|
120
|
EAPG
|
Car T-cell Immunotherapy
|
5
|
5
|
—
|
—
|
$38,738.61
|
$39,900.77
|
$38,738.61
|
2026-07-15
|
|
246
|
EAPG
|
Class IV Therapeutic Radiopharmaceuticals
|
5
|
5
|
—
|
—
|
$32,931.04
|
$33,918.97
|
$32,931.04
|
2026-07-15
|
|
3060
|
EAPG
|
Ventricular Assist Device Procedures
|
5
|
5
|
—
|
—
|
$29,613.42
|
$30,501.83
|
$29,613.42
|
2026-07-15
|
|
J1303
|
HCPCS
|
Ravulizumab(ultomiris)inj:1100mg
|
10
|
5
|
$73,159.30
|
$58,527.44
20% off
|
$6,016.83
|
$94,845.80
|
$25,867.05
|
2026-07-15
|
|
250
|
EAPG
|
Cochlear Device Implantation
|
5
|
5
|
—
|
—
|
$23,210.42
|
$23,906.74
|
$23,210.42
|
2026-07-15
|
|
466
|
EAPG
|
Class Xiv Combined Chemotherapy And Pharmacotherapy
|
5
|
5
|
—
|
—
|
$23,203.67
|
$23,899.78
|
$23,203.67
|
2026-07-15
|
|
J3380
|
HCPCS
|
Entyvio(vedolizumab):300mg
|
5
|
5
|
$31,650.00
|
$25,320.00
20% off
|
$6,073.64
|
$26,111.25
|
$23,104.50
|
2026-07-15
|
|
J3101
|
HCPCS
|
TENECTEPLASE(TNKase)INJ: 50 Mg
|
6
|
6
|
$36,500.00
|
$29,200.00
20% off
|
$7,004.35
|
$30,112.50
|
$22,447.50
|
2026-07-15
|
|
97
|
EAPG
|
Aicd And Related Cardiac Device Insertion Or Replacement
|
5
|
5
|
—
|
—
|
$21,272.59
|
$21,910.77
|
$21,272.59
|
2026-07-15
|
|
224
|
EAPG
|
Level Ii Neurostimulator And Related Device Implantation
|
5
|
5
|
—
|
—
|
$18,498.40
|
$19,053.35
|
$18,498.40
|
2026-07-15
|
|
82
|
EAPG
|
Comprehensive Cardiac Electrophysiologic Procedures With Ablation
|
5
|
5
|
—
|
—
|
$16,929.18
|
$17,437.05
|
$16,929.18
|
2026-07-15
|
|
63685
|
HCPCS
|
Insertion/replacement Spinal Neuro Pulse
|
6
|
6
|
$48,140.00
|
$38,512.00
20% off
|
$1,319.85
|
$55,361.00
|
$16,654.03
|
2026-07-15
|
|
465
|
EAPG
|
Class Xiii Combined Chemotherapy And Pharmacotherapy
|
5
|
5
|
—
|
—
|
$16,140.83
|
$16,625.06
|
$16,140.83
|
2026-07-15
|
|
57
|
EAPG
|
Level Iii Spine Procedures
|
5
|
5
|
—
|
—
|
$15,694.72
|
$16,165.56
|
$15,694.72
|
2026-07-15
|
|
104
|
EAPG
|
Major Open Coronary Artery Procedures Including Cabg
|
5
|
5
|
—
|
—
|
$15,560.62
|
$16,027.44
|
$15,560.62
|
2026-07-15
|
|
C1737
|
HCPCS
|
Ifuse Bedrock 9.5x60mm Granite Implant
|
5
|
5
|
$19,580.00
|
$15,664.00
20% off
|
$3,757.40
|
$19,580.00
|
$14,293.40
|
2026-07-15
|
|
J2356
|
HCPCS
|
TEZSPIRE(tezepelumab)INJ:210MG
|
5
|
5
|
$19,500.00
|
$15,600.00
20% off
|
$3,742.05
|
$16,087.50
|
$14,235.00
|
2026-07-15
|
|
122
|
EAPG
|
Percutaneous Intra-abdominal Or Intrathoracic Vascular Procedures
|
5
|
5
|
—
|
—
|
$13,775.39
|
$14,188.65
|
$13,775.39
|
2026-07-15
|
|
121
|
EAPG
|
Level Ii Percutaneous Coronary And Intracardiac Interventional Procedures
|
5
|
5
|
—
|
—
|
$13,710.40
|
$14,121.71
|
$13,710.40
|
2026-07-15
|
|
182
|
EAPG
|
Insertion Of Penile Prosthesis
|
5
|
5
|
—
|
—
|
$13,216.69
|
$13,613.19
|
$13,216.69
|
2026-07-15
|
|
265
|
EAPG
|
Percutaneous Intracranial And Extracranial Vascular Procedures
|
5
|
5
|
—
|
—
|
$13,193.42
|
$13,589.22
|
$13,193.42
|
2026-07-15
|
|
245
|
EAPG
|
Class Iii Therapeutic Radiopharmaceuticals
|
5
|
5
|
—
|
—
|
$12,956.49
|
$13,345.19
|
$12,956.49
|
2026-07-15
|
|
J1306
|
HCPCS
|
Inclisiran(leqvio) 284mg:1.5ml
|
5
|
5
|
$17,220.00
|
$13,776.00
20% off
|
$3,304.52
|
$14,206.50
|
$12,570.60
|
2026-07-15
|
|
3051
|
EAPG
|
Heart And/or Lung Transplant
|
5
|
5
|
—
|
—
|
$12,477.00
|
$12,851.31
|
$12,477.00
|
2026-07-15
|
|
3030
|
EAPG
|
Spinal Implantation Of Drug Infusion Device
|
5
|
5
|
—
|
—
|
$11,956.25
|
$12,314.94
|
$11,956.25
|
2026-07-15
|
|
105
|
EAPG
|
Major Open Cardiac And Cardiac Valve Procedures
|
5
|
5
|
—
|
—
|
$11,399.02
|
$11,740.99
|
$11,399.02
|
2026-07-15
|
|
337
|
EAPG
|
Class Iii Brachytherapy Sources
|
5
|
5
|
—
|
—
|
$11,179.01
|
$11,514.39
|
$11,179.01
|
2026-07-15
|
|
55
|
EAPG
|
Level Ii Hip And Femur Procedures
|
5
|
5
|
—
|
—
|
$10,999.56
|
$11,329.54
|
$10,999.56
|
2026-07-15
|
|
85
|
EAPG
|
Level Iii Peripheral Endovascular And Transcatheter Procedures
|
5
|
5
|
—
|
—
|
$10,677.66
|
$10,997.99
|
$10,677.66
|
2026-07-15
|
|
29
|
EAPG
|
Level Ii Spine Procedures
|
5
|
5
|
—
|
—
|
$9,861.88
|
$10,157.73
|
$9,861.88
|
2026-07-15
|
|
C1831
|
HCPCS
|
3d Lumbar Interbody, 10x 27x7mm 5
|
75
|
5
|
$16,010.00
|
$12,808.00
20% off
|
$4.22
|
$117,020.00
|
$9,533.80
|
2026-07-15
|
|
58
|
EAPG
|
Level Ii Shoulder And Upper Arm Procedures
|
5
|
5
|
—
|
—
|
$9,513.54
|
$9,798.95
|
$9,513.54
|
2026-07-15
|
|
J3111
|
HCPCS
|
Evenity(romosozumab):210mg
|
5
|
5
|
$12,618.80
|
$10,095.04
|
$2,421.55
|
$10,410.51
|
$9,211.72
|
2026-07-15
|
|
47
|
EAPG
|
Level Ii Arthroplasty
|
5
|
5
|
—
|
—
|
$9,088.28
|
$9,360.93
|
$9,088.28
|
2026-07-15
|
|
J2357
|
HCPCS
|
Xolair(omalizumab)300mg Syr:2ml
|
5
|
5
|
$12,400.00
|
$9,920.00
20% off
|
$2,379.56
|
$10,230.00
|
$9,052.00
|
2026-07-15
|
|
J2993
|
HCPCS
|
Retavase(reteplase)inj:10 Units(1 Vial)
|
10
|
5
|
$15,638.50
|
$12,510.80
20% off
|
$2,001.52
|
$17,198.78
|
$8,604.75
|
2026-07-15
|
|
3011
|
EAPG
|
Bone Conduction Hearing Device Implantation
|
5
|
5
|
—
|
—
|
$8,534.16
|
$8,790.19
|
$8,534.16
|
2026-07-15
|
|
99
|
EAPG
|
Level I Percutaneous Coronary And Intracardiac Interventional Procedures
|
5
|
5
|
—
|
—
|
$8,507.31
|
$8,762.53
|
$8,507.31
|
2026-07-15
|
|
106
|
EAPG
|
Major Open Abdominal And Thoracic Vascular Procedures
|
5
|
5
|
—
|
—
|
$8,266.74
|
$8,514.74
|
$8,266.74
|
2026-07-15
|
|
J2505
|
HCPCS
|
Neulasta(pegfilgrastim)inj:6 Mg
|
5
|
5
|
$10,829.00
|
$8,663.20
|
$2,078.09
|
$8,933.93
|
$7,905.17
|
2026-07-15
|
|
3070
|
EAPG
|
Extracorporeal Membrane Oxygenation (ecmo) Procedures
|
5
|
5
|
—
|
—
|
$7,694.81
|
$7,925.66
|
$7,694.81
|
2026-07-15
|
|
J2997
|
HCPCS
|
Alteplase (activase)inj: 100 Mg
|
15
|
5
|
$15,380.00
|
$12,304.00
20% off
|
$163.12
|
$30,937.50
|
$7,690.00
|
2026-07-15
|
|
86
|
EAPG
|
Pacemaker And Other Cardiovascular Device Insertion And Replacement
|
5
|
5
|
—
|
—
|
$7,556.72
|
$7,783.43
|
$7,556.72
|
2026-07-15
|
|
52
|
EAPG
|
Level Ii Knee And Lower Leg Procedures
|
5
|
5
|
—
|
—
|
$7,459.88
|
$7,683.68
|
$7,459.88
|
2026-07-15
|
|
22
|
EAPG
|
Level Ii Mastectomy And Reconstructive Breast Procedures
|
5
|
5
|
—
|
—
|
$7,425.63
|
$7,648.40
|
$7,425.63
|
2026-07-15
|
|
3052
|
EAPG
|
Kidney Transplant
|
5
|
5
|
—
|
—
|
$7,416.05
|
$7,638.53
|
$7,416.05
|
2026-07-15
|
|
464
|
EAPG
|
Class Xii Combined Chemotherapy And Pharmacotherapy
|
5
|
5
|
—
|
—
|
$7,177.01
|
$7,392.32
|
$7,177.01
|
2026-07-15
|
|
172
|
EAPG
|
Level Iii Kidney And Ureteral Procedures
|
5
|
5
|
—
|
—
|
$6,959.00
|
$7,167.77
|
$6,959.00
|
2026-07-15
|
|
J0840
|
HCPCS
|
Crofab(crotalidae Antivenin):2 Ml Vial
|
5
|
5
|
$9,254.00
|
$7,403.20
20% off
|
$1,775.84
|
$7,634.55
|
$6,755.42
|
2026-07-15
|
|
79
|
EAPG
|
Level Ii Peripheral Endovascular And Transcatheter Procedures
|
5
|
5
|
—
|
—
|
$6,669.48
|
$6,869.57
|
$6,669.48
|
2026-07-15
|
|
73
|
EAPG
|
Diaphragmatic Procedures And Related Hernia Repair
|
5
|
5
|
—
|
—
|
$6,596.80
|
$6,794.70
|
$6,596.80
|
2026-07-15
|
|
87
|
EAPG
|
Removal Or Revision Of Pacemakers And Other Cardiovascular Devices
|
5
|
5
|
—
|
—
|
$6,488.62
|
$6,683.28
|
$6,488.62
|
2026-07-15
|
|
96
|
EAPG
|
Cardiac Electrophysiologic Procedures Including Pacing And Recording
|
5
|
5
|
—
|
—
|
$6,484.97
|
$6,679.52
|
$6,484.97
|
2026-07-15
|
|
J1602
|
HCPCS
|
Simponi Aria(golimumab) 50mg Vial:4ml
|
5
|
5
|
$8,850.00
|
$7,080.00
20% off
|
$1,698.32
|
$7,301.25
|
$6,460.50
|
2026-07-15
|
|
267
|
EAPG
|
Other Craniotomy Procedures Including Cranioplasty
|
5
|
5
|
—
|
—
|
$6,308.92
|
$6,498.19
|
$6,308.92
|
2026-07-15
|
|
63650
|
HCPCS
|
Percutaneous Implantation Neurostimulato
|
6
|
6
|
$18,167.00
|
$14,533.60
20% off
|
$1,319.85
|
$20,892.05
|
$6,284.88
|
2026-07-15
|
|
223
|
EAPG
|
Level I Neurostimulator And Related Device Implantation
|
5
|
5
|
—
|
—
|
$5,939.49
|
$6,117.68
|
$5,939.49
|
2026-07-15
|
|
167
|
EAPG
|
Level Ii Urethral Procedures
|
5
|
5
|
—
|
—
|
$5,883.73
|
$6,060.24
|
$5,883.73
|
2026-07-15
|
|
206
|
EAPG
|
Level Ii Hysterectomy And Myomectomy Procedures
|
5
|
5
|
—
|
—
|
$5,806.40
|
$5,980.59
|
$5,806.40
|
2026-07-15
|
|
36
|
EAPG
|
Level Ii Foot Procedures
|
5
|
5
|
—
|
—
|
$5,802.46
|
$5,976.53
|
$5,802.46
|
2026-07-15
|
|
268
|
EAPG
|
Cranial And Spinal Shunt Procedures
|
5
|
5
|
—
|
—
|
$5,734.30
|
$5,906.32
|
$5,734.30
|
2026-07-15
|
|
24
|
EAPG
|
Level Ii Forearm And Wrist Procedures
|
5
|
5
|
—
|
—
|
$5,601.32
|
$5,769.36
|
$5,601.32
|
2026-07-15
|
|
152
|
EAPG
|
Level Ii Hepatobiliary And Pancreas Procedures
|
5
|
5
|
—
|
—
|
$5,504.24
|
$5,669.37
|
$5,504.24
|
2026-07-15
|
|
189
|
EAPG
|
Level Ii Perineal And Vaginal Gynecological Procedures
|
5
|
5
|
—
|
—
|
$5,496.49
|
$5,661.38
|
$5,496.49
|
2026-07-15
|
|
3050
|
EAPG
|
Other Transplant Procedures
|
5
|
5
|
—
|
—
|
$5,477.21
|
$5,641.53
|
$5,477.21
|
2026-07-15
|
|
38
|
EAPG
|
Level Ii Arthroscopy
|
5
|
5
|
—
|
—
|
$5,471.98
|
$5,636.14
|
$5,471.98
|
2026-07-15
|
|
C1734
|
HCPCS
|
Demineralized Bone Fibers 10cc
|
15
|
5
|
$10,880.00
|
$8,704.00
20% off
|
$251.39
|
$21,760.00
|
$5,440.00
|
2026-07-15
|
|
43
|
EAPG
|
Open Or Percutaneous Treatment Of Fractures
|
5
|
5
|
—
|
—
|
$5,405.94
|
$5,568.11
|
$5,405.94
|
2026-07-15
|
|
70
|
EAPG
|
Level Ii Thoracic And Chest Procedures
|
5
|
5
|
—
|
—
|
$5,293.88
|
$5,452.69
|
$5,293.88
|
2026-07-15
|
|
228
|
EAPG
|
Level Ii Craniofacial Bone Procedures
|
5
|
5
|
—
|
—
|
$5,208.03
|
$5,364.27
|
$5,208.03
|
2026-07-15
|
|
123
|
EAPG
|
Peripheral Vascular Bypass Procedures
|
5
|
5
|
—
|
—
|
$5,164.84
|
$5,319.78
|
$5,164.84
|
2026-07-15
|
|
218
|
EAPG
|
Level Ii Peripheral Nerve Procedures
|
5
|
5
|
—
|
—
|
$5,069.76
|
$5,221.86
|
$5,069.76
|
2026-07-15
|
|
129
|
EAPG
|
Esophagogastric Restrictive Procedures And Gastric Fundoplication
|
5
|
5
|
—
|
—
|
$5,046.67
|
$5,198.07
|
$5,046.67
|
2026-07-15
|
|
28
|
EAPG
|
Level I Spine Procedures
|
5
|
5
|
—
|
—
|
$4,969.22
|
$5,118.30
|
$4,969.22
|
2026-07-15
|
|
J0129
|
HCPCS
|
Abatacept(orencia)inj:250mg
|
5
|
5
|
$6,800.00
|
$5,440.00
20% off
|
$1,304.92
|
$5,610.00
|
$4,964.00
|
2026-07-15
|
|
346
|
EAPG
|
Radiosurgery
|
5
|
5
|
—
|
—
|
$4,923.62
|
$5,071.33
|
$4,923.62
|
2026-07-15
|
|
29828
|
HCPCS
|
Arthroscopy, Shoulder, Biceps Tendon
|
6
|
6
|
$6,284.00
|
$5,027.20
20% off
|
$1,205.90
|
$7,226.60
|
$4,885.81
|
2026-07-15
|
|
175
|
EAPG
|
Level Iii Bladder And Ureteral Procedures
|
5
|
5
|
—
|
—
|
$4,845.35
|
$4,990.71
|
$4,845.35
|
2026-07-15
|
|
J3262
|
HCPCS
|
Actemra 400 Mg Inj
|
5
|
5
|
$6,630.00
|
$5,304.00
20% off
|
$1,272.30
|
$5,469.75
|
$4,839.90
|
2026-07-15
|
|
25
|
EAPG
|
Level I Shoulder And Upper Arm Procedures
|
5
|
5
|
—
|
—
|
$4,739.88
|
$4,882.07
|
$4,739.88
|
2026-07-15
|
|
266
|
EAPG
|
Open Intracranial And Extracranial Vascular Procedures
|
5
|
5
|
—
|
—
|
$4,722.07
|
$4,863.73
|
$4,722.07
|
2026-07-15
|
|
280
|
EAPG
|
Level Iii Vascular Radiological Procedures
|
5
|
5
|
—
|
—
|
$4,701.86
|
$4,842.91
|
$4,701.86
|
2026-07-15
|
|
184
|
EAPG
|
Level Ii Prostate Procedures
|
5
|
5
|
—
|
—
|
$4,638.92
|
$4,778.09
|
$4,638.92
|
2026-07-15
|
|
153
|
EAPG
|
Level Ii Ercp And Related Endoscopic Procedures
|
5
|
5
|
—
|
—
|
$4,368.62
|
$4,499.68
|
$4,368.62
|
2026-07-15
|
|
263
|
EAPG
|
Thyroid And Parathyroid Procedures
|
5
|
5
|
—
|
—
|
$4,366.62
|
$4,497.62
|
$4,366.62
|
2026-07-15
|
|
255
|
EAPG
|
Level IV Ear, Nose, Mouth And Throat Procedures
|
5
|
5
|
—
|
—
|
$4,366.51
|
$4,497.50
|
$4,366.51
|
2026-07-15
|
|
208
|
EAPG
|
Level Ii Other Uterine And Adnexa Gynecological Procedures
|
5
|
5
|
—
|
—
|
$4,358.34
|
$4,489.09
|
$4,358.34
|
2026-07-15
|
|
463
|
EAPG
|
Class Xi Combined Chemotherapy And Pharmacotherapy
|
5
|
5
|
—
|
—
|
$4,331.72
|
$4,461.67
|
$4,331.72
|
2026-07-15
|
|
J0841
|
HCPCS
|
Anavip(crotalidae Immune F):10 Ml Vial
|
5
|
5
|
$5,856.00
|
$4,684.80
|
$1,123.77
|
$4,831.20
|
$4,274.88
|
2026-07-15
|
|
155
|
EAPG
|
Level Iii Blood Product Exchange Services
|
5
|
5
|
—
|
—
|
$4,249.51
|
$4,377.00
|
$4,249.51
|
2026-07-15
|
|
174
|
EAPG
|
Level Ii Bladder And Ureteral Procedures
|
5
|
5
|
—
|
—
|
$4,153.49
|
$4,278.10
|
$4,153.49
|
2026-07-15
|
|
204
|
EAPG
|
Level I Hysterectomy And Myomectomy Procedures
|
5
|
5
|
—
|
—
|
$4,135.51
|
$4,259.58
|
$4,135.51
|
2026-07-15
|
|
462
|
EAPG
|
Class X Combined Chemotherapy And Pharmacotherapy
|
5
|
5
|
—
|
—
|
$4,114.42
|
$4,237.85
|
$4,114.42
|
2026-07-15
|
|
297
|
EAPG
|
Magnetocephalography
|
5
|
5
|
—
|
—
|
$4,070.58
|
$4,192.70
|
$4,070.58
|
2026-07-15
|
|
71
|
EAPG
|
Level Ii Lower Airway Endoscopy
|
5
|
5
|
—
|
—
|
$4,052.07
|
$4,173.63
|
$4,052.07
|
2026-07-15
|
|
264
|
EAPG
|
Major Craniotomy And Craniectomy Surgical Procedures
|
5
|
5
|
—
|
—
|
$4,035.97
|
$4,157.05
|
$4,035.97
|
2026-07-15
|
|
154
|
EAPG
|
Level Iii Upper Gi Endoscopy
|
5
|
5
|
—
|
—
|
$4,007.18
|
$4,127.39
|
$4,007.18
|
2026-07-15
|
|
128
|
EAPG
|
Level Ii Small And Large Intestine Surgical Procedures
|
5
|
5
|
—
|
—
|
$3,983.20
|
$4,102.70
|
$3,983.20
|
2026-07-15
|
|
3035
|
EAPG
|
Abdominal Hernia Repair
|
5
|
5
|
—
|
—
|
$3,884.19
|
$4,000.72
|
$3,884.19
|
2026-07-15
|
|
77
|
EAPG
|
Level I Peripheral Endovascular And Transcatheter Procedures
|
5
|
5
|
—
|
—
|
$3,882.02
|
$3,998.48
|
$3,882.02
|
2026-07-15
|
|
27
|
EAPG
|
Level I Hip And Femur Procedures
|
5
|
5
|
—
|
—
|
$3,838.89
|
$3,954.05
|
$3,838.89
|
2026-07-15
|
|
3033
|
EAPG
|
Inguinal, Femoral And Umbilical Hernia Repair
|
5
|
5
|
—
|
—
|
$3,815.73
|
$3,930.21
|
$3,815.73
|
2026-07-15
|
|
91
|
EAPG
|
Level Ii Peripheral Vascular Repair, Ligation Or Reconstruction
|
5
|
5
|
—
|
—
|
$3,785.30
|
$3,898.85
|
$3,785.30
|
2026-07-15
|
|
179
|
EAPG
|
Ectopic Pregnancy Procedures
|
5
|
5
|
—
|
—
|
$3,772.02
|
$3,885.18
|
$3,772.02
|
2026-07-15
|
|
126
|
EAPG
|
Level Ii Esophageal And Gastric Surgical Procedures
|
5
|
5
|
—
|
—
|
$3,732.47
|
$3,844.44
|
$3,732.47
|
2026-07-15
|
|
225
|
EAPG
|
Other Intracranial Neurosurgery Procedures
|
5
|
5
|
—
|
—
|
$3,709.85
|
$3,821.14
|
$3,709.85
|
2026-07-15
|
|
108
|
EAPG
|
Other Intra-abdominal And Intraperitoneal Surgical Procedures
|
5
|
5
|
—
|
—
|
$3,677.06
|
$3,787.37
|
$3,677.06
|
2026-07-15
|
|
107
|
EAPG
|
Cholecystectomy And Related Biliary Procedures
|
5
|
5
|
—
|
—
|
$3,660.43
|
$3,770.24
|
$3,660.43
|
2026-07-15
|
|
59409
|
HCPCS
|
Newborn Delivery
|
6
|
6
|
$4,650.00
|
$3,720.00
20% off
|
$892.34
|
$5,347.50
|
$3,615.38
|
2026-07-15
|
|
125
|
EAPG
|
Level I Esophageal And Gastric Surgical Procedures
|
5
|
5
|
—
|
—
|
$3,565.35
|
$3,672.31
|
$3,565.35
|
2026-07-15
|
|
59
|
EAPG
|
Arteriovenous Fistula Creation Or Revision For Hemodialysis
|
5
|
5
|
—
|
—
|
$3,531.33
|
$3,637.27
|
$3,531.33
|
2026-07-15
|
|
46
|
EAPG
|
Level I Arthroplasty
|
5
|
5
|
—
|
—
|
$3,516.93
|
$3,622.44
|
$3,516.93
|
2026-07-15
|
|
J2407
|
HCPCS
|
Oritavancin(orbactiv)inj:400mg
|
5
|
5
|
$4,780.00
|
$3,824.00
20% off
|
$917.28
|
$3,943.50
|
$3,489.40
|
2026-07-15
|
|
21
|
EAPG
|
Level I Mastectomy And Reconstructive Breast Procedures
|
5
|
5
|
—
|
—
|
$3,424.21
|
$3,526.93
|
$3,424.21
|
2026-07-15
|
|
254
|
EAPG
|
Level Iii Ear, Nose, Mouth And Throat Procedures
|
5
|
5
|
—
|
—
|
$3,423.91
|
$3,526.63
|
$3,423.91
|
2026-07-15
|
|
235
|
EAPG
|
Level Ii Anterior Chamber Eye Procedures
|
5
|
5
|
—
|
—
|
$3,323.43
|
$3,423.13
|
$3,323.43
|
2026-07-15
|
|
C9359
|
HCPCS
|
Ortho 1 Cc Dbm Putty
|
46
|
6
|
$7,310.00
|
$5,848.00
20% off
|
$145.84
|
$19,080.00
|
$3,294.80
|
2026-07-15
|
|
J0256
|
HCPCS
|
Nf-zemaira Iv:6664mg
|
10
|
5
|
$5,212.00
|
$4,169.60
|
$794.47
|
$5,184.30
|
$3,278.75
|
2026-07-15
|
|
248
|
EAPG
|
Level Ii Corneal And Other Anterior Surface Eye Procedures
|
5
|
5
|
—
|
—
|
$3,228.65
|
$3,325.51
|
$3,228.65
|
2026-07-15
|
|
26
|
EAPG
|
Level I Knee And Lower Leg Procedures
|
5
|
5
|
—
|
—
|
$3,198.56
|
$3,294.52
|
$3,198.56
|
2026-07-15
|
|
115
|
EAPG
|
Deep Lymph Structure Procedures
|
5
|
5
|
—
|
—
|
$3,174.94
|
$3,270.19
|
$3,174.94
|
2026-07-15
|
|
Q0138
|
HCPCS
|
Feraheme(ferumoxytol) Inj: 510 Mg
|
6
|
6
|
$5,143.00
|
$4,114.40
20% off
|
$157.19
|
$4,242.98
|
$3,162.94
|
2026-07-15
|
|
238
|
EAPG
|
Level Ii Intravitreal, Retinal And Other Posterior Chamber Eye Procedures
|
5
|
5
|
—
|
—
|
$3,146.32
|
$3,240.71
|
$3,146.32
|
2026-07-15
|
|
276
|
EAPG
|
Procedures For Revision Or Removal Of Neurostimulator Devices
|
5
|
5
|
—
|
—
|
$3,132.57
|
$3,226.55
|
$3,132.57
|
2026-07-15
|
|
187
|
EAPG
|
Level Ii Penile Procedures
|
5
|
5
|
—
|
—
|
$3,102.96
|
$3,196.05
|
$3,102.96
|
2026-07-15
|
|
369
|
EAPG
|
Level Iii Oral Surgery Procedures
|
5
|
5
|
—
|
—
|
$3,095.79
|
$3,188.66
|
$3,095.79
|
2026-07-15
|
|
72159
|
HCPCS
|
MRI Angio Spine With Without Contrast
|
6
|
6
|
$3,962.00
|
$3,169.60
20% off
|
$760.31
|
$4,556.30
|
$3,080.45
|
2026-07-15
|
|
75635
|
HCPCS
|
CT Angio Aorta With Iliofemoral Runoff
|
6
|
6
|
$3,914.00
|
$3,131.20
20% off
|
$751.10
|
$4,501.10
|
$3,043.14
|
2026-07-15
|
|
73225
|
HCPCS
|
MRI Angio Joint Upr Extrem With Without Cont
|
6
|
6
|
$3,913.00
|
$3,130.40
20% off
|
$750.90
|
$4,499.95
|
$3,042.36
|
2026-07-15
|
|
29874
|
HCPCS
|
Knee Arthoscopy/surgery
|
6
|
6
|
$3,960.00
|
$3,168.00
20% off
|
$759.92
|
$4,554.00
|
$3,020.40
|
2026-07-15
|
|
29823
|
HCPCS
|
Arthroscopy, Shoulder, Debridment, Cmplx
|
6
|
6
|
$3,960.00
|
$3,168.00
20% off
|
$759.92
|
$4,554.00
|
$3,020.40
|
2026-07-15
|
|
A9548
|
HCPCS
|
Nm In111 Pentetate
|
5
|
5
|
$4,097.00
|
$3,277.60
20% off
|
$786.21
|
$3,380.03
|
$2,990.81
|
2026-07-15
|
|
166
|
EAPG
|
Level I Urethral Procedures
|
5
|
5
|
—
|
—
|
$2,970.39
|
$3,059.50
|
$2,970.39
|
2026-07-15
|
|
23420
|
HCPCS
|
Repair Of Shoulder
|
6
|
6
|
$5,586.00
|
$4,468.80
|
$1,071.95
|
$6,423.90
|
$2,959.28
|
2026-07-15
|
|
262
|
EAPG
|
Cleft Lip And Palate Repair
|
5
|
5
|
—
|
—
|
$2,943.71
|
$3,032.03
|
$2,943.71
|
2026-07-15
|
|
360
|
EAPG
|
Level Ii Maxillofacial Prosthetics
|
5
|
5
|
—
|
—
|
$2,938.37
|
$3,026.52
|
$2,938.37
|
2026-07-15
|
|
90371
|
HCPCS
|
Hepatitis B Imm Glob 5ml
|
5
|
5
|
$4,023.00
|
$3,218.40
20% off
|
$772.01
|
$3,318.98
|
$2,936.79
|
2026-07-15
|
|
C1776
|
HCPCS
|
Ortho Fibula Plate Left Distal
|
266
|
6
|
$4,790.00
|
$3,832.00
20% off
|
$117.06
|
$31,330.00
|
$2,920.00
|
2026-07-15
|
|
241
|
EAPG
|
Ocular Reconstructive Procedures W Or Without Ocular Device
|
5
|
5
|
—
|
—
|
$2,907.22
|
$2,994.44
|
$2,907.22
|
2026-07-15
|
|
71275
|
HCPCS
|
CT Angiography, Chest
|
7
|
7
|
$3,914.00
|
$3,131.20
20% off
|
$388.75
|
$4,501.10
|
$2,857.22
|
2026-07-15
|
|
171
|
EAPG
|
Level Ii Kidney And Ureteral Procedures
|
5
|
5
|
—
|
—
|
$2,843.58
|
$2,928.89
|
$2,843.58
|
2026-07-15
|
|
J1459
|
HCPCS
|
Privigen 10%(ivig) 40 Gram: 400 Ml
|
10
|
5
|
$10,757.50
|
$8,606.00
20% off
|
$458.64
|
$15,778.13
|
$2,820.92
|
2026-07-15
|
|
78588
|
HCPCS
|
Nm Perfusion Lung Image
|
5
|
5
|
$3,838.00
|
$3,070.40
20% off
|
$736.51
|
$3,166.35
|
$2,801.74
|
2026-07-15
|
|
J1561
|
HCPCS
|
Gammagard 10%(ivig) 20 Gram: 200 Ml
|
25
|
5
|
$5,588.00
|
$4,470.40
20% off
|
$107.27
|
$18,442.88
|
$2,794.00
|
2026-07-15
|
|
71555
|
HCPCS
|
MRI Angio Chest W Or Without Contrast
|
6
|
6
|
$3,516.00
|
$2,812.80
|
$674.72
|
$4,043.40
|
$2,733.69
|
2026-07-15
|
|
72198
|
HCPCS
|
MRI Angio Pelvis With Without Contrast
|
6
|
6
|
$3,506.00
|
$2,804.80
|
$672.80
|
$4,031.90
|
$2,725.91
|
2026-07-15
|
|
74185
|
HCPCS
|
MRI Angio Abd With Without Contrast
|
6
|
6
|
$3,499.00
|
$2,799.20
20% off
|
$671.46
|
$4,023.85
|
$2,720.47
|
2026-07-15
|
|
363
|
EAPG
|
Level Iii Dental Restorations
|
5
|
5
|
—
|
—
|
$2,705.50
|
$2,786.66
|
$2,705.50
|
2026-07-15
|
|
A9521
|
HCPCS
|
Nm Tc99m Ceretec
|
5
|
5
|
$3,665.00
|
$2,932.00
20% off
|
$703.31
|
$3,023.63
|
$2,675.45
|
2026-07-15
|
|
227
|
EAPG
|
Level I Craniofacial Bone Procedures
|
5
|
5
|
—
|
—
|
$2,672.88
|
$2,753.07
|
$2,672.88
|
2026-07-15
|
|
70554
|
HCPCS
|
MRA Brain
|
6
|
6
|
$3,416.00
|
$2,732.80
|
$655.53
|
$3,928.40
|
$2,655.94
|
2026-07-15
|
|
138
|
EAPG
|
Level I Ercp And Related Endoscopic Procedures
|
5
|
5
|
—
|
—
|
$2,637.98
|
$2,717.12
|
$2,637.98
|
2026-07-15
|
|
J0717
|
HCPCS
|
Certolizumab(cimzia)inj:200mg
|
5
|
5
|
$3,600.00
|
$2,880.00
20% off
|
$690.84
|
$2,970.00
|
$2,628.00
|
2026-07-15
|
|
72158
|
HCPCS
|
MRI Lumbar Spine With Without Contrast
|
6
|
6
|
$4,026.00
|
$3,220.80
|
$772.59
|
$4,629.90
|
$2,624.77
|
2026-07-15
|
|
72157
|
HCPCS
|
MRI Chest/spine With Without Contrast
|
6
|
6
|
$4,026.00
|
$3,220.80
|
$772.59
|
$4,629.90
|
$2,624.77
|
2026-07-15
|
|
72156
|
HCPCS
|
MRI Neck/spine With Without Contrast
|
6
|
6
|
$4,026.00
|
$3,220.80
|
$772.59
|
$4,629.90
|
$2,624.77
|
2026-07-15
|
|
253
|
EAPG
|
Level Ii Ear, Nose, Mouth And Throat Procedures
|
5
|
5
|
—
|
—
|
$2,623.82
|
$2,702.53
|
$2,623.82
|
2026-07-15
|
|
70553
|
HCPCS
|
MRI Brain W/wo Contrast
|
7
|
7
|
$4,026.00
|
$3,220.80
|
$396.59
|
$4,629.90
|
$2,612.33
|
2026-07-15
|
|
336
|
EAPG
|
Class Ii Brachytherapy Sources
|
5
|
5
|
—
|
—
|
$2,606.01
|
$2,684.19
|
$2,606.01
|
2026-07-15
|
|
29826
|
HCPCS
|
Arthroscopy, Shoulder, Subacromial Decm
|
6
|
6
|
$2,795.00
|
$2,236.00
20% off
|
$536.36
|
$3,214.25
|
$2,595.18
|
2026-07-15
|
|
202
|
EAPG
|
Cesarean Delivery Procedures
|
5
|
5
|
—
|
—
|
$2,563.76
|
$2,640.68
|
$2,563.76
|
2026-07-15
|
|
485
|
EAPG
|
Corneal Tissue Processing
|
5
|
5
|
—
|
—
|
$2,562.18
|
$2,639.04
|
$2,562.18
|
2026-07-15
|
|
78596
|
HCPCS
|
Nm Lung Differential Function
|
5
|
5
|
$3,501.00
|
$2,800.80
|
$671.84
|
$2,888.33
|
$2,555.73
|
2026-07-15
|
|
103
|
EAPG
|
Level Ii Varicose Vein And Related Procedures
|
5
|
5
|
—
|
—
|
$2,542.08
|
$2,618.34
|
$2,542.08
|
2026-07-15
|
|
188
|
EAPG
|
Level I Perineal And Vaginal Gynecological Procedures
|
5
|
5
|
—
|
—
|
$2,523.63
|
$2,599.34
|
$2,523.63
|
2026-07-15
|
|
84
|
EAPG
|
Cardiac Catheterization Procedures
|
5
|
5
|
—
|
—
|
$2,429.73
|
$2,502.62
|
$2,429.73
|
2026-07-15
|
|
28120
|
HCPCS
|
Part Removal Of Ankle/heel
|
6
|
6
|
$2,612.00
|
$2,089.60
20% off
|
$501.24
|
$3,003.80
|
$2,426.01
|
2026-07-15
|
|
362
|
EAPG
|
Level Ii Dental Restorations
|
5
|
5
|
—
|
—
|
$2,414.86
|
$2,487.31
|
$2,414.86
|
2026-07-15
|
|
207
|
EAPG
|
Level I Other Uterine And Adnexa Gynecological Procedures
|
5
|
5
|
—
|
—
|
$2,386.30
|
$2,457.89
|
$2,386.30
|
2026-07-15
|
|
23430
|
HCPCS
|
Repair Biceps Tendon
|
6
|
6
|
$5,701.00
|
$4,560.80
|
$1,094.02
|
$6,556.15
|
$2,364.94
|
2026-07-15
|
|
70549
|
HCPCS
|
MRI Angiography Neck W/wo Contrast
|
6
|
6
|
$4,026.00
|
$3,220.80
|
$772.59
|
$4,629.90
|
$2,363.37
|
2026-07-15
|
|
71552
|
HCPCS
|
MRI Chest With Without Contrast
|
6
|
6
|
$4,026.00
|
$3,220.80
|
$772.59
|
$4,629.90
|
$2,363.37
|
2026-07-15
|
|
73223
|
HCPCS
|
MRI Joint Upr Extrem W Without Contrast Rt
|
6
|
6
|
$4,026.00
|
$3,220.80
|
$772.59
|
$4,629.90
|
$2,363.37
|
2026-07-15
|
|
72197
|
HCPCS
|
MRI Pelvis With Without Contrast
|
6
|
6
|
$4,026.00
|
$3,220.80
|
$772.59
|
$4,629.90
|
$2,363.37
|
2026-07-15
|
|
74183
|
HCPCS
|
MRI Abd With Without Contrast
|
6
|
6
|
$4,026.00
|
$3,220.80
|
$772.59
|
$4,629.90
|
$2,363.37
|
2026-07-15
|
|
70546
|
HCPCS
|
MRI Angiography Head W/wo Contrast
|
6
|
6
|
$4,026.00
|
$3,220.80
|
$772.59
|
$4,629.90
|
$2,363.37
|
2026-07-15
|
|
70543
|
HCPCS
|
MRI Orbit/face/neck With/wo Contrast
|
7
|
7
|
$4,026.00
|
$3,220.80
|
$388.41
|
$4,629.90
|
$2,352.17
|
2026-07-15
|
|
73723
|
HCPCS
|
MRI Jnt Lwr Extrem With Without Contrast Rt
|
7
|
7
|
$4,026.00
|
$3,220.80
|
$396.59
|
$4,629.90
|
$2,352.17
|
2026-07-15
|
|
73720
|
HCPCS
|
MRI Lwr Ext With Without Contrast Rt
|
7
|
7
|
$4,026.00
|
$3,220.80
|
$396.59
|
$4,629.90
|
$2,352.17
|
2026-07-15
|
|
151
|
EAPG
|
Level I Hepatobiliary And Pancreas Procedures
|
5
|
5
|
—
|
—
|
$2,346.52
|
$2,416.92
|
$2,346.52
|
2026-07-15
|
|
72
|
EAPG
|
Tracheostomy And Related Tracheal Procedures
|
5
|
5
|
—
|
—
|
$2,336.12
|
$2,406.20
|
$2,336.12
|
2026-07-15
|
|
54
|
EAPG
|
Fixation Device Insertion Or Replacement Procedures
|
5
|
5
|
—
|
—
|
$2,329.42
|
$2,399.30
|
$2,329.42
|
2026-07-15
|
|
J1442
|
HCPCS
|
Neupogen: 480 Mcg Inj
|
5
|
5
|
$3,189.00
|
$2,551.20
20% off
|
$611.97
|
$2,630.93
|
$2,327.97
|
2026-07-15
|
|
195
|
EAPG
|
Vaginal Delivery Procedures
|
5
|
5
|
—
|
—
|
$2,318.32
|
$2,387.87
|
$2,318.32
|
2026-07-15
|
|
69
|
EAPG
|
Level I Thoracic And Chest Procedures
|
5
|
5
|
—
|
—
|
$2,278.71
|
$2,347.07
|
$2,278.71
|
2026-07-15
|
|
73220
|
HCPCS
|
MRI Upper Ext With Without Contrast Rt
|
6
|
6
|
$2,987.00
|
$2,389.60
20% off
|
$573.21
|
$3,435.05
|
$2,266.34
|
2026-07-15
|
|
142
|
EAPG
|
Level Ii Anal And Rectal Procedures
|
5
|
5
|
—
|
—
|
$2,265.02
|
$2,332.97
|
$2,265.02
|
2026-07-15
|
|
180
|
EAPG
|
Testicular And Epididymal Procedures
|
5
|
5
|
—
|
—
|
$2,260.20
|
$2,328.01
|
$2,260.20
|
2026-07-15
|
|
27220
|
HCPCS
|
Cltx Acetabulum Hip/sockt Fx Without Mnpj
|
6
|
6
|
$2,896.00
|
$2,316.80
|
$555.74
|
$3,330.40
|
$2,251.64
|
2026-07-15
|
|
70498
|
HCPCS
|
CT Angiography, Neck
|
7
|
7
|
$3,067.00
|
$2,453.60
20% off
|
$588.56
|
$3,527.05
|
$2,238.91
|
2026-07-15
|
|
35
|
EAPG
|
Level I Foot Procedures
|
5
|
5
|
—
|
—
|
$2,155.43
|
$2,220.09
|
$2,155.43
|
2026-07-15
|
|
135
|
EAPG
|
Level Ii Upper Gi Endoscopy
|
5
|
5
|
—
|
—
|
$2,141.09
|
$2,205.32
|
$2,141.09
|
2026-07-15
|
|
34
|
EAPG
|
Level Ii Hand Procedures
|
5
|
5
|
—
|
—
|
$2,130.57
|
$2,194.49
|
$2,130.57
|
2026-07-15
|
|
361
|
EAPG
|
Level I Dental Restorations
|
5
|
5
|
—
|
—
|
$2,124.17
|
$2,187.89
|
$2,124.17
|
2026-07-15
|
|
78
|
EAPG
|
Level I Peripheral Vascular Repair, Ligation Or Reconstruction
|
5
|
5
|
—
|
—
|
$2,120.29
|
$2,183.90
|
$2,120.29
|
2026-07-15
|
|
83
|
EAPG
|
Level Ii Central Venous Access Procedures
|
5
|
5
|
—
|
—
|
$2,106.60
|
$2,169.80
|
$2,106.60
|
2026-07-15
|
|
74174
|
HCPCS
|
CT Angio Abdomen And Pelvis
|
6
|
6
|
$2,709.00
|
$2,167.20
20% off
|
$519.86
|
$3,115.35
|
$2,106.25
|
2026-07-15
|
|
37
|
EAPG
|
Level I Arthroscopy
|
5
|
5
|
—
|
—
|
$2,105.48
|
$2,168.65
|
$2,105.48
|
2026-07-15
|
|
256
|
EAPG
|
Tonsil And Adenoid Procedures
|
5
|
5
|
—
|
—
|
$2,074.81
|
$2,137.05
|
$2,074.81
|
2026-07-15
|
|
Q5103
|
HCPCS
|
Infliximab(inflectra)inj:100mg
|
5
|
5
|
$2,837.00
|
$2,269.60
20% off
|
$544.42
|
$2,340.53
|
$2,071.01
|
2026-07-15
|
|
239
|
EAPG
|
Extraocular Muscle Procedures
|
5
|
5
|
—
|
—
|
$2,060.53
|
$2,122.35
|
$2,060.53
|
2026-07-15
|
|
27792
|
HCPCS
|
Treatment Of Ankle Fracture
|
6
|
6
|
$5,184.00
|
$4,147.20
20% off
|
$994.81
|
$5,961.60
|
$2,057.61
|
2026-07-15
|
|
137
|
EAPG
|
Level Ii Lower Gi Endoscopy
|
5
|
5
|
—
|
—
|
$2,048.31
|
$2,109.76
|
$2,048.31
|
2026-07-15
|
|
28293
|
HCPCS
|
Podiatry - Hinge Toe Implant Size 4
|
5
|
5
|
$2,800.00
|
$2,240.00
20% off
|
$537.32
|
$2,310.00
|
$2,044.00
|
2026-07-15
|
|
183
|
EAPG
|
Level I Penile Procedures
|
5
|
5
|
—
|
—
|
$2,018.10
|
$2,078.65
|
$2,018.10
|
2026-07-15
|
|
127
|
EAPG
|
Level I Small And Large Intestine Surgical Procedures
|
5
|
5
|
—
|
—
|
$2,008.17
|
$2,068.42
|
$2,008.17
|
2026-07-15
|
|
0360
|
RC
|
—
|
140
|
5
|
$3,485.00
|
$2,788.00
20% off
|
$49.89
|
$16,518.98
|
$1,991.62
|
2026-07-15
|
|
J9217
|
HCPCS
|
Eligard Kit 7.5mg 1-month
|
5
|
5
|
$2,711.00
|
$2,168.80
|
$520.24
|
$2,236.58
|
$1,979.03
|
2026-07-15
|
|
25260
|
HCPCS
|
Rpr Tdn/musc Flxr F/arm/wrst Prim 1 Ea
|
6
|
6
|
$4,102.00
|
$3,281.60
20% off
|
$787.17
|
$4,717.30
|
$1,965.19
|
2026-07-15
|
|
368
|
EAPG
|
Level Ii Oral Surgery Procedures
|
5
|
5
|
—
|
—
|
$1,942.77
|
$2,001.05
|
$1,942.77
|
2026-07-15
|
|
29881
|
HCPCS
|
Knee Arthoscopy/surgery
|
6
|
6
|
$2,063.00
|
$1,650.40
|
$395.89
|
$3,180.00
|
$1,939.22
|
2026-07-15
|
|
29877
|
HCPCS
|
Knee Arthoscopy/surgery
|
6
|
6
|
$2,063.00
|
$1,650.40
|
$395.89
|
$3,180.00
|
$1,939.22
|
2026-07-15
|
|
28820
|
HCPCS
|
Amputation Toe; Metatarsophalangeal Join
|
6
|
6
|
$5,082.00
|
$4,065.60
20% off
|
$975.24
|
$5,844.30
|
$1,936.71
|
2026-07-15
|
|
13160
|
HCPCS
|
Sec Clsr Surg Wnd/dehsn Ext/complicated
|
6
|
6
|
$5,011.00
|
$4,008.80
|
$961.61
|
$5,762.65
|
$1,918.96
|
2026-07-15
|
|
63
|
EAPG
|
Level Ii Endoscopy Of The Upper Airway
|
5
|
5
|
—
|
—
|
$1,917.15
|
$1,974.67
|
$1,917.15
|
2026-07-15
|
|
205
|
EAPG
|
Obstetrical Procedures
|
5
|
5
|
—
|
—
|
$1,908.75
|
$1,966.01
|
$1,908.75
|
2026-07-15
|
|
124
|
EAPG
|
Bone Marrow Biopsies
|
5
|
5
|
—
|
—
|
$1,903.75
|
$1,960.87
|
$1,903.75
|
2026-07-15
|
|
56
|
EAPG
|
Skin And Connective Tissue Grafting And Flap Procedures
|
5
|
5
|
—
|
—
|
$1,897.23
|
$1,954.15
|
$1,897.23
|
2026-07-15
|
|
78223
|
HCPCS
|
Nm Hepato Do Not Use 1/1/2012
|
5
|
5
|
$2,597.00
|
$2,077.60
20% off
|
$498.36
|
$2,142.53
|
$1,895.81
|
2026-07-15
|
|
J7325
|
HCPCS
|
Synvisc-one Pfs 6ml Injection
|
5
|
5
|
$2,595.00
|
$2,076.00
20% off
|
$497.98
|
$2,140.88
|
$1,894.35
|
2026-07-15
|
|
70496
|
HCPCS
|
CT Angiography, Head
|
8
|
8
|
$3,067.00
|
$2,453.60
20% off
|
$388.75
|
$3,527.05
|
$1,886.20
|
2026-07-15
|
|
90375
|
HCPCS
|
Rabies Immune Globulin
|
5
|
5
|
$2,580.00
|
$2,064.00
20% off
|
$495.10
|
$2,128.50
|
$1,883.40
|
2026-07-15
|
|
27324
|
HCPCS
|
Biopsy Soft Tissue Thigh/knee Deep
|
6
|
6
|
$5,375.00
|
$4,300.00
20% off
|
$982.80
|
$6,181.25
|
$1,859.48
|
2026-07-15
|
|
64
|
EAPG
|
Level I Lower Airway Endoscopy
|
5
|
5
|
—
|
—
|
$1,850.99
|
$1,906.52
|
$1,850.99
|
2026-07-15
|
|
194
|
EAPG
|
Abortion And Miscarriage Treatment And Procedures
|
5
|
5
|
—
|
—
|
$1,844.52
|
$1,899.86
|
$1,844.52
|
2026-07-15
|
|
15002
|
HCPCS
|
Sur Prep Exc Of Open Wnd,burn Scar 100sq
|
6
|
6
|
$4,705.00
|
$3,764.00
20% off
|
$902.89
|
$5,410.75
|
$1,842.46
|
2026-07-15
|
|
74178
|
HCPCS
|
CT Abd/pel With & Without Contrast
|
8
|
8
|
$3,739.00
|
$2,991.20
20% off
|
$315.61
|
$4,299.85
|
$1,787.97
|
2026-07-15
|
|
11
|
EAPG
|
Level Iii Skin Excisions, Biopsies, And Repairs
|
5
|
5
|
—
|
—
|
$1,787.88
|
$1,841.51
|
$1,787.88
|
2026-07-15
|
|
51
|
EAPG
|
Musculoskeletal Excisions, Biopsies, And Drainage Procedures
|
5
|
5
|
—
|
—
|
$1,787.05
|
$1,840.67
|
$1,787.05
|
2026-07-15
|
|
2045
|
EAPG
|
Advanced Molecular Pathology And Genetic Tests
|
5
|
5
|
—
|
—
|
$1,782.06
|
$1,835.52
|
$1,782.06
|
2026-07-15
|
|
359
|
EAPG
|
Level I Maxillofacial Prosthetics
|
5
|
5
|
—
|
—
|
$1,774.65
|
$1,827.89
|
$1,774.65
|
2026-07-15
|
|
93246
|
HCPCS
|
Holter Recording 7-15 Days
|
6
|
6
|
$2,254.00
|
$1,803.20
20% off
|
$432.54
|
$2,592.10
|
$1,752.49
|
2026-07-15
|
|
23410
|
HCPCS
|
Repair Rotator Cuff, Acute
|
6
|
6
|
$1,851.00
|
$1,480.80
20% off
|
$355.21
|
$2,143.32
|
$1,737.16
|
2026-07-15
|
|
23
|
EAPG
|
Level I Forearm And Wrist Procedures
|
5
|
5
|
—
|
—
|
$1,725.47
|
$1,777.24
|
$1,725.47
|
2026-07-15
|
|
461
|
EAPG
|
Class Ix Combined Chemotherapy And Pharmacotherapy
|
5
|
5
|
—
|
—
|
$1,723.12
|
$1,774.81
|
$1,723.12
|
2026-07-15
|
|
259
|
EAPG
|
Level Ii Eyelid, Lacrimal And Conjunctival Procedures
|
5
|
5
|
—
|
—
|
$1,716.72
|
$1,768.22
|
$1,716.72
|
2026-07-15
|
|
78320
|
HCPCS
|
Nm Bone Spect Imaging
|
5
|
5
|
$2,340.00
|
$1,872.00
20% off
|
$449.05
|
$1,930.50
|
$1,708.20
|
2026-07-15
|
|
233
|
EAPG
|
Cataract And Other Intraocular Lens Procedures
|
5
|
5
|
—
|
—
|
$1,696.80
|
$1,747.70
|
$1,696.80
|
2026-07-15
|
|
J1745
|
HCPCS
|
Remicade(infliximab) Inj:100 Mg
|
11
|
6
|
$2,302.00
|
$1,841.60
20% off
|
$431.78
|
$2,250.00
|
$1,680.46
|
2026-07-15
|
|
72149
|
HCPCS
|
MRI Lumbar Spine With Contrast
|
6
|
6
|
$3,863.00
|
$3,090.40
20% off
|
$741.31
|
$4,442.45
|
$1,678.28
|
2026-07-15
|
|
176
|
EAPG
|
Level I Prostate Procedures
|
5
|
5
|
—
|
—
|
$1,675.64
|
$1,725.91
|
$1,675.64
|
2026-07-15
|
|
279
|
EAPG
|
Level Ii Vascular Radiological Procedures
|
5
|
5
|
—
|
—
|
$1,675.52
|
$1,725.79
|
$1,675.52
|
2026-07-15
|
|
36571
|
HCPCS
|
Picc Line Placement
|
6
|
6
|
$3,623.00
|
$2,898.40
20% off
|
$695.25
|
$4,166.45
|
$1,667.36
|
2026-07-15
|
|
64640
|
HCPCS
|
Genicular Nerve Block
|
6
|
6
|
$2,017.00
|
$1,613.60
20% off
|
$387.06
|
$2,319.55
|
$1,568.22
|
2026-07-15
|
|
114
|
EAPG
|
Level Ii Blood Product Exchange Services
|
5
|
5
|
—
|
—
|
$1,564.70
|
$1,611.64
|
$1,564.70
|
2026-07-15
|
|
20245
|
HCPCS
|
Bone Biopsy, Excesional
|
6
|
6
|
$3,207.00
|
$2,565.60
20% off
|
$615.42
|
$3,688.05
|
$1,563.36
|
2026-07-15
|
|
0278
|
RC
|
—
|
265
|
5
|
$2,610.00
|
$2,088.00
20% off
|
$3.84
|
$74,649.00
|
$1,560.15
|
2026-07-15
|
|
173
|
EAPG
|
Level I Bladder And Ureteral Procedures
|
5
|
5
|
—
|
—
|
$1,558.71
|
$1,605.47
|
$1,558.71
|
2026-07-15
|
|
70552
|
HCPCS
|
MRI Brain W Contrast
|
6
|
6
|
$3,296.00
|
$2,636.80
|
$632.50
|
$3,790.40
|
$1,536.53
|
2026-07-15
|
|
72142
|
HCPCS
|
MRI Neck/spine With Contrast
|
6
|
6
|
$3,296.00
|
$2,636.80
|
$632.50
|
$3,790.40
|
$1,536.53
|
2026-07-15
|
|
72147
|
HCPCS
|
MRI Chest/spine With Contrast
|
6
|
6
|
$3,263.00
|
$2,610.40
20% off
|
$626.17
|
$3,752.45
|
$1,528.28
|
2026-07-15
|
|
73725
|
HCPCS
|
MRI Angio Lwr Extrem W Or Without Contrast
|
6
|
6
|
$3,508.00
|
$2,806.40
20% off
|
$673.19
|
$4,034.20
|
$1,519.98
|
2026-07-15
|
|
64483
|
HCPCS
|
Inj Foramen Epidural L/s
|
6
|
6
|
$1,951.00
|
$1,560.80
20% off
|
$374.40
|
$2,243.65
|
$1,516.90
|
2026-07-15
|
|
64479
|
HCPCS
|
Inj W/imaging Guid Cervical Thoracic Sgl
|
6
|
6
|
$1,951.00
|
$1,560.80
20% off
|
$374.40
|
$2,243.65
|
$1,516.90
|
2026-07-15
|
|
25000
|
HCPCS
|
Incision Of Tendon Sheath
|
6
|
6
|
$2,668.00
|
$2,134.40
|
$511.99
|
$3,068.20
|
$1,516.03
|
2026-07-15
|
|
28291
|
HCPCS
|
Podiatry - Hinge Toe Implant Size 4
|
6
|
6
|
$2,800.00
|
$2,240.00
20% off
|
$537.32
|
$3,220.00
|
$1,516.03
|
2026-07-15
|
|
27301
|
HCPCS
|
Drain Thight/knee Lesion
|
6
|
6
|
$2,417.00
|
$1,933.60
20% off
|
$463.82
|
$2,779.55
|
$1,516.03
|
2026-07-15
|
|
62310
|
HCPCS
|
Inject Spine Cervical/thoracic
|
5
|
5
|
$2,072.00
|
$1,657.60
20% off
|
$397.62
|
$1,709.40
|
$1,512.56
|
2026-07-15
|
|
78007
|
HCPCS
|
Nm Thyroid Image; Multiple Uptakes
|
5
|
5
|
$2,066.00
|
$1,652.80
20% off
|
$396.47
|
$1,704.45
|
$1,508.18
|
2026-07-15
|
|
J1950
|
HCPCS
|
Lupron(leuprolide)depot Susp:3.75 Mg
|
5
|
5
|
$2,045.00
|
$1,636.00
20% off
|
$392.44
|
$1,687.13
|
$1,492.85
|
2026-07-15
|
|
23412
|
HCPCS
|
Repair Rotator Cuff, Chronic
|
6
|
6
|
$1,575.00
|
$1,260.00
20% off
|
$302.24
|
$2,973.30
|
$1,480.50
|
2026-07-15
|
|
170
|
EAPG
|
Level I Kidney And Ureteral Procedures
|
5
|
5
|
—
|
—
|
$1,474.09
|
$1,518.31
|
$1,474.09
|
2026-07-15
|
|
74
|
EAPG
|
Revision, Replacement Or Removal Of Cardiac Device Component
|
5
|
5
|
—
|
—
|
$1,471.45
|
$1,515.59
|
$1,471.45
|
2026-07-15
|
|
379
|
EAPG
|
Level Ii Orthodontics
|
5
|
5
|
—
|
—
|
$1,470.86
|
$1,514.98
|
$1,470.86
|
2026-07-15
|
|
C1731
|
HCPCS
|
Arthrex Suture Anchor, 2.9 Mm BioComposi
|
5
|
5
|
$2,010.00
|
$1,608.00
20% off
|
$385.72
|
$2,010.00
|
$1,467.30
|
2026-07-15
|
|
220
|
EAPG
|
Level Ii Nervous System Injections Including Cranial Tap
|
5
|
5
|
—
|
—
|
$1,463.69
|
$1,507.60
|
$1,463.69
|
2026-07-15
|
|
95811
|
HCPCS
|
Polysomnography, W/cpap
|
6
|
6
|
$1,627.00
|
$1,301.60
20% off
|
$312.22
|
$1,871.05
|
$1,460.11
|
2026-07-15
|
|
141
|
EAPG
|
Level I Anal And Rectal Procedures
|
5
|
5
|
—
|
—
|
$1,447.00
|
$1,490.41
|
$1,447.00
|
2026-07-15
|
|
27257
|
HCPCS
|
Tx Spon Hip Dislc Abdct Splnt/trcj W/mnp
|
6
|
6
|
$1,874.00
|
$1,499.20
20% off
|
$359.62
|
$2,155.10
|
$1,438.43
|
2026-07-15
|
|
74177
|
HCPCS
|
CT Abd And Pelvis With Contrast
|
9
|
9
|
$3,358.00
|
$2,686.40
20% off
|
$315.61
|
$3,861.70
|
$1,436.27
|
2026-07-15
|
|
72196
|
HCPCS
|
MRI Pelvis With Contrast
|
6
|
6
|
$3,296.00
|
$2,636.80
|
$632.50
|
$3,790.40
|
$1,417.64
|
2026-07-15
|
|
70545
|
HCPCS
|
MRI Angiography Head With Contrast
|
6
|
6
|
$3,296.00
|
$2,636.80
|
$632.50
|
$3,790.40
|
$1,417.64
|
2026-07-15
|
|
73719
|
HCPCS
|
MRI Lwr Ext With Contrast Rt
|
6
|
6
|
$3,296.00
|
$2,636.80
|
$632.50
|
$3,790.40
|
$1,417.64
|
2026-07-15
|
|
73722
|
HCPCS
|
MRI Jnt Lwr Extrem With Contrast Rt
|
6
|
6
|
$3,296.00
|
$2,636.80
|
$632.50
|
$3,790.40
|
$1,417.64
|
2026-07-15
|
|
70542
|
HCPCS
|
MRI Orbit/face/neck With Contrast
|
6
|
6
|
$3,296.00
|
$2,636.80
|
$632.50
|
$3,790.40
|
$1,417.64
|
2026-07-15
|
|
70548
|
HCPCS
|
MRI Angiography Neck W Contrast
|
6
|
6
|
$3,296.00
|
$2,636.80
|
$632.50
|
$3,790.40
|
$1,417.64
|
2026-07-15
|
|
73222
|
HCPCS
|
MRI Joint Upr Extrem With Contrast Rt
|
6
|
6
|
$3,296.00
|
$2,636.80
|
$632.50
|
$3,790.40
|
$1,417.64
|
2026-07-15
|
|
74182
|
HCPCS
|
MRI Abd With Contrast
|
6
|
6
|
$3,296.00
|
$2,636.80
|
$632.50
|
$3,790.40
|
$1,417.64
|
2026-07-15
|
|
71551
|
HCPCS
|
MRI Chest With Contrast
|
6
|
6
|
$3,296.00
|
$2,636.80
|
$632.50
|
$3,790.40
|
$1,417.64
|
2026-07-15
|
|
382
|
EAPG
|
Level Ii Dental Implants
|
5
|
5
|
—
|
—
|
$1,411.63
|
$1,453.98
|
$1,411.63
|
2026-07-15
|
|
29880
|
HCPCS
|
Knee Arthoscopy/surgery
|
6
|
6
|
$1,476.00
|
$1,180.80
20% off
|
$283.24
|
$3,180.00
|
$1,387.44
|
2026-07-15
|
|
29879
|
HCPCS
|
Knee Arthoscopy/surgery
|
6
|
6
|
$1,476.00
|
$1,180.80
20% off
|
$283.24
|
$3,180.00
|
$1,387.44
|
2026-07-15
|
|
70481
|
HCPCS
|
CT Orbit (mastoids) Iac With
|
10
|
6
|
$2,997.00
|
$2,397.60
20% off
|
$487.43
|
$3,446.55
|
$1,384.25
|
2026-07-15
|
|
64626
|
HCPCS
|
Cervical Thoracic Radiofrequency, Single
|
5
|
5
|
$1,894.00
|
$1,515.20
20% off
|
$363.46
|
$1,562.55
|
$1,382.62
|
2026-07-15
|
|
290
|
EAPG
|
PET Scans
|
5
|
5
|
—
|
—
|
$1,380.13
|
$1,421.53
|
$1,380.13
|
2026-07-15
|
|
258
|
EAPG
|
Level I Eyelid, Lacrimal And Conjunctival Procedures
|
5
|
5
|
—
|
—
|
$1,375.31
|
$1,416.57
|
$1,375.31
|
2026-07-15
|
|
44147
|
HCPCS
|
Apr
|
8
|
8
|
$2,526.00
|
$2,020.80
20% off
|
$1,173.45
|
$2,303.47
|
$1,374.86
|
2026-07-15
|
|
73218
|
HCPCS
|
MRI Upper Ext Without Contrast Rt
|
6
|
6
|
$3,106.00
|
$2,484.80
|
$596.04
|
$3,571.90
|
$1,370.14
|
2026-07-15
|
|
70540
|
HCPCS
|
MRI Orbit/face/neck Without Contrast
|
6
|
6
|
$3,106.00
|
$2,484.80
|
$596.04
|
$3,571.90
|
$1,370.14
|
2026-07-15
|
|
70547
|
HCPCS
|
MRI Angiography Neck Without Contrast
|
6
|
6
|
$3,106.00
|
$2,484.80
|
$596.04
|
$3,571.90
|
$1,370.14
|
2026-07-15
|
|
74181
|
HCPCS
|
MRI Abd Without Contrast
|
6
|
6
|
$3,103.00
|
$2,482.40
20% off
|
$595.47
|
$3,568.45
|
$1,369.39
|
2026-07-15
|
|
70336
|
HCPCS
|
MRI Tmj
|
6
|
6
|
$3,103.00
|
$2,482.40
20% off
|
$595.47
|
$3,568.45
|
$1,369.39
|
2026-07-15
|
|
32422
|
HCPCS
|
Chest Tube Insertion
|
5
|
5
|
$1,870.00
|
$1,496.00
20% off
|
$358.85
|
$1,542.75
|
$1,365.10
|
2026-07-15
|
|
367
|
EAPG
|
Level I Oral Surgery Procedures
|
5
|
5
|
—
|
—
|
$1,356.63
|
$1,397.32
|
$1,356.63
|
2026-07-15
|
|
44150
|
HCPCS
|
Total Abd Colectomy
|
8
|
8
|
$3,077.00
|
$2,461.60
20% off
|
$1,320.87
|
$2,190.14
|
$1,351.65
|
2026-07-15
|
|
252
|
EAPG
|
Level I Ear, Nose, Mouth And Throat Procedures
|
5
|
5
|
—
|
—
|
$1,348.34
|
$1,388.79
|
$1,348.34
|
2026-07-15
|
|
217
|
EAPG
|
Level I Peripheral Nerve Procedures
|
5
|
5
|
—
|
—
|
$1,341.94
|
$1,382.19
|
$1,341.94
|
2026-07-15
|
|
67
|
EAPG
|
Ventilation Assistance And Management
|
5
|
5
|
—
|
—
|
$1,339.76
|
$1,379.95
|
$1,339.76
|
2026-07-15
|
|
371
|
EAPG
|
Level I Orthodontics
|
5
|
5
|
—
|
—
|
$1,337.12
|
$1,377.23
|
$1,337.12
|
2026-07-15
|
|
348
|
EAPG
|
Level Iii Radiation Therapy
|
5
|
5
|
—
|
—
|
$1,336.65
|
$1,376.75
|
$1,336.65
|
2026-07-15
|