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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

WINNER REGIONAL HEALTHCARE CENTER - CAH

Winner, SD · CCN 431334 · Rates published

2,141 distinct procedures filed
2 distinct payers
14,134 rate rows
2026-05-07 last MRF observed
Data quality

13,252 of 14,134 rate rows are consumer-grade (93.8%)

882 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
professional (physician) fee — not the facility price 851
percent-of-charges filed in the dollar field — excluded from medians 31
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/8029/460274380_winner-regional-healthcare-center_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/WinnerRegionalHealthCenter/8029
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-18
Content fingerprint 98344800a73054e8… · 7,513,865 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
J3357
HCPCS 		Ustekinumab Soln Prefilled Syringe 90 Mg/ml 2 $21,603.04 $34,204.82 $30,604.31 nat. median
$14,292
outlier · 2.1×
64590
CPT 		Surg 64590 Ins Repl Periph Sacr Gastric Neurostim Pulse Gen Receiver 2 $13,200.00 $20,900.00 $18,700.00 nat. median
$18,334
1.0× median
J3380
HCPCS 		Vedolizumab For IV Solution 300 Mg 2 $10,338.00 $16,368.50 $14,645.50 nat. median
$280
outlier · 52.3×
J1930
HCPCS 		Lanreotide Acetate Extended Release Inj 120 Mg/0.5ml 2 $9,891.42 $15,661.42 $14,012.85 nat. median
$5,873
outlier · 2.4×
J9022
HCPCS 		Atezolizumab IV Soln 1200 Mg/20ml 2 $9,809.02 $15,530.94 $13,896.11 nat. median
$6,911
outlier · 2.0×
27446
CPT 		Arthrp Knee Condyle&plateau Medial/lat Cmprt 2 $9,432.60 $14,934.95 $13,362.85 nat. median
$12,483
1.1× median
23472
CPT 		Arthroplasty Glenohumeral Joint Total Shldr 2 $4,611.60 $29,446.20 $12,949.65 nat. median
$16,400
0.8× median
C1767
HCPCS 		Stim Neuro Scrl Non-rechg F15 2 $9,060.00 $14,345.00 $12,835.00 nat. median
$22,481
0.6× median
C1820
HCPCS 		Stim Snm R20 Rechg 2 $8,496.00 $13,452.00 $12,036.00 nat. median
$22,013
0.5× median
49592
CPT 		Surg 49592 Rpr Aa Hernia 1st < 3 Cm Incarc/strangulated 2 $8,400.00 $13,300.00 $11,900.00 nat. median
$5,742
outlier · 2.1×
J3101
HCPCS 		Tenecteplase For IV Soln Kit 50 Mg 2 $7,482.51 $13,002.01 $11,631.26 nat. median
$5,957
2.0× median
25405
CPT 		Surg 25405 Rpr Nonunion Malunion Radius Ulna Wautograft (inc Obtain Graft 2 $8,164.20 $12,926.65 $11,565.95 nat. median
$7,223
1.6× median
J2356
HCPCS 		Tezepelumab-ekko Subcutaneous Soln Pref Syr 210 Mg/1.91ml 2 $7,530.79 $11,923.74 $10,668.61 nat. median
$66
outlier · 162.1×
49000
CPT 		Surg 49000 Exploratory Laparotomy Celiotomy W/wo Biopsy Separate Proc 2 $6,999.00 $11,081.75 $9,915.25 nat. median
$2,550
outlier · 3.9×
27130
CPT 		Arthroplasty Acetabular Proximal Femoral Prosthetic Replace Wwo Autog 2 $5,667.60 $16,793.15 $9,789.95 nat. median
$13,100
0.7× median
J9271
HCPCS 		Pembrolizumab IV Soln 100 Mg/4ml (25 Mg/ml) 2 $4,757.70 $18,479.95 $9,602.29 nat. median
$736
outlier · 13.0×
27428
CPT 		Surg 27428 Ligous Reconstruct (augment) Knee Intra-articular (open) 2 $6,568.80 $10,400.60 $9,305.80 nat. median
$11,739
0.8× median
J1932
HCPCS 		Lanreotide Acetate Extended Release Inj 120 Mg/0.5ml 2 $6,378.18 $10,098.79 $9,035.76 nat. median
$80
outlier · 112.3×
31254
CPT 		Surg 31254 Nasal/sinus Ndsc W/partial Ethmoidectomy 2 $6,225.00 $9,856.25 $8,818.75 nat. median
$6,432
1.4× median
36473
CPT 		Surg 36473 Endovenous Abl Mechanochemical 1st Vein 2 $6,110.40 $9,674.80 $8,656.40 nat. median
$3,471
outlier · 2.5×
J0517
HCPCS 		Benralizumab Subcutaneous Soln Prefilled Syringe 30 Mg/ml 2 $5,933.06 $9,394.01 $8,405.17 nat. median
$914
outlier · 9.2×
J9299
HCPCS 		Nivolumab IV Soln 240 Mg/24ml 2 $5,909.98 $9,357.47 $8,372.47 nat. median
$2,944
outlier · 2.8×
33210
CPT 		Ed 33210 Insert/replace Lead Temporary Single Chamber 2 $5,613.00 $8,887.25 $7,951.75 nat. median
$8,289
1.0× median
27792
CPT 		Surg 27792 Open Tx Distal Fibular Fracture Lat Malleolus 2 $5,602.20 $8,870.15 $7,936.45 nat. median
$6,844
1.2× median
24341
CPT 		Ed 24341 Rpr Ten Mus Arm Elbow 2 $5,365.80 $8,495.85 $7,601.55 nat. median
$7,079
1.1× median
59150
CPT 		Surg 59150 Laps Tx Ectopic Preg Without Salping&/oophorectomy 2 $5,220.00 $8,265.00 $7,395.00 nat. median
$6,032
1.2× median
27447
CPT 		Arthroplasty Knee Condyle & Plateau Medial & Lat Compartments Wwo Pat 2 $5,105.40 $8,083.55 $7,232.65 nat. median
$12,649
0.6× median
J1162
HCPCS 		Digoxin Immune Fab For Inj 40 Mg 2 $4,999.63 $7,916.07 $7,082.80 nat. median
$7,308
1.0× median
Q5127
HCPCS 		Pegfilgrastim-fpgk Soln Prefilled Syringe 6 Mg/0.6ml 2 $4,973.50 $7,874.70 $7,045.79 nat. median
$418
outlier · 16.8×
26785
CPT 		Surg 26785 Open Tx Interphalangeal Joint Dislocation 2 $4,791.60 $7,586.70 $6,788.10 nat. median
$3,501
1.9× median
36482
CPT 		Surg 36482 Endoven Ablti Ther Chem Adhesive 1st Vein 2 $4,755.00 $7,528.75 $6,736.25 nat. median
$6,305
1.1× median
52332
CPT 		Surg 52332 Cystoscopy W Insert Ureteral Stent 2 $4,738.80 $7,503.10 $6,713.30 nat. median
$3,601
1.9× median
52441
CPT 		Surg 52441 Cystourethroscopy W Impl Perm 2 $4,650.00 $7,362.50 $6,587.50 nat. median
$1,769
outlier · 3.7×
52356
CPT 		Surg 52356 Cysto/uretero W Lithotripsy W Stent Insertion 2 $4,650.00 $7,362.50 $6,587.50 nat. median
$5,513
1.2× median
35207
CPT 		Ed 35207 Rpr Vessel Hand Finger 2 $4,633.80 $7,336.85 $6,564.55 nat. median
$3,496
1.9× median
44120
CPT 		Surg 44120 Enterectomy Resect Small Intestine Sngl Resect & Anastomosis 2 $4,500.00 $7,125.00 $6,375.00 nat. median
$3,012
outlier · 2.1×
J2506
HCPCS 		Pegfilgrastim Soln Prefill Syr/Infusion Dev 6 Mg/0.6ml 2 $4,093.66 $8,881.68 $6,140.49 nat. median
$2,076
outlier · 3.0×
27420
CPT 		Reconstruct Dislocating Patella 2 $4,296.60 $6,802.95 $6,086.85 nat. median
$6,926
0.9× median
27418
CPT 		Anterior Tibial Tubercleplasty 2 $4,296.60 $6,802.95 $6,086.85 nat. median
$6,795
0.9× median
45171
CPT 		Exc Rect Tum Transanal 2 $4,291.80 $6,795.35 $6,080.05 nat. median
$2,822
outlier · 2.2×
J1306
HCPCS 		Inclisiran Sodium Subcutaneous Soln Pref Syr 284 Mg/1.5ml 2 $4,210.75 $6,667.01 $5,965.22 nat. median
$57
outlier · 105.5×
J1437
HCPCS 		Ferric Derisomaltose (One Dose) IV Sol 1000 Mg/10ml (Fe Eq) 2 $4,092.99 $6,480.57 $5,798.40 nat. median
$42
outlier · 139.6×
59510
CPT 		Routine Obstetric Care Wantepartum Care Cesarean Delivery & Postpartu 2 $4,075.80 $6,453.35 $5,774.05 nat. median
$3,677
1.6× median
J0717
HCPCS 		Certolizumab Pegol For Inj Kit 2 X 200 Mg 2 $3,979.73 $6,301.25 $5,637.96 nat. median
$1,372
outlier · 4.1×
49418
CPT 		Surg 49418 Plcmnt Peritoneal Cath Tun W/img Guid 2 $3,900.00 $6,175.00 $5,525.00 nat. median
$4,210
1.3× median
51102
CPT 		Surg 51102 Asp Bladder W Insert Supr Cath 2 $3,859.20 $6,110.40 $5,467.20 nat. median
$2,392
outlier · 2.3×
59515
CPT 		Cesarean Delivery Only Wpostpartum Care 2 $3,807.60 $6,028.70 $5,394.10 nat. median
$2,569
outlier · 2.1×
29888
CPT 		Arthroscopically Aided Anterior Cruciate Lig Rpr Augmentatn Reconstrct 2 $3,795.00 $6,008.75 $5,376.25 nat. median
$7,307
0.7× median
13160
CPT 		Secondary Closure Surgical Wnd Dehiscence Extnsv Cmpl 2 $3,771.00 $5,970.75 $5,342.25 nat. median
$2,764
1.9× median
25260
CPT 		Ed 25260 Rpr Tend Forearm Wrist Prim 2 $3,667.20 $5,806.40 $5,195.20 nat. median
$3,485
1.5× median

Other procedures at this hospital

Browse this hospital's 2,141 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
             
0120 RC Semi Private Room 6 2 $2,500.00 $2,500.00 $1,444.80 $4,053.65 $2,085.90 2026-05-07
0200 RC Intensive Care General 2 2 $4,769.00 $4,769.00 $2,861.40 $4,053.65 $3,457.53 2026-05-07
0232T CPT Tx Rm 0232t Njx Pltlt Plasma W/img Harvest/preparation 3 2 $3,022.00 $3,022.00 $1,813.20 $2,870.90 $2,568.70 2026-05-07
0360 RC Abd Hysterectomy 735 2 $4,522.00 $4,522.00 $19.20 $27,150.05 $3,495.60 2026-05-07
0689 RC Trauma Activation Full 3 2 $2,300.00 $2,300.00 $1,380.00 $2,185.00 $1,955.00 2026-05-07
0801 RC Acute Ip Dialysis 3 2 $3,006.00 $3,006.00 $1,803.60 $2,855.70 $2,555.10 2026-05-07
10081 CPT Incision & Drainage Pilonidal Cyst Cmpl 3 2 $2,475.00 $2,475.00 $1,485.00 $2,351.25 $2,103.75 2026-05-07
10121 CPT Ed 10121 Inc&remv Fb Compl 3 2 $3,207.00 $3,207.00 $1,924.20 $3,046.65 $2,725.95 2026-05-07
11008 CPT Tx Rm 11008 Removal Prosthetic Material Mesh Abdominal Wall 3 2 $4,530.00 $4,530.00 $2,718.00 $4,303.50 $3,850.50 2026-05-07
11426 CPT Exc Bengn Skn Les Wmarg No Skin Tag Sclp Nck Hnd Ft Gen Dia > 4.0cm 3 2 $2,874.00 $2,874.00 $1,724.40 $2,730.30 $2,442.90 2026-05-07
13160 CPT Secondary Closure Surgical Wnd Dehiscence Extnsv Cmpl 3 2 $6,285.00 $6,285.00 $3,771.00 $5,970.75 $5,342.25 2026-05-07
15274 CPT Tx Rm 15274 Skn Sub Grft T A L Child Add 3 2 $2,525.00 $2,525.00 $1,515.00 $2,398.75 $2,146.25 2026-05-07
15275 CPT Tx Rm 15275 Skin Sub Graft Face Nk Hf G 4 2 $2,200.00 $2,200.00 $1,320.00 $2,090.00 $1,870.00 2026-05-07
15277 CPT Tx Rm 15277 Skn Sub Grft F N Hf G Child 3 2 $2,200.00 $2,200.00 $1,320.00 $2,090.00 $1,870.00 2026-05-07
20101 CPT Ed 20101 Explore Penetrating Wound Chest 3 2 $4,017.00 $4,017.00 $2,410.20 $3,816.15 $3,414.45 2026-05-07
20102 CPT Ed 20102 Explore Penetrating Wound Abdomen/back/flank 3 2 $4,017.00 $4,017.00 $2,410.20 $3,816.15 $3,414.45 2026-05-07
20103 CPT Ed 20103 Explor Wnd Extremity 6 2 $2,488.50 $2,488.50 $1,485.00 $2,376.90 $2,115.22 2026-05-07
20205 CPT Surg 20205 Bx Muscle Deep 3 2 $2,548.00 $2,548.00 $1,528.80 $2,420.60 $2,165.80 2026-05-07
20525 CPT Ed 20525 Rem Fb Musc Tend Cplx 3 2 $4,389.00 $4,389.00 $2,633.40 $4,169.55 $3,730.65 2026-05-07
21315 CPT Ed 21315 Clsd Tx Nsl Bone Fx W Manip Wo Stab 3 2 $3,175.00 $3,175.00 $1,905.00 $3,016.25 $2,698.75 2026-05-07
21554 CPT Surg 21554 Exc Tumr Soft Tiss Subfac 5cm+ 3 2 $2,710.00 $2,710.00 $1,626.00 $2,574.50 $2,303.50 2026-05-07
21933 CPT Surg 21933 Exc Tumor Soft Tiss Back/flank Subfascial >=5cm 3 2 $5,009.00 $5,009.00 $3,005.40 $4,758.55 $4,257.65 2026-05-07
22899 CPT Ed 22899 Unlisted Proc Spine 3 2 $6,112.00 $6,112.00 $3,667.20 $5,806.40 $5,195.20 2026-05-07
22901 CPT Surg 22901 Exc Tumor Abdomin Wall 5cm+ 3 2 $3,355.00 $3,355.00 $2,013.00 $3,187.25 $2,851.75 2026-05-07
23065 CPT Surg 23065 Bx Soft Tissue Shldr Area Superl 3 2 $4,147.00 $4,147.00 $2,488.20 $3,939.65 $3,524.95 2026-05-07
23120 CPT Claviculectomy Partial 3 2 $2,802.00 $2,802.00 $1,681.20 $2,661.90 $2,381.70 2026-05-07
23472 CPT Arthroplasty Glenohumeral Joint Total Shldr 6 2 $19,341.00 $19,341.00 $4,611.60 $29,446.20 $12,949.65 2026-05-07
23505 CPT Ed 23505 Clsd Tx Clvcle Fx Wmanip 3 2 $3,620.00 $3,620.00 $2,172.00 $3,439.00 $3,077.00 2026-05-07
23605 CPT Closed Treat Proximal Humeral Fx Wmanip Wwo Skeletal Traction 3 2 $3,454.00 $3,454.00 $2,072.40 $3,281.30 $2,935.90 2026-05-07
23625 CPT Ed 23625 Clsd Tx Gt Humeral Wmanip 3 2 $3,620.00 $3,620.00 $2,172.00 $3,439.00 $3,077.00 2026-05-07
23930 CPT Ed 23930 I&d Absc Arm Elbow Deep 3 2 $3,872.00 $3,872.00 $2,323.20 $3,678.40 $3,291.20 2026-05-07
24341 CPT Ed 24341 Rpr Ten Mus Arm Elbow 3 2 $8,943.00 $8,943.00 $5,365.80 $8,495.85 $7,601.55 2026-05-07
24342 CPT Surg 24342 Reinsert Ruptured Biceps Triceps Tendon Distal Wwo Tendon Graft 3 2 $4,508.00 $4,508.00 $2,704.80 $4,282.60 $3,831.80 2026-05-07
24620 CPT Ed 24620 Clsd Tx Elbow Fx 3 2 $3,620.00 $3,620.00 $2,172.00 $3,439.00 $3,077.00 2026-05-07
24685 CPT Surg 24685 Open Tx Ulnar Fx Proximal End(olecranon Process) Wwo Int Ext F 3 2 $2,359.00 $2,359.00 $1,415.40 $2,241.05 $2,005.15 2026-05-07
25215 CPT Carpectomy All Bones Proximal Row 3 2 $3,365.00 $3,365.00 $2,019.00 $3,196.75 $2,860.25 2026-05-07
25260 CPT Ed 25260 Rpr Tend Forearm Wrist Prim 3 2 $6,112.00 $6,112.00 $3,667.20 $5,806.40 $5,195.20 2026-05-07
25405 CPT Surg 25405 Rpr Nonunion Malunion Radius Ulna Wautograft (inc Obtain Graft 3 2 $13,607.00 $13,607.00 $8,164.20 $12,926.65 $11,565.95 2026-05-07
25690 CPT Ed 25690 Clsd Tx Lnte Dislc Wmanip 3 2 $3,620.00 $3,620.00 $2,172.00 $3,439.00 $3,077.00 2026-05-07
26011 CPT Ed 26011 Drn Finger Abscess Compl 3 2 $2,475.00 $2,475.00 $1,485.00 $2,351.25 $2,103.75 2026-05-07
26350 CPT Surg 26350 Repair Finger/hand Tendon 3 2 $4,627.00 $4,627.00 $2,776.20 $4,395.65 $3,932.95 2026-05-07
26410 CPT Ed 26410 Rpr Hand Tendor 3 2 $3,243.00 $3,243.00 $1,945.80 $3,080.85 $2,756.55 2026-05-07
26418 CPT Ed 26418 Rpr Ext Tendon Finger Each 3 2 $3,243.00 $3,243.00 $1,945.80 $3,080.85 $2,756.55 2026-05-07
26432 CPT Ed 26432 Rpr Tendon Distal Extn Clsd 3 2 $3,243.00 $3,243.00 $1,945.80 $3,080.85 $2,756.55 2026-05-07
26775 CPT Ed 26775 Clsd Tx Disloc Ip Jnt W Manip W Anes 3 2 $2,920.00 $2,920.00 $1,752.00 $2,774.00 $2,482.00 2026-05-07
26785 CPT Surg 26785 Open Tx Interphalangeal Joint Dislocation 3 2 $7,986.00 $7,986.00 $4,791.60 $7,586.70 $6,788.10 2026-05-07
26951 CPT Ed 26951 Amp Fingr Thmb Wneurectmy 3 2 $2,547.00 $2,547.00 $1,528.20 $2,419.65 $2,164.95 2026-05-07
27130 CPT Arthroplasty Acetabular Proximal Femoral Prosthetic Replace Wwo Autog 6 2 $13,561.50 $13,561.50 $5,667.60 $16,793.15 $9,789.95 2026-05-07
27240 CPT Closed Tx Inter Per Subtrochanteric Femoral Fx Wmanip Wwo Skeletal T 3 2 $3,870.00 $3,870.00 $2,322.00 $3,676.50 $3,289.50 2026-05-07
27337 CPT Surg 27337 Excison Tumor Soft Tissue Thigh/knee Subq =>3cm 3 2 $5,009.00 $5,009.00 $3,005.40 $4,758.55 $4,257.65 2026-05-07
27372 CPT Ed 27372 Remove Fb Thigh Knee Deep 3 2 $4,389.00 $4,389.00 $2,633.40 $4,169.55 $3,730.65 2026-05-07
27385 CPT Suture Quadriceps Hamstring Muscle Rupture Prime 3 2 $3,069.00 $3,069.00 $1,841.40 $2,915.55 $2,608.65 2026-05-07
27418 CPT Anterior Tibial Tubercleplasty 3 2 $7,161.00 $7,161.00 $4,296.60 $6,802.95 $6,086.85 2026-05-07
27420 CPT Reconstruct Dislocating Patella 3 2 $7,161.00 $7,161.00 $4,296.60 $6,802.95 $6,086.85 2026-05-07
27428 CPT Surg 27428 Ligous Reconstruct (augment) Knee Intra-articular (open) 3 2 $10,948.00 $10,948.00 $6,568.80 $10,400.60 $9,305.80 2026-05-07
27446 CPT Arthrp Knee Condyle&plateau Medial/lat Cmprt 3 2 $15,721.00 $15,721.00 $9,432.60 $14,934.95 $13,362.85 2026-05-07
27447 CPT Arthroplasty Knee Condyle & Plateau Medial & Lat Compartments Wwo Pat 3 2 $8,509.00 $8,509.00 $5,105.40 $8,083.55 $7,232.65 2026-05-07
27552 CPT Ed 27552 Clsd Tx Knee Disloc W Anes 3 2 $2,906.00 $2,906.00 $1,743.60 $2,760.70 $2,470.10 2026-05-07
27562 CPT Closed Treat Patellar Dislocation Requiring Anes 3 2 $2,906.00 $2,906.00 $1,743.60 $2,760.70 $2,470.10 2026-05-07
27618 CPT Surg 27618 Exc Tumor Soft Tissue Leg Ankle Subq <3cm 3 2 $3,956.00 $3,956.00 $2,373.60 $3,758.20 $3,362.60 2026-05-07
27640 CPT Surg 27640 Partial Exc Bone Tibia 3 2 $5,250.00 $5,250.00 $3,150.00 $4,987.50 $4,462.50 2026-05-07
27752 CPT Closed Treat Tibial Shaft Fx Wmanip Wwo Skeletal Traction 6 2 $3,542.25 $3,542.25 $2,078.70 $3,439.00 $3,010.91 2026-05-07
27762 CPT Ed 27762 Clsd Tx Ankle Fx Wmanip 3 2 $3,620.00 $3,620.00 $2,172.00 $3,439.00 $3,077.00 2026-05-07
27792 CPT Surg 27792 Open Tx Distal Fibular Fracture Lat Malleolus 3 2 $9,337.00 $9,337.00 $5,602.20 $8,870.15 $7,936.45 2026-05-07
27822 CPT Open Tx Trimalleolar Ankle Fx Medial Lat Malleolus Wo Fixn Postr Lip 3 2 $4,163.00 $4,163.00 $2,497.80 $3,954.85 $3,538.55 2026-05-07
27825 CPT Closed Tx Fx Wt Bearing Articular Portion Distal Tibia Wskeletal Trac 3 2 $2,190.00 $2,190.00 $1,314.00 $2,080.50 $1,861.50 2026-05-07
27829 CPT Open Treat Distal Tibiofibular Joint Disruption Wwo Int Ext Fix 3 2 $3,150.00 $3,150.00 $1,890.00 $2,992.50 $2,677.50 2026-05-07
27842 CPT Ed 27842 Cld Tx Ankle Disloc W Anes 3 2 $2,920.00 $2,920.00 $1,752.00 $2,774.00 $2,482.00 2026-05-07
28002 CPT Surg 28002 I&d Subfasc Wwo Tendon Sheath Foot Single Bursa Space 3 2 $2,400.00 $2,400.00 $1,440.00 $2,280.00 $2,040.00 2026-05-07
28003 CPT Surg 28003 I&d Subfasc Wwo Tendon Sheath Foot Mult Bursa Space 3 2 $4,900.00 $4,900.00 $2,940.00 $4,655.00 $4,165.00 2026-05-07
28090 CPT Surg 28090 Exc Lesn Tendon Sheath Capsule Foot 3 2 $3,750.00 $3,750.00 $2,250.00 $3,562.50 $3,187.50 2026-05-07
28192 CPT Ed 28192 Remove Fb Foot Deep 3 2 $3,207.00 $3,207.00 $1,924.20 $3,046.65 $2,725.95 2026-05-07
28208 CPT Ed 28208 Rpr Tendon Extns Foot 3 2 $4,158.00 $4,158.00 $2,494.80 $3,950.10 $3,534.30 2026-05-07
28405 CPT Ed 28405 Clsd Tx Calcaneal Fx W/manipulation 3 2 $3,620.00 $3,620.00 $2,172.00 $3,439.00 $3,077.00 2026-05-07
29822 CPT Arthroscopy Shldr Surgical Debridement Ltd 1 Or 2 Discrete Structures 3 2 $2,372.00 $2,372.00 $1,423.20 $2,253.40 $2,016.20 2026-05-07
29823 CPT Arthroscopy Shldr Surgical Debridement Extensive 3 Or More Discrete Structures 3 2 $3,407.00 $3,407.00 $2,044.20 $3,236.65 $2,895.95 2026-05-07
29824 CPT Arthroscopy Shldr Surgical Distal Claviculectomy Warticular Surface 3 2 $3,041.00 $3,041.00 $1,824.60 $2,888.95 $2,584.85 2026-05-07
29827 CPT Arthroscopy Shldr Surgical Wrotator Cuff Rpr 3 2 $3,284.00 $3,284.00 $1,970.40 $3,119.80 $2,791.40 2026-05-07
29828 CPT Arthroscopy Biceps Tenodesis 3 2 $2,798.00 $2,798.00 $1,678.80 $2,658.10 $2,378.30 2026-05-07
29870 CPT Arthroscopy Knee Dx Wwo Synovial Bx (sep Proc) 3 2 $4,946.00 $4,946.00 $2,967.60 $4,698.70 $4,204.10 2026-05-07
29882 CPT Arthroscopy Knee Surgical Wmeniscus Rpr Medial Lat 3 2 $3,667.00 $3,667.00 $2,200.20 $3,483.65 $3,116.95 2026-05-07
29888 CPT Arthroscopically Aided Anterior Cruciate Lig Rpr Augmentatn Reconstrct 3 2 $6,325.00 $6,325.00 $3,795.00 $6,008.75 $5,376.25 2026-05-07
29891 CPT Arthroscpy Ankle Surgical Exc Osteochondral Defect Talus Tibia Wdrill 3 2 $2,481.00 $2,481.00 $1,488.60 $2,356.95 $2,108.85 2026-05-07
29898 CPT Surg 29898 Arthroscopy Ankle Surgical Debridement Extensive 3 2 $5,703.00 $5,703.00 $3,421.80 $5,417.85 $4,847.55 2026-05-07
30115 CPT Surg 30115 Excision Nasal Polyp Extensive 3 2 $4,865.00 $4,865.00 $2,919.00 $4,621.75 $4,135.25 2026-05-07
31254 CPT Surg 31254 Nasal/sinus Ndsc W/partial Ethmoidectomy 3 2 $10,375.00 $10,375.00 $6,225.00 $9,856.25 $8,818.75 2026-05-07
31576 CPT Ed 31576 Laryngoscopy W/biopsy 3 2 $4,017.00 $4,017.00 $2,410.20 $3,816.15 $3,414.45 2026-05-07
31578 CPT Ed 31578 Laryngoscopy W Lesion Removal 3 2 $5,735.00 $5,735.00 $3,441.00 $5,448.25 $4,874.75 2026-05-07
33210 CPT Ed 33210 Insert/replace Lead Temporary Single Chamber 3 2 $9,355.00 $9,355.00 $5,613.00 $8,887.25 $7,951.75 2026-05-07
35207 CPT Ed 35207 Rpr Vessel Hand Finger 3 2 $7,723.00 $7,723.00 $4,633.80 $7,336.85 $6,564.55 2026-05-07
36473 CPT Surg 36473 Endovenous Abl Mechanochemical 1st Vein 3 2 $10,184.00 $10,184.00 $6,110.40 $9,674.80 $8,656.40 2026-05-07
36482 CPT Surg 36482 Endoven Ablti Ther Chem Adhesive 1st Vein 3 2 $7,925.00 $7,925.00 $4,755.00 $7,528.75 $6,736.25 2026-05-07
36556 CPT Surg 36556 Ins Nt Cent Cva >5 3 2 $2,752.00 $2,752.00 $1,651.20 $2,614.40 $2,339.20 2026-05-07
36569 CPT Surg 36569 Insertion Picc Without Img Gdn 5 Yr/> 3 2 $2,368.00 $2,368.00 $1,420.80 $2,249.60 $2,012.80 2026-05-07
36571 CPT Surg 36571 Insert Pva Wport >5 3 2 $3,500.00 $3,500.00 $2,100.00 $3,325.00 $2,975.00 2026-05-07
37700 CPT Surg 37700 Lig&div Long Saph Vein Saphfem Junct/interruption 3 2 $4,750.00 $4,750.00 $2,850.00 $4,512.50 $4,037.50 2026-05-07
40819 CPT Exc Frenum Labial Buccal (frenumectomy Frenulectomy Frenectomy) 3 2 $4,007.00 $4,007.00 $2,404.20 $3,806.65 $3,405.95 2026-05-07
42962 CPT Ctrl Oropharyngeal Hemorrhage W/sec Surg Ivntj 3 2 $4,392.00 $4,392.00 $2,635.20 $4,172.40 $3,733.20 2026-05-07
43235 CPT Egd Diag 3 2 $2,465.00 $2,465.00 $1,479.00 $2,341.75 $2,095.25 2026-05-07
43246 CPT Egd Place Perc Gast Tube 4 2 $3,005.00 $3,005.00 $1,803.00 $2,854.75 $2,554.25 2026-05-07
43247 CPT Egd Wrem Fb 3 2 $3,007.00 $3,007.00 $1,804.20 $2,856.65 $2,555.95 2026-05-07
43249 CPT Egd Wballoon Dil 4 2 $2,879.00 $2,879.00 $1,727.40 $2,735.05 $2,447.15 2026-05-07
43255 CPT Egd Wcontr Bleed 3 2 $2,967.00 $2,967.00 $1,780.20 $2,818.65 $2,521.95 2026-05-07
44120 CPT Surg 44120 Enterectomy Resect Small Intestine Sngl Resect & Anastomosis 3 2 $7,500.00 $7,500.00 $4,500.00 $7,125.00 $6,375.00 2026-05-07
44899 CPT Surg 44899 Laparoscopic Meckels Diverticulectomy 3 2 $3,029.00 $3,029.00 $1,817.40 $2,877.55 $2,574.65 2026-05-07
45171 CPT Exc Rect Tum Transanal 3 2 $7,153.00 $7,153.00 $4,291.80 $6,795.35 $6,080.05 2026-05-07
45309 CPT Surg 45309 Proctosigmoidoscopy Rigid Wremvl Sngl Lesn Snare 3 2 $2,500.00 $2,500.00 $1,500.00 $2,375.00 $2,125.00 2026-05-07
45331 CPT Flex Sig Wbx 3 2 $3,364.00 $3,364.00 $2,018.40 $3,195.80 $2,859.40 2026-05-07
45338 CPT Flex Sig Rem Tum Wsnare 3 2 $2,414.00 $2,414.00 $1,448.40 $2,293.30 $2,051.90 2026-05-07
45346 CPT Sigmoidoscopy Wablation Tumor Polyp Les 3 2 $2,805.00 $2,805.00 $1,683.00 $2,664.75 $2,384.25 2026-05-07
45384 CPT Colon Wrem Tumor 4 2 $2,715.00 $2,715.00 $1,629.00 $2,579.25 $2,307.75 2026-05-07
45385 CPT Colon Wrem Tumor Snare 4 2 $2,873.00 $2,873.00 $1,723.80 $2,729.35 $2,442.05 2026-05-07
45393 CPT Colonoscopy Flex W Decomp Incl Decomp TB 3 2 $2,713.00 $2,713.00 $1,627.80 $2,577.35 $2,306.05 2026-05-07
45905 CPT Anal Sphincter Dilation 3 2 $3,473.00 $3,473.00 $2,083.80 $3,299.35 $2,952.05 2026-05-07
46040 CPT Ed 46040 I&d Perirectal Abscess 3 2 $4,849.00 $4,849.00 $2,909.40 $4,606.55 $4,121.65 2026-05-07
49000 CPT Surg 49000 Exploratory Laparotomy Celiotomy W/wo Biopsy Separate Proc 3 2 $11,665.00 $11,665.00 $6,999.00 $11,081.75 $9,915.25 2026-05-07
49020 CPT Drainage Peritoneal Abscess Local Peritonitis Excl Appendiceal Ab 3 2 $4,222.00 $4,222.00 $2,533.20 $4,010.90 $3,588.70 2026-05-07
49418 CPT Surg 49418 Plcmnt Peritoneal Cath Tun W/img Guid 3 2 $6,500.00 $6,500.00 $3,900.00 $6,175.00 $5,525.00 2026-05-07
49592 CPT Surg 49592 Rpr Aa Hernia 1st < 3 Cm Incarc/strangulated 3 2 $14,000.00 $14,000.00 $8,400.00 $13,300.00 $11,900.00 2026-05-07
51040 CPT Tx Rm 51040 Cystostomy Cystotomy W/drainage 3 2 $4,769.00 $4,769.00 $2,861.40 $4,530.55 $4,053.65 2026-05-07
51102 CPT Surg 51102 Asp Bladder W Insert Supr Cath 3 2 $6,432.00 $6,432.00 $3,859.20 $6,110.40 $5,467.20 2026-05-07
52000 CPT Surg 52000 Cystourethroscopy 4 2 $4,860.00 $4,860.00 $2,916.00 $4,617.00 $4,131.00 2026-05-07
52005 CPT Surg 52005 Surg Cystourethroscopy W/ureteral Cath 3 2 $5,709.00 $5,709.00 $3,425.40 $5,423.55 $4,852.65 2026-05-07
52281 CPT Ed 52281 Cyste Wclib Dil Urth Sten 3 2 $3,299.00 $3,299.00 $1,979.40 $3,134.05 $2,804.15 2026-05-07
52332 CPT Surg 52332 Cystoscopy W Insert Ureteral Stent 3 2 $7,898.00 $7,898.00 $4,738.80 $7,503.10 $6,713.30 2026-05-07
52356 CPT Surg 52356 Cysto/uretero W Lithotripsy W Stent Insertion 3 2 $7,750.00 $7,750.00 $4,650.00 $7,362.50 $6,587.50 2026-05-07
52441 CPT Surg 52441 Cystourethroscopy W Impl Perm 3 2 $7,750.00 $7,750.00 $4,650.00 $7,362.50 $6,587.50 2026-05-07
52442 CPT Surg 52442 Cystourethroscopy Winsert Trans Wimpl Perm Ea Addl 3 2 $3,875.00 $3,875.00 $2,325.00 $3,681.25 $3,293.75 2026-05-07
53620 CPT Ed 53620 Dltion Urthra Str Wfilfrm 3 2 $3,851.00 $3,851.00 $2,310.60 $3,658.45 $3,273.35 2026-05-07
55706 CPT Surg 55706 Bx Ndle Prostate Transperineal W Imaging Guide 3 2 $5,500.00 $5,500.00 $3,300.00 $5,225.00 $4,675.00 2026-05-07
56440 CPT Ed 56440 Marsup Cyst Barth's Gland 3 2 $3,889.00 $3,889.00 $2,333.40 $3,694.55 $3,305.65 2026-05-07
57200 CPT Ed 57200 Colpoaphy Injury Of Vagina 3 2 $3,889.00 $3,889.00 $2,333.40 $3,694.55 $3,305.65 2026-05-07
57415 CPT Surg 57415 Remvl Impacted Vag Fb Spx W/anes Oth/thn Local 3 2 $2,900.00 $2,900.00 $1,740.00 $2,755.00 $2,465.00 2026-05-07
58120 CPT Ed 58120 D&c Diagnostic/therapeutic Non-OB 3 2 $3,889.00 $3,889.00 $2,333.40 $3,694.55 $3,305.65 2026-05-07
58662 CPT Laparoscpy Surgical Wfulguration Exc Lesns Of Ovary Pelvic Viscera Pe 4 2 $2,890.00 $2,890.00 $1,734.00 $2,745.50 $2,456.50 2026-05-07
59150 CPT Surg 59150 Laps Tx Ectopic Preg Without Salping&/oophorectomy 3 2 $8,700.00 $8,700.00 $5,220.00 $8,265.00 $7,395.00 2026-05-07
59400 CPT Routine Obstetric Care Antepartum Care Vaginal Delivery & Postpartum 3 2 $5,606.00 $5,606.00 $3,363.60 $5,325.70 $4,765.10 2026-05-07
59409 CPT Vaginal Delivery Only(wwo Episiotomy & Or Forceps) 4 2 $3,551.00 $3,551.00 $2,130.60 $3,373.45 $3,018.35 2026-05-07
59410 CPT Vaginal Delivery Only(wwo Episiotomy & Or Forceps) Wpostpartum Care 3 2 $4,026.00 $4,026.00 $2,415.60 $3,824.70 $3,422.10 2026-05-07
59426 CPT Antepartum Care Only 7+ Visits 3 2 $2,319.00 $2,319.00 $1,391.40 $2,203.05 $1,971.15 2026-05-07
59510 CPT Routine Obstetric Care Wantepartum Care Cesarean Delivery & Postpartu 3 2 $6,793.00 $6,793.00 $4,075.80 $6,453.35 $5,774.05 2026-05-07
59514 CPT Cesarean Delivery Only 3 2 $4,239.00 $4,239.00 $2,543.40 $4,027.05 $3,603.15 2026-05-07
59515 CPT Cesarean Delivery Only Wpostpartum Care 3 2 $6,346.00 $6,346.00 $3,807.60 $6,028.70 $5,394.10 2026-05-07
59610 CPT Routine Obstetric Care Vaginal Delivery Wantepartum Postpartum Care P 3 2 $5,745.00 $5,745.00 $3,447.00 $5,457.75 $4,883.25 2026-05-07
59612 CPT Vaginal Delivery Only Previous Cesarean Delivery 3 2 $3,804.00 $3,804.00 $2,282.40 $3,613.80 $3,233.40 2026-05-07
59622 CPT Cesarean Delivery After Failed Vaginal Delivery Previous Cesarean Deli 3 2 $4,378.00 $4,378.00 $2,626.80 $4,159.10 $3,721.30 2026-05-07
59812 CPT Ed 59812 Tx Incomplete Abortion 3 2 $3,889.00 $3,889.00 $2,333.40 $3,694.55 $3,305.65 2026-05-07
64590 CPT Surg 64590 Ins Repl Periph Sacr Gastric Neurostim Pulse Gen Receiver 3 2 $22,000.00 $22,000.00 $13,200.00 $20,900.00 $18,700.00 2026-05-07
65270 CPT Ed 65270 Rpr Eye Wound 3 2 $3,708.00 $3,708.00 $2,224.80 $3,522.60 $3,151.80 2026-05-07
69005 CPT Ed 69005 I&d Ext Ear Abscess Comp 3 2 $3,872.00 $3,872.00 $2,323.20 $3,678.40 $3,291.20 2026-05-07
69205 CPT Tx Rm 69205 Remove Tube Ventilating With Anes 3 2 $2,981.00 $2,981.00 $1,788.60 $2,831.95 $2,533.85 2026-05-07
70336 CPT MRI Temporomandibular Joint 3 2 $2,708.00 $2,708.00 $1,624.80 $2,572.60 $2,301.80 2026-05-07
70450 CPT CT Head Wo Contrast 4 2 $2,353.00 $2,353.00 $1,411.80 $2,235.35 $2,000.05 2026-05-07
70460 CPT CT Head W Contrast 3 2 $2,822.00 $2,822.00 $1,693.20 $2,680.90 $2,398.70 2026-05-07
70470 CPT CT Head Wo Then W Contrast 3 2 $3,070.00 $3,070.00 $1,842.00 $2,916.50 $2,609.50 2026-05-07
70480 CPT CT Orbit Sella Fossa Ear Wo Contrast 3 2 $2,479.00 $2,479.00 $1,487.40 $2,355.05 $2,107.15 2026-05-07
70481 CPT CT Orbit Sella Fossa Ear W Contrast 3 2 $2,293.00 $2,293.00 $1,375.80 $2,178.35 $1,949.05 2026-05-07
70482 CPT CT Orbit Sella Fossa Ear Wo Then W Contrast 3 2 $2,539.00 $2,539.00 $1,523.40 $2,412.05 $2,158.15 2026-05-07
70488 CPT CT Maxillofacial Wo W Cont 3 2 $2,459.00 $2,459.00 $1,475.40 $2,336.05 $2,090.15 2026-05-07
70490 CPT CT Soft Tissue Neck Wo Con 3 2 $3,332.00 $3,332.00 $1,999.20 $3,165.40 $2,832.20 2026-05-07
70491 CPT CT Soft Tissue Neck W Contrast 4 2 $2,924.00 $2,924.00 $1,754.40 $2,777.80 $2,485.40 2026-05-07
70492 CPT CT Sft Tisue Neck Wwo Then W 3 2 $2,680.00 $2,680.00 $1,608.00 $2,546.00 $2,278.00 2026-05-07
70496 CPT CTA Head W Cont Wo If Perf 4 2 $3,441.00 $3,441.00 $2,064.60 $3,268.95 $2,924.85 2026-05-07
70498 CPT CT Angio Neck W Con+wo If Perf 4 2 $3,146.00 $3,146.00 $1,887.60 $2,988.70 $2,674.10 2026-05-07
70540 CPT MRI Face Neck Orb Wo Contrast 3 2 $3,611.00 $3,611.00 $2,166.60 $3,430.45 $3,069.35 2026-05-07
70543 CPT MRI Face Neck Orb Wo Then W Cont 3 2 $4,608.00 $4,608.00 $2,764.80 $4,377.60 $3,916.80 2026-05-07
70544 CPT MRA Head Wo Contrast 3 2 $2,938.00 $2,938.00 $1,762.80 $2,791.10 $2,497.30 2026-05-07
70545 CPT MRA Head W Contrast 3 2 $3,703.00 $3,703.00 $2,221.80 $3,517.85 $3,147.55 2026-05-07
70546 CPT MRA Head Wo Then W Cont 3 2 $3,893.00 $3,893.00 $2,335.80 $3,698.35 $3,309.05 2026-05-07
70547 CPT MRA Neck Wo Contrast 3 2 $2,938.00 $2,938.00 $1,762.80 $2,791.10 $2,497.30 2026-05-07
70548 CPT MRA Neck W Contrast 3 2 $4,115.00 $4,115.00 $2,469.00 $3,909.25 $3,497.75 2026-05-07
70549 CPT MRA Neck Wo Then W Cont 3 2 $4,371.00 $4,371.00 $2,622.60 $4,152.45 $3,715.35 2026-05-07
70551 CPT MRI Brain Wo Contrast 4 2 $3,944.00 $3,944.00 $2,366.40 $3,746.80 $3,352.40 2026-05-07
70552 CPT MRI Brain W Contrast 3 2 $3,429.00 $3,429.00 $2,057.40 $3,257.55 $2,914.65 2026-05-07
70553 CPT MRI Brain Wo Then W Cont 4 2 $4,725.00 $4,725.00 $2,835.00 $4,488.75 $4,016.25 2026-05-07
71250 CPT CT Thorax Diagnostic Wo Contrast 4 2 $3,079.00 $3,079.00 $1,847.40 $2,925.05 $2,617.15 2026-05-07
71260 CPT CT Thorax Diagnostic With Contrast 4 2 $2,757.00 $2,757.00 $1,654.20 $2,619.15 $2,343.45 2026-05-07
71270 CPT CT Thorax Diagnostic Wo Then W Contrast 3 2 $3,413.00 $3,413.00 $2,047.80 $3,242.35 $2,901.05 2026-05-07
71275 CPT CTA Chest Wcont +wo If Perf 4 2 $3,628.00 $3,628.00 $2,176.80 $3,446.60 $3,083.80 2026-05-07
71550 CPT MRI Chest Wo Contrast 3 2 $3,476.00 $3,476.00 $2,085.60 $3,302.20 $2,954.60 2026-05-07
72125 CPT CT Cervical Spine Wo Contrast 4 2 $2,911.00 $2,911.00 $1,746.60 $2,765.45 $2,474.35 2026-05-07
72126 CPT CT Cervical Spine W Contrast 3 2 $2,725.00 $2,725.00 $1,635.00 $2,588.75 $2,316.25 2026-05-07
72127 CPT CT Cerv Spine Wo Then W Cont 3 2 $3,026.00 $3,026.00 $1,815.60 $2,874.70 $2,572.10 2026-05-07
72128 CPT CT Thoracic Spine Wo Cont 4 2 $3,135.00 $3,135.00 $1,881.00 $2,978.25 $2,664.75 2026-05-07
72129 CPT CT Thoracic Spine W Contrast 3 2 $2,775.00 $2,775.00 $1,665.00 $2,636.25 $2,358.75 2026-05-07
72130 CPT CT Thor Spine Wo Then W Cont 3 2 $2,969.00 $2,969.00 $1,781.40 $2,820.55 $2,523.65 2026-05-07
72131 CPT CT Lumbar Spine Wo Cont 4 2 $3,204.00 $3,204.00 $1,922.40 $3,043.80 $2,723.40 2026-05-07
72132 CPT CT Lumbar Spine W Cont 3 2 $2,468.00 $2,468.00 $1,480.80 $2,344.60 $2,097.80 2026-05-07
72133 CPT CT Lumbar Spine Wo Then Wcon 3 2 $3,017.00 $3,017.00 $1,810.20 $2,866.15 $2,564.45 2026-05-07
72141 CPT MRI C Spine Wo Contrast 4 2 $4,205.00 $4,205.00 $2,523.00 $3,994.75 $3,574.25 2026-05-07
72142 CPT MRI C Spine W Contrast 3 2 $3,384.00 $3,384.00 $2,030.40 $3,214.80 $2,876.40 2026-05-07
72146 CPT MRI T Spine Wo Contrast 4 2 $4,598.00 $4,598.00 $2,758.80 $4,368.10 $3,908.30 2026-05-07
72147 CPT MRI T Spine W Contrast 3 2 $4,616.00 $4,616.00 $2,769.60 $4,385.20 $3,923.60 2026-05-07
72148 CPT MRI L Spine Wo Contrast 4 2 $4,489.00 $4,489.00 $2,693.40 $4,264.55 $3,815.65 2026-05-07
72149 CPT MRI L Spine W Contrast 3 2 $4,509.00 $4,509.00 $2,705.40 $4,283.55 $3,832.65 2026-05-07
72156 CPT MRI C Spine Wo Then W Cont 4 2 $4,616.00 $4,616.00 $2,769.60 $4,385.20 $3,923.60 2026-05-07
72157 CPT MRI T Spine Wo Then W Cont 4 2 $4,894.00 $4,894.00 $2,936.40 $4,649.30 $4,159.90 2026-05-07
72158 CPT MRI L Spine Wo Then W Cont 4 2 $4,844.00 $4,844.00 $2,906.40 $4,601.80 $4,117.40 2026-05-07
72191 CPT CTA Pelvis Wcont +wo If Perf 3 2 $3,087.00 $3,087.00 $1,852.20 $2,932.65 $2,623.95 2026-05-07
72192 CPT CT Pelvis Wo Contrast 3 2 $2,224.00 $2,224.00 $1,334.40 $2,112.80 $1,890.40 2026-05-07
72193 CPT CT Pelvis W Contrast 3 2 $2,409.00 $2,409.00 $1,445.40 $2,288.55 $2,047.65 2026-05-07
72194 CPT CT Pelvis Wo Then W Cont 3 2 $2,730.00 $2,730.00 $1,638.00 $2,593.50 $2,320.50 2026-05-07
72195 CPT MRI Pelvis Wo Contrast 3 2 $3,994.00 $3,994.00 $2,396.40 $3,794.30 $3,394.90 2026-05-07
72196 CPT MRI Pelvis W Contrast 3 2 $3,165.00 $3,165.00 $1,899.00 $3,006.75 $2,690.25 2026-05-07
72197 CPT MRI Pelvis Wo Then W Cont 3 2 $4,311.00 $4,311.00 $2,586.60 $4,095.45 $3,664.35 2026-05-07
73200 CPT CT Ext Upper Wo Cont 3 2 $3,019.00 $3,019.00 $1,811.40 $2,868.05 $2,566.15 2026-05-07
73201 CPT CT Ext Upper W Cont 3 2 $2,904.00 $2,904.00 $1,742.40 $2,758.80 $2,468.40 2026-05-07
73202 CPT CT Ext Upper Wwo Contrast 3 2 $3,308.00 $3,308.00 $1,984.80 $3,142.60 $2,811.80 2026-05-07
73218 CPT MRI Up Ext Wo Cont 4 2 $3,501.00 $3,501.00 $2,100.60 $3,325.95 $2,975.85 2026-05-07
73220 CPT MRI Upper Ext Wo Then W Cont 3 2 $3,607.00 $3,607.00 $2,164.20 $3,426.65 $3,065.95 2026-05-07
73221 CPT MRI Upper Ext Jt Wo Contrast 4 2 $3,184.00 $3,184.00 $1,910.40 $3,024.80 $2,706.40 2026-05-07
73223 CPT MRI Upper Ext Jt Wo Then W Cont 3 2 $4,557.00 $4,557.00 $2,734.20 $4,329.15 $3,873.45 2026-05-07
73700 CPT CT Ext Lower Wo Cont 3 2 $2,905.00 $2,905.00 $1,743.00 $2,759.75 $2,469.25 2026-05-07
73701 CPT CT Ext Lower W Cont 4 2 $3,261.00 $3,261.00 $1,956.60 $3,097.95 $2,771.85 2026-05-07
73702 CPT CT Ext Lower Wo Then W Cont 3 2 $2,469.00 $2,469.00 $1,481.40 $2,345.55 $2,098.65 2026-05-07
73706 CPT CTA Ext Lower W Cont +wo If Perf 3 2 $4,245.00 $4,245.00 $2,547.00 $4,032.75 $3,608.25 2026-05-07
73718 CPT MRI Lower Ext Wo Contrast 4 2 $3,234.00 $3,234.00 $1,940.40 $3,072.30 $2,748.90 2026-05-07
73720 CPT MRI Lower Ext Wo Then W Cont 4 2 $4,200.00 $4,200.00 $2,520.00 $3,990.00 $3,570.00 2026-05-07
73721 CPT MRI Lower Ext Jt Wo Contrast 4 2 $3,147.00 $3,147.00 $1,888.20 $2,989.65 $2,674.95 2026-05-07
73723 CPT MRI Lower Ext Jt Wo Then W Cont 4 2 $4,750.00 $4,750.00 $2,850.00 $4,512.50 $4,037.50 2026-05-07
73725 CPT MRA Lower Ext W Contrast 3 2 $2,601.00 $2,601.00 $1,560.60 $2,470.95 $2,210.85 2026-05-07
74150 CPT CT Abdomen Wo Contrast 3 2 $2,893.00 $2,893.00 $1,735.80 $2,748.35 $2,459.05 2026-05-07
74160 CPT CT Abdomen W Contrast 3 2 $3,367.00 $3,367.00 $2,020.20 $3,198.65 $2,861.95 2026-05-07
74170 CPT CT Abdomen Wo Then W Cont 3 2 $3,619.00 $3,619.00 $2,171.40 $3,438.05 $3,076.15 2026-05-07
74174 CPT CTA Abd Pelvis W Contrast+wo If Perform 3 2 $5,521.00 $5,521.00 $3,312.60 $5,244.95 $4,692.85 2026-05-07
74175 CPT CTA Abd Wcont +wo If Perf 3 2 $3,146.00 $3,146.00 $1,887.60 $2,988.70 $2,674.10 2026-05-07
74176 CPT CT Abd Pelvis Wo Contrast 4 2 $4,197.00 $4,197.00 $2,518.20 $3,987.15 $3,567.45 2026-05-07
74177 CPT CT Abd Pelvis W Contrast 4 2 $4,664.00 $4,664.00 $2,798.40 $4,430.80 $3,964.40 2026-05-07
74178 CPT CT Abd Pelvis Wo Then W Cont 4 2 $5,094.00 $5,094.00 $3,056.40 $4,839.30 $4,329.90 2026-05-07
74181 CPT MRI Abdomen Wo Contrast 3 2 $4,289.00 $4,289.00 $2,573.40 $4,074.55 $3,645.65 2026-05-07
74183 CPT MRI Abdomen Wo Then W Cont 4 2 $4,610.00 $4,610.00 $2,766.00 $4,379.50 $3,918.50 2026-05-07
74185 CPT MRA Abdomen W Contrast 9 2 $3,293.00 $3,293.00 $1,606.80 $3,517.85 $2,544.10 2026-05-07
75635 CPT CTA Abd Ao & Ext W Contrast+wo If Perform 3 2 $3,561.00 $3,561.00 $2,136.60 $3,382.95 $3,026.85 2026-05-07
75710 CPT S&i Extremity Uni 3 2 $2,219.00 $2,219.00 $1,331.40 $2,108.05 $1,886.15 2026-05-07
78452 CPT Nm Myocardial Spect Mult Stdy 4 2 $5,669.00 $5,669.00 $3,401.40 $5,385.55 $4,818.65 2026-05-07
78582 CPT Nm Pulm Ventilation And Perfusion Img 3 2 $2,685.00 $2,685.00 $1,611.00 $2,550.75 $2,282.25 2026-05-07
78803 CPT Nm Rp Loc Tum Spect Sgl Area/acq Sgl Day 3 2 $2,528.00 $2,528.00 $1,516.80 $2,401.60 $2,148.80 2026-05-07
93303 CPT Echo Congenitl Comp 3 2 $2,987.00 $2,987.00 $1,792.20 $2,837.65 $2,538.95 2026-05-07
93306 CPT Echo (2d) Complete W Doppler & Color 4 2 $2,987.00 $2,987.00 $1,792.20 $2,837.65 $2,538.95 2026-05-07
93975 CPT Duplex Abd Pelvis Retroperitoneal Cmpl 4 2 $3,137.00 $3,137.00 $1,882.20 $2,980.15 $2,666.45 2026-05-07
95805 CPT Multiple Sleep Latency 95805 3 2 $3,422.00 $3,422.00 $2,053.20 $3,250.90 $2,908.70 2026-05-07
95810 CPT Psg 4+ Parameters 4 2 $5,124.00 $5,124.00 $3,074.40 $4,867.80 $4,355.40 2026-05-07
95811 CPT Sleep Study Splt Nght 95811 4 2 $5,594.00 $5,594.00 $3,356.40 $5,314.30 $4,754.90 2026-05-07
99468 CPT Init Inpt Neonate Cc <28 Days 3 2 $3,229.00 $3,229.00 $1,937.40 $3,067.55 $2,744.65 2026-05-07
C1767 HCPCS Stim Neuro Scrl Non-rechg F15 3 2 $15,100.00 $15,100.00 $9,060.00 $14,345.00 $12,835.00 2026-05-07
C1768 HCPCS Graft Goreringed 5mmx30cmx40cm 3 2 $2,867.50 $2,867.50 $1,720.50 $2,724.13 $2,437.38 2026-05-07
C1771 HCPCS Sling GYN Altis Sgl Incision 6 2 $3,216.05 $3,216.05 $1,783.74 $3,286.24 $2,675.61 2026-05-07
C1787 HCPCS Remote Ctrl Pt Axon 3 2 $2,728.00 $2,728.00 $1,636.80 $2,591.60 $2,318.80 2026-05-07
C1820 HCPCS Stim Snm R20 Rechg 3 2 $14,160.00 $14,160.00 $8,496.00 $13,452.00 $12,036.00 2026-05-07
C1886 HCPCS Cath Barrx 90 Rfa Focal Abl 6 2 $4,309.45 $4,309.45 $2,405.34 $4,379.50 $3,608.02 2026-05-07
C1888 HCPCS Cath Rfa Clsrfast 6fr 8x100cm 6 2 $3,054.35 $3,054.35 $1,602.11 $3,266.58 $2,403.17 2026-05-07
G0390 HCPCS Trauma Activation Full W Ccare 3 2 $2,300.00 $2,300.00 $1,380.00 $2,185.00 $1,955.00 2026-05-07
J0129 HCPCS Abatacept For IV Soln 250 Mg 3 2 $3,999.39 $3,999.39 $2,399.63 $3,799.42 $3,399.48 2026-05-07
J0248 HCPCS Remdesivir For IV Soln 100 Mg 3 2 $2,208.51 $2,208.51 $1,325.11 $2,098.08 $1,877.23 2026-05-07
J0517 HCPCS Benralizumab Subcutaneous Soln Prefilled Syringe 30 Mg/ml 3 2 $9,888.43 $9,888.43 $5,933.06 $9,394.01 $8,405.17 2026-05-07
J0585 HCPCS OnabotulinumtoxinA For Inj 100 Unit 3 2 $2,330.01 $2,330.01 $1,398.01 $2,213.51 $1,980.51 2026-05-07
J0717 HCPCS Certolizumab Pegol For Inj Kit 2 X 200 Mg 3 2 $6,632.89 $6,632.89 $3,979.73 $6,301.25 $5,637.96 2026-05-07
J0841 HCPCS Crotalidae Immune F(ab')2 (Equine) For IV Infusion 3 2 $3,559.29 $3,559.29 $2,135.57 $3,381.33 $3,025.40 2026-05-07
J0897 HCPCS Denosumab Inj Soln Prefilled Syringe 60 Mg/ml 12 2 $4,695.11 $4,695.11 $15.60 $4,841.73 $3,500.85 2026-05-07
J1162 HCPCS Digoxin Immune Fab For Inj 40 Mg 3 2 $8,332.71 $8,332.71 $4,999.63 $7,916.07 $7,082.80 2026-05-07
J1306 HCPCS Inclisiran Sodium Subcutaneous Soln Pref Syr 284 Mg/1.5ml 3 2 $7,017.91 $7,017.91 $4,210.75 $6,667.01 $5,965.22 2026-05-07
J1437 HCPCS Ferric Derisomaltose (One Dose) IV Sol 1000 Mg/10ml (Fe Eq) 3 2 $6,821.65 $6,821.65 $4,092.99 $6,480.57 $5,798.40 2026-05-07
J1439 HCPCS Ferric Carboxymaltose IV Soln 750 Mg/15ml (Fe Equivalent) 4 2 $2,242.56 $2,242.56 $1,345.54 $2,130.43 $1,906.18 2026-05-07
J1569 HCPCS Immune Globulin (Human) IV Or Subcutaneous Soln 30 Gm/300ml 18 2 $3,164.75 $3,164.75 $952.16 $4,995.20 $2,330.57 2026-05-07
J1602 HCPCS Golimumab IV Soln 50 Mg/4ml 3 2 $5,065.12 $5,065.12 $3,039.07 $4,811.86 $4,305.35 2026-05-07
J1745 HCPCS Infliximab For IV Inj 100 Mg 6 2 $2,629.22 $2,629.22 $1,059.43 $3,318.09 $1,886.53 2026-05-07
J1930 HCPCS Lanreotide Acetate Extended Release Inj 120 Mg/0.5ml 3 2 $16,485.70 $16,485.70 $9,891.42 $15,661.42 $14,012.85 2026-05-07
J1932 HCPCS Lanreotide Acetate Extended Release Inj 120 Mg/0.5ml 3 2 $10,630.30 $10,630.30 $6,378.18 $10,098.79 $9,035.76 2026-05-07
J1950 HCPCS Leuprolide Acetate (3 Month) For Inj Kit 11.25 Mg 9 2 $2,855.48 $2,855.48 $811.20 $8,242.69 $2,427.16 2026-05-07
J2315 HCPCS Naltrexone For IM Extended Release Susp 380 Mg 3 2 $4,437.03 $4,437.03 $2,662.22 $4,215.18 $3,771.48 2026-05-07
J2356 HCPCS Tezepelumab-ekko Subcutaneous Soln Pref Syr 210 Mg/1.91ml 3 2 $12,551.31 $12,551.31 $7,530.79 $11,923.74 $10,668.61 2026-05-07
J2506 HCPCS Pegfilgrastim Soln Prefill Syr/Infusion Dev 6 Mg/0.6ml 6 2 $8,085.95 $8,085.95 $4,093.66 $8,881.68 $6,140.49 2026-05-07
J2997 HCPCS Alteplase For Inj 100 Mg 6 2 $7,557.40 $7,557.40 $343.67 $13,814.93 $4,634.68 2026-05-07
J3101 HCPCS Tenecteplase For IV Soln Kit 50 Mg 9 2 $13,683.84 $13,683.84 $7,482.51 $13,002.01 $11,631.26 2026-05-07
J3111 HCPCS Romosozumab-aqqg Inj Soln Prefilled Syringe 105 Mg/1.17ml 12 2 $5,968.91 $5,968.91 $3,472.39 $5,774.34 $5,073.58 2026-05-07
J3262 HCPCS Tocilizumab IV Inj 400 Mg/20ml 3 2 $6,026.89 $6,026.89 $3,616.13 $5,725.55 $5,122.86 2026-05-07
J3357 HCPCS Ustekinumab Soln Prefilled Syringe 90 Mg/ml 3 2 $36,005.07 $36,005.07 $21,603.04 $34,204.82 $30,604.31 2026-05-07
J3380 HCPCS Vedolizumab For IV Solution 300 Mg 3 2 $17,230.00 $17,230.00 $10,338.00 $16,368.50 $14,645.50 2026-05-07
J7165 HCPCS Prothrombin Complex Concentrate Human-lans For Inj 500 Unit 3 2 $2,666.01 $2,666.01 $1,599.61 $2,532.71 $2,266.11 2026-05-07
J7168 HCPCS Prothrombin Complex Conc Human For Inj Kit 500 Unit 3 2 $2,855.01 $2,855.01 $1,713.01 $2,712.26 $2,426.76 2026-05-07
J7296 HCPCS Levonorgestrel-releasing Intrauterine Contraceptive System, 19.5 Mg 3 2 $2,487.00 $2,487.00 $1,492.20 $2,362.65 $2,113.95 2026-05-07
J7297 HCPCS Levonorgestrel-releasing Intrauterine Contraceptive System, 52 Mg 3 2 $2,743.00 $2,743.00 $1,645.80 $2,605.85 $2,331.55 2026-05-07
J7298 HCPCS Levonorgestrel-releasing Intrauterine Contraceptive System, 52 Mg 3 2 $2,520.00 $2,520.00 $1,512.00 $2,394.00 $2,142.00 2026-05-07
J9022 HCPCS Atezolizumab IV Soln 1200 Mg/20ml 3 2 $16,348.36 $16,348.36 $9,809.02 $15,530.94 $13,896.11 2026-05-07
J9035 HCPCS Bevacizumab IV Soln 100 Mg/4ml (For Infusion) 6 2 $3,238.21 $3,238.21 $980.77 $4,599.72 $2,228.99 2026-05-07
J9202 HCPCS Goserelin Acetate Implant 3.6 Mg 4 2 $3,362.74 $3,362.74 $2,017.64 $3,194.60 $2,858.33 2026-05-07
J9271 HCPCS Pembrolizumab IV Soln 100 Mg/4ml (25 Mg/ml) 6 2 $13,691.04 $13,691.04 $4,757.70 $18,479.95 $9,602.29 2026-05-07
J9299 HCPCS Nivolumab IV Soln 240 Mg/24ml 3 2 $9,849.97 $9,849.97 $5,909.98 $9,357.47 $8,372.47 2026-05-07
J9312 HCPCS Rituximab IV Soln 100 Mg/10ml 6 2 $4,380.31 $4,380.31 $1,218.91 $6,392.65 $2,983.70 2026-05-07
J9355 HCPCS Trastuzumab For IV Soln 150 Mg 3 2 $2,805.05 $2,805.05 $1,683.03 $2,664.80 $2,384.29 2026-05-07
Q5107 HCPCS Bevacizumab-awwb IV Soln 400 Mg/16ml (For Infusion) 3 2 $4,126.41 $4,126.41 $2,475.85 $3,920.09 $3,507.45 2026-05-07
Q5108 HCPCS Pegfilgrastim-jmdb Soln Prefilled Syringe 6 Mg/0.6ml 3 2 $3,675.42 $3,675.42 $2,205.25 $3,491.65 $3,124.11 2026-05-07
Q5111 HCPCS Pegfilgrastim-cbqv Soln Prefilled Syringe 6 Mg/0.6ml 9 2 $5,752.14 $5,752.14 $2,844.91 $6,502.11 $4,504.43 2026-05-07
Q5112 HCPCS Trastuzumab-dttb For IV Soln 150 Mg 6 2 $3,774.41 $3,774.41 $1,485.17 $4,819.84 $2,697.82 2026-05-07
Q5120 HCPCS Pegfilgrastim-bmez Soln Prefilled Syringe 6 Mg/0.6ml 3 2 $5,013.31 $5,013.31 $3,007.99 $4,762.64 $4,261.31 2026-05-07
Q5122 HCPCS Pegfilgrastim-apgf Soln Prefilled Syringe 6 Mg/0.6ml 3 2 $5,102.49 $5,102.49 $3,061.49 $4,847.37 $4,337.12 2026-05-07
Q5126 HCPCS Bevacizumab-maly IV Soln 100 Mg/4ml (For Infusion) 6 2 $2,641.04 $2,641.04 $933.82 $3,539.42 $1,856.99 2026-05-07
Q5127 HCPCS Pegfilgrastim-fpgk Soln Prefilled Syringe 6 Mg/0.6ml 3 2 $8,289.16 $8,289.16 $4,973.50 $7,874.70 $7,045.79 2026-05-07
Q5130 HCPCS Pegfilgrastim-pbbk Soln Prefilled Syringe 6 Mg/0.6ml 3 2 $3,834.69 $3,834.69 $2,300.81 $3,642.96 $3,259.49 2026-05-07
Q5157 HCPCS Denosumab-bmwo Inj Soln Prefilled Syringe 60 Mg/ml 3 2 $3,768.63 $3,768.63 $2,261.18 $3,580.20 $3,203.34 2026-05-07
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