|
603
|
OTHER
|
Cellulitis Without Mcc
|
12
|
12
|
$39,592.00
|
$17,816.40
55% off
|
$1,093.50
|
$1,093.50
|
$1,093.50
|
2026-05-23
|
|
916
|
OTHER
|
Anes Bleeding Control
|
11
|
11
|
$142.00
|
$63.90
55% off
|
$1,093.50
|
$1,093.50
|
$1,093.50
|
2026-05-23
|
|
791
|
OTHER
|
Prematurity With Major Problems
|
12
|
12
|
$8,917.54
|
$4,012.89
55% off
|
$1,093.50
|
$1,093.50
|
$1,093.50
|
2026-05-23
|
|
593
|
OTHER
|
Skin Ulcers With Cc
|
12
|
12
|
$34,460.58
|
$15,507.26
55% off
|
$1,093.50
|
$1,093.50
|
$1,093.50
|
2026-05-23
|
|
308
|
OTHER
|
Cardiac Arrhythmia And Conduction Disorders With Mcc
|
12
|
12
|
$34,611.55
|
$15,575.20
55% off
|
$1,093.50
|
$1,093.50
|
$1,093.50
|
2026-05-23
|
|
882
|
OTHER
|
Neuroses Except Depressive
|
12
|
12
|
$22,521.87
|
$10,134.84
55% off
|
$1,093.50
|
$1,093.50
|
$1,093.50
|
2026-05-23
|
|
69
|
OTHER
|
Transient Ischemia Without Thrombolytic
|
12
|
12
|
$14,874.00
|
$6,693.30
55% off
|
$1,093.50
|
$1,093.50
|
$1,093.50
|
2026-05-23
|
|
793
|
OTHER
|
Full Term Neonate With Major Problems
|
12
|
12
|
$8,507.74
|
$3,828.48
55% off
|
$1,093.50
|
$1,093.50
|
$1,093.50
|
2026-05-23
|
|
189
|
OTHER
|
Pulmonary Edema And Respiratory Failure
|
12
|
12
|
$30,340.15
|
$13,653.07
55% off
|
$1,093.50
|
$1,093.50
|
$1,093.50
|
2026-05-23
|
|
464
|
OTHER
|
Wound Debridement And Skin Graft Except Hand For Musculoskel
|
12
|
12
|
$83,216.45
|
$37,447.40
55% off
|
$1,093.50
|
$1,093.50
|
$1,093.50
|
2026-05-23
|
|
883
|
OTHER
|
Disorders Of Personality And Impulse Control
|
12
|
12
|
$30,771.89
|
$13,847.35
55% off
|
$1,093.50
|
$1,093.50
|
$1,093.50
|
2026-05-23
|
|
330
|
OTHER
|
Major Small And Large Bowel Procedures With Cc
|
12
|
12
|
$51,041.80
|
$22,968.81
55% off
|
$1,093.50
|
$1,093.50
|
$1,093.50
|
2026-05-23
|
|
292
|
OTHER
|
Heart Failure And Shock With Cc
|
12
|
12
|
$14,432.60
|
$6,494.67
55% off
|
$1,093.50
|
$1,093.50
|
$1,093.50
|
2026-05-23
|
|
872
|
OTHER
|
Anes Lithotrp Shock W/bath
|
11
|
11
|
$142.00
|
$63.90
55% off
|
$1,093.50
|
$1,093.50
|
$1,093.50
|
2026-05-23
|
|
314
|
OTHER
|
Other Circulatory System Diagnoses With Mcc
|
12
|
12
|
$28,033.34
|
$12,615.00
55% off
|
$1,093.50
|
$1,093.50
|
$1,093.50
|
2026-05-23
|
|
689
|
OTHER
|
Kidney And Urinary Tract Infections With Mcc
|
12
|
12
|
$18,891.00
|
$8,500.95
55% off
|
$1,093.50
|
$1,093.50
|
$1,093.50
|
2026-05-23
|
|
887
|
OTHER
|
Other Mental Disorder Diagnoses
|
12
|
12
|
$25,407.78
|
$11,433.50
55% off
|
$1,093.50
|
$1,093.50
|
$1,093.50
|
2026-05-23
|
|
805
|
OTHER
|
Vaginal Delivery Without Sterilization Or D&c With Mcc
|
12
|
12
|
$24,904.69
|
$11,207.11
55% off
|
$1,093.50
|
$1,093.50
|
$1,093.50
|
2026-05-23
|
|
543
|
OTHER
|
Pathological Fractures And Musculoskeletal And Connective Ti
|
12
|
12
|
$7,767.00
|
$3,495.15
55% off
|
$1,093.50
|
$1,093.50
|
$1,093.50
|
2026-05-23
|
|
193
|
OTHER
|
Simple Pneumonia And Pleurisy With Mcc
|
12
|
12
|
$25,647.00
|
$11,541.15
55% off
|
$1,093.50
|
$1,093.50
|
$1,093.50
|
2026-05-23
|
|
182
|
OTHER
|
Respiratory Neoplasms Without Cc/mcc
|
12
|
12
|
$17,131.00
|
$7,708.95
55% off
|
$1,093.50
|
$1,093.50
|
$1,093.50
|
2026-05-23
|
|
440
|
OTHER
|
Disorders Of Pancreas Except Malignancy Without Cc/mcc
|
12
|
12
|
$9,561.00
|
$4,302.45
55% off
|
$1,093.50
|
$1,093.50
|
$1,093.50
|
2026-05-23
|
|
833
|
OTHER
|
Other Antepartum Diagnoses Without O.r. Procedures Without C
|
12
|
12
|
$4,410.00
|
$1,984.50
55% off
|
$1,093.50
|
$1,093.50
|
$1,093.50
|
2026-05-23
|
|
894
|
OTHER
|
Alcohol, Drug Abuse Or Dependence, Left Ama
|
12
|
12
|
$19,670.43
|
$8,851.69
55% off
|
$1,093.50
|
$1,093.50
|
$1,093.50
|
2026-05-23
|
|
698
|
OTHER
|
Other Kidney And Urinary Tract Diagnoses With Mcc
|
12
|
12
|
$20,454.00
|
$9,204.30
55% off
|
$1,093.50
|
$1,093.50
|
$1,093.50
|
2026-05-23
|
|
390
|
OTHER
|
Gastrointestinal Obstruction Without Cc/mcc
|
12
|
12
|
$9,968.00
|
$4,485.60
55% off
|
$1,093.50
|
$1,093.50
|
$1,093.50
|
2026-05-23
|
|
124
|
OTHER
|
Anes Ear Ext Otoscopy
|
11
|
11
|
$142.00
|
$63.90
55% off
|
$1,093.50
|
$1,093.50
|
$1,093.50
|
2026-05-23
|
|
210
|
OTHER
|
Telemetry/coronary Care Room Charge
|
12
|
12
|
$4,750.00
|
$2,137.50
55% off
|
$1,093.50
|
$1,093.50
|
$1,093.50
|
2026-05-23
|
|
641
|
OTHER
|
Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And
|
12
|
12
|
$16,209.00
|
$7,294.05
55% off
|
$1,093.50
|
$1,093.50
|
$1,093.50
|
2026-05-23
|
|
794
|
OTHER
|
Neonate With Other Significant Problems
|
12
|
12
|
$4,909.54
|
$2,209.29
55% off
|
$1,093.50
|
$1,093.50
|
$1,093.50
|
2026-05-23
|
|
192
|
OTHER
|
Chronic Obstructive Pulmonary Disease Without Cc/mcc
|
12
|
12
|
$5,595.00
|
$2,517.75
55% off
|
$1,093.50
|
$1,093.50
|
$1,093.50
|
2026-05-23
|
|
310
|
OTHER
|
Cardiac Arrhythmia And Conduction Disorders Without Cc/mcc
|
12
|
12
|
$22,191.70
|
$9,986.27
55% off
|
$1,093.50
|
$1,093.50
|
$1,093.50
|
2026-05-23
|
|
571
|
OTHER
|
Skin Debridement With Cc
|
12
|
12
|
$21,450.13
|
$9,652.56
55% off
|
$1,093.50
|
$1,093.50
|
$1,093.50
|
2026-05-23
|
|
687
|
OTHER
|
Kidney And Urinary Tract Neoplasms With Cc
|
12
|
12
|
$39,432.00
|
$17,744.40
55% off
|
$1,093.50
|
$1,093.50
|
$1,093.50
|
2026-05-23
|
|
798
|
OTHER
|
Vaginal Delivery With Sterilization And/or D&c Without Cc/mc
|
12
|
12
|
$34,806.74
|
$15,663.03
55% off
|
$1,093.50
|
$1,093.50
|
$1,093.50
|
2026-05-23
|
|
885
|
OTHER
|
Psychoses
|
12
|
12
|
$27,185.33
|
$12,233.40
55% off
|
$1,093.50
|
$1,093.50
|
$1,093.50
|
2026-05-23
|
|
948
|
OTHER
|
Anes Repair Of Cervix
|
11
|
11
|
$142.00
|
$63.90
55% off
|
$1,093.50
|
$1,093.50
|
$1,093.50
|
2026-05-23
|
|
806
|
OTHER
|
Vaginal Delivery Without Sterilization Or D&c With Cc
|
12
|
12
|
$18,110.00
|
$8,149.50
55% off
|
$1,093.50
|
$1,093.50
|
$1,093.50
|
2026-05-23
|
|
682
|
OTHER
|
Renal Failure With Mcc
|
12
|
12
|
$10,641.00
|
$4,788.45
55% off
|
$1,093.50
|
$1,093.50
|
$1,093.50
|
2026-05-23
|
|
572
|
OTHER
|
Skin Debridement Without Cc/mcc
|
12
|
12
|
$32,435.13
|
$14,595.81
55% off
|
$1,093.50
|
$1,093.50
|
$1,093.50
|
2026-05-23
|
|
316
|
OTHER
|
Other Circulatory System Diagnoses Without Cc/mcc
|
12
|
12
|
$34,474.81
|
$15,513.66
55% off
|
$1,093.50
|
$1,093.50
|
$1,093.50
|
2026-05-23
|
|
194
|
OTHER
|
Simple Pneumonia And Pleurisy With Cc
|
12
|
12
|
$20,580.13
|
$9,261.06
55% off
|
$1,093.50
|
$1,093.50
|
$1,093.50
|
2026-05-23
|
|
121
|
OTHER
|
Semi Private Room Charge
|
12
|
12
|
$3,750.00
|
$1,687.50
55% off
|
$1,093.50
|
$1,093.50
|
$1,093.50
|
2026-05-23
|
|
178
|
OTHER
|
Respiratory Infections And Inflammations With Cc
|
12
|
12
|
$23,161.00
|
$10,422.45
55% off
|
$1,093.50
|
$1,093.50
|
$1,093.50
|
2026-05-23
|
|
293
|
OTHER
|
Heart Failure And Shock Without Cc/mcc
|
12
|
12
|
$13,492.00
|
$6,071.40
55% off
|
$1,093.50
|
$1,093.50
|
$1,093.50
|
2026-05-23
|
|
389
|
OTHER
|
Gastrointestinal Obstruction With Cc
|
12
|
12
|
$15,883.63
|
$7,147.63
55% off
|
$1,093.50
|
$1,093.50
|
$1,093.50
|
2026-05-23
|
|
692
|
OTHER
|
Other Disorders Of Nervous System With Cc
|
12
|
12
|
$24,304.20
|
$10,936.89
55% off
|
$1,093.50
|
$1,093.50
|
$1,093.50
|
2026-05-23
|
|
787
|
OTHER
|
Cesarean Section Without Sterilization With Cc
|
12
|
12
|
$28,172.47
|
$12,677.61
55% off
|
$1,093.50
|
$1,093.50
|
$1,093.50
|
2026-05-23
|
|
949
|
OTHER
|
Aftercare With Cc/mcc
|
12
|
12
|
$12,435.00
|
$5,595.75
55% off
|
$1,093.50
|
$1,093.50
|
$1,093.50
|
2026-05-23
|
|
896
|
OTHER
|
Alcohol, Drug Abuse Or Dependence Without Rehabilitation The
|
12
|
12
|
$29,447.72
|
$13,251.47
55% off
|
$1,093.50
|
$1,093.50
|
$1,093.50
|
2026-05-23
|
|
807
|
OTHER
|
Vaginal Delivery Without Sterilization Or D&c Without Cc/mcc
|
12
|
12
|
$13,776.50
|
$6,199.43
55% off
|
$1,093.50
|
$1,093.50
|
$1,093.50
|
2026-05-23
|
|
776
|
OTHER
|
Postpartum And Post Abortion Diagnoses Without O.r. Procedur
|
12
|
12
|
$9,543.20
|
$4,294.44
55% off
|
$1,093.50
|
$1,093.50
|
$1,093.50
|
2026-05-23
|
|
617
|
OTHER
|
Amputation Of Lower Limb For Endocrine, Nutritional And Meta
|
12
|
12
|
$51,426.13
|
$23,141.76
55% off
|
$1,093.50
|
$1,093.50
|
$1,093.50
|
2026-05-23
|
|
444
|
OTHER
|
Disorders Of The Biliary Tract With Mcc
|
12
|
12
|
$29,642.56
|
$13,339.15
55% off
|
$1,093.50
|
$1,093.50
|
$1,093.50
|
2026-05-23
|
|
195
|
OTHER
|
Simple Pneumonia And Pleurisy Without Cc/mcc
|
12
|
12
|
$14,858.00
|
$6,686.10
55% off
|
$1,093.50
|
$1,093.50
|
$1,093.50
|
2026-05-23
|
|
173
|
OTHER
|
Nursery Level 3 Room Charge
|
12
|
12
|
$5,450.00
|
$2,452.50
55% off
|
$1,093.50
|
$1,093.50
|
$1,093.50
|
2026-05-23
|
|
179
|
OTHER
|
Respiratory Infections And Inflammations Without Cc/mcc
|
12
|
12
|
$10,242.00
|
$4,608.90
55% off
|
$1,093.50
|
$1,093.50
|
$1,093.50
|
2026-05-23
|
|
190
|
OTHER
|
Anes Face/skull Bone Surg
|
11
|
11
|
$142.00
|
$63.90
55% off
|
$1,093.50
|
$1,093.50
|
$1,093.50
|
2026-05-23
|
|
556
|
OTHER
|
Signs And Symptoms Of Musculoskeletal System And Connective
|
12
|
12
|
$3,805.00
|
$1,712.25
55% off
|
$1,093.50
|
$1,093.50
|
$1,093.50
|
2026-05-23
|
|
581
|
OTHER
|
Other Skin, Subcutaneous Tissue And Breast Procedures Withou
|
12
|
12
|
$12,788.00
|
$5,754.60
55% off
|
$1,093.50
|
$1,093.50
|
$1,093.50
|
2026-05-23
|
|
683
|
OTHER
|
Renal Failure With Cc
|
12
|
12
|
$12,165.00
|
$5,474.25
55% off
|
$1,093.50
|
$1,093.50
|
$1,093.50
|
2026-05-23
|
|
788
|
OTHER
|
Cesarean Section Without Sterilization Without Cc/mcc
|
12
|
12
|
$37,721.00
|
$16,974.45
55% off
|
$1,093.50
|
$1,093.50
|
$1,093.50
|
2026-05-23
|
|
176
|
OTHER
|
Pulmonary Embolism Without Mcc
|
12
|
12
|
$13,658.00
|
$6,146.10
55% off
|
$1,093.50
|
$1,093.50
|
$1,093.50
|
2026-05-23
|
|
191
|
OTHER
|
Chronic Obstructive Pulmonary Disease With Cc
|
12
|
12
|
$20,768.80
|
$9,345.96
55% off
|
$1,093.50
|
$1,093.50
|
$1,093.50
|
2026-05-23
|
|
280
|
OTHER
|
Acute Myocardial Infarction, Discharged Alive With Mcc
|
12
|
12
|
$22,067.00
|
$9,930.15
55% off
|
$1,093.50
|
$1,093.50
|
$1,093.50
|
2026-05-23
|
|
309
|
OTHER
|
Cardiac Arrhythmia And Conduction Disorders With Cc
|
12
|
12
|
$18,255.59
|
$8,215.02
55% off
|
$1,093.50
|
$1,093.50
|
$1,093.50
|
2026-05-23
|
|
392
|
OTHER
|
Esophagitis, Gastroenteritis And Miscellaneous Digestive Dis
|
12
|
12
|
$4,527.00
|
$2,037.15
55% off
|
$1,093.50
|
$1,093.50
|
$1,093.50
|
2026-05-23
|
|
561
|
OTHER
|
Aftercare, Musculoskeletal System And Connective Tissue With
|
12
|
12
|
$11,972.13
|
$5,387.46
55% off
|
$1,093.50
|
$1,093.50
|
$1,093.50
|
2026-05-23
|
|
638
|
OTHER
|
Diabetes With Cc
|
12
|
12
|
$10,060.47
|
$4,527.21
55% off
|
$1,093.50
|
$1,093.50
|
$1,093.50
|
2026-05-23
|
|
684
|
OTHER
|
Renal Failure Without Cc/mcc
|
12
|
12
|
$14,927.00
|
$6,717.15
55% off
|
$1,093.50
|
$1,093.50
|
$1,093.50
|
2026-05-23
|
|
784
|
OTHER
|
Cesarean Section With Sterilization With Cc
|
12
|
12
|
$33,051.50
|
$14,873.18
55% off
|
$1,093.50
|
$1,093.50
|
$1,093.50
|
2026-05-23
|
|
795
|
OTHER
|
Normal Newborn
|
12
|
12
|
$7,068.74
|
$3,180.93
55% off
|
$1,093.50
|
$1,093.50
|
$1,093.50
|
2026-05-23
|
|
880
|
OTHER
|
Anes Abdomen Vessel Surg
|
11
|
11
|
$142.00
|
$63.90
55% off
|
$1,093.50
|
$1,093.50
|
$1,093.50
|
2026-05-23
|
|
884
|
OTHER
|
Organic Disturbances And Intellectual Disability
|
12
|
12
|
$29,241.82
|
$13,158.82
55% off
|
$1,093.50
|
$1,093.50
|
$1,093.50
|
2026-05-23
|
|
897
|
OTHER
|
Alcohol, Drug Abuse Or Dependence Without Rehabilitation The
|
12
|
12
|
$21,866.46
|
$9,839.91
55% off
|
$1,093.50
|
$1,093.50
|
$1,093.50
|
2026-05-23
|
|
947
|
OTHER
|
Signs And Symptoms With Mcc
|
12
|
12
|
$17,899.47
|
$8,054.76
55% off
|
$1,093.50
|
$1,093.50
|
$1,093.50
|
2026-05-23
|
|
999
|
OTHER
|
Ungroupable
|
12
|
12
|
$19,992.00
|
$8,996.40
55% off
|
$1,093.50
|
$1,093.50
|
$1,093.50
|
2026-05-23
|
|
812
|
OTHER
|
Anes Lwr Intst Scr Colsc
|
11
|
11
|
$142.00
|
$63.90
55% off
|
$1,093.50
|
$1,093.50
|
$1,093.50
|
2026-05-23
|
|
111
|
OTHER
|
Private/isolation Room Charge
|
12
|
12
|
$3,950.00
|
$1,777.50
55% off
|
$1,093.50
|
$1,093.50
|
$1,093.50
|
2026-05-23
|
|
690
|
OTHER
|
Kidney And Urinary Tract Infections Without Mcc
|
12
|
12
|
$10,945.00
|
$4,925.25
55% off
|
$1,093.50
|
$1,093.50
|
$1,093.50
|
2026-05-23
|
|
639
|
OTHER
|
Diabetes Without Cc/mcc
|
12
|
12
|
$15,472.60
|
$6,962.67
55% off
|
$1,093.50
|
$1,093.50
|
$1,093.50
|
2026-05-23
|
|
580
|
OTHER
|
Other Skin, Subcutaneous Tissue And Breast Procedures With C
|
12
|
12
|
$6,266.00
|
$2,819.70
55% off
|
$1,093.50
|
$1,093.50
|
$1,093.50
|
2026-05-23
|
|
438
|
OTHER
|
Disorders Of Pancreas Except Malignancy With Mcc
|
12
|
12
|
$26,457.00
|
$11,905.65
55% off
|
$1,093.50
|
$1,093.50
|
$1,093.50
|
2026-05-23
|
|
329
|
OTHER
|
Major Small And Large Bowel Procedures With Mcc
|
12
|
12
|
$64,092.68
|
$28,841.71
55% off
|
$1,093.50
|
$1,093.50
|
$1,093.50
|
2026-05-23
|
|
291
|
OTHER
|
Heart Failure And Shock With Mcc
|
12
|
12
|
$17,906.63
|
$8,057.98
55% off
|
$1,093.50
|
$1,093.50
|
$1,093.50
|
2026-05-23
|
|
200
|
OTHER
|
ICU Level 1 Room Charge
|
12
|
12
|
$6,000.00
|
$2,700.00
55% off
|
$1,093.50
|
$1,093.50
|
$1,093.50
|
2026-05-23
|
|
177
|
OTHER
|
Respiratory Infections And Inflammations With Mcc
|
12
|
12
|
$40,290.93
|
$18,130.92
55% off
|
$1,093.50
|
$1,093.50
|
$1,093.50
|
2026-05-23
|
|
122
|
OTHER
|
Acute Major Eye Infections Without Cc/mcc
|
12
|
12
|
$21,212.00
|
$9,545.40
55% off
|
$1,093.50
|
$1,093.50
|
$1,093.50
|
2026-05-23
|
|
171
|
OTHER
|
Nursery Level 1 Room Charge
|
12
|
12
|
$3,450.00
|
$1,552.50
55% off
|
$1,093.50
|
$1,093.50
|
$1,093.50
|
2026-05-23
|
|
172
|
OTHER
|
Nursery Level 2 Room Charge
|
12
|
12
|
$4,450.00
|
$2,002.50
55% off
|
$1,093.50
|
$1,093.50
|
$1,093.50
|
2026-05-23
|
|
206
|
OTHER
|
ICU Level 2 Room Charge
|
12
|
12
|
$5,500.00
|
$2,475.00
55% off
|
$1,093.50
|
$1,093.50
|
$1,093.50
|
2026-05-23
|
|
281
|
OTHER
|
Acute Myocardial Infarction, Discharged Alive With Cc
|
12
|
12
|
$9,631.00
|
$4,333.95
55% off
|
$1,093.50
|
$1,093.50
|
$1,093.50
|
2026-05-23
|
|
305
|
OTHER
|
Hypertension Without Mcc
|
12
|
12
|
$8,732.13
|
$3,929.46
55% off
|
$1,093.50
|
$1,093.50
|
$1,093.50
|
2026-05-23
|
|
378
|
OTHER
|
Gastrointestinal Hemorrhage With Cc
|
12
|
12
|
$7,024.00
|
$3,160.80
55% off
|
$1,093.50
|
$1,093.50
|
$1,093.50
|
2026-05-23
|
|
64
|
OTHER
|
Intracranial Hemorrhage Or Cerebral Infarction With Mcc
|
12
|
12
|
$20,435.18
|
$9,195.83
55% off
|
$1,093.50
|
$1,093.50
|
$1,093.50
|
2026-05-23
|
|
65
|
OTHER
|
Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tp
|
12
|
12
|
$12,608.59
|
$5,673.87
55% off
|
$1,093.50
|
$1,093.50
|
$1,093.50
|
2026-05-23
|
|
768
|
OTHER
|
Vaginal Delivery With O.r. Procedures Except Sterilization A
|
12
|
12
|
$13,077.00
|
$5,884.65
55% off
|
$1,093.50
|
$1,093.50
|
$1,093.50
|
2026-05-23
|
|
785
|
OTHER
|
Cesarean Section With Sterilization Without Cc/mcc
|
12
|
12
|
$34,391.47
|
$15,476.16
55% off
|
$1,093.50
|
$1,093.50
|
$1,093.50
|
2026-05-23
|
|
881
|
OTHER
|
Depressive Neuroses
|
12
|
12
|
$23,185.46
|
$10,433.46
55% off
|
$1,093.50
|
$1,093.50
|
$1,093.50
|
2026-05-23
|
|
964
|
OTHER
|
Other Multiple Significant Trauma With Cc
|
12
|
12
|
$27,119.00
|
$12,203.55
55% off
|
$1,093.50
|
$1,093.50
|
$1,093.50
|
2026-05-23
|
|
918
|
OTHER
|
Anes Stone Removal
|
11
|
11
|
$142.00
|
$63.90
55% off
|
$1,093.50
|
$1,093.50
|
$1,093.50
|
2026-05-23
|
|
J0713
|
HCPCS
|
cefTAZidime (Fortaz) 1 Gm Sdv
|
0
|
0
|
$25.00
|
$11.25
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J0702
|
HCPCS
|
Betamethasone (Celestone) 12 Mg/2 Ml Sdv
|
0
|
0
|
$57.00
|
$25.65
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
G0511
|
HCPCS
|
Rhc Chronic Care Chartspan 20 Min
|
0
|
0
|
$216.00
|
$97.20
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J0696
|
HCPCS
|
cefTRIAXone (Rocephin) 1 Gm Sdv
|
0
|
0
|
$25.00
|
$11.25
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J0692
|
HCPCS
|
Cefepime (Maxipime) 1 Gm Sdv
|
0
|
0
|
$25.00
|
$11.25
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
G0483
|
HCPCS
|
Drug Test Definitive 22+ Clases
|
0
|
0
|
$608.00
|
$273.60
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
G0101
|
HCPCS
|
Rhc Ca Screen Pelvic/breast-g0101
|
0
|
0
|
$170.00
|
$76.50
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J0690
|
HCPCS
|
ceFAZolin (Ancef) 1 Gm Sdv
|
0
|
0
|
$25.00
|
$11.25
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J0665
|
HCPCS
|
bupivacainePF(MarcainePF) 0.5% 10 Ml Sdv
|
0
|
0
|
$25.00
|
$11.25
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
G0439
|
HCPCS
|
Rhc Mcr Annual Well Subsq Visit-g0439
|
0
|
0
|
$194.00
|
$87.30
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J1956
|
HCPCS
|
levoFLOXACIN 750 Mg/150 Ml Premix
|
0
|
0
|
$50.00
|
$22.50
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J1953
|
HCPCS
|
levETIRAcetam (KePPRA) 500 Mg/5 Ml Sdv
|
0
|
0
|
$25.00
|
$11.25
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J0651
|
HCPCS
|
levoTHYROXine (Levothroid) 200 Mcg Sdv
|
0
|
0
|
$462.48
|
$208.12
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J2002
|
HCPCS
|
Lidocaine (Xylocaine) 2 Gm/500 Ml Premix
|
0
|
0
|
$50.00
|
$22.50
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J2003
|
HCPCS
|
Lidocaine (Xylocaine) 2% 100 Mg/5 Ml Syr
|
0
|
0
|
$25.00
|
$11.25
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J2060
|
HCPCS
|
LORazepam (Ativan) 2 mg/mL Sdv
|
0
|
0
|
$25.00
|
$11.25
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J2175
|
HCPCS
|
Meperidine (Demerol) 25 mg/mL Sdv
|
0
|
0
|
$25.00
|
$11.25
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J2185
|
HCPCS
|
Meropenem (Merrem) 500 Mg Sdv
|
0
|
0
|
$50.00
|
$22.50
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J2210
|
HCPCS
|
Methylergonovine (METHERgine) 0.2 mg/mL
|
0
|
0
|
$46.63
|
$20.98
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J2250
|
HCPCS
|
Midazolam (Versed) 50 Mg/10 Ml Mdv
|
0
|
0
|
$25.00
|
$11.25
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J2270
|
HCPCS
|
morpHINE 10 mg/mL Sdv
|
0
|
0
|
$25.00
|
$11.25
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J2274
|
HCPCS
|
morpHINE Pf (Astramorph) 10 Mg/10 Ml Sdv
|
0
|
0
|
$25.00
|
$11.25
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J2300
|
HCPCS
|
Nalbuphine (Nubain) 10 mg/mL Amp
|
0
|
0
|
$25.00
|
$11.25
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J2305
|
HCPCS
|
Nitroglycerin(nitro-drip)50mg/250ml Prmx
|
0
|
0
|
$20.63
|
$9.28
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J2310
|
HCPCS
|
Naloxone (NARcan) 0.4 mg/mL Sdv
|
0
|
0
|
$17.23
|
$7.75
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J1950
|
HCPCS
|
Leuprolide (Lupron Depot) 3.75 Mg/mo Syr
|
0
|
0
|
$3,112.30
|
$1,400.54
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J1940
|
HCPCS
|
Furosemide (laSIX) 100 Mg/10 Ml Sdv
|
0
|
0
|
$25.00
|
$11.25
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J0630
|
HCPCS
|
Calcitonin (Miacalcin) 400 Iu/2 Ml Mdv
|
0
|
0
|
$3,231.00
|
$1,453.95
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
G0438
|
HCPCS
|
Rhc Mcr Annual Well 1st Visit-g0438
|
0
|
0
|
$355.00
|
$159.75
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
G0010
|
HCPCS
|
Admin Hep B Vaccine
|
0
|
0
|
$45.00
|
$20.25
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
C1788
|
HCPCS
|
Power Port MRI With Suture Plug
|
0
|
0
|
$1,549.00
|
$697.05
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J1920
|
HCPCS
|
laBETalol (Normodyne) 100 Mg/20 Ml Mdv
|
0
|
0
|
$25.00
|
$11.25
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J1885
|
HCPCS
|
Ketorolac (TORadol) 30 mg/mL Sdv
|
0
|
0
|
$25.00
|
$11.25
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J0612
|
HCPCS
|
Calcium Gluconate 4.65 mEq/10 Ml Sdv
|
0
|
0
|
$26.96
|
$12.13
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J1836
|
HCPCS
|
metroNIDAZOLE(Flagyl) 500 Mg/100 Ml Ivpb
|
0
|
0
|
$50.00
|
$22.50
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J1815
|
HCPCS
|
Insulin Isophane/reg (HumuLIN 70/30) Syr
|
0
|
0
|
$37.86
|
$17.04
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J0595
|
HCPCS
|
Butorphanol (Stadol) 1 mg/mL Sdv
|
0
|
0
|
$25.00
|
$11.25
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
G0402
|
HCPCS
|
Rhc Initial Preventive Exam-g0402
|
0
|
0
|
$648.00
|
$291.60
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J1805
|
HCPCS
|
Esmolol (breviBLOC) 100 Mg/10 Ml Sdv
|
0
|
0
|
$25.00
|
$11.25
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J1800
|
HCPCS
|
Propranolol (INDeral) 1 mg/mL Sdv
|
0
|
0
|
$25.00
|
$11.25
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J0592
|
HCPCS
|
Buprenorphine (Buprenex) 0.3 mg/mL Amp
|
0
|
0
|
$43.00
|
$19.35
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J1790
|
HCPCS
|
Droperidol (Inapsine) 5 Mg/2 Ml Sdv
|
0
|
0
|
$63.29
|
$28.48
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J1756
|
HCPCS
|
Iron Sucrose (Venofer) 100 Mg/5 Ml Sdv
|
0
|
0
|
$99.16
|
$44.62
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J0585
|
HCPCS
|
onabotulinumtoxinA (Botox) 100 Units Sdv
|
0
|
0
|
$1,293.00
|
$581.85
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
G0379
|
HCPCS
|
Observation Direct Admit
|
0
|
0
|
$214.00
|
$96.30
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
G0009
|
HCPCS
|
Admin Pneumococcal Vaccine
|
0
|
0
|
$45.00
|
$20.25
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J1750
|
HCPCS
|
Iron Dextran (INFeD) 100 Mg/2 Ml Sdv
|
0
|
0
|
$95.81
|
$43.11
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J1745
|
HCPCS
|
inFLIXimab (Remicade) 100 Mg Sdv
|
0
|
0
|
$2,230.86
|
$1,003.89
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J0561
|
HCPCS
|
Penicillin G benz(Bicillin La)1.2m Units
|
0
|
0
|
$432.00
|
$194.40
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J1740
|
HCPCS
|
Ibandronate (Boniva) 3 Mg/3 Ml Syringe
|
0
|
0
|
$478.56
|
$215.35
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J1720
|
HCPCS
|
hydrocorTISone (solu-cortef) 100 Mg/2 Ml
|
0
|
0
|
$51.72
|
$23.27
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J0517
|
HCPCS
|
Benralizumab (Fasenra Pen) 30 mg/mL Syr
|
0
|
0
|
$11,047.82
|
$4,971.52
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
G0378
|
HCPCS
|
Observation Per Hr
|
0
|
0
|
$150.00
|
$67.50
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J1670
|
HCPCS
|
Tetanus Ig (HyperTET S/d) 250 Unit Syr
|
0
|
0
|
$1,520.97
|
$684.44
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J1650
|
HCPCS
|
Enoxaparin (Lovenox) 100 mg/mL Syr
|
0
|
0
|
$25.56
|
$11.50
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J0515
|
HCPCS
|
Benztropine (Cogentin) 2 Mg/2 Ml Amp
|
0
|
0
|
$170.08
|
$76.54
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J1644
|
HCPCS
|
HEParin 5000 units/mL Mdv
|
0
|
0
|
$25.00
|
$11.25
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J1642
|
HCPCS
|
HEParin Flush (hep-lock) 30 Units/3 Ml
|
0
|
0
|
$25.00
|
$11.25
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J0461
|
HCPCS
|
Atropine 1 Mg/10 Ml Syringe
|
0
|
0
|
$36.82
|
$16.57
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
G0289
|
HCPCS
|
Arthrosocpy Knee Fb Rem Pf
|
0
|
0
|
$1,896.00
|
$853.20
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
G0008
|
HCPCS
|
Adm Sarscov2 Vac Ad26 .5ml
|
0
|
0
|
$45.00
|
$20.25
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
C1781
|
HCPCS
|
Mesh Marlex Plug Hernia Repair Perfix
|
0
|
0
|
$594.00
|
$267.30
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
A9577
|
HCPCS
|
Gadolinium (Multihance - Pain) 5 Ml Sdv
|
0
|
0
|
$25.00
|
$11.25
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J1631
|
HCPCS
|
Haloperidol dec(HALdol Dec) 50 Mg/0.5 Ml
|
0
|
0
|
$12.50
|
$5.63
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J1630
|
HCPCS
|
Haloperidol (HALdol) 5 mg/mL Sdv
|
0
|
0
|
$25.00
|
$11.25
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J0456
|
HCPCS
|
AZITHromycin (Zithromax) 500 Mg Sdv
|
0
|
0
|
$25.00
|
$11.25
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J1610
|
HCPCS
|
Glucagon (GlucaGen HypoKit) 1 mg/Kit
|
0
|
0
|
$872.25
|
$392.51
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J1580
|
HCPCS
|
Gentamicin Pediatric 20 Mg/2 Ml Sdv
|
0
|
0
|
$25.00
|
$11.25
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J0360
|
HCPCS
|
hydrALAZINE (Apresoline) 20 mg/mL Sdv
|
0
|
0
|
$25.00
|
$11.25
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
G0279
|
HCPCS
|
Nm Ma Diag Breas
|
0
|
0
|
$239.00
|
$107.55
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J1569
|
HCPCS
|
Immune Glob (Gammagard) 20 Gm/200 Ml Sdv
|
0
|
0
|
$4,343.84
|
$1,954.73
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J1561
|
HCPCS
|
Immune Glob (gamunex-c) 40 Gm/400 Ml Sdv
|
0
|
0
|
$8,673.00
|
$3,902.85
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J0330
|
HCPCS
|
Succinylcholine (Anectine) 200 Mg/10 Ml
|
0
|
0
|
$37.20
|
$16.74
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J3415
|
HCPCS
|
pyridoxine(Vit B6) 100 mg/mL MDV(clinic)
|
0
|
0
|
$20.00
|
$9.00
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J3411
|
HCPCS
|
Thiamine (Vit B1) 200 Mg/2 Ml Sdv
|
0
|
0
|
$25.00
|
$11.25
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J1459
|
HCPCS
|
Immune Glob (Privigen 10%) 10 Gm/100 Ml
|
0
|
0
|
$1,522.60
|
$685.17
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J3380
|
HCPCS
|
Vedolizumab (Entyvio) 300 Mg Sdv
|
0
|
0
|
$16,377.04
|
$7,369.67
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J3420
|
HCPCS
|
Cyanocobalamin (Vit B12) 1000 mcg/mL Mdv
|
0
|
0
|
$25.00
|
$11.25
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J3430
|
HCPCS
|
Phytonadione (Vit K Adult) 10 mg/mL Amp
|
0
|
0
|
$121.23
|
$54.55
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J3471
|
HCPCS
|
Hyaluronidase (Vitrase) 200 units/mL
|
0
|
0
|
$342.51
|
$154.13
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J3475
|
HCPCS
|
Magnesium Sulfate (MgSO4) 1 Gm/2 Ml Sdv
|
0
|
0
|
$25.00
|
$11.25
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J3480
|
HCPCS
|
Potassium Chloride 20 mEq/10 Ml Sdv
|
0
|
0
|
$25.00
|
$11.25
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J3486
|
HCPCS
|
Ziprasidone (Geodon) 20 Mg Sdv
|
0
|
0
|
$35.57
|
$16.01
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J3489
|
HCPCS
|
Zoledronic acid(Reclast)5mg/100mL Premix
|
0
|
0
|
$155.33
|
$69.90
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J3490
|
HCPCS
|
Etomidate (Amidate) 20mg/10 Ml Sdv
|
0
|
0
|
$25.00
|
$11.25
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J3590
|
HCPCS
|
Idarucizumab (Praxbind) 2.5 G/50 Ml Sdv
|
0
|
0
|
$4,718.87
|
$2,123.49
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J7030
|
HCPCS
|
Sodium Chloride 0.9% (ns) 1000 Ml
|
0
|
0
|
$35.00
|
$15.75
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J7042
|
HCPCS
|
Dextrose 5%/ns 1000 Ml
|
0
|
0
|
$35.00
|
$15.75
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J7060
|
HCPCS
|
Dextrose 5% 500 Ml
|
0
|
0
|
$35.00
|
$15.75
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J7120
|
HCPCS
|
Lactated Ringers 1000 Ml
|
0
|
0
|
$35.00
|
$15.75
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J7121
|
HCPCS
|
Dextrose 5%/Lactated Ringers 1000 Ml
|
0
|
0
|
$35.00
|
$15.75
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J7168
|
HCPCS
|
Prothrombin Complex (Kcentra) 500 Units
|
0
|
0
|
$2,029.06
|
$913.08
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J7169
|
HCPCS
|
Coagulation Factor Xa (Andexxa) 200 Mg
|
0
|
0
|
$5,000.00
|
$2,250.00
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J7187
|
HCPCS
|
Vwf Complex (humate-p) 1983 Iu
|
0
|
0
|
$4,200.00
|
$1,890.00
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J7296
|
HCPCS
|
Levonorgestrel IUD (Kyleena) 19.5 Mg
|
0
|
0
|
$1,352.00
|
$608.40
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J7297
|
HCPCS
|
Levonorgestrel (Liletta Iud) 52 Mg
|
0
|
0
|
$1,690.00
|
$760.50
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J7298
|
HCPCS
|
Levonorgestrel (Mirena Iud) 52 Mg
|
0
|
0
|
$2,200.00
|
$990.00
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J7300
|
HCPCS
|
Copper Contraceptive IUD (Paragard)
|
0
|
0
|
$560.00
|
$252.00
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J7301
|
HCPCS
|
Levonorgestrel Iu (Skyla Iud) 13.5 Mg
|
0
|
0
|
$1,118.00
|
$503.10
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J7307
|
HCPCS
|
Etonogestrel IUD (Nexplanon) 68 Mg
|
0
|
0
|
$1,000.00
|
$450.00
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J7325
|
HCPCS
|
Hyaluronate (Synvisc One) 48 Mg/6 Ml Syr
|
0
|
0
|
$856.52
|
$385.43
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J7644
|
HCPCS
|
Ipratropium (atroVENT) 0.5 Mg/2.5 Ml Neb
|
0
|
0
|
$10.00
|
$4.50
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J8499
|
HCPCS
|
hydrocorTISone (Cortef) 10 Mg Tab
|
0
|
0
|
$7.00
|
$3.15
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J8999
|
HCPCS
|
Megestrol (Megace) 400 Mg/10 Ml Susp
|
0
|
0
|
$7.00
|
$3.15
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J9202
|
HCPCS
|
Goserelin (Zoladex) 10.8 Mg Implant
|
0
|
0
|
$4,854.12
|
$2,184.35
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J9217
|
HCPCS
|
leuprolide(Lupron Depot) 22.5mg/3 Mo Syr
|
0
|
0
|
$609.44
|
$274.25
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J9260
|
HCPCS
|
Methotrexate Pf 50 Mg/2 Ml Sdv
|
0
|
0
|
$25.00
|
$11.25
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J9280
|
HCPCS
|
mitoMYcin (Mutamycin) 5 Mg Mdv
|
0
|
0
|
$127.18
|
$57.23
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J9316
|
HCPCS
|
Pertuz/trastuz/hyal (Phesgo) 10 Ml Sdv
|
0
|
0
|
$17,704.00
|
$7,966.80
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
L0220
|
HCPCS
|
Binder Abdominal Univ 9 Wx30-45 Stretch
|
0
|
0
|
$48.00
|
$21.60
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
L1830
|
HCPCS
|
Splint Knee Univ 24
|
0
|
0
|
$80.00
|
$36.00
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
L4350
|
HCPCS
|
Brace Ankle Air-stirrup Left Medium
|
0
|
0
|
$88.00
|
$39.60
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
L4361
|
HCPCS
|
Walker Boot Lg Standard Pneumatic Blue
|
0
|
0
|
$72.00
|
$32.40
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
M0222
|
HCPCS
|
Bebtelovimab Injection
|
0
|
0
|
$1,227.00
|
$552.15
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
P9016
|
HCPCS
|
Prbc, Packed Red Blood Cells
|
0
|
0
|
$781.00
|
$351.45
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
P9035
|
HCPCS
|
Platelet Pheresis
|
0
|
0
|
$2,060.00
|
$927.00
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
P9047
|
HCPCS
|
Albumin 25% (Albuminar) 50 Ml
|
0
|
0
|
$109.20
|
$49.14
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
P9059
|
HCPCS
|
Ffp, Fresh Frozen Plasma
|
0
|
0
|
$309.00
|
$139.05
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
Q0091
|
HCPCS
|
Rhc Non Medicare Pap-q0091
|
0
|
0
|
$170.00
|
$76.50
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
Q0138
|
HCPCS
|
ferumoxytol(Feraheme noESRD) 510 mg/17mL
|
0
|
0
|
$651.99
|
$293.40
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
Q0139
|
HCPCS
|
Ferumoxytol (Feraheme Esrd) 510 Mg/17 Ml
|
0
|
0
|
$2,463.75
|
$1,108.69
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
Q0161
|
HCPCS
|
chlorproMAZINE (THORazine) 25 Mg Tab
|
0
|
0
|
$12.53
|
$5.64
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
Q2009
|
HCPCS
|
fosphenytoin(Cerebyx) 100 Pe Mg/2 Ml Mdv
|
0
|
0
|
$25.00
|
$11.25
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
Q4101
|
HCPCS
|
Apligraf Per Sq Cm
|
0
|
0
|
$135.00
|
$60.75
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
Q4106
|
HCPCS
|
Dermagraft Per Sq Cm
|
0
|
0
|
$240.00
|
$108.00
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
Q4159
|
HCPCS
|
Affinity Per Sq Cm
|
0
|
0
|
$1,170.00
|
$526.50
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
Q4160
|
HCPCS
|
Nushield Per Sq Cm
|
0
|
0
|
$442.00
|
$198.90
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
Q4186
|
HCPCS
|
Epifix Per Sq Cm
|
0
|
0
|
$925.00
|
$416.25
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
Q4196
|
HCPCS
|
Puraply Per Sq Cm
|
0
|
0
|
$216.00
|
$97.20
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
Q5103
|
HCPCS
|
Infliximab-dyyb (Inflectra) 100 Mg Sdv
|
0
|
0
|
$875.42
|
$393.94
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
Q5104
|
HCPCS
|
Infliximab-abda (Renflexis) 100 Mg Sdv
|
0
|
0
|
$855.00
|
$384.75
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
Q5105
|
HCPCS
|
Epoetin Alfa-epbx(retacrit) 3000 Unit/mL
|
0
|
0
|
$82.00
|
$36.90
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
Q5120
|
HCPCS
|
Pegfilgrastim bmez(Ziextenzo)6 Mg/0.6 Ml
|
0
|
0
|
$7,443.46
|
$3,349.56
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
Q9968
|
HCPCS
|
Methylene Blue 1% 100 mg/10mL Sdv
|
0
|
0
|
$348.00
|
$156.60
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
S0630
|
HCPCS
|
Rhc Suture Rem Other Phys-s0630
|
0
|
0
|
$29.00
|
$13.05
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
S3600
|
HCPCS
|
Bill Stat Outpatient Lab
|
0
|
0
|
$34.00
|
$15.30
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
S3601
|
HCPCS
|
Bill Stat Home/nf Lab
|
0
|
0
|
$34.00
|
$15.30
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
U0003
|
HCPCS
|
Bill Covid-19 High Throughput Method
|
0
|
0
|
$348.00
|
$156.60
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
V2632
|
HCPCS
|
Misc Cataract Lense
|
0
|
0
|
$65.00
|
$29.25
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
V2787
|
HCPCS
|
Lens Morgan Medi-flow Disposable
|
0
|
0
|
$76.00
|
$34.20
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
0001A
|
OTHER
|
Rhc Pfizer-bio Covid Vaccine 1st-0001a
|
0
|
0
|
$44.00
|
$19.80
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
0002A
|
OTHER
|
Rhc Pfizer-biocovid Vaccine 2nd-0002a
|
0
|
0
|
$44.00
|
$19.80
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
0003A
|
OTHER
|
Rhc Pfizer-biocovid Vaccine 3rd-0003a
|
0
|
0
|
$44.00
|
$19.80
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
0004A
|
OTHER
|
Rhc Pfizer-biontech Covid Booster-0004a
|
0
|
0
|
$44.00
|
$19.80
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
0011A
|
OTHER
|
Rhc Moderna Vaccine 1st
|
0
|
0
|
$44.00
|
$19.80
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
0012A
|
OTHER
|
Rhc Moderna Vaccine 2nd
|
0
|
0
|
$44.00
|
$19.80
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
0013A
|
OTHER
|
Rhc Moderna Vaccine 3rd
|
0
|
0
|
$44.00
|
$19.80
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
0014M
|
OTHER
|
Add-on 0014m
|
0
|
0
|
$700.00
|
$315.00
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
0031A
|
OTHER
|
Johnson & Johnson Vacc Adm
|
0
|
0
|
$45.00
|
$20.25
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
0064A
|
OTHER
|
Rhc Moderna Vaccine Low Dose
|
0
|
0
|
$44.00
|
$19.80
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
0071A
|
OTHER
|
Rhc Pediatric Pfizer 1st Dose-0071a
|
0
|
0
|
$42.00
|
$18.90
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
0072A
|
OTHER
|
Rhc Pediatric Pfizer 2nd Dose-0072a
|
0
|
0
|
$42.00
|
$18.90
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
100
|
OTHER
|
Anes Salivary Gland
|
0
|
0
|
$142.00
|
$63.90
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J3372
|
HCPCS
|
vancoMYCIN 1.25 Gm Ivpb Premix
|
0
|
0
|
$52.00
|
$23.40
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J1450
|
HCPCS
|
Fluconazole (diFLUcan) 200 mg/100mL Ivpb
|
0
|
0
|
$50.00
|
$22.50
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J0295
|
HCPCS
|
Amp/sulbactam (Unasyn) 1.5 Gm Sdv
|
0
|
0
|
$25.00
|
$11.25
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
G0250
|
HCPCS
|
Rhc Md Inr Test Revie Inter Mgmt-g0250
|
0
|
0
|
$24.00
|
$10.80
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
C9803
|
HCPCS
|
Add On C9803
|
0
|
0
|
$87.00
|
$39.15
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J3371
|
HCPCS
|
vancoMYCIN (Vancocin) 750 Mg Sdv
|
0
|
0
|
$25.00
|
$11.25
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J3370
|
HCPCS
|
vancoMYCIN (Vancocin) 500 Mg Mdv
|
0
|
0
|
$25.00
|
$11.25
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J1442
|
HCPCS
|
Filgrastim (neuPOGEN) 480 Mcg/0.8 Ml Syr
|
0
|
0
|
$1,087.86
|
$489.54
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J3360
|
HCPCS
|
diazePAM (Valium) 10 Mg/2 Ml Carpuject
|
0
|
0
|
$79.89
|
$35.95
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J3358
|
HCPCS
|
Ustekinumab (Stelara) 130 Mg/26 Ml
|
0
|
0
|
$2,300.00
|
$1,035.00
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J1439
|
HCPCS
|
Ferric Carb (Injectafer)750 Mg/15 Ml Sdv
|
0
|
0
|
$3,181.42
|
$1,431.64
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J0290
|
HCPCS
|
Ampicillin 1 Gm Sdv
|
0
|
0
|
$25.00
|
$11.25
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J3357
|
HCPCS
|
Ustekinumab (Stelara) 90 mg/mL Syr
|
0
|
0
|
$50,136.82
|
$22,561.57
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J3304
|
HCPCS
|
Triamcinolone ER (Zilretta) 32 Mg Pwd
|
0
|
0
|
$1,245.94
|
$560.67
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J1335
|
HCPCS
|
Ertapenem (INVanz) 1 Gm Pwd
|
0
|
0
|
$88.60
|
$39.87
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J3301
|
HCPCS
|
Triamcinolone (kenalog-40) 40 mg/mL Sdv
|
0
|
0
|
$25.65
|
$11.54
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J3262
|
HCPCS
|
Tocilizumab (Actemra) 400 Mg/20 Ml Sdv
|
0
|
0
|
$4,804.96
|
$2,162.23
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J1265
|
HCPCS
|
DOPamine 200 Mg/5 Ml Sdv
|
0
|
0
|
$25.00
|
$11.25
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J0282
|
HCPCS
|
amiodarone(Nexterone) 360mg/200mL Premix
|
0
|
0
|
$150.85
|
$67.88
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
G0239
|
HCPCS
|
Rt Pulm Rehab Non COPD
|
0
|
0
|
$101.00
|
$45.45
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J3260
|
HCPCS
|
Tobramycin (Nebcin) 80 Mg/2 Ml Mdv
|
0
|
0
|
$25.00
|
$11.25
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J3230
|
HCPCS
|
chlorproMAZINE(THORazine) 50 Mg/2 Ml Amp
|
0
|
0
|
$38.66
|
$17.40
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J1250
|
HCPCS
|
DOBUTamine (Dobutrex) 250 Mg/20 Ml Sdv
|
0
|
0
|
$25.00
|
$11.25
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J3111
|
HCPCS
|
Romosozumab-aqqg(evenity) 105mg Syr (x2)
|
0
|
0
|
$4,600.00
|
$2,070.00
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J3105
|
HCPCS
|
Terbutaline (BREThine) 1 mg/mL Sdv
|
0
|
0
|
$25.00
|
$11.25
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J1200
|
HCPCS
|
diphenhydrAMINE (Benadryl) 50 mg/mL Sdv
|
0
|
0
|
$25.00
|
$11.25
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J0248
|
HCPCS
|
Remdesivir (Veklury Op) 100 Mg Sdv
|
0
|
0
|
$1,065.00
|
$479.25
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J3101
|
HCPCS
|
Tenecteplase (TNKase) 50 Mg Kit
|
0
|
0
|
$13,946.30
|
$6,275.84
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J3032
|
HCPCS
|
Eptinezumab-jjmr (Vyepti) 100 mg/mL Sdv
|
0
|
0
|
$3,400.00
|
$1,530.00
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J1171
|
HCPCS
|
HYDROmorphone (Dilaudid) 2 mg/mL Sdv
|
0
|
0
|
$25.00
|
$11.25
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J3030
|
HCPCS
|
SUMAtriptan (Imitrex) 6 Mg/0.5 Ml Sdv
|
0
|
0
|
$25.00
|
$11.25
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J3010
|
HCPCS
|
fentaNYL (Sublimaze) 250 Mcg/5 Ml Inj
|
0
|
0
|
$25.00
|
$11.25
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J1165
|
HCPCS
|
Phenytoin (Dilantin) 100 Mg/2 Ml Sdv
|
0
|
0
|
$25.00
|
$11.25
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J0221
|
HCPCS
|
Alglucosidase Alfa (Lumizyme) 50 Mg Sdv
|
0
|
0
|
$1,897.68
|
$853.96
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
G0127
|
HCPCS
|
Trim Dystrophic Nails
|
0
|
0
|
$204.00
|
$91.80
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
C9143
|
HCPCS
|
Cocaine Nasal 4% 160 Mg/4 Ml Soln
|
0
|
0
|
$477.87
|
$215.04
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
C1763
|
HCPCS
|
Graft Hiatal Hernia Standard 7cmx10cm
|
0
|
0
|
$4,053.00
|
$1,823.85
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J2997
|
HCPCS
|
Alteplase (Cathflo ACTIVase) 2 Mg Sdv
|
0
|
0
|
$342.40
|
$154.08
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J2919
|
HCPCS
|
methylPREDNISolone (SoluMEDROL) 1 Gm Mdv
|
0
|
0
|
$125.00
|
$56.25
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J1162
|
HCPCS
|
Digoxin Immune Fab (Digibind) 40 Mg Sdv
|
0
|
0
|
$12,535.05
|
$5,640.77
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J2916
|
HCPCS
|
Sodium Hyaluronate (Durolane) 60 Mg/3 Ml
|
0
|
0
|
$2,009.30
|
$904.19
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J2798
|
HCPCS
|
risperiDONE (Perseris) ER 120 Mg Syr
|
0
|
0
|
$5,200.00
|
$2,340.00
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J1160
|
HCPCS
|
Digoxin (laNOXin) 500 Mcg/2 Ml Amp
|
0
|
0
|
$25.00
|
$11.25
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J0180
|
HCPCS
|
Agalsidase Beta (Fabrazyme) 35 Mg Sdv
|
0
|
0
|
$14,500.20
|
$6,525.09
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J2795
|
HCPCS
|
ROPivacaine 0.2% 1000 Mg/500 Ml Premix
|
0
|
0
|
$189.00
|
$85.05
55% off
|
—
|
—
|
—
|
2026-05-23
|
|
J2794
|
HCPCS
|
risperiDONE La (RisperDAL Consta) 25 Mg
|
0
|
0
|
$1,629.06
|
$733.08
55% off
|
—
|
—
|
—
|
2026-05-23
|