|
314
|
MS_DRG
|
Other Circulatory System Diagnoses With Mcc
|
1
|
1
|
$170,499.80
|
$127,874.85
25% off
|
$401,782.24
|
$401,782.24
|
$401,782.24
|
2026-05-01
|
|
175
|
MS_DRG
|
Pulmonary Embolism With Mcc Or Acute Cor Pulmonale
|
1
|
1
|
$152,416.00
|
$114,312.00
25% off
|
$328,921.02
|
$328,921.02
|
$328,921.02
|
2026-05-01
|
|
178
|
MS_DRG
|
Respiratory Infections And Inflammations With Cc
|
1
|
1
|
$57,585.40
|
$43,189.05
25% off
|
$127,578.77
|
$127,578.77
|
$127,578.77
|
2026-05-01
|
|
560
|
MS_DRG
|
Aftercare, Musculoskeletal System And Connective Tissue With Cc
|
1
|
1
|
$46,651.90
|
$34,988.93
25% off
|
$110,558.89
|
$110,558.89
|
$110,558.89
|
2026-05-01
|
|
304
|
MS_DRG
|
Hypertension With Mcc
|
1
|
1
|
$41,587.70
|
$31,190.78
25% off
|
$105,494.69
|
$105,494.69
|
$105,494.69
|
2026-05-01
|
|
395
|
MS_DRG
|
Other Digestive System Diagnoses Without Cc/mcc
|
1
|
1
|
$29,956.00
|
$22,467.00
25% off
|
$84,733.42
|
$84,733.42
|
$84,733.42
|
2026-05-01
|
|
948
|
MS_DRG
|
Signs And Symptoms Without Mcc
|
1
|
1
|
$29,778.45
|
$22,333.84
25% off
|
$72,383.11
|
$72,383.11
|
$72,383.11
|
2026-05-01
|
|
10136348_1
|
CDM
|
Attune Knee System Revision Posterior Femoral Augment
|
11
|
11
|
$17,240.00
|
$12,930.00
25% off
|
$6,332.25
|
$15,516.00
|
$11,550.80
|
2026-05-01
|
|
9993994_1
|
CDM
|
Ozempic 1 Mg/dose (4 Mg/3 Ml)
|
11
|
11
|
$13,293.00
|
$9,969.75
25% off
|
$4,882.52
|
$11,963.70
|
$8,906.31
|
2026-05-01
|
|
10136344_1
|
CDM
|
Attune Knee System Revision Tibial Base Rotating Platform Size 5 Cemented
|
11
|
11
|
$12,514.00
|
$9,385.50
25% off
|
$4,596.39
|
$11,262.60
|
$8,384.38
|
2026-05-01
|
|
10136343_1
|
CDM
|
Attune Knee System Revision Tibial Sleeve Porocoat Full Coated
|
11
|
11
|
$9,468.00
|
$7,101.00
25% off
|
$3,477.60
|
$8,521.20
|
$6,343.56
|
2026-05-01
|
|
J2426
|
HCPCS
|
Injection, Paliperidone Palmitate Extended Release (invega Sustenna), 1 Mg
|
20
|
10
|
$8,697.25
|
$6,522.94
25% off
|
$2,555.67
|
$9,392.85
|
$6,048.24
|
2026-05-01
|
|
10136347_1
|
CDM
|
Attune Knee System Revision Femoral Sleeve Porocoat Fully Coated 35mm
|
11
|
11
|
$8,387.00
|
$6,290.25
25% off
|
$3,080.55
|
$7,548.30
|
$5,619.29
|
2026-05-01
|
|
J0401
|
HCPCS
|
Injection, Aripiprazole (abilify Maintena), 1 Mg
|
20
|
10
|
$7,624.25
|
$5,718.19
25% off
|
$2,400.31
|
$7,842.15
|
$5,512.87
|
2026-05-01
|
|
10136345_1
|
CDM
|
Attune Knee System Crsrotating Platform Insert Size 5 6mm Aox
|
11
|
11
|
$7,469.00
|
$5,601.75
25% off
|
$2,743.36
|
$6,722.10
|
$5,004.23
|
2026-05-01
|
|
J7336
|
HCPCS
|
Capsaicin 8% Patch, Per Square Centimeter
|
20
|
10
|
$8,104.00
|
$6,078.01
25% off
|
$1,949.08
|
$9,811.35
|
$4,612.68
|
2026-05-01
|
|
10201809_1
|
CDM
|
Phantom Fibula Nail System - Left
|
11
|
11
|
$6,688.00
|
$5,016.00
25% off
|
$2,456.50
|
$6,019.20
|
$4,480.96
|
2026-05-01
|
|
9901259_1
|
CDM
|
Viaflow 2.0cc Ambient Placental Tissue
|
11
|
11
|
$6,667.00
|
$5,000.25
25% off
|
$2,448.79
|
$6,000.30
|
$4,466.89
|
2026-05-01
|
|
74178
|
HCPCS
|
CT Scan Of Abdomen And Pelvis Before And After Contrast
|
10
|
10
|
$6,125.80
|
$4,594.35
25% off
|
$2,250.01
|
$5,513.22
|
$4,412.11
|
2026-05-01
|
|
95811
|
HCPCS
|
Sleep Study In Sleep Lab With Continuous Airway Pressure (6 Years Or Older)
|
10
|
10
|
$5,795.20
|
$4,346.40
25% off
|
$2,128.58
|
$5,215.68
|
$4,173.99
|
2026-05-01
|
|
72129
|
HCPCS
|
CT Scan Of Middle Spine With Contrast
|
10
|
10
|
$5,795.00
|
$4,346.25
25% off
|
$2,128.50
|
$5,215.50
|
$4,173.85
|
2026-05-01
|
|
72132
|
HCPCS
|
CT Scan Of Lower Spine With Contrast
|
10
|
10
|
$5,762.10
|
$4,321.58
25% off
|
$2,116.42
|
$5,185.89
|
$4,150.15
|
2026-05-01
|
|
9891868_1
|
CDM
|
Femoral Stem 12/14 Taper Actis Duofix Hip Prosthesis Cementless Size 5 Std Colla…
|
11
|
11
|
$5,875.00
|
$4,406.25
25% off
|
$2,157.89
|
$5,287.50
|
$3,936.25
|
2026-05-01
|
|
10012916_1
|
CDM
|
Actis Duofix Hip Prosthesis Femoral Stem 12/14 Taper Cementless Size 4 Std Colla…
|
11
|
11
|
$5,875.00
|
$4,406.25
25% off
|
$2,157.89
|
$5,287.50
|
$3,936.25
|
2026-05-01
|
|
10122221_1
|
CDM
|
Actis Duofix Hip Prosthesis Femoral Stem 12/14 Taper Cementless Size 9 Std Colla…
|
11
|
11
|
$5,875.00
|
$4,406.25
25% off
|
$2,157.89
|
$5,287.50
|
$3,936.25
|
2026-05-01
|
|
Q4100
|
HCPCS
|
Skin Substitute, Not Otherwise Specified
|
20
|
10
|
$5,596.25
|
$4,197.19
25% off
|
$1,662.40
|
$5,999.85
|
$3,934.23
|
2026-05-01
|
|
70549
|
HCPCS
|
MRI Scan Of Blood Vessels Of Neck Before And After Contrast
|
10
|
10
|
$5,352.20
|
$4,014.15
25% off
|
$1,965.86
|
$4,816.98
|
$3,854.92
|
2026-05-01
|
|
70553
|
HCPCS
|
MRI Scan Of Brain Before And After Contrast
|
10
|
10
|
$5,345.80
|
$4,009.35
25% off
|
$1,963.51
|
$4,811.22
|
$3,850.31
|
2026-05-01
|
|
95810
|
HCPCS
|
Sleep Study In Sleep Lab (6 Years Or Older)
|
10
|
10
|
$5,330.80
|
$3,998.10
25% off
|
$1,958.00
|
$4,797.72
|
$3,839.51
|
2026-05-01
|
|
72158
|
HCPCS
|
MRI Scan Of Lower Spinal Canal Before And After Contrast
|
10
|
10
|
$5,292.30
|
$3,969.23
25% off
|
$1,943.86
|
$4,763.07
|
$3,811.78
|
2026-05-01
|
|
10263460_1
|
CDM
|
Arthrex Amnion Matrix - Thick, 3 Cm X 8 Cm
|
11
|
11
|
$5,500.00
|
$4,125.00
25% off
|
$2,020.15
|
$4,950.00
|
$3,685.00
|
2026-05-01
|
|
74183
|
HCPCS
|
MRI Scan Of Abdomen Before And After Contrast
|
10
|
10
|
$5,114.60
|
$3,835.95
25% off
|
$1,878.59
|
$4,603.14
|
$3,683.79
|
2026-05-01
|
|
71552
|
HCPCS
|
MRI Scan Of Chest Before And After Contrast
|
10
|
10
|
$5,092.20
|
$3,819.15
25% off
|
$1,870.37
|
$4,582.98
|
$3,667.65
|
2026-05-01
|
|
10147971_1
|
CDM
|
Allopure Bicortical 8mm Ev 8mm Evans Wedge
|
11
|
11
|
$5,370.00
|
$4,027.50
25% off
|
$1,972.40
|
$4,833.00
|
$3,597.90
|
2026-05-01
|
|
J0897
|
HCPCS
|
Injection, Denosumab, 1 Mg
|
20
|
10
|
$4,895.00
|
$3,671.26
25% off
|
$1,627.69
|
$4,822.65
|
$3,590.20
|
2026-05-01
|
|
74177
|
HCPCS
|
CT Scan Of Abdomen And Pelvis With Contrast
|
20
|
10
|
$4,853.30
|
$3,639.98
25% off
|
$1,535.72
|
$4,972.95
|
$3,511.41
|
2026-05-01
|
|
72157
|
HCPCS
|
MRI Scan Of Middle Spinal Canal Before And After Contrast
|
10
|
10
|
$4,795.80
|
$3,596.85
25% off
|
$1,761.50
|
$4,316.22
|
$3,454.18
|
2026-05-01
|
|
72197
|
HCPCS
|
MRI Scan Of Pelvis Before And After Contrast
|
10
|
10
|
$4,788.30
|
$3,591.23
25% off
|
$1,758.74
|
$4,309.47
|
$3,448.77
|
2026-05-01
|
|
72156
|
HCPCS
|
MRI Scan Of Upper Spinal Canal Before And After Contrast
|
10
|
10
|
$4,647.10
|
$3,485.33
25% off
|
$1,706.88
|
$4,182.39
|
$3,347.07
|
2026-05-01
|
|
73223
|
HCPCS
|
MRI Scan Of Arm Joint Before And After Contrast
|
10
|
10
|
$4,641.70
|
$3,481.28
25% off
|
$1,704.90
|
$4,177.53
|
$3,343.18
|
2026-05-01
|
|
71551
|
HCPCS
|
MRI Scan Of Chest With Contrast
|
10
|
10
|
$4,590.30
|
$3,442.73
25% off
|
$1,686.02
|
$4,131.27
|
$3,306.16
|
2026-05-01
|
|
64635
|
HCPCS
|
Destruction Of Lower Or Sacral Spinal Facet Joint Nerves Using Imaging Guidance,…
|
22
|
11
|
$5,128.00
|
$3,846.00
25% off
|
$1,395.74
|
$5,810.40
|
$3,303.15
|
2026-05-01
|
|
88309
|
HCPCS
|
Pathology Examination Of Tissue Using A Microscope, High Complexity
|
10
|
10
|
$4,151.43
|
$3,113.57
25% off
|
$1,524.82
|
$4,151.43
|
$3,252.86
|
2026-05-01
|
|
10147972_1
|
CDM
|
Easyfuse Staple 25x20nitinol 2-leg
|
11
|
11
|
$4,840.00
|
$3,630.00
25% off
|
$1,777.73
|
$4,356.00
|
$3,242.80
|
2026-05-01
|
|
73723
|
HCPCS
|
MRI Scan Of Leg Joint Before And After Contrast
|
10
|
10
|
$4,494.00
|
$3,370.50
25% off
|
$1,650.65
|
$4,044.60
|
$3,236.81
|
2026-05-01
|
|
10108126_1
|
CDM
|
Attune Posterior Stabilized Size 8 Right Cemented
|
11
|
11
|
$4,819.00
|
$3,614.25
25% off
|
$1,770.02
|
$4,337.10
|
$3,228.73
|
2026-05-01
|
|
10037745_1
|
CDM
|
Attune Posterior Stabilized Size 7 Left Cemented
|
11
|
11
|
$4,819.00
|
$3,614.25
25% off
|
$1,770.02
|
$4,337.10
|
$3,228.73
|
2026-05-01
|
|
10127990_1
|
CDM
|
Attune Femoral Posterior Stabilized Narrow Size 5n Left Cemented
|
11
|
11
|
$4,819.00
|
$3,614.25
25% off
|
$1,770.02
|
$4,337.10
|
$3,228.73
|
2026-05-01
|
|
10042809_1
|
CDM
|
Attune Femoral Posterior Stabilized Narrow Size 6n Left Cemented
|
11
|
11
|
$4,819.00
|
$3,614.25
25% off
|
$1,770.02
|
$4,337.10
|
$3,228.73
|
2026-05-01
|
|
10110127_1
|
CDM
|
Attune Tibial Insert Fixed Bearing Posterior Stabilized Size 8 6mm Aox
|
11
|
11
|
$4,819.00
|
$3,614.25
25% off
|
$1,770.02
|
$4,337.10
|
$3,228.73
|
2026-05-01
|
|
75635
|
HCPCS
|
CT Scan Of Abdominal Aorta And Both Leg Arteries With Contrast
|
10
|
10
|
$4,420.20
|
$3,315.15
25% off
|
$1,623.54
|
$3,978.18
|
$3,183.65
|
2026-05-01
|
|
74176
|
HCPCS
|
CT Scan Of Abdomen And Pelvis Without Contrast
|
20
|
10
|
$4,291.00
|
$3,218.26
25% off
|
$1,392.25
|
$4,312.35
|
$3,173.60
|
2026-05-01
|
|
J0881
|
HCPCS
|
Injection, Darbepoetin Alfa, 1 Microgram (non-esrd Use)
|
20
|
10
|
$4,179.75
|
$3,134.82
25% off
|
$1,364.70
|
$4,179.60
|
$3,108.82
|
2026-05-01
|
|
73220
|
HCPCS
|
MRI Scan Of Arm Before And After Contrast
|
10
|
10
|
$4,257.60
|
$3,193.20
25% off
|
$1,563.82
|
$3,831.84
|
$3,066.53
|
2026-05-01
|
|
70543
|
HCPCS
|
MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Before And After Contrast
|
10
|
10
|
$4,226.50
|
$3,169.88
25% off
|
$1,552.39
|
$3,803.85
|
$3,044.14
|
2026-05-01
|
|
70552
|
HCPCS
|
MRI Scan Of Brain With Contrast
|
10
|
10
|
$4,198.70
|
$3,149.03
25% off
|
$1,542.18
|
$3,778.83
|
$3,024.11
|
2026-05-01
|
|
10134079_1
|
CDM
|
Tricortical Bone Wedge Small Tricortical
|
11
|
11
|
$4,496.00
|
$3,372.00
25% off
|
$1,651.38
|
$4,046.40
|
$3,012.32
|
2026-05-01
|
|
73720
|
HCPCS
|
MRI Scan Of Leg Before And After Contrast
|
10
|
10
|
$4,066.00
|
$3,049.50
25% off
|
$1,493.44
|
$3,659.40
|
$2,928.53
|
2026-05-01
|
|
10246821_1
|
CDM
|
Resolution 360 Ultra Clip 235cm
|
11
|
11
|
$4,350.00
|
$3,262.50
25% off
|
$1,597.76
|
$3,915.00
|
$2,914.50
|
2026-05-01
|
|
10136342_1
|
CDM
|
Attune Knee System Revision Pressfit Stem
|
11
|
11
|
$4,214.00
|
$3,160.50
25% off
|
$1,547.80
|
$3,792.60
|
$2,823.38
|
2026-05-01
|
|
70542
|
HCPCS
|
MRI Scan Of Bone Of Eye Socket, Face, And/or Neck With Contrast
|
10
|
10
|
$3,908.20
|
$2,931.15
25% off
|
$1,435.48
|
$3,517.38
|
$2,814.88
|
2026-05-01
|
|
J1439
|
HCPCS
|
Injection, Ferric Carboxymaltose, 1 Mg
|
10
|
10
|
$3,848.50
|
$2,886.38
25% off
|
$1,413.55
|
$3,463.65
|
$2,771.89
|
2026-05-01
|
|
73219
|
HCPCS
|
MRI Scan Of Arm With Contrast
|
10
|
10
|
$3,809.20
|
$2,856.90
25% off
|
$1,399.12
|
$3,428.28
|
$2,743.57
|
2026-05-01
|
|
73222
|
HCPCS
|
MRI Scan Of Arm Joint With Contrast
|
20
|
10
|
$3,778.20
|
$2,833.65
25% off
|
$1,272.18
|
$3,683.52
|
$2,742.18
|
2026-05-01
|
|
70498
|
HCPCS
|
CT Scan Of Blood Vessels Of Neck With Contrast
|
20
|
10
|
$3,781.95
|
$2,836.47
25% off
|
$1,331.13
|
$3,545.82
|
$2,716.02
|
2026-05-01
|
|
72142
|
HCPCS
|
MRI Scan Of Upper Spinal Canal With Contrast
|
10
|
10
|
$3,711.90
|
$2,783.93
25% off
|
$1,363.38
|
$3,340.71
|
$2,673.49
|
2026-05-01
|
|
72147
|
HCPCS
|
MRI Scan Of Middle Spinal Canal With Contrast
|
10
|
10
|
$3,693.70
|
$2,770.28
25% off
|
$1,356.70
|
$3,324.33
|
$2,660.39
|
2026-05-01
|
|
99291
|
HCPCS
|
Critical Care, First 30-74 Minutes
|
10
|
10
|
$3,691.50
|
$2,768.63
25% off
|
$1,355.89
|
$3,322.35
|
$2,658.81
|
2026-05-01
|
|
70471
|
HCPCS
|
Computed Tomographic Angiography (cta), Head And Neck, With Contrast Material(s)…
|
22
|
11
|
$3,794.00
|
$2,845.51
25% off
|
$1,335.47
|
$3,556.89
|
$2,647.91
|
2026-05-01
|
|
73722
|
HCPCS
|
MRI Scan Of Leg Joint With Contrast
|
10
|
10
|
$3,638.00
|
$2,728.50
25% off
|
$1,336.24
|
$3,274.20
|
$2,620.27
|
2026-05-01
|
|
72149
|
HCPCS
|
MRI Scan Of Lower Spinal Canal With Contrast
|
10
|
10
|
$3,620.40
|
$2,715.30
25% off
|
$1,329.77
|
$3,258.36
|
$2,607.60
|
2026-05-01
|
|
70546
|
HCPCS
|
MRI Scan Of Blood Vessels Of Head Before And After Contrast
|
10
|
10
|
$3,601.70
|
$2,701.28
25% off
|
$1,322.90
|
$3,241.53
|
$2,594.12
|
2026-05-01
|
|
70551
|
HCPCS
|
MRI Scan Of Brain Without Contrast
|
10
|
10
|
$3,592.00
|
$2,694.00
25% off
|
$1,319.34
|
$3,232.80
|
$2,587.14
|
2026-05-01
|
|
64632
|
HCPCS
|
Destruction Of Foot Nerve
|
11
|
11
|
$3,777.00
|
$2,832.75
25% off
|
$1,387.29
|
$3,399.30
|
$2,530.59
|
2026-05-01
|
|
74182
|
HCPCS
|
MRI Scan Of Abdomen With Contrast
|
10
|
10
|
$3,508.00
|
$2,631.00
25% off
|
$1,288.49
|
$3,157.20
|
$2,526.64
|
2026-05-01
|
|
J1745
|
HCPCS
|
Injection, Infliximab, Excludes Biosimilar, 10 Mg
|
10
|
10
|
$3,503.50
|
$2,627.63
25% off
|
$1,286.84
|
$3,153.15
|
$2,523.40
|
2026-05-01
|
|
9929715_1
|
CDM
|
Physiostim Bone Growth Stimulator
|
11
|
11
|
$3,749.00
|
$2,811.75
25% off
|
$1,377.01
|
$3,374.10
|
$2,511.83
|
2026-05-01
|
|
73221
|
HCPCS
|
MRI Scan Of Arm Joint Without Contrast
|
10
|
10
|
$3,463.60
|
$2,597.70
25% off
|
$1,272.18
|
$3,117.24
|
$2,494.65
|
2026-05-01
|
|
73721
|
HCPCS
|
MRI Scan Of Leg Joint Without Contrast
|
10
|
10
|
$3,410.10
|
$2,557.58
25% off
|
$1,252.53
|
$3,069.09
|
$2,456.12
|
2026-05-01
|
|
72196
|
HCPCS
|
MRI Scan Of Pelvis With Contrast
|
10
|
10
|
$3,397.30
|
$2,547.98
25% off
|
$1,247.83
|
$3,057.57
|
$2,446.90
|
2026-05-01
|
|
73218
|
HCPCS
|
MRI Scan Of Arm Without Contrast
|
10
|
10
|
$3,397.30
|
$2,547.98
25% off
|
$1,247.83
|
$3,057.57
|
$2,446.90
|
2026-05-01
|
|
74170
|
HCPCS
|
CT Scan Of Abdomen Before And After Contrast
|
10
|
10
|
$3,390.90
|
$2,543.18
25% off
|
$1,245.48
|
$3,051.81
|
$2,442.30
|
2026-05-01
|
|
72148
|
HCPCS
|
MRI Scan Of Lower Spinal Canal Without Contrast
|
10
|
10
|
$3,382.30
|
$2,536.73
25% off
|
$1,242.32
|
$3,044.07
|
$2,436.10
|
2026-05-01
|
|
J3111
|
HCPCS
|
Injection, Romosozumab-aqqg, 1 Mg
|
10
|
10
|
$3,370.50
|
$2,527.88
25% off
|
$1,237.98
|
$3,033.45
|
$2,427.60
|
2026-05-01
|
|
72141
|
HCPCS
|
MRI Scan Of Upper Spinal Canal Without Contrast
|
10
|
10
|
$3,369.50
|
$2,527.13
25% off
|
$1,237.62
|
$3,032.55
|
$2,426.89
|
2026-05-01
|
|
10119150_1
|
CDM
|
Hook Plate Sm Ortholoc 3di Plating System
|
11
|
11
|
$3,602.00
|
$2,701.50
25% off
|
$1,323.01
|
$3,241.80
|
$2,413.34
|
2026-05-01
|
|
88307
|
HCPCS
|
Pathology Examination Of Tissue Using A Microscope, Moderately High Complexity
|
10
|
10
|
$2,995.02
|
$2,246.27
25% off
|
$1,100.07
|
$2,995.02
|
$2,346.74
|
2026-05-01
|
|
70547
|
HCPCS
|
MRI Scan Of Blood Vessels Of Neck Without Contrast
|
10
|
10
|
$3,202.60
|
$2,401.95
25% off
|
$1,176.32
|
$2,882.34
|
$2,306.67
|
2026-05-01
|
|
10144158_1
|
CDM
|
V92 Fc+ Bone Matrix, 2.5cc Ufz-0486630044-24
|
11
|
11
|
$3,438.00
|
$2,578.50
25% off
|
$1,262.78
|
$3,094.20
|
$2,303.46
|
2026-05-01
|
|
10042813_1
|
CDM
|
Attune Knee System Tibial Base Fixed Bearing Size 5 Cemented
|
11
|
11
|
$3,375.00
|
$2,531.25
25% off
|
$1,239.64
|
$3,037.50
|
$2,261.25
|
2026-05-01
|
|
10037744_1
|
CDM
|
Attune Knee System Tibial Base Fixed Bearing Size 6 Cemented
|
11
|
11
|
$3,375.00
|
$2,531.25
25% off
|
$1,239.64
|
$3,037.50
|
$2,261.25
|
2026-05-01
|
|
10127993_1
|
CDM
|
Attune Knee System Tibial Base Fixed Bearing Size 4 Cemented
|
11
|
11
|
$3,375.00
|
$2,531.25
25% off
|
$1,239.64
|
$3,037.50
|
$2,261.25
|
2026-05-01
|
|
71275
|
HCPCS
|
CT Scan Of Blood Vessels Of Chest With Contrast
|
20
|
10
|
$3,295.55
|
$2,471.66
25% off
|
$954.98
|
$3,591.99
|
$2,260.05
|
2026-05-01
|
|
72126
|
HCPCS
|
CT Scan Of Upper Spine With Contrast
|
10
|
10
|
$3,081.60
|
$2,311.20
25% off
|
$1,131.87
|
$2,773.44
|
$2,219.52
|
2026-05-01
|
|
C8957
|
HCPCS
|
Intravenous Infusion For Therapy/diagnosis; Initiation Of Prolonged Infusion (mo…
|
10
|
10
|
$3,039.40
|
$2,279.55
25% off
|
$1,116.37
|
$2,735.46
|
$2,189.13
|
2026-05-01
|
|
72146
|
HCPCS
|
MRI Scan Of Middle Spinal Canal Without Contrast
|
10
|
10
|
$3,023.90
|
$2,267.93
25% off
|
$1,110.68
|
$2,721.51
|
$2,177.96
|
2026-05-01
|
|
70544
|
HCPCS
|
MRI Scan Of Blood Vessels Of Head Without Contrast
|
10
|
10
|
$2,996.00
|
$2,247.00
25% off
|
$1,100.43
|
$2,696.40
|
$2,157.87
|
2026-05-01
|
|
74175
|
HCPCS
|
CT Scan Of Blood Vessels Of Abdomen With Contrast
|
10
|
10
|
$2,944.70
|
$2,208.53
25% off
|
$1,081.59
|
$2,650.23
|
$2,120.92
|
2026-05-01
|
|
10283612_1
|
CDM
|
Polyaxial Locking Plate Lapidus Cross-plate Right (t10)
|
11
|
11
|
$3,160.00
|
$2,370.00
25% off
|
$1,160.67
|
$2,844.00
|
$2,117.20
|
2026-05-01
|
|
10146234_1
|
CDM
|
Polyaxial Locking Plate Lapidus Cross-plate Left (t10)
|
11
|
11
|
$3,160.00
|
$2,370.00
25% off
|
$1,160.67
|
$2,844.00
|
$2,117.20
|
2026-05-01
|
|
70491
|
HCPCS
|
CT Scan Of Soft Tissue Of Neck With Contrast
|
10
|
10
|
$2,881.60
|
$2,161.20
25% off
|
$1,058.41
|
$2,593.44
|
$2,075.47
|
2026-05-01
|
|
10136346_1
|
CDM
|
Attune Knee System Revision Posterior Femoral Augment
|
11
|
11
|
$3,095.00
|
$2,321.25
25% off
|
$1,136.79
|
$2,785.50
|
$2,073.65
|
2026-05-01
|
|
72131
|
HCPCS
|
CT Scan Of Lower Spine Without Contrast
|
10
|
10
|
$2,861.20
|
$2,145.90
25% off
|
$1,050.92
|
$2,575.08
|
$2,060.78
|
2026-05-01
|
|
70470
|
HCPCS
|
CT Scan Of Head Or Brain Before And After Contrast
|
10
|
10
|
$2,852.70
|
$2,139.53
25% off
|
$1,047.80
|
$2,567.43
|
$2,054.66
|
2026-05-01
|
|
72128
|
HCPCS
|
CT Scan Of Middle Spine Without Contrast
|
10
|
10
|
$2,843.00
|
$2,132.25
25% off
|
$1,044.23
|
$2,558.70
|
$2,047.67
|
2026-05-01
|
|
Q5103
|
HCPCS
|
Injection, Infliximab-dyyb, Biosimilar, (inflectra), 10 Mg
|
10
|
10
|
$2,839.00
|
$2,129.25
25% off
|
$1,042.76
|
$2,555.10
|
$2,044.79
|
2026-05-01
|
|
72195
|
HCPCS
|
MRI Scan Of Pelvis Without Contrast
|
10
|
10
|
$2,824.80
|
$2,118.60
25% off
|
$1,037.55
|
$2,542.32
|
$2,034.57
|
2026-05-01
|
|
95805
|
HCPCS
|
Sleep Study, Multiple Trials
|
10
|
10
|
$2,804.00
|
$2,103.00
25% off
|
$1,029.91
|
$2,523.60
|
$2,019.58
|
2026-05-01
|
|
64624
|
HCPCS
|
Destruction Of Nerve Branches Of Knee Using Imaging Guidance
|
11
|
11
|
$3,000.00
|
$2,250.00
25% off
|
$1,101.90
|
$2,700.00
|
$2,010.00
|
2026-05-01
|
|
72125
|
HCPCS
|
CT Scan Of Upper Spine Without Contrast
|
10
|
10
|
$2,751.00
|
$2,063.25
25% off
|
$1,010.44
|
$2,475.90
|
$1,981.41
|
2026-05-01
|
|
Q0138
|
HCPCS
|
Injection, Ferumoxytol, For Treatment Of Iron Deficiency Anemia, 1 Mg (non-esrd …
|
10
|
10
|
$2,716.50
|
$2,037.38
25% off
|
$997.77
|
$2,444.85
|
$1,956.56
|
2026-05-01
|
|
27130
|
HCPCS
|
Replacement Of Thigh Bone And Hip Joint With Prosthesis
|
11
|
11
|
$2,909.29
|
$2,181.97
25% off
|
$1,068.58
|
$2,618.36
|
$1,949.22
|
2026-05-01
|
|
64633
|
HCPCS
|
Destruction Of Upper Or Middle Spinal Facet Joint Nerves Using Imaging Guidance,…
|
22
|
11
|
$3,342.00
|
$2,506.50
25% off
|
$818.34
|
$4,010.40
|
$1,936.69
|
2026-05-01
|
|
10175197_1
|
CDM
|
Delta Xtend Modular Eccentric Epiphysis Size 1 Left
|
11
|
11
|
$2,888.00
|
$2,166.00
25% off
|
$1,060.76
|
$2,599.20
|
$1,934.96
|
2026-05-01
|
|
9996754_1
|
CDM
|
Delta Xtend Modular Eccentric Epiphysis Size 1 Right
|
11
|
11
|
$2,888.00
|
$2,166.00
25% off
|
$1,060.76
|
$2,599.20
|
$1,934.96
|
2026-05-01
|
|
C1783
|
HCPCS
|
Ocular Implant, Aqueous Drainage Assist Device
|
20
|
10
|
$2,675.60
|
$2,006.70
25% off
|
$958.18
|
$2,468.25
|
$1,923.74
|
2026-05-01
|
|
73719
|
HCPCS
|
MRI Scan Of Leg With Contrast
|
20
|
10
|
$2,675.60
|
$2,006.70
25% off
|
$935.59
|
$2,523.60
|
$1,920.65
|
2026-05-01
|
|
74160
|
HCPCS
|
CT Scan Of Abdomen With Contrast
|
10
|
10
|
$2,603.40
|
$1,952.55
25% off
|
$956.23
|
$2,343.06
|
$1,875.10
|
2026-05-01
|
|
C1776
|
HCPCS
|
Joint Device (implantable)
|
70
|
10
|
$2,500.00
|
$1,875.00
25% off
|
$413.21
|
$5,287.50
|
$1,873.36
|
2026-05-01
|
|
72194
|
HCPCS
|
CT Scan Of Pelvis Before And After Contrast
|
10
|
10
|
$2,586.20
|
$1,939.65
25% off
|
$949.91
|
$2,327.58
|
$1,862.71
|
2026-05-01
|
|
70460
|
HCPCS
|
CT Scan Head Or Brain With Contrast
|
10
|
10
|
$2,552.00
|
$1,914.00
25% off
|
$937.35
|
$2,296.80
|
$1,838.08
|
2026-05-01
|
|
73718
|
HCPCS
|
MRI Scan Of Leg Without Contrast
|
10
|
10
|
$2,547.20
|
$1,910.40
25% off
|
$935.59
|
$2,292.48
|
$1,834.62
|
2026-05-01
|
|
71550
|
HCPCS
|
MRI Scan Of Chest Without Contrast
|
10
|
10
|
$2,547.20
|
$1,910.40
25% off
|
$935.59
|
$2,292.48
|
$1,834.62
|
2026-05-01
|
|
70540
|
HCPCS
|
MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Without Contrast
|
10
|
10
|
$2,547.20
|
$1,910.40
25% off
|
$935.59
|
$2,292.48
|
$1,834.62
|
2026-05-01
|
|
93306
|
HCPCS
|
Ultrasound Of Heart With Color-depicted Blood Flow, Rate, Direction And Valve Fu…
|
10
|
10
|
$2,532.70
|
$1,899.53
25% off
|
$930.26
|
$2,279.43
|
$1,824.18
|
2026-05-01
|
|
10233731_1
|
CDM
|
3.5 Hook Plate 79mm 5 Hole
|
11
|
11
|
$2,720.00
|
$2,040.00
25% off
|
$999.06
|
$2,448.00
|
$1,822.40
|
2026-05-01
|
|
71260
|
HCPCS
|
CT Scan Of Chest With Contrast
|
20
|
10
|
$2,536.20
|
$1,902.15
25% off
|
$768.54
|
$2,682.00
|
$1,818.82
|
2026-05-01
|
|
74181
|
HCPCS
|
MRI Scan Of Abdomen Without Contrast
|
10
|
10
|
$2,524.70
|
$1,893.53
25% off
|
$927.32
|
$2,272.23
|
$1,818.41
|
2026-05-01
|
|
64420
|
HCPCS
|
Injection Of Anesthetic Agent And/or Steroid Into Rib Nerve
|
19
|
11
|
$3,026.00
|
$2,269.50
25% off
|
$48.20
|
$2,723.40
|
$1,815.60
|
2026-05-01
|
|
70487
|
HCPCS
|
CT Scan Of Face With Contrast
|
10
|
10
|
$2,507.10
|
$1,880.33
25% off
|
$920.86
|
$2,256.39
|
$1,805.74
|
2026-05-01
|
|
70450
|
HCPCS
|
CT Scan Head Or Brain Without Contrast
|
10
|
10
|
$2,392.60
|
$1,794.45
25% off
|
$878.80
|
$2,153.34
|
$1,723.27
|
2026-05-01
|
|
73700
|
HCPCS
|
CT Scan Of Leg Without Contrast
|
10
|
10
|
$2,390.40
|
$1,792.80
25% off
|
$877.99
|
$2,151.36
|
$1,721.68
|
2026-05-01
|
|
93978
|
HCPCS
|
Complete Ultrasound Of Aorta, Vena Cava, Groin Vessels Or Bypass Grafts
|
10
|
10
|
$2,386.10
|
$1,789.58
25% off
|
$876.41
|
$2,147.49
|
$1,718.59
|
2026-05-01
|
|
10195880_1
|
CDM
|
Emphasys Acetubular Shell Three-hole 58mm Cementless
|
11
|
11
|
$2,563.00
|
$1,922.25
25% off
|
$941.39
|
$2,306.70
|
$1,717.21
|
2026-05-01
|
|
10233730_1
|
CDM
|
Gravity Synchfix Ti6AI4V, Uhmwpe Suture #5
|
11
|
11
|
$2,560.00
|
$1,920.00
25% off
|
$940.29
|
$2,304.00
|
$1,715.20
|
2026-05-01
|
|
70486
|
HCPCS
|
CT Scan Of Face Without Contrast
|
10
|
10
|
$2,347.60
|
$1,760.70
25% off
|
$862.27
|
$2,112.84
|
$1,690.86
|
2026-05-01
|
|
10037746_1
|
CDM
|
Attune Tibial Insert Fixed Bearing Posterior Stabilized Size 7 6mm Aox
|
11
|
11
|
$2,500.00
|
$1,875.00
25% off
|
$918.25
|
$2,250.00
|
$1,675.00
|
2026-05-01
|
|
10212516_1
|
CDM
|
Attune Tibial Insert Fixed Bearing Posterior Stabilized Size 5 7mm Aox
|
11
|
11
|
$2,500.00
|
$1,875.00
25% off
|
$918.25
|
$2,250.00
|
$1,675.00
|
2026-05-01
|
|
64625
|
HCPCS
|
Destruction Of Nerves Supplying Joint Between Spine And Pelvis Using Imaging Gui…
|
11
|
11
|
$2,500.00
|
$1,875.00
25% off
|
$918.25
|
$2,250.00
|
$1,675.00
|
2026-05-01
|
|
64620
|
HCPCS
|
Injection Of Agent To Destroy Rib Nerve
|
11
|
11
|
$2,500.00
|
$1,875.00
25% off
|
$918.25
|
$2,250.00
|
$1,675.00
|
2026-05-01
|
|
10127991_1
|
CDM
|
Attune Tibial Insert Fixed Bearing Posterior Stabilized Size 5 6mm Aox
|
11
|
11
|
$2,500.00
|
$1,875.00
25% off
|
$918.25
|
$2,250.00
|
$1,675.00
|
2026-05-01
|
|
10151966_1
|
CDM
|
Attune Tibial Insert Fixed Bearing Posterior Stabilized Size 5 10mm Aox
|
11
|
11
|
$2,500.00
|
$1,875.00
25% off
|
$918.25
|
$2,250.00
|
$1,675.00
|
2026-05-01
|
|
9650006_1
|
CDM
|
Sigma Stab Xlk Ins 3 10mm
|
11
|
11
|
$2,500.00
|
$1,875.00
25% off
|
$918.25
|
$2,250.00
|
$1,675.00
|
2026-05-01
|
|
62323
|
HCPCS
|
Injection Of Substance Into Lower Spine Canal Using Imaging Guidance
|
11
|
11
|
$2,498.50
|
$1,873.88
25% off
|
$917.70
|
$2,248.65
|
$1,674.00
|
2026-05-01
|
|
70482
|
HCPCS
|
CT Scan Of Cranial Cavity Before And After Contrast
|
10
|
10
|
$2,323.00
|
$1,742.25
25% off
|
$853.24
|
$2,090.70
|
$1,673.14
|
2026-05-01
|
|
64490
|
HCPCS
|
Injection Of Upper Or Middle Spine Facet Joint Using Imaging Guidance, Single Le…
|
22
|
11
|
$2,823.00
|
$2,117.25
25% off
|
$691.26
|
$3,387.60
|
$1,635.93
|
2026-05-01
|
|
8231157_1
|
CDM
|
Room & Board - Semi-private (two Beds) - General Classification
|
5
|
5
|
$1,990.20
|
$1,492.65
25% off
|
$731.00
|
$1,668.78
|
$1,612.06
|
2026-05-01
|
|
9996760_1
|
CDM
|
Delta Xtend Modular Humeral Stem
|
11
|
11
|
$2,389.00
|
$1,791.75
25% off
|
$877.48
|
$2,150.10
|
$1,600.63
|
2026-05-01
|
|
10157883_1
|
CDM
|
Delta Xtend Modular Humeral Stem D14
|
11
|
11
|
$2,389.00
|
$1,791.75
25% off
|
$877.48
|
$2,150.10
|
$1,600.63
|
2026-05-01
|
|
9949766_1
|
CDM
|
Coolief 3 Probe Kit 17g X 150mm X 4mm
|
11
|
11
|
$2,388.00
|
$1,791.00
25% off
|
$877.11
|
$2,149.20
|
$1,599.96
|
2026-05-01
|
|
10007226_1
|
CDM
|
Coolief 3 Probe Kit 17g X 50mm X 4mm
|
11
|
11
|
$2,388.00
|
$1,791.00
25% off
|
$877.11
|
$2,149.20
|
$1,599.96
|
2026-05-01
|
|
99285
|
HCPCS
|
Emergency Department Visit With High Level Of Medical Decision Making
|
10
|
10
|
$2,193.50
|
$1,645.13
25% off
|
$805.67
|
$1,974.15
|
$1,579.87
|
2026-05-01
|
|
72193
|
HCPCS
|
CT Scan Of Pelvis With Contrast
|
10
|
10
|
$2,185.00
|
$1,638.75
25% off
|
$802.55
|
$1,966.50
|
$1,573.74
|
2026-05-01
|
|
73225
|
HCPCS
|
MRI Scan Of Blood Vessels Of Arm
|
10
|
10
|
$2,179.60
|
$1,634.70
25% off
|
$800.57
|
$1,961.64
|
$1,569.86
|
2026-05-01
|
|
73725
|
HCPCS
|
MRI Scan Of Blood Vessels Of Leg
|
10
|
10
|
$2,179.60
|
$1,634.70
25% off
|
$800.57
|
$1,961.64
|
$1,569.86
|
2026-05-01
|
|
71555
|
HCPCS
|
MRI Scan Of Blood Vessels Of Chest
|
10
|
10
|
$2,179.60
|
$1,634.70
25% off
|
$800.57
|
$1,961.64
|
$1,569.86
|
2026-05-01
|
|
62321
|
HCPCS
|
Injection Of Substance Into Middle Or Upper Spine Canal Using Imaging Guidance
|
11
|
11
|
$2,335.00
|
$1,751.25
25% off
|
$857.65
|
$2,101.50
|
$1,564.45
|
2026-05-01
|
|
64447
|
HCPCS
|
Injection Of Anesthetic Agent And/or Steroid Into Thigh Nerve (femoral Nerve)
|
11
|
11
|
$2,334.00
|
$1,750.50
25% off
|
$857.28
|
$2,100.60
|
$1,563.78
|
2026-05-01
|
|
64425
|
HCPCS
|
Injection Of Anesthetic Agent And/or Steroid Into Lower Abdomen And Groin Nerve
|
11
|
11
|
$2,334.00
|
$1,750.50
25% off
|
$857.28
|
$2,100.60
|
$1,563.78
|
2026-05-01
|
|
70490
|
HCPCS
|
CT Scan Of Soft Tissue Of Neck Without Contrast
|
10
|
10
|
$2,167.90
|
$1,625.93
25% off
|
$796.27
|
$1,951.11
|
$1,561.43
|
2026-05-01
|
|
70545
|
HCPCS
|
MRI Scan Of Blood Vessels Of Head With Contrast
|
10
|
10
|
$2,141.60
|
$1,606.20
25% off
|
$786.61
|
$1,927.44
|
$1,542.48
|
2026-05-01
|
|
64479
|
HCPCS
|
Injection Of Anesthetic And/or Steroid Drug Into Upper Or Middle Spine Nerve Roo…
|
11
|
11
|
$2,259.00
|
$1,694.25
25% off
|
$829.73
|
$2,033.10
|
$1,513.53
|
2026-05-01
|
|
74150
|
HCPCS
|
CT Scan Of Abdomen Without Contrast
|
10
|
10
|
$2,098.30
|
$1,573.73
25% off
|
$770.71
|
$1,888.47
|
$1,511.30
|
2026-05-01
|
|
9891869_1
|
CDM
|
Biolox Delta Ts Ceramic Femoral Head Revision 40mm +1.5 Offset 12/14 Taper
|
11
|
11
|
$2,250.00
|
$1,687.50
25% off
|
$826.43
|
$2,025.00
|
$1,507.50
|
2026-05-01
|
|
70481
|
HCPCS
|
CT Scan Of Cranial Cavity With Contrast
|
10
|
10
|
$2,090.80
|
$1,568.10
25% off
|
$767.95
|
$1,881.72
|
$1,505.90
|
2026-05-01
|
|
64480
|
HCPCS
|
Injection Of Anesthetic And/or Steroid Drug Into Upper Or Middle Spine Nerve Roo…
|
11
|
11
|
$2,226.00
|
$1,669.50
25% off
|
$817.61
|
$2,003.40
|
$1,491.42
|
2026-05-01
|
|
64510
|
HCPCS
|
Injection Of Anesthetic Agent Into Sympathetic Nerve Bundle
|
11
|
11
|
$2,225.73
|
$1,669.30
25% off
|
$817.51
|
$2,003.16
|
$1,491.24
|
2026-05-01
|
|
10103317_1
|
CDM
|
Pinnacle Altrx Polyethene Acetabular Liner +4 Neutral 36mm Id 52mm Od
|
11
|
11
|
$2,188.00
|
$1,641.00
25% off
|
$803.65
|
$1,969.20
|
$1,465.96
|
2026-05-01
|
|
10195881_1
|
CDM
|
Emphasys Polyethylene Linder +4 Neutral Aox 56-58mm 40mm
|
11
|
11
|
$2,188.00
|
$1,641.00
25% off
|
$803.65
|
$1,969.20
|
$1,465.96
|
2026-05-01
|
|
74185
|
HCPCS
|
MRI Scan Of Blood Vessels Of Abdomen
|
10
|
10
|
$2,019.10
|
$1,514.33
25% off
|
$741.62
|
$1,817.19
|
$1,454.26
|
2026-05-01
|
|
10142866_1
|
CDM
|
Cephalexin 125 Mg/5 Ml Susp
|
11
|
11
|
$2,162.50
|
$1,621.88
25% off
|
$794.29
|
$1,946.25
|
$1,448.88
|
2026-05-01
|
|
72192
|
HCPCS
|
CT Scan Of Pelvis Without Contrast
|
10
|
10
|
$1,983.80
|
$1,487.85
25% off
|
$728.65
|
$1,785.42
|
$1,428.84
|
2026-05-01
|
|
10103319_1
|
CDM
|
Pinnacle Porocoat Acetabular Shell Sector Ii 52mm Od
|
11
|
11
|
$2,125.00
|
$1,593.75
25% off
|
$780.51
|
$1,912.50
|
$1,423.75
|
2026-05-01
|
|
10103318_1
|
CDM
|
M-spec Metal Femoral Head 36mm -2 Offset 12/14 Taper
|
11
|
11
|
$2,125.00
|
$1,593.75
25% off
|
$780.51
|
$1,912.50
|
$1,423.75
|
2026-05-01
|
|
10127230_1
|
CDM
|
Heliogen Xp-1000
|
11
|
11
|
$2,125.00
|
$1,593.75
25% off
|
$780.51
|
$1,912.50
|
$1,423.75
|
2026-05-01
|
|
10095592_1
|
CDM
|
Zig-zag Plate, 5-hole
|
11
|
11
|
$2,119.00
|
$1,589.25
25% off
|
$778.31
|
$1,907.10
|
$1,419.73
|
2026-05-01
|
|
10067127_1
|
CDM
|
Baby Gorilla Zig-zag Plate, 7-hole
|
11
|
11
|
$2,119.00
|
$1,589.25
25% off
|
$778.31
|
$1,907.10
|
$1,419.73
|
2026-05-01
|
|
A0433
|
HCPCS
|
Advanced Life Support, Level 2 (als 2)
|
10
|
10
|
$1,964.60
|
$1,473.45
25% off
|
$721.60
|
$1,768.14
|
$1,415.00
|
2026-05-01
|
|
9302993_1
|
CDM
|
Yag Laser
|
11
|
11
|
$2,096.40
|
$1,572.30
25% off
|
$770.01
|
$1,886.76
|
$1,404.59
|
2026-05-01
|
|
9513895_1
|
CDM
|
Orthalign Plus Navigation Unit
|
11
|
11
|
$2,067.30
|
$1,550.48
25% off
|
$759.32
|
$1,860.57
|
$1,385.09
|
2026-05-01
|
|
10233732_1
|
CDM
|
Dart-fire Edge Screw
|
11
|
11
|
$2,057.00
|
$1,542.75
25% off
|
$755.54
|
$1,851.30
|
$1,378.19
|
2026-05-01
|
|
10238308_1
|
CDM
|
Strker DartFire Edge Instrument Pack, Pc Gf 30 Ss
|
11
|
11
|
$2,057.00
|
$1,542.75
25% off
|
$755.54
|
$1,851.30
|
$1,378.19
|
2026-05-01
|
|
10119156_1
|
CDM
|
Dart-fire Edge Inst Pack 3.0mm Headed
|
11
|
11
|
$2,057.00
|
$1,542.75
25% off
|
$755.54
|
$1,851.30
|
$1,378.19
|
2026-05-01
|
|
10147969_1
|
CDM
|
Dart-fire Edge Inst Pack 3.5mm Headless
|
11
|
11
|
$2,057.00
|
$1,542.75
25% off
|
$755.54
|
$1,851.30
|
$1,378.19
|
2026-05-01
|
|
88305
|
HCPCS
|
Pathology Examination Of Tissue Using A Microscope, Intermediate Complexity
|
10
|
10
|
$1,730.13
|
$1,297.60
25% off
|
$635.48
|
$1,730.13
|
$1,355.64
|
2026-05-01
|
|
C1886
|
HCPCS
|
Catheter, Extravascular Tissue Ablation, Any Modality (insertable)
|
70
|
10
|
$1,779.50
|
$1,334.63
25% off
|
$282.97
|
$3,202.02
|
$1,347.92
|
2026-05-01
|
|
9310702_1
|
CDM
|
13533-0318-03 - Rabies Immune Globulin, Human 300 Intl units/mL Sol
|
11
|
11
|
$2,011.50
|
$1,508.63
25% off
|
$738.82
|
$1,810.35
|
$1,347.71
|
2026-05-01
|
|
9955031_1
|
CDM
|
Dartfire Edge Inst Pack 2.0mm
|
11
|
11
|
$1,997.00
|
$1,497.75
25% off
|
$733.50
|
$1,797.30
|
$1,337.99
|
2026-05-01
|
|
9305851_1
|
CDM
|
Cataract Package
|
11
|
11
|
$1,995.90
|
$1,496.93
25% off
|
$733.09
|
$1,796.31
|
$1,337.25
|
2026-05-01
|
|
64483
|
HCPCS
|
Injection Of Anesthetic And/or Steroid Drug Into Sacral Spine Nerve Root Using I…
|
22
|
11
|
$2,270.25
|
$1,702.69
25% off
|
$555.91
|
$2,724.30
|
$1,315.61
|
2026-05-01
|
|
64640
|
HCPCS
|
Destruction Of Peripheral Nerve Or Branch
|
22
|
11
|
$2,269.50
|
$1,702.12
25% off
|
$555.72
|
$2,723.40
|
$1,315.18
|
2026-05-01
|
|
64493
|
HCPCS
|
Injection Of Lower Or Sacral Spine Facet Joint Using Imaging Guidance, Single Le…
|
22
|
11
|
$2,269.50
|
$1,702.12
25% off
|
$555.72
|
$2,723.40
|
$1,315.18
|
2026-05-01
|
|
71250
|
HCPCS
|
CT Scan Of Chest Without Contrast
|
20
|
10
|
$1,804.15
|
$1,353.12
25% off
|
$661.14
|
$1,627.47
|
$1,299.23
|
2026-05-01
|
|
70492
|
HCPCS
|
CT Scan Of Soft Tissue Of Neck Before And After Contrast
|
10
|
10
|
$1,795.50
|
$1,346.63
25% off
|
$659.49
|
$1,615.95
|
$1,293.21
|
2026-05-01
|
|
P9036
|
HCPCS
|
Platelets, Pheresis, Irradiated, Each Unit
|
10
|
10
|
$1,793.40
|
$1,345.05
25% off
|
$658.72
|
$1,614.06
|
$1,291.69
|
2026-05-01
|
|
93975
|
HCPCS
|
Complete Ultrasound Of Abdomen And Pelvis Artery And Vein Blood Flow
|
10
|
10
|
$1,778.40
|
$1,333.80
25% off
|
$653.21
|
$1,600.56
|
$1,280.89
|
2026-05-01
|
|
73701
|
HCPCS
|
CT Scan Of Leg With Contrast Material
|
20
|
10
|
$1,750.00
|
$1,312.50
25% off
|
$550.95
|
$1,800.00
|
$1,265.38
|
2026-05-01
|
|
73201
|
HCPCS
|
CT Scan Of Arm With Contrast
|
20
|
10
|
$1,750.00
|
$1,312.50
25% off
|
$550.95
|
$1,800.00
|
$1,265.38
|
2026-05-01
|
|
9835795_1
|
CDM
|
Knotless Mini Tr Implant, 1.1mm, Ti
|
11
|
11
|
$1,869.00
|
$1,401.75
25% off
|
$686.48
|
$1,682.10
|
$1,252.23
|
2026-05-01
|
|
61312
|
HCPCS
|
Removal Of Skull Bone For Aspiration Of Blood Accumulation In Upper Brain Outsid…
|
10
|
10
|
$1,731.80
|
$1,298.85
25% off
|
$636.09
|
$1,558.62
|
$1,247.33
|
2026-05-01
|
|
93925
|
HCPCS
|
Ultrasound Of Leg Arteries Or Artery Grafts
|
10
|
10
|
$1,718.50
|
$1,288.88
25% off
|
$631.21
|
$1,546.65
|
$1,237.75
|
2026-05-01
|
|
73200
|
HCPCS
|
CT Scan Of Arm Without Contrast
|
10
|
10
|
$1,712.00
|
$1,284.00
25% off
|
$628.82
|
$1,540.80
|
$1,233.07
|
2026-05-01
|
|
10253443_1
|
CDM
|
VentralexST Mesh Hernia Patch With Strap, Small Circle
|
11
|
11
|
$1,834.00
|
$1,375.50
25% off
|
$673.63
|
$1,650.60
|
$1,228.78
|
2026-05-01
|
|
10201807_1
|
CDM
|
Baby Gorilla Tubular Plate, 2-hole
|
11
|
11
|
$1,813.00
|
$1,359.75
25% off
|
$665.91
|
$1,631.70
|
$1,214.71
|
2026-05-01
|
|
93880
|
HCPCS
|
Ultrasound Of Both Sides Of Head And Neck Blood Flow
|
10
|
10
|
$1,670.30
|
$1,252.73
25% off
|
$613.50
|
$1,503.27
|
$1,203.03
|
2026-05-01
|
|
99284
|
HCPCS
|
Emergency Department Visit With Moderate Level Of Medical Decision Making
|
10
|
10
|
$1,652.10
|
$1,239.08
25% off
|
$606.82
|
$1,486.89
|
$1,189.93
|
2026-05-01
|
|
A0427
|
HCPCS
|
Ambulance Service, Advanced Life Support, Emergency Transport, Level 1 (als 1 - …
|
10
|
10
|
$1,637.10
|
$1,227.83
25% off
|
$601.31
|
$1,473.39
|
$1,179.12
|
2026-05-01
|
|
70480
|
HCPCS
|
CT Scan Of Cranial Cavity Without Contrast
|
10
|
10
|
$1,610.40
|
$1,207.80
25% off
|
$591.50
|
$1,449.36
|
$1,159.89
|
2026-05-01
|
|
8137256_1
|
CDM
|
Miscellaneous Test Qst
|
11
|
11
|
$1,498.67
|
$1,124.00
25% off
|
$550.46
|
$1,498.67
|
$1,154.72
|
2026-05-01
|
|
1378483_1
|
CDM
|
Operating Room Services - General Classification
|
11
|
11
|
$1,722.05
|
$1,291.54
25% off
|
$632.51
|
$1,549.85
|
$1,153.78
|
2026-05-01
|
|
9996758_1
|
CDM
|
Delta Xtend Lateralized Glenosphere +0mm 38mm Standard
|
11
|
11
|
$1,707.00
|
$1,280.25
25% off
|
$626.98
|
$1,536.30
|
$1,143.69
|
2026-05-01
|
|
P9021
|
HCPCS
|
Red Blood Cells, Each Unit
|
10
|
10
|
$1,572.90
|
$1,179.68
25% off
|
$577.73
|
$1,415.61
|
$1,132.88
|
2026-05-01
|
|
10007227_1
|
CDM
|
Coolief 3 Probe Kit 17g X 75mm X 2mm
|
11
|
11
|
$1,663.00
|
$1,247.25
25% off
|
$610.82
|
$1,496.70
|
$1,114.21
|
2026-05-01
|
|
9996755_1
|
CDM
|
Delta Xtend Cementless Metaglene
|
11
|
11
|
$1,641.00
|
$1,230.75
25% off
|
$602.74
|
$1,476.90
|
$1,099.47
|
2026-05-01
|
|
P9035
|
HCPCS
|
Platelets, Pheresis, Leukocytes Reduced, Each Unit
|
10
|
10
|
$1,471.30
|
$1,103.48
25% off
|
$540.41
|
$1,324.17
|
$1,059.70
|
2026-05-01
|
|
9755526_1
|
CDM
|
Osteoset Resorbable Mini Bead Kit
|
11
|
11
|
$1,575.00
|
$1,181.25
25% off
|
$578.50
|
$1,417.50
|
$1,055.25
|
2026-05-01
|
|
93970
|
HCPCS
|
Ultrasound Study Of Arm Or Leg Veins With Compression And Maneuvers
|
10
|
10
|
$1,424.20
|
$1,068.15
25% off
|
$523.11
|
$1,281.78
|
$1,025.78
|
2026-05-01
|
|
76942
|
HCPCS
|
Ultrasonic Guidance For Needle Placement
|
10
|
10
|
$1,414.60
|
$1,060.95
25% off
|
$519.58
|
$1,273.14
|
$1,018.87
|
2026-05-01
|
|
88304
|
HCPCS
|
Pathology Examination Of Tissue Using A Microscope, Moderately Low Complexity
|
10
|
10
|
$1,297.62
|
$973.22
25% off
|
$476.62
|
$1,297.62
|
$1,016.75
|
2026-05-01
|
|
27096
|
HCPCS
|
Injection Of Anesthetic Or Steroid Into Joint Between Lower Spine And Hip Bone U…
|
22
|
11
|
$1,751.25
|
$1,313.44
25% off
|
$428.82
|
$2,101.50
|
$1,014.85
|
2026-05-01
|
|
10134078_1
|
CDM
|
Allofiber Dbf 2.5 Cc Demin Bone Fiber
|
11
|
11
|
$1,514.00
|
$1,135.50
25% off
|
$556.09
|
$1,362.60
|
$1,014.38
|
2026-05-01
|
|
96999
|
HCPCS
|
Other Special Service Or Procedure On Skin
|
11
|
11
|
$1,500.00
|
$1,125.00
25% off
|
$550.95
|
$1,350.00
|
$1,005.00
|
2026-05-01
|
|
17999
|
HCPCS
|
Other Procedure On Skin, Mucous Membrane, And Tissue
|
11
|
11
|
$1,500.00
|
$1,125.00
25% off
|
$550.95
|
$1,350.00
|
$1,005.00
|
2026-05-01
|
|
82785
|
HCPCS
|
IgE (immune System Protein) Level
|
10
|
10
|
$1,383.81
|
$1,037.86
25% off
|
$227.78
|
$1,245.43
|
$996.69
|
2026-05-01
|
|
A0426
|
HCPCS
|
Ambulance Service, Advanced Life Support, Non-emergency Transport, Level 1 (als …
|
10
|
10
|
$1,375.00
|
$1,031.25
25% off
|
$505.04
|
$1,237.50
|
$990.35
|
2026-05-01
|
|
9992646_1
|
CDM
|
Trulicity 3 Mg/0.5 Ml Pen
|
11
|
11
|
$1,466.50
|
$1,099.88
25% off
|
$538.65
|
$1,319.85
|
$982.56
|
2026-05-01
|
|
8085548_1
|
CDM
|
Room & Board - Semi-private (two Beds) - General Classification
|
5
|
5
|
$1,193.10
|
$894.83
25% off
|
$438.23
|
$1,000.41
|
$966.41
|
2026-05-01
|
|
10205125_1
|
CDM
|
Mica Screw, Thread Length: Full Ti6AI4V Size: 4mm X 28mm
|
11
|
11
|
$1,441.00
|
$1,080.75
25% off
|
$529.28
|
$1,296.90
|
$965.47
|
2026-05-01
|
|
93930
|
HCPCS
|
Ultrasound Of Arm Arteries Or Artery Grafts
|
10
|
10
|
$1,312.90
|
$984.68
25% off
|
$482.23
|
$1,181.61
|
$945.62
|
2026-05-01
|
|
76770
|
HCPCS
|
Complete Ultrasound Scan Behind Abdominal Cavity
|
20
|
10
|
$1,284.60
|
$963.45
25% off
|
$426.44
|
$1,267.38
|
$943.49
|
2026-05-01
|
|
8844132_1
|
CDM
|
00173-0887-14 - Fluticasone/umeclidinium/vilanterol 100 Mcg-62.5 Mcg-25 Mcg/inh …
|
11
|
11
|
$1,402.50
|
$1,051.88
25% off
|
$515.14
|
$1,262.25
|
$939.68
|
2026-05-01
|
|
90675
|
HCPCS
|
Rabies Vaccine For Injection Into Muscle
|
10
|
10
|
$1,301.50
|
$976.13
25% off
|
$478.04
|
$1,171.35
|
$937.41
|
2026-05-01
|
|
10134070_1
|
CDM
|
Slim Y-plate 4 Shaft Holes (t8)
|
11
|
11
|
$1,360.00
|
$1,020.00
25% off
|
$499.53
|
$1,224.00
|
$911.20
|
2026-05-01
|
|
10134069_1
|
CDM
|
Slim Y-plate 6 Shaft Holes (t8)
|
11
|
11
|
$1,360.00
|
$1,020.00
25% off
|
$499.53
|
$1,224.00
|
$911.20
|
2026-05-01
|
|
77075
|
HCPCS
|
Complete X-ray Of Body Bones
|
10
|
10
|
$1,220.40
|
$915.30
25% off
|
$448.25
|
$1,098.36
|
$879.00
|
2026-05-01
|
|
80074
|
HCPCS
|
Acute Hepatitis Panel
|
10
|
10
|
$1,213.40
|
$910.05
25% off
|
$445.68
|
$1,092.06
|
$873.95
|
2026-05-01
|
|
76700
|
HCPCS
|
Complete Ultrasound Scan Of Abdomen
|
10
|
10
|
$1,196.30
|
$897.23
25% off
|
$439.40
|
$1,076.67
|
$861.63
|
2026-05-01
|
|
93931
|
HCPCS
|
Ultrasound Of One Arm Arteries Or Artery Grafts
|
10
|
10
|
$1,173.80
|
$880.35
25% off
|
$431.14
|
$1,056.42
|
$845.43
|
2026-05-01
|
|
10201808_1
|
CDM
|
Grappler Suture Anchor System
|
11
|
11
|
$1,250.00
|
$937.50
25% off
|
$459.13
|
$1,125.00
|
$837.50
|
2026-05-01
|
|
10262623_1
|
CDM
|
Epifix Mesh 4.0x4.5cm
|
11
|
11
|
$1,250.00
|
$937.50
25% off
|
$459.13
|
$1,125.00
|
$837.50
|
2026-05-01
|
|
93976
|
HCPCS
|
Ultrasound Of Abdomen And Pelvis Artery And Vein Blood Flow
|
10
|
10
|
$1,119.30
|
$839.48
25% off
|
$411.12
|
$1,007.37
|
$806.17
|
2026-05-01
|
|
64488
|
HCPCS
|
Injection Of Local Anesthetic For Abdominal Wall Pain Control On Both Sides Usin…
|
11
|
11
|
$1,200.00
|
$900.00
25% off
|
$440.76
|
$1,080.00
|
$804.00
|
2026-05-01
|
|
64454
|
HCPCS
|
Injection Of Anesthetic Agent And/or Steroid Into Knee Nerve Branch Using Imagin…
|
11
|
11
|
$1,200.00
|
$900.00
25% off
|
$440.76
|
$1,080.00
|
$804.00
|
2026-05-01
|
|
8963600_1
|
CDM
|
Wrist Components
|
11
|
11
|
$1,197.40
|
$898.05
25% off
|
$439.81
|
$1,077.66
|
$802.26
|
2026-05-01
|
|
V2788
|
HCPCS
|
Presbyopia Correcting Function Of Intraocular Lens
|
60
|
10
|
$1,180.80
|
$885.60
25% off
|
$264.00
|
$1,077.39
|
$801.99
|
2026-05-01
|
|
88302
|
HCPCS
|
Pathology Examination Of Tissue Using A Microscope
|
10
|
10
|
$1,014.12
|
$760.59
25% off
|
$372.49
|
$1,014.12
|
$794.62
|
2026-05-01
|
|
9381387_1
|
CDM
|
Intraocular Lens 16.0d #sn6at6
|
11
|
11
|
$1,181.60
|
$886.20
25% off
|
$434.00
|
$1,063.44
|
$791.67
|
2026-05-01
|
|
71271
|
HCPCS
|
Low Dose CT Scan Of Chest For Lung Cancer Screening
|
20
|
10
|
$1,350.00
|
$1,012.50
25% off
|
$330.57
|
$1,620.00
|
$782.33
|
2026-05-01
|
|
86813
|
HCPCS
|
Immunologic Analysis For Autoimmune Disease, A, B, Or C, Multiple Antigens
|
10
|
10
|
$1,081.80
|
$811.35
25% off
|
$397.35
|
$973.62
|
$779.17
|
2026-05-01
|
|
99283
|
HCPCS
|
Emergency Department Visit With Low Level Of Medical Decision Making
|
10
|
10
|
$1,060.40
|
$795.30
25% off
|
$389.48
|
$954.36
|
$763.75
|
2026-05-01
|
|
A0429
|
HCPCS
|
Ambulance Service, Basic Life Support, Emergency Transport (bls-emergency)
|
10
|
10
|
$1,047.60
|
$785.70
25% off
|
$384.78
|
$942.84
|
$754.53
|
2026-05-01
|
|
10037743_1
|
CDM
|
Attune Patella Medialized Dome 38mm Cemented Aox
|
11
|
11
|
$1,125.00
|
$843.75
25% off
|
$413.21
|
$1,012.50
|
$753.75
|
2026-05-01
|
|
10127992_1
|
CDM
|
Attune Patella Medialized Dome 35mm Cemented Aox
|
11
|
11
|
$1,125.00
|
$843.75
25% off
|
$413.21
|
$1,012.50
|
$753.75
|
2026-05-01
|
|
9078138_1
|
CDM
|
Colonoscope Cf Ï¿½ Q160al
|
11
|
11
|
$1,117.70
|
$838.28
25% off
|
$410.53
|
$1,005.93
|
$748.86
|
2026-05-01
|
|
9078137_1
|
CDM
|
Esophogastro Scope Cf Ï¿½ Q180al
|
11
|
11
|
$1,117.70
|
$838.28
25% off
|
$410.53
|
$1,005.93
|
$748.86
|
2026-05-01
|
|
9078139_1
|
CDM
|
Gastroscope Gif Ï¿½ Q140
|
11
|
11
|
$1,117.70
|
$838.28
25% off
|
$410.53
|
$1,005.93
|
$748.86
|
2026-05-01
|
|
9996759_1
|
CDM
|
Delta Xtend Humeral Pe Cup Standard
|
11
|
11
|
$1,116.00
|
$837.00
25% off
|
$409.91
|
$1,004.40
|
$747.72
|
2026-05-01
|
|
13160
|
HCPCS
|
Extensive Or Complicated Repair Of Surface Wound Reopening
|
10
|
10
|
$1,021.40
|
$766.05
25% off
|
$375.16
|
$919.26
|
$735.66
|
2026-05-01
|
|
36430
|
HCPCS
|
Transfusion Of Blood Or Blood Products
|
10
|
10
|
$1,019.20
|
$764.40
25% off
|
$374.35
|
$917.28
|
$734.08
|
2026-05-01
|
|
93926
|
HCPCS
|
Ultrasound Of One Leg Arteries Or Artery Grafts
|
20
|
10
|
$1,009.60
|
$757.20
25% off
|
$321.90
|
$1,028.52
|
$733.76
|
2026-05-01
|
|
10095596_1
|
CDM
|
PROstep Mis Arthodesis 0:4mm L: 8mm
|
11
|
11
|
$1,095.00
|
$821.25
25% off
|
$402.19
|
$985.50
|
$733.65
|
2026-05-01
|
|
10197083_1
|
CDM
|
PROstep Mis Arthodesis 3:1mm L: 13mm
|
11
|
11
|
$1,095.00
|
$821.25
25% off
|
$402.19
|
$985.50
|
$733.65
|
2026-05-01
|
|
10010932_1
|
CDM
|
Cortical Burr Sphere 4mm
|
11
|
11
|
$1,095.00
|
$821.25
25% off
|
$402.19
|
$985.50
|
$733.65
|
2026-05-01
|
|
1378482_1
|
CDM
|
Operating Room Services - General Classification
|
11
|
11
|
$1,085.50
|
$814.12
25% off
|
$398.70
|
$976.95
|
$727.28
|
2026-05-01
|
|
76705
|
HCPCS
|
Limited Ultrasound Scan Of Abdomen
|
10
|
10
|
$1,000.50
|
$750.38
25% off
|
$367.48
|
$900.45
|
$720.62
|
2026-05-01
|
|
10197087_1
|
CDM
|
Prostep Hv Screw Size: 3mm X 16mm
|
11
|
11
|
$1,075.00
|
$806.25
25% off
|
$394.85
|
$967.50
|
$720.25
|
2026-05-01
|
|
10201316_1
|
CDM
|
Bard Mesh Sterile Flat Sheets, 6 X 6
|
11
|
11
|
$1,064.00
|
$798.00
25% off
|
$390.81
|
$957.60
|
$712.88
|
2026-05-01
|
|
10010934_1
|
CDM
|
Sculpting Burr Cylinder 4x16mm
|
11
|
11
|
$1,063.00
|
$797.25
25% off
|
$390.44
|
$956.70
|
$712.21
|
2026-05-01
|
|
10049013_1
|
CDM
|
Heliogen Xp-0500
|
11
|
11
|
$1,062.50
|
$796.88
25% off
|
$390.26
|
$956.25
|
$711.88
|
2026-05-01
|
|
76536
|
HCPCS
|
Ultrasound Scan Of Head And Neck Soft Tissue
|
10
|
10
|
$981.20
|
$735.90
25% off
|
$360.39
|
$883.08
|
$706.70
|
2026-05-01
|
|
10010933_1
|
CDM
|
Irrigation Sleeve For Pm2
|
11
|
11
|
$1,023.00
|
$767.25
25% off
|
$375.75
|
$920.70
|
$685.41
|
2026-05-01
|
|
93971
|
HCPCS
|
Ultrasound Study Of One Arm Or Leg Veins With Compression And Maneuvers
|
10
|
10
|
$950.20
|
$712.65
25% off
|
$349.01
|
$855.18
|
$684.38
|
2026-05-01
|
|
76830
|
HCPCS
|
Ultrasound Scan Of Uterus, Ovaries, Tubes, Cervix And Pelvic Area Through Vagina
|
10
|
10
|
$948.10
|
$711.08
25% off
|
$348.24
|
$853.29
|
$682.87
|
2026-05-01
|
|
5205755_1
|
CDM
|
Blood Administration Charges
|
11
|
11
|
$1,019.20
|
$764.40
25% off
|
$374.35
|
$917.28
|
$682.86
|
2026-05-01
|
|
10147970_1
|
CDM
|
Easyfuse Instrument Packmid / Hindfoot
|
11
|
11
|
$1,002.00
|
$751.50
25% off
|
$368.03
|
$901.80
|
$671.34
|
2026-05-01
|
|
71111
|
HCPCS
|
X-ray Of Ribs On Both Sides Of Body, Minimum Of 4 Views
|
10
|
10
|
$919.20
|
$689.40
25% off
|
$337.62
|
$827.28
|
$662.05
|
2026-05-01
|
|
9817379_1
|
CDM
|
Catheter Epimed Brevi-xl Stf
|
11
|
11
|
$984.00
|
$738.00
25% off
|
$361.42
|
$885.60
|
$659.28
|
2026-05-01
|
|
76856
|
HCPCS
|
Complete Ultrasound Scan Of Pelvis
|
10
|
10
|
$907.40
|
$680.55
25% off
|
$333.29
|
$816.66
|
$653.56
|
2026-05-01
|
|
93922
|
HCPCS
|
Ultrasound Study Of Arm And Leg Arteries
|
20
|
10
|
$867.80
|
$650.85
25% off
|
$283.78
|
$866.70
|
$645.21
|
2026-05-01
|
|
76870
|
HCPCS
|
Ultrasound Scan Of Scrotum
|
10
|
10
|
$887.10
|
$665.33
25% off
|
$325.83
|
$798.39
|
$638.93
|
2026-05-01
|
|
93882
|
HCPCS
|
Ultrasound Of One Side Of Head And Neck Blood Flow
|
10
|
10
|
$876.40
|
$657.30
25% off
|
$321.90
|
$788.76
|
$631.23
|
2026-05-01
|
|
76775
|
HCPCS
|
Limited Ultrasound Scan Behind Abdominal Cavity
|
10
|
10
|
$875.30
|
$656.48
25% off
|
$321.50
|
$787.77
|
$630.43
|
2026-05-01
|
|
27788
|
HCPCS
|
Closed Treatment Of Broken Outside Lower Leg Bone At Ankle With Manipulation
|
10
|
10
|
$874.20
|
$655.65
25% off
|
$321.09
|
$786.78
|
$629.64
|
2026-05-01
|
|
10122219_1
|
CDM
|
Large Tear Cross Cut Rasp # 5100-037-114
|
11
|
11
|
$938.00
|
$703.50
25% off
|
$344.53
|
$844.20
|
$628.46
|
2026-05-01
|
|
27222
|
HCPCS
|
Closed Treatment Of Broken Hip Socket With Manipulation
|
11
|
11
|
$937.40
|
$703.05
25% off
|
$344.31
|
$843.66
|
$628.06
|
2026-05-01
|
|
P9016
|
HCPCS
|
Red Blood Cells, Leukocytes Reduced, Each Unit
|
20
|
10
|
$884.90
|
$663.67
25% off
|
$264.90
|
$943.74
|
$626.90
|
2026-05-01
|
|
76816
|
HCPCS
|
Follow-up Ultrasound Scan Of Pregnant Uterus
|
10
|
10
|
$855.00
|
$641.25
25% off
|
$314.04
|
$769.50
|
$615.82
|
2026-05-01
|
|
8965112_1
|
CDM
|
Securestrap12 Device
|
11
|
11
|
$916.00
|
$687.00
25% off
|
$336.45
|
$824.40
|
$613.72
|
2026-05-01
|
|
10119166_1
|
CDM
|
Implant System, Secondary Fixation With Peek SwiveLock Anchor 4.75 X 19.1 Mm
|
11
|
11
|
$907.00
|
$680.25
25% off
|
$333.14
|
$816.30
|
$607.69
|
2026-05-01
|
|
72081
|
HCPCS
|
X-ray Of Entire Middle And Lower Spine, 1 View
|
10
|
10
|
$843.20
|
$632.40
25% off
|
$309.71
|
$758.88
|
$607.32
|
2026-05-01
|
|
10205124_1
|
CDM
|
Mica Burr Size: 2 X 12mm
|
11
|
11
|
$889.00
|
$666.75
25% off
|
$326.53
|
$800.10
|
$595.63
|
2026-05-01
|
|
10205120_1
|
CDM
|
Mica Burr Size: 2 X 20mm
|
11
|
11
|
$889.00
|
$666.75
25% off
|
$326.53
|
$800.10
|
$595.63
|
2026-05-01
|
|
J7325
|
HCPCS
|
Hyaluronan Or Derivative, Synvisc Or Synvisc-one, For Intra-articular Injection,…
|
20
|
10
|
$1,027.50
|
$770.62
25% off
|
$251.60
|
$1,233.00
|
$595.43
|
2026-05-01
|
|
77080
|
HCPCS
|
Dxa Bone Density Measurement Of Hip, Pelvis, Spine
|
10
|
10
|
$813.20
|
$609.90
25% off
|
$298.69
|
$731.88
|
$585.71
|
2026-05-01
|
|
76604
|
HCPCS
|
Ultrasound Scan Of Chest
|
10
|
10
|
$803.60
|
$602.70
25% off
|
$295.16
|
$723.24
|
$578.79
|
2026-05-01
|
|
9901256_1
|
CDM
|
Mica Wedge Burr 3.1 X 13mm
|
11
|
11
|
$863.00
|
$647.25
25% off
|
$316.98
|
$776.70
|
$578.21
|
2026-05-01
|
|
10010931_1
|
CDM
|
Mica Cutting Burr 3x20mm Long Mica
|
11
|
11
|
$863.00
|
$647.25
25% off
|
$316.98
|
$776.70
|
$578.21
|
2026-05-01
|
|
82656
|
HCPCS
|
Detection Of Pancreatic Elastase (enzyme) In Stool
|
10
|
10
|
$801.50
|
$601.13
25% off
|
$92.41
|
$721.35
|
$577.28
|
2026-05-01
|
|
10202006_1
|
CDM
|
End Cap, 20mm
|
11
|
11
|
$858.00
|
$643.50
25% off
|
$315.14
|
$772.20
|
$574.86
|
2026-05-01
|
|
73521
|
HCPCS
|
X-ray Of Both Hips, 2 Views
|
10
|
10
|
$787.60
|
$590.70
25% off
|
$289.29
|
$708.84
|
$567.27
|
2026-05-01
|