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

FREEMAN MEDICAL CENTER - CAH

Freeman, SD · CCN 431313 · Rates published

Your selected procedure

You selected 93306 (CPT)

TTE W Doppler Complete

This hospital’s price: $2,867 across 5 payers · range $2,185-$3,361

Source: https://www.avera.org/app/files/public/7a544094-291c-4c7d-a209-6e8af23e8290/460232450_freeman-regional-health-services_standardcharges.csv · observed 2026-07-15

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

709 distinct procedures filed
6 distinct payers
10,136 rate rows
2026-07-15 last MRF observed
Data quality

10,105 of 10,136 rate rows are consumer-grade (99.7%)

31 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
percent-of-charges filed in the dollar field — excluded from medians 17
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 8
exceeds 10× this hospital's gross charge — excluded from medians 4
placeholder amount (≤ $0.02) — excluded from medians 2
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.avera.org/app/files/public/7a544094-291c-4c7d-a209-6e8af23e8290/460232450_freeman-regional-health-services_standardcharges.csv
Found on page https://www.avera.org/patients-visitors/price-transparency/
Discovered viaDiscovered by HANK (automated)
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-10-10
Content fingerprint 338921d2b20979c8… · 2,576,358 bytes · first seen 2026-06-08

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 300 Mg/10 Ml 5 $6.09 $185,918.64 $80,043.92 nat. median
$470
outlier · 170.4×
193
MS_DRG 		Ms-DRG 193 1 $35,785.12 $35,785.12 $35,785.12 nat. median
$12,868
outlier · 2.8×
J3101
HCPCS 		Tenecteplase 50 Mg/10 Ml Syrng 5 $0.41 $31,584.84 $25,662.68 nat. median
$3,820
outlier · 6.7×
689
MS_DRG 		Ms-DRG 689 1 $23,200.72 $23,200.72 $23,200.72 nat. median
$11,514
outlier · 2.0×
189
MS_DRG 		Ms-DRG 189 1 $21,632.72 $21,632.72 $21,632.72 nat. median
$12,282
1.8× median
7203
APR_DRG 		Apr-DRG 7203 1 $18,303.84 $18,303.84 $18,303.84 nat. median
$10,768
1.7× median
603
MS_DRG 		Ms-DRG 603 1 $17,908.72 $17,908.72 $17,908.72 nat. median
$8,986
2.0× median
J0717
HCPCS 		Certolizumab Pegol 200 Mg Vial 5 $3.42 $25,886.36 $11,093.51 nat. median
$1,598
outlier · 6.9×
291
MS_DRG 		Ms-DRG 291 1 $8,972.32 $8,972.32 $8,972.32 nat. median
$12,770
0.7× median
J1459
HCPCS 		Immune Glob Privige 20gr/200ml 5 $0.29 $9,746.72 $7,919.21 nat. median
$1,388
outlier · 5.7×
J1602
HCPCS 		Golimumab 50 Mg/4 Ml Vial 5 $43.11 $8,842.08 $7,184.19 nat. median
$273
outlier · 26.3×
74178
CPT 		CT Abd & Pelv Wwo Contrast 5 $479.88 $6,860.00 $6,517.00 nat. median
$1,024
outlier · 6.4×
Q5108
HCPCS 		Pegfilgrastim-jmdb 6 Mg/0.6 Ml 5 $5,177.17 $7,964.88 $6,471.47 nat. median
$1,244
outlier · 5.2×
74177
CPT 		CT Abd & Pelv W Contrast 6 $227.52 $6,444.00 $6,121.80 nat. median
$974
outlier · 6.3×
74176
CPT 		CT Abd & Pelvis Wo Contrast 6 $95.04 $6,028.00 $5,468.00 nat. median
$694
outlier · 7.9×
74174
CPT 		CTA Abd&Pelv Wwo Dye 5 $3,686.80 $5,672.00 $5,388.40 nat. median
$988
outlier · 5.5×
73223
CPT 		MRI Joint Ue Wwo Dye Lt 5 $597.27 $6,364.00 $5,170.75 nat. median
$1,158
outlier · 4.5×
72156
CPT 		MRI Neck Spine Wwo Dye 6 $340.05 $5,199.00 $4,939.05 nat. median
$1,103
outlier · 4.5×
70546
CPT 		MRA Head Wwo Contrast 5 $545.48 $5,170.00 $4,660.76 nat. median
$1,070
outlier · 4.4×
71271
CPT 		Ldct For Lung Cancer Screen 6 $101.48 $4,716.00 $4,485.60 nat. median
$213
outlier · 21.0×
72141
CPT 		MRI Neck Spine Wo Dye 5 $233.96 $4,732.00 $4,265.90 nat. median
$781
outlier · 5.5×
72148
CPT 		MRI Lumbar Spine Wo Dye 5 $315.18 $4,732.00 $4,265.90 nat. median
$805
outlier · 5.3×
72195
CPT 		MRI Pelvis Wo Dye 5 $3,075.80 $4,732.00 $4,265.90 nat. median
$806
outlier · 5.3×
71260
CPT 		CT Thorax W Contrast 5 $80.31 $4,709.00 $4,245.16 nat. median
$648
outlier · 6.6×
72158
CPT 		MRI Lumbar Spine Wwo Dye 5 $340.97 $5,199.00 $4,224.19 nat. median
$1,093
outlier · 3.9×
G0390
HCPCS 		Trauma Team Level 5 5 $2,866.50 $4,410.00 $4,189.50 nat. median
$3,197
1.3× median
72157
CPT 		MRI Chest Spine Wwo Dye 5 $535.35 $4,989.00 $4,053.57 nat. median
$1,105
outlier · 3.7×
J1569
HCPCS 		Immune Glob Gamagar 10gr/100ml 5 $21.77 $4,926.84 $4,003.06 nat. median
$1,070
outlier · 3.7×
72125
CPT 		CT Cervical Spine Wo Contrast 6 $172.58 $4,427.00 $3,990.94 nat. median
$472
outlier · 8.5×
70490
CPT 		CT Soft Tissue Neck Wo Cont 5 $277.47 $4,427.00 $3,990.94 nat. median
$450
outlier · 8.9×
73721
CPT 		MRI Joint Le Wo Dye Lt 5 $315.18 $4,160.00 $3,952.00 nat. median
$856
outlier · 4.6×
72146
CPT 		MRI Chest Spine Wo Dye 5 $390.63 $4,732.00 $3,844.75 nat. median
$797
outlier · 4.8×
70543
CPT 		MRI Orbit Face Neck Wwo Cont 5 $335.45 $4,649.00 $3,777.32 nat. median
$1,083
outlier · 3.5×
70551
CPT 		MRI Brain Wo Contrast 5 $447.03 $4,160.00 $3,750.24 nat. median
$784
outlier · 4.8×
70498
CPT 		CT Angiography Neck W Cont 5 $278.39 $4,369.00 $3,726.76 nat. median
$739
outlier · 5.0×
71275
CPT 		CTA Chest Wwo Contrast 5 $2,482.35 $3,819.00 $3,628.05 nat. median
$754
outlier · 4.8×
689
CDM 		Trauma Team Evaluation Level 5 5 $2,866.50 $4,410.00 $3,622.82 nat. median
$1,169
outlier · 3.1×
73700
CPT 		CT Le Wo Dye Lt 5 $76.65 $4,427.00 $3,596.93 nat. median
$500
outlier · 7.2×
73200
CPT 		CT Ue Wo Dye Lt 5 $70.19 $4,427.00 $3,596.93 nat. median
$521
outlier · 6.9×
J1439
HCPCS 		Ferric Carboxymalt 750mg/15ml 5 $11.91 $4,406.90 $3,580.61 nat. median
$14
outlier · 252.6×
70549
CPT 		MRA Neck Wwo Contrast 6 $666.92 $4,185.00 $3,569.81 nat. median
$1,055
outlier · 3.4×
73221
CPT 		MRI Joint Ue Wo Dye Lt 5 $408.12 $4,160.00 $3,548.48 nat. median
$844
outlier · 4.2×
73718
CPT 		MRI Le Wo Dye Rt 5 $56.39 $4,160.00 $3,548.48 nat. median
$870
outlier · 4.1×
72131
CPT 		CT Lumbar Spine Wo Contrast 5 $234.87 $3,764.00 $3,393.24 nat. median
$457
outlier · 7.4×
70544
CPT 		MRA Head Wo Contrast 5 $408.12 $4,160.00 $3,380.00 nat. median
$826
outlier · 4.1×
73720
CPT 		MRI Le Wwo Dye Rt 5 $233.96 $4,160.00 $3,380.00 nat. median
$1,129
outlier · 3.0×
74183
CPT 		MRI Abdomen Wwo Dye 5 $619.08 $4,102.00 $3,332.88 nat. median
$1,100
outlier · 3.0×
70496
CPT 		CT Angiography Head W Cont 6 $246.84 $3,600.00 $3,245.40 nat. median
$747
outlier · 4.3×
70553
CPT 		MRI Brain Wwo Contrast 6 $729.77 $4,649.00 $3,243.88 nat. median
$1,133
outlier · 2.9×
72192
CPT 		CT Pelvis Wo Dye 5 $597.02 $3,856.00 $3,133.00 nat. median
$459
outlier · 6.8×

Other procedures at this hospital

Browse this hospital's 709 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 300 Mg/10 Ml 10 5 $88,789.00 $86,126.02 $6.09 $185,918.64 $80,043.92 2026-07-15
193 MS_DRG Ms-DRG 193 2 1 — — $35,785.12 $35,785.12 $35,785.12 2026-07-15
J3101 HCPCS Tenecteplase 50 Mg/10 Ml Syrng 8 5 $31,584.00 $30,637.29 $0.41 $31,584.84 $25,662.68 2026-07-15
689 MS_DRG Ms-DRG 689 2 1 — — $23,200.72 $23,200.72 $23,200.72 2026-07-15
189 MS_DRG Ms-DRG 189 2 1 — — $21,632.72 $21,632.72 $21,632.72 2026-07-15
7203 APR_DRG Apr-DRG 7203 2 1 — — $18,303.84 $18,303.84 $18,303.84 2026-07-15
603 MS_DRG Ms-DRG 603 2 1 — — $17,908.72 $17,908.72 $17,908.72 2026-07-15
J0717 HCPCS Certolizumab Pegol 200 Mg Vial 14 5 $11,262.00 $10,924.58 $3.42 $25,886.36 $11,093.51 2026-07-15
291 MS_DRG Ms-DRG 291 2 1 — — $8,972.32 $8,972.32 $8,972.32 2026-07-15
J1459 HCPCS Immune Glob Privige 20gr/200ml 8 5 $9,746.00 $9,454.32 $0.29 $9,746.72 $7,919.21 2026-07-15
J1602 HCPCS Golimumab 50 Mg/4 Ml Vial 8 5 $8,842.00 $8,576.82 $43.11 $8,842.08 $7,184.19 2026-07-15
74178 CPT CT Abd & Pelv Wwo Contrast 11 5 $6,860.00 $6,654.20 $479.88 $6,860.00 $6,517.00 2026-07-15
Q5108 HCPCS Pegfilgrastim-jmdb 6 Mg/0.6 Ml 8 5 $7,964.00 $7,725.93 $5,177.17 $7,964.88 $6,471.47 2026-07-15
74177 CPT CT Abd & Pelv W Contrast 14 6 $6,444.00 $6,250.68 $227.52 $6,444.00 $6,121.80 2026-07-15
74176 CPT CT Abd & Pelvis Wo Contrast 13 6 $6,028.00 $5,847.16 $95.04 $6,028.00 $5,468.00 2026-07-15
74174 CPT CTA Abd&Pelv Wwo Dye 9 5 $5,672.00 $5,501.84 $3,686.80 $5,672.00 $5,388.40 2026-07-15
73223 CPT MRI Joint Ue Wwo Dye Lt 8 5 $6,364.00 $6,173.08 $597.27 $6,364.00 $5,170.75 2026-07-15
72156 CPT MRI Neck Spine Wwo Dye 11 6 $5,199.00 $5,043.03 $340.05 $5,199.00 $4,939.05 2026-07-15
70546 CPT MRA Head Wwo Contrast 10 5 $5,170.00 $5,014.90 $545.48 $5,170.00 $4,660.76 2026-07-15
71271 CPT Ldct For Lung Cancer Screen 12 6 $4,716.00 $4,574.52 $101.48 $4,716.00 $4,485.60 2026-07-15
72148 CPT MRI Lumbar Spine Wo Dye 10 5 $4,732.00 $4,590.04 $315.18 $4,732.00 $4,265.90 2026-07-15
72141 CPT MRI Neck Spine Wo Dye 10 5 $4,732.00 $4,590.04 $233.96 $4,732.00 $4,265.90 2026-07-15
72195 CPT MRI Pelvis Wo Dye 6 5 $4,732.00 $4,590.04 $3,075.80 $4,732.00 $4,265.90 2026-07-15
71260 CPT CT Thorax W Contrast 12 5 $4,709.00 $4,567.73 $80.31 $4,709.00 $4,245.16 2026-07-15
72158 CPT MRI Lumbar Spine Wwo Dye 8 5 $5,199.00 $5,043.03 $340.97 $5,199.00 $4,224.19 2026-07-15
G0390 HCPCS Trauma Team Level 5 11 5 $4,410.00 $4,277.70 $2,866.50 $4,410.00 $4,189.50 2026-07-15
72157 CPT MRI Chest Spine Wwo Dye 8 5 $4,989.00 $4,839.33 $535.35 $4,989.00 $4,053.57 2026-07-15
J1569 HCPCS Immune Glob Gamagar 10gr/100ml 8 5 $4,926.00 $4,779.03 $21.77 $4,926.84 $4,003.06 2026-07-15
70490 CPT CT Soft Tissue Neck Wo Cont 10 5 $4,427.00 $4,294.19 $277.47 $4,427.00 $3,990.94 2026-07-15
72125 CPT CT Cervical Spine Wo Contrast 12 6 $4,427.00 $4,294.19 $172.58 $4,427.00 $3,990.94 2026-07-15
73721 CPT MRI Joint Le Wo Dye Lt 21 5 $4,160.00 $4,035.20 $315.18 $4,160.00 $3,952.00 2026-07-15
72146 CPT MRI Chest Spine Wo Dye 8 5 $4,732.00 $4,590.04 $390.63 $4,732.00 $3,844.75 2026-07-15
70543 CPT MRI Orbit Face Neck Wwo Cont 8 5 $4,649.00 $4,509.53 $335.45 $4,649.00 $3,777.32 2026-07-15
70551 CPT MRI Brain Wo Contrast 10 5 $4,160.00 $4,035.20 $447.03 $4,160.00 $3,750.24 2026-07-15
70498 CPT CT Angiography Neck W Cont 11 5 $4,369.00 $4,237.93 $278.39 $4,369.00 $3,726.76 2026-07-15
71275 CPT CTA Chest Wwo Contrast 10 5 $3,819.00 $3,704.43 $2,482.35 $3,819.00 $3,628.05 2026-07-15
689 CDM Trauma Team Evaluation Level 5 8 5 $4,410.00 $4,277.70 $2,866.50 $4,410.00 $3,622.82 2026-07-15
73700 CPT CT Le Wo Dye Lt 16 5 $4,427.00 $4,294.19 $76.65 $4,427.00 $3,596.93 2026-07-15
73200 CPT CT Ue Wo Dye Lt 16 5 $4,427.00 $4,294.19 $70.19 $4,427.00 $3,596.93 2026-07-15
J1439 HCPCS Ferric Carboxymalt 750mg/15ml 8 5 $4,406.00 $4,274.69 $11.91 $4,406.90 $3,580.61 2026-07-15
70549 CPT MRA Neck Wwo Contrast 9 6 $4,185.00 $4,059.45 $666.92 $4,185.00 $3,569.81 2026-07-15
73718 CPT MRI Le Wo Dye Rt 18 5 $4,160.00 $4,035.20 $56.39 $4,160.00 $3,548.48 2026-07-15
73221 CPT MRI Joint Ue Wo Dye Lt 17 5 $4,160.00 $4,035.20 $408.12 $4,160.00 $3,548.48 2026-07-15
72131 CPT CT Lumbar Spine Wo Contrast 10 5 $3,764.00 $3,651.08 $234.87 $3,764.00 $3,393.24 2026-07-15
70544 CPT MRA Head Wo Contrast 8 5 $4,160.00 $4,035.20 $408.12 $4,160.00 $3,380.00 2026-07-15
73720 CPT MRI Le Wwo Dye Rt 8 5 $4,160.00 $4,035.20 $233.96 $4,160.00 $3,380.00 2026-07-15
74183 CPT MRI Abdomen Wwo Dye 8 5 $4,102.00 $3,978.94 $619.08 $4,102.00 $3,332.88 2026-07-15
70496 CPT CT Angiography Head W Cont 12 6 $3,600.00 $3,492.00 $246.84 $3,600.00 $3,245.40 2026-07-15
70553 CPT MRI Brain Wwo Contrast 18 6 $3,375.00 $3,273.75 $729.77 $4,649.00 $3,243.88 2026-07-15
72192 CPT CT Pelvis Wo Dye 8 5 $3,856.00 $3,740.32 $597.02 $3,856.00 $3,133.00 2026-07-15
74170 CPT CT Abdomen Wwo Dye 8 5 $3,819.00 $3,704.43 $58.22 $3,819.00 $3,102.94 2026-07-15
70491 CPT CT Soft Tissue Neck W Cont 11 5 $3,570.00 $3,462.90 $357.53 $3,570.00 $3,045.21 2026-07-15
73706 CPT CTA Le Wwo Dye Lt 16 5 $3,732.00 $3,620.04 $71.13 $3,732.00 $3,032.25 2026-07-15
C8929 HCPCS Echo M Mode 2d W Contrast 10 5 $3,361.00 $3,260.17 $2,184.65 $3,361.00 $3,029.94 2026-07-15
70487 CPT CT Maxillofacial W Contrast 8 5 $3,710.00 $3,598.70 $268.29 $3,710.00 $3,014.38 2026-07-15
70492 CPT CT Soft Tissue Neck Wwo Cont 8 5 $3,692.00 $3,581.24 $422.85 $3,692.00 $2,999.75 2026-07-15
72128 CPT CT Thoracic Spine Wo Contrast 8 5 $3,692.00 $3,581.24 $107.93 $3,692.00 $2,999.75 2026-07-15
71250 CPT CT Thorax Wo Contrast 12 5 $3,238.00 $3,140.86 $71.13 $3,238.00 $2,919.06 2026-07-15
74160 CPT CT Abdomen W Dye 8 5 $3,585.00 $3,477.45 $706.77 $3,585.00 $2,912.82 2026-07-15
74150 CPT CT Abdomen Wo Dye 8 5 $3,537.00 $3,430.89 $791.13 $3,537.00 $2,873.81 2026-07-15
93306 CPT Tte W Doppler Complete 11 5 $3,361.00 $3,260.17 $2,184.65 $3,361.00 $2,866.93 2026-07-15
70486 CPT CT Maxillofacial Wo Contrast 12 5 $3,143.00 $3,048.71 $187.95 $3,143.00 $2,833.41 2026-07-15
70450 CPT CT Head/Brain Wo Contrast 10 5 $2,857.00 $2,771.29 $1,857.05 $2,857.00 $2,717.57 2026-07-15
99291 CPT Critical Care 1st 30-74 Min 18 5 $3,308.00 $3,208.76 $329.00 $3,308.00 $2,583.55 2026-07-15
Q5103 HCPCS Infliximab-dyyb 100 Mg Vial 10 5 $2,576.00 $2,498.95 $1,674.56 $15,336.96 $2,537.59 2026-07-15
72193 CPT CT Pelvis W Dye 8 5 $3,018.00 $2,927.46 $593.33 $3,018.00 $2,452.12 2026-07-15
J3262 HCPCS Tocilizumab 400 Mg/20 Ml Vial 14 5 $12,101.00 $11,738.15 $2.72 $12,101.19 $2,379.93 2026-07-15
J0248 HCPCS Remdesivir 100 Mg Vial 8 5 $2,834.00 $2,749.70 $70.71 $2,834.74 $2,303.23 2026-07-15
J0881 HCPCS Darbepoe Alfa 150mcg/0.3ml Syr 8 5 $2,269.00 $2,201.07 $1,474.94 $2,669.46 $2,178.38 2026-07-15
Q5121 HCPCS Infliximab-axxq 100 Mg Vial 10 5 $2,174.00 $2,109.63 $1,413.67 $13,049.25 $2,142.26 2026-07-15
99285 CPT Emergency Room Visit Level 5 18 6 $2,513.00 $2,437.61 $267.73 $2,513.00 $1,962.65 2026-07-15
81352 CPT Tp53 Somatic Mutation, Prog 8 5 $2,330.00 $2,260.10 $1,514.50 $2,330.00 $1,914.10 2026-07-15
J1745 HCPCS Infliximab (Gen) 100 Mg Vial 10 5 $2,108.00 $2,044.77 $1.46 $12,648.03 $1,900.37 2026-07-15
93925 CPT Arterial Duplex Le Bi 10 5 $1,945.00 $1,886.65 $1,264.25 $1,945.00 $1,753.42 2026-07-15
93880 CPT Extracranial Bilat Study 9 5 $1,883.00 $1,826.51 $1,223.95 $1,883.00 $1,606.20 2026-07-15
76705 CPT Ultrasound Abdomen Limited 12 5 $1,736.00 $1,683.92 $1,128.40 $1,736.00 $1,565.01 2026-07-15
76700 CPT Ultrasound Abdomen Complete 10 5 $1,637.00 $1,587.89 $1,064.05 $1,637.00 $1,475.76 2026-07-15
129 CDM Room Swing Bed Skilled 6 5 $1,491.00 $1,446.27 $969.15 $1,491.00 $1,344.13 2026-07-15
93975 CPT Vascular Study 8 5 $1,579.00 $1,531.63 $1,026.35 $1,579.00 $1,297.15 2026-07-15
93971 CPT Extremity Study Lt 21 5 $1,343.00 $1,302.71 $872.95 $1,343.00 $1,275.85 2026-07-15
92950 CPT Heart/Lung Resuscitation Cpr 8 5 $1,509.00 $1,463.73 $980.85 $1,509.00 $1,239.64 2026-07-15
99284 CPT Emergency Room Visit Level 4 17 5 $1,544.00 $1,497.68 $184.86 $1,544.00 $1,191.97 2026-07-15
25605 CPT Fx Distal Radius W Man 6 5 $1,601.00 $1,552.97 $1,052.28 $1,409.30 $1,146.22 2026-07-15
93308 CPT Echo Limited 8 5 $1,364.00 $1,323.08 $886.60 $1,364.00 $1,120.53 2026-07-15
76770 CPT Ultrasound Abdo Back Wall Comp 11 5 $1,305.00 $1,265.85 $848.25 $1,305.00 $1,113.17 2026-07-15
76856 CPT Ultrasound Pelvic Complete 12 5 $1,150.00 $1,115.50 $747.50 $1,150.00 $1,092.50 2026-07-15
76830 CPT Ultrasound Transvaginal 13 6 $1,150.00 $1,115.50 $747.50 $1,150.00 $1,092.50 2026-07-15
360 CDM Or Level 2 16 5 $1,516.50 $1,471.01 $332.80 $2,521.00 $1,075.33 2026-07-15
36430 CPT Blood Administration 8 5 $1,244.00 $1,206.68 $808.60 $1,244.00 $1,021.95 2026-07-15
115 CDM Room Hospice Ip 12 5 $1,270.50 $1,232.38 $672.10 $1,507.00 $1,018.49 2026-07-15
76870 CPT Ultrasound Scrotum 10 5 $1,116.00 $1,082.52 $725.40 $1,116.00 $1,006.08 2026-07-15
76882 CPT US Extremity Nonvasc Limit Rt 18 5 $1,173.00 $1,137.81 $762.45 $1,173.00 $1,000.57 2026-07-15
76775 CPT Ultrasound Limited 8 5 $1,200.00 $1,164.00 $780.00 $1,200.00 $985.80 2026-07-15
93325 CPT Echo Color Doppler 8 5 $1,199.00 $1,163.03 $779.35 $1,199.00 $984.98 2026-07-15
27818 CPT Fx Trimalleolar Ankle W Man Rt 6 5 $1,042.00 $1,010.74 $905.28 $1,197.56 $984.19 2026-07-15
G0378 HCPCS Observation 1st Hour 21 5 $1,511.00 $1,465.67 $107.90 $5,870.00 $982.15 2026-07-15
76536 CPT Ultrasound Head And Neck 12 5 $1,052.00 $1,020.44 $683.80 $1,052.00 $948.38 2026-07-15
99292 CPT Critical Care Ea Addl 30 Min 14 5 $1,433.00 $1,390.01 $164.83 $1,433.00 $942.20 2026-07-15
31500 CPT Intubation 8 5 $1,143.00 $1,108.71 $742.95 $1,143.00 $938.98 2026-07-15
27265 CPT Dislocation Hip Post Arthro Rt 6 5 $747.00 $724.59 $856.70 $1,111.82 $931.34 2026-07-15
72110 CPT X-ray Lumbosacral 4 Views 8 5 $1,143.00 $1,108.71 $67.44 $1,143.00 $928.69 2026-07-15
111 CDM Room Medical Unit Priv 12 5 $1,270.50 $1,232.38 $274.95 $2,118.00 $899.85 2026-07-15
93976 CPT Vascular Study 10 5 $961.00 $932.17 $624.65 $961.00 $866.34 2026-07-15
74019 CPT X-ray Abdomen 11 5 $925.00 $897.25 $601.25 $925.00 $839.00 2026-07-15
84597 CPT Vitamin K 9 6 $962.00 $933.14 $625.30 $962.00 $820.59 2026-07-15
72100 CPT X-ray Lumbosacral 2-3 Views 11 5 $929.00 $901.13 $90.44 $929.00 $792.44 2026-07-15
71101 CPT X-ray Ribs Uni W Chest Lt 16 5 $824.00 $799.28 $535.60 $3,427.98 $791.04 2026-07-15
99283 CPT Emergency Room Visit Level 3 19 6 $992.00 $962.24 $108.68 $992.00 $783.68 2026-07-15
92960 CPT Cardioversion 8 5 $945.00 $916.65 $614.25 $945.00 $776.32 2026-07-15
76857 CPT Ultrasound Pelvic Limited 28 5 $886.00 $859.42 $330.85 $1,200.00 $767.88 2026-07-15
82542 CPT Fatty Acids Essential C12-c22 9 5 $899.00 $872.03 $584.35 $899.00 $766.85 2026-07-15
72040 CPT X-ray Spine Cervical 2-3 Views 10 5 $840.00 $814.80 $546.00 $840.00 $757.26 2026-07-15
70030 CPT X-ray Eye Fb Detection 10 5 $788.00 $764.36 $512.20 $5,074.70 $757.18 2026-07-15
73521 CPT X-ray Hips 2 Views Bi 8 5 $929.00 $901.13 $603.85 $929.00 $754.82 2026-07-15
110 CDM Room Custodial Care 6 5 $827.00 $802.19 $537.55 $827.00 $745.54 2026-07-15
73522 CPT X-ray Hips 3-4 Views Bi 8 5 $769.00 $745.93 $499.85 $793.91 $738.24 2026-07-15
77080 CPT Dexa Scan 18 6 $1,036.00 $1,004.92 $16.12 $1,036.00 $736.60 2026-07-15
72072 CPT X-ray Spine Thoracic 3 Views 9 5 $859.00 $833.23 $558.35 $859.00 $732.73 2026-07-15
93321 CPT Doppler Echo Exam Heart 8 5 $880.00 $853.60 $572.00 $880.00 $722.92 2026-07-15
71100 CPT X-ray Ribs 2 Views Lt 16 5 $748.00 $725.56 $486.20 $3,616.49 $718.08 2026-07-15
710 CDM Recovery Phase 1 Per 15 Min 16 5 $914.50 $887.07 $447.85 $1,140.00 $715.00 2026-07-15
73523 CPT X-ray Hips 5 Views Bi 8 5 $842.00 $816.74 $547.30 $842.00 $704.22 2026-07-15
72070 CPT X-ray Spine Thoracic 2 Views 8 5 $729.00 $707.13 $473.85 $1,015.91 $699.84 2026-07-15
999 CDM Miscellaneous 12 5 $769.00 $746.01 $477.10 $804.18 $691.63 2026-07-15
23650 CPT Dislocation Shoulder Wo Anes 6 5 $550.00 $533.50 $629.84 $802.00 $684.99 2026-07-15
93922 CPT Ankle Arm Screen 8 5 $816.00 $791.52 $530.40 $816.00 $670.35 2026-07-15
73000 CPT X-ray Collar Bone Rt 11 6 $679.00 $658.63 $187.04 $679.00 $645.05 2026-07-15
73110 CPT X-ray Wrist 3 Views Lt 22 5 $671.00 $650.87 $58.22 $671.00 $637.45 2026-07-15
71046 CPT X-ray Chest 2v PA/Lateral 14 6 $660.00 $640.20 $429.00 $783.14 $628.00 2026-07-15
72080 CPT X-ray Thoracolumbar Junc 2v 8 5 $770.00 $746.90 $79.40 $770.00 $625.62 2026-07-15
0202U CPT Respir Path 22 Targets Biofire 8 5 $756.00 $733.32 $491.40 $756.00 $621.06 2026-07-15
81241 CPT Factor V Leiden Mutation 8 5 $750.00 $727.50 $487.50 $750.00 $616.12 2026-07-15
73564 CPT X-ray Knee 4 Lt 20 5 $671.00 $650.87 $129.06 $671.00 $604.90 2026-07-15
72020 CPT X-ray Spine Single View 8 5 $736.00 $713.92 $244.37 $736.00 $598.00 2026-07-15
73610 CPT X-ray Ankle 3 Views Lt 22 5 $679.00 $658.63 $99.63 $679.00 $597.60 2026-07-15
P9047 HCPCS Albumin Human 25% 25gr/100ml 8 5 $618.00 $600.27 $402.24 $3,118.50 $594.08 2026-07-15
71120 CPT X-ray Sternum 2 Views 8 5 $729.00 $707.13 $79.40 $729.00 $592.32 2026-07-15
73130 CPT X-ray Hand Rt 21 6 $618.00 $599.46 $59.16 $618.00 $587.10 2026-07-15
73590 CPT X-ray Lower Leg Lt 21 5 $616.00 $597.52 $73.88 $616.00 $585.20 2026-07-15
73080 CPT X-ray Elbow Rt 19 6 $674.00 $653.78 $38.91 $674.00 $574.92 2026-07-15
73030 CPT X-ray Shoulder Rt 23 6 $671.00 $650.87 $237.65 $671.00 $572.36 2026-07-15
73100 CPT X-ray Wrist 2 Views Lt 20 5 $627.00 $608.19 $66.51 $627.00 $565.24 2026-07-15
73620 CPT X-ray Foot 2 Views Rt 10 5 $627.00 $608.19 $212.82 $627.00 $551.91 2026-07-15
73502 CPT X-ray Hip Uni 2-3 Views Lt 22 5 $572.00 $554.84 $371.80 $860.42 $549.92 2026-07-15
73630 CPT X-ray Foot 3 Views Rt 19 5 $644.00 $624.68 $65.60 $644.00 $549.33 2026-07-15
70150 CPT X-ray Facial Bones 3 Views 8 5 $674.00 $653.78 $82.17 $674.00 $547.62 2026-07-15
45385 CPT Colonoscopy W Lesion Removal 6 5 $2,222.00 $2,155.34 $497.75 $709.52 $540.97 2026-07-15
C8924 HCPCS Tte 2d W Contrast Limited 8 5 $655.00 $635.35 $425.75 $655.00 $538.09 2026-07-15
73562 CPT X-ray Knee 3 Views Rt 19 5 $627.00 $608.19 $109.76 $627.00 $534.83 2026-07-15
80050 CPT General Health Panel 11 6 $605.00 $586.85 $393.25 $605.00 $530.00 2026-07-15
73060 CPT X-ray Humerus Rt 17 6 $621.00 $602.37 $67.44 $621.00 $529.71 2026-07-15
99282 CPT Emergency Room Visit Level 2 19 6 $662.00 $642.14 $64.21 $662.00 $522.98 2026-07-15
72190 CPT X-ray Pelvis 3 Views 8 5 $564.00 $547.08 $366.60 $564.00 $522.48 2026-07-15
73503 CPT X-ray Hip Uni W Pelvis 4 V Rt 8 5 $642.00 $622.74 $392.75 $642.00 $521.62 2026-07-15
73010 CPT X-ray Shoulder Blade Rt 8 5 $633.00 $614.01 $174.17 $633.00 $514.32 2026-07-15
73070 CPT X-ray Elbow Rt 19 5 $602.00 $583.94 $41.69 $602.00 $513.51 2026-07-15
74018 CPT X-ray Abdomen 11 5 $529.00 $513.13 $343.85 $529.00 $513.13 2026-07-15
73090 CPT X-ray Forearm 2 Views Lt 20 6 $567.00 $549.99 $282.72 $567.00 $511.15 2026-07-15
51798 CPT Bladder Scan 19 5 $758.00 $735.26 $330.85 $758.00 $504.07 2026-07-15
93226 CPT ECG Monit/Report Up To 48 Hour 8 5 $612.00 $593.64 $397.80 $612.00 $502.76 2026-07-15
72170 CPT X-ray Pelvis 1-2 Views 12 5 $553.00 $536.41 $341.88 $553.00 $498.53 2026-07-15
73600 CPT X-ray Ankle 2 Views Lt 16 5 $602.00 $583.94 $86.75 $602.00 $489.12 2026-07-15
77067 CPT Mammo Screen Implant Bi 42 6 $571.00 $553.87 $199.55 $778.00 $487.06 2026-07-15
83993 CPT Calprotectin 9 5 $569.00 $551.93 $369.85 $569.00 $485.36 2026-07-15
73560 CPT X-ray Knee 1-2 Views Rt 19 5 $568.00 $550.96 $84.00 $568.00 $484.50 2026-07-15
45384 CPT Colonoscopy W Lesion Removal 6 5 $2,321.00 $2,251.37 $443.33 $631.18 $480.72 2026-07-15
73552 CPT X-ray Femur 2 Views Lt 18 5 $590.00 $572.30 $107.00 $590.00 $479.38 2026-07-15
76801 CPT OB US < 14 Wks Single Fetus 8 5 $576.00 $558.72 $374.40 $576.00 $473.19 2026-07-15
Q9956 HCPCS Perflutren Protein-a Microdota 8 5 $579.00 $562.21 $77.76 $579.60 $470.92 2026-07-15
Q9957 HCPCS Perflutren Lip Micro 2.2mg/2ml 8 5 $579.00 $561.63 $47.75 $579.00 $470.44 2026-07-15
P9612 HCPCS Cath Insert Bladder Spec 8 5 $571.00 $553.87 $371.15 $571.00 $469.07 2026-07-15
51703 CPT Cath Insert Comp Indwelling 8 5 $571.00 $553.87 $371.15 $571.00 $469.07 2026-07-15
73140 CPT X-ray Finger(s) Lt 22 6 $490.00 $475.30 $64.68 $490.00 $465.50 2026-07-15
12053 CPT Repair Lac Interm 5.1-7.5 Cm 6 5 $317.00 $307.49 $434.18 $600.32 $465.06 2026-07-15
99281 CPT Emergency Room Visit Level 1 8 5 $551.00 $534.47 $358.15 $551.00 $452.64 2026-07-15
84155 CPT Protein Blood Spep 10 5 $499.00 $484.03 $324.35 $499.00 $449.85 2026-07-15
96360 CPT Inf Therapy Hyd Initial 23 5 $463.00 $449.11 $300.95 $579.00 $449.11 2026-07-15
72220 CPT X-ray Sacrum Tailbone 8 5 $517.00 $501.49 $336.05 $517.00 $447.69 2026-07-15
70140 CPT X-ray Facial Bones < 3 Views 8 5 $529.00 $513.13 $66.51 $529.00 $429.81 2026-07-15
73050 CPT X-ray Ac Joints 8 5 $529.00 $513.13 $196.25 $529.00 $429.81 2026-07-15
45380 CPT Colonoscopy W Biopsy(s) 6 5 $2,233.00 $2,166.01 $393.92 $558.91 $427.84 2026-07-15
45381 CPT Colonoscopy Submucous Inj 6 5 $1,890.00 $1,833.30 $393.92 $558.91 $427.44 2026-07-15
71045 CPT X-ray Chest 1 View 12 5 $444.00 $430.68 $288.60 $593.33 $426.84 2026-07-15
93242 CPT Ext ECG 48 Hrs -7days Hook Up 10 5 $473.00 $458.81 $307.45 $473.00 $426.41 2026-07-15
93970 CPT Venous Duplex 8 5 $519.00 $503.43 $337.35 $519.00 $426.36 2026-07-15
12042 CPT Repair Lac Interm 2.6-7.5 Cm 6 5 $662.00 $642.14 $396.46 $550.12 $424.24 2026-07-15
P9016 HCPCS Red Blood Cells Lekoreduced 8 5 $513.00 $497.61 $333.45 $513.00 $421.43 2026-07-15
11604 CPT Exc Mal Lesion 3.1-4.0 Trunk 14 5 $425.00 $412.25 $276.25 $592.26 $418.62 2026-07-15
76817 CPT Transvaginal US Obstetrical 8 5 $498.00 $483.06 $323.70 $498.00 $409.11 2026-07-15
12020 CPT Treat Wound Dehiscence Simple 6 5 $386.00 $374.42 $378.96 $521.25 $407.69 2026-07-15
93246 CPT Ext ECG >7 Days Hook Up 11 5 $473.00 $458.81 $307.45 $473.00 $403.47 2026-07-15
J0283 HCPCS Amiodarone/D5W 150mg/100ml Bag 14 5 $443.00 $429.86 $173.21 $490.58 $398.60 2026-07-15
73650 CPT X-ray Heel 2 Views Lt 8 5 $486.00 $471.42 $64.68 $486.00 $394.88 2026-07-15
450 CDM Application Splint Or Cast 104 5 $437.00 $423.89 $122.20 $1,013.00 $393.67 2026-07-15
45378 CPT Colonoscopy Diagnostic 6 5 $1,569.00 $1,521.93 $362.29 $514.44 $393.28 2026-07-15
73660 CPT X-ray Toe(s) 2 Views Lt 16 5 $476.00 $461.72 $66.51 $476.00 $386.75 2026-07-15
73120 CPT X-ray Hand Lt 16 5 $476.00 $461.72 $198.99 $476.00 $386.75 2026-07-15
84145 CPT Procalcitonin 10 5 $427.00 $414.19 $277.55 $427.00 $384.94 2026-07-15
G0121 HCPCS Screen Colonoscopy Not Hi Risk 6 5 $1,455.00 $1,411.35 $171.02 $514.81 $381.66 2026-07-15
G0105 HCPCS Screening Colonoscopy Hi Risk 6 5 $2,084.00 $2,021.48 $170.90 $514.08 $381.44 2026-07-15
92507 CPT Speech Therapy Trmt 9 5 $447.00 $433.59 $290.55 $447.00 $381.29 2026-07-15
88305 CPT Surg Path L4 12 5 $413.00 $400.61 $268.45 $413.00 $372.32 2026-07-15
92610 CPT Swallow Eval Non Radiol 10 5 $447.00 $433.59 $178.18 $447.00 $367.21 2026-07-15
12051 CPT Repair Lac Interm <2.5 Cm 6 5 $662.00 $642.14 $341.90 $472.22 $366.06 2026-07-15
51700 CPT Irrigation Bladder Simple 8 5 $437.00 $423.89 $284.05 $437.00 $359.00 2026-07-15
86665 CPT Epstein Barr Capsid IgG 8 5 $434.00 $420.98 $282.10 $434.00 $356.53 2026-07-15
96365 CPT Inf Therapy Med Initial 23 5 $348.00 $337.56 $226.20 $695.00 $348.00 2026-07-15
96368 CPT Inf Therapy Med Concurrent 21 5 $463.00 $449.11 $226.20 $463.00 $348.00 2026-07-15
J3489 HCPCS Zoledron Ac/Man/H2O 5mg/100ml 8 5 $427.00 $414.98 $17.25 $427.81 $347.60 2026-07-15
92524 CPT Behavral Qualit Analys Voice 8 5 $423.00 $410.31 $274.95 $423.00 $347.50 2026-07-15
87529 CPT Hsv DNA Amp Probe 16 5 $413.00 $400.61 $255.45 $433.00 $338.65 2026-07-15
99223 CPT IP/Obs Initial High Comp 6 5 $263.00 $255.11 $270.04 $389.40 $334.66 2026-07-15
761 CDM Change/Reposition Feeding Tube 8 5 $404.00 $391.88 $262.60 $404.00 $331.88 2026-07-15
96367 CPT Inf Therapy Med Sequential 11 5 $348.00 $337.56 $226.20 $348.00 $330.60 2026-07-15
J2305 HCPCS Nitroglycer/D5W 50mg/250ml Bot 10 5 $363.00 $352.77 $3.20 $363.68 $327.86 2026-07-15
84207 CPT Vitamin B6 11 5 $340.00 $329.80 $221.00 $340.00 $323.00 2026-07-15
96361 CPT Inf Therapy Hyd Ea Addl Hour 14 6 $348.00 $337.56 $226.20 $348.00 $322.80 2026-07-15
88341 CPT Immunohisto Stain Add Per Spc 10 5 $358.00 $347.26 $232.70 $1,023.00 $322.74 2026-07-15
93225 CPT Holter Monitor Hook Up <48 Hrs 8 5 $391.00 $379.27 $254.15 $391.00 $321.20 2026-07-15
11442 CPT Exc Ben Lesion 1.1-2.0 Face 14 5 $365.00 $354.05 $237.25 $403.03 $319.15 2026-07-15
83835 CPT Metanephrines 8 5 $387.00 $375.39 $251.55 $387.00 $317.92 2026-07-15
87385 CPT Histoplasma Antigen 10 5 $351.00 $340.47 $228.15 $351.00 $316.42 2026-07-15
96366 CPT Inf Therapy Med Ea Addl Hr 12 5 $348.00 $337.56 $226.20 $348.00 $313.72 2026-07-15
94660 CPT CPap/BiPap First Day 8 5 $380.00 $368.60 $247.00 $380.00 $312.17 2026-07-15
82652 CPT Vitamin D 125 Dihydroxy 8 5 $379.00 $367.63 $246.35 $379.00 $311.35 2026-07-15
J0134 HCPCS Acetaminoph IV(Fresenius Kabi) 13 6 $317.00 $308.25 $21.48 $317.78 $301.89 2026-07-15
88304 CPT Surg Path L3 8 5 $365.00 $354.05 $237.25 $365.00 $299.85 2026-07-15
J3375 HCPCS Vancomycin 1000mg/200ml-rmtemp 24 5 $363.00 $352.84 $224.97 $382.76 $298.94 2026-07-15
41899 CPT Unlisted Proc Dentoalveolar St 6 5 $331.00 $321.07 $215.15 $331.00 $298.39 2026-07-15
G0438 HCPCS Annual Wellness Visit Initial 6 5 $295.00 $286.15 $184.13 $358.02 $297.00 2026-07-15
43239 CPT Egd Biopsy Single/Multiple 6 5 $1,507.00 $1,461.79 $272.42 $385.31 $296.67 2026-07-15
82024 CPT Acth Adrenocorticotropic Hor 8 5 $351.00 $340.47 $228.15 $351.00 $288.35 2026-07-15
84270 CPT Sex Hormone Binding Globulin 8 5 $347.00 $336.59 $225.55 $347.00 $285.06 2026-07-15
J1265 HCPCS Dopamine/D5W 400 Mg/250 Ml Bag 8 5 $347.00 $337.23 $121.32 $347.66 $282.47 2026-07-15
93005 CPT EKG Tracing 13 6 $292.00 $283.24 $189.80 $292.00 $277.40 2026-07-15
51701 CPT Cath Insert Straight Non-indwe 21 5 $204.00 $197.88 $132.60 $426.00 $276.90 2026-07-15
90671 HCPCS Pneumo Conjugate Vaccine 15 Va 8 5 $339.00 $328.83 $16.40 $339.00 $275.44 2026-07-15
80053 CPT Comprehensive Metabolic Panel 14 6 $288.00 $279.36 $187.20 $288.00 $273.60 2026-07-15
92523 CPT Speech Sound Lang Comp Or Expr 8 5 $333.00 $323.01 $216.45 $333.00 $273.56 2026-07-15
80177 CPT Levetiracetam 10 5 $303.00 $293.91 $196.95 $303.00 $273.15 2026-07-15
J1956 HCPCS Levofloxaci/D5W 250mg/50ml Bag 20 5 $309.00 $299.90 $2.07 $309.27 $263.77 2026-07-15
J1643 HCPCS Heparin/.45% Sod Chl Pfzer 25k 8 5 $324.00 $314.75 $26.25 $324.48 $263.64 2026-07-15
43235 CPT Egd Diagnostic Brush Wash 6 5 $1,359.00 $1,318.23 $242.01 $341.12 $263.11 2026-07-15
83010 CPT Haptoglobin Quant 8 5 $320.00 $310.40 $208.00 $320.00 $262.88 2026-07-15
97167 CPT Ot Eval High Complexity 10 5 $287.00 $278.39 $186.55 $287.00 $258.73 2026-07-15
93798 CPT Cardiac Rehab Ii Monitored 21 5 $303.00 $293.91 $196.95 $303.00 $258.46 2026-07-15
17281 CPT Destroy Malig Lesion .6-1.0 Cm 14 5 $307.00 $297.79 $199.55 $334.38 $257.44 2026-07-15
90620 CPT MenB 2 Dose IM 8 5 $278.00 $269.66 $180.70 $278.00 $254.82 2026-07-15
97161 CPT Pt Eval Low Complexity 14 6 $268.00 $259.96 $174.20 $268.00 $254.60 2026-07-15
J0744 HCPCS Ciprofloxac/D5 400mg/200ml Bag 8 5 $311.00 $302.57 $5.85 $311.93 $253.44 2026-07-15
86480 CPT Tbint Quantiferon 10 5 $278.00 $269.66 $180.70 $278.00 $250.62 2026-07-15
86160 CPT C4 Complement 8 5 $305.00 $295.85 $198.25 $305.00 $250.56 2026-07-15
85379 CPT D-dimer Quant 11 5 $290.00 $281.30 $188.50 $290.00 $247.37 2026-07-15
J1836 HCPCS Metronidazole/Ns 500mg/100ml 8 5 $304.00 $295.15 $0.32 $304.28 $247.23 2026-07-15
87380 CPT Hep Delta Antigen 8 5 $300.00 $291.00 $195.00 $300.00 $246.45 2026-07-15
99222 CPT Inpatient Initial/Obs Mod Comp 6 5 $190.00 $184.30 $202.33 $274.01 $246.06 2026-07-15
96125 CPT Cognitive Performance Test St 10 5 $271.00 $262.87 $176.15 $271.00 $244.31 2026-07-15
11406 CPT Exc Ben Lesion >4.0 Trunk 14 5 $248.00 $240.56 $161.20 $675.58 $244.28 2026-07-15
80235 CPT Lacosamide 8 5 $296.00 $287.12 $192.40 $296.00 $243.17 2026-07-15
97163 CPT Pt Eval High Complexity 8 5 $296.00 $287.12 $192.40 $296.00 $243.17 2026-07-15
97597 CPT Debride Selective 20 Sq Cm 10 5 $276.00 $267.72 $179.40 $276.00 $242.72 2026-07-15
99195 CPT Phlebotomy Therapeutic 10 5 $269.00 $260.93 $174.85 $269.00 $242.50 2026-07-15
86225 CPT DNA Double Strand Antibody 8 5 $295.00 $286.15 $191.75 $295.00 $242.34 2026-07-15
84244 CPT Renin 8 5 $295.00 $286.15 $191.75 $295.00 $242.34 2026-07-15
11602 CPT Exc Mal Lesion 1.1-2.0 Trunk 14 5 $246.00 $238.62 $159.90 $451.89 $242.31 2026-07-15
G0404 HCPCS EKG Welcome To Medicare 8 5 $292.00 $283.24 $189.80 $292.00 $239.88 2026-07-15
97162 CPT Pt Eval Mod Complexity 11 5 $281.00 $272.57 $182.65 $281.00 $239.69 2026-07-15
97166 CPT Ot Eval Mod Complexity 12 6 $271.00 $262.87 $176.15 $271.00 $238.58 2026-07-15
99152 CPT Mod Sedation Same Md >5 Yrs 8 5 $289.00 $280.33 $187.85 $289.00 $237.42 2026-07-15
82747 CPT Rbc Folic Acid 8 5 $288.00 $279.36 $187.20 $288.00 $236.59 2026-07-15
99153 CPT Mod Sedation Same Md Add 15 13 6 $249.00 $241.53 $161.85 $249.00 $236.55 2026-07-15
12002 CPT Repair Lac Simple 2.6-7.5 Cm 16 5 $327.00 $317.19 $112.84 $709.00 $234.95 2026-07-15
97012 CPT Traction Cervical/Pelvic 10 5 $260.00 $252.20 $169.00 $260.00 $234.39 2026-07-15
J2704 HCPCS Propofol 200 Mg/20 Ml Vial 13 6 $243.00 $236.22 $119.09 $560.00 $231.35 2026-07-15
92526 CPT Dysphagia Treatment 11 5 $271.00 $262.87 $107.91 $271.00 $231.16 2026-07-15
92522 CPT Eval St Speech Production 9 5 $271.00 $262.87 $176.15 $271.00 $231.16 2026-07-15
65205 CPT Remove Foreign Body Eye Lt 14 5 $350.00 $339.50 $58.46 $350.00 $230.12 2026-07-15
83921 CPT Methylmalonic Acid 8 5 $280.00 $271.60 $182.00 $280.00 $230.02 2026-07-15
J1815 HCPCS Insulin Aspart 100Unit/ML 10ml 20 5 $256.00 $248.64 $68.69 $391.85 $229.98 2026-07-15
84432 CPT Thyroglobulin 8 5 $278.00 $269.66 $180.70 $278.00 $228.38 2026-07-15
83090 CPT Homocystine 9 5 $266.00 $258.02 $172.90 $266.00 $226.90 2026-07-15
87581 CPT Mycoplasma Pneum Pcr 8 5 $276.00 $267.72 $179.40 $276.00 $226.74 2026-07-15
81418 CPT Pharmacogenomic Geno 8 5 $276.00 $267.72 $179.40 $276.00 $226.74 2026-07-15
99387 CPT Preventive Exam 65 Year New 14 5 $249.00 $241.53 $161.85 $259.40 $226.62 2026-07-15
84484 CPT Troponin Quant 14 6 $238.00 $230.86 $154.70 $238.00 $226.10 2026-07-15
G0402 HCPCS Welcome To Medicare Visit 14 5 $257.00 $249.29 $142.88 $277.93 $225.41 2026-07-15
80074 CPT Acute Hepatitis Panel 10 5 $249.00 $241.53 $161.85 $249.00 $224.48 2026-07-15
86920 CPT Crossmatch Immed Spin 8 5 $269.00 $260.93 $174.85 $269.00 $220.99 2026-07-15
96375 CPT IV Injection Subsequent 14 6 $232.00 $225.04 $150.80 $884.00 $220.40 2026-07-15
96376 CPT IV Injection Ea Addl Same Drug 14 6 $232.00 $225.04 $150.80 $442.00 $220.40 2026-07-15
96374 CPT IV Push Injection Initial 13 6 $232.00 $225.04 $150.80 $232.00 $220.40 2026-07-15
82626 CPT Dhea 9 5 $258.00 $250.26 $167.70 $258.00 $220.07 2026-07-15
J3430 HCPCS Phytonadione 10 Mg/ml Ampule 8 5 $228.00 $221.67 $148.54 $233.82 $219.38 2026-07-15
12001 CPT Repair Lac Simple <2.5 Cm 18 6 $280.00 $271.60 $86.23 $744.00 $218.68 2026-07-15
97165 CPT Ot Eval Low Complexity 11 5 $255.00 $247.35 $165.75 $255.00 $217.52 2026-07-15
G0439 HCPCS Annual Wellness Visit Subs 6 5 $295.00 $286.15 $145.13 $282.26 $215.83 2026-07-15
11622 CPT Exc Mal Lesion 1.1-2.0 Neck 14 5 $219.00 $212.43 $142.35 $472.86 $215.72 2026-07-15
86638 CPT Q Fever Antibody 8 5 $261.00 $253.17 $169.65 $261.00 $214.41 2026-07-15
11401 CPT Exc Ben Lesion 0.6-1.0 Trunk 14 5 $218.00 $211.46 $141.70 $289.52 $213.81 2026-07-15
11104 CPT Punch Biopsy 1st Lesion 14 5 $322.00 $312.34 $92.98 $322.00 $211.72 2026-07-15
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