|
918
|
MS_DRG
|
Poisoning And Toxic Effects Of Drugs Without Mcc
|
1
|
1
|
$84,192.21
|
$21,048.05
75% off
|
$44,494.00
|
$44,494.00
|
$44,494.00
|
2026-07-15
|
|
786
|
MS_DRG
|
Cesarean Section Without Sterilization With Mcc
|
1
|
1
|
$22,884.63
|
$5,721.16
75% off
|
$21,215.45
|
$21,215.45
|
$21,215.45
|
2026-07-15
|
|
58552
|
HCPCS
|
58552 - Laps W-vag Hysterect 250 Gm-andrmvl Tubeand-ovaries
|
14
|
14
|
$17,292.08
|
$4,323.02
75% off
|
$655.58
|
$21,485.40
|
$14,551.65
|
2026-07-15
|
|
58571
|
HCPCS
|
58571 - Laps Total Hysterect 250 Gm-less Than W-rmvl Tube-ovary
|
14
|
14
|
$17,762.16
|
$4,440.54
75% off
|
$655.58
|
$21,485.40
|
$14,551.65
|
2026-07-15
|
|
742
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc
|
2
|
2
|
$34,700.83
|
$8,675.21
75% off
|
$5,007.00
|
$23,983.26
|
$14,495.13
|
2026-07-15
|
|
810
|
MS_DRG
|
Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co…
|
1
|
1
|
$33,912.32
|
$8,478.08
75% off
|
$14,230.62
|
$14,230.62
|
$14,230.62
|
2026-07-15
|
|
743
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-malignancy Without Cc/mcc
|
4
|
4
|
$30,880.34
|
$7,720.09
75% off
|
$5,999.33
|
$16,869.80
|
$13,689.75
|
2026-07-15
|
|
202
|
MS_DRG
|
Bronchitis And Asthma With Cc/mcc
|
1
|
1
|
$14,418.27
|
$3,604.57
75% off
|
$12,692.77
|
$12,692.77
|
$12,692.77
|
2026-07-15
|
|
603
|
MS_DRG
|
Cellulitis Without Mcc
|
5
|
5
|
$28,364.90
|
$7,091.23
75% off
|
$6,479.73
|
$13,120.00
|
$12,501.43
|
2026-07-15
|
|
193
|
MS_DRG
|
Simple Pneumonia And Pleurisy With Mcc
|
6
|
6
|
$18,528.22
|
$4,632.06
75% off
|
$2,281.74
|
$16,331.80
|
$12,168.14
|
2026-07-15
|
|
29827
|
HCPCS
|
29827 - Surgical Arthroscopy Shoulder W-rotator Cuff Rpr
|
14
|
14
|
$11,456.64
|
$2,864.16
75% off
|
$655.58
|
$14,666.50
|
$10,730.00
|
2026-07-15
|
|
291
|
MS_DRG
|
Heart Failure And Shock With Mcc
|
4
|
4
|
$21,126.19
|
$5,281.55
75% off
|
$5,399.77
|
$17,952.74
|
$10,495.12
|
2026-07-15
|
|
806
|
MS_DRG
|
Vaginal Delivery Without Sterilization Or D&c With Cc
|
1
|
1
|
$24,759.28
|
$6,189.82
75% off
|
$10,346.00
|
$10,346.00
|
$10,346.00
|
2026-07-15
|
|
788
|
MS_DRG
|
Cesarean Section Without Sterilization Without Cc/mcc
|
4
|
4
|
$26,935.92
|
$6,733.98
75% off
|
$5,936.74
|
$12,301.21
|
$10,265.98
|
2026-07-15
|
|
787
|
MS_DRG
|
Cesarean Section Without Sterilization With Cc
|
3
|
3
|
$27,527.59
|
$6,881.90
75% off
|
$7,698.26
|
$13,192.13
|
$9,643.27
|
2026-07-15
|
|
49329
|
HCPCS
|
49329 - Unlisted Laparoscopy Px Abd Pertoneum And Omentum
|
19
|
19
|
$3,368.56
|
$842.14
75% off
|
$6,256.00
|
$12,219.40
|
$9,237.70
|
2026-07-15
|
|
439
|
MS_DRG
|
Disorders Of Pancreas Except Malignancy With Cc
|
2
|
2
|
$24,670.74
|
$6,167.69
75% off
|
$6,479.73
|
$11,294.43
|
$8,887.08
|
2026-07-15
|
|
27650
|
HCPCS
|
27650 - Repair Primary Open-prq Ruptured Achilles Tendon
|
14
|
14
|
$6,930.56
|
$1,732.64
75% off
|
$451.50
|
$14,666.50
|
$8,705.60
|
2026-07-15
|
|
23412
|
HCPCS
|
23412 - Open Repair Of Rotator Cuff Chronic
|
14
|
14
|
$8,004.62
|
$2,001.16
75% off
|
$655.58
|
$14,666.50
|
$8,705.60
|
2026-07-15
|
|
374
|
MS_DRG
|
Digestive Malignancy With Mcc
|
1
|
1
|
$22,403.06
|
$5,600.77
75% off
|
$8,639.64
|
$8,639.64
|
$8,639.64
|
2026-07-15
|
|
292
|
MS_DRG
|
Heart Failure And Shock With Cc
|
1
|
1
|
$8,956.48
|
$2,239.12
75% off
|
$8,612.00
|
$8,612.00
|
$8,612.00
|
2026-07-15
|
|
58550
|
HCPCS
|
58550 - Laps Vaginal Hysterectomy Uterus 250 Gm-less Than
|
14
|
14
|
$18,373.68
|
$4,593.42
75% off
|
$655.58
|
$16,082.00
|
$8,491.49
|
2026-07-15
|
|
807
|
MS_DRG
|
Vaginal Delivery Without Sterilization Or D&c Without Cc/mcc
|
9
|
9
|
$22,027.58
|
$5,506.90
75% off
|
$1,640.00
|
$15,778.00
|
$8,367.75
|
2026-07-15
|
|
640
|
MS_DRG
|
Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M…
|
2
|
2
|
$20,814.71
|
$5,203.68
75% off
|
$4,319.82
|
$12,165.00
|
$8,242.41
|
2026-07-15
|
|
617
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
1
|
1
|
$36,499.94
|
$9,124.99
75% off
|
$8,200.00
|
$8,200.00
|
$8,200.00
|
2026-07-15
|
|
689
|
MS_DRG
|
Kidney And Urinary Tract Infections With Mcc
|
1
|
1
|
$34,799.03
|
$8,699.76
75% off
|
$8,119.82
|
$8,119.82
|
$8,119.82
|
2026-07-15
|
|
871
|
MS_DRG
|
Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc
|
3
|
3
|
$22,456.12
|
$5,614.03
75% off
|
$3,280.00
|
$11,018.99
|
$7,628.56
|
2026-07-15
|
|
392
|
MS_DRG
|
Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc
|
1
|
1
|
$19,470.40
|
$4,867.60
75% off
|
$7,086.68
|
$7,086.68
|
$7,086.68
|
2026-07-15
|
|
49593
|
HCPCS
|
49593 - Rpr Aa Hernia 1st 3-10 Cm Reducible
|
23
|
23
|
$7,727.46
|
$1,931.87
75% off
|
$655.58
|
$13,085.10
|
$6,870.34
|
2026-07-15
|
|
205
|
MS_DRG
|
Other Respiratory System Diagnoses With Mcc
|
1
|
1
|
$17,944.99
|
$4,486.25
75% off
|
$6,479.73
|
$6,479.73
|
$6,479.73
|
2026-07-15
|
|
49320
|
HCPCS
|
49320 - Laps Abd Prtmandomentum Dx W-wo Spec Br-wa Spx
|
23
|
23
|
$4,240.60
|
$1,060.15
75% off
|
$655.58
|
$12,219.40
|
$6,437.49
|
2026-07-15
|
|
58660
|
HCPCS
|
58660 - Laparoscopy W-lysis Of Adhesions
|
23
|
23
|
$11,102.00
|
$2,775.50
75% off
|
$655.58
|
$12,219.40
|
$6,437.49
|
2026-07-15
|
|
49592
|
HCPCS
|
49592 - Rpr Aa Hernia 1st Less Than 3 Cm Ncrc8-strangulated
|
23
|
23
|
$7,500.74
|
$1,875.19
75% off
|
$655.58
|
$12,219.40
|
$6,437.49
|
2026-07-15
|
|
44970
|
HCPCS
|
44970 - Laparoscopic Appendectomy
|
23
|
23
|
$11,367.72
|
$2,841.93
75% off
|
$655.58
|
$12,219.40
|
$6,437.49
|
2026-07-15
|
|
47562
|
HCPCS
|
47562 - Laparoscopy Surg Cholecystectomy
|
23
|
23
|
$9,454.54
|
$2,363.64
75% off
|
$655.58
|
$12,219.40
|
$6,437.49
|
2026-07-15
|
|
49321
|
HCPCS
|
49321 - Laparoscopy Surg W-bx Single-multiple
|
23
|
23
|
$4,839.64
|
$1,209.91
75% off
|
$655.58
|
$12,219.40
|
$6,437.49
|
2026-07-15
|
|
58661
|
HCPCS
|
58661 - Laparoscopy W-rmvl Adnexal Structures
|
23
|
23
|
$9,774.70
|
$2,443.68
75% off
|
$655.58
|
$12,219.40
|
$6,437.49
|
2026-07-15
|
|
58662
|
HCPCS
|
58662 - Laps Fulg-exc Ovary Viscera-peritoneal Surface
|
23
|
23
|
$7,120.42
|
$1,780.11
75% off
|
$655.58
|
$12,219.40
|
$6,437.49
|
2026-07-15
|
|
58670
|
HCPCS
|
58670 - Laparoscopy Fulguration Oviducts
|
23
|
23
|
$9,354.80
|
$2,338.70
75% off
|
$655.58
|
$12,219.40
|
$6,437.49
|
2026-07-15
|
|
59151
|
HCPCS
|
59151 - Laps Tx Ectopic Preg W-salpingand-oophorectomy
|
23
|
23
|
$8,930.48
|
$2,232.62
75% off
|
$655.58
|
$12,219.40
|
$6,437.49
|
2026-07-15
|
|
833
|
MS_DRG
|
Other Antepartum Diagnoses Without O.r. Procedures Without Cc/mcc
|
1
|
1
|
$11,663.76
|
$2,915.94
75% off
|
$6,301.19
|
$6,301.19
|
$6,301.19
|
2026-07-15
|
|
696
|
MS_DRG
|
Kidney And Urinary Tract Signs And Symptoms Without Mcc
|
1
|
1
|
$13,672.05
|
$3,418.01
75% off
|
$6,282.02
|
$6,282.02
|
$6,282.02
|
2026-07-15
|
|
59430
|
HCPCS
|
59430 - Postpartum Care Only Separate Procedure
|
11
|
11
|
$3,781.44
|
$945.36
75% off
|
$6,256.00
|
$6,256.00
|
$6,256.00
|
2026-07-15
|
|
58262
|
HCPCS
|
58262 - Vag Hyst 250 Gm-less Than W-rmvl Tubeand-ovary
|
23
|
23
|
$12,882.48
|
$3,220.62
75% off
|
$655.58
|
$11,316.00
|
$5,985.79
|
2026-07-15
|
|
58260
|
HCPCS
|
58260 - Vaginal Hysterectomy Uterus 250 Gm-less Than
|
23
|
23
|
$12,688.34
|
$3,172.09
75% off
|
$655.58
|
$11,316.00
|
$5,985.79
|
2026-07-15
|
|
49591
|
HCPCS
|
49591 - Rpr Aa Hernia 1st Less Than 3 Cm Reducible
|
23
|
23
|
$8,388.12
|
$2,097.03
75% off
|
$655.58
|
$11,316.00
|
$5,985.79
|
2026-07-15
|
|
785
|
MS_DRG
|
Cesarean Section With Sterilization Without Cc/mcc
|
3
|
3
|
$25,349.16
|
$6,337.29
75% off
|
$4,138.84
|
$12,783.49
|
$5,985.00
|
2026-07-15
|
|
59812
|
HCPCS
|
59812 - Tx Incomplete Abortion Any Trimester Surgical
|
23
|
23
|
$4,265.90
|
$1,066.48
75% off
|
$577.92
|
$11,316.00
|
$5,946.96
|
2026-07-15
|
|
59820
|
HCPCS
|
59820 - Tx Missed Abortion First Trimester Surgical
|
23
|
23
|
$3,787.94
|
$946.99
75% off
|
$577.92
|
$11,316.00
|
$5,946.96
|
2026-07-15
|
|
776
|
MS_DRG
|
Postpartum And Post Abortion Diagnoses Without O.r. Procedures
|
1
|
1
|
$16,279.22
|
$4,069.81
75% off
|
$5,913.91
|
$5,913.91
|
$5,913.91
|
2026-07-15
|
|
49505
|
HCPCS
|
49505 - Rpr 1st Ingun Hrna Age 5 Yrs-greater Than Reducible
|
23
|
23
|
$9,074.98
|
$2,268.75
75% off
|
$655.58
|
$11,316.00
|
$5,745.60
|
2026-07-15
|
|
49507
|
HCPCS
|
49507 - Rpr 1st Ingun Hrna Age 5 Yrs-greater Than Incarcerated
|
15
|
15
|
$10,315.76
|
$2,578.94
75% off
|
$655.58
|
$16,082.00
|
$5,597.91
|
2026-07-15
|
|
26952
|
HCPCS
|
26952 - Amp F-th 1-2 Jt-phalanx W-neurect Local Flap
|
22
|
22
|
$2,957.76
|
$739.44
75% off
|
$655.58
|
$11,316.00
|
$5,583.62
|
2026-07-15
|
|
24071
|
HCPCS
|
24071 - Exc Tumor Soft Tissue Upper Arm-elbow Subq 3cm-greater Than
|
23
|
23
|
$5,364.32
|
$1,341.08
75% off
|
$577.92
|
$10,533.00
|
$5,555.46
|
2026-07-15
|
|
190
|
MS_DRG
|
Chronic Obstructive Pulmonary Disease With Mcc
|
2
|
2
|
$21,052.40
|
$5,263.10
75% off
|
$4,319.82
|
$6,560.00
|
$5,439.91
|
2026-07-15
|
|
191
|
MS_DRG
|
Chronic Obstructive Pulmonary Disease With Cc
|
1
|
1
|
$14,163.64
|
$3,540.91
75% off
|
$5,384.75
|
$5,384.75
|
$5,384.75
|
2026-07-15
|
|
58350
|
HCPCS
|
58350 - Chromotubation Oviduct W-materials
|
23
|
23
|
$4,747.34
|
$1,186.84
75% off
|
$577.92
|
$10,111.10
|
$5,344.51
|
2026-07-15
|
|
57461
|
HCPCS
|
57461 - Colposcopy Cervix Vag Eltrd Conization Cervix
|
23
|
23
|
$5,221.32
|
$1,305.33
75% off
|
$536.38
|
$10,533.00
|
$5,126.22
|
2026-07-15
|
|
58555
|
HCPCS
|
58555 - Hysteroscopy Diagnostic Separate Procedure
|
23
|
23
|
$4,239.30
|
$1,059.83
75% off
|
$655.58
|
$10,533.00
|
$5,126.22
|
2026-07-15
|
|
29875
|
HCPCS
|
29875 - Arthroscopy Knee Surg Synovectomy Limited Spx
|
14
|
14
|
$6,065.28
|
$1,516.32
75% off
|
$536.38
|
$11,316.00
|
$4,873.76
|
2026-07-15
|
|
29877
|
HCPCS
|
29877 - Arthrs Knee Surg Debridement-shvg Artclr Crtlg
|
14
|
14
|
$6,464.64
|
$1,616.16
75% off
|
$536.38
|
$11,316.00
|
$4,873.76
|
2026-07-15
|
|
26765
|
HCPCS
|
26765 - Open Tx Distal Phalangeal Fracture Each
|
14
|
14
|
$2,767.96
|
$691.99
75% off
|
$451.50
|
$11,316.00
|
$4,828.64
|
2026-07-15
|
|
29881
|
HCPCS
|
29881 - Arthrs Knee Surg W-meniscectomy Med-lat W-shvg
|
15
|
15
|
$4,773.60
|
$1,193.40
75% off
|
$536.38
|
$11,316.00
|
$4,828.64
|
2026-07-15
|
|
29823
|
HCPCS
|
29823 - Surgical Arthroscopy Shoulder Xtnsv Dbrdmt 3+
|
14
|
14
|
$6,514.56
|
$1,628.64
75% off
|
$536.38
|
$10,818.00
|
$4,798.82
|
2026-07-15
|
|
641
|
MS_DRG
|
Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou…
|
2
|
2
|
$12,554.26
|
$3,138.57
75% off
|
$3,239.86
|
$6,291.00
|
$4,765.43
|
2026-07-15
|
|
36556
|
HCPCS
|
36556 - Insj Non-tunneled Central Venous Cath Age 5 Yr-greater Than
|
15
|
15
|
$1,253.20
|
$313.30
75% off
|
$260.64
|
$10,533.00
|
$4,708.18
|
2026-07-15
|
|
0174
|
RC
|
—
|
16
|
16
|
$25,079.45
|
$6,269.86
75% off
|
$4,665.00
|
$4,665.00
|
$4,665.00
|
2026-07-15
|
|
0173
|
RC
|
—
|
16
|
16
|
$25,079.45
|
$6,269.86
75% off
|
$4,665.00
|
$4,665.00
|
$4,665.00
|
2026-07-15
|
|
57460
|
HCPCS
|
57460 - Colposcopy Cervix Vag Loop Eltrd Bx Cervix
|
15
|
15
|
$4,767.88
|
$1,191.97
75% off
|
$451.50
|
$10,533.00
|
$4,586.58
|
2026-07-15
|
|
27339
|
HCPCS
|
27339 - Exc Tumor Soft Tissue Thigh-knee Subfasc 5 Cm-greater Than
|
23
|
23
|
$5,535.92
|
$1,383.98
75% off
|
$577.92
|
$8,528.00
|
$4,552.96
|
2026-07-15
|
|
24358
|
HCPCS
|
24358 - Tnot Elbow Lateral-medial Debride Open
|
23
|
23
|
$6,065.28
|
$1,516.32
75% off
|
$577.92
|
$8,528.00
|
$4,552.96
|
2026-07-15
|
|
21552
|
HCPCS
|
21552 - Exc Tumor Soft Tis Neck-ant Thorax Subq 3 Cm-greater Than
|
23
|
23
|
$5,519.80
|
$1,379.95
75% off
|
$577.92
|
$8,528.00
|
$4,552.96
|
2026-07-15
|
|
0760
|
RC
|
—
|
9
|
9
|
$85.92
|
$21.48
75% off
|
$4,378.00
|
$4,378.00
|
$4,378.00
|
2026-07-15
|
|
690
|
MS_DRG
|
Kidney And Urinary Tract Infections Without Mcc
|
2
|
2
|
$12,915.56
|
$3,228.89
75% off
|
$3,280.00
|
$5,399.77
|
$4,339.89
|
2026-07-15
|
|
872
|
MS_DRG
|
Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc
|
3
|
3
|
$18,107.54
|
$4,526.89
75% off
|
$3,280.00
|
$4,518.74
|
$4,319.82
|
2026-07-15
|
|
394
|
MS_DRG
|
Other Digestive System Diagnoses With Cc
|
1
|
1
|
$9,281.38
|
$2,320.35
75% off
|
$4,319.82
|
$4,319.82
|
$4,319.82
|
2026-07-15
|
|
0762
|
RC
|
—
|
9
|
9
|
$49.08
|
$12.27
75% off
|
$4,163.50
|
$4,163.50
|
$4,163.50
|
2026-07-15
|
|
682
|
MS_DRG
|
Renal Failure With Mcc
|
1
|
1
|
$10,550.24
|
$2,637.56
75% off
|
$3,649.65
|
$3,649.65
|
$3,649.65
|
2026-07-15
|
|
29822
|
HCPCS
|
29822 - Surgical Arthroscopy Shoulder Lmtd Dbrdmt 1-2
|
23
|
23
|
$3,569.28
|
$892.32
75% off
|
$655.58
|
$6,613.49
|
$3,634.53
|
2026-07-15
|
|
58562
|
HCPCS
|
58562 - Hysteroscopy Removal Impacted Foreign Body
|
23
|
23
|
$3,725.28
|
$931.32
75% off
|
$655.58
|
$6,542.99
|
$3,599.28
|
2026-07-15
|
|
58600
|
HCPCS
|
58600 - Lig-trnsxj Flp Tube Abdl-vag Appr Uni-bi
|
23
|
23
|
$4,352.92
|
$1,088.23
75% off
|
$655.58
|
$6,542.99
|
$3,599.28
|
2026-07-15
|
|
58558
|
HCPCS
|
58558 - Hysteroscopy Bx Endometriumand-polypc W-wo Dandc
|
23
|
23
|
$3,987.58
|
$996.90
75% off
|
$655.58
|
$6,542.99
|
$3,599.28
|
2026-07-15
|
|
57520
|
HCPCS
|
57520 - Conization Cervix W-wo Dandc Rpr Knife-laser
|
23
|
23
|
$7,513.22
|
$1,878.31
75% off
|
$577.92
|
$6,542.99
|
$3,560.45
|
2026-07-15
|
|
58120
|
HCPCS
|
58120 - Dilation And Curettage Dxand-ther Nonobstetric
|
23
|
23
|
$4,175.94
|
$1,043.99
75% off
|
$577.92
|
$6,542.99
|
$3,560.45
|
2026-07-15
|
|
26727
|
HCPCS
|
26727 - Prq Skel Fixj Phlngl Shft Fx Prox-middle Px-f-t
|
23
|
23
|
$3,887.52
|
$971.88
75% off
|
$451.50
|
$6,613.49
|
$3,532.49
|
2026-07-15
|
|
28820
|
HCPCS
|
28820 - Amputation Toe Metatarsophalangeal Joint
|
23
|
23
|
$6,930.56
|
$1,732.64
75% off
|
$451.50
|
$6,613.49
|
$3,532.49
|
2026-07-15
|
|
24105
|
HCPCS
|
24105 - Excision Olecranon Bursa
|
23
|
23
|
$7,196.80
|
$1,799.20
75% off
|
$451.50
|
$6,613.49
|
$3,532.49
|
2026-07-15
|
|
794
|
MS_DRG
|
Neonate With Other Significant Problems
|
13
|
13
|
$18,559.25
|
$4,639.81
75% off
|
$3,514.50
|
$3,514.50
|
$3,514.50
|
2026-07-15
|
|
791
|
MS_DRG
|
Prematurity With Major Problems
|
13
|
13
|
$47,203.59
|
$11,800.90
75% off
|
$3,514.50
|
$3,514.50
|
$3,514.50
|
2026-07-15
|
|
792
|
MS_DRG
|
Prematurity Without Major Problems
|
13
|
13
|
$27,491.33
|
$6,872.83
75% off
|
$3,514.50
|
$3,514.50
|
$3,514.50
|
2026-07-15
|
|
793
|
MS_DRG
|
Full Term Neonate With Major Problems
|
13
|
13
|
$24,250.63
|
$6,062.66
75% off
|
$3,514.50
|
$3,514.50
|
$3,514.50
|
2026-07-15
|
|
0171
|
RC
|
—
|
16
|
16
|
$25,079.45
|
$6,269.86
75% off
|
$3,514.50
|
$3,514.50
|
$3,514.50
|
2026-07-15
|
|
795
|
MS_DRG
|
Normal Newborn
|
13
|
13
|
$14,901.05
|
$3,725.26
75% off
|
$3,514.50
|
$3,514.50
|
$3,514.50
|
2026-07-15
|
|
789
|
MS_DRG
|
Neonates, Died Or Transferred To Another Acute Care Facility
|
13
|
13
|
$25,079.45
|
$6,269.86
75% off
|
$3,514.50
|
$3,514.50
|
$3,514.50
|
2026-07-15
|
|
0172
|
RC
|
—
|
16
|
16
|
$25,079.45
|
$6,269.86
75% off
|
$3,514.50
|
$3,514.50
|
$3,514.50
|
2026-07-15
|
|
36561
|
HCPCS
|
36561 - Insj Tunneled Ctr Vad W-subq Port Age 5 Yr-greater Than
|
23
|
23
|
$7,130.24
|
$1,782.56
75% off
|
$536.38
|
$6,382.01
|
$3,459.20
|
2026-07-15
|
|
66982
|
HCPCS
|
66982 - Xcapsl Ctrc Rmvl Insj Io Lens Prosth Cplx Wo Ecp
|
16
|
16
|
$4,935.32
|
$1,233.83
75% off
|
$655.58
|
$16,082.00
|
$3,441.18
|
2026-07-15
|
|
36558
|
HCPCS
|
36558 - Insj Tunneled Cvc W-o Subq Port-pmp Age 5 Yr-greater Than
|
23
|
23
|
$3,768.96
|
$942.24
75% off
|
$451.50
|
$6,382.01
|
$3,416.76
|
2026-07-15
|
|
66984
|
HCPCS
|
66984 - Xcapsl Ctrc Rmvl Insj Io Lens Prosth W-o Ecp
|
18
|
18
|
$4,725.68
|
$1,181.42
75% off
|
$655.58
|
$16,082.00
|
$3,386.47
|
2026-07-15
|
|
25071
|
HCPCS
|
25071 - Exc Tumor Soft Tiss Forearm And-wrist Subq 3cm-greater Than
|
23
|
23
|
$4,735.12
|
$1,183.78
75% off
|
$577.92
|
$8,528.00
|
$3,360.00
|
2026-07-15
|
|
208
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support <=96 Hours
|
1
|
1
|
$22,729.04
|
$5,682.26
75% off
|
$3,280.00
|
$3,280.00
|
$3,280.00
|
2026-07-15
|
|
11012
|
HCPCS
|
11012 - Dbrdmt Fxand-dislc Subq T-m-f Bone
|
23
|
23
|
$2,767.96
|
$691.99
75% off
|
$451.50
|
$5,871.12
|
$3,161.31
|
2026-07-15
|
|
194
|
MS_DRG
|
Simple Pneumonia And Pleurisy With Cc
|
1
|
1
|
$15,754.14
|
$3,938.54
75% off
|
$3,145.50
|
$3,145.50
|
$3,145.50
|
2026-07-15
|
|
46255
|
HCPCS
|
46255 - Hemorrhoidectomy Ntrnl And Xtrnl 1 Column-group
|
23
|
23
|
$4,689.88
|
$1,172.47
75% off
|
$536.38
|
$5,610.25
|
$3,073.32
|
2026-07-15
|
|
46060
|
HCPCS
|
46060 - Iandd Ischiorectal-intramural Absc W-wo Seton
|
22
|
22
|
$5,599.36
|
$1,399.84
75% off
|
$451.50
|
$5,610.25
|
$3,030.88
|
2026-07-15
|
|
46270
|
HCPCS
|
46270 - Surg Tx Anal Fistula Subq
|
23
|
23
|
$5,564.52
|
$1,391.13
75% off
|
$451.50
|
$5,610.25
|
$3,030.88
|
2026-07-15
|
|
54150
|
HCPCS
|
54150 - Circumcision W-clamp-oth Dev W-block
|
14
|
14
|
$3,819.92
|
$954.98
75% off
|
$451.50
|
$10,533.00
|
$3,008.92
|
2026-07-15
|
|
189
|
MS_DRG
|
Pulmonary Edema And Respiratory Failure
|
2
|
2
|
$16,750.72
|
$4,187.68
75% off
|
$1,640.00
|
$4,319.82
|
$2,979.91
|
2026-07-15
|
|
J0840
|
HCPCS
|
J0840 - Crotalidae Poly Immune Fab
|
57
|
19
|
$7,026.95
|
$1,756.74
75% off
|
$1,826.52
|
$5,845.60
|
$2,907.45
|
2026-07-15
|
|
45388
|
HCPCS
|
45388 - Colonoscopy Flx Ablation Tumor Polyp-other Les
|
22
|
22
|
$1,892.80
|
$473.20
75% off
|
$451.50
|
$6,256.00
|
$2,886.22
|
2026-07-15
|
|
29826
|
HCPCS
|
29826 - Surgical Arthroscopy Sho W-coracoacrm Ligm Rls
|
12
|
12
|
$3,569.28
|
$892.32
75% off
|
$698.00
|
$4,769.00
|
$2,733.50
|
2026-07-15
|
|
25605
|
HCPCS
|
25605 - Cltx Dstl Rdl Fx-epiphysl Sep W-mnpj
|
23
|
23
|
$2,059.20
|
$514.80
75% off
|
$451.50
|
$4,769.00
|
$2,610.25
|
2026-07-15
|
|
25000
|
HCPCS
|
25000 - Incision Extensor Tendon Sheath Wrist
|
23
|
23
|
$5,078.32
|
$1,269.58
75% off
|
$451.50
|
$4,769.00
|
$2,610.25
|
2026-07-15
|
|
768
|
MS_DRG
|
Vaginal Delivery With O.r. Procedures Except Sterilization And/or D&c
|
1
|
1
|
$20,988.43
|
$5,247.11
75% off
|
$2,566.09
|
$2,566.09
|
$2,566.09
|
2026-07-15
|
|
761
|
MS_DRG
|
Menstrual And Other Female Reproductive System Disorders Without Cc/mcc
|
1
|
1
|
$16,451.24
|
$4,112.81
75% off
|
$2,566.09
|
$2,566.09
|
$2,566.09
|
2026-07-15
|
|
46040
|
HCPCS
|
46040 - Iandd Ischiorectaland-perirectal Abscess Spx
|
22
|
22
|
$6,833.84
|
$1,708.46
75% off
|
$451.50
|
$4,769.00
|
$2,514.47
|
2026-07-15
|
|
884
|
MS_DRG
|
Organic Disturbances And Intellectual Disability
|
20
|
20
|
$23,299.54
|
$5,824.89
75% off
|
$2,497.00
|
$12,504.00
|
$2,497.00
|
2026-07-15
|
|
20670
|
HCPCS
|
20670 - Removal Implant Superficial Separate Procedure
|
13
|
13
|
$6,264.96
|
$1,566.24
75% off
|
$451.50
|
$10,533.00
|
$2,432.53
|
2026-07-15
|
|
G0390
|
HCPCS
|
G0390 - Trauma Respons W-hosp Criti
|
14
|
14
|
$5,720.00
|
$1,430.00
75% off
|
$2,003.79
|
$2,694.13
|
$2,348.96
|
2026-07-15
|
|
27752
|
HCPCS
|
27752 - Cltx Tibial Shaft Fx W-manj W-wo Skel Tracj
|
13
|
13
|
$2,233.92
|
$558.48
75% off
|
$451.50
|
$10,533.00
|
$2,327.04
|
2026-07-15
|
|
27818
|
HCPCS
|
27818 - Cltx Trimalleolar Ankle Fx W-manipulation
|
14
|
14
|
$2,059.20
|
$514.80
75% off
|
$451.50
|
$10,533.00
|
$2,297.13
|
2026-07-15
|
|
99292
|
HCPCS
|
99292 - Critical Care Ill-injured Patient Addl 30 Min
|
12
|
12
|
$702.00
|
$175.50
75% off
|
$297.68
|
$2,340.00
|
$2,270.00
|
2026-07-15
|
|
64721
|
HCPCS
|
64721 - Neuroplasty And-transpos Median Nrv Carpal Tunne
|
23
|
23
|
$5,278.52
|
$1,319.63
75% off
|
$577.92
|
$3,946.92
|
$2,262.42
|
2026-07-15
|
|
683
|
MS_DRG
|
Renal Failure With Cc
|
1
|
1
|
$14,013.77
|
$3,503.44
75% off
|
$2,159.91
|
$2,159.91
|
$2,159.91
|
2026-07-15
|
|
99291
|
HCPCS
|
99291 - Critical Care Ill-injured Patient Init 30-74 Min
|
19
|
19
|
$1,882.40
|
$470.60
75% off
|
$391.50
|
$2,907.00
|
$2,024.82
|
2026-07-15
|
|
25248
|
HCPCS
|
25248 - Expl W-removal Deep Foreign Body Forearm-wrist
|
23
|
23
|
$4,849.52
|
$1,212.38
75% off
|
$536.38
|
$3,487.00
|
$2,011.69
|
2026-07-15
|
|
27041
|
HCPCS
|
27041 - Biopsy Soft Tissue Pelvisandhip Deep-subfscal-IM
|
23
|
23
|
$5,932.16
|
$1,483.04
75% off
|
$451.50
|
$3,487.00
|
$1,969.25
|
2026-07-15
|
|
25565
|
HCPCS
|
25565 - Closed Tx Radialandulnar Shaft Fractures W-mnpj
|
23
|
23
|
$2,387.32
|
$596.83
75% off
|
$451.50
|
$3,487.00
|
$1,969.25
|
2026-07-15
|
|
26055
|
HCPCS
|
26055 - Tendon Sheath Incision
|
22
|
22
|
$3,916.64
|
$979.16
75% off
|
$451.50
|
$3,487.00
|
$1,969.25
|
2026-07-15
|
|
11420
|
HCPCS
|
11420 - Exc B9 Lesion Mrgn Xcp Sk Tg S-n-h-f-g 0.5 Cm-less Than
|
23
|
23
|
$7,662.72
|
$1,915.68
75% off
|
$451.50
|
$3,487.00
|
$1,969.25
|
2026-07-15
|
|
32551
|
HCPCS
|
32551 - Tube Thoracostomy Includes Water Seal
|
23
|
23
|
$1,794.00
|
$448.50
75% off
|
$451.50
|
$3,487.00
|
$1,969.25
|
2026-07-15
|
|
45381
|
HCPCS
|
45381 - Colsc Flx With Directed Submucosal Njx Any Sbst
|
22
|
22
|
$1,378.00
|
$344.50
75% off
|
$286.60
|
$3,487.00
|
$1,932.11
|
2026-07-15
|
|
45380
|
HCPCS
|
45380 - Colonoscopy W-biopsy Single-multiple
|
22
|
22
|
$2,275.52
|
$568.88
75% off
|
$451.50
|
$3,487.00
|
$1,932.11
|
2026-07-15
|
|
24200
|
HCPCS
|
24200 - Rmvl Foreign Body Upper Arm-elbow Subcutaneous
|
23
|
23
|
$2,642.64
|
$660.66
75% off
|
$451.50
|
$3,338.28
|
$1,894.89
|
2026-07-15
|
|
46221
|
HCPCS
|
46221 - Hemorrhoidectomy Internal Rubber Band Ligations
|
23
|
23
|
$3,603.60
|
$900.90
75% off
|
$451.50
|
$4,769.00
|
$1,879.67
|
2026-07-15
|
|
45384
|
HCPCS
|
45384 - Colsc Flx W-removal Lesion By Hot Bx Forceps
|
22
|
22
|
$2,275.52
|
$568.88
75% off
|
$451.50
|
$3,487.00
|
$1,873.18
|
2026-07-15
|
|
45385
|
HCPCS
|
45385 - Colsc Flx W-rmvl Of Tumor Polyp Lesion Snare Tq
|
22
|
22
|
$2,275.52
|
$568.88
75% off
|
$451.50
|
$3,487.00
|
$1,777.80
|
2026-07-15
|
|
49083
|
HCPCS
|
49083 - Abdom Paracentesis Dx-ther W-imaging Guidance
|
22
|
22
|
$2,582.32
|
$645.58
75% off
|
$451.50
|
$3,487.00
|
$1,634.76
|
2026-07-15
|
|
0720
|
RC
|
—
|
11
|
11
|
$1,572.27
|
$393.07
75% off
|
$1,572.00
|
$1,572.00
|
$1,572.00
|
2026-07-15
|
|
11400
|
HCPCS
|
11400 - Exc B9 Lesion Mrgn Xcp Sk Tg T-a-l 0.5 Cm-less Than
|
23
|
23
|
$5,214.04
|
$1,303.51
75% off
|
$451.50
|
$3,487.00
|
$1,511.00
|
2026-07-15
|
|
12044
|
HCPCS
|
12044 - Repair Intermediate N-h-f-xtrnl Gent 7.6-12.5cm
|
23
|
23
|
$546.00
|
$136.50
75% off
|
$451.50
|
$3,487.00
|
$1,493.84
|
2026-07-15
|
|
13151
|
HCPCS
|
13151 - Repair Complex Eyelid-nose-ear-lip 1.1-2.5 Cm
|
23
|
23
|
$10,528.96
|
$2,632.24
75% off
|
$451.50
|
$4,769.00
|
$1,493.84
|
2026-07-15
|
|
G0105
|
HCPCS
|
G0105 - Colorectal Scrn; Hi Risk Ind
|
19
|
19
|
$1,856.40
|
$464.10
75% off
|
$386.10
|
$3,487.00
|
$1,472.66
|
2026-07-15
|
|
G0121
|
HCPCS
|
G0121 - Colon Ca Scrn Not Hi Rsk Ind
|
19
|
19
|
$2,275.52
|
$568.88
75% off
|
$473.26
|
$3,487.00
|
$1,472.66
|
2026-07-15
|
|
0391
|
RC
|
—
|
11
|
11
|
$1,390.48
|
$347.62
75% off
|
$1,469.00
|
$1,469.00
|
$1,469.00
|
2026-07-15
|
|
0390
|
RC
|
—
|
11
|
11
|
$629.90
|
$157.48
75% off
|
$1,469.00
|
$1,469.00
|
$1,469.00
|
2026-07-15
|
|
45378
|
HCPCS
|
45378 - Colonoscopy Flx Dx W-collj Spec When Pfrmd
|
22
|
22
|
$1,856.40
|
$464.10
75% off
|
$386.10
|
$3,487.00
|
$1,455.73
|
2026-07-15
|
|
10080
|
HCPCS
|
10080 - Incision And Drainage Pilonidal Cyst Simple
|
23
|
23
|
$1,035.32
|
$258.83
75% off
|
$451.50
|
$3,487.00
|
$1,431.30
|
2026-07-15
|
|
43239
|
HCPCS
|
43239 - Egd Transoral Biopsy Single-multiple
|
22
|
22
|
$2,609.36
|
$652.34
75% off
|
$536.38
|
$3,487.00
|
$1,419.76
|
2026-07-15
|
|
99285
|
HCPCS
|
99285 - Emergency Department Visit High Mdm
|
19
|
19
|
$1,726.13
|
$431.53
75% off
|
$359.06
|
$2,721.00
|
$1,415.70
|
2026-07-15
|
|
0920
|
RC
|
—
|
10
|
10
|
$636.25
|
$159.06
75% off
|
$1,400.00
|
$1,400.00
|
$1,400.00
|
2026-07-15
|
|
64415
|
HCPCS
|
64415 - Injection Aaand-strd Brachial Plexus W-img Gdn
|
14
|
14
|
$5,246.62
|
$1,311.66
75% off
|
$451.50
|
$10,533.00
|
$1,375.39
|
2026-07-15
|
|
43235
|
HCPCS
|
43235 - Esophagogastroduodenoscopy Transoral Diagnostic
|
12
|
12
|
$998.40
|
$249.60
75% off
|
$451.50
|
$2,184.00
|
$1,339.13
|
2026-07-15
|
|
C8929
|
HCPCS
|
C8929 - Tte W Or Wo Fol Wcondoppler
|
14
|
14
|
$1,874.08
|
$468.52
75% off
|
$372.84
|
$1,584.48
|
$1,311.45
|
2026-07-15
|
|
81420
|
HCPCS
|
81420 - Fetal Chromosomal Aneuploidy Genomic Seq Analys
|
23
|
23
|
$2,101.84
|
$525.46
75% off
|
$759.05
|
$1,780.35
|
$1,269.70
|
2026-07-15
|
|
99283
|
HCPCS
|
99283 - Emergency Department Visit Low Mdm
|
19
|
19
|
$811.20
|
$202.80
75% off
|
$168.71
|
$1,745.00
|
$1,077.68
|
2026-07-15
|
|
72197
|
HCPCS
|
72197 - MRI Pelvis W-o And W-contrast Material
|
22
|
22
|
$3,331.12
|
$832.78
75% off
|
$401.42
|
$1,725.09
|
$1,063.26
|
2026-07-15
|
|
73223
|
HCPCS
|
73223 - MRI Any Jt Upper Extremity W-o And W-contr Matrl
|
22
|
22
|
$2,825.10
|
$706.28
75% off
|
$401.42
|
$1,721.03
|
$1,061.22
|
2026-07-15
|
|
70543
|
HCPCS
|
70543 - MRI Orbit Face And Neck W-o And W-contrast Matrl
|
22
|
22
|
$3,371.68
|
$842.92
75% off
|
$401.42
|
$1,721.03
|
$1,061.22
|
2026-07-15
|
|
73723
|
HCPCS
|
73723 - MRI Any Jt Lower Extrem W-o And W-contrast Matrl
|
22
|
22
|
$3,437.20
|
$859.30
75% off
|
$401.42
|
$1,721.03
|
$1,061.22
|
2026-07-15
|
|
11402
|
HCPCS
|
11402 - Exc B9 Lesion Mrgn Xcp Sk Tg T-a-l 1.1-2.0 Cm
|
14
|
14
|
$1,654.64
|
$413.66
75% off
|
$451.50
|
$10,533.00
|
$1,058.65
|
2026-07-15
|
|
11403
|
HCPCS
|
11403 - Exc B9 Lesion Mrgn Xcp Sk Tg T-a-l 2.1-3.0 Cm
|
14
|
14
|
$5,307.12
|
$1,326.78
75% off
|
$451.50
|
$10,533.00
|
$1,058.65
|
2026-07-15
|
|
62270
|
HCPCS
|
62270 - Diagnostic Lumbar Spinal Puncture
|
14
|
14
|
$691.60
|
$172.90
75% off
|
$143.84
|
$2,184.00
|
$1,045.22
|
2026-07-15
|
|
62272
|
HCPCS
|
62272 - Therapeutic Spinal Puncture Drainage Csf
|
14
|
14
|
$939.12
|
$234.78
75% off
|
$451.50
|
$2,184.00
|
$1,045.22
|
2026-07-15
|
|
64450
|
HCPCS
|
64450 - Injection Aaand-strd Other Peripheral Nerve-branch
|
15
|
15
|
$2,201.06
|
$550.27
75% off
|
$451.50
|
$10,533.00
|
$1,045.22
|
2026-07-15
|
|
P9037
|
HCPCS
|
P9037 - Plate Pheres Leukoredu Irrad
|
17
|
17
|
$1,838.72
|
$459.68
75% off
|
$347.07
|
$1,346.51
|
$1,034.99
|
2026-07-15
|
|
94002
|
HCPCS
|
94002 - Ventilation Assist And Mgmt Inpatient 1st Day
|
17
|
17
|
$2,471.04
|
$617.76
75% off
|
$751.46
|
$1,248.71
|
$1,000.09
|
2026-07-15
|
|
G0379
|
HCPCS
|
G0379 - Direct Refer Hospital Observ
|
17
|
17
|
$347.36
|
$86.84
75% off
|
$739.85
|
$1,203.71
|
$971.78
|
2026-07-15
|
|
70549
|
HCPCS
|
70549 - MRA Neck W-o Andw-contrast Material
|
22
|
22
|
$3,371.68
|
$842.92
75% off
|
$401.42
|
$1,540.19
|
$970.80
|
2026-07-15
|
|
70546
|
HCPCS
|
70546 - MRA Head W-o And W-contrast Material
|
22
|
22
|
$3,371.68
|
$842.92
75% off
|
$401.42
|
$1,540.19
|
$970.80
|
2026-07-15
|
|
13132
|
HCPCS
|
13132 - Repair Complex F-c-c-m-n-ax-g-h-f 2.6-7.5 Cm
|
23
|
23
|
$1,284.40
|
$321.10
75% off
|
$536.38
|
$4,769.00
|
$942.41
|
2026-07-15
|
|
P9073
|
HCPCS
|
P9073 - Platelets Pheresis Path Redu
|
17
|
17
|
$1,636.96
|
$409.24
75% off
|
$340.46
|
$1,201.72
|
$928.42
|
2026-07-15
|
|
99282
|
HCPCS
|
99282 - Emergency Department Visit Straightforward Mdm
|
19
|
19
|
$504.40
|
$126.10
75% off
|
$92.15
|
$1,600.00
|
$915.41
|
2026-07-15
|
|
74183
|
HCPCS
|
74183 - MRI Abdomen W-o Contrast Flwd By W-contrast
|
22
|
22
|
$3,331.12
|
$832.78
75% off
|
$332.33
|
$1,725.09
|
$887.48
|
2026-07-15
|
|
99284
|
HCPCS
|
99284 - Emergency Department Visit Moderate Mdm
|
19
|
19
|
$1,237.56
|
$309.39
75% off
|
$257.40
|
$2,021.00
|
$843.39
|
2026-07-15
|
|
11042
|
HCPCS
|
11042 - Debridement Subcutaneous Tissue 1st 20 Sq Cm-less Than
|
23
|
23
|
$3,979.04
|
$994.76
75% off
|
$451.50
|
$3,487.00
|
$821.66
|
2026-07-15
|
|
12035
|
HCPCS
|
12035 - Repair Intermediate S-a-t-e 12.6-20.0cm
|
23
|
23
|
$577.20
|
$144.30
75% off
|
$577.92
|
$3,487.00
|
$821.66
|
2026-07-15
|
|
12034
|
HCPCS
|
12034 - Repair Intermediate S-a-t-e 7.6-12.5 Cm
|
23
|
23
|
$573.04
|
$143.26
75% off
|
$536.38
|
$3,487.00
|
$821.66
|
2026-07-15
|
|
12005
|
HCPCS
|
12005 - Smpl Rpr Scalp-neck-ax-genit-trunk 12.6-20.0cm
|
23
|
23
|
$568.88
|
$142.22
75% off
|
$451.50
|
$3,487.00
|
$821.66
|
2026-07-15
|
|
11401
|
HCPCS
|
11401 - Exc B9 Lesion Mrgn Xcp Sk Tg T-a-l 0.6-1.0 Cm
|
23
|
23
|
$1,654.64
|
$413.66
75% off
|
$451.50
|
$3,487.00
|
$821.66
|
2026-07-15
|
|
10120
|
HCPCS
|
10120 - Incision And Removal Foreign Body Subq Tiss Simple
|
23
|
23
|
$645.84
|
$161.46
75% off
|
$451.50
|
$3,487.00
|
$806.00
|
2026-07-15
|
|
12052
|
HCPCS
|
12052 - Repair Intermediate F-e-e-n-land-muc 2.6-5.0 Cm
|
22
|
22
|
$555.36
|
$138.84
75% off
|
$536.38
|
$5,534.69
|
$752.00
|
2026-07-15
|
|
12031
|
HCPCS
|
12031 - Repair Intermediate S-a-t-e 2.5 Cm-less Than
|
22
|
22
|
$546.00
|
$136.50
75% off
|
$536.38
|
$5,534.69
|
$752.00
|
2026-07-15
|
|
0260
|
RC
|
—
|
11
|
11
|
$184.10
|
$46.03
75% off
|
$737.00
|
$737.00
|
$737.00
|
2026-07-15
|
|
72158
|
HCPCS
|
72158 - MRI Spinal Canal Lumbar W-o And W-contr Matrl
|
22
|
22
|
$3,459.04
|
$864.76
75% off
|
$401.42
|
$1,043.87
|
$722.64
|
2026-07-15
|
|
72156
|
HCPCS
|
72156 - MRI Spinal Canal Cervical W-o And W-contr Matrl
|
22
|
22
|
$3,459.04
|
$864.76
75% off
|
$401.42
|
$1,043.87
|
$722.64
|
2026-07-15
|
|
72157
|
HCPCS
|
72157 - MRI Spinal Canal Thoracic W-o And W-contr Matrl
|
22
|
22
|
$3,039.92
|
$759.98
75% off
|
$401.42
|
$1,043.87
|
$722.64
|
2026-07-15
|
|
70553
|
HCPCS
|
70553 - MRI Brain Brain Stem W-o W-contrast Material
|
22
|
22
|
$4,035.20
|
$1,008.80
75% off
|
$401.42
|
$1,043.87
|
$722.64
|
2026-07-15
|
|
87507
|
HCPCS
|
87507 - Iadna-DNA-RNA Gi Pthgn Multiplex Probe Tq 12-25
|
23
|
23
|
$1,092.00
|
$273.00
75% off
|
$227.12
|
$1,024.33
|
$720.55
|
2026-07-15
|
|
16025
|
HCPCS
|
16025 - Drsand-dbrdmt Prtl-thkns Burns 1st-sbsq Medium
|
23
|
23
|
$409.76
|
$102.44
75% off
|
$285.41
|
$3,487.00
|
$698.00
|
2026-07-15
|
|
51705
|
HCPCS
|
51705 - Change Cystostomy Tube Simple
|
23
|
23
|
$375.44
|
$93.86
75% off
|
$339.60
|
$3,487.00
|
$698.00
|
2026-07-15
|
|
0731
|
RC
|
—
|
11
|
11
|
$203.17
|
$50.79
75% off
|
$698.00
|
$698.00
|
$698.00
|
2026-07-15
|
|
37195
|
HCPCS
|
37195 - Thrombolysis Cerebral IV Infusion
|
23
|
23
|
$1,488.24
|
$372.06
75% off
|
$451.50
|
$2,184.00
|
$698.00
|
2026-07-15
|
|
24640
|
HCPCS
|
24640 - Cltx Rdl Head Sublxtj Chld Nursemaid Elbw W-mnpj
|
23
|
23
|
$473.20
|
$118.30
75% off
|
$327.18
|
$2,184.00
|
$698.00
|
2026-07-15
|
|
93306
|
HCPCS
|
93306 - Echo Tthrc R-t 2d W-wom-mode Compl Specandcolr D
|
21
|
21
|
$2,050.07
|
$512.52
75% off
|
$374.87
|
$1,104.44
|
$697.27
|
2026-07-15
|
|
65220
|
HCPCS
|
65220 - Rmvl Fb Xtrnl Eye Corneal W-o Slit Lamp
|
23
|
23
|
$147.68
|
$36.92
75% off
|
$451.50
|
$902.93
|
$677.22
|
2026-07-15
|
|
0740
|
RC
|
—
|
11
|
11
|
$1,367.32
|
$341.83
75% off
|
$664.00
|
$664.00
|
$664.00
|
2026-07-15
|
|
87633
|
HCPCS
|
87633 - Iadna Respiratry Probe And Rev Trnscr 12-25 Target
|
23
|
23
|
$1,092.00
|
$273.00
75% off
|
$227.12
|
$1,050.00
|
$663.43
|
2026-07-15
|
|
0202U
|
OTHER
|
0202u - Nfct Ds 22 Trgt Sars-cov-2
|
15
|
15
|
$1,092.00
|
$273.00
75% off
|
$227.12
|
$1,050.00
|
$663.43
|
2026-07-15
|
|
20552
|
HCPCS
|
20552 - Injection Single-mlt Trigger Point 1-2 Muscles
|
22
|
22
|
$307.84
|
$76.96
75% off
|
$429.73
|
$2,184.00
|
$659.21
|
2026-07-15
|
|
31500
|
HCPCS
|
31500 - Intubation Endotracheal Emergency Procedure
|
23
|
23
|
$942.24
|
$235.56
75% off
|
$195.97
|
$3,487.00
|
$655.58
|
2026-07-15
|
|
36430
|
HCPCS
|
36430 - Transfusion Blood-blood Components
|
18
|
18
|
$1,390.48
|
$347.62
75% off
|
$289.19
|
$10,533.00
|
$652.95
|
2026-07-15
|
|
0921
|
RC
|
—
|
11
|
11
|
$923.54
|
$230.89
75% off
|
$608.00
|
$608.00
|
$608.00
|
2026-07-15
|
|
12053
|
HCPCS
|
12053 - Repair Intermediate F-e-e-n-land-muc 5.1-7.5 Cm
|
13
|
13
|
$587.60
|
$146.90
75% off
|
$451.50
|
$821.66
|
$605.17
|
2026-07-15
|
|
12042
|
HCPCS
|
12042 - Repair Intermediate N-h-f-xtrnl Gent 2.6-7.5 Cm
|
13
|
13
|
$502.32
|
$125.58
75% off
|
$451.50
|
$821.66
|
$605.17
|
2026-07-15
|
|
12032
|
HCPCS
|
12032 - Repair Intermediate S-a-t-e 2.6-7.5 Cm
|
14
|
14
|
$564.72
|
$141.18
75% off
|
$117.45
|
$821.66
|
$605.17
|
2026-07-15
|
|
10061
|
HCPCS
|
10061 - Incision And Drainage Abscess Complicated-multiple
|
13
|
13
|
$453.44
|
$113.36
75% off
|
$451.50
|
$2,184.00
|
$605.17
|
2026-07-15
|
|
0615
|
RC
|
—
|
11
|
11
|
$3,085.58
|
$771.40
75% off
|
$400.00
|
$800.00
|
$600.00
|
2026-07-15
|
|
0610
|
RC
|
—
|
11
|
11
|
$555.36
|
$138.84
75% off
|
$400.00
|
$800.00
|
$600.00
|
2026-07-15
|
|
0611
|
RC
|
—
|
11
|
11
|
$3,771.48
|
$942.87
75% off
|
$400.00
|
$800.00
|
$600.00
|
2026-07-15
|
|
0612
|
RC
|
—
|
11
|
11
|
$2,927.79
|
$731.95
75% off
|
$400.00
|
$800.00
|
$600.00
|
2026-07-15
|
|
0614
|
RC
|
—
|
11
|
11
|
$2,278.61
|
$569.65
75% off
|
$400.00
|
$800.00
|
$600.00
|
2026-07-15
|
|
0940
|
RC
|
—
|
11
|
11
|
$179.68
|
$44.92
75% off
|
$594.00
|
$594.00
|
$594.00
|
2026-07-15
|
|
74174
|
HCPCS
|
74174 - CTA Abdandplvs W-cntrst And Img Postprocessing
|
22
|
22
|
$2,394.08
|
$598.52
75% off
|
$401.42
|
$775.07
|
$588.25
|
2026-07-15
|
|
51703
|
HCPCS
|
51703 - Insj Temp Ndwellg Bladder Catheter Complicated
|
22
|
22
|
$296.40
|
$74.10
75% off
|
$193.44
|
$2,184.00
|
$574.75
|
2026-07-15
|
|
73220
|
HCPCS
|
73220 - MRI Upper Extrem Other Than Jt W-o And W-contras
|
22
|
22
|
$3,272.88
|
$818.22
75% off
|
$401.42
|
$727.82
|
$564.62
|
2026-07-15
|
|
73720
|
HCPCS
|
73720 - MRI Lower Extrem Oth-thn Jt W-o And W-contr Matr
|
22
|
22
|
$2,620.80
|
$655.20
75% off
|
$401.42
|
$727.82
|
$564.62
|
2026-07-15
|
|
0483
|
RC
|
—
|
11
|
11
|
$2,039.95
|
$509.99
75% off
|
$558.00
|
$558.00
|
$558.00
|
2026-07-15
|
|
81301
|
HCPCS
|
81301 - Microsatellite Instab Anal Mismatch Repair Def
|
23
|
23
|
$914.16
|
$228.54
75% off
|
$348.56
|
$761.12
|
$554.84
|
2026-07-15
|
|
74178
|
HCPCS
|
74178 - CT Abdandplv W-o Cntrst 1-bth Flwd Cntrst 1-bth
|
22
|
22
|
$2,759.12
|
$689.78
75% off
|
$401.42
|
$705.15
|
$546.12
|
2026-07-15
|
|
11730
|
HCPCS
|
11730 - Avulsion Nail Plate Partial-complete Simple 1
|
23
|
23
|
$1,522.04
|
$380.51
75% off
|
$285.41
|
$806.00
|
$545.71
|
2026-07-15
|
|
26010
|
HCPCS
|
26010 - Drainage Finger Abscess Simple
|
23
|
23
|
$1,868.88
|
$467.22
75% off
|
$285.41
|
$806.00
|
$545.71
|
2026-07-15
|
|
74177
|
HCPCS
|
74177 - CT Abdomen And Pelvis W-contrast Material
|
22
|
22
|
$2,683.20
|
$670.80
75% off
|
$372.52
|
$875.00
|
$538.84
|
2026-07-15
|
|
72146
|
HCPCS
|
72146 - MRI Spinal Canal Thoracic W-o Contrast Matrl
|
22
|
22
|
$2,580.24
|
$645.06
75% off
|
$244.98
|
$875.00
|
$525.23
|
2026-07-15
|
|
70544
|
HCPCS
|
70544 - MRA Head W-o Contrst Material
|
22
|
22
|
$2,418.00
|
$604.50
75% off
|
$244.98
|
$2,325.00
|
$516.00
|
2026-07-15
|
|
72148
|
HCPCS
|
72148 - MRI Spinal Canal Lumbar W-o Contrast Material
|
22
|
22
|
$3,108.56
|
$777.14
75% off
|
$244.98
|
$875.00
|
$512.59
|
2026-07-15
|
|
72195
|
HCPCS
|
72195 - MRI Pelvis W-o Contrast Material
|
22
|
22
|
$2,260.96
|
$565.24
75% off
|
$244.98
|
$778.90
|
$511.94
|
2026-07-15
|
|
92950
|
HCPCS
|
92950 - Cardiopulmonary Resuscitation
|
18
|
18
|
$942.24
|
$235.56
75% off
|
$206.71
|
$698.00
|
$511.31
|
2026-07-15
|
|
73218
|
HCPCS
|
73218 - MRI Upper Extremity Oth Than Jt W-o Contr Matrl
|
22
|
22
|
$2,915.12
|
$728.78
75% off
|
$244.98
|
$775.51
|
$510.25
|
2026-07-15
|
|
90675
|
HCPCS
|
90675 - Rabies Vaccine Intramuscular
|
23
|
23
|
$935.81
|
$233.95
75% off
|
$319.75
|
$874.20
|
$508.98
|
2026-07-15
|
|
43762
|
HCPCS
|
43762 - Perq Replacement Gtube Not Req Revj Gstrst Trc
|
13
|
13
|
$448.24
|
$112.06
75% off
|
$339.60
|
$2,184.00
|
$505.00
|
2026-07-15
|
|
0351
|
RC
|
—
|
11
|
11
|
$1,845.99
|
$461.50
75% off
|
$400.00
|
$600.00
|
$500.00
|
2026-07-15
|
|
0352
|
RC
|
—
|
11
|
11
|
$2,378.92
|
$594.73
75% off
|
$400.00
|
$600.00
|
$500.00
|
2026-07-15
|
|
0730
|
RC
|
—
|
11
|
11
|
$304.63
|
$76.16
75% off
|
$500.00
|
$500.00
|
$500.00
|
2026-07-15
|
|
86832
|
HCPCS
|
86832 - Antibody Hla Class I High Definition Panel Qual
|
23
|
23
|
$847.60
|
$211.90
75% off
|
$176.28
|
$706.94
|
$499.38
|
2026-07-15
|
|
27788
|
HCPCS
|
27788 - Cltx Dstl Fibular Fx Lat Malls W-manj
|
13
|
13
|
$591.76
|
$147.94
75% off
|
$327.18
|
$2,184.00
|
$498.58
|
2026-07-15
|
|
29125
|
HCPCS
|
29125 - Application Short Arm Splint Forearm-hand Static
|
23
|
23
|
$378.56
|
$94.64
75% off
|
$183.51
|
$806.00
|
$494.75
|
2026-07-15
|
|
11740
|
HCPCS
|
11740 - Evacuation Subungual Hematoma
|
23
|
23
|
$180.96
|
$45.24
75% off
|
$183.51
|
$806.00
|
$494.75
|
2026-07-15
|
|
51701
|
HCPCS
|
51701 - Insj Non-ndwellg Bladder Catheter
|
23
|
23
|
$347.36
|
$86.84
75% off
|
$183.51
|
$806.00
|
$494.75
|
2026-07-15
|
|
36592
|
HCPCS
|
36592 - Collect Blood From Catheter Venous Nos
|
19
|
19
|
$250.64
|
$62.66
75% off
|
$183.51
|
$806.00
|
$494.75
|
2026-07-15
|
|
36591
|
HCPCS
|
36591 - Collect Blood From Implant Venous Access Device
|
19
|
19
|
$211.12
|
$52.78
75% off
|
$43.91
|
$806.00
|
$494.75
|
2026-07-15
|
|
69200
|
HCPCS
|
69200 - Rmvl Fb Xtrnl Auditory Canal W-o Anes
|
23
|
23
|
$226.72
|
$56.68
75% off
|
$183.51
|
$806.00
|
$494.75
|
2026-07-15
|
|
65205
|
HCPCS
|
65205 - Removal Fb Eye Conjunctival Superficial
|
23
|
23
|
$112.32
|
$28.08
75% off
|
$183.51
|
$806.00
|
$494.75
|
2026-07-15
|
|
30300
|
HCPCS
|
30300 - Removal Foreign Body Intranasal Office Procedure
|
23
|
23
|
$99.84
|
$24.96
75% off
|
$183.51
|
$806.00
|
$494.75
|
2026-07-15
|
|
29130
|
HCPCS
|
29130 - Application Finger Splint Static
|
23
|
23
|
$360.88
|
$90.22
75% off
|
$183.51
|
$806.00
|
$494.75
|
2026-07-15
|
|
74181
|
HCPCS
|
74181 - MRI Abdomen W-o Contrast Material
|
22
|
22
|
$2,899.52
|
$724.88
75% off
|
$244.98
|
$738.65
|
$491.81
|
2026-07-15
|
|
59025
|
HCPCS
|
59025 - Fetal Nonstress Test
|
23
|
23
|
$463.84
|
$115.96
75% off
|
$281.52
|
$698.00
|
$489.76
|
2026-07-15
|
|
72141
|
HCPCS
|
72141 - MRI Spinal Canal Cervical W-o Contrast Matrl
|
22
|
22
|
$2,580.24
|
$645.06
75% off
|
$244.98
|
$733.24
|
$489.11
|
2026-07-15
|
|
71550
|
HCPCS
|
71550 - MRI Chest W-o Contrast Material
|
22
|
22
|
$1,389.96
|
$347.49
75% off
|
$244.98
|
$733.24
|
$489.11
|
2026-07-15
|
|
86833
|
HCPCS
|
86833 - Antibody Hla Class Ii High Definition Panel Qual
|
23
|
23
|
$854.88
|
$213.72
75% off
|
$177.80
|
$711.42
|
$488.36
|
2026-07-15
|
|
70551
|
HCPCS
|
70551 - MRI Brain Brain Stem W-o Contrast Material
|
22
|
22
|
$3,543.28
|
$885.82
75% off
|
$244.98
|
$875.00
|
$486.40
|
2026-07-15
|
|
70540
|
HCPCS
|
70540 - MRI Orbit Face And-neck W-o Contrast
|
22
|
22
|
$2,352.48
|
$588.12
75% off
|
$244.98
|
$727.82
|
$486.40
|
2026-07-15
|
|
73718
|
HCPCS
|
73718 - MRI Lower Extrem Oth-thn Jt W-o Contr Matrl
|
22
|
22
|
$2,496.00
|
$624.00
75% off
|
$244.98
|
$727.82
|
$486.40
|
2026-07-15
|
|
49465
|
HCPCS
|
49465 - Contrast Injection Perq Radiologic Eval Gi Tube
|
13
|
13
|
$336.96
|
$84.24
75% off
|
$358.70
|
$806.00
|
$482.27
|
2026-07-15
|
|
73201
|
HCPCS
|
73201 - CT Upper Extremity W-contrast Material
|
22
|
22
|
$1,705.60
|
$426.40
75% off
|
$245.62
|
$705.15
|
$475.38
|
2026-07-15
|
|
57454
|
HCPCS
|
57454 - Colposcopy Cervix Bx Cervix And Endocrv Curretage
|
15
|
15
|
$4,012.84
|
$1,003.21
75% off
|
$451.50
|
$10,533.00
|
$473.60
|
2026-07-15
|
|
58301
|
HCPCS
|
58301 - Removal Intrauterine Device IUD
|
14
|
14
|
$3,368.56
|
$842.14
75% off
|
$43.96
|
$5,571.00
|
$472.54
|
2026-07-15
|
|
56405
|
HCPCS
|
56405 - Iandd Vulva-perineal Abscess
|
15
|
15
|
$1,888.30
|
$472.08
75% off
|
$96.69
|
$10,533.00
|
$471.47
|
2026-07-15
|
|
0460
|
RC
|
—
|
11
|
11
|
$513.81
|
$128.45
75% off
|
$470.00
|
$470.00
|
$470.00
|
2026-07-15
|
|
0510
|
RC
|
—
|
11
|
11
|
$175.65
|
$43.91
75% off
|
$468.00
|
$468.00
|
$468.00
|
2026-07-15
|
|
73221
|
HCPCS
|
73221 - MRI Any Jt Upper Extremity W-o Contrast Matrl
|
22
|
22
|
$2,121.60
|
$530.40
75% off
|
$244.98
|
$875.00
|
$465.54
|
2026-07-15
|
|
73721
|
HCPCS
|
73721 - MRI Any Jt Lower Extrem W-o Contrast Matrl
|
22
|
22
|
$2,099.67
|
$524.92
75% off
|
$244.98
|
$875.00
|
$462.79
|
2026-07-15
|
|
87902
|
HCPCS
|
87902 - Nfct Agent Genotype Alys Nucleic Acd Hep C Virus
|
23
|
23
|
$1,040.00
|
$260.00
75% off
|
$257.45
|
$658.54
|
$458.00
|
2026-07-15
|
|
20610
|
HCPCS
|
20610 - Arthrocentesis Aspirand-inj Major Jt-bursa W-o US
|
14
|
14
|
$2,004.08
|
$501.02
75% off
|
$429.73
|
$10,533.00
|
$456.48
|
2026-07-15
|
|
29105
|
HCPCS
|
29105 - Application Long Arm Splint Shoulder To Hand
|
23
|
23
|
$378.56
|
$94.64
75% off
|
$78.73
|
$806.00
|
$451.50
|
2026-07-15
|
|
51702
|
HCPCS
|
51702 - Insj Temp Ndwellg Bladder Catheter Simple
|
23
|
23
|
$248.56
|
$62.14
75% off
|
$51.70
|
$806.00
|
$451.50
|
2026-07-15
|
|
12002
|
HCPCS
|
12002 - Smpl Repair Scalp-neck-ax-genit-trunk 2.6-7.5cm
|
23
|
23
|
$549.12
|
$137.28
75% off
|
$114.21
|
$806.00
|
$451.50
|
2026-07-15
|
|
12001
|
HCPCS
|
12001 - Simple Repair Scalp-neck-ax-genit-trunk 2.5cm-less Than
|
23
|
23
|
$590.75
|
$147.69
75% off
|
$105.77
|
$806.00
|
$451.50
|
2026-07-15
|
|
10060
|
HCPCS
|
10060 - Incision And Drainage Abscess Simple-single
|
23
|
23
|
$435.76
|
$108.94
75% off
|
$90.63
|
$3,487.00
|
$451.50
|
2026-07-15
|
|
12011
|
HCPCS
|
12011 - Simple Repair F-e-e-n-l-m 2.5cm-less Than
|
23
|
23
|
$508.56
|
$127.14
75% off
|
$285.41
|
$806.00
|
$451.50
|
2026-07-15
|
|
36410
|
HCPCS
|
36410 - Vnpnxr 3 Years-greater Than Phys-qhp Skill Dx-ther Purposes
|
7
|
7
|
$72.80
|
$18.20
75% off
|
$15.14
|
$451.50
|
$451.50
|
2026-07-15
|
|
12013
|
HCPCS
|
12013 - Simple Repair F-e-e-n-l-m 2.6cm-5.0 Cm
|
23
|
23
|
$539.76
|
$134.94
75% off
|
$112.26
|
$806.00
|
$451.50
|
2026-07-15
|
|
29515
|
HCPCS
|
29515 - Application Short Leg Splint Calf To Foot
|
23
|
23
|
$238.16
|
$59.54
75% off
|
$49.53
|
$806.00
|
$451.50
|
2026-07-15
|
|
20605
|
HCPCS
|
20605 - Arthrocentesis Aspirand-inj Interm Jt-burs W-o US
|
13
|
13
|
$466.96
|
$116.74
75% off
|
$429.73
|
$2,184.00
|
$451.50
|
2026-07-15
|
|
51798
|
HCPCS
|
51798 - Meas Post-voiding Residual Urineand-bladder Cap
|
23
|
23
|
$185.12
|
$46.28
75% off
|
$38.50
|
$806.00
|
$447.35
|
2026-07-15
|
|
69210
|
HCPCS
|
69210 - Removal Impacted Cerumen Instrumentation Unilat
|
23
|
23
|
$226.72
|
$56.68
75% off
|
$88.69
|
$806.00
|
$447.35
|
2026-07-15
|
|
90375
|
HCPCS
|
90375 - Rabies Immune Globulin Rig Human IM-subq
|
92
|
23
|
$719.10
|
$179.78
75% off
|
$279.95
|
$1,461.09
|
$445.62
|
2026-07-15
|
|
26770
|
HCPCS
|
26770 - Cltx Iphal Jt Dislc W-manj W-o Anes
|
14
|
14
|
$395.20
|
$98.80
75% off
|
$82.19
|
$806.00
|
$421.06
|
2026-07-15
|
|
23650
|
HCPCS
|
23650 - Clsd Tx Shoulder Dislc W-manipulation W-o Anes
|
14
|
14
|
$446.16
|
$111.54
75% off
|
$92.79
|
$2,184.00
|
$421.06
|
2026-07-15
|
|
87506
|
HCPCS
|
87506 - Iadna-DNA-RNA Gi Pthgn Multiplex Probe Tq 6-11
|
23
|
23
|
$689.52
|
$172.38
75% off
|
$125.97
|
$574.26
|
$418.62
|
2026-07-15
|
|
88307
|
HCPCS
|
88307 - Level V Surg Pathology Grossandmicroscopic Exam
|
23
|
23
|
$686.40
|
$171.60
75% off
|
$95.72
|
$724.50
|
$410.11
|
2026-07-15
|
|
P9040
|
HCPCS
|
P9040 - Rbc Leukoreduced Irradiated
|
17
|
17
|
$756.08
|
$189.02
75% off
|
$293.76
|
$525.07
|
$409.42
|
2026-07-15
|
|
12004
|
HCPCS
|
12004 - Simple Rpr Scalp-neck-ax-genit-trunk 7.6-12.5cm
|
13
|
13
|
$559.52
|
$139.88
75% off
|
$285.41
|
$806.00
|
$405.53
|
2026-07-15
|
|
12014
|
HCPCS
|
12014 - Simple Repair F-e-e-n-l-m 5.1cm-7.5 Cm
|
13
|
13
|
$171.60
|
$42.90
75% off
|
$285.41
|
$806.00
|
$405.53
|
2026-07-15
|
|
71275
|
HCPCS
|
71275 - CT Angiography Chest W-contrast-noncontrast
|
22
|
22
|
$2,329.60
|
$582.40
75% off
|
$191.56
|
$616.34
|
$403.95
|
2026-07-15
|
|
88184
|
HCPCS
|
88184 - Flow Cytometry Cell Surf Marker Techl Only 1st
|
23
|
23
|
$689.52
|
$172.38
75% off
|
$77.98
|
$724.50
|
$401.24
|
2026-07-15
|
|
93985
|
HCPCS
|
93985 - Duplex Scan Artl Inflandven O-f Hemo Compl Bi Std
|
18
|
18
|
$611.52
|
$152.88
75% off
|
$111.72
|
$482.27
|
$398.74
|
2026-07-15
|
|
71270
|
HCPCS
|
71270 - Diagnostic Computed Tomography Thorax C--c+
|
22
|
22
|
$3,113.76
|
$778.44
75% off
|
$191.56
|
$647.60
|
$393.77
|
2026-07-15
|
|
86581
|
HCPCS
|
86581 - Strptcs Pneum Antibody Igg Serotypes Mlt Ia Quan
|
22
|
22
|
$495.56
|
$123.89
75% off
|
$92.03
|
$694.88
|
$393.45
|
2026-07-15
|
|
74175
|
HCPCS
|
74175 - CTA Abdomen W-contrastandimg Postprocessing
|
22
|
22
|
$1,779.44
|
$444.86
75% off
|
$191.56
|
$592.64
|
$392.10
|
2026-07-15
|
|
94060
|
HCPCS
|
94060 - Brncdilat Rspse Spmtry Preandpost-brncdilat Admn
|
21
|
21
|
$692.64
|
$173.16
75% off
|
$70.43
|
$754.23
|
$388.13
|
2026-07-15
|
|
72133
|
HCPCS
|
72133 - CT Lumbar Spine W-o And W-contrast Material
|
22
|
22
|
$1,537.12
|
$384.28
75% off
|
$191.56
|
$583.34
|
$387.45
|
2026-07-15
|
|
74170
|
HCPCS
|
74170 - CT Abdomen W-o Contrast Flwd By Contrast Matrl
|
22
|
22
|
$2,773.68
|
$693.42
75% off
|
$191.56
|
$875.00
|
$382.03
|
2026-07-15
|
|
V2632
|
HCPCS
|
V2632 - Post Chmbr Intraocular Lens
|
1
|
1
|
$369.72
|
$92.43
75% off
|
$378.75
|
$378.75
|
$378.75
|
2026-07-15
|
|
72194
|
HCPCS
|
72194 - CT Pelvis W-o And W-contrast Material
|
22
|
22
|
$2,860.00
|
$715.00
75% off
|
$191.56
|
$594.83
|
$375.71
|
2026-07-15
|
|
75635
|
HCPCS
|
75635 - CTA Abdl Aortaandbi Iliofem W-contrastandpostp
|
22
|
22
|
$1,560.00
|
$390.00
75% off
|
$191.56
|
$592.64
|
$373.31
|
2026-07-15
|
|
86902
|
HCPCS
|
86902 - Blood Type Antigen Donor Reagent Serum Each
|
13
|
13
|
$405.60
|
$101.40
75% off
|
$6.35
|
$724.50
|
$367.43
|
2026-07-15
|
|
86905
|
HCPCS
|
86905 - Blood Typing Rbc Antigens Oth-thn Abo-rh D Each
|
13
|
13
|
$405.60
|
$101.40
75% off
|
$3.83
|
$724.50
|
$367.43
|
2026-07-15
|
|
86870
|
HCPCS
|
86870 - Antibody Id Rbc Antibodies Ea Panel Ea Serum Tq
|
13
|
13
|
$405.60
|
$101.40
75% off
|
$19.87
|
$724.50
|
$367.43
|
2026-07-15
|
|
73706
|
HCPCS
|
73706 - CT Angiography Lower Extremity
|
22
|
22
|
$2,611.44
|
$652.86
75% off
|
$191.56
|
$520.85
|
$356.20
|
2026-07-15
|