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

FERRY COUNTY MEMORIAL HOSPITAL

Republic, WA · CCN 501322 · Rates published

19,396 distinct procedures filed
31 distinct payers
339,591 rate rows
2026-09-14 last MRF observed
Data quality

67,961 of 339,591 rate rows are consumer-grade (20.0%)

271,630 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 252,441
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 8,437
professional (physician) fee — not the facility price 8,343
per-diem day rate — not a per-procedure price 2,301
percent-of-charges filed in the dollar field — excluded from medians 75
placeholder amount (≤ $0.02) — excluded from medians 18
exceeds 10× this hospital's gross charge — excluded from medians 15
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://mrfs.hyvehealthcare.com/FerryCounty/910879683_ferry-county-public-hospital-district-no-1_standardcharges.csv
Found on page https://www.fcphd.org/#Transparency
Discovered viaCMS hospital list
Last fetch success · 2026-09-28
Content fingerprint 3a2ab567ce15b538… · 64,877,978 bytes · first seen 2026-09-28

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
J3380
HCPCS 		Vedolizumab-entyvio 13 $9,631.77 $20,431.04 $18,242.00 nat. median
$59
outlier · 310.2×
J2506
HCPCS 		Pegfilgrastim 6mg/0.6ml Inj 13 $7,383.45 $15,661.87 $13,983.81 nat. median
$916
outlier · 15.3×
J3470
HCPCS 		Hyaluronidase 150un Inj 13 $5,985.44 $12,696.39 $11,336.06 nat. median
$68
outlier · 167.2×
Q5111
HCPCS 		Pegfilgrastim-cbqv 6 Mg/0.6 Ml 13 $5,918.22 $12,553.80 $11,208.75 nat. median
$665
outlier · 16.8×
J1950
HCPCS 		Leuprolide Inj 13 $5,544.00 $11,760.00 $10,500.00 nat. median
$3,343
outlier · 3.1×
28292
CPT 		Bunion Procedure 13 $4,315.59 $9,154.28 $8,173.47 nat. median
$3,560
outlier · 2.3×
19120
CPT 		Excision Cyst 1+ Lesion 13 $3,965.08 $8,410.78 $7,509.62 nat. median
$3,683
outlier · 2.0×
J3101
HCPCS 		Tenecteplase 50 Mg Vial 13 $251.39 $27,489.98 $6,746.40 nat. median
$498
outlier · 13.6×
25111
CPT 		Excision Ganglion Wrist Prim 13 $3,331.36 $7,066.53 $6,309.40 nat. median
$2,015
outlier · 3.1×
10180
CPT 		I&d Complex Postop Wnd Infct 13 $3,056.03 $6,482.50 $5,787.95 nat. median
$2,882
outlier · 2.0×
43250
CPT 		Egd W/ro Tpl 13 $2,937.87 $6,231.85 $5,564.16 nat. median
$2,004
outlier · 2.8×
43254
CPT 		Egd Endo Mucosal Resection 13 $2,789.53 $5,917.20 $5,283.21 nat. median
$2,094
outlier · 2.5×
45381
CPT 		Colon W/submucosal Inj 13 $2,674.35 $5,672.86 $5,065.06 nat. median
$1,388
outlier · 3.7×
45385
CPT 		Colonoscopy Remove Tpl W/snare 13 $2,667.12 $5,657.54 $5,051.38 nat. median
$1,486
outlier · 3.4×
54670
CPT 		Suture/repair Testi Injr 13 $2,294.25 $7,688.10 $4,816.95 nat. median
$3,459
1.4× median
25260
CPT 		Repr Tendn/musl Flx F/arm/wrst 13 $2,443.05 $5,182.24 $4,627.00 nat. median
$3,426
1.4× median
23605
CPT 		Closed Tx Humeral Fx W/man 13 $2,386.59 $5,062.48 $4,520.08 nat. median
$1,778
outlier · 2.5×
81408
CPT 		Molecular Path Proced Level 9 13 $2,359.89 $5,005.84 $4,469.50 nat. median
$2,000
outlier · 2.2×
73720
CPT 		MRI Lo Ext W/wo Jnt W/wo 13 $2,347.42 $4,979.38 $4,445.88 nat. median
$754
outlier · 5.9×
74178
CPT 		CT Abd/pelvis W/wo Contrast 13 $2,327.04 $4,936.15 $4,407.27 nat. median
$539
outlier · 8.2×
36590
CPT 		Rem Central Line W Pump 13 $2,310.51 $4,901.09 $4,375.98 nat. median
$1,682
outlier · 2.6×
43246
CPT 		Egd Place Gastrostomy Tube 13 $2,294.07 $4,866.20 $4,344.82 nat. median
$2,046
outlier · 2.1×
45384
CPT 		Colon Rm Tpl Hot Bx Forcep 13 $2,293.94 $4,865.93 $4,344.58 nat. median
$1,532
outlier · 2.8×
46040
CPT 		I&d Ischiorect/perirect Abs 13 $2,285.89 $4,848.86 $4,329.34 nat. median
$1,661
outlier · 2.6×
10121
CPT 		Incision/removal Fb Comp 13 $2,270.40 $4,816.01 $4,300.01 nat. median
$1,652
outlier · 2.6×
74177
CPT 		CT Abd/pelvis With Contrast 13 $2,236.84 $4,744.81 $4,236.44 nat. median
$501
outlier · 8.5×
35207
CPT 		Rpr Blood Ves; Hand, Finger 13 $2,232.43 $4,735.47 $4,228.10 nat. median
$3,594
1.2× median
74174
CPT 		CTA Abd/pel W&without Contrast 13 $2,227.19 $4,724.35 $4,218.17 nat. median
$549
outlier · 7.7×
J1451
HCPCS 		Fomepizole 1.5gm/1.5ml 13 $2,221.29 $4,711.84 $4,207.00 nat. median
$194
outlier · 21.7×
45331
CPT 		Sigmoidoscopy And Biopsy 13 $2,206.80 $4,681.10 $4,179.56 nat. median
$1,041
outlier · 4.0×
43247
CPT 		Egd With Fb Removal 13 $2,194.05 $4,654.05 $4,155.40 nat. median
$1,243
outlier · 3.3×
26952
CPT 		Amput W/local Adv Flaps 13 $2,188.71 $4,642.73 $4,145.29 nat. median
$3,254
1.3× median
26951
CPT 		Amputat Fing/thumb Drct Close 13 $2,188.71 $4,642.73 $4,145.29 nat. median
$3,337
1.2× median
72158
CPT 		MRI L-spine W/wo Contrast 13 $2,171.35 $4,605.91 $4,112.41 nat. median
$616
outlier · 6.7×
73223
CPT 		MRI Up Ext W/jnt W/wo 13 $2,142.60 $4,544.92 $4,057.97 nat. median
$757
outlier · 5.4×
74183
CPT 		MRI Abd W/wo Contrast 13 $2,120.16 $4,497.32 $4,015.46 nat. median
$611
outlier · 6.6×
72157
CPT 		MRI T-spine W/wo Contrast 13 $2,117.01 $4,490.63 $4,009.49 nat. median
$624
outlier · 6.4×
45382
CPT 		Colonoscopy W/control Bleed 13 $2,068.66 $4,388.08 $3,917.93 nat. median
$1,532
outlier · 2.6×
45379
CPT 		Colon W/removal Fb 13 $2,068.66 $4,388.08 $3,917.93 nat. median
$1,387
outlier · 2.8×
64999
CPT 		Nervous Sys Oth Surg/proc 13 $2,065.60 $4,381.58 $3,912.12 nat. median
$449
outlier · 8.7×
73723
CPT 		MRI Lo Ext W/jnt W/wo 13 $2,051.03 $4,350.68 $3,884.53 nat. median
$756
outlier · 5.1×
72156
CPT 		MRI C-spine W/wo Contrast 13 $2,048.08 $4,344.42 $3,878.95 nat. median
$625
outlier · 6.2×
70549
CPT 		MRA Neck W/wo Contrast 13 $1,958.85 $4,155.15 $3,709.95 nat. median
$606
outlier · 6.1×
36555
CPT 		Insert Of Cent Veno Acc Device 13 $1,958.58 $4,154.57 $3,709.43 nat. median
$2,968
1.2× median
43239
CPT 		Egd W/biopsy Single/mult 13 $1,954.75 $4,146.45 $3,702.19 nat. median
$1,161
outlier · 3.2×
43243
CPT 		Upper Gi Endoscpy W Inj. 13 $1,952.63 $4,141.95 $3,698.16 nat. median
$2,012
1.8× median
73220
CPT 		MRI Up Ext Without Jnt W/wo 13 $1,931.69 $4,097.52 $3,658.50 nat. median
$737
outlier · 5.0×
72197
CPT 		MRI Pelvis W/wo Contrast 13 $1,926.75 $4,087.05 $3,649.15 nat. median
$606
outlier · 6.0×
23655
CPT 		Closed Shldr Dis W/man W/ane 13 $1,887.85 $4,004.54 $3,575.48 nat. median
$1,810
2.0× median
26675
CPT 		Closed Cmc Dislc W/man W/ane 13 $1,845.94 $3,915.64 $3,496.11 nat. median
$1,723
outlier · 2.0×

Other procedures at this hospital

Browse this hospital's 19,396 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
             
J3380 HCPCS Vedolizumab-entyvio 14 13 $20,848.00 $17,720.80 $9,631.77 $20,431.04 $18,242.00 2026-09-14
J2506 HCPCS Pegfilgrastim 6mg/0.6ml Inj 14 13 $15,981.50 $13,584.28 $7,383.45 $15,661.87 $13,983.81 2026-09-14
J3470 HCPCS Hyaluronidase 150un Inj 14 13 $12,955.50 $11,012.18 $5,985.44 $12,696.39 $11,336.06 2026-09-14
Q5111 HCPCS Pegfilgrastim-cbqv 6 Mg/0.6 Ml 14 13 $12,810.00 $10,888.50 $5,918.22 $12,553.80 $11,208.75 2026-09-14
J1950 HCPCS Leuprolide Inj 14 13 $12,000.00 $10,200.00 $5,544.00 $11,760.00 $10,500.00 2026-09-14
28292 CPT Bunion Procedure 14 13 $9,341.11 $7,939.94 $4,315.59 $9,154.28 $8,173.47 2026-09-14
19120 CPT Excision Cyst 1+ Lesion 14 13 $8,582.43 $7,295.07 $3,965.08 $8,410.78 $7,509.62 2026-09-14
J3101 HCPCS Tenecteplase 50 Mg Vial 28 13 $14,297.57 $12,152.93 $251.39 $27,489.98 $6,746.40 2026-09-14
25111 CPT Excision Ganglion Wrist Prim 14 13 $7,210.75 $6,129.14 $3,331.36 $7,066.53 $6,309.40 2026-09-14
10180 CPT I&d Complex Postop Wnd Infct 14 13 $6,614.80 $5,622.58 $3,056.03 $6,482.50 $5,787.95 2026-09-14
43250 CPT Egd W/ro Tpl 14 13 $6,359.04 $5,405.18 $2,937.87 $6,231.85 $5,564.16 2026-09-14
43254 CPT Egd Endo Mucosal Resection 14 13 $6,037.96 $5,132.27 $2,789.53 $5,917.20 $5,283.21 2026-09-14
45381 CPT Colon W/submucosal Inj 14 13 $5,788.64 $4,920.34 $2,674.35 $5,672.86 $5,065.06 2026-09-14
45385 CPT Colonoscopy Remove Tpl W/snare 14 13 $5,773.00 $4,907.05 $2,667.12 $5,657.54 $5,051.38 2026-09-14
54670 CPT Suture/repair Testi Injr 28 13 $6,405.47 $5,444.65 $2,294.25 $7,688.10 $4,816.95 2026-09-14
25260 CPT Repr Tendn/musl Flx F/arm/wrst 14 13 $5,288.00 $4,494.80 $2,443.05 $5,182.24 $4,627.00 2026-09-14
23605 CPT Closed Tx Humeral Fx W/man 14 13 $5,165.80 $4,390.93 $2,386.59 $5,062.48 $4,520.08 2026-09-14
81408 CPT Molecular Path Proced Level 9 14 13 $5,108.00 $4,341.80 $2,359.89 $5,005.84 $4,469.50 2026-09-14
73720 CPT MRI Lo Ext W/wo Jnt W/wo 14 13 $5,081.00 $4,318.85 $2,347.42 $4,979.38 $4,445.88 2026-09-14
74178 CPT CT Abd/pelvis W/wo Contrast 14 13 $5,036.89 $4,281.36 $2,327.04 $4,936.15 $4,407.27 2026-09-14
36590 CPT Rem Central Line W Pump 14 13 $5,001.12 $4,250.95 $2,310.51 $4,901.09 $4,375.98 2026-09-14
43246 CPT Egd Place Gastrostomy Tube 14 13 $4,965.52 $4,220.69 $2,294.07 $4,866.20 $4,344.82 2026-09-14
45384 CPT Colon Rm Tpl Hot Bx Forcep 14 13 $4,965.24 $4,220.45 $2,293.94 $4,865.93 $4,344.58 2026-09-14
46040 CPT I&d Ischiorect/perirect Abs 14 13 $4,947.82 $4,205.65 $2,285.89 $4,848.86 $4,329.34 2026-09-14
10121 CPT Incision/removal Fb Comp 14 13 $4,914.30 $4,177.16 $2,270.40 $4,816.01 $4,300.01 2026-09-14
74177 CPT CT Abd/pelvis With Contrast 14 13 $4,841.65 $4,115.40 $2,236.84 $4,744.81 $4,236.44 2026-09-14
35207 CPT Rpr Blood Ves; Hand, Finger 14 13 $4,832.12 $4,107.30 $2,232.43 $4,735.47 $4,228.10 2026-09-14
74174 CPT CTA Abd/pel W&without Contrast 14 13 $4,820.77 $4,097.65 $2,227.19 $4,724.35 $4,218.17 2026-09-14
J1451 HCPCS Fomepizole 1.5gm/1.5ml 14 13 $4,808.00 $4,086.80 $2,221.29 $4,711.84 $4,207.00 2026-09-14
45331 CPT Sigmoidoscopy And Biopsy 14 13 $4,776.64 $4,060.14 $2,206.80 $4,681.10 $4,179.56 2026-09-14
43247 CPT Egd With Fb Removal 14 13 $4,749.04 $4,036.68 $2,194.05 $4,654.05 $4,155.40 2026-09-14
26952 CPT Amput W/local Adv Flaps 14 13 $4,737.48 $4,026.86 $2,188.71 $4,642.73 $4,145.29 2026-09-14
26951 CPT Amputat Fing/thumb Drct Close 14 13 $4,737.48 $4,026.86 $2,188.71 $4,642.73 $4,145.29 2026-09-14
72158 CPT MRI L-spine W/wo Contrast 14 13 $4,699.91 $3,994.92 $2,171.35 $4,605.91 $4,112.41 2026-09-14
73223 CPT MRI Up Ext W/jnt W/wo 14 13 $4,637.68 $3,942.03 $2,142.60 $4,544.92 $4,057.97 2026-09-14
74183 CPT MRI Abd W/wo Contrast 14 13 $4,589.11 $3,900.74 $2,120.16 $4,497.32 $4,015.46 2026-09-14
72157 CPT MRI T-spine W/wo Contrast 14 13 $4,582.28 $3,894.94 $2,117.01 $4,490.63 $4,009.49 2026-09-14
45379 CPT Colon W/removal Fb 14 13 $4,477.64 $3,805.99 $2,068.66 $4,388.08 $3,917.93 2026-09-14
45382 CPT Colonoscopy W/control Bleed 14 13 $4,477.64 $3,805.99 $2,068.66 $4,388.08 $3,917.93 2026-09-14
64999 CPT Nervous Sys Oth Surg/proc 14 13 $4,471.00 $3,800.35 $2,065.60 $4,381.58 $3,912.12 2026-09-14
73723 CPT MRI Lo Ext W/jnt W/wo 14 13 $4,439.47 $3,773.55 $2,051.03 $4,350.68 $3,884.53 2026-09-14
72156 CPT MRI C-spine W/wo Contrast 14 13 $4,433.09 $3,768.13 $2,048.08 $4,344.42 $3,878.95 2026-09-14
70549 CPT MRA Neck W/wo Contrast 14 13 $4,239.95 $3,603.96 $1,958.85 $4,155.15 $3,709.95 2026-09-14
36555 CPT Insert Of Cent Veno Acc Device 14 13 $4,239.36 $3,603.46 $1,958.58 $4,154.57 $3,709.43 2026-09-14
43239 CPT Egd W/biopsy Single/mult 14 13 $4,231.08 $3,596.42 $1,954.75 $4,146.45 $3,702.19 2026-09-14
43243 CPT Upper Gi Endoscpy W Inj. 14 13 $4,226.48 $3,592.51 $1,952.63 $4,141.95 $3,698.16 2026-09-14
73220 CPT MRI Up Ext Without Jnt W/wo 14 13 $4,181.15 $3,553.98 $1,931.69 $4,097.52 $3,658.50 2026-09-14
72197 CPT MRI Pelvis W/wo Contrast 14 13 $4,170.46 $3,544.89 $1,926.75 $4,087.05 $3,649.15 2026-09-14
23655 CPT Closed Shldr Dis W/man W/ane 14 13 $4,086.27 $3,473.33 $1,887.85 $4,004.54 $3,575.48 2026-09-14
26675 CPT Closed Cmc Dislc W/man W/ane 14 13 $3,995.56 $3,396.23 $1,845.94 $3,915.64 $3,496.11 2026-09-14
59812 CPT Tx Incomplete Ab Any Tri 14 13 $3,880.56 $3,298.48 $1,792.81 $3,802.94 $3,395.48 2026-09-14
74176 CPT CT Abd/pelvis Wo Contrast 14 13 $3,849.10 $3,271.74 $1,778.28 $3,772.11 $3,367.96 2026-09-14
45380 CPT Colon W/bx Single/multi 14 13 $3,832.86 $3,257.93 $1,770.78 $3,756.20 $3,353.75 2026-09-14
46255 CPT Hemorrhoidectomy, I & E 14 13 $3,716.80 $3,159.28 $1,717.16 $3,642.46 $3,252.20 2026-09-14
26607 CPT Closed Mc Fx W/man Ext Fixat 14 13 $3,710.36 $3,153.81 $1,714.18 $3,636.15 $3,246.56 2026-09-14
72142 CPT MRI C Spine Wc 14 13 $3,686.46 $3,133.49 $1,703.14 $3,612.73 $3,225.65 2026-09-14
11012 CPT Skin Sc Tissue Mf/muscle/bone 14 13 $3,685.52 $3,132.69 $1,702.71 $3,611.80 $3,224.82 2026-09-14
43235 CPT Egd-diag Flex W/spec Collect 14 13 $3,681.03 $3,128.88 $1,700.63 $3,607.40 $3,220.89 2026-09-14
27562 CPT Closed Tx Patella Dislc W/anes 14 13 $3,675.48 $3,124.16 $1,698.07 $3,601.97 $3,216.04 2026-09-14
70030 CPT Orbits For Fb 14 13 $3,670.00 $3,119.50 $1,695.54 $3,596.60 $3,211.25 2026-09-14
70552 CPT MRI-brain With Contrast 14 13 $3,670.00 $3,119.50 $1,695.54 $3,596.60 $3,211.25 2026-09-14
71550 CPT MRI Chest Without Contrast 14 13 $3,670.00 $3,119.50 $1,695.54 $3,596.60 $3,211.25 2026-09-14
70544 CPT MRA Head Without Contrast 14 13 $3,670.00 $3,119.50 $1,695.54 $3,596.60 $3,211.25 2026-09-14
70546 CPT MRA Head W/wo Contrast 14 13 $3,670.00 $3,119.50 $1,695.54 $3,596.60 $3,211.25 2026-09-14
45378 CPT Pf Colon Diag Flex/spec Coll 14 13 $3,637.37 $3,091.76 $1,680.46 $3,564.62 $3,182.70 2026-09-14
75635 CPT CTA Abd Aor/bi Iliofem Lo 14 13 $3,611.12 $3,069.45 $1,668.33 $3,538.89 $3,159.72 2026-09-14
27603 CPT I&d Leg/ankle Deep Abs/hema 14 13 $3,605.70 $3,064.85 $1,665.83 $3,533.58 $3,154.99 2026-09-14
15940 CPT Exc Ischial Press Ulcr W/sutre 14 13 $3,605.70 $3,064.85 $1,665.83 $3,533.58 $3,154.99 2026-09-14
57135 CPT Cyst Excision 14 13 $3,577.88 $3,041.20 $1,652.98 $3,506.32 $3,130.64 2026-09-14
71555 CPT MRA Chest 14 13 $3,575.10 $3,038.84 $1,651.69 $3,503.59 $3,128.21 2026-09-14
27266 CPT Closed Post Hip Disloc W/ane 14 13 $3,566.09 $3,031.18 $1,647.53 $3,494.76 $3,120.32 2026-09-14
72149 CPT MRI L Spine W/contrast 14 13 $3,537.74 $3,007.08 $1,634.43 $3,466.98 $3,095.52 2026-09-14
27502 CPT Closed Tx Femoral Fx W/manip 14 13 $3,525.31 $2,996.51 $1,628.69 $3,454.80 $3,084.64 2026-09-14
70496 CPT CTA Head (cow) 14 13 $3,458.73 $2,939.92 $1,597.93 $3,389.55 $3,026.39 2026-09-14
71275 CPT CTA Chest 14 13 $3,458.72 $2,939.91 $1,597.92 $3,389.54 $3,026.38 2026-09-14
45390 CPT Pf Colonoscopy W/resection 14 13 $3,446.87 $2,929.84 $1,592.45 $3,377.93 $3,016.01 2026-09-14
73725 CPT MRA Low Ext 14 13 $3,414.12 $2,902.00 $1,577.32 $3,345.83 $2,987.35 2026-09-14
71270 CPT CT Chest W/wo Contrast Diag 14 13 $3,410.08 $2,898.57 $1,575.45 $3,341.87 $2,983.82 2026-09-14
70498 CPT CTA Cartoid 14 13 $3,387.46 $2,879.34 $1,565.00 $3,319.71 $2,964.03 2026-09-14
43215 CPT Pf Endoscopy W/ro Of Fb 14 13 $3,373.64 $2,867.59 $1,558.62 $3,306.16 $2,951.93 2026-09-14
73721 CPT MRI Lo Ext W/jnt Without 14 13 $3,368.00 $2,862.80 $1,556.01 $3,300.64 $2,947.00 2026-09-14
74175 CPT CTA Abdomen 14 13 $3,346.71 $2,844.70 $1,546.18 $3,279.77 $2,928.36 2026-09-14
73706 CPT CTA Lower Extremity 14 13 $3,294.56 $2,800.38 $1,522.08 $3,228.66 $2,882.73 2026-09-14
43200 CPT Esophago Flextransoral 14 13 $3,286.05 $2,793.14 $1,518.15 $3,220.32 $2,875.29 2026-09-14
46320 CPT Excision Thrombosed Hemorr Ext 14 13 $3,236.22 $2,750.79 $1,495.13 $3,171.49 $2,831.69 2026-09-14
72132 CPT CT Lumbar With Contrast 14 13 $3,233.83 $2,748.76 $1,494.02 $3,169.15 $2,829.60 2026-09-14
72198 CPT MRA Pelvis 14 13 $3,213.85 $2,731.77 $1,484.79 $3,149.57 $2,812.11 2026-09-14
70547 CPT MRA Neck Without Contrast 14 13 $3,199.00 $2,719.15 $1,477.93 $3,135.02 $2,799.12 2026-09-14
70553 CPT MRI Brain W/wo Contrast 14 13 $3,199.00 $2,719.15 $1,477.93 $3,135.02 $2,799.12 2026-09-14
71552 CPT MRI Chest W/wo Contrast 14 13 $3,199.00 $2,719.15 $1,477.93 $3,135.02 $2,799.12 2026-09-14
59409 CPT Pf Vaginal Delivery Only 28 13 $4,523.81 $3,845.24 $1,210.67 $6,298.57 $2,768.70 2026-09-14
72130 CPT CT Thoracic With/wo Contrast 14 13 $3,149.52 $2,677.09 $1,455.07 $3,086.52 $2,755.82 2026-09-14
74181 CPT MRI Abd Without Contrast 14 13 $3,110.95 $2,644.31 $1,437.25 $3,048.73 $2,722.07 2026-09-14
24605 CPT Closed Elbow Disloc W/ane 14 13 $3,110.05 $2,643.54 $1,436.84 $3,047.84 $2,721.29 2026-09-14
72146 CPT MRI T-spine Without Contrast 14 13 $3,097.08 $2,632.52 $1,430.85 $3,035.13 $2,709.94 2026-09-14
72148 CPT MRI L-spine Without Contrast 14 13 $3,090.07 $2,626.56 $1,427.61 $3,028.26 $2,703.81 2026-09-14
73702 CPT CT Low Extr W/wo Contrast 14 13 $3,088.79 $2,625.47 $1,427.02 $3,027.01 $2,702.69 2026-09-14
43236 CPT Egd W/direc Submuc Inj 14 13 $3,084.96 $2,622.22 $1,425.25 $3,023.26 $2,699.34 2026-09-14
J7327 HCPCS Hyaluronate Sod Inj (monovisc) 14 13 $3,074.50 $2,613.33 $1,420.41 $3,013.01 $2,690.19 2026-09-14
25605 CPT Closed Distal Radial Fx W/man 14 13 $3,067.82 $2,607.65 $1,417.33 $3,006.46 $2,684.34 2026-09-14
72141 CPT MRI C-spine Without Contrast 14 13 $3,060.86 $2,601.73 $1,414.11 $2,999.64 $2,678.25 2026-09-14
72126 CPT CT Cervical With Contrast 14 13 $3,049.54 $2,592.11 $1,408.88 $2,988.54 $2,668.34 2026-09-14
69205 CPT Pf Remove Fb Ext Auditry Canal 14 13 $3,047.04 $2,589.98 $1,407.73 $2,986.09 $2,666.15 2026-09-14
72191 CPT CTA Pelvis 14 13 $3,038.52 $2,582.74 $1,403.79 $2,977.74 $2,658.70 2026-09-14
73206 CPT CTA Upper Extremity 14 13 $3,034.98 $2,579.73 $1,402.16 $2,974.28 $2,655.61 2026-09-14
72195 CPT MRI Pelvis Without Contrast 14 13 $3,013.09 $2,561.13 $1,392.04 $2,952.82 $2,636.45 2026-09-14
10030 CPT Drain Cyst Image Guided 14 13 $3,009.44 $2,558.02 $1,390.36 $2,949.25 $2,633.26 2026-09-14
27810 CPT Closed Bimal Ankle Fx W/man 14 13 $2,984.03 $2,536.43 $1,378.62 $2,924.34 $2,611.02 2026-09-14
74185 CPT MRA Abd 14 13 $2,978.81 $2,531.99 $1,376.21 $2,919.23 $2,606.45 2026-09-14
J1439 HCPCS Ferric Carboxymaltose 42 13 $2,964.72 $2,520.01 $1,363.87 $2,940.00 $2,603.44 2026-09-14
70540 CPT MRI Orb/face/neck Without Con 14 13 $2,961.71 $2,517.45 $1,368.31 $2,902.47 $2,591.49 2026-09-14
74170 CPT CT Abd W/wo Contrast 14 13 $2,955.84 $2,512.46 $1,365.59 $2,896.72 $2,586.36 2026-09-14
73718 CPT MRI Lo Ex Without Jnt Without 14 13 $2,894.54 $2,460.36 $1,337.27 $2,836.64 $2,532.72 2026-09-14
94002 CPT Ventilator, Initial Day 14 13 $2,889.15 $2,455.78 $1,334.78 $2,831.36 $2,528.00 2026-09-14
73218 CPT MRI Up Ext Wo Jnt Wo Cont 14 13 $2,873.52 $2,442.49 $1,327.56 $2,816.04 $2,514.32 2026-09-14
72129 CPT CT Thoracic With Contrast 14 13 $2,865.87 $2,435.99 $1,324.03 $2,808.55 $2,507.63 2026-09-14
73221 CPT MRI Up Ext W/jnt Without Cont 14 13 $2,863.75 $2,434.19 $1,323.05 $2,806.47 $2,505.77 2026-09-14
32555 CPT Thoracentisis W/imaging 14 13 $2,856.60 $2,428.11 $1,319.74 $2,799.46 $2,499.53 2026-09-14
70336 CPT MRI Temporo Joint 14 13 $2,845.72 $2,418.86 $1,314.72 $2,788.80 $2,490.00 2026-09-14
26705 CPT Closed Mcp Dislc W/man Ane 14 13 $2,838.20 $2,412.47 $1,311.24 $2,781.43 $2,483.43 2026-09-14
70551 CPT MRI Brain Without Contrast 14 13 $2,824.00 $2,400.40 $1,304.68 $2,767.52 $2,471.00 2026-09-14
70543 CPT MRI Orb/face/neck W/wo 14 13 $2,824.00 $2,400.40 $1,304.68 $2,767.52 $2,471.00 2026-09-14
93017 CPT Treadmill 14 13 $2,824.00 $2,400.40 $1,304.68 $2,767.52 $2,471.00 2026-09-14
70130 CPT Mastoids Complete 14 13 $2,824.00 $2,400.40 $1,304.68 $2,767.52 $2,471.00 2026-09-14
27762 CPT Closed Tx Inside/shin Bone Ank 14 13 $2,814.28 $2,392.14 $1,300.19 $2,757.99 $2,462.49 2026-09-14
72193 CPT CT Pelvis With Contrast 14 13 $2,797.86 $2,378.18 $1,292.61 $2,741.90 $2,448.12 2026-09-14
70482 CPT CT Ear W/wo Contrast 14 13 $2,753.15 $2,340.18 $1,271.95 $2,698.08 $2,409.00 2026-09-14
72133 CPT CT Lumbar With/wo Contrast 14 13 $2,751.15 $2,338.48 $1,271.03 $2,696.12 $2,407.25 2026-09-14
70470 CPT CT Head W/wo Contrast 14 13 $2,729.14 $2,319.77 $1,260.86 $2,674.55 $2,387.99 2026-09-14
73202 CPT CT Up Ext W/wo Contrast 14 13 $2,717.05 $2,309.49 $1,255.27 $2,662.70 $2,377.41 2026-09-14
73201 CPT CT Upper Extremity W/contrast 14 13 $2,716.76 $2,309.25 $1,255.14 $2,662.42 $2,377.16 2026-09-14
13102 CPT Complex Repair Wnd Add<5cm 14 13 $2,709.40 $2,302.99 $1,251.74 $2,655.21 $2,370.72 2026-09-14
72127 CPT CT Cervical W/wo Contrast 14 13 $2,703.22 $2,297.74 $1,248.88 $2,649.15 $2,365.31 2026-09-14
46050 CPT I&d Perianal Abscess Sf 14 13 $2,676.72 $2,275.21 $1,236.64 $2,623.18 $2,342.12 2026-09-14
71260 CPT CT Chest W/contrast Diag 14 13 $2,656.21 $2,257.78 $1,227.16 $2,603.08 $2,324.18 2026-09-14
45300 CPT Proctosigmoidoscopy 14 13 $2,642.24 $2,245.90 $1,220.71 $2,589.39 $2,311.95 2026-09-14
40810 CPT Exc Les Muc/sub Vst Mth Wo Rpr 42 13 $2,701.68 $2,296.43 $321.32 $4,582.83 $2,296.42 2026-09-14
73701 CPT CT Lower Extremity With C 14 13 $2,622.64 $2,229.24 $1,211.65 $2,570.18 $2,294.80 2026-09-14
28825 CPT Amput Interphalangeal Jnt 14 13 $2,613.87 $2,221.79 $1,207.60 $2,561.59 $2,287.13 2026-09-14
20103 CPT Exp Penetrate Wnd Extremity 14 13 $2,610.96 $2,219.32 $1,206.26 $2,558.74 $2,284.59 2026-09-14
70492 CPT CT St Neck W/wo Contrast 14 13 $2,607.90 $2,216.72 $1,204.84 $2,555.74 $2,281.91 2026-09-14
11010 CPT Debride W/remv Fb Opn Fx/dislc 14 13 $2,607.32 $2,216.22 $1,204.58 $2,555.17 $2,281.40 2026-09-14
81503 CPT Onco Biochemi Assay 5 Prt 14 13 $2,584.00 $2,196.40 $1,193.80 $2,532.32 $2,261.00 2026-09-14
74160 CPT CT Abd With Contrast 14 13 $2,564.97 $2,180.22 $1,185.01 $2,513.67 $2,244.34 2026-09-14
70488 CPT CT Maxillofacial W/wo Contrast 14 13 $2,536.58 $2,156.09 $1,171.89 $2,485.84 $2,219.51 2026-09-14
70487 CPT CT Maxillofacial With Contrast 14 13 $2,522.01 $2,143.71 $1,165.16 $2,471.56 $2,206.75 2026-09-14
28635 CPT Closed Tx Mtpj Dislc W/anes 14 13 $2,514.87 $2,137.64 $1,161.86 $2,464.57 $2,200.51 2026-09-14
11047 CPT Debride Bone Ea Add 20 Sq Cm 14 13 $2,514.74 $2,137.53 $1,161.80 $2,464.44 $2,200.39 2026-09-14
46221 CPT Hemorrhoidectomy Inter Band 14 13 $2,510.68 $2,134.08 $1,159.93 $2,460.46 $2,196.84 2026-09-14
23625 CPT Closed Humer Tuber Fx W/man 14 13 $2,508.84 $2,132.51 $1,159.08 $2,458.66 $2,195.23 2026-09-14
19020 CPT Mastotomy Exp/drain Absc Deep 14 13 $2,494.12 $2,120.00 $1,152.28 $2,444.23 $2,182.35 2026-09-14
G0105 HCPCS Colonoscopy Screen High Risk 14 13 $2,491.36 $2,117.66 $1,151.00 $2,441.53 $2,179.93 2026-09-14
27818 CPT Closed Trimal Ankle Fx W/man 14 13 $2,483.08 $2,110.62 $1,147.18 $2,433.41 $2,172.69 2026-09-14
70481 CPT CT Ear With Contrast 14 13 $2,479.21 $2,107.33 $1,145.39 $2,429.62 $2,169.30 2026-09-14
70110 CPT Mandible Complete 14 13 $2,461.00 $2,091.85 $1,136.98 $2,411.78 $2,153.38 2026-09-14
70100 CPT Mandible Less Than 4 View 14 13 $2,461.00 $2,091.85 $1,136.98 $2,411.78 $2,153.38 2026-09-14
23665 CPT Closed Shldr Dis W/fx W/man 14 13 $2,458.43 $2,089.67 $1,135.79 $2,409.26 $2,151.12 2026-09-14
70491 CPT CT St Neck With Contrast 14 13 $2,451.88 $2,084.10 $1,132.76 $2,402.84 $2,145.39 2026-09-14
27301 CPT I&d Deep Abs/burs Thgh/knee 42 13 $2,477.75 $2,106.09 $1,013.16 $3,533.58 $2,127.61 2026-09-14
72125 CPT CT Cervical Without Contrast 14 13 $2,378.91 $2,022.07 $1,099.05 $2,331.33 $2,081.54 2026-09-14
93306 CPT Echo Heart Complete 14 13 $2,324.54 $1,975.86 $1,073.93 $2,278.04 $2,033.96 2026-09-14
28190 CPT Remove Fb Foot Subcutaneous 14 13 $2,321.82 $1,973.55 $1,072.68 $2,275.38 $2,031.59 2026-09-14
36569 CPT Picc Mid/line Insertion 14 13 $2,311.20 $1,964.52 $1,067.77 $2,264.97 $2,022.30 2026-09-14
13121 CPT Complex Repair Wound 2.6-7.5cm 14 13 $2,288.04 $1,944.83 $1,057.07 $2,242.27 $2,002.03 2026-09-14
26070 CPT Arthrotomy W/expl/drain/ro Fb 14 13 $2,281.00 $1,938.85 $1,053.82 $2,235.38 $1,995.88 2026-09-14
72194 CPT CT Pelvis W/wo Contrast 14 13 $2,276.49 $1,935.02 $1,051.73 $2,230.96 $1,991.93 2026-09-14
72131 CPT CT Lumbar Without Contrast 14 13 $2,256.34 $1,917.89 $1,042.42 $2,211.21 $1,974.29 2026-09-14
81223 CPT Cftr Gene Analysis Full Gene 14 13 $2,242.00 $1,905.70 $1,035.80 $2,197.16 $1,961.75 2026-09-14
27825 CPT Closed Fx Dist Tib W/tract/man 14 13 $2,236.16 $1,900.74 $1,033.10 $2,191.43 $1,956.63 2026-09-14
70460 CPT CT Head With Contrast 14 13 $2,219.89 $1,886.91 $1,025.58 $2,175.49 $1,942.40 2026-09-14
32551 CPT Thoracostomy 14 13 $2,213.95 $1,881.86 $1,022.84 $2,169.67 $1,937.20 2026-09-14
72128 CPT CT Thoracic Without Contrast 14 13 $2,209.67 $1,878.22 $1,020.86 $2,165.47 $1,933.45 2026-09-14
45335 CPT Sigmoid. With Dir Submucosal Inj 14 13 $2,197.80 $1,868.13 $1,015.38 $2,153.84 $1,923.08 2026-09-14
70450 CPT CT Head Without Contrast 14 13 $2,175.00 $1,848.75 $1,004.85 $2,131.50 $1,903.12 2026-09-14
42999 CPT Phar/aden/tons Unlist Proced 14 13 $2,174.86 $1,848.63 $1,004.78 $2,131.36 $1,903.00 2026-09-14
72192 CPT CT Pelvis Without Contrast 14 13 $2,166.52 $1,841.54 $1,000.93 $2,123.18 $1,895.70 2026-09-14
64420 CPT Inj Ane 1 Intercostal Nerve 14 13 $2,154.91 $1,831.67 $995.56 $2,111.81 $1,885.54 2026-09-14
64421 CPT Mult Nerve Blck Inj Rib Nerve 28 13 $3,192.82 $2,713.89 $707.22 $4,757.74 $1,871.55 2026-09-14
28090 CPT Excise Les Tndn Sheath/cap Ft 14 13 $2,132.00 $1,812.20 $984.98 $2,089.36 $1,865.50 2026-09-14
11760 CPT Repair Of Nail Bed 14 13 $2,130.93 $1,811.29 $984.48 $2,088.31 $1,864.56 2026-09-14
25675 CPT Closed Dist Radioulnar W/man 14 13 $2,126.84 $1,807.81 $982.60 $2,084.30 $1,860.98 2026-09-14
26111 CPT Exc Tumor HAND/FING<1.5cm 14 13 $2,124.84 $1,806.11 $981.67 $2,082.34 $1,859.23 2026-09-14
21930 CPT Exc Back Les Sc <3cm 14 13 $2,124.84 $1,806.11 $981.67 $2,082.34 $1,859.23 2026-09-14
55100 CPT Drainage Of Scrotum Abscess 14 13 $2,122.44 $1,804.07 $980.56 $2,079.99 $1,857.13 2026-09-14
10005 CPT Fine Needle Bx W/us 1st Les 42 13 $2,162.40 $1,838.04 $97.48 $2,228.75 $1,838.04 2026-09-14
27752 CPT Closed Tibia Fx W/man W/wo Trc 14 13 $2,089.32 $1,775.92 $965.26 $2,047.53 $1,828.15 2026-09-14
27781 CPT Closed Prox Fib/shaft W/man 14 13 $2,089.32 $1,775.92 $965.26 $2,047.53 $1,828.15 2026-09-14
25565 CPT Closed Radial Ulnar Fx W/man 14 13 $2,089.32 $1,775.92 $965.26 $2,047.53 $1,828.15 2026-09-14
94003 CPT Ventilator Each Sub Day 14 13 $2,079.95 $1,767.96 $960.93 $2,038.35 $1,819.95 2026-09-14
74150 CPT CT Abd Without Contrast 14 13 $2,044.07 $1,737.46 $944.36 $2,003.18 $1,788.56 2026-09-14
71250 CPT CT Chest Wo Contrast Diag 14 13 $2,038.30 $1,732.56 $941.69 $1,997.53 $1,783.51 2026-09-14
26418 CPT Repair Ex Tendon Fing Wo Graft 14 13 $2,037.00 $1,731.45 $941.09 $1,996.26 $1,782.38 2026-09-14
70486 CPT CT Maxillofacial Without Contrast 14 13 $2,028.59 $1,724.30 $937.20 $1,988.01 $1,775.01 2026-09-14
45399 CPT Excisional Laparo Proc Rectum 14 13 $2,017.00 $1,714.45 $931.85 $1,976.66 $1,764.88 2026-09-14
62270 CPT Spinal Puncture 28 13 $2,106.72 $1,790.71 $838.53 $2,350.47 $1,760.55 2026-09-14
75989 CPT Radiological Guidance 14 13 $2,004.15 $1,703.53 $925.91 $1,964.06 $1,753.62 2026-09-14
70480 CPT CT Ear Without Contrast 14 13 $1,999.18 $1,699.30 $923.62 $1,959.19 $1,749.28 2026-09-14
64447 CPT Inj Femoral Nerve, Single 14 13 $1,993.64 $1,694.59 $921.06 $1,953.76 $1,744.43 2026-09-14
36556 CPT Insert Non-tunn Cent Cath>5y 42 13 $2,039.64 $1,733.69 $399.63 $3,416.81 $1,733.69 2026-09-14
70490 CPT CT St Neck Without Contrast 14 13 $1,976.67 $1,680.17 $913.22 $1,937.13 $1,729.58 2026-09-14
23930 CPT I&d Arm/elbow Deep Abscess 14 13 $1,976.00 $1,679.60 $912.91 $1,936.48 $1,729.00 2026-09-14
J3246 HCPCS Tirofiban 12.5mg/250ml Inj 14 13 $1,937.50 $1,646.88 $895.12 $1,898.75 $1,695.31 2026-09-14
73700 CPT CT Lower Extremity Withou 14 13 $1,937.03 $1,646.48 $894.90 $1,898.28 $1,694.89 2026-09-14
73200 CPT CT Upper Extremity Without 14 13 $1,910.50 $1,623.93 $882.65 $1,872.29 $1,671.68 2026-09-14
13101 CPT Complex Repair Wound 2.6-7.5cm 14 13 $1,884.40 $1,601.74 $870.59 $1,846.71 $1,648.85 2026-09-14
49083 CPT Paracentesis Abdominal W/image 14 13 $1,876.80 $1,595.28 $867.08 $1,839.26 $1,642.20 2026-09-14
24505 CPT Closed Humer Shaft Fx W/man 14 13 $1,873.12 $1,592.15 $865.38 $1,835.65 $1,638.97 2026-09-14
44389 CPT Colon Stoma W/bx Single Mult 14 13 $1,860.24 $1,581.20 $859.43 $1,823.03 $1,627.70 2026-09-14
11644 CPT Exc Mal Les+marg3.1-4cm 14 13 $1,849.20 $1,571.82 $854.33 $1,812.21 $1,618.05 2026-09-14
45900 CPT Reduct Procidentia W/anes 14 13 $1,815.16 $1,542.89 $838.60 $1,778.85 $1,588.26 2026-09-14
43251 CPT Upper Gastro Endo W/ro By 14 13 $1,799.52 $1,529.59 $831.37 $1,763.52 $1,574.57 2026-09-14
13131 CPT Complex Repair Wound 1.1-2.5cm 14 13 $1,794.24 $1,525.10 $828.93 $1,758.35 $1,569.95 2026-09-14
45330 CPT Sigmoidoscopy 14 13 $1,791.24 $1,522.55 $827.55 $1,755.41 $1,567.33 2026-09-14
15271 CPT App Epifix Ar/100sqcm 1 25sqcm 14 13 $1,791.24 $1,522.55 $827.55 $1,755.41 $1,567.33 2026-09-14
99285 CPT Ed Facility Level 5 28 13 $2,261.72 $1,922.46 $744.74 $2,853.20 $1,563.64 2026-09-14
36558 CPT Insrt Tunnl Cent Cath Wo Prt<5 14 13 $1,766.40 $1,501.44 $816.07 $1,731.07 $1,545.60 2026-09-14
36430 CPT Transfus Bld/bld Compon 28 13 $1,827.92 $1,553.73 $731.80 $2,030.40 $1,536.48 2026-09-14
32554 CPT Thoracentesis Without Imaging 14 13 $1,740.15 $1,479.13 $803.94 $1,705.34 $1,522.62 2026-09-14
28475 CPT Closed Metatarsal Fx W/man 14 13 $1,730.52 $1,470.94 $799.50 $1,695.90 $1,514.20 2026-09-14
93970 CPT Duplex Extremity Vein Complete 14 13 $1,716.20 $1,458.77 $792.88 $1,681.87 $1,501.67 2026-09-14
36589 CPT Pf Rmvl Tun Cvc Without Port/pmp 14 13 $1,714.00 $1,456.90 $791.86 $1,679.72 $1,499.75 2026-09-14
24655 CPT Closed Rad Hd/neck Fx Wo Man 14 13 $1,696.68 $1,442.18 $783.86 $1,662.74 $1,484.59 2026-09-14
G0378 HCPCS Obs W/telemetry/iso 1-24+ Hrs 4 4 — — $318.39 $2,435.25 $1,450.95 2026-09-14
88377 CPT Incyte Morphometric Analysis 14 13 $1,635.00 $1,389.75 $755.37 $1,602.30 $1,430.62 2026-09-14
59414 CPT Delivery Of Placenta 14 13 $1,627.20 $1,383.12 $751.76 $1,594.65 $1,423.80 2026-09-14
11643 CPT Exc Mal Les+marg2.1-3cm 14 13 $1,624.00 $1,380.40 $750.28 $1,591.52 $1,421.00 2026-09-14
12046 CPT Inter Repair Wnd 20.1-30cm 14 13 $1,622.41 $1,379.05 $749.55 $1,589.96 $1,419.60 2026-09-14
43255 CPT Egd W/control Of Bleed 14 13 $1,618.28 $1,375.54 $747.64 $1,585.91 $1,415.99 2026-09-14
58301 CPT Remove IUD 14 13 $1,602.56 $1,362.18 $740.38 $1,570.50 $1,402.24 2026-09-14
11043 CPT Debride Mscle Fascia <20 Sq Cm 28 13 $1,602.50 $1,362.12 $726.81 $1,599.16 $1,401.45 2026-09-14
49082 CPT Paracentesis-abd Without Guid 42 13 $1,638.52 $1,392.74 $398.70 $2,076.77 $1,392.74 2026-09-14
87633 CPT Iadna Resp Prb Rev Trnscr12-25 14 13 $1,573.00 $1,337.05 $726.72 $1,541.54 $1,376.38 2026-09-14
11044 CPT Debrid Bn Mscl/fascia<20 Sq Cm 28 13 $2,557.69 $2,174.04 $346.91 $4,277.19 $1,376.13 2026-09-14
23545 CPT Pf Closed Ac Disloc Wo Man 14 13 $1,566.76 $1,331.75 $723.84 $1,535.42 $1,370.91 2026-09-14
23650 CPT Closed Shldr Disl W/man Wo Ane 14 13 $1,544.68 $1,312.98 $713.64 $1,513.78 $1,351.59 2026-09-14
11426 CPT Exc Benign LES+MARG>4cm 14 13 $1,533.64 $1,303.59 $708.54 $1,502.96 $1,341.93 2026-09-14
11406 CPT Ro Skin Lesion, Over 4cm 14 13 $1,533.64 $1,303.59 $708.54 $1,502.96 $1,341.93 2026-09-14
93975 CPT Duplex Complete 28 13 $1,606.50 $1,365.53 $638.48 $1,794.38 $1,340.54 2026-09-14
15275 CPT App Epifix Ar/100sqcm 25sqcm 14 13 $1,518.92 $1,291.08 $701.74 $1,488.54 $1,329.05 2026-09-14
13151 CPT Complex Repair Wound 1.1-2.5cm 14 13 $1,515.17 $1,287.89 $700.00 $1,484.86 $1,325.77 2026-09-14
54450 CPT Foreskin Preputial Stretch 14 13 $1,509.49 $1,283.07 $697.38 $1,479.30 $1,320.80 2026-09-14
45338 CPT Flex Sig With Remove Tum/Pol/Les 14 13 $1,505.12 $1,279.35 $695.36 $1,475.01 $1,316.97 2026-09-14
26605 CPT Closed Tx Mc Fx W/man Ea Bone 42 13 $1,519.50 $1,291.58 $630.55 $1,506.09 $1,306.30 2026-09-14
13100 CPT Complex Repair Wound 1.1-2.5cm 14 13 $1,487.84 $1,264.66 $687.38 $1,458.08 $1,301.86 2026-09-14
81490 CPT Autoimmune Rheumatoid Art Maaa 14 13 $1,472.00 $1,251.20 $680.06 $1,442.56 $1,288.00 2026-09-14
J3290 HCPCS Tranexamic Acid 1000mg/10ml 28 13 $2,755.50 $2,342.17 $16.63 $5,365.50 $1,282.36 2026-09-14
J2598 HCPCS Vasopressin 20 Unit/ml Vial 28 13 $2,745.00 $2,333.25 $6.93 $5,365.50 $1,272.08 2026-09-14
12045 CPT Inter Repair Wnd 12.6-20cm 14 13 $1,433.00 $1,218.05 $662.04 $1,404.34 $1,253.88 2026-09-14
12035 CPT Inter Repair Wnd12.6-20cm 14 13 $1,433.00 $1,218.05 $662.04 $1,404.34 $1,253.88 2026-09-14
11770 CPT Excision Pilonidal Cyst Simple 14 13 $1,429.84 $1,215.36 $660.58 $1,401.24 $1,251.11 2026-09-14
G0121 HCPCS Colonoscopy Mdcr Scrn Nhr 14 13 $1,417.72 $1,205.06 $654.98 $1,389.36 $1,240.50 2026-09-14
90675 CPT Rabies Pcec Vaccine For Inj 14 13 $1,401.50 $1,191.28 $647.49 $1,373.47 $1,226.31 2026-09-14
26765 CPT Pf Open Distal Phalange Fx 14 13 $1,370.00 $1,164.50 $632.94 $1,342.60 $1,198.75 2026-09-14
93925 CPT Duplex Lower Ext Art Complete 14 13 $1,366.97 $1,161.92 $631.54 $1,339.63 $1,196.10 2026-09-14
96413 CPT Chemo IV Infusion 14 13 $1,366.20 $1,161.27 $631.18 $1,338.87 $1,195.42 2026-09-14
12054 CPT Inter Repair Wnd 7.6-12.5cm 14 13 $1,365.33 $1,160.53 $630.78 $1,338.02 $1,194.66 2026-09-14
11045 CPT Debride Subq Tiss Add 20 Sq Cm 14 13 $1,342.38 $1,141.02 $620.17 $1,315.53 $1,174.58 2026-09-14
26010 CPT Drain Finger Abscess Simple 14 13 $1,326.75 $1,127.74 $612.95 $1,300.21 $1,160.90 2026-09-14
25505 CPT Closed Rad Shaft Fx W/man 14 13 $1,323.71 $1,125.15 $611.55 $1,297.23 $1,158.24 2026-09-14
87483 CPT Csf Meningi/encephaliti Pn Pcr 14 13 $1,308.00 $1,111.80 $604.29 $1,281.84 $1,144.50 2026-09-14
26641 CPT Closed Tx Mc Fx Thumb W/manip 14 13 $1,289.84 $1,096.36 $595.90 $1,264.04 $1,128.61 2026-09-14
76380 CPT CT Limited Or F/u Study 14 13 $1,288.64 $1,095.34 $595.35 $1,262.86 $1,127.55 2026-09-14
26340 CPT Manipulate Finger Joint W/ane 14 13 $1,288.39 $1,095.13 $595.23 $1,262.62 $1,127.34 2026-09-14
81338 CPT Genetic Analysis 14 13 $1,288.00 $1,094.80 $595.05 $1,262.24 $1,127.00 2026-09-14
11642 CPT Exc Mal Les+marg1.1-2cm 14 13 $1,286.00 $1,093.10 $594.13 $1,260.28 $1,125.25 2026-09-14
26725 CPT Closed Fx Fing/thumb W/man 14 13 $1,273.11 $1,082.14 $588.17 $1,247.64 $1,113.97 2026-09-14
24600 CPT Closed Tx Elbow Disloc Wo Ane 14 13 $1,266.77 $1,076.75 $585.24 $1,241.43 $1,108.42 2026-09-14
87901 CPT Nfct Gxyp Nc Ac HIV Rv Trnscpt 14 13 $1,265.00 $1,075.25 $584.43 $1,239.70 $1,106.88 2026-09-14
99284 CPT Ed Facility Level 4 28 13 $1,800.56 $1,530.47 $490.18 $2,489.31 $1,106.65 2026-09-14
55000 CPT Aspir/punct Hydrocele W/wo Inj 14 13 $1,261.80 $1,072.53 $582.95 $1,236.56 $1,104.07 2026-09-14
93930 CPT Upper Extremity Study 14 13 $1,240.05 $1,054.04 $572.90 $1,215.24 $1,085.04 2026-09-14
12018 CPT Simple Repair Sf Wound >30cm 14 13 $1,223.00 $1,039.55 $565.02 $1,198.54 $1,070.12 2026-09-14
70471 CPT CTA Hn C+ W/non Contrast Img 14 13 $1,218.84 $1,036.01 $563.10 $1,194.46 $1,066.48 2026-09-14
J2760 HCPCS Phentolamine 5 Mg Vial 14 13 $1,217.00 $1,034.45 $562.25 $1,192.66 $1,064.88 2026-09-14
P9037 HCPCS Plt Pheresis Leuk Redu Irr Ea 14 13 $1,208.00 $1,026.80 $558.09 $1,183.84 $1,057.00 2026-09-14
13120 CPT Complex Repair Wound 1.1-2.5cm 14 13 $1,205.20 $1,024.42 $556.80 $1,181.09 $1,054.55 2026-09-14
99291 CPT Pf Critical Care Initl 30-74 M 14 13 $1,200.00 $1,020.00 $554.40 $1,176.00 $1,050.00 2026-09-14
81420 CPT Fetal Crom Ane Gen Seq Anlys 14 13 $1,195.99 $1,016.59 $552.54 $1,172.07 $1,046.49 2026-09-14
59300 CPT Episiotomy/vag Repr Non Attend 14 13 $1,195.08 $1,015.82 $552.12 $1,171.17 $1,045.69 2026-09-14
12017 CPT Simp Repair Sf Wnd20.1-30cm 14 13 $1,190.13 $1,011.61 $549.84 $1,166.32 $1,041.36 2026-09-14
26775 CPT Closed Ip Joint W/man & Ane 14 13 $1,183.06 $1,005.60 $546.57 $1,159.39 $1,035.17 2026-09-14
27788 CPT Pf Closed Distal Fib Fx W/man 42 13 $1,139.46 $968.54 $485.26 $2,744.00 $1,029.35 2026-09-14
56405 CPT I&d Vulva Or Perineal Abscess 14 13 $1,164.46 $989.79 $537.98 $1,141.17 $1,018.90 2026-09-14
12044 CPT Inter Repair Wnd7.6-12.5cm 14 13 $1,151.12 $978.45 $531.81 $1,128.09 $1,007.23 2026-09-14
36680 CPT Place Ndle Intraossess Infuse 14 13 $1,148.47 $976.20 $530.59 $1,125.50 $1,004.90 2026-09-14
93978 CPT Duplex Bypass Comp 14 13 $1,147.00 $974.95 $529.91 $1,124.06 $1,003.62 2026-09-14
64405 CPT Inj Grtr Occipital Nerve 28 13 $1,656.63 $1,408.14 $422.64 $2,350.47 $1,002.29 2026-09-14
41800 CPT Drain Gum Lesion 14 13 $1,136.23 $965.80 $524.93 $1,113.50 $994.19 2026-09-14
81226 CPT Cyp2d6 Gene Analysis Cn Vari 14 13 $1,127.00 $957.95 $520.67 $1,104.46 $986.12 2026-09-14
11641 CPT Exc Mal Les+marg.6-1cm 14 13 $1,120.00 $952.00 $517.44 $1,097.60 $980.00 2026-09-14
93971 CPT Duplex Extremity Vein Limited 14 13 $1,107.58 $941.44 $511.70 $1,085.42 $969.13 2026-09-14
64400 CPT Inj Anesth Trigeminal Nerve 14 13 $1,094.88 $930.65 $505.83 $1,072.98 $958.01 2026-09-14
93924 CPT Abi With Exercise Non-invasive 14 13 $1,093.46 $929.44 $505.17 $1,071.59 $956.78 2026-09-14
26720 CPT Closed Fx Fing/thumb Wo Man 14 13 $1,090.81 $927.19 $503.95 $1,068.99 $954.45 2026-09-14
11424 CPT Exc Benign Les +marg3.1-4cm 14 13 $1,088.36 $925.11 $502.82 $1,066.59 $952.31 2026-09-14
11404 CPT Exc Benign Les+marg3.1-4cm 14 13 $1,088.36 $925.11 $502.82 $1,066.59 $952.31 2026-09-14
J2469 HCPCS Palonosetron Hcl IV Solution 14 13 $1,083.50 $920.98 $500.57 $1,061.83 $948.06 2026-09-14
56420 CPT I&d Bartholins Abscess 14 13 $1,078.18 $916.45 $498.11 $1,056.61 $943.40 2026-09-14
94660 CPT Vapotherm/cpap 14 13 $1,077.96 $916.27 $498.01 $1,056.40 $943.21 2026-09-14
P9035 HCPCS Platelet Pheres Leukoreduc Un 14 13 $1,071.00 $910.35 $494.80 $1,049.58 $937.12 2026-09-14
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