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

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Hospital

Alliance Healthcare System

Holly Springs, MS · CCN 250012 · Rates published

670 distinct procedures filed
2 distinct payers
2,382 rate rows
2025-07-31 last MRF observed
Data quality

670 of 2,382 rate rows are consumer-grade (28.1%)

1,712 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
template filing: same amount across many unrelated codes — excluded 855
per-diem day rate — not a per-procedure price 854
exceeds 10× this hospital's gross charge — excluded from medians 3
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://alliancehcs.slicedhealth.io/pricer/00-0000000-1295826337_AllianceHealthCareSystem_standardcharges.CSV
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-05-17
Content fingerprint 08979d6d295285ae… · 939,718 bytes · first seen 2026-05-09

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
37230
CPT 		Endovascular Revascularization Tibial/pe 1 $12,991.94 $12,991.94 $12,991.94 nat. median
$16,861
0.8× median
37229
CPT 		Endovascular Revascularization Tibial/pe 1 $12,991.94 $12,991.94 $12,991.94 nat. median
$16,929
0.8× median
37225
CPT 		Endovascular Revascularization Femoral/p 1 $12,991.94 $12,991.94 $12,991.94 nat. median
$16,320
0.8× median
37242
CPT 		Vasc Embolize/occlude Artery 1 $12,991.94 $12,991.94 $12,991.94 nat. median
$16,728
0.8× median
37227
CPT 		Endovascular Revascularization Femoral/p 1 $12,991.94 $12,991.94 $12,991.94 nat. median
$18,025
0.7× median
37231
CPT 		Endovascular Revascularization Tibial/pe 1 $12,991.94 $12,991.94 $12,991.94 nat. median
$18,087
0.7× median
37221
CPT 		Rf Ablation 1st Vein 1 $8,150.87 $8,150.87 $8,150.87 nat. median
$11,953
0.7× median
37228
CPT 		Endovascular Revascularization Tibial/pe 1 $8,150.87 $8,150.87 $8,150.87 nat. median
$10,888
0.7× median
37226
CPT 		Endovascular Revascularization Femoral/p 1 $8,150.87 $8,150.87 $8,150.87 nat. median
$12,661
0.6× median
92928
CPT 		Percutaneous Transcatheter Placement Of 1 $8,150.87 $8,150.87 $8,150.87 nat. median
$13,165
0.6× median
21812
CPT 		Closed Rib Fracture - 4-6 Ribs 1 $5,300.51 $5,300.51 $5,300.51 nat. median
$7,011
0.8× median
37224
CPT 		Endovascular Revascularization Femoral/p 1 $4,234.79 $4,234.79 $4,234.79 nat. median
$7,244
0.6× median
37220
CPT 		Pf/selective Catheter Placement Initial 1 $4,234.79 $4,234.79 $4,234.79 nat. median
$7,180
0.6× median
36482
CPT 		Pf/varithena Foam Injection Multiple Vei 1 $4,071.56 $4,071.56 $4,071.56 nat. median
$6,305
0.6× median
37235
CPT 		Pf/endovascular Revascularization Tibial 1 $2,940.59 $2,940.59 $2,940.59 nat. median
$8,330
outlier · 0.4×
37234
CPT 		Revascularization Of An Iliac Artery 1 $2,699.61 $2,699.61 $2,699.61 nat. median
$8,515
outlier · 0.3×
36561
CPT 		Insert Central Line 1 $2,361.64 $2,361.64 $2,361.64 nat. median
$3,693
0.6× median
36478
CPT 		Laser Ablation 1st Vein 1 $2,361.64 $2,361.64 $2,361.64 nat. median
$4,061
0.6× median
75710
CPT 		Diagnostic Angiography Angiography Extre 1 $2,361.64 $2,361.64 $2,361.64 nat. median
$3,153
0.7× median
75716
CPT 		Artery Xrays Arms/legs 1 $2,361.64 $2,361.64 $2,361.64 nat. median
$3,281
0.7× median
75825
CPT 		Vein Xray Trunk 1 $2,361.64 $2,361.64 $2,361.64 nat. median
$3,163
0.7× median
36556
CPT 		Pf/insert Non-tunnel Cv Cath 1 $2,361.64 $2,361.64 $2,361.64 nat. median
$2,458
1.0× median
75630
CPT 		Xray Aorta Leg Arteries 1 $2,361.64 $2,361.64 $2,361.64 nat. median
$3,277
0.7× median
59409
CPT 		Vaginal Delivery Only -in ER 1 $2,316.35 $2,316.35 $2,316.35 nat. median
$3,185
0.7× median
11426
CPT 		Tx Benign Lesion (s,n,h,f) 4.0 Cm Or > 1 $2,105.29 $2,105.29 $2,105.29 nat. median
$2,748
0.8× median
11446
CPT 		Tx Benign Lesion (f,e,n) 4.0cm Or > 1 $2,105.29 $2,105.29 $2,105.29 nat. median
$2,849
0.7× median
12037
CPT 		Layer Close Wound(s) >30.0cm 1 $1,351.14 $1,351.14 $1,351.14 nat. median
$1,995
0.7× median
12047
CPT 		Pf/layer Close Wound>30.0cm 1 $1,351.14 $1,351.14 $1,351.14 nat. median
$1,847
0.7× median
11424
CPT 		Tx Benign Lesion (s,n,h,f) 3.1-4.0 Cm 1 $1,201.23 $1,201.23 $1,201.23 nat. median
$1,696
0.7× median
11423
CPT 		Tx Benign Lesion (s,n,h,f) 2.1-3.0 Cm 1 $1,201.23 $1,201.23 $1,201.23 nat. median
$1,605
0.7× median
11422
CPT 		Tx Benign Lesion (s,n,h,f) 1.1-2.0 Cm 1 $1,201.23 $1,201.23 $1,201.23 nat. median
$1,544
0.8× median
28192
CPT 		Fbr - Foot 1 $1,201.23 $1,201.23 $1,201.23 nat. median
$1,917
0.6× median
69005
CPT 		I&d Ext Ear Abcess 1 $1,201.23 $1,201.23 $1,201.23 nat. median
$1,777
0.7× median
20520
CPT 		Pf/removal Foreign Body Muscle 1 $1,201.23 $1,201.23 $1,201.23 nat. median
$1,547
0.8× median
11406
CPT 		Tx Benign Lesion (t,a,l) 4.0 Cm Or > 1 $1,201.23 $1,201.23 $1,201.23 nat. median
$1,766
0.7× median
11444
CPT 		Tx Benign Lesion (f,e,n) 3.1-4.0 Cm 1 $1,201.23 $1,201.23 $1,201.23 nat. median
$1,664
0.7× median
11443
CPT 		Tx Benign Lesion (f,e,n) 2.1-3.0cm 1 $1,201.23 $1,201.23 $1,201.23 nat. median
$1,565
0.8× median
11404
CPT 		Tx Benign Lesion (t,a,l) 3.1-4.0 Cm 1 $1,201.23 $1,201.23 $1,201.23 nat. median
$1,615
0.7× median
21813
CPT 		Closed Rib Fracture - 7 Or More Ribs 1 $1,190.79 $1,190.79 $1,190.79 nat. median
$2,490
outlier · 0.5×
36590
CPT 		Pf/rem Tunnel Cvad W Port/pump 1 $1,186.60 $1,186.60 $1,186.60 nat. median
$1,781
0.7× median
75822
CPT 		Vein Xray Arm/legs 1 $1,186.60 $1,186.60 $1,186.60 nat. median
$1,526
0.8× median
32551
CPT 		Pf/insertion Of Chest Tube 1 $1,186.60 $1,186.60 $1,186.60 nat. median
$1,553
0.8× median
36247
CPT 		Pf/modern Sedation Services Initial 1 $1,072.31 $1,072.31 $1,072.31 nat. median
$2,280
outlier · 0.5×
37223
CPT 		Endovascular Revascularization Iliac W 1 $952.40 $952.40 $952.40 nat. median
$7,921
outlier · 0.1×
36245
CPT 		Pf/selective Catheter Placement Addl Sec 1 $934.68 $934.68 $934.68 nat. median
$1,856
0.5× median
45915
CPT 		Disimpaction - Remove Rectual Obstructio 1 $874.33 $874.33 $874.33 nat. median
$1,367
0.6× median
46040
CPT 		I&d Perirectal Abcess 1 $874.33 $874.33 $874.33 nat. median
$1,775
outlier · 0.5×
37233
CPT 		Endovascular Revascularization Tibial/pe 1 $803.86 $803.86 $803.86 nat. median
$8,702
outlier · 0.1×
37252
CPT 		Laser Ablation 1st Vein 1 $706.25 $706.25 $706.25 nat. median
$2,624
outlier · 0.3×
49082
CPT 		Peritoneccentesis;initial Gastric Lavage 1 $671.62 $671.62 $671.62 nat. median
$1,073
0.6× median

Other procedures at this hospital

Browse this hospital's 670 published procedures. Use the slice to choose what to show, then sort or filter any column.

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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
             
37242 CPT Vasc Embolize/occlude Artery 1 1 $27,037.00 $20,277.75 25% off $12,991.94 $12,991.94 $12,991.94 2025-07-31
37231 CPT Endovascular Revascularization Tibial/pe 1 1 $27,037.00 $20,277.75 25% off $12,991.94 $12,991.94 $12,991.94 2025-07-31
37230 CPT Endovascular Revascularization Tibial/pe 1 1 $27,037.00 $20,277.75 25% off $12,991.94 $12,991.94 $12,991.94 2025-07-31
37227 CPT Endovascular Revascularization Femoral/p 1 1 $27,037.00 $20,277.75 25% off $12,991.94 $12,991.94 $12,991.94 2025-07-31
37229 CPT Endovascular Revascularization Tibial/pe 1 1 $27,037.00 $20,277.75 25% off $12,991.94 $12,991.94 $12,991.94 2025-07-31
37225 CPT Endovascular Revascularization Femoral/p 1 1 $27,037.00 $20,277.75 25% off $12,991.94 $12,991.94 $12,991.94 2025-07-31
37221 CPT Rf Ablation 1st Vein 1 1 $17,075.00 $12,806.25 25% off $8,150.87 $8,150.87 $8,150.87 2025-07-31
37228 CPT Endovascular Revascularization Tibial/pe 1 1 $17,075.00 $12,806.25 25% off $8,150.87 $8,150.87 $8,150.87 2025-07-31
92928 CPT Percutaneous Transcatheter Placement Of 1 1 $17,075.00 $12,806.25 25% off $8,150.87 $8,150.87 $8,150.87 2025-07-31
37226 CPT Endovascular Revascularization Femoral/p 1 1 $17,075.00 $12,806.25 25% off $8,150.87 $8,150.87 $8,150.87 2025-07-31
21812 CPT Closed Rib Fracture - 4-6 Ribs 1 1 $10,756.00 $8,067.00 25% off $5,300.51 $5,300.51 $5,300.51 2025-07-31
37220 CPT Pf/selective Catheter Placement Initial 1 1 $1,163.00 $872.25 25% off $4,234.79 $4,234.79 $4,234.79 2025-07-31
37224 CPT Endovascular Revascularization Femoral/p 1 1 $8,585.00 $6,438.75 25% off $4,234.79 $4,234.79 $4,234.79 2025-07-31
36482 CPT Pf/varithena Foam Injection Multiple Vei 1 1 $526.00 $394.50 25% off $4,071.56 $4,071.56 $4,071.56 2025-07-31
37235 CPT Pf/endovascular Revascularization Tibial 1 1 $550.00 $412.50 25% off $2,940.59 $2,940.59 $2,940.59 2025-07-31
37234 CPT Revascularization Of An Iliac Artery 1 1 $818.00 $613.50 25% off $2,699.61 $2,699.61 $2,699.61 2025-07-31
75630 CPT Xray Aorta Leg Arteries 1 1 $4,739.00 $3,554.25 25% off $2,361.64 $2,361.64 $2,361.64 2025-07-31
75710 CPT Diagnostic Angiography Angiography Extre 1 1 $4,739.00 $3,554.25 25% off $2,361.64 $2,361.64 $2,361.64 2025-07-31
36478 CPT Laser Ablation 1st Vein 1 1 $4,739.00 $3,554.25 25% off $2,361.64 $2,361.64 $2,361.64 2025-07-31
75716 CPT Artery Xrays Arms/legs 1 1 $4,739.00 $3,554.25 25% off $2,361.64 $2,361.64 $2,361.64 2025-07-31
75825 CPT Vein Xray Trunk 1 1 $4,739.00 $3,554.25 25% off $2,361.64 $2,361.64 $2,361.64 2025-07-31
36556 CPT Pf/insert Non-tunnel Cv Cath 1 1 $264.00 $198.00 25% off $2,361.64 $2,361.64 $2,361.64 2025-07-31
36561 CPT Insert Central Line 1 1 $4,739.00 $3,554.25 25% off $2,361.64 $2,361.64 $2,361.64 2025-07-31
59409 CPT Vaginal Delivery Only -in ER 1 1 $2,358.00 $1,768.50 25% off $2,316.35 $2,316.35 $2,316.35 2025-07-31
11426 CPT Tx Benign Lesion (s,n,h,f) 4.0 Cm Or > 1 1 $1,028.00 $771.00 25% off $2,105.29 $2,105.29 $2,105.29 2025-07-31
11446 CPT Tx Benign Lesion (f,e,n) 4.0cm Or > 1 1 $1,257.00 $942.75 25% off $2,105.29 $2,105.29 $2,105.29 2025-07-31
12037 CPT Layer Close Wound(s) >30.0cm 1 1 $2,754.00 $2,065.50 25% off $1,351.14 $1,351.14 $1,351.14 2025-07-31
12047 CPT Pf/layer Close Wound>30.0cm 1 1 $1,031.00 $773.25 25% off $1,351.14 $1,351.14 $1,351.14 2025-07-31
11404 CPT Tx Benign Lesion (t,a,l) 3.1-4.0 Cm 1 1 $718.00 $538.50 25% off $1,201.23 $1,201.23 $1,201.23 2025-07-31
28192 CPT Fbr - Foot 1 1 $2,440.00 $1,830.00 25% off $1,201.23 $1,201.23 $1,201.23 2025-07-31
11406 CPT Tx Benign Lesion (t,a,l) 4.0 Cm Or > 1 1 $1,025.00 $768.75 25% off $1,201.23 $1,201.23 $1,201.23 2025-07-31
11443 CPT Tx Benign Lesion (f,e,n) 2.1-3.0cm 1 1 $733.00 $549.75 25% off $1,201.23 $1,201.23 $1,201.23 2025-07-31
11444 CPT Tx Benign Lesion (f,e,n) 3.1-4.0 Cm 1 1 $917.00 $687.75 25% off $1,201.23 $1,201.23 $1,201.23 2025-07-31
11422 CPT Tx Benign Lesion (s,n,h,f) 1.1-2.0 Cm 1 1 $576.00 $432.00 25% off $1,201.23 $1,201.23 $1,201.23 2025-07-31
11423 CPT Tx Benign Lesion (s,n,h,f) 2.1-3.0 Cm 1 1 $657.00 $492.75 25% off $1,201.23 $1,201.23 $1,201.23 2025-07-31
20520 CPT Pf/removal Foreign Body Muscle 1 1 $296.00 $222.00 25% off $1,201.23 $1,201.23 $1,201.23 2025-07-31
69005 CPT I&d Ext Ear Abcess 1 1 $2,440.00 $1,830.00 25% off $1,201.23 $1,201.23 $1,201.23 2025-07-31
11424 CPT Tx Benign Lesion (s,n,h,f) 3.1-4.0 Cm 1 1 $755.00 $566.25 25% off $1,201.23 $1,201.23 $1,201.23 2025-07-31
21813 CPT Closed Rib Fracture - 7 Or More Ribs 1 1 $2,410.00 $1,807.50 25% off $1,190.79 $1,190.79 $1,190.79 2025-07-31
75822 CPT Vein Xray Arm/legs 1 1 $2,339.00 $1,754.25 25% off $1,186.60 $1,186.60 $1,186.60 2025-07-31
32551 CPT Pf/insertion Of Chest Tube 1 1 $396.00 $297.00 25% off $1,186.60 $1,186.60 $1,186.60 2025-07-31
36590 CPT Pf/rem Tunnel Cvad W Port/pump 1 1 $377.00 $282.75 25% off $1,186.60 $1,186.60 $1,186.60 2025-07-31
36247 CPT Pf/modern Sedation Services Initial 1 1 $873.00 $654.75 25% off $1,072.31 $1,072.31 $1,072.31 2025-07-31
37223 CPT Endovascular Revascularization Iliac W 1 1 $1,848.00 $1,386.00 25% off $952.40 $952.40 $952.40 2025-07-31
36245 CPT Pf/selective Catheter Placement Addl Sec 1 1 $692.00 $519.00 25% off $934.68 $934.68 $934.68 2025-07-31
46040 CPT I&d Perirectal Abcess 1 1 $1,254.00 $940.50 25% off $874.33 $874.33 $874.33 2025-07-31
45915 CPT Disimpaction - Remove Rectual Obstructio 1 1 $1,775.00 $1,331.25 25% off $874.33 $874.33 $874.33 2025-07-31
37233 CPT Endovascular Revascularization Tibial/pe 1 1 $2,817.00 $2,112.75 25% off $803.86 $803.86 $803.86 2025-07-31
37252 CPT Laser Ablation 1st Vein 1 1 $783.00 $587.25 25% off $706.25 $706.25 $706.25 2025-07-31
43247 CPT Pf/operative Up Gi Endoscopy 1 1 $412.00 $309.00 25% off $671.62 $671.62 $671.62 2025-07-31
49082 CPT Peritoneccentesis;initial Gastric Lavage 1 1 $215.00 $161.25 25% off $671.62 $671.62 $671.62 2025-07-31
36246 CPT Pf/endovascular Revascularization Tibial 1 1 $736.00 $552.00 25% off $636.48 $636.48 $636.48 2025-07-31
37232 CPT Endovascular Revascularization Tibial/pe 1 1 $1,737.00 $1,302.75 25% off $621.53 $621.53 $621.53 2025-07-31
L6895 HCPCS Vas Guidewire Mongo 14 Es Str 300cm 1 1 $325.00 $243.75 25% off $586.72 $586.72 $586.72 2025-07-31
11641 CPT Tx Malignant Lesion(fen)0.6-1.1 Cm 1 1 $761.00 $570.75 25% off $521.29 $521.29 $521.29 2025-07-31
11440 CPT Tx Benign Lesion (f,e,n) Up To 0.5cm 1 1 $454.00 $340.50 25% off $521.29 $521.29 $521.29 2025-07-31
69000 CPT Drainage External Ear Abscess Or Hematom 1 1 $1,059.00 $794.25 25% off $521.29 $521.29 $521.29 2025-07-31
28190 CPT Pf/removal Foot Foreign Body 1 1 $289.00 $216.75 25% off $521.29 $521.29 $521.29 2025-07-31
11421 CPT Tx Benign Lesion (s,n,h,f) 0.6 - 1.0 Cm 1 1 $511.00 $383.25 25% off $521.29 $521.29 $521.29 2025-07-31
11442 CPT Tx Benign Lesion (f,e,n) 1.1-2.0cm 1 1 $615.00 $461.25 25% off $521.29 $521.29 $521.29 2025-07-31
11402 CPT Tx Benign Lesion (t,a,l) 1.1-2.0 Cm 1 1 $547.00 $410.25 25% off $521.29 $521.29 $521.29 2025-07-31
11403 CPT Pf/exc Ben Les T/a/l 2.1-3.0cm 1 1 $240.00 $180.00 25% off $521.29 $521.29 $521.29 2025-07-31
11441 CPT Tx Benign Lesion (f,e,n) 0.6-1.0cm 1 1 $554.00 $415.50 25% off $521.29 $521.29 $521.29 2025-07-31
10080 CPT I&d Pilonidal Cyst 1 1 $1,059.00 $794.25 25% off $521.29 $521.29 $521.29 2025-07-31
64450 CPT Digital Block 1 1 $1,043.00 $782.25 25% off $512.37 $512.37 $512.37 2025-07-31
62328 CPT Xry Lumbar Puncture 1 1 $254.00 $190.50 25% off $512.37 $512.37 $512.37 2025-07-31
62270 CPT Pf/spinal Fluid Tap Diagnostic 1 1 $158.00 $118.50 25% off $512.37 $512.37 $512.37 2025-07-31
37222 CPT Revascularizing An Additional Ipsilatera 1 1 $1,623.00 $1,217.25 25% off $470.73 $470.73 $470.73 2025-07-31
36589 CPT Pf/remove Tunneled Cv Catheter 1 1 $271.00 $203.25 25% off $465.44 $465.44 $465.44 2025-07-31
13101 CPT Pf/repair Cmpl Trunk 2.6-7.5cm 1 1 $719.00 $539.25 25% off $465.33 $465.33 $465.33 2025-07-31
13100 CPT Pf/repair Cmpl Trunk 1.1 2.5cm 1 1 $589.00 $441.75 25% off $465.33 $465.33 $465.33 2025-07-31
12046 CPT Layer Close Wound(s) 20.1-30.0 1 1 $922.00 $691.50 25% off $465.33 $465.33 $465.33 2025-07-31
12045 CPT Pf/layer Close Wound12.6-20.0 1 1 $796.00 $597.00 25% off $465.33 $465.33 $465.33 2025-07-31
12044 CPT Pf/layer Close Wound7.6-12.5c 1 1 $632.00 $474.00 25% off $465.33 $465.33 $465.33 2025-07-31
13121 CPT Pf/complex Repair 2.6-7.5cm 1 1 $758.00 $568.50 25% off $465.33 $465.33 $465.33 2025-07-31
13132 CPT Pf/complex Repair 2.6-7.5cm 1 1 $888.00 $666.00 25% off $465.33 $465.33 $465.33 2025-07-31
12036 CPT Pf/layer Close Wound 20.1-30.0 1 1 $830.00 $622.50 25% off $465.33 $465.33 $465.33 2025-07-31
12020 CPT Pf/tx Superf Wnd Dehiscence 1 1 $599.00 $449.25 25% off $465.33 $465.33 $465.33 2025-07-31
13151 CPT Pf/complx Repair Face1.1-2.5cm 1 1 $817.00 $612.75 25% off $465.33 $465.33 $465.33 2025-07-31
13152 CPT Pf/complx Repair Face2.6-7.5cm 1 1 $984.00 $738.00 25% off $465.33 $465.33 $465.33 2025-07-31
13120 CPT Pf/complex Repair 1.1-2.5cm 1 1 $673.00 $504.75 25% off $465.33 $465.33 $465.33 2025-07-31
21825 CPT Open Treatment Of A Sternum Fracture Wit 1 1 $0.01 — $448.15 $448.15 $448.15 2025-07-31
93306 CPT US Echo Complete 1 1 $1,615.00 $1,211.25 25% off $408.74 $408.74 $408.74 2025-07-31
36430 CPT Bb Blood Administration 1 1 $966.00 $724.50 25% off $321.63 $321.63 $321.63 2025-07-31
12057 CPT Pf/layer Close Wound>30.0cm 1 1 $1,231.00 $923.25 25% off $295.43 $295.43 $295.43 2025-07-31
12052 CPT Pf/layer Close Wound 2.6-5.0cm 1 1 $586.00 $439.50 25% off $295.43 $295.43 $295.43 2025-07-31
10160 CPT Puncture Aspiration Of Abcess 1 1 $602.00 $451.50 25% off $295.43 $295.43 $295.43 2025-07-31
12006 CPT Repair Wound 20.1-30.0cm 1 1 $602.00 $451.50 25% off $295.43 $295.43 $295.43 2025-07-31
12051 CPT Pf/layer Close Wound2.5cm>= 1 1 $495.00 $371.25 25% off $295.43 $295.43 $295.43 2025-07-31
12005 CPT Srep S/n/a/g/tr/e 12.6-20.0cm 1 1 $602.00 $451.50 25% off $295.43 $295.43 $295.43 2025-07-31
12053 CPT Layer Close Wound(s) 5.1-7.5cm 1 1 $602.00 $451.50 25% off $295.43 $295.43 $295.43 2025-07-31
12032 CPT Pf/layer Close Wound 2.6-7.5cm 1 1 $556.00 $417.00 25% off $295.43 $295.43 $295.43 2025-07-31
12017 CPT Repair Face Wounds 20.1-30.0cm 1 1 $602.00 $451.50 25% off $295.43 $295.43 $295.43 2025-07-31
12056 CPT Layer Close Wound(s) 20.1-30.0 1 1 $602.00 $451.50 25% off $295.43 $295.43 $295.43 2025-07-31
10120 CPT Pf/remove Foreign Boby; Simple 1 1 $307.00 $230.25 25% off $295.43 $295.43 $295.43 2025-07-31
12041 CPT Pf/layer Close Wound2.5cm>= 1 1 $428.00 $321.00 25% off $295.43 $295.43 $295.43 2025-07-31
12035 CPT Pf/layer Close Wound 12.6-20.0 1 1 $709.00 $531.75 25% off $295.43 $295.43 $295.43 2025-07-31
11602 CPT Tx Malignant Lesion (t,a,l) 1.1-2.0cm 1 1 $786.00 $589.50 25% off $295.43 $295.43 $295.43 2025-07-31
12042 CPT Pf/layer Close Wound2.6-7.5cm 1 1 $575.00 $431.25 25% off $295.43 $295.43 $295.43 2025-07-31
12034 CPT Pf/int Rep S/a/t/ex 7.6-12.5cm 1 1 $602.00 $451.50 25% off $295.43 $295.43 $295.43 2025-07-31
11401 CPT Tx Benign Lesion (t,a,l) 0.6-1.0 Cm 1 1 $496.00 $372.00 25% off $295.43 $295.43 $295.43 2025-07-31
12031 CPT Intmd Wnd Rpr S/a/t/ext<=2.5cm 1 1 $602.00 $451.50 25% off $295.43 $295.43 $295.43 2025-07-31
12021 CPT Smple Tx Wound Dehis C Packing 1 1 $620.00 $465.00 25% off $295.43 $295.43 $295.43 2025-07-31
12016 CPT Pf/repair Face Wou 12.6-20.0cm 1 1 $381.00 $285.75 25% off $295.43 $295.43 $295.43 2025-07-31
11750 CPT Removal Of Nail Bed 1 1 $602.00 $451.50 25% off $295.43 $295.43 $295.43 2025-07-31
12055 CPT Layer Close Wound(s) 12.6-20.0 1 1 $602.00 $451.50 25% off $295.43 $295.43 $295.43 2025-07-31
12054 CPT Pf/layer Close Wound 7.6-12.5c 1 1 $649.00 $486.75 25% off $295.43 $295.43 $295.43 2025-07-31
10061 CPT Drainage Of Skin Abcess 1 1 $602.00 $451.50 25% off $295.43 $295.43 $295.43 2025-07-31
13131 CPT Comp Rep1 1-2.5cm Face Hand Ft 1 1 $602.00 $451.50 25% off $295.43 $295.43 $295.43 2025-07-31
36680 CPT Placement Of Needle For Intraosseous Inf 1 1 $601.00 $450.75 25% off $295.21 $295.21 $295.21 2025-07-31
65220 CPT Fbr - Eye Corneal W Slit Lamp 1 1 $601.00 $450.75 25% off $295.21 $295.21 $295.21 2025-07-31
74177 CPT CT Abd Pelvis W Contrast 1 1 $1,071.00 $803.25 25% off $284.93 $284.93 $284.93 2025-07-31
74178 CPT CT Abd Pelvis Wwo Contrast 1 1 $1,071.00 $803.25 25% off $284.93 $284.93 $284.93 2025-07-31
74174 CPT CTA Abdomen Pelvis Wwo Contrast 1 1 $1,071.00 $803.25 25% off $284.93 $284.93 $284.93 2025-07-31
73525 CPT Srt Xr Hip/arthrography Rad Sup & Interp 1 1 $414.00 $310.50 25% off $284.93 $284.93 $284.93 2025-07-31
77290 CPT Srt Radiation Beam Tx Cancer Narrativ 1 1 $1,506.00 $1,129.50 25% off $273.76 $273.76 $273.76 2025-07-31
86905 CPT Antigen Typing Class I 1 1 $30.24 $22.68 25% off $266.32 $266.32 $266.32 2025-07-31
36479 CPT Laser Ablation Subseq Veins 1 Leg Sep Ac 1 1 $0.01 — $235.67 $235.67 $235.67 2025-07-31
92235 CPT Fluorescein Angiography With Interpretat 1 1 $469.00 $351.75 25% off $232.56 $232.56 $232.56 2025-07-31
92950 CPT Heart/lung Resuscitation Cpr - Defrb 1 1 $469.00 $351.75 25% off $232.56 $232.56 $232.56 2025-07-31
87902 CPT Hepatitis C Viral RNA Geno 1 1 $902.00 $676.50 25% off $231.71 $231.71 $231.71 2025-07-31
99291 CPT Critical Care First Hour 1 1 $1,269.00 $951.75 25% off $223.97 $223.97 $223.97 2025-07-31
G0483 HCPCS Definitive 22+ 1 1 $741.00 $555.75 25% off $222.23 $222.23 $222.23 2025-07-31
20610 CPT P-joint Asp Major Jt/inj Without Ultrasound 1 1 $134.00 $100.50 25% off $219.44 $219.44 $219.44 2025-07-31
20611 CPT Arthrocentesis Of Major Joint 1 1 $444.00 $333.00 25% off $219.44 $219.44 $219.44 2025-07-31
29705 CPT Cast Bivaling/removal Arm/leg 1 1 $134.00 $100.50 25% off $198.98 $198.98 $198.98 2025-07-31
29700 CPT Cast Bivaling/removal Body 1 1 $98.00 $73.50 25% off $198.98 $198.98 $198.98 2025-07-31
J1610 HCPCS Glucagon 1 Mg Emergency Kit 1 1 $495.55 $371.66 25% off $191.52 $191.52 $191.52 2025-07-31
43763 CPT Replacement Gtube Req Revj Gstrst Trc 1 1 $366.00 $274.50 25% off $183.11 $183.11 $183.11 2025-07-31
43762 CPT Replacement Gtube Not Req Revj Gstrst Tr 1 1 $366.00 $274.50 25% off $183.11 $183.11 $183.11 2025-07-31
74176 CPT CT Abd Pelvis Wo Contrast 1 1 $725.00 $543.75 25% off $181.55 $181.55 $181.55 2025-07-31
93925 CPT US Arterial Leg Bilateral 1 1 $934.00 $700.50 25% off $181.55 $181.55 $181.55 2025-07-31
93930 CPT US Arterial Arm Bilateral 1 1 $934.00 $700.50 25% off $181.55 $181.55 $181.55 2025-07-31
93970 CPT US Venous Doppler Bilateral 1 1 $725.00 $543.75 25% off $181.55 $181.55 $181.55 2025-07-31
93880 CPT US Carotid Vertebral Artery 1 1 $725.00 $543.75 25% off $181.55 $181.55 $181.55 2025-07-31
93975 CPT US Renal Visceral Doppler Complete 1 1 $725.00 $543.75 25% off $181.55 $181.55 $181.55 2025-07-31
81342 CPT Tcell Antigen Receptor 1 1 $606.00 $454.50 25% off $181.35 $181.35 $181.35 2025-07-31
31500 CPT Intubation 1 1 $350.00 $262.50 25% off $180.98 $180.98 $180.98 2025-07-31
28470 CPT Closed Metatarsal Fx 1 1 $361.00 $270.75 25% off $174.72 $174.72 $174.72 2025-07-31
28600 CPT Closed Tmj Fx Or Dislocation 1 1 $361.00 $270.75 25% off $174.72 $174.72 $174.72 2025-07-31
28515 CPT Treatment Of Toe Fracture 1 1 $361.00 $270.75 25% off $174.72 $174.72 $174.72 2025-07-31
28490 CPT Closed Great Toe Fx 1 1 $361.00 $270.75 25% off $174.72 $174.72 $174.72 2025-07-31
27808 CPT Closed Anke Fx 1 1 $361.00 $270.75 25% off $174.72 $174.72 $174.72 2025-07-31
27750 CPT Fracture And/or Dislocation Procedures O 1 1 $361.00 $270.75 25% off $174.72 $174.72 $174.72 2025-07-31
27550 CPT Closed Tx Knee Dislocation 1 1 $361.00 $270.75 25% off $174.72 $174.72 $174.72 2025-07-31
26770 CPT Treat Finger Dislocation 1 1 $361.00 $270.75 25% off $174.72 $174.72 $174.72 2025-07-31
26600 CPT Closed Metacarpel Fx 1 1 $361.00 $270.75 25% off $174.72 $174.72 $174.72 2025-07-31
26720 CPT Closed Phalanx Fx 1 1 $361.00 $270.75 25% off $174.72 $174.72 $174.72 2025-07-31
25560 CPT Closed Radial/ulnar Fx 1 1 $361.00 $270.75 25% off $174.72 $174.72 $174.72 2025-07-31
25530 CPT Closed Ulnar Shaft Fracture 1 1 $361.00 $270.75 25% off $174.72 $174.72 $174.72 2025-07-31
24650 CPT Closed Radius Fracture 1 1 $361.00 $270.75 25% off $174.72 $174.72 $174.72 2025-07-31
24640 CPT Closed Radial Head Dislocation/reduction 1 1 $235.00 $176.25 25% off $174.72 $174.72 $174.72 2025-07-31
23500 CPT Closed Clavicle Fracture 1 1 $361.00 $270.75 25% off $174.72 $174.72 $174.72 2025-07-31
24600 CPT Treat Elbow Dislocation 1 1 $361.00 $270.75 25% off $174.72 $174.72 $174.72 2025-07-31
23525 CPT Manipulation Sternoclavicler 1 1 $361.00 $270.75 25% off $174.72 $174.72 $174.72 2025-07-31
23650 CPT Pf/clsd Tx Shoulder Disloc 1 1 $516.00 $387.00 25% off $174.72 $174.72 $174.72 2025-07-31
21820 CPT Closed Treatment Of A Sternum Fracture 1 1 $361.00 $270.75 25% off $174.72 $174.72 $174.72 2025-07-31
96374 CPT IV Push Single/initial Drug 1 1 $317.00 $237.75 25% off $158.81 $158.81 $158.81 2025-07-31
96521 CPT Refill And Management Of Portable Pump 1 1 $322.00 $241.50 25% off $158.81 $158.81 $158.81 2025-07-31
96365 CPT Infusion 1 Hr For Therapy 1 1 $633.00 $474.75 25% off $158.81 $158.81 $158.81 2025-07-31
94640 CPT Airway Inhalation Treatment 1 1 $306.00 $229.50 25% off $158.03 $158.03 $158.03 2025-07-31
94642 CPT Inhalation Treatment Less Than 1hr 1 1 $306.00 $229.50 25% off $158.03 $158.03 $158.03 2025-07-31
13153 CPT Pf/cmplx Repair Face Ea Add<=5 1 1 $404.00 $303.00 25% off $148.56 $148.56 $148.56 2025-07-31
12004 CPT Pf/repair Wound 7.6-12.5cm 1 1 $218.00 $163.50 25% off $148.33 $148.33 $148.33 2025-07-31
11730 CPT Pf/removal Of Nail Plate 1 1 $161.00 $120.75 25% off $148.33 $148.33 $148.33 2025-07-31
12007 CPT Pf/repair Superficial Woun>30c 1 1 $431.00 $323.25 25% off $148.33 $148.33 $148.33 2025-07-31
12002 CPT Pf/repair Wound 2.6-7.5cm 1 1 $175.00 $131.25 25% off $148.33 $148.33 $148.33 2025-07-31
12001 CPT Pf/repair Wound 2.5cm Or Less 1 1 $133.00 $99.75 25% off $148.33 $148.33 $148.33 2025-07-31
11200 CPT Removal Skin Tags 1 1 $299.00 $224.25 25% off $148.33 $148.33 $148.33 2025-07-31
12013 CPT Pf/repair Face Wound 2.6-5.0cm 1 1 $173.00 $129.75 25% off $148.33 $148.33 $148.33 2025-07-31
12018 CPT Pf/repair Face Wounds >30.0cm 1 1 $281.00 $210.75 25% off $148.33 $148.33 $148.33 2025-07-31
16000 CPT Initial Tx Of Burns 1 1 $299.00 $224.25 25% off $148.33 $148.33 $148.33 2025-07-31
97610 CPT Pf/ultra Mist 1 1 $54.00 $40.50 25% off $148.33 $148.33 $148.33 2025-07-31
97597 CPT Pt Debride Devital Tis <20 Cm Cm 1 1 $299.00 $224.25 25% off $148.33 $148.33 $148.33 2025-07-31
12015 CPT Srep F/e/n/l/mm 7.6-12.5cm 1 1 $299.00 $224.25 25% off $148.33 $148.33 $148.33 2025-07-31
97602 CPT Non Selective Debridement 1 1 $299.00 $224.25 25% off $148.33 $148.33 $148.33 2025-07-31
12014 CPT Pf/repair Face Wound 5.1-7.5cm 1 1 $222.00 $166.50 25% off $148.33 $148.33 $148.33 2025-07-31
12011 CPT Pf/repair Face Wound 2.5cm/ls 1 1 $166.00 $124.50 25% off $148.33 $148.33 $148.33 2025-07-31
99285 CPT Exam Complex 1 1 $923.00 $692.25 25% off $146.97 $146.97 $146.97 2025-07-31
75635 CPT CTA Aorto Iliofemoral Runoff 1 1 $534.00 $400.50 25% off $136.13 $136.13 $136.13 2025-07-31
74400 CPT Srt Xr Pyleogram IV 1 1 $626.00 $469.50 25% off $136.13 $136.13 $136.13 2025-07-31
74175 CPT CTA Abdomen Wwo Contrast 1 1 $534.00 $400.50 25% off $136.13 $136.13 $136.13 2025-07-31
74170 CPT CT Abdomen Wwo Contrast 1 1 $534.00 $400.50 25% off $136.13 $136.13 $136.13 2025-07-31
74160 CPT CT Abdomen W Contrast 1 1 $534.00 $400.50 25% off $136.13 $136.13 $136.13 2025-07-31
73706 CPT CTA Lower Extremity Wwo Contrast 1 1 $534.00 $400.50 25% off $136.13 $136.13 $136.13 2025-07-31
72194 CPT CT Pelvis Wwo Contrast 1 1 $534.00 $400.50 25% off $136.13 $136.13 $136.13 2025-07-31
72193 CPT CT Pelvis W Contrast 1 1 $534.00 $400.50 25% off $136.13 $136.13 $136.13 2025-07-31
71275 CPT CTA Chest Pe Protocol 1 1 $534.00 $400.50 25% off $136.13 $136.13 $136.13 2025-07-31
71270 CPT CT Thorax Wwo Contrast 1 1 $534.00 $400.50 25% off $136.13 $136.13 $136.13 2025-07-31
71260 CPT CT Thorax W Contrast 1 1 $534.00 $400.50 25% off $136.13 $136.13 $136.13 2025-07-31
70498 CPT CTA Neck Wwo Contrast 1 1 $534.00 $400.50 25% off $136.13 $136.13 $136.13 2025-07-31
70496 CPT CTA Head Wwo Contrast 1 1 $534.00 $400.50 25% off $136.13 $136.13 $136.13 2025-07-31
70492 CPT CT Soft Tissue Neck Wwo Contrast 1 1 $534.00 $400.50 25% off $136.13 $136.13 $136.13 2025-07-31
70491 CPT CT Soft Tissue Neck W Contrast 1 1 $534.00 $400.50 25% off $136.13 $136.13 $136.13 2025-07-31
70488 CPT CT Maxillofacial Wwo Contrast 1 1 $534.00 $400.50 25% off $136.13 $136.13 $136.13 2025-07-31
70470 CPT CT Head Wwo Contrast 1 1 $534.00 $400.50 25% off $136.13 $136.13 $136.13 2025-07-31
70460 CPT CT Head W Contrast IV 1 1 $534.00 $400.50 25% off $136.13 $136.13 $136.13 2025-07-31
13133 CPT Pf/complx Repair Ea Addtl<=5cm 1 1 $369.00 $276.75 25% off $135.38 $135.38 $135.38 2025-07-31
37253 CPT Rf Ablation Subseq Veins 1 Leg Sep Acces 1 1 $624.00 $468.00 25% off $134.16 $134.16 $134.16 2025-07-31
86921 CPT Compatability Incub Tech 1 1 $30.24 $22.68 25% off $126.55 $126.55 $126.55 2025-07-31
86922 CPT Bb Crossmatch 1 1 $257.55 $193.16 25% off $126.55 $126.55 $126.55 2025-07-31
87900 CPT HIV 1 Genotype 1 1 $27.00 $20.25 25% off $117.32 $117.32 $117.32 2025-07-31
29105 CPT Apply Long Arm Splint 1 1 $238.00 $178.50 25% off $116.74 $116.74 $116.74 2025-07-31
29515 CPT Apply Lower Leg Splint 1 1 $238.00 $178.50 25% off $116.74 $116.74 $116.74 2025-07-31
29505 CPT Pf/splint Appl - Long Leg 1 1 $100.00 $75.00 25% off $116.74 $116.74 $116.74 2025-07-31
94010 CPT Spirometry 1 1 $72.00 $54.00 25% off $115.73 $115.73 $115.73 2025-07-31
L0150 HCPCS Collar Philly Pedia 1 1 $28.00 $21.00 25% off $110.17 $110.17 $110.17 2025-07-31
36483 CPT Pf/modern Sedation Services 1 1 $260.00 $195.00 25% off $109.36 $109.36 $109.36 2025-07-31
99284 CPT Exam Extended 1 1 $641.00 $480.75 25% off $101.37 $101.37 $101.37 2025-07-31
13122 CPT Complex Repair Each Addtl <=5c 1 1 $0.01 — $101.15 $101.15 $101.15 2025-07-31
77300 CPT Srt Regional Radiation Treatment Dose 1 1 $322.00 $241.50 25% off $100.53 $100.53 $100.53 2025-07-31
77067 CPT Mm Mammogram Screening 1 1 $1,236.00 $927.00 25% off $99.60 $99.60 $99.60 2025-07-31
99292 CPT Critical Care Addl 30 Min 1 1 $420.00 $315.00 25% off $99.14 $99.14 $99.14 2025-07-31
36600 CPT Arterial Puncture 1 1 $133.00 $99.75 25% off $94.64 $94.64 $94.64 2025-07-31
30901 CPT Control Nosebleed 1 1 $194.00 $145.50 25% off $94.64 $94.64 $94.64 2025-07-31
30300 CPT Remove Nasal Foreign Body 1 1 $346.00 $259.50 25% off $94.64 $94.64 $94.64 2025-07-31
29530 CPT Pf/strapping - Knee 1 1 $76.00 $57.00 25% off $94.64 $94.64 $94.64 2025-07-31
29130 CPT Apply Finger Splint 1 1 $86.00 $64.50 25% off $94.64 $94.64 $94.64 2025-07-31
69200 CPT Fbr - Ear Canal 1 1 $194.00 $145.50 25% off $94.64 $94.64 $94.64 2025-07-31
65222 CPT Fbr - Eye Conj 1 1 $194.00 $145.50 25% off $94.64 $94.64 $94.64 2025-07-31
94618 CPT Pulmonary Stress Test 1 1 $194.00 $145.50 25% off $94.64 $94.64 $94.64 2025-07-31
51702 CPT Insert Foley Catheter 1 1 $194.00 $145.50 25% off $94.64 $94.64 $94.64 2025-07-31
86900 CPT Bb Abo Blood Type 1 1 $119.38 $89.54 25% off $94.64 $94.64 $94.64 2025-07-31
93922 CPT US Arterial Abi Tbi 1 1 $387.00 $290.25 25% off $94.64 $94.64 $94.64 2025-07-31
51701 CPT Insert Straight Uninary Cath 1 1 $194.00 $145.50 25% off $94.64 $94.64 $94.64 2025-07-31
13102 CPT Pf/repair Cmpl Trunk Ea 0-5c 1 1 $211.00 $158.25 25% off $92.54 $92.54 $92.54 2025-07-31
36248 CPT Pf/selective Catheter Placement Initial 1 1 $143.00 $107.25 25% off $90.23 $90.23 $90.23 2025-07-31
77401 CPT Srt Radiation Treatment Therapy Cancer 1 1 $331.00 $248.25 25% off $88.84 $88.84 $88.84 2025-07-31
L3660 HCPCS Clavile Small - Child 1 1 $19.00 $14.25 25% off $88.52 $88.52 $88.52 2025-07-31
77066 CPT Mm Mammogram Diagnostic Bilateral 1 1 $1,236.00 $927.00 25% off $84.31 $84.31 $84.31 2025-07-31
97163 CPT Pt Eval High 1 1 $297.00 $222.75 25% off $82.20 $82.20 $82.20 2025-07-31
97161 CPT Pt Eval Low 1 1 $297.00 $222.75 25% off $82.20 $82.20 $82.20 2025-07-31
97162 CPT Pt Eval Mod 1 1 $297.00 $222.75 25% off $82.20 $82.20 $82.20 2025-07-31
76819 CPT US OB Biophysical Profile 1 1 $319.00 $239.25 25% off $81.46 $81.46 $81.46 2025-07-31
76817 CPT US OB Transvaginal 1 1 $319.00 $239.25 25% off $81.46 $81.46 $81.46 2025-07-31
76816 CPT US OB Followup 1 1 $319.00 $239.25 25% off $81.46 $81.46 $81.46 2025-07-31
76815 CPT US OB Limited 1 1 $319.00 $239.25 25% off $81.46 $81.46 $81.46 2025-07-31
76805 CPT US OB Complete 1 1 $319.00 $239.25 25% off $81.46 $81.46 $81.46 2025-07-31
76536 CPT US Soft Tissue Head And Neck 1 1 $319.00 $239.25 25% off $81.46 $81.46 $81.46 2025-07-31
76770 CPT US Retroperitoneal Renal Complete 1 1 $319.00 $239.25 25% off $81.46 $81.46 $81.46 2025-07-31
76706 CPT US Aorta Aaa Screen Only 1 1 $319.00 $239.25 25% off $81.46 $81.46 $81.46 2025-07-31
76705 CPT US Abdominal Limited 1 1 $319.00 $239.25 25% off $81.46 $81.46 $81.46 2025-07-31
76700 CPT US Abdominal Complete 1 1 $319.00 $239.25 25% off $81.46 $81.46 $81.46 2025-07-31
74022 CPT Srt Xr Acute Abdominal Series 1 1 $302.00 $226.50 25% off $81.46 $81.46 $81.46 2025-07-31
74150 CPT CT Abdomen Wo Contrast 1 1 $319.00 $239.25 25% off $81.46 $81.46 $81.46 2025-07-31
76801 CPT US OB <14 Wks Sngl Fetus 1 1 $319.00 $239.25 25% off $81.46 $81.46 $81.46 2025-07-31
74019 CPT Srt Xr Abdomen 2v 1 1 $200.00 $150.00 25% off $81.46 $81.46 $81.46 2025-07-31
73522 CPT Srt Xr Pelvis And Bilateral Hips 1 1 $200.00 $150.00 25% off $81.46 $81.46 $81.46 2025-07-31
73521 CPT Srt Xr Hips Bilateral W Ap Pelvis 1 1 $200.00 $150.00 25% off $81.46 $81.46 $81.46 2025-07-31
72202 CPT Srt Xr Sacroiliac Jts 3v 1 1 $200.00 $150.00 25% off $81.46 $81.46 $81.46 2025-07-31
72200 CPT Srt Xr Sacroiliac Jts <3v 1 1 $200.00 $150.00 25% off $81.46 $81.46 $81.46 2025-07-31
72170 CPT Srt Xr Pelvis 1v 1 1 $200.00 $150.00 25% off $81.46 $81.46 $81.46 2025-07-31
72192 CPT CT Pelvis Wo Contrast 1 1 $319.00 $239.25 25% off $81.46 $81.46 $81.46 2025-07-31
76830 CPT US Transvaginal 1 1 $319.00 $239.25 25% off $81.46 $81.46 $81.46 2025-07-31
72131 CPT CT Spine Lumbar Wo Contrast 1 1 $319.00 $239.25 25% off $81.46 $81.46 $81.46 2025-07-31
72128 CPT CT Spine Thoracic Wo 1 1 $319.00 $239.25 25% off $81.46 $81.46 $81.46 2025-07-31
72125 CPT CT Spine Cervical Wo 1 1 $319.00 $239.25 25% off $81.46 $81.46 $81.46 2025-07-31
72110 CPT Srt Xr Spine Lumbar Complete 1 1 $302.00 $226.50 25% off $81.46 $81.46 $81.46 2025-07-31
72100 CPT Srt Xr Spine Lumbar 2-3v 1 1 $200.00 $150.00 25% off $81.46 $81.46 $81.46 2025-07-31
72072 CPT Srt Xr Spine Thoracic 3v 1 1 $200.00 $150.00 25% off $81.46 $81.46 $81.46 2025-07-31
72070 CPT Srt Xr Spine Thoracic 2v 1 1 $200.00 $150.00 25% off $81.46 $81.46 $81.46 2025-07-31
72052 CPT Srt Xr Spine Cervical Complete 1 1 $302.00 $226.50 25% off $81.46 $81.46 $81.46 2025-07-31
71271 CPT CT Thorax Low Dose Lung Ca Screening 1 1 $319.00 $239.25 25% off $81.46 $81.46 $81.46 2025-07-31
71250 CPT CT Thorax Wo Contrast 1 1 $319.00 $239.25 25% off $81.46 $81.46 $81.46 2025-07-31
71110 CPT Srt Xr Ribs Bilateral 3v 1 1 $200.00 $150.00 25% off $81.46 $81.46 $81.46 2025-07-31
70450 CPT CT Head Wo Contrast 1 1 $319.00 $239.25 25% off $81.46 $81.46 $81.46 2025-07-31
70490 CPT CT Soft Tissue Neck Wo Contrast 1 1 $534.00 $400.50 25% off $81.46 $81.46 $81.46 2025-07-31
70486 CPT CT Maxillofacial Wo Contrast 1 1 $319.00 $239.25 25% off $81.46 $81.46 $81.46 2025-07-31
70480 CPT CT Orbit Ear Fossa Wo 1 1 $319.00 $239.25 25% off $81.46 $81.46 $81.46 2025-07-31
70250 CPT Srt Xr Skull Limited 1-3v 1 1 $200.00 $150.00 25% off $81.46 $81.46 $81.46 2025-07-31
70260 CPT Srt Xr Skull Complete 5v 1 1 $302.00 $226.50 25% off $81.46 $81.46 $81.46 2025-07-31
70200 CPT Srt Xr Orbit 1 1 $200.00 $150.00 25% off $81.46 $81.46 $81.46 2025-07-31
70150 CPT Srt Xr Facial Bones 3-4v 1 1 $200.00 $150.00 25% off $81.46 $81.46 $81.46 2025-07-31
70110 CPT Srt Xr Mandible 4v 1 1 $200.00 $150.00 25% off $81.46 $81.46 $81.46 2025-07-31
93971 CPT US Venous Doppler Unilateral 1 1 $319.00 $239.25 25% off $81.46 $81.46 $81.46 2025-07-31
93926 CPT US Arterial Leg Unilateral 1 1 $319.00 $239.25 25% off $81.46 $81.46 $81.46 2025-07-31
93976 CPT US Abd Pelvic Scrotal Renal Ltd 1 1 $319.00 $239.25 25% off $81.46 $81.46 $81.46 2025-07-31
93931 CPT US Arterial Arm Unilateral 1 1 $319.00 $239.25 25% off $81.46 $81.46 $81.46 2025-07-31
77076 CPT Srt Xr Bone Survey Infant 1 1 $332.00 $249.00 25% off $81.46 $81.46 $81.46 2025-07-31
77075 CPT Srt Xr Bone Survey Adult 1 1 $307.00 $230.25 25% off $81.46 $81.46 $81.46 2025-07-31
77073 CPT Srt Xr Bone Length 1 1 $200.00 $150.00 25% off $81.46 $81.46 $81.46 2025-07-31
77072 CPT Srt Xr Bone Age Hands And Wrists 1 1 $200.00 $150.00 25% off $81.46 $81.46 $81.46 2025-07-31
76873 CPT US Prostate Volume Study 1 1 $319.00 $239.25 25% off $81.46 $81.46 $81.46 2025-07-31
76882 CPT US Ext Nonvasc Limited 1 1 $319.00 $239.25 25% off $81.46 $81.46 $81.46 2025-07-31
76870 CPT US Scrotum 1 1 $319.00 $239.25 25% off $81.46 $81.46 $81.46 2025-07-31
76856 CPT US Pelvic Complete 1 1 $319.00 $239.25 25% off $81.46 $81.46 $81.46 2025-07-31
75774 CPT Artery Xray Each Addtl Vessel 1 1 $822.00 $616.50 25% off $76.74 $76.74 $76.74 2025-07-31
74018 CPT Srt Xr Abdomen 1v 1 1 $200.00 $150.00 25% off $67.32 $67.32 $67.32 2025-07-31
73565 CPT Srt Xr Knees Bilateral Standing Ap 1 1 $200.00 $150.00 25% off $67.32 $67.32 $67.32 2025-07-31
73110 CPT Srt Xr Navicular 3v 1 1 $200.00 $150.00 25% off $67.32 $67.32 $67.32 2025-07-31
73050 CPT Srt Xr Ac Joints W Or Without Weights 1 1 $200.00 $150.00 25% off $67.32 $67.32 $67.32 2025-07-31
72220 CPT Srt Xr Sacrum & Coccyx 2 View Mins 1 1 $200.00 $150.00 25% off $67.32 $67.32 $67.32 2025-07-31
72081 CPT Srt Xr Scoliosis Series 1v 1 1 $433.00 $324.75 25% off $67.32 $67.32 $67.32 2025-07-31
72040 CPT Srt Xr Spine Cervical Limited 1 1 $200.00 $150.00 25% off $67.32 $67.32 $67.32 2025-07-31
72020 CPT Srt Xr Spine 1v 1 1 $200.00 $150.00 25% off $67.32 $67.32 $67.32 2025-07-31
71130 CPT Srt Xr Sternoclavicular Joint 3v 1 1 $200.00 $150.00 25% off $67.32 $67.32 $67.32 2025-07-31
71120 CPT Srt Xr Sternum 1 1 $200.00 $150.00 25% off $67.32 $67.32 $67.32 2025-07-31
71047 CPT Srt Xr Chest 3v 1 1 $302.00 $226.50 25% off $67.32 $67.32 $67.32 2025-07-31
71046 CPT Srt Xr Chest 2v 1 1 $200.00 $150.00 25% off $67.32 $67.32 $67.32 2025-07-31
71045 CPT Srt Xr Chest 1v 1 1 $200.00 $150.00 25% off $67.32 $67.32 $67.32 2025-07-31
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