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

HOSPITAL DISTRICT #6 PATTERSON HEALTH CENTER

Anthony, KS · CCN 171346 · 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: $1,688 across 5 payers · range $1,441-$3,281

Source: https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbAMCANTHONYKS&type=CDMWithoutLabel&fileType=CSV · observed 2026-02-10

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.

3,393 distinct procedures filed
5 distinct payers
19,953 rate rows
2026-02-10 last MRF observed
Data quality

19,839 of 19,953 rate rows are consumer-grade (99.4%)

114 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 50
per-diem day rate — not a per-procedure price 30
exceeds 10× this hospital's gross charge — excluded from medians 26
placeholder amount (≤ $0.02) — excluded from medians 6
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 2
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbAMCANTHONYKS&type=CDMWithoutLabel&fileType=CSV
Found on page https://apps.para-hcfs.com/PTT/FinalLinks/Patterson_V2.aspx
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-19
Content fingerprint 0c5091ecfb5d8b50… · 8,536,635 bytes · first seen 2026-07-17

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
J3380
HCPCS 		Injection, Vedolizumab, Intravenous, 1 Mg 5 $23.66 $20,530.81 $10,558.70 nat. median
$155
outlier · 68.3×
J3101
HCPCS 		Injection, Tenecteplase, 1 Mg 5 $153.82 $18,299.24 $9,411.04 nat. median
$3,787
outlier · 2.5×
J2506
HCPCS 		Injection, Pegfilgrastim, Excludes Biosimilar, 0.5 Mg 5 $6,971.35 $14,352.78 $7,381.43 nat. median
$1,659
outlier · 4.4×
J0717
HCPCS 		Injection, Certolizumab Pegol, 1 Mg (code May Be Used For Medicare When Drug Adm… 5 $9.70 $12,885.30 $6,626.73 nat. median
$1,635
outlier · 4.1×
Q5108
HCPCS 		Injection, Pegfilgrastim-jmdb (fulphila), Biosimilar, 0.5 Mg 5 $375.81 $9,642.50 $4,959.00 nat. median
$1,244
outlier · 4.0×
J1306
HCPCS 		Injection, Inclisiran, 1 Mg 5 $4,084.49 $8,409.24 $4,324.75 nat. median
$44
outlier · 98.9×
7632544_1
CDM 		Operating Room Services - General Classification 4 $3,675.00 $4,410.00 $4,287.50 nat. median
$4,288
1.0× median
38792
HCPCS 		Injection Of Radioactive Material For X-ray Identification Of Lymph Node 5 $2,184.30 $4,704.00 $4,247.25 nat. median
$606
outlier · 7.0×
8213456_1
CDM 		Room & Board - Other - Self Care 4 $3,511.35 $4,131.00 $3,924.45 nat. median
$3,924
1.0× median
8213457_1
CDM 		Room & Board - Other - Self Care 4 $3,511.35 $4,131.00 $3,924.45 nat. median
$3,924
1.0× median
59409
HCPCS 		Vaginal Delivery 5 $88.00 $7,477.75 $3,845.70 nat. median
$3,148
1.2× median
15120
HCPCS 		Partial Thickness Self Skin Graft To Face, Scalp, Eyelids, Mouth, Neck, Ears, Ar… 5 $577.17 $6,825.00 $3,611.90 nat. median
$3,643
1.0× median
10180
HCPCS 		Complex Drainage Of Wound Infection After Surgery 5 $162.51 $6,650.00 $3,559.65 nat. median
$2,862
1.2× median
15100
HCPCS 		Partial Thickness Self Skin Graft To Trunk, Arms, Or Legs, 100.0 Sq Cm Or 1% Bod… 5 $550.00 $6,606.25 $3,523.55 nat. median
$2,291
1.5× median
8213454_1
CDM 		Room & Board - Other - Self Care 4 $2,975.00 $3,500.00 $3,325.00 nat. median
$3,325
1.0× median
8213455_1
CDM 		Room & Board - Other - Self Care 4 $2,975.00 $3,500.00 $3,325.00 nat. median
$3,325
1.0× median
J3111
HCPCS 		Injection, Romosozumab-aqqg, 1 Mg 5 $2,978.82 $6,395.73 $3,289.23 nat. median
$696
outlier · 4.7×
8213459_1
CDM 		Room & Board - Other - Self Care 4 $2,890.00 $3,400.00 $3,230.00 nat. median
$3,230
1.0× median
J7168
HCPCS 		Prothrombin Complex Concentrate (human), Kcentra, Per I.u. Of Factor Ix Activity 5 $3,034.50 $6,247.50 $3,213.00 nat. median
$20
outlier · 158.0×
64624
HCPCS 		Destruction Of Nerve Branches Of Knee Using Imaging Guidance 5 $147.92 $6,186.25 $3,181.50 nat. median
$2,300
1.4× median
J1568
HCPCS 		Injection, Immune Globulin, (octagam), Intravenous, Non-lyophilized (e.g., Liqui… 5 $49.46 $10,589.65 $3,137.43 nat. median
$713
outlier · 4.4×
59414
HCPCS 		Delivery Of Placenta 5 $69.12 $5,729.50 $2,946.60 nat. median
$2,860
1.0× median
J0897
HCPCS 		Injection, Denosumab, 1 Mg 5 $20.67 $13,190.57 $2,559.40 nat. median
$1,982
1.3× median
10647337_1
CDM 		Specialty Services - Treatment Room 4 $2,161.50 $2,593.80 $2,521.75 nat. median
$2,522
1.0× median
11796048_1
CDM 		Collagen Puraply Mz - 1000 4 $2,092.50 $2,511.00 $2,441.25 nat. median
$2,441
1.0× median
64625
HCPCS 		Destruction Of Nerves Supplying Joint Between Spine And Pelvis Using Imaging Gui… 5 $195.80 $4,637.50 $2,385.00 nat. median
$2,481
1.0× median
64451
HCPCS 		Injection Of Anesthetic Agent And/or Steroid Into Spine And Pelvis Nerve Using I… 5 $80.71 $5,556.25 $2,280.00 nat. median
$1,031
outlier · 2.2×
74174
HCPCS 		CT Scan Of Blood Vessels Of Abdomen And Pelvis With Contrast 5 $1,602.92 $4,375.00 $2,250.00 nat. median
$998
outlier · 2.3×
8248387_1
CDM 		Hernia Ventralight St Mesh 7 X 9 4 $1,912.50 $2,295.00 $2,231.25 nat. median
$2,231
1.0× median
64454
HCPCS 		Injection Of Anesthetic Agent And/or Steroid Into Knee Nerve Branch Using Imagin… 5 $81.57 $4,231.50 $2,176.20 nat. median
$990
outlier · 2.2×
64635
HCPCS 		Destruction Of Lower Or Sacral Spinal Facet Joint Nerves Using Imaging Guidance,… 5 $192.25 $4,213.13 $2,166.75 nat. median
$2,392
0.9× median
64633
HCPCS 		Destruction Of Upper Or Middle Spinal Facet Joint Nerves Using Imaging Guidance,… 5 $191.74 $4,156.25 $2,137.50 nat. median
$2,325
0.9× median
64517
HCPCS 		Injection Of Anesthetic Agent Into Sacral Nerve Bundle 5 $126.47 $4,134.38 $2,126.25 nat. median
$1,285
1.7× median
8247421_1
CDM 		Denver Shunt Double Valve 11.5 French 4 $1,802.25 $2,162.70 $2,102.62 nat. median
$2,103
1.0× median
64483
HCPCS 		Injection Of Anesthetic And/or Steroid Drug Into Sacral Spine Nerve Root Using I… 5 $110.50 $7,105.00 $2,035.00 nat. median
$1,303
1.6× median
J0841
HCPCS 		Injection, Crotalidae Immune F(ab')2 (equine), 120 Mg 5 $1,478.03 $3,647.00 $1,875.60 nat. median
$1,873
1.0× median
64640
HCPCS 		Destruction Of Peripheral Nerve Or Branch 5 $122.84 $3,609.38 $1,856.25 nat. median
$1,194
1.6× median
J0585
HCPCS 		Injection, Onabotulinumtoxina, 1 Unit 5 $7.49 $3,609.20 $1,856.16 nat. median
$198
outlier · 9.4×
8248385_1
CDM 		Large Oval Kugel Composite 4 $1,580.10 $1,896.12 $1,843.45 nat. median
$1,843
1.0× median
26615
HCPCS 		Treatment Of Broken Midhand Bone 5 $574.44 $5,689.00 $1,810.00 nat. median
$3,818
outlier · 0.5×
8248388_1
CDM 		Hernia Ellipse Patch 6 X 8 4 $1,539.83 $1,847.79 $1,796.47 nat. median
$1,796
1.0× median
64490
HCPCS 		Injection Of Upper Or Middle Spine Facet Joint Using Imaging Guidance, Single Le… 5 $104.49 $6,198.50 $1,771.50 nat. median
$1,287
1.4× median
46221
HCPCS 		Removal Of External Hemorrhoids By Rubber Banding 5 $1,535.20 $3,426.50 $1,762.20 nat. median
$1,043
1.7× median
95811
HCPCS 		Sleep Study In Sleep Lab With Continuous Airway Pressure (6 Years Or Older) 5 $993.70 $3,412.50 $1,755.00 nat. median
$1,894
0.9× median
26410
HCPCS 		Repair Of Tendon On Top Of Hand 5 $625.57 $3,064.25 $1,751.00 nat. median
$1,974
0.9× median
Q0138
HCPCS 		Injection, Ferumoxytol, For Treatment Of Iron Deficiency Anemia, 1 Mg (non-esrd… 5 $1.30 $3,381.60 $1,739.11 nat. median
$175
outlier · 9.9×
26418
HCPCS 		Repair Of Tendon On Top Side Of Finger 5 $655.48 $3,004.75 $1,717.00 nat. median
$2,008
0.9× median
J1745
HCPCS 		Injection, Infliximab, Excludes Biosimilar, 10 Mg 5 $65.10 $3,327.42 $1,711.24 nat. median
$405
outlier · 4.2×
8247327_1
CDM 		Surgimesh Xb 4 $1,466.25 $1,759.50 $1,710.62 nat. median
$1,711
1.0× median
13166336_1
CDM 		Surgimesh Xb - 10cm 4 $1,462.50 $1,755.00 $1,706.25 nat. median
$1,706
1.0× median

Other procedures at this hospital

Browse this hospital's 3,393 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
             
J3380 HCPCS Injection, Vedolizumab, Intravenous, 1 Mg 5 5 $11,731.89 $9,385.51 20% off $23.66 $20,530.81 $10,558.70 2026-02-10
J3101 HCPCS Injection, Tenecteplase, 1 Mg 5 5 $10,456.71 $8,365.37 $153.82 $18,299.24 $9,411.04 2026-02-10
J2506 HCPCS Injection, Pegfilgrastim, Excludes Biosimilar, 0.5 Mg 5 5 $8,201.59 $6,561.27 20% off $6,971.35 $14,352.78 $7,381.43 2026-02-10
J0717 HCPCS Injection, Certolizumab Pegol, 1 Mg (code May Be Used For Medicare When Drug Adm… 5 5 $7,363.03 $5,890.42 20% off $9.70 $12,885.30 $6,626.73 2026-02-10
Q5108 HCPCS Injection, Pegfilgrastim-jmdb (fulphila), Biosimilar, 0.5 Mg 5 5 $5,510.00 $4,408.00 20% off $375.81 $9,642.50 $4,959.00 2026-02-10
J1306 HCPCS Injection, Inclisiran, 1 Mg 5 5 $4,805.28 $3,844.22 20% off $4,084.49 $8,409.24 $4,324.75 2026-02-10
7632544_1 CDM Operating Room Services - General Classification 4 4 $4,900.00 $3,920.00 20% off $3,675.00 $4,410.00 $4,287.50 2026-02-10
38792 HCPCS Injection Of Radioactive Material For X-ray Identification Of Lymph Node 5 5 $2,427.00 $1,941.60 20% off $2,184.30 $4,704.00 $4,247.25 2026-02-10
8213456_1 CDM Room & Board - Other - Self Care 4 4 $4,131.00 $3,304.80 $3,511.35 $4,131.00 $3,924.45 2026-02-10
8213457_1 CDM Room & Board - Other - Self Care 4 4 $4,131.00 $3,304.80 $3,511.35 $4,131.00 $3,924.45 2026-02-10
59409 HCPCS Vaginal Delivery 7 5 $4,273.00 $3,418.40 20% off $88.00 $7,477.75 $3,845.70 2026-02-10
15120 HCPCS Partial Thickness Self Skin Graft To Face, Scalp, Eyelids, Mouth, Neck, Ears, Ar… 7 5 $3,900.00 $3,120.00 20% off $577.17 $6,825.00 $3,611.90 2026-02-10
10180 HCPCS Complex Drainage Of Wound Infection After Surgery 7 5 $3,800.00 $3,040.00 20% off $162.51 $6,650.00 $3,559.65 2026-02-10
15100 HCPCS Partial Thickness Self Skin Graft To Trunk, Arms, Or Legs, 100.0 Sq Cm Or 1% Bod… 7 5 $3,775.00 $3,020.00 20% off $550.00 $6,606.25 $3,523.55 2026-02-10
8213454_1 CDM Room & Board - Other - Self Care 4 4 $3,500.00 $2,800.00 20% off $2,975.00 $3,500.00 $3,325.00 2026-02-10
8213455_1 CDM Room & Board - Other - Self Care 4 4 $3,500.00 $2,800.00 20% off $2,975.00 $3,500.00 $3,325.00 2026-02-10
J3111 HCPCS Injection, Romosozumab-aqqg, 1 Mg 10 5 $3,579.59 $2,863.68 20% off $2,978.82 $6,395.73 $3,289.23 2026-02-10
8213459_1 CDM Room & Board - Other - Self Care 4 4 $3,400.00 $2,720.00 20% off $2,890.00 $3,400.00 $3,230.00 2026-02-10
J7168 HCPCS Prothrombin Complex Concentrate (human), Kcentra, Per I.u. Of Factor Ix Activity 5 5 $3,570.00 $2,856.00 20% off $3,034.50 $6,247.50 $3,213.00 2026-02-10
64624 HCPCS Destruction Of Nerve Branches Of Knee Using Imaging Guidance 7 5 $3,535.00 $2,828.00 20% off $147.92 $6,186.25 $3,181.50 2026-02-10
J1568 HCPCS Injection, Immune Globulin, (octagam), Intravenous, Non-lyophilized (e.g., Liqui… 14 5 $4,200.82 $3,360.66 $49.46 $10,589.65 $3,137.43 2026-02-10
59414 HCPCS Delivery Of Placenta 7 5 $3,274.00 $2,619.20 20% off $69.12 $5,729.50 $2,946.60 2026-02-10
J0897 HCPCS Injection, Denosumab, 1 Mg 14 5 $2,750.52 $2,200.42 $20.67 $13,190.57 $2,559.40 2026-02-10
10647337_1 CDM Specialty Services - Treatment Room 4 4 $2,882.00 $2,305.60 20% off $2,161.50 $2,593.80 $2,521.75 2026-02-10
11796048_1 CDM Collagen Puraply Mz - 1000 4 4 $2,790.00 $2,232.00 20% off $2,092.50 $2,511.00 $2,441.25 2026-02-10
64625 HCPCS Destruction Of Nerves Supplying Joint Between Spine And Pelvis Using Imaging Gui… 7 5 $2,650.00 $2,120.00 20% off $195.80 $4,637.50 $2,385.00 2026-02-10
64451 HCPCS Injection Of Anesthetic Agent And/or Steroid Into Spine And Pelvis Nerve Using I… 14 5 $2,400.00 $1,920.00 20% off $80.71 $5,556.25 $2,280.00 2026-02-10
74174 HCPCS CT Scan Of Blood Vessels Of Abdomen And Pelvis With Contrast 5 5 $2,500.00 $2,000.00 20% off $1,602.92 $4,375.00 $2,250.00 2026-02-10
8248387_1 CDM Hernia Ventralight St Mesh 7 X 9 4 4 $2,550.00 $2,040.00 20% off $1,912.50 $2,295.00 $2,231.25 2026-02-10
64454 HCPCS Injection Of Anesthetic Agent And/or Steroid Into Knee Nerve Branch Using Imagin… 7 5 $2,418.00 $1,934.40 $81.57 $4,231.50 $2,176.20 2026-02-10
64635 HCPCS Destruction Of Lower Or Sacral Spinal Facet Joint Nerves Using Imaging Guidance,… 7 5 $2,407.50 $1,926.00 20% off $192.25 $4,213.13 $2,166.75 2026-02-10
64633 HCPCS Destruction Of Upper Or Middle Spinal Facet Joint Nerves Using Imaging Guidance,… 7 5 $2,375.00 $1,900.00 20% off $191.74 $4,156.25 $2,137.50 2026-02-10
64517 HCPCS Injection Of Anesthetic Agent Into Sacral Nerve Bundle 7 5 $2,362.50 $1,890.00 20% off $126.47 $4,134.38 $2,126.25 2026-02-10
8247421_1 CDM Denver Shunt Double Valve 11.5 French 4 4 $2,403.00 $1,922.40 $1,802.25 $2,162.70 $2,102.62 2026-02-10
64483 HCPCS Injection Of Anesthetic And/or Steroid Drug Into Sacral Spine Nerve Root Using I… 11 5 $2,035.00 $1,628.00 20% off $110.50 $7,105.00 $2,035.00 2026-02-10
J0841 HCPCS Injection, Crotalidae Immune F(ab')2 (equine), 120 Mg 5 5 $2,084.00 $1,667.20 20% off $1,478.03 $3,647.00 $1,875.60 2026-02-10
64640 HCPCS Destruction Of Peripheral Nerve Or Branch 7 5 $2,062.50 $1,650.00 20% off $122.84 $3,609.38 $1,856.25 2026-02-10
J0585 HCPCS Injection, Onabotulinumtoxina, 1 Unit 5 5 $2,062.40 $1,649.92 20% off $7.49 $3,609.20 $1,856.16 2026-02-10
8248385_1 CDM Large Oval Kugel Composite 4 4 $2,106.80 $1,685.44 20% off $1,580.10 $1,896.12 $1,843.45 2026-02-10
26615 HCPCS Treatment Of Broken Midhand Bone 7 5 $1,810.00 $1,448.00 20% off $574.44 $5,689.00 $1,810.00 2026-02-10
8248388_1 CDM Hernia Ellipse Patch 6 X 8 4 4 $2,053.10 $1,642.48 $1,539.83 $1,847.79 $1,796.47 2026-02-10
64490 HCPCS Injection Of Upper Or Middle Spine Facet Joint Using Imaging Guidance, Single Le… 11 5 $1,771.50 $1,417.20 20% off $104.49 $6,198.50 $1,771.50 2026-02-10
46221 HCPCS Removal Of External Hemorrhoids By Rubber Banding 5 5 $1,958.00 $1,566.40 $1,535.20 $3,426.50 $1,762.20 2026-02-10
95811 HCPCS Sleep Study In Sleep Lab With Continuous Airway Pressure (6 Years Or Older) 5 5 $1,950.00 $1,560.00 20% off $993.70 $3,412.50 $1,755.00 2026-02-10
26410 HCPCS Repair Of Tendon On Top Of Hand 7 5 $1,751.00 $1,400.80 20% off $625.57 $3,064.25 $1,751.00 2026-02-10
Q0138 HCPCS Injection, Ferumoxytol, For Treatment Of Iron Deficiency Anemia, 1 Mg (non-esrd … 5 5 $1,932.34 $1,545.87 20% off $1.30 $3,381.60 $1,739.11 2026-02-10
26418 HCPCS Repair Of Tendon On Top Side Of Finger 7 5 $1,717.00 $1,373.60 20% off $655.48 $3,004.75 $1,717.00 2026-02-10
J1745 HCPCS Injection, Infliximab, Excludes Biosimilar, 10 Mg 5 5 $1,901.38 $1,521.10 20% off $65.10 $3,327.42 $1,711.24 2026-02-10
8247327_1 CDM Surgimesh Xb 4 4 $1,955.00 $1,564.00 20% off $1,466.25 $1,759.50 $1,710.62 2026-02-10
13166336_1 CDM Surgimesh Xb - 10cm 4 4 $1,950.00 $1,560.00 20% off $1,462.50 $1,755.00 $1,706.25 2026-02-10
93306 HCPCS Ultrasound Of Heart With Color-depicted Blood Flow, Rate, Direction And Valve Fu… 5 5 $1,875.00 $1,500.00 20% off $1,441.15 $3,281.25 $1,687.50 2026-02-10
78452 HCPCS Nuclear Medicine Studies Of Heart Muscle At Rest And With Stress And Spect 5 5 $1,850.00 $1,480.00 20% off $950.00 $3,237.50 $1,665.00 2026-02-10
11754499_1 CDM Room & Board - Other - Self Care 4 4 $1,730.00 $1,384.00 20% off $1,470.50 $1,730.00 $1,643.50 2026-02-10
64430 HCPCS Injection Of Anesthetic Agent And/or Steroid Into External Genitals And Anus Ner… 11 5 $1,814.00 $1,451.20 20% off $54.00 $6,300.00 $1,632.60 2026-02-10
8247329_1 CDM Surgimesh Xb Round 12.5 Cm 4 4 $1,855.00 $1,484.00 20% off $1,391.25 $1,669.50 $1,623.12 2026-02-10
15110 HCPCS Outer Layer Self Skin Graft Of Trunk, Arms, Or Legs, 100.0 Sq Cm Or 1% Body Area… 7 5 $1,800.00 $1,440.00 20% off $624.20 $3,150.00 $1,620.00 2026-02-10
15115 HCPCS Outer Layer Self Skin Graft Of Face, Scalp, Eyelids, Mouth, Neck, Ears, Around E… 7 5 $1,800.00 $1,440.00 20% off $610.20 $3,150.00 $1,620.00 2026-02-10
8248389_1 CDM Hernia Circle Patch 6 4 4 $1,843.80 $1,475.04 20% off $1,382.85 $1,659.42 $1,613.33 2026-02-10
9399189_1 CDM Coolief Multi Cooled Rf Kit 50mm Length 2mm Tip (hpm) 4 4 $1,830.00 $1,464.00 20% off $1,372.50 $1,647.00 $1,601.25 2026-02-10
9399192_1 CDM Coolief Multi Cooled Rf Kit 150mm Length 4mm (hpm) 4 4 $1,830.00 $1,464.00 20% off $1,372.50 $1,647.00 $1,601.25 2026-02-10
9399191_1 CDM Coolief Multi Cooled Rf Kit 100mm Length 4mm Tip (hpm) 4 4 $1,830.00 $1,464.00 20% off $1,372.50 $1,647.00 $1,601.25 2026-02-10
9399190_1 CDM Coolief Multi Cooled Rf Kit 50mm Length 4mm Tip (hpm) 4 4 $1,830.00 $1,464.00 20% off $1,372.50 $1,647.00 $1,601.25 2026-02-10
21440 HCPCS Closed Treatment Of Broken Upper Or Lower Jaw Bone 7 5 $1,766.00 $1,412.80 20% off $630.35 $3,090.50 $1,589.40 2026-02-10
J7307 HCPCS Etonogestrel (contraceptive) Implant System, Including Implant And Supplies 8 5 $1,957.56 $1,566.05 $1,207.78 $3,425.73 $1,568.61 2026-02-10
J7298 HCPCS Levonorgestrel-releasing Intrauterine Contraceptive System (mirena), 52 Mg 8 5 $1,957.56 $1,566.05 $1,224.75 $3,425.73 $1,551.35 2026-02-10
J7296 HCPCS Levonorgestrel-releasing Intrauterine Contraceptive System, (kyleena), 19.5 Mg 8 5 $1,957.56 $1,566.05 $1,224.75 $3,425.73 $1,551.35 2026-02-10
10229194_1 CDM Hernia Patch Large Circle 4.5" 4 4 $1,714.70 $1,371.76 20% off $1,286.03 $1,543.23 $1,500.37 2026-02-10
0202U OTHER Test For Detection Of Respiratory Disease-causing Organisms From Back Of Nose An… 5 5 $1,662.00 $1,329.60 20% off $1,412.70 $2,908.50 $1,495.80 2026-02-10
15273 HCPCS Skin Substitute Graft To Wound 100.0 Sq Cm Or More Of Trunk, Arms, Or Legs, 100.… 11 5 $926.50 $741.20 $161.01 $5,075.00 $1,487.50 2026-02-10
31605 HCPCS Emergent Incision Of Windpipe For Insertion Of Breathing Tube 7 5 $1,636.00 $1,308.80 20% off $300.00 $2,863.00 $1,472.40 2026-02-10
24105 HCPCS Removal Of Fluid-filled Sac Of Elbow 7 5 $1,472.00 $1,177.60 20% off $374.33 $2,589.00 $1,472.00 2026-02-10
Q5103 HCPCS Injection, Infliximab-dyyb, Biosimilar, (inflectra), 10 Mg 5 5 $1,635.54 $1,308.43 20% off $58.38 $2,862.20 $1,471.99 2026-02-10
8248392_1 CDM Hernia Ventralight St Mesh 8 X 10 4 4 $1,678.00 $1,342.40 $1,258.50 $1,510.20 $1,468.25 2026-02-10
74175 HCPCS CT Scan Of Blood Vessels Of Abdomen With Contrast 5 5 $1,600.00 $1,280.00 20% off $1,116.10 $2,800.00 $1,440.00 2026-02-10
28010 HCPCS Repair Of Toe Tendon 7 5 $1,600.00 $1,280.00 20% off $212.61 $2,800.00 $1,440.00 2026-02-10
75635 HCPCS CT Scan Of Abdominal Aorta And Both Leg Arteries With Contrast 5 5 $1,600.00 $1,280.00 20% off $1,175.53 $2,800.00 $1,440.00 2026-02-10
27096 HCPCS Injection Of Anesthetic Or Steroid Into Joint Between Lower Spine And Hip Bone U… 11 5 $1,500.00 $1,200.00 20% off $79.90 $5,250.00 $1,440.00 2026-02-10
11796050_1 CDM Collagen Puraply Mz - 500 4 4 $1,640.00 $1,312.00 20% off $1,230.00 $1,476.00 $1,435.00 2026-02-10
64493 HCPCS Injection Of Lower Or Sacral Spine Facet Joint Using Imaging Guidance, Single Le… 11 5 $1,569.50 $1,255.60 20% off $90.33 $4,082.75 $1,412.55 2026-02-10
8468473_1 CDM Grafix Pl Prime 2 X 3 Cm 4 4 $1,600.00 $1,280.00 20% off $1,200.00 $1,440.00 $1,400.00 2026-02-10
28001 HCPCS Drainage Of Fluid Filled Sac In Foot 7 5 $1,525.00 $1,220.00 20% off $94.70 $2,668.75 $1,372.50 2026-02-10
73725 HCPCS MRI Scan Of Blood Vessels Of Leg 5 5 $1,500.00 $1,200.00 20% off $595.65 $2,625.00 $1,350.00 2026-02-10
73225 HCPCS MRI Scan Of Blood Vessels Of Arm 5 5 $1,500.00 $1,200.00 20% off $595.65 $2,625.00 $1,350.00 2026-02-10
71555 HCPCS MRI Scan Of Blood Vessels Of Chest 5 5 $1,500.00 $1,200.00 20% off $595.65 $2,625.00 $1,350.00 2026-02-10
70545 HCPCS MRI Scan Of Blood Vessels Of Head With Contrast 5 5 $1,500.00 $1,200.00 20% off $595.65 $2,625.00 $1,350.00 2026-02-10
70544 HCPCS MRI Scan Of Blood Vessels Of Head Without Contrast 5 5 $1,500.00 $1,200.00 20% off $595.65 $2,625.00 $1,350.00 2026-02-10
70496 HCPCS CT Scan Of Blood Vessels Of Head With Contrast 5 5 $1,500.00 $1,200.00 20% off $1,089.88 $2,625.00 $1,350.00 2026-02-10
72198 HCPCS MRI Scan Of Blood Vessels Of Pelvis 5 5 $1,500.00 $1,200.00 20% off $595.65 $2,625.00 $1,350.00 2026-02-10
74185 HCPCS MRI Scan Of Blood Vessels Of Abdomen 5 5 $1,500.00 $1,200.00 20% off $595.65 $2,625.00 $1,350.00 2026-02-10
70549 HCPCS MRI Scan Of Blood Vessels Of Neck Before And After Contrast 5 5 $1,500.00 $1,200.00 20% off $595.65 $2,625.00 $1,350.00 2026-02-10
71275 HCPCS CT Scan Of Blood Vessels Of Chest With Contrast 5 5 $1,500.00 $1,200.00 20% off $1,075.89 $2,625.00 $1,350.00 2026-02-10
70498 HCPCS CT Scan Of Blood Vessels Of Neck With Contrast 5 5 $1,500.00 $1,200.00 20% off $1,090.75 $2,625.00 $1,350.00 2026-02-10
70547 HCPCS MRI Scan Of Blood Vessels Of Neck Without Contrast 5 5 $1,500.00 $1,200.00 20% off $595.65 $2,625.00 $1,350.00 2026-02-10
25605 HCPCS Closed Treatment Of Broken Or Growth Plate Separate Of Forearm Bone At Wrist Wit… 7 5 $1,400.00 $1,120.00 20% off $572.61 $2,450.00 $1,349.00 2026-02-10
10229193_1 CDM Hernia Patch Large Circle W/strap 3.2" X 3.2" 4 4 $1,540.00 $1,232.00 20% off $1,155.00 $1,386.00 $1,347.50 2026-02-10
8468474_1 CDM Puraply Am 2 X 2 4 4 $1,500.00 $1,200.00 20% off $1,125.00 $1,350.00 $1,312.50 2026-02-10
78708 HCPCS Nuclear Medicine Study Of Kidney, Blood, Flow, And Function With Drug Administra… 5 5 $1,455.44 $1,164.35 20% off $790.10 $2,547.02 $1,309.90 2026-02-10
78451 HCPCS Nuclear Medicine Study Of Heart Muscle At Rest And With Stress And Spect 5 5 $1,450.00 $1,160.00 20% off $950.00 $2,537.50 $1,305.00 2026-02-10
8248390_1 CDM Herina Mesh Medium Circle 4.5 4 4 $1,486.67 $1,189.34 $1,115.00 $1,338.00 $1,300.84 2026-02-10
A9569 HCPCS Technetium Tc-99m Exametazime Labeled Autologous White Blood Cells, Diagnostic, … 5 5 $1,437.50 $1,150.00 20% off $1,221.88 $2,515.63 $1,293.75 2026-02-10
26075 HCPCS Incision Of Lower Finger Joint For Exploration, Fluid Drainage, Or Removal Of Fo… 7 5 $1,286.00 $1,028.80 20% off $345.90 $2,250.50 $1,286.00 2026-02-10
26070 HCPCS Incision Of Wrist Joint At Finger For Exploration, Fluid Drainage, Or Removal Of… 7 5 $1,286.00 $1,028.80 20% off $305.00 $2,250.50 $1,286.00 2026-02-10
8468475_1 CDM Puraply Am Per Square Cm 4 4 $1,450.00 $1,160.00 20% off $1,087.50 $1,305.00 $1,268.75 2026-02-10
13166339_1 CDM Surgimesh Xc - 7cm 4 4 $1,450.00 $1,160.00 20% off $1,087.50 $1,305.00 $1,268.75 2026-02-10
52000 HCPCS Diagnostic Exam Of Bladder And Urethra Using An Endoscope 5 5 $1,400.00 $1,120.00 20% off $1,060.20 $2,450.00 $1,260.00 2026-02-10
95810 HCPCS Sleep Study In Sleep Lab (6 Years Or Older) 5 5 $1,400.00 $1,120.00 20% off $993.70 $2,450.00 $1,260.00 2026-02-10
10229195_1 CDM Hernia Patch Medium Circle W/strap 2.5" X 2.5" 4 4 $1,425.00 $1,140.00 20% off $1,068.75 $1,282.50 $1,246.88 2026-02-10
9207901_1 CDM 61958-2901-01 - Remdesivir 100 Mg Rec Sdv [pahc] 4 4 $1,371.56 $1,097.25 $1,028.67 $1,234.40 $1,200.12 2026-02-10
64530 HCPCS Injection Of Anesthetic Agent Into Abdominal Sympathetic Nerve Bundle 7 5 $2,362.50 $1,890.00 20% off $94.67 $4,134.38 $1,193.00 2026-02-10
62329 HCPCS Removal Of Cerebrospinal Fluid With Lower Back Spinal Tap Using Imaging Guidance 7 5 $1,321.50 $1,057.20 $101.02 $2,312.63 $1,189.35 2026-02-10
8248382_1 CDM Hernia Patch-kugel-medium 4 4 $1,351.00 $1,080.80 20% off $1,013.25 $1,215.90 $1,182.12 2026-02-10
64495 HCPCS Injection Of Lower Or Sacral Spine Facet Joint Using Imaging Guidance, Third And… 7 5 $1,400.00 $1,120.00 20% off $50.55 $2,450.00 $1,170.00 2026-02-10
64505 HCPCS Injection Of Anesthetic Agent, Trigeminal Nerve Bundle 11 5 $1,295.00 $1,036.00 20% off $103.08 $4,532.50 $1,165.50 2026-02-10
64510 HCPCS Injection Of Anesthetic Agent Into Sympathetic Nerve Bundle 7 5 $2,214.00 $1,771.20 20% off $77.23 $3,874.50 $1,158.00 2026-02-10
8223834_1 CDM Gastro - Intestinal (gi) Services - General Classification 4 4 $1,320.00 $1,056.00 20% off $990.00 $1,188.00 $1,155.00 2026-02-10
8248680_1 CDM Harmonic Scapela-ace 36cm 4 4 $1,315.76 $1,052.61 $986.82 $1,184.18 $1,151.29 2026-02-10
26160 HCPCS Removal Of Growth Of Tendon Finger Or Hand 7 5 $1,150.00 $920.00 20% off $323.54 $2,054.00 $1,150.00 2026-02-10
27510 HCPCS Closed Treatment Of Broken Thigh Bone At Knee Area With Manipulation 7 5 $1,137.00 $909.60 20% off $701.86 $1,989.75 $1,137.00 2026-02-10
8467943_1 CDM Nushield 2 X 3 Cm 4 4 $1,295.00 $1,036.00 20% off $971.25 $1,165.50 $1,133.12 2026-02-10
64636 HCPCS Destruction Of Lower Or Sacral Spinal Facet Joint Nerves Using Imaging Guidance,… 7 5 $1,256.50 $1,005.20 $56.70 $2,198.88 $1,130.85 2026-02-10
73723 HCPCS MRI Scan Of Leg Joint Before And After Contrast 8 5 $1,500.00 $1,200.00 20% off $494.95 $2,625.00 $1,125.00 2026-02-10
8247866_1 CDM Secure Strap Fixation Device 4 4 $1,282.92 $1,026.34 $962.19 $1,154.63 $1,122.56 2026-02-10
8490405_1 CDM Powerport Port A Cath 8fr. 4 4 $1,274.70 $1,019.76 20% off $956.03 $1,147.23 $1,115.37 2026-02-10
10229192_1 CDM Hernia Patch Small Circle W/strap 1.7" X 1.7" 4 4 $1,260.00 $1,008.00 20% off $945.00 $1,134.00 $1,102.50 2026-02-10
62328 HCPCS Removal Of Spinal Fluid With Lower Back Spinal Tap For Diagnostic Test Using Ima… 7 5 $1,216.50 $973.20 $81.94 $2,128.88 $1,094.85 2026-02-10
78709 HCPCS Nuclear Medicine Studies Of Kidney, Blood Flow, And Function 5 5 $1,203.42 $962.74 $1,022.91 $2,105.99 $1,083.08 2026-02-10
78582 HCPCS Nuclear Medicine Study Of Lung Ventilation And Circulation 5 5 $1,201.06 $960.85 $652.00 $2,101.86 $1,080.95 2026-02-10
Q5121 HCPCS Injection, Infliximab-axxq, Biosimilar, (avsola), 10 Mg 5 5 $1,200.00 $960.00 20% off $1,020.00 $2,100.00 $1,080.00 2026-02-10
J1602 HCPCS Injection, Golimumab, 1 Mg, For Intravenous Use 5 5 $1,199.52 $959.62 $24.65 $2,099.16 $1,079.57 2026-02-10
28450 HCPCS Treatment Of Broken Foot Bone At Ankle 7 5 $720.00 $576.00 20% off $205.09 $1,440.00 $1,054.00 2026-02-10
12057 HCPCS Intermediate Repair Of Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, More … 7 5 $600.00 $480.00 20% off $356.92 $11,116.00 $1,050.00 2026-02-10
15275 HCPCS Application Of Skin Substitute Graft To Wound Of Face, Scalp, Eyelids, Mouth, Ne… 11 5 $600.00 $480.00 20% off $80.71 $8,050.00 $1,050.00 2026-02-10
78472 HCPCS Nuclear Medicine Study Of Heart Pumping Function By Labeling Red Blood Cells Wit… 5 5 $1,140.27 $912.22 $477.20 $1,995.47 $1,026.24 2026-02-10
27238 HCPCS Closed Treatment Of Broken Below Neck Of Thigh Bone 7 5 $1,137.00 $909.60 20% off $477.81 $1,989.75 $1,023.30 2026-02-10
22310 HCPCS Closed Treatment Of Broken Spine Bone With Cast Or Brace 7 5 $1,137.00 $909.60 20% off $303.39 $1,989.75 $1,023.30 2026-02-10
27246 HCPCS Closed Treatment Of Broken Below Head Of Thigh Bone 7 5 $1,137.00 $909.60 20% off $394.23 $1,989.75 $1,023.30 2026-02-10
64491 HCPCS Injection Of Upper Or Middle Spine Facet Joint Using Imaging Guidance, Second Le… 11 5 $1,128.50 $902.80 20% off $56.70 $3,948.00 $1,015.65 2026-02-10
8248384_1 CDM Small Oval Kugel Composite 4 4 $1,153.00 $922.40 20% off $864.75 $1,037.70 $1,008.88 2026-02-10
55100 HCPCS Drainage Of Abscess Of Scrotum 7 5 $1,120.00 $896.00 20% off $168.94 $1,960.00 $1,008.00 2026-02-10
64494 HCPCS Injection Of Lower Or Sacral Spine Facet Joint Using Imaging Guidance, Second Le… 11 5 $1,117.50 $894.00 20% off $49.12 $3,206.00 $1,005.75 2026-02-10
64634 HCPCS Destruction Of Upper Or Middle Spinal Facet Joint Nerves Using Imaging Guidance,… 7 5 $1,112.50 $890.00 20% off $64.63 $1,946.88 $1,001.25 2026-02-10
27520 HCPCS Closed Treatment Of Broken Kneecap 7 5 $720.00 $576.00 20% off $324.82 $1,440.00 $990.00 2026-02-10
15004 HCPCS Preparation Of Skin Graft Site Of Face, Scalp, Eyelids, Mouth, Neck, Ears, Aroun… 7 5 $1,100.00 $880.00 20% off $217.14 $1,925.00 $990.00 2026-02-10
20525 HCPCS Complicated Removal Of Foreign Body In Deep Muscle Or Tendon 7 5 $982.00 $785.60 20% off $244.95 $2,266.00 $982.00 2026-02-10
13152 HCPCS Complicated Repair Of Wound Of Eyelids, Nose, Ears, Or Lip, 2.6-7.5 Cm 7 5 $560.00 $448.00 20% off $265.59 $1,602.00 $980.00 2026-02-10
7632975_1 CDM Gastro - Intestinal (gi) Services - General Classification 4 4 $1,120.00 $896.00 20% off $840.00 $1,008.00 $980.00 2026-02-10
J0885 HCPCS Injection, Epoetin Alfa, (for Non-esrd Use), 1000 Units 8 5 $795.84 $636.67 20% off $12.25 $2,244.90 $975.18 2026-02-10
27530 HCPCS Closed Treatment Of Broken Shin Bone 7 5 $720.00 $576.00 20% off $314.23 $1,440.00 $974.00 2026-02-10
87507 HCPCS Detection Test By Nucleic Acid For Digestive Tract Pathogen, Multiple Types Or S… 5 5 $1,080.56 $864.45 $855.45 $1,890.98 $972.50 2026-02-10
62323 HCPCS Injection Of Substance Into Lower Spine Canal Using Imaging Guidance 7 5 $1,736.50 $1,389.20 20% off $99.11 $3,038.88 $952.00 2026-02-10
62321 HCPCS Injection Of Substance Into Middle Or Upper Spine Canal Using Imaging Guidance 7 5 $1,955.00 $1,564.00 20% off $106.25 $3,421.25 $952.00 2026-02-10
P9037 HCPCS Platelets, Pheresis, Leukocytes Reduced, Irradiated, Each Unit 5 5 $1,056.00 $844.80 20% off $897.60 $1,848.00 $950.40 2026-02-10
64644 HCPCS Injection Of Chemical For Paralysis Of Nerve Muscles On Arm Or Leg, 5 Or More Mu… 7 5 $1,050.00 $840.00 20% off $110.84 $1,837.50 $945.00 2026-02-10
78264 HCPCS Nuclear Medicine Study Of Stomach To Assess Emptying 5 5 $1,049.03 $839.22 20% off $253.46 $1,835.80 $944.13 2026-02-10
78226 HCPCS Nuclear Medicine Study Of Liver And Bile Duct System 5 5 $1,048.80 $839.04 20% off $498.18 $1,835.40 $943.92 2026-02-10
P9035 HCPCS Platelets, Pheresis, Leukocytes Reduced, Each Unit 5 5 $1,045.00 $836.00 20% off $888.25 $1,828.75 $940.50 2026-02-10
64484 HCPCS Injection Of Anesthetic And/or Steroid Drug Into Sacral Spine Nerve Root Using I… 7 5 $1,392.00 $1,113.60 20% off $49.12 $2,436.00 $932.00 2026-02-10
8247900_1 CDM Reload Cartridge 45mm 4 4 $1,061.98 $849.58 20% off $796.49 $955.78 $929.23 2026-02-10
J1442 HCPCS Injection, Filgrastim (g-csf), Excludes Biosimilars, 1 Microgram 5 5 $1,020.35 $816.28 20% off $1.18 $1,785.61 $918.32 2026-02-10
8080191_1 CDM Specialty Services - Treatment Room 4 4 $1,049.00 $839.20 $786.75 $944.10 $917.88 2026-02-10
25650 HCPCS Closed Treatment Of Broken Base Of Forearm Bone On Small Finger Side At Wrist 7 5 $720.00 $576.00 20% off $339.33 $1,440.00 $917.00 2026-02-10
10114966_1 CDM Rabavert Rabies Vacc W-diluent 4 4 $1,043.06 $834.45 $782.30 $938.75 $912.67 2026-02-10
78306 HCPCS Nuclear Medicine Study Of Bone And/or Joint Whole Body 5 5 $1,011.13 $808.90 20% off $376.69 $1,769.48 $910.02 2026-02-10
55120 HCPCS Removal Of Foreign Body In Scrotum 7 5 $1,007.00 $805.60 20% off $344.88 $1,762.25 $906.30 2026-02-10
12047 HCPCS Intermediate Repair Of Wound Of Neck, Hands, Feet, Or Genitals, More Than 30.0 C… 7 5 $600.00 $480.00 20% off $316.98 $1,523.00 $905.00 2026-02-10
27830 HCPCS Closed Treatment Of Dislocated Knee Joint 7 5 $720.00 $576.00 20% off $376.50 $1,440.00 $905.00 2026-02-10
64492 HCPCS Injection Of Upper Or Middle Spine Facet Joint Using Imaging Guidance, Third And… 7 5 $1,000.00 $800.00 20% off $57.37 $1,750.00 $900.00 2026-02-10
28193 HCPCS Complicated Removal Of Foreign Body In Foot 7 5 $510.00 $408.00 20% off $367.59 $1,523.00 $892.50 2026-02-10
8248386_1 CDM Hernia Patch 3.1 X 4.7 4 4 $1,017.20 $813.76 20% off $762.90 $915.48 $890.05 2026-02-10
15277 HCPCS Skin Substitute Graft To Wound 100.0 Sq Cm Or More Of Face, Scalp, Eyelids, Mout… 14 5 $1,000.00 $800.00 20% off $185.10 $5,075.00 $887.50 2026-02-10
64418 HCPCS Injection Of Anesthetic Agent And/or Steroid Into Suprascapular Shoulder Nerve 11 5 $975.00 $780.00 20% off $53.62 $3,412.50 $877.50 2026-02-10
8977148_1 CDM Hernia Mesh 4.5" Circle 4 4 $1,000.00 $800.00 20% off $750.00 $900.00 $875.00 2026-02-10
78227 HCPCS Nuclear Medicine Study Of Liver And Bile Duct System With Use Of Drugs 5 5 $970.14 $776.11 20% off $498.18 $1,697.75 $873.13 2026-02-10
8248381_1 CDM Hernia Patch-kugel-small 4 4 $992.26 $793.81 $744.20 $893.03 $868.22 2026-02-10
11080804_1 CDM Hernia System Ethicon Prolene Phse 4 4 $987.12 $789.70 $740.34 $888.41 $863.73 2026-02-10
13255703_1 CDM Balloon Postpartum Bakri 4 4 $981.68 $785.34 20% off $736.26 $883.51 $858.97 2026-02-10
72128 HCPCS CT Scan Of Middle Spine Without Contrast 5 5 $950.00 $760.00 20% off $430.35 $1,662.50 $855.00 2026-02-10
72127 HCPCS CT Scan Of Upper Spine Before And After Contrast 5 5 $950.00 $760.00 20% off $430.35 $1,662.50 $855.00 2026-02-10
72129 HCPCS CT Scan Of Middle Spine With Contrast 5 5 $950.00 $760.00 20% off $430.35 $1,662.50 $855.00 2026-02-10
70482 HCPCS CT Scan Of Cranial Cavity Before And After Contrast 5 5 $950.00 $760.00 20% off $430.35 $1,662.50 $855.00 2026-02-10
72130 HCPCS CT Scan Of Middle Spine Before And After Contrast 5 5 $950.00 $760.00 20% off $430.35 $1,662.50 $855.00 2026-02-10
74150 HCPCS CT Scan Of Abdomen Without Contrast 5 5 $950.00 $760.00 20% off $430.35 $1,662.50 $855.00 2026-02-10
72131 HCPCS CT Scan Of Lower Spine Without Contrast 5 5 $950.00 $760.00 20% off $430.35 $1,662.50 $855.00 2026-02-10
70486 HCPCS CT Scan Of Face Without Contrast 5 5 $950.00 $760.00 20% off $430.35 $1,662.50 $855.00 2026-02-10
70481 HCPCS CT Scan Of Cranial Cavity With Contrast 5 5 $950.00 $760.00 20% off $430.35 $1,662.50 $855.00 2026-02-10
74178 HCPCS CT Scan Of Abdomen And Pelvis Before And After Contrast 5 5 $950.00 $760.00 20% off $430.35 $1,662.50 $855.00 2026-02-10
74176 HCPCS CT Scan Of Abdomen And Pelvis Without Contrast 5 5 $950.00 $760.00 20% off $430.35 $1,662.50 $855.00 2026-02-10
73700 HCPCS CT Scan Of Leg Without Contrast 5 5 $950.00 $760.00 20% off $430.35 $1,662.50 $855.00 2026-02-10
70470 HCPCS CT Scan Of Head Or Brain Before And After Contrast 5 5 $950.00 $760.00 20% off $430.35 $1,662.50 $855.00 2026-02-10
70491 HCPCS CT Scan Of Soft Tissue Of Neck With Contrast 5 5 $950.00 $760.00 20% off $430.35 $1,662.50 $855.00 2026-02-10
71270 HCPCS CT Scan Of Chest Before And After Contrast 5 5 $950.00 $760.00 20% off $430.35 $1,662.50 $855.00 2026-02-10
72132 HCPCS CT Scan Of Lower Spine With Contrast 5 5 $950.00 $760.00 20% off $430.35 $1,662.50 $855.00 2026-02-10
73701 HCPCS CT Scan Of Leg With Contrast Material 5 5 $950.00 $760.00 20% off $430.35 $1,662.50 $855.00 2026-02-10
72192 HCPCS CT Scan Of Pelvis Without Contrast 5 5 $950.00 $760.00 20% off $430.35 $1,662.50 $855.00 2026-02-10
73200 HCPCS CT Scan Of Arm Without Contrast 5 5 $950.00 $760.00 20% off $430.35 $1,662.50 $855.00 2026-02-10
70492 HCPCS CT Scan Of Soft Tissue Of Neck Before And After Contrast 5 5 $950.00 $760.00 20% off $430.35 $1,662.50 $855.00 2026-02-10
72126 HCPCS CT Scan Of Upper Spine With Contrast 5 5 $950.00 $760.00 20% off $430.35 $1,662.50 $855.00 2026-02-10
73202 HCPCS CT Scan Of Arm Before And After Contrast 5 5 $950.00 $760.00 20% off $430.35 $1,662.50 $855.00 2026-02-10
73201 HCPCS CT Scan Of Arm With Contrast 5 5 $950.00 $760.00 20% off $430.35 $1,662.50 $855.00 2026-02-10
71250 HCPCS CT Scan Of Chest Without Contrast 5 5 $950.00 $760.00 20% off $430.35 $1,662.50 $855.00 2026-02-10
73702 HCPCS CT Scan Of Leg Before And After Contrast 5 5 $950.00 $760.00 20% off $430.35 $1,662.50 $855.00 2026-02-10
72194 HCPCS CT Scan Of Pelvis Before And After Contrast 5 5 $950.00 $760.00 20% off $430.35 $1,662.50 $855.00 2026-02-10
70460 HCPCS CT Scan Head Or Brain With Contrast 5 5 $950.00 $760.00 20% off $430.35 $1,662.50 $855.00 2026-02-10
74177 HCPCS CT Scan Of Abdomen And Pelvis With Contrast 5 5 $950.00 $760.00 20% off $430.35 $1,662.50 $855.00 2026-02-10
74170 HCPCS CT Scan Of Abdomen Before And After Contrast 5 5 $950.00 $760.00 20% off $430.35 $1,662.50 $855.00 2026-02-10
70450 HCPCS CT Scan Head Or Brain Without Contrast 5 5 $950.00 $760.00 20% off $430.35 $1,662.50 $855.00 2026-02-10
72133 HCPCS CT Scan Of Lower Spine Before And After Contrast 5 5 $950.00 $760.00 20% off $430.35 $1,662.50 $855.00 2026-02-10
72193 HCPCS CT Scan Of Pelvis With Contrast 5 5 $950.00 $760.00 20% off $430.35 $1,662.50 $855.00 2026-02-10
71260 HCPCS CT Scan Of Chest With Contrast 5 5 $950.00 $760.00 20% off $430.35 $1,662.50 $855.00 2026-02-10
70480 HCPCS CT Scan Of Cranial Cavity Without Contrast 5 5 $950.00 $760.00 20% off $430.35 $1,662.50 $855.00 2026-02-10
72125 HCPCS CT Scan Of Upper Spine Without Contrast 5 5 $950.00 $760.00 20% off $430.35 $1,662.50 $855.00 2026-02-10
70488 HCPCS CT Scan Of Face Before And After Contrast 5 5 $950.00 $760.00 20% off $430.35 $1,662.50 $855.00 2026-02-10
70487 HCPCS CT Scan Of Face With Contrast 5 5 $950.00 $760.00 20% off $430.35 $1,662.50 $855.00 2026-02-10
70490 HCPCS CT Scan Of Soft Tissue Of Neck Without Contrast 5 5 $950.00 $760.00 20% off $430.35 $1,662.50 $855.00 2026-02-10
74160 HCPCS CT Scan Of Abdomen With Contrast 5 5 $950.00 $760.00 20% off $430.35 $1,662.50 $855.00 2026-02-10
64479 HCPCS Injection Of Anesthetic And/or Steroid Drug Into Upper Or Middle Spine Nerve Roo… 7 5 $981.20 $784.96 20% off $129.63 $1,717.10 $850.00 2026-02-10
12045 HCPCS Intermediate Repair Of Wound Of Neck, Hands, Feet, Or Genitals, 12.6-20.0 Cm 7 5 $525.00 $420.00 20% off $250.05 $1,076.00 $848.00 2026-02-10
32555 HCPCS Aspiration Of Fluid From Chest Cavity Using Imaging Guidance 7 5 $940.00 $752.00 20% off $101.45 $1,645.00 $846.00 2026-02-10
20225 HCPCS Deep Biopsy Of Bone Using Needle Or Trocar 7 5 $925.00 $740.00 20% off $122.53 $1,618.75 $842.65 2026-02-10
27824 HCPCS Closed Treatment Of Broken Shin Bone At Lower Weight Bearing Joint 7 5 $720.00 $576.00 20% off $332.14 $1,440.00 $833.00 2026-02-10
13132 HCPCS Complicated Repair Of Wound Of Forehead, Cheeks, Chin, Mouth, Neck, Underarms, G… 7 5 $476.00 $380.80 20% off $239.89 $999.00 $833.00 2026-02-10
8042100_1 CDM Gastro - Intestinal (gi) Services - General Classification 4 4 $950.00 $760.00 20% off $712.50 $855.00 $831.25 2026-02-10
40650 HCPCS Repair Of Lip And Border 7 5 $811.00 $648.80 20% off $336.03 $1,989.00 $829.00 2026-02-10
8247331_1 CDM Pph03 Procedure Set 4 4 $946.30 $757.04 20% off $709.73 $851.67 $828.01 2026-02-10
64421 HCPCS Injection Of Anesthetic Agent And/or Steroid Into Multiple Rib Nerves For Region… 7 5 $1,687.50 $1,350.00 20% off $24.23 $2,953.13 $826.00 2026-02-10
64405 HCPCS Injection Of Anesthetic Agent And/or Steroid Into Upper Neck And Back Of Head Ne… 11 5 $857.00 $685.60 20% off $49.34 $2,999.50 $826.00 2026-02-10
21337 HCPCS Closed Treatment Of Broken Bone Separating Nose Airways 7 5 $1,194.00 $955.20 $297.59 $2,089.50 $822.00 2026-02-10
7634766_1 CDM Operating Room Services - General Classification 4 4 $939.00 $751.20 $704.25 $845.10 $821.62 2026-02-10
78305 HCPCS Nuclear Medicine Study Of Bone And/or Joint Multiple Areas 5 5 $901.80 $721.44 $766.53 $1,578.15 $811.62 2026-02-10
90375 HCPCS Rabies Immune Globulin For Injection 8 5 $894.74 $715.79 20% off $342.97 $1,565.80 $811.02 2026-02-10
70543 HCPCS MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Before And After Contrast 5 5 $900.00 $720.00 20% off $494.95 $1,575.00 $810.00 2026-02-10
73221 HCPCS MRI Scan Of Arm Joint Without Contrast 5 5 $900.00 $720.00 20% off $494.95 $1,575.00 $810.00 2026-02-10
70552 HCPCS MRI Scan Of Brain With Contrast 5 5 $900.00 $720.00 20% off $494.95 $1,575.00 $810.00 2026-02-10
73718 HCPCS MRI Scan Of Leg Without Contrast 5 5 $900.00 $720.00 20% off $494.95 $1,575.00 $810.00 2026-02-10
73220 HCPCS MRI Scan Of Arm Before And After Contrast 5 5 $900.00 $720.00 20% off $494.95 $1,575.00 $810.00 2026-02-10
74182 HCPCS MRI Scan Of Abdomen With Contrast 5 5 $900.00 $720.00 20% off $494.95 $1,575.00 $810.00 2026-02-10
73218 HCPCS MRI Scan Of Arm Without Contrast 5 5 $900.00 $720.00 20% off $494.95 $1,575.00 $810.00 2026-02-10
72158 HCPCS MRI Scan Of Lower Spinal Canal Before And After Contrast 5 5 $900.00 $720.00 20% off $494.95 $1,575.00 $810.00 2026-02-10
72156 HCPCS MRI Scan Of Upper Spinal Canal Before And After Contrast 5 5 $900.00 $720.00 20% off $494.95 $1,575.00 $810.00 2026-02-10
72141 HCPCS MRI Scan Of Upper Spinal Canal Without Contrast 5 5 $900.00 $720.00 20% off $494.95 $1,575.00 $810.00 2026-02-10
73719 HCPCS MRI Scan Of Leg With Contrast 5 5 $900.00 $720.00 20% off $494.95 $1,575.00 $810.00 2026-02-10
72147 HCPCS MRI Scan Of Middle Spinal Canal With Contrast 5 5 $900.00 $720.00 20% off $494.95 $1,575.00 $810.00 2026-02-10
72195 HCPCS MRI Scan Of Pelvis Without Contrast 5 5 $900.00 $720.00 20% off $494.95 $1,575.00 $810.00 2026-02-10
72146 HCPCS MRI Scan Of Middle Spinal Canal Without Contrast 5 5 $900.00 $720.00 20% off $494.95 $1,575.00 $810.00 2026-02-10
70553 HCPCS MRI Scan Of Brain Before And After Contrast 5 5 $900.00 $720.00 20% off $494.95 $1,575.00 $810.00 2026-02-10
70336 HCPCS MRI Scan Of Jaw Joint 5 5 $900.00 $720.00 20% off $494.95 $1,575.00 $810.00 2026-02-10
73722 HCPCS MRI Scan Of Leg Joint With Contrast 5 5 $900.00 $720.00 20% off $494.95 $1,575.00 $810.00 2026-02-10
70551 HCPCS MRI Scan Of Brain Without Contrast 5 5 $900.00 $720.00 20% off $494.95 $1,575.00 $810.00 2026-02-10
72196 HCPCS MRI Scan Of Pelvis With Contrast 5 5 $900.00 $720.00 20% off $494.95 $1,575.00 $810.00 2026-02-10
74181 HCPCS MRI Scan Of Abdomen Without Contrast 5 5 $900.00 $720.00 20% off $494.95 $1,575.00 $810.00 2026-02-10
70540 HCPCS MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Without Contrast 5 5 $900.00 $720.00 20% off $494.95 $1,575.00 $810.00 2026-02-10
72142 HCPCS MRI Scan Of Upper Spinal Canal With Contrast 5 5 $900.00 $720.00 20% off $494.95 $1,575.00 $810.00 2026-02-10
72197 HCPCS MRI Scan Of Pelvis Before And After Contrast 5 5 $900.00 $720.00 20% off $494.95 $1,575.00 $810.00 2026-02-10
73720 HCPCS MRI Scan Of Leg Before And After Contrast 5 5 $900.00 $720.00 20% off $494.95 $1,575.00 $810.00 2026-02-10
74183 HCPCS MRI Scan Of Abdomen Before And After Contrast 5 5 $900.00 $720.00 20% off $494.95 $1,575.00 $810.00 2026-02-10
73721 HCPCS MRI Scan Of Leg Joint Without Contrast 5 5 $900.00 $720.00 20% off $494.95 $1,575.00 $810.00 2026-02-10
72149 HCPCS MRI Scan Of Lower Spinal Canal With Contrast 5 5 $900.00 $720.00 20% off $494.95 $1,575.00 $810.00 2026-02-10
72157 HCPCS MRI Scan Of Middle Spinal Canal Before And After Contrast 5 5 $900.00 $720.00 20% off $494.95 $1,575.00 $810.00 2026-02-10
73223 HCPCS MRI Scan Of Arm Joint Before And After Contrast 5 5 $900.00 $720.00 20% off $494.95 $1,575.00 $810.00 2026-02-10
72148 HCPCS MRI Scan Of Lower Spinal Canal Without Contrast 5 5 $900.00 $720.00 20% off $494.95 $1,575.00 $810.00 2026-02-10
73222 HCPCS MRI Scan Of Arm Joint With Contrast 5 5 $900.00 $720.00 20% off $494.95 $1,575.00 $810.00 2026-02-10
71550 HCPCS MRI Scan Of Chest Without Contrast 5 5 $900.00 $720.00 20% off $494.95 $1,575.00 $810.00 2026-02-10
8248682_1 CDM Dextrus Seal Cap Assemble 4 4 $918.92 $735.14 $689.19 $827.03 $804.06 2026-02-10
23520 HCPCS Closed Treatment Of Dislocated Joint Between Collar And Chest Bone 7 5 $1,137.00 $909.60 20% off $257.27 $1,989.75 $801.00 2026-02-10
27750 HCPCS Closed Treatment Of Broken Middle Part Of Shin Bone 7 5 $720.00 $576.00 20% off $348.58 $1,440.00 $798.00 2026-02-10
12055 HCPCS Intermediate Repair Of Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 12.6-… 7 5 $450.00 $360.00 20% off $273.70 $1,350.00 $787.50 2026-02-10
87633 HCPCS Detection Test By Nucleic Acid For Multiple Types Of Respiratory Virus, Multiple… 5 5 $450.00 $360.00 20% off $405.00 $1,385.00 $787.50 2026-02-10
12018 HCPCS Simple Repair Of Surface Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, Mor… 7 5 $450.00 $360.00 20% off $159.98 $2,510.00 $787.50 2026-02-10
1169120_1 CDM MRI Ue Non Joint Without Contrast Lt 4 4 $900.00 $720.00 20% off $675.00 $810.00 $787.50 2026-02-10
1169122_1 CDM MRI Ue Non Joint Without Contrast Rt 4 4 $900.00 $720.00 20% off $675.00 $810.00 $787.50 2026-02-10
8247553_1 CDM Staples Ta55 (0.200) 4 4 $889.48 $711.58 20% off $667.11 $800.53 $778.29 2026-02-10
15002 HCPCS Preparation Of Skin Graft Site Of Trunk, Arms, Or Legs, 100.0 Sq Cm Or 1% Body A… 7 5 $850.00 $680.00 20% off $184.50 $1,487.50 $765.00 2026-02-10
26645 HCPCS Closed Treatment Of Broken Thumb At Wrist With Manipulation 7 5 $664.00 $531.20 $409.04 $1,326.00 $760.95 2026-02-10
23655 HCPCS Closed Treatment Of Dislocated Shoulder With Manipulation Under Anesthesia 7 5 $714.00 $571.20 $436.87 $1,249.50 $760.95 2026-02-10
26910 HCPCS Amputation Of Finger Or Thumb 7 5 $760.00 $608.00 20% off $646.00 $1,330.00 $760.00 2026-02-10
78315 HCPCS Nuclear Medicine Study Of Bone Taken At Different Times 5 5 $843.00 $674.40 20% off $326.88 $1,475.25 $758.70 2026-02-10
78803 HCPCS Nuclear Medicine Study, Spect Imaging, 1 Area Or Single Acquisition, Single Day … 5 5 $843.00 $674.40 20% off $716.55 $1,475.25 $758.70 2026-02-10
69205 HCPCS Removal Of Foreign Body In Ear Canal Under Anesthesia 7 5 $751.00 $600.80 20% off $91.91 $1,314.25 $751.00 2026-02-10
46608 HCPCS Removal Of Foreign Body In Anus Using An Endoscope 7 5 $750.00 $600.00 20% off $77.45 $1,312.50 $750.00 2026-02-10
25560 HCPCS Closed Treatment Of Broken Midpart Of Both Forearm Bones 7 5 $720.00 $576.00 20% off $285.88 $1,440.00 $737.00 2026-02-10
11646 HCPCS Removal Of Cancer Skin Growth Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, More… 5 5 $420.00 $336.00 20% off $378.00 $1,878.00 $735.00 2026-02-10
90675 HCPCS Rabies Vaccine For Injection Into Muscle 8 5 $786.00 $628.80 20% off $457.18 $1,457.86 $728.58 2026-02-10
24650 HCPCS Closed Treatment Of Broken Forearm Bone On Thumb Side At Elbow 7 5 $720.00 $576.00 20% off $270.15 $1,260.00 $727.00 2026-02-10
9763640_1 CDM Surgimesh - 11 X 16 4 4 $830.00 $664.00 20% off $622.50 $747.00 $726.25 2026-02-10
78707 HCPCS Nuclear Medicine Study Of Kidney, Blood Flow, And Function 5 5 $802.28 $641.82 20% off $681.94 $1,403.99 $722.05 2026-02-10
8223647_1 CDM 95956 EEG Cerebral Seizure - 24 Hour 4 4 $825.00 $660.00 20% off $618.75 $742.50 $721.88 2026-02-10
10937401_1 CDM Menquadfi Vial 4 4 $824.86 $659.89 $618.65 $742.37 $721.75 2026-02-10
26720 HCPCS Closed Treatment Of Broken Finger Or Thumb At Midportion Or Part Near Hand 7 5 $720.00 $576.00 20% off $189.00 $1,260.00 $720.00 2026-02-10
25530 HCPCS Closed Treatment Of Broken Midpart Of Forearm Bone On Small Finger Side 7 5 $720.00 $576.00 20% off $265.52 $1,440.00 $720.00 2026-02-10
25500 HCPCS Closed Treatment Of Broken Midpart Of Forearm Bone On Thumb Side 7 5 $720.00 $576.00 20% off $285.22 $1,440.00 $720.00 2026-02-10
24670 HCPCS Closed Treatment Of Broken Forearm Bone On Small Finger Side At Elbow 7 5 $720.00 $576.00 20% off $294.09 $1,440.00 $720.00 2026-02-10
J3489 HCPCS Injection, Zoledronic Acid, 1 Mg 11 5 $720.00 $576.00 20% off $16.25 $1,470.00 $720.00 2026-02-10
23570 HCPCS Closed Treatment Of Broken Shoulder Blade 7 5 $720.00 $576.00 20% off $264.12 $1,260.00 $720.00 2026-02-10
28600 HCPCS Closed Treatment Of Dislocated Midfoot Joint 7 5 $720.00 $576.00 20% off $168.90 $1,260.00 $720.00 2026-02-10
28570 HCPCS Closed Treatment Of Dislocated Ankle Joint 7 5 $720.00 $576.00 20% off $213.87 $1,260.00 $720.00 2026-02-10
28540 HCPCS Closed Treatment Of Dislocated Ankle Joint Bone 7 5 $720.00 $576.00 20% off $182.91 $1,260.00 $720.00 2026-02-10
28530 HCPCS Closed Treatment Of Broken Small Bone In Tendon Attached To Great Toe 7 5 $720.00 $576.00 20% off $109.43 $1,440.00 $720.00 2026-02-10
28470 HCPCS Closed Treatment Of Broken Bone In Forefoot Or Midfoot 7 5 $720.00 $576.00 20% off $219.87 $1,440.00 $720.00 2026-02-10
28430 HCPCS Closed Treatment Of Broken Ankle Joint Bone 7 5 $720.00 $576.00 20% off $227.63 $1,440.00 $720.00 2026-02-10
90999 HCPCS Other Inpatient Or Outpatient Dialysis Procedure 5 5 $800.00 $640.00 20% off $680.00 $1,400.00 $720.00 2026-02-10
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