|
0110
|
RC
|
—
|
1
|
1
|
$1,500.00
|
$900.00
40% off
|
$1,500.00
|
$1,500.00
|
$1,500.00
|
2025-07-01
|
|
0120
|
RC
|
—
|
1
|
1
|
$1,400.00
|
$840.00
40% off
|
$1,400.00
|
$1,400.00
|
$1,400.00
|
2025-07-01
|
|
0200
|
RC
|
—
|
1
|
1
|
$2,500.00
|
$1,500.00
40% off
|
$1,851.00
|
$1,851.00
|
$1,851.00
|
2025-07-01
|
|
10005
|
HCPCS
|
US Fine Needle Asp Biopsy W Ima
|
2
|
2
|
$3,477.00
|
$2,086.20
40% off
|
$675.21
|
$675.21
|
$675.21
|
2025-07-01
|
|
10009
|
HCPCS
|
CT Biopsy Asp Fn
|
2
|
2
|
$2,205.00
|
$1,323.00
40% off
|
$675.21
|
$675.21
|
$675.21
|
2025-07-01
|
|
10080
|
HCPCS
|
I&d Pilonidal Cyst Simple
|
3
|
2
|
$189.00
|
$113.40
40% off
|
$512.00
|
$675.21
|
$675.21
|
2025-07-01
|
|
10081
|
HCPCS
|
I&d Of Pilonidal Cyst
|
3
|
2
|
$312.00
|
$187.20
40% off
|
$512.00
|
$675.21
|
$675.21
|
2025-07-01
|
|
10121
|
HCPCS
|
Removal Of Foreign Body
|
4
|
2
|
$336.00
|
$201.60
40% off
|
$224.66
|
$1,554.87
|
$1,033.43
|
2025-07-01
|
|
10140
|
HCPCS
|
I&d Of Hematoma Seroma/fluid Collect
|
3
|
2
|
$215.00
|
$129.00
40% off
|
$143.50
|
$1,554.87
|
$1,554.87
|
2025-07-01
|
|
10180
|
HCPCS
|
I&d Complex Postop Wound Infection
|
3
|
2
|
$320.00
|
$192.00
40% off
|
$220.21
|
$2,746.57
|
$2,746.57
|
2025-07-01
|
|
11044
|
HCPCS
|
Debride Bone
|
4
|
2
|
$414.00
|
$248.40
40% off
|
$265.06
|
$1,554.87
|
$1,033.43
|
2025-07-01
|
|
11400
|
HCPCS
|
Exc Of Lesion <0.5 Less Trunk
|
2
|
2
|
$151.00
|
$90.60
40% off
|
$675.21
|
$675.21
|
$675.21
|
2025-07-01
|
|
11402
|
HCPCS
|
Exc Benign Lesion 1.1 - 2.0 Cm
|
2
|
2
|
$210.00
|
$126.00
40% off
|
$675.21
|
$675.21
|
$675.21
|
2025-07-01
|
|
11403
|
HCPCS
|
Exc Benign Lesion 2.1 To 3 Cm
|
2
|
2
|
$296.00
|
$177.60
40% off
|
$675.21
|
$675.21
|
$675.21
|
2025-07-01
|
|
11404
|
HCPCS
|
Exc Benign Lesion 3.1 To 4 Cm
|
3
|
2
|
$296.00
|
$177.60
40% off
|
$190.02
|
$1,554.87
|
$1,554.87
|
2025-07-01
|
|
11406
|
HCPCS
|
Exc Benign Lesion >4.0 Cm
|
3
|
2
|
$449.00
|
$269.40
40% off
|
$271.49
|
$1,554.87
|
$1,554.87
|
2025-07-01
|
|
11420
|
HCPCS
|
Exc Benign Lesion 0.5 Or Less Cm
|
2
|
2
|
$150.00
|
$90.00
40% off
|
$106.87
|
$1,554.87
|
$830.87
|
2025-07-01
|
|
11421
|
HCPCS
|
Exc Benign Lesion 0.6-1.0 Cm
|
3
|
2
|
$199.00
|
$119.40
40% off
|
$135.10
|
$675.21
|
$675.21
|
2025-07-01
|
|
11422
|
HCPCS
|
Exc Benign Lesion 1.1-2.0 Cm
|
3
|
2
|
$245.00
|
$147.00
40% off
|
$152.12
|
$1,554.87
|
$1,554.87
|
2025-07-01
|
|
11423
|
HCPCS
|
Exc Benign Lesion 2.1-3.0 Cm
|
2
|
2
|
$282.00
|
$169.20
40% off
|
$1,554.87
|
$1,554.87
|
$1,554.87
|
2025-07-01
|
|
11424
|
HCPCS
|
Exc Benign Lesion 3.1-4.0 Cm
|
2
|
2
|
$323.00
|
$193.80
40% off
|
$1,554.87
|
$1,554.87
|
$1,554.87
|
2025-07-01
|
|
11426
|
HCPCS
|
Exc Benign Lesion >4.0 Cm
|
2
|
2
|
$496.00
|
$297.60
40% off
|
$2,746.57
|
$2,746.57
|
$2,746.57
|
2025-07-01
|
|
11440
|
HCPCS
|
Exc Lesion 0.5 Cm Or Less
|
2
|
2
|
$190.00
|
$114.00
40% off
|
$675.21
|
$675.21
|
$675.21
|
2025-07-01
|
|
11441
|
HCPCS
|
Exc Benign Lesion 0.6-1.0 Cm
|
2
|
2
|
$239.00
|
$143.40
40% off
|
$675.21
|
$675.21
|
$675.21
|
2025-07-01
|
|
11442
|
HCPCS
|
Exc Benign Lesion Face 1.1 - 2.0 Cm
|
2
|
2
|
$264.00
|
$158.40
40% off
|
$675.21
|
$675.21
|
$675.21
|
2025-07-01
|
|
11443
|
HCPCS
|
Exc Benign Lesion Face 2.1 - 3.0 Cm
|
2
|
2
|
$268.00
|
$160.80
40% off
|
$1,554.87
|
$1,554.87
|
$1,554.87
|
2025-07-01
|
|
11444
|
HCPCS
|
Exc Benign Lesion Face > 3.1
|
2
|
2
|
$296.00
|
$177.60
40% off
|
$1,554.87
|
$1,554.87
|
$1,554.87
|
2025-07-01
|
|
11446
|
HCPCS
|
Exc Benign Lesion Face > 4.0cm
|
2
|
2
|
$449.00
|
$269.40
40% off
|
$2,746.57
|
$2,746.57
|
$2,746.57
|
2025-07-01
|
|
11470
|
HCPCS
|
Exc Hidradenitis Perianal Umbilical
|
2
|
2
|
$517.00
|
$310.20
40% off
|
$2,746.57
|
$2,746.57
|
$2,746.57
|
2025-07-01
|
|
11601
|
HCPCS
|
Exc Malig Lesion Trunk Arm Leg 0.6 -1 Cm
|
2
|
2
|
$270.00
|
$162.00
40% off
|
$675.21
|
$675.21
|
$675.21
|
2025-07-01
|
|
11603
|
HCPCS
|
Fac Exc Malig Lesion 2.1-3.0
|
3
|
2
|
$662.00
|
$397.20
40% off
|
$237.28
|
$675.21
|
$675.21
|
2025-07-01
|
|
11606
|
HCPCS
|
Exc Malig Lesion Trunk Arm Leg > 4 Cm
|
2
|
2
|
$578.00
|
$346.80
40% off
|
$1,554.87
|
$1,554.87
|
$1,554.87
|
2025-07-01
|
|
11621
|
HCPCS
|
Exc Malig Lesion 0.6-1.0cm
|
2
|
2
|
$272.00
|
$163.20
40% off
|
$675.21
|
$675.21
|
$675.21
|
2025-07-01
|
|
11622
|
HCPCS
|
Exc Malig Lesion 1.1-2.0cm
|
2
|
2
|
$308.00
|
$184.80
40% off
|
$675.21
|
$675.21
|
$675.21
|
2025-07-01
|
|
11623
|
HCPCS
|
Exc Malig Lesion 2.1-3.0cm
|
2
|
2
|
$381.00
|
$228.60
40% off
|
$1,554.87
|
$1,554.87
|
$1,554.87
|
2025-07-01
|
|
11624
|
HCPCS
|
Exc Malig Lesion 3.1- 4.0cm
|
2
|
2
|
$434.00
|
$260.40
40% off
|
$1,554.87
|
$1,554.87
|
$1,554.87
|
2025-07-01
|
|
11626
|
HCPCS
|
Exc Malig Lesion > 4.0 Cm
|
2
|
2
|
$533.00
|
$319.80
40% off
|
$2,746.57
|
$2,746.57
|
$2,746.57
|
2025-07-01
|
|
11640
|
HCPCS
|
Exc Malig Lesion Face 0.5 Cm Or <
|
2
|
2
|
$230.00
|
$138.00
40% off
|
$675.21
|
$675.21
|
$675.21
|
2025-07-01
|
|
11641
|
HCPCS
|
Exc Malig Lesion Face 0.6-1.0 Cm
|
2
|
2
|
$282.00
|
$169.20
40% off
|
$675.21
|
$675.21
|
$675.21
|
2025-07-01
|
|
11642
|
HCPCS
|
Exc Malig Lesion Face 1.1-2.0 Cm
|
2
|
2
|
$331.00
|
$198.60
40% off
|
$675.21
|
$675.21
|
$675.21
|
2025-07-01
|
|
11643
|
HCPCS
|
Exc Malig Lesion Face 2.1-3.0 Cm
|
2
|
2
|
$415.00
|
$249.00
40% off
|
$1,554.87
|
$1,554.87
|
$1,554.87
|
2025-07-01
|
|
11644
|
HCPCS
|
Exc Malig Lesion Face 3.1-4.0 Cm
|
2
|
2
|
$515.00
|
$309.00
40% off
|
$1,554.87
|
$1,554.87
|
$1,554.87
|
2025-07-01
|
|
11646
|
HCPCS
|
Exc Malig Lesion Face > 4.0 Cm
|
2
|
2
|
$713.00
|
$427.80
40% off
|
$2,746.57
|
$2,746.57
|
$2,746.57
|
2025-07-01
|
|
11770
|
HCPCS
|
Exc Pilonidal Cyst Or Sinus Simple
|
2
|
2
|
$337.00
|
$202.20
40% off
|
$2,746.57
|
$2,746.57
|
$2,746.57
|
2025-07-01
|
|
11976
|
HCPCS
|
Remove Contraceptive Implant Capsules
|
2
|
2
|
$260.00
|
$156.00
40% off
|
$675.21
|
$675.21
|
$675.21
|
2025-07-01
|
|
12037
|
HCPCS
|
Layer Closure Wounds Over 30.0 Cm
|
2
|
2
|
$4,551.00
|
$2,730.60
40% off
|
$512.00
|
$1,755.42
|
$1,133.71
|
2025-07-01
|
|
12047
|
HCPCS
|
Repair Simple Over 30.0
|
2
|
2
|
$4,551.00
|
$2,730.60
40% off
|
$512.00
|
$1,755.42
|
$1,133.71
|
2025-07-01
|
|
13160
|
HCPCS
|
Secondary Closure Of Surgical Wound
|
4
|
2
|
$1,469.00
|
$881.40
40% off
|
$512.00
|
$1,755.42
|
$1,222.03
|
2025-07-01
|
|
14000
|
HCPCS
|
Adjacent Tissue Transfer ; 10 Cm Or <
|
2
|
2
|
$905.00
|
$543.00
40% off
|
$1,755.42
|
$1,755.42
|
$1,755.42
|
2025-07-01
|
|
14001
|
HCPCS
|
Adjacent Tissue Transfer 10.1 To 30 Cm
|
2
|
2
|
$1,176.00
|
$705.60
40% off
|
$1,755.42
|
$1,755.42
|
$1,755.42
|
2025-07-01
|
|
14301
|
HCPCS
|
Adjacent Tissue Transfer 30.1 Cm To 60.0
|
2
|
2
|
$1,576.00
|
$945.60
40% off
|
$3,513.26
|
$3,513.26
|
$3,513.26
|
2025-07-01
|
|
15002
|
HCPCS
|
Surg Prep/create Recipient Site By Exc
|
3
|
2
|
$400.00
|
$240.00
40% off
|
$288.31
|
$1,755.42
|
$1,755.42
|
2025-07-01
|
|
15100
|
HCPCS
|
Split Thick Skingraft
|
2
|
2
|
$1,294.00
|
$776.40
40% off
|
$1,755.42
|
$1,755.42
|
$1,755.42
|
2025-07-01
|
|
15220
|
HCPCS
|
Full Thickness Skin Graft
|
2
|
2
|
$1,102.00
|
$661.20
40% off
|
$1,755.42
|
$1,755.42
|
$1,755.42
|
2025-07-01
|
|
15271
|
HCPCS
|
App Skin Subst Leg First 25 Sq Cm,medically Necessary Exceeds Threshold
|
4
|
2
|
$155.00
|
$93.00
40% off
|
$129.51
|
$1,755.42
|
$942.47
|
2025-07-01
|
|
15273
|
HCPCS
|
App Skin Subst Leg First 100 Sq Cm,medically Necessary Exceeds Threshold
|
2
|
2
|
$362.00
|
$217.20
40% off
|
$3,513.26
|
$3,513.26
|
$3,513.26
|
2025-07-01
|
|
15275
|
HCPCS
|
Apply Skin Subst Feet First 25 Sq Cm,medically Necessary Exceeds Threshold
|
4
|
2
|
$175.00
|
$105.00
40% off
|
$135.94
|
$1,755.42
|
$945.68
|
2025-07-01
|
|
15277
|
HCPCS
|
App Skin Subst Feet First 100 Sq Cm,medically Necessary Exceeds Threshold
|
2
|
2
|
$412.00
|
$247.20
40% off
|
$1,755.42
|
$1,755.42
|
$1,755.42
|
2025-07-01
|
|
15734
|
HCPCS
|
Muscle/ Myo- / Fascio- Cutaneous Flap
|
3
|
2
|
$2,724.00
|
$1,634.40
40% off
|
$1,284.29
|
$3,513.26
|
$3,513.26
|
2025-07-01
|
|
15940
|
HCPCS
|
Exc Pressure Ulcer W/prim Suture; Isch
|
2
|
2
|
$1,274.00
|
$764.40
40% off
|
$2,746.57
|
$2,746.57
|
$2,746.57
|
2025-07-01
|
|
19083
|
HCPCS
|
US Biopsy Lt W Imaging 1 Lesion,left Side
|
4
|
2
|
$4,985.00
|
$2,991.00
40% off
|
$1,554.87
|
$1,554.87
|
$1,554.87
|
2025-07-01
|
|
19100
|
HCPCS
|
Fac Sc Biopsy Breast Needle Core Without IM
|
2
|
2
|
$1,496.00
|
$897.60
40% off
|
$1,554.87
|
$1,554.87
|
$1,554.87
|
2025-07-01
|
|
19281
|
HCPCS
|
Mm Needle Loc Rt W Imaging 1 Lesion
|
2
|
2
|
$1,654.00
|
$992.40
40% off
|
$1,554.87
|
$1,554.87
|
$1,554.87
|
2025-07-01
|
|
20103
|
HCPCS
|
Fac Wound Exploration Extremity
|
3
|
2
|
$662.00
|
$397.20
40% off
|
$471.40
|
$1,554.87
|
$1,554.87
|
2025-07-01
|
|
20206
|
HCPCS
|
Fac Biopsy Muscle Percut Needle
|
2
|
2
|
$1,496.00
|
$897.60
40% off
|
$1,554.87
|
$1,554.87
|
$1,554.87
|
2025-07-01
|
|
20220
|
HCPCS
|
CT Biopsy Bone, Sup Core 2of2
|
2
|
2
|
$4,985.00
|
$2,991.00
40% off
|
$1,554.87
|
$1,554.87
|
$1,554.87
|
2025-07-01
|
|
20240
|
HCPCS
|
Fac Excisional Bone Biopsy
|
3
|
2
|
$2,520.00
|
$1,512.00
40% off
|
$122.94
|
$2,746.57
|
$2,746.57
|
2025-07-01
|
|
20525
|
HCPCS
|
Removal Foreign Body Muscle/tendon, Comp
|
2
|
2
|
$449.00
|
$269.40
40% off
|
$2,746.57
|
$2,746.57
|
$2,746.57
|
2025-07-01
|
|
20692
|
HCPCS
|
Apply Multiplane Ext Fix System, Unilate
|
2
|
2
|
$2,040.00
|
$1,224.00
40% off
|
$980.04
|
$980.04
|
$980.04
|
2025-07-01
|
|
21011
|
HCPCS
|
Exc Tumor Soft Tissue Face/scalp; < 2 Cm
|
2
|
2
|
$467.00
|
$280.20
40% off
|
$1,554.87
|
$1,554.87
|
$1,554.87
|
2025-07-01
|
|
21012
|
HCPCS
|
Exc Tumor Soft Tissue Face/scalp 2cm >
|
2
|
2
|
$610.00
|
$366.00
40% off
|
$1,554.87
|
$1,554.87
|
$1,554.87
|
2025-07-01
|
|
21550
|
HCPCS
|
Biopsy Open Soft Tissue
|
2
|
2
|
$285.00
|
$171.00
40% off
|
$1,554.87
|
$1,554.87
|
$1,554.87
|
2025-07-01
|
|
21552
|
HCPCS
|
Exc Tumor Soft Tiss Neck/thorax Sq > 3cm
|
2
|
2
|
$812.00
|
$487.20
40% off
|
$2,746.57
|
$2,746.57
|
$2,746.57
|
2025-07-01
|
|
21554
|
HCPCS
|
Exc Tumor Soft Tiss Ant Thor Subfa >5 Cm
|
2
|
2
|
$1,330.00
|
$798.00
40% off
|
$2,746.57
|
$2,746.57
|
$2,746.57
|
2025-07-01
|
|
21920
|
HCPCS
|
Biopsy Open
|
2
|
2
|
$284.00
|
$170.40
40% off
|
$1,554.87
|
$1,554.87
|
$1,554.87
|
2025-07-01
|
|
21930
|
HCPCS
|
Exc Tumor Back <3 Cm; Subcutaneous
|
2
|
2
|
$657.00
|
$394.20
40% off
|
$1,554.87
|
$1,554.87
|
$1,554.87
|
2025-07-01
|
|
21931
|
HCPCS
|
Exc Tumor Back 3cm Or > Subcutaneous
|
2
|
2
|
$853.00
|
$511.80
40% off
|
$1,554.87
|
$1,554.87
|
$1,554.87
|
2025-07-01
|
|
21932
|
HCPCS
|
Exc Soft Tumor Subfascial; < 5 Cm
|
2
|
2
|
$1,188.00
|
$712.80
40% off
|
$2,746.57
|
$2,746.57
|
$2,746.57
|
2025-07-01
|
|
21933
|
HCPCS
|
Exc Soft Tumor 5cm Or Greater Subfascial
|
2
|
2
|
$1,341.00
|
$804.60
40% off
|
$2,746.57
|
$2,746.57
|
$2,746.57
|
2025-07-01
|
|
22902
|
HCPCS
|
Excision Tumor Abd Wall Soft Tissue < 3
|
2
|
2
|
$589.00
|
$353.40
40% off
|
$1,554.87
|
$1,554.87
|
$1,554.87
|
2025-07-01
|
|
22903
|
HCPCS
|
Excision Tumor Abd Wall Soft Tissue 3 Cm
|
2
|
2
|
$799.00
|
$479.40
40% off
|
$2,746.57
|
$2,746.57
|
$2,746.57
|
2025-07-01
|
|
23030
|
HCPCS
|
I&d Abscess; Deep; Shoulder Area
|
3
|
2
|
$463.00
|
$277.80
40% off
|
$367.23
|
$2,746.57
|
$2,746.57
|
2025-07-01
|
|
23065
|
HCPCS
|
Biopsy Soft Tissue Shoulder
|
2
|
2
|
$294.00
|
$176.40
40% off
|
$1,554.87
|
$1,554.87
|
$1,554.87
|
2025-07-01
|
|
23071
|
HCPCS
|
Exc Tumor Soft Tissue Shoulder >3
|
2
|
2
|
$762.00
|
$457.20
40% off
|
$1,554.87
|
$1,554.87
|
$1,554.87
|
2025-07-01
|
|
23073
|
HCPCS
|
Exc Tumor Soft Tissue Shoulder>5cm
|
2
|
2
|
$1,264.00
|
$758.40
40% off
|
$2,746.57
|
$2,746.57
|
$2,746.57
|
2025-07-01
|
|
23075
|
HCPCS
|
Excision Tumor; Shoulder <3 Cm
|
2
|
2
|
$910.00
|
$546.00
40% off
|
$1,554.87
|
$1,554.87
|
$1,554.87
|
2025-07-01
|
|
23330
|
HCPCS
|
Remove Foreign Body; Soft Tissue;shoulde
|
2
|
2
|
$1,907.00
|
$1,144.20
40% off
|
$512.00
|
$1,554.87
|
$1,033.43
|
2025-07-01
|
|
23334
|
HCPCS
|
Remove Prosthesis Shoulder
|
2
|
2
|
$1,930.00
|
$1,158.00
40% off
|
$918.12
|
$918.12
|
$918.12
|
2025-07-01
|
|
23335
|
HCPCS
|
Remove Prosthesis Shoulder; Total
|
2
|
2
|
$2,314.00
|
$1,388.40
40% off
|
$1,091.39
|
$1,091.39
|
$1,091.39
|
2025-07-01
|
|
23410
|
HCPCS
|
Repair Rotator Cuff Open; Acute
|
2
|
2
|
$1,490.00
|
$894.00
40% off
|
$709.61
|
$709.61
|
$709.61
|
2025-07-01
|
|
23412
|
HCPCS
|
Repair Rotator Cuff Open; Chronic
|
2
|
2
|
$1,548.00
|
$928.80
40% off
|
$737.31
|
$737.31
|
$737.31
|
2025-07-01
|
|
23450
|
HCPCS
|
Repair Shoulder Capsule Anterior
|
2
|
2
|
$1,711.00
|
$1,026.60
40% off
|
$816.78
|
$816.78
|
$816.78
|
2025-07-01
|
|
23455
|
HCPCS
|
Repair Shoulder Capsule (bankart)
|
2
|
2
|
$1,807.00
|
$1,084.20
40% off
|
$841.69
|
$841.69
|
$841.69
|
2025-07-01
|
|
23460
|
HCPCS
|
Repair Shoulder Capsule With Bone Block
|
2
|
2
|
$1,980.00
|
$1,188.00
40% off
|
$940.28
|
$940.28
|
$940.28
|
2025-07-01
|
|
23465
|
HCPCS
|
Repair Shoulder Capsule W/coracoid Trans
|
2
|
2
|
$2,032.00
|
$1,219.20
40% off
|
$964.06
|
$964.06
|
$964.06
|
2025-07-01
|
|
23466
|
HCPCS
|
Repair Shoulder Capsule; Multidirection
|
2
|
2
|
$2,032.00
|
$1,219.20
40% off
|
$965.98
|
$965.98
|
$965.98
|
2025-07-01
|
|
23470
|
HCPCS
|
Arthroplasty; Glenohumeral Joint
|
2
|
2
|
$2,180.00
|
$1,308.00
40% off
|
$1,032.41
|
$1,032.41
|
$1,032.41
|
2025-07-01
|
|
23472
|
HCPCS
|
Arthroplasty; Total Shoulder
|
2
|
2
|
$2,630.00
|
$1,578.00
40% off
|
$1,243.58
|
$1,243.58
|
$1,243.58
|
2025-07-01
|
|
23473
|
HCPCS
|
Revision Total Shoulder Arthroplasty
|
2
|
2
|
$2,931.00
|
$1,758.60
40% off
|
$1,383.61
|
$1,383.61
|
$1,383.61
|
2025-07-01
|
|
23474
|
HCPCS
|
Revision Total Shoulder Arthroplasty H&g
|
2
|
2
|
$3,186.00
|
$1,911.60
40% off
|
$1,493.50
|
$1,493.50
|
$1,493.50
|
2025-07-01
|
|
23480
|
HCPCS
|
Revision Clavicle W/wo Int Fixation
|
2
|
2
|
$1,479.00
|
$887.40
40% off
|
$710.17
|
$710.17
|
$710.17
|
2025-07-01
|
|
23505
|
HCPCS
|
Treat Clavicular Fx With Manipulation
|
2
|
2
|
$4,268.00
|
$2,560.80
40% off
|
$512.00
|
$1,535.84
|
$1,023.92
|
2025-07-01
|
|
23585
|
HCPCS
|
Treat Scapular Fracture; Open
|
2
|
2
|
$1,758.00
|
$1,054.80
40% off
|
$843.51
|
$843.51
|
$843.51
|
2025-07-01
|
|
23615
|
HCPCS
|
Treat Humerus Fracture; Proximal; Open
|
2
|
2
|
$1,604.00
|
$962.40
40% off
|
$764.74
|
$764.74
|
$764.74
|
2025-07-01
|
|
23616
|
HCPCS
|
Treat Humerus Fxt W/prosthetic Replaceme
|
2
|
2
|
$2,234.00
|
$1,340.40
40% off
|
$1,064.00
|
$1,064.00
|
$1,064.00
|
2025-07-01
|
|
23630
|
HCPCS
|
Treat Humerus Fracture; Greater; Open
|
2
|
2
|
$1,415.00
|
$849.00
40% off
|
$677.77
|
$677.77
|
$677.77
|
2025-07-01
|
|
23670
|
HCPCS
|
Open Tx Should Dislocation With Fracture
|
2
|
2
|
$1,579.00
|
$947.40
40% off
|
$756.47
|
$756.47
|
$756.47
|
2025-07-01
|
|
24071
|
HCPCS
|
Exc Les Soft Tissue > 3cm
|
2
|
2
|
$737.00
|
$442.20
40% off
|
$2,746.57
|
$2,746.57
|
$2,746.57
|
2025-07-01
|
|
24073
|
HCPCS
|
Ex Arm/elbow Tum Deep 5cm/>
|
2
|
2
|
$1,259.00
|
$755.40
40% off
|
$2,746.57
|
$2,746.57
|
$2,746.57
|
2025-07-01
|
|
24200
|
HCPCS
|
Remove Foreign Body; Soft Tissue; Arm
|
2
|
2
|
$4,311.00
|
$2,586.60
40% off
|
$512.00
|
$1,554.87
|
$1,033.43
|
2025-07-01
|
|
24342
|
HCPCS
|
Repair Ruptured Tendon Bicep/tricep
|
2
|
2
|
$1,412.00
|
$847.20
40% off
|
$671.69
|
$671.69
|
$671.69
|
2025-07-01
|
|
24363
|
HCPCS
|
Arthroplasty Total Elbow
|
2
|
2
|
$2,631.00
|
$1,578.60
40% off
|
$1,249.17
|
$1,249.17
|
$1,249.17
|
2025-07-01
|
|
24430
|
HCPCS
|
Repair Nonunion/malunion, Humerus
|
2
|
2
|
$1,911.00
|
$1,146.60
40% off
|
$912.44
|
$912.44
|
$912.44
|
2025-07-01
|
|
24515
|
HCPCS
|
Treat Humerus Fracture; Shaft; Open
|
2
|
2
|
$1,601.00
|
$960.60
40% off
|
$762.09
|
$762.09
|
$762.09
|
2025-07-01
|
|
24516
|
HCPCS
|
Treat Humeral Shaft Fracture With Nailing
|
2
|
2
|
$1,562.00
|
$937.20
40% off
|
$742.72
|
$742.72
|
$742.72
|
2025-07-01
|
|
24535
|
HCPCS
|
Treat Fracture; Supracond; With Manip
|
2
|
2
|
$4,268.00
|
$2,560.80
40% off
|
$512.00
|
$1,535.84
|
$1,023.92
|
2025-07-01
|
|
24538
|
HCPCS
|
Treat Humerus Fracture; Perc Fixation
|
2
|
2
|
$1,437.00
|
$862.20
40% off
|
$680.42
|
$680.42
|
$680.42
|
2025-07-01
|
|
24579
|
HCPCS
|
Treat Humeral/condylar Fx, Med Or Lat
|
2
|
2
|
$1,515.00
|
$909.00
40% off
|
$725.09
|
$725.09
|
$725.09
|
2025-07-01
|
|
24605
|
HCPCS
|
Reduction/dislocation Elbow W/anesthesia
|
2
|
2
|
$4,268.00
|
$2,560.80
40% off
|
$512.00
|
$1,535.84
|
$1,023.92
|
2025-07-01
|
|
24655
|
HCPCS
|
Reducution Fracture Radius With Manipulat
|
2
|
2
|
$4,268.00
|
$2,560.80
40% off
|
$512.00
|
$1,535.84
|
$1,023.92
|
2025-07-01
|
|
24675
|
HCPCS
|
Reducution Fracture Ulnar With Manipulat
|
2
|
2
|
$4,268.00
|
$2,560.80
40% off
|
$512.00
|
$1,535.84
|
$1,023.92
|
2025-07-01
|
|
25071
|
HCPCS
|
Exc Tumor Forearm/wrist, Subc > 3cm
|
2
|
2
|
$770.00
|
$462.00
40% off
|
$1,554.87
|
$1,554.87
|
$1,554.87
|
2025-07-01
|
|
25076
|
HCPCS
|
Exc Tumor Arm Subfascial <3cm
|
2
|
2
|
$941.00
|
$564.60
40% off
|
$1,554.87
|
$1,554.87
|
$1,554.87
|
2025-07-01
|
|
25248
|
HCPCS
|
Incision W Removal Foreign Body Forearm
|
3
|
2
|
$764.00
|
$458.40
40% off
|
$363.53
|
$1,535.84
|
$1,535.84
|
2025-07-01
|
|
25400
|
HCPCS
|
Repair Radius Or Ulna; Non- Or Mal-union
|
2
|
2
|
$1,461.00
|
$876.60
40% off
|
$696.68
|
$696.68
|
$696.68
|
2025-07-01
|
|
25415
|
HCPCS
|
Repair Radius & Ulna Non/malunion
|
2
|
2
|
$1,743.00
|
$1,045.80
40% off
|
$836.19
|
$836.19
|
$836.19
|
2025-07-01
|
|
25447
|
HCPCS
|
Arthroplasty; Wrist; Interposition
|
2
|
2
|
$1,511.00
|
$906.60
40% off
|
$695.33
|
$695.33
|
$695.33
|
2025-07-01
|
|
25575
|
HCPCS
|
Treat Ulna & Radius Fracture; Open
|
2
|
2
|
$1,641.00
|
$984.60
40% off
|
$784.32
|
$784.32
|
$784.32
|
2025-07-01
|
|
25608
|
HCPCS
|
Treat Radial Fx With Fixation 2 Frag; Open
|
2
|
2
|
$1,502.00
|
$901.20
40% off
|
$720.28
|
$720.28
|
$720.28
|
2025-07-01
|
|
25825
|
HCPCS
|
Fuse Hand Bones With Graft
|
2
|
2
|
$1,445.00
|
$867.00
40% off
|
$686.22
|
$686.22
|
$686.22
|
2025-07-01
|
|
26011
|
HCPCS
|
Drain Abscess, Finger; Compl (felon)
|
3
|
2
|
$337.00
|
$202.20
40% off
|
$337.00
|
$1,554.87
|
$1,554.87
|
2025-07-01
|
|
26035
|
HCPCS
|
Decompress Finger/hand, Injection Injury
|
2
|
2
|
$1,561.00
|
$936.60
40% off
|
$745.94
|
$745.94
|
$745.94
|
2025-07-01
|
|
26123
|
HCPCS
|
Fasciectomy W/release Single Digit
|
2
|
2
|
$1,520.00
|
$912.00
40% off
|
$730.01
|
$730.01
|
$730.01
|
2025-07-01
|
|
26356
|
HCPCS
|
Repair Flexor Tendon; Hand/finger
|
2
|
2
|
$1,443.00
|
$865.80
40% off
|
$690.01
|
$690.01
|
$690.01
|
2025-07-01
|
|
26705
|
HCPCS
|
Reduction Dislocation; Finger With Anesthe
|
2
|
2
|
$4,268.00
|
$2,560.80
40% off
|
$512.00
|
$1,535.84
|
$1,023.92
|
2025-07-01
|
|
27086
|
HCPCS
|
Remove Foreign Body; Soft Tissue; Hip
|
2
|
2
|
$7,265.00
|
$4,359.00
40% off
|
$512.00
|
$2,746.57
|
$1,629.29
|
2025-07-01
|
|
27087
|
HCPCS
|
Remove Foreign Body; Deep; Hip
|
2
|
2
|
$8,677.00
|
$5,206.20
40% off
|
$512.00
|
$3,113.70
|
$1,812.85
|
2025-07-01
|
|
27091
|
HCPCS
|
Remove Hip Prosthesis; Complicated
|
2
|
2
|
$2,905.00
|
$1,743.00
40% off
|
$1,369.01
|
$1,369.01
|
$1,369.01
|
2025-07-01
|
|
27125
|
HCPCS
|
Replacement, Hip; Partial
|
2
|
2
|
$2,063.00
|
$1,237.80
40% off
|
$975.28
|
$975.28
|
$975.28
|
2025-07-01
|
|
27130
|
HCPCS
|
Arthroplasty; Total Hip
|
2
|
2
|
$2,331.00
|
$1,398.60
40% off
|
$1,105.02
|
$1,105.02
|
$1,105.02
|
2025-07-01
|
|
27132
|
HCPCS
|
Arthroplasty; Total Hip; Conversion
|
2
|
2
|
$3,049.00
|
$1,829.40
40% off
|
$1,435.28
|
$1,435.28
|
$1,435.28
|
2025-07-01
|
|
27134
|
HCPCS
|
Revision Total Hip Arthroplasty
|
2
|
2
|
$3,483.00
|
$2,089.80
40% off
|
$1,633.94
|
$1,633.94
|
$1,633.94
|
2025-07-01
|
|
27137
|
HCPCS
|
Revision Total Hip Arthroplasty; Actabul
|
2
|
2
|
$2,677.00
|
$1,606.20
40% off
|
$1,259.33
|
$1,259.33
|
$1,259.33
|
2025-07-01
|
|
27138
|
HCPCS
|
Revision Total Hip Arthroplasty; Actabul
|
2
|
2
|
$2,782.00
|
$1,669.20
40% off
|
$1,308.21
|
$1,308.21
|
$1,308.21
|
2025-07-01
|
|
27235
|
HCPCS
|
Percutaneous Fixation Femur, Neck/proxim
|
2
|
2
|
$1,640.00
|
$984.00
40% off
|
$783.07
|
$783.07
|
$783.07
|
2025-07-01
|
|
27236
|
HCPCS
|
Treat Femoral Fracture; Open
|
2
|
2
|
$2,175.00
|
$1,305.00
40% off
|
$1,028.01
|
$1,028.01
|
$1,028.01
|
2025-07-01
|
|
27244
|
HCPCS
|
Treat Femoral Fracture W/implant
|
2
|
2
|
$2,239.00
|
$1,343.40
40% off
|
$1,057.65
|
$1,057.65
|
$1,057.65
|
2025-07-01
|
|
27245
|
HCPCS
|
Treat Femoral Fracture W/implant Intrame
|
2
|
2
|
$2,237.00
|
$1,342.20
40% off
|
$1,056.50
|
$1,056.50
|
$1,056.50
|
2025-07-01
|
|
27252
|
HCPCS
|
Reduction Dislocated Hip; Traum W/anesth
|
2
|
2
|
$4,268.00
|
$2,560.80
40% off
|
$512.00
|
$1,535.84
|
$1,023.92
|
2025-07-01
|
|
27253
|
HCPCS
|
Treat Hip Dislocation; Open, Trauma
|
2
|
2
|
$1,716.00
|
$1,029.60
40% off
|
$810.63
|
$810.63
|
$810.63
|
2025-07-01
|
|
27257
|
HCPCS
|
Reduction Dislocated Hip; Spont W/anesth
|
2
|
2
|
$4,268.00
|
$2,560.80
40% off
|
$512.00
|
$1,535.84
|
$1,023.92
|
2025-07-01
|
|
27324
|
HCPCS
|
Biopsy Deep Subfascial Intramuscular Leg
|
2
|
2
|
$736.00
|
$441.60
40% off
|
$2,746.57
|
$2,746.57
|
$2,746.57
|
2025-07-01
|
|
27328
|
HCPCS
|
Exc Tumor Soft Tissue Thigh/knee Subfasc
|
2
|
2
|
$1,130.00
|
$678.00
40% off
|
$2,746.57
|
$2,746.57
|
$2,746.57
|
2025-07-01
|
|
27337
|
HCPCS
|
Exc Tumor Thigh/knee, Subc > 3cm
|
2
|
2
|
$785.00
|
$471.00
40% off
|
$2,746.57
|
$2,746.57
|
$2,746.57
|
2025-07-01
|
|
27339
|
HCPCS
|
Exc Tumor Thigh/knee, Subfascial 5cm >
|
2
|
2
|
$1,370.00
|
$822.00
40% off
|
$2,746.57
|
$2,746.57
|
$2,746.57
|
2025-07-01
|
|
27360
|
HCPCS
|
Excision Bone, Leg; Partial
|
2
|
2
|
$1,646.00
|
$987.60
40% off
|
$774.47
|
$774.47
|
$774.47
|
2025-07-01
|
|
27372
|
HCPCS
|
Removal Foreign Body Thigh/knee Area
|
3
|
2
|
$730.00
|
$438.00
40% off
|
$495.96
|
$2,746.57
|
$2,746.57
|
2025-07-01
|
|
27415
|
HCPCS
|
Fem Hcon Lat Fs/a Rt
|
3
|
2
|
$26,278.00
|
$15,766.80
40% off
|
$1,182.60
|
$12,347.67
|
$12,347.67
|
2025-07-01
|
|
27416
|
HCPCS
|
Osteochondral Autograft; Open (oats)
|
2
|
2
|
$1,780.00
|
$1,068.00
40% off
|
$847.18
|
$847.18
|
$847.18
|
2025-07-01
|
|
27418
|
HCPCS
|
Anterior Tibial Tubercleplasty (marquet)
|
2
|
2
|
$1,513.00
|
$907.80
40% off
|
$709.38
|
$709.38
|
$709.38
|
2025-07-01
|
|
27438
|
HCPCS
|
Arthroplasty, Patella; With Prosthesis
|
2
|
2
|
$1,528.00
|
$916.80
40% off
|
$728.30
|
$728.30
|
$728.30
|
2025-07-01
|
|
27446
|
HCPCS
|
Arthroplasty, Knee; Medial Or Lateral
|
2
|
2
|
$2,095.00
|
$1,257.00
40% off
|
$989.02
|
$989.02
|
$989.02
|
2025-07-01
|
|
27447
|
HCPCS
|
Arthroplasty, Knee; Total
|
2
|
2
|
$2,329.00
|
$1,397.40
40% off
|
$1,103.76
|
$1,103.76
|
$1,103.76
|
2025-07-01
|
|
27455
|
HCPCS
|
Osteotomy Knee; Before Epiphy Closure
|
2
|
2
|
$1,746.00
|
$1,047.60
40% off
|
$827.81
|
$827.81
|
$827.81
|
2025-07-01
|
|
27486
|
HCPCS
|
Revision Total Knee Arthroplasty; 1 Comp
|
2
|
2
|
$2,561.00
|
$1,536.60
40% off
|
$1,208.46
|
$1,208.46
|
$1,208.46
|
2025-07-01
|
|
27487
|
HCPCS
|
Revision Total Knee Arthroplasty
|
2
|
2
|
$3,200.00
|
$1,920.00
40% off
|
$1,505.34
|
$1,505.34
|
$1,505.34
|
2025-07-01
|
|
27488
|
HCPCS
|
Remove Knee Prosthesis
|
2
|
2
|
$2,187.00
|
$1,312.20
40% off
|
$1,034.46
|
$1,034.46
|
$1,034.46
|
2025-07-01
|
|
27502
|
HCPCS
|
Treat Femoral Shaft Fx With Manipulation
|
2
|
2
|
$4,268.00
|
$2,560.80
40% off
|
$512.00
|
$1,535.84
|
$1,023.92
|
2025-07-01
|
|
27503
|
HCPCS
|
Treat Femur Fracture, Supracondylar
|
4
|
2
|
$2,860.50
|
$1,716.30
40% off
|
$512.00
|
$1,535.84
|
$693.20
|
2025-07-01
|
|
27506
|
HCPCS
|
Treat Femur Shaft Fracture W/intrmed Imp
|
2
|
2
|
$2,437.00
|
$1,462.20
40% off
|
$1,152.52
|
$1,152.52
|
$1,152.52
|
2025-07-01
|
|
27507
|
HCPCS
|
Treat Femur Shaft Fracture W/plates/scre
|
2
|
2
|
$1,769.00
|
$1,061.40
40% off
|
$834.42
|
$834.42
|
$834.42
|
2025-07-01
|
|
27510
|
HCPCS
|
Treat Femoral Fx; Distal With Manipulation
|
2
|
2
|
$4,268.00
|
$2,560.80
40% off
|
$512.00
|
$1,535.84
|
$1,023.92
|
2025-07-01
|
|
27511
|
HCPCS
|
Treat Supracondylar Fracture, Open
|
2
|
2
|
$1,788.00
|
$1,072.80
40% off
|
$856.47
|
$856.47
|
$856.47
|
2025-07-01
|
|
27514
|
HCPCS
|
Treat Femur Fracture; Open
|
2
|
2
|
$1,767.00
|
$1,060.20
40% off
|
$831.90
|
$831.90
|
$831.90
|
2025-07-01
|
|
27535
|
HCPCS
|
Treat Tibia Fracture, Prox; Unicondylar
|
2
|
2
|
$1,640.00
|
$984.00
40% off
|
$772.52
|
$772.52
|
$772.52
|
2025-07-01
|
|
27536
|
HCPCS
|
Treat Tibia Fracture, Prox; Bicondylar
|
2
|
2
|
$2,160.00
|
$1,296.00
40% off
|
$1,023.97
|
$1,023.97
|
$1,023.97
|
2025-07-01
|
|
27540
|
HCPCS
|
Treat Tuberosity/intercon Fracture; Knee
|
2
|
2
|
$1,478.00
|
$886.80
40% off
|
$705.39
|
$705.39
|
$705.39
|
2025-07-01
|
|
27552
|
HCPCS
|
Closed Reduction Of Knee With Anesthesia
|
2
|
2
|
$4,268.00
|
$2,560.80
40% off
|
$512.00
|
$1,535.84
|
$1,023.92
|
2025-07-01
|
|
27557
|
HCPCS
|
Open Treatment Knee Dislocation
|
2
|
2
|
$1,910.00
|
$1,146.00
40% off
|
$897.99
|
$897.99
|
$897.99
|
2025-07-01
|
|
27603
|
HCPCS
|
I&d Abscess / Hematoma Leg/ Ankle
|
2
|
2
|
$714.00
|
$428.40
40% off
|
$2,746.57
|
$2,746.57
|
$2,746.57
|
2025-07-01
|
|
27613
|
HCPCS
|
Biopsy Soft Tissue Of Leg Or Ankle
|
2
|
2
|
$294.00
|
$176.40
40% off
|
$1,554.87
|
$1,554.87
|
$1,554.87
|
2025-07-01
|
|
27618
|
HCPCS
|
Excision Tumor Leg/ankle < 3 Cm
|
3
|
2
|
$556.00
|
$333.60
40% off
|
$405.34
|
$1,554.87
|
$1,554.87
|
2025-07-01
|
|
27720
|
HCPCS
|
Repair Nonunion / Malunion Tibia
|
2
|
2
|
$1,581.80
|
$949.08
40% off
|
$755.74
|
$755.74
|
$755.74
|
2025-07-01
|
|
27758
|
HCPCS
|
Treat Tibia Fracture; Open; W/plate/scre
|
2
|
2
|
$1,628.00
|
$976.80
40% off
|
$774.87
|
$774.87
|
$774.87
|
2025-07-01
|
|
27759
|
HCPCS
|
Treat Tibia Fxt With Intramedullary Nail
|
2
|
2
|
$1,803.00
|
$1,081.80
40% off
|
$860.95
|
$860.95
|
$860.95
|
2025-07-01
|
|
27762
|
HCPCS
|
Treat Med Malleolus Fx With Manipulat
|
2
|
2
|
$4,268.00
|
$2,560.80
40% off
|
$512.00
|
$1,535.84
|
$1,023.92
|
2025-07-01
|
|
27768
|
HCPCS
|
Treat Post Malleolus Fx With Manipulat
|
2
|
2
|
$4,268.00
|
$2,560.80
40% off
|
$512.00
|
$1,535.84
|
$1,023.92
|
2025-07-01
|
|
27781
|
HCPCS
|
Treat Fibular Fx, Prox/shaft With Manipula
|
2
|
2
|
$4,268.00
|
$2,560.80
40% off
|
$512.00
|
$1,535.84
|
$1,023.92
|
2025-07-01
|
|
27810
|
HCPCS
|
Treat Bimalleolar Ankle Fx Without Manip
|
2
|
2
|
$4,268.00
|
$2,560.80
40% off
|
$512.00
|
$1,535.84
|
$1,023.92
|
2025-07-01
|
|
27818
|
HCPCS
|
Treat Trimalleolar Ankle Fx With Manip
|
2
|
2
|
$4,268.00
|
$2,560.80
40% off
|
$512.00
|
$1,535.84
|
$1,023.92
|
2025-07-01
|
|
27822
|
HCPCS
|
Treat Ankle Fracture; Open; Trimalleolar
|
2
|
2
|
$1,596.00
|
$957.60
40% off
|
$750.29
|
$750.29
|
$750.29
|
2025-07-01
|
|
27823
|
HCPCS
|
Treat Ankle Fracture; Open; Trimalleolar
|
2
|
2
|
$1,796.00
|
$1,077.60
40% off
|
$846.26
|
$846.26
|
$846.26
|
2025-07-01
|
|
27825
|
HCPCS
|
Treat Tibia Fx Distal/wt Bear With Manip
|
2
|
2
|
$4,268.00
|
$2,560.80
40% off
|
$512.00
|
$1,535.84
|
$1,023.92
|
2025-07-01
|
|
27828
|
HCPCS
|
Open Treatment Fracture; Tibia & Fibula
|
2
|
2
|
$2,421.00
|
$1,452.60
40% off
|
$1,138.41
|
$1,138.41
|
$1,138.41
|
2025-07-01
|
|
27842
|
HCPCS
|
Reduction/dislocation Ankle W/anesthesia
|
2
|
2
|
$4,268.00
|
$2,560.80
40% off
|
$512.00
|
$1,535.84
|
$1,023.92
|
2025-07-01
|
|
27870
|
HCPCS
|
Arthrodesis, Ankle; Open
|
2
|
2
|
$1,850.00
|
$1,110.00
40% off
|
$874.41
|
$874.41
|
$874.41
|
2025-07-01
|
|
27880
|
HCPCS
|
Amputation Lower Leg, Through Tib/fib
|
2
|
2
|
$1,640.00
|
$984.00
40% off
|
$762.30
|
$762.30
|
$762.30
|
2025-07-01
|
|
27884
|
HCPCS
|
Secondary Closure Amputation
|
2
|
2
|
$1,046.00
|
$627.60
40% off
|
$3,113.70
|
$3,113.70
|
$3,113.70
|
2025-07-01
|
|
27894
|
HCPCS
|
Decompression Fasciotomy, Leg Ant/lat/po
|
2
|
2
|
$1,491.00
|
$894.60
40% off
|
$705.06
|
$705.06
|
$705.06
|
2025-07-01
|
|
28120
|
HCPCS
|
Partial Removal Of Ankle/heel
|
3
|
2
|
$912.00
|
$547.20
40% off
|
$570.26
|
$3,113.70
|
$3,113.70
|
2025-07-01
|
|
28193
|
HCPCS
|
Remove Foreign Body; Foot; Complicated
|
2
|
2
|
$4,311.00
|
$2,586.60
40% off
|
$512.00
|
$1,554.87
|
$1,033.43
|
2025-07-01
|
|
28262
|
HCPCS
|
Capsulotomy W/tendon Lengthening; Extens
|
2
|
2
|
$2,054.00
|
$1,232.40
40% off
|
$1,180.62
|
$1,180.62
|
$1,180.62
|
2025-07-01
|
|
28295
|
HCPCS
|
Correction Hallux Valgus W/prox Osteotom
|
2
|
2
|
$1,131.00
|
$678.60
40% off
|
$866.81
|
$866.81
|
$866.81
|
2025-07-01
|
|
28297
|
HCPCS
|
Correct Hallux Valgus W/arthrodesis
|
2
|
2
|
$1,112.00
|
$667.20
40% off
|
$852.28
|
$852.28
|
$852.28
|
2025-07-01
|
|
28615
|
HCPCS
|
Repair Joint Dislocation, Foot
|
2
|
2
|
$1,499.00
|
$899.40
40% off
|
$716.93
|
$716.93
|
$716.93
|
2025-07-01
|
|
28635
|
HCPCS
|
Treat Toe Dislocation With Anesthesia
|
2
|
2
|
$4,268.00
|
$2,560.80
40% off
|
$512.00
|
$1,535.84
|
$1,023.92
|
2025-07-01
|
|
28725
|
HCPCS
|
Arthrodesis Foot; Subtalar
|
2
|
2
|
$1,420.00
|
$852.00
40% off
|
$677.09
|
$677.09
|
$677.09
|
2025-07-01
|
|
28740
|
HCPCS
|
Arthrodesis, Foot, Single; Mid/tarsometa
|
2
|
2
|
$1,134.00
|
$680.40
40% off
|
$702.30
|
$702.30
|
$702.30
|
2025-07-01
|
|
29806
|
HCPCS
|
Arthroscopy, Shoulder; Surgical
|
2
|
2
|
$1,924.00
|
$1,154.40
40% off
|
$913.14
|
$913.14
|
$913.14
|
2025-07-01
|
|
29807
|
HCPCS
|
Arthroscopy, Shoulder; Rep Slap Lesion
|
2
|
2
|
$1,877.00
|
$1,126.20
40% off
|
$891.69
|
$891.69
|
$891.69
|
2025-07-01
|
|
29827
|
HCPCS
|
Arthroscopy, Shoulder; With Rotat Cuff Rep
|
2
|
2
|
$1,944.00
|
$1,166.40
40% off
|
$921.52
|
$921.52
|
$921.52
|
2025-07-01
|
|
29828
|
HCPCS
|
Arthroscopy, Shoulder; With Tenodesis Bic
|
2
|
2
|
$1,667.00
|
$1,000.20
40% off
|
$791.25
|
$791.25
|
$791.25
|
2025-07-01
|
|
29855
|
HCPCS
|
Treat Tibia Fracture; Arthroscopic Aided
|
2
|
2
|
$1,418.00
|
$850.80
40% off
|
$675.95
|
$675.95
|
$675.95
|
2025-07-01
|
|
29866
|
HCPCS
|
Arthroscopy Knee; Surgical; Autograft
|
2
|
2
|
$1,907.00
|
$1,144.20
40% off
|
$909.31
|
$909.31
|
$909.31
|
2025-07-01
|
|
29883
|
HCPCS
|
Arthroscopy Knee With Meniscus Repair M&l
|
2
|
2
|
$1,526.00
|
$915.60
40% off
|
$725.69
|
$725.69
|
$725.69
|
2025-07-01
|
|
29888
|
HCPCS
|
Arthroscopic Repair Cruciate Ligament
|
2
|
2
|
$1,777.00
|
$1,066.20
40% off
|
$840.81
|
$840.81
|
$840.81
|
2025-07-01
|
|
30310
|
HCPCS
|
Removal Of Nasal Foreign Body
|
2
|
2
|
$7,268.00
|
$4,360.80
40% off
|
$512.00
|
$3,112.22
|
$1,812.11
|
2025-07-01
|
|
31600
|
HCPCS
|
Tracheostomy Planned
|
2
|
2
|
$560.00
|
$336.00
40% off
|
$3,112.22
|
$3,112.22
|
$3,112.22
|
2025-07-01
|
|
31628
|
HCPCS
|
Biopsy Lung Endoscopic
|
1
|
1
|
$331.00
|
$198.60
40% off
|
$3,538.18
|
$3,538.18
|
$3,538.18
|
2025-07-01
|
|
32400
|
HCPCS
|
Biopsy Pleural
|
3
|
2
|
$3,739.00
|
$2,243.40
40% off
|
$144.45
|
$1,554.87
|
$1,554.87
|
2025-07-01
|
|
32408
|
HCPCS
|
CT Biopsy Chest Core
|
2
|
2
|
$4,985.00
|
$2,991.00
40% off
|
$1,554.87
|
$1,554.87
|
$1,554.87
|
2025-07-01
|
|
32550
|
HCPCS
|
Peritx Peritoneal Catheter Kit
|
2
|
2
|
$1,708.00
|
$1,024.80
40% off
|
$3,386.66
|
$3,386.66
|
$3,386.66
|
2025-07-01
|
|
32551
|
HCPCS
|
Chest Tube Insertion
|
4
|
2
|
$3,736.00
|
$2,241.60
40% off
|
$133.42
|
$1,490.76
|
$1,001.38
|
2025-07-01
|
|
32556
|
HCPCS
|
Insert Cath Pleura Without Image
|
2
|
2
|
$4,316.00
|
$2,589.60
40% off
|
$512.00
|
$1,820.46
|
$1,166.23
|
2025-07-01
|
|
33016
|
HCPCS
|
Pericardiocentesis
|
2
|
2
|
$4,309.00
|
$2,585.40
40% off
|
$512.00
|
$1,490.76
|
$1,001.38
|
2025-07-01
|
|
35206
|
HCPCS
|
Fac Surgical Repair Artery/vein
|
2
|
2
|
$3,043.00
|
$1,825.80
40% off
|
$3,020.51
|
$3,020.51
|
$3,020.51
|
2025-07-01
|
|
35860
|
HCPCS
|
Explore Postop Hemorrhage; Extremity
|
2
|
2
|
$1,509.00
|
$905.40
40% off
|
$708.07
|
$708.07
|
$708.07
|
2025-07-01
|
|
36555
|
HCPCS
|
Insertion Of Central Line; < 5 Years Old
|
2
|
2
|
$8,771.00
|
$5,262.60
40% off
|
$512.00
|
$3,020.51
|
$1,766.26
|
2025-07-01
|
|
36556
|
HCPCS
|
Subclavian Insertion
|
4
|
2
|
$7,606.00
|
$4,563.60
40% off
|
$158.00
|
$3,020.51
|
$1,766.26
|
2025-07-01
|
|
36558
|
HCPCS
|
Fac Insert Central Venous Catheter
|
5
|
2
|
$3,509.00
|
$2,105.40
40% off
|
$336.00
|
$3,020.51
|
$2,939.00
|
2025-07-01
|
|
36569
|
HCPCS
|
Insertion Peripheral Central Venous Cath
|
2
|
2
|
$3,736.00
|
$2,241.60
40% off
|
$1,490.76
|
$1,490.76
|
$1,490.76
|
2025-07-01
|
|
37799
|
HCPCS
|
Artline
|
2
|
2
|
$1,437.00
|
$862.20
40% off
|
$593.32
|
$811.00
|
$702.16
|
2025-07-01
|
|
38220
|
HCPCS
|
Bone Marrow Aspiration
|
4
|
2
|
$3,739.00
|
$2,243.40
40% off
|
$127.00
|
$1,554.87
|
$1,182.93
|
2025-07-01
|
|
38221
|
HCPCS
|
Bone Marrow Biopsy
|
3
|
2
|
$2,758.00
|
$1,654.80
40% off
|
$133.00
|
$1,554.87
|
$1,554.87
|
2025-07-01
|
|
38222
|
HCPCS
|
Bone Marrow Biopsy & Aspiration
|
3
|
2
|
$6,300.00
|
$3,780.00
40% off
|
$144.00
|
$2,746.57
|
$2,746.57
|
2025-07-01
|
|
38505
|
HCPCS
|
Fac Needle Biopsy Lymph Node
|
2
|
2
|
$1,496.00
|
$897.60
40% off
|
$1,554.87
|
$1,554.87
|
$1,554.87
|
2025-07-01
|
|
40804
|
HCPCS
|
Remove Foreign Body; Vestibule Mouth
|
2
|
2
|
$2,480.00
|
$1,488.00
40% off
|
$512.00
|
$899.73
|
$705.87
|
2025-07-01
|
|
43233
|
HCPCS
|
Egd Flexible W /dilation 30 Mm Or >
|
2
|
2
|
$4,316.00
|
$2,589.60
40% off
|
$512.00
|
$1,820.46
|
$1,166.23
|
2025-07-01
|
|
43239
|
HCPCS
|
Egd W/biopsy
|
2
|
2
|
$2,150.00
|
$1,290.00
40% off
|
$899.73
|
$1,263.00
|
$1,081.37
|
2025-07-01
|
|
43247
|
HCPCS
|
Egd Flexible W/removal Of Foreign Body
|
2
|
2
|
$2,150.00
|
$1,290.00
40% off
|
$512.00
|
$899.73
|
$705.87
|
2025-07-01
|
|
45300
|
HCPCS
|
Fac Proctosigmoidoscopy Rigid Diagnostic
|
2
|
2
|
$844.00
|
$506.40
40% off
|
$874.91
|
$874.91
|
$874.91
|
2025-07-01
|
|
46040
|
HCPCS
|
I&d Ischiorectl &/or Perirectl Absc Fac
|
3
|
2
|
$1,102.00
|
$661.20
40% off
|
$512.00
|
$1,131.51
|
$1,131.51
|
2025-07-01
|
|
46050
|
HCPCS
|
Fac I&d Perianal Abscess Superficial
|
3
|
2
|
$844.00
|
$506.40
40% off
|
$512.00
|
$874.91
|
$874.91
|
2025-07-01
|
|
46221
|
HCPCS
|
Fac Hemorrhoid Banding, Internal
|
2
|
2
|
$844.00
|
$506.40
40% off
|
$874.91
|
$874.91
|
$874.91
|
2025-07-01
|
|
46320
|
HCPCS
|
Fac Exc Of Thrombosed Hemorrhoid Ext
|
3
|
2
|
$1,102.00
|
$661.20
40% off
|
$512.00
|
$1,131.51
|
$1,131.51
|
2025-07-01
|
|
46608
|
HCPCS
|
Anoscopy With Removal Foreign Body
|
2
|
2
|
$2,432.00
|
$1,459.20
40% off
|
$512.00
|
$874.91
|
$693.45
|
2025-07-01
|
|
47531
|
HCPCS
|
Cholangiogram T-tube Existing Access
|
2
|
2
|
$11,271.00
|
$6,762.60
40% off
|
$3,386.66
|
$3,386.66
|
$3,386.66
|
2025-07-01
|
|
49083
|
HCPCS
|
US Paracentesis /imaging
|
4
|
2
|
$2,673.50
|
$1,604.10
40% off
|
$198.00
|
$1,263.00
|
$899.73
|
2025-07-01
|
|
49084
|
HCPCS
|
Peritoneal Lavage
|
2
|
2
|
$2,480.00
|
$1,488.00
40% off
|
$899.73
|
$1,263.00
|
$1,081.37
|
2025-07-01
|
|
49180
|
HCPCS
|
CT Biopsy Abd Core 2of2
|
2
|
2
|
$4,985.00
|
$2,991.00
40% off
|
$1,554.87
|
$1,554.87
|
$1,554.87
|
2025-07-01
|
|
49406
|
HCPCS
|
CT Drainage Abd
|
2
|
2
|
$4,985.00
|
$2,991.00
40% off
|
$1,554.87
|
$1,554.87
|
$1,554.87
|
2025-07-01
|
|
49450
|
HCPCS
|
Tube Replacement Gastrostomy W/fluro
|
2
|
2
|
$2,150.00
|
$1,290.00
40% off
|
$512.00
|
$899.73
|
$705.87
|
2025-07-01
|
|
49999
|
HCPCS
|
Manual Hernia Reduction
|
2
|
2
|
$2,150.00
|
$1,290.00
40% off
|
$512.00
|
$899.73
|
$705.87
|
2025-07-01
|
|
54150
|
HCPCS
|
Circumcision
|
2
|
2
|
$4,757.00
|
$2,854.20
40% off
|
$1,965.85
|
$1,965.85
|
$1,965.85
|
2025-07-01
|
|
55100
|
HCPCS
|
Fac I & D Scrotal Abscess
|
3
|
2
|
$1,496.00
|
$897.60
40% off
|
$512.00
|
$1,554.87
|
$1,554.87
|
2025-07-01
|
|
59409
|
HCPCS
|
Vaginal Delivery
|
2
|
2
|
$8,039.00
|
$4,823.40
40% off
|
$512.00
|
$3,051.24
|
$1,781.62
|
2025-07-01
|
|
59414
|
HCPCS
|
Delivery Of Placenta
|
2
|
2
|
$8,039.00
|
$4,823.40
40% off
|
$512.00
|
$3,051.24
|
$1,781.62
|
2025-07-01
|
|
60100
|
HCPCS
|
US Biopsy Thyroid Core Needle
|
2
|
2
|
$2,205.00
|
$1,323.00
40% off
|
$675.21
|
$675.21
|
$675.21
|
2025-07-01
|
|
62322
|
HCPCS
|
Injection Lumbar Steroid Tx Rm Facility
|
2
|
2
|
$609.00
|
$426.30
30% off
|
$854.36
|
$854.36
|
$854.36
|
2025-07-01
|
|
64415
|
HCPCS
|
Nerve Block; Brachial Plex; Scalene,separate Distinct Procedure
|
2
|
2
|
$2,467.00
|
$1,480.20
40% off
|
$811.00
|
$854.36
|
$832.68
|
2025-07-01
|
|
64417
|
HCPCS
|
Nerve Block; Axillary,separate Distinct Procedure
|
2
|
2
|
$2,522.19
|
$1,513.31
40% off
|
$811.00
|
$854.36
|
$832.68
|
2025-07-01
|
|
64418
|
HCPCS
|
Nerve Block; Suprascapular Nerve,separate Distinct Procedure
|
2
|
2
|
$1,904.00
|
$1,142.40
40% off
|
$664.58
|
$811.00
|
$737.79
|
2025-07-01
|
|
64430
|
HCPCS
|
Nerve Block; Pudendal
|
2
|
2
|
$2,522.19
|
$1,513.31
40% off
|
$811.00
|
$854.36
|
$832.68
|
2025-07-01
|
|
64445
|
HCPCS
|
Nerve Block; Sciatic,separate Distinct Procedure
|
2
|
2
|
$1,946.00
|
$1,167.60
40% off
|
$664.58
|
$811.00
|
$737.79
|
2025-07-01
|
|
64447
|
HCPCS
|
Nerve Block; Femoral Nerve; Single,separate Distinct Procedure
|
2
|
2
|
$1,876.00
|
$1,125.60
40% off
|
$664.58
|
$811.00
|
$737.79
|
2025-07-01
|
|
64490
|
HCPCS
|
Injection Facet; Thoracic/cervical Without U
|
3
|
2
|
$2,523.00
|
$1,513.80
40% off
|
$512.00
|
$854.36
|
$854.36
|
2025-07-01
|
|
64624
|
HCPCS
|
Iovera - Lt Deep Nerve Destruction,left Side
|
4
|
2
|
$5,393.00
|
$3,235.80
40% off
|
$1,873.99
|
$2,635.00
|
$2,254.49
|
2025-07-01
|
|
64640
|
HCPCS
|
Iovera - Lt Superficial Nerve Destructio,left Side
|
8
|
2
|
$1,533.00
|
$919.80
40% off
|
$811.00
|
$854.36
|
$832.68
|
2025-07-01
|
|
65435
|
HCPCS
|
Remove Foreign Body; Eye Epithelium
|
2
|
2
|
$2,482.00
|
$1,489.20
40% off
|
$512.00
|
$929.46
|
$720.73
|
2025-07-01
|
|
66982
|
HCPCS
|
Ring Malyugin Mal-0001
|
2
|
2
|
$1,584.00
|
$950.40
40% off
|
$1,584.00
|
$2,188.71
|
$1,886.36
|
2025-07-01
|
|
70134
|
HCPCS
|
Int Auditory C
|
2
|
2
|
$1,712.00
|
$1,027.20
40% off
|
$526.17
|
$1,110.33
|
$818.25
|
2025-07-01
|
|
71551
|
HCPCS
|
MRI Chest W
|
2
|
2
|
$2,535.00
|
$1,521.00
40% off
|
$758.19
|
$1,644.01
|
$1,201.10
|
2025-07-01
|
|
73222
|
HCPCS
|
MRI Ext Upper Jt W
|
6
|
2
|
$2,535.00
|
$1,521.00
40% off
|
$758.19
|
$1,644.01
|
$1,201.10
|
2025-07-01
|
|
73722
|
HCPCS
|
MRI Ext Low Jt W
|
6
|
2
|
$2,535.00
|
$1,521.00
40% off
|
$758.19
|
$1,644.01
|
$1,201.10
|
2025-07-01
|
|
76080
|
HCPCS
|
Sinus Tract,abscess,fistula
|
2
|
2
|
$1,712.00
|
$1,027.20
40% off
|
$526.17
|
$1,110.33
|
$818.25
|
2025-07-01
|
|
81490
|
HCPCS
|
Vectra #504965
|
2
|
2
|
$1,143.00
|
$685.80
40% off
|
$823.84
|
$840.65
|
$832.25
|
2025-07-01
|
|
88309
|
HCPCS
|
Pa Level Vi Gross & Micro 88309
|
2
|
2
|
$1,079.00
|
$647.40
40% off
|
$669.29
|
$669.29
|
$669.29
|
2025-07-01
|
|
93306
|
HCPCS
|
Cv Echo Comp
|
2
|
2
|
$1,301.28
|
$780.77
40% off
|
$526.17
|
$1,290.00
|
$908.09
|
2025-07-01
|
|
93325
|
HCPCS
|
Cv Color Flow
|
2
|
2
|
$1,990.00
|
$1,194.00
40% off
|
$1,290.00
|
$1,290.00
|
$1,290.00
|
2025-07-01
|
|
99291
|
HCPCS
|
Critical Care
|
5
|
2
|
$408.00
|
$244.80
40% off
|
$239.02
|
$1,524.00
|
$808.62
|
2025-07-01
|
|
G0379
|
HCPCS
|
Obs Direct Admission To Observation
|
2
|
2
|
$1,000.00
|
$600.00
40% off
|
$588.36
|
$1,000.00
|
$794.18
|
2025-07-01
|
|
G0390
|
HCPCS
|
Trauma Team Activation
|
2
|
2
|
$2,531.00
|
$1,518.60
40% off
|
$1,269.79
|
$1,269.79
|
$1,269.79
|
2025-07-01
|
|
J0129
|
HCPCS
|
Orencia(abatacept)250mg Sdv
|
3
|
2
|
$3,125.00
|
$1,875.00
40% off
|
$42.51
|
$4,250.95
|
$4,250.95
|
2025-07-01
|
|
J0712
|
HCPCS
|
Teflaro(ceftaroline)inj 600mg Vial
|
2
|
2
|
$883.00
|
$529.80
40% off
|
$704.01
|
$704.01
|
$704.01
|
2025-07-01
|
|
J0840
|
HCPCS
|
Crofab(snake Antivenom) Charge Per Vial
|
2
|
2
|
$7,675.00
|
$4,605.00
40% off
|
$1,720.69
|
$1,720.69
|
$1,720.69
|
2025-07-01
|
|
J0875
|
HCPCS
|
Dalvance(dalbavancin)inj 500mg Sdv
|
2
|
2
|
$4,146.00
|
$2,487.60
40% off
|
$4,576.70
|
$4,576.70
|
$4,576.70
|
2025-07-01
|
|
J0897
|
HCPCS
|
Prolia(denosumab)inj 60mg/ml Pfs
|
2
|
2
|
$4,501.00
|
$2,700.60
40% off
|
$1,635.17
|
$1,635.17
|
$1,635.17
|
2025-07-01
|
|
J1162
|
HCPCS
|
Digifab(digoxin Immune)inj 40mg Vial
|
2
|
2
|
$9,170.00
|
$5,502.00
40% off
|
$48,692.08
|
$48,692.08
|
$48,692.08
|
2025-07-01
|
|
J1410
|
HCPCS
|
Premarin(conjugated Estrogen)inj: 25mg
|
2
|
2
|
$1,225.00
|
$735.00
40% off
|
$1,500.92
|
$1,500.92
|
$1,500.92
|
2025-07-01
|
|
J1439
|
HCPCS
|
Injectafer(iron)ivpb 750mg/250ml Ns
|
2
|
2
|
$3,369.00
|
$2,021.40
40% off
|
$828.34
|
$828.34
|
$828.34
|
2025-07-01
|
|
J1568
|
HCPCS
|
Immune Globulin(ivig)iv 20gm
|
2
|
2
|
$8,381.28
|
$5,028.77
40% off
|
$941.88
|
$941.88
|
$941.88
|
2025-07-01
|
|
J1745
|
HCPCS
|
Remicade(infliximab)100mg Sdv
|
2
|
2
|
$2,803.00
|
$1,681.80
40% off
|
$2,991.25
|
$2,991.25
|
$2,991.25
|
2025-07-01
|
|
J2407
|
HCPCS
|
Orbactiv(oritavancin)inj 400mg Sdv X3
|
2
|
2
|
$6,960.00
|
$4,176.00
40% off
|
$3,354.54
|
$3,354.54
|
$3,354.54
|
2025-07-01
|
|
J2760
|
HCPCS
|
Phentolamine Mesylate Inj 5mg Sdv
|
2
|
2
|
$1,259.00
|
$755.40
40% off
|
$880.63
|
$880.63
|
$880.63
|
2025-07-01
|
|
J2997
|
HCPCS
|
Alteplase(activase)(tpa)inj 100mg Sdv
|
3
|
2
|
$21,120.00
|
$12,672.00
40% off
|
$179.26
|
$8,963.28
|
$8,963.28
|
2025-07-01
|
|
J3101
|
HCPCS
|
Tnkase(tenecteplase)50mg Kit
|
2
|
2
|
$19,913.00
|
$11,947.80
40% off
|
$7,960.34
|
$7,960.34
|
$7,960.34
|
2025-07-01
|
|
J3111
|
HCPCS
|
Evenity(romosozumab)105mg Pfs 2pk,single Dose Container Drugs
|
2
|
2
|
$6,309.00
|
$3,785.40
40% off
|
$2,365.47
|
$2,365.47
|
$2,365.47
|
2025-07-01
|
|
J3380
|
HCPCS
|
Entyvio(vedolizumab)300mg Sdv
|
2
|
2
|
$20,798.00
|
$12,478.80
40% off
|
$6,221.63
|
$6,221.63
|
$6,221.63
|
2025-07-01
|
|
Q5103
|
HCPCS
|
Inflectra(infliximab-dyyb)100mg Sdv
|
2
|
2
|
$2,271.00
|
$1,362.60
40% off
|
$1,559.38
|
$1,559.38
|
$1,559.38
|
2025-07-01
|
|
Q5104
|
HCPCS
|
Infliximab-abda(renflexis)100mg Sdv
|
2
|
2
|
$2,260.00
|
$1,356.00
40% off
|
$2,728.81
|
$2,728.81
|
$2,728.81
|
2025-07-01
|