Hospital

ELMORE COMMUNITY HOSPITAL

Wetumpka, AL · CCN 010097 · Rates published

1,759 distinct procedures filed

10 distinct payers

33,010 rate rows

2026-04-02 last MRF observed

Data quality

28,862 of 33,010 rate rows are consumer-grade (87.4%)

4,148 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 — reason	Rows
template filing: same amount across many unrelated codes — excluded	2,262
exceeds 10× this hospital's gross charge — excluded from medians	1,334
per-diem day rate — not a per-procedure price	516
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings	36

Data source & audit trail ↓ Download audit trail (JSON)

Source MRF file	https://ivycreekhealth.com/wp-content/uploads/2026/04/631253446_elmore-community-hospital_standardcharges.csv
Found on page	https://ivycreekhealth.com/price-transparency/
Discovered via	CMS hospital list
Last fetch	not_modified · 2026-09-21
Content fingerprint	ef173e4f51699e3c… · 12,594,330 bytes · first seen 2026-05-09

Top 50 most expensive offerings

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

Code	Description	Payers	Min $	Max $	Avg median	vs national
13120 HCPCS	Lac. Complex 1.1-2.5cm -ER	8	$95.00	$422.50	$101.00	nat. median $629 outlier · 0.2×
10080 HCPCS	I & D Pilonidal Cyst - ER	8	$95.00	$422.50	$101.00	nat. median $687 outlier · 0.1×
10081 HCPCS	I&d Pilonidal Compicated	8	$95.00	$422.50	$101.00	nat. median $906 outlier · 0.1×
10061 HCPCS	I & D Of Abscess Complicated Or Mul- ER	8	$95.00	$422.50	$101.00	nat. median $464 outlier · 0.2×
10121 HCPCS	Fb Rem Subcu Tissue Complicated - ER	8	$95.00	$422.50	$101.00	nat. median $1,652 outlier · 0.1×
10140 HCPCS	I & D Hematoma/seroma Or Fluid Collectio	8	$95.00	$422.50	$101.00	nat. median $1,664 outlier · 0.1×
10180 HCPCS	Irrig Drain Of Cplx Po Surg Wnd W Infec	8	$95.00	$422.50	$101.00	nat. median $2,882 outlier · 0.0×
11040 HCPCS	Debridement Skin	8	$95.00	$422.50	$101.00	nat. median $176 0.6× median
10120 HCPCS	Fb Rem Subcu Tissue Simple- ER	8	$95.00	$422.50	$101.00	nat. median $436 outlier · 0.2×
11042 HCPCS	Debridement Subq Tissue 20sq.cm. Or Less	8	$95.00	$422.50	$101.00	nat. median $479 outlier · 0.2×
11044 HCPCS	I & D Of Bone Tissue	8	$95.00	$422.50	$101.00	nat. median $1,716 outlier · 0.1×
11055 HCPCS	Paring/cutting Ben Hyperkeratot, Sin Les	8	$95.00	$422.50	$101.00	nat. median $210 outlier · 0.5×
11200 HCPCS	Removal Skin Tags, Mult Up To 15 Les	8	$95.00	$422.50	$101.00	nat. median $227 outlier · 0.4×
11402 HCPCS	Exc Benign Les Incl Marg 1.1-2.0 Cm	8	$95.00	$422.50	$101.00	nat. median $732 outlier · 0.1×
11403 HCPCS	Exc Benign Les Incl Marg 2.1-3.0 Cm	8	$95.00	$422.50	$101.00	nat. median $740 outlier · 0.1×
11404 HCPCS	Exc Benign Skin Lesion 3.1-4 Cm	8	$95.00	$422.50	$101.00	nat. median $1,601 outlier · 0.1×
11406 HCPCS	Exc, Benign Les Incl Marg 4cm Or Greater	8	$95.00	$422.50	$101.00	nat. median $1,719 outlier · 0.1×
11420 HCPCS	Exc Benign Les Scalp Neck Hand Feet	8	$95.00	$422.50	$101.00	nat. median $1,633 outlier · 0.1×
11422 HCPCS	Exc Ben Les H/f/neck/scalp 1.1cm-2.0cm	8	$95.00	$422.50	$101.00	nat. median $1,607 outlier · 0.1×
11041 HCPCS	Debridement Skin Full Thickness	8	$95.00	$422.50	$101.00	nat. median $327 outlier · 0.3×
11441 HCPCS	Excison Benign Lesion 0.6 Cm- 1.0cm	8	$95.00	$422.50	$101.00	nat. median $716 outlier · 0.1×
11606 HCPCS	Excision Malignant Les Tru/arm/leg >4cm	8	$95.00	$422.50	$101.00	nat. median $1,743 outlier · 0.1×
11646 HCPCS	Exc Mlgnt Lesion Face, Ears Over 4cm	8	$95.00	$422.50	$101.00	nat. median $2,549 outlier · 0.0×
11730 HCPCS	Excision Of Nail - ER	8	$95.00	$422.50	$101.00	nat. median $225 outlier · 0.4×
11740 HCPCS	Subungal Hematoma Evacuation- ER	8	$95.00	$422.50	$101.00	nat. median $141 0.7× median
11750 HCPCS	Excision Nail Matrix Permanent Removal	8	$95.00	$422.50	$101.00	nat. median $474 outlier · 0.2×
11760 HCPCS	Repair Of Nailbed- ER	8	$95.00	$422.50	$101.00	nat. median $696 outlier · 0.1×
11765 HCPCS	Wedge Excision Toenail -ER	8	$95.00	$422.50	$101.00	nat. median $398 outlier · 0.3×
11771 HCPCS	Extensive Exc Pilonidal Cyst	8	$95.00	$422.50	$101.00	nat. median $2,968 outlier · 0.0×
11900 HCPCS	Injection, Intralesional Up To 7 Les	8	$95.00	$422.50	$101.00	nat. median $204 outlier · 0.5×
11960 HCPCS	Insert Tissue Expander	8	$95.00	$422.50	$101.00	nat. median $3,717 outlier · 0.0×
12001 HCPCS	Lac Simple - ER 2.5cm	8	$95.00	$422.50	$101.00	nat. median $243 outlier · 0.4×
12002 HCPCS	Lac. Simple 2.6-7.5 Cm	8	$95.00	$422.50	$101.00	nat. median $257 outlier · 0.4×
12004 HCPCS	Lac Simple 7.6-12.5cm	8	$95.00	$422.50	$101.00	nat. median $269 outlier · 0.4×
12005 HCPCS	Lac. Simple 12.6-20cm	8	$95.00	$422.50	$101.00	nat. median $436 outlier · 0.2×
12011 HCPCS	Lac Sim Fac <2.5	8	$95.00	$422.50	$101.00	nat. median $247 outlier · 0.4×
12013 HCPCS	Lac. Simple 2.6-7.5cm	8	$95.00	$422.50	$101.00	nat. median $257 outlier · 0.4×
12014 HCPCS	Lac Simple 5.1 - 7.5cm	8	$95.00	$422.50	$101.00	nat. median $272 outlier · 0.4×
12031 HCPCS	ER Closure >2.5cm ER	8	$95.00	$422.50	$101.00	nat. median $450 outlier · 0.2×
12032 HCPCS	Layer Closure 2.6-7.5 Cm ER	8	$95.00	$422.50	$101.00	nat. median $519 outlier · 0.2×
12034 HCPCS	Layer Closure 7.6-12.5cm ER	8	$95.00	$422.50	$101.00	nat. median $520 outlier · 0.2×
11423 HCPCS	Exc Ben Les Scalp, Neck, Hd, Ft, 2.1-3cm	8	$95.00	$422.50	$101.00	nat. median $1,640 outlier · 0.1×
12041 HCPCS	Layer Closure >2.5 Cm-ER	8	$95.00	$422.50	$101.00	nat. median $457 outlier · 0.2×
12042 HCPCS	Layer Closure 2.6-7.5 Cm -ER	8	$95.00	$422.50	$101.00	nat. median $494 outlier · 0.2×
12044 HCPCS	Layer Closure 7.6-12.5 Cm- ER	8	$95.00	$422.50	$101.00	nat. median $755 outlier · 0.1×
12051 HCPCS	Layer Closure >2.5cm-ER	8	$95.00	$422.50	$101.00	nat. median $481 outlier · 0.2×
12052 HCPCS	Layer Closure 2.6-7.5cm -ER	8	$95.00	$422.50	$101.00	nat. median $488 outlier · 0.2×
12053 HCPCS	Layer Closure 7.6-12.5cm -ER	8	$95.00	$422.50	$101.00	nat. median $520 outlier · 0.2×
12054 HCPCS	Layer Closure 7.6-12.5cm -ER	8	$95.00	$422.50	$101.00	nat. median $523 outlier · 0.2×
13131 HCPCS	Lac Complex 1.1-2.5cm	8	$95.00	$422.50	$101.00	nat. median $567 outlier · 0.2×

Other procedures at this hospital

Browse this hospital's 1,759 published procedures. Use the slice to choose what to show, then sort or filter any column.

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

80176	HCPCS	Lidocaine	16	8	$44.07	$17.63 60% off	$95.00	$422.50	$101.00	2026-04-02
80192	HCPCS	Proc W/napa	16	8	$50.25	$20.10 60% off	$95.00	$422.50	$101.00	2026-04-02
80168	HCPCS	Ethosuximide	16	8	$49.02	$19.61 60% off	$95.00	$422.50	$101.00	2026-04-02
80175	HCPCS	Lamotrigine (lamictal) (labc)	16	8	$55.92	$22.37 60% off	$95.00	$422.50	$101.00	2026-04-02
80180	HCPCS	Mycophenolic Acid (s/p) (labc)	16	8	$54.15	$21.66 60% off	$95.00	$422.50	$101.00	2026-04-02
80189	HCPCS	Itraconazole & Mtb (labc)	16	8	$39.75	$15.90 60% off	$95.00	$422.50	$101.00	2026-04-02
78012	HCPCS	Thyroid Scan W/upt	16	8	$754.00	$301.60 60% off	$95.00	$422.50	$101.00	2026-04-02
80162	HCPCS	Digoxin	16	8	$39.84	$15.94 60% off	$95.00	$422.50	$101.00	2026-04-02
80173	HCPCS	Haloperidol, Serum (labc)	16	8	$47.34	$18.94 60% off	$95.00	$422.50	$101.00	2026-04-02
11042	HCPCS	Debridement Subq Tissue 20sq.cm. Or Less	16	8	$1,198.59	$479.44 60% off	$95.00	$422.50	$101.00	2026-04-02
80177	HCPCS	Levetiracetam (keppra) (labc)	16	8	$39.75	$15.90 60% off	$95.00	$422.50	$101.00	2026-04-02
10121	HCPCS	Fb Rem Subcu Tissue Complicated - ER	16	8	$4,498.65	$1,799.46 60% off	$95.00	$422.50	$101.00	2026-04-02
80186	HCPCS	Phenytoin Free	16	8	$41.28	$16.51 60% off	$95.00	$422.50	$101.00	2026-04-02
80188	HCPCS	Mysoline (primidon	16	8	$49.77	$19.91 60% off	$95.00	$422.50	$101.00	2026-04-02
76872	HCPCS	U/s Prostate	16	8	$320.64	$128.26 60% off	$95.00	$422.50	$101.00	2026-04-02
10180	HCPCS	Irrig Drain Of Cplx Po Surg Wnd W Infec	16	8	$8,586.15	$3,434.46 60% off	$95.00	$422.50	$101.00	2026-04-02
80159	HCPCS	Clozapine (clozaril), Serum (labc)	16	8	$60.45	$24.18 60% off	$95.00	$422.50	$101.00	2026-04-02
11420	HCPCS	Exc Benign Les Scalp Neck Hand Feet	16	8	$4,860.72	$1,944.29 60% off	$95.00	$422.50	$101.00	2026-04-02
80171	HCPCS	Gabapentin (neurontin) Serum (labc)	16	8	$65.01	$26.00 60% off	$95.00	$422.50	$101.00	2026-04-02
11041	HCPCS	Debridement Skin Full Thickness	16	8	$75.00	$30.00 60% off	$95.00	$422.50	$101.00	2026-04-02
11441	HCPCS	Excison Benign Lesion 0.6 Cm- 1.0cm	16	8	$2,110.77	$844.31 60% off	$95.00	$422.50	$101.00	2026-04-02
11606	HCPCS	Excision Malignant Les Tru/arm/leg >4cm	16	8	$4,860.72	$1,944.29 60% off	$95.00	$422.50	$101.00	2026-04-02
11044	HCPCS	I & D Of Bone Tissue	16	8	$4,860.72	$1,944.29 60% off	$95.00	$422.50	$101.00	2026-04-02
10080	HCPCS	I & D Pilonidal Cyst - ER	16	8	$1,946.91	$778.76 60% off	$95.00	$422.50	$101.00	2026-04-02
11055	HCPCS	Paring/cutting Ben Hyperkeratot, Sin Les	16	8	$596.10	$238.44 60% off	$95.00	$422.50	$101.00	2026-04-02
11750	HCPCS	Excision Nail Matrix Permanent Removal	16	8	$1,199.00	$479.60 60% off	$95.00	$422.50	$101.00	2026-04-02
10140	HCPCS	I & D Hematoma/seroma Or Fluid Collectio	16	8	$4,860.72	$1,944.29 60% off	$95.00	$422.50	$101.00	2026-04-02
11200	HCPCS	Removal Skin Tags, Mult Up To 15 Les	16	8	$596.10	$238.44 60% off	$95.00	$422.50	$101.00	2026-04-02
11402	HCPCS	Exc Benign Les Incl Marg 1.1-2.0 Cm	16	8	$2,110.77	$844.31 60% off	$95.00	$422.50	$101.00	2026-04-02
11900	HCPCS	Injection, Intralesional Up To 7 Les	16	8	$596.10	$238.44 60% off	$95.00	$422.50	$101.00	2026-04-02
11960	HCPCS	Insert Tissue Expander	16	8	$10,982.91	$4,393.16 60% off	$95.00	$422.50	$101.00	2026-04-02
11403	HCPCS	Exc Benign Les Incl Marg 2.1-3.0 Cm	16	8	$2,110.77	$844.31 60% off	$95.00	$422.50	$101.00	2026-04-02
11404	HCPCS	Exc Benign Skin Lesion 3.1-4 Cm	16	8	$4,860.72	$1,944.29 60% off	$95.00	$422.50	$101.00	2026-04-02
12004	HCPCS	Lac Simple 7.6-12.5cm	16	8	$541.74	$216.70 60% off	$95.00	$422.50	$101.00	2026-04-02
80150	HCPCS	Amikacin Random, Serum (labc)	16	8	$45.24	$18.10 60% off	$95.00	$422.50	$101.00	2026-04-02
80158	HCPCS	Cyclosporine (wb) (labc)	16	8	$54.15	$21.66 60% off	$95.00	$422.50	$101.00	2026-04-02
12013	HCPCS	Lac. Simple 2.6-7.5cm	16	8	$541.74	$216.70 60% off	$95.00	$422.50	$101.00	2026-04-02
12014	HCPCS	Lac Simple 5.1 - 7.5cm	16	8	$541.74	$216.70 60% off	$95.00	$422.50	$101.00	2026-04-02
10120	HCPCS	Fb Rem Subcu Tissue Simple- ER	16	8	$1,119.21	$447.68 60% off	$95.00	$422.50	$101.00	2026-04-02
80170	HCPCS	Gentamicin Peak (labc)	16	8	$49.14	$19.66 60% off	$95.00	$422.50	$101.00	2026-04-02
12034	HCPCS	Layer Closure 7.6-12.5cm ER	16	8	$1,119.21	$447.68 60% off	$95.00	$422.50	$101.00	2026-04-02
11423	HCPCS	Exc Ben Les Scalp, Neck, Hd, Ft, 2.1-3cm	16	8	$4,860.72	$1,944.29 60% off	$95.00	$422.50	$101.00	2026-04-02
12041	HCPCS	Layer Closure >2.5 Cm-ER	16	8	$1,119.21	$447.68 60% off	$95.00	$422.50	$101.00	2026-04-02
12042	HCPCS	Layer Closure 2.6-7.5 Cm -ER	16	8	$1,119.21	$447.68 60% off	$95.00	$422.50	$101.00	2026-04-02
12044	HCPCS	Layer Closure 7.6-12.5 Cm- ER	16	8	$1,742.85	$697.14 60% off	$95.00	$422.50	$101.00	2026-04-02
12051	HCPCS	Layer Closure >2.5cm-ER	16	8	$1,119.21	$447.68 60% off	$95.00	$422.50	$101.00	2026-04-02
12052	HCPCS	Layer Closure 2.6-7.5cm -ER	16	8	$1,119.21	$447.68 60% off	$95.00	$422.50	$101.00	2026-04-02
11646	HCPCS	Exc Mlgnt Lesion Face, Ears Over 4cm	16	8	$8,586.15	$3,434.46 60% off	$95.00	$422.50	$101.00	2026-04-02
11730	HCPCS	Excision Of Nail - ER	16	8	$541.74	$216.70 60% off	$95.00	$422.50	$101.00	2026-04-02
13120	HCPCS	Lac. Complex 1.1-2.5cm -ER	16	8	$1,742.85	$697.14 60% off	$95.00	$422.50	$101.00	2026-04-02
13131	HCPCS	Lac Complex 1.1-2.5cm	16	8	$1,119.21	$447.68 60% off	$95.00	$422.50	$101.00	2026-04-02
11740	HCPCS	Subungal Hematoma Evacuation- ER	16	8	$348.33	$139.33 60% off	$95.00	$422.50	$101.00	2026-04-02
13151	HCPCS	Lac Complex 1.1-2.5cm -ER	16	8	$1,742.85	$697.14 60% off	$95.00	$422.50	$101.00	2026-04-02
13152	HCPCS	Lac Comp ER 2.6-7.5 Eyelids Nose Lips	16	8	$1,742.85	$697.14 60% off	$95.00	$422.50	$101.00	2026-04-02
11760	HCPCS	Repair Of Nailbed- ER	16	8	$1,742.85	$697.14 60% off	$95.00	$422.50	$101.00	2026-04-02
15271	HCPCS	Surgigraft Application Trunk, Arms, Legs	16	8	$5,177.58	$2,071.03 60% off	$95.00	$422.50	$101.00	2026-04-02
15275	HCPCS	Skin Graft Hands/feet- Tot Sa 100sqcm	16	8	$5,487.69	$2,195.08 60% off	$95.00	$422.50	$101.00	2026-04-02
11765	HCPCS	Wedge Excision Toenail -ER	16	8	$1,119.21	$447.68 60% off	$95.00	$422.50	$101.00	2026-04-02
11771	HCPCS	Extensive Exc Pilonidal Cyst	16	8	$8,586.15	$3,434.46 60% off	$95.00	$422.50	$101.00	2026-04-02
16000	HCPCS	Burns 1st Deg Init Tx -ER	16	8	$541.74	$216.70 60% off	$95.00	$422.50	$101.00	2026-04-02
16020	HCPCS	Debridement Small Burns 5% Body	16	8	$541.74	$216.70 60% off	$95.00	$422.50	$101.00	2026-04-02
16025	HCPCS	Debridement / Med	16	8	$541.74	$216.70 60% off	$95.00	$422.50	$101.00	2026-04-02
16030	HCPCS	Debridement / Large	16	8	$1,119.21	$447.68 60% off	$95.00	$422.50	$101.00	2026-04-02
17000	HCPCS	Destruction Of 1 Premalignant Lesion	16	8	$596.10	$238.44 60% off	$95.00	$422.50	$101.00	2026-04-02
12001	HCPCS	Lac Simple - ER 2.5cm	16	8	$541.74	$216.70 60% off	$95.00	$422.50	$101.00	2026-04-02
19120	HCPCS	Exc (surgical Removal) Breast Lesion	16	8	$11,787.84	$4,715.14 60% off	$95.00	$422.50	$101.00	2026-04-02
19303	HCPCS	Mastectomy, Simple, Complete	16	8	$19,564.38	$7,825.75 60% off	$95.00	$422.50	$101.00	2026-04-02
12002	HCPCS	Lac. Simple 2.6-7.5 Cm	16	8	$541.74	$216.70 60% off	$95.00	$422.50	$101.00	2026-04-02
20205	HCPCS	Muscle Biopsy ;deep	16	8	$8,122.00	$3,248.80 60% off	$95.00	$422.50	$101.00	2026-04-02
20206	HCPCS	Muscle Biopsy;percutaneous Needle	16	8	$4,634.00	$1,853.60 60% off	$95.00	$422.50	$101.00	2026-04-02
10081	HCPCS	I&d Pilonidal Compicated	16	8	$1,946.91	$778.76 60% off	$95.00	$422.50	$101.00	2026-04-02
80145	HCPCS	Adalimumab Drug (humira) Ab (labc)	16	8	$115.71	$46.28 60% off	$95.00	$422.50	$101.00	2026-04-02
80155	HCPCS	Amikacin Trough, Serum (labc)	16	8	$45.24	$18.10 60% off	$95.00	$422.50	$101.00	2026-04-02
80156	HCPCS	Carbamazepine (tegretol), Serum (labc)	16	8	$43.71	$17.48 60% off	$95.00	$422.50	$101.00	2026-04-02
20605	HCPCS	Bursa/intermed Joint Asp/inj Without US -ER	16	8	$815.67	$326.27 60% off	$95.00	$422.50	$101.00	2026-04-02
20610	HCPCS	Arthrocentesis/ Injectio Major Joint- ER	16	8	$815.67	$326.27 60% off	$95.00	$422.50	$101.00	2026-04-02
20611	HCPCS	Arthrocentesis/ Injectio Major Joint- ER	16	8	$815.67	$326.27 60% off	$95.00	$422.50	$101.00	2026-04-02
20612	HCPCS	Ganglion Cyst	16	8	$5,857.00	$2,342.80 60% off	$95.00	$422.50	$101.00	2026-04-02
12031	HCPCS	ER Closure >2.5cm ER	16	8	$1,119.21	$447.68 60% off	$95.00	$422.50	$101.00	2026-04-02
11422	HCPCS	Exc Ben Les H/f/neck/scalp 1.1cm-2.0cm	16	8	$4,860.72	$1,944.29 60% off	$95.00	$422.50	$101.00	2026-04-02
10061	HCPCS	I & D Of Abscess Complicated Or Mul- ER	16	8	$1,119.21	$447.68 60% off	$95.00	$422.50	$101.00	2026-04-02
80169	HCPCS	Everolimus (wb) (labc)	16	8	$41.19	$16.48 60% off	$95.00	$422.50	$101.00	2026-04-02
21480	HCPCS	Clt Tmprmand Dislc 1st/sbsq -ER	16	8	$719.64	$287.86 60% off	$95.00	$422.50	$101.00	2026-04-02
21930	HCPCS	Exc Benign Soft Tissue Trunk 3cm Or Less	16	8	$4,860.72	$1,944.29 60% off	$95.00	$422.50	$101.00	2026-04-02
21931	HCPCS	Exc Tumor Sft Tiss Back/flank Subc 3cm>	16	8	$4,860.72	$1,944.29 60% off	$95.00	$422.50	$101.00	2026-04-02
23350	HCPCS	Fluoro Arthrogram	16	8	$143.19	$57.28 60% off	$95.00	$422.50	$101.00	2026-04-02
23405	HCPCS	Tenotomy Shoulder Area 1 Tendon	16	8	$21,431.00	$8,572.40 60% off	$95.00	$422.50	$101.00	2026-04-02
23500	HCPCS	Fracture Clavicle - ER	16	8	$621.03	$248.41 60% off	$95.00	$422.50	$101.00	2026-04-02
23650	HCPCS	Shoulder W Manipulation Without Anes-ER	16	8	$621.03	$248.41 60% off	$95.00	$422.50	$101.00	2026-04-02
23655	HCPCS	Shoulder W Manipulation With Anes-ER	16	8	$4,303.56	$1,721.42 60% off	$95.00	$422.50	$101.00	2026-04-02
23929	HCPCS	Unlisted Procedure Shoulder	16	8	$719.64	$287.86 60% off	$95.00	$422.50	$101.00	2026-04-02
24071	HCPCS	Exc Les Upper Arm/elb 3cm Or Greater	16	8	$8,586.15	$3,434.46 60% off	$95.00	$422.50	$101.00	2026-04-02
24357	HCPCS	Tenotomy Elbow Lateral/medial Percutaneo	16	8	$9,734.00	$3,893.60 60% off	$95.00	$422.50	$101.00	2026-04-02
24600	HCPCS	Elbow Disloc Closed - ER	16	8	$621.03	$248.41 60% off	$95.00	$422.50	$101.00	2026-04-02
24640	HCPCS	Closed Red Rad Head Child Nursmaids - ER	16	8	$621.03	$248.41 60% off	$95.00	$422.50	$101.00	2026-04-02
25600	HCPCS	Clsd Treat Of Distal Rad Fract Without Ma-ER	16	8	$621.03	$248.41 60% off	$95.00	$422.50	$101.00	2026-04-02
25605	HCPCS	Closed Treatment Distal Rad Fracture	16	8	$4,303.56	$1,721.42 60% off	$95.00	$422.50	$101.00	2026-04-02
12053	HCPCS	Layer Closure 7.6-12.5cm -ER	16	8	$1,119.21	$447.68 60% off	$95.00	$422.50	$101.00	2026-04-02
12054	HCPCS	Layer Closure 7.6-12.5cm -ER	16	8	$1,119.21	$447.68 60% off	$95.00	$422.50	$101.00	2026-04-02
26720	HCPCS	Prox/mid Phal W/om-ER	16	8	$621.03	$248.41 60% off	$95.00	$422.50	$101.00	2026-04-02
26725	HCPCS	Treat Finger Fract -ER	16	8	$621.03	$248.41 60% off	$95.00	$422.50	$101.00	2026-04-02
26750	HCPCS	Fracture Distal Phal - ER	16	8	$621.03	$248.41 60% off	$95.00	$422.50	$101.00	2026-04-02
26755	HCPCS	Distal Phal W/man - ER	16	8	$621.03	$248.41 60% off	$95.00	$422.50	$101.00	2026-04-02
26770	HCPCS	Closed Tx Dislocated Fin Joint W/man ER	16	8	$621.03	$248.41 60% off	$95.00	$422.50	$101.00	2026-04-02
27006	HCPCS	Tenotomy Abductors/extensor Hip	16	8	$9,734.00	$3,893.60 60% off	$95.00	$422.50	$101.00	2026-04-02
27025	HCPCS	Fasciotomy, Hip Or Thigh, Any Type	16	8	$9,733.83	$3,893.53 60% off	$95.00	$422.50	$101.00	2026-04-02
27062	HCPCS	Trochanteric Bursa Or Calcification	16	8	$9,734.00	$3,893.60 60% off	$95.00	$422.50	$101.00	2026-04-02
27299	HCPCS	Unlisted Procedure, Pelvis Or Hip Jnt	16	8	$719.64	$287.86 60% off	$95.00	$422.50	$101.00	2026-04-02
27550	HCPCS	Disloc Knee Without Anesthesia - ER	16	8	$621.03	$248.41 60% off	$95.00	$422.50	$101.00	2026-04-02
27560	HCPCS	Disloc Patella - ER	16	8	$621.03	$248.41 60% off	$95.00	$422.50	$101.00	2026-04-02
13160	HCPCS	Secondary Closure Surgical Wound//dehiss	16	8	$5,487.69	$2,195.08 60% off	$95.00	$422.50	$101.00	2026-04-02
27658	HCPCS	Repair Flexor Tendon Leg:prmy Without Graft	16	8	$9,733.83	$3,893.53 60% off	$95.00	$422.50	$101.00	2026-04-02
27695	HCPCS	Prim Disrpt Lig Ankle Collat Repr	16	8	$21,431.00	$8,572.40 60% off	$95.00	$422.50	$101.00	2026-04-02
27702	HCPCS	Total Ankle Arthroplasty	16	8	$55,170.15	$22,068.06 60% off	$95.00	$422.50	$101.00	2026-04-02
27750	HCPCS	Fracture Tib/ Fib Without Manipulation - ER	16	8	$621.03	$248.41 60% off	$95.00	$422.50	$101.00	2026-04-02
27810	HCPCS	Fracture Ankle Bi W/man-ER	16	8	$4,303.56	$1,721.42 60% off	$95.00	$422.50	$101.00	2026-04-02
15820	HCPCS	Blepharoplasty Lower Eyelid	16	8	$5,213.00	$2,085.20 60% off	$95.00	$422.50	$101.00	2026-04-02
28003	HCPCS	I&d Bel Fascia W/wo Tendon Sheath Inv Ft	16	8	$9,733.83	$3,893.53 60% off	$95.00	$422.50	$101.00	2026-04-02
15822	HCPCS	Blepharoplasty Upper Eyelid	16	8	$5,213.00	$2,085.20 60% off	$95.00	$422.50	$101.00	2026-04-02
28010	HCPCS	Tenotomy, Percutaneous: Toe, Single Tend	16	8	$4,801.23	$1,920.49 60% off	$95.00	$422.50	$101.00	2026-04-02
28035	HCPCS	Release Of Tarsal Tunnel	16	8	$5,858.31	$2,343.32 60% off	$95.00	$422.50	$101.00	2026-04-02
28060	HCPCS	Partial Fasciectomy Of Plantar Fascia	16	8	$9,734.00	$3,893.60 60% off	$95.00	$422.50	$101.00	2026-04-02
28062	HCPCS	Removal Of Foot Fascia	16	8	$9,733.83	$3,893.53 60% off	$95.00	$422.50	$101.00	2026-04-02
28080	HCPCS	Excision,interdig (mort) Neur Sing, Each	16	8	$4,801.23	$1,920.49 60% off	$95.00	$422.50	$101.00	2026-04-02
28090	HCPCS	Exc Lesion/tendon/sheath/capsule Foot	16	8	$4,801.23	$1,920.49 60% off	$95.00	$422.50	$101.00	2026-04-02
28092	HCPCS	Exc Lesion Loc In Tend, Tend Sheath, Cap	16	8	$4,801.23	$1,920.49 60% off	$95.00	$422.50	$101.00	2026-04-02
28110	HCPCS	Partial Removal Of Metatarsal Bone/foot	16	8	$9,733.83	$3,893.53 60% off	$95.00	$422.50	$101.00	2026-04-02
28111	HCPCS	Ostectomy, Comp Exc, 1st Metatarsal Head	16	8	$9,733.83	$3,893.53 60% off	$95.00	$422.50	$101.00	2026-04-02
28113	HCPCS	Ostectomy, Comp Exc 5th Meta Head	16	8	$9,733.83	$3,893.53 60% off	$95.00	$422.50	$101.00	2026-04-02
28114	HCPCS	Surgical Removal Of Metatarsal Heads	16	8	$9,733.83	$3,893.53 60% off	$95.00	$422.50	$101.00	2026-04-02
17999	HCPCS	Unlisted Px Skin Muc Membrane & Sub Tiss	16	8	$596.10	$238.44 60% off	$95.00	$422.50	$101.00	2026-04-02
28118	HCPCS	Ostectomy Calcaneus	16	8	$9,734.00	$3,893.60 60% off	$95.00	$422.50	$101.00	2026-04-02
28119	HCPCS	Ostectomy Spur W/wo Plantar Fas Release	16	8	$9,733.83	$3,893.53 60% off	$95.00	$422.50	$101.00	2026-04-02
28122	HCPCS	Rec Part Of Tarsal/mt Bone	16	8	$9,734.00	$3,893.60 60% off	$95.00	$422.50	$101.00	2026-04-02
28124	HCPCS	Partial Excision Of Phalanx Of Toe	16	8	$9,733.83	$3,893.53 60% off	$95.00	$422.50	$101.00	2026-04-02
28150	HCPCS	Phalangectomy-removal Of Toe	16	8	$9,733.83	$3,893.53 60% off	$95.00	$422.50	$101.00	2026-04-02
20200	HCPCS	Muscle Biopsy ;superficial	16	8	$4,634.00	$1,853.60 60% off	$95.00	$422.50	$101.00	2026-04-02
28200	HCPCS	Repair Of Foot Tendon	16	8	$9,733.83	$3,893.53 60% off	$95.00	$422.50	$101.00	2026-04-02
28208	HCPCS	Repair Of Extensor Tendon Foot	16	8	$9,733.83	$3,893.53 60% off	$95.00	$422.50	$101.00	2026-04-02
28232	HCPCS	Tenotomy, Open Tend Flex Toe Single	16	8	$4,801.23	$1,920.49 60% off	$95.00	$422.50	$101.00	2026-04-02
28234	HCPCS	Extensor Tenotomy Open Foot Or Toe, Each	16	8	$4,801.23	$1,920.49 60% off	$95.00	$422.50	$101.00	2026-04-02
28238	HCPCS	Rev Posterior Tibial Tendon W Exc Tars N	16	8	$21,431.19	$8,572.48 60% off	$95.00	$422.50	$101.00	2026-04-02
20520	HCPCS	Fb Muscle Simple -ER	16	8	$4,498.65	$1,799.46 60% off	$95.00	$422.50	$101.00	2026-04-02
11040	HCPCS	Debridement Skin	16	8	$60.00	$24.00 60% off	$95.00	$422.50	$101.00	2026-04-02
80050	HCPCS	General Health Panel	16	8	$91.95	$36.78 60% off	$95.00	$422.50	$101.00	2026-04-02
80090	HCPCS	Torch-g Profile	16	8	$120.00	$48.00 60% off	$95.00	$422.50	$101.00	2026-04-02
11406	HCPCS	Exc, Benign Les Incl Marg 4cm Or Greater	16	8	$4,860.72	$1,944.29 60% off	$95.00	$422.50	$101.00	2026-04-02
80154	HCPCS	Alprazolam & Metabolite Urine	16	8	$77.52	$31.01 60% off	$95.00	$422.50	$101.00	2026-04-02
12011	HCPCS	Lac Sim Fac <2.5	16	8	$541.74	$216.70 60% off	$95.00	$422.50	$101.00	2026-04-02
28295	HCPCS	Cor Hlx Vlgs Prx Mtar Osteotomy	16	8	$9,733.83	$3,893.53 60% off	$95.00	$422.50	$101.00	2026-04-02
28296	HCPCS	Cor Hlx Vlgs Dstl Mtar Otestotomy	16	8	$9,733.83	$3,893.53 60% off	$95.00	$422.50	$101.00	2026-04-02
28298	HCPCS	Corr Halx Val With Bun With Prox Pha Ost Any	16	8	$21,431.19	$8,572.48 60% off	$95.00	$422.50	$101.00	2026-04-02
28299	HCPCS	With Double Osteotomy, Any Method	16	8	$21,431.00	$8,572.40 60% off	$95.00	$422.50	$101.00	2026-04-02
28300	HCPCS	Osteotomy Calcaneus W/wo Internal Fixati	16	8	$21,431.00	$8,572.40 60% off	$95.00	$422.50	$101.00	2026-04-02
28304	HCPCS	Osteotomy, Tarsal Bns, O/t Calcaneus	16	8	$21,431.00	$8,572.40 60% off	$95.00	$422.50	$101.00	2026-04-02
28308	HCPCS	Other Than First Metatarsal, Each	16	8	$9,734.00	$3,893.60 60% off	$95.00	$422.50	$101.00	2026-04-02
28310	HCPCS	Osteotomy, Shortening, Ang Or Rota Corr	16	8	$21,431.19	$8,572.48 60% off	$95.00	$422.50	$101.00	2026-04-02
28315	HCPCS	Sesamoidectomy, First Toe	16	8	$9,733.83	$3,893.53 60% off	$95.00	$422.50	$101.00	2026-04-02
28470	HCPCS	Fracture Metacarpal Cl Tr -ER	16	8	$674.07	$269.63 60% off	$95.00	$422.50	$101.00	2026-04-02
20680	HCPCS	Rem Deep Impnt; Buried Pin,wire,nail,rod	16	8	$8,586.15	$3,434.46 60% off	$95.00	$2,585.31	$101.00	2026-04-02
20999	HCPCS	Unlisted Px Muscskel General	16	8	$719.64	$287.86 60% off	$95.00	$422.50	$101.00	2026-04-02
28515	HCPCS	Treatment Of Toe Fracture -ER	16	8	$719.64	$287.86 60% off	$95.00	$422.50	$101.00	2026-04-02
21013	HCPCS	Exc Face/scalp Tumor Sft Tiss <2cm	16	8	$4,860.72	$1,944.29 60% off	$95.00	$422.50	$101.00	2026-04-02
12032	HCPCS	Layer Closure 2.6-7.5 Cm ER	16	8	$1,119.21	$447.68 60% off	$95.00	$422.50	$101.00	2026-04-02
21320	HCPCS	Closed Tx Nasal Fx With Mnpj & Stablj	16	8	$9,729.21	$3,891.68 60% off	$95.00	$422.50	$101.00	2026-04-02
28750	HCPCS	Arthrodesis Mpj 1st	16	8	$21,431.19	$8,572.48 60% off	$95.00	$422.50	$101.00	2026-04-02
28755	HCPCS	Arthrodesis Great Toe Interphalang Joint	16	8	$21,431.19	$8,572.48 60% off	$95.00	$422.50	$101.00	2026-04-02
28810	HCPCS	Amputation Of Single Toe W Metatarsal Bo	16	8	$9,733.83	$3,893.53 60% off	$95.00	$422.50	$101.00	2026-04-02
28820	HCPCS	Metatarsophalangeal Joint Toe Amputation	16	8	$9,734.00	$3,893.60 60% off	$95.00	$422.50	$101.00	2026-04-02
28825	HCPCS	Partial Amputation Of Toe	16	8	$9,733.83	$3,893.53 60% off	$95.00	$422.50	$101.00	2026-04-02
28899	HCPCS	Unlisted Px Foot/toes	16	8	$719.64	$287.86 60% off	$95.00	$422.50	$101.00	2026-04-02
29105	HCPCS	Application Splint Long Arm Shldr-hand	16	8	$365.00	$146.00 60% off	$95.00	$422.50	$101.00	2026-04-02
29125	HCPCS	Application Splint Short Handfore Arm	16	8	$348.33	$139.33 60% off	$95.00	$422.50	$101.00	2026-04-02
29130	HCPCS	Application Of Finger Splint; Static	16	8	$386.70	$154.68 60% off	$95.00	$422.50	$101.00	2026-04-02
29700	HCPCS	Cast Removal	16	8	$767.64	$307.06 60% off	$95.00	$422.50	$101.00	2026-04-02
29867	HCPCS	Acl Allograft Placement	16	8	$39,144.24	$15,657.70 60% off	$95.00	$422.50	$101.00	2026-04-02
29893	HCPCS	Endoscopic Plantar Fasciotomy	16	8	$9,734.00	$3,893.60 60% off	$95.00	$422.50	$101.00	2026-04-02
29894	HCPCS	Arthroscopy Ank Surg With Rmvl Loose Body	16	8	$9,733.83	$3,893.53 60% off	$95.00	$422.50	$101.00	2026-04-02
29895	HCPCS	Arthoscopy, Ankle (tib & Fib) Surg Part	16	8	$9,733.83	$3,893.53 60% off	$95.00	$422.50	$101.00	2026-04-02
29897	HCPCS	Arthoscopy Ankle Debridement Limited	16	8	$9,733.83	$3,893.53 60% off	$95.00	$422.50	$101.00	2026-04-02
29899	HCPCS	Arthoscopy Ankle With Ankle Arthrodesis	16	8	$21,431.19	$8,572.48 60% off	$95.00	$422.50	$101.00	2026-04-02
30117	HCPCS	Exc/destruct, Intra Les; Internal Appr	16	8	$9,729.21	$3,891.68 60% off	$95.00	$422.50	$101.00	2026-04-02
30140	HCPCS	Submuc Rec Infr Turb Prtl/compl	16	8	$9,729.00	$3,891.60 60% off	$95.00	$422.50	$101.00	2026-04-02
30300	HCPCS	Nose-fb Rem -ER	16	8	$348.33	$139.33 60% off	$95.00	$422.50	$101.00	2026-04-02
30520	HCPCS	Septo / Smr W/wo Cartialge Grf	16	8	$9,729.00	$3,891.60 60% off	$95.00	$422.50	$101.00	2026-04-02
30901	HCPCS	Nose Cautery/packing Anterior Simple-ER	16	8	$348.33	$139.33 60% off	$95.00	$422.50	$101.00	2026-04-02
30903	HCPCS	Nose Caut/packing Ant Complex-ER	16	8	$348.33	$139.33 60% off	$95.00	$422.50	$101.00	2026-04-02
30905	HCPCS	Nose Hem Post Simple - ER	16	8	$348.33	$139.33 60% off	$95.00	$422.50	$101.00	2026-04-02
30930	HCPCS	Fx Nasal Inf Turb Therapeutic	16	8	$9,729.00	$3,891.60 60% off	$95.00	$422.50	$101.00	2026-04-02
31254	HCPCS	Nasal/sinus Endoscopy, With Ethmoidectomy	16	8	$20,767.00	$8,306.80 60% off	$95.00	$422.50	$101.00	2026-04-02
31255	HCPCS	Nasal Endo With Ethmoidectomy; Total	16	8	$20,767.41	$8,306.96 60% off	$95.00	$422.50	$101.00	2026-04-02
31267	HCPCS	Nsl/sns Ndse Mx Antr With Rmvl Tis Max Sns	16	8	$20,767.00	$8,306.80 60% off	$95.00	$422.50	$101.00	2026-04-02
31500	HCPCS	Trachea Intubation -ER	16	8	$623.49	$249.40 60% off	$95.00	$422.50	$101.00	2026-04-02
31502	HCPCS	Change Of Windpipe Airway	16	8	$623.49	$249.40 60% off	$95.00	$422.50	$101.00	2026-04-02
31535	HCPCS	Laryngoscopy Direct Operative With Biospy	16	8	$11,060.85	$4,424.34 60% off	$95.00	$422.50	$101.00	2026-04-02
31536	HCPCS	Laryngoscopy Dir Oper With Bio With Micro	16	8	$11,060.85	$4,424.34 60% off	$95.00	$422.50	$101.00	2026-04-02
31720	HCPCS	Clearance Of Airways	16	8	$574.50	$229.80 60% off	$95.00	$422.50	$101.00	2026-04-02
26055	HCPCS	Trigger Finger Rel	16	8	$4,832.00	$1,932.80 60% off	$95.00	$422.50	$101.00	2026-04-02
26700	HCPCS	Dislocation Finger - ER	16	8	$621.03	$248.41 60% off	$95.00	$422.50	$101.00	2026-04-02
36430	HCPCS	Blood Transfusion	16	8	$1,223.25	$489.30 60% off	$95.00	$422.50	$101.00	2026-04-02
36482	HCPCS	Endo Adh Abl 1st Incom Vein Ext	16	8	$16,217.00	$6,486.80 60% off	$95.00	$422.50	$101.00	2026-04-02
36556	HCPCS	Insert Central Line-non Tunneled	16	8	$8,936.91	$3,574.76 60% off	$95.00	$422.50	$101.00	2026-04-02
36590	HCPCS	Remoal Of Chemo Port	16	8	$4,660.32	$1,864.13 60% off	$95.00	$422.50	$101.00	2026-04-02
36600	HCPCS	Arterial Puncture	16	8	$348.33	$139.33 60% off	$95.00	$422.50	$101.00	2026-04-02
38500	HCPCS	Biopsy/exc Lymph Node Superficial	16	8	$11,487.84	$4,595.14 60% off	$95.00	$422.50	$101.00	2026-04-02
40806	HCPCS	Labial Frenum Frenotomy	16	8	$1,527.75	$611.10 60% off	$95.00	$422.50	$101.00	2026-04-02
41115	HCPCS	Frenulectomy Tongue	16	8	$4,443.84	$1,777.54 60% off	$95.00	$422.50	$101.00	2026-04-02
41800	HCPCS	I & D Of Abscess Cyst Hematoma	16	8	$348.33	$139.33 60% off	$95.00	$422.50	$101.00	2026-04-02
42140	HCPCS	Uvulectomy	16	8	$9,729.21	$3,891.68 60% off	$95.00	$422.50	$101.00	2026-04-02
42330	HCPCS	Removal Of Salivary Stone By Ins	16	8	$9,729.21	$3,891.68 60% off	$95.00	$422.50	$101.00	2026-04-02
42820	HCPCS	T & A Younger Than Age 12	16	8	$17,747.00	$7,098.80 60% off	$95.00	$542.16	$101.00	2026-04-02
42821	HCPCS	T & A Age 12 Or Over	16	8	$9,729.00	$3,891.60 60% off	$95.00	$422.50	$101.00	2026-04-02
42830	HCPCS	Adenoidectomy Age 12 And Younger	16	8	$9,729.21	$3,891.68 60% off	$95.00	$422.50	$101.00	2026-04-02
42831	HCPCS	Adenoidectomy Age Older Than 12	16	8	$9,729.21	$3,891.68 60% off	$95.00	$422.50	$101.00	2026-04-02
43235	HCPCS	Egd	16	8	$4,510.00	$1,804.00 60% off	$95.00	$422.50	$101.00	2026-04-02
43236	HCPCS	Egd With Submucosal Layer Injection	16	8	$2,812.68	$1,125.07 60% off	$95.00	$422.50	$101.00	2026-04-02
43239	HCPCS	Egd With Biopsy	16	8	$5,280.00	$2,112.00 60% off	$95.00	$422.55	$101.00	2026-04-02
43245	HCPCS	Egd With Dilation Of Gastric/deuodenal Str	16	8	$5,690.97	$2,276.39 60% off	$95.00	$422.50	$101.00	2026-04-02
43246	HCPCS	Egd With Peg Chang	16	8	$5,830.00	$2,332.00 60% off	$95.00	$422.50	$101.00	2026-04-02
43247	HCPCS	Egd With Removal Of Foreign Body	16	8	$2,812.68	$1,125.07 60% off	$95.00	$422.50	$101.00	2026-04-02
43249	HCPCS	Egd With Dilatatio	16	8	$5,720.00	$2,288.00 60% off	$95.00	$1,716.89	$101.00	2026-04-02
43251	HCPCS	Egd With Polyp Snare Tech	16	8	$5,690.97	$2,276.39 60% off	$95.00	$422.50	$101.00	2026-04-02
27605	HCPCS	Tenotomy, Percutaneous, Anchilles Tendon	16	8	$4,801.00	$1,920.40 60% off	$95.00	$422.50	$101.00	2026-04-02
43762	HCPCS	Replacement Peg Tube Without Endoscopic Guid	16	8	$729.63	$291.85 60% off	$95.00	$422.50	$101.00	2026-04-02
44950	HCPCS	Appendectomy	16	8	$18,719.25	$7,487.70 60% off	$95.00	$422.50	$101.00	2026-04-02
44970	HCPCS	Surgical Laproscopy Appendectomy	16	8	$17,503.08	$7,001.23 60% off	$95.00	$422.50	$101.00	2026-04-02
45330	HCPCS	Sigmoidoscopy Diagnostic	16	8	$2,310.00	$924.00 60% off	$95.00	$422.50	$101.00	2026-04-02
45331	HCPCS	Sigmoidoscopy W/biopsy	16	8	$2,530.00	$1,012.00 60% off	$95.00	$422.50	$101.00	2026-04-02
45334	HCPCS	Sigmoidoscopy For Bleeding	16	8	$3,537.24	$1,414.90 60% off	$95.00	$422.50	$101.00	2026-04-02
45378	HCPCS	Colonoscopy Diagnostic	16	8	$2,735.13	$1,094.05 60% off	$95.00	$422.50	$101.00	2026-04-02
45380	HCPCS	Colonoscopy With Biopsy / Cold Forcep	16	8	$3,537.24	$1,414.90 60% off	$95.00	$1,062.80	$101.00	2026-04-02
45381	HCPCS	Colonoscopy W/direct Sm- Inj(an Subst)	16	8	$3,537.24	$1,414.90 60% off	$95.00	$531.40	$101.00	2026-04-02
45385	HCPCS	Colonoscopy W/polpectomy/snare Technique	16	8	$3,537.24	$1,414.90 60% off	$95.00	$531.40	$101.00	2026-04-02
46040	HCPCS	I&d Ischiorectal &/or Perorectal Abs -ER	16	8	$3,537.24	$1,414.90 60% off	$95.00	$422.50	$101.00	2026-04-02
46050	HCPCS	I & D, Superficial Perianal Abscess	16	8	$2,735.13	$1,094.05 60% off	$95.00	$422.50	$101.00	2026-04-02
46250	HCPCS	Hemmrrhoidectomy, Ext, 2 Or More Groups	16	8	$8,227.17	$3,290.87 60% off	$95.00	$422.50	$101.00	2026-04-02
46255	HCPCS	Hemorrhoidectomy Intl & Ext, Sing Grp	16	8	$8,227.17	$3,290.87 60% off	$95.00	$422.50	$101.00	2026-04-02
46260	HCPCS	Hemorrhoidectomy Int & Ext, 2 Or More	16	8	$8,227.17	$3,290.87 60% off	$95.00	$422.50	$101.00	2026-04-02
46270	HCPCS	Surgical Treatment Of Anal Fistula, Subc	16	8	$8,227.17	$3,290.87 60% off	$95.00	$422.50	$101.00	2026-04-02
28008	HCPCS	Topaz/fasciotomy Foot &/toe	16	8	$9,734.00	$3,893.60 60% off	$95.00	$422.50	$101.00	2026-04-02
47562	HCPCS	Laparoscopic Cholecystectomy	16	8	$17,503.08	$7,001.23 60% off	$95.00	$422.50	$101.00	2026-04-02
47563	HCPCS	Lapchol With Intra Cholangiogram	16	8	$17,503.00	$7,001.20 60% off	$95.00	$422.50	$101.00	2026-04-02
49505	HCPCS	Repair Initial Inguinal Hernia 5< Reduci	16	8	$10,587.18	$4,234.87 60% off	$95.00	$422.50	$101.00	2026-04-02
49520	HCPCS	Rep Recurrent Ing Hernia, 0+ Reducible	16	8	$10,587.18	$4,234.87 60% off	$95.00	$422.50	$101.00	2026-04-02
49591	HCPCS	Rep Ant Abd Hernia, Any, Imp Mesh-lt 3cm	16	8	$10,587.00	$4,234.80 60% off	$95.00	$422.50	$101.00	2026-04-02
49593	HCPCS	Repair Ant Abd Hernia 3-10cm Reducible	16	8	$18,719.25	$7,487.70 60% off	$95.00	$422.50	$101.00	2026-04-02
51600	HCPCS	Injection For Cystogram	16	8	$124.74	$49.90 60% off	$95.00	$422.50	$101.00	2026-04-02
51700	HCPCS	Bladder Irrigation, Simp, Lav/instill-ER	16	8	$729.63	$291.85 60% off	$95.00	$422.50	$101.00	2026-04-02
51701	HCPCS	Insert Straight Cath	16	8	$348.33	$139.33 60% off	$95.00	$422.50	$101.00	2026-04-02
51702	HCPCS	Insert Foley Cath	16	8	$348.33	$139.33 60% off	$95.00	$422.50	$101.00	2026-04-02
51703	HCPCS	Insert Cath Complicated	16	8	$436.29	$174.52 60% off	$95.00	$422.50	$101.00	2026-04-02
51798	HCPCS	Measurment Urine/bladder Compacity By US	16	8	$172.44	$68.98 60% off	$95.00	$422.50	$101.00	2026-04-02
52000	HCPCS	Cystoscopy	16	8	$2,039.00	$815.60 60% off	$95.00	$422.50	$101.00	2026-04-02
52204	HCPCS	Cystoscopy With Biopsy	16	8	$2,420.00	$968.00 60% off	$95.00	$422.50	$101.00	2026-04-02
52224	HCPCS	Cysto W/fulg Minor Bd Tmr Lt .05cm	16	8	$9,965.00	$3,986.00 60% off	$95.00	$422.50	$101.00	2026-04-02
52234	HCPCS	Cysto W/fulg Sm Bd Tmr-0.5 Up To 2.0cm	16	8	$9,965.00	$3,986.00 60% off	$95.00	$422.50	$101.00	2026-04-02
52235	HCPCS	Cysto W/fulg Med Bd Tmr 2.0 - 5.0 Cm	16	8	$9,965.00	$3,986.00 60% off	$95.00	$422.50	$101.00	2026-04-02
52240	HCPCS	Cysto W/fulg Lrg Bd Tmr 5.0 Up	16	8	$14,790.00	$5,916.00 60% off	$95.00	$422.50	$101.00	2026-04-02
52332	HCPCS	Cystoscopy With Stent Placment	16	8	$2,750.00	$1,100.00 60% off	$95.00	$422.50	$101.00	2026-04-02
52400	HCPCS	Cystourethroscopy	16	8	$9,615.36	$3,846.14 60% off	$95.00	$422.50	$101.00	2026-04-02
55700	HCPCS	Prostate Biopsy, Simple, Multiple, Any A	16	8	$6,145.53	$2,458.21 60% off	$95.00	$422.50	$101.00	2026-04-02
55706	HCPCS	Biopsy Prostate Needle Incl Imaging Guid	16	8	$10,346.91	$4,138.76 60% off	$95.00	$422.50	$101.00	2026-04-02
28116	HCPCS	Ostectomy, Calcaneus	16	8	$9,734.00	$3,893.60 60% off	$95.00	$422.50	$101.00	2026-04-02
59409	HCPCS	Delivery Vaginal/antepartum/postpartum	16	8	$8,482.32	$3,392.93 60% off	$95.00	$422.50	$101.00	2026-04-02
62270	HCPCS	Lumbar Punture - ER	16	8	$1,933.02	$773.21 60% off	$95.00	$422.50	$101.00	2026-04-02
64400	HCPCS	Nerve Block Of The Mandibular - ER	16	8	$815.67	$326.27 60% off	$95.00	$422.50	$101.00	2026-04-02
64430	HCPCS	Inj(s) Anes Agen &/or Ster; Pudendal Ner	16	8	$2,670.87	$1,068.35 60% off	$95.00	$422.50	$101.00	2026-04-02
64450	HCPCS	Nerve Block Periph	16	8	$1,933.02	$773.21 60% off	$95.00	$422.50	$101.00	2026-04-02
64455	HCPCS	Njx Aa&/strd Pltr Com Dg Nrv	16	8	$885.57	$354.23 60% off	$95.00	$422.50	$101.00	2026-04-02
64704	HCPCS	Neuroplasty, Nerve Of Hand Or Foot	16	8	$5,858.31	$2,343.32 60% off	$95.00	$422.50	$101.00	2026-04-02
64721	HCPCS	Carpal Tunnel-open	16	8	$4,832.00	$1,932.80 60% off	$95.00	$422.50	$101.00	2026-04-02
64782	HCPCS	Exc Of Neuroma, Hand/ Ft, Exc Dig Nerve	16	8	$5,858.31	$2,343.32 60% off	$95.00	$422.50	$101.00	2026-04-02
65205	HCPCS	Fb Rem Conjunctiva - ER	16	8	$348.33	$139.33 60% off	$95.00	$422.50	$101.00	2026-04-02
65220	HCPCS	Fb Rem Cornea -ER	16	8	$1,132.71	$453.08 60% off	$95.00	$422.50	$101.00	2026-04-02
65810	HCPCS	Paracentesis Of Ant Chamber Eye	16	8	$6,842.19	$2,736.88 60% off	$95.00	$422.50	$101.00	2026-04-02
65815	HCPCS	Paracentesis Ant Chmber Eye Ww/o Irr Asp	16	8	$6,842.19	$2,736.88 60% off	$95.00	$422.50	$101.00	2026-04-02
66982	HCPCS	Cataract Ext W Insertion Lens Complex	16	8	$6,842.19	$2,736.88 60% off	$95.00	$422.50	$101.00	2026-04-02
66984	HCPCS	Cataract Extraction W/iol	16	8	$7,480.00	$2,992.00 60% off	$95.00	$422.50	$101.00	2026-04-02
69145	HCPCS	Excision Soft Tissue Lesion, Extaudcnl	16	8	$8,586.15	$3,434.46 60% off	$95.00	$422.50	$101.00	2026-04-02
69200	HCPCS	Fb Rem Ear Canal - ER	16	8	$348.33	$139.33 60% off	$95.00	$422.50	$101.00	2026-04-02
69209	HCPCS	Removal Impacted Cerumen Irrigatio - ER	16	8	$172.44	$68.98 60% off	$95.00	$422.50	$101.00	2026-04-02
69210	HCPCS	Removal Impacted Cerumen By Instru - ER	16	8	$172.44	$68.98 60% off	$95.00	$422.50	$101.00	2026-04-02
69424	HCPCS	Ventilating Tube Removal Req General Ane	16	8	$9,729.21	$3,891.68 60% off	$95.00	$422.50	$101.00	2026-04-02
69436	HCPCS	Tympanostomy General Anes	16	8	$4,444.00	$1,777.60 60% off	$95.00	$422.50	$101.00	2026-04-02
69610	HCPCS	Tympanic Membrane Repair	16	8	$4,443.78	$1,777.51 60% off	$95.00	$422.50	$101.00	2026-04-02
69620	HCPCS	Myringoplasty	16	8	$9,729.21	$3,891.68 60% off	$95.00	$422.50	$101.00	2026-04-02
69631	HCPCS	Tympanoplasty	16	8	$17,747.00	$7,098.80 60% off	$95.00	$422.50	$101.00	2026-04-02
28240	HCPCS	Tenotomy, Lengthening, Or Release, Abduc	16	8	$9,733.83	$3,893.53 60% off	$95.00	$422.50	$101.00	2026-04-02
28270	HCPCS	Capsulotomy: Mpj W/wo Tenorrhaphy Each	16	8	$9,733.83	$3,893.53 60% off	$95.00	$422.50	$101.00	2026-04-02
12005	HCPCS	Lac. Simple 12.6-20cm	16	8	$1,119.21	$447.68 60% off	$95.00	$422.50	$101.00	2026-04-02
28285	HCPCS	Correction Hammer Toe	16	8	$9,734.00	$3,893.60 60% off	$95.00	$422.50	$101.00	2026-04-02
20550	HCPCS	Inject Tendon Sheath/ligament Single ER	16	8	$8,929.98	$3,571.99 60% off	$95.00	$422.50	$101.00	2026-04-02
28288	HCPCS	Ostectomy, Prtl, Exostec/condylec Met Hd	16	8	$9,733.83	$3,893.53 60% off	$95.00	$422.50	$101.00	2026-04-02
80051	HCPCS	Electrolyte Panel	16	8	$21.03	$8.41 60% off	$95.00	$422.50	$101.00	2026-04-02
28289	HCPCS	Hallux Ridg Corr With Cheilectomy Without Impn	16	8	$9,734.00	$3,893.60 60% off	$95.00	$422.50	$101.00	2026-04-02
20552	HCPCS	Injection Trigger Point 1-2 Muscles	16	8	$885.57	$354.23 60% off	$95.00	$422.50	$101.00	2026-04-02
28291	HCPCS	Hall Rid Corr W Cheile 1st Meta With Impnt	16	8	$21,431.19	$8,572.48 60% off	$95.00	$422.50	$101.00	2026-04-02
80151	HCPCS	Amiodarone (cordarone), (labc)	16	8	$55.92	$22.37 60% off	$95.00	$422.50	$101.00	2026-04-02
28292	HCPCS	Cor,hv W/buntmy W/smoid W/res Of Pip Any	16	8	$9,734.00	$3,893.60 60% off	$95.00	$422.50	$101.00	2026-04-02
80194	HCPCS	Quinidine	16	8	$43.80	$17.52 60% off	$95.00	$422.50	$101.00	2026-04-02

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