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

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Hospital

ASHLAND HEALTH CENTER

Ashland, KS · CCN 171304 · Rates published

1,769 distinct procedures filed
14 distinct payers
39,093 rate rows
2026-03-02 last MRF observed
Data quality

38,719 of 39,093 rate rows are consumer-grade (99.0%)

374 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
exceeds 10× this hospital's gross charge — excluded from medians 248
percent-of-charges filed in the dollar field — excluded from medians 110
per-diem day rate — not a per-procedure price 16
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbAHCASHLANDKS&type=CDMWithoutLabel&fileType=CSV
Found on page https://apps.para-hcfs.com/PTT/FinalLinks/Ashland_V2.aspx
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-19
Content fingerprint f74f7651e30723f4… · 21,067,811 bytes · first seen 2026-05-17

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
J3101
HCPCS 		Injection, Tenecteplase, 1 Mg 14 $6,608.24 $22,979.10 $19,726.08 nat. median
$5,949
outlier · 3.3×
6546879_1
CDM 		Hyperrab 300 Unit/ml Vial 11 $3,031.19 $9,048.34 $9,048.34 nat. median
$9,048
1.0× median
J2182
HCPCS 		Injection, Mepolizumab, 1 Mg 14 $2,833.90 $8,459.39 $8,459.39 nat. median
$3,098
outlier · 2.7×
15275
HCPCS 		Application Of Skin Substitute Graft To Wound Of Face, Scalp, Eyelids, Mouth, Ne… 14 $2,085.38 $9,337.50 $6,225.00 nat. median
$1,737
outlier · 3.6×
27524
HCPCS 		Treatment Of Broken Kneecap With Placement Of Stabilizing Device And/or Removal… 14 $2,079.35 $9,310.50 $6,207.00 nat. median
$6,994
0.9× median
28820
HCPCS 		Amputation Of Toe At Joint Between Forefoot And Toes 14 $1,998.02 $8,946.38 $5,964.25 nat. median
$3,382
1.8× median
11772
HCPCS 		Complicated Removal Of Cyst Of Tailbone 14 $1,961.43 $8,782.50 $5,855.00 nat. median
$3,073
1.9× median
38510
HCPCS 		Biopsy Or Removal Of Deep Lymph Nodes Of Neck 14 $1,840.32 $8,240.25 $5,493.50 nat. median
$3,856
1.4× median
6593037_1
CDM 		Hyperrab 300 Unit/ml Vial 11 $1,818.72 $5,429.00 $5,429.00 nat. median
$5,429
1.0× median
27514
HCPCS 		Treatment Of Broken Side Of Lower End Of Thigh Bone 14 $1,784.55 $7,990.50 $5,327.00 nat. median
$5,031
1.1× median
38589
HCPCS 		Other Procedure On Lymphatic System Using An Endoscope 14 $1,784.55 $7,990.50 $5,327.00 nat. median
$6,607
0.8× median
36571
HCPCS 		Insertion Of Central Venous Tube With Port For Infusion (5 Years Or Older) 14 $1,782.20 $7,980.00 $5,320.00 nat. median
$3,384
1.6× median
38525
HCPCS 		Biopsy Or Removal Of Deep Lymph Nodes Of Underarm 14 $1,755.74 $7,861.50 $5,241.00 nat. median
$3,950
1.3× median
J0897
HCPCS 		Injection, Denosumab, 1 Mg 14 $1,750.37 $5,224.97 $5,224.97 nat. median
$2,506
outlier · 2.1×
27301
HCPCS 		Drainage Of Deep Abscess Or Blood Accumulation Of Thigh Or Knee 14 $1,705.82 $7,638.00 $5,092.00 nat. median
$2,968
1.7× median
26951
HCPCS 		Amputation Of Finger Or Thumb With Direct Closure 14 $1,671.01 $7,482.15 $4,988.10 nat. median
$3,343
1.5× median
6456203_1
CDM 		Fylnetra 6 Mg/0.6 Ml Syringe 11 $1,669.20 $4,982.68 $4,982.68 nat. median
$4,983
1.0× median
41112
HCPCS 		Removal Of Growth Of Front 2/3 Of Tongue With Switches 14 $1,598.62 $7,158.00 $4,772.00 nat. median
$3,224
1.5× median
27345
HCPCS 		Removal Of Cyst Of Back Of Knee 14 $1,525.93 $6,832.50 $4,555.00 nat. median
$3,506
1.3× median
11626
HCPCS 		Removal Of Cancer Skin Growth Of Scalp, Neck, Hands, Feet, Or Genitals, More Tha… 14 $1,434.47 $6,423.00 $4,282.00 nat. median
$2,862
1.5× median
36558
HCPCS 		Insertion Of Tunneled Central Venous Tube For Infusion (5 Years Or Older) 14 $1,425.76 $6,384.00 $4,256.00 nat. median
$3,479
1.2× median
15271
HCPCS 		Application Of Skin Substitute Graft To Wound Of Trunk, Arms, Or Legs, 25.0 Sq C… 14 $1,401.98 $6,277.50 $4,185.00 nat. median
$1,748
outlier · 2.4×
28092
HCPCS 		Removal Of Growth Of Tendon Covering Or Joint Capsule Of Toes 14 $1,331.96 $5,964.00 $3,976.00 nat. median
$1,897
outlier · 2.1×
27310
HCPCS 		Incision Of Knee Joint For Exploration, Fluid Drainage, Or Removal Of Foreign Bo… 14 $1,331.96 $5,964.00 $3,976.00 nat. median
$3,713
1.1× median
36556
HCPCS 		Insertion Of Non-tunneled Central Venous Tube For Infusion (5 Years Or Older) 14 $1,239.50 $5,550.00 $3,700.00 nat. median
$2,458
1.5× median
J0585
HCPCS 		Injection, Onabotulinumtoxina, 1 Unit 14 $1,221.28 $3,645.60 $3,645.60 nat. median
$478
outlier · 7.6×
27562
HCPCS 		Closed Treatment Of Dislocated Kneecap Under Anesthesia 14 $1,174.18 $5,257.50 $3,505.00 nat. median
$746
outlier · 4.7×
6503817_1
CDM 		Anavip Vial 11 $1,172.79 $3,500.87 $3,500.87 nat. median
$3,501
1.0× median
15273
HCPCS 		Skin Substitute Graft To Wound 100.0 Sq Cm Or More Of Trunk, Arms, Or Legs, 100.… 14 $1,149.05 $5,145.00 $3,430.00 nat. median
$3,193
1.1× median
27630
HCPCS 		Removal Of Growth Of Leg And/or Ankle Tendon Lining Or Capsule 14 $1,095.28 $4,904.25 $3,269.50 nat. median
$3,318
1.0× median
J3111
HCPCS 		Injection, Romosozumab-aqqg, 1 Mg 14 $1,087.70 $3,246.88 $3,246.88 nat. median
$1,003
outlier · 3.2×
12036
HCPCS 		Intermediate Repair Of Wound Of Scalp, Underarms, Trunk, Arms, Or Legs, 20.1-30.… 14 $1,025.44 $4,591.50 $3,061.00 nat. median
$883
outlier · 3.5×
28505
HCPCS 		Treatment Of Broken Great Toe 14 $1,002.82 $4,490.25 $2,993.50 nat. median
$3,631
0.8× median
43246
HCPCS 		Insertion Of Stomach Tube Using A Flexible Endoscope 14 $992.27 $4,443.00 $2,962.00 nat. median
$2,133
1.4× median
26952
HCPCS 		Amputation Of Finger Or Thumb With Tissue Flap 14 $973.68 $4,359.75 $2,906.50 nat. median
$3,390
0.9× median
26530
HCPCS 		Repair Of Joint Connecting Hand And Finger Bones With Implant 14 $920.61 $4,122.15 $2,748.10 nat. median
$6,816
outlier · 0.4×
27818
HCPCS 		Closed Treatment Of 3 Broken Lower Leg Bones At Ankle With Manipulation 14 $890.60 $3,987.75 $2,658.50 nat. median
$1,679
1.6× median
14060
HCPCS 		Repair Of Wound Of Eyelids, Nose, Ears, Or Lips By Transferring Skin, 10.0 Sq Cm… 14 $887.75 $3,975.00 $2,650.00 nat. median
$2,278
1.2× median
5611192_1
CDM 		Imogam Rabies-ht 150 Unit/ml 11 $886.62 $2,646.63 $2,646.63 nat. median
$2,647
1.0× median
11646
HCPCS 		Removal Of Cancer Skin Growth Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, More… 14 $882.39 $3,951.00 $2,634.00 nat. median
$2,888
0.9× median
11044
HCPCS 		Removal Of Bone, 20.0 Sq Cm Or Less 14 $840.18 $3,762.00 $2,508.00 nat. median
$1,747
1.4× median
14040
HCPCS 		Repair Of Wound Of Forehead, Cheeks, Chin, Mouth, Neck, Underarms, Genitals, Han… 14 $827.45 $3,705.00 $2,470.00 nat. median
$2,197
1.1× median
74174
HCPCS 		CT Scan Of Blood Vessels Of Abdomen And Pelvis With Contrast 14 $792.28 $3,547.50 $2,365.00 nat. median
$958
outlier · 2.5×
13152
HCPCS 		Complicated Repair Of Wound Of Eyelids, Nose, Ears, Or Lip, 2.6-7.5 Cm 14 $752.08 $3,367.50 $2,245.00 nat. median
$917
outlier · 2.4×
28475
HCPCS 		Closed Treatment Of Broken Foot With Manipulation 14 $751.74 $3,366.00 $2,244.00 nat. median
$407
outlier · 5.5×
28495
HCPCS 		Closed Treatment Of Broken Great Toe With Manipulation 14 $751.61 $3,365.40 $2,243.60 nat. median
$366
outlier · 6.1×
27825
HCPCS 		Closed Treatment Of Broken Shin Bone At Lower Weight Bearing Joint With Manipula… 14 $746.45 $3,342.30 $2,228.20 nat. median
$2,001
1.1× median
6495895_1
CDM 		Mirena 52 Mg System 11 $732.42 $2,186.33 $2,186.33 nat. median
$2,186
1.0× median
12007
HCPCS 		Simple Repair Of Surface Wound To Scalp, Neck, Underarms, Trunk, Arms, Or Legs,… 14 $715.56 $3,204.00 $2,136.00 nat. median
$404
outlier · 5.3×
12017
HCPCS 		Simple Repair Of Surface Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 20.… 14 $715.56 $3,204.00 $2,136.00 nat. median
$520
outlier · 4.1×

Other procedures at this hospital

Browse this hospital's 1,769 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J3101 HCPCS Injection, Tenecteplase, 1 Mg 28 14 $21,352.59 $17,082.07 20% off $6,608.24 $22,979.10 $19,726.08 2026-03-02
6546879_1 CDM Hyperrab 300 Unit/ml Vial 11 11 $9,048.34 $7,238.67 20% off $3,031.19 $9,048.34 $9,048.34 2026-03-02
J2182 HCPCS Injection, Mepolizumab, 1 Mg 14 14 $8,459.39 $6,767.51 20% off $2,833.90 $8,459.39 $8,459.39 2026-03-02
15275 HCPCS Application Of Skin Substitute Graft To Wound Of Face, Scalp, Eyelids, Mouth, Ne… 14 14 $6,225.00 $4,980.00 20% off $2,085.38 $9,337.50 $6,225.00 2026-03-02
27524 HCPCS Treatment Of Broken Kneecap With Placement Of Stabilizing Device And/or Removal … 14 14 $6,207.00 $4,965.60 $2,079.35 $9,310.50 $6,207.00 2026-03-02
28820 HCPCS Amputation Of Toe At Joint Between Forefoot And Toes 14 14 $5,964.25 $4,771.40 20% off $1,998.02 $8,946.38 $5,964.25 2026-03-02
11772 HCPCS Complicated Removal Of Cyst Of Tailbone 14 14 $5,855.00 $4,684.00 20% off $1,961.43 $8,782.50 $5,855.00 2026-03-02
38510 HCPCS Biopsy Or Removal Of Deep Lymph Nodes Of Neck 14 14 $5,493.50 $4,394.80 $1,840.32 $8,240.25 $5,493.50 2026-03-02
6593037_1 CDM Hyperrab 300 Unit/ml Vial 11 11 $5,429.00 $4,343.20 20% off $1,818.72 $5,429.00 $5,429.00 2026-03-02
38589 HCPCS Other Procedure On Lymphatic System Using An Endoscope 14 14 $5,327.00 $4,261.60 $1,784.55 $7,990.50 $5,327.00 2026-03-02
27514 HCPCS Treatment Of Broken Side Of Lower End Of Thigh Bone 14 14 $5,327.00 $4,261.60 $1,784.55 $7,990.50 $5,327.00 2026-03-02
36571 HCPCS Insertion Of Central Venous Tube With Port For Infusion (5 Years Or Older) 14 14 $5,320.00 $4,256.00 20% off $1,782.20 $7,980.00 $5,320.00 2026-03-02
38525 HCPCS Biopsy Or Removal Of Deep Lymph Nodes Of Underarm 14 14 $5,241.00 $4,192.80 $1,755.74 $7,861.50 $5,241.00 2026-03-02
J0897 HCPCS Injection, Denosumab, 1 Mg 14 14 $5,224.97 $4,179.98 $1,750.37 $5,224.97 $5,224.97 2026-03-02
27301 HCPCS Drainage Of Deep Abscess Or Blood Accumulation Of Thigh Or Knee 14 14 $5,092.00 $4,073.60 20% off $1,705.82 $7,638.00 $5,092.00 2026-03-02
26951 HCPCS Amputation Of Finger Or Thumb With Direct Closure 14 14 $4,988.10 $3,990.48 20% off $1,671.01 $7,482.15 $4,988.10 2026-03-02
6456203_1 CDM Fylnetra 6 Mg/0.6 Ml Syringe 11 11 $4,982.68 $3,986.14 20% off $1,669.20 $4,982.68 $4,982.68 2026-03-02
41112 HCPCS Removal Of Growth Of Front 2/3 Of Tongue With Switches 14 14 $4,772.00 $3,817.60 20% off $1,598.62 $7,158.00 $4,772.00 2026-03-02
27345 HCPCS Removal Of Cyst Of Back Of Knee 14 14 $4,555.00 $3,644.00 20% off $1,525.93 $6,832.50 $4,555.00 2026-03-02
11626 HCPCS Removal Of Cancer Skin Growth Of Scalp, Neck, Hands, Feet, Or Genitals, More Tha… 14 14 $4,282.00 $3,425.60 20% off $1,434.47 $6,423.00 $4,282.00 2026-03-02
36558 HCPCS Insertion Of Tunneled Central Venous Tube For Infusion (5 Years Or Older) 14 14 $4,256.00 $3,404.80 $1,425.76 $6,384.00 $4,256.00 2026-03-02
15271 HCPCS Application Of Skin Substitute Graft To Wound Of Trunk, Arms, Or Legs, 25.0 Sq C… 14 14 $4,185.00 $3,348.00 20% off $1,401.98 $6,277.50 $4,185.00 2026-03-02
27310 HCPCS Incision Of Knee Joint For Exploration, Fluid Drainage, Or Removal Of Foreign Bo… 14 14 $3,976.00 $3,180.80 $1,331.96 $5,964.00 $3,976.00 2026-03-02
28092 HCPCS Removal Of Growth Of Tendon Covering Or Joint Capsule Of Toes 14 14 $3,976.00 $3,180.80 $1,331.96 $5,964.00 $3,976.00 2026-03-02
36556 HCPCS Insertion Of Non-tunneled Central Venous Tube For Infusion (5 Years Or Older) 14 14 $3,700.00 $2,960.00 20% off $1,239.50 $5,550.00 $3,700.00 2026-03-02
J0585 HCPCS Injection, Onabotulinumtoxina, 1 Unit 14 14 $3,645.60 $2,916.48 20% off $1,221.28 $3,645.60 $3,645.60 2026-03-02
27562 HCPCS Closed Treatment Of Dislocated Kneecap Under Anesthesia 14 14 $3,505.00 $2,804.00 20% off $1,174.18 $5,257.50 $3,505.00 2026-03-02
6503817_1 CDM Anavip Vial 11 11 $3,500.87 $2,800.70 $1,172.79 $3,500.87 $3,500.87 2026-03-02
15273 HCPCS Skin Substitute Graft To Wound 100.0 Sq Cm Or More Of Trunk, Arms, Or Legs, 100.… 14 14 $3,430.00 $2,744.00 20% off $1,149.05 $5,145.00 $3,430.00 2026-03-02
27630 HCPCS Removal Of Growth Of Leg And/or Ankle Tendon Lining Or Capsule 14 14 $3,269.50 $2,615.60 20% off $1,095.28 $4,904.25 $3,269.50 2026-03-02
J3111 HCPCS Injection, Romosozumab-aqqg, 1 Mg 14 14 $3,246.88 $2,597.50 20% off $1,087.70 $3,246.88 $3,246.88 2026-03-02
12036 HCPCS Intermediate Repair Of Wound Of Scalp, Underarms, Trunk, Arms, Or Legs, 20.1-30.… 14 14 $3,061.00 $2,448.80 $1,025.44 $4,591.50 $3,061.00 2026-03-02
28505 HCPCS Treatment Of Broken Great Toe 14 14 $2,993.50 $2,394.80 $1,002.82 $4,490.25 $2,993.50 2026-03-02
43246 HCPCS Insertion Of Stomach Tube Using A Flexible Endoscope 14 14 $2,962.00 $2,369.60 20% off $992.27 $4,443.00 $2,962.00 2026-03-02
26952 HCPCS Amputation Of Finger Or Thumb With Tissue Flap 14 14 $2,906.50 $2,325.20 20% off $973.68 $4,359.75 $2,906.50 2026-03-02
26530 HCPCS Repair Of Joint Connecting Hand And Finger Bones With Implant 14 14 $2,748.10 $2,198.48 $920.61 $4,122.15 $2,748.10 2026-03-02
27818 HCPCS Closed Treatment Of 3 Broken Lower Leg Bones At Ankle With Manipulation 14 14 $2,658.50 $2,126.80 $890.60 $3,987.75 $2,658.50 2026-03-02
14060 HCPCS Repair Of Wound Of Eyelids, Nose, Ears, Or Lips By Transferring Skin, 10.0 Sq Cm… 14 14 $2,650.00 $2,120.00 20% off $887.75 $3,975.00 $2,650.00 2026-03-02
5611192_1 CDM Imogam Rabies-ht 150 Unit/ml 11 11 $2,646.63 $2,117.30 20% off $886.62 $2,646.63 $2,646.63 2026-03-02
11646 HCPCS Removal Of Cancer Skin Growth Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, More… 14 14 $2,634.00 $2,107.20 20% off $882.39 $3,951.00 $2,634.00 2026-03-02
11044 HCPCS Removal Of Bone, 20.0 Sq Cm Or Less 14 14 $2,508.00 $2,006.40 $840.18 $3,762.00 $2,508.00 2026-03-02
14040 HCPCS Repair Of Wound Of Forehead, Cheeks, Chin, Mouth, Neck, Underarms, Genitals, Han… 14 14 $2,470.00 $1,976.00 20% off $827.45 $3,705.00 $2,470.00 2026-03-02
74174 HCPCS CT Scan Of Blood Vessels Of Abdomen And Pelvis With Contrast 14 14 $2,365.00 $1,892.00 20% off $792.28 $3,547.50 $2,365.00 2026-03-02
13152 HCPCS Complicated Repair Of Wound Of Eyelids, Nose, Ears, Or Lip, 2.6-7.5 Cm 14 14 $2,245.00 $1,796.00 20% off $752.08 $3,367.50 $2,245.00 2026-03-02
28475 HCPCS Closed Treatment Of Broken Foot With Manipulation 14 14 $2,244.00 $1,795.20 20% off $751.74 $3,366.00 $2,244.00 2026-03-02
28495 HCPCS Closed Treatment Of Broken Great Toe With Manipulation 14 14 $2,243.60 $1,794.88 $751.61 $3,365.40 $2,243.60 2026-03-02
27825 HCPCS Closed Treatment Of Broken Shin Bone At Lower Weight Bearing Joint With Manipula… 14 14 $2,228.20 $1,782.56 $746.45 $3,342.30 $2,228.20 2026-03-02
6495895_1 CDM Mirena 52 Mg System 11 11 $2,186.33 $1,749.06 20% off $732.42 $2,186.33 $2,186.33 2026-03-02
12007 HCPCS Simple Repair Of Surface Wound To Scalp, Neck, Underarms, Trunk, Arms, Or Legs, … 14 14 $2,136.00 $1,708.80 20% off $715.56 $3,204.00 $2,136.00 2026-03-02
12017 HCPCS Simple Repair Of Surface Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 20.… 14 14 $2,136.00 $1,708.80 20% off $715.56 $3,204.00 $2,136.00 2026-03-02
93306 HCPCS Ultrasound Of Heart With Color-depicted Blood Flow, Rate, Direction And Valve Fu… 14 14 $2,126.00 $1,700.80 20% off $712.21 $3,189.00 $2,126.00 2026-03-02
10121 HCPCS Removal Of Foreign Body From Tissue, Accessed Beneath The Skin, Complex 14 14 $2,106.00 $1,684.80 20% off $705.51 $3,159.00 $2,106.00 2026-03-02
27750 HCPCS Closed Treatment Of Broken Middle Part Of Shin Bone 14 14 $2,018.00 $1,614.40 $676.03 $3,027.00 $2,018.00 2026-03-02
27530 HCPCS Closed Treatment Of Broken Shin Bone 14 14 $2,018.00 $1,614.40 $676.03 $3,027.00 $2,018.00 2026-03-02
27780 HCPCS Closed Treatment Of Broken Middle Or Upper End Of Outside Lower Leg Bone 14 14 $2,018.00 $1,614.40 $676.03 $3,027.00 $2,018.00 2026-03-02
28022 HCPCS Incision Of Midfoot Joint For Exploration, Fluid Drainage, Or Removal Of Foreign… 14 14 $2,018.00 $1,614.40 $676.03 $3,027.00 $2,018.00 2026-03-02
25660 HCPCS Closed Treatment Of Dislocated Wrist Bones With Manipulation 14 14 $2,018.00 $1,614.40 $676.03 $3,027.00 $2,018.00 2026-03-02
27810 HCPCS Closed Treatment Of 2 Broken Lower Leg Bones At Ankle With Manipulation 14 14 $2,018.00 $1,614.40 $676.03 $3,027.00 $2,018.00 2026-03-02
27532 HCPCS Closed Treatment Of Broken Shin Bone With Traction 14 14 $2,018.00 $1,614.40 $676.03 $3,027.00 $2,018.00 2026-03-02
27502 HCPCS Closed Treatment Of Broken Thigh Bone At Midportion With Manipulation 14 14 $2,018.00 $1,614.40 $676.03 $3,027.00 $2,018.00 2026-03-02
26070 HCPCS Incision Of Wrist Joint At Finger For Exploration, Fluid Drainage, Or Removal Of… 14 14 $2,018.00 $1,614.40 $676.03 $3,027.00 $2,018.00 2026-03-02
27520 HCPCS Closed Treatment Of Broken Kneecap 14 14 $2,018.00 $1,614.40 $676.03 $3,027.00 $2,018.00 2026-03-02
26080 HCPCS Incision Of Finger Joint For Exploration, Fluid Drainage, Or Removal Of Foreign … 14 14 $2,018.00 $1,614.40 $676.03 $3,027.00 $2,018.00 2026-03-02
27752 HCPCS Closed Treatment Of Middle Part Of Broken Shin Bone With Manipulation 14 14 $2,018.00 $1,614.40 $676.03 $3,027.00 $2,018.00 2026-03-02
28490 HCPCS Closed Treatment Of Broken Great Toe 14 14 $2,018.00 $1,614.40 $676.03 $3,027.00 $2,018.00 2026-03-02
27510 HCPCS Closed Treatment Of Broken Thigh Bone At Knee Area With Manipulation 14 14 $2,018.00 $1,614.40 $676.03 $3,027.00 $2,018.00 2026-03-02
27762 HCPCS Closed Treatment Of Inside Portion Of Shin Bone At Ankle With Manipulation 14 14 $2,018.00 $1,614.40 $676.03 $3,027.00 $2,018.00 2026-03-02
J1745 HCPCS Injection, Infliximab, Excludes Biosimilar, 10 Mg 14 14 $1,962.38 $1,569.90 20% off $657.40 $1,962.38 $1,962.38 2026-03-02
87633 HCPCS Detection Test By Nucleic Acid For Multiple Types Of Respiratory Virus, Multiple… 14 14 $1,945.00 $1,556.00 20% off $651.58 $2,917.50 $1,945.00 2026-03-02
45380 HCPCS Biopsy Of Large Bowel Using A Flexible Endoscope 14 14 $1,895.00 $1,516.00 20% off $634.83 $2,842.50 $1,895.00 2026-03-02
12055 HCPCS Intermediate Repair Of Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 12.6-… 14 14 $1,893.00 $1,514.40 $634.16 $2,839.50 $1,893.00 2026-03-02
43251 HCPCS Removal Of Polyps Or Growths Of Esophagus, Stomach, And/or Upper Small Bowel Usi… 14 14 $1,878.00 $1,502.40 $629.13 $2,817.00 $1,878.00 2026-03-02
64454 HCPCS Injection Of Anesthetic Agent And/or Steroid Into Knee Nerve Branch Using Imagin… 56 14 $2,202.50 $1,762.00 20% off $65.67 $6,780.00 $1,872.12 2026-03-02
15276 HCPCS Application Of Skin Substitute Graft To Wound Of Face, Scalp, Eyelids, Mouth, Ne… 14 14 $1,860.68 $1,488.54 20% off $623.33 $2,791.02 $1,860.68 2026-03-02
64635 HCPCS Destruction Of Lower Or Sacral Spinal Facet Joint Nerves Using Imaging Guidance,… 56 14 $2,206.00 $1,764.80 20% off $154.77 $3,810.00 $1,860.00 2026-03-02
64633 HCPCS Destruction Of Upper Or Middle Spinal Facet Joint Nerves Using Imaging Guidance,… 28 14 $2,082.00 $1,665.60 20% off $154.37 $2,790.00 $1,841.40 2026-03-02
45382 HCPCS Control Of Bleeding Of Upper Large Bowel Using A Flexible Endoscope 14 14 $1,833.00 $1,466.40 $614.06 $2,749.50 $1,833.00 2026-03-02
13151 HCPCS Complicated Repair Of Wound Of Eyelids, Nose, Ears, Or Lip, 1.1-2.5 Cm 14 14 $1,825.00 $1,460.00 20% off $611.38 $2,737.50 $1,825.00 2026-03-02
21315 HCPCS Closed Treatment Of Broken Nose Bone With Manipulation 14 14 $1,762.00 $1,409.60 20% off $590.27 $2,643.00 $1,762.00 2026-03-02
75635 HCPCS CT Scan Of Abdominal Aorta And Both Leg Arteries With Contrast 14 14 $1,735.00 $1,388.00 20% off $581.23 $2,602.50 $1,735.00 2026-03-02
28192 HCPCS Removal Of Foreign Body Of Foot Tissue, Deep 14 14 $1,729.30 $1,383.44 $579.32 $2,593.95 $1,729.30 2026-03-02
64624 HCPCS Destruction Of Nerve Branches Of Knee Using Imaging Guidance 28 14 $1,866.00 $1,492.80 20% off $119.09 $2,790.00 $1,707.00 2026-03-02
74175 HCPCS CT Scan Of Blood Vessels Of Abdomen With Contrast 14 14 $1,647.00 $1,317.60 20% off $551.75 $2,470.50 $1,647.00 2026-03-02
6170250_1 CDM Metronidazole 500 Mg/100 Ml 11 11 $1,640.80 $1,312.64 $549.67 $1,640.80 $1,640.80 2026-03-02
43250 HCPCS Removal Of Polyps Or Growths Of Esophagus, Stomach, And/or Upper Small Bowel Usi… 14 14 $1,627.00 $1,301.60 20% off $545.05 $2,440.50 $1,627.00 2026-03-02
J7307 HCPCS Etonogestrel (contraceptive) Implant System, Including Implant And Supplies 14 14 $1,614.63 $1,291.70 20% off $540.90 $1,614.63 $1,614.63 2026-03-02
70498 HCPCS CT Scan Of Blood Vessels Of Neck With Contrast 14 14 $1,609.00 $1,287.20 20% off $539.02 $2,413.50 $1,609.00 2026-03-02
70471 HCPCS Computed Tomographic Angiography (cta), Head And Neck, With Contrast Material(s)… 14 14 $1,609.00 $1,287.20 20% off $539.02 $2,413.50 $1,609.00 2026-03-02
70496 HCPCS CT Scan Of Blood Vessels Of Head With Contrast 14 14 $1,608.00 $1,286.40 $538.68 $2,412.00 $1,608.00 2026-03-02
73706 HCPCS CT Scan Of Blood Vessels Of Lower Leg With Contrast 28 14 $1,608.00 $1,286.40 $538.68 $2,412.00 $1,608.00 2026-03-02
J0248 HCPCS Injection, Remdesivir, 1 Mg 14 14 $1,600.14 $1,280.11 20% off $536.05 $1,600.14 $1,600.14 2026-03-02
19020 HCPCS Drainage Of Abscess Of Breast 14 14 $1,592.00 $1,273.60 20% off $533.32 $2,388.00 $1,592.00 2026-03-02
71275 HCPCS CT Scan Of Blood Vessels Of Chest With Contrast 14 14 $1,588.00 $1,270.40 $531.98 $2,382.00 $1,588.00 2026-03-02
J9217 HCPCS Leuprolide Acetate (for Depot Suspension), 7.5 Mg 14 14 $1,579.20 $1,263.36 20% off $529.03 $1,579.20 $1,579.20 2026-03-02
26725 HCPCS Closed Treatment Of Broken Finger Or Thumb At Midportion Or Part Near Hand With … 14 14 $1,578.00 $1,262.40 $528.63 $2,367.00 $1,578.00 2026-03-02
12045 HCPCS Intermediate Repair Of Wound Of Neck, Hands, Feet, Or Genitals, 12.6-20.0 Cm 14 14 $1,510.00 $1,208.00 20% off $505.85 $2,265.00 $1,510.00 2026-03-02
J7301 HCPCS Levonorgestrel-releasing Intrauterine Contraceptive System (skyla), 13.5 Mg 14 14 $1,500.00 $1,200.00 20% off $502.50 $1,500.00 $1,500.00 2026-03-02
J7298 HCPCS Levonorgestrel-releasing Intrauterine Contraceptive System (mirena), 52 Mg 14 14 $1,500.00 $1,200.00 20% off $502.50 $1,500.00 $1,500.00 2026-03-02
28665 HCPCS Closed Treatment Of Dislocated Joint In Toe Under Anesthesia 14 14 $1,496.00 $1,196.80 20% off $501.16 $2,244.00 $1,496.00 2026-03-02
27266 HCPCS Closed Treatment Of Dislocated Hip Prosthesis Under Anesthesia 14 14 $1,495.30 $1,196.24 20% off $500.93 $2,242.95 $1,495.30 2026-03-02
28635 HCPCS Closed Treatment Of Dislocated Joint Between Toe And Foot Under Anesthesia 14 14 $1,495.30 $1,196.24 20% off $500.93 $2,242.95 $1,495.30 2026-03-02
26011 HCPCS Complicated Drainage Of Abscess In Finger 14 14 $1,474.25 $1,179.40 $493.87 $2,211.38 $1,474.25 2026-03-02
12054 HCPCS Intermediate Repair Of Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 7.6-1… 14 14 $1,473.00 $1,178.40 $493.46 $2,209.50 $1,473.00 2026-03-02
11643 HCPCS Removal Of Cancer Skin Growth Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 2.1-… 14 14 $1,438.00 $1,150.40 $481.73 $2,157.00 $1,438.00 2026-03-02
64640 HCPCS Destruction Of Peripheral Nerve Or Branch 28 14 $1,645.00 $1,316.00 20% off $98.90 $2,790.00 $1,430.00 2026-03-02
27257 HCPCS Treatment Of Spontaneous Dislocated Hip Under Anesthesia 14 14 $1,421.00 $1,136.80 20% off $476.04 $2,131.50 $1,421.00 2026-03-02
28043 HCPCS Removal (less Than 1.5 Centimeters) Tissue Growth Beneath The Skin Of Foot Or To… 14 14 $1,401.50 $1,121.20 $469.50 $2,102.25 $1,401.50 2026-03-02
10080 HCPCS Simple Drainage Of Cyst Of Tailbone 14 14 $1,365.00 $1,092.00 20% off $457.28 $2,047.50 $1,365.00 2026-03-02
19101 HCPCS Biopsy Of Breast Through Incision 14 14 $1,360.00 $1,088.00 20% off $455.60 $2,040.00 $1,360.00 2026-03-02
12053 HCPCS Intermediate Repair Of Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 5.1-7… 14 14 $1,352.00 $1,081.60 20% off $452.92 $2,028.00 $1,352.00 2026-03-02
6264632_1 CDM Kedrab 300 Unit/2 Ml Vial 11 11 $1,344.00 $1,075.20 $450.24 $1,344.00 $1,344.00 2026-03-02
36589 HCPCS Removal Of Tunneled Central Venous Tube 14 14 $1,330.00 $1,064.00 20% off $445.55 $1,995.00 $1,330.00 2026-03-02
25505 HCPCS Closed Treatment Of Broken Midpart Of Forearm Bone On Thumb Side With Manipulati… 14 14 $1,310.00 $1,048.00 20% off $438.85 $1,965.00 $1,310.00 2026-03-02
23600 HCPCS Closed Treatment Of Broken Top Of Upper Arm Bone 14 14 $1,310.00 $1,048.00 20% off $438.85 $1,965.00 $1,310.00 2026-03-02
64418 HCPCS Injection Of Anesthetic Agent And/or Steroid Into Suprascapular Shoulder Nerve 56 14 $1,636.00 $1,308.80 20% off $43.17 $4,200.00 $1,281.00 2026-03-02
64492 HCPCS Injection Of Upper Or Middle Spine Facet Joint Using Imaging Guidance, Third And… 56 14 $1,499.00 $1,199.20 20% off $46.19 $4,500.00 $1,274.15 2026-03-02
64494 HCPCS Injection Of Lower Or Sacral Spine Facet Joint Using Imaging Guidance, Second Le… 56 14 $1,787.50 $1,430.00 20% off $39.55 $4,125.00 $1,273.75 2026-03-02
43241 HCPCS Insertion Of Tube Or Tube In Esophagus, Stomach, And/or Upper Small Bowel Using … 14 14 $1,268.00 $1,014.40 20% off $424.78 $1,902.00 $1,268.00 2026-03-02
43215 HCPCS Removal Of Foreign Bodies In Esophagus Using A Flexible Endoscope 14 14 $1,268.00 $1,014.40 20% off $424.78 $1,902.00 $1,268.00 2026-03-02
J7325 HCPCS Hyaluronan Or Derivative, Synvisc Or Synvisc-one, For Intra-articular Injection,… 28 14 $2,510.68 $2,008.54 20% off $421.34 $3,763.62 $1,259.27 2026-03-02
15272 HCPCS Application Of Skin Substitute Graft To Wound Of Trunk, Arms, Or Legs, Each Addi… 14 14 $1,251.21 $1,000.97 $419.16 $1,876.82 $1,251.21 2026-03-02
P9035 HCPCS Platelets, Pheresis, Leukocytes Reduced, Each Unit 14 14 $1,236.00 $988.80 20% off $414.06 $1,854.00 $1,236.00 2026-03-02
2120839_1 CDM Room & Board - Private (one Bed) - General Classification 7 7 $1,250.00 $1,000.00 20% off $418.75 $1,250.00 $1,225.00 2026-03-02
64493 HCPCS Injection Of Lower Or Sacral Spine Facet Joint Using Imaging Guidance, Single Le… 56 14 $2,100.00 $1,680.00 20% off $72.72 $3,600.00 $1,200.00 2026-03-02
64483 HCPCS Injection Of Anesthetic And/or Steroid Drug Into Sacral Spine Nerve Root Using I… 56 14 $1,950.00 $1,560.00 20% off $88.96 $3,600.00 $1,200.00 2026-03-02
62321 HCPCS Injection Of Substance Into Middle Or Upper Spine Canal Using Imaging Guidance 28 14 $1,412.50 $1,130.00 20% off $85.54 $2,437.50 $1,200.00 2026-03-02
6240925_1 CDM Coolief Mult-cooled Radiofrequency Kit 1520ml 2 2 $1,575.00 $1,260.00 20% off $1,023.75 $1,338.75 $1,181.25 2026-03-02
87507 HCPCS Detection Test By Nucleic Acid For Digestive Tract Pathogen, Multiple Types Or S… 28 14 $1,220.50 $976.40 20% off $392.29 $1,905.00 $1,171.00 2026-03-02
64479 HCPCS Injection Of Anesthetic And/or Steroid Drug Into Upper Or Middle Spine Nerve Roo… 56 14 $1,536.00 $1,228.80 20% off $104.37 $3,600.00 $1,149.50 2026-03-02
43450 HCPCS Dilation Of Esophagus 14 14 $1,138.00 $910.40 20% off $381.23 $1,707.00 $1,138.00 2026-03-02
27603 HCPCS Drainage Of Deep Abscess Or Blood Accumulation Of Leg Or Ankle 14 14 $1,135.20 $908.16 20% off $380.29 $1,702.80 $1,135.20 2026-03-02
99291 HCPCS Critical Care, First 30-74 Minutes 47 14 $1,315.00 $1,052.00 20% off $83.75 $2,127.00 $1,134.40 2026-03-02
4441947_1 CDM Room & Board - Private (one Bed) - General Classification 7 7 $1,150.00 $920.00 20% off $385.25 $1,150.00 $1,127.00 2026-03-02
12044 HCPCS Intermediate Repair Of Wound Of Neck, Hands, Feet, Or Genitals, 7.6-12.5 Cm 14 14 $1,125.00 $900.00 20% off $376.88 $1,687.50 $1,125.00 2026-03-02
15277 HCPCS Skin Substitute Graft To Wound 100.0 Sq Cm Or More Of Face, Scalp, Eyelids, Mout… 14 14 $1,125.00 $900.00 20% off $376.88 $1,687.50 $1,125.00 2026-03-02
27550 HCPCS Closed Treatment Of Dislocated Knee 14 14 $1,122.50 $898.00 20% off $376.04 $1,683.75 $1,122.50 2026-03-02
27265 HCPCS Closed Treatment Of Dislocated Hip Prosthesis 14 14 $1,122.50 $898.00 20% off $376.04 $1,683.75 $1,122.50 2026-03-02
27041 HCPCS Biopsy Of Deep Tissue Of Pelvis And Hip 14 14 $1,122.50 $898.00 20% off $376.04 $1,683.75 $1,122.50 2026-03-02
26775 HCPCS Closed Treatment Of Dislocated Finger Joint With Manipulation Under Anesthesia 14 14 $1,122.50 $898.00 20% off $376.04 $1,683.75 $1,122.50 2026-03-02
26700 HCPCS Closed Treatment Of Dislocated Hand Joint At Base Of Finger With Manipulation 14 14 $1,122.50 $898.00 20% off $376.04 $1,683.75 $1,122.50 2026-03-02
26670 HCPCS Closed Treatment Of Dislocated Hand Bone At Wrist Joint With Manipulation 14 14 $1,122.50 $898.00 20% off $376.04 $1,683.75 $1,122.50 2026-03-02
25675 HCPCS Closed Treatment Of Dislocated Forearm Bone At Wrist With Manipulation 14 14 $1,122.50 $898.00 20% off $376.04 $1,683.75 $1,122.50 2026-03-02
28660 HCPCS Closed Treatment Of Dislocated Joint In Toe 14 14 $1,122.50 $898.00 20% off $376.04 $1,683.75 $1,122.50 2026-03-02
27840 HCPCS Closed Treatment Of Dislocated Ankle 14 14 $1,122.50 $898.00 20% off $376.04 $1,683.75 $1,122.50 2026-03-02
46604 HCPCS Dilation Of Anus Using An Endoscope 14 14 $1,121.10 $896.88 $375.57 $1,681.65 $1,121.10 2026-03-02
25530 HCPCS Closed Treatment Of Broken Midpart Of Forearm Bone On Small Finger Side 47 14 $1,310.00 $1,048.00 20% off $97.15 $2,100.00 $1,120.00 2026-03-02
64999 HCPCS Other Procedure On Nervous System 38 14 $1,162.50 $930.00 20% off $368.50 $3,300.00 $1,100.00 2026-03-02
13131 HCPCS Complicated Repair Of Wound Of Forehead, Cheeks, Chin, Mouth, Neck, Underarms, G… 14 14 $1,095.00 $876.00 20% off $366.83 $1,642.50 $1,095.00 2026-03-02
36569 HCPCS Insertion Of Tube For Infusion (5 Years Or Older) 14 14 $1,075.00 $860.00 20% off $360.13 $1,612.50 $1,075.00 2026-03-02
64491 HCPCS Injection Of Upper Or Middle Spine Facet Joint Using Imaging Guidance, Second Le… 56 14 $1,320.00 $1,056.00 20% off $45.65 $3,225.00 $1,075.00 2026-03-02
93799 HCPCS Other Cardiovascular Service Or Procedure 14 14 $1,030.00 $824.00 20% off $345.05 $1,545.00 $1,030.00 2026-03-02
5611185_1 CDM Rabies Vaccine, Purified Chick Embyro Cell 2.5 Intl Units IM Inj[AHKS] 11 11 $1,029.38 $823.50 20% off $344.84 $1,029.38 $1,029.38 2026-03-02
81405 HCPCS Molecular Pathology Procedure Level 6 Genetic Analysis 14 14 $1,027.00 $821.60 20% off $344.05 $1,540.50 $1,027.00 2026-03-02
15274 HCPCS Skin Substitute Graft To Wound 100.0 Sq Cm Or More Of Trunk, Arms, Or Legs, Each… 14 14 $1,025.70 $820.56 20% off $343.61 $1,538.55 $1,025.70 2026-03-02
24655 HCPCS Closed Treatment Of Broken Forearm Bone On Thumb Side At Elbow With Manipulation 14 14 $1,006.00 $804.80 20% off $337.01 $1,509.00 $1,006.00 2026-03-02
24605 HCPCS Repair Of Dislocated Elbow Under Anesthesia 14 14 $1,006.00 $804.80 20% off $337.01 $1,509.00 $1,006.00 2026-03-02
70546 HCPCS MRI Scan Of Blood Vessels Of Head Before And After Contrast 14 14 $1,003.00 $802.40 20% off $336.01 $1,504.50 $1,003.00 2026-03-02
70549 HCPCS MRI Scan Of Blood Vessels Of Neck Before And After Contrast 14 14 $1,003.00 $802.40 20% off $336.01 $1,504.50 $1,003.00 2026-03-02
73725 HCPCS MRI Scan Of Blood Vessels Of Leg 28 14 $993.00 $794.40 20% off $332.66 $1,489.50 $993.00 2026-03-02
Q5110 HCPCS Injection, Filgrastim-aafi, Biosimilar, (nivestym), 1 Microgram 14 14 $971.33 $777.06 20% off $325.40 $971.33 $971.33 2026-03-02
70548 HCPCS MRI Scan Of Blood Vessels Of Neck With Contrast 14 14 $963.00 $770.40 20% off $322.61 $1,444.50 $963.00 2026-03-02
70545 HCPCS MRI Scan Of Blood Vessels Of Head With Contrast 14 14 $963.00 $770.40 20% off $322.61 $1,444.50 $963.00 2026-03-02
27096 HCPCS Injection Of Anesthetic Or Steroid Into Joint Between Lower Spine And Hip Bone U… 70 14 $1,400.00 $1,120.00 20% off $66.01 $3,600.00 $948.80 2026-03-02
62323 HCPCS Injection Of Substance Into Lower Spine Canal Using Imaging Guidance 28 14 $1,280.50 $1,024.40 $79.79 $2,437.50 $936.00 2026-03-02
64634 HCPCS Destruction Of Upper Or Middle Spinal Facet Joint Nerves Using Imaging Guidance,… 28 14 $1,082.00 $865.60 20% off $52.03 $1,410.00 $930.60 2026-03-02
74185 HCPCS MRI Scan Of Blood Vessels Of Abdomen 14 14 $923.00 $738.40 20% off $309.21 $1,384.50 $923.00 2026-03-02
73225 HCPCS MRI Scan Of Blood Vessels Of Arm 28 14 $923.00 $738.40 20% off $309.21 $1,384.50 $923.00 2026-03-02
72198 HCPCS MRI Scan Of Blood Vessels Of Pelvis 14 14 $923.00 $738.40 20% off $309.21 $1,384.50 $923.00 2026-03-02
72159 HCPCS MRI Scan Of Blood Vessels Of Spinal Canal 14 14 $923.00 $738.40 20% off $309.21 $1,384.50 $923.00 2026-03-02
71555 HCPCS MRI Scan Of Blood Vessels Of Chest 14 14 $923.00 $738.40 20% off $309.21 $1,384.50 $923.00 2026-03-02
70547 HCPCS MRI Scan Of Blood Vessels Of Neck Without Contrast 14 14 $923.00 $738.40 20% off $309.21 $1,384.50 $923.00 2026-03-02
70544 HCPCS MRI Scan Of Blood Vessels Of Head Without Contrast 14 14 $923.00 $738.40 20% off $309.21 $1,384.50 $923.00 2026-03-02
64495 HCPCS Injection Of Lower Or Sacral Spine Facet Joint Using Imaging Guidance, Third And… 56 14 $1,425.00 $1,140.00 20% off $40.70 $5,850.00 $900.00 2026-03-02
64480 HCPCS Injection Of Anesthetic And/or Steroid Drug Into Upper Or Middle Spine Nerve Roo… 28 14 $1,062.50 $850.00 20% off $47.78 $1,837.50 $900.00 2026-03-02
64484 HCPCS Injection Of Anesthetic And/or Steroid Drug Into Sacral Spine Nerve Root Using I… 28 14 $1,100.00 $880.00 20% off $39.55 $1,950.00 $900.00 2026-03-02
64636 HCPCS Destruction Of Lower Or Sacral Spinal Facet Joint Nerves Using Imaging Guidance,… 28 14 $975.50 $780.40 20% off $45.65 $1,522.50 $899.38 2026-03-02
11107 HCPCS Incision Biopsy, Each Additional Skin Growth 14 14 $888.00 $710.40 20% off $297.48 $1,332.00 $888.00 2026-03-02
17110 HCPCS Destruction Of Skin Growth, 1-14 Growths 47 14 $895.00 $716.00 20% off $26.47 $1,917.00 $877.10 2026-03-02
J0885 HCPCS Injection, Epoetin Alfa, (for Non-esrd Use), 1000 Units 14 14 $873.24 $698.59 20% off $292.54 $873.24 $873.24 2026-03-02
74183 HCPCS MRI Scan Of Abdomen Before And After Contrast 14 14 $847.00 $677.60 20% off $283.75 $1,270.50 $847.00 2026-03-02
73723 HCPCS MRI Scan Of Leg Joint Before And After Contrast 28 14 $847.00 $677.60 20% off $283.75 $1,270.50 $847.00 2026-03-02
73720 HCPCS MRI Scan Of Leg Before And After Contrast 28 14 $847.00 $677.60 20% off $283.75 $1,270.50 $847.00 2026-03-02
73223 HCPCS MRI Scan Of Arm Joint Before And After Contrast 28 14 $847.00 $677.60 20% off $283.75 $1,270.50 $847.00 2026-03-02
73220 HCPCS MRI Scan Of Arm Before And After Contrast 28 14 $847.00 $677.60 20% off $283.75 $1,270.50 $847.00 2026-03-02
72197 HCPCS MRI Scan Of Pelvis Before And After Contrast 14 14 $847.00 $677.60 20% off $283.75 $1,270.50 $847.00 2026-03-02
72158 HCPCS MRI Scan Of Lower Spinal Canal Before And After Contrast 14 14 $847.00 $677.60 20% off $283.75 $1,270.50 $847.00 2026-03-02
72156 HCPCS MRI Scan Of Upper Spinal Canal Before And After Contrast 14 14 $847.00 $677.60 20% off $283.75 $1,270.50 $847.00 2026-03-02
72157 HCPCS MRI Scan Of Middle Spinal Canal Before And After Contrast 14 14 $847.00 $677.60 20% off $283.75 $1,270.50 $847.00 2026-03-02
71552 HCPCS MRI Scan Of Chest Before And After Contrast 14 14 $847.00 $677.60 20% off $283.75 $1,270.50 $847.00 2026-03-02
70553 HCPCS MRI Scan Of Brain Before And After Contrast 14 14 $847.00 $677.60 20% off $283.75 $1,270.50 $847.00 2026-03-02
70543 HCPCS MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Before And After Contrast 14 14 $847.00 $677.60 20% off $283.75 $1,270.50 $847.00 2026-03-02
10007 HCPCS Fine Needle Aspiration Biopsy Using Fluoroscopic Guidance, First Growth 13 13 $829.00 $663.20 $277.72 $1,243.50 $829.00 2026-03-02
10006 HCPCS Fine Needle Aspiration Biopsy Using Ultrasound Guidance, Each Additional Growth 13 13 $829.00 $663.20 $277.72 $1,243.50 $829.00 2026-03-02
10008 HCPCS Fine Needle Aspiration Biopsy Using Fluoroscopic Guidance, Each Additional Growt… 13 13 $829.00 $663.20 $277.72 $1,243.50 $829.00 2026-03-02
10005 HCPCS Fine Needle Aspiration Biopsy Using Ultrasound Guidance, First Growth 13 13 $829.00 $663.20 $277.72 $1,243.50 $829.00 2026-03-02
6359314_1 CDM Rabavert Rabies Vacc W-diluent 11 11 $819.00 $655.20 $274.37 $819.00 $819.00 2026-03-02
74182 HCPCS MRI Scan Of Abdomen With Contrast 14 14 $807.00 $645.60 20% off $270.35 $1,210.50 $807.00 2026-03-02
73722 HCPCS MRI Scan Of Leg Joint With Contrast 28 14 $807.00 $645.60 20% off $270.35 $1,210.50 $807.00 2026-03-02
73719 HCPCS MRI Scan Of Leg With Contrast 28 14 $807.00 $645.60 20% off $270.35 $1,210.50 $807.00 2026-03-02
73222 HCPCS MRI Scan Of Arm Joint With Contrast 28 14 $807.00 $645.60 20% off $270.35 $1,210.50 $807.00 2026-03-02
72196 HCPCS MRI Scan Of Pelvis With Contrast 14 14 $807.00 $645.60 20% off $270.35 $1,210.50 $807.00 2026-03-02
72149 HCPCS MRI Scan Of Lower Spinal Canal With Contrast 14 14 $807.00 $645.60 20% off $270.35 $1,210.50 $807.00 2026-03-02
72147 HCPCS MRI Scan Of Middle Spinal Canal With Contrast 14 14 $807.00 $645.60 20% off $270.35 $1,210.50 $807.00 2026-03-02
73219 HCPCS MRI Scan Of Arm With Contrast 28 14 $807.00 $645.60 20% off $270.35 $1,210.50 $807.00 2026-03-02
72142 HCPCS MRI Scan Of Upper Spinal Canal With Contrast 14 14 $807.00 $645.60 20% off $270.35 $1,210.50 $807.00 2026-03-02
71551 HCPCS MRI Scan Of Chest With Contrast 14 14 $807.00 $645.60 20% off $270.35 $1,210.50 $807.00 2026-03-02
70552 HCPCS MRI Scan Of Brain With Contrast 14 14 $807.00 $645.60 20% off $270.35 $1,210.50 $807.00 2026-03-02
70542 HCPCS MRI Scan Of Bone Of Eye Socket, Face, And/or Neck With Contrast 14 14 $807.00 $645.60 20% off $270.35 $1,210.50 $807.00 2026-03-02
93308 HCPCS Ultrasound Of Heart, Follow-up 14 14 $799.00 $639.20 $267.67 $1,198.50 $799.00 2026-03-02
17111 HCPCS Destruction Of Skin Growth, 15 Or More Growths 27 14 $2,315.00 $1,852.00 20% off $52.60 $3,472.50 $775.53 2026-03-02
J1610 HCPCS Injection, Glucagon Hydrochloride, Per 1 Mg 28 14 $786.24 $629.00 $258.84 $799.82 $772.66 2026-03-02
65235 HCPCS Removal Of Foreign Body In Eye Or Lens 14 14 $771.00 $616.80 20% off $258.29 $1,156.50 $771.00 2026-03-02
87902 HCPCS Analysis Test By Nucleic Acid For Hepatitis C Virus 14 14 $767.00 $613.60 20% off $256.95 $1,150.50 $767.00 2026-03-02
74181 HCPCS MRI Scan Of Abdomen Without Contrast 14 14 $767.00 $613.60 20% off $256.95 $1,150.50 $767.00 2026-03-02
73721 HCPCS MRI Scan Of Leg Joint Without Contrast 28 14 $767.00 $613.60 20% off $256.95 $1,150.50 $767.00 2026-03-02
73718 HCPCS MRI Scan Of Leg Without Contrast 28 14 $767.00 $613.60 20% off $256.95 $1,150.50 $767.00 2026-03-02
73221 HCPCS MRI Scan Of Arm Joint Without Contrast 28 14 $767.00 $613.60 20% off $256.95 $1,150.50 $767.00 2026-03-02
70540 HCPCS MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Without Contrast 14 14 $767.00 $613.60 20% off $256.95 $1,150.50 $767.00 2026-03-02
70336 HCPCS MRI Scan Of Jaw Joint 14 14 $767.00 $613.60 20% off $256.95 $1,150.50 $767.00 2026-03-02
72195 HCPCS MRI Scan Of Pelvis Without Contrast 14 14 $767.00 $613.60 20% off $256.95 $1,150.50 $767.00 2026-03-02
72146 HCPCS MRI Scan Of Middle Spinal Canal Without Contrast 14 14 $767.00 $613.60 20% off $256.95 $1,150.50 $767.00 2026-03-02
72148 HCPCS MRI Scan Of Lower Spinal Canal Without Contrast 14 14 $767.00 $613.60 20% off $256.95 $1,150.50 $767.00 2026-03-02
72141 HCPCS MRI Scan Of Upper Spinal Canal Without Contrast 14 14 $767.00 $613.60 20% off $256.95 $1,150.50 $767.00 2026-03-02
73218 HCPCS MRI Scan Of Arm Without Contrast 28 14 $767.00 $613.60 20% off $256.95 $1,150.50 $767.00 2026-03-02
71550 HCPCS MRI Scan Of Chest Without Contrast 14 14 $767.00 $613.60 20% off $256.95 $1,150.50 $767.00 2026-03-02
70551 HCPCS MRI Scan Of Brain Without Contrast 14 14 $767.00 $613.60 20% off $256.95 $1,150.50 $767.00 2026-03-02
62320 HCPCS Injection Of Substance Into Middle Or Upper Spine Canal 14 14 $758.00 $606.40 20% off $253.93 $1,137.00 $758.00 2026-03-02
27614 HCPCS Biopsy Of Deep Tissue Of Leg Or Ankle 14 14 $751.20 $600.96 20% off $251.65 $1,126.80 $751.20 2026-03-02
25630 HCPCS Closed Treatment Of Other Broken Wrist Bone 14 14 $751.20 $600.96 20% off $251.65 $1,126.80 $751.20 2026-03-02
13121 HCPCS Complicated Repair Of Wound Of Scalp, Arms, Or Legs, 2.6-7.5 Cm 14 14 $750.00 $600.00 20% off $251.25 $1,125.00 $750.00 2026-03-02
64490 HCPCS Injection Of Upper Or Middle Spine Facet Joint Using Imaging Guidance, Single Le… 56 14 $1,350.00 $1,080.00 20% off $84.12 $2,250.00 $750.00 2026-03-02
74178 HCPCS CT Scan Of Abdomen And Pelvis Before And After Contrast 14 14 $747.00 $597.60 20% off $250.25 $1,120.50 $747.00 2026-03-02
73702 HCPCS CT Scan Of Leg Before And After Contrast 28 14 $747.00 $597.60 20% off $250.25 $1,120.50 $747.00 2026-03-02
72194 HCPCS CT Scan Of Pelvis Before And After Contrast 14 14 $747.00 $597.60 20% off $250.25 $1,120.50 $747.00 2026-03-02
73202 HCPCS CT Scan Of Arm Before And After Contrast 28 14 $747.00 $597.60 20% off $250.25 $1,120.50 $747.00 2026-03-02
70470 HCPCS CT Scan Of Head Or Brain Before And After Contrast 14 14 $747.00 $597.60 20% off $250.25 $1,120.50 $747.00 2026-03-02
72133 HCPCS CT Scan Of Lower Spine Before And After Contrast 14 14 $747.00 $597.60 20% off $250.25 $1,120.50 $747.00 2026-03-02
72130 HCPCS CT Scan Of Middle Spine Before And After Contrast 14 14 $747.00 $597.60 20% off $250.25 $1,120.50 $747.00 2026-03-02
72127 HCPCS CT Scan Of Upper Spine Before And After Contrast 14 14 $747.00 $597.60 20% off $250.25 $1,120.50 $747.00 2026-03-02
71270 HCPCS CT Scan Of Chest Before And After Contrast 14 14 $747.00 $597.60 20% off $250.25 $1,120.50 $747.00 2026-03-02
70482 HCPCS CT Scan Of Cranial Cavity Before And After Contrast 14 14 $747.00 $597.60 20% off $250.25 $1,120.50 $747.00 2026-03-02
70488 HCPCS CT Scan Of Face Before And After Contrast 14 14 $747.00 $597.60 20% off $250.25 $1,120.50 $747.00 2026-03-02
70492 HCPCS CT Scan Of Soft Tissue Of Neck Before And After Contrast 14 14 $747.00 $597.60 20% off $250.25 $1,120.50 $747.00 2026-03-02
94626 HCPCS Professional Services For Outpatient Pulmonary Rehabilitation With Continuous Mo… 14 14 $744.00 $595.20 $249.24 $1,116.00 $744.00 2026-03-02
23545 HCPCS Closed Treatment Of Dislocated Joint Between Collar Bone And Shoulder With Manip… 14 14 $729.00 $583.20 $244.22 $1,093.50 $729.00 2026-03-02
36430 HCPCS Transfusion Of Blood Or Blood Products 15 14 $720.00 $576.00 20% off $241.20 $1,080.00 $720.00 2026-03-02
64520 HCPCS Injection Of Anesthetic Agent Into Middle Or Lower Spine Sympathetic Nerve 28 14 $957.50 $766.00 20% off $68.48 $1,800.00 $715.00 2026-03-02
70460 HCPCS CT Scan Head Or Brain With Contrast 14 14 $707.00 $565.60 $236.85 $1,060.50 $707.00 2026-03-02
74177 HCPCS CT Scan Of Abdomen And Pelvis With Contrast 14 14 $707.00 $565.60 $236.85 $1,060.50 $707.00 2026-03-02
72193 HCPCS CT Scan Of Pelvis With Contrast 14 14 $707.00 $565.60 $236.85 $1,060.50 $707.00 2026-03-02
72132 HCPCS CT Scan Of Lower Spine With Contrast 14 14 $707.00 $565.60 $236.85 $1,060.50 $707.00 2026-03-02
72129 HCPCS CT Scan Of Middle Spine With Contrast 14 14 $707.00 $565.60 $236.85 $1,060.50 $707.00 2026-03-02
72126 HCPCS CT Scan Of Upper Spine With Contrast 14 14 $707.00 $565.60 $236.85 $1,060.50 $707.00 2026-03-02
70491 HCPCS CT Scan Of Soft Tissue Of Neck With Contrast 14 14 $707.00 $565.60 $236.85 $1,060.50 $707.00 2026-03-02
70487 HCPCS CT Scan Of Face With Contrast 14 14 $707.00 $565.60 $236.85 $1,060.50 $707.00 2026-03-02
70481 HCPCS CT Scan Of Cranial Cavity With Contrast 14 14 $707.00 $565.60 $236.85 $1,060.50 $707.00 2026-03-02
71260 HCPCS CT Scan Of Chest With Contrast 14 14 $704.00 $563.20 $235.84 $1,056.00 $704.00 2026-03-02
77075 HCPCS Complete X-ray Of Body Bones 14 14 $703.00 $562.40 20% off $235.51 $1,054.50 $703.00 2026-03-02
20611 HCPCS Aspiration And/or Injection Of Fluid Large Joint Using Ultrasound Guidance 84 14 $875.00 $700.00 20% off $44.51 $1,312.50 $700.00 2026-03-02
64420 HCPCS Injection Of Anesthetic Agent And/or Steroid Into Rib Nerve 56 14 $1,035.00 $828.00 20% off $47.09 $2,250.00 $697.50 2026-03-02
84445 HCPCS Thyroid Stimulating Immune Globulins (thyroid Related Protein) Level 14 14 $680.00 $544.00 20% off $227.80 $1,020.00 $680.00 2026-03-02
28470 HCPCS Closed Treatment Of Broken Bone In Forefoot Or Midfoot 27 14 $2,018.00 $1,614.40 $136.68 $3,027.00 $676.03 2026-03-02
77076 HCPCS X-ray Of Infant Body Bones 14 14 $672.00 $537.60 $225.12 $1,008.00 $672.00 2026-03-02
64445 HCPCS Injection Of Anesthetic Agent And/or Steroid Into Lower Back And Leg Nerve (scia… 56 14 $1,005.00 $804.00 20% off $59.03 $2,100.00 $670.50 2026-03-02
93976 HCPCS Ultrasound Of Abdomen And Pelvis Artery And Vein Blood Flow 14 14 $668.00 $534.40 20% off $223.78 $1,002.00 $668.00 2026-03-02
93880 HCPCS Ultrasound Of Both Sides Of Head And Neck Blood Flow 14 14 $667.05 $533.64 $223.46 $1,000.58 $667.05 2026-03-02
93970 HCPCS Ultrasound Study Of Arm Or Leg Veins With Compression And Maneuvers 14 14 $667.05 $533.64 $223.46 $1,000.58 $667.05 2026-03-02
93926 HCPCS Ultrasound Of One Leg Arteries Or Artery Grafts 28 14 $667.05 $533.64 $223.46 $1,000.58 $667.05 2026-03-02
93882 HCPCS Ultrasound Of One Side Of Head And Neck Blood Flow 28 14 $667.05 $533.64 $223.46 $1,000.58 $667.05 2026-03-02
76536 HCPCS Ultrasound Scan Of Head And Neck Soft Tissue 14 14 $667.05 $533.64 $223.46 $1,000.58 $667.05 2026-03-02
93971 HCPCS Ultrasound Study Of One Arm Or Leg Veins With Compression And Maneuvers 28 14 $667.05 $533.64 $223.46 $1,000.58 $667.05 2026-03-02
93978 HCPCS Complete Ultrasound Of Aorta, Vena Cava, Groin Vessels Or Bypass Grafts 14 14 $667.05 $533.64 $223.46 $1,000.58 $667.05 2026-03-02
93930 HCPCS Ultrasound Of Arm Arteries Or Artery Grafts 14 14 $667.05 $533.64 $223.46 $1,000.58 $667.05 2026-03-02
93975 HCPCS Complete Ultrasound Of Abdomen And Pelvis Artery And Vein Blood Flow 14 14 $667.05 $533.64 $223.46 $1,000.58 $667.05 2026-03-02
93925 HCPCS Ultrasound Of Leg Arteries Or Artery Grafts 14 14 $667.05 $533.64 $223.46 $1,000.58 $667.05 2026-03-02
93931 HCPCS Ultrasound Of One Arm Arteries Or Artery Grafts 28 14 $667.05 $533.64 $223.46 $1,000.58 $667.05 2026-03-02
93922 HCPCS Ultrasound Study Of Arm And Leg Arteries 14 14 $667.05 $533.64 $223.46 $1,000.58 $667.05 2026-03-02
74176 HCPCS CT Scan Of Abdomen And Pelvis Without Contrast 14 14 $667.00 $533.60 $223.45 $1,000.50 $667.00 2026-03-02
74160 HCPCS CT Scan Of Abdomen With Contrast 28 14 $687.00 $549.60 $223.45 $1,060.50 $667.00 2026-03-02
74150 HCPCS CT Scan Of Abdomen Without Contrast 14 14 $667.00 $533.60 $223.45 $1,000.50 $667.00 2026-03-02
74170 HCPCS CT Scan Of Abdomen Before And After Contrast 28 14 $707.00 $565.60 $223.45 $1,120.50 $667.00 2026-03-02
70450 HCPCS CT Scan Head Or Brain Without Contrast 14 14 $667.00 $533.60 $223.45 $1,000.50 $667.00 2026-03-02
72192 HCPCS CT Scan Of Pelvis Without Contrast 14 14 $667.00 $533.60 $223.45 $1,000.50 $667.00 2026-03-02
72131 HCPCS CT Scan Of Lower Spine Without Contrast 14 14 $667.00 $533.60 $223.45 $1,000.50 $667.00 2026-03-02
72128 HCPCS CT Scan Of Middle Spine Without Contrast 14 14 $667.00 $533.60 $223.45 $1,000.50 $667.00 2026-03-02
72125 HCPCS CT Scan Of Upper Spine Without Contrast 14 14 $667.00 $533.60 $223.45 $1,000.50 $667.00 2026-03-02
71271 HCPCS Low Dose CT Scan Of Chest For Lung Cancer Screening 14 14 $667.00 $533.60 $223.45 $1,000.50 $667.00 2026-03-02
70490 HCPCS CT Scan Of Soft Tissue Of Neck Without Contrast 14 14 $667.00 $533.60 $223.45 $1,000.50 $667.00 2026-03-02
70486 HCPCS CT Scan Of Face Without Contrast 14 14 $667.00 $533.60 $223.45 $1,000.50 $667.00 2026-03-02
71250 HCPCS CT Scan Of Chest Without Contrast 14 14 $667.00 $533.60 $223.45 $1,000.50 $667.00 2026-03-02
70480 HCPCS CT Scan Of Cranial Cavity Without Contrast 14 14 $667.00 $533.60 $223.45 $1,000.50 $667.00 2026-03-02
73701 HCPCS CT Scan Of Leg With Contrast Material 56 14 $685.00 $548.00 20% off $222.11 $1,060.50 $663.00 2026-03-02
73700 HCPCS CT Scan Of Leg Without Contrast 56 14 $665.00 $532.00 20% off $222.11 $1,000.50 $663.00 2026-03-02
73200 HCPCS CT Scan Of Arm Without Contrast 56 14 $665.00 $532.00 20% off $222.11 $1,000.50 $663.00 2026-03-02
73201 HCPCS CT Scan Of Arm With Contrast 56 14 $685.00 $548.00 20% off $222.11 $1,060.50 $663.00 2026-03-02
64421 HCPCS Injection Of Anesthetic Agent And/or Steroid Into Multiple Rib Nerves For Region… 28 14 $855.00 $684.00 20% off $19.50 $1,575.00 $660.00 2026-03-02
90649 HCPCS Human Papillomavirus Vaccine, Types 6, 11, 16, 18, Quadrivalent 14 14 $651.00 $520.80 20% off $218.09 $651.00 $651.00 2026-03-02
64417 HCPCS Injection Of Anesthetic Agent And/or Steroid Into Upper Arm And Shoulder Nerve (… 28 14 $705.00 $564.00 20% off $55.03 $1,125.00 $648.75 2026-03-02
Q4187 HCPCS Epicord, Per Square Centimeter 14 14 $645.00 $516.00 20% off $216.08 $645.00 $645.00 2026-03-02
64644 HCPCS Injection Of Chemical For Paralysis Of Nerve Muscles On Arm Or Leg, 5 Or More Mu… 28 14 $700.00 $560.00 20% off $89.23 $1,125.00 $643.75 2026-03-02
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