|
0110
|
RC
|
—
|
2
|
2
|
$1,700.00
|
$1,700.00
|
$1,700.00
|
$1,700.00
|
$1,700.00
|
2026-07-15
|
|
0120
|
RC
|
—
|
2
|
2
|
$1,500.00
|
$1,500.00
|
$1,500.00
|
$1,500.00
|
$1,500.00
|
2026-07-15
|
|
93975
|
HCPCS
|
US Renal Arterial Duplx Doplr Comp
|
2
|
2
|
$297.66
|
$264.15
|
$264.15
|
$462.00
|
$363.07
|
2026-07-15
|
|
92950
|
HCPCS
|
Cardiopulmonary Resuscitation
|
2
|
2
|
$428.32
|
$334.14
22% off
|
$334.14
|
$343.00
|
$338.57
|
2026-07-15
|
|
92523
|
HCPCS
|
Eval Of Speech Sound With Language
|
4
|
4
|
$300.77
|
$230.96
23% off
|
$230.96
|
$404.00
|
$317.48
|
2026-07-20
|
|
93306
|
HCPCS
|
US Echo With Doppler Complete
|
2
|
2
|
$220.00
|
$195.07
|
$195.07
|
$341.00
|
$268.03
|
2026-07-15
|
|
93880
|
HCPCS
|
US Duplex Extracranial Bilateral Comp
|
2
|
2
|
$215.53
|
$190.29
|
$190.29
|
$333.00
|
$261.64
|
2026-07-15
|
|
93970
|
HCPCS
|
US Extrem Venous Duplx Bilat Comp
|
2
|
2
|
$208.40
|
$186.91
|
$186.91
|
$327.00
|
$256.95
|
2026-07-15
|
|
93978
|
HCPCS
|
US Duplex Aorta Comp
|
2
|
2
|
$203.29
|
$185.17
|
$185.17
|
$324.00
|
$254.58
|
2026-07-15
|
|
93926
|
HCPCS
|
US Lower Ext Arter Dplx Unilat
|
2
|
2
|
$161.33
|
$144.08
|
$144.08
|
$235.00
|
$189.54
|
2026-07-15
|
|
93923
|
HCPCS
|
US Upper/lower Xtremity Arter 3 Lvls
|
2
|
2
|
$143.59
|
$132.64
|
$132.64
|
$232.00
|
$182.32
|
2026-07-15
|
|
92603
|
HCPCS
|
Cochlear Implt F/up Exam 7>
|
4
|
4
|
$170.00
|
$147.58
|
$147.58
|
$207.00
|
$177.29
|
2026-07-20
|
|
92607
|
HCPCS
|
Eval Prescription Of Speech
|
4
|
4
|
$140.00
|
$124.53
|
$124.53
|
$218.00
|
$171.26
|
2026-07-20
|
|
93971
|
HCPCS
|
US Extrem Venous Duplx Unilat Limited
|
2
|
2
|
$130.00
|
$119.59
|
$119.59
|
$209.00
|
$164.30
|
2026-07-15
|
|
36569
|
HCPCS
|
Midline Insertion
|
2
|
2
|
$470.00
|
$105.51
78% off
|
$105.51
|
$222.00
|
$163.75
|
2026-07-15
|
|
76700
|
HCPCS
|
US Exam Abdominal Complete
|
2
|
2
|
$135.00
|
$117.09
|
$117.09
|
$205.00
|
$161.05
|
2026-07-15
|
|
92612
|
HCPCS
|
Endoscopic Study Of Swallowing
|
4
|
4
|
$215.00
|
$199.93
|
$117.00
|
$199.93
|
$158.47
|
2026-07-20
|
|
92522
|
HCPCS
|
Evaluation Of Speech Sound Producti
|
4
|
4
|
$239.90
|
$112.80
53% off
|
$112.80
|
$197.00
|
$154.90
|
2026-07-20
|
|
76536
|
HCPCS
|
US Exam Of Head And Neck
|
2
|
2
|
$245.66
|
$110.85
55% off
|
$110.85
|
$194.00
|
$152.43
|
2026-07-15
|
|
92524
|
HCPCS
|
Behavioral And Qualitative Analysis
|
4
|
4
|
$190.78
|
$110.33
42% off
|
$110.33
|
$193.00
|
$151.66
|
2026-07-20
|
|
76770
|
HCPCS
|
US Renal Complete
|
2
|
2
|
$119.92
|
$109.51
|
$109.51
|
$192.00
|
$150.75
|
2026-07-15
|
|
92584
|
HCPCS
|
Electrococohleography
|
4
|
4
|
$80.00
|
$108.66
|
$108.66
|
$190.00
|
$149.33
|
2026-07-20
|
|
76856
|
HCPCS
|
US Exam Pelvic Completed
|
2
|
2
|
$116.64
|
$106.09
|
$106.09
|
$186.00
|
$146.05
|
2026-07-15
|
|
90937
|
HCPCS
|
Hemodialysis Repeated Evaluation
|
2
|
2
|
$990.00
|
$105.34
89% off
|
$105.34
|
$184.00
|
$144.67
|
2026-07-15
|
|
92609
|
HCPCS
|
Speech Gen Device Therapy Train And Fit
|
4
|
4
|
$222.76
|
$104.24
53% off
|
$104.24
|
$182.00
|
$143.12
|
2026-07-20
|
|
97166
|
HCPCS
|
Ot Eval Mod Complex 45 Min
|
4
|
4
|
$110.00
|
$103.87
|
$103.87
|
$182.00
|
$142.94
|
2026-07-20
|
|
97165
|
HCPCS
|
Ot Eval Low Complex 30 Min
|
4
|
4
|
$98.00
|
$103.87
|
$103.87
|
$182.00
|
$142.94
|
2026-07-20
|
|
92601
|
HCPCS
|
Cochlear Implt F/up Exam<7
|
4
|
4
|
$180.00
|
$156.84
|
$129.00
|
$156.84
|
$142.92
|
2026-07-20
|
|
76641
|
HCPCS
|
US Breast Complete
|
2
|
2
|
$226.82
|
$103.40
54% off
|
$103.40
|
$181.00
|
$142.20
|
2026-07-15
|
|
96125
|
HCPCS
|
Cognitive Perform Test
|
4
|
4
|
$223.96
|
$103.21
54% off
|
$103.21
|
$181.00
|
$142.10
|
2026-07-20
|
|
76870
|
HCPCS
|
US Exam Scrotum And Cont
|
2
|
2
|
$112.24
|
$101.15
|
$101.15
|
$177.00
|
$139.07
|
2026-07-15
|
|
96105
|
HCPCS
|
Assessment Of Aphasiarea
|
4
|
4
|
$40.00
|
$97.67
|
$97.67
|
$171.00
|
$134.34
|
2026-07-20
|
|
92611
|
HCPCS
|
Evaluation Of Swallowing
|
4
|
4
|
$105.00
|
$92.57
|
$92.57
|
$162.00
|
$127.28
|
2026-07-20
|
|
92582
|
HCPCS
|
Conditioning Play Audiometry
|
4
|
4
|
$80.00
|
$89.51
|
$89.51
|
$157.00
|
$123.25
|
2026-07-20
|
|
76705
|
HCPCS
|
US Exam Abdominal Limited
|
2
|
2
|
$100.00
|
$87.76
|
$87.76
|
$154.00
|
$120.88
|
2026-07-15
|
|
92526
|
HCPCS
|
Oral Function Therapy
|
4
|
4
|
$102.50
|
$85.30
|
$85.30
|
$149.00
|
$117.15
|
2026-07-20
|
|
93922
|
HCPCS
|
US Upper/lower Xtremity Arter 2 Lvls
|
2
|
2
|
$92.44
|
$83.55
|
$83.55
|
$146.00
|
$114.78
|
2026-07-15
|
|
92602
|
HCPCS
|
Reprogram Cochlear Implt<7
|
4
|
4
|
$115.00
|
$98.62
|
$98.62
|
$129.00
|
$113.81
|
2026-07-20
|
|
92596
|
HCPCS
|
Ear Protector Attenuation Measurements
|
4
|
4
|
$70.00
|
$80.20
|
$80.20
|
$140.00
|
$110.10
|
2026-07-20
|
|
92507
|
HCPCS
|
Speech Lanuage Treatment
|
4
|
4
|
$129.20
|
$77.36
40% off
|
$77.36
|
$135.00
|
$106.18
|
2026-07-20
|
|
92610
|
HCPCS
|
Swallow Eval
|
4
|
4
|
$117.54
|
$86.48
26% off
|
$86.48
|
$125.00
|
$105.74
|
2026-07-20
|
|
97167
|
HCPCS
|
Ot Eval High Complex 60 Min
|
5
|
5
|
$125.00
|
$103.87
|
$68.65
|
$182.00
|
$103.87
|
2026-07-20
|
|
92575
|
HCPCS
|
Sensorineural Acuity Level Test
|
4
|
4
|
$70.00
|
$74.70
|
$74.70
|
$131.00
|
$102.85
|
2026-07-20
|
|
92604
|
HCPCS
|
Reprogram Cochlear Implt 7>
|
4
|
4
|
$100.00
|
$89.03
|
$89.03
|
$115.00
|
$102.02
|
2026-07-20
|
|
92597
|
HCPCS
|
Oral Speech Device Evaluation
|
4
|
4
|
$80.00
|
$73.89
|
$73.89
|
$129.00
|
$101.44
|
2026-07-20
|
|
97162
|
HCPCS
|
Pt Eval Mod Complex 30 Min
|
5
|
5
|
$110.00
|
$101.22
|
$61.40
|
$177.00
|
$101.22
|
2026-07-20
|
|
97161
|
HCPCS
|
Pt Eval Low Complex 20 Min
|
5
|
5
|
$95.00
|
$101.22
|
$61.40
|
$177.00
|
$101.22
|
2026-07-20
|
|
97163
|
HCPCS
|
Pt Eval High Complex 45 Min
|
5
|
5
|
$125.00
|
$101.22
|
$61.40
|
$177.00
|
$101.22
|
2026-07-20
|
|
90935
|
HCPCS
|
Hemodialysis Initial Evaluation
|
2
|
2
|
$990.00
|
$72.28
93% off
|
$72.28
|
$126.00
|
$99.14
|
2026-07-15
|
|
76882
|
HCPCS
|
Extremity - Limited
|
2
|
2
|
$61.78
|
$65.89
|
$65.89
|
$115.00
|
$90.44
|
2026-07-15
|
|
76775
|
HCPCS
|
US Bladder Limited
|
2
|
2
|
$236.25
|
$61.86
74% off
|
$61.86
|
$108.00
|
$84.93
|
2026-07-15
|
|
96365
|
HCPCS
|
Intravenous Infusion, Therapeutic
|
2
|
2
|
$220.00
|
$61.19
72% off
|
$61.19
|
$107.00
|
$84.09
|
2026-07-15
|
|
29125
|
HCPCS
|
App Short Arm Splint
|
4
|
4
|
$154.50
|
$72.47
53% off
|
$72.47
|
$93.00
|
$82.73
|
2026-07-20
|
|
97597
|
HCPCS
|
Wound Care <20 Cm
|
2
|
2
|
$148.25
|
$101.04
32% off
|
$64.00
|
$101.04
|
$82.52
|
2026-07-15
|
|
92583
|
HCPCS
|
Select Picture Audiometry
|
4
|
4
|
$55.00
|
$59.61
|
$59.61
|
$104.00
|
$81.81
|
2026-07-20
|
|
76604
|
HCPCS
|
US Exam Chest
|
2
|
2
|
$94.72
|
$59.19
38% off
|
$59.19
|
$104.00
|
$81.59
|
2026-07-15
|
|
90732
|
HCPCS
|
Pneumococcal Polysaccharide Vaccine
|
1
|
1
|
$179.88
|
$79.16
56% off
|
$79.16
|
$79.16
|
$79.16
|
2026-07-15
|
|
90662
|
HCPCS
|
Fluzone High-dose Quadrivalent
|
1
|
1
|
$81.98
|
$79.16
|
$79.16
|
$79.16
|
$79.16
|
2026-07-15
|
|
90653
|
HCPCS
|
Flucelvax (ccIIV4). 0.5 Ml (single-dose Syringe). 0. 4 Years & Older
|
1
|
1
|
$79.70
|
$79.16
|
$79.16
|
$79.16
|
$79.16
|
2026-07-15
|
|
90688
|
HCPCS
|
Influenza Virus Vaccine, Quadrivalent (iiv4), Split Virus, 0.5 Ml Dosage
|
1
|
1
|
$29.18
|
$79.16
|
$79.16
|
$79.16
|
$79.16
|
2026-07-15
|
|
90670
|
HCPCS
|
Pneumococcal Conjugate Vaccine
|
1
|
1
|
$362.12
|
$79.16
78% off
|
$79.16
|
$79.16
|
$79.16
|
2026-07-15
|
|
92572
|
HCPCS
|
Staggered Spondaic Word Test
|
4
|
4
|
$40.00
|
$57.28
|
$57.28
|
$100.00
|
$78.64
|
2026-07-20
|
|
97168
|
HCPCS
|
Ot Re-eval Est Plan Care
|
5
|
5
|
$67.00
|
$72.01
|
$68.65
|
$126.00
|
$72.01
|
2026-07-20
|
|
97763
|
HCPCS
|
Orthc/prostc Mgmt Sbsq Enc
|
4
|
4
|
$154.08
|
$51.55
67% off
|
$51.55
|
$90.00
|
$70.78
|
2026-07-20
|
|
76857
|
HCPCS
|
US Exam Pelvic Limited
|
2
|
2
|
$236.25
|
$50.82
78% off
|
$50.82
|
$89.00
|
$69.91
|
2026-07-15
|
|
97164
|
HCPCS
|
Pt Re-eval Est Plan Care
|
5
|
5
|
$65.00
|
$69.54
|
$41.82
|
$122.00
|
$69.54
|
2026-07-20
|
|
86077
|
HCPCS
|
Transfusion Reaction
|
2
|
2
|
$99.25
|
$53.57
46% off
|
$53.57
|
$85.00
|
$69.28
|
2026-07-15
|
|
36430
|
HCPCS
|
Transf Blood/blood Prod Per Tr
|
2
|
2
|
$441.75
|
$44.28
90% off
|
$44.28
|
$93.00
|
$68.64
|
2026-07-15
|
|
92562
|
HCPCS
|
Loudness Balance Test, Alternative Binaural Or Monaural
|
4
|
4
|
$50.00
|
$49.97
|
$49.97
|
$87.00
|
$68.48
|
2026-07-20
|
|
92608
|
HCPCS
|
Re-evaluation
|
4
|
4
|
$60.00
|
$49.17
|
$49.17
|
$86.00
|
$67.59
|
2026-07-20
|
|
92553
|
HCPCS
|
Pure Tone Audiometry (threshold); Air And Bone
|
4
|
4
|
$45.00
|
$48.65
|
$48.65
|
$85.00
|
$66.83
|
2026-07-20
|
|
84154
|
HCPCS
|
Psa; Free
|
1
|
1
|
$25.00
|
$65.89
|
$65.89
|
$65.89
|
$65.89
|
2026-07-15
|
|
83970
|
HCPCS
|
Pthi
|
1
|
1
|
$57.00
|
$65.89
|
$65.89
|
$65.89
|
$65.89
|
2026-07-15
|
|
82747
|
HCPCS
|
Folic Acid; Rbc
|
1
|
1
|
$11.66
|
$65.89
|
$65.89
|
$65.89
|
$65.89
|
2026-07-15
|
|
92556
|
HCPCS
|
Speech Audiometry Threshold, With Speech Recognition
|
4
|
4
|
$42.00
|
$47.32
|
$47.32
|
$83.00
|
$65.16
|
2026-07-20
|
|
97760
|
HCPCS
|
Orthotic Mgmnt & Traing
|
4
|
4
|
$101.30
|
$47.21
53% off
|
$47.21
|
$83.00
|
$65.11
|
2026-07-20
|
|
92576
|
HCPCS
|
Synthetic Sentence Identification Test
|
4
|
4
|
$40.00
|
$45.66
|
$45.66
|
$80.00
|
$62.83
|
2026-07-20
|
|
97533
|
HCPCS
|
Sensory Integration
|
5
|
5
|
$60.00
|
$62.18
|
$45.25
|
$109.00
|
$62.18
|
2026-07-20
|
|
97530
|
HCPCS
|
Therapeutic Activities
|
5
|
5
|
$105.80
|
$35.64
66% off
|
$35.64
|
$68.65
|
$62.00
|
2026-07-20
|
|
51702
|
HCPCS
|
Foley Catheter Insertion
|
2
|
2
|
$52.50
|
$63.40
|
$56.00
|
$63.40
|
$59.70
|
2026-07-15
|
|
96111
|
HCPCS
|
Developmental Testing Extended
|
4
|
4
|
$12.00
|
$97.67
|
$21.00
|
$97.67
|
$59.34
|
2026-07-20
|
|
99368
|
HCPCS
|
Team Conf Without Patient By Hc Pro 30 + Mins
|
4
|
4
|
$20.00
|
$51.55
|
$51.55
|
$63.00
|
$57.27
|
2026-07-20
|
|
92552
|
HCPCS
|
Pure Tone Audiometry (threshold), Air Only
|
4
|
4
|
$1.00
|
$40.34
|
$40.34
|
$71.00
|
$55.67
|
2026-07-20
|
|
92579
|
HCPCS
|
Visual Reinforcement Audiometry (vra)
|
4
|
4
|
$50.00
|
$44.19
|
$44.19
|
$65.00
|
$54.59
|
2026-07-20
|
|
94668
|
HCPCS
|
Subsq Chest Wall Manipulation
|
2
|
2
|
$45.25
|
$39.49
|
$39.49
|
$69.00
|
$54.25
|
2026-07-15
|
|
98960
|
HCPCS
|
Education And Training Self Mgmt
|
2
|
2
|
$75.00
|
$51.55
31% off
|
$51.55
|
$56.00
|
$53.77
|
2026-07-15
|
|
86978
|
HCPCS
|
Adsorption
|
1
|
1
|
$44.75
|
$53.57
|
$53.57
|
$53.57
|
$53.57
|
2026-07-15
|
|
86965
|
HCPCS
|
Pool
|
1
|
1
|
$44.75
|
$53.57
|
$53.57
|
$53.57
|
$53.57
|
2026-07-15
|
|
86932
|
HCPCS
|
Freezing (rbc)
|
1
|
1
|
$95.00
|
$53.57
44% off
|
$53.57
|
$53.57
|
$53.57
|
2026-07-15
|
|
86931
|
HCPCS
|
Thaw
|
1
|
1
|
$95.00
|
$53.57
44% off
|
$53.57
|
$53.57
|
$53.57
|
2026-07-15
|
|
86886
|
HCPCS
|
Coombs Indirect Each Antibody Titer
|
1
|
1
|
$15.75
|
$53.57
|
$53.57
|
$53.57
|
$53.57
|
2026-07-15
|
|
86850
|
HCPCS
|
Antibody Screen
|
1
|
1
|
$28.00
|
$53.57
|
$53.57
|
$53.57
|
$53.57
|
2026-07-15
|
|
86905
|
HCPCS
|
Blood Typing Rbc Antigens
|
1
|
1
|
$28.00
|
$53.57
|
$53.57
|
$53.57
|
$53.57
|
2026-07-15
|
|
86256
|
HCPCS
|
Anca
|
1
|
1
|
$44.64
|
$53.57
|
$53.57
|
$53.57
|
$53.57
|
2026-07-15
|
|
87491
|
HCPCS
|
Chlamydia DNA Probe
|
1
|
1
|
$129.99
|
$53.57
59% off
|
$53.57
|
$53.57
|
$53.57
|
2026-07-15
|
|
86157
|
HCPCS
|
Cold Agg. Titer
|
1
|
1
|
$23.75
|
$53.57
|
$53.57
|
$53.57
|
$53.57
|
2026-07-15
|
|
97755
|
HCPCS
|
Assistive Technology Assessment
|
4
|
4
|
$7.00
|
$38.95
|
$38.95
|
$68.00
|
$53.48
|
2026-07-20
|
|
92613
|
HCPCS
|
Endoscopy Swallow Tst (fees)
|
4
|
4
|
$45.00
|
$37.50
|
$37.50
|
$66.00
|
$51.75
|
2026-07-20
|
|
51701
|
HCPCS
|
Straight Catheterization
|
2
|
2
|
$58.76
|
$46.27
21% off
|
$46.27
|
$57.00
|
$51.64
|
2026-07-15
|
|
99001
|
HCPCS
|
Shipping And Handling
|
1
|
1
|
$280.00
|
$51.55
82% off
|
$51.55
|
$51.55
|
$51.55
|
2026-07-15
|
|
92563
|
HCPCS
|
Tone Decay Test
|
4
|
4
|
$35.00
|
$36.02
|
$36.02
|
$63.00
|
$49.51
|
2026-07-20
|
|
92564
|
HCPCS
|
Short Increment Sensitivity Index (sisi)
|
4
|
4
|
$27.00
|
$36.02
|
$36.02
|
$63.00
|
$49.51
|
2026-07-20
|
|
92588
|
HCPCS
|
Evoked Otoacoustic Emissions
|
4
|
4
|
$40.00
|
$33.69
|
$33.69
|
$59.00
|
$46.34
|
2026-07-20
|
|
92557
|
HCPCS
|
Comp Audiometry Threshold
|
4
|
4
|
$42.00
|
$36.64
|
$36.64
|
$56.00
|
$46.32
|
2026-07-20
|
|
92615
|
HCPCS
|
Eval Laryngoscopy Sense Test
|
4
|
4
|
$38.00
|
$33.58
|
$33.58
|
$59.00
|
$46.29
|
2026-07-20
|
|
97598
|
HCPCS
|
Wound Care >20 Cm
|
2
|
2
|
$53.75
|
$46.46
|
$45.00
|
$46.46
|
$45.73
|
2026-07-15
|
|
97535
|
HCPCS
|
Self Care Management Training
|
4
|
4
|
$108.50
|
$32.97
70% off
|
$32.97
|
$58.00
|
$45.48
|
2026-07-20
|
|
92571
|
HCPCS
|
Filtered Speech Test
|
4
|
4
|
$30.00
|
$32.04
|
$32.04
|
$56.00
|
$44.02
|
2026-07-20
|
|
97542
|
HCPCS
|
Wheelchair Mgmt-15 Min
|
4
|
4
|
$99.75
|
$31.62
68% off
|
$31.62
|
$55.00
|
$43.31
|
2026-07-20
|
|
92555
|
HCPCS
|
Speech Audiometry Threshold
|
4
|
4
|
$36.00
|
$30.71
|
$30.71
|
$54.00
|
$42.36
|
2026-07-20
|
|
97113
|
HCPCS
|
Aquatic Therapy
|
5
|
5
|
$122.00
|
$37.60
69% off
|
$29.14
|
$66.00
|
$37.60
|
2026-07-20
|
|
90911
|
HCPCS
|
Biofeedback, Peri/uro/re
|
4
|
4
|
$140.99
|
$41.12
71% off
|
$34.00
|
$41.12
|
$37.56
|
2026-07-20
|
|
90901
|
HCPCS
|
Biofeedbac Training By Any Modality
|
4
|
4
|
$210.00
|
$41.12
80% off
|
$34.00
|
$41.12
|
$37.56
|
2026-07-20
|
|
94667
|
HCPCS
|
Initial Chest Wall Manipulation
|
2
|
2
|
$45.25
|
$26.20
42% off
|
$26.20
|
$46.00
|
$36.10
|
2026-07-15
|
|
97112
|
HCPCS
|
Neuro Muscular Re Education
|
5
|
5
|
$106.00
|
$32.93
69% off
|
$26.43
|
$58.00
|
$32.93
|
2026-07-20
|
|
92577
|
HCPCS
|
Stenger Test, Speech
|
4
|
4
|
$17.00
|
$23.40
|
$23.40
|
$41.00
|
$32.20
|
2026-07-20
|
|
93325
|
HCPCS
|
US Lower Ext Arter Dplx Bilat
|
2
|
2
|
$273.56
|
$22.53
92% off
|
$22.53
|
$39.00
|
$30.77
|
2026-07-15
|
|
97124
|
HCPCS
|
Massage
|
5
|
5
|
$81.50
|
$30.73
62% off
|
$18.68
|
$54.00
|
$30.73
|
2026-07-20
|
|
92565
|
HCPCS
|
Stenger Test, Pure Tone
|
4
|
4
|
$20.00
|
$22.40
|
$22.40
|
$39.00
|
$30.70
|
2026-07-20
|
|
92587
|
HCPCS
|
Evoked Otoacoustic Limited
|
4
|
4
|
$25.00
|
$22.24
|
$22.24
|
$39.00
|
$30.62
|
2026-07-20
|
|
97129
|
HCPCS
|
Therapeutic Intervention Initial 15 Mins
|
4
|
4
|
$48.86
|
$22.30
54% off
|
$22.30
|
$38.00
|
$30.15
|
2026-07-20
|
|
97116
|
HCPCS
|
Gait Training
|
5
|
5
|
$90.25
|
$29.65
67% off
|
$20.58
|
$52.00
|
$29.65
|
2026-07-20
|
|
97110
|
HCPCS
|
Therapeutic Exercise
|
5
|
5
|
$103.00
|
$29.65
71% off
|
$25.07
|
$52.00
|
$29.65
|
2026-07-20
|
|
96110
|
HCPCS
|
Developmental Testing Limited
|
5
|
5
|
$11.00
|
$97.67
|
$21.00
|
$97.67
|
$29.57
|
2026-07-20
|
|
97130
|
HCPCS
|
Therapeutic Intervention Each Addl 15 Min
|
4
|
4
|
$47.48
|
$21.32
55% off
|
$21.32
|
$37.00
|
$29.16
|
2026-07-20
|
|
97140
|
HCPCS
|
Manual Therapy Technique
|
5
|
5
|
$95.75
|
$28.01
71% off
|
$23.71
|
$49.00
|
$28.01
|
2026-07-20
|
|
96366
|
HCPCS
|
Intravenous Infusion, Each Addl Hour
|
2
|
2
|
$280.00
|
$20.25
93% off
|
$20.25
|
$35.00
|
$27.62
|
2026-07-15
|
|
P9017
|
HCPCS
|
Fresh Frozen Plasma Each Unit
|
2
|
2
|
$146.03
|
$11.05
92% off
|
$11.05
|
$44.00
|
$27.53
|
2026-07-15
|
|
P9019
|
HCPCS
|
Platelets, Each Unit
|
2
|
2
|
$122.50
|
$11.05
91% off
|
$11.05
|
$44.00
|
$27.53
|
2026-07-15
|
|
P9016
|
HCPCS
|
Red Blood Cells, Leuko Reduc Each Unit
|
2
|
2
|
$369.56
|
$11.05
97% off
|
$11.05
|
$44.00
|
$27.53
|
2026-07-15
|
|
P9012
|
HCPCS
|
Cryoprecipitate, Each Unit
|
2
|
2
|
$100.00
|
$11.05
89% off
|
$11.05
|
$44.00
|
$27.53
|
2026-07-15
|
|
P9010
|
HCPCS
|
Blood-whole For Transfus Per Unit
|
2
|
2
|
$274.25
|
$11.05
96% off
|
$11.05
|
$44.00
|
$27.53
|
2026-07-15
|
|
94664
|
HCPCS
|
Demonstrate/Eval Pt Use Aero Inhaler
|
2
|
2
|
$45.25
|
$18.89
58% off
|
$18.89
|
$33.00
|
$25.95
|
2026-07-15
|
|
92561
|
HCPCS
|
Bekesy Audiometry;diagnostic
|
4
|
4
|
$6.00
|
$36.64
|
$15.00
|
$36.64
|
$25.82
|
2026-07-20
|
|
94200
|
HCPCS
|
Incentive Spirometry
|
2
|
2
|
$80.50
|
$15.86
80% off
|
$15.86
|
$28.00
|
$21.93
|
2026-07-15
|
|
92568
|
HCPCS
|
Acoustic Reflex Testing
|
4
|
4
|
$18.00
|
$15.17
|
$15.17
|
$27.00
|
$21.09
|
2026-07-20
|
|
97035
|
HCPCS
|
Ultrasound 15 Min Ca
|
4
|
4
|
$44.25
|
$14.58
67% off
|
$14.58
|
$26.00
|
$20.29
|
2026-07-20
|
|
51798
|
HCPCS
|
US Urine Bladder Capacity Msmt
|
2
|
2
|
$27.80
|
$12.58
55% off
|
$12.58
|
$26.00
|
$19.29
|
2026-07-15
|
|
97014
|
HCPCS
|
Electrical Stim Superv
|
4
|
4
|
$14.34
|
$14.87
|
$14.87
|
$23.00
|
$18.93
|
2026-07-20
|
|
G0239
|
HCPCS
|
Oth Resp Procedure Group
|
4
|
4
|
$10.00
|
$13.76
|
$13.76
|
$24.00
|
$18.88
|
2026-07-20
|
|
99406
|
HCPCS
|
Smoking Cessation Counseling <10 Minutes
|
2
|
2
|
$27.68
|
$15.03
46% off
|
$15.03
|
$22.00
|
$18.52
|
2026-07-15
|
|
97150
|
HCPCS
|
Group Theraputic Procedures
|
5
|
5
|
$64.50
|
$18.16
72% off
|
$14.57
|
$32.00
|
$18.16
|
2026-07-20
|
|
G0283
|
HCPCS
|
Elect Stim-not Woundcare
|
4
|
4
|
$28.00
|
$12.94
54% off
|
$12.94
|
$23.00
|
$17.97
|
2026-07-20
|
|
92567
|
HCPCS
|
Tympanometry (impedance Testing)
|
4
|
4
|
$20.00
|
$16.25
|
$16.25
|
$19.00
|
$17.62
|
2026-07-20
|
|
G0237
|
HCPCS
|
Thera Procedure Strength Endurance
|
4
|
4
|
$8.00
|
$12.10
|
$12.10
|
$21.00
|
$16.55
|
2026-07-20
|
|
G0281
|
HCPCS
|
Elec Stim Stage Iii/iv W
|
4
|
4
|
$26.32
|
$11.95
55% off
|
$11.95
|
$21.00
|
$16.48
|
2026-07-20
|
|
97022
|
HCPCS
|
Whirlpool, Supervised
|
5
|
5
|
$36.18
|
$16.27
55% off
|
$10.04
|
$28.00
|
$16.27
|
2026-07-20
|
|
97034
|
HCPCS
|
Contrast Bath 15 Min Ca
|
5
|
5
|
$45.00
|
$14.25
68% off
|
$14.25
|
$25.00
|
$15.41
|
2026-07-20
|
|
G0238
|
HCPCS
|
Oth Resp Procedure Individual
|
4
|
4
|
$9.00
|
$10.77
|
$10.77
|
$19.00
|
$14.88
|
2026-07-20
|
|
97032
|
HCPCS
|
Elec Stim Ca 15 Min
|
5
|
5
|
$59.00
|
$14.87
75% off
|
$7.30
|
$26.00
|
$14.87
|
2026-07-20
|
|
G0379
|
HCPCS
|
Direct Admission For Observation Care
|
2
|
2
|
$262.50
|
$11.05
96% off
|
$11.05
|
$16.00
|
$13.53
|
2026-07-15
|
|
G0378
|
HCPCS
|
Hospital Observation Services - Each Add'l Hour
|
2
|
2
|
$50.00
|
$11.05
78% off
|
$11.05
|
$16.00
|
$13.53
|
2026-07-15
|
|
94640
|
HCPCS
|
Metered Dose Inhaler (mdi) Training
|
2
|
2
|
$45.25
|
$8.45
81% off
|
$8.45
|
$15.00
|
$11.72
|
2026-07-15
|
|
0270
|
RC
|
—
|
1
|
1
|
$2.25
|
$11.05
|
$11.05
|
$11.05
|
$11.05
|
2026-07-15
|
|
M0243
|
HCPCS
|
Monoclonal Antibodies Infusion And Post Administration Monitoring
|
1
|
1
|
$900.00
|
$11.05
99% off
|
$11.05
|
$11.05
|
$11.05
|
2026-07-15
|
|
93005
|
HCPCS
|
EKG Tracing Without Interpretation And Report
|
2
|
2
|
$52.50
|
$6.79
87% off
|
$6.79
|
$12.00
|
$9.39
|
2026-07-15
|
|
97018
|
HCPCS
|
Paraffin Bath, Supervise
|
4
|
4
|
$27.75
|
$6.74
76% off
|
$6.74
|
$12.00
|
$9.37
|
2026-07-20
|
|
94761
|
HCPCS
|
Pulse Oxim, Multi Determ, Exer
|
2
|
2
|
$24.75
|
$4.46
82% off
|
$4.46
|
$8.00
|
$6.23
|
2026-07-15
|
|
94760
|
HCPCS
|
Pulse Oximetry
|
2
|
2
|
$63.00
|
$4.13
93% off
|
$4.13
|
$7.00
|
$5.56
|
2026-07-15
|
|
10157982201
|
CDM
|
Blistex Lip Mis Balm
|
0
|
0
|
$3.51
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
10144092901
|
CDM
|
Qutenza Kit 8% 2-pch
|
0
|
0
|
$3,367.55
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
10144060415
|
CDM
|
Zanaflex Cap 4mg
|
0
|
0
|
$14.42
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
1014158000
|
CDM
|
Amino-mag 200
|
0
|
0
|
$3.40
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
10140
|
CDM
|
Drainage Of Hematoma/fluid
|
0
|
0
|
$274.52
|
$190.58
31% off
|
—
|
—
|
—
|
2026-05-14
|
|
10135013601
|
CDM
|
Docusate Sod Cap 250mg
|
0
|
0
|
$3.05
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
10120
|
CDM
|
Remove Foreign Body
|
0
|
0
|
$230.18
|
$165.82
28% off
|
—
|
—
|
—
|
2026-05-14
|
|
10119041502
|
CDM
|
Sight Savers Mis Tissues
|
0
|
0
|
$3.14
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
10119005220
|
CDM
|
Renu Multipl Sol Lubricat
|
0
|
0
|
$4.03
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
10119003586
|
CDM
|
Biotrue Sol
|
0
|
0
|
$3.05
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
10119003122
|
CDM
|
Renu Multipl Sol
|
0
|
0
|
$3.06
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
10119002239
|
CDM
|
Soothe Night Oin Op
|
0
|
0
|
$6.91
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
10119002090
|
CDM
|
Opcon-a Sol Op
|
0
|
0
|
$3.65
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
10119000238
|
CDM
|
Sens Eyes Sol Plus
|
0
|
0
|
$3.02
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
1008377980
|
CDM
|
Celleraterx Gel
|
0
|
0
|
$14.05
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
10081
|
CDM
|
Drainage Of Pilonidal Cyst
|
0
|
0
|
$404.66
|
$340.81
|
—
|
—
|
—
|
2026-05-14
|
|
1007249962
|
CDM
|
Collagen Topical
|
0
|
0
|
$3.15
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
10061
|
CDM
|
Drainage Of Skin Abscess
|
0
|
0
|
$417.54
|
$236.91
43% off
|
—
|
—
|
—
|
2026-05-14
|
|
10060
|
CDM
|
Drainage Of Skin Abscess
|
0
|
0
|
$225.00
|
$133.61
41% off
|
—
|
—
|
—
|
2026-05-14
|
|
10036
|
CDM
|
Perq Dev Soft Tiss Add Imag
|
0
|
0
|
$101.18
|
$408.65
|
—
|
—
|
—
|
2026-05-14
|
|
10035681
|
CDM
|
Gauze 8 Ply Ns 2x2 Spng
|
0
|
0
|
$3.01
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
10035
|
CDM
|
Perq Dev Soft Tiss 1st Imag
|
0
|
0
|
$193.74
|
$481.22
|
—
|
—
|
—
|
2026-05-14
|
|
10030
|
CDM
|
Guide Cathet Fluid Drainage
|
0
|
0
|
$319.08
|
$661.27
|
—
|
—
|
—
|
2026-05-14
|
|
1002182104
|
CDM
|
Mouth Guards
|
0
|
0
|
$48.53
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
10021
|
CDM
|
Fna Without Image
|
0
|
0
|
$131.30
|
$110.09
|
—
|
—
|
—
|
2026-05-14
|
|
1002075212
|
CDM
|
Urea-40%-cream
|
0
|
0
|
$3.35
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
10013
|
CDM
|
��Thyroid Panel
|
0
|
0
|
$25.00
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
1001199980
|
CDM
|
Phyllanthus Emblica
|
0
|
0
|
$3.28
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
10006073120
|
CDM
|
Reguloid Pow 43%
|
0
|
0
|
$3.02
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
10006073036
|
CDM
|
Vitamin B-12 Tab 500mcg
|
0
|
0
|
$3.04
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
10006073019
|
CDM
|
Vitamin B1 Tab 50mg
|
0
|
0
|
$3.16
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
10006073013
|
CDM
|
Iron Tab 45mg
|
0
|
0
|
$3.14
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
10006070127
|
CDM
|
Vitamin D Cap 125mcg
|
0
|
0
|
$3.05
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
10006070048
|
CDM
|
Biotin Tab 300mcg
|
0
|
0
|
$3.06
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
10006070043
|
CDM
|
Vitamin E Cap 200unit
|
0
|
0
|
$3.10
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
10006070032
|
CDM
|
Niacin Cap 500mg Tr
|
0
|
0
|
$3.19
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
10006070027
|
CDM
|
Glucos/chond Tab 500-400
|
0
|
0
|
$3.22
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
10006070022
|
CDM
|
Vitamin B-12 Tab 1000mcg
|
0
|
0
|
$3.06
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
10006070021
|
CDM
|
Vitamin B1 Tab 100mg
|
0
|
0
|
$3.06
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
10006070017
|
CDM
|
Garlic Cap 500mg
|
0
|
0
|
$3.08
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
10006070012
|
CDM
|
Vitamin B-6 Tab 50mg
|
0
|
0
|
$3.04
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
10006070009
|
CDM
|
Niacin Tab 500mg Tr
|
0
|
0
|
$3.08
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
10000030
|
CDM
|
Coverall
|
0
|
0
|
$18.00
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
100000050
|
CDM
|
Hand Sanitizer 4 0z
|
0
|
0
|
$3.07
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
100000040
|
CDM
|
Safety Eye Shield
|
0
|
0
|
$16.53
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
1000000020
|
CDM
|
Hand Sanitizer 75% Alc 1l
|
0
|
0
|
$3.06
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
10006070020
|
CDM
|
Niacin Cap 250mg Tr
|
0
|
0
|
$3.18
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
10000000002
|
CDM
|
Multivitamin/minerals(pf)
|
0
|
0
|
$3.00
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
U0004
|
HCPCS
|
2019-ncov Coronavirsus
|
0
|
0
|
$200.00
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
U0001
|
HCPCS
|
��cdc Sars-cov-2/2019 (covid-19)
|
0
|
0
|
$71.84
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
Q0091
|
HCPCS
|
Obtaining Screen Pap Smear
|
0
|
0
|
$42.70
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
G2063
|
HCPCS
|
Qual Nonmd Est Pt 21>min
|
0
|
0
|
$70.98
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
G0506
|
HCPCS
|
Comp Asses Care Plan Ccm Svc
|
0
|
0
|
$100.70
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
G0500
|
HCPCS
|
Mod Sedat Endo Service >5yrs
|
0
|
0
|
$13.94
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
10006070171
|
CDM
|
Fiber Therap Pow 25%
|
0
|
0
|
$3.03
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
G0473
|
HCPCS
|
Group Behave Couns 2-10
|
0
|
0
|
$25.14
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
G0463
|
HCPCS
|
Outpt Clinic Visit
|
0
|
0
|
$200.00
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
G0460
|
HCPCS
|
Autologous Prp For Ulcers
|
0
|
0
|
$305.10
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
10006073051
|
CDM
|
Melatonin Tab 1mg
|
0
|
0
|
$3.03
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
G0455
|
HCPCS
|
Fecal Microbiota Prep Instil
|
0
|
0
|
$165.54
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
G0447
|
HCPCS
|
Behavior Counsel Obesity 15m
|
0
|
0
|
$52.18
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
G0446
|
HCPCS
|
Intens Behave Ther Cardio Dx
|
0
|
0
|
$52.18
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
10019055303
|
CDM
|
Transderm-sc Dis 1mg/3day
|
0
|
0
|
$50.18
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
G0445
|
HCPCS
|
High Inten Beh Couns Std 30m
|
0
|
0
|
$52.18
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
G0444
|
HCPCS
|
Depression Screen Annual
|
0
|
0
|
$20.80
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
G0443
|
HCPCS
|
Brief Alcohol Misuse Counsel
|
0
|
0
|
$52.18
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
G0442
|
HCPCS
|
Annual Alcohol Screen 15 Min
|
0
|
0
|
$20.80
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
G0429
|
HCPCS
|
Dermal Filler Injection(s)
|
0
|
0
|
$156.88
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
G0424
|
HCPCS
|
Pulmonary Rehab W Exer
|
0
|
0
|
$31.36
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
G0402
|
HCPCS
|
Initial Preventive Exam
|
0
|
0
|
$275.32
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
10040
|
CDM
|
Acne Surgery
|
0
|
0
|
$121.80
|
$119.41
|
—
|
—
|
—
|
2026-05-14
|
|
G0397
|
HCPCS
|
Alcohol/subs Interv >30 Min
|
0
|
0
|
$145.56
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
G0396
|
HCPCS
|
Alcohol/subs Interv 15-30mn
|
0
|
0
|
$74.06
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
G0341
|
HCPCS
|
Percutaneous Islet Celltrans
|
0
|
0
|
$819.14
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
10080
|
CDM
|
Drainage Of Pilonidal Cyst
|
0
|
0
|
$237.74
|
$231.43
|
—
|
—
|
—
|
2026-05-14
|
|
G0296
|
HCPCS
|
Visit To Determ Ldct Elig
|
0
|
0
|
$61.72
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
G0271
|
HCPCS
|
Group Mnt 2 Or More 30 Mins
|
0
|
0
|
$34.00
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
G0270
|
HCPCS
|
Mnt Subs Tx For Change Dx
|
0
|
0
|
$61.42
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
10119000252
|
CDM
|
Eye Wash Sol
|
0
|
0
|
$3.06
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
G0268
|
HCPCS
|
Removal Of Impacted Wax Md
|
0
|
0
|
$80.16
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
G0247
|
HCPCS
|
Routine Footcare Pt W Lops
|
0
|
0
|
$48.72
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
G0246
|
HCPCS
|
Followup Eval Of Foot Pt Lop
|
0
|
0
|
$45.12
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
G0245
|
HCPCS
|
Initial Foot Exam Pt Lops
|
0
|
0
|
$93.62
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
G0168
|
HCPCS
|
Wound Closure By Adhesive
|
0
|
0
|
$46.22
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
G0127
|
HCPCS
|
Trim Nail(s)
|
0
|
0
|
$17.10
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
G0121
|
HCPCS
|
Colon Ca Scrn Not Hi Rsk Ind
|
0
|
0
|
$438.48
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
10121
|
CDM
|
Remove Foreign Body
|
0
|
0
|
$436.10
|
$308.03
29% off
|
—
|
—
|
—
|
2026-05-14
|
|
10702017001
|
CDM
|
Desmopressin Tab 0.2mg
|
0
|
0
|
$9.44
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
G0105
|
HCPCS
|
Colorectal Scrn; Hi Risk Ind
|
0
|
0
|
$434.72
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
10702007501
|
CDM
|
Methylphenid Tab 10mg ER
|
0
|
0
|
$13.50
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
10144059415
|
CDM
|
Zanaflex Tab 4mg
|
0
|
0
|
$12.90
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
10702005503
|
CDM
|
Hydroc/homat Tab 5-1.5mg
|
0
|
0
|
$9.28
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
10702003615
|
CDM
|
Sod Poly Sul Pow
|
0
|
0
|
$9.90
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
G0104
|
HCPCS
|
Ca Screen;flexi Sigmoidscope
|
0
|
0
|
$130.14
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
10157995102
|
CDM
|
Blistex Oin Medicate
|
0
|
0
|
$3.51
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
10702001706
|
CDM
|
Chlorphenir Tab 12mg Cr
|
0
|
0
|
$3.85
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
10702001650
|
CDM
|
Indomethacin Cap 75mg ER
|
0
|
0
|
$8.25
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
10702001301
|
CDM
|
Betaxolol Tab 10mg
|
0
|
0
|
$8.63
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
10702000901
|
CDM
|
Oxycodone Tab 30mg
|
0
|
0
|
$8.39
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
10702000310
|
CDM
|
Promethazine Tab 25mg
|
0
|
0
|
$7.59
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
10631012204
|
CDM
|
Ultravate Lot 0.05%
|
0
|
0
|
$38.08
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
G0103
|
HCPCS
|
��psa Screening
|
0
|
0
|
$25.03
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
G0102
|
HCPCS
|
Prostate Ca Screening; Dre
|
0
|
0
|
$19.32
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
10631009160
|
CDM
|
Eurax Cre 10%
|
0
|
0
|
$24.37
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
10631001130
|
CDM
|
Kapspargo Cap 200mg
|
0
|
0
|
$13.38
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
10631001030
|
CDM
|
Kapspargo Cap 100mg
|
0
|
0
|
$11.31
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
10631000830
|
CDM
|
Kapspargo Cap 25mg
|
0
|
0
|
$10.57
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
10612484300
|
CDM
|
Hydrocellular Foam Dress
|
0
|
0
|
$10.40
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
10572030201
|
CDM
|
Peg-3350/kcl Sol /sodium
|
0
|
0
|
$7.47
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
10542008012
|
CDM
|
Ferrimin 150 Tab
|
0
|
0
|
$3.39
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
10542007510
|
CDM
|
Dialyvite Tab 800/iron
|
0
|
0
|
$3.34
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
10542007010
|
CDM
|
Dialyvite Tab 800
|
0
|
0
|
$3.26
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
10542005010
|
CDM
|
Dialyvite Tab 800/zinc
|
0
|
0
|
$3.29
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
10542003209
|
CDM
|
Dialyvite Waf 800
|
0
|
0
|
$3.22
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
10481105201
|
CDM
|
Silver Nitra Sol 25%
|
0
|
0
|
$18.71
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
10400
|
CDM
|
Waste Container Liner
|
0
|
0
|
$3.57
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
10370083005
|
CDM
|
Diltiazem Cap 180mg ER
|
0
|
0
|
$7.97
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
10370082905
|
CDM
|
Diltiazem Cap 120mg ER
|
0
|
0
|
$7.89
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
10572010001
|
CDM
|
Peg-3350 Sol Electrol
|
0
|
0
|
$7.47
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
10370074605
|
CDM
|
Glipizide ER Tab 10mg
|
0
|
0
|
$7.91
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
10337090544
|
CDM
|
Kerydin Sol 5%
|
0
|
0
|
$310.54
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
10337035930
|
CDM
|
Oxistat Lot 1%
|
0
|
0
|
$50.47
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
10631000930
|
CDM
|
Kapspargo Cap 50mg
|
0
|
0
|
$10.57
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
10331000016
|
CDM
|
Dickinsons Liq Witch Hz
|
0
|
0
|
$3.02
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
10310043015
|
CDM
|
Baby Oragel
|
0
|
0
|
$3.98
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
10310032501
|
CDM
|
Orajel 4x Medicated
|
0
|
0
|
$4.86
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
10631009430
|
CDM
|
Halog Cre 0.1%
|
0
|
0
|
$33.21
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
10310028340
|
CDM
|
Orajel 3x Medicated
|
0
|
0
|
$6.31
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
10310028313
|
CDM
|
Orajel Gel Max Strenght
|
0
|
0
|
$4.13
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
1030089900
|
CDM
|
Glycine
|
0
|
0
|
$3.22
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
10702001210
|
CDM
|
Hydroxyz Hcl Tab 50mg
|
0
|
0
|
$7.73
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
1024074700
|
CDM
|
Milk Of Magnesia
|
0
|
0
|
$3.19
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
10223020104
|
CDM
|
Cetacaine Aer
|
0
|
0
|
$28.53
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
10180002963
|
CDM
|
Citicoline 250 Mg
|
0
|
0
|
$3.52
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
10702002501
|
CDM
|
Phentermine Tab 37.5mg
|
0
|
0
|
$7.86
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
10180
|
CDM
|
Complex Drainage Wound
|
0
|
0
|
$429.70
|
$295.94
31% off
|
—
|
—
|
—
|
2026-05-14
|
|
10160
|
CDM
|
Puncture Drainage Of Lesion
|
0
|
0
|
$215.36
|
$144.71
33% off
|
—
|
—
|
—
|
2026-05-14
|
|
G0101
|
HCPCS
|
Ca Screen;pelvic/breast Exam
|
0
|
0
|
$68.22
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
10702007601
|
CDM
|
Methylphenid Tab 20mg ER
|
0
|
0
|
$11.64
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
G0009
|
HCPCS
|
��Vaccine Administration
|
0
|
0
|
$33.14
|
—
|
—
|
—
|
—
|
2026-05-14
|
|
G0008
|
HCPCS
|
��Vaccine Administration
|
0
|
0
|
$33.14
|
—
|
—
|
—
|
—
|
2026-05-14
|