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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

AVERA DE SMET MEMORIAL HOSPITAL - CAH

De Smet, SD · CCN 431332 · Rates published

730 distinct procedures filed
5 distinct payers
9,866 rate rows
2026-07-15 last MRF observed
Data quality

9,844 of 9,866 rate rows are consumer-grade (99.8%)

22 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 8
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 6
exceeds 10× this hospital's gross charge — excluded from medians 6
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/2e34ab5e-829e-46eb-9b0e-c49857a0ce65/460224604_avera-desmet-hospital_standardcharges.csv
Discovered viaDiscovered by HANK (automated)
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-10-22
Content fingerprint 865cf5d9c6972436… · 2,632,241 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 5 $72.63 $37,975.12 $29,401.36 nat. median
$155
outlier · 190.2×
J3101
HCPCS 		Tenecteplase 50 Mg/10 Ml Syrng 5 $0.41 $30,637.29 $23,056.93 nat. median
$3,787
outlier · 6.1×
641
MS_DRG 		Ms-DRG 641 1 $20,604.70 $20,604.70 $20,604.70 nat. median
$8,119
outlier · 2.5×
J0717
HCPCS 		Certolizumab Pegol 400 Mg Kit 5 $3.42 $25,109.77 $19,440.65 nat. median
$1,635
outlier · 11.9×
J2506
HCPCS 		Pegfilgrastim 6 Mg/0.6 Ml Syr 5 $64.98 $19,871.51 $15,385.06 nat. median
$1,659
outlier · 9.3×
536
MS_DRG 		Ms-DRG 536 1 $13,747.64 $13,747.64 $13,747.64 nat. median
$8,438
1.6× median
J3111
HCPCS 		Romosozumab-aqqg 210 Mg/2.34Ml 5 $1.56 $11,171.48 $8,649.26 nat. median
$696
outlier · 12.4×
J1569
HCPCS 		Immune Glob Gamagar 20gr/200ml 5 $21.77 $9,509.65 $7,362.62 nat. median
$1,074
outlier · 6.9×
192
MS_DRG 		Ms-DRG 192 1 $6,890.58 $6,890.58 $6,890.58 nat. median
$7,116
1.0× median
194
MS_DRG 		Ms-DRG 194 1 $6,890.58 $6,890.58 $6,890.58 nat. median
$8,522
0.8× median
310
MS_DRG 		Ms-DRG 310 1 $6,383.92 $6,383.92 $6,383.92 nat. median
$6,289
1.0× median
J3032
HCPCS 		Eptinezumab-jjmr 100Mg/Ml Vial 5 $90.03 $7,920.30 $6,132.11 nat. median
$73
outlier · 84.4×
J0897
HCPCS 		Denosumab 60 Mg/ml Syringe 5 $9.69 $7,349.92 $5,690.51 nat. median
$1,982
outlier · 2.9×
74174
CPT 		CTA Abd&Pelv Wwo Dye 5 $4,425.20 $6,603.76 $5,531.50 nat. median
$998
outlier · 5.5×
74178
CPT 		CT Abd & Pelv Wwo Contrast 5 $479.88 $7,075.18 $5,324.62 nat. median
$1,027
outlier · 5.2×
78452
CPT 		Myocard Perf Spect Rest Stress 5 $1,200.00 $5,850.07 $4,710.21 nat. median
$1,822
outlier · 2.6×
74177
CPT 		CT Abd & Pelv W Contrast 5 $227.52 $6,002.36 $4,686.84 nat. median
$976
outlier · 4.8×
74176
CPT 		CT Abd & Pelvis Wo Contrast 5 $95.04 $6,002.36 $4,596.54 nat. median
$694
outlier · 6.6×
71275
CPT 		CTA Chest Wwo Contrast 5 $2,741.05 $4,090.49 $3,255.52 nat. median
$759
outlier · 4.3×
72132
CPT 		CT Lumbar Spine W Contrast 5 $313.35 $4,176.82 $3,233.81 nat. median
$769
outlier · 4.2×
74170
CPT 		CT Abdomen Wwo Dye 5 $58.22 $4,252.00 $3,193.25 nat. median
$714
outlier · 4.5×
J1439
HCPCS 		Ferric Carboxymalt 750mg/15ml 5 $11.91 $4,223.00 $3,178.14 nat. median
$14
outlier · 235.4×
689
CDM 		Trauma Team Evaluation Level 5 5 $2,614.30 $3,901.34 $3,141.18 nat. median
$1,169
outlier · 2.7×
70498
CPT 		CT Angiography Neck W Cont 5 $278.39 $3,996.40 $3,094.12 nat. median
$744
outlier · 4.2×
70496
CPT 		CT Angiography Head W Cont 5 $246.84 $3,940.14 $3,050.56 nat. median
$752
outlier · 4.1×
111
CDM 		Room Medical Unit Priv 5 $2,397.20 $3,577.36 $2,996.50 nat. median
$434
outlier · 6.9×
G0390
HCPCS 		Trauma Team Level 5 5 $2,490.15 $3,716.07 $2,992.01 nat. median
$3,197
0.9× median
71270
CPT 		CT Thorax Wwo Contrast 5 $82.17 $3,827.62 $2,963.44 nat. median
$684
outlier · 4.3×
72131
CPT 		CT Lumbar Spine Wo Contrast 5 $234.87 $3,870.30 $2,912.70 nat. median
$460
outlier · 6.3×
74160
CPT 		CT Abdomen W Dye 5 $706.77 $3,717.04 $2,877.83 nat. median
$655
outlier · 4.4×
93351
CPT 		Stress Tte Complete 5 $2,371.85 $3,539.53 $2,849.87 nat. median
$814
outlier · 3.5×
C8929
HCPCS 		Echo M Mode 2d W Contrast 5 $2,363.40 $3,636.00 $2,839.72 nat. median
$1,358
outlier · 2.1×
70470
CPT 		CT Head/Brain Wwo Contrast 5 $241.32 $3,638.47 $2,817.00 nat. median
$629
outlier · 4.5×
93306
CPT 		Tte W Doppler Complete 5 $2,363.40 $3,526.92 $2,806.99 nat. median
$993
outlier · 2.8×
74175
CPT 		CTA Abdom Wwo Dye 5 $82.17 $3,588.03 $2,777.95 nat. median
$718
outlier · 3.9×
72126
CPT 		CT Cervical Spine W Contrast 5 $214.92 $3,573.48 $2,766.69 nat. median
$758
outlier · 3.7×
72129
CPT 		CT Thoracic Spine W Contrast 5 $128.15 $3,549.23 $2,747.91 nat. median
$585
outlier · 4.7×
99291
CPT 		Critical Care 1st 30-74 Min 5 $329.00 $3,992.52 $2,706.27 nat. median
$1,530
1.8× median
71260
CPT 		CT Thorax W Contrast 5 $80.31 $3,521.10 $2,649.90 nat. median
$651
outlier · 4.1×
72128
CPT 		CT Thoracic Spine Wo Contrast 5 $107.93 $3,411.49 $2,641.26 nat. median
$462
outlier · 5.7×
72125
CPT 		CT Cervical Spine Wo Contrast 5 $172.58 $3,411.49 $2,567.41 nat. median
$480
outlier · 5.3×
74150
CPT 		CT Abdomen Wo Dye 5 $791.13 $3,243.68 $2,511.35 nat. median
$448
outlier · 5.6×
71250
CPT 		CT Thorax Wo Contrast 5 $71.13 $3,232.04 $2,502.33 nat. median
$469
outlier · 5.3×
70450
CPT 		CT Head/Brain Wo Contrast 5 $2,029.95 $3,029.31 $2,410.96 nat. median
$454
outlier · 5.3×
70491
CPT 		CT Soft Tissue Neck W Cont 5 $357.53 $2,989.54 $2,249.86 nat. median
$632
outlier · 3.6×
72193
CPT 		CT Pelvis W Dye 5 $593.33 $2,708.24 $2,155.42 nat. median
$643
outlier · 3.4×
J0248
HCPCS 		Remdesivir 100 Mg Vial 5 $70.71 $2,762.23 $2,138.59 nat. median
$516
outlier · 4.1×
72192
CPT 		CT Pelvis Wo Dye 5 $597.02 $2,601.54 $2,014.18 nat. median
$463
outlier · 4.3×
70490
CPT 		CT Soft Tissue Neck Wo Cont 5 $277.47 $2,673.32 $2,011.88 nat. median
$453
outlier · 4.4×
Q5121
HCPCS 		Infliximab-axxq 100 Mg Vial 5 $1,412.42 $8,501.52 $1,958.91 nat. median
$207
outlier · 9.5×

Other procedures at this hospital

Browse this hospital's 730 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
             
J3380 HCPCS Vedolizumab 300 Mg Vial 8 5 $39,149.00 $37,975.12 $72.63 $37,975.12 $29,401.36 2026-07-15
J3101 HCPCS Tenecteplase 50 Mg/10 Ml Syrng 10 5 $31,584.00 $30,637.29 $0.41 $30,637.29 $23,056.93 2026-07-15
641 MS_DRG Ms-DRG 641 2 1 — — $20,604.70 $20,604.70 $20,604.70 2026-07-15
J0717 HCPCS Certolizumab Pegol 400 Mg Kit 8 5 $25,886.00 $25,109.77 $3.42 $25,109.77 $19,440.65 2026-07-15
J2506 HCPCS Pegfilgrastim 6 Mg/0.6 Ml Syr 8 5 $20,486.00 $19,871.51 $64.98 $19,871.51 $15,385.06 2026-07-15
536 MS_DRG Ms-DRG 536 2 1 — — $13,747.64 $13,747.64 $13,747.64 2026-07-15
J3111 HCPCS Romosozumab-aqqg 210 Mg/2.34Ml 8 5 $11,516.00 $11,171.48 $1.56 $11,171.48 $8,649.26 2026-07-15
J1569 HCPCS Immune Glob Gamagar 20gr/200ml 8 5 $9,803.00 $9,509.65 $21.77 $9,509.65 $7,362.62 2026-07-15
194 MS_DRG Ms-DRG 194 2 1 — — $6,890.58 $6,890.58 $6,890.58 2026-07-15
192 MS_DRG Ms-DRG 192 2 1 — — $6,890.58 $6,890.58 $6,890.58 2026-07-15
310 MS_DRG Ms-DRG 310 2 1 — — $6,383.92 $6,383.92 $6,383.92 2026-07-15
J3032 HCPCS Eptinezumab-jjmr 100Mg/Ml Vial 8 5 $8,165.00 $7,920.30 $90.03 $7,920.30 $6,132.11 2026-07-15
J0897 HCPCS Denosumab 60 Mg/ml Syringe 8 5 $7,577.00 $7,349.92 $9.69 $7,349.92 $5,690.51 2026-07-15
74174 CPT CTA Abd&Pelv Wwo Dye 6 5 $6,808.00 $6,603.76 $4,425.20 $6,603.76 $5,531.50 2026-07-15
74178 CPT CT Abd & Pelv Wwo Contrast 10 5 $7,294.00 $7,075.18 $479.88 $7,075.18 $5,324.62 2026-07-15
78452 CPT Myocard Perf Spect Rest Stress 12 5 $6,031.00 $5,850.07 $1,200.00 $5,850.07 $4,710.21 2026-07-15
74177 CPT CT Abd & Pelv W Contrast 12 5 $6,188.00 $6,002.36 $227.52 $6,002.36 $4,686.84 2026-07-15
74176 CPT CT Abd & Pelvis Wo Contrast 11 5 $6,188.00 $6,002.36 $95.04 $6,002.36 $4,596.54 2026-07-15
71275 CPT CTA Chest Wwo Contrast 9 5 $4,217.00 $4,090.49 $2,741.05 $4,090.49 $3,255.52 2026-07-15
72132 CPT CT Lumbar Spine W Contrast 8 5 $4,306.00 $4,176.82 $313.35 $4,176.82 $3,233.81 2026-07-15
74170 CPT CT Abdomen Wwo Dye 10 5 $4,252.00 $4,124.44 $58.22 $4,252.00 $3,193.25 2026-07-15
J1439 HCPCS Ferric Carboxymalt 750mg/15ml 10 5 $4,353.00 $4,223.00 $11.91 $4,223.00 $3,178.14 2026-07-15
689 CDM Trauma Team Evaluation Level 5 8 5 $4,022.00 $3,901.34 $2,614.30 $3,901.34 $3,141.18 2026-07-15
70498 CPT CT Angiography Neck W Cont 10 5 $4,120.00 $3,996.40 $278.39 $3,996.40 $3,094.12 2026-07-15
70496 CPT CT Angiography Head W Cont 10 5 $4,062.00 $3,940.14 $246.84 $3,940.14 $3,050.56 2026-07-15
111 CDM Room Medical Unit Priv 6 5 $3,688.00 $3,577.36 $2,397.20 $3,577.36 $2,996.50 2026-07-15
G0390 HCPCS Trauma Team Level 5 8 5 $3,831.00 $3,716.07 $2,490.15 $3,716.07 $2,992.01 2026-07-15
71270 CPT CT Thorax Wwo Contrast 8 5 $3,946.00 $3,827.62 $82.17 $3,827.62 $2,963.44 2026-07-15
72131 CPT CT Lumbar Spine Wo Contrast 10 5 $3,990.00 $3,870.30 $234.87 $3,870.30 $2,912.70 2026-07-15
74160 CPT CT Abdomen W Dye 8 5 $3,832.00 $3,717.04 $706.77 $3,717.04 $2,877.83 2026-07-15
93351 CPT Stress Tte Complete 10 5 $3,649.00 $3,539.53 $2,371.85 $3,539.53 $2,849.87 2026-07-15
C8929 HCPCS Echo M Mode 2d W Contrast 10 5 $3,636.00 $3,526.92 $2,363.40 $3,636.00 $2,839.72 2026-07-15
70470 CPT CT Head/Brain Wwo Contrast 8 5 $3,751.00 $3,638.47 $241.32 $3,638.47 $2,817.00 2026-07-15
93306 CPT Tte W Doppler Complete 11 5 $3,636.00 $3,526.92 $2,363.40 $3,526.92 $2,806.99 2026-07-15
74175 CPT CTA Abdom Wwo Dye 8 5 $3,699.00 $3,588.03 $82.17 $3,588.03 $2,777.95 2026-07-15
72126 CPT CT Cervical Spine W Contrast 8 5 $3,684.00 $3,573.48 $214.92 $3,573.48 $2,766.69 2026-07-15
72129 CPT CT Thoracic Spine W Contrast 8 5 $3,659.00 $3,549.23 $128.15 $3,549.23 $2,747.91 2026-07-15
99291 CPT Critical Care 1st 30-74 Min 14 5 $4,116.00 $3,992.52 $329.00 $3,992.52 $2,706.27 2026-07-15
71260 CPT CT Thorax W Contrast 11 5 $3,630.00 $3,521.10 $80.31 $3,521.10 $2,649.90 2026-07-15
72128 CPT CT Thoracic Spine Wo Contrast 8 5 $3,517.00 $3,411.49 $107.93 $3,411.49 $2,641.26 2026-07-15
72125 CPT CT Cervical Spine Wo Contrast 11 5 $3,517.00 $3,411.49 $172.58 $3,411.49 $2,567.41 2026-07-15
74150 CPT CT Abdomen Wo Dye 8 5 $3,344.00 $3,243.68 $791.13 $3,243.68 $2,511.35 2026-07-15
71250 CPT CT Thorax Wo Contrast 10 5 $3,332.00 $3,232.04 $71.13 $3,232.04 $2,502.33 2026-07-15
70450 CPT CT Head/Brain Wo Contrast 9 5 $3,123.00 $3,029.31 $2,029.95 $3,029.31 $2,410.96 2026-07-15
70491 CPT CT Soft Tissue Neck W Cont 10 5 $3,082.00 $2,989.54 $357.53 $2,989.54 $2,249.86 2026-07-15
72193 CPT CT Pelvis W Dye 9 5 $2,792.00 $2,708.24 $593.33 $2,708.24 $2,155.42 2026-07-15
J0248 HCPCS Remdesivir 100 Mg Vial 8 5 $2,847.00 $2,762.23 $70.71 $2,762.23 $2,138.59 2026-07-15
72192 CPT CT Pelvis Wo Dye 8 5 $2,682.00 $2,601.54 $597.02 $2,601.54 $2,014.18 2026-07-15
70490 CPT CT Soft Tissue Neck Wo Cont 10 5 $2,756.00 $2,673.32 $277.47 $2,673.32 $2,011.88 2026-07-15
Q5121 HCPCS Infliximab-axxq 100 Mg Vial 10 5 $2,172.00 $2,107.76 $1,412.42 $8,501.52 $1,958.91 2026-07-15
93925 CPT Arterial Duplex Le Bi 10 5 $2,472.00 $2,397.84 $1,606.80 $2,397.84 $1,930.63 2026-07-15
73700 CPT CT Le Wo Dye Lt 16 5 $2,512.00 $2,436.64 $76.65 $2,436.64 $1,886.51 2026-07-15
73200 CPT CT Ue Wo Dye Lt 16 5 $2,506.00 $2,430.82 $70.19 $2,430.82 $1,882.01 2026-07-15
76700 CPT Ultrasound Abdomen Complete 10 5 $2,413.00 $2,340.61 $1,568.45 $2,340.61 $1,812.16 2026-07-15
99285 CPT Emergency Room Visit Level 5 17 5 $2,679.00 $2,598.63 $267.73 $2,598.63 $1,781.54 2026-07-15
76770 CPT Ultrasound Abdo Back Wall Comp 10 5 $2,306.00 $2,236.82 $1,498.90 $2,236.82 $1,731.81 2026-07-15
93975 CPT Vascular Study 10 5 $2,281.00 $2,212.57 $1,482.65 $2,212.57 $1,713.03 2026-07-15
93880 CPT Extracranial Bilat Study 11 5 $2,115.00 $2,051.55 $1,374.75 $2,051.55 $1,670.85 2026-07-15
11043 CPT Debride Muscle/Fascia 20 Cm 14 5 $2,529.00 $2,453.13 $302.96 $2,453.13 $1,662.82 2026-07-15
93017 CPT Cardiovascular Stress Test 12 5 $2,091.00 $2,028.27 $1,359.15 $2,028.27 $1,633.07 2026-07-15
93970 CPT Venous Duplex 10 5 $2,160.00 $2,095.20 $1,404.00 $2,095.20 $1,622.16 2026-07-15
Q5104 HCPCS Infliximab-abda 100 Mg Vial 8 5 $1,758.00 $1,705.35 $1,142.76 $5,119.19 $1,584.92 2026-07-15
129 CDM Room Swing Bed Skilled 6 5 $1,846.00 $1,790.62 $1,199.90 $1,790.62 $1,499.88 2026-07-15
P9035 HCPCS Platelet Pheresis Leuko Reduc 8 5 $1,913.00 $1,855.61 $1,243.45 $1,855.61 $1,494.05 2026-07-15
93226 CPT ECG Monit/Report Up To 48 Hour 8 5 $1,859.00 $1,803.23 $1,208.35 $1,803.23 $1,451.88 2026-07-15
76856 CPT Ultrasound Pelvic Complete 8 5 $1,775.00 $1,721.75 $1,153.75 $1,721.75 $1,386.28 2026-07-15
70486 CPT CT Maxillofacial Wo Contrast 10 5 $1,894.00 $1,837.18 $187.95 $1,837.18 $1,382.62 2026-07-15
80230 CPT Infliximab Qn w/Reflex To Ab,S 10 5 $1,773.00 $1,719.81 $1,152.45 $1,719.81 $1,375.85 2026-07-15
99284 CPT Emergency Room Visit Level 4 19 5 $1,877.00 $1,820.69 $184.86 $1,820.69 $1,370.21 2026-07-15
76775 CPT Ultrasound Aorta 8 5 $1,729.00 $1,677.13 $1,123.85 $1,677.13 $1,350.35 2026-07-15
93930 CPT Duplex Arterial Ue Complete 8 5 $1,603.00 $1,554.91 $1,041.95 $1,554.91 $1,251.94 2026-07-15
81381 CPT Hla B*57:01 8 5 $1,590.00 $1,542.30 $1,033.50 $1,542.30 $1,241.79 2026-07-15
94660 CPT CPap/BiPap First Day 16 5 $1,582.00 $1,534.54 $753.35 $1,944.85 $1,213.74 2026-07-15
93971 CPT Extremity Study Rt 18 5 $1,537.00 $1,490.89 $999.05 $1,537.00 $1,200.39 2026-07-15
11404 CPT Exc Ben Lesion 3.1-4.0 Trunk 14 5 $1,788.00 $1,734.36 $334.03 $1,734.36 $1,175.61 2026-07-15
71101 CPT X-ray Ribs Uni W Chest Lt 18 5 $1,326.00 $1,286.22 $861.90 $3,427.98 $1,131.08 2026-07-15
90675 CPT Rabies Vacc Hmn Post-ex Nonim 8 5 $1,475.00 $1,431.29 $125.24 $1,431.29 $1,108.14 2026-07-15
93926 CPT Arterial Duplex Le Rt 10 5 $1,452.00 $1,408.44 $276.40 $1,408.44 $1,090.45 2026-07-15
11042 CPT Debride Skin Subq 20 Cm 17 5 $1,614.00 $1,565.58 $120.87 $1,565.58 $1,073.31 2026-07-15
J0881 HCPCS Darbepoet Alfa 40mcg/0.4ml Syr 26 5 $997.00 $967.74 $416.07 $4,588.63 $1,057.62 2026-07-15
82397 CPT Infliximab Ab, S 10 5 $1,360.00 $1,319.20 $884.00 $1,319.20 $1,055.36 2026-07-15
72110 CPT X-ray Lumbosacral 4 Views 8 5 $1,405.00 $1,362.85 $67.44 $1,362.85 $1,055.16 2026-07-15
76705 CPT Ultrasound Abdomen Limited 11 5 $1,344.00 $1,303.68 $844.74 $1,303.68 $1,037.57 2026-07-15
96413 CPT Chemotherapy Inf Initial 10 5 $1,337.00 $1,296.89 $869.05 $1,296.89 $1,012.55 2026-07-15
0202U CPT Respir Path 22 Targets Biofire 8 5 $1,296.00 $1,257.12 $842.40 $1,257.12 $1,012.17 2026-07-15
93976 CPT Vascular Study 8 5 $1,286.00 $1,247.42 $835.90 $1,247.42 $1,004.37 2026-07-15
93246 CPT Ext ECG >7 Days Hook Up 11 5 $1,286.00 $1,247.42 $835.90 $1,247.42 $1,003.08 2026-07-15
93242 CPT Ext ECG 48 Hrs -7days Hook Up 10 5 $1,266.00 $1,228.02 $822.90 $1,228.02 $981.79 2026-07-15
11106 CPT Incisional Biopsy 1st Lesion 14 5 $1,409.00 $1,366.73 $111.84 $1,366.73 $926.42 2026-07-15
72050 CPT X-ray Spine Cervical 4-5 Views 8 5 $1,193.00 $1,157.21 $746.06 $1,157.21 $895.94 2026-07-15
Q0138 HCPCS Ferumoxy 510mg/17ml (non-esrd) 8 5 $1,145.00 $1,111.35 $7.28 $1,111.35 $860.44 2026-07-15
73523 CPT X-ray Hips 5 Views Bi 8 5 $1,136.00 $1,101.92 $690.20 $1,101.92 $853.13 2026-07-15
90651 CPT 9vHPV 3 Dose 8 5 $1,114.00 $1,080.58 $189.30 $1,080.58 $836.62 2026-07-15
84445 CPT Tsi 8 5 $1,061.00 $1,029.17 $689.65 $1,029.17 $828.64 2026-07-15
71110 CPT X-ray Ribs Bilateral 3 Views 10 5 $1,088.00 $1,055.36 $47.21 $1,055.36 $814.32 2026-07-15
80197 CPT Tacrolimus 8 5 $1,042.00 $1,010.74 $677.30 $1,010.74 $813.80 2026-07-15
71100 CPT X-ray Ribs 2 Views Lt 18 5 $891.00 $864.27 $579.15 $3,616.49 $803.24 2026-07-15
90684 CPT Pneumo Conjugate Vaccine 21 Va 10 5 $1,050.00 $1,018.79 $474.00 $1,050.30 $788.78 2026-07-15
73522 CPT X-ray Hips 3-4 Views Bi 8 5 $910.00 $882.70 $591.50 $882.70 $785.07 2026-07-15
90677 CPT Pneumo 20 Valent Vacc 0.5 Ml 17 5 $965.00 $936.39 $380.34 $1,050.20 $767.23 2026-07-15
76536 CPT Ultrasound Head And Neck 12 5 $971.00 $941.87 $631.15 $941.87 $758.35 2026-07-15
72100 CPT X-ray Lumbosacral 2-3 Views 10 5 $1,032.00 $1,001.04 $90.44 $1,001.04 $753.36 2026-07-15
64450 CPT Inject Anes Agent Oth Nerve Lt 14 5 $1,124.00 $1,090.28 $83.15 $1,090.28 $739.03 2026-07-15
J1610 HCPCS Glucagon 1 Mg/ml Vial 14 5 $763.00 $740.62 $98.91 $1,287.61 $732.99 2026-07-15
80074 CPT Acute Hepatitis Panel 10 5 $930.00 $902.10 $604.50 $1,044.63 $726.33 2026-07-15
99283 CPT Emergency Room Visit Level 3 18 5 $1,039.00 $1,007.83 $108.68 $1,007.83 $724.70 2026-07-15
Q9967 HCPCS Iopamidol-370 100 Ml Vial 12 5 $964.00 $935.08 $253.80 $935.08 $723.97 2026-07-15
110 CDM Room Custodial Care 6 5 $879.00 $852.63 $571.35 $852.63 $714.19 2026-07-15
80050 CPT General Health Panel 12 5 $869.00 $842.93 $564.85 $842.93 $713.88 2026-07-15
92950 CPT Heart/Lung Resuscitation Cpr 14 5 $1,042.00 $1,010.74 $275.08 $1,010.74 $685.12 2026-07-15
73564 CPT X-ray Knee 4 Lt 17 5 $870.00 $843.90 $129.06 $843.90 $671.64 2026-07-15
72072 CPT X-ray Spine Thoracic 3 Views 10 5 $816.00 $791.52 $530.40 $791.52 $663.00 2026-07-15
76870 CPT Ultrasound Scrotum 8 5 $846.00 $820.62 $549.90 $820.62 $660.73 2026-07-15
76604 CPT Ultrasound Chest 8 5 $841.00 $815.77 $546.65 $815.77 $656.82 2026-07-15
80306 CPT Drug Screen Urine Inst Ass Obv 8 5 $825.00 $800.25 $536.25 $800.25 $644.33 2026-07-15
31500 CPT Insert Emergency Airway 14 5 $971.00 $941.87 $273.72 $941.87 $638.43 2026-07-15
76830 CPT Ultrasound Transvaginal 8 5 $807.00 $782.79 $524.55 $782.79 $630.26 2026-07-15
71046 CPT X-ray Chest 2v PA/Lateral 13 5 $738.00 $715.86 $479.70 $783.14 $629.51 2026-07-15
76882 CPT US Extremity Nonvasc Limit Rt 18 5 $806.00 $781.82 $523.90 $806.00 $629.49 2026-07-15
P9040 HCPCS Rbc Packed Leuko-reduc Irrad 8 5 $803.00 $778.91 $521.95 $778.91 $627.14 2026-07-15
93325 CPT Echo Color Doppler 8 5 $802.00 $777.94 $521.30 $777.94 $626.36 2026-07-15
72040 CPT X-ray Spine Cervical 2-3 Views 12 5 $811.00 $786.67 $154.40 $786.67 $592.03 2026-07-15
97606 CPT Neg Pressure Wound Dme >50 Cm 8 5 $758.00 $735.26 $492.70 $735.26 $592.00 2026-07-15
88305 CPT Surg Path L4 10 5 $749.00 $726.53 $486.85 $749.00 $584.97 2026-07-15
72082 CPT X-ray Spine 2-3 View 8 5 $769.00 $745.93 $130.92 $745.93 $577.52 2026-07-15
Q9957 HCPCS Perflutren Lip Micro 2.2mg/2ml 8 5 $764.00 $741.32 $47.75 $741.32 $573.95 2026-07-15
90620 CPT MenB 2 Dose IM 8 5 $759.00 $736.23 $254.82 $736.23 $570.01 2026-07-15
96360 CPT Inf Therapy Hyd Initial 12 5 $724.00 $702.28 $470.60 $702.28 $565.44 2026-07-15
96365 CPT Inf Therapy Med Initial 12 5 $724.00 $702.28 $470.60 $702.28 $565.44 2026-07-15
72070 CPT X-ray Spine Thoracic 2 Views 10 5 $695.00 $674.15 $251.70 $1,015.91 $564.69 2026-07-15
73502 CPT X-ray Hip Uni 2-3 Views Rt 33 5 $422.00 $409.34 $274.30 $860.42 $561.60 2026-07-15
93922 CPT Ankle Arm Screen 10 5 $714.00 $692.58 $464.10 $692.58 $557.63 2026-07-15
74019 CPT X-ray Abdomen 10 5 $672.00 $651.84 $436.80 $660.48 $546.00 2026-07-15
11402 CPT Exc Ben Lesion 1.1-2.0 Trunk 14 5 $814.00 $789.58 $236.15 $789.58 $535.20 2026-07-15
99204 CPT New Patient Level 4 Wound Care 14 5 $814.00 $789.58 $207.60 $789.58 $535.20 2026-07-15
Q9956 HCPCS Perflutren Protein-a Microdota 10 5 $731.00 $709.31 $77.76 $709.31 $533.81 2026-07-15
40650 CPT Repr Lip Fll Thckns Vermiln On 14 5 $552.00 $535.44 $358.80 $844.82 $529.92 2026-07-15
93225 CPT Holter Monitor Hook Up <48 Hrs 8 5 $678.00 $657.66 $440.70 $657.66 $529.52 2026-07-15
29581 CPT Appl Multi Layer Ven Wnd Compr 11 5 $670.00 $649.90 $435.50 $704.00 $529.30 2026-07-15
99282 CPT Emergency Room Visit Level 2 12 5 $677.00 $656.69 $440.05 $656.69 $528.74 2026-07-15
73552 CPT X-ray Femur 2 Views Lt 20 5 $705.00 $683.85 $130.01 $683.85 $514.65 2026-07-15
73080 CPT X-ray Elbow Rt 17 5 $665.00 $645.05 $38.91 $645.05 $513.38 2026-07-15
92524 CPT Behavral Qualit Analys Voice 8 5 $655.00 $635.35 $425.75 $635.35 $511.56 2026-07-15
86870 CPT Rbc Antibody Identif Panel 8 5 $649.00 $629.53 $421.85 $629.53 $506.87 2026-07-15
70250 CPT X-ray Skull < 4 Views 10 5 $686.00 $665.42 $94.25 $665.42 $500.78 2026-07-15
11760 CPT Repair Nailbed 14 5 $756.00 $733.32 $221.56 $733.32 $497.07 2026-07-15
83880 CPT Pro-b Type Natriuretic Peptide 21 5 $472.00 $457.84 $306.80 $739.14 $495.30 2026-07-15
73130 CPT X-ray Hand Lt 20 5 $672.00 $651.84 $59.16 $651.84 $490.56 2026-07-15
70030 CPT X-ray Eye Fb Detection 8 5 $542.00 $525.74 $352.30 $5,074.70 $488.62 2026-07-15
87799 CPT Ebv By Pcr Quant 8 5 $620.00 $601.40 $403.00 $601.40 $484.22 2026-07-15
87906 CPT HIV 1 Sequence Integras Resist 8 5 $601.00 $582.97 $390.65 $582.97 $469.38 2026-07-15
85335 CPT Factor 8 Inhibitor 8 5 $599.00 $581.03 $389.35 $581.03 $467.82 2026-07-15
73630 CPT X-ray Foot 3 Views Lt 20 5 $634.00 $614.98 $65.60 $614.98 $466.58 2026-07-15
P9016 HCPCS Red Blood Cells Lekoreduced 10 5 $617.00 $598.49 $401.05 $598.49 $463.37 2026-07-15
82610 CPT Cystatin C 8 5 $590.00 $572.30 $383.50 $572.30 $460.79 2026-07-15
12053 CPT Repair Lac Interm 5.1-7.5 Cm 14 5 $576.00 $558.72 $374.40 $600.32 $459.31 2026-07-15
73110 CPT X-ray Wrist 3 Views Lt 20 5 $629.00 $610.13 $58.22 $610.13 $459.17 2026-07-15
73060 CPT X-ray Humerus Rt 8 5 $605.00 $586.85 $67.44 $586.85 $454.36 2026-07-15
73030 CPT X-ray Shoulder Lt 20 5 $617.00 $598.49 $237.65 $598.49 $450.41 2026-07-15
81206 CPT Bcr/abl1 Major Mutation 8 5 $576.00 $558.72 $374.40 $558.72 $449.86 2026-07-15
87637 CPT Influ/RSV/CoV2 Pcr Ceph 10 5 $598.00 $580.06 $373.03 $580.06 $449.10 2026-07-15
73562 CPT X-ray Knee 3 Views Lt 20 5 $608.00 $589.76 $109.76 $589.76 $447.73 2026-07-15
72220 CPT X-ray Sacrum Tailbone 10 5 $605.00 $586.85 $393.25 $586.85 $447.69 2026-07-15
77067 CPT Mammography Screening Digital 12 5 $569.00 $551.93 $369.85 $551.93 $444.39 2026-07-15
28400 CPT Fx Calcaneus Lt 8 5 $566.00 $549.02 $367.90 $549.02 $442.04 2026-07-15
11045 CPT Debride Skin Subq Addl 20 Cm 17 5 $664.00 $644.08 $48.41 $644.08 $441.56 2026-07-15
73560 CPT X-ray Knee 1-2 Views Lt 19 5 $571.00 $553.87 $84.00 $553.87 $440.81 2026-07-15
86341 CPT Glutmic Acid Decarbox Aby 8 5 $564.00 $547.08 $366.60 $547.08 $440.49 2026-07-15
12034 CPT Repair Lac Interm 7.6-12.5 Cm 14 5 $548.00 $531.56 $356.20 $571.03 $437.23 2026-07-15
97598 CPT Debride Wound Addl 20 Cm 14 5 $664.00 $644.08 $22.81 $644.08 $436.58 2026-07-15
92523 CPT Speech Sound Lang Comprehen 10 5 $556.00 $539.32 $361.40 $623.00 $434.24 2026-07-15
80175 CPT Lamotrigine 8 5 $556.00 $539.32 $361.40 $539.32 $434.24 2026-07-15
93321 CPT Doppler Echo Exam Heart 8 5 $556.00 $539.32 $361.40 $539.32 $434.24 2026-07-15
71045 CPT X-ray Chest 1 View 13 5 $508.00 $492.76 $330.20 $593.33 $433.32 2026-07-15
88184 CPT Flow Cytometry First Mark 8 5 $554.00 $537.38 $360.10 $537.38 $432.68 2026-07-15
93308 CPT Echo Limited 8 5 $551.00 $534.47 $358.15 $534.47 $430.33 2026-07-15
12052 CPT Repair Lac Interm 2.6-5.0 Cm 14 5 $548.00 $531.56 $356.20 $559.61 $429.86 2026-07-15
85303 CPT Protein C Activity 8 5 $548.00 $531.56 $356.20 $531.56 $427.99 2026-07-15
73610 CPT X-ray Ankle 3 Views Lt 20 5 $580.00 $562.60 $99.63 $562.60 $423.40 2026-07-15
12032 CPT Repair Lac Interm 2.6-7.5 Cm 16 5 $548.00 $531.56 $356.20 $534.49 $418.79 2026-07-15
26720 CPT Fx Finger/Thumb Wo Man 14 5 $463.00 $449.11 $300.95 $517.16 $418.20 2026-07-15
80299 CPT Dexamethasone 10 5 $555.00 $538.35 $108.40 $538.35 $416.80 2026-07-15
73590 CPT X-ray Lower Leg Lt 20 5 $564.00 $547.08 $73.88 $547.08 $411.72 2026-07-15
99281 CPT Emergency Room Visit Level 1 19 5 $423.00 $410.31 $84.60 $651.84 $410.31 2026-07-15
85379 CPT D-dimer Quant 12 5 $499.00 $484.03 $324.35 $484.03 $409.93 2026-07-15
81207 CPT Bcr/abl1 Minor Mutation 8 5 $522.00 $506.34 $339.30 $506.34 $407.68 2026-07-15
A9500 HCPCS Radiophar Tc99M Sestamibi Dose 12 5 $521.00 $505.37 $219.20 $505.37 $406.90 2026-07-15
12031 CPT Repair Lac Intermed <2.5 Cm 16 5 $548.00 $531.56 $307.22 $531.56 $400.04 2026-07-15
87636 CPT Influ & CoV2 Pcr Ceph 8 5 $511.00 $495.67 $332.15 $495.67 $399.09 2026-07-15
10120 CPT I&r Foreign Body Simple 16 5 $606.00 $587.82 $215.90 $587.82 $398.44 2026-07-15
80179 CPT Salicylate 8 5 $507.00 $491.79 $329.55 $491.79 $395.96 2026-07-15
81241 CPT Factor V Leiden Mutation 8 5 $504.00 $488.88 $327.60 $488.88 $393.62 2026-07-15
99236 CPT Admit/Discharge Same Day High 6 5 $677.00 $656.69 $322.41 $436.48 $391.90 2026-07-15
12051 CPT Repair Lac Interm <2.5 Cm 14 5 $548.00 $531.56 $341.90 $531.56 $391.68 2026-07-15
88342 CPT Immunohisto Stain Init Pr Spec 8 5 $501.00 $485.97 $325.65 $485.97 $391.28 2026-07-15
73000 CPT X-ray Collar Bone Lt 16 5 $519.00 $503.43 $187.04 $503.43 $389.77 2026-07-15
80053 CPT Comprehensive Metabolic Panel 13 5 $455.00 $441.35 $295.75 $441.35 $388.12 2026-07-15
80061 CPT Lipid Panel 12 5 $445.00 $431.65 $289.25 $431.65 $379.59 2026-07-15
82653 CPT Pancreatic Elastase 8 5 $486.00 $471.42 $315.90 $471.42 $379.56 2026-07-15
73070 CPT X-ray Elbow Lt 18 5 $519.00 $503.43 $41.69 $503.43 $378.87 2026-07-15
96125 CPT Cognitive Performance Test St 8 5 $484.00 $469.48 $314.60 $469.48 $378.00 2026-07-15
72170 CPT X-ray Pelvis 1-2 Views 10 5 $517.00 $501.49 $336.05 $501.49 $377.41 2026-07-15
86361 CPT Cd4 Absolute Count 9 5 $477.00 $462.69 $310.05 $462.69 $376.83 2026-07-15
87338 CPT H Pylori Antigen Stool 8 5 $480.00 $465.60 $312.00 $465.60 $374.88 2026-07-15
90734 CPT Mcv4 Or MenACWY IM 8 5 $499.00 $484.03 $57.95 $484.03 $374.75 2026-07-15
83519 CPT Igf Binding Protein 1 8 5 $476.00 $461.72 $309.40 $461.72 $371.75 2026-07-15
92507 CPT Speech Therapy Trmt 8 5 $471.00 $456.87 $306.15 $456.87 $367.85 2026-07-15
92522 CPT Eval St Speech Production 8 5 $463.00 $449.11 $300.95 $449.11 $361.61 2026-07-15
74018 CPT X-ray Abdomen 11 5 $422.00 $409.34 $274.30 $523.40 $359.97 2026-07-15
80143 CPT Acetaminophen 8 5 $460.00 $446.20 $299.00 $446.20 $359.26 2026-07-15
92610 CPT Swallow Eval Non Radiol 8 5 $459.00 $445.23 $298.35 $445.23 $358.48 2026-07-15
73090 CPT X-ray Forearm 2 Views Lt 20 5 $480.00 $465.60 $282.72 $465.60 $350.40 2026-07-15
70100 CPT X-ray Mandible < 4 Views 8 5 $457.00 $443.29 $102.20 $443.29 $343.21 2026-07-15
85305 CPT Protein S Total 8 5 $437.00 $423.89 $284.05 $423.89 $341.30 2026-07-15
93798 CPT Cardiac Rehab Ii Monitored 10 5 $448.00 $434.56 $291.20 $434.56 $339.07 2026-07-15
36430 CPT Blood Administration 10 5 $451.00 $437.47 $293.15 $437.47 $338.70 2026-07-15
73120 CPT X-ray Hand Rt 8 5 $451.00 $437.47 $198.99 $437.47 $338.70 2026-07-15
85302 CPT Protein C Antigen 8 5 $433.00 $420.01 $281.45 $420.01 $338.17 2026-07-15
51700 CPT Irrigation Bladder Simple 19 5 $345.00 $334.65 $224.25 $519.00 $337.35 2026-07-15
84402 CPT Testosterone Fre Female/Child 10 5 $448.00 $434.56 $64.30 $434.56 $336.45 2026-07-15
86382 CPT Rabies Ab Screen 8 5 $430.00 $417.10 $279.50 $417.10 $335.83 2026-07-15
99223 CPT IP/Obs Initial High Comp 6 5 $620.00 $601.40 $270.04 $389.40 $334.66 2026-07-15
71271 CPT Ldct For Lung Cancer Screen 12 5 $444.00 $430.68 $101.48 $430.68 $333.44 2026-07-15
86644 CPT Cmv Antibody IgG 32 5 $423.50 $410.80 $181.35 $575.21 $330.62 2026-07-15
30903 CPT Control Anterior Hemorrhage Lt 14 5 $496.00 $481.12 $149.60 $481.12 $326.12 2026-07-15
12041 CPT Repair Lac Interm <2.5 Cm 14 5 $441.00 $427.77 $286.65 $427.77 $325.36 2026-07-15
80048 CPT Basic Metabolic Panel 11 5 $381.00 $369.57 $247.65 $369.57 $324.99 2026-07-15
51705 CPT Suprapubic Cath Change 8 5 $414.00 $401.58 $269.10 $401.58 $323.34 2026-07-15
99306 CPT Nf Initial Visit High 6 5 $475.00 $460.75 $264.20 $387.63 $322.74 2026-07-15
85240 CPT Factor 8 8 5 $412.00 $399.64 $267.80 $399.64 $321.77 2026-07-15
99205 CPT New Patient Level 5 High Comp 6 5 $271.00 $262.87 $282.08 $382.02 $320.46 2026-07-15
86140 CPT C-reactive Protein 12 5 $375.00 $363.75 $243.75 $363.75 $319.88 2026-07-15
88312 CPT Special Stain Afb 16 5 $409.50 $397.22 $261.95 $403.52 $319.76 2026-07-15
82077 CPT Alcohol/Ethanol Auto Analyzer 11 5 $414.00 $401.58 $269.10 $401.58 $319.61 2026-07-15
73020 CPT X-ray Shoulder Lt 16 5 $425.00 $412.25 $187.95 $412.25 $319.18 2026-07-15
80069 CPT Renal Function Panel 10 5 $425.00 $412.25 $276.25 $412.25 $319.18 2026-07-15
73100 CPT X-ray Wrist 2 Views Lt 16 5 $425.00 $412.25 $66.51 $412.25 $319.18 2026-07-15
71120 CPT X-ray Sternum 2 Views 8 5 $424.00 $411.28 $79.40 $411.28 $318.42 2026-07-15
87536 CPT HIV 1 Na Quan 9 5 $403.00 $390.91 $261.95 $390.91 $318.37 2026-07-15
87517 CPT Hep B Na Quan 8 5 $407.00 $394.79 $264.55 $394.79 $317.87 2026-07-15
99292 CPT Critical Care Ea Addl 30 Min 14 5 $479.00 $464.63 $164.83 $464.63 $314.95 2026-07-15
J3489 HCPCS Zoledron Ac/Man/H2O 5mg/100ml 8 5 $414.00 $402.39 $17.25 $402.39 $311.54 2026-07-15
87329 CPT Giardia Antigen 11 5 $394.00 $382.18 $256.10 $382.18 $311.26 2026-07-15
73620 CPT X-ray Foot 2 Views Lt 20 5 $425.00 $412.25 $85.00 $412.25 $310.25 2026-07-15
73600 CPT X-ray Ankle 2 Views Rt 18 5 $425.00 $412.25 $86.75 $412.25 $310.25 2026-07-15
83993 CPT Calprotectin 10 5 $413.00 $400.61 $268.45 $400.61 $310.16 2026-07-15
73501 CPT X-ray Hip Uni 1 View Rt 8 5 $344.00 $333.68 $223.60 $711.09 $310.12 2026-07-15
27786 CPT Fx Distal Fibula Lt 8 5 $396.00 $384.12 $257.40 $384.12 $309.27 2026-07-15
27530 CPT Treat Knee Fracture Rt 8 5 $396.00 $384.12 $257.40 $384.12 $309.27 2026-07-15
27520 CPT Treat Kneecap Fracture Lt 8 5 $396.00 $384.12 $257.40 $384.12 $309.27 2026-07-15
26750 CPT Fx Distal Finger/Thumb Wo Man 8 5 $396.00 $384.12 $257.40 $384.12 $309.27 2026-07-15
24670 CPT Fx Ulna Proximal Wo Man Lt 8 5 $396.00 $384.12 $257.40 $384.12 $309.27 2026-07-15
23500 CPT Fx Clavicle Lt 8 5 $396.00 $384.12 $257.40 $384.12 $309.27 2026-07-15
25600 CPT Fx Distal Radius Lt 18 5 $396.00 $384.12 $257.40 $384.12 $305.71 2026-07-15
G0480 HCPCS Nicotine Cotinine 8 5 $391.00 $379.27 $254.15 $379.27 $305.37 2026-07-15
99235 CPT Admit/Discharge Same Day Mod 6 5 $519.00 $503.43 $247.05 $334.65 $302.36 2026-07-15
G0438 HCPCS Annual Wellness Visit Initial 6 5 $230.00 $223.10 $184.13 $358.02 $297.00 2026-07-15
82803 CPT Blood Gas Wo Oximetry 10 5 $377.00 $365.69 $245.05 $377.00 $294.44 2026-07-15
26600 CPT Fx Metacarpal 8 5 $377.00 $365.69 $245.05 $365.69 $294.44 2026-07-15
25660 CPT Dislocate Radiocarpal W Man Lt 8 5 $377.00 $365.69 $245.05 $365.69 $294.44 2026-07-15
25650 CPT Fx Ulnar Styloid Lt 8 5 $377.00 $365.69 $245.05 $365.69 $294.44 2026-07-15
25530 CPT Fx Ulnar Shaft Wo Man Rt 8 5 $377.00 $365.69 $245.05 $365.69 $294.44 2026-07-15
24650 CPT Fx Radial Head/Neck Wo Man Lt 16 5 $377.00 $365.69 $245.05 $365.69 $294.44 2026-07-15
24576 CPT Fx Humeral Condylar Wo Man Rt 8 5 $377.00 $365.69 $245.05 $365.69 $294.44 2026-07-15
87529 CPT Hsv DNA Amp Probe 8 5 $377.00 $365.69 $245.05 $365.69 $294.44 2026-07-15
86318 CPT Infectious Mono Test 10 5 $392.00 $380.24 $254.80 $380.24 $294.39 2026-07-15
73660 CPT X-ray Toe(s) 2 Views Lt 18 5 $403.00 $390.91 $66.51 $390.91 $294.19 2026-07-15
82670 CPT Estradiol Total 11 5 $375.00 $363.75 $69.07 $363.75 $289.50 2026-07-15
84481 CPT T3 Free 10 5 $385.00 $373.45 $85.73 $373.45 $289.13 2026-07-15
97166 CPT Ot Eval Mod Complexity 10 5 $385.00 $373.45 $250.25 $373.45 $289.13 2026-07-15
97602 CPT Debride Wound Non-selective 11 5 $364.00 $353.08 $236.60 $353.08 $287.56 2026-07-15
87425 CPT Rotavirus 9 5 $364.00 $353.08 $236.60 $353.08 $287.56 2026-07-15
87493 CPT C Diff By Pcr 10 5 $366.00 $355.02 $237.90 $355.02 $285.85 2026-07-15
11300 CPT Shave Lesion <0.5 Trunk Limbs 14 5 $431.00 $418.07 $67.60 $418.07 $283.38 2026-07-15
84702 CPT Hcg Beta Quan Serum 10 5 $377.00 $365.69 $51.31 $365.69 $283.12 2026-07-15
90632 CPT Hepatitis A Vaccine Adult IM 10 5 $314.00 $304.58 $204.10 $345.69 $283.07 2026-07-15
84403 CPT Testosterone Total Ref 11 5 $365.00 $354.05 $64.30 $354.05 $281.78 2026-07-15
97162 CPT Pt Eval Mod Complexity 11 5 $358.00 $347.26 $208.05 $347.26 $276.38 2026-07-15
87476 CPT Lyme Disease DNA Amp Probe 10 5 $368.00 $356.96 $127.80 $356.96 $276.37 2026-07-15
82378 CPT Cea 8 5 $353.00 $342.41 $229.45 $342.41 $275.69 2026-07-15
51702 CPT Cath Insert Simple Indwelling 21 5 $392.00 $380.24 $188.50 $380.24 $275.50 2026-07-15
82384 CPT Catecholamines Fract 10 5 $365.00 $354.05 $63.50 $354.05 $274.12 2026-07-15
12013 CPT Repair Lac Simple 2.6-5.0 Cm 22 5 $375.00 $363.75 $109.90 $363.75 $273.75 2026-07-15
12011 CPT Repair Lac Simple <2.5 Cm 17 5 $375.00 $363.75 $107.01 $363.75 $273.75 2026-07-15
11104 CPT Punch Biopsy 1st Lesion 14 5 $416.00 $403.52 $92.98 $403.52 $273.52 2026-07-15
11102 CPT Tangential Biopsy 1st Lesion 16 5 $416.00 $403.52 $45.00 $403.52 $273.52 2026-07-15
85306 CPT Protein S Functional 8 5 $347.00 $336.59 $225.55 $336.59 $271.00 2026-07-15
82166 CPT Mullerian Inhib Hormone 10 5 $359.00 $348.23 $130.19 $348.23 $269.61 2026-07-15
96367 CPT Inf Therapy Med Sequential 21 5 $329.00 $319.13 $98.04 $355.02 $267.18 2026-07-15
87807 CPT Rsv 8 5 $342.00 $331.74 $222.30 $331.74 $267.10 2026-07-15
99310 CPT Nf Visit High 6 5 $390.00 $378.30 $223.80 $327.84 $266.75 2026-07-15
82746 CPT Folic Acid Blood 10 5 $355.00 $344.35 $43.86 $344.35 $266.61 2026-07-15
73140 CPT X-ray Finger(s) Lt 20 5 $365.00 $354.05 $64.68 $354.05 $266.45 2026-07-15
86334 CPT Immunofix Electroph Serum 10 5 $341.00 $330.77 $221.65 $330.77 $266.32 2026-07-15
86592 CPT Rpr 8 5 $341.00 $330.77 $221.65 $330.77 $266.32 2026-07-15
87177 CPT Ova And Parasites Smears 10 5 $338.00 $327.86 $219.70 $327.86 $263.98 2026-07-15
J1956 HCPCS Levofloxac/D5W 500mg/100ml Bag 17 5 $368.00 $357.83 $2.07 $357.83 $263.73 2026-07-15
86922 CPT Crossmatch Ahg 11 5 $333.00 $323.01 $216.45 $323.01 $263.07 2026-07-15
J2305 HCPCS Nitroglycer/D5W 50mg/250ml Bot 8 5 $349.00 $339.28 $3.20 $339.28 $262.68 2026-07-15
12002 CPT Repair Lac Simple 2.6-7.5 Cm 16 5 $375.00 $363.75 $112.84 $363.75 $261.56 2026-07-15
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