Hospital

PAWNEE COUNTY MEMORIAL HOSPITAL

Pawnee City, NE · CCN 281302 · Rates published

Your selected procedure

You selected G0121 (HCPCS)

Colonoscopy Medicare Screening

This hospital’s price: $1,861 across 7 payers · range $1,381-$1,921

Source: https://secure.claraprice.net/price-transparency/VVKZ-1769396935421/machine-readable/363169688_pawnee-county-memorial-hospital_standardcharges.json · observed 2026-03-12

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

2,360 distinct procedures filed

7 distinct payers

28,890 rate rows

2026-03-12 last MRF observed

Data quality

28,775 of 28,890 rate rows are consumer-grade (99.6%)

115 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reason	Rows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	79
exceeds 10× this hospital's gross charge — excluded from medians	36

Data source & audit trail ↓ Download audit trail (JSON)

Source MRF file	https://secure.claraprice.net/price-transparency/VVKZ-1769396935421/machine-readable/363169688_pawnee-county-memorial-hospital_standardcharges.json
Found on page	https://secure.claraprice.net/price-transparency/pawnee-county-memorial-hospital-ne
Discovered via	CMS hospital list
Last fetch	success · 2026-09-25
Content fingerprint	9543902cf3ba4412… · 7,740,914 bytes · first seen 2026-09-25

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code	Description	Payers	Min $	Max $	Avg median	vs national
J9228 HCPCS	Ipilimumab 5mg/ml 10ml Vial	7	$9,308.00	$51,801.00	$25,091.00	nat. median $8,966 outlier · 2.8×
J9272 HCPCS	Dostarlimab 50mg/ml 10ml Vial	7	$12,614.00	$17,550.00	$17,001.00	nat. median $786 outlier · 21.6×
17308 CPT	Dostarlimab 50mg/ml 10ml Vial	7	$12,614.00	$17,550.00	$17,001.00	nat. median $317 outlier · 53.6×
J9144 HCPCS	Daratumumab-hylds120mg-2000u/ml 15mlvial	7	$9,286.00	$12,920.00	$12,516.00	nat. median $211 outlier · 59.2×
J3101 HCPCS	Tenecteplase 50mg IV Inj	7	$8,948.00	$12,449.00	$12,060.00	nat. median $3,787 outlier · 3.2×
4305556 CDM	Tenecteplase 50mg IV Inj	7	$8,948.00	$12,449.00	$12,060.00	nat. median $12,060 1.0× median
33734 CPT	Nivolumab 10mg/ml 24ml Vial	7	$8,495.00	$11,820.00	$11,450.00	nat. median $15,325 0.7× median
J9271 HCPCS	Pembrolizumab 25mg/ml 4ml Sdv	7	$6,434.00	$8,951.00	$8,671.00	nat. median $275 outlier · 31.6×
63026 CPT	Pembrolizumab 25mg/ml 4ml Sdv	7	$6,434.00	$8,951.00	$8,671.00	nat. median $9,386 0.9× median
78816 CPT	Nm PET Scan	7	$5,382.00	$7,488.00	$7,254.00	nat. median $2,793 outlier · 2.6×
J0517 HCPCS	Benralizumab 30mg/ml 1ml	7	$5,261.00	$7,320.00	$7,091.00	nat. median $919 outlier · 7.7×
J9299 HCPCS	Nivolumab 10mg/ml 10ml Vial	7	$3,402.00	$11,820.00	$6,614.50	nat. median $2,849 outlier · 2.3×
J2353 HCPCS	Octreotide Acetate 20mg	7	$4,785.00	$8,828.00	$6,553.50	nat. median $5,623 1.2× median
4301289 CDM	Pegfilgrastim 6mg/0.6ml	7	$4,853.00	$6,752.00	$6,541.00	nat. median $2 outlier · 2626.9×
J2506 HCPCS	Neulasta Onpro Kit 6mg/0.6ml	7	$4,833.00	$6,752.00	$6,528.00	nat. median $1,659 outlier · 3.9×
78081 CPT	Octreotide Acetate 20mg	7	$4,802.00	$6,681.00	$6,472.00	nat. median $875 outlier · 7.4×
78815 CPT	Nm PET Skull Base To Mid Thi	7	$4,306.00	$5,990.00	$5,803.00	nat. median $2,822 outlier · 2.1×
74174 CPT	CT Angio Abd&plvis Cntrst Mtrl W/wo Cnt	7	$3,933.00	$5,472.00	$5,301.00	nat. median $998 outlier · 5.3×
74178 CPT	CT Abd/pelv Combo W W/out	7	$3,732.00	$5,192.00	$5,029.00	nat. median $1,027 outlier · 4.9×
J1306 HCPCS	Inclisiran Sod 284mg/1.5ml Syringe	7	$3,626.00	$5,045.00	$4,887.00	nat. median $44 outlier · 111.8×
78100 CPT	Inclisiran Sod 284mg/1.5ml Syringe	7	$3,626.00	$5,045.00	$4,887.00	nat. median $5,147 0.9× median
4309943 CDM	Denosumab 120mg Inj	7	$3,543.00	$4,930.00	$4,776.00	nat. median $4,776 1.0× median
J2997 HCPCS	Alteplase 100mg IV Vial	7	$194.00	$12,708.00	$4,702.00	nat. median $500 outlier · 9.4×
4301943 CDM	Hyperrab 1500 Iu5 Ml	7	$3,456.00	$4,809.00	$4,658.00	nat. median $6 outlier · 729.0×
33774 CPT	Nivolumab 10mg/ml 10ml Vial	7	$3,402.00	$4,734.00	$4,586.00	nat. median $3,839 1.2× median
74177 CPT	CT Scan Of Abdomen And Pelvis With Contrast	7	$3,284.00	$4,569.00	$4,426.00	nat. median $976 outlier · 4.5×
74183 CPT	MRI Abdomen W Without	7	$3,105.00	$4,320.00	$4,185.00	nat. median $1,105 outlier · 3.8×
72156 CPT	MRI Cervical Spine W& Without	7	$2,985.00	$4,153.00	$4,023.00	nat. median $1,110 outlier · 3.6×
72157 CPT	MRI Thoracic Spine W&without	7	$2,985.00	$4,153.00	$4,023.00	nat. median $1,114 outlier · 3.6×
72158 CPT	MRI Lumbar Spine W & Without	7	$2,985.00	$4,153.00	$4,023.00	nat. median $1,097 outlier · 3.7×
4309629 CDM	Romosozumab-aqqg 210mg Inj	7	$2,952.00	$4,107.00	$3,979.00	nat. median $3,979 1.0× median
70553 CPT	MRI Scan	7	$2,910.00	$4,049.00	$3,923.00	nat. median $1,136 outlier · 3.5×
78452 CPT	Nm Spect Cardiac Scan	7	$2,910.00	$4,049.00	$3,923.00	nat. median $1,822 outlier · 2.2×
69024 CPT	Rituximab-pvvr 100mg/10ml 50ml Vial	7	$2,840.00	$3,951.00	$3,828.00	nat. median $2,712 1.4× median
Q5119 HCPCS	Rituximab-pvvr 100mg/10ml 50ml Vial	7	$2,840.00	$3,951.00	$3,828.00	nat. median $831 outlier · 4.6×
4301490 CDM	Zoladex 10.8mg	7	$2,838.00	$3,948.00	$3,825.00	nat. median $3,825 1.0× median
J9202 HCPCS	Zoladex 10.8mg	7	$2,838.00	$3,948.00	$3,825.00	nat. median $1,833 outlier · 2.1×
4306824 CDM	Eflapegrastim-xnst 13.2mg/0.6ml Syr	7	$2,835.00	$3,944.00	$3,820.00	nat. median $3,820 1.0× median
J1449 HCPCS	Eflapegrastim-xnst 13.2mg/0.6ml Syr	7	$2,835.00	$3,944.00	$3,820.00	nat. median $30 outlier · 127.4×
J3111 HCPCS	Romosozumab-aqqg 210mg Inj	7	$2,811.00	$3,911.00	$3,789.00	nat. median $696 outlier · 5.4×
74176 CPT	CT Combo Abd/pelv Without Con	7	$2,761.00	$3,842.00	$3,722.00	nat. median $694 outlier · 5.4×
4301150 CDM	Abilify Maintena 400mg Injection ER	7	$2,745.00	$3,819.00	$3,700.00	nat. median $1 outlier · 3303.6×
74182 CPT	MRI Abdomen With Contrast	7	$2,691.00	$3,744.00	$3,627.00	nat. median $976 outlier · 3.7×
70552 CPT	MRI Brain With Contrast	7	$2,691.00	$3,744.00	$3,627.00	nat. median $965 outlier · 3.8×
73723 CPT	MRI Low Extrm Joint W&without	7	$2,574.00	$3,582.00	$3,470.00	nat. median $1,199 outlier · 2.9×
J9218 HCPCS	Leuprolide 45mg IM Inj	7	$698.00	$8,281.00	$3,461.50	nat. median $326 outlier · 10.6×
70551 CPT	MRI Brain Without Contrast	7	$2,545.00	$3,540.00	$3,430.00	nat. median $787 outlier · 4.4×
72142 CPT	MRI Cervical Spine W/cont	7	$2,537.00	$3,530.00	$3,420.00	nat. median $978 outlier · 3.5×
72147 CPT	MRI Thoracic Spine W/cont	7	$2,537.00	$3,530.00	$3,420.00	nat. median $972 outlier · 3.5×
95811 CPT	Polysomn W Cpap	7	$2,512.00	$3,494.00	$3,385.00	nat. median $1,894 1.8× median

Other procedures at this hospital

Browse this hospital's 2,360 published procedures. Use the slice to choose what to show, then sort or filter any column.

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code	Type	Description	Rate rows	Payers	Gross	Cash	Min $	Max $	Avg median	Last observed

J9228	HCPCS	Ipilimumab 5mg/ml 10ml Vial	22	7	$33,724.50	$26,979.50 20% off	$9,308.00	$51,801.00	$25,091.00	2026-03-12
J9272	HCPCS	Dostarlimab 50mg/ml 10ml Vial	11	7	$18,281.00	$14,625.00	$12,614.00	$17,550.00	$17,001.00	2026-03-12
17308	CPT	Dostarlimab 50mg/ml 10ml Vial	11	7	$18,281.00	$14,625.00	$12,614.00	$17,550.00	$17,001.00	2026-03-12
J9144	HCPCS	Daratumumab-hylds120mg-2000u/ml 15mlvial	11	7	$13,458.00	$10,766.00 20% off	$9,286.00	$12,920.00	$12,516.00	2026-03-12
J3101	HCPCS	Tenecteplase 50mg IV Inj	11	7	$12,968.00	$10,374.00 20% off	$8,948.00	$12,449.00	$12,060.00	2026-03-12
4305556	CDM	Tenecteplase 50mg IV Inj	11	7	$12,968.00	$10,374.00 20% off	$8,948.00	$12,449.00	$12,060.00	2026-03-12
33734	CPT	Nivolumab 10mg/ml 24ml Vial	11	7	$12,312.00	$9,850.00	$8,495.00	$11,820.00	$11,450.00	2026-03-12
63026	CPT	Pembrolizumab 25mg/ml 4ml Sdv	11	7	$9,324.00	$7,459.00 20% off	$6,434.00	$8,951.00	$8,671.00	2026-03-12
J9271	HCPCS	Pembrolizumab 25mg/ml 4ml Sdv	11	7	$9,324.00	$7,459.00 20% off	$6,434.00	$8,951.00	$8,671.00	2026-03-12
78816	CPT	Nm PET Scan	11	7	$7,800.00	$6,240.00 20% off	$5,382.00	$7,488.00	$7,254.00	2026-03-12
J0517	HCPCS	Benralizumab 30mg/ml 1ml	11	7	$7,625.00	$6,100.00 20% off	$5,261.00	$7,320.00	$7,091.00	2026-03-12
J9299	HCPCS	Nivolumab 10mg/ml 10ml Vial	22	7	$8,621.50	$6,897.50	$3,402.00	$11,820.00	$6,614.50	2026-03-12
J2353	HCPCS	Octreotide Acetate 20mg	22	7	$8,065.50	$6,452.50	$4,785.00	$8,828.00	$6,553.50	2026-03-12
4301289	CDM	Pegfilgrastim 6mg/0.6ml	11	7	$7,033.00	$5,626.00 20% off	$4,853.00	$6,752.00	$6,541.00	2026-03-12
J2506	HCPCS	Neulasta Onpro Kit 6mg/0.6ml	22	7	$7,019.00	$5,615.00 20% off	$4,833.00	$6,752.00	$6,528.00	2026-03-12
78081	CPT	Octreotide Acetate 20mg	11	7	$6,959.00	$5,567.00 20% off	$4,802.00	$6,681.00	$6,472.00	2026-03-12
78815	CPT	Nm PET Skull Base To Mid Thi	11	7	$6,240.00	$4,992.00 20% off	$4,306.00	$5,990.00	$5,803.00	2026-03-12
74174	CPT	CT Angio Abd&plvis Cntrst Mtrl W/wo Cnt	11	7	$5,700.00	$4,560.00 20% off	$3,933.00	$5,472.00	$5,301.00	2026-03-12
74178	CPT	CT Abd/pelv Combo W W/out	11	7	$5,408.00	$4,326.00 20% off	$3,732.00	$5,192.00	$5,029.00	2026-03-12
J1306	HCPCS	Inclisiran Sod 284mg/1.5ml Syringe	11	7	$5,255.00	$4,204.00 20% off	$3,626.00	$5,045.00	$4,887.00	2026-03-12
78100	CPT	Inclisiran Sod 284mg/1.5ml Syringe	11	7	$5,255.00	$4,204.00 20% off	$3,626.00	$5,045.00	$4,887.00	2026-03-12
4309943	CDM	Denosumab 120mg Inj	11	7	$5,135.00	$4,108.00 20% off	$3,543.00	$4,930.00	$4,776.00	2026-03-12
J2997	HCPCS	Alteplase 100mg IV Vial	22	7	$6,759.00	$5,407.50	$194.00	$12,708.00	$4,702.00	2026-03-12
4301943	CDM	Hyperrab 1500 Iu5 Ml	11	7	$5,009.00	$4,007.00 20% off	$3,456.00	$4,809.00	$4,658.00	2026-03-12
33774	CPT	Nivolumab 10mg/ml 10ml Vial	11	7	$4,931.00	$3,945.00	$3,402.00	$4,734.00	$4,586.00	2026-03-12
74177	CPT	CT Scan Of Abdomen And Pelvis With Contrast	11	7	$4,759.00	$3,807.00 20% off	$3,284.00	$4,569.00	$4,426.00	2026-03-12
74183	CPT	MRI Abdomen W Without	11	7	$4,500.00	$3,600.00 20% off	$3,105.00	$4,320.00	$4,185.00	2026-03-12
72156	CPT	MRI Cervical Spine W& Without	11	7	$4,326.00	$3,461.00	$2,985.00	$4,153.00	$4,023.00	2026-03-12
72157	CPT	MRI Thoracic Spine W&without	11	7	$4,326.00	$3,461.00	$2,985.00	$4,153.00	$4,023.00	2026-03-12
72158	CPT	MRI Lumbar Spine W & Without	11	7	$4,326.00	$3,461.00	$2,985.00	$4,153.00	$4,023.00	2026-03-12
4309629	CDM	Romosozumab-aqqg 210mg Inj	11	7	$4,278.00	$3,422.00 20% off	$2,952.00	$4,107.00	$3,979.00	2026-03-12
78452	CPT	Nm Spect Cardiac Scan	11	7	$4,218.00	$3,374.00 20% off	$2,910.00	$4,049.00	$3,923.00	2026-03-12
70553	CPT	MRI Scan	11	7	$4,218.00	$3,374.00 20% off	$2,910.00	$4,049.00	$3,923.00	2026-03-12
Q5119	HCPCS	Rituximab-pvvr 100mg/10ml 50ml Vial	11	7	$4,116.00	$3,293.00	$2,840.00	$3,951.00	$3,828.00	2026-03-12
69024	CPT	Rituximab-pvvr 100mg/10ml 50ml Vial	11	7	$4,116.00	$3,293.00	$2,840.00	$3,951.00	$3,828.00	2026-03-12
4301490	CDM	Zoladex 10.8mg	11	7	$4,113.00	$3,290.00 20% off	$2,838.00	$3,948.00	$3,825.00	2026-03-12
J9202	HCPCS	Zoladex 10.8mg	11	7	$4,113.00	$3,290.00 20% off	$2,838.00	$3,948.00	$3,825.00	2026-03-12
4306824	CDM	Eflapegrastim-xnst 13.2mg/0.6ml Syr	11	7	$4,108.00	$3,286.00 20% off	$2,835.00	$3,944.00	$3,820.00	2026-03-12
J1449	HCPCS	Eflapegrastim-xnst 13.2mg/0.6ml Syr	11	7	$4,108.00	$3,286.00 20% off	$2,835.00	$3,944.00	$3,820.00	2026-03-12
J3111	HCPCS	Romosozumab-aqqg 210mg Inj	11	7	$4,074.00	$3,259.00 20% off	$2,811.00	$3,911.00	$3,789.00	2026-03-12
74176	CPT	CT Combo Abd/pelv Without Con	11	7	$4,002.00	$3,202.00	$2,761.00	$3,842.00	$3,722.00	2026-03-12
4301150	CDM	Abilify Maintena 400mg Injection ER	11	7	$3,978.00	$3,182.00 20% off	$2,745.00	$3,819.00	$3,700.00	2026-03-12
74182	CPT	MRI Abdomen With Contrast	11	7	$3,900.00	$3,120.00 20% off	$2,691.00	$3,744.00	$3,627.00	2026-03-12
70552	CPT	MRI Brain With Contrast	11	7	$3,900.00	$3,120.00 20% off	$2,691.00	$3,744.00	$3,627.00	2026-03-12
73723	CPT	MRI Low Extrm Joint W&without	11	7	$3,731.00	$2,985.00	$2,574.00	$3,582.00	$3,470.00	2026-03-12
J9218	HCPCS	Leuprolide 45mg IM Inj	22	7	$4,818.50	$3,855.00	$698.00	$8,281.00	$3,461.50	2026-03-12
70551	CPT	MRI Brain Without Contrast	11	7	$3,688.00	$2,950.00 20% off	$2,545.00	$3,540.00	$3,430.00	2026-03-12
72142	CPT	MRI Cervical Spine W/cont	11	7	$3,677.00	$2,942.00	$2,537.00	$3,530.00	$3,420.00	2026-03-12
72147	CPT	MRI Thoracic Spine W/cont	11	7	$3,677.00	$2,942.00	$2,537.00	$3,530.00	$3,420.00	2026-03-12
95811	CPT	Polysomn W Cpap	11	7	$3,640.00	$2,912.00 20% off	$2,512.00	$3,494.00	$3,385.00	2026-03-12
36561	CPT	Insert Central Venous Access Device	11	7	$3,552.00	$2,842.00	$2,451.00	$3,410.00	$3,303.00	2026-03-12
78451	CPT	Nm Thalium Scan	11	7	$3,550.00	$2,840.00 20% off	$2,450.00	$3,408.00	$3,302.00	2026-03-12
74181	CPT	MRI Abdomen Without Contrast	11	7	$3,500.00	$2,800.00 20% off	$2,415.00	$3,360.00	$3,255.00	2026-03-12
70543	CPT	MRI Orbit Face Neck W&without	11	7	$3,489.00	$2,791.00 20% off	$2,407.00	$3,349.00	$3,245.00	2026-03-12
72197	CPT	MRI Pelvis W/&without	11	7	$3,488.00	$2,790.00 20% off	$2,407.00	$3,348.00	$3,244.00	2026-03-12
73223	CPT	MRI Up Extrm Joint W&without	11	7	$3,488.00	$2,790.00 20% off	$2,407.00	$3,348.00	$3,244.00	2026-03-12
73722	CPT	MRI Low Extrm Joint W/con	11	7	$3,463.00	$2,770.00 20% off	$2,389.00	$3,324.00	$3,221.00	2026-03-12
72149	CPT	MRI Lumbar Spine W/cont	11	7	$3,461.00	$2,769.00	$2,388.00	$3,323.00	$3,219.00	2026-03-12
70549	CPT	MRA Of Neck W/wo	11	7	$3,434.00	$2,747.00 20% off	$2,369.00	$3,297.00	$3,194.00	2026-03-12
71275	CPT	CTA Chest	11	7	$3,407.00	$2,726.00	$2,351.00	$3,271.00	$3,169.00	2026-03-12
J0897	HCPCS	Denosumab 120mg Inj	22	7	$3,953.50	$3,163.00	$1,926.00	$4,911.00	$3,104.50	2026-03-12
72141	CPT	MRI Cervical Spine Without	11	7	$3,319.00	$2,655.00 20% off	$2,290.00	$3,186.00	$3,087.00	2026-03-12
72146	CPT	MRI Thoracic Spine Without	11	7	$3,319.00	$2,655.00 20% off	$2,290.00	$3,186.00	$3,087.00	2026-03-12
72148	CPT	MRI Scan Of Lower Spinal Canal	11	7	$3,319.00	$2,655.00 20% off	$2,290.00	$3,186.00	$3,087.00	2026-03-12
95810	CPT	Sleep Study	11	7	$3,299.00	$2,639.00 20% off	$2,276.00	$3,167.00	$3,068.00	2026-03-12
71270	CPT	CT Chest W Without Con	11	7	$3,245.00	$2,596.00 20% off	$2,239.00	$3,115.00	$3,018.00	2026-03-12
70544	CPT	MRA Head Without Contrast	11	7	$3,191.00	$2,553.00	$2,202.00	$3,063.00	$2,968.00	2026-03-12
74170	CPT	CT Abd W Without Cont	11	7	$3,137.00	$2,510.00	$2,165.00	$3,012.00	$2,917.00	2026-03-12
4301149	CDM	Abilify Maintena 300mg Injection ER	11	7	$3,113.00	$2,490.00 20% off	$2,148.00	$2,988.00	$2,895.00	2026-03-12
J0401	HCPCS	Abilify Maintena 300mg Injection ER	22	7	$3,494.50	$2,795.50 20% off	$2,078.00	$3,819.00	$2,845.00	2026-03-12
78466	CPT	Nm Myocardial Infarct Imagng	11	7	$3,039.00	$2,431.00 20% off	$2,097.00	$2,917.00	$2,826.00	2026-03-12
78454	CPT	Nm Myocardial Perfusion	11	7	$3,039.00	$2,431.00 20% off	$2,097.00	$2,917.00	$2,826.00	2026-03-12
73702	CPT	CT Low Extrm With Out Cont	11	7	$3,016.00	$2,413.00	$2,081.00	$2,895.00	$2,805.00	2026-03-12
90375	CPT	Hyperrab 1500 Iu5 Ml	33	7	$3,005.00	$2,404.00 20% off	$691.00	$4,809.00	$2,795.00	2026-03-12
74364	CPT	Leuprolide 7.5mg IM Inj	11	7	$2,974.00	$2,379.00 20% off	$2,052.00	$2,855.00	$2,766.00	2026-03-12
73219	CPT	MRI Ue Non Joint With	11	7	$2,920.00	$2,336.00 20% off	$2,015.00	$2,803.00	$2,716.00	2026-03-12
72194	CPT	CT Pelvis W & Without	11	7	$2,920.00	$2,336.00 20% off	$2,015.00	$2,803.00	$2,716.00	2026-03-12
72196	CPT	MRI Pelvis With	11	7	$2,893.00	$2,314.00 20% off	$1,996.00	$2,777.00	$2,690.00	2026-03-12
73720	CPT	MRI Le Non Joint W/&without	11	7	$2,893.00	$2,314.00 20% off	$1,996.00	$2,777.00	$2,690.00	2026-03-12
71551	CPT	MRI Chest W Cont	11	7	$2,893.00	$2,314.00 20% off	$1,996.00	$2,777.00	$2,690.00	2026-03-12
72195	CPT	MRI Pelvis Without	11	7	$2,849.00	$2,279.00 20% off	$1,966.00	$2,735.00	$2,650.00	2026-03-12
73218	CPT	MRI Ue Non Joint Without	11	7	$2,812.00	$2,250.00	$1,940.00	$2,700.00	$2,615.00	2026-03-12
73719	CPT	MRI Le Non Joint With	11	7	$2,812.00	$2,250.00	$1,940.00	$2,700.00	$2,615.00	2026-03-12
70492	CPT	CT Neck W Without Cont	11	7	$2,812.00	$2,250.00	$1,940.00	$2,700.00	$2,615.00	2026-03-12
72130	CPT	CT Thoracic Spine Without Contrast	11	7	$2,808.00	$2,246.00 20% off	$1,938.00	$2,696.00	$2,611.00	2026-03-12
69034	CPT	Bevacizumab-bvzr 25mg/ml 16ml Vial	11	7	$2,792.00	$2,234.00	$1,926.00	$2,680.00	$2,597.00	2026-03-12
4309813	CDM	Denosumab 60mg Inj	11	7	$2,791.00	$2,233.00	$1,926.00	$2,679.00	$2,596.00	2026-03-12
45390	CPT	Colonoscopy, Flex With Endo Mus Resc	11	7	$2,758.00	$2,206.00 20% off	$1,903.00	$2,648.00	$2,565.00	2026-03-12
73718	CPT	MRI Le Non Joint Without	11	7	$2,758.00	$2,206.00 20% off	$1,903.00	$2,648.00	$2,565.00	2026-03-12
73721	CPT	MRI Scan Of Leg Joint	11	7	$2,758.00	$2,206.00 20% off	$1,903.00	$2,648.00	$2,565.00	2026-03-12
4302589	CDM	Fulphila 6mg/0.6ml Syr	11	7	$2,720.00	$2,176.00 20% off	$1,877.00	$2,611.00	$2,530.00	2026-03-12
Q5108	HCPCS	Fulphila 6mg/0.6ml Syr	11	7	$2,720.00	$2,176.00 20% off	$1,877.00	$2,611.00	$2,530.00	2026-03-12
70470	CPT	CT Head W Without Con	11	7	$2,704.00	$2,163.00 20% off	$1,866.00	$2,596.00	$2,515.00	2026-03-12
74160	CPT	CT Abd W Cont	11	7	$2,704.00	$2,163.00 20% off	$1,866.00	$2,596.00	$2,515.00	2026-03-12
45384	CPT	Colonoscopy With Hot Bx Forcep	11	7	$2,667.00	$2,134.00	$1,840.00	$2,560.00	$2,480.00	2026-03-12
72193	CPT	CT Scan Of Pelvis With Contrast	11	7	$2,650.00	$2,120.00 20% off	$1,828.00	$2,544.00	$2,465.00	2026-03-12
70482	CPT	CT Orb/ear/fos With & Without Cont	11	7	$2,596.00	$2,077.00	$1,791.00	$2,492.00	$2,414.00	2026-03-12
71260	CPT	CT Chest W Cont	11	7	$2,596.00	$2,077.00	$1,791.00	$2,492.00	$2,414.00	2026-03-12
73222	CPT	MRI Up Extrm Joint W/cont	11	7	$2,596.00	$2,077.00	$1,791.00	$2,492.00	$2,414.00	2026-03-12
81455	CPT	Myeloid Mutations Panel	11	7	$2,556.00	$2,045.00	$1,764.00	$2,454.00	$2,377.00	2026-03-12
70542	CPT	MRI Orbit Face Neck W/con	11	7	$2,542.00	$2,034.00	$1,754.00	$2,440.00	$2,364.00	2026-03-12
70540	CPT	MRI Orbit Face Neck Without	11	7	$2,503.00	$2,002.00 20% off	$1,727.00	$2,403.00	$2,328.00	2026-03-12
73701	CPT	CT Low Extrm W Cont	11	7	$2,500.00	$2,000.00 20% off	$1,725.00	$2,400.00	$2,325.00	2026-03-12
72131	CPT	CT Lumbar Spine Without Cont	11	7	$2,488.00	$1,990.00 20% off	$1,717.00	$2,388.00	$2,314.00	2026-03-12
70491	CPT	CT Neck W Cont	11	7	$2,488.00	$1,990.00 20% off	$1,717.00	$2,388.00	$2,314.00	2026-03-12
72128	CPT	CT Thor Spine Without Cont	11	7	$2,488.00	$1,990.00 20% off	$1,717.00	$2,388.00	$2,314.00	2026-03-12
72125	CPT	CT C Spine Without Con	11	7	$2,488.00	$1,990.00 20% off	$1,717.00	$2,388.00	$2,314.00	2026-03-12
70336	CPT	MRI Temporomandibular Jnt	11	7	$2,475.00	$1,980.00 20% off	$1,708.00	$2,376.00	$2,302.00	2026-03-12
J0129	HCPCS	Orencia 250mg Vial	11	7	$2,434.00	$1,947.00 20% off	$1,679.00	$2,337.00	$2,264.00	2026-03-12
32187	CPT	Orencia 250mg Vial	11	7	$2,434.00	$1,947.00 20% off	$1,679.00	$2,337.00	$2,264.00	2026-03-12
4309870	CDM	Certolizumab 400mg Inj	11	7	$2,433.00	$1,946.00 20% off	$1,679.00	$2,336.00	$2,263.00	2026-03-12
71250	CPT	CT Chest Without Con	11	7	$2,380.00	$1,904.00 20% off	$1,642.00	$2,285.00	$2,213.00	2026-03-12
45385	CPT	Removal Of Polyps Or Growths Of Large Bowel Using An Endoscope	11	7	$2,380.00	$1,904.00 20% off	$1,642.00	$2,285.00	$2,213.00	2026-03-12
70481	CPT	CT Orb Pos Fos With Cont	11	7	$2,328.00	$1,862.00 20% off	$1,606.00	$2,235.00	$2,165.00	2026-03-12
45378	CPT	Diagnostic Exam Of Large Bowel Using An Endoscope	11	7	$2,325.00	$1,860.00 20% off	$1,604.00	$2,232.00	$2,162.00	2026-03-12
44388	CPT	Endoscopic Stomal Prodedures	11	7	$2,325.00	$1,860.00 20% off	$1,604.00	$2,232.00	$2,162.00	2026-03-12
64721	CPT	Carpal Tunnel Release	11	7	$2,288.00	$1,830.00 20% off	$1,579.00	$2,196.00	$2,128.00	2026-03-12
73700	CPT	CT Low Extrm Without Cont	11	7	$2,271.00	$1,817.00	$1,567.00	$2,180.00	$2,112.00	2026-03-12
74150	CPT	CT Abd Without Cont	11	7	$2,271.00	$1,817.00	$1,567.00	$2,180.00	$2,112.00	2026-03-12
72192	CPT	CT Pelvis Without Cont	11	7	$2,271.00	$1,817.00	$1,567.00	$2,180.00	$2,112.00	2026-03-12
73221	CPT	MRI Up Extrm Joint Without	11	7	$2,229.00	$1,783.00 20% off	$1,538.00	$2,140.00	$2,073.00	2026-03-12
73200	CPT	CT Upper Extrm Without Cont	11	7	$2,217.00	$1,774.00	$1,530.00	$2,128.00	$2,062.00	2026-03-12
70460	CPT	CT Head W Cont	11	7	$2,211.00	$1,769.00	$1,526.00	$2,123.00	$2,056.00	2026-03-12
G0105	HCPCS	Colonoscopy Medicare Hi-risk Screening	11	7	$2,163.00	$1,730.00 20% off	$1,492.00	$2,076.00	$2,012.00	2026-03-12
43249	CPT	Egd Balloon Dilation Eso <30 Mm	11	7	$2,163.00	$1,730.00 20% off	$1,492.00	$2,076.00	$2,012.00	2026-03-12
45381	CPT	Colonoscopy Submucous Njx	11	7	$2,163.00	$1,730.00 20% off	$1,492.00	$2,076.00	$2,012.00	2026-03-12
45380	CPT	Biopsy Exam Of Large Bowel Using An Endoscope	11	7	$2,163.00	$1,730.00 20% off	$1,492.00	$2,076.00	$2,012.00	2026-03-12
43235	CPT	Diagnostic Exam Of Esophagus, Stomach Or Small Bowel Using An Endoscope	11	7	$2,163.00	$1,730.00 20% off	$1,492.00	$2,076.00	$2,012.00	2026-03-12
70488	CPT	CT Max Facial W Without Cont	11	7	$2,154.00	$1,723.00 20% off	$1,486.00	$2,068.00	$2,003.00	2026-03-12
70487	CPT	CT Max Fac Sinus W Cont	11	7	$2,143.00	$1,714.00 20% off	$1,479.00	$2,057.00	$1,993.00	2026-03-12
70480	CPT	CT Orb Pos Fos Without Cont	11	7	$2,112.00	$1,690.00	$1,457.00	$2,028.00	$1,964.00	2026-03-12
55250	CPT	Vasectomy	11	7	$2,080.00	$1,664.00 20% off	$1,435.00	$1,997.00	$1,934.00	2026-03-12
J2315	HCPCS	Naltrexone 380 Mg Inj	11	7	$2,059.00	$1,647.00 20% off	$1,421.00	$1,977.00	$1,915.00	2026-03-12
78315	CPT	Nm Bone 3 Phase	11	7	$2,055.00	$1,644.00 20% off	$1,418.00	$1,973.00	$1,911.00	2026-03-12
70450	CPT	CT Scan	11	7	$2,055.00	$1,644.00 20% off	$1,418.00	$1,973.00	$1,911.00	2026-03-12
93306	CPT	Echo 2d Mmode Doppler	11	7	$2,048.00	$1,638.00 20% off	$1,413.00	$1,966.00	$1,905.00	2026-03-12
70490	CPT	CT Neck Without Cont	11	7	$2,045.00	$1,636.00 20% off	$1,411.00	$1,963.00	$1,902.00	2026-03-12
45330	CPT	Sigmoidoscopy	11	7	$2,001.00	$1,601.00	$1,381.00	$1,921.00	$1,861.00	2026-03-12
G0121	HCPCS	Colonoscopy Medicare Screening	11	7	$2,001.00	$1,601.00	$1,381.00	$1,921.00	$1,861.00	2026-03-12
78227	CPT	Nm Gb Ejection Fraction Hida	11	7	$1,947.00	$1,558.00	$1,343.00	$1,869.00	$1,811.00	2026-03-12
43239	CPT	Biopsy Exam Of Esophagus, Stomach Or Small Bowel Using An Endoscope	11	7	$1,947.00	$1,558.00	$1,343.00	$1,869.00	$1,811.00	2026-03-12
78320	CPT	Nm Bone-tomograph (Spect)	11	7	$1,944.00	$1,555.00 20% off	$1,341.00	$1,866.00	$1,808.00	2026-03-12
45331	CPT	Sigmoidospy Flex Dx With Bx Si Or Multi	11	7	$1,924.00	$1,539.00 20% off	$1,328.00	$1,847.00	$1,789.00	2026-03-12
70486	CPT	CT Max Fac Sinus Without Cont	11	7	$1,893.00	$1,514.00 20% off	$1,306.00	$1,817.00	$1,760.00	2026-03-12
45338	CPT	Removal Of Tum/plyp/lesi Snare Tech Flex	11	7	$1,872.00	$1,498.00	$1,292.00	$1,797.00	$1,741.00	2026-03-12
38505	CPT	Bx Lymph Nodes By Needle	11	7	$1,846.00	$1,477.00	$1,274.00	$1,772.00	$1,717.00	2026-03-12
21556	CPT	Excision Of Nk Tiss &Thx <5cm	11	7	$1,800.00	$1,440.00 20% off	$1,242.00	$1,728.00	$1,674.00	2026-03-12
G0390	HCPCS	Trauma Response Team	11	7	$1,800.00	$1,440.00 20% off	$1,242.00	$1,728.00	$1,674.00	2026-03-12
46230	CPT	Exc Of Multi Papilla Tags, Anus	11	7	$1,800.00	$1,440.00 20% off	$1,242.00	$1,728.00	$1,674.00	2026-03-12
J1569	HCPCS	Immune Globulin10%iv 10gm	55	7	$1,740.00	$1,392.00 20% off	$234.00	$5,012.00	$1,618.00	2026-03-12
94427	CPT	Immune Globulin10%iv 10gm	55	7	$1,740.00	$1,392.00 20% off	$234.00	$5,012.00	$1,618.00	2026-03-12
78306	CPT	Nm Bone Survey/scan	11	7	$1,731.00	$1,385.00	$1,194.00	$1,662.00	$1,610.00	2026-03-12
36590	CPT	Port Cath Removal	11	7	$1,600.00	$1,280.00 20% off	$1,104.00	$1,536.00	$1,488.00	2026-03-12
27252	CPT	C Tx Traum Hip Dis W Anes	11	7	$1,597.00	$1,278.00	$1,102.00	$1,533.00	$1,485.00	2026-03-12
78226	CPT	Nm Gall Bladder Ejection Fx	11	7	$1,575.00	$1,260.00 20% off	$1,087.00	$1,512.00	$1,465.00	2026-03-12
3100065	CDM	Acute Daily Room	11	7	$1,512.00	$1,210.00	$1,043.00	$1,452.00	$1,406.00	2026-03-12
4309759	CDM	Nesiritide 1.5 Mg Inj	11	7	$1,450.00	$1,160.00 20% off	$1,000.00	$1,392.00	$1,349.00	2026-03-12
46604	CPT	Anoscopy W/dilaiton	11	7	$1,426.00	$1,141.00	$984.00	$1,369.00	$1,326.00	2026-03-12
J9217	HCPCS	Leuprolide 22.5 Mg Subq	22	7	$1,789.50	$1,431.50 20% off	$417.00	$2,855.00	$1,316.50	2026-03-12
93970	CPT	Vas Venous Bilateral	11	7	$1,406.00	$1,125.00	$970.00	$1,350.00	$1,308.00	2026-03-12
93880	CPT	Vas Carotid Dup Bilat	11	7	$1,400.00	$1,120.00 20% off	$966.00	$1,344.00	$1,302.00	2026-03-12
Q5118	HCPCS	Bevacizumab-bvzr 25mg/ml 16ml Vial	22	7	$1,746.50	$1,397.50	$484.00	$2,680.00	$1,299.50	2026-03-12
51706	CPT	Ferric Carboxymaltose 750mg	11	7	$1,388.00	$1,110.00 20% off	$958.00	$1,332.00	$1,291.00	2026-03-12
J1439	HCPCS	Ferric Carboxymaltose 750mg	11	7	$1,388.00	$1,110.00 20% off	$958.00	$1,332.00	$1,291.00	2026-03-12
J7307	HCPCS	Etonogestrel 68mg Implant	11	7	$1,380.00	$1,104.00 20% off	$952.00	$1,325.00	$1,283.00	2026-03-12
78708	CPT	Nm Renal Imaging Static Fx	11	7	$1,376.00	$1,101.00	$949.00	$1,321.00	$1,280.00	2026-03-12
93350	CPT	Stress Echo	11	7	$1,346.00	$1,077.00	$929.00	$1,292.00	$1,252.00	2026-03-12
81539	CPT	4k Score Assay	11	7	$1,298.00	$1,038.00 20% off	$896.00	$1,246.00	$1,207.00	2026-03-12
38525	CPT	Biopsy/removal Lymph Nodes	11	7	$1,298.00	$1,038.00 20% off	$896.00	$1,246.00	$1,207.00	2026-03-12
4309684	CDM	Hyaluronan 88mg/4ml Inj	11	7	$1,258.00	$1,006.00 20% off	$868.00	$1,208.00	$1,170.00	2026-03-12
36589	CPT	Minor Procedure	11	7	$1,256.00	$1,005.00	$867.00	$1,206.00	$1,168.00	2026-03-12
78305	CPT	Nm Bone Multi Imaging	11	7	$1,222.00	$978.00	$843.00	$1,173.00	$1,136.00	2026-03-12
25071	CPT	Excision Of Tumor Forarm Wrist +3cm	11	7	$1,200.00	$960.00 20% off	$828.00	$1,152.00	$1,116.00	2026-03-12
93925	CPT	Vas Bilat Art Dup Lower	11	7	$1,190.00	$952.00 20% off	$821.00	$1,142.00	$1,107.00	2026-03-12
93975	CPT	Vas Abd Org Scn/renals Co	11	7	$1,190.00	$952.00 20% off	$821.00	$1,142.00	$1,107.00	2026-03-12
32555	CPT	Thoracentesis With Imaging	11	7	$1,176.00	$941.00	$811.00	$1,129.00	$1,094.00	2026-03-12
93930	CPT	Vas Bilat Art Dup Upper	11	7	$1,163.00	$930.00 20% off	$802.00	$1,116.00	$1,082.00	2026-03-12
A0433	HCPCS	Amb Als2 Advance Life	11	7	$1,156.00	$925.00	$798.00	$1,110.00	$1,075.00	2026-03-12
3300070	CDM	Swingbed Daily Room	11	7	$1,150.00	$920.00 20% off	$793.00	$1,104.00	$1,070.00	2026-03-12
24075	CPT	Exc Arm/elbow Les Sc <3 Cm	11	7	$1,146.00	$917.00	$791.00	$1,100.00	$1,066.00	2026-03-12
93971	CPT	Vas Venous Unilateral	11	7	$1,136.00	$909.00	$784.00	$1,091.00	$1,056.00	2026-03-12
78290	CPT	Nm Meckel's Imaging	11	7	$1,136.00	$909.00	$784.00	$1,091.00	$1,056.00	2026-03-12
25565	CPT	C Trt Rad/uln Sht W Manip	11	7	$1,132.00	$906.00	$781.00	$1,087.00	$1,053.00	2026-03-12
78215	CPT	Nm Liver And Spleen	11	7	$1,109.00	$887.00 20% off	$765.00	$1,065.00	$1,031.00	2026-03-12
25505	CPT	C Tx Fx Rad Shaft W/manip	11	7	$1,105.00	$884.00 20% off	$762.00	$1,061.00	$1,028.00	2026-03-12
12055	CPT	Rep L Fcereynslpm 12.6-20	11	7	$1,092.00	$874.00	$753.00	$1,048.00	$1,016.00	2026-03-12
19120	CPT	Removal Of One Or More Breast Growth, Open Procedure	11	7	$1,093.00	$874.00 20% off	$754.00	$1,049.00	$1,016.00	2026-03-12
11646	CPT	Exc M L Fcereynslp 4>cm	11	7	$1,086.00	$869.00	$749.00	$1,043.00	$1,010.00	2026-03-12
93978	CPT	Vas Abd Dup Scn Complete	11	7	$1,082.00	$866.00	$747.00	$1,039.00	$1,006.00	2026-03-12
78012	CPT	Nm Thyroid Scan	11	7	$1,082.00	$866.00	$747.00	$1,039.00	$1,006.00	2026-03-12
13152	CPT	Rep C Ereynslp 2.6-7.5	11	7	$1,080.00	$864.00 20% off	$745.00	$1,037.00	$1,004.00	2026-03-12
25535	CPT	C Tx Fx Ulnar Shaft W/man	11	7	$1,079.00	$863.00 20% off	$745.00	$1,036.00	$1,003.00	2026-03-12
78580	CPT	Nm Pulmonary Perfusion/ Vq	11	7	$1,076.00	$861.00	$742.00	$1,033.00	$1,001.00	2026-03-12
78700	CPT	Nm Renal Imaging	11	7	$1,076.00	$861.00	$742.00	$1,033.00	$1,001.00	2026-03-12
60100	CPT	Percutaneous Core Ne Biopsy Of Thyroid	11	7	$1,071.00	$857.00	$739.00	$1,028.00	$996.00	2026-03-12
25624	CPT	C Tx Fx Navicular	11	7	$1,070.00	$856.00 20% off	$738.00	$1,027.00	$995.00	2026-03-12
78013	CPT	Nm Parathyroid Study	11	7	$1,067.00	$854.00	$736.00	$1,024.00	$992.00	2026-03-12
13132	CPT	Rep C Fhckchnkaxh/f 2.6-7	11	7	$1,026.00	$821.00	$708.00	$985.00	$954.00	2026-03-12
78579	CPT	Nm Pulmonary Ventilation	11	7	$1,020.00	$816.00 20% off	$704.00	$979.00	$949.00	2026-03-12
4309730	CDM	Remdesivir 100 Mg Inj Sdv	11	7	$1,009.00	$807.00 20% off	$696.00	$969.00	$938.00	2026-03-12
J0248	HCPCS	Remdesivir 100 Mg Inj Sdv	11	7	$1,009.00	$807.00 20% off	$696.00	$969.00	$938.00	2026-03-12
4301941	CDM	Hyperrab 300 Iu1 Ml	11	7	$1,002.00	$802.00	$691.00	$962.00	$932.00	2026-03-12
20525	CPT	Rem Fb Musc Ten S Comp	11	7	$1,001.00	$801.00	$691.00	$961.00	$931.00	2026-03-12
93931	CPT	Vas Limited Art Dup Upper	11	7	$1,000.00	$800.00 20% off	$690.00	$960.00	$930.00	2026-03-12
93307	CPT	Echocardiogram/m & S	11	7	$997.00	$798.00	$688.00	$957.00	$927.00	2026-03-12
J7325	HCPCS	Synviscone 48mg/6ml 20610	11	7	$993.00	$794.00 20% off	$685.00	$953.00	$923.00	2026-03-12
4307000	CDM	Synviscone 48mg/6ml 20610	11	7	$993.00	$794.00 20% off	$685.00	$953.00	$923.00	2026-03-12
3780034	CDM	Tx Rmlv 6	11	7	$982.00	$786.00	$678.00	$943.00	$913.00	2026-03-12
24655	CPT	C Tx Fx Rad/head/neck Man	11	7	$977.00	$782.00	$674.00	$938.00	$909.00	2026-03-12
93926	CPT	Vas Limited Art Dup Lower	11	7	$973.00	$778.00 20% off	$671.00	$934.00	$905.00	2026-03-12
11606	CPT	Exc M L Tk Ar Lg 4>cm	11	7	$958.00	$766.00 20% off	$661.00	$920.00	$891.00	2026-03-12
78761	CPT	Nm Testicular Imaging	11	7	$956.00	$765.00	$660.00	$918.00	$889.00	2026-03-12
21555	CPT	Exc Neck Les Sc <3 Cm	11	7	$931.00	$745.00	$642.00	$894.00	$866.00	2026-03-12
13121	CPT	Rep C Sc Ar Lg 2.6-7.5	11	7	$926.00	$741.00	$639.00	$889.00	$861.00	2026-03-12
13151	CPT	Rep C Ereynslp 1.1-2.5	11	7	$921.00	$737.00	$635.00	$884.00	$857.00	2026-03-12
36430	CPT	Blood Administration	11	7	$919.00	$735.00 20% off	$634.00	$882.00	$855.00	2026-03-12
26641	CPT	C Tx Dis Car[metacarp Thu	11	7	$915.00	$732.00 20% off	$631.00	$878.00	$851.00	2026-03-12
J9025	HCPCS	Azacitidine 100mg Sdv	11	7	$907.00	$726.00	$626.00	$871.00	$844.00	2026-03-12
J2325	HCPCS	Natrecor 1.5mg	11	7	$902.00	$722.00	$622.00	$866.00	$839.00	2026-03-12
A9552	HCPCS	Fdg / PET-hida Scan	11	7	$895.00	$716.00 20% off	$618.00	$859.00	$832.00	2026-03-12
12045	CPT	Rep L Nk H/f Gn 12.6-20.0	11	7	$891.00	$713.00	$615.00	$855.00	$829.00	2026-03-12
76700	CPT	Ultrasound Of Abdomen	11	7	$887.00	$710.00	$612.00	$852.00	$825.00	2026-03-12
P9035	HCPCS	Plts Pheresis Lekuoredu	11	7	$875.00	$700.00 20% off	$604.00	$840.00	$814.00	2026-03-12
4300234	CDM	Procrit 40,000 Units Sdv	11	7	$872.00	$698.00	$602.00	$837.00	$811.00	2026-03-12
11626	CPT	Exc M L Sc Nk H/f G 4>cm	11	7	$872.00	$698.00	$602.00	$837.00	$811.00	2026-03-12
13101	CPT	Rep C Trunk 2.6-7.5	11	7	$865.00	$692.00 20% off	$597.00	$830.00	$804.00	2026-03-12
77075	CPT	Xr Skeletal Survey X-ray	11	7	$865.00	$692.00 20% off	$597.00	$830.00	$804.00	2026-03-12
69145	CPT	Exc Soft Tissue Les, External	11	7	$850.00	$680.00 20% off	$587.00	$816.00	$791.00	2026-03-12
13131	CPT	Rep C Fhckchnkaxh/f 1.1-2	11	7	$845.00	$676.00 20% off	$583.00	$811.00	$786.00	2026-03-12
81206	CPT	Bcr/abl1 Gen Maj Bp	11	7	$845.00	$676.00 20% off	$583.00	$811.00	$786.00	2026-03-12
11644	CPT	Exc M L Fcereynslp 3.1-4cm	11	7	$839.00	$671.00 20% off	$579.00	$805.00	$780.00	2026-03-12
27840	CPT	C Tx Dis Ankle	11	7	$837.00	$670.00	$578.00	$804.00	$778.00	2026-03-12
12054	CPT	Rep L Fcereynslpm 7.6-12.	11	7	$833.00	$666.00 20% off	$575.00	$800.00	$775.00	2026-03-12
12035	CPT	Rep L Scaxtkarlg 12.6-20	11	7	$828.00	$662.00 20% off	$571.00	$795.00	$770.00	2026-03-12
11446	CPT	Exc B L Fcereynslpm 4>cm	11	7	$827.00	$662.00	$571.00	$794.00	$769.00	2026-03-12
12044	CPT	Rep L Nk H/f Gn 7.6-12.5	11	7	$826.00	$661.00	$570.00	$793.00	$768.00	2026-03-12
93882	CPT	Vas Carotid Dup Limited	11	7	$816.00	$653.00	$563.00	$783.00	$759.00	2026-03-12
A0427	HCPCS	Amb Als Emergent Trnsprt	11	7	$812.00	$650.00	$560.00	$780.00	$755.00	2026-03-12
30906	CPT	Nasal Hem Contr Post Subs	11	7	$811.00	$649.00	$560.00	$779.00	$754.00	2026-03-12
93924	CPT	Vas Ankle/arm Index W/exr	11	7	$811.00	$649.00	$560.00	$779.00	$754.00	2026-03-12
4300426	CDM	Filgrastim 480 Mcg	11	7	$802.00	$642.00	$553.00	$770.00	$746.00	2026-03-12
51710	CPT	Bladder Instillation Complicated	11	7	$800.00	$640.00 20% off	$552.00	$768.00	$744.00	2026-03-12
24500	CPT	C Tx Fx Humer Shaft	11	7	$794.00	$635.00 20% off	$548.00	$762.00	$738.00	2026-03-12
93308	CPT	US Echo Limited (Quick Lo	11	7	$792.00	$634.00	$546.00	$760.00	$737.00	2026-03-12
93229	CPT	Mobile Cardiac Telemetry Monitor	11	7	$788.00	$630.00 20% off	$544.00	$756.00	$733.00	2026-03-12
12053	CPT	Rep L Fcereynslpm 5.1-7.5	11	7	$787.00	$630.00	$543.00	$756.00	$732.00	2026-03-12
13120	CPT	Rep C Sc Ar Lg 1.1-2.5	11	7	$774.00	$619.00 20% off	$534.00	$743.00	$720.00	2026-03-12
J9155	HCPCS	Degarelix 80mg Inj	22	7	$949.50	$759.50 20% off	$318.00	$1,380.00	$717.50	2026-03-12
17286	CPT	Dest M L Fcereynslpm>4	11	7	$770.00	$616.00 20% off	$531.00	$739.00	$716.00	2026-03-12
62322	CPT	Injection(s) Of Therapeutic Substance	11	7	$784.00	$627.00 20% off	$252.00	$753.00	$713.00	2026-03-12
30905	CPT	Nasal Hem Cont Post Initi	11	7	$763.00	$610.00 20% off	$526.00	$732.00	$710.00	2026-03-12
27750	CPT	C Tx Fx Tibial Shaft	11	7	$761.00	$609.00	$525.00	$731.00	$708.00	2026-03-12
4309725	CDM	Hyaluronate Sod 30mg Inj	11	7	$760.00	$608.00 20% off	$524.00	$730.00	$707.00	2026-03-12
J7326	HCPCS	Hyaluronate Sod 30mg Inj	11	7	$760.00	$608.00 20% off	$524.00	$730.00	$707.00	2026-03-12
92975	CPT	Thrombolysis Intrcornary	11	7	$758.00	$606.00 20% off	$523.00	$728.00	$705.00	2026-03-12
76805	CPT	Abdomial Ultrasound Of Pregnant Uterus	11	7	$758.00	$606.00 20% off	$523.00	$728.00	$705.00	2026-03-12
76770	CPT	US Renal	11	7	$757.00	$606.00	$522.00	$727.00	$704.00	2026-03-12
71271	CPT	CT Chest Low Dose Screen	11	7	$757.00	$606.00	$522.00	$727.00	$704.00	2026-03-12
76856	CPT	US Pelvis Non OB Complet	11	7	$757.00	$606.00	$522.00	$727.00	$704.00	2026-03-12
85117	CPT	Integrilin 20mg/10ml	22	7	$976.50	$781.50	$139.00	$1,681.00	$701.00	2026-03-12
J1327	HCPCS	Integrilin 20mg/10ml	22	7	$976.50	$781.50	$139.00	$1,681.00	$701.00	2026-03-12
93923	CPT	Vas Art Seg Lower	11	7	$750.00	$600.00 20% off	$518.00	$720.00	$698.00	2026-03-12
96416	CPT	Chemo Prolng Infus W/pump	11	7	$750.00	$600.00 20% off	$518.00	$720.00	$698.00	2026-03-12
3780033	CDM	Tx Rmlv 5	11	7	$747.00	$598.00	$515.00	$717.00	$695.00	2026-03-12
25600	CPT	C Tx Fx Rad Dist-colles	11	7	$745.00	$596.00 20% off	$514.00	$715.00	$693.00	2026-03-12
17106	CPT	Destruc Vas Lesion <10	11	7	$745.00	$596.00 20% off	$514.00	$715.00	$693.00	2026-03-12
26700	CPT	C Tx Dis Metacarp Phal	11	7	$744.00	$595.00 20% off	$513.00	$714.00	$692.00	2026-03-12
13100	CPT	Rep C Trunk 1.1-2.5	11	7	$742.00	$594.00	$512.00	$712.00	$690.00	2026-03-12
10081	CPT	I&d Pilo Cyst Comp	11	7	$740.00	$592.00 20% off	$511.00	$710.00	$688.00	2026-03-12
99285	CPT	ER Comp Lvl 5	22	7	$921.00	$737.00	$159.00	$1,402.00	$687.00	2026-03-12
76870	CPT	US Genetalia	11	7	$735.00	$588.00 20% off	$507.00	$706.00	$684.00	2026-03-12
23600	CPT	C Tx Fx Humer Prox	11	7	$731.00	$585.00	$504.00	$702.00	$680.00	2026-03-12
11624	CPT	Exc M L Sc Nk H/f G 3.1-4cm	11	7	$728.00	$582.00 20% off	$502.00	$699.00	$677.00	2026-03-12
12034	CPT	Rep L Scaxtkarlg 7.6-12.5	11	7	$725.00	$580.00 20% off	$500.00	$696.00	$674.00	2026-03-12
26605	CPT	C Tx Fx Metacarpal Ea With Manip	11	7	$725.00	$580.00 20% off	$500.00	$696.00	$674.00	2026-03-12
87633	CPT	Resp Virus 12-25 Targets	11	7	$723.00	$578.00 20% off	$499.00	$694.00	$672.00	2026-03-12
87507	CPT	Enteric Path Panel 12-25 Targets	33	7	$757.00	$606.00	$485.00	$769.00	$668.00	2026-03-12
J1745	HCPCS	Infliximab 100mg IV Vial	11	7	$717.00	$574.00	$495.00	$688.00	$667.00	2026-03-12
4300559	CDM	Infliximab 100mg IV Vial	11	7	$717.00	$574.00	$495.00	$688.00	$667.00	2026-03-12
27520	CPT	C Tx Fx Patella	11	7	$714.00	$571.00 20% off	$493.00	$685.00	$664.00	2026-03-12
11426	CPT	Exc B L Sc Nk H/f >4cm	11	7	$709.00	$567.00 20% off	$489.00	$681.00	$659.00	2026-03-12
72114	CPT	Xray Spine, Lumbar Minimum 6 Vies	11	7	$709.00	$567.00 20% off	$489.00	$681.00	$659.00	2026-03-12
93976	CPT	Vas Abd Org Scn/renal Lim	11	7	$703.00	$562.00 20% off	$485.00	$675.00	$654.00	2026-03-12
87902	CPT	Hcv Genotyping	11	7	$703.00	$562.00 20% off	$485.00	$675.00	$654.00	2026-03-12
76705	CPT	US Abdomen Limited	11	7	$703.00	$562.00 20% off	$485.00	$675.00	$654.00	2026-03-12
69031	CPT	Bevacizumab-bvzr 25mg/ml 4ml Vial	11	7	$701.00	$561.00	$484.00	$673.00	$652.00	2026-03-12
4301589	CDM	Flutic-salmeterol 500/50	11	7	$691.00	$553.00	$477.00	$663.00	$643.00	2026-03-12
81270	CPT	Jak-2 Mut Qual	11	7	$689.00	$551.00 20% off	$475.00	$661.00	$641.00	2026-03-12
27786	CPT	C Tx Fx Fibula Distal	11	7	$688.00	$550.00 20% off	$475.00	$660.00	$640.00	2026-03-12
A0429	HCPCS	Amb Bls Emergent Trnspt	11	7	$688.00	$550.00 20% off	$475.00	$660.00	$640.00	2026-03-12
11406	CPT	Exc B L Tr Ar Lg >4cm	11	7	$683.00	$546.00 20% off	$471.00	$656.00	$635.00	2026-03-12
11643	CPT	Exc M L Fcereynslp 2.1-3cm	11	7	$682.00	$546.00	$471.00	$655.00	$634.00	2026-03-12
12052	CPT	Rep L Fcereynslpm 2.6-5.0	11	7	$679.00	$543.00 20% off	$469.00	$652.00	$631.00	2026-03-12
27780	CPT	C Tx Fx Fibula Shaft/prox	11	7	$679.00	$543.00 20% off	$469.00	$652.00	$631.00	2026-03-12
25622	CPT	C Tx Fx Carpal Scaphoid	11	7	$677.00	$542.00	$467.00	$650.00	$630.00	2026-03-12
51720	CPT	Bladder Instillation	11	7	$676.00	$541.00	$466.00	$649.00	$629.00	2026-03-12
12042	CPT	Rep L Nk H/f Gn 2.6-7.5	11	7	$675.00	$540.00 20% off	$466.00	$648.00	$628.00	2026-03-12
11604	CPT	Exc M L Tk Ar Lg 3.1-4cm	11	7	$672.00	$538.00	$464.00	$645.00	$625.00	2026-03-12
22310	CPT	C Tx Fx Vert Body	11	7	$664.00	$531.00 20% off	$458.00	$637.00	$618.00	2026-03-12
26600	CPT	C Tx Fx Metacarpal Each	11	7	$663.00	$530.00 20% off	$457.00	$636.00	$617.00	2026-03-12

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