|
L5701
|
HCPCS
|
Replace Socket Above Knee
|
1
|
1
|
$7,445.00
|
$5,583.75
25% off
|
$6,328.25
|
$6,328.25
|
$6,328.25
|
2026-01-01
|
|
L5649
|
HCPCS
|
Isch Containmt/narrow M-i So
|
1
|
1
|
$6,317.00
|
$4,737.75
25% off
|
$5,369.45
|
$5,369.45
|
$5,369.45
|
2026-01-01
|
|
81408
|
CDM
|
Mopath Procedure Level 9
|
1
|
1
|
$6,180.00
|
$4,635.00
25% off
|
$5,253.00
|
$5,253.00
|
$5,253.00
|
2026-01-01
|
|
L2036
|
HCPCS
|
Kafo Plas Doub Free Knee Mol
|
1
|
1
|
$5,885.00
|
$4,413.75
25% off
|
$5,002.25
|
$5,002.25
|
$5,002.25
|
2026-01-01
|
|
L0486
|
HCPCS
|
Tlso Rigid Lined Cust Fab Two
|
1
|
1
|
$5,846.00
|
$4,384.50
25% off
|
$4,969.10
|
$4,969.10
|
$4,969.10
|
2026-01-01
|
|
L0484
|
HCPCS
|
Tlso Rigid Plastic Cust Fab
|
1
|
1
|
$5,495.00
|
$4,121.25
25% off
|
$4,670.75
|
$4,670.75
|
$4,670.75
|
2026-01-01
|
|
750
|
CDM
|
Os Gastro Intestinal Service
|
1
|
1
|
$5,405.00
|
$4,053.75
25% off
|
$4,594.25
|
$4,594.25
|
$4,594.25
|
2026-01-01
|
|
49440
|
CDM
|
G Tube Insertion W/guidance
|
1
|
1
|
$4,673.00
|
$3,504.75
25% off
|
$3,972.05
|
$3,972.05
|
$3,972.05
|
2026-01-01
|
|
L4631
|
HCPCS
|
Afo, Walking Boot, Custom
|
1
|
1
|
$4,669.00
|
$3,501.75
25% off
|
$3,968.65
|
$3,968.65
|
$3,968.65
|
2026-01-01
|
|
L0464
|
HCPCS
|
Tlso 4mod Sacro-scap Pre
|
1
|
1
|
$4,405.00
|
$3,303.75
25% off
|
$3,744.25
|
$3,744.25
|
$3,744.25
|
2026-01-01
|
|
L5651
|
HCPCS
|
Ak Flex Inner Sicket Ext Fra
|
1
|
1
|
$4,003.00
|
$3,002.25
25% off
|
$3,402.55
|
$3,402.55
|
$3,402.55
|
2026-01-01
|
|
77301
|
CDM
|
Radiation Imr Plan
|
1
|
1
|
$3,787.00
|
$2,840.25
25% off
|
$3,218.95
|
$3,218.95
|
$3,218.95
|
2026-01-01
|
|
333
|
CDM
|
Os Radiation Therapy
|
3
|
1
|
$3,787.00
|
$2,840.25
25% off
|
$323.85
|
$4,420.00
|
$3,218.95
|
2026-01-01
|
|
L2020
|
HCPCS
|
Kafo Dbl Solid Stirrup Band/
|
1
|
1
|
$3,702.00
|
$2,776.50
25% off
|
$3,146.70
|
$3,146.70
|
$3,146.70
|
2026-01-01
|
|
99283
|
CDM
|
Emergency Room-moderate
|
1
|
1
|
$3,653.00
|
$2,739.75
25% off
|
$3,105.05
|
$3,105.05
|
$3,105.05
|
2026-01-01
|
|
L0637
|
HCPCS
|
Lso Sag-coronal Panel Prefab
|
1
|
1
|
$3,521.00
|
$2,640.75
25% off
|
$2,992.85
|
$2,992.85
|
$2,992.85
|
2026-01-01
|
|
L0650
|
HCPCS
|
Lso Sc R Ant/pos Pnl Pre Ots
|
1
|
1
|
$3,521.00
|
$2,640.75
25% off
|
$2,992.85
|
$2,992.85
|
$2,992.85
|
2026-01-01
|
|
49083
|
CDM
|
US Guided Paracentesis
|
1
|
1
|
$3,108.00
|
$2,331.00
25% off
|
$2,641.80
|
$2,641.80
|
$2,641.80
|
2026-01-01
|
|
L0640
|
HCPCS
|
Lso S/c Shell/panel Custom
|
1
|
1
|
$3,101.00
|
$2,325.75
25% off
|
$2,635.85
|
$2,635.85
|
$2,635.85
|
2026-01-01
|
|
L0631
|
HCPCS
|
Lso Sag-coro Rigid Frame Prefb
|
1
|
1
|
$3,043.00
|
$2,282.25
25% off
|
$2,586.55
|
$2,586.55
|
$2,586.55
|
2026-01-01
|
|
L0648
|
HCPCS
|
Lso Sag R An/pos Pnl Pre Ots
|
1
|
1
|
$3,043.00
|
$2,282.25
25% off
|
$2,586.55
|
$2,586.55
|
$2,586.55
|
2026-01-01
|
|
L0460
|
HCPCS
|
Tlso 2mod Symphsis-stern Pre
|
1
|
1
|
$2,975.00
|
$2,231.25
25% off
|
$2,528.75
|
$2,528.75
|
$2,528.75
|
2026-01-01
|
|
L1945
|
HCPCS
|
Afo Molded Plas Rig Ant Tib
|
1
|
1
|
$2,972.00
|
$2,229.00
25% off
|
$2,526.20
|
$2,526.20
|
$2,526.20
|
2026-01-01
|
|
L0457
|
HCPCS
|
Tlso Flex Trnk Sj-ss Pre Ots
|
1
|
1
|
$2,947.00
|
$2,210.25
25% off
|
$2,504.95
|
$2,504.95
|
$2,504.95
|
2026-01-01
|
|
L0456
|
HCPCS
|
Tlso Flex Prefab
|
1
|
1
|
$2,947.00
|
$2,210.25
25% off
|
$2,504.95
|
$2,504.95
|
$2,504.95
|
2026-01-01
|
|
610
|
CDM
|
MRI Chest With Contrast
|
1
|
1
|
$2,943.00
|
$2,207.25
25% off
|
$2,501.55
|
$2,501.55
|
$2,501.55
|
2026-01-01
|
|
L1686
|
HCPCS
|
Ho Post-op Hip Abduction Prefb
|
1
|
1
|
$2,921.00
|
$2,190.75
25% off
|
$2,482.85
|
$2,482.85
|
$2,482.85
|
2026-01-01
|
|
32555
|
CDM
|
US Thoracentesis
|
1
|
1
|
$2,807.00
|
$2,105.25
25% off
|
$2,385.95
|
$2,385.95
|
$2,385.95
|
2026-01-01
|
|
73222
|
CDM
|
MRI Upper Extrem W Contrast
|
1
|
1
|
$2,723.00
|
$2,042.25
25% off
|
$2,314.55
|
$2,314.55
|
$2,314.55
|
2026-01-01
|
|
73722
|
CDM
|
MRI Lower Extrem Jnt W Contras
|
1
|
1
|
$2,723.00
|
$2,042.25
25% off
|
$2,314.55
|
$2,314.55
|
$2,314.55
|
2026-01-01
|
|
384
|
CDM
|
Platelets 1 Unit
|
1
|
1
|
$2,700.00
|
$2,025.00
25% off
|
$2,295.00
|
$2,295.00
|
$2,295.00
|
2026-01-01
|
|
L3905
|
HCPCS
|
Who W/nontorsion Jnt(s) Cf
|
1
|
1
|
$2,674.00
|
$2,005.50
25% off
|
$2,272.90
|
$2,272.90
|
$2,272.90
|
2026-01-01
|
|
L1843
|
HCPCS
|
Ko Single Upright Custom Fit
|
1
|
1
|
$2,659.00
|
$1,994.25
25% off
|
$2,260.15
|
$2,260.15
|
$2,260.15
|
2026-01-01
|
|
L1932
|
HCPCS
|
Afo Rig Ant Tib Prefab Tcf/=
|
1
|
1
|
$2,644.00
|
$1,983.00
25% off
|
$2,247.40
|
$2,247.40
|
$2,247.40
|
2026-01-01
|
|
L0458
|
HCPCS
|
Tlso 2mod Symphis-xipho Pre
|
1
|
1
|
$2,643.00
|
$1,982.25
25% off
|
$2,246.55
|
$2,246.55
|
$2,246.55
|
2026-01-01
|
|
81407
|
CDM
|
Mopath Procedure Level 8
|
1
|
1
|
$2,616.00
|
$1,962.00
25% off
|
$2,223.60
|
$2,223.60
|
$2,223.60
|
2026-01-01
|
|
L5950
|
HCPCS
|
Endo Ak Ultra-light Material
|
1
|
1
|
$2,549.00
|
$1,911.75
25% off
|
$2,166.65
|
$2,166.65
|
$2,166.65
|
2026-01-01
|
|
L1845
|
HCPCS
|
Ko W/adj Flex/ext Rotat Cus
|
1
|
1
|
$2,536.00
|
$1,902.00
25% off
|
$2,155.60
|
$2,155.60
|
$2,155.60
|
2026-01-01
|
|
L1951
|
HCPCS
|
Afo Spiral Prefabricated
|
1
|
1
|
$2,489.00
|
$1,866.75
25% off
|
$2,115.65
|
$2,115.65
|
$2,115.65
|
2026-01-01
|
|
51710
|
CDM
|
Bladder Tube Change
|
1
|
1
|
$2,420.00
|
$1,815.00
25% off
|
$2,057.00
|
$2,057.00
|
$2,057.00
|
2026-01-01
|
|
36556
|
CDM
|
Central Insert Venous Catheter
|
1
|
1
|
$2,400.00
|
$1,800.00
25% off
|
$2,040.00
|
$2,040.00
|
$2,040.00
|
2026-01-01
|
|
L2510
|
HCPCS
|
Th/wght Bear Quad-lat Brim M
|
1
|
1
|
$2,314.00
|
$1,735.50
25% off
|
$1,966.90
|
$1,966.90
|
$1,966.90
|
2026-01-01
|
|
L3764
|
HCPCS
|
Ewho W/joint(s) Cf
|
1
|
1
|
$2,256.00
|
$1,692.00
25% off
|
$1,917.60
|
$1,917.60
|
$1,917.60
|
2026-01-01
|
|
L1970
|
HCPCS
|
Afo Plastic Molded W/ankle J
|
1
|
1
|
$2,230.00
|
$1,672.50
25% off
|
$1,895.50
|
$1,895.50
|
$1,895.50
|
2026-01-01
|
|
78582
|
CDM
|
Nm Pulm Perfusion With Ventilati
|
1
|
1
|
$2,219.00
|
$1,664.25
25% off
|
$1,886.15
|
$1,886.15
|
$1,886.15
|
2026-01-01
|
|
L5673
|
HCPCS
|
Socket Insert W Lock Mech
|
1
|
1
|
$2,212.00
|
$1,659.00
25% off
|
$1,880.20
|
$1,880.20
|
$1,880.20
|
2026-01-01
|
|
36573
|
CDM
|
Picc With Image Guidance
|
1
|
1
|
$2,100.00
|
$1,575.00
25% off
|
$1,785.00
|
$1,785.00
|
$1,785.00
|
2026-01-01
|
|
L1832
|
HCPCS
|
Ko Adj Jnt Pos Rigid Pre-fab
|
1
|
1
|
$2,014.00
|
$1,510.50
25% off
|
$1,711.90
|
$1,711.90
|
$1,711.90
|
2026-01-01
|
|
L1833
|
HCPCS
|
Ko Adj Jnt Pos R Sup Pre Ots
|
1
|
1
|
$2,014.00
|
$1,510.50
25% off
|
$1,711.90
|
$1,711.90
|
$1,711.90
|
2026-01-01
|
|
L3763
|
HCPCS
|
Ewho Rigid Without Jnts Cf
|
1
|
1
|
$1,977.00
|
$1,482.75
25% off
|
$1,680.45
|
$1,680.45
|
$1,680.45
|
2026-01-01
|
|
74178
|
CDM
|
CT Abdomen/pelvis With + Without Con
|
1
|
1
|
$1,896.00
|
$1,422.00
25% off
|
$1,611.60
|
$1,611.60
|
$1,611.60
|
2026-01-01
|
|
72147
|
CDM
|
MRI Spine Thoracic With Contrast
|
1
|
1
|
$1,896.00
|
$1,422.00
25% off
|
$1,611.60
|
$1,611.60
|
$1,611.60
|
2026-01-01
|
|
72126
|
CDM
|
CT Spine Cervical With Contrast
|
1
|
1
|
$1,896.00
|
$1,422.00
25% off
|
$1,611.60
|
$1,611.60
|
$1,611.60
|
2026-01-01
|
|
70545
|
CDM
|
MRA Head W Contrast
|
1
|
1
|
$1,892.00
|
$1,419.00
25% off
|
$1,608.20
|
$1,608.20
|
$1,608.20
|
2026-01-01
|
|
72196
|
CDM
|
MRI Pelvis W Contrast
|
1
|
1
|
$1,892.00
|
$1,419.00
25% off
|
$1,608.20
|
$1,608.20
|
$1,608.20
|
2026-01-01
|
|
70548
|
CDM
|
MRA Neck W Contrast
|
1
|
1
|
$1,892.00
|
$1,419.00
25% off
|
$1,608.20
|
$1,608.20
|
$1,608.20
|
2026-01-01
|
|
74183
|
CDM
|
MRI Abdomen W + Without Contrast
|
1
|
1
|
$1,892.00
|
$1,419.00
25% off
|
$1,608.20
|
$1,608.20
|
$1,608.20
|
2026-01-01
|
|
70546
|
CDM
|
MRA Head W + Without Contrast
|
1
|
1
|
$1,892.00
|
$1,419.00
25% off
|
$1,608.20
|
$1,608.20
|
$1,608.20
|
2026-01-01
|
|
74182
|
CDM
|
MRI Abdomen W Contrast
|
1
|
1
|
$1,892.00
|
$1,419.00
25% off
|
$1,608.20
|
$1,608.20
|
$1,608.20
|
2026-01-01
|
|
70542
|
CDM
|
MRI Face Neck Orbit W Contrast
|
1
|
1
|
$1,892.00
|
$1,419.00
25% off
|
$1,608.20
|
$1,608.20
|
$1,608.20
|
2026-01-01
|
|
70543
|
CDM
|
MRI Face Neck Orbit W + Without Co
|
1
|
1
|
$1,892.00
|
$1,419.00
25% off
|
$1,608.20
|
$1,608.20
|
$1,608.20
|
2026-01-01
|
|
70549
|
CDM
|
MRA Neck W + Without Contrast
|
1
|
1
|
$1,892.00
|
$1,419.00
25% off
|
$1,608.20
|
$1,608.20
|
$1,608.20
|
2026-01-01
|
|
70552
|
CDM
|
MRI Brain W Contrast
|
1
|
1
|
$1,892.00
|
$1,419.00
25% off
|
$1,608.20
|
$1,608.20
|
$1,608.20
|
2026-01-01
|
|
72197
|
CDM
|
MRI Pelvis W + Without Contrast
|
1
|
1
|
$1,892.00
|
$1,419.00
25% off
|
$1,608.20
|
$1,608.20
|
$1,608.20
|
2026-01-01
|
|
78580
|
CDM
|
Nm Pulmonary Perfusion
|
1
|
1
|
$1,882.00
|
$1,411.50
25% off
|
$1,599.70
|
$1,599.70
|
$1,599.70
|
2026-01-01
|
|
L2114
|
HCPCS
|
Afo Tib Fx Semi-rigid
|
1
|
1
|
$1,858.00
|
$1,393.50
25% off
|
$1,579.30
|
$1,579.30
|
$1,579.30
|
2026-01-01
|
|
73223
|
CDM
|
MRI Upper Extrem W/+without Contra
|
1
|
1
|
$1,857.00
|
$1,392.75
25% off
|
$1,578.45
|
$1,578.45
|
$1,578.45
|
2026-01-01
|
|
73201
|
CDM
|
CT Upper Extrem W Contrast
|
1
|
1
|
$1,857.00
|
$1,392.75
25% off
|
$1,578.45
|
$1,578.45
|
$1,578.45
|
2026-01-01
|
|
73719
|
CDM
|
MRI Lower Extrem Non Jnt W Con
|
1
|
1
|
$1,857.00
|
$1,392.75
25% off
|
$1,578.45
|
$1,578.45
|
$1,578.45
|
2026-01-01
|
|
73720
|
CDM
|
MRI Lower Extrem Non Jnt W/+with
|
1
|
1
|
$1,857.00
|
$1,392.75
25% off
|
$1,578.45
|
$1,578.45
|
$1,578.45
|
2026-01-01
|
|
73723
|
CDM
|
MRI Lower Extrem Jnt W/+without Co
|
1
|
1
|
$1,857.00
|
$1,392.75
25% off
|
$1,578.45
|
$1,578.45
|
$1,578.45
|
2026-01-01
|
|
72157
|
CDM
|
MRI Spine Thoracic With + Without Co
|
1
|
1
|
$1,855.00
|
$1,391.25
25% off
|
$1,576.75
|
$1,576.75
|
$1,576.75
|
2026-01-01
|
|
72142
|
CDM
|
MRI Spine Cervical With Contrast
|
1
|
1
|
$1,855.00
|
$1,391.25
25% off
|
$1,576.75
|
$1,576.75
|
$1,576.75
|
2026-01-01
|
|
72132
|
CDM
|
CT Spine Lumbar With Contrast
|
1
|
1
|
$1,855.00
|
$1,391.25
25% off
|
$1,576.75
|
$1,576.75
|
$1,576.75
|
2026-01-01
|
|
P9037
|
HCPCS
|
Platelets Irradiated 1 Unit
|
1
|
1
|
$1,852.00
|
$1,389.00
25% off
|
$1,574.20
|
$1,574.20
|
$1,574.20
|
2026-01-01
|
|
78306
|
CDM
|
Nm Bone Joint Image Whole Body
|
1
|
1
|
$1,851.00
|
$1,388.25
25% off
|
$1,573.35
|
$1,573.35
|
$1,573.35
|
2026-01-01
|
|
L5679
|
HCPCS
|
Socket Insert Without Lock Mech
|
1
|
1
|
$1,844.00
|
$1,383.00
25% off
|
$1,567.40
|
$1,567.40
|
$1,567.40
|
2026-01-01
|
|
L1960
|
HCPCS
|
Afo Pos Solid Ank Plastic Mo
|
1
|
1
|
$1,774.00
|
$1,330.50
25% off
|
$1,507.90
|
$1,507.90
|
$1,507.90
|
2026-01-01
|
|
L5460
|
HCPCS
|
Postop App Non-wgt Bear Dsg
|
1
|
1
|
$1,753.00
|
$1,314.75
25% off
|
$1,490.05
|
$1,490.05
|
$1,490.05
|
2026-01-01
|
|
L1907
|
HCPCS
|
Afo Supramalleolar Custom
|
1
|
1
|
$1,667.00
|
$1,250.25
25% off
|
$1,416.95
|
$1,416.95
|
$1,416.95
|
2026-01-01
|
|
74185
|
CDM
|
MRA Abdomen W Or Without Contrast
|
1
|
1
|
$1,658.00
|
$1,243.50
25% off
|
$1,409.30
|
$1,409.30
|
$1,409.30
|
2026-01-01
|
|
L5650
|
HCPCS
|
Tot Contact Ak/knee Disart S
|
1
|
1
|
$1,652.00
|
$1,239.00
25% off
|
$1,404.20
|
$1,404.20
|
$1,404.20
|
2026-01-01
|
|
L5000
|
HCPCS
|
Sho Insert W Arch Toe Filler
|
1
|
1
|
$1,648.00
|
$1,236.00
25% off
|
$1,400.80
|
$1,400.80
|
$1,400.80
|
2026-01-01
|
|
L0200
|
HCPCS
|
Cerv Col Supp Adj Bar & Thor
|
1
|
1
|
$1,646.00
|
$1,234.50
25% off
|
$1,399.10
|
$1,399.10
|
$1,399.10
|
2026-01-01
|
|
77385
|
CDM
|
Radiation Imrt Simple
|
1
|
1
|
$1,628.00
|
$1,221.00
25% off
|
$1,383.80
|
$1,383.80
|
$1,383.80
|
2026-01-01
|
|
L3967
|
HCPCS
|
Sewho Airplane Without Jnts Cf
|
1
|
1
|
$1,617.76
|
$1,213.32
25% off
|
$1,375.10
|
$1,375.10
|
$1,375.10
|
2026-01-01
|
|
77386
|
CDM
|
Radiation Imrt Complex
|
1
|
1
|
$1,617.00
|
$1,212.75
25% off
|
$1,374.45
|
$1,374.45
|
$1,374.45
|
2026-01-01
|
|
77470
|
CDM
|
Radiation Special Treatment
|
1
|
1
|
$1,617.00
|
$1,212.75
25% off
|
$1,374.45
|
$1,374.45
|
$1,374.45
|
2026-01-01
|
|
L1940
|
HCPCS
|
Afo Molded To Patient Plasti
|
1
|
1
|
$1,587.00
|
$1,190.25
25% off
|
$1,348.95
|
$1,348.95
|
$1,348.95
|
2026-01-01
|
|
95816
|
CDM
|
EEG-awake And Drowsy
|
1
|
1
|
$1,561.00
|
$1,170.75
25% off
|
$1,326.85
|
$1,326.85
|
$1,326.85
|
2026-01-01
|
|
74230
|
CDM
|
Videofluoroscopic Swallow Stud
|
1
|
1
|
$1,560.00
|
$1,170.00
25% off
|
$1,326.00
|
$1,326.00
|
$1,326.00
|
2026-01-01
|
|
L5631
|
HCPCS
|
Ak/knee Disartic Acrylic Soc
|
1
|
1
|
$1,467.00
|
$1,100.25
25% off
|
$1,246.95
|
$1,246.95
|
$1,246.95
|
2026-01-01
|
|
72156
|
CDM
|
MRI Spine Cervical With + Without Co
|
1
|
1
|
$1,464.00
|
$1,098.00
25% off
|
$1,244.40
|
$1,244.40
|
$1,244.40
|
2026-01-01
|
|
72158
|
CDM
|
MRI Spine Lumbar With + Without Cont
|
1
|
1
|
$1,461.00
|
$1,095.75
25% off
|
$1,241.85
|
$1,241.85
|
$1,241.85
|
2026-01-01
|
|
87507
|
CDM
|
Iadna-dna/rna Probe Tq 12-25
|
1
|
1
|
$1,456.00
|
$1,092.00
25% off
|
$1,237.60
|
$1,237.60
|
$1,237.60
|
2026-01-01
|
|
87633
|
CDM
|
Resp Virus 12-25 Targets
|
1
|
1
|
$1,456.00
|
$1,092.00
25% off
|
$1,237.60
|
$1,237.60
|
$1,237.60
|
2026-01-01
|
|
70553
|
CDM
|
MRI Brain With + Without Contrast
|
1
|
1
|
$1,454.00
|
$1,090.50
25% off
|
$1,235.90
|
$1,235.90
|
$1,235.90
|
2026-01-01
|
|
70544
|
CDM
|
MRA Head Without Contrast
|
1
|
1
|
$1,447.00
|
$1,085.25
25% off
|
$1,229.95
|
$1,229.95
|
$1,229.95
|
2026-01-01
|
|
74181
|
CDM
|
MRI Abdomen Without Contrast
|
1
|
1
|
$1,447.00
|
$1,085.25
25% off
|
$1,229.95
|
$1,229.95
|
$1,229.95
|
2026-01-01
|
|
70547
|
CDM
|
MRA Neck Without Contrast
|
1
|
1
|
$1,447.00
|
$1,085.25
25% off
|
$1,229.95
|
$1,229.95
|
$1,229.95
|
2026-01-01
|
|
93978
|
CDM
|
US Aorta Duplex Complete
|
1
|
1
|
$1,447.00
|
$1,085.25
25% off
|
$1,229.95
|
$1,229.95
|
$1,229.95
|
2026-01-01
|
|
72195
|
CDM
|
MRI Pelvis Without Contrast
|
1
|
1
|
$1,447.00
|
$1,085.25
25% off
|
$1,229.95
|
$1,229.95
|
$1,229.95
|
2026-01-01
|
|
70540
|
CDM
|
MRI Face Neck Orbit Without Contra
|
1
|
1
|
$1,447.00
|
$1,085.25
25% off
|
$1,229.95
|
$1,229.95
|
$1,229.95
|
2026-01-01
|
|
L1990
|
HCPCS
|
Afo Doub Solid Stirrup Calf
|
1
|
1
|
$1,446.00
|
$1,084.50
25% off
|
$1,229.10
|
$1,229.10
|
$1,229.10
|
2026-01-01
|
|
L3915
|
HCPCS
|
Who W Nontor Jnt(s) Prefab
|
1
|
1
|
$1,433.00
|
$1,074.75
25% off
|
$1,218.05
|
$1,218.05
|
$1,218.05
|
2026-01-01
|
|
73221
|
CDM
|
MRI Upper Extrem Without Contrast
|
1
|
1
|
$1,426.00
|
$1,069.50
25% off
|
$1,212.10
|
$1,212.10
|
$1,212.10
|
2026-01-01
|
|
73718
|
CDM
|
MRI Lower Extrem Non Jnt Without C
|
1
|
1
|
$1,426.00
|
$1,069.50
25% off
|
$1,212.10
|
$1,212.10
|
$1,212.10
|
2026-01-01
|
|
73721
|
CDM
|
MRI Lower Extrem Jnt Without Contr
|
1
|
1
|
$1,426.00
|
$1,069.50
25% off
|
$1,212.10
|
$1,212.10
|
$1,212.10
|
2026-01-01
|
|
L2340
|
HCPCS
|
Pre-tibial Shell Molded To P
|
1
|
1
|
$1,425.00
|
$1,068.75
25% off
|
$1,211.25
|
$1,211.25
|
$1,211.25
|
2026-01-01
|
|
L2280
|
HCPCS
|
Molded Inner Boot
|
1
|
1
|
$1,408.00
|
$1,056.00
25% off
|
$1,196.80
|
$1,196.80
|
$1,196.80
|
2026-01-01
|
|
74177
|
CDM
|
CT Abdomen/pelvis With Contrast
|
1
|
1
|
$1,407.00
|
$1,055.25
25% off
|
$1,195.95
|
$1,195.95
|
$1,195.95
|
2026-01-01
|
|
L1971
|
HCPCS
|
Afo W/ankle Joint, Prefab
|
1
|
1
|
$1,389.00
|
$1,041.75
25% off
|
$1,180.65
|
$1,180.65
|
$1,180.65
|
2026-01-01
|
|
72149
|
CDM
|
MRI Spine Lumbar With Contrast
|
1
|
1
|
$1,359.00
|
$1,019.25
25% off
|
$1,155.15
|
$1,155.15
|
$1,155.15
|
2026-01-01
|
|
L3760
|
HCPCS
|
Eo Withjoint, Prefabricated
|
1
|
1
|
$1,353.00
|
$1,014.75
25% off
|
$1,150.05
|
$1,150.05
|
$1,150.05
|
2026-01-01
|
|
90937
|
CDM
|
Peritoneal Dialysis
|
1
|
1
|
$1,331.00
|
$998.25
25% off
|
$1,131.35
|
$1,131.35
|
$1,131.35
|
2026-01-01
|
|
71275
|
CDM
|
CT Angiography Chest With Contra
|
1
|
1
|
$1,329.00
|
$996.75
25% off
|
$1,129.65
|
$1,129.65
|
$1,129.65
|
2026-01-01
|
|
72194
|
CDM
|
CT Pelvis With + Without Contrast
|
1
|
1
|
$1,326.00
|
$994.50
25% off
|
$1,127.10
|
$1,127.10
|
$1,127.10
|
2026-01-01
|
|
74170
|
CDM
|
CT Abdomen With + Without Contrast
|
1
|
1
|
$1,318.00
|
$988.50
25% off
|
$1,120.30
|
$1,120.30
|
$1,120.30
|
2026-01-01
|
|
L0472
|
HCPCS
|
Tlso Rigid Frame Hyperex Pre
|
1
|
1
|
$1,301.00
|
$975.75
25% off
|
$1,105.85
|
$1,105.85
|
$1,105.85
|
2026-01-01
|
|
70491
|
CDM
|
CT Soft Tissue Neck W/contrast
|
1
|
1
|
$1,297.00
|
$972.75
25% off
|
$1,102.45
|
$1,102.45
|
$1,102.45
|
2026-01-01
|
|
70492
|
CDM
|
CT Soft Tissue Neck W/+without Con
|
1
|
1
|
$1,297.00
|
$972.75
25% off
|
$1,102.45
|
$1,102.45
|
$1,102.45
|
2026-01-01
|
|
73206
|
CDM
|
CT Angiography Upper Extremity
|
1
|
1
|
$1,295.00
|
$971.25
25% off
|
$1,100.75
|
$1,100.75
|
$1,100.75
|
2026-01-01
|
|
70487
|
CDM
|
CT Maxillofacial W Contrast
|
1
|
1
|
$1,295.00
|
$971.25
25% off
|
$1,100.75
|
$1,100.75
|
$1,100.75
|
2026-01-01
|
|
70496
|
CDM
|
CT Angiography Head
|
1
|
1
|
$1,295.00
|
$971.25
25% off
|
$1,100.75
|
$1,100.75
|
$1,100.75
|
2026-01-01
|
|
70488
|
CDM
|
CT Maxillofacial W + Without Contr
|
1
|
1
|
$1,295.00
|
$971.25
25% off
|
$1,100.75
|
$1,100.75
|
$1,100.75
|
2026-01-01
|
|
70498
|
CDM
|
CT Angiography Neck
|
1
|
1
|
$1,295.00
|
$971.25
25% off
|
$1,100.75
|
$1,100.75
|
$1,100.75
|
2026-01-01
|
|
73706
|
CDM
|
CT Angiography Lower Extremity
|
1
|
1
|
$1,295.00
|
$971.25
25% off
|
$1,100.75
|
$1,100.75
|
$1,100.75
|
2026-01-01
|
|
73702
|
CDM
|
CT Lower Extrem W/+without Contras
|
1
|
1
|
$1,278.00
|
$958.50
25% off
|
$1,086.30
|
$1,086.30
|
$1,086.30
|
2026-01-01
|
|
73202
|
CDM
|
CT Upper Extrem W/+without Contras
|
1
|
1
|
$1,278.00
|
$958.50
25% off
|
$1,086.30
|
$1,086.30
|
$1,086.30
|
2026-01-01
|
|
73701
|
CDM
|
CT Lower Extrem W Contrast
|
1
|
1
|
$1,278.00
|
$958.50
25% off
|
$1,086.30
|
$1,086.30
|
$1,086.30
|
2026-01-01
|
|
72193
|
CDM
|
CT Pelvis With Contrast
|
1
|
1
|
$1,238.00
|
$928.50
25% off
|
$1,052.30
|
$1,052.30
|
$1,052.30
|
2026-01-01
|
|
74160
|
CDM
|
CT Abdomen With Contrast
|
1
|
1
|
$1,235.00
|
$926.25
25% off
|
$1,049.75
|
$1,049.75
|
$1,049.75
|
2026-01-01
|
|
L3806
|
HCPCS
|
Whfo W/joiont(s) Custom Fab
|
1
|
1
|
$1,225.00
|
$918.75
25% off
|
$1,041.25
|
$1,041.25
|
$1,041.25
|
2026-01-01
|
|
L5624
|
HCPCS
|
Test Socket Above Knee
|
1
|
1
|
$1,220.00
|
$915.00
25% off
|
$1,037.00
|
$1,037.00
|
$1,037.00
|
2026-01-01
|
|
L0627
|
HCPCS
|
Lo Sagitt Rigid Panel Prefab
|
1
|
1
|
$1,218.00
|
$913.50
25% off
|
$1,035.30
|
$1,035.30
|
$1,035.30
|
2026-01-01
|
|
L0642
|
HCPCS
|
Lo Sag Ri An/pos Pnl Pre Ots
|
1
|
1
|
$1,218.00
|
$913.50
25% off
|
$1,035.30
|
$1,035.30
|
$1,035.30
|
2026-01-01
|
|
L3906
|
HCPCS
|
Who Without Joints Cf
|
1
|
1
|
$1,198.00
|
$898.50
25% off
|
$1,018.30
|
$1,018.30
|
$1,018.30
|
2026-01-01
|
|
36430
|
CDM
|
Transfusion - Blood
|
1
|
1
|
$1,192.00
|
$894.00
25% off
|
$1,013.20
|
$1,013.20
|
$1,013.20
|
2026-01-01
|
|
71270
|
CDM
|
CT Thorax With + Without Contrast
|
1
|
1
|
$1,168.00
|
$876.00
25% off
|
$992.80
|
$992.80
|
$992.80
|
2026-01-01
|
|
804
|
CDM
|
Ccpd - Cont Cycling Peritoneal
|
2
|
1
|
$1,150.00
|
$862.50
25% off
|
$823.65
|
$1,131.35
|
$977.50
|
2026-01-01
|
|
70551
|
CDM
|
MRI Brain Without Contrast
|
1
|
1
|
$1,120.00
|
$840.00
25% off
|
$952.00
|
$952.00
|
$952.00
|
2026-01-01
|
|
L2250
|
HCPCS
|
Foot Plate Molded Stirrup At
|
1
|
1
|
$1,116.00
|
$837.00
25% off
|
$948.60
|
$948.60
|
$948.60
|
2026-01-01
|
|
L1920
|
HCPCS
|
Afo Sing Upright With Adjust S
|
1
|
1
|
$1,106.00
|
$829.50
25% off
|
$940.10
|
$940.10
|
$940.10
|
2026-01-01
|
|
72148
|
CDM
|
MRI Spine Lumbar Without Contrast
|
1
|
1
|
$1,101.00
|
$825.75
25% off
|
$935.85
|
$935.85
|
$935.85
|
2026-01-01
|
|
72146
|
CDM
|
MRI Spine Thoracic Without Contras
|
1
|
1
|
$1,100.00
|
$825.00
25% off
|
$935.00
|
$935.00
|
$935.00
|
2026-01-01
|
|
72141
|
CDM
|
MRI Spine Cervical Without Contras
|
1
|
1
|
$1,100.00
|
$825.00
25% off
|
$935.00
|
$935.00
|
$935.00
|
2026-01-01
|
|
70490
|
CDM
|
CT Soft Tissue Neck Without Contra
|
1
|
1
|
$1,087.00
|
$815.25
25% off
|
$923.95
|
$923.95
|
$923.95
|
2026-01-01
|
|
70486
|
CDM
|
CT Maxillofacial Without Contrast
|
1
|
1
|
$1,085.00
|
$813.75
25% off
|
$922.25
|
$922.25
|
$922.25
|
2026-01-01
|
|
77080
|
CDM
|
Dxa Bone Density Axial Skeleto
|
1
|
1
|
$1,085.00
|
$813.75
25% off
|
$922.25
|
$922.25
|
$922.25
|
2026-01-01
|
|
73200
|
CDM
|
CT Upper Extrem Without Contrast
|
1
|
1
|
$1,075.00
|
$806.25
25% off
|
$913.75
|
$913.75
|
$913.75
|
2026-01-01
|
|
71260
|
CDM
|
CT Thorax With Contrast
|
1
|
1
|
$1,071.00
|
$803.25
25% off
|
$910.35
|
$910.35
|
$910.35
|
2026-01-01
|
|
88377
|
CDM
|
Ish Ea Multiplex Probe
|
1
|
1
|
$1,064.00
|
$798.00
25% off
|
$904.40
|
$904.40
|
$904.40
|
2026-01-01
|
|
L2624
|
HCPCS
|
Hip Adj Flex Ext Abduct Cont
|
1
|
1
|
$1,062.00
|
$796.50
25% off
|
$902.70
|
$902.70
|
$902.70
|
2026-01-01
|
|
70470
|
CDM
|
CT Head Or Brain With + Without Cont
|
1
|
1
|
$1,051.00
|
$788.25
25% off
|
$893.35
|
$893.35
|
$893.35
|
2026-01-01
|
|
L5999
|
HCPCS
|
Lower Ext Pros-nos
|
1
|
1
|
$1,040.00
|
$780.00
25% off
|
$884.00
|
$884.00
|
$884.00
|
2026-01-01
|
|
L5637
|
HCPCS
|
Below Knee Total Contact
|
1
|
1
|
$1,030.00
|
$772.50
25% off
|
$875.50
|
$875.50
|
$875.50
|
2026-01-01
|
|
81235
|
CDM
|
Egfr Gene Com Variants
|
1
|
1
|
$1,027.00
|
$770.25
25% off
|
$872.95
|
$872.95
|
$872.95
|
2026-01-01
|
|
801
|
CDM
|
Hd Inhouse Tablo
|
2
|
1
|
$1,020.00
|
$765.00
25% off
|
$787.95
|
$946.05
|
$867.00
|
2026-01-01
|
|
77338
|
CDM
|
Radiation Mlc Device For Imrt
|
1
|
1
|
$1,017.00
|
$762.75
25% off
|
$864.45
|
$864.45
|
$864.45
|
2026-01-01
|
|
L3980
|
HCPCS
|
Upp Ext Fx Orthosis Humeral
|
1
|
1
|
$1,014.00
|
$760.50
25% off
|
$861.90
|
$861.90
|
$861.90
|
2026-01-01
|
|
L3808
|
HCPCS
|
Whfo, Rigid Without Joints
|
1
|
1
|
$1,014.00
|
$760.50
25% off
|
$861.90
|
$861.90
|
$861.90
|
2026-01-01
|
|
77334
|
CDM
|
Radiation Treatment Aid
|
1
|
1
|
$1,006.00
|
$754.50
25% off
|
$855.10
|
$855.10
|
$855.10
|
2026-01-01
|
|
77290
|
CDM
|
Radiation Set Therapy Field
|
1
|
1
|
$1,006.00
|
$754.50
25% off
|
$855.10
|
$855.10
|
$855.10
|
2026-01-01
|
|
74176
|
CDM
|
CT Abdomen/pelvis Without Contrast
|
1
|
1
|
$1,002.00
|
$751.50
25% off
|
$851.70
|
$851.70
|
$851.70
|
2026-01-01
|
|
77081
|
CDM
|
Dxa Bone Density Append Skelet
|
1
|
1
|
$989.00
|
$741.75
25% off
|
$840.65
|
$840.65
|
$840.65
|
2026-01-01
|
|
70460
|
CDM
|
CT Head Or Brain With Contrast
|
1
|
1
|
$982.00
|
$736.50
25% off
|
$834.70
|
$834.70
|
$834.70
|
2026-01-01
|
|
72128
|
CDM
|
CT Spine Thoracic Without Contrast
|
1
|
1
|
$978.00
|
$733.50
25% off
|
$831.30
|
$831.30
|
$831.30
|
2026-01-01
|
|
72125
|
CDM
|
CT Spine Cervical Without Contrast
|
1
|
1
|
$978.00
|
$733.50
25% off
|
$831.30
|
$831.30
|
$831.30
|
2026-01-01
|
|
72131
|
CDM
|
CT Spine Lumbar Without Contrast
|
1
|
1
|
$976.00
|
$732.00
25% off
|
$829.60
|
$829.60
|
$829.60
|
2026-01-01
|
|
73700
|
CDM
|
CT Lower Extrem Without Contrast
|
1
|
1
|
$976.00
|
$732.00
25% off
|
$829.60
|
$829.60
|
$829.60
|
2026-01-01
|
|
93307
|
CDM
|
Echo 2d M-mode Without Doppler
|
1
|
1
|
$975.00
|
$731.25
25% off
|
$828.75
|
$828.75
|
$828.75
|
2026-01-01
|
|
L3900
|
HCPCS
|
Hinge Extension/flex Wrist/f
|
1
|
1
|
$961.00
|
$720.75
25% off
|
$816.85
|
$816.85
|
$816.85
|
2026-01-01
|
|
71250
|
CDM
|
CT Thorax Without Contrast
|
1
|
1
|
$961.00
|
$720.75
25% off
|
$816.85
|
$816.85
|
$816.85
|
2026-01-01
|
|
L3671
|
HCPCS
|
So Without Joints Customts Cf
|
1
|
1
|
$934.16
|
$700.62
25% off
|
$794.04
|
$794.04
|
$794.04
|
2026-01-01
|
|
81405
|
CDM
|
Mopath Procedure Level 6
|
1
|
1
|
$933.00
|
$699.75
25% off
|
$793.05
|
$793.05
|
$793.05
|
2026-01-01
|
|
L3000
|
HCPCS
|
Ft Insert Ucb Berkeley Shell
|
1
|
1
|
$931.00
|
$698.25
25% off
|
$791.35
|
$791.35
|
$791.35
|
2026-01-01
|
|
72192
|
CDM
|
CT Pelvis Without Contrast
|
1
|
1
|
$930.00
|
$697.50
25% off
|
$790.50
|
$790.50
|
$790.50
|
2026-01-01
|
|
74150
|
CDM
|
CT Abdomen Without Contrast
|
1
|
1
|
$925.00
|
$693.75
25% off
|
$786.25
|
$786.25
|
$786.25
|
2026-01-01
|
|
L1850
|
HCPCS
|
Ko Swedish Type
|
1
|
1
|
$910.00
|
$682.50
25% off
|
$773.50
|
$773.50
|
$773.50
|
2026-01-01
|
|
87901
|
CDM
|
Genotype DNA HIV Reverse T
|
1
|
1
|
$909.00
|
$681.75
25% off
|
$772.65
|
$772.65
|
$772.65
|
2026-01-01
|
|
87902
|
CDM
|
Genotype Dna/rna Hep C
|
1
|
1
|
$909.00
|
$681.75
25% off
|
$772.65
|
$772.65
|
$772.65
|
2026-01-01
|
|
81406
|
CDM
|
Mopath Procedure Level 7
|
1
|
1
|
$875.00
|
$656.25
25% off
|
$743.75
|
$743.75
|
$743.75
|
2026-01-01
|
|
L1831
|
HCPCS
|
Knee Orth Pos Locking Joint
|
1
|
1
|
$872.00
|
$654.00
25% off
|
$741.20
|
$741.20
|
$741.20
|
2026-01-01
|
|
70450
|
CDM
|
CT Head Or Brain Without Contrast
|
1
|
1
|
$870.00
|
$652.50
25% off
|
$739.50
|
$739.50
|
$739.50
|
2026-01-01
|
|
L3921
|
HCPCS
|
Hfo W/joints(s) Cf
|
1
|
1
|
$866.00
|
$649.50
25% off
|
$736.10
|
$736.10
|
$736.10
|
2026-01-01
|
|
L2620
|
HCPCS
|
Pelvic Control Hip Heavy Duty
|
1
|
1
|
$862.00
|
$646.50
25% off
|
$732.70
|
$732.70
|
$732.70
|
2026-01-01
|
|
803
|
CDM
|
Capd - Cont Amb Peritoneal Dia
|
2
|
1
|
$859.50
|
$644.62
25% off
|
$729.30
|
$731.85
|
$730.58
|
2026-01-01
|
|
L4361
|
HCPCS
|
Pneuma/vac Walk Boot Pre Ots
|
1
|
1
|
$856.00
|
$642.00
25% off
|
$727.60
|
$727.60
|
$727.60
|
2026-01-01
|
|
L4360
|
HCPCS
|
Pneumati Walking Boot Prefab
|
1
|
1
|
$856.00
|
$642.00
25% off
|
$727.60
|
$727.60
|
$727.60
|
2026-01-01
|
|
L0174
|
HCPCS
|
Cerv Col Foam 2 Piece W Thor
|
1
|
1
|
$851.00
|
$638.25
25% off
|
$723.35
|
$723.35
|
$723.35
|
2026-01-01
|
|
81404
|
CDM
|
Mopath Procedure Level 5
|
1
|
1
|
$850.00
|
$637.50
25% off
|
$722.50
|
$722.50
|
$722.50
|
2026-01-01
|
|
87506
|
CDM
|
Iadna-dna/rna Probe Tq 6-11
|
1
|
1
|
$837.00
|
$627.75
25% off
|
$711.45
|
$711.45
|
$711.45
|
2026-01-01
|
|
920
|
CDM
|
Midline Insertion
|
4
|
1
|
$825.00
|
$618.75
25% off
|
$356.15
|
$1,058.25
|
$701.25
|
2026-01-01
|
|
93880
|
CDM
|
US Carotid Duplex Bilateral
|
1
|
1
|
$780.00
|
$585.00
25% off
|
$663.00
|
$663.00
|
$663.00
|
2026-01-01
|
|
93925
|
CDM
|
US Le Arterial Duplex Bilatera
|
1
|
1
|
$780.00
|
$585.00
25% off
|
$663.00
|
$663.00
|
$663.00
|
2026-01-01
|
|
93970
|
CDM
|
US Venous Duplex Bilateral
|
1
|
1
|
$780.00
|
$585.00
25% off
|
$663.00
|
$663.00
|
$663.00
|
2026-01-01
|
|
93923
|
CDM
|
US Le Arterial Doppler Multi L
|
1
|
1
|
$780.00
|
$585.00
25% off
|
$663.00
|
$663.00
|
$663.00
|
2026-01-01
|
|
L3702
|
HCPCS
|
Eo Without Joints Cf
|
1
|
1
|
$778.00
|
$583.50
25% off
|
$661.30
|
$661.30
|
$661.30
|
2026-01-01
|
|
390
|
CDM
|
Prbc Proc Per Unit
|
2
|
1
|
$765.00
|
$573.75
25% off
|
$599.25
|
$701.25
|
$650.25
|
2026-01-01
|
|
87632
|
CDM
|
Resp Virus 6-11 Targets
|
1
|
1
|
$758.00
|
$568.50
25% off
|
$644.30
|
$644.30
|
$644.30
|
2026-01-01
|
|
L1930
|
HCPCS
|
Afo Plastic Pre-fab
|
1
|
1
|
$749.00
|
$561.75
25% off
|
$636.65
|
$636.65
|
$636.65
|
2026-01-01
|
|
L3919
|
HCPCS
|
Ho Without Joints Cf
|
1
|
1
|
$730.00
|
$547.50
25% off
|
$620.50
|
$620.50
|
$620.50
|
2026-01-01
|
|
L3913
|
HCPCS
|
Hfo Without Joints Cf
|
1
|
1
|
$730.00
|
$547.50
25% off
|
$620.50
|
$620.50
|
$620.50
|
2026-01-01
|
|
L1220
|
HCPCS
|
Anterior Thoracic Extension
|
1
|
1
|
$711.00
|
$533.25
25% off
|
$604.35
|
$604.35
|
$604.35
|
2026-01-01
|
|
77412
|
CDM
|
Radiation Treatment Delivery
|
1
|
1
|
$710.00
|
$532.50
25% off
|
$603.50
|
$603.50
|
$603.50
|
2026-01-01
|
|
L3807
|
HCPCS
|
Whfo, No Joint, Prefabricated
|
1
|
1
|
$676.00
|
$507.00
25% off
|
$574.60
|
$574.60
|
$574.60
|
2026-01-01
|
|
L3809
|
HCPCS
|
Whfo Without Joints Pre Ots
|
1
|
1
|
$676.00
|
$507.00
25% off
|
$574.60
|
$574.60
|
$574.60
|
2026-01-01
|
|
93975
|
CDM
|
US Duplex Abd Pelv Scrotal Com
|
1
|
1
|
$672.00
|
$504.00
25% off
|
$571.20
|
$571.20
|
$571.20
|
2026-01-01
|
|
87154
|
CDM
|
Cul Typ Id Bld Pthgn 6+ Trgt
|
1
|
1
|
$655.00
|
$491.25
25% off
|
$556.75
|
$556.75
|
$556.75
|
2026-01-01
|
|
L0861
|
HCPCS
|
Halo Repl Liner/interface
|
1
|
1
|
$638.00
|
$478.50
25% off
|
$542.30
|
$542.30
|
$542.30
|
2026-01-01
|
|
92523
|
CDM
|
Eval Sound Prod-lang Comp- Exp
|
1
|
1
|
$630.00
|
$472.50
25% off
|
$535.50
|
$535.50
|
$535.50
|
2026-01-01
|
|
L3935
|
HCPCS
|
Fo Nontorsion Joint Cf
|
1
|
1
|
$595.00
|
$446.25
25% off
|
$505.75
|
$505.75
|
$505.75
|
2026-01-01
|
|
L0130
|
HCPCS
|
Flex Thermoplastic Collar Mo
|
1
|
1
|
$588.34
|
$441.25
25% off
|
$500.09
|
$500.09
|
$500.09
|
2026-01-01
|
|
L3020
|
HCPCS
|
Foot Longitud/metatarsal Sup
|
1
|
1
|
$588.00
|
$441.00
25% off
|
$499.80
|
$499.80
|
$499.80
|
2026-01-01
|
|
93971
|
CDM
|
US Venous Duplex Unilateral
|
1
|
1
|
$585.00
|
$438.75
25% off
|
$497.25
|
$497.25
|
$497.25
|
2026-01-01
|
|
93926
|
CDM
|
US Le Arterial Duplex
|
1
|
1
|
$585.00
|
$438.75
25% off
|
$497.25
|
$497.25
|
$497.25
|
2026-01-01
|
|
L3933
|
HCPCS
|
Fo Without Joints Cf
|
1
|
1
|
$575.00
|
$431.25
25% off
|
$488.75
|
$488.75
|
$488.75
|
2026-01-01
|
|
36581
|
CDM
|
Replace Tunneled Cv Catheter
|
1
|
1
|
$574.00
|
$430.50
25% off
|
$487.90
|
$487.90
|
$487.90
|
2026-01-01
|
|
81403
|
CDM
|
Mopath Procedure Level 4
|
1
|
1
|
$573.00
|
$429.75
25% off
|
$487.05
|
$487.05
|
$487.05
|
2026-01-01
|
|
81227
|
CDM
|
Cyp2c9 Gene Com Variants
|
1
|
1
|
$565.00
|
$423.75
25% off
|
$480.25
|
$480.25
|
$480.25
|
2026-01-01
|
|
97545
|
CDM
|
Work Hard/cond (initial 2 Hrs)
|
1
|
1
|
$557.00
|
$417.75
25% off
|
$473.45
|
$473.45
|
$473.45
|
2026-01-01
|
|
L0450
|
HCPCS
|
Tlso Flex Prefab Thoracic
|
1
|
1
|
$553.00
|
$414.75
25% off
|
$470.05
|
$470.05
|
$470.05
|
2026-01-01
|
|
L3962
|
HCPCS
|
Sewho Erbs Palsey Design Abd
|
1
|
1
|
$542.00
|
$406.50
25% off
|
$460.70
|
$460.70
|
$460.70
|
2026-01-01
|
|
97167
|
CDM
|
Ot Eval- High Complexity
|
1
|
1
|
$518.00
|
$388.50
25% off
|
$440.30
|
$440.30
|
$440.30
|
2026-01-01
|
|
93930
|
CDM
|
US Ue Arterial Duplex Bilatera
|
1
|
1
|
$508.00
|
$381.00
25% off
|
$431.80
|
$431.80
|
$431.80
|
2026-01-01
|
|
88233
|
CDM
|
Tissue Culture Skin/biopsy
|
1
|
1
|
$508.00
|
$381.00
25% off
|
$431.80
|
$431.80
|
$431.80
|
2026-01-01
|
|
L4396
|
HCPCS
|
Afo-static Or Dynamic Pre-fab
|
1
|
1
|
$496.00
|
$372.00
25% off
|
$421.60
|
$421.60
|
$421.60
|
2026-01-01
|
|
92607
|
CDM
|
Eval Speech Gen Dev 1st Hr
|
1
|
1
|
$489.00
|
$366.75
25% off
|
$415.65
|
$415.65
|
$415.65
|
2026-01-01
|
|
76705
|
CDM
|
US Abdomen Limited
|
1
|
1
|
$480.00
|
$360.00
25% off
|
$408.00
|
$408.00
|
$408.00
|
2026-01-01
|
|
76604
|
CDM
|
US Chest
|
1
|
1
|
$480.00
|
$360.00
25% off
|
$408.00
|
$408.00
|
$408.00
|
2026-01-01
|
|
76881
|
CDM
|
US Complete Joint Soft Tissue
|
1
|
1
|
$480.00
|
$360.00
25% off
|
$408.00
|
$408.00
|
$408.00
|
2026-01-01
|
|
76770
|
CDM
|
US Retroperitoneal Complete
|
1
|
1
|
$480.00
|
$360.00
25% off
|
$408.00
|
$408.00
|
$408.00
|
2026-01-01
|
|
76700
|
CDM
|
US Abdomen Complete
|
1
|
1
|
$480.00
|
$360.00
25% off
|
$408.00
|
$408.00
|
$408.00
|
2026-01-01
|
|
92601
|
CDM
|
Dx Cochlear Implant <7
|
1
|
1
|
$478.00
|
$358.50
25% off
|
$406.30
|
$406.30
|
$406.30
|
2026-01-01
|
|
G0277
|
HCPCS
|
Hyperbaric O2 Tx 30 Min
|
1
|
1
|
$478.00
|
$358.50
25% off
|
$406.30
|
$406.30
|
$406.30
|
2026-01-01
|
|
L3002
|
HCPCS
|
Foot Insert Plastazote Or Eq
|
1
|
1
|
$478.00
|
$358.50
25% off
|
$406.30
|
$406.30
|
$406.30
|
2026-01-01
|
|
L3675
|
HCPCS
|
Canvas Vest So
|
1
|
1
|
$475.00
|
$356.25
25% off
|
$403.75
|
$403.75
|
$403.75
|
2026-01-01
|
|
92521
|
CDM
|
Eval Speech Fluency
|
1
|
1
|
$474.00
|
$355.50
25% off
|
$402.90
|
$402.90
|
$402.90
|
2026-01-01
|
|
87900
|
CDM
|
Phenotype Infect Agent Drug
|
1
|
1
|
$472.00
|
$354.00
25% off
|
$401.20
|
$401.20
|
$401.20
|
2026-01-01
|
|
86922
|
CDM
|
Crossmatch - Antiglobulin Tech
|
1
|
1
|
$471.00
|
$353.25
25% off
|
$400.35
|
$400.35
|
$400.35
|
2026-01-01
|
|
86920
|
CDM
|
Crossmatch - Immediate Spin
|
1
|
1
|
$471.00
|
$353.25
25% off
|
$400.35
|
$400.35
|
$400.35
|
2026-01-01
|
|
88237
|
CDM
|
Tissue Culture Bone Marrow
|
1
|
1
|
$469.00
|
$351.75
25% off
|
$398.65
|
$398.65
|
$398.65
|
2026-01-01
|
|
L4387
|
HCPCS
|
Non-pneum Walk Boot Pre Ots
|
1
|
1
|
$469.00
|
$351.75
25% off
|
$398.65
|
$398.65
|
$398.65
|
2026-01-01
|
|
L4386
|
HCPCS
|
Non-pneum Walk Boot Prefab
|
1
|
1
|
$469.00
|
$351.75
25% off
|
$398.65
|
$398.65
|
$398.65
|
2026-01-01
|
|
97163
|
CDM
|
Pt Eval- High Complexity
|
1
|
1
|
$468.00
|
$351.00
25% off
|
$397.80
|
$397.80
|
$397.80
|
2026-01-01
|
|
87631
|
CDM
|
Resp Virus 3-5 Targets
|
1
|
1
|
$465.00
|
$348.75
25% off
|
$395.25
|
$395.25
|
$395.25
|
2026-01-01
|
|
81402
|
CDM
|
Mopath Procedure Level 3
|
1
|
1
|
$465.00
|
$348.75
25% off
|
$395.25
|
$395.25
|
$395.25
|
2026-01-01
|
|
92603
|
CDM
|
Dx Cochlear Implant 7 & Older
|
1
|
1
|
$463.00
|
$347.25
25% off
|
$393.55
|
$393.55
|
$393.55
|
2026-01-01
|
|
80408
|
CDM
|
Aldosterone Suppression Eval
|
1
|
1
|
$456.00
|
$342.00
25% off
|
$387.60
|
$387.60
|
$387.60
|
2026-01-01
|
|
97166
|
CDM
|
Ot Eval- Mod Complexity
|
1
|
1
|
$449.00
|
$336.75
25% off
|
$381.65
|
$381.65
|
$381.65
|
2026-01-01
|
|
L5692
|
HCPCS
|
Ak Pelvic Control Belt Light
|
1
|
1
|
$444.00
|
$333.00
25% off
|
$377.40
|
$377.40
|
$377.40
|
2026-01-01
|
|
87636
|
CDM
|
Covid-19 And Influenza A/b
|
1
|
1
|
$441.00
|
$330.75
25% off
|
$374.85
|
$374.85
|
$374.85
|
2026-01-01
|
|
92612
|
CDM
|
Endoscopic Eval Of Swallow
|
2
|
1
|
$437.50
|
$328.12
25% off
|
$221.85
|
$521.90
|
$371.88
|
2026-01-01
|
|
36589
|
CDM
|
Remove Tunneled Cv Device
|
1
|
1
|
$430.00
|
$322.50
25% off
|
$365.50
|
$365.50
|
$365.50
|
2026-01-01
|
|
87637
|
CDM
|
Sarscov2&inf A&b&rsv Amp Prb
|
1
|
1
|
$428.00
|
$321.00
25% off
|
$363.80
|
$363.80
|
$363.80
|
2026-01-01
|
|
L2385
|
HCPCS
|
Straight Knee Joint Heavy Du
|
1
|
1
|
$425.00
|
$318.75
25% off
|
$361.25
|
$361.25
|
$361.25
|
2026-01-01
|
|
80430
|
CDM
|
Growth Hormone Panel
|
1
|
1
|
$424.00
|
$318.00
25% off
|
$360.40
|
$360.40
|
$360.40
|
2026-01-01
|
|
81401
|
CDM
|
Mopath Procedure Level 2
|
1
|
1
|
$424.00
|
$318.00
25% off
|
$360.40
|
$360.40
|
$360.40
|
2026-01-01
|
|
L2430
|
HCPCS
|
Knee Jnt Ratchet Lock Ea Jnt
|
1
|
1
|
$424.00
|
$318.00
25% off
|
$360.40
|
$360.40
|
$360.40
|
2026-01-01
|
|
92609
|
CDM
|
Ther Use Speech Gen Dev
|
1
|
1
|
$412.00
|
$309.00
25% off
|
$350.20
|
$350.20
|
$350.20
|
2026-01-01
|
|
93306
|
CDM
|
Echo 2d M-mode With Doppler
|
1
|
1
|
$412.00
|
$309.00
25% off
|
$350.20
|
$350.20
|
$350.20
|
2026-01-01
|
|
93882
|
CDM
|
US Carotid Duplex Uni Or Ltd
|
1
|
1
|
$409.00
|
$306.75
25% off
|
$347.65
|
$347.65
|
$347.65
|
2026-01-01
|
|
81287
|
CDM
|
Mgmt Gene Prmtr Mthyltn Alys
|
1
|
1
|
$409.00
|
$306.75
25% off
|
$347.65
|
$347.65
|
$347.65
|
2026-01-01
|
|
918
|
CDM
|
Psych Assess - 1 Hr Aprn
|
2
|
1
|
$406.50
|
$304.88
25% off
|
$216.75
|
$474.30
|
$345.52
|
2026-01-01
|
|
76873
|
CDM
|
US Prostate Volume
|
1
|
1
|
$406.00
|
$304.50
25% off
|
$345.10
|
$345.10
|
$345.10
|
2026-01-01
|
|
L1820
|
HCPCS
|
Ko Elas W/cond Pad&jo Pre-fab
|
1
|
1
|
$404.00
|
$303.00
25% off
|
$343.40
|
$343.40
|
$343.40
|
2026-01-01
|
|
L0172
|
HCPCS
|
Cerv Col Therm Foam 2 Pi Prefb
|
1
|
1
|
$396.00
|
$297.00
25% off
|
$336.60
|
$336.60
|
$336.60
|
2026-01-01
|
|
96125
|
CDM
|
Cognitive Performance Test(1hr
|
2
|
1
|
$393.50
|
$295.12
25% off
|
$317.05
|
$351.90
|
$334.48
|
2026-01-01
|
|
L2275
|
HCPCS
|
Plastic Mod Low Ext Pad/line
|
1
|
1
|
$393.00
|
$294.75
25% off
|
$334.05
|
$334.05
|
$334.05
|
2026-01-01
|
|
96105
|
CDM
|
Assessment-aphasia-hr Inc Only
|
1
|
1
|
$392.00
|
$294.00
25% off
|
$333.20
|
$333.20
|
$333.20
|
2026-01-01
|
|
97162
|
CDM
|
Pt Eval- Mod Complexity
|
1
|
1
|
$391.00
|
$293.25
25% off
|
$332.35
|
$332.35
|
$332.35
|
2026-01-01
|
|
93979
|
CDM
|
US Aorta Duplex Uni Or Ltd
|
1
|
1
|
$389.00
|
$291.75
25% off
|
$330.65
|
$330.65
|
$330.65
|
2026-01-01
|
|
97165
|
CDM
|
Ot Eval- Low Complexity
|
1
|
1
|
$387.00
|
$290.25
25% off
|
$328.95
|
$328.95
|
$328.95
|
2026-01-01
|
|
L2265
|
HCPCS
|
Long Tongue Stirrup
|
1
|
1
|
$385.00
|
$288.75
25% off
|
$327.25
|
$327.25
|
$327.25
|
2026-01-01
|
|
93976
|
CDM
|
US Duplex Abd Pelv Scrotal Ltd
|
1
|
1
|
$380.00
|
$285.00
25% off
|
$323.00
|
$323.00
|
$323.00
|
2026-01-01
|
|
L5685
|
HCPCS
|
Below Knee Sus/seal Sleeve
|
1
|
1
|
$380.00
|
$285.00
25% off
|
$323.00
|
$323.00
|
$323.00
|
2026-01-01
|
|
80358
|
CDM
|
Methadone
|
1
|
1
|
$379.00
|
$284.25
25% off
|
$322.15
|
$322.15
|
$322.15
|
2026-01-01
|
|
80359
|
CDM
|
Methylenedioxyamphetamines
|
1
|
1
|
$379.00
|
$284.25
25% off
|
$322.15
|
$322.15
|
$322.15
|
2026-01-01
|
|
80367
|
CDM
|
Propoxyphene
|
1
|
1
|
$379.00
|
$284.25
25% off
|
$322.15
|
$322.15
|
$322.15
|
2026-01-01
|
|
80361
|
CDM
|
Opiates- 1 Or More
|
1
|
1
|
$379.00
|
$284.25
25% off
|
$322.15
|
$322.15
|
$322.15
|
2026-01-01
|
|
80353
|
CDM
|
Cocaine
|
1
|
1
|
$379.00
|
$284.25
25% off
|
$322.15
|
$322.15
|
$322.15
|
2026-01-01
|
|
80354
|
CDM
|
Fentanyl
|
1
|
1
|
$379.00
|
$284.25
25% off
|
$322.15
|
$322.15
|
$322.15
|
2026-01-01
|
|
80345
|
CDM
|
Barbiturates
|
1
|
1
|
$379.00
|
$284.25
25% off
|
$322.15
|
$322.15
|
$322.15
|
2026-01-01
|
|
80324
|
CDM
|
Amphetamines; 1 Or 2
|
1
|
1
|
$379.00
|
$284.25
25% off
|
$322.15
|
$322.15
|
$322.15
|
2026-01-01
|
|
80329
|
CDM
|
Analgesics- Non-opioid; 1 Or 2
|
1
|
1
|
$379.00
|
$284.25
25% off
|
$322.15
|
$322.15
|
$322.15
|
2026-01-01
|
|
80323
|
CDM
|
Alkaloids- Not Otherwise Speci
|
1
|
1
|
$379.00
|
$284.25
25% off
|
$322.15
|
$322.15
|
$322.15
|
2026-01-01
|
|
80335
|
CDM
|
Antidepressants- 1 Or 2
|
1
|
1
|
$379.00
|
$284.25
25% off
|
$322.15
|
$322.15
|
$322.15
|
2026-01-01
|
|
80320
|
CDM
|
Alcohols
|
1
|
1
|
$379.00
|
$284.25
25% off
|
$322.15
|
$322.15
|
$322.15
|
2026-01-01
|
|
80346
|
CDM
|
Benzodiazepines; 1-12
|
1
|
1
|
$379.00
|
$284.25
25% off
|
$322.15
|
$322.15
|
$322.15
|
2026-01-01
|
|
80349
|
CDM
|
Cannabinoids- Natural
|
1
|
1
|
$379.00
|
$284.25
25% off
|
$322.15
|
$322.15
|
$322.15
|
2026-01-01
|
|
81219
|
CDM
|
Calr Gene Com Variants
|
1
|
1
|
$376.00
|
$282.00
25% off
|
$319.60
|
$319.60
|
$319.60
|
2026-01-01
|
|
92522
|
CDM
|
Eval Sound Prod
|
1
|
1
|
$375.00
|
$281.25
25% off
|
$318.75
|
$318.75
|
$318.75
|
2026-01-01
|
|
L3260
|
HCPCS
|
Surgical Boot/shoe
|
1
|
1
|
$375.00
|
$281.25
25% off
|
$318.75
|
$318.75
|
$318.75
|
2026-01-01
|
|
P9071
|
HCPCS
|
Plasma - Ea Unit
|
1
|
1
|
$367.00
|
$275.25
25% off
|
$311.95
|
$311.95
|
$311.95
|
2026-01-01
|
|
L9900
|
HCPCS
|
O&p Supply Accessory Or Servi
|
1
|
1
|
$360.00
|
$270.00
25% off
|
$306.00
|
$306.00
|
$306.00
|
2026-01-01
|
|
L2415
|
HCPCS
|
Knee Joint Cam Lock Each Joi
|
1
|
1
|
$360.00
|
$270.00
25% off
|
$306.00
|
$306.00
|
$306.00
|
2026-01-01
|
|
L3670
|
HCPCS
|
Acromio/clavicular Canvas&we
|
1
|
1
|
$354.00
|
$265.50
25% off
|
$300.90
|
$300.90
|
$300.90
|
2026-01-01
|
|
97161
|
CDM
|
Pt Eval- Low Complexity
|
1
|
1
|
$353.00
|
$264.75
25% off
|
$300.05
|
$300.05
|
$300.05
|
2026-01-01
|
|
92611
|
CDM
|
Videofluoroscopy
|
1
|
1
|
$350.00
|
$262.50
25% off
|
$297.50
|
$297.50
|
$297.50
|
2026-01-01
|
|
L2397
|
HCPCS
|
Suspension Sleeve Lower Ext
|
1
|
1
|
$348.00
|
$261.00
25% off
|
$295.80
|
$295.80
|
$295.80
|
2026-01-01
|