Hospital

BINGHAM MEMORIAL HOSPITAL

Blackfoot, ID · CCN 131325 · Rates published

Your selected procedure

You selected 93306 (HCPCS)

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function

This hospital’s price: $1,744 across 16 payers · range $697-$2,285

Source: https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbBMHECBlackfootID&type=CDMWithoutLabel&fileType=CSV · observed 2026-02-02

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.

3,700 distinct procedures filed

16 distinct payers

69,805 rate rows

2026-02-02 last MRF observed

Data quality

69,742 of 69,805 rate rows are consumer-grade (99.9%)

63 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
percent-of-charges filed in the dollar field — excluded from medians	32
per-diem day rate — not a per-procedure price	16
exceeds 10× this hospital's gross charge — excluded from medians	7
placeholder amount (≤ $0.02) — excluded from medians	6
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	2

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

Source MRF file	https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbBMHECBlackfootID&type=CDMWithoutLabel&fileType=CSV
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-10-17
Content fingerprint	4ae194836a0fb8b6… · 23,598,385 bytes · first seen 2026-05-04

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
J1628 HCPCS	Injection, Guselkumab, 1 Mg	16	$198.29	$31,823.14	$24,453.57	nat. median $127 outlier · 192.5×
J9217 HCPCS	Leuprolide Acetate (for Depot Suspension), 7.5 Mg	16	$210.60	$28,786.91	$21,968.96	nat. median $2,144 outlier · 10.2×
17579 CDM	Nursery - General Classification	12	$10,645.43	$22,473.68	$17,742.38	—
17559 CDM	Nursery - General Classification	12	$8,313.53	$17,550.78	$13,855.88	—
2719771 CDM	Biomet Vks Ssk 360 Femoral	16	$4,621.66	$15,139.91	$11,633.83	—
2720362 CDM	Oss Segmental Femoral	16	$4,316.58	$14,140.51	$10,865.86	nat. median $24 outlier · 462.0×
Q4282 HCPCS	Cygnus Dual, Per Square Centimeter	16	$331.84	$21,488.05	$10,399.47	nat. median $849 outlier · 12.3×
17549 CDM	Nursery - General Classification	12	$6,139.46	$12,961.09	$10,232.44	—
3600150 CDM	Operating Room Services - General Classification	16	$3,636.67	$11,913.24	$9,405.19	nat. median $155 outlier · 60.5×
2720270 CDM	Oss Elliptic.diaphys.segment	16	$3,422.73	$11,212.38	$8,615.83	—
2718868 CDM	Biomet Vks-knee Specif Cr Fmrl	16	$3,015.86	$9,879.53	$7,591.64	—
2718171 CDM	Knee System 4part(98000241520)	16	$2,749.42	$9,006.71	$6,920.94	—
2719672 CDM	Knee System 4part(98000240120)	16	$2,623.27	$8,593.46	$6,603.40	—
2717693 CDM	Knee System 3part	16	$2,515.17	$8,239.35	$6,331.29	—
2720794 CDM	Knee System 4part(98000240000)	16	$2,421.43	$7,932.26	$6,095.32	—
J2182 HCPCS	Injection, Mepolizumab, 1 Mg	16	$81.61	$7,894.64	$6,066.41	nat. median $80 outlier · 76.1×
Q5115 HCPCS	Injection, Rituximab-abbs, Biosimilar, (truxima), 10 Mg	16	$76.68	$7,856.85	$6,037.37	nat. median $368 outlier · 16.4×
J1306 HCPCS	Injection, Inclisiran, 1 Mg	16	$32.15	$7,855.14	$6,036.06	nat. median $25 outlier · 239.5×
J3101 HCPCS	Injection, Tenecteplase, 1 Mg	16	$84.29	$7,874.79	$6,009.71	nat. median $498 outlier · 12.1×
7200029 CDM	Labor Room/delivery - Delivery Room	16	$2,201.97	$7,213.35	$5,694.75	—
3600073 CDM	Operating Room Services - General Classification	16	$2,118.74	$6,940.70	$5,479.50	—
17569 CDM	Nursery - General Classification	12	$3,193.88	$6,742.63	$5,323.13	nat. median $26 outlier · 201.7×
2720151 CDM	Biomet G7acet Shell Multihole	16	$2,052.19	$6,722.68	$5,165.85	—
Q4197 HCPCS	Puraply Xt, Per Square Centimeter	16	$331.84	$6,617.94	$5,085.36	nat. median $191 outlier · 26.7×
2717405 CDM	Biomet M2a Magnum Hip System	16	$1,991.58	$6,524.13	$5,013.28	—
C1062 HCPCS	Intravertebral Body Fracture Augmentation With Implant (e.g., Metal, Polymer)	15	$2,020.21	$6,617.94	$4,946.04	nat. median $5,093 1.0× median
2720319 CDM	Oss Nonmod.long Tib. Baseplate	16	$1,932.63	$6,331.04	$4,864.90	—
7200017 CDM	Labor Room/delivery - Delivery Room	16	$1,768.13	$5,792.15	$4,572.75	nat. median $50 outlier · 91.5×
2719835 CDM	Biomet 360 Tibial Tray	16	$1,803.73	$5,908.76	$4,540.42	—
2718108 CDM	Biomet G7acet Shell 3or4hole	16	$1,765.67	$5,784.08	$4,444.61	—
J3111 HCPCS	Injection, Romosozumab-aqqg, 1 Mg	16	$31.50	$5,771.69	$4,435.09	nat. median $19 outlier · 233.4×
C1762 HCPCS	Connective Tissue, Human (includes Fascia Lata)	15	$1,093.37	$7,085.10	$4,141.20	nat. median $2,848 1.5× median
C1776 HCPCS	Joint Device (implantable)	15	$580.29	$19,790.64	$4,122.90	nat. median $3,543 1.2× median
C1880 HCPCS	Vena Cava Filter	15	$1,563.75	$5,122.64	$4,044.19	nat. median $2,244 1.8× median
2717381 CDM	Biomet Taperloc Femoral	16	$1,513.58	$4,958.29	$3,810.06	—
2719083 CDM	Biomet Vks-knee Cr Femoral	16	$1,513.58	$4,958.29	$3,810.06	—
G0330 HCPCS	Facility Services For Dental Rehabilitation Procedure(s) Performed On A Patient…	16	$1,454.35	$8,840.77	$3,761.25	nat. median $3,624 1.0× median
CI171 OTHER	Ar Maxforce Mtp Plate Std 5-5l	15	$1,534.54	$5,026.93	$3,756.97	—
2719841 CDM	Biomet Vks Ps Tibial Bearing	16	$1,485.31	$4,865.66	$3,738.88	—
78814 HCPCS	Nuclear Medicine Study Limited Area With CT Scan	16	$1,059.59	$4,869.94	$3,716.53	nat. median $1,613 outlier · 2.3×
Q5108 HCPCS	Injection, Pegfilgrastim-jmdb (fulphila), Biosimilar, 0.5 Mg	16	$258.72	$4,763.79	$3,660.60	nat. median $418 outlier · 8.8×
2720139 CDM	Bio Knee Femoral Cemt Mo 65mm	16	$1,310.73	$4,293.76	$3,389.81	—
22513 HCPCS	Treatment Of Broken Middle Spine Bone With Placement Of Stabilizing Device Using…	16	$1,056.04	$19,348.92	$3,277.35	nat. median $7,738 outlier · 0.4×
22514 HCPCS	Treatment Of Broken Lower Spine Bone With Placement Of Stabilizing Device	16	$1,056.04	$19,348.92	$3,277.35	nat. median $7,967 outlier · 0.4×
7200048 CDM	Labor Room/delivery - Delivery Room	16	$1,263.60	$4,139.39	$3,267.94	—
Q4159 HCPCS	Affinity, Per Square Centimeter	16	$331.84	$4,204.46	$3,230.80	nat. median $534 outlier · 6.0×
J0897 HCPCS	Injection, Denosumab, 1 Mg	16	$13.43	$4,125.29	$3,148.25	nat. median $86 outlier · 36.6×
2722009 CDM	Avaflex Kit 11g 20mm	16	$1,188.42	$3,893.10	$3,073.50	—
C1765 HCPCS	Adhesion Barrier	15	$1,230.25	$4,030.14	$3,012.00	nat. median $845 outlier · 3.6×
2722627 CDM	11g 20mm Omnicurve Fractur Kit	16	$1,120.13	$3,669.38	$2,896.88	—

Other procedures at this hospital

Browse this hospital's 3,700 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

J1628	HCPCS	Injection, Guselkumab, 1 Mg	16	16	$33,498.04	$23,448.63 30% off	$198.29	$31,823.14	$24,453.57	2026-02-02
J9217	HCPCS	Leuprolide Acetate (for Depot Suspension), 7.5 Mg	16	16	$30,302.01	$21,211.41 30% off	$210.60	$28,786.91	$21,968.96	2026-02-02
17579	CDM	Nursery - General Classification	12	12	$23,656.50	$16,559.55 30% off	$10,645.43	$22,473.68	$17,742.38	2026-02-02
17559	CDM	Nursery - General Classification	12	12	$18,474.50	$12,932.15 30% off	$8,313.53	$17,550.78	$13,855.88	2026-02-02
2719771	CDM	Biomet Vks Ssk 360 Femoral	16	16	$15,936.75	$11,155.73 30% off	$4,621.66	$15,139.91	$11,633.83	2026-02-02
2720362	CDM	Oss Segmental Femoral	16	16	$14,884.75	$10,419.33 30% off	$4,316.58	$14,140.51	$10,865.86	2026-02-02
Q4282	HCPCS	Cygnus Dual, Per Square Centimeter	46	16	$15,172.00	$10,620.40 30% off	$331.84	$21,488.05	$10,399.47	2026-02-02
17549	CDM	Nursery - General Classification	12	12	$13,643.25	$9,550.28 30% off	$6,139.46	$12,961.09	$10,232.44	2026-02-02
3600150	CDM	Operating Room Services - General Classification	16	16	$12,540.25	$8,778.18 30% off	$3,636.67	$11,913.24	$9,405.19	2026-02-02
2720270	CDM	Oss Elliptic.diaphys.segment	16	16	$11,802.50	$8,261.75 30% off	$3,422.73	$11,212.38	$8,615.83	2026-02-02
2718868	CDM	Biomet Vks-knee Specif Cr Fmrl	16	16	$10,399.50	$7,279.65 30% off	$3,015.86	$9,879.53	$7,591.64	2026-02-02
2718171	CDM	Knee System 4part(98000241520)	16	16	$9,480.75	$6,636.53 30% off	$2,749.42	$9,006.71	$6,920.94	2026-02-02
2719672	CDM	Knee System 4part(98000240120)	16	16	$9,045.75	$6,332.03 30% off	$2,623.27	$8,593.46	$6,603.40	2026-02-02
2717693	CDM	Knee System 3part	16	16	$8,673.00	$6,071.10 30% off	$2,515.17	$8,239.35	$6,331.29	2026-02-02
2720794	CDM	Knee System 4part(98000240000)	16	16	$8,349.75	$5,844.83 30% off	$2,421.43	$7,932.26	$6,095.32	2026-02-02
J2182	HCPCS	Injection, Mepolizumab, 1 Mg	16	16	$8,310.15	$5,817.11 30% off	$81.61	$7,894.64	$6,066.41	2026-02-02
Q5115	HCPCS	Injection, Rituximab-abbs, Biosimilar, (truxima), 10 Mg	16	16	$8,270.37	$5,789.26 30% off	$76.68	$7,856.85	$6,037.37	2026-02-02
J1306	HCPCS	Injection, Inclisiran, 1 Mg	16	16	$8,268.57	$5,788.00 30% off	$32.15	$7,855.14	$6,036.06	2026-02-02
J3101	HCPCS	Injection, Tenecteplase, 1 Mg	16	16	$8,289.25	$5,802.48 30% off	$84.29	$7,874.79	$6,009.71	2026-02-02
7200029	CDM	Labor Room/delivery - Delivery Room	16	16	$7,593.00	$5,315.10 30% off	$2,201.97	$7,213.35	$5,694.75	2026-02-02
3600073	CDM	Operating Room Services - General Classification	16	16	$7,306.00	$5,114.20 30% off	$2,118.74	$6,940.70	$5,479.50	2026-02-02
17569	CDM	Nursery - General Classification	12	12	$7,097.50	$4,968.25 30% off	$3,193.88	$6,742.63	$5,323.13	2026-02-02
2720151	CDM	Biomet G7acet Shell Multihole	16	16	$7,076.50	$4,953.55 30% off	$2,052.19	$6,722.68	$5,165.85	2026-02-02
Q4197	HCPCS	Puraply Xt, Per Square Centimeter	16	16	$6,966.25	$4,876.38 30% off	$331.84	$6,617.94	$5,085.36	2026-02-02
2717405	CDM	Biomet M2a Magnum Hip System	16	16	$6,867.50	$4,807.25 30% off	$1,991.58	$6,524.13	$5,013.28	2026-02-02
C1062	HCPCS	Intravertebral Body Fracture Augmentation With Implant (e.g., Metal, Polymer)	15	15	$6,966.25	$4,876.38 30% off	$2,020.21	$6,617.94	$4,946.04	2026-02-02
2720319	CDM	Oss Nonmod.long Tib. Baseplate	16	16	$6,664.25	$4,664.98 30% off	$1,932.63	$6,331.04	$4,864.90	2026-02-02
7200017	CDM	Labor Room/delivery - Delivery Room	16	16	$6,097.00	$4,267.90 30% off	$1,768.13	$5,792.15	$4,572.75	2026-02-02
2719835	CDM	Biomet 360 Tibial Tray	16	16	$6,219.75	$4,353.83 30% off	$1,803.73	$5,908.76	$4,540.42	2026-02-02
2718108	CDM	Biomet G7acet Shell 3or4hole	16	16	$6,088.50	$4,261.95 30% off	$1,765.67	$5,784.08	$4,444.61	2026-02-02
J3111	HCPCS	Injection, Romosozumab-aqqg, 1 Mg	16	16	$6,075.46	$4,252.82 30% off	$31.50	$5,771.69	$4,435.09	2026-02-02
C1762	HCPCS	Connective Tissue, Human (includes Fascia Lata)	60	15	$6,480.50	$4,536.35 30% off	$1,093.37	$7,085.10	$4,141.20	2026-02-02
C1776	HCPCS	Joint Device (implantable)	195	15	$6,871.50	$4,810.05 30% off	$580.29	$19,790.64	$4,122.90	2026-02-02
C1880	HCPCS	Vena Cava Filter	15	15	$5,392.25	$3,774.58 30% off	$1,563.75	$5,122.64	$4,044.19	2026-02-02
2719083	CDM	Biomet Vks-knee Cr Femoral	16	16	$5,219.25	$3,653.48 30% off	$1,513.58	$4,958.29	$3,810.06	2026-02-02
2717381	CDM	Biomet Taperloc Femoral	16	16	$5,219.25	$3,653.48 30% off	$1,513.58	$4,958.29	$3,810.06	2026-02-02
G0330	HCPCS	Facility Services For Dental Rehabilitation Procedure(s) Performed On A Patient …	16	16	$5,015.00	$3,510.50 30% off	$1,454.35	$8,840.77	$3,761.25	2026-02-02
CI171	OTHER	Ar Maxforce Mtp Plate Std 5-5l	15	15	$5,291.50	$3,704.05 30% off	$1,534.54	$5,026.93	$3,756.97	2026-02-02
2719841	CDM	Biomet Vks Ps Tibial Bearing	16	16	$5,121.75	$3,585.23 30% off	$1,485.31	$4,865.66	$3,738.88	2026-02-02
78814	HCPCS	Nuclear Medicine Study Limited Area With CT Scan	16	16	$5,126.25	$3,588.38 30% off	$1,059.59	$4,869.94	$3,716.53	2026-02-02
Q5108	HCPCS	Injection, Pegfilgrastim-jmdb (fulphila), Biosimilar, 0.5 Mg	16	16	$5,014.52	$3,510.16 30% off	$258.72	$4,763.79	$3,660.60	2026-02-02
2720139	CDM	Bio Knee Femoral Cemt Mo 65mm	16	16	$4,519.75	$3,163.83 30% off	$1,310.73	$4,293.76	$3,389.81	2026-02-02
22513	HCPCS	Treatment Of Broken Middle Spine Bone With Placement Of Stabilizing Device Using…	16	16	$3,641.50	$2,549.05 30% off	$1,056.04	$19,348.92	$3,277.35	2026-02-02
22514	HCPCS	Treatment Of Broken Lower Spine Bone With Placement Of Stabilizing Device	16	16	$3,641.50	$2,549.05 30% off	$1,056.04	$19,348.92	$3,277.35	2026-02-02
7200048	CDM	Labor Room/delivery - Delivery Room	16	16	$4,357.25	$3,050.08 30% off	$1,263.60	$4,139.39	$3,267.94	2026-02-02
Q4159	HCPCS	Affinity, Per Square Centimeter	16	16	$4,425.75	$3,098.03 30% off	$331.84	$4,204.46	$3,230.80	2026-02-02
J0897	HCPCS	Injection, Denosumab, 1 Mg	16	16	$4,342.41	$3,039.69 30% off	$13.43	$4,125.29	$3,148.25	2026-02-02
2722009	CDM	Avaflex Kit 11g 20mm	16	16	$4,098.00	$2,868.60 30% off	$1,188.42	$3,893.10	$3,073.50	2026-02-02
C1765	HCPCS	Adhesion Barrier	15	15	$4,242.25	$2,969.58 30% off	$1,230.25	$4,030.14	$3,012.00	2026-02-02
2722627	CDM	11g 20mm Omnicurve Fractur Kit	16	16	$3,862.50	$2,703.75 30% off	$1,120.13	$3,669.38	$2,896.88	2026-02-02
2719792	CDM	Biomet Splined Knee Stem V2	16	16	$3,939.75	$2,757.83 30% off	$1,142.53	$3,742.76	$2,876.01	2026-02-02
J1602	HCPCS	Injection, Golimumab, 1 Mg, For Intravenous Use	16	16	$3,915.92	$2,741.14 30% off	$28.81	$3,720.12	$2,858.62	2026-02-02
27562	HCPCS	Closed Treatment Of Dislocated Kneecap Under Anesthesia	16	16	$3,924.00	$2,746.80 30% off	$657.75	$3,727.80	$2,844.90	2026-02-02
2717393	CDM	Antioxident Infused Uhmwpe	16	16	$3,827.25	$2,679.08 30% off	$1,109.90	$3,635.89	$2,793.89	2026-02-02
2720772	CDM	Psn Str Hyb Stem Extention	16	16	$3,653.75	$2,557.63 30% off	$1,059.59	$3,471.06	$2,667.23	2026-02-02
81229	HCPCS	Genome-wide Microarray Analysis For Copy Number And Single Nucleotide Polymorphi…	15	15	$3,406.75	$2,384.73 30% off	$987.96	$3,236.41	$2,555.06	2026-02-02
2720374	CDM	Oss Interlok Bowed IM Stem	16	16	$3,467.50	$2,427.25 30% off	$1,005.58	$3,294.13	$2,531.28	2026-02-02
72191	HCPCS	CT Scan Of Blood Vessels Of Pelvis With Contrast	16	16	$3,332.00	$2,332.40 30% off	$365.21	$3,165.40	$2,415.70	2026-02-02
70496	HCPCS	CT Scan Of Blood Vessels Of Head With Contrast	16	16	$3,332.00	$2,332.40 30% off	$403.20	$3,165.40	$2,415.70	2026-02-02
74174	HCPCS	CT Scan Of Blood Vessels Of Abdomen And Pelvis With Contrast	16	16	$3,332.00	$2,332.40 30% off	$676.32	$3,165.40	$2,415.70	2026-02-02
75635	HCPCS	CT Scan Of Abdominal Aorta And Both Leg Arteries With Contrast	16	16	$3,332.00	$2,332.40 30% off	$403.20	$3,165.40	$2,415.70	2026-02-02
73206	HCPCS	CT Scan Of Blood Vessels Of Arm With Contrast	16	16	$3,332.00	$2,332.40 30% off	$365.21	$3,165.40	$2,415.70	2026-02-02
74175	HCPCS	CT Scan Of Blood Vessels Of Abdomen With Contrast	16	16	$3,332.00	$2,332.40 30% off	$403.20	$3,165.40	$2,415.70	2026-02-02
71275	HCPCS	CT Scan Of Blood Vessels Of Chest With Contrast	16	16	$3,332.00	$2,332.40 30% off	$403.20	$3,165.40	$2,415.70	2026-02-02
70498	HCPCS	CT Scan Of Blood Vessels Of Neck With Contrast	16	16	$3,332.00	$2,332.40 30% off	$403.20	$3,165.40	$2,415.70	2026-02-02
73706	HCPCS	CT Scan Of Blood Vessels Of Lower Leg With Contrast	16	16	$3,332.00	$2,332.40 30% off	$403.20	$3,165.40	$2,415.70	2026-02-02
J7325	HCPCS	Hyaluronan Or Derivative, Synvisc Or Synvisc-one, For Intra-articular Injection,…	16	16	$3,299.68	$2,309.78 30% off	$11.54	$3,134.70	$2,392.27	2026-02-02
99291	HCPCS	Critical Care, First 30-74 Minutes	16	16	$3,298.25	$2,308.78 30% off	$467.10	$3,133.34	$2,391.24	2026-02-02
2718091	CDM	Biomet G7 Acet Liner-hip	16	16	$3,236.50	$2,265.55 30% off	$938.59	$3,074.68	$2,362.65	2026-02-02
70553	HCPCS	MRI Scan Of Brain Before And After Contrast	29	16	$2,816.25	$1,971.38 30% off	$801.97	$3,151.86	$2,322.43	2026-02-02
17529	CDM	Nursery - General Classification	12	12	$3,077.50	$2,154.25 30% off	$1,384.88	$2,923.63	$2,308.13	2026-02-02
J2802	HCPCS	Injection, Romiplostim, 1 Microgram	16	16	$3,134.84	$2,194.39 30% off	$28.74	$2,978.10	$2,288.43	2026-02-02
75825	HCPCS	Review By Radiologist Of Major Lower Body Vein Image	16	16	$2,762.50	$1,933.75 30% off	$801.13	$7,258.21	$2,279.22	2026-02-02
S0013	HCPCS	Esketamine, Nasal Spray, 1 Mg	15	15	$2,991.84	$2,094.29 30% off	$867.63	$2,842.25	$2,243.88	2026-02-02
2720527	CDM	Biomet G7 Pps Acet Shell	16	16	$3,027.25	$2,119.08 30% off	$877.90	$2,875.89	$2,209.89	2026-02-02
35206	HCPCS	Repair Of Blood Vessel Of Arm	16	16	$2,448.25	$1,713.78 30% off	$709.99	$8,419.52	$2,203.43	2026-02-02
70543	HCPCS	MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Before And After Contrast	16	16	$3,027.50	$2,119.25 30% off	$642.11	$2,876.13	$2,194.94	2026-02-02
2719809	CDM	Biomet Smooth Knee Stem	16	16	$2,985.25	$2,089.68 30% off	$865.72	$2,835.99	$2,179.24	2026-02-02
95811	HCPCS	Sleep Study In Sleep Lab With Continuous Airway Pressure (6 Years Or Older)	16	16	$2,888.50	$2,021.95 30% off	$837.67	$2,744.08	$2,166.38	2026-02-02
2722217	CDM	Vivacit-e Dm Bearing 28x40mm	16	16	$2,950.50	$2,065.35 30% off	$855.65	$2,802.98	$2,153.87	2026-02-02
J1439	HCPCS	Injection, Ferric Carboxymaltose, 1 Mg	16	16	$2,924.05	$2,046.84 30% off	$2.89	$2,777.85	$2,134.56	2026-02-02
2718871	CDM	Biomet Knee Tibial Bearing	16	16	$2,922.75	$2,045.93 30% off	$847.60	$2,776.61	$2,133.61	2026-02-02
17539	CDM	Nursery - General Classification	12	12	$2,842.75	$1,989.93 30% off	$1,279.24	$2,700.61	$2,132.06	2026-02-02
2719400	CDM	Psn Asf Uc Fixed Bearing	16	16	$2,892.50	$2,024.75 30% off	$838.83	$2,747.88	$2,111.53	2026-02-02
11044	HCPCS	Removal Of Bone, 20.0 Sq Cm Or Less	16	16	$2,789.50	$1,952.65 30% off	$481.82	$4,404.04	$2,092.13	2026-02-02
J0129	HCPCS	Injection, Abatacept, 10 Mg (code May Be Used For Medicare When Drug Administere…	16	16	$2,879.23	$2,015.46 30% off	$20.23	$2,735.27	$2,087.44	2026-02-02
2718420	CDM	Crs Glenosphere Baseplate	16	16	$2,845.00	$1,991.50 30% off	$825.05	$2,702.75	$2,076.85	2026-02-02
2720760	CDM	Psn Tib Stm Natural Tibia	16	16	$2,809.75	$1,966.83 30% off	$814.83	$2,669.26	$2,051.11	2026-02-02
72158	HCPCS	MRI Scan Of Lower Spinal Canal Before And After Contrast	16	16	$2,816.25	$1,971.38 30% off	$801.97	$2,675.44	$2,041.79	2026-02-02
72156	HCPCS	MRI Scan Of Upper Spinal Canal Before And After Contrast	16	16	$2,816.25	$1,971.38 30% off	$801.97	$2,675.44	$2,041.79	2026-02-02
72197	HCPCS	MRI Scan Of Pelvis Before And After Contrast	16	16	$2,803.50	$1,962.45 30% off	$801.97	$2,663.33	$2,032.54	2026-02-02
95810	HCPCS	Sleep Study In Sleep Lab (6 Years Or Older)	16	16	$2,511.75	$1,758.23 30% off	$728.41	$2,386.16	$2,016.34	2026-02-02
70542	HCPCS	MRI Scan Of Bone Of Eye Socket, Face, And/or Neck With Contrast	16	16	$2,762.75	$1,933.93 30% off	$500.30	$2,624.61	$2,002.99	2026-02-02
73223	HCPCS	MRI Scan Of Arm Joint Before And After Contrast	29	16	$2,734.25	$1,913.98 30% off	$642.11	$2,597.54	$1,962.00	2026-02-02
2721115	CDM	Biomet Vg360rs Postfemaug Bloc	16	16	$2,686.00	$1,880.20 30% off	$778.94	$2,551.70	$1,960.78	2026-02-02
2720416	CDM	Stryker Aliquot Dir Bone Tamp	16	16	$2,578.75	$1,805.13 30% off	$747.84	$2,449.81	$1,934.06	2026-02-02
73720	HCPCS	MRI Scan Of Leg Before And After Contrast	16	16	$2,664.50	$1,865.15 30% off	$642.11	$2,531.28	$1,931.77	2026-02-02
73723	HCPCS	MRI Scan Of Leg Joint Before And After Contrast	16	16	$2,664.50	$1,865.15 30% off	$772.71	$2,531.28	$1,931.77	2026-02-02
2719907	CDM	Biomet Vg360 Splined Knee Stem	16	16	$2,641.75	$1,849.23 30% off	$766.11	$2,509.66	$1,928.47	2026-02-02
74183	HCPCS	MRI Scan Of Abdomen Before And After Contrast	16	16	$2,636.75	$1,845.73 30% off	$642.11	$2,504.91	$1,911.64	2026-02-02
2718058	CDM	Biomet Plasmax Plus	16	16	$2,542.00	$1,779.40 30% off	$737.18	$2,414.90	$1,906.50	2026-02-02
70546	HCPCS	MRI Scan Of Blood Vessels Of Head Before And After Contrast	16	16	$2,624.75	$1,837.33 30% off	$623.76	$2,493.51	$1,902.94	2026-02-02
70544	HCPCS	MRI Scan Of Blood Vessels Of Head Without Contrast	16	16	$2,624.75	$1,837.33 30% off	$548.48	$2,493.51	$1,902.94	2026-02-02
70549	HCPCS	MRI Scan Of Blood Vessels Of Neck Before And After Contrast	16	16	$2,624.75	$1,837.33 30% off	$623.76	$2,493.51	$1,902.94	2026-02-02
72142	HCPCS	MRI Scan Of Upper Spinal Canal With Contrast	16	16	$2,616.00	$1,831.20 30% off	$500.30	$2,485.20	$1,896.60	2026-02-02
70552	HCPCS	MRI Scan Of Brain With Contrast	16	16	$2,616.00	$1,831.20 30% off	$500.30	$2,485.20	$1,896.60	2026-02-02
72147	HCPCS	MRI Scan Of Middle Spinal Canal With Contrast	16	16	$2,616.00	$1,831.20 30% off	$500.30	$2,485.20	$1,896.60	2026-02-02
72157	HCPCS	MRI Scan Of Middle Spinal Canal Before And After Contrast	16	16	$2,616.00	$1,831.20 30% off	$642.11	$2,485.20	$1,896.60	2026-02-02
72196	HCPCS	MRI Scan Of Pelvis With Contrast	16	16	$2,603.50	$1,822.45 30% off	$500.30	$2,473.33	$1,887.54	2026-02-02
74178	HCPCS	CT Scan Of Abdomen And Pelvis Before And After Contrast	16	16	$2,559.75	$1,791.83 30% off	$742.33	$2,431.76	$1,861.65	2026-02-02
72130	HCPCS	CT Scan Of Middle Spine Before And After Contrast	16	16	$2,559.75	$1,791.83 30% off	$368.63	$2,431.76	$1,855.82	2026-02-02
2722625	CDM	13g 10mm Ivas Kit	16	16	$2,464.50	$1,725.15 30% off	$714.71	$2,341.28	$1,848.38	2026-02-02
70540	HCPCS	MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Without Contrast	16	16	$2,545.25	$1,781.68 30% off	$548.48	$2,417.99	$1,845.31	2026-02-02
74177	HCPCS	CT Scan Of Abdomen And Pelvis With Contrast	16	16	$2,526.00	$1,768.20 30% off	$732.54	$2,399.70	$1,831.35	2026-02-02
2718844	CDM	Biomet Vks-knee Tibial Plate	16	16	$2,505.50	$1,753.85 30% off	$726.60	$2,380.23	$1,829.02	2026-02-02
19083	HCPCS	Biopsy Of Breast And Placement Of Locating Device Using Ultrasound, First Growth	16	16	$2,372.25	$1,660.58 30% off	$687.95	$4,404.04	$1,779.19	2026-02-02
2529122	CDM	Semaglutide 1mg/0.75ml Pen.inj	16	16	$2,355.43	$1,648.80 30% off	$683.07	$2,237.66	$1,766.57	2026-02-02
78630	HCPCS	Nuclear Medicine Study Of Cerebrospinal Fluid Flow After Injection Of Contrast I…	16	16	$2,427.75	$1,699.43 30% off	$356.57	$2,306.36	$1,760.12	2026-02-02
72148	HCPCS	MRI Scan Of Lower Spinal Canal Without Contrast	16	16	$2,415.75	$1,691.03 30% off	$548.48	$2,294.96	$1,751.42	2026-02-02
72146	HCPCS	MRI Scan Of Middle Spinal Canal Without Contrast	16	16	$2,415.75	$1,691.03 30% off	$548.48	$2,294.96	$1,751.42	2026-02-02
70551	HCPCS	MRI Scan Of Brain Without Contrast	16	16	$2,415.75	$1,691.03 30% off	$548.48	$2,294.96	$1,751.42	2026-02-02
72141	HCPCS	MRI Scan Of Upper Spinal Canal Without Contrast	16	16	$2,415.75	$1,691.03 30% off	$548.48	$2,294.96	$1,751.42	2026-02-02
72149	HCPCS	MRI Scan Of Lower Spinal Canal With Contrast	16	16	$2,415.75	$1,691.03 30% off	$700.57	$2,294.96	$1,751.42	2026-02-02
26010	CDM	Room & Board - Semi-private (two Beds) - General Classification	14	14	$2,414.25	$1,689.98 30% off	$1,086.41	$2,293.54	$1,750.34	2026-02-02
J9395	HCPCS	Injection, Fulvestrant, 25 Mg	15	15	$2,329.97	$1,630.98 30% off	$84.34	$2,213.47	$1,747.48	2026-02-02
93306	HCPCS	Ultrasound Of Heart With Color-depicted Blood Flow, Rate, Direction And Valve Fu…	16	16	$2,405.00	$1,683.50 30% off	$697.45	$2,284.75	$1,743.62	2026-02-02
2720538	CDM	Closure Devise Dermaclose Reg	16	16	$2,318.00	$1,622.60 30% off	$672.22	$2,202.10	$1,738.50	2026-02-02
2717370	CDM	Biolox Delta Opt Ceramic Head	16	16	$2,370.25	$1,659.18 30% off	$687.37	$2,251.74	$1,730.29	2026-02-02
Q0138	HCPCS	Injection, Ferumoxytol, For Treatment Of Iron Deficiency Anemia, 1 Mg (non-esrd …	16	16	$2,373.50	$1,661.45 30% off	$0.60	$2,254.83	$1,720.79	2026-02-02
99292	HCPCS	Critical Care, Each Additional 30 Minutes	15	15	$2,281.75	$1,597.23 30% off	$247.32	$2,167.66	$1,711.31	2026-02-02
71552	HCPCS	MRI Scan Of Chest Before And After Contrast	16	16	$2,353.75	$1,647.63 30% off	$682.59	$2,236.06	$1,706.47	2026-02-02
74185	HCPCS	MRI Scan Of Blood Vessels Of Abdomen	16	16	$2,268.75	$1,588.13 30% off	$657.94	$2,155.31	$1,701.56	2026-02-02
2717417	CDM	Cable-ready Cable Grip System	16	16	$2,305.50	$1,613.85 30% off	$668.60	$2,190.23	$1,683.02	2026-02-02
2720515	CDM	Biomet Aahs Dm Bearing ArComXL	16	16	$2,262.00	$1,583.40 30% off	$655.98	$2,148.90	$1,651.26	2026-02-02
2710977	CDM	Stapler Auto Suture 3.5	16	16	$2,177.25	$1,524.08 30% off	$631.40	$2,068.39	$1,632.94	2026-02-02
2720127	CDM	Bio Knee Tibial Cem Mold 65mm	16	16	$2,156.25	$1,509.38 30% off	$625.31	$2,048.44	$1,617.19	2026-02-02
95805	HCPCS	Sleep Study, Multiple Trials	16	16	$2,150.00	$1,505.00 30% off	$623.50	$2,289.86	$1,612.50	2026-02-02
71550	HCPCS	MRI Scan Of Chest Without Contrast	16	16	$2,213.00	$1,549.10 30% off	$443.03	$2,102.35	$1,604.42	2026-02-02
74181	HCPCS	MRI Scan Of Abdomen Without Contrast	16	16	$2,213.00	$1,549.10 30% off	$548.48	$2,102.35	$1,604.42	2026-02-02
72195	HCPCS	MRI Scan Of Pelvis Without Contrast	16	16	$2,213.00	$1,549.10 30% off	$548.48	$2,102.35	$1,604.42	2026-02-02
72129	HCPCS	CT Scan Of Middle Spine With Contrast	16	16	$2,208.50	$1,545.95 30% off	$324.65	$2,098.08	$1,601.16	2026-02-02
74176	HCPCS	CT Scan Of Abdomen And Pelvis Without Contrast	16	16	$2,208.50	$1,545.95 30% off	$548.48	$2,098.08	$1,601.16	2026-02-02
2720351	CDM	Oss Tibial Bearing	16	16	$2,170.00	$1,519.00 30% off	$629.30	$2,061.50	$1,584.10	2026-02-02
64635	HCPCS	Destruction Of Lower Or Sacral Spinal Facet Joint Nerves Using Imaging Guidance,…	16	16	$1,946.50	$1,362.55 30% off	$564.49	$5,207.00	$1,564.67	2026-02-02
35940	HCPCS	Hmc Filter Plcmt,ivc Perc	15	15	$2,080.75	$1,456.53 30% off	$603.42	$1,976.71	$1,560.56	2026-02-02
2722300	CDM	Veraflo Cleanse Choice Comp Lg	16	16	$2,062.75	$1,443.93 30% off	$598.20	$1,959.61	$1,547.06	2026-02-02
22510	HCPCS	Stabilization Of Upper Spine Bone	16	16	$1,707.50	$1,195.25 30% off	$495.18	$8,724.89	$1,536.75	2026-02-02
16016	CDM	Room & Board - Semi-private (two Beds) - General Classification	14	14	$2,114.00	$1,479.80 30% off	$951.30	$2,008.30	$1,532.65	2026-02-02
70482	HCPCS	CT Scan Of Cranial Cavity Before And After Contrast	29	16	$1,738.25	$1,216.78 30% off	$368.63	$2,076.46	$1,530.03	2026-02-02
2722614	CDM	11g 15mm Ivas Elite Single Kit	16	16	$2,022.00	$1,415.40 30% off	$586.38	$1,920.90	$1,516.50	2026-02-02
2719780	CDM	Biomet Vg360rs Femoral Augment	16	16	$2,070.75	$1,449.53 30% off	$600.52	$1,967.21	$1,511.64	2026-02-02
73722	HCPCS	MRI Scan Of Leg Joint With Contrast	16	16	$2,013.75	$1,409.63 30% off	$583.99	$1,913.06	$1,510.31	2026-02-02
73222	HCPCS	MRI Scan Of Arm Joint With Contrast	16	16	$2,013.75	$1,409.63 30% off	$583.99	$1,913.06	$1,510.31	2026-02-02
22511	HCPCS	Stabilization Of Lower Spine Bone	16	16	$1,674.75	$1,172.33 30% off	$485.68	$8,724.89	$1,507.28	2026-02-02
36556	HCPCS	Insertion Of Non-tunneled Central Venous Tube For Infusion (5 Years Or Older)	16	16	$2,008.25	$1,405.78 30% off	$582.39	$8,419.52	$1,506.19	2026-02-02
22515	HCPCS	Treatment Of Broken Spine Bone With Stabilizing Device, Each Additional Segment	16	16	$1,821.25	$1,274.88 30% off	$450.36	$5,436.63	$1,502.54	2026-02-02
72127	HCPCS	CT Scan Of Upper Spine Before And After Contrast	16	16	$2,060.00	$1,442.00 30% off	$368.63	$1,957.00	$1,493.50	2026-02-02
72133	HCPCS	CT Scan Of Lower Spine Before And After Contrast	16	16	$2,060.00	$1,442.00 30% off	$368.63	$1,957.00	$1,493.50	2026-02-02
78452	HCPCS	Nuclear Medicine Studies Of Heart Muscle At Rest And With Stress And Spect	16	16	$1,799.00	$1,259.30 30% off	$521.71	$2,976.05	$1,490.97	2026-02-02
2720327	CDM	Oss Yoke	16	16	$2,035.75	$1,425.03 30% off	$590.37	$1,933.96	$1,486.10	2026-02-02
93312	HCPCS	Ultrasound Of Heart With Probe In Esophagus, With Report	16	16	$2,013.75	$1,409.63 30% off	$583.99	$1,913.06	$1,483.67	2026-02-02
L8600	HCPCS	Implantable Breast Prosthesis, Silicone Or Equal	29	15	$2,941.25	$2,058.88 30% off	$458.78	$2,794.19	$1,471.26	2026-02-02
Q4101	HCPCS	Apligraf, Per Square Centimeter	16	16	$2,029.25	$1,420.48 30% off	$34.10	$1,927.79	$1,471.21	2026-02-02
70470	HCPCS	CT Scan Of Head Or Brain Before And After Contrast	16	16	$2,019.25	$1,413.48 30% off	$403.20	$1,918.29	$1,463.96	2026-02-02
36010	HCPCS	Insertion Of Tube Into Vena Cava	16	16	$2,014.00	$1,409.80 30% off	$227.46	$1,913.30	$1,460.15	2026-02-02
73721	HCPCS	MRI Scan Of Leg Joint Without Contrast	16	16	$2,013.75	$1,409.63 30% off	$548.48	$1,913.06	$1,459.97	2026-02-02
73220	HCPCS	MRI Scan Of Arm Before And After Contrast	16	16	$2,013.75	$1,409.63 30% off	$583.99	$1,913.06	$1,459.97	2026-02-02
73221	HCPCS	MRI Scan Of Arm Joint Without Contrast	16	16	$2,013.75	$1,409.63 30% off	$548.48	$1,913.06	$1,459.97	2026-02-02
73218	HCPCS	MRI Scan Of Arm Without Contrast	16	16	$2,013.75	$1,409.63 30% off	$548.48	$1,913.06	$1,459.97	2026-02-02
73718	HCPCS	MRI Scan Of Leg Without Contrast	16	16	$2,013.75	$1,409.63 30% off	$548.48	$1,913.06	$1,459.97	2026-02-02
64633	HCPCS	Destruction Of Upper Or Middle Spinal Facet Joint Nerves Using Imaging Guidance,…	16	16	$1,946.50	$1,362.55 30% off	$564.49	$5,207.00	$1,459.88	2026-02-02
64624	HCPCS	Destruction Of Nerve Branches Of Knee Using Imaging Guidance	16	16	$1,946.50	$1,362.55 30% off	$564.49	$5,207.00	$1,459.88	2026-02-02
2710317	CDM	Stapler Auto Suture 2.5	16	16	$1,940.50	$1,358.35 30% off	$562.75	$1,843.48	$1,455.38	2026-02-02
74170	HCPCS	CT Scan Of Abdomen Before And After Contrast	16	16	$2,003.25	$1,402.28 30% off	$403.20	$1,903.09	$1,452.36	2026-02-02
71270	HCPCS	CT Scan Of Chest Before And After Contrast	16	16	$1,980.00	$1,386.00 30% off	$403.20	$1,881.00	$1,435.50	2026-02-02
2721522	CDM	Biomet Psi Psn Cr Pin Gde Set	16	16	$1,906.50	$1,334.55 30% off	$552.89	$1,811.18	$1,429.88	2026-02-02
17519	CDM	Nursery - General Classification	12	12	$1,892.50	$1,324.75 30% off	$851.63	$1,797.88	$1,419.38	2026-02-02
74160	HCPCS	CT Scan Of Abdomen With Contrast	16	16	$1,956.25	$1,369.38 30% off	$403.20	$1,858.44	$1,418.29	2026-02-02
J1670	HCPCS	Injection, Tetanus Immune Globulin, Human, Up To 250 Units	16	16	$1,888.84	$1,322.19 30% off	$234.79	$1,794.40	$1,416.63	2026-02-02
32551	HCPCS	Removal Of Fluid From Between Lung And Chest Cavity	16	16	$1,884.00	$1,318.80 30% off	$389.49	$4,197.53	$1,413.00	2026-02-02
78014	HCPCS	Nuclear Medicine Study Of Thyroid And Thyroid Function	16	16	$1,931.25	$1,351.88 30% off	$560.06	$1,834.69	$1,409.82	2026-02-02
L3720	HCPCS	Elbow Orthosis, Double Upright With Forearm/arm Cuffs, Free Motion, Custom Fabri…	16	16	$2,165.50	$1,515.85 30% off	$567.26	$2,057.23	$1,407.57	2026-02-02
72128	HCPCS	CT Scan Of Middle Spine Without Contrast	16	16	$1,939.00	$1,357.30 30% off	$240.32	$1,842.05	$1,405.78	2026-02-02
70491	HCPCS	CT Scan Of Soft Tissue Of Neck With Contrast	16	16	$1,939.00	$1,357.30 30% off	$403.20	$1,842.05	$1,405.78	2026-02-02
70460	HCPCS	CT Scan Head Or Brain With Contrast	16	16	$1,939.00	$1,357.30 30% off	$324.65	$1,842.05	$1,405.78	2026-02-02
2719817	CDM	Biomet 360 Offset Adaptor	16	16	$1,922.50	$1,345.75 30% off	$557.53	$1,826.38	$1,403.43	2026-02-02
A9552	HCPCS	Fluorodeoxyglucose F-18 Fdg, Diagnostic, Per Study Dose, Up To 45 Millicuries	15	15	$1,811.00	$1,267.70 30% off	$525.19	$1,720.45	$1,358.25	2026-02-02
22512	HCPCS	Stabilization Of Spine Bone, Each Additional Bone	16	16	$1,641.75	$1,149.23 30% off	$434.64	$2,556.87	$1,354.44	2026-02-02
Q5103	HCPCS	Injection, Infliximab-dyyb, Biosimilar, (inflectra), 10 Mg	16	16	$1,853.52	$1,297.46 30% off	$52.17	$1,760.84	$1,353.07	2026-02-02
72193	HCPCS	CT Scan Of Pelvis With Contrast	16	16	$1,852.50	$1,296.75 30% off	$403.20	$1,759.88	$1,343.07	2026-02-02
37620	HCPCS	Operating Room Services - General Classification	15	15	$1,789.75	$1,252.83 30% off	$519.03	$1,700.26	$1,342.31	2026-02-02
72194	HCPCS	CT Scan Of Pelvis Before And After Contrast	16	16	$1,814.25	$1,269.98 30% off	$403.20	$1,723.54	$1,315.34	2026-02-02
20225	HCPCS	Deep Biopsy Of Bone Using Needle Or Trocar	16	16	$1,705.75	$1,194.03 30% off	$494.67	$4,404.04	$1,311.88	2026-02-02
70492	HCPCS	CT Scan Of Soft Tissue Of Neck Before And After Contrast	16	16	$1,808.25	$1,265.78 30% off	$403.20	$1,717.84	$1,310.99	2026-02-02
71260	HCPCS	CT Scan Of Chest With Contrast	16	16	$1,783.00	$1,248.10 30% off	$403.20	$1,693.85	$1,292.67	2026-02-02
2719823	CDM	Biomet 360 Tibial Cruciat.wing	16	16	$1,755.25	$1,228.68 30% off	$509.02	$1,667.49	$1,281.34	2026-02-02
70450	HCPCS	CT Scan Head Or Brain Without Contrast	16	16	$1,756.50	$1,229.55 30% off	$240.32	$1,668.68	$1,273.47	2026-02-02
74150	HCPCS	CT Scan Of Abdomen Without Contrast	16	16	$1,743.00	$1,220.10 30% off	$240.32	$1,655.85	$1,263.67	2026-02-02
0223U	OTHER	Test For Detection Of Respiratory Disease-causing Organisms From Back Of Nose An…	16	16	$1,716.75	$1,201.73 30% off	$497.86	$1,630.91	$1,253.22	2026-02-02
62323	HCPCS	Injection Of Substance Into Lower Spine Canal Using Imaging Guidance	16	16	$1,656.50	$1,159.55 30% off	$480.39	$1,882.25	$1,242.38	2026-02-02
15275	HCPCS	Application Of Skin Substitute Graft To Wound Of Face, Scalp, Eyelids, Mouth, Ne…	28	16	$7,722.00	$5,405.40 30% off	$116.36	$7,335.90	$1,240.00	2026-02-02
2718832	CDM	Biomet CT Tka Gde/mdl Set04-05	16	16	$1,653.00	$1,157.10 30% off	$479.37	$1,570.35	$1,239.75	2026-02-02
73702	HCPCS	CT Scan Of Leg Before And After Contrast	16	16	$1,690.00	$1,183.00 30% off	$368.63	$1,605.50	$1,225.25	2026-02-02
72132	HCPCS	CT Scan Of Lower Spine With Contrast	16	16	$1,685.50	$1,179.85 30% off	$488.80	$1,601.23	$1,221.99	2026-02-02
72126	HCPCS	CT Scan Of Upper Spine With Contrast	16	16	$1,685.50	$1,179.85 30% off	$488.80	$1,601.23	$1,221.99	2026-02-02
70487	HCPCS	CT Scan Of Face With Contrast	16	16	$1,685.50	$1,179.85 30% off	$324.65	$1,601.23	$1,221.99	2026-02-02
70481	HCPCS	CT Scan Of Cranial Cavity With Contrast	16	16	$1,685.50	$1,179.85 30% off	$324.65	$1,601.23	$1,221.99	2026-02-02
64505	HCPCS	Injection Of Anesthetic Agent, Trigeminal Nerve Bundle	16	16	$1,677.50	$1,174.25 30% off	$144.48	$1,593.63	$1,216.19	2026-02-02
43752	HCPCS	Insertion Of Stomach Tube Through Nose Or Mouth Using Fluoroscopic Guidance	16	16	$1,634.50	$1,144.15 30% off	$73.15	$1,552.78	$1,208.54	2026-02-02
78588	HCPCS	Vent/perf Lung Scan	15	15	$1,607.25	$1,125.08 30% off	$466.10	$1,526.89	$1,205.44	2026-02-02
64493	HCPCS	Injection Of Lower Or Sacral Spine Facet Joint Using Imaging Guidance, Single Le…	28	16	$1,307.25	$915.08 30% off	$112.87	$2,358.47	$1,196.13	2026-02-02
J0490	HCPCS	Injection, Belimumab, 10 Mg	29	16	$1,252.54	$876.78 30% off	$35.76	$3,849.78	$1,189.91	2026-02-02
90375	HCPCS	Rabies Immune Globulin For Injection	16	16	$1,630.21	$1,141.15 30% off	$237.81	$1,548.70	$1,181.91	2026-02-02
2719393	CDM	Biomet Gps Iii Platelt Sep.kit	16	16	$1,569.50	$1,098.65 30% off	$455.16	$1,491.03	$1,177.13	2026-02-02
70486	HCPCS	CT Scan Of Face Without Contrast	16	16	$1,623.00	$1,136.10 30% off	$240.32	$1,541.85	$1,176.67	2026-02-02
62321	HCPCS	Injection Of Substance Into Middle Or Upper Spine Canal Using Imaging Guidance	31	16	$1,448.00	$1,013.60 30% off	$419.92	$1,882.25	$1,176.12	2026-02-02
91110	HCPCS	Imaging Of Digestive Tract Done From The Inside Of The Digestive Tract	16	16	$1,567.25	$1,097.08 30% off	$454.50	$2,418.50	$1,175.57	2026-02-02
2719583	CDM	Biomet Hip Sys. Head Component	16	16	$1,591.25	$1,113.88 30% off	$461.46	$1,511.69	$1,161.62	2026-02-02
0241U	OTHER	Infectious Disease (viral Respiratory Tract Infection), Pathogen-specific Rna, 4…	15	15	$1,537.25	$1,076.08 30% off	$445.80	$1,460.39	$1,152.94	2026-02-02
10080	HCPCS	Simple Drainage Of Cyst Of Tailbone	16	16	$1,530.25	$1,071.18 30% off	$83.44	$1,888.26	$1,147.69	2026-02-02
99285	HCPCS	Emergency Department Visit With High Level Of Medical Decision Making	16	16	$1,522.75	$1,065.93 30% off	$441.60	$1,588.00	$1,142.06	2026-02-02
10005	HCPCS	Fine Needle Aspiration Biopsy Using Ultrasound Guidance, First Growth	16	16	$1,518.75	$1,063.13 30% off	$437.56	$1,888.26	$1,139.06	2026-02-02
73202	HCPCS	CT Scan Of Arm Before And After Contrast	16	16	$1,565.50	$1,095.85 30% off	$368.63	$1,487.23	$1,134.99	2026-02-02
62267	HCPCS	Aspiration Of Spinal Disc Tissue For Diagnostic Purposes	16	16	$1,507.00	$1,054.90 30% off	$437.03	$1,888.26	$1,130.25	2026-02-02
73701	HCPCS	CT Scan Of Leg With Contrast Material	16	16	$1,558.75	$1,091.13 30% off	$324.65	$1,480.81	$1,130.10	2026-02-02
73201	HCPCS	CT Scan Of Arm With Contrast	16	16	$1,558.75	$1,091.13 30% off	$324.65	$1,480.81	$1,130.10	2026-02-02
78451	HCPCS	Nuclear Medicine Study Of Heart Muscle At Rest And With Stress And Spect	16	16	$1,499.75	$1,049.83 30% off	$434.93	$2,976.05	$1,124.81	2026-02-02
74270	HCPCS	Single Contrast X-ray Of Large Intestine	16	16	$1,541.25	$1,078.88 30% off	$216.25	$1,464.19	$1,117.41	2026-02-02
74280	HCPCS	Double Contrast X-ray Of Large Intestine	16	16	$1,541.25	$1,078.88 30% off	$299.07	$1,464.19	$1,117.41	2026-02-02
64454	HCPCS	Injection Of Anesthetic Agent And/or Steroid Into Knee Nerve Branch Using Imagin…	16	16	$1,481.25	$1,036.88 30% off	$429.56	$1,882.25	$1,110.94	2026-02-02
2717682	CDM	Bone Models Psi	16	16	$1,479.50	$1,035.65 30% off	$429.06	$1,405.53	$1,109.63	2026-02-02
88185	HCPCS	Flow Cytometry Technique For DNA Or Cell Analysis, Each Additional Marker	68	16	$1,936.00	$1,355.20 30% off	$41.08	$3,441.14	$1,106.03	2026-02-02
72131	HCPCS	CT Scan Of Lower Spine Without Contrast	16	16	$1,522.75	$1,065.93 30% off	$240.32	$1,446.61	$1,103.99	2026-02-02
72125	HCPCS	CT Scan Of Upper Spine Without Contrast	16	16	$1,522.75	$1,065.93 30% off	$240.32	$1,446.61	$1,103.99	2026-02-02
70490	HCPCS	CT Scan Of Soft Tissue Of Neck Without Contrast	16	16	$1,522.75	$1,065.93 30% off	$240.32	$1,446.61	$1,103.99	2026-02-02
70480	HCPCS	CT Scan Of Cranial Cavity Without Contrast	16	16	$1,522.75	$1,065.93 30% off	$240.32	$1,446.61	$1,103.99	2026-02-02
73700	HCPCS	CT Scan Of Leg Without Contrast	16	16	$1,522.75	$1,065.93 30% off	$240.32	$1,446.61	$1,103.99	2026-02-02
73200	HCPCS	CT Scan Of Arm Without Contrast	16	16	$1,522.75	$1,065.93 30% off	$240.32	$1,446.61	$1,103.99	2026-02-02
78707	HCPCS	Nuclear Medicine Study Of Kidney, Blood Flow, And Function	16	16	$1,463.00	$1,024.10 30% off	$269.98	$1,389.85	$1,097.25	2026-02-02
64450	HCPCS	Injection Of Anesthetic Agent And/or Steroid Into Other Nerve Or Branch	16	16	$1,452.25	$1,016.58 30% off	$226.47	$1,882.25	$1,089.19	2026-02-02
64483	HCPCS	Injection Of Anesthetic And/or Steroid Drug Into Sacral Spine Nerve Root Using I…	17	16	$1,448.00	$1,013.60 30% off	$419.92	$2,358.47	$1,086.00	2026-02-02
64479	HCPCS	Injection Of Anesthetic And/or Steroid Drug Into Upper Or Middle Spine Nerve Roo…	29	16	$1,448.00	$1,013.60 30% off	$419.78	$2,358.47	$1,086.00	2026-02-02
10160	HCPCS	Aspiration Of Abscess, Blood, Or Cyst	16	16	$1,443.00	$1,010.10 30% off	$83.44	$1,370.85	$1,082.25	2026-02-02
78013	HCPCS	Nuclear Medicine Study Of Thyroid	16	16	$1,481.25	$1,036.88 30% off	$429.56	$1,407.19	$1,081.32	2026-02-02
88239	HCPCS	Tissue Culture For Tumor Disorders	16	16	$1,410.75	$987.53 30% off	$196.74	$2,081.14	$1,058.06	2026-02-02
87507	HCPCS	Detection Test By Nucleic Acid For Digestive Tract Pathogen, Multiple Types Or S…	16	16	$1,405.25	$983.68 30% off	$407.52	$5,856.80	$1,053.94	2026-02-02
76100	HCPCS	X-ray Of Body Plane	16	16	$1,449.00	$1,014.30 30% off	$70.43	$1,376.55	$1,050.53	2026-02-02
J7298	HCPCS	Levonorgestrel-releasing Intrauterine Contraceptive System (mirena), 52 Mg	15	15	$1,400.00	$980.00 30% off	$406.00	$1,330.00	$1,050.00	2026-02-02
J7307	HCPCS	Etonogestrel (contraceptive) Implant System, Including Implant And Supplies	15	15	$1,400.00	$980.00 30% off	$406.00	$1,330.00	$1,050.00	2026-02-02
32555	HCPCS	Aspiration Of Fluid From Chest Cavity Using Imaging Guidance	32	16	$1,388.38	$971.87 30% off	$390.20	$1,672.72	$1,044.82	2026-02-02
49083	HCPCS	Drainage Of Fluid From Abdominal Cavity Using Imaging Guidance	32	16	$1,346.50	$942.56 30% off	$365.91	$2,418.50	$1,037.66	2026-02-02
72192	HCPCS	CT Scan Of Pelvis Without Contrast	16	16	$1,431.00	$1,001.70 30% off	$240.32	$1,359.45	$1,037.47	2026-02-02
A9548	HCPCS	Indium In-111 Pentetate, Diagnostic, Per 0.5 Millicurie	16	16	$1,363.00	$954.10 30% off	$395.27	$1,946.07	$1,022.25	2026-02-02
78472	HCPCS	Nuclear Medicine Study Of Heart Pumping Function By Labeling Red Blood Cells Wit…	16	16	$1,410.00	$987.00 30% off	$295.02	$1,339.50	$1,022.25	2026-02-02
78227	HCPCS	Nuclear Medicine Study Of Liver And Bile Duct System With Use Of Drugs	16	16	$1,360.75	$952.53 30% off	$394.62	$1,292.71	$1,020.56	2026-02-02
2740002	CDM	Misc Orthotic Supply	16	16	$1,394.52	$976.16 30% off	$404.41	$1,324.79	$1,018.00	2026-02-02
10140	HCPCS	Drainage Of Blood Or Fluid Accumulation	44	16	$1,509.00	$1,056.30 30% off	$157.62	$4,404.04	$1,000.32	2026-02-02
S9485	HCPCS	Crisis Intervention Mental Health Services, Per Diem	15	15	$1,331.00	$931.70 30% off	$385.99	$1,264.45	$998.25	2026-02-02
2713529	CDM	Endoscopy Probe -abc Flex	16	16	$1,319.50	$923.65 30% off	$382.66	$1,253.53	$989.63	2026-02-02
78215	HCPCS	Nuclear Medicine Study Of Liver And Spleen	16	16	$1,360.75	$952.53 30% off	$316.01	$1,292.71	$986.54	2026-02-02
78226	HCPCS	Nuclear Medicine Study Of Liver And Bile Duct System	16	16	$1,360.75	$952.53 30% off	$394.62	$1,292.71	$986.54	2026-02-02
64490	HCPCS	Injection Of Upper Or Middle Spine Facet Joint Using Imaging Guidance, Single Le…	16	16	$1,307.25	$915.08 30% off	$379.10	$2,358.47	$980.44	2026-02-02
78708	HCPCS	Nuclear Medicine Study Of Kidney, Blood, Flow, And Function With Drug Administra…	16	16	$1,306.50	$914.55 30% off	$269.98	$1,248.14	$979.88	2026-02-02
2722011	CDM	Biomet Vks-knee Tibial Bearing	16	16	$1,331.50	$932.05 30% off	$386.14	$1,264.93	$972.00	2026-02-02
27560	HCPCS	Closed Treatment Of Dislocated Kneecap	16	16	$1,340.00	$938.00 30% off	$168.12	$1,273.00	$971.50	2026-02-02
2719001	CDM	Suture Dermaclose Tis.expander	16	16	$1,279.50	$895.65 30% off	$371.06	$1,215.53	$959.63	2026-02-02
47000	HCPCS	Needle Biopsy Of Liver Through Skin	16	16	$1,159.50	$811.65 30% off	$336.26	$4,404.04	$956.59	2026-02-02
15271	HCPCS	Application Of Skin Substitute Graft To Wound Of Trunk, Arms, Or Legs, 25.0 Sq C…	28	16	$4,798.00	$3,358.60 30% off	$102.70	$4,558.10	$950.33	2026-02-02
76499	HCPCS	Other Diagnostic Imaging Procedure	16	16	$1,306.75	$914.73 30% off	$57.00	$1,241.41	$947.39	2026-02-02
51720	HCPCS	Instillation Of Anti-cancer Drug Into Bladder	16	16	$1,256.00	$879.20 30% off	$180.29	$1,859.36	$942.00	2026-02-02
P9073	HCPCS	Platelets, Pheresis, Pathogen-reduced, Each Unit	16	16	$1,254.25	$877.98 30% off	$363.73	$1,585.39	$940.69	2026-02-02
62326	HCPCS	Insertion Of Tube And Injection Of Substance Into Lower Spine Canal	12	12	$1,136.25	$795.38 30% off	$114.58	$1,079.44	$937.41	2026-02-02
0202U	OTHER	Test For Detection Of Respiratory Disease-causing Organisms From Back Of Nose An…	16	16	$1,249.50	$874.65 30% off	$362.36	$1,187.03	$937.13	2026-02-02
64640	HCPCS	Destruction Of Peripheral Nerve Or Branch	29	16	$1,946.50	$1,362.55 30% off	$282.32	$2,358.47	$924.83	2026-02-02
2722219	CDM	Bactisure Wound Lavage 1000 Ml	16	16	$1,229.75	$860.83 30% off	$356.63	$1,168.26	$922.31	2026-02-02
2717870	CDM	Wound Vac/prevena Ims Kit 20cm	16	16	$1,219.50	$853.65 30% off	$353.66	$1,158.53	$914.63	2026-02-02
2719381	CDM	Wound Vac/prevena Ims Kit 13cm	16	16	$1,219.50	$853.65 30% off	$353.66	$1,158.53	$914.63	2026-02-02
78306	HCPCS	Nuclear Medicine Study Of Bone And/or Joint Whole Body	16	16	$1,216.25	$851.38 30% off	$352.71	$1,155.44	$912.19	2026-02-02
24640	HCPCS	Closed Treatment Of Dislocated Forearm Bone On Thumb Side At Elbow With Manipula…	16	16	$1,250.25	$875.18 30% off	$88.91	$1,187.74	$906.43	2026-02-02
78278	HCPCS	Nuclear Medicine Study To Assess Blood Loss	16	16	$1,203.75	$842.63 30% off	$260.78	$1,143.56	$902.81	2026-02-02
2722348	CDM	Ar-phalangeal Reamer 20mm	16	16	$1,193.75	$835.63 30% off	$346.19	$1,134.06	$895.31	2026-02-02
2722618	CDM	Ar-metatarsal Reamer 22mm	16	16	$1,193.75	$835.63 30% off	$346.19	$1,134.06	$895.31	2026-02-02
2722336	CDM	Ar-metatarsal Reamer 20mm	16	16	$1,193.75	$835.63 30% off	$346.19	$1,134.06	$895.31	2026-02-02
27614	HCPCS	Biopsy Of Deep Tissue Of Leg Or Ankle	12	12	$1,085.00	$759.50 30% off	$531.53	$1,030.75	$895.12	2026-02-02
2520030	CDM	Albuterol/ipratropium Inh	16	16	$1,188.00	$831.60 30% off	$344.52	$1,128.60	$891.00	2026-02-02
Q4110	HCPCS	Primatrix, Per Square Centimeter	121	15	$1,378.00	$964.60 30% off	$39.18	$5,932.28	$889.65	2026-02-02
38505	HCPCS	Needle Biopsy Or Removal Of Surface Lymph Nodes	16	16	$1,183.25	$828.28 30% off	$343.14	$4,404.04	$887.44	2026-02-02
2721763	CDM	Stapler Sobrafix	16	16	$1,174.75	$822.33 30% off	$340.68	$1,116.01	$881.06	2026-02-02
J0248	HCPCS	Injection, Remdesivir, 1 Mg	16	16	$1,195.24	$836.67 30% off	$17.56	$1,135.48	$872.52	2026-02-02
64510	HCPCS	Injection Of Anesthetic Agent Into Sympathetic Nerve Bundle	16	16	$1,161.00	$812.70 30% off	$336.69	$2,358.47	$870.75	2026-02-02
Q4158	HCPCS	Kerecis Omega3, Per Square Centimeter	76	16	$1,167.00	$816.90 30% off	$239.18	$1,773.18	$865.89	2026-02-02
93880	HCPCS	Ultrasound Of Both Sides Of Head And Neck Blood Flow	16	16	$1,188.75	$832.13 30% off	$342.20	$1,129.31	$861.85	2026-02-02
Q4196	HCPCS	Puraply Am, Per Square Centimeter	91	16	$1,326.25	$928.38 30% off	$53.58	$7,755.80	$860.83	2026-02-02
90389	HCPCS	Tetanus Immune Globulin For Injection Into Muscle	15	15	$1,147.75	$803.43 30% off	$332.85	$1,090.36	$860.81	2026-02-02
64520	HCPCS	Injection Of Anesthetic Agent Into Middle Or Lower Spine Sympathetic Nerve	16	16	$1,039.50	$727.65 30% off	$301.46	$2,358.47	$857.59	2026-02-02
62270	HCPCS	Removal Of Cerebrospinal Fluid With Lower Back Spinal Tap For Diagnostic Test	16	16	$1,140.25	$798.18 30% off	$226.47	$1,882.25	$855.19	2026-02-02
2711594	CDM	Stapler Gia 60	16	16	$1,139.00	$797.30 30% off	$330.31	$1,082.05	$854.25	2026-02-02
C1781	HCPCS	Mesh (implantable)	450	15	$1,400.25	$980.18 30% off	$48.36	$3,487.21	$850.16	2026-02-02
77012	HCPCS	Review By Radiologist Of CT Guidance For Needle Placement	16	16	$1,169.00	$818.30 30% off	$259.85	$1,110.55	$847.52	2026-02-02
2716979	CDM	Staple Endo Auto Suture45mm2.5	16	16	$1,129.25	$790.48 30% off	$327.48	$1,072.79	$846.94	2026-02-02

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