Hospital

GATEWAY REGIONAL MEDICAL CENTER

Granite City, IL · CCN 140125 · Rates published

2,360 distinct procedures filed

5 distinct payers

44,003 rate rows

2026-03-30 last MRF observed

Data quality

43,955 of 44,003 rate rows are consumer-grade (99.9%)

48 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
per-diem day rate — not a per-procedure price	27
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	21

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

Source MRF file	https://gatewayregional.net/PriceTransparency/88-3850676_GATEWAY-REGIONAL-MEDICAL-CENTER_standardcharges.csv
Found on page	https://gatewayregional.net/pricing-transparency/
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-05-15
Content fingerprint	d5325c1c3db9b08e… · 14,070,595 bytes · first seen 2026-05-06

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
C1882 HCPCS	Aicd Ohr Thn Sgl/du1	5	$99,999.00	$99,999.00	$99,999.00	nat. median $27,112 outlier · 3.7×
C1722 HCPCS	Aicd Single Chamber1	5	$99,999.00	$99,999.00	$99,999.00	nat. median $20,768 outlier · 4.8×
C1776 HCPCS	Joint Device Implt12	5	$2,989.64	$99,999.00	$99,999.00	nat. median $3,432 outlier · 29.1×
C2621 HCPCS	Pmkr Othr Th Sngl L1	5	$99,999.00	$99,999.00	$99,999.00	nat. median $10,188 outlier · 9.8×
C2624 HCPCS	Wireless Press Sens	5	$99,999.00	$99,999.00	$99,999.00	nat. median $32,760 outlier · 3.1×
C1721 HCPCS	Aicd Dual Chamber L1	5	$93,836.86	$93,836.86	$93,836.86	nat. median $22,210 outlier · 4.2×
33264 CPT	Removal/replace Defib Gen W Mult Leads	5	$91,516.00	$91,516.00	$91,516.00	nat. median $31,873 outlier · 2.9×
92933 CPT	Ic-prq Crd St-at-ang	5	$88,719.05	$88,719.05	$88,719.05	nat. median $18,330 outlier · 4.8×
92934 CPT	Ic-prq St-at-ang Ea	4	$88,719.05	$88,719.05	$88,719.05	nat. median $9,779 outlier · 9.1×
92937 CPT	Ic-prq Rv Byp Grf In	5	$88,719.05	$88,719.05	$88,719.05	nat. median $12,557 outlier · 7.1×
92938 CPT	Ic-prq Rv Byp Grf Ad	4	$88,719.05	$88,719.05	$88,719.05	nat. median $9,956 outlier · 8.9×
92943 CPT	Ic-prq Revsc Chr 1vs	5	$88,719.05	$88,719.05	$88,719.05	nat. median $13,420 outlier · 6.6×
92928 CPT	Ic-prq Crd Stn W-ang	5	$88,719.05	$88,719.05	$88,719.05	nat. median $13,159 outlier · 6.7×
92944 CPT	Ic-prq Revsc Chr Add	4	$88,719.05	$88,719.05	$88,719.05	nat. median $9,824 outlier · 9.0×
92941 CPT	Ic-prq Card Rev 1 Vs	5	$88,719.05	$88,719.05	$88,719.05	nat. median $11,748 outlier · 7.6×
92929 CPT	Ic-prq Stnt W-ang Ea	4	$88,719.05	$88,719.05	$88,719.05	nat. median $9,828 outlier · 9.0×
93457 CPT	Cc-r Hrt Art-grf Ang	5	$75,737.70	$75,737.70	$75,737.70	nat. median $6,332 outlier · 12.0×
93456 CPT	Cc-r Hrt Coronry Art	5	$74,264.29	$74,264.29	$74,264.29	nat. median $6,224 outlier · 11.9×
C2619 HCPCS	Pmkr Dul Non Rat Lv1	5	$73,166.31	$73,166.31	$73,166.31	nat. median $7,953 outlier · 9.2×
C1767 HCPCS	Genratr Neurostm 2	5	$71,722.51	$71,722.51	$71,722.51	nat. median $22,478 outlier · 3.2×
93582 CPT	Cc-pda Close Perc	5	$68,501.18	$68,501.18	$68,501.18	nat. median $18,108 outlier · 3.8×
92920 CPT	Ic-ptca, Single	5	$65,091.11	$65,091.11	$65,091.11	nat. median $8,159 outlier · 8.0×
92921 CPT	Ic-ptca, Addl	4	$65,091.11	$65,091.11	$65,091.11	nat. median $6,802 outlier · 9.6×
C1786 HCPCS	Pmkr Singl Rate-rsl1	5	$62,664.69	$62,664.69	$62,664.69	nat. median $7,726 outlier · 8.1×
50590 CPT	Lithotripsy	5	$54,374.73	$54,374.73	$54,374.73	nat. median $4,400 outlier · 12.4×
C1772 HCPCS	Inf Pump Program Lv3	5	$53,552.79	$53,552.79	$53,552.79	nat. median $8,320 outlier · 6.4×
93461 CPT	Cc-r-l Hrt Art-angio	5	$50,736.00	$50,736.00	$50,736.00	nat. median $6,416 outlier · 7.9×
93459 CPT	Cc-l Hrt Art-grf Ang	5	$50,736.00	$50,736.00	$50,736.00	nat. median $6,389 outlier · 7.9×
93458 CPT	Cc-l Hrt Artery-vent	5	$3,227.64	$49,262.84	$49,262.84	nat. median $6,395 outlier · 7.7×
93460 CPT	Cc-r-l Hrt Art-vent	5	$49,262.84	$49,262.84	$49,262.84	nat. median $6,361 outlier · 7.7×
93654 CPT	Ep-ablate Vent Tacy	5	$46,220.99	$46,220.99	$46,220.99	nat. median $26,704 1.7× median
93656 CPT	Ep-atr Fib Pulm Vn I	5	$46,220.99	$46,220.99	$46,220.99	nat. median $26,811 1.7× median
93653 CPT	Ep-ablate Sprvnt Art	5	$46,220.99	$46,220.99	$46,220.99	nat. median $26,156 1.8× median
C2620 HCPCS	Pmkr Sngl Non Rte-re	5	$45,918.17	$45,918.17	$45,918.17	nat. median $9,254 outlier · 5.0×
C1821 HCPCS	Interspinous Impl L2	5	$44,561.92	$44,561.92	$44,561.92	nat. median $3,460 outlier · 12.9×
93453 CPT	Cc-r-l Cath Lv Punc	5	$43,345.75	$43,345.75	$43,345.75	nat. median $5,744 outlier · 7.5×
93452 CPT	Cc-lhc Vent Punc	5	$43,345.75	$43,345.75	$43,345.75	nat. median $5,130 outlier · 8.4×
C1762 HCPCS	Conn Tissue Human 9	5	$43,033.40	$43,033.40	$43,033.40	nat. median $2,935 outlier · 14.7×
C9600 HCPCS	Ic-prq De Cor Stnt	5	$42,411.02	$42,411.02	$42,411.02	nat. median $14,775 outlier · 2.9×
36224 CPT	Ir-ang Int Car Ip Bi	5	$32,068.51	$51,895.68	$41,982.10	nat. median $6,847 outlier · 6.1×
C1899 HCPCS	Lead Pmkr/aicd Cmbl1	5	$41,218.03	$41,218.03	$41,218.03	nat. median $4,054 outlier · 10.2×
93451 CPT	Cc-rhc	5	$39,597.32	$39,597.32	$39,597.32	nat. median $4,834 outlier · 8.2×
C2622 HCPCS	Prsths Penile Nninf1	5	$38,894.09	$38,894.09	$38,894.09	nat. median $10,427 outlier · 3.7×
36223 CPT	Ir-ang Cartd Ips Bi	5	$31,746.87	$45,998.14	$38,872.50	nat. median $6,264 outlier · 6.2×
C1820 HCPCS	Genrate Neuro Rechr	5	$38,545.95	$38,545.95	$38,545.95	nat. median $22,013 1.8× median
93455 CPT	Cc-s-i Vnt Atr Angio	5	$36,140.38	$36,140.38	$36,140.38	nat. median $5,660 outlier · 6.4×
93454 CPT	Cc-angio Coron Only	5	$34,667.23	$34,667.23	$34,667.23	nat. median $5,709 outlier · 6.1×
C1763 HCPCS	Tissue Non-human 9	5	$33,475.26	$33,475.26	$33,475.26	nat. median $2,296 outlier · 14.6×
36222 CPT	Ir-ang Crt Ext Cc Bi	5	$31,881.02	$31,881.02	$31,881.02	nat. median $4,407 outlier · 7.2×
37191 CPT	S-ins Endo Vena Cava	5	$29,440.27	$29,440.27	$29,440.27	nat. median $6,264 outlier · 4.7×

Other procedures at this hospital

Browse this hospital's 2,360 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

10121	CPT	Inc & Rem Fb Sq Comp	17	5	$6,179.00	$3,707.40 40% off	$6,179.00	$6,179.00	$6,179.00	2026-03-30
10140	CPT	I&d Hematoma/fluid	17	5	$6,179.00	$3,707.40 40% off	$6,179.00	$6,179.00	$6,179.00	2026-03-30
10180	CPT	I&d Cplx Po Wnd Inf	17	5	$10,829.40	$6,497.64 40% off	$10,829.40	$10,829.40	$10,829.40	2026-03-30
11012	CPT	Deb Skn Bone Fx Site	17	5	$10,829.40	$6,497.64 40% off	$10,829.40	$10,829.40	$10,829.40	2026-03-30
11044	CPT	Deb Bone 20 Sq Cm/	17	5	$6,179.00	$3,707.40 40% off	$6,179.00	$6,179.00	$6,179.00	2026-03-30
11045	CPT	Deb Sub Tiss Ea Addl	17	5	$6,179.00	$3,707.40 40% off	$6,179.00	$6,179.00	$6,179.00	2026-03-30
11046	CPT	Deb Musc/fsca Ea Adl	17	5	$6,179.00	$3,707.40 40% off	$6,179.00	$6,179.00	$6,179.00	2026-03-30
11047	CPT	Deb Bone Ea Addl	17	5	$6,179.00	$3,707.40 40% off	$6,179.00	$6,179.00	$6,179.00	2026-03-30
14040	CPT	Tt F/c/m/n/a/g/h/f	17	5	$6,950.12	$4,170.07 40% off	$6,950.12	$6,950.12	$6,950.12	2026-03-30
14041	CPT	Tt F/c/m/n/a/g/h/f Ad	17	5	$6,950.12	$4,170.07 40% off	$6,950.12	$6,950.12	$6,950.12	2026-03-30
15002	CPT	Wnd Pr T/a/l 100sqcm	17	5	$6,950.12	$4,170.07 40% off	$6,950.12	$6,950.12	$6,950.12	2026-03-30
15003	CPT	Wnd Pr Adl 100 Sqcm	17	5	$6,950.12	$4,170.07 40% off	$6,950.12	$6,950.12	$6,950.12	2026-03-30
15100	CPT	Skin Splt Grft T/a/l	17	5	$6,950.12	$4,170.07 40% off	$6,950.12	$6,950.12	$6,950.12	2026-03-30
15101	CPT	Skn Splt Grf T/a/l Ea	17	5	$6,950.12	$4,170.07 40% off	$6,950.12	$6,950.12	$6,950.12	2026-03-30
15110	CPT	Epidrm Autogrft T/a/l	17	5	$6,950.12	$4,170.07 40% off	$6,950.12	$6,950.12	$6,950.12	2026-03-30
15111	CPT	Epidr Autgf T/a/l Ea	17	5	$6,950.12	$4,170.07 40% off	$6,950.12	$6,950.12	$6,950.12	2026-03-30
15115	CPT	Epidr Agrft F/n/h/g	17	5	$6,950.12	$4,170.07 40% off	$6,950.12	$6,950.12	$6,950.12	2026-03-30
15116	CPT	Epi Agrft F/n/hf/g Adl	17	5	$6,950.12	$4,170.07 40% off	$6,950.12	$6,950.12	$6,950.12	2026-03-30
15120	CPT	Skn Splt Agrft F/n/h/g	17	5	$13,673.04	$8,203.82 40% off	$13,673.04	$13,673.04	$13,673.04	2026-03-30
15121	CPT	Skn Splt Agrf F/n/h/g Add	17	5	$13,673.04	$8,203.82 40% off	$13,673.04	$13,673.04	$13,673.04	2026-03-30
15130	CPT	Derm Autograf T/a/l	17	5	$6,950.12	$4,170.07 40% off	$6,950.12	$6,950.12	$6,950.12	2026-03-30
15131	CPT	Derm Agraf T/a/l Adl	17	5	$6,950.12	$4,170.07 40% off	$6,950.12	$6,950.12	$6,950.12	2026-03-30
15135	CPT	Derm Agrf F/n/h/g	17	5	$13,673.04	$8,203.82 40% off	$13,673.04	$13,673.04	$13,673.04	2026-03-30
15136	CPT	Derm Agrf F/n/h/g Add	17	5	$13,673.04	$8,203.82 40% off	$13,673.04	$13,673.04	$13,673.04	2026-03-30
15150	CPT	Cult Skn Grf T/a/l	17	5	$6,950.12	$4,170.07 40% off	$6,950.12	$6,950.12	$6,950.12	2026-03-30
15151	CPT	Cul Skn Grf T/a/l A	17	5	$6,950.12	$4,170.07 40% off	$6,950.12	$6,950.12	$6,950.12	2026-03-30
15152	CPT	Cul Skn Grf T/a/l +%	17	5	$6,950.12	$4,170.07 40% off	$6,950.12	$6,950.12	$6,950.12	2026-03-30
15155	CPT	Cul Skn Grf F/n/h/g	17	5	$13,673.04	$8,203.82 40% off	$13,673.04	$13,673.04	$13,673.04	2026-03-30
15156	CPT	Cul Skn Grf F/n/h/g Add	17	5	$13,673.04	$8,203.82 40% off	$13,673.04	$13,673.04	$13,673.04	2026-03-30
15157	CPT	Cul Epidr Grf F/n/hfg +%	17	5	$13,673.04	$8,203.82 40% off	$13,673.04	$13,673.04	$13,673.04	2026-03-30
15200	CPT	Fth Grf Trnk 20sq/	17	5	$6,950.12	$4,170.07 40% off	$6,950.12	$6,950.12	$6,950.12	2026-03-30
15201	CPT	Fth Grf Fr Trnk Ea Ad	17	5	$6,950.12	$4,170.07 40% off	$6,950.12	$6,950.12	$6,950.12	2026-03-30
15220	CPT	Fth Gf S/a/l 20 Sq/	17	5	$6,950.12	$4,170.07 40% off	$6,950.12	$6,950.12	$6,950.12	2026-03-30
15221	CPT	Fth Gf S/a/l 20 Sq E A	17	5	$6,950.12	$4,170.07 40% off	$6,950.12	$6,950.12	$6,950.12	2026-03-30
15240	CPT	Fth Gr F/c/c/m/n/ax/g/h/f	17	5	$6,950.12	$4,170.07 40% off	$6,950.12	$6,950.12	$6,950.12	2026-03-30
15241	CPT	Fth Gr F/c/c/m/n/ax/g/h/f Ea	17	5	$6,950.12	$4,170.07 40% off	$6,950.12	$6,950.12	$6,950.12	2026-03-30
15260	CPT	Fth Gr Fr N/e/e/l 20sq/	17	5	$6,950.12	$4,170.07 40% off	$6,950.12	$6,950.12	$6,950.12	2026-03-30
15261	CPT	Fth Gr Fr N/e/e/l E A	17	5	$6,950.12	$4,170.07 40% off	$6,950.12	$6,950.12	$6,950.12	2026-03-30
15271	CPT	Skn Sub Graft T/a/l	17	5	$6,950.12	$4,170.07 40% off	$6,950.12	$6,950.12	$6,950.12	2026-03-30
15272	CPT	Skn Sub Grft Addl	17	5	$6,950.12	$4,170.07 40% off	$6,950.12	$6,950.12	$6,950.12	2026-03-30
15273	CPT	Skn S Grft >100sq	17	5	$13,673.04	$8,203.82 40% off	$13,673.04	$13,673.04	$13,673.04	2026-03-30
15274	CPT	Skn S Gr Add 100sq	17	5	$13,673.04	$8,203.82 40% off	$13,673.04	$13,673.04	$13,673.04	2026-03-30
15275	CPT	Skn S Gr F/nk/hf/g 25sqcm	17	5	$6,950.12	$4,170.07 40% off	$6,950.12	$6,950.12	$6,950.12	2026-03-30
15276	CPT	Skn S Gr F/n/hf/g Adl	17	5	$6,950.12	$4,170.07 40% off	$6,950.12	$6,950.12	$6,950.12	2026-03-30
15277	CPT	Skn S Gr F/n/hf/g Ch	17	5	$6,950.12	$4,170.07 40% off	$6,950.12	$6,950.12	$6,950.12	2026-03-30
15278	CPT	Skn S Gr F/n/hf/g Ch Add	17	5	$6,950.12	$4,170.07 40% off	$6,950.12	$6,950.12	$6,950.12	2026-03-30
17108	CPT	Destr Cv Les > 50 Sq	17	5	$6,950.12	$4,170.07 40% off	$6,950.12	$6,950.12	$6,950.12	2026-03-30
19101	CPT	Bx Of Breast Open	17	5	$14,527.16	$8,716.30 40% off	$14,527.16	$14,527.16	$14,527.16	2026-03-30
20103	CPT	Expl P Wnd Extrem	17	5	$6,179.00	$3,707.40 40% off	$6,179.00	$6,179.00	$6,179.00	2026-03-30
28022	CPT	Explore Foot Joint	17	5	$12,336.12	$7,401.67 40% off	$12,336.12	$12,336.12	$12,336.12	2026-03-30
28810	CPT	Amput Toe & Metatrsl	17	5	$12,336.12	$7,401.67 40% off	$12,336.12	$12,336.12	$12,336.12	2026-03-30
28820	CPT	Amputate Toe	17	5	$12,336.12	$7,401.67 40% off	$12,336.12	$12,336.12	$12,336.12	2026-03-30
32555	CPT	US-thoracntsis W Img	17	5	$5,184.63	$3,110.78 40% off	$5,184.63	$5,184.63	$5,184.63	2026-03-30
33016	CPT	Cc-pericardio W/img	17	5	$3,443.03	$2,065.82 40% off	$3,443.03	$3,443.03	$3,443.03	2026-03-30
33264	CPT	Removal/replace Defib Gen W Mult Leads	17	5	$91,516.00	$54,909.60 40% off	$91,516.00	$91,516.00	$91,516.00	2026-03-30
33285	CPT	P-implnt Loop Rec	17	5	$27,383.32	$16,429.99 40% off	$27,383.32	$27,383.32	$27,383.32	2026-03-30
33286	CPT	P-remov Loop Rec	17	5	$5,044.68	$3,026.81 40% off	$5,044.68	$5,044.68	$5,044.68	2026-03-30
33289	CPT	Cc-imp Press Sen Ang	17	5	$11,332.83	$6,799.70 40% off	$11,332.83	$11,332.83	$11,332.83	2026-03-30
36221	CPT	Ir-ang Ext Crt Ns	17	5	$12,592.76	$7,555.66 40% off	$12,592.76	$12,592.76	$12,592.76	2026-03-30
36222	CPT	Ir-ang Crt Ext Cc Bi	17	5	$31,881.02	$19,128.61 40% off	$31,881.02	$31,881.02	$31,881.02	2026-03-30
36223	CPT	Ir-ang Cartd Ips Bi	34	5	$38,872.50	$23,323.50 40% off	$31,746.87	$45,998.14	$38,872.50	2026-03-30
36224	CPT	Ir-ang Int Car Ip Bi	34	5	$41,982.10	$25,189.26 40% off	$32,068.51	$51,895.68	$41,982.10	2026-03-30
36225	CPT	Ir-ang Subcl Ips Bi	34	5	$18,554.72	$11,132.83 40% off	$12,369.34	$24,740.10	$18,554.72	2026-03-30
36227	CPT	Cth Plc Ext Cd W-ang	34	5	$8,736.05	$5,241.63 40% off	$8,060.51	$9,411.59	$8,736.05	2026-03-30
36246	CPT	S-abdomen 2nd Order	17	5	$9,539.09	$5,723.45 40% off	$9,539.09	$9,539.09	$9,539.09	2026-03-30
36247	CPT	S-abdomen 3rd Order	17	5	$16,382.99	$9,829.79 40% off	$16,382.99	$16,382.99	$16,382.99	2026-03-30
36430	CPT	Blood Transfusion	18	5	$3,579.17	$2,147.50 40% off	$399.55	$3,579.17	$3,579.17	2026-03-30
36440	CPT	Blood Push Tran U2yr	17	5	$3,579.17	$2,147.50 40% off	$3,579.17	$3,579.17	$3,579.17	2026-03-30
36511	CPT	Ther Apheresis Wbc	17	5	$5,560.46	$3,336.28 40% off	$5,560.46	$5,560.46	$5,560.46	2026-03-30
36514	CPT	Ther Apheresi Plasma	17	5	$5,560.46	$3,336.28 40% off	$5,560.46	$5,560.46	$5,560.46	2026-03-30
36556	CPT	Cc-ins Nt Cvc Gt 5yr	17	5	$4,017.52	$2,410.51 40% off	$4,017.52	$4,017.52	$4,017.52	2026-03-30
37191	CPT	S-ins Endo Vena Cava	17	5	$29,440.27	$17,664.16 40% off	$29,440.27	$29,440.27	$29,440.27	2026-03-30
37192	CPT	S-redo Endo Vena Cav	17	5	$20,313.85	$12,188.31 40% off	$20,313.85	$20,313.85	$20,313.85	2026-03-30
37193	CPT	S-rem Endo Vena Cava	17	5	$20,313.85	$12,188.31 40% off	$20,313.85	$20,313.85	$20,313.85	2026-03-30
47490	CPT	CT-perc Cholecystost	17	5	$10,295.62	$6,177.37 40% off	$10,295.62	$10,295.62	$10,295.62	2026-03-30
49083	CPT	Ir-abd Paracen W Img	17	5	$3,767.78	$2,260.67 40% off	$3,767.78	$3,767.78	$3,767.78	2026-03-30
49084	CPT	Ir-peritoneal Lavage	17	5	$3,767.78	$2,260.67 40% off	$3,767.78	$3,767.78	$3,767.78	2026-03-30
50590	CPT	Lithotripsy	17	5	$54,374.73	$32,624.84 40% off	$54,374.73	$54,374.73	$54,374.73	2026-03-30
59412	CPT	External Cephalic Ve	17	5	$5,047.77	$3,028.66 40% off	$5,047.77	$5,047.77	$5,047.77	2026-03-30
62305	CPT	Ir-myelo Complete	17	5	$4,013.09	$2,407.85 40% off	$4,013.09	$4,013.09	$4,013.09	2026-03-30
71551	CPT	Mr-chest W	17	5	$4,293.48	$2,576.09 40% off	$4,293.48	$4,293.48	$4,293.48	2026-03-30
73040	CPT	Ir-athgrm Shld Bi Cr	29	5	$7,497.39	$4,498.43 40% off	$3,748.70	$7,497.39	$7,497.39	2026-03-30
73085	CPT	Ir-arthrgrm Elbow Bi	34	5	$3,748.70	$2,249.22 40% off	$3,748.70	$3,748.70	$3,748.70	2026-03-30
73115	CPT	Ir-arthrgrm Wrist Bi	34	5	$3,748.70	$2,249.22 40% off	$3,748.70	$3,748.70	$3,748.70	2026-03-30
73525	CPT	Ir-arthrogram Hip Cr	29	5	$3,760.20	$2,256.12 40% off	$3,760.20	$3,760.20	$3,760.20	2026-03-30
73580	CPT	Ir-arthrgrm Knee Bi	34	5	$5,640.44	$3,384.26 40% off	$3,760.20	$7,520.68	$5,640.44	2026-03-30
73615	CPT	Ir-arthrgrm Ankle Bi	34	5	$3,760.20	$2,256.12 40% off	$3,760.20	$3,760.20	$3,760.20	2026-03-30
73722	CPT	Mr-lw Joint W	34	5	$4,338.40	$2,603.03 40% off	$1,035.69	$7,641.10	$4,338.40	2026-03-30
73723	CPT	Mr-lw Joint Wwo	34	5	$5,796.36	$3,477.82 40% off	$1,197.08	$10,395.64	$5,796.36	2026-03-30
74328	CPT	Fl-endo Biliary	17	5	$3,722.58	$2,233.55 40% off	$3,722.58	$3,722.58	$3,722.58	2026-03-30
75625	CPT	Ir-abd Aorta Serial	17	5	$9,523.86	$5,714.32 40% off	$9,523.86	$9,523.86	$9,523.86	2026-03-30
75630	CPT	Ir-aabf Serial	17	5	$12,573.95	$7,544.37 40% off	$12,573.95	$12,573.95	$12,573.95	2026-03-30
75710	CPT	Ir-angio Extrem Uni	17	5	$8,443.54	$5,066.12 40% off	$8,443.54	$8,443.54	$8,443.54	2026-03-30
75716	CPT	Ir-angio Extrem Bi	17	5	$8,423.33	$5,054.00 40% off	$8,423.33	$8,423.33	$8,423.33	2026-03-30
75726	CPT	Ir-angio Visceral Se	17	5	$13,364.62	$8,018.77 40% off	$13,364.62	$13,364.62	$13,364.62	2026-03-30
75741	CPT	Ir-ang Pulmonary Uni	17	5	$4,237.35	$2,542.41 40% off	$4,237.35	$4,237.35	$4,237.35	2026-03-30
75743	CPT	Ir-ang Pulmonary Bi	17	5	$12,357.84	$7,414.70 40% off	$12,357.84	$12,357.84	$12,357.84	2026-03-30
75820	CPT	Ir-venogram Ext Uni	17	5	$8,579.39	$5,147.63 40% off	$8,579.39	$8,579.39	$8,579.39	2026-03-30
75822	CPT	Ir-venogram Ext Bi	17	5	$3,940.68	$2,364.41 40% off	$3,940.68	$3,940.68	$3,940.68	2026-03-30
75825	CPT	Ir-venacavagram Inf	17	5	$8,923.22	$5,353.93 40% off	$8,923.22	$8,923.22	$8,923.22	2026-03-30
75893	CPT	Ir-venous Sampl Cath	17	5	$3,915.41	$2,349.25 40% off	$3,915.41	$3,915.41	$3,915.41	2026-03-30
78075	CPT	Nm-adrenal Imaging	17	5	$5,329.74	$3,197.84 40% off	$5,329.74	$5,329.74	$5,329.74	2026-03-30
78195	CPT	Nm-lymphatics Nodes	17	5	$4,917.74	$2,950.64 40% off	$4,917.74	$4,917.74	$4,917.74	2026-03-30
78201	CPT	Nm-liver	17	5	$3,830.06	$2,298.04 40% off	$3,830.06	$3,830.06	$3,830.06	2026-03-30
78205	CPT	Nm-liver Spect	12	4	$4,707.72	$2,824.63 40% off	$4,707.72	$4,707.72	$4,707.72	2026-03-30
78215	CPT	Nm-liver And Spleen	17	5	$3,830.06	$2,298.04 40% off	$3,830.06	$3,830.06	$3,830.06	2026-03-30
78226	CPT	Nm-hepatobiliary Sys	17	5	$4,088.59	$2,453.15 40% off	$4,088.59	$4,088.59	$4,088.59	2026-03-30
78227	CPT	Nm-hepatobil W Pharm	17	5	$4,088.59	$2,453.15 40% off	$4,088.59	$4,088.59	$4,088.59	2026-03-30
78290	CPT	Nm-meckels Scan	17	5	$3,576.68	$2,146.01 40% off	$3,576.68	$3,576.68	$3,576.68	2026-03-30
78306	CPT	Nm-bone Scan Body	17	5	$3,512.04	$2,107.22 40% off	$3,512.04	$3,512.04	$3,512.04	2026-03-30
78320	CPT	Nm-bone Scan Spect	12	4	$3,490.69	$2,094.41 40% off	$3,490.69	$3,490.69	$3,490.69	2026-03-30
78451	CPT	Nm-myocrd Spect Sngl	17	5	$3,741.73	$2,245.04 40% off	$3,741.73	$3,741.73	$3,741.73	2026-03-30
78452	CPT	Nm-myocrd Spect Mult	19	5	$7,071.47	$4,242.88 40% off	$1,114.20	$7,071.47	$7,071.47	2026-03-30
78453	CPT	Nm-myocard Single	17	5	$4,803.15	$2,881.89 40% off	$4,803.15	$4,803.15	$4,803.15	2026-03-30
78472	CPT	Nm-gated Bld Pool Sn	17	5	$3,415.74	$2,049.44 40% off	$3,415.74	$3,415.74	$3,415.74	2026-03-30
78579	CPT	Nm-lung Vent Imaging	17	5	$4,088.59	$2,453.15 40% off	$4,088.59	$4,088.59	$4,088.59	2026-03-30
78580	CPT	Nm-lung Perf Particu	17	5	$3,590.32	$2,154.19 40% off	$3,590.32	$3,590.32	$3,590.32	2026-03-30
78582	CPT	Nm-lung Vent Perfus	17	5	$6,243.60	$3,746.16 40% off	$6,243.60	$6,243.60	$6,243.60	2026-03-30
78598	CPT	Nm-lung Perfvent Dif	17	5	$8,897.66	$5,338.60 40% off	$8,897.66	$8,897.66	$8,897.66	2026-03-30
78700	CPT	Nm-kidney Static	17	5	$3,590.32	$2,154.19 40% off	$3,590.32	$3,590.32	$3,590.32	2026-03-30
78701	CPT	Nm-kidney Static Flo	17	5	$4,802.63	$2,881.58 40% off	$4,802.63	$4,802.63	$4,802.63	2026-03-30
78707	CPT	Nm-kidney Vf No Phrm	17	5	$4,802.63	$2,881.58 40% off	$4,802.63	$4,802.63	$4,802.63	2026-03-30
78708	CPT	Nm-kid Vf Phrm Sngl	17	5	$4,802.63	$2,881.58 40% off	$4,802.63	$4,802.63	$4,802.63	2026-03-30
78740	CPT	Nm-urin Blddr Reflux	17	5	$3,590.32	$2,154.19 40% off	$3,590.32	$3,590.32	$3,590.32	2026-03-30
78800	CPT	Nm-tumor Loc Lmtd 1d	17	5	$4,917.74	$2,950.64 40% off	$4,917.74	$4,917.74	$4,917.74	2026-03-30
78801	CPT	Nm-tumor Loc Multi	17	5	$4,917.74	$2,950.64 40% off	$4,917.74	$4,917.74	$4,917.74	2026-03-30
78802	CPT	Nm-tumor Loc Body	17	5	$4,590.83	$2,754.50 40% off	$4,590.83	$4,590.83	$4,590.83	2026-03-30
78803	CPT	Nm-tumr Loc Spect 1d	17	5	$5,042.88	$3,025.73 40% off	$5,042.88	$5,042.88	$5,042.88	2026-03-30
78804	CPT	Nm-tumr Loc Bdy >1d	17	5	$5,251.46	$3,150.88 40% off	$5,251.46	$5,251.46	$5,251.46	2026-03-30
78807	CPT	Nm-abscess Spect	12	4	$4,590.83	$2,754.50 40% off	$4,590.83	$4,590.83	$4,590.83	2026-03-30
81291	CPT	Q17911 Mthfr DNA Hyb	21	5	$3,892.40	$2,335.44 40% off	$3,892.40	$3,892.40	$3,892.40	2026-03-30
81405	CPT	L630540 Thrb	17	5	$4,320.00	$2,592.00 40% off	$4,320.00	$4,320.00	$4,320.00	2026-03-30
86891	CPT	Autol Bid Op Salv	17	5	$3,941.23	$2,364.74 40% off	$3,941.23	$3,941.23	$3,941.23	2026-03-30
88230	CPT	Tissue Cult Lymphocy	17	5	$3,469.98	$2,081.99 40% off	$3,469.98	$3,469.98	$3,469.98	2026-03-30
90935	CPT	Hemodialy Sing Eval	17	5	$9,908.09	$5,944.85 40% off	$9,908.09	$9,908.09	$9,908.09	2026-03-30
90945	CPT	Oth Dialy Sing Eval	17	5	$4,956.88	$2,974.13 40% off	$4,956.88	$4,956.88	$4,956.88	2026-03-30
92920	CPT	Ic-ptca, Single	17	5	$65,091.11	$39,054.67 40% off	$65,091.11	$65,091.11	$65,091.11	2026-03-30
92921	CPT	Ic-ptca, Addl	12	4	$65,091.11	$39,054.67 40% off	$65,091.11	$65,091.11	$65,091.11	2026-03-30
92928	CPT	Ic-prq Crd Stn W-ang	17	5	$88,719.05	$53,231.43 40% off	$88,719.05	$88,719.05	$88,719.05	2026-03-30
92929	CPT	Ic-prq Stnt W-ang Ea	12	4	$88,719.05	$53,231.43 40% off	$88,719.05	$88,719.05	$88,719.05	2026-03-30
92933	CPT	Ic-prq Crd St-at-ang	17	5	$88,719.05	$53,231.43 40% off	$88,719.05	$88,719.05	$88,719.05	2026-03-30
92934	CPT	Ic-prq St-at-ang Ea	12	4	$88,719.05	$53,231.43 40% off	$88,719.05	$88,719.05	$88,719.05	2026-03-30
92937	CPT	Ic-prq Rv Byp Grf In	17	5	$88,719.05	$53,231.43 40% off	$88,719.05	$88,719.05	$88,719.05	2026-03-30
92938	CPT	Ic-prq Rv Byp Grf Ad	12	4	$88,719.05	$53,231.43 40% off	$88,719.05	$88,719.05	$88,719.05	2026-03-30
92941	CPT	Ic-prq Card Rev 1 Vs	17	5	$88,719.05	$53,231.43 40% off	$88,719.05	$88,719.05	$88,719.05	2026-03-30
92943	CPT	Ic-prq Revsc Chr 1vs	17	5	$88,719.05	$53,231.43 40% off	$88,719.05	$88,719.05	$88,719.05	2026-03-30
92944	CPT	Ic-prq Revsc Chr Add	12	4	$88,719.05	$53,231.43 40% off	$88,719.05	$88,719.05	$88,719.05	2026-03-30
92950	CPT	Cpr Assist (non Er)	23	5	$5,533.42	$3,320.05 40% off	$311.76	$5,533.42	$5,533.42	2026-03-30
92953	CPT	Ni-temp Ext Pace	17	5	$4,864.09	$2,918.45 40% off	$4,864.09	$4,864.09	$4,864.09	2026-03-30
92960	CPT	Ni-cardioversion	17	5	$5,017.90	$3,010.74 40% off	$5,017.90	$5,017.90	$5,017.90	2026-03-30
92973	CPT	Ic-cor Thrombectomy	17	5	$29,086.43	$17,451.86 40% off	$29,086.43	$29,086.43	$29,086.43	2026-03-30
92975	CPT	Ic-intrcor Thrombol	12	4	$18,741.62	$11,244.97 40% off	$18,741.62	$18,741.62	$18,741.62	2026-03-30
92977	CPT	Thromboly,coronry,iv	12	4	$4,033.02	$2,419.81 40% off	$4,033.02	$4,033.02	$4,033.02	2026-03-30
93017	CPT	Ni-stress Test	17	5	$5,189.40	$3,113.64 40% off	$5,189.40	$5,189.40	$5,189.40	2026-03-30
93225	CPT	Ni-holt Recrd To48hr	17	5	$9,701.06	$5,820.64 40% off	$9,701.06	$9,701.06	$9,701.06	2026-03-30
93306	CPT	Ni-tte 2d W Dopp	21	5	$12,135.98	$7,281.59 40% off	$543.79	$12,135.98	$12,135.98	2026-03-30
93307	CPT	Ni-tte 2d Mm Comp Wo	17	5	$8,910.27	$5,346.16 40% off	$8,910.27	$8,910.27	$8,910.27	2026-03-30
93308	CPT	Ni-tte 2d Mm Ltd Wo	17	5	$4,522.73	$2,713.64 40% off	$4,522.73	$4,522.73	$4,522.73	2026-03-30
93312	CPT	Ni-tee Comp 2d Mm Wo	17	5	$9,011.21	$5,406.73 40% off	$9,011.21	$9,011.21	$9,011.21	2026-03-30
93350	CPT	US-tte Stress Wo	17	5	$6,350.21	$3,810.13 40% off	$6,350.21	$6,350.21	$6,350.21	2026-03-30
93451	CPT	Cc-rhc	17	5	$39,597.32	$23,758.39 40% off	$39,597.32	$39,597.32	$39,597.32	2026-03-30
93452	CPT	Cc-lhc Vent Punc	17	5	$43,345.75	$26,007.45 40% off	$43,345.75	$43,345.75	$43,345.75	2026-03-30
93453	CPT	Cc-r-l Cath Lv Punc	17	5	$43,345.75	$26,007.45 40% off	$43,345.75	$43,345.75	$43,345.75	2026-03-30
93454	CPT	Cc-angio Coron Only	17	5	$34,667.23	$20,800.34 40% off	$34,667.23	$34,667.23	$34,667.23	2026-03-30
93455	CPT	Cc-s-i Vnt Atr Angio	17	5	$36,140.38	$21,684.23 40% off	$36,140.38	$36,140.38	$36,140.38	2026-03-30
93456	CPT	Cc-r Hrt Coronry Art	17	5	$74,264.29	$44,558.57 40% off	$74,264.29	$74,264.29	$74,264.29	2026-03-30
93457	CPT	Cc-r Hrt Art-grf Ang	17	5	$75,737.70	$45,442.62 40% off	$75,737.70	$75,737.70	$75,737.70	2026-03-30
93458	CPT	Cc-l Hrt Artery-vent	17	5	$49,262.84	$29,557.70 40% off	$3,227.64	$49,262.84	$49,262.84	2026-03-30
93459	CPT	Cc-l Hrt Art-grf Ang	17	5	$50,736.00	$30,441.60 40% off	$50,736.00	$50,736.00	$50,736.00	2026-03-30
93460	CPT	Cc-r-l Hrt Art-vent	17	5	$49,262.84	$29,557.70 40% off	$49,262.84	$49,262.84	$49,262.84	2026-03-30
93461	CPT	Cc-r-l Hrt Art-angio	17	5	$50,736.00	$30,441.60 40% off	$50,736.00	$50,736.00	$50,736.00	2026-03-30
93503	CPT	Insertion Flow Cath	17	5	$13,163.66	$7,898.20 40% off	$13,163.66	$13,163.66	$13,163.66	2026-03-30
93565	CPT	Cc-inj L Vent-atrial	17	5	$3,748.43	$2,249.06 40% off	$3,748.43	$3,748.43	$3,748.43	2026-03-30
93567	CPT	Cc-inj Suprv Aortogr	17	5	$5,119.62	$3,071.77 40% off	$5,119.62	$5,119.62	$5,119.62	2026-03-30
93568	CPT	Cc-inj Pulm Art Hrtc	17	5	$5,119.62	$3,071.77 40% off	$5,119.62	$5,119.62	$5,119.62	2026-03-30
93582	CPT	Cc-pda Close Perc	17	5	$68,501.18	$41,100.71 40% off	$68,501.18	$68,501.18	$68,501.18	2026-03-30
93600	CPT	Ep-his Bundle Rec	17	5	$4,670.54	$2,802.32 40% off	$4,670.54	$4,670.54	$4,670.54	2026-03-30
93602	CPT	Ep-intraatrial Rec	17	5	$4,670.54	$2,802.32 40% off	$4,670.54	$4,670.54	$4,670.54	2026-03-30
93603	CPT	Ep-rv Record	17	5	$4,670.54	$2,802.32 40% off	$4,670.54	$4,670.54	$4,670.54	2026-03-30
93609	CPT	Ep-map Tachy	17	5	$4,670.54	$2,802.32 40% off	$4,670.54	$4,670.54	$4,670.54	2026-03-30
93610	CPT	Ep-intraatrial Pac	17	5	$4,670.54	$2,802.32 40% off	$4,670.54	$4,670.54	$4,670.54	2026-03-30
93612	CPT	Ep-intravent Pac	17	5	$4,670.54	$2,802.32 40% off	$4,670.54	$4,670.54	$4,670.54	2026-03-30
93613	CPT	Ep-map Add	17	5	$4,670.54	$2,802.32 40% off	$4,670.54	$4,670.54	$4,670.54	2026-03-30
93615	CPT	Ep-atri Record Eso	17	5	$4,670.54	$2,802.32 40% off	$4,670.54	$4,670.54	$4,670.54	2026-03-30
93616	CPT	Ep-atri Rec-pac Eso	17	5	$4,670.54	$2,802.32 40% off	$4,670.54	$4,670.54	$4,670.54	2026-03-30
93618	CPT	Ep-induc Arry Pac	17	5	$4,670.54	$2,802.32 40% off	$4,670.54	$4,670.54	$4,670.54	2026-03-30
93619	CPT	Ep-comp Ep W-o Arry	17	5	$22,625.50	$13,575.30 40% off	$22,625.50	$22,625.50	$22,625.50	2026-03-30
93620	CPT	Ep-comp Ep W- Arry	17	5	$22,625.50	$13,575.30 40% off	$22,625.50	$22,625.50	$22,625.50	2026-03-30
93621	CPT	Ep-la Pacing, Add	17	5	$22,625.50	$13,575.30 40% off	$22,625.50	$22,625.50	$22,625.50	2026-03-30
93622	CPT	Ep-lv Pacing, Add	17	5	$22,625.50	$13,575.30 40% off	$22,625.50	$22,625.50	$22,625.50	2026-03-30
93623	CPT	Ep-prog Stim IV Drug	17	5	$22,625.50	$13,575.30 40% off	$22,625.50	$22,625.50	$22,625.50	2026-03-30
93624	CPT	Ep-f-u Epw-arry Ind	17	5	$22,625.50	$13,575.30 40% off	$22,625.50	$22,625.50	$22,625.50	2026-03-30
93631	CPT	Ep-intra Op Mappng	17	5	$4,670.54	$2,802.32 40% off	$4,670.54	$4,670.54	$4,670.54	2026-03-30
93640	CPT	Ep-eval Lead,induc	17	5	$4,670.54	$2,802.32 40% off	$4,670.54	$4,670.54	$4,670.54	2026-03-30
93641	CPT	Ep-eval Gen, Induc	17	5	$4,670.54	$2,802.32 40% off	$4,670.54	$4,670.54	$4,670.54	2026-03-30
93642	CPT	Ep-eval Prev Device	17	5	$4,670.54	$2,802.32 40% off	$4,670.54	$4,670.54	$4,670.54	2026-03-30
93650	CPT	Ep-ablate Av Node	17	5	$22,625.50	$13,575.30 40% off	$22,625.50	$22,625.50	$22,625.50	2026-03-30
93653	CPT	Ep-ablate Sprvnt Art	17	5	$46,220.99	$27,732.59 40% off	$46,220.99	$46,220.99	$46,220.99	2026-03-30
93654	CPT	Ep-ablate Vent Tacy	17	5	$46,220.99	$27,732.59 40% off	$46,220.99	$46,220.99	$46,220.99	2026-03-30
93656	CPT	Ep-atr Fib Pulm Vn I	17	5	$46,220.99	$27,732.59 40% off	$46,220.99	$46,220.99	$46,220.99	2026-03-30
93662	CPT	Ep-intcrd Echo Inter	17	5	$4,670.54	$2,802.32 40% off	$4,670.54	$4,670.54	$4,670.54	2026-03-30
93880	CPT	US-cran Dplx Scn Bil	18	5	$12,714.32	$7,628.59 40% off	$242.79	$12,714.32	$12,714.32	2026-03-30
93924	CPT	Ni-std Le Strs Rest	17	5	$5,693.84	$3,416.30 40% off	$5,693.84	$5,693.84	$5,693.84	2026-03-30
93925	CPT	Ni-lw Ext Dpx Art Bi	20	5	$5,086.40	$3,051.84 40% off	$49.42	$5,086.40	$5,086.40	2026-03-30
93930	CPT	Ni-up Ext Dpx Art Bi	17	5	$5,083.05	$3,049.83 40% off	$5,083.05	$5,083.05	$5,083.05	2026-03-30
93990	CPT	Ni-dupscn Hemodial	17	5	$4,623.93	$2,774.36 40% off	$4,623.93	$4,623.93	$4,623.93	2026-03-30
94002	CPT	Mech Vent Initial	17	5	$4,971.30	$2,982.78 40% off	$4,971.30	$4,971.30	$4,971.30	2026-03-30
94003	CPT	Mech Vent Daily Subs	17	5	$4,971.30	$2,982.78 40% off	$4,971.30	$4,971.30	$4,971.30	2026-03-30
94750	CPT	Pul Compl Study	12	4	$4,170.73	$2,502.44 40% off	$4,170.73	$4,170.73	$4,170.73	2026-03-30
95822	CPT	EEG Asleep	17	5	$4,457.07	$2,674.24 40% off	$4,457.07	$4,457.07	$4,457.07	2026-03-30
95861	CPT	Emg, 2 Extrem	17	5	$5,586.46	$3,351.88 40% off	$5,586.46	$5,586.46	$5,586.46	2026-03-30
95863	CPT	Emg, 3 Extrem	17	5	$7,162.62	$4,297.57 40% off	$7,162.62	$7,162.62	$7,162.62	2026-03-30
95864	CPT	Emg, 4 Extrem	17	5	$8,764.27	$5,258.56 40% off	$8,764.27	$8,764.27	$8,764.27	2026-03-30
99283	CPT	Intermediate Ed Vist	25	5	$3,494.12	$2,096.47 40% off	$198.58	$3,494.12	$3,494.12	2026-03-30
99284	CPT	Extended Ed Visit	23	5	$6,509.13	$3,905.48 40% off	$227.08	$6,509.13	$6,509.13	2026-03-30
99285	CPT	Comprehensive Ed Vst	24	5	$8,592.58	$5,155.55 40% off	$183.60	$8,592.58	$8,592.58	2026-03-30
99291	CPT	Critical Care Lt 74m	15	4	$12,285.42	$7,371.25 40% off	$816.74	$12,285.42	$12,285.42	2026-03-30
99292	CPT	Crit Care Ea 30 Min	14	4	$4,418.38	$2,651.03 40% off	$4,418.38	$4,418.38	$4,418.38	2026-03-30
A4264	HCPCS	Intratubal Occlu Dev	17	5	$8,176.40	$4,905.84 40% off	$8,176.40	$8,176.40	$8,176.40	2026-03-30
A9272	HCPCS	Pico Dressing Kit	17	5	$3,547.64	$2,128.58 40% off	$3,547.64	$3,547.64	$3,547.64	2026-03-30
A9521	HCPCS	Tc99m Exame / Dose	17	5	$17,205.64	$10,323.38 40% off	$17,205.64	$17,205.64	$17,205.64	2026-03-30
A9548	HCPCS	In111 Pentetat/.5mci	17	5	$12,525.06	$7,515.04 40% off	$12,525.06	$12,525.06	$12,525.06	2026-03-30
A9572	HCPCS	In-111 Pentetre/6mci	17	5	$14,752.18	$8,851.31 40% off	$14,752.18	$14,752.18	$14,752.18	2026-03-30
C1714	HCPCS	Cath Trns Arthr Dir2	20	5	$8,391.41	$5,034.85 40% off	$8,391.41	$8,391.41	$8,391.41	2026-03-30
C1721	HCPCS	Aicd Dual Chamber L1	20	5	$93,836.86	$56,302.12 40% off	$93,836.86	$93,836.86	$93,836.86	2026-03-30
C1722	HCPCS	Aicd Single Chamber1	20	5	$99,999.00	$59,999.40 40% off	$99,999.00	$99,999.00	$99,999.00	2026-03-30
C1724	HCPCS	Cath Trns Arthr Rot2	20	5	$16,735.18	$10,041.11 40% off	$16,735.18	$16,735.18	$16,735.18	2026-03-30
C1725	HCPCS	Cath-angio Level 5	20	5	$6,331.93	$3,799.16 40% off	$6,331.93	$6,331.93	$6,331.93	2026-03-30
C1729	HCPCS	Cath-drainag Level12	20	5	$14,344.55	$8,606.73 40% off	$14,344.55	$14,344.55	$14,344.55	2026-03-30
C1731	HCPCS	Cath Ep 20 Or More 1	20	5	$6,185.15	$3,711.09 40% off	$6,185.15	$6,185.15	$6,185.15	2026-03-30
C1732	HCPCS	Cath Ep Dig/abl 3d 2	20	5	$15,395.93	$9,237.56 40% off	$15,395.93	$15,395.93	$15,395.93	2026-03-30
C1753	HCPCS	Cath Intravas Ultra2	20	5	$14,344.55	$8,606.73 40% off	$14,344.55	$14,344.55	$14,344.55	2026-03-30
C1755	HCPCS	Catheter Intraspinal	20	5	$5,259.70	$3,155.82 40% off	$5,259.70	$5,259.70	$5,259.70	2026-03-30
C1757	HCPCS	Cath Thrmb/embol 4	20	5	$4,781.52	$2,868.91 40% off	$4,781.52	$4,781.52	$4,781.52	2026-03-30
C1759	HCPCS	Cath Intra Echocard2	20	5	$9,563.04	$5,737.82 40% off	$9,563.04	$9,563.04	$9,563.04	2026-03-30
C1762	HCPCS	Conn Tissue Human 9	20	5	$43,033.40	$25,820.04 40% off	$43,033.40	$43,033.40	$43,033.40	2026-03-30
C1763	HCPCS	Tissue Non-human 9	20	5	$33,475.26	$20,085.16 40% off	$33,475.26	$33,475.26	$33,475.26	2026-03-30
C1764	HCPCS	Event Recrdr Cardiac	20	5	$21,590.35	$12,954.21 40% off	$21,590.35	$21,590.35	$21,590.35	2026-03-30
C1765	HCPCS	Adhesion Barrier4	20	5	$4,456.30	$2,673.78 40% off	$4,456.30	$4,456.30	$4,456.30	2026-03-30
C1767	HCPCS	Genratr Neurostm 2	20	5	$71,722.51	$43,033.51 40% off	$71,722.51	$71,722.51	$71,722.51	2026-03-30
C1768	HCPCS	Graft Vascular 8	20	5	$28,688.85	$17,213.31 40% off	$28,688.85	$28,688.85	$28,688.85	2026-03-30
C1771	HCPCS	Rep Dev Urinry W/sl3	20	5	$14,344.55	$8,606.73 40% off	$14,344.55	$14,344.55	$14,344.55	2026-03-30
C1772	HCPCS	Inf Pump Program Lv3	20	5	$53,552.79	$32,131.67 40% off	$53,552.79	$53,552.79	$53,552.79	2026-03-30
C1773	HCPCS	Cath-retrieval 2	20	5	$4,781.52	$2,868.91 40% off	$4,781.52	$4,781.52	$4,781.52	2026-03-30
C1776	HCPCS	Joint Device Implt12	21	5	$99,999.00	$59,999.40 40% off	$2,989.64	$99,999.00	$99,999.00	2026-03-30
C1777	HCPCS	Lead Aicd Endo Sn L1	20	5	$23,599.62	$14,159.77 40% off	$23,599.62	$23,599.62	$23,599.62	2026-03-30
C1778	HCPCS	Lead Neurostimulat 4	20	5	$23,907.59	$14,344.55 40% off	$23,907.59	$23,907.59	$23,907.59	2026-03-30
C1779	HCPCS	Lead Pmkr Trnsv Vdd1	20	5	$9,194.30	$5,516.58 40% off	$9,194.30	$9,194.30	$9,194.30	2026-03-30
C1781	HCPCS	Mesh Implantable 9	20	5	$9,567.67	$5,740.60 40% off	$9,567.67	$9,567.67	$9,567.67	2026-03-30
C1782	HCPCS	Morcellator 3	20	5	$9,563.04	$5,737.82 40% off	$9,563.04	$9,563.04	$9,563.04	2026-03-30
C1784	HCPCS	Oclr Dev Introp Dtr1	20	5	$15,780.63	$9,468.38 40% off	$15,780.63	$15,780.63	$15,780.63	2026-03-30
C1785	HCPCS	Pmkr Dual Rate-rs L2	20	5	$28,809.36	$17,285.62 40% off	$28,809.36	$28,809.36	$28,809.36	2026-03-30
C1786	HCPCS	Pmkr Singl Rate-rsl1	20	5	$62,664.69	$37,598.81 40% off	$62,664.69	$62,664.69	$62,664.69	2026-03-30
C1787	HCPCS	Patient Progr Neuro1	20	5	$5,302.96	$3,181.78 40% off	$5,302.96	$5,302.96	$5,302.96	2026-03-30
C1789	HCPCS	Breast Implant 1	20	5	$7,833.15	$4,699.89 40% off	$7,833.15	$7,833.15	$7,833.15	2026-03-30
C1813	HCPCS	Prsths Penile Infl 4	20	5	$23,907.59	$14,344.55 40% off	$23,907.59	$23,907.59	$23,907.59	2026-03-30
C1820	HCPCS	Genrate Neuro Rechr	20	5	$38,545.95	$23,127.57 40% off	$38,545.95	$38,545.95	$38,545.95	2026-03-30
C1821	HCPCS	Interspinous Impl L2	20	5	$44,561.92	$26,737.15 40% off	$44,561.92	$44,561.92	$44,561.92	2026-03-30
C1874	HCPCS	Stnt Coat/cov W/del4	20	5	$23,907.59	$14,344.55 40% off	$23,907.59	$23,907.59	$23,907.59	2026-03-30
C1876	HCPCS	Stnt No Cocv W/del 4	20	5	$14,344.55	$8,606.73 40% off	$14,344.55	$14,344.55	$14,344.55	2026-03-30
C1877	HCPCS	Stnt No-coa/cov W/o2	20	5	$4,781.52	$2,868.91 40% off	$4,781.52	$4,781.52	$4,781.52	2026-03-30
C1880	HCPCS	Vena Cava Filter 2	20	5	$7,172.15	$4,303.29 40% off	$7,172.15	$7,172.15	$7,172.15	2026-03-30
C1882	HCPCS	Aicd Ohr Thn Sgl/du1	20	5	$99,999.00	$59,999.40 40% off	$99,999.00	$99,999.00	$99,999.00	2026-03-30
C1884	HCPCS	Emboliz Protect Sys2	20	5	$7,172.15	$4,303.29 40% off	$7,172.15	$7,172.15	$7,172.15	2026-03-30
C1885	HCPCS	Cath Trnslum Ang La2	20	5	$9,563.04	$5,737.82 40% off	$9,563.04	$9,563.04	$9,563.04	2026-03-30
C1891	HCPCS	Inf Pmp Non-prog Lv1	20	5	$10,237.17	$6,142.30 40% off	$10,237.17	$10,237.17	$10,237.17	2026-03-30
C1894	HCPCS	Sheath Non-lasr 8	20	5	$19,126.07	$11,475.64 40% off	$19,126.07	$19,126.07	$19,126.07	2026-03-30
C1895	HCPCS	Lead Aicd End Dul L2	20	5	$16,735.18	$10,041.11 40% off	$16,735.18	$16,735.18	$16,735.18	2026-03-30
C1896	HCPCS	Lead Aicd No-sing L1	20	5	$16,206.54	$9,723.92 40% off	$16,206.54	$16,206.54	$16,206.54	2026-03-30
C1897	HCPCS	Lead Neurostm Tst K2	20	5	$6,646.33	$3,987.80 40% off	$6,646.33	$6,646.33	$6,646.33	2026-03-30
C1898	HCPCS	Lead Pmkr Non-trn L1	20	5	$4,781.52	$2,868.91 40% off	$4,781.52	$4,781.52	$4,781.52	2026-03-30
C1899	HCPCS	Lead Pmkr/aicd Cmbl1	20	5	$41,218.03	$24,730.82 40% off	$41,218.03	$41,218.03	$41,218.03	2026-03-30
C1900	HCPCS	Lead Lt Vent Cor Lv1	20	5	$20,278.38	$12,167.03 40% off	$20,278.38	$20,278.38	$20,278.38	2026-03-30
C2615	HCPCS	Sealant Pulmnry Liqd	20	5	$5,932.54	$3,559.52 40% off	$5,932.54	$5,932.54	$5,932.54	2026-03-30
C2618	HCPCS	Probe Cryoablation 4	20	5	$16,735.18	$10,041.11 40% off	$16,735.18	$16,735.18	$16,735.18	2026-03-30
C2619	HCPCS	Pmkr Dul Non Rat Lv1	20	5	$73,166.31	$43,899.79 40% off	$73,166.31	$73,166.31	$73,166.31	2026-03-30
C2620	HCPCS	Pmkr Sngl Non Rte-re	20	5	$45,918.17	$27,550.90 40% off	$45,918.17	$45,918.17	$45,918.17	2026-03-30
C2621	HCPCS	Pmkr Othr Th Sngl L1	20	5	$99,999.00	$59,999.40 40% off	$99,999.00	$99,999.00	$99,999.00	2026-03-30
C2622	HCPCS	Prsths Penile Nninf1	20	5	$38,894.09	$23,336.45 40% off	$38,894.09	$38,894.09	$38,894.09	2026-03-30
C2624	HCPCS	Wireless Press Sens	20	5	$99,999.00	$59,999.40 40% off	$99,999.00	$99,999.00	$99,999.00	2026-03-30
C2625	HCPCS	Stnt Non-cor Tm Dl 3	20	5	$3,787.83	$2,272.70 40% off	$3,787.83	$3,787.83	$3,787.83	2026-03-30
C2629	HCPCS	Intro/sheath Laser 2	20	5	$7,172.15	$4,303.29 40% off	$7,172.15	$7,172.15	$7,172.15	2026-03-30
C2631	HCPCS	Rep Dev Urnry Wo Sl1	20	5	$8,266.27	$4,959.76 40% off	$8,266.27	$8,266.27	$8,266.27	2026-03-30
C5273	HCPCS	Lc S Sub T/a/l 100sq	14	4	$6,950.12	$4,170.07 40% off	$6,950.12	$6,950.12	$6,950.12	2026-03-30
C5274	HCPCS	Lc S Sub T/a/l Adl	14	4	$6,950.12	$4,170.07 40% off	$6,950.12	$6,950.12	$6,950.12	2026-03-30
C9600	HCPCS	Ic-prq De Cor Stnt	17	5	$42,411.02	$25,446.61 40% off	$42,411.02	$42,411.02	$42,411.02	2026-03-30
C9604	HCPCS	Ic-prq De Cr Rev Cab	17	5	$29,428.39	$17,657.03 40% off	$29,428.39	$29,428.39	$29,428.39	2026-03-30
G0257	HCPCS	Dialysis Emergent	17	5	$9,908.34	$5,945.00 40% off	$9,908.34	$9,908.34	$9,908.34	2026-03-30
G0269	HCPCS	Cc-place Clos Dev	17	5	$22,097.11	$13,258.27 40% off	$22,097.11	$22,097.11	$22,097.11	2026-03-30
J0130	HCPCS	Abciximab 10mg	17	5	$4,719.72	$2,831.83 40% off	$4,719.72	$4,719.72	$4,719.72	2026-03-30
J1162	HCPCS	Digoxin Immune Fab	17	5	$6,881.43	$4,128.86 40% off	$6,881.43	$6,881.43	$6,881.43	2026-03-30
J1950	HCPCS	Lupr 3.75female/peds	17	5	$6,029.88	$3,617.93 40% off	$6,029.88	$6,029.88	$6,029.88	2026-03-30
J2993	HCPCS	Reteplase 18.1mg Ij	17	5	$7,366.00	$4,419.60 40% off	$7,366.00	$7,366.00	$7,366.00	2026-03-30
MANUL	HCPCS	US-plc Loc Dvce Add	17	5	$3,751.50	$2,250.90 40% off	$3,751.50	$3,751.50	$3,751.50	2026-03-30
Q4108	HCPCS	Integra Skin Sub 5x5cm	17	5	$4,404.00	$2,642.40 40% off	$4,404.00	$4,404.00	$4,404.00	2026-03-30
Q4137	HCPCS	Amnioexcel Skin 4x4cm	17	5	$3,928.00	$2,356.80 40% off	$3,928.00	$3,928.00	$3,928.00	2026-03-30
Q4164	HCPCS	Helicoll (per Sq Cm)	17	5	$6,211.00	$3,726.60 40% off	$6,211.00	$6,211.00	$6,211.00	2026-03-30
Q4205	HCPCS	Membrane Graft/wrap (per Sq Cm)	17	5	$5,236.00	$3,141.60 40% off	$5,236.00	$5,236.00	$5,236.00	2026-03-30
Q4238	HCPCS	Derm-maxx (per Sq Cm)	17	5	$3,534.00	$2,120.40 40% off	$3,534.00	$3,534.00	$3,534.00	2026-03-30
Q4239	HCPCS	Amnio-max (per Sq Cm)	17	5	$9,540.00	$5,724.00 40% off	$9,540.00	$9,540.00	$9,540.00	2026-03-30

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