|
J0896
|
HCPCS
|
Injection, Luspatercept-aamt, 0.25 Mg
|
19
|
19
|
$43,635.45
|
$34,908.36
|
$9,818.42
|
$45,380.87
|
$33,119.31
|
2026-03-31
|
|
J1930
|
HCPCS
|
Injection, Lanreotide, 1 Mg
|
19
|
19
|
$29,545.65
|
$23,636.52
20% off
|
$6,153.71
|
$30,727.48
|
$22,425.15
|
2026-03-31
|
|
J3101
|
HCPCS
|
Injection, Tenecteplase, 1 Mg
|
19
|
19
|
$28,724.45
|
$22,979.56
20% off
|
$6,153.71
|
$29,873.43
|
$21,801.86
|
2026-03-31
|
|
J2353
|
HCPCS
|
Injection, Octreotide, Depot Form For Intramuscular Injection, 1 Mg
|
19
|
19
|
$23,099.55
|
$18,479.64
20% off
|
$6,153.71
|
$24,023.53
|
$17,532.56
|
2026-03-31
|
|
J0717
|
HCPCS
|
Injection, Certolizumab Pegol, 1 Mg (code May Be Used For Medicare When Drug Adm…
|
19
|
19
|
$20,850.40
|
$16,680.32
20% off
|
$1,722.73
|
$21,684.42
|
$15,825.45
|
2026-03-31
|
|
C1783
|
HCPCS
|
Ocular Implant, Aqueous Drainage Assist Device
|
17
|
17
|
$18,641.00
|
$14,912.80
20% off
|
$7,083.58
|
$19,386.64
|
$15,844.85
|
2026-03-31
|
|
Q5122
|
HCPCS
|
Injection, Pegfilgrastim-apgf (nyvepria), Biosimilar, 0.5 Mg
|
19
|
19
|
$13,819.50
|
$11,055.60
20% off
|
$4,157.06
|
$14,372.28
|
$10,489.00
|
2026-03-31
|
|
J1306
|
HCPCS
|
Injection, Inclisiran, 1 Mg
|
19
|
19
|
$12,589.60
|
$10,071.68
20% off
|
$4,784.05
|
$13,093.18
|
$9,555.51
|
2026-03-31
|
|
Q5108
|
HCPCS
|
Injection, Pegfilgrastim-jmdb (fulphila), Biosimilar, 0.5 Mg
|
19
|
19
|
$12,459.45
|
$9,967.56
20% off
|
$1,722.73
|
$12,957.83
|
$9,456.72
|
2026-03-31
|
|
J2506
|
HCPCS
|
Injection, Pegfilgrastim, Excludes Biosimilar, 0.5 Mg
|
19
|
19
|
$12,241.08
|
$9,792.86
20% off
|
$4,651.61
|
$12,730.72
|
$9,290.98
|
2026-03-31
|
|
J2182
|
HCPCS
|
Injection, Mepolizumab, 1 Mg
|
19
|
19
|
$11,272.56
|
$9,018.05
|
$2,565.12
|
$11,723.46
|
$8,555.87
|
2026-03-31
|
|
J7168
|
HCPCS
|
Prothrombin Complex Concentrate (human), Kcentra, Per I.u. Of Factor Ix Activity
|
19
|
19
|
$8,712.95
|
$6,970.36
20% off
|
$2,565.12
|
$9,061.47
|
$6,613.13
|
2026-03-31
|
|
J0881
|
HCPCS
|
Injection, Darbepoetin Alfa, 1 Microgram (non-esrd Use)
|
36
|
19
|
$8,060.98
|
$6,448.78
20% off
|
$625.61
|
$8,383.42
|
$3,058.69
|
2026-03-31
|
|
J1602
|
HCPCS
|
Injection, Golimumab, 1 Mg, For Intravenous Use
|
19
|
19
|
$7,104.99
|
$5,683.99
20% off
|
$1,722.73
|
$7,389.19
|
$5,392.69
|
2026-03-31
|
|
47562
|
HCPCS
|
Removal Of Gallbladder Using An Endoscope
|
38
|
20
|
$6,706.00
|
$5,364.80
20% off
|
$561.02
|
$11,736.40
|
$3,239.56
|
2026-03-31
|
|
1377418_1
|
CDM
|
Operating Room Services - General Classification
|
16
|
16
|
$6,702.00
|
$5,361.60
|
$2,546.76
|
$6,500.94
|
$4,889.11
|
2026-03-31
|
|
J0897
|
HCPCS
|
Injection, Denosumab, 1 Mg
|
36
|
19
|
$6,440.61
|
$5,152.49
|
$1,150.23
|
$11,702.24
|
$6,054.18
|
2026-03-31
|
|
28090
|
HCPCS
|
Removal Of Growth Of Tendon Covering Or Joint Capsule Of Foot
|
19
|
19
|
$6,333.00
|
$5,066.40
20% off
|
$2,406.54
|
$6,586.32
|
$4,806.75
|
2026-03-31
|
|
49507
|
HCPCS
|
Repair Of Trapped Groin Hernia (5 Years Or Older)
|
38
|
20
|
$6,198.50
|
$4,958.80
20% off
|
$504.87
|
$11,183.12
|
$2,889.73
|
2026-03-31
|
|
Q5119
|
HCPCS
|
Injection, Rituximab-pvvr, Biosimilar, (ruxience), 10 Mg
|
19
|
19
|
$6,138.38
|
$4,910.70
20% off
|
$2,332.58
|
$6,383.92
|
$4,659.03
|
2026-03-31
|
|
49505
|
HCPCS
|
Repair Of Groin Hernia (5 Years Or Older)
|
38
|
20
|
$6,109.50
|
$4,887.60
20% off
|
$451.41
|
$11,183.12
|
$2,798.06
|
2026-03-31
|
|
66983
|
HCPCS
|
Removal Of Cataract And Capsule With Insertion Of Prosthetic Lens
|
19
|
19
|
$5,713.00
|
$4,570.40
20% off
|
$2,143.14
|
$5,941.52
|
$4,336.17
|
2026-03-31
|
|
66984
|
HCPCS
|
Removal Of Cataract With Insertion Of Prosthetic Lens
|
19
|
19
|
$5,713.00
|
$4,570.40
20% off
|
$2,143.14
|
$5,941.52
|
$4,336.17
|
2026-03-31
|
|
66982
|
HCPCS
|
Complex Removal Of Cataract With Insertion Of Prosthetic Lens
|
19
|
19
|
$5,713.00
|
$4,570.40
20% off
|
$2,143.14
|
$5,941.52
|
$4,336.17
|
2026-03-31
|
|
49650
|
HCPCS
|
Repair Of Groin Hernia Using An Endoscope
|
38
|
20
|
$5,665.50
|
$4,532.40
|
$377.54
|
$10,734.88
|
$2,480.82
|
2026-03-31
|
|
44050
|
HCPCS
|
Repair Of Twisted Or Herniated Small Bowel
|
38
|
20
|
$5,658.00
|
$4,526.40
20% off
|
$669.20
|
$9,053.20
|
$2,894.18
|
2026-03-31
|
|
J2357
|
HCPCS
|
Injection, Omalizumab, 5 Mg
|
36
|
19
|
$5,057.53
|
$4,046.02
20% off
|
$1,722.73
|
$10,755.58
|
$4,754.07
|
2026-03-31
|
|
J0129
|
HCPCS
|
Injection, Abatacept, 10 Mg (code May Be Used For Medicare When Drug Administere…
|
19
|
19
|
$5,027.57
|
$4,022.06
|
$1,910.48
|
$5,228.67
|
$3,815.93
|
2026-03-31
|
|
J3111
|
HCPCS
|
Injection, Romosozumab-aqqg, 1 Mg
|
19
|
19
|
$4,800.90
|
$3,840.72
20% off
|
$1,421.77
|
$4,992.94
|
$3,643.88
|
2026-03-31
|
|
42826
|
HCPCS
|
Removal Of Tonsils (12 Years Or Older)
|
19
|
19
|
$4,754.00
|
$3,803.20
20% off
|
$1,806.52
|
$4,944.16
|
$3,608.29
|
2026-03-31
|
|
42820
|
HCPCS
|
Removal Of Tonsils And Adenoid Glands (younger Than 12 Years)
|
19
|
19
|
$4,754.00
|
$3,803.20
20% off
|
$1,806.52
|
$4,944.16
|
$3,608.29
|
2026-03-31
|
|
J3262
|
HCPCS
|
Injection, Tocilizumab, 1 Mg
|
53
|
19
|
$4,696.95
|
$3,757.56
20% off
|
$721.35
|
$9,735.80
|
$3,557.31
|
2026-03-31
|
|
59510
|
HCPCS
|
Cesarean Delivery With Care Before And After Delivery
|
19
|
19
|
$4,675.00
|
$3,740.00
20% off
|
$2,154.73
|
$4,815.25
|
$3,641.10
|
2026-03-31
|
|
70471
|
HCPCS
|
Computed Tomographic Angiography (cta), Head And Neck, With Contrast Material(s)…
|
17
|
17
|
$4,500.00
|
$3,600.00
20% off
|
$1,710.00
|
$4,680.00
|
$3,825.00
|
2026-03-31
|
|
44603
|
HCPCS
|
Suture Of Multiple Tears Or Holes In Small Bowel
|
19
|
19
|
$4,487.00
|
$3,589.60
20% off
|
$808.74
|
$4,262.65
|
$2,179.49
|
2026-03-31
|
|
J1745
|
HCPCS
|
Injection, Infliximab, Excludes Biosimilar, 10 Mg
|
36
|
19
|
$4,468.13
|
$3,574.50
20% off
|
$606.73
|
$4,646.86
|
$1,648.57
|
2026-03-31
|
|
44626
|
HCPCS
|
Closure Of Surgically Created Large Or Small Bowel Opening With Bowel Removal An…
|
19
|
19
|
$4,426.00
|
$3,540.80
|
$1,231.11
|
$4,204.70
|
$2,148.47
|
2026-03-31
|
|
59400
|
HCPCS
|
Vaginal Delivery With Care Before And After Delivery
|
19
|
19
|
$4,233.00
|
$3,386.40
20% off
|
$1,948.94
|
$4,359.99
|
$3,295.81
|
2026-03-31
|
|
78452
|
HCPCS
|
Nuclear Medicine Studies Of Heart Muscle At Rest And With Stress And Spect
|
19
|
19
|
$4,216.00
|
$3,372.80
|
$1,172.79
|
$4,384.64
|
$3,199.94
|
2026-03-31
|
|
11646
|
HCPCS
|
Removal Of Cancer Skin Growth Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, More…
|
38
|
20
|
$3,940.50
|
$3,152.40
|
$305.58
|
$6,850.48
|
$1,803.20
|
2026-03-31
|
|
5687985_1
|
CDM
|
Ablation Handpiece
|
16
|
16
|
$3,923.10
|
$3,138.48
20% off
|
$1,490.78
|
$3,805.41
|
$2,861.90
|
2026-03-31
|
|
8998837_1
|
CDM
|
Surgimesh Xb (Tintra C-15)
|
16
|
16
|
$3,900.00
|
$3,120.00
20% off
|
$1,482.00
|
$3,783.00
|
$2,845.05
|
2026-03-31
|
|
95811
|
HCPCS
|
Sleep Study In Sleep Lab With Continuous Airway Pressure (6 Years Or Older)
|
19
|
19
|
$3,868.00
|
$3,094.40
20% off
|
$947.72
|
$4,022.72
|
$2,935.81
|
2026-03-31
|
|
8961409_1
|
CDM
|
Omni Surgical System (or)
|
16
|
16
|
$3,800.00
|
$3,040.00
20% off
|
$1,444.00
|
$3,686.00
|
$2,772.10
|
2026-03-31
|
|
69436
|
HCPCS
|
Incision Of Eardrum With Placement Of Eardrum Tube Under General Anesthesia
|
19
|
19
|
$3,739.00
|
$2,991.20
20% off
|
$1,420.82
|
$3,888.56
|
$2,837.90
|
2026-03-31
|
|
44140
|
HCPCS
|
Partial Removal Of Large Bowel With Connection
|
19
|
19
|
$3,735.00
|
$2,988.00
20% off
|
$1,049.42
|
$3,548.25
|
$1,836.52
|
2026-03-31
|
|
J3489
|
HCPCS
|
Injection, Zoledronic Acid, 1 Mg
|
19
|
19
|
$3,722.75
|
$2,978.20
20% off
|
$1,414.65
|
$3,871.66
|
$2,825.57
|
2026-03-31
|
|
11406
|
HCPCS
|
Removal Of Noncancer Skin Growth Of Body, Arms, Or Legs, More Than 4.0 Cm
|
38
|
20
|
$3,704.50
|
$2,963.60
20% off
|
$207.10
|
$6,850.48
|
$1,560.12
|
2026-03-31
|
|
71275
|
HCPCS
|
CT Scan Of Blood Vessels Of Chest With Contrast
|
19
|
19
|
$3,701.00
|
$2,960.80
|
$488.91
|
$3,849.04
|
$2,809.06
|
2026-03-31
|
|
8980094_1
|
CDM
|
Surgimesh Xb (Tintra C-12)
|
16
|
16
|
$3,700.00
|
$2,960.00
20% off
|
$1,406.00
|
$3,589.00
|
$2,699.15
|
2026-03-31
|
|
74183
|
HCPCS
|
MRI Scan Of Abdomen Before And After Contrast
|
19
|
19
|
$3,699.00
|
$2,959.20
20% off
|
$532.16
|
$3,846.96
|
$2,807.54
|
2026-03-31
|
|
72156
|
HCPCS
|
MRI Scan Of Upper Spinal Canal Before And After Contrast
|
19
|
19
|
$3,692.00
|
$2,953.60
20% off
|
$532.16
|
$3,839.68
|
$2,802.23
|
2026-03-31
|
|
70553
|
HCPCS
|
MRI Scan Of Brain Before And After Contrast
|
19
|
19
|
$3,689.00
|
$2,951.20
20% off
|
$532.16
|
$3,836.56
|
$2,799.95
|
2026-03-31
|
|
60252
|
HCPCS
|
Removal Of Thyroid And Surrounding Lymph Nodes With Limited Neck Removal
|
19
|
19
|
$3,672.00
|
$2,937.60
20% off
|
$1,065.58
|
$3,782.16
|
$2,648.53
|
2026-03-31
|
|
44130
|
HCPCS
|
Creation Of Connection Between 2 Segments Of Small Bowel
|
19
|
19
|
$3,664.00
|
$2,931.20
20% off
|
$727.91
|
$3,480.80
|
$1,806.78
|
2026-03-31
|
|
60502
|
HCPCS
|
Removal Or Re-exploration Of Parathyroid Glands
|
19
|
19
|
$3,619.00
|
$2,895.20
20% off
|
$1,074.81
|
$3,727.57
|
$2,547.80
|
2026-03-31
|
|
5688323_1
|
CDM
|
Prolift Kit,total
|
16
|
16
|
$3,600.00
|
$2,880.00
20% off
|
$1,368.00
|
$3,492.00
|
$2,626.20
|
2026-03-31
|
|
70498
|
HCPCS
|
CT Scan Of Blood Vessels Of Neck With Contrast
|
19
|
19
|
$3,584.00
|
$2,867.20
20% off
|
$488.91
|
$3,727.36
|
$2,720.26
|
2026-03-31
|
|
72158
|
HCPCS
|
MRI Scan Of Lower Spinal Canal Before And After Contrast
|
19
|
19
|
$3,576.00
|
$2,860.80
|
$532.16
|
$3,719.04
|
$2,714.18
|
2026-03-31
|
|
72197
|
HCPCS
|
MRI Scan Of Pelvis Before And After Contrast
|
19
|
19
|
$3,573.00
|
$2,858.40
20% off
|
$532.16
|
$3,715.92
|
$2,711.91
|
2026-03-31
|
|
70543
|
HCPCS
|
MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Before And After Contrast
|
19
|
19
|
$3,515.00
|
$2,812.00
20% off
|
$532.16
|
$3,655.60
|
$2,667.89
|
2026-03-31
|
|
46260
|
HCPCS
|
Removal Of Multiple Hemorrhoid Groups
|
38
|
20
|
$3,512.00
|
$2,809.60
20% off
|
$434.31
|
$5,900.96
|
$1,773.31
|
2026-03-31
|
|
50230
|
HCPCS
|
Removal Of Kidney, Lymph Nodes, And/or Blood Clot From Major Vein With Partial R…
|
19
|
19
|
$3,500.00
|
$2,800.00
20% off
|
$1,054.84
|
$3,325.00
|
$1,740.49
|
2026-03-31
|
|
J1439
|
HCPCS
|
Injection, Ferric Carboxymaltose, 1 Mg
|
19
|
19
|
$3,483.70
|
$2,786.96
|
$625.61
|
$3,623.05
|
$2,644.13
|
2026-03-31
|
|
5688324_1
|
CDM
|
Prolift Kit,anterior
|
16
|
16
|
$3,438.00
|
$2,750.40
20% off
|
$1,306.44
|
$3,334.86
|
$2,508.02
|
2026-03-31
|
|
64625
|
HCPCS
|
Destruction Of Nerves Supplying Joint Between Spine And Pelvis Using Imaging Gui…
|
76
|
20
|
$3,426.91
|
$2,741.53
|
$165.36
|
$8,931.52
|
$1,656.12
|
2026-03-31
|
|
73723
|
HCPCS
|
MRI Scan Of Leg Joint Before And After Contrast
|
57
|
19
|
$3,406.00
|
$2,724.80
|
$532.16
|
$3,542.24
|
$2,585.15
|
2026-03-31
|
|
44120
|
HCPCS
|
Partial Removal Of Small Bowel With Reconnection
|
19
|
19
|
$3,402.00
|
$2,721.60
20% off
|
$837.14
|
$3,231.90
|
$1,665.03
|
2026-03-31
|
|
72146
|
HCPCS
|
MRI Scan Of Middle Spinal Canal Without Contrast
|
19
|
19
|
$3,399.00
|
$2,719.20
20% off
|
$310.68
|
$3,534.96
|
$2,579.84
|
2026-03-31
|
|
73220
|
HCPCS
|
MRI Scan Of Arm Before And After Contrast
|
38
|
19
|
$3,370.00
|
$2,696.00
20% off
|
$532.16
|
$3,504.80
|
$2,557.83
|
2026-03-31
|
|
47579
|
HCPCS
|
Other Procedure On Bile Duct Using An Endoscope
|
30
|
19
|
$3,370.00
|
$2,696.00
20% off
|
$59.45
|
$3,504.80
|
$1,312.62
|
2026-03-31
|
|
95810
|
HCPCS
|
Sleep Study In Sleep Lab (6 Years Or Older)
|
19
|
19
|
$3,364.00
|
$2,691.20
20% off
|
$947.72
|
$3,498.56
|
$2,553.28
|
2026-03-31
|
|
78708
|
HCPCS
|
Nuclear Medicine Study Of Kidney, Blood, Flow, And Function With Drug Administra…
|
19
|
19
|
$3,356.00
|
$2,684.80
|
$466.58
|
$3,490.24
|
$2,547.20
|
2026-03-31
|
|
35840
|
HCPCS
|
Exploration Of Abdomen For Bleeding, Blood Clot, Or Infection After Surgery
|
19
|
19
|
$3,345.00
|
$2,676.00
20% off
|
$597.01
|
$3,177.75
|
$1,420.76
|
2026-03-31
|
|
44332
|
HCPCS
|
44320 Colostomy Or Skin
|
6
|
6
|
$3,337.00
|
$2,669.60
20% off
|
$2,502.75
|
$3,437.11
|
$2,836.45
|
2026-03-31
|
|
72149
|
HCPCS
|
MRI Scan Of Lower Spinal Canal With Contrast
|
19
|
19
|
$3,325.00
|
$2,660.00
20% off
|
$532.16
|
$3,458.00
|
$2,523.68
|
2026-03-31
|
|
73218
|
HCPCS
|
MRI Scan Of Arm Without Contrast
|
38
|
19
|
$3,305.00
|
$2,644.00
20% off
|
$310.68
|
$3,437.20
|
$2,508.50
|
2026-03-31
|
|
74174
|
HCPCS
|
CT Scan Of Blood Vessels Of Abdomen And Pelvis With Contrast
|
19
|
19
|
$3,254.00
|
$2,603.20
20% off
|
$488.91
|
$3,384.16
|
$2,469.79
|
2026-03-31
|
|
74177
|
HCPCS
|
CT Scan Of Abdomen And Pelvis With Contrast
|
19
|
19
|
$3,254.00
|
$2,603.20
20% off
|
$395.61
|
$3,384.16
|
$2,469.79
|
2026-03-31
|
|
31641
|
HCPCS
|
Destruction Of Growth Or Narrowing Of Lung Airway Using An Endoscope
|
38
|
20
|
$3,253.50
|
$2,602.80
20% off
|
$210.78
|
$6,182.80
|
$1,435.72
|
2026-03-31
|
|
44125
|
HCPCS
|
Partial Removal Of Small Bowel With Creation Of Opening To Skin
|
19
|
19
|
$3,249.00
|
$2,599.20
20% off
|
$881.25
|
$3,086.55
|
$1,614.34
|
2026-03-31
|
|
59515
|
HCPCS
|
Cesarean Delivery With Care After Delivery
|
19
|
19
|
$3,240.00
|
$2,592.00
20% off
|
$1,059.79
|
$3,337.20
|
$1,793.87
|
2026-03-31
|
|
70551
|
HCPCS
|
MRI Scan Of Brain Without Contrast
|
19
|
19
|
$3,211.00
|
$2,568.80
|
$310.68
|
$3,339.44
|
$2,437.15
|
2026-03-31
|
|
73721
|
HCPCS
|
MRI Scan Of Leg Joint Without Contrast
|
57
|
19
|
$3,211.00
|
$2,568.80
|
$310.68
|
$3,339.44
|
$2,437.15
|
2026-03-31
|
|
72148
|
HCPCS
|
MRI Scan Of Lower Spinal Canal Without Contrast
|
19
|
19
|
$3,211.00
|
$2,568.80
|
$310.68
|
$3,339.44
|
$2,437.15
|
2026-03-31
|
|
19305
|
HCPCS
|
Extensive Removal Of Breast, Chest Muscle, And Underarm Lymph Nodes
|
19
|
19
|
$3,209.00
|
$2,567.20
20% off
|
$887.58
|
$3,048.55
|
$1,609.92
|
2026-03-31
|
|
43332
|
HCPCS
|
Repair Of Paraesophageal Hernia Through Abdomen
|
19
|
19
|
$3,203.00
|
$2,562.40
20% off
|
$956.11
|
$3,042.85
|
$1,577.58
|
2026-03-31
|
|
44970
|
HCPCS
|
Removal Of Appendix Using An Endoscope
|
38
|
20
|
$3,183.50
|
$2,546.80
|
$514.00
|
$6,176.38
|
$1,733.95
|
2026-03-31
|
|
47605
|
HCPCS
|
Removal Of Gallbladder With X-ray Study Of Bile Ducts
|
19
|
19
|
$3,153.00
|
$2,522.40
20% off
|
$725.94
|
$2,995.35
|
$1,553.95
|
2026-03-31
|
|
5688186_1
|
CDM
|
Fixation Device, Sorbafix
|
16
|
16
|
$3,126.59
|
$2,501.27
20% off
|
$1,188.10
|
$3,032.79
|
$2,280.85
|
2026-03-31
|
|
43249
|
HCPCS
|
Balloon Dilation Of Esophagus, Stomach, And/or Upper Small Bowel Using A Flexibl…
|
38
|
20
|
$3,110.50
|
$2,488.40
20% off
|
$126.88
|
$3,286.73
|
$1,168.67
|
2026-03-31
|
|
7845947_2
|
CDM
|
43324 Fundoplasty Esophago-
|
4
|
4
|
$3,110.00
|
$2,488.00
20% off
|
$2,332.50
|
$2,954.50
|
$2,332.50
|
2026-03-31
|
|
74178
|
HCPCS
|
CT Scan Of Abdomen And Pelvis Before And After Contrast
|
19
|
19
|
$3,059.00
|
$2,447.20
20% off
|
$395.61
|
$3,181.36
|
$2,321.78
|
2026-03-31
|
|
49329
|
HCPCS
|
Other Procedure On Abdomen Using An Endoscope
|
11
|
11
|
$3,047.00
|
$2,437.60
20% off
|
$59.45
|
$3,138.41
|
$2,285.25
|
2026-03-31
|
|
44005
|
HCPCS
|
Release Of Intestinal Scar Tissue
|
19
|
19
|
$3,046.00
|
$2,436.80
|
$787.26
|
$2,893.70
|
$1,495.26
|
2026-03-31
|
|
78707
|
HCPCS
|
Nuclear Medicine Study Of Kidney, Blood Flow, And Function
|
19
|
19
|
$3,032.00
|
$2,425.60
20% off
|
$466.58
|
$3,153.28
|
$2,301.29
|
2026-03-31
|
|
19318
|
HCPCS
|
Breast Reduction
|
19
|
19
|
$3,025.00
|
$2,420.00
20% off
|
$890.15
|
$3,115.75
|
$2,234.02
|
2026-03-31
|
|
73221
|
HCPCS
|
MRI Scan Of Arm Joint Without Contrast
|
57
|
19
|
$3,021.00
|
$2,416.80
|
$310.68
|
$3,141.84
|
$2,292.94
|
2026-03-31
|
|
70496
|
HCPCS
|
CT Scan Of Blood Vessels Of Head With Contrast
|
19
|
19
|
$3,012.00
|
$2,409.60
20% off
|
$488.91
|
$3,132.48
|
$2,286.11
|
2026-03-31
|
|
15830
|
HCPCS
|
Removal Of Extra Skin And Tissue Of Abdomen
|
16
|
16
|
$2,993.00
|
$2,394.40
20% off
|
$249.66
|
$3,112.72
|
$2,544.05
|
2026-03-31
|
|
47564
|
HCPCS
|
Removal Of Gallbladder With Exploration Of Common Bile Duct Using An Endoscope
|
19
|
19
|
$2,989.00
|
$2,391.20
20% off
|
$941.49
|
$3,078.67
|
$1,794.88
|
2026-03-31
|
|
21931
|
HCPCS
|
Removal Of Growth Under Skin Of Back Or Lower Sides, 3.0 Cm Or More
|
38
|
20
|
$2,978.50
|
$2,382.80
20% off
|
$405.36
|
$4,866.16
|
$1,547.18
|
2026-03-31
|
|
8944115_1
|
CDM
|
Malyugin Ring
|
16
|
16
|
$2,975.00
|
$2,380.00
20% off
|
$1,130.50
|
$2,885.75
|
$2,170.27
|
2026-03-31
|
|
44345
|
HCPCS
|
Complicated Reconstruction Of Opening From Large Bowel To Skin
|
19
|
19
|
$2,916.00
|
$2,332.80
|
$885.58
|
$3,003.48
|
$2,051.34
|
2026-03-31
|
|
23071
|
HCPCS
|
Removal Of Growth Under Skin Of Shoulder Area, 3.0 Cm Or More
|
38
|
20
|
$2,912.00
|
$2,329.60
20% off
|
$365.20
|
$4,866.16
|
$1,478.68
|
2026-03-31
|
|
46946
|
HCPCS
|
Tying Of Multiple Internal Hemorrhoid Groups
|
38
|
20
|
$2,907.00
|
$2,325.60
20% off
|
$352.03
|
$4,931.68
|
$1,453.06
|
2026-03-31
|
|
74176
|
HCPCS
|
CT Scan Of Abdomen And Pelvis Without Contrast
|
19
|
19
|
$2,902.00
|
$2,321.60
20% off
|
$395.61
|
$3,018.08
|
$2,202.62
|
2026-03-31
|
|
9023581_1
|
CDM
|
Sz 100 Lumbar, Bilateral
|
16
|
16
|
$2,895.72
|
$2,316.58
|
$1,100.37
|
$2,808.85
|
$2,112.43
|
2026-03-31
|
|
5688325_1
|
CDM
|
Prolift Kit,posterior
|
16
|
16
|
$2,890.00
|
$2,312.00
20% off
|
$1,098.20
|
$2,803.30
|
$2,108.26
|
2026-03-31
|
|
43280
|
HCPCS
|
Strengthening Of Muscle Between Esophagus And Stomach By Wrapping Part Of Stomac…
|
19
|
19
|
$2,879.00
|
$2,303.20
20% off
|
$896.55
|
$2,965.37
|
$2,137.59
|
2026-03-31
|
|
64721
|
HCPCS
|
Release And/or Relocation Of Hand Nerve
|
38
|
20
|
$2,855.00
|
$2,284.00
20% off
|
$383.86
|
$4,651.92
|
$1,486.92
|
2026-03-31
|
|
72141
|
HCPCS
|
MRI Scan Of Upper Spinal Canal Without Contrast
|
19
|
19
|
$2,833.00
|
$2,266.40
|
$310.68
|
$2,946.32
|
$2,150.25
|
2026-03-31
|
|
26055
|
HCPCS
|
Incision Of Tendon Covering Of Finger
|
38
|
20
|
$2,832.50
|
$2,266.00
20% off
|
$261.70
|
$4,145.44
|
$1,537.40
|
2026-03-31
|
|
58150
|
HCPCS
|
Removal Of Uterus And Cervix Through Abdomen
|
19
|
19
|
$2,813.00
|
$2,250.40
|
$842.82
|
$2,672.35
|
$1,390.65
|
2026-03-31
|
|
9023563_1
|
CDM
|
Sz 150 Lumbar, Bilateral Kit
|
16
|
16
|
$2,811.38
|
$2,249.10
20% off
|
$1,068.32
|
$2,727.04
|
$2,050.91
|
2026-03-31
|
|
4659360_2
|
CDM
|
Laparoscopy, Surgical, Repair, Recurrent Incisional Hernia; Reductible
|
4
|
4
|
$2,810.00
|
$2,248.00
20% off
|
$2,107.50
|
$2,669.50
|
$2,107.50
|
2026-03-31
|
|
15200
|
HCPCS
|
Full Thickness Skin Graft To Trunk, 20.0 Sq Cm Or Less
|
38
|
20
|
$2,809.50
|
$2,247.60
20% off
|
$553.15
|
$3,584.88
|
$1,614.28
|
2026-03-31
|
|
44314
|
HCPCS
|
Reconstruction Of Opening From Small Bowel To Skin
|
16
|
16
|
$2,791.00
|
$2,232.80
|
$249.66
|
$2,902.64
|
$2,503.18
|
2026-03-31
|
|
8926413_1
|
CDM
|
Jada System (ob)
|
16
|
16
|
$2,790.00
|
$2,232.00
20% off
|
$1,060.20
|
$2,706.30
|
$2,035.31
|
2026-03-31
|
|
26160
|
HCPCS
|
Removal Of Growth Of Tendon Finger Or Hand
|
38
|
20
|
$2,786.50
|
$2,229.20
20% off
|
$280.85
|
$3,979.04
|
$1,475.69
|
2026-03-31
|
|
65820
|
HCPCS
|
Incision To Improve Eye Fluid Flow
|
19
|
19
|
$2,783.00
|
$2,226.40
|
$1,057.54
|
$2,894.32
|
$2,112.30
|
2026-03-31
|
|
8879694_1
|
CDM
|
Sling, Altis (Dr. Quinn)
|
16
|
16
|
$2,782.50
|
$2,226.00
20% off
|
$1,057.35
|
$2,699.03
|
$2,029.84
|
2026-03-31
|
|
72157
|
HCPCS
|
MRI Scan Of Middle Spinal Canal Before And After Contrast
|
19
|
19
|
$2,733.00
|
$2,186.40
|
$532.16
|
$2,842.32
|
$2,074.35
|
2026-03-31
|
|
44020
|
HCPCS
|
Incision Of Small Bowel For Exploration, Biopsy, Or Removal Of Foreign Body
|
19
|
19
|
$2,722.00
|
$2,177.60
20% off
|
$692.64
|
$2,585.90
|
$1,340.71
|
2026-03-31
|
|
60500
|
HCPCS
|
Removal Or Exploration Of Parathyroid Glands
|
19
|
19
|
$2,698.00
|
$2,158.40
|
$800.22
|
$2,778.94
|
$2,029.45
|
2026-03-31
|
|
19303
|
HCPCS
|
Simple Complete Removal Of Breast
|
19
|
19
|
$2,676.00
|
$2,140.80
|
$814.66
|
$2,756.28
|
$1,871.24
|
2026-03-31
|
|
9023575_1
|
CDM
|
Sz 75 Knee Kit
|
16
|
16
|
$2,666.34
|
$2,133.07
20% off
|
$1,013.21
|
$2,586.35
|
$1,945.10
|
2026-03-31
|
|
9023579_1
|
CDM
|
Sz 150 Knee/Trochant Kit
|
16
|
16
|
$2,666.34
|
$2,133.07
20% off
|
$1,013.21
|
$2,586.35
|
$1,945.10
|
2026-03-31
|
|
9023577_1
|
CDM
|
Thoracic Rfa Kit
|
16
|
16
|
$2,666.34
|
$2,133.07
20% off
|
$1,013.21
|
$2,586.35
|
$1,945.10
|
2026-03-31
|
|
78195
|
HCPCS
|
Nuclear Medicine Study Of Lymphatic System
|
19
|
19
|
$2,665.00
|
$2,132.00
20% off
|
$1,012.70
|
$2,771.60
|
$2,022.74
|
2026-03-31
|
|
70544
|
HCPCS
|
MRI Scan Of Blood Vessels Of Head Without Contrast
|
19
|
19
|
$2,644.00
|
$2,115.20
20% off
|
$634.13
|
$2,749.76
|
$2,006.80
|
2026-03-31
|
|
73718
|
HCPCS
|
MRI Scan Of Leg Without Contrast
|
38
|
19
|
$2,644.00
|
$2,115.20
20% off
|
$310.68
|
$2,749.76
|
$2,006.80
|
2026-03-31
|
|
9023561_1
|
CDM
|
Sz 100 Lum/Trochant Kit
|
16
|
16
|
$2,627.52
|
$2,102.02
|
$998.46
|
$2,548.69
|
$1,916.78
|
2026-03-31
|
|
9023537_1
|
CDM
|
Sz 50 Knee Kit
|
16
|
16
|
$2,627.52
|
$2,102.02
|
$998.46
|
$2,548.69
|
$1,916.78
|
2026-03-31
|
|
59410
|
HCPCS
|
Vaginal Delivery With Post Delivery Care
|
19
|
19
|
$2,605.00
|
$2,084.00
20% off
|
$854.19
|
$2,683.15
|
$1,456.64
|
2026-03-31
|
|
71270
|
HCPCS
|
CT Scan Of Chest Before And After Contrast
|
19
|
19
|
$2,598.00
|
$2,078.40
|
$395.61
|
$2,701.92
|
$1,971.88
|
2026-03-31
|
|
71552
|
HCPCS
|
MRI Scan Of Chest Before And After Contrast
|
19
|
19
|
$2,598.00
|
$2,078.40
|
$532.16
|
$2,701.92
|
$1,971.88
|
2026-03-31
|
|
7845909_2
|
CDM
|
49560 Repair Initial Incisional Or Ventral Hernia
|
4
|
4
|
$2,596.00
|
$2,076.80
|
$1,947.00
|
$2,466.20
|
$1,947.00
|
2026-03-31
|
|
49616
|
HCPCS
|
Repair Of Recurrent Entrapped Hernia Of Abdomen, 3-10 Cm In Length
|
19
|
19
|
$2,596.00
|
$2,076.80
|
$691.37
|
$2,466.20
|
$1,140.76
|
2026-03-31
|
|
C1771
|
HCPCS
|
Repair Device, Urinary, Incontinence, With Sling Graft
|
17
|
17
|
$2,590.00
|
$2,072.00
20% off
|
$984.20
|
$2,693.60
|
$2,201.50
|
2026-03-31
|
|
35201
|
HCPCS
|
Repair Of Blood Vessel Of Neck
|
19
|
19
|
$2,590.00
|
$2,072.00
20% off
|
$751.15
|
$2,667.70
|
$2,037.39
|
2026-03-31
|
|
9023539_1
|
CDM
|
Sz 75 Cerv/Shoulder Kit
|
16
|
16
|
$2,588.68
|
$2,070.94
20% off
|
$983.70
|
$2,511.02
|
$1,888.44
|
2026-03-31
|
|
9023541_1
|
CDM
|
Sz 50 Cervical Kit
|
16
|
16
|
$2,588.68
|
$2,070.94
20% off
|
$983.70
|
$2,511.02
|
$1,888.44
|
2026-03-31
|
|
19120
|
HCPCS
|
Removal Of Growth And Tissue Of Breast, Duct, Or Nipple
|
38
|
20
|
$2,578.50
|
$2,062.80
|
$364.45
|
$3,850.08
|
$1,413.80
|
2026-03-31
|
|
64635
|
HCPCS
|
Destruction Of Lower Or Sacral Spinal Facet Joint Nerves Using Imaging Guidance,…
|
76
|
20
|
$2,577.39
|
$2,061.91
|
$162.49
|
$5,747.04
|
$1,181.05
|
2026-03-31
|
|
49010
|
HCPCS
|
Exploration Behind Abdominal Cavity
|
19
|
19
|
$2,569.00
|
$2,055.20
20% off
|
$768.27
|
$2,646.07
|
$1,888.34
|
2026-03-31
|
|
64633
|
HCPCS
|
Destruction Of Upper Or Middle Spinal Facet Joint Nerves Using Imaging Guidance,…
|
76
|
20
|
$2,567.57
|
$2,054.05
20% off
|
$162.01
|
$5,747.04
|
$1,171.18
|
2026-03-31
|
|
55040
|
HCPCS
|
Removal Of Fluid Collection In Testicle And Sperm Reservoir
|
38
|
20
|
$2,565.50
|
$2,052.40
20% off
|
$290.99
|
$4,328.48
|
$1,289.82
|
2026-03-31
|
|
15240
|
HCPCS
|
Full Thickness Skin Graft To Forehead, Cheeks, Chin, Mouth, Neck, Underarms, Gen…
|
19
|
19
|
$2,563.00
|
$2,050.40
|
$644.55
|
$2,639.89
|
$1,680.30
|
2026-03-31
|
|
19302
|
HCPCS
|
Partial Removal Of Breast And Underarm Lymph Nodes
|
19
|
19
|
$2,537.00
|
$2,029.60
20% off
|
$771.69
|
$2,613.11
|
$1,718.12
|
2026-03-31
|
|
73702
|
HCPCS
|
CT Scan Of Leg Before And After Contrast
|
57
|
19
|
$2,520.00
|
$2,016.00
20% off
|
$395.61
|
$3,456.96
|
$2,142.00
|
2026-03-31
|
|
73202
|
HCPCS
|
CT Scan Of Arm Before And After Contrast
|
57
|
19
|
$2,520.00
|
$2,016.00
20% off
|
$395.61
|
$3,456.96
|
$2,142.00
|
2026-03-31
|
|
8980092_1
|
CDM
|
Surgimesh Xb (Tintra C-10)
|
16
|
16
|
$2,500.00
|
$2,000.00
20% off
|
$950.00
|
$2,425.00
|
$1,823.75
|
2026-03-31
|
|
27880
|
HCPCS
|
Amputation Of Both Lower Leg Bones
|
19
|
19
|
$2,499.00
|
$1,999.20
20% off
|
$731.80
|
$2,573.97
|
$1,879.06
|
2026-03-31
|
|
45385
|
HCPCS
|
Removal Of Polyps Or Growths Of Large Bowel Using An Endoscope With Mechanical S…
|
38
|
20
|
$2,467.50
|
$1,974.00
20% off
|
$208.30
|
$3,632.72
|
$1,333.97
|
2026-03-31
|
|
43999
|
HCPCS
|
Other Procedure On Stomach
|
11
|
11
|
$2,466.00
|
$1,972.80
20% off
|
$59.45
|
$2,539.98
|
$1,849.50
|
2026-03-31
|
|
44180
|
HCPCS
|
Release Of Small Bowel Scar Tissue Using An Endoscope
|
19
|
19
|
$2,457.00
|
$1,965.60
20% off
|
$767.64
|
$2,530.71
|
$1,812.57
|
2026-03-31
|
|
J0585
|
HCPCS
|
Injection, Onabotulinumtoxina, 1 Unit
|
67
|
19
|
$2,431.30
|
$1,945.04
20% off
|
$6.31
|
$4,962.67
|
$1,831.42
|
2026-03-31
|
|
59514
|
HCPCS
|
Cesarean Delivery
|
38
|
20
|
$2,428.50
|
$1,942.80
20% off
|
$607.24
|
$3,582.02
|
$1,230.07
|
2026-03-31
|
|
43255
|
HCPCS
|
Control Of Bleeding Of Esophagus, Stomach, And/or Upper Small Bowel Using A Flex…
|
38
|
20
|
$2,426.50
|
$1,941.20
20% off
|
$165.08
|
$3,151.20
|
$1,168.67
|
2026-03-31
|
|
15100
|
HCPCS
|
Partial Thickness Self Skin Graft To Trunk, Arms, Or Legs, 100.0 Sq Cm Or 1% Bod…
|
19
|
19
|
$2,425.00
|
$1,940.00
20% off
|
$598.56
|
$2,497.75
|
$1,512.20
|
2026-03-31
|
|
45381
|
HCPCS
|
Injection Beneath Lining Of Large Bowel Using A Flexible Endoscope
|
38
|
20
|
$2,412.00
|
$1,929.60
20% off
|
$165.17
|
$3,632.72
|
$1,327.34
|
2026-03-31
|
|
8980096_1
|
CDM
|
Secure Strap -20
|
16
|
16
|
$2,404.50
|
$1,923.60
20% off
|
$913.71
|
$2,332.37
|
$1,754.09
|
2026-03-31
|
|
45380
|
HCPCS
|
Biopsy Of Large Bowel Using A Flexible Endoscope
|
38
|
20
|
$2,399.00
|
$1,919.20
20% off
|
$165.17
|
$3,632.72
|
$1,327.34
|
2026-03-31
|
|
70470
|
HCPCS
|
CT Scan Of Head Or Brain Before And After Contrast
|
19
|
19
|
$2,391.00
|
$1,912.80
20% off
|
$395.61
|
$2,486.64
|
$1,814.77
|
2026-03-31
|
|
14021
|
HCPCS
|
Repair Of Wound Of Scalp, Arms, Or Legs By Transferring Skin, 10.1-30.0 Sq Cm
|
19
|
19
|
$2,387.00
|
$1,909.60
20% off
|
$571.78
|
$2,458.61
|
$1,498.20
|
2026-03-31
|
|
1378488_1
|
CDM
|
Operating Room Services - General Classification
|
16
|
16
|
$2,380.33
|
$1,904.26
20% off
|
$904.53
|
$2,308.92
|
$1,736.45
|
2026-03-31
|
|
70549
|
HCPCS
|
MRI Scan Of Blood Vessels Of Neck Before And After Contrast
|
19
|
19
|
$2,370.00
|
$1,896.00
20% off
|
$634.13
|
$2,464.80
|
$1,798.83
|
2026-03-31
|
|
72194
|
HCPCS
|
CT Scan Of Pelvis Before And After Contrast
|
19
|
19
|
$2,358.00
|
$1,886.40
|
$395.61
|
$2,452.32
|
$1,789.72
|
2026-03-31
|
|
72130
|
HCPCS
|
CT Scan Of Middle Spine Before And After Contrast
|
19
|
19
|
$2,358.00
|
$1,886.40
|
$395.61
|
$2,452.32
|
$1,789.72
|
2026-03-31
|
|
74170
|
HCPCS
|
CT Scan Of Abdomen Before And After Contrast
|
19
|
19
|
$2,358.00
|
$1,886.40
|
$395.61
|
$2,452.32
|
$1,789.72
|
2026-03-31
|
|
72133
|
HCPCS
|
CT Scan Of Lower Spine Before And After Contrast
|
19
|
19
|
$2,358.00
|
$1,886.40
|
$395.61
|
$2,452.32
|
$1,789.72
|
2026-03-31
|
|
70492
|
HCPCS
|
CT Scan Of Soft Tissue Of Neck Before And After Contrast
|
19
|
19
|
$2,358.00
|
$1,886.40
|
$395.61
|
$2,452.32
|
$1,789.72
|
2026-03-31
|
|
71260
|
HCPCS
|
CT Scan Of Chest With Contrast
|
19
|
19
|
$2,317.00
|
$1,853.60
20% off
|
$395.61
|
$2,409.68
|
$1,758.60
|
2026-03-31
|
|
36573
|
HCPCS
|
Insertion Of Tube For Infusion With Imaging Guidance And Review By Radiologist, …
|
38
|
20
|
$2,301.00
|
$1,840.80
20% off
|
$67.61
|
$3,688.88
|
$1,217.26
|
2026-03-31
|
|
45172
|
HCPCS
|
Removal Of Growth Of Rectum Through Anus With Removal Of A Portion Of Muscle
|
19
|
19
|
$2,298.00
|
$1,838.40
|
$723.59
|
$2,366.94
|
$1,675.66
|
2026-03-31
|
|
70482
|
HCPCS
|
CT Scan Of Cranial Cavity Before And After Contrast
|
19
|
19
|
$2,292.00
|
$1,833.60
20% off
|
$395.61
|
$2,383.68
|
$1,739.63
|
2026-03-31
|
|
15839
|
HCPCS
|
Removal Of Extra Skin And Tissue Of Other Area
|
19
|
19
|
$2,286.00
|
$1,828.80
20% off
|
$619.75
|
$2,354.58
|
$1,501.94
|
2026-03-31
|
|
70487
|
HCPCS
|
CT Scan Of Face With Contrast
|
19
|
19
|
$2,280.00
|
$1,824.00
20% off
|
$395.61
|
$2,371.20
|
$1,730.52
|
2026-03-31
|
|
47563
|
HCPCS
|
Removal Of Gallbladder With X-ray Study Of Bile Ducts Using An Endoscope
|
19
|
19
|
$2,273.00
|
$1,818.40
|
$607.09
|
$2,341.19
|
$1,471.79
|
2026-03-31
|
|
70491
|
HCPCS
|
CT Scan Of Soft Tissue Of Neck With Contrast
|
19
|
19
|
$2,261.00
|
$1,808.80
20% off
|
$395.61
|
$2,351.44
|
$1,716.10
|
2026-03-31
|
|
73201
|
HCPCS
|
CT Scan Of Arm With Contrast
|
57
|
19
|
$2,251.00
|
$1,800.80
20% off
|
$395.61
|
$3,038.88
|
$1,913.35
|
2026-03-31
|
|
73701
|
HCPCS
|
CT Scan Of Leg With Contrast Material
|
57
|
19
|
$2,251.00
|
$1,800.80
20% off
|
$395.61
|
$3,038.88
|
$1,913.35
|
2026-03-31
|
|
19380
|
HCPCS
|
Surgical Change To Reconstructed Breast
|
19
|
19
|
$2,237.00
|
$1,789.60
20% off
|
$668.73
|
$2,304.11
|
$1,494.60
|
2026-03-31
|
|
43251
|
HCPCS
|
Removal Of Polyps Or Growths Of Esophagus, Stomach, And/or Upper Small Bowel Usi…
|
38
|
20
|
$2,231.00
|
$1,784.80
20% off
|
$161.16
|
$3,151.20
|
$1,168.67
|
2026-03-31
|
|
23655
|
HCPCS
|
Closed Treatment Of Dislocated Shoulder With Manipulation Under Anesthesia
|
38
|
20
|
$2,227.00
|
$1,781.60
20% off
|
$378.77
|
$3,364.40
|
$1,235.44
|
2026-03-31
|
|
72127
|
HCPCS
|
CT Scan Of Upper Spine Before And After Contrast
|
19
|
19
|
$2,226.00
|
$1,780.80
20% off
|
$395.61
|
$2,315.04
|
$1,689.53
|
2026-03-31
|
|
70488
|
HCPCS
|
CT Scan Of Face Before And After Contrast
|
19
|
19
|
$2,226.00
|
$1,780.80
20% off
|
$395.61
|
$2,315.04
|
$1,689.53
|
2026-03-31
|
|
13160
|
HCPCS
|
Extensive Or Complicated Repair Of Surface Wound Reopening
|
19
|
19
|
$2,204.00
|
$1,763.20
20% off
|
$674.86
|
$2,270.12
|
$1,597.09
|
2026-03-31
|
|
73223
|
HCPCS
|
MRI Scan Of Arm Joint Before And After Contrast
|
57
|
19
|
$2,192.00
|
$1,753.60
20% off
|
$532.16
|
$2,279.68
|
$1,663.73
|
2026-03-31
|
|
73720
|
HCPCS
|
MRI Scan Of Leg Before And After Contrast
|
38
|
19
|
$2,192.00
|
$1,753.60
20% off
|
$532.16
|
$2,279.68
|
$1,663.73
|
2026-03-31
|
|
8980672_1
|
CDM
|
Ligisure 44cm (long)
|
16
|
16
|
$2,187.50
|
$1,750.00
20% off
|
$831.25
|
$2,121.88
|
$1,595.78
|
2026-03-31
|
|
70481
|
HCPCS
|
CT Scan Of Cranial Cavity With Contrast
|
19
|
19
|
$2,159.00
|
$1,727.20
20% off
|
$395.61
|
$2,245.36
|
$1,638.68
|
2026-03-31
|
|
35206
|
HCPCS
|
Repair Of Blood Vessel Of Arm
|
19
|
19
|
$2,157.00
|
$1,725.60
20% off
|
$646.73
|
$2,221.71
|
$1,665.29
|
2026-03-31
|
|
26910
|
HCPCS
|
Amputation Of Finger Or Thumb
|
19
|
19
|
$2,157.00
|
$1,725.60
20% off
|
$673.35
|
$2,221.71
|
$1,440.43
|
2026-03-31
|
|
27087
|
HCPCS
|
Removal Of Foreign Body In Tissue Or Muscle Of Pelvis Or Hip
|
19
|
19
|
$2,129.00
|
$1,703.20
20% off
|
$535.85
|
$2,192.87
|
$1,244.50
|
2026-03-31
|
|
77059
|
HCPCS
|
MRI Both Breasts
|
17
|
17
|
$2,123.00
|
$1,698.40
|
$806.74
|
$2,207.92
|
$1,804.55
|
2026-03-31
|
|
76094
|
HCPCS
|
MRI Breast Without Contrast Bilateral.
|
17
|
17
|
$2,123.00
|
$1,698.40
|
$806.74
|
$2,207.92
|
$1,804.55
|
2026-03-31
|
|
70546
|
HCPCS
|
MRI Scan Of Blood Vessels Of Head Before And After Contrast
|
19
|
19
|
$2,123.00
|
$1,698.40
|
$634.13
|
$2,207.92
|
$1,611.36
|
2026-03-31
|
|
72125
|
HCPCS
|
CT Scan Of Upper Spine Without Contrast
|
19
|
19
|
$2,109.00
|
$1,687.20
20% off
|
$144.02
|
$2,193.36
|
$1,600.73
|
2026-03-31
|
|
J0248
|
HCPCS
|
Injection, Remdesivir, 1 Mg
|
19
|
19
|
$2,104.31
|
$1,683.45
|
$799.64
|
$2,188.48
|
$1,597.17
|
2026-03-31
|
|
27339
|
HCPCS
|
Removal Of Growth Of Muscle Of Thigh Or Knee, 5.0 Cm Or More
|
19
|
19
|
$2,103.00
|
$1,682.40
|
$640.92
|
$2,166.09
|
$1,539.44
|
2026-03-31
|
|
58661
|
HCPCS
|
Removal Of Ovaries And/or Tubes Using An Endoscope
|
19
|
19
|
$2,091.00
|
$1,672.80
20% off
|
$530.94
|
$2,153.73
|
$1,340.09
|
2026-03-31
|
|
C1781
|
HCPCS
|
Mesh (implantable)
|
221
|
17
|
$2,090.00
|
$1,672.00
20% off
|
$185.27
|
$3,716.54
|
$1,357.97
|
2026-03-31
|
|
J0490
|
HCPCS
|
Injection, Belimumab, 10 Mg
|
19
|
19
|
$2,089.39
|
$1,671.51
20% off
|
$793.97
|
$2,172.97
|
$1,775.98
|
2026-03-31
|
|
70542
|
HCPCS
|
MRI Scan Of Bone Of Eye Socket, Face, And/or Neck With Contrast
|
19
|
19
|
$2,084.00
|
$1,667.20
20% off
|
$532.16
|
$2,167.36
|
$1,581.76
|
2026-03-31
|
|
60220
|
HCPCS
|
Removal Of Thyroid Lobe On Side Of Neck
|
19
|
19
|
$2,079.00
|
$1,663.20
20% off
|
$579.99
|
$2,141.37
|
$1,536.90
|
2026-03-31
|
|
49594
|
HCPCS
|
Initial Repair Of Entrapped Hernia Of Abdomen, 3-10 Cm In Length
|
36
|
20
|
$2,078.00
|
$1,662.40
|
$601.94
|
$9,412.00
|
$2,135.14
|
2026-03-31
|
|
43247
|
HCPCS
|
Removal Of Foreign Bodies Of Esophagus, Stomach, And/or Upper Small Bowel Using …
|
38
|
20
|
$2,065.00
|
$1,652.00
20% off
|
$145.97
|
$3,151.20
|
$1,142.20
|
2026-03-31
|
|
T1015
|
HCPCS
|
Clinic Visit/encounter, All-inclusive
|
74
|
14
|
$2,062.00
|
$1,649.60
20% off
|
$31.70
|
$2,695.51
|
$1,494.00
|
2026-03-31
|
|
43239
|
HCPCS
|
Biopsy Of Esophagus, Stomach, And/or Upper Small Bowel Using A Flexible Endoscop…
|
38
|
20
|
$2,059.00
|
$1,647.20
20% off
|
$115.02
|
$3,151.20
|
$1,136.02
|
2026-03-31
|
|
5688440_1
|
CDM
|
Gelport System
|
16
|
16
|
$2,053.77
|
$1,643.02
|
$780.43
|
$1,992.16
|
$1,498.22
|
2026-03-31
|
|
78494
|
HCPCS
|
Nuclear Medicine Study Of Heart Pumping Function By Labeling Red Blood Cells Wit…
|
19
|
19
|
$2,043.00
|
$1,634.40
|
$466.58
|
$2,124.72
|
$1,550.64
|
2026-03-31
|
|
72131
|
HCPCS
|
CT Scan Of Lower Spine Without Contrast
|
19
|
19
|
$2,030.00
|
$1,624.00
20% off
|
$144.02
|
$2,111.20
|
$1,540.77
|
2026-03-31
|
|
72126
|
HCPCS
|
CT Scan Of Upper Spine With Contrast
|
19
|
19
|
$2,025.00
|
$1,620.00
20% off
|
$395.61
|
$2,106.00
|
$1,536.98
|
2026-03-31
|
|
11772
|
HCPCS
|
Complicated Removal Of Cyst Of Tailbone
|
19
|
19
|
$2,021.00
|
$1,616.80
20% off
|
$515.69
|
$2,081.63
|
$1,200.95
|
2026-03-31
|
|
21554
|
HCPCS
|
Removal Of Growth Of Muscle Of Neck Or Front Of Chest, 5.0 Cm Or More
|
19
|
19
|
$2,018.00
|
$1,614.40
|
$612.30
|
$2,078.54
|
$1,495.90
|
2026-03-31
|
|
70552
|
HCPCS
|
MRI Scan Of Brain With Contrast
|
19
|
19
|
$2,015.00
|
$1,612.00
20% off
|
$532.16
|
$2,095.60
|
$1,529.39
|
2026-03-31
|
|
74185
|
HCPCS
|
MRI Scan Of Blood Vessels Of Abdomen
|
19
|
19
|
$2,015.00
|
$1,612.00
20% off
|
$634.13
|
$2,095.60
|
$1,529.39
|
2026-03-31
|
|
73219
|
HCPCS
|
MRI Scan Of Arm With Contrast
|
38
|
19
|
$2,015.00
|
$1,612.00
20% off
|
$532.16
|
$2,095.60
|
$1,529.39
|
2026-03-31
|
|
73719
|
HCPCS
|
MRI Scan Of Leg With Contrast
|
38
|
19
|
$2,015.00
|
$1,612.00
20% off
|
$532.16
|
$2,095.60
|
$1,529.39
|
2026-03-31
|
|
74182
|
HCPCS
|
MRI Scan Of Abdomen With Contrast
|
19
|
19
|
$2,015.00
|
$1,612.00
20% off
|
$532.16
|
$2,095.60
|
$1,529.39
|
2026-03-31
|
|
73722
|
HCPCS
|
MRI Scan Of Leg Joint With Contrast
|
57
|
19
|
$2,015.00
|
$1,612.00
20% off
|
$532.16
|
$2,095.60
|
$1,529.39
|
2026-03-31
|
|
74181
|
HCPCS
|
MRI Scan Of Abdomen Without Contrast
|
19
|
19
|
$2,015.00
|
$1,612.00
20% off
|
$310.68
|
$2,095.60
|
$1,529.39
|
2026-03-31
|
|
72142
|
HCPCS
|
MRI Scan Of Upper Spinal Canal With Contrast
|
19
|
19
|
$2,015.00
|
$1,612.00
20% off
|
$532.16
|
$2,095.60
|
$1,529.39
|
2026-03-31
|
|
72196
|
HCPCS
|
MRI Scan Of Pelvis With Contrast
|
19
|
19
|
$2,015.00
|
$1,612.00
20% off
|
$532.16
|
$2,095.60
|
$1,529.39
|
2026-03-31
|
|
73222
|
HCPCS
|
MRI Scan Of Arm Joint With Contrast
|
19
|
19
|
$2,015.00
|
$1,612.00
20% off
|
$532.16
|
$2,095.60
|
$1,529.39
|
2026-03-31
|
|
71555
|
HCPCS
|
MRI Scan Of Blood Vessels Of Chest
|
19
|
19
|
$2,015.00
|
$1,612.00
20% off
|
$634.13
|
$2,095.60
|
$1,529.39
|
2026-03-31
|
|
72147
|
HCPCS
|
MRI Scan Of Middle Spinal Canal With Contrast
|
19
|
19
|
$2,015.00
|
$1,612.00
20% off
|
$532.16
|
$2,095.60
|
$1,529.39
|
2026-03-31
|
|
93306
|
HCPCS
|
Ultrasound Of Heart With Color-depicted Blood Flow, Rate, Direction And Valve Fu…
|
19
|
19
|
$2,013.00
|
$1,610.40
|
$574.14
|
$2,093.52
|
$1,527.87
|
2026-03-31
|
|
C8929
|
HCPCS
|
Transthoracic Echocardiography With Contrast, Or Without Contrast Followed By Wi…
|
19
|
19
|
$2,013.00
|
$1,610.40
|
$574.14
|
$2,093.52
|
$1,527.87
|
2026-03-31
|
|
J7307
|
HCPCS
|
Etonogestrel (contraceptive) Implant System, Including Implant And Supplies
|
14
|
14
|
$1,995.00
|
$1,596.00
20% off
|
$59.45
|
$2,433.90
|
$1,214.63
|
2026-03-31
|
|
26951
|
HCPCS
|
Amputation Of Finger Or Thumb With Direct Closure
|
38
|
20
|
$1,980.00
|
$1,584.00
20% off
|
$636.44
|
$2,059.20
|
$1,444.41
|
2026-03-31
|
|
60210
|
HCPCS
|
Partial Removal Of Thyroid Lobe On Side Of Neck
|
19
|
19
|
$1,968.00
|
$1,574.40
|
$583.93
|
$2,027.04
|
$1,401.02
|
2026-03-31
|
|
28805
|
HCPCS
|
Amputation Of Foot Across Instep
|
19
|
19
|
$1,960.00
|
$1,568.00
20% off
|
$602.31
|
$2,018.80
|
$1,550.19
|
2026-03-31
|
|
72129
|
HCPCS
|
CT Scan Of Middle Spine With Contrast
|
19
|
19
|
$1,957.00
|
$1,565.60
20% off
|
$395.61
|
$2,035.28
|
$1,485.36
|
2026-03-31
|
|
72132
|
HCPCS
|
CT Scan Of Lower Spine With Contrast
|
19
|
19
|
$1,957.00
|
$1,565.60
20% off
|
$395.61
|
$2,035.28
|
$1,485.36
|
2026-03-31
|
|
76093
|
HCPCS
|
MRI Breast Without Contrast Left.
|
34
|
17
|
$1,944.00
|
$1,555.20
20% off
|
$738.72
|
$2,021.76
|
$1,652.40
|
2026-03-31
|
|
77058
|
HCPCS
|
MRI One Breast
|
34
|
17
|
$1,944.00
|
$1,555.20
20% off
|
$738.72
|
$2,021.76
|
$1,652.40
|
2026-03-31
|
|
73725
|
HCPCS
|
MRI Scan Of Blood Vessels Of Leg
|
38
|
19
|
$1,944.00
|
$1,555.20
20% off
|
$634.13
|
$2,021.76
|
$1,475.50
|
2026-03-31
|
|
72198
|
HCPCS
|
MRI Scan Of Blood Vessels Of Pelvis
|
19
|
19
|
$1,944.00
|
$1,555.20
20% off
|
$634.13
|
$2,021.76
|
$1,475.50
|
2026-03-31
|
|
71550
|
HCPCS
|
MRI Scan Of Chest Without Contrast
|
19
|
19
|
$1,944.00
|
$1,555.20
20% off
|
$310.68
|
$2,021.76
|
$1,475.50
|
2026-03-31
|
|
72195
|
HCPCS
|
MRI Scan Of Pelvis Without Contrast
|
19
|
19
|
$1,944.00
|
$1,555.20
20% off
|
$310.68
|
$2,021.76
|
$1,475.50
|
2026-03-31
|
|
70547
|
HCPCS
|
MRI Scan Of Blood Vessels Of Neck Without Contrast
|
19
|
19
|
$1,944.00
|
$1,555.20
20% off
|
$634.13
|
$2,021.76
|
$1,475.50
|
2026-03-31
|
|
73225
|
HCPCS
|
MRI Scan Of Blood Vessels Of Arm
|
38
|
19
|
$1,944.00
|
$1,555.20
20% off
|
$634.13
|
$2,021.76
|
$1,475.50
|
2026-03-31
|
|
72159
|
HCPCS
|
MRI Scan Of Blood Vessels Of Spinal Canal
|
19
|
19
|
$1,944.00
|
$1,555.20
20% off
|
$634.13
|
$2,021.76
|
$1,475.50
|
2026-03-31
|
|
70540
|
HCPCS
|
MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Without Contrast
|
19
|
19
|
$1,944.00
|
$1,555.20
20% off
|
$310.68
|
$2,021.76
|
$1,475.50
|
2026-03-31
|
|
70548
|
HCPCS
|
MRI Scan Of Blood Vessels Of Neck With Contrast
|
19
|
19
|
$1,944.00
|
$1,555.20
20% off
|
$634.13
|
$2,021.76
|
$1,475.50
|
2026-03-31
|
|
70480
|
HCPCS
|
CT Scan Of Cranial Cavity Without Contrast
|
19
|
19
|
$1,944.00
|
$1,555.20
20% off
|
$144.02
|
$2,021.76
|
$1,475.50
|
2026-03-31
|
|
70545
|
HCPCS
|
MRI Scan Of Blood Vessels Of Head With Contrast
|
19
|
19
|
$1,944.00
|
$1,555.20
20% off
|
$634.13
|
$2,021.76
|
$1,475.50
|
2026-03-31
|
|
14020
|
HCPCS
|
Repair Of Wound Of Scalp, Arms, Or Legs By Transferring Skin, 10.0 Sq Cm Or Less
|
19
|
19
|
$1,939.00
|
$1,551.20
20% off
|
$464.47
|
$1,997.17
|
$1,200.40
|
2026-03-31
|
|
26418
|
HCPCS
|
Repair Of Tendon On Top Side Of Finger
|
19
|
19
|
$1,930.00
|
$1,544.00
20% off
|
$571.93
|
$1,987.90
|
$1,129.51
|
2026-03-31
|
|
A4649
|
HCPCS
|
Surgical Supply; Miscellaneous
|
68
|
17
|
$1,908.08
|
$1,526.47
|
$40.31
|
$2,184.00
|
$1,335.65
|
2026-03-31
|
|
74160
|
HCPCS
|
CT Scan Of Abdomen With Contrast
|
19
|
19
|
$1,907.00
|
$1,525.60
20% off
|
$395.61
|
$1,983.28
|
$1,447.41
|
2026-03-31
|
|
72193
|
HCPCS
|
CT Scan Of Pelvis With Contrast
|
19
|
19
|
$1,903.00
|
$1,522.40
|
$395.61
|
$1,979.12
|
$1,444.38
|
2026-03-31
|
|
58662
|
HCPCS
|
Destruction Or Removal Of Ovary Or Growth Of Pelvis Using An Endoscope
|
19
|
19
|
$1,895.00
|
$1,516.00
20% off
|
$585.53
|
$1,951.85
|
$1,463.86
|
2026-03-31
|
|
49540
|
HCPCS
|
Repair Of Abdominal Muscle Hernia
|
19
|
19
|
$1,893.00
|
$1,514.40
|
$571.94
|
$1,949.79
|
$1,313.70
|
2026-03-31
|
|
23073
|
HCPCS
|
Removal Of Growth Of Muscle Of Shoulder, 5.0 Cm Or More
|
19
|
19
|
$1,882.00
|
$1,505.60
20% off
|
$591.45
|
$1,938.46
|
$1,413.17
|
2026-03-31
|
|
70490
|
HCPCS
|
CT Scan Of Soft Tissue Of Neck Without Contrast
|
19
|
19
|
$1,878.00
|
$1,502.40
|
$144.02
|
$1,953.12
|
$1,425.40
|
2026-03-31
|
|
70450
|
HCPCS
|
CT Scan Head Or Brain Without Contrast
|
19
|
19
|
$1,874.00
|
$1,499.20
20% off
|
$395.61
|
$1,948.96
|
$1,422.37
|
2026-03-31
|
|
71250
|
HCPCS
|
CT Scan Of Chest Without Contrast
|
19
|
19
|
$1,862.00
|
$1,489.60
20% off
|
$144.02
|
$1,936.48
|
$1,413.26
|
2026-03-31
|
|
70486
|
HCPCS
|
CT Scan Of Face Without Contrast
|
19
|
19
|
$1,862.00
|
$1,489.60
20% off
|
$144.02
|
$1,936.48
|
$1,413.26
|
2026-03-31
|
|
60200
|
HCPCS
|
Incision Of Cyst Or Growth Of Thyroid
|
19
|
19
|
$1,858.00
|
$1,486.40
|
$561.20
|
$1,913.74
|
$1,306.59
|
2026-03-31
|
|
19301
|
HCPCS
|
Partial Removal Of Breast
|
19
|
19
|
$1,847.00
|
$1,477.60
20% off
|
$562.94
|
$1,902.41
|
$1,208.37
|
2026-03-31
|
|
21932
|
HCPCS
|
Removal Of Growth Of Muscle Of Back Or Lower Sides, Less Than 5.0 Cm
|
19
|
19
|
$1,837.00
|
$1,469.60
20% off
|
$562.19
|
$1,892.11
|
$1,354.97
|
2026-03-31
|
|
70460
|
HCPCS
|
CT Scan Head Or Brain With Contrast
|
19
|
19
|
$1,823.00
|
$1,458.40
|
$395.61
|
$1,895.92
|
$1,383.66
|
2026-03-31
|
|
58660
|
HCPCS
|
Removal Of Scar Tissue Of Ovaries Or Fallopian Tubes Using An Endoscope
|
19
|
19
|
$1,819.00
|
$1,455.20
20% off
|
$565.33
|
$1,873.57
|
$1,392.34
|
2026-03-31
|
|
26560
|
HCPCS
|
Repair Of Webbed Finger With Skin Flaps
|
19
|
19
|
$1,811.00
|
$1,448.80
20% off
|
$579.11
|
$1,865.33
|
$1,140.00
|
2026-03-31
|
|
44950
|
HCPCS
|
Removal Of Appendix
|
19
|
19
|
$1,793.00
|
$1,434.40
|
$538.28
|
$1,846.79
|
$1,257.76
|
2026-03-31
|
|
78227
|
HCPCS
|
Nuclear Medicine Study Of Liver And Bile Duct System With Use Of Drugs
|
19
|
19
|
$1,765.00
|
$1,412.00
20% off
|
$466.58
|
$1,835.60
|
$1,339.64
|
2026-03-31
|
|
21440
|
HCPCS
|
Closed Treatment Of Broken Upper Or Lower Jaw Bone
|
38
|
20
|
$1,751.50
|
$1,401.20
20% off
|
$551.62
|
$3,678.41
|
$1,168.62
|
2026-03-31
|
|
5688192_1
|
CDM
|
Retrieval Dev.- Roth Net
|
16
|
16
|
$1,750.00
|
$1,400.00
20% off
|
$665.00
|
$1,697.50
|
$1,276.62
|
2026-03-31
|
|
44340
|
HCPCS
|
Simple Revision Of Superficial Scar Tissue From Surgically Created Opening Of La…
|
19
|
19
|
$1,746.00
|
$1,396.80
20% off
|
$546.53
|
$1,798.38
|
$1,220.00
|
2026-03-31
|
|
72192
|
HCPCS
|
CT Scan Of Pelvis Without Contrast
|
19
|
19
|
$1,743.00
|
$1,394.40
|
$144.02
|
$1,812.72
|
$1,322.94
|
2026-03-31
|
|
74150
|
HCPCS
|
CT Scan Of Abdomen Without Contrast
|
19
|
19
|
$1,743.00
|
$1,394.40
|
$144.02
|
$1,812.72
|
$1,322.94
|
2026-03-31
|
|
72128
|
HCPCS
|
CT Scan Of Middle Spine Without Contrast
|
19
|
19
|
$1,743.00
|
$1,394.40
|
$144.02
|
$1,812.72
|
$1,322.94
|
2026-03-31
|
|
8944117_1
|
CDM
|
Kbd Glide
|
16
|
16
|
$1,732.50
|
$1,386.00
20% off
|
$658.35
|
$1,680.53
|
$1,263.86
|
2026-03-31
|
|
45171
|
HCPCS
|
Removal Of Growth Of Rectum Through Anus
|
19
|
19
|
$1,727.00
|
$1,381.60
20% off
|
$555.42
|
$1,778.81
|
$1,218.45
|
2026-03-31
|
|
26410
|
HCPCS
|
Repair Of Tendon On Top Of Hand
|
38
|
20
|
$1,712.00
|
$1,369.60
20% off
|
$545.30
|
$1,827.71
|
$1,248.91
|
2026-03-31
|
|
8997868_1
|
CDM
|
Surgimesh Wn 10x15cm
|
16
|
16
|
$1,697.50
|
$1,358.00
20% off
|
$645.05
|
$1,646.58
|
$1,238.33
|
2026-03-31
|
|
1169270_1
|
CDM
|
Nm Kidney Spect
|
16
|
16
|
$1,665.00
|
$1,332.00
20% off
|
$632.70
|
$1,615.05
|
$1,214.62
|
2026-03-31
|
|
Q0138
|
HCPCS
|
Injection, Ferumoxytol, For Treatment Of Iron Deficiency Anemia, 1 Mg (non-esrd …
|
19
|
19
|
$1,658.92
|
$1,327.14
|
$327.26
|
$1,725.28
|
$1,259.12
|
2026-03-31
|
|
5688329_1
|
CDM
|
Hernia System-large
|
16
|
16
|
$1,658.65
|
$1,326.92
20% off
|
$630.29
|
$1,608.89
|
$1,209.99
|
2026-03-31
|
|
7845939_2
|
CDM
|
Placement Breast Localization Device
|
4
|
4
|
$1,644.00
|
$1,315.20
20% off
|
$1,233.00
|
$1,561.80
|
$1,233.00
|
2026-03-31
|
|
8980117_1
|
CDM
|
Secure Strap 25
|
16
|
16
|
$1,638.00
|
$1,310.40
|
$622.44
|
$1,588.86
|
$1,194.92
|
2026-03-31
|
|
49550
|
HCPCS
|
Repair Of Femoral Groin Hernia
|
19
|
19
|
$1,615.00
|
$1,292.00
20% off
|
$496.10
|
$1,663.45
|
$1,130.80
|
2026-03-31
|
|
27266
|
HCPCS
|
Closed Treatment Of Dislocated Hip Prosthesis Under Anesthesia
|
41
|
20
|
$1,612.00
|
$1,289.60
20% off
|
$503.90
|
$1,681.99
|
$1,258.02
|
2026-03-31
|
|
73700
|
HCPCS
|
CT Scan Of Leg Without Contrast
|
57
|
19
|
$1,609.00
|
$1,287.20
20% off
|
$144.02
|
$2,371.20
|
$1,367.65
|
2026-03-31
|
|
73200
|
HCPCS
|
CT Scan Of Arm Without Contrast
|
57
|
19
|
$1,609.00
|
$1,287.20
20% off
|
$144.02
|
$2,371.20
|
$1,367.65
|
2026-03-31
|
|
7846021_2
|
CDM
|
49591 Repair Of Anterior Abdominal Hernia
|
4
|
4
|
$1,607.00
|
$1,285.60
20% off
|
$1,205.25
|
$1,526.65
|
$1,205.25
|
2026-03-31
|
|
43653
|
HCPCS
|
Creation Of Surgical Opening From Stomach To Skin Using An Endoscope
|
19
|
19
|
$1,587.00
|
$1,269.60
20% off
|
$503.21
|
$1,634.61
|
$1,129.50
|
2026-03-31
|
|
78704
|
HCPCS
|
Nm Kidney Imaging With Function
|
17
|
17
|
$1,455.00
|
$1,164.00
20% off
|
$552.90
|
$1,513.20
|
$1,236.75
|
2026-03-31
|
|
J0666
|
HCPCS
|
Injection, Bupivacaine Liposome, 1 Mg
|
17
|
17
|
$1,449.02
|
$1,159.22
|
$550.63
|
$1,506.98
|
$1,231.67
|
2026-03-31
|
|
Q5104
|
HCPCS
|
Injection, Infliximab-abda, Biosimilar, (renflexis), 10 Mg
|
19
|
19
|
$1,393.73
|
$1,114.98
20% off
|
$529.62
|
$1,562.61
|
$1,184.67
|
2026-03-31
|
|
28820
|
HCPCS
|
Amputation Of Toe At Joint Between Forefoot And Toes
|
41
|
20
|
$1,392.00
|
$1,113.60
20% off
|
$150.36
|
$6,860.88
|
$1,426.80
|
2026-03-31
|
|
78582
|
HCPCS
|
Nuclear Medicine Study Of Lung Ventilation And Circulation
|
19
|
19
|
$1,334.00
|
$1,067.20
|
$506.92
|
$1,387.36
|
$1,133.90
|
2026-03-31
|
|
J7298
|
HCPCS
|
Levonorgestrel-releasing Intrauterine Contraceptive System (mirena), 52 Mg
|
13
|
13
|
$1,324.80
|
$1,059.84
20% off
|
$59.45
|
$1,616.26
|
$1,214.63
|
2026-03-31
|
|
45378
|
HCPCS
|
Diagnostic Exam Of Large Bowel Using A Flexible Endoscope
|
41
|
20
|
$1,305.00
|
$1,044.00
20% off
|
$152.60
|
$3,632.72
|
$1,242.63
|
2026-03-31
|
|
49592
|
HCPCS
|
Initial Repair Of Entrapped Hernia Of Abdomen, Less Than 3 Cm In Length
|
36
|
20
|
$1,298.00
|
$1,038.40
|
$385.80
|
$11,764.48
|
$1,333.70
|
2026-03-31
|
|
G0121
|
HCPCS
|
Colorectal Cancer Screening; Colonoscopy On Individual Not Meeting Criteria For …
|
44
|
20
|
$1,148.50
|
$918.80
20% off
|
$152.74
|
$3,632.72
|
$1,130.76
|
2026-03-31
|