|
683
|
MS_DRG
|
Renal Failure With Cc
|
2
|
2
|
$19,003.83
|
$14,252.87
25% off
|
$17,673.56
|
$19,003.83
|
$18,338.69
|
2025-03-22
|
|
194
|
MS_DRG
|
Simple Pneumonia And Pleurisy With Cc
|
2
|
2
|
$11,191.16
|
$8,393.37
25% off
|
$10,407.78
|
$11,191.16
|
$10,799.47
|
2025-03-22
|
|
728
|
MS_DRG
|
Inflammation Of The Male Reproductive System Without Mcc
|
2
|
2
|
$10,919.20
|
$8,189.40
25% off
|
$10,154.86
|
$10,919.20
|
$10,537.03
|
2025-03-22
|
|
J3101
|
HCPCS
|
Injection, Tenecteplase, 1 Mg
|
12
|
12
|
$10,391.91
|
$7,793.93
25% off
|
$4,780.28
|
$17,628.84
|
$9,872.31
|
2025-03-22
|
|
69120
|
HCPCS
|
Removal Of Entire Ear
|
12
|
12
|
$10,233.00
|
$7,674.75
25% off
|
$265.33
|
$17,359.26
|
$9,721.35
|
2025-03-22
|
|
59618
|
HCPCS
|
Cesarean Delivery And Care Before And After Delivery Following Attempted Vaginal…
|
12
|
12
|
$10,153.00
|
$7,614.75
25% off
|
$265.33
|
$17,223.55
|
$9,645.35
|
2025-03-22
|
|
292
|
MS_DRG
|
Heart Failure And Shock With Cc
|
2
|
2
|
$9,692.21
|
$7,269.16
25% off
|
$9,013.76
|
$9,692.21
|
$9,352.99
|
2025-03-22
|
|
59510
|
HCPCS
|
Cesarean Delivery With Care Before And After Delivery
|
12
|
12
|
$9,195.75
|
$6,896.81
25% off
|
$265.33
|
$15,599.67
|
$8,735.96
|
2025-03-22
|
|
59400
|
HCPCS
|
Vaginal Delivery With Care Before And After Delivery
|
12
|
12
|
$8,894.75
|
$6,671.06
25% off
|
$265.33
|
$15,089.05
|
$8,450.01
|
2025-03-22
|
|
543
|
MS_DRG
|
Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With…
|
2
|
2
|
$8,635.00
|
$6,476.25
25% off
|
$8,030.55
|
$8,635.00
|
$8,332.77
|
2025-03-22
|
|
51860
|
HCPCS
|
Suture Of Simple Wound, Injury, Or Rupture Of Bladder
|
12
|
12
|
$8,631.00
|
$6,473.25
25% off
|
$265.33
|
$14,641.63
|
$8,199.45
|
2025-03-22
|
|
59610
|
HCPCS
|
Vaginal Delivery And Care Before And After Delivery After Previous Cesarean Deli…
|
12
|
12
|
$8,450.75
|
$6,338.06
25% off
|
$265.33
|
$14,335.85
|
$8,028.21
|
2025-03-22
|
|
563
|
MS_DRG
|
Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit…
|
2
|
2
|
$7,992.08
|
$5,994.06
25% off
|
$7,432.63
|
$7,992.08
|
$7,712.35
|
2025-03-22
|
|
291
|
MS_DRG
|
Heart Failure And Shock With Mcc
|
2
|
2
|
$7,447.31
|
$5,585.48
25% off
|
$6,926.00
|
$7,447.31
|
$7,186.66
|
2025-03-22
|
|
202
|
MS_DRG
|
Bronchitis And Asthma With Cc/mcc
|
2
|
2
|
$7,229.70
|
$5,422.28
25% off
|
$6,723.62
|
$7,229.70
|
$6,976.66
|
2025-03-22
|
|
44950
|
HCPCS
|
Removal Of Appendix
|
12
|
12
|
$7,091.75
|
$5,318.81
25% off
|
$1,102.26
|
$11,884.35
|
$6,559.87
|
2025-03-22
|
|
438
|
MS_DRG
|
Disorders Of Pancreas Except Malignancy With Mcc
|
2
|
2
|
$6,630.31
|
$4,972.73
25% off
|
$6,166.19
|
$6,630.31
|
$6,398.25
|
2025-03-22
|
|
84
|
MS_DRG
|
Traumatic Stupor And Coma >1 Hour Without Cc/mcc
|
2
|
2
|
$6,593.65
|
$4,945.24
25% off
|
$6,132.09
|
$6,593.65
|
$6,362.87
|
2025-03-22
|
|
59622
|
HCPCS
|
Cesarean Delivery With Care After Delivery Following Vaginal Delivery Attempt Af…
|
12
|
12
|
$6,536.00
|
$4,902.00
25% off
|
$265.33
|
$11,087.67
|
$6,209.20
|
2025-03-22
|
|
179
|
MS_DRG
|
Respiratory Infections And Inflammations Without Cc/mcc
|
2
|
2
|
$6,308.43
|
$4,731.32
25% off
|
$5,866.84
|
$6,308.43
|
$6,087.64
|
2025-03-22
|
|
442
|
MS_DRG
|
Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc
|
2
|
2
|
$6,261.85
|
$4,696.39
25% off
|
$5,823.52
|
$6,261.85
|
$6,042.69
|
2025-03-22
|
|
19125
|
HCPCS
|
Removal Of Growth Of Breast Identified By X-ray Marker, First Growth
|
12
|
12
|
$6,192.25
|
$4,644.19
25% off
|
$265.33
|
$10,504.53
|
$5,882.64
|
2025-03-22
|
|
27222
|
HCPCS
|
Closed Treatment Of Broken Hip Socket With Manipulation
|
12
|
12
|
$6,181.25
|
$4,635.94
25% off
|
$265.33
|
$10,485.87
|
$5,872.19
|
2025-03-22
|
|
59620
|
HCPCS
|
Cesarean Delivery Following Vaginal Delivery Attempt After Previous Cesarean Del…
|
12
|
12
|
$6,068.00
|
$4,551.00
25% off
|
$265.33
|
$10,293.76
|
$5,764.60
|
2025-03-22
|
|
25263
|
HCPCS
|
Secondary Repair Of Tendon Or Muscle Of Palm Side Of Forearm Or Wrist
|
12
|
12
|
$6,041.00
|
$4,530.75
25% off
|
$265.33
|
$10,247.95
|
$5,738.95
|
2025-03-22
|
|
24000
|
HCPCS
|
Incision Of Elbow Joint For Exploration, Fluid Drainage, Or Removal Of Foreign B…
|
12
|
12
|
$6,041.00
|
$4,530.75
25% off
|
$265.33
|
$10,247.95
|
$5,738.95
|
2025-03-22
|
|
27860
|
HCPCS
|
Manipulation Of Ankle Under General Anesthesia
|
12
|
12
|
$6,041.00
|
$4,530.75
25% off
|
$265.33
|
$10,247.95
|
$5,738.95
|
2025-03-22
|
|
26910
|
HCPCS
|
Amputation Of Finger Or Thumb
|
12
|
12
|
$6,041.00
|
$4,530.75
25% off
|
$265.33
|
$10,247.95
|
$5,738.95
|
2025-03-22
|
|
28820
|
HCPCS
|
Amputation Of Toe At Joint Between Forefoot And Toes
|
12
|
12
|
$6,041.00
|
$4,530.75
25% off
|
$265.33
|
$10,247.95
|
$5,738.95
|
2025-03-22
|
|
27610
|
HCPCS
|
Incision Of Ankle Joint For Exploration, Fluid Drainage, Or Removal Of Foreign B…
|
12
|
12
|
$6,041.00
|
$4,530.75
25% off
|
$265.33
|
$10,247.95
|
$5,738.95
|
2025-03-22
|
|
12037
|
HCPCS
|
Intermediate Repair Of Wound Of Scalp, Underarms, Trunk, Arms, Or Legs, More Tha…
|
12
|
12
|
$6,023.75
|
$4,517.81
25% off
|
$265.33
|
$10,218.69
|
$5,722.56
|
2025-03-22
|
|
59515
|
HCPCS
|
Cesarean Delivery With Care After Delivery
|
12
|
12
|
$5,918.50
|
$4,438.88
25% off
|
$265.33
|
$10,040.14
|
$5,622.58
|
2025-03-22
|
|
28090
|
HCPCS
|
Removal Of Growth Of Tendon Covering Or Joint Capsule Of Foot
|
12
|
12
|
$5,865.25
|
$4,398.94
25% off
|
$265.33
|
$9,949.81
|
$5,571.99
|
2025-03-22
|
|
25248
|
HCPCS
|
Removal Of Deep Foreign Body In Forearm Or Wrist
|
12
|
12
|
$5,864.75
|
$4,398.56
25% off
|
$265.33
|
$9,948.96
|
$5,571.51
|
2025-03-22
|
|
19120
|
HCPCS
|
Removal Of Growth And Tissue Of Breast, Duct, Or Nipple
|
12
|
12
|
$6,012.00
|
$4,509.00
25% off
|
$706.20
|
$10,074.91
|
$5,561.10
|
2025-03-22
|
|
19101
|
HCPCS
|
Biopsy Of Breast Through Incision
|
12
|
12
|
$6,012.00
|
$4,509.00
25% off
|
$379.58
|
$10,074.91
|
$5,561.10
|
2025-03-22
|
|
36558
|
HCPCS
|
Insertion Of Tunneled Central Venous Tube For Infusion (5 Years Or Older)
|
12
|
12
|
$5,847.75
|
$4,385.81
25% off
|
$265.33
|
$9,920.12
|
$5,555.36
|
2025-03-22
|
|
67715
|
HCPCS
|
Incision Of Corner Of Eye At Eyelid
|
12
|
12
|
$6,000.00
|
$4,500.00
25% off
|
$178.32
|
$10,054.80
|
$5,550.00
|
2025-03-22
|
|
49020
|
HCPCS
|
Drainage Of Abdominal Abscess Or Infection
|
12
|
12
|
$5,718.50
|
$4,288.88
25% off
|
$265.33
|
$9,700.86
|
$5,432.58
|
2025-03-22
|
|
36561
|
HCPCS
|
Insertion Of Central Venous Tube With Port (5 Years Or Older)
|
12
|
12
|
$5,847.75
|
$4,385.81
25% off
|
$573.20
|
$9,799.66
|
$5,409.17
|
2025-03-22
|
|
592
|
MS_DRG
|
Skin Ulcers With Mcc
|
2
|
2
|
$5,574.33
|
$4,180.75
25% off
|
$5,184.13
|
$5,574.33
|
$5,379.23
|
2025-03-22
|
|
536
|
MS_DRG
|
Fractures Of Hip And Pelvis Without Mcc
|
2
|
2
|
$5,525.23
|
$4,143.92
25% off
|
$5,138.46
|
$5,525.23
|
$5,331.84
|
2025-03-22
|
|
40812
|
HCPCS
|
Removal Of Growth Of Mouth With Simple Repair
|
12
|
12
|
$5,385.50
|
$4,039.13
25% off
|
$265.33
|
$9,135.96
|
$5,116.23
|
2025-03-22
|
|
30310
|
HCPCS
|
Removal Of Foreign Body In Nose Under Anesthesia
|
12
|
12
|
$5,385.50
|
$4,039.13
25% off
|
$265.33
|
$9,135.96
|
$5,116.23
|
2025-03-22
|
|
46945
|
HCPCS
|
Tying Of Single Internal Hemorrhoid Group
|
12
|
12
|
$5,369.50
|
$4,027.13
25% off
|
$265.33
|
$9,108.82
|
$5,101.03
|
2025-03-22
|
|
11772
|
HCPCS
|
Complicated Removal Of Cyst Of Tailbone
|
12
|
12
|
$5,323.50
|
$3,992.63
25% off
|
$265.33
|
$9,030.79
|
$5,057.33
|
2025-03-22
|
|
27048
|
HCPCS
|
Removal Of Growth Of Soft Tissue Of Pelvis And Hip, Less Than 5.0 Cm
|
12
|
12
|
$5,323.50
|
$3,992.63
25% off
|
$265.33
|
$9,030.79
|
$5,057.33
|
2025-03-22
|
|
69110
|
HCPCS
|
Partial Removal Of External Ear With Simple Repair
|
12
|
12
|
$5,323.50
|
$3,992.63
25% off
|
$265.33
|
$9,030.79
|
$5,057.33
|
2025-03-22
|
|
22903
|
HCPCS
|
Removal Of Growth Of Soft Tissue Of Abdominal Wall, 3.0 Cm Or More
|
12
|
12
|
$5,323.50
|
$3,992.63
25% off
|
$265.33
|
$9,030.79
|
$5,057.33
|
2025-03-22
|
|
21552
|
HCPCS
|
Removal Of Growth Of Soft Tissue Under Skin Of Neck Or Front Of Chest, 3.0 Cm Or…
|
12
|
12
|
$5,323.50
|
$3,992.63
25% off
|
$265.33
|
$9,030.79
|
$5,057.33
|
2025-03-22
|
|
27603
|
HCPCS
|
Drainage Of Deep Abscess Or Blood Accumulation Of Leg Or Ankle
|
12
|
12
|
$5,323.50
|
$3,992.63
25% off
|
$265.33
|
$9,030.79
|
$5,057.33
|
2025-03-22
|
|
11770
|
HCPCS
|
Simple Removal Of Cyst Of Tailbone
|
12
|
12
|
$5,323.50
|
$3,992.63
25% off
|
$314.26
|
$8,921.12
|
$4,924.24
|
2025-03-22
|
|
11626
|
HCPCS
|
Removal Of Cancer Skin Growth Of Scalp, Neck, Hands, Feet, Or Genitals, More Tha…
|
12
|
12
|
$5,168.50
|
$3,876.38
25% off
|
$265.33
|
$8,767.84
|
$4,910.08
|
2025-03-22
|
|
11771
|
HCPCS
|
Extensive Removal Of Cyst Of Tailbone
|
12
|
12
|
$5,168.50
|
$3,876.38
25% off
|
$265.33
|
$8,767.84
|
$4,910.08
|
2025-03-22
|
|
21556
|
HCPCS
|
Removal Of Growth Of Muscle Of Neck Or Front Of Chest, Less Than 5.0 Cm
|
12
|
12
|
$5,168.50
|
$3,876.38
25% off
|
$265.33
|
$8,767.84
|
$4,910.08
|
2025-03-22
|
|
59821
|
HCPCS
|
Treatment Of Miscarriage During Second Trimester
|
12
|
12
|
$5,166.50
|
$3,874.88
25% off
|
$265.33
|
$8,764.45
|
$4,908.18
|
2025-03-22
|
|
59409
|
HCPCS
|
Vaginal Delivery
|
12
|
12
|
$5,165.75
|
$3,874.31
25% off
|
$265.33
|
$8,763.18
|
$4,907.46
|
2025-03-22
|
|
58600
|
HCPCS
|
Tying Or Incision Of Fallopian Tubes
|
24
|
12
|
$5,165.75
|
$3,874.31
25% off
|
$265.33
|
$8,763.18
|
$4,907.46
|
2025-03-22
|
|
56440
|
HCPCS
|
Creation Of Drainage Tract For Gland Cyst Of Female Genitals
|
12
|
12
|
$5,165.75
|
$3,874.31
25% off
|
$265.33
|
$8,763.18
|
$4,907.46
|
2025-03-22
|
|
59414
|
HCPCS
|
Delivery Of Placenta
|
12
|
12
|
$5,165.75
|
$3,874.31
25% off
|
$265.33
|
$8,763.18
|
$4,907.46
|
2025-03-22
|
|
59612
|
HCPCS
|
Vaginal Delivery After Previous Cesarean Delivery
|
12
|
12
|
$5,165.75
|
$3,874.31
25% off
|
$265.33
|
$8,763.18
|
$4,907.46
|
2025-03-22
|
|
59300
|
HCPCS
|
Episiotomy Or Repair Of Vagina
|
12
|
12
|
$5,165.75
|
$3,874.31
25% off
|
$265.33
|
$8,763.18
|
$4,907.46
|
2025-03-22
|
|
59412
|
HCPCS
|
Turning Of Fetus Through External Manipulation
|
12
|
12
|
$5,165.75
|
$3,874.31
25% off
|
$265.33
|
$8,763.18
|
$4,907.46
|
2025-03-22
|
|
59410
|
HCPCS
|
Vaginal Delivery With Post Delivery Care
|
12
|
12
|
$5,140.25
|
$3,855.19
25% off
|
$265.33
|
$8,719.92
|
$4,883.24
|
2025-03-22
|
|
41112
|
HCPCS
|
Removal Of Growth Of Front 2/3 Of Tongue With Switches
|
12
|
12
|
$5,228.50
|
$3,921.38
25% off
|
$413.72
|
$8,761.92
|
$4,836.36
|
2025-03-22
|
|
45100
|
HCPCS
|
Biopsy Of Anal And/or Rectal Wall Through Anus
|
12
|
12
|
$5,213.00
|
$3,909.75
25% off
|
$509.05
|
$8,735.95
|
$4,822.02
|
2025-03-22
|
|
46922
|
HCPCS
|
Simple Removal Of Growth Of Anus
|
12
|
12
|
$5,213.00
|
$3,909.75
25% off
|
$231.28
|
$8,735.95
|
$4,822.02
|
2025-03-22
|
|
46230
|
HCPCS
|
Removal Of Multiple External Noncancer Growths Of Anus
|
12
|
12
|
$5,213.00
|
$3,909.75
25% off
|
$294.25
|
$8,735.95
|
$4,822.02
|
2025-03-22
|
|
11446
|
HCPCS
|
Removal Of Noncancer Skin Growth Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, M…
|
12
|
12
|
$5,168.50
|
$3,876.38
25% off
|
$544.95
|
$8,661.37
|
$4,780.86
|
2025-03-22
|
|
11426
|
HCPCS
|
Removal Of Noncancer Skin Growth Of Scalp, Neck, Hands, Feet, Or Genitals, More …
|
12
|
12
|
$5,168.50
|
$3,876.38
25% off
|
$464.33
|
$8,661.37
|
$4,780.86
|
2025-03-22
|
|
20205
|
HCPCS
|
Deep Biopsy Of Muscle
|
12
|
12
|
$5,168.50
|
$3,876.38
25% off
|
$261.29
|
$8,661.37
|
$4,780.86
|
2025-03-22
|
|
11646
|
HCPCS
|
Removal Of Cancer Skin Growth Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, More…
|
12
|
12
|
$5,168.50
|
$3,876.38
25% off
|
$663.83
|
$8,661.37
|
$4,780.86
|
2025-03-22
|
|
59160
|
HCPCS
|
Scraping Of Lining Of Uterus After Delivery
|
12
|
12
|
$5,165.75
|
$3,874.31
25% off
|
$311.32
|
$8,656.76
|
$4,778.32
|
2025-03-22
|
|
57135
|
HCPCS
|
Removal Of Cyst Or Growth Of Vaginal
|
12
|
12
|
$5,015.50
|
$3,761.63
25% off
|
$308.37
|
$8,404.97
|
$4,639.34
|
2025-03-22
|
|
59614
|
HCPCS
|
Vaginal Delivery And Care After Delivery After Prior Cesarean Delivery
|
12
|
12
|
$4,875.50
|
$3,656.63
25% off
|
$265.33
|
$8,270.80
|
$4,631.73
|
2025-03-22
|
|
4300156_1
|
CDM
|
Rabies Imm Glob, Human 150 Unit(s)/mL 10mL Nemh
|
12
|
12
|
$4,861.78
|
$3,646.34
25% off
|
$2,236.42
|
$8,247.52
|
$4,618.69
|
2025-03-22
|
|
58940
|
HCPCS
|
Removal Of Ovaries
|
12
|
12
|
$4,773.25
|
$3,579.94
25% off
|
$265.33
|
$8,097.34
|
$4,534.59
|
2025-03-22
|
|
392
|
MS_DRG
|
Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc
|
2
|
2
|
$4,695.72
|
$3,521.79
25% off
|
$4,367.02
|
$4,695.72
|
$4,531.37
|
2025-03-22
|
|
59120
|
HCPCS
|
Removal Of Ovarian Or Tubal Pregnancy With Removal Of Ovaries
|
12
|
12
|
$4,695.25
|
$3,521.44
25% off
|
$265.33
|
$7,965.02
|
$4,460.49
|
2025-03-22
|
|
27252
|
HCPCS
|
Closed Treatment Of Dislocated Hip Under Anesthesia
|
12
|
12
|
$4,612.50
|
$3,459.38
25% off
|
$265.33
|
$7,824.65
|
$4,381.88
|
2025-03-22
|
|
49000
|
HCPCS
|
Exploration Of Abdominal Cavity
|
12
|
12
|
$4,498.50
|
$3,373.88
25% off
|
$1,317.06
|
$7,538.59
|
$4,161.11
|
2025-03-22
|
|
58700
|
HCPCS
|
Removal Of Uterine Tubes
|
12
|
12
|
$4,285.00
|
$3,213.75
25% off
|
$265.33
|
$7,269.07
|
$4,070.75
|
2025-03-22
|
|
54001
|
HCPCS
|
Incision Of Foreskin
|
12
|
12
|
$4,074.50
|
$3,055.88
25% off
|
$265.33
|
$6,911.98
|
$3,870.78
|
2025-03-22
|
|
51040
|
HCPCS
|
Incision Of Bladder With Drainage
|
12
|
12
|
$4,074.50
|
$3,055.88
25% off
|
$265.33
|
$6,911.98
|
$3,870.78
|
2025-03-22
|
|
156
|
MS_DRG
|
Other Ear, Nose, Mouth And Throat Diagnoses Without Cc/mcc
|
2
|
2
|
$3,995.75
|
$2,996.81
25% off
|
$3,716.05
|
$3,995.75
|
$3,855.90
|
2025-03-22
|
|
195
|
MS_DRG
|
Simple Pneumonia And Pleurisy Without Cc/mcc
|
2
|
2
|
$3,860.78
|
$2,895.59
25% off
|
$3,590.53
|
$3,860.78
|
$3,725.66
|
2025-03-22
|
|
35840
|
HCPCS
|
Exploration Of Abdomen For Bleeding, Blood Clot, Or Infection After Surgery
|
12
|
12
|
$3,873.50
|
$2,905.13
25% off
|
$265.33
|
$6,571.01
|
$3,679.83
|
2025-03-22
|
|
58605
|
HCPCS
|
Tying Or Incision Of Fallopian Tubes During Same Hospitalization
|
12
|
12
|
$3,867.00
|
$2,900.25
25% off
|
$265.33
|
$6,559.98
|
$3,673.65
|
2025-03-22
|
|
95811
|
HCPCS
|
Sleep Study In Sleep Lab With Continuous Airway Pressure (6 Years Or Older)
|
12
|
12
|
$3,711.29
|
$2,783.47
25% off
|
$1,707.19
|
$6,295.83
|
$3,525.73
|
2025-03-22
|
|
43246
|
HCPCS
|
Insertion Of Stomach Tube Using A Flexible Endoscope
|
12
|
12
|
$3,668.75
|
$2,751.56
25% off
|
$265.33
|
$6,223.67
|
$3,485.31
|
2025-03-22
|
|
99468
|
HCPCS
|
Initial Inpatient Hospital Critical Care Of Newborn Per Day (28 Days Or Younger)
|
9
|
9
|
$3,634.00
|
$2,725.50
25% off
|
$2,107.72
|
$3,634.00
|
$3,452.30
|
2025-03-22
|
|
845
|
MS_DRG
|
Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses…
|
2
|
2
|
$3,395.76
|
$2,546.82
25% off
|
$3,158.06
|
$3,395.76
|
$3,276.91
|
2025-03-22
|
|
J2997
|
HCPCS
|
Injection, Alteplase Recombinant, 1 Mg
|
24
|
12
|
$6,738.03
|
$5,053.52
25% off
|
$126.73
|
$22,393.40
|
$3,269.82
|
2025-03-22
|
|
13152
|
HCPCS
|
Complicated Repair Of Wound Of Eyelids, Nose, Ears, Or Lip, 2.6-7.5 Cm
|
12
|
12
|
$3,534.00
|
$2,650.50
25% off
|
$573.20
|
$5,922.28
|
$3,268.95
|
2025-03-22
|
|
54060
|
HCPCS
|
Removal Of Growth Of Penis
|
12
|
12
|
$3,434.25
|
$2,575.69
25% off
|
$265.33
|
$5,825.86
|
$3,262.54
|
2025-03-22
|
|
95810
|
HCPCS
|
Sleep Study In Sleep Lab (6 Years Or Older)
|
12
|
12
|
$3,421.00
|
$2,565.75
25% off
|
$1,573.66
|
$5,803.38
|
$3,249.95
|
2025-03-22
|
|
43830
|
HCPCS
|
Insertion Of Stomach Feeding Tube
|
12
|
12
|
$3,307.25
|
$2,480.44
25% off
|
$265.33
|
$5,610.42
|
$3,141.89
|
2025-03-22
|
|
45384
|
HCPCS
|
Removal Of Polyps Or Growths Of Large Bowel Using A Flexible Endoscope With Elec…
|
12
|
12
|
$3,251.25
|
$2,438.44
25% off
|
$388.41
|
$5,448.44
|
$3,007.41
|
2025-03-22
|
|
27301
|
HCPCS
|
Drainage Of Deep Abscess Or Blood Accumulation Of Thigh Or Knee
|
12
|
12
|
$3,177.00
|
$2,382.75
25% off
|
$856.27
|
$5,324.02
|
$2,938.73
|
2025-03-22
|
|
812
|
MS_DRG
|
Red Blood Cell Disorders Without Mcc
|
2
|
2
|
$3,030.06
|
$2,272.55
25% off
|
$2,817.96
|
$3,030.06
|
$2,924.01
|
2025-03-22
|
|
47000
|
HCPCS
|
Needle Biopsy Of Liver Through Skin
|
12
|
12
|
$3,063.25
|
$2,297.44
25% off
|
$265.33
|
$5,196.50
|
$2,910.09
|
2025-03-22
|
|
55100
|
HCPCS
|
Drainage Of Abscess Of Scrotum
|
12
|
12
|
$3,063.25
|
$2,297.44
25% off
|
$265.33
|
$5,196.50
|
$2,910.09
|
2025-03-22
|
|
20520
|
HCPCS
|
Removal Of Foreign Body In Muscle Or Tendon
|
12
|
12
|
$3,063.25
|
$2,297.44
25% off
|
$265.33
|
$5,196.50
|
$2,910.09
|
2025-03-22
|
|
38221
|
HCPCS
|
Biopsy Of Bone Marrow
|
12
|
12
|
$3,063.25
|
$2,297.44
25% off
|
$265.33
|
$5,196.50
|
$2,910.09
|
2025-03-22
|
|
28192
|
HCPCS
|
Removal Of Foreign Body Of Foot Tissue, Deep
|
12
|
12
|
$3,063.25
|
$2,297.44
25% off
|
$265.33
|
$5,196.50
|
$2,910.09
|
2025-03-22
|
|
24075
|
HCPCS
|
Removal Of Growth Under Skin Of Upper Arm Or Elbow, Less Than 3.0 Cm
|
12
|
12
|
$3,063.25
|
$2,297.44
25% off
|
$265.33
|
$5,196.50
|
$2,910.09
|
2025-03-22
|
|
38220
|
HCPCS
|
Aspiration Of Bone Marrow Sample For Diagnosis
|
12
|
12
|
$3,063.25
|
$2,297.44
25% off
|
$265.33
|
$5,196.50
|
$2,910.09
|
2025-03-22
|
|
26742
|
HCPCS
|
Closed Treatment Of Broken Finger Or Hand At Base Of Finger With Manipulation
|
12
|
12
|
$3,016.25
|
$2,262.19
25% off
|
$265.33
|
$5,116.77
|
$2,865.44
|
2025-03-22
|
|
26160
|
HCPCS
|
Removal Of Growth Of Tendon Finger Or Hand
|
12
|
12
|
$3,016.25
|
$2,262.19
25% off
|
$265.33
|
$5,116.77
|
$2,865.44
|
2025-03-22
|
|
27266
|
HCPCS
|
Closed Treatment Of Dislocated Hip Prosthesis Under Anesthesia
|
12
|
12
|
$3,016.25
|
$2,262.19
25% off
|
$265.33
|
$5,116.77
|
$2,865.44
|
2025-03-22
|
|
25111
|
HCPCS
|
Removal Of First Cyst Of Wrist
|
12
|
12
|
$3,016.25
|
$2,262.19
25% off
|
$265.33
|
$5,116.77
|
$2,865.44
|
2025-03-22
|
|
24605
|
HCPCS
|
Repair Of Dislocated Elbow Under Anesthesia
|
12
|
12
|
$3,016.25
|
$2,262.19
25% off
|
$265.33
|
$5,116.77
|
$2,865.44
|
2025-03-22
|
|
23655
|
HCPCS
|
Closed Treatment Of Dislocated Shoulder With Manipulation Under Anesthesia
|
12
|
12
|
$3,016.25
|
$2,262.19
25% off
|
$265.33
|
$5,116.77
|
$2,865.44
|
2025-03-22
|
|
26340
|
HCPCS
|
Manipulation Of Finger Joint Under Anesthesia
|
12
|
12
|
$3,016.25
|
$2,262.19
25% off
|
$265.33
|
$5,116.77
|
$2,865.44
|
2025-03-22
|
|
639
|
MS_DRG
|
Diabetes Without Cc/mcc
|
2
|
2
|
$2,958.79
|
$2,219.09
25% off
|
$2,751.67
|
$2,958.79
|
$2,855.23
|
2025-03-22
|
|
21555
|
HCPCS
|
Removal Of Growth Under Skin Of Neck Or Front Of Chest, Less Than 3.0 Cm
|
12
|
12
|
$2,974.00
|
$2,230.50
25% off
|
$265.33
|
$5,045.09
|
$2,825.30
|
2025-03-22
|
|
20200
|
HCPCS
|
Biopsy Of Muscle
|
12
|
12
|
$2,974.00
|
$2,230.50
25% off
|
$1,368.04
|
$5,045.09
|
$2,825.30
|
2025-03-22
|
|
11620
|
HCPCS
|
Removal Of Cancer Skin Growth Of Scalp, Neck, Hands, Feet, Or Genitals, 0.5 Cm O…
|
12
|
12
|
$2,974.00
|
$2,230.50
25% off
|
$265.33
|
$5,045.09
|
$2,825.30
|
2025-03-22
|
|
690
|
MS_DRG
|
Kidney And Urinary Tract Infections Without Mcc
|
2
|
2
|
$2,926.16
|
$2,194.62
25% off
|
$2,721.32
|
$2,926.16
|
$2,823.74
|
2025-03-22
|
|
74174
|
HCPCS
|
CT Scan Of Blood Vessels Of Abdomen And Pelvis With Contrast
|
36
|
12
|
$3,371.83
|
$2,528.87
25% off
|
$182.44
|
$5,719.97
|
$2,816.99
|
2025-03-22
|
|
24505
|
HCPCS
|
Closed Treatment Of Broken Middle Part Of Upper Arm Bone With Manipulation
|
12
|
12
|
$2,928.25
|
$2,196.19
25% off
|
$265.33
|
$4,967.48
|
$2,781.84
|
2025-03-22
|
|
27810
|
HCPCS
|
Closed Treatment Of 2 Broken Lower Leg Bones At Ankle With Manipulation
|
12
|
12
|
$2,928.00
|
$2,196.00
25% off
|
$265.33
|
$4,967.06
|
$2,781.60
|
2025-03-22
|
|
897
|
MS_DRG
|
Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc
|
2
|
2
|
$2,865.96
|
$2,149.47
25% off
|
$2,665.34
|
$2,865.96
|
$2,765.65
|
2025-03-22
|
|
45385
|
HCPCS
|
Removal Of Polyps Or Growths Of Large Bowel Using An Endoscope With Mechanical S…
|
12
|
12
|
$2,977.75
|
$2,233.31
25% off
|
$432.55
|
$4,990.11
|
$2,754.42
|
2025-03-22
|
|
21550
|
HCPCS
|
Biopsy Of Soft Tissue Of Neck Or Chest
|
12
|
12
|
$2,974.25
|
$2,230.69
25% off
|
$263.06
|
$4,984.25
|
$2,751.18
|
2025-03-22
|
|
11424
|
HCPCS
|
Removal Of Noncancer Skin Growth Of Scalp, Neck, Hands, Feet, Or Genitals, 3.1-4…
|
12
|
12
|
$2,974.00
|
$2,230.50
25% off
|
$300.72
|
$4,983.83
|
$2,750.95
|
2025-03-22
|
|
11423
|
HCPCS
|
Removal Of Noncancer Skin Growth Of Scalp, Neck, Hands, Feet, Or Genitals, 2.1-3…
|
12
|
12
|
$2,974.00
|
$2,230.50
25% off
|
$261.88
|
$4,983.83
|
$2,750.95
|
2025-03-22
|
|
11643
|
HCPCS
|
Removal Of Cancer Skin Growth Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 2.1-…
|
12
|
12
|
$2,974.00
|
$2,230.50
25% off
|
$385.47
|
$4,983.83
|
$2,750.95
|
2025-03-22
|
|
11420
|
HCPCS
|
Removal Of Noncancer Skin Growth Of Scalp, Neck, Hands, Feet, Or Genitals, 0.5 C…
|
12
|
12
|
$2,974.00
|
$2,230.50
25% off
|
$137.71
|
$4,983.83
|
$2,750.95
|
2025-03-22
|
|
11406
|
HCPCS
|
Removal Of Noncancer Skin Growth Of Body, Arms, Or Legs, More Than 4.0 Cm
|
12
|
12
|
$2,974.00
|
$2,230.50
25% off
|
$417.25
|
$4,983.83
|
$2,750.95
|
2025-03-22
|
|
11623
|
HCPCS
|
Removal Of Cancer Skin Growth Of Scalp, Neck, Hands, Feet, Or Genitals, 2.1-3.0 …
|
12
|
12
|
$2,974.00
|
$2,230.50
25% off
|
$354.87
|
$4,983.83
|
$2,750.95
|
2025-03-22
|
|
11644
|
HCPCS
|
Removal Of Cancer Skin Growth Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 3.1-…
|
12
|
12
|
$2,974.00
|
$2,230.50
25% off
|
$479.04
|
$4,983.83
|
$2,750.95
|
2025-03-22
|
|
19100
|
HCPCS
|
Needle Biopsy Of Breast
|
12
|
12
|
$2,974.00
|
$2,230.50
25% off
|
$120.05
|
$4,983.83
|
$2,750.95
|
2025-03-22
|
|
37609
|
HCPCS
|
Tying Or Biopsy Of Artery On Side Of Skull
|
12
|
12
|
$2,974.00
|
$2,230.50
25% off
|
$349.57
|
$4,983.83
|
$2,750.95
|
2025-03-22
|
|
54100
|
HCPCS
|
Biopsy Of Penis
|
12
|
12
|
$2,974.00
|
$2,230.50
25% off
|
$205.98
|
$4,983.83
|
$2,750.95
|
2025-03-22
|
|
26115
|
HCPCS
|
Removal (less Than 1.5 Centimeters) Tissue Beneath The Skin Growth Of Hand Or Fi…
|
12
|
12
|
$2,974.00
|
$2,230.50
25% off
|
$559.66
|
$4,983.83
|
$2,750.95
|
2025-03-22
|
|
11624
|
HCPCS
|
Removal Of Cancer Skin Growth Of Scalp, Neck, Hands, Feet, Or Genitals, 3.1-4.0 …
|
12
|
12
|
$2,974.00
|
$2,230.50
25% off
|
$403.12
|
$4,983.83
|
$2,750.95
|
2025-03-22
|
|
11606
|
HCPCS
|
Removal Of Cancer Skin Growth Of Body, Arms, Or Legs, More Than 4.0 Cm
|
12
|
12
|
$2,974.00
|
$2,230.50
25% off
|
$538.48
|
$4,983.83
|
$2,750.95
|
2025-03-22
|
|
49900
|
HCPCS
|
Suture Of Postsurgical Opening In Abdominal Wall
|
12
|
12
|
$2,804.00
|
$2,103.00
25% off
|
$1,397.69
|
$4,698.94
|
$2,593.70
|
2025-03-22
|
|
13132
|
HCPCS
|
Complicated Repair Of Wound Of Forehead, Cheeks, Chin, Mouth, Neck, Underarms, G…
|
12
|
12
|
$2,795.25
|
$2,096.44
25% off
|
$518.47
|
$4,684.28
|
$2,585.61
|
2025-03-22
|
|
20103
|
HCPCS
|
Exploration Of Wound Of Arm Or Leg
|
12
|
12
|
$2,679.50
|
$2,009.63
25% off
|
$265.33
|
$4,545.50
|
$2,545.53
|
2025-03-22
|
|
46260
|
HCPCS
|
Removal Of Multiple Hemorrhoid Groups
|
12
|
12
|
$2,750.25
|
$2,062.69
25% off
|
$816.25
|
$4,608.87
|
$2,543.98
|
2025-03-22
|
|
26418
|
HCPCS
|
Repair Of Tendon On Top Side Of Finger
|
22
|
12
|
$2,650.50
|
$1,987.88
25% off
|
$1,002.22
|
$4,441.71
|
$2,444.83
|
2025-03-22
|
|
41010
|
HCPCS
|
Incision Of Tissue Connecting Tongue And Floor Of Mouth
|
12
|
12
|
$2,572.25
|
$1,929.19
25% off
|
$265.33
|
$4,363.56
|
$2,443.64
|
2025-03-22
|
|
31603
|
HCPCS
|
Emergent Incision Of Windpipe Through Neck For Insertion Of Breathing Tube
|
12
|
12
|
$2,572.25
|
$1,929.19
25% off
|
$265.33
|
$4,363.56
|
$2,443.64
|
2025-03-22
|
|
58150
|
HCPCS
|
Removal Of Uterus And Cervix Through Abdomen
|
12
|
12
|
$2,563.75
|
$1,922.81
25% off
|
$265.33
|
$4,349.15
|
$2,435.56
|
2025-03-22
|
|
45171
|
HCPCS
|
Removal Of Growth Of Rectum Through Anus
|
12
|
12
|
$2,632.50
|
$1,974.38
25% off
|
$1,029.88
|
$4,411.54
|
$2,435.07
|
2025-03-22
|
|
27752
|
HCPCS
|
Closed Treatment Of Middle Part Of Broken Shin Bone With Manipulation
|
36
|
12
|
$2,897.00
|
$2,172.75
25% off
|
$265.33
|
$4,967.48
|
$2,420.30
|
2025-03-22
|
|
26725
|
HCPCS
|
Closed Treatment Of Broken Finger Or Thumb At Midportion Or Part Near Hand With …
|
12
|
12
|
$2,573.50
|
$1,930.13
25% off
|
$513.76
|
$4,312.67
|
$2,380.49
|
2025-03-22
|
|
41115
|
HCPCS
|
Removal Of Tissue Connecting Tongue And Floor Of Mouth
|
12
|
12
|
$2,497.75
|
$1,873.31
25% off
|
$265.33
|
$4,237.18
|
$2,372.86
|
2025-03-22
|
|
45380
|
HCPCS
|
Biopsy Of Large Bowel Using A Flexible Endoscope
|
12
|
12
|
$2,525.75
|
$1,894.31
25% off
|
$340.74
|
$4,232.65
|
$2,336.32
|
2025-03-22
|
|
44388
|
HCPCS
|
Diagnostic Exam Of Large Bowel Using An Endoscope Inserted Through Surgically Cr…
|
12
|
12
|
$2,502.25
|
$1,876.69
25% off
|
$266.00
|
$4,193.27
|
$2,314.59
|
2025-03-22
|
|
30801
|
HCPCS
|
Destruction Of Soft Tissue Of Nasal Passages
|
12
|
12
|
$2,497.50
|
$1,873.13
25% off
|
$241.29
|
$4,185.31
|
$2,310.19
|
2025-03-22
|
|
99469
|
HCPCS
|
Follow-up Inpatient Hospital Critical Care Of Newborn Per Day (28 Days Or Younge…
|
9
|
9
|
$2,429.50
|
$1,822.13
25% off
|
$1,409.11
|
$2,429.50
|
$2,308.03
|
2025-03-22
|
|
3400596_1
|
CDM
|
Kyleena Iud__5400
|
12
|
12
|
$2,419.25
|
$1,814.44
25% off
|
$1,112.86
|
$4,104.02
|
$2,298.29
|
2025-03-22
|
|
59514
|
HCPCS
|
Cesarean Delivery
|
36
|
12
|
$2,364.50
|
$1,773.38
25% off
|
$265.33
|
$9,317.05
|
$2,269.93
|
2025-03-22
|
|
27540
|
HCPCS
|
Treatment Of Broken Shin Bone At Knee
|
12
|
12
|
$2,351.00
|
$1,763.25
25% off
|
$265.33
|
$3,988.24
|
$2,233.45
|
2025-03-22
|
|
309
|
MS_DRG
|
Cardiac Arrhythmia And Conduction Disorders With Cc
|
2
|
2
|
$2,269.64
|
$1,702.23
25% off
|
$2,110.77
|
$2,269.64
|
$2,190.20
|
2025-03-22
|
|
G0390
|
HCPCS
|
Trauma Response Team Associated With Hospital Critical Care Service
|
12
|
12
|
$2,293.27
|
$1,719.95
25% off
|
$1,054.90
|
$3,890.30
|
$2,178.61
|
2025-03-22
|
|
60100
|
HCPCS
|
Needle Biopsy Of Thyroid Through Skin
|
12
|
12
|
$2,354.25
|
$1,765.69
25% off
|
$132.41
|
$3,945.25
|
$2,177.68
|
2025-03-22
|
|
64421
|
HCPCS
|
Injection Of Anesthetic Agent And/or Steroid Into Multiple Rib Nerves For Region…
|
12
|
12
|
$2,322.75
|
$1,742.06
25% off
|
$42.96
|
$3,892.46
|
$2,148.55
|
2025-03-22
|
|
45378
|
HCPCS
|
Diagnostic Exam Of Large Bowel Using A Flexible Endoscope
|
12
|
12
|
$2,295.50
|
$1,721.63
25% off
|
$314.85
|
$3,846.80
|
$2,123.34
|
2025-03-22
|
|
11005
|
HCPCS
|
Removal Of Infected Skin, Tissue Or Muscle Of Abdomen
|
12
|
12
|
$2,291.85
|
$1,718.89
25% off
|
$1,329.27
|
$3,840.68
|
$2,119.97
|
2025-03-22
|
|
12055
|
HCPCS
|
Intermediate Repair Of Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 12.6-…
|
12
|
12
|
$2,178.75
|
$1,634.06
25% off
|
$265.33
|
$3,696.03
|
$2,069.81
|
2025-03-22
|
|
45915
|
HCPCS
|
Removal Of Impacted Stool Or Foreign Body In Rectum Under Anesthesia
|
12
|
12
|
$2,173.25
|
$1,629.94
25% off
|
$265.33
|
$3,686.70
|
$2,064.59
|
2025-03-22
|
|
46220
|
HCPCS
|
Removal Of Single External Noncancer Growth Of Anus
|
12
|
12
|
$2,173.25
|
$1,629.94
25% off
|
$265.33
|
$3,686.70
|
$2,064.59
|
2025-03-22
|
|
45338
|
HCPCS
|
Removal Of Polyps Or Growths Of Lower Large Bowel Using A Flexible Endoscope Wit…
|
12
|
12
|
$2,173.25
|
$1,629.94
25% off
|
$265.33
|
$3,686.70
|
$2,064.59
|
2025-03-22
|
|
G0121
|
HCPCS
|
Colorectal Cancer Screening; Colonoscopy On Individual Not Meeting Criteria For …
|
12
|
12
|
$2,228.00
|
$1,671.00
25% off
|
$315.44
|
$3,733.68
|
$2,060.90
|
2025-03-22
|
|
G0105
|
HCPCS
|
Colorectal Cancer Screening; Colonoscopy On Individual At High Risk
|
12
|
12
|
$2,227.50
|
$1,670.63
25% off
|
$314.26
|
$3,732.84
|
$2,060.44
|
2025-03-22
|
|
73706
|
HCPCS
|
CT Scan Of Blood Vessels Of Lower Leg With Contrast
|
36
|
12
|
$2,440.50
|
$1,830.38
25% off
|
$156.54
|
$4,209.19
|
$2,054.62
|
2025-03-22
|
|
27530
|
HCPCS
|
Closed Treatment Of Broken Shin Bone
|
12
|
12
|
$2,118.75
|
$1,589.06
25% off
|
$265.33
|
$3,594.25
|
$2,012.81
|
2025-03-22
|
|
45305
|
HCPCS
|
Biopsies Of Rectum And/or Lower Large Bowel Using A Rigid Endoscope
|
12
|
12
|
$2,110.00
|
$1,582.50
25% off
|
$123.59
|
$3,535.94
|
$1,951.75
|
2025-03-22
|
|
46320
|
HCPCS
|
Removal Of External Hemorrhoid With Blood Clot
|
12
|
12
|
$2,110.00
|
$1,582.50
25% off
|
$189.50
|
$3,535.94
|
$1,951.75
|
2025-03-22
|
|
27265
|
HCPCS
|
Closed Treatment Of Dislocated Hip Prosthesis
|
12
|
12
|
$2,028.00
|
$1,521.00
25% off
|
$265.33
|
$3,440.30
|
$1,926.60
|
2025-03-22
|
|
43239
|
HCPCS
|
Biopsy Of Esophagus, Stomach, And/or Upper Small Bowel Using A Flexible Endoscop…
|
12
|
12
|
$2,063.00
|
$1,547.25
25% off
|
$234.81
|
$3,457.18
|
$1,908.28
|
2025-03-22
|
|
389
|
MS_DRG
|
Gastrointestinal Obstruction With Cc
|
2
|
2
|
$1,953.48
|
$1,465.11
25% off
|
$1,816.74
|
$1,953.48
|
$1,885.11
|
2025-03-22
|
|
49505
|
HCPCS
|
Repair Of Groin Hernia (5 Years Or Older)
|
12
|
12
|
$2,003.75
|
$1,502.81
25% off
|
$892.75
|
$3,357.88
|
$1,853.47
|
2025-03-22
|
|
55250
|
HCPCS
|
Removal Of Sperm Duct
|
12
|
12
|
$1,998.25
|
$1,498.69
25% off
|
$385.47
|
$3,348.67
|
$1,848.38
|
2025-03-22
|
|
10180
|
HCPCS
|
Complex Drainage Of Wound Infection After Surgery
|
12
|
12
|
$1,997.25
|
$1,497.94
25% off
|
$300.72
|
$3,346.99
|
$1,847.46
|
2025-03-22
|
|
3060003_1
|
CDM
|
Room & Board - Semi-private (two Beds) - Other
|
9
|
9
|
$1,882.03
|
$1,411.52
25% off
|
$1,091.58
|
$1,882.03
|
$1,787.93
|
2025-03-22
|
|
58720
|
HCPCS
|
Removal Of Uterine Tubes And Ovaries
|
12
|
12
|
$1,861.75
|
$1,396.31
25% off
|
$265.33
|
$3,158.27
|
$1,768.66
|
2025-03-22
|
|
25650
|
HCPCS
|
Closed Treatment Of Broken Base Of Forearm Bone On Small Finger Side At Wrist
|
12
|
12
|
$1,836.25
|
$1,377.19
25% off
|
$265.33
|
$3,115.01
|
$1,744.44
|
2025-03-22
|
|
27840
|
HCPCS
|
Closed Treatment Of Dislocated Ankle
|
12
|
12
|
$1,807.00
|
$1,355.25
25% off
|
$265.33
|
$3,065.39
|
$1,716.65
|
2025-03-22
|
|
43235
|
HCPCS
|
Diagnostic Exam Of Esophagus, Stomach, And/or Upper Small Bowel Using A Flexible…
|
12
|
12
|
$1,834.75
|
$1,376.06
25% off
|
$208.33
|
$3,074.67
|
$1,697.14
|
2025-03-22
|
|
99291
|
HCPCS
|
Critical Care, First 30-74 Minutes
|
24
|
12
|
$2,363.32
|
$1,772.50
25% off
|
$369.58
|
$5,532.20
|
$1,695.79
|
2025-03-22
|
|
57200
|
HCPCS
|
Suture Of Nonobstetrical Injury Of Vagina
|
12
|
12
|
$1,821.00
|
$1,365.75
25% off
|
$539.65
|
$3,051.63
|
$1,684.43
|
2025-03-22
|
|
J0129
|
HCPCS
|
Injection, Abatacept, 10 Mg (code May Be Used For Medicare When Drug Administere…
|
12
|
12
|
$1,763.35
|
$1,322.51
25% off
|
$811.14
|
$2,991.35
|
$1,675.18
|
2025-03-22
|
|
64420
|
HCPCS
|
Injection Of Anesthetic Agent And/or Steroid Into Rib Nerve
|
12
|
12
|
$1,744.50
|
$1,308.38
25% off
|
$802.47
|
$2,959.37
|
$1,657.28
|
2025-03-22
|
|
75635
|
HCPCS
|
CT Scan Of Abdominal Aorta And Both Leg Arteries With Contrast
|
24
|
12
|
$2,383.91
|
$1,787.94
25% off
|
$197.15
|
$6,531.70
|
$1,654.35
|
2025-03-22
|
|
46040
|
HCPCS
|
Drainage Of Deep Abscess In Rectum
|
22
|
12
|
$2,110.00
|
$1,582.50
25% off
|
$715.62
|
$3,535.94
|
$1,634.16
|
2025-03-22
|
|
948
|
MS_DRG
|
Signs And Symptoms Without Mcc
|
2
|
2
|
$1,677.00
|
$1,257.75
25% off
|
$1,559.61
|
$1,677.00
|
$1,618.30
|
2025-03-22
|
|
32555
|
HCPCS
|
Aspiration Of Fluid From Chest Cavity Using Imaging Guidance
|
12
|
12
|
$1,695.25
|
$1,271.44
25% off
|
$265.33
|
$2,875.82
|
$1,610.49
|
2025-03-22
|
|
32552
|
HCPCS
|
Removal Of Indwelling Tube In Lining Of Lung
|
12
|
12
|
$1,695.25
|
$1,271.44
25% off
|
$265.33
|
$2,875.82
|
$1,610.49
|
2025-03-22
|
|
43450
|
HCPCS
|
Dilation Of Esophagus
|
12
|
12
|
$1,733.75
|
$1,300.31
25% off
|
$133.59
|
$2,905.42
|
$1,603.72
|
2025-03-22
|
|
12036
|
HCPCS
|
Intermediate Repair Of Wound Of Scalp, Underarms, Trunk, Arms, Or Legs, 20.1-30.…
|
12
|
12
|
$1,679.00
|
$1,259.25
25% off
|
$265.33
|
$2,848.26
|
$1,595.05
|
2025-03-22
|
|
32551
|
HCPCS
|
Removal Of Fluid From Between Lung And Chest Cavity
|
24
|
12
|
$1,685.15
|
$1,263.87
25% off
|
$268.36
|
$2,841.57
|
$1,591.31
|
2025-03-22
|
|
25600
|
HCPCS
|
Closed Treatment Of Broken Forearm (radius) Bone At The Wrist Area On The Thumb …
|
12
|
12
|
$1,709.25
|
$1,281.94
25% off
|
$533.18
|
$2,864.36
|
$1,581.06
|
2025-03-22
|
|
32554
|
HCPCS
|
Aspiration Of Fluid From Chest Cavity
|
24
|
12
|
$1,679.10
|
$1,259.33
25% off
|
$265.33
|
$2,875.82
|
$1,579.80
|
2025-03-22
|
|
46050
|
HCPCS
|
Drainage Of Superficial Rectal Abscess Surrounding Anus
|
12
|
12
|
$1,654.50
|
$1,240.88
25% off
|
$265.33
|
$2,806.69
|
$1,571.78
|
2025-03-22
|
|
G0104
|
HCPCS
|
Colorectal Cancer Screening; Flexible Sigmoidoscopy
|
12
|
12
|
$1,654.50
|
$1,240.88
25% off
|
$265.33
|
$2,806.69
|
$1,571.78
|
2025-03-22
|
|
27250
|
HCPCS
|
Closed Treatment Of Dislocated Hip
|
12
|
12
|
$1,693.00
|
$1,269.75
25% off
|
$313.67
|
$2,837.13
|
$1,566.03
|
2025-03-22
|
|
59426
|
HCPCS
|
Predelivery Care, 7 Or More Visits
|
12
|
12
|
$1,624.75
|
$1,218.56
25% off
|
$265.33
|
$2,756.23
|
$1,543.51
|
2025-03-22
|
|
57421
|
HCPCS
|
Biopsy Of Vagina And Cervix Using An Endoscope
|
12
|
12
|
$1,601.25
|
$1,200.94
25% off
|
$265.33
|
$2,716.36
|
$1,521.19
|
2025-03-22
|
|
13151
|
HCPCS
|
Complicated Repair Of Wound Of Eyelids, Nose, Ears, Or Lip, 1.1-2.5 Cm
|
12
|
12
|
$1,599.25
|
$1,199.44
25% off
|
$265.33
|
$2,712.97
|
$1,519.29
|
2025-03-22
|
|
23650
|
HCPCS
|
Closed Treatment Of Dislocated Shoulder With Manipulation
|
12
|
12
|
$1,571.25
|
$1,178.44
25% off
|
$265.33
|
$2,665.47
|
$1,492.69
|
2025-03-22
|
|
45330
|
HCPCS
|
Diagnostic Exam Of Lower Portion Of Large Bowel Using A Flexible Endoscope
|
12
|
12
|
$1,606.00
|
$1,204.50
25% off
|
$94.75
|
$2,691.33
|
$1,485.55
|
2025-03-22
|
|
45331
|
HCPCS
|
Biopsy Of Lower Large Bowel Using A Flexible Endoscope
|
12
|
12
|
$1,606.00
|
$1,204.50
25% off
|
$121.23
|
$2,691.33
|
$1,485.55
|
2025-03-22
|
|
45300
|
HCPCS
|
Diagnostic Exam Of Rectum And Lower Large Bowel Using An Endoscope
|
12
|
12
|
$1,606.00
|
$1,204.50
25% off
|
$81.21
|
$2,691.33
|
$1,485.55
|
2025-03-22
|
|
25260
|
HCPCS
|
Primary Repair Of Tendon Or Muscle Of Palm Side Of Forearm Or Wrist
|
12
|
12
|
$1,603.75
|
$1,202.81
25% off
|
$930.18
|
$2,687.56
|
$1,483.47
|
2025-03-22
|
|
57100
|
HCPCS
|
Simple Biopsy Of Vaginal Mucous Membrane
|
12
|
12
|
$1,601.25
|
$1,200.94
25% off
|
$111.82
|
$2,683.37
|
$1,481.16
|
2025-03-22
|
|
57500
|
HCPCS
|
Biopsy Of Cervix Or Removal Of Growth
|
12
|
12
|
$1,601.25
|
$1,200.94
25% off
|
$127.70
|
$2,683.37
|
$1,481.16
|
2025-03-22
|
|
24500
|
HCPCS
|
Closed Treatment Of Broken Middle Part Of Upper Arm Bone
|
12
|
12
|
$1,548.75
|
$1,161.56
25% off
|
$265.33
|
$2,627.30
|
$1,471.31
|
2025-03-22
|
|
36576
|
HCPCS
|
Repair Of Central Venous Tube For Infusion With Port Or Pump
|
12
|
12
|
$1,569.75
|
$1,177.31
25% off
|
$314.85
|
$2,630.59
|
$1,452.02
|
2025-03-22
|
|
699
|
MS_DRG
|
Other Kidney And Urinary Tract Diagnoses With Cc
|
2
|
2
|
$1,501.47
|
$1,126.10
25% off
|
$1,396.37
|
$1,501.47
|
$1,448.92
|
2025-03-22
|
|
40652
|
HCPCS
|
Repair Of Vertical Lip Wound Extending To Half Of Lip
|
12
|
12
|
$1,563.84
|
$1,172.88
25% off
|
$601.45
|
$2,620.68
|
$1,446.56
|
2025-03-22
|
|
27786
|
HCPCS
|
Closed Treatment Of Broken Outside Lower Leg Bone At Ankle
|
12
|
12
|
$1,520.00
|
$1,140.00
25% off
|
$265.33
|
$2,578.53
|
$1,444.00
|
2025-03-22
|
|
J7307
|
HCPCS
|
Etonogestrel (contraceptive) Implant System, Including Implant And Supplies
|
12
|
12
|
$1,514.24
|
$1,135.68
25% off
|
$696.55
|
$2,568.76
|
$1,438.53
|
2025-03-22
|
|
12054
|
HCPCS
|
Intermediate Repair Of Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 7.6-1…
|
12
|
12
|
$1,554.00
|
$1,165.50
25% off
|
$373.70
|
$2,604.19
|
$1,437.45
|
2025-03-22
|
|
54163
|
HCPCS
|
Repair Of Incomplete Removal Of Foreskin
|
12
|
12
|
$1,508.75
|
$1,131.56
25% off
|
$265.33
|
$2,559.44
|
$1,433.31
|
2025-03-22
|
|
43761
|
HCPCS
|
Repositioning Of Oral Or Nasal Feeding Tube In Small Bowel
|
12
|
12
|
$1,544.50
|
$1,158.38
25% off
|
$177.14
|
$2,588.27
|
$1,428.66
|
2025-03-22
|
|
64640
|
HCPCS
|
Destruction Of Peripheral Nerve Or Branch
|
12
|
12
|
$1,536.50
|
$1,152.38
25% off
|
$198.91
|
$2,574.87
|
$1,421.26
|
2025-03-22
|
|
49083
|
HCPCS
|
Drainage Of Fluid From Abdominal Cavity Using Imaging Guidance
|
12
|
12
|
$1,534.00
|
$1,150.50
25% off
|
$183.02
|
$2,570.68
|
$1,418.95
|
2025-03-22
|
|
58611
|
HCPCS
|
Tying Or Incision Of Fallopian Tubes During Cesarean Delivery Or Other Abdominal…
|
12
|
12
|
$1,487.25
|
$1,115.44
25% off
|
$265.33
|
$2,522.97
|
$1,412.89
|
2025-03-22
|
|
74150
|
HCPCS
|
CT Scan Of Abdomen Without Contrast
|
36
|
12
|
$1,674.13
|
$1,255.60
25% off
|
$99.46
|
$2,839.99
|
$1,398.65
|
2025-03-22
|
|
3409999_1
|
CDM
|
Supplies Misc__3409999
|
12
|
12
|
$1,471.42
|
$1,103.57
25% off
|
$676.85
|
$2,496.12
|
$1,397.85
|
2025-03-22
|
|
70492
|
HCPCS
|
CT Scan Of Soft Tissue Of Neck Before And After Contrast
|
26
|
14
|
$2,275.50
|
$1,706.63
25% off
|
$135.94
|
$3,860.16
|
$1,396.83
|
2025-03-22
|
|
25560
|
HCPCS
|
Closed Treatment Of Broken Midpart Of Both Forearm Bones
|
12
|
12
|
$1,446.00
|
$1,084.50
25% off
|
$430.19
|
$2,423.21
|
$1,337.55
|
2025-03-22
|
|
23570
|
HCPCS
|
Closed Treatment Of Broken Shoulder Blade
|
12
|
12
|
$1,404.50
|
$1,053.38
25% off
|
$265.33
|
$2,382.59
|
$1,334.28
|
2025-03-22
|
|
24535
|
HCPCS
|
Closed Treatment Of Upper Arm Bone Broken At Elbow With Manipulation
|
12
|
12
|
$1,441.25
|
$1,080.94
25% off
|
$835.93
|
$2,415.25
|
$1,333.16
|
2025-03-22
|
|
13131
|
HCPCS
|
Complicated Repair Of Wound Of Forehead, Cheeks, Chin, Mouth, Neck, Underarms, G…
|
12
|
12
|
$1,438.25
|
$1,078.69
25% off
|
$414.30
|
$2,410.22
|
$1,330.38
|
2025-03-22
|
|
37617
|
HCPCS
|
Tying Of Major Artery Of The Abdomen
|
12
|
12
|
$1,385.50
|
$1,039.13
25% off
|
$803.59
|
$2,321.82
|
$1,330.09
|
2025-03-22
|
|
24675
|
HCPCS
|
Closed Treatment Of Broken Forearm Bone On Small Finger Side At Elbow With Manip…
|
12
|
12
|
$1,428.84
|
$1,071.63
25% off
|
$705.61
|
$2,394.45
|
$1,321.68
|
2025-03-22
|
|
87902
|
HCPCS
|
Analysis Test By Nucleic Acid For Hepatitis C Virus
|
14
|
14
|
$1,386.75
|
$1,040.06
25% off
|
$637.91
|
$2,352.48
|
$1,317.41
|
2025-03-22
|
|
23931
|
HCPCS
|
Drainage Of Fluid Filled Sac In Elbow Joint
|
12
|
12
|
$1,383.75
|
$1,037.81
25% off
|
$265.33
|
$2,347.39
|
$1,314.56
|
2025-03-22
|
|
74170
|
HCPCS
|
CT Scan Of Abdomen Before And After Contrast
|
26
|
14
|
$2,522.00
|
$1,891.50
25% off
|
$117.11
|
$4,278.32
|
$1,311.44
|
2025-03-22
|
|
17106
|
HCPCS
|
Destruction Of Birthmark, Less Than 10.0 Sq Cm
|
12
|
12
|
$1,376.50
|
$1,032.38
25% off
|
$265.33
|
$2,335.09
|
$1,307.68
|
2025-03-22
|
|
24600
|
HCPCS
|
Repair Of Dislocated Elbow
|
12
|
12
|
$1,372.00
|
$1,029.00
25% off
|
$265.33
|
$2,327.46
|
$1,303.40
|
2025-03-22
|
|
13101
|
HCPCS
|
Complicated Repair Of Wound Of Trunk, 2.6-7.5 Cm
|
12
|
12
|
$1,398.25
|
$1,048.69
25% off
|
$420.19
|
$2,343.19
|
$1,293.38
|
2025-03-22
|
|
42810
|
HCPCS
|
Removal Of Congenital Skin And Tissue Cyst Of Neck
|
12
|
12
|
$1,361.25
|
$1,020.94
25% off
|
$626.18
|
$2,309.22
|
$1,293.19
|
2025-03-22
|
|
12016
|
HCPCS
|
Simple Repair Of Surface Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 12.…
|
12
|
12
|
$1,363.50
|
$1,022.63
25% off
|
$221.86
|
$2,284.95
|
$1,261.24
|
2025-03-22
|
|
13121
|
HCPCS
|
Complicated Repair Of Wound Of Scalp, Arms, Or Legs, 2.6-7.5 Cm
|
22
|
12
|
$1,891.75
|
$1,418.81
25% off
|
$441.38
|
$3,170.19
|
$1,255.13
|
2025-03-22
|
|
71275
|
HCPCS
|
CT Scan Of Blood Vessels Of Chest With Contrast
|
24
|
12
|
$1,849.85
|
$1,387.39
25% off
|
$151.83
|
$5,161.21
|
$1,250.47
|
2025-03-22
|
|
11603
|
HCPCS
|
Removal Of Cancer Skin Growth Of Body, Arms, Or Legs, 2.1-3.0 Cm
|
12
|
12
|
$1,297.25
|
$972.94
25% off
|
$265.33
|
$2,200.65
|
$1,232.39
|
2025-03-22
|
|
11601
|
HCPCS
|
Removal Of Cancer Skin Growth Of Body, Arms, Or Legs, 0.6-1.0 Cm
|
12
|
12
|
$1,297.25
|
$972.94
25% off
|
$265.33
|
$2,200.65
|
$1,232.39
|
2025-03-22
|
|
11600
|
HCPCS
|
Removal Of Cancer Skin Growth Of Body, Arms, Or Legs, 0.5 Cm Or Less
|
12
|
12
|
$1,297.25
|
$972.94
25% off
|
$265.33
|
$2,200.65
|
$1,232.39
|
2025-03-22
|
|
40800
|
HCPCS
|
Simple Drainage Of Abscess, Cyst, Or Blood Accumulation Of Mouth
|
12
|
12
|
$1,297.25
|
$972.94
25% off
|
$265.33
|
$2,200.65
|
$1,232.39
|
2025-03-22
|
|
11622
|
HCPCS
|
Removal Of Cancer Skin Growth Of Scalp, Neck, Hands, Feet, Or Genitals, 1.1-2.0 …
|
12
|
12
|
$1,297.25
|
$972.94
25% off
|
$265.33
|
$2,200.65
|
$1,232.39
|
2025-03-22
|
|
11621
|
HCPCS
|
Removal Of Cancer Skin Growth Of Scalp, Neck, Hands, Feet, Or Genitals, 0.6-1.0 …
|
12
|
12
|
$1,297.25
|
$972.94
25% off
|
$265.33
|
$2,200.65
|
$1,232.39
|
2025-03-22
|
|
69000
|
HCPCS
|
Simple Drainage Of Abscess Or Blood Accumulation Of External Ear
|
12
|
12
|
$1,297.25
|
$972.94
25% off
|
$265.33
|
$2,200.65
|
$1,232.39
|
2025-03-22
|
|
28190
|
HCPCS
|
Removal Of Foreign Body Of Foot Tissue, Accessed Beneath The Skin
|
12
|
12
|
$1,297.25
|
$972.94
25% off
|
$265.33
|
$2,200.65
|
$1,232.39
|
2025-03-22
|
|
45381
|
HCPCS
|
Injection Beneath Lining Of Large Bowel Using A Flexible Endoscope
|
12
|
12
|
$1,324.17
|
$993.13
25% off
|
$340.74
|
$2,219.04
|
$1,224.86
|
2025-03-22
|
|
11604
|
HCPCS
|
Removal Of Cancer Skin Growth Of Body, Arms, Or Legs, 3.1-4.0 Cm
|
12
|
12
|
$1,297.25
|
$972.94
25% off
|
$360.16
|
$2,173.93
|
$1,199.96
|
2025-03-22
|
|
11442
|
HCPCS
|
Removal Of Noncancer Skin Growth Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 1…
|
12
|
12
|
$1,297.25
|
$972.94
25% off
|
$243.64
|
$2,173.93
|
$1,199.96
|
2025-03-22
|
|
11440
|
HCPCS
|
Removal Of Noncancer Skin Growth Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 0…
|
12
|
12
|
$1,297.25
|
$972.94
25% off
|
$173.02
|
$2,173.93
|
$1,199.96
|
2025-03-22
|
|
11403
|
HCPCS
|
Removal Of Noncancer Skin Growth Of Body, Arms, Or Legs, 2.1-3.0 Cm
|
12
|
12
|
$1,297.25
|
$972.94
25% off
|
$248.94
|
$2,173.93
|
$1,199.96
|
2025-03-22
|
|
11976
|
HCPCS
|
Removal Of Implantable Contraceptive Capsules
|
12
|
12
|
$1,297.25
|
$972.94
25% off
|
$160.66
|
$2,173.93
|
$1,199.96
|
2025-03-22
|
|
19000
|
HCPCS
|
Aspiration Of Cyst Of Breast, First Cyst
|
12
|
12
|
$1,297.25
|
$972.94
25% off
|
$74.15
|
$2,173.93
|
$1,199.96
|
2025-03-22
|
|
11642
|
HCPCS
|
Removal Of Cancer Skin Growth Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 1.1-…
|
12
|
12
|
$1,297.25
|
$972.94
25% off
|
$307.20
|
$2,173.93
|
$1,199.96
|
2025-03-22
|
|
11641
|
HCPCS
|
Removal Of Cancer Skin Growth Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 0.6-…
|
12
|
12
|
$1,297.25
|
$972.94
25% off
|
$261.88
|
$2,173.93
|
$1,199.96
|
2025-03-22
|
|
57454
|
HCPCS
|
Biopsy And Scraping Of Cervix Using An Endoscope
|
12
|
12
|
$1,292.00
|
$969.00
25% off
|
$228.93
|
$2,165.13
|
$1,195.10
|
2025-03-22
|
|
62272
|
HCPCS
|
Removal Of Cerebrospinal Fluid With Lower Back Spinal Tap
|
12
|
12
|
$1,256.25
|
$942.19
25% off
|
$265.33
|
$2,131.10
|
$1,193.44
|
2025-03-22
|
|
64435
|
HCPCS
|
Injection Of Anesthetic Agent And/or Steroid Into Uterus Nerve
|
12
|
12
|
$1,256.25
|
$942.19
25% off
|
$265.33
|
$2,131.10
|
$1,193.44
|
2025-03-22
|
|
13153
|
HCPCS
|
Complicated Repair Of Wound Of Eyelids, Nose, Ears, Or Lip, Each Additional 5.0 …
|
12
|
12
|
$1,252.75
|
$939.56
25% off
|
$265.33
|
$2,125.17
|
$1,190.11
|
2025-03-22
|
|
92950
|
HCPCS
|
Manual Attempt To Restore Blood Circulation And Breathing
|
12
|
12
|
$1,245.75
|
$934.31
25% off
|
$265.33
|
$2,113.29
|
$1,183.46
|
2025-03-22
|
|
3010006_1
|
CDM
|
Room & Board - Other - Sterile Environment
|
9
|
9
|
$1,235.00
|
$926.25
25% off
|
$716.30
|
$1,235.00
|
$1,173.25
|
2025-03-22
|
|
62270
|
HCPCS
|
Removal Of Cerebrospinal Fluid With Lower Back Spinal Tap For Diagnostic Test
|
36
|
12
|
$1,219.75
|
$914.81
25% off
|
$105.34
|
$4,267.84
|
$1,159.56
|
2025-03-22
|
|
73700
|
HCPCS
|
CT Scan Of Leg Without Contrast
|
36
|
12
|
$1,361.25
|
$1,020.94
25% off
|
$83.57
|
$2,380.03
|
$1,153.35
|
2025-03-22
|
|
54162
|
HCPCS
|
Removal Of Scar Tissue After Foreskin Removal
|
12
|
12
|
$1,235.00
|
$926.25
25% off
|
$338.39
|
$2,069.61
|
$1,142.38
|
2025-03-22
|
|
12035
|
HCPCS
|
Intermediate Repair Of Wound Of Scalp, Underarms, Trunk, Arms, Or Legs, 12.6-20.…
|
22
|
12
|
$1,317.00
|
$987.75
25% off
|
$408.42
|
$2,207.03
|
$1,134.32
|
2025-03-22
|
|
99465
|
HCPCS
|
Reviving Newborn At Delivery
|
12
|
12
|
$1,192.25
|
$894.19
25% off
|
$265.33
|
$2,022.53
|
$1,132.64
|
2025-03-22
|
|
71270
|
HCPCS
|
CT Scan Of Chest Before And After Contrast
|
24
|
12
|
$1,565.56
|
$1,174.17
25% off
|
$114.76
|
$4,196.66
|
$1,119.70
|
2025-03-22
|
|
23500
|
HCPCS
|
Closed Treatment Of Broken Collar Bone
|
12
|
12
|
$1,178.50
|
$883.88
25% off
|
$265.33
|
$1,999.21
|
$1,119.58
|
2025-03-22
|
|
99466
|
HCPCS
|
Critical Care During Transport Between Facilities, First 30-74 Minutes (2 Years …
|
12
|
12
|
$1,204.50
|
$903.38
25% off
|
$396.65
|
$2,018.50
|
$1,114.16
|
2025-03-22
|
|
26755
|
HCPCS
|
Closed Treatment Of Broken End Of Finger Or Thumb With Manipulation
|
12
|
12
|
$1,151.25
|
$863.44
25% off
|
$265.33
|
$1,952.98
|
$1,093.69
|
2025-03-22
|
|
26600
|
HCPCS
|
Closed Treatment Of Broken Hand Bone
|
12
|
12
|
$1,151.25
|
$863.44
25% off
|
$265.33
|
$1,952.98
|
$1,093.69
|
2025-03-22
|
|
72133
|
HCPCS
|
CT Scan Of Lower Spine Before And After Contrast
|
24
|
12
|
$1,498.59
|
$1,123.94
25% off
|
$105.34
|
$3,969.44
|
$1,088.89
|
2025-03-22
|
|
3010020_1
|
CDM
|
Coronary Care Unit - General Classification
|
9
|
9
|
$1,138.00
|
$853.50
25% off
|
$660.04
|
$1,138.00
|
$1,081.10
|
2025-03-22
|
|
12053
|
HCPCS
|
Intermediate Repair Of Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 5.1-7…
|
12
|
12
|
$1,147.75
|
$860.81
25% off
|
$364.87
|
$1,923.40
|
$1,061.67
|
2025-03-22
|
|
99285
|
HCPCS
|
Emergency Department Visit With High Level Of Medical Decision Making
|
24
|
12
|
$1,216.27
|
$912.20
25% off
|
$288.95
|
$2,271.12
|
$1,060.94
|
2025-03-22
|
|
72132
|
HCPCS
|
CT Scan Of Lower Spine With Contrast
|
26
|
14
|
$1,997.25
|
$1,497.94
25% off
|
$101.81
|
$3,388.13
|
$1,038.58
|
2025-03-22
|
|
13120
|
HCPCS
|
Complicated Repair Of Wound Of Scalp, Arms, Or Legs, 1.1-2.5 Cm
|
12
|
12
|
$1,090.00
|
$817.50
25% off
|
$265.33
|
$1,849.08
|
$1,035.50
|
2025-03-22
|
|
11000
|
HCPCS
|
Removal Of Inflamed Or Infected Skin, Up To 10% Of Body Surface
|
12
|
12
|
$1,090.00
|
$817.50
25% off
|
$265.33
|
$1,849.08
|
$1,035.50
|
2025-03-22
|
|
70470
|
HCPCS
|
CT Scan Of Head Or Brain Before And After Contrast
|
24
|
12
|
$1,380.82
|
$1,035.62
25% off
|
$105.93
|
$3,569.89
|
$1,034.72
|
2025-03-22
|
|
26770
|
HCPCS
|
Closed Treatment Of Dislocated Finger Joint With Manipulation
|
12
|
12
|
$1,117.50
|
$838.13
25% off
|
$436.08
|
$1,872.71
|
$1,033.69
|
2025-03-22
|
|
26700
|
HCPCS
|
Closed Treatment Of Dislocated Hand Joint At Base Of Finger With Manipulation
|
24
|
12
|
$1,106.89
|
$830.17
25% off
|
$265.33
|
$1,952.98
|
$1,030.66
|
2025-03-22
|
|
30905
|
HCPCS
|
Initial Control Of Nose Bleed And Insertion Of Packing
|
12
|
12
|
$1,074.25
|
$805.69
25% off
|
$265.33
|
$1,822.36
|
$1,020.54
|
2025-03-22
|
|
73201
|
HCPCS
|
CT Scan Of Arm With Contrast
|
48
|
12
|
$1,126.38
|
$844.79
25% off
|
$96.51
|
$1,921.75
|
$1,013.74
|
2025-03-22
|
|
55000
|
HCPCS
|
Aspiration Of Fluid Collection In Testicle And Sperm Reservoir
|
12
|
12
|
$1,064.75
|
$798.56
25% off
|
$265.33
|
$1,806.24
|
$1,011.51
|
2025-03-22
|
|
13100
|
HCPCS
|
Complicated Repair Of Wound Of Trunk, 1.1-2.5 Cm
|
12
|
12
|
$1,090.00
|
$817.50
25% off
|
$341.92
|
$1,826.62
|
$1,008.25
|
2025-03-22
|
|
12044
|
HCPCS
|
Intermediate Repair Of Wound Of Neck, Hands, Feet, Or Genitals, 7.6-12.5 Cm
|
12
|
12
|
$1,090.00
|
$817.50
25% off
|
$362.52
|
$1,826.62
|
$1,008.25
|
2025-03-22
|
|
12020
|
HCPCS
|
Simple Closure Of Surface Wound Reopening
|
12
|
12
|
$1,090.00
|
$817.50
25% off
|
$319.56
|
$1,826.62
|
$1,008.25
|
2025-03-22
|
|
11043
|
HCPCS
|
Removal Of Muscle And/or Tissue, 20.0 Sq Cm Or Less
|
12
|
12
|
$1,090.00
|
$817.50
25% off
|
$263.06
|
$1,826.62
|
$1,008.25
|
2025-03-22
|
|
11760
|
HCPCS
|
Repair Of Fingernail Or Toenail Bed
|
12
|
12
|
$1,090.00
|
$817.50
25% off
|
$193.62
|
$1,826.62
|
$1,008.25
|
2025-03-22
|
|
71260
|
HCPCS
|
CT Scan Of Chest With Contrast
|
24
|
12
|
$1,320.11
|
$990.09
25% off
|
$104.16
|
$3,363.91
|
$1,006.80
|
2025-03-22
|
|
26605
|
HCPCS
|
Closed Treatment Of Broken Hand Bone With Manipulation
|
24
|
12
|
$1,217.53
|
$913.15
25% off
|
$265.33
|
$2,379.20
|
$1,001.59
|
2025-03-22
|
|
12052
|
HCPCS
|
Intermediate Repair Of Wound Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 2.6-5…
|
12
|
12
|
$1,079.50
|
$809.63
25% off
|
$337.80
|
$1,809.03
|
$998.54
|
2025-03-22
|
|
12006
|
HCPCS
|
Simple Repair Of Surface Wound Of Scalp, Neck, Underarms, Trunk, Arms, Or Legs, …
|
22
|
12
|
$1,019.25
|
$764.44
25% off
|
$201.86
|
$1,867.78
|
$988.67
|
2025-03-22
|
|
882
|
MS_DRG
|
Neuroses Except Depressive
|
2
|
2
|
$1,022.75
|
$767.06
25% off
|
$951.16
|
$1,022.75
|
$986.95
|
2025-03-22
|
|
54700
|
HCPCS
|
Incision And Drainage Of Sperm Reservoir, Testis, And/or Scrotal Area
|
12
|
12
|
$1,065.75
|
$799.31
25% off
|
$363.69
|
$1,785.98
|
$985.82
|
2025-03-22
|
|
41100
|
HCPCS
|
Biopsy Of Front 2/3 Of Tongue
|
12
|
12
|
$1,064.75
|
$798.56
25% off
|
$177.73
|
$1,784.31
|
$984.89
|
2025-03-22
|