Hospital

AVERA DELLS AREA HOSPITAL - CAH

Dell Rapids, SD · CCN 431331 · Rates published

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You selected 93306 (CPT)

TTE W Doppler Complete

This hospital’s price: $2,598 across 6 payers · range $928-$3,160

Source: https://www.avera.org/app/files/public/2e1bd421-a31b-49d2-aa47-b2e43dfccccc/460224743_avera-dell-rapids-hospital_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.

863 distinct procedures filed

6 distinct payers

16,126 rate rows

2026-07-15 last MRF observed

Data quality

16,081 of 16,126 rate rows are consumer-grade (99.7%)

45 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 — reason	Rows
exceeds 10× this hospital's gross charge — excluded from medians	14
placeholder amount (≤ $0.02) — excluded from medians	14
percent-of-charges filed in the dollar field — excluded from medians	9
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	6
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	2

Data source & audit trail ↓ Download audit trail (JSON)

Source MRF file	https://www.avera.org/app/files/public/2e1bd421-a31b-49d2-aa47-b2e43dfccccc/460224743_avera-dell-rapids-hospital_standardcharges.csv
Discovered via	Discovered by HANK (automated)
Last fetch	Latest re-check couldn't be parsed — showing last good data · 2026-09-21
Content fingerprint	bdfd3bdb62c99bc0… · 3,549,042 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
J3380 HCPCS	Vedolizumab 300 Mg Vial	6	$43.34	$39,563.32	$28,560.56	nat. median $155 outlier · 184.8×
J3101 HCPCS	Tenecteplase 50 Mg/10 Ml Syrng	6	$0.41	$30,005.60	$23,050.62	nat. median $3,787 outlier · 6.1×
J0717 HCPCS	Certolizumab Pegol 400 Mg Kit	6	$3.42	$24,592.04	$17,752.86	nat. median $1,635 outlier · 10.9×
291 MS_DRG	Ms-DRG 291	1	$17,423.62	$17,423.62	$17,423.62	nat. median $12,775 1.4× median
871 MS_DRG	Ms-DRG 871	1	$14,150.42	$14,150.42	$14,150.42	nat. median $18,659 0.8× median
603 MS_DRG	Ms-DRG 603	1	$11,327.04	$11,327.04	$11,327.04	nat. median $8,991 1.3× median
74177 CPT	CT Abd & Pelv W Contrast	6	$227.52	$7,733.95	$6,357.46	nat. median $976 outlier · 6.5×
95811 CPT	Polysomnogram W CPap	6	$2,143.56	$7,298.85	$6,146.40	nat. median $1,894 outlier · 3.2×
Q5111 HCPCS	Pegfilgrastim-cbqv 6 Mg/0.6 Ml	6	$271.10	$8,478.75	$6,120.76	nat. median $1,984 outlier · 3.1×
J3032 HCPCS	Eptinezumab-jjmr 100Mg/Ml Vial	6	$38.64	$8,042.75	$5,806.02	nat. median $73 outlier · 79.9×
95810 CPT	Polysomnogram	6	$2,055.39	$6,998.65	$5,753.62	nat. median $1,827 outlier · 3.1×
300 MS_DRG	Ms-DRG 300	1	$5,681.48	$5,681.48	$5,681.48	nat. median $10,846 0.5× median
698 MS_DRG	Ms-DRG 698	1	$5,680.28	$5,680.28	$5,680.28	nat. median $15,915 outlier · 0.4×
74178 CPT	CT Abd & Pelv Wwo Contrast	6	$479.88	$7,164.90	$5,632.36	nat. median $1,027 outlier · 5.5×
J0129 HCPCS	Abatacept 250 Mg Vial	6	$87.60	$6,143.46	$4,434.93	nat. median $902 outlier · 4.9×
750 CDM	Colonoscopy	6	$1,280.33	$8,797.00	$4,222.01	nat. median $3,784 1.1× median
70553 CPT	MRI Brain Wwo Contrast	6	$729.77	$5,616.40	$4,192.80	nat. median $1,136 outlier · 3.7×
74176 CPT	CT Abd & Pelvis Wo Contrast	6	$95.04	$5,052.10	$4,179.95	nat. median $694 outlier · 6.0×
72157 CPT	MRI Chest Spine Wwo Dye	6	$535.35	$5,546.10	$4,003.70	nat. median $1,114 outlier · 3.6×
72158 CPT	MRI Lumbar Spine Wwo Dye	6	$340.97	$5,546.10	$4,003.70	nat. median $1,097 outlier · 3.6×
73720 CPT	MRI Le Wwo Dye Lt	6	$233.96	$5,546.10	$4,003.70	nat. median $1,135 outlier · 3.5×
73221 CPT	MRI Joint Ue Wo Dye Rt	6	$408.12	$4,728.15	$3,842.24	nat. median $844 outlier · 4.6×
73721 CPT	MRI Joint Le Wo Dye Lt	6	$315.18	$4,728.15	$3,716.82	nat. median $856 outlier · 4.3×
72148 CPT	MRI Lumbar Spine Wo Dye	6	$315.18	$4,728.15	$3,716.82	nat. median $807 outlier · 4.6×
689 MS_DRG	Ms-DRG 689	1	$3,511.54	$3,511.54	$3,511.54	nat. median $11,515 outlier · 0.3×
70551 CPT	MRI Brain Wo Contrast	6	$447.03	$4,116.35	$3,345.08	nat. median $787 outlier · 4.3×
74183 CPT	MRI Abdomen Wwo Dye	6	$619.08	$4,473.55	$3,229.43	nat. median $1,105 outlier · 2.9×
70543 CPT	MRI Orbit Face Neck Wwo Cont	6	$335.45	$4,376.65	$3,159.48	nat. median $1,087 outlier · 2.9×
73220 CPT	MRI Ue Wwo Dye Lt	6	$319.79	$4,326.30	$3,123.14	nat. median $1,136 outlier · 2.7×
72146 CPT	MRI Chest Spine Wo Dye	6	$390.63	$4,116.35	$2,971.57	nat. median $800 outlier · 3.7×
72141 CPT	MRI Neck Spine Wo Dye	6	$233.96	$3,816.15	$2,955.34	nat. median $785 outlier · 3.8×
71271 CPT	Ldct For Lung Cancer Screen	6	$101.48	$3,467.50	$2,920.00	nat. median $215 outlier · 13.6×
74170 CPT	CT Abdomen Wwo Dye	6	$58.22	$3,588.15	$2,915.84	nat. median $714 outlier · 4.1×
87154 CPT	Culture Id By Amp Prb 6 Or 6+	6	$1,018.63	$3,477.00	$2,902.55	nat. median $289 outlier · 10.0×
73718 CPT	MRI Le Wo Dye Rt	6	$56.39	$3,664.15	$2,783.21	nat. median $870 outlier · 3.2×
74181 CPT	MRI Abdomen Wo Dye	6	$544.29	$3,721.15	$2,686.28	nat. median $820 outlier · 3.3×
74175 CPT	CTA Abdom Wwo Dye	6	$82.17	$3,417.15	$2,686.24	nat. median $718 outlier · 3.7×
71275 CPT	CTA Chest Wwo Contrast	6	$660.00	$3,291.75	$2,674.98	nat. median $759 outlier · 3.5×
93306 CPT	Tte W Doppler Complete	6	$927.95	$3,159.70	$2,597.61	nat. median $993 outlier · 2.6×
70470 CPT	CT Head/Brain Wwo Contrast	6	$241.32	$3,588.15	$2,590.27	nat. median $629 outlier · 4.1×
81479 CPT	Btk Inhibitor Panel	6	$924.61	$3,148.30	$2,588.23	nat. median $448 outlier · 5.8×
71260 CPT	CT Thorax W Contrast	6	$80.31	$3,044.75	$2,519.13	nat. median $651 outlier · 3.9×
689 CDM	Trauma Team Evaluation Level 5	6	$897.82	$3,057.10	$2,513.26	nat. median $1,169 outlier · 2.1×
C8929 HCPCS	Echo M Mode 2d W Contrast	6	$801.85	$2,730.30	$2,284.83	nat. median $1,358 1.7× median
G0390 HCPCS	Trauma Team Level 5	6	$812.17	$2,765.45	$2,273.49	nat. median $3,197 0.7× median
70544 CPT	MRA Head Wo Contrast	6	$408.12	$3,138.80	$2,265.89	nat. median $829 outlier · 2.7×
70491 CPT	CT Soft Tissue Neck W Cont	6	$357.53	$2,679.00	$2,177.04	nat. median $632 outlier · 3.4×
70486 CPT	CT Maxillofacial Wo Contrast	6	$187.95	$2,581.15	$2,135.56	nat. median $481 outlier · 4.4×
72132 CPT	CT Lumbar Spine W Contrast	6	$313.35	$2,831.95	$2,115.31	nat. median $769 outlier · 2.7×
70487 CPT	CT Maxillofacial W Contrast	6	$268.29	$2,925.05	$2,111.58	nat. median $611 outlier · 3.5×

Other procedures at this hospital

Browse this hospital's 863 published procedures. Use the slice to choose what to show, then sort or filter any column.

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

J3380	HCPCS	Vedolizumab 300 Mg Vial	12	6	$41,645.00	$40,396.23	$43.34	$39,563.32	$28,560.56	2026-07-15
J3101	HCPCS	Tenecteplase 50 Mg/10 Ml Syrng	14	6	$31,584.00	$30,637.29	$0.41	$30,005.60	$23,050.62	2026-07-15
J0717	HCPCS	Certolizumab Pegol 400 Mg Kit	12	6	$25,886.00	$25,109.77	$3.42	$24,592.04	$17,752.86	2026-07-15
291	MS_DRG	Ms-DRG 291	1	1	—	—	$17,423.62	$17,423.62	$17,423.62	2026-07-15
871	MS_DRG	Ms-DRG 871	1	1	—	—	$14,150.42	$14,150.42	$14,150.42	2026-07-15
603	MS_DRG	Ms-DRG 603	1	1	—	—	$11,327.04	$11,327.04	$11,327.04	2026-07-15
74177	CPT	CT Abd & Pelv W Contrast	17	6	$8,141.00	$7,896.77	$227.52	$7,733.95	$6,357.46	2026-07-15
95811	CPT	Polysomnogram W CPap	15	6	$7,683.00	$7,452.51	$2,143.56	$7,298.85	$6,146.40	2026-07-15
Q5111	HCPCS	Pegfilgrastim-cbqv 6 Mg/0.6 Ml	12	6	$8,925.00	$8,657.25	$271.10	$8,478.75	$6,120.76	2026-07-15
J3032	HCPCS	Eptinezumab-jjmr 100Mg/Ml Vial	12	6	$8,466.00	$8,212.07	$38.64	$8,042.75	$5,806.02	2026-07-15
95810	CPT	Polysomnogram	12	6	$7,367.00	$7,145.99	$2,055.39	$6,998.65	$5,753.62	2026-07-15
300	MS_DRG	Ms-DRG 300	1	1	—	—	$5,681.48	$5,681.48	$5,681.48	2026-07-15
698	MS_DRG	Ms-DRG 698	2	1	—	—	$5,680.28	$5,680.28	$5,680.28	2026-07-15
74178	CPT	CT Abd & Pelv Wwo Contrast	14	6	$7,542.00	$7,315.74	$479.88	$7,164.90	$5,632.36	2026-07-15
J0129	HCPCS	Abatacept 250 Mg Vial	12	6	$6,466.00	$6,272.80	$87.60	$6,143.46	$4,434.93	2026-07-15
750	CDM	Colonoscopy	60	6	$5,501.00	$5,335.97	$1,280.33	$8,797.00	$4,222.01	2026-07-15
70553	CPT	MRI Brain Wwo Contrast	25	6	$5,241.00	$5,083.77	$729.77	$5,616.40	$4,192.80	2026-07-15
74176	CPT	CT Abd & Pelvis Wo Contrast	18	6	$5,318.00	$5,158.46	$95.04	$5,052.10	$4,179.95	2026-07-15
73720	CPT	MRI Le Wwo Dye Lt	12	6	$5,838.00	$5,662.86	$233.96	$5,546.10	$4,003.70	2026-07-15
72158	CPT	MRI Lumbar Spine Wwo Dye	12	6	$5,838.00	$5,662.86	$340.97	$5,546.10	$4,003.70	2026-07-15
72157	CPT	MRI Chest Spine Wwo Dye	12	6	$5,838.00	$5,662.86	$535.35	$5,546.10	$4,003.70	2026-07-15
73221	CPT	MRI Joint Ue Wo Dye Rt	15	6	$4,977.00	$4,827.69	$408.12	$4,728.15	$3,842.24	2026-07-15
73721	CPT	MRI Joint Le Wo Dye Lt	28	6	$4,977.00	$4,827.69	$315.18	$4,728.15	$3,716.82	2026-07-15
72148	CPT	MRI Lumbar Spine Wo Dye	14	6	$4,977.00	$4,827.69	$315.18	$4,728.15	$3,716.82	2026-07-15
689	MS_DRG	Ms-DRG 689	2	1	—	—	$3,511.54	$3,511.54	$3,511.54	2026-07-15
70551	CPT	MRI Brain Wo Contrast	15	6	$4,333.00	$4,203.01	$447.03	$4,116.35	$3,345.08	2026-07-15
74183	CPT	MRI Abdomen Wwo Dye	12	6	$4,709.00	$4,567.73	$619.08	$4,473.55	$3,229.43	2026-07-15
70543	CPT	MRI Orbit Face Neck Wwo Cont	12	6	$4,607.00	$4,468.79	$335.45	$4,376.65	$3,159.48	2026-07-15
73220	CPT	MRI Ue Wwo Dye Lt	12	6	$4,554.00	$4,417.38	$319.79	$4,326.30	$3,123.14	2026-07-15
72146	CPT	MRI Chest Spine Wo Dye	12	6	$4,333.00	$4,203.01	$390.63	$4,116.35	$2,971.57	2026-07-15
72141	CPT	MRI Neck Spine Wo Dye	14	6	$4,017.00	$3,896.49	$233.96	$3,816.15	$2,955.34	2026-07-15
71271	CPT	Ldct For Lung Cancer Screen	15	6	$3,650.00	$3,540.50	$101.48	$3,467.50	$2,920.00	2026-07-15
74170	CPT	CT Abdomen Wwo Dye	15	6	$3,777.00	$3,663.69	$58.22	$3,588.15	$2,915.84	2026-07-15
87154	CPT	Culture Id By Amp Prb 6 Or 6+	12	6	$3,651.00	$3,541.47	$1,018.63	$3,477.00	$2,902.55	2026-07-15
73718	CPT	MRI Le Wo Dye Rt	26	6	$3,857.00	$3,741.29	$56.39	$3,664.15	$2,783.21	2026-07-15
74181	CPT	MRI Abdomen Wo Dye	12	6	$3,917.00	$3,799.49	$544.29	$3,721.15	$2,686.28	2026-07-15
74175	CPT	CTA Abdom Wwo Dye	14	6	$3,597.00	$3,489.09	$82.17	$3,417.15	$2,686.24	2026-07-15
71275	CPT	CTA Chest Wwo Contrast	13	6	$3,465.00	$3,361.05	$660.00	$3,291.75	$2,674.98	2026-07-15
93306	CPT	Tte W Doppler Complete	16	6	$3,326.00	$3,226.22	$927.95	$3,159.70	$2,597.61	2026-07-15
70470	CPT	CT Head/Brain Wwo Contrast	12	6	$3,777.00	$3,663.69	$241.32	$3,588.15	$2,590.27	2026-07-15
81479	CPT	Btk Inhibitor Panel	10	6	$3,314.00	$3,214.58	$924.61	$3,148.30	$2,588.23	2026-07-15
71260	CPT	CT Thorax W Contrast	16	6	$3,205.00	$3,108.85	$80.31	$3,044.75	$2,519.13	2026-07-15
689	CDM	Trauma Team Evaluation Level 5	10	6	$3,218.00	$3,121.46	$897.82	$3,057.10	$2,513.26	2026-07-15
C8929	HCPCS	Echo M Mode 2d W Contrast	14	6	$2,874.00	$2,787.78	$801.85	$2,730.30	$2,284.83	2026-07-15
G0390	HCPCS	Trauma Team Level 5	10	6	$2,911.00	$2,823.67	$812.17	$2,765.45	$2,273.49	2026-07-15
70544	CPT	MRA Head Wo Contrast	12	6	$3,304.00	$3,204.88	$408.12	$3,138.80	$2,265.89	2026-07-15
70491	CPT	CT Soft Tissue Neck W Cont	15	6	$2,820.00	$2,735.40	$357.53	$2,679.00	$2,177.04	2026-07-15
70486	CPT	CT Maxillofacial Wo Contrast	16	6	$2,717.00	$2,635.49	$187.95	$2,581.15	$2,135.56	2026-07-15
72132	CPT	CT Lumbar Spine W Contrast	14	6	$2,981.00	$2,891.57	$313.35	$2,831.95	$2,115.31	2026-07-15
70487	CPT	CT Maxillofacial W Contrast	12	6	$3,079.00	$2,986.63	$268.29	$2,925.05	$2,111.58	2026-07-15
70450	CPT	CT Head/Brain Wo Contrast	14	6	$2,663.00	$2,583.11	$524.00	$2,529.85	$2,104.96	2026-07-15
73201	CPT	CT Ue W Dye Rt	12	6	$3,064.00	$2,972.08	$90.44	$2,910.80	$2,101.29	2026-07-15
73701	CPT	CT Le W Dye Lt	24	6	$3,042.00	$2,950.74	$268.01	$2,889.90	$2,086.20	2026-07-15
71250	CPT	CT Thorax Wo Contrast	15	6	$2,663.00	$2,583.11	$71.13	$2,529.85	$2,055.84	2026-07-15
72125	CPT	CT Cervical Spine Wo Contrast	15	6	$2,663.00	$2,583.11	$172.58	$2,529.85	$2,055.84	2026-07-15
73700	CPT	CT Le Wo Dye Lt	28	6	$2,739.00	$2,656.83	$76.65	$2,663.00	$2,045.49	2026-07-15
73200	CPT	CT Ue Wo Dye Rt	26	6	$2,816.00	$2,731.52	$70.19	$2,675.20	$2,032.03	2026-07-15
72128	CPT	CT Thoracic Spine Wo Contrast	14	6	$2,663.00	$2,583.11	$107.93	$2,529.85	$1,988.73	2026-07-15
72131	CPT	CT Lumbar Spine Wo Contrast	14	6	$2,663.00	$2,583.11	$234.87	$2,529.85	$1,988.73	2026-07-15
J0248	HCPCS	Remdesivir 100 Mg Vial	12	6	$2,847.00	$2,762.23	$12.70	$2,705.28	$1,952.92	2026-07-15
72195	CPT	MRI Pelvis Wo Dye	10	6	$2,521.00	$2,445.37	$703.36	$2,394.95	$1,882.68	2026-07-15
74150	CPT	CT Abdomen Wo Dye	12	6	$2,663.00	$2,583.11	$524.00	$2,529.85	$1,826.28	2026-07-15
120	CDM	Room Medical Unit Semi Private	8	6	$2,160.00	$2,095.20	$602.64	$2,052.00	$1,697.76	2026-07-15
93226	CPT	ECG Monit/Report Up To 48 Hour	13	6	$2,064.00	$2,002.08	$575.86	$1,960.80	$1,630.56	2026-07-15
74300	CPT	X-ray Bile Ducts/Pancreas	12	6	$2,085.00	$2,022.45	$581.72	$1,980.75	$1,618.66	2026-07-15
70490	CPT	CT Soft Tissue Neck Wo Cont	12	6	$2,340.00	$2,269.80	$277.47	$2,223.00	$1,604.77	2026-07-15
93970	CPT	Venous Duplex	14	6	$2,018.00	$1,957.46	$563.02	$1,917.10	$1,576.06	2026-07-15
93975	CPT	Vascular Study	10	6	$1,999.00	$1,939.03	$557.72	$1,899.05	$1,561.22	2026-07-15
99291	CPT	Critical Care 1st 30-74 Min	19	6	$2,378.00	$2,306.66	$329.00	$2,259.10	$1,545.70	2026-07-15
360	CDM	Or Level 2	40	6	$2,678.50	$2,598.15	$421.01	$7,296.95	$1,529.50	2026-07-15
J1745	HCPCS	Infliximab (Gen) 100 Mg Vial	12	6	$2,118.00	$2,054.75	$1.46	$2,012.39	$1,452.73	2026-07-15
Q9967	HCPCS	Iopamidol-370 100 Ml Vial	17	6	$1,790.00	$1,736.30	$0.28	$1,700.50	$1,432.00	2026-07-15
72193	CPT	CT Pelvis W Dye	12	6	$2,083.00	$2,020.51	$581.16	$1,978.85	$1,428.52	2026-07-15
J0666	HCPCS	Bupivac Liposome 1.3% Pf 20 Ml	12	6	$1,756.00	$1,703.33	$2.18	$1,713.62	$1,380.22	2026-07-15
93880	CPT	Extracranial Bilat Study	13	6	$1,717.00	$1,665.49	$479.04	$1,635.00	$1,356.43	2026-07-15
88262	CPT	Chromosome Analysis 15-20 Cell	10	6	$1,732.00	$1,680.04	$483.23	$1,645.40	$1,352.69	2026-07-15
88230	CPT	Tissue Culture Non Neoplastic	10	6	$1,732.00	$1,680.04	$483.23	$1,645.40	$1,352.69	2026-07-15
P9016	HCPCS	Red Blood Cells Lekoreduced	13	6	$1,644.00	$1,594.68	$458.68	$1,561.80	$1,283.30	2026-07-15
76881	CPT	US Extremity Nonvasc Comp Lt	23	6	$1,610.00	$1,561.70	$363.86	$1,533.00	$1,271.90	2026-07-15
93971	CPT	Extremity Study Rt	21	6	$1,603.00	$1,554.91	$447.24	$1,522.85	$1,266.37	2026-07-15
25605	CPT	Fx Distal Radius W Man Lt	38	6	$1,808.00	$1,753.76	$82.60	$1,717.60	$1,226.56	2026-07-15
81270	CPT	Jak2 Mutation	10	6	$1,565.00	$1,518.05	$436.64	$1,486.75	$1,222.26	2026-07-15
72192	CPT	CT Pelvis Wo Dye	12	6	$1,731.00	$1,679.07	$482.95	$1,644.45	$1,187.12	2026-07-15
76700	CPT	Ultrasound Abdomen Complete	12	6	$1,500.00	$1,455.00	$418.50	$1,425.00	$1,177.98	2026-07-15
11043	CPT	Debride Muscle/Fascia 20 Cm	18	6	$2,529.00	$2,453.13	$302.96	$2,402.55	$1,174.72	2026-07-15
90675	CPT	Rabies Vax Pcec/Pf 2.5Unit Vl	14	6	$1,347.00	$1,307.03	$125.24	$1,280.08	$1,006.28	2026-07-15
81279	CPT	Jak2 Exon 12 Mutation	10	6	$1,234.00	$1,196.98	$344.29	$1,172.30	$963.75	2026-07-15
76705	CPT	Ultrasound Abdomen Limited	16	6	$1,206.00	$1,169.82	$336.47	$1,145.70	$958.77	2026-07-15
A0428	HCPCS	Amb Bls Non Emerg Hosp/Hosp	10	6	$1,205.00	$1,168.85	$336.20	$1,144.75	$941.11	2026-07-15
80145	CPT	Adalimumab	10	6	$1,188.00	$1,152.36	$331.45	$1,128.60	$927.83	2026-07-15
93925	CPT	Arterial Duplex Le Bi	13	6	$1,174.00	$1,138.78	$327.55	$1,115.30	$927.46	2026-07-15
99285	CPT	Emergency Room Visit Level 5	23	6	$1,381.00	$1,339.57	$267.73	$1,311.95	$918.37	2026-07-15
710	CDM	Recovery Phase 1 Per 15 Min	30	6	$1,225.00	$1,188.25	$84.82	$1,396.50	$914.83	2026-07-15
80280	CPT	Vedolizumab	10	6	$1,171.00	$1,135.87	$326.71	$1,112.45	$914.55	2026-07-15
32556	CPT	Insert Cath Pleura Wo Image Lt	18	6	$1,961.00	$1,902.17	$240.06	$1,862.95	$910.88	2026-07-15
90677	CPT	Pneumo Conjugate Vaccine 20 Va	15	6	$1,130.00	$1,096.29	$315.33	$1,076.30	$872.51	2026-07-15
87529	CPT	Hsv DNA Amp Probe	10	6	$1,063.00	$1,031.11	$296.58	$1,009.85	$830.20	2026-07-15
90684	CPT	Pneumo Conjugate Vaccine 21 Va	16	6	$1,050.00	$1,018.79	$293.03	$1,050.30	$825.54	2026-07-15
76882	CPT	US Extremity Nonvasc Limit Lt	21	6	$1,023.00	$992.31	$285.42	$971.85	$808.17	2026-07-15
76770	CPT	Ultrasound Abdo Back Wall Comp	13	6	$1,023.00	$992.31	$285.42	$971.85	$808.17	2026-07-15
76870	CPT	Ultrasound Scrotum	12	6	$1,023.00	$992.31	$285.42	$971.85	$803.42	2026-07-15
76536	CPT	Ultrasound Head And Neck	14	6	$1,023.00	$992.31	$285.42	$971.85	$803.42	2026-07-15
71111	CPT	X-ray Ribs Bilateral 4 Views	10	6	$1,064.00	$1,032.08	$63.74	$1,010.80	$794.60	2026-07-15
76856	CPT	Ultrasound Pelvic Complete	11	6	$1,023.00	$992.31	$285.42	$971.85	$789.76	2026-07-15
Q0138	HCPCS	Ferumoxy 510mg/17ml (non-esrd)	12	6	$1,145.00	$1,111.35	$0.76	$1,088.43	$785.74	2026-07-15
129	CDM	Room Swing Bed Skilled	8	6	$996.00	$966.12	$277.88	$946.20	$782.86	2026-07-15
72110	CPT	X-ray Lumbosacral 4 Views	10	6	$1,022.00	$991.34	$67.44	$970.90	$763.23	2026-07-15
93976	CPT	Vascular Study	12	6	$968.00	$938.96	$270.07	$919.60	$756.01	2026-07-15
76775	CPT	Ultrasound Aorta	12	6	$958.00	$929.26	$267.28	$910.10	$748.20	2026-07-15
83993	CPT	Calprotectin	10	6	$940.00	$911.80	$262.26	$893.00	$734.14	2026-07-15
73523	CPT	X-ray Hips 5 Views Bi	12	6	$983.00	$953.51	$274.26	$933.85	$734.11	2026-07-15
90651	CPT	9vHPV 3 Dose	12	6	$1,067.00	$1,034.99	$189.30	$1,013.65	$731.75	2026-07-15
31500	CPT	Insert Emergency Airway	20	6	$1,110.00	$1,076.70	$273.72	$1,054.50	$729.83	2026-07-15
93926	CPT	Arterial Duplex Le Rt	10	6	$932.00	$904.04	$260.03	$885.40	$727.89	2026-07-15
17250	CPT	Chemical Cauterization Tissue	10	6	$878.00	$851.66	$244.96	$834.10	$685.72	2026-07-15
0202U	CPT	Respir Path 22 Targets Biofire	10	6	$870.00	$843.90	$242.73	$826.50	$679.47	2026-07-15
72100	CPT	X-ray Lumbosacral 2-3 Views	15	6	$824.00	$799.28	$90.44	$782.80	$659.20	2026-07-15
L3702	HCPCS	Orthosis Long Arm Wrist Hand	10	6	$841.00	$815.87	$234.67	$799.05	$656.90	2026-07-15
94660	CPT	CPap/BiPap First Day	10	6	$836.00	$810.92	$233.24	$794.20	$652.91	2026-07-15
93922	CPT	Ankle Arm Screen	13	6	$823.00	$798.31	$229.62	$783.00	$650.17	2026-07-15
77080	CPT	Dexa Scan	24	6	$948.00	$919.56	$16.12	$902.00	$650.14	2026-07-15
C1781	HCPCS	Mesh Srg 3Dmax 6x4 Lt	49	6	$972.00	$943.42	$92.92	$1,146.30	$646.78	2026-07-15
73503	CPT	X-ray Hip Uni W Pelvis 4 V Lt	10	6	$837.00	$811.89	$233.52	$795.15	$625.07	2026-07-15
99284	CPT	Emergency Room Visit Level 4	25	6	$933.00	$905.01	$177.60	$886.35	$620.45	2026-07-15
C1726	HCPCS	Dil Pebax 180Cm Od15-18	11	6	$781.00	$758.00	$218.02	$742.37	$603.27	2026-07-15
11106	CPT	Incisional Biopsy 1st Lesion	10	6	$756.00	$733.32	$210.92	$718.20	$590.43	2026-07-15
A9585	HCPCS	Gadobutrol Inj 10 Mm/10 Ml Vl	25	6	$900.00	$873.00	$0.56	$855.00	$585.00	2026-07-15
73564	CPT	X-ray Knee 4 Lt	29	6	$724.00	$702.28	$129.06	$689.00	$579.20	2026-07-15
80050	CPT	General Health Panel	16	6	$719.00	$697.43	$200.60	$733.00	$571.61	2026-07-15
92950	CPT	Heart/Lung Resuscitation Cpr	18	6	$1,070.00	$1,037.90	$275.08	$1,016.50	$569.40	2026-07-15
73030	CPT	X-ray Shoulder Rt	27	6	$728.00	$706.16	$203.11	$728.00	$568.26	2026-07-15
37195	CPT	Thrombolytic Therapy Stroke	10	6	$722.00	$700.34	$201.44	$685.90	$563.88	2026-07-15
90710	CPT	Mmrv Subq	12	6	$718.00	$697.04	$98.13	$682.67	$560.59	2026-07-15
72072	CPT	X-ray Spine Thoracic 3 Views	11	6	$693.00	$672.21	$193.35	$697.55	$554.40	2026-07-15
74019	CPT	X-ray Abdomen	15	6	$691.00	$670.27	$192.79	$660.48	$552.80	2026-07-15
27786	CPT	Fx Distal Fibula Lt	20	6	$611.00	$592.67	$170.47	$799.18	$550.82	2026-07-15
29581	CPT	Appl Multi Layer Ven Wnd Compr	10	6	$704.00	$682.88	$196.42	$668.80	$549.83	2026-07-15
71046	CPT	X-ray Chest 2v PA/Lateral	17	6	$685.00	$664.45	$191.12	$783.14	$548.00	2026-07-15
73630	CPT	X-ray Foot 3 Views Rt	27	6	$669.00	$648.93	$65.60	$635.55	$535.20	2026-07-15
73610	CPT	X-ray Ankle 3 Views Lt	27	6	$669.00	$648.93	$99.63	$635.55	$535.20	2026-07-15
45385	CPT	Colonoscopy W Lesion Removal	8	6	$703.00	$681.91	$497.75	$709.52	$532.76	2026-07-15
93246	CPT	Ext ECG >7 Days Hook Up	15	6	$658.00	$638.26	$183.58	$625.10	$526.40	2026-07-15
J1610	HCPCS	Glucagon 1 Mg/ml Vial	12	6	$763.00	$740.62	$98.91	$725.35	$523.62	2026-07-15
J1611	HCPCS	Glucagon (Fresenius Kabi) Vial	12	6	$763.00	$740.62	$81.80	$725.35	$523.62	2026-07-15
76604	CPT	Ultrasound Chest	10	6	$665.00	$645.05	$185.54	$631.75	$519.37	2026-07-15
90620	CPT	MenB 2 Dose IM	12	6	$752.00	$729.73	$209.89	$714.69	$515.93	2026-07-15
87517	CPT	Hep B Na Quan	10	6	$657.00	$637.29	$183.30	$624.15	$513.12	2026-07-15
24500	CPT	Fx Humeral Shaft Wo Man Lt	20	6	$655.00	$635.35	$182.75	$622.25	$511.56	2026-07-15
90670	CPT	Pneumococcal (pcv13)	12	6	$646.00	$626.91	$33.53	$613.99	$507.46	2026-07-15
71045	CPT	X-ray Chest 1 View	16	6	$623.00	$604.31	$118.60	$593.33	$498.40	2026-07-15
72050	CPT	X-ray Spine Cervical 4-5 Views	13	6	$623.00	$604.31	$173.82	$746.06	$498.40	2026-07-15
73130	CPT	X-ray Hand Lt	27	6	$645.00	$625.65	$59.16	$614.00	$497.94	2026-07-15
73110	CPT	X-ray Wrist 3 Views Lt	25	6	$645.00	$625.65	$58.22	$612.75	$497.94	2026-07-15
25560	CPT	Fx Radius & Ulnar Shaft Rt	10	6	$635.00	$615.95	$177.17	$603.25	$495.94	2026-07-15
73502	CPT	X-ray Hip Uni 2-3 Views Lt	50	6	$519.00	$503.43	$144.80	$860.42	$493.05	2026-07-15
83520	CPT	Adalimumab Ab, S	60	6	$677.00	$656.69	$31.53	$999.40	$488.52	2026-07-15
12034	CPT	Repair Lac Interm 7.6-12.5 Cm	20	6	$742.00	$719.74	$207.02	$704.90	$487.87	2026-07-15
77067	CPT	Mammography Screening Digital	42	6	$607.00	$588.79	$169.35	$757.00	$485.60	2026-07-15
70160	CPT	X-ray Facial Bones 3 Views	10	6	$645.00	$625.65	$86.75	$612.75	$481.69	2026-07-15
761	CDM	Chest Tube Insertion	10	6	$613.00	$594.61	$171.03	$582.35	$478.75	2026-07-15
74221	CPT	Double Contrast Esophagus	10	6	$579.00	$561.63	$161.54	$620.03	$478.54	2026-07-15
12051	CPT	Repair Lac Interm <2.5 Cm	18	6	$742.00	$719.74	$207.02	$704.90	$477.26	2026-07-15
G0379	HCPCS	Observation Assess Direct Adm	10	6	$609.00	$590.73	$169.91	$578.55	$475.63	2026-07-15
76857	CPT	Ultrasound Pelvic Limited	10	6	$604.00	$585.88	$168.52	$573.80	$471.73	2026-07-15
93979	CPT	Duplex Aorta Limited	10	6	$590.00	$572.30	$164.61	$560.50	$460.79	2026-07-15
87536	CPT	HIV 1 Na Quan	10	6	$585.00	$567.45	$163.22	$555.75	$456.88	2026-07-15
93225	CPT	Holter Monitor Hook Up <48 Hrs	13	6	$572.00	$554.84	$159.59	$543.40	$451.88	2026-07-15
72190	CPT	X-ray Pelvis 3 Views	10	6	$545.00	$528.65	$152.06	$522.48	$450.44	2026-07-15
26770	CPT	Dislocation Finger Wo Anes	18	6	$471.00	$456.87	$131.41	$710.47	$447.45	2026-07-15
71101	CPT	X-ray Ribs Uni W Chest Rt	23	6	$559.00	$542.23	$155.96	$3,427.98	$447.20	2026-07-15
25600	CPT	Fx Distal Radius Rt	22	6	$572.00	$554.84	$159.59	$543.40	$446.73	2026-07-15
Q9957	HCPCS	Perflutren Lip Micro 2.2mg/2ml	14	6	$598.00	$580.54	$47.75	$568.58	$445.34	2026-07-15
94060	CPT	Pft Pre & Post Screen Spirome	13	6	$552.00	$535.44	$154.01	$524.40	$441.60	2026-07-15
11045	CPT	Debride Skin Subq Addl 20 Cm	21	6	$664.00	$644.08	$48.41	$3,718.40	$441.56	2026-07-15
J2404	HCPCS	Nicardipine/Ns 40 Mg/200ml Bag	12	6	$560.00	$543.26	$0.16	$1,828.74	$440.21	2026-07-15
73590	CPT	X-ray Lower Leg Lt	24	6	$559.00	$542.23	$73.88	$531.05	$439.38	2026-07-15
23600	CPT	Fx Prox Humeral Wo Man Rt	22	6	$561.00	$544.17	$156.52	$532.95	$438.14	2026-07-15
71100	CPT	X-ray Ribs 2 Views Rt	21	6	$510.00	$494.70	$142.29	$3,616.49	$435.03	2026-07-15
Q9956	HCPCS	Perflutren Protein-a Microdota	13	6	$599.00	$581.83	$77.76	$569.83	$432.83	2026-07-15
11760	CPT	Repair Nailbed	18	6	$831.00	$806.07	$221.56	$789.45	$429.59	2026-07-15
71110	CPT	X-ray Ribs Bilateral 3 Views	10	6	$571.00	$553.87	$47.21	$542.45	$426.42	2026-07-15
28190	CPT	Remove Foreign Body Foot Lt	36	6	$724.00	$702.28	$202.00	$687.80	$423.12	2026-07-15
45380	CPT	Colonoscopy W Biopsy(s)	8	6	$592.00	$574.24	$393.92	$558.91	$422.80	2026-07-15
73080	CPT	X-ray Elbow Rt	21	6	$546.00	$529.62	$38.91	$518.70	$421.51	2026-07-15
73140	CPT	X-ray Finger(s) Lt	26	6	$545.00	$528.65	$64.68	$517.75	$420.74	2026-07-15
26600	CPT	Fx Metacarpal	28	6	$479.00	$464.63	$133.64	$783.80	$418.97	2026-07-15
83013	CPT	H Pylori Breath	10	6	$528.00	$512.16	$147.31	$501.60	$412.37	2026-07-15
82803	CPT	Arterial Blood Gas Analysis	10	6	$525.00	$509.25	$146.48	$498.75	$410.02	2026-07-15
36430	CPT	Blood Administration	13	6	$519.00	$503.43	$144.80	$810.16	$410.01	2026-07-15
87637	CPT	Influ/RSV/CoV2 Pcr Ceph	14	6	$524.00	$508.28	$146.20	$497.80	$409.25	2026-07-15
99283	CPT	Emergency Room Visit Level 3	22	6	$622.00	$603.34	$108.68	$590.90	$408.97	2026-07-15
80307	CPT	Drug Screen Multichan Urine	11	6	$517.00	$501.49	$144.24	$491.15	$408.43	2026-07-15
73120	CPT	X-ray Hand Lt	20	6	$546.00	$529.62	$152.33	$518.70	$407.75	2026-07-15
72220	CPT	X-ray Sacrum Tailbone	12	6	$508.00	$492.76	$141.73	$482.60	$406.40	2026-07-15
80074	CPT	Acute Hepatitis Panel	12	6	$511.00	$495.67	$142.57	$485.45	$406.25	2026-07-15
88312	CPT	Special Stain Gms	10	6	$520.00	$504.40	$145.08	$494.00	$406.12	2026-07-15
73552	CPT	X-ray Femur 2 Views Rt	25	6	$524.00	$508.28	$99.80	$499.00	$404.53	2026-07-15
90750	CPT	Zoster (hzv) IM	12	6	$543.00	$527.10	$151.61	$516.23	$403.70	2026-07-15
10080	CPT	I&d Pilonidal Cyst Simple	18	6	$796.00	$772.12	$213.05	$756.20	$401.68	2026-07-15
87305	CPT	Aspergillus Galact Antigen	10	6	$514.00	$498.58	$143.41	$488.30	$401.44	2026-07-15
74018	CPT	X-ray Abdomen	13	6	$499.00	$484.03	$139.22	$523.40	$399.20	2026-07-15
11402	CPT	Exc Ben Lesion 1.1-2.0 Trunk	18	6	$724.00	$702.28	$202.00	$687.80	$394.45	2026-07-15
73000	CPT	X-ray Collar Bone Lt	23	6	$508.00	$492.76	$141.73	$482.60	$392.18	2026-07-15
23500	CPT	Fx Clavicle Lt	12	6	$502.00	$486.94	$140.06	$476.90	$392.06	2026-07-15
P9045	HCPCS	Albumin Human 5% 12.5 Gr/250ml	12	6	$495.00	$481.10	$106.16	$3,123.57	$389.84	2026-07-15
45378	CPT	Colonoscopy Diagnostic	8	6	$456.00	$442.32	$362.29	$514.44	$388.75	2026-07-15
90697	CPT	Dtap-ipv-hib-hepb IM	12	6	$565.00	$548.63	$32.97	$537.32	$387.89	2026-07-15
20520	CPT	Remove Fb Muscle Simple	10	6	$495.00	$480.15	$138.11	$470.25	$386.60	2026-07-15
16020	CPT	Dress/Debride Small Burn	20	6	$586.00	$568.42	$111.84	$702.40	$385.29	2026-07-15
90648	CPT	Hib Prp-t 4 Dose	12	6	$560.00	$543.59	$27.10	$532.38	$384.32	2026-07-15
87636	CPT	Influ & CoV2 Pcr Ceph	13	6	$486.00	$471.42	$135.59	$461.70	$383.94	2026-07-15
73090	CPT	X-ray Forearm 2 Views Rt	25	6	$497.00	$482.09	$138.66	$472.15	$383.68	2026-07-15
81515	CPT	Vpp	11	6	$497.00	$482.09	$138.66	$472.15	$383.68	2026-07-15
73562	CPT	X-ray Knee 3 Views Rt	27	6	$496.00	$481.12	$109.76	$471.20	$382.91	2026-07-15
73501	CPT	X-ray Hip Uni 1 View Lt	10	6	$460.00	$446.20	$128.34	$711.09	$380.19	2026-07-15
88184	CPT	Flow Cytometry First Mark	10	6	$482.00	$467.54	$134.48	$457.90	$376.44	2026-07-15
86355	CPT	B Cells Total Ss5	10	6	$479.00	$464.63	$133.64	$455.05	$374.10	2026-07-15
76706	CPT	Aaa Screening Medicare	10	6	$477.00	$462.69	$133.08	$453.15	$372.53	2026-07-15
90739	CPT	HepB Adult 2 Dose IM	12	6	$541.00	$524.77	$146.96	$513.95	$371.02	2026-07-15
88342	CPT	Immunohisto Stain Init Pr Spec	10	6	$473.00	$458.81	$131.97	$449.35	$369.42	2026-07-15
25500	CPT	Fx Radius Rt	10	6	$470.00	$455.90	$131.13	$446.50	$367.07	2026-07-15
76830	CPT	Ultrasound Transvaginal	13	6	$475.00	$460.75	$132.53	$451.25	$366.70	2026-07-15
99282	CPT	Emergency Room Visit Level 2	14	6	$461.00	$447.17	$128.62	$437.95	$366.50	2026-07-15
96413	CPT	Chemotherapy Inf Initial	10	6	$469.00	$454.93	$130.85	$445.55	$366.29	2026-07-15
82610	CPT	Cystatin C	10	6	$469.00	$454.93	$130.85	$445.55	$366.29	2026-07-15
64450	CPT	Inject Anes Agent Oth Nerve Rt	18	6	$788.00	$764.36	$83.15	$748.60	$366.02	2026-07-15
96365	CPT	Inf Therapy Med Initial	29	6	$549.00	$532.53	$118.58	$521.55	$365.08	2026-07-15
72070	CPT	X-ray Spine Thoracic 2 Views	12	6	$456.00	$442.32	$127.22	$1,015.91	$364.80	2026-07-15
73560	CPT	X-ray Knee 1-2 Views Lt	25	6	$472.00	$457.84	$84.00	$448.40	$364.38	2026-07-15
10061	CPT	I&d Abscess Comp/Multiple	28	6	$416.00	$403.52	$116.06	$506.04	$363.31	2026-07-15
70030	CPT	X-ray Eye Fb Detection	8	6	$462.00	$448.14	$128.90	$438.90	$363.13	2026-07-15
73060	CPT	X-ray Humerus Lt	22	6	$497.00	$482.09	$67.44	$472.15	$358.64	2026-07-15
G0121	HCPCS	Screen Colonoscopy Not Hi Risk	8	6	$482.00	$467.54	$171.02	$514.81	$358.38	2026-07-15
G0105	HCPCS	Screening Colonoscopy Hi Risk	8	6	$482.00	$467.54	$170.90	$514.08	$357.97	2026-07-15
36680	CPT	Insert Needle Bone Cavity	10	6	$457.00	$443.29	$127.50	$434.15	$356.91	2026-07-15
92610	CPT	Swallow Eval Non Radiol	12	6	$454.00	$440.38	$126.67	$431.30	$354.58	2026-07-15
92523	CPT	Speech Sound Lang Comp Or Expr	24	6	$451.00	$437.47	$106.58	$494.00	$354.35	2026-07-15
88341	CPT	Immunohisto Stain Add Per Spc	10	6	$450.00	$436.50	$125.55	$427.50	$351.45	2026-07-15
73660	CPT	X-ray Toe(s) 2 Views Lt	23	6	$446.00	$432.62	$66.51	$424.00	$344.31	2026-07-15
24650	CPT	Fx Radial Head/Neck Wo Man Rt	11	6	$434.00	$420.98	$121.09	$412.30	$342.86	2026-07-15
94762	CPT	Desaturation And Hr Study	11	6	$444.00	$430.68	$123.88	$421.80	$342.77	2026-07-15
83519	CPT	Igf Binding Protein 1	10	6	$436.00	$422.92	$121.64	$414.20	$340.51	2026-07-15
96360	CPT	Inf Therapy Hyd Initial	14	6	$425.00	$412.25	$118.58	$403.75	$340.00	2026-07-15
72170	CPT	X-ray Pelvis 1-2 Views	14	6	$424.00	$411.28	$80.60	$402.80	$339.20	2026-07-15
28510	CPT	Fx Phalanges	10	6	$434.00	$420.98	$121.09	$412.30	$338.96	2026-07-15
28490	CPT	Fx Great Toe	10	6	$434.00	$420.98	$121.09	$412.30	$338.96	2026-07-15
28470	CPT	Fx Metatarsal	10	6	$434.00	$420.98	$121.09	$412.30	$338.96	2026-07-15
26720	CPT	Fx Finger/Thumb Wo Man	10	6	$434.00	$420.98	$121.09	$412.30	$338.96	2026-07-15
51700	CPT	Irrigate Bladder	10	6	$433.00	$420.01	$120.81	$411.35	$338.17	2026-07-15
93242	CPT	Ext ECG 48 Hrs -7days Hook Up	11	6	$428.00	$415.16	$119.41	$406.60	$338.12	2026-07-15
83970	CPT	Pth	14	6	$424.00	$411.28	$118.30	$403.00	$337.08	2026-07-15
85220	CPT	Factor 5 Activity	10	6	$428.00	$415.16	$119.41	$406.60	$334.27	2026-07-15
11042	CPT	Debride Skin Subq 20 Cm	33	6	$416.00	$403.52	$116.06	$1,533.30	$332.80	2026-07-15
73010	CPT	X-ray Shoulder Blade Rt	10	6	$433.00	$420.01	$120.81	$411.35	$323.37	2026-07-15
72040	CPT	X-ray Spine Cervical 2-3 Views	13	6	$403.00	$390.91	$112.44	$551.93	$322.40	2026-07-15
86256	CPT	Antibody Titer (Arup)	30	6	$431.00	$418.07	$36.83	$733.40	$321.87	2026-07-15
82671	CPT	Estrogen Fractionated	10	6	$409.00	$396.73	$114.11	$388.55	$319.43	2026-07-15
P9017	HCPCS	Plasma Fresh Frozen	10	6	$409.00	$396.73	$114.11	$388.55	$319.43	2026-07-15
24530	CPT	Fx Supra/Transcondylar Hum Rt	11	6	$413.00	$400.61	$115.23	$392.35	$318.84	2026-07-15
99223	CPT	IP/Obs Initial High Comp	8	6	$350.00	$339.50	$270.04	$389.40	$318.47	2026-07-15
82626	CPT	Dhea	10	6	$407.00	$394.79	$113.55	$386.65	$317.87	2026-07-15
73020	CPT	X-ray Shoulder Rt	10	6	$424.00	$411.28	$118.30	$402.80	$316.64	2026-07-15
81256	CPT	Hemochromat Mutation	10	6	$400.00	$388.00	$111.60	$380.00	$312.40	2026-07-15
G0399	HCPCS	Sleep Study Type Iii Portable	15	6	$395.00	$383.15	$110.21	$375.25	$312.05	2026-07-15
97163	CPT	Pt Eval High Complexity	13	6	$395.00	$383.15	$110.21	$375.25	$312.05	2026-07-15
10120	CPT	I&r Foreign Body Simple	33	6	$416.00	$403.52	$116.06	$443.65	$310.56	2026-07-15
94664	CPT	Inhalation Treat Chronic Init	23	6	$387.00	$375.39	$107.97	$595.00	$309.60	2026-07-15
97166	CPT	Ot Eval Mod Complexity	15	6	$385.00	$373.45	$107.42	$365.75	$308.00	2026-07-15
11750	CPT	Exc Nail Matrix Part/Complete	18	6	$504.00	$488.88	$140.62	$478.80	$306.99	2026-07-15
86341	CPT	Glutmic Acid Decarbox Aby	20	6	$397.00	$385.09	$89.00	$451.25	$303.05	2026-07-15
G0438	HCPCS	Annual Wellness Visit Initial	8	6	$228.00	$221.16	$184.13	$358.02	$302.76	2026-07-15
93005	CPT	EKG Tracing	17	6	$388.00	$376.36	$73.80	$368.60	$302.58	2026-07-15
30300	CPT	Remove Foreign Body Nose	18	6	$457.00	$443.29	$127.50	$434.15	$300.48	2026-07-15
12013	CPT	Repair Lac Simple 2.6-5.0 Cm	45	6	$434.00	$420.98	$97.65	$412.30	$298.55	2026-07-15
65220	CPT	Remove Foreign Body Eye Rt	37	6	$457.00	$443.29	$81.33	$477.85	$297.05	2026-07-15
30903	CPT	Control Anterior Hemorrhage Bi	37	6	$457.00	$443.29	$127.50	$651.70	$297.05	2026-07-15
J3375	HCPCS	Vancomycin 2000 Mg/400 Ml Bag	20	6	$377.00	$366.17	$103.85	$363.62	$294.77	2026-07-15
87252	CPT	Culture Viral	10	6	$376.00	$364.72	$104.90	$357.20	$293.65	2026-07-15
97598	CPT	Debride Wound Addl 20 Cm	18	6	$632.00	$613.04	$22.81	$600.40	$293.56	2026-07-15
99281	CPT	Emergency Room Visit Level 1	22	6	$507.50	$492.28	$86.21	$670.70	$293.55	2026-07-15
99235	CPT	Admit/Discharge Same Day Mod	8	6	$401.00	$388.97	$247.05	$334.65	$290.75	2026-07-15
12004	CPT	Repair Lac Simple 7.6-12.5 Cm	21	6	$434.00	$420.98	$121.09	$412.30	$288.61	2026-07-15
80053	CPT	Comprehensive Metabolic Panel	15	6	$365.00	$354.05	$101.84	$347.00	$288.35	2026-07-15
J3489	HCPCS	Zoledron Ac/Man/H2O 5mg/100ml	12	6	$420.00	$407.43	$11.20	$399.03	$288.05	2026-07-15
30905	CPT	Control Posterior Hemorrhage	18	6	$435.00	$421.95	$121.37	$413.25	$285.63	2026-07-15
88185	CPT	Flow Cytometry Ea Addit Marker	10	6	$365.00	$354.05	$101.84	$346.75	$285.06	2026-07-15
73650	CPT	X-ray Heel 2 Views Lt	20	6	$381.00	$369.57	$64.68	$361.95	$284.53	2026-07-15
83921	CPT	Methylmalonic Acid	12	6	$363.00	$352.11	$101.28	$344.85	$283.50	2026-07-15
24640	CPT	Dislocation Nursemaid Elbow Lt	37	6	$434.00	$420.98	$121.09	$412.30	$282.10	2026-07-15
12011	CPT	Repair Lac Simple <2.5 Cm	37	6	$338.00	$327.86	$94.30	$412.30	$282.10	2026-07-15
80197	CPT	Tacrolimus	10	6	$359.00	$348.23	$100.16	$341.05	$280.38	2026-07-15
97165	CPT	Ot Eval Low Complexity	14	6	$355.00	$344.35	$99.05	$337.25	$278.81	2026-07-15
84482	CPT	Reverse T3	10	6	$355.00	$344.35	$99.05	$337.25	$277.25	2026-07-15
97162	CPT	Pt Eval Mod Complexity	16	6	$347.00	$336.59	$96.81	$329.65	$275.87	2026-07-15
12016	CPT	Repair Lac Simple 12.6-20.0 Cm	18	6	$413.00	$400.61	$115.23	$392.35	$275.52	2026-07-15
92507	CPT	Speech Therapy Trmt	13	6	$343.00	$332.71	$95.70	$596.00	$274.40	2026-07-15
96366	CPT	Inf Therapy Med Ea Addl Hr	14	6	$345.00	$334.65	$96.26	$327.75	$274.27	2026-07-15
11313	CPT	Shave Lesion >2.0 Face Ears	18	6	$416.00	$403.52	$116.06	$395.20	$271.94	2026-07-15
11102	CPT	Tangential Biopsy 1st Lesion	21	6	$416.00	$403.52	$47.80	$395.20	$270.40	2026-07-15
88112	CPT	Cytopath Con Tech Thin Prep	10	6	$344.00	$333.68	$95.98	$326.80	$268.66	2026-07-15

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