Hospital

CORDOVA COMMUNITY MEDICAL CENTER

Cordova, AK · CCN 021307 · Rates published

1,478 distinct procedures filed

3 distinct payers

6,337 rate rows

2026-07-31 last MRF observed

Data quality

577 of 6,337 rate rows are consumer-grade (9.1%)

5,760 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	5,631
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only	129

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

Source MRF file	https://www.cdvcmc.com/wp-content/uploads/2026/03/920139171_cordova-community-medical-center_standardcharges.csv
Found on page	https://www.cdvcmc.com/cms-hpt.txt
Discovered via	CMS hospital list
Last fetch	not_modified · 2026-10-03
Content fingerprint	bdd918e6107621ce… · 2,103,766 bytes · first seen 2026-05-15

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
99285 HCPCS	ER Physician Visit 99285	3	$1,993.50	$17,181.53	$7,006.90	nat. median $1,187 outlier · 5.9×
0120 RC		3	$3,985.66	$8,200.00	$6,480.00	nat. median $986 outlier · 6.6×
70496 HCPCS	CT Head & Neck: Pf,professional	2	$945.00	$6,241.13	$6,183.00	nat. median $752 outlier · 8.2×
70498 HCPCS	CT Neck Angio W/wo Contrast: Pf,professional	2	$903.00	$6,034.20	$5,978.00	nat. median $744 outlier · 8.0×
74177 HCPCS	CT Abdomen & Pelvs W/contrast: Pf,professional	2	$940.50	$7,558.00	$3,788.10	nat. median $976 outlier · 3.9×
J7298 HCPCS	Levonorgestrel (Mirena) IUD	2	$3,383.64	$4,069.05	$3,726.35	nat. median $1,693 outlier · 2.2×
71275 HCPCS	CT Chest Angio With Without Contrast: Pf,professional	2	$900.00	$5,975.00	$3,704.50	nat. median $759 outlier · 4.9×
74176 HCPCS	CT Abdomen & Pelvis Without Contrast: Pf,professional	3	$244.32	$6,395.00	$3,179.62	nat. median $694 outlier · 4.6×
70491 HCPCS	CT Neck Soft Tissue W/contrast: Pf,professional	1	$585.43	$3,494.91	$2,040.17	nat. median $632 outlier · 3.2×
59426 HCPCS	Antepartum Care Only (over 7 Visits): Pf	1	$317.00	$3,754.00	$2,035.50	nat. median $1,324 1.5× median
73701 HCPCS	CT Lower Extremity W/cont Unilat Rt: Pf,professional, Right	1	$530.00	$3,455.00	$1,992.50	nat. median $677 outlier · 2.9×
71250 HCPCS	CT Chest Abd Pelvis With Contrast: Pf,professional	1	$516.00	$3,455.00	$1,985.50	nat. median $469 outlier · 4.2×
72125 HCPCS	CT Cervical Spine Without Contrast: Pf,professional	1	$572.00	$3,310.00	$1,941.00	nat. median $480 outlier · 4.0×
99222 HCPCS	Init Hosp Care Level Ii	1	$1,922.00	$1,922.00	$1,922.00	nat. median $186 outlier · 10.3×
70450 HCPCS	CT Head/brain Without Contrast: Pf,professional	1	$569.00	$3,260.00	$1,914.50	nat. median $454 outlier · 4.2×
70486 HCPCS	CT Facial Bones Without Contrast: Pf,professional	1	$514.00	$3,292.00	$1,903.00	nat. median $481 outlier · 4.0×
99284 HCPCS	ER Physician Visit 99284	3	$155.27	$5,362.14	$1,710.58	nat. median $754 outlier · 2.3×
73700 HCPCS	CT Lower Extrm Without Cont Unilat L: Pf,professional, Left	1	$450.00	$2,665.80	$1,557.90	nat. median $505 outlier · 3.1×
93970 HCPCS	US Venous Bilateral: Pf,professional	1	$235.00	$2,367.00	$1,301.00	nat. median $565 outlier · 2.3×
49082 HCPCS	Abd Paracentesis Without Imaging: Pf	1	$963.35	$1,602.65	$1,283.00	nat. median $1,057 1.2× median
99283 HCPCS	ER Physician Visit 99283	3	$183.34	$1,971.15	$1,212.40	nat. median $460 outlier · 2.6×
71260 HCPCS	CT Chest W/contrast: Pf,professional	2	$521.10	$3,975.00	$1,155.62	nat. median $651 1.8× median
64455 HCPCS	Inj, Anes Agent/steroid, Plantar: Pf	1	$1,147.50	$1,147.50	$1,147.50	nat. median $349 outlier · 3.3×
20610 HCPCS	Drn/inj Major Joint	1	$457.00	$1,827.00	$1,142.00	nat. median $395 outlier · 2.9×
59425 HCPCS	Antepartum Care Only 4-6 Visits: Pf	1	$362.00	$1,831.00	$1,096.50	nat. median $720 1.5× median
10060 HCPCS	Inc/drn Abcss/cyst Simp;1	1	$469.00	$1,528.00	$998.50	nat. median $292 outlier · 3.4×
95806 HCPCS	Type Iii Home Sleep Study: Ff,technical	3	$739.26	$968.00	$871.20	nat. median $321 outlier · 2.7×
81270 HCPCS	Jak2 V617f Cascading Reflex	1	$867.75	$867.75	$867.75	nat. median $202 outlier · 4.3×
76870 HCPCS	US Testicular: Pf,professional	1	$335.00	$1,366.00	$850.50	nat. median $253 outlier · 3.4×
20605 HCPCS	Drn/inj Interm Joint/gan	1	$360.00	$1,325.00	$842.50	nat. median $374 outlier · 2.3×
93971 HCPCS	US Venous Duplex Unilateral Lt: Pf,professional, Left	2	$166.00	$1,622.00	$810.12	nat. median $345 outlier · 2.3×
99282 HCPCS	ER Physician Visit 99282	3	$381.60	$1,040.50	$808.82	nat. median $283 outlier · 2.9×
58300 HCPCS	Insert Intrauterine Device: Pf	2	$570.60	$958.00	$743.40	nat. median $363 outlier · 2.0×
58301 HCPCS	Rem Intrauterine Device: Pf	1	$533.00	$930.00	$731.50	nat. median $350 outlier · 2.1×
11982 HCPCS	Remove Drug Implant Device: Pf	1	$656.00	$755.00	$705.50	nat. median $455 1.6× median
11983 HCPCS	Remove/reinsert Drug Implant: Pf	1	$484.00	$859.00	$671.50	nat. median $454 1.5× median
11602 HCPCS	Excision Mal Lesion Trunk 1.1-2.0 Cm: Pf	1	$648.55	$648.55	$648.55	nat. median $498 1.3× median
73552 HCPCS	Xr Femur 2 Views Lt: Pf,professional, Left	1	$104.00	$1,231.00	$641.00	nat. median $150 outlier · 4.3×
76801 HCPCS	US OB <14 Weeks: Pf,professional	1	$309.93	$962.47	$636.20	nat. median $239 outlier · 2.7×
12011 HCPCS	Repr S-ficial Wnd 2.5cm	1	$450.90	$793.80	$622.35	nat. median $298 outlier · 2.1×
20552 HCPCS	Trigger Point, Sngl/multi	1	$361.80	$865.80	$613.80	nat. median $366 1.7× median
76536 HCPCS	US Head/neck Soft Tissue: Pf,professional	1	$148.50	$1,056.60	$602.55	nat. median $264 outlier · 2.3×
76604 HCPCS	US Chest: Pf,professional	1	$182.00	$1,002.00	$592.00	nat. median $218 outlier · 2.7×
11981 HCPCS	Insertion Non-bio Drug Delivery Implant	1	$551.00	$626.00	$588.50	nat. median $194 outlier · 3.0×
70150 HCPCS	Xr Facial Bone Comp Min 3v: Pf,professional	1	$100.00	$1,062.00	$581.00	nat. median $173 outlier · 3.4×
73110 HCPCS	Xr Wrist Comp Min 3v Rt: Pf,professional, Right	2	$60.00	$632.00	$568.80	nat. median $157 outlier · 3.6×
64450 HCPCS	Inj, Anes Agent/steroid, Peripheral: Pf	1	$505.00	$596.00	$550.50	nat. median $800 0.7× median
97166 HCPCS	Ot Moderate Complexity Occup Thrp Eval,otpoc	2	$498.70	$587.70	$543.20	nat. median $204 outlier · 2.7×
76881 HCPCS	US Extremity Complete, Non Vasc: Pf,professional	1	$179.00	$902.00	$540.50	nat. median $230 outlier · 2.4×
71101 HCPCS	Xr Ribs Uni>=3v W/pa Chst Lt: Pf,professional, Left	1	$109.00	$967.00	$538.00	nat. median $171 outlier · 3.2×

Other procedures at this hospital

Browse this hospital's 1,478 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

99285	HCPCS	ER Physician Visit 99285	8	3	$2,326.00	$1,163.00 50% off	$1,993.50	$17,181.53	$7,006.90	2026-07-31
0120	RC	—	3	3	$7,526.00	$3,763.00 50% off	$3,985.66	$8,200.00	$6,480.00	2026-07-31
70496	HCPCS	CT Head & Neck: Pf,professional	3	2	$993.00	$496.50 50% off	$945.00	$6,241.13	$6,183.00	2026-07-31
70498	HCPCS	CT Neck Angio W/wo Contrast: Pf,professional	3	2	$949.00	$474.50 50% off	$903.00	$6,034.20	$5,978.00	2026-07-31
74177	HCPCS	CT Abdomen & Pelvs W/contrast: Pf,professional	4	2	$1,098.00	$549.00 50% off	$940.50	$7,558.00	$3,788.10	2026-07-31
J7298	HCPCS	Levonorgestrel (Mirena) IUD	2	2	$4,069.05	$2,034.53 50% off	$3,383.64	$4,069.05	$3,726.35	2026-07-31
71275	HCPCS	CT Chest Angio With Without Contrast: Pf,professional	3	2	$945.00	$472.50 50% off	$900.00	$5,975.00	$3,704.50	2026-07-31
74176	HCPCS	CT Abdomen & Pelvis Without Contrast: Pf,professional	6	3	$1,293.00	$646.50 50% off	$244.32	$6,395.00	$3,179.62	2026-07-31
70491	HCPCS	CT Neck Soft Tissue W/contrast: Pf,professional	2	1	$663.00	$331.50 50% off	$585.43	$3,494.91	$2,040.17	2026-07-31
59426	HCPCS	Antepartum Care Only (over 7 Visits): Pf	2	1	$3,942.00	$1,971.00 50% off	$317.00	$3,754.00	$2,035.50	2026-07-31
73701	HCPCS	CT Lower Extremity W/cont Unilat Rt: Pf,professional, Right	2	1	$835.00	$417.50 50% off	$530.00	$3,455.00	$1,992.50	2026-07-31
71250	HCPCS	CT Chest Abd Pelvis With Contrast: Pf,professional	2	1	$542.00	$271.00 50% off	$516.00	$3,455.00	$1,985.50	2026-07-31
72125	HCPCS	CT Cervical Spine Without Contrast: Pf,professional	2	1	$601.00	$300.50 50% off	$572.00	$3,310.00	$1,941.00	2026-07-31
99222	HCPCS	Init Hosp Care Level Ii	1	1	$555.00	$277.50 50% off	$1,922.00	$1,922.00	$1,922.00	2026-07-31
70450	HCPCS	CT Head/brain Without Contrast: Pf,professional	2	1	$1,836.50	$918.25 50% off	$569.00	$3,260.00	$1,914.50	2026-07-31
70486	HCPCS	CT Facial Bones Without Contrast: Pf,professional	2	1	$1,916.00	$958.00 50% off	$514.00	$3,292.00	$1,903.00	2026-07-31
99284	HCPCS	ER Physician Visit 99284	9	3	$1,419.00	$709.50 50% off	$155.27	$5,362.14	$1,710.58	2026-07-31
73700	HCPCS	CT Lower Extrm Without Cont Unilat L: Pf,professional, Left	2	1	$787.00	$393.50 50% off	$450.00	$2,665.80	$1,557.90	2026-07-31
93970	HCPCS	US Venous Bilateral: Pf,professional	2	1	$247.00	$123.50 50% off	$235.00	$2,367.00	$1,301.00	2026-07-31
49082	HCPCS	Abd Paracentesis Without Imaging: Pf	2	1	$1,091.00	$545.50 50% off	$963.35	$1,602.65	$1,283.00	2026-07-31
99283	HCPCS	ER Physician Visit 99283	8	3	$870.00	$435.00 50% off	$183.34	$1,971.15	$1,212.40	2026-07-31
71260	HCPCS	CT Chest W/contrast: Pf,professional	4	2	$608.00	$304.00 50% off	$521.10	$3,975.00	$1,155.62	2026-07-31
64455	HCPCS	Inj, Anes Agent/steroid, Plantar: Pf	1	1	$334.00	$167.00 50% off	$1,147.50	$1,147.50	$1,147.50	2026-07-31
20610	HCPCS	Drn/inj Major Joint	2	1	$1,723.00	$861.50 50% off	$457.00	$1,827.00	$1,142.00	2026-07-31
59425	HCPCS	Antepartum Care Only 4-6 Visits: Pf	2	1	$1,923.00	$961.50 50% off	$362.00	$1,831.00	$1,096.50	2026-07-31
10060	HCPCS	Inc/drn Abcss/cyst Simp;1	2	1	$1,441.00	$720.50 50% off	$469.00	$1,528.00	$998.50	2026-07-31
95806	HCPCS	Type Iii Home Sleep Study: Ff,technical	3	3	$992.50	$496.25 50% off	$739.26	$968.00	$871.20	2026-07-31
81270	HCPCS	Jak2 V617f Cascading Reflex	1	1	$983.00	$491.50 50% off	$867.75	$867.75	$867.75	2026-07-31
76870	HCPCS	US Testicular: Pf,professional	2	1	$352.00	$176.00 50% off	$335.00	$1,366.00	$850.50	2026-07-31
20605	HCPCS	Drn/inj Interm Joint/gan	2	1	$1,250.00	$625.00 50% off	$360.00	$1,325.00	$842.50	2026-07-31
93971	HCPCS	US Venous Duplex Unilateral Lt: Pf,professional, Left	4	2	$1,544.00	$772.00 50% off	$166.00	$1,622.00	$810.12	2026-07-31
99282	HCPCS	ER Physician Visit 99282	4	3	$725.00	$362.50 50% off	$381.60	$1,040.50	$808.82	2026-07-31
58300	HCPCS	Insert Intrauterine Device: Pf	4	2	$666.00	$333.00 50% off	$570.60	$958.00	$743.40	2026-07-31
58301	HCPCS	Rem Intrauterine Device: Pf	2	1	$560.00	$280.00 50% off	$533.00	$930.00	$731.50	2026-07-31
11982	HCPCS	Remove Drug Implant Device: Pf	2	1	$689.00	$344.50 50% off	$656.00	$755.00	$705.50	2026-07-31
11983	HCPCS	Remove/reinsert Drug Implant: Pf	2	1	$902.00	$451.00 50% off	$484.00	$859.00	$671.50	2026-07-31
11602	HCPCS	Excision Mal Lesion Trunk 1.1-2.0 Cm: Pf	1	1	$802.00	$401.00 50% off	$648.55	$648.55	$648.55	2026-07-31
73552	HCPCS	Xr Femur 2 Views Lt: Pf,professional, Left	4	1	$110.00	$55.00 50% off	$104.00	$1,231.00	$641.00	2026-07-31
76801	HCPCS	US OB <14 Weeks: Pf,professional	2	1	$351.00	$175.50 50% off	$309.93	$962.47	$636.20	2026-07-31
12011	HCPCS	Repr S-ficial Wnd 2.5cm	2	1	$471.27	$235.64 50% off	$450.90	$793.80	$622.35	2026-07-31
20552	HCPCS	Trigger Point, Sngl/multi	2	1	$880.00	$440.00 50% off	$361.80	$865.80	$613.80	2026-07-31
76536	HCPCS	US Head/neck Soft Tissue: Pf,professional	2	1	$174.00	$87.00 50% off	$148.50	$1,056.60	$602.55	2026-07-31
76604	HCPCS	US Chest: Pf,professional	2	1	$192.00	$96.00 50% off	$182.00	$1,002.00	$592.00	2026-07-31
11981	HCPCS	Insertion Non-bio Drug Delivery Implant	2	1	$519.00	$259.50 50% off	$551.00	$626.00	$588.50	2026-07-31
70150	HCPCS	Xr Facial Bone Comp Min 3v: Pf,professional	2	1	$105.00	$52.50 50% off	$100.00	$1,062.00	$581.00	2026-07-31
73110	HCPCS	Xr Wrist Comp Min 3v Rt: Pf,professional, Right	3	2	$95.00	$47.50 50% off	$60.00	$632.00	$568.80	2026-07-31
64450	HCPCS	Inj, Anes Agent/steroid, Peripheral: Pf	2	1	$626.00	$313.00 50% off	$505.00	$596.00	$550.50	2026-07-31
97166	HCPCS	Ot Moderate Complexity Occup Thrp Eval,otpoc	2	2	$686.00	$343.00 50% off	$498.70	$587.70	$543.20	2026-07-31
76881	HCPCS	US Extremity Complete, Non Vasc: Pf,professional	2	1	$179.00	$89.50 50% off	$179.00	$902.00	$540.50	2026-07-31
71101	HCPCS	Xr Ribs Uni>=3v W/pa Chst Lt: Pf,professional, Left	2	1	$115.00	$57.50 50% off	$109.00	$967.00	$538.00	2026-07-31
84482	HCPCS	T3, Reverse	1	1	$534.00	$267.00 50% off	$529.87	$529.87	$529.87	2026-07-31
76705	HCPCS	US Abdomen Limited: Pf,professional	4	2	$878.00	$439.00 50% off	$179.25	$931.00	$528.29	2026-07-31
72110	HCPCS	Xr Spine Lumbar Min 4 Views: Pf,professional	6	3	$133.00	$66.50 50% off	$36.70	$1,201.00	$521.60	2026-07-31
76775	HCPCS	US Retroperitoneal Limited: Pf,professional	2	1	$312.00	$156.00 50% off	$297.00	$740.00	$518.50	2026-07-31
72072	HCPCS	Xr Spine Thoracic 3 Views: Pf,professional	2	1	$98.00	$49.00 50% off	$93.00	$936.00	$514.50	2026-07-31
87637	HCPCS	Cepheid Respiratory Panel (rsv/flu/covid	2	2	$514.00	$257.00 50% off	$476.82	$514.00	$495.41	2026-07-31
87661	HCPCS	Trichomonas Vaginalis (tv), Tma	1	1	$194.00	$97.00 50% off	$486.00	$486.00	$486.00	2026-07-31
83013	HCPCS	H Pylori Urea Breath Test	1	1	$497.00	$248.50 50% off	$473.00	$473.00	$473.00	2026-07-31
73610	HCPCS	Xr Ankle Comp Min 3v Lt: Pf,professional, Left	4	1	$104.00	$52.00 50% off	$66.00	$916.00	$471.00	2026-07-31
72040	HCPCS	Xr Spine Cervical 2-3 Views: Pf,professional	2	1	$92.00	$46.00 50% off	$87.00	$853.00	$470.00	2026-07-31
76830	HCPCS	US Transvaginal Non Ob: Pf,professional	2	1	$227.00	$113.50 50% off	$216.00	$717.00	$466.50	2026-07-31
72190	HCPCS	Xr Pelvis Complete Min 3 V: Pf,professional	2	1	$46.00	$23.00 50% off	$38.70	$879.30	$459.00	2026-07-31
96365	HCPCS	In Inf Initial To 1hr	2	2	$501.00	$250.50 50% off	$423.00	$470.00	$446.50	2026-07-31
99306	HCPCS	Intl Nrsng Fac Care Hi Mdm 45 Minutes	1	1	$585.00	$292.50 50% off	$444.44	$444.44	$444.44	2026-07-31
71271	HCPCS	CT Chest Low Dose Without Contrast: Pf,professional	4	2	$542.00	$271.00 50% off	$149.98	$3,455.00	$439.76	2026-07-31
72070	HCPCS	Xr Spine Thoracic 2 Views: Pf,professional	2	1	$95.00	$47.50 50% off	$90.00	$785.00	$437.50	2026-07-31
86580	HCPCS	Tuberculin Ppd (Tubersol) Inj	1	1	$128.00	$64.00 50% off	$434.95	$434.95	$434.95	2026-07-31
90791	HCPCS	Psych Dx Interview	4	2	$496.00	$248.00 50% off	$215.96	$659.00	$427.90	2026-07-31
73130	HCPCS	Xr Hand Min 3 Views Rt: Pf,professional, Right	4	2	$104.00	$52.00 50% off	$59.40	$877.00	$427.65	2026-07-31
72100	HCPCS	Xr Spine Lumbar 2-3 Views: Pf,professional	4	2	$92.00	$46.00 50% off	$78.30	$850.00	$426.00	2026-07-31
99223	HCPCS	Initial Hospital Care	3	2	$879.00	$439.50 50% off	$219.31	$837.00	$421.48	2026-07-31
90792	HCPCS	Interactive Psyc Dx Exam	2	2	$597.00	$298.50 50% off	$330.20	$511.20	$420.70	2026-07-31
97162	HCPCS	Pt Moderate Complexity Physical Thp Eval,ptpoc	2	2	$435.50	$217.75 50% off	$393.30	$437.00	$415.15	2026-07-31
S9484	HCPCS	Short Term Crisis Int Per Hour	1	1	$433.00	$216.50 50% off	$412.00	$412.00	$412.00	2026-07-31
99281	HCPCS	Emergency Dept Visit 99281	1	1	$385.00	$192.50 50% off	$409.00	$409.00	$409.00	2026-07-31
82670	HCPCS	Estradiol (w)	2	2	$444.00	$222.00 50% off	$392.05	$422.00	$407.02	2026-07-31
96374	HCPCS	IV Push Single Or Initial	2	2	$398.00	$199.00 50% off	$379.80	$422.00	$400.90	2026-07-31
73090	HCPCS	Xr Forearm 2 Views Lt: Pf,professional, Left	2	1	$102.00	$51.00 50% off	$65.00	$731.00	$398.00	2026-07-31
83090	HCPCS	Homocysteine	1	1	$459.00	$229.50 50% off	$393.30	$393.30	$393.30	2026-07-31
73502	HCPCS	Xr Hip Unil Comp Min 2-3v Lt: Pf,professional, Left	4	2	$126.00	$63.00 50% off	$74.17	$761.00	$393.20	2026-07-31
83880	HCPCS	Bnp	1	1	$456.00	$228.00 50% off	$390.60	$390.60	$390.60	2026-07-31
99239	HCPCS	Discharge Day Over 30min	2	1	$516.00	$258.00 50% off	$278.80	$491.00	$384.90	2026-07-31
72114	HCPCS	Xr Lumbar Comp W/bending: Pf,professional	2	1	$159.00	$79.50 50% off	$151.00	$618.00	$384.50	2026-07-31
11106	HCPCS	Incsnl Biopsy Skin (wedge); Single: Pf	2	1	$340.00	$170.00 50% off	$290.70	$452.70	$371.70	2026-07-31
88305	HCPCS	Biopsy, Pathology Level IV	1	1	$433.00	$216.50 50% off	$370.80	$370.80	$370.80	2026-07-31
82024	HCPCS	Acth, Plasma	1	1	$385.00	$192.50 50% off	$366.00	$366.00	$366.00	2026-07-31
73660	HCPCS	Xr Toe(s) Min 2 Views Rt: Pf,professional, Right	2	1	$71.00	$35.50 50% off	$45.00	$683.00	$364.00	2026-07-31
91322	HCPCS	Covid Vaccine-moderna	2	2	$579.52	$289.76 50% off	$158.42	$565.05	$361.74	2026-07-31
G0378	HCPCS	Observation Acute Hrs	3	3	$376.00	$188.00 50% off	$328.14	$374.85	$358.00	2026-07-31
99381	HCPCS	Prevent Med Under 1 New Patient	2	1	$403.00	$201.50 50% off	$328.00	$383.00	$355.50	2026-07-31
99215	HCPCS	99215 Est Patient	1	1	$585.00	$292.50 50% off	$351.78	$351.78	$351.78	2026-07-31
11200	HCPCS	Rem Skin Tag Up To 15: Pf	1	1	$401.00	$200.50 50% off	$350.20	$350.20	$350.20	2026-07-31
82330	HCPCS	Calcium Ionized	1	1	$350.00	$175.00 50% off	$350.00	$350.00	$350.00	2026-07-31
86480	HCPCS	Quantiferon	1	1	$368.00	$184.00 50% off	$350.00	$350.00	$350.00	2026-07-31
99382	HCPCS	Preventive Med 1-4yrs	2	1	$423.00	$211.50 50% off	$296.00	$402.00	$349.00	2026-07-31
73030	HCPCS	Xr Shoulder Comp Study Rt: Pf,professional, Right	4	2	$217.00	$108.50 50% off	$128.04	$602.00	$348.47	2026-07-31
73650	HCPCS	Xr Calcaneus Min 2v Rt: Pf,professional, Right	2	1	$90.00	$45.00 50% off	$52.98	$639.29	$346.13	2026-07-31
73120	HCPCS	Xr Hand 2 Views Rt: Pf,professional, Right	2	1	$91.00	$45.50 50% off	$58.00	$624.00	$341.00	2026-07-31
99395	HCPCS	Prevent Med 18-39 Estab	2	1	$424.00	$212.00 50% off	$249.00	$424.00	$336.50	2026-07-31
69210	HCPCS	Remove Impact Cerum W/inst, Unilat: Pf	1	1	$252.00	$126.00 50% off	$334.00	$334.00	$334.00	2026-07-31
80050	HCPCS	General Health Panel	1	1	$347.00	$173.50 50% off	$330.00	$330.00	$330.00	2026-07-31
84681	HCPCS	C-peptide	1	1	$336.00	$168.00 50% off	$320.00	$320.00	$320.00	2026-07-31
73060	HCPCS	Xr Humerus Min 2 Views Lt: Pf,professional, Left	4	2	$113.00	$56.50 50% off	$64.80	$626.00	$317.70	2026-07-31
97161	HCPCS	Pt Low Complexity Physical Thrpy Eval,ptpoc	3	3	$350.00	$175.00 50% off	$281.81	$351.00	$315.90	2026-07-31
73140	HCPCS	Xr Finger(s) Min 2 Views Lt: Pf,professional, Left	8	2	$61.00	$30.50 50% off	$52.20	$624.00	$309.80	2026-07-31
97116	HCPCS	Pt Gait/ambulation Per 15 Mi,ptpoc	1	1	$347.50	$173.75 50% off	$305.10	$305.10	$305.10	2026-07-31
99305	HCPCS	Intl Nrsng Fac Care Mod Mdm 35 Minutes	2	2	$506.00	$253.00 50% off	$167.96	$432.90	$300.43	2026-07-31
99393	HCPCS	Prevent Med 5-11 Estab	5	2	$349.00	$174.50 50% off	$198.02	$332.01	$298.80	2026-07-31
99238	HCPCS	Discharge Day Less 30 Min	3	2	$348.00	$174.00 50% off	$197.62	$331.00	$297.90	2026-07-31
99391	HCPCS	Prev Med Under 1 Estab	2	1	$344.00	$172.00 50% off	$249.01	$344.01	$296.51	2026-07-31
93005	HCPCS	EKG 12 Lead	1	1	$797.00	$398.50 50% off	$294.00	$294.00	$294.00	2026-07-31
84439	HCPCS	T4, Free	2	2	$324.00	$162.00 50% off	$277.20	$308.00	$292.60	2026-07-31
99397	HCPCS	Ltc Annual Cpx	3	2	$519.00	$259.50 50% off	$124.61	$494.00	$291.00	2026-07-31
84146	HCPCS	Prolactin	1	1	$306.00	$153.00 50% off	$291.00	$291.00	$291.00	2026-07-31
99214	HCPCS	Op Services Pro Fee Exp	6	3	$396.00	$198.00 50% off	$236.98	$396.00	$289.07	2026-07-31
99394	HCPCS	Prevent Med 12-17 Estab	4	2	$376.00	$188.00 50% off	$225.01	$358.00	$286.12	2026-07-31
11055	HCPCS	Trim Benign Corn/callus: Pf	2	1	$301.00	$150.50 50% off	$285.00	$286.00	$285.50	2026-07-31
99233	HCPCS	Subsequent Hospital Care	2	2	$491.00	$245.50 50% off	$149.87	$420.30	$285.09	2026-07-31
73100	HCPCS	Xr Wrist 2 Views Lt: Pf,professional, Left	2	1	$90.00	$45.00 50% off	$57.00	$512.00	$284.50	2026-07-31
99203	HCPCS	Outpatient Visit	4	2	$424.00	$212.00 50% off	$200.08	$381.60	$283.95	2026-07-31
99396	HCPCS	Prevent Med 40-64 Estab	3	2	$480.00	$240.00 50% off	$231.01	$457.00	$282.00	2026-07-31
G0103	HCPCS	Psa,total (medicare Screening)	1	1	$292.00	$146.00 50% off	$278.00	$278.00	$278.00	2026-07-31
99309	HCPCS	Sbsq Nrsng Fac Care Mod Mdm 30 Minutes	2	2	$334.00	$167.00 50% off	$263.22	$286.20	$274.71	2026-07-31
80069	HCPCS	Renal Function Panel	1	1	$287.00	$143.50 50% off	$273.00	$273.00	$273.00	2026-07-31
96366	HCPCS	In Inf Add Hr	1	1	$286.00	$143.00 50% off	$272.00	$272.00	$272.00	2026-07-31
82728	HCPCS	Ferritin	1	1	$282.00	$141.00 50% off	$268.00	$268.00	$268.00	2026-07-31
86376	HCPCS	Thyroid Peroxidase Antibody	2	2	$288.00	$144.00 50% off	$246.60	$274.00	$260.30	2026-07-31
99392	HCPCS	Prevent Med 1-4 Yrs Estab	4	2	$349.00	$174.50 50% off	$198.02	$332.00	$259.40	2026-07-31
82610	HCPCS	Cystatin C W Glomerualr Filtration Rate	1	1	$303.00	$151.50 50% off	$259.20	$259.20	$259.20	2026-07-31
80074	HCPCS	Hepatitis Panel Acute	1	1	$271.00	$135.50 50% off	$258.00	$258.00	$258.00	2026-07-31
90839	HCPCS	Psychotherapy-crisis Initial 60 Min	2	1	$334.00	$167.00 50% off	$188.66	$318.00	$253.33	2026-07-31
17000	HCPCS	Destruct Of First Lesion	2	1	$261.00	$130.50 50% off	$224.00	$277.00	$250.50	2026-07-31
97530	HCPCS	Grp Adapt Bhv Prtcl Modifcaj Phys/qhp Ea	2	2	$271.00	$135.50 50% off	$220.18	$272.00	$246.09	2026-07-31
90846	HCPCS	Family Psytx Without Pt 30 Minutes U7,mhealth	2	1	$281.00	$140.50 50% off	$160.20	$321.30	$240.75	2026-07-31
96375	HCPCS	Ea Add Sequential IV Push	1	1	$281.00	$140.50 50% off	$240.30	$240.30	$240.30	2026-07-31
97140	HCPCS	Ot Manual Therapy 15 Min,otpoc	3	3	$274.00	$137.00 50% off	$216.14	$267.00	$240.30	2026-07-31
90715	HCPCS	Tetanus, Dipth, Pertussis (Adacel) Vacc	1	1	$235.30	$117.65 50% off	$234.83	$234.83	$234.83	2026-07-31
83036	HCPCS	Glycated Hemoglobin	3	3	$246.00	$123.00 50% off	$210.60	$236.20	$234.00	2026-07-31
83498	HCPCS	Hydroxyprogesterone	1	1	$257.00	$128.50 50% off	$231.97	$231.97	$231.97	2026-07-31
73562	HCPCS	Xr Knee 3 Views Lt: Pf,professional, Left	6	3	$88.00	$44.00 50% off	$26.42	$532.00	$231.15	2026-07-31
87480	HCPCS	Bacterial Vaginitis Panel	1	1	$714.00	$357.00 50% off	$226.67	$226.67	$226.67	2026-07-31
85025	HCPCS	Cbc Automated Diff (in-house)	3	3	$263.00	$131.50 50% off	$190.93	$250.00	$225.00	2026-07-31
90837	HCPCS	Ind Psych 60 Minutes	4	2	$297.00	$148.50 50% off	$195.00	$282.00	$224.40	2026-07-31
84153	HCPCS	Psa, Total	2	2	$247.00	$123.50 50% off	$211.50	$235.00	$223.25	2026-07-31
82274	HCPCS	Fecal Globin By Immunochemistry	1	1	$235.00	$117.50 50% off	$223.00	$223.00	$223.00	2026-07-31
80053	HCPCS	Comprehensive Metabolic Panel	3	3	$260.00	$130.00 50% off	$188.63	$247.00	$222.30	2026-07-31
87491	HCPCS	Chlamydia Only	3	2	$259.00	$129.50 50% off	$154.00	$246.00	$221.40	2026-07-31
84702	HCPCS	Hcg, Quantitative	1	1	$229.00	$114.50 50% off	$218.00	$218.00	$218.00	2026-07-31
83525	HCPCS	Insulin	2	2	$236.00	$118.00 50% off	$208.39	$224.00	$216.19	2026-07-31
84630	HCPCS	Zinc	1	1	$226.00	$113.00 50% off	$215.00	$215.00	$215.00	2026-07-31
84484	HCPCS	Troponin Quantitative	1	1	$641.00	$320.50 50% off	$209.56	$209.56	$209.56	2026-07-31
73630	HCPCS	Xr Foot Comp Min 3v Lt: Pf,professional, Left	10	3	$54.00	$27.00 50% off	$23.72	$495.00	$207.01	2026-07-31
86708	HCPCS	Hepatitis A Total Antibody	1	1	$218.00	$109.00 50% off	$207.00	$207.00	$207.00	2026-07-31
11730	HCPCS	Removal Nail Plate, Singl	1	1	$310.00	$155.00 50% off	$206.20	$206.20	$206.20	2026-07-31
84425	HCPCS	Vitamin B1 (thiamine), Serum/plasma	2	2	$314.00	$157.00 50% off	$113.40	$299.00	$206.20	2026-07-31
87624	HCPCS	Reflex Hpv Mrna Test	1	1	$217.00	$108.50 50% off	$206.00	$206.00	$206.00	2026-07-31
88175	HCPCS	Thinprep Imaging System Pap	2	2	$224.00	$112.00 50% off	$191.70	$213.00	$202.35	2026-07-31
84144	HCPCS	Progesterone	2	2	$220.00	$110.00 50% off	$194.26	$209.00	$201.63	2026-07-31
85379	HCPCS	D-dimer	1	1	$543.00	$271.50 50% off	$200.88	$200.88	$200.88	2026-07-31
80048	HCPCS	Basic Metabolic Panel	2	2	$216.00	$108.00 50% off	$184.50	$216.00	$200.25	2026-07-31
80076	HCPCS	Hepatic Function Panel	1	1	$200.00	$100.00 50% off	$200.00	$200.00	$200.00	2026-07-31
99315	HCPCS	Nursing Fac Disc <30 Mins	3	3	$441.00	$220.50 50% off	$102.38	$227.70	$199.26	2026-07-31
82951	HCPCS	Glucose Tolerance 3 Hr 100g	2	2	$219.00	$109.50 50% off	$187.20	$208.00	$197.60	2026-07-31
86803	HCPCS	Hepatitis C Antibody	1	1	$207.00	$103.50 50% off	$197.00	$197.00	$197.00	2026-07-31
11102	HCPCS	Tangential Biopsy Skin Single Lesion: Pf	1	1	$438.00	$219.00 50% off	$196.71	$196.71	$196.71	2026-07-31
82306	HCPCS	Vitamin D 25 Hydroxy (for Vit D Def)	2	2	$297.00	$148.50 50% off	$186.30	$207.00	$196.65	2026-07-31
86141	HCPCS	Hs-crp	1	1	$226.00	$113.00 50% off	$193.50	$193.50	$193.50	2026-07-31
99202	HCPCS	Office Outpnt Visit New	4	2	$276.00	$138.00 50% off	$115.62	$248.40	$192.85	2026-07-31
99232	HCPCS	Subsequent Hospital Care	3	2	$332.00	$166.00 50% off	$99.97	$316.00	$191.88	2026-07-31
90840	HCPCS	Psychotherapy-crisis Add 30 Min	2	1	$243.00	$121.50 50% off	$94.58	$288.75	$191.67	2026-07-31
97110	HCPCS	Ot Therapeutic Exer 15min,otpoc	4	3	$236.00	$118.00 50% off	$180.23	$224.00	$191.47	2026-07-31
84156	HCPCS	Protein, Total, Random Urine W Creatinin	1	1	$201.00	$100.50 50% off	$191.00	$191.00	$191.00	2026-07-31
80178	HCPCS	Lithium	1	1	$200.00	$100.00 50% off	$190.00	$190.00	$190.00	2026-07-31
96372	HCPCS	Therapeutic Diag Injection Im/sq	3	3	$209.00	$104.50 50% off	$159.61	$209.00	$188.10	2026-07-31
80061	HCPCS	Lipid Panel	2	2	$206.00	$103.00 50% off	$176.40	$196.00	$186.20	2026-07-31
83001	HCPCS	Fsh	2	2	$296.00	$148.00 50% off	$89.18	$281.00	$185.09	2026-07-31
84481	HCPCS	T3, Free	2	2	$204.00	$102.00 50% off	$174.60	$194.00	$184.30	2026-07-31
87086	HCPCS	Urine Culture	3	3	$212.00	$106.00 50% off	$153.50	$201.00	$180.90	2026-07-31
90834	HCPCS	Ind Psych 38-52 Minutes	4	2	$264.00	$132.00 50% off	$132.11	$251.00	$179.00	2026-07-31
82043	HCPCS	Albumin, Random Urine Without Creatinine	1	1	$185.00	$92.50 50% off	$176.00	$176.00	$176.00	2026-07-31
82607	HCPCS	Vitamin B12 (cobalamin)	2	2	$192.00	$96.00 50% off	$169.54	$182.00	$175.77	2026-07-31
86706	HCPCS	Hepatitis B Surface Antibody Qual	1	1	$182.00	$91.00 50% off	$173.00	$173.00	$173.00	2026-07-31
86036	HCPCS	Anca Screen With Reflex To Anca Titer	1	1	$179.00	$89.50 50% off	$170.00	$170.00	$170.00	2026-07-31
81001	HCPCS	Urinalysis, Complete, W Reflex To Cultur	1	1	$177.00	$88.50 50% off	$168.00	$168.00	$168.00	2026-07-31
84403	HCPCS	Testosterone, Total (male)	2	2	$181.00	$90.50 50% off	$159.82	$172.00	$165.91	2026-07-31
82950	HCPCS	Glucose Tolerance 1 Hr 50g	1	1	$171.00	$85.50 50% off	$162.00	$162.00	$162.00	2026-07-31
99213	HCPCS	Office Outpnt Visit Estab	7	3	$283.00	$141.50 50% off	$119.95	$269.00	$160.72	2026-07-31
87177	HCPCS	Ova & Parasites	1	1	$163.00	$81.50 50% off	$155.00	$155.00	$155.00	2026-07-31
T1007	HCPCS	Bh Treatment Plan Dev/rev,bhealth	3	2	$162.00	$81.00 50% off	$138.60	$154.00	$154.00	2026-07-31
87591	HCPCS	Gonorrhoeae Only	1	1	$259.00	$129.50 50% off	$154.00	$154.00	$154.00	2026-07-31
86308	HCPCS	Mononucleosis Screen Rapid	1	1	$154.00	$77.00 50% off	$154.00	$154.00	$154.00	2026-07-31
83690	HCPCS	Lipase	2	2	$165.00	$82.50 50% off	$145.70	$157.00	$151.35	2026-07-31
90847	HCPCS	Family Psych 60 Min W/pt	1	1	$371.00	$185.50 50% off	$148.69	$148.69	$148.69	2026-07-31
87389	HCPCS	HIV 4th Gen With Reflexes	1	1	$154.00	$77.00 50% off	$146.00	$146.00	$146.00	2026-07-31
74018	HCPCS	Xr Abdomen Single Ap: Pf,professional	2	1	$50.00	$25.00 50% off	$47.00	$244.00	$145.50	2026-07-31
83550	HCPCS	Iron, Total And Total Iron Binding Capac	1	1	$152.00	$76.00 50% off	$144.00	$144.00	$144.00	2026-07-31
84244	HCPCS	Renin	1	1	$332.00	$166.00 50% off	$141.33	$141.33	$141.33	2026-07-31
82088	HCPCS	Aldosterone/plasma Renin Activity Ratio	1	1	$332.00	$166.00 50% off	$141.33	$141.33	$141.33	2026-07-31
87205	HCPCS	Gram Stain	1	1	$151.00	$75.50 50% off	$141.00	$141.00	$141.00	2026-07-31
87070	HCPCS	Culture, Ear, External	1	1	$251.00	$125.50 50% off	$141.00	$141.00	$141.00	2026-07-31
87075	HCPCS	Culture, Anaerobic Bacteria	1	1	$309.00	$154.50 50% off	$141.00	$141.00	$141.00	2026-07-31
82525	HCPCS	Copper Blood Or Urine	1	1	$228.00	$114.00 50% off	$139.00	$139.00	$139.00	2026-07-31
86140	HCPCS	C-reactive Protein (crp)	2	2	$152.00	$76.00 50% off	$129.60	$144.00	$136.80	2026-07-31
87340	HCPCS	Hepatitis B Surface Antigen	1	1	$142.00	$71.00 50% off	$135.00	$135.00	$135.00	2026-07-31
84402	HCPCS	Testosterone, Free	2	2	$145.00	$72.50 50% off	$128.04	$138.00	$133.02	2026-07-31
82533	HCPCS	Cortisol Total	1	1	$243.00	$121.50 50% off	$130.55	$130.55	$130.55	2026-07-31
86800	HCPCS	Thyroglobulin Antibody	1	1	$153.00	$76.50 50% off	$130.50	$130.50	$130.50	2026-07-31
83735	HCPCS	Magnesium	2	2	$137.00	$68.50 50% off	$117.00	$130.00	$123.50	2026-07-31
J3490	HCPCS	Sulfacetamide (Bleph10) Opth Sol 10%	4	2	$65.85	$32.93 50% off	$39.26	$249.50	$123.10	2026-07-31
85610	HCPCS	Pt/inr - Coumadin Monitoring	2	2	$133.00	$66.50 50% off	$113.40	$126.00	$119.70	2026-07-31
99212	HCPCS	Op Services Pro Fee Lmtd	6	3	$136.00	$68.00 50% off	$59.92	$141.00	$118.09	2026-07-31
84550	HCPCS	Uric Acid, Blood	1	1	$118.00	$59.00 50% off	$112.00	$112.00	$112.00	2026-07-31
17110	HCPCS	Dest Mollusc/flt Wart<14	2	1	$96.00	$48.00 50% off	$77.90	$145.18	$111.54	2026-07-31
85018	HCPCS	Hemoglobin	2	2	$123.00	$61.50 50% off	$105.30	$117.00	$111.15	2026-07-31
87081	HCPCS	Mrsa Culture Screening	1	1	$128.00	$64.00 50% off	$108.90	$108.90	$108.90	2026-07-31
82977	HCPCS	Ggt	1	1	$128.00	$64.00 50% off	$108.90	$108.90	$108.90	2026-07-31
96127	HCPCS	Bh Client Screen	2	2	$176.00	$88.00 50% off	$53.00	$155.41	$104.20	2026-07-31
86592	HCPCS	Rpr	1	1	$110.00	$55.00 50% off	$104.00	$104.00	$104.00	2026-07-31
81003	HCPCS	Urinalysis Auto No Micro (in-house)	2	2	$115.00	$57.50 50% off	$98.10	$109.00	$103.55	2026-07-31
90832	HCPCS	Individual Psych 30 Minutes	3	2	$162.00	$81.00 50% off	$99.94	$143.05	$99.94	2026-07-31
99308	HCPCS	Sbsq Nrsng Fac Care Low Mdm 15 Minutes	1	1	$270.00	$135.00 50% off	$92.76	$92.76	$92.76	2026-07-31
99231	HCPCS	Subsequent Hospital Care	1	1	$210.00	$105.00 50% off	$90.41	$90.41	$90.41	2026-07-31
17003	HCPCS	Destr 2nd/14 Lesion Each	4	2	$91.00	$45.50 50% off	$77.40	$95.00	$85.75	2026-07-31
82310	HCPCS	Pth Intact With Calcium	1	1	$95.00	$47.50 50% off	$84.00	$84.00	$84.00	2026-07-31
83695	HCPCS	Lipoprotein A	1	1	$97.00	$48.50 50% off	$82.80	$82.80	$82.80	2026-07-31
99211	HCPCS	99211 Est Patient	7	3	$96.00	$48.00 50% off	$21.32	$112.00	$81.90	2026-07-31
82565	HCPCS	Creatinine Blood	2	2	$91.00	$45.50 50% off	$77.40	$86.00	$81.70	2026-07-31
82955	HCPCS	Glucose-6 Phosphate Dehydrogenase, Quant	1	1	$250.00	$125.00 50% off	$72.84	$72.84	$72.84	2026-07-31
93010	HCPCS	EKG Interpretation	4	2	$96.00	$48.00 50% off	$10.54	$102.00	$71.22	2026-07-31
73620	HCPCS	Xr Foot 2 Views Lt: Pf,professional, Left	4	1	$81.00	$40.50 50% off	$29.70	$518.00	$68.70	2026-07-31
84443	HCPCS	Thyroid Stimulating Hormone	2	2	$240.00	$120.00 50% off	$64.80	$72.00	$68.40	2026-07-31
82947	HCPCS	Glucose Blood	1	1	$71.00	$35.50 50% off	$67.00	$67.00	$67.00	2026-07-31
80305	HCPCS	Bh Drug Screen, Qualitative	1	1	$68.00	$34.00 50% off	$67.00	$67.00	$67.00	2026-07-31
85651	HCPCS	Esr	2	2	$74.00	$37.00 50% off	$63.00	$70.00	$66.50	2026-07-31
85014	HCPCS	Hematocrit	2	2	$74.00	$37.00 50% off	$63.00	$70.00	$66.50	2026-07-31
82172	HCPCS	Apolipoprotein B	1	1	$159.00	$79.50 50% off	$64.80	$64.80	$64.80	2026-07-31
82952	HCPCS	Glucose Tolerance 4th And 5th Specimens	2	2	$72.00	$36.00 50% off	$61.20	$68.00	$64.60	2026-07-31
81000	HCPCS	Urinalysis, Dipstick Clinic	3	3	$71.00	$35.50 50% off	$51.17	$67.00	$60.30	2026-07-31
90480	HCPCS	Imm Admin Sarscov2 Vacc Single Dose	3	3	$106.00	$53.00 50% off	$55.99	$98.01	$57.13	2026-07-31
71046	HCPCS	Xr Chest Pa/lat: Pf,professional	1	1	$59.00	$29.50 50% off	$56.00	$56.00	$56.00	2026-07-31
71045	HCPCS	Xr Chest Single View Frontal: Pf,professional	1	1	$59.00	$29.50 50% off	$56.00	$56.00	$56.00	2026-07-31
90471	HCPCS	Admin Sngl Vaccine	3	3	$62.00	$31.00 50% off	$45.07	$59.00	$53.10	2026-07-31
90472	HCPCS	Admin Additional Vaccine	1	1	$56.00	$28.00 50% off	$53.00	$53.00	$53.00	2026-07-31
J1100	HCPCS	Dexamethasone (Decadron) Inj: 10mg/mL	1	1	$52.45	$26.23 50% off	$52.46	$52.46	$52.46	2026-07-31
99307	HCPCS	Sbsq Nrsng Fac Care Sf Mdm 10 Minutes	1	1	$167.00	$83.50 50% off	$49.81	$49.81	$49.81	2026-07-31
36415	HCPCS	Venipuncture	3	3	$56.00	$28.00 50% off	$42.90	$53.00	$49.45	2026-07-31
82390	HCPCS	Ceruloplasmin	1	1	$172.00	$86.00 50% off	$49.00	$49.00	$49.00	2026-07-31
82140	HCPCS	Ammonia, Plasma	1	1	$327.00	$163.50 50% off	$41.76	$41.76	$41.76	2026-07-31
80307	HCPCS	Drug/alcohol Sngl/multi Scrn Quantitativ	1	1	$40.00	$20.00 50% off	$38.00	$38.00	$38.00	2026-07-31
J1756	HCPCS	Iron Sucrose (Venofer) 20mg/mL	1	1	$182.25	$91.13 50% off	$36.45	$36.45	$36.45	2026-07-31
84436	HCPCS	T4 (thyroxine), Total	1	1	$194.00	$97.00 50% off	$32.00	$32.00	$32.00	2026-07-31
84479	HCPCS	Thyroid Binding Ratio (uptake)	1	1	$180.00	$90.00 50% off	$30.00	$30.00	$30.00	2026-07-31
J8499	HCPCS	Charcoal/Sorbitol (Actidose) 50gm Susp	1	1	$77.92	$38.96 50% off	$14.65	$14.65	$14.65	2026-07-31
73564	HCPCS	Xr Knee Comp Min 4v-bil: Pf,bilateral, Professional	1	1	$278.00	$139.00 50% off	$14.36	$14.36	$14.36	2026-07-31
A9150	HCPCS	Ascorbic Acid (Vit C) 250mg Tab	1	1	$12.60	$6.30 50% off	$12.70	$12.70	$12.70	2026-07-31
J0696	HCPCS	cefTRIAXone (Rocephin) Inj: 1gm	1	1	$49.30	$24.65 50% off	$11.77	$11.77	$11.77	2026-07-31
S1015	HCPCS	IV Extension Set IV	2	2	$11.00	$5.50 50% off	$4.95	$16.14	$10.55	2026-07-31
A4215	HCPCS	IV Jelco 14g	1	1	$10.00	$5.00 50% off	$5.70	$5.70	$5.70	2026-07-31
A4649	HCPCS	Sodium Phos Enema	2	2	$18.25	$9.13 50% off	$3.41	$5.50	$4.46	2026-07-31
A9999	HCPCS	Eye Irrigation (Purified Water) Sol	1	1	$24.50	$12.25 50% off	$3.41	$3.41	$3.41	2026-07-31
Q9963	HCPCS	Gastrografin	1	1	$75.50	$37.75 50% off	$2.27	$2.27	$2.27	2026-07-31
Q9967	HCPCS	Visipaque 320 Inj 100mL	3	3	$189.00	$94.50 50% off	$1.70	$1.91	$1.89	2026-07-31
28190	HCPCS	Rem Of Fb Foot Sq: Pf	0	0	$1,329.00	$664.50 50% off	—	—	—	2026-07-31
28090	HCPCS	Excision Of Lesion Gang Cyst Foot: Ff	0	0	$3,355.00	$1,677.50 50% off	—	—	—	2026-07-31
17262	HCPCS	Destruct Malig Les 1.1-2.0 Cm: Pf	0	0	$767.00	$383.50 50% off	—	—	—	2026-07-31
27842	HCPCS	Cls Tx Ankle Disloc W/anes: Ff	0	0	$3,355.00	$1,677.50 50% off	—	—	—	2026-07-31
27840	HCPCS	Cls Tx Ankle Disloc Without Anes: Ff,right	0	0	$688.00	$344.00 50% off	—	—	—	2026-07-31
17250	HCPCS	Chemical Cautery ER	0	0	$330.00	$165.00 50% off	—	—	—	2026-07-31
11750	HCPCS	Rem Nail Bed Part Or Comp: Ff	0	0	$842.00	$421.00 50% off	—	—	—	2026-07-31
27830	HCPCS	Cls Tx Lower Leg Disloc Without Anes: Ff	0	0	$588.00	$294.00 50% off	—	—	—	2026-07-31
27824	HCPCS	Cls Tx Tibia Fx Without Mn,w/wo Anes: Ff	0	0	$3,454.00	$1,727.00 50% off	—	—	—	2026-07-31
17111	HCPCS	Mollusc/flt Wart 15+	0	0	$429.00	$214.50 50% off	—	—	—	2026-07-31
27818	HCPCS	Cls Tx Ankle Fx Trimalleolar W/mn: Ff	0	0	$2,749.00	$1,374.50 50% off	—	—	—	2026-07-31
27816	HCPCS	Cls Tx Ankle Fx Trimalleolar Without Mn: Ff	0	0	$2,193.00	$1,096.50 50% off	—	—	—	2026-07-31
11740	HCPCS	Drain Blood From Un Nail	0	0	$194.00	$97.00 50% off	—	—	—	2026-07-31
11310	HCPCS	Shvng Face/ears <=0.5: Pf	0	0	$401.00	$200.50 50% off	—	—	—	2026-07-31
27810	HCPCS	Cls Tx Ankle Fx Bimalleolar W/mn: Ff	0	0	$2,383.00	$1,191.50 50% off	—	—	—	2026-07-31
27808	HCPCS	Cls Tx Ankle Fx Bimalleolar Without Mn: Ff	0	0	$588.00	$294.00 50% off	—	—	—	2026-07-31
17106	HCPCS	Destruct Cut Vasc Lesion: Ff	0	0	$870.00	$435.00 50% off	—	—	—	2026-07-31
27788	HCPCS	Cls Tx Fibula Fx Distal W/mn: Ff	0	0	$1,964.00	$982.00 50% off	—	—	—	2026-07-31
27786	HCPCS	Cls Tx Fibula Fx Distal Without Mn: Pf	0	0	$2,115.00	$1,057.50 50% off	—	—	—	2026-07-31
17004	HCPCS	Destruct Of Lesion 15 Or More: Ff	0	0	$870.00	$435.00 50% off	—	—	—	2026-07-31
11732	HCPCS	Removal Nail Plate, Ea Addt'l: Ff	0	0	$793.00	$396.50 50% off	—	—	—	2026-07-31
27781	HCPCS	Cls Tx Fibula Fx W/mn: Ff	0	0	$3,687.00	$1,843.50 50% off	—	—	—	2026-07-31
27780	HCPCS	Cls Tx Fibula Fx Without Mn: Ff	0	0	$588.00	$294.00 50% off	—	—	—	2026-07-31
27760	HCPCS	Cls Tx Ankle Fx Without Mn: Ff	0	0	$641.00	$320.50 50% off	—	—	—	2026-07-31
27752	HCPCS	Cls Tx Tibia Shaft Fx W/mn: Ff	0	0	$2,383.00	$1,191.50 50% off	—	—	—	2026-07-31
11307	HCPCS	Shaving Lesion 1.1-2.0 Cm: Pf	0	0	$476.00	$238.00 50% off	—	—	—	2026-07-31
11043	HCPCS	Debride,skin,subq Tis/mus: Ff	0	0	$1,505.00	$752.50 50% off	—	—	—	2026-07-31
27750	HCPCS	Cls Tx Tibia Shaft Fx Without Mn: Ff	0	0	$544.00	$272.00 50% off	—	—	—	2026-07-31
27613	HCPCS	Biopsy Soft Tissue Leg/ankle Sup: Ff	0	0	$1,381.00	$690.50 50% off	—	—	—	2026-07-31
16030	HCPCS	Trtmnt Of Burn Without Anes Large: Ff	0	0	$574.00	$287.00 50% off	—	—	—	2026-07-31
27603	HCPCS	Inc/drn Deep Absc/hema Lower Leg: Ff	0	0	$3,503.00	$1,751.50 50% off	—	—	—	2026-07-31
27560	HCPCS	Cls Tx Patella Disloc Without Anes: Pf	0	0	$2,314.00	$1,157.00 50% off	—	—	—	2026-07-31
16025	HCPCS	Trtmnt Of Burn Without Anes Medium: Ff	0	0	$394.00	$197.00 50% off	—	—	—	2026-07-31
11721	HCPCS	Debride Nail 6+ Any Mthd	0	0	$233.00	$116.50 50% off	—	—	—	2026-07-31
27550	HCPCS	Cls Tx Knee Disloc Without Anes: Ff	0	0	$500.00	$250.00 50% off	—	—	—	2026-07-31
27538	HCPCS	Cls Tx Knee Fx With Or Without Mn: Ff	0	0	$557.00	$278.50 50% off	—	—	—	2026-07-31
16020	HCPCS	Trtmnt Of Burn Without Anest	0	0	$495.00	$247.50 50% off	—	—	—	2026-07-31
27530	HCPCS	Cls Tx Tibia/proximal Fx: Pf	0	0	$2,486.00	$1,243.00 50% off	—	—	—	2026-07-31

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