Hospital

EMANUEL MEDICAL CENTER

Swainsboro, GA · CCN 110109 · Rates published

Your selected procedure

You selected 93306 (CPT)

""EC ECHO TRANSTHORACIC 2D COLOR DOPPLER""

This hospital’s price: $673 across 11 payers · range $65-$1,149

Source: https://emanuelmedical.slicedhealth.io/pricer/58-6002922_EmanuelMedicalCenter_standardcharges.CSV · observed 2026-02-25

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

1,710 distinct procedures filed

12 distinct payers

38,885 rate rows

2026-02-25 last MRF observed

Data quality

35,251 of 38,885 rate rows are consumer-grade (90.7%)

3,634 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reason	Rows
template filing: same amount across many unrelated codes — excluded	3,245
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	243
per-diem day rate — not a per-procedure price	84
exceeds 10× this hospital's gross charge — excluded from medians	62

Data source & audit trail ↓ Download audit trail (JSON)

Source MRF file	https://emanuelmedical.slicedhealth.io/pricer/58-6002922_EmanuelMedicalCenter_standardcharges.CSV
Found on page	https://emanuelmedical.slicedhealth.io/home
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-10-20
Content fingerprint	47d849ce2be3573e… · 20,362,948 bytes · first seen 2026-05-05

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code	Description	Payers	Min $	Max $	Avg median	vs national
J0840 HCPCS	""antivenin Poly Snake (crofab)""	10	$36.42	$18,000.00	$10,046.83	nat. median $3,445 outlier · 2.9×
J2350 HCPCS	""ocrevus 600mg In 500ml Ns""	10	$36.42	$17,226.00	$8,974.74	nat. median $470 outlier · 19.1×
33282 CPT	""implantation Cardiac Recorder""	10	$36.42	$14,742.00	$8,638.81	nat. median $6,058 1.4× median
J3101 HCPCS	""tenecteplase (tnkase) 50mg Inj""	10	$36.42	$25,785.80	$8,396.08	nat. median $3,820 outlier · 2.2×
J1162 HCPCS	""digoxin Immune Fab (digibind) 40mg Inj""	10	$36.42	$14,686.32	$7,651.57	nat. median $7,141 1.1× median
72148 CPT	""mri Lumbar Spine Wo""	11	$70.00	$11,487.84	$6,731.88	nat. median $805 outlier · 8.4×
90375 CPT	""rabies Immune Globulin 900units/3ml Inj""	11	$36.42	$12,400.00	$6,720.80	nat. median $1,056 outlier · 6.4×
J0630 HCPCS	""calcitonin (miacalcin) 400 Iu / 2 Ml Inj""	10	$36.42	$12,975.00	$6,300.00	nat. median $1,894 outlier · 3.3×
J2993 HCPCS	""retavase 10 Ml Unit Inj: ER Uses""	10	$36.42	$11,745.00	$6,119.15	nat. median $3,460 1.8× median
37191 CPT	""xr Ivc Filter Placement Exam""	11	$70.00	$9,464.00	$6,056.96	nat. median $6,251 1.0× median
C1764 HCPCS	""cardiac Recorder Device""	10	$36.42	$10,200.00	$5,977.20	nat. median $7,740 0.8× median
C1776 HCPCS	""radial Head""	10	$36.42	$25,212.00	$5,874.74	nat. median $3,394 1.7× median
J7169 HCPCS	""andexxa 200mg Inj""	10	$36.42	$10,000.00	$5,210.00	nat. median $275 outlier · 18.9×
J1437 HCPCS	""monoferric 1000mg/10ml Inj""	10	$21.70	$9,393.00	$4,893.76	nat. median $46 outlier · 107.4×
90377 CPT	""rabies Immune Globulin 1,500u/10ml Inj""	11	$36.42	$8,775.00	$4,756.05	nat. median $568 outlier · 8.4×
72141 CPT	""mri Cervical Spine Wo""	11	$70.00	$7,898.80	$4,628.69	nat. median $781 outlier · 5.9×
L8699 HCPCS	""swanson Flexspan Trapezium Implant""	10	$36.42	$7,895.00	$4,626.47	nat. median $2,008 outlier · 2.3×
72156 CPT	""mri Cervical Spine W/wo""	11	$36.42	$8,496.00	$4,604.83	nat. median $1,103 outlier · 4.2×
73223 CPT	""mri Upper Ext Joint W/wo Contrast""	11	$36.42	$8,164.00	$4,424.89	nat. median $1,158 outlier · 3.8×
19307 CPT	""mastectomy Mod Radical""	11	$36.42	$6,563.00	$4,134.69	nat. median $6,798 0.6× median
78452 CPT	""nm Cardiac Perf Stress Rest""	9	$207.91	$5,910.88	$4,078.51	nat. median $1,816 outlier · 2.2×
72130 CPT	""ct Thoracic Spine W/wo""	11	$36.42	$7,256.00	$3,932.75	nat. median $600 outlier · 6.6×
74183 CPT	""mri Abdomen W/wo Contrast""	11	$36.42	$7,199.00	$3,901.86	nat. median $1,100 outlier · 3.5×
73221LT OTHER	""mri Upper Ext Joint Left Wo""	10	$36.42	$6,067.00	$3,882.88	nat. median $1,429 outlier · 2.7×
73221RT OTHER	""mri Upper Ext Joint Right Wo""	10	$36.42	$6,067.00	$3,882.88	nat. median $1,429 outlier · 2.7×
15273 CPT	""skin Sub <=100sqcm/ttl Surf>=100sqcm Leg""	11	$36.42	$7,087.00	$3,841.15	nat. median $3,108 1.2× median
74176 CPT	""ct Abd Pelvis Oral Contrast""	11	$70.00	$6,135.22	$3,595.24	nat. median $694 outlier · 5.2×
73221 CPT	""*mri Upper Ext Joint""	11	$70.00	$6,067.00	$3,555.26	nat. median $844 outlier · 4.2×
J3262 HCPCS	""zzzACTEMRA (tocilizumab) Inj 200mg/10 Ml""	10	$5.86	$6,798.00	$3,541.76	nat. median $1,416 outlier · 2.5×
75825 CPT	""xr Vena Cavagram""	11	$36.42	$6,413.00	$3,475.85	nat. median $3,187 1.1× median
73721RT OTHER	""mri Lower Ext Joint Right Wo""	10	$36.42	$5,369.00	$3,436.16	nat. median $1,310 outlier · 2.6×
73721LT OTHER	""mri Lower Ext Joint Left Wo""	10	$36.42	$5,369.00	$3,436.16	nat. median $1,310 outlier · 2.6×
J0897 HCPCS	""prolia Subcutaneous Solution 60mg/1ml""	10	$23.02	$6,548.48	$3,411.76	nat. median $1,972 1.7× median
70543 CPT	""mri Orbit Face Neck Soft Tiss W/wo""	9	$368.43	$4,706.00	$3,247.14	nat. median $1,083 outlier · 3.0×
73723 CPT	""mri Lower Ext Joint W/wo""	11	$36.42	$5,287.00	$3,121.50	nat. median $1,192 outlier · 2.6×
70546 CPT	""mra Head W Or Wo""	9	$368.43	$4,476.00	$3,088.44	nat. median $1,070 outlier · 2.9×
70553 CPT	""mri Brain W/wo""	9	$368.43	$4,390.00	$3,029.10	nat. median $1,133 outlier · 2.7×
C1889 HCPCS	""fracture Fixator""	10	$36.42	$5,100.00	$2,988.60	nat. median $2,369 1.3× median
J2505 HCPCS	""neulasta (pegfilgrastim) 6 Mg""	9	$36.42	$5,500.00	$2,981.00	nat. median $6,278 outlier · 0.5×
71260 CPT	""ct Chest Thorax W""	11	$70.00	$4,992.96	$2,925.87	nat. median $648 outlier · 4.5×
95805 CPT	""sleep Study - Mslt""	11	$36.42	$5,255.00	$2,848.21	nat. median $1,233 outlier · 2.3×
74185 CPT	""mra Abdomen W""	11	$36.42	$4,477.00	$2,820.51	nat. median $1,241 outlier · 2.3×
72146 CPT	""mri Thoracic Spine Wo""	11	$70.00	$4,737.00	$2,775.88	nat. median $797 outlier · 3.5×
95811 CPT	""sleep Study /c Pap""	11	$36.42	$5,060.00	$2,742.52	nat. median $1,894 1.4× median
72195 CPT	""mri Pelvis Wo""	11	$70.00	$4,548.00	$2,665.13	nat. median $806 outlier · 3.3×
74170 CPT	""ct Abdomen W/wo""	11	$36.42	$4,808.00	$2,605.94	nat. median $710 outlier · 3.7×
70544 CPT	""mra Head Wo Contrast""	11	$70.00	$4,438.00	$2,600.67	nat. median $826 outlier · 3.2×
27301 CPT	""us Hematoma Drainage""	11	$36.42	$4,071.00	$2,583.25	nat. median $2,903 0.9× median
72192 CPT	""ct Pelvis Wo""	11	$36.42	$4,761.65	$2,580.81	nat. median $459 outlier · 5.6×
74177 CPT	""ct Abd Pelvis With Contrast""	9	$368.43	$3,680.35	$2,539.44	nat. median $974 outlier · 2.6×

Other procedures at this hospital

Browse this hospital's 1,710 published procedures. Use the slice to choose what to show, then sort or filter any column.

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code	Type	Description	Rate rows	Payers	Gross	Cash	Min $	Max $	Avg median	Last observed

J0840	HCPCS	""antivenin Poly Snake (crofab)""	24	10	$16,409.00	$12,306.75 25% off	$36.42	$18,000.00	$10,046.83	2026-02-25
J2350	HCPCS	""ocrevus 600mg In 500ml Ns""	14	10	$17,226.00	$12,919.50 25% off	$36.42	$17,226.00	$8,974.74	2026-02-25
33282	CPT	""implantation Cardiac Recorder""	14	10	$14,742.00	$11,056.50 25% off	$36.42	$14,742.00	$8,638.81	2026-02-25
J3101	HCPCS	""tenecteplase (tnkase) 50mg Inj""	24	10	$25,785.80	$19,339.35 25% off	$36.42	$25,785.80	$8,396.08	2026-02-25
J1162	HCPCS	""digoxin Immune Fab (digibind) 40mg Inj""	14	10	$14,686.32	$11,014.74 25% off	$36.42	$14,686.32	$7,651.57	2026-02-25
72148	CPT	""mri Lumbar Spine Wo""	12	11	$11,487.84	$8,615.88 25% off	$70.00	$11,487.84	$6,731.88	2026-02-25
90375	CPT	""rabies Immune Globulin 900units/3ml Inj""	15	11	$12,400.00	$9,300.00 25% off	$36.42	$12,400.00	$6,720.80	2026-02-25
J0630	HCPCS	""calcitonin (miacalcin) 400 Iu / 2 Ml Inj""	16	10	$12,975.00	$9,731.25 25% off	$36.42	$12,975.00	$6,300.00	2026-02-25
J2993	HCPCS	""retavase 10 Ml Unit Inj: ER Uses""	14	10	$11,745.00	$8,808.75 25% off	$36.42	$11,745.00	$6,119.15	2026-02-25
37191	CPT	""xr Ivc Filter Placement Exam""	12	11	$9,464.00	$7,098.00 25% off	$70.00	$9,464.00	$6,056.96	2026-02-25
C1764	HCPCS	""cardiac Recorder Device""	14	10	$10,200.00	$7,650.00 25% off	$36.42	$10,200.00	$5,977.20	2026-02-25
C1776	HCPCS	""radial Head""	167	10	$10,839.00	$8,129.25 25% off	$36.42	$25,212.00	$5,874.74	2026-02-25
J7169	HCPCS	""andexxa 200mg Inj""	14	10	$10,000.00	$7,500.00 25% off	$36.42	$10,000.00	$5,210.00	2026-02-25
J1437	HCPCS	""monoferric 1000mg/10ml Inj""	14	10	$9,393.00	$7,044.75 25% off	$21.70	$9,393.00	$4,893.76	2026-02-25
90377	CPT	""rabies Immune Globulin 1,500u/10ml Inj""	15	11	$8,775.00	$6,581.25 25% off	$36.42	$8,775.00	$4,756.05	2026-02-25
72141	CPT	""mri Cervical Spine Wo""	12	11	$7,898.80	$5,924.10 25% off	$70.00	$7,898.80	$4,628.69	2026-02-25
L8699	HCPCS	""swanson Flexspan Trapezium Implant""	14	10	$7,895.00	$5,921.25 25% off	$36.42	$7,895.00	$4,626.47	2026-02-25
72156	CPT	""mri Cervical Spine W/wo""	13	11	$8,496.00	$6,372.00 25% off	$36.42	$8,496.00	$4,604.83	2026-02-25
73223	CPT	""mri Upper Ext Joint W/wo Contrast""	13	11	$8,164.00	$6,123.00 25% off	$36.42	$8,164.00	$4,424.89	2026-02-25
19307	CPT	""mastectomy Mod Radical""	15	11	$6,563.00	$4,922.25 25% off	$36.42	$6,563.00	$4,134.69	2026-02-25
78452	CPT	""nm Cardiac Perf Stress Rest""	10	9	$5,910.88	$4,433.16 25% off	$207.91	$5,910.88	$4,078.51	2026-02-25
72130	CPT	""ct Thoracic Spine W/wo""	13	11	$7,256.00	$5,442.00 25% off	$36.42	$7,256.00	$3,932.75	2026-02-25
74183	CPT	""mri Abdomen W/wo Contrast""	13	11	$7,199.00	$5,399.25 25% off	$36.42	$7,199.00	$3,901.86	2026-02-25
73221LT	OTHER	""mri Upper Ext Joint Left Wo""	12	10	$6,067.00	$4,550.25 25% off	$36.42	$6,067.00	$3,882.88	2026-02-25
73221RT	OTHER	""mri Upper Ext Joint Right Wo""	12	10	$6,067.00	$4,550.25 25% off	$36.42	$6,067.00	$3,882.88	2026-02-25
15273	CPT	""skin Sub <=100sqcm/ttl Surf>=100sqcm Leg""	15	11	$7,087.00	$5,315.25 25% off	$36.42	$7,087.00	$3,841.15	2026-02-25
74176	CPT	""ct Abd Pelvis Oral Contrast""	12	11	$6,135.22	$4,601.42 25% off	$70.00	$6,135.22	$3,595.24	2026-02-25
73221	CPT	""*mri Upper Ext Joint""	12	11	$6,067.00	$4,550.25 25% off	$70.00	$6,067.00	$3,555.26	2026-02-25
J3262	HCPCS	""zzzACTEMRA (tocilizumab) Inj 200mg/10 Ml""	14	10	$6,798.00	$5,098.50 25% off	$5.86	$6,798.00	$3,541.76	2026-02-25
75825	CPT	""xr Vena Cavagram""	13	11	$6,413.00	$4,809.75 25% off	$36.42	$6,413.00	$3,475.85	2026-02-25
73721RT	OTHER	""mri Lower Ext Joint Right Wo""	12	10	$5,369.00	$4,026.75 25% off	$36.42	$5,369.00	$3,436.16	2026-02-25
73721LT	OTHER	""mri Lower Ext Joint Left Wo""	12	10	$5,369.00	$4,026.75 25% off	$36.42	$5,369.00	$3,436.16	2026-02-25
J0897	HCPCS	""prolia Subcutaneous Solution 60mg/1ml""	14	10	$6,548.48	$4,911.36 25% off	$23.02	$6,548.48	$3,411.76	2026-02-25
70543	CPT	""mri Orbit Face Neck Soft Tiss W/wo""	10	9	$4,706.00	$3,529.50 25% off	$368.43	$4,706.00	$3,247.14	2026-02-25
73723	CPT	""mri Lower Ext Joint W/wo""	21	11	$5,287.00	$3,965.25 25% off	$36.42	$5,287.00	$3,121.50	2026-02-25
70546	CPT	""mra Head W Or Wo""	10	9	$4,476.00	$3,357.00 25% off	$368.43	$4,476.00	$3,088.44	2026-02-25
70553	CPT	""mri Brain W/wo""	10	9	$4,390.00	$3,292.50 25% off	$368.43	$4,390.00	$3,029.10	2026-02-25
C1889	HCPCS	""fracture Fixator""	14	10	$5,100.00	$3,825.00 25% off	$36.42	$5,100.00	$2,988.60	2026-02-25
J2505	HCPCS	""neulasta (pegfilgrastim) 6 Mg""	13	9	$5,500.00	$4,125.00 25% off	$36.42	$5,500.00	$2,981.00	2026-02-25
71260	CPT	""ct Chest Thorax W""	12	11	$4,992.96	$3,744.72 25% off	$70.00	$4,992.96	$2,925.87	2026-02-25
95805	CPT	""sleep Study - Mslt""	15	11	$5,255.00	$3,941.25 25% off	$36.42	$5,255.00	$2,848.21	2026-02-25
74185	CPT	""mra Abdomen W""	21	11	$4,476.00	$3,357.00 25% off	$36.42	$4,477.00	$2,820.51	2026-02-25
72146	CPT	""mri Thoracic Spine Wo""	12	11	$4,737.00	$3,552.75 25% off	$70.00	$4,737.00	$2,775.88	2026-02-25
95811	CPT	""sleep Study /c Pap""	15	11	$5,060.00	$3,795.00 25% off	$36.42	$5,060.00	$2,742.52	2026-02-25
72195	CPT	""mri Pelvis Wo""	12	11	$4,548.00	$3,411.00 25% off	$70.00	$4,548.00	$2,665.13	2026-02-25
74170	CPT	""ct Abdomen W/wo""	13	11	$4,808.00	$3,606.00 25% off	$36.42	$4,808.00	$2,605.94	2026-02-25
70544	CPT	""mra Head Wo Contrast""	12	11	$4,438.00	$3,328.50 25% off	$70.00	$4,438.00	$2,600.67	2026-02-25
27301	CPT	""us Hematoma Drainage""	13	11	$4,071.00	$3,053.25 25% off	$36.42	$4,071.00	$2,583.25	2026-02-25
72192	CPT	""ct Pelvis Wo""	13	11	$4,761.65	$3,571.24 25% off	$36.42	$4,761.65	$2,580.81	2026-02-25
74177	CPT	""ct Abd Pelvis With Contrast""	10	9	$3,680.35	$2,760.26 25% off	$368.43	$3,680.35	$2,539.44	2026-02-25
95810	CPT	""sleep Study""	10	9	$3,605.00	$2,703.75 25% off	$934.38	$3,605.00	$2,523.50	2026-02-25
72128	CPT	""ct Thoracic Spine Wo""	13	11	$4,652.66	$3,489.50 25% off	$36.42	$4,652.66	$2,521.74	2026-02-25
74178	CPT	""ct Abd/pelvis W/wo Contrast""	10	9	$3,651.00	$2,738.25 25% off	$368.43	$3,651.00	$2,519.19	2026-02-25
74174	CPT	""cta Abd & Pelvis W/wo Contrast""	10	9	$3,651.00	$2,738.25 25% off	$368.43	$3,651.00	$2,519.19	2026-02-25
72158	CPT	""mri Lumbar Spine W/wo""	13	11	$4,610.00	$3,457.50 25% off	$36.42	$4,610.00	$2,498.62	2026-02-25
71270	CPT	""ct Chest Thorax W/wo""	13	11	$4,603.00	$3,452.25 25% off	$36.42	$4,603.00	$2,494.83	2026-02-25
73720LT	OTHER	""mri Lower Ext Left W/wo""	12	10	$3,893.00	$2,919.75 25% off	$36.42	$3,893.00	$2,491.52	2026-02-25
73720RT	OTHER	""mri Lower Ext Rt W/wo""	12	10	$3,893.00	$2,919.75 25% off	$36.42	$3,893.00	$2,491.52	2026-02-25
73220RT	OTHER	""mri Upper Ext Right W/wo""	12	10	$3,825.00	$2,868.75 25% off	$36.42	$3,825.00	$2,448.00	2026-02-25
73220LT	OTHER	""mri Upper Ext Left W/wo""	12	10	$3,825.00	$2,868.75 25% off	$36.42	$3,825.00	$2,448.00	2026-02-25
75940	CPT	""xr Ivc Filter Place Verify""	12	10	$3,805.00	$2,853.75 25% off	$36.42	$3,805.00	$2,435.20	2026-02-25
0278	RC	—	32	10	$4,152.00	$3,114.00 25% off	$36.42	$12,209.00	$2,433.07	2026-02-25
72198	CPT	""mra Pelvis W/wo""	13	11	$4,476.00	$3,357.00 25% off	$36.42	$4,476.00	$2,425.99	2026-02-25
J2407	HCPCS	""oritavancin (orbactiv) 400 Mg Inj""	14	10	$4,640.00	$3,480.00 25% off	$26.67	$4,640.00	$2,417.44	2026-02-25
70470	CPT	""ct Head W/wo""	13	11	$4,440.00	$3,330.00 25% off	$36.42	$4,440.00	$2,406.48	2026-02-25
73722	CPT	""mri Lower Ext Joint With Contrast""	13	11	$4,324.00	$3,243.00 25% off	$36.42	$4,324.00	$2,343.61	2026-02-25
73222	CPT	""mri Upper Ext Joint With Contrast""	13	11	$4,324.00	$3,243.00 25% off	$36.42	$4,324.00	$2,343.61	2026-02-25
72197	CPT	""mri Pelvis W/wo""	13	11	$4,220.00	$3,165.00 25% off	$36.42	$4,220.00	$2,287.24	2026-02-25
70548	CPT	""mra Neck With Contrast""	12	11	$3,891.00	$2,918.25 25% off	$70.00	$3,891.00	$2,280.12	2026-02-25
73200RT	OTHER	""ct Upper Extrem Wo Rt""	12	10	$3,551.00	$2,663.25 25% off	$36.42	$3,551.00	$2,272.64	2026-02-25
73200LT	OTHER	""ct Upper Extrem Wo Lt""	12	10	$3,551.00	$2,663.25 25% off	$36.42	$3,551.00	$2,272.64	2026-02-25
J1439	HCPCS	""ferric Carb (injectafer) 750mg/15ml Inj""	14	10	$4,338.12	$3,253.59 25% off	$1.13	$4,338.12	$2,260.16	2026-02-25
70540	CPT	""mri Orbit Face Neck""	12	11	$3,792.00	$2,844.00 25% off	$70.00	$3,792.00	$2,222.11	2026-02-25
72149	CPT	""mri Lumbar Spine With""	13	11	$4,051.00	$3,038.25 25% off	$36.42	$4,051.00	$2,195.64	2026-02-25
C1880	HCPCS	""vena Cave Filter""	14	10	$3,740.00	$2,805.00 25% off	$36.42	$3,740.00	$2,191.64	2026-02-25
73718	CPT	""mri Lower Extremity Wo""	13	11	$3,996.00	$2,997.00 25% off	$36.42	$3,996.00	$2,165.83	2026-02-25
73720	CPT	""mri Lower Ext W/wo Contrast""	13	11	$3,893.00	$2,919.75 25% off	$36.42	$3,893.00	$2,110.01	2026-02-25
70549	CPT	""mra Neck W/wo""	13	11	$3,891.00	$2,918.25 25% off	$36.42	$3,891.00	$2,108.92	2026-02-25
70545	CPT	""mra Head With Contrast""	13	11	$3,891.00	$2,918.25 25% off	$36.42	$3,891.00	$2,108.92	2026-02-25
15277	CPT	""skin Sub <=100sqcm/ttl Surf>=100sqcm Ft""	15	11	$3,863.00	$2,897.25 25% off	$36.42	$3,863.00	$2,093.75	2026-02-25
15271	CPT	""apl Skin Sub <=25 Sqcm/ttl Surf <=100 Lg""	15	11	$3,863.00	$2,897.25 25% off	$36.42	$3,863.00	$2,093.75	2026-02-25
C5273	HCPCS	""wc Lc Skin Sub Graft Tmk/arm/leg Child""	15	11	$3,863.00	$2,897.25 25% off	$36.42	$3,863.00	$2,093.75	2026-02-25
15275	CPT	""apl Skin Sub <=25 Sqcm/ttl Surf <=100 Ft""	15	11	$3,863.00	$2,897.25 25% off	$36.42	$3,863.00	$2,093.75	2026-02-25
J2357	HCPCS	""xolair (omalizumab) 150mg/1ml Inj""	24	10	$5,221.04	$3,915.78 25% off	$36.42	$5,221.04	$2,091.03	2026-02-25
71552	CPT	""mri Chest W/wo""	13	11	$3,842.00	$2,881.50 25% off	$36.42	$3,842.00	$2,082.36	2026-02-25
71551	CPT	""mri Chest With Contrast""	13	11	$3,842.00	$2,881.50 25% off	$36.42	$3,842.00	$2,082.36	2026-02-25
71550	CPT	""mri Chest Wo Contrast""	13	11	$3,842.00	$2,881.50 25% off	$36.42	$3,842.00	$2,082.36	2026-02-25
73220	CPT	""mri Upper Ext W/wo Contrast""	13	11	$3,825.00	$2,868.75 25% off	$36.42	$3,825.00	$2,073.15	2026-02-25
70552	CPT	""mri Brain With Contrast""	13	11	$3,824.00	$2,868.00 25% off	$36.42	$3,824.00	$2,072.61	2026-02-25
70547	CPT	""mra Neck Wo Contrast""	12	11	$3,489.00	$2,616.75 25% off	$70.00	$3,489.00	$2,044.56	2026-02-25
70542	CPT	""mri Orbit Face Neck Soft Tissue W""	13	11	$3,681.00	$2,760.75 25% off	$36.42	$3,681.00	$1,995.10	2026-02-25
95782	CPT	""sleep Study - Pediatric Initial""	15	11	$3,605.00	$2,703.75 25% off	$36.42	$3,605.00	$1,953.91	2026-02-25
73702LT	OTHER	""ct Lower Ext W/wo Lt""	12	10	$3,027.00	$2,270.25 25% off	$36.42	$3,027.00	$1,937.28	2026-02-25
73702RT	OTHER	""ct Lower Ext W/wo Rt""	12	10	$3,027.00	$2,270.25 25% off	$36.42	$3,027.00	$1,937.28	2026-02-25
J0875	HCPCS	""dalbavancin (dalvance) 500 Mg Inj""	14	10	$3,695.60	$2,771.70 25% off	$15.32	$3,695.60	$1,925.41	2026-02-25
19083	CPT	""breast Biopsy W Placement Localization""	13	11	$3,036.00	$2,277.00 25% off	$36.42	$3,036.00	$1,912.68	2026-02-25
74150	CPT	""cta Abdomen - 74175""	13	11	$3,495.00	$2,621.25 25% off	$36.42	$3,495.00	$1,894.29	2026-02-25
72193	CPT	""ct Pelvis W""	12	11	$3,172.00	$2,379.00 25% off	$70.00	$3,172.00	$1,858.79	2026-02-25
73206	CPT	""cta Upper Ext - 73206""	13	11	$3,428.00	$2,571.00 25% off	$36.42	$3,428.00	$1,857.98	2026-02-25
74182	CPT	""mri Abdomen With Contrast""	13	11	$3,381.00	$2,535.75 25% off	$36.42	$3,381.00	$1,832.50	2026-02-25
70551	CPT	""mri Brain Wo""	12	11	$3,123.35	$2,342.51 25% off	$70.00	$3,123.35	$1,830.28	2026-02-25
36569	CPT	""picc/mid Line Insertion""	15	11	$3,637.00	$2,727.75 25% off	$36.42	$3,637.00	$1,818.50	2026-02-25
72142	CPT	""mri Cervical Spine With Contrast""	13	11	$3,324.00	$2,493.00 25% off	$36.42	$3,324.00	$1,801.61	2026-02-25
11404	CPT	""wc Excis Tr-ext Benign 3.1-4cm""	15	11	$3,299.00	$2,474.25 25% off	$36.42	$3,299.00	$1,788.06	2026-02-25
74181	CPT	""mri Abdomen Wo (mrcp)""	13	11	$3,296.00	$2,472.00 25% off	$36.42	$3,296.00	$1,786.43	2026-02-25
72196	CPT	""mri Pelvis W""	13	11	$3,296.00	$2,472.00 25% off	$36.42	$3,296.00	$1,786.43	2026-02-25
19081	CPT	""ma Needle Place Pre Op Left""	15	11	$3,281.00	$2,460.75 25% off	$36.42	$3,281.00	$1,778.30	2026-02-25
71275	CPT	""cta Chest - 71275""	10	9	$2,567.81	$1,925.86 25% off	$180.34	$2,567.81	$1,771.79	2026-02-25
C1768	HCPCS	""vasc Graft Tapered""	23	10	$2,174.00	$1,630.50 25% off	$36.42	$5,220.00	$1,739.20	2026-02-25
72131	CPT	""ct Lumbar Spine Wo""	13	11	$3,197.38	$2,398.04 25% off	$36.42	$3,197.38	$1,732.98	2026-02-25
73219	CPT	""mri Upper Ext With Contrast""	13	11	$3,197.00	$2,397.75 25% off	$36.42	$3,197.00	$1,732.77	2026-02-25
73202RT	OTHER	""ct Upper Extrem W/wo Rt""	12	10	$2,632.00	$1,974.00 25% off	$36.42	$2,632.00	$1,684.48	2026-02-25
73202LT	OTHER	""ct Upper Extrem W/wo Lt""	12	10	$2,632.00	$1,974.00 25% off	$36.42	$2,632.00	$1,684.48	2026-02-25
J0256	HCPCS	""zzzalpha1-proteinase Inhib Human 1051 Mg""	24	10	$2,848.80	$2,136.60 25% off	$4.78	$2,848.80	$1,669.34	2026-02-25
78451	CPT	""nm Cardiac Ejection Fraction""	23	11	$3,039.00	$2,279.25 25% off	$36.42	$3,039.00	$1,647.14	2026-02-25
90376	CPT	""rabies Immune Globulin 300un/2ml""	15	11	$3,034.08	$2,275.56 25% off	$36.42	$3,034.08	$1,644.47	2026-02-25
78264	CPT	""nm Gastric Empty Scan""	15	11	$3,282.50	$2,461.88 25% off	$36.42	$3,282.50	$1,641.25	2026-02-25
73706	CPT	""cta Lower Ext - 73706""	13	11	$3,027.00	$2,270.25 25% off	$36.42	$3,027.00	$1,640.63	2026-02-25
70486	CPT	""ct Max Facial Wo""	13	11	$3,023.28	$2,267.46 25% off	$36.42	$3,023.28	$1,638.62	2026-02-25
28001	CPT	""incision/drainage Bursa Foot""	15	11	$2,807.00	$2,105.25 25% off	$36.42	$2,807.00	$1,631.76	2026-02-25
24535	CPT	""closed Tx Of Humerus Fx W Manipulation""	15	11	$2,236.48	$1,677.36 25% off	$70.00	$2,236.48	$1,631.76	2026-02-25
24200	CPT	""removal Of Foreign Body Arm""	15	11	$2,685.00	$2,013.75 25% off	$36.42	$2,685.00	$1,631.76	2026-02-25
A4306	HCPCS	""on-q 600ml Pump Only""	14	10	$2,781.00	$2,085.75 25% off	$36.42	$2,781.00	$1,629.66	2026-02-25
70482	CPT	""ct Orbit Spf W/wo""	13	11	$2,995.00	$2,246.25 25% off	$36.42	$2,995.00	$1,623.29	2026-02-25
70336	CPT	""mri Tmj Exam""	13	11	$2,969.00	$2,226.75 25% off	$36.42	$2,969.00	$1,609.20	2026-02-25
72133	CPT	""ct Lumbar Spine W/wo""	13	11	$2,963.00	$2,222.25 25% off	$36.42	$2,963.00	$1,605.95	2026-02-25
73701RT	OTHER	""ct Lower Ext W Rt""	12	10	$2,442.00	$1,831.50 25% off	$36.42	$2,442.00	$1,562.88	2026-02-25
73701LT	OTHER	""ct Lower Ext W Lt""	12	10	$2,442.00	$1,831.50 25% off	$36.42	$2,442.00	$1,562.88	2026-02-25
G0390	HCPCS	""trauma Response Team Activation >30 Mins""	15	11	$2,873.00	$2,154.75 25% off	$36.42	$2,873.00	$1,557.17	2026-02-25
72194	CPT	""ct Pelvis W/wo""	13	11	$2,841.00	$2,130.75 25% off	$36.42	$2,841.00	$1,539.82	2026-02-25
78227	CPT	""nm Hida Scan W/wo Cck""	15	11	$3,075.80	$2,306.85 25% off	$36.42	$3,075.80	$1,537.90	2026-02-25
74160	CPT	""ct Abdomen W""	13	11	$2,836.00	$2,127.00 25% off	$36.42	$2,836.00	$1,537.11	2026-02-25
59409	CPT	""ob Care""	13	10	$2,356.00	$1,767.00 25% off	$36.42	$2,827.44	$1,531.40	2026-02-25
70491	CPT	""ct Soft Tissue Neck W""	12	11	$2,608.56	$1,956.42 25% off	$70.00	$2,608.56	$1,528.62	2026-02-25
78454	CPT	""nm Thallium Stress Test""	15	11	$3,055.00	$2,291.25 25% off	$36.42	$3,055.00	$1,527.50	2026-02-25
65435	CPT	""fb Removal Corneal Epithelium W/wo Chemo""	13	10	$2,419.02	$1,814.27 25% off	$36.42	$1,935.22	$1,523.98	2026-02-25
J0248	HCPCS	""remdesivir 200mg In 250ml Ns""	14	10	$2,600.00	$1,950.00 25% off	$36.42	$2,600.00	$1,523.60	2026-02-25
C1771	HCPCS	""contasure Sling""	14	10	$2,590.00	$1,942.50 25% off	$36.42	$2,590.00	$1,517.74	2026-02-25
11044	CPT	""debrid Bone <= 20 Sqcm""	15	11	$2,025.00	$1,518.75 25% off	$36.42	$2,025.00	$1,499.55	2026-02-25
73700LT	OTHER	""ct Lower Ext Wo Lt""	12	10	$2,327.00	$1,745.25 25% off	$36.42	$2,327.00	$1,489.28	2026-02-25
73700RT	OTHER	""ct Lower Ext Wo Rt""	12	10	$2,327.00	$1,745.25 25% off	$36.42	$2,327.00	$1,489.28	2026-02-25
78806	CPT	""nm Gallium Whole Body Scan""	14	10	$2,535.00	$1,901.25 25% off	$36.42	$2,535.00	$1,485.51	2026-02-25
73218	CPT	""mri Upper Ext Wo Contrast""	13	11	$2,718.00	$2,038.50 25% off	$36.42	$2,718.00	$1,473.16	2026-02-25
70487	CPT	""ct Max Facial W""	13	11	$2,711.00	$2,033.25 25% off	$36.42	$2,711.00	$1,469.36	2026-02-25
70488	CPT	""ct Max Facial W/wo""	13	11	$2,695.00	$2,021.25 25% off	$36.42	$2,695.00	$1,460.69	2026-02-25
70496	CPT	""cta Head - 70496""	13	11	$2,686.00	$2,014.50 25% off	$36.42	$2,686.00	$1,455.81	2026-02-25
70498	CPT	""cta Neck - 70498""	13	11	$2,686.00	$2,014.50 25% off	$36.42	$2,686.00	$1,455.81	2026-02-25
70490	CPT	""ct Soft Tissue Neck Wo""	12	11	$2,474.00	$1,855.50 25% off	$70.00	$2,474.00	$1,449.76	2026-02-25
J2325	HCPCS	""zzzNATRECOR (nesiritide) IV 1.5 Mg""	13	9	$2,633.00	$1,974.75 25% off	$36.42	$2,633.00	$1,427.09	2026-02-25
J1212	HCPCS	""dimethyl Sulfoxide 50% 50ml Inj""	14	10	$2,727.56	$2,045.67 25% off	$36.42	$2,727.56	$1,421.06	2026-02-25
93017	CPT	""stress Test""	15	11	$2,600.78	$1,950.59 25% off	$36.42	$2,600.78	$1,409.62	2026-02-25
72127	CPT	""ct Cervical Spine W/wo""	13	11	$2,600.00	$1,950.00 25% off	$36.42	$2,600.00	$1,409.20	2026-02-25
0710	RC	—	14	10	$2,402.40	$1,801.80 25% off	$36.42	$2,402.40	$1,407.80	2026-02-25
70460	CPT	""ct Head W""	12	11	$2,386.00	$1,789.50 25% off	$70.00	$2,386.00	$1,398.20	2026-02-25
72132	CPT	""ct Lumbar Spine W""	13	11	$2,578.00	$1,933.50 25% off	$36.42	$2,578.00	$1,397.28	2026-02-25
72126	CPT	""ct Cervical Spine W""	13	11	$2,578.00	$1,933.50 25% off	$36.42	$2,578.00	$1,397.28	2026-02-25
86332	CPT	""dietary Ag Test-86332""	12	11	$2,383.04	$1,787.28 25% off	$24.37	$2,383.04	$1,396.46	2026-02-25
73201RT	OTHER	""ct Upper Extrem W Rt""	12	10	$2,174.00	$1,630.50 25% off	$36.42	$2,174.00	$1,391.36	2026-02-25
73201LT	OTHER	""ct Upper Extrem W Lt""	12	10	$2,174.00	$1,630.50 25% off	$36.42	$2,174.00	$1,391.36	2026-02-25
76811	CPT	""us OB Complete One Fetus""	13	11	$2,494.00	$1,870.50 25% off	$36.42	$2,494.00	$1,351.75	2026-02-25
64448	CPT	""crna Nerve Block Femoral Cath Continuous""	13	10	$2,142.00	$1,606.50 25% off	$36.42	$1,713.60	$1,349.46	2026-02-25
64446	CPT	""crna Nerve Block Sciatic Continuous""	13	10	$2,142.00	$1,606.50 25% off	$36.42	$1,713.60	$1,349.46	2026-02-25
72125	CPT	""ct Cervical Spine Wo""	13	11	$2,482.48	$1,861.86 25% off	$36.42	$2,482.48	$1,345.50	2026-02-25
75822	CPT	""xr Venogram Bilateral""	13	11	$2,080.00	$1,560.00 25% off	$36.42	$2,080.00	$1,310.40	2026-02-25
10081	CPT	""i&d Pilonidal Cyst Complicated""	22	11	$2,739.00	$2,054.25 25% off	$36.42	$2,739.00	$1,304.49	2026-02-25
V2790	HCPCS	""amniograft""	14	10	$2,225.00	$1,668.75 25% off	$36.42	$2,225.00	$1,303.85	2026-02-25
73719	CPT	""mri Lower Ext With Contrast""	13	11	$2,049.00	$1,536.75 25% off	$36.42	$2,049.00	$1,261.22	2026-02-25
J0885	HCPCS	""zzzEPOETIN Alfa 20,000 Units/ 1 Ml Vial""	24	10	$2,233.00	$1,674.75 25% off	$7.93	$2,233.00	$1,248.38	2026-02-25
81406	CPT	""itgb3""	12	11	$2,121.60	$1,591.20 25% off	$36.42	$2,121.60	$1,243.26	2026-02-25
70492	CPT	""ct Soft Tissue Neck W/wo""	13	11	$2,289.00	$1,716.75 25% off	$36.42	$2,289.00	$1,240.64	2026-02-25
70480	CPT	""ct Temporal Bones Wo""	12	11	$2,104.00	$1,578.00 25% off	$70.00	$2,104.00	$1,232.94	2026-02-25
J2430	HCPCS	""aredia Inj: 60mg""	13	9	$2,261.00	$1,695.75 25% off	$36.42	$2,261.00	$1,225.46	2026-02-25
46050	CPT	""i&d Perianal Abcess""	13	10	$1,944.00	$1,458.00 25% off	$36.42	$1,631.76	$1,224.72	2026-02-25
72129	CPT	""ct Thoracic Spine W""	13	11	$2,241.00	$1,680.75 25% off	$36.42	$2,241.00	$1,214.62	2026-02-25
P9034	HCPCS	"".bb Platelet Pheresed""	15	11	$2,201.00	$1,650.75 25% off	$36.42	$2,201.00	$1,192.94	2026-02-25
1104459	OTHER	""debrid Bone <= 20 Sqcm""	14	10	$2,025.00	$1,518.75 25% off	$36.42	$2,025.00	$1,186.65	2026-02-25
11047	CPT	""debrid Bone Ea Addtl 20 Sqcm""	14	10	$2,025.00	$1,518.75 25% off	$36.42	$2,025.00	$1,186.65	2026-02-25
78226	CPT	""nm Hida Scan Without Cck""	15	11	$2,366.00	$1,774.50 25% off	$36.42	$2,366.00	$1,183.00	2026-02-25
70481	CPT	""ct Orbit Spf W""	13	11	$2,174.00	$1,630.50 25% off	$36.42	$2,174.00	$1,178.31	2026-02-25
0880	RC	—	14	10	$2,006.73	$1,505.05 25% off	$36.42	$2,006.73	$1,175.95	2026-02-25
0684	RC	—	14	10	$2,006.00	$1,504.50 25% off	$36.42	$2,006.00	$1,175.51	2026-02-25
78206	CPT	""nm Liver Static Flow Tomo""	14	10	$2,003.00	$1,502.25 25% off	$36.42	$2,003.00	$1,173.76	2026-02-25
36573	CPT	""picc/mid Line Insertion W Image Guidance""	22	11	$3,567.72	$2,675.79 25% off	$36.42	$3,567.72	$1,157.53	2026-02-25
J1451	HCPCS	""fomepizole 1500mg / 1.5ml Inj""	14	10	$2,204.60	$1,653.45 25% off	$7.25	$2,204.60	$1,148.60	2026-02-25
46040	CPT	""incision Rectal Abscess""	22	11	$4,725.00	$3,543.75 25% off	$36.42	$4,725.00	$1,134.51	2026-02-25
46946	CPT	""hemorroid Staples""	15	11	$1,512.00	$1,134.00 25% off	$36.42	$2,569.47	$1,134.00	2026-02-25
27788	CPT	""tx Of Left Ankle Fx""	15	11	$1,506.00	$1,129.50 25% off	$70.00	$1,631.76	$1,129.50	2026-02-25
76870	CPT	""us Scrotum Sonogram""	13	11	$2,067.52	$1,550.64 25% off	$36.42	$2,067.52	$1,120.60	2026-02-25
7706752	OTHER	""ma Mammo Unilateral W Tomo""	14	10	$1,898.26	$1,423.70 25% off	$36.42	$1,898.26	$1,112.38	2026-02-25
78805	CPT	""nm Gallium Ltd Statics""	14	10	$1,871.00	$1,403.25 25% off	$36.42	$1,871.00	$1,096.40	2026-02-25
76705	CPT	""us Hepatic""	13	11	$1,992.90	$1,494.68 25% off	$36.42	$1,992.90	$1,080.15	2026-02-25
0275	RC	—	23	10	$1,335.00	$1,001.25 25% off	$36.42	$2,350.00	$1,068.00	2026-02-25
99284	CPT	""emergency Level 4""	21	11	$2,510.00	$1,882.50 25% off	$36.42	$2,510.00	$1,038.00	2026-02-25
99285	CPT	""emergency Level 5""	21	11	$2,910.00	$2,182.50 25% off	$36.42	$2,910.00	$1,038.00	2026-02-25
M0247	HCPCS	""intravenous Infusion Sotrovimab""	14	10	$1,755.00	$1,316.25 25% off	$36.42	$1,755.00	$1,028.43	2026-02-25
M0243	HCPCS	""intravenous Infusion Casirivimab""	14	10	$1,755.00	$1,316.25 25% off	$36.42	$1,755.00	$1,028.43	2026-02-25
77012	CPT	""ct Guided Needle Biopsy""	13	11	$1,882.00	$1,411.50 25% off	$36.42	$1,882.00	$1,020.04	2026-02-25
81226	CPT	""cyp2d6""	12	11	$1,702.77	$1,277.08 25% off	$36.42	$1,702.77	$997.83	2026-02-25
78473	CPT	""nm Muga Cardiac Scan""	15	11	$1,990.00	$1,492.50 25% off	$36.42	$1,990.00	$995.00	2026-02-25
0720	RC	—	14	10	$1,648.00	$1,236.00 25% off	$36.42	$1,648.00	$965.73	2026-02-25
62311	CPT	""crna Epidural Neuro Axial Duromorph""	21	10	$1,500.00	$1,125.00 25% off	$36.42	$1,529.00	$963.27	2026-02-25
25605	CPT	""treat Fx Radius/ulna""	13	10	$1,481.00	$1,110.75 25% off	$36.42	$1,631.76	$962.65	2026-02-25
76536	CPT	""us Soft Tissue Of Head And Neck""	13	11	$1,756.30	$1,317.23 25% off	$36.42	$1,756.30	$951.91	2026-02-25
64483	CPT	""crna Epidural Steroid Injection""	13	10	$1,500.00	$1,125.00 25% off	$36.42	$1,631.76	$945.00	2026-02-25
64415	CPT	""crna Nerve Block Brachial Plexus""	13	10	$1,500.00	$1,125.00 25% off	$36.42	$1,631.76	$945.00	2026-02-25
62273	CPT	""crna Epidural Blood Patch""	13	10	$1,500.00	$1,125.00 25% off	$36.42	$1,631.76	$945.00	2026-02-25
J1442	HCPCS	""zzzNEUPOGEN (filgrastim) 480 Mcg / Ml""	14	10	$1,802.00	$1,351.50 25% off	$0.98	$1,802.00	$938.84	2026-02-25
78320	CPT	""nm Bone Spect""	14	10	$1,599.00	$1,199.25 25% off	$36.42	$1,599.00	$937.01	2026-02-25
C1781	HCPCS	""dressing Interceed""	77	10	$1,708.00	$1,281.00 25% off	$36.42	$4,189.00	$925.74	2026-02-25
78709	CPT	""nm Renal Flow W Captopril Mult""	15	11	$1,814.00	$1,360.50 25% off	$36.42	$1,814.00	$907.00	2026-02-25
70450	CPT	""ct Head Wo""	13	11	$1,672.84	$1,254.63 25% off	$36.42	$1,672.84	$906.68	2026-02-25
93307	CPT	""us Echo""	15	11	$1,668.00	$1,251.00 25% off	$36.42	$1,668.00	$904.06	2026-02-25
Q4186	HCPCS	""epifix Per 1 Sqcm""	13	9	$1,655.00	$1,241.25 25% off	$36.42	$1,655.00	$897.01	2026-02-25
Q4160	HCPCS	""nushield Per 1 Sqcm""	13	9	$1,655.00	$1,241.25 25% off	$36.42	$1,655.00	$897.01	2026-02-25
78315	CPT	""nm Bone Scan W Flow 3 Phase""	15	11	$1,781.00	$1,335.75 25% off	$36.42	$1,781.00	$890.50	2026-02-25
78708	CPT	""nm Renal Flow W Captopril Single""	15	11	$1,755.00	$1,316.25 25% off	$36.42	$1,755.00	$877.50	2026-02-25
76642	CPT	""us Breast Limited""	13	11	$1,612.52	$1,209.39 25% off	$36.42	$1,612.52	$873.99	2026-02-25
13152	CPT	""comp Rep Eyelid-nose-ear-lip 2.6-7.5 Cm""	13	10	$1,377.00	$1,032.75 25% off	$36.42	$1,631.76	$867.51	2026-02-25
76856	CPT	""us Doctor Pelvic Sono""	13	11	$1,600.30	$1,200.23 25% off	$36.42	$1,600.30	$867.36	2026-02-25
21116	CPT	""mri Injection - Tmj Exam""	12	10	$1,339.00	$1,004.25 25% off	$36.42	$1,339.00	$856.96	2026-02-25
33284	CPT	""removal Cardiac Recorder""	14	10	$1,435.00	$1,076.25 25% off	$36.42	$1,435.00	$840.91	2026-02-25
62319	CPT	""crna Epidural Placement Port-op Pain""	12	9	$1,607.00	$1,205.25 25% off	$36.42	$1,285.60	$837.25	2026-02-25
36010	CPT	""xr Intro Cath Inf Vena Cava""	12	10	$1,306.00	$979.50 25% off	$36.42	$1,306.00	$835.84	2026-02-25
88184	CPT	""flow Cytometry""	12	11	$1,423.00	$1,067.25 25% off	$36.42	$1,423.00	$833.88	2026-02-25
64447	CPT	""crna Nerve Block Femoral""	13	10	$1,313.00	$984.75 25% off	$36.42	$1,631.76	$827.19	2026-02-25
64445	CPT	""crna Nerve Block Sciatic""	13	10	$1,313.00	$984.75 25% off	$36.42	$1,631.76	$827.19	2026-02-25
73725	CPT	""mra Lower Extremity W/contrast""	21	11	$1,430.00	$1,072.50 25% off	$36.42	$1,430.00	$801.63	2026-02-25
27096	CPT	""crna Si Joint Injection""	12	9	$1,250.00	$937.50 25% off	$36.42	$1,631.76	$800.00	2026-02-25
78300	CPT	""nm Bone Scan Limited No Flow""	15	11	$1,570.00	$1,177.50 25% off	$36.42	$1,570.00	$785.00	2026-02-25
Q4100	HCPCS	""actigraft""	13	9	$1,446.00	$1,084.50 25% off	$36.42	$1,446.00	$783.73	2026-02-25
Q4158	HCPCS	""kerecis Omega 3 Fish Skin Graft Per Sq C""	13	9	$1,446.00	$1,084.50 25% off	$36.42	$1,446.00	$783.73	2026-02-25
Q4222	HCPCS	""progenamatrix Per Sq Cm""	13	9	$1,446.00	$1,084.50 25% off	$36.42	$1,446.00	$783.73	2026-02-25
78306	CPT	""nm Bone Whole Body Scan""	12	11	$1,333.00	$999.75 25% off	$70.00	$1,333.00	$781.14	2026-02-25
56420	CPT	""i&d Bartholin's Gland Abcess""	13	10	$1,237.00	$927.75 25% off	$36.42	$1,631.76	$779.31	2026-02-25
71250	CPT	""ct Chest Thorax Wo""	13	11	$1,436.80	$1,077.60 25% off	$36.42	$1,436.80	$778.75	2026-02-25
C5271	HCPCS	""wc Lc Skin Sub Graft Tmk/arm/leg""	15	11	$1,183.00	$887.25 25% off	$36.42	$1,631.76	$768.95	2026-02-25
C5275	HCPCS	""wc Lc Skin Sub Graft Face/nk/hf/g""	15	11	$1,183.00	$887.25 25% off	$36.42	$1,631.76	$768.95	2026-02-25
C5277	HCPCS	""wc Lc Skin Sub Graft Tmk/arm/leg""	15	11	$1,183.00	$887.25 25% off	$36.42	$1,631.76	$768.95	2026-02-25
99291	CPT	""first 30-74 Minutes Critical Care E&m""	23	11	$1,676.58	$1,257.44 25% off	$36.42	$2,200.00	$767.72	2026-02-25
25248	CPT	""foreign Body Removal Wrist""	13	10	$1,179.00	$884.25 25% off	$36.42	$1,631.76	$766.35	2026-02-25
7681659	OTHER	""us OB Follow Up 2nd Fetus""	12	10	$1,196.00	$897.00 25% off	$36.42	$1,196.00	$765.44	2026-02-25
76810	CPT	""us OB Multiple 2nd Fetus""	13	11	$1,207.00	$905.25 25% off	$36.42	$1,207.00	$760.41	2026-02-25
25500	CPT	""closed Tx Radial Shaft Fx Wo Man Lt""	15	11	$1,010.12	$757.59 25% off	$70.00	$1,631.76	$757.59	2026-02-25
76001	CPT	""xr Fluoro Over 1 Hour""	12	10	$1,182.00	$886.50 25% off	$36.42	$1,182.00	$756.48	2026-02-25
86817	CPT	""hla D R Typing""	12	11	$1,286.00	$964.50 25% off	$36.42	$1,286.00	$753.60	2026-02-25
99283	CPT	""emergency Level 3""	21	11	$1,428.00	$1,071.00 25% off	$36.42	$1,785.85	$750.00	2026-02-25
36589	CPT	""removal Of Central Venous Access Device""	15	11	$1,190.00	$892.50 25% off	$36.42	$1,631.76	$750.00	2026-02-25
78278	CPT	""nm Gi Blood Loss Scan""	15	11	$1,380.00	$1,035.00 25% off	$36.42	$1,380.00	$747.96	2026-02-25
78707	CPT	""nm Renal Scan W Flow""	15	11	$1,488.00	$1,116.00 25% off	$36.42	$1,488.00	$744.00	2026-02-25
J2597	HCPCS	""desmopressin 40mcg/10ml Inj""	14	10	$1,403.16	$1,052.37 25% off	$7.08	$1,403.16	$731.05	2026-02-25
90675	CPT	""vaccine Rabies (rabavert) 2.5 Units Inj""	15	11	$1,334.08	$1,000.56 25% off	$36.42	$1,334.08	$723.07	2026-02-25
77066	CPT	""ma Mammo Dia Bilateral Cad""	12	11	$1,126.94	$845.21 25% off	$70.00	$1,126.94	$721.24	2026-02-25
19000	CPT	""us Puncture Asp Of Breast Cyst""	15	11	$1,109.00	$831.75 25% off	$36.42	$1,631.76	$720.85	2026-02-25
93971RT	OTHER	""us Peripheral With Color Rt""	14	10	$1,218.67	$914.00 25% off	$36.42	$1,218.67	$714.14	2026-02-25
93971LT	OTHER	""us Peripheral With Color Lt""	14	10	$1,218.67	$914.00 25% off	$36.42	$1,218.67	$714.14	2026-02-25
19000RT	OTHER	""breast Cyst Punct/aspir Rt""	12	10	$1,109.00	$831.75 25% off	$36.42	$1,109.00	$709.76	2026-02-25
19000LT	OTHER	""breast Cyst Punct/aspir Lt""	12	10	$1,109.00	$831.75 25% off	$36.42	$1,109.00	$709.76	2026-02-25
13151	CPT	""comp Rep Eyelid-nose-ear-lip 1.1-2.5 Cm""	13	10	$1,113.00	$834.75 25% off	$36.42	$1,631.76	$701.19	2026-02-25
13121	CPT	""comp Rep Scalp-arm-leg 2.6 -m 7.5 Cm""	13	10	$1,112.00	$834.00 25% off	$36.42	$1,631.76	$700.56	2026-02-25
93925	CPT	""us Lower Ext Arterial Flow Bilat""	15	11	$1,282.46	$961.85 25% off	$36.42	$1,282.46	$695.09	2026-02-25
78018	CPT	""nm Thy Ca Mets Whole Body""	15	11	$1,388.00	$1,041.00 25% off	$36.42	$1,388.00	$694.00	2026-02-25
74249	CPT	""xr Gi Sbft Air Contrast""	12	10	$1,084.00	$813.00 25% off	$36.42	$1,084.00	$693.76	2026-02-25
76700	CPT	""us Abdominal Sonogram""	13	11	$1,263.60	$947.70 25% off	$36.42	$1,263.60	$684.87	2026-02-25
75989	CPT	""us Abcess Drainage""	21	11	$1,382.00	$1,036.50 25% off	$36.42	$1,382.00	$683.20	2026-02-25
93306	CPT	""ec Echo Transthoracic 2d Color Doppler""	14	11	$1,149.07	$861.80 25% off	$65.00	$1,149.07	$673.36	2026-02-25
74246	CPT	""xr Ugi Air Contrast""	13	11	$1,240.00	$930.00 25% off	$36.42	$1,240.00	$672.08	2026-02-25
74283	CPT	""xr Therapeutic Enema""	13	11	$1,210.00	$907.50 25% off	$36.42	$1,210.00	$655.82	2026-02-25
78014	CPT	""nm Thyroid I-123 Scan Complete""	14	11	$1,255.00	$941.25 25% off	$63.50	$1,255.00	$653.86	2026-02-25
76816	CPT	""us OB Follow Up""	13	11	$1,196.00	$897.00 25% off	$36.42	$1,196.00	$648.23	2026-02-25
12020	CPT	""dehiscence Simple""	15	11	$864.00	$648.00 25% off	$36.42	$1,631.76	$648.00	2026-02-25
J2355	HCPCS	""zzzNEUMEGA Inj: 5mg""	13	9	$1,194.00	$895.50 25% off	$36.42	$1,194.00	$647.15	2026-02-25
G0379	HCPCS	""observation Bed - Direct Admit By Dr Off""	15	11	$859.81	$644.86 25% off	$36.42	$2,500.00	$646.58	2026-02-25
81225	CPT	""cyp2c19""	12	11	$1,100.25	$825.19 25% off	$36.42	$1,100.25	$644.75	2026-02-25
93350	CPT	""ec Echo Stress""	14	11	$1,096.00	$822.00 25% off	$65.00	$1,096.00	$642.25	2026-02-25
88000	CPT	""autopsy""	11	10	$1,018.00	$763.50 25% off	$36.42	$1,018.00	$641.34	2026-02-25
72050	CPT	""xr Cervical Spine Comp Min 4 V""	13	11	$1,179.36	$884.52 25% off	$36.42	$1,179.36	$639.21	2026-02-25
76817	CPT	""us OB Trans Vag""	13	11	$1,175.00	$881.25 25% off	$36.42	$1,175.00	$636.85	2026-02-25
81414	CPT	""cacna1c""	12	11	$1,083.15	$812.36 25% off	$36.42	$1,083.15	$634.73	2026-02-25
J1410	HCPCS	""estrogen Conjugated (premarin) 25 Mg Inj""	14	10	$1,209.28	$906.96 25% off	$36.42	$1,209.28	$630.03	2026-02-25
76706	CPT	""us Abdominal Aorta Screening""	13	11	$1,147.00	$860.25 25% off	$36.42	$1,147.00	$621.67	2026-02-25
72110	CPT	""xr Lumbar Spine Ap Lat Obls""	13	11	$1,146.60	$859.95 25% off	$35.33	$1,146.60	$621.46	2026-02-25
26010	CPT	""drainage Of Finger Abcess Simple""	16	11	$887.00	$665.25 25% off	$36.42	$1,631.76	$620.90	2026-02-25
74280	CPT	""xr Barium Enema Air Contrast""	13	11	$1,143.00	$857.25 25% off	$36.42	$1,143.00	$619.51	2026-02-25
78216	CPT	""nm Liver Spleen Scan W Flow""	15	11	$1,236.00	$927.00 25% off	$36.42	$1,236.00	$618.00	2026-02-25
M0222	HCPCS	""intravenous Infusion Bebtelovimab""	14	10	$1,051.50	$788.63 25% off	$36.42	$1,051.50	$616.18	2026-02-25
12044	CPT	""repair Intermed Nhfxtrnl 7.6-12.5cm""	15	11	$819.00	$614.25 25% off	$70.00	$1,631.76	$614.25	2026-02-25
81401	CPT	""cyp3a4""	12	11	$1,027.50	$770.63 25% off	$36.42	$1,027.50	$602.12	2026-02-25
93970	CPT	""us Peripheral With Color Bilat""	15	11	$1,102.36	$826.77 25% off	$36.42	$1,102.36	$597.48	2026-02-25
76815	CPT	""us Doctor OB Limited""	13	11	$1,090.00	$817.50 25% off	$36.42	$1,090.00	$590.78	2026-02-25
92950	CPT	""heart/lung Resuscitation Cpr""	31	11	$1,086.80	$815.10 25% off	$36.42	$1,521.52	$589.05	2026-02-25
13120	CPT	""comp Rep Scalp-arm-leg 1.1 - 2.5 Cm""	13	10	$930.00	$697.50 25% off	$36.42	$1,631.76	$585.90	2026-02-25
72265	CPT	""xr Lumber Myelogram""	13	11	$929.00	$696.75 25% off	$36.42	$929.00	$585.27	2026-02-25
25600	CPT	""treat Fx Radius/ulna""	13	10	$926.00	$694.50 25% off	$36.42	$1,631.76	$583.38	2026-02-25
26700	CPT	""thumb Dislocation""	13	10	$923.00	$692.25 25% off	$36.42	$1,631.76	$581.49	2026-02-25
11043	CPT	""debrid Musc/fascia <= 20 Sqcm""	15	11	$853.00	$639.75 25% off	$36.42	$1,631.76	$580.95	2026-02-25
78290	CPT	""nm Meckles Bowel Imaging""	15	11	$1,159.00	$869.25 25% off	$36.42	$1,159.00	$579.50	2026-02-25
76872	CPT	""us Prostate Rectal""	13	11	$1,067.00	$800.25 25% off	$36.42	$1,067.00	$578.31	2026-02-25
74400	CPT	""xr Ivp No Tomos""	13	11	$1,056.00	$792.00 25% off	$36.42	$1,056.00	$572.35	2026-02-25
93880	CPT	""ec Carotid Ultrasound""	24	11	$1,932.76	$1,449.57 25% off	$36.42	$1,932.76	$570.36	2026-02-25
78458	CPT	""nm Venous Thrombo Study Bilat""	15	11	$1,139.00	$854.25 25% off	$36.42	$1,139.00	$569.50	2026-02-25

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