Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

BAXTER HEALTH FULTON COUNTY HOSPITAL

Salem, AR · CCN 041322 · Rates published

1,202 distinct procedures filed
5 distinct payers
22,805 rate rows
2026-05-22 last MRF observed
Data quality

22,729 of 22,805 rate rows are consumer-grade (99.7%)

76 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 — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 50
per-diem day rate — not a per-procedure price 24
placeholder amount (≤ $0.02) — excluded from medians 2
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.fultoncountyhospital.org/plugins/show_image.php?id=68
Found on page https://www.fultoncountyhospital.org/price-transparency
Discovered viaCMS hospital list
Last fetch success · 2026-06-08
Content fingerprint c520a85ab2babac7… · 3,858,812 bytes · first seen 2026-06-08

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
J2997
OTHER 		Activase (alteplase) Inj 100 Mg 5 $101.56 $14,257.50 $14,116.34 nat. median
$107
outlier · 131.9×
J3101
OTHER 		Tnkase (tenecteplace) Inj 50 Mg 5 $174.78 $10,075.20 $9,975.45 nat. median
$195
outlier · 51.2×
J0897
OTHER 		Prolia (denosumab) Inj 60 Mg 5 $28.76 $3,989.51 $3,950.01 nat. median
$32
outlier · 124.2×
81211
OTHER 		Brca 1 And 2 5 $2,635.88 $4,815.55 $3,095.32 nat. median
$1,904
1.6× median
11044
OTHER 		Debride Sk Sub Tis Ms Bon 5 $229.88 $1,611.51 $1,412.76 nat. median
$1,672
0.8× median
74174
OTHER 		CTA Abd And Pelvis W Contrast 5 $366.59 $1,380.77 $1,367.10 nat. median
$502
outlier · 2.7×
43255
OTHER 		Egd With Control Of Bleeding 5 $1,150.76 $1,771.26 $1,351.34 nat. median
$1,986
0.7× median
73706
OTHER 		CTA Leg Bilateral 5 $174.94 $1,358.63 $1,345.18 nat. median
$310
outlier · 4.3×
70496
OTHER 		CTA Head 5 $174.94 $1,284.87 $1,272.15 nat. median
$325
outlier · 3.9×
45382
OTHER 		Colonoscopy With Control Of Bleeding 5 $1,045.20 $1,233.49 $1,221.28 nat. median
$1,405
0.9× median
74175
OTHER 		CTA Abdominal Aorta W/contrast 5 $174.94 $1,196.67 $1,184.82 nat. median
$336
outlier · 3.5×
72191
OTHER 		CTA Pelvis W/contrast 5 $174.94 $1,196.67 $1,184.82 nat. median
$344
outlier · 3.4×
J0585
OTHER 		Botulinum Toxin Type A - Nf 5 $7.23 $1,165.98 $1,154.44 nat. median
$7
outlier · 162.6×
43251
OTHER 		Egd With Removal Of Tumor Etc 5 $199.32 $1,771.26 $1,140.38 nat. median
$1,935
0.6× median
65235
OTHER 		Removal Of Foreign Body 5 $741.73 $2,196.22 $1,109.06 nat. median
$2,288
outlier · 0.5×
43236
OTHER 		Upper Gi Scope W/submuc Inj 5 $839.58 $1,080.07 $1,069.38 nat. median
$1,006
1.1× median
59409
OTHER 		Vaginal Delivery 5 $799.94 $2,167.02 $1,068.89 nat. median
$3,048
outlier · 0.4×
36573
OTHER 		Insertion Of 0picc With Imaging 5 $910.00 $1,513.19 $1,068.62 nat. median
$1,620
0.7× median
36569
OTHER 		Insertion Of Picc Line W/out Imaging 5 $910.00 $1,513.19 $1,068.62 nat. median
$1,629
0.7× median
72194
OTHER 		CT Pelvis W&without Contrast 5 $174.94 $1,038.27 $1,027.99 nat. median
$310
outlier · 3.3×
74160
OTHER 		CT Abdomen W Contrast 5 $174.94 $1,036.05 $1,025.79 nat. median
$297
outlier · 3.5×
72193
OTHER 		CT Pelvis W Contrast 5 $174.94 $1,036.05 $1,025.79 nat. median
$278
outlier · 3.7×
73206
OTHER 		CTA Upper Ext W/contrast 5 $174.94 $1,026.41 $1,016.25 nat. median
$356
outlier · 2.9×
Q4282
OTHER 		Cygnus Dual 2x3 6 Units 5 $417.08 $1,006.81 $983.56 nat. median
$404
outlier · 2.4×
Q4159
OTHER 		Affinity 6.25 Cm 7 Units 5 $410.55 $966.53 $956.97 nat. median
$342
outlier · 2.8×
70498
OTHER 		CTA Neck W/contrast 5 $174.94 $950.89 $941.48 nat. median
$328
outlier · 2.9×
75635
OTHER 		CTA Aorta W/runoffs 5 $174.94 $950.89 $941.48 nat. median
$318
outlier · 3.0×
71275
OTHER 		CTA Pulmonary Angiogram 5 $174.94 $950.89 $941.48 nat. median
$311
outlier · 3.0×
72192
OTHER 		CT Pelvis Without Contrast 5 $107.60 $919.98 $910.87 nat. median
$157
outlier · 5.8×
74150
OTHER 		CT Abdomen Without Contrast 5 $107.60 $919.98 $910.87 nat. median
$163
outlier · 5.6×
10140
OTHER 		I&d Hematoma 5 $120.78 $2,003.65 $900.12 nat. median
$1,559
0.6× median
45385
OTHER 		Colonoscopy With Removal Of Tumor Etc 5 $258.47 $1,391.82 $887.17 nat. median
$1,428
0.6× median
11604
OTHER 		Exc Malig Les 3.1to 4.0cm 5 $660.03 $875.53 $866.86 nat. median
$717
1.2× median
45380
OTHER 		Colonoscopy With Biopsy 5 $204.05 $1,233.49 $853.01 nat. median
$1,440
0.6× median
71270
OTHER 		CT Abdomen/pelvis W & Wo Contrast 5 $174.94 $1,038.27 $841.43 nat. median
$304
outlier · 2.8×
74178
OTHER 		CT Abdomen/pelvis W & Wo Contrast 5 $99.93 $1,038.27 $833.10 nat. median
$495
1.7× median
70481
OTHER 		CT Orbits W/contrast 5 $174.94 $841.43 $833.10 nat. median
$290
outlier · 2.9×
73201
OTHER 		CT Upper Ext Lt W CONT,Left Side 5 $366.59 $841.43 $833.10 nat. median
$454
1.8× median
73701
OTHER 		CT Lower Ext Lt W CONT,Left Side 5 $174.94 $841.43 $833.10 nat. median
$290
outlier · 2.9×
70470
OTHER 		CT Head Brain W And Wo Contrast 5 $174.94 $840.32 $832.00 nat. median
$276
outlier · 3.0×
70492
OTHER 		CT Soft Tissue Neck Without & W Contrast 5 $174.94 $840.32 $832.00 nat. median
$255
outlier · 3.3×
72129
OTHER 		CT Thoracic Spine W Contrast 5 $174.94 $840.32 $832.00 nat. median
$263
outlier · 3.2×
70491
OTHER 		CT Soft Tissue Neck With Contrast 5 $174.94 $840.32 $832.00 nat. median
$282
outlier · 3.0×
72126
OTHER 		CT Cervical Spine W Contrast 5 $366.59 $840.28 $831.96 nat. median
$444
1.9× median
81213
OTHER 		Uncommon Duplication/deletion Variants 5 $703.56 $1,285.35 $826.19 nat. median
$524
1.6× median
72132
OTHER 		CT L-spine With Contrast 5 $366.59 $831.48 $823.25 nat. median
$437
1.9× median
43247
OTHER 		Egd With Removal Of Foreign Body 5 $179.61 $1,095.41 $819.54 nat. median
$1,008
0.8× median
72130
OTHER 		CT Thoracic Spine W And Wo 5 $174.94 $783.73 $775.96 nat. median
$285
outlier · 2.7×
71260
OTHER 		CT Chest/ Thorax With Contrast 5 $174.94 $778.95 $771.24 nat. median
$260
outlier · 3.0×
70460
OTHER 		CT Head Brain W Contrast 5 $174.94 $773.04 $765.39 nat. median
$276
outlier · 2.8×

Other procedures at this hospital

Browse this hospital's 1,202 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
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
             
J2997 OTHER Activase (alteplase) Inj 100 Mg 12 5 $23,232.95 $16,263.07 30% off $101.56 $14,257.50 $14,116.34 2026-05-22
J3101 OTHER Tnkase (tenecteplace) Inj 50 Mg 12 5 $16,417.79 $11,492.45 30% off $174.78 $10,075.20 $9,975.45 2026-05-22
J0897 OTHER Prolia (denosumab) Inj 60 Mg 12 5 $6,501.00 $4,550.70 30% off $28.76 $3,989.51 $3,950.01 2026-05-22
81211 OTHER Brca 1 And 2 12 5 $5,069.00 $3,548.30 30% off $2,635.88 $4,815.55 $3,095.32 2026-05-22
11044 OTHER Debride Sk Sub Tis Ms Bon 24 5 $2,043.00 $1,430.10 30% off $229.88 $1,611.51 $1,412.76 2026-05-22
74174 OTHER CTA Abd And Pelvis W Contrast 12 5 $2,250.00 $1,575.00 30% off $366.59 $1,380.77 $1,367.10 2026-05-22
43255 OTHER Egd With Control Of Bleeding 12 5 $2,213.00 $1,549.10 30% off $1,150.76 $1,771.26 $1,351.34 2026-05-22
73706 OTHER CTA Leg Bilateral 12 5 $2,213.92 $1,549.74 30% off $174.94 $1,358.63 $1,345.18 2026-05-22
70496 OTHER CTA Head 12 5 $2,093.73 $1,465.61 30% off $174.94 $1,284.87 $1,272.15 2026-05-22
45382 OTHER Colonoscopy With Control Of Bleeding 12 5 $2,010.00 $1,407.00 30% off $1,045.20 $1,233.49 $1,221.28 2026-05-22
74175 OTHER CTA Abdominal Aorta W/contrast 12 5 $1,950.00 $1,365.00 30% off $174.94 $1,196.67 $1,184.82 2026-05-22
72191 OTHER CTA Pelvis W/contrast 12 5 $1,950.00 $1,365.00 30% off $174.94 $1,196.67 $1,184.82 2026-05-22
J0585 OTHER Botulinum Toxin Type A - Nf 12 5 $1,900.00 $1,330.00 30% off $7.23 $1,165.98 $1,154.44 2026-05-22
43251 OTHER Egd With Removal Of Tumor Etc 24 5 $1,671.50 $1,170.05 30% off $199.32 $1,771.26 $1,140.38 2026-05-22
65235 OTHER Removal Of Foreign Body 12 5 $2,864.00 $2,004.80 30% off $741.73 $2,196.22 $1,109.06 2026-05-22
43236 OTHER Upper Gi Scope W/submuc Inj 12 5 $1,760.00 $1,232.00 30% off $839.58 $1,080.07 $1,069.38 2026-05-22
59409 OTHER Vaginal Delivery 12 5 $2,167.02 $1,516.91 30% off $799.94 $2,167.02 $1,068.89 2026-05-22
36573 OTHER Insertion Of 0picc With Imaging 12 5 $1,750.00 $1,225.00 30% off $910.00 $1,513.19 $1,068.62 2026-05-22
36569 OTHER Insertion Of Picc Line W/out Imaging 12 5 $1,750.00 $1,225.00 30% off $910.00 $1,513.19 $1,068.62 2026-05-22
72194 OTHER CT Pelvis W&without Contrast 12 5 $1,691.88 $1,184.32 30% off $174.94 $1,038.27 $1,027.99 2026-05-22
72193 OTHER CT Pelvis W Contrast 12 5 $1,688.25 $1,181.78 30% off $174.94 $1,036.05 $1,025.79 2026-05-22
74160 OTHER CT Abdomen W Contrast 12 5 $1,688.25 $1,181.78 30% off $174.94 $1,036.05 $1,025.79 2026-05-22
73206 OTHER CTA Upper Ext W/contrast 12 5 $1,672.56 $1,170.79 30% off $174.94 $1,026.41 $1,016.25 2026-05-22
Q4282 OTHER Cygnus Dual 2x3 6 Units 30 5 $1,618.75 $1,133.13 30% off $417.08 $1,006.81 $983.56 2026-05-22
Q4159 OTHER Affinity 6.25 Cm 7 Units 12 5 $1,575.00 $1,102.50 30% off $410.55 $966.53 $956.97 2026-05-22
70498 OTHER CTA Neck W/contrast 12 5 $1,549.50 $1,084.65 30% off $174.94 $950.89 $941.48 2026-05-22
75635 OTHER CTA Aorta W/runoffs 12 5 $1,549.50 $1,084.65 30% off $174.94 $950.89 $941.48 2026-05-22
71275 OTHER CTA Pulmonary Angiogram 12 5 $1,549.50 $1,084.65 30% off $174.94 $950.89 $941.48 2026-05-22
72192 OTHER CT Pelvis Without Contrast 12 5 $1,499.13 $1,049.39 30% off $107.60 $919.98 $910.87 2026-05-22
74150 OTHER CT Abdomen Without Contrast 12 5 $1,499.13 $1,049.39 30% off $107.60 $919.98 $910.87 2026-05-22
10140 OTHER I&d Hematoma 24 5 $1,770.07 $1,239.05 30% off $120.78 $2,003.65 $900.12 2026-05-22
45385 OTHER Colonoscopy With Removal Of Tumor Etc 24 5 $1,470.50 $1,029.35 30% off $258.47 $1,391.82 $887.17 2026-05-22
11604 OTHER Exc Malig Les 3.1to 4.0cm 12 5 $1,426.70 $998.69 30% off $660.03 $875.53 $866.86 2026-05-22
45380 OTHER Colonoscopy With Biopsy 26 5 $1,390.00 $973.00 30% off $204.05 $1,233.49 $853.01 2026-05-22
71270 OTHER CT Abdomen/pelvis W & Wo Contrast 22 5 $1,691.88 $1,184.32 30% off $174.94 $1,038.27 $841.43 2026-05-22
70481 OTHER CT Orbits W/contrast 12 5 $1,371.13 $959.79 30% off $174.94 $841.43 $833.10 2026-05-22
74178 OTHER CT Abdomen/pelvis W & Wo Contrast 34 5 $1,371.13 $959.79 30% off $99.93 $1,038.27 $833.10 2026-05-22
73201 OTHER CT Upper Ext Lt W CONT,Left Side 24 5 $1,371.13 $959.79 30% off $366.59 $841.43 $833.10 2026-05-22
73701 OTHER CT Lower Ext Lt W CONT,Left Side 24 5 $1,371.13 $959.79 30% off $174.94 $841.43 $833.10 2026-05-22
70491 OTHER CT Soft Tissue Neck With Contrast 12 5 $1,369.33 $958.53 30% off $174.94 $840.32 $832.00 2026-05-22
70492 OTHER CT Soft Tissue Neck Without & W Contrast 12 5 $1,369.33 $958.53 30% off $174.94 $840.32 $832.00 2026-05-22
72129 OTHER CT Thoracic Spine W Contrast 12 5 $1,369.33 $958.53 30% off $174.94 $840.32 $832.00 2026-05-22
70470 OTHER CT Head Brain W And Wo Contrast 12 5 $1,369.33 $958.53 30% off $174.94 $840.32 $832.00 2026-05-22
72126 OTHER CT Cervical Spine W Contrast 12 5 $1,369.25 $958.48 30% off $366.59 $840.28 $831.96 2026-05-22
81213 OTHER Uncommon Duplication/deletion Variants 12 5 $1,353.00 $947.10 30% off $703.56 $1,285.35 $826.19 2026-05-22
72132 OTHER CT L-spine With Contrast 12 5 $1,354.92 $948.44 30% off $366.59 $831.48 $823.25 2026-05-22
43247 OTHER Egd With Removal Of Foreign Body 24 5 $1,292.25 $904.58 30% off $179.61 $1,095.41 $819.54 2026-05-22
72130 OTHER CT Thoracic Spine W And Wo 12 5 $1,277.10 $893.97 30% off $174.94 $783.73 $775.96 2026-05-22
71260 OTHER CT Chest/ Thorax With Contrast 22 5 $1,269.33 $888.53 30% off $174.94 $778.95 $771.24 2026-05-22
70460 OTHER CT Head Brain W Contrast 12 5 $1,259.69 $881.78 30% off $174.94 $773.04 $765.39 2026-05-22
81403 OTHER Jak2 Exon 12 Mutation 12 5 $1,225.00 $857.50 30% off $211.13 $751.76 $744.31 2026-05-22
J3489 OTHER Reclast (zoledronec Ac) Inj 5 Mg/100 Ml 12 5 $1,200.00 $840.00 30% off $8.24 $736.41 $729.12 2026-05-22
70482 OTHER CT Orbits Wo Contrast 22 5 $1,180.00 $826.00 30% off $174.94 $841.43 $724.14 2026-05-22
24620 OTHER Closed Tx Monteddia Fx Dislocation Elbow 12 5 $1,349.34 $944.54 30% off $602.32 $1,349.34 $718.20 2026-05-22
70486 OTHER CT Facial/sinus Without Contrast 22 5 $1,180.00 $826.00 30% off $107.60 $724.26 $717.09 2026-05-22
72131 OTHER CT Lumbar Spine Without Contrast 12 5 $1,180.20 $826.14 30% off $107.60 $724.26 $717.09 2026-05-22
72133 OTHER CT L-spine W And Wo Contrast 12 5 $1,180.00 $826.00 30% off $174.94 $724.14 $716.97 2026-05-22
72128 OTHER CT Thoracic Spine Without Contrast 12 5 $1,180.00 $826.00 30% off $107.60 $724.14 $716.97 2026-05-22
71250 OTHER CT Chest Thorax Wo Contrast 12 5 $1,180.00 $826.00 30% off $107.60 $724.14 $716.97 2026-05-22
70490 OTHER CT Soft Tissue Neck Wo Contrast 12 5 $1,180.00 $826.00 30% off $107.60 $724.14 $716.97 2026-05-22
70487 OTHER CT Facial/sinus W Contrast 12 5 $1,180.00 $826.00 30% off $174.94 $724.14 $716.97 2026-05-22
73700 OTHER CT Lower Ext Lt Without CONT,Left Side 24 5 $1,180.00 $826.00 30% off $107.60 $724.14 $716.97 2026-05-22
70450 OTHER CT Head/brain Without Contrast 12 5 $1,180.00 $826.00 30% off $107.60 $724.14 $716.97 2026-05-22
72125 OTHER CT Cervical Spine Without Contrast 12 5 $1,180.00 $826.00 30% off $107.60 $724.14 $716.97 2026-05-22
73202 OTHER CT Upper Ext Lt W&without CONT,Left Side 24 5 $1,180.00 $826.00 30% off $174.94 $724.14 $716.97 2026-05-22
73200 OTHER CT Upper Ext Rt Without CONT,Right Side 24 5 $1,180.00 $826.00 30% off $107.60 $724.14 $716.97 2026-05-22
70480 OTHER CT Temporal Bone Bilateral 12 5 $1,180.00 $826.00 30% off $107.60 $724.14 $716.97 2026-05-22
73702 OTHER CT Lower Ext Lt W&without CONT,Left Side 24 5 $1,180.00 $826.00 30% off $174.94 $724.14 $716.97 2026-05-22
43239 OTHER Egd With Biopsy 24 5 $1,149.00 $804.30 30% off $140.97 $1,080.07 $688.79 2026-05-22
G0121 OTHER Colorectal Cancer Screening 24 5 $1,078.00 $754.60 30% off $187.76 $1,005.21 $681.60 2026-05-22
45378 OTHER Colonoscopy Diagnostic 24 5 $1,103.50 $772.45 30% off $187.56 $1,036.50 $681.60 2026-05-22
G0105 OTHER Colorectal Screening High Risk 24 5 $1,077.50 $754.25 30% off $187.56 $1,005.21 $681.10 2026-05-22
A0433 OTHER Als2-emergency 12 5 $1,244.80 $871.36 30% off $647.30 $1,182.56 $678.89 2026-05-22
25605 OTHER Tx Closed Fx With Manip 12 5 $1,342.00 $939.40 30% off $526.81 $1,342.00 $677.82 2026-05-22
44388 OTHER Colonoscopy Through Stoma; Diagnostic 24 5 $1,135.12 $794.59 30% off $158.08 $1,089.27 $670.22 2026-05-22
36556 OTHER Central Line/non-tunneled 24 5 $1,100.40 $770.28 30% off $86.57 $1,911.80 $641.57 2026-05-22
11012 OTHER Deb Skin/bone At Fx Site 12 5 $1,329.58 $930.71 30% off $418.95 $1,329.58 $619.53 2026-05-22
87902 OTHER Hcv Genotype 12 5 $971.00 $679.70 30% off $293.49 $595.88 $589.98 2026-05-22
26615 OTHER Open Tx Met Disl Fx W Manip Single 12 5 $651.00 $455.70 30% off $399.51 $651.00 $588.61 2026-05-22
25565 OTHER Tx Radial/ulnar Fx Manip 12 5 $1,085.00 $759.50 30% off $480.11 $1,085.00 $575.38 2026-05-22
90677 OTHER Prevnar 20 12 5 $945.00 $661.50 30% off $329.52 $579.92 $574.18 2026-05-22
87536 OTHER HIV-1 Quant 12 5 $943.25 $660.28 30% off $97.01 $578.86 $573.12 2026-05-22
43235 OTHER Egd Diagnostic 24 5 $898.50 $628.95 30% off $124.76 $843.19 $568.74 2026-05-22
25505 OTHER E R Physician Fee 12 5 $1,046.00 $732.20 30% off $476.45 $1,046.00 $561.56 2026-05-22
45330 OTHER Sigmoidoscopy Diagnostic 24 5 $801.00 $560.70 30% off $57.40 $845.19 $560.04 2026-05-22
93306 OTHER US Echo Complete 12 5 $914.05 $639.84 30% off $475.31 $560.93 $555.38 2026-05-22
P9016 OTHER Bb Red Packed CELLS,Special Acquisition Of Blood And Blood Products 12 5 $910.00 $637.00 30% off $195.00 $558.44 $552.92 2026-05-22
81206 OTHER Bcr/abl1translocation Analysis;majorbkpt 12 5 $873.18 $611.23 30% off $186.91 $535.84 $530.54 2026-05-22
81207 OTHER Bcr/abl1translocation Analysis;minorbkpt 12 5 $873.18 $611.23 30% off $165.12 $535.84 $530.54 2026-05-22
88237 OTHER Tissue Cult Neoplastic Bn Mrw/bld Cells 12 5 $862.86 $604.00 30% off $163.88 $529.51 $524.27 2026-05-22
12020 OTHER Tx Wound/dehiscense Simpl 12 5 $856.90 $599.83 30% off $445.59 $590.85 $523.25 2026-05-22
36584 OTHER Replacement Of Picc Line W/out Imaging 12 5 $850.00 $595.00 30% off $442.00 $850.00 $519.04 2026-05-22
11047 OTHER Debride Bone Each Additional 20 Cm 24 5 $873.87 $611.71 30% off $97.88 $1,438.02 $504.73 2026-05-22
J1610 OTHER Glucagon For Inj 1mg 12 5 $819.00 $573.30 30% off $215.03 $502.60 $497.62 2026-05-22
23655 OTHER Manip Shoulder With Anes 12 5 $896.00 $627.20 30% off $419.07 $896.00 $486.56 2026-05-22
27550 OTHER Closed Tx Knee Dislocation 12 5 $1,502.38 $1,051.67 30% off $210.54 $921.97 $486.19 2026-05-22
P9019 OTHER Bb Platelets 12 5 $800.00 $560.00 30% off $79.59 $490.94 $486.08 2026-05-22
15271 OTHER App Of Skin Product Legs Trunk Arms 25sq 24 5 $870.00 $609.00 30% off $85.71 $1,600.00 $486.00 2026-05-22
93975 OTHER US Renal Doppler 12 5 $785.78 $550.05 30% off $221.67 $482.21 $477.44 2026-05-22
A0427 OTHER Als1-emergency 12 5 $859.50 $601.65 30% off $446.94 $816.52 $469.06 2026-05-22
15273 OTHER Skin Graft Leg Arm Trunk First 100 Sq Cm 24 5 $745.18 $521.63 30% off $197.29 $818.42 $465.94 2026-05-22
32551 OTHER Chest Tube Placement Fac 24 5 $688.15 $481.70 30% off $157.25 $949.30 $460.32 2026-05-22
51710 OTHER Replacement Of Superpubic Catheter 12 5 $745.00 $521.50 30% off $387.40 $635.98 $454.93 2026-05-22
90670 OTHER Vac Prevnar 13 12 5 $746.00 $522.20 30% off $257.99 $457.81 $453.27 2026-05-22
981 OTHER Removal Of Tunneled Central Venous Cathe 16 5 $565.00 $395.50 30% off $30.68 $536.75 $441.74 2026-05-22
49082 OTHER Paracentesis 28 5 $682.40 $477.68 30% off $74.40 $839.58 $433.76 2026-05-22
27265 OTHER Cl'd Tx P-hip Arth Disw/o 12 5 $910.00 $637.00 30% off $210.54 $558.44 $429.47 2026-05-22
11043 OTHER Debride Sbq Musc Fascia<=20 Cm 24 5 $655.32 $458.72 30% off $156.81 $590.85 $428.88 2026-05-22
11422 OTHER Excision Benign Lesion Except Skin Tag 24 5 $651.24 $455.87 30% off $138.41 $760.00 $428.49 2026-05-22
93882 OTHER US Carotid Unilateral 12 5 $702.46 $491.72 30% off $101.45 $431.09 $426.82 2026-05-22
93880 OTHER US Carotid Arteries Bilateral 12 5 $702.46 $491.72 30% off $221.67 $431.09 $426.82 2026-05-22
Q4160 OTHER Nushield 2x3 Cm 22 5 $1,987.50 $1,391.25 30% off $111.85 $1,219.68 $424.21 2026-05-22
84145 OTHER Procalcitonin 10 5 $675.00 $472.50 30% off $351.00 $414.23 $410.13 2026-05-22
M0243 OTHER Regen-cov Antibodies 20 5 $788.00 $551.75 30% off $0.52 $966.53 $409.81 2026-05-22
27840 OTHER Closed Treatment Of Ankle 12 5 $827.00 $578.90 30% off $210.54 $507.51 $399.76 2026-05-22
A0429 OTHER Bls-emergency 12 5 $723.40 $506.38 30% off $376.17 $687.23 $395.00 2026-05-22
87471 OTHER Bartonella By Pcr 12 5 $644.65 $451.26 30% off $40.00 $395.61 $391.69 2026-05-22
45381 OTHER Colonoscopy With Submucosal Injection 12 5 $638.54 $446.98 30% off $332.04 $638.54 $389.91 2026-05-22
36589 OTHER Removal Of Tunneled Central Venous Cathe 12 5 $625.90 $438.13 30% off $325.47 $588.35 $382.20 2026-05-22
85520 OTHER Anti-xa Q30292 12 5 $628.60 $440.02 30% off $14.92 $385.76 $381.94 2026-05-22
13132 OTHER Repair Complex 2.6 To 7.5 12 5 $971.00 $679.70 30% off $308.42 $595.88 $381.82 2026-05-22
38221 OTHER Bone Marrow Biopsy 12 5 $616.00 $431.20 30% off $320.32 $616.00 $376.15 2026-05-22
81599 OTHER Hcv Fibrometer 10 5 $612.50 $428.75 30% off $318.50 $375.88 $372.16 2026-05-22
26641 OTHER Cld Tx Disl Thmb W Manip 12 5 $562.00 $393.40 30% off $210.54 $399.17 $370.05 2026-05-22
93271 OTHER Event Transmission And Analysis Mcd Only 12 5 $606.00 $424.20 30% off $94.74 $371.89 $368.21 2026-05-22
80145 OTHER Adalimumab Level And Antibody 12 5 $600.00 $420.00 30% off $43.97 $368.21 $364.56 2026-05-22
J1335 OTHER Invanz (ertapenem Sodium) Inj 1 Gm 12 5 $600.00 $420.00 30% off $14.80 $368.21 $364.56 2026-05-22
45331 OTHER Sigmoidoscopy With Biopsy 24 5 $529.00 $370.30 30% off $73.42 $713.00 $357.88 2026-05-22
24600 OTHER Cl'd Red Elbow 12 5 $753.00 $527.10 30% off $210.54 $462.10 $355.20 2026-05-22
27560 OTHER Cl'd Tx Patellar Dislocat 12 5 $784.00 $548.80 30% off $210.54 $481.12 $353.71 2026-05-22
81596 OTHER Fibrotest Q92688 10 5 $577.50 $404.25 30% off $300.30 $354.40 $350.89 2026-05-22
87633 OTHER Respiratory Virus 10 5 $575.00 $402.50 30% off $299.00 $352.86 $349.37 2026-05-22
99291 OTHER Fac Critical Care 1st Hour 24 5 $571.00 $399.70 30% off $221.82 $373.53 $346.94 2026-05-22
L3906 OTHER Custom Wrist Hand Orthosis 12 5 $567.00 $396.90 30% off $294.84 $538.65 $346.24 2026-05-22
13121 OTHER Rep Compl Sc/arm/leg 2.6 12 5 $776.00 $543.20 30% off $262.76 $590.85 $346.09 2026-05-22
10061 OTHER I And D Abscess Complicated/multiple 26 5 $564.50 $395.15 30% off $188.14 $379.42 $342.99 2026-05-22
12056 OTHER Repair Int 20.1cm To 30.0 12 5 $561.00 $392.70 30% off $291.72 $379.42 $342.56 2026-05-22
12035 OTHER Repair Int 12.6cm To 20.0 22 5 $561.00 $392.70 30% off $243.88 $379.42 $340.86 2026-05-22
87497 OTHER Cytomegalovirus 12 5 $560.00 $392.00 30% off $48.84 $343.66 $340.26 2026-05-22
74177 OTHER CT Abdomen/pelvis With Contrast 24 5 $995.44 $696.81 30% off $90.68 $1,038.27 $332.79 2026-05-22
88264 OTHER Chr Analysis With Banding 20-25 Cells 12 5 $545.97 $382.18 30% off $164.86 $335.04 $331.73 2026-05-22
99350 OTHER Home Vst Est Pt Unstable/sig New Prob 60 16 5 $555.03 $388.52 30% off $193.92 $527.28 $330.35 2026-05-22
26700 OTHER Closed Tx Of Phalang Disloc Sing W/manip 12 5 $671.00 $469.70 30% off $210.54 $411.78 $326.54 2026-05-22
26670 OTHER Cld Tx Met Disl W Manip 12 5 $679.00 $475.30 30% off $210.54 $416.69 $326.41 2026-05-22
69000 OTHER Drainage External Ear Abscess/hematoma S 12 5 $526.44 $368.51 30% off $273.75 $526.44 $321.46 2026-05-22
99236 OTHER Observation/inpatient Hosp Care 55 Min 12 5 $688.73 $482.11 30% off $217.86 $654.29 $321.34 2026-05-22
12036 OTHER Repair Int Scalp/trunk 12 5 $566.00 $396.20 30% off $284.20 $566.00 $317.19 2026-05-22
26725 OTHER Dr Fe Cld Tx Phal Fx W/mn 12 5 $686.00 $480.20 30% off $210.54 $420.98 $316.89 2026-05-22
81400 OTHER Plasminogen Activated Inhibitor 12 5 $519.75 $363.83 30% off $72.91 $318.96 $315.80 2026-05-22
23650 OTHER Clx Tr Of Shoulder Dislocation W/manip 12 5 $533.00 $373.10 30% off $210.54 $327.08 $312.45 2026-05-22
32554 OTHER Thoracentesis-emergency Room 24 5 $472.50 $330.75 30% off $91.07 $588.35 $311.70 2026-05-22
15275 OTHER Sub Graft 24 5 $454.45 $318.12 30% off $96.54 $550.10 $310.14 2026-05-22
26605 OTHER Tx Metacarpal Fx Single 12 5 $651.00 $455.70 30% off $210.54 $399.51 $308.71 2026-05-22
11046 OTHER Debride Muscle/fascia Each 20 24 5 $537.64 $376.35 30% off $55.57 $896.26 $307.92 2026-05-22
93930 OTHER US Ue Arterial Bilateral 12 5 $490.86 $343.60 30% off $221.67 $301.22 $298.24 2026-05-22
93925 OTHER US Duplex Scan Lower Extrem Art Bilat 12 5 $490.86 $343.60 30% off $221.67 $301.22 $298.24 2026-05-22
93970 OTHER US Lower Venous Bilateral 12 5 $490.86 $343.60 30% off $221.67 $301.22 $298.24 2026-05-22
A0426 OTHER Als1-non Emergency 12 5 $542.90 $380.03 30% off $282.31 $515.76 $296.25 2026-05-22
99285 OTHER Ar Mcd Emerg Fac Lv 5 22 5 $484.25 $338.98 30% off $183.39 $320.24 $294.24 2026-05-22
93971 OTHER US Dup Le Veins Unil LT,Left Side 24 5 $481.77 $337.24 30% off $101.45 $295.66 $292.73 2026-05-22
93926 OTHER US Le Arterial Unilat LT,Left Side 24 5 $481.77 $337.24 30% off $101.45 $295.66 $292.73 2026-05-22
86352 OTHER Immune Cell Function 10 5 $481.00 $336.70 30% off $250.12 $295.18 $292.26 2026-05-22
12032 OTHER Repair Int 2.6cm To 7.5cm 22 5 $561.00 $392.70 30% off $193.41 $379.42 $291.72 2026-05-22
83993 OTHER Calprotectin Fecal 12 5 $480.00 $336.00 30% off $22.38 $294.57 $291.65 2026-05-22
L3808 OTHER Custom Wrist Hand Finger Orthosis 12 5 $475.00 $332.50 30% off $247.00 $451.25 $290.05 2026-05-22
81335 OTHER Thiopurine S-methyltransferase Genotype 12 5 $475.00 $332.50 30% off $199.28 $291.49 $288.61 2026-05-22
92950 OTHER Cpr Physician Fee 22 5 $418.00 $292.60 30% off $190.41 $337.52 $284.83 2026-05-22
13131 OTHER Repair Complex 1.1cm To 12 5 $575.00 $402.50 30% off $246.30 $379.42 $280.81 2026-05-22
26770 OTHER Cld Tx In'phal Joint/manp 12 5 $562.00 $393.40 30% off $210.54 $344.88 $276.13 2026-05-22
93931 OTHER US Ue Arterial Unil RT,Right Side 24 5 $453.00 $317.10 30% off $101.45 $278.00 $275.24 2026-05-22
99220 OTHER Initial Obs Care/day 70 Minutes 12 5 $586.25 $410.38 30% off $188.30 $556.94 $274.98 2026-05-22
11045 OTHER Clinic Phy Debridement Each Adt 20 Sq Cm 24 5 $502.79 $351.95 30% off $25.79 $896.32 $274.80 2026-05-22
29445 OTHER Total Contact Casting 22 5 $523.05 $366.14 30% off $101.96 $320.98 $271.13 2026-05-22
80183 OTHER Oxcarbazipine 12 5 $436.75 $305.73 30% off $15.10 $268.03 $265.37 2026-05-22
93978 OTHER US Abd Aorta 12 5 $436.32 $305.42 30% off $221.67 $267.77 $265.11 2026-05-22
83835 OTHER Metanephrines 12 5 $436.25 $305.38 30% off $19.31 $267.72 $265.07 2026-05-22
80081 OTHER Obstetric Panel 12 5 $435.00 $304.50 30% off $85.34 $266.95 $264.31 2026-05-22
51102 OTHER Aspiration Bladder Insert Superoubic Cat 12 5 $619.08 $433.36 30% off $146.35 $619.08 $263.87 2026-05-22
62270 OTHER Lumbar Puncture Dx 24 5 $425.05 $297.53 30% off $64.24 $655.31 $263.75 2026-05-22
11601 OTHER Excision Mal Lesion Trunk/arm/leg 0.6-1 12 5 $610.18 $427.13 30% off $151.23 $610.18 $263.60 2026-05-22
97598 OTHER Debridement Devitalized Tissue 20 5 $494.85 $346.39 30% off $16.39 $590.97 $263.21 2026-05-22
11042 OTHER Clinic Phy Debridement Sub Tissue 24 5 $544.65 $381.26 30% off $62.03 $579.00 $262.61 2026-05-22
99387 OTHER Initial Preventive Medicine 12 5 $326.50 $228.55 30% off $200.36 $310.18 $255.27 2026-05-22
80307 OTHER Drug Test Any Number Of Classes 10 5 $419.00 $293.30 30% off $217.88 $257.13 $254.58 2026-05-22
99397 OTHER Established Pt Prevenative Med 12 5 $324.00 $226.80 30% off $198.83 $307.80 $253.31 2026-05-22
85250 OTHER Hematology Proc 12 5 $416.50 $291.55 30% off $21.71 $255.59 $253.07 2026-05-22
12034 OTHER Repair Int Trunk 7.6cm-12 12 5 $484.00 $338.80 30% off $208.88 $379.42 $252.56 2026-05-22
Q4196 OTHER Puraply 1.6 Disc 2 Units 72 5 $415.63 $290.94 30% off $118.46 $483.27 $252.54 2026-05-22
99393 OTHER Periodic Preventive Med Est Pt 5-11 Yrs 16 5 $322.83 $225.98 30% off $198.11 $316.19 $252.40 2026-05-22
12052 OTHER Repair Int2.6 To 5.0 Cm 12 5 $513.00 $359.10 30% off $203.20 $379.42 $248.27 2026-05-22
99235 OTHER Observation Care 50 Min 12 5 $534.68 $374.28 30% off $166.54 $507.95 $248.17 2026-05-22
88374 OTHER Fish 12 5 $1,554.00 $1,087.80 30% off $162.06 $953.65 $247.37 2026-05-22
A0428 OTHER Bls-non Emergency 12 5 $452.00 $316.40 30% off $235.04 $429.40 $246.88 2026-05-22
81291 OTHER Mthfr Gene Analysis 12 5 $393.00 $275.10 30% off $74.49 $241.18 $238.79 2026-05-22
99391 OTHER Periodic Preventive Med Est Pt <1y 12 5 $302.50 $211.75 30% off $185.64 $287.38 $236.51 2026-05-22
96132 OTHER Neuropsychological Testing 1st Hr 16 5 $428.85 $300.20 30% off $113.60 $428.85 $232.19 2026-05-22
10121 OTHER Removal Inc F B 12 5 $435.00 $304.50 30% off $187.36 $435.00 $228.09 2026-05-22
74176 OTHER CT Abdomen/ Pelvis Wo 24 5 $899.07 $629.35 30% off $86.70 $919.98 $223.73 2026-05-22
84597 OTHER Vitamin K 12 5 $365.75 $256.03 30% off $15.64 $224.46 $222.23 2026-05-22
80323 OTHER Nicotine Serum Testing 10 5 $365.00 $255.50 30% off $189.80 $223.99 $221.77 2026-05-22
85300 OTHER Antithrombin Enzymatic 12 5 $364.00 $254.80 30% off $13.51 $223.38 $221.17 2026-05-22
42809 OTHER Removal Of Foreign Body From Pharynx 12 5 $800.50 $560.35 30% off $129.81 $491.24 $220.81 2026-05-22
92523 OTHER St Eval Speech W/lang COMP,Outpatient Speech-language Pathology Plan Of Care 24 5 $337.50 $236.25 30% off $106.08 $289.04 $219.80 2026-05-22
J0248 OTHER Remdesivir Inj 100mg/vial 12 5 $350.00 $245.00 30% off $6.92 $214.79 $212.66 2026-05-22
L3913 OTHER Custom Hand Finger Orthosis 12 5 $345.00 $241.50 30% off $179.40 $327.75 $210.67 2026-05-22
99310 OTHER Sbsq Nurs Fac Care/day Unstable/new Prob 12 5 $422.38 $295.67 30% off $159.90 $401.26 $210.35 2026-05-22
97035 OTHER Ot Ultrasound 15 Min 54 5 $345.00 $241.50 30% off $14.68 $347.96 $209.62 2026-05-22
81256 OTHER Hemochromatosis DNA Mutation Analysis 12 5 $343.75 $240.63 30% off $74.51 $210.95 $208.87 2026-05-22
12017 OTHER Simple Repair 20.1 To 30 12 5 $420.00 $294.00 30% off $156.26 $379.42 $207.78 2026-05-22
26750 OTHER Tx Of Finger Fx; Each 12 5 $593.95 $415.77 30% off $198.55 $364.49 $205.54 2026-05-22
99219 OTHER Observation Level 2 12 5 $432.85 $303.00 30% off $139.06 $411.21 $203.04 2026-05-22
10120 OTHER Removal Inc F B Subcut 16 5 $322.50 $225.75 30% off $107.41 $331.66 $200.72 2026-05-22
31500 OTHER Endotrach Intubation 22 5 $385.00 $269.50 30% off $144.78 $236.27 $200.20 2026-05-22
12041 OTHER Repair Int Neck/hand/feet 12 5 $406.00 $284.20 30% off $148.04 $379.42 $199.34 2026-05-22
81241 OTHER Factor V Leiden Mutation 12 5 $327.50 $229.25 30% off $83.64 $200.98 $198.99 2026-05-22
84586 OTHER Vasoactive Intestinal Polypeptide 12 5 $325.05 $227.54 30% off $40.28 $199.48 $197.50 2026-05-22
76816 OTHER US Transvaginal Obstetric 12 5 $324.21 $226.95 30% off $107.60 $198.96 $196.99 2026-05-22
11104 OTHER Punch Biopsy Of Skin; Single Lesion 28 5 $321.00 $224.70 30% off $47.92 $379.42 $196.01 2026-05-22
36430 OTHER Bb Blood Transfusion SERVICE,Special Acquisition Of Blood And Blood Products 12 5 $320.76 $224.53 30% off $166.80 $320.76 $195.87 2026-05-22
76830 OTHER US Transvaginal Non OB 12 5 $321.24 $224.87 30% off $107.60 $197.14 $195.19 2026-05-22
12031 OTHER Repair Int Scalp/trunk 12 5 $382.00 $267.40 30% off $153.77 $379.42 $194.87 2026-05-22
23931 OTHER I&d Upper Arm/elb;bursa 12 5 $364.00 $254.80 30% off $163.91 $364.00 $194.47 2026-05-22
94002 OTHER Rt Ventilation And Management 12 5 $315.00 $220.50 30% off $163.80 $315.00 $192.34 2026-05-22
86750 OTHER Malaria Antibody Igg 12 5 $312.50 $218.75 30% off $15.04 $191.78 $189.88 2026-05-22
99381 OTHER Initial Preventive Medicine New Pt <1yr 12 5 $242.68 $169.88 30% off $148.92 $230.55 $189.74 2026-05-22
99205 OTHER Clinic Phy New Patient Level 5 24 5 $494.15 $345.90 30% off $161.52 $361.46 $189.49 2026-05-22
99385 OTHER Initial Prevenative Medicine New 18-39 12 5 $242.00 $169.40 30% off $148.51 $229.90 $189.21 2026-05-22
99284 OTHER Ar Mcd Emerg Fac Lv 4 22 5 $310.65 $217.46 30% off $126.50 $248.05 $188.75 2026-05-22
82803 OTHER Rt Abg Initial 12 5 $310.61 $217.43 30% off $29.72 $190.62 $188.73 2026-05-22
84591 OTHER Vitamin B3 12 5 $310.00 $217.00 30% off $19.45 $190.24 $188.36 2026-05-22
99215 OTHER Clinic Established Patient Level 5 32 5 $309.00 $216.30 30% off $145.47 $485.41 $187.75 2026-05-22
80050 OTHER General Health Panel 12 5 $308.50 $215.95 30% off $23.56 $189.32 $187.44 2026-05-22
56405 OTHER I/d Vulva Phy 12 5 $581.00 $406.70 30% off $128.83 $356.54 $186.40 2026-05-22
99396 OTHER Clinic Phy Preventative Med Est Patient 12 5 $238.00 $166.60 30% off $146.06 $226.10 $186.08 2026-05-22
86682 OTHER Echinococcus Antibody (igg) 12 5 $305.62 $213.93 30% off $14.83 $187.54 $185.69 2026-05-22
G0438 OTHER Annual Wellness Visit Ppd Init Visit 12 5 $310.00 $217.00 30% off $171.82 $294.50 $181.89 2026-05-22
99223 OTHER Initial Hospital Care/day 70 Min 12 5 $270.00 $189.00 30% off $165.69 $256.50 $181.79 2026-05-22
11403 OTHER Excision Benign Lesion 3.1 To 4.0 Cm 12 5 $339.88 $237.92 30% off $152.04 $339.88 $181.07 2026-05-22
28515 OTHER Cl Tx Toe Fx 12 5 $458.57 $321.00 30% off $149.59 $281.41 $180.81 2026-05-22
90759 OTHER Vac -recpmbinant (hepatitis B) 12 5 $297.00 $207.90 30% off $84.26 $182.26 $180.46 2026-05-22
11100 OTHER Biopsy Of Lesion 24 5 $298.00 $208.60 30% off $52.76 $456.95 $179.69 2026-05-22
99222 OTHER Initial Ip Level 2 12 5 $354.75 $248.33 30% off $135.89 $337.01 $177.47 2026-05-22
20610 OTHER Arthrocente/asp/maj Joint 24 5 $284.45 $199.12 30% off $46.35 $276.52 $176.47 2026-05-22
459 OTHER Ar Mcd Non Emerg Fac Lv2 48 5 $262.91 $184.05 30% off $59.08 $460.04 $175.14 2026-05-22
74170 OTHER CT Abdomen W & Without Contrast 24 5 $958.44 $670.91 30% off $69.70 $1,038.27 $174.94 2026-05-22
99386 OTHER Clinic Intial Preventive Med Eval 24 5 $253.50 $177.45 30% off $139.31 $266.00 $174.66 2026-05-22
11750 OTHER Excision Of Nail 12 5 $408.00 $285.60 30% off $105.35 $379.42 $174.40 2026-05-22
29581 OTHER Application Of Multilayer Venous Wnd Com 22 5 $425.50 $297.85 30% off $28.52 $261.12 $174.28 2026-05-22
29580 OTHER Strapping Unna Boot 22 5 $425.50 $297.85 30% off $27.17 $261.12 $174.28 2026-05-22
92960 OTHER Cardioversion 12 5 $383.00 $268.10 30% off $111.18 $383.00 $173.66 2026-05-22
17250 OTHER Chemical Cauterization Of Gran Tissue 24 5 $320.97 $224.68 30% off $38.06 $295.49 $172.05 2026-05-22
96125 OTHER St Standardized Cognitive Performance 12 5 $281.00 $196.70 30% off $105.49 $172.44 $170.74 2026-05-22
99316 OTHER Nursing Facility Discharge Management 30 12 5 $328.48 $229.94 30% off $136.77 $312.06 $169.87 2026-05-22
96365 OTHER Inj/iv Infusion Tx Int Up To 1hr ER 22 5 $322.30 $225.61 30% off $129.56 $197.79 $167.60 2026-05-22
28190 OTHER Removal For Bod Foot Subc 12 5 $319.00 $223.30 30% off $137.04 $319.00 $167.09 2026-05-22
80299 OTHER Keppra 42 5 $332.50 $232.75 30% off $21.25 $219.08 $166.31 2026-05-22
L3933 OTHER Custom Finger Orthosis 12 5 $272.00 $190.40 30% off $141.44 $258.40 $166.09 2026-05-22
12007 OTHER Repair Over 30cm 12 5 $402.21 $281.55 30% off $146.52 $246.82 $165.82 2026-05-22
87799 OTHER Ebdna 22 5 $546.00 $382.20 30% off $48.84 $335.07 $165.69 2026-05-22
92521 OTHER St Eval Speech Eval FLUENCY,Outpatient Speech-language Pathology Plan Of Care 12 5 $272.00 $190.40 30% off $137.38 $166.92 $165.27 2026-05-22
82626 OTHER Dhea 12 5 $271.00 $189.70 30% off $28.81 $166.31 $164.66 2026-05-22
85420 OTHER Plasminogen Assay 12 5 $270.90 $189.63 30% off $7.44 $166.25 $164.60 2026-05-22
83520 OTHER Analyte Quanitive Of Ria 62 5 $267.50 $187.25 30% off $19.69 $368.21 $164.16 2026-05-22
30100 OTHER Excision Procedure Of Nose 12 5 $443.24 $310.27 30% off $69.73 $443.24 $163.45 2026-05-22
16030 OTHER Dress/debride Thick Burn Large 12 5 $312.63 $218.84 30% off $132.98 $312.63 $163.08 2026-05-22
99384 OTHER Initial Pre Med New Pt Age 12-17 12 5 $208.50 $145.95 30% off $127.95 $198.08 $163.01 2026-05-22
99239 OTHER Hospital Discharge Day Management>30 Min 12 5 $335.00 $234.50 30% off $119.06 $318.25 $162.92 2026-05-22
A0999 OTHER Ambulance Transport To Helicopter 10 4 $265.00 $185.50 30% off $137.80 $251.75 $162.62 2026-05-22
12006 OTHER Repair 20.1 To 30.0 Cm 12 5 $334.00 $233.80 30% off $118.16 $334.00 $162.16 2026-05-22
83970 OTHER Parathyroid Hormone 22 5 $263.50 $184.45 30% off $47.06 $253.05 $161.70 2026-05-22
67700 OTHER Blepharotomy Drainage 16 5 $235.00 $164.50 30% off $117.89 $269.22 $160.33 2026-05-22
87517 OTHER Hepatitis B Viral Load 12 5 $262.50 $183.75 30% off $48.84 $161.09 $159.50 2026-05-22
83655 OTHER Lead Blood 12 5 $261.00 $182.70 30% off $13.81 $160.17 $158.58 2026-05-22
83825 OTHER Mercury 12 5 $261.00 $182.70 30% off $18.54 $160.17 $158.58 2026-05-22
99292 OTHER Critical Care Ea Additional 30 Min 24 5 $254.00 $177.80 30% off $111.47 $247.95 $158.58 2026-05-22
82175 OTHER Arsenic Assay Of 12 5 $261.00 $182.70 30% off $21.63 $160.17 $158.58 2026-05-22
99234 OTHER Obs Or Ip Adm/ds On Same Dos 12 5 $346.50 $242.55 30% off $101.88 $329.18 $157.77 2026-05-22
99204 OTHER New Patient Visit Level 4 22 5 $285.62 $199.93 30% off $125.88 $188.50 $157.19 2026-05-22
16020 OTHER Dress/debride Thick Burn Small 34 5 $258.50 $180.95 30% off $56.40 $295.49 $157.06 2026-05-22
99226 OTHER Sbsq Obsservation Care/day 35 Min 12 5 $330.45 $231.32 30% off $106.60 $313.93 $155.23 2026-05-22
82397 OTHER Anti-mullerian Hormone 32 5 $255.26 $178.68 30% off $16.10 $219.08 $155.09 2026-05-22
41800 OTHER I&d Ab Cy He Dentoalveola 12 5 $317.00 $221.90 30% off $118.09 $194.54 $154.96 2026-05-22
26010 OTHER Phy Fee/drain Fing Absc S 12 5 $275.00 $192.50 30% off $143.61 $183.66 $154.34 2026-05-22
81374 OTHER Hla-b27 DNA Typing 22 5 $301.00 $210.70 30% off $84.74 $184.72 $153.42 2026-05-22
83003 OTHER Growth Hormone Human 12 5 $252.00 $176.40 30% off $19.00 $154.64 $153.12 2026-05-22
96360 OTHER Inj/iv Infusion Hydration 31m To 1hr ER 22 5 $258.50 $180.95 30% off $129.56 $196.08 $152.89 2026-05-22
80195 OTHER Rapamycin 12 5 $251.55 $176.09 30% off $15.65 $154.37 $152.84 2026-05-22
85305 OTHER Protein S Total 12 5 $251.25 $175.88 30% off $13.24 $154.19 $152.66 2026-05-22
85302 OTHER Protein C Antigen 12 5 $251.25 $175.88 30% off $13.69 $154.19 $152.66 2026-05-22
412 OTHER Rt Vent Set Up 12 5 $250.00 $175.00 30% off $130.00 $237.50 $152.66 2026-05-22
33010 OTHER Pericardiocentesis 12 5 $306.00 $214.20 30% off $115.33 $290.70 $152.13 2026-05-22
11982 OTHER Removal Drug Delivery Implant 12 5 $422.25 $295.58 30% off $74.29 $384.00 $152.09 2026-05-22
84260 OTHER Serotonin 12 5 $250.00 $175.00 30% off $35.32 $153.42 $151.90 2026-05-22
46083 OTHER Incision Hemorrhoid Ext 14 5 $247.00 $172.90 30% off $111.58 $350.77 $151.58 2026-05-22
83883 OTHER Kappa/lambda Qt Free Ch 12 5 $248.00 $173.60 30% off $15.50 $152.19 $150.68 2026-05-22
G0439 OTHER Annual Wellness Visit 12 5 $268.65 $188.06 30% off $134.56 $255.22 $150.39 2026-05-22
59414 OTHER Delivery Of Placenta 12 5 $340.00 $238.00 30% off $89.92 $340.00 $149.74 2026-05-22
86906 OTHER Bb Rh Phenotyping Complete 12 5 $246.00 $172.20 30% off $35.00 $150.97 $149.47 2026-05-22
99218 OTHER Initial Observation Care 12 5 $318.75 $223.13 30% off $102.26 $302.81 $149.44 2026-05-22
94770 OTHER Rt Capnography 12 5 $243.71 $243.71 $7.01 $231.52 $148.82 2026-05-22
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