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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

Encompass Health Rehab Hospital Of Salisbury

Salisbury, MD · CCN 213028 · Rates published

1,076 distinct procedures filed
3 distinct payers
3,327 rate rows
2026-01-01 last MRF observed
Data quality

3,312 of 3,327 rate rows are consumer-grade (99.5%)

15 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
placeholder amount (≤ $0.02) — excluded from medians 15
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://edge.sitecorecloud.io/encompasshee178-encompasshed9db-prodb258-07da/media/Project/EncompassHealth/encompasshealth/Files/1-price-transparency/232655290_Encompass-Health-Rehabilitation-Hospital-of-Salisbury_standardcharges.csv
Found on page https://www.encompasshealth.com/locations/salisbury-rehab/financial-information/price-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-01
Content fingerprint 8eb70f229214e8e0… · 10,554,181 bytes · first seen 2026-05-17

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
L5701
HCPCS 		Replace Socket Above Knee 3 $4,839.25 $5,211.50 $5,062.60 nat. median
$4,549
1.1× median
L5649
HCPCS 		Isch Containmt/narrow M-i So 3 $4,106.05 $4,421.90 $4,295.56 nat. median
$2,968
1.4× median
81408
CDM 		Mopath Procedure Level 9 3 $4,017.00 $4,326.00 $4,202.40 nat. median
$4,326
1.0× median
L2036
HCPCS 		Kafo Plas Doub Free Knee Mol 3 $3,825.25 $4,119.50 $4,001.80 nat. median
$2,509
1.6× median
L0486
HCPCS 		Tlso Rigid Lined Cust Fab Two 3 $3,799.90 $4,092.20 $3,975.28 nat. median
$2,644
1.5× median
L0484
HCPCS 		Tlso Rigid Plastic Cust Fab 3 $3,571.75 $3,846.50 $3,736.60 nat. median
$2,351
1.6× median
750
CDM 		Os Gastro Intestinal Service 3 $3,513.25 $3,783.50 $3,675.40 nat. median
$3,784
1.0× median
49440
CDM 		G Tube Insertion W/guidance 3 $3,037.45 $3,271.10 $3,177.64 nat. median
$3,271
1.0× median
L4631
HCPCS 		Afo, Walking Boot, Custom 3 $3,034.85 $3,268.30 $3,174.92 nat. median
$1,951
1.6× median
L0464
HCPCS 		Tlso 4mod Sacro-scap Pre 3 $2,863.25 $3,083.50 $2,995.40 nat. median
$1,789
1.7× median
L5651
HCPCS 		Ak Flex Inner Sicket Ext Fra 3 $2,601.95 $2,802.10 $2,722.04 nat. median
$1,774
1.5× median
77301
CDM 		Radiation Imr Plan 3 $2,461.55 $2,650.90 $2,575.16 nat. median
$2,651
1.0× median
L2020
HCPCS 		Kafo Dbl Solid Stirrup Band/ 3 $2,406.30 $2,591.40 $2,517.36 nat. median
$1,454
1.7× median
99283
CDM 		Emergency Room-moderate 3 $2,374.45 $2,557.10 $2,484.04 nat. median
$2,557
1.0× median
L0650
HCPCS 		Lso Sc R Ant/pos Pnl Pre Ots 3 $2,288.65 $2,464.70 $2,394.28 nat. median
$948
outlier · 2.5×
L0637
HCPCS 		Lso Sag-coronal Panel Prefab 3 $2,288.65 $2,464.70 $2,394.28 nat. median
$1,524
1.6× median
70553
CDM 		MRI Brain With + Without Contrast 3 $2,189.85 $2,358.30 $2,290.92 nat. median
$1,325
1.7× median
72158
CDM 		MRI Spine Lumbar With + Without Cont 3 $2,189.85 $2,358.30 $2,290.92 nat. median
$1,325
1.7× median
72156
CDM 		MRI Spine Cervical With + Without Co 3 $2,043.60 $2,200.80 $2,137.92 nat. median
$1,325
1.6× median
73222
CDM 		MRI Upper Extrem W Contrast 3 $2,029.95 $2,186.10 $2,123.64 nat. median
$1,906
1.1× median
73722
CDM 		MRI Lower Extrem Jnt W Contras 3 $2,029.95 $2,186.10 $2,123.64 nat. median
$1,906
1.1× median
49083
CDM 		US Guided Paracentesis 3 $2,020.20 $2,175.60 $2,113.44 nat. median
$2,176
1.0× median
L0640
HCPCS 		Lso S/c Shell/panel Custom 3 $2,015.65 $2,170.70 $2,108.68 nat. median
$1,331
1.6× median
L0648
HCPCS 		Lso Sag R An/pos Pnl Pre Ots 3 $1,977.95 $2,130.10 $2,069.24 nat. median
$790
outlier · 2.6×
L0631
HCPCS 		Lso Sag-coro Rigid Frame Prefb 3 $1,977.95 $2,130.10 $2,069.24 nat. median
$1,262
1.6× median
74230
CDM 		Videofluoroscopic Swallow Stud 3 $1,973.40 $2,125.20 $2,064.48 nat. median
$986
outlier · 2.1×
L0460
HCPCS 		Tlso 2mod Symphsis-stern Pre 3 $1,933.75 $2,082.50 $2,023.00 nat. median
$1,258
1.6× median
L1945
HCPCS 		Afo Molded Plas Rig Ant Tib 3 $1,931.80 $2,080.40 $2,020.96 nat. median
$1,305
1.5× median
L0457
HCPCS 		Tlso Flex Trnk Sj-ss Pre Ots 3 $1,915.55 $2,062.90 $2,003.96 nat. median
$840
outlier · 2.4×
L0456
HCPCS 		Tlso Flex Prefab 3 $1,915.55 $2,062.90 $2,003.96 nat. median
$1,215
1.6× median
610
CDM 		MRI Chest With Contrast 3 $1,912.95 $2,060.10 $2,001.24 nat. median
$2,060
1.0× median
L1686
HCPCS 		Ho Post-op Hip Abduction Prefb 3 $1,898.65 $2,044.70 $1,986.28 nat. median
$1,338
1.5× median
L3905
HCPCS 		Who W/nontorsion Jnt(s) Cf 3 $1,738.10 $1,871.80 $1,818.32 nat. median
$1,110
1.6× median
L1843
HCPCS 		Ko Single Upright Custom Fit 3 $1,728.35 $1,861.30 $1,808.12 nat. median
$1,109
1.6× median
L1932
HCPCS 		Afo Rig Ant Tib Prefab Tcf/= 3 $1,718.60 $1,850.80 $1,797.92 nat. median
$1,169
1.5× median
L0458
HCPCS 		Tlso 2mod Symphis-xipho Pre 3 $1,717.95 $1,850.10 $1,797.24 nat. median
$1,130
1.6× median
81407
CDM 		Mopath Procedure Level 8 3 $1,700.40 $1,831.20 $1,778.88 nat. median
$1,831
1.0× median
L5950
HCPCS 		Endo Ak Ultra-light Material 3 $1,656.85 $1,784.30 $1,733.32 nat. median
$1,152
1.5× median
L1845
HCPCS 		Ko W/adj Flex/ext Rotat Cus 3 $1,648.40 $1,775.20 $1,724.48 nat. median
$1,010
1.7× median
L1951
HCPCS 		Afo Spiral Prefabricated 3 $1,617.85 $1,742.30 $1,692.52 nat. median
$1,192
1.4× median
70551
CDM 		MRI Brain Without Contrast 3 $1,599.00 $1,722.00 $1,672.80 nat. median
$1,003
1.7× median
51710
CDM 		Bladder Tube Change 3 $1,573.00 $1,694.00 $1,645.60 nat. median
$1,694
1.0× median
72148
CDM 		MRI Spine Lumbar Without Contrast 3 $1,556.10 $1,675.80 $1,627.92 nat. median
$1,146
1.4× median
L2510
HCPCS 		Th/wght Bear Quad-lat Brim M 3 $1,504.10 $1,619.80 $1,573.52 nat. median
$991
1.6× median
74182
CDM 		MRI Abdomen W Contrast 3 $1,476.80 $1,590.40 $1,544.96 nat. median
$1,456
1.1× median
72196
CDM 		MRI Pelvis W Contrast 3 $1,476.80 $1,590.40 $1,544.96 nat. median
$1,324
1.2× median
73719
CDM 		MRI Lower Extrem Non Jnt W Con 3 $1,476.80 $1,590.40 $1,544.96 nat. median
$1,300
1.2× median
72197
CDM 		MRI Pelvis W + Without Contrast 3 $1,476.80 $1,590.40 $1,544.96 nat. median
$1,324
1.2× median
74183
CDM 		MRI Abdomen W + Without Contrast 3 $1,476.80 $1,590.40 $1,544.96 nat. median
$1,352
1.1× median
70552
CDM 		MRI Brain W Contrast 3 $1,476.80 $1,590.40 $1,544.96 nat. median
$1,324
1.2× median

Other procedures at this hospital

Browse this hospital's 1,076 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
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
             
49083 CDM US Guided Paracentesis 3 3 $3,108.00 $2,331.00 25% off $2,020.20 $2,175.60 $2,113.44 2026-01-01
49440 CDM G Tube Insertion W/guidance 3 3 $4,673.00 $3,504.75 25% off $3,037.45 $3,271.10 $3,177.64 2026-01-01
51710 CDM Bladder Tube Change 3 3 $2,420.00 $1,815.00 25% off $1,573.00 $1,694.00 $1,645.60 2026-01-01
610 CDM MRI Chest With Contrast 3 3 $2,943.00 $2,207.25 25% off $1,912.95 $2,060.10 $2,001.24 2026-01-01
70450 CDM CT Head Or Brain Without Contrast 3 3 $1,437.00 $1,077.75 25% off $934.05 $1,005.90 $977.16 2026-01-01
70460 CDM CT Head Or Brain With Contrast 3 3 $1,704.00 $1,278.00 25% off $1,107.60 $1,192.80 $1,158.72 2026-01-01
70470 CDM CT Head Or Brain With + Without Cont 3 3 $1,649.00 $1,236.75 25% off $1,071.85 $1,154.30 $1,121.32 2026-01-01
70486 CDM CT Maxillofacial Without Contrast 3 3 $1,504.00 $1,128.00 25% off $977.60 $1,052.80 $1,022.72 2026-01-01
70487 CDM CT Maxillofacial W Contrast 3 3 $1,704.00 $1,278.00 25% off $1,107.60 $1,192.80 $1,158.72 2026-01-01
70488 CDM CT Maxillofacial W + Without Contr 3 3 $1,704.00 $1,278.00 25% off $1,107.60 $1,192.80 $1,158.72 2026-01-01
70490 CDM CT Soft Tissue Neck Without Contra 3 3 $1,504.00 $1,128.00 25% off $977.60 $1,052.80 $1,022.72 2026-01-01
70491 CDM CT Soft Tissue Neck W/contrast 3 3 $1,704.00 $1,278.00 25% off $1,107.60 $1,192.80 $1,158.72 2026-01-01
70492 CDM CT Soft Tissue Neck W/+without Con 3 3 $1,704.00 $1,278.00 25% off $1,107.60 $1,192.80 $1,158.72 2026-01-01
70496 CDM CT Angiography Head 3 3 $1,704.00 $1,278.00 25% off $1,107.60 $1,192.80 $1,158.72 2026-01-01
70498 CDM CT Angiography Neck 3 3 $1,704.00 $1,278.00 25% off $1,107.60 $1,192.80 $1,158.72 2026-01-01
70540 CDM MRI Face Neck Orbit Without Contra 3 3 $1,849.00 $1,386.75 25% off $1,201.85 $1,294.30 $1,257.32 2026-01-01
70542 CDM MRI Face Neck Orbit W Contrast 3 3 $2,272.00 $1,704.00 25% off $1,476.80 $1,590.40 $1,544.96 2026-01-01
70543 CDM MRI Face Neck Orbit W + Without Co 3 3 $2,272.00 $1,704.00 25% off $1,476.80 $1,590.40 $1,544.96 2026-01-01
70544 CDM MRA Head Without Contrast 3 3 $1,849.00 $1,386.75 25% off $1,201.85 $1,294.30 $1,257.32 2026-01-01
70545 CDM MRA Head W Contrast 3 3 $2,272.00 $1,704.00 25% off $1,476.80 $1,590.40 $1,544.96 2026-01-01
70546 CDM MRA Head W + Without Contrast 3 3 $2,272.00 $1,704.00 25% off $1,476.80 $1,590.40 $1,544.96 2026-01-01
70547 CDM MRA Neck Without Contrast 3 3 $1,849.00 $1,386.75 25% off $1,201.85 $1,294.30 $1,257.32 2026-01-01
70548 CDM MRA Neck W Contrast 3 3 $2,272.00 $1,704.00 25% off $1,476.80 $1,590.40 $1,544.96 2026-01-01
70549 CDM MRA Neck W + Without Contrast 3 3 $2,272.00 $1,704.00 25% off $1,476.80 $1,590.40 $1,544.96 2026-01-01
70551 CDM MRI Brain Without Contrast 3 3 $2,460.00 $1,845.00 25% off $1,599.00 $1,722.00 $1,672.80 2026-01-01
70552 CDM MRI Brain W Contrast 3 3 $2,272.00 $1,704.00 25% off $1,476.80 $1,590.40 $1,544.96 2026-01-01
70553 CDM MRI Brain With + Without Contrast 3 3 $3,369.00 $2,526.75 25% off $2,189.85 $2,358.30 $2,290.92 2026-01-01
71250 CDM CT Thorax Without Contrast 3 3 $1,602.00 $1,201.50 25% off $1,041.30 $1,121.40 $1,089.36 2026-01-01
71260 CDM CT Thorax With Contrast 3 3 $1,669.00 $1,251.75 25% off $1,084.85 $1,168.30 $1,134.92 2026-01-01
71270 CDM CT Thorax With + Without Contrast 3 3 $2,009.00 $1,506.75 25% off $1,305.85 $1,406.30 $1,366.12 2026-01-01
71275 CDM CT Angiography Chest With Contra 3 3 $2,130.00 $1,597.50 25% off $1,384.50 $1,491.00 $1,448.40 2026-01-01
72125 CDM CT Spine Cervical Without Contrast 3 3 $1,674.00 $1,255.50 25% off $1,088.10 $1,171.80 $1,138.32 2026-01-01
72126 CDM CT Spine Cervical With Contrast 3 3 $1,896.00 $1,422.00 25% off $1,232.40 $1,327.20 $1,289.28 2026-01-01
72128 CDM CT Spine Thoracic Without Contrast 3 3 $1,602.00 $1,201.50 25% off $1,041.30 $1,121.40 $1,089.36 2026-01-01
72131 CDM CT Spine Lumbar Without Contrast 3 3 $1,674.00 $1,255.50 25% off $1,088.10 $1,171.80 $1,138.32 2026-01-01
72132 CDM CT Spine Lumbar With Contrast 3 3 $1,855.00 $1,391.25 25% off $1,205.75 $1,298.50 $1,261.40 2026-01-01
72141 CDM MRI Spine Cervical Without Contras 3 3 $1,970.00 $1,477.50 25% off $1,280.50 $1,379.00 $1,339.60 2026-01-01
72142 CDM MRI Spine Cervical With Contrast 3 3 $1,855.00 $1,391.25 25% off $1,205.75 $1,298.50 $1,261.40 2026-01-01
72146 CDM MRI Spine Thoracic Without Contras 3 3 $2,268.00 $1,701.00 25% off $1,474.20 $1,587.60 $1,542.24 2026-01-01
72147 CDM MRI Spine Thoracic With Contrast 3 3 $1,896.00 $1,422.00 25% off $1,232.40 $1,327.20 $1,289.28 2026-01-01
72148 CDM MRI Spine Lumbar Without Contrast 3 3 $2,394.00 $1,795.50 25% off $1,556.10 $1,675.80 $1,627.92 2026-01-01
72149 CDM MRI Spine Lumbar With Contrast 3 3 $2,272.00 $1,704.00 25% off $1,476.80 $1,590.40 $1,544.96 2026-01-01
72156 CDM MRI Spine Cervical With + Without Co 3 3 $3,144.00 $2,358.00 25% off $2,043.60 $2,200.80 $2,137.92 2026-01-01
72157 CDM MRI Spine Thoracic With + Without Co 3 3 $1,855.00 $1,391.25 25% off $1,205.75 $1,298.50 $1,261.40 2026-01-01
72158 CDM MRI Spine Lumbar With + Without Cont 3 3 $3,369.00 $2,526.75 25% off $2,189.85 $2,358.30 $2,290.92 2026-01-01
72192 CDM CT Pelvis Without Contrast 3 3 $1,591.00 $1,193.25 25% off $1,034.15 $1,113.70 $1,081.88 2026-01-01
72193 CDM CT Pelvis With Contrast 3 3 $1,668.00 $1,251.00 25% off $1,084.20 $1,167.60 $1,134.24 2026-01-01
72194 CDM CT Pelvis With + Without Contrast 3 3 $1,704.00 $1,278.00 25% off $1,107.60 $1,192.80 $1,158.72 2026-01-01
72195 CDM MRI Pelvis Without Contrast 3 3 $1,849.00 $1,386.75 25% off $1,201.85 $1,294.30 $1,257.32 2026-01-01
72196 CDM MRI Pelvis W Contrast 3 3 $2,272.00 $1,704.00 25% off $1,476.80 $1,590.40 $1,544.96 2026-01-01
72197 CDM MRI Pelvis W + Without Contrast 3 3 $2,272.00 $1,704.00 25% off $1,476.80 $1,590.40 $1,544.96 2026-01-01
73200 CDM CT Upper Extrem Without Contrast 3 3 $1,504.00 $1,128.00 25% off $977.60 $1,052.80 $1,022.72 2026-01-01
73201 CDM CT Upper Extrem W Contrast 3 3 $2,272.00 $1,704.00 25% off $1,476.80 $1,590.40 $1,544.96 2026-01-01
73202 CDM CT Upper Extrem W/+without Contras 3 3 $1,704.00 $1,278.00 25% off $1,107.60 $1,192.80 $1,158.72 2026-01-01
73206 CDM CT Angiography Upper Extremity 3 3 $1,704.00 $1,278.00 25% off $1,107.60 $1,192.80 $1,158.72 2026-01-01
73221 CDM MRI Upper Extrem Without Contrast 3 3 $1,849.00 $1,386.75 25% off $1,201.85 $1,294.30 $1,257.32 2026-01-01
73222 CDM MRI Upper Extrem W Contrast 3 3 $3,123.00 $2,342.25 25% off $2,029.95 $2,186.10 $2,123.64 2026-01-01
73223 CDM MRI Upper Extrem W/+without Contra 3 3 $2,272.00 $1,704.00 25% off $1,476.80 $1,590.40 $1,544.96 2026-01-01
73700 CDM CT Lower Extrem Without Contrast 3 3 $1,504.00 $1,128.00 25% off $977.60 $1,052.80 $1,022.72 2026-01-01
73701 CDM CT Lower Extrem W Contrast 3 3 $1,704.00 $1,278.00 25% off $1,107.60 $1,192.80 $1,158.72 2026-01-01
73702 CDM CT Lower Extrem W/+without Contras 3 3 $1,704.00 $1,278.00 25% off $1,107.60 $1,192.80 $1,158.72 2026-01-01
73706 CDM CT Angiography Lower Extremity 3 3 $1,704.00 $1,278.00 25% off $1,107.60 $1,192.80 $1,158.72 2026-01-01
73718 CDM MRI Lower Extrem Non Jnt Without C 3 3 $1,849.00 $1,386.75 25% off $1,201.85 $1,294.30 $1,257.32 2026-01-01
73719 CDM MRI Lower Extrem Non Jnt W Con 3 3 $2,272.00 $1,704.00 25% off $1,476.80 $1,590.40 $1,544.96 2026-01-01
73720 CDM MRI Lower Extrem Non Jnt W/+with 3 3 $2,272.00 $1,704.00 25% off $1,476.80 $1,590.40 $1,544.96 2026-01-01
73721 CDM MRI Lower Extrem Jnt Without Contr 3 3 $1,849.00 $1,386.75 25% off $1,201.85 $1,294.30 $1,257.32 2026-01-01
73722 CDM MRI Lower Extrem Jnt W Contras 3 3 $3,123.00 $2,342.25 25% off $2,029.95 $2,186.10 $2,123.64 2026-01-01
73723 CDM MRI Lower Extrem Jnt W/+without Co 3 3 $2,272.00 $1,704.00 25% off $1,476.80 $1,590.40 $1,544.96 2026-01-01
74150 CDM CT Abdomen Without Contrast 3 3 $1,666.00 $1,249.50 25% off $1,082.90 $1,166.20 $1,132.88 2026-01-01
74160 CDM CT Abdomen With Contrast 3 3 $1,669.00 $1,251.75 25% off $1,084.85 $1,168.30 $1,134.92 2026-01-01
74170 CDM CT Abdomen With + Without Contrast 3 3 $1,882.00 $1,411.50 25% off $1,223.30 $1,317.40 $1,279.76 2026-01-01
74176 CDM CT Abdomen/pelvis Without Contrast 3 3 $1,668.00 $1,251.00 25% off $1,084.20 $1,167.60 $1,134.24 2026-01-01
74177 CDM CT Abdomen/pelvis With Contrast 3 3 $1,902.00 $1,426.50 25% off $1,236.30 $1,331.40 $1,293.36 2026-01-01
74178 CDM CT Abdomen/pelvis With + Without Con 3 3 $1,896.00 $1,422.00 25% off $1,232.40 $1,327.20 $1,289.28 2026-01-01
74182 CDM MRI Abdomen W Contrast 3 3 $2,272.00 $1,704.00 25% off $1,476.80 $1,590.40 $1,544.96 2026-01-01
74183 CDM MRI Abdomen W + Without Contrast 3 3 $2,272.00 $1,704.00 25% off $1,476.80 $1,590.40 $1,544.96 2026-01-01
74185 CDM MRA Abdomen W Or Without Contrast 3 3 $1,658.00 $1,243.50 25% off $1,077.70 $1,160.60 $1,127.44 2026-01-01
74230 CDM Videofluoroscopic Swallow Stud 3 3 $3,036.00 $2,277.00 25% off $1,973.40 $2,125.20 $2,064.48 2026-01-01
750 CDM Os Gastro Intestinal Service 3 3 $5,405.00 $4,053.75 25% off $3,513.25 $3,783.50 $3,675.40 2026-01-01
76873 CDM US Prostate Volume 3 3 $406.00 $304.50 25% off $263.90 $284.20 $276.08 2026-01-01
77080 CDM Dxa Bone Density Axial Skeleto 3 3 $1,504.00 $1,128.00 25% off $977.60 $1,052.80 $1,022.72 2026-01-01
77081 CDM Dxa Bone Density Append Skelet 3 3 $1,413.00 $1,059.75 25% off $918.45 $989.10 $960.84 2026-01-01
77290 CDM Radiation Set Therapy Field 3 3 $1,006.00 $754.50 25% off $653.90 $704.20 $684.08 2026-01-01
77301 CDM Radiation Imr Plan 3 3 $3,787.00 $2,840.25 25% off $2,461.55 $2,650.90 $2,575.16 2026-01-01
77334 CDM Radiation Treatment Aid 3 3 $1,006.00 $754.50 25% off $653.90 $704.20 $684.08 2026-01-01
77338 CDM Radiation Mlc Device For Imrt 3 3 $1,017.00 $762.75 25% off $661.05 $711.90 $691.56 2026-01-01
77385 CDM Radiation Imrt Simple 3 3 $1,628.00 $1,221.00 25% off $1,058.20 $1,139.60 $1,107.04 2026-01-01
77386 CDM Radiation Imrt Complex 3 3 $1,617.00 $1,212.75 25% off $1,051.05 $1,131.90 $1,099.56 2026-01-01
77412 CDM Radiation Treatment Delivery 3 3 $710.00 $532.50 25% off $461.50 $497.00 $482.80 2026-01-01
77470 CDM Radiation Special Treatment 3 3 $1,617.00 $1,212.75 25% off $1,051.05 $1,131.90 $1,099.56 2026-01-01
78306 CDM Nm Bone Joint Image Whole Body 3 3 $2,233.00 $1,674.75 25% off $1,451.45 $1,563.10 $1,518.44 2026-01-01
78580 CDM Nm Pulmonary Perfusion 3 3 $1,882.00 $1,411.50 25% off $1,223.30 $1,317.40 $1,279.76 2026-01-01
78582 CDM Nm Pulm Perfusion With Ventilati 3 3 $2,219.00 $1,664.25 25% off $1,442.35 $1,553.30 $1,508.92 2026-01-01
801 CDM Hd Inhouse Tablo 6 3 $1,020.00 $765.00 25% off $602.55 $779.10 $686.17 2026-01-01
803 CDM Capd - Cont Amb Peritoneal Dia 6 3 $854.50 $640.88 25% off $551.20 $602.70 $581.06 2026-01-01
80320 CDM Alcohols 3 3 $327.00 $245.25 25% off $212.55 $228.90 $222.36 2026-01-01
80323 CDM Alkaloids- Not Otherwise Speci 3 3 $327.00 $245.25 25% off $212.55 $228.90 $222.36 2026-01-01
80324 CDM Amphetamines; 1 Or 2 3 3 $327.00 $245.25 25% off $212.55 $228.90 $222.36 2026-01-01
80329 CDM Analgesics- Non-opioid; 1 Or 2 3 3 $327.00 $245.25 25% off $212.55 $228.90 $222.36 2026-01-01
80335 CDM Antidepressants- 1 Or 2 3 3 $327.00 $245.25 25% off $212.55 $228.90 $222.36 2026-01-01
80345 CDM Barbiturates 3 3 $327.00 $245.25 25% off $212.55 $228.90 $222.36 2026-01-01
80346 CDM Benzodiazepines; 1-12 3 3 $327.00 $245.25 25% off $212.55 $228.90 $222.36 2026-01-01
80349 CDM Cannabinoids- Natural 3 3 $327.00 $245.25 25% off $212.55 $228.90 $222.36 2026-01-01
80353 CDM Cocaine 3 3 $327.00 $245.25 25% off $212.55 $228.90 $222.36 2026-01-01
80354 CDM Fentanyl 3 3 $327.00 $245.25 25% off $212.55 $228.90 $222.36 2026-01-01
80358 CDM Methadone 3 3 $327.00 $245.25 25% off $212.55 $228.90 $222.36 2026-01-01
80359 CDM Methylenedioxyamphetamines 3 3 $327.00 $245.25 25% off $212.55 $228.90 $222.36 2026-01-01
80361 CDM Opiates- 1 Or More 3 3 $327.00 $245.25 25% off $212.55 $228.90 $222.36 2026-01-01
80367 CDM Propoxyphene 3 3 $327.00 $245.25 25% off $212.55 $228.90 $222.36 2026-01-01
804 CDM Ccpd - Cont Cycling Peritoneal 6 3 $1,204.50 $903.38 25% off $629.85 $1,008.00 $807.15 2026-01-01
80408 CDM Aldosterone Suppression Eval 3 3 $392.00 $294.00 25% off $254.80 $274.40 $266.56 2026-01-01
80430 CDM Growth Hormone Panel 3 3 $365.00 $273.75 25% off $237.25 $255.50 $248.20 2026-01-01
81219 CDM Calr Gene Com Variants 3 3 $376.00 $282.00 25% off $244.40 $263.20 $255.68 2026-01-01
81227 CDM Cyp2c9 Gene Com Variants 3 3 $483.00 $362.25 25% off $313.95 $338.10 $328.44 2026-01-01
81235 CDM Egfr Gene Com Variants 3 3 $868.00 $651.00 25% off $564.20 $607.60 $590.24 2026-01-01
81270 CDM Jak2 Gene 3 3 $295.00 $221.25 25% off $191.75 $206.50 $200.60 2026-01-01
81287 CDM Mgmt Gene Prmtr Mthyltn Alys 3 3 $354.00 $265.50 25% off $230.10 $247.80 $240.72 2026-01-01
81401 CDM Mopath Procedure Level 2 3 3 $385.00 $288.75 25% off $250.25 $269.50 $261.80 2026-01-01
81402 CDM Mopath Procedure Level 3 3 3 $465.00 $348.75 25% off $302.25 $325.50 $316.20 2026-01-01
81403 CDM Mopath Procedure Level 4 3 3 $573.00 $429.75 25% off $372.45 $401.10 $389.64 2026-01-01
81404 CDM Mopath Procedure Level 5 3 3 $850.00 $637.50 25% off $552.50 $595.00 $578.00 2026-01-01
81405 CDM Mopath Procedure Level 6 3 3 $933.00 $699.75 25% off $606.45 $653.10 $634.44 2026-01-01
81406 CDM Mopath Procedure Level 7 3 3 $875.00 $656.25 25% off $568.75 $612.50 $595.00 2026-01-01
81407 CDM Mopath Procedure Level 8 3 3 $2,616.00 $1,962.00 25% off $1,700.40 $1,831.20 $1,778.88 2026-01-01
81408 CDM Mopath Procedure Level 9 3 3 $6,180.00 $4,635.00 25% off $4,017.00 $4,326.00 $4,202.40 2026-01-01
86920 CDM Crossmatch - Immediate Spin 3 3 $471.00 $353.25 25% off $306.15 $329.70 $320.28 2026-01-01
86922 CDM Crossmatch - Antiglobulin Tech 3 3 $471.00 $353.25 25% off $306.15 $329.70 $320.28 2026-01-01
86923 CDM Compatibility Test Each Unit- 3 3 $471.00 $353.25 25% off $306.15 $329.70 $320.28 2026-01-01
87154 CDM Cul Typ Id Bld Pthgn 6+ Trgt 3 3 $655.00 $491.25 25% off $425.75 $458.50 $445.40 2026-01-01
87506 CDM Iadna-dna/rna Probe Tq 6-11 3 3 $709.00 $531.75 25% off $460.85 $496.30 $482.12 2026-01-01
87507 CDM Iadna-dna/rna Probe Tq 12-25 3 3 $1,225.00 $918.75 25% off $796.25 $857.50 $833.00 2026-01-01
87631 CDM Resp Virus 3-5 Targets 3 3 $399.00 $299.25 25% off $259.35 $279.30 $271.32 2026-01-01
87632 CDM Resp Virus 6-11 Targets 3 3 $643.00 $482.25 25% off $417.95 $450.10 $437.24 2026-01-01
87633 CDM Resp Virus 12-25 Targets 3 3 $1,225.00 $918.75 25% off $796.25 $857.50 $833.00 2026-01-01
87636 CDM Covid-19 And Influenza A/b 3 3 $441.00 $330.75 25% off $286.65 $308.70 $299.88 2026-01-01
87637 CDM Sarscov2&inf A&b&rsv Amp Prb 3 3 $428.00 $321.00 25% off $278.20 $299.60 $291.04 2026-01-01
87900 CDM Phenotype Infect Agent Drug 3 3 $405.00 $303.75 25% off $263.25 $283.50 $275.40 2026-01-01
87901 CDM Genotype DNA HIV Reverse T 3 3 $769.00 $576.75 25% off $499.85 $538.30 $522.92 2026-01-01
87902 CDM Genotype Dna/rna Hep C 3 3 $769.00 $576.75 25% off $499.85 $538.30 $522.92 2026-01-01
88233 CDM Tissue Culture Skin/biopsy 3 3 $435.00 $326.25 25% off $282.75 $304.50 $295.80 2026-01-01
88237 CDM Tissue Culture Bone Marrow 3 3 $402.00 $301.50 25% off $261.30 $281.40 $273.36 2026-01-01
88377 CDM Ish Ea Multiplex Probe 3 3 $1,064.00 $798.00 25% off $691.60 $744.80 $723.52 2026-01-01
90935 CDM Hemodialysis 3 3 $1,695.00 $1,271.25 25% off $1,101.75 $1,186.50 $1,152.60 2026-01-01
90937 CDM Peritoneal Dialysis 3 3 $1,440.00 $1,080.00 25% off $936.00 $1,008.00 $979.20 2026-01-01
918 CDM Psych Assess - 1 Hr Aprn 6 3 $406.50 $304.88 25% off $165.75 $390.60 $270.60 2026-01-01
920 CDM Midline Insertion 12 3 $825.00 $618.75 25% off $272.35 $2,404.50 $553.12 2026-01-01
92507 CDM Speech/language Therapy- Ind 3 3 $324.00 $243.00 25% off $210.60 $226.80 $220.32 2026-01-01
92521 CDM Eval Speech Fluency 3 3 $474.00 $355.50 25% off $308.10 $331.80 $322.32 2026-01-01
92522 CDM Eval Sound Prod 3 3 $375.00 $281.25 25% off $243.75 $262.50 $255.00 2026-01-01
92523 CDM Eval Sound Prod-lang Comp- Exp 3 3 $630.00 $472.50 25% off $409.50 $441.00 $428.40 2026-01-01
92524 CDM Behave&qual Analy Voice&resona 3 3 $342.00 $256.50 25% off $222.30 $239.40 $232.56 2026-01-01
92526 CDM Dysphagia Therapy 3 3 $333.00 $249.75 25% off $216.45 $233.10 $226.44 2026-01-01
92601 CDM Dx Cochlear Implant <7 3 3 $478.00 $358.50 25% off $310.70 $334.60 $325.04 2026-01-01
92607 CDM Eval Speech Gen Dev 1st Hr 3 3 $489.00 $366.75 25% off $317.85 $342.30 $332.52 2026-01-01
92609 CDM Ther Use Speech Gen Dev 3 3 $412.00 $309.00 25% off $267.80 $288.40 $280.16 2026-01-01
92611 CDM Videofluoroscopy 3 3 $350.00 $262.50 25% off $227.50 $245.00 $238.00 2026-01-01
92612 CDM Endoscopic Eval Of Swallow 6 3 $437.50 $328.12 25% off $169.65 $429.80 $290.90 2026-01-01
92626 CDM Auditory Eval (first Hr) 3 3 $291.00 $218.25 25% off $189.15 $203.70 $197.88 2026-01-01
93306 CDM Echo 2d M-mode With Doppler 3 3 $412.00 $309.00 25% off $267.80 $288.40 $280.16 2026-01-01
93307 CDM Echo 2d M-mode Without Doppler 3 3 $304.00 $228.00 25% off $197.60 $212.80 $206.72 2026-01-01
93880 CDM US Carotid Duplex Bilateral 3 3 $506.00 $379.50 25% off $328.90 $354.20 $344.08 2026-01-01
93882 CDM US Carotid Duplex Uni Or Ltd 3 3 $409.00 $306.75 25% off $265.85 $286.30 $278.12 2026-01-01
93922 CDM US Ltd Bil Extremity Arteries 3 3 $317.00 $237.75 25% off $206.05 $221.90 $215.56 2026-01-01
93923 CDM US Le Arterial Doppler Multi L 3 3 $349.00 $261.75 25% off $226.85 $244.30 $237.32 2026-01-01
93925 CDM US Le Arterial Duplex Bilatera 3 3 $680.00 $510.00 25% off $442.00 $476.00 $462.40 2026-01-01
93926 CDM US Le Arterial Duplex 3 3 $398.00 $298.50 25% off $258.70 $278.60 $270.64 2026-01-01
93930 CDM US Ue Arterial Duplex Bilatera 3 3 $508.00 $381.00 25% off $330.20 $355.60 $345.44 2026-01-01
93931 CDM US Ue Arterial Duplex 3 3 $319.00 $239.25 25% off $207.35 $223.30 $216.92 2026-01-01
93970 CDM US Venous Duplex Bilateral 3 3 $508.00 $381.00 25% off $330.20 $355.60 $345.44 2026-01-01
93971 CDM US Venous Duplex Unilateral 3 3 $315.00 $236.25 25% off $204.75 $220.50 $214.20 2026-01-01
93975 CDM US Duplex Abd Pelv Scrotal Com 3 3 $695.00 $521.25 25% off $451.75 $486.50 $472.60 2026-01-01
93976 CDM US Duplex Abd Pelv Scrotal Ltd 3 3 $394.00 $295.50 25% off $256.10 $275.80 $267.92 2026-01-01
93978 CDM US Aorta Duplex Complete 3 3 $471.00 $353.25 25% off $306.15 $329.70 $320.28 2026-01-01
93979 CDM US Aorta Duplex Uni Or Ltd 3 3 $389.00 $291.75 25% off $252.85 $272.30 $264.52 2026-01-01
95816 CDM EEG-awake And Drowsy 3 3 $1,561.00 $1,170.75 25% off $1,014.65 $1,092.70 $1,061.48 2026-01-01
96105 CDM Assessment-aphasia-hr Inc Only 3 3 $392.00 $294.00 25% off $254.80 $274.40 $266.56 2026-01-01
96116 CDM Neuro Behavioral Status Exam 3 3 $319.00 $239.25 25% off $207.35 $223.30 $216.92 2026-01-01
96125 CDM Cognitive Performance Test(1hr 6 3 $393.50 $295.12 25% off $242.45 $289.80 $265.10 2026-01-01
97161 CDM Pt Eval- Low Complexity 3 3 $353.00 $264.75 25% off $229.45 $247.10 $240.04 2026-01-01
97162 CDM Pt Eval- Mod Complexity 3 3 $391.00 $293.25 25% off $254.15 $273.70 $265.88 2026-01-01
97163 CDM Pt Eval- High Complexity 3 3 $468.00 $351.00 25% off $304.20 $327.60 $318.24 2026-01-01
97165 CDM Ot Eval- Low Complexity 3 3 $387.00 $290.25 25% off $251.55 $270.90 $263.16 2026-01-01
97166 CDM Ot Eval- Mod Complexity 3 3 $449.00 $336.75 25% off $291.85 $314.30 $305.32 2026-01-01
97167 CDM Ot Eval- High Complexity 3 3 $518.00 $388.50 25% off $336.70 $362.60 $352.24 2026-01-01
97545 CDM Work Hard/cond (initial 2 Hrs) 3 3 $557.00 $417.75 25% off $362.05 $389.90 $378.76 2026-01-01
99283 CDM Emergency Room-moderate 3 3 $3,653.00 $2,739.75 25% off $2,374.45 $2,557.10 $2,484.04 2026-01-01
A8000 HCPCS Helmet Soft Pre Fab 3 3 $300.00 $225.00 25% off $195.00 $210.00 $204.00 2026-01-01
A8001 HCPCS Helmet Hard Prefab 3 3 $335.00 $251.25 25% off $217.75 $234.50 $227.80 2026-01-01
A9283 HCPCS Foot Pressure Support Device 3 3 $309.00 $231.75 25% off $200.85 $216.30 $210.12 2026-01-01
G0277 HCPCS Hyperbaric O2 Tx 30 Min 3 3 $478.00 $358.50 25% off $310.70 $334.60 $325.04 2026-01-01
L0172 HCPCS Cerv Col Therm Foam 2 Pi Prefb 3 3 $396.00 $297.00 25% off $257.40 $277.20 $269.28 2026-01-01
L0174 HCPCS Cerv Col Foam 2 Piece W Thor 3 3 $851.00 $638.25 25% off $553.15 $595.70 $578.68 2026-01-01
L0200 HCPCS Cerv Col Supp Adj Bar & Thor 3 3 $1,646.00 $1,234.50 25% off $1,069.90 $1,152.20 $1,119.28 2026-01-01
L0450 HCPCS Tlso Flex Prefab Thoracic 3 3 $553.00 $414.75 25% off $359.45 $387.10 $376.04 2026-01-01
L0456 HCPCS Tlso Flex Prefab 3 3 $2,947.00 $2,210.25 25% off $1,915.55 $2,062.90 $2,003.96 2026-01-01
L0457 HCPCS Tlso Flex Trnk Sj-ss Pre Ots 3 3 $2,947.00 $2,210.25 25% off $1,915.55 $2,062.90 $2,003.96 2026-01-01
L0458 HCPCS Tlso 2mod Symphis-xipho Pre 3 3 $2,643.00 $1,982.25 25% off $1,717.95 $1,850.10 $1,797.24 2026-01-01
L0460 HCPCS Tlso 2mod Symphsis-stern Pre 3 3 $2,975.00 $2,231.25 25% off $1,933.75 $2,082.50 $2,023.00 2026-01-01
L0464 HCPCS Tlso 4mod Sacro-scap Pre 3 3 $4,405.00 $3,303.75 25% off $2,863.25 $3,083.50 $2,995.40 2026-01-01
L0472 HCPCS Tlso Rigid Frame Hyperex Pre 3 3 $1,301.00 $975.75 25% off $845.65 $910.70 $884.68 2026-01-01
L0484 HCPCS Tlso Rigid Plastic Cust Fab 3 3 $5,495.00 $4,121.25 25% off $3,571.75 $3,846.50 $3,736.60 2026-01-01
L0486 HCPCS Tlso Rigid Lined Cust Fab Two 3 3 $5,846.00 $4,384.50 25% off $3,799.90 $4,092.20 $3,975.28 2026-01-01
L0627 HCPCS Lo Sagitt Rigid Panel Prefab 3 3 $1,218.00 $913.50 25% off $791.70 $852.60 $828.24 2026-01-01
L0631 HCPCS Lso Sag-coro Rigid Frame Prefb 3 3 $3,043.00 $2,282.25 25% off $1,977.95 $2,130.10 $2,069.24 2026-01-01
L0637 HCPCS Lso Sag-coronal Panel Prefab 3 3 $3,521.00 $2,640.75 25% off $2,288.65 $2,464.70 $2,394.28 2026-01-01
L0640 HCPCS Lso S/c Shell/panel Custom 3 3 $3,101.00 $2,325.75 25% off $2,015.65 $2,170.70 $2,108.68 2026-01-01
L0642 HCPCS Lo Sag Ri An/pos Pnl Pre Ots 3 3 $1,218.00 $913.50 25% off $791.70 $852.60 $828.24 2026-01-01
L0648 HCPCS Lso Sag R An/pos Pnl Pre Ots 3 3 $3,043.00 $2,282.25 25% off $1,977.95 $2,130.10 $2,069.24 2026-01-01
L0650 HCPCS Lso Sc R Ant/pos Pnl Pre Ots 3 3 $3,521.00 $2,640.75 25% off $2,288.65 $2,464.70 $2,394.28 2026-01-01
L0861 HCPCS Halo Repl Liner/interface 3 3 $638.00 $478.50 25% off $414.70 $446.60 $433.84 2026-01-01
L1220 HCPCS Anterior Thoracic Extension 3 3 $711.00 $533.25 25% off $462.15 $497.70 $483.48 2026-01-01
L1686 HCPCS Ho Post-op Hip Abduction Prefb 3 3 $2,921.00 $2,190.75 25% off $1,898.65 $2,044.70 $1,986.28 2026-01-01
L1810 HCPCS Ko Elastic With Joints Pre-fab 3 3 $310.00 $232.50 25% off $201.50 $217.00 $210.80 2026-01-01
L1820 HCPCS Ko Elas W/cond Pad&jo Pre-fab 3 3 $404.00 $303.00 25% off $262.60 $282.80 $274.72 2026-01-01
L1831 HCPCS Knee Orth Pos Locking Joint 3 3 $872.00 $654.00 25% off $566.80 $610.40 $592.96 2026-01-01
L1832 HCPCS Ko Adj Jnt Pos Rigid Pre-fab 3 3 $2,014.00 $1,510.50 25% off $1,309.10 $1,409.80 $1,369.52 2026-01-01
L1833 HCPCS Ko Adj Jnt Pos R Sup Pre Ots 3 3 $2,014.00 $1,510.50 25% off $1,309.10 $1,409.80 $1,369.52 2026-01-01
L1843 HCPCS Ko Single Upright Custom Fit 3 3 $2,659.00 $1,994.25 25% off $1,728.35 $1,861.30 $1,808.12 2026-01-01
L1845 HCPCS Ko W/adj Flex/ext Rotat Cus 3 3 $2,536.00 $1,902.00 25% off $1,648.40 $1,775.20 $1,724.48 2026-01-01
L1850 HCPCS Ko Swedish Type 3 3 $910.00 $682.50 25% off $591.50 $637.00 $618.80 2026-01-01
L1907 HCPCS Afo Supramalleolar Custom 3 3 $1,667.00 $1,250.25 25% off $1,083.55 $1,166.90 $1,133.56 2026-01-01
L1920 HCPCS Afo Sing Upright With Adjust S 3 3 $1,106.00 $829.50 25% off $718.90 $774.20 $752.08 2026-01-01
L1930 HCPCS Afo Plastic Pre-fab 3 3 $749.00 $561.75 25% off $486.85 $524.30 $509.32 2026-01-01
L1932 HCPCS Afo Rig Ant Tib Prefab Tcf/= 3 3 $2,644.00 $1,983.00 25% off $1,718.60 $1,850.80 $1,797.92 2026-01-01
L1940 HCPCS Afo Molded To Patient Plasti 3 3 $1,587.00 $1,190.25 25% off $1,031.55 $1,110.90 $1,079.16 2026-01-01
L1945 HCPCS Afo Molded Plas Rig Ant Tib 3 3 $2,972.00 $2,229.00 25% off $1,931.80 $2,080.40 $2,020.96 2026-01-01
L1951 HCPCS Afo Spiral Prefabricated 3 3 $2,489.00 $1,866.75 25% off $1,617.85 $1,742.30 $1,692.52 2026-01-01
L1960 HCPCS Afo Pos Solid Ank Plastic Mo 3 3 $1,774.00 $1,330.50 25% off $1,153.10 $1,241.80 $1,206.32 2026-01-01
L1970 HCPCS Afo Plastic Molded W/ankle J 3 3 $2,230.00 $1,672.50 25% off $1,449.50 $1,561.00 $1,516.40 2026-01-01
L1971 HCPCS Afo W/ankle Joint, Prefab 3 3 $1,389.00 $1,041.75 25% off $902.85 $972.30 $944.52 2026-01-01
L1990 HCPCS Afo Doub Solid Stirrup Calf 3 3 $1,446.00 $1,084.50 25% off $939.90 $1,012.20 $983.28 2026-01-01
L2020 HCPCS Kafo Dbl Solid Stirrup Band/ 3 3 $3,702.00 $2,776.50 25% off $2,406.30 $2,591.40 $2,517.36 2026-01-01
L2036 HCPCS Kafo Plas Doub Free Knee Mol 3 3 $5,885.00 $4,413.75 25% off $3,825.25 $4,119.50 $4,001.80 2026-01-01
L2114 HCPCS Afo Tib Fx Semi-rigid 3 3 $1,858.00 $1,393.50 25% off $1,207.70 $1,300.60 $1,263.44 2026-01-01
L2250 HCPCS Foot Plate Molded Stirrup At 3 3 $1,116.00 $837.00 25% off $725.40 $781.20 $758.88 2026-01-01
L2265 HCPCS Long Tongue Stirrup 3 3 $385.00 $288.75 25% off $250.25 $269.50 $261.80 2026-01-01
L2275 HCPCS Plastic Mod Low Ext Pad/line 3 3 $393.00 $294.75 25% off $255.45 $275.10 $267.24 2026-01-01
L2280 HCPCS Molded Inner Boot 3 3 $1,408.00 $1,056.00 25% off $915.20 $985.60 $957.44 2026-01-01
L2340 HCPCS Pre-tibial Shell Molded To P 3 3 $1,425.00 $1,068.75 25% off $926.25 $997.50 $969.00 2026-01-01
L2385 HCPCS Straight Knee Joint Heavy Du 3 3 $425.00 $318.75 25% off $276.25 $297.50 $289.00 2026-01-01
L2390 HCPCS Offset Knee Joint Each 3 3 $342.00 $256.50 25% off $222.30 $239.40 $232.56 2026-01-01
L2397 HCPCS Suspension Sleeve Lower Ext 3 3 $348.00 $261.00 25% off $226.20 $243.60 $236.64 2026-01-01
L2415 HCPCS Knee Joint Cam Lock Each Joi 3 3 $360.00 $270.00 25% off $234.00 $252.00 $244.80 2026-01-01
L2430 HCPCS Knee Jnt Ratchet Lock Ea Jnt 3 3 $424.00 $318.00 25% off $275.60 $296.80 $288.32 2026-01-01
L2510 HCPCS Th/wght Bear Quad-lat Brim M 3 3 $2,314.00 $1,735.50 25% off $1,504.10 $1,619.80 $1,573.52 2026-01-01
L2620 HCPCS Pelvic Control Hip Heavy Duty 3 3 $862.00 $646.50 25% off $560.30 $603.40 $586.16 2026-01-01
L2624 HCPCS Hip Adj Flex Ext Abduct Cont 3 3 $1,062.00 $796.50 25% off $690.30 $743.40 $722.16 2026-01-01
L2820 HCPCS Soft Interface Below Knee Se 3 3 $294.00 $220.50 25% off $191.10 $205.80 $199.92 2026-01-01
L2830 HCPCS Soft Interface Above Knee Se 3 3 $314.00 $235.50 25% off $204.10 $219.80 $213.52 2026-01-01
L3000 HCPCS Ft Insert Ucb Berkeley Shell 3 3 $931.00 $698.25 25% off $605.15 $651.70 $633.08 2026-01-01
L3002 HCPCS Foot Insert Plastazote Or Eq 3 3 $478.00 $358.50 25% off $310.70 $334.60 $325.04 2026-01-01
L3020 HCPCS Foot Longitud/metatarsal Sup 3 3 $588.00 $441.00 25% off $382.20 $411.60 $399.84 2026-01-01
L3260 HCPCS Surgical Boot/shoe 3 3 $375.00 $281.25 25% off $243.75 $262.50 $255.00 2026-01-01
L3649 HCPCS Orth Shoe Modification Nos 3 3 $294.00 $220.50 25% off $191.10 $205.80 $199.92 2026-01-01
L3660 HCPCS Abduct Restrainer Canvas&web 3 3 $311.00 $233.25 25% off $202.15 $217.70 $211.48 2026-01-01
L3670 HCPCS Acromio/clavicular Canvas&we 3 3 $354.00 $265.50 25% off $230.10 $247.80 $240.72 2026-01-01
L3675 HCPCS Canvas Vest So 3 3 $475.00 $356.25 25% off $308.75 $332.50 $323.00 2026-01-01
L3702 HCPCS Eo Without Joints Cf 3 3 $778.00 $583.50 25% off $505.70 $544.60 $529.04 2026-01-01
L3760 HCPCS Eo Withjoint, Prefabricated 3 3 $1,353.00 $1,014.75 25% off $879.45 $947.10 $920.04 2026-01-01
L3763 HCPCS Ewho Rigid Without Jnts Cf 3 3 $1,977.00 $1,482.75 25% off $1,285.05 $1,383.90 $1,344.36 2026-01-01
L3764 HCPCS Ewho W/joint(s) Cf 3 3 $2,256.00 $1,692.00 25% off $1,466.40 $1,579.20 $1,534.08 2026-01-01
L3806 HCPCS Whfo W/joiont(s) Custom Fab 3 3 $1,225.00 $918.75 25% off $796.25 $857.50 $833.00 2026-01-01
L3807 HCPCS Whfo, No Joint, Prefabricated 3 3 $676.00 $507.00 25% off $439.40 $473.20 $459.68 2026-01-01
L3808 HCPCS Whfo, Rigid Without Joints 3 3 $1,014.00 $760.50 25% off $659.10 $709.80 $689.52 2026-01-01
L3809 HCPCS Whfo Without Joints Pre Ots 3 3 $676.00 $507.00 25% off $439.40 $473.20 $459.68 2026-01-01
L3905 HCPCS Who W/nontorsion Jnt(s) Cf 3 3 $2,674.00 $2,005.50 25% off $1,738.10 $1,871.80 $1,818.32 2026-01-01
L3906 HCPCS Who Without Joints Cf 3 3 $1,198.00 $898.50 25% off $778.70 $838.60 $814.64 2026-01-01
L3912 HCPCS Flex Glove W/elastic Finger 3 3 $294.00 $220.50 25% off $191.10 $205.80 $199.92 2026-01-01
L3913 HCPCS Hfo Without Joints Cf 3 3 $730.00 $547.50 25% off $474.50 $511.00 $496.40 2026-01-01
L3915 HCPCS Who W Nontor Jnt(s) Prefab 3 3 $1,433.00 $1,074.75 25% off $931.45 $1,003.10 $974.44 2026-01-01
L3919 HCPCS Ho Without Joints Cf 3 3 $730.00 $547.50 25% off $474.50 $511.00 $496.40 2026-01-01
L3921 HCPCS Hfo W/joints(s) Cf 3 3 $866.00 $649.50 25% off $562.90 $606.20 $588.88 2026-01-01
L3933 HCPCS Fo Without Joints Cf 3 3 $575.00 $431.25 25% off $373.75 $402.50 $391.00 2026-01-01
L3935 HCPCS Fo Nontorsion Joint Cf 3 3 $595.00 $446.25 25% off $386.75 $416.50 $404.60 2026-01-01
L3980 HCPCS Upp Ext Fx Orthosis Humeral 3 3 $1,014.00 $760.50 25% off $659.10 $709.80 $689.52 2026-01-01
L4360 HCPCS Pneumati Walking Boot Prefab 3 3 $856.00 $642.00 25% off $556.40 $599.20 $582.08 2026-01-01
L4361 HCPCS Pneuma/vac Walk Boot Pre Ots 3 3 $856.00 $642.00 25% off $556.40 $599.20 $582.08 2026-01-01
L4386 HCPCS Non-pneum Walk Boot Prefab 3 3 $469.00 $351.75 25% off $304.85 $328.30 $318.92 2026-01-01
L4387 HCPCS Non-pneum Walk Boot Pre Ots 3 3 $469.00 $351.75 25% off $304.85 $328.30 $318.92 2026-01-01
L4396 HCPCS Afo-static Or Dynamic Pre-fab 3 3 $496.00 $372.00 25% off $322.40 $347.20 $337.28 2026-01-01
L4631 HCPCS Afo, Walking Boot, Custom 3 3 $4,669.00 $3,501.75 25% off $3,034.85 $3,268.30 $3,174.92 2026-01-01
L5000 HCPCS Sho Insert W Arch Toe Filler 3 3 $1,648.00 $1,236.00 25% off $1,071.20 $1,153.60 $1,120.64 2026-01-01
L5460 HCPCS Postop App Non-wgt Bear Dsg 3 3 $1,753.00 $1,314.75 25% off $1,139.45 $1,227.10 $1,192.04 2026-01-01
L5624 HCPCS Test Socket Above Knee 3 3 $1,220.00 $915.00 25% off $793.00 $854.00 $829.60 2026-01-01
L5631 HCPCS Ak/knee Disartic Acrylic Soc 3 3 $1,467.00 $1,100.25 25% off $953.55 $1,026.90 $997.56 2026-01-01
L5637 HCPCS Below Knee Total Contact 3 3 $1,030.00 $772.50 25% off $669.50 $721.00 $700.40 2026-01-01
L5649 HCPCS Isch Containmt/narrow M-i So 3 3 $6,317.00 $4,737.75 25% off $4,106.05 $4,421.90 $4,295.56 2026-01-01
L5650 HCPCS Tot Contact Ak/knee Disart S 3 3 $1,652.00 $1,239.00 25% off $1,073.80 $1,156.40 $1,123.36 2026-01-01
L5651 HCPCS Ak Flex Inner Sicket Ext Fra 3 3 $4,003.00 $3,002.25 25% off $2,601.95 $2,802.10 $2,722.04 2026-01-01
L5668 HCPCS Socket Insert Without Lock Lower 3 3 $340.00 $255.00 25% off $221.00 $238.00 $231.20 2026-01-01
L5673 HCPCS Socket Insert W Lock Mech 3 3 $2,212.00 $1,659.00 25% off $1,437.80 $1,548.40 $1,504.16 2026-01-01
L5679 HCPCS Socket Insert Without Lock Mech 3 3 $1,844.00 $1,383.00 25% off $1,198.60 $1,290.80 $1,253.92 2026-01-01
L5685 HCPCS Below Knee Sus/seal Sleeve 3 3 $380.00 $285.00 25% off $247.00 $266.00 $258.40 2026-01-01
L5692 HCPCS Ak Pelvic Control Belt Light 3 3 $444.00 $333.00 25% off $288.60 $310.80 $301.92 2026-01-01
L5701 HCPCS Replace Socket Above Knee 3 3 $7,445.00 $5,583.75 25% off $4,839.25 $5,211.50 $5,062.60 2026-01-01
L5950 HCPCS Endo Ak Ultra-light Material 3 3 $2,549.00 $1,911.75 25% off $1,656.85 $1,784.30 $1,733.32 2026-01-01
L5999 HCPCS Lower Ext Pros-nos 3 3 $1,040.00 $780.00 25% off $676.00 $728.00 $707.20 2026-01-01
L9900 HCPCS O&p Supply Accessory Or Servi 3 3 $360.00 $270.00 25% off $234.00 $252.00 $244.80 2026-01-01
P9037 HCPCS Platelets Irradiated 1 Unit 3 3 $1,852.00 $1,389.00 25% off $1,203.80 $1,296.40 $1,259.36 2026-01-01
P9071 HCPCS Plasma - Ea Unit 3 3 $367.00 $275.25 25% off $238.55 $256.90 $249.56 2026-01-01
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