Hospital

MINERS' COLFAX MEDICAL CENTER

Raton, NM · CCN 321307 · Rates published

1,118 distinct procedures filed

28 distinct payers

32,512 rate rows

2025-05-15 last MRF observed · ⚠ 13 mo old

Data quality

32,429 of 32,512 rate rows are consumer-grade (99.7%)

83 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
per-diem day rate — not a per-procedure price	71
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	8
exceeds 10× this hospital's gross charge — excluded from medians	4

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 13 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

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

Source MRF file	https://minershosp.slicedhealth.io/pricer/85-0323546_MinersColfaxMedicalCenter_standardcharges.CSV
Found on page	https://www.minershosp.com/price-transparency/
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-05-15
Content fingerprint	cf8cf848d80190a4… · 25,036,165 bytes · first seen 2026-05-05

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
J9217 HCPCS	00074-3346-03 - Leuprolide 22.5 Mg/3 Months Kit [mcmc]	28	$16,599.97	$17,825.47	$16,599.97	nat. median $1,523 outlier · 10.9×
J3101 HCPCS	50242-0120-47 - Tenecteplase 50 Mg Powder [mcmc]	28	$15,502.57	$16,647.06	$15,502.57	nat. median $5,949 outlier · 2.6×
J9312 HCPCS	50242-0053-06 - riTUXimab 10 mg/mL IV Sol [mcmc]	28	$14,732.32	$15,819.93	$14,732.32	nat. median $1,245 outlier · 11.8×
35190 CPT	35190 Repair, Acquired Or Traumatic Arteriovenous Fistula; Extremities Tech	28	$13,633.50	$14,640.00	$13,633.50	nat. median $5,720 outlier · 2.4×
47490 CPT	47490 Cholecystostomy, Percutaneous, Complete Procedure, Including Imaging Guida…	28	$9,238.00	$9,920.00	$9,238.00	nat. median $3,906 outlier · 2.4×
58662 CPT	58662 Laparoscopy, Surgical; With Fulguration Or Excision Of Lesions Of The Ovar…	28	$8,940.00	$9,600.00	$8,940.00	nat. median $6,018 1.5× median
19307 CPT	19307 Mastectomy, Modified Radical, Including Axillary Lymph Nodes, With Or With…	28	$8,940.00	$9,600.00	$8,940.00	nat. median $6,934 1.3× median
58670 CPT	58670 Laparoscopy, Surgical; With Fulguration Of Oviducts (with Or Without Trans…	28	$8,940.00	$9,600.00	$8,940.00	nat. median $5,656 1.6× median
49594 CPT	49594 Rpr Aa Hrn 1st 3-10 Ncr/strn	28	$8,940.00	$9,600.00	$8,940.00	nat. median $5,863 1.5× median
49320 CPT	49320 Laparoscopy, Abdomen, Peritoneum, And Omentum, Diagnostic, With Or Without…	28	$8,940.00	$9,600.00	$8,940.00	nat. median $5,610 1.6× median
57425 CPT	57425 Laparoscopy, Surgical, Colpopexy (suspension Of Vaginal Apex) ProFee	28	$8,940.00	$9,600.00	$8,940.00	nat. median $9,808 0.9× median
60220 CPT	60220 Total Thyroid Lobectomy, Unilateral; With Or Without Isthmusectomy ProFee	28	$8,940.00	$9,600.00	$8,940.00	nat. median $5,899 1.5× median
58356 CPT	58356 Endometrial Cryoablation With Ultrasonic Guidance, Including Endometrial C…	28	$8,940.00	$9,600.00	$8,940.00	nat. median $5,093 1.8× median
49321 CPT	49321 Laparoscopy, Surgical; With Biopsy (single Or Multiple) ProFee	28	$8,940.00	$9,600.00	$8,940.00	nat. median $5,702 1.6× median
58661 CPT	58661 Laparoscopy, Surgical; With Removal Of Adnexal Structures (partial Or Tota…	28	$8,940.00	$9,600.00	$8,940.00	nat. median $5,898 1.5× median
15734 CPT	15734 Muscle, Myocutaneous, Or Fasciocutaneous Flap; Trunk	28	$8,493.00	$9,120.00	$8,493.00	nat. median $3,886 outlier · 2.2×
19120 CPT	19120 Excision Of Cyst, Fibroadenoma, Or Other Benign Or Malignant Tumor, Aberra…	28	$8,418.50	$9,040.00	$8,418.50	nat. median $3,650 outlier · 2.3×
19101 CPT	19101 Biopsy Of Breast; Open, Incisional	28	$8,418.50	$9,040.00	$8,418.50	nat. median $3,715 outlier · 2.3×
38500 CPT	38500 Biopsy Or Excision Of Lymph Node(s), Open, Superficial	28	$8,418.50	$9,040.00	$8,418.50	nat. median $3,670 outlier · 2.3×
38531 CPT	38531 Open Bx/exc Inguinofem Nodes	28	$8,418.50	$9,040.00	$8,418.50	nat. median $4,000 outlier · 2.1×
26607 CPT	26607 Closed Treatment Of Metacarpal Fracture, With Manipulation, With External…	28	$8,046.00	$8,640.00	$8,046.00	nat. median $3,135 outlier · 2.6×
27675 CPT	27675 Repair, Dislocating Peroneal Tendons; Without Fibular Osteotomy TechFee	28	$7,822.50	$8,400.00	$7,822.50	nat. median $3,506 outlier · 2.2×
56620 CPT	Vulvectomy	28	$7,822.50	$8,400.00	$7,822.50	nat. median $3,599 outlier · 2.2×
25606 CPT	25606 Perq Skel Fixj Distal Radial Fx/epiphysl Sep TechFee	28	$7,748.00	$8,320.00	$7,748.00	nat. median $3,760 outlier · 2.1×
36561 CPT	36561 Insert Tunneled Cv Cath	28	$7,673.50	$8,240.00	$7,673.50	nat. median $3,693 outlier · 2.1×
37785 CPT	37785 Ligation, Division, And/or Excision Of Varicose Vein Cluster(s), 1 Leg	28	$7,673.50	$8,240.00	$7,673.50	nat. median $3,514 outlier · 2.2×
36556 CPT	36556 Insert Non Tunnel Cvc > 5 Yr Charges	28	$7,673.50	$8,240.00	$7,673.50	nat. median $2,458 outlier · 3.1×
11646 CPT	11646 Excision, Malignant Lesion Including Margins, Face, Ears, Eyelids, Nose, L…	28	$7,450.00	$8,000.00	$7,450.00	nat. median $2,888 outlier · 2.6×
49593 CPT	49593 Repair Of Anterior Abdominal Hernia(s) Any Approach, Initial	28	$7,450.00	$8,000.00	$7,450.00	nat. median $5,868 1.3× median
58120 CPT	58120 Dilation And Curettage, Diagnostic And/or Therapeutic (nonobstetrical) Pro…	28	$7,450.00	$8,000.00	$7,450.00	nat. median $3,188 outlier · 2.3×
59409 CPT	Vaginal, Vacuum Assist - Delivery Type:	28	$7,450.00	$8,000.00	$7,450.00	nat. median $3,185 outlier · 2.3×
58150 CPT	58150 Total Abdominal Hysterectomy (corpus And Cervix), With Or Without Removal…	28	$7,450.00	$8,000.00	$7,450.00	nat. median $3,280 outlier · 2.3×
59812 CPT	59812 Treatment Of Incomplete Abortion, Any Trimester, Completed Surgically ProF…	28	$7,450.00	$8,000.00	$7,450.00	nat. median $3,255 outlier · 2.3×
45540 CPT	45540 Proctopexy (eg, For Prolapse); Abdominal Approach ProFee	28	$7,450.00	$8,000.00	$7,450.00	nat. median $2,904 outlier · 2.6×
57135 CPT	57135 Excision Of Vaginal Cyst Or Tumor ProFee	28	$7,450.00	$8,000.00	$7,450.00	nat. median $3,181 outlier · 2.3×
45541 CPT	45541 Proctopexy (eg, For Prolapse); Perineal Approach ProFee	28	$7,450.00	$8,000.00	$7,450.00	nat. median $3,182 outlier · 2.3×
55040 CPT	55040 Excision Of Hydrocele; Unilateral ProFee	28	$7,450.00	$8,000.00	$7,450.00	nat. median $3,652 outlier · 2.0×
58562 CPT	58562 Hysteroscopy, Surgical; With Removal Of Impacted Foreign Body ProFee	28	$7,450.00	$8,000.00	$7,450.00	nat. median $3,343 outlier · 2.2×
57720 CPT	57720 Trachelorrhaphy, Plastic Repair Of Uterine Cervix, Vaginal Approach ProFee	28	$7,450.00	$8,000.00	$7,450.00	nat. median $3,474 outlier · 2.1×
49591 CPT	Repair Of Anterior Abdominal Hernia(s), Any Approach, Initial, < 3 Cm, Reducible…	28	$7,450.00	$8,000.00	$7,450.00	nat. median $3,788 2.0× median
35840 CPT	35840 Exploration For Postoperative Hemorrhage, Thrombosis Or Infection; Abdomen…	28	$7,450.00	$8,000.00	$7,450.00	nat. median $3,031 outlier · 2.5×
49550 CPT	49550 Repair Initial Femoral Hernia, Any Age; Reducible ProFee	28	$7,450.00	$8,000.00	$7,450.00	nat. median $3,718 outlier · 2.0×
J0840 HCPCS	50633-0110-12 - Crofab (Crotalidae) Polyvalent - Pow, 2ea [mcmc]	28	$7,166.15	$7,695.20	$7,166.15	nat. median $3,427 outlier · 2.1×
J0630 HCPCS	67457-0675-02 - Calcitonin 200 Intl units/mL Inj Sol [mcmc]	28	$7,018.87	$7,537.05	$7,018.87	nat. median $1,885 outlier · 3.7×
57460 CPT	57460 Colposcopy Of The Cervix Incl. Upper Vagina; With Loop Electrode Biopsy(s)…	28	$7,003.00	$7,520.00	$7,003.00	nat. median $3,048 outlier · 2.3×
20240 CPT	20240 Biopsy, Bone, Open; Superficial	28	$6,742.25	$7,240.00	$6,742.25	nat. median $2,897 outlier · 2.3×
46255 CPT	Hemorrhoidectomy Internal/external Single Column/group	28	$6,705.00	$7,200.00	$6,705.00	nat. median $2,859 outlier · 2.3×
20525 CPT	20525 Rmvl Foreign Body Muscle/tendon Sheath Deep/comp TechFee	28	$6,705.00	$7,200.00	$6,705.00	nat. median $2,953 outlier · 2.3×
21552 CPT	21552 Excision, Tumor, Soft Tissue Of Neck Or Anterior Thorax, Subcutaneous; 3 C…	28	$6,705.00	$7,200.00	$6,705.00	nat. median $3,062 outlier · 2.2×
11626 CPT	11626 Excision, Malignant Lesion Including Margins, Scalp, Neck, Hands, Feet, Ge…	28	$6,332.50	$6,800.00	$6,332.50	nat. median $2,862 outlier · 2.2×

Other procedures at this hospital

Browse this hospital's 1,118 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

11312	CPT	11312 Shaving Of Lesion; Face, Ears, Eyelids, Nose, Lips, Mucous Membrane; 1.1-2…	29	28	$1,300.00	$650.00 50% off	$968.50	$1,040.00	$968.50	2025-05-15
10120	CPT	10120 Incision & Removal Foreign Body Subq Tiss Simple TechFee	29	28	$1,300.00	$650.00 50% off	$968.50	$1,040.00	$968.50	2025-05-15
11308	CPT	11308 Shaving Of Epidermal Or Dermal Lesion; Scalp, Neck, Hands, Feet, Genitalia…	29	28	$1,300.00	$650.00 50% off	$968.50	$1,040.00	$968.50	2025-05-15
74160	CPT	CT Abdomen With Contrast	29	28	$1,300.00	$650.00 50% off	$968.50	$1,040.00	$968.50	2025-05-15
17004	CPT	17004 Destruction, Premalignant Lesions, 15 Or More Lesions	29	28	$1,300.00	$650.00 50% off	$968.50	$1,040.00	$968.50	2025-05-15
11602	CPT	11602 Excision, Malignant Lesion Including Margins, Trunk, Arms, Or Legs; 1.1-2.…	29	28	$1,300.00	$650.00 50% off	$968.50	$1,040.00	$968.50	2025-05-15
11303	CPT	11303 Shaving Of Epidermal Or Dermal Lesion, Single Lesion, Trunk, Arms Or Legs;…	29	28	$1,300.00	$650.00 50% off	$968.50	$1,040.00	$968.50	2025-05-15
71260	CPT	CT Thorax With Contrast	29	28	$1,300.00	$650.00 50% off	$968.50	$1,040.00	$968.50	2025-05-15
72191	CPT	CT Angio Abdomen And Pelvis	29	28	$1,300.00	$650.00 50% off	$968.50	$1,040.00	$968.50	2025-05-15
13131	CPT	13131 Repair Complex F/c/c/m/n/ax/g/h/f 1.1-2.5 Cm TechFee	29	28	$1,300.00	$650.00 50% off	$968.50	$1,040.00	$968.50	2025-05-15
70488	CPT	CT Maxillofacial With + Without Contrast	29	28	$1,300.00	$650.00 50% off	$968.50	$1,040.00	$968.50	2025-05-15
70487	CPT	CT Maxillofacial With Contrast	29	28	$1,300.00	$650.00 50% off	$968.50	$1,040.00	$968.50	2025-05-15
12054	CPT	12054 Repair Intermediate F/e/e/n/l&/muc 7.6-12.5 Cm TechFee	29	28	$1,300.00	$650.00 50% off	$968.50	$1,040.00	$968.50	2025-05-15
12053	CPT	12053 Repair Intermediate F/e/e/n/l&/muc 5.1-7.5 Cm TechFee	29	28	$1,300.00	$650.00 50% off	$968.50	$1,040.00	$968.50	2025-05-15
11042	CPT	11042 Deb Subq Tissue 20 Sq Cm/<	29	28	$1,300.00	$650.00 50% off	$968.50	$1,040.00	$968.50	2025-05-15
74430	CPT	Xr Cystogram	29	28	$1,300.00	$650.00 50% off	$968.50	$1,040.00	$968.50	2025-05-15
12052	CPT	12052 Repair Intermediate F/e/e/n/l&/muc 2.6-5.0 Cm TechFee	29	28	$1,300.00	$650.00 50% off	$968.50	$1,040.00	$968.50	2025-05-15
12051	CPT	12051 Repair Intermediate F/e/e/n/l&/muc 2.5 Cm/< TechFee	29	28	$1,300.00	$650.00 50% off	$968.50	$1,040.00	$968.50	2025-05-15
73701	CPT	CT Lower Extremity With Contrast Right	29	28	$1,300.00	$650.00 50% off	$968.50	$1,040.00	$968.50	2025-05-15
12042	CPT	12042 Repair Intermediate N/h/f/xtrnl Gent 2.6-7.5 Cm TechFee	29	28	$1,300.00	$650.00 50% off	$968.50	$1,040.00	$968.50	2025-05-15
12041	CPT	12041 Repair Intermediate N/h/f/xtrnl Gent 2.5cm/< TechFee	29	28	$1,300.00	$650.00 50% off	$968.50	$1,040.00	$968.50	2025-05-15
11300	CPT	11300 Shaving Of Epidermal Or Dermal Lesion, Single Lesion, Trunk, Arms Or Legs;…	29	28	$1,300.00	$650.00 50% off	$968.50	$1,040.00	$968.50	2025-05-15
12035	CPT	12035 Repair Intermediate S/a/t/e 12.6-20.0cm TechFee	29	28	$1,300.00	$650.00 50% off	$968.50	$1,040.00	$968.50	2025-05-15
12034	CPT	12034 Repair Intermediate S/a/t/e 7.6-12.5 Cm TechFee	29	28	$1,300.00	$650.00 50% off	$968.50	$1,040.00	$968.50	2025-05-15
71275	CPT	CT Angio Chest Pe	29	28	$1,400.00	$700.00 50% off	$1,043.00	$1,120.00	$1,043.00	2025-05-15
71270	CPT	CT Thorax W & Without Contrast	29	28	$1,400.00	$700.00 50% off	$1,043.00	$1,120.00	$1,043.00	2025-05-15
74175	CPT	CT Angio Abdomen	29	28	$1,400.00	$700.00 50% off	$1,043.00	$1,120.00	$1,043.00	2025-05-15
74170	CPT	CT Abdomen With + Without Contrast	29	28	$1,400.00	$700.00 50% off	$1,043.00	$1,120.00	$1,043.00	2025-05-15
70470	CPT	CT Brain/Head With + Without Contrast	29	28	$1,400.00	$700.00 50% off	$1,043.00	$1,120.00	$1,043.00	2025-05-15
73702	CPT	CT Lower Extremity W/+without Contrast Left	29	28	$1,400.00	$700.00 50% off	$1,043.00	$1,120.00	$1,043.00	2025-05-15
70482	CPT	CT Orbits Sella With + Without Contrast	29	28	$1,400.00	$700.00 50% off	$1,043.00	$1,120.00	$1,043.00	2025-05-15
73706	CPT	CT Angio Lower Extremity Right	29	28	$1,400.00	$700.00 50% off	$1,043.00	$1,120.00	$1,043.00	2025-05-15
0202U	CPT	Respiratory Panel 2.1 (BioFire)	29	28	$1,400.00	$700.00 50% off	$1,043.00	$1,120.00	$1,043.00	2025-05-15
72130	CPT	CT Spine Thoracic With + Without Contrast	29	28	$1,400.00	$700.00 50% off	$1,043.00	$1,120.00	$1,043.00	2025-05-15
73206	CPT	CT Angio Upper Extremity Right	29	28	$1,400.00	$700.00 50% off	$1,043.00	$1,120.00	$1,043.00	2025-05-15
72127	CPT	CT Spine Cervical With + Without Contrast	29	28	$1,400.00	$700.00 50% off	$1,043.00	$1,120.00	$1,043.00	2025-05-15
70496	CPT	CT Angio Brain/Head	29	28	$1,400.00	$700.00 50% off	$1,043.00	$1,120.00	$1,043.00	2025-05-15
75635	CPT	CT Angio Abdomen Aorta + Iliofemoral	29	28	$1,400.00	$700.00 50% off	$1,043.00	$1,120.00	$1,043.00	2025-05-15
70498	CPT	CT Angio Neck	29	28	$1,400.00	$700.00 50% off	$1,043.00	$1,120.00	$1,043.00	2025-05-15
72194	CPT	CT Pelvis With + Without Contrast	29	28	$1,400.00	$700.00 50% off	$1,043.00	$1,120.00	$1,043.00	2025-05-15
J1410	HCPCS	00046-0749-05 - Conjugated Estrogens 25 Mg IV Inj [mcmc]	29	28	$1,474.30	$737.15 50% off	$1,098.36	$1,179.44	$1,098.36	2025-05-15
99284	CPT	99284 Ed Visit E&m Patient, Lev 4, Req Med Approp Hstry/exam/moderate Mdm, Cc	29	28	$1,500.00	$750.00 50% off	$1,117.50	$1,200.00	$1,117.50	2025-05-15
36430	CPT	Transfuse Fresh Frozen Plasma	29	28	$1,600.00	$800.00 50% off	$1,192.00	$1,280.00	$1,192.00	2025-05-15
71550	CPT	MRI Chest Without Contrast	29	28	$1,700.00	$850.00 50% off	$1,266.50	$1,360.00	$1,266.50	2025-05-15
74176	CPT	CT Chest/Abd/Pelvis Without Contrast	29	28	$1,700.00	$850.00 50% off	$1,266.50	$1,360.00	$1,266.50	2025-05-15
73721	CPT	MRI Ankle Without Contrast Right	29	28	$1,700.00	$850.00 50% off	$1,266.50	$1,360.00	$1,266.50	2025-05-15
72146	CPT	MRI Spine Thoracic Without Contrast	29	28	$1,700.00	$850.00 50% off	$1,266.50	$1,360.00	$1,266.50	2025-05-15
72148	CPT	MRI Spine Lumbar Without Contrast	29	28	$1,700.00	$850.00 50% off	$1,266.50	$1,360.00	$1,266.50	2025-05-15
70336	CPT	MRI Tmj	29	28	$1,700.00	$850.00 50% off	$1,266.50	$1,360.00	$1,266.50	2025-05-15
74181	CPT	MRI Abdomen Without Contrast	29	28	$1,700.00	$850.00 50% off	$1,266.50	$1,360.00	$1,266.50	2025-05-15
70544	CPT	MRA Brain/Head Without Contrast	29	28	$1,700.00	$850.00 50% off	$1,266.50	$1,360.00	$1,266.50	2025-05-15
70547	CPT	MRA Neck Without Contrast	29	28	$1,700.00	$850.00 50% off	$1,266.50	$1,360.00	$1,266.50	2025-05-15
73718	CPT	MRI Femur Without Contrast Right	29	28	$1,700.00	$850.00 50% off	$1,266.50	$1,360.00	$1,266.50	2025-05-15
72141	CPT	MRI Spine Cervical Without Contrast	29	28	$1,700.00	$850.00 50% off	$1,266.50	$1,360.00	$1,266.50	2025-05-15
73218	CPT	MRI Hand Without Contrast Right	29	28	$1,700.00	$850.00 50% off	$1,266.50	$1,360.00	$1,266.50	2025-05-15
70540	CPT	MRI Face Neck Orbit Without Contrast	29	28	$1,700.00	$850.00 50% off	$1,266.50	$1,360.00	$1,266.50	2025-05-15
73221	CPT	MRI Wrist Without Contrast Left	29	28	$1,700.00	$850.00 50% off	$1,266.50	$1,360.00	$1,266.50	2025-05-15
70551	CPT	MRI Brain Without Contrast	29	28	$1,700.00	$850.00 50% off	$1,266.50	$1,360.00	$1,266.50	2025-05-15
72195	CPT	MRI Pelvis Without Contrast	29	28	$1,700.00	$850.00 50% off	$1,266.50	$1,360.00	$1,266.50	2025-05-15
87902	CPT	Hepatitis C Antibody	29	28	$1,720.00	$860.00 50% off	$1,281.40	$1,376.00	$1,281.40	2025-05-15
81312	CPT	81312 Ap Bill Pabpn1 Gene Analysis Abnormal Alleles	29	28	$1,750.00	$875.00 50% off	$1,303.75	$1,400.00	$1,303.75	2025-05-15
94003	CPT	Rt Ventilator Services Subsequent Charge	29	28	$1,800.00	$900.00 50% off	$1,341.00	$1,440.00	$1,341.00	2025-05-15
13151	CPT	13151 Repair Complex Eyelid/nose/ear/lip 1.1-2.5 Cm TechFee	29	28	$1,800.00	$900.00 50% off	$1,341.00	$1,440.00	$1,341.00	2025-05-15
66761	CPT	Yag	29	28	$1,800.00	$900.00 50% off	$1,341.00	$1,440.00	$1,341.00	2025-05-15
66821	CPT	66821 Yag/laser Capsulotom	29	28	$1,800.00	$900.00 50% off	$1,341.00	$1,440.00	$1,341.00	2025-05-15
13121	CPT	13121 Repair Complex Scalp/arm/leg 2.6-7.5 Cm TechFee	29	28	$1,800.00	$900.00 50% off	$1,341.00	$1,440.00	$1,341.00	2025-05-15
13120	CPT	13120 Repair Complex Scalp/arm/leg 1.1-2.5 Cm TechFee	29	28	$1,800.00	$900.00 50% off	$1,341.00	$1,440.00	$1,341.00	2025-05-15
93351	CPT	US Stress Echo	29	28	$1,800.00	$900.00 50% off	$1,341.00	$1,440.00	$1,341.00	2025-05-15
93306	CPT	US Echo 2d Comp With Color Flow Doppler	29	28	$1,800.00	$900.00 50% off	$1,341.00	$1,440.00	$1,341.00	2025-05-15
93350	CPT	93350 Echocardiography Charge	29	28	$1,800.00	$900.00 50% off	$1,341.00	$1,440.00	$1,341.00	2025-05-15
94002	CPT	Rt Ventilator Services Initial Charge	29	28	$1,800.00	$900.00 50% off	$1,341.00	$1,440.00	$1,341.00	2025-05-15
J2690	HCPCS	76329-3399-05 - Procainamide 100 mg/mL Inj Sol [mcmc]	29	28	$1,830.00	$915.00 50% off	$1,363.35	$1,464.00	$1,363.35	2025-05-15
40806	CPT	40806 Incision Of Labial Frenum (frenotomy)	29	28	$1,850.00	$925.00 50% off	$1,378.25	$1,480.00	$1,378.25	2025-05-15
36589	CPT	36589 Removal Tunneled Cv Cath	29	28	$1,900.00	$950.00 50% off	$1,415.50	$1,520.00	$1,415.50	2025-05-15
13152	CPT	13152 Repair Complex Eyelid/nose/ear/lip 2.6-7.5 Cm TechFee	29	28	$1,900.00	$950.00 50% off	$1,415.50	$1,520.00	$1,415.50	2025-05-15
13132	CPT	13132 Repair Complex F/c/c/m/n/ax/g/h/f 2.6-7.5 Cm TechFee	29	28	$1,900.00	$950.00 50% off	$1,415.50	$1,520.00	$1,415.50	2025-05-15
11106	CPT	11106 Incisional Biopsy Of Skin (eg, Wedge) (including Simple Closure, When Per…	29	28	$1,900.00	$950.00 50% off	$1,415.50	$1,520.00	$1,415.50	2025-05-15
76825	CPT	US Fetal Echo 2d	29	28	$1,900.00	$950.00 50% off	$1,415.50	$1,520.00	$1,415.50	2025-05-15
0278	RC	—	29	28	$1,902.38	$951.19 50% off	$1,417.28	$1,521.90	$1,417.28	2025-05-15
J2760	HCPCS	00143-9564-01 - Phentolamine 5 Mg Inj [mcmc]	29	28	$1,917.43	$958.72 50% off	$1,428.49	$1,533.94	$1,428.49	2025-05-15
11043	CPT	11043 Debridement, Muscle And/or Fascia; First 20 Sq Cm Or Less	29	28	$2,000.00	$1,000.00 50% off	$1,490.00	$1,600.00	$1,490.00	2025-05-15
32554	CPT	32554 Thoracentesis Needle/cath Pleura Without Imaging TechFee	29	28	$2,000.00	$1,000.00 50% off	$1,490.00	$1,600.00	$1,490.00	2025-05-15
32552	CPT	32552 Removal Of Indwelling Tunneled Pleural Catheter With Cuff	29	28	$2,000.00	$1,000.00 50% off	$1,490.00	$1,600.00	$1,490.00	2025-05-15
J1745	HCPCS	57894-0160-01 - inFLIXimab 100 Mg IV Inj [mcmc]	29	28	$2,040.00	$1,020.00 50% off	$1,519.80	$1,632.00	$1,519.80	2025-05-15
32555	CPT	32555 Thoracentesis Needle/cath Pleura W/imaging TechFee	29	28	$2,100.00	$1,050.00 50% off	$1,564.50	$1,680.00	$1,564.50	2025-05-15
91321	CPT	80777-0291-80 - Sars-cov-2 (covid-19) 2024-2025 Mrna-lnp Vaccine (cvx 311) Prese…	29	28	$2,167.20	$1,083.60 50% off	$1,614.57	$1,733.76	$1,614.57	2025-05-15
90380	CPT	49281-0575-15 - Nirsevimab (cvx 306) Alip Preservative-free 50 Mg/0.5 Ml Sol [mc…	29	28	$2,182.95	$1,091.48 50% off	$1,626.30	$1,746.36	$1,626.30	2025-05-15
90381	CPT	49281-0574-15 - Nirsevimab (cvx 307) Alip Preservative-free 100 mg/mL Sol [mcmc]	29	28	$2,182.95	$1,091.48 50% off	$1,626.30	$1,746.36	$1,626.30	2025-05-15
99285	CPT	99285 Ed Visit E M Patient, Lev 5, Req Med Approp Hstry/exam/high Mdm, Cc	29	28	$2,200.00	$1,100.00 50% off	$1,639.00	$1,760.00	$1,639.00	2025-05-15
J0248	CPT	61958-2901-02 - Remdesivir 100 Mg Pow - Outpatient [mcmc]	29	28	$2,229.00	$1,114.50 50% off	$1,660.61	$1,783.20	$1,660.61	2025-05-15
57505	CPT	57505 Endocervical Curettage	29	28	$2,300.00	$1,150.00 50% off	$1,713.50	$1,840.00	$1,713.50	2025-05-15
11640	CPT	11640 Excision, Malignant Lesion Including Margins, Face, Ears, Eyelids, Nose, L…	29	28	$2,300.00	$1,150.00 50% off	$1,713.50	$1,840.00	$1,713.50	2025-05-15
10080	CPT	10080 Incision & Drainage Pilonidal Cyst Simple TechFee	29	28	$2,300.00	$1,150.00 50% off	$1,713.50	$1,840.00	$1,713.50	2025-05-15
64425	CPT	64425 Injection(s), Anesthetic Agent(s) And/or Steroid; Ilioinguinal, Iliohypoga…	29	28	$2,300.00	$1,150.00 50% off	$1,713.50	$1,840.00	$1,713.50	2025-05-15
62328	CPT	62328 Dx Lmbr Spi Pnxr W/fluor/ct	29	28	$2,300.00	$1,150.00 50% off	$1,713.50	$1,840.00	$1,713.50	2025-05-15
11604	CPT	11604 Excision, Malignant Lesion Including Margins, Trunk, Arms, Or Legs; 3.1-4.…	29	28	$2,300.00	$1,150.00 50% off	$1,713.50	$1,840.00	$1,713.50	2025-05-15
11603	CPT	11603 Excision, Malignant Lesion Including Margins, Trunk, Arms, Or Legs; 2.1-3.…	29	28	$2,300.00	$1,150.00 50% off	$1,713.50	$1,840.00	$1,713.50	2025-05-15
64450	CPT	64450 Injection Anes Other Peripheral Nerve/branch TechFee	29	28	$2,300.00	$1,150.00 50% off	$1,713.50	$1,840.00	$1,713.50	2025-05-15
69000	CPT	69000 Drainage External Ear Abscess/hematoma Simpl	29	28	$2,300.00	$1,150.00 50% off	$1,713.50	$1,840.00	$1,713.50	2025-05-15
11601	CPT	11601 Excision, Malignant Lesion Including Margins, Trunk, Arms, Or Legs; 0.6-1.…	29	28	$2,300.00	$1,150.00 50% off	$1,713.50	$1,840.00	$1,713.50	2025-05-15
11600	CPT	11600 Excision, Malignant Lesion Including Margins, Trunk, Arms, Or Legs; < 0.5c…	29	28	$2,300.00	$1,150.00 50% off	$1,713.50	$1,840.00	$1,713.50	2025-05-15
62270	CPT	62270 Spinal Puncture Lumbar Diagnostic TechFee	29	28	$2,300.00	$1,150.00 50% off	$1,713.50	$1,840.00	$1,713.50	2025-05-15
11442	CPT	11442 Excision, Benign Lesion Including Margins; Face, Ears, Eyelids, Nose, Lips…	29	28	$2,300.00	$1,150.00 50% off	$1,713.50	$1,840.00	$1,713.50	2025-05-15
11441	CPT	11441 Excision, Benign Lesion Including Margins; Face, Ears, Eyelids, Nose, Lips…	29	28	$2,300.00	$1,150.00 50% off	$1,713.50	$1,840.00	$1,713.50	2025-05-15
74185	CPT	MRA Abdomen With + Without Contrast	29	28	$2,300.00	$1,150.00 50% off	$1,713.50	$1,840.00	$1,713.50	2025-05-15
11440	CPT	11440 Excision, Benign Lesion Including Margins; Face, Ears, Eyelids, Nose, Lips…	29	28	$2,300.00	$1,150.00 50% off	$1,713.50	$1,840.00	$1,713.50	2025-05-15
28190	CPT	28190 Removal Foreign Body Foot Subcutaneous TechFee	29	28	$2,300.00	$1,150.00 50% off	$1,713.50	$1,840.00	$1,713.50	2025-05-15
11421	CPT	11421 Excision, Benign Lesion Including Margins; Scalp, Neck, Hands, Feet, Genit…	29	28	$2,300.00	$1,150.00 50% off	$1,713.50	$1,840.00	$1,713.50	2025-05-15
60100	CPT	Biopsy Thyroid, Percutaneous Core Needle	29	28	$2,300.00	$1,150.00 50% off	$1,713.50	$1,840.00	$1,713.50	2025-05-15
11403	CPT	11403 Excision, Benign Lesion Including Margins; Trunk, Arms Or Legs; 2.1-3.0cm	29	28	$2,300.00	$1,150.00 50% off	$1,713.50	$1,840.00	$1,713.50	2025-05-15
11402	CPT	11402 Excision, Benign Lesion Including Margins; Trunk, Arms Or Legs; 1.1-2.0cm	29	28	$2,300.00	$1,150.00 50% off	$1,713.50	$1,840.00	$1,713.50	2025-05-15
57500	CPT	57500 Biopsy Of Cervix, Single Or Multiple, Or Local Excision Of Lesion, With Or W…	29	28	$2,300.00	$1,150.00 50% off	$1,713.50	$1,840.00	$1,713.50	2025-05-15
56605	CPT	56605 Biopsy Of Vulva Or Perineum; 1 Lesion	29	28	$2,300.00	$1,150.00 50% off	$1,713.50	$1,840.00	$1,713.50	2025-05-15
11400	CPT	11400 Excision, Benign Lesion Including Margins; Trunk, Arms Or Legs; < 0.5cm	29	28	$2,300.00	$1,150.00 50% off	$1,713.50	$1,840.00	$1,713.50	2025-05-15
10005	CPT	10005 Fine Needle Aspiration Biopsy, Including Ultrasound Guidance	29	28	$2,300.00	$1,150.00 50% off	$1,713.50	$1,840.00	$1,713.50	2025-05-15
20610	CPT	20610 Arthrocentesis Aspir&/inj Major Jt/bursa Without US TechFee	29	28	$950.00	$475.00 50% off	$1,746.25	$1,757.50	$1,746.25	2025-05-15
88309	CPT	88309 Ap Bill Surg Level Vi	29	28	$2,350.00	$1,175.00 50% off	$1,750.75	$1,880.00	$1,750.75	2025-05-15
92270	CPT	62270 Spinal Puncture Lumbar Diagnostic TechFee	29	28	$2,400.00	$1,200.00 50% off	$1,788.00	$1,920.00	$1,788.00	2025-05-15
57421	CPT	57421 Colposcopy Of The Entire Vagina, With Cervix If Present; With Bx Of Vagina/cer…	29	28	$2,500.00	$1,250.00 50% off	$1,862.50	$2,000.00	$1,862.50	2025-05-15
81407	CPT	81407 Ap Bill Molecular Pathology Procedure Level 8	29	28	$2,550.00	$1,275.00 50% off	$1,899.75	$2,040.00	$1,899.75	2025-05-15
71552	CPT	MRI Chest With + Without Contrast	29	28	$2,600.00	$1,300.00 50% off	$1,937.00	$2,080.00	$1,937.00	2025-05-15
73219	CPT	MRI Hand With Contrast Right	29	28	$2,600.00	$1,300.00 50% off	$1,937.00	$2,080.00	$1,937.00	2025-05-15
70542	CPT	MRI Face Neck Orbit With Contrast	29	28	$2,600.00	$1,300.00 50% off	$1,937.00	$2,080.00	$1,937.00	2025-05-15
73222	CPT	MRI Elbow With Contrast Left	29	28	$2,600.00	$1,300.00 50% off	$1,937.00	$2,080.00	$1,937.00	2025-05-15
73723	CPT	MRI Hip With + Without Contrast Left	29	28	$2,700.00	$1,350.00 50% off	$2,011.50	$2,160.00	$2,011.50	2025-05-15
70553	CPT	MRI Pituitary With + Without Contrast	29	28	$2,700.00	$1,350.00 50% off	$2,011.50	$2,160.00	$2,011.50	2025-05-15
72157	CPT	MRI Spine Thoracic With + Without Contrast	29	28	$2,700.00	$1,350.00 50% off	$2,011.50	$2,160.00	$2,011.50	2025-05-15
72158	CPT	MRI Spine Lumbar With + Without Contrast	29	28	$2,700.00	$1,350.00 50% off	$2,011.50	$2,160.00	$2,011.50	2025-05-15
72126	CPT	CT Spine Cervical With Contrast	29	28	$2,700.00	$1,350.00 50% off	$2,011.50	$2,160.00	$2,011.50	2025-05-15
72156	CPT	MRI Spine Cervical With + Without Contrast	29	28	$2,700.00	$1,350.00 50% off	$2,011.50	$2,160.00	$2,011.50	2025-05-15
72196	CPT	MRI Pelvis With Contrast	29	28	$2,700.00	$1,350.00 50% off	$2,011.50	$2,160.00	$2,011.50	2025-05-15
70543	CPT	MRI Orbits With + Without Contrast	29	28	$2,700.00	$1,350.00 50% off	$2,011.50	$2,160.00	$2,011.50	2025-05-15
74177	CPT	CT Chest/Abd/Pelvis With Contrast	29	28	$2,700.00	$1,350.00 50% off	$2,011.50	$2,160.00	$2,011.50	2025-05-15
73223	CPT	MRI Elbow With + Without Contrast Right	29	28	$2,700.00	$1,350.00 50% off	$2,011.50	$2,160.00	$2,011.50	2025-05-15
73720	CPT	MRI Foot With + Without Contrast Left	29	28	$2,700.00	$1,350.00 50% off	$2,011.50	$2,160.00	$2,011.50	2025-05-15
72197	CPT	MRI Pelvis With + Without Contrast	29	28	$2,700.00	$1,350.00 50% off	$2,011.50	$2,160.00	$2,011.50	2025-05-15
73220	CPT	MRI Hand With + Without Contrast Right	29	28	$2,700.00	$1,350.00 50% off	$2,011.50	$2,160.00	$2,011.50	2025-05-15
72132	CPT	CT Spine Lumbar With Contrast	29	28	$2,700.00	$1,350.00 50% off	$2,011.50	$2,160.00	$2,011.50	2025-05-15
73201	CPT	CT Upper Extremity With Contrast Right	29	28	$2,700.00	$1,350.00 50% off	$2,011.50	$2,160.00	$2,011.50	2025-05-15
J1729	HCPCS	64011-0301-03 - HYDROXYprogesterone 275 Mg/1.1 Ml [mcmc]	29	28	$2,822.50	$1,411.25 50% off	$2,102.76	$2,258.01	$2,102.76	2025-05-15
74174	CPT	CT Angio Abdomen And Pelvis	29	28	$2,900.00	$1,450.00 50% off	$2,160.50	$2,320.00	$2,160.50	2025-05-15
45337	CPT	45337 Sigmoidoscopy With Decompress/placmnt Decomp Tube	29	28	$2,900.00	$1,450.00 50% off	$2,160.50	$2,320.00	$2,160.50	2025-05-15
74183	CPT	MRI Abdomen With + Without Contrast	29	28	$2,900.00	$1,450.00 50% off	$2,160.50	$2,320.00	$2,160.50	2025-05-15
74178	CPT	CT Abdomen And Pelvis With + Without Contrast	29	28	$2,900.00	$1,450.00 50% off	$2,160.50	$2,320.00	$2,160.50	2025-05-15
49082	CPT	49082 Abdominal Paracentesis (diagnostic Or Therapeutic); Without Imaging Guidan…	29	28	$2,900.00	$1,450.00 50% off	$2,160.50	$2,320.00	$2,160.50	2025-05-15
J7300	HCPCS	59365-5128-01 - Intrauterine Copper Device [mcmc]	29	28	$2,936.00	$1,468.00 50% off	$2,187.32	$2,348.80	$2,187.32	2025-05-15
56405	CPT	56405 I & D Vuvla/perineal Abscess-ER Serv Pro	29	28	$3,000.00	$1,500.00 50% off	$2,235.00	$2,400.00	$2,235.00	2025-05-15
46050	CPT	46050-incision & Drainage, Perianal Abscess, Superficial	29	28	$3,000.00	$1,500.00 50% off	$2,235.00	$2,400.00	$2,235.00	2025-05-15
38900	CPT	38900 Intraoperative Identification (eg, Mapping) Of Sentinel Lymph Node(s) Incl…	29	28	$3,000.00	$1,500.00 50% off	$2,235.00	$2,400.00	$2,235.00	2025-05-15
49083	CPT	49083 Abdominal Paracentesis With Imaging Guidance; (diagnostic Or Therapeutic)	29	28	$3,000.00	$1,500.00 50% off	$2,235.00	$2,400.00	$2,235.00	2025-05-15
10021	CPT	10021 Fine Needle Aspiration; Without Imaging Guidance ProFee	29	28	$3,000.00	$1,500.00 50% off	$2,235.00	$2,400.00	$2,235.00	2025-05-15
64417	CPT	64417 Injection(s), Anesthetic Agent(s) And/or Steroid; Axillary Nerve	29	28	$3,000.00	$1,500.00 50% off	$2,235.00	$2,400.00	$2,235.00	2025-05-15
58301	CPT	58301 Removal Of Intrauterine Device (iud) EDProFee	29	28	$3,000.00	$1,500.00 50% off	$2,235.00	$2,400.00	$2,235.00	2025-05-15
99291	CPT	99291 - Facility Level Critical Care Ill/Injured Patient Init 30-74 Min	29	28	$3,000.00	$1,500.00 50% off	$2,235.00	$2,400.00	$2,235.00	2025-05-15
92960	CPT	92960 Cardioversion Elective Arrhythmia External ProFee	29	28	$3,000.00	$1,500.00 50% off	$2,235.00	$2,400.00	$2,235.00	2025-05-15
11102	CPT	11102 Tangential Biopsy Skin Single Lesion(Shave, Scoop, Saucerize, Curette)	29	28	$3,000.00	$1,500.00 50% off	$2,235.00	$2,400.00	$2,235.00	2025-05-15
64415	CPT	64415 Injection, Anesthetic Agent, Brachial Plexus, Single	29	28	$3,000.00	$1,500.00 50% off	$2,235.00	$2,400.00	$2,235.00	2025-05-15
95811	CPT	Rt Polysomnography W/cpap Charge	29	28	$3,300.00	$1,650.00 50% off	$2,458.50	$2,640.00	$2,458.50	2025-05-15
95810	CPT	Rt Polysomnography Charge	29	28	$3,300.00	$1,650.00 50% off	$2,458.50	$2,640.00	$2,458.50	2025-05-15
J2597	HCPCS	55566-2300-00 - Desmopressin 4 mcg/mL IV Sol [mcmc]	29	28	$3,495.34	$1,747.67 50% off	$2,604.03	$2,796.27	$2,604.03	2025-05-15
J0841	HCPCS	66621-0790-02 - Anavip (Crotalidae) Polyvalent - Pow, 1ea [mcmc]	29	28	$3,685.00	$1,842.50 50% off	$2,745.32	$2,948.00	$2,745.32	2025-05-15
46040	CPT	46040 Incision And Drainage Of Ischiorectal And/or Perirectal Abscess (separate …	29	28	$3,700.00	$1,850.00 50% off	$2,756.50	$2,960.00	$2,756.50	2025-05-15
45382	CPT	45382 Colonoscopy With Control Bleeding	29	28	$3,700.00	$1,850.00 50% off	$2,756.50	$2,960.00	$2,756.50	2025-05-15
J7301	HCPCS	50419-0422-01 - Levonorgestrel 13.5 Mg [mcmc]	29	28	$3,714.41	$1,857.21 50% off	$2,767.24	$2,971.53	$2,767.24	2025-05-15
J7307	HCPCS	78206-0145-01 - Etonogestrel 68 Mg Sc Implant [mcmc]	29	28	$4,340.70	$2,170.35 50% off	$3,233.82	$3,472.55	$3,233.82	2025-05-15
J7298	HCPCS	50419-0423-01 - Levonorgestrel 52 Mg Intrauteral Dev [mcmc]	29	28	$4,451.82	$2,225.91 50% off	$3,316.61	$3,561.45	$3,316.61	2025-05-15
G0390	HCPCS	G0390 Trauma Alert	29	28	$4,600.00	$2,300.00 50% off	$3,427.00	$3,680.00	$3,427.00	2025-05-15
41115	CPT	41115 Excision Of Lingual Frenum (frenectomy)	29	28	$4,900.00	$2,450.00 50% off	$3,650.50	$3,920.00	$3,650.50	2025-05-15
41010	CPT	Incision Of Lingual Frenum (frenotomy).	29	28	$4,900.00	$2,450.00 50% off	$3,650.50	$3,920.00	$3,650.50	2025-05-15
37609	CPT	37609 Ligation Or Biopsy, Temporal Artery	29	28	$5,000.00	$2,500.00 50% off	$3,725.00	$4,000.00	$3,725.00	2025-05-15
36569	CPT	36569 Insertion Picc Without Img Gdn 5 Yr/> TechFee	29	28	$5,000.00	$2,500.00 50% off	$3,725.00	$4,000.00	$3,725.00	2025-05-15
24605	CPT	24605 Treatment Closed Elbow Dislocation Req Anes TechFee	29	28	$5,000.00	$2,500.00 50% off	$3,725.00	$4,000.00	$3,725.00	2025-05-15
27842	CPT	27842 Cltx Ankle Dislc Req Anes W/wo Prq Skel Fixj TechFee	29	28	$5,000.00	$2,500.00 50% off	$3,725.00	$4,000.00	$3,725.00	2025-05-15
27825	CPT	Closed Treatement Of Fracture Of Weight Bearing Articular Portion Of Distal Tibi…	29	28	$5,000.00	$2,500.00 50% off	$3,725.00	$4,000.00	$3,725.00	2025-05-15
27818	CPT	27818 Cltx Trimalleolar Ankle Fx W/manipulation TechFee	29	28	$5,000.00	$2,500.00 50% off	$3,725.00	$4,000.00	$3,725.00	2025-05-15
27810	CPT	27810 Closed Tx Bimalleolar Ankle Fracture W/manj TechFee	29	28	$5,000.00	$2,500.00 50% off	$3,725.00	$4,000.00	$3,725.00	2025-05-15
27752	CPT	27752 Closed Treatment Of Tibial Shaft Fracture (with Or Without Fibular Fracture); W/…	29	28	$5,000.00	$2,500.00 50% off	$3,725.00	$4,000.00	$3,725.00	2025-05-15
27266	CPT	27266 Cltx Post Hip Arthrp Dislc Req Anes TechFee	29	28	$5,000.00	$2,500.00 50% off	$3,725.00	$4,000.00	$3,725.00	2025-05-15
27257	CPT	27257 Treatment Of Spontaneous Hip Dislocation (developmental, Including Congeni…	29	28	$5,000.00	$2,500.00 50% off	$3,725.00	$4,000.00	$3,725.00	2025-05-15
27252	CPT	27252 Closed Treatment Hip Dislocation, Traumatic:w/anes	29	28	$5,000.00	$2,500.00 50% off	$3,725.00	$4,000.00	$3,725.00	2025-05-15
11044	CPT	11044 Debridement, Bone; First 20 Sq Cm Or Less	29	28	$5,000.00	$2,500.00 50% off	$3,725.00	$4,000.00	$3,725.00	2025-05-15
25605	CPT	25605 Cltx Dstl Rdl Fx/epiphysl Sep W/manj When Perf TechFee	29	28	$5,000.00	$2,500.00 50% off	$3,725.00	$4,000.00	$3,725.00	2025-05-15
25565	CPT	25565 Closed Tx Radial&ulnar Shaft Fractures W/manj TechFee	29	28	$5,000.00	$2,500.00 50% off	$3,725.00	$4,000.00	$3,725.00	2025-05-15
23655	CPT	23655 Clsd Tx Shoulder Dislc W/manipulation Req Anes TechFee	29	28	$5,000.00	$2,500.00 50% off	$3,725.00	$4,000.00	$3,725.00	2025-05-15
23665	CPT	23665 Cltx Shoulder Dislc W/fx Humeral Tubrst W/manj TechFee	29	28	$5,000.00	$2,500.00 50% off	$3,725.00	$4,000.00	$3,725.00	2025-05-15
32551	CPT	32551 Tube Thoracostomy Includes Water Seal TechFee	29	28	$5,000.00	$2,500.00 50% off	$3,725.00	$4,000.00	$3,725.00	2025-05-15
11623	CPT	11623 Excision, Malignant Lesion Including Margins, Scalp, Neck, Hands, Feet, Ge…	29	28	$5,100.00	$2,550.00 50% off	$3,799.50	$4,080.00	$3,799.50	2025-05-15
19100	CPT	19100 Biopsy Of Breast; Percutaneous, Needle Core, Not Using Imaging Guidance	29	28	$5,100.00	$2,550.00 50% off	$3,799.50	$4,080.00	$3,799.50	2025-05-15
25071	CPT	25071 Excision, Tumor, Soft Tissue Of Forearm And/or Wrist Area, Subcutaneous; 3…	29	28	$5,100.00	$2,550.00 50% off	$3,799.50	$4,080.00	$3,799.50	2025-05-15
11606	CPT	11606 Excision, Malignant Lesion Including Margins, Trunk, Arms, Or Legs; >4.0cm	29	28	$5,100.00	$2,550.00 50% off	$3,799.50	$4,080.00	$3,799.50	2025-05-15
11444	CPT	11444 Excision, Benign Lesion Including Margins; Face, Ears, Eyelids, Nose, Lips…	29	28	$5,100.00	$2,550.00 50% off	$3,799.50	$4,080.00	$3,799.50	2025-05-15
11443	CPT	11443 Excision, Benign Lesion Including Margins; Face, Ears, Eyelids, Nose, Lips…	29	28	$5,100.00	$2,550.00 50% off	$3,799.50	$4,080.00	$3,799.50	2025-05-15
11643	CPT	11643 Excision, Malignant Lesion Including Margins, Face, Ears, Eyelids, Nose, L…	29	28	$5,100.00	$2,550.00 50% off	$3,799.50	$4,080.00	$3,799.50	2025-05-15
11424	CPT	11424 Excision, Benign Lesion Including Margins; Scalp, Neck, Hands, Feet, Genit…	29	28	$5,100.00	$2,550.00 50% off	$3,799.50	$4,080.00	$3,799.50	2025-05-15
11624	CPT	11624 Excision, Malignant Lesion Including Margins, Scalp, Neck, Hands, Feet, Ge…	29	28	$5,100.00	$2,550.00 50% off	$3,799.50	$4,080.00	$3,799.50	2025-05-15
11423	CPT	11423 Excision, Benign Lesion Including Margins; Scalp, Neck, Hands, Feet, Genit…	29	28	$5,100.00	$2,550.00 50% off	$3,799.50	$4,080.00	$3,799.50	2025-05-15
11422	CPT	11422 Excision, Benign Lesion Including Margins; Scalp, Neck, Hands, Feet, Genit…	29	28	$5,100.00	$2,550.00 50% off	$3,799.50	$4,080.00	$3,799.50	2025-05-15
11420	CPT	11420 Excision, Benign Lesion Including Margins; Scalp, Neck, Hands, Feet, Genit…	29	28	$5,100.00	$2,550.00 50% off	$3,799.50	$4,080.00	$3,799.50	2025-05-15
26742	CPT	26742 Closed Treatment Of Articular Fracture Of Metacarpo/inter Phalangeal Joint…	29	28	$5,100.00	$2,550.00 50% off	$3,799.50	$4,080.00	$3,799.50	2025-05-15
11406	CPT	11406 Excision, Benign Lesion Including Margins; Trunk, Arms Or Legs; >4.0cm	29	28	$5,100.00	$2,550.00 50% off	$3,799.50	$4,080.00	$3,799.50	2025-05-15
11404	CPT	11404 Excision, Benign Lesion Including Margins; Trunk, Arms Or Legs; 3.1-4.0cm	29	28	$5,100.00	$2,550.00 50% off	$3,799.50	$4,080.00	$3,799.50	2025-05-15
10140	CPT	10140 Drainage Of Hematoma/fluid	29	28	$5,100.00	$2,550.00 50% off	$3,799.50	$4,080.00	$3,799.50	2025-05-15
24200	CPT	24200 Fb Rem Upper Arm/elbow-sq TechFee	29	28	$5,100.00	$2,550.00 50% off	$3,799.50	$4,080.00	$3,799.50	2025-05-15
19020	CPT	19020 Mastotomy With Exploration Or Drainage Of Abscess, Deep	29	28	$5,100.00	$2,550.00 50% off	$3,799.50	$4,080.00	$3,799.50	2025-05-15
23075	CPT	23075 Excision, Tumor, Soft Tissue Of Shoulder Area, Subcutaneous; Less Than 3 C…	29	28	$5,100.00	$2,550.00 50% off	$3,799.50	$4,080.00	$3,799.50	2025-05-15
10121	CPT	10121 Incision & Removal Foreign Body Subq Tiss Compl TechFee	29	28	$5,100.00	$2,550.00 50% off	$3,799.50	$4,080.00	$3,799.50	2025-05-15
36590	CPT	36590 Removal Of Tunneled Central Venous Access Device, W/sub Port/pump,	29	28	$5,200.00	$2,600.00 50% off	$3,874.00	$4,160.00	$3,874.00	2025-05-15
20206	CPT	20206 Biopsy, Muscle, Percutaneous Needle	29	28	$5,300.00	$2,650.00 50% off	$3,948.50	$4,240.00	$3,948.50	2025-05-15
21930	CPT	21930 Excision, Tumor, Soft Tissue Of Back Or Flank, Subcutaneous; Less Than 3 C…	29	28	$5,300.00	$2,650.00 50% off	$3,948.50	$4,240.00	$3,948.50	2025-05-15
24075	CPT	24075 Excision, Tumor, Soft Tissue Of Upper Arm Or Elbow Area, Subcutaneous; Les…	29	28	$5,400.00	$2,700.00 50% off	$4,023.00	$4,320.00	$4,023.00	2025-05-15
28435	CPT	28435 Closed Tx Talus Fracture W/manipulation TechFee	29	28	$5,400.00	$2,700.00 50% off	$4,023.00	$4,320.00	$4,023.00	2025-05-15
27510	CPT	27510 Ed Treatment Of Thigh Fracture TechFee	29	28	$5,400.00	$2,700.00 50% off	$4,023.00	$4,320.00	$4,023.00	2025-05-15
24535	CPT	24535 Cltx Sprcndylr/transcndylr Humeral Fx W/manj TechFee	29	28	$5,400.00	$2,700.00 50% off	$4,023.00	$4,320.00	$4,023.00	2025-05-15
21011	CPT	21011 Excision, Tumor, Soft Tissue Of Face Or Scalp, Subcutaneous; Less Than 2 C…	29	28	$5,500.00	$2,750.00 50% off	$4,097.50	$4,400.00	$4,097.50	2025-05-15
47000	CPT	47000 Biopsy Of Liver, Needle; Percutaneous	29	28	$5,500.00	$2,750.00 50% off	$4,097.50	$4,400.00	$4,097.50	2025-05-15
46999	CPT	46999 Unlisted Procedure, Anus ProFee	29	28	$5,500.00	$2,750.00 50% off	$4,097.50	$4,400.00	$4,097.50	2025-05-15
46500	CPT	46500 Injection Of Sclerosing Solution, Hemorrhoids ProFee	29	28	$5,500.00	$2,750.00 50% off	$4,097.50	$4,400.00	$4,097.50	2025-05-15
45388	CPT	45388 Colonoscopy, Flexible; With Ablation Of Tumor(s), Polyp(s), Or Other Lesio…	29	28	$5,500.00	$2,750.00 50% off	$4,097.50	$4,400.00	$4,097.50	2025-05-15
43251	CPT	43251 Esophagogastroduodenoscopy, Flexible, Transoral; With Removal Of Tumor(s),…	29	28	$5,500.00	$2,750.00 50% off	$4,097.50	$4,400.00	$4,097.50	2025-05-15
20103	CPT	20103 Exploration Of Penetrating Wound (separate Procedure); Extremity ProFee	29	28	$5,500.00	$2,750.00 50% off	$4,097.50	$4,400.00	$4,097.50	2025-05-15
26160	CPT	26160 Exc Les Tendon Sheath/joint Capsule, Hand/finger	29	28	$5,500.00	$2,750.00 50% off	$4,097.50	$4,400.00	$4,097.50	2025-05-15
J0897	HCPCS	55513-0710-01 - Denosumab 60 mg/mL [mcmc]	29	28	$5,699.82	$2,849.91 50% off	$4,246.36	$4,559.85	$4,246.36	2025-05-15
81408	CPT	81408 Ap Bill Molecular Pathology Procedure Level 9	29	28	$6,000.00	$3,000.00 50% off	$4,470.00	$4,800.00	$4,470.00	2025-05-15
56501	CPT	56501 Destruction Of Lesion(s), Vulva; Simple	29	28	$6,100.00	$3,050.00 50% off	$4,544.50	$4,880.00	$4,544.50	2025-05-15
20102	CPT	20102 Exploration Of Penetrating Wound (separate Procedure); Abdomen/flank/back	29	28	$6,100.00	$3,050.00 50% off	$4,544.50	$4,880.00	$4,544.50	2025-05-15
J1950	HCPCS	00074-3641-03 - Leuprolide 3.75 Mg/month IM Inj, ER [mcmc]	29	28	$6,241.41	$3,120.70 50% off	$4,649.85	$4,993.12	$4,649.85	2025-05-15
32556	CPT	32556 Pleural Drain, Percutan W/inser Of Catheter; Without Imag Guid-tech Fee	29	28	$6,300.00	$3,150.00 50% off	$4,693.50	$5,040.00	$4,693.50	2025-05-15
51102	CPT	Aspiration Of Bladder With Ins Of Suprapubic Cath	29	28	$6,400.00	$3,200.00 50% off	$4,768.00	$5,120.00	$4,768.00	2025-05-15
13160	CPT	13160 Secondary Closure Of Surgical Wound Or Dehiscence, Extensive Or Complicate…	29	28	$6,400.00	$3,200.00 50% off	$4,768.00	$5,120.00	$4,768.00	2025-05-15
54150	CPT	54150 Circumcision, Using Clamp Or Other Device With Regional Dorsal Penile Or R…	29	28	$6,400.00	$3,200.00 50% off	$4,768.00	$5,120.00	$4,768.00	2025-05-15
53060	CPT	53060 Drainage Of Skene's Gland Abscess Or Cyst	29	28	$6,500.00	$3,250.00 50% off	$4,842.50	$5,200.00	$4,842.50	2025-05-15
0172	RC	—	8	8	$959.00	$479.50 50% off	$5,341.77	$5,341.77	$5,341.77	2025-05-15
0173	RC	—	8	8	$1,255.00	$627.50 50% off	$5,437.98	$5,437.98	$5,437.98	2025-05-15
0112	RC	—	7	7	$1,474.00	$737.00 50% off	$5,509.15	$5,509.15	$5,509.15	2025-05-15
0110	RC	—	7	7	$1,474.00	$737.00 50% off	$5,509.15	$5,509.15	$5,509.15	2025-05-15
66982	CPT	66982 Cat Ext W/iris Retractor	29	28	$7,500.00	$3,750.00 50% off	$5,587.50	$6,000.00	$5,587.50	2025-05-15
66984	CPT	66984 Cataract Surg W/iol 1 Stage	29	28	$7,500.00	$3,750.00 50% off	$5,587.50	$6,000.00	$5,587.50	2025-05-15
51040	CPT	51040 Cystostomy, Cystotomy With Drainage ProFee	29	28	$8,000.00	$4,000.00 50% off	$5,960.00	$6,400.00	$5,960.00	2025-05-15
59514	CPT	59514 Cesarean Delivery Only; ProFee	29	28	$8,000.00	$4,000.00 50% off	$5,960.00	$6,400.00	$5,960.00	2025-05-15
58611	CPT	Ligation/transection Of Fallopian Tube(s) At The Time Of C-section/intra-abd Sur…	29	28	$8,000.00	$4,000.00 50% off	$5,960.00	$6,400.00	$5,960.00	2025-05-15
46945	CPT	46945 Hemorrhoidectomy, Internal, By Ligation Other Than Rubber Band; Single Hem…	29	28	$8,000.00	$4,000.00 50% off	$5,960.00	$6,400.00	$5,960.00	2025-05-15
58605	CPT	58605 Ligation Or Transection Of Fallopian Tube(s), Abdominal Or Vaginal Approac…	29	28	$8,000.00	$4,000.00 50% off	$5,960.00	$6,400.00	$5,960.00	2025-05-15
54161	CPT	54161 Circumcision, Surgical Excision Other Than Clamp, Device, Or Dorsal Slit; …	29	28	$8,000.00	$4,000.00 50% off	$5,960.00	$6,400.00	$5,960.00	2025-05-15
58740	CPT	58740 Lysis Of Adhesions (salpingolysis, Ovariolysis) ProFee	29	28	$8,000.00	$4,000.00 50% off	$5,960.00	$6,400.00	$5,960.00	2025-05-15
0200	RC	—	7	7	$3,990.00	$1,995.00 50% off	$6,230.10	$6,230.10	$6,230.10	2025-05-15
22903	CPT	22903 Excision, Tumor, Soft Tissue Of Abdominal Wall, Subcutaneous; 3 Cm Or Grea…	29	28	$8,500.00	$4,250.00 50% off	$6,332.50	$6,800.00	$6,332.50	2025-05-15
27301	CPT	27301 Incision And Drainage, Deep Abscess, Bursa, Or Hematoma, Thigh Or Knee Reg…	29	28	$8,500.00	$4,250.00 50% off	$6,332.50	$6,800.00	$6,332.50	2025-05-15
25073	CPT	25073 Excision, Tumor, Soft Tissue Of Forearm And/or Wrist Area, Subfascial; 3 C…	29	28	$8,500.00	$4,250.00 50% off	$6,332.50	$6,800.00	$6,332.50	2025-05-15
27047	CPT	27047 Excision, Tumor, Soft Tissue Of Pelvis And Hip Area, Subcutaneous; Less Th…	29	28	$8,500.00	$4,250.00 50% off	$6,332.50	$6,800.00	$6,332.50	2025-05-15
11626	CPT	11626 Excision, Malignant Lesion Including Margins, Scalp, Neck, Hands, Feet, Ge…	29	28	$8,500.00	$4,250.00 50% off	$6,332.50	$6,800.00	$6,332.50	2025-05-15
21932	CPT	Exc Tum Sft Tiss Back/flank Subfasc < 5 Cm	29	28	$8,500.00	$4,250.00 50% off	$6,332.50	$6,800.00	$6,332.50	2025-05-15
46255	CPT	Hemorrhoidectomy Internal/external Single Column/group	29	28	$9,000.00	$4,500.00 50% off	$6,705.00	$7,200.00	$6,705.00	2025-05-15
20525	CPT	20525 Rmvl Foreign Body Muscle/tendon Sheath Deep/comp TechFee	29	28	$9,000.00	$4,500.00 50% off	$6,705.00	$7,200.00	$6,705.00	2025-05-15
21552	CPT	21552 Excision, Tumor, Soft Tissue Of Neck Or Anterior Thorax, Subcutaneous; 3 C…	29	28	$9,000.00	$4,500.00 50% off	$6,705.00	$7,200.00	$6,705.00	2025-05-15
20240	CPT	20240 Biopsy, Bone, Open; Superficial	29	28	$9,050.00	$4,525.00 50% off	$6,742.25	$7,240.00	$6,742.25	2025-05-15
57460	CPT	57460 Colposcopy Of The Cervix Incl. Upper Vagina; With Loop Electrode Biopsy(s)…	29	28	$9,400.00	$4,700.00 50% off	$7,003.00	$7,520.00	$7,003.00	2025-05-15
J0630	HCPCS	67457-0675-02 - Calcitonin 200 Intl units/mL Inj Sol [mcmc]	29	28	$9,421.30	$4,710.65 50% off	$7,018.87	$7,537.05	$7,018.87	2025-05-15
J0840	HCPCS	50633-0110-12 - Crofab (Crotalidae) Polyvalent - Pow, 2ea [mcmc]	29	28	$9,619.00	$4,809.50 50% off	$7,166.15	$7,695.20	$7,166.15	2025-05-15
45540	CPT	45540 Proctopexy (eg, For Prolapse); Abdominal Approach ProFee	29	28	$10,000.00	$5,000.00 50% off	$7,450.00	$8,000.00	$7,450.00	2025-05-15
49593	CPT	49593 Repair Of Anterior Abdominal Hernia(s) Any Approach, Initial	29	28	$10,000.00	$5,000.00 50% off	$7,450.00	$8,000.00	$7,450.00	2025-05-15
35840	CPT	35840 Exploration For Postoperative Hemorrhage, Thrombosis Or Infection; Abdomen…	29	28	$10,000.00	$5,000.00 50% off	$7,450.00	$8,000.00	$7,450.00	2025-05-15
59409	CPT	Vaginal, Vacuum Assist - Delivery Type:	29	28	$10,000.00	$5,000.00 50% off	$7,450.00	$8,000.00	$7,450.00	2025-05-15
58120	CPT	58120 Dilation And Curettage, Diagnostic And/or Therapeutic (nonobstetrical) Pro…	29	28	$10,000.00	$5,000.00 50% off	$7,450.00	$8,000.00	$7,450.00	2025-05-15
58150	CPT	58150 Total Abdominal Hysterectomy (corpus And Cervix), With Or Without Removal …	29	28	$10,000.00	$5,000.00 50% off	$7,450.00	$8,000.00	$7,450.00	2025-05-15
45541	CPT	45541 Proctopexy (eg, For Prolapse); Perineal Approach ProFee	29	28	$10,000.00	$5,000.00 50% off	$7,450.00	$8,000.00	$7,450.00	2025-05-15
11646	CPT	11646 Excision, Malignant Lesion Including Margins, Face, Ears, Eyelids, Nose, L…	29	28	$10,000.00	$5,000.00 50% off	$7,450.00	$8,000.00	$7,450.00	2025-05-15
58562	CPT	58562 Hysteroscopy, Surgical; With Removal Of Impacted Foreign Body ProFee	29	28	$10,000.00	$5,000.00 50% off	$7,450.00	$8,000.00	$7,450.00	2025-05-15
57135	CPT	57135 Excision Of Vaginal Cyst Or Tumor ProFee	29	28	$10,000.00	$5,000.00 50% off	$7,450.00	$8,000.00	$7,450.00	2025-05-15
55040	CPT	55040 Excision Of Hydrocele; Unilateral ProFee	29	28	$10,000.00	$5,000.00 50% off	$7,450.00	$8,000.00	$7,450.00	2025-05-15
49591	CPT	Repair Of Anterior Abdominal Hernia(s), Any Approach, Initial, < 3 Cm, Reducible…	29	28	$10,000.00	$5,000.00 50% off	$7,450.00	$8,000.00	$7,450.00	2025-05-15
59812	CPT	59812 Treatment Of Incomplete Abortion, Any Trimester, Completed Surgically ProF…	29	28	$10,000.00	$5,000.00 50% off	$7,450.00	$8,000.00	$7,450.00	2025-05-15
57720	CPT	57720 Trachelorrhaphy, Plastic Repair Of Uterine Cervix, Vaginal Approach ProFee	29	28	$10,000.00	$5,000.00 50% off	$7,450.00	$8,000.00	$7,450.00	2025-05-15
49550	CPT	49550 Repair Initial Femoral Hernia, Any Age; Reducible ProFee	29	28	$10,000.00	$5,000.00 50% off	$7,450.00	$8,000.00	$7,450.00	2025-05-15
36556	CPT	36556 Insert Non Tunnel Cvc > 5 Yr Charges	29	28	$10,300.00	$5,150.00 50% off	$7,673.50	$8,240.00	$7,673.50	2025-05-15
36561	CPT	36561 Insert Tunneled Cv Cath	29	28	$10,300.00	$5,150.00 50% off	$7,673.50	$8,240.00	$7,673.50	2025-05-15
37785	CPT	37785 Ligation, Division, And/or Excision Of Varicose Vein Cluster(s), 1 Leg	29	28	$10,300.00	$5,150.00 50% off	$7,673.50	$8,240.00	$7,673.50	2025-05-15
25606	CPT	25606 Perq Skel Fixj Distal Radial Fx/epiphysl Sep TechFee	29	28	$10,400.00	$5,200.00 50% off	$7,748.00	$8,320.00	$7,748.00	2025-05-15
27675	CPT	27675 Repair, Dislocating Peroneal Tendons; Without Fibular Osteotomy TechFee	29	28	$10,500.00	$5,250.00 50% off	$7,822.50	$8,400.00	$7,822.50	2025-05-15
56620	CPT	Vulvectomy	29	28	$10,500.00	$5,250.00 50% off	$7,822.50	$8,400.00	$7,822.50	2025-05-15
26607	CPT	26607 Closed Treatment Of Metacarpal Fracture, With Manipulation, With External …	29	28	$10,800.00	$5,400.00 50% off	$8,046.00	$8,640.00	$8,046.00	2025-05-15
19120	CPT	19120 Excision Of Cyst, Fibroadenoma, Or Other Benign Or Malignant Tumor, Aberra…	29	28	$11,300.00	$5,650.00 50% off	$8,418.50	$9,040.00	$8,418.50	2025-05-15
19101	CPT	19101 Biopsy Of Breast; Open, Incisional	29	28	$11,300.00	$5,650.00 50% off	$8,418.50	$9,040.00	$8,418.50	2025-05-15
38531	CPT	38531 Open Bx/exc Inguinofem Nodes	29	28	$11,300.00	$5,650.00 50% off	$8,418.50	$9,040.00	$8,418.50	2025-05-15
38500	CPT	38500 Biopsy Or Excision Of Lymph Node(s), Open, Superficial	29	28	$11,300.00	$5,650.00 50% off	$8,418.50	$9,040.00	$8,418.50	2025-05-15
15734	CPT	15734 Muscle, Myocutaneous, Or Fasciocutaneous Flap; Trunk	29	28	$11,400.00	$5,700.00 50% off	$8,493.00	$9,120.00	$8,493.00	2025-05-15
19307	CPT	19307 Mastectomy, Modified Radical, Including Axillary Lymph Nodes, With Or With…	29	28	$12,000.00	$6,000.00 50% off	$8,940.00	$9,600.00	$8,940.00	2025-05-15
49321	CPT	49321 Laparoscopy, Surgical; With Biopsy (single Or Multiple) ProFee	29	28	$12,000.00	$6,000.00 50% off	$8,940.00	$9,600.00	$8,940.00	2025-05-15
58670	CPT	58670 Laparoscopy, Surgical; With Fulguration Of Oviducts (with Or Without Trans…	29	28	$12,000.00	$6,000.00 50% off	$8,940.00	$9,600.00	$8,940.00	2025-05-15
57425	CPT	57425 Laparoscopy, Surgical, Colpopexy (suspension Of Vaginal Apex) ProFee	29	28	$12,000.00	$6,000.00 50% off	$8,940.00	$9,600.00	$8,940.00	2025-05-15
58356	CPT	58356 Endometrial Cryoablation With Ultrasonic Guidance, Including Endometrial C…	29	28	$12,000.00	$6,000.00 50% off	$8,940.00	$9,600.00	$8,940.00	2025-05-15
60220	CPT	60220 Total Thyroid Lobectomy, Unilateral; With Or Without Isthmusectomy ProFee	29	28	$12,000.00	$6,000.00 50% off	$8,940.00	$9,600.00	$8,940.00	2025-05-15
49320	CPT	49320 Laparoscopy, Abdomen, Peritoneum, And Omentum, Diagnostic, With Or Without…	29	28	$12,000.00	$6,000.00 50% off	$8,940.00	$9,600.00	$8,940.00	2025-05-15
49594	CPT	49594 Rpr Aa Hrn 1st 3-10 Ncr/strn	29	28	$12,000.00	$6,000.00 50% off	$8,940.00	$9,600.00	$8,940.00	2025-05-15
58662	CPT	58662 Laparoscopy, Surgical; With Fulguration Or Excision Of Lesions Of The Ovar…	29	28	$12,000.00	$6,000.00 50% off	$8,940.00	$9,600.00	$8,940.00	2025-05-15
58661	CPT	58661 Laparoscopy, Surgical; With Removal Of Adnexal Structures (partial Or Tota…	29	28	$12,000.00	$6,000.00 50% off	$8,940.00	$9,600.00	$8,940.00	2025-05-15
47490	CPT	47490 Cholecystostomy, Percutaneous, Complete Procedure, Including Imaging Guida…	29	28	$12,400.00	$6,200.00 50% off	$9,238.00	$9,920.00	$9,238.00	2025-05-15
35190	CPT	35190 Repair, Acquired Or Traumatic Arteriovenous Fistula; Extremities Tech	29	28	$18,300.00	$9,150.00 50% off	$13,633.50	$14,640.00	$13,633.50	2025-05-15
J9312	HCPCS	50242-0053-06 - riTUXimab 10 mg/mL IV Sol [mcmc]	29	28	$19,774.92	$9,887.46 50% off	$14,732.32	$15,819.93	$14,732.32	2025-05-15
J3101	HCPCS	50242-0120-47 - Tenecteplase 50 Mg Powder [mcmc]	29	28	$20,808.82	$10,404.41 50% off	$15,502.57	$16,647.06	$15,502.57	2025-05-15
J9217	HCPCS	00074-3346-03 - Leuprolide 22.5 Mg/3 Months Kit [mcmc]	29	28	$22,281.84	$11,140.92 50% off	$16,599.97	$17,825.47	$16,599.97	2025-05-15

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