|
0003M
|
OTHER
|
Nash Firbosure Plus Rl
|
4
|
2
|
$600.00
|
$480.00
20% off
|
$299.88
|
$510.00
|
$404.94
|
2026-02-23
|
|
0202U
|
OTHER
|
Respiratory Pathogen Panel (pcr)
|
4
|
2
|
$1,300.00
|
$1,040.00
20% off
|
$649.74
|
$1,300.00
|
$974.87
|
2026-02-23
|
|
10061
|
HCPCS
|
Sp Rhc Drainage Of Skin Abscess 521
|
4
|
2
|
$577.00
|
$461.60
|
$288.38
|
$577.00
|
$432.69
|
2026-02-23
|
|
10120
|
HCPCS
|
Erd Removal For Bod Simp
|
12
|
2
|
$510.00
|
$408.00
20% off
|
$106.32
|
$1,269.91
|
$382.45
|
2026-02-23
|
|
10140
|
HCPCS
|
Drainage Of Hematoma/fluid Op Treatment
|
12
|
2
|
$567.00
|
$453.60
|
$120.14
|
$2,655.16
|
$425.19
|
2026-02-23
|
|
11000
|
HCPCS
|
Sp Rhc Debride Infected Skin 521
|
4
|
2
|
$427.00
|
$341.60
|
$213.41
|
$365.46
|
$289.44
|
2026-02-23
|
|
11042
|
HCPCS
|
Debridement Subq Tissue 20 Sq Cm Or Less
|
12
|
2
|
$400.00
|
$320.00
20% off
|
$58.41
|
$591.48
|
$299.96
|
2026-02-23
|
|
11400
|
HCPCS
|
Excsn Bengn Lesn Less 0.5 Cm 761
|
8
|
2
|
$603.25
|
$482.60
20% off
|
$119.21
|
$968.00
|
$361.15
|
2026-02-23
|
|
11401
|
HCPCS
|
Excsn Bengn Lesn Less .6-1cm 761
|
8
|
2
|
$601.50
|
$481.20
20% off
|
$249.90
|
$654.73
|
$425.68
|
2026-02-23
|
|
11402
|
HCPCS
|
Sp Rhc Excsn Bengn Lesn Less 1.1-2cm 521
|
4
|
2
|
$774.00
|
$619.20
|
$386.85
|
$774.00
|
$580.42
|
2026-02-23
|
|
11403
|
HCPCS
|
Excsn Bengn Lesn Less 2.1-3cm 761
|
8
|
2
|
$1,128.50
|
$902.80
20% off
|
$111.46
|
$1,153.02
|
$619.80
|
2026-02-23
|
|
11404
|
HCPCS
|
Sp Rhc Excsn Bengn Lesn Less 3.1-4cm 521
|
4
|
2
|
$753.00
|
$602.40
20% off
|
$376.35
|
$753.00
|
$564.67
|
2026-02-23
|
|
11406
|
HCPCS
|
Mv Rhc Excsn Bengn Lesn Less Over 4cm 52
|
4
|
2
|
$750.00
|
$600.00
20% off
|
$374.85
|
$750.00
|
$562.42
|
2026-02-23
|
|
11421
|
HCPCS
|
Sp Rhc Excsn Bengn Lesn .6-1cm Sclp Hd 5
|
4
|
2
|
$587.00
|
$469.60
|
$293.38
|
$587.00
|
$440.19
|
2026-02-23
|
|
11422
|
HCPCS
|
Exc B9 Lesion Mrgn Xcp Sk Tg S/n/h/f 761
|
8
|
2
|
$1,517.00
|
$1,213.60
20% off
|
$516.79
|
$2,000.00
|
$1,016.80
|
2026-02-23
|
|
11423
|
HCPCS
|
Mv Rhc Excsn Bengn Lesn 2.1-3cm Sclp Hd
|
4
|
2
|
$1,599.00
|
$1,279.20
20% off
|
$799.18
|
$1,599.00
|
$1,199.09
|
2026-02-23
|
|
11441
|
HCPCS
|
Sp Rhc Excsn Bengn Lesn Face .6-1 Cm 521
|
4
|
2
|
$1,019.00
|
$815.20
|
$509.30
|
$1,019.00
|
$764.15
|
2026-02-23
|
|
11443
|
HCPCS
|
Mv Rhc Excsn Bengn Lesn Face 2.1-3 Cm 52
|
4
|
2
|
$1,200.00
|
$960.00
20% off
|
$599.76
|
$1,200.00
|
$899.88
|
2026-02-23
|
|
11444
|
HCPCS
|
Sp Rhc Excsn Bengn Lesn Face 3.1-4 Cm 52
|
4
|
2
|
$1,346.00
|
$1,076.80
20% off
|
$672.73
|
$1,346.00
|
$1,009.37
|
2026-02-23
|
|
11446
|
HCPCS
|
Sp Rhc Excsn Bengn Lesn Face Over 4cm 52
|
4
|
2
|
$1,390.00
|
$1,112.00
20% off
|
$694.72
|
$1,390.00
|
$1,042.36
|
2026-02-23
|
|
11602
|
HCPCS
|
Excision Tr Ext Malignant + Marg 1.1 450
|
10
|
2
|
$753.00
|
$602.40
20% off
|
$143.71
|
$591.48
|
$376.35
|
2026-02-23
|
|
11603
|
HCPCS
|
Mv Excision Malignant Lesion Incl Margin
|
12
|
2
|
$718.00
|
$574.40
20% off
|
$171.37
|
$1,027.26
|
$590.37
|
2026-02-23
|
|
11604
|
HCPCS
|
Mv Rhc Exc Mlg Les Trnk Arm Leg 3.1-4 5
|
8
|
2
|
$407.50
|
$326.00
20% off
|
$202.92
|
$409.00
|
$305.21
|
2026-02-23
|
|
11606
|
HCPCS
|
Sp Rhc Exc Mlg Les Trnk Arm Leg Over4cm
|
4
|
2
|
$579.00
|
$463.20
20% off
|
$289.38
|
$579.00
|
$434.19
|
2026-02-23
|
|
11621
|
HCPCS
|
Sp Rhc Exc H-f-nk-sp Mlg+marg .6-1cm 521
|
4
|
2
|
$1,273.00
|
$1,018.40
20% off
|
$636.25
|
$1,027.26
|
$831.75
|
2026-02-23
|
|
11623
|
HCPCS
|
Sp Rhc Exc H-f-nk-sp Mlg+marg 2.1-3 521
|
4
|
2
|
$587.00
|
$469.60
|
$293.38
|
$587.00
|
$440.19
|
2026-02-23
|
|
11624
|
HCPCS
|
Sp Rhc Exc H-f-nk-sp Mlg+marg 3.1-4cm 52
|
4
|
2
|
$1,390.00
|
$1,112.00
20% off
|
$694.72
|
$1,390.00
|
$1,042.36
|
2026-02-23
|
|
11640
|
HCPCS
|
Sp Rhc Exc F-e-e-n-l Mlg+marg .5cm Less
|
4
|
2
|
$1,377.00
|
$1,101.60
20% off
|
$663.38
|
$688.22
|
$675.80
|
2026-02-23
|
|
11641
|
HCPCS
|
Sp Rhc Exc F-e-e-n-l Mlg+marg .6-1cm 521
|
4
|
2
|
$1,563.00
|
$1,250.40
|
$781.19
|
$861.99
|
$821.59
|
2026-02-23
|
|
11642
|
HCPCS
|
Sp Rhc Exc F-e-e-n-l Mlg+marg 1.1-2cm 52
|
4
|
2
|
$1,605.00
|
$1,284.00
20% off
|
$802.18
|
$1,040.75
|
$921.46
|
2026-02-23
|
|
11644
|
HCPCS
|
Sp Rhc Exc F-e-e-n-l Mlg+marg 3.1-4cm 52
|
4
|
2
|
$2,301.00
|
$1,840.80
20% off
|
$1,150.04
|
$1,723.99
|
$1,437.01
|
2026-02-23
|
|
11750
|
HCPCS
|
Sp Rhc Exc Nail & Matrix 521
|
4
|
2
|
$450.00
|
$360.00
20% off
|
$224.91
|
$450.00
|
$337.45
|
2026-02-23
|
|
11755
|
HCPCS
|
Sp Rhc Biopsy Nail Unit 521
|
4
|
2
|
$784.00
|
$627.20
|
$391.84
|
$784.00
|
$587.92
|
2026-02-23
|
|
11982
|
HCPCS
|
Mv Removal Implantable Contraceptive Cap
|
8
|
2
|
$481.00
|
$384.80
20% off
|
$234.41
|
$493.00
|
$357.70
|
2026-02-23
|
|
12001
|
HCPCS
|
Erd Simple Rep <2.5cm Or 981
|
12
|
2
|
$356.50
|
$285.20
20% off
|
$45.17
|
$501.84
|
$290.97
|
2026-02-23
|
|
12006
|
HCPCS
|
Repair S/n/a/genit/trunk 20.1cm To 30.0c
|
8
|
2
|
$632.49
|
$505.99
|
$112.01
|
$1,065.97
|
$365.88
|
2026-02-23
|
|
12011
|
HCPCS
|
Repair Simp 2.5/less Fro
|
12
|
2
|
$426.00
|
$340.80
20% off
|
$55.76
|
$623.66
|
$319.45
|
2026-02-23
|
|
12015
|
HCPCS
|
Simple Repair F/e/e/n/l/m 450
|
8
|
2
|
$677.00
|
$541.60
20% off
|
$92.22
|
$1,060.61
|
$404.39
|
2026-02-23
|
|
12016
|
HCPCS
|
Repair Simple Face Ears Eyelids Nose Lip
|
8
|
2
|
$650.00
|
$520.00
20% off
|
$124.79
|
$1,060.61
|
$374.89
|
2026-02-23
|
|
12031
|
HCPCS
|
Rpr Intm S/t/a/ext 2.5 Cm Or Less
|
10
|
2
|
$872.55
|
$698.04
20% off
|
$139.37
|
$591.48
|
$478.15
|
2026-02-23
|
|
12032
|
HCPCS
|
Repair Intermediate Wound Of Scalp Axill
|
12
|
2
|
$406.00
|
$324.80
20% off
|
$173.08
|
$591.48
|
$292.73
|
2026-02-23
|
|
12041
|
HCPCS
|
Erd2 Intrm Rep 2.5 Or Le
|
12
|
2
|
$525.00
|
$420.00
20% off
|
$135.34
|
$697.80
|
$439.21
|
2026-02-23
|
|
12042
|
HCPCS
|
Sp Rhc Intmd Rpr N/h/f/g 2.6-7.5cm 521
|
4
|
2
|
$590.50
|
$472.40
20% off
|
$295.14
|
$590.50
|
$442.82
|
2026-02-23
|
|
12044
|
HCPCS
|
Repair Intermed Wound Neck Hand Feet Gen
|
8
|
2
|
$756.33
|
$605.06
20% off
|
$198.92
|
$1,060.61
|
$470.05
|
2026-02-23
|
|
12051
|
HCPCS
|
Mv Repair Inter Wound Face Ears Eyelids
|
4
|
2
|
$420.00
|
$336.00
20% off
|
$209.92
|
$420.00
|
$314.96
|
2026-02-23
|
|
12053
|
HCPCS
|
Rpr Int Fac/e/e/n/l/muc 5.1-7.5 Cm
|
8
|
2
|
$956.92
|
$765.54
20% off
|
$195.86
|
$1,184.50
|
$546.94
|
2026-02-23
|
|
13121
|
HCPCS
|
Repair Complex Scalp Arms And Or Legs 2.
|
6
|
2
|
$2,218.00
|
$1,774.40
|
$226.96
|
$1,108.56
|
$707.08
|
2026-02-23
|
|
13122
|
HCPCS
|
Repair Complex Scalp Arms And/or Legs Ea
|
8
|
2
|
$870.50
|
$696.40
20% off
|
$70.98
|
$1,372.75
|
$457.14
|
2026-02-23
|
|
17111
|
HCPCS
|
Mv Rhc Dest Lesion 15 Or More
|
4
|
2
|
$428.40
|
$342.72
|
$214.11
|
$428.40
|
$321.25
|
2026-02-23
|
|
20520
|
HCPCS
|
Erd1 Removal Foreign Bod
|
8
|
2
|
$1,274.00
|
$1,019.20
|
$147.24
|
$1,133.55
|
$537.24
|
2026-02-23
|
|
20611
|
HCPCS
|
Drain/inj Major Joint With US 510
|
10
|
2
|
$596.09
|
$476.87
20% off
|
$52.80
|
$483.75
|
$307.50
|
2026-02-23
|
|
23071
|
HCPCS
|
Excision Tumor Soft Tissue Shoulder 761
|
4
|
2
|
$2,300.00
|
$1,840.00
20% off
|
$1,149.54
|
$2,300.00
|
$1,724.77
|
2026-02-23
|
|
23650
|
HCPCS
|
Dislocat Shoulder Cl/man
|
8
|
2
|
$639.65
|
$511.72
|
$366.00
|
$913.30
|
$415.61
|
2026-02-23
|
|
25530
|
HCPCS
|
Sp Treat Fracture Of Ulna 521
|
4
|
2
|
$782.00
|
$625.60
20% off
|
$390.84
|
$782.00
|
$586.42
|
2026-02-23
|
|
25565
|
HCPCS
|
ER Clsd Trmt Rad/uln W/m
|
4
|
2
|
$2,000.00
|
$1,600.00
20% off
|
$999.60
|
$2,000.00
|
$1,499.80
|
2026-02-23
|
|
26055
|
HCPCS
|
Tendon Sheath Incision 510
|
8
|
2
|
$1,012.50
|
$810.00
20% off
|
$295.21
|
$1,600.00
|
$612.34
|
2026-02-23
|
|
26755
|
HCPCS
|
Cltx Dstl Phlngl Fx Fngr/thmb W/man 450
|
8
|
2
|
$425.00
|
$340.00
20% off
|
$199.92
|
$450.00
|
$353.02
|
2026-02-23
|
|
26765
|
HCPCS
|
Sp Treat Finger Fracture 521
|
4
|
2
|
$1,543.50
|
$1,234.80
20% off
|
$771.45
|
$1,543.50
|
$1,157.47
|
2026-02-23
|
|
27096
|
HCPCS
|
Inj Sacroiliac Joint W/flouroscopy 510
|
10
|
2
|
$663.00
|
$530.40
20% off
|
$78.30
|
$1,005.60
|
$663.00
|
2026-02-23
|
|
27560
|
HCPCS
|
Treat Kneecap Dislocation Without Anesth
|
4
|
2
|
$1,144.65
|
$915.72
20% off
|
$572.09
|
$1,060.61
|
$816.35
|
2026-02-23
|
|
28456
|
HCPCS
|
Sp Treat Midfoot Fracture 521
|
4
|
2
|
$971.50
|
$777.20
|
$485.56
|
$971.50
|
$728.53
|
2026-02-23
|
|
28470
|
HCPCS
|
Mv Rhc Clsd Tx Metatarsal Fx Without Man Ea
|
4
|
2
|
$676.10
|
$540.88
20% off
|
$337.91
|
$676.10
|
$507.00
|
2026-02-23
|
|
28540
|
HCPCS
|
Mv Rhc Closed Tx Of Foot Dislocation Without
|
4
|
2
|
$538.50
|
$430.80
20% off
|
$269.15
|
$538.50
|
$403.82
|
2026-02-23
|
|
29085
|
HCPCS
|
Mv Application Cast Hand And Lower Forea
|
4
|
2
|
$386.00
|
$308.80
20% off
|
$192.92
|
$386.00
|
$289.46
|
2026-02-23
|
|
30905
|
HCPCS
|
Ctrl Nsl Hemrrg Pst Nasal Packs 450
|
8
|
2
|
$524.00
|
$419.20
|
$102.13
|
$464.76
|
$335.93
|
2026-02-23
|
|
30906
|
HCPCS
|
Sp Repeat Control Of Nosebleed 521
|
4
|
2
|
$713.00
|
$570.40
20% off
|
$275.41
|
$356.36
|
$315.88
|
2026-02-23
|
|
31500
|
HCPCS
|
Intubation Endotracheal Emer Proc 450
|
6
|
2
|
$1,412.00
|
$1,129.60
20% off
|
$138.80
|
$705.72
|
$380.56
|
2026-02-23
|
|
32551
|
HCPCS
|
Insertion Of Chest Tube
|
8
|
2
|
$1,091.50
|
$873.20
20% off
|
$148.07
|
$2,000.00
|
$591.30
|
2026-02-23
|
|
32554
|
HCPCS
|
Pro Fees Thoracentesis Needle Or Cath With
|
8
|
2
|
$853.00
|
$682.40
20% off
|
$83.88
|
$973.22
|
$453.59
|
2026-02-23
|
|
36430
|
HCPCS
|
Blood Administration 2-4 Hours
|
16
|
2
|
$1,294.50
|
$1,035.60
20% off
|
$361.36
|
$799.68
|
$646.99
|
2026-02-23
|
|
36556
|
HCPCS
|
Insert Non-tunnel Cv Cah Age 5yr>
|
8
|
2
|
$2,036.31
|
$1,629.05
|
$81.66
|
$3,772.62
|
$1,092.78
|
2026-02-23
|
|
36573
|
HCPCS
|
Insertion Picc Without Subq Port Included IM
|
8
|
2
|
$896.95
|
$717.56
20% off
|
$76.79
|
$1,500.00
|
$521.80
|
2026-02-23
|
|
36589
|
HCPCS
|
Mv Remove Picc Line Without Por
|
8
|
2
|
$1,227.00
|
$981.60
20% off
|
$598.26
|
$1,256.58
|
$912.62
|
2026-02-23
|
|
370
|
OTHER
|
Anesthesia 1-30 Min
|
20
|
2
|
$866.00
|
$692.80
20% off
|
$307.38
|
$893.35
|
$524.02
|
2026-02-23
|
|
37618
|
HCPCS
|
Ligation Of Extremity Artery
|
6
|
2
|
$1,263.25
|
$1,010.60
20% off
|
$376.22
|
$1,073.76
|
$631.37
|
2026-02-23
|
|
390
|
OTHER
|
Bb Crossmatch Per Unit (great Bend)
|
4
|
2
|
$762.91
|
$610.33
|
$381.30
|
$648.47
|
$514.88
|
2026-02-23
|
|
40650
|
HCPCS
|
Repair Lip Full Thickness Vermilion 450
|
8
|
2
|
$642.50
|
$514.00
20% off
|
$349.86
|
$700.00
|
$471.13
|
2026-02-23
|
|
40800
|
HCPCS
|
Sp Drainage Of Mouth Lesion 521
|
4
|
2
|
$438.00
|
$350.40
20% off
|
$218.91
|
$438.00
|
$328.45
|
2026-02-23
|
|
40810
|
HCPCS
|
Exc Les Mucosa & Sbmcsl Vestibule Mth761
|
4
|
2
|
$576.96
|
$461.57
|
$288.36
|
$487.27
|
$387.81
|
2026-02-23
|
|
41250
|
HCPCS
|
Repair Tongue Laceration
|
8
|
2
|
$491.00
|
$392.80
20% off
|
$170.38
|
$653.92
|
$317.68
|
2026-02-23
|
|
43233
|
HCPCS
|
Egd Esop Balloon Dila 30 Mm Or Lgr 761
|
4
|
2
|
$1,600.00
|
$1,280.00
20% off
|
$799.68
|
$1,338.67
|
$1,069.17
|
2026-02-23
|
|
43235
|
HCPCS
|
Egd Diagnostic Brush Wash
|
4
|
2
|
$2,348.00
|
$1,878.40
|
$1,173.53
|
$1,536.43
|
$1,354.98
|
2026-02-23
|
|
43239
|
HCPCS
|
Egd Biopsy Singe/mutiple
|
4
|
2
|
$2,196.00
|
$1,756.80
20% off
|
$1,097.56
|
$1,536.43
|
$1,316.99
|
2026-02-23
|
|
43245
|
HCPCS
|
Esoph Egd Dilation <30mm
|
4
|
2
|
$2,600.00
|
$2,080.00
20% off
|
$1,299.48
|
$2,600.00
|
$1,949.74
|
2026-02-23
|
|
43762
|
HCPCS
|
Perq Replacement Gtube Not Req Revj Gstr
|
4
|
2
|
$817.00
|
$653.60
20% off
|
$408.34
|
$606.44
|
$507.39
|
2026-02-23
|
|
44388
|
HCPCS
|
Colonoscopy Through Stoma Specimen
|
4
|
2
|
$1,997.00
|
$1,597.60
20% off
|
$998.10
|
$1,320.14
|
$1,159.12
|
2026-02-23
|
|
44401
|
HCPCS
|
Colonoscopy Thru Stoma With Ablation Les
|
4
|
2
|
$2,600.00
|
$2,080.00
20% off
|
$1,299.48
|
$1,320.14
|
$1,309.81
|
2026-02-23
|
|
45378
|
HCPCS
|
Colonoscopy Diagnostic
|
4
|
2
|
$2,260.00
|
$1,808.00
20% off
|
$1,129.55
|
$1,731.94
|
$1,430.74
|
2026-02-23
|
|
45380
|
HCPCS
|
Colonoscopy And Biopsy
|
4
|
2
|
$2,354.00
|
$1,883.20
20% off
|
$1,176.53
|
$1,932.21
|
$1,554.37
|
2026-02-23
|
|
45381
|
HCPCS
|
Colonoscopy Submucous Njx
|
4
|
2
|
$1,990.00
|
$1,592.00
20% off
|
$994.60
|
$1,932.21
|
$1,463.40
|
2026-02-23
|
|
45384
|
HCPCS
|
Colonoscopy W/hot Forceps Bx
|
4
|
2
|
$2,371.00
|
$1,896.80
20% off
|
$1,185.03
|
$1,932.21
|
$1,558.62
|
2026-02-23
|
|
45385
|
HCPCS
|
Colonoscopy W/bx Rem By Snare
|
4
|
2
|
$2,626.00
|
$2,100.80
|
$1,312.47
|
$1,932.21
|
$1,622.34
|
2026-02-23
|
|
45388
|
HCPCS
|
Colonoscopy With Ablation
|
4
|
2
|
$2,291.00
|
$1,832.80
20% off
|
$1,145.04
|
$1,932.21
|
$1,538.62
|
2026-02-23
|
|
45398
|
HCPCS
|
Colonoscopy Flexible W Band Ligation761
|
4
|
2
|
$2,160.00
|
$1,728.00
20% off
|
$1,079.57
|
$1,932.21
|
$1,505.89
|
2026-02-23
|
|
46083
|
HCPCS
|
Incise External Hemorrhoid
|
16
|
2
|
$371.50
|
$297.20
|
$110.46
|
$468.31
|
$291.50
|
2026-02-23
|
|
46320
|
HCPCS
|
Mv Excision Of Thrombosed Hermorrhoid Ex
|
8
|
2
|
$1,951.50
|
$1,561.20
20% off
|
$222.41
|
$2,217.89
|
$1,086.65
|
2026-02-23
|
|
46611
|
HCPCS
|
Sp Anoscopy
|
6
|
2
|
$1,396.00
|
$1,116.80
20% off
|
$697.72
|
$1,059.29
|
$732.71
|
2026-02-23
|
|
49450
|
HCPCS
|
Replace Gastro/cecost Tube Percut W/flor
|
8
|
2
|
$1,065.00
|
$852.00
20% off
|
$60.05
|
$1,536.43
|
$587.31
|
2026-02-23
|
|
59409
|
HCPCS
|
Vaginal Delivery Only 450
|
8
|
2
|
$2,037.50
|
$1,630.00
20% off
|
$726.77
|
$3,200.00
|
$1,237.18
|
2026-02-23
|
|
62270
|
HCPCS
|
Dx Lumbar Spinal Pnxr 510
|
10
|
2
|
$803.59
|
$642.87
20% off
|
$59.82
|
$951.62
|
$408.00
|
2026-02-23
|
|
62272
|
HCPCS
|
Ther Spinal Pnxr DRG Csf 510
|
10
|
2
|
$583.86
|
$467.09
|
$84.92
|
$951.62
|
$528.50
|
2026-02-23
|
|
62321
|
HCPCS
|
Inj Interlaminar Cer/thor
|
12
|
2
|
$1,010.56
|
$808.45
|
$101.48
|
$1,496.90
|
$883.30
|
2026-02-23
|
|
62323
|
HCPCS
|
Inj Interlaminar Lum/sac (caudal)
|
12
|
2
|
$1,115.92
|
$892.74
|
$94.66
|
$1,496.90
|
$884.30
|
2026-02-23
|
|
62328
|
HCPCS
|
Dx Lumbar Spi Pnxr W/fluor/ct 510
|
10
|
2
|
$1,904.00
|
$1,523.20
20% off
|
$78.26
|
$951.62
|
$384.00
|
2026-02-23
|
|
62329
|
HCPCS
|
Ther Spi Pnxr Csf Flour/ct 510
|
10
|
2
|
$1,035.74
|
$828.59
20% off
|
$96.48
|
$951.62
|
$522.00
|
2026-02-23
|
|
64400
|
HCPCS
|
Njx Aa&strd Trigeminal Nrv 510
|
10
|
2
|
$627.49
|
$501.99
20% off
|
$47.79
|
$474.03
|
$391.50
|
2026-02-23
|
|
64405
|
HCPCS
|
Greatr Ocipital Nerve Block Per Side 510
|
12
|
2
|
$782.19
|
$625.75
20% off
|
$47.12
|
$587.26
|
$350.17
|
2026-02-23
|
|
64417
|
HCPCS
|
Njx Aa&/strd Axillary Nrv 510
|
8
|
2
|
$1,735.88
|
$1,388.71
|
$65.29
|
$1,233.01
|
$352.69
|
2026-02-23
|
|
64420
|
HCPCS
|
Intercostal Nerve (single) 510
|
10
|
2
|
$1,208.74
|
$966.99
20% off
|
$55.87
|
$951.62
|
$400.50
|
2026-02-23
|
|
64421
|
HCPCS
|
Njx Aa&strd Intrcost Nrv Ea
|
12
|
2
|
$962.75
|
$770.20
|
$23.14
|
$1,233.51
|
$743.38
|
2026-02-23
|
|
64430
|
HCPCS
|
Njx Aa&strd Pudendal Nerve 510
|
14
|
2
|
$2,468.00
|
$1,974.40
|
$51.57
|
$2,154.32
|
$411.50
|
2026-02-23
|
|
64445
|
HCPCS
|
Sciatic Nerve Block
|
12
|
2
|
$399.50
|
$319.60
|
$70.03
|
$951.62
|
$299.59
|
2026-02-23
|
|
64450
|
HCPCS
|
Lesser Occipital Nerve Block 510
|
12
|
2
|
$528.50
|
$422.80
20% off
|
$40.72
|
$1,126.81
|
$405.75
|
2026-02-23
|
|
64451
|
HCPCS
|
Njx Aa&/strd Nrv Nrtg Si Jt 510
|
10
|
2
|
$1,815.64
|
$1,452.51
20% off
|
$77.09
|
$951.62
|
$533.00
|
2026-02-23
|
|
64454
|
HCPCS
|
Njx Aa&/strd Gnclr Nrv Branch 510
|
10
|
2
|
$1,980.00
|
$1,584.00
20% off
|
$77.91
|
$1,079.78
|
$528.50
|
2026-02-23
|
|
64483
|
HCPCS
|
Transforaminal Lum Or Sac (1st Levl) 510
|
12
|
2
|
$1,669.50
|
$1,335.60
20% off
|
$105.54
|
$1,849.76
|
$1,052.51
|
2026-02-23
|
|
64484
|
HCPCS
|
Transforaminal-lum Or Sac Ea Add Lvl 983
|
10
|
2
|
$455.00
|
$364.00
20% off
|
$46.91
|
$1,234.07
|
$455.00
|
2026-02-23
|
|
64490
|
HCPCS
|
Intraart Jnt Or Mbb-cerv, Thor (1st) 510
|
10
|
2
|
$666.50
|
$533.20
|
$99.79
|
$1,458.96
|
$666.50
|
2026-02-23
|
|
64491
|
HCPCS
|
Int Jt Mbb Cerv/thor 2nd Lev983
|
12
|
2
|
$371.50
|
$297.20
20% off
|
$54.15
|
$1,458.96
|
$344.50
|
2026-02-23
|
|
64492
|
HCPCS
|
Intraart Jt Mbb Cerv/thor 3rd Level 510
|
10
|
2
|
$1,263.32
|
$1,010.66
|
$54.79
|
$1,263.32
|
$371.50
|
2026-02-23
|
|
64493
|
HCPCS
|
Intraart Jnt Or Mbb Lum/sac 1st Levl 510
|
10
|
2
|
$621.50
|
$497.20
20% off
|
$86.27
|
$1,458.96
|
$621.50
|
2026-02-23
|
|
64495
|
HCPCS
|
Intraart Jnt Mbb L/s 3 Lvl-bilat 964
|
10
|
2
|
$1,737.55
|
$1,390.04
20% off
|
$48.28
|
$1,458.96
|
$329.00
|
2026-02-23
|
|
64505
|
HCPCS
|
Sphenopalatine Ganglion Transnasal 510
|
20
|
2
|
$649.62
|
$519.70
|
$98.45
|
$1,175.00
|
$375.42
|
2026-02-23
|
|
64510
|
HCPCS
|
N Block Stellate Ganglion 510
|
10
|
2
|
$1,723.35
|
$1,378.68
|
$73.76
|
$1,233.01
|
$521.50
|
2026-02-23
|
|
64517
|
HCPCS
|
N Block Hypogastric Plexus
|
10
|
2
|
$604.50
|
$483.60
|
$120.79
|
$1,233.01
|
$362.00
|
2026-02-23
|
|
64520
|
HCPCS
|
Ganglion Impar Block 510
|
8
|
2
|
$1,985.49
|
$1,588.39
|
$81.23
|
$1,233.01
|
$473.19
|
2026-02-23
|
|
64530
|
HCPCS
|
N Block Celiac Plexus 510
|
8
|
2
|
$2,032.05
|
$1,625.64
|
$90.41
|
$1,233.01
|
$365.56
|
2026-02-23
|
|
64624
|
HCPCS
|
Dstrj Nulyt Agt Gnclr Nrv
|
12
|
2
|
$3,049.05
|
$2,439.24
20% off
|
$50.31
|
$2,591.69
|
$708.31
|
2026-02-23
|
|
64633
|
HCPCS
|
Rfa Dstry Cerv/thor Fact Jnt 1st Jnt 510
|
10
|
2
|
$2,925.00
|
$2,340.00
20% off
|
$183.12
|
$2,925.00
|
$1,186.50
|
2026-02-23
|
|
64634
|
HCPCS
|
Rfa Dest C/t Fac Jt-ea Ad Jnt-bilat 964
|
12
|
2
|
$1,648.11
|
$1,318.49
|
$50.31
|
$1,400.89
|
$394.81
|
2026-02-23
|
|
64635
|
HCPCS
|
Rfa Destroy L/s Fac-1st Jnt-bilat 964
|
12
|
2
|
$2,985.60
|
$2,388.48
20% off
|
$183.61
|
$3,200.09
|
$1,526.88
|
2026-02-23
|
|
64636
|
HCPCS
|
Rfa Destroy L/s Fac-ea Add Jnt-bilat 964
|
14
|
2
|
$1,609.14
|
$1,287.31
20% off
|
$50.31
|
$1,367.77
|
$442.85
|
2026-02-23
|
|
65222
|
HCPCS
|
Mv Removal Foreign Body From Eye With Sl
|
8
|
2
|
$422.50
|
$338.00
20% off
|
$162.44
|
$520.00
|
$292.45
|
2026-02-23
|
|
69145
|
HCPCS
|
Sp Rhc Remove Ear Canal Lesion(s) 521
|
4
|
2
|
$944.00
|
$755.20
|
$471.81
|
$944.00
|
$707.90
|
2026-02-23
|
|
70110
|
HCPCS
|
Xr Mandible Complete
|
4
|
2
|
$606.00
|
$484.80
20% off
|
$276.53
|
$302.88
|
$289.70
|
2026-02-23
|
|
70260
|
HCPCS
|
Xr Skull Complete Min 4 Views
|
4
|
2
|
$698.00
|
$558.40
20% off
|
$276.53
|
$348.86
|
$312.69
|
2026-02-23
|
|
70450
|
HCPCS
|
CT Head Wo
|
4
|
2
|
$2,157.00
|
$1,725.60
20% off
|
$629.82
|
$1,078.07
|
$853.94
|
2026-02-23
|
|
70460
|
HCPCS
|
CT Head With Contrast
|
4
|
2
|
$2,503.00
|
$2,002.40
|
$629.82
|
$1,251.00
|
$940.41
|
2026-02-23
|
|
70470
|
HCPCS
|
CT Head W/wo Contrast
|
4
|
2
|
$2,989.00
|
$2,391.20
20% off
|
$629.82
|
$1,493.90
|
$1,061.86
|
2026-02-23
|
|
70480
|
HCPCS
|
CT Orbit/sella Wo
|
4
|
2
|
$2,200.00
|
$1,760.00
20% off
|
$629.82
|
$1,099.56
|
$864.69
|
2026-02-23
|
|
70486
|
HCPCS
|
CT Maxillofacial Wo
|
4
|
2
|
$2,105.00
|
$1,684.00
20% off
|
$629.82
|
$1,052.08
|
$840.95
|
2026-02-23
|
|
70490
|
HCPCS
|
CT Soft Tissue Neck Wo
|
4
|
2
|
$2,137.00
|
$1,709.60
20% off
|
$629.82
|
$1,068.07
|
$848.94
|
2026-02-23
|
|
70491
|
HCPCS
|
CT Soft Tissue Neck With Contrast
|
4
|
2
|
$2,632.00
|
$2,105.60
20% off
|
$629.82
|
$1,315.47
|
$972.64
|
2026-02-23
|
|
70492
|
HCPCS
|
CT Soft Tissue Neck W/wo Contrast
|
4
|
2
|
$2,973.00
|
$2,378.40
|
$629.82
|
$1,485.91
|
$1,057.87
|
2026-02-23
|
|
70498
|
HCPCS
|
CTA Neck W/wo Contrast
|
4
|
2
|
$3,068.00
|
$2,454.40
20% off
|
$1,520.28
|
$1,533.39
|
$1,526.84
|
2026-02-23
|
|
70543
|
HCPCS
|
MRI Neck/soft Tissue Face W/wo
|
4
|
2
|
$4,579.00
|
$3,663.20
20% off
|
$724.36
|
$2,288.58
|
$1,506.47
|
2026-02-23
|
|
70544
|
HCPCS
|
MRA Head Wo
|
4
|
2
|
$3,135.00
|
$2,508.00
20% off
|
$871.72
|
$1,566.87
|
$1,219.30
|
2026-02-23
|
|
70546
|
HCPCS
|
MRA Head W/wo Contrast
|
4
|
2
|
$4,301.00
|
$3,440.80
|
$871.72
|
$2,149.64
|
$1,510.68
|
2026-02-23
|
|
70547
|
HCPCS
|
MRA Neck Wo
|
4
|
2
|
$3,116.00
|
$2,492.80
|
$871.72
|
$1,557.38
|
$1,214.55
|
2026-02-23
|
|
70548
|
HCPCS
|
MRA Neck W Contrast
|
4
|
2
|
$3,215.00
|
$2,572.00
20% off
|
$871.72
|
$1,606.86
|
$1,239.29
|
2026-02-23
|
|
70549
|
HCPCS
|
MRA Neck W/wo Contrast
|
4
|
2
|
$3,314.00
|
$2,651.20
20% off
|
$871.72
|
$1,656.34
|
$1,264.03
|
2026-02-23
|
|
70551
|
HCPCS
|
MRI Brain Wo Contrast
|
4
|
2
|
$3,375.00
|
$2,700.00
20% off
|
$724.36
|
$1,686.82
|
$1,205.59
|
2026-02-23
|
|
70552
|
HCPCS
|
MRI Brain W Contrast
|
4
|
2
|
$3,375.00
|
$2,700.00
20% off
|
$724.36
|
$1,686.82
|
$1,205.59
|
2026-02-23
|
|
70553
|
HCPCS
|
MRI Brain W/wo Contrast
|
4
|
2
|
$4,824.00
|
$3,859.20
20% off
|
$724.36
|
$2,411.04
|
$1,567.70
|
2026-02-23
|
|
71111
|
HCPCS
|
Xr Ribs Bilat With Pa Chest
|
4
|
2
|
$773.00
|
$618.40
20% off
|
$321.60
|
$386.35
|
$353.98
|
2026-02-23
|
|
71250
|
HCPCS
|
CT Chest Wo
|
4
|
2
|
$2,248.00
|
$1,798.40
|
$629.82
|
$1,123.55
|
$876.68
|
2026-02-23
|
|
71260
|
HCPCS
|
CT Chest With Contrast
|
4
|
2
|
$2,790.00
|
$2,232.00
20% off
|
$629.82
|
$1,394.44
|
$1,012.13
|
2026-02-23
|
|
71270
|
HCPCS
|
CT Chest W/wo Contrast
|
4
|
2
|
$3,275.00
|
$2,620.00
20% off
|
$629.82
|
$1,636.84
|
$1,133.33
|
2026-02-23
|
|
71275
|
HCPCS
|
CT Angiography Chest
|
4
|
2
|
$6,394.00
|
$5,115.20
20% off
|
$1,499.58
|
$3,195.72
|
$2,347.65
|
2026-02-23
|
|
71550
|
HCPCS
|
MRI Chest Without
|
4
|
2
|
$2,000.00
|
$1,600.00
20% off
|
$724.36
|
$999.60
|
$861.98
|
2026-02-23
|
|
71551
|
HCPCS
|
MRI Chest Wi
|
4
|
2
|
$2,288.64
|
$1,830.91
20% off
|
$724.36
|
$1,143.87
|
$934.12
|
2026-02-23
|
|
71552
|
HCPCS
|
MRI Chest W/wo
|
4
|
2
|
$2,500.00
|
$2,000.00
20% off
|
$724.36
|
$1,249.50
|
$986.93
|
2026-02-23
|
|
72050
|
HCPCS
|
Xr Spine Cervical Min 4 View
|
4
|
2
|
$724.00
|
$579.20
|
$302.11
|
$361.86
|
$331.99
|
2026-02-23
|
|
72110
|
HCPCS
|
Xr Spine Lumbar 4 Views
|
4
|
2
|
$776.00
|
$620.80
20% off
|
$325.26
|
$387.84
|
$356.55
|
2026-02-23
|
|
72120
|
HCPCS
|
Xr Spine Lumbar Flex/ext
|
4
|
2
|
$574.00
|
$459.20
20% off
|
$286.89
|
$305.77
|
$296.33
|
2026-02-23
|
|
72125
|
HCPCS
|
CT Spine Cervical Wo
|
4
|
2
|
$2,510.00
|
$2,008.00
20% off
|
$629.82
|
$1,254.50
|
$942.16
|
2026-02-23
|
|
72126
|
HCPCS
|
CT Spine Cervical With Contrast
|
4
|
2
|
$2,920.00
|
$2,336.00
20% off
|
$629.82
|
$1,459.42
|
$1,044.62
|
2026-02-23
|
|
72128
|
HCPCS
|
CT Spine Thoracic Wo
|
4
|
2
|
$2,419.00
|
$1,935.20
20% off
|
$629.82
|
$1,209.02
|
$919.42
|
2026-02-23
|
|
72129
|
HCPCS
|
CT Spine Thoracic With Contrast
|
4
|
2
|
$2,793.00
|
$2,234.40
|
$629.82
|
$1,395.94
|
$1,012.88
|
2026-02-23
|
|
72131
|
HCPCS
|
CT Spine Lumbar Wo
|
4
|
2
|
$2,478.00
|
$1,982.40
|
$629.82
|
$1,238.50
|
$934.16
|
2026-02-23
|
|
72132
|
HCPCS
|
CT Spine Lumbar With Contrast
|
8
|
2
|
$2,800.00
|
$2,240.00
20% off
|
$629.82
|
$1,399.44
|
$1,014.63
|
2026-02-23
|
|
72141
|
HCPCS
|
MRI C Spine Wo Contrast
|
4
|
2
|
$3,485.00
|
$2,788.00
20% off
|
$724.36
|
$1,741.80
|
$1,233.08
|
2026-02-23
|
|
72142
|
HCPCS
|
MRI C Spine W/contrast
|
4
|
2
|
$3,902.00
|
$3,121.60
20% off
|
$724.36
|
$1,950.22
|
$1,337.29
|
2026-02-23
|
|
72146
|
HCPCS
|
MRI T Spine Wo Contrast
|
4
|
2
|
$3,439.00
|
$2,751.20
20% off
|
$724.36
|
$1,718.81
|
$1,221.59
|
2026-02-23
|
|
72147
|
HCPCS
|
MRI T-spine Wi
|
4
|
2
|
$1,941.00
|
$1,552.80
20% off
|
$724.36
|
$970.11
|
$847.24
|
2026-02-23
|
|
72148
|
HCPCS
|
MRI L Spine Wo Contrast
|
4
|
2
|
$3,480.00
|
$2,784.00
20% off
|
$724.36
|
$1,739.30
|
$1,231.83
|
2026-02-23
|
|
72156
|
HCPCS
|
MRI C Spine W & Wo Contrast
|
4
|
2
|
$4,902.00
|
$3,921.60
20% off
|
$724.36
|
$2,450.02
|
$1,587.19
|
2026-02-23
|
|
72157
|
HCPCS
|
MRI T-spine W/wo
|
4
|
2
|
$2,500.00
|
$2,000.00
20% off
|
$724.36
|
$1,249.50
|
$986.93
|
2026-02-23
|
|
72158
|
HCPCS
|
MRI L Spine W/wo Contrast
|
4
|
2
|
$5,106.00
|
$4,084.80
|
$724.36
|
$2,551.98
|
$1,638.17
|
2026-02-23
|
|
72192
|
HCPCS
|
CT Pelvis Wo
|
4
|
2
|
$2,275.00
|
$1,820.00
20% off
|
$629.82
|
$1,137.04
|
$883.43
|
2026-02-23
|
|
72193
|
HCPCS
|
CT Pelvis With Contrast
|
4
|
2
|
$2,709.00
|
$2,167.20
20% off
|
$629.82
|
$1,353.96
|
$991.89
|
2026-02-23
|
|
72195
|
HCPCS
|
MRI Pelvis Wo Contrast
|
4
|
2
|
$950.00
|
$760.00
20% off
|
$474.81
|
$724.36
|
$599.59
|
2026-02-23
|
|
72196
|
HCPCS
|
MRI Pelvis W/contrast
|
4
|
2
|
$2,428.00
|
$1,942.40
|
$724.36
|
$1,213.51
|
$968.93
|
2026-02-23
|
|
72197
|
HCPCS
|
MRI Pelvis Wo/w Contrast
|
4
|
2
|
$4,642.00
|
$3,713.60
20% off
|
$724.36
|
$2,320.07
|
$1,522.22
|
2026-02-23
|
|
72198
|
HCPCS
|
MRA Pelvis W/wo Contrast
|
4
|
2
|
$3,000.00
|
$2,400.00
20% off
|
$871.72
|
$1,499.40
|
$1,185.56
|
2026-02-23
|
|
73200
|
HCPCS
|
CT Upper Extremity Wo RT,TechnicalComponent
|
4
|
2
|
$2,190.00
|
$1,752.00
20% off
|
$629.82
|
$1,094.56
|
$862.19
|
2026-02-23
|
|
73201
|
HCPCS
|
CT Upper Extremity With Contrast LT,TechnicalComponent
|
4
|
2
|
$2,470.00
|
$1,976.00
20% off
|
$629.82
|
$1,234.51
|
$932.16
|
2026-02-23
|
|
73218
|
HCPCS
|
MRI Lt Arm Without
|
4
|
2
|
$3,891.00
|
$3,112.80
|
$724.36
|
$1,944.72
|
$1,334.54
|
2026-02-23
|
|
73219
|
HCPCS
|
MRI Lt Arm Wi/
|
4
|
2
|
$4,098.00
|
$3,278.40
20% off
|
$724.36
|
$2,048.18
|
$1,386.27
|
2026-02-23
|
|
73220
|
HCPCS
|
MRI Lt Arm Wo/w
|
4
|
2
|
$5,336.00
|
$4,268.80
|
$724.36
|
$2,666.93
|
$1,695.64
|
2026-02-23
|
|
73221
|
HCPCS
|
MRI Upper Ext Rt Without JOINT,TechnicalComponent
|
4
|
2
|
$3,433.00
|
$2,746.40
20% off
|
$724.36
|
$1,715.81
|
$1,220.09
|
2026-02-23
|
|
73222
|
HCPCS
|
MRI Upper Ext Lt With Joint
|
8
|
2
|
$3,548.00
|
$2,838.40
20% off
|
$724.36
|
$1,773.29
|
$1,248.82
|
2026-02-23
|
|
73223
|
HCPCS
|
MRI Joint Upr Extr Rt W/without
|
4
|
2
|
$3,700.00
|
$2,960.00
20% off
|
$724.36
|
$1,849.26
|
$1,286.81
|
2026-02-23
|
|
73564
|
HCPCS
|
Xr Knee 3-4 Views RIGHT,TechnicalComponent
|
4
|
2
|
$635.00
|
$508.00
20% off
|
$283.83
|
$317.37
|
$300.60
|
2026-02-23
|
|
73700
|
HCPCS
|
CT Lower Extremity Wo RT,TechnicalComponent
|
4
|
2
|
$2,212.00
|
$1,769.60
20% off
|
$629.82
|
$1,105.56
|
$867.69
|
2026-02-23
|
|
73701
|
HCPCS
|
CT Lower Extremity With Contrast LT,TechnicalComponent
|
4
|
2
|
$2,558.00
|
$2,046.40
|
$629.82
|
$1,278.49
|
$954.15
|
2026-02-23
|
|
73718
|
HCPCS
|
MRI Lower Extrem Oth/thn Jt Without Contr Ma
|
4
|
2
|
$4,002.00
|
$3,201.60
20% off
|
$724.36
|
$2,000.20
|
$1,362.28
|
2026-02-23
|
|
73719
|
HCPCS
|
MRI Rt Leg With
|
4
|
2
|
$4,438.00
|
$3,550.40
20% off
|
$724.36
|
$2,218.11
|
$1,471.24
|
2026-02-23
|
|
73720
|
HCPCS
|
MRI Lt Leg Wo/w
|
4
|
2
|
$5,341.00
|
$4,272.80
|
$724.36
|
$2,669.43
|
$1,696.89
|
2026-02-23
|
|
73721
|
HCPCS
|
MRI Lower Ext Rt Without JOINT,TechnicalComponent
|
4
|
2
|
$3,433.00
|
$2,746.40
20% off
|
$724.36
|
$1,715.81
|
$1,220.09
|
2026-02-23
|
|
73722
|
HCPCS
|
MRI Lower Ext Rt With JOINT,TechnicalComponent
|
6
|
2
|
$3,508.00
|
$2,806.40
20% off
|
$724.36
|
$1,767.29
|
$1,753.30
|
2026-02-23
|
|
73723
|
HCPCS
|
MRI Lower Ext Joint Rt With & Without
|
4
|
2
|
$3,000.00
|
$2,400.00
20% off
|
$724.36
|
$1,499.40
|
$1,111.88
|
2026-02-23
|
|
74150
|
HCPCS
|
CT Abdomen Wo
|
4
|
2
|
$2,327.00
|
$1,861.60
20% off
|
$629.82
|
$1,163.03
|
$896.42
|
2026-02-23
|
|
74160
|
HCPCS
|
CT Abdomen With Contrast
|
4
|
2
|
$2,850.00
|
$2,280.00
20% off
|
$629.82
|
$1,424.43
|
$1,027.12
|
2026-02-23
|
|
74170
|
HCPCS
|
CT Abdomen W/wo Contrast
|
4
|
2
|
$2,986.00
|
$2,388.80
|
$629.82
|
$1,492.40
|
$1,061.11
|
2026-02-23
|
|
74174
|
HCPCS
|
CTA Abdomen/pelvis With Contrast
|
4
|
2
|
$4,862.00
|
$3,889.60
20% off
|
$2,234.14
|
$2,430.03
|
$2,332.09
|
2026-02-23
|
|
74176
|
HCPCS
|
CT Abdomen/pelvis Wo
|
4
|
2
|
$3,999.00
|
$3,199.20
20% off
|
$629.82
|
$1,998.70
|
$1,314.26
|
2026-02-23
|
|
74177
|
HCPCS
|
CT Abdomen/pelvis With Contrast
|
4
|
2
|
$4,849.00
|
$3,879.20
20% off
|
$629.82
|
$2,423.53
|
$1,526.68
|
2026-02-23
|
|
74178
|
HCPCS
|
CT Abdomen/pelvis W/wo Contrast
|
4
|
2
|
$5,424.00
|
$4,339.20
20% off
|
$629.82
|
$2,710.92
|
$1,670.37
|
2026-02-23
|
|
74181
|
HCPCS
|
MRI Abdomen Without Contrast
|
4
|
2
|
$3,323.00
|
$2,658.40
20% off
|
$724.36
|
$1,660.84
|
$1,192.60
|
2026-02-23
|
|
74183
|
HCPCS
|
MRI Abdomen W/wo Contrast
|
4
|
2
|
$4,659.00
|
$3,727.20
20% off
|
$724.36
|
$2,328.57
|
$1,526.47
|
2026-02-23
|
|
74185
|
HCPCS
|
MRA Abdomen W/wo Contrast
|
4
|
2
|
$1,666.50
|
$1,333.20
20% off
|
$832.92
|
$871.72
|
$852.32
|
2026-02-23
|
|
76536
|
HCPCS
|
US Soft Tissue Head/neck
|
4
|
2
|
$751.00
|
$600.80
20% off
|
$375.35
|
$630.28
|
$502.81
|
2026-02-23
|
|
76700
|
HCPCS
|
US Abdominal Complete
|
4
|
2
|
$1,261.00
|
$1,008.80
20% off
|
$198.62
|
$630.25
|
$414.44
|
2026-02-23
|
|
76705
|
HCPCS
|
US Abdominal Limited
|
4
|
2
|
$1,021.00
|
$816.80
20% off
|
$174.27
|
$510.30
|
$342.28
|
2026-02-23
|
|
76775
|
HCPCS
|
US Aorta
|
6
|
2
|
$896.46
|
$717.17
|
$174.27
|
$448.05
|
$447.82
|
2026-02-23
|
|
76805
|
HCPCS
|
US OB Over 14 Weeks
|
4
|
2
|
$1,025.00
|
$820.00
20% off
|
$174.27
|
$512.30
|
$343.28
|
2026-02-23
|
|
76817
|
HCPCS
|
US OB Transvaginal
|
4
|
2
|
$832.00
|
$665.60
20% off
|
$185.51
|
$415.83
|
$300.67
|
2026-02-23
|
|
76830
|
HCPCS
|
US Transvaginal Non OB
|
4
|
2
|
$944.00
|
$755.20
|
$174.27
|
$471.81
|
$323.04
|
2026-02-23
|
|
76856
|
HCPCS
|
US Pelvic Complete Non OB
|
4
|
2
|
$1,147.00
|
$917.60
20% off
|
$174.27
|
$573.27
|
$373.77
|
2026-02-23
|
|
76870
|
HCPCS
|
US Scrotum With Contents
|
4
|
2
|
$903.00
|
$722.40
20% off
|
$174.27
|
$451.32
|
$312.79
|
2026-02-23
|
|
76881
|
HCPCS
|
US Extremity Nonvascular Complete
|
4
|
2
|
$844.00
|
$675.20
|
$174.27
|
$421.83
|
$298.05
|
2026-02-23
|
|
77080
|
HCPCS
|
Xr Bone Density/dexa
|
4
|
2
|
$676.00
|
$540.80
20% off
|
$259.52
|
$337.86
|
$298.69
|
2026-02-23
|
|
78070
|
HCPCS
|
Nm Parathyroid Planar Imaging
|
4
|
2
|
$1,837.20
|
$1,469.76
20% off
|
$658.50
|
$918.23
|
$788.37
|
2026-02-23
|
|
78227
|
HCPCS
|
Nm Hepatobil Sys Image W/drug
|
4
|
2
|
$1,520.00
|
$1,216.00
20% off
|
$759.70
|
$895.20
|
$827.45
|
2026-02-23
|
|
78264
|
HCPCS
|
Nm Gastric Emptying Study
|
4
|
2
|
$2,329.00
|
$1,863.20
20% off
|
$658.50
|
$1,164.03
|
$911.26
|
2026-02-23
|
|
78300
|
HCPCS
|
Nm Bone Scan Limited Area
|
4
|
2
|
$1,188.00
|
$950.40
20% off
|
$593.76
|
$658.50
|
$626.13
|
2026-02-23
|
|
78306
|
HCPCS
|
Nm Bone Scan Complete
|
4
|
2
|
$1,976.00
|
$1,580.80
20% off
|
$658.50
|
$987.60
|
$823.05
|
2026-02-23
|
|
78315
|
HCPCS
|
Nm Bone 3 Phase Study
|
4
|
2
|
$1,599.00
|
$1,279.20
20% off
|
$658.50
|
$799.18
|
$728.84
|
2026-02-23
|
|
78452
|
HCPCS
|
Nm Myocardial Spect Mult Imaging
|
4
|
2
|
$4,586.00
|
$3,668.80
|
$1,924.65
|
$2,292.08
|
$2,108.36
|
2026-02-23
|
|
81162
|
HCPCS
|
BRCAssure Brca1 & 2
|
4
|
2
|
$2,412.00
|
$1,929.60
20% off
|
$1,205.52
|
$2,412.00
|
$1,808.76
|
2026-02-23
|
|
81256
|
HCPCS
|
Hereditary Hemochromatosis DNA Analy Rl
|
4
|
2
|
$520.00
|
$416.00
20% off
|
$259.90
|
$497.26
|
$378.58
|
2026-02-23
|
|
81377
|
HCPCS
|
Celiac Hla Dq Association Rl
|
8
|
2
|
$434.38
|
$347.50
20% off
|
$209.29
|
$450.00
|
$321.83
|
2026-02-23
|
|
82139
|
HCPCS
|
Amino Acid Profile Quantitative Plasm Rl
|
8
|
2
|
$421.00
|
$336.80
20% off
|
$202.42
|
$437.00
|
$311.70
|
2026-02-23
|
|
86255
|
HCPCS
|
Anti Hu Ri Yo Antibody Profile Serum Rl
|
4
|
2
|
$1,253.70
|
$1,002.96
20% off
|
$65.52
|
$626.60
|
$346.06
|
2026-02-23
|
|
86366
|
HCPCS
|
Muscle Specific Kinase(musk)antibodys Rl
|
4
|
2
|
$1,134.00
|
$907.20
|
$45.23
|
$566.77
|
$306.00
|
2026-02-23
|
|
87507
|
HCPCS
|
Gastrointestinal Profile Stool Pcr Rl
|
4
|
2
|
$1,500.00
|
$1,200.00
20% off
|
$749.70
|
$1,192.32
|
$971.01
|
2026-02-23
|
|
87633
|
HCPCS
|
Respiratory Pathogen Panel Rl
|
4
|
2
|
$1,500.00
|
$1,200.00
20% off
|
$749.70
|
$1,500.00
|
$1,124.85
|
2026-02-23
|
|
87902
|
HCPCS
|
Hepatitis C Virus (hcv) Genotype Rl
|
4
|
2
|
$1,073.75
|
$859.00
20% off
|
$536.66
|
$724.23
|
$630.44
|
2026-02-23
|
|
90375
|
HCPCS
|
Rabies Immune Glob 1500un/10ml Inj
|
4
|
2
|
$7,432.68
|
$5,946.14
20% off
|
$351.60
|
$3,714.86
|
$2,033.23
|
2026-02-23
|
|
90675
|
HCPCS
|
Rabies Vaccine-rabavert 2.5 Un/1 Ml Inj
|
4
|
2
|
$1,050.70
|
$840.56
20% off
|
$525.14
|
$561.51
|
$543.33
|
2026-02-23
|
|
92950
|
HCPCS
|
Heart/lung Resuscitation Cpr
|
4
|
2
|
$643.16
|
$514.53
|
$321.45
|
$405.74
|
$363.60
|
2026-02-23
|
|
92960
|
HCPCS
|
Cardioversion Electric Conversion Of Arr
|
8
|
2
|
$1,129.00
|
$903.20
20% off
|
$101.43
|
$1,049.58
|
$394.90
|
2026-02-23
|
|
93017
|
HCPCS
|
Nm Cardiovascular Stress Test Trace Only
|
6
|
2
|
$1,486.13
|
$1,188.90
20% off
|
$467.20
|
$742.77
|
$627.25
|
2026-02-23
|
|
93306
|
HCPCS
|
US Echo 2d With Spec/color M-mode
|
4
|
2
|
$2,801.00
|
$2,240.80
|
$1,399.94
|
$2,008.67
|
$1,704.31
|
2026-02-23
|
|
93880
|
HCPCS
|
US Carotid Doppler Bilateral
|
4
|
2
|
$1,491.00
|
$1,192.80
20% off
|
$630.28
|
$745.20
|
$687.74
|
2026-02-23
|
|
93922
|
HCPCS
|
US Ankle/brachial Bilateral
|
4
|
2
|
$671.00
|
$536.80
20% off
|
$335.37
|
$630.28
|
$482.82
|
2026-02-23
|
|
93925
|
HCPCS
|
US Duplex Lower Ext Artery Bilateral
|
4
|
2
|
$1,458.00
|
$1,166.40
|
$630.28
|
$728.71
|
$679.50
|
2026-02-23
|
|
93926
|
HCPCS
|
US Duplex Lower Ext Artery Right
|
6
|
2
|
$1,068.90
|
$855.12
20% off
|
$502.30
|
$630.28
|
$534.24
|
2026-02-23
|
|
93930
|
HCPCS
|
US Duplex Upper Ext Artery Bilateral
|
10
|
2
|
$938.00
|
$750.40
20% off
|
$468.81
|
$858.66
|
$630.28
|
2026-02-23
|
|
93931
|
HCPCS
|
US Duplex Upper Ext Artery RIGHT,TechnicalComponent
|
4
|
2
|
$938.00
|
$750.40
20% off
|
$468.81
|
$630.28
|
$549.54
|
2026-02-23
|
|
93970
|
HCPCS
|
US Duplex Lower Ext Veins Bilateral
|
6
|
2
|
$1,166.61
|
$933.29
|
$583.07
|
$802.68
|
$630.28
|
2026-02-23
|
|
93971
|
HCPCS
|
US Duplex Upper Ext Veins Left
|
4
|
2
|
$1,166.61
|
$933.29
|
$583.07
|
$630.28
|
$606.67
|
2026-02-23
|
|
93975
|
HCPCS
|
US Duplex Renal/visceral Complete
|
4
|
2
|
$1,476.00
|
$1,180.80
20% off
|
$630.28
|
$737.70
|
$683.99
|
2026-02-23
|
|
93976
|
HCPCS
|
US Duplex Renal/visceral Limited
|
4
|
2
|
$1,068.18
|
$854.54
20% off
|
$533.87
|
$630.28
|
$582.08
|
2026-02-23
|
|
94060
|
HCPCS
|
Bronchodilation Responsiveness Test
|
12
|
2
|
$377.00
|
$301.60
|
$179.43
|
$479.00
|
$299.20
|
2026-02-23
|
|
94621
|
HCPCS
|
Cardiopulmonary Stress Test
|
4
|
2
|
$800.00
|
$640.00
20% off
|
$399.84
|
$510.31
|
$455.07
|
2026-02-23
|
|
94662
|
HCPCS
|
Continuous Negative Pressure Ventj Init
|
4
|
2
|
$900.00
|
$720.00
20% off
|
$449.82
|
$765.00
|
$607.41
|
2026-02-23
|
|
94726
|
HCPCS
|
Pulmonary Plethysmography Test
|
4
|
2
|
$402.00
|
$321.60
|
$200.92
|
$389.78
|
$295.35
|
2026-02-23
|
|
96413
|
HCPCS
|
Administration Chemo And Other Highly Co
|
6
|
2
|
$748.69
|
$598.95
20% off
|
$374.19
|
$493.30
|
$469.60
|
2026-02-23
|
|
97607
|
HCPCS
|
Negative Pressure Wound Therapy
|
4
|
2
|
$658.00
|
$526.40
20% off
|
$328.87
|
$654.73
|
$491.80
|
2026-02-23
|
|
99284
|
HCPCS
|
ER Care Level 4 450
|
8
|
2
|
$630.50
|
$504.40
20% off
|
$125.10
|
$911.46
|
$369.39
|
2026-02-23
|
|
99285
|
HCPCS
|
ER Care Level 5 450
|
8
|
2
|
$954.50
|
$763.60
20% off
|
$181.80
|
$1,416.59
|
$537.09
|
2026-02-23
|
|
99291
|
HCPCS
|
ER Critical 1st 60 Min
|
8
|
2
|
$1,215.00
|
$972.00
20% off
|
$212.15
|
$1,339.57
|
$688.04
|
2026-02-23
|
|
99310
|
HCPCS
|
Mv 99310 Nurs Fac Care Subsq Comprhs
|
4
|
2
|
$447.30
|
$357.84
20% off
|
$223.56
|
$380.20
|
$301.88
|
2026-02-23
|
|
99483
|
HCPCS
|
Sp 99483 Assmt & Care Pln Pt Cog Impair
|
4
|
2
|
$927.15
|
$741.72
|
$463.39
|
$788.08
|
$625.74
|
2026-02-23
|
|
A0426
|
HCPCS
|
Ambu Als Non Emt Spec Ai
|
4
|
2
|
$933.00
|
$746.40
20% off
|
$318.40
|
$631.04
|
$474.72
|
2026-02-23
|
|
A0427
|
HCPCS
|
Ambu Als Emerg Spec Ai
|
4
|
2
|
$1,025.00
|
$820.00
20% off
|
$504.13
|
$767.83
|
$635.98
|
2026-02-23
|
|
A0428
|
HCPCS
|
Ambu Bls Nonemerg Without Sp
|
4
|
2
|
$648.00
|
$518.40
20% off
|
$265.34
|
$482.01
|
$373.67
|
2026-02-23
|
|
A0429
|
HCPCS
|
Ambu Bls Emerg Trans Ai
|
4
|
2
|
$724.00
|
$579.20
|
$424.53
|
$590.06
|
$507.29
|
2026-02-23
|
|
A0434
|
HCPCS
|
Specialty Care Transport
|
4
|
2
|
$1,656.00
|
$1,324.80
20% off
|
$862.32
|
$1,236.16
|
$1,049.24
|
2026-02-23
|
|
C8920
|
HCPCS
|
MRA Abdomen W/wo Contrast
|
6
|
2
|
$1,666.50
|
$1,333.20
20% off
|
$832.92
|
$1,499.40
|
$871.72
|
2026-02-23
|
|
G0105
|
HCPCS
|
Colorectal Screening High Risk Ind.
|
4
|
2
|
$2,196.00
|
$1,756.80
20% off
|
$1,097.56
|
$1,494.06
|
$1,295.81
|
2026-02-23
|
|
G0121
|
HCPCS
|
Colon Ca Screening Not High Risk Ind.
|
4
|
2
|
$2,250.00
|
$1,800.00
20% off
|
$1,124.55
|
$1,494.06
|
$1,309.30
|
2026-02-23
|
|
G0260
|
HCPCS
|
Inj Sacroiliac Joint W/flouroscopy 510
|
4
|
2
|
$2,012.00
|
$1,609.60
20% off
|
$406.50
|
$1,005.60
|
$706.05
|
2026-02-23
|
|
G0379
|
HCPCS
|
Direct Referral Hosp Observation
|
4
|
2
|
$1,567.00
|
$1,253.60
20% off
|
$783.19
|
$1,284.40
|
$1,033.80
|
2026-02-23
|
|
J0165
|
HCPCS
|
Epipen 2-pak 0.3mg
|
4
|
2
|
$803.36
|
$642.69
|
$401.52
|
$682.86
|
$542.19
|
2026-02-23
|
|
J0248
|
HCPCS
|
Remdesivir 100 Mg
|
4
|
2
|
$1,372.80
|
$1,098.24
|
$7.77
|
$686.13
|
$346.95
|
2026-02-23
|
|
J0714
|
HCPCS
|
Avycaz 2.5g/vial - Nf
|
4
|
2
|
$907.16
|
$725.73
|
$134.17
|
$453.40
|
$293.78
|
2026-02-23
|
|
J0897
|
HCPCS
|
Prolia 60 Mg / 1 Ml Inj
|
8
|
2
|
$3,751.13
|
$3,000.90
20% off
|
$33.80
|
$1,874.82
|
$954.31
|
2026-02-23
|
|
J1306
|
HCPCS
|
Inclisiran 284mg/1.5ml Inj
|
4
|
2
|
$7,196.60
|
$5,757.28
20% off
|
$14.74
|
$3,596.86
|
$1,805.80
|
2026-02-23
|
|
J1439
|
HCPCS
|
Ferric Carboxymaltose Inj. 750mg / 15ml
|
4
|
2
|
$2,802.00
|
$2,241.60
20% off
|
$1.38
|
$1,400.44
|
$700.91
|
2026-02-23
|
|
J1459
|
HCPCS
|
Ivig (Privigen) 20gm IV
|
16
|
2
|
$5,700.45
|
$4,560.36
|
$58.86
|
$3,798.78
|
$1,428.01
|
2026-02-23
|
|
J1568
|
HCPCS
|
Immune Globulin Intravenous 5% 5gm/100ml
|
6
|
2
|
$2,017.22
|
$1,613.78
|
$59.87
|
$2,016.41
|
$1,008.20
|
2026-02-23
|
|
J1610
|
HCPCS
|
Glucagon Kit 1 Mg / 1 Kit
|
4
|
2
|
$741.31
|
$593.05
|
$233.12
|
$370.51
|
$301.81
|
2026-02-23
|
|
J1745
|
HCPCS
|
Remicade 100mg Inj
|
4
|
2
|
$2,550.51
|
$2,040.41
|
$35.68
|
$1,274.74
|
$655.21
|
2026-02-23
|
|
J2182
|
HCPCS
|
Mepolizumab 100mg/ml
|
4
|
2
|
$6,916.71
|
$5,533.37
|
$37.00
|
$3,456.97
|
$1,746.98
|
2026-02-23
|
|
J2248
|
HCPCS
|
Mycamine 100mg/vl Inj
|
4
|
2
|
$4,084.08
|
$3,267.26
20% off
|
$1.55
|
$2,041.22
|
$1,021.38
|
2026-02-23
|
|
J2353
|
HCPCS
|
Octreotide Acetate 30mg Inj.
|
4
|
2
|
$11,257.83
|
$9,006.26
20% off
|
$239.15
|
$5,626.66
|
$2,932.91
|
2026-02-23
|
|
J3101
|
HCPCS
|
TNKase 50mg Inj,
|
4
|
2
|
$13,582.00
|
$10,865.60
20% off
|
$198.50
|
$6,788.28
|
$3,493.39
|
2026-02-23
|
|
J7168
|
HCPCS
|
Kcentra
|
4
|
2
|
$4,121.39
|
$3,297.11
20% off
|
$3.44
|
$2,059.87
|
$1,031.65
|
2026-02-23
|
|
J7325
|
HCPCS
|
Synvisc 16mg/2ml Inj
|
6
|
2
|
$997.08
|
$797.66
20% off
|
$11.19
|
$1,495.02
|
$498.34
|
2026-02-23
|
|
P9016
|
HCPCS
|
Bb Fee Prbc Per Unit
|
4
|
2
|
$763.00
|
$610.40
20% off
|
$381.35
|
$700.52
|
$540.93
|
2026-02-23
|
|
P9035
|
HCPCS
|
Bb Fee Plt Pheresis Per Unit
|
4
|
2
|
$2,129.00
|
$1,703.20
20% off
|
$1,064.07
|
$1,809.65
|
$1,436.86
|
2026-02-23
|
|
P9040
|
HCPCS
|
Bb Fee Prbc Irradiated Per Unit
|
4
|
2
|
$952.00
|
$761.60
20% off
|
$475.81
|
$506.42
|
$491.12
|
2026-02-23
|
|
P9051
|
HCPCS
|
Bb Fee Prbc Cmv Neg Per Unit
|
4
|
2
|
$904.00
|
$723.20
|
$451.82
|
$768.40
|
$610.11
|
2026-02-23
|
|
P9053
|
HCPCS
|
Bb Fee Plt Pheresis Irr Per Unit
|
4
|
2
|
$2,174.00
|
$1,739.20
20% off
|
$1,086.57
|
$1,847.90
|
$1,467.24
|
2026-02-23
|
|
P9058
|
HCPCS
|
Bb Fee Prbc Cmv Neg Irr Per Unit
|
4
|
2
|
$998.00
|
$798.40
20% off
|
$498.80
|
$848.30
|
$673.55
|
2026-02-23
|
|
Q5108
|
HCPCS
|
Fulphila Solution Inj. 6mg/0.6ml -nf
|
4
|
2
|
$9,118.20
|
$7,294.56
20% off
|
$143.97
|
$4,557.27
|
$2,350.62
|
2026-02-23
|
|
S0195
|
HCPCS
|
Pneumococcal 20-valent Conjuate Vaccine
|
4
|
2
|
$691.13
|
$552.90
20% off
|
$345.43
|
$587.46
|
$466.45
|
2026-02-23
|