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

LINCOLN HOSPITAL

Davenport, WA · CCN 501305 · Rates published

2,273 distinct procedures filed
24 distinct payers
74,186 rate rows
2026-03-09 last MRF observed
Data quality

71,531 of 74,186 rate rows are consumer-grade (96.4%)

2,655 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 1,802
per-diem day rate — not a per-procedure price 721
exceeds 10× this hospital's gross charge — excluded from medians 103
percent-of-charges filed in the dollar field — excluded from medians 23
placeholder amount (≤ $0.02) — excluded from medians 6
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbLincolnHospitalWA&type=CDMWithoutLabel
Found on page https://www.lincolnhospital.org/patients-and-visitors/price-transparency/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-12
Content fingerprint 27d8166abadaf930… · 28,811,161 bytes · first seen 2026-05-06

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
J2182
HCPCS 		Injection, Mepolizumab, 1 Mg 24 $30.54 $17,657.34 $14,519.06 nat. median
$80
outlier · 182.2×
J2323
HCPCS 		Injection, Natalizumab, 1 Mg 23 $6,357.00 $13,173.02 $10,864.34 nat. median
$50
outlier · 215.4×
J3380
HCPCS 		Injection, Vedolizumab, Intravenous, 1 Mg 24 $21.16 $9,667.74 $7,949.47 nat. median
$59
outlier · 135.2×
J7168
HCPCS 		Prothrombin Complex Concentrate (human), Kcentra, Per I.u. Of Factor Ix Activity 24 $2.21 $9,417.20 $7,743.46 nat. median
$589
outlier · 13.1×
J3101
HCPCS 		Injection, Tenecteplase, 1 Mg 24 $162.46 $11,517.19 $4,627.25 nat. median
$498
outlier · 9.3×
71552
HCPCS 		MRI Scan Of Chest Before And After Contrast 24 $190.16 $4,287.43 $3,525.41 nat. median
$691
outlier · 5.1×
72156
HCPCS 		MRI Scan Of Upper Spinal Canal Before And After Contrast 24 $193.66 $4,071.84 $3,348.14 nat. median
$625
outlier · 5.4×
70553
HCPCS 		MRI Scan Of Brain Before And After Contrast 24 $193.07 $4,050.12 $3,330.28 nat. median
$616
outlier · 5.4×
74183
HCPCS 		MRI Scan Of Abdomen Before And After Contrast 24 $184.91 $4,042.20 $3,323.78 nat. median
$611
outlier · 5.4×
72197
HCPCS 		MRI Scan Of Pelvis Before And After Contrast 24 $184.91 $4,042.20 $3,323.78 nat. median
$606
outlier · 5.5×
72158
HCPCS 		MRI Scan Of Lower Spinal Canal Before And After Contrast 24 $193.66 $4,021.41 $3,306.67 nat. median
$616
outlier · 5.4×
73720
HCPCS 		MRI Scan Of Leg Before And After Contrast 24 $181.41 $4,021.41 $3,306.67 nat. median
$754
outlier · 4.4×
73220
HCPCS 		MRI Scan Of Arm Before And After Contrast 24 $181.41 $4,021.41 $3,306.67 nat. median
$737
outlier · 4.5×
J3111
HCPCS 		Injection, Romosozumab-aqqg, 1 Mg 24 $11.49 $4,021.15 $3,306.47 nat. median
$19
outlier · 174.0×
70543
HCPCS 		MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Before And After Contrast 24 $180.82 $3,992.80 $3,283.15 nat. median
$605
outlier · 5.4×
72157
HCPCS 		MRI Scan Of Middle Spinal Canal Before And After Contrast 24 $193.66 $3,942.69 $3,241.94 nat. median
$624
outlier · 5.2×
73223
HCPCS 		MRI Scan Of Arm Joint Before And After Contrast 24 $181.41 $3,899.47 $3,206.41 nat. median
$757
outlier · 4.2×
73723
HCPCS 		MRI Scan Of Leg Joint Before And After Contrast 24 $181.41 $3,899.47 $3,206.41 nat. median
$756
outlier · 4.2×
43112
HCPCS 		Removal Of Esophagus Through Chest 14 $1,470.03 $5,866.83 $3,138.94 nat. median
$5,395
0.6× median
J0256
HCPCS 		Injection, Alpha 1 Proteinase Inhibitor (human), Not Otherwise Specified, 10 Mg 24 $5.16 $3,569.40 $2,935.00 nat. median
$9
outlier · 310.7×
Q0222
HCPCS 		Injection, Bebtelovimab, 175 Mg 23 $1,638.35 $3,395.00 $2,800.00 nat. median
$2,646
1.1× median
70552
HCPCS 		MRI Scan Of Brain With Contrast 24 $149.91 $3,403.87 $2,798.89 nat. median
$597
outlier · 4.7×
74174
HCPCS 		CT Scan Of Blood Vessels Of Abdomen And Pelvis With Contrast 24 $184.32 $3,177.06 $2,612.40 nat. median
$549
outlier · 4.8×
74178
HCPCS 		CT Scan Of Abdomen And Pelvis Before And After Contrast 24 $168.57 $3,089.59 $2,540.47 nat. median
$539
outlier · 4.7×
90376
HCPCS 		Rabies Immune Globulin For Injection Beneath The Skin And/or Into Muscle, Heat-t… 6 $479.72 $2,644.90 $2,495.19 nat. median
$582
outlier · 4.3×
Q5119
HCPCS 		Injection, Rituximab-pvvr, Biosimilar, (ruxience), 10 Mg 24 $24.94 $2,833.52 $2,329.91 nat. median
$318
outlier · 7.3×
11010213
CDM 		Room & Board - Private (one Bed) - General Classification 17 $1,896.92 $2,504.54 $2,287.25 —
74177
HCPCS 		CT Scan Of Abdomen And Pelvis With Contrast 24 $153.41 $2,709.24 $2,227.72 nat. median
$501
outlier · 4.4×
J0897
HCPCS 		Injection, Denosumab, 1 Mg 24 $27.81 $2,654.79 $2,182.95 nat. median
$86
outlier · 25.4×
36010151
CDM 		Operating Room Services - General Classification 23 $1,264.40 $2,620.10 $2,160.90 —
73222
HCPCS 		MRI Scan Of Arm Joint With Contrast 24 $136.49 $2,585.34 $2,125.84 nat. median
$1,026
outlier · 2.1×
72148
HCPCS 		MRI Scan Of Lower Spinal Canal Without Contrast 24 $124.83 $2,538.10 $2,087.00 nat. median
$408
outlier · 5.1×
71550
HCPCS 		MRI Scan Of Chest Without Contrast 24 $123.08 $2,527.93 $2,078.64 nat. median
$476
outlier · 4.4×
Q5111
HCPCS 		Injection, Pegfilgrastim-cbqv (udenyca), Biosimilar, 0.5 Mg 24 $163.60 $2,527.89 $2,078.61 nat. median
$665
outlier · 3.1×
70498
HCPCS 		CT Scan Of Blood Vessels Of Neck With Contrast 24 $146.41 $2,506.51 $2,061.02 nat. median
$355
outlier · 5.8×
71275
HCPCS 		CT Scan Of Blood Vessels Of Chest With Contrast 24 $152.82 $2,497.56 $2,053.66 nat. median
$365
outlier · 5.6×
70496
HCPCS 		CT Scan Of Blood Vessels Of Head With Contrast 24 $146.41 $2,496.12 $2,052.48 nat. median
$364
outlier · 5.6×
36010150
CDM 		Operating Room Services - General Classification 23 $1,186.98 $2,459.68 $2,028.60 —
70544
HCPCS 		MRI Scan Of Blood Vessels Of Head Without Contrast 24 $100.33 $2,463.19 $2,025.40 nat. median
$435
outlier · 4.7×
J9055
HCPCS 		Injection, Cetuximab, 10 Mg 23 $1,154.93 $2,393.25 $1,973.82 nat. median
$474
outlier · 4.2×
70547
HCPCS 		MRI Scan Of Blood Vessels Of Neck Without Contrast 24 $100.91 $2,391.05 $1,966.09 nat. median
$402
outlier · 4.9×
72146
HCPCS 		MRI Scan Of Middle Spinal Canal Without Contrast 24 $124.83 $2,376.95 $1,954.49 nat. median
$421
outlier · 4.6×
72195
HCPCS 		MRI Scan Of Pelvis Without Contrast 24 $123.08 $2,376.95 $1,954.49 nat. median
$437
outlier · 4.5×
73218
HCPCS 		MRI Scan Of Arm Without Contrast 24 $113.74 $2,362.76 $1,942.82 nat. median
$553
outlier · 3.5×
Q0249
HCPCS 		Injection, Tocilizumab, For Hospitalized Adults And Pediatric Patients (2 Years… 24 $7.57 $3,930.08 $1,941.15 nat. median
$426
outlier · 4.6×
11110001
CDM 		Room & Board - Private (one Bed) - Medical/surgical/gyn 17 $1,609.23 $2,124.69 $1,940.35 nat. median
$2,956
0.7× median
72141
HCPCS 		MRI Scan Of Upper Spinal Canal Without Contrast 24 $124.83 $2,350.10 $1,932.40 nat. median
$429
outlier · 4.5×
73718
HCPCS 		MRI Scan Of Leg Without Contrast 24 $113.16 $2,334.03 $1,919.20 nat. median
$505
outlier · 3.8×
70551
HCPCS 		MRI Scan Of Brain Without Contrast 24 $124.24 $2,323.14 $1,910.24 nat. median
$429
outlier · 4.4×
36010149
CDM 		Operating Room Services - General Classification 23 $1,109.57 $2,299.27 $1,896.30 —

Other procedures at this hospital

Browse this hospital's 2,273 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
             
J2182 HCPCS Injection, Mepolizumab, 1 Mg 24 24 $18,203.44 $16,383.10 $30.54 $17,657.34 $14,519.06 2026-03-09
J2323 HCPCS Injection, Natalizumab, 1 Mg 23 23 $13,580.43 $12,222.39 $6,357.00 $13,173.02 $10,864.34 2026-03-09
J3380 HCPCS Injection, Vedolizumab, Intravenous, 1 Mg 24 24 $9,966.74 $8,970.07 $21.16 $9,667.74 $7,949.47 2026-03-09
J7168 HCPCS Prothrombin Complex Concentrate (human), Kcentra, Per I.u. Of Factor Ix Activity 24 24 $9,708.45 $8,737.61 $2.21 $9,417.20 $7,743.46 2026-03-09
J3101 HCPCS Injection, Tenecteplase, 1 Mg 47 24 $11,873.39 $10,686.05 $162.46 $11,517.19 $4,627.25 2026-03-09
71552 HCPCS MRI Scan Of Chest Before And After Contrast 24 24 $4,420.03 $3,978.03 $190.16 $4,287.43 $3,525.41 2026-03-09
72156 HCPCS MRI Scan Of Upper Spinal Canal Before And After Contrast 24 24 $4,197.77 $3,777.99 $193.66 $4,071.84 $3,348.14 2026-03-09
70553 HCPCS MRI Scan Of Brain Before And After Contrast 24 24 $4,175.38 $3,757.84 $193.07 $4,050.12 $3,330.28 2026-03-09
74183 HCPCS MRI Scan Of Abdomen Before And After Contrast 24 24 $4,167.22 $3,750.50 $184.91 $4,042.20 $3,323.78 2026-03-09
72197 HCPCS MRI Scan Of Pelvis Before And After Contrast 24 24 $4,167.22 $3,750.50 $184.91 $4,042.20 $3,323.78 2026-03-09
73220 HCPCS MRI Scan Of Arm Before And After Contrast 24 24 $4,145.78 $3,731.20 $181.41 $4,021.41 $3,306.67 2026-03-09
73720 HCPCS MRI Scan Of Leg Before And After Contrast 24 24 $4,145.78 $3,731.20 $181.41 $4,021.41 $3,306.67 2026-03-09
72158 HCPCS MRI Scan Of Lower Spinal Canal Before And After Contrast 24 24 $4,145.78 $3,731.20 $193.66 $4,021.41 $3,306.67 2026-03-09
J3111 HCPCS Injection, Romosozumab-aqqg, 1 Mg 24 24 $4,145.52 $3,730.97 $11.49 $4,021.15 $3,306.47 2026-03-09
70543 HCPCS MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Before And After Contrast 24 24 $4,116.29 $3,704.66 $180.82 $3,992.80 $3,283.15 2026-03-09
72157 HCPCS MRI Scan Of Middle Spinal Canal Before And After Contrast 24 24 $4,064.63 $3,658.17 $193.66 $3,942.69 $3,241.94 2026-03-09
73723 HCPCS MRI Scan Of Leg Joint Before And After Contrast 24 24 $4,020.07 $3,618.06 $181.41 $3,899.47 $3,206.41 2026-03-09
73223 HCPCS MRI Scan Of Arm Joint Before And After Contrast 24 24 $4,020.07 $3,618.06 $181.41 $3,899.47 $3,206.41 2026-03-09
43112 HCPCS Removal Of Esophagus Through Chest 14 14 $1,651.72 $1,486.55 $1,470.03 $5,866.83 $3,138.94 2026-03-09
J0256 HCPCS Injection, Alpha 1 Proteinase Inhibitor (human), Not Otherwise Specified, 10 Mg 24 24 $3,679.79 $3,311.81 $5.16 $3,569.40 $2,935.00 2026-03-09
Q0222 HCPCS Injection, Bebtelovimab, 175 Mg 23 23 $3,500.00 $3,150.00 $1,638.35 $3,395.00 $2,800.00 2026-03-09
70552 HCPCS MRI Scan Of Brain With Contrast 24 24 $3,509.14 $3,158.23 $149.91 $3,403.87 $2,798.89 2026-03-09
74174 HCPCS CT Scan Of Blood Vessels Of Abdomen And Pelvis With Contrast 24 24 $3,275.32 $2,947.79 $184.32 $3,177.06 $2,612.40 2026-03-09
74178 HCPCS CT Scan Of Abdomen And Pelvis Before And After Contrast 24 24 $3,185.14 $2,866.63 $168.57 $3,089.59 $2,540.47 2026-03-09
90376 HCPCS Rabies Immune Globulin For Injection Beneath The Skin And/or Into Muscle, Heat-t… 6 6 $2,495.19 $2,245.67 $479.72 $2,644.90 $2,495.19 2026-03-09
Q5119 HCPCS Injection, Rituximab-pvvr, Biosimilar, (ruxience), 10 Mg 24 24 $2,921.15 $2,629.04 $24.94 $2,833.52 $2,329.91 2026-03-09
11010213 CDM Room & Board - Private (one Bed) - General Classification 17 17 $2,486.14 $2,237.53 $1,896.92 $2,504.54 $2,287.25 2026-03-09
74177 HCPCS CT Scan Of Abdomen And Pelvis With Contrast 24 24 $2,793.03 $2,513.73 $153.41 $2,709.24 $2,227.72 2026-03-09
J0897 HCPCS Injection, Denosumab, 1 Mg 24 24 $2,736.90 $2,463.21 $27.81 $2,654.79 $2,182.95 2026-03-09
36010151 CDM Operating Room Services - General Classification 23 23 $2,701.13 $2,431.02 $1,264.40 $2,620.10 $2,160.90 2026-03-09
73222 HCPCS MRI Scan Of Arm Joint With Contrast 24 24 $2,665.30 $2,398.77 $136.49 $2,585.34 $2,125.84 2026-03-09
72148 HCPCS MRI Scan Of Lower Spinal Canal Without Contrast 24 24 $2,616.60 $2,354.94 $124.83 $2,538.10 $2,087.00 2026-03-09
71550 HCPCS MRI Scan Of Chest Without Contrast 24 24 $2,606.11 $2,345.50 $123.08 $2,527.93 $2,078.64 2026-03-09
Q5111 HCPCS Injection, Pegfilgrastim-cbqv (udenyca), Biosimilar, 0.5 Mg 24 24 $2,606.07 $2,345.46 $163.60 $2,527.89 $2,078.61 2026-03-09
70498 HCPCS CT Scan Of Blood Vessels Of Neck With Contrast 24 24 $2,584.03 $2,325.63 $146.41 $2,506.51 $2,061.02 2026-03-09
71275 HCPCS CT Scan Of Blood Vessels Of Chest With Contrast 24 24 $2,574.80 $2,317.32 $152.82 $2,497.56 $2,053.66 2026-03-09
70496 HCPCS CT Scan Of Blood Vessels Of Head With Contrast 24 24 $2,573.32 $2,315.99 $146.41 $2,496.12 $2,052.48 2026-03-09
36010150 CDM Operating Room Services - General Classification 23 23 $2,535.75 $2,282.18 $1,186.98 $2,459.68 $2,028.60 2026-03-09
70544 HCPCS MRI Scan Of Blood Vessels Of Head Without Contrast 24 24 $2,539.37 $2,285.43 $100.33 $2,463.19 $2,025.40 2026-03-09
J9055 HCPCS Injection, Cetuximab, 10 Mg 23 23 $2,467.27 $2,220.54 $1,154.93 $2,393.25 $1,973.82 2026-03-09
70547 HCPCS MRI Scan Of Blood Vessels Of Neck Without Contrast 24 24 $2,465.00 $2,218.50 $100.91 $2,391.05 $1,966.09 2026-03-09
72146 HCPCS MRI Scan Of Middle Spinal Canal Without Contrast 24 24 $2,450.46 $2,205.41 $124.83 $2,376.95 $1,954.49 2026-03-09
72195 HCPCS MRI Scan Of Pelvis Without Contrast 24 24 $2,450.46 $2,205.41 $123.08 $2,376.95 $1,954.49 2026-03-09
73218 HCPCS MRI Scan Of Arm Without Contrast 24 24 $2,435.83 $2,192.25 $113.74 $2,362.76 $1,942.82 2026-03-09
Q0249 HCPCS Injection, Tocilizumab, For Hospitalized Adults And Pediatric Patients (2 Years … 47 24 $2,043.32 $1,838.99 $7.57 $3,930.08 $1,941.15 2026-03-09
11110001 CDM Room & Board - Private (one Bed) - Medical/surgical/gyn 17 17 $2,109.08 $1,898.17 $1,609.23 $2,124.69 $1,940.35 2026-03-09
72141 HCPCS MRI Scan Of Upper Spinal Canal Without Contrast 24 24 $2,422.78 $2,180.50 $124.83 $2,350.10 $1,932.40 2026-03-09
73718 HCPCS MRI Scan Of Leg Without Contrast 24 24 $2,406.22 $2,165.60 $113.16 $2,334.03 $1,919.20 2026-03-09
70551 HCPCS MRI Scan Of Brain Without Contrast 24 24 $2,394.99 $2,155.49 $124.24 $2,323.14 $1,910.24 2026-03-09
36010149 CDM Operating Room Services - General Classification 23 23 $2,370.38 $2,133.34 $1,109.57 $2,299.27 $1,896.30 2026-03-09
74181 HCPCS MRI Scan Of Abdomen Without Contrast 24 24 $2,367.19 $2,130.47 $121.91 $2,296.17 $1,888.07 2026-03-09
J7327 HCPCS Hyaluronan Or Derivative, Monovisc, For Intra-articular Injection, Per Dose 23 23 $2,303.59 $2,073.23 $1,078.31 $2,234.48 $1,842.87 2026-03-09
74175 HCPCS CT Scan Of Blood Vessels Of Abdomen With Contrast 24 24 $2,305.76 $2,075.18 $152.24 $2,236.59 $1,839.07 2026-03-09
75635 HCPCS CT Scan Of Abdominal Aorta And Both Leg Arteries With Contrast 24 24 $2,305.76 $2,075.18 $198.91 $2,236.59 $1,839.07 2026-03-09
49188 HCPCS Removal Or Destruction Of Growth(s) In The Abdomen, 10.1 To 20.0 Cm 12 12 $3,884.63 $3,496.17 $1,144.84 $3,457.32 $1,831.79 2026-03-09
58953 HCPCS Removal Of Lining Of Abdomen, Uterus, Ovaries, And Fallopian Tubes With Extensiv… 13 13 $3,986.26 $3,587.63 $1,153.43 $3,547.77 $1,828.13 2026-03-09
36010003 CDM Operating Room Services - General Classification 23 23 $2,257.50 $2,031.75 $1,056.74 $2,189.78 $1,806.00 2026-03-09
36010002 CDM Operating Room Services - General Classification 23 23 $2,257.50 $2,031.75 $1,056.74 $2,189.78 $1,806.00 2026-03-09
36010001 CDM Operating Room Services - General Classification 23 23 $2,257.50 $2,031.75 $1,056.74 $2,189.78 $1,806.00 2026-03-09
J0129 HCPCS Injection, Abatacept, 10 Mg (code May Be Used For Medicare When Drug Administere… 24 24 $2,246.85 $2,022.17 $43.38 $2,179.44 $1,792.09 2026-03-09
A0434 HCPCS Specialty Care Transport (sct) 24 24 $2,222.64 $2,000.38 $1,040.42 $2,155.96 $1,772.78 2026-03-09
73721 HCPCS MRI Scan Of Leg Joint Without Contrast 24 24 $2,221.10 $1,998.99 $113.74 $2,154.47 $1,771.55 2026-03-09
36010148 CDM Operating Room Services - General Classification 23 23 $2,205.00 $1,984.50 $1,032.16 $2,138.85 $1,764.00 2026-03-09
73221 HCPCS MRI Scan Of Arm Joint Without Contrast 24 24 $2,184.07 $1,965.66 $113.74 $2,118.55 $1,742.01 2026-03-09
44147 HCPCS Partial Removal Of Large Bowel Through Abdomen And Anus 14 14 $3,940.35 $3,546.32 $1,096.99 $3,506.91 $1,736.54 2026-03-09
44141 HCPCS Partial Removal Of Large Bowel With Creation Of Opening To Skin 14 14 $3,795.06 $3,415.55 $1,029.89 $3,377.60 $1,671.92 2026-03-09
75010317 CDM Gastro - Intestinal (gi) Services - General Classification 23 23 $2,077.70 $1,869.93 $972.57 $2,015.37 $1,662.16 2026-03-09
71010120 CDM Recovery Room - General Classification 23 23 $2,010.69 $1,809.62 $941.20 $1,950.37 $1,608.55 2026-03-09
36010147 CDM Operating Room Services - General Classification 23 23 $1,984.50 $1,786.05 $928.94 $1,924.97 $1,587.60 2026-03-09
44206 HCPCS Partial Removal Of Large Bowel With Creation Of Opening From Large Bowel To Skin… 14 14 $3,777.57 $3,399.81 $986.15 $3,362.04 $1,582.61 2026-03-09
75010318 CDM Gastro - Intestinal (gi) Services - General Classification 23 23 $1,952.47 $1,757.22 $913.95 $1,893.90 $1,561.98 2026-03-09
J0630 HCPCS Injection, Calcitonin Salmon, Up To 400 Units 24 24 $1,939.46 $1,745.51 $907.86 $1,881.28 $1,546.91 2026-03-09
74170 HCPCS CT Scan Of Abdomen Before And After Contrast 24 24 $1,937.31 $1,743.58 $116.66 $1,879.19 $1,545.20 2026-03-09
44143 HCPCS Partial Removal Of Large Bowel With Creation Of Opening From Large Bowel To Skin 14 14 $3,780.85 $3,402.77 $937.74 $3,364.96 $1,511.32 2026-03-09
74176 HCPCS CT Scan Of Abdomen And Pelvis Without Contrast 24 24 $1,881.30 $1,693.17 $145.83 $1,824.86 $1,500.53 2026-03-09
44145 HCPCS Partial Removal Of Large Bowel And Reattachment To Rectum 14 14 $3,544.80 $3,190.32 $937.18 $3,154.87 $1,498.30 2026-03-09
44603 HCPCS Suture Of Multiple Tears Or Holes In Small Bowel 14 14 $3,391.86 $3,052.67 $917.18 $3,018.76 $1,461.36 2026-03-09
64633 HCPCS Destruction Of Upper Or Middle Spinal Facet Joint Nerves Using Imaging Guidance,… 41 24 $3,075.98 $2,768.38 $111.59 $2,983.70 $1,439.87 2026-03-09
44626 HCPCS Closure Of Surgically Created Large Or Small Bowel Opening With Bowel Removal An… 14 14 $3,570.02 $3,213.02 $900.36 $3,177.32 $1,436.46 2026-03-09
71270 HCPCS CT Scan Of Chest Before And After Contrast 24 24 $1,800.45 $1,620.41 $104.99 $1,746.44 $1,436.04 2026-03-09
64635 HCPCS Destruction Of Lower Or Sacral Spinal Facet Joint Nerves Using Imaging Guidance,… 39 24 $2,844.45 $2,560.01 $111.59 $2,759.12 $1,411.42 2026-03-09
44204 HCPCS Partial Removal Of Large Bowel Using An Endoscope 14 14 $3,099.18 $2,789.26 $879.73 $2,758.27 $1,397.59 2026-03-09
72194 HCPCS CT Scan Of Pelvis Before And After Contrast 24 24 $1,743.06 $1,568.75 $102.08 $1,690.77 $1,390.26 2026-03-09
15734 HCPCS Creation Of Muscle Graft To Trunk 14 14 $2,407.68 $2,166.91 $867.27 $2,678.51 $1,381.77 2026-03-09
71010117 CDM Recovery Room - General Classification 23 23 $1,675.47 $1,507.92 $784.29 $1,625.21 $1,340.38 2026-03-09
70492 HCPCS CT Scan Of Soft Tissue Of Neck Before And After Contrast 24 24 $1,658.19 $1,492.37 $135.33 $1,608.44 $1,322.57 2026-03-09
58951 HCPCS Removal Of Lining Of Abdomen, Uterus, Ovaries, Fallopian Tubes, And Lymph Nodes … 14 13 $2,716.43 $2,444.79 $832.69 $2,464.57 $1,319.69 2026-03-09
36010146 CDM Operating Room Services - General Classification 23 23 $1,598.63 $1,438.77 $748.32 $1,550.67 $1,278.90 2026-03-09
44602 HCPCS Suture Of Tear Of Hole In Small Bowel 14 14 $2,959.35 $2,663.42 $795.68 $2,633.82 $1,267.94 2026-03-09
58200 HCPCS Removal Of Uterus Through Abdomen With Partial Removal Of Vagina 14 14 $2,890.53 $2,601.48 $778.86 $2,572.57 $1,245.07 2026-03-09
P9034 HCPCS Platelets, Pheresis, Each Unit 24 24 $1,555.63 $1,400.07 $397.13 $1,508.96 $1,240.77 2026-03-09
44140 HCPCS Partial Removal Of Large Bowel With Connection 14 14 $2,857.76 $2,571.98 $765.22 $2,543.41 $1,234.36 2026-03-09
22905 HCPCS Extensive Removal Of Growth Of Soft Tissue Of Abdominal Wall, 5.0 Cm Or More 13 13 $2,788.94 $2,510.05 $766.71 $2,482.16 $1,227.87 2026-03-09
27506 HCPCS Treatment Of Broken Shaft Of Thigh Bone With Implant 15 14 $2,848.33 $2,563.50 $781.67 $2,584.24 $1,223.06 2026-03-09
44130 HCPCS Creation Of Connection Between 2 Segments Of Small Bowel 14 14 $2,735.41 $2,461.87 $751.76 $2,434.51 $1,215.17 2026-03-09
49186 HCPCS Removal Or Destruction Of Growth(s) In The Abdomen, 5.0 Cm Or Less 12 12 $2,571.54 $2,314.39 $752.51 $2,288.67 $1,210.35 2026-03-09
74160 HCPCS CT Scan Of Abdomen With Contrast 24 24 $1,514.44 $1,363.00 $106.74 $1,469.01 $1,207.91 2026-03-09
44605 HCPCS Suture Of Tear Or Hole In Large Bowel And Creation Of Opening From Large Bowel T… 14 14 $2,812.88 $2,531.59 $732.51 $2,503.46 $1,197.50 2026-03-09
J0840 HCPCS Injection, Crotalidae Polyvalent Immune Fab (ovine), Up To 1 Gram 24 24 $1,398.40 $1,258.56 $654.59 $1,755.81 $1,174.65 2026-03-09
70470 HCPCS CT Scan Of Head Or Brain Before And After Contrast 24 24 $1,463.20 $1,316.88 $106.74 $1,419.30 $1,167.05 2026-03-09
72132 HCPCS CT Scan Of Lower Spine With Contrast 24 24 $1,454.49 $1,309.04 $102.08 $1,410.86 $1,160.10 2026-03-09
27130 HCPCS Replacement Of Thigh Bone And Hip Joint With Prosthesis 15 14 $2,660.80 $2,394.72 $746.34 $2,414.10 $1,158.57 2026-03-09
27447 HCPCS Replacement Of Knee Joint, Both Sides Of Knee 14 14 $3,350.92 $3,015.83 $745.41 $2,982.32 $1,156.05 2026-03-09
J0248 HCPCS Injection, Remdesivir, 1 Mg 23 23 $1,421.91 $1,279.72 $665.60 $1,379.25 $1,137.53 2026-03-09
44188 HCPCS Creation Of Large Bowel Opening Using An Endoscope 14 14 $2,757.26 $2,481.53 $694.00 $2,453.96 $1,133.77 2026-03-09
27724 HCPCS Repair Of Nonhealed Broken Shin Bone With Self Graft From Hip Or Other Bone 14 14 $2,050.46 $1,845.41 $728.21 $2,249.79 $1,130.98 2026-03-09
27244 HCPCS Treatment Of Broken Neck Of Thigh Bone With Plate/screw Implant 14 14 $2,555.16 $2,299.64 $716.62 $2,274.09 $1,120.43 2026-03-09
44120 HCPCS Partial Removal Of Small Bowel With Reconnection 14 14 $2,593.40 $2,334.06 $696.06 $2,308.13 $1,119.66 2026-03-09
19307 HCPCS Removal Of Breast And Underarm Lymph Nodes 13 13 $2,454.66 $2,209.19 $680.36 $2,184.65 $1,118.71 2026-03-09
27245 HCPCS Treatment Of Broken Neck Of Thigh Bone With Bone Implant 15 14 $2,594.36 $2,334.92 $715.69 $2,353.82 $1,117.66 2026-03-09
71010113 CDM Recovery Room - General Classification 23 23 $1,396.31 $1,256.68 $653.61 $1,354.42 $1,117.05 2026-03-09
44320 HCPCS Creation Of Opening From Large Bowel To Skin 14 14 $2,545.23 $2,290.71 $686.71 $2,265.25 $1,111.58 2026-03-09
72193 HCPCS CT Scan Of Pelvis With Contrast 24 24 $1,393.28 $1,253.95 $97.41 $1,351.48 $1,111.28 2026-03-09
71250 HCPCS CT Scan Of Chest Without Contrast 24 24 $1,390.10 $1,251.09 $90.41 $1,348.40 $1,108.74 2026-03-09
A0433 HCPCS Advanced Life Support, Level 2 (als 2) 24 24 $1,319.69 $1,187.72 $617.75 $1,280.10 $1,108.54 2026-03-09
72131 HCPCS CT Scan Of Lower Spine Without Contrast 24 24 $1,382.14 $1,243.93 $83.41 $1,340.68 $1,102.39 2026-03-09
70487 HCPCS CT Scan Of Face With Contrast 24 24 $1,381.29 $1,243.16 $95.08 $1,339.85 $1,101.72 2026-03-09
70491 HCPCS CT Scan Of Soft Tissue Of Neck With Contrast 24 24 $1,371.42 $1,234.28 $115.49 $1,330.28 $1,093.85 2026-03-09
27236 HCPCS Treatment Of Upper End Of Broken Thigh Bone With Placement Of Stabilizing Device… 15 14 $2,547.21 $2,292.49 $696.81 $2,311.04 $1,089.49 2026-03-09
19357 HCPCS Reconstruction Of Breast Using Tissue Expander 14 14 $3,941.44 $3,547.30 $684.47 $3,507.88 $1,083.84 2026-03-09
73701 HCPCS CT Scan Of Leg With Contrast Material 24 24 $1,346.60 $1,211.94 $97.41 $1,306.20 $1,074.05 2026-03-09
70480 HCPCS CT Scan Of Cranial Cavity Without Contrast 24 24 $1,346.39 $1,211.75 $107.91 $1,306.00 $1,073.88 2026-03-09
70460 HCPCS CT Scan Head Or Brain With Contrast 24 24 $1,346.21 $1,211.59 $95.08 $1,305.82 $1,073.74 2026-03-09
25609 HCPCS Treatment Of 3 Or More Broken Lower Forearm Bone Pieces On Thumb Side Inside Wri… 36 23 $2,225.73 $2,003.16 $235.87 $2,158.96 $1,073.13 2026-03-09
73201 HCPCS CT Scan Of Arm With Contrast 24 24 $1,340.34 $1,206.31 $97.41 $1,300.13 $1,069.05 2026-03-09
15830 HCPCS Removal Of Extra Skin And Tissue Of Abdomen 14 14 $2,610.77 $2,349.69 $684.85 $2,323.59 $1,068.76 2026-03-09
J1442 HCPCS Injection, Filgrastim (g-csf), Excludes Biosimilars, 1 Microgram 24 24 $1,338.53 $1,204.68 $0.98 $1,298.37 $1,067.61 2026-03-09
27827 HCPCS Treatment Of Broken Shin Bone At Lower Weight Bearing Joint 15 14 $2,458.27 $2,212.44 $659.43 $2,230.34 $1,061.01 2026-03-09
38100 HCPCS Removal Of Spleen 14 14 $1,732.56 $1,559.30 $655.50 $2,024.63 $1,058.47 2026-03-09
28415 HCPCS Treatment Of Broken Heel Bone 14 14 $2,752.80 $2,477.52 $658.30 $2,449.99 $1,056.85 2026-03-09
A0225 HCPCS Ambulance Service, Neonatal Transport, Base Rate, Emergency Transport, One Way 23 23 $1,319.69 $1,187.72 $617.75 $1,280.10 $1,055.75 2026-03-09
36430 HCPCS Transfusion Of Blood Or Blood Products 24 24 $1,322.72 $1,190.45 $80.50 $1,283.04 $1,055.01 2026-03-09
J1561 HCPCS Injection, Immune Globulin, (gamunex-c/gammaked), Non-lyophilized (e.g., Liquid)… 47 24 $2,182.97 $1,964.67 $48.35 $2,117.48 $1,053.54 2026-03-09
47605 HCPCS Removal Of Gallbladder With X-ray Study Of Bile Ducts 14 14 $2,086.41 $1,877.77 $645.59 $1,993.72 $1,048.21 2026-03-09
27125 HCPCS Partial Replacement Of Thigh Bone At Hip Joint With Prosthesis 14 14 $2,061.77 $1,855.59 $661.29 $2,042.72 $1,035.53 2026-03-09
37010130 CDM Hc Anesthesia Regional 15 Min Cdm 23 23 $1,283.31 $1,154.98 $600.72 $1,244.81 $1,026.65 2026-03-09
37010122 CDM Hc Anesthesia Gen 15 Min Cdm 23 23 $1,283.31 $1,154.98 $600.72 $1,244.81 $1,026.65 2026-03-09
37010124 CDM Hc Anesthesia IV Ga 15 Min Cdm 23 23 $1,283.31 $1,154.98 $600.72 $1,244.81 $1,026.65 2026-03-09
71260 HCPCS CT Scan Of Chest With Contrast 24 24 $1,274.14 $1,146.73 $97.99 $1,235.92 $1,016.25 2026-03-09
G0289 HCPCS Arthroscopy, Knee, Surgical, For Removal Of Loose Body, Foreign Body, Debridemen… 19 14 $1,139.27 $1,025.34 $64.73 $1,231.07 $1,013.95 2026-03-09
44005 HCPCS Release Of Intestinal Scar Tissue 14 14 $2,332.21 $2,098.99 $622.60 $2,075.67 $1,006.15 2026-03-09
47600 HCPCS Removal Of Gallbladder 14 14 $2,065.76 $1,859.18 $614.38 $1,897.47 $998.74 2026-03-09
44680 HCPCS Surgical Folding Of Upper Small Bowel Upon Itself 14 14 $2,374.91 $2,137.42 $614.57 $2,113.67 $993.74 2026-03-09
24586 HCPCS Treatment Of Broken Or Dislocated Upper Or Forearm Bones At Elbow 14 14 $2,286.51 $2,057.86 $635.13 $2,034.99 $990.58 2026-03-09
19318 HCPCS Breast Reduction 14 14 $1,208.20 $1,087.38 $638.49 $1,972.72 $982.52 2026-03-09
44345 HCPCS Complicated Reconstruction Of Opening From Large Bowel To Skin 14 14 $2,228.43 $2,005.59 $603.17 $1,983.30 $979.95 2026-03-09
72125 HCPCS CT Scan Of Upper Spine Without Contrast 24 24 $1,227.46 $1,104.71 $83.41 $1,190.64 $979.03 2026-03-09
72128 HCPCS CT Scan Of Middle Spine Without Contrast 24 24 $1,226.94 $1,104.25 $83.41 $1,190.13 $978.61 2026-03-09
60212 HCPCS Partial Removal Of Thyroid Lobes On Both Sides Of Neck And Connecting Tissue 13 13 $2,260.21 $2,034.19 $588.59 $2,011.59 $961.39 2026-03-09
44604 HCPCS Suture Of Tear Or Hole In Large Bowel 14 14 $2,256.93 $2,031.24 $599.43 $2,008.67 $960.99 2026-03-09
24546 HCPCS Treatment Of Broken Upper Arm Bone At Elbow With Extension 14 14 $2,439.36 $2,195.42 $610.08 $2,171.03 $955.45 2026-03-09
29807 HCPCS Repair Of Shoulder Socket Using An Endoscope 14 14 $2,262.38 $2,036.14 $606.72 $2,013.52 $954.70 2026-03-09
93880 HCPCS Ultrasound Of Both Sides Of Head And Neck Blood Flow 24 24 $1,190.73 $1,071.66 $66.50 $1,155.01 $949.73 2026-03-09
62323 HCPCS Injection Of Substance Into Lower Spine Canal Using Imaging Guidance 37 24 $1,695.65 $1,526.09 $57.20 $1,644.78 $949.56 2026-03-09
74150 HCPCS CT Scan Of Abdomen Without Contrast 24 24 $1,183.44 $1,065.10 $99.74 $1,147.94 $943.91 2026-03-09
72192 HCPCS CT Scan Of Pelvis Without Contrast 24 24 $1,181.63 $1,063.47 $90.99 $1,146.18 $942.46 2026-03-09
93970 HCPCS Ultrasound Study Of Arm Or Leg Veins With Compression And Maneuvers 24 24 $1,179.27 $1,061.34 $56.58 $1,143.89 $940.59 2026-03-09
70450 HCPCS CT Scan Head Or Brain Without Contrast 24 24 $1,173.36 $1,056.02 $71.75 $1,138.16 $935.88 2026-03-09
44314 HCPCS Reconstruction Of Opening From Small Bowel To Skin 14 14 $2,162.88 $1,946.59 $575.50 $1,924.96 $930.57 2026-03-09
58150 HCPCS Removal Of Uterus And Cervix Through Abdomen 14 14 $2,200.13 $1,980.12 $587.28 $1,958.12 $926.87 2026-03-09
59409 HCPCS Vaginal Delivery 37 24 $1,648.50 $1,483.65 $631.48 $1,599.05 $923.16 2026-03-09
27759 HCPCS Treatment Of Broken Part Of Shin Bone With Rod 15 14 $2,155.00 $1,939.50 $584.85 $1,955.19 $919.06 2026-03-09
71271 HCPCS Low Dose CT Scan Of Chest For Lung Cancer Screening 23 23 $1,144.71 $1,030.24 $535.84 $1,110.37 $915.77 2026-03-09
70486 HCPCS CT Scan Of Face Without Contrast 24 24 $1,147.47 $1,032.72 $72.33 $1,113.05 $915.23 2026-03-09
70490 HCPCS CT Scan Of Soft Tissue Of Neck Without Contrast 24 24 $1,147.47 $1,032.72 $107.91 $1,113.05 $915.23 2026-03-09
44025 HCPCS Biopsy Or Removal Of Foreign Body In Large Bowel 14 14 $2,175.00 $1,957.50 $562.04 $1,935.75 $908.42 2026-03-09
19303 HCPCS Simple Complete Removal Of Breast 13 13 $2,049.37 $1,844.43 $552.89 $1,823.94 $908.27 2026-03-09
M0222 HCPCS Intravenous Injection, Bebtelovimab, Includes Injection And Post Administration … 46 23 $1,098.99 $989.10 $480.16 $1,137.05 $902.68 2026-03-09
8700070601WLN CDM Hc Autopulse Lifeband 23 23 $1,127.63 $1,014.87 $527.84 $1,093.80 $902.10 2026-03-09
73700 HCPCS CT Scan Of Leg Without Contrast 24 24 $1,127.52 $1,014.77 $83.41 $1,093.69 $899.31 2026-03-09
73200 HCPCS CT Scan Of Arm Without Contrast 24 24 $1,127.52 $1,014.77 $83.41 $1,093.69 $899.31 2026-03-09
25526 HCPCS Treatment Of Broken Midpart Of Forearm Bone On Thumb Side And Dislocated Wrist J… 14 14 $2,030.60 $1,827.54 $565.41 $1,807.23 $898.83 2026-03-09
A0427 HCPCS Ambulance Service, Advanced Life Support, Emergency Transport, Level 1 (als 1 - … 24 24 $1,100.30 $990.27 $515.05 $1,067.29 $877.60 2026-03-09
99291 HCPCS Critical Care, First 30-74 Minutes 38 24 $1,648.50 $1,483.65 $121.31 $1,599.05 $870.58 2026-03-09
19302 HCPCS Partial Removal Of Breast And Underarm Lymph Nodes 14 13 $1,839.95 $1,655.96 $523.35 $1,669.36 $860.94 2026-03-09
49659 HCPCS Other Repair Of Hernia Using An Endoscope 5 5 $858.63 $772.77 $764.18 $910.15 $858.63 2026-03-09
44180 HCPCS Release Of Small Bowel Scar Tissue Using An Endoscope 14 14 $1,965.25 $1,768.73 $526.72 $1,749.07 $853.37 2026-03-09
25575 HCPCS Treatment Of Broken Midpart Of Both Forearm Bones With Placement Of Stabilizing … 14 14 $1,952.86 $1,757.57 $536.25 $1,738.05 $850.34 2026-03-09
STRAP12WLN CDM Hc Securestrap Fixation Device Sterile 5 Mm 23 23 $1,058.90 $953.01 $495.67 $1,027.13 $847.12 2026-03-09
60225 HCPCS Removal Of Thyroid Lobe On Side Of Neck And Partial Removal Of Thyroid Lobe On O… 13 13 $2,016.60 $1,814.94 $543.91 $1,794.77 $846.85 2026-03-09
99285 HCPCS Emergency Department Visit With High Level Of Medical Decision Making 37 24 $1,496.91 $1,347.22 $98.69 $1,452.00 $838.27 2026-03-09
27235 HCPCS Placement Of Stabilizing Device For Upper End Of Broken Thigh Bone 15 14 $1,933.18 $1,739.86 $532.51 $1,753.93 $838.00 2026-03-09
27822 HCPCS Treatment Of 3 Broken Lower Leg Bones At Ankle 14 14 $1,836.35 $1,652.72 $514.76 $1,634.35 $834.66 2026-03-09
60240 HCPCS Removal Of Thyroid 13 13 $2,074.53 $1,867.08 $528.59 $1,846.33 $824.51 2026-03-09
58571 HCPCS Removal Of Uterus, Tubes, And/or Ovaries Through Abdomen Using An Endoscope, 250… 14 14 $2,203.40 $1,983.06 $524.85 $1,961.03 $824.08 2026-03-09
58740 HCPCS Removal Of Scar Tissue Of Ovaries Or Fallopian Tubes 14 13 $1,967.46 $1,770.71 $521.86 $1,785.05 $820.84 2026-03-09
M0247 HCPCS Intravenous Infusion, Sotrovimab, Includes Infusion And Post Administration Moni… 23 23 $1,025.77 $923.19 $480.16 $995.00 $820.62 2026-03-09
M0243 HCPCS Intravenous Infusion Or Subcutaneous Injection, Casirivimab And Imdevimab Includ… 23 23 $1,025.33 $922.80 $479.96 $994.57 $820.26 2026-03-09
27535 HCPCS Treatment Of Broken Side Of Upper End Of Shin Bone 14 14 $1,906.39 $1,715.75 $522.98 $1,696.69 $814.24 2026-03-09
47100 HCPCS Partial Removal Of Liver Tissue 14 14 $1,774.08 $1,596.67 $489.90 $1,578.93 $809.99 2026-03-09
62273 HCPCS Injection Of Blood Or Blood Clot Into Spinal Canal 37 24 $1,437.66 $1,293.89 $65.05 $1,394.53 $805.09 2026-03-09
64483 HCPCS Injection Of Anesthetic And/or Steroid Drug Into Sacral Spine Nerve Root Using I… 63 24 $1,392.30 $1,253.07 $64.48 $1,390.25 $802.62 2026-03-09
24516 HCPCS Treatment Of Broken Middle Part Of Upper Arm Bone With Placement Of Stabilizing … 14 14 $1,865.84 $1,679.26 $505.60 $1,660.60 $799.62 2026-03-09
49900 HCPCS Suture Of Postsurgical Opening In Abdominal Wall 14 14 $1,730.38 $1,557.34 $478.87 $1,540.04 $796.89 2026-03-09
23412 HCPCS Repair Of Chronic Torn Shoulder Rotator Cuff 14 14 $2,083.35 $1,875.02 $502.61 $1,854.18 $794.51 2026-03-09
58270 HCPCS Removal Of Uterus With Repair Of Herniated Bowel Through Vagina, 250.0 G Or Less 14 14 $2,042.72 $1,838.45 $514.94 $1,818.02 $789.89 2026-03-09
44300 HCPCS Insertion Of Tube Into Small Bowel 14 14 $1,809.03 $1,628.13 $482.23 $1,610.04 $787.50 2026-03-09
C8957 HCPCS Intravenous Infusion For Therapy/diagnosis; Initiation Of Prolonged Infusion (mo… 23 23 $983.15 $884.84 $460.21 $953.66 $786.52 2026-03-09
24579 HCPCS Treatment Of Broken Elbow 14 14 $1,814.49 $1,633.04 $495.32 $1,614.90 $784.27 2026-03-09
87902 HCPCS Analysis Test By Nucleic Acid For Hepatitis C Virus 24 24 $980.39 $882.35 $363.00 $950.98 $781.96 2026-03-09
38760 HCPCS Removal Of Lymph Nodes Of Groin 14 14 $1,494.42 $1,344.98 $482.61 $1,490.91 $775.63 2026-03-09
14301 HCPCS Repair Of Wound By Transferring Skin, 30.1-60.0 Sq Cm 14 14 $2,179.28 $1,961.35 $507.28 $1,939.56 $772.57 2026-03-09
23410 HCPCS Repair Of Acute Torn Shoulder Rotator Cuff 14 14 $1,348.58 $1,213.72 $483.92 $1,495.00 $768.14 2026-03-09
27540 HCPCS Treatment Of Broken Shin Bone At Knee 14 14 $1,762.23 $1,586.01 $481.30 $1,568.38 $765.51 2026-03-09
24538 HCPCS Placement Of Stabilizing Device To Upper Arm Broken At Elbow 14 14 $1,304.89 $1,174.40 $468.96 $1,448.33 $759.07 2026-03-09
A0426 HCPCS Ambulance Service, Advanced Life Support, Non-emergency Transport, Level 1 (als … 24 24 $917.28 $825.55 $429.38 $889.76 $756.17 2026-03-09
27502 HCPCS Closed Treatment Of Broken Thigh Bone At Midportion With Manipulation 14 14 $1,673.57 $1,506.21 $442.05 $1,489.48 $753.02 2026-03-09
25447 HCPCS Replacement Of Joint Between Wrist And Fingers Using Tissue 15 14 $1,348.17 $1,213.35 $476.63 $1,472.25 $750.46 2026-03-09
00532 HCPCS Anesthesia For Access To Central Vein 5 5 $748.60 $673.74 $666.25 $793.52 $748.60 2026-03-09
28296 HCPCS Correction Of Bunion With Alignment Correction Of Midfoot Bone Toward Toe Area 14 14 $1,573.30 $1,415.97 $442.12 $1,667.70 $744.73 2026-03-09
13160 HCPCS Extensive Or Complicated Repair Of Surface Wound Reopening 14 14 $1,759.87 $1,583.88 $464.66 $1,566.28 $743.93 2026-03-09
58260 HCPCS Removal Of Uterus Through Vagina, 250.0 G Or Less 14 14 $1,836.35 $1,652.72 $483.54 $1,634.35 $739.31 2026-03-09
44800 HCPCS Repair Of Congenital Bowel Defect 13 13 $1,623.32 $1,460.99 $447.47 $1,444.75 $734.96 2026-03-09
87633 HCPCS Detection Test By Nucleic Acid For Multiple Types Of Respiratory Virus, Multiple… 24 24 $910.93 $819.84 $426.41 $883.60 $726.56 2026-03-09
87507 HCPCS Detection Test By Nucleic Acid For Digestive Tract Pathogen, Multiple Types Or S… 24 24 $910.93 $819.84 $426.41 $883.60 $726.56 2026-03-09
82653 HCPCS Measurement Of Pancreatic Elastase (enzyme) In Stool 23 23 $905.97 $815.37 $424.08 $878.79 $724.78 2026-03-09
49000 HCPCS Exploration Of Abdominal Cavity 14 14 $1,647.36 $1,482.62 $441.86 $1,466.15 $721.74 2026-03-09
24342 HCPCS Reinsertion Of Torn Upper Arm Tendon 15 14 $1,652.59 $1,487.33 $457.75 $1,499.37 $719.34 2026-03-09
27252 HCPCS Closed Treatment Of Dislocated Hip Under Anesthesia 14 14 $1,635.12 $1,471.61 $437.75 $1,455.26 $719.15 2026-03-09
27814 HCPCS Treatment Of Both Broken Lower Leg Bones At Ankle 14 14 $1,683.41 $1,515.07 $450.83 $1,498.23 $718.59 2026-03-09
76770 HCPCS Complete Ultrasound Scan Behind Abdominal Cavity 24 24 $898.80 $808.92 $61.83 $871.84 $716.88 2026-03-09
24341 HCPCS Repair Of Tendon Or Muscle Of Upper Arm Or Elbow 14 14 $1,233.51 $1,110.16 $447.47 $1,381.84 $715.42 2026-03-09
25605 HCPCS Closed Treatment Of Broken Or Growth Plate Separate Of Forearm Bone At Wrist Wit… 61 24 $1,275.06 $1,147.55 $235.87 $1,236.81 $714.03 2026-03-09
84445 HCPCS Thyroid Stimulating Immune Globulins (thyroid Related Protein) Level 24 24 $893.29 $803.96 $71.71 $866.49 $712.49 2026-03-09
27691 HCPCS Transfer Of Deep Tendon Of Foot With Muscle Rerouting 14 14 $1,428.43 $1,285.59 $440.18 $1,359.67 $708.82 2026-03-09
27524 HCPCS Treatment Of Broken Kneecap With Placement Of Stabilizing Device And/or Removal … 15 14 $1,605.27 $1,444.74 $445.79 $1,456.43 $708.38 2026-03-09
A0429 HCPCS Ambulance Service, Basic Life Support, Emergency Transport (bls-emergency) 24 24 $879.80 $791.82 $411.83 $853.41 $701.73 2026-03-09
23430 HCPCS Anchoring Of Biceps Tendon 28 14 $1,605.96 $1,445.36 $440.55 $1,429.30 $700.66 2026-03-09
21933 HCPCS Removal Of Growth Of Muscle Of Back Or Lower Sides, 5.0 Cm Or More 15 14 $1,498.10 $1,348.29 $428.96 $1,359.20 $696.94 2026-03-09
CTI512NWLN CDM Hc Carter-thomason Closure System Single-use 23 23 $870.05 $783.05 $407.27 $843.95 $696.04 2026-03-09
58720 HCPCS Removal Of Uterine Tubes And Ovaries 13 13 $1,636.44 $1,472.80 $440.55 $1,456.43 $695.88 2026-03-09
58925 HCPCS Removal Of Cysts Of Ovaries 13 13 $1,657.19 $1,491.47 $444.29 $1,474.90 $695.38 2026-03-09
27045 HCPCS Removal Of Growth Of Muscle Of Pelvis And Hip, 5.0 Cm Or More 14 14 $1,660.38 $1,494.34 $428.22 $1,477.74 $690.20 2026-03-09
76700 HCPCS Complete Ultrasound Scan Of Abdomen 24 24 $860.93 $774.84 $67.66 $835.10 $686.67 2026-03-09
27248 HCPCS Treatment Of Broken Head Of Thigh Bone With Placement Of Stabilizing Device 14 14 $1,437.62 $1,293.86 $437.19 $1,350.34 $686.47 2026-03-09
57260 HCPCS Plastic Repair Of Vagina And Tissue Separating Vagina, Rectum, And Bladder 14 14 $1,817.78 $1,636.00 $448.78 $1,617.82 $685.40 2026-03-09
23515 HCPCS Treatment Of Broken Collar Bone 15 14 $1,538.85 $1,384.97 $427.65 $1,396.17 $683.48 2026-03-09
27654 HCPCS Secondary Repair Of Ruptured Achilles Tendon 14 14 $1,535.00 $1,381.50 $424.66 $1,366.15 $682.34 2026-03-09
27829 HCPCS Treatment Of Ligament Tear At Ankle Joint 15 14 $1,028.64 $925.78 $417.94 $1,290.84 $681.34 2026-03-09
P9019 HCPCS Platelets, Each Unit 24 24 $851.69 $766.52 $75.96 $826.14 $679.31 2026-03-09
P9031 HCPCS Platelets, Leukocytes Reduced, Each Unit 24 24 $851.69 $766.52 $125.77 $826.14 $679.31 2026-03-09
27769 HCPCS Treatment Of Broken Back Portion Of Shin Bone At Ankle 14 14 $1,594.82 $1,435.34 $429.34 $1,419.39 $679.09 2026-03-09
21554 HCPCS Removal Of Growth Of Muscle Of Neck Or Front Of Chest, 5.0 Cm Or More 14 14 $1,630.98 $1,467.88 $425.97 $1,451.57 $678.98 2026-03-09
49521 HCPCS Repair Of Trapped Or Strangulated Groin Hernia 15 14 $1,596.59 $1,436.93 $414.01 $1,448.56 $677.93 2026-03-09
11005 HCPCS Removal Of Infected Skin, Tissue Or Muscle Of Abdomen 14 14 $1,612.40 $1,451.16 $432.33 $1,435.04 $677.26 2026-03-09
47563 HCPCS Removal Of Gallbladder With X-ray Study Of Bile Ducts Using An Endoscope 14 14 $1,605.75 $1,445.18 $414.01 $1,429.12 $677.05 2026-03-09
43520 HCPCS Severing Of Muscle At Stomach Outlet To Upper Small Bowel 13 13 $1,408.12 $1,267.31 $410.65 $1,253.23 $673.76 2026-03-09
93971 HCPCS Ultrasound Study Of One Arm Or Leg Veins With Compression And Maneuvers 24 24 $839.35 $755.42 $36.75 $814.17 $669.47 2026-03-09
38740 HCPCS Partial Removal Of Lymph Nodes Of Underarm 14 14 $1,212.48 $1,091.23 $406.53 $1,255.26 $669.33 2026-03-09
38564 HCPCS Removal Of Lymph Nodes Behind Abdominal Cavity 13 13 $1,364.42 $1,227.98 $405.23 $1,214.33 $658.52 2026-03-09
64490 HCPCS Injection Of Upper Or Middle Spine Facet Joint Using Imaging Guidance, Single Le… 40 24 $1,352.77 $1,217.49 $61.12 $1,312.19 $652.24 2026-03-09
76856 HCPCS Complete Ultrasound Scan Of Pelvis 24 24 $817.00 $735.30 $57.75 $792.49 $651.64 2026-03-09
72052 HCPCS X-ray Of Upper Spine, 6 Or More Views 24 24 $816.89 $735.20 $25.67 $792.38 $651.55 2026-03-09
70150 HCPCS X-ray Of Face Bones, Minimum Of 3 Views 24 24 $813.71 $732.34 $22.17 $789.30 $649.01 2026-03-09
25606 HCPCS Placement Of Stabilizing Device For Broken Forearm Bone On Thumb Side At Wrist 38 24 $770.36 $693.32 $360.61 $1,241.26 $648.33 2026-03-09
58541 HCPCS Partial Removal Of Uterus With Retention Of Cervix Using An Endoscope, 250.0 G O… 14 14 $1,893.15 $1,703.84 $422.42 $1,684.90 $647.90 2026-03-09
64493 HCPCS Injection Of Lower Or Sacral Spine Facet Joint Using Imaging Guidance, Single Le… 41 24 $1,156.52 $1,040.87 $52.71 $1,121.82 $647.65 2026-03-09
65235 HCPCS Removal Of Foreign Body In Eye Or Lens 24 24 $770.36 $693.32 $360.61 $1,311.84 $647.11 2026-03-09
28405 HCPCS Closed Treatment Of Broken Heel Bone With Manipulation 24 24 $769.82 $692.84 $360.35 $765.29 $646.65 2026-03-09
23665 HCPCS Closed Treatment Of Dislocated Shoulder And Broken Upper Arm Bone At Shoulder Jo… 24 24 $769.82 $692.84 $360.35 $755.96 $646.65 2026-03-09
26645 HCPCS Closed Treatment Of Broken Thumb At Wrist With Manipulation 24 24 $769.82 $692.84 $360.35 $747.21 $646.65 2026-03-09
27550 HCPCS Closed Treatment Of Dislocated Knee 24 24 $769.81 $692.83 $360.35 $876.70 $646.64 2026-03-09
27831 HCPCS Closed Treatment Of Dislocated Knee Joint Under Anesthesia 24 24 $769.81 $692.83 $360.35 $770.54 $646.64 2026-03-09
25675 HCPCS Closed Treatment Of Dislocated Forearm Bone At Wrist With Manipulation 24 24 $769.81 $692.83 $360.35 $782.21 $646.64 2026-03-09
24675 HCPCS Closed Treatment Of Broken Forearm Bone On Small Finger Side At Elbow With Manip… 24 24 $769.81 $692.83 $360.35 $785.12 $646.64 2026-03-09
27220 HCPCS Closed Treatment Of Broken Hip Socket 24 24 $769.81 $692.83 $360.35 $760.62 $646.64 2026-03-09
26080 HCPCS Incision Of Finger Joint For Exploration, Fluid Drainage, Or Removal Of Foreign … 24 24 $769.81 $692.83 $360.35 $749.54 $646.64 2026-03-09
24635 HCPCS Treatment Of Broken And Dislocated Forearm Bones At Elbow 14 14 $2,251.46 $2,026.31 $404.85 $2,003.80 $645.45 2026-03-09
29882 HCPCS Repair Of Inside Or Outside Knee Joint Cartilage Using An Endoscope 15 14 $1,491.85 $1,342.67 $407.09 $1,353.53 $645.34 2026-03-09
64624 HCPCS Destruction Of Nerve Branches Of Knee Using Imaging Guidance 36 23 $1,152.11 $1,036.90 $121.44 $1,117.55 $645.18 2026-03-09
64625 HCPCS Destruction Of Nerves Supplying Joint Between Spine And Pelvis Using Imaging Gui… 36 23 $1,152.11 $1,036.90 $160.57 $1,117.55 $645.18 2026-03-09
64640 HCPCS Destruction Of Peripheral Nerve Or Branch 37 24 $1,152.11 $1,036.90 $70.09 $1,117.55 $645.18 2026-03-09
60210 HCPCS Partial Removal Of Thyroid Lobe On Side Of Neck 13 13 $1,589.36 $1,430.42 $410.65 $1,414.53 $644.75 2026-03-09
58662 HCPCS Destruction Or Removal Of Ovary Or Growth Of Pelvis Using An Endoscope 13 13 $1,634.25 $1,470.83 $411.02 $1,454.48 $642.65 2026-03-09
27405 HCPCS Primary Repair Of Torn Ligament Or Joint Capsule At Outside Part Of Knee 14 14 $1,100.99 $990.89 $401.49 $1,240.10 $641.69 2026-03-09
22901 HCPCS Removal Of Growth Of Muscle Of Abdomen, 5.0 Cm Or More 14 14 $1,473.70 $1,326.33 $387.84 $1,311.59 $638.37 2026-03-09
62321 HCPCS Injection Of Substance Into Middle Or Upper Spine Canal Using Imaging Guidance 37 24 $1,134.47 $1,021.02 $86.67 $1,100.44 $635.30 2026-03-09
24600 HCPCS Repair Of Dislocated Elbow 24 24 $769.81 $692.83 $360.35 $746.72 $631.08 2026-03-09
24665 HCPCS Treatment Of Broken Forearm Bone On Thumb Side At Elbow 15 14 $1,389.87 $1,250.88 $394.01 $1,261.01 $628.35 2026-03-09
19301 HCPCS Partial Removal Of Breast 14 13 $878.62 $790.76 $381.11 $1,005.07 $628.17 2026-03-09
24685 HCPCS Treatment Of Broken Forearm Bone On Small Finger Side At Elbow 14 14 $1,425.50 $1,282.95 $390.65 $1,268.70 $628.05 2026-03-09
28465 HCPCS Treatment Of Broken Hind Portion Of Foot 14 14 $1,324.01 $1,191.61 $382.42 $1,181.77 $627.70 2026-03-09
21932 HCPCS Removal Of Growth Of Muscle Of Back Or Lower Sides, Less Than 5.0 Cm 14 14 $1,409.11 $1,268.20 $388.22 $1,254.11 $625.78 2026-03-09
47562 HCPCS Removal Of Gallbladder Using An Endoscope 14 14 $1,577.45 $1,419.71 $381.11 $1,403.93 $625.76 2026-03-09
58660 HCPCS Removal Of Scar Tissue Of Ovaries Or Fallopian Tubes Using An Endoscope 14 14 $1,501.97 $1,351.77 $394.57 $1,336.75 $622.65 2026-03-09
76000 HCPCS Imaging Guidance For Procedure, 60 Minutes Or Less 24 24 $777.32 $699.59 $26.83 $754.00 $619.99 2026-03-09
72114 HCPCS X-ray Lower And Sacral Spine, Minimum Of 6 Views 24 24 $773.50 $696.15 $26.25 $750.30 $616.94 2026-03-09
27520 HCPCS Closed Treatment Of Broken Kneecap 24 24 $769.82 $692.84 $360.35 $746.73 $614.01 2026-03-09
27808 HCPCS Closed Treatment Of 2 Broken Lower Leg Bones At Ankle 24 24 $769.82 $692.84 $360.35 $746.73 $614.01 2026-03-09
26725 HCPCS Closed Treatment Of Broken Finger Or Thumb At Midportion Or Part Near Hand With … 24 24 $769.81 $692.83 $360.35 $746.72 $614.00 2026-03-09
25650 HCPCS Closed Treatment Of Broken Base Of Forearm Bone On Small Finger Side At Wrist 24 24 $769.81 $692.83 $360.35 $746.72 $614.00 2026-03-09
28605 HCPCS Closed Treatment Of Dislocated Midfoot Joint Under Anesthesia 24 24 $769.81 $692.83 $360.35 $746.72 $614.00 2026-03-09
27792 HCPCS Treatment Of Broken Outer Lower Leg Bone At Ankle 15 14 $1,284.88 $1,156.39 $381.67 $1,179.43 $613.02 2026-03-09
11006 HCPCS Removal Of Infected Skin, Tissue Or Muscle Of Genitals, Perineum, Or Abdomen 14 14 $1,391.73 $1,252.56 $393.82 $1,238.64 $612.43 2026-03-09
76870 HCPCS Ultrasound Scan Of Scrotum 24 24 $766.71 $690.04 $53.66 $743.71 $611.53 2026-03-09
44340 HCPCS Simple Revision Of Superficial Scar Tissue From Surgically Created Opening Of La… 14 14 $1,263.92 $1,137.53 $364.67 $1,126.35 $607.72 2026-03-09
25260 HCPCS Primary Repair Of Tendon Or Muscle Of Palm Side Of Forearm Or Wrist 14 14 $1,324.76 $1,192.28 $381.30 $1,179.04 $605.77 2026-03-09
24147 HCPCS Partial Removal Of Infected Elbow Bone 14 14 $1,351.60 $1,216.44 $376.81 $1,202.92 $603.03 2026-03-09
49520 HCPCS Repair Of Groin Hernia That Is Not Trapped 15 14 $1,312.28 $1,181.05 $365.97 $1,190.61 $602.49 2026-03-09
J2760 HCPCS Injection, Phentolamine Mesylate, Up To 5 Mg 24 24 $753.98 $678.58 $352.94 $731.36 $601.37 2026-03-09
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