|
J9042
|
HCPCS
|
Injection, Brentuximab Vedotin, 1 Mg
|
13
|
11
|
$34,421.96
|
$27,537.57
|
$18,243.64
|
$32,700.86
|
$27,881.79
|
2022-11-12
|
|
J2427
|
HCPCS
|
Paliperidone Palmitate 1560 Mg/5 Ml Sus [vdmc]
|
15
|
10
|
$37,769.90
|
$30,215.92
20% off
|
$16,996.46
|
$33,992.91
|
$21,891.43
|
2026-02-05
|
|
J3245
|
HCPCS
|
Tildrakizumab-asmn 100 mg/mL Syringe Pfs [vdmc]
|
28
|
21
|
$36,022.88
|
$28,818.30
20% off
|
$14,120.27
|
$32,420.59
|
$21,446.83
|
2026-02-05
|
|
J9306
|
HCPCS
|
Injection, Pertuzumab, 1 Mg
|
13
|
11
|
$22,170.60
|
$17,736.48
|
$11,750.42
|
$21,062.07
|
$17,958.19
|
2022-11-12
|
|
J9271
|
HCPCS
|
Injection, Pembrolizumab, 1 Mg
|
26
|
11
|
$19,987.28
|
$15,989.83
|
$10,488.62
|
$19,175.48
|
$16,349.62
|
2022-11-12
|
|
J9022
|
HCPCS
|
Injection, Atezolizumab, 10 Mg
|
13
|
11
|
$19,039.70
|
$15,231.76
20% off
|
$10,091.04
|
$18,087.72
|
$15,422.16
|
2022-11-12
|
|
J9144
|
HCPCS
|
Daratumumab-hyaluronidase 1800 Mg-30,000 Units/15 Ml Sol Sdv [vdmc]
|
28
|
21
|
$21,138.02
|
$16,910.42
|
$8,466.80
|
$19,024.22
|
$12,859.95
|
2026-02-05
|
|
J3380
|
HCPCS
|
Vedolizumab 300 Mg Sdv [vdmc]
|
28
|
21
|
$18,819.82
|
$15,055.86
|
$7,766.23
|
$16,937.84
|
$11,795.88
|
2026-02-05
|
|
J9354
|
HCPCS
|
Injection, Ado-trastuzumab Emtansine, 1 Mg
|
13
|
11
|
$13,235.76
|
$10,588.61
|
$7,014.95
|
$12,573.97
|
$10,720.97
|
2022-11-12
|
|
J3101
|
HCPCS
|
Tenecteplase 50 Mg IV Sdv Inj [vdmc]
|
28
|
21
|
$14,972.44
|
$11,977.95
20% off
|
$6,480.19
|
$13,475.20
|
$9,842.56
|
2026-02-05
|
|
1378482_1
|
CDM
|
Operating Room Services - General Classification
|
13
|
11
|
$8,068.00
|
$6,454.40
20% off
|
$4,276.04
|
$7,664.60
|
$6,535.08
|
2022-11-12
|
|
J2353
|
HCPCS
|
Injection, Octreotide, Depot Form For Intramuscular Injection, 1 Mg
|
13
|
11
|
$7,972.72
|
$6,378.18
|
$4,225.54
|
$7,574.08
|
$6,457.90
|
2022-11-12
|
|
J2506
|
HCPCS
|
Injection, Pegfilgrastim, Excludes Biosimilar, 0.5 Mg
|
54
|
21
|
$8,290.00
|
$6,632.00
20% off
|
$3,673.01
|
$7,875.50
|
$6,268.22
|
2026-02-05
|
|
J1162
|
HCPCS
|
Digoxin Immune Fab 40 Mg Inj Sdv [vdmc]
|
28
|
21
|
$8,898.82
|
$7,119.06
|
$4,004.47
|
$8,008.94
|
$6,169.03
|
2026-02-05
|
|
1378488_1
|
CDM
|
Operating Room Services - General Classification
|
13
|
11
|
$7,300.00
|
$5,840.00
20% off
|
$3,869.00
|
$6,935.00
|
$5,913.00
|
2022-11-12
|
|
J9217
|
HCPCS
|
Leuprolide Acetate (for Depot Suspension), 7.5 Mg
|
97
|
21
|
$10,856.72
|
$8,685.38
|
$524.82
|
$14,168.79
|
$5,754.06
|
2026-02-05
|
|
J9173
|
HCPCS
|
Injection, Durvalumab, 10 Mg
|
26
|
11
|
$9,275.56
|
$7,420.45
|
$1,919.24
|
$14,183.42
|
$5,676.50
|
2022-11-12
|
|
J2182
|
HCPCS
|
Mepolizumab 100 mg/mL Syringe Pfs [vdmc]
|
28
|
21
|
$7,477.66
|
$5,982.13
|
$3,364.95
|
$6,729.89
|
$5,310.81
|
2026-02-05
|
|
J9355
|
HCPCS
|
Injection, Trastuzumab, Excludes Biosimilar, 10 Mg
|
13
|
11
|
$6,283.68
|
$5,026.94
20% off
|
$3,330.35
|
$5,969.50
|
$5,089.78
|
2022-11-12
|
|
Q5112
|
HCPCS
|
Injection, Trastuzumab-dttb, Biosimilar, (ontruzant), 10 Mg
|
39
|
11
|
$6,305.98
|
$5,044.78
20% off
|
$1,227.70
|
$6,147.49
|
$4,853.28
|
2022-11-12
|
|
J9264
|
HCPCS
|
Injection, Paclitaxel Protein-bound Particles, 1 Mg
|
13
|
11
|
$5,916.64
|
$4,733.31
20% off
|
$3,135.82
|
$5,620.81
|
$4,792.48
|
2022-11-12
|
|
1378484_1
|
CDM
|
Operating Room Services - General Classification
|
13
|
11
|
$5,700.00
|
$4,560.00
20% off
|
$3,021.00
|
$5,415.00
|
$4,617.00
|
2022-11-12
|
|
Q5122
|
HCPCS
|
Pegfilgrastim-apgf 6 Mg/0.6 Ml SubQ Pfs Inj [vdmc]
|
15
|
10
|
$7,675.26
|
$6,140.21
|
$3,453.87
|
$6,907.73
|
$4,448.58
|
2026-02-05
|
|
44146
|
HCPCS
|
Partial Removal Of Large Bowel And Reattachment To Rectum And Creation Of Large …
|
11
|
11
|
$7,177.00
|
$5,741.60
|
$3,629.23
|
$5,741.60
|
$4,429.26
|
2022-11-12
|
|
C1780
|
HCPCS
|
Uro Neuro Stim Lead
|
28
|
21
|
$5,688.00
|
$4,550.40
20% off
|
$2,559.60
|
$5,403.60
|
$4,266.00
|
2026-02-05
|
|
28005
|
HCPCS
|
Incision Of Foot Bone
|
13
|
11
|
$4,699.00
|
$3,759.20
20% off
|
$3,524.25
|
$9,738.28
|
$4,229.10
|
2022-11-12
|
|
J2997
|
HCPCS
|
Injection, Alteplase Recombinant, 1 Mg
|
56
|
21
|
$8,469.71
|
$6,775.77
|
$322.35
|
$15,394.43
|
$4,174.69
|
2026-02-05
|
|
A4649
|
HCPCS
|
Amnion Thin Graft 4cmx6cm
|
28
|
21
|
$5,445.00
|
$4,356.00
20% off
|
$2,450.25
|
$5,172.75
|
$4,083.75
|
2026-02-05
|
|
J1306
|
HCPCS
|
Inclisiran 284 Mg/1.5 Ml Sol [vdmc]
|
15
|
10
|
$6,999.48
|
$5,599.58
20% off
|
$3,149.77
|
$6,299.53
|
$4,056.90
|
2026-02-05
|
|
45110
|
HCPCS
|
Removal Of Rectum With Creation Of Opening From Large Bowel To Skin Through Abdo…
|
11
|
11
|
$6,244.00
|
$4,995.20
20% off
|
$3,176.65
|
$4,995.20
|
$3,834.88
|
2022-11-12
|
|
8046787_1
|
CDM
|
Graft Tibialis Posterior Tendon 5x 220mm
|
13
|
11
|
$4,680.00
|
$3,744.00
20% off
|
$2,480.40
|
$4,446.00
|
$3,790.80
|
2022-11-12
|
|
8046788_1
|
CDM
|
Graft Tibialis Anterior Tendon 220mm
|
13
|
11
|
$4,680.00
|
$3,744.00
20% off
|
$2,480.40
|
$4,446.00
|
$3,790.80
|
2022-11-12
|
|
8046789_1
|
CDM
|
Graft Tibialis Anterior Tendon 7mmx200mm
|
13
|
11
|
$4,680.00
|
$3,744.00
20% off
|
$2,480.40
|
$4,446.00
|
$3,790.80
|
2022-11-12
|
|
8046783_1
|
CDM
|
Graft Tibialis Anterior Tendon 7mmx225mm
|
13
|
11
|
$4,680.00
|
$3,744.00
20% off
|
$2,480.40
|
$4,446.00
|
$3,790.80
|
2022-11-12
|
|
78815
|
HCPCS
|
Nuclear Medicine Study From Skull Base To Mid-thigh With CT Scan
|
13
|
11
|
$4,611.00
|
$3,688.80
|
$2,927.02
|
$4,380.45
|
$3,734.91
|
2022-11-12
|
|
78816
|
HCPCS
|
Nuclear Medicine Study Whole Body With CT Scan
|
13
|
11
|
$4,611.00
|
$3,688.80
|
$2,927.02
|
$4,380.45
|
$3,734.91
|
2022-11-12
|
|
78608
|
HCPCS
|
Nuclear Medicine Study Of Brain With Metabolic Evaluation
|
13
|
11
|
$4,611.00
|
$3,688.80
|
$2,927.02
|
$4,380.45
|
$3,734.91
|
2022-11-12
|
|
J3262
|
HCPCS
|
Injection, Tocilizumab, 1 Mg
|
13
|
11
|
$4,596.32
|
$3,677.06
|
$2,436.05
|
$4,366.50
|
$3,723.02
|
2022-11-12
|
|
44210
|
HCPCS
|
Removal Of Large Bowel With Attachment Of Small Bowel To Rectum Or Creation Of S…
|
11
|
11
|
$6,026.00
|
$4,820.80
20% off
|
$3,084.67
|
$4,820.80
|
$3,705.68
|
2022-11-12
|
|
44143
|
HCPCS
|
Partial Removal Of Large Bowel With Creation Of Opening From Large Bowel To Skin
|
11
|
11
|
$5,630.00
|
$4,504.00
20% off
|
$2,851.05
|
$4,504.00
|
$3,471.53
|
2022-11-12
|
|
27893
|
HCPCS
|
Incision Of Connective Tissue At Back Of Lower Leg To Relieve Pressure With Remo…
|
13
|
11
|
$3,796.00
|
$3,036.80
|
$2,847.00
|
$7,381.29
|
$3,416.40
|
2022-11-12
|
|
J0717
|
HCPCS
|
Certolizumab 200 Mg Kit Sdv[vdmc]
|
15
|
10
|
$5,819.19
|
$4,655.35
20% off
|
$2,618.64
|
$5,237.27
|
$3,372.80
|
2026-02-05
|
|
8069084_1
|
CDM
|
Operating Room Services - General Classification
|
13
|
11
|
$4,114.00
|
$3,291.20
20% off
|
$2,180.42
|
$3,908.30
|
$3,332.34
|
2022-11-12
|
|
Q5118
|
HCPCS
|
Injection, Bevacizumab-bvzr, Biosimilar, (zirabev), 10 Mg
|
26
|
11
|
$5,262.42
|
$4,209.93
20% off
|
$1,131.53
|
$7,970.39
|
$3,237.43
|
2022-11-12
|
|
44204
|
HCPCS
|
Partial Removal Of Large Bowel Using An Endoscope
|
11
|
11
|
$5,204.00
|
$4,163.20
20% off
|
$2,656.62
|
$4,163.20
|
$3,220.95
|
2022-11-12
|
|
26765
|
HCPCS
|
Treatment Of Broken End Of Finger Or Thumb
|
24
|
11
|
$4,182.00
|
$3,345.60
20% off
|
$896.00
|
$9,670.76
|
$3,136.50
|
2022-11-12
|
|
1378487_1
|
CDM
|
Operating Room Services - General Classification
|
13
|
11
|
$3,850.00
|
$3,080.00
20% off
|
$2,040.50
|
$3,657.50
|
$3,118.50
|
2022-11-12
|
|
J3111
|
HCPCS
|
Romosozumab-aqqg 210mg/2.34 Ml Sol[VDMC]
|
15
|
10
|
$5,357.84
|
$4,286.27
20% off
|
$2,411.03
|
$4,822.06
|
$3,105.40
|
2026-02-05
|
|
J9312
|
HCPCS
|
Injection, Rituximab, 10 Mg
|
26
|
11
|
$5,111.32
|
$4,089.05
20% off
|
$938.33
|
$8,029.59
|
$3,080.80
|
2022-11-12
|
|
11444
|
HCPCS
|
Removal Of Noncancer Skin Growth Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 3…
|
13
|
11
|
$3,393.00
|
$2,714.40
20% off
|
$2,544.75
|
$3,847.84
|
$3,053.70
|
2022-11-12
|
|
C1776
|
HCPCS
|
Joint Device (implantable)
|
1,107
|
21
|
$4,070.00
|
$3,256.00
20% off
|
$124.65
|
$11,830.35
|
$2,985.66
|
2026-02-05
|
|
Q4208
|
HCPCS
|
Novafixpatch 4x4cm
|
28
|
21
|
$3,960.00
|
$3,168.00
20% off
|
$1,782.00
|
$3,762.00
|
$2,970.00
|
2026-02-05
|
|
J1950
|
HCPCS
|
Leuprolide 11.25 Mg/3 Months Pow[VDMC]
|
43
|
21
|
$3,576.16
|
$2,860.93
|
$1,609.27
|
$9,028.73
|
$2,962.46
|
2026-02-05
|
|
44602
|
HCPCS
|
Suture Of Tear Of Hole In Small Bowel
|
11
|
11
|
$4,775.00
|
$3,820.00
20% off
|
$2,421.00
|
$3,820.00
|
$2,942.60
|
2022-11-12
|
|
59412
|
HCPCS
|
Turning Of Fetus Through External Manipulation
|
13
|
11
|
$3,594.00
|
$2,875.20
20% off
|
$2,127.22
|
$3,414.30
|
$2,911.14
|
2022-11-12
|
|
Q4100
|
HCPCS
|
Acellular Dermal Graft 15mm X 140mm X1.5
|
28
|
21
|
$3,859.00
|
$3,087.20
20% off
|
$1,736.55
|
$3,666.05
|
$2,894.25
|
2026-02-05
|
|
Q5115
|
HCPCS
|
Rituximab-abbs 10mg/mL 50mL Sdv [vdmc]
|
15
|
10
|
$4,914.14
|
$3,931.31
20% off
|
$2,211.36
|
$4,422.73
|
$2,848.24
|
2026-02-05
|
|
J0897
|
HCPCS
|
Denosumab 120 Mg/1.7 Ml Sdv Inj [vdmc]
|
43
|
21
|
$3,719.58
|
$2,975.66
20% off
|
$1,571.82
|
$5,796.29
|
$2,817.42
|
2026-02-05
|
|
27415
|
HCPCS
|
Implantation Of Donor Cartilage Cells Into Knee Joint
|
11
|
11
|
$4,627.00
|
$3,701.60
20% off
|
$2,401.70
|
$3,701.60
|
$2,817.00
|
2022-11-12
|
|
44140
|
HCPCS
|
Partial Removal Of Large Bowel With Connection
|
11
|
11
|
$4,535.00
|
$3,628.00
20% off
|
$2,314.56
|
$3,628.00
|
$2,795.04
|
2022-11-12
|
|
51102
|
HCPCS
|
Aspiration Of Bladder With Insertion Of Bladder Tube To Skin
|
24
|
11
|
$3,709.00
|
$2,967.20
20% off
|
$253.84
|
$5,421.22
|
$2,781.75
|
2022-11-12
|
|
25028
|
HCPCS
|
Drainage Of Deep Abscess Or Blood Accumulation Of Forearm Or Wrist
|
13
|
11
|
$3,062.00
|
$2,449.60
20% off
|
$2,296.50
|
$4,645.10
|
$2,755.80
|
2022-11-12
|
|
25230
|
HCPCS
|
Partial Removal Of Wrist Bone Near Thumb
|
13
|
11
|
$3,062.00
|
$2,449.60
20% off
|
$2,296.50
|
$4,645.10
|
$2,755.80
|
2022-11-12
|
|
27310
|
HCPCS
|
Incision Of Knee Joint For Exploration, Fluid Drainage, Or Removal Of Foreign Bo…
|
13
|
11
|
$3,062.00
|
$2,449.60
20% off
|
$2,296.50
|
$6,163.92
|
$2,755.80
|
2022-11-12
|
|
58554
|
HCPCS
|
Removal Of Uterus, Tubes, And/or Ovaries Through Vagina Using An Endoscope, More…
|
11
|
11
|
$4,407.00
|
$3,525.60
20% off
|
$2,305.99
|
$3,525.60
|
$2,751.67
|
2022-11-12
|
|
95811
|
HCPCS
|
Sleep Study In Sleep Lab With Continuous Airway Pressure (6 Years Or Older)
|
13
|
11
|
$3,376.00
|
$2,700.80
|
$1,115.38
|
$3,207.20
|
$2,734.56
|
2022-11-12
|
|
28005
|
CPT
|
Treat Foot Bone Lesion
|
15
|
10
|
$4,699.00
|
$3,759.20
20% off
|
$2,114.55
|
$4,229.10
|
$2,723.54
|
2026-02-05
|
|
8046788
|
CDM
|
Graft Tibialis Anterior Tendon 220mm
|
15
|
10
|
$4,680.00
|
$3,744.00
20% off
|
$2,106.00
|
$4,212.00
|
$2,712.53
|
2026-02-05
|
|
8046783
|
CDM
|
Graft Tibialis Anterior Tendon 7mmx225mm
|
15
|
10
|
$4,680.00
|
$3,744.00
20% off
|
$2,106.00
|
$4,212.00
|
$2,712.53
|
2026-02-05
|
|
8046787
|
CDM
|
Graft Tibialis Posterior Tendon 5x 220mm
|
15
|
10
|
$4,680.00
|
$3,744.00
20% off
|
$2,106.00
|
$4,212.00
|
$2,712.53
|
2026-02-05
|
|
8046789
|
CDM
|
Graft Tibialis Anterior Tendon 7mmx200mm
|
15
|
10
|
$4,680.00
|
$3,744.00
20% off
|
$2,106.00
|
$4,212.00
|
$2,712.53
|
2026-02-05
|
|
78815
|
CPT
|
PET With CT Scan Skull Base To Midthigh
|
15
|
10
|
$4,611.00
|
$3,688.80
|
$2,074.95
|
$4,149.90
|
$2,672.54
|
2026-02-05
|
|
78608
|
CPT
|
PET With CT Scan Brain
|
15
|
10
|
$4,611.00
|
$3,688.80
|
$2,074.95
|
$4,149.90
|
$2,672.54
|
2026-02-05
|
|
78816
|
CPT
|
PET With CT Scan Whole Body
|
15
|
10
|
$4,611.00
|
$3,688.80
|
$2,074.95
|
$4,149.90
|
$2,672.54
|
2026-02-05
|
|
26686
|
HCPCS
|
Complicated Treatment Of Dislocated Midhand Bone At Wrist
|
24
|
11
|
$3,510.00
|
$2,808.00
20% off
|
$1,101.96
|
$9,670.76
|
$2,632.50
|
2022-11-12
|
|
14060
|
HCPCS
|
Repair Of Wound Of Eyelids, Nose, Ears, Or Lips By Transferring Skin, 10.0 Sq Cm…
|
13
|
11
|
$2,919.00
|
$2,335.20
20% off
|
$2,189.25
|
$6,956.40
|
$2,627.10
|
2022-11-12
|
|
29867
|
HCPCS
|
Repair Of Knee Cartilage And Bone With Donor Cartilage Graft Using An Endoscope
|
11
|
11
|
$4,311.00
|
$3,448.80
|
$2,239.45
|
$3,448.80
|
$2,621.00
|
2022-11-12
|
|
26952
|
HCPCS
|
Amputation Of Finger Or Thumb With Tissue Flap
|
13
|
11
|
$2,907.00
|
$2,325.60
20% off
|
$2,180.25
|
$4,985.42
|
$2,616.30
|
2022-11-12
|
|
58291
|
HCPCS
|
Removal Of Uterus, Tubes, And/or Ovaries Through Vagina, More Than 250.0 G
|
11
|
11
|
$4,112.00
|
$3,289.60
20% off
|
$2,203.64
|
$3,289.60
|
$2,600.12
|
2022-11-12
|
|
J7195
|
HCPCS
|
Coagulation Factor Ix 2000 Iu/5 Ml Recombinant [vdmc]
|
15
|
10
|
$4,445.20
|
$3,556.16
20% off
|
$2,000.34
|
$4,000.68
|
$2,576.44
|
2026-02-05
|
|
74178
|
HCPCS
|
CT Scan Of Abdomen And Pelvis Before And After Contrast
|
13
|
11
|
$3,176.00
|
$2,540.80
|
$1,042.22
|
$3,017.20
|
$2,572.56
|
2022-11-12
|
|
J0401
|
HCPCS
|
Injection, Aripiprazole (abilify Maintena), 1 Mg
|
13
|
11
|
$3,171.37
|
$2,537.10
|
$1,680.83
|
$3,012.80
|
$2,568.81
|
2022-11-12
|
|
38510
|
HCPCS
|
Biopsy Or Removal Of Deep Lymph Nodes Of Neck
|
13
|
11
|
$2,839.00
|
$2,271.20
20% off
|
$2,129.25
|
$6,430.58
|
$2,555.10
|
2022-11-12
|
|
44120
|
HCPCS
|
Partial Removal Of Small Bowel With Reconnection
|
11
|
11
|
$4,136.00
|
$3,308.80
|
$2,104.50
|
$3,308.80
|
$2,548.12
|
2022-11-12
|
|
11443
|
HCPCS
|
Removal Of Noncancer Skin Growth Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 2…
|
24
|
11
|
$3,393.00
|
$2,714.40
20% off
|
$316.48
|
$3,847.84
|
$2,544.75
|
2022-11-12
|
|
C1778
|
HCPCS
|
Lead, Neurostimulator (implantable)
|
224
|
21
|
$4,088.00
|
$3,270.40
20% off
|
$42.30
|
$26,334.00
|
$2,542.95
|
2026-02-05
|
|
95810
|
HCPCS
|
Sleep Study In Sleep Lab (6 Years Or Older)
|
13
|
11
|
$3,126.00
|
$2,500.80
|
$1,115.38
|
$2,969.70
|
$2,532.06
|
2022-11-12
|
|
95805
|
HCPCS
|
Sleep Study, Multiple Trials
|
13
|
11
|
$3,126.00
|
$2,500.80
|
$1,115.38
|
$2,969.70
|
$2,532.06
|
2022-11-12
|
|
S0013
|
HCPCS
|
Esketamine, Nasal Spray, 1 Mg
|
56
|
21
|
$3,576.46
|
$2,861.17
|
$1,406.79
|
$4,282.20
|
$2,521.60
|
2026-02-05
|
|
J9035
|
HCPCS
|
Injection, Bevacizumab, 10 Mg
|
26
|
11
|
$4,084.70
|
$3,267.76
20% off
|
$897.76
|
$6,151.74
|
$2,520.61
|
2022-11-12
|
|
46255
|
HCPCS
|
Removal Of Single External And Internal Hemorrhoid Group
|
13
|
11
|
$2,793.00
|
$2,234.40
|
$2,094.75
|
$4,960.19
|
$2,513.70
|
2022-11-12
|
|
44320
|
HCPCS
|
Creation Of Opening From Large Bowel To Skin
|
11
|
11
|
$4,061.00
|
$3,248.80
|
$2,076.28
|
$3,248.80
|
$2,510.87
|
2022-11-12
|
|
28039
|
HCPCS
|
Removal (1.5 Centimeters Or Greater) Tissue Growth Beneath The Skin Of Foot Or T…
|
13
|
11
|
$2,788.00
|
$2,230.40
|
$2,091.00
|
$4,658.74
|
$2,509.20
|
2022-11-12
|
|
44346
|
HCPCS
|
Revision Of Opening From Large Bowel To Skin With Repair Of Hernia
|
11
|
11
|
$4,000.00
|
$3,200.00
20% off
|
$2,049.91
|
$3,200.00
|
$2,472.87
|
2022-11-12
|
|
15839
|
HCPCS
|
Removal Of Extra Skin And Tissue Of Other Area
|
13
|
11
|
$2,743.00
|
$2,194.40
|
$2,057.25
|
$5,964.77
|
$2,468.70
|
2022-11-12
|
|
15837
|
HCPCS
|
Removal Of Extra Skin And Tissue Of Forearm Or Hand
|
13
|
11
|
$2,743.00
|
$2,194.40
|
$2,057.25
|
$5,964.77
|
$2,468.70
|
2022-11-12
|
|
15830
|
HCPCS
|
Removal Of Extra Skin And Tissue Of Abdomen
|
11
|
11
|
$3,939.00
|
$3,151.20
20% off
|
$2,051.64
|
$3,151.20
|
$2,445.00
|
2022-11-12
|
|
78452
|
HCPCS
|
Nuclear Medicine Studies Of Heart Muscle At Rest And With Stress And Spect
|
13
|
11
|
$3,005.00
|
$2,404.00
20% off
|
$1,657.26
|
$2,854.75
|
$2,434.05
|
2022-11-12
|
|
26765
|
CPT
|
Treat Finger Fracture Each
|
15
|
10
|
$4,182.00
|
$3,345.60
20% off
|
$1,881.90
|
$3,763.80
|
$2,423.89
|
2026-02-05
|
|
L8699
|
HCPCS
|
Prosthetic Implant, Not Otherwise Specified
|
771
|
21
|
$3,945.00
|
$3,156.00
20% off
|
$103.95
|
$8,792.25
|
$2,389.50
|
2026-02-05
|
|
8069084
|
CDM
|
Lithotripsy Charge
|
15
|
10
|
$4,114.00
|
$3,291.20
20% off
|
$1,851.30
|
$3,702.60
|
$2,384.47
|
2026-02-05
|
|
28415
|
HCPCS
|
Treatment Of Broken Heel Bone
|
11
|
11
|
$3,751.00
|
$3,000.80
|
$1,990.65
|
$3,000.80
|
$2,321.67
|
2022-11-12
|
|
47564
|
HCPCS
|
Removal Of Gallbladder With Exploration Of Common Bile Duct Using An Endoscope
|
11
|
11
|
$3,758.00
|
$3,006.40
20% off
|
$1,929.22
|
$3,006.40
|
$2,298.12
|
2022-11-12
|
|
25270
|
HCPCS
|
Primary Repair Of Tendon Or Muscle Of Top Side Of Forearm Or Wrist
|
24
|
11
|
$3,062.00
|
$2,449.60
20% off
|
$880.19
|
$4,645.10
|
$2,296.50
|
2022-11-12
|
|
8047299_1
|
CDM
|
Tendon Gracilis
|
13
|
11
|
$2,835.00
|
$2,268.00
20% off
|
$1,502.55
|
$2,693.25
|
$2,296.35
|
2022-11-12
|
|
44005
|
HCPCS
|
Release Of Intestinal Scar Tissue
|
11
|
11
|
$3,701.00
|
$2,960.80
|
$1,882.16
|
$2,960.80
|
$2,276.37
|
2022-11-12
|
|
1376936_1
|
CDM
|
Gastro - Intestinal (gi) Services - General Classification
|
13
|
11
|
$2,780.00
|
$2,224.00
20% off
|
$1,473.40
|
$2,641.00
|
$2,251.80
|
2022-11-12
|
|
1376941_1
|
CDM
|
Gastro - Intestinal (gi) Services - General Classification
|
13
|
11
|
$2,780.00
|
$2,224.00
20% off
|
$1,473.40
|
$2,641.00
|
$2,251.80
|
2022-11-12
|
|
1376935_1
|
CDM
|
Gastro - Intestinal (gi) Services - General Classification
|
13
|
11
|
$2,780.00
|
$2,224.00
20% off
|
$1,473.40
|
$2,641.00
|
$2,251.80
|
2022-11-12
|
|
J3032
|
HCPCS
|
Eptinezumab Jjmr 100 mg/mL Sol [vdmc]
|
15
|
10
|
$3,876.30
|
$3,101.04
20% off
|
$1,744.34
|
$3,488.67
|
$2,246.70
|
2026-02-05
|
|
45999
|
HCPCS
|
Other Procedure On Rectum
|
13
|
11
|
$2,480.00
|
$1,984.00
20% off
|
$1,860.00
|
$4,199.07
|
$2,232.00
|
2022-11-12
|
|
47600
|
HCPCS
|
Removal Of Gallbladder
|
11
|
11
|
$3,604.00
|
$2,883.20
20% off
|
$1,847.60
|
$2,883.20
|
$2,220.83
|
2022-11-12
|
|
47605
|
HCPCS
|
Removal Of Gallbladder With X-ray Study Of Bile Ducts
|
11
|
11
|
$3,802.00
|
$3,041.60
20% off
|
$1,946.27
|
$3,041.60
|
$2,215.64
|
2022-11-12
|
|
44604
|
HCPCS
|
Suture Of Tear Or Hole In Large Bowel
|
11
|
11
|
$3,577.00
|
$2,861.60
20% off
|
$1,820.87
|
$2,861.60
|
$2,203.31
|
2022-11-12
|
|
27893
|
CPT
|
Decompression Of Leg
|
15
|
10
|
$3,796.00
|
$3,036.80
|
$1,708.20
|
$3,416.40
|
$2,200.16
|
2026-02-05
|
|
29827
|
HCPCS
|
Repair Of Shoulder Rotator Cuff Using An Endoscope
|
11
|
11
|
$3,542.00
|
$2,833.60
20% off
|
$1,877.30
|
$2,833.60
|
$2,195.00
|
2022-11-12
|
|
14040
|
HCPCS
|
Repair Of Wound Of Forehead, Cheeks, Chin, Mouth, Neck, Underarms, Genitals, Han…
|
24
|
11
|
$2,919.00
|
$2,335.20
20% off
|
$1,102.89
|
$6,956.40
|
$2,189.25
|
2022-11-12
|
|
44310
|
HCPCS
|
Creation Of Opening From Small Bowel To Skin
|
11
|
11
|
$3,530.00
|
$2,824.00
20% off
|
$1,802.99
|
$2,824.00
|
$2,182.86
|
2022-11-12
|
|
49566
|
HCPCS
|
Repair Recurrent Incisional Or Ventral Hernia; Incarcerated Or Strangulated
|
11
|
11
|
$3,167.00
|
$2,533.60
20% off
|
$1,953.45
|
$2,533.60
|
$2,164.35
|
2022-11-12
|
|
J9047
|
HCPCS
|
Injection, Carfilzomib, 1 Mg
|
84
|
21
|
$2,679.12
|
$2,143.30
|
$937.78
|
$6,456.94
|
$2,155.31
|
2026-02-05
|
|
51102
|
CPT
|
Drain Bl W/cath Insertion
|
15
|
10
|
$3,709.00
|
$2,967.20
20% off
|
$1,669.05
|
$3,338.10
|
$2,149.74
|
2026-02-05
|
|
49561
|
HCPCS
|
Repair Initial Incisional Or Ventral Hernia; Incarcerated Or Strangulated
|
11
|
11
|
$3,139.00
|
$2,511.20
20% off
|
$1,932.26
|
$2,511.20
|
$2,143.26
|
2022-11-12
|
|
38500
|
HCPCS
|
Biopsy Or Removal Of Lymph Nodes
|
24
|
11
|
$2,839.00
|
$2,271.20
20% off
|
$443.31
|
$6,430.58
|
$2,129.25
|
2022-11-12
|
|
15832
|
HCPCS
|
Removal Of Extra Skin And Tissue Of Thigh
|
24
|
11
|
$2,743.00
|
$2,194.40
|
$1,618.50
|
$5,964.77
|
$2,125.82
|
2022-11-12
|
|
29807
|
HCPCS
|
Repair Of Shoulder Socket Using An Endoscope
|
11
|
11
|
$3,485.00
|
$2,788.00
20% off
|
$1,817.90
|
$2,788.00
|
$2,121.00
|
2022-11-12
|
|
8055105_1
|
CDM
|
Gastro - Intestinal (gi) Services - General Classification
|
13
|
11
|
$2,615.00
|
$2,092.00
20% off
|
$1,385.95
|
$2,484.25
|
$2,118.15
|
2022-11-12
|
|
7745192_1
|
CDM
|
Gastro - Intestinal (gi) Services - General Classification
|
13
|
11
|
$2,615.00
|
$2,092.00
20% off
|
$1,385.95
|
$2,484.25
|
$2,118.15
|
2022-11-12
|
|
7745193_1
|
CDM
|
Gastro - Intestinal (gi) Services - General Classification
|
13
|
11
|
$2,615.00
|
$2,092.00
20% off
|
$1,385.95
|
$2,484.25
|
$2,118.15
|
2022-11-12
|
|
58150
|
HCPCS
|
Removal Of Uterus And Cervix Through Abdomen
|
11
|
11
|
$3,384.00
|
$2,707.20
20% off
|
$1,792.76
|
$2,707.20
|
$2,111.24
|
2022-11-12
|
|
J7336
|
HCPCS
|
Capsaicin Topical 8% Kit [vdmc] 1 Patch(es)
|
45
|
10
|
$3,637.60
|
$2,910.08
20% off
|
$840.96
|
$6,553.19
|
$2,108.35
|
2026-02-05
|
|
59412
|
CPT
|
External Cephalic Version
|
15
|
10
|
$3,594.00
|
$2,875.20
20% off
|
$1,617.30
|
$3,234.60
|
$2,083.08
|
2026-02-05
|
|
49653
|
HCPCS
|
Laparoscopy, Surgical, Repair, Ventral, Umbilical, Spigelian Or Epigastric Herni…
|
11
|
11
|
$3,159.00
|
$2,527.20
20% off
|
$1,783.23
|
$2,527.20
|
$2,076.24
|
2022-11-12
|
|
58552
|
HCPCS
|
Removal Of Uterus, Tubes, And/or Ovaries Through Vagina Using An Endoscope, 250.…
|
11
|
11
|
$3,279.00
|
$2,623.20
20% off
|
$1,737.49
|
$2,623.20
|
$2,052.33
|
2022-11-12
|
|
8026509_1
|
CDM
|
Xenform Tissue Repair 8mmx12mm
|
13
|
11
|
$2,530.00
|
$2,024.00
20% off
|
$1,340.90
|
$2,403.50
|
$2,049.30
|
2022-11-12
|
|
26686
|
CPT
|
Treat Hand Dislocation
|
15
|
10
|
$3,510.00
|
$2,808.00
20% off
|
$1,579.50
|
$3,159.00
|
$2,034.40
|
2026-02-05
|
|
57425
|
HCPCS
|
Surgical Repair Of Vaginal Defect Using An Endoscope
|
11
|
11
|
$3,223.00
|
$2,578.40
20% off
|
$1,724.86
|
$2,578.40
|
$2,024.93
|
2022-11-12
|
|
J9349
|
HCPCS
|
Tafasitamab-cxix 200 Mg Sdv [vdmc]
|
28
|
21
|
$2,837.00
|
$2,269.60
20% off
|
$1,276.65
|
$2,553.30
|
$2,021.97
|
2026-02-05
|
|
J2426
|
HCPCS
|
Paliperidone Palmitate 156 mg/mL Sus [vdmc]
|
28
|
21
|
$4,486.54
|
$3,589.23
20% off
|
$977.00
|
$4,037.89
|
$2,018.94
|
2026-02-05
|
|
Q5108
|
HCPCS
|
Pegfilgrastim-jmdb 6 Mg/0.6 Ml SubQ Pfs Inj[VDMC]
|
15
|
10
|
$3,458.20
|
$2,766.56
20% off
|
$1,556.19
|
$3,112.38
|
$2,004.37
|
2026-02-05
|
|
58180
|
HCPCS
|
Removal Of Uterus Through Abdomen
|
11
|
11
|
$2,961.00
|
$2,368.80
|
$1,696.47
|
$2,368.80
|
$2,003.61
|
2022-11-12
|
|
1378482
|
CDM
|
Level 6
|
30
|
10
|
$4,235.50
|
$3,388.40
20% off
|
$181.35
|
$7,261.20
|
$1,996.65
|
2026-02-05
|
|
27823
|
HCPCS
|
Treatment Of 3 Broken Lower Leg Bones At Ankle With Fixation Of Posterior Lip
|
11
|
11
|
$3,268.00
|
$2,614.40
20% off
|
$1,737.42
|
$2,614.40
|
$1,995.84
|
2022-11-12
|
|
78215
|
HCPCS
|
Nuclear Medicine Study Of Liver And Spleen
|
13
|
11
|
$2,452.00
|
$1,961.60
20% off
|
$1,657.26
|
$2,329.40
|
$1,986.12
|
2022-11-12
|
|
78803
|
HCPCS
|
Nuclear Medicine Study, Spect Imaging, 1 Area Or Single Acquisition, Single Day …
|
13
|
11
|
$2,452.00
|
$1,961.60
20% off
|
$1,657.26
|
$2,329.40
|
$1,986.12
|
2022-11-12
|
|
78278
|
HCPCS
|
Nuclear Medicine Study To Assess Blood Loss
|
13
|
11
|
$2,452.00
|
$1,961.60
20% off
|
$1,657.26
|
$2,329.40
|
$1,986.12
|
2022-11-12
|
|
11444
|
CPT
|
Exc Face-mm B9+marg 3.1-4 Cm
|
15
|
10
|
$3,393.00
|
$2,714.40
20% off
|
$1,526.85
|
$3,053.70
|
$1,966.58
|
2026-02-05
|
|
11443
|
CPT
|
Exc Face-mm B9+marg 2.1-3 Cm
|
15
|
10
|
$3,393.00
|
$2,714.40
20% off
|
$1,526.85
|
$3,053.70
|
$1,966.58
|
2026-02-05
|
|
J0630
|
HCPCS
|
Injection, Calcitonin Salmon, Up To 400 Units
|
54
|
21
|
$2,067.68
|
$1,654.14
20% off
|
$583.08
|
$4,341.27
|
$1,964.30
|
2026-02-05
|
|
74174
|
HCPCS
|
CT Scan Of Blood Vessels Of Abdomen And Pelvis With Contrast
|
13
|
11
|
$2,420.00
|
$1,936.00
20% off
|
$709.28
|
$2,299.00
|
$1,960.20
|
2022-11-12
|
|
74177
|
HCPCS
|
CT Scan Of Abdomen And Pelvis With Contrast
|
13
|
11
|
$2,420.00
|
$1,936.00
20% off
|
$1,042.22
|
$2,299.00
|
$1,960.20
|
2022-11-12
|
|
75635
|
HCPCS
|
CT Scan Of Abdominal Aorta And Both Leg Arteries With Contrast
|
13
|
11
|
$2,420.00
|
$1,936.00
20% off
|
$709.28
|
$2,299.00
|
$1,960.20
|
2022-11-12
|
|
95811
|
CPT
|
Sleep Study/cpap Trial
|
15
|
10
|
$3,376.00
|
$2,700.80
|
$1,519.20
|
$3,038.40
|
$1,956.73
|
2026-02-05
|
|
27301
|
HCPCS
|
Drainage Of Deep Abscess Or Blood Accumulation Of Thigh Or Knee
|
24
|
11
|
$2,585.00
|
$2,068.00
20% off
|
$893.76
|
$2,771.65
|
$1,938.75
|
2022-11-12
|
|
J7297
|
HCPCS
|
Levonorgestrel-releasing Intrauterine Contraceptive System (liletta), 52 Mg
|
41
|
21
|
$3,388.40
|
$2,710.72
20% off
|
$992.97
|
$3,218.98
|
$1,935.45
|
2026-02-05
|
|
J0129
|
HCPCS
|
Injection, Abatacept, 10 Mg (code May Be Used For Medicare When Drug Administere…
|
41
|
21
|
$2,625.86
|
$2,100.69
|
$1,074.42
|
$2,719.26
|
$1,925.84
|
2026-02-05
|
|
44180
|
HCPCS
|
Release Of Small Bowel Scar Tissue Using An Endoscope
|
11
|
11
|
$3,106.00
|
$2,484.80
|
$1,587.18
|
$2,484.80
|
$1,914.02
|
2022-11-12
|
|
57423
|
HCPCS
|
Repair Of Vaginal Defect Using An Endoscope
|
11
|
11
|
$3,026.00
|
$2,420.80
|
$1,646.50
|
$2,420.80
|
$1,911.25
|
2022-11-12
|
|
58262
|
HCPCS
|
Removal Of Uterus, Tubes, And/or Ovaries Through Vagina, 250.0 G Or Less
|
11
|
11
|
$3,054.00
|
$2,443.20
20% off
|
$1,644.18
|
$2,443.20
|
$1,909.22
|
2022-11-12
|
|
11646
|
HCPCS
|
Removal Of Cancer Skin Growth Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, More…
|
13
|
11
|
$2,120.00
|
$1,696.00
20% off
|
$1,590.00
|
$3,847.84
|
$1,908.00
|
2022-11-12
|
|
11644
|
HCPCS
|
Removal Of Cancer Skin Growth Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 3.1-…
|
13
|
11
|
$2,120.00
|
$1,696.00
20% off
|
$1,590.00
|
$3,847.84
|
$1,908.00
|
2022-11-12
|
|
11626
|
HCPCS
|
Removal Of Cancer Skin Growth Of Scalp, Neck, Hands, Feet, Or Genitals, More Tha…
|
13
|
11
|
$2,120.00
|
$1,696.00
20% off
|
$1,590.00
|
$3,847.84
|
$1,908.00
|
2022-11-12
|
|
49654
|
HCPCS
|
Laparoscopy, Surgical, Repair, Incisional Hernia (includes Mesh Insertion, When …
|
11
|
11
|
$2,853.00
|
$2,282.40
|
$1,621.81
|
$2,282.40
|
$1,880.78
|
2022-11-12
|
|
58571
|
HCPCS
|
Removal Of Uterus, Tubes, And/or Ovaries Through Abdomen Using An Endoscope, 250…
|
11
|
11
|
$2,991.00
|
$2,392.80
|
$1,606.01
|
$2,392.80
|
$1,871.60
|
2022-11-12
|
|
58544
|
HCPCS
|
Partial Removal Of Uterus, Tubes, And/or Ovaries With Retention Of Cervix Using …
|
11
|
11
|
$2,989.00
|
$2,391.20
20% off
|
$1,609.41
|
$2,391.20
|
$1,867.60
|
2022-11-12
|
|
1378486_1
|
CDM
|
Operating Room Services - General Classification
|
13
|
11
|
$2,300.00
|
$1,840.00
20% off
|
$1,219.00
|
$2,185.00
|
$1,863.00
|
2022-11-12
|
|
23931
|
HCPCS
|
Drainage Of Fluid Filled Sac In Elbow Joint
|
13
|
11
|
$2,068.00
|
$1,654.40
|
$1,551.00
|
$2,771.65
|
$1,861.20
|
2022-11-12
|
|
19020
|
HCPCS
|
Drainage Of Abscess Of Breast
|
13
|
11
|
$2,068.00
|
$1,654.40
|
$1,551.00
|
$2,771.65
|
$1,861.20
|
2022-11-12
|
|
23930
|
HCPCS
|
Drainage Of Deep Abscess Or Blood Accumulation Of Upper Arm Or Elbow
|
13
|
11
|
$2,068.00
|
$1,654.40
|
$1,551.00
|
$2,771.65
|
$1,861.20
|
2022-11-12
|
|
19302
|
HCPCS
|
Partial Removal Of Breast And Underarm Lymph Nodes
|
11
|
11
|
$3,021.00
|
$2,416.80
|
$1,569.12
|
$2,416.80
|
$1,857.03
|
2022-11-12
|
|
74178
|
CPT
|
CT Abdomen + Pelvis With + Without Contrast
|
15
|
10
|
$3,176.00
|
$2,540.80
|
$1,429.20
|
$2,858.40
|
$1,840.81
|
2026-02-05
|
|
8002748_1
|
CDM
|
Intensive Care Unit - General Classification
|
11
|
11
|
$2,034.00
|
$1,627.20
20% off
|
$1,525.50
|
$1,932.30
|
$1,826.53
|
2022-11-12
|
|
49999
|
HCPCS
|
Other Procedure On Abdomen
|
13
|
11
|
$2,025.00
|
$1,620.00
20% off
|
$1,518.75
|
$5,751.99
|
$1,822.50
|
2022-11-12
|
|
44960
|
HCPCS
|
Removal Of Ruptured Infected Appendix
|
11
|
11
|
$2,953.00
|
$2,362.40
|
$1,513.69
|
$2,362.40
|
$1,818.32
|
2022-11-12
|
|
44620
|
HCPCS
|
Closure Of Surgically Created Large Or Small Bowel Opening
|
11
|
11
|
$2,935.00
|
$2,348.00
20% off
|
$1,501.42
|
$2,348.00
|
$1,814.66
|
2022-11-12
|
|
95805
|
CPT
|
Sleep Study Mslt
|
15
|
10
|
$3,126.00
|
$2,500.80
|
$1,406.70
|
$2,813.40
|
$1,811.83
|
2026-02-05
|
|
95810
|
CPT
|
Sleep Study Attended
|
15
|
10
|
$3,126.00
|
$2,500.80
|
$1,406.70
|
$2,813.40
|
$1,811.83
|
2026-02-05
|
|
1378488
|
CDM
|
Level 5
|
30
|
10
|
$3,832.50
|
$3,066.00
20% off
|
$164.25
|
$6,570.00
|
$1,806.75
|
2026-02-05
|
|
14301
|
HCPCS
|
Repair Of Wound By Transferring Skin, 30.1-60.0 Sq Cm
|
11
|
11
|
$3,600.00
|
$2,880.00
20% off
|
$1,528.40
|
$2,880.00
|
$1,805.20
|
2022-11-12
|
|
88101
|
HCPCS
|
Spade Two-step Hammer Toe Implnt 3.4mmx3.0mmx18mm
|
13
|
11
|
$2,223.00
|
$1,778.40
|
$1,178.19
|
$2,111.85
|
$1,800.63
|
2022-11-12
|
|
78451
|
CPT
|
Nm Spect- Single Study At Rest Or Stress
|
15
|
10
|
$3,100.00
|
$2,480.00
20% off
|
$1,395.00
|
$2,790.00
|
$1,796.76
|
2026-02-05
|
|
80464
|
HCPCS
|
Implant Titanium Long Nail 11x420x125l
|
13
|
11
|
$2,212.00
|
$1,769.60
20% off
|
$1,172.36
|
$2,101.40
|
$1,791.72
|
2022-11-12
|
|
57265
|
HCPCS
|
Repair Of Bulging Of Rectum And Bladder Into Vaginal Wall
|
11
|
11
|
$3,026.00
|
$2,420.80
|
$1,545.99
|
$2,420.80
|
$1,787.42
|
2022-11-12
|
|
27345
|
HCPCS
|
Removal Of Cyst Of Back Of Knee
|
13
|
11
|
$1,985.00
|
$1,588.00
20% off
|
$1,488.75
|
$6,163.92
|
$1,786.50
|
2022-11-12
|
|
J0881
|
HCPCS
|
Injection, Darbepoetin Alfa, 1 Microgram (non-esrd Use)
|
97
|
21
|
$2,194.68
|
$1,755.74
20% off
|
$423.06
|
$4,119.30
|
$1,777.69
|
2026-02-05
|
|
44110
|
HCPCS
|
Removal Of Growth Of Small Or Large Bowels
|
11
|
11
|
$2,862.00
|
$2,289.60
20% off
|
$1,474.08
|
$2,289.60
|
$1,775.19
|
2022-11-12
|
|
27310
|
CPT
|
Exploration Of Knee Joint
|
15
|
10
|
$3,062.00
|
$2,449.60
20% off
|
$1,377.90
|
$2,755.80
|
$1,774.74
|
2026-02-05
|
|
25270
|
CPT
|
Repair Forearm Tendon/muscle
|
15
|
10
|
$3,062.00
|
$2,449.60
20% off
|
$1,377.90
|
$2,755.80
|
$1,774.74
|
2026-02-05
|
|
25230
|
CPT
|
Partial Removal Of Radius
|
15
|
10
|
$3,062.00
|
$2,449.60
20% off
|
$1,377.90
|
$2,755.80
|
$1,774.74
|
2026-02-05
|
|
25028
|
CPT
|
Drainage Of Forearm Lesion
|
15
|
10
|
$3,062.00
|
$2,449.60
20% off
|
$1,377.90
|
$2,755.80
|
$1,774.74
|
2026-02-05
|
|
52281
|
HCPCS
|
Dilation Of Urethra Using An Endoscope
|
24
|
11
|
$2,713.00
|
$2,170.40
|
$266.40
|
$2,577.35
|
$1,772.67
|
2022-11-12
|
|
49565
|
HCPCS
|
Repair Recurrent Incisional Or Ventral Hernia; Reducible
|
11
|
11
|
$2,592.00
|
$2,073.60
20% off
|
$1,597.68
|
$2,073.60
|
$1,770.84
|
2022-11-12
|
|
J2357
|
HCPCS
|
Injection, Omalizumab, 5 Mg
|
71
|
21
|
$2,424.68
|
$1,939.74
20% off
|
$668.23
|
$5,188.03
|
$1,759.31
|
2026-02-05
|
|
11044
|
HCPCS
|
Removal Of Bone, 20.0 Sq Cm Or Less
|
24
|
11
|
$2,345.00
|
$1,876.00
20% off
|
$394.93
|
$3,510.94
|
$1,758.75
|
2022-11-12
|
|
27822
|
HCPCS
|
Treatment Of 3 Broken Lower Leg Bones At Ankle
|
11
|
11
|
$2,914.00
|
$2,331.20
20% off
|
$1,545.44
|
$2,331.20
|
$1,757.69
|
2022-11-12
|
|
51992
|
HCPCS
|
Creation Of Sling Around Urethra To Control Leakage Using An Endoscope
|
11
|
11
|
$2,826.00
|
$2,260.80
|
$1,470.71
|
$2,260.80
|
$1,756.97
|
2022-11-12
|
|
47100
|
HCPCS
|
Partial Removal Of Liver Tissue
|
11
|
11
|
$2,858.00
|
$2,286.40
|
$1,469.69
|
$2,286.40
|
$1,751.83
|
2022-11-12
|
|
26951
|
HCPCS
|
Amputation Of Finger Or Thumb With Direct Closure
|
13
|
11
|
$1,943.00
|
$1,554.40
|
$1,457.25
|
$3,526.62
|
$1,748.70
|
2022-11-12
|
|
8069104_2
|
CDM
|
Digit Amputation ER Charge
|
11
|
11
|
$2,327.00
|
$1,861.60
20% off
|
$1,745.25
|
$1,861.60
|
$1,745.25
|
2022-11-12
|
|
46040
|
HCPCS
|
Drainage Of Deep Abscess In Rectum
|
24
|
11
|
$2,317.00
|
$1,853.60
20% off
|
$745.79
|
$4,960.19
|
$1,737.75
|
2022-11-12
|
|
63655
|
HCPCS
|
Removal Of Spine Bone For Insertion Of Neurostimulator Electrode Plate In Spine
|
11
|
11
|
$2,810.00
|
$2,248.00
20% off
|
$1,434.16
|
$2,248.00
|
$1,727.72
|
2022-11-12
|
|
63664
|
HCPCS
|
Revision Of Spinal Neurostimulator Electrode Plate Using Fluoroscopic Guidance
|
11
|
11
|
$2,930.00
|
$2,344.00
20% off
|
$1,510.31
|
$2,344.00
|
$1,713.15
|
2022-11-12
|
|
45100
|
HCPCS
|
Biopsy Of Anal And/or Rectal Wall Through Anus
|
13
|
11
|
$1,894.00
|
$1,515.20
20% off
|
$1,420.50
|
$4,199.07
|
$1,704.60
|
2022-11-12
|
|
46050
|
HCPCS
|
Drainage Of Superficial Rectal Abscess Surrounding Anus
|
13
|
11
|
$1,894.00
|
$1,515.20
20% off
|
$1,420.50
|
$4,199.07
|
$1,704.60
|
2022-11-12
|
|
46505
|
HCPCS
|
Injection Of Agent To Destroy Nerve To Internal Sphincter Of Anus
|
13
|
11
|
$1,894.00
|
$1,515.20
20% off
|
$1,420.50
|
$4,199.07
|
$1,704.60
|
2022-11-12
|
|
46999
|
HCPCS
|
Other Procedure On Anus
|
13
|
11
|
$1,894.00
|
$1,515.20
20% off
|
$1,420.50
|
$4,199.07
|
$1,704.60
|
2022-11-12
|
|
58542
|
HCPCS
|
Partial Removal Of Uterus, Tubes, And/or Ovaries With Retention Of Cervix Using …
|
11
|
11
|
$2,714.00
|
$2,171.20
20% off
|
$1,473.87
|
$2,171.20
|
$1,704.19
|
2022-11-12
|
|
49560
|
HCPCS
|
Repair Initial Incisional Or Ventral Hernia; Reducible
|
11
|
11
|
$2,489.00
|
$1,991.20
20% off
|
$1,530.48
|
$1,991.20
|
$1,698.62
|
2022-11-12
|
|
14060
|
CPT
|
Tis Trnfr E/n/e/l 10 Sq Cm/<
|
15
|
10
|
$2,919.00
|
$2,335.20
20% off
|
$1,313.55
|
$2,627.10
|
$1,691.85
|
2026-02-05
|
|
14040
|
CPT
|
Tis Trnfr F/c/c/m/n/a/g/h/f
|
15
|
10
|
$2,919.00
|
$2,335.20
20% off
|
$1,313.55
|
$2,627.10
|
$1,691.85
|
2026-02-05
|
|
26952
|
CPT
|
Amputation Of Finger/thumb
|
15
|
10
|
$2,907.00
|
$2,325.60
20% off
|
$1,308.15
|
$2,616.30
|
$1,684.90
|
2026-02-05
|
|
8002748
|
CDM
|
Scu
|
6
|
5
|
$2,034.00
|
$1,627.20
20% off
|
$1,423.80
|
$1,830.60
|
$1,678.05
|
2026-02-05
|
|
90375
|
HCPCS
|
Rabies Immune Globulin For Injection
|
13
|
11
|
$2,071.20
|
$1,656.96
|
$583.42
|
$1,967.64
|
$1,677.67
|
2022-11-12
|
|
8025836_1
|
CDM
|
Graft Paste Bioset Allograft 10cc Syrnge
|
13
|
11
|
$2,070.00
|
$1,656.00
20% off
|
$1,097.10
|
$1,966.50
|
$1,676.70
|
2022-11-12
|
|
J7307
|
HCPCS
|
Etonogestrel 68 Mg Imp[VDMC]
|
28
|
21
|
$2,412.56
|
$1,930.05
|
$1,085.65
|
$2,171.30
|
$1,660.82
|
2026-02-05
|
|
54115
|
HCPCS
|
Removal Of Foreign Body In Penis
|
24
|
11
|
$2,213.00
|
$1,770.40
|
$755.52
|
$5,180.47
|
$1,659.75
|
2022-11-12
|
|
49652
|
HCPCS
|
Laparoscopy, Surgical, Repair, Ventral, Umbilical, Spigelian Or Epigastric Herni…
|
11
|
11
|
$2,509.00
|
$2,007.20
20% off
|
$1,427.47
|
$2,007.20
|
$1,654.61
|
2022-11-12
|
|
J2796
|
HCPCS
|
romiPLOStim 125 Mcg Sq Pow Inj [vdmc]
|
15
|
10
|
$2,853.06
|
$2,282.45
|
$1,283.88
|
$2,567.75
|
$1,653.63
|
2026-02-05
|
|
C1762
|
HCPCS
|
Presutured Lat Ankle Tendon Tissue
|
28
|
21
|
$2,200.00
|
$1,760.00
20% off
|
$990.00
|
$2,090.00
|
$1,650.00
|
2026-02-05
|
|
63662
|
HCPCS
|
Removal Of Spinal Neurostimulator Electrode Plate Using Fluoroscopic Guidance
|
11
|
11
|
$2,838.00
|
$2,270.40
|
$1,450.71
|
$2,270.40
|
$1,645.86
|
2022-11-12
|
|
38510
|
CPT
|
Biopsy/removal Lymph Nodes
|
15
|
10
|
$2,839.00
|
$2,271.20
20% off
|
$1,277.55
|
$2,555.10
|
$1,645.48
|
2026-02-05
|
|
38500
|
CPT
|
Biopsy/removal Lymph Nodes
|
15
|
10
|
$2,839.00
|
$2,271.20
20% off
|
$1,277.55
|
$2,555.10
|
$1,645.48
|
2026-02-05
|
|
8047299
|
CDM
|
Tendon Gracilis
|
15
|
10
|
$2,835.00
|
$2,268.00
20% off
|
$1,275.75
|
$2,551.50
|
$1,643.17
|
2026-02-05
|
|
15760
|
HCPCS
|
Graft With Closure Of Wound
|
13
|
11
|
$1,823.00
|
$1,458.40
|
$1,367.25
|
$6,956.40
|
$1,640.70
|
2022-11-12
|
|
8046946_1
|
CDM
|
Wire Kit With Blade
|
13
|
11
|
$2,025.00
|
$1,620.00
20% off
|
$1,073.25
|
$1,923.75
|
$1,640.25
|
2022-11-12
|
|
58570
|
HCPCS
|
Removal Of Uterus Through Abdomen Using An Endoscope, 250.0 G Or Less
|
11
|
11
|
$2,587.00
|
$2,069.60
20% off
|
$1,429.73
|
$2,069.60
|
$1,637.46
|
2022-11-12
|
|
46255
|
CPT
|
Remove Int/ext Hem 1 Group
|
15
|
10
|
$2,793.00
|
$2,234.40
|
$1,256.85
|
$2,513.70
|
$1,618.82
|
2026-02-05
|
|
28039
|
CPT
|
Exc Foot/toe Tum Sc 1.5 Cm/>
|
15
|
10
|
$2,788.00
|
$2,230.40
|
$1,254.60
|
$2,509.20
|
$1,615.92
|
2026-02-05
|
|
1376935
|
CDM
|
Colonoscopy
|
15
|
10
|
$2,780.00
|
$2,224.00
20% off
|
$1,251.00
|
$2,502.00
|
$1,611.29
|
2026-02-05
|
|
1376936
|
CDM
|
Colonoscopy With Biopsy
|
15
|
10
|
$2,780.00
|
$2,224.00
20% off
|
$1,251.00
|
$2,502.00
|
$1,611.29
|
2026-02-05
|
|
1376941
|
CDM
|
Colonoscopy W/polypec/fulgurat
|
15
|
10
|
$2,780.00
|
$2,224.00
20% off
|
$1,251.00
|
$2,502.00
|
$1,611.29
|
2026-02-05
|
|
49000
|
HCPCS
|
Exploration Of Abdominal Cavity
|
11
|
11
|
$2,600.00
|
$2,080.00
20% off
|
$1,330.65
|
$2,080.00
|
$1,604.99
|
2022-11-12
|
|
57260
|
HCPCS
|
Plastic Repair Of Vagina And Tissue Separating Vagina, Rectum, And Bladder
|
11
|
11
|
$2,761.00
|
$2,208.80
|
$1,382.35
|
$2,208.80
|
$1,591.52
|
2022-11-12
|
|
11426
|
HCPCS
|
Removal Of Noncancer Skin Growth Of Scalp, Neck, Hands, Feet, Or Genitals, More …
|
24
|
11
|
$2,120.00
|
$1,696.00
20% off
|
$475.15
|
$3,847.84
|
$1,590.00
|
2022-11-12
|
|
11643
|
HCPCS
|
Removal Of Cancer Skin Growth Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 2.1-…
|
24
|
11
|
$2,120.00
|
$1,696.00
20% off
|
$401.43
|
$3,847.84
|
$1,590.00
|
2022-11-12
|
|
11424
|
HCPCS
|
Removal Of Noncancer Skin Growth Of Scalp, Neck, Hands, Feet, Or Genitals, 3.1-4…
|
24
|
11
|
$2,120.00
|
$1,696.00
20% off
|
$315.51
|
$3,847.84
|
$1,590.00
|
2022-11-12
|
|
11406
|
HCPCS
|
Removal Of Noncancer Skin Growth Of Body, Arms, Or Legs, More Than 4.0 Cm
|
24
|
11
|
$2,120.00
|
$1,696.00
20% off
|
$433.75
|
$3,847.84
|
$1,590.00
|
2022-11-12
|
|
11606
|
HCPCS
|
Removal Of Cancer Skin Growth Of Body, Arms, Or Legs, More Than 4.0 Cm
|
24
|
11
|
$2,120.00
|
$1,696.00
20% off
|
$554.19
|
$3,847.84
|
$1,590.00
|
2022-11-12
|
|
15839
|
CPT
|
Excise Excess Skin Tissue
|
15
|
10
|
$2,743.00
|
$2,194.40
|
$1,234.35
|
$2,468.70
|
$1,589.84
|
2026-02-05
|
|
15837
|
CPT
|
Excise Excess Skin Arm/hand
|
15
|
10
|
$2,743.00
|
$2,194.40
|
$1,234.35
|
$2,468.70
|
$1,589.84
|
2026-02-05
|
|
15832
|
CPT
|
Excise Excessive Skin Thigh
|
15
|
10
|
$2,743.00
|
$2,194.40
|
$1,234.35
|
$2,468.70
|
$1,589.84
|
2026-02-05
|
|
44800
|
HCPCS
|
Repair Of Congenital Bowel Defect
|
11
|
11
|
$2,584.00
|
$2,067.20
20% off
|
$1,343.70
|
$2,067.20
|
$1,588.19
|
2022-11-12
|
|
J7298
|
HCPCS
|
Levonorgestrel 52 Mg Dev 5 Yrs [vdmc]
|
28
|
21
|
$2,274.76
|
$1,819.81
|
$1,023.64
|
$2,047.28
|
$1,587.62
|
2026-02-05
|
|
10180
|
HCPCS
|
Complex Drainage Of Wound Infection After Surgery
|
24
|
11
|
$2,100.00
|
$1,680.00
20% off
|
$310.80
|
$2,771.65
|
$1,575.00
|
2022-11-12
|
|
Q4121
|
HCPCS
|
Theraskin, Per Square Centimeter
|
91
|
21
|
$1,944.00
|
$1,555.20
20% off
|
$805.95
|
$2,071.00
|
$1,574.64
|
2026-02-05
|
|
52281
|
CPT
|
Cystoscopy And Treatment
|
15
|
10
|
$2,713.00
|
$2,170.40
|
$1,220.85
|
$2,441.70
|
$1,572.45
|
2026-02-05
|
|
78582
|
HCPCS
|
Nuclear Medicine Study Of Lung Ventilation And Circulation
|
13
|
11
|
$1,745.00
|
$1,396.00
20% off
|
$1,308.75
|
$1,822.99
|
$1,570.50
|
2022-11-12
|
|
58925
|
HCPCS
|
Removal Of Cysts Of Ovaries
|
11
|
11
|
$2,484.00
|
$1,987.20
20% off
|
$1,354.59
|
$1,987.20
|
$1,567.74
|
2022-11-12
|
|
27232
|
HCPCS
|
Closed Treatment Of Broken Upper Thigh Bone With Manipulation
|
11
|
11
|
$2,009.00
|
$1,607.20
20% off
|
$1,274.82
|
$1,638.00
|
$1,560.52
|
2022-11-12
|
|
27603
|
HCPCS
|
Drainage Of Deep Abscess Or Blood Accumulation Of Leg Or Ankle
|
24
|
11
|
$2,068.00
|
$1,654.40
|
$690.63
|
$2,771.65
|
$1,551.00
|
2022-11-12
|
|
20005
|
HCPCS
|
I&d Abscess Subfascial
|
24
|
11
|
$2,068.00
|
$1,654.40
|
$494.00
|
$2,771.65
|
$1,551.00
|
2022-11-12
|
|
27691
|
HCPCS
|
Transfer Of Deep Tendon Of Foot With Muscle Rerouting
|
11
|
11
|
$2,503.00
|
$2,002.40
|
$1,316.61
|
$2,002.40
|
$1,548.96
|
2022-11-12
|
|
1378484
|
CDM
|
Level 4
|
30
|
10
|
$3,135.00
|
$2,508.00
20% off
|
$256.50
|
$5,130.00
|
$1,539.00
|
2026-02-05
|
|
J0490
|
HCPCS
|
Belimumab 120 Mg Pow [vdmc]
|
30
|
10
|
$2,756.67
|
$2,205.34
20% off
|
$596.79
|
$3,768.43
|
$1,538.89
|
2026-02-05
|
|
58720
|
HCPCS
|
Removal Of Uterine Tubes And Ovaries
|
11
|
11
|
$2,459.00
|
$1,967.20
20% off
|
$1,340.60
|
$1,967.20
|
$1,537.06
|
2022-11-12
|
|
11771
|
HCPCS
|
Extensive Removal Of Cyst Of Tailbone
|
13
|
11
|
$1,696.00
|
$1,356.80
20% off
|
$1,272.00
|
$3,847.84
|
$1,526.40
|
2022-11-12
|
|
11010
|
HCPCS
|
Removal Of Foreign Material From Skin And Tissue At Open Broken And/or Dislocate…
|
13
|
11
|
$1,696.00
|
$1,356.80
20% off
|
$1,272.00
|
$3,847.84
|
$1,526.40
|
2022-11-12
|
|
27372
|
HCPCS
|
Removal Of Foreign Body Deep In Tissue Of Thigh Or Knee
|
13
|
11
|
$1,696.00
|
$1,356.80
20% off
|
$1,272.00
|
$3,847.84
|
$1,526.40
|
2022-11-12
|
|
27769
|
HCPCS
|
Treatment Of Broken Back Portion Of Shin Bone At Ankle
|
11
|
11
|
$2,452.00
|
$1,961.60
20% off
|
$1,282.44
|
$1,961.60
|
$1,521.71
|
2022-11-12
|
|
J1459
|
HCPCS
|
Injection, Immune Globulin (privigen), Intravenous, Non-lyophilized (e.g., Liqui…
|
41
|
21
|
$1,899.86
|
$1,519.89
|
$962.09
|
$2,093.51
|
$1,519.89
|
2026-02-05
|
|
7745193
|
CDM
|
Gastroscopy
|
15
|
10
|
$2,615.00
|
$2,092.00
20% off
|
$1,176.75
|
$2,353.50
|
$1,515.65
|
2026-02-05
|
|
7745192
|
CDM
|
Gastroscopy Dilat Esophag Dial
|
15
|
10
|
$2,615.00
|
$2,092.00
20% off
|
$1,176.75
|
$2,353.50
|
$1,515.65
|
2026-02-05
|
|
8055105
|
CDM
|
Gastroscopy With Biopsy
|
15
|
10
|
$2,615.00
|
$2,092.00
20% off
|
$1,176.75
|
$2,353.50
|
$1,515.65
|
2026-02-05
|
|
74176
|
HCPCS
|
CT Scan Of Abdomen And Pelvis Without Contrast
|
13
|
11
|
$1,860.00
|
$1,488.00
20% off
|
$1,042.22
|
$1,767.00
|
$1,506.60
|
2022-11-12
|
|
27301
|
CPT
|
Drain Thigh/knee Lesion
|
15
|
10
|
$2,585.00
|
$2,068.00
20% off
|
$1,163.25
|
$2,326.50
|
$1,498.27
|
2026-02-05
|
|
41010
|
HCPCS
|
Incision Of Tissue Connecting Tongue And Floor Of Mouth
|
13
|
11
|
$1,663.00
|
$1,330.40
|
$1,247.25
|
$3,851.25
|
$1,496.70
|
2022-11-12
|
|
41008
|
HCPCS
|
Drainage Of Abscess, Cyst, Or Blood Accumulation Under Jaw Bone From Inside Mout…
|
13
|
11
|
$1,663.00
|
$1,330.40
|
$1,247.25
|
$3,851.25
|
$1,496.70
|
2022-11-12
|
|
41110
|
HCPCS
|
Removal Of Growth Of Tongue Without Closure
|
13
|
11
|
$1,663.00
|
$1,330.40
|
$1,247.25
|
$3,851.25
|
$1,496.70
|
2022-11-12
|
|
41115
|
HCPCS
|
Removal Of Tissue Connecting Tongue And Floor Of Mouth
|
13
|
11
|
$1,663.00
|
$1,330.40
|
$1,247.25
|
$3,851.25
|
$1,496.70
|
2022-11-12
|
|
57288
|
HCPCS
|
Creation Of Sling Around Urethra In Female To Control Leakage
|
11
|
11
|
$2,383.00
|
$1,906.40
|
$1,319.89
|
$1,906.40
|
$1,493.22
|
2022-11-12
|
|
59514
|
HCPCS
|
Cesarean Delivery
|
11
|
11
|
$3,100.00
|
$2,480.00
20% off
|
$1,394.00
|
$2,480.00
|
$1,493.00
|
2022-11-12
|
|
58541
|
HCPCS
|
Partial Removal Of Uterus With Retention Of Cervix Using An Endoscope, 250.0 G O…
|
11
|
11
|
$2,376.00
|
$1,900.80
20% off
|
$1,298.18
|
$1,900.80
|
$1,489.01
|
2022-11-12
|
|
45915
|
HCPCS
|
Removal Of Impacted Stool Or Foreign Body In Rectum Under Anesthesia
|
24
|
11
|
$1,984.00
|
$1,587.20
20% off
|
$402.91
|
$4,199.07
|
$1,488.00
|
2022-11-12
|
|
49521
|
HCPCS
|
Repair Of Trapped Or Strangulated Groin Hernia
|
11
|
11
|
$2,417.00
|
$1,933.60
20% off
|
$1,241.08
|
$1,933.60
|
$1,484.47
|
2022-11-12
|
|
47563
|
HCPCS
|
Removal Of Gallbladder With X-ray Study Of Bile Ducts Using An Endoscope
|
11
|
11
|
$2,411.00
|
$1,928.80
20% off
|
$1,243.06
|
$1,928.80
|
$1,483.73
|
2022-11-12
|
|
27427
|
HCPCS
|
Reconstruction Of Ligaments Outside Knee Joint
|
11
|
11
|
$2,390.00
|
$1,912.00
20% off
|
$1,254.70
|
$1,912.00
|
$1,481.84
|
2022-11-12
|
|
27654
|
HCPCS
|
Secondary Repair Of Ruptured Achilles Tendon
|
11
|
11
|
$2,396.00
|
$1,916.80
20% off
|
$1,270.70
|
$1,916.80
|
$1,480.79
|
2022-11-12
|
|
58662
|
HCPCS
|
Destruction Or Removal Of Ovary Or Growth Of Pelvis Using An Endoscope
|
11
|
11
|
$2,360.00
|
$1,888.00
20% off
|
$1,260.02
|
$1,888.00
|
$1,478.86
|
2022-11-12
|
|
J1439
|
HCPCS
|
Ferric Carboxymaltose (as Elemental Iron) 50 mg/mL 15 Ml Sol Sdv [vdmc]
|
28
|
21
|
$2,104.58
|
$1,683.66
20% off
|
$947.06
|
$1,894.12
|
$1,477.60
|
2026-02-05
|
|
J0485
|
HCPCS
|
Belatacept 250 Mg Pow Inj Sdv [vdmc]
|
28
|
21
|
$2,039.76
|
$1,631.81
|
$917.89
|
$1,835.78
|
$1,473.05
|
2026-02-05
|
|
60220
|
HCPCS
|
Removal Of Thyroid Lobe On Side Of Neck
|
11
|
11
|
$2,370.00
|
$1,896.00
20% off
|
$1,243.85
|
$1,896.00
|
$1,468.12
|
2022-11-12
|
|
8026509
|
CDM
|
Xenform Tissue Repair 8mmx12mm
|
15
|
10
|
$2,530.00
|
$2,024.00
20% off
|
$1,138.50
|
$2,277.00
|
$1,466.39
|
2026-02-05
|
|
72127
|
HCPCS
|
CT Scan Of Upper Spine Before And After Contrast
|
13
|
11
|
$1,809.00
|
$1,447.20
20% off
|
$1,042.22
|
$1,718.55
|
$1,465.29
|
2022-11-12
|
|
72133
|
HCPCS
|
CT Scan Of Lower Spine Before And After Contrast
|
13
|
11
|
$1,809.00
|
$1,447.20
20% off
|
$1,042.22
|
$1,718.55
|
$1,465.29
|
2022-11-12
|
|
72130
|
HCPCS
|
CT Scan Of Middle Spine Before And After Contrast
|
13
|
11
|
$1,809.00
|
$1,447.20
20% off
|
$1,042.22
|
$1,718.55
|
$1,465.29
|
2022-11-12
|
|
90376
|
HCPCS
|
Rabies Immune Globulin, Human 150 Intl units/mL 2ml IM Sdv [vdmc]
|
28
|
21
|
$1,775.00
|
$1,420.00
20% off
|
$583.42
|
$2,958.11
|
$1,464.38
|
2026-02-05
|
|
19101
|
HCPCS
|
Biopsy Of Breast Through Incision
|
13
|
11
|
$1,624.00
|
$1,299.20
20% off
|
$1,218.00
|
$2,637.98
|
$1,461.60
|
2022-11-12
|
|
43830
|
HCPCS
|
Insertion Of Stomach Feeding Tube
|
11
|
11
|
$2,358.00
|
$1,886.40
|
$1,218.85
|
$1,886.40
|
$1,453.05
|
2022-11-12
|
|
78452
|
CPT
|
Nm Myocardial Spect Multi Rest/Stress
|
15
|
10
|
$2,500.00
|
$2,000.00
20% off
|
$1,125.00
|
$2,250.00
|
$1,449.00
|
2026-02-05
|
|
57287
|
HCPCS
|
Removal Or Revision Of Incontinence Sling
|
11
|
11
|
$2,267.00
|
$1,813.60
20% off
|
$1,319.63
|
$1,813.60
|
$1,443.32
|
2022-11-12
|
|
8025932_1
|
CDM
|
Therma Choice Catheter
|
13
|
11
|
$1,780.00
|
$1,424.00
20% off
|
$943.40
|
$1,691.00
|
$1,441.80
|
2022-11-12
|
|
45999
|
CPT
|
Rectum Surgery Procedure
|
15
|
10
|
$2,480.00
|
$1,984.00
20% off
|
$1,116.00
|
$2,232.00
|
$1,437.41
|
2026-02-05
|
|
J7325
|
HCPCS
|
Hylan G-f 20 48 Mg/6 Ml Sdv Syringe [vdmc]
|
28
|
21
|
$1,824.20
|
$1,459.36
20% off
|
$820.89
|
$1,876.74
|
$1,424.89
|
2026-02-05
|
|
78278
|
CPT
|
Nm Gastrointestinal Blood Loss Imaging
|
15
|
10
|
$2,452.00
|
$1,961.60
20% off
|
$1,103.40
|
$2,206.80
|
$1,421.18
|
2026-02-05
|
|
78320
|
CPT
|
Nm Bone Spect
|
15
|
10
|
$2,452.00
|
$1,961.60
20% off
|
$1,103.40
|
$2,206.80
|
$1,421.18
|
2026-02-05
|
|
78206
|
CPT
|
Nm Liver Imaging Spect With Vascular Flow
|
15
|
10
|
$2,452.00
|
$1,961.60
20% off
|
$1,103.40
|
$2,206.80
|
$1,421.18
|
2026-02-05
|
|
78215
|
CPT
|
Nm Liver/Spleen Imaging
|
15
|
10
|
$2,452.00
|
$1,961.60
20% off
|
$1,103.40
|
$2,206.80
|
$1,421.18
|
2026-02-05
|
|
45005
|
HCPCS
|
Drainage Of Superficial Rectal Abscess
|
24
|
11
|
$1,894.00
|
$1,515.20
20% off
|
$289.85
|
$4,199.07
|
$1,420.50
|
2022-11-12
|
|
46200
|
HCPCS
|
Removal Of Chronic Tear Of Anus
|
24
|
11
|
$1,894.00
|
$1,515.20
20% off
|
$597.38
|
$4,199.07
|
$1,420.50
|
2022-11-12
|
|
57285
|
HCPCS
|
Repair Of Vaginal Wall Defect Through Vagina
|
11
|
11
|
$2,234.00
|
$1,787.20
20% off
|
$1,231.01
|
$1,787.20
|
$1,410.85
|
2022-11-12
|
|
36556
|
HCPCS
|
Insertion Of Non-tunneled Central Venous Tube For Infusion (5 Years Or Older)
|
24
|
11
|
$1,881.00
|
$1,504.80
20% off
|
$148.81
|
$2,271.06
|
$1,410.75
|
2022-11-12
|