Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

HEALTHSOURCE SAGINAW

Saginaw, MI · CCN 230275 · Rates published

718 distinct procedures filed
23 distinct payers
20,857 rate rows
2026-05-22 last MRF observed
Data quality

9,942 of 20,857 rate rows are consumer-grade (47.7%)

10,915 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
per-diem day rate — not a per-procedure price 4,787
exceeds 10× this hospital's gross charge — excluded from medians 4,330
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 1,798
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.healthsourcesaginaw.org/wp-content/uploads/2025/06/386004889_healthsource-saginaw_standardcharges.csv
Found on page https://www.healthsourcesaginaw.org/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-18
Content fingerprint cf14da6cc1c012b5… · 5,076,518 bytes · first seen 2026-05-09

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
J3110
CPT 		Forteo Pen 600mcg / 2.4ml 9 $3,335.02 $3,335.02 $3,335.02 nat. median
$186
outlier · 18.0×
J0897
CPT 		Xgeva 120mg/1.7ml Vial* 9 $2,185.73 $2,185.73 $2,185.73 nat. median
$2,502
0.9× median
J2941
CPT 		Nutropin AQ(somatropin)10MG/2ML (nf-pom) 9 $1,140.66 $1,140.66 $1,140.66 nat. median
$219
outlier · 5.2×
J2426
CPT 		Invega Sustenna 117 Mg Pf Syr 0.75ml* 9 $15.30 $1,309.53 $878.11 nat. median
$2,742
outlier · 0.3×
J2358
CPT 		ZyPREXA Relprevv 300 Mg Vial* 9 $857.70 $857.70 $857.70 nat. median
$5
outlier · 176.3×
L0472
CPT 		Tlso Jewett Brace L0472 9 $671.00 $671.00 $671.00 nat. median
$588
1.1× median
J2794
CPT 		RisperDAL Consta 12.5mg Syg 2ml 9 $249.92 $953.76 $601.82 nat. median
$845
0.7× median
J1830
CPT 		Betaseron 0.3 Mg Vial (0.25mg/ml) 9 $539.01 $539.01 $539.01 nat. median
$808
0.7× median
88180
CPT 		T-cell Activation Cd8 Subset 9 $443.00 $443.00 $443.00 nat. median
$148
outlier · 3.0×
87900
CPT 		HIV-1 Genotype 9 $440.00 $440.00 $440.00 nat. median
$171
outlier · 2.6×
99236
CPT 		Admit And Discharge Same Day 13 $179.97 $414.00 $414.00 nat. median
$369
1.1× median
83835
CPT 		Metanepherines 9 $401.00 $401.00 $401.00 nat. median
$46
outlier · 8.7×
82652
CPT 		Vitamin D (panel 2) 9 $398.00 $398.00 $398.00 nat. median
$70
outlier · 5.7×
99255
CPT 		Comp H & P High 110 Min 9 $357.00 $357.00 $357.00 nat. median
$330
1.1× median
J1595
CPT 		Copaxone (glatiramer) 20mg Injection Kit 9 $165.23 $6,579.39 $353.51 nat. median
$268
1.3× median
36000
CPT 		Intro Needle Intra Cath 9 $332.00 $332.00 $332.00 nat. median
$175
1.9× median
99245
CPT 		Off Consult Comp History 9 $328.00 $328.00 $328.00 nat. median
$308
1.1× median
82360
CPT 		24 Hour Kidney Stone Urine Panel 9 $311.00 $311.00 $311.00 nat. median
$18
outlier · 17.2×
84445
CPT 		Tsi (thyroid Stimulating Immunoglobulin) 9 $307.07 $307.07 $307.07 nat. median
$87
outlier · 3.5×
99223
CPT 		Initial Visit High 13 $148.58 $466.50 $295.00 nat. median
$261
1.1× median
87906
CPT 		HIV-1 Integrase Genotype 13 $128.73 $440.00 $284.37 nat. median
$172
1.7× median
99254
CPT 		Comp H & P Moderate 80 Min 9 $278.00 $278.00 $278.00 nat. median
$316
0.9× median
J1610
CPT 		Glucagon 1mg Emergency Syringe 9 $274.40 $274.40 $274.40 nat. median
$371
0.7× median
90792
CPT 		Initial Evaluation W Medical Svcs Np 11 $110.31 $271.00 $271.00 nat. median
$228
1.2× median
J0885
CPT 		Epogen 10,000 Units/ml Vial* 9 $89.28 $1,001.66 $261.89 nat. median
$215
1.2× median
99205
CPT 		New Patient Ofc Visit 60 Min Np 11 $142.63 $261.00 $261.00 nat. median
$269
1.0× median
85302
CPT 		Protein C&s (panel) 9 $260.50 $260.50 $260.50 nat. median
$30
outlier · 8.7×
99244
CPT 		Off Consult Comprehensive 9 $254.00 $254.00 $254.00 nat. median
$262
1.0× median
J0878
CPT 		Cubicin Rf (daptomycin) : 500mg Vial 9 $58.29 $426.36 $242.32 nat. median
$81
outlier · 3.0×
86147
CPT 		Cardiolipin Igm-igg-iga 9 $241.00 $241.00 $241.00 nat. median
$49
outlier · 4.9×
93925
CPT 		Duplex Lower Extremity Arteries 9 $239.49 $239.49 $239.49 nat. median
$545
outlier · 0.4×
96125
CPT 		1 Slp Cognitive Performance Eval 96125 11 $75.48 $236.00 $236.00 nat. median
$228
1.0× median
84120
CPT 		Porphyrins Quant U 9 $235.00 $235.00 $235.00 nat. median
$33
outlier · 7.1×
96118
CPT 		Neuro Test Int Rpt/psychologis 9 $230.00 $230.00 $230.00 nat. median
$163
1.4× median
99253
CPT 		Detailed History Low Complexit 9 $228.00 $228.00 $228.00 nat. median
$239
1.0× median
99222
CPT 		Initial Visit Moderate 13 $25.11 $270.60 $228.00 nat. median
$193
1.2× median
82024
CPT 		Acth Plasma 9 $225.50 $225.50 $225.50 nat. median
$75
outlier · 3.0×
92521
CPT 		1 Slp Eval Of Speech Fluency 92521 9 $223.00 $223.00 $223.00 nat. median
$234
1.0× median
92523
CPT 		Slp Eval Spch Lang (-52) 92523 13 $185.00 $440.00 $222.12 nat. median
$305
0.7× median
82626
CPT 		Dhea 9 $218.50 $218.50 $218.50 nat. median
$48
outlier · 4.6×
80101
CPT 		Cannabinoid Blood 9 $29.00 $250.00 $218.50 nat. median
$59
outlier · 3.7×
99235
CPT 		Admit & Discharge Same Day Mod 13 $136.07 $217.00 $217.00 nat. median
$297
0.7× median
99204
CPT 		New Patient Ofc Visit 45 Min Np 11 $112.71 $206.00 $206.00 nat. median
$217
1.0× median
82533
CPT 		Cortisol Free 9 $205.50 $205.50 $205.50 nat. median
$53
outlier · 3.9×
90839
CPT 		Psychotherapy 60 Min Crisis Doctor 9 $204.00 $204.00 $204.00 nat. median
$220
0.9× median
90670
CPT 		Prevnar 13 (pneumo-13)vacc 0.5ml/pf Syr 9 $201.74 $201.74 $201.74 nat. median
$302
0.7× median
86021
CPT 		Anca Vasculitides 9 $200.00 $200.00 $200.00 nat. median
$45
outlier · 4.4×
J1051
CPT 		Depo PROVERA(medroxypro)50MG/ML Pfs 1ml* 9 $199.64 $199.64 $199.64 nat. median
$12
outlier · 16.0×
90791
CPT 		Initial Evaluation Np 11 $99.83 $211.00 $197.00 nat. median
$226
0.9× median
99215
CPT 		Eval And Management Review 40 Min Np 11 $99.86 $197.00 $197.00 nat. median
$238
0.8× median

Other procedures at this hospital

Browse this hospital's 718 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
             
10060 CPT Drainage Of Skin Abscess (cyst) 9 9 $152.00 $152.00 $152.00 $152.00 $152.00 2026-05-22
10091 CPT Intensive Outpatient 9 9 $185.00 $185.00 $185.00 $185.00 $185.00 2026-05-22
10140 CPT Incision And Drainage 9 9 $140.00 $165.67 $165.67 $165.67 $165.67 2026-05-22
20610 CPT Aspiration/injection Of Joint (shoulder, Hip, Knee) 9 9 $109.00 $109.00 $109.00 $109.00 $109.00 2026-05-22
36000 CPT Intro Needle Intra Cath 9 9 $332.00 $332.00 $332.00 $332.00 $332.00 2026-05-22
55705 CPT Basaca Initial Screen 18 13 $398.00 $398.00 $72.00 $221.31 $146.66 2026-05-22
70130 CPT Mastoids 3 Views 9 9 $91.00 $56.61 38% off $56.61 $56.61 $56.61 2026-05-22
71035 CPT Chest Special Vws Decubitus 9 9 $94.00 $94.00 $94.00 $94.00 $94.00 2026-05-22
71111 CPT Chest 4 Views 9 9 $94.00 $48.59 48% off $48.59 $48.59 $48.59 2026-05-22
72052 CPT C Spine Complete 9 9 $123.00 $56.13 54% off $56.13 $56.13 $56.13 2026-05-22
72082 CPT Spine Ap & Lateral 9 9 $129.00 $63.78 51% off $63.78 $63.78 $63.78 2026-05-22
72110 CPT Ls Spine With Obls 9 9 $100.00 $45.77 54% off $45.77 $45.77 $45.77 2026-05-22
74020 CPT Abdomen Comp W Decubitus And Or Erect Vw 9 9 $82.00 $82.00 $82.00 $82.00 $82.00 2026-05-22
74022 CPT Abdomen Ap & Lat 9 9 $82.00 $45.95 44% off $45.95 $45.95 $45.95 2026-05-22
74220 CPT Esophagus 9 9 $128.00 $91.45 29% off $91.45 $91.45 $91.45 2026-05-22
74230 CPT Modified Baruim Swallow 9 9 $142.00 $121.92 $121.92 $121.92 $121.92 2026-05-22
74240 CPT Ugi 9 9 $169.00 $114.58 32% off $114.58 $114.58 $114.58 2026-05-22
74250 CPT Small Bowel 9 9 $142.00 $115.27 $115.27 $115.27 $115.27 2026-05-22
74270 CPT Be 9 9 $185.00 $146.69 21% off $146.69 $146.69 $146.69 2026-05-22
74290 CPT Gall Bladder 9 9 $82.00 $77.32 $77.32 $77.32 $77.32 2026-05-22
74400 CPT Ivp 9 9 $183.00 $120.47 34% off $120.47 $120.47 $120.47 2026-05-22
76061 CPT Bone Survey 9 9 $143.00 $143.00 $143.00 $143.00 $143.00 2026-05-22
76100 CPT Tomograms 9 9 $143.00 $92.77 35% off $92.77 $92.77 $92.77 2026-05-22
76536 CPT Ultra Thyroid/soft 9 9 $125.00 $109.82 $109.82 $109.82 $109.82 2026-05-22
76700 CPT Ultrasound - Abdomen 9 9 $125.00 $117.25 $117.25 $117.25 $117.25 2026-05-22
76705 CPT Ultrasound - Abdomen Limited 9 9 $115.00 $86.80 25% off $86.80 $86.80 $86.80 2026-05-22
76770 CPT Ultrasound -ret 9 9 $107.73 $107.73 $107.73 $107.73 $107.73 2026-05-22
76775 CPT US Retroperitoneal Limited 9 9 $152.50 $56.72 63% off $56.72 $56.72 $56.72 2026-05-22
76856 CPT Pelvic Ultra Sound Complete 9 9 $122.00 $104.28 $104.28 $104.28 $104.28 2026-05-22
76870 CPT US Scrotum 9 9 $99.83 $99.83 $99.83 $99.83 $99.83 2026-05-22
76882 CPT Ultrasound Extremity Non Vascular Li 9 9 $54.76 $54.76 $54.76 $54.76 $54.76 2026-05-22
80074 CPT Hepatitis Panel W/reflex To Confirm 9 9 $66.17 $66.17 $66.17 $66.17 $66.17 2026-05-22
80101 CPT Cannabinoid Blood 27 9 $218.50 $218.50 $29.00 $250.00 $218.50 2026-05-22
80150 CPT Amikacin 27 9 $113.50 $113.50 $56.50 $117.50 $113.50 2026-05-22
80154 CPT Clonazepam(klonopin) Serum 9 9 $125.50 $125.50 $125.50 $125.50 $125.50 2026-05-22
80158 CPT Cyclosporine 9 9 $48.25 $48.25 $48.25 $48.25 $48.25 2026-05-22
80160 CPT Desipramine Serum 9 9 $141.00 $141.00 $141.00 $141.00 $141.00 2026-05-22
80174 CPT Imipramine 9 9 $178.50 $178.50 $178.50 $178.50 $178.50 2026-05-22
80182 CPT Nortriptyline (aventyl) 18 9 $101.25 $101.25 $27.00 $175.50 $101.25 2026-05-22
80183 CPT Oxcarbazepine (trileptal) 13 12 $71.00 $71.00 $13.25 $71.00 $71.00 2026-05-22
80188 CPT Primidone (mysoline) Includes Phenobarb 9 9 $62.00 $62.00 $62.00 $62.00 $62.00 2026-05-22
80192 CPT Procainamide-serum 9 9 $126.50 $126.50 $126.50 $126.50 $126.50 2026-05-22
80196 CPT Salicylate Serum 9 9 $106.50 $106.50 $106.50 $106.50 $106.50 2026-05-22
80197 CPT Tacrolimus 18 9 $73.00 $73.00 $60.00 $86.00 $73.00 2026-05-22
80202 CPT Vancomycin Trough 31 12 $67.50 $67.50 $12.94 $142.00 $67.50 2026-05-22
80299 CPT Quetiapine (seroquel) 64 13 $84.00 $84.00 $18.64 $175.00 $109.50 2026-05-22
80320 CPT Drug Test General Toxicology Blood 9 9 $180.69 $180.69 $180.69 $180.69 $180.69 2026-05-22
80329 CPT Acetaminophen (tylenol Serum) 9 9 $54.95 $54.95 $54.95 $54.95 $54.95 2026-05-22
80335 CPT Clomipramine Serum 18 9 $145.00 $145.00 $45.19 $124.50 $84.84 2026-05-22
80337 CPT Tricyclics Serum 9 9 $81.00 $81.00 $81.00 $81.00 $81.00 2026-05-22
80342 CPT Quetiapine (seroquel) 18 9 $87.00 $87.00 $73.00 $101.00 $87.00 2026-05-22
80348 CPT Drug Monitor (suboxone) Quant Urine 9 9 $175.00 $175.00 $175.00 $175.00 $175.00 2026-05-22
82024 CPT Acth Plasma 9 9 $225.50 $225.50 $225.50 $225.50 $225.50 2026-05-22
82075 CPT Breathalyser Ethanol Alcohol 9 9 $61.50 $61.50 $61.50 $61.50 $61.50 2026-05-22
82088 CPT Aldosterone Serum 9 9 $56.50 $56.50 $56.50 $56.50 $56.50 2026-05-22
82135 CPT Ala Delta Random Urine 9 9 $122.50 $122.50 $122.50 $122.50 $122.50 2026-05-22
82175 CPT Heavy Metal Profile 1 9 9 $111.50 $111.50 $111.50 $111.50 $111.50 2026-05-22
82330 CPT Calcium Ionized Serum 18 9 $81.50 $81.50 $12.00 $151.00 $81.50 2026-05-22
82360 CPT 24 Hour Kidney Stone Urine Panel 9 9 $311.00 $311.00 $311.00 $311.00 $311.00 2026-05-22
82375 CPT Carbon Monoxside 9 9 $109.50 $109.50 $109.50 $109.50 $109.50 2026-05-22
82384 CPT 24 Hour Urine Catecholamine+vma 18 9 $51.25 $51.25 $14.50 $88.00 $51.25 2026-05-22
82491 CPT Albuterol (proventil) 18 9 $170.50 $170.50 $142.00 $199.00 $170.50 2026-05-22
82530 CPT Cortisol 27 9 $60.70 $60.70 $11.50 $154.50 $60.70 2026-05-22
82533 CPT Cortisol Free 9 9 $205.50 $205.50 $205.50 $205.50 $205.50 2026-05-22
82575 CPT Creat Clearance (panel 3) 9 9 $53.50 $53.50 $53.50 $53.50 $53.50 2026-05-22
82626 CPT Dhea 9 9 $218.50 $218.50 $218.50 $218.50 $218.50 2026-05-22
82652 CPT Vitamin D (panel 2) 9 9 $398.00 $398.00 $398.00 $398.00 $398.00 2026-05-22
82672 CPT Estrogen Total 9 9 $84.91 $84.91 $84.91 $84.91 $84.91 2026-05-22
83002 CPT Fsh And Lh 9 9 $180.00 $180.00 $180.00 $180.00 $180.00 2026-05-22
83150 CPT 24 Hour Urine Hva 9 9 $144.00 $144.00 $144.00 $144.00 $144.00 2026-05-22
83655 CPT Lead (venous) 36 9 $62.75 $62.75 $13.69 $94.00 $62.75 2026-05-22
83835 CPT Metanepherines 9 9 $401.00 $401.00 $401.00 $401.00 $401.00 2026-05-22
83921 CPT Methylmalonic Acid (mma) 18 9 $152.25 $152.25 $14.50 $290.00 $152.25 2026-05-22
83986 CPT Ph Urine 9 9 $66.50 $66.50 $66.50 $66.50 $66.50 2026-05-22
84080 CPT Alkaline Phosphate Isoenzyme 9 9 $100.00 $100.00 $100.00 $100.00 $100.00 2026-05-22
84110 CPT Porphobilinogen Ng 18 9 $68.50 $68.50 $51.00 $86.00 $68.50 2026-05-22
84120 CPT Porphyrins Quant U 9 9 $235.00 $235.00 $235.00 $235.00 $235.00 2026-05-22
84445 CPT Tsi (thyroid Stimulating Immunoglobulin) 9 9 $307.07 $307.07 $307.07 $307.07 $307.07 2026-05-22
84585 CPT Vanillylmandelic Acid 24-hr Urine 9 9 $67.71 $67.71 $67.71 $67.71 $67.71 2026-05-22
85022 CPT Cbc W/diff Without Plt 18 9 $73.50 $73.50 $5.00 $142.00 $73.50 2026-05-22
85301 CPT Antithrombin Iii Ag 9 9 $175.50 $175.50 $175.50 $175.50 $175.50 2026-05-22
85302 CPT Protein C&s (panel) 9 9 $260.50 $260.50 $260.50 $260.50 $260.50 2026-05-22
85362 CPT Fdp Plasma 9 9 $79.00 $79.00 $79.00 $79.00 $79.00 2026-05-22
85378 CPT D-dimer (latex) 9 9 $125.50 $125.50 $125.50 $125.50 $125.50 2026-05-22
85379 CPT D-dimer, Quantitative 9 9 $163.10 $163.10 $163.10 $163.10 $163.10 2026-05-22
85384 CPT Fibrinogen Quanative 9 9 $48.00 $48.00 $48.00 $48.00 $48.00 2026-05-22
86021 CPT Anca Vasculitides 9 9 $200.00 $200.00 $200.00 $200.00 $200.00 2026-05-22
86022 CPT Antiplatelet Antibody Serum 9 9 $161.50 $161.50 $161.50 $161.50 $161.50 2026-05-22
86147 CPT Cardiolipin Igm-igg-iga 9 9 $241.00 $241.00 $241.00 $241.00 $241.00 2026-05-22
86225 CPT Anti/ds DNA Antibody 9 9 $83.00 $83.00 $83.00 $83.00 $83.00 2026-05-22
86308 CPT Mononucleosis Test Qual 9 9 $47.00 $47.00 $47.00 $47.00 $47.00 2026-05-22
86316 CPT Ca 125 Serum 27 9 $109.78 $109.78 $11.50 $120.50 $109.78 2026-05-22
86340 CPT Intrinsic Factor Ab Serum 9 9 $58.50 $58.50 $58.50 $58.50 $58.50 2026-05-22
86360 CPT Lymphocyte Subset Panel 4 22 12 $159.59 $159.59 $46.98 $278.50 $148.18 2026-05-22
86480 CPT Quantiferon(r)-TB Gold 9 9 $132.00 $132.00 $132.00 $132.00 $132.00 2026-05-22
86645 CPT Cmvigm Igg (panel 2) 9 9 $144.00 $144.00 $144.00 $144.00 $144.00 2026-05-22
86677 CPT H Pylori Igm Igg Iga Ab 18 9 $78.25 $78.25 $14.50 $142.00 $78.25 2026-05-22
86694 CPT Abo And Rh 36 9 $163.00 $163.00 $64.50 $325.50 $163.00 2026-05-22
86701 CPT HIV Viral Load 18 9 $115.00 $115.00 $25.00 $205.00 $115.00 2026-05-22
86706 CPT Heb B Surface Antibody 9 9 $89.00 $89.00 $89.00 $89.00 $89.00 2026-05-22
86769 CPT Sars-cov-2 (covid-19) Antibody (IgG) 9 9 $65.00 $65.00 $65.00 $65.00 $65.00 2026-05-22
86777 CPT Toxoplasma Igg Igm (panel 2) 9 9 $151.00 $151.00 $151.00 $151.00 $151.00 2026-05-22
87015 CPT Giardia & Cryptosporidium Antigen Panel 18 9 $62.80 $62.80 $25.03 $100.58 $62.80 2026-05-22
87075 CPT Anaerobic Culture 9 9 $60.58 $60.58 $60.58 $60.58 $60.58 2026-05-22
87230 CPT C-difficile Toxin B-cyto 9 9 $170.50 $170.50 $170.50 $170.50 $170.50 2026-05-22
87254 CPT Viral Culture Rapid Influenze 9 9 $117.50 $117.50 $117.50 $117.50 $117.50 2026-05-22
87328 CPT Giardia Lamblia Direct Eia 9 9 $54.50 $54.50 $54.50 $54.50 $54.50 2026-05-22
87490 CPT Chlamydia DNA Probe 9 9 $73.50 $73.50 $73.50 $73.50 $73.50 2026-05-22
87521 CPT Hcv RNA Pcr Ql (quant Rflx) 9 9 $137.00 $137.00 $137.00 $137.00 $137.00 2026-05-22
87522 CPT Hcv Rt-pcr Quant (graph) 18 9 $85.25 $85.25 $14.50 $156.00 $85.25 2026-05-22
87536 CPT HIV Viral Load 19 13 $237.00 $237.00 $85.10 $260.50 $85.10 2026-05-22
87590 CPT N Gonorrhea DNA Probe 9 9 $71.50 $71.50 $71.50 $71.50 $71.50 2026-05-22
87631 CPT Influenza A/b And Rsv RNA Qual 13 12 $148.00 $148.00 $142.63 $148.00 $148.00 2026-05-22
87635 CPT Sars-cov-2 RNA (covid-19), Qual Naat 9 9 $69.00 $69.00 $69.00 $69.00 $69.00 2026-05-22
87900 CPT HIV-1 Genotype 9 9 $440.00 $440.00 $440.00 $440.00 $440.00 2026-05-22
87906 CPT HIV-1 Integrase Genotype 18 13 $440.00 $440.00 $128.73 $440.00 $284.37 2026-05-22
88104 CPT Panel Cell Count Body Fluid 9 9 $65.51 $65.51 $65.51 $65.51 $65.51 2026-05-22
88112 CPT Urine Cytology 9 9 $71.00 $71.00 $71.00 $71.00 $71.00 2026-05-22
88180 CPT T-cell Activation Cd8 Subset 9 9 $443.00 $443.00 $443.00 $443.00 $443.00 2026-05-22
88305 CPT Surgical Pathology 9 9 $124.50 $67.74 46% off $67.74 $67.74 $67.74 2026-05-22
90632 CPT Vaqta (Hepatits A) 50u/1ml Vacc Sdv* 9 9 $71.93 $71.93 $71.93 $71.93 $71.93 2026-05-22
90670 CPT Prevnar 13 (pneumo-13)vacc 0.5ml/pf Syr 9 9 $201.74 $201.74 $201.74 $201.74 $201.74 2026-05-22
90715 CPT Adacel (Tdap) Vaccine 0.5ml Syringe 9 9 $50.35 $50.35 $50.35 $50.35 $50.35 2026-05-22
90732 CPT Nf-pneumococcal Vaccine 18 9 $59.76 $59.76 $10.06 $109.45 $59.76 2026-05-22
90746 CPT Engerix-b(hepatitis-b) 20mcg/ml Pfs 1ml 9 9 $69.61 $69.61 $69.61 $69.61 $69.61 2026-05-22
90750 CPT Shingrix *dose 1* (shingles) Vaccine 18 9 $154.87 $154.87 $154.86 $154.87 $154.87 2026-05-22
90791 CPT Initial Evaluation Np 20 11 $211.00 $211.00 $99.83 $211.00 $197.00 2026-05-22
90792 CPT Initial Evaluation W Medical Svcs Np 11 11 $271.00 $271.00 $110.31 $271.00 $271.00 2026-05-22
90804 CPT Psychotherapy Half Therapist 9 9 $93.00 $93.00 $93.00 $93.00 $93.00 2026-05-22
90805 CPT Psychotherapy Half Dr 9 9 $117.00 $117.00 $117.00 $117.00 $117.00 2026-05-22
90806 CPT Psychotherapy Full Tp 9 9 $117.00 $117.00 $117.00 $117.00 $117.00 2026-05-22
90807 CPT Psychotherapy Full Dr 9 9 $167.00 $167.00 $167.00 $167.00 $167.00 2026-05-22
90832 CPT Psychotherapy 30 Min Np 20 11 $117.00 $117.00 $48.89 $117.00 $93.00 2026-05-22
90834 CPT Psychotherapy 45 Min Np 20 11 $142.00 $142.00 $65.03 $142.00 $117.00 2026-05-22
90837 CPT Psychotherapy 60 Min Pt Or Fam-physician 11 11 $195.00 $195.00 $97.29 $195.00 $195.00 2026-05-22
90839 CPT Psychotherapy 60 Min Crisis Doctor 9 9 $204.00 $204.00 $204.00 $204.00 $204.00 2026-05-22
90840 CPT Psychotherapy Addl 30 Min Crisis Dr 9 9 $98.00 $98.00 $98.00 $98.00 $98.00 2026-05-22
90846 CPT Family Psychotherapy Without Pt 11 11 $137.00 $137.00 $71.69 $137.00 $137.00 2026-05-22
90847 CPT Family Session Dr 20 11 $180.00 $180.00 $74.21 $180.00 $167.00 2026-05-22
90853 CPT Group Psychotherapy 11 11 $56.00 $56.00 $19.34 $56.00 $56.00 2026-05-22
90862 CPT Medication Review 9 9 $93.00 $93.00 $93.00 $93.00 $93.00 2026-05-22
90880 CPT Hypnotherapy Therapist 9 9 $146.00 $146.00 $146.00 $146.00 $146.00 2026-05-22
90887 CPT Collateral Visit Dr 9 9 $137.00 $137.00 $137.00 $137.00 $137.00 2026-05-22
92506 CPT Slp Evaluation 92506 9 9 $197.00 $197.00 $197.00 $197.00 $197.00 2026-05-22
92507 CPT Slp Therapy 92507 19 13 $135.00 $135.00 $74.56 $174.90 $147.00 2026-05-22
92521 CPT 1 Slp Eval Of Speech Fluency 92521 9 9 $223.00 $223.00 $223.00 $223.00 $223.00 2026-05-22
92522 CPT 1 Slp Eval Spch Snd Prd Artic Dys 92522 9 9 $180.00 $180.00 $180.00 $180.00 $180.00 2026-05-22
92523 CPT Slp Eval Spch Lang (-52) 92523 27 13 $285.50 $285.50 $185.00 $440.00 $222.12 2026-05-22
92524 CPT Slp Eval Of Spch Voice & Reson 92524 18 13 $192.00 $192.00 $106.68 $206.50 $185.00 2026-05-22
92526 CPT Slp Swallow Treatment 92526 21 15 $148.00 $148.00 $60.31 $147.00 $82.30 2026-05-22
92552 CPT Slp Pure Tone Audiometry 92506 18 13 $62.00 $62.00 $38.50 $58.00 $48.25 2026-05-22
92597 CPT Slp Eval Voice Pros Pmv 92597 9 9 $106.00 $106.00 $106.00 $106.00 $106.00 2026-05-22
92607 CPT Slp Spch Generating Device Eval 92607 12 12 $197.00 $197.00 $88.75 $197.00 $197.00 2026-05-22
92608 CPT Slp Spch Gen Device Eval +30 92608 12 12 $111.00 $111.00 $35.55 $111.00 $111.00 2026-05-22
92609 CPT 1 Slp Spch Generat Device Therapy 92609 11 11 $147.00 $147.00 $74.54 $147.00 $147.00 2026-05-22
92610 CPT Slp Swallow Eval 92610 21 15 $150.00 $150.00 $60.01 $181.00 $82.88 2026-05-22
93005 CPT EKG-routine 9 9 $87.00 $87.00 $87.00 $87.00 $87.00 2026-05-22
93880 CPT Arteries Doppler 9 9 $188.94 $188.94 $188.94 $188.94 $188.94 2026-05-22
93925 CPT Duplex Lower Extremity Arteries 9 9 $281.00 $239.49 $239.49 $239.49 $239.49 2026-05-22
93930 CPT Duplex Upper Extrem Arteries 9 9 $199.00 $195.31 $195.31 $195.31 $195.31 2026-05-22
93970 CPT Ven Doppler Extrem 9 9 $184.34 $184.34 $184.34 $184.34 $184.34 2026-05-22
93971 CPT Duplex Extremity Veins 9 9 $162.00 $115.10 29% off $115.10 $115.10 $115.10 2026-05-22
94070 CPT Bronchospasm Evaluation 94070 7 4 $112.00 $112.00 $66.62 $66.62 $66.62 2026-04-01
94660 CPT Pos Airway Pressure Cpap 94660 7 4 $112.50 $112.50 $65.97 $65.97 $65.97 2026-04-01
95831 CPT Pt Muscle Testing Manual W/report 95831 9 9 $63.00 $63.00 $63.00 $63.00 $63.00 2026-05-22
95851 CPT Pt Rom Measurements & Report 95851 9 9 $63.00 $63.00 $63.00 $63.00 $63.00 2026-05-22
96100 CPT Psychological Testing Doctor 9 9 $167.00 $167.00 $167.00 $167.00 $167.00 2026-05-22
96101 CPT Psych Test,int,rpt/psycologist 9 9 $171.00 $171.00 $171.00 $171.00 $171.00 2026-05-22
96105 CPT 1 Slp Assesment Of Aphasia 96105 11 11 $147.00 $147.00 $71.68 $147.00 $147.00 2026-05-22
96115 CPT Neurobehavioral Assessment 9 9 $163.00 $163.00 $163.00 $163.00 $163.00 2026-05-22
96116 CPT Neuro Status Examination 9 9 $193.00 $193.00 $193.00 $193.00 $193.00 2026-05-22
96117 CPT Neurological Testing 9 9 $163.00 $163.00 $163.00 $163.00 $163.00 2026-05-22
96118 CPT Neuro Test Int Rpt/psychologis 9 9 $230.00 $230.00 $230.00 $230.00 $230.00 2026-05-22
96119 CPT Neuro Test Performed By Tech 9 9 $108.00 $108.00 $108.00 $108.00 $108.00 2026-05-22
96121 CPT Neuro Status Ea Added Hour 9 9 $125.00 $84.44 32% off $84.44 $84.44 $84.44 2026-05-22
96125 CPT 1 Slp Cognitive Performance Eval 96125 11 11 $236.00 $236.00 $75.48 $236.00 $236.00 2026-05-22
96132 CPT Neuro Testing Eval 9 9 $170.00 $132.95 22% off $132.95 $132.95 $132.95 2026-05-22
96133 CPT Neuro Testing Additional Hour 9 9 $125.00 $100.04 $100.04 $100.04 $100.04 2026-05-22
96136 CPT Neuro Psy Test Initial 30 Min 9 9 $75.00 $45.70 39% off $45.70 $45.70 $45.70 2026-05-22
97001 CPT Cmg Code 18 9 $71.50 $71.50 $3.00 $140.00 $71.50 2026-05-22
97002 CPT Pt Pt Reevaluation 97002 9 9 $78.00 $78.00 $78.00 $78.00 $78.00 2026-05-22
97003 CPT Ot Eval/initial 97003 9 9 $142.00 $142.00 $142.00 $142.00 $142.00 2026-05-22
97004 CPT Ot Reeval 97004 9 9 $87.00 $87.00 $87.00 $87.00 $87.00 2026-05-22
97010 CPT Pt Hot Pack/cold Pack 97010 13 13 $82.00 $82.00 $42.00 $71.50 $66.00 2026-05-22
97032 CPT Ot Estim/bioness (ot Attended) 97032 30 15 $42.00 $42.00 $4.36 $66.00 $58.00 2026-05-22
97035 CPT Ot Ultrasound (97035) 30 15 $41.50 $41.50 $9.95 $66.00 $58.00 2026-05-22
97110 CPT Aqua Therapeutic Exercise - 97110 30 15 $55.00 $55.00 $21.12 $299.20 $58.00 2026-05-22
97112 CPT Aqua Neuromuscular Re-ed - 97112 30 15 $59.00 $59.00 $24.23 $144.06 $58.00 2026-05-22
97113 CPT Pt Aquatic Therapy 97113 12 12 $66.00 $66.00 $26.50 $66.00 $66.00 2026-05-22
97116 CPT Aqua Gait Training - 97116 21 15 $52.00 $52.00 $20.89 $77.67 $66.00 2026-05-22
97127 CPT 1 Slp Cogn Func Intervention 97127 11 11 $147.00 $147.00 $93.10 $147.00 $147.00 2026-05-22
97140 CPT Aqua Manual Therapy - 97140 30 15 $53.00 $53.00 $19.46 $78.10 $58.00 2026-05-22
97161 CPT Pt Eval Low Complexity 21 15 $173.00 $173.00 $58.86 $166.10 $140.00 2026-05-22
97162 CPT Pt Eval Moderate 21 15 $173.00 $173.00 $14.54 $140.00 $96.02 2026-05-22
97163 CPT Pt Eval High 21 15 $173.00 $173.00 $58.86 $177.00 $96.02 2026-05-22
97164 CPT Pt Reevaluation 21 15 $118.00 $118.00 $40.28 $78.00 $65.77 2026-05-22
97165 CPT Ot Eval/initial Low Complexity (97165) 21 15 $177.00 $177.00 $62.32 $137.50 $103.00 2026-05-22
97166 CPT Ot Eval Moderate Complexity 97166 21 15 $177.00 $177.00 $62.09 $179.00 $98.26 2026-05-22
97167 CPT Ot Eval High Complexity 97167 21 15 $177.00 $177.00 $62.09 $103.00 $98.26 2026-05-22
97168 CPT Ot Re Eval 97168 21 15 $120.00 $120.00 $42.82 $67.00 $66.73 2026-05-22
97530 CPT Aqua Therapeutic Activity - 97530 21 15 $61.00 $61.00 $26.88 $195.25 $58.00 2026-05-22
97532 CPT 1 Slp Cognitive Skill Development 97532 9 9 $147.00 $147.00 $147.00 $147.00 $147.00 2026-05-22
97533 CPT Ot Sensory Integration 97533 21 15 $106.00 $106.00 $35.06 $62.00 $58.69 2026-05-22
97597 CPT Pt Pulsavac/selective Debridement 97597 20 15 $166.00 $166.00 $63.00 $97.24 $76.50 2026-05-22
97762 CPT Pt Orthotic Check Out 97762 9 9 $66.00 $66.00 $66.00 $66.00 $66.00 2026-05-22
98968 CPT Telephone Svcs 21-30 Min Therapist 9 9 $50.00 $50.00 $50.00 $50.00 $50.00 2026-05-22
99202 CPT New Patient Ofc Visit 20 Min Np 11 11 $96.00 $96.00 $51.65 $96.00 $96.00 2026-05-22
99203 CPT New Patient Ofc Visit 30 Min Np 11 11 $151.00 $151.00 $73.37 $151.00 $151.00 2026-05-22
99204 CPT New Patient Ofc Visit 45 Min Np 11 11 $206.00 $206.00 $112.71 $206.00 $206.00 2026-05-22
99205 CPT New Patient Ofc Visit 60 Min Np 11 11 $261.00 $261.00 $142.63 $261.00 $261.00 2026-05-22
99212 CPT Eval And Management Review 10 Min 11 11 $63.00 $63.00 $30.72 $63.00 $63.00 2026-05-22
99213 CPT Eval And Management Review 15 Min 11 11 $101.00 $101.00 $51.02 $101.00 $101.00 2026-05-22
99214 CPT Eval And Management Review 25 Min 11 11 $149.00 $149.00 $74.19 $149.00 $149.00 2026-05-22
99215 CPT Eval And Management Review 40 Min Np 11 11 $197.00 $197.00 $99.86 $197.00 $197.00 2026-05-22
99221 CPT Initial Visit Low 18 13 $140.00 $140.00 $16.20 $191.40 $161.00 2026-05-22
99222 CPT Initial Visit Moderate 18 13 $211.00 $211.00 $25.11 $270.60 $228.00 2026-05-22
99223 CPT Initial Visit High 18 13 $281.00 $281.00 $148.58 $466.50 $295.00 2026-05-22
99231 CPT Subsequent Visit Low 18 13 $84.00 $84.00 $41.90 $103.40 $87.00 2026-05-22
99232 CPT Subsequent Visit Moderate 18 13 $121.00 $121.00 $15.34 $126.00 $117.00 2026-05-22
99233 CPT Subsequent Visit High 18 13 $183.00 $183.00 $22.42 $167.00 $134.43 2026-05-22
99234 CPT Admit & Discharge Same Day Low 14 13 $155.00 $155.00 $83.37 $155.00 $155.00 2026-05-22
99235 CPT Admit & Discharge Same Day Mod 14 13 $245.00 $245.00 $136.07 $217.00 $217.00 2026-05-22
99236 CPT Admit And Discharge Same Day 14 13 $338.00 $338.00 $179.97 $414.00 $414.00 2026-05-22
99238 CPT Day Of Discharge Exam 30 Min 18 13 $128.00 $128.00 $15.70 $147.40 $124.00 2026-05-22
99239 CPT Day Of Discharge Exam Over 30m 9 4 $184.50 $184.50 $101.62 $190.46 $168.30 2026-04-01
99241 CPT Off Consult Problem Focused 9 9 $75.00 $75.00 $75.00 $75.00 $75.00 2026-05-22
99242 CPT Off Consult Expanded Problem 9 9 $137.00 $137.00 $137.00 $137.00 $137.00 2026-05-22
99243 CPT Off Consult Detailed History 9 9 $180.00 $180.00 $180.00 $180.00 $180.00 2026-05-22
99244 CPT Off Consult Comprehensive 9 9 $254.00 $254.00 $254.00 $254.00 $254.00 2026-05-22
99245 CPT Off Consult Comp History 9 9 $328.00 $328.00 $328.00 $328.00 $328.00 2026-05-22
99251 CPT Consult H & P 20 Min 9 9 $124.00 $124.00 $124.00 $124.00 $124.00 2026-05-22
99252 CPT Consult H & P 40 Min 9 9 $173.00 $173.00 $173.00 $173.00 $173.00 2026-05-22
99253 CPT Detailed History Low Complexit 9 9 $228.00 $228.00 $228.00 $228.00 $228.00 2026-05-22
99254 CPT Comp H & P Moderate 80 Min 9 9 $278.00 $278.00 $278.00 $278.00 $278.00 2026-05-22
99255 CPT Comp H & P High 110 Min 9 9 $357.00 $357.00 $357.00 $357.00 $357.00 2026-05-22
99302 CPT H&p Initial Visit Moderate 9 9 $111.00 $111.00 $111.00 $111.00 $111.00 2026-05-22
99303 CPT H&p Initial Visit High 9 9 $167.00 $167.00 $167.00 $167.00 $167.00 2026-05-22
99304 CPT Nh Detailed/comp Hx Exam Low Complexity 13 12 $109.00 $109.00 $77.91 $131.00 $109.00 2026-05-22
99305 CPT Nh Comp Hx Moderate Complexity 13 12 $161.00 $161.00 $25.11 $215.49 $161.00 2026-05-22
99306 CPT Nh Comp Hx Exam High Complexity 13 12 $185.00 $185.00 $184.87 $298.00 $185.00 2026-05-22
99307 CPT Nh Problem Focused Exam Straight Forward 13 12 $81.00 $81.00 $37.42 $95.70 $81.00 2026-05-22
99308 CPT Nh Expanded Problem Focused Low 13 12 $111.00 $111.00 $28.36 $111.00 $111.00 2026-05-22
99309 CPT Nh Detailed/comp Hx Exam Moderate 13 12 $142.00 $142.00 $31.81 $142.00 $142.00 2026-05-22
99310 CPT Nh Detailed/comp Hx Exam High Complexity 13 12 $180.00 $180.00 $155.84 $251.00 $180.00 2026-05-22
99311 CPT Follow Up Subsequent Day Low 9 9 $81.00 $81.00 $81.00 $81.00 $81.00 2026-05-22
99312 CPT Follow Up Subsequent Day Modr 9 9 $93.00 $93.00 $93.00 $93.00 $93.00 2026-05-22
99313 CPT Follow Up Subsequent Visit Hi 9 9 $111.00 $111.00 $111.00 $111.00 $111.00 2026-05-22
99315 CPT Nh Discharge Less Than 30 Minutes 13 12 $111.00 $111.00 $15.80 $111.00 $111.00 2026-05-22
99316 CPT Nh Discharge Greater Than 30 Minutes 13 12 $124.00 $124.00 $124.00 $132.29 $124.00 2026-05-22
99318 CPT Annual Nursing Assess D/c/l-m 9 9 $117.00 $117.00 $117.00 $117.00 $117.00 2026-05-22
99354 CPT Prolonged Svc Therapist 30 - 74 Addl Min 11 11 $137.00 $137.00 $89.92 $137.00 $137.00 2026-05-22
99355 CPT Prolonged Svc Add'l 30 To 99354 Dr 11 11 $176.00 $176.00 $68.29 $176.00 $176.00 2026-05-22
99361 CPT Team Conference 9 9 $161.00 $161.00 $161.00 $161.00 $161.00 2026-05-22
99362 CPT Team Conference 60 Min 9 9 $180.00 $180.00 $180.00 $180.00 $180.00 2026-05-22
99366 CPT Ot Medical Team Conference 99366 9 9 $58.00 $58.00 $58.00 $58.00 $58.00 2026-05-22
99442 CPT Telephone Svsc 11-20 Min Physician 9 9 $49.00 $49.00 $49.00 $49.00 $49.00 2026-05-22
99443 CPT Telephone Svsc 21-30 Physician 9 9 $72.00 $72.00 $72.00 $72.00 $72.00 2026-05-22
A4363 CPT Ostomy Clamps 9 9 $176.00 $176.00 $176.00 $176.00 $176.00 2026-05-22
A4462 CPT Abdominal Binder (s-m) 18 9 $59.00 $59.00 $54.00 $64.00 $59.00 2026-05-22
A4600 CPT Sequential Sleeve 9 9 $62.00 $62.00 $62.00 $62.00 $62.00 2026-05-22
A4622 CPT Trach Tube Cannula #6dct 9 9 $153.00 $153.00 $153.00 $153.00 $153.00 2026-05-22
A4623 CPT Cannula Inner Disp #8dic 18 9 $169.00 $169.00 $135.00 $203.00 $169.00 2026-05-22
A5063 CPT Dressing Telfa Island 4x14 27 9 $91.00 $91.00 $3.15 $223.00 $91.00 2026-05-22
C9452 CPT ZERBAXA(ceftoloz/tazobac) 1.5gm Vial 9 9 $115.81 $115.81 $115.81 $115.81 $115.81 2026-05-22
E0580 CPT Medi Mist 9 9 $7.50 $133.58 $133.58 $133.58 $133.58 2026-05-22
E1390 CPT Oxygen Concentrator 9 9 $16.00 $103.41 $103.41 $103.41 $103.41 2026-05-22
G0283 CPT Ot Estim/boiness Unattended G0283 9 9 $50.00 $50.00 $50.00 $50.00 $50.00 2026-05-22
J0456 CPT Zithromax (AZITHromycin) IV 500mg Vl 9 9 $48.43 $48.43 $48.43 $48.43 $48.43 2026-05-22
J0515 CPT Benztropine(cogentin) 2mg/2ml Amp 9 9 $58.48 $58.48 $58.48 $58.48 $58.48 2026-05-22
J0744 CPT Ciprofloxacin(cipro)/d5w 200mg/100ml IV 18 9 $48.05 $48.05 $47.38 $48.72 $48.05 2026-05-22
J0878 CPT Cubicin Rf (daptomycin) : 500mg Vial 18 9 $242.32 $242.32 $58.29 $426.36 $242.32 2026-05-22
J0881 CPT Aranesp 10 Mcg/0.4ml Pfs 27 9 $186.70 $186.70 $83.86 $426.66 $186.70 2026-05-22
J0885 CPT Epogen 10,000 Units/ml Vial* 45 9 $261.89 $261.89 $89.28 $1,001.66 $261.89 2026-05-22
J0897 CPT Xgeva 120mg/1.7ml Vial* 9 9 $2,185.73 $2,185.73 $2,185.73 $2,185.73 $2,185.73 2026-05-22
J1050 CPT Medroxyprogesterone 150mg/ml IM Sdv 9 9 $90.54 $90.54 $90.54 $90.54 $90.54 2026-05-22
J1051 CPT Depo PROVERA(medroxypro)50MG/ML Pfs 1ml* 9 9 $199.64 $199.64 $199.64 $199.64 $199.64 2026-05-22
J1335 CPT Ertapenem (INVanz) : 1 Gm Vial 18 9 $99.57 $99.57 $70.96 $128.19 $99.57 2026-05-22
J1595 CPT Copaxone (glatiramer) 20mg Injection Kit 36 9 $353.51 $353.51 $165.23 $6,579.39 $353.51 2026-05-22
J1610 CPT Glucagon 1mg Emergency Syringe 9 9 $274.40 $274.40 $274.40 $274.40 $274.40 2026-05-22
J1610 HCPCS Glucagon 1mg Emergency Syringe 10 4 $352.50 $352.50 $146.33 $146.33 $146.33 2026-04-01
J1652 CPT Arixtra 10 Mg/0.8ml Pf Syringe 18 9 $72.60 $72.60 $24.85 $120.35 $72.60 2026-05-22
J1756 CPT Venofer 20mg/ml Sdv 5ml 9 9 $45.75 $45.75 $45.75 $45.75 $45.75 2026-05-22
J1815 CPT Apidra (glulisine) 100unit/ml 10ml Vial 144 9 $73.65 $73.65 $39.31 $1,383.84 $73.65 2026-05-22
J1830 CPT Betaseron 0.3 Mg Vial (0.25mg/ml) 9 9 $539.01 $539.01 $539.01 $539.01 $539.01 2026-05-22
J1956 CPT Levofloxacin/d5w 500mg/100ml IV 18 9 $52.89 $52.89 $48.20 $57.58 $52.89 2026-05-22
J2020 CPT Linezolid(zyvox)600mg/300ml IV Soln 18 9 $126.87 $126.87 $60.56 $193.18 $126.87 2026-05-22
J2248 CPT Mycamine : 100 Mg Vial 9 9 $187.85 $187.85 $187.85 $187.85 $187.85 2026-05-22
J2280 CPT Avelox 400 Mg/250ml IV 9 9 $95.08 $95.08 $95.08 $95.08 $95.08 2026-05-22
J2358 CPT ZyPREXA Relprevv 300 Mg Vial* 9 9 $857.70 $857.70 $857.70 $857.70 $857.70 2026-05-22
J2426 CPT Invega Sustenna 117 Mg Pf Syr 0.75ml* 27 9 $878.11 $878.11 $15.30 $1,309.53 $878.11 2026-05-22
J2794 CPT RisperDAL Consta 12.5mg Syg 2ml 36 9 $601.82 $601.82 $249.92 $953.76 $601.82 2026-05-22
J2941 CPT Nutropin AQ(somatropin)10MG/2ML (nf-pom) 9 9 $1,140.66 $1,140.66 $1,140.66 $1,140.66 $1,140.66 2026-05-22
J2997 CPT Cathflo Activase (alteplase) 2mg Vial 9 9 $156.53 $156.53 $156.53 $156.53 $156.53 2026-05-22
J2997 HCPCS Cathflo Activase (alteplase) 2mg Vial 10 4 $244.26 $244.26 $95.09 $95.09 $95.09 2026-04-01
J3110 CPT Forteo Pen 600mcg / 2.4ml 9 9 $3,335.02 $3,335.02 $3,335.02 $3,335.02 $3,335.02 2026-05-22
J3243 CPT Tygacil : 50mg Vial 9 9 $136.01 $136.01 $136.01 $136.01 $136.01 2026-05-22
J3250 CPT Nf-tigan 100mg/ml Sdv 2ml 18 9 $45.78 $45.78 $43.53 $48.02 $45.78 2026-05-22
L0172 CPT Cervical Collar Semi Rigid 9 9 $167.00 $167.00 $167.00 $167.00 $167.00 2026-05-22
L0472 CPT Tlso Jewett Brace L0472 9 9 $671.00 $671.00 $671.00 $671.00 $671.00 2026-05-22
L8501 CPT Passy Muir Valve Pmv2001 9 9 $129.50 $120.80 $120.80 $120.80 $120.80 2026-05-22
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