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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

KANE COUNTY HOSPITAL

Kanab, UT · CCN 461309 · Rates published

19,866 distinct procedures filed
29 distinct payers
403,968 rate rows
2026-05-13 last MRF observed
Data quality

194,645 of 403,968 rate rows are consumer-grade (48.2%)

209,323 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 196,269
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 13,039
percent-of-charges filed in the dollar field — excluded from medians 15
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://kaneco.goredde.com/Estimator/Files/87-0467930_Kane_County_Hospital_standardcharges.csv
Found on page https://kaneco.goredde.com/Estimator/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 9a9becd6cfdd1552… · 75,788,953 bytes · first seen 2026-05-13

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
J2997
HCPCS 		Alteplase 100 Mg Rec (kch) 15 $12,540.51 $13,200.54 $13,200.54 nat. median
$545
outlier · 24.2×
J3380
HCPCS 		Vedolizumab 300 Mg Rec [kch] 15 $10,991.35 $11,569.85 $11,569.85 nat. median
$280
outlier · 41.3×
Q5111
HCPCS 		Pegfilgrastim Cbqv 6 Mg/0.6 Ml Sol [kch] 15 $5,949.37 $6,262.50 $6,262.50 nat. median
$2,102
outlier · 3.0×
39503
CPT 		Repair Of Diaphragm Hernia 15 $5,628.12 $5,628.12 $5,628.12 nat. median
$5,632
1.0× median
C1713
HCPCS 		5.5mm Bc Corkscrew Ft With Suturetape 15 $5,058.75 $5,325.00 $5,325.00 nat. median
$836
outlier · 6.4×
47135
CPT 		Transplantation Of Liver 15 $5,247.49 $5,247.49 $5,247.49 nat. median
$6,106
0.9× median
0191T
CPT 		Insert Anterior Segment Drainage Device, Internal 20 $4,750.00 $5,000.00 $5,000.00 nat. median
$7,048
0.7× median
43116
CPT 		Partial Removal Of Esophagus 15 $4,810.40 $4,810.40 $4,810.40 nat. median
$4,955
1.0× median
49605
CPT 		Repair Umbilical Lesion 15 $4,809.09 $4,809.09 $4,809.09 nat. median
$4,895
1.0× median
33935
CPT 		Transplantation Heart/lung 15 $4,767.16 $4,767.16 $4,767.16 nat. median
$5,445
0.9× median
J2182
HCPCS 		Mepolizumab 100 Mg Rec [kch] 15 $4,512.96 $4,750.48 $4,750.48 nat. median
$3,087
1.5× median
33945
CPT 		Transplantation Of Heart 15 $4,695.04 $4,695.04 $4,695.04 nat. median
$5,400
0.9× median
32854
CPT 		Lung Transplant With Bypass 15 $4,682.42 $4,682.42 $4,682.42 nat. median
$5,395
0.9× median
47142
CPT 		Partial Removal Donor Liver 15 $4,577.22 $4,577.22 $4,577.22 nat. median
$5,235
0.9× median
61698
CPT 		Brain Aneurysm Repr Complx 15 $4,437.87 $4,437.87 $4,437.87 nat. median
$4,824
0.9× median
32853
CPT 		Lung Transplant Double 15 $4,417.33 $4,417.33 $4,417.33 nat. median
$5,126
0.9× median
43123
CPT 		Partial Removal Of Esophagus 15 $4,356.43 $4,356.43 $4,356.43 nat. median
$4,690
0.9× median
61686
CPT 		Intracranial Vessel Surgery 15 $4,309.05 $4,309.05 $4,309.05 nat. median
$4,989
0.9× median
43108
CPT 		Removal Of Esophagus 15 $4,301.95 $4,301.95 $4,301.95 nat. median
$4,654
0.9× median
43113
CPT 		Removal Of Esophagus 15 $4,202.08 $4,202.08 $4,202.08 nat. median
$4,617
0.9× median
28008
CPT 		Plantar Fascia Release 29 $286.26 $4,164.00 $4,164.00 nat. median
$3,344
1.2× median
47141
CPT 		Partial Removal Donor Liver 15 $4,162.83 $4,162.83 $4,162.83 nat. median
$4,839
0.9× median
46748
CPT 		Repair Of Cloacal Anomaly 15 $4,128.70 $4,128.70 $4,128.70 nat. median
$4,508
0.9× median
61697
CPT 		Brain Aneurysm Repr Complx 15 $4,053.17 $4,053.17 $4,053.17 nat. median
$4,667
0.9× median
33916
CPT 		Surgery Of Great Vessel 15 $4,033.44 $4,033.44 $4,033.44 nat. median
$4,638
0.9× median
61576
CPT 		Skull Base/brainstem Surgery 15 $4,024.58 $4,024.58 $4,024.58 nat. median
$4,674
0.9× median
C1783
HCPCS 		IStent Trabecular Micro-bypass Stent 15 $3,798.10 $3,998.00 $3,998.00 nat. median
$2,221
1.8× median
61682
CPT 		Intracranial Vessel Surgery 15 $3,994.13 $3,994.13 $3,994.13 nat. median
$4,758
0.8× median
33305
CPT 		Repair Of Heart Wound 15 $3,951.13 $3,951.13 $3,951.13 nat. median
$4,824
0.8× median
61702
CPT 		Inner Skull Vessel Surgery 15 $3,858.86 $3,858.86 $3,858.86 nat. median
$4,546
0.8× median
20808
CPT 		Replantation Hand Complete 15 $3,821.44 $3,821.44 $3,821.44 nat. median
$8,825
outlier · 0.4×
46746
CPT 		Repair Of Cloacal Anomaly 15 $3,809.67 $3,809.67 $3,809.67 nat. median
$4,261
0.9× median
26554
CPT 		Double Transfer Toe-hand 15 $3,719.71 $3,719.71 $3,719.71 nat. median
$6,324
0.6× median
43124
CPT 		Removal Of Esophagus 15 $3,681.87 $3,681.87 $3,681.87 nat. median
$4,305
0.9× median
43288
CPT 		Esphg Thrsc Moblj 15 $3,626.21 $3,626.21 $3,626.21 nat. median
$4,933
0.7× median
61520
CPT 		Removal Of Brain Lesion 15 $3,603.88 $3,603.88 $3,603.88 nat. median
$4,508
0.8× median
43118
CPT 		Partial Removal Of Esophagus 15 $3,508.33 $3,508.33 $3,508.33 nat. median
$4,207
0.8× median
61692
CPT 		Intracranial Vessel Surgery 15 $3,502.15 $3,502.15 $3,502.15 nat. median
$4,380
0.8× median
33877
CPT 		Thoracoabdominal Graft 15 $3,492.54 $3,492.54 $3,492.54 nat. median
$4,377
0.8× median
47140
CPT 		Partial Removal Donor Liver 15 $3,481.66 $3,481.66 $3,481.66 nat. median
$4,540
0.8× median
46744
CPT 		Repair Of Cloacal Anomaly 15 $3,457.65 $3,457.65 $3,457.65 nat. median
$4,158
0.8× median
43287
CPT 		Esphg Dstl 2/3 W/laps Moblj 15 $3,439.99 $3,439.99 $3,439.99 nat. median
$5,112
0.7× median
32852
CPT 		Lung Transplant With Bypass 15 $3,428.10 $3,428.10 $3,428.10 nat. median
$4,617
0.7× median
35206
CPT 		Repair Blood Vessel Ed Charge 29 $585.59 $4,100.00 $3,428.00 nat. median
$3,725
0.9× median
32445
CPT 		Removal Of Lung Extrapleural 15 $3,408.10 $3,408.10 $3,408.10 nat. median
$4,160
0.8× median
33783
CPT 		Nikaidoh Proc W/ostia Implt 15 $3,365.13 $3,365.13 $3,365.13 nat. median
$4,595
0.7× median
43112
CPT 		Esphg Tot W/thrcm 15 $3,358.82 $3,358.82 $3,358.82 nat. median
$4,160
0.8× median
47122
CPT 		Extensive Removal Of Liver 15 $3,353.32 $3,353.32 $3,353.32 nat. median
$4,099
0.8× median
J1459
HCPCS 		Immune Globulin Intravenous 10% Sol [kch] 15 $3,163.50 $3,330.00 $3,330.00 nat. median
$1,227
outlier · 2.7×
26556
CPT 		Toe Joint Transfer 15 $3,322.00 $3,322.00 $3,322.00 nat. median
$6,761
outlier · 0.5×

Other procedures at this hospital

Browse this hospital's 19,866 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
             
J2997 HCPCS Alteplase 100 Mg Rec (kch) 17 15 $13,200.54 $11,880.49 $12,540.51 $13,200.54 $13,200.54 2026-03-29
J3380 HCPCS Vedolizumab 300 Mg Rec [kch] 17 15 $11,569.85 $10,412.87 $10,991.35 $11,569.85 $11,569.85 2026-03-29
Q5111 HCPCS Pegfilgrastim Cbqv 6 Mg/0.6 Ml Sol [kch] 17 15 $6,262.50 $5,636.25 $5,949.37 $6,262.50 $6,262.50 2026-03-29
39503 CPT Repair Of Diaphragm Hernia 17 15 — — $5,628.12 $5,628.12 $5,628.12 2026-03-29
C1713 HCPCS 5.5mm Bc Corkscrew Ft With Suturetape 17 15 $5,325.00 $4,792.50 $5,058.75 $5,325.00 $5,325.00 2026-03-29
47135 CPT Transplantation Of Liver 17 15 — — $5,247.49 $5,247.49 $5,247.49 2026-03-29
43116 CPT Partial Removal Of Esophagus 17 15 — — $4,810.40 $4,810.40 $4,810.40 2026-03-29
49605 CPT Repair Umbilical Lesion 17 15 — — $4,809.09 $4,809.09 $4,809.09 2026-03-29
33935 CPT Transplantation Heart/lung 17 15 — — $4,767.16 $4,767.16 $4,767.16 2026-03-29
J2182 HCPCS Mepolizumab 100 Mg Rec [kch] 17 15 $4,750.48 $4,275.44 $4,512.96 $4,750.48 $4,750.48 2026-03-29
33945 CPT Transplantation Of Heart 17 15 — — $4,695.04 $4,695.04 $4,695.04 2026-03-29
32854 CPT Lung Transplant With Bypass 17 15 — — $4,682.42 $4,682.42 $4,682.42 2026-03-29
47142 CPT Partial Removal Donor Liver 17 15 — — $4,577.22 $4,577.22 $4,577.22 2026-03-29
61698 CPT Brain Aneurysm Repr Complx 17 15 — — $4,437.87 $4,437.87 $4,437.87 2026-03-29
32853 CPT Lung Transplant Double 17 15 — — $4,417.33 $4,417.33 $4,417.33 2026-03-29
43123 CPT Partial Removal Of Esophagus 17 15 — — $4,356.43 $4,356.43 $4,356.43 2026-03-29
61686 CPT Intracranial Vessel Surgery 17 15 — — $4,309.05 $4,309.05 $4,309.05 2026-03-29
43108 CPT Removal Of Esophagus 17 15 — — $4,301.95 $4,301.95 $4,301.95 2026-03-29
43113 CPT Removal Of Esophagus 17 15 — — $4,202.08 $4,202.08 $4,202.08 2026-03-29
47141 CPT Partial Removal Donor Liver 17 15 — — $4,162.83 $4,162.83 $4,162.83 2026-03-29
46748 CPT Repair Of Cloacal Anomaly 17 15 — — $4,128.70 $4,128.70 $4,128.70 2026-03-29
61697 CPT Brain Aneurysm Repr Complx 17 15 — — $4,053.17 $4,053.17 $4,053.17 2026-03-29
33916 CPT Surgery Of Great Vessel 17 15 — — $4,033.44 $4,033.44 $4,033.44 2026-03-29
61576 CPT Skull Base/brainstem Surgery 17 15 — — $4,024.58 $4,024.58 $4,024.58 2026-03-29
C1783 HCPCS IStent Trabecular Micro-bypass Stent 17 15 $3,998.00 $3,598.20 $3,798.10 $3,998.00 $3,998.00 2026-03-29
61682 CPT Intracranial Vessel Surgery 17 15 — — $3,994.13 $3,994.13 $3,994.13 2026-03-29
33305 CPT Repair Of Heart Wound 17 15 — — $3,951.13 $3,951.13 $3,951.13 2026-03-29
61702 CPT Inner Skull Vessel Surgery 17 15 — — $3,858.86 $3,858.86 $3,858.86 2026-03-29
20808 CPT Replantation Hand Complete 17 15 — — $3,821.44 $3,821.44 $3,821.44 2026-03-29
46746 CPT Repair Of Cloacal Anomaly 17 15 — — $3,809.67 $3,809.67 $3,809.67 2026-03-29
26554 CPT Double Transfer Toe-hand 17 15 — — $3,719.71 $3,719.71 $3,719.71 2026-03-29
43124 CPT Removal Of Esophagus 17 15 — — $3,681.87 $3,681.87 $3,681.87 2026-03-29
43288 CPT Esphg Thrsc Moblj 17 15 — — $3,626.21 $3,626.21 $3,626.21 2026-03-29
61520 CPT Removal Of Brain Lesion 17 15 — — $3,603.88 $3,603.88 $3,603.88 2026-03-29
43118 CPT Partial Removal Of Esophagus 17 15 — — $3,508.33 $3,508.33 $3,508.33 2026-03-29
61692 CPT Intracranial Vessel Surgery 17 15 — — $3,502.15 $3,502.15 $3,502.15 2026-03-29
33877 CPT Thoracoabdominal Graft 17 15 — — $3,492.54 $3,492.54 $3,492.54 2026-03-29
47140 CPT Partial Removal Donor Liver 17 15 — — $3,481.66 $3,481.66 $3,481.66 2026-03-29
46744 CPT Repair Of Cloacal Anomaly 17 15 — — $3,457.65 $3,457.65 $3,457.65 2026-03-29
43287 CPT Esphg Dstl 2/3 W/laps Moblj 17 15 — — $3,439.99 $3,439.99 $3,439.99 2026-03-29
32852 CPT Lung Transplant With Bypass 17 15 — — $3,428.10 $3,428.10 $3,428.10 2026-03-29
32445 CPT Removal Of Lung Extrapleural 17 15 — — $3,408.10 $3,408.10 $3,408.10 2026-03-29
33783 CPT Nikaidoh Proc W/ostia Implt 17 15 — — $3,365.13 $3,365.13 $3,365.13 2026-03-29
43112 CPT Esphg Tot W/thrcm 17 15 — — $3,358.82 $3,358.82 $3,358.82 2026-03-29
47122 CPT Extensive Removal Of Liver 17 15 — — $3,353.32 $3,353.32 $3,353.32 2026-03-29
J1459 HCPCS Immune Globulin Intravenous 10% Sol [kch] 17 15 $3,330.00 $2,997.00 $3,163.50 $3,330.00 $3,330.00 2026-03-29
26556 CPT Toe Joint Transfer 17 15 — — $3,322.00 $3,322.00 $3,322.00 2026-03-29
33622 CPT Redo Compl Cardiac Anomaly 17 15 — — $3,310.98 $3,310.98 $3,310.98 2026-03-29
33440 CPT Rplcmt A-valve Tlcj Autol Pv 17 15 — — $3,293.32 $3,293.32 $3,293.32 2026-03-29
33858 CPT As-aort Grf F/aortic Dsj 17 15 — — $3,279.93 $3,279.93 $3,279.93 2026-03-29
61700 CPT Brain Aneurysm Repr Simple 17 15 — — $3,268.47 $3,268.47 $3,268.47 2026-03-29
61526 CPT Removal Of Brain Lesion 17 15 — — $3,248.94 $3,248.94 $3,248.94 2026-03-29
33411 CPT Replacement Of Aortic Valve 17 15 — — $3,241.19 $3,241.19 $3,241.19 2026-03-29
61616 CPT Resect/excise Lesion Skull 17 15 — — $3,231.14 $3,231.14 $3,231.14 2026-03-29
47130 CPT Partial Removal Of Liver 17 15 — — $3,223.33 $3,223.33 $3,223.33 2026-03-29
26551 CPT Great Toe-hand Transfer 17 15 — — $3,217.43 $3,217.43 $3,217.43 2026-03-29
26553 CPT Single Transfer Toe-hand 17 15 — — $3,195.86 $3,195.86 $3,195.86 2026-03-29
61585 CPT Orbitocranial Approach/skull 17 15 — — $3,179.07 $3,179.07 $3,179.07 2026-03-29
61613 CPT Remove Aneurysm Sinus 17 15 — — $3,177.25 $3,177.25 $3,177.25 2026-03-29
20805 CPT Replant Forearm Complete 17 15 — — $3,164.42 $3,164.42 $3,164.42 2026-03-29
61608 CPT Resect/excise Cranial Lesion 17 15 — — $3,161.83 $3,161.83 $3,161.83 2026-03-29
32851 CPT Lung Transplant Single 17 15 — — $3,160.49 $3,160.49 $3,160.49 2026-03-29
47785 CPT Fuse Bile Ducts And Bowel 17 15 — — $3,151.64 $3,151.64 $3,151.64 2026-03-29
43117 CPT Partial Removal Of Esophagus 17 15 — — $3,149.38 $3,149.38 $3,149.38 2026-03-29
33871 CPT Transvrs A-arch Grf Hypthrm 17 15 — — $3,147.77 $3,147.77 $3,147.77 2026-03-29
33413 CPT Replacement Of Aortic Valve 17 15 — — $3,117.22 $3,117.22 $3,117.22 2026-03-29
33782 CPT Nikaidoh Proc 17 15 — — $3,114.58 $3,114.58 $3,114.58 2026-03-29
33864 CPT Ascending Aortic Graft 17 15 — — $3,109.98 $3,109.98 $3,109.98 2026-03-29
43286 CPT Esphg Tot W/laps Moblj 17 15 — — $3,082.46 $3,082.46 $3,082.46 2026-03-29
61592 CPT Orbitocranial Approach/skull 17 15 — — $3,067.29 $3,067.29 $3,067.29 2026-03-29
61545 CPT Excision Of Brain Tumor 17 15 — — $3,063.53 $3,063.53 $3,063.53 2026-03-29
61521 CPT Removal Of Brain Lesion 17 15 — — $3,048.80 $3,048.80 $3,048.80 2026-03-29
J0840 HCPCS Antivenin (Crotalidae) Polyvalent Inj Sol [kch] 51 15 $3,048.75 $2,743.88 $2,086.20 $4,797.00 $3,048.75 2026-03-29
33412 CPT Replacement Of Aortic Valve 17 15 — — $3,043.50 $3,043.50 $3,043.50 2026-03-29
43314 CPT Tracheo-esophagoplasty Cong 17 15 — — $3,041.54 $3,041.54 $3,041.54 2026-03-29
48150 CPT Partial Removal Of Pancreas 17 15 — — $3,040.26 $3,040.26 $3,040.26 2026-03-29
33863 CPT Ascending Aortic Graft 17 15 — — $3,039.88 $3,039.88 $3,039.88 2026-03-29
48153 CPT Pancreatectomy 17 15 — — $3,034.01 $3,034.01 $3,034.01 2026-03-29
47125 CPT Partial Removal Of Liver 17 15 — — $3,003.46 $3,003.46 $3,003.46 2026-03-29
61591 CPT Infratemporal Approach/skull 17 15 — — $2,984.55 $2,984.55 $2,984.55 2026-03-29
61590 CPT Infratemporal Approach/skull 17 15 — — $2,972.68 $2,972.68 $2,972.68 2026-03-29
33463 CPT Valvuloplasty Tricuspid 17 15 — — $2,972.60 $2,972.60 $2,972.60 2026-03-29
33545 CPT Repair Of Heart Damage 17 15 — — $2,967.06 $2,967.06 $2,967.06 2026-03-29
47765 CPT Fuse Liver Ducts & Bowel 17 15 — — $2,966.92 $2,966.92 $2,966.92 2026-03-29
61530 CPT Removal Of Brain Lesion 17 15 — — $2,953.10 $2,953.10 $2,953.10 2026-03-29
32442 CPT Sleeve Pneumonectomy 17 15 — — $2,951.21 $2,951.21 $2,951.21 2026-03-29
47361 CPT Repair Liver Wound 17 15 — — $2,947.30 $2,947.30 $2,947.30 2026-03-29
61582 CPT Craniofacial Approach Skull 17 15 — — $2,922.85 $2,922.85 $2,922.85 2026-03-29
41155 CPT Tongue Jaw & Neck Surgery 17 15 — — $2,918.22 $2,918.22 $2,918.22 2026-03-29
63251 CPT Revise Spinal Cord Vsls Thrc 17 15 — — $2,913.77 $2,913.77 $2,913.77 2026-03-29
63252 CPT Revise Spine Cord Vsl Thrlmb 17 15 — — $2,913.11 $2,913.11 $2,913.11 2026-03-29
20973 CPT Bone/skin Graft Great Toe 17 15 — — $2,910.64 $2,910.64 $2,910.64 2026-03-29
J1561 HCPCS Immune Globulin Intravenous And Subcutaneous 10% Sol [kch] 17 15 $2,899.80 $2,609.82 $2,754.81 $2,899.80 $2,899.80 2026-03-29
43107 CPT Removal Of Esophagus 17 15 — — $2,880.28 $2,880.28 $2,880.28 2026-03-29
61597 CPT Transcondylar Approach/skull 17 15 — — $2,878.68 $2,878.68 $2,878.68 2026-03-29
58240 CPT Removal Of Pelvis Contents 17 15 — — $2,877.94 $2,877.94 $2,877.94 2026-03-29
31395 CPT Reconstruct Larynx & Pharynx 17 15 — — $2,877.45 $2,877.45 $2,877.45 2026-03-29
33548 CPT Restore/remodel Ventricle 17 15 — — $2,870.65 $2,870.65 $2,870.65 2026-03-29
63250 CPT Revise Spinal Cord Vsls Crvl 17 15 — — $2,850.50 $2,850.50 $2,850.50 2026-03-29
48154 CPT Pancreatectomy 17 15 — — $2,840.83 $2,840.83 $2,840.83 2026-03-29
43313 CPT Esophagoplasty Congenital 17 15 — — $2,831.41 $2,831.41 $2,831.41 2026-03-29
48152 CPT Pancreatectomy 17 15 — — $2,828.35 $2,828.35 $2,828.35 2026-03-29
61606 CPT Resect/excise Cranial Lesion 17 15 — — $2,827.55 $2,827.55 $2,827.55 2026-03-29
61519 CPT Remove Brain Lining Lesion 17 15 — — $2,825.48 $2,825.48 $2,825.48 2026-03-29
61583 CPT Craniofacial Approach Skull 17 15 — — $2,823.91 $2,823.91 $2,823.91 2026-03-29
50365 CPT Transplantation Of Kidney 17 15 — — $2,822.95 $2,822.95 $2,822.95 2026-03-29
61584 CPT Orbitocranial Approach/skull 17 15 — — $2,790.64 $2,790.64 $2,790.64 2026-03-29
44127 CPT Enterectomy W/taper Cong 17 15 — — $2,789.71 $2,789.71 $2,789.71 2026-03-29
61581 CPT Craniofacial Approach Skull 17 15 — — $2,779.95 $2,779.95 $2,779.95 2026-03-29
48105 CPT Resect/debride Pancreas 17 15 — — $2,778.21 $2,778.21 $2,778.21 2026-03-29
33406 CPT Replacement Aortic Valve Opn 17 15 — — $2,777.33 $2,777.33 $2,777.33 2026-03-29
61598 CPT Transpetrosal Approach/skull 17 15 — — $2,764.34 $2,764.34 $2,764.34 2026-03-29
43121 CPT Partial Removal Of Esophagus 17 15 — — $2,763.41 $2,763.41 $2,763.41 2026-03-29
20970 CPT Bone/skin Graft Iliac Crest 17 15 — — $2,762.12 $2,762.12 $2,762.12 2026-03-29
20972 CPT Bone/skin Graft Metatarsal 17 15 — — $2,754.01 $2,754.01 $2,754.01 2026-03-29
21160 CPT Lefort Iii W/fhd With Lefort I 17 15 — — $2,743.48 $2,743.48 $2,743.48 2026-03-29
31390 CPT Removal Of Larynx & Pharynx 17 15 — — $2,740.10 $2,740.10 $2,740.10 2026-03-29
61684 CPT Intracranial Vessel Surgery 17 15 — — $2,732.36 $2,732.36 $2,732.36 2026-03-29
61615 CPT Resect/excise Lesion Skull 17 15 — — $2,727.47 $2,727.47 $2,727.47 2026-03-29
27077 CPT Resect Hip Tum W/innom Bone 17 15 — — $2,727.32 $2,727.32 $2,727.32 2026-03-29
32815 CPT Close Bronchial Fistula 17 15 — — $2,707.44 $2,707.44 $2,707.44 2026-03-29
33430 CPT Replacement Of Mitral Valve 17 15 — — $2,706.91 $2,706.91 $2,706.91 2026-03-29
20838 CPT Replantation Foot Complete 17 15 — — $2,703.38 $2,703.38 $2,703.38 2026-03-29
41145 CPT Tongue Removal Neck Surgery 17 15 — — $2,682.89 $2,682.89 $2,682.89 2026-03-29
63290 CPT Bx/exc Xdrl/idrl Lsn Any Lvl 17 15 — — $2,682.41 $2,682.41 $2,682.41 2026-03-29
45126 CPT Pelvic Exenteration 17 15 — — $2,673.05 $2,673.05 $2,673.05 2026-03-29
20957 CPT Mt Bone Graft Microvasc 17 15 — — $2,666.70 $2,666.70 $2,666.70 2026-03-29
61518 CPT Removal Of Brain Lesion 17 15 — — $2,663.86 $2,663.86 $2,663.86 2026-03-29
20802 CPT Replantation Arm Complete 17 15 — — $2,661.60 $2,661.60 $2,661.60 2026-03-29
33465 CPT Replace Tricuspid Valve 17 15 — — $2,660.23 $2,660.23 $2,660.23 2026-03-29
33619 CPT Repair Single Ventricle 17 15 — — $2,652.64 $2,652.64 $2,652.64 2026-03-29
19364 CPT Brst Rcnstj Free Flap 17 15 — — $2,645.87 $2,645.87 $2,645.87 2026-03-29
20969 CPT Bone/skin Graft Microvasc 17 15 — — $2,645.06 $2,645.06 $2,645.06 2026-03-29
33425 CPT Repair Of Mitral Valve 17 15 — — $2,638.63 $2,638.63 $2,638.63 2026-03-29
63287 CPT Bx/exc Idrl Imed Lesn Thrlmb 17 15 — — $2,637.93 $2,637.93 $2,637.93 2026-03-29
43361 CPT Gastrointestinal Repair 17 15 — — $2,634.27 $2,634.27 $2,634.27 2026-03-29
33875 CPT Thoracic Aortic Graft 17 15 — — $2,632.61 $2,632.61 $2,632.61 2026-03-29
15842 CPT Nerve Palsy Microsurg Graft 17 15 — — $2,617.88 $2,617.88 $2,617.88 2026-03-29
69535 CPT Remove Part Of Temporal Bone 17 15 — — $2,617.35 $2,617.35 $2,617.35 2026-03-29
33516 CPT Cabg Vein Six Or More 17 15 — — $2,612.77 $2,612.77 $2,612.77 2026-03-29
61607 CPT Resect/excise Cranial Lesion 17 15 — — $2,596.42 $2,596.42 $2,596.42 2026-03-29
59618 CPT Attempted Vbac Delivery 17 15 — — $2,588.82 $2,588.82 $2,588.82 2026-03-29
20962 CPT Other Bone Graft Microvasc 17 15 — — $2,578.90 $2,578.90 $2,578.90 2026-03-29
20956 CPT Iliac Bone Graft Microvasc 17 15 — — $2,561.73 $2,561.73 $2,561.73 2026-03-29
61538 CPT Removal Of Brain Tissue 17 15 — — $2,557.69 $2,557.69 $2,557.69 2026-03-29
33536 CPT Cabg Arterial Four Or More 17 15 — — $2,547.89 $2,547.89 $2,547.89 2026-03-29
33910 CPT Remove Lung Artery Emboli 17 15 — — $2,541.72 $2,541.72 $2,541.72 2026-03-29
48554 CPT Transpl Allograft Pancreas 17 15 — — $2,532.66 $2,532.66 $2,532.66 2026-03-29
33542 CPT Removal Of Heart Lesion 17 15 — — $2,529.47 $2,529.47 $2,529.47 2026-03-29
21159 CPT Lefort Iii W/fhdw/o Lefort I 17 15 — — $2,529.04 $2,529.04 $2,529.04 2026-03-29
33514 CPT Cabg Vein Five 17 15 — — $2,523.26 $2,523.26 $2,523.26 2026-03-29
35092 CPT Repair Artery Rupture Aorta 17 15 — — $2,518.67 $2,518.67 $2,518.67 2026-03-29
63285 CPT Bx/exc Idrl Imed Lesn Cervl 17 15 — — $2,515.54 $2,515.54 $2,515.54 2026-03-29
61705 CPT Revise Circulation To Head 17 15 — — $2,503.15 $2,503.15 $2,503.15 2026-03-29
69554 CPT Remove Ear Lesion 17 15 — — $2,482.69 $2,482.69 $2,482.69 2026-03-29
63286 CPT Bx/exc Idrl Imed Lesn Thrc 17 15 — — $2,481.69 $2,481.69 $2,481.69 2026-03-29
43122 CPT Partial Removal Of Esophagus 17 15 — — $2,480.96 $2,480.96 $2,480.96 2026-03-29
31365 CPT Removal Of Larynx 17 15 — — $2,480.03 $2,480.03 $2,480.03 2026-03-29
61536 CPT Removal Of Brain Lesion 17 15 — — $2,479.30 $2,479.30 $2,479.30 2026-03-29
43415 CPT Repair Esophagus Wound 17 15 — — $2,479.20 $2,479.20 $2,479.20 2026-03-29
61711 CPT Fusion Of Skull Arteries 17 15 — — $2,474.47 $2,474.47 $2,474.47 2026-03-29
61586 CPT Resect Nasopharynx Skull 17 15 — — $2,463.06 $2,463.06 $2,463.06 2026-03-29
33927 CPT Impltj Tot Rplcmt Hrt Sys 17 15 — — $2,460.97 $2,460.97 $2,460.97 2026-03-29
61512 CPT Remove Brain Lining Lesion 17 15 — — $2,456.57 $2,456.57 $2,456.57 2026-03-29
61567 CPT Incision Of Brain Tissue 17 15 — — $2,455.78 $2,455.78 $2,455.78 2026-03-29
33410 CPT Replacement Aortic Valve Opn 17 15 — — $2,454.14 $2,454.14 $2,454.14 2026-03-29
46742 CPT Repair Of Imperforated Anus 17 15 — — $2,449.92 $2,449.92 $2,449.92 2026-03-29
61708 CPT Revise Circulation To Head 17 15 — — $2,448.38 $2,448.38 $2,448.38 2026-03-29
27076 CPT Resect Hip Tum Incl Acetabul 17 15 — — $2,444.75 $2,444.75 $2,444.75 2026-03-29
61580 CPT Craniofacial Approach Skull 17 15 — — $2,438.89 $2,438.89 $2,438.89 2026-03-29
59610 CPT Vbac Delivery 17 15 — — $2,425.89 $2,425.89 $2,425.89 2026-03-29
47780 CPT Fuse Bile Ducts And Bowel 17 15 — — $2,415.30 $2,415.30 $2,415.30 2026-03-29
44126 CPT Enterectomy Without Taper Cong 17 15 — — $2,415.09 $2,415.09 $2,415.09 2026-03-29
61575 CPT Skull Base/brainstem Surgery 17 15 — — $2,409.46 $2,409.46 $2,409.46 2026-03-29
21184 CPT Reconstruct Cranial Bone 17 15 — — $2,406.88 $2,406.88 $2,406.88 2026-03-29
63305 CPT Remove Vert Idrl Body Thrc 17 15 — — $2,405.88 $2,405.88 $2,405.88 2026-03-29
22819 CPT Kyphectomy 3 Or More 17 15 — — $2,405.61 $2,405.61 $2,405.61 2026-03-29
20955 CPT Fibula Bone Graft Microvasc 17 15 — — $2,401.13 $2,401.13 $2,401.13 2026-03-29
33513 CPT Cabg Vein Four 17 15 — — $2,397.22 $2,397.22 $2,397.22 2026-03-29
61596 CPT Transcochlear Approach/skull 17 15 — — $2,392.72 $2,392.72 $2,392.72 2026-03-29
33031 CPT Partial Removal Of Heart Sac 17 15 — — $2,391.18 $2,391.18 $2,391.18 2026-03-29
50360 CPT Transplantation Of Kidney 17 15 — — $2,368.42 $2,368.42 $2,368.42 2026-03-29
22206 CPT Incis Spine 3 Column Thorac 17 15 — — $2,366.49 $2,366.49 $2,366.49 2026-03-29
33468 CPT Revision Of Tricuspid Valve 17 15 — — $2,365.57 $2,365.57 $2,365.57 2026-03-29
33535 CPT Cabg Arterial Three 17 15 — — $2,365.02 $2,365.02 $2,365.02 2026-03-29
63306 CPT Remov Vert Idrl Bdy Thrclmbr 17 15 — — $2,364.04 $2,364.04 $2,364.04 2026-03-29
61537 CPT Removal Of Brain Tissue 17 15 — — $2,363.88 $2,363.88 $2,363.88 2026-03-29
33300 CPT Repair Of Heart Wound 17 15 — — $2,361.36 $2,361.36 $2,361.36 2026-03-29
35540 CPT Art Byp Grft Aortbifemoral 17 15 — — $2,361.04 $2,361.04 $2,361.04 2026-03-29
21261 CPT Revise Eye Sockets 17 15 — — $2,358.82 $2,358.82 $2,358.82 2026-03-29
33427 CPT Repair Of Mitral Valve 17 15 — — $2,356.78 $2,356.78 $2,356.78 2026-03-29
61601 CPT Resect/excise Cranial Lesion 17 15 — — $2,356.74 $2,356.74 $2,356.74 2026-03-29
33859 CPT As-aort Grf F/ds Oth/thn Dsj 17 15 — — $2,356.24 $2,356.24 $2,356.24 2026-03-29
33464 CPT Valvuloplasty Tricuspid 17 15 — — $2,355.63 $2,355.63 $2,355.63 2026-03-29
31368 CPT Partial Removal Of Larynx 17 15 — — $2,353.99 $2,353.99 $2,353.99 2026-03-29
22804 CPT Arthrd Pst Dfrm 13+ Vrt Sgm 17 15 — — $2,352.53 $2,352.53 $2,352.53 2026-03-29
33512 CPT Cabg Vein Three 17 15 — — $2,340.63 $2,340.63 $2,340.63 2026-03-29
61595 CPT Transtemporal Approach/skull 17 15 — — $2,336.59 $2,336.59 $2,336.59 2026-03-29
33926 CPT Repr Pul Art Unifocal W/cpb 17 15 — — $2,331.39 $2,331.39 $2,331.39 2026-03-29
41153 CPT Tongue Mouth Neck Surgery 17 15 — — $2,329.82 $2,329.82 $2,329.82 2026-03-29
63087 CPT Remov Vertbr Dcmprn Thrclmbr 17 15 — — $2,326.80 $2,326.80 $2,326.80 2026-03-29
33460 CPT Revision Of Tricuspid Valve 17 15 — — $2,320.84 $2,320.84 $2,320.84 2026-03-29
22207 CPT Incis Spine 3 Column Lumbar 17 15 — — $2,319.31 $2,319.31 $2,319.31 2026-03-29
63307 CPT Remov Vert Idrl Bdy Lmbr/sac 17 15 — — $2,316.19 $2,316.19 $2,316.19 2026-03-29
61564 CPT Excision Of Skull Tumor 17 15 — — $2,315.90 $2,315.90 $2,315.90 2026-03-29
32488 CPT Completion Pneumonectomy 17 15 — — $2,309.77 $2,309.77 $2,309.77 2026-03-29
61559 CPT Excision Of Skull/sutures 17 15 — — $2,308.73 $2,308.73 $2,308.73 2026-03-29
42894 CPT Revision Of Pharyngeal Walls 17 15 — — $2,308.56 $2,308.56 $2,308.56 2026-03-29
33426 CPT Repair Of Mitral Valve 17 15 — — $2,300.61 $2,300.61 $2,300.61 2026-03-29
61323 CPT Decompressive Lobectomy 17 15 — — $2,296.36 $2,296.36 $2,296.36 2026-03-29
61322 CPT Decompressive Craniotomy 17 15 — — $2,291.55 $2,291.55 $2,291.55 2026-03-29
33780 CPT Repair Great Vessels Defect 17 15 — — $2,285.37 $2,285.37 $2,285.37 2026-03-29
51596 CPT Remove Bladder/create Pouch 17 15 — — $2,284.01 $2,284.01 $2,284.01 2026-03-29
47120 CPT Partial Removal Of Liver 17 15 — — $2,278.98 $2,278.98 $2,278.98 2026-03-29
61539 CPT Removal Of Brain Tissue 17 15 — — $2,271.87 $2,271.87 $2,271.87 2026-03-29
33778 CPT Repair Great Vessels Defect 17 15 — — $2,269.59 $2,269.59 $2,269.59 2026-03-29
37181 CPT Splice Spleen/kidney Veins 17 15 — — $2,268.01 $2,268.01 $2,268.01 2026-03-29
37140 CPT Revision Of Circulation 17 15 — — $2,268.01 $2,268.01 $2,268.01 2026-03-29
32486 CPT Sleeve Lobectomy 17 15 — — $2,261.88 $2,261.88 $2,261.88 2026-03-29
63304 CPT Remove Vert Idrl Body Crvcl 17 15 — — $2,261.47 $2,261.47 $2,261.47 2026-03-29
43622 CPT Removal Of Stomach 17 15 — — $2,260.78 $2,260.78 $2,260.78 2026-03-29
29807 CPT Arthroscopy, Shoulder, Surgical; Repair Of Slap Lesion 17 15 $2,258.00 $2,032.20 $1,004.40 $2,258.00 $2,258.00 2026-03-29
48001 CPT Placement Of Drain Pancreas 17 15 — — $2,257.61 $2,257.61 $2,257.61 2026-03-29
35538 CPT Art Byp Grft Aortobi-iliac 17 15 — — $2,256.86 $2,256.86 $2,256.86 2026-03-29
44156 CPT Removal Of Colon/ileostomy 17 15 — — $2,251.20 $2,251.20 $2,251.20 2026-03-29
33779 CPT Repair Great Vessels Defect 17 15 — — $2,243.81 $2,243.81 $2,243.81 2026-03-29
33475 CPT Replacement Pulmonary Valve 17 15 — — $2,243.71 $2,243.71 $2,243.71 2026-03-29
63101 CPT Remove Vert Body Dcmprn Thrc 17 15 — — $2,242.17 $2,242.17 $2,242.17 2026-03-29
21183 CPT Reconstruct Cranial Bone 17 15 — — $2,237.43 $2,237.43 $2,237.43 2026-03-29
46735 CPT Construction Of Absent Anus 17 15 — — $2,236.18 $2,236.18 $2,236.18 2026-03-29
33781 CPT Repair Great Vessels Defect 17 15 — — $2,231.67 $2,231.67 $2,231.67 2026-03-29
51597 CPT Removal Of Pelvic Structures 17 15 — — $2,229.35 $2,229.35 $2,229.35 2026-03-29
33983 CPT Replace Vad Intra W/bp 17 15 — — $2,228.95 $2,228.95 $2,228.95 2026-03-29
63303 CPT Remov Vert Xdrl Bdy Lmbr/sac 17 15 — — $2,228.02 $2,228.02 $2,228.02 2026-03-29
22861 CPT Rev Rplcm Arthrp 1ntrspc Crv 17 15 — — $2,227.86 $2,227.86 $2,227.86 2026-03-29
15756 CPT Free Myo/skin Flap Microvasc 17 15 — — $2,227.10 $2,227.10 $2,227.10 2026-03-29
22862 CPT Rev Rplcm Rthrp 1ntrspc Lmbr 17 15 — — $2,225.98 $2,225.98 $2,225.98 2026-03-29
61546 CPT Removal Of Pituitary Gland 17 15 — — $2,220.64 $2,220.64 $2,220.64 2026-03-29
43621 CPT Removal Of Stomach 17 15 — — $2,220.25 $2,220.25 $2,220.25 2026-03-29
15757 CPT Free Skin Flap Microvasc 17 15 — — $2,216.22 $2,216.22 $2,216.22 2026-03-29
J0897 HCPCS Denosumab 60 mg/mL Sol [kch] 17 15 $2,215.74 $1,994.16 $2,104.95 $2,215.73 $2,215.73 2026-03-29
33391 CPT Valvuloplasty Aortic Valve 17 15 — — $2,214.86 $2,214.86 $2,214.86 2026-03-29
15758 CPT Free Fascial Flap Microvasc 17 15 — — $2,213.20 $2,213.20 $2,213.20 2026-03-29
34704 CPT Evasc Rpr A-unilac Ndgft Rpt 17 15 — — $2,207.84 $2,207.84 $2,207.84 2026-03-29
34706 CPT Evasc Rpr A-biiliac Rpt 17 15 — — $2,205.35 $2,205.35 $2,205.35 2026-03-29
47760 CPT Fuse Bile Ducts And Bowel 17 15 — — $2,199.66 $2,199.66 $2,199.66 2026-03-29
33786 CPT Repair Arterial Trunk 17 15 — — $2,199.30 $2,199.30 $2,199.30 2026-03-29
33405 CPT Replacement Aortic Valve Opn 17 15 — — $2,193.82 $2,193.82 $2,193.82 2026-03-29
61867 CPT Implant Neuroelectrode 17 15 — — $2,192.53 $2,192.53 $2,192.53 2026-03-29
63102 CPT Remove Vert Body Dcmprn Lmbr 17 15 — — $2,190.99 $2,190.99 $2,190.99 2026-03-29
44158 CPT Colectomy W/neo-rectum Pouch 17 15 — — $2,190.77 $2,190.77 $2,190.77 2026-03-29
21263 CPT Revise Eye Sockets 17 15 — — $2,181.74 $2,181.74 $2,181.74 2026-03-29
43360 CPT Gastrointestinal Repair 17 15 — — $2,177.35 $2,177.35 $2,177.35 2026-03-29
61680 CPT Intracranial Vessel Surgery 17 15 — — $2,176.09 $2,176.09 $2,176.09 2026-03-29
46712 CPT Repr Per/vag Pouch Dbl Proc 17 15 — — $2,174.06 $2,174.06 $2,174.06 2026-03-29
22865 CPT Rmvl Tot Arthrp 1ntrspc Lmbr 17 15 — — $2,173.04 $2,173.04 $2,173.04 2026-03-29
49215 CPT Excise Sacral Spine Tumor 17 15 — — $2,162.48 $2,162.48 $2,162.48 2026-03-29
37160 CPT Revision Of Circulation 17 15 — — $2,160.57 $2,160.57 $2,160.57 2026-03-29
61566 CPT Removal Of Brain Tissue 17 15 — — $2,156.75 $2,156.75 $2,156.75 2026-03-29
0191T CPT Insert Anterior Segment Drainage Device, Internal 20 20 $4,500.00 $4,500.00 $4,750.00 $5,000.00 $5,000.00 2026-05-13
28008 CPT Plantar Fascia Release 37 29 $3,747.60 $3,747.60 $286.26 $4,164.00 $4,164.00 2026-05-13
35206 CPT Repair Blood Vessel Ed Charge 87 29 $3,428.00 $3,085.20 $585.59 $4,100.00 $3,428.00 2026-05-13
65426 CPT Excision Of Pterygium, w/Graft 37 29 $2,712.76 $2,712.76 $454.61 $3,014.18 $3,014.18 2026-05-13
67916 CPT Repair Of Ectropion 37 29 $2,705.40 $2,705.40 $408.53 $3,006.00 $3,006.00 2026-05-13
66986 CPT Intraocular Lens Exchange 37 29 $2,698.20 $2,698.20 $861.75 $2,998.00 $2,998.00 2026-05-13
70549 CPT MRA Neck With + Without Contrast 37 29 $2,632.50 $2,632.50 $348.93 $2,925.00 $2,925.00 2026-05-13
26765 CPT Open Trtmt Of Dist Phalang Fx, Finger Or Thu 87 29 $2,911.00 $2,619.90 $376.72 $4,164.00 $2,911.00 2026-05-13
59510 CPT C-section Kch 37 29 $2,524.50 $2,524.50 $2,234.44 $2,805.00 $2,805.00 2026-05-13
74183 CPT MRI Abdomen With + Without Contrast 37 29 $2,452.50 $2,452.50 $345.88 $2,725.00 $2,725.00 2026-05-13
71552 CPT MRI Chest With + Without Contrast 37 29 $2,452.50 $2,452.50 $484.39 $2,725.00 $2,725.00 2026-05-13
71551 CPT MRI Chest With Contrast 37 29 $2,362.50 $2,362.50 $383.40 $2,625.00 $2,625.00 2026-05-13
74182 CPT MRI Abdomen With Contrast 37 29 $2,362.50 $2,362.50 $308.75 $2,625.00 $2,625.00 2026-05-13
70543 CPT MRI Face Neck Orbit With + Without Contrast 37 29 $2,294.10 $2,294.10 $345.74 $2,549.00 $2,549.00 2026-05-13
70553 CPT MRI Brain With + Without Contrast 37 29 $2,294.10 $2,294.10 $324.15 $2,549.00 $2,549.00 2026-05-13
64718 CPT Cubital Tunnel Release 37 29 $2,291.73 $2,291.73 $582.37 $2,546.37 $2,546.37 2026-05-13
64721 CPT Carpal Tunnel Release 52 29 $2,235.60 $2,235.60 $422.31 $2,484.00 $2,484.00 2026-05-13
70552 CPT MRI Brain With Contrast 37 29 $2,204.10 $2,204.10 $274.22 $2,449.00 $2,449.00 2026-05-13
74181 CPT MRI Abdomen Without Contrast 37 29 $2,204.10 $2,204.10 $199.31 $2,449.00 $2,449.00 2026-05-13
70542 CPT MRI Face Neck Orbit With Contrast 37 29 $2,204.10 $2,204.10 $273.82 $2,449.00 $2,449.00 2026-05-13
71550 CPT MRI Chest Without Contrast 37 29 $2,182.50 $2,182.50 $346.43 $2,425.00 $2,425.00 2026-05-13
70551 CPT MRI Brain Without Contrast 37 29 $2,169.90 $2,169.90 $198.69 $2,411.00 $2,411.00 2026-05-13
70540 CPT MRI Face Neck Orbit Without Contrast 37 29 $2,169.90 $2,169.90 $230.48 $2,411.00 $2,411.00 2026-05-13
72158 CPT MRI Spine Lumbar With + Without Contrast 37 29 $2,165.40 $2,165.40 $325.18 $2,406.00 $2,406.00 2026-05-13
72157 CPT MRI Spine Thoracic With + Without Contrast 37 29 $2,165.40 $2,165.40 $326.45 $2,406.00 $2,406.00 2026-05-13
72156 CPT MRI Spine Cervical With + Without Contrast 37 29 $2,165.40 $2,165.40 $326.14 $2,406.00 $2,406.00 2026-05-13
72197 CPT MRI Pelvis With + Without Contrast 37 29 $2,156.40 $2,156.40 $345.24 $2,396.00 $2,396.00 2026-05-13
51101 CPT Asp Bladder By Intracath Ed Charge 37 29 $2,115.00 $2,115.00 $49.47 $2,350.00 $2,350.00 2026-05-13
72198 CPT MRA Pelvis With Contrast 52 29 $2,244.00 $2,053.80 $341.30 $2,282.00 $2,282.00 2026-05-13
73725 CPT MRA Lower Extremity Left 37 29 $2,025.90 $2,025.90 $340.08 $2,251.00 $2,251.00 2026-05-13
59400 CPT OB Package Kch Charge 37 29 $2,025.00 $2,025.00 $2,026.00 $2,323.84 $2,250.00 2026-05-13
71555 CPT MRA Chest With Contrast 72 29 $2,059.20 $2,059.20 $339.74 $2,288.00 $2,247.00 2026-05-13
74185 CPT MRA Abdomen With Contrast 72 29 $2,053.80 $2,053.80 $341.94 $2,282.00 $2,244.00 2026-05-13
72159 CPT MRA Spine With Contrast 72 29 $2,053.80 $2,053.80 $350.84 $2,282.00 $2,244.00 2026-05-13
72149 CPT MRI Spine Lumbar With Contrast 37 29 $2,013.30 $2,013.30 $275.50 $2,237.00 $2,237.00 2026-05-13
72147 CPT MRI Spine Thoracic With Contrast 37 29 $2,013.30 $2,013.30 $277.72 $2,237.00 $2,237.00 2026-05-13
72142 CPT MRI Spine Cervical With Contrast 37 29 $2,013.30 $2,013.30 $280.58 $2,237.00 $2,237.00 2026-05-13
70548 CPT MRA Neck With Contrast 37 29 $2,002.50 $2,002.50 $248.99 $2,225.00 $2,225.00 2026-05-13
72196 CPT MRI Pelvis With Contrast 37 29 $1,998.90 $1,998.90 $274.72 $2,221.00 $2,221.00 2026-05-13
73225 CPT MRA Upper Extremity Left 37 29 $1,998.90 $1,998.90 $347.78 $2,221.00 $2,221.00 2026-05-13
70546 CPT MRA Head With + Without Contrast 37 29 $1,962.90 $1,962.90 $332.18 $2,181.00 $2,181.00 2026-05-13
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