Price Transparencybeta Hospital negotiated rates

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

JEWELL COUNTY HOSPITAL

Mankato, KS · CCN 171309 · Rates published

Your selected procedure

You selected 93306 (HCPCS)

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

This hospital’s price: $2,495 across 7 payers · range $2,232-$2,497

Source: https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbJewellCounty&type=CDMWithoutLabel · observed 2026-03-04

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

1,313 distinct procedures filed
7 distinct payers
20,092 rate rows
2026-03-04 last MRF observed
Data quality

19,980 of 20,092 rate rows are consumer-grade (99.4%)

112 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
percent-of-charges filed in the dollar field — excluded from medians 112
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbJewellCounty&type=CDMWithoutLabel
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-18
Content fingerprint 11a45cbc274ce305… · 9,377,085 bytes · first seen 2026-05-06

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
J1459
HCPCS 		Injection, Immune Globulin (privigen), Intravenous, Non-lyophilized (e.g., Liqui… 7 $13,827.28 $15,454.02 $15,454.02 nat. median
$1,371
outlier · 11.3×
J2997
HCPCS 		Injection, Alteplase Recombinant, 1 Mg 7 $13,464.55 $15,048.62 $15,048.62 nat. median
$500
outlier · 30.1×
J3101
HCPCS 		Injection, Tenecteplase, 1 Mg 7 $10,291.03 $11,501.74 $11,501.74 nat. median
$3,787
outlier · 3.0×
J2506
HCPCS 		Injection, Pegfilgrastim, Excludes Biosimilar, 0.5 Mg 7 $9,819.52 $10,974.76 $10,974.76 nat. median
$1,659
outlier · 6.6×
21554
HCPCS 		Removal Of Growth Of Muscle Of Neck Or Front Of Chest, 5.0 Cm Or More 7 $6,778.75 $7,576.25 $7,576.25 nat. median
$3,188
outlier · 2.4×
Q5108
HCPCS 		Injection, Pegfilgrastim-jmdb (fulphila), Biosimilar, 0.5 Mg 7 $3,832.65 $4,283.55 $4,283.55 nat. median
$1,244
outlier · 3.4×
J9217
HCPCS 		Leuprolide Acetate (for Depot Suspension), 7.5 Mg 7 $3,283.86 $3,670.19 $3,670.19 nat. median
$1,573
outlier · 2.3×
J0897
HCPCS 		Injection, Denosumab, 1 Mg 7 $2,869.40 $3,206.98 $3,206.98 nat. median
$1,982
1.6× median
J1439
HCPCS 		Injection, Ferric Carboxymaltose, 1 Mg 7 $2,816.33 $3,147.66 $3,147.66 nat. median
$14
outlier · 233.2×
93306
HCPCS 		Ultrasound Of Heart With Color-depicted Blood Flow, Rate, Direction And Valve Fu… 7 $2,232.10 $2,496.60 $2,494.70 nat. median
$993
outlier · 2.5×
J3111
HCPCS 		Injection, Romosozumab-aqqg, 1 Mg 7 $2,011.13 $2,247.73 $2,247.73 nat. median
$696
outlier · 3.2×
J3489
HCPCS 		Injection, Zoledronic Acid, 1 Mg 7 $1,989.92 $2,224.03 $2,224.03 nat. median
$131
outlier · 17.0×
J7298
HCPCS 		Levonorgestrel-releasing Intrauterine Contraceptive System (mirena), 52 Mg 7 $1,858.39 $2,077.02 $2,077.02 nat. median
$1,693
1.2× median
J7307
HCPCS 		Etonogestrel (contraceptive) Implant System, Including Implant And Supplies 7 $1,858.38 $2,077.01 $2,077.01 nat. median
$1,639
1.3× median
90377
HCPCS 		Rabies Immune Globulin For Injection Beneath The Skin And/or Into Muscle 7 $1,661.83 $1,857.34 $1,857.34 nat. median
$562
outlier · 3.3×
70546
HCPCS 		MRI Scan Of Blood Vessels Of Head Before And After Contrast 7 $1,530.00 $1,710.00 $1,710.00 nat. median
$1,073
1.6× median
72198
HCPCS 		MRI Scan Of Blood Vessels Of Pelvis 7 $1,530.00 $1,710.00 $1,710.00 nat. median
$1,136
1.5× median
70543
HCPCS 		MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Before And After Contrast 7 $1,530.00 $1,710.00 $1,710.00 nat. median
$1,087
1.6× median
70549
HCPCS 		MRI Scan Of Blood Vessels Of Neck Before And After Contrast 7 $1,530.00 $1,710.00 $1,710.00 nat. median
$1,063
1.6× median
70498
HCPCS 		CT Scan Of Blood Vessels Of Neck With Contrast 7 $1,530.00 $1,710.00 $1,710.00 nat. median
$744
outlier · 2.3×
71555
HCPCS 		MRI Scan Of Blood Vessels Of Chest 7 $1,530.00 $1,710.00 $1,710.00 nat. median
$1,151
1.5× median
74185
HCPCS 		MRI Scan Of Blood Vessels Of Abdomen 7 $1,530.00 $1,710.00 $1,710.00 nat. median
$1,253
1.4× median
73223
HCPCS 		MRI Scan Of Arm Joint Before And After Contrast 7 $1,530.00 $1,710.00 $1,710.00 nat. median
$1,158
1.5× median
73725
HCPCS 		MRI Scan Of Blood Vessels Of Leg 7 $1,530.00 $1,710.00 $1,710.00 nat. median
$1,252
1.4× median
74174
HCPCS 		CT Scan Of Blood Vessels Of Abdomen And Pelvis With Contrast 7 $1,530.00 $1,710.00 $1,710.00 nat. median
$998
1.7× median
73220
HCPCS 		MRI Scan Of Arm Before And After Contrast 7 $1,530.00 $1,710.00 $1,710.00 nat. median
$1,136
1.5× median
74183
HCPCS 		MRI Scan Of Abdomen Before And After Contrast 7 $1,530.00 $1,710.00 $1,710.00 nat. median
$1,105
1.5× median
73720
HCPCS 		MRI Scan Of Leg Before And After Contrast 7 $1,530.00 $1,710.00 $1,710.00 nat. median
$1,135
1.5× median
72158
HCPCS 		MRI Scan Of Lower Spinal Canal Before And After Contrast 7 $1,530.00 $1,710.00 $1,710.00 nat. median
$1,097
1.6× median
72197
HCPCS 		MRI Scan Of Pelvis Before And After Contrast 7 $1,530.00 $1,710.00 $1,710.00 nat. median
$1,074
1.6× median
71275
HCPCS 		CT Scan Of Blood Vessels Of Chest With Contrast 7 $1,530.00 $1,710.00 $1,710.00 nat. median
$759
outlier · 2.3×
72156
HCPCS 		MRI Scan Of Upper Spinal Canal Before And After Contrast 7 $1,530.00 $1,710.00 $1,710.00 nat. median
$1,110
1.5× median
72157
HCPCS 		MRI Scan Of Middle Spinal Canal Before And After Contrast 7 $1,530.00 $1,710.00 $1,710.00 nat. median
$1,114
1.5× median
73225
HCPCS 		MRI Scan Of Blood Vessels Of Arm 7 $1,530.00 $1,710.00 $1,710.00 nat. median
$1,211
1.4× median
70553
HCPCS 		MRI Scan Of Brain Before And After Contrast 7 $1,530.00 $1,710.00 $1,710.00 nat. median
$1,136
1.5× median
73723
HCPCS 		MRI Scan Of Leg Joint Before And After Contrast 7 $1,530.00 $1,710.00 $1,710.00 nat. median
$1,199
1.4× median
71552
HCPCS 		MRI Scan Of Chest Before And After Contrast 7 $1,530.00 $1,710.00 $1,710.00 nat. median
$1,103
1.6× median
J2407
HCPCS 		Injection, Oritavancin (orbactiv), 10 Mg 7 $1,479.00 $1,653.00 $1,653.00 nat. median
$76
outlier · 21.9×
11424
HCPCS 		Removal Of Noncancer Skin Growth Of Scalp, Neck, Hands, Feet, Or Genitals, 3.1-4… 7 $314.50 $3,264.20 $1,636.05 nat. median
$1,696
1.0× median
72147
HCPCS 		MRI Scan Of Middle Spinal Canal With Contrast 7 $1,402.50 $1,567.50 $1,567.50 nat. median
$972
1.6× median
70548
HCPCS 		MRI Scan Of Blood Vessels Of Neck With Contrast 7 $1,402.50 $1,567.50 $1,567.50 nat. median
$922
1.7× median
12036
HCPCS 		Intermediate Repair Of Wound Of Scalp, Underarms, Trunk, Arms, Or Legs, 20.1-30.… 7 $1,402.50 $1,567.50 $1,567.50 nat. median
$857
1.8× median
70542
HCPCS 		MRI Scan Of Bone Of Eye Socket, Face, And/or Neck With Contrast 7 $1,402.50 $1,567.50 $1,567.50 nat. median
$923
1.7× median
73222
HCPCS 		MRI Scan Of Arm Joint With Contrast 7 $1,402.50 $1,567.50 $1,567.50 nat. median
$1,282
1.2× median
73219
HCPCS 		MRI Scan Of Arm With Contrast 7 $1,402.50 $1,567.50 $1,567.50 nat. median
$959
1.6× median
71551
HCPCS 		MRI Scan Of Chest With Contrast 7 $1,402.50 $1,567.50 $1,567.50 nat. median
$1,156
1.4× median
74182
HCPCS 		MRI Scan Of Abdomen With Contrast 7 $1,402.50 $1,567.50 $1,567.50 nat. median
$976
1.6× median
72149
HCPCS 		MRI Scan Of Lower Spinal Canal With Contrast 7 $1,402.50 $1,567.50 $1,567.50 nat. median
$979
1.6× median
70545
HCPCS 		MRI Scan Of Blood Vessels Of Head With Contrast 7 $1,402.50 $1,567.50 $1,567.50 nat. median
$893
1.8× median
72142
HCPCS 		MRI Scan Of Upper Spinal Canal With Contrast 7 $1,402.50 $1,567.50 $1,567.50 nat. median
$978
1.6× median

Other procedures at this hospital

Browse this hospital's 1,313 published procedures. Use the slice to choose what to show, then sort or filter any column.

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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
             
J1459 HCPCS Injection, Immune Globulin (privigen), Intravenous, Non-lyophilized (e.g., Liqui… 7 7 $16,267.39 $12,200.54 25% off $13,827.28 $15,454.02 $15,454.02 2026-03-04
J2997 HCPCS Injection, Alteplase Recombinant, 1 Mg 7 7 $15,840.65 $11,880.49 25% off $13,464.55 $15,048.62 $15,048.62 2026-03-04
J3101 HCPCS Injection, Tenecteplase, 1 Mg 7 7 $12,107.09 $9,080.32 25% off $10,291.03 $11,501.74 $11,501.74 2026-03-04
J2506 HCPCS Injection, Pegfilgrastim, Excludes Biosimilar, 0.5 Mg 7 7 $11,552.38 $8,664.29 25% off $9,819.52 $10,974.76 $10,974.76 2026-03-04
21554 HCPCS Removal Of Growth Of Muscle Of Neck Or Front Of Chest, 5.0 Cm Or More 7 7 $7,975.00 $5,981.25 25% off $6,778.75 $7,576.25 $7,576.25 2026-03-04
Q5108 HCPCS Injection, Pegfilgrastim-jmdb (fulphila), Biosimilar, 0.5 Mg 7 7 $4,509.00 $3,381.75 25% off $3,832.65 $4,283.55 $4,283.55 2026-03-04
J9217 HCPCS Leuprolide Acetate (for Depot Suspension), 7.5 Mg 7 7 $3,863.36 $2,897.52 25% off $3,283.86 $3,670.19 $3,670.19 2026-03-04
J0897 HCPCS Injection, Denosumab, 1 Mg 7 7 $3,375.77 $2,531.83 25% off $2,869.40 $3,206.98 $3,206.98 2026-03-04
J1439 HCPCS Injection, Ferric Carboxymaltose, 1 Mg 7 7 $3,313.33 $2,485.00 25% off $2,816.33 $3,147.66 $3,147.66 2026-03-04
93306 HCPCS Ultrasound Of Heart With Color-depicted Blood Flow, Rate, Direction And Valve Fu… 14 7 $2,627.00 $1,970.25 25% off $2,232.10 $2,496.60 $2,494.70 2026-03-04
J3111 HCPCS Injection, Romosozumab-aqqg, 1 Mg 7 7 $2,366.03 $1,774.52 25% off $2,011.13 $2,247.73 $2,247.73 2026-03-04
J3489 HCPCS Injection, Zoledronic Acid, 1 Mg 7 7 $2,341.08 $1,755.81 25% off $1,989.92 $2,224.03 $2,224.03 2026-03-04
J7298 HCPCS Levonorgestrel-releasing Intrauterine Contraceptive System (mirena), 52 Mg 7 7 $2,186.34 $1,639.76 25% off $1,858.39 $2,077.02 $2,077.02 2026-03-04
J7307 HCPCS Etonogestrel (contraceptive) Implant System, Including Implant And Supplies 7 7 $2,186.33 $1,639.75 25% off $1,858.38 $2,077.01 $2,077.01 2026-03-04
90377 HCPCS Rabies Immune Globulin For Injection Beneath The Skin And/or Into Muscle 7 7 $1,955.09 $1,466.32 25% off $1,661.83 $1,857.34 $1,857.34 2026-03-04
70498 HCPCS CT Scan Of Blood Vessels Of Neck With Contrast 7 7 $1,800.00 $1,350.00 25% off $1,530.00 $1,710.00 $1,710.00 2026-03-04
73220 HCPCS MRI Scan Of Arm Before And After Contrast 7 7 $1,800.00 $1,350.00 25% off $1,530.00 $1,710.00 $1,710.00 2026-03-04
73720 HCPCS MRI Scan Of Leg Before And After Contrast 14 7 $1,800.00 $1,350.00 25% off $1,530.00 $1,710.00 $1,710.00 2026-03-04
72198 HCPCS MRI Scan Of Blood Vessels Of Pelvis 7 7 $1,800.00 $1,350.00 25% off $1,530.00 $1,710.00 $1,710.00 2026-03-04
70546 HCPCS MRI Scan Of Blood Vessels Of Head Before And After Contrast 7 7 $1,800.00 $1,350.00 25% off $1,530.00 $1,710.00 $1,710.00 2026-03-04
73223 HCPCS MRI Scan Of Arm Joint Before And After Contrast 7 7 $1,800.00 $1,350.00 25% off $1,530.00 $1,710.00 $1,710.00 2026-03-04
72197 HCPCS MRI Scan Of Pelvis Before And After Contrast 7 7 $1,800.00 $1,350.00 25% off $1,530.00 $1,710.00 $1,710.00 2026-03-04
70549 HCPCS MRI Scan Of Blood Vessels Of Neck Before And After Contrast 7 7 $1,800.00 $1,350.00 25% off $1,530.00 $1,710.00 $1,710.00 2026-03-04
70543 HCPCS MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Before And After Contrast 7 7 $1,800.00 $1,350.00 25% off $1,530.00 $1,710.00 $1,710.00 2026-03-04
74183 HCPCS MRI Scan Of Abdomen Before And After Contrast 7 7 $1,800.00 $1,350.00 25% off $1,530.00 $1,710.00 $1,710.00 2026-03-04
71552 HCPCS MRI Scan Of Chest Before And After Contrast 7 7 $1,800.00 $1,350.00 25% off $1,530.00 $1,710.00 $1,710.00 2026-03-04
74174 HCPCS CT Scan Of Blood Vessels Of Abdomen And Pelvis With Contrast 7 7 $1,800.00 $1,350.00 25% off $1,530.00 $1,710.00 $1,710.00 2026-03-04
73225 HCPCS MRI Scan Of Blood Vessels Of Arm 7 7 $1,800.00 $1,350.00 25% off $1,530.00 $1,710.00 $1,710.00 2026-03-04
71555 HCPCS MRI Scan Of Blood Vessels Of Chest 7 7 $1,800.00 $1,350.00 25% off $1,530.00 $1,710.00 $1,710.00 2026-03-04
74185 HCPCS MRI Scan Of Blood Vessels Of Abdomen 7 7 $1,800.00 $1,350.00 25% off $1,530.00 $1,710.00 $1,710.00 2026-03-04
72157 HCPCS MRI Scan Of Middle Spinal Canal Before And After Contrast 7 7 $1,800.00 $1,350.00 25% off $1,530.00 $1,710.00 $1,710.00 2026-03-04
70553 HCPCS MRI Scan Of Brain Before And After Contrast 7 7 $1,800.00 $1,350.00 25% off $1,530.00 $1,710.00 $1,710.00 2026-03-04
71275 HCPCS CT Scan Of Blood Vessels Of Chest With Contrast 7 7 $1,800.00 $1,350.00 25% off $1,530.00 $1,710.00 $1,710.00 2026-03-04
72158 HCPCS MRI Scan Of Lower Spinal Canal Before And After Contrast 7 7 $1,800.00 $1,350.00 25% off $1,530.00 $1,710.00 $1,710.00 2026-03-04
73725 HCPCS MRI Scan Of Blood Vessels Of Leg 14 7 $1,800.00 $1,350.00 25% off $1,530.00 $1,710.00 $1,710.00 2026-03-04
72156 HCPCS MRI Scan Of Upper Spinal Canal Before And After Contrast 7 7 $1,800.00 $1,350.00 25% off $1,530.00 $1,710.00 $1,710.00 2026-03-04
73723 HCPCS MRI Scan Of Leg Joint Before And After Contrast 14 7 $1,800.00 $1,350.00 25% off $1,530.00 $1,710.00 $1,710.00 2026-03-04
J2407 HCPCS Injection, Oritavancin (orbactiv), 10 Mg 7 7 $1,740.00 $1,305.00 25% off $1,479.00 $1,653.00 $1,653.00 2026-03-04
11424 HCPCS Removal Of Noncancer Skin Growth Of Scalp, Neck, Hands, Feet, Or Genitals, 3.1-4… 14 7 $1,903.00 $1,427.25 25% off $314.50 $3,264.20 $1,636.05 2026-03-04
72196 HCPCS MRI Scan Of Pelvis With Contrast 7 7 $1,650.00 $1,237.50 25% off $1,402.50 $1,567.50 $1,567.50 2026-03-04
74182 HCPCS MRI Scan Of Abdomen With Contrast 7 7 $1,650.00 $1,237.50 25% off $1,402.50 $1,567.50 $1,567.50 2026-03-04
70552 HCPCS MRI Scan Of Brain With Contrast 7 7 $1,650.00 $1,237.50 25% off $1,402.50 $1,567.50 $1,567.50 2026-03-04
12036 HCPCS Intermediate Repair Of Wound Of Scalp, Underarms, Trunk, Arms, Or Legs, 20.1-30.… 7 7 $1,650.00 $1,237.50 25% off $1,402.50 $1,567.50 $1,567.50 2026-03-04
73722 HCPCS MRI Scan Of Leg Joint With Contrast 14 7 $1,650.00 $1,237.50 25% off $1,402.50 $1,567.50 $1,567.50 2026-03-04
73219 HCPCS MRI Scan Of Arm With Contrast 7 7 $1,650.00 $1,237.50 25% off $1,402.50 $1,567.50 $1,567.50 2026-03-04
70542 HCPCS MRI Scan Of Bone Of Eye Socket, Face, And/or Neck With Contrast 7 7 $1,650.00 $1,237.50 25% off $1,402.50 $1,567.50 $1,567.50 2026-03-04
70548 HCPCS MRI Scan Of Blood Vessels Of Neck With Contrast 7 7 $1,650.00 $1,237.50 25% off $1,402.50 $1,567.50 $1,567.50 2026-03-04
72149 HCPCS MRI Scan Of Lower Spinal Canal With Contrast 7 7 $1,650.00 $1,237.50 25% off $1,402.50 $1,567.50 $1,567.50 2026-03-04
73222 HCPCS MRI Scan Of Arm Joint With Contrast 7 7 $1,650.00 $1,237.50 25% off $1,402.50 $1,567.50 $1,567.50 2026-03-04
70545 HCPCS MRI Scan Of Blood Vessels Of Head With Contrast 7 7 $1,650.00 $1,237.50 25% off $1,402.50 $1,567.50 $1,567.50 2026-03-04
73719 HCPCS MRI Scan Of Leg With Contrast 7 7 $1,650.00 $1,237.50 25% off $1,402.50 $1,567.50 $1,567.50 2026-03-04
72142 HCPCS MRI Scan Of Upper Spinal Canal With Contrast 7 7 $1,650.00 $1,237.50 25% off $1,402.50 $1,567.50 $1,567.50 2026-03-04
71551 HCPCS MRI Scan Of Chest With Contrast 7 7 $1,650.00 $1,237.50 25% off $1,402.50 $1,567.50 $1,567.50 2026-03-04
72147 HCPCS MRI Scan Of Middle Spinal Canal With Contrast 7 7 $1,650.00 $1,237.50 25% off $1,402.50 $1,567.50 $1,567.50 2026-03-04
95810 HCPCS Sleep Study In Sleep Lab (6 Years Or Older) 7 7 $1,584.00 $1,188.00 25% off $1,346.40 $1,504.80 $1,504.80 2026-03-04
95811 HCPCS Sleep Study In Sleep Lab With Continuous Airway Pressure (6 Years Or Older) 7 7 $1,584.00 $1,188.00 25% off $1,346.40 $1,504.80 $1,504.80 2026-03-04
74181 HCPCS MRI Scan Of Abdomen Without Contrast 7 7 $1,500.00 $1,125.00 25% off $1,275.00 $1,425.00 $1,425.00 2026-03-04
70540 HCPCS MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Without Contrast 7 7 $1,500.00 $1,125.00 25% off $1,275.00 $1,425.00 $1,425.00 2026-03-04
72127 HCPCS CT Scan Of Upper Spine Before And After Contrast 7 7 $1,500.00 $1,125.00 25% off $1,275.00 $1,425.00 $1,425.00 2026-03-04
72133 HCPCS CT Scan Of Lower Spine Before And After Contrast 7 7 $1,500.00 $1,125.00 25% off $1,275.00 $1,425.00 $1,425.00 2026-03-04
71270 HCPCS CT Scan Of Chest Before And After Contrast 14 7 $1,500.00 $1,125.00 25% off $1,275.00 $1,425.00 $1,425.00 2026-03-04
71550 HCPCS MRI Scan Of Chest Without Contrast 7 7 $1,500.00 $1,125.00 25% off $1,275.00 $1,425.00 $1,425.00 2026-03-04
70547 HCPCS MRI Scan Of Blood Vessels Of Neck Without Contrast 7 7 $1,500.00 $1,125.00 25% off $1,275.00 $1,425.00 $1,425.00 2026-03-04
74178 HCPCS CT Scan Of Abdomen And Pelvis Before And After Contrast 14 7 $1,500.00 $1,125.00 25% off $1,275.00 $1,425.00 $1,425.00 2026-03-04
72194 HCPCS CT Scan Of Pelvis Before And After Contrast 7 7 $1,500.00 $1,125.00 25% off $1,275.00 $1,425.00 $1,425.00 2026-03-04
72159 HCPCS MRI Scan Of Blood Vessels Of Spinal Canal 7 7 $1,500.00 $1,125.00 25% off $1,275.00 $1,425.00 $1,425.00 2026-03-04
72141 HCPCS MRI Scan Of Upper Spinal Canal Without Contrast 7 7 $1,500.00 $1,125.00 25% off $1,275.00 $1,425.00 $1,425.00 2026-03-04
73218 HCPCS MRI Scan Of Arm Without Contrast 14 7 $1,500.00 $1,125.00 25% off $1,275.00 $1,425.00 $1,425.00 2026-03-04
72195 HCPCS MRI Scan Of Pelvis Without Contrast 7 7 $1,500.00 $1,125.00 25% off $1,275.00 $1,425.00 $1,425.00 2026-03-04
72148 HCPCS MRI Scan Of Lower Spinal Canal Without Contrast 7 7 $1,500.00 $1,125.00 25% off $1,275.00 $1,425.00 $1,425.00 2026-03-04
70544 HCPCS MRI Scan Of Blood Vessels Of Head Without Contrast 7 7 $1,500.00 $1,125.00 25% off $1,275.00 $1,425.00 $1,425.00 2026-03-04
70488 HCPCS CT Scan Of Face Before And After Contrast 7 7 $1,500.00 $1,125.00 25% off $1,275.00 $1,425.00 $1,425.00 2026-03-04
73702 HCPCS CT Scan Of Leg Before And After Contrast 14 7 $1,500.00 $1,125.00 25% off $1,275.00 $1,425.00 $1,425.00 2026-03-04
73721 HCPCS MRI Scan Of Leg Joint Without Contrast 14 7 $1,500.00 $1,125.00 25% off $1,275.00 $1,425.00 $1,425.00 2026-03-04
70551 HCPCS MRI Scan Of Brain Without Contrast 7 7 $1,500.00 $1,125.00 25% off $1,275.00 $1,425.00 $1,425.00 2026-03-04
72146 HCPCS MRI Scan Of Middle Spinal Canal Without Contrast 7 7 $1,500.00 $1,125.00 25% off $1,275.00 $1,425.00 $1,425.00 2026-03-04
70470 HCPCS CT Scan Of Head Or Brain Before And After Contrast 7 7 $1,500.00 $1,125.00 25% off $1,275.00 $1,425.00 $1,425.00 2026-03-04
72130 HCPCS CT Scan Of Middle Spine Before And After Contrast 7 7 $1,500.00 $1,125.00 25% off $1,275.00 $1,425.00 $1,425.00 2026-03-04
73202 HCPCS CT Scan Of Arm Before And After Contrast 14 7 $1,500.00 $1,125.00 25% off $1,275.00 $1,425.00 $1,425.00 2026-03-04
74170 HCPCS CT Scan Of Abdomen Before And After Contrast 14 7 $1,500.00 $1,125.00 25% off $1,275.00 $1,425.00 $1,425.00 2026-03-04
73221 HCPCS MRI Scan Of Arm Joint Without Contrast 7 7 $1,500.00 $1,125.00 25% off $1,275.00 $1,425.00 $1,425.00 2026-03-04
36556 HCPCS Insertion Of Non-tunneled Central Venous Tube For Infusion (5 Years Or Older) 28 7 $1,637.50 $1,228.12 25% off $127.50 $3,372.50 $1,399.38 2026-03-04
J7318 HCPCS Hyaluronan Or Derivative, Durolane, For Intra-articular Injection, 1 Mg 7 7 $1,387.00 $1,040.25 25% off $1,178.95 $1,317.65 $1,317.65 2026-03-04
70491 HCPCS CT Scan Of Soft Tissue Of Neck With Contrast 7 7 $1,350.00 $1,012.50 25% off $1,147.50 $1,282.50 $1,282.50 2026-03-04
72193 HCPCS CT Scan Of Pelvis With Contrast 7 7 $1,350.00 $1,012.50 25% off $1,147.50 $1,282.50 $1,282.50 2026-03-04
73201 HCPCS CT Scan Of Arm With Contrast 14 7 $1,350.00 $1,012.50 25% off $1,147.50 $1,282.50 $1,282.50 2026-03-04
73701 HCPCS CT Scan Of Leg With Contrast Material 14 7 $1,350.00 $1,012.50 25% off $1,147.50 $1,282.50 $1,282.50 2026-03-04
74177 HCPCS CT Scan Of Abdomen And Pelvis With Contrast 14 7 $1,350.00 $1,012.50 25% off $1,147.50 $1,282.50 $1,282.50 2026-03-04
71260 HCPCS CT Scan Of Chest With Contrast 14 7 $1,350.00 $1,012.50 25% off $1,147.50 $1,282.50 $1,282.50 2026-03-04
74160 HCPCS CT Scan Of Abdomen With Contrast 7 7 $1,350.00 $1,012.50 25% off $1,147.50 $1,282.50 $1,282.50 2026-03-04
70460 HCPCS CT Scan Head Or Brain With Contrast 7 7 $1,350.00 $1,012.50 25% off $1,147.50 $1,282.50 $1,282.50 2026-03-04
73718 HCPCS MRI Scan Of Leg Without Contrast 14 7 $1,350.00 $1,012.50 25% off $1,020.00 $1,425.00 $1,207.50 2026-03-04
70492 HCPCS CT Scan Of Soft Tissue Of Neck Before And After Contrast 14 7 $1,350.00 $1,012.50 25% off $1,020.00 $1,425.00 $1,207.50 2026-03-04
J0885 HCPCS Injection, Epoetin Alfa, (for Non-esrd Use), 1000 Units 14 7 $1,362.96 $1,022.22 25% off $681.46 $1,827.99 $1,198.60 2026-03-04
J0248 HCPCS Injection, Remdesivir, 1 Mg 7 7 $1,248.00 $936.00 25% off $1,060.80 $1,185.60 $1,185.60 2026-03-04
72125 HCPCS CT Scan Of Upper Spine Without Contrast 7 7 $1,200.00 $900.00 25% off $1,020.00 $1,140.00 $1,140.00 2026-03-04
72132 HCPCS CT Scan Of Lower Spine With Contrast 7 7 $1,200.00 $900.00 25% off $1,020.00 $1,140.00 $1,140.00 2026-03-04
72192 HCPCS CT Scan Of Pelvis Without Contrast 7 7 $1,200.00 $900.00 25% off $1,020.00 $1,140.00 $1,140.00 2026-03-04
74175 HCPCS CT Scan Of Blood Vessels Of Abdomen With Contrast 7 7 $1,200.00 $900.00 25% off $1,020.00 $1,140.00 $1,140.00 2026-03-04
73700 HCPCS CT Scan Of Leg Without Contrast 14 7 $1,200.00 $900.00 25% off $1,020.00 $1,140.00 $1,140.00 2026-03-04
72131 HCPCS CT Scan Of Lower Spine Without Contrast 7 7 $1,200.00 $900.00 25% off $1,020.00 $1,140.00 $1,140.00 2026-03-04
2120840_1 CDM Room & Board - Semi-private (two Beds) - General Classification 7 7 $1,200.00 $900.00 25% off $1,020.00 $1,140.00 $1,140.00 2026-03-04
72128 HCPCS CT Scan Of Middle Spine Without Contrast 7 7 $1,200.00 $900.00 25% off $1,020.00 $1,140.00 $1,140.00 2026-03-04
71271 HCPCS Low Dose CT Scan Of Chest For Lung Cancer Screening 7 7 $1,200.00 $900.00 25% off $1,020.00 $1,140.00 $1,140.00 2026-03-04
70486 HCPCS CT Scan Of Face Without Contrast 7 7 $1,200.00 $900.00 25% off $1,020.00 $1,140.00 $1,140.00 2026-03-04
73200 HCPCS CT Scan Of Arm Without Contrast 21 7 $1,200.00 $900.00 25% off $1,020.00 $1,425.00 $1,140.00 2026-03-04
75635 HCPCS CT Scan Of Abdominal Aorta And Both Leg Arteries With Contrast 7 7 $1,200.00 $900.00 25% off $1,020.00 $1,140.00 $1,140.00 2026-03-04
74176 HCPCS CT Scan Of Abdomen And Pelvis Without Contrast 14 7 $1,200.00 $900.00 25% off $1,020.00 $1,140.00 $1,140.00 2026-03-04
74150 HCPCS CT Scan Of Abdomen Without Contrast 7 7 $1,200.00 $900.00 25% off $1,020.00 $1,140.00 $1,140.00 2026-03-04
71250 HCPCS CT Scan Of Chest Without Contrast 14 7 $1,200.00 $900.00 25% off $1,020.00 $1,140.00 $1,140.00 2026-03-04
70490 HCPCS CT Scan Of Soft Tissue Of Neck Without Contrast 7 7 $1,200.00 $900.00 25% off $1,020.00 $1,140.00 $1,140.00 2026-03-04
70450 HCPCS CT Scan Head Or Brain Without Contrast 7 7 $1,200.00 $900.00 25% off $1,020.00 $1,140.00 $1,140.00 2026-03-04
64450 HCPCS Injection Of Anesthetic Agent And/or Steroid Into Other Nerve Or Branch 7 7 $1,169.00 $876.75 25% off $993.65 $1,110.55 $1,110.55 2026-03-04
90675 HCPCS Rabies Vaccine For Injection Into Muscle 14 7 $1,189.42 $892.07 25% off $966.55 $1,179.63 $1,080.26 2026-03-04
32554 HCPCS Aspiration Of Fluid From Chest Cavity 14 7 $1,132.50 $849.38 25% off $905.25 $1,140.00 $1,015.88 2026-03-04
Q5106 HCPCS Injection, Epoetin Alfa-epbx, Biosimilar, (retacrit) (for Non-esrd Use), 1000 Un… 7 7 $1,058.88 $794.16 25% off $900.05 $1,005.94 $1,005.94 2026-03-04
Q5101 HCPCS Injection, Filgrastim-sndz, Biosimilar, (zarxio), 1 Microgram 12 7 $1,053.56 $790.17 25% off $895.52 $1,000.88 $1,000.87 2026-03-04
12055 HCPCS Intermediate Repair Of Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 12.6-… 7 7 $1,031.00 $773.25 25% off $876.35 $979.45 $979.45 2026-03-04
93799 HCPCS Other Cardiovascular Service Or Procedure 7 7 $1,031.00 $773.25 25% off $876.35 $979.45 $979.45 2026-03-04
J1442 HCPCS Injection, Filgrastim (g-csf), Excludes Biosimilars, 1 Microgram 21 7 $1,001.10 $750.83 25% off $551.82 $1,211.67 $951.05 2026-03-04
93350 HCPCS Ultrasound Of Heart During Rest, Exercise And/or Drug-induced Stress With Report 7 7 $994.00 $745.50 25% off $844.90 $944.30 $944.30 2026-03-04
93351 HCPCS Ultrasound Of Heart With Continuous Electrocardiogram (ecg) During Rest, Exercis… 7 7 $994.00 $745.50 25% off $844.90 $944.30 $944.30 2026-03-04
93325 HCPCS Ultrasound Of Heart With Color-depicted Blood Flow, Rate And Valve Function 7 7 $990.00 $742.50 25% off $841.50 $940.50 $940.50 2026-03-04
93308 HCPCS Ultrasound Of Heart, Follow-up 7 7 $990.00 $742.50 25% off $841.50 $940.50 $940.50 2026-03-04
93307 HCPCS Ultrasound Of Heart 7 7 $990.00 $742.50 25% off $841.50 $940.50 $940.50 2026-03-04
76700 HCPCS Complete Ultrasound Scan Of Abdomen 7 7 $960.00 $720.00 25% off $816.00 $912.00 $912.00 2026-03-04
4441941_1 CDM Room & Board - Semi-private (two Beds) - General Classification 7 7 $950.00 $712.50 25% off $807.50 $902.50 $902.50 2026-03-04
26160 HCPCS Removal Of Growth Of Tendon Finger Or Hand 7 7 $945.00 $708.75 25% off $803.25 $897.75 $897.75 2026-03-04
76536 HCPCS Ultrasound Scan Of Head And Neck Soft Tissue 7 7 $931.00 $698.25 25% off $791.35 $884.45 $884.45 2026-03-04
70336 HCPCS MRI Scan Of Jaw Joint 7 7 $900.00 $675.00 25% off $765.00 $855.00 $855.00 2026-03-04
J1447 HCPCS Injection, Tbo-filgrastim, 1 Microgram 7 7 $898.80 $674.10 25% off $763.98 $853.86 $853.86 2026-03-04
6604820_1 CDM Daptomycin 350 Mg Vial 7 7 $878.00 $658.50 25% off $746.30 $834.10 $834.10 2026-03-04
93320 HCPCS Ultrasound Of Heart Blood Flow, Valves And Chambers 7 7 $825.00 $618.75 25% off $701.25 $783.75 $783.75 2026-03-04
43753 HCPCS Insertion Of Stomach Tube And Aspiration Of Stomach Contents 7 7 $825.00 $618.75 25% off $701.25 $783.75 $783.75 2026-03-04
26418 HCPCS Repair Of Tendon On Top Side Of Finger 21 7 $825.00 $618.75 25% off $701.25 $3,562.50 $783.75 2026-03-04
76872 HCPCS Ultrasound Scan Of Pelvic Region Through Rectum 7 7 $806.00 $604.50 25% off $685.10 $765.70 $765.70 2026-03-04
26055 HCPCS Incision Of Tendon Covering Of Finger 21 7 $800.00 $600.00 25% off $680.00 $2,023.50 $760.00 2026-03-04
93975 HCPCS Complete Ultrasound Of Abdomen And Pelvis Artery And Vein Blood Flow 14 7 $792.00 $594.00 25% off $673.20 $752.40 $752.40 2026-03-04
93978 HCPCS Complete Ultrasound Of Aorta, Vena Cava, Groin Vessels Or Bypass Grafts 7 7 $792.00 $594.00 25% off $673.20 $752.40 $752.40 2026-03-04
93923 HCPCS Complete Ultrasound Study Of Arm And Leg Arteries 7 7 $792.00 $594.00 25% off $673.20 $752.40 $752.40 2026-03-04
93922 HCPCS Ultrasound Study Of Arm And Leg Arteries 7 7 $792.00 $594.00 25% off $673.20 $752.40 $752.40 2026-03-04
93931 HCPCS Ultrasound Of One Arm Arteries Or Artery Grafts 7 7 $792.00 $594.00 25% off $673.20 $752.40 $752.40 2026-03-04
93971 HCPCS Ultrasound Study Of One Arm Or Leg Veins With Compression And Maneuvers 7 7 $792.00 $594.00 25% off $673.20 $752.40 $752.40 2026-03-04
93970 HCPCS Ultrasound Study Of Arm Or Leg Veins With Compression And Maneuvers 7 7 $792.00 $594.00 25% off $673.20 $752.40 $752.40 2026-03-04
93880 HCPCS Ultrasound Of Both Sides Of Head And Neck Blood Flow 14 7 $792.00 $594.00 25% off $673.20 $752.40 $752.40 2026-03-04
93926 HCPCS Ultrasound Of One Leg Arteries Or Artery Grafts 7 7 $792.00 $594.00 25% off $673.20 $752.40 $752.40 2026-03-04
93925 HCPCS Ultrasound Of Leg Arteries Or Artery Grafts 7 7 $792.00 $594.00 25% off $673.20 $752.40 $752.40 2026-03-04
99285 HCPCS Emergency Department Visit With High Level Of Medical Decision Making 21 7 $833.00 $624.75 25% off $280.50 $791.35 $749.70 2026-03-04
26770 HCPCS Closed Treatment Of Dislocated Finger Joint With Manipulation 28 7 $847.50 $635.62 25% off $272.00 $1,349.00 $736.38 2026-03-04
Q5125 HCPCS Injection, Filgrastim-ayow, Biosimilar, (releuko), 1 Microgram 7 7 $763.20 $572.40 25% off $648.72 $725.04 $725.04 2026-03-04
87522 HCPCS Detection Test By Nucleic Acid For Hepatitis C Virus, Quantification 7 7 $757.75 $568.31 25% off $644.09 $719.86 $719.86 2026-03-04
13152 HCPCS Complicated Repair Of Wound Of Eyelids, Nose, Ears, Or Lip, 2.6-7.5 Cm 7 7 $756.00 $567.00 25% off $642.60 $718.20 $718.20 2026-03-04
74400 HCPCS Imaging Of Urinary Tract With Injection Of Contrast Into A Vein 7 7 $744.00 $558.00 25% off $632.40 $706.80 $706.80 2026-03-04
675803_1 CDM Xr Upper Gi With Gastrografin 7 7 $742.00 $556.50 25% off $630.70 $704.90 $704.90 2026-03-04
6568068_1 CDM Trulicity 0.75 Mg/0.5 Ml Pen 7 7 $740.39 $555.29 25% off $629.33 $703.37 $703.37 2026-03-04
36430 HCPCS Transfusion Of Blood Or Blood Products 7 7 $725.00 $543.75 25% off $616.25 $688.75 $688.75 2026-03-04
87902 HCPCS Analysis Test By Nucleic Acid For Hepatitis C Virus 7 7 $697.25 $522.94 25% off $592.66 $662.39 $662.39 2026-03-04
12054 HCPCS Intermediate Repair Of Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 7.6-1… 14 7 $742.00 $556.50 25% off $501.50 $849.30 $660.20 2026-03-04
76519 HCPCS Ultrasound Scan To Determine Eye Length And Lens Power 7 7 $660.00 $495.00 25% off $561.00 $627.00 $627.00 2026-03-04
99291 HCPCS Critical Care, First 30-74 Minutes 21 7 $688.00 $516.00 25% off $361.25 $653.60 $619.20 2026-03-04
72052 HCPCS X-ray Of Upper Spine, 6 Or More Views 14 7 $646.00 $484.50 25% off $549.10 $613.70 $613.70 2026-03-04
26951 HCPCS Amputation Of Finger Or Thumb With Direct Closure 21 7 $625.00 $468.75 25% off $531.25 $2,351.25 $593.75 2026-03-04
J0165 HCPCS Injection, Epinephrine, Not Otherwise Specified, 0.1 Mg 21 7 $617.51 $463.13 25% off $45.78 $823.90 $586.63 2026-03-04
72074 HCPCS X-ray Of Middle Spine, Minimum Of 4 Views 7 7 $612.00 $459.00 25% off $520.20 $581.40 $581.40 2026-03-04
84445 HCPCS Thyroid Stimulating Immune Globulins (thyroid Related Protein) Level 7 7 $603.75 $452.81 25% off $513.19 $573.56 $573.56 2026-03-04
J2690 HCPCS Injection, Procainamide Hcl, Up To 1 Gm 14 7 $640.97 $480.73 25% off $222.65 $969.00 $557.92 2026-03-04
24071 HCPCS Removal Of Growth Under Skin Of Upper Arm Or Elbow, 3.0 Cm Or More 21 7 $575.00 $431.25 25% off $488.75 $593.75 $546.25 2026-03-04
87497 HCPCS Detection Test By Nucleic Acid For Cytomegalovirus, Quantification 7 7 $567.00 $425.25 25% off $481.95 $538.65 $538.65 2026-03-04
37195 HCPCS Infusion Of Drug To Dissolve Blood Clot In Brain 7 7 $563.00 $422.25 25% off $478.55 $534.85 $534.85 2026-03-04
29085 HCPCS Application Of Hand And Lower Forearm Cast 35 7 $570.00 $427.50 25% off $55.25 $722.00 $526.15 2026-03-04
26600 HCPCS Closed Treatment Of Broken Hand Bone 7 7 $550.00 $412.50 25% off $467.50 $522.50 $522.50 2026-03-04
11606 HCPCS Removal Of Cancer Skin Growth Of Body, Arms, Or Legs, More Than 4.0 Cm 28 7 $582.50 $436.88 25% off $403.75 $876.85 $518.88 2026-03-04
38520 HCPCS Biopsy Or Removal Of Lymph Nodes Of Neck With Removal Of Fat Pad 21 7 $543.75 $407.81 25% off $462.19 $3,800.00 $516.56 2026-03-04
6582875_1 CDM Retacrit 40,000 Unit/ml Vial 7 7 $529.44 $397.08 25% off $450.02 $502.97 $502.97 2026-03-04
11426 HCPCS Removal Of Noncancer Skin Growth Of Scalp, Neck, Hands, Feet, Or Genitals, More … 7 7 $510.00 $382.50 25% off $433.50 $484.50 $484.50 2026-03-04
64721 HCPCS Release And/or Relocation Of Hand Nerve 21 7 $500.00 $375.00 25% off $425.00 $2,090.00 $475.00 2026-03-04
77080 HCPCS Dxa Bone Density Measurement Of Hip, Pelvis, Spine 7 7 $500.00 $375.00 25% off $425.00 $475.00 $475.00 2026-03-04
28660 HCPCS Closed Treatment Of Dislocated Joint In Toe 14 7 $550.00 $412.50 25% off $85.00 $950.00 $472.50 2026-03-04
6044775_1 CDM Tr M0247 Intravenous Infusion, Sotrovimab, Includes Infusion And Post Administra… 7 7 $495.00 $371.25 25% off $420.75 $470.25 $470.25 2026-03-04
6044776_1 CDM ER M0247 Intravenous Infusion, Sotrovimab, Includes Infusion And Post Administra… 7 7 $495.00 $371.25 25% off $420.75 $470.25 $470.25 2026-03-04
70371 HCPCS Imaging Of Voice Box With Speech Evaluation 7 7 $493.00 $369.75 25% off $419.05 $468.35 $468.35 2026-03-04
99284 HCPCS Emergency Department Visit With Moderate Level Of Medical Decision Making 21 7 $513.00 $384.75 25% off $187.00 $487.35 $461.70 2026-03-04
11626 HCPCS Removal Of Cancer Skin Growth Of Scalp, Neck, Hands, Feet, Or Genitals, More Tha… 21 7 $485.00 $363.75 25% off $412.25 $890.15 $460.75 2026-03-04
28124 HCPCS Partial Removal Of Toe Bone 21 7 $480.00 $360.00 25% off $408.00 $741.95 $456.00 2026-03-04
25605 HCPCS Closed Treatment Of Broken Or Growth Plate Separate Of Forearm Bone At Wrist Wit… 21 7 $475.00 $356.25 25% off $403.75 $1,567.50 $451.25 2026-03-04
87799 HCPCS Detection Test By Nucleic Acid For Organism, Quantification 7 7 $466.25 $349.69 25% off $396.31 $442.94 $442.94 2026-03-04
M0222 HCPCS Intravenous Injection, Bebtelovimab, Includes Injection And Post Administration … 7 7 $461.00 $345.75 25% off $391.85 $437.95 $437.95 2026-03-04
36680 HCPCS Insertion Of Needle For Infusion Into Bone 7 7 $456.00 $342.00 25% off $387.60 $433.20 $433.20 2026-03-04
27550 HCPCS Closed Treatment Of Dislocated Knee 14 7 $452.05 $339.04 25% off $384.24 $429.45 $429.45 2026-03-04
14021 HCPCS Repair Of Wound Of Scalp, Arms, Or Legs By Transferring Skin, 10.1-30.0 Sq Cm 7 7 $450.00 $337.50 25% off $382.50 $427.50 $427.50 2026-03-04
26755 HCPCS Closed Treatment Of Broken End Of Finger Or Thumb With Manipulation 28 7 $488.00 $366.00 25% off $187.00 $816.05 $425.80 2026-03-04
29450 HCPCS Application Of Leg Cast And Manipulation Of Foot To Treat Deformity 7 7 $440.00 $330.00 25% off $374.00 $418.00 $418.00 2026-03-04
29345 HCPCS Application Of Long Leg Cast From Thigh To Toe 7 7 $440.00 $330.00 25% off $374.00 $418.00 $418.00 2026-03-04
29065 HCPCS Application Of Shoulder To Hand Cast 35 7 $440.00 $330.00 25% off $85.00 $593.75 $418.00 2026-03-04
36593 HCPCS Declotting Of Central Venous Tube 7 7 $438.00 $328.50 25% off $372.30 $416.10 $416.10 2026-03-04
26775 HCPCS Closed Treatment Of Dislocated Finger Joint With Manipulation Under Anesthesia 21 7 $435.00 $326.25 25% off $369.75 $779.00 $413.25 2026-03-04
70260 HCPCS X-ray Of Skull, Minimum Of 4 Views 7 7 $431.00 $323.25 25% off $366.35 $409.45 $409.45 2026-03-04
25111 HCPCS Removal Of First Cyst Of Wrist 28 7 $457.50 $343.12 25% off $340.00 $3,372.50 $408.88 2026-03-04
67840 HCPCS Removal Of Growth Of Eyelid 7 7 $430.00 $322.50 25% off $365.50 $408.50 $408.50 2026-03-04
27816 HCPCS Closed Treatment Of 3 Broken Lower Leg Bones At Ankle 7 7 $430.00 $322.50 25% off $365.50 $408.50 $408.50 2026-03-04
72110 HCPCS X-ray Of Lower And Sacral Spine, Minimum Of 4 Views 7 7 $417.00 $312.75 25% off $354.45 $396.15 $396.15 2026-03-04
72081 HCPCS X-ray Of Entire Middle And Lower Spine, 1 View 7 7 $417.00 $312.75 25% off $354.45 $396.15 $396.15 2026-03-04
20670 HCPCS Removal Of Surface Implant From Bone 7 7 $415.00 $311.25 25% off $352.75 $394.25 $394.25 2026-03-04
93017 HCPCS Exercise Or Drug-induced Heart Stress Test With Electrocardiogram (ecg) 21 7 $413.00 $309.75 25% off $321.30 $570.00 $392.35 2026-03-04
13151 HCPCS Complicated Repair Of Wound Of Eyelids, Nose, Ears, Or Lip, 1.1-2.5 Cm 7 7 $413.00 $309.75 25% off $351.05 $392.35 $392.35 2026-03-04
6466274_1 CDM Oseltamivir 6 Mg/ml Suspension 7 7 $410.07 $307.55 25% off $348.56 $389.57 $389.57 2026-03-04
72050 HCPCS X-ray Of Upper Spine, 4-5 Views 7 7 $410.00 $307.50 25% off $348.50 $389.50 $389.50 2026-03-04
88262 HCPCS Chromosome Analysis For Genetic Defects, Count 15-20 Cells 7 7 $403.25 $302.44 25% off $342.76 $383.09 $383.09 2026-03-04
76856 HCPCS Complete Ultrasound Scan Of Pelvis 7 7 $403.00 $302.25 25% off $342.55 $382.85 $382.85 2026-03-04
76830 HCPCS Ultrasound Scan Of Uterus, Ovaries, Tubes, Cervix And Pelvic Area Through Vagina 7 7 $403.00 $302.25 25% off $342.55 $382.85 $382.85 2026-03-04
84588 HCPCS Adh (antidiuretic Hormone) Level 7 7 $403.00 $302.25 25% off $342.55 $382.85 $382.85 2026-03-04
11624 HCPCS Removal Of Cancer Skin Growth Of Scalp, Neck, Hands, Feet, Or Genitals, 3.1-4.0 … 28 7 $428.00 $321.00 25% off $285.60 $620.35 $380.60 2026-03-04
29240 HCPCS Placement Of Strapping To Shoulder 7 7 $400.00 $300.00 25% off $340.00 $380.00 $380.00 2026-03-04
28193 HCPCS Complicated Removal Of Foreign Body In Foot 7 7 $400.00 $300.00 25% off $340.00 $380.00 $380.00 2026-03-04
76770 HCPCS Complete Ultrasound Scan Behind Abdominal Cavity 7 7 $396.00 $297.00 25% off $336.60 $376.20 $376.20 2026-03-04
82668 HCPCS Erythropoietin (protein) Level 7 7 $393.75 $295.31 25% off $334.69 $374.06 $374.06 2026-03-04
26080 HCPCS Incision Of Finger Joint For Exploration, Fluid Drainage, Or Removal Of Foreign … 21 7 $390.00 $292.50 25% off $331.50 $1,567.50 $370.50 2026-03-04
6264389_1 CDM Ez - Io 25mm 15ga + Stabilizer Kit 7 7 $385.00 $288.75 25% off $327.25 $365.75 $365.75 2026-03-04
29405 HCPCS Application Of Short Leg Cast 35 7 $385.00 $288.75 25% off $89.04 $519.65 $365.75 2026-03-04
70130 HCPCS X-ray Of Bone Behind The Ear, Minimum Of 3 Views Per Side 14 7 $382.00 $286.50 25% off $324.70 $362.90 $362.90 2026-03-04
11604 HCPCS Removal Of Cancer Skin Growth Of Body, Arms, Or Legs, 3.1-4.0 Cm 28 7 $403.00 $302.25 25% off $277.10 $607.05 $358.85 2026-03-04
80204 HCPCS Measurement Of Methotrexate 7 7 $375.00 $281.25 25% off $318.75 $356.25 $356.25 2026-03-04
19120 HCPCS Removal Of Growth And Tissue Of Breast, Duct, Or Nipple 21 7 $375.00 $281.25 25% off $318.75 $1,596.00 $356.25 2026-03-04
6232710_1 CDM Ez - Io 15 Mm 15 Ga Needle Set 7 7 $375.00 $281.25 25% off $318.75 $356.25 $356.25 2026-03-04
28190 HCPCS Removal Of Foreign Body Of Foot Tissue, Accessed Beneath The Skin 7 7 $375.00 $281.25 25% off $318.75 $356.25 $356.25 2026-03-04
12044 HCPCS Intermediate Repair Of Wound Of Neck, Hands, Feet, Or Genitals, 7.6-12.5 Cm 28 7 $405.00 $303.75 25% off $195.50 $849.30 $355.75 2026-03-04
73522 HCPCS X-ray Of Both Hips, 3-4 Views 14 7 $395.00 $296.25 25% off $263.50 $456.00 $351.25 2026-03-04
70150 HCPCS X-ray Of Face Bones, Minimum Of 3 Views 14 7 $368.00 $276.00 25% off $312.80 $349.60 $349.60 2026-03-04
74019 HCPCS X-ray Of Abdomen, 2 Views 7 7 $368.00 $276.00 25% off $312.80 $349.60 $349.60 2026-03-04
71111 HCPCS X-ray Of Ribs On Both Sides Of Body, Minimum Of 4 Views 7 7 $368.00 $276.00 25% off $312.80 $349.60 $349.60 2026-03-04
71048 HCPCS X-ray Of Chest, Minimum Of 4 Views 7 7 $368.00 $276.00 25% off $312.80 $349.60 $349.60 2026-03-04
12034 HCPCS Intermediate Repair Of Wound Of Scalp, Underarms, Trunk, Arms, Or Legs, 7.6-12.5… 28 7 $392.55 $294.42 25% off $229.59 $849.30 $347.18 2026-03-04
23650 HCPCS Closed Treatment Of Dislocated Shoulder With Manipulation 21 7 $363.85 $272.89 25% off $309.27 $979.45 $345.66 2026-03-04
70200 HCPCS X-ray Of Eye Socket, Minimum Of 4 Views 7 7 $361.00 $270.75 25% off $306.85 $342.95 $342.95 2026-03-04
73521 HCPCS X-ray Of Both Hips, 2 Views 7 7 $361.00 $270.75 25% off $306.85 $342.95 $342.95 2026-03-04
72072 HCPCS X-ray Of Middle Spine, 3 Views 7 7 $361.00 $270.75 25% off $306.85 $342.95 $342.95 2026-03-04
71101 HCPCS X-ray Of Ribs On Side Of Body, Minimum Of 3 Views 14 7 $378.50 $283.88 25% off $306.85 $376.20 $342.95 2026-03-04
11623 HCPCS Removal Of Cancer Skin Growth Of Scalp, Neck, Hands, Feet, Or Genitals, 2.1-3.0 … 28 7 $385.00 $288.75 25% off $263.50 $587.10 $342.75 2026-03-04
12032 HCPCS Intermediate Repair Of Wound Of Scalp, Underarms, Trunk, Arms, Or Legs, 2.6-7.5 … 28 7 $385.00 $288.75 25% off $255.00 $456.95 $342.25 2026-03-04
11406 HCPCS Removal Of Noncancer Skin Growth Of Body, Arms, Or Legs, More Than 4.0 Cm 21 7 $360.00 $270.00 25% off $306.00 $607.05 $342.00 2026-03-04
12056 HCPCS Intermediate Repair Of Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 20.1-… 7 7 $360.00 $270.00 25% off $306.00 $342.00 $342.00 2026-03-04
84482 HCPCS Thyroid Hormone, T3 Measurement, Reverse 7 7 $359.00 $269.25 25% off $305.15 $341.05 $341.05 2026-03-04
85306 HCPCS Protein S (clotting Inhibitor) Measurement 7 7 $356.25 $267.19 25% off $302.81 $338.44 $338.44 2026-03-04
20610 HCPCS Aspiration And/or Injection Of Fluid From Large Joint 42 7 $377.00 $282.75 25% off $104.98 $638.40 $337.65 2026-03-04
41110 HCPCS Removal Of Growth Of Tongue Without Closure 7 7 $355.00 $266.25 25% off $301.75 $337.25 $337.25 2026-03-04
70220 HCPCS X-ray Of Paranasal Sinus, Minimum Of 3 Views 7 7 $354.00 $265.50 25% off $300.90 $336.30 $336.30 2026-03-04
71130 HCPCS X-ray Of Joint Between Breast And Collar Bones, Minimum Of 2 Views 7 7 $354.00 $265.50 25% off $300.90 $336.30 $336.30 2026-03-04
99205 HCPCS New Patient Office Or Other Outpatient Visit With A High Level Of Medical Decisi… 7 7 $350.00 $262.50 25% off $297.50 $332.50 $332.50 2026-03-04
43762 HCPCS Replacement Of Stomach Stoma Tube 21 7 $350.00 $262.50 25% off $297.50 $708.70 $332.50 2026-03-04
28232 HCPCS Incision To Lengthen Toe Tendon 21 7 $350.00 $262.50 25% off $297.50 $371.45 $332.50 2026-03-04
27530 HCPCS Closed Treatment Of Broken Shin Bone 14 7 $350.00 $262.50 25% off $297.50 $332.50 $332.50 2026-03-04
P9040 HCPCS Red Blood Cells, Leukocytes Reduced, Irradiated, Each Unit 7 7 $350.00 $262.50 25% off $297.50 $332.50 $332.50 2026-03-04
11643 HCPCS Removal Of Cancer Skin Growth Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 2.1-… 28 7 $375.00 $281.25 25% off $221.00 $1,416.45 $331.75 2026-03-04
J0283 HCPCS Injection, Amiodarone Hydrochloride (nexterone), 30 Mg 7 7 $346.76 $260.07 25% off $294.75 $329.42 $329.42 2026-03-04
85301 HCPCS Antithrombin Iii Antigen (clotting Inhibitor) Level 7 7 $346.50 $259.88 25% off $294.53 $329.18 $329.18 2026-03-04
11603 HCPCS Removal Of Cancer Skin Growth Of Body, Arms, Or Legs, 2.1-3.0 Cm 28 7 $367.50 $275.62 25% off $255.00 $573.80 $327.38 2026-03-04
13100 HCPCS Complicated Repair Of Wound Of Trunk, 1.1-2.5 Cm 7 7 $344.00 $258.00 25% off $292.40 $326.80 $326.80 2026-03-04
71047 HCPCS X-ray Of Chest, 3 Views 7 7 $341.00 $255.75 25% off $289.85 $323.95 $323.95 2026-03-04
96415 HCPCS Administration Of Chemotherapy Into Vein, Each Additional Hour 14 7 $359.00 $269.25 25% off $285.60 $362.90 $321.95 2026-03-04
96413 HCPCS Administration Of Chemotherapy Into Vein, 1 Hour Or Less 14 7 $359.00 $269.25 25% off $285.60 $362.90 $321.95 2026-03-04
99283 HCPCS Emergency Department Visit With Low Level Of Medical Decision Making 21 7 $356.00 $267.00 25% off $123.25 $338.20 $320.40 2026-03-04
41010 HCPCS Incision Of Tissue Connecting Tongue And Floor Of Mouth 7 7 $335.00 $251.25 25% off $284.75 $318.25 $318.25 2026-03-04
70250 HCPCS X-ray Of Skull, 1-3 Views 7 7 $334.00 $250.50 25% off $283.90 $317.30 $317.30 2026-03-04
72080 HCPCS X-ray Of Middle And Lower Spine, 2 Views 7 7 $334.00 $250.50 25% off $283.90 $317.30 $317.30 2026-03-04
73564 HCPCS X-ray Of Knee, 4 Or More Views 14 7 $334.00 $250.50 25% off $283.90 $317.30 $317.30 2026-03-04
72100 HCPCS X-ray Of Lower And Sacral Spine, 2-3 Views 7 7 $334.00 $250.50 25% off $283.90 $317.30 $317.30 2026-03-04
72070 HCPCS X-ray Of Middle Spine, 2 Views 7 7 $334.00 $250.50 25% off $283.90 $317.30 $317.30 2026-03-04
74021 HCPCS X-ray Of Abdomen, Minimum Of 3 Views 7 7 $334.00 $250.50 25% off $283.90 $317.30 $317.30 2026-03-04
6181409_1 CDM Infuvite Adult Vial 7 7 $330.75 $248.06 25% off $281.14 $314.21 $314.21 2026-03-04
11644 HCPCS Removal Of Cancer Skin Growth Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 3.1-… 14 7 $330.00 $247.50 25% off $280.50 $313.50 $313.50 2026-03-04
13132 HCPCS Complicated Repair Of Wound Of Forehead, Cheeks, Chin, Mouth, Neck, Underarms, G… 21 7 $330.00 $247.50 25% off $280.50 $718.20 $313.50 2026-03-04
12042 HCPCS Intermediate Repair Of Wound Of Neck, Hands, Feet, Or Genitals, 2.6-7.5 Cm 28 7 $349.00 $261.75 25% off $242.25 $456.00 $310.90 2026-03-04
74210 HCPCS X-ray Of Voice Box And/or Esophagus With Contrast 7 7 $327.00 $245.25 25% off $277.95 $310.65 $310.65 2026-03-04
84585 HCPCS Urine Vanillylmandelic Acid 7 7 $326.00 $244.50 25% off $277.10 $309.70 $309.70 2026-03-04
99292 HCPCS Critical Care, Each Additional 30 Minutes 21 7 $344.00 $258.00 25% off $170.00 $326.80 $309.60 2026-03-04
51700 HCPCS Simple Bladder Irrigation And/or Instillation 7 7 $325.00 $243.75 25% off $276.25 $308.75 $308.75 2026-03-04
29075 HCPCS Application Of Elbow To Finger Cast 42 7 $355.00 $266.25 25% off $76.50 $667.85 $308.75 2026-03-04
27750 HCPCS Closed Treatment Of Broken Middle Part Of Shin Bone 21 7 $325.00 $243.75 25% off $276.25 $1,633.05 $308.75 2026-03-04
12007 HCPCS Simple Repair Of Surface Wound To Scalp, Neck, Underarms, Trunk, Arms, Or Legs, … 21 7 $325.00 $243.75 25% off $276.25 $1,371.80 $308.75 2026-03-04
83993 HCPCS Stool Calprotectin (protein) Level 7 7 $324.50 $243.38 25% off $275.83 $308.28 $308.28 2026-03-04
85220 HCPCS Clotting Factor V (AcG Or Proaccelerin) Measurement 7 7 $324.50 $243.38 25% off $275.83 $308.28 $308.28 2026-03-04
5588288_1 CDM Lidocaine Hcl 2% Jelly 7 7 $320.87 $240.65 25% off $272.74 $304.83 $304.83 2026-03-04
70190 HCPCS X-ray Of Eye Canal 14 7 $320.00 $240.00 25% off $272.00 $304.00 $304.00 2026-03-04
70140 HCPCS X-ray Of Face Bones, 1-2 Views 7 7 $320.00 $240.00 25% off $272.00 $304.00 $304.00 2026-03-04
46083 HCPCS Incision Of External Hemorrhoid With Blood Clot 7 7 $320.00 $240.00 25% off $272.00 $304.00 $304.00 2026-03-04
73565 HCPCS X-ray Of Both Knees While Standing 7 7 $320.00 $240.00 25% off $272.00 $304.00 $304.00 2026-03-04
72040 HCPCS X-ray Of Upper Spine, 2-3 Views 7 7 $320.00 $240.00 25% off $272.00 $304.00 $304.00 2026-03-04
71120 HCPCS X-ray Of Chest Bone, Minimum Of 2 Views 7 7 $320.00 $240.00 25% off $272.00 $304.00 $304.00 2026-03-04
71046 HCPCS X-ray Of Chest, 2 Views 7 7 $320.00 $240.00 25% off $272.00 $304.00 $304.00 2026-03-04
25600 HCPCS Closed Treatment Of Broken Forearm (radius) Bone At The Wrist Area On The Thumb … 21 7 $320.00 $240.00 25% off $272.00 $1,567.50 $304.00 2026-03-04
27808 HCPCS Closed Treatment Of 2 Broken Lower Leg Bones At Ankle 7 7 $319.75 $239.81 25% off $271.79 $303.76 $303.76 2026-03-04
11642 HCPCS Removal Of Cancer Skin Growth Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 1.1-… 28 7 $340.00 $255.00 25% off $225.25 $902.50 $302.25 2026-03-04
27760 HCPCS Closed Treatment Of Inside Portion Of Shin Bone At Ankle 21 7 $315.00 $236.25 25% off $267.75 $1,633.05 $299.25 2026-03-04
80158 HCPCS Cyclosporine Level 7 7 $312.50 $234.38 25% off $265.63 $296.88 $296.88 2026-03-04
85303 HCPCS Protein C Antigen (clotting Inhibitor) Measurement 7 7 $310.75 $233.06 25% off $264.14 $295.21 $295.21 2026-03-04
C1751 HCPCS Catheter, Infusion, Inserted Peripherally, Centrally Or Midline (other Than Hemo… 7 7 $310.00 $232.50 25% off $263.50 $294.50 $294.50 2026-03-04
12018 HCPCS Simple Repair Of Surface Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, Mor… 14 7 $310.00 $232.50 25% off $263.50 $294.50 $294.50 2026-03-04
73502 HCPCS X-ray Of Hip, 2-3 Views 21 7 $327.00 $245.25 25% off $260.10 $310.65 $294.30 2026-03-04
92523 HCPCS Evaluation Of Speech Sound Production With Evaluation Of Language Comprehension … 7 7 $309.00 $231.75 25% off $262.65 $293.55 $293.55 2026-03-04
92610 HCPCS Evaluation Of Swallowing Function 7 7 $309.00 $231.75 25% off $262.65 $293.55 $293.55 2026-03-04
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