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

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Hospital

DOUGLAS COUNTY MEMORIAL HOSPITAL-CAH

Armour, SD · CCN 431305 · Rates published

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You selected 29916 (CPT)

This facility hasn’t published a payer-negotiated rate for this exact code. See its full rate list below.

1,396 distinct procedures filed
4 distinct payers
47,352 rate rows
2026-01-09 last MRF observed
Data quality

28,288 of 47,352 rate rows are consumer-grade (59.7%)

19,064 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
professional (physician) fee — not the facility price 19,012
percent-of-charges filed in the dollar field — excluded from medians 40
per-diem day rate — not a per-procedure price 8
exceeds 10× this hospital's gross charge — excluded from medians 4
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/8041/460400557_douglas-county-memorial-hospital_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/DouglasCountyMemorialHospital/8041
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-22
Content fingerprint d17f7666eb153078… · 13,067,437 bytes · first seen 2026-05-09

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
J2350
HCPCS 		Ocrelizumab Soln For IV Infusion 300 Mg/10ml 4 $10,236.74 $20,891.30 $19,585.60 nat. median
$518
outlier · 37.8×
74174
CPT 		CTA Abd Pelvis W Contrast+wo If Perform 4 $3,586.31 $7,319.00 $6,861.56 nat. median
$988
outlier · 6.9×
74178
CPT 		CT Abd Pelvis Wo Then W Cont 4 $3,386.88 $6,912.00 $6,480.00 nat. median
$1,024
outlier · 6.3×
74177
CPT 		CT Abd Pelvis W Contrast 4 $3,355.52 $6,848.00 $6,420.00 nat. median
$972
outlier · 6.6×
J0517
HCPCS 		Benralizumab Subcutaneous Soln Prefilled Syringe 30 Mg/ml 4 $3,065.11 $6,255.32 $5,864.36 nat. median
$919
outlier · 6.4×
74176
CPT 		CT Abd Pelvis Wo Contrast 4 $3,038.00 $6,200.00 $5,812.50 nat. median
$694
outlier · 8.4×
J2506
HCPCS 		Pegfilgrastim Soln Prefilled Syringe 6 Mg/0.6ml 4 $3,023.72 $6,170.86 $5,785.18 nat. median
$1,651
outlier · 3.5×
J2353
HCPCS 		Octreotide Acetate For IM Inj Kit 30 Mg 4 $2,692.43 $7,129.73 $5,494.75 nat. median
$5,568
1.0× median
95811
CPT 		Sleep Study Splt Nght 95811 4 $2,780.75 $5,675.00 $5,320.31 nat. median
$1,894
outlier · 2.8×
70543
CPT 		MRI Face Neck Orb Wo Then W Cont 4 $2,663.15 $5,435.00 $5,095.31 nat. median
$1,083
outlier · 4.7×
78452
CPT 		Nm Myocardial Spect Mult Stdy 4 $2,656.78 $5,422.00 $5,083.12 nat. median
$1,815
outlier · 2.8×
95810
CPT 		Psg 4+ Parameters 4 $2,628.85 $5,365.00 $5,029.69 nat. median
$1,827
outlier · 2.8×
72158
CPT 		MRI L Spine Wo Then W Cont 4 $2,579.85 $5,265.00 $4,935.94 nat. median
$1,090
outlier · 4.5×
72157
CPT 		MRI T Spine Wo Then W Cont 4 $2,577.40 $5,260.00 $4,931.25 nat. median
$1,103
outlier · 4.5×
72149
CPT 		MRI L Spine W Contrast 4 $2,573.97 $5,253.00 $4,924.69 nat. median
$976
outlier · 5.0×
70549
CPT 		MRA Neck Wo Then W Cont 4 $2,534.28 $5,172.00 $4,848.75 nat. median
$1,054
outlier · 4.6×
70553
CPT 		MRI Brain Wo Then W Cont 4 $2,503.90 $5,110.00 $4,790.62 nat. median
$1,132
outlier · 4.2×
72156
CPT 		MRI C Spine Wo Then W Cont 4 $2,472.05 $5,045.00 $4,729.69 nat. median
$1,103
outlier · 4.3×
36475
CPT 		Surg 36475 Endoven Abltj Incmptnt Vein Xtr Rf 1st Vein 4 $2,457.35 $5,015.00 $4,701.56 nat. median
$4,061
1.2× median
72148
CPT 		MRI L Spine Wo Contrast 4 $2,450.00 $5,000.00 $4,687.50 nat. median
$804
outlier · 5.8×
73723
CPT 		MRI Lower Ext Jt Wo Then W Cont 4 $2,391.20 $4,880.00 $4,575.00 nat. median
$1,191
outlier · 3.8×
70544
CPT 		MRA Head Wo Contrast 4 $2,391.20 $4,880.00 $4,575.00 nat. median
$824
outlier · 5.5×
73220
CPT 		MRI Upper Ext Wo Then W Cont 4 $2,391.20 $4,880.00 $4,575.00 nat. median
$1,128
outlier · 4.1×
73221
CPT 		MRI Upper Ext Jt Wo Contrast 4 $2,384.83 $4,867.00 $4,562.81 nat. median
$842
outlier · 5.4×
72146
CPT 		MRI T Spine Wo Contrast 4 $2,381.40 $4,860.00 $4,556.25 nat. median
$794
outlier · 5.7×
72141
CPT 		MRI C Spine Wo Contrast 4 $2,276.05 $4,645.00 $4,354.69 nat. median
$778
outlier · 5.6×
J1306
HCPCS 		Inclisiran Sodium Subcutaneous Soln Pref Syr 284 Mg/1.5ml 4 $2,263.22 $4,618.81 $4,330.14 nat. median
$45
outlier · 97.2×
71552
CPT 		MRI Chest Wo Then W Cont 4 $2,244.20 $4,580.00 $4,293.75 nat. median
$1,097
outlier · 3.9×
70546
CPT 		MRA Head Wo Then W Cont 4 $2,239.30 $4,570.00 $4,284.38 nat. median
$1,068
outlier · 4.0×
37766
CPT 		Surg 37766 Stab Phlebt Varicose Veins 1 Xtr > 20 Incs 4 $2,184.91 $4,459.00 $4,180.31 nat. median
$3,725
1.1× median
73720
CPT 		MRI Lower Ext Wo Then W Cont 4 $2,183.93 $4,457.00 $4,178.44 nat. median
$1,125
outlier · 3.7×
73718
CPT 		MRI Lower Ext Wo Contrast 4 $2,180.50 $4,450.00 $4,171.88 nat. median
$866
outlier · 4.8×
73706
CPT 		CTA Ext Lower W Cont +wo If Perf 4 $2,179.52 $4,448.00 $4,170.00 nat. median
$740
outlier · 5.6×
73721
CPT 		MRI Lower Ext Jt Wo Contrast 4 $2,094.75 $4,275.00 $4,007.81 nat. median
$852
outlier · 4.7×
72195
CPT 		MRI Pelvis Wo Contrast 4 $2,079.56 $4,244.00 $3,978.75 nat. median
$804
outlier · 4.9×
73218
CPT 		MRI Up Ext Wo Cont 4 $2,079.56 $4,244.00 $3,978.75 nat. median
$860
outlier · 4.6×
78451
CPT 		Nm Myocardial Spect Sngl Stdy 4 $2,052.12 $4,188.00 $3,926.25 nat. median
$1,547
outlier · 2.5×
71275
CPT 		CTA Chest Wcont +wo If Perf 4 $2,022.23 $4,127.00 $3,869.06 nat. median
$753
outlier · 5.1×
70547
CPT 		MRA Neck Wo Contrast 4 $2,014.39 $4,111.00 $3,854.06 nat. median
$760
outlier · 5.1×
72132
CPT 		CT Lumbar Spine W Cont 4 $1,987.44 $4,056.00 $3,802.50 nat. median
$765
outlier · 5.0×
J2182
HCPCS 		Mepolizumab For Inj 100 Mg 4 $1,920.62 $3,919.63 $3,674.65 nat. median
$2,795
1.3× median
70498
CPT 		CT Angio Neck W Con+wo If Perf 4 $1,918.35 $3,915.00 $3,670.31 nat. median
$736
outlier · 5.0×
70496
CPT 		CTA Head W Cont Wo If Perf 4 $1,918.35 $3,915.00 $3,670.31 nat. median
$746
outlier · 4.9×
70551
CPT 		MRI Brain Wo Contrast 4 $1,885.03 $3,847.00 $3,606.56 nat. median
$782
outlier · 4.6×
73701
CPT 		CT Ext Lower W Cont 4 $1,854.65 $3,785.00 $3,548.44 nat. median
$668
outlier · 5.3×
72131
CPT 		CT Lumbar Spine Wo Cont 4 $1,836.03 $3,747.00 $3,512.81 nat. median
$457
outlier · 7.7×
74170
CPT 		CT Abdomen Wo Then W Cont 4 $1,831.62 $3,738.00 $3,504.38 nat. median
$710
outlier · 4.9×
71260
CPT 		CT Thorax Diagnostic With Contrast 4 $1,809.57 $3,693.00 $3,462.19 nat. median
$648
outlier · 5.3×
21601
CPT 		Excision Of Chest Wall Tumor Inc Rib(s) 4 $1,793.40 $3,660.00 $3,431.25 nat. median
$3,387
1.0× median
73206
CPT 		CTA Ext Upper Wcont+wo If Perf 4 $1,787.03 $3,647.00 $3,419.06 nat. median
$686
outlier · 5.0×

Other procedures at this hospital

Browse this hospital's 1,396 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
             
J2350 HCPCS Ocrelizumab Soln For IV Infusion 300 Mg/10ml 12 4 $20,891.30 $17,757.61 $10,236.74 $20,891.30 $19,585.60 2026-01-09
74174 CPT CTA Abd Pelvis W Contrast+wo If Perform 12 4 $7,319.00 $6,221.15 $3,586.31 $7,319.00 $6,861.56 2026-01-09
74178 CPT CT Abd Pelvis Wo Then W Cont 12 4 $6,912.00 $5,875.20 $3,386.88 $6,912.00 $6,480.00 2026-01-09
74177 CPT CT Abd Pelvis W Contrast 12 4 $6,848.00 $5,820.80 $3,355.52 $6,848.00 $6,420.00 2026-01-09
J0517 HCPCS Benralizumab Subcutaneous Soln Prefilled Syringe 30 Mg/ml 12 4 $6,255.32 $5,317.03 $3,065.11 $6,255.32 $5,864.36 2026-01-09
74176 CPT CT Abd Pelvis Wo Contrast 12 4 $6,200.00 $5,270.00 $3,038.00 $6,200.00 $5,812.50 2026-01-09
J2506 HCPCS Pegfilgrastim Soln Prefilled Syringe 6 Mg/0.6ml 12 4 $6,170.86 $5,245.24 $3,023.72 $6,170.86 $5,785.18 2026-01-09
J2353 HCPCS Octreotide Acetate For IM Inj Kit 30 Mg 22 4 $7,129.73 $6,060.28 $2,692.43 $7,129.73 $5,494.75 2026-01-09
95811 CPT Sleep Study Splt Nght 95811 12 4 $5,675.00 $4,823.75 $2,780.75 $5,675.00 $5,320.31 2026-01-09
70543 CPT MRI Face Neck Orb Wo Then W Cont 12 4 $5,435.00 $4,619.75 $2,663.15 $5,435.00 $5,095.31 2026-01-09
78452 CPT Nm Myocardial Spect Mult Stdy 12 4 $5,422.00 $4,608.70 $2,656.78 $5,422.00 $5,083.12 2026-01-09
95810 CPT Psg 4+ Parameters 12 4 $5,365.00 $4,560.25 $2,628.85 $5,365.00 $5,029.69 2026-01-09
72158 CPT MRI L Spine Wo Then W Cont 12 4 $5,265.00 $4,475.25 $2,579.85 $5,265.00 $4,935.94 2026-01-09
72157 CPT MRI T Spine Wo Then W Cont 12 4 $5,260.00 $4,471.00 $2,577.40 $5,260.00 $4,931.25 2026-01-09
72149 CPT MRI L Spine W Contrast 12 4 $5,253.00 $4,465.05 $2,573.97 $5,253.00 $4,924.69 2026-01-09
70549 CPT MRA Neck Wo Then W Cont 12 4 $5,172.00 $4,396.20 $2,534.28 $5,172.00 $4,848.75 2026-01-09
70553 CPT MRI Brain Wo Then W Cont 12 4 $5,110.00 $4,343.50 $2,503.90 $5,110.00 $4,790.62 2026-01-09
72156 CPT MRI C Spine Wo Then W Cont 12 4 $5,045.00 $4,288.25 $2,472.05 $5,045.00 $4,729.69 2026-01-09
36475 CPT Surg 36475 Endoven Abltj Incmptnt Vein Xtr Rf 1st Vein 12 4 $5,015.00 $4,262.75 $2,457.35 $5,015.00 $4,701.56 2026-01-09
72148 CPT MRI L Spine Wo Contrast 12 4 $5,000.00 $4,250.00 $2,450.00 $5,000.00 $4,687.50 2026-01-09
73723 CPT MRI Lower Ext Jt Wo Then W Cont 12 4 $4,880.00 $4,148.00 $2,391.20 $4,880.00 $4,575.00 2026-01-09
70544 CPT MRA Head Wo Contrast 12 4 $4,880.00 $4,148.00 $2,391.20 $4,880.00 $4,575.00 2026-01-09
73220 CPT MRI Upper Ext Wo Then W Cont 12 4 $4,880.00 $4,148.00 $2,391.20 $4,880.00 $4,575.00 2026-01-09
73221 CPT MRI Upper Ext Jt Wo Contrast 12 4 $4,867.00 $4,136.95 $2,384.83 $4,867.00 $4,562.81 2026-01-09
72146 CPT MRI T Spine Wo Contrast 12 4 $4,860.00 $4,131.00 $2,381.40 $4,860.00 $4,556.25 2026-01-09
72141 CPT MRI C Spine Wo Contrast 12 4 $4,645.00 $3,948.25 $2,276.05 $4,645.00 $4,354.69 2026-01-09
J1306 HCPCS Inclisiran Sodium Subcutaneous Soln Pref Syr 284 Mg/1.5ml 12 4 $4,618.81 $3,925.99 $2,263.22 $4,618.81 $4,330.14 2026-01-09
71552 CPT MRI Chest Wo Then W Cont 12 4 $4,580.00 $3,893.00 $2,244.20 $4,580.00 $4,293.75 2026-01-09
70546 CPT MRA Head Wo Then W Cont 12 4 $4,570.00 $3,884.50 $2,239.30 $4,570.00 $4,284.38 2026-01-09
37766 CPT Surg 37766 Stab Phlebt Varicose Veins 1 Xtr > 20 Incs 12 4 $4,459.00 $3,790.15 $2,184.91 $4,459.00 $4,180.31 2026-01-09
73720 CPT MRI Lower Ext Wo Then W Cont 12 4 $4,457.00 $3,788.45 $2,183.93 $4,457.00 $4,178.44 2026-01-09
73718 CPT MRI Lower Ext Wo Contrast 12 4 $4,450.00 $3,782.50 $2,180.50 $4,450.00 $4,171.88 2026-01-09
73706 CPT CTA Ext Lower W Cont +wo If Perf 12 4 $4,448.00 $3,780.80 $2,179.52 $4,448.00 $4,170.00 2026-01-09
73721 CPT MRI Lower Ext Jt Wo Contrast 12 4 $4,275.00 $3,633.75 $2,094.75 $4,275.00 $4,007.81 2026-01-09
72195 CPT MRI Pelvis Wo Contrast 12 4 $4,244.00 $3,607.40 $2,079.56 $4,244.00 $3,978.75 2026-01-09
73218 CPT MRI Up Ext Wo Cont 12 4 $4,244.00 $3,607.40 $2,079.56 $4,244.00 $3,978.75 2026-01-09
78451 CPT Nm Myocardial Spect Sngl Stdy 12 4 $4,188.00 $3,559.80 $2,052.12 $4,188.00 $3,926.25 2026-01-09
71275 CPT CTA Chest Wcont +wo If Perf 12 4 $4,127.00 $3,507.95 $2,022.23 $4,127.00 $3,869.06 2026-01-09
70547 CPT MRA Neck Wo Contrast 12 4 $4,111.00 $3,494.35 $2,014.39 $4,111.00 $3,854.06 2026-01-09
72132 CPT CT Lumbar Spine W Cont 12 4 $4,056.00 $3,447.60 $1,987.44 $4,056.00 $3,802.50 2026-01-09
J2182 HCPCS Mepolizumab For Inj 100 Mg 12 4 $3,919.63 $3,331.69 $1,920.62 $3,919.63 $3,674.65 2026-01-09
70498 CPT CT Angio Neck W Con+wo If Perf 12 4 $3,915.00 $3,327.75 $1,918.35 $3,915.00 $3,670.31 2026-01-09
70496 CPT CTA Head W Cont Wo If Perf 12 4 $3,915.00 $3,327.75 $1,918.35 $3,915.00 $3,670.31 2026-01-09
70551 CPT MRI Brain Wo Contrast 12 4 $3,847.00 $3,269.95 $1,885.03 $3,847.00 $3,606.56 2026-01-09
73701 CPT CT Ext Lower W Cont 12 4 $3,785.00 $3,217.25 $1,854.65 $3,785.00 $3,548.44 2026-01-09
72131 CPT CT Lumbar Spine Wo Cont 12 4 $3,747.00 $3,184.95 $1,836.03 $3,747.00 $3,512.81 2026-01-09
74170 CPT CT Abdomen Wo Then W Cont 12 4 $3,738.00 $3,177.30 $1,831.62 $3,738.00 $3,504.38 2026-01-09
71260 CPT CT Thorax Diagnostic With Contrast 12 4 $3,693.00 $3,139.05 $1,809.57 $3,693.00 $3,462.19 2026-01-09
21601 CPT Excision Of Chest Wall Tumor Inc Rib(s) 12 4 $3,660.00 $3,111.00 $1,793.40 $3,660.00 $3,431.25 2026-01-09
73206 CPT CTA Ext Upper Wcont+wo If Perf 12 4 $3,647.00 $3,099.95 $1,787.03 $3,647.00 $3,419.06 2026-01-09
72193 CPT CT Pelvis W Contrast 12 4 $3,626.00 $3,082.10 $1,776.74 $3,626.00 $3,399.38 2026-01-09
36478 CPT Per-q Endovenous Laser Ablate Incompetent Extrem Vein Ws&i Monitr 1st 12 4 $3,584.00 $3,046.40 $1,756.16 $3,584.00 $3,360.00 2026-01-09
72125 CPT CT Cervical Spine Wo Contrast 12 4 $3,497.00 $2,972.45 $1,713.53 $3,497.00 $3,278.44 2026-01-09
73700 CPT CT Ext Lower Wo Cont 12 4 $3,497.00 $2,972.45 $1,713.53 $3,497.00 $3,278.44 2026-01-09
72192 CPT CT Pelvis Wo Contrast 12 4 $3,497.00 $2,972.45 $1,713.53 $3,497.00 $3,278.44 2026-01-09
90377 CPT Rabies Immune Globulin (Human) Inj 1500 Unt/10ML(150 Unt/ML) 12 4 $3,443.75 $2,927.19 $1,687.44 $3,443.75 $3,228.51 2026-01-09
47605 CPT Cholecystectomy Wcholangiography 12 4 $3,394.00 $2,884.90 $1,663.06 $3,394.00 $3,181.88 2026-01-09
72128 CPT CT Thoracic Spine Wo Cont 12 4 $3,366.00 $2,861.10 $1,649.34 $3,366.00 $3,155.62 2026-01-09
70480 CPT CT Orbit Sella Fossa Ear Wo Contrast 12 4 $3,351.00 $2,848.35 $1,641.99 $3,351.00 $3,141.56 2026-01-09
70491 CPT CT Soft Tissue Neck W Contrast 12 4 $3,351.00 $2,848.35 $1,641.99 $3,351.00 $3,141.56 2026-01-09
70481 CPT CT Orbit Sella Fossa Ear W Contrast 12 4 $3,326.00 $2,827.10 $1,629.74 $3,326.00 $3,118.12 2026-01-09
70540 CPT MRI Face Neck Orb Wo Contrast 12 4 $3,326.00 $2,827.10 $1,629.74 $3,326.00 $3,118.12 2026-01-09
70487 CPT CT Maxillofacial W Cont 12 4 $3,280.00 $2,788.00 $1,607.20 $3,280.00 $3,075.00 2026-01-09
74160 CPT CT Abdomen W Contrast 12 4 $3,270.00 $2,779.50 $1,602.30 $3,270.00 $3,065.62 2026-01-09
72127 CPT CT Cerv Spine Wo Then W Cont 12 4 $3,259.00 $2,770.15 $1,596.91 $3,259.00 $3,055.31 2026-01-09
G0390 HCPCS Trauma Activation Full W Ccare 12 4 $3,250.00 $2,762.50 $1,592.50 $3,250.00 $3,046.88 2026-01-09
71250 CPT CT Thorax Diagnostic Wo Contrast 12 4 $3,250.00 $2,762.50 $1,592.50 $3,250.00 $3,046.88 2026-01-09
71270 CPT CT Thorax Diagnostic Wo Then W Contrast 12 4 $3,147.00 $2,674.95 $1,542.03 $3,147.00 $2,950.31 2026-01-09
72126 CPT CT Cervical Spine W Contrast 12 4 $3,137.00 $2,666.45 $1,537.13 $3,137.00 $2,940.94 2026-01-09
47564 CPT Laparoscopy Surgical Cholecystectomy Wexploration Of Common Duct 8 3 $3,299.00 $2,804.15 $1,616.51 $3,299.00 $2,927.86 2026-01-09
J0897 HCPCS Denosumab Inj 120 Mg/1.7ml 22 4 $4,302.20 $3,656.87 $1,425.38 $4,302.20 $2,908.94 2026-01-09
64490 CPT Ed 64490 Inj Agnt Joint Cer Thr 1st Lvl 18 4 $3,140.00 $2,669.00 $1,461.67 $3,140.00 $2,904.50 2026-01-09
70470 CPT CT Head Wo Then W Contrast 12 4 $3,081.00 $2,618.85 $1,509.69 $3,081.00 $2,888.44 2026-01-09
90375 CPT Rabies Immune Globulin Rig Human Per 150 Iu 12 4 $3,000.00 $2,550.00 $1,470.00 $3,000.00 $2,812.50 2026-01-09
70450 CPT CT Head Wo Contrast 12 4 $3,000.00 $2,550.00 $1,470.00 $3,000.00 $2,812.50 2026-01-09
73200 CPT CT Ext Upper Wo Cont 12 4 $3,000.00 $2,550.00 $1,470.00 $3,000.00 $2,812.50 2026-01-09
70486 CPT CT Maxillofacial Wo Cont 12 4 $2,967.00 $2,521.95 $1,453.83 $2,967.00 $2,781.56 2026-01-09
C8929 HCPCS Echo Wwo Fol Wcont 2d Complete 12 4 $2,789.00 $2,370.65 $1,366.61 $2,789.00 $2,614.69 2026-01-09
93306 CPT Echo (2d) Complete W Doppler & Color 12 4 $2,749.00 $2,336.65 $1,347.01 $2,749.00 $2,577.19 2026-01-09
23073 CPT Exc Tumor Shlder Subfac 5cm+ 12 4 $2,615.00 $2,222.75 $1,281.35 $2,615.00 $2,451.56 2026-01-09
J1950 HCPCS Leuprolide Acetate For Inj Kit 3.75 Mg 12 4 $2,591.51 $2,202.79 $1,269.84 $2,591.51 $2,429.54 2026-01-09
73201 CPT CT Ext Upper W Cont 12 4 $2,591.00 $2,202.35 $1,269.59 $2,591.00 $2,429.06 2026-01-09
49594 CPT Rpr Aa Hernia 1st 3-10 Cm Incarcerated Strangulated 12 4 $2,536.00 $2,155.60 $1,242.64 $2,536.00 $2,377.50 2026-01-09
45382 CPT Colonoscopy Flexible Proximal To Splenic Flexure Wcontrol Bleeding 8 3 $2,667.00 $2,266.95 $1,306.83 $2,667.00 $2,366.96 2026-01-09
78227 CPT Nm Hepatobiliary Img Incl Gallbladder W Pharm Intv 12 4 $2,474.00 $2,102.90 $1,212.26 $2,474.00 $2,319.38 2026-01-09
74150 CPT CT Abdomen Wo Contrast 12 4 $2,454.00 $2,085.90 $1,202.46 $2,454.00 $2,300.62 2026-01-09
45171 CPT Exc Rectal Tmr 12 4 $2,395.00 $2,035.75 $1,173.55 $2,395.00 $2,245.31 2026-01-09
70490 CPT CT Soft Tissue Neck Wo Con 12 4 $2,387.00 $2,028.95 $1,169.63 $2,387.00 $2,237.81 2026-01-09
97012 CPT Traction Mechanical 97012 12 4 $2,384.00 $2,026.40 $1,168.16 $2,384.00 $2,235.00 2026-01-09
45398 CPT Colonoscopy Flexible Wb& Ligation(s)(eg Hemorrhoids) 8 3 $2,510.00 $2,133.50 $1,229.90 $2,510.00 $2,227.62 2026-01-09
64520 CPT Inj Anesthetic Agent Lumbar Thoracic (paravert Sympathetic) 18 4 $2,510.00 $2,133.50 $1,168.16 $2,510.00 $2,205.20 2026-01-09
90378 CPT Palivizumab IM Soln 50 Mg/0.5ml 22 4 $2,225.13 $2,002.62 $1,090.31 $3,563.40 $2,158.38 2026-01-09
21933 CPT Exc Tumor Soft Tiss Subq 5cm+ 12 4 $2,301.00 $1,955.85 $1,127.49 $2,301.00 $2,157.19 2026-01-09
93350 CPT Echocardiography Transthoracic Real-time 2d Cardiovascular Stress Test 22 4 $2,388.00 $2,029.80 $1,081.92 $2,388.00 $2,141.76 2026-01-09
94667 CPT CPT Initial 12 4 $2,256.00 $1,917.60 $1,105.44 $2,256.00 $2,115.00 2026-01-09
26160 CPT Exc Lesn Tendon Sheath Joint Capsule Hand Finger 12 4 $2,249.00 $1,911.65 $1,102.01 $2,249.00 $2,108.44 2026-01-09
47563 CPT Laparoscopy Surgical Cholecystectomy Wcholangiography 8 3 $2,353.00 $2,000.05 $1,152.97 $2,353.00 $2,088.29 2026-01-09
78582 CPT Nm Pulm Ventilation And Perfusion Img 12 4 $2,224.00 $1,890.40 $1,089.76 $2,224.00 $2,085.00 2026-01-09
0110 RC Routine Room & Board 24 4 $2,163.00 $1,838.55 $1,326.85 $2,497.00 $2,076.48 2026-01-09
45385 CPT Colonoscopy Flexible Wremvl Lesn Snare 8 3 $2,327.00 $1,977.95 $1,140.23 $2,327.00 $2,065.21 2026-01-09
76770 CPT Ultrasound Retroperitoneum B-scan Real Time Comp 12 4 $2,195.00 $1,865.75 $1,075.55 $2,195.00 $2,057.81 2026-01-09
43249 CPT Egd Wballoon Dil 12 4 $2,175.00 $1,848.75 $1,065.75 $2,175.00 $2,039.06 2026-01-09
25565 CPT Closed Treat Radial & Ulnar Shaft Fxs Wmanip 12 4 $2,163.00 $1,838.55 $1,059.87 $2,163.00 $2,027.81 2026-01-09
26735 CPT Open Tx Phalangeal Shaft Fx Proximal Middle Phalanx Finger Thumb Wwo 12 4 $2,113.00 $1,796.05 $1,035.37 $2,113.00 $1,980.94 2026-01-09
97110 CPT Ther Exercise Ea 15 Min 97110 12 4 $2,109.00 $1,792.65 $1,033.41 $2,109.00 $1,977.19 2026-01-09
75635 CPT CTA Abd Ao & Ext W Contrast+wo If Perform 12 4 $2,099.00 $1,784.15 $1,028.51 $2,099.00 $1,967.81 2026-01-09
47562 CPT Laparoscopy Surgical Cholecystectomy 12 4 $2,091.00 $1,777.35 $1,024.59 $2,091.00 $1,960.31 2026-01-09
45384 CPT Colonoscopy Flexible Wremvl Lesn Hot Forceps 8 3 $2,197.00 $1,867.45 $1,076.53 $2,197.00 $1,949.84 2026-01-09
49592 CPT Rpr Aa Hernia 1st < 3 Cm Incarcerated Strangulated 8 3 $2,168.00 $1,842.80 $1,062.32 $2,168.00 $1,924.10 2026-01-09
94010 CPT Pft Screen Spirometry (no Bd) 12 4 $2,042.00 $1,735.70 $1,000.58 $2,042.00 $1,914.38 2026-01-09
14001 CPT Adj Tissue Xfer Rearrange Trunk Defect 10.1-30.0 Sq Cm 12 4 $2,039.00 $1,733.15 $999.11 $2,039.00 $1,911.56 2026-01-09
0120 RC Semi Private Room 16 4 $2,001.50 $1,701.28 $1,456.90 $2,289.00 $1,829.83 2026-01-09
37765 CPT Stab Phlebectomy Varicose Veins 1 Extremity <20 Incisions 12 4 $1,941.00 $1,649.85 $951.09 $1,941.00 $1,819.69 2026-01-09
99291 CPT Ed 99291 Critical Care E&m 30-74 Min 18 4 $2,127.00 $1,807.95 $512.54 $2,127.00 $1,807.95 2026-01-09
97530 CPT Ther Activities Ea15 Min 97530 12 4 $1,909.00 $1,622.65 $935.41 $1,909.00 $1,789.69 2026-01-09
25605 CPT Ed 25605 Clsd Tx Distal Radial Wmanip 18 4 $1,873.00 $1,685.70 $917.77 $2,081.00 $1,779.35 2026-01-09
62321 CPT Tx Rm 62321 Inj Il Ndl Cath Cerv Thor W Guid 18 4 $2,010.00 $1,708.50 $935.41 $2,010.00 $1,765.83 2026-01-09
64633 CPT Tx Rm 64633 Destroy Cerv Thor Facet Jnt 22 4 $3,580.00 $3,043.00 $567.91 $3,580.00 $1,754.20 2026-01-09
36569 CPT Surg 36569 Insertion Picc Without Img Gdn 5 Yr/> 12 4 $1,857.00 $1,578.45 $909.93 $1,857.00 $1,740.94 2026-01-09
27552 CPT Closed Treat Knee Dislocation Requiring Anes 12 4 $1,856.00 $1,577.60 $909.44 $1,856.00 $1,740.00 2026-01-09
64483 CPT Ed 64483 Inj Epidural Lumb Single 18 4 $1,975.00 $1,678.75 $919.24 $1,975.00 $1,735.30 2026-01-09
45380 CPT Colonoscopy Flexible Proximal To Splenic Flexure Wbx Sngl Multiple 8 3 $1,944.00 $1,652.40 $952.56 $1,944.00 $1,725.30 2026-01-09
11772 CPT Exc Pilonidal Cyst Sinus Cmpl 12 4 $1,830.00 $1,555.50 $896.70 $1,830.00 $1,715.62 2026-01-09
93926 CPT Duplex Art Lower Ext Unilat Ltd 12 4 $1,828.00 $1,553.80 $895.72 $1,828.00 $1,713.75 2026-01-09
97033 CPT Iontophoresis 15 Min 97033 12 4 $1,780.00 $1,513.00 $872.20 $1,780.00 $1,668.75 2026-01-09
93975 CPT Duplex Abd Pelvis Retroperitoneal Cmpl 32 4 $1,730.00 $1,470.50 $842.31 $3,401.00 $1,666.96 2026-01-09
49505 CPT Rpr Initial Inguinal Hernia Age 5+ Reducible 12 4 $1,778.00 $1,511.30 $871.22 $1,778.00 $1,666.88 2026-01-09
97760 CPT Orthotics Mgmt&train Initial 15min 97760 12 4 $1,762.00 $1,497.70 $863.38 $1,762.00 $1,651.88 2026-01-09
Q4186 HCPCS Allo Epifix 2x4cm=8sqcm 12 4 $1,757.00 $1,493.45 $860.93 $1,757.00 $1,647.19 2026-01-09
78315 CPT Nm Bone And Or Jnt Img 3 Phase Stdy 12 4 $1,747.00 $1,484.95 $856.03 $1,747.00 $1,637.81 2026-01-09
93880 CPT Duplex Scan Extracranial Arteries Comp Bilat Study 22 4 $1,682.00 $1,513.80 $824.18 $2,351.00 $1,631.54 2026-01-09
27825 CPT Closed Tx Fx Wt Bearing Articular Portion Distal Tibia Wskeletal Trac 12 4 $1,705.00 $1,449.25 $835.45 $1,705.00 $1,598.44 2026-01-09
97112 CPT Neuromusc Re Ed Ea 15min 97112 12 4 $1,695.00 $1,440.75 $830.55 $1,695.00 $1,589.06 2026-01-09
43239 CPT Upper Gi Endoscopy Wbx Sngl Multiple 8 3 $1,788.00 $1,519.80 $876.12 $1,788.00 $1,586.85 2026-01-09
Q4187 HCPCS Allo Umblcl Epicord 6sqcm 12 4 $1,685.00 $1,432.25 $825.65 $1,685.00 $1,579.69 2026-01-09
93970 CPT Duplex Scan Veins Extremity Comp Bilat Study 22 4 $1,625.00 $1,462.50 $796.25 $2,384.00 $1,576.25 2026-01-09
27788 CPT Closed Treat Distal Fibular Fx (lat Malleolus) Wmanip 12 4 $1,673.00 $1,422.05 $819.77 $1,673.00 $1,568.44 2026-01-09
45378 CPT Colonoscpy Flexible Proximal To Splenic Flexure Dx Wwo Specimens Colo 8 3 $1,736.00 $1,475.60 $850.64 $1,736.00 $1,540.70 2026-01-09
45381 CPT Colonoscpy Flexible Proximal To Splenic Flexure Wdirected Submucosa I 8 3 $1,725.00 $1,466.25 $845.25 $1,725.00 $1,530.94 2026-01-09
62273 CPT Anes Fac Epidural Blood Patch 18 4 $1,780.00 $1,513.00 $632.59 $1,780.00 $1,513.00 2026-01-09
95912 CPT Nrv Conduction Test 11-12 Studies 12 4 $1,608.00 $1,366.80 $787.92 $1,608.00 $1,507.50 2026-01-09
J7300 HCPCS Intraut Copper Contraceptive Paragard 12 4 $1,569.00 $1,333.65 $768.81 $1,569.00 $1,470.94 2026-01-09
97535 CPT Slfcr Home Mgmt Trn15min 97535 12 4 $1,566.00 $1,331.10 $767.34 $1,566.00 $1,468.12 2026-01-09
J1569 HCPCS Immune Globulin (Human) IV Or Subcutaneous Soln 30 Gm/300ml 42 4 $2,374.80 $2,018.58 $413.41 $3,312.20 $1,437.40 2026-01-09
76705 CPT Ultrasound Abdominal B-scan & Or Real Time Wimage Documentation Ltd 12 4 $1,529.00 $1,299.65 $749.21 $1,529.00 $1,433.44 2026-01-09
0750 RC Colonoscopy 52 4 $1,584.00 $1,346.40 $13.23 $3,918.00 $1,425.60 2026-01-09
36430 CPT Transfusion Blood 12 4 $1,517.00 $1,289.45 $743.33 $1,517.00 $1,422.19 2026-01-09
76700 CPT Ultrasound Abdominal B-scan & Or Real Time Wimage Documentatn Comp 12 4 $1,510.00 $1,283.50 $739.90 $1,510.00 $1,415.62 2026-01-09
20610 CPT Anes 20610 Arthro Aspir&/inj Major Jt/bursa Without US 14 3 $1,650.00 $1,402.50 $767.34 $1,650.00 $1,402.50 2026-01-09
64421 CPT Ed 64421 Inj Anes Nerve Intrcostal Ea Addl Lvl 18 4 $1,515.00 $1,287.75 $705.11 $1,515.00 $1,401.38 2026-01-09
93925 CPT Duplex Art Lower Ext Cmpl Bilat 22 4 $1,472.00 $1,302.20 $721.28 $1,532.00 $1,398.40 2026-01-09
93017 CPT Cardiac Stress Test Tracing 12 4 $1,472.00 $1,251.20 $721.28 $1,472.00 $1,380.00 2026-01-09
49650 CPT Laparoscopy Surgical Rpr Inguinal Hernia Initial 12 4 $1,464.00 $1,244.40 $717.36 $1,464.00 $1,372.50 2026-01-09
46260 CPT Hemorrhoidectomy Int & Ext Cmplx Extnsv 12 4 $1,464.00 $1,244.40 $717.36 $1,464.00 $1,372.50 2026-01-09
13132 CPT Rpr Cmplx Forehead Chk Chn Mouth Nck Axil Genital Hand Ft 2.6-7.5 Cm 12 4 $1,464.00 $1,244.40 $717.36 $1,464.00 $1,372.50 2026-01-09
59409 CPT Vaginal Delivery Only(wwo Episiotomy & Or Forceps) 12 4 $1,463.00 $1,243.55 $716.87 $1,463.00 $1,371.56 2026-01-09
27265 CPT Ed 27265 Clsd Tx Hip Disloc Wo Anes 12 4 $1,457.00 $1,238.45 $713.93 $1,457.00 $1,365.94 2026-01-09
92507 CPT Speech Therapy Tx 92507 12 4 $1,439.00 $1,223.15 $705.11 $1,439.00 $1,349.06 2026-01-09
43245 CPT Upper Gi Endoscopy Wdilation Gastric Outlet Obstruction 12 4 $1,428.00 $1,213.80 $699.72 $1,428.00 $1,338.75 2026-01-09
J3262 HCPCS Tocilizumab IV Inj 200 Mg/10ml 32 4 $1,426.74 $1,212.73 $465.31 $3,839.42 $1,337.57 2026-01-09
64624 CPT Tx Rm 64624 Destruct Neurolytic Agt Genicular Nerve W/img 12 4 $1,420.00 $1,207.00 $695.80 $1,420.00 $1,331.25 2026-01-09
J7307 HCPCS Etonogestrel Implant System 12 4 $1,415.00 $1,202.75 $693.35 $1,415.00 $1,326.56 2026-01-09
24605 CPT Treat Closed Elbow Dislocation Requiring Anes 12 4 $1,409.00 $1,197.65 $690.41 $1,409.00 $1,320.94 2026-01-09
78071 CPT Nm Parathyroid Planar Img W Spect 12 4 $1,408.00 $1,196.80 $689.92 $1,408.00 $1,320.00 2026-01-09
62322 CPT Tx Rm 62322 Inj Il Ndl Cath Lumb Sacr Wo Guid 22 4 $1,379.04 $1,241.14 $675.73 $1,463.00 $1,310.09 2026-01-09
32556 CPT Ed 32556 Pleural Drainage Perc W/insert Cath Wo Imaging Guid 18 4 $1,408.00 $1,196.80 $657.09 $1,408.00 $1,302.40 2026-01-09
J0881 HCPCS Darbepoetin Alfa Soln Prefilled Syringe 500 Mcg/ml 62 4 $2,140.06 $1,819.06 $92.86 $2,448.93 $1,298.58 2026-01-09
64510 CPT Ed 64510 Inj Nerve Block Stellate 18 4 $1,385.00 $1,177.25 $644.35 $1,385.00 $1,281.12 2026-01-09
92610 CPT Eval Oral & Pharyngeal Swallow 92610 12 4 $1,363.00 $1,158.55 $667.87 $1,363.00 $1,277.81 2026-01-09
43246 CPT Upper Gi Endoscopy Wplace Percutaneous Gastrostomy Tube 12 4 $1,360.00 $1,156.00 $666.40 $1,360.00 $1,275.00 2026-01-09
94668 CPT CPT Subsq M76 12 4 $1,349.00 $1,146.65 $661.01 $1,349.00 $1,264.69 2026-01-09
J0248 HCPCS Remdesivir For IV Soln 100 Mg 12 4 $1,347.14 $1,145.07 $660.10 $1,347.14 $1,262.94 2026-01-09
64417 CPT Inj Anesthetic Agent Axillary Nerve Incl Imaging 18 4 $1,435.00 $1,219.75 $667.87 $1,435.00 $1,260.78 2026-01-09
64493 CPT Inj Agnt Joint Lum Sac 1st Lvl 22 4 $1,237.00 $1,113.30 $606.13 $2,530.00 $1,237.00 2026-01-09
J1439 HCPCS Ferric Carboxymaltose IV Soln 750 Mg/15ml (Fe Equivalent) 12 4 $1,298.30 $1,103.56 $636.17 $1,298.30 $1,217.16 2026-01-09
64517 CPT Tx Rm 64517 Inj Anes Sup Hypogast Plx 22 4 $2,475.00 $2,103.75 $392.98 $2,475.00 $1,212.75 2026-01-09
20103 CPT Exploration Penetrating Wnd (sep Proc) Extremity 12 4 $1,293.00 $1,099.05 $633.57 $1,293.00 $1,212.19 2026-01-09
20611 CPT Anes 20611 Arthro Aspir & Or Inj Major Joint Or Bursa Wus Gd 14 3 $1,420.00 $1,207.00 $661.01 $1,420.00 $1,207.00 2026-01-09
92526 CPT Dysphagia Therapy 92526 12 4 $1,282.00 $1,089.70 $628.18 $1,282.00 $1,201.88 2026-01-09
11004 CPT Debride Skin Subq Tiss Muscle Fascia Necro Tiss Infexn Genitalia Perin 12 4 $1,273.00 $1,082.05 $623.77 $1,273.00 $1,193.44 2026-01-09
73110 CPT Rad Exam Wrist Compl Min 3 Vws 22 4 $2,403.00 $2,042.55 $283.22 $2,403.00 $1,177.47 2026-01-09
97116 CPT Gait Training 15 Min 97116 12 4 $1,254.00 $1,065.90 $614.46 $1,254.00 $1,175.62 2026-01-09
23655 CPT Closed Treat Shldr Dislocation Wmanip Requiring Anes 12 4 $1,250.00 $1,062.50 $612.50 $1,250.00 $1,171.88 2026-01-09
78300 CPT Nm Bone And Or Jnt Img Ltd Area 12 4 $1,249.00 $1,061.65 $612.01 $1,249.00 $1,170.94 2026-01-09
64430 CPT Tx Rm 64430 Inj Pundendal Nerve 22 4 $2,375.00 $2,018.75 $223.93 $2,375.00 $1,163.75 2026-01-09
43255 CPT Upper Gi Endoscopy Wcontrol Bleeding Any Method 12 4 $1,235.00 $1,049.75 $605.15 $1,235.00 $1,157.81 2026-01-09
11646 CPT Exc Malig Lesn Incl Margins Face Exc Diam > 4.0 Cm 8 3 $1,297.00 $1,102.45 $635.53 $1,297.00 $1,151.09 2026-01-09
64418 CPT Inj Anesthetic Agent Suprascapular Nerve 14 3 $1,350.00 $1,147.50 $628.18 $1,350.00 $1,147.50 2026-01-09
76775 CPT US Retroperitoneum Ltd 12 4 $1,208.00 $1,026.80 $591.92 $1,208.00 $1,132.50 2026-01-09
76856 CPT Echography Pelvic(nonobstetric) B-scan & Or Real Time Wimage Docation 12 4 $1,205.00 $1,024.25 $590.45 $1,205.00 $1,129.69 2026-01-09
46040 CPT Incision & Drainage Ischiorectal & Or Perirectal Abscess (sep Proc) 12 4 $1,204.00 $1,023.40 $589.96 $1,204.00 $1,128.75 2026-01-09
64420 CPT Inj Anesthetic Agent Intercostal Nerve Sngl Lvl 14 3 $1,258.00 $1,126.25 $616.42 $1,325.00 $1,126.25 2026-01-09
27096 CPT Tx Rm 27096 Inject Sacroiliac Joint 14 3 $1,325.00 $1,126.25 $616.42 $1,325.00 $1,126.25 2026-01-09
64425 CPT Inj Anesthetic Agent Ilioinguinal Iliohypogastric Nerves 14 3 $1,235.00 $1,105.00 $605.15 $1,300.00 $1,105.00 2026-01-09
97035 CPT Ultrasound 15 Min 97035 12 4 $1,178.00 $1,001.30 $577.22 $1,178.00 $1,104.38 2026-01-09
26770 CPT Closed Treat Ip Joint Dislocation Sngl Wmanip Wo Anes 12 4 $1,173.00 $997.05 $574.77 $1,173.00 $1,099.69 2026-01-09
64450 CPT Tx Rm 64450 Inj Anes Nerve Peripheral 18 4 $1,240.00 $1,054.00 $577.22 $1,240.00 $1,089.65 2026-01-09
C1781 HCPCS Mesh Parietex Progrip 6x6 42 4 $1,113.00 $1,001.70 $144.06 $2,479.00 $1,079.61 2026-01-09
11606 CPT Exc Malig Lesn Incl Margins Trunk Arms Legs Exc Diam > 4.0 Cm 12 4 $1,151.00 $978.35 $563.99 $1,151.00 $1,079.06 2026-01-09
24600 CPT Treat Closed Elbow Dislocation Wo Anes 12 4 $1,151.00 $978.35 $563.99 $1,151.00 $1,079.06 2026-01-09
25071 CPT Exc Tumr Wrist Subcut 3cm+ 12 4 $1,140.00 $969.00 $558.60 $1,140.00 $1,068.75 2026-01-09
11604 CPT Exc Malig Lesn Incl Margins Trunk Arms Legs Exc Diam 3.1 To 4.0 Cm 12 4 $1,139.00 $968.15 $558.11 $1,139.00 $1,067.81 2026-01-09
13121 CPT Rpr Cmplx Scalp Arms & Or Legs 2.6 To 7.5 Cm 12 4 $1,139.00 $968.15 $558.11 $1,139.00 $1,067.81 2026-01-09
13152 CPT Rpr Cmplx Eyelids Nose Ears & Or Lips 2.6 To 7.5 Cm 12 4 $1,138.00 $967.30 $557.62 $1,138.00 $1,066.88 2026-01-09
95819 CPT EEG Awake & Asleep 22 4 $1,919.00 $1,631.15 $519.40 $1,919.00 $1,060.00 2026-01-09
64479 CPT Surg 64479 Inj Trnfrm Epid Cerv Thor 1lvl 22 4 $2,150.00 $1,827.50 $473.34 $2,150.00 $1,053.50 2026-01-09
J7301 HCPCS Levonorgestrel-releasing Intrauterine Contraceptive System 13.5 Mg 12 4 $1,121.00 $952.85 $549.29 $1,121.00 $1,050.94 2026-01-09
93976 CPT Duplx Scan Art Inflow Ven Outflow Abd Pelvic Retroperit Ltd 12 4 $1,104.00 $938.40 $540.96 $1,104.00 $1,035.00 2026-01-09
43251 CPT Upper Gi Endoscopy Wremvl Lesn Snare 8 3 $1,159.00 $985.15 $567.91 $1,159.00 $1,028.61 2026-01-09
76870 CPT Echography Scrotum & Contents 12 4 $1,085.00 $922.25 $531.65 $1,085.00 $1,017.19 2026-01-09
27562 CPT Closed Treat Patellar Dislocation Requiring Anes 12 4 $1,081.00 $918.85 $529.69 $1,081.00 $1,013.44 2026-01-09
76819 CPT US Fetal Bpp Wo Nst 12 4 $1,075.00 $913.75 $526.75 $1,075.00 $1,007.81 2026-01-09
J7298 HCPCS Levonorgestrel-releasing Intrauterine Contraceptive System, 52 Mg 12 4 $1,067.00 $906.95 $522.83 $1,067.00 $1,000.31 2026-01-09
64451 CPT Tx Rm 64451 Inj Aa&/strd Nerves Nrvtg Si Joint W/img 22 4 $2,020.00 $1,717.00 $320.95 $2,020.00 $989.80 2026-01-09
11603 CPT Exc Malig Lesn Incl Margins Trunk Arms Legs Exc Diam 2.1 To 3.0 Cm 12 4 $1,055.00 $896.75 $516.95 $1,055.00 $989.06 2026-01-09
93226 CPT ECG Monitor To 48hrs Wvisul Superimposition Scan Scan Analysis Wrpt 12 4 $1,052.00 $894.20 $515.48 $1,052.00 $986.25 2026-01-09
46608 CPT Ed 46608 Anoscopy Wremv Fb 22 4 $1,998.00 $1,698.30 $270.48 $1,998.00 $979.02 2026-01-09
11446 CPT Exc Benign Skin Lesn Incl Margins Face Exc Diam > 4.0 Cm 12 4 $1,041.00 $884.85 $510.09 $1,041.00 $975.94 2026-01-09
A0427 HCPCS Ambulance Als Emergency Lvl 1 12 4 $1,039.00 $883.15 $509.11 $1,039.00 $974.06 2026-01-09
93321 CPT Doppler Limited 12 4 $1,035.00 $879.75 $507.15 $1,035.00 $970.31 2026-01-09
97124 CPT Massage 15 Min 97124 12 4 $1,026.00 $872.10 $502.74 $1,026.00 $961.88 2026-01-09
81340 CPT T-cell Receptor Gene Rearrange Pcr Bone Marrow 81340.902 12 4 $1,024.00 $870.40 $501.76 $1,024.00 $960.00 2026-01-09
64999 CPT Ed 64999 Unlisted Proc Nervous System 18 4 $1,090.00 $926.50 $507.15 $1,090.00 $957.38 2026-01-09
92950 CPT Cardiopulmonary Resuscitation 22 4 $1,011.00 $859.35 $492.94 $1,011.00 $955.70 2026-01-09
72050 CPT Radiologic Exam Spine Cervical 4-5 Views 22 4 $985.00 $886.50 $482.65 $1,425.00 $955.45 2026-01-09
12042 CPT Layer Closure Wnds Neck Hand Feet & Or Ext Genitalia 2.6 - 7.5 Cm 8 3 $1,070.00 $909.50 $524.30 $1,070.00 $949.62 2026-01-09
64636 CPT Tx Rm 64636 Destroy L S Facet Jnt Addl 22 4 $1,925.00 $1,636.25 $368.97 $1,925.00 $943.25 2026-01-09
J7325 HCPCS Synvisc Or Synvisc-one 1 Mg 12 4 $1,004.00 $853.40 $491.96 $1,004.00 $941.25 2026-01-09
0689 RC Trauma Activation Full 12 4 $1,003.00 $852.55 $491.47 $1,003.00 $940.31 2026-01-09
27750 CPT Closed Treat Tibial Shaft Fx Wo Manip 12 4 $1,000.00 $850.00 $490.00 $1,000.00 $937.50 2026-01-09
43250 CPT Upper Gi Endoscopy Wremvl Lesn Hot Forceps Cautery 8 3 $1,054.00 $895.90 $516.46 $1,054.00 $935.42 2026-01-09
11644 CPT Exc Malig Lesn Incl Margins Face Exc Diam 3.1-4.0 Cm 12 4 $994.00 $844.90 $487.06 $994.00 $931.88 2026-01-09
93930 CPT Duplex Art Upper Ext Cmpl Bilat 12 4 $985.00 $837.25 $482.65 $985.00 $923.44 2026-01-09
C1727 HCPCS Bln Btt Spacemak*disc 6269407* 12 4 $982.00 $834.70 $481.18 $982.00 $920.62 2026-01-09
96413 CPT Chemo Infusion 1st Hr 12 4 $981.00 $833.85 $480.69 $981.00 $919.69 2026-01-09
64505 CPT Pf 64505 Inj Anesetic Agent Sphenopalatine Ganglion 14 3 $1,080.00 $918.00 $502.74 $1,080.00 $918.00 2026-01-09
11602 CPT Exc Malig Lesn Incl Margins Trunk Arms Legs Exc Diam 1.1 To 2.0 Cm 12 4 $972.00 $826.20 $476.28 $972.00 $911.25 2026-01-09
76536 CPT US Soft Tissue Head Neck 12 4 $964.00 $819.40 $472.36 $964.00 $903.75 2026-01-09
32555 CPT Aspirate Pleura W Imaging 12 4 $962.00 $817.70 $471.38 $962.00 $901.88 2026-01-09
71111 CPT Radiologic Exam Ribs Bilat Wposteroanterior Chest 4+ Views 12 4 $952.00 $809.20 $466.48 $952.00 $892.50 2026-01-09
95913 CPT Nrv Conduction Test 13 > Studies 12 4 $950.00 $807.50 $465.50 $950.00 $890.62 2026-01-09
81342 CPT T-cell Receptor Gene Rearrange Pcr Bone Marrow 81342.902 12 4 $946.00 $804.10 $463.54 $946.00 $886.88 2026-01-09
93971 CPT Duplex Scan Veins Extremity Unilat Limited Study 12 4 $946.00 $804.10 $463.54 $946.00 $886.88 2026-01-09
12041 CPT Layer Closure Wnds Neck Hands Feet & Or Ext Genitalia 2.5 Cm < 12 4 $942.00 $800.70 $461.58 $942.00 $883.12 2026-01-09
J0256 HCPCS Alpha1-proteinase Inhibitor (Human) Inj 1000 Mg/20ml 22 4 $960.00 $816.00 $445.90 $960.00 $882.70 2026-01-09
93931 CPT Duplex Art Upper Ext Unilat Ltd 12 4 $934.00 $793.90 $457.66 $934.00 $875.62 2026-01-09
12036 CPT Layer Closure Wnds Scalp Axillae Trunk Extrem 20.1-30.0 Cm 12 4 $930.00 $790.50 $455.70 $930.00 $871.88 2026-01-09
93308 CPT Echocardiography Transthoracic 2d Wwo M-mode Follow-up Limited Study 22 4 $897.00 $807.30 $439.53 $1,258.00 $870.09 2026-01-09
94762 CPT Noninvasive Ear Pulse Oximetry Oxygen Saturation Sngl Determination 22 4 $917.00 $779.45 $447.37 $917.00 $867.35 2026-01-09
71101 CPT Rad Exam Ribs Unilat W Chest Min 3 Vws 12 4 $924.00 $785.40 $452.76 $924.00 $866.25 2026-01-09
93978 CPT Duplex Aorta Ivc Iliac Or Graft Cmpl 12 4 $898.00 $763.30 $440.02 $898.00 $841.88 2026-01-09
11760 CPT Ed 11760 Rpr Of Nail Bed 12 4 $895.00 $760.75 $438.55 $895.00 $839.06 2026-01-09
62323 CPT Inj Interlaminar Lmbr/sac With Imaging Guidance 22 4 $835.00 $751.50 $409.15 $1,855.00 $835.00 2026-01-09
11426 CPT Exc Bengn Skn Les Wmarg No Skin Tag Sclp Nck Hnd Ft Gen Dia > 4.0cm 12 4 $890.00 $756.50 $436.10 $890.00 $834.38 2026-01-09
11601 CPT Exc Malig Lesn Incl Margins Trunk Arms Legs Exc Diam 0.6 To 1.0 Cm 12 4 $888.00 $754.80 $435.12 $888.00 $832.50 2026-01-09
87902 CPT Hepatitis C Virus Genotype 87902.900 12 4 $885.00 $752.25 $433.65 $885.00 $829.69 2026-01-09
55250 CPT Vasectomy Unilat Bilat Wpostoperative Semen Exam (sep Proc) 12 4 $878.00 $746.30 $430.22 $878.00 $823.12 2026-01-09
13131 CPT Rpr Cmplx Forehead Chk Chn Mouth Nck Axil Genital Hand Ft 1.1-2.5 Cm 12 4 $867.00 $736.95 $424.83 $867.00 $812.81 2026-01-09
77002 CPT Rad Fluoro Guid Ndl Plcmnt Add On 12 4 $867.00 $736.95 $424.83 $867.00 $812.81 2026-01-09
99285 CPT Ed 99285 Emer Case Level V 18 4 $1,652.00 $1,404.20 $302.33 $1,652.00 $809.48 2026-01-09
87497 CPT Cmv DNA Detect And Quant 87497.900 12 4 $857.00 $728.45 $419.93 $857.00 $803.44 2026-01-09
73522 CPT Rad Exam Hips Bilat W Pelv When Perf 3 Or 4 Vws 12 4 $843.00 $716.55 $413.07 $843.00 $790.31 2026-01-09
87633 CPT Comp Respiratory Pathogen 22 4 $834.00 $708.90 $404.74 $834.00 $784.70 2026-01-09
25560 CPT Closed Treat Radial & Ulnar Shaft Fxs Wo Manip 12 4 $833.00 $708.05 $408.17 $833.00 $780.94 2026-01-09
0170 RC Nursery Room & Board 8 4 $811.00 $689.35 $689.35 $811.00 $778.56 2026-01-09
76801 CPT US Preg Uter 1st Tri Sgl 12 4 $830.00 $705.50 $406.70 $830.00 $778.12 2026-01-09
64634 CPT Destroy C Th Facet Jnt Addl 22 4 $798.00 $718.20 $391.02 $1,550.00 $774.06 2026-01-09
90376 CPT Rabies Immune Globulin (Human) Inj 300 Unit/2ML (150 Unt/ML) 12 4 $818.56 $695.78 $401.09 $818.56 $767.40 2026-01-09
64491 CPT Tx Rm 64491 Inj Facet Jnt Cer Thor 2 Lvl 22 4 $1,550.00 $1,317.50 $209.72 $1,550.00 $759.50 2026-01-09
64461 CPT Surg 64461 Pvb Thoracic Single Injection Site W/img Gid 22 4 $1,550.00 $1,317.50 $259.21 $1,550.00 $759.50 2026-01-09
11643 CPT Exc Malig Lesn Incl Margins Face Exc Diam 2.1-3.0 Cm 12 4 $805.00 $684.25 $394.45 $805.00 $754.69 2026-01-09
12034 CPT Layer Closure Wnds Scalp Axillae Trunk Extrem 7.6-12.5 Cm 12 4 $805.00 $684.25 $394.45 $805.00 $754.69 2026-01-09
11770 CPT Exc Pilonidal Cyst Sinus Smpl 12 4 $796.00 $676.60 $390.04 $796.00 $746.25 2026-01-09
77075 CPT Rad Exam Osseous Survey Compl 12 4 $792.00 $673.20 $388.08 $792.00 $742.50 2026-01-09
76817 CPT US Pg Utr Transvag 22 4 $1,472.00 $1,251.20 $361.13 $1,472.00 $737.00 2026-01-09
23650 CPT Closed Treat Shldr Dislocation Wmanip Wo Anes 12 4 $785.00 $667.25 $384.65 $785.00 $735.94 2026-01-09
31500 CPT Ed 31500 Intubate Endotraceal 12 4 $785.00 $667.25 $384.65 $785.00 $735.94 2026-01-09
72100 CPT Radiologic Exam Spine Lumbosacral 2 Or 3 Views 12 4 $784.00 $666.40 $384.16 $784.00 $735.00 2026-01-09
A9500 HCPCS Tc99m Sestamibi Per Study Dose 12 4 $784.00 $666.40 $384.16 $784.00 $735.00 2026-01-09
72072 CPT Rad Exam Spine Thor 3 Vws 12 4 $783.00 $665.55 $383.67 $783.00 $734.06 2026-01-09
71271 CPT CT Thorax Lw Dose Lung Ca Scr No Contrast 12 4 $776.00 $659.60 $380.24 $776.00 $727.50 2026-01-09
73503 CPT Rad Exam Hip Unilat W Pelv When Perf Min 4 Vws 22 4 $760.00 $646.85 $372.40 $761.00 $722.00 2026-01-09
J1442 HCPCS Filgrastim Soln Prefilled Syringe 300 Mcg/0.5ml 12 4 $769.40 $653.99 $377.01 $769.40 $721.31 2026-01-09
64454 CPT Inj(s), Anesthetic Agent &/or Steroid; Genicular Nerve Branches 22 4 $716.00 $644.40 $350.84 $2,210.00 $716.00 2026-01-09
87507 CPT Comp Enteric Path Panel Nad 12 4 $762.00 $647.70 $373.38 $762.00 $714.38 2026-01-09
74022 CPT Rad Exam Abd Series 2 Or > Abd Views And Sngl View Chest 12 4 $761.00 $646.85 $372.89 $761.00 $713.44 2026-01-09
46020 CPT Place Seton 12 4 $759.00 $645.15 $371.91 $759.00 $711.56 2026-01-09
11624 CPT Exc Malig Lesn Inc Margin Scalp Nck Hnd Ft Genital Exc Diam 3.1-4.0cm 12 4 $750.00 $637.50 $367.50 $750.00 $703.12 2026-01-09
73552 CPT Rad Exam Femur Min 2 Vws 12 4 $750.00 $637.50 $367.50 $750.00 $703.12 2026-01-09
76706 CPT US Abd Aorta Screen Aaa 12 4 $750.00 $637.50 $367.50 $750.00 $703.12 2026-01-09
64494 CPT Tx Rm 64494 Inj Facet Jnt Lum Sacral 2 Lvl 22 4 $1,430.00 $1,215.50 $251.37 $1,430.00 $700.70 2026-01-09
71100 CPT Rad Exam Ribs Unilat 2 Vws 12 4 $747.00 $634.95 $366.03 $747.00 $700.31 2026-01-09
82024 CPT Adrenocorticotropic Hormone Acth 12 4 $747.00 $634.95 $366.03 $747.00 $700.31 2026-01-09
71110 CPT Rad Exam Ribs Bilat 3 Vws 12 4 $747.00 $634.95 $366.03 $747.00 $700.31 2026-01-09
28190 CPT Remvl Fb Foot Subq 12 4 $740.00 $629.00 $362.60 $740.00 $693.75 2026-01-09
69209 CPT Ed 69209 Rmvl Impacted Cerumen Irrigation Lavage Uni 22 4 $1,408.00 $1,196.80 $24.01 $1,408.00 $689.92 2026-01-09
A0426 HCPCS Ambulance Als Non-emerg Lvl 1 12 4 $735.00 $624.75 $360.15 $735.00 $689.06 2026-01-09
76830 CPT Echography Transvaginal 12 4 $735.00 $624.75 $360.15 $735.00 $689.06 2026-01-09
76815 CPT US OB Real Time Ltd 12 4 $733.00 $623.05 $359.17 $733.00 $687.19 2026-01-09
J1670 HCPCS Tetanus Immune Globulin (Human) IM Soln Pref Syr 250 Unit/ML 22 4 $1,259.15 $1,070.28 $336.63 $1,259.15 $687.00 2026-01-09
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