|
11406
|
CPT
|
Pr Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l >4.0 Cm
|
2
|
1
|
$1,118.50
|
$671.10
40% off
|
$599.85
|
$644.93
|
$622.39
|
2025-06-01
|
|
11443
|
CPT
|
Pr Exc B9 Les Mrgn Xcp Sk Tg F/e/e/n/l/m 2.1-3.0cm
|
1
|
1
|
$744.00
|
$446.40
40% off
|
$430.77
|
$430.77
|
$430.77
|
2025-06-01
|
|
11604
|
CPT
|
Pr Excision Mal Lesion Trunk/arm/leg 3.1-4.0 Cm
|
1
|
1
|
$725.00
|
$435.00
40% off
|
$419.77
|
$419.77
|
$419.77
|
2025-06-01
|
|
11606
|
CPT
|
Pr Excision Malignant Lesion Trunk/arm/leg > 4.0 Cm
|
1
|
1
|
$813.00
|
$487.80
40% off
|
$436.58
|
$436.58
|
$436.58
|
2025-06-01
|
|
12041
|
CPT
|
Pr Repair Intermediate N/h/f/xtrnl Gent 2.5cm/<
|
1
|
1
|
$731.00
|
$438.60
40% off
|
$392.55
|
$392.55
|
$392.55
|
2025-06-01
|
|
12042
|
CPT
|
Pr Repair Intermediate N/h/f/xtrnl Gent 2.6-7.5 Cm
|
1
|
1
|
$893.00
|
$535.80
40% off
|
$479.54
|
$479.54
|
$479.54
|
2025-06-01
|
|
13121
|
CPT
|
Pr Repair Complex Scalp/arm/leg 2.6-7.5 Cm
|
1
|
1
|
$1,317.00
|
$790.20
40% off
|
$707.23
|
$707.23
|
$707.23
|
2025-06-01
|
|
14020
|
CPT
|
Pr Adjt Tis Trnsfr/reargmt Scalp/arm/leg 10 Sq Cm/<
|
1
|
1
|
$1,439.00
|
$863.40
40% off
|
$772.75
|
$772.75
|
$772.75
|
2025-06-01
|
|
22214
|
CPT
|
Pr Osteotomy Spine Pst/pstlat Appr 1 Vrt Sgm Lmbr
|
1
|
1
|
$3,962.00
|
$2,377.20
40% off
|
$2,127.59
|
$2,127.59
|
$2,127.59
|
2025-06-01
|
|
22511
|
CPT
|
Pr Perq Vertebroplasty Uni/bi Injection Lumbosacral
|
1
|
1
|
$1,044.00
|
$626.40
40% off
|
$560.63
|
$560.63
|
$560.63
|
2025-06-01
|
|
22551
|
CPT
|
Pr Arthrd Ant Interbody Decompress Cervical Belw C2
|
1
|
1
|
$4,639.00
|
$2,783.40
40% off
|
$2,491.14
|
$2,491.14
|
$2,491.14
|
2025-06-01
|
|
22552
|
CPT
|
Pr Arthrd Ant Interdy Cervcl Belw C2 Ea Addl Ntrspc
|
1
|
1
|
$1,043.00
|
$625.80
40% off
|
$560.09
|
$560.09
|
$560.09
|
2025-06-01
|
|
22558
|
CPT
|
Pr Arthrd Ant Interbody Min Dsc Lumbar
|
2
|
1
|
$3,998.00
|
$2,598.70
35% off
|
$2,146.93
|
$2,146.93
|
$2,146.93
|
2025-06-01
|
|
22585
|
CPT
|
Pr Arthrd Ant Ntrbd Min Dsc Ea Addl Interspace
|
1
|
1
|
$852.00
|
$511.20
40% off
|
$457.52
|
$457.52
|
$457.52
|
2025-06-01
|
|
22612
|
CPT
|
Pr Arthrodesis Posterior/pstlat Tq 1ntrspc Lumbar
|
2
|
1
|
$4,142.00
|
$2,692.30
35% off
|
$2,224.26
|
$2,224.26
|
$2,224.26
|
2025-06-01
|
|
22614
|
CPT
|
Pr Arthrodesis Pst/pstlat Tq 1ntrspc Ea Addl Ntrspc
|
2
|
1
|
$1,029.00
|
$668.85
35% off
|
$552.58
|
$552.58
|
$552.58
|
2025-06-01
|
|
22633
|
CPT
|
Pr Arthrodesis Combined Tq 1ntrspc Lumbar
|
2
|
1
|
$4,678.00
|
$3,040.70
35% off
|
$2,512.09
|
$2,512.09
|
$2,512.09
|
2025-06-01
|
|
22634
|
CPT
|
Pr Arthrodesis Cmbn Tq 1ntrspc Each Additional
|
2
|
1
|
$1,275.00
|
$828.75
35% off
|
$684.67
|
$684.67
|
$684.67
|
2025-06-01
|
|
22830
|
CPT
|
Pr Exploration Spinal Fusion
|
1
|
1
|
$2,157.00
|
$1,294.20
40% off
|
$1,158.31
|
$1,158.31
|
$1,158.31
|
2025-06-01
|
|
22840
|
CPT
|
Pr Posterior Non-segmental Instrumentation
|
2
|
1
|
$1,953.00
|
$1,269.45
35% off
|
$1,048.76
|
$1,048.76
|
$1,048.76
|
2025-06-01
|
|
22842
|
CPT
|
Pr Posterior Segmental Instrumentation 3-6 Vrt Seg
|
2
|
1
|
$2,494.00
|
$1,621.10
35% off
|
$1,339.28
|
$1,339.28
|
$1,339.28
|
2025-06-01
|
|
22845
|
CPT
|
Pr Anterior Instrumentation 2-3 Vertebral Segments
|
2
|
1
|
$1,911.00
|
$1,242.15
35% off
|
$1,026.20
|
$1,026.20
|
$1,026.20
|
2025-06-01
|
|
22849
|
CPT
|
Pr Reinsertion Spinal Fixation Device
|
1
|
1
|
$3,428.00
|
$2,056.80
40% off
|
$1,840.84
|
$1,840.84
|
$1,840.84
|
2025-06-01
|
|
22853
|
CPT
|
Pr Insj Biomchn Dev Intervertebral Dsc Spc W/arthrd
|
2
|
1
|
$843.00
|
$547.95
35% off
|
$452.69
|
$452.69
|
$452.69
|
2025-06-01
|
|
23470
|
CPT
|
Pr Arthroplasty Glenohumrl Jt Hemiarthroplasty
|
1
|
1
|
$3,094.00
|
$1,856.40
40% off
|
$1,661.48
|
$1,661.48
|
$1,661.48
|
2025-06-01
|
|
23472
|
CPT
|
Pr Arthroplasty Glenohumeral Joint Total Shoulder
|
2
|
1
|
$4,805.00
|
$3,123.25
35% off
|
$2,580.28
|
$2,580.28
|
$2,580.28
|
2025-06-01
|
|
23650
|
CPT
|
Pr Clsd Tx Shoulder Dislc W/manipulation Without Anes
|
1
|
1
|
$970.00
|
$582.00
40% off
|
$520.89
|
$520.89
|
$520.89
|
2025-06-01
|
|
24140
|
CPT
|
Pr Partial Excision Bone Humerus
|
1
|
1
|
$1,821.00
|
$1,092.60
40% off
|
$977.88
|
$977.88
|
$977.88
|
2025-06-01
|
|
24600
|
CPT
|
Pr Treatment Closed Elbow Dislocation Without Anes
|
1
|
1
|
$1,124.00
|
$674.40
40% off
|
$603.59
|
$603.59
|
$603.59
|
2025-06-01
|
|
25000
|
CPT
|
Pr Incision Extensor Tendon Sheath Wrist
|
1
|
1
|
$928.00
|
$556.80
40% off
|
$498.33
|
$498.33
|
$498.33
|
2025-06-01
|
|
25111
|
CPT
|
Pr Excision Ganglion Wrist Dorsal/volar Primary
|
1
|
1
|
$868.00
|
$520.80
40% off
|
$466.12
|
$466.12
|
$466.12
|
2025-06-01
|
|
25240
|
CPT
|
Pr Excision Distal Ulna Partial/complete
|
1
|
1
|
$1,118.00
|
$670.80
40% off
|
$600.37
|
$600.37
|
$600.37
|
2025-06-01
|
|
25290
|
CPT
|
Pr Tnot Flxr/xtnsr Tendon Forearm&/wrist 1 Ea
|
1
|
1
|
$1,133.00
|
$679.80
40% off
|
$608.42
|
$608.42
|
$608.42
|
2025-06-01
|
|
25312
|
CPT
|
Pr Tdn Trnsplj/tr Flxr/xtnsr F/arm&/wrst 1/tdn Gr
|
1
|
1
|
$1,938.00
|
$1,162.80
40% off
|
$1,040.70
|
$1,040.70
|
$1,040.70
|
2025-06-01
|
|
25337
|
CPT
|
Pr Rcnstj Stablj Dstl U/dstl Jt 2 Soft Tiss Stablj
|
1
|
1
|
$2,292.00
|
$1,375.20
40% off
|
$1,230.81
|
$1,230.81
|
$1,230.81
|
2025-06-01
|
|
25605
|
CPT
|
Pr Cltx Dstl Rdl Fx/epiphysl Sep W/manj When Perf
|
1
|
1
|
$1,681.00
|
$1,008.60
40% off
|
$902.70
|
$902.70
|
$902.70
|
2025-06-01
|
|
25607
|
CPT
|
Pr Optx Dstl Radl X-artic Fx/epiphysl Sep
|
1
|
1
|
$1,916.00
|
$1,149.60
40% off
|
$1,028.89
|
$1,028.89
|
$1,028.89
|
2025-06-01
|
|
26055
|
CPT
|
Pr Tendon Sheath Incision
|
1
|
1
|
$781.00
|
$468.60
40% off
|
$419.39
|
$419.39
|
$419.39
|
2025-06-01
|
|
26440
|
CPT
|
Pr Tenolysis Flexor Tendon Palm/finger Each Tendon
|
1
|
1
|
$1,637.00
|
$982.20
40% off
|
$879.07
|
$879.07
|
$879.07
|
2025-06-01
|
|
26525
|
CPT
|
Pr Capsulectomy/capsulotomy Iphal Joint Each
|
1
|
1
|
$1,767.00
|
$1,060.20
40% off
|
$948.88
|
$948.88
|
$948.88
|
2025-06-01
|
|
26770
|
CPT
|
Pr Cltx Iphal Jt Dislc W/manj Without Anes
|
1
|
1
|
$847.00
|
$508.20
40% off
|
$454.84
|
$454.84
|
$454.84
|
2025-06-01
|
|
26785
|
CPT
|
Pr Open Tx Interphalangeal Joint Dislocation
|
1
|
1
|
$1,450.00
|
$870.00
40% off
|
$778.65
|
$778.65
|
$778.65
|
2025-06-01
|
|
27130
|
CPT
|
Pr Arthrp Acetblr/prox Fem Prostc Agrft/algrft
|
2
|
1
|
$4,491.00
|
$2,919.15
35% off
|
$2,411.66
|
$2,411.66
|
$2,411.66
|
2025-06-01
|
|
27138
|
CPT
|
Pr Revj Tot Hip Arthrp Fem Only W/wo Algrft
|
1
|
1
|
$3,932.00
|
$2,359.20
40% off
|
$2,111.49
|
$2,111.49
|
$2,111.49
|
2025-06-01
|
|
27280
|
CPT
|
Pr Arthrodesis Si Jt Opn W/obtaining B1 Grf Instrmj
|
1
|
1
|
$4,439.00
|
$2,663.40
40% off
|
$2,383.74
|
$2,383.74
|
$2,383.74
|
2025-06-01
|
|
27334
|
CPT
|
Pr Arthrotomy W/synovectomy Knee Anterior/posterior
|
1
|
1
|
$1,821.00
|
$1,092.60
40% off
|
$977.88
|
$977.88
|
$977.88
|
2025-06-01
|
|
27339
|
CPT
|
Pr Exc Tumor Soft Tissue Thigh/knee Subfasc 5 Cm/>
|
1
|
1
|
$2,011.00
|
$1,206.60
40% off
|
$1,079.90
|
$1,079.90
|
$1,079.90
|
2025-06-01
|
|
27385
|
CPT
|
Pr Suture Quadriceps/hamstring Rupture Primary
|
1
|
1
|
$1,958.00
|
$1,174.80
40% off
|
$1,051.44
|
$1,051.44
|
$1,051.44
|
2025-06-01
|
|
27447
|
CPT
|
Pr Arthrp Kne Condyle&platu Medial&lat Compartments
|
2
|
1
|
$4,486.00
|
$2,915.90
35% off
|
$2,408.98
|
$2,408.98
|
$2,408.98
|
2025-06-01
|
|
27486
|
CPT
|
Pr Revj Total Knee Arthrp W/wo Algrft 1 Component
|
1
|
1
|
$3,880.00
|
$2,328.00
40% off
|
$2,083.56
|
$2,083.56
|
$2,083.56
|
2025-06-01
|
|
27487
|
CPT
|
Pr Revj Tot Knee Arthrp Fem&entire Tibial Compone
|
1
|
1
|
$4,859.00
|
$2,915.40
40% off
|
$2,609.28
|
$2,609.28
|
$2,609.28
|
2025-06-01
|
|
27818
|
CPT
|
Pr Cltx Trimalleolar Ankle Fx W/manipulation
|
1
|
1
|
$1,498.00
|
$898.80
40% off
|
$804.42
|
$804.42
|
$804.42
|
2025-06-01
|
|
29807
|
CPT
|
Pr Surgical Arthroscopy Shoulder Repair Slap Lesion
|
1
|
1
|
$3,564.00
|
$2,138.40
40% off
|
$1,913.87
|
$1,913.87
|
$1,913.87
|
2025-06-01
|
|
29822
|
CPT
|
Pr Surgical Arthroscopy Shoulder Lmtd Dbrdmt 1/2
|
1
|
1
|
$1,972.00
|
$1,183.20
40% off
|
$1,058.96
|
$1,058.96
|
$1,058.96
|
2025-06-01
|
|
29824
|
CPT
|
Pr Surgical Arthroscopy Shoulder Dstl Claviculc
|
1
|
1
|
$1,820.00
|
$1,092.00
40% off
|
$977.34
|
$977.34
|
$977.34
|
2025-06-01
|
|
29827
|
CPT
|
Pr Surgical Arthroscopy Shoulder W/rotator Cuff Rpr
|
2
|
1
|
$3,712.00
|
$2,412.80
35% off
|
$1,993.35
|
$1,993.35
|
$1,993.35
|
2025-06-01
|
|
29848
|
CPT
|
Hc Release Of Wrist Ligament Usin Edosc
|
1
|
1
|
$3,690.00
|
$2,214.00
40% off
|
$1,981.53
|
$1,981.53
|
$1,981.53
|
2025-06-01
|
|
29873
|
CPT
|
Pr Arthroscopy Knee Lateral Release
|
1
|
1
|
$1,787.00
|
$1,072.20
40% off
|
$959.62
|
$959.62
|
$959.62
|
2025-06-01
|
|
29875
|
CPT
|
Pr Arthroscopy Knee Synovectomy Limited Spx
|
1
|
1
|
$1,698.00
|
$1,018.80
40% off
|
$911.83
|
$911.83
|
$911.83
|
2025-06-01
|
|
29877
|
CPT
|
Pr Arthrs Knee Debridement/shaving Artclr Crtlg
|
1
|
1
|
$1,672.00
|
$1,003.20
40% off
|
$897.87
|
$897.87
|
$897.87
|
2025-06-01
|
|
29880
|
CPT
|
Pr Arthrs Knee W/meniscectomy Med&lat W/shaving
|
1
|
1
|
$1,933.00
|
$1,159.80
40% off
|
$1,038.02
|
$1,038.02
|
$1,038.02
|
2025-06-01
|
|
29881
|
CPT
|
Pr Arthrs Kne Surg W/meniscectomy Med/lat W/shvg
|
2
|
1
|
$1,992.00
|
$1,294.80
35% off
|
$1,069.70
|
$1,069.70
|
$1,069.70
|
2025-06-01
|
|
31500
|
CPT
|
Hc Intubation
|
1
|
1
|
$991.00
|
$594.60
40% off
|
$532.16
|
$532.16
|
$532.16
|
2025-06-01
|
|
33228
|
CPT
|
Pr Remvl Perm Pm Pls Gen W/repl Plse Gen 2 Lead Sys
|
1
|
1
|
$985.00
|
$591.00
40% off
|
$528.95
|
$528.95
|
$528.95
|
2025-06-01
|
|
36561
|
CPT
|
Pr Insj Tunneled Ctr Vad W/subq Port Age 5 Yr/>
|
1
|
1
|
$1,068.00
|
$640.80
40% off
|
$573.51
|
$573.51
|
$573.51
|
2025-06-01
|
|
41008
|
CPT
|
Pr Intraoral I&d Tongue/floor Submndblr Space [41008]
|
1
|
1
|
$973.00
|
$583.80
40% off
|
$522.50
|
$522.50
|
$522.50
|
2025-06-01
|
|
44970
|
CPT
|
Pr Laparoscopic Appendectomy
|
1
|
1
|
$1,635.00
|
$981.00
40% off
|
$878.00
|
$878.00
|
$878.00
|
2025-06-01
|
|
45378
|
CPT
|
Pr Colonoscopy Flx Dx W/collj Spec When Pfrmd
|
2
|
1
|
$870.00
|
$565.50
35% off
|
$467.19
|
$467.19
|
$467.19
|
2025-06-01
|
|
45380
|
CPT
|
Pr Colonoscopy W/biopsy Single/multiple
|
2
|
1
|
$987.00
|
$641.55
35% off
|
$530.02
|
$530.02
|
$530.02
|
2025-06-01
|
|
45381
|
CPT
|
Pr Colsc Flx With Directed Submucosal Njx Any Sbst
|
2
|
1
|
$1,159.00
|
$753.35
35% off
|
$622.38
|
$622.38
|
$622.38
|
2025-06-01
|
|
45385
|
CPT
|
Pr Colsc Flx W/rmvl Of Tumor Polyp Lesion Snare Tq
|
2
|
1
|
$1,159.00
|
$753.35
35% off
|
$622.38
|
$622.38
|
$622.38
|
2025-06-01
|
|
45388
|
CPT
|
Pr Colonoscopy Flx Ablation Tumor Polyp/other Les
|
1
|
1
|
$1,133.00
|
$679.80
40% off
|
$608.42
|
$608.42
|
$608.42
|
2025-06-01
|
|
46606
|
CPT
|
Hc Anoscopy-biopsy
|
1
|
1
|
$1,070.00
|
$642.00
40% off
|
$574.59
|
$574.59
|
$574.59
|
2025-06-01
|
|
47562
|
CPT
|
Pr Laparoscopy Surg Cholecystectomy
|
2
|
1
|
$1,768.00
|
$1,149.20
35% off
|
$949.41
|
$949.41
|
$949.41
|
2025-06-01
|
|
47563
|
CPT
|
Pr Laps Surg Cholecystectomy W/cholangiography
|
1
|
1
|
$1,878.00
|
$1,126.80
40% off
|
$1,008.49
|
$1,008.49
|
$1,008.49
|
2025-06-01
|
|
49441
|
CPT
|
Hc Insertion Of J Tube With Guidance
|
1
|
1
|
$1,630.00
|
$978.00
40% off
|
$875.31
|
$875.31
|
$875.31
|
2025-06-01
|
|
49505
|
CPT
|
Pr Rpr 1st Ingun Hrna Age 5 Yrs/> Reducible
|
2
|
1
|
$1,420.00
|
$923.00
35% off
|
$762.54
|
$762.54
|
$762.54
|
2025-06-01
|
|
49553
|
CPT
|
Pr Rpr 1st Fem Hernia Any Age Incarcerated
|
1
|
1
|
$1,655.00
|
$993.00
40% off
|
$888.74
|
$888.74
|
$888.74
|
2025-06-01
|
|
49594
|
CPT
|
Pr Rpr Aa Hernia 1st 3-10 Cm Ncrc8/strangulated
|
1
|
1
|
$2,004.00
|
$1,202.40
40% off
|
$1,076.15
|
$1,076.15
|
$1,076.15
|
2025-06-01
|
|
49650
|
CPT
|
Pr Laparoscopy Surg Rpr Initial Inguinal Hernia
|
1
|
1
|
$1,131.00
|
$678.60
40% off
|
$607.35
|
$607.35
|
$607.35
|
2025-06-01
|
|
50590
|
CPT
|
Hc Lithotripsy
|
1
|
1
|
$11,930.00
|
$7,158.00
40% off
|
$6,406.41
|
$6,406.41
|
$6,406.41
|
2025-06-01
|
|
50688
|
CPT
|
Hc Ureterostomy Tube Stent Change
|
1
|
1
|
$4,900.00
|
$2,940.00
40% off
|
$2,631.30
|
$2,631.30
|
$2,631.30
|
2025-06-01
|
|
52235
|
CPT
|
Pr Cystourethroscopy W/dest &/rmvl Med Bladder Tum
|
1
|
1
|
$923.00
|
$553.80
40% off
|
$495.65
|
$495.65
|
$495.65
|
2025-06-01
|
|
52300
|
CPT
|
Pr Cysto W/rescj/fulg Orthopic Ureterocele Uni/bi
|
1
|
1
|
$744.00
|
$446.40
40% off
|
$430.77
|
$430.77
|
$430.77
|
2025-06-01
|
|
52344
|
CPT
|
Pr Cysto W/urtroscopy W/tx Ureteral Stricture
|
1
|
1
|
$942.00
|
$565.20
40% off
|
$505.86
|
$505.86
|
$505.86
|
2025-06-01
|
|
52351
|
CPT
|
Pr Cysto W/urtroscopy&/pyeloscopy Dx
|
1
|
1
|
$772.00
|
$463.20
40% off
|
$414.56
|
$414.56
|
$414.56
|
2025-06-01
|
|
52352
|
CPT
|
Pr Cysto W/ureteroscopy W/rmvl/manj Stones
|
1
|
1
|
$940.00
|
$564.00
40% off
|
$544.26
|
$544.26
|
$544.26
|
2025-06-01
|
|
52353
|
CPT
|
Hc Cystourethroscopy W Lithotripsy
|
1
|
1
|
$11,560.00
|
$6,936.00
40% off
|
$6,207.72
|
$6,207.72
|
$6,207.72
|
2025-06-01
|
|
52356
|
CPT
|
Hc Lithotripsy Facility With Cyst/Stent
|
1
|
1
|
$13,250.00
|
$7,950.00
40% off
|
$7,115.25
|
$7,115.25
|
$7,115.25
|
2025-06-01
|
|
54520
|
CPT
|
Pr Orchiectomy Simple Scrotal/inguinal Approach
|
1
|
1
|
$845.00
|
$507.00
40% off
|
$453.76
|
$453.76
|
$453.76
|
2025-06-01
|
|
54600
|
CPT
|
Pr Rdctj Torsion Tstis W/wo Fixj Clat Testis
|
1
|
1
|
$1,166.00
|
$699.60
40% off
|
$626.14
|
$626.14
|
$626.14
|
2025-06-01
|
|
62321
|
CPT
|
Hc Injection Epidural Cervical/Thoracic With Imaging Guidance
|
1
|
1
|
$1,686.00
|
$1,011.60
40% off
|
$905.38
|
$905.38
|
$905.38
|
2025-06-01
|
|
62322
|
CPT
|
Hc Injection Epidural Lumbar Without Imaging Guidance
|
1
|
1
|
$1,780.00
|
$1,068.00
40% off
|
$955.86
|
$955.86
|
$955.86
|
2025-06-01
|
|
62323
|
CPT
|
Hc Injection Epidural Lumbar With Imaging Guidance
|
2
|
1
|
$1,003.00
|
$617.80
38% off
|
$171.84
|
$905.38
|
$538.61
|
2025-06-01
|
|
63030
|
CPT
|
Pr Lamnotmy Incl W/dcmprsn Nrv Root 1 Intrspc Lumbr
|
1
|
1
|
$2,477.00
|
$1,486.20
40% off
|
$1,330.15
|
$1,330.15
|
$1,330.15
|
2025-06-01
|
|
63047
|
CPT
|
Pr Lam Facetectomy & Foramotomy 1 Vrt Sgm Lumbar
|
1
|
1
|
$2,909.00
|
$1,745.40
40% off
|
$1,562.13
|
$1,562.13
|
$1,562.13
|
2025-06-01
|
|
63081
|
CPT
|
Pr Vertebral Corpectomy Ant Dcmprn Cervical 1 Seg
|
1
|
1
|
$4,657.00
|
$2,794.20
40% off
|
$2,500.81
|
$2,500.81
|
$2,500.81
|
2025-06-01
|
|
63272
|
CPT
|
Pr Lam Exc Ispi Les Oth/thn Neo Idrl Lumbar
|
1
|
1
|
$4,889.00
|
$2,933.40
40% off
|
$2,625.39
|
$2,625.39
|
$2,625.39
|
2025-06-01
|
|
64405
|
CPT
|
Hc Injection Occipital Nerve
|
1
|
1
|
$730.00
|
$438.00
40% off
|
$392.01
|
$392.01
|
$392.01
|
2025-06-01
|
|
64415
|
CPT
|
Hc Brachial Plexus Nerve Block, Single
|
1
|
1
|
$1,748.00
|
$1,048.80
40% off
|
$938.67
|
$938.67
|
$938.67
|
2025-06-01
|
|
64417
|
CPT
|
Hc Axillary Nerve Block
|
1
|
1
|
$900.00
|
$540.00
40% off
|
$483.30
|
$483.30
|
$483.30
|
2025-06-01
|
|
64420
|
CPT
|
Hc Intercostal Nerve Block, Single
|
1
|
1
|
$1,780.00
|
$1,068.00
40% off
|
$955.86
|
$955.86
|
$955.86
|
2025-06-01
|
|
64421
|
CPT
|
Hc Intercostal Nerve Block, Ea Addl Level
|
1
|
1
|
$1,686.00
|
$1,011.60
40% off
|
$905.38
|
$905.38
|
$905.38
|
2025-06-01
|
|
64445
|
CPT
|
Hc Sciatic Nerve Block
|
1
|
1
|
$2,112.00
|
$1,267.20
40% off
|
$1,134.14
|
$1,134.14
|
$1,134.14
|
2025-06-01
|
|
64447
|
CPT
|
Hc Femoral Nerve Block, Single
|
1
|
1
|
$1,640.00
|
$984.00
40% off
|
$880.68
|
$880.68
|
$880.68
|
2025-06-01
|
|
64450
|
CPT
|
Hc Peripheral Nerve Block
|
1
|
1
|
$1,539.00
|
$923.40
40% off
|
$826.45
|
$826.45
|
$826.45
|
2025-06-01
|
|
64454
|
CPT
|
Hc Genicular Nerve Branch Block With Imaging
|
1
|
1
|
$1,686.00
|
$1,011.60
40% off
|
$905.38
|
$905.38
|
$905.38
|
2025-06-01
|
|
64479
|
CPT
|
Hc Inj Tran Epid Cer/Thor
|
1
|
1
|
$2,300.00
|
$1,380.00
40% off
|
$1,235.10
|
$1,235.10
|
$1,235.10
|
2025-06-01
|
|
64483
|
CPT
|
Hc Pm Transf Nblmb/Sac Initial Bilateral
|
2
|
1
|
$2,365.50
|
$1,437.20
39% off
|
$192.25
|
$2,348.30
|
$1,270.27
|
2025-06-01
|
|
64490
|
CPT
|
Hc Pm Fac Nb Cer/Thor Sing Lv Unilateral
|
1
|
1
|
$2,187.00
|
$1,312.20
40% off
|
$1,174.42
|
$1,174.42
|
$1,174.42
|
2025-06-01
|
|
64493
|
CPT
|
Hc Pm Fac Nb Lum/Sac Sing Lv Unilateral
|
2
|
1
|
$1,382.50
|
$858.40
38% off
|
$310.38
|
$1,174.42
|
$742.40
|
2025-06-01
|
|
64510
|
CPT
|
Hc Unilateral Ganglion Block
|
1
|
1
|
$2,187.00
|
$1,312.20
40% off
|
$1,174.42
|
$1,174.42
|
$1,174.42
|
2025-06-01
|
|
64624
|
CPT
|
Hc Destruction With Neurolytic Of Genicular Nerve Branch, With Imaging
|
1
|
1
|
$4,561.00
|
$2,736.60
40% off
|
$2,449.26
|
$2,449.26
|
$2,449.26
|
2025-06-01
|
|
64633
|
CPT
|
Hc Rfa Cer/Thor Single Lv
|
1
|
1
|
$4,900.00
|
$2,940.00
40% off
|
$2,631.30
|
$2,631.30
|
$2,631.30
|
2025-06-01
|
|
64635
|
CPT
|
Hc Rfa Lumb/Sac Single Lv
|
2
|
1
|
$2,758.00
|
$1,685.60
39% off
|
$330.79
|
$2,631.30
|
$1,481.05
|
2025-06-01
|
|
64640
|
CPT
|
Hc Chemodenervation Periph Nerve Or Branch
|
1
|
1
|
$1,572.00
|
$943.20
40% off
|
$844.16
|
$844.16
|
$844.16
|
2025-06-01
|
|
64718
|
CPT
|
Pr Neuroplasty &/transposition Ulnar Nerve Elbow
|
1
|
1
|
$1,634.00
|
$980.40
40% off
|
$877.46
|
$877.46
|
$877.46
|
2025-06-01
|
|
64772
|
CPT
|
Pr Transection/avulsion Oth Spinal Nrv Xdrl
|
1
|
1
|
$1,444.00
|
$866.40
40% off
|
$775.43
|
$775.43
|
$775.43
|
2025-06-01
|
|
66821
|
CPT
|
Hc Yag (Capsulotomy) Laser
|
2
|
1
|
$1,750.00
|
$1,137.50
35% off
|
$939.75
|
$939.75
|
$939.75
|
2025-06-01
|
|
70336
|
CPT
|
Hc MRI Temporomandibular Joint
|
2
|
1
|
$2,300.00
|
$1,495.00
35% off
|
$1,235.10
|
$1,235.10
|
$1,235.10
|
2025-06-01
|
|
70450
|
CPT
|
Hc CT Head/Brain Without Contrast
|
2
|
1
|
$1,220.00
|
$793.00
35% off
|
$655.14
|
$655.14
|
$655.14
|
2025-06-01
|
|
70460
|
CPT
|
Hc CT Head/Brain With Contrast
|
1
|
1
|
$1,650.00
|
$990.00
40% off
|
$886.05
|
$886.05
|
$886.05
|
2025-06-01
|
|
70470
|
CPT
|
Hc CT Head/Brain With And Without Contrast
|
2
|
1
|
$2,060.00
|
$1,339.00
35% off
|
$1,106.22
|
$1,106.22
|
$1,106.22
|
2025-06-01
|
|
70480
|
CPT
|
Hc CT Orbit/Ear/Fossa Without Contrast
|
2
|
1
|
$1,868.00
|
$1,214.20
35% off
|
$1,003.12
|
$1,003.12
|
$1,003.12
|
2025-06-01
|
|
70481
|
CPT
|
Hc CT Orbit/Ear/Fossa With Contrast
|
2
|
1
|
$2,283.00
|
$1,483.95
35% off
|
$1,225.97
|
$1,225.97
|
$1,225.97
|
2025-06-01
|
|
70482
|
CPT
|
Hc CT Orbit/Ear/Fossa With And Without Contrast
|
2
|
1
|
$2,690.00
|
$1,748.50
35% off
|
$1,444.53
|
$1,444.53
|
$1,444.53
|
2025-06-01
|
|
70486
|
CPT
|
Hc CT Maxillofacial Without Contrast
|
2
|
1
|
$1,570.00
|
$1,020.50
35% off
|
$843.09
|
$843.09
|
$843.09
|
2025-06-01
|
|
70487
|
CPT
|
Hc CT Maxillofacial With Contrast
|
2
|
1
|
$1,790.00
|
$1,163.50
35% off
|
$961.23
|
$961.23
|
$961.23
|
2025-06-01
|
|
70488
|
CPT
|
Hc CT Maxillofacial With And Without Contrast
|
2
|
1
|
$1,660.00
|
$1,079.00
35% off
|
$891.42
|
$891.42
|
$891.42
|
2025-06-01
|
|
70490
|
CPT
|
Hc CT Soft Tissue Neck Without Contrast
|
2
|
1
|
$1,573.00
|
$1,022.45
35% off
|
$844.70
|
$844.70
|
$844.70
|
2025-06-01
|
|
70491
|
CPT
|
Hc CT Soft Tissue Neck With Contrast
|
2
|
1
|
$2,221.00
|
$1,443.65
35% off
|
$1,192.67
|
$1,192.67
|
$1,192.67
|
2025-06-01
|
|
70492
|
CPT
|
Hc CT Soft Tissue Neck With And Without Contrast
|
2
|
1
|
$2,610.00
|
$1,696.50
35% off
|
$1,401.57
|
$1,401.57
|
$1,401.57
|
2025-06-01
|
|
70496
|
CPT
|
Hc CT Angiography Head/Brain (With And Without Contrast)
|
2
|
1
|
$2,509.00
|
$1,630.85
35% off
|
$1,347.34
|
$1,347.34
|
$1,347.34
|
2025-06-01
|
|
70498
|
CPT
|
Hc CT Angiography Neck (With And Without Contrast)
|
1
|
1
|
$2,502.00
|
$1,501.20
40% off
|
$1,343.58
|
$1,343.58
|
$1,343.58
|
2025-06-01
|
|
70543
|
CPT
|
Hc MRI Orbit Face Neck Without And With Contrast
|
2
|
1
|
$4,604.00
|
$2,992.60
35% off
|
$2,472.35
|
$2,472.35
|
$2,472.35
|
2025-06-01
|
|
70544
|
CPT
|
Hc MRA Head Without Contrast
|
2
|
1
|
$3,502.00
|
$2,276.30
35% off
|
$1,880.58
|
$1,880.58
|
$1,880.58
|
2025-06-01
|
|
70545
|
CPT
|
Hc MRA Head With Contrast
|
1
|
1
|
$3,116.00
|
$1,869.60
40% off
|
$1,673.29
|
$1,673.29
|
$1,673.29
|
2025-06-01
|
|
70546
|
CPT
|
Hc MRA Head Without And With Contrast
|
1
|
1
|
$4,835.00
|
$2,901.00
40% off
|
$2,596.39
|
$2,596.39
|
$2,596.39
|
2025-06-01
|
|
70547
|
CPT
|
Hc MRA Neck Without Contrast
|
2
|
1
|
$3,047.00
|
$1,980.55
35% off
|
$1,636.24
|
$1,636.24
|
$1,636.24
|
2025-06-01
|
|
70549
|
CPT
|
Hc MRA Neck Without And With Contrast
|
1
|
1
|
$5,372.00
|
$3,223.20
40% off
|
$2,884.76
|
$2,884.76
|
$2,884.76
|
2025-06-01
|
|
70551
|
CPT
|
Hc MRI Brain Without Contrast
|
2
|
1
|
$2,470.00
|
$1,605.50
35% off
|
$1,326.39
|
$1,326.39
|
$1,326.39
|
2025-06-01
|
|
70553
|
CPT
|
Hc MRI Brain With And Without Contrast
|
2
|
1
|
$4,705.00
|
$3,058.25
35% off
|
$2,526.59
|
$2,526.59
|
$2,526.59
|
2025-06-01
|
|
71250
|
CPT
|
Hc CT Thorax/Chest Without Contrast
|
2
|
1
|
$1,816.00
|
$1,180.40
35% off
|
$975.19
|
$975.19
|
$975.19
|
2025-06-01
|
|
71260
|
CPT
|
Hc CT Thorax/Chest With Contrast
|
2
|
1
|
$2,276.00
|
$1,479.40
35% off
|
$1,222.21
|
$1,222.21
|
$1,222.21
|
2025-06-01
|
|
71270
|
CPT
|
Hc CT Thorax/Chest With And Without Contrast
|
2
|
1
|
$2,582.00
|
$1,678.30
35% off
|
$1,386.54
|
$1,386.54
|
$1,386.54
|
2025-06-01
|
|
71275
|
CPT
|
Hc CT Angiography Chest (With And Without Contrast)
|
2
|
1
|
$3,357.00
|
$2,182.05
35% off
|
$1,802.71
|
$1,802.71
|
$1,802.71
|
2025-06-01
|
|
72125
|
CPT
|
Hc CT Spine Cervical Without Contrast
|
2
|
1
|
$1,725.00
|
$1,121.25
35% off
|
$926.33
|
$926.33
|
$926.33
|
2025-06-01
|
|
72126
|
CPT
|
Hc CT Spine Cervical With Contrast
|
1
|
1
|
$2,046.00
|
$1,227.60
40% off
|
$1,098.70
|
$1,098.70
|
$1,098.70
|
2025-06-01
|
|
72127
|
CPT
|
Hc CT Spine Cervical With And Without Contrast
|
1
|
1
|
$2,474.00
|
$1,484.40
40% off
|
$1,328.54
|
$1,328.54
|
$1,328.54
|
2025-06-01
|
|
72128
|
CPT
|
Hc CT Spine Thoracic Without Contrast
|
2
|
1
|
$1,695.00
|
$1,101.75
35% off
|
$910.22
|
$910.22
|
$910.22
|
2025-06-01
|
|
72129
|
CPT
|
Hc CT Spine Thoracic With Contrast
|
2
|
1
|
$2,000.00
|
$1,300.00
35% off
|
$1,074.00
|
$1,074.00
|
$1,074.00
|
2025-06-01
|
|
72130
|
CPT
|
Hc CT Spine Thoracic With And Without Contrast
|
1
|
1
|
$2,510.00
|
$1,506.00
40% off
|
$1,347.87
|
$1,347.87
|
$1,347.87
|
2025-06-01
|
|
72131
|
CPT
|
Hc CT Spine Lumbar Without Contrast
|
2
|
1
|
$1,690.00
|
$1,098.50
35% off
|
$907.53
|
$907.53
|
$907.53
|
2025-06-01
|
|
72132
|
CPT
|
Hc CT Spine Lumbar With Contrast
|
2
|
1
|
$2,010.00
|
$1,306.50
35% off
|
$1,079.37
|
$1,079.37
|
$1,079.37
|
2025-06-01
|
|
72133
|
CPT
|
Hc CT Spine Lumbar With And Without Contrast
|
2
|
1
|
$2,365.00
|
$1,537.25
35% off
|
$1,270.01
|
$1,270.01
|
$1,270.01
|
2025-06-01
|
|
72141
|
CPT
|
Hc MRI Cervical Spine Without Contrast
|
2
|
1
|
$2,351.00
|
$1,528.15
35% off
|
$1,262.48
|
$1,262.48
|
$1,262.48
|
2025-06-01
|
|
72146
|
CPT
|
Hc MRI Thoracic Spine Without Contrast
|
2
|
1
|
$2,355.00
|
$1,530.75
35% off
|
$1,264.63
|
$1,264.63
|
$1,264.63
|
2025-06-01
|
|
72148
|
CPT
|
Hc MRI Lumbar Spine Without Contrast
|
2
|
1
|
$2,756.00
|
$1,791.40
35% off
|
$1,479.97
|
$1,479.97
|
$1,479.97
|
2025-06-01
|
|
72156
|
CPT
|
Hc MRI Cervical Spine Without And With Contrast
|
2
|
1
|
$4,100.00
|
$2,665.00
35% off
|
$2,201.70
|
$2,201.70
|
$2,201.70
|
2025-06-01
|
|
72157
|
CPT
|
Hc MRI Thoracic Spine Without And With Contrast
|
2
|
1
|
$4,106.00
|
$2,668.90
35% off
|
$2,204.92
|
$2,204.92
|
$2,204.92
|
2025-06-01
|
|
72158
|
CPT
|
Hc MRI Lumbar Spine Without And With Contrast
|
2
|
1
|
$4,082.00
|
$2,653.30
35% off
|
$2,192.03
|
$2,192.03
|
$2,192.03
|
2025-06-01
|
|
72191
|
CPT
|
Hc CT Angiography Pelvis (With And Without Contrast)
|
1
|
1
|
$1,850.00
|
$1,110.00
40% off
|
$993.45
|
$993.45
|
$993.45
|
2025-06-01
|
|
72192
|
CPT
|
Hc CT Pelvis Without Contrast
|
2
|
1
|
$1,480.00
|
$962.00
35% off
|
$794.76
|
$794.76
|
$794.76
|
2025-06-01
|
|
72193
|
CPT
|
Hc CT Pelvis With Contrast
|
2
|
1
|
$2,130.00
|
$1,384.50
35% off
|
$1,143.81
|
$1,143.81
|
$1,143.81
|
2025-06-01
|
|
72195
|
CPT
|
Hc MRI Pelvis Without Contrast
|
2
|
1
|
$3,353.00
|
$2,179.45
35% off
|
$1,800.56
|
$1,800.56
|
$1,800.56
|
2025-06-01
|
|
72197
|
CPT
|
Hc MRI Pelvis Without And With Contrast
|
2
|
1
|
$4,793.00
|
$3,115.45
35% off
|
$2,573.84
|
$2,573.84
|
$2,573.84
|
2025-06-01
|
|
73110
|
CPT
|
Hc X-ray Wrist, Minimum 3 Views
|
2
|
1
|
$850.00
|
$552.50
35% off
|
$456.45
|
$456.45
|
$456.45
|
2025-06-01
|
|
73130
|
CPT
|
Hc X-ray Hand, Minimum 3 Views
|
2
|
1
|
$750.00
|
$487.50
35% off
|
$402.75
|
$402.75
|
$402.75
|
2025-06-01
|
|
73200
|
CPT
|
Hc CT Upper Extremity Without Contrast
|
2
|
1
|
$1,986.00
|
$1,290.90
35% off
|
$1,066.48
|
$1,066.48
|
$1,066.48
|
2025-06-01
|
|
73201
|
CPT
|
Hc CT Upper Extremity With Contrast
|
2
|
1
|
$1,991.00
|
$1,294.15
35% off
|
$1,069.16
|
$1,069.16
|
$1,069.16
|
2025-06-01
|
|
73202
|
CPT
|
Hc CT Upper Extremity With And Without Contrast
|
1
|
1
|
$1,800.00
|
$1,080.00
40% off
|
$966.60
|
$966.60
|
$966.60
|
2025-06-01
|
|
73218
|
CPT
|
Hc MRI Upper Extremity Without Contrast
|
2
|
1
|
$3,592.00
|
$2,334.80
35% off
|
$1,928.90
|
$1,928.90
|
$1,928.90
|
2025-06-01
|
|
73220
|
CPT
|
Hc MRI Upper Extremity Without And With Contrast
|
2
|
1
|
$4,469.00
|
$2,904.85
35% off
|
$2,399.86
|
$2,399.86
|
$2,399.86
|
2025-06-01
|
|
73221
|
CPT
|
Hc MRI Upper Extremity Joint Without Contrast
|
2
|
1
|
$2,917.00
|
$1,896.05
35% off
|
$1,566.43
|
$1,566.43
|
$1,566.43
|
2025-06-01
|
|
73223
|
CPT
|
Hc MRI Upper Extemity Joint Without And With Contrast
|
2
|
1
|
$3,690.00
|
$2,398.50
35% off
|
$1,981.53
|
$1,981.53
|
$1,981.53
|
2025-06-01
|
|
73700
|
CPT
|
Hc CT Lower Extremity Without Contrast
|
2
|
1
|
$1,695.00
|
$1,101.75
35% off
|
$910.22
|
$910.22
|
$910.22
|
2025-06-01
|
|
73701
|
CPT
|
Hc CT Lower Extremity With Contrast
|
2
|
1
|
$2,020.00
|
$1,313.00
35% off
|
$1,084.74
|
$1,084.74
|
$1,084.74
|
2025-06-01
|
|
73702
|
CPT
|
Hc CT Lower Extremity With And Without Contrast
|
2
|
1
|
$1,690.00
|
$1,098.50
35% off
|
$907.53
|
$907.53
|
$907.53
|
2025-06-01
|
|
73706
|
CPT
|
Hc CT Angiography Lower Extremity (With And Without Contrast)
|
1
|
1
|
$1,720.00
|
$1,032.00
40% off
|
$923.64
|
$923.64
|
$923.64
|
2025-06-01
|
|
73718
|
CPT
|
Hc MRI Lower Extremity Without Contrast
|
2
|
1
|
$3,083.00
|
$2,003.95
35% off
|
$1,655.57
|
$1,655.57
|
$1,655.57
|
2025-06-01
|
|
73719
|
CPT
|
Hc MRI Lower Extremity With Contrast
|
1
|
1
|
$3,259.00
|
$1,955.40
40% off
|
$1,750.09
|
$1,750.09
|
$1,750.09
|
2025-06-01
|
|
73720
|
CPT
|
Hc MRI Lower Extemity Without And With Contrast
|
2
|
1
|
$4,586.00
|
$2,980.90
35% off
|
$2,462.68
|
$2,462.68
|
$2,462.68
|
2025-06-01
|
|
73721
|
CPT
|
Hc MRI Lower Extremity Joint Without Contrast
|
2
|
1
|
$2,912.00
|
$1,892.80
35% off
|
$1,563.74
|
$1,563.74
|
$1,563.74
|
2025-06-01
|
|
73722
|
CPT
|
Hc MRI Lower Extremity Joint With Contrast
|
2
|
1
|
$2,750.00
|
$1,787.50
35% off
|
$1,476.75
|
$1,476.75
|
$1,476.75
|
2025-06-01
|
|
73723
|
CPT
|
Hc MRI Lower Extremity Joint Without And With Contrast
|
2
|
1
|
$4,208.00
|
$2,735.20
35% off
|
$2,259.70
|
$2,259.70
|
$2,259.70
|
2025-06-01
|
|
74150
|
CPT
|
Hc CT Abdomen Without Contrast
|
2
|
1
|
$1,532.00
|
$995.80
35% off
|
$822.68
|
$822.68
|
$822.68
|
2025-06-01
|
|
74160
|
CPT
|
Hc CT Abdomen With Contrast
|
2
|
1
|
$3,041.00
|
$1,976.65
35% off
|
$1,633.02
|
$1,633.02
|
$1,633.02
|
2025-06-01
|
|
74170
|
CPT
|
Hc CT Abdomen With And Without Contrast
|
2
|
1
|
$2,598.00
|
$1,688.70
35% off
|
$1,395.12
|
$1,395.12
|
$1,395.12
|
2025-06-01
|
|
74174
|
CPT
|
Hc CT Angiography Abdomen/Pelvis (With And Without Contrast)
|
2
|
1
|
$3,661.00
|
$2,379.65
35% off
|
$1,965.95
|
$1,965.95
|
$1,965.95
|
2025-06-01
|
|
74175
|
CPT
|
Hc CT Angiography Abdomen (With And Without Contrast)
|
2
|
1
|
$2,426.00
|
$1,576.90
35% off
|
$1,302.76
|
$1,302.76
|
$1,302.76
|
2025-06-01
|
|
74176
|
CPT
|
Hc CT Abdomen/Pelvis Without Contrast
|
2
|
1
|
$2,200.00
|
$1,430.00
35% off
|
$1,181.40
|
$1,181.40
|
$1,181.40
|
2025-06-01
|
|
74177
|
CPT
|
Hc CT Abdomen/Pelvis With Contrast
|
2
|
1
|
$3,820.00
|
$2,483.00
35% off
|
$2,051.34
|
$2,051.34
|
$2,051.34
|
2025-06-01
|
|
74178
|
CPT
|
Hc CT Abdomen/Pelvis With And Without Contrast
|
2
|
1
|
$4,308.00
|
$2,800.20
35% off
|
$2,313.39
|
$2,313.39
|
$2,313.39
|
2025-06-01
|
|
74181
|
CPT
|
Hc MRI Abdomen Without Contrast
|
2
|
1
|
$3,273.00
|
$2,127.45
35% off
|
$1,757.60
|
$1,757.60
|
$1,757.60
|
2025-06-01
|
|
74183
|
CPT
|
Hc MRI Abdomen Without And With Contrast
|
2
|
1
|
$4,668.00
|
$3,041.00
35% off
|
$2,433.68
|
$2,579.75
|
$2,506.72
|
2025-06-01
|
|
75635
|
CPT
|
Hc CT Angiography Abdominal Runoff
|
2
|
1
|
$2,621.00
|
$1,703.65
35% off
|
$1,407.47
|
$1,407.47
|
$1,407.47
|
2025-06-01
|
|
76805
|
CPT
|
Hc Ultrasound Fetal > 14 Weeks
|
2
|
1
|
$738.00
|
$479.70
35% off
|
$396.31
|
$396.31
|
$396.31
|
2025-06-01
|
|
81206
|
CPT
|
Hc Bcr/Abl1 Gene Major Breakpoint
|
1
|
1
|
$927.00
|
$556.20
40% off
|
$497.80
|
$497.80
|
$497.80
|
2025-06-01
|
|
81406
|
CPT
|
Hc Mopath Procedure Level 7
|
1
|
1
|
$2,967.00
|
$1,780.20
40% off
|
$1,593.28
|
$1,593.28
|
$1,593.28
|
2025-06-01
|
|
90675
|
CPT
|
Pr Rabies Vaccine Intramuscular
|
2
|
1
|
$994.00
|
$596.40
40% off
|
$533.78
|
$575.52
|
$554.65
|
2025-06-01
|
|
92523
|
CPT
|
Hc Language Evaluation
|
1
|
1
|
$750.00
|
$450.00
40% off
|
$402.75
|
$402.75
|
$402.75
|
2025-06-01
|
|
92960
|
CPT
|
Hc Cardioversion
|
1
|
1
|
$1,001.00
|
$600.60
40% off
|
$537.53
|
$537.53
|
$537.53
|
2025-06-01
|
|
93306
|
CPT
|
Hc Echo Complete
|
1
|
1
|
$1,470.00
|
$882.00
40% off
|
$789.39
|
$789.39
|
$789.39
|
2025-06-01
|
|
93350
|
CPT
|
Hc Stress Echo
|
1
|
1
|
$1,320.00
|
$792.00
40% off
|
$708.84
|
$708.84
|
$708.84
|
2025-06-01
|
|
93351
|
CPT
|
Hc Stress Echo - Exercise
|
1
|
1
|
$1,140.00
|
$684.00
40% off
|
$612.18
|
$612.18
|
$612.18
|
2025-06-01
|
|
93880
|
CPT
|
Hc Duplex Carotid Bilateral
|
1
|
1
|
$820.00
|
$492.00
40% off
|
$440.34
|
$440.34
|
$440.34
|
2025-06-01
|
|
93971
|
CPT
|
Hc Ultrasound Duplex Rt Vein Mapping
|
1
|
1
|
$728.00
|
$436.80
40% off
|
$390.94
|
$390.94
|
$390.94
|
2025-06-01
|
|
93975
|
CPT
|
Hc Ultrasound Liver / Renal Doppler
|
1
|
1
|
$1,210.00
|
$726.00
40% off
|
$649.77
|
$649.77
|
$649.77
|
2025-06-01
|
|
96416
|
CPT
|
Hc Chemo Pump Initial For Prolonged Infusion > 8 Hours
|
2
|
1
|
$820.00
|
$533.00
35% off
|
$440.34
|
$440.34
|
$440.34
|
2025-06-01
|
|
99284
|
CPT
|
Hc Emergency Room Level 4
|
2
|
1
|
$874.00
|
$548.70
37% off
|
$260.98
|
$677.70
|
$469.34
|
2025-06-01
|
|
99285
|
CPT
|
Hc Emergency Room Level 5
|
2
|
1
|
$1,244.50
|
$779.45
37% off
|
$351.74
|
$984.86
|
$668.30
|
2025-06-01
|
|
99291
|
CPT
|
Hc Emergency Room Critical Care
|
2
|
1
|
$1,836.50
|
$1,144.05
38% off
|
$452.69
|
$1,519.71
|
$986.20
|
2025-06-01
|
|
99292
|
CPT
|
Hc ER Critical Care Addtl 30 Min
|
2
|
1
|
$811.00
|
$505.45
38% off
|
$202.45
|
$668.57
|
$435.51
|
2025-06-01
|
|
99496
|
CPT
|
Pr Transj Care Mgmt High Mdm F2f 7 Cal D Discharge
|
1
|
1
|
$786.00
|
$471.60
40% off
|
$455.10
|
$455.10
|
$455.10
|
2025-06-01
|
|
C1713
|
CPT
|
Scr Ort Syn 2.7 Cortex S-t 16mm(202.816)
|
2
|
1
|
$9,767.46
|
$5,860.48
40% off
|
$60.80
|
$10,429.45
|
$5,245.13
|
2025-06-01
|
|
C1726
|
CPT
|
Balloon Cre Wire Guide 10-12 (m00558470)
|
1
|
1
|
$845.88
|
$507.53
40% off
|
$454.24
|
$454.24
|
$454.24
|
2025-06-01
|
|
C1762
|
CPT
|
Graft Bone Fiber Cortical 2.5x5cm (423302)
|
1
|
1
|
$5,700.00
|
$3,420.00
40% off
|
$3,060.90
|
$3,060.90
|
$3,060.90
|
2025-06-01
|
|
C1763
|
CPT
|
Graft Bone I-factor 2.5cc (700-025)
|
1
|
1
|
$4,200.00
|
$2,520.00
40% off
|
$2,255.40
|
$2,255.40
|
$2,255.40
|
2025-06-01
|
|
C1776
|
CPT
|
Component Tri Cr Fem Bd Lt Sz5 Stryker(5517-f-501)
|
2
|
1
|
$3,125.00
|
$1,875.00
40% off
|
$698.10
|
$2,658.15
|
$1,678.12
|
2025-06-01
|
|
C1781
|
CPT
|
Osteoballast 45 X 11 (56800060)
|
1
|
1
|
$2,808.00
|
$1,684.80
40% off
|
$1,507.89
|
$1,507.89
|
$1,507.89
|
2025-06-01
|
|
C1783
|
CPT
|
Stent Istent Trabecular Lt (gts100l)
|
1
|
1
|
$5,250.00
|
$3,150.00
40% off
|
$2,819.25
|
$2,819.25
|
$2,819.25
|
2025-06-01
|
|
C1785
|
CPT
|
Pacemaker Gen Cb7 Advisa Dr MRI (cb7)
|
1
|
1
|
$11,160.00
|
$6,696.00
40% off
|
$5,992.92
|
$5,992.92
|
$5,992.92
|
2025-06-01
|
|
C1786
|
CPT
|
Pacemaker Accolade Sr Sngl (l300)
|
1
|
1
|
$7,800.00
|
$4,680.00
40% off
|
$4,188.60
|
$4,188.60
|
$4,188.60
|
2025-06-01
|
|
C1788
|
CPT
|
Port Powerport Isp MRI 8fr (4808060)
|
1
|
1
|
$1,156.00
|
$693.60
40% off
|
$620.77
|
$620.77
|
$620.77
|
2025-06-01
|
|
C1821
|
CPT
|
Spacer Rise-l 18x50 8-15mm 6 Deg (193.324)
|
1
|
1
|
$19,200.00
|
$11,520.00
40% off
|
$10,310.40
|
$10,310.40
|
$10,310.40
|
2025-06-01
|
|
C1898
|
CPT
|
Lead Tendril Sts 2088/46 (2088tc/46)
|
1
|
1
|
$1,628.00
|
$976.80
40% off
|
$874.24
|
$874.24
|
$874.24
|
2025-06-01
|
|
C2621
|
CPT
|
Pacemaker Allure Rf Crt-p Cell (pm3222)
|
1
|
1
|
$13,725.00
|
$8,235.00
40% off
|
$7,370.32
|
$7,370.32
|
$7,370.32
|
2025-06-01
|
|
C8902
|
CPT
|
Hc MRA Abdomen Without Or With Contrast
|
1
|
1
|
$2,790.00
|
$1,674.00
40% off
|
$1,498.23
|
$1,498.23
|
$1,498.23
|
2025-06-01
|
|
C8929
|
CPT
|
Hc 2-d Echo With Contrast
|
1
|
1
|
$2,070.00
|
$1,242.00
40% off
|
$1,111.59
|
$1,111.59
|
$1,111.59
|
2025-06-01
|
|
C9362
|
CPT
|
Osteosurge 300 2.5cc (56500025)
|
1
|
1
|
$2,086.80
|
$1,252.08
40% off
|
$1,120.61
|
$1,120.61
|
$1,120.61
|
2025-06-01
|
|
G0105
|
CPT
|
Pr Colorectal Scrn; Hi Risk Ind
|
2
|
1
|
$870.00
|
$565.50
35% off
|
$467.19
|
$467.19
|
$467.19
|
2025-06-01
|
|
G0121
|
CPT
|
Pr Colon Ca Scrn Not Hi Rsk Ind
|
2
|
1
|
$870.00
|
$565.50
35% off
|
$467.19
|
$467.19
|
$467.19
|
2025-06-01
|
|
J0129
|
CPT
|
Abatacept Per 10 Mg
|
1
|
1
|
$10,530.00
|
$6,318.00
40% off
|
$5,633.55
|
$5,633.55
|
$5,633.55
|
2025-06-01
|
|
J0256
|
CPT
|
Alpha 1 Proteinase Inhibitor Per 10 Mg
|
1
|
1
|
$6,319.00
|
$3,791.40
40% off
|
$3,380.66
|
$3,380.66
|
$3,380.66
|
2025-06-01
|
|
J0881
|
CPT
|
Darbepoetin Alfa In Polysorbat 300 Mcg/0.6 Ml Syringe
|
1
|
1
|
$5,573.00
|
$3,343.80
40% off
|
$2,981.55
|
$2,981.55
|
$2,981.55
|
2025-06-01
|
|
J0896
|
CPT
|
Luspatercept-aamt 25 Mg Recon Soln 1 Each Vial
|
1
|
1
|
$18,977.00
|
$11,386.20
40% off
|
$10,152.69
|
$10,152.69
|
$10,152.69
|
2025-06-01
|
|
J0897
|
CPT
|
Denosumab 120 Mg/1.7 Ml (70 Mg/ml) Solution
|
1
|
1
|
$7,886.00
|
$4,731.60
40% off
|
$4,219.01
|
$4,219.01
|
$4,219.01
|
2025-06-01
|
|
J1306
|
CPT
|
Inclisiran 284 Mg/1.5 Ml Syringe
|
1
|
1
|
$8,198.00
|
$4,918.80
40% off
|
$4,385.93
|
$4,385.93
|
$4,385.93
|
2025-06-01
|
|
J1439
|
CPT
|
Ferric Carboxymaltose 50 Mg Iron/ml Solution 15 Ml Vial
|
1
|
1
|
$5,362.00
|
$3,217.20
40% off
|
$2,868.67
|
$2,868.67
|
$2,868.67
|
2025-06-01
|
|
J1459
|
CPT
|
Immune Globulin (human) 10 % Solution
|
1
|
1
|
$8,690.00
|
$5,214.00
40% off
|
$4,649.15
|
$4,649.15
|
$4,649.15
|
2025-06-01
|
|
J1569
|
CPT
|
Immune Globulin 10 % Solution
|
1
|
1
|
$2,035.00
|
$1,221.00
40% off
|
$1,088.72
|
$1,088.72
|
$1,088.72
|
2025-06-01
|
|
J1611
|
CPT
|
Glucagon Hcl 1 Mg Recon Soln
|
1
|
1
|
$1,008.00
|
$604.80
40% off
|
$539.28
|
$539.28
|
$539.28
|
2025-06-01
|
|
J1745
|
CPT
|
Infliximab Per 10 Mg
|
1
|
1
|
$6,840.00
|
$4,104.00
40% off
|
$3,659.40
|
$3,659.40
|
$3,659.40
|
2025-06-01
|
|
J1932
|
CPT
|
Lanreotide 120 Mg/0.5 Ml Syringe
|
1
|
1
|
$21,343.00
|
$12,805.80
40% off
|
$11,418.50
|
$11,418.50
|
$11,418.50
|
2025-06-01
|
|
J2182
|
CPT
|
Mepolizumab 100 Mg/ml Syringe
|
1
|
1
|
$13,280.00
|
$7,968.00
40% off
|
$7,104.80
|
$7,104.80
|
$7,104.80
|
2025-06-01
|
|
J2327
|
CPT
|
Risankizumab-rzaa 60 Mg/ml Solution 10 Ml Vial
|
1
|
1
|
$24,288.00
|
$14,572.80
40% off
|
$12,994.08
|
$12,994.08
|
$12,994.08
|
2025-06-01
|
|
J2350
|
CPT
|
Ocrelizumab 30 Mg/ml Solution 10 Ml Vial
|
1
|
1
|
$94,630.00
|
$56,778.00
40% off
|
$50,627.05
|
$50,627.05
|
$50,627.05
|
2025-06-01
|
|
J2357
|
CPT
|
Omalizumab 150 Mg/ml Syringe
|
1
|
1
|
$6,648.00
|
$3,988.80
40% off
|
$3,556.68
|
$3,556.68
|
$3,556.68
|
2025-06-01
|
|
J2506
|
CPT
|
Pegfilgrastim 6 Mg/0.6 Ml Syringe
|
1
|
1
|
$15,404.00
|
$9,242.40
40% off
|
$8,241.14
|
$8,241.14
|
$8,241.14
|
2025-06-01
|
|
J2796
|
CPT
|
Romiplostim Per 1 Mcg
|
1
|
1
|
$1,259.00
|
$755.40
40% off
|
$673.57
|
$673.57
|
$673.57
|
2025-06-01
|
|
J3032
|
CPT
|
Eptinezumab-jjmr 100 Mg/ml Solution 1 Ml Vial
|
1
|
1
|
$6,364.00
|
$3,818.40
40% off
|
$3,404.74
|
$3,404.74
|
$3,404.74
|
2025-06-01
|
|
J3101
|
CPT
|
Tenecteplase Per 50 Mg
|
1
|
1
|
$10,709.00
|
$6,425.40
40% off
|
$5,729.31
|
$5,729.31
|
$5,729.31
|
2025-06-01
|
|
J3111
|
CPT
|
Romosozumab-aqqg 210mg/2.34ml ( 105mg/1.17mlx2) Syringe
|
1
|
1
|
$9,014.00
|
$5,408.40
40% off
|
$4,822.49
|
$4,822.49
|
$4,822.49
|
2025-06-01
|
|
J3380
|
CPT
|
Vedolizumab 300 Mg Recon Soln 1 Each Vial
|
1
|
1
|
$20,800.00
|
$12,480.00
40% off
|
$11,128.00
|
$11,128.00
|
$11,128.00
|
2025-06-01
|
|
J3489
|
CPT
|
Zoledronic Acid-mannitol-water 5 Mg/100 Ml Piggyback
|
1
|
1
|
$1,260.00
|
$756.00
40% off
|
$674.10
|
$674.10
|
$674.10
|
2025-06-01
|
|
J7169
|
CPT
|
Factor Xa,inactivated-zhzo 200 Mg Recon Soln 1 Each Vial
|
1
|
1
|
$1,800.00
|
$1,080.00
40% off
|
$963.00
|
$963.00
|
$963.00
|
2025-06-01
|
|
J9063
|
CPT
|
Mirvetuximab Soravtansine-gynx 5 Mg/ml Solution 20 Ml Vial
|
1
|
1
|
$51,771.00
|
$31,062.60
40% off
|
$27,697.49
|
$27,697.49
|
$27,697.49
|
2025-06-01
|
|
J9073
|
CPT
|
Cyclophosphamide Per 100 Mg
|
1
|
1
|
$2,180.00
|
$1,308.00
40% off
|
$1,166.30
|
$1,166.30
|
$1,166.30
|
2025-06-01
|
|
J9119
|
CPT
|
Cemiplimab-rwlc 50 Mg/ml Solution 7 Ml Vial
|
1
|
1
|
$25,457.00
|
$15,274.20
40% off
|
$13,619.50
|
$13,619.50
|
$13,619.50
|
2025-06-01
|
|
J9144
|
CPT
|
Daratumumab-hyaluronidase-fihj 1,800 Mg-30,000 Unit/15 Ml Solution
|
1
|
1
|
$23,264.00
|
$13,958.40
40% off
|
$12,446.24
|
$12,446.24
|
$12,446.24
|
2025-06-01
|
|
J9155
|
CPT
|
Degarelix 120 Mg Recon Soln
|
1
|
1
|
$3,659.00
|
$2,195.40
40% off
|
$1,957.57
|
$1,957.57
|
$1,957.57
|
2025-06-01
|
|
J9173
|
CPT
|
Durvalumab 50 Mg/ml Solution 10 Ml Vial
|
1
|
1
|
$29,721.00
|
$17,832.60
40% off
|
$15,900.74
|
$15,900.74
|
$15,900.74
|
2025-06-01
|
|
J9177
|
CPT
|
Enfortumab Vedotin-ejfv 20 Mg Recon Soln 1 Each Vial
|
1
|
1
|
$1,686.00
|
$1,011.60
40% off
|
$902.01
|
$902.01
|
$902.01
|
2025-06-01
|
|
J9202
|
CPT
|
Goserelin Per 3.6 Mg
|
1
|
1
|
$6,369.00
|
$3,821.40
40% off
|
$3,407.41
|
$3,407.41
|
$3,407.41
|
2025-06-01
|
|
J9205
|
CPT
|
Irinotecan Liposomal 4.3 Mg/ml Dispersion 10 Ml Vial
|
1
|
1
|
$17,010.00
|
$10,206.00
40% off
|
$9,100.35
|
$9,100.35
|
$9,100.35
|
2025-06-01
|
|
J9217
|
CPT
|
Leuprolide (3 Month) 22.5 Mg Syringe
|
1
|
1
|
$3,253.00
|
$1,951.80
40% off
|
$1,740.36
|
$1,740.36
|
$1,740.36
|
2025-06-01
|
|
J9228
|
CPT
|
Ipilimumab 200 Mg/40 Ml (5 Mg/ml) Solution 10 Ml Vial
|
1
|
1
|
$36,345.00
|
$21,807.00
40% off
|
$19,444.58
|
$19,444.58
|
$19,444.58
|
2025-06-01
|
|
J9264
|
CPT
|
Paclitaxel Protein-bound Part Per 1 Mg
|
1
|
1
|
$7,585.00
|
$4,551.00
40% off
|
$4,057.97
|
$4,057.97
|
$4,057.97
|
2025-06-01
|
|
J9271
|
CPT
|
Pembrolizumab 25 Mg/ml Solution 4 Ml Vial
|
1
|
1
|
$54,420.00
|
$32,652.00
40% off
|
$29,114.70
|
$29,114.70
|
$29,114.70
|
2025-06-01
|
|
J9298
|
CPT
|
Nivolumab-relatlimab-rmbw 240-80 Mg/20 Ml Solution 20 Ml Vial
|
1
|
1
|
$69,756.00
|
$41,853.60
40% off
|
$37,319.46
|
$37,319.46
|
$37,319.46
|
2025-06-01
|
|
J9299
|
CPT
|
Nivolumab 100 Mg/10 Ml Solution 10 Ml Vial
|
1
|
1
|
$27,485.00
|
$16,491.00
40% off
|
$14,704.48
|
$14,704.48
|
$14,704.48
|
2025-06-01
|
|
J9301
|
CPT
|
Obinutuzumab 1,000 Mg/40 Ml Solution 40 Ml Vial
|
1
|
1
|
$19,781.00
|
$11,868.60
40% off
|
$10,582.83
|
$10,582.83
|
$10,582.83
|
2025-06-01
|
|
J9303
|
CPT
|
Panitumumab Per 10 Mg
|
1
|
1
|
$23,731.00
|
$14,238.60
40% off
|
$12,696.08
|
$12,696.08
|
$12,696.08
|
2025-06-01
|
|
J9306
|
CPT
|
Pertuzumab 420 Mg/14 Ml (30 Mg/ml) Solution 14 Ml Vial
|
1
|
1
|
$15,665.00
|
$9,399.00
40% off
|
$8,380.77
|
$8,380.77
|
$8,380.77
|
2025-06-01
|
|
J9312
|
CPT
|
Rituximab 10 Mg/ml Concentrate 50 Ml Vial
|
1
|
1
|
$22,549.00
|
$13,529.40
40% off
|
$12,063.72
|
$12,063.72
|
$12,063.72
|
2025-06-01
|
|
J9358
|
CPT
|
Fam-trastuzumab Deruxtecan-nxki 100 Mg Recon Soln 1 Each Vial
|
1
|
1
|
$29,657.00
|
$17,794.20
40% off
|
$15,866.50
|
$15,866.50
|
$15,866.50
|
2025-06-01
|
|
J9395
|
CPT
|
Fulvestrant Per 25 Mg
|
1
|
1
|
$1,738.00
|
$1,042.80
40% off
|
$929.83
|
$929.83
|
$929.83
|
2025-06-01
|
|
M0239
|
CPT
|
Hc Bamlanivimab Infusion Administration
|
1
|
1
|
$850.00
|
$510.00
40% off
|
$456.45
|
$456.45
|
$456.45
|
2025-06-01
|
|
M0243
|
CPT
|
Hc Casirivimab-imdevimab Administration
|
1
|
1
|
$990.00
|
$594.00
40% off
|
$531.63
|
$531.63
|
$531.63
|
2025-06-01
|
|
M0245
|
CPT
|
Hc Bamlanivimab-etesevimab Administration
|
1
|
1
|
$990.00
|
$594.00
40% off
|
$531.63
|
$531.63
|
$531.63
|
2025-06-01
|
|
P9016
|
CPT
|
Hc Red Blood Cells Leukocyte Reduced
|
1
|
1
|
$771.00
|
$462.60
40% off
|
$414.02
|
$414.02
|
$414.02
|
2025-06-01
|
|
P9031
|
CPT
|
Hc Platelets Leukocyte Reduced
|
1
|
1
|
$1,073.00
|
$643.80
40% off
|
$576.20
|
$576.20
|
$576.20
|
2025-06-01
|
|
P9033
|
CPT
|
Hc Platelets Leukocyte Reduced Irradiated
|
1
|
1
|
$1,155.00
|
$693.00
40% off
|
$620.24
|
$620.24
|
$620.24
|
2025-06-01
|
|
P9035
|
CPT
|
Hc Platelets, Pheresis, Leukocyte Reduced
|
1
|
1
|
$1,266.00
|
$759.60
40% off
|
$679.84
|
$679.84
|
$679.84
|
2025-06-01
|
|
P9038
|
CPT
|
Hc Red Blood Cells Irradiated
|
1
|
1
|
$901.00
|
$540.60
40% off
|
$483.83
|
$483.83
|
$483.83
|
2025-06-01
|
|
P9040
|
CPT
|
Hc Red Blood Cells Leukocyte Reduced Irradiated
|
1
|
1
|
$770.00
|
$462.00
40% off
|
$413.49
|
$413.49
|
$413.49
|
2025-06-01
|
|
P9073
|
CPT
|
Hc Platelets, Pheresis, Pathogen Reduced Each Unit
|
1
|
1
|
$1,518.00
|
$910.80
40% off
|
$815.16
|
$815.16
|
$815.16
|
2025-06-01
|
|
PX
|
OTHER
|
Hc Room Charge, Private
|
1
|
1
|
$1,660.00
|
$996.00
40% off
|
$891.42
|
$891.42
|
$891.42
|
2025-06-01
|
|
Q0138
|
CPT
|
Ferumoxytol 510 Mg/17 Ml (30 Mg/ml) Solution 17 Ml Vial
|
1
|
1
|
$4,298.00
|
$2,578.80
40% off
|
$2,299.43
|
$2,299.43
|
$2,299.43
|
2025-06-01
|
|
Q5103
|
CPT
|
Infliximab-dyyb 100 Mg Recon Soln 1 Each Vial
|
1
|
1
|
$15,898.00
|
$9,538.80
40% off
|
$8,505.43
|
$8,505.43
|
$8,505.43
|
2025-06-01
|
|
Q5104
|
CPT
|
Infliximab-abda 100 Mg Recon Soln 1 Each Vial
|
1
|
1
|
$905.00
|
$543.00
40% off
|
$484.18
|
$484.18
|
$484.18
|
2025-06-01
|
|
Q5107
|
CPT
|
Bevacizumab-awwb 25 Mg/ml Solution 16 Ml Vial
|
1
|
1
|
$6,699.00
|
$4,019.40
40% off
|
$3,583.97
|
$3,583.97
|
$3,583.97
|
2025-06-01
|
|
Q5108
|
CPT
|
Pegfilgrastim-jmdb 6 Mg/0.6 Ml Syringe
|
1
|
1
|
$5,010.00
|
$3,006.00
40% off
|
$2,680.35
|
$2,680.35
|
$2,680.35
|
2025-06-01
|
|
Q5116
|
CPT
|
Trastuzumab-qyyp 150 Mg Recon Soln 1 Each Vial
|
1
|
1
|
$11,627.00
|
$6,976.20
40% off
|
$6,220.44
|
$6,220.44
|
$6,220.44
|
2025-06-01
|
|
Q5117
|
CPT
|
Trastuzumab-anns 150 Mg Recon Soln 1 Each Vial
|
1
|
1
|
$13,057.00
|
$7,834.20
40% off
|
$6,985.49
|
$6,985.49
|
$6,985.49
|
2025-06-01
|
|
Q5119
|
CPT
|
Rituximab-pvvr 10 Mg/ml Solution 10 Ml Vial
|
1
|
1
|
$1,721.00
|
$1,032.60
40% off
|
$920.74
|
$920.74
|
$920.74
|
2025-06-01
|
|
Q9957
|
CPT
|
Perflutren Lipid Microsphere 1.1 Mg/ml Suspension
|
1
|
1
|
$1,045.00
|
$627.00
40% off
|
$559.08
|
$559.08
|
$559.08
|
2025-06-01
|
|
SUP
|
OTHER
|
Suture O-prolene 30" Blue 8418h (8418h)"
|
2
|
1
|
$814.69
|
$488.81
40% off
|
$7.33
|
$867.65
|
$437.49
|
2025-06-01
|
|
V2630
|
CPT
|
Lens Pmma S122uv 12.5mm +10.5 (8t105)
|
1
|
1
|
$1,200.00
|
$720.00
40% off
|
$644.40
|
$644.40
|
$644.40
|
2025-06-01
|
|
V2788
|
CPT
|
Lens Tfat00 Nontoric 10.5d Alcon (tfat00.105)
|
2
|
1
|
$2,985.00
|
$1,791.00
40% off
|
$1,602.94
|
$1,602.94
|
$1,602.94
|
2025-06-01
|