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

HENDRICKS COMMUNITY HOSPITAL

Hendricks, MN · CCN 241339 · Rates published

551 distinct procedures filed
5 distinct payers
3,678 rate rows
2026-07-15 last MRF observed
Data quality

3,678 of 3,678 rate rows are consumer-grade (100.0%)

Every filed rate row passes our consumer-grade checks — none are excluded from the medians.

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.hendrickshosp.org/_files/ugd/b898c2_e18b4f52b631439ab2150c2a9030af03.csv?dn=Price%20Transparency%20File.cs
Found on page https://www.hendrickshosp.org/cms-hpt.txt
Discovered viaCMS hospital list
Last fetch not_modified · 2026-09-21
Content fingerprint 890f71a0c845b962… · 291,151 bytes · first seen 2026-05-15

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
J0717
HCPCS 		Certolizumab Pegol 400 Mg Kit 5 $12,635.00 $20,184.00 $16,963.50 nat. median
$1,635
outlier · 10.4×
J9312
HCPCS 		Rituximab 500 Mg/50 Ml Vial 5 $12,118.00 $17,351.00 $15,555.00 nat. median
$1,063
outlier · 14.6×
J2356
HCPCS 		Tezepelumab-ekko 210 Mg/1.9 Ml 5 $9,925.00 $14,211.00 $12,740.00 nat. median
$76
outlier · 168.2×
J9217
HCPCS 		Leuprolide Acetate 45 Mg Syr 5 $1,854.00 $31,877.00 $12,459.00 nat. median
$1,573
outlier · 7.9×
J3101
HCPCS 		Tenecteplase 50 Mg/10 Ml Syrng 5 $7,964.00 $11,403.00 $10,222.00 nat. median
$3,787
outlier · 2.7×
73720
CPT 		MRI Le Wwo Dye Rt 5 $4,075.00 $5,834.00 $5,231.00 nat. median
$1,135
outlier · 4.6×
74183
CPT 		MRI Abdomen Wwo Dye 5 $4,075.00 $5,834.00 $5,231.00 nat. median
$1,105
outlier · 4.7×
72158
CPT 		MRI Lumbar Spine Wwo Dye 5 $4,075.00 $5,834.00 $5,231.00 nat. median
$1,097
outlier · 4.8×
95810
CPT 		Polysomnogram 5 $4,044.00 $5,790.00 $5,191.00 nat. median
$1,827
outlier · 2.8×
70553
CPT 		MRI Brain Pituitary Wwo Cont 5 $3,881.00 $5,834.00 $5,106.00 nat. median
$1,136
outlier · 4.5×
J0897
HCPCS 		Denosumab 120 Mg/1.7 Ml Vial 5 $2,921.00 $7,832.00 $4,826.00 nat. median
$1,982
outlier · 2.4×
74174
CPT 		CTA Abd&Pelv Wwo Dye 5 $3,621.00 $5,185.00 $4,648.00 nat. median
$998
outlier · 4.7×
74181
CPT 		MRI Abdomen Wo Dye 5 $3,361.00 $4,813.00 $4,315.00 nat. median
$820
outlier · 5.3×
73218
CPT 		MRI Ue Wo Dye Rt 5 $3,361.00 $4,813.00 $4,315.00 nat. median
$866
outlier · 5.0×
72148
CPT 		MRI Lumbar Spine Wo Dye 5 $3,361.00 $4,813.00 $4,315.00 nat. median
$807
outlier · 5.3×
73718
CPT 		MRI Le Wo Dye Lt 5 $3,361.00 $4,813.00 $4,315.00 nat. median
$870
outlier · 5.0×
73221
CPT 		MRI Joint Ue Wo Dye Lt 5 $3,361.00 $4,813.00 $4,315.00 nat. median
$844
outlier · 5.1×
70551
CPT 		MRI Brain Wo Contrast 5 $3,361.00 $4,813.00 $4,315.00 nat. median
$787
outlier · 5.5×
72141
CPT 		MRI Neck Spine Wo Dye 5 $3,361.00 $4,813.00 $4,315.00 nat. median
$785
outlier · 5.5×
73721
CPT 		MRI Joint Le Wo Dye Lt 5 $3,361.00 $4,813.00 $4,315.00 nat. median
$856
outlier · 5.0×
74178
CPT 		CT Abd & Pelv Wwo Contrast 5 $3,297.00 $4,721.00 $4,232.00 nat. median
$1,027
outlier · 4.1×
95811
CPT 		Polysomnogram W CPap 5 $3,137.00 $4,491.00 $4,027.00 nat. median
$1,894
outlier · 2.1×
J1561
HCPCS 		Immune Glob Gamunex 10gr/100ml 5 $2,319.00 $6,637.00 $3,978.00 nat. median
$1,094
outlier · 3.6×
750
CDM 		Colonoscopy 5 $2,651.00 $5,757.00 $3,796.00 nat. median
$3,784
1.0× median
74177
CPT 		CT Abd & Pelv W Contrast 5 $2,720.00 $3,894.00 $3,491.00 nat. median
$976
outlier · 3.6×
70491
CPT 		CT Soft Tissue Neck W Cont 5 $2,619.00 $3,750.00 $3,362.00 nat. median
$632
outlier · 5.3×
74176
CPT 		CT Abd & Pelvis Wo Contrast 5 $2,598.00 $3,720.00 $3,335.00 nat. median
$694
outlier · 4.8×
99291
CPT 		Critical Care 1st 30-74 Min 5 $2,421.00 $3,467.00 $3,108.00 nat. median
$1,530
outlier · 2.0×
72131
CPT 		CT Lumbar Spine Wo Contrast 5 $2,418.00 $3,462.00 $3,104.00 nat. median
$460
outlier · 6.7×
74170
CPT 		CT Abdomen Wwo Dye 5 $2,292.00 $3,282.00 $2,942.00 nat. median
$714
outlier · 4.1×
70470
CPT 		CT Head/Brain Wwo Contrast 5 $2,035.00 $2,914.00 $2,613.00 nat. median
$629
outlier · 4.2×
70498
CPT 		CT Angiography Neck W Cont 5 $2,035.00 $2,914.00 $2,613.00 nat. median
$744
outlier · 3.5×
70496
CPT 		CT Angiography Head W Cont 5 $2,035.00 $2,914.00 $2,613.00 nat. median
$752
outlier · 3.5×
71260
CPT 		CT Thorax W Contrast 5 $1,990.00 $2,849.00 $2,554.00 nat. median
$651
outlier · 3.9×
73700
CPT 		CT Le Wo Dye Rt 5 $1,921.00 $2,750.00 $2,466.00 nat. median
$505
outlier · 4.9×
72125
CPT 		CT Cervical Spine Wo Contrast 5 $1,857.00 $2,658.00 $2,383.00 nat. median
$480
outlier · 5.0×
G0175
HCPCS 		Geriatric Assessment 5 $1,812.00 $2,594.00 $2,325.00 nat. median
$449
outlier · 5.2×
71275
CPT 		CTA Chest Wwo Contrast 5 $1,765.00 $2,527.00 $2,265.00 nat. median
$759
outlier · 3.0×
71271
CPT 		Ldct For Lung Cancer Screen 5 $1,765.00 $2,527.00 $2,265.00 nat. median
$215
outlier · 10.5×
71250
CPT 		CT Thorax Wo Contrast 5 $1,765.00 $2,527.00 $2,265.00 nat. median
$469
outlier · 4.8×
70486
CPT 		CT Maxillofacial Wo Contrast 5 $1,743.00 $2,495.00 $2,237.00 nat. median
$481
outlier · 4.7×
70460
CPT 		CT Head/Brain W Contrast 5 $1,733.00 $2,482.00 $2,225.00 nat. median
$582
outlier · 3.8×
72192
CPT 		CT Pelvis Wo Dye 5 $1,721.00 $2,464.00 $2,209.00 nat. median
$463
outlier · 4.8×
111
CDM 		Room Medical Unit Priv 5 $1,717.00 $2,459.00 $2,204.00 nat. median
$434
outlier · 5.1×
70450
CPT 		CT Head/Brain Wo Contrast 5 $1,645.00 $2,355.00 $2,111.00 nat. median
$454
outlier · 4.7×
70490
CPT 		CT Soft Tissue Neck Wo Cont 5 $1,593.00 $2,280.00 $2,044.00 nat. median
$453
outlier · 4.5×
72128
CPT 		CT Thoracic Spine Wo Contrast 5 $1,593.00 $2,280.00 $2,044.00 nat. median
$462
outlier · 4.4×
93303
CPT 		Echo Congenital Abn Complete 5 $1,589.00 $2,275.00 $2,040.00 nat. median
$792
outlier · 2.6×
93306
CPT 		Tte W Doppler Complete 5 $1,589.00 $2,275.00 $2,040.00 nat. median
$993
outlier · 2.1×
78226
CPT 		Hepatobiliary Scan Without Ef 5 $1,436.00 $2,057.00 $1,844.00 nat. median
$752
outlier · 2.5×

Other procedures at this hospital

Browse this hospital's 551 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
             
0202U CPT Respir Path 22 Targets Biofire 5 5 $665.00 $10.00 98% off $446.00 $638.00 $572.00 2026-07-15
110 CDM Room Respite 5 5 $449.00 $10.00 98% off $301.00 $431.00 $386.00 2026-07-15
111 CDM Room Medical Unit Priv 5 5 $2,563.00 $10.00 100% off $1,717.00 $2,459.00 $2,204.00 2026-07-15
115 CDM Room Hospice Ip 10 5 $1,506.00 $10.00 99% off $301.00 $2,459.00 $1,074.00 2026-07-15
129 CDM Room Swing Bed Skilled 5 5 $1,725.00 $10.00 99% off $1,156.00 $1,655.00 $1,484.00 2026-07-15
1320 OTHER Anes Knee Area Surgery 5 5 $1,124.20 $10.00 99% off $753.00 $1,078.00 $967.00 2026-07-15
1620 OTHER Anes Shoulder Procedure 5 5 $1,262.90 $10.00 99% off $846.00 $1,211.00 $1,086.00 2026-07-15
360 CDM Or Level 1 10 5 $1,578.50 $10.00 99% off $633.00 $2,122.00 $1,194.50 2026-07-15
36430 CPT Blood Administration 5 5 $1,140.00 $10.00 99% off $764.00 $1,094.00 $980.00 2026-07-15
450 CDM Application Splint Or Cast 30 5 $334.00 $10.00 97% off $88.00 $418.00 $283.50 2026-07-15
51701 CPT Cath Insert Straight Non-indwe 5 5 $434.00 $10.00 98% off $291.00 $416.00 $373.00 2026-07-15
51702 CPT Cath Insert Simple Indwelling 10 5 $498.50 $10.00 98% off $291.00 $540.00 $401.00 2026-07-15
520 OTHER Anes Chest Procedure 5 5 $1,620.60 $10.00 99% off $1,086.00 $1,555.00 $1,394.00 2026-07-15
70030 CPT X-ray Eye Fb Detection 5 5 $312.00 $10.00 97% off $209.00 $299.00 $268.00 2026-07-15
70200 CPT X-ray Orbits 4 Views 5 5 $327.00 $10.00 97% off $219.00 $314.00 $281.00 2026-07-15
70450 CPT CT Head/Brain Wo Contrast 5 5 $2,455.00 $10.00 100% off $1,645.00 $2,355.00 $2,111.00 2026-07-15
70460 CPT CT Head/Brain W Contrast 5 5 $2,587.00 $10.00 100% off $1,733.00 $2,482.00 $2,225.00 2026-07-15
70470 CPT CT Head/Brain Wwo Contrast 5 5 $3,038.00 $10.00 100% off $2,035.00 $2,914.00 $2,613.00 2026-07-15
70486 CPT CT Maxillofacial Wo Contrast 5 5 $2,601.00 $10.00 100% off $1,743.00 $2,495.00 $2,237.00 2026-07-15
70490 CPT CT Soft Tissue Neck Wo Cont 5 5 $2,377.00 $10.00 100% off $1,593.00 $2,280.00 $2,044.00 2026-07-15
70491 CPT CT Soft Tissue Neck W Cont 5 5 $3,909.00 $10.00 100% off $2,619.00 $3,750.00 $3,362.00 2026-07-15
70496 CPT CT Angiography Head W Cont 5 5 $3,038.00 $10.00 100% off $2,035.00 $2,914.00 $2,613.00 2026-07-15
70498 CPT CT Angiography Neck W Cont 5 5 $3,038.00 $10.00 100% off $2,035.00 $2,914.00 $2,613.00 2026-07-15
70551 CPT MRI Brain Wo Contrast 5 5 $5,017.00 $10.00 100% off $3,361.00 $4,813.00 $4,315.00 2026-07-15
70553 CPT MRI Brain Pituitary Wwo Cont 10 5 $5,937.00 $10.00 100% off $3,881.00 $5,834.00 $5,106.00 2026-07-15
710 CDM Recovery Phase Ii 0-2 Hours 5 5 $249.00 $10.00 96% off $167.00 $239.00 $214.00 2026-07-15
71045 CPT X-ray Chest 1 View 5 5 $482.00 $10.00 98% off $323.00 $462.00 $415.00 2026-07-15
71046 CPT X-ray Chest 2v PA/Lateral 5 5 $482.00 $10.00 98% off $323.00 $462.00 $415.00 2026-07-15
71100 CPT X-ray Ribs 2 Views Rt 5 5 $485.00 $10.00 98% off $325.00 $465.00 $417.00 2026-07-15
71101 CPT X-ray Ribs Uni W Chest Lt 10 5 $485.00 $10.00 98% off $325.00 $465.00 $417.00 2026-07-15
71250 CPT CT Thorax Wo Contrast 5 5 $2,634.00 $10.00 100% off $1,765.00 $2,527.00 $2,265.00 2026-07-15
71260 CPT CT Thorax W Contrast 5 5 $2,970.00 $10.00 100% off $1,990.00 $2,849.00 $2,554.00 2026-07-15
71271 CPT Ldct For Lung Cancer Screen 5 5 $2,634.00 $10.00 100% off $1,765.00 $2,527.00 $2,265.00 2026-07-15
71275 CPT CTA Chest Wwo Contrast 5 5 $2,634.00 $10.00 100% off $1,765.00 $2,527.00 $2,265.00 2026-07-15
72040 CPT X-ray Spine Cervical 2-3 Views 5 5 $521.00 $10.00 98% off $349.00 $500.00 $448.00 2026-07-15
72050 CPT X-ray Spine Cervical 4-5 Views 5 5 $693.00 $10.00 99% off $464.00 $665.00 $596.00 2026-07-15
72070 CPT X-ray Spine Thoracic 2 Views 5 5 $479.00 $10.00 98% off $321.00 $460.00 $412.00 2026-07-15
72072 CPT X-ray Spine Thoracic 3 Views 5 5 $605.00 $10.00 98% off $405.00 $580.00 $520.00 2026-07-15
72100 CPT X-ray Lumbosacral 2-3 Views 5 5 $504.00 $10.00 98% off $338.00 $483.00 $433.00 2026-07-15
72125 CPT CT Cervical Spine Wo Contrast 5 5 $2,771.00 $10.00 100% off $1,857.00 $2,658.00 $2,383.00 2026-07-15
72128 CPT CT Thoracic Spine Wo Contrast 5 5 $2,377.00 $10.00 100% off $1,593.00 $2,280.00 $2,044.00 2026-07-15
72131 CPT CT Lumbar Spine Wo Contrast 5 5 $3,609.00 $10.00 100% off $2,418.00 $3,462.00 $3,104.00 2026-07-15
72141 CPT MRI Neck Spine Wo Dye 5 5 $5,017.00 $10.00 100% off $3,361.00 $4,813.00 $4,315.00 2026-07-15
72148 CPT MRI Lumbar Spine Wo Dye 5 5 $5,017.00 $10.00 100% off $3,361.00 $4,813.00 $4,315.00 2026-07-15
72158 CPT MRI Lumbar Spine Wwo Dye 5 5 $6,082.00 $10.00 100% off $4,075.00 $5,834.00 $5,231.00 2026-07-15
72170 CPT X-ray Pelvis 1-2 Views 5 5 $390.00 $10.00 97% off $261.00 $374.00 $335.00 2026-07-15
72190 CPT X-ray Pelvis 3 Views 5 5 $459.00 $10.00 98% off $308.00 $440.00 $395.00 2026-07-15
72192 CPT CT Pelvis Wo Dye 5 5 $2,569.00 $10.00 100% off $1,721.00 $2,464.00 $2,209.00 2026-07-15
72220 CPT X-ray Sacrum Tailbone 5 5 $469.00 $10.00 98% off $314.00 $450.00 $403.00 2026-07-15
73000 CPT X-ray Collar Bone Rt 5 5 $307.00 $10.00 97% off $206.00 $295.00 $264.00 2026-07-15
73010 CPT X-ray Shoulder Blade Lt 5 5 $469.00 $10.00 98% off $314.00 $450.00 $403.00 2026-07-15
73020 CPT X-ray Shoulder Lt 10 5 $307.00 $10.00 97% off $206.00 $295.00 $264.00 2026-07-15
73030 CPT X-ray Shoulder Lt 10 5 $475.00 $10.00 98% off $318.00 $456.00 $409.00 2026-07-15
73060 CPT X-ray Humerus Lt 10 5 $469.00 $10.00 98% off $314.00 $450.00 $403.00 2026-07-15
73070 CPT X-ray Elbow Lt 10 5 $479.00 $10.00 98% off $321.00 $460.00 $412.00 2026-07-15
73080 CPT X-ray Elbow Lt 10 5 $479.00 $10.00 98% off $321.00 $460.00 $412.00 2026-07-15
73090 CPT X-ray Forearm 2 Views Lt 10 5 $327.00 $10.00 97% off $219.00 $314.00 $281.00 2026-07-15
731 OTHER Anesth Upper Gi 5 5 $1,265.33 $10.00 99% off $848.00 $1,214.00 $1,088.00 2026-07-15
73100 CPT X-ray Wrist 2 Views Lt 10 5 $327.00 $10.00 97% off $219.00 $314.00 $281.00 2026-07-15
73110 CPT X-ray Wrist 3 Views Lt 10 5 $459.00 $10.00 98% off $308.00 $440.00 $395.00 2026-07-15
73120 CPT X-ray Hand Lt 10 5 $373.00 $10.00 97% off $250.00 $358.00 $321.00 2026-07-15
73130 CPT X-ray Hand Lt 10 5 $459.00 $10.00 98% off $308.00 $440.00 $395.00 2026-07-15
73140 CPT X-ray Finger(s) Lt 10 5 $400.00 $10.00 98% off $268.00 $384.00 $344.00 2026-07-15
73218 CPT MRI Ue Wo Dye Rt 5 5 $5,017.00 $10.00 100% off $3,361.00 $4,813.00 $4,315.00 2026-07-15
73221 CPT MRI Joint Ue Wo Dye Lt 10 5 $5,017.00 $10.00 100% off $3,361.00 $4,813.00 $4,315.00 2026-07-15
73501 CPT X-ray Hip Uni 1 View Rt 5 5 $312.00 $10.00 97% off $209.00 $299.00 $268.00 2026-07-15
73502 CPT X-ray Hip Uni 2-3 Views Lt 10 5 $479.00 $10.00 98% off $321.00 $460.00 $412.00 2026-07-15
73503 CPT X-ray Hip Uni W Pelvis 4 V Lt 10 5 $531.00 $10.00 98% off $356.00 $509.00 $457.00 2026-07-15
73522 CPT X-ray Hips 3-4 Views Bi 5 5 $636.00 $10.00 98% off $426.00 $610.00 $547.00 2026-07-15
73523 CPT X-ray Hips 5 Views Bi 5 5 $954.00 $10.00 99% off $639.00 $915.00 $820.00 2026-07-15
73552 CPT X-ray Femur 2 Views Lt 10 5 $469.00 $10.00 98% off $314.00 $450.00 $403.00 2026-07-15
73560 CPT X-ray Knee 1-2 Views Lt 10 5 $433.00 $10.00 98% off $290.00 $415.00 $372.00 2026-07-15
73562 CPT X-ray Knee 3 Views Lt 10 5 $479.00 $10.00 98% off $321.00 $460.00 $412.00 2026-07-15
73590 CPT X-ray Lower Leg Lt 10 5 $479.00 $10.00 98% off $321.00 $460.00 $412.00 2026-07-15
73600 CPT X-ray Ankle 2 Views Lt 10 5 $328.00 $10.00 97% off $220.00 $315.00 $282.00 2026-07-15
73610 CPT X-ray Ankle 3 Views Lt 10 5 $456.00 $10.00 98% off $306.00 $437.00 $392.00 2026-07-15
73620 CPT X-ray Foot 2 Views Lt 5 5 $410.00 $10.00 98% off $275.00 $393.00 $353.00 2026-07-15
73630 CPT X-ray Foot 3 Views Lt 10 5 $459.00 $10.00 98% off $308.00 $440.00 $395.00 2026-07-15
73660 CPT X-ray Toe(s) 2 Views Lt 10 5 $479.00 $10.00 98% off $321.00 $460.00 $412.00 2026-07-15
73700 CPT CT Le Wo Dye Rt 5 5 $2,867.00 $10.00 100% off $1,921.00 $2,750.00 $2,466.00 2026-07-15
73718 CPT MRI Le Wo Dye Lt 10 5 $5,017.00 $10.00 100% off $3,361.00 $4,813.00 $4,315.00 2026-07-15
73720 CPT MRI Le Wwo Dye Rt 5 5 $6,082.00 $10.00 100% off $4,075.00 $5,834.00 $5,231.00 2026-07-15
73721 CPT MRI Joint Le Wo Dye Lt 10 5 $5,017.00 $10.00 100% off $3,361.00 $4,813.00 $4,315.00 2026-07-15
74018 CPT X-ray Abdomen 5 5 $410.00 $10.00 98% off $275.00 $393.00 $353.00 2026-07-15
74019 CPT X-ray Abdomen 5 5 $521.00 $10.00 98% off $349.00 $500.00 $448.00 2026-07-15
74170 CPT CT Abdomen Wwo Dye 5 5 $3,421.00 $10.00 100% off $2,292.00 $3,282.00 $2,942.00 2026-07-15
74174 CPT CTA Abd&Pelv Wwo Dye 5 5 $5,405.00 $10.00 100% off $3,621.00 $5,185.00 $4,648.00 2026-07-15
74176 CPT CT Abd & Pelvis Wo Contrast 5 5 $3,878.00 $10.00 100% off $2,598.00 $3,720.00 $3,335.00 2026-07-15
74177 CPT CT Abd & Pelv W Contrast 5 5 $4,059.00 $10.00 100% off $2,720.00 $3,894.00 $3,491.00 2026-07-15
74178 CPT CT Abd & Pelv Wwo Contrast 5 5 $4,921.00 $10.00 100% off $3,297.00 $4,721.00 $4,232.00 2026-07-15
74181 CPT MRI Abdomen Wo Dye 5 5 $5,017.00 $10.00 100% off $3,361.00 $4,813.00 $4,315.00 2026-07-15
74183 CPT MRI Abdomen Wwo Dye 5 5 $6,082.00 $10.00 100% off $4,075.00 $5,834.00 $5,231.00 2026-07-15
750 CDM Colonoscopy 25 5 $4,341.00 $10.00 100% off $2,651.00 $5,757.00 $3,796.00 2026-07-15
761 CDM Application/Rem Cast Or Splint 10 5 $1,184.50 $10.00 99% off $194.00 $1,994.00 $835.50 2026-07-15
76536 CPT Ultrasound Head And Neck 5 5 $1,032.00 $10.00 99% off $691.00 $990.00 $888.00 2026-07-15
76604 CPT Ultrasound Chest 5 5 $902.00 $10.00 99% off $604.00 $865.00 $776.00 2026-07-15
76700 CPT Ultrasound Abdomen Complete 5 5 $1,358.00 $10.00 99% off $910.00 $1,303.00 $1,168.00 2026-07-15
76705 CPT Ultrasound Abdomen Limited 5 5 $1,074.00 $10.00 99% off $720.00 $1,030.00 $924.00 2026-07-15
76706 CPT Aaa Screening Medicare 5 5 $1,042.00 $10.00 99% off $698.00 $1,000.00 $896.00 2026-07-15
76770 CPT Ultrasound Abdo Back Wall Comp 5 5 $1,206.00 $10.00 99% off $808.00 $1,157.00 $1,037.00 2026-07-15
76775 CPT US Retroperitoneal Limited 5 5 $1,042.00 $10.00 99% off $698.00 $1,000.00 $896.00 2026-07-15
76801 CPT OB US < 14 Wks Single Fetus 5 5 $1,002.00 $10.00 99% off $671.00 $961.00 $862.00 2026-07-15
76817 CPT Transvaginal US Obstetrical 5 5 $1,002.00 $10.00 99% off $671.00 $961.00 $862.00 2026-07-15
76830 CPT Ultrasound Transvaginal 5 5 $940.00 $10.00 99% off $630.00 $902.00 $808.00 2026-07-15
76856 CPT Ultrasound Pelvic Complete 5 5 $990.00 $10.00 99% off $663.00 $950.00 $851.00 2026-07-15
76870 CPT Ultrasound Scrotum 5 5 $1,005.00 $10.00 99% off $673.00 $964.00 $864.00 2026-07-15
76882 CPT US Extremity Nonvasc Limit Lt 5 5 $902.00 $10.00 99% off $604.00 $865.00 $776.00 2026-07-15
77063 CPT Breast Tomosynthesis Bi 5 5 $328.00 $10.00 97% off $220.00 $315.00 $282.00 2026-07-15
77067 CPT Mammo Screen Implant Bi 15 5 $339.00 $10.00 97% off $227.00 $325.00 $292.00 2026-07-15
77080 CPT Dexa Scan 5 5 $990.00 $10.00 99% off $663.00 $950.00 $851.00 2026-07-15
78226 CPT Hepatobiliary Scan Without Ef 5 5 $2,144.00 $10.00 100% off $1,436.00 $2,057.00 $1,844.00 2026-07-15
78227 CPT Hida With Ef w/Pharm 5 5 $2,144.00 $10.00 100% off $1,436.00 $2,057.00 $1,844.00 2026-07-15
80069 CPT Renal Function Panel 5 5 $238.00 $10.00 96% off $159.00 $228.00 $205.00 2026-07-15
80074 CPT Acute Hepatitis Panel 5 5 $468.00 $10.00 98% off $314.00 $449.00 $402.00 2026-07-15
80076 CPT Hepatic Function Panel 5 5 $226.00 $10.00 96% off $151.00 $217.00 $194.00 2026-07-15
80162 CPT Digoxin 5 5 $243.00 $10.00 96% off $163.00 $233.00 $209.00 2026-07-15
80164 CPT Valproic Acid 5 5 $216.00 $10.00 95% off $145.00 $207.00 $186.00 2026-07-15
80177 CPT Levetiracetam 5 5 $694.00 $10.00 99% off $465.00 $666.00 $597.00 2026-07-15
80183 CPT Oxcarbazepine 5 5 $281.00 $10.00 96% off $188.00 $270.00 $242.00 2026-07-15
80185 CPT Phenytoin Total 5 5 $225.00 $10.00 96% off $151.00 $216.00 $194.00 2026-07-15
80202 CPT Vancomycin 5 5 $381.00 $10.00 97% off $255.00 $365.00 $328.00 2026-07-15
80203 CPT Zonisamide 5 5 $760.00 $10.00 99% off $509.00 $729.00 $654.00 2026-07-15
80235 CPT Lacosamide 5 5 $251.00 $10.00 96% off $168.00 $241.00 $216.00 2026-07-15
80285 CPT Voriconazole 5 5 $739.00 $10.00 99% off $495.00 $709.00 $636.00 2026-07-15
80305 CPT Drug Screen Urine Direct Obv 5 5 $547.00 $10.00 98% off $366.00 $525.00 $470.00 2026-07-15
81025 CPT Hcg Beta Qual Urine 5 5 $263.00 $10.00 96% off $176.00 $252.00 $226.00 2026-07-15
812 OTHER Anesth Screening Colonoscopy 5 5 $1,174.26 $10.00 99% off $787.00 $1,126.00 $1,010.00 2026-07-15
81206 CPT Bcr/abl1 Major Mutation 5 5 $1,150.00 $10.00 99% off $771.00 $1,103.00 $989.00 2026-07-15
81207 CPT Bcr/abl1 Minor Mutation 5 5 $1,150.00 $10.00 99% off $771.00 $1,103.00 $989.00 2026-07-15
81240 CPT Prothrombin Mutation Ref 5 5 $579.00 $10.00 98% off $388.00 $555.00 $498.00 2026-07-15
81241 CPT Factor V Leiden Mutation Ref 5 5 $573.00 $10.00 98% off $384.00 $550.00 $493.00 2026-07-15
81263 CPT Cll Igvh Mutation 5 5 $1,425.00 $10.00 99% off $955.00 $1,367.00 $1,226.00 2026-07-15
813 OTHER Anesth Upper And Lower Gi 5 5 $1,457.08 $10.00 99% off $976.00 $1,398.00 $1,253.00 2026-07-15
82024 CPT Acth Adrenocorticotropic Hor 5 5 $364.00 $10.00 97% off $244.00 $349.00 $313.00 2026-07-15
82330 CPT Ionized Calcium 5 5 $216.00 $10.00 95% off $145.00 $207.00 $186.00 2026-07-15
82378 CPT Cea 5 5 $273.00 $10.00 96% off $183.00 $262.00 $235.00 2026-07-15
82550 CPT Cpk Total 5 5 $282.00 $10.00 96% off $189.00 $271.00 $243.00 2026-07-15
82553 CPT Cpk Mb Fraction 5 5 $260.00 $10.00 96% off $174.00 $249.00 $224.00 2026-07-15
82607 CPT B12 5 5 $214.00 $10.00 95% off $143.00 $205.00 $184.00 2026-07-15
82627 CPT Dheas 5 5 $216.00 $10.00 95% off $145.00 $207.00 $186.00 2026-07-15
82670 CPT Estradiol Total 5 5 $291.00 $10.00 97% off $195.00 $279.00 $250.00 2026-07-15
82728 CPT Ferritin 5 5 $227.00 $10.00 96% off $152.00 $218.00 $195.00 2026-07-15
82746 CPT Folic Acid Blood 5 5 $273.00 $10.00 96% off $183.00 $262.00 $235.00 2026-07-15
82805 CPT Blood Gases W O2 Saturation 5 5 $533.00 $10.00 98% off $357.00 $511.00 $458.00 2026-07-15
82951 CPT Glucose Tol 1st 3 Specimens 5 5 $269.00 $10.00 96% off $180.00 $258.00 $231.00 2026-07-15
83001 CPT Fsh 5 5 $214.00 $10.00 95% off $143.00 $205.00 $184.00 2026-07-15
83010 CPT Haptoglobin Quant 5 5 $216.00 $10.00 95% off $145.00 $207.00 $186.00 2026-07-15
83516 CPT Glom Base Membrane Aby 15 5 $260.00 $10.00 96% off $124.00 $306.00 $214.00 2026-07-15
83520 CPT Mullerian Inhib Hormone 5 5 $860.00 $10.00 99% off $576.00 $825.00 $740.00 2026-07-15
83521 CPT Lambda Light Chain 5 5 $252.00 $10.00 96% off $169.00 $242.00 $217.00 2026-07-15
83690 CPT Lipase 5 5 $223.00 $10.00 96% off $149.00 $214.00 $192.00 2026-07-15
83880 CPT B Type Natriuretic Peptide 5 5 $421.00 $10.00 98% off $282.00 $404.00 $362.00 2026-07-15
83921 CPT Methylmalonic Acid 5 5 $651.00 $10.00 98% off $436.00 $625.00 $560.00 2026-07-15
83970 CPT Pth 5 5 $457.00 $10.00 98% off $306.00 $438.00 $393.00 2026-07-15
84144 CPT Progesterone 5 5 $319.00 $10.00 97% off $214.00 $306.00 $274.00 2026-07-15
84145 CPT Procalcitonin 5 5 $797.00 $10.00 99% off $534.00 $765.00 $685.00 2026-07-15
84146 CPT Prolactin 5 5 $225.00 $10.00 96% off $151.00 $216.00 $194.00 2026-07-15
84165 CPT Protein Electrophoresis 5 5 $214.00 $10.00 95% off $143.00 $205.00 $184.00 2026-07-15
84207 CPT Vitamin B6 5 5 $336.00 $10.00 97% off $225.00 $322.00 $289.00 2026-07-15
84270 CPT Sex Hormone Binding Globulin 5 5 $217.00 $10.00 95% off $145.00 $208.00 $187.00 2026-07-15
84402 CPT Testosterone Free 5 5 $498.00 $10.00 98% off $334.00 $478.00 $428.00 2026-07-15
84403 CPT Testosterone By Lc/Ms 10 5 $311.50 $10.00 97% off $149.00 $384.00 $241.00 2026-07-15
84425 CPT Vitamin B1 5 5 $249.00 $10.00 96% off $167.00 $239.00 $214.00 2026-07-15
84480 CPT T3 Total 5 5 $213.00 $10.00 95% off $143.00 $204.00 $183.00 2026-07-15
84484 CPT Troponin Quant 5 5 $295.00 $10.00 97% off $198.00 $283.00 $254.00 2026-07-15
84520 CPT Urea Nitrogen Blood 5 5 $226.00 $10.00 96% off $151.00 $217.00 $194.00 2026-07-15
84681 CPT C Peptide 5 5 $287.00 $10.00 97% off $192.00 $275.00 $247.00 2026-07-15
84702 CPT Hcg Beta Quan Serum 10 5 $270.50 $10.00 96% off $143.00 $314.00 $212.00 2026-07-15
84703 CPT Hcg Beta Qual 5 5 $263.00 $10.00 96% off $176.00 $252.00 $226.00 2026-07-15
85301 CPT Antithrombin Iii Antigen 5 5 $1,088.00 $10.00 99% off $729.00 $1,044.00 $936.00 2026-07-15
85303 CPT Protein C Activity 5 5 $529.00 $10.00 98% off $354.00 $507.00 $455.00 2026-07-15
85306 CPT Protein S Functional 5 5 $427.00 $10.00 98% off $286.00 $410.00 $367.00 2026-07-15
85379 CPT D-dimer Quant 5 5 $482.00 $10.00 98% off $323.00 $462.00 $415.00 2026-07-15
85613 CPT Drvvt 5 5 $223.00 $10.00 96% off $149.00 $214.00 $192.00 2026-07-15
85651 CPT Sedimentation Rate Non Auto 5 5 $238.00 $10.00 96% off $159.00 $228.00 $205.00 2026-07-15
85730 CPT Aptt 10 5 $323.00 $10.00 97% off $211.00 $318.00 $278.00 2026-07-15
86036 CPT Anca 5 5 $434.00 $10.00 98% off $291.00 $416.00 $373.00 2026-07-15
86039 CPT Ana By Ifa Titer 5 5 $239.00 $10.00 96% off $160.00 $229.00 $206.00 2026-07-15
86141 CPT C-reactive Protein High Sens 5 5 $278.00 $10.00 96% off $186.00 $267.00 $239.00 2026-07-15
86146 CPT Beta-2-glycoprotein IgG 5 5 $319.00 $10.00 97% off $214.00 $306.00 $274.00 2026-07-15
86147 CPT Cardiolipin Antibody 5 5 $228.00 $10.00 96% off $153.00 $219.00 $196.00 2026-07-15
86200 CPT Citrulline Antibody 5 5 $322.00 $10.00 97% off $216.00 $309.00 $277.00 2026-07-15
86300 CPT Ca 15-3 10 5 $297.50 $10.00 97% off $165.00 $334.00 $235.00 2026-07-15
86304 CPT Ca 125 5 5 $425.00 $10.00 98% off $285.00 $408.00 $366.00 2026-07-15
86334 CPT Immunofix Electroph Serum 5 5 $315.00 $10.00 97% off $211.00 $302.00 $271.00 2026-07-15
86335 CPT Immunofix Electroph Fluid 5 5 $350.00 $10.00 97% off $235.00 $336.00 $301.00 2026-07-15
86364 CPT Tissue Transglutaminase 5 5 $350.00 $10.00 97% off $235.00 $336.00 $301.00 2026-07-15
86376 CPT Thyroid Peroxidase Antibody 5 5 $645.00 $10.00 98% off $432.00 $619.00 $555.00 2026-07-15
86481 CPT Tbint Quantiferon 5 5 $462.00 $10.00 98% off $310.00 $443.00 $397.00 2026-07-15
86617 CPT Lyme Disease Anti Western Blot 5 5 $404.00 $10.00 98% off $271.00 $388.00 $347.00 2026-07-15
86638 CPT Q Fever Antibody 5 5 $350.00 $10.00 97% off $235.00 $336.00 $301.00 2026-07-15
86765 CPT Rubeola Antibody 5 5 $235.00 $10.00 96% off $157.00 $225.00 $202.00 2026-07-15
86788 CPT West Nile Virus IgM 5 5 $238.00 $10.00 96% off $159.00 $228.00 $205.00 2026-07-15
86789 CPT West Nile Virus IgG 5 5 $238.00 $10.00 96% off $159.00 $228.00 $205.00 2026-07-15
86800 CPT Thyroglobulin Antibody 5 5 $293.00 $10.00 97% off $196.00 $281.00 $252.00 2026-07-15
86900 CPT Blood Typing Abo 5 5 $348.00 $10.00 97% off $233.00 $334.00 $299.00 2026-07-15
86920 CPT Crossmatch Immed Spin 5 5 $575.00 $10.00 98% off $385.00 $552.00 $495.00 2026-07-15
87040 CPT Culture Blood 5 5 $243.00 $10.00 96% off $163.00 $233.00 $209.00 2026-07-15
87103 CPT Culture Fungus Blood 5 5 $242.00 $10.00 96% off $162.00 $232.00 $208.00 2026-07-15
87107 CPT Fungal Id Ea Organism Mold 5 5 $275.00 $10.00 96% off $184.00 $264.00 $237.00 2026-07-15
87154 CPT Culture Id By Amp Prb 6 Or 6+ 5 5 $1,621.00 $10.00 99% off $1,086.00 $1,555.00 $1,394.00 2026-07-15
87177 CPT Ova And Parasites Smears 5 5 $269.00 $10.00 96% off $180.00 $258.00 $231.00 2026-07-15
87338 CPT H Pylori Antigen Stool 5 5 $287.00 $10.00 97% off $192.00 $275.00 $247.00 2026-07-15
87385 CPT Histoplasma Antigen 5 5 $875.00 $10.00 99% off $586.00 $839.00 $753.00 2026-07-15
87449 CPT Blastomyces Ag Qnt 10 5 $343.00 $10.00 97% off $178.00 $403.00 $268.00 2026-07-15
87493 CPT C Diff By Pcr 5 5 $263.00 $10.00 96% off $176.00 $252.00 $226.00 2026-07-15
87798 CPT Ehrlichia/Anaplasma Pcr 5 5 $326.00 $10.00 97% off $218.00 $313.00 $280.00 2026-07-15
87899 CPT Legionella Antigen Urine 10 5 $453.00 $10.00 98% off $85.00 $747.00 $322.00 2026-07-15
88184 CPT Flow Cytometry First Mark 5 5 $822.00 $10.00 99% off $551.00 $789.00 $707.00 2026-07-15
88185 CPT Flow Cytometry Ea Addit Marker 5 5 $344.00 $10.00 97% off $230.00 $330.00 $296.00 2026-07-15
88304 CPT Surg Path L3 5 5 $223.00 $10.00 96% off $149.00 $214.00 $192.00 2026-07-15
88305 CPT Surg Path L4 5 5 $301.00 $10.00 97% off $202.00 $289.00 $259.00 2026-07-15
88312 CPT Special Stains 5 5 $819.00 $10.00 99% off $549.00 $786.00 $704.00 2026-07-15
88360 CPT Immunohisto Stain Qnt Man 5 5 $243.00 $10.00 96% off $163.00 $233.00 $209.00 2026-07-15
88368 CPT Morphometric Ana Ea Hematologi 5 5 $419.00 $10.00 98% off $281.00 $402.00 $360.00 2026-07-15
88377 CPT Morph Ana Ea Man Multpx Hema 5 5 $1,652.00 $10.00 99% off $1,107.00 $1,585.00 $1,421.00 2026-07-15
90675 CPT Rabies Vacc Hmn Post-ex Nonim 10 5 $1,329.62 $10.00 99% off $793.00 $1,416.00 $1,072.00 2026-07-15
92507 CPT Speech Therapy Trmt 5 5 $295.00 $10.00 97% off $198.00 $283.00 $254.00 2026-07-15
92523 CPT Speech Sound Lang Comprehen 5 5 $833.00 $10.00 99% off $558.00 $799.00 $716.00 2026-07-15
92524 CPT Behavral Qualit Analys Voice 5 5 $711.00 $10.00 99% off $476.00 $682.00 $611.00 2026-07-15
92526 CPT Dysphagia Treatment 5 5 $307.00 $10.00 97% off $206.00 $295.00 $264.00 2026-07-15
92610 CPT Swallow Eval Non Radiol 5 5 $711.00 $10.00 99% off $476.00 $682.00 $611.00 2026-07-15
93005 CPT EKG Tracing 5 5 $607.00 $10.00 98% off $407.00 $582.00 $522.00 2026-07-15
93225 CPT Holter Monitor Hook Up <48 Hrs 5 5 $867.00 $10.00 99% off $581.00 $832.00 $746.00 2026-07-15
93226 CPT ECG Monit/Report Up To 48 Hour 5 5 $922.00 $10.00 99% off $618.00 $884.00 $793.00 2026-07-15
93303 CPT Echo Congenital Abn Complete 5 5 $2,372.00 $10.00 100% off $1,589.00 $2,275.00 $2,040.00 2026-07-15
93306 CPT Tte W Doppler Complete 5 5 $2,372.00 $10.00 100% off $1,589.00 $2,275.00 $2,040.00 2026-07-15
93308 CPT Echo Limited 5 5 $1,241.00 $10.00 99% off $831.00 $1,190.00 $1,067.00 2026-07-15
93798 CPT Cardiac Rehab Ii Monitored 5 5 $410.00 $10.00 98% off $275.00 $393.00 $353.00 2026-07-15
93880 CPT Extracranial Bilat Study 5 5 $2,028.00 $10.00 100% off $1,359.00 $1,945.00 $1,744.00 2026-07-15
93922 CPT Ankle Arm Screen 5 5 $549.00 $10.00 98% off $368.00 $527.00 $472.00 2026-07-15
93925 CPT Arterial Duplex Le Bi 5 5 $1,521.00 $10.00 99% off $1,019.00 $1,459.00 $1,308.00 2026-07-15
93926 CPT Arterial Duplex Le Rt 5 5 $1,206.00 $10.00 99% off $808.00 $1,157.00 $1,037.00 2026-07-15
93970 CPT Venous Duplex 5 5 $1,727.00 $10.00 99% off $1,157.00 $1,657.00 $1,485.00 2026-07-15
93971 CPT Extremity Study Lt 10 5 $1,206.00 $10.00 99% off $808.00 $1,157.00 $1,037.00 2026-07-15
93975 CPT Vascular Study 5 5 $1,727.00 $10.00 99% off $1,157.00 $1,657.00 $1,485.00 2026-07-15
94060 CPT Pft Pre & Post Screen Spirome 5 5 $331.00 $10.00 97% off $222.00 $318.00 $285.00 2026-07-15
94640 CPT Inhalation Treat Acute Initial 15 5 $227.00 $10.00 96% off $152.00 $239.00 $195.00 2026-07-15
94660 CPT CPap/BiPap First Day 5 5 $227.00 $10.00 96% off $152.00 $218.00 $195.00 2026-07-15
94664 CPT Inhalation Treat Chronic Init 5 5 $227.00 $10.00 96% off $152.00 $218.00 $195.00 2026-07-15
95810 CPT Polysomnogram 5 5 $6,036.00 $10.00 100% off $4,044.00 $5,790.00 $5,191.00 2026-07-15
95811 CPT Polysomnogram W CPap 5 5 $4,682.00 $10.00 100% off $3,137.00 $4,491.00 $4,027.00 2026-07-15
96125 CPT Cognitive Performance Test Ot 10 5 $409.00 $10.00 98% off $250.00 $427.00 $335.50 2026-07-15
96360 CPT Inf Therapy Hyd Initial 5 5 $599.00 $10.00 98% off $401.00 $575.00 $515.00 2026-07-15
96365 CPT Inf Therapy Med Initial 5 5 $599.00 $10.00 98% off $401.00 $575.00 $515.00 2026-07-15
96368 CPT Inf Therapy Med Concurrent 5 5 $599.00 $10.00 98% off $401.00 $575.00 $515.00 2026-07-15
96374 CPT IV Injection Initial 10 5 $271.50 $10.00 96% off $169.00 $279.00 $227.00 2026-07-15
96401 CPT Injection Chemo Sq/IM Nonhorm 5 5 $677.00 $10.00 99% off $454.00 $649.00 $582.00 2026-07-15
96402 CPT Injection Chemo Sq/IM Hormonal 5 5 $677.00 $10.00 99% off $454.00 $649.00 $582.00 2026-07-15
96523 CPT Implanted Vad Flush 5 5 $434.00 $10.00 98% off $291.00 $416.00 $373.00 2026-07-15
97161 CPT Pt Eval Low Complexity 5 5 $250.00 $10.00 96% off $168.00 $240.00 $215.00 2026-07-15
97162 CPT Pt Eval Mod Complexity 5 5 $373.00 $10.00 97% off $250.00 $358.00 $321.00 2026-07-15
97163 CPT Pt Eval High Complexity 5 5 $555.00 $10.00 98% off $372.00 $532.00 $477.00 2026-07-15
97165 CPT Ot Eval Low Complexity 5 5 $295.00 $10.00 97% off $198.00 $283.00 $254.00 2026-07-15
97166 CPT Ot Eval Mod Complexity 5 5 $443.00 $10.00 98% off $297.00 $425.00 $381.00 2026-07-15
97167 CPT Ot Eval High Complexity 5 5 $587.00 $10.00 98% off $393.00 $563.00 $505.00 2026-07-15
97606 CPT Neg Pressure Wound Dme >50 Cm 5 5 $434.00 $10.00 98% off $291.00 $416.00 $373.00 2026-07-15
99024 CPT Post Op Follow Up Visit 5 5 $434.00 $10.00 98% off $291.00 $416.00 $373.00 2026-07-15
99203 CPT New Patient Level 3 Low Comp 5 5 $608.00 $10.00 98% off $407.00 $583.00 $523.00 2026-07-15
99204 CPT New Patient Level 4 Mod Comp 5 5 $868.00 $10.00 99% off $582.00 $833.00 $746.00 2026-07-15
99211 CPT Enema Procedure 15 5 $252.00 $10.00 96% off $168.00 $416.00 $237.00 2026-07-15
99212 CPT Est Patient Level 2 10 5 $401.50 $10.00 98% off $247.00 $416.00 $331.50 2026-07-15
99213 CPT Est Patient Level 3 Low Comp 10 5 $512.50 $10.00 98% off $305.00 $547.00 $413.00 2026-07-15
99214 CPT Est Patient Level 4 Wound Care 5 5 $831.00 $10.00 99% off $557.00 $797.00 $715.00 2026-07-15
99215 CPT Est Patient Level 5 Wound Care 5 5 $1,548.00 $10.00 99% off $1,037.00 $1,485.00 $1,331.00 2026-07-15
99281 CPT Emergency Room Visit Level 1 5 5 $457.00 $10.00 98% off $306.00 $438.00 $393.00 2026-07-15
99282 CPT Emergency Room Visit Level 2 10 5 $372.50 $10.00 97% off $108.00 $560.00 $272.50 2026-07-15
99283 CPT Emergency Room Visit Level 3 10 5 $484.00 $10.00 98% off $172.00 $682.00 $361.50 2026-07-15
99284 CPT Emergency Room Visit Level 4 10 5 $823.00 $10.00 99% off $282.00 $1,175.00 $612.50 2026-07-15
99285 CPT Emergency Room Visit Level 5 10 5 $1,250.00 $10.00 99% off $387.00 $1,844.00 $921.00 2026-07-15
99291 CPT Critical Care 1st 30-74 Min 5 5 $3,614.00 $10.00 100% off $2,421.00 $3,467.00 $3,108.00 2026-07-15
99292 CPT Critical Care Ea Addl 30 Min 5 5 $544.00 $10.00 98% off $364.00 $522.00 $468.00 2026-07-15
999 CDM Not For Amg Clinics 5 5 $1,229.00 $10.00 99% off $823.00 $1,179.00 $1,057.00 2026-07-15
A0429 HCPCS Amb Bls Emergent Home/Hosp 15 5 $1,017.00 $10.00 99% off $681.00 $976.00 $875.00 2026-07-15
A9537 HCPCS Radiophar Tc99M Mebrofenin 5 5 $654.00 $10.00 98% off $438.00 $627.00 $562.00 2026-07-15
G0103 HCPCS Psa Screen 5 5 $238.00 $10.00 96% off $159.00 $228.00 $205.00 2026-07-15
G0108 HCPCS Diabetes Dsmt Rd Ind Ea30 5 5 $432.00 $10.00 98% off $289.00 $414.00 $372.00 2026-07-15
G0175 HCPCS Geriatric Assessment 5 5 $2,704.00 $10.00 100% off $1,812.00 $2,594.00 $2,325.00 2026-07-15
G0390 HCPCS Trauma Team Level 4 5 5 $779.00 $10.00 99% off $522.00 $747.00 $670.00 2026-07-15
G0480 HCPCS Nicotine Cotinine 5 5 $334.00 $10.00 97% off $224.00 $320.00 $287.00 2026-07-15
J0136 HCPCS Acetamin IV (b Braun) 1,000 Mg 5 5 $324.75 $10.00 97% off $218.00 $312.00 $279.00 2026-07-15
J0137 HCPCS Acetaminophen 1,000 Mg Hikma 5 5 $324.75 $10.00 97% off $218.00 $312.00 $279.00 2026-07-15
J0717 HCPCS Certolizumab Pegol 400 Mg Kit 10 5 $19,949.63 $10.00 100% off $12,635.00 $20,184.00 $16,963.50 2026-07-15
J0737 HCPCS Clindamycin/D5W 300 Mg Baxter 5 5 $226.57 $10.00 96% off $152.00 $217.00 $195.00 2026-07-15
J0878 HCPCS Daptomycin 500 Mg Vial 5 5 $216.06 $10.00 95% off $145.00 $207.00 $186.00 2026-07-15
J0897 HCPCS Denosumab 120 Mg/1.7 Ml Vial 10 5 $6,261.75 $10.00 100% off $2,921.00 $7,832.00 $4,826.00 2026-07-15
J1442 HCPCS Filgrastim 300 Mcg/0.5 Ml Syr 5 5 $1,263.80 $10.00 99% off $847.00 $1,212.00 $1,087.00 2026-07-15
J1561 HCPCS Immune Glob Gamunex 10gr/100ml 10 5 $5,189.95 $10.00 100% off $2,319.00 $6,637.00 $3,978.00 2026-07-15
J1610 HCPCS Glucagon 1 Mg/ml Vial 5 5 $495.03 $10.00 98% off $332.00 $475.00 $426.00 2026-07-15
J2356 HCPCS Tezepelumab-ekko 210 Mg/1.9 Ml 5 5 $14,813.83 $10.00 100% off $9,925.00 $14,211.00 $12,740.00 2026-07-15
J2805 HCPCS Sincalide 5 Mcg Vial 5 5 $389.08 $10.00 97% off $261.00 $373.00 $335.00 2026-07-15
J3101 HCPCS Tenecteplase 50 Mg/10 Ml Syrng 5 5 $11,886.47 $10.00 100% off $7,964.00 $11,403.00 $10,222.00 2026-07-15
J3489 HCPCS Zoledron Ac/Man/H2O 5mg/100ml 10 5 $269.19 $10.00 96% off $154.00 $296.00 $216.00 2026-07-15
J9155 HCPCS Degarelix 120 Mg Vial 10 5 $1,255.13 $10.00 99% off $767.00 $1,311.00 $1,029.00 2026-07-15
J9217 HCPCS Leuprolide Acetate 45 Mg Syr 10 5 $17,998.15 $10.00 100% off $1,854.00 $31,877.00 $12,459.00 2026-07-15
J9312 HCPCS Rituximab 500 Mg/50 Ml Vial 5 5 $18,087.26 $10.00 100% off $12,118.00 $17,351.00 $15,555.00 2026-07-15
J9393 HCPCS Fulvestrant(Teva) 500 Mg/10 Ml 5 5 $764.81 $10.00 99% off $512.00 $734.00 $658.00 2026-07-15
P9016 HCPCS Red Blood Cells Lekoreduced 5 5 $1,084.00 $10.00 99% off $726.00 $1,040.00 $932.00 2026-07-15
P9612 HCPCS Cath Insert Bladder Spec 5 5 $413.00 $10.00 98% off $277.00 $396.00 $355.00 2026-07-15
Q9967 HCPCS Iopamidol -300 100 Ml Bottle 5 5 $500.00 $10.00 98% off $335.00 $480.00 $430.00 2026-07-15
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