|
J2997
|
HCPCS
|
Activase Recomb (alteplase) 100mg Vial
|
9
|
9
|
$40,129.63
|
$20,064.82
50% off
|
$86.51
|
$10,818.95
|
$8,341.26
|
2024-10-24
|
|
J3101
|
HCPCS
|
Tnkase (tenecteplase) 50mg/10ml Vial
|
9
|
9
|
$35,693.89
|
$17,846.95
50% off
|
$132.06
|
$9,623.07
|
$7,419.27
|
2024-10-24
|
|
0320
|
RC
|
—
|
9
|
9
|
$25,738.00
|
$12,869.00
50% off
|
$5,296.88
|
$20,590.40
|
$5,561.73
|
2024-10-24
|
|
J0517
|
HCPCS
|
Fasenra (benralizumab) 30mg/ml 1ml SYR,Zero Drug Amount
|
9
|
9
|
$25,885.98
|
$12,942.99
50% off
|
$162.26
|
$6,978.86
|
$5,380.61
|
2024-10-24
|
|
C1785
|
HCPCS
|
Generator Pacemaker Dual Chamber
|
9
|
9
|
$21,225.00
|
$10,612.50
50% off
|
$4,368.10
|
$16,980.00
|
$4,586.51
|
2024-10-24
|
|
J1306
|
HCPCS
|
Leqvio 284mg/1.5ml SYRINGE,Zero Drug Amount
|
9
|
9
|
$15,575.06
|
$7,787.53
50% off
|
$3,205.34
|
$12,460.05
|
$3,365.61
|
2024-10-24
|
|
47531TC
|
OTHER
|
Cholangiogram T Tube
|
9
|
9
|
$14,168.00
|
$7,084.00
50% off
|
$2,915.77
|
$11,334.40
|
$3,061.56
|
2024-10-24
|
|
52649
|
HCPCS
|
Lasr Enucleatn Prstat W Mrclltn Complt
|
9
|
9
|
$14,107.00
|
$7,053.50
50% off
|
$770.51
|
$108,695.20
|
$3,048.38
|
2024-10-24
|
|
0636
|
RC
|
—
|
17
|
9
|
$12,541.82
|
$6,270.91
50% off
|
$638.62
|
$10,033.46
|
$2,581.10
|
2024-10-24
|
|
J0897JZ
|
OTHER
|
Prolia (denosumab) 60mg/ml 1ml Syringe
|
9
|
9
|
$8,144.69
|
$4,072.35
50% off
|
$1,676.17
|
$6,515.75
|
$1,759.98
|
2024-10-24
|
|
90283
|
HCPCS
|
Gamunex (immune Globulin) 10% 20gm 200ml
|
8
|
8
|
$8,166.35
|
$4,083.18
50% off
|
$49.86
|
$2,201.65
|
$1,706.18
|
2024-10-24
|
|
52648
|
HCPCS
|
Vasectomy Contact Laser
|
16
|
9
|
$8,040.00
|
$4,020.00
50% off
|
$410.10
|
$6,146.38
|
$1,705.31
|
2024-10-24
|
|
J0875
|
HCPCS
|
Dalvance 500mg Vial
|
9
|
9
|
$8,112.85
|
$4,056.43
50% off
|
$14.18
|
$2,187.22
|
$1,686.33
|
2024-10-24
|
|
50590
|
HCPCS
|
Lithotripsy Extracorp Sw
|
17
|
9
|
$9,615.00
|
$4,807.50
50% off
|
$337.97
|
$65,541.48
|
$1,626.00
|
2024-10-24
|
|
49505
|
HCPCS
|
Prp I/hernia Init Reduc > 5 Yrs
|
17
|
9
|
$7,084.00
|
$3,542.00
50% off
|
$312.41
|
$34,866.41
|
$1,457.89
|
2024-10-24
|
|
J1439
|
HCPCS
|
Injectafer 750mg/15ml Vial
|
9
|
9
|
$6,791.09
|
$3,395.55
50% off
|
$1.12
|
$1,830.88
|
$1,411.58
|
2024-10-24
|
|
19281RTTC
|
OTHER
|
Mammo Rt Needle Loc (per Lesion)
|
9
|
9
|
$5,998.00
|
$2,999.00
50% off
|
$1,234.39
|
$4,798.40
|
$1,296.11
|
2024-10-24
|
|
19281LTTC
|
OTHER
|
Mammo Lt Needle Loc (per Lesion)
|
9
|
9
|
$5,998.00
|
$2,999.00
50% off
|
$1,234.39
|
$4,798.40
|
$1,296.11
|
2024-10-24
|
|
75820RTTC
|
OTHER
|
Venogram Rt Lower Ext
|
9
|
9
|
$5,951.00
|
$2,975.50
50% off
|
$1,224.72
|
$4,760.80
|
$1,285.96
|
2024-10-24
|
|
75820LTTC
|
OTHER
|
Venogram Lt Lower Ext
|
9
|
9
|
$5,951.00
|
$2,975.50
50% off
|
$1,224.72
|
$4,760.80
|
$1,285.96
|
2024-10-24
|
|
15277
|
HCPCS
|
Aply Skin Subs Ft 1st 100 Sq Cm
|
9
|
9
|
$5,178.00
|
$2,589.00
50% off
|
$311.62
|
$16,135.70
|
$1,087.38
|
2024-10-24
|
|
14020
|
HCPCS
|
Adj Tis Trn Scalp 10 Cm
|
17
|
9
|
$5,178.00
|
$2,589.00
50% off
|
$326.55
|
$33,238.60
|
$1,065.63
|
2024-10-24
|
|
0275
|
RC
|
—
|
9
|
9
|
$4,900.00
|
$2,450.00
50% off
|
$1,008.42
|
$3,920.00
|
$1,058.84
|
2024-10-24
|
|
28192
|
HCPCS
|
Removal Fb Foot; Deep
|
9
|
9
|
$4,499.00
|
$2,249.50
50% off
|
$415.50
|
$18,693.36
|
$972.19
|
2024-10-24
|
|
11044
|
HCPCS
|
Debride Bone 1st 20cm
|
9
|
9
|
$4,499.00
|
$2,249.50
50% off
|
$286.81
|
$12,903.43
|
$972.19
|
2024-10-24
|
|
45390
|
HCPCS
|
Colonoscopy With Resection
|
17
|
9
|
$4,990.00
|
$2,495.00
50% off
|
$197.47
|
$15,328.34
|
$950.00
|
2024-10-24
|
|
C1783
|
HCPCS
|
I-stent Inject
|
17
|
9
|
$4,275.00
|
$2,137.50
50% off
|
$308.70
|
$3,420.00
|
$879.80
|
2024-10-24
|
|
65820
|
HCPCS
|
General Surgery Physician 65820
|
9
|
9
|
$1,803.00
|
$901.50
50% off
|
$374.77
|
$1,010.82
|
$853.49
|
2024-10-24
|
|
C1713
|
HCPCS
|
Anchor/screw For Implantable
|
9
|
9
|
$4,000.00
|
$2,000.00
50% off
|
$669.76
|
$1,078.40
|
$840.00
|
2024-10-24
|
|
21933
|
HCPCS
|
General Surgery Physician 21933
|
9
|
9
|
—
|
—
|
$796.32
|
$836.14
|
$816.23
|
2024-10-24
|
|
49594
|
HCPCS
|
General Surgery Physician 49594
|
9
|
9
|
$1,210.00
|
$605.00
50% off
|
$251.51
|
$968.00
|
$810.59
|
2024-10-24
|
|
25607
|
HCPCS
|
Orthopedic Surgery Physician 25607
|
9
|
9
|
$1,716.00
|
$858.00
50% off
|
$356.68
|
$1,716.00
|
$796.71
|
2024-10-24
|
|
73201LTTC
|
OTHER
|
CT Lt Upper Extremity With IV Contrast
|
9
|
9
|
$3,684.00
|
$1,842.00
50% off
|
$758.17
|
$2,947.20
|
$796.07
|
2024-10-24
|
|
72126TC
|
OTHER
|
CT C-spine With IV Contrast
|
9
|
9
|
$3,684.00
|
$1,842.00
50% off
|
$758.17
|
$2,947.20
|
$796.07
|
2024-10-24
|
|
74174TC
|
OTHER
|
CTA Abd/pelvi With IV No Oral
|
9
|
9
|
$3,684.00
|
$1,842.00
50% off
|
$758.17
|
$2,947.20
|
$796.07
|
2024-10-24
|
|
74178TC
|
OTHER
|
CT Abd W/wo IV Pelv W IV Wo Oral
|
9
|
9
|
$3,684.00
|
$1,842.00
50% off
|
$758.17
|
$2,947.20
|
$796.07
|
2024-10-24
|
|
74177TC
|
OTHER
|
CT Abd/pelv With IV With Oral Contrast
|
9
|
9
|
$3,684.00
|
$1,842.00
50% off
|
$758.17
|
$2,947.20
|
$796.07
|
2024-10-24
|
|
73201RTTC
|
OTHER
|
CT Rt Upper Extremity With IV Contrast
|
9
|
9
|
$3,684.00
|
$1,842.00
50% off
|
$758.17
|
$2,947.20
|
$796.07
|
2024-10-24
|
|
72132TC
|
OTHER
|
CT L-spine With IV Contrast
|
9
|
9
|
$3,684.00
|
$1,842.00
50% off
|
$758.17
|
$2,947.20
|
$796.07
|
2024-10-24
|
|
J3489
|
HCPCS
|
Zoledronic Acid(reclast) 5mg/100ml Vl
|
9
|
9
|
$3,816.79
|
$1,908.40
50% off
|
$6.51
|
$1,029.01
|
$793.36
|
2024-10-24
|
|
81162
|
HCPCS
|
Brca 1/2 Comprehensive Analysis (BRCAssu
|
9
|
9
|
$3,618.00
|
$1,809.00
50% off
|
$744.58
|
$3,618.00
|
$781.81
|
2024-10-24
|
|
47563
|
HCPCS
|
General Surgery Physician 47563
|
9
|
9
|
$2,071.00
|
$1,035.50
50% off
|
$430.47
|
$2,071.00
|
$777.71
|
2024-10-24
|
|
0360
|
RC
|
—
|
1,009
|
9
|
$3,289.00
|
$1,644.50
50% off
|
$3.70
|
$34,341.60
|
$774.27
|
2024-10-24
|
|
11047
|
HCPCS
|
Debride Bone Each 20cm
|
9
|
9
|
$3,435.00
|
$1,717.50
50% off
|
$112.18
|
$3,853.40
|
$742.27
|
2024-10-24
|
|
5453050
|
OTHER
|
Urology Procedure Physician 54530-50
|
9
|
9
|
$1,446.00
|
$723.00
50% off
|
$300.57
|
$1,156.80
|
$728.68
|
2024-10-24
|
|
47562
|
HCPCS
|
General Surgery Physician 47562
|
9
|
9
|
$1,586.00
|
$793.00
50% off
|
$329.66
|
$1,586.00
|
$715.12
|
2024-10-24
|
|
90375
|
HCPCS
|
Hyperrab (rabies Immune) 300iu/ml 1ml Vl
|
9
|
9
|
$3,400.01
|
$1,700.01
50% off
|
$305.79
|
$916.64
|
$706.72
|
2024-10-24
|
|
44391
|
HCPCS
|
Colnscpy W Bleeding Contrl
|
17
|
9
|
$3,249.00
|
$1,624.50
50% off
|
$136.97
|
$18,390.26
|
$659.00
|
2024-10-24
|
|
81229
|
HCPCS
|
Snp Microarray Pediatric (Reveal) 510002
|
9
|
9
|
$3,150.00
|
$1,575.00
50% off
|
$143.24
|
$1,906.11
|
$654.76
|
2024-10-24
|
|
36005TC
|
OTHER
|
Venogram Injection
|
9
|
9
|
$2,990.00
|
$1,495.00
50% off
|
$615.34
|
$2,392.00
|
$646.11
|
2024-10-24
|
|
J0174
|
HCPCS
|
Leqembi 500mg/5ml Vial
|
9
|
9
|
$2,904.79
|
$1,452.40
50% off
|
$597.81
|
$2,323.83
|
$627.70
|
2024-10-24
|
|
49593
|
HCPCS
|
Surgery Procedure Physician 49593
|
9
|
9
|
$1,854.00
|
$927.00
50% off
|
$385.37
|
$1,483.20
|
$622.32
|
2024-10-24
|
|
49525
|
HCPCS
|
General Surg Procedure Physician 49525
|
9
|
9
|
$1,138.00
|
$569.00
50% off
|
$236.54
|
$1,138.00
|
$621.45
|
2024-10-24
|
|
49614
|
HCPCS
|
General Surgery Physician 49614
|
9
|
9
|
$1,850.00
|
$925.00
50% off
|
$384.53
|
$1,480.00
|
$620.55
|
2024-10-24
|
|
15430
|
HCPCS
|
Appli Oasis Wound Matrix 1st 100cm2
|
9
|
9
|
$2,772.00
|
$1,386.00
50% off
|
$570.48
|
$2,217.60
|
$599.01
|
2024-10-24
|
|
15431
|
HCPCS
|
Appli Oasis Wound Matrix Add1 100cm2
|
9
|
9
|
$2,772.00
|
$1,386.00
50% off
|
$570.48
|
$2,217.60
|
$599.01
|
2024-10-24
|
|
78223
|
HCPCS
|
Nuclear Med Hida
|
9
|
9
|
$2,766.00
|
$1,383.00
50% off
|
$569.24
|
$2,212.80
|
$597.70
|
2024-10-24
|
|
5235650
|
OTHER
|
Urology Procedure Physician 52356-50
|
9
|
9
|
$1,186.00
|
$593.00
50% off
|
$246.52
|
$948.80
|
$597.66
|
2024-10-24
|
|
52356LT
|
OTHER
|
Urology Procedure Physician 52356-lt
|
9
|
9
|
$1,186.00
|
$593.00
50% off
|
$246.52
|
$948.80
|
$597.66
|
2024-10-24
|
|
52356RT
|
OTHER
|
Urology Procedure Physician 52356-rt
|
9
|
9
|
$1,186.00
|
$593.00
50% off
|
$246.52
|
$948.80
|
$597.66
|
2024-10-24
|
|
15278
|
HCPCS
|
Aply Skin Subst Ft Ea Add 100 Sq Cm
|
9
|
9
|
$2,772.00
|
$1,386.00
50% off
|
$86.16
|
$2,388.40
|
$582.12
|
2024-10-24
|
|
0276
|
RC
|
—
|
9
|
9
|
$2,594.00
|
$1,297.00
50% off
|
$533.85
|
$2,075.20
|
$560.54
|
2024-10-24
|
|
21014
|
HCPCS
|
Exc Tum Face Sclp Sft Tiss Subfas <=2cm
|
9
|
9
|
$1,474.00
|
$737.00
50% off
|
$306.39
|
$1,357.09
|
$558.48
|
2024-10-24
|
|
55041
|
HCPCS
|
General Surgery Physician 55041
|
9
|
9
|
$1,331.00
|
$665.50
50% off
|
$276.66
|
$1,331.00
|
$550.87
|
2024-10-24
|
|
J0585
|
HCPCS
|
Botox Therapeutic (onabotul) 100 Units
|
9
|
9
|
$2,640.24
|
$1,320.12
50% off
|
$6.06
|
$711.81
|
$548.79
|
2024-10-24
|
|
54530
|
HCPCS
|
Urology Procedure Physician 54530
|
9
|
9
|
$1,446.00
|
$723.00
50% off
|
$300.57
|
$1,446.00
|
$547.55
|
2024-10-24
|
|
93306TC
|
OTHER
|
US Echo 2d Complete
|
9
|
9
|
$2,516.00
|
$1,258.00
50% off
|
$517.79
|
$2,012.80
|
$543.68
|
2024-10-24
|
|
49082
|
HCPCS
|
Abdmnl Parcentesis Wo Imag Guidnce
|
9
|
9
|
$2,477.00
|
$1,238.50
50% off
|
$187.93
|
$4,655.14
|
$535.26
|
2024-10-24
|
|
49083
|
HCPCS
|
Abdmnl Parcentesis W Imag Guidnce
|
9
|
9
|
$2,477.00
|
$1,238.50
50% off
|
$258.75
|
$6,409.22
|
$535.26
|
2024-10-24
|
|
51045
|
HCPCS
|
Urology Procedure Physician 51045
|
9
|
9
|
$1,439.00
|
$719.50
50% off
|
$299.11
|
$1,013.49
|
$534.85
|
2024-10-24
|
|
93350
|
HCPCS
|
US Treadmill Stress Echo
|
9
|
9
|
$2,516.00
|
$1,258.00
50% off
|
$165.69
|
$4,168.72
|
$528.36
|
2024-10-24
|
|
7428026
|
OTHER
|
Prof Barium Enema W/air
|
9
|
9
|
$1,025.00
|
$512.50
50% off
|
$213.05
|
$820.00
|
$516.52
|
2024-10-24
|
|
49592
|
HCPCS
|
General Surgery Physician 49592
|
9
|
9
|
$775.00
|
$387.50
50% off
|
$161.09
|
$620.00
|
$516.48
|
2024-10-24
|
|
21931
|
HCPCS
|
General Surgery Physician 21931
|
9
|
9
|
$750.00
|
$375.00
50% off
|
$155.90
|
$750.00
|
$507.57
|
2024-10-24
|
|
74176TC
|
OTHER
|
CT Abd/pelv Wo IV With Oral Contrast
|
9
|
9
|
$2,335.00
|
$1,167.50
50% off
|
$480.54
|
$1,868.00
|
$504.57
|
2024-10-24
|
|
C1889
|
HCPCS
|
Omni Surgical System
|
17
|
9
|
$2,400.00
|
$1,200.00
50% off
|
$434.03
|
$1,920.00
|
$504.00
|
2024-10-24
|
|
71271TC
|
OTHER
|
CT Low Dose Chest Without
|
9
|
9
|
$2,331.00
|
$1,165.50
50% off
|
$479.72
|
$1,864.80
|
$503.71
|
2024-10-24
|
|
55040LT
|
OTHER
|
Urology Procedure Physician 55040-lt
|
9
|
9
|
$962.00
|
$481.00
50% off
|
$199.96
|
$769.60
|
$484.78
|
2024-10-24
|
|
55040RT
|
OTHER
|
Urology Procedure Physician 55040-rt
|
9
|
9
|
$962.00
|
$481.00
50% off
|
$199.96
|
$769.60
|
$484.78
|
2024-10-24
|
|
99291
|
HCPCS
|
Critcl Care 1st 30 74 Min
|
17
|
9
|
$2,303.00
|
$1,151.50
50% off
|
$130.54
|
$5,848.40
|
$473.96
|
2024-10-24
|
|
64721
|
HCPCS
|
Orthopedic Surgery Physician 64721
|
9
|
9
|
$1,060.00
|
$530.00
50% off
|
$220.33
|
$1,060.00
|
$467.91
|
2024-10-24
|
|
54840RT
|
OTHER
|
Urology Procedure Physician 54840-rt
|
9
|
9
|
$916.00
|
$458.00
50% off
|
$190.39
|
$732.80
|
$461.60
|
2024-10-24
|
|
27337
|
HCPCS
|
General Surgery Physician 27337
|
9
|
9
|
$663.00
|
$331.50
50% off
|
$137.81
|
$663.00
|
$452.68
|
2024-10-24
|
|
19120
|
HCPCS
|
Excis Of Cyst Fibroadenoma 1+ Les
|
9
|
9
|
$1,187.00
|
$593.50
50% off
|
$246.72
|
$1,187.00
|
$450.42
|
2024-10-24
|
|
0750
|
RC
|
—
|
89
|
9
|
$2,118.00
|
$1,059.00
50% off
|
$78.20
|
$2,787.20
|
$445.38
|
2024-10-24
|
|
52354
|
HCPCS
|
Urology Procedure Physician 52354
|
9
|
9
|
$685.00
|
$342.50
50% off
|
$142.38
|
$685.00
|
$445.29
|
2024-10-24
|
|
52356
|
HCPCS
|
Urology Procedure Physician 52356
|
9
|
9
|
$1,186.00
|
$593.00
50% off
|
$246.52
|
$1,186.00
|
$443.97
|
2024-10-24
|
|
24071
|
HCPCS
|
General Surgery Physician 24071
|
9
|
9
|
$640.00
|
$320.00
50% off
|
$133.03
|
$640.00
|
$437.52
|
2024-10-24
|
|
76098LTTC
|
OTHER
|
Mammo Lt Specimen
|
9
|
9
|
$2,013.00
|
$1,006.50
50% off
|
$414.28
|
$1,610.40
|
$434.99
|
2024-10-24
|
|
76080TC
|
OTHER
|
Fistulogram
|
9
|
9
|
$2,013.00
|
$1,006.50
50% off
|
$414.28
|
$1,610.40
|
$434.99
|
2024-10-24
|
|
76098RTTC
|
OTHER
|
Mammo Rt Specimen
|
9
|
9
|
$2,013.00
|
$1,006.50
50% off
|
$414.28
|
$1,610.40
|
$434.99
|
2024-10-24
|
|
30117
|
HCPCS
|
General Surgery Physician 30117
|
9
|
9
|
$742.00
|
$371.00
50% off
|
$154.23
|
$742.00
|
$432.71
|
2024-10-24
|
|
52310
|
HCPCS
|
Cystol Stent Removal
|
17
|
9
|
$5,565.00
|
$2,782.50
50% off
|
$89.59
|
$15,992.97
|
$431.00
|
2024-10-24
|
|
52240
|
HCPCS
|
Urology Procedure Phyisician 52240
|
9
|
9
|
$643.00
|
$321.50
50% off
|
$133.65
|
$643.00
|
$418.70
|
2024-10-24
|
|
52353
|
HCPCS
|
Urology Procedure Physician 52353
|
9
|
9
|
$645.00
|
$322.50
50% off
|
$134.06
|
$645.00
|
$418.37
|
2024-10-24
|
|
11646
|
HCPCS
|
General Surgery Physician 11646
|
9
|
9
|
$442.00
|
$221.00
50% off
|
$91.88
|
$442.00
|
$415.41
|
2024-10-24
|
|
10005
|
HCPCS
|
Fna Bx W/us Gdn 1st Lesion
|
13
|
9
|
$1,947.00
|
$973.50
50% off
|
$78.52
|
$2,375.73
|
$404.70
|
2024-10-24
|
|
21930
|
HCPCS
|
General Surgery Physician 21930
|
9
|
9
|
$570.00
|
$285.00
50% off
|
$118.48
|
$570.00
|
$393.01
|
2024-10-24
|
|
90675
|
HCPCS
|
Rabies Vaccine (imovax) 1ml Vial
|
9
|
9
|
$1,887.42
|
$943.71
50% off
|
$287.72
|
$508.85
|
$392.31
|
2024-10-24
|
|
70470TC
|
OTHER
|
CT Head W/wo IV Contrast
|
9
|
9
|
$1,803.00
|
$901.50
50% off
|
$371.06
|
$1,442.40
|
$389.61
|
2024-10-24
|
|
73701LTTC
|
OTHER
|
CT Lt Lower Extremity With IV Contrast
|
9
|
9
|
$1,803.00
|
$901.50
50% off
|
$371.06
|
$1,442.40
|
$389.61
|
2024-10-24
|
|
73202LTTC
|
OTHER
|
CT Lt Upper Extremity W/wo IV Contrast
|
9
|
9
|
$1,803.00
|
$901.50
50% off
|
$371.06
|
$1,442.40
|
$389.61
|
2024-10-24
|
|
71270TC
|
OTHER
|
CT Chest W/wo IV Contrast
|
9
|
9
|
$1,803.00
|
$901.50
50% off
|
$371.06
|
$1,442.40
|
$389.61
|
2024-10-24
|
|
70460TC
|
OTHER
|
CT Head With IV Contrast
|
9
|
9
|
$1,803.00
|
$901.50
50% off
|
$371.06
|
$1,442.40
|
$389.61
|
2024-10-24
|
|
72194TC
|
OTHER
|
CT Pelvic W/wo IV With Oral Contrast
|
9
|
9
|
$1,803.00
|
$901.50
50% off
|
$371.06
|
$1,442.40
|
$389.61
|
2024-10-24
|
|
70492TC
|
OTHER
|
CT Soft Tissue Neck W/wo IV Contrast
|
9
|
9
|
$1,803.00
|
$901.50
50% off
|
$371.06
|
$1,442.40
|
$389.61
|
2024-10-24
|
|
71260TC
|
OTHER
|
CT Chest With IV Contrast
|
9
|
9
|
$1,803.00
|
$901.50
50% off
|
$371.06
|
$1,442.40
|
$389.61
|
2024-10-24
|
|
72129TC
|
OTHER
|
CT T-spine With IV Contrast
|
9
|
9
|
$1,803.00
|
$901.50
50% off
|
$371.06
|
$1,442.40
|
$389.61
|
2024-10-24
|
|
75635TC
|
OTHER
|
CTA Aorta W/runoffs With IV Wo Oral
|
9
|
9
|
$1,803.00
|
$901.50
50% off
|
$371.06
|
$1,442.40
|
$389.61
|
2024-10-24
|
|
72127TC
|
OTHER
|
CT C-spine W/wo IV Contrast
|
9
|
9
|
$1,803.00
|
$901.50
50% off
|
$371.06
|
$1,442.40
|
$389.61
|
2024-10-24
|
|
74175TC
|
OTHER
|
CTA Abdomen With IV Contrast Wo Oral
|
9
|
9
|
$1,803.00
|
$901.50
50% off
|
$371.06
|
$1,442.40
|
$389.61
|
2024-10-24
|
|
70482TC
|
OTHER
|
CT Orb/sella/iac W/wo IV Contrast
|
9
|
9
|
$1,803.00
|
$901.50
50% off
|
$371.06
|
$1,442.40
|
$389.61
|
2024-10-24
|
|
73702LTTC
|
OTHER
|
CT Lt Lower Extremity W/wo IV Contrast
|
9
|
9
|
$1,803.00
|
$901.50
50% off
|
$371.06
|
$1,442.40
|
$389.61
|
2024-10-24
|
|
70498TC
|
OTHER
|
CTA Neck With IV Wo Oral Contrast
|
9
|
9
|
$1,803.00
|
$901.50
50% off
|
$371.06
|
$1,442.40
|
$389.61
|
2024-10-24
|
|
70481TC
|
OTHER
|
CT Orb/sella/iac With IV Contrast
|
9
|
9
|
$1,803.00
|
$901.50
50% off
|
$371.06
|
$1,442.40
|
$389.61
|
2024-10-24
|
|
72130TC
|
OTHER
|
CT T-spine W/wo IV Contrast
|
9
|
9
|
$1,803.00
|
$901.50
50% off
|
$371.06
|
$1,442.40
|
$389.61
|
2024-10-24
|
|
73202RTTC
|
OTHER
|
CT Rt Upper Extremity W/wo IV Contrast
|
9
|
9
|
$1,803.00
|
$901.50
50% off
|
$371.06
|
$1,442.40
|
$389.61
|
2024-10-24
|
|
74170TC
|
OTHER
|
CT Abdomen W/wo IV With Oral Contrast
|
9
|
9
|
$1,803.00
|
$901.50
50% off
|
$371.06
|
$1,442.40
|
$389.61
|
2024-10-24
|
|
70491TC
|
OTHER
|
CT Soft Tissue Neck With IV Contrast
|
9
|
9
|
$1,803.00
|
$901.50
50% off
|
$371.06
|
$1,442.40
|
$389.61
|
2024-10-24
|
|
71275TC
|
OTHER
|
CTA Thoracic(aorta) With IV Wo Oral
|
9
|
9
|
$1,803.00
|
$901.50
50% off
|
$371.06
|
$1,442.40
|
$389.61
|
2024-10-24
|
|
72133TC
|
OTHER
|
CT L-spine W/wo IV Contrast
|
9
|
9
|
$1,803.00
|
$901.50
50% off
|
$371.06
|
$1,442.40
|
$389.61
|
2024-10-24
|
|
73702RTTC
|
OTHER
|
CT Rt Lower Extremity W/wo IV Contrast
|
9
|
9
|
$1,803.00
|
$901.50
50% off
|
$371.06
|
$1,442.40
|
$389.61
|
2024-10-24
|
|
70496TC
|
OTHER
|
CTA Head With IV Contrast
|
9
|
9
|
$1,803.00
|
$901.50
50% off
|
$371.06
|
$1,442.40
|
$389.61
|
2024-10-24
|
|
70487TC
|
OTHER
|
CT Sinus With IV Contrast
|
9
|
9
|
$1,803.00
|
$901.50
50% off
|
$371.06
|
$1,442.40
|
$389.61
|
2024-10-24
|
|
70488TC
|
OTHER
|
CT Sinus W/wo IV Contrast
|
9
|
9
|
$1,803.00
|
$901.50
50% off
|
$371.06
|
$1,442.40
|
$389.61
|
2024-10-24
|
|
72193TC
|
OTHER
|
CT Pelvic With IV With Oral Contrast
|
9
|
9
|
$1,803.00
|
$901.50
50% off
|
$371.06
|
$1,442.40
|
$389.61
|
2024-10-24
|
|
73206TC
|
OTHER
|
CTA Extremity With IV Wo Oral
|
9
|
9
|
$1,803.00
|
$901.50
50% off
|
$371.06
|
$1,442.40
|
$389.61
|
2024-10-24
|
|
73701RTTC
|
OTHER
|
CT Rt Lower Extremity With IV Contrast
|
9
|
9
|
$1,803.00
|
$901.50
50% off
|
$371.06
|
$1,442.40
|
$389.61
|
2024-10-24
|
|
74160TC
|
OTHER
|
CT Abdomen With IV With Oral Contrast
|
9
|
9
|
$1,803.00
|
$901.50
50% off
|
$371.06
|
$1,442.40
|
$389.61
|
2024-10-24
|
|
52352
|
HCPCS
|
Urology Procedure Physician 52352
|
9
|
9
|
—
|
—
|
$377.97
|
$396.86
|
$387.42
|
2024-10-24
|
|
46255
|
HCPCS
|
General Surgery Physician 46255
|
9
|
9
|
$1,017.00
|
$508.50
50% off
|
$211.40
|
$1,017.00
|
$379.97
|
2024-10-24
|
|
11043
|
HCPCS
|
Debride Muscle/fascia 1st 20cm
|
9
|
9
|
$1,743.00
|
$871.50
50% off
|
$212.69
|
$3,707.17
|
$376.64
|
2024-10-24
|
|
32554
|
HCPCS
|
Thorac Ndl Cath Aspn Plrl Spc Wo Guid
|
9
|
9
|
$1,736.00
|
$868.00
50% off
|
$209.22
|
$3,632.07
|
$375.13
|
2024-10-24
|
|
4538259
|
OTHER
|
Gastro Procedure Physician 45382-59
|
9
|
9
|
$742.00
|
$371.00
50% off
|
$154.23
|
$593.60
|
$373.92
|
2024-10-24
|
|
49591
|
HCPCS
|
General Surgery Physician 49591
|
9
|
9
|
$555.00
|
$277.50
50% off
|
$115.37
|
$444.00
|
$371.02
|
2024-10-24
|
|
55040
|
HCPCS
|
Urology Procedure Physician 55040
|
9
|
9
|
$962.00
|
$481.00
50% off
|
$199.96
|
$962.00
|
$364.42
|
2024-10-24
|
|
26115
|
HCPCS
|
Orthopedic Surgery Physician 26115
|
9
|
9
|
$762.00
|
$381.00
50% off
|
$158.39
|
$762.00
|
$357.64
|
2024-10-24
|
|
49320
|
HCPCS
|
General Surgery Physician 49320
|
9
|
9
|
$525.00
|
$262.50
50% off
|
$109.12
|
$525.00
|
$356.10
|
2024-10-24
|
|
G0379
|
HCPCS
|
Observation Hourly Direct Admit
|
9
|
9
|
$1,644.00
|
$822.00
50% off
|
$338.34
|
$764.62
|
$355.25
|
2024-10-24
|
|
9928525
|
OTHER
|
ER Visit Level 5
|
9
|
9
|
$1,644.00
|
$822.00
50% off
|
$338.34
|
$1,315.20
|
$355.25
|
2024-10-24
|
|
44378
|
HCPCS
|
Gastro Procedure Physician 44378
|
13
|
9
|
$727.00
|
$363.50
50% off
|
$151.12
|
$1,101.00
|
$355.00
|
2024-10-24
|
|
54520
|
HCPCS
|
General Surgery Physician 54520
|
9
|
9
|
$570.00
|
$285.00
50% off
|
$118.48
|
$570.00
|
$353.26
|
2024-10-24
|
|
94003
|
HCPCS
|
Ventilator Sub Days
|
9
|
9
|
$1,670.00
|
$835.00
50% off
|
$60.29
|
$1,006.83
|
$350.70
|
2024-10-24
|
|
94002
|
HCPCS
|
Volume Vent First Day
|
9
|
9
|
$1,670.00
|
$835.00
50% off
|
$85.85
|
$1,433.66
|
$350.70
|
2024-10-24
|
|
25111
|
HCPCS
|
Orthopedic Procedure Physician 25111
|
9
|
9
|
$991.00
|
$495.50
50% off
|
$205.99
|
$991.00
|
$350.17
|
2024-10-24
|
|
26160
|
HCPCS
|
Orthopedic Surgery Physician 26160
|
9
|
9
|
$725.00
|
$362.50
50% off
|
$150.69
|
$725.00
|
$340.43
|
2024-10-24
|
|
11446
|
HCPCS
|
General Surgery Physician 11446
|
9
|
9
|
$360.00
|
$180.00
50% off
|
$74.83
|
$360.00
|
$338.98
|
2024-10-24
|
|
4539859
|
OTHER
|
Gastro Procedure Physician 45398-59
|
9
|
9
|
$672.00
|
$336.00
50% off
|
$139.68
|
$537.60
|
$338.64
|
2024-10-24
|
|
11606
|
HCPCS
|
General Surgery Physician 11606
|
9
|
9
|
$360.00
|
$180.00
50% off
|
$74.83
|
$360.00
|
$338.37
|
2024-10-24
|
|
19020
|
HCPCS
|
General Surgery Physician 19020
|
9
|
9
|
$964.00
|
$482.00
50% off
|
$200.37
|
$964.00
|
$335.26
|
2024-10-24
|
|
81338
|
HCPCS
|
Mpl Mutation Analysis
|
9
|
9
|
$1,620.00
|
$810.00
50% off
|
$147.32
|
$350.07
|
$333.40
|
2024-10-24
|
|
87902
|
HCPCS
|
Hepatitis C Virus Genotyping 550486
|
9
|
9
|
$1,602.00
|
$801.00
50% off
|
$252.30
|
$700.27
|
$329.69
|
2024-10-24
|
|
7417826
|
OTHER
|
Prof CT Abd/pelv W/wo IV With Oral Cont
|
9
|
9
|
$649.00
|
$324.50
50% off
|
$134.90
|
$519.20
|
$327.05
|
2024-10-24
|
|
52351
|
HCPCS
|
Urology Procedure Physician 52351
|
9
|
9
|
$862.00
|
$431.00
50% off
|
$179.17
|
$862.00
|
$323.51
|
2024-10-24
|
|
44403
|
HCPCS
|
Gastro Procedure Physician 44403
|
9
|
9
|
$468.00
|
$234.00
50% off
|
$97.27
|
$468.00
|
$323.19
|
2024-10-24
|
|
J0637
|
HCPCS
|
Cancidas (caspofungin Ace) 50mg 10ml Vl
|
9
|
9
|
$1,539.95
|
$769.98
50% off
|
$5.22
|
$415.17
|
$320.09
|
2024-10-24
|
|
74420TC
|
OTHER
|
Pyelogram Retrograde
|
9
|
9
|
$1,474.00
|
$737.00
50% off
|
$303.35
|
$1,179.20
|
$318.52
|
2024-10-24
|
|
70545TC
|
OTHER
|
MRA Head With Contrast
|
9
|
9
|
$1,474.00
|
$737.00
50% off
|
$303.35
|
$1,179.20
|
$318.52
|
2024-10-24
|
|
74430TC
|
OTHER
|
Cystogram
|
9
|
9
|
$1,474.00
|
$737.00
50% off
|
$303.35
|
$1,179.20
|
$318.52
|
2024-10-24
|
|
P9035
|
HCPCS
|
Bb Platelets, Pheresis
|
9
|
9
|
$1,457.00
|
$728.50
50% off
|
$299.85
|
$660.17
|
$314.84
|
2024-10-24
|
|
76098TC
|
OTHER
|
Radiology Exam, Surgical Specimen
|
9
|
9
|
$1,449.00
|
$724.50
50% off
|
$298.20
|
$1,159.20
|
$313.11
|
2024-10-24
|
|
51040
|
HCPCS
|
Urology Procedure Physician 51040
|
9
|
9
|
$824.00
|
$412.00
50% off
|
$171.27
|
$824.00
|
$312.98
|
2024-10-24
|
|
26055
|
HCPCS
|
Orthopedic Surgery Physician 26055
|
9
|
9
|
$667.00
|
$333.50
50% off
|
$138.64
|
$667.00
|
$312.91
|
2024-10-24
|
|
7417726
|
OTHER
|
Prof CT Abd/pelv With IV With Oral Cont
|
9
|
9
|
$619.00
|
$309.50
50% off
|
$128.66
|
$495.20
|
$311.93
|
2024-10-24
|
|
19083
|
HCPCS
|
Brst Bx W/wo Clp Spcm Img Inc US 1st Les
|
18
|
9
|
$2,339.50
|
$1,169.75
50% off
|
$37.42
|
$19,726.84
|
$309.24
|
2024-10-24
|
|
81219
|
HCPCS
|
Calr Mutation Analysis(calreticulin)
|
9
|
9
|
$1,485.00
|
$742.50
50% off
|
$119.20
|
$400.36
|
$308.67
|
2024-10-24
|
|
52235
|
HCPCS
|
Cystoscopy And Treatment
|
9
|
9
|
$472.00
|
$236.00
50% off
|
$98.11
|
$472.00
|
$308.09
|
2024-10-24
|
|
J1442
|
HCPCS
|
Neupogen (filgrastim) 300mcg/0.5ml Syrin
|
9
|
9
|
$1,478.80
|
$739.40
50% off
|
$0.36
|
$398.68
|
$307.39
|
2024-10-24
|
|
52001
|
HCPCS
|
Urology Procedure Physician 52001
|
9
|
9
|
$818.00
|
$409.00
50% off
|
$170.03
|
$818.00
|
$306.77
|
2024-10-24
|
|
0490
|
RC
|
—
|
30
|
9
|
$443.00
|
$221.50
50% off
|
$52.07
|
$2,654.40
|
$288.59
|
2024-10-24
|
|
45388
|
HCPCS
|
Gastro Procedure Physician 45388
|
9
|
9
|
$418.00
|
$209.00
50% off
|
$86.89
|
$418.00
|
$287.59
|
2024-10-24
|
|
11426
|
HCPCS
|
General Surgery Physician 11426
|
9
|
9
|
$307.00
|
$153.50
50% off
|
$63.81
|
$307.00
|
$287.03
|
2024-10-24
|
|
25000
|
HCPCS
|
Orthopedic Surgery Physician 25000
|
9
|
9
|
$1,050.00
|
$525.00
50% off
|
$216.09
|
$3,391.07
|
$282.03
|
2024-10-24
|
|
7417626
|
OTHER
|
Prof CT Abd/pelv Wo IV With Oral Contras
|
9
|
9
|
$558.00
|
$279.00
50% off
|
$115.98
|
$446.40
|
$281.19
|
2024-10-24
|
|
44377
|
HCPCS
|
Gastro Procedure Physician 44377
|
13
|
9
|
$545.00
|
$272.50
50% off
|
$113.28
|
$855.00
|
$276.41
|
2024-10-24
|
|
11046
|
HCPCS
|
Debride Muscle/fascia Each 20cm
|
9
|
9
|
$1,279.00
|
$639.50
50% off
|
$67.56
|
$1,023.20
|
$276.38
|
2024-10-24
|
|
81206
|
HCPCS
|
Bcr/abl Rt-pcr(quant)
|
9
|
9
|
$1,339.56
|
$669.78
50% off
|
$160.68
|
$332.61
|
$275.68
|
2024-10-24
|
|
45382
|
HCPCS
|
Gastro Procedure Physician 45382
|
14
|
9
|
$489.00
|
$244.50
50% off
|
$101.65
|
$742.00
|
$274.73
|
2024-10-24
|
|
11045
|
HCPCS
|
Debride, Subq Tissue Each 20cm
|
8
|
8
|
$1,279.00
|
$639.50
50% off
|
$36.69
|
$469.28
|
$272.49
|
2024-10-24
|
|
49520
|
HCPCS
|
General Surgery Physician 49520
|
9
|
9
|
$1,014.00
|
$507.00
50% off
|
$208.68
|
$6,055.53
|
$272.36
|
2024-10-24
|
|
45385
|
HCPCS
|
Gastro Procedure Physician 45385
|
13
|
9
|
$480.00
|
$240.00
50% off
|
$99.77
|
$728.00
|
$270.08
|
2024-10-24
|
|
74245TC
|
OTHER
|
Gi And Sbft
|
9
|
9
|
$1,238.00
|
$619.00
50% off
|
$254.78
|
$990.40
|
$267.52
|
2024-10-24
|
|
11406
|
HCPCS
|
Exc B9 Les Mrgn Xcp Sk Tg T/a/l Gt 4 Cm
|
9
|
9
|
$699.00
|
$349.50
50% off
|
$145.29
|
$699.00
|
$265.77
|
2024-10-24
|
|
20525
|
HCPCS
|
General Surgery Physician 20525
|
9
|
9
|
$383.00
|
$191.50
50% off
|
$79.61
|
$383.00
|
$264.53
|
2024-10-24
|
|
36430
|
HCPCS
|
Bb Blood Comp Admin Fee
|
9
|
9
|
$1,223.00
|
$611.50
50% off
|
$36.60
|
$531.94
|
$264.28
|
2024-10-24
|
|
52234
|
HCPCS
|
Urology Procedure Physician
|
9
|
9
|
$405.00
|
$202.50
50% off
|
$84.18
|
$405.00
|
$262.37
|
2024-10-24
|
|
12035
|
HCPCS
|
General Surgery Physician 12035
|
9
|
9
|
$410.00
|
$205.00
50% off
|
$85.22
|
$352.20
|
$257.30
|
2024-10-24
|
|
44401
|
HCPCS
|
Gastro Procedure Physician 44401
|
14
|
9
|
$458.00
|
$229.00
50% off
|
$95.20
|
$691.00
|
$257.30
|
2024-10-24
|
|
45379
|
HCPCS
|
Gastro Procedure Physician 45379
|
14
|
9
|
$351.00
|
$175.50
50% off
|
$72.96
|
$684.00
|
$253.43
|
2024-10-24
|
|
93975TC
|
OTHER
|
US Vascular Abdomen/pelvic/scrotum
|
9
|
9
|
$1,168.00
|
$584.00
50% off
|
$240.37
|
$934.40
|
$252.39
|
2024-10-24
|
|
74181TC
|
OTHER
|
MRI Abdomen Without
|
9
|
9
|
$1,168.00
|
$584.00
50% off
|
$240.37
|
$934.40
|
$252.39
|
2024-10-24
|
|
93880TC
|
OTHER
|
US Carotid Artery
|
9
|
9
|
$1,168.00
|
$584.00
50% off
|
$240.37
|
$934.40
|
$252.39
|
2024-10-24
|
|
93925TC
|
OTHER
|
US Leg Bilat Arterial
|
9
|
9
|
$1,168.00
|
$584.00
50% off
|
$240.37
|
$934.40
|
$252.39
|
2024-10-24
|
|
93930TC
|
OTHER
|
US Arm Bilat Arterial
|
9
|
9
|
$1,168.00
|
$584.00
50% off
|
$240.37
|
$934.40
|
$252.39
|
2024-10-24
|
|
93970TC
|
OTHER
|
US Arm Bilat Venous
|
9
|
9
|
$1,168.00
|
$584.00
50% off
|
$240.37
|
$934.40
|
$252.39
|
2024-10-24
|
|
45398
|
HCPCS
|
Gastro Procedure Physician 45398
|
9
|
9
|
$672.00
|
$336.00
50% off
|
$139.68
|
$672.00
|
$250.84
|
2024-10-24
|
|
9928425
|
OTHER
|
ER Visit Level 4
|
9
|
9
|
$1,145.00
|
$572.50
50% off
|
$235.64
|
$916.00
|
$247.42
|
2024-10-24
|
|
55250
|
HCPCS
|
Urology Procedure Physician 55250
|
9
|
9
|
$643.00
|
$321.50
50% off
|
$133.65
|
$643.00
|
$245.61
|
2024-10-24
|
|
45384
|
HCPCS
|
Gastro Procedure Physician 45384
|
9
|
9
|
$654.00
|
$327.00
50% off
|
$135.94
|
$654.00
|
$243.28
|
2024-10-24
|
|
V2632
|
HCPCS
|
Eye- Posterior Chamber Intraoccular Lens
|
9
|
9
|
$1,125.00
|
$562.50
50% off
|
$231.52
|
$900.00
|
$243.10
|
2024-10-24
|
|
4538559
|
OTHER
|
Gastro Procedure Physician 45385-59
|
13
|
9
|
$480.00
|
$240.00
50% off
|
$99.77
|
$582.40
|
$241.88
|
2024-10-24
|
|
11042
|
HCPCS
|
Debride, Subq Tissue 1st 20cm
|
9
|
9
|
$1,119.00
|
$559.50
50% off
|
$116.43
|
$1,302.89
|
$241.81
|
2024-10-24
|
|
19101
|
HCPCS
|
General Surg Procedure Physician 19101
|
9
|
9
|
$440.00
|
$220.00
50% off
|
$91.45
|
$440.00
|
$240.18
|
2024-10-24
|
|
44394
|
HCPCS
|
Gastro Procedure Physician 44394
|
9
|
9
|
$646.00
|
$323.00
50% off
|
$134.28
|
$646.00
|
$239.83
|
2024-10-24
|
|
43270
|
HCPCS
|
Gastro Procedure Physician 43270
|
14
|
9
|
$424.00
|
$212.00
50% off
|
$88.13
|
$640.00
|
$238.15
|
2024-10-24
|
|
81404
|
HCPCS
|
Beta Thalassemia: Hbb Full Gene Sequence
|
9
|
9
|
$1,102.00
|
$551.00
50% off
|
$226.79
|
$451.60
|
$238.13
|
2024-10-24
|
|
97598
|
HCPCS
|
Drebride Devitalized Tissue Eacn 20cm
|
9
|
9
|
$1,133.00
|
$566.50
50% off
|
$40.93
|
$463.78
|
$237.93
|
2024-10-24
|
|
J1447
|
HCPCS
|
Granix Subcutaneous Solution 300mcg/.5ml
|
9
|
9
|
$1,139.35
|
$569.68
50% off
|
$0.36
|
$307.17
|
$236.82
|
2024-10-24
|
|
97606
|
HCPCS
|
Npwt >or=50sqcm (wound Vac Appl)
|
9
|
9
|
$1,119.00
|
$559.50
50% off
|
$46.33
|
$518.48
|
$234.99
|
2024-10-24
|
|
J0885
|
HCPCS
|
Epoetin (procrit) 10,000un/ml 1ml Vial
|
9
|
9
|
$1,118.11
|
$559.06
50% off
|
$7.95
|
$301.44
|
$232.41
|
2024-10-24
|
|
70450TC
|
OTHER
|
CT Stroke Protocol Wo IV Contrast
|
9
|
9
|
$1,069.00
|
$534.50
50% off
|
$220.00
|
$855.20
|
$231.00
|
2024-10-24
|
|
72125TC
|
OTHER
|
CT C-spine Wo IV Contrast
|
9
|
9
|
$1,069.00
|
$534.50
50% off
|
$220.00
|
$855.20
|
$231.00
|
2024-10-24
|
|
70490TC
|
OTHER
|
CT Soft Tissue Neck Wo IV Contrast
|
9
|
9
|
$1,069.00
|
$534.50
50% off
|
$220.00
|
$855.20
|
$231.00
|
2024-10-24
|
|
74150TC
|
OTHER
|
CT Abdomen Wo IV With Oral Contrast
|
9
|
9
|
$1,069.00
|
$534.50
50% off
|
$220.00
|
$855.20
|
$231.00
|
2024-10-24
|
|
71250TC
|
OTHER
|
CT Chest Wo IV Contrast
|
9
|
9
|
$1,069.00
|
$534.50
50% off
|
$220.00
|
$855.20
|
$231.00
|
2024-10-24
|
|
73200LTTC
|
OTHER
|
CT Lt Upper Extremity Wo IV Contrast
|
9
|
9
|
$1,069.00
|
$534.50
50% off
|
$220.00
|
$855.20
|
$231.00
|
2024-10-24
|
|
70486TC
|
OTHER
|
CT Sinus Wo IV Contrast
|
9
|
9
|
$1,069.00
|
$534.50
50% off
|
$220.00
|
$855.20
|
$231.00
|
2024-10-24
|
|
73200RTTC
|
OTHER
|
CT Rt Upper Extremity Wo IV Contrast
|
9
|
9
|
$1,069.00
|
$534.50
50% off
|
$220.00
|
$855.20
|
$231.00
|
2024-10-24
|
|
73700RTTC
|
OTHER
|
CT Rt Lower Extremity Wo IV Contrast
|
9
|
9
|
$1,069.00
|
$534.50
50% off
|
$220.00
|
$855.20
|
$231.00
|
2024-10-24
|
|
72192TC
|
OTHER
|
CT Pelvic Wo IV With Oral Contrast
|
9
|
9
|
$1,069.00
|
$534.50
50% off
|
$220.00
|
$855.20
|
$231.00
|
2024-10-24
|
|
70480TC
|
OTHER
|
CT Orb/sella/iac Wo IV Contrast
|
9
|
9
|
$1,069.00
|
$534.50
50% off
|
$220.00
|
$855.20
|
$231.00
|
2024-10-24
|
|
73700LTTC
|
OTHER
|
CT Lt Lower Extremity Wo IV Contrast
|
9
|
9
|
$1,069.00
|
$534.50
50% off
|
$220.00
|
$855.20
|
$231.00
|
2024-10-24
|
|
72128TC
|
OTHER
|
CT T-spine Wo IV Contrast
|
9
|
9
|
$1,069.00
|
$534.50
50% off
|
$220.00
|
$855.20
|
$231.00
|
2024-10-24
|
|
72131TC
|
OTHER
|
CT L-spine Wo IV Contrast
|
9
|
9
|
$1,069.00
|
$534.50
50% off
|
$220.00
|
$855.20
|
$231.00
|
2024-10-24
|
|
81170
|
HCPCS
|
Abl Kinase Domain Mutation Analysis
|
9
|
9
|
$1,057.00
|
$528.50
50% off
|
$217.53
|
$541.46
|
$228.41
|
2024-10-24
|
|
44369
|
HCPCS
|
Gastro Procedure Physician 44369
|
13
|
9
|
$646.00
|
$323.00
50% off
|
$134.28
|
$701.00
|
$226.59
|
2024-10-24
|
|
43244
|
HCPCS
|
Gastro Procedure Physician 43244
|
13
|
9
|
$463.00
|
$231.50
50% off
|
$96.24
|
$700.00
|
$226.26
|
2024-10-24
|
|
45386
|
HCPCS
|
Gastro Procedure Physician 45386
|
9
|
9
|
$603.00
|
$301.50
50% off
|
$125.34
|
$603.00
|
$225.22
|
2024-10-24
|
|
52260
|
HCPCS
|
Urology Procedure Physician 52260
|
9
|
9
|
$350.00
|
$175.00
50% off
|
$72.76
|
$350.00
|
$224.93
|
2024-10-24
|
|
99236
|
HCPCS
|
A/d Ob/ip Same Day High
|
9
|
9
|
$605.00
|
$302.50
50% off
|
$125.75
|
$484.00
|
$224.66
|
2024-10-24
|
|
43246
|
HCPCS
|
Gastro Procedure Physician 43246
|
21
|
9
|
$573.00
|
$286.50
50% off
|
$78.78
|
$9,706.42
|
$224.31
|
2024-10-24
|
|
44390
|
HCPCS
|
Gastro Procedure Physician 44390
|
13
|
9
|
$398.00
|
$199.00
50% off
|
$82.73
|
$599.00
|
$223.28
|
2024-10-24
|
|
44372
|
HCPCS
|
Gastro Procedure Physician 44372
|
13
|
9
|
$452.00
|
$226.00
50% off
|
$93.95
|
$685.00
|
$221.44
|
2024-10-24
|
|
44366
|
HCPCS
|
Endoscopy Physician 44366
|
13
|
9
|
$453.00
|
$226.50
50% off
|
$94.16
|
$683.00
|
$221.21
|
2024-10-24
|
|
5231059
|
OTHER
|
Urology Procedure Physician 52310-59
|
9
|
9
|
$431.00
|
$215.50
50% off
|
$89.59
|
$344.80
|
$217.19
|
2024-10-24
|
|
93320TC
|
OTHER
|
US Doppler
|
9
|
9
|
$997.00
|
$498.50
50% off
|
$205.18
|
$797.60
|
$215.44
|
2024-10-24
|
|
46221
|
HCPCS
|
General Surgery Physician
|
9
|
9
|
$882.00
|
$441.00
50% off
|
$183.33
|
$511.91
|
$213.74
|
2024-10-24
|
|
4327059
|
OTHER
|
Gastro Procedure Physician
|
13
|
9
|
$424.00
|
$212.00
50% off
|
$88.13
|
$512.00
|
$213.66
|
2024-10-24
|
|
44392
|
HCPCS
|
Gastro Procedure Physician 44392
|
13
|
9
|
$376.00
|
$188.00
50% off
|
$78.16
|
$569.00
|
$213.37
|
2024-10-24
|
|
45380
|
HCPCS
|
Gastro Procedure Physician 45380
|
14
|
9
|
$380.00
|
$190.00
50% off
|
$78.99
|
$572.00
|
$213.22
|
2024-10-24
|
|
45381
|
HCPCS
|
Gastro Procedure Physician 45381
|
14
|
9
|
$380.00
|
$190.00
50% off
|
$78.99
|
$572.00
|
$212.90
|
2024-10-24
|
|
43255
|
HCPCS
|
Gastro Procedure Physician 43255
|
14
|
9
|
$379.00
|
$189.50
50% off
|
$78.78
|
$573.00
|
$212.45
|
2024-10-24
|
|
54161
|
HCPCS
|
Urology Procedure Physician 54161
|
9
|
9
|
$561.00
|
$280.50
50% off
|
$116.61
|
$561.00
|
$212.00
|
2024-10-24
|
|
12052
|
HCPCS
|
General Surgery Physician 12052
|
9
|
9
|
$661.00
|
$330.50
50% off
|
$137.40
|
$553.59
|
$211.44
|
2024-10-24
|
|
87507
|
HCPCS
|
Gastrointestinal Panel, Stool Pcr
|
9
|
9
|
$975.00
|
$487.50
50% off
|
$200.66
|
$931.99
|
$210.69
|
2024-10-24
|
|
95819
|
HCPCS
|
Electroencephalogram
|
9
|
9
|
$840.00
|
$420.00
50% off
|
$172.87
|
$3,333.55
|
$208.97
|
2024-10-24
|
|
43251
|
HCPCS
|
Gastro Procedure Physician 43251
|
9
|
9
|
$559.00
|
$279.50
50% off
|
$116.19
|
$559.00
|
$208.11
|
2024-10-24
|
|
70544TC
|
OTHER
|
MRA Head Without Contrast
|
9
|
9
|
$934.00
|
$467.00
50% off
|
$192.22
|
$747.20
|
$201.83
|
2024-10-24
|
|
74455TC
|
OTHER
|
Cystogram Voiding
|
9
|
9
|
$934.00
|
$467.00
50% off
|
$192.22
|
$747.20
|
$201.83
|
2024-10-24
|
|
74740TC
|
OTHER
|
Hysterosalpingography
|
9
|
9
|
$934.00
|
$467.00
50% off
|
$192.22
|
$747.20
|
$201.83
|
2024-10-24
|
|
76000TC
|
OTHER
|
Chest Fluoro
|
9
|
9
|
$934.00
|
$467.00
50% off
|
$192.22
|
$747.20
|
$201.83
|
2024-10-24
|
|
36590
|
HCPCS
|
Removal Cent Ven Cath W Port
|
9
|
9
|
$542.00
|
$271.00
50% off
|
$112.66
|
$542.00
|
$201.64
|
2024-10-24
|
|
12032
|
HCPCS
|
General Surgery Physician 12032
|
9
|
9
|
$207.00
|
$103.50
50% off
|
$43.02
|
$210.78
|
$200.74
|
2024-10-24
|
|
87522
|
HCPCS
|
Hepatitis C Quantitative Real Time Pcr
|
19
|
9
|
$972.50
|
$486.25
50% off
|
$41.98
|
$266.01
|
$200.15
|
2024-10-24
|
|
92950
|
HCPCS
|
Cardiopulmonary Resuscitation
|
16
|
9
|
$537.00
|
$268.50
50% off
|
$111.62
|
$2,485.65
|
$198.18
|
2024-10-24
|
|
99205
|
HCPCS
|
New Comp-high 99205
|
18
|
9
|
$751.00
|
$375.50
50% off
|
$57.00
|
$1,539.01
|
$197.79
|
2024-10-24
|
|
7417426
|
OTHER
|
Prof CTA Abd/pelv With IV No Oral
|
9
|
9
|
$390.00
|
$195.00
50% off
|
$81.07
|
$312.00
|
$196.53
|
2024-10-24
|
|
90670
|
HCPCS
|
Pnuemococcal Vacc 13 Valent IM
|
18
|
9
|
$599.67
|
$299.84
50% off
|
$51.45
|
$276.14
|
$196.34
|
2024-10-24
|
|
45378
|
HCPCS
|
Gastro Procedure Physician 45378
|
14
|
9
|
$351.00
|
$175.50
50% off
|
$54.66
|
$351.00
|
$196.26
|
2024-10-24
|
|
10121
|
HCPCS
|
General Surgery Physician 10121
|
9
|
9
|
$310.00
|
$155.00
50% off
|
$64.44
|
$310.00
|
$196.19
|
2024-10-24
|
|
7049826
|
OTHER
|
Prof CTA Neck With IV Wo Oral Contrast
|
9
|
9
|
$389.00
|
$194.50
50% off
|
$80.86
|
$311.20
|
$196.03
|
2024-10-24
|
|
7049626
|
OTHER
|
Prof CTA Head With IV Contrast
|
9
|
9
|
$389.00
|
$194.50
50% off
|
$80.86
|
$311.20
|
$196.03
|
2024-10-24
|
|
7127526
|
OTHER
|
Prof CTA Thoracic(aorta) With IV Wo Oral
|
9
|
9
|
$389.00
|
$194.50
50% off
|
$80.86
|
$311.20
|
$196.03
|
2024-10-24
|
|
7320626
|
OTHER
|
Prof CTA Extremity With IV Wo Oral
|
9
|
9
|
$389.00
|
$194.50
50% off
|
$80.86
|
$311.20
|
$196.03
|
2024-10-24
|
|
7417526
|
OTHER
|
Prof CTA Abdomen With IV Contrast Wo Or
|
9
|
9
|
$389.00
|
$194.50
50% off
|
$80.86
|
$311.20
|
$196.03
|
2024-10-24
|
|
10061
|
HCPCS
|
General Surgery Physician 10061
|
9
|
9
|
$305.00
|
$152.50
50% off
|
$63.40
|
$305.00
|
$195.90
|
2024-10-24
|
|
99306
|
HCPCS
|
Inpatient Extended Admit
|
9
|
9
|
$468.00
|
$234.00
50% off
|
$97.27
|
$374.40
|
$195.64
|
2024-10-24
|
|
11443
|
HCPCS
|
General Surg Procedure Physician 11443
|
9
|
9
|
—
|
—
|
$190.14
|
$199.65
|
$194.90
|
2024-10-24
|
|
44405
|
HCPCS
|
Gastro Procedure Physician 44405
|
14
|
9
|
$346.00
|
$173.00
50% off
|
$71.92
|
$522.00
|
$194.70
|
2024-10-24
|
|
28820
|
HCPCS
|
General Surgery Physician 28820
|
9
|
9
|
$563.00
|
$281.50
50% off
|
$117.02
|
$563.00
|
$192.39
|
2024-10-24
|
|
4538059
|
OTHER
|
Gastro Procedure Physician 4538059
|
13
|
9
|
$380.00
|
$190.00
50% off
|
$78.99
|
$457.60
|
$191.50
|
2024-10-24
|
|
4538159
|
OTHER
|
Gastro Procedure Physician 45381-59
|
13
|
9
|
$380.00
|
$190.00
50% off
|
$78.99
|
$457.60
|
$191.50
|
2024-10-24
|
|
99285
|
HCPCS
|
ER Department Visit High Mdm
|
9
|
9
|
$518.00
|
$259.00
50% off
|
$107.67
|
$444.16
|
$191.31
|
2024-10-24
|
|
10180
|
HCPCS
|
General Surgery Physician 10180
|
9
|
9
|
$302.00
|
$151.00
50% off
|
$62.77
|
$241.60
|
$190.34
|
2024-10-24
|
|
5200559
|
OTHER
|
Urology Procedure Physician 52005-59
|
9
|
9
|
$376.00
|
$188.00
50% off
|
$78.16
|
$300.80
|
$189.48
|
2024-10-24
|
|
88361TC
|
OTHER
|
CPT 88361-tc
|
9
|
9
|
$874.00
|
$437.00
50% off
|
$179.87
|
$699.20
|
$188.87
|
2024-10-24
|
|
88344TC
|
OTHER
|
Ihc,per Specimen, Multiplex CPT 88344-t
|
9
|
9
|
$874.00
|
$437.00
50% off
|
$179.87
|
$699.20
|
$188.87
|
2024-10-24
|
|
44364
|
HCPCS
|
Gastro Procedure Physician 44364
|
13
|
9
|
$386.00
|
$193.00
50% off
|
$80.23
|
$583.00
|
$188.49
|
2024-10-24
|
|
43247
|
HCPCS
|
Gastro Procedure Physician 43247
|
14
|
9
|
$335.00
|
$167.50
50% off
|
$69.63
|
$505.00
|
$187.92
|
2024-10-24
|
|
90792
|
HCPCS
|
Initial Visit
|
9
|
9
|
$513.00
|
$256.50
50% off
|
$106.63
|
$410.40
|
$187.11
|
2024-10-24
|
|
43245
|
HCPCS
|
Egd Dilat Gastr Out
|
9
|
9
|
$501.00
|
$250.50
50% off
|
$104.13
|
$501.00
|
$186.94
|
2024-10-24
|
|
99223
|
HCPCS
|
Initial Care High
|
9
|
9
|
$565.00
|
$282.50
50% off
|
$117.44
|
$452.00
|
$186.49
|
2024-10-24
|
|
7219426
|
OTHER
|
Prof CT Pelvic W/wo IV With Oral Contra
|
9
|
9
|
$368.00
|
$184.00
50% off
|
$76.49
|
$294.40
|
$185.44
|
2024-10-24
|
|
7047026
|
OTHER
|
Prof CT Head W/wo IV Contrast
|
9
|
9
|
$368.00
|
$184.00
50% off
|
$76.49
|
$294.40
|
$185.44
|
2024-10-24
|
|
99220
|
HCPCS
|
Observation Visit High
|
8
|
8
|
$511.00
|
$255.50
50% off
|
$106.21
|
$207.73
|
$184.94
|
2024-10-24
|
|
10081
|
HCPCS
|
General Surgery Physician 10081
|
9
|
9
|
$580.00
|
$290.00
50% off
|
$120.56
|
$464.00
|
$183.15
|
2024-10-24
|
|
44389
|
HCPCS
|
Gastro Procedure Physician 44389
|
9
|
9
|
$490.00
|
$245.00
50% off
|
$101.85
|
$490.00
|
$182.56
|
2024-10-24
|
|
44404
|
HCPCS
|
Gastro Procedure Physician 44404
|
9
|
9
|
$491.00
|
$245.50
50% off
|
$102.06
|
$491.00
|
$182.56
|
2024-10-24
|
|
93017
|
HCPCS
|
Evaluation Stress
|
9
|
9
|
$840.00
|
$420.00
50% off
|
$32.55
|
$292.01
|
$181.52
|
2024-10-24
|
|
43250
|
HCPCS
|
Gastro Procedure Physician 43250
|
14
|
9
|
$324.00
|
$162.00
50% off
|
$67.35
|
$485.00
|
$181.13
|
2024-10-24
|
|
J0348
|
HCPCS
|
Anidulafungin (eraxis) 100mg Vial
|
9
|
9
|
$870.50
|
$435.25
50% off
|
$0.60
|
$234.69
|
$180.94
|
2024-10-24
|
|
G0438
|
HCPCS
|
Mcr Awv Initial
|
9
|
9
|
—
|
—
|
$176.51
|
$185.34
|
$180.93
|
2024-10-24
|
|
11041
|
HCPCS
|
Debride Skin Full
|
9
|
9
|
$834.00
|
$417.00
50% off
|
$171.64
|
$667.20
|
$180.22
|
2024-10-24
|
|
11040
|
HCPCS
|
Debride Skin, Partial
|
9
|
9
|
$834.00
|
$417.00
50% off
|
$171.64
|
$667.20
|
$180.22
|
2024-10-24
|
|
J0132
|
HCPCS
|
Acetylcysteine 6gm/30ml IV
|
9
|
9
|
$857.28
|
$428.64
50% off
|
$0.67
|
$231.12
|
$178.19
|
2024-10-24
|
|
J2248
|
HCPCS
|
Mycamine (micafungin) 100mg Vial
|
9
|
9
|
$852.72
|
$426.36
50% off
|
$0.78
|
$229.89
|
$177.24
|
2024-10-24
|
|
4537859
|
OTHER
|
Gastro Procedure Physician 45378-59
|
13
|
9
|
$351.00
|
$175.50
50% off
|
$54.66
|
$280.80
|
$176.88
|
2024-10-24
|
|
44363
|
HCPCS
|
Gastro Procedure Physician 44363
|
13
|
9
|
$362.00
|
$181.00
50% off
|
$75.24
|
$547.00
|
$176.86
|
2024-10-24
|
|
44373
|
HCPCS
|
Gastro Procedure Physician 44373
|
13
|
9
|
$363.00
|
$181.50
50% off
|
$75.45
|
$547.00
|
$176.66
|
2024-10-24
|
|
43248
|
HCPCS
|
Gastro Procedure Physician 43248
|
14
|
9
|
$314.00
|
$157.00
50% off
|
$65.27
|
$473.00
|
$176.64
|
2024-10-24
|