Hospital

FIELD HEALTH SYSTEM

Centreville, MS · CCN 251309 · Rates published

2,002 distinct procedures filed

16 distinct payers

32,032 rate rows

2025-03-07 last MRF observed · ⚠ 15 mo old

Data quality

18,291 of 32,032 rate rows are consumer-grade (57.1%)

13,741 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 — reason	Rows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	13,704
exceeds 10× this hospital's gross charge — excluded from medians	23
per-diem day rate — not a per-procedure price	12
placeholder amount (≤ $0.02) — excluded from medians	2

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 15 months old.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	http://fhsms.org/wp-content/uploads/2025/03/646009174_field-health-system_standardcharges.csv
Found on page	https://fhsms.org/patient-resources
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-05-15
Content fingerprint	803b4886ea989a6b… · 11,973,441 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
10000 HCPCS	Acute Care Rmchg Private Room W/bath	13	$2,058.50	$2,534.00	$2,058.50	nat. median $7,147 outlier · 0.3×
20000 HCPCS	Swingbed Rmchg Private Room W/bath	13	$2,058.50	$2,534.00	$2,058.50	nat. median $4,314 outlier · 0.5×
0119 RC		12	$2,058.50	$2,058.50	$2,058.50	nat. median $853 outlier · 2.4×
0110 RC		13	$2,058.50	$2,534.00	$2,058.50	nat. median $979 outlier · 2.1×
99291 HCPCS	Phy Critical Care 1 Hr	16	$170.00	$1,300.00	$735.00	nat. median $1,611 outlier · 0.5×
99285 HCPCS	ER-phy Level 5	16	$170.00	$1,250.00	$710.00	nat. median $1,228 0.6× median
99284 HCPCS	ER-phy Level 4	16	$170.00	$850.00	$510.00	nat. median $781 0.7× median
99283 HCPCS	ER-phy Level 3	16	$170.00	$600.00	$385.00	nat. median $475 0.8× median
99281 HCPCS	ER-phy Limited/minor Proc	16	$170.00	$350.00	$260.00	nat. median $170 1.5× median
99282 HCPCS	ER-phy Level 2	16	$170.00	$350.00	$260.00	nat. median $286 0.9× median
49561 HCPCS	Prof Fees Repair Initial Incisional Inca	16	$170.00	$170.00	$170.00	nat. median $3,381 outlier · 0.1×
29799 HCPCS	ER-phy Casting Or Strapping	16	$170.00	$170.00	$170.00	nat. median $209 0.8× median
15300 HCPCS	Allograft Skin For Trunk Arms Legs	16	$170.00	$170.00	$170.00	nat. median $2,802 outlier · 0.1×
17999 HCPCS	ER-phy Unlisted Proc Skin Mucuous Membra	16	$170.00	$170.00	$170.00	nat. median $388 outlier · 0.4×
43499 HCPCS	ER-phy Esophagus Unlisted Procedure	16	$170.00	$170.00	$170.00	nat. median $1,813 outlier · 0.1×
45383 HCPCS	Colonoscopy With Ablation Of Tumor(s)	16	$170.00	$170.00	$170.00	nat. median $1,807 outlier · 0.1×
49565 HCPCS	Prof Fees Repair Recurrent Incisional Or	16	$170.00	$170.00	$170.00	nat. median $3,527 outlier · 0.0×
49203 HCPCS	Excision Destruction Cysts Endometriomas	16	$170.00	$170.00	$170.00	nat. median $3,342 outlier · 0.1×
37195 HCPCS	ER-phy Thrombolysis Cerebral By IV Infus	16	$170.00	$170.00	$170.00	nat. median $581 outlier · 0.3×
36489 HCPCS	ER-phy Placement Of Central Venous Cathe	16	$170.00	$170.00	$170.00	nat. median $4,149 outlier · 0.0×
45399 HCPCS	Unlisted Procedure Colon	16	$170.00	$170.00	$170.00	nat. median $1,567 outlier · 0.1×
42999 HCPCS	ER-phy Unlisted Procedure Pharynx Adenoi	16	$170.00	$170.00	$170.00	nat. median $412 outlier · 0.4×
17003 HCPCS	Prof Fees Destruction Electrosurgical Le	1	$170.00	$170.00	$170.00	nat. median $52 outlier · 3.2×
41899 HCPCS	Prof Fees Dental Surgery	16	$170.00	$170.00	$170.00	nat. median $431 outlier · 0.4×
28290 HCPCS	Hallux Valgus W/wo Sesamoidec Simple Exo	16	$170.00	$170.00	$170.00	nat. median $4,042 outlier · 0.0×
15400 HCPCS	Xenograft Skin Trunk Arms Legs	16	$170.00	$170.00	$170.00	nat. median $2,977 outlier · 0.1×
00731 HCPCS	Anesthesia	16	$170.00	$170.00	$170.00	nat. median $388 outlier · 0.4×
11100 HCPCS	Prof Fees Biopsy Skin Sub Of Tissue	16	$170.00	$170.00	$170.00	nat. median $291 0.6× median
11101 HCPCS	Prof Fees Lesion Each Additional	16	$170.00	$170.00	$170.00	nat. median $167 1.0× median
16010 HCPCS	Dressings And/or Debridement Initial Or	16	$170.00	$170.00	$170.00	nat. median $3,215 outlier · 0.1×
46999 HCPCS	Unlisted Procedure Anus	16	$170.00	$170.00	$170.00	nat. median $1,253 outlier · 0.1×
49329 HCPCS	Unlisted Laparoscopy Procedure Abdomen	16	$170.00	$170.00	$170.00	nat. median $6,428 outlier · 0.0×
41820 HCPCS	Gingivetomy Excision Gingiva Each Quadra	16	$170.00	$170.00	$170.00	nat. median $3,500 outlier · 0.0×
13150 HCPCS	Prof Fees Repair Complex Eyelids, Ears,	16	$170.00	$170.00	$170.00	nat. median $1,714 outlier · 0.1×
00790 HCPCS	Gallbladder Anes	16	$170.00	$170.00	$170.00	nat. median $263 0.6× median
15850 HCPCS	Removal Sutures Under Anesthesia Same Md	16	$170.00	$170.00	$170.00	nat. median $1,366 outlier · 0.1×
32020 HCPCS	Prof Fees Chest Tube Insertion	16	$170.00	$170.00	$170.00	nat. median $3,704 outlier · 0.0×
36415 HCPCS	Venipuncture	15	$170.00	$170.00	$170.00	nat. median $15 outlier · 11.5×
45170 HCPCS	Excision Of Rectal Tumor Transanal Appro	16	$170.00	$170.00	$170.00	nat. median $2,769 outlier · 0.1×
11752 HCPCS	Excision Of Nail And Nail Matrix With Am	16	$170.00	$170.00	$170.00	nat. median $2,470 outlier · 0.1×
19162 HCPCS	Prof Fees Partial Mastectomy With Axilla	16	$170.00	$170.00	$170.00	nat. median $5,538 outlier · 0.0×
19304 HCPCS	Subcutaneous Mastectomy	16	$170.00	$170.00	$170.00	nat. median $2,912 outlier · 0.1×
15320 HCPCS	Allograft Skin For Face Scalp Eyelids Mo	16	$170.00	$170.00	$170.00	nat. median $3,281 outlier · 0.1×
18888 HCPCS	Gastroview	16	$170.00	$170.00	$170.00	nat. median $170 1.0× median
33333 HCPCS	Factor V Leiden Mutation	16	$170.00	$170.00	$170.00	nat. median $420 outlier · 0.4×
37720 HCPCS	Prof Fees Ligation And Division And Comp	16	$170.00	$170.00	$170.00	nat. median $5,098 outlier · 0.0×
00812 HCPCS	Anes Colon	16	$170.00	$170.00	$170.00	nat. median $200 0.8× median
15430 HCPCS	Acellular Xenograft Implant	16	$170.00	$170.00	$170.00	nat. median $2,960 outlier · 0.1×
26989 HCPCS	ER-phy Unlisted Proc Hand Or Fingers	16	$170.00	$170.00	$170.00	nat. median $472 outlier · 0.4×
22999 HCPCS	Abdomen Unlisted Procedure	16	$170.00	$170.00	$170.00	nat. median $727 outlier · 0.2×

Other procedures at this hospital

Browse this hospital's 2,002 published procedures. Use the slice to choose what to show, then sort or filter any column.

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

99291	HCPCS	Phy Critical Care 1 Hr	16	16	$578.00	$433.50 25% off	$170.00	$1,300.00	$735.00	2025-03-07
99285	HCPCS	ER-phy Level 5	16	16	$434.00	$325.50 25% off	$170.00	$1,250.00	$710.00	2025-03-07
99284	HCPCS	ER-phy Level 4	16	16	$325.00	$243.75 25% off	$170.00	$850.00	$510.00	2025-03-07
99283	HCPCS	ER-phy Level 3	16	16	$215.00	$161.25 25% off	$170.00	$600.00	$385.00	2025-03-07
99282	HCPCS	ER-phy Level 2	16	16	$146.00	$109.50 25% off	$170.00	$350.00	$260.00	2025-03-07
99281	HCPCS	ER-phy Limited/minor Proc	16	16	$101.00	$75.75 25% off	$170.00	$350.00	$260.00	2025-03-07
83890	HCPCS	.molecular Isolation Extraction	16	16	$63.00	$47.25 25% off	$170.00	$170.00	$170.00	2025-03-07
83898	HCPCS	.molec Amp Nuc Acid	16	16	$63.00	$47.25 25% off	$170.00	$170.00	$170.00	2025-03-07
83872	HCPCS	Mucin Clot	16	16	$92.00	$69.00 25% off	$170.00	$170.00	$170.00	2025-03-07
83883	HCPCS	Free Kappa Light Chain Qnt	16	16	$112.00	$84.00 25% off	$170.00	$170.00	$170.00	2025-03-07
83902	HCPCS	.molec Reverse Transcription	16	16	$62.00	$46.50 25% off	$170.00	$170.00	$170.00	2025-03-07
83912	HCPCS	.molec Dx I&r	16	16	$17.00	$12.75 25% off	$170.00	$170.00	$170.00	2025-03-07
83915	HCPCS	Nucleotidase 5	16	16	$63.00	$47.25 25% off	$170.00	$170.00	$170.00	2025-03-07
83655	HCPCS	.urine Lead Qnt	16	16	$65.00	$48.75 25% off	$170.00	$170.00	$170.00	2025-03-07
83715	HCPCS	Lipoprotein Elect.	16	16	$130.00	$97.50 25% off	$170.00	$170.00	$170.00	2025-03-07
83605	HCPCS	Lactic Acid	16	16	$75.00	$56.25 25% off	$170.00	$170.00	$170.00	2025-03-07
83582	HCPCS	Urine Ketogenicsteroid Fract	16	16	$86.00	$64.50 25% off	$170.00	$170.00	$170.00	2025-03-07
82657	HCPCS	Neonatal Argininemia	16	16	$33.00	$24.75 25% off	$170.00	$170.00	$170.00	2025-03-07
83864	HCPCS	Urine Glycosaminoglycans	16	16	$299.00	$224.25 25% off	$170.00	$170.00	$170.00	2025-03-07
83615	HCPCS	Ldh Body Fld	16	16	$93.00	$69.75 25% off	$170.00	$170.00	$170.00	2025-03-07
83491	HCPCS	Urine Hydroxycorticosteroids 17	16	16	$100.00	$75.00 25% off	$170.00	$170.00	$170.00	2025-03-07
83718	HCPCS	Hdl Cholesterol	16	16	$61.00	$45.75 25% off	$170.00	$170.00	$170.00	2025-03-07
83690	HCPCS	Lipase	16	16	$75.00	$56.25 25% off	$170.00	$170.00	$170.00	2025-03-07
82950	HCPCS	Glucose Tolerance 1 Hr	16	16	$61.00	$45.75 25% off	$170.00	$170.00	$170.00	2025-03-07
83735	HCPCS	Magnesium	16	16	$65.00	$48.75 25% off	$170.00	$170.00	$170.00	2025-03-07
83090	HCPCS	Homocystine	16	16	$252.00	$189.00 25% off	$170.00	$170.00	$170.00	2025-03-07
83880	HCPCS	Bnp	16	16	$193.00	$144.75 25% off	$170.00	$170.00	$170.00	2025-03-07
83891	HCPCS	.molec Isol/xtr Hp Nuc Acid	16	16	$17.00	$12.75 25% off	$170.00	$170.00	$170.00	2025-03-07
83789	HCPCS	Mass Spectometry	16	16	$87.00	$65.25 25% off	$170.00	$170.00	$170.00	2025-03-07
83519	HCPCS	Gad 65 Auto Ab	16	16	$104.00	$78.00 25% off	$170.00	$170.00	$170.00	2025-03-07
83788	HCPCS	Neonatal Disorders By Mass Spectrometry	16	16	$52.00	$39.00 25% off	$170.00	$170.00	$170.00	2025-03-07
83835	HCPCS	Metanephrines Plasma	16	16	$224.00	$168.00 25% off	$170.00	$170.00	$170.00	2025-03-07
83625	HCPCS	Ldh Isoenzymes	16	16	$118.00	$88.50 25% off	$170.00	$170.00	$170.00	2025-03-07
82157	HCPCS	Androstenedione	16	16	$258.00	$193.50 25% off	$170.00	$170.00	$170.00	2025-03-07
82379	HCPCS	Carnitine	16	16	$193.00	$144.75 25% off	$170.00	$170.00	$170.00	2025-03-07
83001	HCPCS	Fsh	16	16	$115.00	$86.25 25% off	$170.00	$170.00	$170.00	2025-03-07
82943	HCPCS	Glucagon	16	16	$218.00	$163.50 25% off	$170.00	$170.00	$170.00	2025-03-07
83701	HCPCS	Lipoprotein Subfract	16	16	$78.00	$58.50 25% off	$170.00	$170.00	$170.00	2025-03-07
83497	HCPCS	Urine 5hiaa Serotonin 24	16	16	$75.00	$56.25 25% off	$170.00	$170.00	$170.00	2025-03-07
82633	HCPCS	Urine 11-desoxycorticosterone	16	16	$401.00	$300.75 25% off	$170.00	$170.00	$170.00	2025-03-07
82553	HCPCS	Ckmb	16	16	$113.00	$84.75 25% off	$170.00	$170.00	$170.00	2025-03-07
83550	HCPCS	Ibc	16	16	$104.00	$78.00 25% off	$170.00	$170.00	$170.00	2025-03-07
82951	HCPCS	.lactose Tol First 3 Spec	16	16	$115.00	$86.25 25% off	$170.00	$170.00	$170.00	2025-03-07
82247	HCPCS	Bilirubin Body Fld	16	16	$63.00	$47.25 25% off	$170.00	$170.00	$170.00	2025-03-07
82378	HCPCS	Cea Body Fld	16	16	$150.00	$112.50 25% off	$170.00	$170.00	$170.00	2025-03-07
82710	HCPCS	Fat Feces Quant	16	16	$77.00	$57.75 25% off	$170.00	$170.00	$170.00	2025-03-07
82608	HCPCS	B12 Binding Capacity	16	16	$205.00	$153.75 25% off	$170.00	$170.00	$170.00	2025-03-07
82575	HCPCS	Urine Creatinine Clearance	16	16	$99.00	$74.25 25% off	$170.00	$170.00	$170.00	2025-03-07
82670	HCPCS	Estradiol	16	16	$166.00	$124.50 25% off	$170.00	$170.00	$170.00	2025-03-07
83498	HCPCS	Neonatal Cah	16	16	$158.00	$118.50 25% off	$170.00	$170.00	$170.00	2025-03-07
83088	HCPCS	Histamine, Whole Blood	16	16	$377.00	$282.75 25% off	$170.00	$170.00	$170.00	2025-03-07
82746	HCPCS	Folate (folic Acid Serum)	16	16	$69.00	$51.75 25% off	$170.00	$170.00	$170.00	2025-03-07
82747	HCPCS	Folate Rbc	16	16	$75.00	$56.25 25% off	$170.00	$170.00	$170.00	2025-03-07
83003	HCPCS	Growth Hormone	16	16	$86.00	$64.50 25% off	$170.00	$170.00	$170.00	2025-03-07
82800	HCPCS	Abg With Ph Only	16	16	$91.00	$68.25 25% off	$170.00	$170.00	$170.00	2025-03-07
82945	HCPCS	Body Fluid Glucose	16	16	$61.00	$45.75 25% off	$170.00	$170.00	$170.00	2025-03-07
82977	HCPCS	Ggt	16	16	$93.00	$69.75 25% off	$170.00	$170.00	$170.00	2025-03-07
83874	HCPCS	Myoglobin	16	16	$177.00	$132.75 25% off	$170.00	$170.00	$170.00	2025-03-07
83071	HCPCS	Urine Hemosiderin Qnt	16	16	$63.00	$47.25 25% off	$170.00	$170.00	$170.00	2025-03-07
82340	HCPCS	Urine 24 Calcium Qnt	16	16	$70.00	$52.50 25% off	$170.00	$170.00	$170.00	2025-03-07
83527	HCPCS	Insulin Free	16	16	$63.25	$47.44 25% off	$170.00	$170.00	$170.00	2025-03-07
83540	HCPCS	Iron	16	16	$71.00	$53.25 25% off	$170.00	$170.00	$170.00	2025-03-07
83631	HCPCS	Lactoferrin Fecal Quant	16	16	$84.00	$63.00 25% off	$170.00	$170.00	$170.00	2025-03-07
83050	HCPCS	Methemoglobin	16	16	$121.00	$90.75 25% off	$170.00	$170.00	$170.00	2025-03-07
80200	HCPCS	Tobramycin Random	16	16	$93.00	$69.75 25% off	$170.00	$170.00	$170.00	2025-03-07
83586	HCPCS	Urine Ketosteriod 17	16	16	$77.00	$57.75 25% off	$170.00	$170.00	$170.00	2025-03-07
83721	HCPCS	Ldl Cholesterol Direct	16	16	$63.00	$47.25 25% off	$170.00	$170.00	$170.00	2025-03-07
83516	HCPCS	Gliadin Ab Igg	16	16	$45.00	$33.75 25% off	$170.00	$170.00	$170.00	2025-03-07
83010	HCPCS	Haptoglobin	16	16	$113.00	$84.75 25% off	$170.00	$170.00	$170.00	2025-03-07
82785	HCPCS	Ige	16	16	$117.00	$87.75 25% off	$170.00	$170.00	$170.00	2025-03-07
83002	HCPCS	Luteinizing Hormone	16	16	$124.00	$93.00 25% off	$170.00	$170.00	$170.00	2025-03-07
82040	HCPCS	Albumin	16	16	$61.00	$45.75 25% off	$170.00	$170.00	$170.00	2025-03-07
82140	HCPCS	Ammonia	16	16	$97.00	$72.75 25% off	$170.00	$170.00	$170.00	2025-03-07
82375	HCPCS	Carbon Monoxide	16	16	$63.00	$47.25 25% off	$170.00	$170.00	$170.00	2025-03-07
74249	HCPCS	Rad Prof Fee Gast/sm Bowe	16	16	$154.00	$115.50 25% off	$170.00	$170.00	$170.00	2025-03-07
82941	HCPCS	Gastrin	16	16	$96.00	$72.00 25% off	$170.00	$170.00	$170.00	2025-03-07
82705	HCPCS	Fat Fecal Qual	16	16	$52.00	$39.00 25% off	$170.00	$170.00	$170.00	2025-03-07
82664	HCPCS	.enzym Activ Bld Cell/cult Cell/tiss Nes	16	16	$70.00	$52.50 25% off	$170.00	$170.00	$170.00	2025-03-07
82330	HCPCS	Calcium Ionized	16	16	$77.00	$57.75 25% off	$170.00	$170.00	$170.00	2025-03-07
82926	HCPCS	Gastric,analysis,1st Sp	16	16	$36.00	$27.00 25% off	$170.00	$170.00	$170.00	2025-03-07
80061	HCPCS	Ref Lipid Panel	16	16	$75.00	$56.25 25% off	$170.00	$170.00	$170.00	2025-03-07
82261	HCPCS	Neonatal Biotinidase Deficiency	16	16	$33.00	$24.75 25% off	$170.00	$170.00	$170.00	2025-03-07
82952	HCPCS	.lactose Tol Ea Add	16	16	$61.00	$45.75 25% off	$170.00	$170.00	$170.00	2025-03-07
81001	HCPCS	Urinalysis Auto W/mic	16	16	$59.00	$44.25 25% off	$170.00	$170.00	$170.00	2025-03-07
80074	HCPCS	Hepatitis Panel Acute	16	16	$173.00	$129.75 25% off	$170.00	$170.00	$170.00	2025-03-07
80307	HCPCS	Drug Screen Urine	16	16	$87.00	$65.25 25% off	$170.00	$170.00	$170.00	2025-03-07
80178	HCPCS	Lithium	16	16	$63.00	$47.25 25% off	$170.00	$170.00	$170.00	2025-03-07
82043	HCPCS	Urine Microalbumin Random	16	16	$74.00	$55.50 25% off	$170.00	$170.00	$170.00	2025-03-07
80306	HCPCS	Drug Screen Inhouse	16	16	$101.00	$75.75 25% off	$170.00	$170.00	$170.00	2025-03-07
82380	HCPCS	Carotene	16	16	$69.00	$51.75 25% off	$170.00	$170.00	$170.00	2025-03-07
83013	HCPCS	H Pylori Urea Breath Test	16	16	$169.00	$126.75 25% off	$170.00	$170.00	$170.00	2025-03-07
80184	HCPCS	Phenobarbital	16	16	$98.00	$73.50 25% off	$170.00	$170.00	$170.00	2025-03-07
82523	HCPCS	C Telopeptide	16	16	$114.00	$85.50 25% off	$170.00	$170.00	$170.00	2025-03-07
82180	HCPCS	Vitamin C	16	16	$63.00	$47.25 25% off	$170.00	$170.00	$170.00	2025-03-07
80101	HCPCS	Drug Screen Urine Each Drug	16	16	$26.00	$19.50 25% off	$170.00	$170.00	$170.00	2025-03-07
82009	HCPCS	Acetone Qual	16	16	$41.00	$30.75 25% off	$170.00	$170.00	$170.00	2025-03-07
80160	HCPCS	Desipramine	16	16	$86.00	$64.50 25% off	$170.00	$170.00	$170.00	2025-03-07
80174	HCPCS	Imipramine Tofranil	16	16	$86.00	$64.50 25% off	$170.00	$170.00	$170.00	2025-03-07
82465	HCPCS	Pleural Fluid Cholesterol	16	16	$63.00	$47.25 25% off	$170.00	$170.00	$170.00	2025-03-07
82085	HCPCS	Aldolase	16	16	$43.00	$32.25 25% off	$170.00	$170.00	$170.00	2025-03-07
82164	HCPCS	Ace	16	16	$63.00	$47.25 25% off	$170.00	$170.00	$170.00	2025-03-07
80346	HCPCS	Clonazepam	16	16	$75.00	$56.25 25% off	$170.00	$170.00	$170.00	2025-03-07
82570	HCPCS	Urine Creat Random	16	16	$61.00	$45.75 25% off	$170.00	$170.00	$170.00	2025-03-07
82390	HCPCS	Ceruloplasmin	16	16	$63.00	$47.25 25% off	$170.00	$170.00	$170.00	2025-03-07
81291	HCPCS	Mthfr	16	16	$115.00	$86.25 25% off	$170.00	$170.00	$170.00	2025-03-07
82271	HCPCS	Occult Blood (other Source)	16	16	$41.00	$30.75 25% off	$170.00	$170.00	$170.00	2025-03-07
82384	HCPCS	Urine Catecholamines,24	16	16	$148.00	$111.00 25% off	$170.00	$170.00	$170.00	2025-03-07
82251	HCPCS	Total & Direct Bili	16	16	$76.00	$57.00 25% off	$170.00	$170.00	$170.00	2025-03-07
82308	HCPCS	Calcitonin	16	16	$75.00	$56.25 25% off	$170.00	$170.00	$170.00	2025-03-07
80154	HCPCS	Tranxene (clorazepate)	16	16	$75.00	$56.25 25% off	$170.00	$170.00	$170.00	2025-03-07
82672	HCPCS	Estrogen Total Serum	16	16	$127.00	$95.25 25% off	$170.00	$170.00	$170.00	2025-03-07
82435	HCPCS	Chloride Blood	16	16	$61.00	$45.75 25% off	$170.00	$170.00	$170.00	2025-03-07
82438	HCPCS	Csf Chloride	16	16	$61.00	$45.75 25% off	$170.00	$170.00	$170.00	2025-03-07
80048	HCPCS	Basic Metabolic Panel	16	16	$142.00	$106.50 25% off	$170.00	$170.00	$170.00	2025-03-07
82105	HCPCS	Afp Tetra	16	16	$55.00	$41.25 25% off	$170.00	$170.00	$170.00	2025-03-07
82760	HCPCS	Neonatal Galactosemia	16	16	$33.00	$24.75 25% off	$170.00	$170.00	$170.00	2025-03-07
82565	HCPCS	Creatine	16	16	$26.00	$19.50 25% off	$170.00	$170.00	$170.00	2025-03-07
82803	HCPCS	Abg W/2 Or More Analytes	16	16	$177.00	$132.75 25% off	$170.00	$170.00	$170.00	2025-03-07
82805	HCPCS	Abg With 02 Saturation By Direct Measure	16	16	$224.00	$168.00 25% off	$170.00	$170.00	$170.00	2025-03-07
82232	HCPCS	Beta 2 Microglobulin	16	16	$52.00	$39.00 25% off	$170.00	$170.00	$170.00	2025-03-07
82030	HCPCS	Cyclic Amp	16	16	$106.00	$79.50 25% off	$170.00	$170.00	$170.00	2025-03-07
83036	HCPCS	HbA1c	16	16	$64.00	$48.00 25% off	$170.00	$170.00	$170.00	2025-03-07
82530	HCPCS	Urine Cortisol Free	16	16	$90.00	$67.50 25% off	$170.00	$170.00	$170.00	2025-03-07
82360	HCPCS	Stone Analysis	16	16	$276.00	$207.00 25% off	$170.00	$170.00	$170.00	2025-03-07
82677	HCPCS	Estriol	16	16	$42.00	$31.50 25% off	$170.00	$170.00	$170.00	2025-03-07
83785	HCPCS	Urine Mn Quant	16	16	$120.00	$90.00 25% off	$170.00	$170.00	$170.00	2025-03-07
82491	HCPCS	Sulfonylurea Screen	16	16	$101.00	$75.75 25% off	$170.00	$170.00	$170.00	2025-03-07
80202	HCPCS	Vancomycin-trough	16	16	$129.00	$96.75 25% off	$170.00	$170.00	$170.00	2025-03-07
83015	HCPCS	Heavy Metals Blood	16	16	$163.00	$122.25 25% off	$170.00	$170.00	$170.00	2025-03-07
83520	HCPCS	Antimyeloperoxidase Ab	16	16	$134.00	$100.50 25% off	$170.00	$170.00	$170.00	2025-03-07
80201	HCPCS	Topiramate	16	16	$185.00	$138.75 25% off	$170.00	$170.00	$170.00	2025-03-07
82108	HCPCS	Aluminum	16	16	$94.00	$70.50 25% off	$170.00	$170.00	$170.00	2025-03-07
80320	HCPCS	Alcohol Blood	16	16	$109.00	$81.75 25% off	$170.00	$170.00	$170.00	2025-03-07
82550	HCPCS	Ck	16	16	$93.00	$69.75 25% off	$170.00	$170.00	$170.00	2025-03-07
82656	HCPCS	Pancreatic Elastase	16	16	$500.00	$375.00 25% off	$170.00	$170.00	$170.00	2025-03-07
80012	HCPCS	Aca Profile	16	16	$132.00	$99.00 25% off	$170.00	$170.00	$170.00	2025-03-07
80198	HCPCS	Theophylline	16	16	$96.00	$72.00 25% off	$170.00	$170.00	$170.00	2025-03-07
82607	HCPCS	B12	16	16	$96.00	$72.00 25% off	$170.00	$170.00	$170.00	2025-03-07
83525	HCPCS	Insulin Total	16	16	$63.25	$47.44 25% off	$170.00	$170.00	$170.00	2025-03-07
49561	HCPCS	Prof Fees Repair Initial Incisional Inca	16	16	$351.00	$263.25 25% off	$170.00	$170.00	$170.00	2025-03-07
82024	HCPCS	Acth	16	16	$213.00	$159.75 25% off	$170.00	$170.00	$170.00	2025-03-07
82985	HCPCS	Fructosamine	16	16	$55.00	$41.25 25% off	$170.00	$170.00	$170.00	2025-03-07
82486	HCPCS	Gas Chromatography	16	16	$87.00	$65.25 25% off	$170.00	$170.00	$170.00	2025-03-07
82948	HCPCS	Accucheck/strip	16	16	$36.00	$27.00 25% off	$170.00	$170.00	$170.00	2025-03-07
16010	HCPCS	Dressings And/or Debridement Initial Or	16	16	$298.00	$223.50 25% off	$170.00	$170.00	$170.00	2025-03-07
82728	HCPCS	Ferritin	16	16	$152.00	$114.00 25% off	$170.00	$170.00	$170.00	2025-03-07
49329	HCPCS	Unlisted Laparoscopy Procedure Abdomen	16	16	$2,564.00	$1,923.00 25% off	$170.00	$170.00	$170.00	2025-03-07
82310	HCPCS	Calcium Total	16	16	$61.00	$45.75 25% off	$170.00	$170.00	$170.00	2025-03-07
76040	HCPCS	Rad Prof Fee Bone Length	16	16	$68.00	$51.00 25% off	$170.00	$170.00	$170.00	2025-03-07
81025	HCPCS	Pregnancy Test Urine - Lab	16	16	$71.00	$53.25 25% off	$170.00	$170.00	$170.00	2025-03-07
80156	HCPCS	Carbamazepine	16	16	$87.00	$65.25 25% off	$170.00	$170.00	$170.00	2025-03-07
78806	HCPCS	Nm Abscess Localization Scan	16	16	$1,034.00	$775.50 25% off	$170.00	$170.00	$170.00	2025-03-07
80164	HCPCS	Valproic Acid	16	16	$75.00	$56.25 25% off	$170.00	$170.00	$170.00	2025-03-07
82175	HCPCS	.urine Arsenic Qnt	16	16	$140.00	$105.00 25% off	$170.00	$170.00	$170.00	2025-03-07
17999	HCPCS	ER-phy Unlisted Proc Skin Mucuous Membra	16	16	$150.00	$112.50 25% off	$170.00	$170.00	$170.00	2025-03-07
18888	HCPCS	Gastroview	16	16	$82.00	$61.50 25% off	$170.00	$170.00	$170.00	2025-03-07
74245	HCPCS	Upper Gi W Small Bowel	16	16	$347.00	$260.25 25% off	$170.00	$170.00	$170.00	2025-03-07
80192	HCPCS	Procainamide	16	16	$90.00	$67.50 25% off	$170.00	$170.00	$170.00	2025-03-07
82552	HCPCS	Ck Isoenzymes	16	16	$117.00	$87.75 25% off	$170.00	$170.00	$170.00	2025-03-07
82103	HCPCS	Alpha 1 Antitrypsin Stool	16	16	$120.00	$90.00 25% off	$170.00	$170.00	$170.00	2025-03-07
82595	HCPCS	Cryoglobulin Qual	16	16	$55.00	$41.25 25% off	$170.00	$170.00	$170.00	2025-03-07
82652	HCPCS	Vitamin D 1,25 Dihydroxy	16	16	$78.00	$58.50 25% off	$170.00	$170.00	$170.00	2025-03-07
80188	HCPCS	Primidone (mysoline)	16	16	$96.00	$72.00 25% off	$170.00	$170.00	$170.00	2025-03-07
80004	HCPCS	Electrolytes	16	16	$57.00	$42.75 25% off	$170.00	$170.00	$170.00	2025-03-07
82668	HCPCS	Erythropoietin	16	16	$137.00	$102.75 25% off	$170.00	$170.00	$170.00	2025-03-07
19162	HCPCS	Prof Fees Partial Mastectomy With Axilla	16	16	$2,307.00	$1,730.25 25% off	$170.00	$170.00	$170.00	2025-03-07
11752	HCPCS	Excision Of Nail And Nail Matrix With Am	16	16	$1,965.00	$1,473.75 25% off	$170.00	$170.00	$170.00	2025-03-07
74710	HCPCS	Pelvimetry	16	16	$211.00	$158.25 25% off	$170.00	$170.00	$170.00	2025-03-07
19304	HCPCS	Subcutaneous Mastectomy	16	16	$1,155.00	$866.25 25% off	$170.00	$170.00	$170.00	2025-03-07
80166	HCPCS	Doxepin (sinequan)	16	16	$75.00	$56.25 25% off	$170.00	$170.00	$170.00	2025-03-07
37195	HCPCS	ER-phy Thrombolysis Cerebral By IV Infus	16	16	$500.00	$375.00 25% off	$170.00	$170.00	$170.00	2025-03-07
82679	HCPCS	Estrone	16	16	$50.00	$37.50 25% off	$170.00	$170.00	$170.00	2025-03-07
80158	HCPCS	Cyclosporine	16	16	$101.00	$75.75 25% off	$170.00	$170.00	$170.00	2025-03-07
45170	HCPCS	Excision Of Rectal Tumor Transanal Appro	16	16	$2,208.00	$1,656.00 25% off	$170.00	$170.00	$170.00	2025-03-07
71010	HCPCS	Chcc Prof Fee Chest Single	16	16	$33.00	$24.75 25% off	$170.00	$170.00	$170.00	2025-03-07
74241	HCPCS	Upper Gi With Kub	16	16	$342.00	$256.50 25% off	$170.00	$170.00	$170.00	2025-03-07
42999	HCPCS	ER-phy Unlisted Procedure Pharynx Adenoi	16	16	$414.00	$310.50 25% off	$170.00	$170.00	$170.00	2025-03-07
80197	HCPCS	Tacrolimus	16	16	$219.00	$164.25 25% off	$170.00	$170.00	$170.00	2025-03-07
71021	HCPCS	Rad Prof Fee Chest 2 Views W/apical Lord	16	16	$75.00	$56.25 25% off	$170.00	$170.00	$170.00	2025-03-07
47379	HCPCS	Prof Fees Unlisted Laparoscopic Procedur	16	16	$2,523.00	$1,892.25 25% off	$170.00	$170.00	$170.00	2025-03-07
80055	HCPCS	Prenatal Panel	16	16	$496.00	$372.00 25% off	$170.00	$170.00	$170.00	2025-03-07
81383	HCPCS	.celiac Hla Dq8	16	16	$120.00	$90.00 25% off	$170.00	$170.00	$170.00	2025-03-07
54152	HCPCS	Prof Fees Circumcision Using Clamp	16	16	$433.00	$324.75 25% off	$170.00	$170.00	$170.00	2025-03-07
80170	HCPCS	Gentamicin-trough	16	16	$128.00	$96.00 25% off	$170.00	$170.00	$170.00	2025-03-07
00812	HCPCS	Anes Colon	16	16	$487.54	$365.66 25% off	$170.00	$170.00	$170.00	2025-03-07
80194	HCPCS	Quinidine	16	16	$96.00	$72.00 25% off	$170.00	$170.00	$170.00	2025-03-07
82947	HCPCS	Glucose	16	16	$52.00	$39.00 25% off	$170.00	$170.00	$170.00	2025-03-07
82010	HCPCS	Betahydroxybutyric Acid Quant	16	16	$222.00	$166.50 25% off	$170.00	$170.00	$170.00	2025-03-07
49580	HCPCS	Prof Fees Repair Umbilical Hernia Under	16	16	$996.00	$747.00 25% off	$170.00	$170.00	$170.00	2025-03-07
78206	HCPCS	Nm Liver Imaging W Vascular Flow	16	16	$516.00	$387.00 25% off	$170.00	$170.00	$170.00	2025-03-07
49568	HCPCS	Prof Fees Implantation Of Mesh For Incis	16	16	$720.00	$540.00 25% off	$170.00	$170.00	$170.00	2025-03-07
80329	HCPCS	Acetaminophen	16	16	$128.00	$96.00 25% off	$170.00	$170.00	$170.00	2025-03-07
71035	HCPCS	Rad Prof Fee Chest/specia	16	16	$50.00	$37.50 25% off	$170.00	$170.00	$170.00	2025-03-07
55555	HCPCS	Nutrition Counseling Ii	16	16	$96.00	$72.00 25% off	$170.00	$170.00	$170.00	2025-03-07
36489	HCPCS	ER-phy Placement Of Central Venous Cathe	16	16	$264.00	$198.00 25% off	$170.00	$170.00	$170.00	2025-03-07
30999	HCPCS	Unlisted Procedure Nose	16	16	$205.00	$153.75 25% off	$170.00	$170.00	$170.00	2025-03-07
76375	HCPCS	CT Coronal W Contrast	16	16	$1,353.00	$1,014.75 25% off	$170.00	$170.00	$170.00	2025-03-07
29799	HCPCS	ER-phy Casting Or Strapping	16	16	$74.00	$55.50 25% off	$170.00	$170.00	$170.00	2025-03-07
49566	HCPCS	Repair Incarcerated Or Strangulated	16	16	$2,113.00	$1,584.75 25% off	$170.00	$170.00	$170.00	2025-03-07
80150	HCPCS	Amikacin Trough	16	16	$78.00	$58.50 25% off	$170.00	$170.00	$170.00	2025-03-07
33333	HCPCS	Factor V Leiden Mutation	16	16	$200.00	$150.00 25% off	$170.00	$170.00	$170.00	2025-03-07
80076	HCPCS	Hepatic Function Panel	16	16	$119.00	$89.25 25% off	$170.00	$170.00	$170.00	2025-03-07
49585	HCPCS	Prof Fees Repair Umbilical Hernia Over 5	16	16	$1,195.00	$896.25 25% off	$170.00	$170.00	$170.00	2025-03-07
22999	HCPCS	Abdomen Unlisted Procedure	16	16	$1,812.00	$1,359.00 25% off	$170.00	$170.00	$170.00	2025-03-07
81002	HCPCS	Qual Urine Calcium	16	16	$36.00	$27.00 25% off	$170.00	$170.00	$170.00	2025-03-07
49560	HCPCS	Prof Fees Repair Initial Incisional Or V	16	16	$1,876.00	$1,407.00 25% off	$170.00	$170.00	$170.00	2025-03-07
80162	HCPCS	Digoxin	16	16	$94.00	$70.50 25% off	$170.00	$170.00	$170.00	2025-03-07
80100	HCPCS	Drug Screen, Blood	16	16	$106.00	$79.50 25% off	$170.00	$170.00	$170.00	2025-03-07
80152	HCPCS	Amitriptyline (elavil)	16	16	$63.00	$47.25 25% off	$170.00	$170.00	$170.00	2025-03-07
80053	HCPCS	Ref Comprehensive Metabolic Panel	16	16	$211.00	$158.25 25% off	$170.00	$170.00	$170.00	2025-03-07
46999	HCPCS	Unlisted Procedure Anus	16	16	$437.00	$327.75 25% off	$170.00	$170.00	$170.00	2025-03-07
81377	HCPCS	.celiac Hla Dq2	16	16	$120.00	$90.00 25% off	$170.00	$170.00	$170.00	2025-03-07
49570	HCPCS	Prof Fees Repair Epigastric Hernia	16	16	$996.00	$747.00 25% off	$170.00	$170.00	$170.00	2025-03-07
49999	HCPCS	Prof Fees Unlisted Proc Abd Peritoneum	16	16	$909.00	$681.75 25% off	$170.00	$170.00	$170.00	2025-03-07
71023	HCPCS	Rad Prof Fee Chest 2 Views W/fluoro	16	16	$106.00	$79.50 25% off	$170.00	$170.00	$170.00	2025-03-07
80050	HCPCS	General Health Panel	16	16	$83.00	$62.25 25% off	$170.00	$170.00	$170.00	2025-03-07
00731	HCPCS	Anesthesia	16	16	$562.40	$421.80 25% off	$170.00	$170.00	$170.00	2025-03-07
78299	HCPCS	Nm Pancreas Scan	16	16	$677.00	$507.75 25% off	$170.00	$170.00	$170.00	2025-03-07
45999	HCPCS	Unlisted Procedure Rectum	16	16	$634.00	$475.50 25% off	$170.00	$170.00	$170.00	2025-03-07
80339	HCPCS	Lacosamide	16	16	$374.00	$280.50 25% off	$170.00	$170.00	$170.00	2025-03-07
82150	HCPCS	Amylase	16	16	$66.00	$49.50 25% off	$170.00	$170.00	$170.00	2025-03-07
45399	HCPCS	Unlisted Procedure Colon	16	16	$1,185.00	$888.75 25% off	$170.00	$170.00	$170.00	2025-03-07
80016	HCPCS	Chem 16	16	16	$164.00	$123.00 25% off	$170.00	$170.00	$170.00	2025-03-07
37720	HCPCS	Prof Fees Ligation And Division And Comp	16	16	$1,129.00	$846.75 25% off	$170.00	$170.00	$170.00	2025-03-07
11100	HCPCS	Prof Fees Biopsy Skin Sub Of Tissue	16	16	$236.00	$177.00 25% off	$170.00	$170.00	$170.00	2025-03-07
71020	HCPCS	Chest Two Views	16	16	$150.00	$112.50 25% off	$170.00	$170.00	$170.00	2025-03-07
82480	HCPCS	Pseudocholinesterase	16	16	$63.00	$47.25 25% off	$170.00	$170.00	$170.00	2025-03-07
82300	HCPCS	Urine Cadmium 24 Hr	16	16	$61.00	$45.75 25% off	$170.00	$170.00	$170.00	2025-03-07
74300	HCPCS	Intraoperative Cholangiogram	16	16	$426.00	$319.50 25% off	$170.00	$170.00	$170.00	2025-03-07
41820	HCPCS	Gingivetomy Excision Gingiva Each Quadra	16	16	$515.00	$386.25 25% off	$170.00	$170.00	$170.00	2025-03-07
80102	HCPCS	Thc Urine Conf	16	16	$50.00	$37.50 25% off	$170.00	$170.00	$170.00	2025-03-07
80365	HCPCS	Oxycodone And Metabolite	16	16	$333.00	$249.75 25% off	$170.00	$170.00	$170.00	2025-03-07
11101	HCPCS	Prof Fees Lesion Each Additional	16	16	$117.00	$87.75 25% off	$170.00	$170.00	$170.00	2025-03-07
49587	HCPCS	Prof Fees Repair Umbilical Hernia Incarc	16	16	$1,462.00	$1,096.50 25% off	$170.00	$170.00	$170.00	2025-03-07
58999	HCPCS	Unlisted Procedure	16	16	$17.00	$12.75 25% off	$170.00	$170.00	$170.00	2025-03-07
80159	HCPCS	Clozapine Serum	16	16	$122.00	$91.50 25% off	$170.00	$170.00	$170.00	2025-03-07
82088	HCPCS	Aldosterone, Serum	16	16	$213.00	$159.75 25% off	$170.00	$170.00	$170.00	2025-03-07
49203	HCPCS	Excision Destruction Cysts Endometriomas	16	16	$1,056.00	$792.00 25% off	$170.00	$170.00	$170.00	2025-03-07
80069	HCPCS	Renal Function Panel	16	16	$185.00	$138.75 25% off	$170.00	$170.00	$170.00	2025-03-07
55450	HCPCS	Ligation Of Vas Deferens Unilateral Bila	16	16	$2,147.00	$1,610.25 25% off	$170.00	$170.00	$170.00	2025-03-07
82725	HCPCS	Fatty Acids Free	16	16	$69.00	$51.75 25% off	$170.00	$170.00	$170.00	2025-03-07
82272	HCPCS	Occult Blood (stool)	16	16	$41.00	$30.75 25% off	$170.00	$170.00	$170.00	2025-03-07
82374	HCPCS	Co2	16	16	$61.00	$45.75 25% off	$170.00	$170.00	$170.00	2025-03-07
82017	HCPCS	Acylcarnitine Urine	16	16	$282.00	$211.50 25% off	$170.00	$170.00	$170.00	2025-03-07
74247	HCPCS	Rad Prof Fee Ugi W/air Contrast W/kub	16	16	$130.00	$97.50 25% off	$170.00	$170.00	$170.00	2025-03-07
80186	HCPCS	Phenytoin, Free	16	16	$180.00	$135.00 25% off	$170.00	$170.00	$170.00	2025-03-07
78890	HCPCS	Nuc Med Phy Gen Of Data	16	16	$266.00	$199.50 25% off	$170.00	$170.00	$170.00	2025-03-07
28290	HCPCS	Hallux Valgus W/wo Sesamoidec Simple Exo	16	16	$1,481.00	$1,110.75 25% off	$170.00	$170.00	$170.00	2025-03-07
82955	HCPCS	G/6pd	16	16	$63.00	$47.25 25% off	$170.00	$170.00	$170.00	2025-03-07
80177	HCPCS	Levetiracetam	16	16	$70.00	$52.50 25% off	$170.00	$170.00	$170.00	2025-03-07
13150	HCPCS	Prof Fees Repair Complex Eyelids, Ears,	16	16	$737.00	$552.75 25% off	$170.00	$170.00	$170.00	2025-03-07
82533	HCPCS	Cortisol	16	16	$115.00	$86.25 25% off	$170.00	$170.00	$170.00	2025-03-07
71022	HCPCS	Rad Prof Fee Chest 2 Views Oblique	16	16	$87.00	$65.25 25% off	$170.00	$170.00	$170.00	2025-03-07
82135	HCPCS	Urine Aminolevulinic Acid	16	16	$63.00	$47.25 25% off	$170.00	$170.00	$170.00	2025-03-07
80185	HCPCS	Phenytoin Total	16	16	$94.00	$70.50 25% off	$170.00	$170.00	$170.00	2025-03-07
80299	HCPCS	Lamotrigine	16	16	$213.00	$159.75 25% off	$170.00	$170.00	$170.00	2025-03-07
82270	HCPCS	Occult Blood Screen	16	16	$36.00	$27.00 25% off	$170.00	$170.00	$170.00	2025-03-07
82248	HCPCS	Bilirubin Direct	16	16	$61.00	$45.75 25% off	$170.00	$170.00	$170.00	2025-03-07
80305	HCPCS	In-house Fentanyl	16	16	$25.20	$18.90 25% off	$170.00	$170.00	$170.00	2025-03-07
32020	HCPCS	Prof Fees Chest Tube Insertion	16	16	$666.00	$499.50 25% off	$170.00	$170.00	$170.00	2025-03-07
80051	HCPCS	Electrolyte Panel	16	16	$86.00	$64.50 25% off	$170.00	$170.00	$170.00	2025-03-07
74301	HCPCS	Rad Prof Fee Intraoperative Cholangiogra	16	16	$41.00	$30.75 25% off	$170.00	$170.00	$170.00	2025-03-07
82542	HCPCS	Zonisamide (zonegran)	16	16	$142.00	$106.50 25% off	$170.00	$170.00	$170.00	2025-03-07
82436	HCPCS	Urine Chloride	16	16	$61.00	$45.75 25% off	$170.00	$170.00	$170.00	2025-03-07
82627	HCPCS	Dhea Sulfate	16	16	$69.00	$51.75 25% off	$170.00	$170.00	$170.00	2025-03-07
33010	HCPCS	ER-phy Pericardiocentesis	16	16	$426.00	$319.50 25% off	$170.00	$170.00	$170.00	2025-03-07
53675	HCPCS	Prof Fees Catheterization Urethra Compli	16	16	$423.00	$317.25 25% off	$170.00	$170.00	$170.00	2025-03-07
80168	HCPCS	Zarotin/ethosuximide	16	16	$69.00	$51.75 25% off	$170.00	$170.00	$170.00	2025-03-07
49565	HCPCS	Prof Fees Repair Recurrent Incisional Or	16	16	$1,892.00	$1,419.00 25% off	$170.00	$170.00	$170.00	2025-03-07
41899	HCPCS	Prof Fees Dental Surgery	16	16	$500.00	$375.00 25% off	$170.00	$170.00	$170.00	2025-03-07
80182	HCPCS	Nortriptyline	16	16	$75.00	$56.25 25% off	$170.00	$170.00	$170.00	2025-03-07
80173	HCPCS	Haloperidol (haldol)	16	16	$75.00	$56.25 25% off	$170.00	$170.00	$170.00	2025-03-07
82507	HCPCS	Urine Citrate	16	16	$109.00	$81.75 25% off	$170.00	$170.00	$170.00	2025-03-07
82172	HCPCS	Apolipoprotein B	16	16	$50.00	$37.50 25% off	$170.00	$170.00	$170.00	2025-03-07
82306	HCPCS	Vit D 25 Hydroxy	16	16	$213.00	$159.75 25% off	$170.00	$170.00	$170.00	2025-03-07
80091	HCPCS	Thyroid Panel	16	16	$44.00	$33.00 25% off	$170.00	$170.00	$170.00	2025-03-07
15300	HCPCS	Allograft Skin For Trunk Arms Legs	16	16	$1,908.00	$1,431.00 25% off	$170.00	$170.00	$170.00	2025-03-07
45383	HCPCS	Colonoscopy With Ablation Of Tumor(s)	16	16	$903.00	$677.25 25% off	$170.00	$170.00	$170.00	2025-03-07
15320	HCPCS	Allograft Skin For Face Scalp Eyelids Mo	16	16	$1,908.00	$1,431.00 25% off	$170.00	$170.00	$170.00	2025-03-07
74010	HCPCS	Rad Prof Fee Anteroposter	16	16	$58.00	$43.50 25% off	$170.00	$170.00	$170.00	2025-03-07
15400	HCPCS	Xenograft Skin Trunk Arms Legs	16	16	$1,908.00	$1,431.00 25% off	$170.00	$170.00	$170.00	2025-03-07
00790	HCPCS	Gallbladder Anes	16	16	$1,028.28	$771.21 25% off	$170.00	$170.00	$170.00	2025-03-07
15420	HCPCS	Xenograft Skin Face Scalp Eyelids Mouth	16	16	$1,908.00	$1,431.00 25% off	$170.00	$170.00	$170.00	2025-03-07
76999	HCPCS	US Rad Prof Fee Unlisted	16	16	$40.00	$30.00 25% off	$170.00	$170.00	$170.00	2025-03-07
26989	HCPCS	ER-phy Unlisted Proc Hand Or Fingers	16	16	$293.00	$219.75 25% off	$170.00	$170.00	$170.00	2025-03-07
15430	HCPCS	Acellular Xenograft Implant	16	16	$1,908.00	$1,431.00 25% off	$170.00	$170.00	$170.00	2025-03-07
54820	HCPCS	Prof Fees Exploration Of Edididymus	16	16	$183.00	$137.25 25% off	$170.00	$170.00	$170.00	2025-03-07
43499	HCPCS	ER-phy Esophagus Unlisted Procedure	16	16	$414.00	$310.50 25% off	$170.00	$170.00	$170.00	2025-03-07
80092	HCPCS	Thyroid Panel With Tsh	16	16	$54.00	$40.50 25% off	$170.00	$170.00	$170.00	2025-03-07
15850	HCPCS	Removal Sutures Under Anesthesia Same Md	16	16	$3,254.00	$2,440.50 25% off	$170.00	$170.00	$170.00	2025-03-07
78000	HCPCS	Rai Uptake 24 Hr Count	16	16	$152.00	$114.00 25% off	$170.00	$170.00	$170.00	2025-03-07
82525	HCPCS	Copper (cu)	16	16	$119.00	$89.25 25% off	$170.00	$170.00	$170.00	2025-03-07
00813	HCPCS	Anesthesia For Colon And Egd	16	16	$695.91	$521.93 25% off	$170.00	$170.00	$170.00	2025-03-07
81003	HCPCS	Urine Blood Qual	15	15	$13.00	$9.75 25% off	$170.00	$170.00	$170.00	2025-03-07
36415	HCPCS	Venipuncture	15	15	$12.00	$9.00 25% off	$170.00	$170.00	$170.00	2025-03-07
10000	HCPCS	Acute Care Rmchg Private Room W/bath	13	13	$800.00	$600.00 25% off	$2,058.50	$2,534.00	$2,058.50	2025-03-07
0110	RC	—	13	13	$800.00	$600.00 25% off	$2,058.50	$2,534.00	$2,058.50	2025-03-07
20000	HCPCS	Swingbed Rmchg Private Room W/bath	13	13	$600.00	$450.00 25% off	$2,058.50	$2,534.00	$2,058.50	2025-03-07
0119	RC	—	12	12	$250.00	$187.50 25% off	$2,058.50	$2,058.50	$2,058.50	2025-03-07
17003	HCPCS	Prof Fees Destruction Electrosurgical Le	1	1	$34.00	$25.50 25% off	$170.00	$170.00	$170.00	2025-03-07

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