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

KNOX COUNTY HOSPITAL

Knox City, TX · CCN 451394 · Rates published

Your selected procedure

You selected 59400 (CPT)

Obstetric care, planned vaginal delivery

This hospital’s price: $2,094 across 7 payers · range $1,853-$2,917

Source: https://secure.claraprice.net/price-transparency/OCFA-1762447939949/machine-readable/750808798_knox-county-hospital-district_standardcharges.json · observed 2025-11-06

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

2,076 distinct procedures filed
8 distinct payers
21,898 rate rows
2025-11-06 last MRF observed
Data quality

20,731 of 21,898 rate rows are consumer-grade (94.7%)

1,167 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 636
template filing: same amount across many unrelated codes — excluded 472
per-diem day rate — not a per-procedure price 50
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 9
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://secure.claraprice.net/price-transparency/OCFA-1762447939949/machine-readable/750808798_knox-county-hospital-district_standardcharges.json
Found on page https://knoxhospital.org/cms-hpt.txt
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-01
Content fingerprint b6f238851fcdb963… · 5,225,805 bytes · first seen 2026-08-01

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
3000599
CDM 		Tnkase Kit 50 Mg (Er/op) 7 $13,502.00 $18,815.00 $14,277.00 nat. median
$13,502
1.1× median
3000829
CDM 		Digifab 40 Mg Vial 7 $8,098.00 $11,284.00 $8,562.50 nat. median
$8,098
1.1× median
3060713
CDM 		Crofab/ns Ivpb : 1gm/250ml 7 $5,181.00 $8,155.00 $5,852.00 nat. median
$5,852
1.0× median
J0840
HCPCS 		Crofab Inj 1 Gm 7 $5,181.00 $8,155.00 $5,852.00 nat. median
$3,427
1.7× median
35206
CPT 		Repair Blood Vessel Dir Upper Extremity 7 $4,077.00 $6,418.00 $4,606.00 nat. median
$3,652
1.3× median
37211
CPT 		Thrombolytic Art Therapy 7 $3,945.00 $6,210.00 $4,457.00 nat. median
$5,490
0.8× median
81162
CPT 		Brca 1/2 Comprehensive Analysis 7 $2,700.00 $4,250.00 $3,050.00 nat. median
$1,840
1.7× median
27831
CPT 		Treat Lower Leg Dislocation 7 $2,587.00 $4,072.00 $2,923.00 nat. median
$3,217
0.9× median
36558
CPT 		Bedside Central Line Insertion 7 $2,368.00 $3,728.00 $2,675.00 nat. median
$3,482
0.8× median
37212
CPT 		Thrombolytic Venous Therapy 7 $2,368.00 $3,728.00 $2,675.00 nat. median
$3,644
0.7× median
59510
CPT 		Obstetric Care, Planned Cesarean Delivery 7 $2,058.00 $3,240.00 $2,325.00 nat. median
$3,552
0.7× median
36555
CPT 		Insert Nt Central Ln < 5 7 $2,025.00 $3,188.00 $2,288.00 nat. median
$2,683
0.9× median
36556
CPT 		Cvp Catheter Placement 7 $1,728.00 $3,188.00 $2,288.00 nat. median
$2,458
0.9× median
3000739
CDM 		Feraheme 30 Mg/ Ml Inj 7 $2,135.00 $2,975.00 $2,257.50 nat. median
$245
outlier · 9.2×
59610
CPT 		Obstetric Care, Planned Vaginal Delivery (post Delivery By Cesarean Section) 7 $1,941.00 $3,056.00 $2,193.00 nat. median
$3,282
0.7× median
59400
CPT 		Obstetric Care, Planned Vaginal Delivery 7 $1,853.00 $2,917.00 $2,094.00 nat. median
$3,099
0.7× median
25260
CPT 		Repair Tendon Or Muscle Flexor Forear 7 $1,836.00 $2,890.00 $2,074.00 nat. median
$3,451
0.6× median
3000539
CDM 		Remdesivir 100 Mg Vial 7 $1,903.00 $2,652.00 $2,012.50 nat. median
$9
outlier · 236.1×
49180
CPT 		Needle Biopsy Abdominal 7 $1,512.00 $2,380.00 $1,708.00 nat. median
$1,770
1.0× median
11770
CPT 		Surgical Proc On Pilonidal Cyst 7 $1,485.00 $2,338.00 $1,678.00 nat. median
$2,839
0.6× median
26607
CPT 		Closed Tx Metacarpel W/ma 7 $1,080.00 $2,459.00 $1,650.00 nat. median
$3,135
0.5× median
78131
CPT 		Acetaminophen 1000 Mg/ 100 Ml Ivpb 7 $60.00 $3,044.00 $1,583.00 nat. median
$56
outlier · 28.3×
12037
CPT 		Lay Cl Tk&ext >30.0 7 $1,350.00 $2,125.00 $1,525.00 nat. median
$1,950
0.8× median
70553
CPT 		MRI Scan 7 $1,175.00 $1,850.00 $1,479.00 nat. median
$1,137
1.3× median
72156
CPT 		MRI C-spine Wo/w Contrast 7 $1,289.00 $2,029.00 $1,456.00 nat. median
$1,111
1.3× median
72158
CPT 		MRI L-spine Wo/w Contrast 7 $1,273.00 $2,004.00 $1,438.00 nat. median
$1,103
1.3× median
72157
CPT 		MRI T-spine Wo/w Contrast 7 $1,240.00 $1,952.00 $1,401.00 nat. median
$1,116
1.3× median
74183
CPT 		MRI Abdomen Without And With Contrast 7 $1,227.00 $1,931.00 $1,386.00 nat. median
$1,106
1.3× median
71552
CPT 		MRI Chest Wo/w Contrast 7 $1,226.00 $1,930.00 $1,385.00 nat. median
$1,103
1.3× median
70549
CPT 		MRA Neck Wo/w Contrast 7 $1,204.00 $1,896.00 $1,360.00 nat. median
$1,063
1.3× median
74178
CPT 		CT Abdomen And Pelvis Wo/w Contrast 7 $1,182.00 $1,861.00 $1,335.00 nat. median
$1,024
1.3× median
71551
CPT 		MRI Chest With Contrast 7 $1,179.00 $1,856.00 $1,332.00 nat. median
$1,151
1.2× median
72197
CPT 		MRI Pelvis Wo/w Contrast 7 $1,167.00 $1,837.00 $1,318.00 nat. median
$1,074
1.2× median
74182
CPT 		MRI Abdomen With Contrast 7 $1,122.00 $1,766.00 $1,268.00 nat. median
$995
1.3× median
73723
CPT 		MRI Lower Ext Any Joint W/wo Lt 7 $1,088.00 $1,713.00 $1,229.00 nat. median
$1,210
1.0× median
73223
CPT 		MRI Upper Ext Any Joint W/wo Lt 7 $1,088.00 $1,713.00 $1,229.00 nat. median
$1,177
1.0× median
26705
CPT 		Dislocation Knuckle W Man 7 $1,080.00 $1,700.00 $1,220.00 nat. median
$1,680
0.7× median
36569
CPT 		Insertion Of Picc; 5 Years And Older 7 $1,080.00 $1,700.00 $1,220.00 nat. median
$1,713
0.7× median
25505
CPT 		Cl Tx Radial W 7 $1,080.00 $1,700.00 $1,220.00 nat. median
$1,671
0.7× median
23655
CPT 		Dislocate Shoulder Cld W 7 $1,080.00 $1,700.00 $1,220.00 nat. median
$1,762
0.7× median
25565
CPT 		Cl Tx Wrist W/manipul 7 $1,080.00 $1,700.00 $1,220.00 nat. median
$1,655
0.7× median
72195
CPT 		MRI Pelvis Without Contrast 7 $1,078.00 $1,697.00 $1,218.00 nat. median
$802
1.5× median
71550
CPT 		MRI Chest Without Contrast 7 $1,052.00 $1,657.00 $1,189.00 nat. median
$821
1.4× median
10140
CPT 		Drainage Of Hematoma 7 $1,049.00 $1,651.00 $1,185.00 nat. median
$1,655
0.7× median
73720
CPT 		MRI Lower Ext Non Joint Wo/w Lt 7 $1,048.00 $1,649.00 $1,183.00 nat. median
$1,142
1.0× median
72149
CPT 		MRI L-spine With Contrast 7 $1,022.00 $1,608.00 $1,154.00 nat. median
$979
1.2× median
70546
CPT 		MRA Head Without And With 7 $1,018.00 $1,603.00 $1,150.00 nat. median
$1,051
1.1× median
74181
CPT 		MRI Abdomen Without Contrast 7 $1,018.00 $1,603.00 $1,150.00 nat. median
$829
1.4× median
70552
CPT 		MRI Brain With Contrast 7 $1,013.00 $1,594.00 $1,144.00 nat. median
$970
1.2× median
70543
CPT 		MRI Orbit Face And Or Neck Wo & With Cont 7 $1,005.00 $1,582.00 $1,135.00 nat. median
$1,083
1.0× median

Other procedures at this hospital

Browse this hospital's 2,076 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
             
3000599 CDM Tnkase Kit 50 Mg (Er/op) 8 7 $22,135.00 $22,135.00 $13,502.00 $18,815.00 $14,277.00 2025-11-06
3000829 CDM Digifab 40 Mg Vial 8 7 $13,275.00 $13,275.00 $8,098.00 $11,284.00 $8,562.50 2025-11-06
J0840 HCPCS Crofab Inj 1 Gm 9 7 $9,594.00 $9,594.00 $5,181.00 $8,155.00 $5,852.00 2025-11-06
3060713 CDM Crofab/ns Ivpb : 1gm/250ml 9 7 $9,594.00 $9,594.00 $5,181.00 $8,155.00 $5,852.00 2025-11-06
35206 CPT Repair Blood Vessel Dir Upper Extremity 9 7 $7,550.00 $7,550.00 $4,077.00 $6,418.00 $4,606.00 2025-11-06
37211 CPT Thrombolytic Art Therapy 9 7 $7,306.00 $7,306.00 $3,945.00 $6,210.00 $4,457.00 2025-11-06
81162 CPT Brca 1/2 Comprehensive Analysis 9 7 $5,000.00 $5,000.00 $2,700.00 $4,250.00 $3,050.00 2025-11-06
27831 CPT Treat Lower Leg Dislocation 9 7 $4,791.00 $4,791.00 $2,587.00 $4,072.00 $2,923.00 2025-11-06
36558 CPT Bedside Central Line Insertion 9 7 $4,386.00 $4,386.00 $2,368.00 $3,728.00 $2,675.00 2025-11-06
37212 CPT Thrombolytic Venous Therapy 9 7 $4,386.00 $4,386.00 $2,368.00 $3,728.00 $2,675.00 2025-11-06
59510 CPT Obstetric Care, Planned Cesarean Delivery 9 7 $3,812.00 $3,812.00 $2,058.00 $3,240.00 $2,325.00 2025-11-06
36555 CPT Insert Nt Central Ln < 5 9 7 $3,750.00 $3,750.00 $2,025.00 $3,188.00 $2,288.00 2025-11-06
36556 CPT Cvp Catheter Placement 18 7 $3,475.00 $3,475.00 $1,728.00 $3,188.00 $2,288.00 2025-11-06
3000739 CDM Feraheme 30 Mg/ Ml Inj 8 7 $3,500.00 $3,500.00 $2,135.00 $2,975.00 $2,257.50 2025-11-06
59610 CPT Obstetric Care, Planned Vaginal Delivery (post Delivery By Cesarean Section) 9 7 $3,595.00 $3,595.00 $1,941.00 $3,056.00 $2,193.00 2025-11-06
59400 CPT Obstetric Care, Planned Vaginal Delivery 9 7 $3,432.00 $3,432.00 $1,853.00 $2,917.00 $2,094.00 2025-11-06
25260 CPT Repair Tendon Or Muscle Flexor Forear 9 7 $3,400.00 $3,400.00 $1,836.00 $2,890.00 $2,074.00 2025-11-06
3000539 CDM Remdesivir 100 Mg Vial 8 7 $3,120.00 $3,120.00 $1,903.00 $2,652.00 $2,012.50 2025-11-06
49180 CPT Needle Biopsy Abdominal 9 7 $2,800.00 $2,800.00 $1,512.00 $2,380.00 $1,708.00 2025-11-06
11770 CPT Surgical Proc On Pilonidal Cyst 9 7 $2,750.00 $2,750.00 $1,485.00 $2,338.00 $1,678.00 2025-11-06
26607 CPT Closed Tx Metacarpel W/ma 18 7 $2,446.50 $2,446.50 $1,080.00 $2,459.00 $1,650.00 2025-11-06
78131 CPT Acetaminophen 1000 Mg/ 100 Ml Ivpb 27 7 $2,595.00 $2,595.00 $60.00 $3,044.00 $1,583.00 2025-11-06
12037 CPT Lay Cl Tk&ext >30.0 9 7 $2,500.00 $2,500.00 $1,350.00 $2,125.00 $1,525.00 2025-11-06
70553 CPT MRI Scan 13 7 $2,176.00 $2,176.00 $1,175.00 $1,850.00 $1,479.00 2025-11-06
72156 CPT MRI C-spine Wo/w Contrast 9 7 $2,387.00 $2,387.00 $1,289.00 $2,029.00 $1,456.00 2025-11-06
72158 CPT MRI L-spine Wo/w Contrast 9 7 $2,358.00 $2,358.00 $1,273.00 $2,004.00 $1,438.00 2025-11-06
72157 CPT MRI T-spine Wo/w Contrast 9 7 $2,297.00 $2,297.00 $1,240.00 $1,952.00 $1,401.00 2025-11-06
74183 CPT MRI Abdomen Without And With Contrast 9 7 $2,272.00 $2,272.00 $1,227.00 $1,931.00 $1,386.00 2025-11-06
71552 CPT MRI Chest Wo/w Contrast 9 7 $2,270.00 $2,270.00 $1,226.00 $1,930.00 $1,385.00 2025-11-06
70549 CPT MRA Neck Wo/w Contrast 9 7 $2,230.00 $2,230.00 $1,204.00 $1,896.00 $1,360.00 2025-11-06
74178 CPT CT Abdomen And Pelvis Wo/w Contrast 9 7 $2,189.00 $2,189.00 $1,182.00 $1,861.00 $1,335.00 2025-11-06
71551 CPT MRI Chest With Contrast 9 7 $2,183.00 $2,183.00 $1,179.00 $1,856.00 $1,332.00 2025-11-06
72197 CPT MRI Pelvis Wo/w Contrast 9 7 $2,161.00 $2,161.00 $1,167.00 $1,837.00 $1,318.00 2025-11-06
74182 CPT MRI Abdomen With Contrast 9 7 $2,078.00 $2,078.00 $1,122.00 $1,766.00 $1,268.00 2025-11-06
73223 CPT MRI Upper Ext Any Joint W/wo Lt 9 7 $2,015.00 $2,015.00 $1,088.00 $1,713.00 $1,229.00 2025-11-06
73723 CPT MRI Lower Ext Any Joint W/wo Lt 9 7 $2,015.00 $2,015.00 $1,088.00 $1,713.00 $1,229.00 2025-11-06
25505 CPT Cl Tx Radial W 9 7 $2,000.00 $2,000.00 $1,080.00 $1,700.00 $1,220.00 2025-11-06
36569 CPT Insertion Of Picc; 5 Years And Older 9 7 $2,000.00 $2,000.00 $1,080.00 $1,700.00 $1,220.00 2025-11-06
23655 CPT Dislocate Shoulder Cld W 9 7 $2,000.00 $2,000.00 $1,080.00 $1,700.00 $1,220.00 2025-11-06
26705 CPT Dislocation Knuckle W Man 9 7 $2,000.00 $2,000.00 $1,080.00 $1,700.00 $1,220.00 2025-11-06
25565 CPT Cl Tx Wrist W/manipul 9 7 $2,000.00 $2,000.00 $1,080.00 $1,700.00 $1,220.00 2025-11-06
72195 CPT MRI Pelvis Without Contrast 9 7 $1,997.00 $1,997.00 $1,078.00 $1,697.00 $1,218.00 2025-11-06
71550 CPT MRI Chest Without Contrast 9 7 $1,949.00 $1,949.00 $1,052.00 $1,657.00 $1,189.00 2025-11-06
10140 CPT Drainage Of Hematoma 9 7 $1,942.00 $1,942.00 $1,049.00 $1,651.00 $1,185.00 2025-11-06
73720 CPT MRI Lower Ext Non Joint Wo/w Lt 9 7 $1,940.00 $1,940.00 $1,048.00 $1,649.00 $1,183.00 2025-11-06
72149 CPT MRI L-spine With Contrast 9 7 $1,892.00 $1,892.00 $1,022.00 $1,608.00 $1,154.00 2025-11-06
70546 CPT MRA Head Without And With 9 7 $1,886.00 $1,886.00 $1,018.00 $1,603.00 $1,150.00 2025-11-06
74181 CPT MRI Abdomen Without Contrast 9 7 $1,886.00 $1,886.00 $1,018.00 $1,603.00 $1,150.00 2025-11-06
70552 CPT MRI Brain With Contrast 9 7 $1,875.00 $1,875.00 $1,013.00 $1,594.00 $1,144.00 2025-11-06
70543 CPT MRI Orbit Face And Or Neck Wo & With Cont 9 7 $1,861.00 $1,861.00 $1,005.00 $1,582.00 $1,135.00 2025-11-06
24200 CPT Rmvl Foreign Body-upper Arm 9 7 $1,850.00 $1,850.00 $999.00 $1,573.00 $1,129.00 2025-11-06
72142 CPT MRI C-spine With Contrast 9 7 $1,845.00 $1,845.00 $996.00 $1,568.00 $1,125.00 2025-11-06
72146 CPT MRI T-spine Without Contrast 9 7 $1,817.00 $1,817.00 $981.00 $1,544.00 $1,108.00 2025-11-06
72141 CPT MRI C-spine Without Contrast 9 7 $1,795.00 $1,795.00 $969.00 $1,526.00 $1,095.00 2025-11-06
70551 CPT MRI Brain Without Contrast 9 7 $1,781.00 $1,781.00 $962.00 $1,514.00 $1,086.00 2025-11-06
32551 CPT Chest Tube Insertion 9 7 $1,780.00 $1,780.00 $961.00 $1,513.00 $1,086.00 2025-11-06
72147 CPT MRI T-spine With Contrast 9 7 $1,776.00 $1,776.00 $959.00 $1,510.00 $1,083.00 2025-11-06
73721 CPT MRI Scan Of Leg Joint 9 7 $1,776.00 $1,776.00 $959.00 $1,510.00 $1,083.00 2025-11-06
73221 CPT MRI Upper Ext Any Joint Wo Lt 9 7 $1,776.00 $1,776.00 $959.00 $1,510.00 $1,083.00 2025-11-06
73220 CPT MRI Upper Ext Non Joint With Wo Lt 9 7 $1,764.00 $1,764.00 $953.00 $1,499.00 $1,076.00 2025-11-06
70545 CPT MRA Head With 9 7 $1,764.00 $1,764.00 $953.00 $1,499.00 $1,076.00 2025-11-06
72196 CPT MRI Pelvis With Contrast 9 7 $1,754.00 $1,754.00 $947.00 $1,491.00 $1,070.00 2025-11-06
23505 CPT Clavicle Reduction 9 7 $1,750.00 $1,750.00 $945.00 $1,488.00 $1,068.00 2025-11-06
75635 CPT CTA Complete Aorta W/runoffs 9 7 $1,750.00 $1,750.00 $945.00 $1,488.00 $1,068.00 2025-11-06
26645 CPT Fx/disloc Procedure On Hand/fingers 9 7 $1,750.00 $1,750.00 $945.00 $1,488.00 $1,068.00 2025-11-06
72148 CPT MRI Scan Of Lower Spinal Canal 9 7 $1,750.00 $1,750.00 $945.00 $1,488.00 $1,068.00 2025-11-06
23675 CPT Fx Or Dislocation Procedure Of Shoulder 9 7 $1,750.00 $1,750.00 $945.00 $1,488.00 $1,068.00 2025-11-06
73218 CPT MRI Upper Extremity Non Joint Wo Lt 9 7 $1,746.00 $1,746.00 $943.00 $1,484.00 $1,065.00 2025-11-06
70548 CPT MRA Neck With Contrast 9 7 $1,724.00 $1,724.00 $931.00 $1,465.00 $1,052.00 2025-11-06
24655 CPT Treat Radial Fracture 9 7 $1,700.00 $1,700.00 $918.00 $1,445.00 $1,037.00 2025-11-06
13152 CPT Cmplx Rpr E/n/e/l 2.6-7.5 Cm 9 7 $1,690.00 $1,690.00 $913.00 $1,437.00 $1,031.00 2025-11-06
71275 CPT CTA Chest With 18 7 $1,565.50 $1,565.50 $784.00 $1,428.00 $1,025.00 2025-11-06
70540 CPT MRI Orbit Face And/or Neck Without Contrast 9 7 $1,671.00 $1,671.00 $902.00 $1,420.00 $1,019.00 2025-11-06
99291 CPT ER Critical Care 9 7 $1,667.00 $1,667.00 $900.00 $1,417.00 $1,017.00 2025-11-06
74170 CPT CT Abdomen Wo/w Contrast 9 7 $1,662.00 $1,662.00 $897.00 $1,413.00 $1,014.00 2025-11-06
32556 CPT Introduction/removal Of Chest Tube 9 7 $1,659.00 $1,659.00 $896.00 $1,410.00 $1,012.00 2025-11-06
74175 CPT CTA Abdominal With 9 7 $1,650.00 $1,650.00 $891.00 $1,403.00 $1,007.00 2025-11-06
70544 CPT MRA Head Without 9 7 $1,641.00 $1,641.00 $886.00 $1,395.00 $1,001.00 2025-11-06
49082 CPT Paracentesis Abdom Dx/the 9 7 $1,600.00 $1,600.00 $864.00 $1,360.00 $976.00 2025-11-06
45330 CPT Sigmoidoscopy Exploration 9 7 $1,600.00 $1,600.00 $864.00 $1,360.00 $976.00 2025-11-06
3060738 CDM Remdesivir/ns Ivpb : 100mg/100ml 9 7 $1,560.00 $1,560.00 $842.00 $1,326.00 $952.00 2025-11-06
3060737 CDM Remdesivir/ns Ivpb (1st) : 200mg/250ml 9 7 $1,560.00 $1,560.00 $842.00 $1,326.00 $952.00 2025-11-06
74177 CPT CT Scan Of Abdomen And Pelvis With Contrast 9 7 $1,545.00 $1,545.00 $834.00 $1,313.00 $942.00 2025-11-06
81420 CPT Maternit 21+ 9 7 $1,500.00 $1,500.00 $810.00 $1,275.00 $915.00 2025-11-06
87536 CPT Hiv1 RNA By Pcr Reflex 9 7 $1,500.00 $1,500.00 $810.00 $1,275.00 $915.00 2025-11-06
78315 CPT CT Bones 3 Phase 9 7 $1,484.00 $1,484.00 $801.00 $1,261.00 $905.00 2025-11-06
73706 CPT CTA Bilateral Lower Ext 9 7 $1,450.00 $1,450.00 $783.00 $1,233.00 $885.00 2025-11-06
74176 CPT CT Abdomen And Pelvis Without Contrast 9 7 $1,435.00 $1,435.00 $775.00 $1,220.00 $875.00 2025-11-06
70547 CPT MRA Neck Without Contrast 9 7 $1,414.00 $1,414.00 $764.00 $1,202.00 $863.00 2025-11-06
21315 CPT Closed Treatment Of Nasal Bone Fx Without St 9 7 $1,382.00 $1,382.00 $746.00 $1,175.00 $843.00 2025-11-06
74160 CPT CT Abdomen With 3 Phase 18 7 $1,189.50 $1,189.50 $556.00 $1,148.00 $823.50 2025-11-06
74185 CPT MRA Abdomen Without Or With 9 7 $1,345.00 $1,345.00 $726.00 $1,143.00 $820.00 2025-11-06
71555 CPT MRA Chest W Or Wo 9 7 $1,345.00 $1,345.00 $726.00 $1,143.00 $820.00 2025-11-06
70336 CPT MRI Tmj 9 7 $1,345.00 $1,345.00 $726.00 $1,143.00 $820.00 2025-11-06
72198 CPT MRA Pelvis With Or Without 9 7 $1,345.00 $1,345.00 $726.00 $1,143.00 $820.00 2025-11-06
76390 CPT MRI Spectroscopy 9 7 $1,345.00 $1,345.00 $726.00 $1,143.00 $820.00 2025-11-06
72159 CPT MRA Spinal Canal And Contents With Or Wo 9 7 $1,345.00 $1,345.00 $726.00 $1,143.00 $820.00 2025-11-06
73718 CPT MRI Lower Ext Non Joint Wo Lt 9 7 $1,345.00 $1,345.00 $726.00 $1,143.00 $820.00 2025-11-06
77058 CPT *Dnu MRI Breast Left Wo/w Contrast 9 7 $1,345.00 $1,345.00 $726.00 $1,143.00 $820.00 2025-11-06
77059 CPT *Dnu MRI Breast Bilat Wo/w Contrast 9 7 $1,345.00 $1,345.00 $726.00 $1,143.00 $820.00 2025-11-06
99285 CPT Emergency Room Level 5 9 7 $1,262.00 $1,262.00 $681.00 $1,073.00 $770.00 2025-11-06
73206 CPT CTA Bilateral Upper Ext 27 7 $1,250.00 $1,250.00 $459.00 $1,445.00 $763.00 2025-11-06
62270 CPT Spinal Tab Lumbar 9 7 $1,250.00 $1,250.00 $675.00 $1,063.00 $763.00 2025-11-06
73702 CPT CT Lower Extremity Left Wo/w Contrast 18 7 $1,216.50 $1,216.50 $641.00 $1,059.00 $760.00 2025-11-06
73202 CPT CT Upper Ext Wo & W Contrast 18 7 $1,216.50 $1,216.50 $641.00 $1,059.00 $760.00 2025-11-06
70488 CPT CT Maxillofacial Wo/w Contrast 9 7 $1,216.00 $1,216.00 $657.00 $1,034.00 $742.00 2025-11-06
72133 CPT CT Lumbar Spine Wo/w Contrast 9 7 $1,206.00 $1,206.00 $651.00 $1,025.00 $736.00 2025-11-06
70491 CPT CT Soft Tissue Neck With Contrast 9 7 $1,202.00 $1,202.00 $649.00 $1,022.00 $733.00 2025-11-06
87633 CPT Adenovirus 18 7 $1,152.50 $1,152.50 $597.00 $1,020.00 $732.00 2025-11-06
0202U CPT Respiratory Profile 2 9 7 $1,200.00 $1,200.00 $648.00 $1,020.00 $732.00 2025-11-06
70470 CPT CT Head Wo/w Contrast 9 7 $1,170.00 $1,170.00 $632.00 $995.00 $714.00 2025-11-06
70496 CPT CTA Head W Or Wo 9 7 $1,156.00 $1,156.00 $624.00 $983.00 $705.00 2025-11-06
73201 CPT CT Upper Ext With Contrast 18 7 $1,148.00 $1,148.00 $619.00 $978.00 $702.00 2025-11-06
70498 CPT CTA Neck Carotids 9 7 $1,150.00 $1,150.00 $621.00 $978.00 $702.00 2025-11-06
72126 CPT CT C Spine With Contrast 9 7 $1,146.00 $1,146.00 $619.00 $974.00 $699.00 2025-11-06
72132 CPT CT Lumbar With Contrast 9 7 $1,146.00 $1,146.00 $619.00 $974.00 $699.00 2025-11-06
71270 CPT CT Chest Wo/w Contrast 9 7 $1,139.00 $1,139.00 $615.00 $968.00 $695.00 2025-11-06
71250 CPT CT Chest Without Contrast 27 7 $1,047.00 $1,047.00 $564.00 $958.00 $687.00 2025-11-06
71260 CPT CT Chest With IV Contrast 9 7 $1,103.00 $1,103.00 $596.00 $938.00 $673.00 2025-11-06
86355 CPT Cd 19 18 7 $1,061.00 $1,061.00 $336.00 $1,275.00 $669.50 2025-11-06
72127 CPT CT C Spine Wo/w Contrast 9 7 $1,095.00 $1,095.00 $591.00 $931.00 $668.00 2025-11-06
81500 CPT Ovarian Malignancy Risk(roma) 9 7 $1,086.00 $1,086.00 $586.00 $923.00 $662.00 2025-11-06
73200 CPT CT Upper Ext Wo Contrast 18 7 $1,030.00 $1,030.00 $543.00 $897.00 $644.00 2025-11-06
10121 CPT Foreign Body Subcue Co 18 7 $1,108.00 $1,108.00 $148.00 $1,651.00 $641.00 2025-11-06
70487 CPT CT Maxillofacial With Contrast 9 7 $1,044.00 $1,044.00 $564.00 $887.00 $637.00 2025-11-06
72130 CPT CT T Spine Wo/ W Contrast 9 7 $1,034.00 $1,034.00 $558.00 $879.00 $631.00 2025-11-06
72131 CPT CT Lumbar Spine Without Contrast 9 7 $1,010.00 $1,010.00 $545.00 $859.00 $616.00 2025-11-06
70460 CPT CT Head With Contrast 9 7 $1,004.00 $1,004.00 $542.00 $853.00 $612.00 2025-11-06
92961 CPT Cardioversion Internal 9 7 $1,000.00 $1,000.00 $540.00 $850.00 $610.00 2025-11-06
G0379 HCPCS Observation Direct Admit 9 7 $1,000.00 $1,000.00 $540.00 $850.00 $610.00 2025-11-06
94002 CPT Ventilator 9 7 $1,000.00 $1,000.00 $540.00 $850.00 $610.00 2025-11-06
64461 CPT Inj Nerve Block-somatic Nerves 9 7 $1,000.00 $1,000.00 $540.00 $850.00 $610.00 2025-11-06
70480 CPT CT Orbit Wo/w Contrast 9 7 $997.00 $997.00 $538.00 $847.00 $608.00 2025-11-06
70481 CPT CT Orbit With Contrast 9 7 $997.00 $997.00 $538.00 $847.00 $608.00 2025-11-06
8004067 CDM Etonogestrel 68mg Impland(clinic Only) 8 7 $943.00 $943.00 $575.00 $802.00 $608.00 2025-11-06
70482 CPT CT Orbit Without Contrast 9 7 $991.00 $991.00 $535.00 $842.00 $605.00 2025-11-06
72191 CPT CTA Pelvis 9 7 $980.00 $980.00 $529.00 $833.00 $598.00 2025-11-06
72194 CPT CT Pelvis Wo/w Contrast 9 7 $980.00 $980.00 $529.00 $833.00 $598.00 2025-11-06
20611 CPT Arthrocentesis Aspir &/Inj Major Jtbursa 9 7 $979.00 $979.00 $529.00 $832.00 $597.00 2025-11-06
72129 CPT CT T Spine With Contrast 9 7 $974.00 $974.00 $526.00 $828.00 $594.00 2025-11-06
73701 CPT CT Lower Extremity Left With Contrast 18 7 $936.00 $936.00 $493.00 $815.00 $585.00 2025-11-06
70486 CPT CT Maxillofacial Without Contrast 9 7 $958.00 $958.00 $517.00 $814.00 $584.00 2025-11-06
70490 CPT CT Soft Tissue Neck Without 9 7 $958.00 $958.00 $517.00 $814.00 $584.00 2025-11-06
72193 CPT CT Scan Of Pelvis With Contrast 9 7 $958.00 $958.00 $517.00 $814.00 $584.00 2025-11-06
74150 CPT CT Abdomen Without Contrast 9 7 $958.00 $958.00 $517.00 $814.00 $584.00 2025-11-06
70492 CPT CT Soft Tissue Wo/w 9 7 $958.00 $958.00 $517.00 $814.00 $584.00 2025-11-06
72125 CPT CT C Spine Without Contrast 9 7 $958.00 $958.00 $517.00 $814.00 $584.00 2025-11-06
A0433 HCPCS Als Emergency Als2 9 7 $950.00 $950.00 $513.00 $808.00 $580.00 2025-11-06
81432 CPT Empower 9 7 $950.00 $950.00 $513.00 $808.00 $580.00 2025-11-06
3600001 CDM Bb Platelet 9 7 $945.00 $945.00 $510.00 $803.00 $576.00 2025-11-06
72192 CPT CT Pelvis Without Contrast 9 7 $938.00 $938.00 $507.00 $797.00 $572.00 2025-11-06
3000334 CDM Levemir Inj 100 Unit/ Ml 9 7 $925.00 $925.00 $500.00 $786.00 $564.00 2025-11-06
72128 CPT CT T Spine Without Contrast 9 7 $913.00 $913.00 $493.00 $776.00 $557.00 2025-11-06
J3489 HCPCS Zoledronic Acid 5 Mg/100 Ml Inj 9 7 $900.00 $900.00 $486.00 $765.00 $549.00 2025-11-06
G0390 HCPCS Trauma Response W/hosp Critical Care 9 7 $892.00 $892.00 $482.00 $758.00 $544.00 2025-11-06
150183 CDM Trauma Response Without Hosp Critical Care 9 7 $892.00 $892.00 $482.00 $758.00 $544.00 2025-11-06
70450 CPT CT Scan 9 7 $891.00 $891.00 $481.00 $757.00 $544.00 2025-11-06
80050 CPT General Health Panel 27 7 $892.00 $892.00 $157.00 $787.00 $544.00 2025-11-06
3000256 CDM Glucagon Vial 1 Mg 8 7 $840.00 $840.00 $512.00 $714.00 $541.50 2025-11-06
92953 CPT External Pacing Temporary 9 7 $880.00 $880.00 $475.00 $748.00 $537.00 2025-11-06
99284 CPT Emergency Room Level 4 9 7 $880.00 $880.00 $475.00 $748.00 $537.00 2025-11-06
J1815 HCPCS Lantus 100 U/ml 10ml Vial 9 7 $877.00 $877.00 $474.00 $745.00 $535.00 2025-11-06
13153 CPT Cmplx Rpr E/n/e/l Addl 5cm/< 9 7 $867.00 $867.00 $468.00 $737.00 $529.00 2025-11-06
3000551 CDM Santyl Oint 250 U/gm 9 7 $864.00 $864.00 $467.00 $734.00 $527.00 2025-11-06
81235 CPT Egfr Testing 9 7 $861.00 $861.00 $465.00 $732.00 $525.00 2025-11-06
45331 CPT Sigmoidoscopy Biopsy 9 7 $850.00 $850.00 $459.00 $723.00 $519.00 2025-11-06
64420 CPT Intercostal Nerve Block 9 7 $850.00 $850.00 $459.00 $723.00 $519.00 2025-11-06
20103 CPT Exploration Of Wound 9 7 $850.00 $850.00 $459.00 $723.00 $519.00 2025-11-06
36430 CPT Infuse 2 U Lrc 9 7 $850.00 $850.00 $459.00 $723.00 $519.00 2025-11-06
13151 CPT Repair Com Lip 1.1-2.5 9 7 $850.00 $850.00 $459.00 $723.00 $519.00 2025-11-06
13101 CPT Complex Wound Repair 2.6cm To 7.5cm 9 7 $850.00 $850.00 $459.00 $723.00 $519.00 2025-11-06
28190 CPT Removal Foreign Body Foot 9 7 $850.00 $850.00 $459.00 $723.00 $519.00 2025-11-06
64445 CPT Sciatic Nerve Block 9 7 $850.00 $850.00 $459.00 $723.00 $519.00 2025-11-06
13100 CPT Wound Repair Complex 13100 9 7 $802.00 $802.00 $433.00 $682.00 $489.00 2025-11-06
77075 CPT Skeletal Survey Complete 9 7 $800.00 $800.00 $432.00 $680.00 $488.00 2025-11-06
13121 CPT Repair Com Sc/ext 2.6/7.5 9 7 $800.00 $800.00 $432.00 $680.00 $488.00 2025-11-06
5600007 CDM Voluma 9 7 $800.00 $800.00 $432.00 $680.00 $488.00 2025-11-06
93306 CPT US Echo Complete 18 7 $704.50 $704.50 $329.00 $680.00 $487.50 2025-11-06
J7327 HCPCS Monovisc Inj 9 7 $799.00 $799.00 $431.00 $679.00 $487.00 2025-11-06
12036 CPT Lay Cl Tk&ext 20.1-30.0 9 7 $780.00 $780.00 $421.00 $663.00 $476.00 2025-11-06
3000584 CDM Symbicort Inh 160/4.5 Mcg 9 7 $758.00 $758.00 $409.00 $644.00 $462.00 2025-11-06
93970 CPT US Extremity Vein Bilateral 18 7 $737.00 $737.00 $389.00 $641.00 $460.00 2025-11-06
86902 CPT Unit Screen 9 7 $752.00 $752.00 $406.00 $639.00 $459.00 2025-11-06
86905 CPT Bb Antigen Screen 9 7 $752.00 $752.00 $406.00 $639.00 $459.00 2025-11-06
16000 CPT Burn Treatment Initial 9 7 $750.00 $750.00 $405.00 $638.00 $458.00 2025-11-06
12044 CPT Repair Int N H F 7.6 T 9 7 $750.00 $750.00 $405.00 $638.00 $458.00 2025-11-06
73700 CPT CT Lower Extremity Left Without Contrast 18 7 $730.50 $730.50 $384.00 $637.00 $457.00 2025-11-06
16918 CPT Novolin N (Nph) 10ml Insulin 9 7 $735.00 $735.00 $397.00 $625.00 $448.00 2025-11-06
93880 CPT US Carotid Doppler Bilat 9 7 $735.00 $735.00 $397.00 $625.00 $448.00 2025-11-06
3000274 CDM Novolin N Insulin 10 Ml Vial 9 7 $733.00 $733.00 $396.00 $623.00 $447.00 2025-11-06
3000490 CDM Penicillin G Inj 1.2 Mu/2 Ml 8 7 $690.00 $690.00 $421.00 $587.00 $445.00 2025-11-06
1250001 CDM Hospice Inpatient 9 7 $711.00 $711.00 $384.00 $604.00 $434.00 2025-11-06
12006 CPT Repair Over 20.1-30 Cm 9 7 $700.00 $700.00 $378.00 $595.00 $427.00 2025-11-06
12005 CPT Lac Repair(sc)12.6-20.0 9 7 $700.00 $700.00 $378.00 $595.00 $427.00 2025-11-06
13131 CPT Complex Repair Forehead Cheeks Chin M 9 7 $700.00 $700.00 $378.00 $595.00 $427.00 2025-11-06
12056 CPT Intmd Repair Face/eyelids 20.1-30.0 9 7 $700.00 $700.00 $378.00 $595.00 $427.00 2025-11-06
93242 CPT Xr Holter Monitor >48 Hr<7days 9 7 $700.00 $700.00 $378.00 $595.00 $427.00 2025-11-06
12035 CPT Lay Cl S/tk&ext 12.6-20.0 9 7 $700.00 $700.00 $378.00 $595.00 $427.00 2025-11-06
78161 CPT Ciprodex Otic Susp 9 7 $700.00 $700.00 $378.00 $595.00 $427.00 2025-11-06
12034 CPT Lay Cl Slp/ext/tk7.6-12.5 9 7 $700.00 $700.00 $378.00 $595.00 $427.00 2025-11-06
12016 CPT Lac Repair(face)12.6-20.0 9 7 $700.00 $700.00 $378.00 $595.00 $427.00 2025-11-06
77081 CPT Dx Bone Density Radius Ulna 9 7 $696.00 $696.00 $376.00 $592.00 $425.00 2025-11-06
93925 CPT Vs US Lower Ext Arteries Bil With Abi's 9 7 $693.00 $693.00 $374.00 $589.00 $423.00 2025-11-06
J0561 HCPCS Cl-penicillin G Inj 1.2 Mu/2 Ml 9 7 $690.00 $690.00 $373.00 $587.00 $421.00 2025-11-06
87912 CPT Hepatitis B Virus (Hbv) Genotype 9 7 $683.00 $683.00 $369.00 $581.00 $417.00 2025-11-06
87902 CPT Hepatitis C Genotype 9 7 $683.00 $683.00 $369.00 $581.00 $417.00 2025-11-06
12051 CPT Repair Int Facial 2.5 9 7 $680.00 $680.00 $367.00 $578.00 $415.00 2025-11-06
52000 CPT Pneumococcal 20 Val Conj Vacc Im(pcv20) 9 7 $680.00 $680.00 $367.00 $578.00 $415.00 2025-11-06
12041 CPT Lac Repair Of Hands Feet Neck Or Genit 9 7 $660.00 $660.00 $356.00 $561.00 $403.00 2025-11-06
92977 CPT ER Tnk Administration 9 7 $655.00 $655.00 $354.00 $557.00 $400.00 2025-11-06
86042 CPT Acetylcholine Receptor(achr)-blocking Ab 9 7 $650.00 $650.00 $351.00 $553.00 $397.00 2025-11-06
16030 CPT Burn Debridge/dress >10% 9 7 $650.00 $650.00 $351.00 $553.00 $397.00 2025-11-06
5600006 CDM Vollure 9 7 $650.00 $650.00 $351.00 $553.00 $397.00 2025-11-06
12054 CPT Lay Cl Face 7.6-12.5 9 7 $650.00 $650.00 $351.00 $553.00 $397.00 2025-11-06
86043 CPT Acetylcholine Receptor(achr)-modulating 9 7 $650.00 $650.00 $351.00 $553.00 $397.00 2025-11-06
86041 CPT Myasthenia Gravis Panel 9 7 $650.00 $650.00 $351.00 $553.00 $397.00 2025-11-06
12031 CPT Repair Int 2.5 9 7 $650.00 $650.00 $351.00 $553.00 $397.00 2025-11-06
64447 CPT Femoral Nerve Block 9 7 $649.00 $649.00 $350.00 $552.00 $396.00 2025-11-06
10160 CPT Aspirate Abscess Cyst B 9 7 $630.00 $630.00 $340.00 $536.00 $384.00 2025-11-06
64450 CPT Nerve Block 18 7 $599.50 $599.50 $188.00 $723.00 $378.00 2025-11-06
200003 CDM Nh-als Emergency Transpor 9 7 $618.00 $618.00 $334.00 $525.00 $377.00 2025-11-06
36680 CPT Ed Insert Ezio 18 7 $556.00 $556.00 $243.00 $563.00 $371.50 2025-11-06
3000733 CDM Nitroglycerin Lingual Spray 400 Mcg 8 7 $575.00 $575.00 $351.00 $489.00 $371.00 2025-11-06
93886 CPT US Transcranial Doppler Complete 9 7 $597.00 $597.00 $322.00 $507.00 $364.00 2025-11-06
93978 CPT US Duplex Scan Aorta Comp 9 7 $591.00 $591.00 $319.00 $502.00 $361.00 2025-11-06
3000201 CDM Epi Pen Inj 0.15 Mg/0.15 Ml 8 7 $550.00 $550.00 $336.00 $468.00 $355.00 2025-11-06
A0429 HCPCS Bls Emergency 9 7 $576.00 $576.00 $311.00 $490.00 $351.00 2025-11-06
5600004 CDM Ultra 9 7 $575.00 $575.00 $311.00 $489.00 $351.00 2025-11-06
5600005 CDM Ultra Plus 9 7 $575.00 $575.00 $311.00 $489.00 $351.00 2025-11-06
93971 CPT US Extremity Vein Unilateral Lt 27 7 $543.00 $543.00 $276.00 $485.00 $348.00 2025-11-06
A0427 HCPCS Als Emergency 18 7 $529.50 $529.50 $207.00 $574.00 $345.50 2025-11-06
93923 CPT Vs Arterial Extremity Doppler Multi 18 7 $511.00 $511.00 $247.00 $480.00 $345.00 2025-11-06
93017 CPT Cr Cardiac Stress Test 9 7 $564.00 $564.00 $305.00 $479.00 $344.00 2025-11-06
93307 CPT US Echo 2d Wo Spectral 18 7 $516.00 $516.00 $222.00 $527.00 $342.50 2025-11-06
99283 CPT Emergency Room Level 3 9 7 $559.00 $559.00 $302.00 $475.00 $341.00 2025-11-06
41250 CPT Lac Repair Tongue <2.5 Cm 9 7 $550.00 $550.00 $297.00 $468.00 $336.00 2025-11-06
J0165 HCPCS Cl-epi Pen Inj 0.3 Mg/0.3 Ml 27 7 $550.00 $550.00 $70.00 $525.00 $336.00 2025-11-06
20600 CPT Asp/inj Sm Joint 9 7 $550.00 $550.00 $297.00 $468.00 $336.00 2025-11-06
20550 CPT Inject Trigger Point 9 7 $550.00 $550.00 $297.00 $468.00 $336.00 2025-11-06
93930 CPT Vs Bilat Upper Ext Arterial Doppler 9 7 $550.00 $550.00 $297.00 $468.00 $336.00 2025-11-06
350007 CDM Bam Adm Monitoring 9 7 $550.00 $550.00 $297.00 $468.00 $336.00 2025-11-06
12052 CPT Lay Cl Face 2.6-5.0 9 7 $550.00 $550.00 $297.00 $468.00 $336.00 2025-11-06
65220 CPT Removal Fb Eye Complex 9 7 $550.00 $550.00 $297.00 $468.00 $336.00 2025-11-06
12042 CPT Lay Cl Neck 2.6-7.5 9 7 $550.00 $550.00 $297.00 $468.00 $336.00 2025-11-06
56405 CPT I&d Vulva Abscess 9 7 $550.00 $550.00 $297.00 $468.00 $336.00 2025-11-06
12032 CPT Lay Cl Tk&ext 2.6-7.5 9 7 $550.00 $550.00 $297.00 $468.00 $336.00 2025-11-06
94375 CPT Pft Flow Volume Loop 9 7 $550.00 $550.00 $297.00 $468.00 $336.00 2025-11-06
350006 CDM Regen Adm Monitoring 9 7 $550.00 $550.00 $297.00 $468.00 $336.00 2025-11-06
90670 CPT Prevnar 13 33 7 $419.00 $419.00 $206.00 $578.00 $335.00 2025-11-06
93975 CPT US Abd Duplex Complete 9 7 $549.00 $549.00 $296.00 $467.00 $335.00 2025-11-06
72010 CPT *Dnu Xr Complete Spine 2v 9 7 $548.00 $548.00 $296.00 $466.00 $334.00 2025-11-06
41800 CPT Drainage Of Gum Lesion 9 7 $540.00 $540.00 $292.00 $459.00 $329.00 2025-11-06
64400 CPT Njx Aa&/strd Trigeminal Nrv 9 7 $540.00 $540.00 $292.00 $459.00 $329.00 2025-11-06
20610 CPT Arthrocentesis I/d Maj 36 7 $532.50 $532.50 $112.00 $468.00 $326.00 2025-11-06
77080 CPT Dx Bone Density Hips Pelvis 9 7 $522.00 $522.00 $282.00 $444.00 $318.00 2025-11-06
200005 CDM Nh-bls Emergency Transfer 9 7 $521.00 $521.00 $281.00 $443.00 $318.00 2025-11-06
93976 CPT US Abdominal Duplex Scan Limited 9 7 $516.00 $516.00 $279.00 $439.00 $315.00 2025-11-06
J1610 HCPCS Cl-glucagon Kit 1 Mg 9 7 $515.00 $515.00 $278.00 $438.00 $314.00 2025-11-06
74250 CPT Xr Small Bowel Follow Through 9 7 $511.00 $511.00 $276.00 $434.00 $312.00 2025-11-06
3001096 CDM Rifampin 600mg Vial 8 7 $482.00 $482.00 $294.00 $410.00 $311.00 2025-11-06
71271 CPT CT Chest Low Dose Screening 9 7 $500.00 $500.00 $270.00 $425.00 $305.00 2025-11-06
29355 CPT Cast Long Leg Walking 9 7 $500.00 $500.00 $270.00 $425.00 $305.00 2025-11-06
29065 CPT Under Body/upper Ext App Of Cast 9 7 $500.00 $500.00 $270.00 $425.00 $305.00 2025-11-06
86885 CPT Bb Antibody Screen 18 7 $440.50 $440.50 $206.00 $425.00 $305.00 2025-11-06
87426 CPT Veritor Rapid Sars-cov-2 9 7 $500.00 $500.00 $270.00 $425.00 $305.00 2025-11-06
27230 CPT Cl Tx Femor Neck Wo Manip 18 7 $474.50 $474.50 $243.00 $424.00 $304.00 2025-11-06
3000200 CDM Epi Pen Inj 0.3 Mg/0.3 Ml 8 7 $470.00 $470.00 $287.00 $400.00 $303.50 2025-11-06
12055 CPT Lay Cl Face 12.6-20.0 18 7 $445.00 $445.00 $198.00 $445.00 $302.00 2025-11-06
23570 CPT Closed Tx Scapular Fracture Without Manip 9 7 $493.00 $493.00 $266.00 $419.00 $301.00 2025-11-06
81403 CPT Jak-2 Mutation Qualitative 9 7 $491.00 $491.00 $265.00 $417.00 $300.00 2025-11-06
37195 CPT Tpa 9 7 $489.00 $489.00 $264.00 $416.00 $298.00 2025-11-06
37618 CPT Arterial Ligation Ext 9 7 $487.00 $487.00 $263.00 $414.00 $297.00 2025-11-06
20525 CPT Foreign Body Muscle De 9 7 $487.00 $487.00 $263.00 $414.00 $297.00 2025-11-06
93926 CPT Vs US Lower Ext Arteries Uni W Abi's Lt 9 7 $487.00 $487.00 $263.00 $414.00 $297.00 2025-11-06
74400 CPT Xr Ivp Pyelogram 9 7 $483.00 $483.00 $261.00 $411.00 $295.00 2025-11-06
76700 CPT Ultrasound Of Abdomen 9 7 $483.00 $483.00 $261.00 $411.00 $295.00 2025-11-06
77078 CPT CT Bone Density 1 Or More Sites 18 7 $473.00 $473.00 $135.00 $592.00 $294.50 2025-11-06
29405 CPT Cast Short Leg Walking 9 7 $480.00 $480.00 $259.00 $408.00 $293.00 2025-11-06
3000971 CDM Cl-menveo Intramuscular Kit 8 7 $445.00 $445.00 $271.00 $378.00 $287.00 2025-11-06
81517 CPT Enhanced Liver Fibrosis 18 7 $516.50 $516.50 $18.00 $850.00 $284.00 2025-11-06
76817 CPT US Pregnant Transvaginal 9 7 $457.00 $457.00 $247.00 $388.00 $279.00 2025-11-06
43753 CPT Gastric Intubation And Aspiration 9 7 $450.00 $450.00 $243.00 $383.00 $275.00 2025-11-06
93931 CPT Vs Upper Ext Arterial Unilat Lt 9 7 $451.00 $451.00 $244.00 $383.00 $275.00 2025-11-06
27824 CPT Cl Tx Distal Tibia Without 18 7 $425.00 $425.00 $216.00 $383.00 $275.00 2025-11-06
26740 CPT Cl Tx Finger Joint Without 9 7 $450.00 $450.00 $243.00 $383.00 $275.00 2025-11-06
99292 CPT ER Critiral Care Ea + 30m 9 7 $451.00 $451.00 $244.00 $383.00 $275.00 2025-11-06
24530 CPT Under Fx/dislocation Procedure-humerus 9 7 $450.00 $450.00 $243.00 $383.00 $275.00 2025-11-06
A0426 HCPCS Als Non-emergency Als1 9 7 $449.00 $449.00 $242.00 $382.00 $274.00 2025-11-06
3000373 CDM Lumigan Opth Sol 0.01% 9 7 $445.00 $445.00 $240.00 $378.00 $271.00 2025-11-06
27750 CPT Cl Tx Tib/fib Shaft Without 18 7 $392.00 $392.00 $180.00 $383.00 $271.00 2025-11-06
93924 CPT US Low Ext Artery Complete 9 7 $437.00 $437.00 $236.00 $371.00 $267.00 2025-11-06
3000458 CDM Novolog Vial 100 U/ml 9 7 $435.00 $435.00 $235.00 $370.00 $265.00 2025-11-06
3000480 CDM Oseltamivir Os 6 Mg/ml 8 7 $410.00 $410.00 $250.00 $349.00 $264.50 2025-11-06
76830 CPT Ultrasound Pelvis Through Vagina 9 7 $433.00 $433.00 $234.00 $368.00 $264.00 2025-11-06
3000723 CDM Urea Topical Cream 40% 8 7 $403.00 $403.00 $246.00 $343.00 $260.00 2025-11-06
3000134 CDM Cortisporin Opth Susp 7.5ml 9 7 $426.00 $426.00 $230.00 $362.00 $260.00 2025-11-06
23071 CPT Excision Tumor Shoulder > 3cm 9 7 $424.00 $424.00 $229.00 $360.00 $259.00 2025-11-06
76856 CPT US Pelvis Complete 9 7 $424.00 $424.00 $229.00 $360.00 $259.00 2025-11-06
28630 CPT Dislocation Toe Without 9 7 $425.00 $425.00 $230.00 $361.00 $259.00 2025-11-06
28470 CPT Closed Tx Metatarsal Without 9 7 $425.00 $425.00 $230.00 $361.00 $259.00 2025-11-06
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