|
L1832
|
HCPCS
|
Knee Orthosis, Adjustable Knee Joints (unicentric Or Polycentric), Positional Or…
|
31
|
31
|
$2,018.00
|
$1,513.50
25% off
|
$219.42
|
$3,329.70
|
$1,614.40
|
2025-12-23
|
|
J7328
|
HCPCS
|
Hyaluronan Or Derivative, Gelsyn-3, For Intra-articular Injection, 0.1 Mg
|
31
|
31
|
$1,693.60
|
$1,270.20
25% off
|
$262.85
|
$2,794.44
|
$1,436.17
|
2025-12-23
|
|
J3101
|
HCPCS
|
Injection, Tenecteplase, 1 Mg
|
31
|
31
|
$26,940.28
|
$20,205.21
25% off
|
$4,181.13
|
$44,451.46
|
$21,552.22
|
2025-12-23
|
|
J2997
|
HCPCS
|
Injection, Alteplase Recombinant, 1 Mg
|
31
|
31
|
$1,785.30
|
$1,338.98
25% off
|
$131.81
|
$2,945.75
|
$1,428.24
|
2025-12-23
|
|
J0897
|
HCPCS
|
Injection, Denosumab, 1 Mg
|
31
|
31
|
$3,025.50
|
$2,269.13
25% off
|
$35.24
|
$4,992.08
|
$2,420.40
|
2025-12-23
|
|
J0666
|
HCPCS
|
Injection, Bupivacaine Liposome, 1 Mg
|
31
|
31
|
$1,958.95
|
$1,469.21
25% off
|
$6.02
|
$3,232.27
|
$1,567.16
|
2025-12-23
|
|
J0248
|
HCPCS
|
Injection, Remdesivir, 1 Mg
|
31
|
31
|
$2,309.88
|
$1,732.41
25% off
|
$10.52
|
$3,811.30
|
$1,847.90
|
2025-12-23
|
|
C8914
|
HCPCS
|
Magnetic Resonance Angiography Without Contrast Followed By With Contrast, Lower…
|
31
|
31
|
$3,153.00
|
$2,364.75
25% off
|
$489.35
|
$5,202.45
|
$2,673.74
|
2025-12-23
|
|
996037_1
|
CDM
|
Operating Room Services - General Classification
|
26
|
26
|
$3,699.47
|
$2,774.60
25% off
|
$574.16
|
$3,514.50
|
$2,959.58
|
2025-12-23
|
|
996036_1
|
CDM
|
Operating Room Services - General Classification
|
26
|
26
|
$6,775.21
|
$5,081.41
25% off
|
$1,051.51
|
$6,436.45
|
$5,420.17
|
2025-12-23
|
|
996035_1
|
CDM
|
Operating Room Services - General Classification
|
26
|
26
|
$5,852.06
|
$4,389.05
25% off
|
$908.24
|
$5,559.46
|
$4,681.65
|
2025-12-23
|
|
99292
|
HCPCS
|
Critical Care, Each Additional 30 Minutes
|
31
|
31
|
$4,227.00
|
$3,170.25
25% off
|
$84.49
|
$6,974.55
|
$3,381.60
|
2025-12-23
|
|
99291
|
HCPCS
|
Critical Care, First 30-74 Minutes
|
31
|
31
|
$8,567.00
|
$6,425.25
25% off
|
$174.42
|
$14,135.55
|
$6,853.60
|
2025-12-23
|
|
99285
|
HCPCS
|
Emergency Department Visit With High Level Of Medical Decision Making
|
31
|
31
|
$6,394.00
|
$4,795.50
25% off
|
$155.03
|
$10,550.10
|
$5,115.20
|
2025-12-23
|
|
99284
|
HCPCS
|
Emergency Department Visit With Moderate Level Of Medical Decision Making
|
31
|
31
|
$4,005.00
|
$3,003.75
25% off
|
$98.04
|
$6,608.25
|
$3,204.00
|
2025-12-23
|
|
99283
|
HCPCS
|
Emergency Department Visit With Low Level Of Medical Decision Making
|
31
|
31
|
$2,460.00
|
$1,845.00
25% off
|
$63.97
|
$4,059.00
|
$1,968.00
|
2025-12-23
|
|
95811
|
HCPCS
|
Sleep Study In Sleep Lab With Continuous Airway Pressure (6 Years Or Older)
|
31
|
31
|
$7,674.00
|
$5,755.50
25% off
|
$513.11
|
$12,662.10
|
$6,139.20
|
2025-12-23
|
|
95810
|
HCPCS
|
Sleep Study In Sleep Lab (6 Years Or Older)
|
31
|
31
|
$6,554.00
|
$4,915.50
25% off
|
$499.27
|
$10,814.10
|
$5,243.20
|
2025-12-23
|
|
95806
|
HCPCS
|
Sleep Study Including Heart Rate, Breathing, Airflow, And Effort
|
62
|
31
|
$1,899.00
|
$1,424.25
25% off
|
$82.72
|
$3,133.35
|
$1,519.20
|
2025-12-23
|
|
951
|
MS_DRG
|
Other Factors Influencing Health Status
|
21
|
21
|
$21,395.22
|
$16,046.42
25% off
|
$6,675.31
|
$49,007.38
|
$18,143.15
|
2025-12-23
|
|
948
|
MS_DRG
|
Signs And Symptoms Without Mcc
|
20
|
20
|
$46,805.25
|
$35,103.94
25% off
|
$14,603.24
|
$44,464.99
|
$38,567.52
|
2025-12-23
|
|
94003
|
HCPCS
|
Follow-up Inpatient Or Observation Ventilation Assistance And Management
|
31
|
31
|
$4,598.00
|
$3,448.50
25% off
|
$50.63
|
$7,586.70
|
$3,678.40
|
2025-12-23
|
|
94002
|
HCPCS
|
Initial Hospital Inpatient Or Observation Ventilation Assistance And Management
|
31
|
31
|
$5,135.00
|
$3,851.25
25% off
|
$64.26
|
$8,472.75
|
$4,108.00
|
2025-12-23
|
|
93971
|
HCPCS
|
Ultrasound Study Of One Arm Or Leg Veins With Compression And Maneuvers
|
62
|
31
|
$2,178.00
|
$1,633.50
25% off
|
$121.29
|
$3,593.70
|
$1,742.40
|
2025-12-23
|
|
93970
|
HCPCS
|
Ultrasound Study Of Arm Or Leg Veins With Compression And Maneuvers
|
62
|
31
|
$3,178.00
|
$2,383.50
25% off
|
$241.32
|
$5,243.70
|
$2,542.40
|
2025-12-23
|
|
93926
|
HCPCS
|
Ultrasound Of One Leg Arteries Or Artery Grafts
|
62
|
31
|
$3,178.00
|
$2,383.50
25% off
|
$121.77
|
$5,243.70
|
$2,542.40
|
2025-12-23
|
|
93925
|
HCPCS
|
Ultrasound Of Leg Arteries Or Artery Grafts
|
31
|
31
|
$1,845.00
|
$1,383.75
25% off
|
$138.95
|
$3,044.25
|
$1,476.00
|
2025-12-23
|
|
93882
|
HCPCS
|
Ultrasound Of One Side Of Head And Neck Blood Flow
|
62
|
31
|
$2,944.00
|
$2,208.00
25% off
|
$109.36
|
$4,857.60
|
$2,355.20
|
2025-12-23
|
|
93880
|
HCPCS
|
Ultrasound Of Both Sides Of Head And Neck Blood Flow
|
31
|
31
|
$3,123.00
|
$2,342.25
25% off
|
$224.68
|
$5,152.95
|
$2,498.40
|
2025-12-23
|
|
93351
|
HCPCS
|
Ultrasound Of Heart With Continuous Electrocardiogram (ecg) During Rest, Exercis…
|
31
|
31
|
$4,608.00
|
$3,456.00
25% off
|
$354.71
|
$7,603.20
|
$3,686.40
|
2025-12-23
|
|
93312
|
HCPCS
|
Ultrasound Of Heart With Probe In Esophagus, With Report
|
31
|
31
|
$5,475.00
|
$4,106.25
25% off
|
$223.39
|
$9,033.75
|
$4,380.00
|
2025-12-23
|
|
93307
|
HCPCS
|
Ultrasound Of Heart
|
31
|
31
|
$3,142.00
|
$2,356.50
25% off
|
$215.30
|
$5,184.30
|
$2,513.60
|
2025-12-23
|
|
93306
|
HCPCS
|
Ultrasound Of Heart With Color-depicted Blood Flow, Rate, Direction And Valve Fu…
|
31
|
31
|
$6,307.00
|
$4,730.25
25% off
|
$343.91
|
$10,406.55
|
$5,045.60
|
2025-12-23
|
|
93226
|
HCPCS
|
Electrocardiogram (ecg) 2-day Continuous With Report
|
31
|
31
|
$2,438.00
|
$1,828.50
25% off
|
$80.24
|
$4,022.70
|
$1,950.40
|
2025-12-23
|
|
93017
|
HCPCS
|
Exercise Or Drug-induced Heart Stress Test With Electrocardiogram (ecg)
|
31
|
31
|
$2,546.00
|
$1,909.50
25% off
|
$75.31
|
$4,200.90
|
$2,036.80
|
2025-12-23
|
|
92950
|
HCPCS
|
Manual Attempt To Restore Blood Circulation And Breathing
|
31
|
31
|
$2,512.00
|
$1,884.00
25% off
|
$164.96
|
$4,144.80
|
$2,009.60
|
2025-12-23
|
|
918
|
MS_DRG
|
Poisoning And Toxic Effects Of Drugs Without Mcc
|
20
|
20
|
$16,884.72
|
$12,663.54
25% off
|
$5,268.03
|
$16,040.48
|
$13,913.01
|
2025-12-23
|
|
90376
|
HCPCS
|
Rabies Immune Globulin For Injection Beneath The Skin And/or Into Muscle, Heat-t…
|
31
|
31
|
$7,111.90
|
$5,333.93
25% off
|
$484.18
|
$11,734.64
|
$5,689.52
|
2025-12-23
|
|
90375
|
HCPCS
|
Rabies Immune Globulin For Injection
|
31
|
31
|
$33,084.94
|
$24,813.71
25% off
|
$395.65
|
$54,590.15
|
$26,467.95
|
2025-12-23
|
|
897
|
MS_DRG
|
Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc
|
20
|
20
|
$50,960.70
|
$38,220.53
25% off
|
$15,899.74
|
$48,412.67
|
$41,991.61
|
2025-12-23
|
|
89
|
MS_DRG
|
Concussion With Cc
|
20
|
20
|
$17,566.66
|
$13,174.99
25% off
|
$5,480.80
|
$16,688.32
|
$14,474.92
|
2025-12-23
|
|
885
|
MS_DRG
|
Psychoses
|
20
|
20
|
$22,906.14
|
$17,179.61
25% off
|
$7,146.72
|
$21,760.83
|
$18,874.66
|
2025-12-23
|
|
872
|
MS_DRG
|
Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc
|
20
|
20
|
$18,775.73
|
$14,081.80
25% off
|
$5,858.03
|
$17,836.94
|
$15,471.20
|
2025-12-23
|
|
871
|
MS_DRG
|
Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc
|
20
|
20
|
$45,549.65
|
$34,162.24
25% off
|
$14,211.49
|
$43,272.16
|
$37,532.91
|
2025-12-23
|
|
867367_5
|
CDM
|
Intensive Care Unit - General Classification
|
20
|
20
|
$12,870.00
|
$9,652.50
25% off
|
$4,015.44
|
$12,226.50
|
$10,604.88
|
2025-12-23
|
|
867367_4
|
CDM
|
Room & Board - Semi-private (two Beds) - Medical/surgical/gyn
|
20
|
20
|
$8,805.00
|
$6,603.75
25% off
|
$2,747.16
|
$8,364.75
|
$7,255.32
|
2025-12-23
|
|
867362_4
|
CDM
|
Room & Board - Semi-private (two Beds) - Medical/surgical/gyn
|
20
|
20
|
$5,520.00
|
$4,140.00
25% off
|
$1,722.24
|
$5,244.00
|
$4,548.48
|
2025-12-23
|
|
867360_8
|
CDM
|
Room & Board - Ward - Other
|
20
|
20
|
$4,265.00
|
$3,198.75
25% off
|
$1,330.68
|
$4,051.75
|
$3,514.36
|
2025-12-23
|
|
867360_7
|
CDM
|
Room & Board - Semi-private (two Beds) - Obstetrics (ob)
|
20
|
20
|
$4,475.00
|
$3,356.25
25% off
|
$1,396.20
|
$4,251.25
|
$3,687.40
|
2025-12-23
|
|
867360_5
|
CDM
|
Intensive Care Unit - General Classification
|
20
|
20
|
$12,180.00
|
$9,135.00
25% off
|
$3,800.16
|
$11,571.00
|
$10,036.32
|
2025-12-23
|
|
867360_4
|
CDM
|
Room & Board - Semi-private (two Beds) - Medical/surgical/gyn
|
20
|
20
|
$5,860.00
|
$4,395.00
25% off
|
$1,828.32
|
$5,567.00
|
$4,828.64
|
2025-12-23
|
|
810
|
MS_DRG
|
Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co…
|
20
|
20
|
$14,584.32
|
$10,938.24
25% off
|
$4,550.31
|
$13,855.10
|
$12,017.48
|
2025-12-23
|
|
78
|
MS_DRG
|
Hypertensive Encephalopathy With Cc
|
20
|
20
|
$34,755.00
|
$26,066.25
25% off
|
$10,843.56
|
$33,017.25
|
$28,638.12
|
2025-12-23
|
|
77012
|
HCPCS
|
Review By Radiologist Of CT Guidance For Needle Placement
|
31
|
31
|
$5,550.00
|
$4,162.50
25% off
|
$159.29
|
$9,157.50
|
$4,440.00
|
2025-12-23
|
|
76999
|
HCPCS
|
Other Ultrasound Procedure
|
28
|
28
|
$1,927.00
|
$1,445.25
25% off
|
$299.07
|
$3,179.55
|
$1,541.60
|
2025-12-23
|
|
76946
|
HCPCS
|
Ultrasonic Guidance For Removal Of Amniotic Fluid
|
31
|
31
|
$1,875.00
|
$1,406.25
25% off
|
$41.48
|
$3,093.75
|
$1,500.00
|
2025-12-23
|
|
76873
|
HCPCS
|
Ultrasound Scan Of Prostate Through Rectum
|
31
|
31
|
$1,879.00
|
$1,409.25
25% off
|
$154.84
|
$3,100.35
|
$1,503.20
|
2025-12-23
|
|
76870
|
HCPCS
|
Ultrasound Scan Of Scrotum
|
31
|
31
|
$1,691.00
|
$1,268.25
25% off
|
$85.75
|
$2,790.15
|
$1,352.80
|
2025-12-23
|
|
76706
|
HCPCS
|
Ultrasound Scan Of Abdominal Aorta
|
31
|
31
|
$1,642.00
|
$1,231.50
25% off
|
$122.57
|
$2,709.30
|
$1,313.60
|
2025-12-23
|
|
76390
|
HCPCS
|
MRI Study For Measuring Biochemical Changes In The Brain
|
31
|
31
|
$2,102.00
|
$1,576.50
25% off
|
$326.23
|
$3,573.40
|
$1,782.50
|
2025-12-23
|
|
76000
|
HCPCS
|
Imaging Guidance For Procedure, 60 Minutes Or Less
|
87
|
31
|
$2,044.00
|
$1,533.00
25% off
|
$40.11
|
$3,440.25
|
$1,397.45
|
2025-12-23
|
|
75989
|
HCPCS
|
Review By Radiologist Of Image For Drainage Of Fluid
|
31
|
31
|
$3,810.00
|
$2,857.50
25% off
|
$154.69
|
$6,286.50
|
$3,048.00
|
2025-12-23
|
|
75635
|
HCPCS
|
CT Scan Of Abdominal Aorta And Both Leg Arteries With Contrast
|
62
|
31
|
$1,947.00
|
$1,460.25
25% off
|
$302.17
|
$3,212.55
|
$1,557.60
|
2025-12-23
|
|
75561
|
HCPCS
|
MRI Scan Of Heart Before And After Contrast
|
31
|
31
|
$2,358.00
|
$1,768.50
25% off
|
$365.96
|
$3,890.70
|
$1,886.40
|
2025-12-23
|
|
75557
|
HCPCS
|
MRI Scan Of Heart Without Contrast
|
31
|
31
|
$1,823.00
|
$1,367.25
25% off
|
$282.93
|
$3,099.10
|
$1,545.90
|
2025-12-23
|
|
74740
|
HCPCS
|
Review By Radiologist Of Uterine Tube And Ovary Image
|
31
|
31
|
$2,111.00
|
$1,583.25
25% off
|
$67.02
|
$3,483.15
|
$1,688.80
|
2025-12-23
|
|
74713
|
HCPCS
|
MRI Scan Of Fetus For Each Additional Pregnancy
|
31
|
31
|
$2,175.00
|
$1,631.25
25% off
|
$298.24
|
$3,588.75
|
$1,740.00
|
2025-12-23
|
|
74712
|
HCPCS
|
MRI Scan Of Fetus For Single Or First Pregnancy
|
31
|
31
|
$2,175.00
|
$1,631.25
25% off
|
$337.56
|
$3,588.75
|
$1,740.00
|
2025-12-23
|
|
74455
|
HCPCS
|
Review By Radiologist Of Urinary Bladder And Urethra Images With Contrast And Af…
|
31
|
31
|
$1,888.00
|
$1,416.00
25% off
|
$86.91
|
$3,115.20
|
$1,510.40
|
2025-12-23
|
|
74400
|
HCPCS
|
Imaging Of Urinary Tract With Injection Of Contrast Into A Vein
|
31
|
31
|
$2,055.00
|
$1,541.25
25% off
|
$94.30
|
$3,390.75
|
$1,644.00
|
2025-12-23
|
|
74300
|
HCPCS
|
Review By Radiologist Of Bile And/or Pancreatic Duct Image During Surgery
|
31
|
31
|
$2,163.00
|
$1,622.25
25% off
|
$335.70
|
$3,677.10
|
$1,834.22
|
2025-12-23
|
|
74280
|
HCPCS
|
Double Contrast X-ray Of Large Intestine
|
31
|
31
|
$2,929.00
|
$2,196.75
25% off
|
$90.14
|
$4,832.85
|
$2,343.20
|
2025-12-23
|
|
74270
|
HCPCS
|
Single Contrast X-ray Of Large Intestine
|
31
|
31
|
$2,338.00
|
$1,753.50
25% off
|
$74.46
|
$3,857.70
|
$1,870.40
|
2025-12-23
|
|
74250
|
HCPCS
|
Single Contrast X-ray Of Small Intestine
|
59
|
31
|
$1,833.00
|
$1,374.75
25% off
|
$135.72
|
$3,024.45
|
$1,466.40
|
2025-12-23
|
|
74248
|
HCPCS
|
Follow-through X-ray Of Small Intestines
|
31
|
31
|
$1,623.00
|
$1,217.25
25% off
|
$107.29
|
$2,677.95
|
$1,298.40
|
2025-12-23
|
|
74246
|
HCPCS
|
Double Contrast X-ray Of Upper Digestive Tract
|
31
|
31
|
$2,854.00
|
$2,140.50
25% off
|
$165.31
|
$4,709.10
|
$2,283.20
|
2025-12-23
|
|
74221
|
HCPCS
|
Double Contrast X-ray Of Esophagus
|
31
|
31
|
$1,623.00
|
$1,217.25
25% off
|
$142.57
|
$2,677.95
|
$1,298.40
|
2025-12-23
|
|
74185
|
HCPCS
|
MRI Scan Of Blood Vessels Of Abdomen
|
31
|
31
|
$6,000.00
|
$4,500.00
25% off
|
$525.69
|
$9,900.00
|
$4,800.00
|
2025-12-23
|
|
74183
|
HCPCS
|
MRI Scan Of Abdomen Before And After Contrast
|
31
|
31
|
$8,287.00
|
$6,215.25
25% off
|
$661.42
|
$13,673.55
|
$6,629.60
|
2025-12-23
|
|
74182
|
HCPCS
|
MRI Scan Of Abdomen With Contrast
|
31
|
31
|
$6,926.00
|
$5,194.50
25% off
|
$594.79
|
$11,427.90
|
$5,540.80
|
2025-12-23
|
|
74181
|
HCPCS
|
MRI Scan Of Abdomen Without Contrast
|
31
|
31
|
$6,509.00
|
$4,881.75
25% off
|
$434.02
|
$10,739.85
|
$5,207.20
|
2025-12-23
|
|
74178
|
HCPCS
|
CT Scan Of Abdomen And Pelvis Before And After Contrast
|
31
|
31
|
$11,557.00
|
$8,667.75
25% off
|
$457.92
|
$19,069.05
|
$9,245.60
|
2025-12-23
|
|
74177
|
HCPCS
|
CT Scan Of Abdomen And Pelvis With Contrast
|
62
|
31
|
$10,073.00
|
$7,554.75
25% off
|
$404.21
|
$16,620.45
|
$8,058.40
|
2025-12-23
|
|
74176
|
HCPCS
|
CT Scan Of Abdomen And Pelvis Without Contrast
|
62
|
31
|
$8,401.00
|
$6,300.75
25% off
|
$256.82
|
$13,861.65
|
$6,720.80
|
2025-12-23
|
|
74175
|
HCPCS
|
CT Scan Of Blood Vessels Of Abdomen With Contrast
|
62
|
31
|
$7,891.00
|
$5,918.25
25% off
|
$440.60
|
$13,020.15
|
$6,312.80
|
2025-12-23
|
|
74174
|
HCPCS
|
CT Scan Of Blood Vessels Of Abdomen And Pelvis With Contrast
|
62
|
31
|
$9,116.00
|
$6,837.00
25% off
|
$506.87
|
$15,041.40
|
$7,292.80
|
2025-12-23
|
|
74170
|
HCPCS
|
CT Scan Of Abdomen Before And After Contrast
|
62
|
31
|
$7,935.00
|
$5,951.25
25% off
|
$340.87
|
$13,092.75
|
$6,348.00
|
2025-12-23
|
|
74160
|
HCPCS
|
CT Scan Of Abdomen With Contrast
|
62
|
31
|
$6,207.00
|
$4,655.25
25% off
|
$299.45
|
$10,241.55
|
$4,965.60
|
2025-12-23
|
|
74150
|
HCPCS
|
CT Scan Of Abdomen Without Contrast
|
31
|
31
|
$5,229.00
|
$3,921.75
25% off
|
$208.42
|
$8,627.85
|
$4,183.20
|
2025-12-23
|
|
74
|
MS_DRG
|
Cranial And Peripheral Nerve Disorders Without Mcc
|
20
|
20
|
$15,670.73
|
$11,753.05
25% off
|
$4,889.27
|
$14,887.19
|
$12,912.68
|
2025-12-23
|
|
73725
|
HCPCS
|
MRI Scan Of Blood Vessels Of Leg
|
31
|
31
|
$2,891.00
|
$2,168.25
25% off
|
$448.68
|
$4,770.15
|
$2,312.80
|
2025-12-23
|
|
73723
|
HCPCS
|
MRI Scan Of Leg Joint Before And After Contrast
|
93
|
31
|
$5,990.00
|
$4,492.50
25% off
|
$822.18
|
$9,883.50
|
$4,792.00
|
2025-12-23
|
|
73722
|
HCPCS
|
MRI Scan Of Leg Joint With Contrast
|
90
|
31
|
$5,509.00
|
$4,131.75
25% off
|
$654.95
|
$9,089.85
|
$4,407.20
|
2025-12-23
|
|
73721
|
HCPCS
|
MRI Scan Of Leg Joint Without Contrast
|
93
|
31
|
$5,107.00
|
$3,830.25
25% off
|
$560.10
|
$8,426.55
|
$4,085.60
|
2025-12-23
|
|
73720
|
HCPCS
|
MRI Scan Of Leg Before And After Contrast
|
93
|
31
|
$6,359.00
|
$4,769.25
25% off
|
$560.10
|
$10,492.35
|
$5,087.20
|
2025-12-23
|
|
73719
|
HCPCS
|
MRI Scan Of Leg With Contrast
|
31
|
31
|
$5,000.00
|
$3,750.00
25% off
|
$686.07
|
$8,250.00
|
$4,000.00
|
2025-12-23
|
|
73718
|
HCPCS
|
MRI Scan Of Leg Without Contrast
|
62
|
31
|
$4,586.00
|
$3,439.50
25% off
|
$612.88
|
$7,566.90
|
$3,668.80
|
2025-12-23
|
|
73706
|
HCPCS
|
CT Scan Of Blood Vessels Of Lower Leg With Contrast
|
93
|
31
|
$5,609.00
|
$4,206.75
25% off
|
$456.21
|
$13,478.85
|
$4,487.20
|
2025-12-23
|
|
73702
|
HCPCS
|
CT Scan Of Leg Before And After Contrast
|
90
|
31
|
$5,675.00
|
$4,256.25
25% off
|
$356.22
|
$14,044.80
|
$4,812.40
|
2025-12-23
|
|
73701
|
HCPCS
|
CT Scan Of Leg With Contrast Material
|
93
|
31
|
$5,481.00
|
$4,110.75
25% off
|
$293.26
|
$13,564.65
|
$4,384.80
|
2025-12-23
|
|
73700
|
HCPCS
|
CT Scan Of Leg Without Contrast
|
124
|
31
|
$4,738.00
|
$3,553.50
25% off
|
$232.06
|
$11,726.55
|
$3,790.40
|
2025-12-23
|
|
73525
|
HCPCS
|
Review By Radiologist Of Hip Joint Image
|
62
|
31
|
$2,213.00
|
$1,659.75
25% off
|
$108.00
|
$3,651.45
|
$1,770.40
|
2025-12-23
|
|
73225
|
HCPCS
|
MRI Scan Of Blood Vessels Of Arm
|
31
|
31
|
$2,736.00
|
$2,052.00
25% off
|
$424.63
|
$4,514.40
|
$2,188.80
|
2025-12-23
|
|
73223
|
HCPCS
|
MRI Scan Of Arm Joint Before And After Contrast
|
93
|
31
|
$5,301.00
|
$3,975.75
25% off
|
$611.50
|
$8,746.65
|
$4,240.80
|
2025-12-23
|
|
73222
|
HCPCS
|
MRI Scan Of Arm Joint With Contrast
|
121
|
31
|
$5,093.00
|
$3,819.75
25% off
|
$494.14
|
$8,403.45
|
$4,074.40
|
2025-12-23
|
|
73221
|
HCPCS
|
MRI Scan Of Arm Joint Without Contrast
|
124
|
31
|
$4,804.00
|
$3,603.00
25% off
|
$390.48
|
$7,926.60
|
$3,843.20
|
2025-12-23
|
|
73220
|
HCPCS
|
MRI Scan Of Arm Before And After Contrast
|
93
|
31
|
$6,375.00
|
$4,781.25
25% off
|
$560.10
|
$10,518.75
|
$5,100.00
|
2025-12-23
|
|
73219
|
HCPCS
|
MRI Scan Of Arm With Contrast
|
62
|
31
|
$5,887.00
|
$4,415.25
25% off
|
$527.23
|
$9,713.55
|
$4,709.60
|
2025-12-23
|
|
73218
|
HCPCS
|
MRI Scan Of Arm Without Contrast
|
121
|
31
|
$5,770.00
|
$4,327.50
25% off
|
$476.22
|
$9,520.50
|
$4,616.00
|
2025-12-23
|
|
73206
|
HCPCS
|
CT Scan Of Blood Vessels Of Arm With Contrast
|
118
|
31
|
$5,633.00
|
$4,224.75
25% off
|
$423.72
|
$9,687.15
|
$4,618.21
|
2025-12-23
|
|
73202
|
HCPCS
|
CT Scan Of Arm Before And After Contrast
|
62
|
31
|
$7,125.00
|
$5,343.75
25% off
|
$362.24
|
$14,107.50
|
$4,845.00
|
2025-12-23
|
|
73201
|
HCPCS
|
CT Scan Of Arm With Contrast
|
93
|
31
|
$5,323.00
|
$3,992.25
25% off
|
$289.05
|
$13,173.60
|
$4,258.40
|
2025-12-23
|
|
73200
|
HCPCS
|
CT Scan Of Arm Without Contrast
|
93
|
31
|
$4,254.00
|
$3,190.50
25% off
|
$232.06
|
$10,528.65
|
$3,403.20
|
2025-12-23
|
|
72198
|
HCPCS
|
MRI Scan Of Blood Vessels Of Pelvis
|
31
|
31
|
$4,600.00
|
$3,450.00
25% off
|
$524.27
|
$7,590.00
|
$3,680.00
|
2025-12-23
|
|
72197
|
HCPCS
|
MRI Scan Of Pelvis Before And After Contrast
|
31
|
31
|
$6,103.00
|
$4,577.25
25% off
|
$660.00
|
$10,069.95
|
$4,882.40
|
2025-12-23
|
|
72196
|
HCPCS
|
MRI Scan Of Pelvis With Contrast
|
31
|
31
|
$4,783.00
|
$3,587.25
25% off
|
$536.92
|
$7,891.95
|
$3,826.40
|
2025-12-23
|
|
72195
|
HCPCS
|
MRI Scan Of Pelvis Without Contrast
|
31
|
31
|
$4,041.00
|
$3,030.75
25% off
|
$491.22
|
$6,667.65
|
$3,232.80
|
2025-12-23
|
|
72194
|
HCPCS
|
CT Scan Of Pelvis Before And After Contrast
|
31
|
31
|
$6,728.00
|
$5,046.00
25% off
|
$339.01
|
$11,101.20
|
$5,382.40
|
2025-12-23
|
|
72193
|
HCPCS
|
CT Scan Of Pelvis With Contrast
|
31
|
31
|
$6,162.00
|
$4,621.50
25% off
|
$293.26
|
$10,167.30
|
$4,929.60
|
2025-12-23
|
|
72191
|
HCPCS
|
CT Scan Of Blood Vessels Of Pelvis With Contrast
|
59
|
31
|
$5,595.00
|
$4,196.25
25% off
|
$414.36
|
$9,754.80
|
$4,729.60
|
2025-12-23
|
|
72159
|
HCPCS
|
MRI Scan Of Blood Vessels Of Spinal Canal
|
31
|
31
|
$7,200.00
|
$5,400.00
25% off
|
$544.81
|
$11,880.00
|
$5,760.00
|
2025-12-23
|
|
72158
|
HCPCS
|
MRI Scan Of Lower Spinal Canal Before And After Contrast
|
31
|
31
|
$7,538.00
|
$5,653.50
25% off
|
$583.81
|
$12,437.70
|
$6,030.40
|
2025-12-23
|
|
72157
|
HCPCS
|
MRI Scan Of Middle Spinal Canal Before And After Contrast
|
31
|
31
|
$7,630.00
|
$5,722.50
25% off
|
$554.74
|
$12,589.50
|
$6,104.00
|
2025-12-23
|
|
72156
|
HCPCS
|
MRI Scan Of Upper Spinal Canal Before And After Contrast
|
31
|
31
|
$8,159.00
|
$6,119.25
25% off
|
$592.86
|
$13,462.35
|
$6,527.20
|
2025-12-23
|
|
72149
|
HCPCS
|
MRI Scan Of Lower Spinal Canal With Contrast
|
31
|
31
|
$6,262.00
|
$4,696.50
25% off
|
$485.48
|
$10,332.30
|
$5,009.60
|
2025-12-23
|
|
72148
|
HCPCS
|
MRI Scan Of Lower Spinal Canal Without Contrast
|
31
|
31
|
$5,847.00
|
$4,385.25
25% off
|
$390.06
|
$9,647.55
|
$4,677.60
|
2025-12-23
|
|
72147
|
HCPCS
|
MRI Scan Of Middle Spinal Canal With Contrast
|
31
|
31
|
$6,346.00
|
$4,759.50
25% off
|
$442.89
|
$10,470.90
|
$5,076.80
|
2025-12-23
|
|
72146
|
HCPCS
|
MRI Scan Of Middle Spinal Canal Without Contrast
|
31
|
31
|
$6,092.00
|
$4,569.00
25% off
|
$394.99
|
$10,051.80
|
$4,873.60
|
2025-12-23
|
|
72142
|
HCPCS
|
MRI Scan Of Upper Spinal Canal With Contrast
|
31
|
31
|
$6,238.00
|
$4,678.50
25% off
|
$497.21
|
$10,292.70
|
$4,990.40
|
2025-12-23
|
|
72141
|
HCPCS
|
MRI Scan Of Upper Spinal Canal Without Contrast
|
31
|
31
|
$5,706.00
|
$4,279.50
25% off
|
$391.86
|
$9,414.90
|
$4,564.80
|
2025-12-23
|
|
72133
|
HCPCS
|
CT Scan Of Lower Spine Before And After Contrast
|
31
|
31
|
$8,039.00
|
$6,029.25
25% off
|
$352.37
|
$13,264.35
|
$6,431.20
|
2025-12-23
|
|
72132
|
HCPCS
|
CT Scan Of Lower Spine With Contrast
|
31
|
31
|
$6,658.00
|
$4,993.50
25% off
|
$296.65
|
$10,985.70
|
$5,326.40
|
2025-12-23
|
|
72131
|
HCPCS
|
CT Scan Of Lower Spine Without Contrast
|
31
|
31
|
$6,238.00
|
$4,678.50
25% off
|
$232.06
|
$10,292.70
|
$4,990.40
|
2025-12-23
|
|
72130
|
HCPCS
|
CT Scan Of Middle Spine Before And After Contrast
|
31
|
31
|
$6,566.00
|
$4,924.50
25% off
|
$352.55
|
$10,833.90
|
$5,252.80
|
2025-12-23
|
|
72129
|
HCPCS
|
CT Scan Of Middle Spine With Contrast
|
31
|
31
|
$6,357.00
|
$4,767.75
25% off
|
$297.75
|
$10,489.05
|
$5,085.60
|
2025-12-23
|
|
72128
|
HCPCS
|
CT Scan Of Middle Spine Without Contrast
|
31
|
31
|
$6,146.00
|
$4,609.50
25% off
|
$233.48
|
$10,140.90
|
$4,916.80
|
2025-12-23
|
|
72127
|
HCPCS
|
CT Scan Of Upper Spine Before And After Contrast
|
31
|
31
|
$7,124.00
|
$5,343.00
25% off
|
$352.06
|
$11,754.60
|
$5,699.20
|
2025-12-23
|
|
72126
|
HCPCS
|
CT Scan Of Upper Spine With Contrast
|
31
|
31
|
$6,926.00
|
$5,194.50
25% off
|
$297.58
|
$11,427.90
|
$5,540.80
|
2025-12-23
|
|
72125
|
HCPCS
|
CT Scan Of Upper Spine Without Contrast
|
31
|
31
|
$6,782.00
|
$5,086.50
25% off
|
$238.84
|
$11,190.30
|
$5,425.60
|
2025-12-23
|
|
71555
|
HCPCS
|
MRI Scan Of Blood Vessels Of Chest
|
31
|
31
|
$4,509.00
|
$3,381.75
25% off
|
$519.01
|
$7,439.85
|
$3,607.20
|
2025-12-23
|
|
71552
|
HCPCS
|
MRI Scan Of Chest Before And After Contrast
|
31
|
31
|
$5,957.00
|
$4,467.75
25% off
|
$758.14
|
$9,829.05
|
$4,765.60
|
2025-12-23
|
|
71551
|
HCPCS
|
MRI Scan Of Chest With Contrast
|
31
|
31
|
$5,541.00
|
$4,155.75
25% off
|
$598.40
|
$9,142.65
|
$4,432.80
|
2025-12-23
|
|
71550
|
HCPCS
|
MRI Scan Of Chest Without Contrast
|
31
|
31
|
$5,345.00
|
$4,008.75
25% off
|
$542.40
|
$8,819.25
|
$4,276.00
|
2025-12-23
|
|
71275
|
HCPCS
|
CT Scan Of Blood Vessels Of Chest With Contrast
|
59
|
31
|
$6,580.00
|
$4,935.00
25% off
|
$388.59
|
$10,857.00
|
$5,264.00
|
2025-12-23
|
|
71270
|
HCPCS
|
CT Scan Of Chest Before And After Contrast
|
31
|
31
|
$6,929.00
|
$5,196.75
25% off
|
$357.58
|
$11,432.85
|
$5,543.20
|
2025-12-23
|
|
71260
|
HCPCS
|
CT Scan Of Chest With Contrast
|
90
|
31
|
$6,301.00
|
$4,725.75
25% off
|
$297.64
|
$10,561.65
|
$5,040.80
|
2025-12-23
|
|
71250
|
HCPCS
|
CT Scan Of Chest Without Contrast
|
87
|
31
|
$5,498.00
|
$4,123.50
25% off
|
$233.36
|
$9,236.70
|
$4,398.40
|
2025-12-23
|
|
70554
|
HCPCS
|
Functional MRI Scan Of Brain
|
31
|
31
|
$6,197.00
|
$4,647.75
25% off
|
$587.49
|
$10,225.05
|
$4,957.60
|
2025-12-23
|
|
70553
|
HCPCS
|
MRI Scan Of Brain Before And After Contrast
|
87
|
31
|
$8,942.00
|
$6,706.50
25% off
|
$594.39
|
$14,772.45
|
$7,153.60
|
2025-12-23
|
|
70552
|
HCPCS
|
MRI Scan Of Brain With Contrast
|
31
|
31
|
$6,894.00
|
$5,170.50
25% off
|
$489.84
|
$11,375.10
|
$5,515.20
|
2025-12-23
|
|
70551
|
HCPCS
|
MRI Scan Of Brain Without Contrast
|
59
|
31
|
$6,745.00
|
$5,058.75
25% off
|
$439.07
|
$11,129.25
|
$5,396.00
|
2025-12-23
|
|
70549
|
HCPCS
|
MRI Scan Of Blood Vessels Of Neck Before And After Contrast
|
31
|
31
|
$7,053.00
|
$5,289.75
25% off
|
$790.73
|
$11,637.45
|
$5,642.40
|
2025-12-23
|
|
70548
|
HCPCS
|
MRI Scan Of Blood Vessels Of Neck With Contrast
|
31
|
31
|
$5,748.00
|
$4,311.00
25% off
|
$542.79
|
$9,484.20
|
$4,598.40
|
2025-12-23
|
|
70547
|
HCPCS
|
MRI Scan Of Blood Vessels Of Neck Without Contrast
|
31
|
31
|
$5,430.00
|
$4,072.50
25% off
|
$516.93
|
$8,959.50
|
$4,344.00
|
2025-12-23
|
|
70546
|
HCPCS
|
MRI Scan Of Blood Vessels Of Head Before And After Contrast
|
31
|
31
|
$7,053.00
|
$5,289.75
25% off
|
$787.44
|
$11,637.45
|
$5,642.40
|
2025-12-23
|
|
70545
|
HCPCS
|
MRI Scan Of Blood Vessels Of Head With Contrast
|
31
|
31
|
$5,927.00
|
$4,445.25
25% off
|
$506.46
|
$9,779.55
|
$4,741.60
|
2025-12-23
|
|
70544
|
HCPCS
|
MRI Scan Of Blood Vessels Of Head Without Contrast
|
31
|
31
|
$5,425.00
|
$4,068.75
25% off
|
$514.85
|
$8,951.25
|
$4,340.00
|
2025-12-23
|
|
70543
|
HCPCS
|
MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Before And After Contrast
|
31
|
31
|
$8,154.00
|
$6,115.50
25% off
|
$597.22
|
$13,454.10
|
$6,523.20
|
2025-12-23
|
|
70542
|
HCPCS
|
MRI Scan Of Bone Of Eye Socket, Face, And/or Neck With Contrast
|
31
|
31
|
$6,431.00
|
$4,823.25
25% off
|
$472.38
|
$10,611.15
|
$5,144.80
|
2025-12-23
|
|
70540
|
HCPCS
|
MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Without Contrast
|
59
|
31
|
$6,115.00
|
$4,586.25
25% off
|
$421.04
|
$10,089.75
|
$4,892.00
|
2025-12-23
|
|
70496
|
HCPCS
|
CT Scan Of Blood Vessels Of Head With Contrast
|
59
|
31
|
$5,963.00
|
$4,472.25
25% off
|
$508.52
|
$9,838.95
|
$4,770.40
|
2025-12-23
|
|
70492
|
HCPCS
|
CT Scan Of Soft Tissue Of Neck Before And After Contrast
|
31
|
31
|
$6,850.00
|
$5,137.50
25% off
|
$330.14
|
$11,302.50
|
$5,480.00
|
2025-12-23
|
|
70491
|
HCPCS
|
CT Scan Of Soft Tissue Of Neck With Contrast
|
31
|
31
|
$5,864.00
|
$4,398.00
25% off
|
$305.43
|
$9,675.60
|
$4,691.20
|
2025-12-23
|
|
70490
|
HCPCS
|
CT Scan Of Soft Tissue Of Neck Without Contrast
|
31
|
31
|
$5,035.00
|
$3,776.25
25% off
|
$249.10
|
$8,307.75
|
$4,028.00
|
2025-12-23
|
|
70488
|
HCPCS
|
CT Scan Of Face Before And After Contrast
|
31
|
31
|
$6,420.00
|
$4,815.00
25% off
|
$265.31
|
$10,593.00
|
$5,136.00
|
2025-12-23
|
|
70487
|
HCPCS
|
CT Scan Of Face With Contrast
|
31
|
31
|
$6,119.00
|
$4,589.25
25% off
|
$230.16
|
$10,096.35
|
$4,895.20
|
2025-12-23
|
|
70486
|
HCPCS
|
CT Scan Of Face Without Contrast
|
31
|
31
|
$5,889.00
|
$4,416.75
25% off
|
$208.72
|
$9,716.85
|
$4,711.20
|
2025-12-23
|
|
70482
|
HCPCS
|
CT Scan Of Cranial Cavity Before And After Contrast
|
31
|
31
|
$7,550.00
|
$5,662.50
25% off
|
$330.14
|
$12,457.50
|
$6,040.00
|
2025-12-23
|
|
70481
|
HCPCS
|
CT Scan Of Cranial Cavity With Contrast
|
31
|
31
|
$6,103.00
|
$4,577.25
25% off
|
$330.14
|
$10,069.95
|
$4,882.40
|
2025-12-23
|
|
70480
|
HCPCS
|
CT Scan Of Cranial Cavity Without Contrast
|
31
|
31
|
$5,304.00
|
$3,978.00
25% off
|
$302.69
|
$8,751.60
|
$4,243.20
|
2025-12-23
|
|
70470
|
HCPCS
|
CT Scan Of Head Or Brain Before And After Contrast
|
31
|
31
|
$5,963.00
|
$4,472.25
25% off
|
$247.72
|
$9,838.95
|
$4,770.40
|
2025-12-23
|
|
70460
|
HCPCS
|
CT Scan Head Or Brain With Contrast
|
31
|
31
|
$5,583.00
|
$4,187.25
25% off
|
$216.71
|
$9,211.95
|
$4,466.40
|
2025-12-23
|
|
70450
|
HCPCS
|
CT Scan Head Or Brain Without Contrast
|
31
|
31
|
$4,705.00
|
$3,528.75
25% off
|
$165.86
|
$7,763.25
|
$3,764.00
|
2025-12-23
|
|
70336
|
HCPCS
|
MRI Scan Of Jaw Joint
|
31
|
31
|
$3,696.00
|
$2,772.00
25% off
|
$573.62
|
$6,283.20
|
$3,134.21
|
2025-12-23
|
|
690
|
MS_DRG
|
Kidney And Urinary Tract Infections Without Mcc
|
20
|
20
|
$22,873.90
|
$17,155.42
25% off
|
$7,136.66
|
$21,730.20
|
$18,848.10
|
2025-12-23
|
|
69
|
MS_DRG
|
Transient Ischemia Without Thrombolytic
|
21
|
21
|
$5,413.45
|
$4,060.09
25% off
|
$1,689.00
|
$12,316.49
|
$4,590.61
|
2025-12-23
|
|
689
|
MS_DRG
|
Kidney And Urinary Tract Infections With Mcc
|
20
|
20
|
$29,531.31
|
$22,148.48
25% off
|
$9,213.77
|
$28,054.74
|
$24,333.80
|
2025-12-23
|
|
684
|
MS_DRG
|
Renal Failure Without Cc/mcc
|
20
|
20
|
$18,058.91
|
$13,544.18
25% off
|
$5,634.38
|
$17,155.96
|
$14,880.54
|
2025-12-23
|
|
683
|
MS_DRG
|
Renal Failure With Cc
|
20
|
20
|
$28,612.25
|
$21,459.18
25% off
|
$8,927.02
|
$27,181.63
|
$23,576.49
|
2025-12-23
|
|
682
|
MS_DRG
|
Renal Failure With Mcc
|
20
|
20
|
$13,169.62
|
$9,877.22
25% off
|
$4,108.92
|
$12,511.14
|
$10,851.77
|
2025-12-23
|
|
67105
|
HCPCS
|
Repair Of Detached Retina Using A Laser
|
31
|
31
|
$1,771.00
|
$1,328.25
25% off
|
$219.42
|
$2,922.15
|
$1,416.80
|
2025-12-23
|
|
65400
|
HCPCS
|
Removal Of Growth Of Cornea
|
31
|
31
|
$1,662.00
|
$1,246.50
25% off
|
$219.42
|
$2,742.30
|
$1,329.60
|
2025-12-23
|
|
64450
|
HCPCS
|
Injection Of Anesthetic Agent And/or Steroid Into Other Nerve Or Branch
|
31
|
31
|
$2,100.00
|
$1,575.00
25% off
|
$70.49
|
$3,465.00
|
$1,680.00
|
2025-12-23
|
|
641
|
MS_DRG
|
Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou…
|
20
|
20
|
$18,085.52
|
$13,564.14
25% off
|
$5,642.68
|
$17,181.24
|
$14,902.47
|
2025-12-23
|
|
640
|
MS_DRG
|
Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M…
|
20
|
20
|
$10,886.46
|
$8,164.85
25% off
|
$3,396.58
|
$10,342.14
|
$8,970.44
|
2025-12-23
|
|
638
|
MS_DRG
|
Diabetes With Cc
|
20
|
20
|
$21,291.85
|
$15,968.88
25% off
|
$6,643.06
|
$20,227.25
|
$17,544.48
|
2025-12-23
|
|
62270
|
HCPCS
|
Removal Of Cerebrospinal Fluid With Lower Back Spinal Tap For Diagnostic Test
|
31
|
31
|
$3,698.00
|
$2,773.50
25% off
|
$81.91
|
$6,101.70
|
$2,958.40
|
2025-12-23
|
|
603
|
MS_DRG
|
Cellulitis Without Mcc
|
20
|
20
|
$41,914.52
|
$31,435.89
25% off
|
$13,077.33
|
$39,818.79
|
$34,537.57
|
2025-12-23
|
|
602
|
MS_DRG
|
Cellulitis With Mcc
|
20
|
20
|
$35,375.61
|
$26,531.70
25% off
|
$11,037.19
|
$33,606.83
|
$29,149.49
|
2025-12-23
|
|
59612
|
HCPCS
|
Vaginal Delivery After Previous Cesarean Delivery
|
31
|
31
|
$3,840.00
|
$2,880.00
25% off
|
$595.97
|
$6,336.00
|
$3,072.00
|
2025-12-23
|
|
59515
|
HCPCS
|
Cesarean Delivery With Care After Delivery
|
31
|
31
|
$3,491.00
|
$2,618.25
25% off
|
$219.42
|
$5,934.70
|
$2,960.37
|
2025-12-23
|
|
59514
|
HCPCS
|
Cesarean Delivery
|
51
|
31
|
$2,442.00
|
$1,831.50
25% off
|
$219.42
|
$4,029.30
|
$2,052.16
|
2025-12-23
|
|
59510
|
HCPCS
|
Cesarean Delivery With Care Before And After Delivery
|
31
|
31
|
$3,491.00
|
$2,618.25
25% off
|
$219.42
|
$5,760.15
|
$2,792.80
|
2025-12-23
|
|
59426
|
HCPCS
|
Predelivery Care, 7 Or More Visits
|
31
|
31
|
$2,958.00
|
$2,218.50
25% off
|
$219.42
|
$5,028.60
|
$2,508.38
|
2025-12-23
|
|
59425
|
HCPCS
|
Predelivery Care, 4 To 6 Visits
|
31
|
31
|
$1,700.00
|
$1,275.00
25% off
|
$219.42
|
$2,890.00
|
$1,441.60
|
2025-12-23
|
|
59412
|
HCPCS
|
Turning Of Fetus Through External Manipulation
|
28
|
28
|
$9,145.00
|
$6,858.75
25% off
|
$1,419.30
|
$15,089.25
|
$7,316.00
|
2025-12-23
|
|
59410
|
HCPCS
|
Vaginal Delivery With Post Delivery Care
|
31
|
31
|
$2,473.00
|
$1,854.75
25% off
|
$219.42
|
$4,204.10
|
$2,097.10
|
2025-12-23
|
|
59409
|
HCPCS
|
Vaginal Delivery
|
59
|
31
|
$2,173.00
|
$1,629.75
25% off
|
$219.42
|
$6,336.00
|
$1,847.05
|
2025-12-23
|
|
59160
|
HCPCS
|
Scraping Of Lining Of Uterus After Delivery
|
31
|
31
|
$4,416.00
|
$3,312.00
25% off
|
$202.68
|
$7,286.40
|
$3,532.80
|
2025-12-23
|
|
59
|
MS_DRG
|
Multiple Sclerosis And Cerebellar Ataxia With Cc
|
20
|
20
|
$33,791.75
|
$25,343.81
25% off
|
$10,543.03
|
$32,102.16
|
$27,844.40
|
2025-12-23
|
|
58145
|
HCPCS
|
Removal Of Growth Of Uterus Through Vagina, 1-4 Growths
|
31
|
31
|
$6,135.00
|
$4,601.25
25% off
|
$219.42
|
$10,122.75
|
$4,908.00
|
2025-12-23
|
|
57500
|
HCPCS
|
Biopsy Of Cervix Or Removal Of Growth
|
31
|
31
|
$1,639.00
|
$1,229.25
25% off
|
$40.54
|
$2,704.35
|
$1,311.20
|
2025-12-23
|
|
554
|
MS_DRG
|
Bone Diseases And Arthropathies Without Mcc
|
20
|
20
|
$12,199.81
|
$9,149.86
25% off
|
$3,806.34
|
$11,589.82
|
$10,052.65
|
2025-12-23
|
|
552
|
MS_DRG
|
Medical Back Problems Without Mcc
|
20
|
20
|
$59,426.79
|
$44,570.09
25% off
|
$18,541.16
|
$56,455.45
|
$48,967.68
|
2025-12-23
|
|
50200
|
HCPCS
|
Needle Biopsy Of Kidney
|
31
|
31
|
$3,623.00
|
$2,717.25
25% off
|
$70.74
|
$5,977.95
|
$2,898.40
|
2025-12-23
|
|
49250
|
HCPCS
|
Removal Of Navel And Surrounding Tissue
|
31
|
31
|
$1,900.00
|
$1,425.00
25% off
|
$219.42
|
$3,230.00
|
$1,611.20
|
2025-12-23
|
|
49180
|
HCPCS
|
Needle Biopsy Of Growth Of Abdominal Cavity
|
31
|
31
|
$4,902.00
|
$3,676.50
25% off
|
$249.81
|
$8,088.30
|
$3,921.60
|
2025-12-23
|
|
49083
|
HCPCS
|
Drainage Of Fluid From Abdominal Cavity Using Imaging Guidance
|
62
|
31
|
$2,998.00
|
$2,248.50
25% off
|
$89.85
|
$4,946.70
|
$2,398.40
|
2025-12-23
|
|
47531
|
HCPCS
|
Injection Of Bile Duct For X-ray Through Already Existing Skin Access Using Imag…
|
31
|
31
|
$6,487.00
|
$4,865.25
25% off
|
$341.03
|
$10,703.55
|
$5,189.60
|
2025-12-23
|
|
47000
|
HCPCS
|
Needle Biopsy Of Liver Through Skin
|
31
|
31
|
$4,068.00
|
$3,051.00
25% off
|
$168.28
|
$6,712.20
|
$3,254.40
|
2025-12-23
|
|
439
|
MS_DRG
|
Disorders Of Pancreas Except Malignancy With Cc
|
20
|
20
|
$23,030.25
|
$17,272.69
25% off
|
$7,185.44
|
$21,878.74
|
$18,976.93
|
2025-12-23
|
|
435
|
MS_DRG
|
Malignancy Of Hepatobiliary System Or Pancreas With Mcc
|
20
|
20
|
$14,074.22
|
$10,555.67
25% off
|
$4,391.16
|
$13,370.51
|
$11,597.16
|
2025-12-23
|
|
394
|
MS_DRG
|
Other Digestive System Diagnoses With Cc
|
20
|
20
|
$18,316.69
|
$13,737.52
25% off
|
$5,714.81
|
$17,400.86
|
$15,092.95
|
2025-12-23
|
|
392
|
MS_DRG
|
Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc
|
20
|
20
|
$18,630.89
|
$13,973.16
25% off
|
$5,812.84
|
$17,699.34
|
$15,351.85
|
2025-12-23
|
|
390
|
MS_DRG
|
Gastrointestinal Obstruction Without Cc/mcc
|
20
|
20
|
$14,262.03
|
$10,696.52
25% off
|
$4,449.75
|
$13,548.93
|
$11,751.92
|
2025-12-23
|
|
386
|
MS_DRG
|
Inflammatory Bowel Disease With Cc
|
20
|
20
|
$8,978.03
|
$6,733.52
25% off
|
$2,801.15
|
$8,529.13
|
$7,397.90
|
2025-12-23
|
|
38505
|
HCPCS
|
Needle Biopsy Or Removal Of Surface Lymph Nodes
|
31
|
31
|
$4,962.00
|
$3,721.50
25% off
|
$70.74
|
$8,187.30
|
$3,969.60
|
2025-12-23
|
|
36571
|
HCPCS
|
Insertion Of Central Venous Tube With Port For Infusion (5 Years Or Older)
|
31
|
31
|
$6,052.00
|
$4,539.00
25% off
|
$303.80
|
$9,985.80
|
$4,841.60
|
2025-12-23
|
|
36569
|
HCPCS
|
Insertion Of Tube For Infusion (5 Years Or Older)
|
31
|
31
|
$5,347.00
|
$4,010.25
25% off
|
$57.52
|
$8,822.55
|
$4,277.60
|
2025-12-23
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
20
|
20
|
$25,618.88
|
$19,214.16
25% off
|
$7,993.09
|
$24,337.94
|
$21,109.96
|
2025-12-23
|
|
32555
|
HCPCS
|
Aspiration Of Fluid From Chest Cavity Using Imaging Guidance
|
31
|
31
|
$3,668.00
|
$2,751.00
25% off
|
$92.33
|
$6,052.20
|
$2,934.40
|
2025-12-23
|
|
32408
|
HCPCS
|
Core Needle Biopsy Of Lung Or Center Cavity Of Chest (mediastinum), Accessed Thr…
|
31
|
31
|
$4,783.00
|
$3,587.25
25% off
|
$742.32
|
$7,891.95
|
$3,826.40
|
2025-12-23
|
|
315
|
MS_DRG
|
Other Circulatory System Diagnoses With Cc
|
20
|
20
|
$72,404.49
|
$54,303.37
25% off
|
$22,590.20
|
$68,784.27
|
$59,661.30
|
2025-12-23
|
|
309
|
MS_DRG
|
Cardiac Arrhythmia And Conduction Disorders With Cc
|
20
|
20
|
$15,691.22
|
$11,768.42
25% off
|
$4,895.66
|
$14,906.66
|
$12,929.56
|
2025-12-23
|
|
299
|
MS_DRG
|
Peripheral Vascular Disorders With Mcc
|
20
|
20
|
$61,632.79
|
$46,224.59
25% off
|
$19,229.43
|
$58,551.15
|
$50,785.42
|
2025-12-23
|
|
291
|
MS_DRG
|
Heart Failure And Shock With Mcc
|
20
|
20
|
$63,400.24
|
$47,550.18
25% off
|
$19,780.87
|
$60,230.22
|
$52,241.79
|
2025-12-23
|
|
2885261_4
|
CDM
|
Room & Board - Semi-private (two Beds) - Medical/surgical/gyn
|
20
|
20
|
$8,805.00
|
$6,603.75
25% off
|
$2,747.16
|
$8,364.75
|
$7,255.32
|
2025-12-23
|
|
28750
|
HCPCS
|
Fusion Of Big Toe At Joint With Foot
|
31
|
31
|
$1,798.00
|
$1,348.50
25% off
|
$219.42
|
$2,966.70
|
$1,438.40
|
2025-12-23
|
|
2864102_1
|
CDM
|
Operating Room Services - General Classification
|
26
|
26
|
$3,229.29
|
$2,421.97
25% off
|
$501.19
|
$3,067.83
|
$2,583.43
|
2025-12-23
|
|
28344
|
HCPCS
|
Removal Of Extra Toes With Reconstruction
|
31
|
31
|
$1,863.00
|
$1,397.25
25% off
|
$219.42
|
$3,073.95
|
$1,490.40
|
2025-12-23
|
|
28309344_4
|
CDM
|
Intensive Care Unit - Intermediate ICU
|
20
|
20
|
$10,325.00
|
$7,743.75
25% off
|
$3,221.40
|
$9,808.75
|
$8,507.80
|
2025-12-23
|
|
28289
|
HCPCS
|
Correction Of Rigid Deformity Of First Joint Of Big Toe
|
31
|
31
|
$1,850.00
|
$1,387.50
25% off
|
$219.42
|
$3,052.50
|
$1,480.00
|
2025-12-23
|
|
28124
|
HCPCS
|
Partial Removal Of Toe Bone
|
31
|
31
|
$2,107.00
|
$1,580.25
25% off
|
$219.42
|
$3,476.55
|
$1,685.60
|
2025-12-23
|
|
28090
|
HCPCS
|
Removal Of Growth Of Tendon Covering Or Joint Capsule Of Foot
|
31
|
31
|
$2,414.00
|
$1,810.50
25% off
|
$219.42
|
$3,983.10
|
$1,931.20
|
2025-12-23
|
|
280
|
MS_DRG
|
Acute Myocardial Infarction, Discharged Alive With Mcc
|
20
|
20
|
$57,692.87
|
$43,269.65
25% off
|
$18,000.18
|
$54,808.23
|
$47,538.93
|
2025-12-23
|
|
27942695_4
|
CDM
|
Rt High Flow Oxygen Charge
|
26
|
26
|
$1,950.00
|
$1,462.50
25% off
|
$302.64
|
$1,852.50
|
$1,560.00
|
2025-12-23
|
|
27810
|
HCPCS
|
Closed Treatment Of 2 Broken Lower Leg Bones At Ankle With Manipulation
|
31
|
31
|
$1,770.00
|
$1,327.50
25% off
|
$219.42
|
$2,920.50
|
$1,416.00
|
2025-12-23
|
|
27752
|
HCPCS
|
Closed Treatment Of Middle Part Of Broken Shin Bone With Manipulation
|
31
|
31
|
$2,071.00
|
$1,553.25
25% off
|
$219.42
|
$3,417.15
|
$1,656.80
|
2025-12-23
|
|
27372
|
HCPCS
|
Removal Of Foreign Body Deep In Tissue Of Thigh Or Knee
|
31
|
31
|
$2,018.00
|
$1,513.50
25% off
|
$219.42
|
$3,329.70
|
$1,614.40
|
2025-12-23
|
|
27193
|
HCPCS
|
Treat Pelvic Ring Fracture
|
31
|
31
|
$1,537.00
|
$1,152.75
25% off
|
$219.42
|
$2,612.90
|
$1,303.38
|
2025-12-23
|
|
26674456_4
|
CDM
|
Nail It Cannu Tibial 10 375mm
|
26
|
26
|
$2,163.25
|
$1,622.44
25% off
|
$335.74
|
$2,055.09
|
$1,730.60
|
2025-12-23
|
|
26674454_4
|
CDM
|
Tibialis Posterior Tendon
|
26
|
26
|
$3,000.00
|
$2,250.00
25% off
|
$465.60
|
$2,850.00
|
$2,400.00
|
2025-12-23
|
|
26674426_4
|
CDM
|
Shell R3 3Hole Acet 52Mm
|
26
|
26
|
$5,375.00
|
$4,031.25
25% off
|
$834.20
|
$5,106.25
|
$4,300.00
|
2025-12-23
|
|
26674395_4
|
CDM
|
Stem Femoral #14 135mm
|
26
|
26
|
$2,850.00
|
$2,137.50
25% off
|
$442.32
|
$2,707.50
|
$2,280.00
|
2025-12-23
|
|
26673001_4
|
CDM
|
Sling Solyx Sis System
|
26
|
26
|
$2,446.75
|
$1,835.06
25% off
|
$379.74
|
$2,324.41
|
$1,957.40
|
2025-12-23
|
|
26672292_4
|
CDM
|
Plate Post Tibial R
|
26
|
26
|
$4,062.50
|
$3,046.88
25% off
|
$630.50
|
$3,859.38
|
$3,250.00
|
2025-12-23
|
|
26667867_4
|
CDM
|
Graft Semi Tendinosis
|
26
|
26
|
$2,243.75
|
$1,682.81
25% off
|
$348.23
|
$2,131.56
|
$1,795.00
|
2025-12-23
|
|
26667851_4
|
CDM
|
Putty Norian Drillable 10cc Fast Set
|
26
|
26
|
$5,008.75
|
$3,756.56
25% off
|
$777.36
|
$4,758.31
|
$4,007.00
|
2025-12-23
|
|
26667849_4
|
CDM
|
Inject Dorian Drillable 10cc
|
26
|
26
|
$5,008.75
|
$3,756.56
25% off
|
$777.36
|
$4,758.31
|
$4,007.00
|
2025-12-23
|
|
26667801_4
|
CDM
|
Plate Lcp Volar 2.4 68.5 5h 7h
|
26
|
26
|
$1,750.00
|
$1,312.50
25% off
|
$271.60
|
$1,662.50
|
$1,400.00
|
2025-12-23
|
|
26667748_4
|
CDM
|
Plate Valcp 4.5 266 02.124.413
|
26
|
26
|
$3,342.50
|
$2,506.88
25% off
|
$518.76
|
$3,175.38
|
$2,674.00
|
2025-12-23
|
|
26667745_4
|
CDM
|
Plate Va Lcp Ant 8h Rt 2.7 3.5
|
26
|
26
|
$2,500.00
|
$1,875.00
25% off
|
$388.00
|
$2,375.00
|
$2,000.00
|
2025-12-23
|
|
26667680_4
|
CDM
|
Lgn Ps High Flex Xlpe 3-4 9Mm
|
26
|
26
|
$5,912.50
|
$4,434.38
25% off
|
$917.62
|
$5,616.88
|
$4,730.00
|
2025-12-23
|
|
26667677_4
|
CDM
|
Lgn Prsft Stem 16 220mm Strt
|
26
|
26
|
$4,068.75
|
$3,051.56
25% off
|
$631.47
|
$3,865.31
|
$3,255.00
|
2025-12-23
|
|
26667674_4
|
CDM
|
Lgn Pres Stm 18 160mm 71424051
|
26
|
26
|
$3,618.75
|
$2,714.06
25% off
|
$561.63
|
$3,437.81
|
$2,895.00
|
2025-12-23
|
|
26667672_4
|
CDM
|
Lgn Ck/hk Hemi 5-6 Lm/lr 5mm
|
26
|
26
|
$3,575.00
|
$2,681.25
25% off
|
$554.84
|
$3,396.25
|
$2,860.00
|
2025-12-23
|
|
26667671_4
|
CDM
|
Lgn Ck/hk Hemi 5-6 Ll/rm 5mm
|
26
|
26
|
$3,575.00
|
$2,681.25
25% off
|
$554.84
|
$3,396.25
|
$2,860.00
|
2025-12-23
|
|
26667670_4
|
CDM
|
Lg Hk Gd Mo Isrt 18 4 71423358
|
26
|
26
|
$5,293.75
|
$3,970.31
25% off
|
$821.59
|
$5,029.06
|
$4,235.00
|
2025-12-23
|
|
26667669_4
|
CDM
|
Legion Ps Np Fem Sz 6 Rt
|
26
|
26
|
$8,189.50
|
$6,142.13
25% off
|
$1,271.01
|
$7,780.03
|
$6,551.60
|
2025-12-23
|
|
26667668_4
|
CDM
|
Legion Ps Np Fem Sz 4 Rt
|
26
|
26
|
$7,425.00
|
$5,568.75
25% off
|
$1,152.36
|
$7,053.75
|
$5,940.00
|
2025-12-23
|
|
26667657_4
|
CDM
|
Legion Hk 12mm Blt Sl 71421388
|
26
|
26
|
$2,318.75
|
$1,739.06
25% off
|
$359.87
|
$2,202.81
|
$1,855.00
|
2025-12-23
|
|
26667656_4
|
CDM
|
Lgn Hk Fem Asse 5 Lt 71421375
|
26
|
26
|
$16,936.50
|
$12,702.38
25% off
|
$2,628.54
|
$16,089.68
|
$13,549.20
|
2025-12-23
|
|
26667655_4
|
CDM
|
Lg Hk Tibal Bs 5 Lt 71421305
|
26
|
26
|
$8,871.50
|
$6,653.63
25% off
|
$1,376.86
|
$8,427.93
|
$7,097.20
|
2025-12-23
|
|
26667646_4
|
CDM
|
Gns Ii Resurf Pat 32 71420576
|
26
|
26
|
$2,393.75
|
$1,795.31
25% off
|
$371.51
|
$2,274.06
|
$1,915.00
|
2025-12-23
|
|
26667642_4
|
CDM
|
Gns Ii Cmt Tib 4 Rt 71420183
|
26
|
26
|
$5,668.75
|
$4,251.56
25% off
|
$879.79
|
$5,385.31
|
$4,535.00
|
2025-12-23
|
|
26667615_4
|
CDM
|
Syn Por Fem Comp Sz 13
|
26
|
26
|
$10,340.00
|
$7,755.00
25% off
|
$1,604.77
|
$9,823.00
|
$8,272.00
|
2025-12-23
|
|
26667239_4
|
CDM
|
Plate Lcp Prx TB 4.5x118 6h Rt
|
26
|
26
|
$2,646.25
|
$1,984.69
25% off
|
$410.70
|
$2,513.94
|
$2,117.00
|
2025-12-23
|
|
26549782_4
|
CDM
|
Complex Procedure ER
|
26
|
26
|
$8,115.00
|
$6,086.25
25% off
|
$1,259.45
|
$7,709.25
|
$6,492.00
|
2025-12-23
|
|
26549780_4
|
CDM
|
Intermediate Procedure ER
|
26
|
26
|
$2,705.00
|
$2,028.75
25% off
|
$419.82
|
$2,569.75
|
$2,164.00
|
2025-12-23
|
|
26212343_1
|
CDM
|
Vasostrict 20 Unit/ml Vial
|
26
|
26
|
$2,194.60
|
$1,645.95
25% off
|
$340.60
|
$2,084.87
|
$1,755.68
|
2025-12-23
|
|
26212327_1
|
CDM
|
Infuvite Adult Vial
|
26
|
26
|
$1,994.35
|
$1,495.76
25% off
|
$309.52
|
$1,894.63
|
$1,595.48
|
2025-12-23
|
|
26211822_1
|
CDM
|
Alphagan P 0.15% Eye Drops
|
26
|
26
|
$1,686.55
|
$1,264.91
25% off
|
$261.75
|
$1,602.22
|
$1,349.24
|
2025-12-23
|
|
25983101_4
|
CDM
|
Labor Room/delivery - General Classification
|
26
|
26
|
$2,070.00
|
$1,552.50
25% off
|
$321.26
|
$1,966.50
|
$1,656.00
|
2025-12-23
|
|
25684266_4
|
CDM
|
Labor Room/delivery - Birthing Center
|
26
|
26
|
$1,987.00
|
$1,490.25
25% off
|
$308.38
|
$1,887.65
|
$1,589.60
|
2025-12-23
|
|
25635
|
HCPCS
|
Closed Treatment Of Other Broken Wrist Bone With Manipulation
|
31
|
31
|
$1,685.00
|
$1,263.75
25% off
|
$219.42
|
$2,780.25
|
$1,348.00
|
2025-12-23
|
|
25565
|
HCPCS
|
Closed Treatment Of Broken Midpart Of Both Forearm Bones With Manipulation
|
31
|
31
|
$2,045.00
|
$1,533.75
25% off
|
$219.42
|
$3,374.25
|
$1,636.00
|
2025-12-23
|
|
24505
|
HCPCS
|
Closed Treatment Of Broken Middle Part Of Upper Arm Bone With Manipulation
|
31
|
31
|
$1,640.00
|
$1,230.00
25% off
|
$219.42
|
$2,706.00
|
$1,312.00
|
2025-12-23
|
|
20606
|
HCPCS
|
Aspiration And/or Injection Of Fluid From Medium Joint Using Ultrasound Guidance
|
62
|
31
|
$2,342.00
|
$1,756.50
25% off
|
$64.62
|
$3,864.30
|
$1,873.60
|
2025-12-23
|
|
20206
|
HCPCS
|
Needle Biopsy Of Muscle
|
31
|
31
|
$4,811.00
|
$3,608.25
25% off
|
$65.90
|
$7,938.15
|
$3,848.80
|
2025-12-23
|
|
195
|
MS_DRG
|
Simple Pneumonia And Pleurisy Without Cc/mcc
|
20
|
20
|
$23,548.88
|
$17,661.66
25% off
|
$7,347.25
|
$22,371.44
|
$19,404.28
|
2025-12-23
|
|
194
|
MS_DRG
|
Simple Pneumonia And Pleurisy With Cc
|
20
|
20
|
$36,694.59
|
$27,520.94
25% off
|
$11,448.71
|
$34,859.86
|
$30,236.34
|
2025-12-23
|
|
193
|
MS_DRG
|
Simple Pneumonia And Pleurisy With Mcc
|
20
|
20
|
$64,170.00
|
$48,127.50
25% off
|
$20,021.04
|
$60,961.50
|
$52,876.08
|
2025-12-23
|
|
19285
|
HCPCS
|
Placement Of Locating Device In Breast Using Ultrasound Guidance, First Growth
|
62
|
31
|
$2,549.00
|
$1,911.75
25% off
|
$395.60
|
$4,205.85
|
$2,039.20
|
2025-12-23
|
|
19083
|
HCPCS
|
Biopsy Of Breast And Placement Of Locating Device Using Ultrasound, First Growth
|
62
|
31
|
$4,916.00
|
$3,687.00
25% off
|
$613.92
|
$8,111.40
|
$3,932.80
|
2025-12-23
|
|
190
|
MS_DRG
|
Chronic Obstructive Pulmonary Disease With Mcc
|
20
|
20
|
$49,391.08
|
$37,043.31
25% off
|
$15,410.02
|
$46,921.53
|
$40,698.26
|
2025-12-23
|
|
189
|
MS_DRG
|
Pulmonary Edema And Respiratory Failure
|
20
|
20
|
$62,078.73
|
$46,559.05
25% off
|
$19,368.56
|
$58,974.79
|
$51,152.87
|
2025-12-23
|
|
1886880_4
|
CDM
|
Rt Oxygen Per Day Charge
|
26
|
26
|
$1,951.50
|
$1,463.63
25% off
|
$302.87
|
$1,853.93
|
$1,561.20
|
2025-12-23
|
|
178
|
MS_DRG
|
Respiratory Infections And Inflammations With Cc
|
20
|
20
|
$23,562.22
|
$17,671.67
25% off
|
$7,351.41
|
$22,384.11
|
$19,415.27
|
2025-12-23
|
|
177
|
MS_DRG
|
Respiratory Infections And Inflammations With Mcc
|
20
|
20
|
$21,576.31
|
$16,182.23
25% off
|
$6,731.81
|
$20,497.49
|
$17,778.88
|
2025-12-23
|
|
15835
|
HCPCS
|
Removal Of Extra Skin And Tissue Of Buttock
|
31
|
31
|
$2,583.00
|
$1,937.25
25% off
|
$219.42
|
$4,391.10
|
$2,190.38
|
2025-12-23
|
|
11752
|
HCPCS
|
Remove Nail Bed/tip
|
31
|
31
|
$2,486.00
|
$1,864.50
25% off
|
$219.42
|
$4,226.20
|
$2,108.13
|
2025-12-23
|
|
11470
|
HCPCS
|
Removal Of Skin And Tissue Of Anus Or Navel For Inflamed Sweat Glands With Simpl…
|
31
|
31
|
$3,711.00
|
$2,783.25
25% off
|
$135.52
|
$6,123.15
|
$2,968.80
|
2025-12-23
|
|
11440
|
HCPCS
|
Removal Of Noncancer Skin Growth Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 0…
|
31
|
31
|
$1,623.00
|
$1,217.25
25% off
|
$64.41
|
$2,677.95
|
$1,298.40
|
2025-12-23
|
|
11424
|
HCPCS
|
Removal Of Noncancer Skin Growth Of Scalp, Neck, Hands, Feet, Or Genitals, 3.1-4…
|
31
|
31
|
$2,226.00
|
$1,669.50
25% off
|
$145.26
|
$3,672.90
|
$1,780.80
|
2025-12-23
|
|
11423
|
HCPCS
|
Removal Of Noncancer Skin Growth Of Scalp, Neck, Hands, Feet, Or Genitals, 2.1-3…
|
31
|
31
|
$2,253.00
|
$1,689.75
25% off
|
$124.43
|
$3,717.45
|
$1,802.40
|
2025-12-23
|
|
11406
|
HCPCS
|
Removal Of Noncancer Skin Growth Of Body, Arms, Or Legs, More Than 4.0 Cm
|
31
|
31
|
$2,545.00
|
$1,908.75
25% off
|
$193.22
|
$4,199.25
|
$2,036.00
|
2025-12-23
|
|
1101854_4
|
CDM
|
Nursery - Newborn - Level I
|
20
|
20
|
$3,940.00
|
$2,955.00
25% off
|
$1,229.28
|
$3,743.00
|
$3,246.56
|
2025-12-23
|
|
10005
|
HCPCS
|
Fine Needle Aspiration Biopsy Using Ultrasound Guidance, First Growth
|
31
|
31
|
$1,978.00
|
$1,483.50
25% off
|
$160.21
|
$3,263.70
|
$1,582.40
|
2025-12-23
|
|
100
|
MS_DRG
|
Seizures With Mcc
|
20
|
20
|
$23,717.31
|
$17,787.98
25% off
|
$7,399.80
|
$22,531.44
|
$19,543.06
|
2025-12-23
|
|
0230T
|
OTHER
|
Injection(s), Anesthetic Agent And/or Steroid, Transforaminal Epidural, With Ult…
|
31
|
31
|
$2,801.00
|
$2,100.75
25% off
|
$219.42
|
$4,761.70
|
$2,375.25
|
2025-12-23
|