|
J3101
|
HCPCS
|
Tenecteplase 50 Mg Kit 1 Each Box
|
49
|
30
|
$41,818.18
|
$16,727.27
60% off
|
$94.73
|
$43,072.76
|
$32,304.54
|
2026-03-18
|
|
J1162
|
HCPCS
|
Digoxin Immune Fab 40 Mg Solr 1 Each Vial
|
30
|
30
|
$25,068.96
|
$10,027.58
60% off
|
$2,808.96
|
$25,068.96
|
$18,175.00
|
2026-03-18
|
|
J2182
|
HCPCS
|
Mepolizumab 100 Mg Solr 1 Each Vial
|
30
|
30
|
$18,521.41
|
$7,408.56
60% off
|
$31.61
|
$18,521.41
|
$13,428.02
|
2026-03-18
|
|
J0840
|
HCPCS
|
Crotalidae Polyvalent Immune Fab Solr 1 Each Vial
|
30
|
30
|
$16,117.92
|
$6,447.17
60% off
|
$1,833.03
|
$16,117.92
|
$11,685.49
|
2026-03-18
|
|
689
|
MS_DRG
|
Kidney And Urinary Tract Infections With Mcc
|
2
|
2
|
$11,901.15
|
$4,760.46
60% off
|
$4,180.56
|
$11,901.15
|
$8,040.85
|
2026-03-18
|
|
603
|
MS_DRG
|
Cellulitis Without Major Complication
|
2
|
2
|
$11,448.28
|
$4,579.31
60% off
|
$3,137.85
|
$11,448.28
|
$7,293.07
|
2026-03-18
|
|
J0875
|
HCPCS
|
Dalbavancin Hcl 500 Mg Solr 1 Each Vial
|
30
|
30
|
$8,966.83
|
$3,586.73
60% off
|
$14.30
|
$8,966.83
|
$6,500.95
|
2026-03-18
|
|
J1439
|
HCPCS
|
Ferric Carboxymaltose 750 Mg/15ml Soln 15 Ml Vial
|
30
|
30
|
$8,117.61
|
$3,247.04
60% off
|
$1.14
|
$8,117.61
|
$5,885.27
|
2026-03-18
|
|
177
|
MS_DRG
|
Respiratory Infections And Inflammations With Mcc
|
2
|
2
|
$5,739.44
|
$2,295.78
60% off
|
$5,630.41
|
$5,739.44
|
$5,684.92
|
2026-03-18
|
|
291
|
MS_DRG
|
Heart Failure And Shock W Mcc
|
2
|
2
|
$5,709.07
|
$2,283.63
60% off
|
$4,625.53
|
$5,709.07
|
$5,167.30
|
2026-03-18
|
|
690
|
MS_DRG
|
Kidney & Urinary Tract Infections Without Mcc
|
2
|
2
|
$7,099.81
|
$2,839.92
60% off
|
$2,916.63
|
$7,099.81
|
$5,008.22
|
2026-03-18
|
|
J3262
|
HCPCS
|
Tocilizumab 80 Mg/4ml Soln 4 Ml Vial
|
68
|
30
|
$6,692.66
|
$2,677.06
60% off
|
$6.14
|
$13,385.32
|
$4,852.18
|
2026-03-18
|
|
J1451
|
HCPCS
|
Fomepizole 1 Gm/ml Soln 1.5 Ml Vial
|
49
|
30
|
$5,175.07
|
$2,070.03
60% off
|
$6.34
|
$7,560.00
|
$4,140.06
|
2026-03-18
|
|
J2407
|
HCPCS
|
Oritavancin Diphosphate 400 Mg Solr 1 Each Vial
|
30
|
30
|
$4,872.00
|
$1,948.80
60% off
|
$23.20
|
$4,872.00
|
$3,532.20
|
2026-03-18
|
|
J0630
|
HCPCS
|
Calcitonin 200 Unit/ml Soln 2 Ml Vial
|
19
|
19
|
$5,040.00
|
$2,016.00
60% off
|
$800.00
|
$4,536.00
|
$3,092.54
|
2026-03-18
|
|
59409
|
HCPCS
|
59409 Vaginal Delivery
|
24
|
24
|
$3,985.00
|
$1,594.00
60% off
|
$2,311.30
|
$3,985.00
|
$2,990.74
|
2026-03-18
|
|
70553
|
HCPCS
|
70553 MRI Scan Of Brain Before And After Contrast
|
30
|
30
|
$3,804.00
|
$1,521.60
60% off
|
$280.31
|
$3,804.00
|
$2,624.38
|
2026-03-18
|
|
73722
|
HCPCS
|
73722 MRI Scan Of Leg Joint With Contrast
|
30
|
30
|
$3,745.00
|
$1,498.00
60% off
|
$620.11
|
$3,745.00
|
$2,583.68
|
2026-03-18
|
|
72158
|
HCPCS
|
72158 MRI Scan Of Lower Spinal Canal Before And After Contrast
|
30
|
30
|
$3,518.00
|
$1,407.20
60% off
|
$280.31
|
$3,518.00
|
$2,427.07
|
2026-03-18
|
|
72156
|
HCPCS
|
72156 MRI Scan Of Upper Spinal Canal Before And After Contrast
|
30
|
30
|
$3,308.00
|
$1,323.20
60% off
|
$280.31
|
$3,308.00
|
$2,282.19
|
2026-03-18
|
|
72157
|
HCPCS
|
72157 MRI Scan Of Middle Spinal Canal Before And After Contrast
|
30
|
30
|
$3,150.00
|
$1,260.00
60% off
|
$280.31
|
$3,150.00
|
$2,173.18
|
2026-03-18
|
|
15275
|
HCPCS
|
15275 Application Of Skin Substitute Graft To Wound Of Face
|
30
|
30
|
$2,751.00
|
$1,100.40
60% off
|
$1,435.76
|
$2,751.00
|
$2,064.62
|
2026-03-18
|
|
72149
|
HCPCS
|
72149 MRI Scan Of Lower Spinal Canal With Contrast
|
30
|
30
|
$2,924.00
|
$1,169.60
60% off
|
$280.31
|
$2,924.00
|
$2,017.27
|
2026-03-18
|
|
70552
|
HCPCS
|
Mr Brain W/contrast Lmtd
|
30
|
30
|
$2,818.00
|
$1,127.20
60% off
|
$280.31
|
$2,818.00
|
$1,944.14
|
2026-03-18
|
|
43242
|
HCPCS
|
43242 Ultrasound Guided Needle Aspiration Or Biopsy Of Esophagus
|
30
|
30
|
$2,503.00
|
$1,001.20
60% off
|
$1,435.20
|
$2,503.00
|
$1,905.41
|
2026-03-18
|
|
J0248
|
HCPCS
|
Remdesivir 100 Mg Solr 1 Each Vial
|
30
|
30
|
$2,620.80
|
$1,048.32
60% off
|
$5.39
|
$2,620.80
|
$1,900.08
|
2026-03-18
|
|
74183
|
HCPCS
|
74183 MRI Scan Of Abdomen Before And After Contrast
|
30
|
30
|
$2,601.00
|
$1,040.40
60% off
|
$280.31
|
$2,601.00
|
$1,848.50
|
2026-03-18
|
|
72142
|
HCPCS
|
72142 MRI Scan Of Upper Spinal Canal With Contrast
|
30
|
30
|
$2,544.00
|
$1,017.60
60% off
|
$280.31
|
$2,544.00
|
$1,848.50
|
2026-03-18
|
|
C8906
|
HCPCS
|
MRI W/cont Breast Bi
|
24
|
24
|
$2,449.00
|
$979.60
60% off
|
$917.18
|
$2,449.00
|
$1,836.75
|
2026-03-18
|
|
C8908
|
HCPCS
|
MRI Without Fol W/cont Breast
|
24
|
24
|
$2,449.00
|
$979.60
60% off
|
$917.18
|
$2,449.00
|
$1,836.75
|
2026-03-18
|
|
72147
|
HCPCS
|
72147 MRI Scan Of Middle Spinal Canal With Contrast
|
30
|
30
|
$2,467.00
|
$986.80
60% off
|
$280.31
|
$2,467.00
|
$1,836.12
|
2026-03-18
|
|
77047
|
HCPCS
|
77047 MRI Scan Of Both Breasts Without Contrast
|
30
|
30
|
$2,449.00
|
$979.60
60% off
|
$189.73
|
$2,449.00
|
$1,829.38
|
2026-03-18
|
|
70336
|
HCPCS
|
70336 MRI Scan Of Jaw Joint
|
30
|
30
|
$2,377.00
|
$950.80
60% off
|
$189.73
|
$2,377.00
|
$1,782.75
|
2026-03-18
|
|
11044
|
HCPCS
|
Removal Of Bone
|
30
|
30
|
$2,364.00
|
$945.60
60% off
|
$1,271.72
|
$2,364.00
|
$1,774.18
|
2026-03-18
|
|
38505
|
HCPCS
|
38505 Needle Biopsy Or Removal Of Surface Lymph Nodes
|
30
|
30
|
$2,364.00
|
$945.60
60% off
|
$1,271.72
|
$2,364.00
|
$1,774.18
|
2026-03-18
|
|
11450
|
HCPCS
|
11450 Removal Of Skin And Tissue Of Underarms For Inflamed Sweat Glands With
|
30
|
30
|
$2,279.00
|
$911.60
60% off
|
$1,321.82
|
$2,279.00
|
$1,769.07
|
2026-03-18
|
|
J0882
|
HCPCS
|
Darbepoetin Alfa 60 Mcg/0.3ml Sosy 0.3 Ml Syringe
|
62
|
24
|
$2,340.58
|
$936.23
60% off
|
$3.18
|
$3,900.96
|
$1,755.44
|
2026-03-18
|
|
74178
|
HCPCS
|
74178 CT Scan Of Abdomen And Pelvis Before And After Contrast
|
30
|
30
|
$2,513.00
|
$1,005.20
60% off
|
$280.31
|
$2,513.00
|
$1,733.72
|
2026-03-18
|
|
15273
|
HCPCS
|
15273 Skin Substitute Graft To Wound 100.0 Sq Cm Or More Of Trunk
|
30
|
30
|
$2,225.00
|
$890.00
60% off
|
$1,290.50
|
$2,225.00
|
$1,727.15
|
2026-03-18
|
|
74182
|
HCPCS
|
74182 MRI Scan Of Abdomen With Contrast
|
30
|
30
|
$2,300.00
|
$920.00
60% off
|
$280.31
|
$2,300.00
|
$1,725.00
|
2026-03-18
|
|
15277
|
HCPCS
|
15277 Skin Substitute Graft To Wound 100.0 Sq Cm Or More Of Face
|
30
|
30
|
$2,225.00
|
$890.00
60% off
|
$1,290.50
|
$2,225.00
|
$1,718.81
|
2026-03-18
|
|
J1670
|
HCPCS
|
Tetanus Immune Globulin 250 Unit/ml Sosy 1 Ml Syringe
|
30
|
30
|
$2,360.37
|
$944.15
60% off
|
$438.63
|
$2,360.37
|
$1,711.27
|
2026-03-18
|
|
70551
|
HCPCS
|
70551 MRI Scan Of Brain Without Contrast
|
30
|
30
|
$2,275.00
|
$910.00
60% off
|
$189.73
|
$2,275.00
|
$1,706.25
|
2026-03-18
|
|
74177
|
HCPCS
|
74177 CT Scan Of Abdomen And Pelvis With Contrast
|
30
|
30
|
$2,393.00
|
$957.20
60% off
|
$280.31
|
$2,393.00
|
$1,650.93
|
2026-03-18
|
|
74181
|
HCPCS
|
74181 MRI Scan Of Abdomen Without Contrast
|
30
|
30
|
$2,157.00
|
$862.80
60% off
|
$189.73
|
$2,157.00
|
$1,617.75
|
2026-03-18
|
|
73702
|
HCPCS
|
73702 CT Scan Of Leg Before And After Contrast
|
30
|
30
|
$2,280.00
|
$912.00
60% off
|
$139.73
|
$2,280.00
|
$1,572.97
|
2026-03-18
|
|
74176
|
HCPCS
|
74176 CT Scan Of Abdomen And Pelvis Without Contrast
|
30
|
30
|
$2,274.00
|
$909.60
60% off
|
$189.73
|
$2,274.00
|
$1,568.84
|
2026-03-18
|
|
73723
|
HCPCS
|
73723 MRI Scan Of Leg Joint Before And After Contrast
|
30
|
30
|
$2,045.00
|
$818.00
60% off
|
$280.31
|
$2,045.00
|
$1,533.75
|
2026-03-18
|
|
73720
|
HCPCS
|
73720 MRI Scan Of Leg Before And After Contrast
|
30
|
30
|
$2,045.00
|
$818.00
60% off
|
$280.31
|
$2,045.00
|
$1,533.75
|
2026-03-18
|
|
71550
|
HCPCS
|
71550 MRI Scan Of Chest Without Contrast
|
30
|
30
|
$2,026.00
|
$810.40
60% off
|
$189.73
|
$2,026.00
|
$1,519.50
|
2026-03-18
|
|
19120
|
HCPCS
|
Removal Of Breast Lesion
|
30
|
30
|
$1,943.00
|
$777.20
60% off
|
$1,126.94
|
$1,943.00
|
$1,508.26
|
2026-03-18
|
|
J0561
|
HCPCS
|
Penicillin G Benzathine 1200000 Unit/2ml Susy 2 Ml Syringe
|
66
|
30
|
$2,240.79
|
$896.32
60% off
|
$9.61
|
$2,240.80
|
$1,460.78
|
2026-03-18
|
|
72196
|
HCPCS
|
72196 MRI Scan Of Pelvis With Contrast
|
30
|
30
|
$1,947.00
|
$778.80
60% off
|
$280.31
|
$1,947.00
|
$1,460.25
|
2026-03-18
|
|
C8903
|
HCPCS
|
MRI W/cont Breast Uni
|
24
|
24
|
$1,932.00
|
$772.80
60% off
|
$569.87
|
$1,932.00
|
$1,449.00
|
2026-03-18
|
|
77046
|
HCPCS
|
77046 MRI Scan Of 1 Breast Without Contrast
|
30
|
30
|
$1,932.00
|
$772.80
60% off
|
$189.73
|
$1,932.00
|
$1,449.00
|
2026-03-18
|
|
C8905
|
HCPCS
|
MRI Without Fol W/cont Brst Un
|
24
|
24
|
$1,932.00
|
$772.80
60% off
|
$917.18
|
$1,932.00
|
$1,449.00
|
2026-03-18
|
|
73721
|
HCPCS
|
73721 MRI Scan Of Leg Joint Without Contrast
|
30
|
30
|
$1,849.00
|
$739.60
60% off
|
$189.73
|
$1,849.00
|
$1,386.75
|
2026-03-18
|
|
70540
|
HCPCS
|
70540 MRI Scan Of Bone Of Eye Socket
|
30
|
30
|
$1,831.00
|
$732.40
60% off
|
$189.73
|
$1,831.00
|
$1,373.25
|
2026-03-18
|
|
92950
|
HCPCS
|
92950 Manual Attempt To Restore Blood Circulation And Breathing
|
30
|
30
|
$1,824.00
|
$729.60
60% off
|
$244.41
|
$1,824.00
|
$1,364.35
|
2026-03-18
|
|
72195
|
HCPCS
|
72195 MRI Scan Of Pelvis Without Contrast
|
30
|
30
|
$1,809.00
|
$723.60
60% off
|
$189.73
|
$1,809.00
|
$1,356.75
|
2026-03-18
|
|
55250
|
HCPCS
|
55250 Removal Of Sperm Duct
|
30
|
30
|
$1,708.00
|
$683.20
60% off
|
$990.64
|
$1,708.00
|
$1,355.72
|
2026-03-18
|
|
36556
|
HCPCS
|
36556 Insertion Of Non-tunneled Central Venous Tube For Infusion 5+
|
30
|
30
|
$1,724.00
|
$689.60
60% off
|
$999.92
|
$1,724.00
|
$1,338.26
|
2026-03-18
|
|
36569
|
HCPCS
|
36569 Insertion Of Tube For Infusion (5 Years Or Older)
|
30
|
30
|
$1,724.00
|
$689.60
60% off
|
$999.92
|
$1,724.00
|
$1,331.79
|
2026-03-18
|
|
20525
|
HCPCS
|
20525 Complicated Removal Of Foreign Body In Deep Muscle Or Tendon
|
30
|
30
|
$1,709.00
|
$683.60
60% off
|
$991.22
|
$1,709.00
|
$1,326.61
|
2026-03-18
|
|
22900
|
HCPCS
|
Exc Abdl Tum Deep < 5 Cm
|
30
|
30
|
$1,709.00
|
$683.60
60% off
|
$991.22
|
$1,709.00
|
$1,326.61
|
2026-03-18
|
|
71275
|
HCPCS
|
71275 CT Scan Of Blood Vessels Of Chest With Contrast
|
30
|
30
|
$1,915.00
|
$766.00
60% off
|
$139.73
|
$1,915.00
|
$1,321.16
|
2026-03-18
|
|
45381
|
HCPCS
|
45381 Injection Beneath Lining Of Large Bowel Using A Flexible Endoscope
|
30
|
30
|
$1,700.00
|
$680.00
60% off
|
$665.99
|
$1,700.00
|
$1,294.12
|
2026-03-18
|
|
32551
|
HCPCS
|
32551 Removal Of Fluid From Between Lung And Chest Cavity
|
30
|
30
|
$1,724.00
|
$689.60
60% off
|
$999.92
|
$1,724.00
|
$1,293.86
|
2026-03-18
|
|
21931
|
HCPCS
|
Exc Back Les Sc 3 Cm/>
|
30
|
30
|
$1,709.00
|
$683.60
60% off
|
$991.22
|
$1,709.00
|
$1,290.24
|
2026-03-18
|
|
72125
|
HCPCS
|
72125 CT Scan Of Upper Spine Without Contrast
|
30
|
30
|
$1,864.00
|
$745.60
60% off
|
$83.47
|
$1,864.00
|
$1,285.97
|
2026-03-18
|
|
43235
|
HCPCS
|
43235 Diagnostic Exam Of Esophagus
|
30
|
30
|
$1,660.00
|
$664.00
60% off
|
$521.22
|
$1,660.00
|
$1,263.67
|
2026-03-18
|
|
43239
|
HCPCS
|
43239 Biopsy Of Esophagus
|
30
|
30
|
$1,660.00
|
$664.00
60% off
|
$521.22
|
$1,660.00
|
$1,263.67
|
2026-03-18
|
|
45380
|
HCPCS
|
45380 Biopsy Of Large Bowel Using A Flexible Endoscope
|
30
|
30
|
$1,660.00
|
$664.00
60% off
|
$665.99
|
$1,660.00
|
$1,263.67
|
2026-03-18
|
|
72129
|
HCPCS
|
72129 CT Scan Of Middle Spine With Contrast
|
30
|
30
|
$1,805.00
|
$722.00
60% off
|
$139.73
|
$1,805.00
|
$1,245.27
|
2026-03-18
|
|
73220
|
HCPCS
|
73220 MRI Scan Of Arm Before And After Contrast
|
30
|
30
|
$1,648.00
|
$659.20
60% off
|
$280.31
|
$1,648.00
|
$1,236.00
|
2026-03-18
|
|
73223
|
HCPCS
|
73223 MRI Scan Of Arm Joint Before And After Contrast
|
30
|
30
|
$1,647.00
|
$658.80
60% off
|
$280.31
|
$1,647.00
|
$1,235.25
|
2026-03-18
|
|
73221
|
HCPCS
|
73221 MRI Scan Of Arm Joint Without Contrast
|
30
|
30
|
$1,631.00
|
$652.40
60% off
|
$189.73
|
$1,631.00
|
$1,223.25
|
2026-03-18
|
|
73218
|
HCPCS
|
73218 MRI Scan Of Arm Without Contrast
|
30
|
30
|
$1,630.00
|
$652.00
60% off
|
$189.73
|
$1,630.00
|
$1,222.50
|
2026-03-18
|
|
45378
|
HCPCS
|
45378 Diagnostic Exam Of Large Bowel Using A Flexible Endoscope
|
30
|
30
|
$1,600.00
|
$640.00
60% off
|
$506.60
|
$1,600.00
|
$1,218.00
|
2026-03-18
|
|
G0121
|
HCPCS
|
Gastrointestinal Services
|
30
|
30
|
$1,600.00
|
$640.00
60% off
|
$506.60
|
$1,600.00
|
$1,218.00
|
2026-03-18
|
|
G0105
|
HCPCS
|
Gastrointestinal Services
|
30
|
30
|
$1,600.00
|
$640.00
60% off
|
$506.60
|
$1,600.00
|
$1,218.00
|
2026-03-18
|
|
70491
|
HCPCS
|
70491 CT Scan Of Soft Tissue Of Neck With Contrast
|
30
|
30
|
$1,754.00
|
$701.60
60% off
|
$139.73
|
$1,754.00
|
$1,210.09
|
2026-03-18
|
|
73718
|
HCPCS
|
73718 MRI Scan Of Leg Without Contrast
|
30
|
30
|
$1,608.00
|
$643.20
60% off
|
$189.73
|
$1,608.00
|
$1,206.00
|
2026-03-18
|
|
72128
|
HCPCS
|
72128 CT Scan Of Middle Spine Without Contrast
|
30
|
30
|
$1,741.00
|
$696.40
60% off
|
$83.47
|
$1,741.00
|
$1,201.12
|
2026-03-18
|
|
19020
|
HCPCS
|
19020 Drainage Of Abscess Of Breast
|
30
|
30
|
$1,545.00
|
$618.00
60% off
|
$896.10
|
$1,545.00
|
$1,199.30
|
2026-03-18
|
|
72191
|
HCPCS
|
72191 CT Scan Of Blood Vessels Of Pelvis With Contrast
|
30
|
30
|
$1,726.00
|
$690.40
60% off
|
$139.73
|
$1,726.00
|
$1,190.76
|
2026-03-18
|
|
72127
|
HCPCS
|
72127 CT Scan Of Upper Spine Before And After Contrast
|
30
|
30
|
$1,726.00
|
$690.40
60% off
|
$139.73
|
$1,726.00
|
$1,190.76
|
2026-03-18
|
|
72194
|
HCPCS
|
72194 CT Scan Of Pelvis Before And After Contrast
|
30
|
30
|
$1,726.00
|
$690.40
60% off
|
$139.73
|
$1,726.00
|
$1,190.76
|
2026-03-18
|
|
74170
|
HCPCS
|
74170 CT Scan Of Abdomen Before And After Contrast
|
30
|
30
|
$1,726.00
|
$690.40
60% off
|
$139.73
|
$1,726.00
|
$1,190.76
|
2026-03-18
|
|
73201
|
HCPCS
|
73201 CT Scan Of Arm With Contrast
|
30
|
30
|
$1,637.00
|
$654.80
60% off
|
$280.31
|
$1,637.00
|
$1,186.83
|
2026-03-18
|
|
70547
|
HCPCS
|
70547 MRI Scan Of Blood Vessels Of Neck Without Contrast
|
30
|
30
|
$1,573.00
|
$629.20
60% off
|
$189.73
|
$1,573.00
|
$1,179.75
|
2026-03-18
|
|
70482
|
HCPCS
|
70482 CT Scan Of Cranial Cavity Before And After Contrast
|
30
|
30
|
$1,697.00
|
$678.80
60% off
|
$139.73
|
$1,697.00
|
$1,170.76
|
2026-03-18
|
|
45330
|
HCPCS
|
45330 Diagnostic Exam Of Lower Portion Of Large Bowel Using A Flexible Endoscope
|
30
|
30
|
$1,481.00
|
$592.40
60% off
|
$715.59
|
$1,481.00
|
$1,127.41
|
2026-03-18
|
|
15278
|
HCPCS
|
15278 Skin Substitute Graft To Wound 100.0 Sq Cm Or More Of Face
|
24
|
24
|
$1,483.00
|
$593.20
60% off
|
$860.14
|
$1,483.00
|
$1,112.25
|
2026-03-18
|
|
15274
|
HCPCS
|
15274 Skin Substitute Graft To Wound 100.0 Sq Cm Or More Of Trunk
|
24
|
24
|
$1,483.00
|
$593.20
60% off
|
$860.14
|
$1,483.00
|
$1,112.25
|
2026-03-18
|
|
74160
|
HCPCS
|
74160 CT Scan Of Abdomen With Contrast
|
30
|
30
|
$1,598.00
|
$639.20
60% off
|
$139.73
|
$1,598.00
|
$1,105.80
|
2026-03-18
|
|
70481
|
HCPCS
|
70481 CT Scan Of Cranial Cavity With Contrast
|
30
|
30
|
$1,556.00
|
$622.40
60% off
|
$139.73
|
$1,556.00
|
$1,091.10
|
2026-03-18
|
|
72192
|
HCPCS
|
72192 CT Scan Of Pelvis Without Contrast
|
30
|
30
|
$1,526.00
|
$610.40
60% off
|
$83.47
|
$1,526.00
|
$1,080.60
|
2026-03-18
|
|
72126
|
HCPCS
|
72126 CT Scan Of Upper Spine With Contrast
|
30
|
30
|
$1,436.00
|
$574.40
60% off
|
$280.31
|
$1,436.00
|
$1,077.00
|
2026-03-18
|
|
72193
|
HCPCS
|
72193 CT Scan Of Pelvis With Contrast
|
30
|
30
|
$1,486.00
|
$594.40
60% off
|
$139.73
|
$1,486.00
|
$1,069.00
|
2026-03-18
|
|
72131
|
HCPCS
|
72131 CT Scan Of Lower Spine Without Contrast
|
30
|
30
|
$1,492.00
|
$596.80
60% off
|
$83.47
|
$1,492.00
|
$1,069.00
|
2026-03-18
|
|
74150
|
HCPCS
|
74150 CT Scan Of Abdomen Without Contrast
|
30
|
30
|
$1,458.00
|
$583.20
60% off
|
$83.47
|
$1,458.00
|
$1,069.00
|
2026-03-18
|
|
70470
|
HCPCS
|
70470 CT Scan Of Head Or Brain Before And After Contrast
|
30
|
30
|
$1,466.00
|
$586.40
60% off
|
$139.73
|
$1,466.00
|
$1,069.00
|
2026-03-18
|
|
72130
|
HCPCS
|
72130 CT Scan Of Middle Spine Before And After Contrast
|
30
|
30
|
$1,454.00
|
$581.60
60% off
|
$139.73
|
$1,454.00
|
$1,067.75
|
2026-03-18
|
|
46220
|
HCPCS
|
46220 Removal Of Single External Noncancer Growth Of Anus
|
30
|
30
|
$1,397.00
|
$558.80
60% off
|
$810.26
|
$1,397.00
|
$1,063.47
|
2026-03-18
|
|
40805
|
HCPCS
|
Removal Foreign Body Mouth
|
30
|
30
|
$1,400.00
|
$560.00
60% off
|
$399.71
|
$1,400.00
|
$1,050.00
|
2026-03-18
|
|
15271
|
HCPCS
|
15271 Application Of Skin Substitute Graft To Wound Of Trunk
|
30
|
30
|
$1,349.00
|
$539.60
60% off
|
$782.42
|
$1,349.00
|
$1,047.16
|
2026-03-18
|
|
72133
|
HCPCS
|
72133 CT Scan Of Lower Spine Before And After Contrast
|
30
|
30
|
$1,399.00
|
$559.60
60% off
|
$139.73
|
$1,399.00
|
$1,047.12
|
2026-03-18
|
|
99285
|
HCPCS
|
99285 Emergency Department Visit For Life Threatening Or Functioning Severity
|
30
|
30
|
$1,376.00
|
$550.40
60% off
|
$481.22
|
$1,376.00
|
$1,032.00
|
2026-03-18
|
|
J0712
|
HCPCS
|
Ceftaroline 600 Mg Solr 1 Each Vial
|
30
|
30
|
$1,421.18
|
$568.47
60% off
|
$3.66
|
$1,421.18
|
$1,030.36
|
2026-03-18
|
|
C8912
|
HCPCS
|
MRA W/cont Lwr Ext
|
24
|
24
|
$1,318.00
|
$527.20
60% off
|
$808.72
|
$1,318.00
|
$1,018.16
|
2026-03-18
|
|
C8902
|
HCPCS
|
MRA Without Fol W/cont Abd
|
24
|
24
|
$1,318.00
|
$527.20
60% off
|
$808.72
|
$1,318.00
|
$1,018.16
|
2026-03-18
|
|
C8914
|
HCPCS
|
MRA Without Fol W/cont Lwr Ext
|
24
|
24
|
$1,318.00
|
$527.20
60% off
|
$808.72
|
$1,318.00
|
$1,018.16
|
2026-03-18
|
|
C8933
|
HCPCS
|
MRA W/oandw/dye Spinal Canal
|
24
|
24
|
$1,318.00
|
$527.20
60% off
|
$808.72
|
$1,318.00
|
$1,018.16
|
2026-03-18
|
|
C8936
|
HCPCS
|
MRA Without Fol W/cont Upr Ext
|
24
|
24
|
$1,318.00
|
$527.20
60% off
|
$808.72
|
$1,318.00
|
$1,018.16
|
2026-03-18
|
|
C8909
|
HCPCS
|
MRA W/cont Chest
|
24
|
24
|
$1,318.00
|
$527.20
60% off
|
$808.72
|
$1,318.00
|
$1,018.16
|
2026-03-18
|
|
C8934
|
HCPCS
|
MRA W/cont Upper Ext
|
24
|
24
|
$1,318.00
|
$527.20
60% off
|
$808.72
|
$1,318.00
|
$1,018.16
|
2026-03-18
|
|
C8900
|
HCPCS
|
MRA W/cont Abd
|
24
|
24
|
$1,318.00
|
$527.20
60% off
|
$808.72
|
$1,318.00
|
$1,018.16
|
2026-03-18
|
|
C8911
|
HCPCS
|
MRA Without Fol W/cont Chest
|
24
|
24
|
$1,318.00
|
$527.20
60% off
|
$808.72
|
$1,318.00
|
$1,018.16
|
2026-03-18
|
|
73700
|
HCPCS
|
73700 CT Scan Of Leg Without Contrast
|
30
|
30
|
$1,344.00
|
$537.60
60% off
|
$83.47
|
$1,344.00
|
$1,008.00
|
2026-03-18
|
|
C8920
|
HCPCS
|
MRA Without Fol W/cont Pelvis
|
24
|
24
|
$1,302.00
|
$520.80
60% off
|
$798.91
|
$1,302.00
|
$1,005.80
|
2026-03-18
|
|
72132
|
HCPCS
|
72132 CT Scan Of Lower Spine With Contrast
|
30
|
30
|
$1,341.00
|
$536.40
60% off
|
$280.31
|
$1,341.00
|
$1,005.75
|
2026-03-18
|
|
C8910
|
HCPCS
|
MRA Without Cont Chest
|
24
|
24
|
$1,318.00
|
$527.20
60% off
|
$485.78
|
$1,318.00
|
$1,003.33
|
2026-03-18
|
|
C8913
|
HCPCS
|
MRA Without Cont Lwr Ext
|
24
|
24
|
$1,318.00
|
$527.20
60% off
|
$485.78
|
$1,318.00
|
$1,003.33
|
2026-03-18
|
|
C8935
|
HCPCS
|
MRA Without Cont Upper Ext
|
24
|
24
|
$1,318.00
|
$527.20
60% off
|
$485.78
|
$1,318.00
|
$1,003.33
|
2026-03-18
|
|
C8901
|
HCPCS
|
MRA Without Cont Abd
|
24
|
24
|
$1,318.00
|
$527.20
60% off
|
$485.78
|
$1,318.00
|
$1,003.33
|
2026-03-18
|
|
78494
|
HCPCS
|
78494 Nuclear Medicine Study Of Heart Pumping Function By Labeling Red
|
30
|
30
|
$1,332.00
|
$532.80
60% off
|
$315.40
|
$1,332.00
|
$999.00
|
2026-03-18
|
|
99291
|
HCPCS
|
99291 Critical Care
|
30
|
30
|
$1,286.00
|
$514.40
60% off
|
$661.36
|
$1,286.00
|
$993.44
|
2026-03-18
|
|
49082
|
HCPCS
|
49082 Drainage Of Fluid From Abdominal Cavity
|
30
|
30
|
$1,304.00
|
$521.60
60% off
|
$735.88
|
$1,304.00
|
$992.67
|
2026-03-18
|
|
70492
|
HCPCS
|
70492 CT Scan Of Soft Tissue Of Neck Before And After Contrast
|
30
|
30
|
$1,319.00
|
$527.60
60% off
|
$139.73
|
$1,319.00
|
$989.25
|
2026-03-18
|
|
73202
|
HCPCS
|
73202 CT Scan Of Arm Before And After Contrast
|
30
|
30
|
$1,317.00
|
$526.80
60% off
|
$139.73
|
$1,317.00
|
$987.75
|
2026-03-18
|
|
73701
|
HCPCS
|
73701 CT Scan Of Leg With Contrast Material
|
30
|
30
|
$1,316.00
|
$526.40
60% off
|
$139.73
|
$1,316.00
|
$987.00
|
2026-03-18
|
|
J1327
|
HCPCS
|
Eptifibatide 75 Mg/100ml Soln 100 Ml Vial
|
43
|
22
|
$2,742.18
|
$1,096.87
60% off
|
$13.26
|
$2,742.18
|
$959.61
|
2026-03-18
|
|
78582
|
HCPCS
|
78582 Nuclear Medicine Study Of Lung Ventilation And Circulation
|
30
|
30
|
$1,274.00
|
$509.60
60% off
|
$422.49
|
$1,274.00
|
$955.50
|
2026-03-18
|
|
87999
|
HCPCS
|
87999 Unlisted Microbiology Procedure
|
24
|
24
|
$1,264.00
|
$505.60
60% off
|
$632.00
|
$1,264.00
|
$948.00
|
2026-03-18
|
|
78227
|
HCPCS
|
78227 Nuclear Medicine Study Of Liver And Bile Duct System With Use Of Drugs
|
30
|
30
|
$1,263.00
|
$505.20
60% off
|
$422.49
|
$1,263.00
|
$947.25
|
2026-03-18
|
|
11047
|
HCPCS
|
Removal Of Bone
|
24
|
24
|
$1,262.00
|
$504.80
60% off
|
$731.96
|
$1,262.00
|
$946.50
|
2026-03-18
|
|
93306
|
HCPCS
|
93306 Ultrasound Of Heart With Color-depicted Blood Flow
|
30
|
30
|
$1,250.00
|
$500.00
60% off
|
$430.35
|
$1,250.00
|
$937.50
|
2026-03-18
|
|
28043
|
HCPCS
|
28043 Removal (less Than 1.5 Centimeters) Tissue Growth Beneath The Skin
|
30
|
30
|
$1,128.00
|
$451.20
60% off
|
$654.24
|
$1,128.00
|
$895.35
|
2026-03-18
|
|
Q9968
|
HCPCS
|
Methylene Blue 50 Mg/10ml Soln 10 Ml Ampule
|
49
|
30
|
$1,293.84
|
$517.54
60% off
|
$0.26
|
$1,293.84
|
$888.38
|
2026-03-18
|
|
73200
|
HCPCS
|
73200 CT Scan Of Arm Without Contrast
|
30
|
30
|
$1,169.00
|
$467.60
60% off
|
$83.47
|
$1,169.00
|
$876.75
|
2026-03-18
|
|
21930
|
HCPCS
|
21930 Removal Of Growth Under Skin Of Back Or Lower Sides
|
30
|
30
|
$1,128.00
|
$451.20
60% off
|
$654.24
|
$1,128.00
|
$875.61
|
2026-03-18
|
|
11424
|
HCPCS
|
11424 Removal Of Noncancer Skin Growth Of Scalp
|
30
|
30
|
$1,128.00
|
$451.20
60% off
|
$654.24
|
$1,128.00
|
$875.61
|
2026-03-18
|
|
11606
|
HCPCS
|
11606 Removal Of Cancer Skin Growth Of Body
|
30
|
30
|
$1,128.00
|
$451.20
60% off
|
$654.24
|
$1,128.00
|
$875.61
|
2026-03-18
|
|
27618
|
HCPCS
|
Exc Leg/ankle Tum < 3 Cm
|
30
|
30
|
$1,128.00
|
$451.20
60% off
|
$654.24
|
$1,128.00
|
$875.61
|
2026-03-18
|
|
11404
|
HCPCS
|
11404 Removal Of Noncancer Skin Growth Of Body
|
30
|
30
|
$1,128.00
|
$451.20
60% off
|
$654.24
|
$1,128.00
|
$875.61
|
2026-03-18
|
|
11406
|
HCPCS
|
11406 Removal Of Noncancer Skin Growth Of Body
|
30
|
30
|
$1,128.00
|
$451.20
60% off
|
$654.24
|
$1,128.00
|
$875.61
|
2026-03-18
|
|
78315
|
HCPCS
|
78315 Nuclear Medicine Study Of Bone Taken At Different Times
|
30
|
30
|
$1,149.00
|
$459.60
60% off
|
$315.40
|
$1,149.00
|
$861.75
|
2026-03-18
|
|
J2997
|
HCPCS
|
Alteplase 2 Mg Solr 1 Each Vial
|
87
|
30
|
$1,073.27
|
$429.31
60% off
|
$65.31
|
$44,353.81
|
$858.62
|
2026-03-18
|
|
23655
|
HCPCS
|
23655 Closed Treatment Of Dislocated Shoulder With Manipulation Under Anesthesia
|
30
|
30
|
$1,104.00
|
$441.60
60% off
|
$640.32
|
$1,104.00
|
$856.98
|
2026-03-18
|
|
J0883
|
HCPCS
|
Argatroban 50 Mg/50ml Soln 50 Ml Vial
|
49
|
30
|
$1,092.96
|
$437.18
60% off
|
$0.78
|
$1,265.00
|
$852.51
|
2026-03-18
|
|
70450
|
HCPCS
|
70450 CT Scan Head Or Brain Without Contrast
|
30
|
30
|
$1,121.00
|
$448.40
60% off
|
$83.47
|
$1,121.00
|
$840.75
|
2026-03-18
|
|
70460
|
HCPCS
|
70460 CT Scan Head Or Brain With Contrast
|
30
|
30
|
$1,120.00
|
$448.00
60% off
|
$139.73
|
$1,120.00
|
$840.00
|
2026-03-18
|
|
72146
|
HCPCS
|
72146 MRI Scan Of Middle Spinal Canal Without Contrast
|
52
|
30
|
$878.00
|
$351.20
60% off
|
$189.73
|
$2,225.00
|
$834.10
|
2026-03-18
|
|
70488
|
HCPCS
|
70488 CT Scan Of Face Before And After Contrast
|
30
|
30
|
$1,112.00
|
$444.80
60% off
|
$139.73
|
$1,112.00
|
$834.00
|
2026-03-18
|
|
99284
|
HCPCS
|
99284 Emergency Department Visit For Problem Of High Severity
|
30
|
30
|
$1,107.00
|
$442.80
60% off
|
$334.22
|
$1,107.00
|
$830.25
|
2026-03-18
|
|
J1364
|
HCPCS
|
Erythromycin 500 Mg Solr 1 Each Vial
|
22
|
22
|
$1,090.40
|
$436.16
60% off
|
$84.01
|
$1,090.40
|
$830.07
|
2026-03-18
|
|
93303
|
HCPCS
|
93303 Ultrasound Of Heart For Congenital Defect
|
30
|
30
|
$1,100.00
|
$440.00
60% off
|
$430.35
|
$1,100.00
|
$825.55
|
2026-03-18
|
|
72148
|
HCPCS
|
MRI Lumbar Spine Without Contrast
|
52
|
30
|
$2,295.00
|
$918.00
60% off
|
$189.73
|
$2,295.00
|
$816.05
|
2026-03-18
|
|
71270
|
HCPCS
|
71270 CT Scan Of Chest Before And After Contrast
|
30
|
30
|
$1,088.00
|
$435.20
60% off
|
$139.73
|
$1,088.00
|
$816.00
|
2026-03-18
|
|
71260
|
HCPCS
|
71260 CT Scan Of Chest With Contrast
|
30
|
30
|
$1,088.00
|
$435.20
60% off
|
$139.73
|
$1,088.00
|
$816.00
|
2026-03-18
|
|
72141
|
HCPCS
|
MRI Neck Spine Without Contrast Limited
|
52
|
30
|
$849.00
|
$339.60
60% off
|
$189.73
|
$2,336.00
|
$806.55
|
2026-03-18
|
|
12054
|
HCPCS
|
12054 Intermediate Repair Of Wound Of Face
|
30
|
30
|
$1,031.00
|
$412.40
60% off
|
$313.59
|
$1,031.00
|
$773.25
|
2026-03-18
|
|
70487
|
HCPCS
|
70487 CT Scan Of Face With Contrast
|
30
|
30
|
$1,020.00
|
$408.00
60% off
|
$139.73
|
$1,020.00
|
$765.00
|
2026-03-18
|
|
20103
|
HCPCS
|
20103 Exploration Of Wound Of Arm Or Leg
|
30
|
30
|
$982.00
|
$392.80
60% off
|
$569.56
|
$982.00
|
$762.28
|
2026-03-18
|
|
20102
|
HCPCS
|
20102 Exploration Of Wound Of Abdomen
|
30
|
30
|
$982.00
|
$392.80
60% off
|
$569.56
|
$982.00
|
$762.28
|
2026-03-18
|
|
20101
|
HCPCS
|
20101 Exploration Of Wound Of Chest
|
30
|
30
|
$982.00
|
$392.80
60% off
|
$569.56
|
$982.00
|
$762.28
|
2026-03-18
|
|
78306
|
HCPCS
|
78306 Nuclear Medicine Study Of Bone And/or Joint Whole Body
|
30
|
30
|
$999.00
|
$399.60
60% off
|
$315.40
|
$999.00
|
$749.25
|
2026-03-18
|
|
70490
|
HCPCS
|
70490 CT Scan Of Soft Tissue Of Neck Without Contrast
|
30
|
30
|
$994.00
|
$397.60
60% off
|
$83.47
|
$994.00
|
$745.50
|
2026-03-18
|
|
94002
|
HCPCS
|
94002 Initial Hospital Inpatient Or Observation Ventilation
|
24
|
24
|
$988.00
|
$395.20
60% off
|
$573.04
|
$988.00
|
$741.50
|
2026-03-18
|
|
20100
|
HCPCS
|
20100 Exploration Of Wound Of Neck
|
30
|
30
|
$982.00
|
$392.80
60% off
|
$399.71
|
$982.00
|
$736.99
|
2026-03-18
|
|
0750
|
RC
|
—
|
96
|
24
|
$1,066.50
|
$426.60
60% off
|
$236.64
|
$2,088.00
|
$730.50
|
2026-03-18
|
|
78226
|
HCPCS
|
78226 Nuclear Medicine Study Of Liver And Bile Duct System
|
30
|
30
|
$972.00
|
$388.80
60% off
|
$315.40
|
$972.00
|
$729.00
|
2026-03-18
|
|
70480
|
HCPCS
|
70480 CT Scan Of Cranial Cavity Without Contrast
|
30
|
30
|
$950.00
|
$380.00
60% off
|
$83.47
|
$950.00
|
$712.50
|
2026-03-18
|
|
J0695
|
HCPCS
|
Ceftolozane-tazobactam 1.5 (1-0.5) G Solr 1 Each Vial
|
30
|
30
|
$962.47
|
$384.99
60% off
|
$4.38
|
$962.47
|
$697.79
|
2026-03-18
|
|
87497
|
HCPCS
|
87497 Detection Test By Nucleic Acid For Cytomegalovirus
|
30
|
30
|
$922.00
|
$368.80
60% off
|
$39.72
|
$922.00
|
$691.50
|
2026-03-18
|
|
12055
|
HCPCS
|
12055 Intermediate Repair Of Wound Of Face
|
30
|
30
|
$913.00
|
$365.20
60% off
|
$313.59
|
$913.00
|
$684.75
|
2026-03-18
|
|
15276
|
HCPCS
|
15276 Application Of Skin Substitute Graft To Wound Of Face
|
24
|
24
|
$900.00
|
$360.00
60% off
|
$522.00
|
$900.00
|
$675.00
|
2026-03-18
|
|
15272
|
HCPCS
|
15272 Application Of Skin Substitute Graft To Wound Of Trunk
|
24
|
24
|
$900.00
|
$360.00
60% off
|
$522.00
|
$900.00
|
$675.00
|
2026-03-18
|
|
C5274
|
HCPCS
|
Hc Skin Subs Graft 100 Sq Cm Each Add 1% Of Area Of Infant/children
|
24
|
24
|
$900.00
|
$360.00
60% off
|
$522.00
|
$900.00
|
$675.00
|
2026-03-18
|
|
92960
|
HCPCS
|
92960 External Shock To Heart To Regulate Heart Beat
|
30
|
30
|
$899.00
|
$359.60
60% off
|
$513.62
|
$899.00
|
$674.70
|
2026-03-18
|
|
76770
|
HCPCS
|
76770 Complete Ultrasound Scan Behind Abdominal Cavity
|
30
|
30
|
$897.00
|
$358.80
60% off
|
$83.47
|
$897.00
|
$670.95
|
2026-03-18
|
|
76700
|
HCPCS
|
76700 Complete Ultrasound Scan Of Abdomen
|
30
|
30
|
$890.00
|
$356.00
60% off
|
$83.47
|
$890.00
|
$665.72
|
2026-03-18
|
|
70486
|
HCPCS
|
70486 CT Scan Of Face Without Contrast
|
30
|
30
|
$875.00
|
$350.00
60% off
|
$83.47
|
$875.00
|
$656.25
|
2026-03-18
|
|
76376
|
HCPCS
|
76376 3d Radiographic Procedure
|
24
|
24
|
$843.00
|
$337.20
60% off
|
$517.26
|
$843.00
|
$651.22
|
2026-03-18
|
|
36590
|
HCPCS
|
36590 Removal Of Central Venous Tube With Port Or Pump
|
30
|
30
|
$836.00
|
$334.40
60% off
|
$484.88
|
$836.00
|
$648.94
|
2026-03-18
|
|
73719
|
HCPCS
|
73719 MRI Scan Of Leg With Contrast
|
30
|
30
|
$860.00
|
$344.00
60% off
|
$280.31
|
$860.00
|
$645.00
|
2026-03-18
|
|
P9058
|
HCPCS
|
Hc Red Blood Cells Leukocytes Reduced Cmv-neg Irradiated Each Unit
|
30
|
30
|
$860.00
|
$344.00
60% off
|
$174.92
|
$860.00
|
$643.28
|
2026-03-18
|
|
11043
|
HCPCS
|
Removal Of Muscle And/or Tissue
|
30
|
30
|
$856.00
|
$342.40
60% off
|
$480.45
|
$856.00
|
$642.43
|
2026-03-18
|
|
13152
|
HCPCS
|
13152 Complicated Repair Of Wound Of Eyelids
|
30
|
30
|
$853.00
|
$341.20
60% off
|
$480.45
|
$853.00
|
$640.17
|
2026-03-18
|
|
12057
|
HCPCS
|
12057 Intermediate Repair Of Wound Of Face
|
30
|
30
|
$853.00
|
$341.20
60% off
|
$313.59
|
$853.00
|
$640.17
|
2026-03-18
|
|
Q5125
|
HCPCS
|
Filgrastim-ayow 300 Mcg/0.5ml Sosy 0.5 Ml Syringe
|
30
|
30
|
$877.68
|
$351.07
60% off
|
$0.37
|
$877.68
|
$636.32
|
2026-03-18
|
|
78466
|
HCPCS
|
78466 Nuclear Medicine Study Of Heart Muscle Following Heart Attack
|
30
|
30
|
$829.00
|
$331.60
60% off
|
$315.40
|
$829.00
|
$622.16
|
2026-03-18
|
|
0110
|
RC
|
—
|
27
|
9
|
$620.00
|
$248.00
60% off
|
$500.00
|
$686.40
|
$620.00
|
2026-03-18
|
|
93930
|
HCPCS
|
93930 Ultrasound Of Arm Arteries Or Artery Grafts
|
30
|
30
|
$824.00
|
$329.60
60% off
|
$189.73
|
$824.00
|
$618.00
|
2026-03-18
|
|
12056
|
HCPCS
|
12056 Intermediate Repair Of Wound Of Face
|
30
|
30
|
$823.00
|
$329.20
60% off
|
$313.59
|
$823.00
|
$617.66
|
2026-03-18
|
|
76870
|
HCPCS
|
76870 Ultrasound Scan Of Scrotum
|
30
|
30
|
$821.00
|
$328.40
60% off
|
$83.47
|
$821.00
|
$614.11
|
2026-03-18
|
|
L1832
|
HCPCS
|
Hc Ko Adj Jnt Pos Rigid Support
|
22
|
22
|
$793.00
|
$317.20
60% off
|
$235.80
|
$793.00
|
$612.59
|
2026-03-18
|
|
78472
|
HCPCS
|
78472 Nuclear Medicine Study Of Heart Pumping Function By Labeling Red
|
30
|
30
|
$816.00
|
$326.40
60% off
|
$315.40
|
$816.00
|
$612.41
|
2026-03-18
|
|
94003
|
HCPCS
|
94003 Follow-up Inpatient Or Observation Ventilation Assistance And Management
|
24
|
24
|
$812.00
|
$324.80
60% off
|
$470.96
|
$812.00
|
$609.40
|
2026-03-18
|
|
C5275
|
HCPCS
|
Hc Skin Subs Graft 100 Sq Cm Each Add 1% Of Area Of Infant/children
|
24
|
24
|
$807.00
|
$322.80
60% off
|
$468.06
|
$807.00
|
$605.65
|
2026-03-18
|
|
C5273
|
HCPCS
|
Hc Skin Subs Graft 100 Sqcm Ea 1% Of Body Area Of Infants/children
|
24
|
24
|
$807.00
|
$322.80
60% off
|
$468.06
|
$807.00
|
$605.65
|
2026-03-18
|
|
C5277
|
HCPCS
|
Hc Skn Sub Grft F/n/hf/g Child 1st 100 Sq Cm
|
24
|
24
|
$807.00
|
$322.80
60% off
|
$468.06
|
$807.00
|
$605.65
|
2026-03-18
|
|
C5271
|
HCPCS
|
Hc App Of Low Cost Skin Sub Graft 100 Sq Cm First 25 Sq Cm Or Less
|
24
|
24
|
$807.00
|
$322.80
60% off
|
$468.06
|
$807.00
|
$605.65
|
2026-03-18
|
|
J1611
|
HCPCS
|
Glucagon 1 Mg Solr 1 Each Vial
|
30
|
30
|
$828.00
|
$331.20
60% off
|
$115.27
|
$828.00
|
$600.30
|
2026-03-18
|
|
76801
|
HCPCS
|
76801 Ultrasound Scan Of Pregnant Uterus (less Than 14 Weeks)
|
24
|
24
|
$796.00
|
$318.40
60% off
|
$242.42
|
$796.00
|
$597.00
|
2026-03-18
|
|
12053
|
HCPCS
|
12053 Intermediate Repair Of Wound Of Face
|
30
|
30
|
$793.00
|
$317.20
60% off
|
$313.59
|
$793.00
|
$595.14
|
2026-03-18
|
|
13132
|
HCPCS
|
13132 Complicated Repair Of Wound Of Forehead
|
30
|
30
|
$792.00
|
$316.80
60% off
|
$459.36
|
$792.00
|
$594.39
|
2026-03-18
|
|
13121
|
HCPCS
|
13121 Complicated Repair Of Wound Of Scalp
|
30
|
30
|
$792.00
|
$316.80
60% off
|
$459.36
|
$792.00
|
$594.39
|
2026-03-18
|
|
93880
|
HCPCS
|
93880 Ultrasound Of Both Sides Of Head And Neck Blood Flow
|
30
|
30
|
$785.00
|
$314.00
60% off
|
$189.73
|
$785.00
|
$588.75
|
2026-03-18
|
|
24530
|
HCPCS
|
24530 Closed Treatment Of Upper Arm Bone Broken At Elbow
|
30
|
30
|
$768.00
|
$307.20
60% off
|
$188.28
|
$768.00
|
$576.00
|
2026-03-18
|
|
13151
|
HCPCS
|
13151 Complicated Repair Of Wound Of Eyelids
|
30
|
30
|
$767.00
|
$306.80
60% off
|
$444.86
|
$767.00
|
$575.63
|
2026-03-18
|
|
Q4081
|
HCPCS
|
Epoetin Alfa 4000 Unit/ml Soln 1 Ml Vial
|
165
|
22
|
$915.22
|
$366.09
60% off
|
$1.11
|
$5,387.76
|
$571.10
|
2026-03-18
|
|
12035
|
HCPCS
|
12035 Intermediate Repair Of Wound Of Scalp
|
30
|
30
|
$755.00
|
$302.00
60% off
|
$313.59
|
$755.00
|
$566.63
|
2026-03-18
|
|
93970
|
HCPCS
|
93970 Ultrasound Study Of Arm Or Leg Veins With Compression And Maneuvers
|
30
|
30
|
$754.00
|
$301.60
60% off
|
$189.73
|
$754.00
|
$565.50
|
2026-03-18
|
|
76810
|
HCPCS
|
76810 Ultrasound Scan Of Pregnant Uterus (14 Weeks Or More)
|
24
|
24
|
$748.00
|
$299.20
60% off
|
$433.84
|
$748.00
|
$561.00
|
2026-03-18
|
|
76802
|
HCPCS
|
76802 Ultrasound Scan Of Pregnant Uterus (less Than 14 Weeks)
|
24
|
24
|
$748.00
|
$299.20
60% off
|
$433.84
|
$748.00
|
$561.00
|
2026-03-18
|
|
78580
|
HCPCS
|
78580 Nuclear Medicine Study Of Lung Circulation
|
30
|
30
|
$747.00
|
$298.80
60% off
|
$315.40
|
$747.00
|
$560.62
|
2026-03-18
|
|
76514
|
HCPCS
|
76514 Ultrasound Scan Of Cornea To Determine Thickness
|
30
|
30
|
$748.00
|
$299.20
60% off
|
$19.23
|
$748.00
|
$559.50
|
2026-03-18
|
|
85335
|
HCPCS
|
85335 Clotting Factor Inhibitor Test
|
30
|
30
|
$745.00
|
$298.00
60% off
|
$11.93
|
$745.00
|
$558.75
|
2026-03-18
|
|
93925
|
HCPCS
|
93925 Ultrasound Of Leg Arteries Or Artery Grafts
|
30
|
30
|
$736.00
|
$294.40
60% off
|
$189.73
|
$736.00
|
$552.00
|
2026-03-18
|
|
12018
|
HCPCS
|
12018 Simple Repair Of Surface Wound Of Face
|
30
|
30
|
$730.00
|
$292.00
60% off
|
$155.96
|
$730.00
|
$547.50
|
2026-03-18
|
|
23650
|
HCPCS
|
23650 Closed Treatment Of Dislocated Shoulder With Manipulation
|
30
|
30
|
$730.00
|
$292.00
60% off
|
$188.28
|
$730.00
|
$547.50
|
2026-03-18
|
|
78305
|
HCPCS
|
78305 Nuclear Medicine Study Of Bone And/or Joint Multiple Areas
|
30
|
30
|
$726.00
|
$290.40
60% off
|
$315.40
|
$726.00
|
$544.87
|
2026-03-18
|
|
12047
|
HCPCS
|
12047 Intermediate Repair Of Wound Of Neck
|
30
|
30
|
$700.00
|
$280.00
60% off
|
$406.00
|
$700.00
|
$543.38
|
2026-03-18
|
|
76390
|
HCPCS
|
76390 MRI Study For Measuring Biochemical Changes In The Brain
|
30
|
30
|
$724.00
|
$289.60
60% off
|
$69.10
|
$724.00
|
$543.00
|
2026-03-18
|
|
13131
|
HCPCS
|
13131 Complicated Repair Of Wound Of Forehead
|
30
|
30
|
$720.00
|
$288.00
60% off
|
$313.59
|
$720.00
|
$540.36
|
2026-03-18
|
|
13100
|
HCPCS
|
13100 Complicated Repair Of Wound Of Trunk
|
30
|
30
|
$720.00
|
$288.00
60% off
|
$417.60
|
$720.00
|
$540.36
|
2026-03-18
|
|
J2805
|
HCPCS
|
Sincalide 5 Mcg Solr 1 Each Vial
|
23
|
23
|
$720.16
|
$288.06
60% off
|
$441.89
|
$720.16
|
$540.12
|
2026-03-18
|
|
12037
|
HCPCS
|
12037 Intermediate Repair Of Wound Of Scalp
|
30
|
30
|
$691.00
|
$276.40
60% off
|
$400.78
|
$691.00
|
$536.39
|
2026-03-18
|
|
12005
|
HCPCS
|
12005 Simple Repair Of Surface Wound Of Scalp
|
30
|
30
|
$701.00
|
$280.40
60% off
|
$313.59
|
$701.00
|
$526.10
|
2026-03-18
|
|
78215
|
HCPCS
|
78215 Nuclear Medicine Study Of Liver And Spleen
|
30
|
30
|
$699.00
|
$279.60
60% off
|
$315.40
|
$699.00
|
$524.60
|
2026-03-18
|
|
76805
|
HCPCS
|
76805 Ultrasound Scan Of Pregnant Uterus (14 Weeks Or More)
|
30
|
30
|
$692.00
|
$276.80
60% off
|
$83.47
|
$692.00
|
$517.62
|
2026-03-18
|
|
13101
|
HCPCS
|
13101 Complicated Repair Of Wound Of Trunk
|
30
|
30
|
$689.00
|
$275.60
60% off
|
$399.62
|
$689.00
|
$517.10
|
2026-03-18
|
|
12007
|
HCPCS
|
12007 Simple Repair Of Surface Wound To Scalp
|
30
|
30
|
$689.00
|
$275.60
60% off
|
$155.96
|
$689.00
|
$516.75
|
2026-03-18
|
|
J1335
|
HCPCS
|
Ertapenem 1 G Solr 1 Each Vial
|
64
|
22
|
$646.23
|
$258.49
60% off
|
$12.82
|
$710.20
|
$508.90
|
2026-03-18
|
|
12046
|
HCPCS
|
12046 Intermediate Repair Of Wound Of Neck
|
30
|
30
|
$655.00
|
$262.00
60% off
|
$379.90
|
$655.00
|
$505.99
|
2026-03-18
|
|
76817
|
HCPCS
|
76817 Vaginal Ultrasound Of Pregnant Uterus
|
24
|
24
|
$672.00
|
$268.80
60% off
|
$242.42
|
$672.00
|
$504.00
|
2026-03-18
|
|
12034
|
HCPCS
|
12034 Intermediate Repair Of Wound Of Scalp
|
30
|
30
|
$670.00
|
$268.00
60% off
|
$313.59
|
$670.00
|
$502.84
|
2026-03-18
|
|
76830
|
HCPCS
|
76830 Ultrasound Scan Of Uterus
|
30
|
30
|
$672.00
|
$268.80
60% off
|
$83.47
|
$672.00
|
$502.65
|
2026-03-18
|
|
12015
|
HCPCS
|
12015 Simple Repair Of Surface Wound Of Face
|
30
|
30
|
$670.00
|
$268.00
60% off
|
$155.96
|
$670.00
|
$502.50
|
2026-03-18
|
|
12045
|
HCPCS
|
12045 Intermediate Repair Of Wound Of Neck
|
30
|
30
|
$665.00
|
$266.00
60% off
|
$385.70
|
$665.00
|
$499.09
|
2026-03-18
|
|
Q5105
|
HCPCS
|
Epoetin Alfa-epbx 10000 Unit/ml Soln 1 Ml Vial
|
92
|
30
|
$623.83
|
$249.53
60% off
|
$0.77
|
$2,278.34
|
$499.05
|
2026-03-18
|
|
73503
|
HCPCS
|
73503 X-ray Of Hip
|
30
|
30
|
$667.00
|
$266.80
60% off
|
$83.47
|
$667.00
|
$498.91
|
2026-03-18
|
|
36430
|
HCPCS
|
36430 Transfusion Of Blood Or Blood Products
|
30
|
30
|
$658.00
|
$263.20
60% off
|
$343.14
|
$658.00
|
$493.83
|
2026-03-18
|
|
11403
|
HCPCS
|
11403 Removal Of Noncancer Skin Growth Of Body
|
30
|
30
|
$631.00
|
$252.40
60% off
|
$365.98
|
$631.00
|
$489.81
|
2026-03-18
|
|
11641
|
HCPCS
|
11641 Removal Of Cancer Skin Growth Of Face
|
30
|
30
|
$631.00
|
$252.40
60% off
|
$365.98
|
$631.00
|
$489.81
|
2026-03-18
|
|
11600
|
HCPCS
|
11600 Removal Of Cancer Skin Growth Of Body
|
30
|
30
|
$631.00
|
$252.40
60% off
|
$365.98
|
$631.00
|
$489.81
|
2026-03-18
|
|
11443
|
HCPCS
|
11443 Removal Of Noncancer Skin Growth Of Face
|
30
|
30
|
$631.00
|
$252.40
60% off
|
$365.98
|
$631.00
|
$489.81
|
2026-03-18
|
|
11442
|
HCPCS
|
11442 Removal Of Noncancer Skin Growth Of Face
|
30
|
30
|
$631.00
|
$252.40
60% off
|
$365.98
|
$631.00
|
$489.81
|
2026-03-18
|
|
11422
|
HCPCS
|
11422 Removal Of Noncancer Skin Growth Of Scalp
|
30
|
30
|
$631.00
|
$252.40
60% off
|
$365.98
|
$631.00
|
$489.81
|
2026-03-18
|
|
11421
|
HCPCS
|
11421 Removal Of Noncancer Skin Growth Of Scalp
|
30
|
30
|
$631.00
|
$252.40
60% off
|
$365.98
|
$631.00
|
$489.81
|
2026-03-18
|
|
11420
|
HCPCS
|
11420 Removal Of Noncancer Skin Growth Of Scalp
|
30
|
30
|
$631.00
|
$252.40
60% off
|
$365.98
|
$631.00
|
$489.81
|
2026-03-18
|
|
24200
|
HCPCS
|
24200 Removal Of Foreign Body Of Upper Arm Or Elbow Area
|
30
|
30
|
$631.00
|
$252.40
60% off
|
$365.98
|
$631.00
|
$489.81
|
2026-03-18
|
|
12052
|
HCPCS
|
12052 Intermediate Repair Of Wound Of Face
|
30
|
30
|
$651.00
|
$260.40
60% off
|
$313.59
|
$651.00
|
$488.57
|
2026-03-18
|
|
93971
|
HCPCS
|
93971 Ultrasound Study Of One Arm Or Leg Veins With Compression And Maneuvers
|
30
|
30
|
$650.00
|
$260.00
60% off
|
$83.47
|
$650.00
|
$486.20
|
2026-03-18
|
|
12036
|
HCPCS
|
12036 Intermediate Repair Of Wound Of Scalp
|
30
|
30
|
$629.00
|
$251.60
60% off
|
$364.82
|
$629.00
|
$485.51
|
2026-03-18
|
|
13120
|
HCPCS
|
13120 Complicated Repair Of Wound Of Scalp
|
30
|
30
|
$626.00
|
$250.40
60% off
|
$363.08
|
$626.00
|
$483.59
|
2026-03-18
|
|
99283
|
HCPCS
|
99283 Emergency Department Visit For Problem Of Moderate Severity
|
30
|
30
|
$633.00
|
$253.20
60% off
|
$217.33
|
$633.00
|
$474.75
|
2026-03-18
|
|
27760
|
HCPCS
|
27760 Closed Treatment Of Inside Portion Of Shin Bone At Ankle
|
30
|
30
|
$632.00
|
$252.80
60% off
|
$188.28
|
$632.00
|
$474.00
|
2026-03-18
|
|
12017
|
HCPCS
|
12017 Simple Repair Of Surface Wound Of Face
|
30
|
30
|
$628.00
|
$251.20
60% off
|
$313.59
|
$628.00
|
$471.31
|
2026-03-18
|
|
11045
|
HCPCS
|
Removal Of Skin And Tissue
|
24
|
24
|
$622.00
|
$248.80
60% off
|
$360.76
|
$622.00
|
$466.50
|
2026-03-18
|
|
76856
|
HCPCS
|
76856 Complete Ultrasound Scan Of Pelvis
|
30
|
30
|
$618.00
|
$247.20
60% off
|
$83.47
|
$618.00
|
$462.26
|
2026-03-18
|
|
12016
|
HCPCS
|
12016 Simple Repair Of Surface Wound Of Face
|
30
|
30
|
$609.00
|
$243.60
60% off
|
$313.59
|
$609.00
|
$457.06
|
2026-03-18
|
|
12044
|
HCPCS
|
12044 Intermediate Repair Of Wound Of Neck
|
30
|
30
|
$583.00
|
$233.20
60% off
|
$338.14
|
$583.00
|
$452.56
|
2026-03-18
|
|
26700
|
HCPCS
|
26700 Closed Treatment Of Dislocated Hand Joint At Base Of Finger With Manip
|
30
|
30
|
$597.00
|
$238.80
60% off
|
$188.28
|
$597.00
|
$447.75
|
2026-03-18
|
|
76705
|
HCPCS
|
76705 Limited Ultrasound Scan Of Abdomen
|
30
|
30
|
$595.00
|
$238.00
60% off
|
$83.47
|
$595.00
|
$445.06
|
2026-03-18
|
|
10160
|
HCPCS
|
Aspiration Of Abscess
|
30
|
30
|
$593.00
|
$237.20
60% off
|
$313.59
|
$593.00
|
$445.04
|
2026-03-18
|
|
78300
|
HCPCS
|
78300 Nuclear Medicine Study Of Bone And/or Joint Limited Area
|
30
|
30
|
$592.00
|
$236.80
60% off
|
$315.40
|
$592.00
|
$444.29
|
2026-03-18
|
|
12051
|
HCPCS
|
12051 Intermediate Repair Of Wound Of Face
|
30
|
30
|
$584.00
|
$233.60
60% off
|
$313.59
|
$584.00
|
$438.29
|
2026-03-18
|
|
12042
|
HCPCS
|
12042 Intermediate Repair Of Wound Of Neck
|
30
|
30
|
$566.00
|
$226.40
60% off
|
$313.59
|
$566.00
|
$424.78
|
2026-03-18
|
|
71250
|
HCPCS
|
71250 CT Scan Of Chest Without Contrast
|
30
|
30
|
$561.00
|
$224.40
60% off
|
$83.47
|
$561.00
|
$420.75
|
2026-03-18
|
|
92953
|
HCPCS
|
92953 Temporary Pacemaker To Regulate Heart Beat
|
30
|
30
|
$542.00
|
$216.80
60% off
|
$314.36
|
$542.00
|
$420.73
|
2026-03-18
|
|
93926
|
HCPCS
|
93926 Ultrasound Of One Leg Arteries Or Artery Grafts
|
30
|
30
|
$562.00
|
$224.80
60% off
|
$83.47
|
$562.00
|
$420.38
|
2026-03-18
|
|
J3243
|
HCPCS
|
Tigecycline 50 Mg Solr 1 Each Vial
|
22
|
22
|
$552.00
|
$220.80
60% off
|
$0.49
|
$552.00
|
$420.21
|
2026-03-18
|
|
12004
|
HCPCS
|
12004 Simple Repair Of Surface Wound Of Scalp
|
30
|
30
|
$559.00
|
$223.60
60% off
|
$155.96
|
$559.00
|
$419.25
|
2026-03-18
|
|
L3760
|
HCPCS
|
Eo Adj Jt Prefab Custom Fit
|
22
|
22
|
$541.00
|
$216.40
60% off
|
$84.60
|
$541.00
|
$417.92
|
2026-03-18
|
|
86022
|
HCPCS
|
86022 Antibody Identification Test
|
30
|
30
|
$556.00
|
$222.40
60% off
|
$17.03
|
$556.00
|
$417.00
|
2026-03-18
|
|
26725
|
HCPCS
|
26725 Closed Treatment Of Broken Finger Or Thumb At Midportion
|
30
|
30
|
$554.00
|
$221.60
60% off
|
$188.28
|
$554.00
|
$415.50
|
2026-03-18
|
|
J0650
|
HCPCS
|
Levothyroxine Sodium 100 Mcg Solr 1 Each Vial
|
72
|
24
|
$550.62
|
$220.25
60% off
|
$292.39
|
$664.38
|
$413.25
|
2026-03-18
|
|
12014
|
HCPCS
|
12014 Simple Repair Of Surface Wound Of Face
|
30
|
30
|
$550.00
|
$220.00
60% off
|
$155.96
|
$550.00
|
$412.50
|
2026-03-18
|
|
11042
|
HCPCS
|
Removal Of Skin And Tissue
|
30
|
30
|
$545.00
|
$218.00
60% off
|
$313.59
|
$545.00
|
$409.02
|
2026-03-18
|
|
97606
|
HCPCS
|
97606 Therapy Procedure Using A Special Bandage And Vacuum Pump
|
30
|
30
|
$545.00
|
$218.00
60% off
|
$313.59
|
$545.00
|
$409.02
|
2026-03-18
|
|
11046
|
HCPCS
|
Removal Of Muscle And/or Tissue
|
24
|
24
|
$541.00
|
$216.40
60% off
|
$313.78
|
$541.00
|
$405.75
|
2026-03-18
|
|
C5278
|
HCPCS
|
Hc Skn Sub Grft F/n/hf/g Child Add 100 Sq Cm
|
24
|
24
|
$538.00
|
$215.20
60% off
|
$312.04
|
$538.00
|
$403.50
|
2026-03-18
|
|
C5272
|
HCPCS
|
Hc App Of Low Cost Skin Subs Graft Area Up 100 Sq Cm E Add 25 Sq Cm
|
24
|
24
|
$538.00
|
$215.20
60% off
|
$312.04
|
$538.00
|
$403.50
|
2026-03-18
|
|
C5276
|
HCPCS
|
Hc Skin Sub Graft To Face Scalp Eyelids Add 25sqcm
|
24
|
24
|
$538.00
|
$215.20
60% off
|
$312.04
|
$538.00
|
$403.50
|
2026-03-18
|
|
P9016
|
HCPCS
|
Rbc Leukocytes Reduced
|
30
|
30
|
$535.00
|
$214.00
60% off
|
$105.00
|
$535.00
|
$400.18
|
2026-03-18
|
|
P9047
|
HCPCS
|
Albumin Human 25 % Soln 100 Ml Vial
|
28
|
28
|
$529.92
|
$211.97
60% off
|
$54.67
|
$529.92
|
$397.44
|
2026-03-18
|
|
12006
|
HCPCS
|
12006 Simple Repair Of Surface Wound Of Scalp
|
30
|
30
|
$529.00
|
$211.60
60% off
|
$306.82
|
$529.00
|
$397.01
|
2026-03-18
|
|
88307
|
HCPCS
|
88307 Pathology Examination Of Tissue Using A Microscope
|
30
|
30
|
$526.00
|
$210.40
60% off
|
$62.42
|
$526.00
|
$394.50
|
2026-03-18
|
|
12032
|
HCPCS
|
12032 Intermediate Repair Of Wound Of Scalp
|
30
|
30
|
$525.00
|
$210.00
60% off
|
$304.50
|
$525.00
|
$394.01
|
2026-03-18
|
|
62270
|
HCPCS
|
62270 Removal Of Cerebrospinal Fluid With Lower Back Spinal Tap For Diagnostic
|
60
|
30
|
$597.00
|
$238.80
60% off
|
$139.78
|
$953.00
|
$392.28
|
2026-03-18
|
|
70544
|
HCPCS
|
70544 MRI Scan Of Blood Vessels Of Head Without Contrast
|
30
|
30
|
$505.00
|
$202.00
60% off
|
$189.73
|
$505.00
|
$392.00
|
2026-03-18
|
|
76775
|
HCPCS
|
Renal Kidney
|
30
|
30
|
$517.00
|
$206.80
60% off
|
$83.47
|
$517.00
|
$386.72
|
2026-03-18
|
|
L3999
|
HCPCS
|
Upper Limb Orthosis Nos
|
22
|
22
|
$515.00
|
$206.00
60% off
|
$46.20
|
$515.00
|
$386.25
|
2026-03-18
|
|
41252
|
HCPCS
|
41252 Repair Of Lacerated Tongue Or Floor Of Mouth
|
30
|
30
|
$511.00
|
$204.40
60% off
|
$182.27
|
$511.00
|
$383.25
|
2026-03-18
|
|
25650
|
HCPCS
|
25650 Closed Treatment Of Broken Base Of Forearm Bone On Small Finger
|
30
|
30
|
$507.00
|
$202.80
60% off
|
$188.28
|
$507.00
|
$380.50
|
2026-03-18
|
|
L3762
|
HCPCS
|
Hc Rigid Eo Wo Joints
|
22
|
22
|
$505.00
|
$202.00
60% off
|
$63.00
|
$505.00
|
$378.75
|
2026-03-18
|
|
93882
|
HCPCS
|
Extracranial Study Limited
|
30
|
30
|
$504.00
|
$201.60
60% off
|
$83.47
|
$504.00
|
$376.99
|
2026-03-18
|