|
22693776_1
|
CDM
|
Dilator Savory,with Case
|
1
|
1
|
$13,044.00
|
$9,130.80
30% off
|
$10,435.20
|
$10,435.20
|
$10,435.20
|
2025-04-30
|
|
965
|
MS_DRG
|
Other Multiple Significant Trauma Without Cc/mcc
|
2
|
2
|
$4,805.50
|
$3,363.85
30% off
|
$7,052.11
|
$7,052.11
|
$7,052.11
|
2025-04-30
|
|
86
|
MS_DRG
|
Traumatic Stupor And Coma <1 Hour With Cc
|
2
|
2
|
$4,509.00
|
$3,156.30
30% off
|
$6,346.87
|
$6,346.87
|
$6,346.87
|
2025-04-30
|
|
813
|
MS_DRG
|
Coagulation Disorders
|
2
|
2
|
$3,230.00
|
$2,261.00
30% off
|
$6,338.92
|
$6,338.92
|
$6,338.92
|
2025-04-30
|
|
812
|
MS_DRG
|
Red Blood Cell Disorders Without Mcc
|
2
|
2
|
$26,306.11
|
$18,414.28
30% off
|
$6,338.92
|
$6,338.92
|
$6,338.92
|
2025-04-30
|
|
539
|
MS_DRG
|
Osteomyelitis With Mcc
|
2
|
2
|
$14,856.00
|
$10,399.20
30% off
|
$6,106.39
|
$6,106.39
|
$6,106.39
|
2025-04-30
|
|
22162425_1
|
CDM
|
Clip Resolution
|
8
|
8
|
$7,860.00
|
$5,502.00
30% off
|
$3,065.40
|
$6,681.00
|
$6,091.50
|
2025-04-30
|
|
149
|
MS_DRG
|
Dysequilibrium
|
2
|
2
|
$4,910.00
|
$3,437.00
30% off
|
$6,008.08
|
$6,008.08
|
$6,008.08
|
2025-04-30
|
|
153
|
MS_DRG
|
Otitis Media And Uri Without Mcc
|
2
|
2
|
$14,081.22
|
$9,856.85
30% off
|
$6,008.08
|
$6,008.08
|
$6,008.08
|
2025-04-30
|
|
185
|
MS_DRG
|
Major Chest Trauma Without Cc/mcc
|
2
|
2
|
$9,199.00
|
$6,439.30
30% off
|
$5,985.67
|
$5,985.67
|
$5,985.67
|
2025-04-30
|
|
444
|
MS_DRG
|
Disorders Of The Biliary Tract With Mcc
|
2
|
2
|
$70,082.00
|
$49,057.40
30% off
|
$5,940.68
|
$5,940.68
|
$5,940.68
|
2025-04-30
|
|
57
|
MS_DRG
|
Degenerative Nervous System Disorders Without Mcc
|
2
|
2
|
$6,812.48
|
$4,768.73
30% off
|
$5,882.22
|
$5,882.22
|
$5,882.22
|
2025-04-30
|
|
179
|
MS_DRG
|
Respiratory Infections And Inflammations Without Cc/mcc
|
2
|
2
|
$5,927.21
|
$4,149.05
30% off
|
$5,562.67
|
$5,562.67
|
$5,562.67
|
2025-04-30
|
|
178
|
MS_DRG
|
Respiratory Infections And Inflammations With Cc
|
2
|
2
|
$9,975.99
|
$6,983.19
30% off
|
$5,562.67
|
$5,562.67
|
$5,562.67
|
2025-04-30
|
|
177
|
MS_DRG
|
Respiratory Infections And Inflammations With Mcc
|
2
|
2
|
$8,779.56
|
$6,145.69
30% off
|
$5,562.67
|
$5,562.67
|
$5,562.67
|
2025-04-30
|
|
71
|
MS_DRG
|
Other Cerebrovascular Disorders With Cc
|
2
|
2
|
$24,382.60
|
$17,067.82
30% off
|
$5,488.83
|
$5,488.83
|
$5,488.83
|
2025-04-30
|
|
809
|
MS_DRG
|
Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co…
|
2
|
2
|
$136,591.04
|
$95,613.73
30% off
|
$5,440.54
|
$5,440.54
|
$5,440.54
|
2025-04-30
|
|
816
|
MS_DRG
|
Reticuloendothelial And Immunity Disorders Without Cc/mcc
|
2
|
2
|
$10,898.85
|
$7,629.20
30% off
|
$5,440.54
|
$5,440.54
|
$5,440.54
|
2025-04-30
|
|
176
|
MS_DRG
|
Pulmonary Embolism Without Mcc
|
2
|
2
|
$17,306.35
|
$12,114.45
30% off
|
$5,388.25
|
$5,388.25
|
$5,388.25
|
2025-04-30
|
|
871
|
MS_DRG
|
Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc
|
2
|
2
|
$41,474.71
|
$29,032.30
30% off
|
$5,364.54
|
$5,364.54
|
$5,364.54
|
2025-04-30
|
|
872
|
MS_DRG
|
Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc
|
2
|
2
|
$23,995.91
|
$16,797.13
30% off
|
$5,364.54
|
$5,364.54
|
$5,364.54
|
2025-04-30
|
|
552
|
MS_DRG
|
Medical Back Problems Without Mcc
|
2
|
2
|
$4,076.00
|
$2,853.20
30% off
|
$5,294.32
|
$5,294.32
|
$5,294.32
|
2025-04-30
|
|
914
|
MS_DRG
|
Traumatic Injury Without Mcc
|
2
|
2
|
$21,146.20
|
$14,802.34
30% off
|
$5,294.32
|
$5,294.32
|
$5,294.32
|
2025-04-30
|
|
378
|
MS_DRG
|
Gastrointestinal Hemorrhage With Cc
|
2
|
2
|
$6,333.50
|
$4,433.45
30% off
|
$5,267.39
|
$5,267.39
|
$5,267.39
|
2025-04-30
|
|
379
|
MS_DRG
|
Gastrointestinal Hemorrhage Without Cc/mcc
|
2
|
2
|
$2,000.75
|
$1,400.53
30% off
|
$5,267.39
|
$5,267.39
|
$5,267.39
|
2025-04-30
|
|
189
|
MS_DRG
|
Pulmonary Edema And Respiratory Failure
|
2
|
2
|
$10,121.03
|
$7,084.72
30% off
|
$5,258.83
|
$5,258.83
|
$5,258.83
|
2025-04-30
|
|
187
|
MS_DRG
|
Pleural Effusion With Cc
|
2
|
2
|
$30,545.25
|
$21,381.68
30% off
|
$5,258.83
|
$5,258.83
|
$5,258.83
|
2025-04-30
|
|
43249
|
HCPCS
|
Balloon Dilation Of Esophagus, Stomach, And/or Upper Small Bowel Using A Flexibl…
|
11
|
11
|
$8,500.00
|
$5,950.00
30% off
|
$1,185.08
|
$7,225.00
|
$5,100.00
|
2025-04-30
|
|
440
|
MS_DRG
|
Disorders Of Pancreas Except Malignancy Without Cc/mcc
|
2
|
2
|
$37,847.83
|
$26,493.48
30% off
|
$5,067.40
|
$5,067.40
|
$5,067.40
|
2025-04-30
|
|
605
|
MS_DRG
|
Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc
|
2
|
2
|
$9,629.55
|
$6,740.69
30% off
|
$5,056.65
|
$5,056.65
|
$5,056.65
|
2025-04-30
|
|
593
|
MS_DRG
|
Skin Ulcers With Cc
|
2
|
2
|
$111,199.22
|
$77,839.45
30% off
|
$4,942.19
|
$4,942.19
|
$4,942.19
|
2025-04-30
|
|
594
|
MS_DRG
|
Skin Ulcers Without Cc/mcc
|
2
|
2
|
$7,499.48
|
$5,249.64
30% off
|
$4,942.19
|
$4,942.19
|
$4,942.19
|
2025-04-30
|
|
394
|
MS_DRG
|
Other Digestive System Diagnoses With Cc
|
2
|
2
|
$2,208.50
|
$1,545.95
30% off
|
$4,832.44
|
$4,832.44
|
$4,832.44
|
2025-04-30
|
|
392
|
MS_DRG
|
Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc
|
2
|
2
|
$16,102.76
|
$11,271.93
30% off
|
$4,832.44
|
$4,832.44
|
$4,832.44
|
2025-04-30
|
|
292
|
MS_DRG
|
Heart Failure And Shock With Cc
|
2
|
2
|
$11,880.27
|
$8,316.19
30% off
|
$4,801.70
|
$4,801.70
|
$4,801.70
|
2025-04-30
|
|
293
|
MS_DRG
|
Heart Failure And Shock Without Cc/mcc
|
2
|
2
|
$6,636.38
|
$4,645.47
30% off
|
$4,801.70
|
$4,801.70
|
$4,801.70
|
2025-04-30
|
|
291
|
MS_DRG
|
Heart Failure And Shock With Mcc
|
2
|
2
|
$22,640.36
|
$15,848.25
30% off
|
$4,801.70
|
$4,801.70
|
$4,801.70
|
2025-04-30
|
|
315
|
MS_DRG
|
Other Circulatory System Diagnoses With Cc
|
2
|
2
|
$5,878.35
|
$4,114.85
30% off
|
$4,743.04
|
$4,743.04
|
$4,743.04
|
2025-04-30
|
|
316
|
MS_DRG
|
Other Circulatory System Diagnoses Without Cc/mcc
|
2
|
2
|
$7,953.35
|
$5,567.35
30% off
|
$4,743.04
|
$4,743.04
|
$4,743.04
|
2025-04-30
|
|
694
|
MS_DRG
|
Urinary Stones Without Mcc
|
2
|
2
|
$4,025.85
|
$2,818.10
30% off
|
$4,738.86
|
$4,738.86
|
$4,738.86
|
2025-04-30
|
|
880
|
MS_DRG
|
Acute Adjustment Reaction And Psychosocial Dysfunction
|
2
|
2
|
$11,067.06
|
$7,746.94
30% off
|
$4,579.40
|
$4,579.40
|
$4,579.40
|
2025-04-30
|
|
885
|
MS_DRG
|
Psychoses
|
2
|
2
|
$17,200.00
|
$12,040.00
30% off
|
$4,579.40
|
$4,579.40
|
$4,579.40
|
2025-04-30
|
|
312
|
MS_DRG
|
Syncope And Collapse
|
2
|
2
|
$37,680.80
|
$26,376.56
30% off
|
$4,564.89
|
$4,564.89
|
$4,564.89
|
2025-04-30
|
|
390
|
MS_DRG
|
Gastrointestinal Obstruction Without Cc/mcc
|
2
|
2
|
$4,469.00
|
$3,128.30
30% off
|
$4,509.45
|
$4,509.45
|
$4,509.45
|
2025-04-30
|
|
307
|
MS_DRG
|
Cardiac Congenital And Valvular Disorders Without Mcc
|
2
|
2
|
$2,072.10
|
$1,450.47
30% off
|
$4,484.83
|
$4,484.83
|
$4,484.83
|
2025-04-30
|
|
192
|
MS_DRG
|
Chronic Obstructive Pulmonary Disease Without Cc/mcc
|
2
|
2
|
$22,734.51
|
$15,914.15
30% off
|
$4,484.43
|
$4,484.43
|
$4,484.43
|
2025-04-30
|
|
191
|
MS_DRG
|
Chronic Obstructive Pulmonary Disease With Cc
|
2
|
2
|
$16,439.67
|
$11,507.77
30% off
|
$4,484.43
|
$4,484.43
|
$4,484.43
|
2025-04-30
|
|
190
|
MS_DRG
|
Chronic Obstructive Pulmonary Disease With Mcc
|
2
|
2
|
$17,570.64
|
$12,299.45
30% off
|
$4,484.43
|
$4,484.43
|
$4,484.43
|
2025-04-30
|
|
682
|
MS_DRG
|
Renal Failure With Mcc
|
2
|
2
|
$21,800.85
|
$15,260.60
30% off
|
$4,468.16
|
$4,468.16
|
$4,468.16
|
2025-04-30
|
|
683
|
MS_DRG
|
Renal Failure With Cc
|
2
|
2
|
$48,510.71
|
$33,957.50
30% off
|
$4,468.16
|
$4,468.16
|
$4,468.16
|
2025-04-30
|
|
884
|
MS_DRG
|
Organic Disturbances And Intellectual Disability
|
2
|
2
|
$43,958.90
|
$30,771.23
30% off
|
$4,440.20
|
$4,440.20
|
$4,440.20
|
2025-04-30
|
|
305
|
MS_DRG
|
Hypertension Without Mcc
|
2
|
2
|
$2,102.10
|
$1,471.47
30% off
|
$4,415.71
|
$4,415.71
|
$4,415.71
|
2025-04-30
|
|
195
|
MS_DRG
|
Simple Pneumonia And Pleurisy Without Cc/mcc
|
2
|
2
|
$12,748.38
|
$8,923.87
30% off
|
$4,367.72
|
$4,367.72
|
$4,367.72
|
2025-04-30
|
|
193
|
MS_DRG
|
Simple Pneumonia And Pleurisy With Mcc
|
2
|
2
|
$13,717.39
|
$9,602.17
30% off
|
$4,367.72
|
$4,367.72
|
$4,367.72
|
2025-04-30
|
|
194
|
MS_DRG
|
Simple Pneumonia And Pleurisy With Cc
|
2
|
2
|
$21,297.74
|
$14,908.42
30% off
|
$4,367.72
|
$4,367.72
|
$4,367.72
|
2025-04-30
|
|
603
|
MS_DRG
|
Cellulitis Without Mcc
|
2
|
2
|
$52,175.96
|
$36,523.17
30% off
|
$4,273.36
|
$4,273.36
|
$4,273.36
|
2025-04-30
|
|
640
|
MS_DRG
|
Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M…
|
2
|
2
|
$404,227.29
|
$282,959.10
30% off
|
$4,252.19
|
$4,252.19
|
$4,252.19
|
2025-04-30
|
|
641
|
MS_DRG
|
Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou…
|
2
|
2
|
$10,020.04
|
$7,014.03
30% off
|
$4,252.19
|
$4,252.19
|
$4,252.19
|
2025-04-30
|
|
563
|
MS_DRG
|
Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit…
|
2
|
2
|
$73,542.55
|
$51,479.78
30% off
|
$4,217.45
|
$4,217.45
|
$4,217.45
|
2025-04-30
|
|
690
|
MS_DRG
|
Kidney And Urinary Tract Infections Without Mcc
|
2
|
2
|
$34,467.18
|
$24,127.03
30% off
|
$4,163.38
|
$4,163.38
|
$4,163.38
|
2025-04-30
|
|
689
|
MS_DRG
|
Kidney And Urinary Tract Infections With Mcc
|
2
|
2
|
$16,896.60
|
$11,827.62
30% off
|
$4,163.38
|
$4,163.38
|
$4,163.38
|
2025-04-30
|
|
639
|
MS_DRG
|
Diabetes Without Cc/mcc
|
2
|
2
|
$7,563.20
|
$5,294.24
30% off
|
$4,077.50
|
$4,077.50
|
$4,077.50
|
2025-04-30
|
|
638
|
MS_DRG
|
Diabetes With Cc
|
2
|
2
|
$18,695.47
|
$13,086.83
30% off
|
$4,077.50
|
$4,077.50
|
$4,077.50
|
2025-04-30
|
|
637
|
MS_DRG
|
Diabetes With Mcc
|
2
|
2
|
$15,256.20
|
$10,679.34
30% off
|
$4,077.50
|
$4,077.50
|
$4,077.50
|
2025-04-30
|
|
948
|
MS_DRG
|
Signs And Symptoms Without Mcc
|
2
|
2
|
$37,441.97
|
$26,209.38
30% off
|
$4,020.34
|
$4,020.34
|
$4,020.34
|
2025-04-30
|
|
313
|
MS_DRG
|
Chest Pain
|
2
|
2
|
$2,547.00
|
$1,782.90
30% off
|
$3,925.82
|
$3,925.82
|
$3,925.82
|
2025-04-30
|
|
864
|
MS_DRG
|
Fever And Inflammatory Conditions
|
2
|
2
|
$90,023.91
|
$63,016.74
30% off
|
$3,859.81
|
$3,859.81
|
$3,859.81
|
2025-04-30
|
|
897
|
MS_DRG
|
Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc
|
2
|
2
|
$1,669.20
|
$1,168.44
30% off
|
$3,851.01
|
$3,851.01
|
$3,851.01
|
2025-04-30
|
|
45380
|
HCPCS
|
Biopsy Of Large Bowel Using A Flexible Endoscope
|
11
|
11
|
$5,487.00
|
$3,840.90
30% off
|
$764.14
|
$4,663.95
|
$3,292.20
|
2025-04-30
|
|
45385
|
HCPCS
|
Removal Of Polyps Or Growths Of Large Bowel Using An Endoscope With Mechanical S…
|
11
|
11
|
$5,399.00
|
$3,779.30
30% off
|
$764.14
|
$4,589.15
|
$3,239.40
|
2025-04-30
|
|
203
|
MS_DRG
|
Bronchitis And Asthma Without Cc/mcc
|
2
|
2
|
$39,413.83
|
$27,589.68
30% off
|
$3,072.89
|
$3,072.89
|
$3,072.89
|
2025-04-30
|
|
202
|
MS_DRG
|
Bronchitis And Asthma With Cc/mcc
|
2
|
2
|
$8,327.00
|
$5,828.90
30% off
|
$3,072.89
|
$3,072.89
|
$3,072.89
|
2025-04-30
|
|
199
|
MS_DRG
|
Pneumothorax With Mcc
|
2
|
2
|
$16,828.20
|
$11,779.74
30% off
|
$3,072.89
|
$3,072.89
|
$3,072.89
|
2025-04-30
|
|
43248
|
HCPCS
|
Insertion Of Guide Wire With Dilation Of Esophagus Using A Flexible Endoscope
|
11
|
11
|
$5,045.00
|
$3,531.50
30% off
|
$598.03
|
$4,288.25
|
$3,027.00
|
2025-04-30
|
|
45384
|
HCPCS
|
Removal Of Polyps Or Growths Of Large Bowel Using A Flexible Endoscope With Elec…
|
11
|
11
|
$5,045.00
|
$3,531.50
30% off
|
$764.14
|
$4,288.25
|
$3,027.00
|
2025-04-30
|
|
45386
|
HCPCS
|
Balloon Dilation Of Large Bowel Using A Flexible Endoscope
|
11
|
11
|
$4,650.00
|
$3,255.00
30% off
|
$764.14
|
$3,952.50
|
$2,790.00
|
2025-04-30
|
|
45388
|
HCPCS
|
Destruction Of Polyp Or Growth Of Large Bowel Using A Flexible Endoscope
|
11
|
11
|
$4,000.00
|
$2,800.00
30% off
|
$764.14
|
$3,400.00
|
$2,776.83
|
2025-04-30
|
|
45382
|
HCPCS
|
Control Of Bleeding Of Upper Large Bowel Using A Flexible Endoscope
|
11
|
11
|
$4,075.00
|
$2,852.50
30% off
|
$764.14
|
$3,463.75
|
$2,776.83
|
2025-04-30
|
|
45378
|
HCPCS
|
Diagnostic Exam Of Large Bowel Using A Flexible Endoscope
|
11
|
11
|
$4,337.00
|
$3,035.90
30% off
|
$581.27
|
$3,686.45
|
$2,602.20
|
2025-04-30
|
|
43255
|
HCPCS
|
Control Of Bleeding Of Esophagus, Stomach, And/or Upper Small Bowel Using A Flex…
|
11
|
11
|
$3,375.00
|
$2,362.50
30% off
|
$1,185.08
|
$4,467.56
|
$2,531.25
|
2025-04-30
|
|
43239
|
HCPCS
|
Biopsy Of Esophagus, Stomach, And/or Upper Small Bowel Using A Flexible Endoscop…
|
11
|
11
|
$4,071.00
|
$2,849.70
30% off
|
$598.03
|
$3,460.35
|
$2,442.60
|
2025-04-30
|
|
43247
|
HCPCS
|
Removal Of Foreign Bodies Of Esophagus, Stomach, And/or Upper Small Bowel Using …
|
11
|
11
|
$3,500.00
|
$2,450.00
30% off
|
$598.03
|
$2,975.00
|
$2,208.02
|
2025-04-30
|
|
74174
|
HCPCS
|
CT Scan Of Blood Vessels Of Abdomen And Pelvis With Contrast
|
11
|
11
|
$3,262.50
|
$2,283.75
30% off
|
$290.57
|
$2,773.13
|
$1,957.50
|
2025-04-30
|
|
45381
|
HCPCS
|
Injection Beneath Lining Of Large Bowel Using A Flexible Endoscope
|
11
|
11
|
$2,475.00
|
$1,732.50
30% off
|
$764.14
|
$2,776.83
|
$1,856.25
|
2025-04-30
|
|
43246
|
HCPCS
|
Insertion Of Stomach Tube Using A Flexible Endoscope
|
11
|
11
|
$2,350.00
|
$1,645.00
30% off
|
$916.50
|
$4,467.56
|
$1,762.50
|
2025-04-30
|
|
1022183_1
|
CDM
|
Banding Super 7
|
8
|
8
|
$2,130.00
|
$1,491.00
30% off
|
$830.70
|
$1,810.50
|
$1,650.75
|
2025-04-30
|
|
43244
|
HCPCS
|
Tying Of Dilated Veins Of Stomach And/or Esophagus Using A Flexible Endoscope
|
11
|
11
|
$2,050.00
|
$1,435.00
30% off
|
$799.50
|
$4,467.56
|
$1,537.50
|
2025-04-30
|
|
59409
|
HCPCS
|
Vaginal Delivery
|
16
|
11
|
$1,150.00
|
$805.00
30% off
|
$448.50
|
$7,488.03
|
$1,439.20
|
2025-04-30
|
|
43236
|
HCPCS
|
Injection Of Esophagus, Stomach, And/or Upper Small Bowel Using A Flexible Endos…
|
11
|
11
|
$1,850.00
|
$1,295.00
30% off
|
$598.03
|
$2,208.02
|
$1,387.50
|
2025-04-30
|
|
74178
|
HCPCS
|
CT Scan Of Abdomen And Pelvis Before And After Contrast
|
27
|
11
|
$2,100.00
|
$1,470.00
30% off
|
$151.60
|
$3,017.50
|
$1,260.00
|
2025-04-30
|
|
43235
|
HCPCS
|
Diagnostic Exam Of Esophagus, Stomach, And/or Upper Small Bowel Using A Flexible…
|
19
|
11
|
$3,009.00
|
$2,106.30
30% off
|
$526.50
|
$2,557.65
|
$1,147.50
|
2025-04-30
|
|
59410
|
HCPCS
|
Vaginal Delivery With Post Delivery Care
|
15
|
10
|
$1,475.00
|
$1,032.50
30% off
|
$575.25
|
$2,800.00
|
$1,106.25
|
2025-04-30
|
|
70498
|
HCPCS
|
CT Scan Of Blood Vessels Of Neck With Contrast
|
11
|
11
|
$1,815.00
|
$1,270.50
30% off
|
$138.66
|
$1,542.75
|
$1,089.00
|
2025-04-30
|
|
94002
|
HCPCS
|
Initial Hospital Inpatient Or Observation Ventilation Assistance And Management
|
9
|
9
|
$1,310.00
|
$917.00
30% off
|
$510.90
|
$1,556.94
|
$1,048.00
|
2025-04-30
|
|
70496
|
HCPCS
|
CT Scan Of Blood Vessels Of Head With Contrast
|
11
|
11
|
$1,745.00
|
$1,221.50
30% off
|
$138.66
|
$1,483.25
|
$1,047.00
|
2025-04-30
|
|
74177
|
HCPCS
|
CT Scan Of Abdomen And Pelvis With Contrast
|
27
|
11
|
$1,700.00
|
$1,190.00
30% off
|
$151.60
|
$2,422.50
|
$1,020.00
|
2025-04-30
|
|
22693755_1
|
CDM
|
Needles,injection Gold Probe
|
8
|
8
|
$1,290.00
|
$903.00
30% off
|
$503.10
|
$1,096.50
|
$999.75
|
2025-04-30
|
|
74176
|
HCPCS
|
CT Scan Of Abdomen And Pelvis Without Contrast
|
27
|
11
|
$1,600.00
|
$1,120.00
30% off
|
$95.63
|
$2,337.50
|
$960.00
|
2025-04-30
|
|
75635
|
HCPCS
|
CT Scan Of Abdominal Aorta And Both Leg Arteries With Contrast
|
11
|
11
|
$1,550.00
|
$1,085.00
30% off
|
$138.66
|
$1,317.50
|
$930.00
|
2025-04-30
|
|
M0247
|
HCPCS
|
Intravenous Infusion, Sotrovimab, Includes Infusion And Post Administration Moni…
|
10
|
10
|
$1,125.00
|
$787.50
30% off
|
$438.75
|
$1,125.00
|
$900.00
|
2025-04-30
|
|
M0222
|
HCPCS
|
Intravenous Injection, Bebtelovimab, Includes Injection And Post Administration …
|
10
|
10
|
$1,125.00
|
$787.50
30% off
|
$438.75
|
$1,125.00
|
$900.00
|
2025-04-30
|
|
23505
|
HCPCS
|
Closed Treatment Of Broken Collar Bone With Manipulation
|
5
|
5
|
$900.00
|
$630.00
30% off
|
$720.00
|
$1,190.79
|
$900.00
|
2025-04-30
|
|
74175
|
HCPCS
|
CT Scan Of Blood Vessels Of Abdomen With Contrast
|
11
|
11
|
$1,437.50
|
$1,006.25
30% off
|
$138.66
|
$1,221.88
|
$862.50
|
2025-04-30
|
|
72191
|
HCPCS
|
CT Scan Of Blood Vessels Of Pelvis With Contrast
|
11
|
11
|
$1,417.50
|
$992.25
30% off
|
$138.66
|
$1,204.88
|
$850.50
|
2025-04-30
|
|
22693766_1
|
CDM
|
Banding Super 7
|
8
|
8
|
$1,065.00
|
$745.50
30% off
|
$415.35
|
$905.25
|
$825.38
|
2025-04-30
|
|
23995289_1
|
CDM
|
Adaptor, King Vision Kit, Ped Sz 1 & 2
|
8
|
8
|
$1,029.00
|
$720.30
30% off
|
$401.31
|
$874.65
|
$797.48
|
2025-04-30
|
|
12047
|
HCPCS
|
Intermediate Repair Of Wound Of Neck, Hands, Feet, Or Genitals, More Than 30.0 C…
|
5
|
5
|
$791.00
|
$553.70
30% off
|
$632.80
|
$791.00
|
$756.70
|
2025-04-30
|
|
22693841_1
|
CDM
|
Kit, Peg Pull Ponsky
|
8
|
8
|
$934.00
|
$653.80
30% off
|
$364.26
|
$793.90
|
$723.85
|
2025-04-30
|
|
45335
|
HCPCS
|
Injection Beneath Lining Of Lower Large Bowel Using A Flexible Endoscope
|
11
|
11
|
$950.00
|
$665.00
30% off
|
$370.50
|
$2,147.15
|
$712.50
|
2025-04-30
|
|
12057
|
HCPCS
|
Intermediate Repair Of Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, More …
|
5
|
5
|
$884.00
|
$618.80
30% off
|
$280.66
|
$884.00
|
$707.20
|
2025-04-30
|
|
12056
|
HCPCS
|
Intermediate Repair Of Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 20.1-…
|
5
|
5
|
$884.00
|
$618.80
30% off
|
$280.66
|
$884.00
|
$707.20
|
2025-04-30
|
|
24126291_1
|
CDM
|
Pulmicort 180 Mcg Flexhaler
|
8
|
8
|
$894.00
|
$625.80
30% off
|
$348.66
|
$759.90
|
$692.85
|
2025-04-30
|
|
22693767_1
|
CDM
|
Clip Resolution
|
1
|
1
|
$827.58
|
$579.31
30% off
|
$662.06
|
$662.06
|
$662.06
|
2025-04-30
|
|
12018
|
HCPCS
|
Simple Repair Of Surface Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, Mor…
|
5
|
5
|
$791.00
|
$553.70
30% off
|
$140.91
|
$791.00
|
$632.80
|
2025-04-30
|
|
12017
|
HCPCS
|
Simple Repair Of Surface Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 20.…
|
5
|
5
|
$791.00
|
$553.70
30% off
|
$280.66
|
$791.00
|
$632.80
|
2025-04-30
|
|
22693756_1
|
CDM
|
Wire Cre Fixed 10-12
|
8
|
8
|
$816.00
|
$571.20
30% off
|
$318.24
|
$693.60
|
$632.40
|
2025-04-30
|
|
22693757_1
|
CDM
|
Wire Cre Fixed 12-15
|
8
|
8
|
$816.00
|
$571.20
30% off
|
$318.24
|
$693.60
|
$632.40
|
2025-04-30
|
|
22693758_1
|
CDM
|
Wire Cre Fixed 15-18
|
8
|
8
|
$816.00
|
$571.20
30% off
|
$318.24
|
$693.60
|
$632.40
|
2025-04-30
|
|
22693688_1
|
CDM
|
Pack,gel,cervical,hot&cold
|
8
|
8
|
$803.00
|
$562.10
30% off
|
$313.17
|
$682.55
|
$622.33
|
2025-04-30
|
|
31500
|
HCPCS
|
Emergent Insertion Of Breathing Tube Into Windpipe Using An Endoscope
|
16
|
11
|
$1,750.00
|
$1,225.00
30% off
|
$140.00
|
$1,487.50
|
$614.70
|
2025-04-30
|
|
65435
|
HCPCS
|
Removal Of Outer Layer Of Cornea
|
7
|
5
|
$275.00
|
$192.50
30% off
|
$220.00
|
$750.12
|
$614.05
|
2025-04-30
|
|
G0105
|
HCPCS
|
Colorectal Cancer Screening; Colonoscopy On Individual At High Risk
|
19
|
11
|
$765.00
|
$535.50
30% off
|
$298.35
|
$2,147.15
|
$612.00
|
2025-04-30
|
|
43450
|
HCPCS
|
Dilation Of Esophagus
|
11
|
11
|
$765.00
|
$535.50
30% off
|
$298.35
|
$2,208.02
|
$612.00
|
2025-04-30
|
|
22670415_1
|
CDM
|
Routine Psychological Charge
|
8
|
8
|
$769.00
|
$538.30
30% off
|
$299.91
|
$653.65
|
$595.98
|
2025-04-30
|
|
12037
|
HCPCS
|
Intermediate Repair Of Wound Of Scalp, Underarms, Trunk, Arms, Or Legs, More Tha…
|
16
|
11
|
$647.00
|
$452.90
30% off
|
$252.33
|
$4,307.98
|
$591.38
|
2025-04-30
|
|
22693765_1
|
CDM
|
Probe Gold 300 Cm Single Use
|
8
|
8
|
$752.00
|
$526.40
30% off
|
$293.28
|
$639.20
|
$582.80
|
2025-04-30
|
|
94660
|
HCPCS
|
Therapy Procedure Using A Positive Pressure Ventilator
|
9
|
9
|
$710.00
|
$497.00
30% off
|
$276.90
|
$603.50
|
$532.50
|
2025-04-30
|
|
M0245
|
HCPCS
|
Intravenous Infusion, Bamlanivimab And Etesevimab, Includes Infusion And Post Ad…
|
10
|
10
|
$658.00
|
$460.60
30% off
|
$256.62
|
$658.00
|
$526.40
|
2025-04-30
|
|
M0243
|
HCPCS
|
Intravenous Infusion Or Subcutaneous Injection, Casirivimab And Imdevimab Includ…
|
10
|
10
|
$658.00
|
$460.60
30% off
|
$256.62
|
$658.00
|
$526.40
|
2025-04-30
|
|
P9035
|
HCPCS
|
Platelets, Pheresis, Leukocytes Reduced, Each Unit
|
11
|
11
|
$700.00
|
$490.00
30% off
|
$273.00
|
$1,147.17
|
$525.00
|
2025-04-30
|
|
99285
|
HCPCS
|
Emergency Department Visit With High Level Of Medical Decision Making
|
16
|
11
|
$750.00
|
$525.00
30% off
|
$292.50
|
$1,443.90
|
$521.25
|
2025-04-30
|
|
23811899_1
|
CDM
|
Io Needle, Arrow Ez 45mm 15 Ga W/stabilizer Kit
|
8
|
8
|
$672.00
|
$470.40
30% off
|
$262.08
|
$571.20
|
$520.80
|
2025-04-30
|
|
23811900_1
|
CDM
|
Io Needle, Arrow Ez 25mm 15 Ga W/stabilizer Kit
|
8
|
8
|
$672.00
|
$470.40
30% off
|
$262.08
|
$571.20
|
$520.80
|
2025-04-30
|
|
23811911_1
|
CDM
|
Io Needle, Arrow Ez 15mm 15 Ga W.stabilizer Kit
|
8
|
8
|
$672.00
|
$470.40
30% off
|
$262.08
|
$571.20
|
$520.80
|
2025-04-30
|
|
94003
|
HCPCS
|
Follow-up Inpatient Or Observation Ventilation Assistance And Management
|
9
|
9
|
$620.00
|
$434.00
30% off
|
$241.80
|
$1,556.94
|
$496.00
|
2025-04-30
|
|
74170
|
HCPCS
|
CT Scan Of Abdomen Before And After Contrast
|
16
|
11
|
$1,450.00
|
$1,015.00
30% off
|
$72.43
|
$1,232.50
|
$492.37
|
2025-04-30
|
|
71270
|
HCPCS
|
CT Scan Of Chest Before And After Contrast
|
16
|
11
|
$1,450.00
|
$1,015.00
30% off
|
$129.32
|
$1,232.50
|
$492.37
|
2025-04-30
|
|
G0121
|
HCPCS
|
Colorectal Cancer Screening; Colonoscopy On Individual Not Meeting Criteria For …
|
19
|
11
|
$575.00
|
$402.50
30% off
|
$224.25
|
$2,147.15
|
$488.75
|
2025-04-30
|
|
22704664_1
|
CDM
|
Room & Board - Semi-private (two Beds) - Psychiatric
|
3
|
3
|
$920.00
|
$644.00
30% off
|
$483.00
|
$736.00
|
$483.00
|
2025-04-30
|
|
70482
|
HCPCS
|
CT Scan Of Cranial Cavity Before And After Contrast
|
16
|
11
|
$1,400.00
|
$980.00
30% off
|
$72.43
|
$1,190.00
|
$482.62
|
2025-04-30
|
|
70492
|
HCPCS
|
CT Scan Of Soft Tissue Of Neck Before And After Contrast
|
16
|
11
|
$1,400.00
|
$980.00
30% off
|
$138.66
|
$1,190.00
|
$482.62
|
2025-04-30
|
|
72194
|
HCPCS
|
CT Scan Of Pelvis Before And After Contrast
|
16
|
11
|
$1,400.00
|
$980.00
30% off
|
$138.66
|
$1,190.00
|
$482.62
|
2025-04-30
|
|
93306
|
HCPCS
|
Ultrasound Of Heart With Color-depicted Blood Flow, Rate, Direction And Valve Fu…
|
16
|
11
|
$1,200.00
|
$840.00
30% off
|
$160.00
|
$1,291.29
|
$468.00
|
2025-04-30
|
|
1886880_1
|
CDM
|
Rt Oxygen Per Day Charge
|
8
|
8
|
$600.00
|
$420.00
30% off
|
$234.00
|
$510.00
|
$465.00
|
2025-04-30
|
|
7229384_1
|
CDM
|
Rt Oxygen Therapy Subsequent Charge
|
8
|
8
|
$600.00
|
$420.00
30% off
|
$234.00
|
$510.00
|
$465.00
|
2025-04-30
|
|
27571973_1
|
CDM
|
Brace, Donjoy Back Brace Ii Postural Extension Sz S/m
|
8
|
8
|
$598.00
|
$418.60
30% off
|
$233.22
|
$508.30
|
$463.45
|
2025-04-30
|
|
70481
|
HCPCS
|
CT Scan Of Cranial Cavity With Contrast
|
16
|
11
|
$1,300.00
|
$910.00
30% off
|
$137.11
|
$1,105.00
|
$463.12
|
2025-04-30
|
|
70470
|
HCPCS
|
CT Scan Of Head Or Brain Before And After Contrast
|
16
|
11
|
$1,300.00
|
$910.00
30% off
|
$129.32
|
$1,105.00
|
$463.12
|
2025-04-30
|
|
70488
|
HCPCS
|
CT Scan Of Face Before And After Contrast
|
16
|
11
|
$1,300.00
|
$910.00
30% off
|
$138.66
|
$1,105.00
|
$463.12
|
2025-04-30
|
|
12046
|
HCPCS
|
Intermediate Repair Of Wound Of Neck, Hands, Feet, Or Genitals, 20.1-30.0 Cm
|
16
|
11
|
$575.00
|
$402.50
30% off
|
$224.25
|
$1,441.61
|
$460.00
|
2025-04-30
|
|
36481
|
HCPCS
|
Insertion Of Tube Into Portal Vein Of Liver
|
11
|
8
|
$575.00
|
$402.50
30% off
|
$224.25
|
$2,050.00
|
$460.00
|
2025-04-30
|
|
80335
|
HCPCS
|
Antidepressants Levels, 1 Or 2 (tricyclic And Other Cyclicals)
|
8
|
8
|
$588.00
|
$411.60
30% off
|
$229.32
|
$499.80
|
$455.70
|
2025-04-30
|
|
73202
|
HCPCS
|
CT Scan Of Arm Before And After Contrast
|
48
|
11
|
$1,250.00
|
$875.00
30% off
|
$138.66
|
$1,615.00
|
$453.37
|
2025-04-30
|
|
70491
|
HCPCS
|
CT Scan Of Soft Tissue Of Neck With Contrast
|
16
|
11
|
$1,200.00
|
$840.00
30% off
|
$138.66
|
$1,020.00
|
$443.62
|
2025-04-30
|
|
73702
|
HCPCS
|
CT Scan Of Leg Before And After Contrast
|
48
|
11
|
$1,200.00
|
$840.00
30% off
|
$138.66
|
$1,530.00
|
$443.62
|
2025-04-30
|
|
99291
|
HCPCS
|
Critical Care, First 30-74 Minutes
|
16
|
11
|
$475.00
|
$332.50
30% off
|
$185.25
|
$1,984.42
|
$441.88
|
2025-04-30
|
|
12036
|
HCPCS
|
Intermediate Repair Of Wound Of Scalp, Underarms, Trunk, Arms, Or Legs, 20.1-30.…
|
16
|
11
|
$541.00
|
$378.70
30% off
|
$210.99
|
$1,441.61
|
$437.43
|
2025-04-30
|
|
72193
|
HCPCS
|
CT Scan Of Pelvis With Contrast
|
16
|
11
|
$1,150.00
|
$805.00
30% off
|
$72.43
|
$977.50
|
$433.87
|
2025-04-30
|
|
71260
|
HCPCS
|
CT Scan Of Chest With Contrast
|
16
|
11
|
$1,150.00
|
$805.00
30% off
|
$129.32
|
$977.50
|
$433.87
|
2025-04-30
|
|
74160
|
HCPCS
|
CT Scan Of Abdomen With Contrast
|
16
|
11
|
$1,150.00
|
$805.00
30% off
|
$129.32
|
$977.50
|
$433.87
|
2025-04-30
|
|
27603647_1
|
CDM
|
Suprapubic Introducer Foley Catheter Tray
|
8
|
8
|
$559.00
|
$391.30
30% off
|
$218.01
|
$475.15
|
$433.23
|
2025-04-30
|
|
22693299_1
|
CDM
|
Deleted
|
8
|
8
|
$559.00
|
$391.30
30% off
|
$218.01
|
$475.15
|
$433.23
|
2025-04-30
|
|
81376
|
HCPCS
|
Hla Class Ii Typing Low Resolution One Locus
|
10
|
10
|
$638.30
|
$446.81
30% off
|
$104.50
|
$542.56
|
$430.86
|
2025-04-30
|
|
12055
|
HCPCS
|
Intermediate Repair Of Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 12.6-…
|
16
|
11
|
$550.00
|
$385.00
30% off
|
$214.50
|
$940.93
|
$426.25
|
2025-04-30
|
|
70487
|
HCPCS
|
CT Scan Of Face With Contrast
|
16
|
11
|
$1,100.00
|
$770.00
30% off
|
$116.13
|
$935.00
|
$424.12
|
2025-04-30
|
|
73201
|
HCPCS
|
CT Scan Of Arm With Contrast
|
48
|
11
|
$1,050.00
|
$735.00
30% off
|
$160.00
|
$1,317.50
|
$409.50
|
2025-04-30
|
|
12045
|
HCPCS
|
Intermediate Repair Of Wound Of Neck, Hands, Feet, Or Genitals, 12.6-20.0 Cm
|
16
|
11
|
$487.00
|
$340.90
30% off
|
$189.93
|
$1,441.61
|
$406.03
|
2025-04-30
|
|
87497
|
HCPCS
|
Detection Test By Nucleic Acid For Cytomegalovirus, Quantification
|
10
|
10
|
$587.60
|
$411.32
30% off
|
$36.63
|
$499.46
|
$396.63
|
2025-04-30
|
|
73701
|
HCPCS
|
CT Scan Of Leg With Contrast Material
|
48
|
11
|
$1,000.00
|
$700.00
30% off
|
$126.99
|
$1,275.00
|
$390.00
|
2025-04-30
|
|
70460
|
HCPCS
|
CT Scan Head Or Brain With Contrast
|
16
|
11
|
$1,000.00
|
$700.00
30% off
|
$113.29
|
$850.00
|
$390.00
|
2025-04-30
|
|
10061
|
HCPCS
|
Complicated Or Multiple Drainage Of Skin Abscess
|
5
|
5
|
$486.00
|
$340.20
30% off
|
$280.66
|
$486.00
|
$388.80
|
2025-04-30
|
|
59812
|
HCPCS
|
Treatment Of Miscarriage
|
15
|
10
|
$450.00
|
$315.00
30% off
|
$175.50
|
$2,000.94
|
$382.50
|
2025-04-30
|
|
80074
|
HCPCS
|
Acute Hepatitis Panel
|
10
|
10
|
$564.70
|
$395.29
30% off
|
$40.73
|
$480.00
|
$381.17
|
2025-04-30
|
|
70480
|
HCPCS
|
CT Scan Of Cranial Cavity Without Contrast
|
16
|
11
|
$1,300.00
|
$910.00
30% off
|
$43.34
|
$1,105.00
|
$378.73
|
2025-04-30
|
|
82088
|
HCPCS
|
Aldosterone Hormone Level
|
10
|
10
|
$559.00
|
$391.30
30% off
|
$34.85
|
$475.15
|
$377.32
|
2025-04-30
|
|
80145
|
HCPCS
|
Measurement Of Adalimumab
|
10
|
10
|
$553.50
|
$387.45
30% off
|
$32.97
|
$470.48
|
$373.62
|
2025-04-30
|
|
12044
|
HCPCS
|
Intermediate Repair Of Wound Of Neck, Hands, Feet, Or Genitals, 7.6-12.5 Cm
|
16
|
11
|
$428.00
|
$299.60
30% off
|
$166.92
|
$1,441.61
|
$371.00
|
2025-04-30
|
|
94762
|
HCPCS
|
Test To Measure Oxygen Level In Blood Using Ear Or Finger Device Continuously Ov…
|
11
|
11
|
$500.00
|
$350.00
30% off
|
$105.28
|
$425.00
|
$368.47
|
2025-04-30
|
|
94060
|
HCPCS
|
Test To Measure Expiratory Airflow And Volume Changes Before And After Medicatio…
|
11
|
11
|
$490.00
|
$343.00
30% off
|
$191.10
|
$733.36
|
$367.50
|
2025-04-30
|
|
12035
|
HCPCS
|
Intermediate Repair Of Wound Of Scalp, Underarms, Trunk, Arms, Or Legs, 12.6-20.…
|
16
|
11
|
$474.00
|
$331.80
30% off
|
$184.86
|
$940.93
|
$367.35
|
2025-04-30
|
|
92950
|
HCPCS
|
Manual Attempt To Restore Blood Circulation And Breathing
|
32
|
11
|
$600.00
|
$420.00
30% off
|
$175.50
|
$1,750.00
|
$360.00
|
2025-04-30
|
|
97545
|
HCPCS
|
Evaluation For Work Hardening Or Conditioning, Initial 2 Hours
|
24
|
8
|
$450.00
|
$315.00
30% off
|
$175.50
|
$503.20
|
$360.00
|
2025-04-30
|
|
72125
|
HCPCS
|
CT Scan Of Upper Spine Without Contrast
|
16
|
11
|
$1,200.00
|
$840.00
30% off
|
$43.34
|
$1,020.00
|
$359.23
|
2025-04-30
|
|
70490
|
HCPCS
|
CT Scan Of Soft Tissue Of Neck Without Contrast
|
16
|
11
|
$1,200.00
|
$840.00
30% off
|
$85.29
|
$1,020.00
|
$359.23
|
2025-04-30
|
|
82024
|
HCPCS
|
Adrenocorticotropic Hormone (acth) Level
|
10
|
10
|
$529.80
|
$370.86
30% off
|
$33.02
|
$450.33
|
$357.62
|
2025-04-30
|
|
12054
|
HCPCS
|
Intermediate Repair Of Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 7.6-1…
|
16
|
11
|
$459.00
|
$321.30
30% off
|
$157.19
|
$940.93
|
$355.73
|
2025-04-30
|
|
99284
|
HCPCS
|
Emergency Department Visit With Moderate Level Of Medical Decision Making
|
16
|
11
|
$500.00
|
$350.00
30% off
|
$195.00
|
$1,002.83
|
$351.58
|
2025-04-30
|
|
74150
|
HCPCS
|
CT Scan Of Abdomen Without Contrast
|
16
|
11
|
$1,150.00
|
$805.00
30% off
|
$85.29
|
$977.50
|
$349.48
|
2025-04-30
|
|
72192
|
HCPCS
|
CT Scan Of Pelvis Without Contrast
|
16
|
11
|
$1,150.00
|
$805.00
30% off
|
$77.39
|
$977.50
|
$349.48
|
2025-04-30
|
|
72131
|
HCPCS
|
CT Scan Of Lower Spine Without Contrast
|
16
|
11
|
$1,150.00
|
$805.00
30% off
|
$43.34
|
$977.50
|
$349.48
|
2025-04-30
|
|
72128
|
HCPCS
|
CT Scan Of Middle Spine Without Contrast
|
16
|
11
|
$1,150.00
|
$805.00
30% off
|
$43.34
|
$977.50
|
$349.48
|
2025-04-30
|
|
71250
|
HCPCS
|
CT Scan Of Chest Without Contrast
|
16
|
11
|
$1,150.00
|
$805.00
30% off
|
$43.34
|
$977.50
|
$349.48
|
2025-04-30
|
|
12052
|
HCPCS
|
Intermediate Repair Of Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 2.6-5…
|
16
|
11
|
$442.00
|
$309.40
30% off
|
$172.38
|
$940.93
|
$342.55
|
2025-04-30
|
|
70486
|
HCPCS
|
CT Scan Of Face Without Contrast
|
16
|
11
|
$1,100.00
|
$770.00
30% off
|
$85.29
|
$935.00
|
$339.73
|
2025-04-30
|
|
12053
|
HCPCS
|
Intermediate Repair Of Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 5.1-7…
|
16
|
11
|
$438.00
|
$306.60
30% off
|
$170.82
|
$940.93
|
$339.45
|
2025-04-30
|
|
73200
|
HCPCS
|
CT Scan Of Arm Without Contrast
|
48
|
11
|
$1,050.00
|
$735.00
30% off
|
$85.29
|
$1,317.50
|
$329.98
|
2025-04-30
|
|
22693375_1
|
CDM
|
Punch,biopsy 6mm
|
8
|
8
|
$423.00
|
$296.10
30% off
|
$164.97
|
$359.55
|
$327.82
|
2025-04-30
|
|
87521
|
HCPCS
|
Detection Test By Nucleic Acid For Hepatitis C Virus, Amplified Probe Technique
|
10
|
10
|
$481.40
|
$336.98
30% off
|
$30.00
|
$409.19
|
$324.94
|
2025-04-30
|
|
73700
|
HCPCS
|
CT Scan Of Leg Without Contrast
|
48
|
11
|
$1,000.00
|
$700.00
30% off
|
$43.34
|
$1,275.00
|
$320.23
|
2025-04-30
|
|
70450
|
HCPCS
|
CT Scan Head Or Brain Without Contrast
|
16
|
11
|
$1,000.00
|
$700.00
30% off
|
$77.39
|
$850.00
|
$320.23
|
2025-04-30
|
|
99236
|
HCPCS
|
Hospital Inpatient Or Observation Care With Admission And Discharge On The Same …
|
5
|
5
|
$400.00
|
$280.00
30% off
|
$194.32
|
$400.00
|
$320.00
|
2025-04-30
|
|
12034
|
HCPCS
|
Intermediate Repair Of Wound Of Scalp, Underarms, Trunk, Arms, Or Legs, 7.6-12.5…
|
16
|
11
|
$411.00
|
$287.70
30% off
|
$160.29
|
$940.93
|
$318.52
|
2025-04-30
|
|
32554
|
HCPCS
|
Aspiration Of Fluid From Chest Cavity
|
16
|
11
|
$260.00
|
$182.00
30% off
|
$101.40
|
$1,456.06
|
$318.50
|
2025-04-30
|
|
82397
|
HCPCS
|
Analysis Using Chemiluminescent Technique (light And Chemical )reaction
|
10
|
10
|
$471.50
|
$330.05
30% off
|
$12.07
|
$400.78
|
$318.26
|
2025-04-30
|
|
83880
|
HCPCS
|
Natriuretic Peptide (heart And Blood Vessel Protein) Level
|
10
|
10
|
$465.60
|
$325.92
30% off
|
$33.56
|
$395.76
|
$314.28
|
2025-04-30
|
|
12042
|
HCPCS
|
Intermediate Repair Of Wound Of Neck, Hands, Feet, Or Genitals, 2.6-7.5 Cm
|
16
|
11
|
$405.00
|
$283.50
30% off
|
$157.95
|
$940.93
|
$313.88
|
2025-04-30
|
|
83013
|
HCPCS
|
Breath Test Analysis For Helicobacter Pylori
|
10
|
10
|
$462.00
|
$323.40
30% off
|
$57.59
|
$392.70
|
$311.85
|
2025-04-30
|
|
87536
|
HCPCS
|
Detection Test By Nucleic Acid For HIV-1 Virus, Quantification
|
10
|
10
|
$455.00
|
$318.50
30% off
|
$72.76
|
$386.75
|
$307.12
|
2025-04-30
|
|
12032
|
HCPCS
|
Intermediate Repair Of Wound Of Scalp, Underarms, Trunk, Arms, Or Legs, 2.6-7.5 …
|
16
|
11
|
$396.00
|
$277.20
30% off
|
$154.44
|
$940.93
|
$306.90
|
2025-04-30
|
|
81383
|
HCPCS
|
Hla Class Ii Typing High Resolution One Allele Or Allele Group
|
10
|
10
|
$448.00
|
$313.60
30% off
|
$93.31
|
$380.80
|
$302.40
|
2025-04-30
|
|
92612
|
HCPCS
|
Evaluation And Recording Of Swallowing Using An Endoscope
|
10
|
10
|
$447.00
|
$312.90
30% off
|
$55.46
|
$379.95
|
$301.73
|
2025-04-30
|
|
22670425_1
|
CDM
|
Indv Orientation Ses Charge
|
8
|
8
|
$385.00
|
$269.50
30% off
|
$150.15
|
$327.25
|
$298.38
|
2025-04-30
|
|
54700
|
HCPCS
|
Incision And Drainage Of Sperm Reservoir, Testis, And/or Scrotal Area
|
15
|
10
|
$350.00
|
$245.00
30% off
|
$136.50
|
$1,418.98
|
$297.50
|
2025-04-30
|
|
24051171_1
|
CDM
|
Circuit, High Flow Disposable
|
8
|
8
|
$382.00
|
$267.40
30% off
|
$148.98
|
$324.70
|
$296.05
|
2025-04-30
|
|
12051
|
HCPCS
|
Intermediate Repair Of Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 2.5 C…
|
16
|
11
|
$370.00
|
$259.00
30% off
|
$144.30
|
$940.93
|
$295.72
|
2025-04-30
|
|
10060
|
HCPCS
|
Simple Or Single Drainage Of Skin Abscess
|
5
|
5
|
$362.00
|
$253.40
30% off
|
$140.91
|
$362.00
|
$289.60
|
2025-04-30
|
|
92960
|
HCPCS
|
External Shock To Heart To Regulate Heart Beat
|
16
|
11
|
$200.00
|
$140.00
30% off
|
$78.00
|
$1,541.13
|
$289.11
|
2025-04-30
|
|
22693782_1
|
CDM
|
Rescue Net
|
8
|
8
|
$367.00
|
$256.90
30% off
|
$143.13
|
$311.95
|
$284.43
|
2025-04-30
|
|
80323
|
HCPCS
|
Alkaloids Levels
|
8
|
8
|
$365.00
|
$255.50
30% off
|
$142.35
|
$310.25
|
$282.88
|
2025-04-30
|
|
24265242_1
|
CDM
|
Pelvic Stabilizer
|
8
|
8
|
$362.27
|
$253.59
30% off
|
$141.29
|
$307.93
|
$280.76
|
2025-04-30
|
|
12041
|
HCPCS
|
Intermediate Repair Of Wound Of Neck, Hands, Feet, Or Genitals, 2.5 Cm Or Less
|
16
|
11
|
$348.00
|
$243.60
30% off
|
$135.72
|
$940.93
|
$279.53
|
2025-04-30
|
|
82306
|
HCPCS
|
Vitamin D-3 Level
|
10
|
10
|
$406.10
|
$284.27
30% off
|
$25.31
|
$345.19
|
$274.12
|
2025-04-30
|
|
81241
|
HCPCS
|
Gene Analysis (coagulation Factor V) Leiden Variant
|
10
|
10
|
$405.00
|
$283.50
30% off
|
$62.73
|
$344.25
|
$273.38
|
2025-04-30
|
|
94667
|
HCPCS
|
Initial Therapy Service To Facilitate Lung Function
|
9
|
9
|
$340.00
|
$238.00
30% off
|
$132.60
|
$303.58
|
$272.00
|
2025-04-30
|
|
99235
|
HCPCS
|
Hospital Inpatient Or Observation Care With Admission And Discharge On The Same …
|
5
|
5
|
$340.00
|
$238.00
30% off
|
$150.90
|
$340.00
|
$272.00
|
2025-04-30
|
|
12031
|
HCPCS
|
Intermediate Repair Of Wound Of Scalp, Underarms, Trunk, Arms, Or Legs, 2.5 Cm O…
|
16
|
11
|
$327.00
|
$228.90
30% off
|
$127.53
|
$940.93
|
$269.77
|
2025-04-30
|
|
22693783_1
|
CDM
|
Retrievel Net( Spider Net )
|
8
|
8
|
$342.00
|
$239.40
30% off
|
$133.38
|
$290.70
|
$265.05
|
2025-04-30
|
|
94668
|
HCPCS
|
Follow-up Therapy Service To Facilitate Lung Function
|
9
|
9
|
$330.00
|
$231.00
30% off
|
$128.70
|
$303.58
|
$264.00
|
2025-04-30
|
|
11805349_1
|
CDM
|
Room & Board - Private (one Bed) - General Classification
|
3
|
3
|
$500.00
|
$350.00
30% off
|
$262.50
|
$400.00
|
$262.50
|
2025-04-30
|
|
99283
|
HCPCS
|
Emergency Department Visit With Low Level Of Medical Decision Making
|
16
|
11
|
$375.00
|
$262.50
30% off
|
$146.25
|
$652.09
|
$260.62
|
2025-04-30
|
|
12007
|
HCPCS
|
Simple Repair Of Surface Wound To Scalp, Neck, Underarms, Trunk, Arms, Or Legs, …
|
16
|
11
|
$336.00
|
$235.20
30% off
|
$131.04
|
$719.00
|
$260.40
|
2025-04-30
|
|
24297496_1
|
CDM
|
Finger Flex Splint
|
8
|
8
|
$335.00
|
$234.50
30% off
|
$130.65
|
$284.75
|
$259.62
|
2025-04-30
|
|
82670
|
HCPCS
|
Measurement Of Total Estradiol (hormone)
|
10
|
10
|
$383.20
|
$268.24
30% off
|
$23.89
|
$325.72
|
$258.66
|
2025-04-30
|
|
99223
|
HCPCS
|
Initial Hospital Inpatient Or Observation Care With High Level Of Medical Decisi…
|
5
|
5
|
$322.00
|
$225.40
30% off
|
$180.51
|
$322.00
|
$257.60
|
2025-04-30
|
|
12016
|
HCPCS
|
Simple Repair Of Surface Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 12.…
|
16
|
11
|
$304.00
|
$212.80
30% off
|
$118.56
|
$940.93
|
$257.16
|
2025-04-30
|
|
85520
|
HCPCS
|
Heparin Assay
|
10
|
10
|
$375.00
|
$262.50
30% off
|
$11.19
|
$318.75
|
$253.12
|
2025-04-30
|
|
41252
|
HCPCS
|
Repair Of Lacerated Tongue Or Floor Of Mouth, More Than 2.6 Cm
|
16
|
11
|
$325.00
|
$227.50
30% off
|
$96.28
|
$675.00
|
$251.88
|
2025-04-30
|
|
94770
|
HCPCS
|
Carbon Dioxide, Expired Gas Determination By Infrared Analyzer
|
10
|
10
|
$370.00
|
$259.00
30% off
|
$105.28
|
$314.50
|
$249.75
|
2025-04-30
|
|
97598
|
HCPCS
|
Removal Of Tissue From Wound, Each Additional 20.0 Sq Cm
|
8
|
8
|
$320.00
|
$224.00
30% off
|
$124.80
|
$272.00
|
$248.00
|
2025-04-30
|
|
76376
|
HCPCS
|
3d Radiographic Procedure
|
8
|
8
|
$317.50
|
$222.25
30% off
|
$123.83
|
$269.88
|
$246.06
|
2025-04-30
|
|
P9016
|
HCPCS
|
Red Blood Cells, Leukocytes Reduced, Each Unit
|
11
|
11
|
$325.00
|
$227.50
30% off
|
$126.75
|
$428.63
|
$243.75
|
2025-04-30
|
|
12006
|
HCPCS
|
Simple Repair Of Surface Wound Of Scalp, Neck, Underarms, Trunk, Arms, Or Legs, …
|
16
|
11
|
$279.00
|
$195.30
30% off
|
$108.81
|
$940.93
|
$240.13
|
2025-04-30
|
|
20553
|
HCPCS
|
Injection Of Trigger Points, 3 Or More Muscles
|
5
|
5
|
$300.00
|
$210.00
30% off
|
$208.47
|
$300.00
|
$240.00
|
2025-04-30
|
|
86812
|
HCPCS
|
Immunologic Analysis For Autoimmune Disease, A, B, Or C, Single Antigen
|
10
|
10
|
$354.00
|
$247.80
30% off
|
$22.07
|
$300.90
|
$238.95
|
2025-04-30
|
|
94618
|
HCPCS
|
Test For Exercise-induced Lung Stress
|
11
|
11
|
$315.00
|
$220.50
30% off
|
$82.96
|
$303.58
|
$236.25
|
2025-04-30
|
|
84445
|
HCPCS
|
Thyroid Stimulating Immune Globulins (thyroid Related Protein) Level
|
10
|
10
|
$349.00
|
$244.30
30% off
|
$43.48
|
$296.65
|
$235.57
|
2025-04-30
|
|
82626
|
HCPCS
|
Dehydroepiandrosterone (dhea) Hormone Level
|
10
|
10
|
$346.70
|
$242.69
30% off
|
$21.60
|
$294.70
|
$234.02
|
2025-04-30
|
|
93970
|
HCPCS
|
Ultrasound Study Of Arm Or Leg Veins With Compression And Maneuvers
|
16
|
11
|
$600.00
|
$420.00
30% off
|
$80.00
|
$569.27
|
$234.00
|
2025-04-30
|
|
99407
|
HCPCS
|
Smoking And Tobacco Use Intensive Counseling, More Than 10 Minutes
|
5
|
5
|
$290.00
|
$203.00
30% off
|
$20.96
|
$290.00
|
$232.00
|
2025-04-30
|
|
99406
|
HCPCS
|
Smoking And Tobacco Use Intermediate Counseling, 3-10 Minutes
|
5
|
5
|
$290.00
|
$203.00
30% off
|
$10.04
|
$290.00
|
$232.00
|
2025-04-30
|
|
97546
|
HCPCS
|
Evaluation For Work Hardening Or Conditioning, Each Additional Hour
|
8
|
8
|
$296.00
|
$207.20
30% off
|
$115.44
|
$251.60
|
$229.40
|
2025-04-30
|
|
12015
|
HCPCS
|
Simple Repair Of Surface Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 7.6…
|
16
|
11
|
$295.00
|
$206.50
30% off
|
$115.05
|
$650.00
|
$228.62
|
2025-04-30
|
|
86870
|
HCPCS
|
Identification Of Red Blood Cell Antibodies
|
3
|
3
|
$100.00
|
$70.00
30% off
|
$215.65
|
$847.16
|
$227.00
|
2025-04-30
|
|
27516056_1
|
CDM
|
Promogran Prisma Wound Balancing Collagen Dressings 4 In
|
8
|
8
|
$292.00
|
$204.40
30% off
|
$113.88
|
$248.20
|
$226.30
|
2025-04-30
|
|
93880
|
HCPCS
|
Ultrasound Of Both Sides Of Head And Neck Blood Flow
|
16
|
11
|
$580.00
|
$406.00
30% off
|
$80.00
|
$569.27
|
$226.20
|
2025-04-30
|
|
24419599_1
|
CDM
|
Plueral Drainage Bag 1000 Ml
|
8
|
8
|
$291.00
|
$203.70
30% off
|
$113.49
|
$247.35
|
$225.53
|
2025-04-30
|
|
42809
|
HCPCS
|
Removal Of Foreign Body In Throat
|
16
|
11
|
$200.00
|
$140.00
30% off
|
$78.00
|
$939.77
|
$223.34
|
2025-04-30
|
|
99306
|
HCPCS
|
Initial Nursing Facility Care With High Level Of Medical Decision Making, Per Da…
|
5
|
5
|
$275.00
|
$192.50
30% off
|
$133.96
|
$275.00
|
$220.00
|
2025-04-30
|
|
12005
|
HCPCS
|
Simple Repair Of Surface Wound Of Scalp, Neck, Underarms, Trunk, Arms, Or Legs, …
|
16
|
11
|
$229.00
|
$160.30
30% off
|
$89.31
|
$940.93
|
$218.88
|
2025-04-30
|
|
11805347_1
|
CDM
|
Room & Board - Private (one Bed) - General Classification
|
3
|
3
|
$413.00
|
$289.10
30% off
|
$216.83
|
$330.40
|
$216.83
|
2025-04-30
|
|
11805351_1
|
CDM
|
Room & Board - Private (one Bed) - General Classification
|
3
|
3
|
$413.00
|
$289.10
30% off
|
$216.83
|
$330.40
|
$216.83
|
2025-04-30
|
|
22693762_1
|
CDM
|
Rj4 Hot
|
8
|
8
|
$279.00
|
$195.30
30% off
|
$108.81
|
$237.15
|
$216.22
|
2025-04-30
|
|
92611
|
HCPCS
|
Evaluation Of Swallowing Function Image
|
10
|
10
|
$320.00
|
$224.00
30% off
|
$73.32
|
$272.00
|
$216.00
|
2025-04-30
|
|
93308
|
HCPCS
|
Ultrasound Of Heart, Follow-up
|
16
|
11
|
$550.00
|
$385.00
30% off
|
$80.00
|
$569.27
|
$214.50
|
2025-04-30
|
|
77075
|
HCPCS
|
Complete X-ray Of Body Bones
|
16
|
11
|
$550.00
|
$385.00
30% off
|
$60.00
|
$467.50
|
$214.50
|
2025-04-30
|
|
41805
|
HCPCS
|
Removal Of Embedded Foreign Body In Soft Tissue Of Tooth Bearing Bone
|
15
|
10
|
$250.00
|
$175.00
30% off
|
$97.50
|
$1,129.92
|
$212.50
|
2025-04-30
|
|
P9022
|
HCPCS
|
Red Blood Cells, Washed, Each Unit
|
11
|
11
|
$265.00
|
$185.50
30% off
|
$103.35
|
$934.67
|
$212.00
|
2025-04-30
|
|
86334
|
HCPCS
|
Immunologic Analysis Technique On Serum (immunofixation)
|
10
|
10
|
$306.50
|
$214.55
30% off
|
$19.10
|
$260.53
|
$206.89
|
2025-04-30
|
|
76706
|
HCPCS
|
Ultrasound Scan Of Abdominal Aorta
|
11
|
11
|
$275.00
|
$192.50
30% off
|
$85.29
|
$250.45
|
$206.25
|
2025-04-30
|
|
82627
|
HCPCS
|
Dehydroepiandrosterone (dhea-s) Hormone Level
|
10
|
10
|
$305.00
|
$213.50
30% off
|
$19.01
|
$259.25
|
$205.88
|
2025-04-30
|
|
76942
|
HCPCS
|
Ultrasonic Guidance For Needle Placement
|
13
|
10
|
$525.00
|
$367.50
30% off
|
$44.18
|
$446.25
|
$204.75
|
2025-04-30
|
|
84244
|
HCPCS
|
Renin (kidney Enzyme) Level
|
10
|
10
|
$301.70
|
$211.19
30% off
|
$18.80
|
$256.45
|
$203.65
|
2025-04-30
|
|
92521
|
HCPCS
|
Evaluation Of Speech Continuity, Smoothness, Rate, And Effort
|
10
|
10
|
$300.00
|
$210.00
30% off
|
$90.54
|
$255.00
|
$202.50
|
2025-04-30
|
|
82672
|
HCPCS
|
Estrogen Analysis, Total
|
10
|
10
|
$297.60
|
$208.32
30% off
|
$18.55
|
$252.96
|
$200.88
|
2025-04-30
|
|
74185
|
HCPCS
|
MRI Scan Of Blood Vessels Of Abdomen
|
5
|
5
|
$200.00
|
$140.00
30% off
|
$160.00
|
$268.41
|
$200.00
|
2025-04-30
|
|
73220
|
HCPCS
|
MRI Scan Of Arm Before And After Contrast
|
5
|
5
|
$200.00
|
$140.00
30% off
|
$160.00
|
$284.93
|
$200.00
|
2025-04-30
|
|
72149
|
HCPCS
|
MRI Scan Of Lower Spinal Canal With Contrast
|
5
|
5
|
$200.00
|
$140.00
30% off
|
$160.00
|
$217.10
|
$200.00
|
2025-04-30
|
|
20552
|
HCPCS
|
Injection Of Trigger Points, 1-2 Muscles
|
5
|
5
|
$200.00
|
$140.00
30% off
|
$160.00
|
$219.44
|
$200.00
|
2025-04-30
|
|
71275
|
HCPCS
|
CT Scan Of Blood Vessels Of Chest With Contrast
|
21
|
11
|
$1,450.00
|
$1,015.00
30% off
|
$72.43
|
$1,232.50
|
$200.00
|
2025-04-30
|
|
70545
|
HCPCS
|
MRI Scan Of Blood Vessels Of Head With Contrast
|
5
|
5
|
$200.00
|
$140.00
30% off
|
$160.00
|
$284.93
|
$200.00
|
2025-04-30
|
|
99234
|
HCPCS
|
Hospital Inpatient Or Observation Care With Admission And Discharge On The Same …
|
5
|
5
|
$250.00
|
$175.00
30% off
|
$118.94
|
$250.00
|
$200.00
|
2025-04-30
|
|
92977
|
HCPCS
|
Removal Of Heart Artery Blood Clot By Dissolving
|
16
|
11
|
$190.00
|
$133.00
30% off
|
$74.10
|
$781.16
|
$198.54
|
2025-04-30
|
|
87799
|
HCPCS
|
Detection Test By Nucleic Acid For Organism, Quantification
|
10
|
10
|
$294.00
|
$205.80
30% off
|
$36.63
|
$249.90
|
$198.45
|
2025-04-30
|
|
22693795_1
|
CDM
|
Polyloop,ligating Drvice
|
8
|
8
|
$254.00
|
$177.80
30% off
|
$99.06
|
$215.90
|
$196.85
|
2025-04-30
|
|
84425
|
HCPCS
|
Vitamin B-1 (thiamine) Level
|
10
|
10
|
$291.20
|
$203.84
30% off
|
$18.15
|
$247.52
|
$196.56
|
2025-04-30
|
|
41251
|
HCPCS
|
Repair Of Lacerated Back 1/3 Of Tongue, 2.5 Cm Or Less
|
16
|
11
|
$250.00
|
$175.00
30% off
|
$97.50
|
$546.90
|
$193.75
|
2025-04-30
|
|
84144
|
HCPCS
|
Progesterone (reproductive Hormone) Level
|
10
|
10
|
$286.20
|
$200.34
30% off
|
$17.83
|
$243.27
|
$193.19
|
2025-04-30
|
|
86301
|
HCPCS
|
Immunologic Analysis For Detection Of Tumor Antigen, Quantitative; Ca 19-9
|
10
|
10
|
$285.50
|
$199.85
30% off
|
$17.79
|
$242.68
|
$192.72
|
2025-04-30
|
|
84681
|
HCPCS
|
C-peptide (protein) Level
|
10
|
10
|
$285.50
|
$199.85
30% off
|
$17.79
|
$242.68
|
$192.72
|
2025-04-30
|
|
86304
|
HCPCS
|
Immunologic Analysis For Detection Of Tumor Antigen, Quantitative; Ca 125
|
10
|
10
|
$285.50
|
$199.85
30% off
|
$17.79
|
$242.68
|
$192.72
|
2025-04-30
|
|
94664
|
HCPCS
|
Evaluation Of Use Of Breathing Device
|
9
|
9
|
$240.00
|
$168.00
30% off
|
$93.60
|
$479.01
|
$192.00
|
2025-04-30
|
|
38220
|
HCPCS
|
Aspiration Of Bone Marrow Sample For Diagnosis
|
15
|
10
|
$225.00
|
$157.50
30% off
|
$87.75
|
$1,201.23
|
$191.25
|
2025-04-30
|
|
24343471_1
|
CDM
|
Splint, Air Soft Resting Hand Large Lt
|
8
|
8
|
$243.00
|
$170.10
30% off
|
$94.77
|
$206.55
|
$188.32
|
2025-04-30
|
|
86162
|
HCPCS
|
Measurement Of Complement (immune System Proteins), Total Hemolytic
|
10
|
10
|
$278.80
|
$195.16
30% off
|
$17.38
|
$236.98
|
$188.19
|
2025-04-30
|
|
94640
|
HCPCS
|
Inhalation Treatment For Airway Obstruction Or Sputum Production
|
22
|
11
|
$250.00
|
$175.00
30% off
|
$97.50
|
$479.01
|
$187.50
|
2025-04-30
|
|
93925
|
HCPCS
|
Ultrasound Of Leg Arteries Or Artery Grafts
|
16
|
11
|
$475.00
|
$332.50
30% off
|
$80.00
|
$569.27
|
$185.95
|
2025-04-30
|
|
69020
|
HCPCS
|
Drainage Of Abscess Of Ear Canal
|
16
|
11
|
$225.00
|
$157.50
30% off
|
$87.75
|
$1,657.01
|
$185.62
|
2025-04-30
|
|
41250
|
HCPCS
|
Repair Of Lacerated Floor Of Mouth And/or Tongue, 2.5 Cm Or Less
|
16
|
11
|
$225.00
|
$157.50
30% off
|
$82.96
|
$939.77
|
$185.62
|
2025-04-30
|
|
76700
|
HCPCS
|
Complete Ultrasound Scan Of Abdomen
|
16
|
11
|
$475.00
|
$332.50
30% off
|
$77.39
|
$403.75
|
$185.25
|
2025-04-30
|
|
22857754_1
|
CDM
|
Surgicel, Absorbable Hem
|
8
|
8
|
$236.00
|
$165.20
30% off
|
$92.04
|
$200.60
|
$182.90
|
2025-04-30
|