04 2026-05-13
93225 CPT Holter Monitor 24 Hr. 13 7 $449.00 $404.10 $18.31 $437.77 $347.98 2026-05-13
62367 CPT Elect Anlys Implt Without Reprog/refil 9 9 $356.00 $320.40 $275.90 $347.10 $347.10 2026-05-13
27096 CPT Injection Sacroiliac Joint With Im. Guid 17 9 $253.00 $227.70 $67.05 $2,837.25 $347.00 2026-05-13
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