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

MISSISSIPPI METHODIST REHAB CTR

Jackson, MS · CCN 250152 · Rates published

4,782 distinct procedures filed
19 distinct payers
54,751 rate rows
2025-03-14 last MRF observed · ⚠ 19 mo old
Data quality

53,997 of 54,751 rate rows are consumer-grade (98.6%)

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

Excluded — reasonRows
per-diem day rate — not a per-procedure price 718
exceeds 10× this hospital's gross charge — excluded from medians 22
percent-of-charges filed in the dollar field — excluded from medians 14

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 19 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbMMRCJACKSONMS&type=CDMWithoutLabel&fileType=CSV
Found on page https://www.methodistonline.org/price-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-27
Content fingerprint 8e6d77fabbd51f63… · 56,317,250 bytes · first seen 2026-05-08

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
L7181
HCPCS 		Electronic Elbow, Microprocessor Simultaneous Control Of Elbow And Terminal Devi… 18 $45,826.54 $110,747.46 $48,632.79 nat. median
$50,516
1.0× median
L7180
HCPCS 		Electronic Elbow, Microprocessor Sequential Control Of Elbow And Terminal Device 18 $36,945.98 $89,286.13 $39,208.42 nat. median
$46,980
0.8× median
L7499
HCPCS 		Upper Extremity Prosthesis, Not Otherwise Specified 8 $270.00 $143,938.60 $30,106.65 nat. median
$1,569
outlier · 19.2×
L5856
HCPCS 		Addition To Lower Extremity Prosthesis, Endoskeletal Knee-shin System, Microproc… 18 $27,455.93 $66,351.83 $29,137.22 nat. median
$30,017
1.0× median
L6880
HCPCS 		Electric Hand, Switch Or Myoelectric Controlled, Independently Articulating Digi… 18 $27,326.32 $66,038.61 $28,999.68 nat. median
$30,019
1.0× median
L5858
HCPCS 		Addition To Lower Extremity Prosthesis, Endoskeletal Knee Shin System, Microproc… 18 $13,486.20 $51,369.24 $22,557.89 nat. median
$23,237
1.0× median
L5973
HCPCS 		Endoskeletal Ankle Foot System, Microprocessor Controlled Feature, Dorsiflexion… 18 $19,677.32 $47,553.52 $20,882.29 nat. median
$21,726
1.0× median
L6975
HCPCS 		Interscapular-thoracic, External Power, Molded Inner Socket, Removable Shoulder… 18 $18,597.85 $44,944.81 $19,736.72 nat. median
$22,826
0.9× median
L6970
HCPCS 		Interscapular-thoracic, External Power, Molded Inner Socket, Removable Shoulder… 18 $17,004.89 $41,095.15 $18,046.20 nat. median
$20,980
0.9× median
L5859
HCPCS 		Addition To Lower Extremity Prosthesis, Endoskeletal Knee-shin System, Powered A… 18 $16,594.58 $40,103.58 $17,610.77 nat. median
$18,321
1.0× median
L6965
HCPCS 		Shoulder Disarticulation, External Power, Molded Inner Socket, Removable Shoulde… 18 $16,319.21 $39,438.09 $17,318.54 nat. median
$19,981
0.9× median
52
MS_DRG 		Spinal Disorders And Injuries With Cc/mcc 5 $15,674.58 $16,547.97 $16,514.64 nat. median
$18,093
0.9× median
53
MS_DRG 		Spinal Disorders And Injuries Without Cc/mcc 5 $7,176.01 $16,514.64 $16,514.64 nat. median
$10,014
1.6× median
L6960
HCPCS 		Shoulder Disarticulation, External Power, Molded Inner Socket, Removable Shoulde… 18 $15,301.13 $36,977.73 $16,238.11 nat. median
$16,650
1.0× median
559
MS_DRG 		Aftercare, Musculoskeletal System And Connective Tissue With Mcc 5 $14,457.16 $15,262.71 $15,126.71 nat. median
$18,115
0.8× median
561
MS_DRG 		Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc 5 $6,368.29 $15,126.71 $15,126.71 nat. median
$8,655
1.7× median
560
MS_DRG 		Aftercare, Musculoskeletal System And Connective Tissue With Cc 5 $8,870.11 $15,126.71 $15,126.71 nat. median
$11,479
1.3× median
L6955
HCPCS 		Above Elbow, External Power, Molded Inner Socket, Removable Humeral Shell, Inter… 18 $13,507.94 $32,644.18 $14,335.11 nat. median
$15,745
0.9× median
L6945
HCPCS 		Elbow Disarticulation, External Power, Molded Inner Socket, Removable Humeral Sh… 18 $12,124.66 $29,301.27 $12,867.13 nat. median
$13,912
0.9× median
L6950
HCPCS 		Above Elbow, External Power, Molded Inner Socket, Removable Humeral Shell, Inter… 18 $11,278.83 $27,257.17 $11,969.51 nat. median
$12,858
0.9× median
L7191
HCPCS 		Electronic Elbow, Child, Variety Village Or Equal, Myoelectronically Controlled 18 $10,453.79 $25,263.34 $11,093.94 nat. median
$13,827
0.8× median
L6935
HCPCS 		Below Elbow, External Power, Self-suspended Inner Socket, Removable Forearm Shel… 18 $10,318.43 $24,936.20 $10,950.30 nat. median
$11,147
1.0× median
95
MS_DRG 		Bacterial And Tuberculous Infections Of Nervous System With Cc 5 $10,860.89 $19,710.53 $10,860.89 nat. median
$23,602
outlier · 0.5×
94
MS_DRG 		Bacterial And Tuberculous Infections Of Nervous System With Mcc 5 $10,860.89 $30,000.79 $10,860.89 nat. median
$33,408
outlier · 0.3×
L6925
HCPCS 		Wrist Disarticulation, External Power, Self-suspended Inner Socket, Removable Fo… 18 $10,160.75 $24,555.16 $10,782.97 nat. median
$10,846
1.0× median
L7186
HCPCS 		Electronic Elbow, Child, Variety Village Or Equal, Switch Controlled 18 $10,004.19 $24,176.79 $10,616.81 nat. median
$13,302
0.8× median
L6940
HCPCS 		Elbow Disarticulation, External Power, Molded Inner Socket, Removable Humeral Sh… 18 $9,922.95 $23,980.46 $10,530.60 nat. median
$12,193
0.9× median
L5857
HCPCS 		Addition To Lower Extremity Prosthesis, Endoskeletal Knee-shin System, Microproc… 18 $9,742.37 $23,544.06 $10,338.95 nat. median
$10,749
1.0× median
K1014
HCPCS 		Addition, Endoskeletal Knee-shin System, 4 Bar Linkage Or Multiaxial, Fluid Swin… 8 $6,320.74 $15,275.11 $9,481.10 nat. median
$8,507
1.1× median
L7190
HCPCS 		Electronic Elbow, Adolescent, Variety Village Or Equal, Myoelectronically Contro… 18 $8,730.34 $21,098.33 $9,264.96 nat. median
$10,857
0.9× median
L7170
HCPCS 		Electronic Elbow, Hosmer Or Equal, Switch Controlled 18 $8,417.00 $20,341.09 $8,932.42 nat. median
$9,290
1.0× median
288
MS_DRG 		Acute And Subacute Endocarditis With Mcc 5 $8,921.12 $22,459.48 $8,921.12 nat. median
$25,712
outlier · 0.3×
L7185
HCPCS 		Electronic Elbow, Adolescent, Variety Village Or Equal, Switch Controlled 18 $8,311.91 $20,087.11 $8,820.90 nat. median
$9,262
1.0× median
L5987
HCPCS 		All Lower Extremity Prosthesis, Shank Foot System With Vertical Loading Pylon 18 $8,227.61 $19,883.40 $8,731.44 nat. median
$8,991
1.0× median
945
MS_DRG 		Rehabilitation With Cc/mcc 3 $8,298.92 $8,298.92 $8,298.92 nat. median
$14,842
0.6× median
946
MS_DRG 		Rehabilitation Without Cc/mcc 3 $8,298.92 $8,298.92 $8,298.92 nat. median
$11,197
0.7× median
841
MS_DRG 		Lymphoma And Non-acute Leukemia With Cc 5 $8,238.22 $12,892.84 $8,238.22 nat. median
$15,878
0.5× median
L6930
HCPCS 		Below Elbow, External Power, Self-suspended Inner Socket, Removable Forearm Shel… 18 $7,594.69 $18,353.84 $8,059.76 nat. median
$9,632
0.8× median
59
MS_DRG 		Multiple Sclerosis And Cerebellar Ataxia With Cc 5 $8,017.88 $10,060.84 $8,017.88 nat. median
$12,342
0.6× median
58
MS_DRG 		Multiple Sclerosis And Cerebellar Ataxia With Mcc 5 $8,017.88 $15,177.19 $8,017.88 nat. median
$16,817
outlier · 0.5×
L6920
HCPCS 		Wrist Disarticulation, External Power, Self-suspended Inner Socket, Removable Fo… 18 $7,547.88 $18,240.71 $8,010.09 nat. median
$9,420
0.9× median
97
MS_DRG 		Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 5 $7,960.19 $29,477.81 $7,960.19 nat. median
$33,167
outlier · 0.2×
91
MS_DRG 		Other Disorders Of Nervous System With Mcc 5 $7,118.14 $14,988.88 $7,118.14 nat. median
$17,061
outlier · 0.4×
92
MS_DRG 		Other Disorders Of Nervous System With Cc 5 $7,118.14 $8,706.51 $7,118.14 nat. median
$10,605
0.7× median
93
MS_DRG 		Other Disorders Of Nervous System Without Cc/mcc 5 $6,147.86 $7,118.14 $7,118.14 nat. median
$8,471
0.8× median
65
MS_DRG 		Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 5 $6,964.54 $8,362.79 $6,964.54 nat. median
$10,473
0.7× median
74
MS_DRG 		Cranial And Peripheral Nerve Disorders Without Mcc 5 $6,817.52 $8,571.66 $6,817.52 nat. median
$10,485
0.7× median
73
MS_DRG 		Cranial And Peripheral Nerve Disorders With Mcc 5 $6,817.52 $12,708.65 $6,817.52 nat. median
$15,343
outlier · 0.4×
L5615
HCPCS 		Addition, Endoskeletal Knee-shin System, 4 Bar Linkage Or Multiaxial, Fluid Swin… 18 $6,320.74 $15,275.11 $6,707.80 nat. median
$7,274
0.9× median
L7008
HCPCS 		Electric Hand, Switch Or Myoelectric, Controlled, Pediatric 18 $6,125.27 $14,802.73 $6,500.36 nat. median
$7,523
0.9× median

Other procedures at this hospital

Browse this hospital's 4,782 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
             
L7181 HCPCS Electronic Elbow, Microprocessor Simultaneous Control Of Elbow And Terminal Devi… 21 18 $76,377.56 $43,535.21 43% off $45,826.54 $110,747.46 $48,632.79 2025-03-14
L7180 HCPCS Electronic Elbow, Microprocessor Sequential Control Of Elbow And Terminal Device 21 18 $61,576.64 $35,098.68 43% off $36,945.98 $89,286.13 $39,208.42 2025-03-14
L7499 HCPCS Upper Extremity Prosthesis, Not Otherwise Specified 16 8 $49,859.00 $256.50 99% off $270.00 $143,938.60 $30,106.65 2025-03-14
L5856 HCPCS Addition To Lower Extremity Prosthesis, Endoskeletal Knee-shin System, Microproc… 21 18 $45,759.88 $26,083.13 43% off $27,455.93 $66,351.83 $29,137.22 2025-03-14
L6880 HCPCS Electric Hand, Switch Or Myoelectric Controlled, Independently Articulating Digi… 21 18 $45,543.87 $25,960.01 43% off $27,326.32 $66,038.61 $28,999.68 2025-03-14
L5858 HCPCS Addition To Lower Extremity Prosthesis, Endoskeletal Knee Shin System, Microproc… 28 18 $35,427.06 $20,193.42 43% off $13,486.20 $51,369.24 $22,557.89 2025-03-14
L5973 HCPCS Endoskeletal Ankle Foot System, Microprocessor Controlled Feature, Dorsiflexion … 21 18 $32,795.53 $18,693.45 43% off $19,677.32 $47,553.52 $20,882.29 2025-03-14
L6975 HCPCS Interscapular-thoracic, External Power, Molded Inner Socket, Removable Shoulder … 21 18 $30,996.42 $17,667.96 43% off $18,597.85 $44,944.81 $19,736.72 2025-03-14
L6970 HCPCS Interscapular-thoracic, External Power, Molded Inner Socket, Removable Shoulder … 21 18 $28,341.48 $16,154.64 43% off $17,004.89 $41,095.15 $18,046.20 2025-03-14
L5859 HCPCS Addition To Lower Extremity Prosthesis, Endoskeletal Knee-shin System, Powered A… 19 18 $27,657.64 $15,764.85 43% off $16,594.58 $40,103.58 $17,610.77 2025-03-14
L6965 HCPCS Shoulder Disarticulation, External Power, Molded Inner Socket, Removable Shoulde… 21 18 $27,198.68 $15,503.25 43% off $16,319.21 $39,438.09 $17,318.54 2025-03-14
53 MS_DRG Spinal Disorders And Injuries Without Cc/mcc 5 5 $19,990.93 $349,841.28 $7,176.01 $16,514.64 $16,514.64 2025-03-14
52 MS_DRG Spinal Disorders And Injuries With Cc/mcc 5 5 $33,039.03 $578,182.98 $15,674.58 $16,547.97 $16,514.64 2025-03-14
L6960 HCPCS Shoulder Disarticulation, External Power, Molded Inner Socket, Removable Shoulde… 21 18 $25,501.88 $14,536.07 43% off $15,301.13 $36,977.73 $16,238.11 2025-03-14
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 5 5 $36,484.60 $638,480.49 $14,457.16 $15,262.71 $15,126.71 2025-03-14
561 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc 5 5 $28,575.56 $500,072.25 $6,368.29 $15,126.71 $15,126.71 2025-03-14
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 5 5 $33,546.96 $587,071.77 $8,870.11 $15,126.71 $15,126.71 2025-03-14
L6955 HCPCS Above Elbow, External Power, Molded Inner Socket, Removable Humeral Shell, Inter… 21 18 $22,513.23 $12,832.54 43% off $13,507.94 $32,644.18 $14,335.11 2025-03-14
L6945 HCPCS Elbow Disarticulation, External Power, Molded Inner Socket, Removable Humeral Sh… 21 18 $20,207.77 $11,518.43 43% off $12,124.66 $29,301.27 $12,867.13 2025-03-14
L6950 HCPCS Above Elbow, External Power, Molded Inner Socket, Removable Humeral Shell, Inter… 21 18 $18,798.05 $10,714.89 43% off $11,278.83 $27,257.17 $11,969.51 2025-03-14
L7191 HCPCS Electronic Elbow, Child, Variety Village Or Equal, Myoelectronically Controlled 21 18 $17,422.99 $9,931.10 43% off $10,453.79 $25,263.34 $11,093.94 2025-03-14
L6935 HCPCS Below Elbow, External Power, Self-suspended Inner Socket, Removable Forearm Shel… 21 18 $17,197.38 $9,802.51 43% off $10,318.43 $24,936.20 $10,950.30 2025-03-14
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 5 5 $43,796.11 $766,431.93 $10,860.89 $30,000.79 $10,860.89 2025-03-14
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 5 5 $49,808.03 $871,640.53 $10,860.89 $19,710.53 $10,860.89 2025-03-14
L6925 HCPCS Wrist Disarticulation, External Power, Self-suspended Inner Socket, Removable Fo… 21 18 $16,934.59 $9,652.72 43% off $10,160.75 $24,555.16 $10,782.97 2025-03-14
L7186 HCPCS Electronic Elbow, Child, Variety Village Or Equal, Switch Controlled 21 18 $16,673.65 $9,503.98 43% off $10,004.19 $24,176.79 $10,616.81 2025-03-14
L6940 HCPCS Elbow Disarticulation, External Power, Molded Inner Socket, Removable Humeral Sh… 21 18 $16,538.25 $9,426.80 43% off $9,922.95 $23,980.46 $10,530.60 2025-03-14
L5857 HCPCS Addition To Lower Extremity Prosthesis, Endoskeletal Knee-shin System, Microproc… 21 18 $16,237.28 $9,255.25 43% off $9,742.37 $23,544.06 $10,338.95 2025-03-14
K1014 HCPCS Addition, Endoskeletal Knee-shin System, 4 Bar Linkage Or Multiaxial, Fluid Swin… 8 8 $10,534.56 $6,004.70 43% off $6,320.74 $15,275.11 $9,481.10 2025-03-14
L7190 HCPCS Electronic Elbow, Adolescent, Variety Village Or Equal, Myoelectronically Contro… 21 18 $14,550.57 $8,293.82 43% off $8,730.34 $21,098.33 $9,264.96 2025-03-14
L7170 HCPCS Electronic Elbow, Hosmer Or Equal, Switch Controlled 21 18 $14,028.34 $7,996.15 43% off $8,417.00 $20,341.09 $8,932.42 2025-03-14
288 MS_DRG Acute And Subacute Endocarditis With Mcc 5 5 $46,495.35 $813,668.63 $8,921.12 $22,459.48 $8,921.12 2025-03-14
L7185 HCPCS Electronic Elbow, Adolescent, Variety Village Or Equal, Switch Controlled 21 18 $13,853.18 $7,896.31 43% off $8,311.91 $20,087.11 $8,820.90 2025-03-14
L5987 HCPCS All Lower Extremity Prosthesis, Shank Foot System With Vertical Loading Pylon 21 18 $13,712.69 $7,816.23 43% off $8,227.61 $19,883.40 $8,731.44 2025-03-14
946 MS_DRG Rehabilitation Without Cc/mcc 3 3 $28,934.38 $506,351.67 $8,298.92 $8,298.92 $8,298.92 2025-03-14
945 MS_DRG Rehabilitation With Cc/mcc 3 3 $37,727.77 $660,235.97 $8,298.92 $8,298.92 $8,298.92 2025-03-14
841 MS_DRG Lymphoma And Non-acute Leukemia With Cc 5 5 $33,776.46 $591,088.05 $8,238.22 $12,892.84 $8,238.22 2025-03-14
L6930 HCPCS Below Elbow, External Power, Self-suspended Inner Socket, Removable Forearm Shel… 21 18 $12,657.82 $7,214.96 43% off $7,594.69 $18,353.84 $8,059.76 2025-03-14
58 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Mcc 5 5 $53,046.61 $928,315.68 $8,017.88 $15,177.19 $8,017.88 2025-03-14
59 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Cc 5 5 $46,125.71 $807,199.84 $8,017.88 $10,060.84 $8,017.88 2025-03-14
L6920 HCPCS Wrist Disarticulation, External Power, Self-suspended Inner Socket, Removable Fo… 21 18 $12,579.80 $7,170.49 43% off $7,547.88 $18,240.71 $8,010.09 2025-03-14
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 5 5 $34,476.20 $603,333.50 $7,960.19 $29,477.81 $7,960.19 2025-03-14
93 MS_DRG Other Disorders Of Nervous System Without Cc/mcc 5 5 $27,517.79 $481,561.32 $6,147.86 $7,118.14 $7,118.14 2025-03-14
91 MS_DRG Other Disorders Of Nervous System With Mcc 5 5 $36,335.68 $635,874.41 $7,118.14 $14,988.88 $7,118.14 2025-03-14
92 MS_DRG Other Disorders Of Nervous System With Cc 5 5 $36,820.29 $644,355.00 $7,118.14 $8,706.51 $7,118.14 2025-03-14
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 5 5 $24,885.09 $435,489.08 $6,964.54 $8,362.79 $6,964.54 2025-03-14
74 MS_DRG Cranial And Peripheral Nerve Disorders Without Mcc 5 5 $33,869.32 $592,713.09 $6,817.52 $8,571.66 $6,817.52 2025-03-14
73 MS_DRG Cranial And Peripheral Nerve Disorders With Mcc 5 5 $37,678.29 $659,369.99 $6,817.52 $12,708.65 $6,817.52 2025-03-14
L5615 HCPCS Addition, Endoskeletal Knee-shin System, 4 Bar Linkage Or Multiaxial, Fluid Swin… 21 18 $10,534.56 $6,004.70 43% off $6,320.74 $15,275.11 $6,707.80 2025-03-14
L7008 HCPCS Electric Hand, Switch Or Myoelectric, Controlled, Pediatric 21 18 $10,208.78 $5,819.00 43% off $6,125.27 $14,802.73 $6,500.36 2025-03-14
L5341 HCPCS Hemipelvectomy, Canadian Type, Molded Socket, Endoskeletal System, Hip Joint, Si… 21 18 $9,969.38 $5,682.55 43% off $5,981.63 $14,455.60 $6,347.92 2025-03-14
L5250 HCPCS Hip Disarticulation, Canadian Type; Molded Socket, Hip Joint, Single Axis Consta… 21 18 $9,780.28 $5,574.76 43% off $5,868.17 $14,181.41 $6,227.51 2025-03-14
L5270 HCPCS Hip Disarticulation, Tilt Table Type; Molded Socket, Locking Hip Joint, Single A… 21 18 $9,736.90 $5,550.03 43% off $5,842.14 $14,118.51 $6,199.89 2025-03-14
L5280 HCPCS Hemipelvectomy, Canadian Type; Molded Socket, Hip Joint, Single Axis Constant Fr… 21 18 $9,662.34 $5,507.53 43% off $5,797.40 $14,010.39 $6,152.41 2025-03-14
549 MS_DRG Septic Arthritis With Cc 5 5 $41,817.39 $731,804.24 $6,106.39 $9,908.72 $6,106.39 2025-03-14
L5331 HCPCS Hip Disarticulation, Canadian Type, Molded Socket, Endoskeletal System, Hip Join… 21 18 $9,576.66 $5,458.70 43% off $5,746.00 $13,886.16 $6,097.87 2025-03-14
281 MS_DRG Acute Myocardial Infarction, Discharged Alive With Cc 5 5 $29,068.55 $508,699.63 $6,090.50 $7,579.96 $6,090.50 2025-03-14
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 5 5 $44,692.44 $782,117.70 $6,090.50 $13,498.05 $6,090.50 2025-03-14
L6026 HCPCS Transcarpal/metacarpal Or Partial Hand Disarticulation Prosthesis, External Powe… 21 18 $9,422.85 $5,371.02 43% off $5,653.71 $13,663.13 $5,999.92 2025-03-14
545 MS_DRG Connective Tissue Disorders With Mcc 5 5 $46,409.83 $812,172.03 $5,927.33 $20,777.05 $5,927.33 2025-03-14
56 MS_DRG Degenerative Nervous System Disorders With Mcc 5 5 $39,595.15 $692,915.09 $5,882.22 $20,590.39 $5,882.22 2025-03-14
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 5 5 $36,571.03 $639,993.05 $5,882.22 $10,975.24 $5,882.22 2025-03-14
E0770 HCPCS Functional Electrical Stimulator, Transcutaneous Stimulation Of Nerve And/or Mus… 8 8 $7,500.00 $4,275.00 43% off $4,500.00 $10,875.00 $5,812.50 2025-03-14
55 MS_DRG Nervous System Neoplasms Without Mcc 5 5 $31,344.99 $548,537.33 $5,697.43 $8,970.47 $5,697.43 2025-03-14
54 MS_DRG Nervous System Neoplasms With Mcc 5 5 $25,251.88 $441,907.90 $5,697.43 $12,327.10 $5,697.43 2025-03-14
178 MS_DRG Respiratory Infections And Inflammations With Cc 5 5 $27,632.29 $483,565.08 $5,562.67 $8,158.04 $5,562.67 2025-03-14
L5961 HCPCS Addition, Endoskeletal System, Polycentric Hip Joint, Pneumatic Or Hydraulic Con… 21 18 $8,665.12 $4,939.12 43% off $5,199.07 $12,564.42 $5,517.45 2025-03-14
70 MS_DRG Other Cerebrovascular Disorders With Mcc 5 5 $31,801.43 $556,525.01 $5,488.83 $14,297.33 $5,488.83 2025-03-14
71 MS_DRG Other Cerebrovascular Disorders With Cc 5 5 $36,610.54 $640,684.49 $5,488.83 $8,665.40 $5,488.83 2025-03-14
72 MS_DRG Other Cerebrovascular Disorders Without Cc/mcc 5 5 $33,508.05 $586,390.88 $5,488.83 $6,168.07 $5,488.83 2025-03-14
L5600 HCPCS Preparatory, Hip Disarticulation-hemipelvectomy, Pylon, No Cover, Sach Foot, Lam… 21 18 $8,605.27 $4,905.00 43% off $5,163.16 $12,477.64 $5,479.34 2025-03-14
551 MS_DRG Medical Back Problems With Mcc 5 5 $36,040.29 $630,705.05 $5,294.32 $14,030.90 $5,294.32 2025-03-14
552 MS_DRG Medical Back Problems Without Mcc 5 5 $29,733.73 $520,340.30 $5,294.32 $7,925.33 $5,294.32 2025-03-14
869 MS_DRG Other Infectious And Parasitic Diseases Diagnoses Without Cc/mcc 5 5 $34,614.49 $605,753.58 $5,255.48 $5,916.45 $5,255.48 2025-03-14
L6570 HCPCS Interscapular Thoracic, Molded Socket, Endoskeletal System, Including Soft Prost… 21 18 $8,250.29 $4,702.67 43% off $4,950.17 $11,962.92 $5,253.31 2025-03-14
L5702 HCPCS Replacement, Socket, Hip Disarticulation, Including Hip Joint, Molded To Patient… 21 18 $8,205.69 $4,677.24 43% off $4,923.41 $11,898.25 $5,224.90 2025-03-14
L5782 HCPCS Addition To Lower Limb Prosthesis, Vacuum Pump, Residual Limb Volume Management … 21 18 $8,040.63 $4,583.16 43% off $4,824.38 $11,658.91 $5,119.81 2025-03-14
L5595 HCPCS Preparatory, Hip Disarticulation-hemipelvectomy, Pylon, No Cover, Sach Foot, The… 20 18 $8,005.26 $4,563.00 43% off $4,803.16 $11,607.63 $5,097.28 2025-03-14
977 MS_DRG HIV With Or Without Other Related Condition 5 5 $23,995.73 $419,925.28 $5,091.50 $11,855.92 $5,091.50 2025-03-14
L2005 HCPCS Knee Ankle Foot Orthosis, Any Material, Single Or Double Upright, Stance Control… 21 18 $7,795.88 $4,443.65 43% off $4,677.53 $11,304.03 $4,963.96 2025-03-14
L6881 HCPCS Automatic Grasp Feature, Addition To Upper Limb Electric Prosthetic Terminal Dev… 21 18 $7,792.94 $4,441.98 43% off $4,675.76 $11,299.76 $4,962.09 2025-03-14
L5781 HCPCS Addition To Lower Limb Prosthesis, Vacuum Pump, Residual Limb Volume Management … 21 18 $7,627.04 $4,347.41 43% off $4,576.22 $11,059.21 $4,856.45 2025-03-14
L5321 HCPCS Above Knee, Molded Socket, Open End, Sach Foot, Endoskeletal System, Single Axis… 21 18 $7,515.82 $4,284.02 43% off $4,509.49 $10,897.94 $4,785.63 2025-03-14
L5312 HCPCS Knee Disarticulation (or Through Knee), Molded Socket, Single Axis Knee, Pylon, … 21 18 $7,422.01 $4,230.55 43% off $4,453.21 $10,761.91 $4,725.90 2025-03-14
L6350 HCPCS Interscapular Thoracic, Molded Socket, Shoulder Bulkhead, Humeral Section, Inter… 21 18 $7,383.31 $4,208.49 43% off $4,429.99 $10,705.80 $4,701.26 2025-03-14
L6550 HCPCS Shoulder Disarticulation, Molded Socket, Endoskeletal System, Including Soft Pro… 21 18 $7,348.41 $4,188.59 43% off $4,409.05 $10,655.19 $4,679.03 2025-03-14
L5160 HCPCS Knee Disarticulation (or Through Knee), Molded Socket, Bent Knee Configuration, … 21 18 $7,199.83 $4,103.90 43% off $4,319.90 $10,439.75 $4,584.44 2025-03-14
L6624 HCPCS Upper Extremity Addition, Flexion/extension And Rotation Wrist Unit 21 18 $7,178.85 $4,091.94 43% off $4,307.31 $10,409.33 $4,571.07 2025-03-14
L5230 HCPCS Above Knee, For Proximal Femoral Focal Deficiency, Constant Friction Knee, Shin,… 21 18 $7,170.76 $4,087.33 43% off $4,302.46 $10,397.60 $4,565.92 2025-03-14
103 MS_DRG Headaches Without Mcc 5 5 $34,237.78 $599,161.15 $4,563.90 $6,991.19 $4,563.90 2025-03-14
L5814 HCPCS Addition, Endoskeletal Knee-shin System, Polycentric, Hydraulic Swing Phase Cont… 21 18 $7,079.39 $4,035.25 43% off $4,247.63 $10,265.12 $4,507.74 2025-03-14
303 MS_DRG Atherosclerosis Without Mcc 5 5 $23,001.25 $402,521.88 $4,484.83 $5,529.15 $4,484.83 2025-03-14
302 MS_DRG Atherosclerosis With Mcc 5 5 $52,354.09 $916,196.58 $4,484.83 $9,564.99 $4,484.83 2025-03-14
L6300 HCPCS Shoulder Disarticulation, Molded Socket, Shoulder Bulkhead, Humeral Section, Int… 21 18 $7,022.72 $4,002.95 43% off $4,213.63 $10,182.94 $4,471.65 2025-03-14
L5980 HCPCS All Lower Extremity Prostheses, Flex Foot System 21 18 $6,988.93 $3,983.69 43% off $4,193.36 $10,133.95 $4,450.15 2025-03-14
L8035 HCPCS Custom Breast Prosthesis, Post Mastectomy, Molded To Patient Model 21 18 $6,983.58 $3,980.64 43% off $4,190.15 $10,126.19 $4,446.73 2025-03-14
884 MS_DRG Organic Disturbances And Intellectual Disability 5 5 $44,635.56 $781,122.30 $4,440.20 $13,733.23 $4,440.20 2025-03-14
L5968 HCPCS Addition To Lower Limb Prosthesis, Multiaxial Ankle With Swing Phase Active Dors… 21 18 $6,926.98 $3,948.38 43% off $4,156.19 $10,044.12 $4,410.70 2025-03-14
L5200 HCPCS Above Knee, Molded Socket, Single Axis Constant Friction Knee, Shin, Sach Foot 21 18 $6,894.85 $3,930.06 43% off $4,136.91 $9,997.53 $4,390.25 2025-03-14
L6205 HCPCS Elbow Disarticulation, Molded Socket With Expandable Interface, Outside Locking … 21 18 $6,864.26 $3,912.63 43% off $4,118.56 $9,953.18 $4,370.76 2025-03-14
949 MS_DRG Aftercare With Cc/mcc 5 5 $37,339.81 $653,446.61 $4,314.92 $8,871.79 $4,314.92 2025-03-14
950 MS_DRG Aftercare Without Cc/mcc 5 5 $32,484.74 $568,482.90 $4,314.92 $4,819.50 $4,314.92 2025-03-14
101 MS_DRG Seizures Without Mcc 5 5 $18,269.05 $319,708.38 $4,289.74 $7,578.32 $4,289.74 2025-03-14
309 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Cc 5 5 $38,790.38 $678,831.65 $4,250.72 $6,079.26 $4,250.72 2025-03-14
L6885 HCPCS Replacement Socket, Shoulder Disarticulation/interscapular Thoracic, Molded To P… 21 18 $6,640.12 $3,784.87 43% off $3,984.07 $9,628.17 $4,228.03 2025-03-14
L6360 HCPCS Interscapular Thoracic, Passive Restoration (complete Prosthesis) 21 18 $6,640.12 $3,784.87 43% off $3,984.07 $9,628.17 $4,228.03 2025-03-14
L5150 HCPCS Knee Disarticulation (or Through Knee), Molded Socket, External Knee Joints, Shi… 21 18 $6,619.44 $3,773.08 43% off $3,971.66 $9,598.19 $4,214.88 2025-03-14
L7009 HCPCS Electric Hook, Switch Or Myoelectric Controlled, Adult 21 18 $6,618.09 $3,772.31 43% off $3,970.85 $9,596.23 $4,214.02 2025-03-14
L5840 HCPCS Addition, Endoskeletal Knee/shin System, 4-bar Linkage Or Multiaxial, Pneumatic … 21 18 $6,613.52 $3,769.71 43% off $3,968.11 $9,589.60 $4,211.10 2025-03-14
L5105 HCPCS Below Knee, Plastic Socket, Joints And Thigh Lacer, Sach Foot 21 18 $6,548.30 $3,732.53 43% off $3,928.98 $9,495.04 $4,169.58 2025-03-14
L7007 HCPCS Electric Hand, Switch Or Myoelectric Controlled, Adult 21 18 $6,486.32 $3,697.20 43% off $3,891.79 $9,405.16 $4,130.11 2025-03-14
L5701 HCPCS Replacement, Socket, Above Knee/knee Disarticulation, Including Attachment Plate… 21 18 $6,485.98 $3,697.01 43% off $3,891.59 $9,404.67 $4,129.89 2025-03-14
L5930 HCPCS Addition, Endoskeletal System, High Activity Knee Control Frame 21 18 $6,416.05 $3,657.15 43% off $3,849.63 $9,303.27 $4,085.36 2025-03-14
947 MS_DRG Signs And Symptoms With Mcc 5 5 $38,052.35 $665,916.18 $4,020.34 $10,575.60 $4,020.34 2025-03-14
948 MS_DRG Signs And Symptoms Without Mcc 5 5 $32,165.11 $562,889.40 $4,020.34 $6,533.17 $4,020.34 2025-03-14
L6648 HCPCS Upper Extremity Addition, Shoulder Lock Mechanism, External Powered Actuator 21 18 $6,200.63 $3,534.36 43% off $3,720.38 $8,990.91 $3,948.20 2025-03-14
L3904 HCPCS Wrist Hand Finger Orthosis, External Powered, Electric, Custom Fabricated 21 18 $6,173.90 $3,519.12 43% off $3,704.34 $8,952.16 $3,931.19 2025-03-14
L6500 HCPCS Above Elbow, Molded Socket, Endoskeletal System, Including Soft Prosthetic Tissu… 21 18 $6,113.40 $3,484.64 43% off $3,668.04 $8,864.43 $3,892.65 2025-03-14
L1005 HCPCS Tension Based Scoliosis Orthosis And Accessory Pads, Includes Fitting And Adjust… 21 18 $6,089.23 $3,470.86 43% off $3,653.54 $8,829.38 $3,877.26 2025-03-14
L6310 HCPCS Shoulder Disarticulation, Passive Restoration (complete Prosthesis) 21 18 $6,063.81 $3,456.37 43% off $3,638.29 $8,792.52 $3,861.08 2025-03-14
L6715 HCPCS Terminal Device, Multiple Articulating Digit, Includes Motor(s), Initial Issue O… 21 18 $6,018.15 $3,430.35 43% off $3,610.89 $8,726.32 $3,832.00 2025-03-14
L6646 HCPCS Upper Extremity Addition, Shoulder Joint, Multipositional Locking, Flexion, Adju… 20 18 $6,012.14 $3,426.92 43% off $3,607.28 $8,717.60 $3,828.18 2025-03-14
L5826 HCPCS Addition, Endoskeletal Knee-shin System, Single Axis, Hydraulic Swing Phase Cont… 21 18 $5,952.83 $3,393.11 43% off $3,571.70 $8,631.60 $3,790.41 2025-03-14
L6882 HCPCS Microprocessor Control Feature, Addition To Upper Limb Prosthetic Terminal Devic… 21 18 $5,911.42 $3,369.51 43% off $3,546.85 $8,571.56 $3,764.05 2025-03-14
L6450 HCPCS Elbow Disarticulation, Molded Socket, Endoskeletal System, Including Soft Prosth… 21 18 $5,843.42 $3,330.75 43% off $3,506.05 $8,472.96 $3,720.76 2025-03-14
L5981 HCPCS All Lower Extremity Prostheses, Flex-walk System Or Equal 21 18 $5,646.11 $3,218.28 43% off $3,387.67 $8,186.86 $3,595.12 2025-03-14
L0830 HCPCS Halo Procedure, Cervical Halo Incorporated Into Milwaukee Type Orthosis 21 18 $5,548.15 $3,162.45 43% off $3,328.89 $8,044.82 $3,532.74 2025-03-14
L6588 HCPCS Preparatory, Shoulder Disarticulation Or Interscapular Thoracic, Single Wall Pla… 21 18 $5,501.59 $3,135.91 43% off $3,300.95 $7,977.31 $3,503.09 2025-03-14
L5585 HCPCS Preparatory, Above Knee - Knee Disarticulation, Ischial Level Socket, Non-aligna… 21 18 $5,472.21 $3,119.16 43% off $3,283.33 $7,934.70 $3,484.39 2025-03-14
L6693 HCPCS Upper Extremity Addition, Locking Elbow, Forearm Counterbalance 21 18 $5,411.64 $3,084.63 43% off $3,246.98 $7,846.88 $3,445.81 2025-03-14
L5700 HCPCS Replacement, Socket, Below Knee, Molded To Patient Model 21 18 $5,400.81 $3,078.46 43% off $3,240.49 $7,831.17 $3,438.92 2025-03-14
L6250 HCPCS Above Elbow, Molded Double Wall Socket, Internal Locking Elbow, Forearm 21 18 $5,388.00 $3,071.16 43% off $3,232.80 $7,812.60 $3,430.77 2025-03-14
L5828 HCPCS Addition, Endoskeletal Knee-shin System, Single Axis, Fluid Swing And Stance Pha… 21 18 $5,323.04 $3,034.13 43% off $3,193.82 $7,718.41 $3,389.41 2025-03-14
L7040 HCPCS Prehensile Actuator, Switch Controlled 21 18 $5,314.07 $3,029.02 43% off $3,188.44 $7,705.40 $3,383.69 2025-03-14
L6590 HCPCS Preparatory, Shoulder Disarticulation Or Interscapular Thoracic, Single Wall Soc… 21 18 $5,225.63 $2,978.61 43% off $3,135.38 $7,577.16 $3,327.38 2025-03-14
L5060 HCPCS Ankle, Symes, Metal Frame, Molded Leather Socket, Articulated Ankle/foot 21 18 $5,206.32 $2,967.60 43% off $3,123.79 $7,549.16 $3,315.08 2025-03-14
L5220 HCPCS Above Knee, Short Prosthesis, No Knee Joint ('stubbies'), With Articulated Ankle… 21 18 $5,199.23 $2,963.56 43% off $3,119.54 $7,538.88 $3,310.57 2025-03-14
L5301 HCPCS Below Knee, Molded Socket, Shin, Sach Foot, Endoskeletal System 21 18 $5,185.03 $2,955.47 43% off $3,111.02 $7,518.29 $3,301.52 2025-03-14
L6200 HCPCS Elbow Disarticulation, Molded Socket, Outside Locking Hinge, Forearm 21 18 $5,142.36 $2,931.15 43% off $3,085.42 $7,456.42 $3,274.36 2025-03-14
L6055 HCPCS Wrist Disarticulation, Molded Socket With Expandable Interface, Flexible Elbow H… 21 18 $4,990.62 $2,844.65 43% off $2,994.37 $7,236.40 $3,177.74 2025-03-14
L6130 HCPCS Below Elbow, Molded Double Wall Split Socket, Stump Activated Locking Hinge, Hal… 20 18 $4,879.66 $2,781.41 43% off $2,927.80 $7,075.51 $3,107.08 2025-03-14
L5783 HCPCS Addition To Lower Extremity, User Adjustable, Mechanical, Residual Limb Volume M… 19 18 $4,850.14 $2,764.58 43% off $2,910.08 $7,032.70 $3,088.30 2025-03-14
L6384 HCPCS Immediate Post Surgical Or Early Fitting, Application Of Initial Rigid Dressing … 21 18 $4,791.88 $2,731.37 43% off $2,875.13 $6,948.23 $3,051.19 2025-03-14
554 MS_DRG Bone Diseases And Arthropathies Without Mcc 5 5 $3,036.98 $53,147.15 $3,036.98 $6,500.70 $3,036.98 2025-03-14
L6638 HCPCS Upper Extremity Addition To Prosthesis, Electric Locking Feature, Only For Use W… 21 18 $4,766.88 $2,717.12 43% off $2,860.13 $6,911.98 $3,035.27 2025-03-14
L0810 HCPCS Halo Procedure, Cervical Halo Incorporated Into Jacket Vest 20 18 $4,749.95 $2,707.47 43% off $2,849.97 $6,887.43 $3,024.50 2025-03-14
L5613 HCPCS Addition To Lower Extremity, Endoskeletal System, Above Knee-knee Disarticulatio… 21 18 $4,748.30 $2,706.53 43% off $2,848.98 $6,885.04 $3,023.44 2025-03-14
53605 HCPCS Dilation Of Narrowing Of Urethra In Male Under General Or Spinal Anesthesia 19 19 $3,815.00 $1,640.45 57% off $2,289.00 $5,531.75 $3,018.12 2025-03-14
52224 HCPCS Destruction Of Growth Of Bladder And Urethra Using An Endoscope, Less Than 0.5 C… 19 19 $3,815.00 $1,640.45 57% off $2,289.00 $5,531.75 $3,018.12 2025-03-14
L5210 HCPCS Above Knee, Short Prosthesis, No Knee Joint ('stubbies'), With Foot Blocks, No A… 21 18 $4,574.04 $2,607.20 43% off $2,744.42 $6,632.36 $2,912.48 2025-03-14
2608566 CDM Baclofen Inth Kit# 8566iv 7 7 $4,686.50 — $1,874.60 $3,749.20 $2,899.07 2025-03-14
L5100 HCPCS Below Knee, Molded Socket, Shin, Sach Foot 21 18 $4,536.05 $2,585.55 43% off $2,721.63 $6,577.27 $2,888.29 2025-03-14
L5590 HCPCS Preparatory, Above Knee - Knee Disarticulation Ischial Level Socket, Non-alignab… 21 18 $4,531.35 $2,582.87 43% off $2,718.81 $6,570.46 $2,885.30 2025-03-14
L5050 HCPCS Ankle, Symes, Molded Socket, Sach Foot 21 18 $4,526.04 $2,579.84 43% off $2,715.62 $6,562.76 $2,881.93 2025-03-14
L5649 HCPCS Addition To Lower Extremity, Ischial Containment/narrow M-l Socket 21 18 $4,496.93 $2,563.25 43% off $2,698.16 $6,520.55 $2,863.38 2025-03-14
L5728 HCPCS Addition, Exoskeletal Knee-shin System, Single Axis, Fluid Swing And Stance Phas… 21 18 $4,485.29 $2,556.62 43% off $2,691.17 $6,503.67 $2,855.97 2025-03-14
L6120 HCPCS Below Elbow, Molded Double Wall Split Socket, Step-up Hinges, Half Cuff 21 18 $4,484.22 $2,556.01 43% off $2,690.53 $6,502.12 $2,855.29 2025-03-14
L6721 HCPCS Terminal Device, Hook Or Hand, Heavy Duty, Mechanical, Voluntary Opening, Any Ma… 21 18 $4,483.34 $2,555.50 43% off $2,690.00 $6,500.84 $2,854.73 2025-03-14
L6584 HCPCS Preparatory, Elbow Disarticulation Or Above Elbow, Single Wall Plastic Socket, F… 21 18 $4,474.05 $2,550.21 43% off $2,684.43 $6,487.37 $2,848.81 2025-03-14
L0710 HCPCS Ctlso, Anterior-posterior-lateral-control, Molded To Patient Model, With Interfa… 21 18 $4,471.14 $2,548.55 43% off $2,682.68 $6,483.15 $2,846.96 2025-03-14
L5580 HCPCS Preparatory, Above Knee - Knee Disarticulation Ischial Level Socket, Non-alignab… 21 18 $4,446.57 $2,534.54 43% off $2,667.94 $6,447.53 $2,831.32 2025-03-14
L6884 HCPCS Replacement Socket, Above Elbow/elbow Disarticulation, Molded To Patient Model, … 21 18 $4,439.63 $2,530.59 43% off $2,663.78 $6,437.46 $2,826.90 2025-03-14
L6400 HCPCS Below Elbow, Molded Socket, Endoskeletal System, Including Soft Prosthetic Tissu… 21 18 $4,373.89 $2,493.12 43% off $2,624.33 $6,342.14 $2,785.04 2025-03-14
L6621 HCPCS Upper Extremity Prosthesis Addition, Flexion/extension Wrist With Or Without Fri… 21 18 $4,359.99 $2,485.19 43% off $2,615.99 $6,321.99 $2,776.19 2025-03-14
L5979 HCPCS All Lower Extremity Prosthesis, Multi-axial Ankle, Dynamic Response Foot, One Pi… 21 18 $4,301.06 $2,451.60 43% off $2,580.64 $6,236.54 $2,738.66 2025-03-14
S1040 HCPCS Cranial Remolding Orthosis, Pediatric, Rigid, With Soft Interface Material, Cust… 11 8 $3,400.00 $1,938.00 43% off $2,040.00 $4,930.00 $2,720.00 2025-03-14
L5703 HCPCS Ankle, Symes, Molded To Patient Model, Socket Without Solid Ankle Cushion Heel (… 21 18 $4,246.53 $2,420.52 43% off $2,547.92 $6,157.47 $2,703.95 2025-03-14
L6586 HCPCS Preparatory, Elbow Disarticulation Or Above Elbow, Single Wall Socket, Friction … 21 18 $4,186.97 $2,386.57 43% off $2,512.18 $6,071.11 $2,666.02 2025-03-14
L0700 HCPCS Cervical-thoracic-lumbar-sacral-orthoses (ctlso), Anterior-posterior-lateral Con… 21 18 $4,096.09 $2,334.77 43% off $2,457.65 $5,939.33 $2,608.15 2025-03-14
L5020 HCPCS Partial Foot, Molded Socket, Tibial Tubercle Height, With Toe Filler 21 18 $4,091.61 $2,332.22 43% off $2,454.97 $5,932.83 $2,605.29 2025-03-14
L6370 HCPCS Interscapular Thoracic, Passive Restoration (shoulder Cap Only) 21 18 $3,973.23 $2,264.74 43% off $2,383.94 $5,761.18 $2,529.93 2025-03-14
L2034 HCPCS Knee Ankle Foot Orthosis, Full Plastic, Single Upright, With Or Without Free Mot… 21 18 $3,906.41 $2,226.65 43% off $2,343.85 $5,664.29 $2,487.38 2025-03-14
L5610 HCPCS Addition To Lower Extremity, Endoskeletal System, Above Knee, Hydracadence Syste… 21 18 $3,902.62 $2,224.49 43% off $2,341.57 $5,658.80 $2,484.96 2025-03-14
L6722 HCPCS Terminal Device, Hook Or Hand, Heavy Duty, Mechanical, Voluntary Closing, Any Ma… 21 18 $3,864.94 $2,203.02 43% off $2,318.96 $5,604.16 $2,460.97 2025-03-14
L6110 HCPCS Below Elbow, Molded Socket, (muenster Or Northwestern Suspension Types) 21 18 $3,847.92 $2,193.31 43% off $2,308.75 $5,579.48 $2,450.14 2025-03-14
L0820 HCPCS Halo Procedure, Cervical Halo Incorporated Into Plaster Body Jacket 21 18 $3,842.50 $2,190.23 43% off $2,305.50 $5,571.63 $2,446.68 2025-03-14
L5570 HCPCS Preparatory, Above Knee - Knee Disarticulation, Ischial Level Socket, Non-aligna… 21 18 $3,808.85 $2,171.04 43% off $2,285.31 $5,522.83 $2,425.26 2025-03-14
L5988 HCPCS Addition To Lower Limb Prosthesis, Vertical Shock Reducing Pylon Feature 21 18 $3,807.99 $2,170.55 43% off $2,284.79 $5,521.59 $2,424.70 2025-03-14
L1690 HCPCS Combination, Bilateral, Lumbo-sacral, Hip, Femur Orthosis Providing Adduction An… 21 18 $3,614.38 $2,060.20 43% off $2,168.63 $5,240.85 $2,342.54 2025-03-14
L5560 HCPCS Preparatory, Above Knee- Knee Disarticulation, Ischial Level Socket, Non-alignab… 21 18 $3,663.59 $2,088.25 43% off $2,198.15 $5,312.21 $2,332.77 2025-03-14
L6100 HCPCS Below Elbow, Molded Socket, Flexible Elbow Hinge, Triceps Pad 21 18 $3,627.83 $2,067.86 43% off $2,176.70 $5,260.35 $2,309.99 2025-03-14
L4631 HCPCS Ankle Foot Orthosis, Walking Boot Type, Varus/valgus Correction, Rocker Bottom, … 21 18 $3,836.25 $2,186.66 43% off $1,807.78 $5,562.56 $2,301.75 2025-03-14
L1710 HCPCS Legg Perthes Orthosis, (newington Type), Custom Fabricated 21 18 $3,597.59 $2,050.63 43% off $2,158.55 $5,216.51 $2,290.74 2025-03-14
52315 HCPCS Complicated Removal Of Foreign Body, Stone, Or Stent In Urethra Or Bladder Using… 19 19 $3,815.00 $1,640.45 57% off $1,792.61 $5,531.75 $2,289.00 2025-03-14
52310 HCPCS Simple Removal Of Foreign Body, Stone, Or Stent In Urethra Or Bladder Using An E… 19 19 $3,815.00 $1,640.45 57% off $1,792.61 $5,531.75 $2,289.00 2025-03-14
52287 HCPCS Exam With Injections Of Chemical For Destruction Of Bladder Using An Endoscope 19 19 $3,815.00 $1,640.45 57% off $1,792.61 $5,531.75 $2,289.00 2025-03-14
52204 HCPCS Biopsy Of Bladder Using An Endoscope 19 19 $3,815.00 $1,640.45 57% off $1,792.61 $5,531.75 $2,289.00 2025-03-14
L1000 HCPCS Cervical-thoracic-lumbar-sacral Orthosis (ctlso) (milwaukee), Inclusive Of Furni… 21 18 $3,592.09 $2,047.49 43% off $2,155.25 $5,208.53 $2,287.23 2025-03-14
L6050 HCPCS Wrist Disarticulation, Molded Socket, Flexible Elbow Hinges, Triceps Pad 21 18 $3,580.73 $2,041.02 43% off $2,148.44 $5,192.06 $2,280.00 2025-03-14
L5830 HCPCS Addition, Endoskeletal Knee-shin System, Single Axis, Pneumatic/ Swing Phase Con… 21 18 $3,576.81 $2,038.78 43% off $2,146.09 $5,186.37 $2,277.50 2025-03-14
L2628 HCPCS Addition To Lower Extremity, Pelvic Control, Metal Frame, Reciprocating Hip Join… 20 18 $3,569.77 $2,034.77 43% off $2,141.86 $5,176.17 $2,273.02 2025-03-14
L6382 HCPCS Immediate Post Surgical Or Early Fitting, Application Of Initial Rigid Dressing … 21 18 $3,463.87 $1,974.41 43% off $2,078.32 $5,022.61 $2,205.58 2025-03-14
L5990 HCPCS Addition To Lower Extremity Prosthesis, User Adjustable Heel Height 21 18 $3,458.23 $1,971.19 43% off $2,074.94 $5,014.43 $2,202.00 2025-03-14
L0474 HCPCS Tlso, Tripl, W/mult Strap 8 8 $2,827.89 — $1,696.73 $4,100.44 $2,191.61 2025-03-14
L3973 HCPCS Shoulder Elbow Wrist Hand Orthosis, Abduction Positioning (airplane Design), Tho… 21 18 $3,434.54 $1,957.69 43% off $2,060.72 $4,980.08 $2,186.92 2025-03-14
L3967 HCPCS Shoulder Elbow Wrist Hand Orthosis, Abduction Positioning (airplane Design), Tho… 21 18 $3,434.54 $1,957.69 43% off $2,060.72 $4,980.08 $2,186.92 2025-03-14
L3978 HCPCS Shoulder Elbow Wrist Hand Finger Orthosis, Abduction Positioning (airplane Desig… 21 18 $3,434.54 $1,957.69 43% off $2,060.72 $4,980.08 $2,186.92 2025-03-14
L5845 HCPCS Addition, Endoskeletal, Knee-shin System, Stance Flexion Feature, Adjustable 21 18 $3,416.68 $1,947.51 43% off $2,050.01 $4,954.19 $2,175.54 2025-03-14
L5540 HCPCS Preparatory, Below Knee 'ptb' Type Socket, Non-alignable System, Pylon, No Cover… 21 18 $3,411.73 $1,944.69 43% off $2,047.04 $4,947.01 $2,172.39 2025-03-14
L0484 HCPCS Tlso, Triplanar Control, Two Piece Rigid Plastic Shell Without Interface Liner, … 21 18 $3,367.52 $1,919.49 43% off $2,020.51 $4,882.90 $2,144.24 2025-03-14
L6900 HCPCS Hand Restoration (casts, Shading And Measurements Included), Partial Hand, With … 21 18 $3,365.81 $1,918.51 43% off $2,019.49 $4,880.42 $2,143.16 2025-03-14
L5505 HCPCS Initial, Above Knee - Knee Disarticulation, Ischial Level Socket, Non-alignable … 21 18 $3,348.24 $1,908.50 43% off $2,008.94 $4,854.95 $2,131.96 2025-03-14
L6905 HCPCS Hand Restoration (casts, Shading And Measurements Included), Partial Hand, With … 21 18 $3,346.69 $1,907.61 43% off $2,008.01 $4,852.70 $2,130.98 2025-03-14
L0486 HCPCS Tlso, Triplanar Control, Two Piece Rigid Plastic Shell With Interface Liner, Mul… 21 18 $3,335.93 $1,901.48 43% off $2,001.56 $4,837.10 $2,124.12 2025-03-14
L6320 HCPCS Shoulder Disarticulation, Passive Restoration (shoulder Cap Only) 21 18 $3,312.51 $1,888.13 43% off $1,987.51 $4,803.14 $2,109.21 2025-03-14
L2036 HCPCS Knee Ankle Foot Orthosis, Full Plastic, Double Upright, With Or Without Free Mot… 21 18 $3,282.63 $1,871.10 43% off $1,969.58 $4,759.81 $2,090.19 2025-03-14
L5726 HCPCS Addition, Exoskeletal Knee-shin System, Single Axis, External Joints Fluid Swing… 21 18 $3,279.04 $1,869.05 43% off $1,967.42 $4,754.61 $2,087.90 2025-03-14
L3971 HCPCS Shoulder Elbow Wrist Hand Orthosis, Shoulder Cap Design, Includes One Or More No… 21 18 $3,260.12 $1,858.27 43% off $1,956.07 $4,727.17 $2,075.85 2025-03-14
L3977 HCPCS Shoulder Elbow Wrist Hand Finger Orthosis, Shoulder Cap Design, Includes One Or … 21 18 $3,260.12 $1,858.27 43% off $1,956.07 $4,727.17 $2,075.85 2025-03-14
L5530 HCPCS Preparatory, Below Knee 'ptb' Type Socket, Non-alignable System, Pylon, No Cover… 21 18 $3,255.80 $1,855.81 43% off $1,953.48 $4,720.91 $2,073.10 2025-03-14
L5614 HCPCS Addition To Lower Extremity, Exoskeletal System, Above Knee-knee Disarticulation… 21 18 $3,216.64 $1,833.48 43% off $1,929.98 $4,664.13 $2,048.17 2025-03-14
L5822 HCPCS Addition, Endoskeletal Knee-shin System, Single Axis, Pneumatic Swing, Friction … 21 18 $3,209.92 $1,829.65 43% off $1,925.95 $4,654.38 $2,043.89 2025-03-14
L5535 HCPCS Preparatory, Below Knee 'ptb' Type Socket, Non-alignable System, No Cover, Sach … 21 18 $3,196.55 $1,822.03 43% off $1,917.93 $4,635.00 $2,035.38 2025-03-14
L6580 HCPCS Preparatory, Wrist Disarticulation Or Below Elbow, Single Wall Plastic Socket, F… 21 18 $3,149.80 $1,795.39 43% off $1,889.88 $4,567.21 $2,005.61 2025-03-14
L5420 HCPCS Immediate Post Surgical Or Early Fitting, Application Of Initial Rigid Dressing,… 21 18 $3,145.80 $1,793.11 43% off $1,887.48 $4,561.41 $2,003.06 2025-03-14
L1200 HCPCS Thoracic-lumbar-sacral-orthosis (tlso), Inclusive Of Furnishing Initial Orthosis… 21 18 $3,074.83 $1,752.65 43% off $1,844.90 $4,458.50 $1,957.87 2025-03-14
L1700 HCPCS Legg Perthes Orthosis, (toronto Type), Custom Fabricated 21 18 $3,060.64 $1,744.56 43% off $1,836.38 $4,437.93 $1,948.84 2025-03-14
L7045 HCPCS Electric Hook, Switch Or Myoelectric Controlled, Pediatric 20 18 $3,046.74 $1,736.64 43% off $1,828.04 $4,417.77 $1,939.99 2025-03-14
L1310 HCPCS Other Scoliosis Procedure, Post-operative Body Jacket 21 18 $3,041.20 $1,733.48 43% off $1,824.72 $4,409.74 $1,936.46 2025-03-14
L2627 HCPCS Addition To Lower Extremity, Pelvic Control, Plastic, Molded To Patient Model, R… 21 18 $3,038.94 $1,732.20 43% off $1,823.36 $4,406.46 $1,935.02 2025-03-14
L5611 HCPCS Addition To Lower Extremity, Endoskeletal System, Above Knee - Knee Disarticulat… 21 18 $3,037.02 $1,731.10 43% off $1,822.21 $4,403.68 $1,933.80 2025-03-14
L2128 HCPCS Knee Ankle Foot Orthosis, Fracture Orthosis, Femoral Fracture Cast Orthosis, Cus… 21 18 $3,033.88 $1,729.31 43% off $1,820.33 $4,399.13 $1,931.80 2025-03-14
L3901 HCPCS Wrist Hand Finger Orthosis, Dynamic Flexor Hinge, Reciprocal Wrist Extension/ Fl… 21 18 $3,032.79 $1,728.69 43% off $1,819.67 $4,397.55 $1,931.10 2025-03-14
L2037 HCPCS Knee Ankle Foot Orthosis, Full Plastic, Single Upright, With Or Without Free Mot… 21 18 $3,025.14 $1,724.33 43% off $1,815.08 $4,386.45 $1,926.24 2025-03-14
L6883 HCPCS Replacement Socket, Below Elbow/wrist Disarticulation, Molded To Patient Model, … 21 18 $2,991.23 $1,705.00 43% off $1,794.74 $4,337.28 $1,904.64 2025-03-14
L0636 HCPCS Lumbar Sacral Orthosis, Sagittal-coronal Control, Lumbar Flexion, Rigid Posterio… 21 18 $2,985.11 $1,701.51 43% off $1,791.07 $4,328.41 $1,900.75 2025-03-14
L6713 HCPCS Terminal Device, Hand, Mechanical, Voluntary Opening, Any Material, Any Size, Pe… 21 18 $2,977.99 $1,697.45 43% off $1,786.79 $4,318.09 $1,896.21 2025-03-14
L1844 HCPCS Knee Orthosis, Single Upright, Thigh And Calf, With Adjustable Flexion And Exten… 21 18 $2,957.87 $1,685.99 43% off $1,774.72 $4,288.91 $1,883.40 2025-03-14
L1300 HCPCS Other Scoliosis Procedure, Body Jacket Molded To Patient Model 21 18 $2,955.50 $1,684.64 43% off $1,773.30 $4,285.48 $1,881.89 2025-03-14
L5643 HCPCS Addition To Lower Extremity, Hip Disarticulation, Flexible Inner Socket, Externa… 21 18 $2,933.85 $1,672.29 43% off $1,760.31 $4,254.08 $1,868.10 2025-03-14
L1755 HCPCS Legg Perthes Orthosis, (patten Bottom Type), Custom Fabricated 21 18 $2,918.41 $1,663.49 43% off $1,751.05 $4,231.69 $1,858.27 2025-03-14
L3975 HCPCS Shoulder Elbow Wrist Hand Finger Orthosis, Shoulder Cap Design, Without Joints, … 20 18 $2,908.99 $1,658.12 43% off $1,745.39 $4,218.04 $1,852.28 2025-03-14
L3976 HCPCS Shoulder Elbow Wrist Hand Finger Orthosis, Abduction Positioning (airplane Desig… 21 18 $2,908.99 $1,658.12 43% off $1,745.39 $4,218.04 $1,852.28 2025-03-14
L3961 HCPCS Shoulder Elbow Wrist Hand Orthosis, Shoulder Cap Design, Without Joints, May Inc… 21 18 $2,908.99 $1,658.12 43% off $1,745.39 $4,218.04 $1,852.28 2025-03-14
L5824 HCPCS Addition, Endoskeletal Knee-shin System, Single Axis, Fluid Swing Phase Control 21 18 $2,890.72 $1,647.71 43% off $1,734.43 $4,191.54 $1,840.64 2025-03-14
L0482 HCPCS Tlso, Triplanar Control, One Piece Rigid Plastic Shell With Interface Liner, Mul… 21 18 $2,888.15 $1,646.25 43% off $1,732.89 $4,187.82 $1,839.01 2025-03-14
L6910 HCPCS Hand Restoration (casts, Shading And Measurements Included), Partial Hand, With … 21 18 $2,861.75 $1,631.20 43% off $1,717.05 $4,149.54 $1,822.20 2025-03-14
L6582 HCPCS Preparatory, Wrist Disarticulation Or Below Elbow, Single Wall Socket, Friction … 21 18 $2,852.87 $1,626.14 43% off $1,711.72 $4,136.66 $1,816.54 2025-03-14
L5724 HCPCS Addition, Exoskeletal Knee-shin System, Single Axis, Fluid Swing Phase Control 21 18 $2,845.22 $1,621.78 43% off $1,707.13 $4,125.57 $1,811.66 2025-03-14
L0464 HCPCS Tlso, Triplanar Control, Modular Segmented Spinal System, Four Rigid Plastic She… 21 18 $2,827.89 $1,611.90 43% off $1,696.73 $4,100.44 $1,800.63 2025-03-14
L2525 HCPCS Addition To Lower Extremity, Thigh/weight Bearing, Ischial Containment/narrow M-… 21 18 $2,796.38 $1,593.94 43% off $1,677.83 $4,054.75 $1,780.56 2025-03-14
L6010 HCPCS Partial Hand, Little And/or Ring Finger Remaining 21 18 $2,787.16 $1,588.68 43% off $1,672.30 $4,041.38 $1,774.70 2025-03-14
L5510 HCPCS Preparatory, Below Knee 'ptb' Type Socket, Non-alignable System, Pylon, No Cover… 21 18 $2,744.27 $1,564.23 43% off $1,646.56 $3,979.19 $1,747.40 2025-03-14
A6510 HCPCS Compression Burn Garment, Trunk, Including Arms Down To Leg Openings (leotard), … 17 7 $2,174.00 $1,239.18 43% off $1,304.40 $3,156.65 $1,741.60 2025-03-14
L5520 HCPCS Preparatory, Below Knee 'ptb' Type Socket, Non-alignable System, Pylon, No Cover… 21 18 $2,710.68 $1,545.09 43% off $1,626.41 $3,930.49 $1,726.01 2025-03-14
L3900 HCPCS Wrist Hand Finger Orthosis, Dynamic Flexor Hinge, Reciprocal Wrist Extension/ Fl… 21 18 $2,704.78 $1,541.72 43% off $1,622.87 $3,921.93 $1,722.25 2025-03-14
2601849 CDM Betaseron 0.3mg 15 Ml Inj 7 7 $2,779.50 — $1,111.80 $2,223.60 $1,719.40 2025-03-14
L5795 HCPCS Addition, Exoskeletal System, Hip Disarticulation, Ultra-light Material (titaniu… 21 18 $2,698.50 $1,538.15 43% off $1,619.10 $3,912.83 $1,718.25 2025-03-14
L0112 HCPCS Cranial Cervical Orthosis, Congenital Torticollis Type, With Or Without Soft Int… 21 18 $2,662.74 $1,517.76 43% off $1,597.64 $3,860.97 $1,695.48 2025-03-14
L1720 HCPCS Legg Perthes Orthosis, Trilateral, (tachdijan Type), Custom Fabricated 21 18 $2,657.54 $1,514.80 43% off $1,594.52 $3,853.43 $1,692.17 2025-03-14
L1685 HCPCS Hip Orthosis, Abduction Control Of Hip Joint, Postoperative Hip Abduction Type, … 21 18 $2,626.73 $1,497.24 43% off $1,576.04 $3,808.76 $1,672.54 2025-03-14
L6020 HCPCS Partial Hand, No Finger Remaining 21 18 $2,598.57 $1,481.18 43% off $1,559.14 $3,767.93 $1,654.62 2025-03-14
L0639 HCPCS Lumbar-sacral Orthosis, Sagittal-coronal Control, Rigid Shell(s)/panel(s), Poste… 20 18 $2,589.94 $1,476.27 43% off $1,553.96 $3,755.41 $1,649.12 2025-03-14
L0637 HCPCS Lumbar-sacral Orthosis, Sagittal-coronal Control, With Rigid Anterior And Poster… 21 18 $2,589.94 $1,476.27 43% off $1,553.96 $3,755.41 $1,649.12 2025-03-14
L5400 HCPCS Immediate Post Surgical Or Early Fitting, Application Of Initial Rigid Dressing,… 21 18 $2,567.02 $1,463.20 43% off $1,540.21 $3,722.18 $1,634.53 2025-03-14
L5616 HCPCS Addition To Lower Extremity, Endoskeletal System, Above Knee, Universal Multiple… 21 18 $2,565.94 $1,462.59 43% off $1,539.56 $3,720.61 $1,633.84 2025-03-14
L2038 HCPCS Knee Ankle Foot Orthosis, Full Plastic, With Or Without Free Motion Knee, Multi-… 21 18 $2,529.64 $1,441.89 43% off $1,517.78 $3,667.98 $1,610.72 2025-03-14
L5683 HCPCS Addition To Lower Extremity, Below Knee/above Knee, Custom Fabricated Socket Ins… 28 18 $2,507.42 $1,429.23 43% off $1,294.65 $3,635.76 $1,607.44 2025-03-14
L0480 HCPCS Tlso, Triplanar Control, One Piece Rigid Plastic Shell Without Interface Liner, … 21 18 $2,519.38 $1,436.05 43% off $1,511.63 $3,653.10 $1,604.19 2025-03-14
L0638 HCPCS Lumbar-sacral Orthosis, Sagittal-coronal Control, With Rigid Anterior And Poster… 28 18 $2,401.60 $1,368.91 43% off $970.50 $3,482.32 $1,597.72 2025-03-14
L6696 HCPCS Addition To Upper Extremity Prosthesis, Below Elbow/above Elbow, Custom Fabricat… 21 18 $2,507.42 $1,429.23 43% off $1,504.45 $3,635.76 $1,596.58 2025-03-14
L6697 HCPCS Addition To Upper Extremity Prosthesis, Below Elbow/above Elbow, Custom Fabricat… 21 18 $2,507.42 $1,429.23 43% off $1,504.45 $3,635.76 $1,596.58 2025-03-14
L5681 HCPCS Addition To Lower Extremity, Below Knee/above Knee, Custom Fabricated Socket Ins… 21 18 $2,507.42 $1,429.23 43% off $1,504.45 $3,635.76 $1,596.58 2025-03-14
L6000 HCPCS Partial Hand, Thumb Remaining 21 18 $2,504.55 $1,427.59 43% off $1,502.73 $3,631.60 $1,594.75 2025-03-14
L1680 HCPCS Hip Orthosis, Abduction Control Of Hip Joints, Dynamic, Pelvic Control, Adjustab… 21 18 $2,489.39 $1,418.95 43% off $1,493.63 $3,609.62 $1,585.10 2025-03-14
A8003 HCPCS Helmet, Protective, Hard, Custom Fabricated, Includes All Components And Accesso… 10 7 $2,030.50 $1,157.39 43% off $1,218.30 $2,944.23 $1,573.64 2025-03-14
64624 HCPCS Destruction Of Nerve Branches Of Knee Using Imaging Guidance 10 10 $1,555.00 — $194.00 $2,068.15 $1,555.00 2025-03-14
L6707 HCPCS Terminal Device, Hook, Mechanical, Voluntary Closing, Any Material, Any Size, Li… 21 18 $2,424.20 $1,381.79 43% off $1,454.52 $3,515.09 $1,543.60 2025-03-14
L5500 HCPCS Initial, Below Knee 'ptb' Type Socket, Non-alignable System, Pylon, No Cover, Sa… 21 18 $2,420.92 $1,379.92 43% off $1,452.55 $3,510.33 $1,541.50 2025-03-14
L5010 HCPCS Partial Foot, Molded Socket, Ankle Height, With Toe Filler 21 18 $2,409.37 $1,373.34 43% off $1,445.62 $3,493.59 $1,534.15 2025-03-14
L2126 HCPCS Knee Ankle Foot Orthosis, Fracture Orthosis, Femoral Fracture Cast Orthosis, The… 21 18 $2,407.43 $1,372.24 43% off $1,444.46 $3,490.77 $1,532.92 2025-03-14
2604228 CDM Mycopheno Mof Sus 7 7 $2,472.75 — $989.10 $1,978.20 $1,529.64 2025-03-14
L0462 HCPCS Tlso, Triplanar Control, Modular Segmented Spinal System, Three Rigid Plastic Sh… 21 18 $2,375.45 $1,354.01 43% off $1,425.27 $3,444.40 $1,512.55 2025-03-14
L3766 HCPCS Elbow Wrist Hand Finger Orthosis, Includes One Or More Nontorsion Joints, Elasti… 21 18 $2,350.95 $1,340.04 43% off $1,410.57 $3,408.88 $1,496.95 2025-03-14
L5707 HCPCS Custom Shaped Protective Cover, Hip Disarticulation 21 18 $2,333.09 $1,329.86 43% off $1,399.85 $3,382.98 $1,485.57 2025-03-14
L0452 HCPCS Tlso, Flexible, Provides Trunk Support, Upper Thoracic Region, Produces Intracav… 10 7 $1,904.25 $1,085.42 43% off $1,142.55 $2,761.16 $1,475.80 2025-03-14
L4000 HCPCS Replace Girdle For Spinal Orthosis (ctlso Or So) 21 18 $2,308.12 $1,315.63 43% off $1,384.87 $3,346.77 $1,469.68 2025-03-14
L6380 HCPCS Immediate Post Surgical Or Early Fitting, Application Of Initial Rigid Dressing,… 21 18 $2,302.40 $1,312.37 43% off $1,381.44 $3,338.48 $1,466.03 2025-03-14
L6709 HCPCS Terminal Device, Hand, Mechanical, Voluntary Closing, Any Material, Any Size 21 18 $2,283.71 $1,301.71 43% off $1,370.23 $3,311.38 $1,454.14 2025-03-14
2608564 CDM Baclofen Inth Kit #8564iv 7 7 $2,343.75 — $937.50 $1,875.00 $1,449.84 2025-03-14
2604119 CDM Baclofen2000mcg/ml 20mlvl 7 7 $2,343.25 — $937.30 $1,874.60 $1,449.53 2025-03-14
L5651 HCPCS Addition To Lower Extremity, Above Knee, Flexible Inner Socket, External Frame 21 18 $2,263.69 $1,290.30 43% off $1,358.21 $3,282.35 $1,441.39 2025-03-14
L1846 HCPCS Knee Orthosis, Double Upright, Thigh And Calf, With Adjustable Flexion And Exten… 21 18 $2,261.00 $1,288.77 43% off $1,356.60 $3,278.45 $1,439.67 2025-03-14
L5966 HCPCS Addition, Endoskeletal System, Hip Disarticulation, Flexible Protective Outer Su… 21 18 $2,249.45 $1,282.19 43% off $1,349.67 $3,261.70 $1,432.32 2025-03-14
L3765 HCPCS Elbow Wrist Hand Finger Orthosis, Rigid, Without Joints, May Include Soft Interf… 21 18 $2,220.11 $1,265.46 43% off $1,332.07 $3,219.16 $1,413.63 2025-03-14
L5780 HCPCS Addition, Exoskeletal Knee-shin System, Single Axis, Pneumatic/hydra Pneumatic S… 21 18 $2,158.12 $1,230.13 43% off $1,294.87 $3,129.27 $1,374.17 2025-03-14
L0859 HCPCS Addition To Halo Procedure, Magnetic Resonance Image Compatible Systems, Rings A… 21 18 $2,155.42 $1,228.59 43% off $1,293.25 $3,125.36 $1,372.45 2025-03-14
2603577 CDM Darbepoetin/alb 200 Mcg Inj 7 7 $2,202.50 — $881.00 $1,762.00 $1,362.47 2025-03-14
L5639 HCPCS Addition To Lower Extremity, Below Knee, Wood Socket 21 18 $2,113.39 $1,204.63 43% off $1,268.03 $3,064.42 $1,345.68 2025-03-14
L2136 HCPCS Kafo, Fracture Orthosis, Femoral Fracture Cast Orthosis, Rigid, Prefabricated, I… 21 18 $2,092.37 $1,192.65 43% off $1,255.42 $3,033.94 $1,332.31 2025-03-14
L2020 HCPCS Knee Ankle Foot Orthosis, Double Upright, Free Ankle, Solid Stirrup, Thigh And C… 21 18 $2,065.94 $1,177.59 43% off $1,239.56 $2,995.61 $1,315.46 2025-03-14
L5848 HCPCS Addition To Endoskeletal Knee-shin System, Fluid Stance Extension, Dampening Fea… 21 18 $2,049.74 $1,168.35 43% off $1,229.84 $2,972.12 $1,305.16 2025-03-14
L0635 HCPCS Lumbar-sacral Orthosis, Sagittal-coronal Control, Lumbar Flexion, Rigid Posterio… 21 18 $2,023.02 $1,153.12 43% off $1,213.81 $2,933.38 $1,288.14 2025-03-14
L1730 HCPCS Legg Perthes Orthosis, (scottish Rite Type), Custom Fabricated 21 18 $2,005.05 $1,142.88 43% off $1,203.03 $2,907.32 $1,276.69 2025-03-14
L0640 HCPCS Lumbar-sacral Orthosis, Sagittal-coronal Control, Rigid Shell(s)/panel(s), Poste… 21 18 $1,990.77 $1,134.74 43% off $1,194.46 $2,886.62 $1,267.61 2025-03-14
L1860 HCPCS Knee Orthosis, Modification Of Supracondylar Prosthetic Socket, Custom Fabricate… 21 18 $1,975.29 $1,125.92 43% off $1,185.17 $2,864.17 $1,257.76 2025-03-14
L0631 HCPCS Lumbar-sacral Orthosis, Sagittal Control, With Rigid Anterior And Posterior Pane… 28 18 $1,953.05 $1,113.24 43% off $725.85 $2,831.92 $1,243.60 2025-03-14
L0460 HCPCS Tlso, Triplanar Control, Modular Segmented Spinal System, Two Rigid Plastic Shel… 21 18 $1,909.81 $1,088.59 43% off $1,145.89 $2,769.22 $1,216.05 2025-03-14
L0488 HCPCS Tlso, Triplanar Control, One Piece Rigid Plastic Shell With Interface Liner, Mul… 21 18 $1,909.81 $1,088.59 43% off $1,145.89 $2,769.22 $1,216.05 2025-03-14
2604077 CDM Posaconazole 40mg/ml Sus 7 7 $1,964.50 — $785.80 $1,571.60 $1,215.24 2025-03-14
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