Price Transparencybeta Hospital negotiated rates

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

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Hospital

AVERA HAND COUNTY MEMORIAL HOSPITAL AND CLINIC

Miller, SD · CCN 431337 · Rates published

760 distinct procedures filed
5 distinct payers
10,141 rate rows
2026-05-09 last MRF observed
Data quality

10,121 of 10,141 rate rows are consumer-grade (99.8%)

20 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
exceeds 10× this hospital's gross charge — excluded from medians 10
percent-of-charges filed in the dollar field — excluded from medians 8
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/468ebeb8-79b8-437d-979c-c6c2c81783e2/460224743_avera-hand-county-hospital_standardcharges.csv
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-05-17
Content fingerprint 27a6125580be3b3b… · 2,593,257 bytes · first seen 2026-05-09

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
J2350
CPT 		Ocrelizumab 300 Mg/10 Ml 5 $6.09 $84,350.22 $71,120.56 nat. median
$683
outlier · 104.1×
J3380
CPT 		Vedolizumab 300 Mg Vial 5 $72.63 $37,827.27 $33,049.09 nat. median
$280
outlier · 117.9×
J3101
CPT 		Tenecteplase 50 Mg/10 Ml Syrng 5 $0.41 $30,005.60 $25,299.46 nat. median
$5,957
outlier · 4.2×
J0717
CPT 		Certolizumab Pegol 400 Mg Kit 5 $3.42 $24,592.04 $20,734.97 nat. median
$1,372
outlier · 15.1×
J0896
CPT 		Luspatercept-aamt 25 Mg Vial 5 $1.20 $51,787.72 $17,381.40 nat. median
$4,606
outlier · 3.8×
J9312
CPT 		Rituximab 500 Mg/50 Ml Vial 5 $322.14 $20,224.74 $17,052.65 nat. median
$1,242
outlier · 13.7×
3512
CPT 		Apr-DRG 3512 1 $15,838.40 $15,838.40 $15,838.40 —
193
CPT 		Ms-DRG 193 1 $13,130.24 $13,130.24 $13,130.24 —
683
CPT 		Ms-DRG 683 1 $13,130.24 $13,130.24 $13,130.24 —
1133
CPT 		Apr-DRG 1133 1 $11,565.50 $11,565.50 $11,565.50 —
81352
CPT 		Tp53 Somatic Mutation, Prog 5 $8,361.60 $12,220.80 $10,419.84 nat. median
$423
outlier · 24.6×
74174
CPT 		CTA Abd&Pelv Wwo Dye 5 $71.13 $8,926.20 $7,798.68 nat. median
$959
outlier · 8.1×
J3358
CPT 		Ustekinumab 130 Mg/26ml Vial 5 $58.98 $8,686.09 $7,323.74 nat. median
$213
outlier · 34.4×
J0897
CPT 		Denosumab 60 Mg/ml Syringe 5 $9.69 $13,047.40 $7,167.92 nat. median
$2,502
outlier · 2.9×
Q5111
CPT 		Pegfilgrastim-cbqv 6 Mg/0.6 Ml 5 $1,112.40 $8,478.75 $7,148.93 nat. median
$2,102
outlier · 3.4×
Q5122
CPT 		Pegfilgrastim 6 Mg/0.6 Ml Syr 5 $3,939.75 $8,095.86 $6,826.09 nat. median
$439
outlier · 15.5×
74178
CPT 		CT Abd & Pelv Wwo Contrast 5 $479.88 $7,170.60 $6,264.84 nat. median
$979
outlier · 6.4×
95811
CPT 		Polysomnogram W CPap 5 $4,768.40 $6,969.20 $6,088.88 nat. median
$2,026
outlier · 3.0×
74177
CPT 		CT Abd & Pelv W Contrast 5 $227.52 $6,632.90 $5,823.09 nat. median
$928
outlier · 6.3×
95810
CPT 		Polysomnogram 5 $4,553.25 $6,671.00 $5,814.15 nat. median
$1,870
outlier · 3.1×
J0129
CPT 		Abatacept 250 Mg Vial 5 $588.00 $6,162.29 $5,195.78 nat. median
$1,082
outlier · 4.8×
74176
CPT 		CT Abd & Pelvis Wo Contrast 5 $95.04 $5,932.75 $5,183.35 nat. median
$685
outlier · 7.6×
1401
CPT 		Apr-DRG 1401 1 $5,100.78 $5,100.78 $5,100.78 —
J3262
CPT 		Tocilizumab 200 Mg/10 Ml Vial 5 $2.72 $11,496.13 $4,786.94 nat. median
$1,425
outlier · 3.4×
J9202
CPT 		Goserelin 3.6 Mg Implant 5 $77.09 $4,498.80 $3,930.53 nat. median
$1,879
outlier · 2.1×
78452
CPT 		Myocard Perf Spect Rest Stress 5 $2,980.25 $4,355.75 $3,805.55 nat. median
$1,767
outlier · 2.2×
J0630
CPT 		Calcitonin Salmon 400Unit/2ML 5 $0.18 $4,358.08 $3,674.55 nat. median
$1,885
1.9× median
J1439
CPT 		Ferric Carboxymalt 750mg/15ml 5 $11.91 $4,191.20 $3,661.79 nat. median
$63
outlier · 57.9×
74170
CPT 		CT Abdomen Wwo Dye 5 $58.22 $4,307.30 $3,631.73 nat. median
$703
outlier · 5.2×
70470
CPT 		CT Head/Brain Wwo Contrast 5 $241.32 $4,029.90 $3,397.84 nat. median
$618
outlier · 5.5×
70496
CPT 		CT Angiography Head W Cont 5 $246.84 $3,759.15 $3,284.31 nat. median
$729
outlier · 4.5×
70498
CPT 		CT Angiography Neck W Cont 5 $278.39 $3,759.15 $3,284.31 nat. median
$722
outlier · 4.5×
99291
CPT 		Critical Care 1st 30-74 Min 5 $329.00 $4,574.25 $3,165.86 nat. median
$1,610
2.0× median
71275
CPT 		CTA Chest Wwo Contrast 5 $65.60 $3,589.10 $3,135.74 nat. median
$736
outlier · 4.3×
70491
CPT 		CT Soft Tissue Neck W Cont 5 $357.53 $3,552.05 $3,103.37 nat. median
$617
outlier · 5.0×
71260
CPT 		CT Thorax W Contrast 5 $80.31 $3,534.95 $3,088.43 nat. median
$646
outlier · 4.8×
71271
CPT 		Ldct For Lung Cancer Screen 5 $101.48 $3,467.50 $3,029.50 nat. median
$205
outlier · 14.7×
74175
CPT 		CTA Abdom Wwo Dye 5 $82.17 $3,385.80 $2,958.12 nat. median
$710
outlier · 4.2×
87154
CPT 		Culture Id By Amp Prb 6 Or 6+ 5 $2,373.15 $3,468.45 $2,957.31 nat. median
$284
outlier · 10.4×
73701
CPT 		CT Le W Dye Lt 5 $268.01 $3,429.50 $2,891.61 nat. median
$710
outlier · 4.1×
75635
CPT 		CTA Abdominal Arteries 5 $592.68 $3,383.90 $2,853.16 nat. median
$706
outlier · 4.0×
73706
CPT 		CTA Le Wwo Dye Lt 5 $71.13 $3,383.90 $2,853.16 nat. median
$760
outlier · 3.8×
750
CPT 		Colonoscopy 5 $1,912.30 $6,641.45 $2,848.29 —
74160
CPT 		CT Abdomen W Dye 5 $706.77 $3,322.15 $2,801.10 nat. median
$646
outlier · 4.3×
73201
CPT 		CT Ue W Dye Lt 5 $90.44 $3,199.60 $2,697.77 nat. median
$827
outlier · 3.3×
70490
CPT 		CT Soft Tissue Neck Wo Cont 5 $277.47 $3,078.95 $2,687.45 nat. median
$442
outlier · 6.1×
70450
CPT 		CT Head/Brain Wo Contrast 5 $24.20 $2,969.70 $2,607.17 nat. median
$454
outlier · 5.7×
71250
CPT 		CT Thorax Wo Contrast 5 $71.13 $2,969.70 $2,607.17 nat. median
$473
outlier · 5.5×
72128
CPT 		CT Thoracic Spine Wo Contrast 5 $107.93 $2,969.70 $2,594.58 nat. median
$449
outlier · 5.8×
70486
CPT 		CT Maxillofacial Wo Contrast 5 $187.95 $2,969.70 $2,594.58 nat. median
$463
outlier · 5.6×

Other procedures at this hospital

Browse this hospital's 760 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J2350 CPT Ocrelizumab 300 Mg/10 Ml 8 5 $88,789.00 $86,126.02 $6.09 $84,350.22 $71,120.56 2026-05-09
J3380 CPT Vedolizumab 300 Mg Vial 10 5 $39,818.00 $38,623.63 $72.63 $37,827.27 $33,049.09 2026-05-09
J3101 CPT Tenecteplase 50 Mg/10 Ml Syrng 8 5 $31,584.00 $30,637.29 $0.41 $30,005.60 $25,299.46 2026-05-09
J0717 CPT Certolizumab Pegol 400 Mg Kit 8 5 $25,886.00 $25,109.77 $3.42 $24,592.04 $20,734.97 2026-05-09
J0896 CPT Luspatercept-aamt 25 Mg Vial 14 5 $18,296.00 $17,747.32 $1.20 $51,787.72 $17,381.40 2026-05-09
J9312 CPT Rituximab 500 Mg/50 Ml Vial 8 5 $21,289.00 $20,650.52 $322.14 $20,224.74 $17,052.65 2026-05-09
3512 CPT Apr-DRG 3512 2 1 — — $15,838.40 $15,838.40 $15,838.40 2026-05-09
193 CPT Ms-DRG 193 2 1 — — $13,130.24 $13,130.24 $13,130.24 2026-05-09
683 CPT Ms-DRG 683 2 1 — — $13,130.24 $13,130.24 $13,130.24 2026-05-09
1133 CPT Apr-DRG 1133 2 1 — — $11,565.50 $11,565.50 $11,565.50 2026-05-09
81352 CPT Tp53 Somatic Mutation, Prog 8 5 $12,864.00 $12,478.08 $8,361.60 $12,220.80 $10,419.84 2026-05-09
74174 CPT CTA Abd&Pelv Wwo Dye 10 5 $9,396.00 $9,114.12 $71.13 $8,926.20 $7,798.68 2026-05-09
J3358 CPT Ustekinumab 130 Mg/26ml Vial 8 5 $9,143.00 $8,868.95 $58.98 $8,686.09 $7,323.74 2026-05-09
J0897 CPT Denosumab 60 Mg/ml Syringe 17 5 $7,545.00 $7,318.82 $9.69 $13,047.40 $7,167.92 2026-05-09
Q5111 CPT Pegfilgrastim-cbqv 6 Mg/0.6 Ml 8 5 $8,925.00 $8,657.25 $1,112.40 $8,478.75 $7,148.93 2026-05-09
Q5122 CPT Pegfilgrastim 6 Mg/0.6 Ml Syr 8 5 $8,521.00 $8,266.30 $3,939.75 $8,095.86 $6,826.09 2026-05-09
74178 CPT CT Abd & Pelv Wwo Contrast 10 5 $7,548.00 $7,321.56 $479.88 $7,170.60 $6,264.84 2026-05-09
95811 CPT Polysomnogram W CPap 11 5 $7,336.00 $7,115.92 $4,768.40 $6,969.20 $6,088.88 2026-05-09
74177 CPT CT Abd & Pelv W Contrast 12 5 $6,982.00 $6,772.54 $227.52 $6,632.90 $5,823.09 2026-05-09
95810 CPT Polysomnogram 10 5 $7,005.00 $6,794.85 $4,553.25 $6,671.00 $5,814.15 2026-05-09
J0129 CPT Abatacept 250 Mg Vial 8 5 $6,486.00 $6,292.02 $588.00 $6,162.29 $5,195.78 2026-05-09
74176 CPT CT Abd & Pelvis Wo Contrast 11 5 $6,245.00 $6,057.65 $95.04 $5,932.75 $5,183.35 2026-05-09
1401 CPT Apr-DRG 1401 2 1 — — $5,100.78 $5,100.78 $5,100.78 2026-05-09
J3262 CPT Tocilizumab 200 Mg/10 Ml Vial 20 5 $5,976.00 $5,796.91 $2.72 $11,496.13 $4,786.94 2026-05-09
J9202 CPT Goserelin 3.6 Mg Implant 10 5 $4,735.00 $4,593.51 $77.09 $4,498.80 $3,930.53 2026-05-09
78452 CPT Myocard Perf Spect Rest Stress 10 5 $4,585.00 $4,447.45 $2,980.25 $4,355.75 $3,805.55 2026-05-09
J0630 CPT Calcitonin Salmon 400Unit/2ML 8 5 $4,587.00 $4,449.83 $0.18 $4,358.08 $3,674.55 2026-05-09
J1439 CPT Ferric Carboxymalt 750mg/15ml 10 5 $4,411.00 $4,279.44 $11.91 $4,191.20 $3,661.79 2026-05-09
74170 CPT CT Abdomen Wwo Dye 10 5 $4,534.00 $4,397.98 $58.22 $4,307.30 $3,631.73 2026-05-09
70470 CPT CT Head/Brain Wwo Contrast 8 5 $4,242.00 $4,114.74 $241.32 $4,029.90 $3,397.84 2026-05-09
70496 CPT CT Angiography Head W Cont 10 5 $3,957.00 $3,838.29 $246.84 $3,759.15 $3,284.31 2026-05-09
70498 CPT CT Angiography Neck W Cont 10 5 $3,957.00 $3,838.29 $278.39 $3,759.15 $3,284.31 2026-05-09
99291 CPT Critical Care 1st 30-74 Min 16 5 $4,815.00 $4,670.55 $329.00 $4,574.25 $3,165.86 2026-05-09
71275 CPT CTA Chest Wwo Contrast 11 5 $3,778.00 $3,664.66 $65.60 $3,589.10 $3,135.74 2026-05-09
70491 CPT CT Soft Tissue Neck W Cont 12 5 $3,739.00 $3,626.83 $357.53 $3,552.05 $3,103.37 2026-05-09
71260 CPT CT Thorax W Contrast 11 5 $3,721.00 $3,609.37 $80.31 $3,534.95 $3,088.43 2026-05-09
71271 CPT Ldct For Lung Cancer Screen 11 5 $3,650.00 $3,540.50 $101.48 $3,467.50 $3,029.50 2026-05-09
74175 CPT CTA Abdom Wwo Dye 10 5 $3,564.00 $3,457.08 $82.17 $3,385.80 $2,958.12 2026-05-09
87154 CPT Culture Id By Amp Prb 6 Or 6+ 8 5 $3,651.00 $3,541.47 $2,373.15 $3,468.45 $2,957.31 2026-05-09
73701 CPT CT Le W Dye Lt 18 5 $3,610.00 $3,501.70 $268.01 $3,429.50 $2,891.61 2026-05-09
75635 CPT CTA Abdominal Arteries 8 5 $3,562.00 $3,455.14 $592.68 $3,383.90 $2,853.16 2026-05-09
73706 CPT CTA Le Wwo Dye Lt 16 5 $3,562.00 $3,455.14 $71.13 $3,383.90 $2,853.16 2026-05-09
750 CPT Colonoscopy 32 5 $3,513.00 $3,407.61 $1,912.30 $6,641.45 $2,848.29 2026-05-09
74160 CPT CT Abdomen W Dye 8 5 $3,497.00 $3,392.09 $706.77 $3,322.15 $2,801.10 2026-05-09
73201 CPT CT Ue W Dye Lt 8 5 $3,368.00 $3,266.96 $90.44 $3,199.60 $2,697.77 2026-05-09
70490 CPT CT Soft Tissue Neck Wo Cont 10 5 $3,241.00 $3,143.77 $277.47 $3,078.95 $2,687.45 2026-05-09
70450 CPT CT Head/Brain Wo Contrast 12 5 $3,126.00 $3,032.22 $24.20 $2,969.70 $2,607.17 2026-05-09
71250 CPT CT Thorax Wo Contrast 12 5 $3,126.00 $3,032.22 $71.13 $2,969.70 $2,607.17 2026-05-09
72131 CPT CT Lumbar Spine Wo Contrast 10 5 $3,126.00 $3,032.22 $234.87 $2,969.70 $2,594.58 2026-05-09
72128 CPT CT Thoracic Spine Wo Contrast 10 5 $3,126.00 $3,032.22 $107.93 $2,969.70 $2,594.58 2026-05-09
72125 CPT CT Cervical Spine Wo Contrast 10 5 $3,126.00 $3,032.22 $172.58 $2,969.70 $2,594.58 2026-05-09
70486 CPT CT Maxillofacial Wo Contrast 11 5 $3,126.00 $3,032.22 $187.95 $2,969.70 $2,594.58 2026-05-09
73700 CPT CT Le Wo Dye Lt 16 5 $3,149.00 $3,054.53 $76.65 $2,991.55 $2,522.35 2026-05-09
72192 CPT CT Pelvis Wo Dye 8 5 $3,126.00 $3,032.22 $597.02 $2,969.70 $2,503.93 2026-05-09
120 CPT Room Medical Unit Semi Private 6 5 $2,908.00 $2,820.76 $1,890.20 $2,762.60 $2,447.08 2026-05-09
93306 CPT Tte W Doppler Complete 11 5 $3,091.00 $2,998.27 $664.00 $2,936.45 $2,441.89 2026-05-09
73200 CPT CT Ue Wo Dye Rt 18 5 $2,807.00 $2,722.79 $70.19 $2,666.65 $2,329.81 2026-05-09
81479 CPT Bcr/abl Major & Minor Mut 8 5 $2,856.00 $2,770.32 $1,856.40 $2,713.20 $2,313.36 2026-05-09
70480 CPT CT Orbit Wo Contrast 9 5 $2,776.00 $2,692.72 $192.56 $2,637.20 $2,304.08 2026-05-09
J0248 CPT Remdesivir 100 Mg Vial 8 5 $2,842.00 $2,757.45 $70.71 $2,700.59 $2,277.03 2026-05-09
C8929 CPT Echo M Mode 2d W Contrast 11 5 $2,731.00 $2,649.07 $1,775.15 $2,594.45 $2,266.73 2026-05-09
J0885 CPT Epoetin Alfa 40000 Unit/ML Vl 8 5 $2,600.00 $2,522.61 $0.06 $2,470.60 $2,083.11 2026-05-09
J1745 CPT Infliximab 100 Mg Vial 14 5 $5,151.00 $4,996.69 $1.46 $4,893.67 $2,007.36 2026-05-09
Q5121 CPT Infliximab-axxq 100 Mg Vial 10 5 $2,161.00 $2,096.87 $1,405.12 $4,302.83 $1,948.79 2026-05-09
J9155 CPT Degarelix 120 Mg Vial 9 5 $2,228.00 $2,161.29 $135.29 $2,116.72 $1,849.35 2026-05-09
99285 CPT Emergency Room Visit Level 5 18 5 $2,426.00 $2,353.22 $267.73 $2,304.70 $1,743.08 2026-05-09
C8924 CPT Tte 2d W Contrast Limited 9 5 $2,023.00 $1,962.31 $1,314.95 $1,921.85 $1,679.09 2026-05-09
88377 CPT Morph Ana Ea Man Multpx Hema 8 5 $1,735.00 $1,682.95 $1,127.75 $1,648.25 $1,405.35 2026-05-09
76642 CPT Ultrasound Breast Limited Bi 8 5 $1,686.00 $1,635.42 $1,095.90 $1,601.70 $1,365.66 2026-05-09
93975 CPT Vascular Study 8 5 $1,622.00 $1,573.34 $1,054.30 $1,540.90 $1,313.82 2026-05-09
76700 CPT Ultrasound Abdomen Complete 8 5 $1,606.00 $1,557.82 $1,043.90 $1,525.70 $1,300.86 2026-05-09
93925 CPT Arterial Duplex Le Bi 8 5 $1,566.00 $1,519.02 $1,017.90 $1,487.70 $1,268.46 2026-05-09
93880 CPT Extracranial Bilat Study 8 5 $1,539.00 $1,492.83 $1,000.35 $1,462.05 $1,246.59 2026-05-09
710 CPT Recovery Phase Ii 0-2 Hours 16 5 $1,472.00 $1,427.84 $899.60 $1,482.00 $1,192.43 2026-05-09
J9217 CPT Leuprolide Acetate 45 Mg Syr 20 5 $1,461.00 $1,417.46 $1.47 $4,067.26 $1,170.50 2026-05-09
689 CPT Trauma Team Evaluation Level 5 8 5 $1,409.00 $1,366.73 $915.85 $1,338.55 $1,141.29 2026-05-09
G0390 CPT Trauma Team Level 5 8 5 $1,409.00 $1,366.73 $915.85 $1,338.55 $1,141.29 2026-05-09
28470 CPT Fx Metatarsal 8 5 $1,392.00 $1,350.24 $904.80 $1,322.40 $1,127.52 2026-05-09
Q9967 CPT Iopamidol-370 100 Ml Vial 19 5 $1,580.00 $1,532.60 $253.80 $1,501.00 $1,125.75 2026-05-09
11423 CPT Exc Ben Lesion 2.1-3.0 Neck 14 5 $1,688.00 $1,637.36 $322.18 $1,603.60 $1,109.86 2026-05-09
129 CPT Room Swing Bed Skilled 6 5 $1,296.00 $1,257.12 $842.40 $1,231.20 $1,090.59 2026-05-09
86255 CPT Pla2R Elisa 10 5 $1,310.00 $1,270.70 $851.50 $1,310.00 $1,087.30 2026-05-09
93356 CPT Myocardial Strain Image Speckl 10 5 $1,270.00 $1,231.90 $825.50 $1,206.50 $1,054.10 2026-05-09
90651 CPT 9vHPV 3 Dose 8 5 $1,257.00 $1,220.16 $189.30 $1,195.01 $1,007.58 2026-05-09
83835 CPT Metanephrines Urine 10 5 $1,165.00 $1,130.05 $757.25 $1,106.75 $966.95 2026-05-09
87799 CPT Bk Virus Quant Pcr, Serum 8 5 $1,176.00 $1,140.72 $764.40 $1,117.20 $952.56 2026-05-09
Q0138 CPT Ferumoxy 510mg/17ml (non-esrd) 10 5 $1,145.00 $1,111.35 $7.28 $1,088.43 $950.95 2026-05-09
J0174 CPT Lecanemab-irmb 200 Mg/2Ml Vial 8 5 $1,184.00 $1,148.62 $0.08 $1,124.93 $948.50 2026-05-09
93970 CPT Venous Duplex 10 5 $1,167.00 $1,131.99 $717.95 $1,108.65 $945.27 2026-05-09
90677 CPT Pneumo Conjugate Vaccine 20 Va 10 5 $1,130.00 $1,096.10 $380.34 $1,076.10 $937.90 2026-05-09
77080 CPT Dexa Scan 12 5 $1,112.00 $1,078.64 $88.61 $1,056.40 $927.44 2026-05-09
25600 CPT Fx Distal Radius Lt 20 5 $1,084.00 $1,051.48 $704.60 $1,029.80 $899.72 2026-05-09
27786 CPT Fx Distal Fibula Lt 19 5 $1,084.00 $1,051.48 $704.60 $1,032.00 $899.72 2026-05-09
76705 CPT Ultrasound Abdomen Limited 12 5 $1,081.00 $1,048.57 $702.65 $1,026.95 $897.23 2026-05-09
76870 CPT Ultrasound Scrotum 11 5 $1,081.00 $1,048.57 $702.65 $1,026.95 $897.23 2026-05-09
76770 CPT Ultrasound Abdo Back Wall Comp 10 5 $1,081.00 $1,048.57 $702.65 $1,026.95 $897.23 2026-05-09
26600 CPT Fx Metacarpal 8 5 $1,084.00 $1,051.48 $704.60 $1,029.80 $878.04 2026-05-09
25530 CPT Fx Ulnar Shaft Wo Man Lt 8 5 $1,084.00 $1,051.48 $704.60 $1,029.80 $878.04 2026-05-09
23600 CPT Fx Prox Humeral Wo Man Rt 8 5 $1,084.00 $1,051.48 $704.60 $1,029.80 $878.04 2026-05-09
27808 CPT Fx Bimalleolar Ankle Rt 8 5 $1,084.00 $1,051.48 $704.60 $1,029.80 $878.04 2026-05-09
24670 CPT Fx Ulna Proximal Wo Man Lt 8 5 $1,084.00 $1,051.48 $704.60 $1,029.80 $878.04 2026-05-09
0202U CPT Respir Path 22 Targets Biofire 8 5 $1,084.00 $1,051.48 $704.60 $1,029.80 $878.04 2026-05-09
J0881 CPT Darbepoet Alfa 40mcg/0.4ml Syr 20 5 $972.00 $943.49 $453.99 $2,669.46 $876.87 2026-05-09
90684 CPT Pneumo Conjugate Vaccine 21 Va 11 5 $1,050.00 $1,018.79 $474.00 $1,050.30 $871.75 2026-05-09
71111 CPT X-ray Ribs Bilateral 4 Views 8 5 $1,064.00 $1,032.08 $63.74 $1,010.80 $852.26 2026-05-09
93971 CPT Extremity Study Rt 19 5 $1,024.00 $993.28 $665.60 $972.80 $849.92 2026-05-09
93308 CPT Echo Limited 10 5 $1,040.00 $1,008.80 $676.00 $988.00 $842.40 2026-05-09
28510 CPT Fx Phalanges 8 5 $1,032.00 $1,001.04 $670.80 $980.40 $835.92 2026-05-09
26720 CPT Fx Finger/Thumb Wo Man 8 5 $1,032.00 $1,001.04 $670.80 $980.40 $835.92 2026-05-09
24650 CPT Fx Radial Head/Neck Wo Man Lt 16 5 $1,032.00 $1,001.04 $670.80 $980.40 $835.92 2026-05-09
28490 CPT Fx Great Toe 8 5 $1,032.00 $1,001.04 $670.80 $980.40 $835.92 2026-05-09
26750 CPT Fx Distal Finger/Thumb Wo Man 8 5 $1,032.00 $1,001.04 $670.80 $980.40 $835.92 2026-05-09
93926 CPT Arterial Duplex Le Lt 16 5 $1,018.00 $987.46 $661.70 $967.10 $824.58 2026-05-09
90671 CPT Pneumo Conjugate Vaccine 15 Va 8 5 $1,013.00 $983.00 $16.40 $962.73 $811.73 2026-05-09
76830 CPT Ultrasound Transvaginal 10 5 $969.00 $939.93 $629.85 $920.55 $804.27 2026-05-09
93226 CPT ECG Monit/Report Up To 48 Hour 10 5 $954.00 $925.38 $620.10 $908.00 $791.82 2026-05-09
76856 CPT Ultrasound Pelvic Complete 8 5 $969.00 $939.93 $629.85 $920.55 $784.89 2026-05-09
76882 CPT Ultrasound Axilla Lt 16 5 $969.00 $939.93 $629.85 $920.55 $784.89 2026-05-09
99284 CPT Emergency Room Visit Level 4 17 5 $1,128.00 $1,094.16 $184.86 $1,071.60 $750.12 2026-05-09
P9016 CPT Red Blood Cells Lekoreduced 10 5 $870.00 $843.90 $565.50 $826.50 $722.10 2026-05-09
J2997 CPT Alteplase 2 Mg Vial 8 5 $897.00 $870.45 $37.08 $852.50 $718.80 2026-05-09
76857 CPT Ultrasound Pelvic Limited 8 5 $885.00 $858.45 $575.25 $840.75 $716.85 2026-05-09
76536 CPT Ultrasound Head And Neck 11 5 $855.00 $829.35 $555.75 $812.25 $709.65 2026-05-09
76604 CPT Ultrasound Chest 8 5 $854.00 $828.38 $555.10 $811.30 $691.74 2026-05-09
99283 CPT Emergency Room Visit Level 3 16 5 $957.00 $928.29 $108.68 $909.15 $687.60 2026-05-09
96413 CPT Chemotherapy Inf Initial 10 5 $823.00 $798.31 $534.95 $781.85 $666.63 2026-05-09
110 CPT Room Custodial Care 6 5 $782.00 $758.54 $508.30 $742.90 $658.05 2026-05-09
76775 CPT Ultrasound Aorta 8 5 $796.00 $772.12 $517.40 $756.20 $644.76 2026-05-09
31500 CPT Insert Emergency Airway 14 5 $969.00 $939.93 $273.72 $920.55 $637.12 2026-05-09
115 CPT Room Hospice Respite Care 6 5 $745.00 $722.65 $484.25 $707.75 $626.92 2026-05-09
93307 CPT Echo M Mode 2d Wo Color Spec 8 5 $770.00 $746.90 $500.50 $731.50 $623.70 2026-05-09
93321 CPT Doppler Echo Exam Heart 8 5 $770.00 $746.90 $500.50 $731.50 $623.70 2026-05-09
93325 CPT Echo Color Doppler 8 5 $770.00 $746.90 $500.50 $731.50 $623.70 2026-05-09
23650 CPT Dislocation Shoulder Wo AnesRT 14 5 $654.00 $634.38 $425.10 $802.00 $621.30 2026-05-09
73523 CPT X-ray Hips 5 Views Bi 8 5 $665.00 $645.05 $432.25 $690.20 $599.50 2026-05-09
82610 CPT Cystatin C 10 5 $721.00 $699.37 $468.65 $684.95 $598.43 2026-05-09
70100 CPT X-ray Mandible < 4 Views 8 5 $661.00 $641.17 $429.65 $4,852.95 $595.89 2026-05-09
64400 CPT Inj Trigeminal N Block Lt 16 5 $815.00 $790.55 $100.07 $774.25 $585.58 2026-05-09
94625 CPT Pulmonary Rehab Without Monitoring 10 5 $691.00 $670.27 $449.15 $656.45 $573.53 2026-05-09
93246 CPT Ext ECG >7 Days Hook Up 11 5 $691.00 $670.27 $449.15 $656.45 $573.53 2026-05-09
12034 CPT Repair Lac Interm 7.6-12.5 Cm 14 5 $857.00 $831.29 $413.34 $814.15 $570.46 2026-05-09
81376 CPT Hla Celiac Dis Mayo 8 5 $702.00 $680.94 $456.30 $666.90 $568.62 2026-05-09
72110 CPT X-ray Lumbosacral 4 Views 10 5 $679.00 $658.63 $67.44 $645.05 $563.57 2026-05-09
12042 CPT Repair Lac Interm 2.6-7.5 Cm 14 5 $857.00 $831.29 $396.46 $814.15 $563.47 2026-05-09
A9500 CPT Radiophar Tc99M Sestamibi Dose 11 5 $662.00 $642.14 $430.30 $1,108.80 $549.46 2026-05-09
96360 CPT Inf Therapy Hyd Initial 13 5 $648.00 $628.56 $421.20 $615.60 $542.96 2026-05-09
92950 CPT Heart/Lung Resuscitation Cpr 15 5 $815.00 $790.55 $275.08 $774.25 $541.98 2026-05-09
96365 CPT Inf Therapy Med Initial 11 5 $648.00 $628.56 $421.20 $615.60 $537.84 2026-05-09
11760 CPT Repair Nailbed 14 5 $813.00 $788.61 $221.56 $772.35 $534.55 2026-05-09
72050 CPT X-ray Spine Cervical 4-5 Views 10 5 $592.00 $574.24 $384.80 $746.06 $533.69 2026-05-09
28190 CPT Remove Foreign Body Foot Lt 14 5 $796.00 $772.12 $270.72 $756.20 $523.37 2026-05-09
71045 CPT X-ray Chest 1 View 12 5 $607.00 $588.79 $394.55 $593.33 $517.77 2026-05-09
81240 CPT Prothrombin Mutation 10 5 $639.00 $619.83 $188.41 $607.05 $517.59 2026-05-09
93922 CPT Ankle Arm Screen 10 5 $623.00 $604.31 $404.95 $591.85 $517.09 2026-05-09
Q5110 CPT Filgrastim-aafi 300 Mcg/0.5 Ml 17 5 $539.00 $522.95 $237.21 $927.00 $512.16 2026-05-09
73522 CPT X-ray Hips 3-4 Views Bi 8 5 $567.00 $549.99 $368.55 $793.91 $511.15 2026-05-09
94060 CPT Pft Pre & Post Screen Spirome 10 5 $612.00 $593.64 $397.80 $581.40 $507.96 2026-05-09
12004 CPT Repair Lac Simple 7.6-12.5 Cm 16 5 $753.00 $730.41 $57.18 $715.35 $495.10 2026-05-09
87522 CPT Hep C RNA Pcr Quant 8 5 $602.00 $583.94 $391.30 $571.90 $487.62 2026-05-09
72072 CPT X-ray Spine Thoracic 3 Views 10 5 $578.00 $560.66 $375.70 $697.55 $486.38 2026-05-09
77067 CPT Mammo Screen Implant Bi 29 5 $579.00 $561.63 $376.35 $550.05 $480.57 2026-05-09
74019 CPT X-ray Abdomen 12 5 $561.00 $544.17 $364.65 $660.48 $478.53 2026-05-09
11600 CPT Exc Mal Lesion <0.5 Trunk Limb 16 5 $724.00 $702.28 $52.88 $687.80 $476.03 2026-05-09
11400 CPT Exc Ben Lesion <0.5 Trunk Limb 14 5 $724.00 $702.28 $172.98 $687.80 $476.03 2026-05-09
11640 CPT Exc Mal Lesion <0.5 Face Ears 14 5 $724.00 $702.28 $257.09 $687.80 $476.03 2026-05-09
11440 CPT Exc Ben Lesion <0.5 Face Ears 14 5 $724.00 $702.28 $221.35 $687.80 $476.03 2026-05-09
73564 CPT X-ray Knee 4 Lt 18 5 $591.00 $573.27 $88.66 $561.45 $473.39 2026-05-09
93017 CPT Cardiovascular Stress Test 11 5 $570.00 $552.90 $353.76 $541.50 $473.10 2026-05-09
12006 CPT Repair Lac Simple 20.1-30.0 Cm 14 5 $717.00 $695.49 $221.02 $681.15 $471.43 2026-05-09
71101 CPT X-ray Ribs Uni W Chest Lt 16 5 $522.00 $506.34 $339.30 $3,427.98 $470.58 2026-05-09
83993 CPT Calprotectin 10 5 $566.00 $549.02 $367.90 $537.70 $469.78 2026-05-09
Q9957 CPT Perflutren Lip Micro 2.2mg/2ml 8 5 $582.00 $565.41 $47.75 $553.76 $466.90 2026-05-09
94762 CPT Desaturation And Hr Study 8 5 $570.00 $552.90 $370.50 $541.50 $461.70 2026-05-09
86355 CPT B Cells Total Ss5 8 5 $554.00 $537.38 $360.10 $526.30 $448.74 2026-05-09
80235 CPT Lacosamide 10 5 $539.00 $522.83 $350.35 $512.05 $447.37 2026-05-09
10061 CPT I&d Abscess Comp/Multiple 14 5 $602.00 $583.94 $373.43 $571.90 $443.12 2026-05-09
73630 CPT X-ray Foot 3 Views Lt 21 5 $529.00 $513.13 $65.60 $502.55 $439.07 2026-05-09
92523 CPT Speech Sound Lang Comprehen 19 5 $522.00 $506.34 $338.00 $495.90 $431.60 2026-05-09
73610 CPT X-ray Ankle 3 Views Lt 21 5 $518.00 $502.46 $99.63 $492.10 $429.94 2026-05-09
72220 CPT Sacrum Or Coccyx Min 2 View 8 5 $482.00 $467.54 $313.30 $457.90 $429.42 2026-05-09
80299 CPT Dexamethasone 8 5 $528.00 $512.16 $343.20 $501.60 $427.68 2026-05-09
36430 CPT Blood Administration 10 5 $513.00 $497.61 $333.45 $487.35 $425.79 2026-05-09
99282 CPT Emergency Room Visit Level 2 10 5 $513.00 $497.61 $333.45 $487.35 $425.79 2026-05-09
87637 CPT Influ/RSV/CoV2 Pcr Ceph 10 5 $524.00 $508.28 $340.60 $497.80 $424.44 2026-05-09
73130 CPT X-ray Hand Lt 20 5 $529.00 $513.13 $59.16 $502.55 $423.73 2026-05-09
73080 CPT X-ray Elbow Lt 18 5 $529.00 $513.13 $38.91 $502.55 $423.73 2026-05-09
Q9956 CPT Perflutren Protein-a Microdota 11 5 $506.00 $490.89 $77.76 $480.77 $420.04 2026-05-09
12052 CPT Repair Lac Interm 2.6-5.0 Cm 14 5 $481.00 $466.57 $312.65 $559.61 $418.55 2026-05-09
70150 CPT X-ray Facial Bones 3 Views 8 5 $522.00 $506.34 $82.17 $495.90 $418.12 2026-05-09
71046 CPT X-ray Chest 2v PA/Lateral 13 5 $487.00 $472.39 $316.55 $783.14 $415.41 2026-05-09
73110 CPT X-ray Wrist 3 Views Lt 20 5 $518.00 $502.46 $58.22 $492.10 $414.92 2026-05-09
41800 CPT Drainage Gum Lesion 14 5 $573.00 $555.81 $324.75 $544.35 $404.29 2026-05-09
87636 CPT Influ & CoV2 Pcr Ceph 10 5 $486.00 $471.42 $315.90 $461.70 $403.38 2026-05-09
81515 CPT Vpp 8 5 $497.00 $482.09 $323.05 $472.15 $402.57 2026-05-09
90680 CPT Rotavirus (rv5) 3 Dose 8 5 $498.00 $483.64 $51.26 $473.67 $399.38 2026-05-09
90750 CPT Zoster (hzv) IM 8 5 $492.00 $478.02 $237.23 $468.16 $394.73 2026-05-09
82668 CPT Erythropoietin 8 5 $479.00 $464.63 $311.35 $455.05 $387.99 2026-05-09
92610 CPT Swallow Eval Non Radiol 8 5 $478.00 $463.66 $310.70 $454.10 $387.18 2026-05-09
51700 CPT Irrigation Bladder Simple 8 5 $473.00 $458.81 $307.45 $449.35 $383.13 2026-05-09
72040 CPT X-ray Spine Cervical 2-3 Views 11 5 $446.00 $432.62 $289.90 $551.93 $380.44 2026-05-09
85335 CPT Factor 8 Inhibitor 8 5 $468.00 $453.96 $304.20 $444.60 $379.08 2026-05-09
G0404 CPT EKG Welcome To Medicare 10 5 $448.00 $434.56 $291.20 $426.00 $371.84 2026-05-09
55100 CPT Drainage Scrotum Abscess 6 5 $530.00 $514.10 $339.58 $462.70 $369.56 2026-05-09
85247 CPT Von Willeb Multimer 8 5 $451.00 $437.47 $293.15 $428.45 $365.31 2026-05-09
94660 CPT CPap/BiPap First Day 16 5 $509.00 $493.73 $145.60 $754.30 $364.45 2026-05-09
82024 CPT Acth Adrenocorticotropic Hor 8 5 $448.00 $434.56 $291.20 $425.60 $362.88 2026-05-09
72070 CPT X-ray Spine Thoracic 2 Views 10 5 $420.00 $407.40 $273.00 $1,015.91 $354.63 2026-05-09
71100 CPT X-ray Ribs 2 Views Lt 10 5 $392.00 $380.24 $254.80 $3,616.49 $353.39 2026-05-09
72100 CPT X-ray Lumbosacral 2-3 Views 10 5 $425.00 $412.25 $90.44 $403.75 $352.75 2026-05-09
74018 CPT X-ray Abdomen 11 5 $413.00 $400.61 $268.45 $523.40 $352.29 2026-05-09
72020 CPT X-ray Spine Single View 10 5 $424.00 $411.28 $244.37 $402.80 $351.92 2026-05-09
70360 CPT X-ray Neck Soft Tissue 8 5 $438.00 $424.86 $70.19 $416.10 $350.84 2026-05-09
70160 CPT X-ray Face Bones Redcd Servcs 8 5 $438.00 $424.86 $86.75 $416.10 $350.84 2026-05-09
10120 CPT I&r Foreign Body Simple 22 5 $416.00 $403.52 $215.90 $665.00 $350.06 2026-05-09
73502 CPT X-ray Hip Uni 2-3 Views Lt 36 5 $416.00 $403.52 $254.80 $860.42 $345.28 2026-05-09
73030 CPT X-ray Shoulder Rt 21 5 $416.00 $403.52 $237.65 $395.20 $345.28 2026-05-09
85245 CPT Ristocetin CoFactor 8 5 $425.00 $412.25 $276.25 $403.75 $344.25 2026-05-09
70250 CPT X-ray Skull < 4 Views 10 5 $413.00 $400.61 $94.25 $392.35 $342.79 2026-05-09
73562 CPT X-ray Knee 3 Views Rt 19 5 $413.00 $400.61 $109.76 $413.00 $342.79 2026-05-09
73552 CPT X-ray Femur 2 Views Lt 19 5 $409.00 $396.73 $130.01 $388.55 $339.47 2026-05-09
88368 CPT Morphometric Ana Ea Hematologi 8 5 $419.00 $406.43 $272.35 $398.05 $339.39 2026-05-09
85246 CPT Factor Viii Rel Agn 8 5 $416.00 $403.52 $270.40 $395.20 $336.96 2026-05-09
99223 CPT IP/Obs Initial High Comp 6 5 $583.00 $565.51 $270.04 $389.40 $334.66 2026-05-09
72170 CPT X-ray Pelvis 1-2 Views 11 5 $392.00 $380.24 $254.80 $372.40 $334.38 2026-05-09
82985 CPT Fructosamine 10 5 $402.00 $389.94 $261.30 $381.90 $333.66 2026-05-09
73060 CPT X-ray Humerus Lt 16 5 $416.00 $403.52 $67.44 $395.20 $333.21 2026-05-09
11750 CPT Exc Nail Matrix Part/Complete 14 5 $504.00 $488.88 $207.72 $478.80 $331.38 2026-05-09
83921 CPT Methylmalonic Acid 8 5 $407.00 $394.79 $264.55 $386.65 $329.67 2026-05-09
87517 CPT Hep B Na Quan 10 5 $397.00 $385.09 $258.05 $377.15 $329.51 2026-05-09
99281 CPT Emergency Room Visit Level 1 14 5 $497.00 $482.09 $17.37 $472.15 $326.77 2026-05-09
86480 CPT Tbint Quantiferon 10 5 $393.00 $381.21 $255.45 $373.35 $326.19 2026-05-09
73620 CPT X-ray Foot 2 Views Lt 20 5 $392.00 $380.24 $212.82 $372.40 $325.36 2026-05-09
73600 CPT X-ray Ankle 2 Views Rt 18 5 $392.00 $380.24 $86.75 $372.40 $325.36 2026-05-09
73120 CPT X-ray Hand Lt 18 5 $392.00 $380.24 $198.99 $372.40 $325.36 2026-05-09
73090 CPT X-ray Forearm 2 Views Rt 21 5 $392.00 $380.24 $254.80 $372.40 $325.36 2026-05-09
73070 CPT X-ray Elbow Lt 18 5 $392.00 $380.24 $41.69 $372.40 $325.36 2026-05-09
80197 CPT Tacrolimus 8 5 $401.00 $388.97 $260.65 $380.95 $324.81 2026-05-09
83704 CPT Lipoprotein By Nmr 8 5 $397.00 $385.09 $258.05 $377.15 $321.57 2026-05-09
99205 CPT New Patient Level 5 High Comp 6 5 $271.00 $262.87 $282.08 $382.02 $320.46 2026-05-09
94664 CPT Inhalation Treat Chronic Init 8 5 $393.00 $381.21 $255.45 $373.35 $318.33 2026-05-09
82652 CPT Vitamin D 125 Dihydroxy 10 5 $382.00 $370.54 $248.30 $362.90 $317.06 2026-05-09
83880 CPT B Type Natriuretic Peptide 10 5 $381.00 $369.57 $247.65 $361.95 $316.23 2026-05-09
71110 CPT X-ray Ribs Bilateral 3 Views 8 5 $392.00 $380.24 $47.21 $372.40 $313.99 2026-05-09
86902 CPT Blood Typing Rbc Ag Unit 8 5 $387.00 $375.39 $251.55 $367.65 $313.47 2026-05-09
80074 CPT Acute Hepatitis Panel 10 5 $377.00 $365.69 $245.05 $358.15 $312.91 2026-05-09
85240 CPT Factor 8 16 5 $385.00 $373.45 $239.85 $380.95 $312.16 2026-05-09
80203 CPT Zonisamide 8 5 $385.00 $373.45 $250.25 $365.75 $311.85 2026-05-09
73100 CPT X-ray Wrist 2 Views Lt 16 5 $384.00 $372.48 $66.51 $364.80 $307.59 2026-05-09
73000 CPT X-ray Collar Bone Lt 16 5 $384.00 $372.48 $187.04 $364.80 $307.59 2026-05-09
97166 CPT Ot Eval Mod Complexity 11 5 $370.00 $358.90 $240.50 $351.50 $307.10 2026-05-09
73590 CPT X-ray Lower Leg Rt 18 5 $369.00 $357.93 $73.88 $350.55 $306.27 2026-05-09
96374 CPT IV Push Injection Initial 23 5 $402.00 $389.94 $209.30 $381.90 $305.90 2026-05-09
88184 CPT Flow Cytometry First Mark 9 5 $367.00 $355.99 $238.55 $348.65 $304.61 2026-05-09
93225 CPT Holter Monitor Hook Up <48 Hrs 10 5 $376.00 $364.72 $244.40 $357.20 $304.56 2026-05-09
96125 CPT Cognitive Performance Test St 8 5 $373.00 $361.81 $242.45 $354.35 $302.13 2026-05-09
J2305 CPT Nitroglycer/D5W 50mg/250ml Bot 10 5 $363.00 $352.77 $3.20 $345.50 $301.85 2026-05-09
76706 CPT Aaa Screening Medicare 8 5 $371.00 $359.87 $241.15 $352.45 $300.51 2026-05-09
36680 CPT Insert Needle Bone Cavity 14 5 $457.00 $443.29 $114.66 $434.15 $300.48 2026-05-09
J2020 CPT Linezolid 600 Mg/300 Ml Bag 8 5 $333.00 $323.04 $216.47 $968.84 $300.23 2026-05-09
73050 CPT X-ray Ac Joints 8 5 $373.00 $361.81 $196.25 $354.35 $298.77 2026-05-09
86870 CPT Rbc Antibody Identif Panel 8 5 $367.00 $355.99 $238.55 $348.65 $297.27 2026-05-09
G0438 CPT Annual Wellness Visit Initial 6 5 $228.00 $221.16 $184.13 $358.02 $297.00 2026-05-09
94640 CPT Inhalation Treat Acute Initial 42 5 $353.00 $342.41 $208.65 $335.35 $292.99 2026-05-09
12013 CPT Repair Lac Simple 2.6-5.0 Cm 25 5 $350.00 $339.50 $109.90 $715.35 $290.50 2026-05-09
97162 CPT Pt Eval Mod Complexity 12 5 $347.00 $336.59 $225.55 $329.65 $288.01 2026-05-09
86711 CPT Jcv Ab (with Index) Reflex 8 5 $355.00 $344.35 $230.75 $337.25 $287.55 2026-05-09
92526 CPT Dysphagia Treatment 9 5 $346.00 $335.62 $224.90 $328.70 $287.18 2026-05-09
92507 CPT Speech Therapy Trmt 11 5 $343.00 $332.71 $222.95 $325.85 $284.69 2026-05-09
99292 CPT Critical Care Ea Addl 30 Min 14 5 $429.00 $416.13 $164.83 $407.55 $282.07 2026-05-09
12011 CPT Repair Lac Simple <2.5 Cm 25 5 $338.00 $327.86 $107.01 $715.35 $280.54 2026-05-09
80177 CPT Levetiracetam 10 5 $338.00 $327.86 $219.70 $321.10 $280.54 2026-05-09
86812 CPT Hla B27 8 5 $346.00 $335.62 $224.90 $328.70 $280.26 2026-05-09
97165 CPT Ot Eval Low Complexity 11 5 $335.00 $324.95 $217.75 $318.25 $278.05 2026-05-09
11102 CPT Tangential Biopsy 1st Lesion 14 5 $416.00 $403.52 $75.24 $395.20 $273.52 2026-05-09
11300 CPT Shave Lesion <0.5 Trunk Limbs 14 5 $416.00 $403.52 $67.60 $395.20 $273.52 2026-05-09
11104 CPT Punch Biopsy 1st Lesion 14 5 $416.00 $403.52 $92.98 $395.20 $273.52 2026-05-09
12002 CPT Repair Lac Simple 2.6-7.5 Cm 25 5 $329.00 $319.13 $112.84 $715.35 $273.07 2026-05-09
84305 CPT Somatomedin 8 5 $334.00 $323.98 $217.10 $317.30 $270.54 2026-05-09
90710 CPT Mmrv Subq 8 5 $337.00 $327.28 $98.13 $320.53 $270.25 2026-05-09
J3489 CPT Zoledron Ac/Man/H2O 5mg/100ml 17 5 $414.00 $402.39 $17.25 $394.10 $269.65 2026-05-09
30903 CPT Control Anterior Hemorrhage Lt 28 5 $488.00 $473.36 $149.60 $571.90 $268.72 2026-05-09
87147 CPT Penicillin Binding Protein 2a 11 5 $323.00 $313.31 $209.95 $306.85 $268.09 2026-05-09
76010 CPT X-ray Nose To Rectum 8 5 $297.00 $288.09 $193.05 $499.97 $267.75 2026-05-09
12001 CPT Repair Lac Simple <2.5 Cm 40 5 $281.00 $272.57 $86.23 $715.35 $266.95 2026-05-09
84590 CPT Vitamin A 8 5 $328.00 $318.16 $213.20 $311.60 $265.68 2026-05-09
73660 CPT X-ray Toe(s) 2 Views Rt 18 5 $320.00 $310.40 $66.51 $304.00 $265.60 2026-05-09
J0134 CPT Acetaminoph IV(Fresenius Kabi) 10 5 $319.00 $309.81 $21.48 $303.42 $265.09 2026-05-09
97163 CPT Pt Eval High Complexity 8 5 $327.00 $317.19 $212.55 $310.65 $264.87 2026-05-09
90633 CPT Hep A Vaccine Ped/Adol 2 Dose 8 5 $293.00 $284.89 $190.91 $319.14 $264.77 2026-05-09
29700 CPT Remove/Revise Body Cast Lt 14 5 $402.00 $389.94 $65.19 $381.90 $264.31 2026-05-09
86304 CPT Ca 125 10 5 $318.00 $308.46 $206.70 $302.10 $263.94 2026-05-09
72080 CPT X-ray Thoracolumbar Junc 2v 8 5 $329.00 $319.13 $79.40 $312.55 $263.53 2026-05-09
J2430 CPT Pamidronate 90 Mg/10 Ml Vial 8 5 $328.00 $318.23 $56.64 $311.67 $262.79 2026-05-09
85379 CPT D-dimer Quant 12 5 $312.00 $302.64 $202.80 $296.40 $260.16 2026-05-09
J3480 CPT D5/Ns Kcl 20 Meq 1000 Ml Bag 37 5 $313.00 $304.01 $9.57 $300.73 $260.13 2026-05-09
J0136 CPT Acetamin IV (b Braun) 1,000 Mg 8 5 $324.00 $315.01 $16.88 $308.51 $260.12 2026-05-09
73140 CPT X-ray Finger(s) Rt 19 5 $312.00 $302.64 $64.68 $296.40 $258.96 2026-05-09
J0131 CPT Acetaminophen 1000mg/100ml Via 8 5 $323.00 $313.32 $145.73 $306.86 $258.73 2026-05-09
J0744 CPT Ciproflox/D5W 200 Mg/100ml Bag 14 5 $309.00 $299.95 $5.85 $296.33 $257.78 2026-05-09
82397 CPT Igf Binding Protein 3 8 5 $318.00 $308.46 $206.70 $302.10 $257.58 2026-05-09
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