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Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

Encompass Health Rehabilitation Hospital Of Concor

Concord, NH · CCN 303027 · Rates published

1,151 distinct procedures filed
9 distinct payers
10,836 rate rows
2026-01-01 last MRF observed
Data quality

10,764 of 10,836 rate rows are consumer-grade (99.3%)

72 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 — reasonRows
placeholder amount (≤ $0.02) — excluded from medians 72
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://edge.sitecorecloud.io/encompasshee178-encompasshed9db-prodb258-07da/media/Project/EncompassHealth/encompasshealth/Files/1-price-transparency/631102594_Encompass-Health-Rehabilitation-Hospital-of-Concord_standardcharges.csv
Found on page https://www.encompasshealth.com/locations/concord-rehab/financial-information/price-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-14
Content fingerprint 60c8c208c3b9b233… · 30,936,016 bytes · first seen 2026-05-17

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
L5701
HCPCS 		Replace Socket Above Knee 9 $4,741.72 $7,445.00 $7,072.75 nat. median
$4,549
1.6× median
L5649
HCPCS 		Isch Containmt/narrow M-i So 9 $4,023.30 $6,317.00 $6,001.15 nat. median
$2,967
outlier · 2.0×
81408
CDM 		Mopath Procedure Level 9 9 $3,936.04 $6,180.00 $5,871.00 nat. median
$4,326
1.4× median
L2036
HCPCS 		Kafo Plas Doub Free Knee Mol 9 $3,748.16 $5,885.00 $5,590.75 nat. median
$2,508
outlier · 2.2×
L0486
HCPCS 		Tlso Rigid Lined Cust Fab Two 9 $3,723.32 $5,846.00 $5,553.70 nat. median
$2,641
outlier · 2.1×
L0484
HCPCS 		Tlso Rigid Plastic Cust Fab 9 $3,499.77 $5,495.00 $5,220.25 nat. median
$2,351
outlier · 2.2×
750
CDM 		Os Gastro Intestinal Service 9 $3,442.44 $5,405.00 $5,134.75 nat. median
$3,784
1.4× median
49440
CDM 		G Tube Insertion W/guidance 9 $2,976.23 $4,673.00 $4,439.35 nat. median
$3,271
1.4× median
L4631
HCPCS 		Afo, Walking Boot, Custom 9 $2,973.69 $4,669.00 $4,435.55 nat. median
$1,951
outlier · 2.3×
L0464
HCPCS 		Tlso 4mod Sacro-scap Pre 9 $2,805.54 $4,405.00 $4,184.75 nat. median
$1,784
outlier · 2.3×
L5651
HCPCS 		Ak Flex Inner Sicket Ext Fra 9 $2,549.51 $4,003.00 $3,802.85 nat. median
$1,775
outlier · 2.1×
77301
CDM 		Radiation Imr Plan 9 $2,411.94 $3,787.00 $3,597.65 nat. median
$2,651
1.4× median
L2020
HCPCS 		Kafo Dbl Solid Stirrup Band/ 9 $2,357.80 $3,702.00 $3,516.90 nat. median
$1,456
outlier · 2.4×
99283
CDM 		Emergency Room-moderate 9 $2,326.60 $3,653.00 $3,470.35 nat. median
$2,557
1.4× median
L0637
HCPCS 		Lso Sag-coronal Panel Prefab 9 $2,242.52 $3,521.00 $3,344.95 nat. median
$1,523
outlier · 2.2×
L0650
HCPCS 		Lumbar Sacral Orthosis 9 $2,242.52 $3,521.00 $3,344.95 nat. median
$948
outlier · 3.5×
333
CDM 		Os Radiation Therapy 9 $242.66 $5,200.00 $3,311.88 nat. median
$2,651
1.2× median
L0830
HCPCS 		Halo Cerv Into Milwauee Typ 9 $2,141.42 $3,362.26 $3,194.15 nat. median
$4,275
0.7× median
49083
CDM 		US Guided Paracentesis 9 $1,979.49 $3,108.00 $2,952.60 nat. median
$2,176
1.4× median
L0640
HCPCS 		Lso S/c Shell/panel Custom 9 $1,975.03 $3,101.00 $2,945.95 nat. median
$1,331
outlier · 2.2×
L0648
HCPCS 		Lso Sag R An/pos Pnl Pre Ots 9 $1,938.09 $3,043.00 $2,890.85 nat. median
$790
outlier · 3.7×
L0631
HCPCS 		Lso Sag-coro Rigid Frame Prefb 9 $1,938.09 $3,043.00 $2,890.85 nat. median
$1,263
outlier · 2.3×
L0810
HCPCS 		Halo Cervical Into Jckt Vest 9 $1,933.49 $3,035.78 $2,883.99 nat. median
$3,410
0.8× median
L1005
HCPCS 		Tension Based Scoliosis Orth 9 $1,910.04 $2,998.97 $2,849.02 nat. median
$3,977
0.7× median
L0460
HCPCS 		Tlso 2mod Symphsis-stern Pre 9 $1,894.78 $2,975.00 $2,826.25 nat. median
$1,258
outlier · 2.2×
L1945
HCPCS 		Afo Molded Plas Rig Ant Tib 9 $1,892.87 $2,972.00 $2,823.40 nat. median
$1,308
outlier · 2.2×
L0457
HCPCS 		Tlso Flex Trnk Sj-ss Pre Ots 9 $1,876.94 $2,947.00 $2,799.65 nat. median
$840
outlier · 3.3×
L0456
HCPCS 		Tlso Flex Prefab 9 $1,876.94 $2,947.00 $2,799.65 nat. median
$1,215
outlier · 2.3×
610
CDM 		MRI Chest With Contrast 9 $1,874.40 $2,943.00 $2,795.85 nat. median
$2,060
1.4× median
L1686
HCPCS 		Ho Post-op Hip Abduction Prefb 9 $1,860.38 $2,921.00 $2,774.95 nat. median
$1,337
outlier · 2.1×
73222
CDM 		MRI Upper Extrem W Contrast 9 $1,734.28 $2,723.00 $2,586.85 nat. median
$1,906
1.4× median
73722
CDM 		MRI Lower Extrem Jnt W Contras 9 $1,734.28 $2,723.00 $2,586.85 nat. median
$1,906
1.4× median
L3905
HCPCS 		Who W/nontorsion Jnt(s) Cf 9 $1,703.07 $2,674.00 $2,540.30 nat. median
$1,109
outlier · 2.3×
L1843
HCPCS 		Ko Single Upright Custom Fit 9 $1,693.52 $2,659.00 $2,526.05 nat. median
$1,109
outlier · 2.3×
L1932
HCPCS 		Afo Rig Ant Tib Prefab Tcf/= 9 $1,683.96 $2,644.00 $2,511.80 nat. median
$1,169
outlier · 2.1×
L0458
HCPCS 		Tlso 2mod Symphis-xipho Pre 9 $1,683.33 $2,643.00 $2,510.85 nat. median
$1,130
outlier · 2.2×
81407
CDM 		Mopath Procedure Level 8 9 $1,666.13 $2,616.00 $2,485.20 nat. median
$1,831
1.4× median
L0820
HCPCS 		Halo Cervical Into Body Jack 9 $1,646.57 $2,585.29 $2,456.03 nat. median
$2,745
0.9× median
L5950
HCPCS 		Endo Ak Ultra-light Material 9 $1,623.46 $2,549.00 $2,421.55 nat. median
$1,152
outlier · 2.1×
L1845
HCPCS 		Ko W/adj Flex/ext Rotat Cus 9 $1,615.18 $2,536.00 $2,409.20 nat. median
$1,010
outlier · 2.4×
L1951
HCPCS 		Afo Spiral Prefabricated 9 $1,585.24 $2,489.00 $2,364.55 nat. median
$1,192
2.0× median
51710
CDM 		Bladder Tube Change 9 $1,541.30 $2,420.00 $2,299.00 nat. median
$1,694
1.4× median
36556
CDM 		Central Insert Venous Catheter 9 $1,528.56 $2,400.00 $2,280.00 nat. median
$1,680
1.4× median
L2510
HCPCS 		Th/wght Bear Quad-lat Brim M 9 $1,473.79 $2,314.00 $2,198.30 nat. median
$991
outlier · 2.2×
L1000
HCPCS 		Ctlso Milwauke Initial Model 9 $1,464.56 $2,299.52 $2,184.54 nat. median
$2,611
0.8× median
L3764
HCPCS 		Ewho W/joint(s) Cf 9 $1,436.85 $2,256.00 $2,143.20 nat. median
$953
outlier · 2.2×
L1970
HCPCS 		Afo Plastic Molded W/ankle J 9 $1,420.29 $2,230.00 $2,118.50 nat. median
$1,043
outlier · 2.0×
78582
CDM 		Nm Pulm Perfusion With Ventilati 9 $1,413.28 $2,219.00 $2,108.05 nat. median
$1,745
1.2× median
L5673
HCPCS 		Socket Insert W Lock Mech 9 $1,408.82 $2,212.00 $2,101.40 nat. median
$949
outlier · 2.2×
L0710
HCPCS 		Ctlso A-p-l Control W/inter 9 $1,385.48 $2,175.35 $2,066.58 nat. median
$2,932
0.7× median

Other procedures at this hospital

Browse this hospital's 1,151 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
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
             
L5701 HCPCS Replace Socket Above Knee 9 9 $7,445.00 $5,583.75 25% off $4,741.72 $7,445.00 $7,072.75 2026-01-01
L5649 HCPCS Isch Containmt/narrow M-i So 9 9 $6,317.00 $4,737.75 25% off $4,023.30 $6,317.00 $6,001.15 2026-01-01
81408 CDM Mopath Procedure Level 9 9 9 $6,180.00 $4,635.00 25% off $3,936.04 $6,180.00 $5,871.00 2026-01-01
L2036 HCPCS Kafo Plas Doub Free Knee Mol 9 9 $5,885.00 $4,413.75 25% off $3,748.16 $5,885.00 $5,590.75 2026-01-01
L0486 HCPCS Tlso Rigid Lined Cust Fab Two 9 9 $5,846.00 $4,384.50 25% off $3,723.32 $5,846.00 $5,553.70 2026-01-01
L0484 HCPCS Tlso Rigid Plastic Cust Fab 9 9 $5,495.00 $4,121.25 25% off $3,499.77 $5,495.00 $5,220.25 2026-01-01
750 CDM Os Gastro Intestinal Service 9 9 $5,405.00 $4,053.75 25% off $3,442.44 $5,405.00 $5,134.75 2026-01-01
49440 CDM G Tube Insertion W/guidance 9 9 $4,673.00 $3,504.75 25% off $2,976.23 $4,673.00 $4,439.35 2026-01-01
L4631 HCPCS Afo, Walking Boot, Custom 9 9 $4,669.00 $3,501.75 25% off $2,973.69 $4,669.00 $4,435.55 2026-01-01
L0464 HCPCS Tlso 4mod Sacro-scap Pre 9 9 $4,405.00 $3,303.75 25% off $2,805.54 $4,405.00 $4,184.75 2026-01-01
L5651 HCPCS Ak Flex Inner Sicket Ext Fra 9 9 $4,003.00 $3,002.25 25% off $2,549.51 $4,003.00 $3,802.85 2026-01-01
77301 CDM Radiation Imr Plan 9 9 $3,787.00 $2,840.25 25% off $2,411.94 $3,787.00 $3,597.65 2026-01-01
L2020 HCPCS Kafo Dbl Solid Stirrup Band/ 9 9 $3,702.00 $2,776.50 25% off $2,357.80 $3,702.00 $3,516.90 2026-01-01
99283 CDM Emergency Room-moderate 9 9 $3,653.00 $2,739.75 25% off $2,326.60 $3,653.00 $3,470.35 2026-01-01
L0637 HCPCS Lso Sag-coronal Panel Prefab 9 9 $3,521.00 $2,640.75 25% off $2,242.52 $3,521.00 $3,344.95 2026-01-01
L0650 HCPCS Lumbar Sacral Orthosis 9 9 $3,521.00 $2,640.75 25% off $2,242.52 $3,521.00 $3,344.95 2026-01-01
333 CDM Os Radiation Therapy 27 9 $3,787.00 $2,840.25 25% off $242.66 $5,200.00 $3,311.88 2026-01-01
L0830 HCPCS Halo Cerv Into Milwauee Typ 9 9 $3,362.26 $2,521.70 25% off $2,141.42 $3,362.26 $3,194.15 2026-01-01
49083 CDM US Guided Paracentesis 9 9 $3,108.00 $2,331.00 25% off $1,979.49 $3,108.00 $2,952.60 2026-01-01
L0640 HCPCS Lso S/c Shell/panel Custom 9 9 $3,101.00 $2,325.75 25% off $1,975.03 $3,101.00 $2,945.95 2026-01-01
L0648 HCPCS Lso Sag R An/pos Pnl Pre Ots 9 9 $3,043.00 $2,282.25 25% off $1,938.09 $3,043.00 $2,890.85 2026-01-01
L0631 HCPCS Lso Sag-coro Rigid Frame Prefb 9 9 $3,043.00 $2,282.25 25% off $1,938.09 $3,043.00 $2,890.85 2026-01-01
L0810 HCPCS Halo Cervical Into Jckt Vest 9 9 $3,035.78 $2,276.84 25% off $1,933.49 $3,035.78 $2,883.99 2026-01-01
L1005 HCPCS Tension Based Scoliosis Orth 9 9 $2,998.97 $2,249.23 25% off $1,910.04 $2,998.97 $2,849.02 2026-01-01
L0460 HCPCS Tlso 2mod Symphsis-stern Pre 9 9 $2,975.00 $2,231.25 25% off $1,894.78 $2,975.00 $2,826.25 2026-01-01
L1945 HCPCS Afo Molded Plas Rig Ant Tib 9 9 $2,972.00 $2,229.00 25% off $1,892.87 $2,972.00 $2,823.40 2026-01-01
L0457 HCPCS Tlso Flex Trnk Sj-ss Pre Ots 9 9 $2,947.00 $2,210.25 25% off $1,876.94 $2,947.00 $2,799.65 2026-01-01
L0456 HCPCS Tlso Flex Prefab 9 9 $2,947.00 $2,210.25 25% off $1,876.94 $2,947.00 $2,799.65 2026-01-01
610 CDM MRI Chest With Contrast 9 9 $2,943.00 $2,207.25 25% off $1,874.40 $2,943.00 $2,795.85 2026-01-01
L1686 HCPCS Ho Post-op Hip Abduction Prefb 9 9 $2,921.00 $2,190.75 25% off $1,860.38 $2,921.00 $2,774.95 2026-01-01
73222 CDM MRI Upper Extrem W Contrast 9 9 $2,723.00 $2,042.25 25% off $1,734.28 $2,723.00 $2,586.85 2026-01-01
73722 CDM MRI Lower Extrem Jnt W Contras 9 9 $2,723.00 $2,042.25 25% off $1,734.28 $2,723.00 $2,586.85 2026-01-01
L3905 HCPCS Who W/nontorsion Jnt(s) Cf 9 9 $2,674.00 $2,005.50 25% off $1,703.07 $2,674.00 $2,540.30 2026-01-01
L1843 HCPCS Ko Single Upright Custom Fit 9 9 $2,659.00 $1,994.25 25% off $1,693.52 $2,659.00 $2,526.05 2026-01-01
L1932 HCPCS Afo Rig Ant Tib Prefab Tcf/= 9 9 $2,644.00 $1,983.00 25% off $1,683.96 $2,644.00 $2,511.80 2026-01-01
L0458 HCPCS Tlso 2mod Symphis-xipho Pre 9 9 $2,643.00 $1,982.25 25% off $1,683.33 $2,643.00 $2,510.85 2026-01-01
81407 CDM Mopath Procedure Level 8 9 9 $2,616.00 $1,962.00 25% off $1,666.13 $2,616.00 $2,485.20 2026-01-01
L0820 HCPCS Halo Cervical Into Body Jack 9 9 $2,585.29 $1,938.97 25% off $1,646.57 $2,585.29 $2,456.03 2026-01-01
L5950 HCPCS Endo Ak Ultra-light Material 9 9 $2,549.00 $1,911.75 25% off $1,623.46 $2,549.00 $2,421.55 2026-01-01
L1845 HCPCS Ko W/adj Flex/ext Rotat Cus 9 9 $2,536.00 $1,902.00 25% off $1,615.18 $2,536.00 $2,409.20 2026-01-01
L1951 HCPCS Afo Spiral Prefabricated 9 9 $2,489.00 $1,866.75 25% off $1,585.24 $2,489.00 $2,364.55 2026-01-01
51710 CDM Bladder Tube Change 9 9 $2,420.00 $1,815.00 25% off $1,541.30 $2,420.00 $2,299.00 2026-01-01
36556 CDM Central Insert Venous Catheter 9 9 $2,400.00 $1,800.00 25% off $1,528.56 $2,400.00 $2,280.00 2026-01-01
L2510 HCPCS Th/wght Bear Quad-lat Brim M 9 9 $2,314.00 $1,735.50 25% off $1,473.79 $2,314.00 $2,198.30 2026-01-01
L1000 HCPCS Ctlso Milwauke Initial Model 9 9 $2,299.52 $1,724.64 25% off $1,464.56 $2,299.52 $2,184.54 2026-01-01
L3764 HCPCS Ewho W/joint(s) Cf 9 9 $2,256.00 $1,692.00 25% off $1,436.85 $2,256.00 $2,143.20 2026-01-01
L1970 HCPCS Afo Plastic Molded W/ankle J 9 9 $2,230.00 $1,672.50 25% off $1,420.29 $2,230.00 $2,118.50 2026-01-01
78582 CDM Nm Pulm Perfusion With Ventilati 9 9 $2,219.00 $1,664.25 25% off $1,413.28 $2,219.00 $2,108.05 2026-01-01
L5673 HCPCS Socket Insert W Lock Mech 9 9 $2,212.00 $1,659.00 25% off $1,408.82 $2,212.00 $2,101.40 2026-01-01
L0710 HCPCS Ctlso A-p-l Control W/inter 9 9 $2,175.35 $1,631.51 25% off $1,385.48 $2,175.35 $2,066.58 2026-01-01
384 CDM Platelets 1 Unit 9 9 $2,145.00 $1,608.75 25% off $1,366.15 $2,145.00 $2,037.75 2026-01-01
390 CDM Whole Blood Proc Per Unit 9 9 $2,145.00 $1,608.75 25% off $1,366.15 $2,145.00 $2,037.75 2026-01-01
72156 CDM MRI Spine Cervical With + Without Co 9 9 $2,129.00 $1,596.75 25% off $1,355.96 $2,129.00 $2,022.55 2026-01-01
72158 CDM MRI Spine Lumbar With + Without Cont 9 9 $2,127.00 $1,595.25 25% off $1,354.69 $2,127.00 $2,020.65 2026-01-01
70553 CDM MRI Brain With + Without Contrast 9 9 $2,121.00 $1,590.75 25% off $1,350.86 $2,121.00 $2,014.95 2026-01-01
36573 CDM Picc With Image Guidance 9 9 $2,100.00 $1,575.00 25% off $1,337.49 $2,100.00 $1,995.00 2026-01-01
90935 CDM Hemodialysis 9 9 $2,070.00 $1,552.50 25% off $1,318.38 $2,070.00 $1,966.50 2026-01-01
L5535 HCPCS Prep Bk Ptb Open End Socket 9 9 $2,039.61 $1,529.71 25% off $1,299.03 $2,039.61 $1,937.63 2026-01-01
L0700 HCPCS Ctlso A-p-l Control Molded 9 9 $2,016.22 $1,512.16 25% off $1,284.13 $2,016.22 $1,915.41 2026-01-01
L1832 HCPCS Ko Adj Jnt Pos Rigid Pre-fab 9 9 $2,014.00 $1,510.50 25% off $1,282.72 $2,014.00 $1,913.30 2026-01-01
L1833 HCPCS Ko Adj Jnt Pos R Sup Pre Ots 9 9 $2,014.00 $1,510.50 25% off $1,282.72 $2,014.00 $1,913.30 2026-01-01
L5400 HCPCS Postop Dress & 1 Cast Chg Bk 9 9 $2,013.42 $1,510.07 25% off $1,282.35 $2,013.42 $1,912.75 2026-01-01
L3900 HCPCS Hinge Extension/flex Wrist/f 9 9 $1,999.08 $1,499.31 25% off $1,273.21 $1,999.08 $1,899.13 2026-01-01
L3763 HCPCS Ewho Rigid Without Jnts Cf 9 9 $1,977.00 $1,482.75 25% off $1,259.15 $1,977.00 $1,878.15 2026-01-01
74177 CDM CT Abdomen/pelvis With Contrast 9 9 $1,948.00 $1,461.00 25% off $1,240.68 $1,948.00 $1,850.60 2026-01-01
72149 CDM MRI Spine Lumbar With Contrast 9 9 $1,940.00 $1,455.00 25% off $1,235.59 $1,940.00 $1,843.00 2026-01-01
L1685 HCPCS Post-op Hip Abduct Custom Fa 9 9 $1,918.22 $1,438.66 25% off $1,221.71 $1,918.22 $1,822.31 2026-01-01
72126 CDM CT Spine Cervical With Contrast 9 9 $1,896.00 $1,422.00 25% off $1,207.56 $1,896.00 $1,801.20 2026-01-01
74178 CDM CT Abdomen/pelvis With + Without Con 9 9 $1,896.00 $1,422.00 25% off $1,207.56 $1,896.00 $1,801.20 2026-01-01
72147 CDM MRI Spine Thoracic With Contrast 9 9 $1,896.00 $1,422.00 25% off $1,207.56 $1,896.00 $1,801.20 2026-01-01
74182 CDM MRI Abdomen W Contrast 9 9 $1,892.00 $1,419.00 25% off $1,205.01 $1,892.00 $1,797.40 2026-01-01
70543 CDM MRI Face Neck Orbit W + Without Co 9 9 $1,892.00 $1,419.00 25% off $1,205.01 $1,892.00 $1,797.40 2026-01-01
74183 CDM MRI Abdomen W + Without Contrast 9 9 $1,892.00 $1,419.00 25% off $1,205.01 $1,892.00 $1,797.40 2026-01-01
70552 CDM MRI Brain W Contrast 9 9 $1,892.00 $1,419.00 25% off $1,205.01 $1,892.00 $1,797.40 2026-01-01
72196 CDM MRI Pelvis W Contrast 9 9 $1,892.00 $1,419.00 25% off $1,205.01 $1,892.00 $1,797.40 2026-01-01
70545 CDM MRA Head W Contrast 9 9 $1,892.00 $1,419.00 25% off $1,205.01 $1,892.00 $1,797.40 2026-01-01
70546 CDM MRA Head W + Without Contrast 9 9 $1,892.00 $1,419.00 25% off $1,205.01 $1,892.00 $1,797.40 2026-01-01
32555 CDM US Thoracentesis 9 9 $1,892.00 $1,419.00 25% off $1,205.01 $1,892.00 $1,797.40 2026-01-01
72197 CDM MRI Pelvis W + Without Contrast 9 9 $1,892.00 $1,419.00 25% off $1,205.01 $1,892.00 $1,797.40 2026-01-01
70549 CDM MRA Neck W + Without Contrast 9 9 $1,892.00 $1,419.00 25% off $1,205.01 $1,892.00 $1,797.40 2026-01-01
70548 CDM MRA Neck W Contrast 9 9 $1,892.00 $1,419.00 25% off $1,205.01 $1,892.00 $1,797.40 2026-01-01
70542 CDM MRI Face Neck Orbit W Contrast 9 9 $1,892.00 $1,419.00 25% off $1,205.01 $1,892.00 $1,797.40 2026-01-01
71275 CDM CT Angiography Chest With Contra 9 9 $1,891.00 $1,418.25 25% off $1,204.38 $1,891.00 $1,796.45 2026-01-01
78580 CDM Nm Pulmonary Perfusion 9 9 $1,882.00 $1,411.50 25% off $1,198.65 $1,882.00 $1,787.90 2026-01-01
L2114 HCPCS Afo Tib Fx Semi-rigid 9 9 $1,858.00 $1,393.50 25% off $1,183.36 $1,858.00 $1,765.10 2026-01-01
73201 CDM CT Upper Extrem W Contrast 9 9 $1,857.00 $1,392.75 25% off $1,182.72 $1,857.00 $1,764.15 2026-01-01
73720 CDM MRI Lower Extrem Non Jnt W/+with 9 9 $1,857.00 $1,392.75 25% off $1,182.72 $1,857.00 $1,764.15 2026-01-01
73723 CDM MRI Lower Extrem Jnt W/+without Co 9 9 $1,857.00 $1,392.75 25% off $1,182.72 $1,857.00 $1,764.15 2026-01-01
73223 CDM MRI Upper Extrem W/+without Contra 9 9 $1,857.00 $1,392.75 25% off $1,182.72 $1,857.00 $1,764.15 2026-01-01
73719 CDM MRI Lower Extrem Non Jnt W Con 9 9 $1,857.00 $1,392.75 25% off $1,182.72 $1,857.00 $1,764.15 2026-01-01
72132 CDM CT Spine Lumbar With Contrast 9 9 $1,855.00 $1,391.25 25% off $1,181.45 $1,855.00 $1,762.25 2026-01-01
72142 CDM MRI Spine Cervical With Contrast 9 9 $1,855.00 $1,391.25 25% off $1,181.45 $1,855.00 $1,762.25 2026-01-01
72157 CDM MRI Spine Thoracic With + Without Co 9 9 $1,855.00 $1,391.25 25% off $1,181.45 $1,855.00 $1,762.25 2026-01-01
P9037 HCPCS Platelets Irradiated 1 Unit 9 9 $1,852.00 $1,389.00 25% off $1,179.54 $1,852.00 $1,759.40 2026-01-01
78306 CDM Nm Bone Joint Image Whole Body 9 9 $1,851.00 $1,388.25 25% off $1,178.90 $1,851.00 $1,758.45 2026-01-01
L5679 HCPCS Socket Insert Without Lock Mech 9 9 $1,844.00 $1,383.00 25% off $1,174.44 $1,844.00 $1,751.80 2026-01-01
74170 CDM CT Abdomen With + Without Contrast 9 9 $1,787.00 $1,340.25 25% off $1,138.14 $1,787.00 $1,697.65 2026-01-01
L1960 HCPCS Afo Pos Solid Ank Plastic Mo 9 9 $1,774.00 $1,330.50 25% off $1,129.86 $1,774.00 $1,685.30 2026-01-01
72194 CDM CT Pelvis With + Without Contrast 9 9 $1,770.00 $1,327.50 25% off $1,127.31 $1,770.00 $1,681.50 2026-01-01
L5460 HCPCS Postop App Non-wgt Bear Dsg 9 9 $1,753.00 $1,314.75 25% off $1,116.49 $1,753.00 $1,665.35 2026-01-01
93925 CDM US Le Arterial Duplex Bilatera 9 9 $1,743.00 $1,307.25 25% off $1,110.12 $1,743.00 $1,655.85 2026-01-01
74160 CDM CT Abdomen With Contrast 9 9 $1,680.00 $1,260.00 25% off $1,069.99 $1,680.00 $1,596.00 2026-01-01
L1200 HCPCS Furnish Initial Orthosis Only 9 9 $1,669.51 $1,252.13 25% off $1,063.31 $1,669.51 $1,586.03 2026-01-01
L1907 HCPCS Afo Supramalleolar Custom 9 9 $1,667.00 $1,250.25 25% off $1,061.71 $1,667.00 $1,583.65 2026-01-01
72193 CDM CT Pelvis With Contrast 9 9 $1,665.00 $1,248.75 25% off $1,060.44 $1,665.00 $1,581.75 2026-01-01
71270 CDM CT Thorax With + Without Contrast 9 9 $1,661.00 $1,245.75 25% off $1,057.89 $1,661.00 $1,577.95 2026-01-01
74185 CDM MRA Abdomen W Or Without Contrast 9 9 $1,658.00 $1,243.50 25% off $1,055.98 $1,658.00 $1,575.10 2026-01-01
L5650 HCPCS Tot Contact Ak/knee Disart S 9 9 $1,652.00 $1,239.00 25% off $1,052.16 $1,652.00 $1,569.40 2026-01-01
L5000 HCPCS Sho Insert W Arch Toe Filler 9 9 $1,648.00 $1,236.00 25% off $1,049.61 $1,648.00 $1,565.60 2026-01-01
L0200 HCPCS Cerv Col Supp Adj Bar & Thor 9 9 $1,646.00 $1,234.50 25% off $1,048.34 $1,646.00 $1,563.70 2026-01-01
70551 CDM MRI Brain Without Contrast 9 9 $1,640.00 $1,230.00 25% off $1,044.52 $1,640.00 $1,558.00 2026-01-01
77385 CDM Radiation Imrt Simple 9 9 $1,628.00 $1,221.00 25% off $1,036.87 $1,628.00 $1,546.60 2026-01-01
72148 CDM MRI Spine Lumbar Without Contrast 9 9 $1,622.00 $1,216.50 25% off $1,033.05 $1,622.00 $1,540.90 2026-01-01
72146 CDM MRI Spine Thoracic Without Contras 9 9 $1,622.00 $1,216.50 25% off $1,033.05 $1,622.00 $1,540.90 2026-01-01
72141 CDM MRI Spine Cervical Without Contras 9 9 $1,621.00 $1,215.75 25% off $1,032.41 $1,621.00 $1,539.95 2026-01-01
90937 CDM Peritoneal Dialysis 9 9 $1,620.00 $1,215.00 25% off $1,031.78 $1,620.00 $1,539.00 2026-01-01
77386 CDM Radiation Imrt Complex 9 9 $1,617.00 $1,212.75 25% off $1,029.87 $1,617.00 $1,536.15 2026-01-01
77470 CDM Radiation Special Treatment 9 9 $1,617.00 $1,212.75 25% off $1,029.87 $1,617.00 $1,536.15 2026-01-01
74230 CDM Videofluoroscopic Swallow Stud 9 9 $1,612.00 $1,209.00 25% off $1,026.68 $1,612.00 $1,531.40 2026-01-01
L1940 HCPCS Afo Molded To Patient Plasti 9 9 $1,587.00 $1,190.25 25% off $1,010.76 $1,587.00 $1,507.65 2026-01-01
95816 CDM EEG-awake And Drowsy 9 9 $1,561.00 $1,170.75 25% off $994.20 $1,561.00 $1,482.95 2026-01-01
93880 CDM US Carotid Duplex Bilateral 9 9 $1,560.00 $1,170.00 25% off $993.56 $1,560.00 $1,482.00 2026-01-01
L0482 HCPCS Tlso Rigid Lined Custom Fab 9 9 $1,559.91 $1,169.93 25% off $993.51 $1,559.91 $1,481.91 2026-01-01
74176 CDM CT Abdomen/pelvis Without Contrast 9 9 $1,554.00 $1,165.50 25% off $989.74 $1,554.00 $1,476.30 2026-01-01
71260 CDM CT Thorax With Contrast 9 9 $1,540.00 $1,155.00 25% off $980.83 $1,540.00 $1,463.00 2026-01-01
93970 CDM US Venous Duplex Bilateral 9 9 $1,539.00 $1,154.25 25% off $980.19 $1,539.00 $1,462.05 2026-01-01
70470 CDM CT Head Or Brain With + Without Cont 9 9 $1,523.00 $1,142.25 25% off $970.00 $1,523.00 $1,446.85 2026-01-01
72125 CDM CT Spine Cervical Without Contrast 9 9 $1,498.00 $1,123.50 25% off $954.08 $1,498.00 $1,423.10 2026-01-01
L0480 HCPCS Tlso Rigid Plastic Custom Fa 9 9 $1,494.94 $1,121.20 25% off $952.13 $1,494.94 $1,420.19 2026-01-01
72128 CDM CT Spine Thoracic Without Contrast 9 9 $1,487.00 $1,115.25 25% off $947.07 $1,487.00 $1,412.65 2026-01-01
73700 CDM CT Lower Extrem Without Contrast 9 9 $1,484.00 $1,113.00 25% off $945.16 $1,484.00 $1,409.80 2026-01-01
72131 CDM CT Spine Lumbar Without Contrast 9 9 $1,484.00 $1,113.00 25% off $945.16 $1,484.00 $1,409.80 2026-01-01
L5631 HCPCS Ak/knee Disartic Acrylic Soc 9 9 $1,467.00 $1,100.25 25% off $934.33 $1,467.00 $1,393.65 2026-01-01
72195 CDM MRI Pelvis Without Contrast 9 9 $1,447.00 $1,085.25 25% off $921.59 $1,447.00 $1,374.65 2026-01-01
93978 CDM US Aorta Duplex Complete 9 9 $1,447.00 $1,085.25 25% off $921.59 $1,447.00 $1,374.65 2026-01-01
70544 CDM MRA Head Without Contrast 9 9 $1,447.00 $1,085.25 25% off $921.59 $1,447.00 $1,374.65 2026-01-01
70540 CDM MRI Face Neck Orbit Without Contra 9 9 $1,447.00 $1,085.25 25% off $921.59 $1,447.00 $1,374.65 2026-01-01
74181 CDM MRI Abdomen Without Contrast 9 9 $1,447.00 $1,085.25 25% off $921.59 $1,447.00 $1,374.65 2026-01-01
70547 CDM MRA Neck Without Contrast 9 9 $1,447.00 $1,085.25 25% off $921.59 $1,447.00 $1,374.65 2026-01-01
L1990 HCPCS Afo Doub Solid Stirrup Calf 9 9 $1,446.00 $1,084.50 25% off $920.96 $1,446.00 $1,373.70 2026-01-01
L3915 HCPCS Who W Nontor Jnt(s) Prefab 9 9 $1,433.00 $1,074.75 25% off $912.68 $1,433.00 $1,361.35 2026-01-01
87507 CDM Iadna-dna/rna Probe Tq 12-25 9 9 $1,432.00 $1,074.00 25% off $912.04 $1,432.00 $1,360.40 2026-01-01
87633 CDM Resp Virus 12-25 Targets 9 9 $1,432.00 $1,074.00 25% off $912.04 $1,432.00 $1,360.40 2026-01-01
70460 CDM CT Head Or Brain With Contrast 9 9 $1,431.00 $1,073.25 25% off $911.40 $1,431.00 $1,359.45 2026-01-01
73221 CDM MRI Upper Extrem Without Contrast 9 9 $1,426.00 $1,069.50 25% off $908.22 $1,426.00 $1,354.70 2026-01-01
73721 CDM MRI Lower Extrem Jnt Without Contr 9 9 $1,426.00 $1,069.50 25% off $908.22 $1,426.00 $1,354.70 2026-01-01
73718 CDM MRI Lower Extrem Non Jnt Without C 9 9 $1,426.00 $1,069.50 25% off $908.22 $1,426.00 $1,354.70 2026-01-01
L2340 HCPCS Pre-tibial Shell Molded To P 9 9 $1,425.00 $1,068.75 25% off $907.58 $1,425.00 $1,353.75 2026-01-01
71250 CDM CT Thorax Without Contrast 9 9 $1,415.00 $1,061.25 25% off $901.21 $1,415.00 $1,344.25 2026-01-01
L0636 HCPCS Lso Sagittal Rigid Panel Cus 9 9 $1,414.19 $1,060.64 25% off $900.70 $1,414.19 $1,343.48 2026-01-01
L2280 HCPCS Molded Inner Boot 9 9 $1,408.00 $1,056.00 25% off $896.76 $1,408.00 $1,337.60 2026-01-01
93926 CDM US Le Arterial Duplex 9 9 $1,390.00 $1,042.50 25% off $885.29 $1,390.00 $1,320.50 2026-01-01
L1971 HCPCS Afo W/ankle Joint, Prefab 9 9 $1,389.00 $1,041.75 25% off $884.65 $1,389.00 $1,319.55 2026-01-01
74150 CDM CT Abdomen Without Contrast 9 9 $1,385.00 $1,038.75 25% off $882.11 $1,385.00 $1,315.75 2026-01-01
72192 CDM CT Pelvis Without Contrast 9 9 $1,371.00 $1,028.25 25% off $873.19 $1,371.00 $1,302.45 2026-01-01
93307 CDM Echo 2d M-mode Without Doppler 9 9 $1,355.00 $1,016.25 25% off $863.00 $1,355.00 $1,287.25 2026-01-01
L3760 HCPCS Eo Withjoint, Prefabricated 9 9 $1,353.00 $1,014.75 25% off $861.73 $1,353.00 $1,285.35 2026-01-01
93923 CDM US Le Arterial Doppler Multi L 9 9 $1,333.00 $999.75 25% off $848.99 $1,333.00 $1,266.35 2026-01-01
L0112 HCPCS Cranial Cervical Orthosis 9 9 $1,311.43 $983.57 25% off $835.25 $1,311.43 $1,245.86 2026-01-01
L0472 HCPCS Tlso Rigid Frame Hyperex Pre 9 9 $1,301.00 $975.75 25% off $828.61 $1,301.00 $1,235.95 2026-01-01
70492 CDM CT Soft Tissue Neck W/+without Con 9 9 $1,297.00 $972.75 25% off $826.06 $1,297.00 $1,232.15 2026-01-01
70491 CDM CT Soft Tissue Neck W/contrast 9 9 $1,297.00 $972.75 25% off $826.06 $1,297.00 $1,232.15 2026-01-01
70488 CDM CT Maxillofacial W + Without Contr 9 9 $1,295.00 $971.25 25% off $824.79 $1,295.00 $1,230.25 2026-01-01
70496 CDM CT Angiography Head 9 9 $1,295.00 $971.25 25% off $824.79 $1,295.00 $1,230.25 2026-01-01
70498 CDM CT Angiography Neck 9 9 $1,295.00 $971.25 25% off $824.79 $1,295.00 $1,230.25 2026-01-01
73706 CDM CT Angiography Lower Extremity 9 9 $1,295.00 $971.25 25% off $824.79 $1,295.00 $1,230.25 2026-01-01
73206 CDM CT Angiography Upper Extremity 9 9 $1,295.00 $971.25 25% off $824.79 $1,295.00 $1,230.25 2026-01-01
70487 CDM CT Maxillofacial W Contrast 9 9 $1,295.00 $971.25 25% off $824.79 $1,295.00 $1,230.25 2026-01-01
76700 CDM US Abdomen Complete 9 9 $1,292.00 $969.00 25% off $822.87 $1,292.00 $1,227.40 2026-01-01
93971 CDM US Venous Duplex Unilateral 9 9 $1,290.00 $967.50 25% off $821.60 $1,290.00 $1,225.50 2026-01-01
73702 CDM CT Lower Extrem W/+without Contras 9 9 $1,278.00 $958.50 25% off $813.96 $1,278.00 $1,214.10 2026-01-01
73202 CDM CT Upper Extrem W/+without Contras 9 9 $1,278.00 $958.50 25% off $813.96 $1,278.00 $1,214.10 2026-01-01
73701 CDM CT Lower Extrem W Contrast 9 9 $1,278.00 $958.50 25% off $813.96 $1,278.00 $1,214.10 2026-01-01
70450 CDM CT Head Or Brain Without Contrast 9 9 $1,272.00 $954.00 25% off $810.14 $1,272.00 $1,208.40 2026-01-01
76770 CDM US Retroperitoneal Complete 9 9 $1,262.00 $946.50 25% off $803.77 $1,262.00 $1,198.90 2026-01-01
L0638 HCPCS Lso Sag-coronal Panel Custom 9 9 $1,235.80 $926.85 25% off $787.08 $1,235.80 $1,174.01 2026-01-01
L3806 HCPCS Whfo W/joiont(s) Custom Fab 9 9 $1,225.00 $918.75 25% off $780.20 $1,225.00 $1,163.75 2026-01-01
L5624 HCPCS Test Socket Above Knee 9 9 $1,220.00 $915.00 25% off $777.02 $1,220.00 $1,159.00 2026-01-01
L0627 HCPCS Lo Sagitt Rigid Panel Prefab 9 9 $1,218.00 $913.50 25% off $775.74 $1,218.00 $1,157.10 2026-01-01
L0642 HCPCS Lo Sag Ri An/pos Pnl Pre Ots 9 9 $1,218.00 $913.50 25% off $775.74 $1,218.00 $1,157.10 2026-01-01
804 CDM Ccpd - Cont Cycling Peritoneal 18 9 $1,519.50 $1,139.62 25% off $617.16 $2,070.00 $1,143.69 2026-01-01
L3906 HCPCS Who Without Joints Cf 9 9 $1,198.00 $898.50 25% off $763.01 $1,198.00 $1,138.10 2026-01-01
36430 CDM Transfusion - Blood 9 9 $1,192.00 $894.00 25% off $759.18 $1,192.00 $1,132.40 2026-01-01
76705 CDM US Abdomen Limited 9 9 $1,189.00 $891.75 25% off $757.27 $1,189.00 $1,129.55 2026-01-01
72220 CDM Xr Sacrum/coccyx Min 2 Views 9 9 $1,184.00 $888.00 25% off $754.09 $1,184.00 $1,124.80 2026-01-01
71101 CDM Xr Ribs W/chest Min 3 Views 9 9 $1,184.00 $888.00 25% off $754.09 $1,184.00 $1,124.80 2026-01-01
73060 CDM Xr Humerus Min 2 Views 9 9 $1,184.00 $888.00 25% off $754.09 $1,184.00 $1,124.80 2026-01-01
72120 CDM Xr Spine Lumbosacral Bending 2 9 9 $1,184.00 $888.00 25% off $754.09 $1,184.00 $1,124.80 2026-01-01
72110 CDM Xr Spine Lumbosacral Min 4 Vie 9 9 $1,184.00 $888.00 25% off $754.09 $1,184.00 $1,124.80 2026-01-01
73120 CDM Xr Hand 2 Views 9 9 $1,184.00 $888.00 25% off $754.09 $1,184.00 $1,124.80 2026-01-01
72072 CDM Xr Spine Thoracic 3 Views 9 9 $1,184.00 $888.00 25% off $754.09 $1,184.00 $1,124.80 2026-01-01
72100 CDM Xr Spine Lumbosacral 2 Or 3 Vi 9 9 $1,184.00 $888.00 25% off $754.09 $1,184.00 $1,124.80 2026-01-01
73090 CDM Xr Forearm 2 Views 9 9 $1,184.00 $888.00 25% off $754.09 $1,184.00 $1,124.80 2026-01-01
72080 CDM Xr Spine Thoracolumbar Min 2 V 9 9 $1,184.00 $888.00 25% off $754.09 $1,184.00 $1,124.80 2026-01-01
71111 CDM Xr Ribs W/pa Chest Min 4 Views 9 9 $1,184.00 $888.00 25% off $754.09 $1,184.00 $1,124.80 2026-01-01
71110 CDM Xr Ribs 3 Views Bilateral 9 9 $1,184.00 $888.00 25% off $754.09 $1,184.00 $1,124.80 2026-01-01
72114 CDM Xr Spine Lumbosacral Min 6 Vie 9 9 $1,184.00 $888.00 25% off $754.09 $1,184.00 $1,124.80 2026-01-01
72040 CDM Xr Spine Cervical 2 Or 3 Views 9 9 $1,184.00 $888.00 25% off $754.09 $1,184.00 $1,124.80 2026-01-01
73130 CDM Xr Hand Min 3 Views 9 9 $1,184.00 $888.00 25% off $754.09 $1,184.00 $1,124.80 2026-01-01
72070 CDM Xr Spine Thoracic 2 Views 9 9 $1,184.00 $888.00 25% off $754.09 $1,184.00 $1,124.80 2026-01-01
76881 CDM US Complete Joint Soft Tissue 9 9 $1,183.00 $887.25 25% off $753.45 $1,183.00 $1,123.85 2026-01-01
76604 CDM US Chest 9 9 $1,183.00 $887.25 25% off $753.45 $1,183.00 $1,123.85 2026-01-01
74021 CDM Xr Abdomen 3 Or More Views 9 9 $1,180.00 $885.00 25% off $751.54 $1,180.00 $1,121.00 2026-01-01
L0462 HCPCS Tlso 3mod Sacro-scap Pre 9 9 $1,169.92 $877.44 25% off $745.12 $1,169.92 $1,111.42 2026-01-01
L0859 HCPCS MRI Compatible System 9 9 $1,161.75 $871.31 25% off $739.92 $1,161.75 $1,103.66 2026-01-01
73552 CDM Xr Femur Min 2 Views 9 9 $1,147.00 $860.25 25% off $730.52 $1,147.00 $1,089.65 2026-01-01
73502 CDM Xr Hip 2-3 Views 9 9 $1,147.00 $860.25 25% off $730.52 $1,147.00 $1,089.65 2026-01-01
73522 CDM Xr Hip Bilateral W/pelvis 3-4 9 9 $1,147.00 $860.25 25% off $730.52 $1,147.00 $1,089.65 2026-01-01
73523 CDM Xr Hip Bilateral W/pelvis Min 9 9 $1,147.00 $860.25 25% off $730.52 $1,147.00 $1,089.65 2026-01-01
73521 CDM Xr Hip Bilateral W/pelvis 2 Vi 9 9 $1,147.00 $860.25 25% off $730.52 $1,147.00 $1,089.65 2026-01-01
L2250 HCPCS Foot Plate Molded Stirrup At 9 9 $1,116.00 $837.00 25% off $710.78 $1,116.00 $1,060.20 2026-01-01
73000 CDM Xr Clavicle 9 9 $1,109.00 $831.75 25% off $706.32 $1,109.00 $1,053.55 2026-01-01
73030 CDM Xr Shoulder Min 2 Views 9 9 $1,109.00 $831.75 25% off $706.32 $1,109.00 $1,053.55 2026-01-01
72190 CDM Xr Pelvis Min 3 Views 9 9 $1,109.00 $831.75 25% off $706.32 $1,109.00 $1,053.55 2026-01-01
73610 CDM Xr Ankle Min 3 Views 9 9 $1,109.00 $831.75 25% off $706.32 $1,109.00 $1,053.55 2026-01-01
73600 CDM Xr Ankle 2 Views 9 9 $1,109.00 $831.75 25% off $706.32 $1,109.00 $1,053.55 2026-01-01
73070 CDM Xr Elbow 2 Views 9 9 $1,109.00 $831.75 25% off $706.32 $1,109.00 $1,053.55 2026-01-01
73080 CDM Xr Elbow Complete 9 9 $1,109.00 $831.75 25% off $706.32 $1,109.00 $1,053.55 2026-01-01
L1920 HCPCS Afo Sing Upright With Adjust S 9 9 $1,106.00 $829.50 25% off $704.41 $1,106.00 $1,050.70 2026-01-01
L0651 HCPCS Lso Sag-co Shell Pnl Pre Ots 9 9 $1,097.15 $822.86 25% off $698.77 $1,097.15 $1,042.29 2026-01-01
L0639 HCPCS Lso S/c Shell/panel Prefab 9 9 $1,097.15 $822.86 25% off $698.77 $1,097.15 $1,042.29 2026-01-01
73564 CDM Xr Knee 4 Or More Views 9 9 $1,090.00 $817.50 25% off $694.22 $1,090.00 $1,035.50 2026-01-01
71047 CDM Xr Chest 3 Views 9 9 $1,090.00 $817.50 25% off $694.22 $1,090.00 $1,035.50 2026-01-01
73110 CDM Xr Wrist Min 3 Views 9 9 $1,090.00 $817.50 25% off $694.22 $1,090.00 $1,035.50 2026-01-01
71048 CDM Xr Chest 4 Or More Views 9 9 $1,090.00 $817.50 25% off $694.22 $1,090.00 $1,035.50 2026-01-01
73620 CDM Xr Foot 2 Views 9 9 $1,090.00 $817.50 25% off $694.22 $1,090.00 $1,035.50 2026-01-01
73630 CDM Xr Foot Complete 9 9 $1,090.00 $817.50 25% off $694.22 $1,090.00 $1,035.50 2026-01-01
73562 CDM Xr Knee 3 Views 9 9 $1,090.00 $817.50 25% off $694.22 $1,090.00 $1,035.50 2026-01-01
73590 CDM Xr Tibia/fibula 2 Views 9 9 $1,090.00 $817.50 25% off $694.22 $1,090.00 $1,035.50 2026-01-01
70490 CDM CT Soft Tissue Neck Without Contra 9 9 $1,087.00 $815.25 25% off $692.31 $1,087.00 $1,032.65 2026-01-01
77080 CDM Dxa Bone Density Axial Skeleto 9 9 $1,085.00 $813.75 25% off $691.04 $1,085.00 $1,030.75 2026-01-01
70486 CDM CT Maxillofacial Without Contrast 9 9 $1,085.00 $813.75 25% off $691.04 $1,085.00 $1,030.75 2026-01-01
73200 CDM CT Upper Extrem Without Contrast 9 9 $1,075.00 $806.25 25% off $684.67 $1,075.00 $1,021.25 2026-01-01
88377 CDM Ish Ea Multiplex Probe 9 9 $1,064.00 $798.00 25% off $677.66 $1,064.00 $1,010.80 2026-01-01
L2624 HCPCS Hip Adj Flex Ext Abduct Cont 9 9 $1,062.00 $796.50 25% off $676.39 $1,062.00 $1,008.90 2026-01-01
L5999 HCPCS Lower Ext Pros-nos 9 9 $1,040.00 $780.00 25% off $662.38 $1,040.00 $988.00 2026-01-01
L5637 HCPCS Below Knee Total Contact 9 9 $1,030.00 $772.50 25% off $656.01 $1,030.00 $978.50 2026-01-01
77338 CDM Radiation Mlc Device For Imrt 9 9 $1,017.00 $762.75 25% off $647.73 $1,017.00 $966.15 2026-01-01
L3980 HCPCS Upp Ext Fx Orthosis Humeral 9 9 $1,014.00 $760.50 25% off $645.82 $1,014.00 $963.30 2026-01-01
L3808 HCPCS Whfo, Rigid Without Joints 9 9 $1,014.00 $760.50 25% off $645.82 $1,014.00 $963.30 2026-01-01
77290 CDM Radiation Set Therapy Field 9 9 $1,006.00 $754.50 25% off $640.72 $1,006.00 $955.70 2026-01-01
77334 CDM Radiation Treatment Aid 9 9 $1,006.00 $754.50 25% off $640.72 $1,006.00 $955.70 2026-01-01
81235 CDM Egfr Gene Com Variants 9 9 $1,004.00 $753.00 25% off $639.45 $1,004.00 $953.80 2026-01-01
77081 CDM Dxa Bone Density Append Skelet 9 9 $989.00 $741.75 25% off $629.89 $989.00 $939.55 2026-01-01
801 CDM Hd Inhouse Tablo 18 9 $1,020.00 $765.00 25% off $590.41 $1,113.00 $903.83 2026-01-01
L0488 HCPCS Tlso Rigid Lined Pre One Pie 9 9 $940.56 $705.42 25% off $599.04 $940.56 $893.53 2026-01-01
81405 CDM Mopath Procedure Level 6 9 9 $933.00 $699.75 25% off $594.23 $933.00 $886.35 2026-01-01
L3000 HCPCS Ft Insert Ucb Berkeley Shell 9 9 $931.00 $698.25 25% off $592.95 $931.00 $884.45 2026-01-01
L1850 HCPCS Ko Swedish Type 9 9 $910.00 $682.50 25% off $579.58 $910.00 $864.50 2026-01-01
87901 CDM Genotype DNA HIV Reverse T 9 9 $885.00 $663.75 25% off $563.66 $885.00 $840.75 2026-01-01
87902 CDM Genotype Dna/rna Hep C 9 9 $885.00 $663.75 25% off $563.66 $885.00 $840.75 2026-01-01
803 CDM Capd - Cont Amb Peritoneal Dia 18 9 $948.00 $711.00 25% off $548.37 $1,035.00 $839.48 2026-01-01
L0635 HCPCS Lso Sagit Rigid Panel Prefab 9 9 $877.98 $658.49 25% off $559.19 $877.98 $834.08 2026-01-01
81406 CDM Mopath Procedure Level 7 9 9 $875.00 $656.25 25% off $557.29 $875.00 $831.25 2026-01-01
L1831 HCPCS Knee Orth Pos Locking Joint 9 9 $872.00 $654.00 25% off $555.38 $872.00 $828.40 2026-01-01
L3921 HCPCS Hfo W/joints(s) Cf 9 9 $866.00 $649.50 25% off $551.56 $866.00 $822.70 2026-01-01
L2620 HCPCS Pelvic Control Hip Heavy Duty 9 9 $862.00 $646.50 25% off $549.01 $862.00 $818.90 2026-01-01
L4361 HCPCS Pneuma/vac Walk Boot Pre Ots 9 9 $856.00 $642.00 25% off $545.19 $856.00 $813.20 2026-01-01
L4360 HCPCS Pneumati Walking Boot Prefab 9 9 $856.00 $642.00 25% off $545.19 $856.00 $813.20 2026-01-01
L0174 HCPCS Cerv Col Foam 2 Piece W Thor 9 9 $851.00 $638.25 25% off $542.00 $851.00 $808.45 2026-01-01
81404 CDM Mopath Procedure Level 5 9 9 $850.00 $637.50 25% off $541.37 $850.00 $807.50 2026-01-01
L5940 HCPCS Endo Bk Ultra-light Material 9 9 $839.14 $629.36 25% off $534.45 $839.14 $797.18 2026-01-01
87506 CDM Iadna-dna/rna Probe Tq 6-11 9 9 $813.00 $609.75 25% off $517.80 $813.00 $772.35 2026-01-01
L5910 HCPCS Endo Below Knee Alignable Sy 9 9 $807.84 $605.88 25% off $514.51 $807.84 $767.45 2026-01-01
L3702 HCPCS Eo Without Joints Cf 9 9 $778.00 $583.50 25% off $495.51 $778.00 $739.10 2026-01-01
83605 CDM Lactic Acid 9 9 $773.00 $579.75 25% off $492.32 $773.00 $734.35 2026-01-01
L1930 HCPCS Afo Plastic Pre-fab 9 9 $749.00 $561.75 25% off $477.04 $749.00 $711.55 2026-01-01
L0170 HCPCS Cervical Collar Molded To Pt 9 9 $738.20 $553.65 25% off $470.16 $738.20 $701.29 2026-01-01
87632 CDM Resp Virus 6-11 Targets 9 9 $734.00 $550.50 25% off $467.48 $734.00 $697.30 2026-01-01
L3919 HCPCS Ho Without Joints Cf 9 9 $730.00 $547.50 25% off $464.94 $730.00 $693.50 2026-01-01
L3913 HCPCS Hfo Without Joints Cf 9 9 $730.00 $547.50 25% off $464.94 $730.00 $693.50 2026-01-01
L0491 HCPCS Tlso 2 Piece Rigid Shell 9 9 $719.61 $539.71 25% off $458.32 $719.61 $683.63 2026-01-01
L1220 HCPCS Anterior Thoracic Extension 9 9 $711.00 $533.25 25% off $452.84 $711.00 $675.45 2026-01-01
L0470 HCPCS Tlso Rigid Frame Pre Subclav 9 9 $710.04 $532.53 25% off $452.22 $710.04 $674.54 2026-01-01
77412 CDM Radiation Treatment Delivery 9 9 $710.00 $532.50 25% off $452.20 $710.00 $674.50 2026-01-01
920 CDM Midline Insertion 36 9 $712.50 $534.38 25% off $266.86 $1,275.00 $658.12 2026-01-01
L3809 HCPCS Whfo Without Joints Pre Ots 9 9 $676.00 $507.00 25% off $430.54 $676.00 $642.20 2026-01-01
L3807 HCPCS Whfo, No Joint, Prefabricated 9 9 $676.00 $507.00 25% off $430.54 $676.00 $642.20 2026-01-01
93975 CDM US Duplex Abd Pelv Scrotal Com 9 9 $672.00 $504.00 25% off $428.00 $672.00 $638.40 2026-01-01
87154 CDM Cul Typ Id Bld Pthgn 6+ Trgt 9 9 $655.00 $491.25 25% off $417.17 $655.00 $622.25 2026-01-01
L0861 HCPCS Halo Repl Liner/interface 9 9 $638.00 $478.50 25% off $406.34 $638.00 $606.10 2026-01-01
92523 CDM Eval Sound Prod-lang Comp- Exp 9 9 $630.00 $472.50 25% off $401.25 $630.00 $598.50 2026-01-01
L3935 HCPCS Fo Nontorsion Joint Cf 9 9 $595.00 $446.25 25% off $378.96 $595.00 $565.25 2026-01-01
L3020 HCPCS Foot Longitud/metatarsal Sup 9 9 $588.00 $441.00 25% off $374.50 $588.00 $558.60 2026-01-01
L3933 HCPCS Fo Without Joints Cf 9 9 $575.00 $431.25 25% off $366.22 $575.00 $546.25 2026-01-01
36581 CDM Replace Tunneled Cv Catheter 9 9 $574.00 $430.50 25% off $365.58 $574.00 $545.30 2026-01-01
81403 CDM Mopath Procedure Level 4 9 9 $573.00 $429.75 25% off $364.94 $573.00 $544.35 2026-01-01
97545 CDM Work Hard/cond (initial 2 Hrs) 9 9 $557.00 $417.75 25% off $354.75 $557.00 $529.15 2026-01-01
L0450 HCPCS Tlso Flex Prefab Thoracic 9 9 $553.00 $414.75 25% off $352.21 $553.00 $525.35 2026-01-01
81227 CDM Cyp2c9 Gene Com Variants 9 9 $541.00 $405.75 25% off $344.56 $541.00 $513.95 2026-01-01
L0190 HCPCS Cerv Collar Suipp Adj Cerv Ba 9 9 $537.43 $403.07 25% off $342.29 $537.43 $510.56 2026-01-01
97167 CDM Ot Eval- High Complexity 9 9 $518.00 $388.50 25% off $329.91 $518.00 $492.10 2026-01-01
93930 CDM US Ue Arterial Duplex Bilatera 9 9 $508.00 $381.00 25% off $323.55 $508.00 $482.60 2026-01-01
L0469 HCPCS Tlso Rig Fram Pelvic Pre Ots 9 9 $499.95 $374.96 25% off $318.42 $499.95 $474.95 2026-01-01
L0468 HCPCS Tlso Rigid Frame Prefav Pelv 9 9 $499.95 $374.96 25% off $318.42 $499.95 $474.95 2026-01-01
L4396 HCPCS Afo-static Or Dynamic Pre-fab 9 9 $496.00 $372.00 25% off $315.90 $496.00 $471.20 2026-01-01
92607 CDM Eval Speech Gen Dev 1st Hr 9 9 $489.00 $366.75 25% off $311.44 $489.00 $464.55 2026-01-01
88233 CDM Tissue Culture Skin/biopsy 9 9 $485.00 $363.75 25% off $308.90 $485.00 $460.75 2026-01-01
92601 CDM Dx Cochlear Implant <7 9 9 $478.00 $358.50 25% off $304.44 $478.00 $454.10 2026-01-01
G0277 HCPCS Hyperbaric O2 Tx 30 Min 9 9 $478.00 $358.50 25% off $304.44 $478.00 $454.10 2026-01-01
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