|
J3245
|
HCPCS
|
Injection, Tildrakizumab, 1 Mg
|
14
|
14
|
$48,062.37
|
$28,837.42
40% off
|
$155.68
|
$48,062.37
|
$24,511.81
|
2026-09-30
|
|
J9217
|
HCPCS
|
Leuprolide Acetate (for Depot Suspension), 7.5 Mg
|
14
|
14
|
$41,303.00
|
$24,781.80
40% off
|
$210.55
|
$41,303.00
|
$21,064.53
|
2026-09-30
|
|
J1305
|
HCPCS
|
Injection, Evinacumab-dgnb, 5mg
|
14
|
14
|
$41,233.30
|
$24,739.98
40% off
|
$217.78
|
$41,233.30
|
$21,028.99
|
2026-09-30
|
|
314
|
MS_DRG
|
Other Circulatory System Diagnoses With Mcc
|
4
|
4
|
$38,306.86
|
$22,984.12
40% off
|
$11,151.27
|
$34,322.95
|
$17,565.91
|
2026-09-30
|
|
23472
|
HCPCS
|
Prosthetic Repair Of Shoulder Joint, Total Shoulder
|
13
|
13
|
$21,476.00
|
$12,885.60
40% off
|
$7,946.12
|
$22,987.56
|
$16,364.71
|
2026-09-30
|
|
J3101
|
HCPCS
|
Injection, Tenecteplase, 1 Mg
|
26
|
14
|
$23,020.17
|
$13,812.10
40% off
|
$198.50
|
$25,887.45
|
$15,807.95
|
2026-09-30
|
|
J3380
|
HCPCS
|
Injection, Vedolizumab, Intravenous, 1 Mg
|
14
|
14
|
$28,910.40
|
$17,346.24
40% off
|
$24.74
|
$28,910.40
|
$14,744.31
|
2026-09-30
|
|
871
|
MS_DRG
|
Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc
|
4
|
4
|
$15,144.17
|
$9,086.50
40% off
|
$7,942.50
|
$15,144.17
|
$14,356.67
|
2026-09-30
|
|
23470
|
HCPCS
|
Partial Replacement Of Shoulder Joint
|
13
|
13
|
$18,219.00
|
$10,931.40
40% off
|
$6,741.03
|
$18,219.00
|
$13,882.88
|
2026-09-30
|
|
27446
|
HCPCS
|
Replacement Of Knee Joint On Side Of Knee
|
14
|
14
|
$18,058.00
|
$10,834.80
40% off
|
$6,681.46
|
$18,058.00
|
$13,411.68
|
2026-09-30
|
|
189
|
MS_DRG
|
Pulmonary Edema And Respiratory Failure
|
4
|
4
|
$16,553.60
|
$9,932.16
40% off
|
$4,638.42
|
$14,832.03
|
$12,663.11
|
2026-09-30
|
|
291
|
MS_DRG
|
Heart Failure And Shock With Mcc
|
4
|
4
|
$13,882.85
|
$8,329.71
40% off
|
$5,813.91
|
$13,521.13
|
$12,642.05
|
2026-09-30
|
|
193
|
MS_DRG
|
Simple Pneumonia And Pleurisy With Mcc
|
4
|
4
|
$13,620.80
|
$8,172.48
40% off
|
$4,574.88
|
$12,204.24
|
$11,699.76
|
2026-09-30
|
|
27447
|
HCPCS
|
Replacement Of Knee Joint, Both Sides Of Knee
|
13
|
13
|
$15,234.00
|
$9,140.40
40% off
|
$5,636.58
|
$16,083.53
|
$11,608.31
|
2026-09-30
|
|
640
|
MS_DRG
|
Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M…
|
4
|
4
|
$18,590.80
|
$11,154.48
40% off
|
$5,305.59
|
$16,657.36
|
$10,370.85
|
2026-09-30
|
|
308
|
MS_DRG
|
Cardiac Arrhythmia And Conduction Disorders With Mcc
|
4
|
4
|
$11,599.00
|
$6,959.40
40% off
|
$5,750.37
|
$10,392.70
|
$10,118.92
|
2026-09-30
|
|
592
|
MS_DRG
|
Skin Ulcers With Mcc
|
4
|
4
|
$10,641.10
|
$6,384.66
40% off
|
$9,054.45
|
$10,641.10
|
$9,993.33
|
2026-09-30
|
|
433
|
MS_DRG
|
Cirrhosis And Alcoholic Hepatitis With Cc
|
4
|
4
|
$13,026.70
|
$7,816.02
40% off
|
$4,606.65
|
$11,671.92
|
$9,819.24
|
2026-09-30
|
|
197
|
MS_DRG
|
Interstitial Lung Disease With Cc
|
4
|
4
|
$11,588.40
|
$6,953.04
40% off
|
$3,653.55
|
$10,383.21
|
$9,751.39
|
2026-09-30
|
|
190
|
MS_DRG
|
Chronic Obstructive Pulmonary Disease With Mcc
|
4
|
4
|
$9,752.85
|
$5,851.71
40% off
|
$5,083.20
|
$9,752.85
|
$9,245.70
|
2026-09-30
|
|
304
|
MS_DRG
|
Hypertension With Mcc
|
4
|
4
|
$12,732.10
|
$7,639.26
40% off
|
$4,987.89
|
$11,407.96
|
$9,243.46
|
2026-09-30
|
|
179
|
MS_DRG
|
Respiratory Infections And Inflammations Without Cc/mcc
|
4
|
4
|
$9,780.34
|
$5,868.20
40% off
|
$2,922.84
|
$9,780.34
|
$9,237.17
|
2026-09-30
|
|
687
|
MS_DRG
|
Kidney And Urinary Tract Neoplasms With Cc
|
4
|
4
|
$10,377.40
|
$6,226.44
40% off
|
$4,447.80
|
$9,649.07
|
$9,232.39
|
2026-09-30
|
|
880
|
MS_DRG
|
Acute Adjustment Reaction And Psychosocial Dysfunction
|
4
|
4
|
$17,277.50
|
$10,366.50
40% off
|
$3,018.15
|
$15,480.64
|
$8,840.26
|
2026-09-30
|
|
194
|
MS_DRG
|
Simple Pneumonia And Pleurisy With Cc
|
4
|
4
|
$9,930.71
|
$5,958.43
40% off
|
$4,193.64
|
$8,907.41
|
$8,679.98
|
2026-09-30
|
|
699
|
MS_DRG
|
Other Kidney And Urinary Tract Diagnoses With Cc
|
4
|
4
|
$18,910.60
|
$11,346.36
40% off
|
$4,320.72
|
$16,943.90
|
$8,653.60
|
2026-09-30
|
|
J9312
|
HCPCS
|
Injection, Rituximab, 10 Mg
|
14
|
14
|
$16,610.70
|
$9,966.42
40% off
|
$90.37
|
$16,610.70
|
$8,471.46
|
2026-09-30
|
|
442
|
MS_DRG
|
Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc
|
4
|
4
|
$15,603.48
|
$9,362.09
40% off
|
$4,066.56
|
$13,980.71
|
$8,425.57
|
2026-09-30
|
|
897
|
MS_DRG
|
Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc
|
4
|
4
|
$9,905.10
|
$5,943.06
40% off
|
$3,462.93
|
$8,874.97
|
$8,374.69
|
2026-09-30
|
|
92
|
MS_DRG
|
Other Disorders Of Nervous System With Cc
|
4
|
4
|
$11,041.90
|
$6,625.14
40% off
|
$6,290.46
|
$9,893.54
|
$8,332.58
|
2026-09-30
|
|
19307
|
HCPCS
|
Removal Of Breast And Underarm Lymph Nodes
|
13
|
13
|
$14,271.00
|
$8,562.60
40% off
|
$5,280.27
|
$14,271.00
|
$8,318.36
|
2026-09-30
|
|
315
|
MS_DRG
|
Other Circulatory System Diagnoses With Cc
|
4
|
4
|
$12,463.80
|
$7,478.28
40% off
|
$4,225.41
|
$11,167.56
|
$8,201.97
|
2026-09-30
|
|
19303
|
HCPCS
|
Simple Complete Removal Of Breast
|
14
|
14
|
$11,588.00
|
$6,952.80
40% off
|
$177.45
|
$11,588.00
|
$7,948.03
|
2026-09-30
|
|
19302
|
HCPCS
|
Partial Removal Of Breast And Underarm Lymph Nodes
|
14
|
14
|
$14,180.00
|
$8,508.00
40% off
|
$1,902.63
|
$14,180.00
|
$7,948.03
|
2026-09-30
|
|
155
|
MS_DRG
|
Other Ear, Nose, Mouth And Throat Diagnoses With Cc
|
4
|
4
|
$13,184.30
|
$7,910.58
40% off
|
$2,668.68
|
$11,813.13
|
$7,823.02
|
2026-09-30
|
|
603
|
MS_DRG
|
Cellulitis Without Mcc
|
4
|
4
|
$28,203.30
|
$16,921.98
40% off
|
$4,003.02
|
$25,270.16
|
$7,817.12
|
2026-09-30
|
|
58150
|
HCPCS
|
Removal Of Uterus And Cervix Through Abdomen
|
13
|
13
|
$20,917.00
|
$12,550.20
40% off
|
$2,300.90
|
$20,917.00
|
$7,739.29
|
2026-09-30
|
|
388
|
MS_DRG
|
Gastrointestinal Obstruction With Mcc
|
4
|
4
|
$8,132.30
|
$4,879.38
40% off
|
$4,384.26
|
$8,132.30
|
$7,709.42
|
2026-09-30
|
|
811
|
MS_DRG
|
Red Blood Cell Disorders With Mcc
|
4
|
4
|
$8,037.00
|
$4,822.20
40% off
|
$5,972.76
|
$8,037.00
|
$7,619.07
|
2026-09-30
|
|
J0517
|
HCPCS
|
Injection, Benralizumab, 1 Mg
|
14
|
14
|
$14,779.14
|
$8,867.48
40% off
|
$190.88
|
$14,779.14
|
$7,537.36
|
2026-09-30
|
|
389
|
MS_DRG
|
Gastrointestinal Obstruction With Cc
|
4
|
4
|
$8,345.10
|
$5,007.06
40% off
|
$4,352.49
|
$7,877.99
|
$7,480.65
|
2026-09-30
|
|
552
|
MS_DRG
|
Medical Back Problems Without Mcc
|
4
|
4
|
$7,954.25
|
$4,772.55
40% off
|
$4,860.81
|
$7,954.25
|
$7,436.18
|
2026-09-30
|
|
812
|
MS_DRG
|
Red Blood Cell Disorders Without Mcc
|
4
|
4
|
$26,150.20
|
$15,690.12
40% off
|
$4,161.87
|
$23,430.58
|
$7,417.51
|
2026-09-30
|
|
198
|
MS_DRG
|
Interstitial Lung Disease Without Cc/mcc
|
4
|
4
|
$9,063.70
|
$5,438.22
40% off
|
$2,763.99
|
$8,121.08
|
$7,362.60
|
2026-09-30
|
|
638
|
MS_DRG
|
Diabetes With Cc
|
4
|
4
|
$7,918.80
|
$4,751.28
40% off
|
$3,462.93
|
$7,918.80
|
$7,346.61
|
2026-09-30
|
|
292
|
MS_DRG
|
Heart Failure And Shock With Cc
|
4
|
4
|
$9,243.20
|
$5,545.92
40% off
|
$4,670.19
|
$8,281.91
|
$7,275.94
|
2026-09-30
|
|
378
|
MS_DRG
|
Gastrointestinal Hemorrhage With Cc
|
4
|
4
|
$7,673.50
|
$4,604.10
40% off
|
$4,797.27
|
$7,673.50
|
$7,274.48
|
2026-09-30
|
|
558
|
MS_DRG
|
Tendonitis, Myositis And Bursitis Without Mcc
|
4
|
4
|
$23,583.58
|
$14,150.15
40% off
|
$5,464.44
|
$21,130.89
|
$7,258.25
|
2026-09-30
|
|
47562
|
HCPCS
|
Removal Of Gallbladder Using An Endoscope
|
14
|
14
|
$12,543.00
|
$7,525.80
40% off
|
$2,189.43
|
$12,543.00
|
$7,110.62
|
2026-09-30
|
|
47563
|
HCPCS
|
Removal Of Gallbladder With X-ray Study Of Bile Ducts Using An Endoscope
|
14
|
14
|
$11,324.00
|
$6,794.40
40% off
|
$2,189.43
|
$11,324.00
|
$7,110.62
|
2026-09-30
|
|
58661
|
HCPCS
|
Removal Of Ovaries And/or Tubes Using An Endoscope
|
14
|
14
|
$11,168.00
|
$6,700.80
40% off
|
$2,189.43
|
$11,168.00
|
$7,110.62
|
2026-09-30
|
|
49650
|
HCPCS
|
Repair Of Groin Hernia Using An Endoscope
|
14
|
14
|
$14,113.00
|
$8,467.80
40% off
|
$2,189.43
|
$14,113.00
|
$7,110.62
|
2026-09-30
|
|
58670
|
HCPCS
|
Destruction Of Fallopian Tubes Using An Endoscope
|
14
|
14
|
$10,060.00
|
$6,036.00
40% off
|
$2,189.43
|
$10,060.00
|
$7,102.85
|
2026-09-30
|
|
19318
|
HCPCS
|
Breast Reduction
|
14
|
14
|
$17,327.00
|
$10,396.20
40% off
|
$2,059.36
|
$17,327.00
|
$7,065.58
|
2026-09-30
|
|
392
|
MS_DRG
|
Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc
|
4
|
4
|
$14,167.13
|
$8,500.28
40% off
|
$3,494.70
|
$12,693.75
|
$6,992.01
|
2026-09-30
|
|
948
|
MS_DRG
|
Signs And Symptoms Without Mcc
|
4
|
4
|
$12,166.86
|
$7,300.12
40% off
|
$6,462.14
|
$10,901.51
|
$6,959.36
|
2026-09-30
|
|
206
|
MS_DRG
|
Other Respiratory System Diagnoses Without Mcc
|
4
|
4
|
$7,404.90
|
$4,442.94
40% off
|
$3,621.78
|
$7,404.90
|
$6,954.44
|
2026-09-30
|
|
914
|
MS_DRG
|
Traumatic Injury Without Mcc
|
4
|
4
|
$7,298.80
|
$4,379.28
40% off
|
$2,668.68
|
$7,298.80
|
$6,919.26
|
2026-09-30
|
|
65
|
MS_DRG
|
Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours
|
4
|
4
|
$7,298.80
|
$4,379.28
40% off
|
$5,877.45
|
$7,298.80
|
$6,919.26
|
2026-09-30
|
|
J2506
|
HCPCS
|
Injection, Pegfilgrastim, Excludes Biosimilar, 0.5 Mg
|
14
|
14
|
$13,533.75
|
$8,120.25
40% off
|
$23.36
|
$13,533.75
|
$6,902.22
|
2026-09-30
|
|
641
|
MS_DRG
|
Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou…
|
4
|
4
|
$9,148.60
|
$5,489.16
40% off
|
$4,670.19
|
$8,197.15
|
$6,883.60
|
2026-09-30
|
|
27442
|
HCPCS
|
Repair Of End Of Thigh Or Lower Leg Bone At Knee Joint With Prosthesis
|
14
|
14
|
$17,929.00
|
$10,757.40
40% off
|
$1,737.79
|
$17,929.00
|
$6,633.73
|
2026-09-30
|
|
44955
|
HCPCS
|
Removal Of Appendix During Other Major Procedure
|
13
|
13
|
$8,384.00
|
$5,030.40
40% off
|
$3,102.08
|
$8,384.00
|
$6,388.61
|
2026-09-30
|
|
683
|
MS_DRG
|
Renal Failure With Cc
|
4
|
4
|
$6,675.45
|
$4,005.27
40% off
|
$4,098.33
|
$6,675.45
|
$6,328.32
|
2026-09-30
|
|
66
|
MS_DRG
|
Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc
|
4
|
4
|
$6,642.93
|
$3,985.76
40% off
|
$3,081.69
|
$6,642.93
|
$6,297.50
|
2026-09-30
|
|
J1459
|
HCPCS
|
Injection, Immune Globulin (privigen), Intravenous, Non-lyophilized (e.g., Liqui…
|
14
|
14
|
$12,151.90
|
$7,291.14
40% off
|
$58.86
|
$12,151.90
|
$6,197.47
|
2026-09-30
|
|
195
|
MS_DRG
|
Simple Pneumonia And Pleurisy Without Cc/mcc
|
4
|
4
|
$6,572.20
|
$3,943.32
40% off
|
$3,558.24
|
$6,572.20
|
$6,177.69
|
2026-09-30
|
|
44960
|
HCPCS
|
Removal Of Ruptured Infected Appendix
|
13
|
13
|
$8,097.00
|
$4,858.20
40% off
|
$2,995.89
|
$8,097.00
|
$6,169.91
|
2026-09-30
|
|
49594
|
HCPCS
|
Initial Repair Of Entrapped Hernia Of Abdomen, 3-10 Cm In Length
|
13
|
13
|
$7,996.00
|
$4,797.60
40% off
|
$2,958.52
|
$7,996.00
|
$6,092.95
|
2026-09-30
|
|
37618
|
HCPCS
|
Tying Of Major Arm Or Leg Artery
|
13
|
13
|
$7,923.00
|
$4,753.80
40% off
|
$2,931.51
|
$7,923.00
|
$6,037.33
|
2026-09-30
|
|
J1306
|
HCPCS
|
Injection, Inclisiran, 1 Mg
|
14
|
14
|
$11,809.10
|
$7,085.46
40% off
|
$14.74
|
$11,809.10
|
$6,022.65
|
2026-09-30
|
|
690
|
MS_DRG
|
Kidney And Urinary Tract Infections Without Mcc
|
4
|
4
|
$6,291.70
|
$3,775.02
40% off
|
$4,034.79
|
$6,291.70
|
$5,964.53
|
2026-09-30
|
|
44970
|
HCPCS
|
Removal Of Appendix Using An Endoscope
|
13
|
13
|
$7,806.00
|
$4,683.60
40% off
|
$2,888.22
|
$7,806.00
|
$5,948.17
|
2026-09-30
|
|
58353
|
HCPCS
|
Destruction Of Lining Of Uterus
|
14
|
14
|
$8,332.00
|
$4,999.20
40% off
|
$1,632.46
|
$8,332.00
|
$5,944.70
|
2026-09-30
|
|
49595
|
HCPCS
|
Initial Repair Of Sliding Hernia Of Abdomen, More Than 10 Cm In Length
|
13
|
13
|
$7,793.00
|
$4,675.80
40% off
|
$2,883.41
|
$7,799.69
|
$5,938.27
|
2026-09-30
|
|
446
|
MS_DRG
|
Disorders Of The Biliary Tract Without Cc/mcc
|
4
|
4
|
$6,262.00
|
$3,757.20
40% off
|
$3,494.70
|
$6,262.00
|
$5,936.38
|
2026-09-30
|
|
27486
|
HCPCS
|
Revision Of Component Of Total Knee Joint Prosthesis
|
13
|
13
|
$15,975.00
|
$9,585.00
40% off
|
$5,293.56
|
$15,975.00
|
$5,910.75
|
2026-09-30
|
|
49592
|
HCPCS
|
Initial Repair Of Entrapped Hernia Of Abdomen, Less Than 3 Cm In Length
|
13
|
13
|
$7,756.00
|
$4,653.60
40% off
|
$2,869.72
|
$7,756.00
|
$5,910.07
|
2026-09-30
|
|
49616
|
HCPCS
|
Repair Of Recurrent Entrapped Hernia Of Abdomen, 3-10 Cm In Length
|
13
|
13
|
$11,691.00
|
$7,014.60
40% off
|
$4,325.67
|
$11,691.00
|
$5,907.49
|
2026-09-30
|
|
49618
|
HCPCS
|
Repair Of Recurrent Entrapped Hernia Of Abdomen, More Than 10 Cm In Length
|
13
|
13
|
$9,907.00
|
$5,944.20
40% off
|
$3,665.59
|
$9,907.00
|
$5,907.49
|
2026-09-30
|
|
Q5111
|
HCPCS
|
Injection, Pegfilgrastim-cbqv (udenyca), Biosimilar, 0.5 Mg
|
14
|
14
|
$11,514.98
|
$6,908.99
40% off
|
$199.94
|
$11,514.98
|
$5,872.64
|
2026-09-30
|
|
49593
|
HCPCS
|
Initial Repair Of Sliding Hernia Of Abdomen, 3-10 Cm In Length
|
13
|
13
|
$7,543.00
|
$4,525.80
40% off
|
$2,790.91
|
$7,799.69
|
$5,747.77
|
2026-09-30
|
|
19301
|
HCPCS
|
Partial Removal Of Breast
|
14
|
14
|
$9,727.00
|
$5,836.20
40% off
|
$1,171.06
|
$9,727.00
|
$5,458.47
|
2026-09-30
|
|
159
|
MS_DRG
|
Dental And Oral Diseases Without Cc/mcc
|
4
|
4
|
$6,070.20
|
$3,642.12
40% off
|
$2,065.05
|
$5,730.62
|
$5,441.49
|
2026-09-30
|
|
177
|
MS_DRG
|
Respiratory Infections And Inflammations With Mcc
|
4
|
4
|
$5,378.30
|
$3,226.98
40% off
|
$4,818.96
|
$6,290.46
|
$5,378.30
|
2026-09-30
|
|
443
|
MS_DRG
|
Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without C…
|
4
|
4
|
$5,913.63
|
$3,548.18
40% off
|
$2,954.61
|
$5,731.48
|
$5,371.76
|
2026-09-30
|
|
390
|
MS_DRG
|
Gastrointestinal Obstruction Without Cc/mcc
|
4
|
4
|
$17,425.30
|
$10,455.18
40% off
|
$2,954.61
|
$15,613.07
|
$5,371.66
|
2026-09-30
|
|
59514
|
HCPCS
|
Cesarean Delivery
|
13
|
13
|
$6,598.00
|
$3,958.80
40% off
|
$2,441.26
|
$6,598.00
|
$5,027.68
|
2026-09-30
|
|
44180
|
HCPCS
|
Release Of Small Bowel Scar Tissue Using An Endoscope
|
13
|
13
|
$9,656.00
|
$5,793.60
40% off
|
$3,572.72
|
$9,656.00
|
$4,791.44
|
2026-09-30
|
|
38900
|
HCPCS
|
Imaging Of Lymph Nodes During Surgery
|
13
|
13
|
$8,174.00
|
$4,904.40
40% off
|
$3,024.38
|
$8,174.00
|
$4,764.17
|
2026-09-30
|
|
26535
|
HCPCS
|
Replacement Of Finger Joint
|
14
|
14
|
$8,774.00
|
$5,264.40
40% off
|
$1,797.74
|
$8,774.00
|
$4,734.68
|
2026-09-30
|
|
38525
|
HCPCS
|
Biopsy Or Removal Of Deep Lymph Nodes Of Underarm
|
14
|
14
|
$7,534.00
|
$4,520.40
40% off
|
$1,146.79
|
$7,534.00
|
$4,666.94
|
2026-09-30
|
|
19125
|
HCPCS
|
Removal Of Growth Of Breast Identified By X-ray Marker, First Growth
|
14
|
14
|
$7,108.00
|
$4,264.80
40% off
|
$1,171.06
|
$7,108.00
|
$4,666.94
|
2026-09-30
|
|
38500
|
HCPCS
|
Biopsy Or Removal Of Lymph Nodes
|
14
|
14
|
$6,798.00
|
$4,078.80
40% off
|
$1,073.47
|
$6,798.00
|
$4,666.94
|
2026-09-30
|
|
11771
|
HCPCS
|
Extensive Removal Of Cyst Of Tailbone
|
14
|
14
|
$12,189.00
|
$7,313.40
40% off
|
$1,093.61
|
$12,189.00
|
$4,509.93
|
2026-09-30
|
|
49615
|
HCPCS
|
Repair Of Recurrent Sliding Hernia Of Abdomen, 3-10 Cm In Length
|
13
|
13
|
$8,105.00
|
$4,863.00
40% off
|
$2,998.85
|
$8,105.00
|
$4,485.41
|
2026-09-30
|
|
49617
|
HCPCS
|
Repair Of Recurrent Sliding Hernia Of Abdomen, More Than 10 Cm In Length
|
13
|
13
|
$7,522.00
|
$4,513.20
40% off
|
$2,783.14
|
$7,522.00
|
$4,485.41
|
2026-09-30
|
|
Q5130
|
HCPCS
|
Injection, Pegfilgrastim-pbbk (fylnetra), Biosimilar, 0.5 Mg
|
14
|
14
|
$8,670.00
|
$5,202.00
40% off
|
$200.61
|
$8,670.00
|
$4,421.70
|
2026-09-30
|
|
49505
|
HCPCS
|
Repair Of Groin Hernia (5 Years Or Older)
|
25
|
14
|
$6,336.00
|
$3,801.60
40% off
|
$1,513.71
|
$9,504.00
|
$4,411.33
|
2026-09-30
|
|
14000
|
HCPCS
|
Repair Of Wound Of Trunk By Transferring Skin, 10.0 Sq Cm Or Less
|
14
|
14
|
$10,242.00
|
$6,145.20
40% off
|
$747.19
|
$10,242.00
|
$4,348.65
|
2026-09-30
|
|
24358
|
HCPCS
|
Incision Of Elbow Tendon With Removal Of Tissue
|
14
|
14
|
$8,767.00
|
$5,260.20
40% off
|
$1,475.50
|
$8,767.00
|
$4,342.75
|
2026-09-30
|
|
55
|
MS_DRG
|
Nervous System Neoplasms Without Mcc
|
4
|
4
|
$4,328.40
|
$2,597.04
40% off
|
$3,878.25
|
$4,606.65
|
$4,328.40
|
2026-09-30
|
|
49507
|
HCPCS
|
Repair Of Trapped Groin Hernia (5 Years Or Older)
|
14
|
14
|
$7,854.00
|
$4,712.40
40% off
|
$1,624.66
|
$7,854.00
|
$4,301.05
|
2026-09-30
|
|
28820
|
HCPCS
|
Amputation Of Toe At Joint Between Forefoot And Toes
|
14
|
14
|
$6,563.00
|
$3,937.80
40% off
|
$1,033.96
|
$6,563.00
|
$4,191.10
|
2026-09-30
|
|
49591
|
HCPCS
|
Initial Repair Of Sliding Hernia Of Abdomen, Less Than 3 Cm In Length
|
13
|
13
|
$5,434.00
|
$3,260.40
40% off
|
$2,010.58
|
$5,434.00
|
$4,140.71
|
2026-09-30
|
|
52601
|
HCPCS
|
Removal Of Prostate Gland Using An Electrocautery Knife Through Urethra With Con…
|
14
|
14
|
$5,480.00
|
$3,288.00
40% off
|
$1,570.88
|
$6,354.53
|
$4,069.99
|
2026-09-30
|
|
25447
|
HCPCS
|
Replacement Of Joint Between Wrist And Fingers Using Tissue
|
14
|
14
|
$6,887.00
|
$4,132.20
40% off
|
$1,797.74
|
$6,887.00
|
$3,954.36
|
2026-09-30
|
|
26123
|
HCPCS
|
Removal Of Connective Tissue Of Palm And Release Of Finger, First Digit
|
14
|
14
|
$5,802.00
|
$3,481.20
40% off
|
$1,362.23
|
$5,802.00
|
$3,954.36
|
2026-09-30
|
|
4490377_1
|
CDM
|
Labor Room/delivery - General Classification
|
14
|
14
|
$5,750.00
|
$3,450.00
40% off
|
$2,127.50
|
$5,175.00
|
$3,948.53
|
2026-09-30
|
|
70471
|
HCPCS
|
Computed Tomographic Angiography (cta), Head And Neck, With Contrast Material(s)…
|
13
|
13
|
$5,101.00
|
$3,060.60
40% off
|
$1,887.37
|
$5,101.00
|
$3,886.96
|
2026-09-30
|
|
58600
|
HCPCS
|
Tying Or Incision Of Fallopian Tubes
|
14
|
14
|
$5,798.00
|
$3,478.80
40% off
|
$1,792.16
|
$5,798.00
|
$3,875.05
|
2026-09-30
|
|
27599
|
HCPCS
|
Other Procedure On Thigh Or Knee
|
13
|
13
|
$5,080.00
|
$3,048.00
40% off
|
$1,879.60
|
$5,080.00
|
$3,870.96
|
2026-09-30
|
|
36561
|
HCPCS
|
Insertion Of Central Venous Tube With Port (5 Years Or Older)
|
14
|
14
|
$6,260.00
|
$3,756.00
40% off
|
$1,408.34
|
$6,260.00
|
$3,836.02
|
2026-09-30
|
|
36571
|
HCPCS
|
Insertion Of Central Venous Tube With Port For Infusion (5 Years Or Older)
|
14
|
14
|
$5,816.00
|
$3,489.60
40% off
|
$1,120.32
|
$5,816.00
|
$3,836.02
|
2026-09-30
|
|
684
|
MS_DRG
|
Renal Failure Without Cc/mcc
|
4
|
4
|
$4,029.20
|
$2,417.52
40% off
|
$2,541.60
|
$4,029.20
|
$3,819.68
|
2026-09-30
|
|
23120
|
HCPCS
|
Partial Removal Of Collar Bone
|
14
|
14
|
$6,772.00
|
$4,063.20
40% off
|
$1,475.50
|
$6,772.00
|
$3,783.41
|
2026-09-30
|
|
58563
|
HCPCS
|
Exam Of Uterus With Destruction Of Lining Of Uterus Using An Endoscope
|
14
|
14
|
$5,085.00
|
$3,051.00
40% off
|
$1,761.50
|
$6,170.56
|
$3,776.63
|
2026-09-30
|
|
10180
|
HCPCS
|
Complex Drainage Of Wound Infection After Surgery
|
14
|
14
|
$6,493.00
|
$3,895.80
40% off
|
$874.95
|
$6,493.00
|
$3,689.86
|
2026-09-30
|
|
27422
|
HCPCS
|
Repair Of Dislocating Kneecap With Realignment
|
14
|
14
|
$8,088.00
|
$4,852.80
40% off
|
$2,165.45
|
$8,088.00
|
$3,682.97
|
2026-09-30
|
|
C1889
|
HCPCS
|
Implantable/insertable Device, Not Otherwise Classified
|
28
|
14
|
$4,867.50
|
$2,920.50
40% off
|
$1,726.05
|
$5,070.00
|
$3,611.18
|
2026-09-30
|
|
J3240
|
HCPCS
|
Injection, Thyrotropin Alpha, 0.9 Mg, Provided In 1.1 Mg Vial
|
14
|
14
|
$6,991.52
|
$4,194.91
40% off
|
$2,533.76
|
$6,991.52
|
$3,605.80
|
2026-09-30
|
|
27301
|
HCPCS
|
Drainage Of Deep Abscess Or Blood Accumulation Of Thigh Or Knee
|
14
|
14
|
$6,158.00
|
$3,694.80
40% off
|
$924.35
|
$6,158.00
|
$3,577.60
|
2026-09-30
|
|
58605
|
HCPCS
|
Tying Or Incision Of Fallopian Tubes During Same Hospitalization
|
13
|
13
|
$4,680.00
|
$2,808.00
40% off
|
$1,731.60
|
$4,680.00
|
$3,566.16
|
2026-09-30
|
|
28008
|
HCPCS
|
Incision Of Connective Tissue Of Foot And/or Toe
|
14
|
14
|
$6,496.00
|
$3,897.60
40% off
|
$1,033.96
|
$6,496.00
|
$3,505.12
|
2026-09-30
|
|
21933
|
HCPCS
|
Removal Of Growth Of Muscle Of Back Or Lower Sides, 5.0 Cm Or More
|
14
|
14
|
$7,242.00
|
$4,345.20
40% off
|
$1,188.52
|
$7,242.00
|
$3,488.12
|
2026-09-30
|
|
20680
|
HCPCS
|
Removal Of Deep Implant From Bone
|
14
|
14
|
$5,616.00
|
$3,369.60
40% off
|
$1,093.61
|
$5,616.00
|
$3,488.12
|
2026-09-30
|
|
25107
|
HCPCS
|
Incision To Repair Wrist Joint With Repair Of Cartilage
|
14
|
14
|
$9,396.00
|
$5,637.60
40% off
|
$1,365.66
|
$9,396.00
|
$3,476.52
|
2026-09-30
|
|
11982
|
HCPCS
|
Removal Of Drug Delivery Implant From Tissue
|
14
|
14
|
$9,332.00
|
$5,599.20
40% off
|
$30.73
|
$9,332.00
|
$3,452.84
|
2026-09-30
|
|
19120
|
HCPCS
|
Removal Of Growth And Tissue Of Breast, Duct, Or Nipple
|
14
|
14
|
$4,569.00
|
$2,741.40
40% off
|
$1,171.06
|
$4,786.60
|
$3,393.39
|
2026-09-30
|
|
15275
|
HCPCS
|
Application Of Skin Substitute Graft To Wound Of Face, Scalp, Eyelids, Mouth, Ne…
|
13
|
13
|
$4,439.00
|
$2,663.40
40% off
|
$1,642.43
|
$4,483.39
|
$3,382.52
|
2026-09-30
|
|
46260
|
HCPCS
|
Removal Of Multiple Hemorrhoid Groups
|
14
|
14
|
$5,270.00
|
$3,162.00
40% off
|
$1,114.04
|
$5,270.00
|
$3,342.29
|
2026-09-30
|
|
46250
|
HCPCS
|
Removal Of Multiple External Hemorrhoids
|
14
|
14
|
$6,041.00
|
$3,624.60
40% off
|
$1,114.04
|
$6,041.00
|
$3,342.29
|
2026-09-30
|
|
46270
|
HCPCS
|
Repair Of Abnormal Anal Drainage Tract
|
14
|
14
|
$5,132.00
|
$3,079.20
40% off
|
$1,068.32
|
$5,132.00
|
$3,342.29
|
2026-09-30
|
|
45990
|
HCPCS
|
Diagnostic Exam Of Anus And Rectum Under Anesthesia
|
14
|
14
|
$4,786.00
|
$2,871.60
40% off
|
$1,008.28
|
$4,786.00
|
$3,342.29
|
2026-09-30
|
|
46280
|
HCPCS
|
Repair Of Abnormal Drainage Tract Around Anal Sphincter
|
14
|
14
|
$8,005.00
|
$4,803.00
40% off
|
$1,114.04
|
$8,005.00
|
$3,342.29
|
2026-09-30
|
|
13102
|
HCPCS
|
Complicated Repair Of Wound Of Trunk, Each Additional 5.0 Cm Or Less
|
14
|
14
|
$4,477.00
|
$2,686.20
40% off
|
$196.85
|
$4,477.00
|
$3,325.06
|
2026-09-30
|
|
64647
|
HCPCS
|
Injection Of Chemical For Paralysis Of Nerve Muscles On Trunk, 6 Or More Muscles
|
21
|
13
|
$8,930.00
|
$5,358.00
40% off
|
$53.68
|
$8,930.00
|
$3,304.10
|
2026-09-30
|
|
26862
|
HCPCS
|
Fusion Of Finger Joint With Self Bone Graft, Initial Joint
|
14
|
14
|
$8,843.00
|
$5,305.80
40% off
|
$1,267.36
|
$8,843.00
|
$3,271.91
|
2026-09-30
|
|
27814
|
HCPCS
|
Treatment Of Both Broken Lower Leg Bones At Ankle
|
14
|
14
|
$4,389.00
|
$2,633.40
40% off
|
$1,623.93
|
$8,929.66
|
$3,259.71
|
2026-09-30
|
|
27698
|
HCPCS
|
Secondary Repair Of Disrupted Collateral Ligament Of Ankle
|
14
|
14
|
$4,389.00
|
$2,633.40
40% off
|
$1,475.50
|
$5,521.67
|
$3,259.71
|
2026-09-30
|
|
27659
|
HCPCS
|
Secondary Repair Of Tendon On Back Of Leg
|
14
|
14
|
$6,820.00
|
$4,092.00
40% off
|
$974.37
|
$6,820.00
|
$3,161.05
|
2026-09-30
|
|
27871
|
HCPCS
|
Fusion Of Lower Leg Bone At Knee Or Ankle Joint
|
14
|
14
|
$3,787.00
|
$2,272.20
40% off
|
$1,401.19
|
$10,239.40
|
$3,139.42
|
2026-09-30
|
|
58611
|
HCPCS
|
Tying Or Incision Of Fallopian Tubes During Cesarean Delivery Or Other Abdominal…
|
13
|
13
|
$4,112.00
|
$2,467.20
40% off
|
$1,521.44
|
$4,112.00
|
$3,133.34
|
2026-09-30
|
|
11462
|
HCPCS
|
Removal Of Skin And Tissue Of Groin For Inflamed Sweat Glands With Simple Or Int…
|
14
|
14
|
$7,878.00
|
$4,726.80
40% off
|
$1,026.72
|
$7,878.00
|
$3,007.44
|
2026-09-30
|
|
64625
|
HCPCS
|
Destruction Of Nerves Supplying Joint Between Spine And Pelvis Using Imaging Gui…
|
13
|
13
|
$3,927.00
|
$2,356.20
40% off
|
$1,452.99
|
$3,927.00
|
$2,992.37
|
2026-09-30
|
|
J0897
|
HCPCS
|
Injection, Denosumab, 1 Mg
|
14
|
14
|
$5,850.75
|
$3,510.45
40% off
|
$33.80
|
$5,850.75
|
$2,983.89
|
2026-09-30
|
|
Q5108
|
HCPCS
|
Injection, Pegfilgrastim-jmdb (fulphila), Biosimilar, 0.5 Mg
|
14
|
14
|
$5,616.00
|
$3,369.60
40% off
|
$143.97
|
$5,616.00
|
$2,864.16
|
2026-09-30
|
|
57250
|
HCPCS
|
Repair Of Herniated Rectum Into Vaginal Wall
|
14
|
14
|
$7,740.00
|
$4,644.00
40% off
|
$1,561.66
|
$7,740.00
|
$2,863.80
|
2026-09-30
|
|
J3111
|
HCPCS
|
Injection, Romosozumab-aqqg, 1 Mg
|
26
|
14
|
$4,099.01
|
$2,459.41
40% off
|
$14.04
|
$5,179.16
|
$2,814.79
|
2026-09-30
|
|
28092
|
HCPCS
|
Removal Of Growth Of Tendon Covering Or Joint Capsule Of Toes
|
14
|
14
|
$5,460.00
|
$3,276.00
40% off
|
$1,033.96
|
$5,460.00
|
$2,793.73
|
2026-09-30
|
|
28090
|
HCPCS
|
Removal Of Growth Of Tendon Covering Or Joint Capsule Of Foot
|
14
|
14
|
$5,178.00
|
$3,106.80
40% off
|
$1,033.96
|
$5,178.00
|
$2,793.73
|
2026-09-30
|
|
27704
|
HCPCS
|
Removal Of Ankle Implant
|
14
|
14
|
$4,389.00
|
$2,633.40
40% off
|
$974.37
|
$4,389.00
|
$2,793.73
|
2026-09-30
|
|
66984
|
HCPCS
|
Removal Of Cataract With Insertion Of Prosthetic Lens
|
14
|
14
|
$5,510.00
|
$3,306.00
40% off
|
$1,123.58
|
$5,510.00
|
$2,789.39
|
2026-09-30
|
|
J1561
|
HCPCS
|
Injection, Immune Globulin, (gamunex-c/gammaked), Non-lyophilized (e.g., Liquid)…
|
26
|
14
|
$3,718.51
|
$2,231.11
40% off
|
$60.41
|
$7,492.07
|
$2,772.07
|
2026-09-30
|
|
45560
|
HCPCS
|
Repair Of Bulging Of Rectum Into Vagina
|
14
|
14
|
$7,451.00
|
$4,470.60
40% off
|
$1,150.73
|
$7,451.00
|
$2,756.87
|
2026-09-30
|
|
57240
|
HCPCS
|
Repair Of Bladder Hernia Into Vaginal Wall
|
14
|
14
|
$7,422.00
|
$4,453.20
40% off
|
$1,561.66
|
$7,422.00
|
$2,746.14
|
2026-09-30
|
|
10140
|
HCPCS
|
Drainage Of Blood Or Fluid Accumulation
|
14
|
14
|
$7,407.00
|
$4,444.20
40% off
|
$110.36
|
$7,407.00
|
$2,740.59
|
2026-09-30
|
|
24105
|
HCPCS
|
Removal Of Fluid-filled Sac Of Elbow
|
14
|
14
|
$7,281.00
|
$4,368.60
40% off
|
$1,051.33
|
$7,281.00
|
$2,693.97
|
2026-09-30
|
|
28060
|
HCPCS
|
Partial Removal Of Connective Tissue At Sole Of Foot
|
14
|
14
|
$4,988.00
|
$2,992.80
40% off
|
$1,033.96
|
$4,988.00
|
$2,691.32
|
2026-09-30
|
|
54161
|
HCPCS
|
Removal Of Foreskin (older Than 28 Days)
|
14
|
14
|
$4,617.00
|
$2,770.20
40% off
|
$1,086.16
|
$4,617.00
|
$2,682.46
|
2026-09-30
|
|
59412
|
HCPCS
|
Turning Of Fetus Through External Manipulation
|
14
|
14
|
$3,534.00
|
$2,120.40
40% off
|
$1,018.65
|
$3,974.41
|
$2,624.70
|
2026-09-30
|
|
66982
|
HCPCS
|
Complex Removal Of Cataract With Insertion Of Prosthetic Lens
|
14
|
14
|
$6,032.00
|
$3,619.20
40% off
|
$1,123.58
|
$6,032.00
|
$2,565.28
|
2026-09-30
|
|
55250
|
HCPCS
|
Removal Of Sperm Duct
|
14
|
14
|
$4,705.00
|
$2,823.00
40% off
|
$1,022.73
|
$4,705.00
|
$2,496.62
|
2026-09-30
|
|
27562
|
HCPCS
|
Closed Treatment Of Dislocated Kneecap Under Anesthesia
|
14
|
14
|
$4,389.00
|
$2,633.40
40% off
|
$683.87
|
$4,389.00
|
$2,462.86
|
2026-09-30
|
|
58120
|
HCPCS
|
Dilation And Scraping Of Uterus
|
14
|
14
|
$3,275.00
|
$1,965.00
40% off
|
$899.30
|
$3,974.41
|
$2,432.35
|
2026-09-30
|
|
64718
|
HCPCS
|
Release And/or Relocation Of Elbow Nerve
|
14
|
14
|
$4,606.00
|
$2,763.60
40% off
|
$875.53
|
$4,606.00
|
$2,417.56
|
2026-09-30
|
|
64635
|
HCPCS
|
Destruction Of Lower Or Sacral Spinal Facet Joint Nerves Using Imaging Guidance,…
|
24
|
13
|
$3,142.00
|
$1,885.20
40% off
|
$1,162.54
|
$4,713.00
|
$2,356.55
|
2026-09-30
|
|
38792
|
HCPCS
|
Injection Of Radioactive Material For X-ray Identification Of Lymph Node
|
24
|
13
|
$2,035.00
|
$1,221.00
40% off
|
$752.95
|
$6,365.00
|
$2,355.05
|
2026-09-30
|
|
43249
|
HCPCS
|
Balloon Dilation Of Esophagus, Stomach, And/or Upper Small Bowel Using A Flexibl…
|
14
|
14
|
$3,778.00
|
$2,266.80
40% off
|
$406.43
|
$3,778.00
|
$2,311.96
|
2026-09-30
|
|
43246
|
HCPCS
|
Insertion Of Stomach Tube Using A Flexible Endoscope
|
14
|
14
|
$3,759.00
|
$2,255.40
40% off
|
$468.67
|
$3,759.00
|
$2,311.96
|
2026-09-30
|
|
15271
|
HCPCS
|
Application Of Skin Substitute Graft To Wound Of Trunk, Arms, Or Legs, 25.0 Sq C…
|
13
|
13
|
$2,985.00
|
$1,791.00
40% off
|
$1,104.45
|
$3,014.85
|
$2,274.57
|
2026-09-30
|
|
25111
|
HCPCS
|
Removal Of First Cyst Of Wrist
|
14
|
14
|
$4,646.00
|
$2,787.60
40% off
|
$1,051.33
|
$4,646.00
|
$2,271.82
|
2026-09-30
|
|
46040
|
HCPCS
|
Drainage Of Deep Abscess In Rectum
|
14
|
14
|
$4,047.00
|
$2,428.20
40% off
|
$1,114.04
|
$4,047.00
|
$2,270.84
|
2026-09-30
|
|
20525
|
HCPCS
|
Complicated Removal Of Foreign Body In Deep Muscle Or Tendon
|
14
|
14
|
$5,936.00
|
$3,561.60
40% off
|
$1,093.61
|
$5,936.00
|
$2,242.49
|
2026-09-30
|
|
37609
|
HCPCS
|
Tying Or Biopsy Of Artery On Side Of Skull
|
14
|
14
|
$6,054.00
|
$3,632.40
40% off
|
$760.95
|
$6,054.00
|
$2,239.98
|
2026-09-30
|
|
52310
|
HCPCS
|
Simple Removal Of Foreign Body, Stone, Or Stent In Urethra Or Bladder Using An E…
|
14
|
14
|
$5,957.00
|
$3,574.20
40% off
|
$770.37
|
$5,957.00
|
$2,224.19
|
2026-09-30
|
|
64633
|
HCPCS
|
Destruction Of Upper Or Middle Spinal Facet Joint Nerves Using Imaging Guidance,…
|
13
|
13
|
$2,918.00
|
$1,750.80
40% off
|
$1,079.66
|
$2,918.00
|
$2,223.52
|
2026-09-30
|
|
64646
|
HCPCS
|
Injection Of Chemical For Paralysis Of Nerve Muscles On Trunk, 1-5 Muscles
|
13
|
13
|
$2,915.00
|
$1,749.00
40% off
|
$1,078.55
|
$2,915.00
|
$2,221.23
|
2026-09-30
|
|
4634657_1
|
CDM
|
Room & Board - Private (one Bed) - General Classification
|
7
|
7
|
$2,610.00
|
$1,566.00
40% off
|
$1,888.07
|
$2,610.00
|
$2,218.50
|
2026-09-30
|
|
445
|
MS_DRG
|
Disorders Of The Biliary Tract With Cc
|
4
|
4
|
$2,201.20
|
$1,320.72
40% off
|
$1,972.28
|
$4,606.65
|
$2,201.20
|
2026-09-30
|
|
71552
|
HCPCS
|
MRI Scan Of Chest Before And After Contrast
|
14
|
14
|
$5,910.00
|
$3,546.00
40% off
|
$403.66
|
$5,910.00
|
$2,186.70
|
2026-09-30
|
|
6324598_1
|
CDM
|
C1776 Cck Stubby 75
|
1
|
1
|
$3,610.50
|
$2,166.30
40% off
|
$2,166.30
|
$2,166.30
|
$2,166.30
|
2026-09-30
|
|
885
|
MS_DRG
|
Psychoses
|
4
|
4
|
$2,143.50
|
$1,286.10
40% off
|
$1,920.58
|
$2,763.99
|
$2,143.50
|
2026-09-30
|
|
28153
|
HCPCS
|
Removal Of End Of Toe At Joint
|
14
|
14
|
$3,646.00
|
$2,187.60
40% off
|
$987.27
|
$3,646.00
|
$2,103.43
|
2026-09-30
|
|
27675
|
HCPCS
|
Repair Of Dislocating Lower Leg Tendons Without A Cut Through The Lower Leg Bone…
|
14
|
14
|
$5,660.00
|
$3,396.00
40% off
|
$1,051.33
|
$5,660.00
|
$2,094.20
|
2026-09-30
|
|
43215
|
HCPCS
|
Removal Of Foreign Bodies In Esophagus Using A Flexible Endoscope
|
14
|
14
|
$5,632.00
|
$3,379.20
40% off
|
$434.38
|
$5,632.00
|
$2,083.84
|
2026-09-30
|
|
15823
|
HCPCS
|
Removal Of Excessive Skin And Fat Of Upper Eyelid
|
14
|
14
|
$5,539.00
|
$3,323.40
40% off
|
$1,019.64
|
$5,539.00
|
$2,049.43
|
2026-09-30
|
|
43245
|
HCPCS
|
Dilation Of Stomach Outlet Using A Flexible Endoscope
|
14
|
14
|
$2,759.00
|
$1,655.40
40% off
|
$468.67
|
$2,759.00
|
$2,049.11
|
2026-09-30
|
|
46930
|
HCPCS
|
Destruction Of Internal Hemorrhoids Using Heat
|
14
|
14
|
$5,502.00
|
$3,301.20
40% off
|
$165.34
|
$5,502.00
|
$2,035.74
|
2026-09-30
|
|
21931
|
HCPCS
|
Removal Of Growth Under Skin Of Back Or Lower Sides, 3.0 Cm Or More
|
14
|
14
|
$4,158.00
|
$2,494.80
40% off
|
$1,188.52
|
$4,158.00
|
$2,032.53
|
2026-09-30
|
|
19101
|
HCPCS
|
Biopsy Of Breast Through Incision
|
14
|
14
|
$2,729.00
|
$1,637.40
40% off
|
$1,009.73
|
$4,786.60
|
$2,026.83
|
2026-09-30
|
|
11406
|
HCPCS
|
Removal Of Noncancer Skin Growth Of Body, Arms, Or Legs, More Than 4.0 Cm
|
14
|
14
|
$4,212.00
|
$2,527.20
40% off
|
$827.28
|
$4,212.00
|
$2,025.63
|
2026-09-30
|
|
26160
|
HCPCS
|
Removal Of Growth Of Tendon Finger Or Hand
|
14
|
14
|
$4,137.00
|
$2,482.20
40% off
|
$785.45
|
$4,137.00
|
$2,022.67
|
2026-09-30
|
|
C1776
|
HCPCS
|
Joint Device (implantable)
|
433
|
14
|
$2,700.00
|
$1,620.00
40% off
|
$8.40
|
$23,946.75
|
$1,977.21
|
2026-09-30
|
|
11423
|
HCPCS
|
Removal Of Noncancer Skin Growth Of Scalp, Neck, Hands, Feet, Or Genitals, 2.1-3…
|
14
|
14
|
$2,964.00
|
$1,778.40
40% off
|
$135.24
|
$2,964.00
|
$1,974.67
|
2026-09-30
|
|
26210
|
HCPCS
|
Removal Of Cyst Or Growth Of Finger Bone
|
14
|
14
|
$5,302.00
|
$3,181.20
40% off
|
$785.45
|
$5,302.00
|
$1,961.74
|
2026-09-30
|
|
27818
|
HCPCS
|
Closed Treatment Of 3 Broken Lower Leg Bones At Ankle With Manipulation
|
14
|
14
|
$3,215.00
|
$1,929.00
40% off
|
$214.17
|
$3,215.00
|
$1,950.49
|
2026-09-30
|
|
26080
|
HCPCS
|
Incision Of Finger Joint For Exploration, Fluid Drainage, Or Removal Of Foreign …
|
14
|
14
|
$4,252.00
|
$2,551.20
40% off
|
$785.45
|
$4,252.00
|
$1,950.49
|
2026-09-30
|
|
26055
|
HCPCS
|
Incision Of Tendon Covering Of Finger
|
14
|
14
|
$3,927.00
|
$2,356.20
40% off
|
$785.45
|
$3,927.00
|
$1,950.49
|
2026-09-30
|
|
28190
|
HCPCS
|
Removal Of Foreign Body Of Foot Tissue, Accessed Beneath The Skin
|
14
|
14
|
$3,820.00
|
$2,292.00
40% off
|
$197.44
|
$3,820.00
|
$1,941.93
|
2026-09-30
|
|
J0585
|
HCPCS
|
Injection, Onabotulinumtoxina, 1 Unit
|
14
|
14
|
$3,804.00
|
$2,282.40
40% off
|
$7.91
|
$3,804.00
|
$1,940.04
|
2026-09-30
|
|
26200
|
HCPCS
|
Removal Of Cyst Or Growth From Hand Bone
|
14
|
14
|
$3,981.00
|
$2,388.60
40% off
|
$785.45
|
$3,981.00
|
$1,931.09
|
2026-09-30
|
|
46922
|
HCPCS
|
Simple Removal Of Growth Of Anus
|
14
|
14
|
$5,200.00
|
$3,120.00
40% off
|
$911.52
|
$5,200.00
|
$1,924.00
|
2026-09-30
|
|
21315
|
HCPCS
|
Closed Treatment Of Broken Nose Bone With Manipulation
|
14
|
14
|
$4,576.00
|
$2,745.60
40% off
|
$700.81
|
$4,576.00
|
$1,906.47
|
2026-09-30
|
|
10121
|
HCPCS
|
Removal Of Foreign Body From Tissue, Accessed Beneath The Skin, Complex
|
14
|
14
|
$2,603.00
|
$1,561.80
40% off
|
$827.28
|
$2,603.00
|
$1,903.53
|
2026-09-30
|
|
36590
|
HCPCS
|
Removal Of Central Venous Tube With Port Or Pump
|
14
|
14
|
$3,765.00
|
$2,259.00
40% off
|
$520.28
|
$3,765.00
|
$1,893.26
|
2026-09-30
|
|
379
|
MS_DRG
|
Gastrointestinal Hemorrhage Without Cc/mcc
|
4
|
4
|
$1,883.00
|
$1,129.80
40% off
|
$1,687.17
|
$2,922.84
|
$1,883.00
|
2026-09-30
|
|
19083
|
HCPCS
|
Biopsy Of Breast And Placement Of Locating Device Using Ultrasound, First Growth
|
15
|
13
|
$2,442.00
|
$1,465.20
40% off
|
$903.54
|
$2,442.00
|
$1,860.80
|
2026-09-30
|
|
C8929
|
HCPCS
|
Transthoracic Echocardiography With Contrast, Or Without Contrast Followed By Wi…
|
14
|
14
|
$2,900.00
|
$1,740.00
40% off
|
$1,073.00
|
$4,350.00
|
$1,815.02
|
2026-09-30
|
|
11044
|
HCPCS
|
Removal Of Bone, 20.0 Sq Cm Or Less
|
14
|
14
|
$4,814.00
|
$2,888.40
40% off
|
$388.64
|
$4,814.00
|
$1,793.31
|
2026-09-30
|
|
12035
|
HCPCS
|
Intermediate Repair Of Wound Of Scalp, Underarms, Trunk, Arms, Or Legs, 12.6-20.…
|
14
|
14
|
$3,169.00
|
$1,901.40
40% off
|
$79.29
|
$3,169.00
|
$1,778.46
|
2026-09-30
|
|
69436
|
HCPCS
|
Incision Of Eardrum With Placement Of Eardrum Tube Under General Anesthesia
|
14
|
14
|
$2,448.00
|
$1,468.80
40% off
|
$793.44
|
$2,448.00
|
$1,764.95
|
2026-09-30
|
|
C8902
|
HCPCS
|
Magnetic Resonance Angiography Without Contrast Followed By With Contrast, Abdom…
|
14
|
14
|
$3,216.00
|
$1,929.60
40% off
|
$631.68
|
$4,824.00
|
$1,758.18
|
2026-09-30
|
|
25565
|
HCPCS
|
Closed Treatment Of Broken Midpart Of Both Forearm Bones With Manipulation
|
14
|
14
|
$2,345.00
|
$1,407.00
40% off
|
$251.91
|
$2,345.00
|
$1,741.63
|
2026-09-30
|
|
Q5120
|
HCPCS
|
Injection, Pegfilgrastim-bmez (ziextenzo), Biosimilar, 0.5 Mg
|
14
|
14
|
$3,369.60
|
$2,021.76
40% off
|
$38.32
|
$3,369.60
|
$1,718.49
|
2026-09-30
|
|
74178
|
HCPCS
|
CT Scan Of Abdomen And Pelvis Before And After Contrast
|
14
|
14
|
$4,609.00
|
$2,765.40
40% off
|
$456.39
|
$4,609.00
|
$1,705.33
|
2026-09-30
|
|
50200
|
HCPCS
|
Needle Biopsy Of Kidney
|
14
|
14
|
$2,276.00
|
$1,365.60
40% off
|
$469.46
|
$2,502.78
|
$1,690.38
|
2026-09-30
|
|
93306
|
HCPCS
|
Ultrasound Of Heart With Color-depicted Blood Flow, Rate, Direction And Valve Fu…
|
14
|
14
|
$2,499.00
|
$1,499.40
40% off
|
$924.63
|
$3,748.50
|
$1,669.97
|
2026-09-30
|
|
74174
|
HCPCS
|
CT Scan Of Blood Vessels Of Abdomen And Pelvis With Contrast
|
14
|
14
|
$4,201.00
|
$2,520.60
40% off
|
$529.51
|
$4,201.00
|
$1,661.55
|
2026-09-30
|
|
4634656_1
|
CDM
|
Room & Board - Private (one Bed) - Obstetrics (ob)
|
7
|
7
|
$1,945.00
|
$1,167.00
40% off
|
$1,407.01
|
$1,945.00
|
$1,653.25
|
2026-09-30
|
|
31625
|
HCPCS
|
Biopsy Of Lung Airway Using An Endoscope
|
14
|
14
|
$2,284.00
|
$1,370.40
40% off
|
$530.58
|
$2,284.00
|
$1,647.45
|
2026-09-30
|
|
64451
|
HCPCS
|
Injection Of Anesthetic Agent And/or Steroid Into Spine And Pelvis Nerve Using I…
|
13
|
13
|
$4,440.00
|
$2,664.00
40% off
|
$517.90
|
$4,440.00
|
$1,642.80
|
2026-09-30
|
|
27788
|
HCPCS
|
Closed Treatment Of Broken Outside Lower Leg Bone At Ankle With Manipulation
|
14
|
14
|
$4,389.00
|
$2,633.40
40% off
|
$94.62
|
$4,389.00
|
$1,623.93
|
2026-09-30
|
|
27752
|
HCPCS
|
Closed Treatment Of Middle Part Of Broken Shin Bone With Manipulation
|
14
|
14
|
$4,389.00
|
$2,633.40
40% off
|
$732.57
|
$4,389.00
|
$1,623.93
|
2026-09-30
|
|
27570
|
HCPCS
|
Manipulation Of Knee Joint Under Anesthesia
|
14
|
14
|
$4,389.00
|
$2,633.40
40% off
|
$711.63
|
$4,389.00
|
$1,623.93
|
2026-09-30
|
|
54150
|
HCPCS
|
Removal Of Foreskin Using Clamp Or Device
|
25
|
14
|
$2,110.00
|
$1,266.00
40% off
|
$780.70
|
$3,357.00
|
$1,607.82
|
2026-09-30
|
|
64624
|
HCPCS
|
Destruction Of Nerve Branches Of Knee Using Imaging Guidance
|
20
|
13
|
$4,330.00
|
$2,598.00
40% off
|
$117.84
|
$4,330.00
|
$1,602.10
|
2026-09-30
|
|
J0485
|
HCPCS
|
Injection, Belatacept, 1 Mg
|
14
|
14
|
$3,132.73
|
$1,879.64
40% off
|
$4.81
|
$3,132.73
|
$1,597.69
|
2026-09-30
|
|
74177
|
HCPCS
|
CT Scan Of Abdomen And Pelvis With Contrast
|
14
|
14
|
$4,314.00
|
$2,588.40
40% off
|
$428.01
|
$4,314.00
|
$1,596.18
|
2026-09-30
|
|
46221
|
HCPCS
|
Removal Of External Hemorrhoids By Rubber Banding
|
14
|
14
|
$2,466.00
|
$1,479.60
40% off
|
$184.60
|
$2,466.00
|
$1,591.36
|
2026-09-30
|
|
78803
|
HCPCS
|
Nuclear Medicine Study, Spect Imaging, 1 Area Or Single Acquisition, Single Day …
|
14
|
14
|
$3,922.00
|
$2,353.20
40% off
|
$357.30
|
$3,922.00
|
$1,591.05
|
2026-09-30
|
|
23700
|
HCPCS
|
Manipulation Of Shoulder Joint Under Anesthesia
|
14
|
14
|
$4,284.00
|
$2,570.40
40% off
|
$683.87
|
$4,284.00
|
$1,585.08
|
2026-09-30
|
|
64721
|
HCPCS
|
Release And/or Relocation Of Hand Nerve
|
14
|
14
|
$3,682.00
|
$2,209.20
40% off
|
$875.53
|
$3,682.00
|
$1,583.48
|
2026-09-30
|
|
C8900
|
HCPCS
|
Magnetic Resonance Angiography With Contrast, Abdomen
|
14
|
14
|
$2,891.00
|
$1,734.60
40% off
|
$631.68
|
$4,336.50
|
$1,580.51
|
2026-09-30
|
|
31623
|
HCPCS
|
Exam Of Lung Airways Using An Endoscope
|
14
|
14
|
$2,714.00
|
$1,628.40
40% off
|
$480.51
|
$2,714.00
|
$1,572.64
|
2026-09-30
|
|
78452
|
HCPCS
|
Nuclear Medicine Studies Of Heart Muscle At Rest And With Stress And Spect
|
14
|
14
|
$4,243.00
|
$2,545.80
40% off
|
$467.35
|
$4,243.00
|
$1,569.91
|
2026-09-30
|
|
P9053
|
HCPCS
|
Platelets, Pheresis, Leukocytes Reduced, Cmv-negative, Irradiated, Each Unit
|
14
|
14
|
$1,940.00
|
$1,164.00
40% off
|
$717.80
|
$2,910.00
|
$1,563.64
|
2026-09-30
|
|
P9037
|
HCPCS
|
Platelets, Pheresis, Leukocytes Reduced, Irradiated, Each Unit
|
14
|
14
|
$1,940.00
|
$1,164.00
40% off
|
$717.80
|
$2,910.00
|
$1,563.64
|
2026-09-30
|
|
72156
|
HCPCS
|
MRI Scan Of Upper Spinal Canal Before And After Contrast
|
14
|
14
|
$4,213.00
|
$2,527.80
40% off
|
$403.66
|
$4,213.00
|
$1,558.81
|
2026-09-30
|
|
47000
|
HCPCS
|
Needle Biopsy Of Liver Through Skin
|
14
|
14
|
$2,087.00
|
$1,252.20
40% off
|
$445.50
|
$2,087.00
|
$1,550.01
|
2026-09-30
|
|
49180
|
HCPCS
|
Needle Biopsy Of Growth Of Abdominal Cavity
|
14
|
14
|
$2,061.00
|
$1,236.60
40% off
|
$469.46
|
$2,061.00
|
$1,530.70
|
2026-09-30
|
|
C1716
|
HCPCS
|
Brachytherapy Source, Non-stranded, Gold-198, Per Source
|
28
|
14
|
$2,049.60
|
$1,229.76
40% off
|
$756.61
|
$2,054.30
|
$1,522.14
|
2026-09-30
|
|
12034
|
HCPCS
|
Intermediate Repair Of Wound Of Scalp, Underarms, Trunk, Arms, Or Legs, 7.6-12.5…
|
14
|
14
|
$2,690.00
|
$1,614.00
40% off
|
$79.29
|
$2,690.00
|
$1,509.62
|
2026-09-30
|
|
L8699
|
HCPCS
|
Prosthetic Implant, Not Otherwise Specified
|
14
|
14
|
$2,000.00
|
$1,200.00
40% off
|
$740.00
|
$2,000.00
|
$1,485.40
|
2026-09-30
|
|
45398
|
HCPCS
|
Banding Of Hemorrhoids Using A Flexible Endoscope (colonoscope)
|
13
|
13
|
$3,331.00
|
$1,998.60
40% off
|
$1,232.47
|
$3,331.00
|
$1,473.85
|
2026-09-30
|
|
45388
|
HCPCS
|
Destruction Of Polyp Or Growth Of Large Bowel Using A Flexible Endoscope
|
13
|
13
|
$3,494.00
|
$2,096.40
40% off
|
$1,292.78
|
$3,494.00
|
$1,473.85
|
2026-09-30
|
|
73223
|
HCPCS
|
MRI Scan Of Arm Joint Before And After Contrast
|
14
|
14
|
$3,961.00
|
$2,376.60
40% off
|
$403.66
|
$3,961.00
|
$1,465.57
|
2026-09-30
|
|
5404236_1
|
CDM
|
Room & Board - Private (one Bed) - General Classification
|
7
|
7
|
$1,700.00
|
$1,020.00
40% off
|
$1,229.78
|
$1,700.00
|
$1,445.00
|
2026-09-30
|
|
49406
|
HCPCS
|
Drainage Of Fluid Collection Of Abdominal Cavity By Tube Using Imaging Guidance
|
13
|
13
|
$1,896.00
|
$1,137.60
40% off
|
$701.52
|
$2,025.30
|
$1,444.75
|
2026-09-30
|
|
45385
|
HCPCS
|
Removal Of Polyps Or Growths Of Large Bowel Using An Endoscope With Mechanical S…
|
14
|
14
|
$3,101.00
|
$1,860.60
40% off
|
$427.49
|
$3,101.00
|
$1,437.01
|
2026-09-30
|
|
45384
|
HCPCS
|
Removal Of Polyps Or Growths Of Large Bowel Using A Flexible Endoscope With Elec…
|
14
|
14
|
$2,730.00
|
$1,638.00
40% off
|
$427.49
|
$2,730.00
|
$1,437.01
|
2026-09-30
|
|
45381
|
HCPCS
|
Injection Beneath Lining Of Large Bowel Using A Flexible Endoscope
|
14
|
14
|
$2,694.00
|
$1,616.40
40% off
|
$427.49
|
$2,694.00
|
$1,437.01
|
2026-09-30
|
|
45380
|
HCPCS
|
Biopsy Of Large Bowel Using A Flexible Endoscope
|
14
|
14
|
$2,649.00
|
$1,589.40
40% off
|
$427.49
|
$2,649.00
|
$1,437.01
|
2026-09-30
|
|
73702
|
HCPCS
|
CT Scan Of Leg Before And After Contrast
|
25
|
14
|
$3,870.00
|
$2,322.00
40% off
|
$251.43
|
$3,870.00
|
$1,431.90
|
2026-09-30
|
|
70553
|
HCPCS
|
MRI Scan Of Brain Before And After Contrast
|
14
|
14
|
$3,859.00
|
$2,315.40
40% off
|
$403.66
|
$3,859.00
|
$1,427.83
|
2026-09-30
|
|
31622
|
HCPCS
|
Diagnostic Exam Of Lung Airway Using An Endoscope
|
14
|
14
|
$2,710.00
|
$1,626.00
40% off
|
$480.51
|
$2,710.00
|
$1,424.93
|
2026-09-30
|
|
G0121
|
HCPCS
|
Colorectal Cancer Screening; Colonoscopy On Individual Not Meeting Criteria For …
|
14
|
14
|
$2,356.00
|
$1,413.60
40% off
|
$871.72
|
$3,534.00
|
$1,421.99
|
2026-09-30
|
|
74176
|
HCPCS
|
CT Scan Of Abdomen And Pelvis Without Contrast
|
14
|
14
|
$3,843.00
|
$2,305.80
40% off
|
$263.30
|
$3,843.00
|
$1,421.91
|
2026-09-30
|
|
J0881
|
HCPCS
|
Injection, Darbepoetin Alfa, 1 Microgram (non-esrd Use)
|
38
|
14
|
$2,786.40
|
$1,671.84
40% off
|
$3.63
|
$6,508.80
|
$1,421.07
|
2026-09-30
|
|
23600
|
HCPCS
|
Closed Treatment Of Broken Top Of Upper Arm Bone
|
14
|
14
|
$2,495.00
|
$1,497.00
40% off
|
$84.24
|
$2,495.00
|
$1,418.04
|
2026-09-30
|
|
27510
|
HCPCS
|
Closed Treatment Of Broken Thigh Bone At Knee Area With Manipulation
|
14
|
14
|
$2,513.00
|
$1,507.80
40% off
|
$214.17
|
$2,513.00
|
$1,418.04
|
2026-09-30
|
|
27502
|
HCPCS
|
Closed Treatment Of Broken Thigh Bone At Midportion With Manipulation
|
14
|
14
|
$3,291.00
|
$1,974.60
40% off
|
$732.57
|
$3,291.00
|
$1,418.04
|
2026-09-30
|
|
72158
|
HCPCS
|
MRI Scan Of Lower Spinal Canal Before And After Contrast
|
14
|
14
|
$3,814.00
|
$2,288.40
40% off
|
$403.66
|
$3,814.00
|
$1,411.18
|
2026-09-30
|
|
P9035
|
HCPCS
|
Platelets, Pheresis, Leukocytes Reduced, Each Unit
|
14
|
14
|
$1,750.00
|
$1,050.00
40% off
|
$647.50
|
$2,625.00
|
$1,410.50
|
2026-09-30
|
|
67924
|
HCPCS
|
Extensive Repair Of Turning-inward Eyelid Defect
|
14
|
14
|
$3,800.00
|
$2,280.00
40% off
|
$883.20
|
$3,800.00
|
$1,406.00
|
2026-09-30
|
|
95810
|
HCPCS
|
Sleep Study In Sleep Lab (6 Years Or Older)
|
23
|
14
|
$3,753.00
|
$2,251.80
40% off
|
$108.73
|
$5,629.50
|
$1,388.61
|
2026-09-30
|
|
72157
|
HCPCS
|
MRI Scan Of Middle Spinal Canal Before And After Contrast
|
14
|
14
|
$3,704.00
|
$2,222.40
40% off
|
$403.66
|
$3,704.00
|
$1,370.48
|
2026-09-30
|
|
73723
|
HCPCS
|
MRI Scan Of Leg Joint Before And After Contrast
|
14
|
14
|
$3,691.00
|
$2,214.60
40% off
|
$403.66
|
$3,691.00
|
$1,365.67
|
2026-09-30
|
|
99291
|
HCPCS
|
Critical Care, First 30-74 Minutes
|
14
|
14
|
$2,359.00
|
$1,415.40
40% off
|
$872.83
|
$3,538.50
|
$1,364.14
|
2026-09-30
|
|
64636
|
HCPCS
|
Destruction Of Lower Or Sacral Spinal Facet Joint Nerves Using Imaging Guidance,…
|
13
|
13
|
$1,788.00
|
$1,072.80
40% off
|
$661.56
|
$1,788.00
|
$1,362.46
|
2026-09-30
|
|
72197
|
HCPCS
|
MRI Scan Of Pelvis Before And After Contrast
|
14
|
14
|
$3,654.00
|
$2,192.40
40% off
|
$403.66
|
$3,654.00
|
$1,351.98
|
2026-09-30
|
|
70543
|
HCPCS
|
MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Before And After Contrast
|
14
|
14
|
$3,641.00
|
$2,184.60
40% off
|
$403.66
|
$3,641.00
|
$1,347.17
|
2026-09-30
|
|
4634655_1
|
CDM
|
Nursery - Newborn - Level Ii
|
7
|
7
|
$1,575.00
|
$945.00
40% off
|
$1,139.36
|
$1,575.00
|
$1,338.75
|
2026-09-30
|
|
74183
|
HCPCS
|
MRI Scan Of Abdomen Before And After Contrast
|
14
|
14
|
$3,618.00
|
$2,170.80
40% off
|
$403.66
|
$3,618.00
|
$1,338.66
|
2026-09-30
|
|
73720
|
HCPCS
|
MRI Scan Of Leg Before And After Contrast
|
14
|
14
|
$3,585.00
|
$2,151.00
40% off
|
$403.66
|
$3,585.00
|
$1,326.45
|
2026-09-30
|
|
Q5103
|
HCPCS
|
Injection, Infliximab-dyyb, Biosimilar, (inflectra), 10 Mg
|
14
|
14
|
$2,577.88
|
$1,546.73
40% off
|
$42.72
|
$2,577.88
|
$1,314.72
|
2026-09-30
|
|
45378
|
HCPCS
|
Diagnostic Exam Of Large Bowel Using A Flexible Endoscope
|
14
|
14
|
$2,450.00
|
$1,470.00
40% off
|
$427.49
|
$2,450.00
|
$1,288.05
|
2026-09-30
|
|
44388
|
HCPCS
|
Diagnostic Exam Of Large Bowel Using An Endoscope Inserted Through Surgically Cr…
|
14
|
14
|
$3,475.00
|
$2,085.00
40% off
|
$448.06
|
$3,475.00
|
$1,285.75
|
2026-09-30
|
|
43247
|
HCPCS
|
Removal Of Foreign Bodies Of Esophagus, Stomach, And/or Upper Small Bowel Using …
|
14
|
14
|
$2,365.00
|
$1,419.00
40% off
|
$468.67
|
$2,365.00
|
$1,276.24
|
2026-09-30
|
|
J2598
|
HCPCS
|
Injection, Vasopressin, 1 Unit
|
14
|
14
|
$2,496.00
|
$1,497.60
40% off
|
$1.74
|
$2,496.00
|
$1,272.96
|
2026-09-30
|
|
13151
|
HCPCS
|
Complicated Repair Of Wound Of Eyelids, Nose, Ears, Or Lip, 1.1-2.5 Cm
|
14
|
14
|
$1,753.00
|
$1,051.80
40% off
|
$267.26
|
$1,753.00
|
$1,258.69
|
2026-09-30
|
|
71551
|
HCPCS
|
MRI Scan Of Chest With Contrast
|
14
|
14
|
$3,380.00
|
$2,028.00
40% off
|
$319.65
|
$3,380.00
|
$1,250.60
|
2026-09-30
|
|
78707
|
HCPCS
|
Nuclear Medicine Study Of Kidney, Blood Flow, And Function
|
14
|
14
|
$3,361.00
|
$2,016.60
40% off
|
$227.58
|
$3,361.00
|
$1,243.57
|
2026-09-30
|
|
38505
|
HCPCS
|
Needle Biopsy Or Removal Of Surface Lymph Nodes
|
14
|
14
|
$1,669.00
|
$1,001.40
40% off
|
$370.65
|
$2,025.30
|
$1,239.57
|
2026-09-30
|
|
72142
|
HCPCS
|
MRI Scan Of Upper Spinal Canal With Contrast
|
14
|
14
|
$3,327.00
|
$1,996.20
40% off
|
$319.65
|
$3,327.00
|
$1,230.99
|
2026-09-30
|
|
73220
|
HCPCS
|
MRI Scan Of Arm Before And After Contrast
|
14
|
14
|
$3,313.00
|
$1,987.80
40% off
|
$403.66
|
$3,313.00
|
$1,225.81
|
2026-09-30
|
|
25605
|
HCPCS
|
Closed Treatment Of Broken Or Growth Plate Separate Of Forearm Bone At Wrist Wit…
|
14
|
14
|
$1,648.00
|
$988.80
40% off
|
$251.91
|
$2,000.51
|
$1,223.97
|
2026-09-30
|
|
95811
|
HCPCS
|
Sleep Study In Sleep Lab With Continuous Airway Pressure (6 Years Or Older)
|
23
|
14
|
$3,300.00
|
$1,980.00
40% off
|
$112.77
|
$4,950.00
|
$1,221.00
|
2026-09-30
|
|
75635
|
HCPCS
|
CT Scan Of Abdominal Aorta And Both Leg Arteries With Contrast
|
14
|
14
|
$2,763.00
|
$1,657.80
40% off
|
$580.36
|
$2,763.00
|
$1,218.53
|
2026-09-30
|
|
72149
|
HCPCS
|
MRI Scan Of Lower Spinal Canal With Contrast
|
14
|
14
|
$3,291.00
|
$1,974.60
40% off
|
$319.65
|
$3,291.00
|
$1,217.67
|
2026-09-30
|
|
64634
|
HCPCS
|
Destruction Of Upper Or Middle Spinal Facet Joint Nerves Using Imaging Guidance,…
|
13
|
13
|
$1,588.00
|
$952.80
40% off
|
$587.56
|
$1,588.00
|
$1,210.06
|
2026-09-30
|
|
P9073
|
HCPCS
|
Platelets, Pheresis, Pathogen-reduced, Each Unit
|
14
|
14
|
$1,500.00
|
$900.00
40% off
|
$555.00
|
$2,250.00
|
$1,209.00
|
2026-09-30
|
|
44389
|
HCPCS
|
Biopsy Of Large Bowel Using An Endoscope Inserted Through Surgically Created Ope…
|
14
|
14
|
$2,794.00
|
$1,676.40
40% off
|
$448.06
|
$2,794.00
|
$1,206.32
|
2026-09-30
|
|
11442
|
HCPCS
|
Removal Of Noncancer Skin Growth Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 1…
|
14
|
14
|
$1,686.00
|
$1,011.60
40% off
|
$133.23
|
$1,686.00
|
$1,192.24
|
2026-09-30
|
|
2120839_1
|
CDM
|
Room & Board - Private (one Bed) - General Classification
|
7
|
7
|
$1,400.00
|
$840.00
40% off
|
$1,012.76
|
$1,400.00
|
$1,190.00
|
2026-09-30
|
|
21550
|
HCPCS
|
Biopsy Of Soft Tissue Of Neck Or Chest
|
14
|
14
|
$3,172.00
|
$1,903.20
40% off
|
$674.53
|
$3,172.00
|
$1,173.64
|
2026-09-30
|
|
49083
|
HCPCS
|
Drainage Of Fluid From Abdominal Cavity Using Imaging Guidance
|
13
|
13
|
$1,618.00
|
$970.80
40% off
|
$598.66
|
$1,618.00
|
$1,170.46
|
2026-09-30
|
|
73222
|
HCPCS
|
MRI Scan Of Arm Joint With Contrast
|
14
|
14
|
$3,155.00
|
$1,893.00
40% off
|
$319.65
|
$3,155.00
|
$1,167.35
|
2026-09-30
|
|
72147
|
HCPCS
|
MRI Scan Of Middle Spinal Canal With Contrast
|
14
|
14
|
$3,144.00
|
$1,886.40
40% off
|
$319.65
|
$3,144.00
|
$1,163.28
|
2026-09-30
|
|
73722
|
HCPCS
|
MRI Scan Of Leg Joint With Contrast
|
14
|
14
|
$3,128.00
|
$1,876.80
40% off
|
$319.65
|
$3,128.00
|
$1,157.36
|
2026-09-30
|