Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

LIBERTY REGIONAL MEDICAL CENTER

Hinesville, GA · CCN 111335 · Rates published

1,466 distinct procedures filed
6 distinct payers
13,110 rate rows
2026-04-01 last MRF observed
Data quality

13,108 of 13,110 rate rows are consumer-grade (100.0%)

2 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 — reasonRows
exceeds 10× this hospital's gross charge — excluded from medians 2
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.libertyregional.org/docs/586025016_liberty-regional-medical-center_standardcharges.csv
Found on page https://www.libertyregional.org/getpage.php?name=Pricing_Transparency&sub+Patient%20Information
Discovered viaCMS hospital list
Last fetch not_modified · 2026-09-20
Content fingerprint 013c0f9c5d1bd0f4… · 3,177,501 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
64590
HCPCS 		Ipg (implantable Pluse Gen) 6 $23,556.11 $109,326.00 $24,410.31 nat. median
$18,089
1.3× median
64555
HCPCS 		Electrodes/leads 6 $23,556.11 $109,326.00 $24,410.31 nat. median
$6,392
outlier · 3.8×
C1767
HCPCS 		Proclaim System 6 $14,033.34 $65,130.00 $14,542.23 nat. median
$25,172
0.6× median
22612
HCPCS 		Interlaminar Fixation Device 6 $9,049.60 $42,000.00 $9,377.76 nat. median
$13,201
0.7× median
J3101
HCPCS 		TNKase Injection 50mg Kit 6 $8,045.09 $37,338.00 $8,336.83 nat. median
$498
outlier · 16.7×
29888
HCPCS 		Acl Reconstruction 6 $4,617.24 $6,352.00 $4,784.66 nat. median
$7,221
0.7× median
66991
HCPCS 		Cataract Remove W Inter Lens 6 $3,334.78 $6,352.00 $3,455.70 nat. median
$5,656
0.6× median
J0875
HCPCS 		Dalbavancin(dalvance)500mg Inj 6 $1,193.45 $7,367.00 $3,425.66 nat. median
$49
outlier · 69.3×
22840
HCPCS 		Spine Fixation Device 6 $3,232.00 $6,352.00 $3,349.20 nat. median
$3,270
1.0× median
J0840
HCPCS 		Crofab 1gm Inj 1 Vial 6 $3,100.78 $14,391.00 $3,213.23 nat. median
$3,496
0.9× median
68320
HCPCS 		Graft/revise Eyelid Lining 6 $2,637.96 $6,352.00 $2,733.62 nat. median
$2,474
1.1× median
66250
HCPCS 		Anterior Sclera Repair 6 $2,637.96 $6,352.00 $2,733.62 nat. median
$2,483
1.1× median
66185
HCPCS 		Glaucoma Repair 6 $2,579.14 $6,352.00 $2,672.66 nat. median
$2,642
1.0× median
67255
HCPCS 		Tutoplast 6 $2,421.41 $11,238.00 $2,509.22 nat. median
$4,224
0.6× median
29871
HCPCS 		Artho Joint Infection Prevention 6 $2,096.92 $6,352.00 $2,172.96 nat. median
$3,459
0.6× median
29870
HCPCS 		Knee Arthroscopy 6 $2,096.92 $6,352.00 $2,172.96 nat. median
$3,592
0.6× median
65780
HCPCS 		Biotissue Multi 6 $2,021.29 $9,381.00 $2,094.59 nat. median
$4,174
0.5× median
65779
HCPCS 		Biotissue Single 6 $2,021.29 $9,381.00 $2,094.59 nat. median
$3,950
0.5× median
90375
HCPCS 		Rabies Immune Glob Inj 300iu 6 $724.95 $4,475.00 $2,080.88 nat. median
$789
outlier · 2.6×
G0390
HCPCS 		Trauma Act Level I 6 $1,575.76 $9,918.75 $1,978.78 nat. median
$3,280
0.6× median
66174
HCPCS 		Omni Surgical System 6 $1,893.63 $8,788.50 $1,962.30 nat. median
$4,316
outlier · 0.5×
0671T
OTHER 		Hydrus Microstent 6 $1,866.48 $6,352.00 $1,934.16 nat. median
$6,233
outlier · 0.3×
20680
HCPCS 		Remove Implant Hardward 6 $1,850.00 $6,352.00 $1,917.09 nat. median
$3,172
0.6× median
0750
RC 		6 $135.71 $6,352.00 $1,851.99 nat. median
$1,677
1.1× median
27427
HCPCS 		Drill Pin, Acl, Tightrope, Open-eyed 6 $236.42 $10,893.75 $1,722.24 nat. median
$6,955
outlier · 0.2×
0449T
OTHER 		Xen Gel Stent 6 $1,649.61 $6,352.00 $1,709.43 nat. median
$6,240
outlier · 0.3×
43239
HCPCS 		Egd W/biopsy 6 $1,554.83 $6,352.00 $1,611.21 nat. median
$1,161
1.4× median
J0897
HCPCS 		Prolia 60mg Inj 6 $22.51 $7,039.50 $1,535.74 nat. median
$86
outlier · 17.9×
74177
HCPCS 		CT Abdomen And Pelvis W/contrast 6 $1,435.09 $6,660.38 $1,487.12 nat. median
$501
outlier · 3.0×
66984
HCPCS 		Cataract Removal W Lens General 6 $358.83 $6,216.00 $1,436.78 nat. median
$2,550
0.6× median
C1776
HCPCS 		Biocomp Meniscal Root Repair Kit 6 $622.16 $12,264.00 $1,424.17 nat. median
$3,543
outlier · 0.4×
66180
HCPCS 		Aqueous Shunt 6 $1,357.44 $5,880.00 $1,406.66 nat. median
$5,242
outlier · 0.3×
A9569
HCPCS 		Nm Ceretec Isotope 6 $1,252.11 $5,811.16 $1,297.51 nat. median
$1,675
0.8× median
45380
HCPCS 		Colonoscopy W/biopsy 6 $1,193.09 $5,168.10 $1,236.36 nat. median
$1,441
0.9× median
72157
HCPCS 		MRI Spine Thoracic W Without Contrast 6 $1,160.07 $5,383.99 $1,202.13 nat. median
$624
1.9× median
72156
HCPCS 		MRI Spine Cervical W Without Contrast 6 $1,127.01 $5,230.58 $1,167.88 nat. median
$625
1.9× median
74178
HCPCS 		CT Abdomen And Pelvis W&without Contrast 6 $699.00 $5,074.07 $1,094.64 nat. median
$539
outlier · 2.0×
73720
HCPCS 		MRI Leg (bones) Rt W/wo/contrast 6 $1,049.90 $4,872.69 $1,087.97 nat. median
$754
1.4× median
65820
HCPCS 		Iaccess Device 6 $1,034.24 $4,800.00 $1,085.95 nat. median
$4,182
outlier · 0.3×
70544
HCPCS 		MRA Head Without Contrast 6 $667.65 $4,678.20 $1,009.25 nat. median
$435
outlier · 2.3×
70553
HCPCS 		MRI Brain W/wo Contrast 6 $616.10 $4,467.62 $963.81 nat. median
$616
1.6× median
J1670
HCPCS 		Tetanus Immune Globulin 250 Iu 6 $335.34 $2,070.00 $962.55 nat. median
$753
1.3× median
J3300
HCPCS 		Triesence Opth. Injection: 40mg/1ml 6 $914.66 $4,245.00 $947.83 nat. median
$42
outlier · 22.8×
59899
HCPCS 		Jada Hemorrage System 6 $808.00 $3,750.00 $837.30 nat. median
$310
outlier · 2.7×
10140
HCPCS 		Drainage Hematoma Or Fluid 6 $794.43 $3,441.20 $823.24 nat. median
$1,664
outlier · 0.5×
72128
HCPCS 		CT Thoracic Spine Without Contrast 6 $787.72 $3,655.88 $816.29 nat. median
$213
outlier · 3.8×
19083
HCPCS 		US Core Breast Biopsy 6 $656.90 $3,726.50 $803.93 nat. median
$1,957
outlier · 0.4×
70487
HCPCS 		CT Face W/contrast 6 $773.20 $3,588.49 $801.24 nat. median
$321
outlier · 2.5×
78264
HCPCS 		Nm Gastric Emptying Study 6 $721.38 $3,348.00 $747.54 nat. median
$506
1.5× median
36596
HCPCS 		Picc Line Removal 6 $711.04 $3,300.00 $736.83 nat. median
$1,917
outlier · 0.4×

Other procedures at this hospital

Browse this hospital's 1,466 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
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
             
64555 HCPCS Electrodes/leads 6 6 $145,768.00 $109,326.00 25% off $23,556.11 $109,326.00 $24,410.31 2026-04-01
64590 HCPCS Ipg (implantable Pluse Gen) 6 6 $145,768.00 $109,326.00 25% off $23,556.11 $109,326.00 $24,410.31 2026-04-01
C1767 HCPCS Proclaim System 6 6 $86,840.00 $65,130.00 25% off $14,033.34 $65,130.00 $14,542.23 2026-04-01
22612 HCPCS Interlaminar Fixation Device 6 6 $56,000.00 $42,000.00 25% off $9,049.60 $42,000.00 $9,377.76 2026-04-01
J3101 HCPCS TNKase Injection 50mg Kit 6 6 $49,784.00 $37,338.00 25% off $8,045.09 $37,338.00 $8,336.83 2026-04-01
29888 HCPCS Acl Reconstruction 6 6 $28,572.00 $21,429.00 25% off $4,617.24 $6,352.00 $4,784.66 2026-04-01
66991 HCPCS Cataract Remove W Inter Lens 6 6 $20,636.00 $15,477.00 25% off $3,334.78 $6,352.00 $3,455.70 2026-04-01
J0875 HCPCS Dalbavancin(dalvance)500mg Inj 6 6 $7,367.00 $5,525.25 25% off $1,193.45 $7,367.00 $3,425.66 2026-04-01
22840 HCPCS Spine Fixation Device 6 6 $20,000.00 $15,000.00 25% off $3,232.00 $6,352.00 $3,349.20 2026-04-01
J0840 HCPCS Crofab 1gm Inj 1 Vial 6 6 $19,188.00 $14,391.00 25% off $3,100.78 $14,391.00 $3,213.23 2026-04-01
66250 HCPCS Anterior Sclera Repair 6 6 $16,324.00 $12,243.00 25% off $2,637.96 $6,352.00 $2,733.62 2026-04-01
68320 HCPCS Graft/revise Eyelid Lining 6 6 $16,324.00 $12,243.00 25% off $2,637.96 $6,352.00 $2,733.62 2026-04-01
66185 HCPCS Glaucoma Repair 6 6 $15,960.00 $11,970.00 25% off $2,579.14 $6,352.00 $2,672.66 2026-04-01
67255 HCPCS Tutoplast 6 6 $14,984.00 $11,238.00 25% off $2,421.41 $11,238.00 $2,509.22 2026-04-01
29870 HCPCS Knee Arthroscopy 6 6 $12,976.00 $9,732.00 25% off $2,096.92 $6,352.00 $2,172.96 2026-04-01
29871 HCPCS Artho Joint Infection Prevention 6 6 $12,976.00 $9,732.00 25% off $2,096.92 $6,352.00 $2,172.96 2026-04-01
65780 HCPCS Biotissue Multi 6 6 $12,508.00 $9,381.00 25% off $2,021.29 $9,381.00 $2,094.59 2026-04-01
65779 HCPCS Biotissue Single 6 6 $12,508.00 $9,381.00 25% off $2,021.29 $9,381.00 $2,094.59 2026-04-01
90375 HCPCS Rabies Immune Glob Inj 300iu 6 6 $4,475.00 $3,356.25 25% off $724.95 $4,475.00 $2,080.88 2026-04-01
G0390 HCPCS Trauma Act Level I 24 6 $11,488.00 $8,616.00 25% off $1,575.76 $9,918.75 $1,978.78 2026-04-01
66174 HCPCS Omni Surgical System 6 6 $11,718.00 $8,788.50 25% off $1,893.63 $8,788.50 $1,962.30 2026-04-01
0671T OTHER Hydrus Microstent 6 6 $11,550.00 $8,662.50 25% off $1,866.48 $6,352.00 $1,934.16 2026-04-01
20680 HCPCS Remove Implant Hardward 6 6 $11,448.00 $8,586.00 25% off $1,850.00 $6,352.00 $1,917.09 2026-04-01
0750 RC — 12 6 $10,061.40 $7,546.05 25% off $135.71 $6,352.00 $1,851.99 2026-04-01
27427 HCPCS Drill Pin, Acl, Tightrope, Open-eyed 12 6 $7,994.00 $5,995.50 25% off $236.42 $10,893.75 $1,722.24 2026-04-01
0449T OTHER Xen Gel Stent 6 6 $10,208.00 $7,656.00 25% off $1,649.61 $6,352.00 $1,709.43 2026-04-01
43239 HCPCS Egd W/biopsy 6 6 $9,621.50 $7,216.13 25% off $1,554.83 $6,352.00 $1,611.21 2026-04-01
J0897 HCPCS Prolia 60mg Inj 6 6 $9,386.00 $7,039.50 25% off $22.51 $7,039.50 $1,535.74 2026-04-01
74177 HCPCS CT Abdomen And Pelvis W/contrast 6 6 $8,880.50 $6,660.38 25% off $1,435.09 $6,660.38 $1,487.12 2026-04-01
66984 HCPCS Cataract Removal W Lens General 12 6 $5,550.25 $4,162.69 25% off $358.83 $6,216.00 $1,436.78 2026-04-01
C1776 HCPCS Biocomp Meniscal Root Repair Kit 36 6 $8,150.00 $6,112.50 25% off $622.16 $12,264.00 $1,424.17 2026-04-01
66180 HCPCS Aqueous Shunt 6 6 $8,400.00 $6,300.00 25% off $1,357.44 $5,880.00 $1,406.66 2026-04-01
A9569 HCPCS Nm Ceretec Isotope 6 6 $7,748.22 $5,811.17 25% off $1,252.11 $5,811.16 $1,297.51 2026-04-01
45380 HCPCS Colonoscopy W/biopsy 6 6 $7,383.00 $5,537.25 25% off $1,193.09 $5,168.10 $1,236.36 2026-04-01
72157 HCPCS MRI Spine Thoracic W Without Contrast 6 6 $7,178.65 $5,383.99 25% off $1,160.07 $5,383.99 $1,202.13 2026-04-01
72156 HCPCS MRI Spine Cervical W Without Contrast 6 6 $6,974.10 $5,230.58 25% off $1,127.01 $5,230.58 $1,167.88 2026-04-01
74178 HCPCS CT Abdomen And Pelvis W&without Contrast 12 6 $5,545.47 $4,159.10 25% off $699.00 $5,074.07 $1,094.64 2026-04-01
73720 HCPCS MRI Leg (bones) Rt W/wo/contrast 6 6 $6,496.92 $4,872.69 25% off $1,049.90 $4,872.69 $1,087.97 2026-04-01
65820 HCPCS Iaccess Device 7 6 $6,400.00 $4,800.00 25% off $1,034.24 $4,800.00 $1,085.95 2026-04-01
70544 HCPCS MRA Head Without Contrast 12 6 $5,184.55 $3,888.41 25% off $667.65 $4,678.20 $1,009.25 2026-04-01
70553 HCPCS MRI Brain W/wo Contrast 12 6 $4,884.66 $3,663.50 25% off $616.10 $4,467.62 $963.81 2026-04-01
J1670 HCPCS Tetanus Immune Globulin 250 Iu 6 6 $2,070.00 $1,552.50 25% off $335.34 $2,070.00 $962.55 2026-04-01
J3300 HCPCS Triesence Opth. Injection: 40mg/1ml 6 6 $5,660.00 $4,245.00 25% off $914.66 $4,245.00 $947.83 2026-04-01
59899 HCPCS Jada Hemorrage System 6 6 $5,000.00 $3,750.00 25% off $808.00 $3,750.00 $837.30 2026-04-01
10140 HCPCS Drainage Hematoma Or Fluid 6 6 $4,916.00 $3,687.00 25% off $794.43 $3,441.20 $823.24 2026-04-01
72128 HCPCS CT Thoracic Spine Without Contrast 6 6 $4,874.50 $3,655.88 25% off $787.72 $3,655.88 $816.29 2026-04-01
19083 HCPCS US Core Breast Biopsy 12 6 $4,516.84 $3,387.62 25% off $656.90 $3,726.50 $803.93 2026-04-01
70487 HCPCS CT Face W/contrast 6 6 $4,784.65 $3,588.49 25% off $773.20 $3,588.49 $801.24 2026-04-01
78264 HCPCS Nm Gastric Emptying Study 6 6 $4,464.00 $3,348.00 25% off $721.38 $3,348.00 $747.54 2026-04-01
36596 HCPCS Picc Line Removal 6 6 $4,400.00 $3,300.00 25% off $711.04 $3,300.00 $736.83 2026-04-01
36571 HCPCS Picc Line Incertion >5 Yrs 6 6 $4,400.00 $3,300.00 25% off $711.04 $3,300.00 $736.83 2026-04-01
72193 HCPCS CT Pelvis W/contrast 6 6 $4,316.44 $3,237.33 25% off $697.54 $3,237.33 $722.84 2026-04-01
73218 HCPCS MRI Hand (bones) Rt Without Contrast 6 6 $4,180.49 $3,135.37 25% off $675.57 $3,135.37 $700.07 2026-04-01
73220 HCPCS MRI Arm Rt W/wo Contrast 6 6 $4,053.12 $3,039.84 25% off $654.98 $3,039.84 $678.74 2026-04-01
81229 HCPCS Chrom Microarray,postnatal(16478) 6 6 $1,450.00 $1,087.50 25% off $234.90 $1,450.00 $674.25 2026-04-01
J0585 HCPCS Onabotulinum(botox)100 Units Inj Type A 6 6 $3,905.00 $2,928.75 25% off $623.00 $2,928.75 $649.70 2026-04-01
72125 HCPCS CT Cervical Spine Without Contrast 6 6 $3,866.50 $2,899.88 25% off $624.83 $2,899.88 $647.49 2026-04-01
71260 HCPCS CT Chest (thorax)w/contrast 6 6 $3,848.50 $2,886.38 25% off $621.92 $2,886.38 $644.47 2026-04-01
78227 HCPCS Nm Gallbladder Hida With Cck 6 6 $3,818.00 $2,863.50 25% off $616.99 $2,863.50 $639.37 2026-04-01
78801 HCPCS Nm Wbc Scan Limited 6 6 $3,760.23 $2,820.17 25% off $607.65 $2,820.17 $629.68 2026-04-01
0370 RC — 12 6 $3,032.75 $2,274.57 25% off $72.07 $4,214.62 $621.31 2026-04-01
73721 HCPCS MRI Ankle Rt Without Contrast 12 6 $3,467.86 $2,600.90 25% off $502.61 $2,869.12 $618.97 2026-04-01
72194 HCPCS CT Pelvis W&w/0 Contrast 6 6 $3,656.80 $2,742.60 25% off $590.94 $2,742.60 $612.37 2026-04-01
36556 HCPCS Cvc Insertion Of Non-tunneled Centrally 8 6 $3,654.54 $2,740.91 25% off $590.57 $2,740.90 $611.99 2026-04-01
72131 HCPCS CT Lumbar Spine Without Contrast 6 6 $3,553.00 $2,664.75 25% off $574.16 $2,664.75 $594.99 2026-04-01
J1327 HCPCS Eptifibatide(integrilin)0.75mg/ml Inj 6 6 $3,525.00 $2,643.75 25% off $569.64 $2,643.75 $590.30 2026-04-01
73700 HCPCS CT Hip Lt Without Cont,left Side 12 6 $3,372.01 $2,529.01 25% off $503.23 $2,722.46 $587.33 2026-04-01
J3489 HCPCS Reclast Injection 5mg/100ml 6 6 $1,800.00 $1,350.00 25% off $291.60 $1,350.00 $580.50 2026-04-01
78466 HCPCS Nm Myocardial Infarct Scan 6 6 $3,354.00 $2,515.50 25% off $542.01 $2,515.50 $561.66 2026-04-01
76700 HCPCS US Abdomen Complete 12 6 $2,842.90 $2,132.18 25% off $358.59 $2,600.10 $560.92 2026-04-01
88374 HCPCS Path Her2 Comp Asst M/phmtrc - Fish 6 6 $5,249.68 $3,937.26 25% off $173.80 $3,937.26 $545.69 2026-04-01
70546 HCPCS MRA Head W/wo/contrast 6 6 $3,238.20 $2,428.65 25% off $523.29 $2,428.65 $542.27 2026-04-01
73201 HCPCS CT Arm Lt W/contrast,left Side 12 6 $3,150.88 $2,363.16 25% off $509.18 $2,363.16 $527.64 2026-04-01
73200 HCPCS CT Arm Lt Without Contrast,left Side 12 6 $2,559.27 $1,919.46 25% off $322.80 $2,340.78 $504.99 2026-04-01
0360 RC — 74 6 $2,941.00 $2,205.75 25% off $44.52 $6,352.00 $492.50 2026-04-01
59320 HCPCS Vaginal Cerclage Pregnancy 6 6 $2,869.00 $2,151.75 25% off $463.63 $2,008.30 $480.44 2026-04-01
78195 HCPCS Nm Lymphoscintigraphy 6 6 $2,850.61 $2,137.96 25% off $460.66 $2,137.96 $477.37 2026-04-01
19081 HCPCS Mm Stereotactic Breast Biopsy 6 6 $2,836.00 $2,127.00 25% off $458.30 $2,127.00 $474.92 2026-04-01
66982 HCPCS Cataract Removal W Lens Complex 6 6 $2,800.00 $2,100.00 25% off $452.48 $1,960.00 $468.88 2026-04-01
66983 HCPCS Cataract Removal W Lens Intra 6 6 $2,800.00 $2,100.00 25% off $452.48 $1,960.00 $468.88 2026-04-01
66986 HCPCS Cataract Removal W Lens Extra 6 6 $2,800.00 $2,100.00 25% off $452.48 $1,960.00 $468.88 2026-04-01
76536 HCPCS US Thyroid 6 6 $2,746.80 $2,060.10 25% off $443.88 $2,060.10 $459.98 2026-04-01
71275 HCPCS CTA Chest W &/or Wo 12 6 $2,574.77 $1,931.08 25% off $375.73 $2,118.38 $457.00 2026-04-01
86038 HCPCS Autoimmune Panel(quest)(36378) 6 6 $2,745.42 $2,059.07 25% off $15.20 $2,059.06 $449.21 2026-04-01
72146 HCPCS MRI Spine Thoracic Without Contrast 6 6 $2,565.50 $1,924.13 25% off $414.58 $1,924.12 $429.62 2026-04-01
93017 HCPCS Stress Test, Tread Cont ECG Trcg Onl 6 6 $2,543.50 $1,907.63 25% off $411.03 $1,907.62 $425.94 2026-04-01
90675 HCPCS Rabies (rabavert)vaccine IM 10 6 $2,603.00 $1,952.25 25% off $348.53 $1,952.25 $425.76 2026-04-01
65426 HCPCS Pterygium 6 6 $2,500.00 $1,875.00 25% off $404.00 $1,750.00 $418.65 2026-04-01
38505 HCPCS US Lymphatic Vessel Biopsy 6 6 $2,483.46 $1,862.60 25% off $401.33 $1,738.42 $415.88 2026-04-01
72197 HCPCS MRI Pelvis W Without Contrast 6 6 $2,454.50 $1,840.88 25% off $396.65 $1,840.88 $411.03 2026-04-01
72126 HCPCS CT Cervical Spine W/contrast 6 6 $2,440.47 $1,830.35 25% off $394.38 $1,830.35 $408.69 2026-04-01
J0666 HCPCS Bupivicaine Liposo(exparel)1.3% 20ml Inj 6 6 $2,393.00 $1,794.75 25% off $386.71 $1,794.75 $400.74 2026-04-01
78452 HCPCS Nm Myocardial Perf Spect W/ef Multi 12 6 $1,926.83 $1,445.12 25% off $224.83 $1,846.80 $398.42 2026-04-01
49083 HCPCS US Paracentesis Subsequent/followup 6 6 $2,233.00 $1,674.75 25% off $360.85 $1,563.10 $373.94 2026-04-01
70450 HCPCS CT Head/brain Without Contrast 12 6 $2,167.78 $1,625.84 25% off $338.16 $1,682.25 $367.00 2026-04-01
99285 HCPCS Level V Emergency Room Visit,evaluation And Management 6 6 $2,086.56 $1,564.92 25% off $337.19 $1,564.92 $349.41 2026-04-01
71552 HCPCS MRI Chest W/wo Contrast 6 6 $2,082.76 $1,562.07 25% off $336.57 $1,562.07 $348.78 2026-04-01
73223 HCPCS MRI Wrist Rt W/wo Contrast 6 6 $2,079.28 $1,559.46 25% off $336.01 $1,559.46 $348.19 2026-04-01
78598 HCPCS Nm Quantitative Lung Scan 6 6 $2,056.00 $1,542.00 25% off $332.25 $1,542.00 $344.30 2026-04-01
70460 HCPCS CT Head/brain W/contrast 6 6 $2,052.65 $1,539.49 25% off $331.71 $1,539.49 $343.74 2026-04-01
70551 HCPCS MRI Brain Without Contrast 12 6 $1,727.83 $1,295.87 25% off $217.92 $1,580.36 $340.94 2026-04-01
D7953 HCPCS Bone Graft Granuals 6 6 $1,954.40 $1,465.80 25% off $315.83 $1,465.80 $327.28 2026-04-01
70480 HCPCS CT Ear/orbit Without Contrast 6 6 $1,943.20 $1,457.40 25% off $314.02 $1,457.40 $325.41 2026-04-01
V2787 HCPCS Tecnis Eyhance Toric Ii Lens 6 6 $1,940.00 $1,455.00 25% off $313.50 $1,455.00 $324.88 2026-04-01
73221 HCPCS MRI Elbow (joint) Rt Without Contrast 12 6 $1,641.80 $1,231.36 25% off $207.09 $1,501.58 $323.94 2026-04-01
72050 HCPCS Spine Cervical 4 - 5 Views 6 6 $1,916.40 $1,437.30 25% off $309.69 $1,437.30 $320.92 2026-04-01
15275 HCPCS Low Cost Skin Substitute App Face 6 6 $1,904.00 $1,428.00 25% off $307.69 $1,332.80 $318.85 2026-04-01
15271 HCPCS Low Cost Skin Sub App 6 6 $1,904.00 $1,428.00 25% off $307.69 $1,332.80 $318.85 2026-04-01
13132 HCPCS Complex Suture 2.6cm/7.5 6 6 $1,904.00 $1,428.00 25% off $307.69 $1,332.80 $318.85 2026-04-01
11000 HCPCS Debride Infected Skin 6 6 $1,904.00 $1,428.00 25% off $307.69 $1,332.80 $318.85 2026-04-01
0346U OTHER Beta Amyloid 42/40 Ratio Plasma(11786) 6 6 $1,890.00 $1,417.50 25% off $305.42 $1,417.50 $316.50 2026-04-01
78804 HCPCS Nm Wbc Scan Whole Body 6 6 $1,889.00 $1,416.75 25% off $305.26 $1,416.75 $316.33 2026-04-01
81220 HCPCS Cystic Fibrosis Screen(10458) 6 6 $675.98 $506.99 25% off $109.51 $675.98 $314.33 2026-04-01
20100 HCPCS Exploration Penetrating Wound-other 6 6 $1,872.45 $1,404.34 25% off $302.59 $1,310.72 $313.57 2026-04-01
60100 HCPCS US Biopsy Thyroid 6 6 $1,866.83 $1,400.12 25% off $301.68 $1,306.78 $312.62 2026-04-01
42400 HCPCS US Biopsy Salivary Gland 6 6 $1,866.83 $1,400.12 25% off $301.68 $1,306.78 $312.62 2026-04-01
72195 HCPCS MRI Pelvis Without Contrast 6 6 $1,852.42 $1,389.32 25% off $299.35 $1,389.32 $310.20 2026-04-01
74170 HCPCS CT Abdomen W&without Contrast 6 6 $1,820.53 $1,365.40 25% off $294.20 $1,365.40 $304.87 2026-04-01
72110 HCPCS Spine Lumbar Minimum Of 4 Views 6 6 $1,814.50 $1,360.88 25% off $293.22 $1,360.88 $303.86 2026-04-01
74176 HCPCS CT Abdomen And Pelvis Without Contrast 12 6 $1,617.08 $1,212.81 25% off $219.48 $1,407.00 $303.54 2026-04-01
70486 HCPCS CT Face Without Contrast 12 6 $1,673.83 $1,255.37 25% off $242.59 $1,384.88 $298.76 2026-04-01
78582 HCPCS Nm Lung Perfusion/ventilation 6 6 $1,756.00 $1,317.00 25% off $283.77 $1,317.00 $294.06 2026-04-01
73222 HCPCS MRI Wrist Rt W/contrast 6 6 $1,747.81 $1,310.86 25% off $282.45 $1,310.86 $292.69 2026-04-01
73723 HCPCS MRI Knee (joint) Rt W/wo/contrast 6 6 $1,732.49 $1,299.37 25% off $279.97 $1,299.37 $290.12 2026-04-01
J2785 HCPCS Lexiscan(regadenoson)0.4mg/5ml Syringe 6 6 $1,502.00 $1,126.50 25% off $243.32 $1,126.50 $288.56 2026-04-01
93306 HCPCS Echo Complete 6 6 $1,703.50 $1,277.63 25% off $275.29 $1,277.62 $285.27 2026-04-01
50200 HCPCS CT Biopsy Kidney 6 6 $1,701.00 $1,275.75 25% off $274.88 $1,190.70 $284.85 2026-04-01
48102 HCPCS Needle Biopsy Pancreas 6 6 $1,701.00 $1,275.75 25% off $274.88 $1,190.70 $284.85 2026-04-01
47000 HCPCS CT Biopsy Liver Perc 6 6 $1,701.00 $1,275.75 25% off $274.88 $1,190.70 $284.85 2026-04-01
93971 HCPCS US Ext Veins Doppler Left Leg 6 6 $1,692.50 $1,269.38 25% off $273.51 $1,269.38 $283.43 2026-04-01
90677 HCPCS Pneumoccal (prevnar) 20 Vaccine 6 6 $1,569.00 $1,176.75 25% off $254.18 $1,176.75 $283.07 2026-04-01
99284 HCPCS Level IV Emergency Room Visit,evaluation And Management 6 6 $1,660.50 $1,245.38 25% off $268.34 $1,245.38 $278.07 2026-04-01
J1610 HCPCS GLUCAGON(GlucaGen)1MG Inj 6 6 $1,685.00 $1,263.75 25% off $170.33 $1,263.75 $275.70 2026-04-01
94003 HCPCS Ventilator Subsequent (daily) 6 6 $1,630.00 $1,222.50 25% off $263.41 $1,222.50 $272.96 2026-04-01
74300 HCPCS Cholangiogram Or 6 6 $1,624.47 $1,218.35 25% off $262.51 $1,218.35 $272.03 2026-04-01
A9562 HCPCS Nm Tech 99m Mag 3 6 6 $1,610.00 $1,207.50 25% off $260.18 $1,207.50 $269.62 2026-04-01
74181 HCPCS MRI Abdomen Without Contrast 6 6 $1,606.73 $1,205.05 25% off $259.65 $1,205.05 $269.06 2026-04-01
70549 HCPCS MRA Neck W/wo/contrast 6 6 $1,603.24 $1,202.43 25% off $259.08 $1,202.43 $268.47 2026-04-01
78014 HCPCS Nm Thyroid Single Uptake W/image 6 6 $1,590.00 $1,192.50 25% off $256.94 $1,192.50 $266.26 2026-04-01
72265 HCPCS CT Myelography Lumbar Spine 6 6 $1,587.96 $1,190.97 25% off $256.61 $1,111.57 $265.92 2026-04-01
19000 HCPCS US Breast Cyst Aspiration 6 6 $1,583.37 $1,187.53 25% off $255.87 $1,108.36 $265.15 2026-04-01
J2430 HCPCS Aredia (pamidronate) 90mg Powder For Inj 6 6 $562.00 $421.50 25% off $91.04 $562.00 $261.33 2026-04-01
74246 HCPCS Gastro/upper W Ac W Kub 6 6 $1,557.67 $1,168.25 25% off $251.72 $1,168.25 $260.85 2026-04-01
54150 HCPCS Circumcision At Delivery 6 6 $1,552.53 $1,164.40 25% off $250.89 $1,086.77 $259.99 2026-04-01
76000 HCPCS Chest W/fluoro (sniff Test) 12 6 $1,249.39 $937.05 25% off $145.78 $1,197.50 $258.34 2026-04-01
70543 HCPCS MRI Orbit/face/neck W & Wo/contrast 6 6 $1,540.75 $1,155.56 25% off $248.99 $1,155.56 $258.01 2026-04-01
94002 HCPCS Ventilator Initial/protocol 6 6 $1,537.55 $1,153.16 25% off $248.47 $1,153.16 $257.48 2026-04-01
J2690 HCPCS Procainamide Inj: 100mg/ml 6 6 $553.00 $414.75 25% off $89.59 $553.00 $257.14 2026-04-01
70491 HCPCS CT Neck W/contrast 6 6 $1,526.50 $1,144.88 25% off $246.68 $1,144.88 $255.62 2026-04-01
73718 HCPCS MRI Leg (bone) Rt Without Contrast 6 6 $1,520.13 $1,140.10 25% off $245.65 $1,140.10 $254.56 2026-04-01
78202 HCPCS Nm Liver Scan W/vascular Flow 6 6 $1,518.00 $1,138.50 25% off $245.31 $1,138.50 $254.21 2026-04-01
78453 HCPCS Nm Myocardial Perf Planar Single 6 6 $1,518.00 $1,138.50 25% off $245.31 $1,138.50 $254.21 2026-04-01
78454 HCPCS Nm Myocardial Perf Planar Multi 6 6 $1,518.00 $1,138.50 25% off $245.31 $1,138.50 $254.21 2026-04-01
78201 HCPCS Nm Gallbladder Imaging Liver 6 6 $1,518.00 $1,138.50 25% off $245.31 $1,138.50 $254.21 2026-04-01
78451 HCPCS Nm Myocardial Perf Spect Single 6 6 $1,518.00 $1,138.50 25% off $245.31 $1,138.50 $254.21 2026-04-01
C9089 HCPCS Bupivacaine (xaracoll) 300mg/box Implant 6 6 $1,494.00 $1,120.50 25% off $241.43 $1,120.50 $250.19 2026-04-01
76642 HCPCS US Breast Partial 12 6 $1,353.32 $1,014.99 25% off $188.37 $1,155.75 $249.33 2026-04-01
78803 HCPCS Nm Bone Scan (spect) 24 6 $1,212.50 $909.38 25% off $97.12 $3,360.00 $248.38 2026-04-01
70548 HCPCS MRA Neck W/contrast 6 6 $1,475.04 $1,106.28 25% off $238.37 $1,106.28 $247.01 2026-04-01
70552 HCPCS MRI Brain W/contrast 6 6 $1,467.56 $1,100.67 25% off $237.16 $1,100.67 $245.75 2026-04-01
J1447 HCPCS Filgrastim(granix)300mcg/1ml Inj 6 6 $1,500.00 $1,125.00 25% off $117.00 $1,125.00 $245.43 2026-04-01
78708 HCPCS Nm Kidney Vascular & Function W/pharma 6 6 $1,463.00 $1,097.25 25% off $236.42 $1,097.25 $245.00 2026-04-01
Q9968 HCPCS Provayblue 50mg Vial 6 6 $1,428.00 $1,071.00 25% off $230.76 $1,071.00 $239.13 2026-04-01
93976 HCPCS US Abdomen Ltd Vascualr 12 6 $1,211.53 $908.65 25% off $152.79 $1,108.18 $239.07 2026-04-01
74150 HCPCS CT Abdomen Without Contrast 6 6 $1,400.86 $1,050.65 25% off $226.38 $1,050.64 $234.59 2026-04-01
81243 HCPCS Chrom Fragile X(16313) 6 6 $636.00 $477.00 25% off $103.03 $477.00 $232.25 2026-04-01
73706 HCPCS CTA Hip Lt W&wo Contrast,left Side 12 6 $1,372.20 $1,029.15 25% off $221.75 $1,029.15 $229.80 2026-04-01
72147 HCPCS MRI Spine Thoracic W/contrast 6 6 $1,371.56 $1,028.67 25% off $221.64 $1,028.67 $229.68 2026-04-01
72191 HCPCS CTA Pelvis W/wo Contrast 6 6 $1,355.52 $1,016.64 25% off $219.05 $1,016.64 $226.99 2026-04-01
73206 HCPCS CTA Upper Ext Unilateral 6 6 $1,355.52 $1,016.64 25% off $219.05 $1,016.64 $226.99 2026-04-01
72198 HCPCS MRA Pelvis W Or Wo/constrast 6 6 $1,353.88 $1,015.41 25% off $218.79 $1,015.41 $226.72 2026-04-01
73030 HCPCS Shoulder Complete Left => 2 Views,left Side 12 6 $1,352.40 $1,014.30 25% off $218.55 $1,014.30 $226.47 2026-04-01
J0561 HCPCS Penicillin G(bicillin L-a)1.2mu/2ml Inj 6 6 $1,375.00 $1,031.25 25% off $33.46 $1,031.25 $224.97 2026-04-01
73722 HCPCS MRI Knee (joint) Rt W/contrast 6 6 $1,342.88 $1,007.16 25% off $217.01 $1,007.16 $224.88 2026-04-01
73219 HCPCS MRI Hand (bones) Rt W/contrast 6 6 $1,342.88 $1,007.16 25% off $217.01 $1,007.16 $224.88 2026-04-01
73719 HCPCS MRI Leg (bones) Rt W/contrast 6 6 $1,341.72 $1,006.29 25% off $216.82 $1,006.29 $224.69 2026-04-01
78580 HCPCS Nm Lung Perfusion Scan 6 6 $1,333.20 $999.90 25% off $215.45 $999.90 $223.26 2026-04-01
75635 HCPCS CTA A/p With Runoff 6 6 $1,328.00 $996.00 25% off $214.60 $996.00 $222.38 2026-04-01
72158 HCPCS MRI Spine Lumbar W/wo Contrast 6 6 $1,327.33 $995.50 25% off $214.50 $995.50 $222.28 2026-04-01
93981 HCPCS US Penile Vascular Limited 6 6 $1,324.95 $993.71 25% off $214.11 $993.71 $221.88 2026-04-01
74220 HCPCS Barium Swallow Complete W/barium 12 6 $1,115.47 $836.60 25% off $140.67 $1,020.32 $220.12 2026-04-01
72133 HCPCS CT Lumbar Spine W&without Contrast 6 6 $1,308.32 $981.24 25% off $211.42 $981.24 $219.09 2026-04-01
93242 HCPCS Holter 72hr EKG Scan Analysis 6 6 $1,302.78 $977.09 25% off $210.53 $977.08 $218.17 2026-04-01
70540 HCPCS MRI Neck Orbit/face Without Contrast 6 6 $1,292.48 $969.36 25% off $208.86 $969.36 $216.44 2026-04-01
73110 HCPCS Wrist Left =>3views,left Side 12 6 $1,282.50 $961.88 25% off $207.25 $961.88 $214.76 2026-04-01
76705 HCPCS US Abdomen Limited 12 6 $1,257.20 $942.90 25% off $199.16 $961.50 $210.48 2026-04-01
36597 HCPCS Cvc Line Reposition W/fluoro 6 6 $1,241.00 $930.75 25% off $200.55 $868.70 $207.82 2026-04-01
73701 HCPCS CT Leg Lt W/contrast,left Side 12 6 $1,240.64 $930.48 25% off $200.49 $930.48 $207.75 2026-04-01
71550 HCPCS MRI Chest Without Contrast 6 6 $1,237.36 $928.02 25% off $199.96 $928.02 $207.21 2026-04-01
87633 HCPCS Respiratory Viral Pcr Panel (95512quest) 6 6 $1,250.35 $937.76 25% off $193.90 $937.76 $205.11 2026-04-01
76942 HCPCS US Guidance For Abscess Drainage Or Spec 12 6 $1,148.05 $861.04 25% off $166.38 $949.88 $204.92 2026-04-01
10120 HCPCS Removal Foreign Body Sc Simp 6 6 $1,209.00 $906.75 25% off $195.37 $846.30 $202.46 2026-04-01
97606 HCPCS Wound Vac >50 Sq Cm 6 6 $1,209.00 $906.75 25% off $195.37 $906.75 $202.46 2026-04-01
12042 HCPCS Intermed Suture 2.6/7.5 6 6 $1,209.00 $906.75 25% off $195.37 $846.30 $202.46 2026-04-01
10061 HCPCS Drainage Of Skin Abscess Complicated 6 6 $1,209.00 $906.75 25% off $195.37 $846.30 $202.46 2026-04-01
12032 HCPCS Intermed Suture 2.6cm/7.5 6 6 $1,209.00 $906.75 25% off $195.37 $846.30 $202.46 2026-04-01
10160 HCPCS Puncture Drainage Of Lesion 6 6 $1,209.00 $906.75 25% off $195.37 $846.30 $202.46 2026-04-01
74183 HCPCS MRI Abdomen W/wo/contrast 6 6 $1,208.00 $906.00 25% off $195.21 $906.00 $202.29 2026-04-01
73590 HCPCS Leg Lower Left 2 Views,left Side 12 6 $1,202.50 $901.88 25% off $194.32 $901.88 $201.37 2026-04-01
72072 HCPCS Spine Dorsal/thoracic 3 Views 6 6 $1,195.50 $896.63 25% off $193.19 $896.62 $200.19 2026-04-01
78306 HCPCS Nm Bone/joint Whole Body 6 6 $1,195.00 $896.25 25% off $193.11 $896.25 $200.12 2026-04-01
A9541 HCPCS Nm 99m Sulf Col 6mc 12 6 $1,082.38 $811.79 25% off $150.29 $926.08 $199.78 2026-04-01
72130 HCPCS CT Thoracic Spine W&wo Contrast 6 6 $1,185.48 $889.11 25% off $191.57 $889.11 $198.52 2026-04-01
74160 HCPCS CT Abdomen W/contrast 6 6 $1,178.52 $883.89 25% off $190.45 $883.89 $197.36 2026-04-01
12031 HCPCS Intermed Suture Up To 2.5 12 6 $915.00 $686.25 25% off $100.35 $846.30 $195.62 2026-04-01
72127 HCPCS CT Cervical Spine W&without Contrast 6 6 $1,160.32 $870.24 25% off $187.51 $870.24 $194.31 2026-04-01
77065 HCPCS Mm Diag Mammo Unilateral 18 6 $1,102.19 $826.64 25% off $125.47 $939.22 $192.70 2026-04-01
73610 HCPCS Ankle Complete Left =>3views,left Side 12 6 $1,146.50 $859.88 25% off $185.27 $859.88 $191.99 2026-04-01
19282 HCPCS Mm Pre Op Needle Placement Wire Addition 6 6 $1,143.00 $857.25 25% off $184.71 $857.25 $191.41 2026-04-01
19281 HCPCS Mm Needle Guidance For Localization 6 6 $1,143.00 $857.25 25% off $184.71 $857.25 $191.41 2026-04-01
36430 HCPCS Transfusion, Blood Or Blood Components 6 6 $1,135.50 $851.63 25% off $183.50 $851.62 $190.16 2026-04-01
87902 HCPCS Hcv Rna,genotype With To Hcv NS5a Drug 6 6 $1,153.26 $864.95 25% off $109.67 $864.94 $188.70 2026-04-01
72040 HCPCS Spine Cervical Ap/lat 2-3 Views 6 6 $1,125.00 $843.75 25% off $181.80 $843.75 $188.39 2026-04-01
77066 HCPCS Mm Diag Mammo Bilateral 18 6 $1,059.02 $794.27 25% off $128.31 $944.26 $185.16 2026-04-01
73562 HCPCS Knee Left 3 Views,left Side 30 6 $1,058.64 $793.98 25% off $149.37 $863.62 $185.13 2026-04-01
73702 HCPCS CT Hip Lt With Xtra 3d Slices,left Side 12 6 $1,097.80 $823.35 25% off $177.40 $823.35 $183.84 2026-04-01
73202 HCPCS CT Arm Lt W&without Contrast,left Side 12 6 $1,097.80 $823.35 25% off $177.40 $823.35 $183.84 2026-04-01
76881 HCPCS US Extremities Non Vasc Complete 6 6 $1,092.15 $819.11 25% off $176.49 $819.11 $182.89 2026-04-01
81517 HCPCS Enhanced Liver Fibrosis(10350) 6 6 $390.00 $292.50 25% off $63.18 $390.00 $181.35 2026-04-01
99283 HCPCS Level Iii Emergency Room Visit,evaluation And Management 6 6 $1,075.00 $806.25 25% off $173.72 $806.25 $180.02 2026-04-01
72129 HCPCS CT Thoracic Spine W/contrast 6 6 $1,062.48 $796.86 25% off $171.70 $796.86 $177.92 2026-04-01
J2997 HCPCS Alteplase(cathflow)2mg Inj 6 6 $1,059.00 $794.25 25% off $171.13 $794.25 $177.34 2026-04-01
88261 HCPCS Chromosome Genetic Analys14596 6 6 $707.00 $530.25 25% off $114.53 $530.25 $174.75 2026-04-01
72100 HCPCS Spine Lumbar Ap&lateral 2-3 Views 12 6 $1,022.68 $767.01 25% off $157.13 $804.75 $174.43 2026-04-01
78473 HCPCS Nm Heart Muga - Multi 6 6 $1,030.00 $772.50 25% off $166.45 $772.50 $172.49 2026-04-01
73040 HCPCS Arthogram Shoulder 18 6 $1,030.00 $772.50 25% off $166.45 $772.50 $172.49 2026-04-01
78481 HCPCS Nm Muga/heart First Pass Single 6 6 $1,030.00 $772.50 25% off $166.45 $772.50 $172.49 2026-04-01
72141 HCPCS MRI Spine-cervical Without Contrast 6 6 $1,028.50 $771.38 25% off $166.21 $771.38 $172.24 2026-04-01
88307 HCPCS Path Surg Spec Level 5 6 6 $1,042.84 $782.13 25% off $133.30 $782.13 $170.63 2026-04-01
J7060 HCPCS D5w 100ml 8 6 $200.00 $150.00 25% off $32.40 $200.00 $169.50 2026-04-01
99291 HCPCS Trauma 1st 30-74 Min 6 6 $1,000.00 $750.00 25% off $159.62 $750.00 $166.42 2026-04-01
74175 HCPCS CTA Abdomen W/wo Contrast 6 6 $978.20 $733.65 25% off $158.08 $733.65 $163.81 2026-04-01
73120 HCPCS Hand Left 2 Views,left Side 12 6 $975.00 $731.25 25% off $157.56 $731.25 $163.28 2026-04-01
99282 HCPCS Level Ii Emergency Room Visit,evaluation And Management 6 6 $975.00 $731.25 25% off $157.56 $731.25 $163.28 2026-04-01
86152 HCPCS Immuno Selection Id Fluid 6 6 $455.00 $341.25 25% off $73.71 $341.25 $162.28 2026-04-01
78315 HCPCS Nm Bone 3 Phase 6 6 $967.20 $725.40 25% off $156.30 $725.40 $161.97 2026-04-01
78070 HCPCS Nm Parathyroid Gland Imaging 6 6 $965.79 $724.34 25% off $156.07 $724.34 $161.73 2026-04-01
77011 HCPCS CT Needle Guidance For Localization 6 6 $960.40 $720.30 25% off $155.20 $720.30 $160.82 2026-04-01
80074 HCPCS Hep Acute Panel(10306) 6 6 $976.50 $732.38 25% off $59.89 $732.38 $159.77 2026-04-01
J2598 HCPCS Vasopressin(vasostrict)20 Units/ Ml Inj 6 6 $949.00 $711.75 25% off $153.36 $711.75 $158.92 2026-04-01
93225 HCPCS Holter 24 Hr EKG Record. Up To 48 Hrs 6 6 $937.99 $703.49 25% off $151.58 $703.49 $157.07 2026-04-01
77067 HCPCS Mm Screening Mammo 28 6 $957.34 $718.01 25% off $110.97 $832.00 $156.66 2026-04-01
87900 HCPCS Infectious Agent Drug Susceptibility 10 6 $241.00 $180.75 25% off $39.04 $771.75 $156.33 2026-04-01
74280 HCPCS Barium Enema W/air 6 6 $920.00 $690.00 25% off $148.67 $690.00 $154.06 2026-04-01
99281 HCPCS Level I Emergency Room Visit,evaluation And Management 6 6 $915.00 $686.25 25% off $70.00 $686.25 $153.22 2026-04-01
36680 HCPCS Placement Needle For Intraosseous Inf 6 6 $913.23 $684.92 25% off $147.58 $684.92 $152.93 2026-04-01
93226 HCPCS Holter 48hr EKG Scan Analysis 6 6 $913.00 $684.75 25% off $147.54 $684.75 $152.89 2026-04-01
78226 HCPCS Nm Gallbladder Hida Without Cck 6 6 $912.60 $684.45 25% off $147.48 $684.45 $152.82 2026-04-01
88239 HCPCS Chromo Analy Band 6 6 $648.00 $486.00 25% off $104.98 $486.00 $151.07 2026-04-01
87506 HCPCS Gi Pathogen Panel Quest(38470) 6 6 $495.82 $371.87 25% off $80.32 $371.86 $149.82 2026-04-01
66761 HCPCS Iridotmy / Iridectomy 6 6 $891.90 $668.93 25% off $144.13 $624.33 $149.36 2026-04-01
76870 HCPCS US Scrotum 6 6 $875.00 $656.25 25% off $141.40 $656.25 $146.53 2026-04-01
J1410 HCPCS Premarin Inj: 25mg 6 6 $315.00 $236.25 25% off $51.03 $315.00 $146.48 2026-04-01
71046 HCPCS Chest Inspr/expr 2 Views 18 6 $880.50 $660.38 25% off $129.73 $677.10 $146.07 2026-04-01
96365 HCPCS Thrombolytic Administration 6 6 $869.01 $651.76 25% off $140.43 $651.76 $145.52 2026-04-01
A9537 HCPCS Nm 99m Mebrofenin 6 6 $863.50 $647.63 25% off $139.54 $647.62 $144.61 2026-04-01
85302 HCPCS Protein C Antigen(4948) 6 6 $878.15 $658.61 25% off $15.12 $658.61 $143.69 2026-04-01
70547 HCPCS MRA Neck Without Contrast 6 6 $848.32 $636.24 25% off $137.09 $636.24 $142.06 2026-04-01
81339 HCPCS Mpl Mutation Analysis(92476) 6 6 $740.80 $555.60 25% off $120.01 $555.60 $140.75 2026-04-01
81279 HCPCS Jak2 Exon Mutation Analysis(92474) 6 6 $740.00 $555.00 25% off $119.88 $555.00 $140.68 2026-04-01
J7040 HCPCS Sodium Chloride(nacl)0.9% 100ml 8 6 $200.00 $150.00 25% off $32.40 $200.00 $138.38 2026-04-01
94060 HCPCS Pft Bedside,b/a Bronchial Dialtor 6 6 $810.80 $608.10 25% off $131.03 $608.10 $135.78 2026-04-01
A9500 HCPCS Nm Cardiolite 12 6 $650.73 $488.05 25% off $75.93 $623.70 $134.56 2026-04-01
88269 HCPCS Chromosome Analysis,in-situ 6 6 $308.00 $231.00 25% off $49.90 $231.00 $132.29 2026-04-01
76857 HCPCS US Pelvic Limited 6 6 $781.33 $586.00 25% off $126.26 $586.00 $130.84 2026-04-01
90732 HCPCS Pneumovax 23 Vaccine 6 6 $703.00 $527.25 25% off $113.89 $527.25 $130.00 2026-04-01
29580 HCPCS Pt Unna Boot Application,physical Therapy 12 6 $491.50 $368.62 25% off $27.63 $609.00 $129.74 2026-04-01
32555 HCPCS US Thoracentesis 6 6 $773.00 $579.75 25% off $124.92 $541.10 $129.45 2026-04-01
P9016 HCPCS Bb Red Cells Leukoreduced 6 6 $766.50 $574.88 25% off $123.87 $574.88 $128.36 2026-04-01
70470 HCPCS CT Head/brain W&without Contrast 6 6 $766.33 $574.75 25% off $123.84 $574.75 $128.33 2026-04-01
73502 HCPCS Hip Complete Left 2 Or More Views,left Side 12 6 $754.00 $565.50 25% off $121.85 $565.50 $126.27 2026-04-01
76802 HCPCS US OB <14 Weeks Addl Fetus 6 6 $753.36 $565.02 25% off $121.74 $565.02 $126.16 2026-04-01
73130 HCPCS Hand Left 3 Views,left Side 12 6 $750.50 $562.88 25% off $121.28 $562.88 $125.68 2026-04-01
46221 HCPCS Hemorrhoid Banding 6 6 $742.36 $556.77 25% off $119.97 $519.65 $124.32 2026-04-01
70150 HCPCS Facial Bones Complete 3-4 Views 6 6 $737.59 $553.19 25% off $119.19 $553.19 $123.52 2026-04-01
70482 HCPCS CT Ear W/wo Contrast 7 6 $745.32 $558.99 25% off $65.57 $558.99 $123.15 2026-04-01
C8925 HCPCS Echo Tee W/definity 6 6 $728.00 $546.00 25% off $117.64 $546.00 $121.91 2026-04-01
59000 HCPCS Amniocentesis Diag 6 6 $726.00 $544.50 25% off $117.32 $508.20 $121.57 2026-04-01
48999 HCPCS Pancreas Cyst Drainage 6 6 $723.00 $542.25 25% off $116.84 $506.10 $121.08 2026-04-01
92960 HCPCS Cardioversion, Elective External 6 6 $647.00 $485.25 25% off $104.81 $485.25 $118.03 2026-04-01
J3473 HCPCS Hyaluronidase 150 Units/ml Injection 12 6 $530.00 $397.50 25% off $54.14 $543.75 $117.31 2026-04-01
J0743 HCPCS Imipenem-cilastatin(primaxin)250mg/ns100 18 6 $250.00 $187.50 25% off $36.45 $365.00 $117.22 2026-04-01
88233 HCPCS Skin/tissue Biopsy 6 6 $319.00 $239.25 25% off $51.68 $239.25 $117.19 2026-04-01
88235 HCPCS Amniotic Fluid/chorionic Villus Cells 6 6 $273.00 $204.75 25% off $44.23 $204.75 $117.15 2026-04-01
74270 HCPCS Barium Enema 6 6 $698.61 $523.96 25% off $112.90 $523.96 $116.99 2026-04-01
92950 HCPCS Cpr 6 6 $299.00 $224.25 25% off $48.44 $224.25 $116.96 2026-04-01
81382 HCPCS Hla-drb1 Class Ii DNA Typing(10952) 6 6 $382.00 $286.50 25% off $61.88 $286.50 $116.38 2026-04-01
72142 HCPCS MRI Spine-cervical W/contrast 6 6 $692.78 $519.59 25% off $111.95 $519.58 $116.01 2026-04-01
90371 HCPCS Hepatitis B Immune Globulin 0.5 Ml Inj 6 6 $531.00 $398.25 25% off $86.02 $398.25 $115.73 2026-04-01
72149 HCPCS MRI Spine-lumbar W/contrast 6 6 $685.97 $514.48 25% off $110.85 $514.48 $114.87 2026-04-01
70336 HCPCS MRI Temporo Joint Without Contrast 6 6 $684.88 $513.66 25% off $110.68 $513.66 $114.69 2026-04-01
87563 HCPCS Mycoplasma/ureaplasma Panel (91477) 6 6 $700.00 $525.00 25% off $28.07 $525.00 $114.53 2026-04-01
77012 HCPCS CT Pre Op Needle Placement Wire 6 6 $683.28 $512.46 25% off $110.42 $512.46 $114.42 2026-04-01
72170 HCPCS Pelvis Ap Or Pa 1-2 Views 6 6 $678.00 $508.50 25% off $109.56 $508.50 $113.54 2026-04-01
0302 RC — 42 6 $680.84 $510.63 25% off $3.07 $733.56 $112.90 2026-04-01
72196 HCPCS MRI Pelvis W Contrast 6 6 $674.04 $505.53 25% off $108.92 $505.53 $112.87 2026-04-01
70481 HCPCS CT Ear W/contrast 6 6 $672.48 $504.36 25% off $108.67 $504.36 $112.61 2026-04-01
73521 HCPCS Hips W/pelvis Bilateral =>2views 12 6 $540.03 $405.03 25% off $62.15 $521.62 $112.53 2026-04-01
87799 HCPCS Ebv DNA Qn, Pcr(10186) 12 6 $667.99 $501.00 25% off $107.72 $502.06 $111.86 2026-04-01
71101 HCPCS Ribs Comp Unilat W/1v Cxr Min 3 Views 6 6 $667.00 $500.25 25% off $107.79 $500.25 $111.69 2026-04-01
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