|
10060
|
OTHER
|
Hc Drain Skin Abscess Simple
|
3
|
3
|
$213.00
|
$127.80
40% off
|
$70.29
|
$166.14
|
$70.29
|
2026-05-06
|
|
10061
|
OTHER
|
Hc Drain Skin Abscess Complic
|
3
|
3
|
$360.00
|
$216.00
40% off
|
$118.80
|
$280.80
|
$118.80
|
2026-05-06
|
|
10080
|
OTHER
|
Hc Drain Pilonidal Cyst Simpl
|
3
|
3
|
$386.00
|
$231.60
40% off
|
$127.38
|
$301.08
|
$127.38
|
2026-05-06
|
|
10120
|
OTHER
|
Hc Remove Foreign Body Simple
|
3
|
3
|
$529.00
|
$317.40
40% off
|
$174.57
|
$412.62
|
$174.57
|
2026-05-06
|
|
10140
|
OTHER
|
Hc Drainage Of Hematoma/fluid
|
3
|
3
|
$2,209.00
|
$1,325.40
40% off
|
$728.97
|
$1,723.02
|
$728.97
|
2026-05-06
|
|
1100000001
|
OTHER
|
Hc Private Room Daily
|
3
|
3
|
$1,095.00
|
$657.00
40% off
|
$854.10
|
$2,949.31
|
$2,949.31
|
2026-05-06
|
|
1100000002
|
OTHER
|
Hc Private Room Daily Swing
|
3
|
3
|
$1,057.00
|
$634.20
40% off
|
$824.46
|
$2,949.31
|
$2,349.07
|
2026-05-06
|
|
11403
|
OTHER
|
Excised Skin Lesion Benign - Trunk, Arm, And/or Leg
|
3
|
3
|
$7,233.62
|
$4,340.17
40% off
|
$2,387.09
|
$5,642.22
|
$2,387.09
|
2026-05-06
|
|
11606
|
OTHER
|
Excised Skin Lesion Malignant - Trunk, Arm, And/or Leg
|
3
|
3
|
$12,491.12
|
$7,494.67
40% off
|
$4,122.07
|
$9,743.07
|
$4,122.07
|
2026-05-06
|
|
12001
|
OTHER
|
Hc Resuperf Wnd Body <2.5cm
|
3
|
3
|
$217.00
|
$130.20
40% off
|
$71.61
|
$169.26
|
$71.61
|
2026-05-06
|
|
12002
|
OTHER
|
Hc Resup Npterf Wnd Body 2.6-7.5 Cm
|
3
|
3
|
$282.00
|
$169.20
40% off
|
$93.06
|
$219.96
|
$93.06
|
2026-05-06
|
|
12004
|
OTHER
|
Hc Resuperf Wnd Body 7.6-12.5 Cm
|
3
|
3
|
$219.00
|
$131.40
40% off
|
$72.27
|
$170.82
|
$72.27
|
2026-05-06
|
|
12005
|
OTHER
|
Hc Resuperf Wnd Body 12.6-20 Cm
|
3
|
3
|
$327.00
|
$196.20
40% off
|
$107.91
|
$255.06
|
$107.91
|
2026-05-06
|
|
12011
|
OTHER
|
Hc Resuperf Wnd Face <2.5 Cm
|
3
|
3
|
$193.00
|
$115.80
40% off
|
$63.69
|
$150.54
|
$63.69
|
2026-05-06
|
|
12013
|
OTHER
|
Hc Resuperf Wnd Face 2.6-5 Cm
|
3
|
3
|
$220.00
|
$132.00
40% off
|
$72.60
|
$171.60
|
$72.60
|
2026-05-06
|
|
12014
|
OTHER
|
Hc Resuperf Wnd Face 5.1-7.5 Cm
|
3
|
3
|
$220.00
|
$132.00
40% off
|
$72.60
|
$171.60
|
$72.60
|
2026-05-06
|
|
12017
|
OTHER
|
Hc Srep F/e/n/l/mm; 20.1-30.0cm
|
3
|
3
|
$304.00
|
$182.40
40% off
|
$100.32
|
$237.12
|
$100.32
|
2026-05-06
|
|
12032
|
OTHER
|
Hc Layr Clos Wnd Trunk,arm,leg 2.6-7.5 Cm
|
3
|
3
|
$2,530.00
|
$1,518.00
40% off
|
$834.90
|
$1,973.40
|
$834.90
|
2026-05-06
|
|
12034
|
OTHER
|
Hc Layr Clos Wnd Trunk,arm,leg 7.6-12.5 Cm
|
3
|
3
|
$412.00
|
$247.20
40% off
|
$135.96
|
$321.36
|
$135.96
|
2026-05-06
|
|
12041
|
OTHER
|
Hc Layr Clos Wnd Rest Body <2.5 Cm
|
3
|
3
|
$314.00
|
$188.40
40% off
|
$103.62
|
$244.92
|
$103.62
|
2026-05-06
|
|
12042
|
OTHER
|
Hc Layr Clos Wnd Rest Body 2.6-7.5 Cm
|
3
|
3
|
$597.09
|
$358.25
40% off
|
$197.04
|
$465.73
|
$197.04
|
2026-05-06
|
|
12051
|
OTHER
|
Hc Layr Clos Wnd Face,facial <2.5 Cm
|
3
|
3
|
$344.00
|
$206.40
40% off
|
$113.52
|
$268.32
|
$113.52
|
2026-05-06
|
|
12052
|
OTHER
|
Hc Layr Clos Wnd Face,facial 2.5-5 Cm
|
3
|
3
|
$420.00
|
$252.00
40% off
|
$138.60
|
$327.60
|
$138.60
|
2026-05-06
|
|
12053
|
OTHER
|
Hc Layr Clos Wnd Face,facial 5.1-7.5 Cm
|
3
|
3
|
$435.00
|
$261.00
40% off
|
$143.55
|
$339.30
|
$143.55
|
2026-05-06
|
|
12054
|
OTHER
|
Hc Layr Clos Wnd Face,facial 7.6-12.5 Cm
|
3
|
3
|
$458.00
|
$274.80
40% off
|
$151.14
|
$357.24
|
$151.14
|
2026-05-06
|
|
13120
|
OTHER
|
Hc C Rep S/a/l; 1.1-2.5cm
|
3
|
3
|
$474.00
|
$284.40
40% off
|
$156.42
|
$369.72
|
$156.42
|
2026-05-06
|
|
13121
|
OTHER
|
Hc Recmpl Wnd Scalp,extr 2.6-7.5 Cm
|
3
|
3
|
$589.00
|
$353.40
40% off
|
$194.37
|
$459.42
|
$194.37
|
2026-05-06
|
|
13122
|
OTHER
|
Hc Rep,skin,scalp/extrem+5 Cm/<
|
3
|
3
|
$187.00
|
$112.20
40% off
|
$61.71
|
$145.86
|
$61.71
|
2026-05-06
|
|
13132
|
OTHER
|
Hc Recmpl Wnd Head,fac,hand 2.6-7.5 Cm
|
3
|
3
|
$1,051.00
|
$630.60
40% off
|
$346.83
|
$819.78
|
$346.83
|
2026-05-06
|
|
16020
|
OTHER
|
Hc Dress/debrid Small Burn No Anes
|
3
|
3
|
$321.00
|
$192.60
40% off
|
$105.93
|
$250.38
|
$105.93
|
2026-05-06
|
|
20605
|
OTHER
|
Hc Arthrocentesis Aspir&/inj Interm Jt/burs Without US
|
3
|
3
|
$234.00
|
$140.40
40% off
|
$77.22
|
$182.52
|
$77.22
|
2026-05-06
|
|
20610
|
OTHER
|
Hc Arthrocentesis Aspir&/inj Major Jt/bursa Without US
|
3
|
3
|
$328.00
|
$196.80
40% off
|
$108.24
|
$255.84
|
$108.24
|
2026-05-06
|
|
2140000001
|
OTHER
|
Hc Telemetry Room And Board
|
3
|
3
|
$1,633.00
|
$979.80
40% off
|
$1,273.74
|
$2,949.31
|
$2,949.31
|
2026-05-06
|
|
23650
|
OTHER
|
Hc Closed Rx Shldr Dislocation
|
3
|
3
|
$246.00
|
$147.60
40% off
|
$81.18
|
$191.88
|
$81.18
|
2026-05-06
|
|
25605
|
OTHER
|
Hc Closed Rx Dist Rad/ulna Fx,manipul
|
3
|
3
|
$1,291.00
|
$774.60
40% off
|
$426.03
|
$1,006.98
|
$426.03
|
2026-05-06
|
|
26010
|
OTHER
|
Hc Drain Finger Abscess,simple
|
3
|
3
|
$277.00
|
$166.20
40% off
|
$91.41
|
$216.06
|
$91.41
|
2026-05-06
|
|
26725
|
OTHER
|
Hc Close Rx Prox/mid Fing Shft Fx,manip
|
3
|
3
|
$338.00
|
$202.80
40% off
|
$111.54
|
$263.64
|
$111.54
|
2026-05-06
|
|
26770
|
OTHER
|
Hc Closed Rx Ip Jt Dislocation
|
3
|
3
|
$306.00
|
$183.60
40% off
|
$100.98
|
$238.68
|
$100.98
|
2026-05-06
|
|
27000000S1
|
OTHER
|
Blueboost Inject 10ml Sl62521
|
3
|
3
|
$420.00
|
$252.00
40% off
|
$138.60
|
$327.60
|
$138.60
|
2026-05-06
|
|
27200000S1
|
OTHER
|
Surgicel Endoscopic Applicator
|
3
|
3
|
$213.24
|
$127.94
40% off
|
$70.37
|
$166.33
|
$70.37
|
2026-05-06
|
|
27200000S2
|
OTHER
|
Surgicel Powder 3.0 Grm 3013sp
|
6
|
3
|
$1,329.37
|
$797.62
40% off
|
$101.85
|
$1,833.09
|
$508.13
|
2026-05-06
|
|
27750
|
OTHER
|
Hc Closed Rx Tibia Shaft Fx
|
3
|
3
|
$206.00
|
$123.60
40% off
|
$67.98
|
$160.68
|
$67.98
|
2026-05-06
|
|
27840
|
OTHER
|
Hc Closed Rx Ankle Dislocatn
|
3
|
3
|
$319.00
|
$191.40
40% off
|
$105.27
|
$248.82
|
$105.27
|
2026-05-06
|
|
28660
|
OTHER
|
Hc Closed Rx I-p Jt,toe Dislocation
|
3
|
3
|
$206.00
|
$123.60
40% off
|
$67.98
|
$160.68
|
$67.98
|
2026-05-06
|
|
29105
|
OTHER
|
Hc Apply Long Arm Splint
|
3
|
3
|
$284.00
|
$170.40
40% off
|
$93.72
|
$221.52
|
$93.72
|
2026-05-06
|
|
29125
|
OTHER
|
Hc Apply Forearm Splint,static
|
3
|
3
|
$284.00
|
$170.40
40% off
|
$93.72
|
$221.52
|
$93.72
|
2026-05-06
|
|
29260
|
OTHER
|
Hc Strapping; Elbow Or Wrist
|
3
|
3
|
$178.00
|
$106.80
40% off
|
$58.74
|
$138.84
|
$58.74
|
2026-05-06
|
|
29505
|
OTHER
|
Hc Apply Long Leg Splint
|
3
|
3
|
$284.00
|
$170.40
40% off
|
$93.72
|
$221.52
|
$93.72
|
2026-05-06
|
|
29515
|
OTHER
|
Hc Apply Lower Leg Splint
|
3
|
3
|
$284.00
|
$170.40
40% off
|
$93.72
|
$221.52
|
$93.72
|
2026-05-06
|
|
30300
|
OTHER
|
Hc Remove Nasal Foreign Body
|
3
|
3
|
$260.00
|
$156.00
40% off
|
$85.80
|
$202.80
|
$85.80
|
2026-05-06
|
|
30901
|
OTHER
|
Hc Ctrl Nosebleed,anter,simple
|
3
|
3
|
$237.00
|
$142.20
40% off
|
$78.21
|
$184.86
|
$78.21
|
2026-05-06
|
|
31500
|
OTHER
|
Hc Insert Emergency Endotrach Airway
|
3
|
3
|
$479.00
|
$287.40
40% off
|
$158.07
|
$373.62
|
$158.07
|
2026-05-06
|
|
3600000001
|
OTHER
|
Hc Or Time - Initial Base Charge - Procedure Level 1
|
3
|
3
|
$1,000.00
|
$600.00
40% off
|
$330.00
|
$780.00
|
$330.00
|
2026-05-06
|
|
3600000002
|
OTHER
|
Hc Or Time - Initial Base Charge - Procedure Level 2
|
3
|
3
|
$1,200.00
|
$720.00
40% off
|
$396.00
|
$936.00
|
$396.00
|
2026-05-06
|
|
3600000003
|
OTHER
|
Hc Or Time - Initial Base Charge - Procedure Level 3
|
3
|
3
|
$2,500.00
|
$1,500.00
40% off
|
$825.00
|
$1,950.00
|
$825.00
|
2026-05-06
|
|
36430
|
OTHER
|
Hc Blood Transfusion Service
|
3
|
3
|
$781.00
|
$468.60
40% off
|
$257.73
|
$609.18
|
$257.73
|
2026-05-06
|
|
36680
|
OTHER
|
Hc Insert Needle,intraosseous Infusn
|
3
|
3
|
$368.00
|
$220.80
40% off
|
$121.44
|
$287.04
|
$121.44
|
2026-05-06
|
|
3700000001
|
OTHER
|
Hc General Anesthesia Time - Initial Base Charge
|
3
|
3
|
$700.00
|
$420.00
40% off
|
$231.00
|
$546.00
|
$231.00
|
2026-05-06
|
|
37195
|
OTHER
|
Hc Thrombolytic Therapy, Stroke
|
3
|
3
|
$304.00
|
$182.40
40% off
|
$100.32
|
$237.12
|
$100.32
|
2026-05-06
|
|
42700
|
OTHER
|
Hc Inc/drain Peritonsil Abscess
|
3
|
3
|
$268.00
|
$160.80
40% off
|
$88.44
|
$209.04
|
$88.44
|
2026-05-06
|
|
43235
|
OTHER
|
Esophagogastroduodenoscopy Transoral Diagnostic
|
3
|
3
|
$2,511.47
|
$1,506.88
40% off
|
$828.79
|
$1,958.95
|
$828.79
|
2026-05-06
|
|
43239
|
OTHER
|
Edg Transoral Biopsy Single/multiple
|
3
|
3
|
$3,262.63
|
$1,957.58
40% off
|
$1,076.67
|
$2,544.85
|
$1,076.67
|
2026-05-06
|
|
43248
|
OTHER
|
Edg Insert Guide Wire Dilator Passage Esophagus
|
3
|
3
|
$2,417.98
|
$1,450.79
40% off
|
$797.93
|
$1,886.02
|
$797.93
|
2026-05-06
|
|
43753
|
OTHER
|
Hc Gastric Intubation/aspiration, Therapeutic
|
3
|
3
|
$293.00
|
$175.80
40% off
|
$96.69
|
$228.54
|
$96.69
|
2026-05-06
|
|
45330
|
OTHER
|
Sigmoidoscopy Flx Dx W/collj Spec Br/wa If Pfrmd
|
3
|
3
|
$2,676.67
|
$1,606.00
40% off
|
$883.30
|
$2,087.80
|
$883.30
|
2026-05-06
|
|
45338
|
OTHER
|
Sigmoidoscopy,remv Lesn,snare
|
3
|
3
|
$2,591.37
|
$1,554.82
40% off
|
$855.15
|
$2,021.27
|
$855.15
|
2026-05-06
|
|
45378
|
OTHER
|
Colonoscopy Flx Dx W/collj Spec When Pfrmd
|
3
|
3
|
$3,070.47
|
$1,842.28
40% off
|
$1,013.26
|
$2,394.97
|
$1,013.26
|
2026-05-06
|
|
45380
|
OTHER
|
Colonoscopy W/biopsy Single/multiple
|
3
|
3
|
$3,500.55
|
$2,100.33
40% off
|
$1,155.18
|
$2,730.43
|
$1,155.18
|
2026-05-06
|
|
45385
|
OTHER
|
Colsc Flx W/rmvl Of Tumor Polyp Lesion Snare Tq
|
3
|
3
|
$3,515.04
|
$2,109.02
40% off
|
$1,159.96
|
$2,741.73
|
$1,159.96
|
2026-05-06
|
|
46050
|
OTHER
|
Hc I&d Perianal Abscess,superficial
|
3
|
3
|
$1,141.00
|
$684.60
40% off
|
$376.53
|
$889.98
|
$376.53
|
2026-05-06
|
|
46080
|
OTHER
|
Anal Sphincterotomy
|
3
|
3
|
$6,118.95
|
$3,671.37
40% off
|
$2,019.25
|
$4,772.78
|
$2,019.25
|
2026-05-06
|
|
47562
|
OTHER
|
Lap,cholecystectomy
|
3
|
3
|
$10,336.01
|
$6,201.60
40% off
|
$3,410.88
|
$8,062.08
|
$3,410.88
|
2026-05-06
|
|
47563
|
OTHER
|
Lap,cholecystectomy/graph
|
3
|
3
|
$12,330.46
|
$7,398.28
40% off
|
$4,069.05
|
$9,617.76
|
$4,069.05
|
2026-05-06
|
|
49505
|
OTHER
|
Repair Ing Hernia,5+y/o,reducibl
|
3
|
3
|
$9,606.47
|
$5,763.88
40% off
|
$3,170.14
|
$7,493.05
|
$3,170.14
|
2026-05-06
|
|
49591
|
OTHER
|
Rpr Aa Hernia 1st < 3 Cm Reducible
|
3
|
3
|
$9,160.42
|
$5,496.26
40% off
|
$3,022.94
|
$7,145.13
|
$3,022.94
|
2026-05-06
|
|
51702
|
OTHER
|
Hc Insert,temp Indwelling Blad Cath,simple
|
3
|
3
|
$179.00
|
$107.40
40% off
|
$59.07
|
$139.62
|
$59.07
|
2026-05-06
|
|
56405
|
OTHER
|
Hc I&d Of Vulva/perineum Abscess
|
3
|
3
|
$265.00
|
$159.00
40% off
|
$87.45
|
$206.70
|
$87.45
|
2026-05-06
|
|
56420
|
OTHER
|
Hc I&d Bartholin Gland Abscess
|
3
|
3
|
$183.00
|
$109.80
40% off
|
$60.39
|
$142.74
|
$60.39
|
2026-05-06
|
|
62270
|
OTHER
|
Hc Spinal Puncture,lumbar,diagnostic
|
3
|
3
|
$875.00
|
$525.00
40% off
|
$288.75
|
$682.50
|
$288.75
|
2026-05-06
|
|
64450
|
OTHER
|
Hc Inject Nerv Blck,othr Periph Nerv
|
3
|
3
|
$928.00
|
$556.80
40% off
|
$306.24
|
$723.84
|
$306.24
|
2026-05-06
|
|
65220
|
OTHER
|
Hc Remv F.b.,eye,cornea,no Slit
|
3
|
3
|
$316.00
|
$189.60
40% off
|
$104.28
|
$246.48
|
$104.28
|
2026-05-06
|
|
69000
|
OTHER
|
Hc Drain Ext Ear Absc/blood,simple
|
3
|
3
|
$548.00
|
$328.80
40% off
|
$180.84
|
$427.44
|
$180.84
|
2026-05-06
|
|
70140
|
OTHER
|
Hc X-ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views
|
3
|
3
|
$296.00
|
$177.60
40% off
|
$97.68
|
$230.88
|
$97.68
|
2026-05-06
|
|
70150
|
OTHER
|
Hc X-ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views
|
3
|
3
|
$218.00
|
$130.80
40% off
|
$71.94
|
$170.04
|
$71.94
|
2026-05-06
|
|
70210
|
OTHER
|
Hc X-ray Sinuses <3 Vw - Xr Paranasal Sinuses 1-2 Views
|
3
|
3
|
$199.00
|
$119.40
40% off
|
$65.67
|
$155.22
|
$65.67
|
2026-05-06
|
|
70220
|
OTHER
|
Hc X-ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views
|
3
|
3
|
$289.00
|
$173.40
40% off
|
$95.37
|
$225.42
|
$95.37
|
2026-05-06
|
|
70250
|
OTHER
|
Hc X-ray Skull <4 Vw - Xr Skull 1-3 Views
|
3
|
3
|
$243.00
|
$145.80
40% off
|
$80.19
|
$189.54
|
$80.19
|
2026-05-06
|
|
70330
|
OTHER
|
Hc X-ray Tmj Bilat - Xr Temporomandibular Joint Open And Closed Bil
|
3
|
3
|
$274.00
|
$164.40
40% off
|
$90.42
|
$213.72
|
$90.42
|
2026-05-06
|
|
70360
|
OTHER
|
Hc X-ray Neck Soft Tissue - Xr Neck Soft Tissue
|
3
|
3
|
$203.00
|
$121.80
40% off
|
$66.99
|
$158.34
|
$66.99
|
2026-05-06
|
|
70450
|
OTHER
|
Hc CT SCAN,HEAD/BRAIN,without Contrast Matl - CT Head Wo Contrast
|
3
|
3
|
$1,008.00
|
$604.80
40% off
|
$332.64
|
$786.24
|
$332.64
|
2026-05-06
|
|
70470
|
OTHER
|
Hc CT Scan Head Combo - CT Head W Wo Contrast
|
3
|
3
|
$1,448.00
|
$868.80
40% off
|
$477.84
|
$1,129.44
|
$477.84
|
2026-05-06
|
|
70480
|
OTHER
|
Hc CT Scan,orbit/sella/post FOSSA/EAR,without - CT Auditory Canals Wo Cont
|
3
|
3
|
$1,158.00
|
$694.80
40% off
|
$382.14
|
$903.24
|
$382.14
|
2026-05-06
|
|
70486
|
OTHER
|
Hc CT Scan,maxillofacial Without Contrast - CT Sinus Facial Bones Wo Cont
|
3
|
3
|
$1,079.00
|
$647.40
40% off
|
$356.07
|
$841.62
|
$356.07
|
2026-05-06
|
|
70487
|
OTHER
|
Hc CT Scan, Face/jaw Contrast - CT Sinus Facial Bones W Contrast
|
3
|
3
|
$1,196.00
|
$717.60
40% off
|
$394.68
|
$932.88
|
$394.68
|
2026-05-06
|
|
70490
|
OTHER
|
Hc CT Scan,soft Tissue NECK,without Contrast - CT Soft Tissue Neck Wo Cont
|
3
|
3
|
$1,008.00
|
$604.80
40% off
|
$332.64
|
$786.24
|
$332.64
|
2026-05-06
|
|
70491
|
OTHER
|
Hc CT Neck Tissue Contrast - CT Soft Tissue Neck W Contrast
|
3
|
3
|
$1,234.00
|
$740.40
40% off
|
$407.22
|
$962.52
|
$407.22
|
2026-05-06
|
|
70492
|
OTHER
|
Hc CT Neck Tissue Combo - CT Soft Tissue Neck W Wo Contrast
|
3
|
3
|
$1,343.00
|
$805.80
40% off
|
$443.19
|
$1,047.54
|
$443.19
|
2026-05-06
|
|
70496
|
OTHER
|
Hc CT Angio,head Combo - CT Head Angio W And Wo IV Contrast
|
3
|
3
|
$1,385.00
|
$831.00
40% off
|
$457.05
|
$1,080.30
|
$457.05
|
2026-05-06
|
|
70498
|
OTHER
|
Hc CT Angio,neck Combo - CT Head Neck Angio W And Wo IV Contrast
|
3
|
3
|
$1,385.00
|
$831.00
40% off
|
$457.05
|
$1,080.30
|
$457.05
|
2026-05-06
|
|
71045
|
OTHER
|
Hc Radiologic Exam Chest Single View - Xr Chest 1 View
|
3
|
3
|
$211.00
|
$126.60
40% off
|
$69.63
|
$164.58
|
$69.63
|
2026-05-06
|
|
71046
|
OTHER
|
Hc Radiologic Exam Chest 2 Views - Xr Chest 2 Views
|
3
|
3
|
$280.00
|
$168.00
40% off
|
$92.40
|
$218.40
|
$92.40
|
2026-05-06
|
|
71100
|
OTHER
|
Hc X-ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Left
|
3
|
3
|
$205.00
|
$123.00
40% off
|
$67.65
|
$159.90
|
$67.65
|
2026-05-06
|
|
71101
|
OTHER
|
Hc X-ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt With Chest Anteroposterior
|
3
|
3
|
$264.00
|
$158.40
40% off
|
$87.12
|
$205.92
|
$87.12
|
2026-05-06
|
|
71110
|
OTHER
|
Hc X-ray Ribs 3 Vw Bilat - Xr Ribs 3 Views Bilateral
|
3
|
3
|
$273.00
|
$163.80
40% off
|
$90.09
|
$212.94
|
$90.09
|
2026-05-06
|
|
71111
|
OTHER
|
Hc X-ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil With Chest Posteroanterior
|
3
|
3
|
$349.00
|
$209.40
40% off
|
$115.17
|
$272.22
|
$115.17
|
2026-05-06
|
|
71120
|
OTHER
|
Hc X-ray Sternum 2+ Vw - Xr Sternum 2+ Views
|
3
|
3
|
$199.00
|
$119.40
40% off
|
$65.67
|
$155.22
|
$65.67
|
2026-05-06
|
|
71250
|
OTHER
|
Hc CT SCAN,THORAX,without Contrast - CT Chest Wo Contrast
|
3
|
3
|
$1,259.00
|
$755.40
40% off
|
$415.47
|
$982.02
|
$415.47
|
2026-05-06
|
|
71260
|
OTHER
|
Hc CT Scan Of Chest Contrast - CT Chest Pulmonary Embolism W IV Cont
|
3
|
3
|
$1,554.00
|
$932.40
40% off
|
$512.82
|
$1,212.12
|
$512.82
|
2026-05-06
|
|
71270
|
OTHER
|
Hc CT Scan Of Chest Combo - CT Chest W Wo Contrast
|
3
|
3
|
$1,776.00
|
$1,065.60
40% off
|
$586.08
|
$1,385.28
|
$586.08
|
2026-05-06
|
|
71275
|
OTHER
|
Hc CT Angio, Chest, Combo, Incl Image - CT Chest Angio W And Wo IV Cont
|
3
|
3
|
$2,065.00
|
$1,239.00
40% off
|
$681.45
|
$1,610.70
|
$681.45
|
2026-05-06
|
|
72040
|
OTHER
|
Hc Radex Spine Cervical 2 Or 3 Views - Xr Cervical Spine 2-3 Views
|
3
|
3
|
$260.00
|
$156.00
40% off
|
$85.80
|
$202.80
|
$85.80
|
2026-05-06
|
|
72050
|
OTHER
|
Hc Radex Spine Cervical 4 Or 5 Views - Xr Cervical Spine Comp 4-5 Views
|
3
|
3
|
$413.00
|
$247.80
40% off
|
$136.29
|
$322.14
|
$136.29
|
2026-05-06
|
|
72070
|
OTHER
|
Hc X-ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views
|
3
|
3
|
$259.00
|
$155.40
40% off
|
$85.47
|
$202.02
|
$85.47
|
2026-05-06
|
|
72072
|
OTHER
|
Hc X-ray Thoracic Spine+swim 3 Vw - Xr Thoracic Spine 3 Views
|
3
|
3
|
$264.00
|
$158.40
40% off
|
$87.12
|
$205.92
|
$87.12
|
2026-05-06
|
|
72080
|
OTHER
|
Hc Radex Entir Thrc Lmbr Crv Sac Spi W/skull 1 Vw - Xr Entire Spine 1 V
|
3
|
3
|
$219.00
|
$131.40
40% off
|
$72.27
|
$170.82
|
$72.27
|
2026-05-06
|
|
72081
|
OTHER
|
Hc Radex Entir Thrc Lmbr Crv Sac Spi W/skull 1 Vw - Xr Entire Spine 1 V
|
3
|
3
|
$219.00
|
$131.40
40% off
|
$72.27
|
$170.82
|
$72.27
|
2026-05-06
|
|
72100
|
OTHER
|
Hc X-ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views
|
3
|
3
|
$326.00
|
$195.60
40% off
|
$107.58
|
$254.28
|
$107.58
|
2026-05-06
|
|
72110
|
OTHER
|
Hc X-ray Lumbar Spine 4 Vw - Xr Lumbar Spine Complete 4+ Views
|
3
|
3
|
$427.00
|
$256.20
40% off
|
$140.91
|
$333.06
|
$140.91
|
2026-05-06
|
|
72125
|
OTHER
|
Hc CT Scan,cervical SPINE,without Contrast - CT Cervical Spine Wo Contrast
|
3
|
3
|
$1,502.00
|
$901.20
40% off
|
$495.66
|
$1,171.56
|
$495.66
|
2026-05-06
|
|
72128
|
OTHER
|
Hc CT Scan,thoracic SPINE,without Contrast - CT Thoracic Spine Wo Contrast
|
3
|
3
|
$1,580.00
|
$948.00
40% off
|
$521.40
|
$1,232.40
|
$521.40
|
2026-05-06
|
|
72131
|
OTHER
|
Hc CT Scan,lumbar SPINE,without Contrast - CT Lumbar Spine Wo Contrast
|
3
|
3
|
$1,502.00
|
$901.20
40% off
|
$495.66
|
$1,171.56
|
$495.66
|
2026-05-06
|
|
72170
|
OTHER
|
Hc X-ray Pelvis 1/2 Vw - Xr Pelvis 1-2 Views
|
3
|
3
|
$235.00
|
$141.00
40% off
|
$77.55
|
$183.30
|
$77.55
|
2026-05-06
|
|
72192
|
OTHER
|
Hc CT SCAN,PELVIS,without Contrast - CT Pelvis Wo Contrast
|
3
|
3
|
$1,332.00
|
$799.20
40% off
|
$439.56
|
$1,038.96
|
$439.56
|
2026-05-06
|
|
72193
|
OTHER
|
Hc CT Scan Of Pelvis Contrast - CT Pelvis W Contrast
|
3
|
3
|
$1,570.00
|
$942.00
40% off
|
$518.10
|
$1,224.60
|
$518.10
|
2026-05-06
|
|
72220
|
OTHER
|
Hc X-ray Sacrum/coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views
|
3
|
3
|
$261.00
|
$156.60
40% off
|
$86.13
|
$203.58
|
$86.13
|
2026-05-06
|
|
73000
|
OTHER
|
Hc X-ray Clavicle - Xr Clavicle Bilateral
|
6
|
3
|
$211.00
|
$126.60
40% off
|
$54.78
|
$199.68
|
$84.48
|
2026-05-06
|
|
73010
|
OTHER
|
Hc X-ray Scapula - Xr Scapula Left
|
3
|
3
|
$185.00
|
$111.00
40% off
|
$61.05
|
$144.30
|
$61.05
|
2026-05-06
|
|
73020
|
OTHER
|
Hc X-ray Shoulder 1 Vw - Xr Shoulder 1 View Bilateral
|
6
|
3
|
$229.50
|
$137.70
40% off
|
$52.47
|
$234.00
|
$99.00
|
2026-05-06
|
|
73030
|
OTHER
|
Hc X-ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Bilateral
|
6
|
3
|
$269.00
|
$161.40
40% off
|
$71.94
|
$249.60
|
$105.60
|
2026-05-06
|
|
73060
|
OTHER
|
Hc X-ray Humerus - Xr Humerus Left
|
3
|
3
|
$183.00
|
$109.80
40% off
|
$60.39
|
$142.74
|
$60.39
|
2026-05-06
|
|
73070
|
OTHER
|
Hc X-ray Elbow 2 Vw - Xr Elbow 1-2 Views Bilateral
|
6
|
3
|
$272.00
|
$163.20
40% off
|
$66.00
|
$268.32
|
$113.52
|
2026-05-06
|
|
73080
|
OTHER
|
Hc X-ray Elbow 3+ Vw - Xr Elbow 3+ Views Bilateral
|
6
|
3
|
$289.00
|
$173.40
40% off
|
$69.96
|
$285.48
|
$120.78
|
2026-05-06
|
|
73090
|
OTHER
|
Hc X-ray Forearm 2 Vw - Xr Forearm 2 Views Bilateral
|
6
|
3
|
$274.50
|
$164.70
40% off
|
$60.39
|
$285.48
|
$120.78
|
2026-05-06
|
|
73110
|
OTHER
|
Hc X-ray Wrist 3+ Vw - Xr Wrist 3+ Views Bilateral
|
6
|
3
|
$274.50
|
$164.70
40% off
|
$60.39
|
$285.48
|
$120.78
|
2026-05-06
|
|
73130
|
OTHER
|
Hc X-ray Hand 3+ Vw - Xr Hand 3+ Views Bilateral
|
6
|
3
|
$274.50
|
$164.70
40% off
|
$60.39
|
$285.48
|
$120.78
|
2026-05-06
|
|
73200
|
OTHER
|
Hc CT Scan Upper Extremity Without Contrast - CT Elbow Left Wo IV Contrast
|
3
|
3
|
$957.00
|
$574.20
40% off
|
$315.81
|
$746.46
|
$315.81
|
2026-05-06
|
|
73502
|
OTHER
|
Hc X-ray Exam Hip Uni 2-3 Views - Xr Hip 2 Or 3 Vw Left
|
3
|
3
|
$183.00
|
$109.80
40% off
|
$60.39
|
$142.74
|
$60.39
|
2026-05-06
|
|
73521
|
OTHER
|
Hc X-ray Exam Hips Bi 2 Vws - Xr Hips Bilat 2 Vw With Or Without Pelvis
|
3
|
3
|
$273.00
|
$163.80
40% off
|
$90.09
|
$212.94
|
$90.09
|
2026-05-06
|
|
73560
|
OTHER
|
Hc X-ray Knee 1 Or 2 View - Xr Knee 1-2 Views Bilat
|
6
|
3
|
$248.50
|
$149.10
40% off
|
$67.65
|
$227.76
|
$96.36
|
2026-05-06
|
|
73562
|
OTHER
|
Hc X-ray Knee 3 View - Xr Knee 3 Views Bilateral
|
6
|
3
|
$301.00
|
$180.60
40% off
|
$77.88
|
$285.48
|
$120.78
|
2026-05-06
|
|
73590
|
OTHER
|
Hc X-ray Tib + Fib, 2vw - Xr Tibia Fibula 2 Views Bilateral
|
6
|
3
|
$285.00
|
$171.00
40% off
|
$62.70
|
$296.40
|
$125.40
|
2026-05-06
|
|
73592
|
OTHER
|
Hc X-ray Leg, Infant - Xr Lower Extremity 2+ Views Infant Bilateral
|
6
|
3
|
$168.50
|
$101.10
40% off
|
$36.96
|
$175.50
|
$74.25
|
2026-05-06
|
|
73600
|
OTHER
|
Hc X-ray Ankle 2 Vw - Xr Ankle 2 Views Bilateral
|
6
|
3
|
$256.00
|
$153.60
40% off
|
$57.75
|
$262.86
|
$111.21
|
2026-05-06
|
|
73610
|
OTHER
|
Hc X-ray Ankle 3+ Vw - Xr Ankle 3+ Views Bilateral
|
6
|
3
|
$321.50
|
$192.90
40% off
|
$71.94
|
$331.50
|
$140.25
|
2026-05-06
|
|
73620
|
OTHER
|
Hc X-ray Foot 2 Vw - Xr Foot 1-2 Views Bilateral
|
6
|
3
|
$259.50
|
$155.70
40% off
|
$60.06
|
$262.86
|
$111.21
|
2026-05-06
|
|
73630
|
OTHER
|
Hc X-ray Foot 3+ Vw - Xr Foot 3+ Views Bilateral
|
6
|
3
|
$318.50
|
$191.10
40% off
|
$69.96
|
$331.50
|
$140.25
|
2026-05-06
|
|
73650
|
OTHER
|
Hc X-ray Heel - Xr Calcaneus 2 Views Left
|
3
|
3
|
$212.00
|
$127.20
40% off
|
$69.96
|
$165.36
|
$69.96
|
2026-05-06
|
|
73700
|
OTHER
|
Hc CT Scan,lower EXTREMITY,without Contrast - CT Ankle Left Wo IV Contrast
|
3
|
3
|
$1,011.00
|
$606.60
40% off
|
$333.63
|
$788.58
|
$333.63
|
2026-05-06
|
|
73701
|
OTHER
|
Hc CT Scan Of Leg Contrast - CT Femur Left W IV Contrast
|
3
|
3
|
$1,416.00
|
$849.60
40% off
|
$467.28
|
$1,104.48
|
$467.28
|
2026-05-06
|
|
74018
|
OTHER
|
Hc Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View
|
3
|
3
|
$229.00
|
$137.40
40% off
|
$75.57
|
$178.62
|
$75.57
|
2026-05-06
|
|
74019
|
OTHER
|
Hc Radiologic Exam Abdomen 2 Views - Xr Abdomen 2 Vw Poster W Decubitus
|
3
|
3
|
$251.00
|
$150.60
40% off
|
$82.83
|
$195.78
|
$82.83
|
2026-05-06
|
|
74021
|
OTHER
|
Hc Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views
|
3
|
3
|
$322.00
|
$193.20
40% off
|
$106.26
|
$251.16
|
$106.26
|
2026-05-06
|
|
74022
|
OTHER
|
Hc X-ray Abdomen,comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View
|
3
|
3
|
$342.00
|
$205.20
40% off
|
$112.86
|
$266.76
|
$112.86
|
2026-05-06
|
|
74150
|
OTHER
|
Hc CT Abdomen Without Contrast - CT Abdomen Wo Contrast
|
3
|
3
|
$1,332.00
|
$799.20
40% off
|
$439.56
|
$1,038.96
|
$439.56
|
2026-05-06
|
|
74160
|
OTHER
|
Hc CT Abdomen With Contrast - CT Abdomen W Contrast
|
3
|
3
|
$1,617.00
|
$970.20
40% off
|
$533.61
|
$1,261.26
|
$533.61
|
2026-05-06
|
|
74170
|
OTHER
|
Hc CT Abdomen Without & With Contrast - CT Abdomen W Wo Contrast
|
3
|
3
|
$1,788.00
|
$1,072.80
40% off
|
$590.04
|
$1,394.64
|
$590.04
|
2026-05-06
|
|
74174
|
OTHER
|
Hc CT Angio Abd&pelv W/O&with Contrast - CT Angiogram Abdomen Pelvis W Contrast
|
3
|
3
|
$1,606.00
|
$963.60
40% off
|
$529.98
|
$1,252.68
|
$529.98
|
2026-05-06
|
|
74176
|
OTHER
|
Hc CT Abd & Pelvis Without Contrast - CT Abdomen Pelvis Wo Contrast
|
3
|
3
|
$2,825.00
|
$1,695.00
40% off
|
$932.25
|
$2,203.50
|
$932.25
|
2026-05-06
|
|
74177
|
OTHER
|
Hc CT Abd & Pelv W/contrast - CT Abdomen Pelvis W Contrast
|
3
|
3
|
$2,869.00
|
$1,721.40
40% off
|
$946.77
|
$2,237.82
|
$946.77
|
2026-05-06
|
|
74178
|
OTHER
|
Hc CT Abd & Pelv 1/> Regns - CT Abdomen Pelvis W Wo Contrast
|
3
|
3
|
$3,231.00
|
$1,938.60
40% off
|
$1,066.23
|
$2,520.18
|
$1,066.23
|
2026-05-06
|
|
74300
|
OTHER
|
Hc X-ray Oper Cholangiogram - Xr Cholangiogram Intraoperative
|
3
|
3
|
$580.00
|
$348.00
40% off
|
$191.40
|
$452.40
|
$191.40
|
2026-05-06
|
|
7500000001
|
OTHER
|
Hc Ssu Gi Acuity Level 1
|
3
|
3
|
$1,000.00
|
$600.00
40% off
|
$330.00
|
$780.00
|
$330.00
|
2026-05-06
|
|
76536
|
OTHER
|
Hc Us, Head/neck Tissues,real Time - US Thyroid
|
3
|
3
|
$482.00
|
$289.20
40% off
|
$159.06
|
$375.96
|
$159.06
|
2026-05-06
|
|
76604
|
OTHER
|
Hc Us, Chest,real Time - US Chest
|
3
|
3
|
$249.00
|
$149.40
40% off
|
$82.17
|
$194.22
|
$82.17
|
2026-05-06
|
|
76700
|
OTHER
|
Hc Us, Abdom,b-scan &/or Real Time,complete - US Abdomen
|
3
|
3
|
$657.00
|
$394.20
40% off
|
$216.81
|
$512.46
|
$216.81
|
2026-05-06
|
|
76705
|
OTHER
|
Hc Us, Abdomen Limited - US Abdomen Limited
|
3
|
3
|
$401.00
|
$240.60
40% off
|
$132.33
|
$312.78
|
$132.33
|
2026-05-06
|
|
76775
|
OTHER
|
Hc Us, Retroperitnl Abd, Ltd - US Urinary Bladder Limited
|
3
|
3
|
$517.00
|
$310.20
40% off
|
$170.61
|
$403.26
|
$170.61
|
2026-05-06
|
|
76801
|
OTHER
|
Hc OB US < 14 Wks Single Fetus - US OB < 14 Weeks Single Or First Gest
|
3
|
3
|
$292.00
|
$175.20
40% off
|
$96.36
|
$227.76
|
$96.36
|
2026-05-06
|
|
76805
|
OTHER
|
Hc OB US >/= 14 Wks Sngl Fetus - US OB 14+ Weeks Single Or First Gest
|
3
|
3
|
$434.00
|
$260.40
40% off
|
$143.22
|
$338.52
|
$143.22
|
2026-05-06
|
|
76810
|
OTHER
|
Hc OB US >/= 14 Wks Addl Fetus - US OB 14+ Weeks Each Additional Gest
|
3
|
3
|
$260.00
|
$156.00
40% off
|
$85.80
|
$202.80
|
$85.80
|
2026-05-06
|
|
76815
|
OTHER
|
Hc OB US Limited Fetus(s) - US OB Limited 1+ Fetuses
|
3
|
3
|
$309.00
|
$185.40
40% off
|
$101.97
|
$241.02
|
$101.97
|
2026-05-06
|
|
76817
|
OTHER
|
Hc Transvaginal US Obstetric - US OB Transvaginal
|
3
|
3
|
$270.00
|
$162.00
40% off
|
$89.10
|
$210.60
|
$89.10
|
2026-05-06
|
|
76830
|
OTHER
|
Hc Echography,transvaginal - US Pelvis Transvaginal
|
3
|
3
|
$507.00
|
$304.20
40% off
|
$167.31
|
$395.46
|
$167.31
|
2026-05-06
|
|
76856
|
OTHER
|
Hc Echo,pelvic (nonobstetric) - US Pelvis
|
3
|
3
|
$591.00
|
$354.60
40% off
|
$195.03
|
$460.98
|
$195.03
|
2026-05-06
|
|
76857
|
OTHER
|
Hc Sono Pelvis Limited - US Pelvis Limited
|
3
|
3
|
$252.00
|
$151.20
40% off
|
$83.16
|
$196.56
|
$83.16
|
2026-05-06
|
|
76870
|
OTHER
|
Hc Echo,scrotum & Contents - US Scrotum
|
3
|
3
|
$347.00
|
$208.20
40% off
|
$114.51
|
$270.66
|
$114.51
|
2026-05-06
|
|
76882
|
OTHER
|
Hc US Lmtd Joint/oth Nonvasc Xtr Strux R-t W/img
|
3
|
3
|
$399.00
|
$239.40
40% off
|
$131.67
|
$311.22
|
$131.67
|
2026-05-06
|
|
78227
|
OTHER
|
Hc Hepatobil Syst Image W/drug - Nm Hepatobiliary
|
3
|
3
|
$846.00
|
$507.60
40% off
|
$279.18
|
$659.88
|
$279.18
|
2026-05-06
|
|
78264
|
OTHER
|
Hc Gastric Emptying Imaging Study - Nm Gastric Emptying Solid
|
3
|
3
|
$1,814.00
|
$1,088.40
40% off
|
$598.62
|
$1,414.92
|
$598.62
|
2026-05-06
|
|
78452
|
OTHER
|
Hc Ht Muscle Image Spect Mult - Nm Heart Perfusion Spect Stress & Rest
|
3
|
3
|
$4,352.00
|
$2,611.20
40% off
|
$1,436.16
|
$3,394.56
|
$1,436.16
|
2026-05-06
|
|
80180
|
OTHER
|
Hc Mycophenolic Acid
|
3
|
3
|
$199.00
|
$119.40
40% off
|
$65.67
|
$155.22
|
$65.67
|
2026-05-06
|
|
80307
|
OTHER
|
Hc Drug Screen Presum-qual W Alc
|
9
|
3
|
$200.00
|
$120.00
40% off
|
$45.21
|
$187.20
|
$79.20
|
2026-05-06
|
|
81270
|
OTHER
|
Hc Jak2 Mutation Analys,qual Gene
|
3
|
3
|
$247.00
|
$148.20
40% off
|
$81.51
|
$192.66
|
$81.51
|
2026-05-06
|
|
81490
|
OTHER
|
Hc Autoimmune Rheumatoid Arthr/vectra
|
3
|
3
|
$1,500.00
|
$900.00
40% off
|
$495.00
|
$1,170.00
|
$495.00
|
2026-05-06
|
|
82024
|
OTHER
|
Hc Assay Of Acth - Acth
|
3
|
3
|
$287.00
|
$172.20
40% off
|
$94.71
|
$223.86
|
$94.71
|
2026-05-06
|
|
82088
|
OTHER
|
Hc Aldosterone-serum
|
3
|
3
|
$303.00
|
$181.80
40% off
|
$99.99
|
$236.34
|
$99.99
|
2026-05-06
|
|
82306
|
OTHER
|
Hc Assay Of Vit D,calcifediol W Fractions, If Performed - Vitamin D 25
|
6
|
3
|
$223.50
|
$134.10
40% off
|
$72.60
|
$177.06
|
$74.91
|
2026-05-06
|
|
82652
|
OTHER
|
Hc Assay, Dihydroxyvitamin D W/fractions, If Performed - Vitamin D 1
|
3
|
3
|
$242.00
|
$145.20
40% off
|
$79.86
|
$188.76
|
$79.86
|
2026-05-06
|
|
82656
|
OTHER
|
Hc Pancreatic Elastase, Fecal, Qual/semi-quant - Pancreatic Elastase
|
3
|
3
|
$231.00
|
$138.60
40% off
|
$76.23
|
$180.18
|
$76.23
|
2026-05-06
|
|
82670
|
OTHER
|
Hc Assay Of Estradiol - Estradiol
|
3
|
3
|
$208.00
|
$124.80
40% off
|
$68.64
|
$162.24
|
$68.64
|
2026-05-06
|
|
82803
|
OTHER
|
Hc Arterial Blood Gases/cord - Poct
|
3
|
3
|
$316.00
|
$189.60
40% off
|
$104.28
|
$246.48
|
$104.28
|
2026-05-06
|
|
83519
|
OTHER
|
Hc Acetylcholine Receptor Antibod
|
12
|
3
|
$166.00
|
$99.60
40% off
|
$33.00
|
$936.00
|
$76.95
|
2026-05-06
|
|
83880
|
OTHER
|
Hc Natriuretic Peptide - B-type Natriuretic Peptide (bnp)
|
3
|
3
|
$252.00
|
$151.20
40% off
|
$83.16
|
$196.56
|
$83.16
|
2026-05-06
|
|
83970
|
OTHER
|
Hc Assay Of Parathormone - Pth Intact
|
3
|
3
|
$307.00
|
$184.20
40% off
|
$101.31
|
$239.46
|
$101.31
|
2026-05-06
|
|
83993
|
OTHER
|
Hc Fecal Calprotectin
|
3
|
3
|
$279.00
|
$167.40
40% off
|
$92.07
|
$217.62
|
$92.07
|
2026-05-06
|
|
84402
|
OTHER
|
Hc Assay Of Testosterone - Testosterone Total Free
|
3
|
3
|
$189.00
|
$113.40
40% off
|
$62.37
|
$147.42
|
$62.37
|
2026-05-06
|
|
84403
|
OTHER
|
Hc Assay Of Total Testosterone - Testosterone
|
3
|
3
|
$192.00
|
$115.20
40% off
|
$63.36
|
$149.76
|
$63.36
|
2026-05-06
|
|
84445
|
OTHER
|
Hc Assay Of Thyroid Stim Immunoglobulins (tsi) - Thyroid Stimulating IM
|
3
|
3
|
$264.00
|
$158.40
40% off
|
$87.12
|
$205.92
|
$87.12
|
2026-05-06
|
|
85379
|
OTHER
|
Hc Fibrin Degradproducts,d-dimer, Quant - D-dimer,quantitative
|
3
|
3
|
$215.00
|
$129.00
40% off
|
$70.95
|
$167.70
|
$70.95
|
2026-05-06
|
|
86015
|
OTHER
|
Hc Actin Smooth Muscle Antibody Each
|
3
|
3
|
$197.00
|
$118.20
40% off
|
$65.01
|
$153.66
|
$65.01
|
2026-05-06
|
|
86923
|
OTHER
|
Hc Compatibility Each Unit Electronic
|
3
|
3
|
$218.00
|
$130.80
40% off
|
$71.94
|
$170.04
|
$71.94
|
2026-05-06
|
|
87476
|
OTHER
|
Hc Lyme Dis, Dna, Amp Probe - Lyme Disease (borrelia Burgdorferi), Pcr
|
3
|
3
|
$196.00
|
$117.60
40% off
|
$64.68
|
$152.88
|
$64.68
|
2026-05-06
|
|
87497
|
OTHER
|
Hc Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr
|
3
|
3
|
$388.00
|
$232.80
40% off
|
$128.04
|
$302.64
|
$128.04
|
2026-05-06
|
|
87522
|
OTHER
|
Hc Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr
|
3
|
3
|
$196.00
|
$117.60
40% off
|
$64.68
|
$152.88
|
$64.68
|
2026-05-06
|
|
87581
|
OTHER
|
Hc M.pneumon, Dna, Amp Probe - Mycoplasma Pneumoniae Pcr
|
3
|
3
|
$300.00
|
$180.00
40% off
|
$99.00
|
$234.00
|
$99.00
|
2026-05-06
|
|
87633
|
OTHER
|
Hc Iadna Respiratry Probe & Rev Trnscr 12-25 Target - Additional Charge
|
3
|
3
|
$385.00
|
$231.00
40% off
|
$127.05
|
$300.30
|
$127.05
|
2026-05-06
|
|
87798
|
OTHER
|
Hc Noc: Amplif Na Probe Agent Ea
|
6
|
3
|
$145.00
|
$87.00
40% off
|
$32.01
|
$150.54
|
$63.69
|
2026-05-06
|
|
87799
|
OTHER
|
Hc Noc: Bk Polyomavicus Pcr
|
3
|
3
|
$259.00
|
$155.40
40% off
|
$85.47
|
$202.02
|
$85.47
|
2026-05-06
|
|
87902
|
OTHER
|
Hc Hepatitis C Genotype Na
|
3
|
3
|
$337.00
|
$202.20
40% off
|
$111.21
|
$262.86
|
$111.21
|
2026-05-06
|
|
88184
|
OTHER
|
Hc Flowcytometry/ Tech Component, 1 Marker - Lab Flowcytometry/tech Cmp
|
3
|
3
|
$215.00
|
$129.00
40% off
|
$70.95
|
$167.70
|
$70.95
|
2026-05-06
|
|
88307
|
OTHER
|
Hc Surg Path,level V - Lab Surg Path,level V
|
3
|
3
|
$293.00
|
$175.80
40% off
|
$96.69
|
$228.54
|
$96.69
|
2026-05-06
|
|
88342
|
OTHER
|
Hc Imhistochem/cytchm Init Antibody Stain Procedure - Bundled Charge
|
3
|
3
|
$208.00
|
$124.80
40% off
|
$68.64
|
$162.24
|
$68.64
|
2026-05-06
|
|
90375
|
OTHER
|
Rabies Immune Globulin (pf) 300 Unit/ml Solution
|
9
|
3
|
$2,087.77
|
$1,252.66
40% off
|
$494.15
|
$1,911.27
|
$808.61
|
2026-05-06
|
|
90662
|
OTHER
|
Flu Vacc Qs2023-24(65yr Up)-pf 240 Mcg/0.7 Ml Syringe
|
3
|
3
|
$437.99
|
$262.79
40% off
|
$144.54
|
$341.63
|
$144.54
|
2026-05-06
|
|
90675
|
OTHER
|
Rabies Vaccine (from Purified Chicken Embryo Cells) 2.5 Unit Suspension For Reco…
|
3
|
3
|
$2,299.50
|
$1,379.70
40% off
|
$758.84
|
$1,793.61
|
$758.84
|
2026-05-06
|
|
90715
|
OTHER
|
Tdap 2 Lf-(2.5-5-3-5 Mcg)-5lf/0.5 Ml Syringe
|
6
|
3
|
$241.44
|
$144.86
40% off
|
$78.57
|
$190.92
|
$80.77
|
2026-05-06
|
|
90732
|
OTHER
|
Pneumococcal Polysaccharide 25 Mcg/0.5 Ml Syringe
|
3
|
3
|
$377.74
|
$226.64
40% off
|
$124.65
|
$294.64
|
$124.65
|
2026-05-06
|
|
92950
|
OTHER
|
Hc Heart/lung Resuscitation (cpr)
|
6
|
3
|
$627.00
|
$376.20
40% off
|
$160.71
|
$598.26
|
$253.11
|
2026-05-06
|
|
92977
|
OTHER
|
Hc Cath Thrombolysis,coronary,iv Infusn
|
3
|
3
|
$518.00
|
$310.80
40% off
|
$170.94
|
$404.04
|
$170.94
|
2026-05-06
|
|
93005
|
OTHER
|
Hc Electrocardiogram, Tracing
|
3
|
3
|
$191.00
|
$114.60
40% off
|
$63.03
|
$148.98
|
$63.03
|
2026-05-06
|
|
93880
|
OTHER
|
Hc Duplex Scan Extracranial,bilat - Carotid Duplex
|
3
|
3
|
$840.00
|
$504.00
40% off
|
$277.20
|
$655.20
|
$277.20
|
2026-05-06
|
|
93925
|
OTHER
|
Hc Duplex Lo Extrem Art Bilat - Lower Extremity Arterial Duplex
|
3
|
3
|
$770.00
|
$462.00
40% off
|
$254.10
|
$600.60
|
$254.10
|
2026-05-06
|
|
93926
|
OTHER
|
Hc Vasc Duplex Lo Extrem Art Unilat/ltd
|
3
|
3
|
$387.00
|
$232.20
40% off
|
$127.71
|
$301.86
|
$127.71
|
2026-05-06
|
|
93930
|
OTHER
|
Hc Duplex Up Extrem Art Bilat - Upper Extremity Arterial Duplex
|
3
|
3
|
$573.00
|
$343.80
40% off
|
$189.09
|
$446.94
|
$189.09
|
2026-05-06
|
|
93931
|
OTHER
|
Hc Vasc Duplex Up Extrem Art Unilat/ltd
|
3
|
3
|
$387.00
|
$232.20
40% off
|
$127.71
|
$301.86
|
$127.71
|
2026-05-06
|
|
93970
|
OTHER
|
Hc Duplex Extrem Venous,bilat - Lower Extremity Dvt
|
6
|
3
|
$1,506.50
|
$903.90
40% off
|
$265.98
|
$1,721.46
|
$678.49
|
2026-05-06
|
|
93971
|
OTHER
|
Hc Duplex Extrem Venous,uni Or Ltd - Lower Extrem Superficial Vein Map
|
3
|
3
|
$399.00
|
$239.40
40% off
|
$131.67
|
$311.22
|
$131.67
|
2026-05-06
|
|
94002
|
OTHER
|
Hc Rt Vent Mgmt, Inpatient, Initial Day
|
3
|
3
|
$873.00
|
$523.80
40% off
|
$288.09
|
$680.94
|
$288.09
|
2026-05-06
|
|
94010
|
OTHER
|
Hc Breathing Capacity Test - Breathing Capacity Test
|
3
|
3
|
$229.00
|
$137.40
40% off
|
$75.57
|
$178.62
|
$75.57
|
2026-05-06
|
|
94011
|
OTHER
|
Hc Spirometry Up To 2 Yrs Old
|
3
|
3
|
$267.00
|
$160.20
40% off
|
$88.11
|
$208.26
|
$88.11
|
2026-05-06
|
|
94013
|
OTHER
|
Hc Measurement Lung Volumes Infant/child/2 Yrs
|
3
|
3
|
$935.00
|
$561.00
40% off
|
$308.55
|
$729.30
|
$308.55
|
2026-05-06
|
|
94060
|
OTHER
|
Hc Eval Of Bronchospasm - Spirometry With Bronchodilator
|
3
|
3
|
$344.00
|
$206.40
40% off
|
$113.52
|
$268.32
|
$113.52
|
2026-05-06
|
|
94640
|
OTHER
|
Hc Rt Inhalation Treatment
|
3
|
3
|
$256.00
|
$153.60
40% off
|
$84.48
|
$199.68
|
$84.48
|
2026-05-06
|
|
94660
|
OTHER
|
Hc Rt Cpap Non-emergent
|
6
|
3
|
$263.00
|
$157.80
40% off
|
$58.74
|
$271.44
|
$114.84
|
2026-05-06
|
|
94669
|
OTHER
|
Hc Rt Mechanical Chest Wall Oscillation Lung Function
|
3
|
3
|
$178.00
|
$106.80
40% off
|
$58.74
|
$138.84
|
$58.74
|
2026-05-06
|
|
94726
|
OTHER
|
Hc Pulm Funct Tst Plethysmograp - Body Plethysmographic Lung Volumes
|
3
|
3
|
$267.00
|
$160.20
40% off
|
$88.11
|
$208.26
|
$88.11
|
2026-05-06
|
|
95810
|
OTHER
|
Hc Polysom 6/>yrs 4/>param
|
6
|
3
|
$1,326.00
|
$795.60
40% off
|
$285.12
|
$1,394.64
|
$590.04
|
2026-05-06
|
|
95811
|
OTHER
|
Hc Poly 6/>yrs Cpap4/>parm
|
6
|
3
|
$1,465.50
|
$879.30
40% off
|
$285.12
|
$1,612.26
|
$678.01
|
2026-05-06
|
|
96360
|
OTHER
|
Hc IV Infusion, Hydration, 31-60 Min
|
3
|
3
|
$290.00
|
$174.00
40% off
|
$95.70
|
$226.20
|
$95.70
|
2026-05-06
|
|
96365
|
OTHER
|
Hc IV Infusion, Therap/proph/diagnost,initial,1st Hour
|
3
|
3
|
$305.00
|
$183.00
40% off
|
$100.65
|
$237.90
|
$100.65
|
2026-05-06
|
|
96374
|
OTHER
|
Hc Injection,therap/proph/diagnost, IV Push, Initial Drug
|
3
|
3
|
$183.00
|
$109.80
40% off
|
$60.39
|
$142.74
|
$60.39
|
2026-05-06
|
|
96375
|
OTHER
|
Hc Injection,Therap/Proph/Diagnost, IV Push, Ea Add, New Drug
|
6
|
3
|
$14,441.29
|
$8,664.77
40% off
|
$42.90
|
$22,427.01
|
$4,794.88
|
2026-05-06
|
|
99282
|
OTHER
|
Hc Emergency Department Level 2 Visit Low/moder Severity
|
3
|
3
|
$243.00
|
$145.80
40% off
|
$80.19
|
$189.54
|
$80.19
|
2026-05-06
|
|
99283
|
OTHER
|
Hc Emergency Department Level 3 Visit Low Decision Making
|
3
|
3
|
$369.00
|
$221.40
40% off
|
$121.77
|
$287.82
|
$121.77
|
2026-05-06
|
|
99284
|
OTHER
|
Hc Emergency Department Level 4 Visit Moderate Decision Making
|
3
|
3
|
$659.00
|
$395.40
40% off
|
$217.47
|
$514.02
|
$217.47
|
2026-05-06
|
|
99285
|
OTHER
|
Hc Emergency Department Level 5 Visit High Decision Making
|
3
|
3
|
$1,034.00
|
$620.40
40% off
|
$341.22
|
$806.52
|
$341.22
|
2026-05-06
|
|
99291
|
OTHER
|
Hc Ed Critical Care (level 6) 30-74 Minutes
|
3
|
3
|
$1,337.00
|
$802.20
40% off
|
$441.21
|
$1,042.86
|
$441.21
|
2026-05-06
|
|
99292
|
OTHER
|
Hc Ed Critical Care (level 6) Addl 30 Min
|
3
|
3
|
$330.00
|
$198.00
40% off
|
$108.90
|
$257.40
|
$108.90
|
2026-05-06
|
|
A9537
|
OTHER
|
Technetium Tc-99m Mebrofenin 45 Mg Recon Soln
|
3
|
3
|
$213.00
|
$127.80
40% off
|
$70.29
|
$166.14
|
$70.29
|
2026-05-06
|
|
A9541
|
OTHER
|
Technetium Tc-99m Sulfur Colloid
|
3
|
3
|
$293.00
|
$175.80
40% off
|
$96.69
|
$228.54
|
$96.69
|
2026-05-06
|
|
C1781
|
OTHER
|
Perfix Plug X-large 0112780
|
6
|
3
|
$2,527.62
|
$1,516.58
40% off
|
$578.31
|
$2,576.18
|
$1,089.92
|
2026-05-06
|
|
G0105
|
OTHER
|
Colorectal Scrn; Hi Risk Ind
|
3
|
3
|
$2,968.08
|
$1,780.85
40% off
|
$979.47
|
$2,315.10
|
$979.47
|
2026-05-06
|
|
G0121
|
OTHER
|
Colon Ca Scrn Not Hi Rsk Ind
|
3
|
3
|
$3,184.00
|
$1,910.40
40% off
|
$1,050.72
|
$2,483.52
|
$1,050.72
|
2026-05-06
|
|
G0379
|
OTHER
|
Hc Direct Admit To Observation
|
3
|
3
|
$734.00
|
$440.40
40% off
|
$242.22
|
$572.52
|
$242.22
|
2026-05-06
|
|
G0481
|
OTHER
|
Hc Drug Comprehensive, Urine Only
|
3
|
3
|
$285.00
|
$171.00
40% off
|
$94.05
|
$222.30
|
$94.05
|
2026-05-06
|
|
G0498
|
OTHER
|
Hc Chemo Extend IV Infus W/pump
|
3
|
3
|
$420.00
|
$252.00
40% off
|
$138.60
|
$327.60
|
$138.60
|
2026-05-06
|
|
J0500
|
OTHER
|
Dicyclomine Per 20 Mg
|
9
|
3
|
$437.14
|
$262.28
40% off
|
$86.39
|
$863.30
|
$204.20
|
2026-05-06
|
|
J1335
|
OTHER
|
Ertapenem Per 500 Mg
|
6
|
3
|
$537.30
|
$322.38
40% off
|
$117.02
|
$561.58
|
$237.59
|
2026-05-06
|
|
J1610
|
OTHER
|
Glucagon Hcl (diagnostic) Per 1 Mg
|
6
|
3
|
$1,472.76
|
$883.65
40% off
|
$475.66
|
$1,173.21
|
$496.36
|
2026-05-06
|
|
J2560
|
OTHER
|
Phenobarbital Per 120 Mg
|
3
|
3
|
$265.24
|
$159.14
40% off
|
$87.53
|
$206.89
|
$87.53
|
2026-05-06
|
|
J2790
|
OTHER
|
Rho(d) Immune Globulin Per 300 Mcg
|
3
|
3
|
$1,324.82
|
$794.89
40% off
|
$437.19
|
$1,033.36
|
$437.19
|
2026-05-06
|
|
J2997
|
OTHER
|
Alteplase Per 1 Mg
|
3
|
3
|
$337.09
|
$202.25
40% off
|
$111.24
|
$262.93
|
$111.24
|
2026-05-06
|
|
J3101
|
OTHER
|
Tenecteplase 50 Mg Recon Soln
|
3
|
3
|
$479.61
|
$287.77
40% off
|
$158.27
|
$374.10
|
$158.27
|
2026-05-06
|
|
J3486
|
OTHER
|
Ziprasidone Per 10 Mg
|
6
|
3
|
$154.72
|
$92.84
40% off
|
$30.88
|
$168.39
|
$71.24
|
2026-05-06
|
|
J3489
|
OTHER
|
Zoledronic Acid Per 1 Mg
|
3
|
3
|
$201.58
|
$120.95
40% off
|
$66.52
|
$157.23
|
$66.52
|
2026-05-06
|
|
MS177
|
OTHER
|
Respiratory Infections And Inflammations With Mcc [ms177]
|
3
|
3
|
$24,295.28
|
$14,577.17
40% off
|
$2,949.31
|
$18,950.32
|
$2,949.31
|
2026-05-06
|
|
MS190
|
OTHER
|
Chronic Obstructive Pulmonary Disease With Mcc [ms190]
|
3
|
3
|
$20,061.81
|
$12,037.08
40% off
|
$2,949.31
|
$15,648.21
|
$2,949.31
|
2026-05-06
|
|
MS192
|
OTHER
|
Chronic Obstructive Pulmonary Disease Without Cc/mcc [ms192]
|
3
|
3
|
$12,283.49
|
$7,370.09
40% off
|
$2,949.31
|
$9,581.12
|
$2,949.31
|
2026-05-06
|
|
MS194
|
OTHER
|
Simple Pneumonia And Pleurisy With Cc [ms194]
|
3
|
3
|
$13,803.70
|
$8,282.22
40% off
|
$2,949.31
|
$10,766.89
|
$2,949.31
|
2026-05-06
|
|
MS202
|
OTHER
|
Bronchitis And Asthma With Cc/mcc [ms202]
|
3
|
3
|
$25,048.28
|
$15,028.97
40% off
|
$2,949.31
|
$19,537.66
|
$2,949.31
|
2026-05-06
|
|
MS203
|
OTHER
|
Bronchitis And Asthma Without Cc/mcc [ms203]
|
3
|
3
|
$7,566.20
|
$4,539.72
40% off
|
$2,949.31
|
$5,901.64
|
$2,949.31
|
2026-05-06
|
|
MS291
|
OTHER
|
Heart Failure And Shock With Mcc [ms291]
|
3
|
3
|
$17,067.21
|
$10,240.33
40% off
|
$2,949.31
|
$13,312.42
|
$2,949.31
|
2026-05-06
|
|
MS292
|
OTHER
|
Heart Failure And Shock With Cc [ms292]
|
3
|
3
|
$8,550.75
|
$5,130.45
40% off
|
$2,949.31
|
$6,669.59
|
$2,949.31
|
2026-05-06
|
|
MS312
|
OTHER
|
Syncope And Collapse [ms312]
|
3
|
3
|
$7,272.90
|
$4,363.74
40% off
|
$2,949.31
|
$5,672.86
|
$2,949.31
|
2026-05-06
|
|
MS313
|
OTHER
|
Chest Pain [ms313]
|
3
|
3
|
$3,802.00
|
$2,281.20
40% off
|
$2,949.31
|
$2,965.56
|
$2,949.31
|
2026-05-06
|
|
MS371
|
OTHER
|
Major Gastrointestinal Disorders And Peritoneal Infections With Mcc [ms371]
|
3
|
3
|
$8,032.43
|
$4,819.46
40% off
|
$2,949.31
|
$6,265.30
|
$2,949.31
|
2026-05-06
|
|
MS372
|
OTHER
|
Major Gastrointestinal Disorders And Peritoneal Infections With Cc [ms372]
|
3
|
3
|
$11,627.07
|
$6,976.24
40% off
|
$2,949.31
|
$9,069.11
|
$2,949.31
|
2026-05-06
|
|
MS373
|
OTHER
|
Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/mcc [ms373…
|
3
|
3
|
$15,207.06
|
$9,124.24
40% off
|
$2,949.31
|
$11,861.51
|
$2,949.31
|
2026-05-06
|
|
MS392
|
OTHER
|
Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc […
|
3
|
3
|
$12,819.87
|
$7,691.92
40% off
|
$2,949.31
|
$9,999.50
|
$2,949.31
|
2026-05-06
|
|
MS440
|
OTHER
|
Disorders Of Pancreas Except Malignancy Without Cc/mcc [ms440]
|
3
|
3
|
$10,850.76
|
$6,510.46
40% off
|
$2,949.31
|
$8,463.59
|
$2,949.31
|
2026-05-06
|
|
MS536
|
OTHER
|
Fractures Of Hip And Pelvis Without Mcc [ms536]
|
3
|
3
|
$8,952.46
|
$5,371.48
40% off
|
$2,949.31
|
$6,982.92
|
$2,949.31
|
2026-05-06
|
|
MS561
|
OTHER
|
Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc [ms561]
|
3
|
3
|
$18,086.62
|
$10,851.97
40% off
|
$2,949.31
|
$14,107.56
|
$2,949.31
|
2026-05-06
|
|
MS580
|
OTHER
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Cc [ms580]
|
3
|
3
|
$11,627.93
|
$6,976.76
40% off
|
$2,949.31
|
$9,069.79
|
$2,949.31
|
2026-05-06
|
|
MS603
|
OTHER
|
Cellulitis Without Mcc [ms603]
|
3
|
3
|
$9,326.22
|
$5,595.73
40% off
|
$2,949.31
|
$7,274.45
|
$2,949.31
|
2026-05-06
|
|
MS605
|
OTHER
|
Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc [ms605]
|
3
|
3
|
$22,762.44
|
$13,657.46
40% off
|
$2,949.31
|
$17,754.70
|
$2,949.31
|
2026-05-06
|
|
MS637
|
OTHER
|
Diabetes With Mcc [ms637]
|
3
|
3
|
$8,305.43
|
$4,983.26
40% off
|
$2,949.31
|
$6,478.24
|
$2,949.31
|
2026-05-06
|
|
MS638
|
OTHER
|
Diabetes With Cc [ms638]
|
3
|
3
|
$44,353.39
|
$26,612.03
40% off
|
$2,949.31
|
$34,595.64
|
$2,949.31
|
2026-05-06
|
|
MS640
|
OTHER
|
Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M…
|
3
|
3
|
$10,968.24
|
$6,580.94
40% off
|
$2,949.31
|
$8,555.23
|
$2,949.31
|
2026-05-06
|
|
MS641
|
OTHER
|
Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou…
|
3
|
3
|
$15,977.06
|
$9,586.24
40% off
|
$2,949.31
|
$12,462.11
|
$2,949.31
|
2026-05-06
|
|
MS682
|
OTHER
|
Renal Failure With Mcc [ms682]
|
3
|
3
|
$18,064.36
|
$10,838.62
40% off
|
$2,949.31
|
$14,090.20
|
$2,949.31
|
2026-05-06
|
|
MS683
|
OTHER
|
Renal Failure With Cc [ms683]
|
3
|
3
|
$11,459.44
|
$6,875.66
40% off
|
$2,949.31
|
$8,938.36
|
$2,949.31
|
2026-05-06
|
|
MS690
|
OTHER
|
Kidney And Urinary Tract Infections Without Mcc [ms690]
|
3
|
3
|
$18,200.69
|
$10,920.41
40% off
|
$2,949.31
|
$14,196.54
|
$2,949.31
|
2026-05-06
|
|
MS872
|
OTHER
|
Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc [ms872]
|
3
|
3
|
$12,930.48
|
$7,758.29
40% off
|
$2,949.31
|
$10,085.77
|
$2,949.31
|
2026-05-06
|
|
MS897
|
OTHER
|
Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc [ms…
|
3
|
3
|
$9,828.14
|
$5,896.88
40% off
|
$2,949.31
|
$7,665.95
|
$2,949.31
|
2026-05-06
|
|
MS918
|
OTHER
|
Poisoning And Toxic Effects Of Drugs Without Mcc [ms918]
|
3
|
3
|
$7,964.48
|
$4,778.69
40% off
|
$2,949.31
|
$6,212.29
|
$2,949.31
|
2026-05-06
|
|
MS947
|
OTHER
|
Signs And Symptoms With Mcc [ms947]
|
3
|
3
|
$45,394.28
|
$27,236.57
40% off
|
$2,949.31
|
$35,407.54
|
$2,949.31
|
2026-05-06
|
|
MS948
|
OTHER
|
Signs And Symptoms Without Mcc [ms948]
|
3
|
3
|
$18,928.96
|
$11,357.38
40% off
|
$2,949.31
|
$14,764.59
|
$2,949.31
|
2026-05-06
|
|
MS949
|
OTHER
|
Aftercare With Cc/mcc [ms949]
|
3
|
3
|
$21,652.00
|
$12,991.20
40% off
|
$2,949.31
|
$16,888.56
|
$2,949.31
|
2026-05-06
|
|
MS951
|
OTHER
|
Other Factors Influencing Health Status [ms951]
|
3
|
3
|
$6,939.49
|
$4,163.69
40% off
|
$2,949.31
|
$5,412.80
|
$2,949.31
|
2026-05-06
|
|
P9016
|
OTHER
|
Hc Rbc-leukoreduced Each Unit
|
3
|
3
|
$781.00
|
$468.60
40% off
|
$257.73
|
$609.18
|
$257.73
|
2026-05-06
|