|
27519
|
HCPCS
|
27519 Open Treatment Of Distal Femoral Epiphyseal Separation
|
15
|
15
|
$14,195.46
|
$11,356.37
|
$805.57
|
$12,775.91
|
$11,356.37
|
2026-03-11
|
|
Q4147
|
HCPCS
|
Stravix 3x6 Cm
|
15
|
15
|
$12,757.50
|
$10,206.00
20% off
|
$5,659.23
|
$11,481.75
|
$10,206.00
|
2026-03-11
|
|
44208
|
HCPCS
|
44208 Laparoscopy Surgical Colectomy Partial With Anastomosis
|
15
|
15
|
$7,012.24
|
$5,609.79
20% off
|
$1,807.94
|
$6,311.02
|
$5,609.79
|
2026-03-11
|
|
J3101
|
HCPCS
|
Tenecteplase 50 Mg Kit
|
19
|
19
|
$12,156.22
|
$9,724.98
|
$103.45
|
$10,940.60
|
$5,525.00
|
2026-03-11
|
|
J1162
|
HCPCS
|
Digoxin Immune Fab 40 Mg Inj
|
19
|
19
|
$7,604.39
|
$6,083.51
20% off
|
$2,833.57
|
$6,843.95
|
$5,015.42
|
2026-03-11
|
|
59610
|
HCPCS
|
59610 Routine Obstetric Care Including Antepartum Care Vaginal Delivery
|
10
|
10
|
$5,744.31
|
$4,595.45
|
$2,548.18
|
$5,169.88
|
$4,882.66
|
2026-03-11
|
|
44143
|
HCPCS
|
44143 Colectomy Partial With End Colostomy And Closure Of Distal
|
15
|
15
|
$5,948.25
|
$4,758.60
|
$1,541.45
|
$5,353.43
|
$4,758.60
|
2026-03-11
|
|
59510
|
HCPCS
|
59510 Routine Obstetric Care Including Antepartum Care Cesarean Delivery
|
25
|
15
|
$5,573.33
|
$4,458.66
20% off
|
$2,472.33
|
$5,459.10
|
$4,737.33
|
2026-03-11
|
|
44145
|
HCPCS
|
44145 Colectomy Partial With Coloproctostomy Low Pelvic Anastomosis Profee
|
15
|
15
|
$5,893.66
|
$4,714.93
|
$1,525.41
|
$5,304.29
|
$4,714.93
|
2026-03-11
|
|
44626
|
HCPCS
|
44626 Closure Of Enterostomy Large Or Small Intestine With Resection
|
15
|
15
|
$5,720.62
|
$4,576.50
|
$1,469.82
|
$5,148.56
|
$4,576.50
|
2026-03-11
|
|
32220
|
HCPCS
|
32220 Decortication Pulmonary Separate Procedure Total Profee
|
15
|
15
|
$5,632.04
|
$4,505.63
20% off
|
$1,544.15
|
$5,068.84
|
$4,505.63
|
2026-03-11
|
|
44204
|
HCPCS
|
44204 Laparoscopy Surgical Colectomy Partial With Anastomosis Profee
|
15
|
15
|
$5,479.60
|
$4,383.68
20% off
|
$1,421.85
|
$4,931.64
|
$4,383.68
|
2026-03-11
|
|
51570
|
HCPCS
|
51570 Cystectomy Complete Separate Procedure Profee
|
15
|
15
|
$5,176.78
|
$4,141.42
20% off
|
$1,302.99
|
$4,659.10
|
$4,141.42
|
2026-03-11
|
|
58563
|
HCPCS
|
58563 Hysteroscopy Surgical With Endometrial Ablation Eg Endometrial
|
19
|
19
|
$5,098.50
|
$4,078.80
|
$1,861.80
|
$5,098.50
|
$4,078.80
|
2026-03-11
|
|
44602
|
HCPCS
|
44602 Suture Of Small Intestine Enterorrhaphy For Perforated Ulcer
|
15
|
15
|
$5,064.51
|
$4,051.61
|
$1,306.91
|
$4,558.06
|
$4,051.61
|
2026-03-11
|
|
C1763
|
HCPCS
|
Bio Ant Pelvic Fl Gr
|
60
|
15
|
$5,262.75
|
$4,210.20
20% off
|
$672.85
|
$39,876.30
|
$4,048.13
|
2026-03-11
|
|
59400
|
HCPCS
|
59400 Routine Obstetric Care Including Antepartum Care Vaginal Delivery
|
15
|
15
|
$5,009.92
|
$4,007.94
|
$2,222.40
|
$4,508.93
|
$4,007.94
|
2026-03-11
|
|
J0840
|
HCPCS
|
Antivenin Crotalidae Polyvalent - Pow
|
19
|
19
|
$4,895.59
|
$3,916.47
20% off
|
$2,171.68
|
$4,895.59
|
$3,916.47
|
2026-03-11
|
|
43840
|
HCPCS
|
43840 Gastrorrhaphy Suture Of Perforated Duodenal Or Gastric
|
15
|
15
|
$4,870.87
|
$3,896.70
|
$1,283.02
|
$4,383.78
|
$3,896.70
|
2026-03-11
|
|
44140
|
HCPCS
|
44140 Colectomy Partial With Anastomosis Profee
|
15
|
15
|
$4,795.68
|
$3,836.54
20% off
|
$1,258.73
|
$4,316.11
|
$3,836.54
|
2026-03-11
|
|
44205
|
HCPCS
|
44205 Laparoscopy Surgical Colectomy Partial With Removal
|
15
|
15
|
$4,758.60
|
$3,806.88
20% off
|
$1,231.76
|
$4,282.74
|
$3,806.88
|
2026-03-11
|
|
43632
|
HCPCS
|
43632 Gastrectomy Partial Distal With Gastrojejunostomy Profee
|
15
|
15
|
$4,713.28
|
$3,770.62
20% off
|
$1,897.49
|
$4,241.95
|
$3,770.62
|
2026-03-11
|
|
59515
|
HCPCS
|
59515 Cesarean Delivery Only Including Postpartum Care Profee
|
15
|
15
|
$4,568.05
|
$3,654.44
20% off
|
$1,255.20
|
$4,111.25
|
$3,654.44
|
2026-03-11
|
|
51565
|
HCPCS
|
51565 Cystectomy Partial With Reimplantation Of Ureter S Into Bladder
|
15
|
15
|
$4,564.96
|
$3,651.97
|
$1,147.65
|
$4,108.46
|
$3,651.97
|
2026-03-11
|
|
43633
|
HCPCS
|
43633 Gastrectomy Partial Distal With Roux-en-y Reconstruction Profee
|
15
|
15
|
$4,382.65
|
$3,506.12
|
$1,795.98
|
$3,944.39
|
$3,506.12
|
2026-03-11
|
|
44120
|
HCPCS
|
44120 Enterectomy Resection Of Small Intestine Single Resection
|
15
|
15
|
$4,381.62
|
$3,505.30
|
$1,146.64
|
$3,943.46
|
$3,505.30
|
2026-03-11
|
|
19307
|
HCPCS
|
19307 Mastectomy Modified Radical Including Axillary Lymph Nodes
|
19
|
19
|
$4,293.04
|
$3,434.43
20% off
|
$1,124.70
|
$4,293.04
|
$3,434.43
|
2026-03-11
|
|
44150
|
HCPCS
|
44150 Colectomy Total Abdominal Without Proctectomy With Ileostomy
|
15
|
15
|
$4,269.35
|
$3,415.48
20% off
|
$1,732.87
|
$3,842.42
|
$3,415.48
|
2026-03-11
|
|
58546
|
HCPCS
|
58546 Laparoscopy Surgical Myomectomy Excision 5 Or More Intramural
|
19
|
19
|
$3,963.44
|
$3,170.75
20% off
|
$984.48
|
$3,963.44
|
$3,368.92
|
2026-03-11
|
|
38100
|
HCPCS
|
38100 Splenectomy Total Separate Procedure Profee
|
15
|
15
|
$4,130.30
|
$3,304.24
20% off
|
$1,083.08
|
$3,717.27
|
$3,304.24
|
2026-03-11
|
|
44141
|
HCPCS
|
44141 Colectomy Partial With Skin Level Cecostomy Or Colostomy Profee
|
15
|
15
|
$4,101.46
|
$3,281.17
|
$1,699.49
|
$3,691.31
|
$3,281.17
|
2026-03-11
|
|
58558
|
HCPCS
|
58558 Hysteroscopy Surgical With Sampling Biopsy Of Endometrium
|
19
|
19
|
$4,418.70
|
$3,534.96
|
$1,182.61
|
$3,976.83
|
$3,212.39
|
2026-03-11
|
|
44144
|
HCPCS
|
44144 Colectomy Partial With Resection With Colostomy Or Ileostomy
|
15
|
15
|
$4,001.55
|
$3,201.24
20% off
|
$1,646.40
|
$3,601.40
|
$3,201.24
|
2026-03-11
|
|
27487
|
HCPCS
|
27487 Revision Of Total Knee Arthroplasty With Or Without Allograft
|
15
|
15
|
$3,980.95
|
$3,184.76
|
$1,570.23
|
$3,582.86
|
$3,184.76
|
2026-03-11
|
|
59410
|
HCPCS
|
59410 Vaginal Delivery Only With Or Without Episiotomy And/or Forceps
|
10
|
10
|
$3,746.11
|
$2,996.89
|
$1,661.77
|
$3,371.50
|
$3,184.19
|
2026-03-11
|
|
19081
|
HCPCS
|
Mg Breast Biopsy With Stereo Guide Right
|
33
|
19
|
$4,682.38
|
$3,745.90
20% off
|
$781.44
|
$4,214.14
|
$3,181.46
|
2026-03-11
|
|
44206
|
HCPCS
|
44206 Laparoscopy Surgical Colectomy Partial
|
15
|
15
|
$3,933.57
|
$3,146.86
|
$1,610.49
|
$3,540.21
|
$3,146.86
|
2026-03-11
|
|
49655
|
HCPCS
|
49655 Laparoscopy Surgical Repair Incisional Hernia
|
10
|
10
|
$3,694.61
|
$2,955.69
|
$1,638.93
|
$3,325.15
|
$3,140.42
|
2026-03-11
|
|
C1776
|
HCPCS
|
Asymmetric Patella #35
|
75
|
15
|
$4,210.77
|
$3,368.62
|
$752.35
|
$6,272.10
|
$3,136.05
|
2026-03-11
|
|
44005
|
HCPCS
|
44005 Enterolysis Freeing Of Intestinal Adhesion Separate Procedure Profee
|
15
|
15
|
$3,911.94
|
$3,129.55
20% off
|
$1,028.67
|
$3,520.75
|
$3,129.55
|
2026-03-11
|
|
49002
|
HCPCS
|
49002 Reopening Of Recent Laparotomy Profee
|
15
|
15
|
$3,738.90
|
$2,991.12
20% off
|
$981.60
|
$3,365.01
|
$2,991.12
|
2026-03-11
|
|
C1771
|
HCPCS
|
Lynx System
|
45
|
15
|
$6,114.00
|
$4,891.20
20% off
|
$1,489.50
|
$5,886.00
|
$2,954.82
|
2026-03-11
|
|
0200
|
RC
|
—
|
14
|
14
|
$2,951.98
|
$2,361.58
20% off
|
$2,361.58
|
$6,867.29
|
$2,951.98
|
2026-03-11
|
|
58552
|
HCPCS
|
58552 Laparoscopy Surgical With Vaginal Hysterectomy
|
19
|
19
|
$3,466.98
|
$2,773.58
20% off
|
$878.98
|
$3,788.76
|
$2,946.93
|
2026-03-11
|
|
49020
|
HCPCS
|
49020 Drainage Of Peritoneal Abscess Or Localized Peritonitis
|
15
|
15
|
$3,680.19
|
$2,944.15
20% off
|
$1,496.72
|
$3,312.17
|
$2,944.15
|
2026-03-11
|
|
44625
|
HCPCS
|
44625 Closure Of Enterostomy Large Or Small Intestine
|
15
|
15
|
$3,592.64
|
$2,874.11
20% off
|
$935.79
|
$3,233.38
|
$2,874.11
|
2026-03-11
|
|
58150
|
HCPCS
|
58150 Total Abdominal Hysterectomy Corpus And Cervix
|
15
|
15
|
$3,586.46
|
$2,869.17
|
$934.91
|
$3,227.81
|
$2,869.17
|
2026-03-11
|
|
58263
|
HCPCS
|
58263 Vaginal Hysterectomy For Uterus 250 G Or Less With Removal
|
19
|
19
|
$3,511.27
|
$2,809.02
|
$878.89
|
$3,511.27
|
$2,852.62
|
2026-03-11
|
|
J0630
|
HCPCS
|
Calcitonin 200 Intl Units/ml Inj Sol
|
19
|
19
|
$3,558.16
|
$2,846.53
|
$1,578.40
|
$3,558.16
|
$2,846.53
|
2026-03-11
|
|
49653
|
HCPCS
|
49653 Laparoscopy Surgical Repair Ventral Umbilical Spigelian
|
10
|
10
|
$3,317.63
|
$2,654.10
20% off
|
$1,471.70
|
$2,985.87
|
$2,819.99
|
2026-03-11
|
|
J7169
|
HCPCS
|
Coagulation Factor Xa Recombinant 200 Mg Pow
|
19
|
19
|
$6,180.00
|
$4,944.00
20% off
|
$370.79
|
$5,562.00
|
$2,808.81
|
2026-03-11
|
|
36561
|
HCPCS
|
36561 Insertion Of Tunneled Centrally Inserted Central Venous
|
19
|
19
|
$3,508.18
|
$2,806.54
20% off
|
$907.39
|
$3,508.18
|
$2,806.54
|
2026-03-11
|
|
23472
|
HCPCS
|
23472 Arthroplasty Glenohumeral Joint Total Shoulder Glenoid
|
19
|
19
|
$3,283.64
|
$2,626.91
20% off
|
$1,293.56
|
$21,307.54
|
$2,791.09
|
2026-03-11
|
|
90376
|
HCPCS
|
Palivizumab 100 Mg/ml IM Sol
|
19
|
19
|
$6,119.60
|
$4,895.68
20% off
|
$290.87
|
$5,507.64
|
$2,781.36
|
2026-03-11
|
|
60225
|
HCPCS
|
60225 Total Thyroid Lobectomy Unilateral With Contralateral
|
19
|
19
|
$3,263.04
|
$2,610.43
20% off
|
$846.37
|
$3,943.74
|
$2,773.58
|
2026-03-11
|
|
60240
|
HCPCS
|
60240 Thyroidectomy Total Or Complete Profee
|
19
|
19
|
$3,232.14
|
$2,585.71
20% off
|
$830.20
|
$3,943.74
|
$2,747.32
|
2026-03-11
|
|
27511
|
HCPCS
|
27511 Open Treatment Of Femoral Supracondylar Or Trans
|
15
|
15
|
$3,409.30
|
$2,727.44
20% off
|
$896.39
|
$3,068.37
|
$2,727.44
|
2026-03-11
|
|
58545
|
HCPCS
|
58545 Laparoscopy Surgical Myomectomy Excision 1 To 4 Intramural
|
19
|
19
|
$3,171.37
|
$2,537.10
|
$810.06
|
$3,171.37
|
$2,695.66
|
2026-03-11
|
|
58353
|
HCPCS
|
58353 Endometrial Ablation Thermal Without Hysteroscopic Guidance Profee
|
19
|
19
|
$3,144.59
|
$2,515.67
20% off
|
$832.38
|
$3,144.59
|
$2,672.90
|
2026-03-11
|
|
58550
|
HCPCS
|
58550 Laparoscopy Surgical With Vaginal Hysterectomy For Uterus 250 G Or Less
|
19
|
19
|
$3,110.60
|
$2,488.48
20% off
|
$786.96
|
$5,901.38
|
$2,644.01
|
2026-03-11
|
|
49657
|
HCPCS
|
49657 Laparoscopy Surgical Repair Recurrent Incisional Hernia
|
10
|
10
|
$3,061.16
|
$2,448.93
|
$1,357.93
|
$2,755.04
|
$2,601.99
|
2026-03-11
|
|
27880
|
HCPCS
|
27880 Amputation Leg Through Tibia And Fibula Profee
|
15
|
15
|
$3,239.35
|
$2,591.48
20% off
|
$830.75
|
$2,915.42
|
$2,591.48
|
2026-03-11
|
|
49654
|
HCPCS
|
49654 Laparoscopy Surgical Repair Incisional Hernia Includes Mesh
|
10
|
10
|
$3,025.11
|
$2,420.09
|
$1,341.94
|
$2,722.60
|
$2,571.34
|
2026-03-11
|
|
44202
|
HCPCS
|
44202 Laparoscopy Surgical Enterectomy Resection Of Small
|
15
|
15
|
$3,199.18
|
$2,559.34
20% off
|
$1,298.22
|
$2,879.26
|
$2,559.34
|
2026-03-11
|
|
58562
|
HCPCS
|
58562 Hysteroscopy Removal Impacted Foreign Body Profee Charge
|
19
|
19
|
$3,306.30
|
$2,645.04
20% off
|
$382.66
|
$3,234.60
|
$2,558.44
|
2026-03-11
|
|
27486
|
HCPCS
|
27486 Revision Of Total Knee Arthroplasty With Or Without
|
15
|
15
|
$3,195.06
|
$2,556.05
|
$1,267.44
|
$2,875.55
|
$2,556.05
|
2026-03-11
|
|
27828
|
HCPCS
|
27828 Open Treatment Of Fracture Of Weight Bearing Articular
|
19
|
19
|
$3,004.51
|
$2,403.61
|
$1,212.40
|
$5,296.10
|
$2,553.83
|
2026-03-11
|
|
0174
|
RC
|
—
|
14
|
14
|
$2,534.83
|
$2,027.86
20% off
|
$2,027.86
|
$6,867.29
|
$2,534.83
|
2026-03-11
|
|
51992
|
HCPCS
|
51992 Laparoscopy Surgical Sling Operation For Stress Incontinence
|
19
|
19
|
$2,957.13
|
$2,365.70
20% off
|
$747.32
|
$3,788.76
|
$2,513.56
|
2026-03-11
|
|
J7296
|
HCPCS
|
IUD Kyleena
|
19
|
19
|
$3,455.34
|
$2,764.27
20% off
|
$1,532.79
|
$3,109.81
|
$2,512.03
|
2026-03-11
|
|
44960
|
HCPCS
|
44960 Appendectomy For Ruptured Appendix With Abscess
|
15
|
15
|
$3,137.38
|
$2,509.90
20% off
|
$830.63
|
$2,823.64
|
$2,509.90
|
2026-03-11
|
|
43501
|
HCPCS
|
43501 Gastrotomy With Suture Repair Of Bleeding Ulcer Profee
|
15
|
15
|
$3,119.87
|
$2,495.90
|
$1,279.68
|
$2,807.88
|
$2,495.90
|
2026-03-11
|
|
27280
|
HCPCS
|
27280 Arthrodesis Open Sacroiliac Joint Including Obtaining Bone
|
15
|
15
|
$3,119.87
|
$2,495.90
|
$1,288.41
|
$2,807.88
|
$2,495.90
|
2026-03-11
|
|
27130
|
HCPCS
|
27130 Arthroplasty Acetabular And Proximal Femoral Prosthetic
|
19
|
19
|
$2,927.26
|
$2,341.81
|
$1,156.97
|
$14,280.85
|
$2,488.17
|
2026-03-11
|
|
27447
|
HCPCS
|
27447 Arthroplasty Knee Condyle And Plateau Medial And Lateral
|
19
|
19
|
$2,925.20
|
$2,340.16
20% off
|
$1,154.23
|
$11,783.08
|
$2,486.42
|
2026-03-11
|
|
45388
|
HCPCS
|
45388 Colonoscopy Flexible With Ablation Of Tumor S Polyp S
|
19
|
19
|
$5,012.39
|
$4,009.91
20% off
|
$947.46
|
$4,511.15
|
$2,482.11
|
2026-03-11
|
|
C1781
|
HCPCS
|
3d Max Large Left Mesh
|
480
|
15
|
$3,815.25
|
$3,052.20
20% off
|
$11.92
|
$11,542.50
|
$2,476.31
|
2026-03-11
|
|
47100
|
HCPCS
|
47100 Biopsy Of Liver Wedge Profee
|
15
|
15
|
$3,001.42
|
$2,401.14
|
$812.10
|
$2,701.28
|
$2,401.14
|
2026-03-11
|
|
36571
|
HCPCS
|
36571 Insertion Of Peripherally Inserted Central Venous Access
|
19
|
19
|
$2,936.53
|
$2,349.22
20% off
|
$1,253.64
|
$2,936.53
|
$2,349.22
|
2026-03-11
|
|
27138
|
HCPCS
|
27138 Revision Of Total Hip Arthroplasty Femoral Component
|
15
|
15
|
$2,928.00
|
$2,342.40
|
$1,298.86
|
$2,635.20
|
$2,342.40
|
2026-03-11
|
|
29889
|
HCPCS
|
29889 Arthroscopically Aided Posterior Cruciate Ligament Repair
|
19
|
19
|
$2,728.47
|
$2,182.78
|
$1,119.60
|
$7,170.82
|
$2,319.20
|
2026-03-11
|
|
59120
|
HCPCS
|
59120 Surgical Treatment Of Ectopic Pregnancy Tubal Or Ovarian
|
15
|
15
|
$2,889.15
|
$2,311.32
|
$745.54
|
$2,600.24
|
$2,311.32
|
2026-03-11
|
|
13160
|
HCPCS
|
13160 Secondary Closure Of Surgical Wound Or Dehiscence
|
19
|
19
|
$2,889.15
|
$2,311.32
|
$731.81
|
$2,889.15
|
$2,311.32
|
2026-03-11
|
|
23470
|
HCPCS
|
23470 Arthroplasty Glenohumeral Joint Hemiarthroplasty Profee
|
19
|
19
|
$2,719.20
|
$2,175.36
|
$1,079.69
|
$9,606.73
|
$2,311.32
|
2026-03-11
|
|
19083
|
HCPCS
|
US Breast Biopsy Right
|
33
|
19
|
$3,952.11
|
$3,161.69
|
$781.44
|
$3,556.90
|
$2,294.84
|
2026-03-11
|
|
44160
|
HCPCS
|
44160 Colectomy Partial With Removal Of Terminal Ileum With Ileocolostomy Profee
|
15
|
15
|
$2,864.43
|
$2,291.54
20% off
|
$1,164.23
|
$2,577.99
|
$2,291.54
|
2026-03-11
|
|
59614
|
HCPCS
|
59614 Vbac Care After Delivery
|
10
|
10
|
$2,673.88
|
$2,139.10
20% off
|
$1,186.13
|
$2,406.49
|
$2,272.80
|
2026-03-11
|
|
49652
|
HCPCS
|
49652 Laparoscopy Surgical Repair Ventral Umbilical
|
10
|
10
|
$2,654.31
|
$2,123.45
|
$1,177.45
|
$2,388.88
|
$2,256.16
|
2026-03-11
|
|
49560
|
HCPCS
|
49560 Repair Initial Incisional Or Ventral Hernia Reducible Profee
|
10
|
10
|
$2,637.83
|
$2,110.26
20% off
|
$1,170.14
|
$2,374.05
|
$2,242.16
|
2026-03-11
|
|
27446
|
HCPCS
|
27446 Arthroplasty Knee Condyle And Plateau Medial Or Lateral Compartment Profee
|
19
|
19
|
$2,628.56
|
$2,102.85
|
$1,040.30
|
$9,606.73
|
$2,234.28
|
2026-03-11
|
|
27244
|
HCPCS
|
27244 Treatment Of Intertrochanteric Peritrochanteric
|
15
|
15
|
$2,789.24
|
$2,231.39
20% off
|
$1,112.93
|
$2,510.32
|
$2,231.39
|
2026-03-11
|
|
58700
|
HCPCS
|
58700 Salpingectomy Complete Or Partial Unilateral Or Bilateral
|
15
|
15
|
$2,787.18
|
$2,229.74
20% off
|
$728.48
|
$2,508.46
|
$2,229.74
|
2026-03-11
|
|
C1889
|
HCPCS
|
11 Hole Left Inter Short
|
510
|
15
|
$3,348.63
|
$2,678.91
|
$4.08
|
$15,345.72
|
$2,214.82
|
2026-03-11
|
|
35840
|
HCPCS
|
35840 Exploration For Postoperative Hemorrhage Thrombosis Or Infection Abdomen
|
15
|
15
|
$2,749.07
|
$2,199.26
|
$1,133.74
|
$2,474.16
|
$2,199.26
|
2026-03-11
|
|
49000
|
HCPCS
|
49000 Exploratory Laparotomy Exploratory Celiotomy With Or Without
|
15
|
15
|
$2,739.80
|
$2,191.84
20% off
|
$730.77
|
$2,465.82
|
$2,191.84
|
2026-03-11
|
|
27245
|
HCPCS
|
27245 Treatment Of Intertrochanteric Peritrochanteric Or Subtr
|
15
|
15
|
$2,730.53
|
$2,184.42
20% off
|
$1,109.79
|
$2,457.48
|
$2,184.42
|
2026-03-11
|
|
57288
|
HCPCS
|
57288 Sling Operation For Stress Incontinence Eg Fascia Or Synthetic Profee
|
19
|
19
|
$2,566.76
|
$2,053.41
|
$659.50
|
$3,639.07
|
$2,181.75
|
2026-03-11
|
|
47563
|
HCPCS
|
47563 Laparoscopy Surgical Cholecystectomy With Cholangiography Profee
|
19
|
19
|
$2,559.55
|
$2,047.64
20% off
|
$686.46
|
$3,788.76
|
$2,175.62
|
2026-03-11
|
|
44320
|
HCPCS
|
44320 Colostomy Or Skin Level Cecostomy Profee
|
15
|
15
|
$2,711.99
|
$2,169.59
20% off
|
$1,125.31
|
$2,440.79
|
$2,169.59
|
2026-03-11
|
|
27236
|
HCPCS
|
27236 Open Treatment Of Femoral Fracture Proximal End Neck Internal
|
15
|
15
|
$2,709.93
|
$2,167.94
20% off
|
$1,081.26
|
$2,438.94
|
$2,167.94
|
2026-03-11
|
|
28415
|
HCPCS
|
28415 Open Treatment Of Calcaneal Fracture Includes Internal
|
19
|
19
|
$2,535.86
|
$2,028.69
|
$1,031.22
|
$5,296.10
|
$2,155.48
|
2026-03-11
|
|
27536
|
HCPCS
|
27536 Open Treatment Of Tibial Fracture Proximal Plateau Bicondylar
|
15
|
15
|
$2,692.42
|
$2,153.94
|
$1,081.50
|
$2,423.18
|
$2,153.94
|
2026-03-11
|
|
27827
|
HCPCS
|
27827 Open Treatment Of Fracture Of Weight Bearing Articular
|
19
|
19
|
$2,524.53
|
$2,019.62
20% off
|
$1,033.59
|
$5,296.10
|
$2,145.85
|
2026-03-11
|
|
58662
|
HCPCS
|
58662 Laparoscopy Surgical With Fulguration Or Excision
|
19
|
19
|
$2,508.05
|
$2,006.44
20% off
|
$647.64
|
$3,788.76
|
$2,131.84
|
2026-03-11
|
|
73723
|
HCPCS
|
MRI Ankle With + Without Contrast Right
|
50
|
20
|
$4,664.87
|
$3,731.90
|
$636.02
|
$4,241.95
|
$2,109.68
|
2026-03-11
|
|
15830
|
HCPCS
|
15830 Excision Excessive Skin And Subcutaneous Tissue
|
19
|
19
|
$2,624.44
|
$2,099.55
20% off
|
$1,056.60
|
$2,624.44
|
$2,099.55
|
2026-03-11
|
|
47605
|
HCPCS
|
47605 Cholecystectomy With Cholangiography Profee
|
15
|
15
|
$2,607.96
|
$2,086.37
|
$1,067.54
|
$2,347.16
|
$2,086.37
|
2026-03-11
|
|
49405
|
HCPCS
|
49405 Image-guided Fluid Collection Drainage By Catheter
|
19
|
19
|
$2,855.16
|
$2,284.13
|
$782.96
|
$2,569.64
|
$2,075.70
|
2026-03-11
|
|
24435
|
HCPCS
|
24435 Repair Of Nonunion Or Malunion Humerus With Iliac
|
19
|
19
|
$2,438.01
|
$1,950.41
|
$990.16
|
$7,170.82
|
$2,072.31
|
2026-03-11
|
|
77049
|
HCPCS
|
MRI Breast With + Without Cont Bilat Dynamic
|
27
|
16
|
$4,595.86
|
$3,676.69
|
$551.49
|
$4,136.27
|
$2,068.14
|
2026-03-11
|
|
29827
|
HCPCS
|
29827 Arthroscopy Shoulder Surgical With Rotator Cuff Repair Profee
|
19
|
19
|
$2,426.68
|
$1,941.34
20% off
|
$966.35
|
$3,948.72
|
$2,062.68
|
2026-03-11
|
|
27125
|
HCPCS
|
27125 Hemiarthroplasty Hip Partial Eg Femoral Stem
|
15
|
15
|
$2,571.91
|
$2,057.53
|
$1,027.30
|
$2,314.72
|
$2,057.53
|
2026-03-11
|
|
57520
|
HCPCS
|
57520 Conization Of Cervix With Or Without Fulguration
|
19
|
19
|
$2,556.46
|
$2,045.17
|
$349.09
|
$2,556.46
|
$2,045.17
|
2026-03-11
|
|
15100
|
HCPCS
|
15100 Split-thickness Autograft Trunk Arms Legs First 100 Sq
|
19
|
19
|
$2,549.25
|
$2,039.40
|
$890.83
|
$2,549.25
|
$2,039.40
|
2026-03-11
|
|
58660
|
HCPCS
|
58660 Laparoscopy Surgical With Lysis Of Adhesions Salpingolysis
|
19
|
19
|
$2,392.69
|
$1,914.15
20% off
|
$629.32
|
$3,788.76
|
$2,033.79
|
2026-03-11
|
|
28805
|
HCPCS
|
28805 Amputation Foot Transmetatarsal Profee
|
19
|
19
|
$2,532.77
|
$2,026.22
|
$644.57
|
$2,532.77
|
$2,026.22
|
2026-03-11
|
|
73706
|
HCPCS
|
CT Angio Lower Extremity Bilateral
|
60
|
20
|
$4,369.26
|
$3,495.41
|
$408.56
|
$4,078.80
|
$2,024.90
|
2026-03-11
|
|
29807
|
HCPCS
|
29807 Arthroscopy Shoulder Surgical Repair Of Slap Lesion Profee
|
19
|
19
|
$2,341.19
|
$1,872.95
20% off
|
$940.35
|
$3,948.72
|
$1,990.01
|
2026-03-11
|
|
74174
|
HCPCS
|
70074 CTA Abd Pelv W
|
45
|
20
|
$2,474.06
|
$1,979.25
|
$643.78
|
$4,125.15
|
$1,979.25
|
2026-03-11
|
|
47600
|
HCPCS
|
47600 Cholecystectomy Profee
|
15
|
15
|
$2,472.00
|
$1,977.60
20% off
|
$1,015.02
|
$2,224.80
|
$1,977.60
|
2026-03-11
|
|
29806
|
HCPCS
|
29806 Arthroscopy Shoulder Surgical Capsulorrhaphy Profee
|
19
|
19
|
$2,320.59
|
$1,856.47
20% off
|
$961.78
|
$3,948.72
|
$1,972.50
|
2026-03-11
|
|
15120
|
HCPCS
|
15120 Split-thickness Autograft Face Scalp Eyelids
|
19
|
19
|
$2,447.28
|
$1,957.82
20% off
|
$844.46
|
$2,447.28
|
$1,957.82
|
2026-03-11
|
|
44604
|
HCPCS
|
44604 Suture Of Large Intestine Colorrhaphy For Perf
|
15
|
15
|
$2,443.16
|
$1,954.53
|
$983.34
|
$2,198.84
|
$1,954.53
|
2026-03-11
|
|
58661
|
HCPCS
|
58661 Laparoscopy Surgical With Removal Of Adnexal Structures
|
19
|
19
|
$2,297.93
|
$1,838.34
20% off
|
$588.43
|
$3,788.76
|
$1,953.24
|
2026-03-11
|
|
49520
|
HCPCS
|
49520 Repair Recurrent Inguinal Hernia Any Age Reducible Profee
|
19
|
19
|
$2,260.85
|
$1,808.68
|
$609.03
|
$2,585.82
|
$1,921.72
|
2026-03-11
|
|
C8902
|
HCPCS
|
Mg Technical Repeat
|
45
|
20
|
$3,137.38
|
$2,509.90
20% off
|
$357.13
|
$3,823.88
|
$1,911.94
|
2026-03-11
|
|
19330
|
HCPCS
|
19330 Removal Of Mammary Implant Material Profee
|
19
|
19
|
$2,246.43
|
$1,797.14
20% off
|
$583.72
|
$3,613.91
|
$1,909.47
|
2026-03-11
|
|
27437
|
HCPCS
|
27437 Arthroplasty Patella Without Prosthesis Profee
|
19
|
19
|
$2,243.34
|
$1,794.67
20% off
|
$614.66
|
$3,226.40
|
$1,906.84
|
2026-03-11
|
|
27759
|
HCPCS
|
27759 Treatment Of Tibial Shaft Fracture With Or Without Fibular
|
19
|
19
|
$2,239.22
|
$1,791.38
|
$909.22
|
$5,296.10
|
$1,903.34
|
2026-03-11
|
|
44345
|
HCPCS
|
44345 Revision Of Colostomy Complicated Reconstruction In-depth
|
15
|
15
|
$2,375.18
|
$1,900.14
20% off
|
$986.89
|
$2,137.66
|
$1,900.14
|
2026-03-11
|
|
0278
|
RC
|
—
|
330
|
15
|
$3,086.25
|
$2,469.00
20% off
|
$12.99
|
$29,929.50
|
$1,899.95
|
2026-03-11
|
|
27823
|
HCPCS
|
27823 Open Treatment Of Trimalleolar Ankle Fracture Includes Internal
|
19
|
19
|
$2,224.80
|
$1,779.84
20% off
|
$906.14
|
$5,296.10
|
$1,891.08
|
2026-03-11
|
|
27726
|
HCPCS
|
27726 Repair Of Fibula Nonunion And/or Malunion With Internal Fixation Profee
|
19
|
19
|
$2,179.48
|
$1,743.58
20% off
|
$867.41
|
$3,677.76
|
$1,852.56
|
2026-03-11
|
|
35201
|
HCPCS
|
35201 Repair Blood Vessel Direct Neck Profee
|
19
|
19
|
$2,173.30
|
$1,738.64
20% off
|
$859.42
|
$2,879.33
|
$1,847.31
|
2026-03-11
|
|
64624
|
HCPCS
|
64624 Destruction By Neurolytic Agent Genicular Nerve Branches
|
33
|
20
|
$4,063.35
|
$3,250.68
20% off
|
$569.76
|
$3,657.02
|
$1,828.51
|
2026-03-11
|
|
49561
|
HCPCS
|
49561 Repair Initial Incisional Or Ventral Hernia Incarcerated Or Strangulated
|
10
|
10
|
$2,150.64
|
$1,720.51
20% off
|
$954.02
|
$1,935.58
|
$1,828.04
|
2026-03-11
|
|
44970
|
HCPCS
|
44970 Laparoscopy Surgical Appendectomy Profee
|
19
|
19
|
$2,141.37
|
$1,713.10
|
$578.29
|
$3,788.76
|
$1,820.16
|
2026-03-11
|
|
60500
|
HCPCS
|
60500 Parathyroidectomy Or Exploration Of Parathyroid S Profee
|
19
|
19
|
$2,141.37
|
$1,713.10
|
$891.80
|
$3,476.75
|
$1,820.16
|
2026-03-11
|
|
57250
|
HCPCS
|
57250 Posterior Colporrhaphy Repair Of Rectocele With
|
19
|
19
|
$2,131.07
|
$1,704.86
|
$543.07
|
$2,852.62
|
$1,811.41
|
2026-03-11
|
|
44025
|
HCPCS
|
44025 Colotomy For Exploration Biopsy S Or Foreign Body Removal Profee
|
15
|
15
|
$2,258.79
|
$1,807.03
20% off
|
$925.12
|
$2,032.91
|
$1,807.03
|
2026-03-11
|
|
44180
|
HCPCS
|
44180 Laparoscopy Surgical Enterolysis Freeing Of Intestinal
|
19
|
19
|
$2,125.92
|
$1,700.74
|
$869.90
|
$3,788.76
|
$1,807.03
|
2026-03-11
|
|
58262
|
HCPCS
|
58262 Vaginal Hysterectomy For Uterus 250 G Or Less With Removal
|
19
|
19
|
$2,118.71
|
$1,694.97
|
$819.21
|
$2,852.62
|
$1,800.90
|
2026-03-11
|
|
57240
|
HCPCS
|
57240 Anterior Colporrhaphy Repair Of Cystocele With Or Without
|
19
|
19
|
$2,117.68
|
$1,694.14
20% off
|
$542.38
|
$2,852.62
|
$1,800.03
|
2026-03-11
|
|
24545
|
HCPCS
|
24545 Open Treatment Of Humeral Supracondylar Or Transc
|
19
|
19
|
$2,103.26
|
$1,682.61
|
$849.86
|
$5,296.10
|
$1,787.77
|
2026-03-11
|
|
44111
|
HCPCS
|
44111 Excision Of 1 Or More Lesions Of Small Or Large Intestine
|
15
|
15
|
$2,232.01
|
$1,785.61
|
$907.54
|
$2,008.81
|
$1,785.61
|
2026-03-11
|
|
23680
|
HCPCS
|
23680 Open Treatment Medial Malleolus Fracture Profee
|
19
|
19
|
$2,100.17
|
$1,680.14
|
$854.72
|
$3,677.76
|
$1,785.14
|
2026-03-11
|
|
74170
|
HCPCS
|
CT Abdomen With + Without Contrast
|
55
|
20
|
$3,965.50
|
$3,172.40
20% off
|
$400.22
|
$3,568.95
|
$1,784.48
|
2026-03-11
|
|
15740
|
HCPCS
|
15740 Flap Island Pedicle Requiring Identification And Dissection Of
|
19
|
19
|
$2,222.74
|
$1,778.19
20% off
|
$986.01
|
$2,222.74
|
$1,778.19
|
2026-03-11
|
|
21552
|
HCPCS
|
21552 Excision Tumor Soft Tissue Of Neck Or Anterior Thorax
|
19
|
19
|
$2,084.72
|
$1,667.78
|
$425.36
|
$2,084.72
|
$1,772.01
|
2026-03-11
|
|
27514
|
HCPCS
|
27514 Open Treatment Of Femoral Fracture Distal End Medial Or Lateral
|
15
|
15
|
$2,202.14
|
$1,761.71
20% off
|
$870.40
|
$1,981.93
|
$1,761.71
|
2026-03-11
|
|
19302
|
HCPCS
|
19302 Mastectomy Partial Eg Lumpectomy Tylectomy Quadrant
|
19
|
19
|
$2,057.94
|
$1,646.35
20% off
|
$866.53
|
$3,397.24
|
$1,749.25
|
2026-03-11
|
|
27240
|
HCPCS
|
27240 Closed Treatment Of Intertrochanteric Peritrochanteric Or Sub
|
15
|
15
|
$2,175.36
|
$1,740.29
|
$888.71
|
$1,957.82
|
$1,740.29
|
2026-03-11
|
|
29828
|
HCPCS
|
29828 Arthroscopy Shoulder Surgical Biceps Tenodesis Profee
|
19
|
19
|
$2,041.67
|
$1,633.34
|
$833.72
|
$3,948.72
|
$1,735.42
|
2026-03-11
|
|
25575
|
HCPCS
|
25575 Open Treatment Of Radial And Ulnar Shaft Fractures With
|
19
|
19
|
$2,041.46
|
$1,633.17
|
$832.25
|
$5,296.10
|
$1,735.24
|
2026-03-11
|
|
58571
|
HCPCS
|
58571 Laparoscopy Surgical With Total Hysterectomy For Uterus 250 G
|
19
|
19
|
$2,032.19
|
$1,625.75
20% off
|
$828.63
|
$3,788.76
|
$1,727.36
|
2026-03-11
|
|
27758
|
HCPCS
|
27758 Open Treatment Of Tibial Shaft Fracture With Or Without Fibular
|
19
|
19
|
$2,030.13
|
$1,624.10
20% off
|
$822.47
|
$3,677.76
|
$1,725.61
|
2026-03-11
|
|
43800
|
HCPCS
|
43800 Pyloroplasty Profee
|
15
|
15
|
$2,156.82
|
$1,725.46
|
$875.97
|
$1,941.14
|
$1,725.46
|
2026-03-11
|
|
27235
|
HCPCS
|
27235 Percutaneous Skeletal Fixation Of Femoral Fracture Proximal End Neck
|
19
|
19
|
$2,020.86
|
$1,616.69
|
$827.14
|
$2,569.92
|
$1,717.73
|
2026-03-11
|
|
J7298
|
HCPCS
|
IUD Mirena
|
38
|
19
|
$2,817.49
|
$2,253.99
20% off
|
$887.20
|
$3,271.48
|
$1,717.50
|
2026-03-11
|
|
C8914
|
HCPCS
|
MRA Lower Extremity With + Without Cnt Right
|
30
|
20
|
$5,175.75
|
$4,140.60
|
$551.49
|
$4,658.18
|
$1,716.60
|
2026-03-11
|
|
23615
|
HCPCS
|
23615 Open Treatment Of Proximal Humeral Surgical Or Anatomical
|
19
|
19
|
$2,001.29
|
$1,601.03
20% off
|
$812.16
|
$5,296.10
|
$1,701.10
|
2026-03-11
|
|
J7300
|
HCPCS
|
IUD Paragard
|
38
|
19
|
$2,662.78
|
$2,130.22
|
$887.20
|
$2,993.00
|
$1,700.00
|
2026-03-11
|
|
24515
|
HCPCS
|
24515 Open Treatment Of Humeral Shaft Fracture With Plate/screws With
|
19
|
19
|
$1,992.02
|
$1,593.62
|
$810.28
|
$5,296.10
|
$1,693.22
|
2026-03-11
|
|
27822
|
HCPCS
|
27822 Open Treatment Of Trimalleolar Ankle Fracture Includes Internal
|
19
|
19
|
$1,975.54
|
$1,580.43
20% off
|
$808.35
|
$3,677.76
|
$1,679.21
|
2026-03-11
|
|
38505
|
HCPCS
|
US Biopsy Lymph Node Right
|
48
|
19
|
$2,453.46
|
$1,962.77
|
$632.09
|
$4,415.30
|
$1,665.41
|
2026-03-11
|
|
24516
|
HCPCS
|
24516 Asst Imn Shaft
|
19
|
19
|
$1,950.82
|
$1,560.66
|
$788.09
|
$5,296.10
|
$1,658.20
|
2026-03-11
|
|
49651
|
HCPCS
|
49651 Laparoscopy Surgical Repair Recurrent Inguinal Hernia Profee
|
19
|
19
|
$1,937.43
|
$1,549.94
20% off
|
$547.50
|
$3,788.76
|
$1,646.82
|
2026-03-11
|
|
15933
|
HCPCS
|
15933 Excision Sacral Pressure Ulcer With Primary Suture With Ostectomy Profee
|
19
|
19
|
$1,935.16
|
$1,548.13
|
$811.65
|
$1,935.16
|
$1,644.89
|
2026-03-11
|
|
23412
|
HCPCS
|
23412 Repair Of Ruptured Musculotendinous Cuff Eg Rotator Cuff Open Chronic
|
19
|
19
|
$1,930.22
|
$1,544.18
|
$781.00
|
$3,767.62
|
$1,640.69
|
2026-03-11
|
|
73722
|
HCPCS
|
MRI Ankle Arthrogram Left
|
50
|
20
|
$3,613.24
|
$2,890.59
20% off
|
$477.93
|
$3,290.85
|
$1,634.09
|
2026-03-11
|
|
58260
|
HCPCS
|
Vaginal Hysterectomy For Uterus 250 G Or Less
|
19
|
19
|
$1,916.83
|
$1,533.46
20% off
|
$741.29
|
$2,852.62
|
$1,629.31
|
2026-03-11
|
|
10036
|
HCPCS
|
US Guided Soft Tissue Loc Device Ea Addl
|
10
|
10
|
$1,903.44
|
$1,522.75
20% off
|
$844.37
|
$1,713.10
|
$1,617.92
|
2026-03-11
|
|
72147
|
HCPCS
|
MRI Spine Thoracic With Contrast
|
30
|
20
|
$4,715.34
|
$3,772.27
20% off
|
$467.40
|
$4,243.81
|
$1,617.82
|
2026-03-11
|
|
58542
|
HCPCS
|
58542 Laparoscopy Surgical Supracervical Hysterectomy For Uterus 250
|
19
|
19
|
$1,899.32
|
$1,519.46
|
$733.28
|
$5,901.38
|
$1,614.42
|
2026-03-11
|
|
36558
|
HCPCS
|
36558 Insertion Of Tunneled Centrally Inserted Central Venous Catheter
|
14
|
14
|
$1,865.33
|
$1,492.26
20% off
|
$827.46
|
$2,049.23
|
$1,613.51
|
2026-03-11
|
|
59409
|
HCPCS
|
59409 Vaginal Delivery Only With Or Without Episiotomy And/or Forceps Profee
|
14
|
14
|
$1,869.45
|
$1,495.56
20% off
|
$829.29
|
$1,869.45
|
$1,605.22
|
2026-03-11
|
|
28820
|
HCPCS
|
28820 Amputation Toe Metatarsophalangeal Joint Profee
|
19
|
19
|
$1,886.96
|
$1,509.57
|
$286.06
|
$1,886.96
|
$1,603.92
|
2026-03-11
|
|
C9359
|
HCPCS
|
Bone Cement Simplex Hv
|
135
|
15
|
$3,147.18
|
$2,517.74
20% off
|
$90.76
|
$8,731.94
|
$1,603.80
|
2026-03-11
|
|
49402
|
HCPCS
|
49402 Removal Of Peritoneal Foreign Body From Peritoneal Cavity Profee
|
19
|
19
|
$1,883.05
|
$1,506.44
|
$802.83
|
$2,198.96
|
$1,600.59
|
2026-03-11
|
|
29888
|
HCPCS
|
29888 Knee Arthroscopy Assisted Acl Reconstruction Profee
|
19
|
19
|
$1,870.00
|
$1,496.00
20% off
|
$829.53
|
$7,170.82
|
$1,589.50
|
2026-03-11
|
|
25447
|
HCPCS
|
25447 Arthroplasty Interposition Intercarpal Or Carpometacarpal Joints Profee
|
19
|
19
|
$1,869.45
|
$1,495.56
20% off
|
$729.08
|
$3,226.40
|
$1,589.03
|
2026-03-11
|
|
44620
|
HCPCS
|
44620 Closure Of Enterostomy Large Or Small Intestine Profee
|
15
|
15
|
$1,984.81
|
$1,587.85
|
$805.07
|
$1,786.33
|
$1,587.85
|
2026-03-11
|
|
C8933
|
HCPCS
|
MRA Spinal Contents With + Without Contrast
|
30
|
20
|
$4,591.74
|
$3,673.39
20% off
|
$551.49
|
$4,132.57
|
$1,587.07
|
2026-03-11
|
|
25608
|
HCPCS
|
25608 Open Treatment Of Distal Radial Intra-articular Fracture
|
19
|
19
|
$1,862.24
|
$1,489.79
20% off
|
$758.32
|
$5,296.10
|
$1,582.90
|
2026-03-11
|
|
49505
|
HCPCS
|
49505 Repair Initial Inguinal Hernia Age 5 Years Or Older Reducible Profee
|
19
|
19
|
$1,852.97
|
$1,482.38
|
$506.82
|
$2,585.82
|
$1,575.02
|
2026-03-11
|
|
10180
|
HCPCS
|
10180 I And D Post-op Infection-wc Charge
|
38
|
20
|
$5,853.49
|
$4,682.79
20% off
|
$275.28
|
$5,268.14
|
$1,569.72
|
2026-03-11
|
|
74178
|
HCPCS
|
CT Abdomen And Pelvis With + Without Contrast
|
35
|
20
|
$6,251.07
|
$5,000.86
|
$392.53
|
$5,625.96
|
$1,567.17
|
2026-03-11
|
|
46040
|
HCPCS
|
46040 Incision And Drainage Of Ischiorectal And/or Perirectal
|
19
|
19
|
$1,835.46
|
$1,468.37
|
$603.87
|
$1,938.89
|
$1,560.14
|
2026-03-11
|
|
73221
|
HCPCS
|
MRI Elbow Without Contrast Right
|
50
|
20
|
$3,421.66
|
$2,737.33
|
$346.93
|
$3,169.41
|
$1,555.14
|
2026-03-11
|
|
57120
|
HCPCS
|
57120 Colpocleisis Le Fort Type Profee
|
19
|
19
|
$1,828.25
|
$1,462.60
20% off
|
$469.30
|
$2,852.62
|
$1,554.01
|
2026-03-11
|
|
0351
|
RC
|
—
|
15
|
15
|
$1,939.49
|
$1,551.59
20% off
|
$860.36
|
$1,745.54
|
$1,551.59
|
2026-03-11
|
|
27381
|
HCPCS
|
27381 Suture Infrapatellar Tendon Secondary Reconstruction
|
19
|
19
|
$1,824.13
|
$1,459.30
20% off
|
$760.75
|
$1,824.13
|
$1,550.51
|
2026-03-11
|
|
59426
|
HCPCS
|
59426 Antepartum Care Only 7 Or More Visits
|
15
|
15
|
$1,937.43
|
$1,549.94
20% off
|
$859.44
|
$1,743.69
|
$1,549.94
|
2026-03-11
|
|
28296
|
HCPCS
|
28296 Correction Hallux Valgus.
|
19
|
19
|
$1,821.86
|
$1,457.49
|
$808.18
|
$2,552.27
|
$1,548.58
|
2026-03-11
|
|
J7307
|
HCPCS
|
Etonogestrel 68 Mg Imp
|
57
|
19
|
$2,547.75
|
$2,038.20
20% off
|
$684.92
|
$3,059.51
|
$1,545.05
|
2026-03-11
|
|
25400
|
HCPCS
|
25400 Repair Of Nonunion Or Malunion Radius Or Ulna
|
19
|
19
|
$1,816.92
|
$1,453.54
|
$726.96
|
$3,767.62
|
$1,544.38
|
2026-03-11
|
|
38510
|
HCPCS
|
38510 Biopsy Or Excision Of Lymph Node S Open Deep Cervical Node S Profee
|
19
|
19
|
$1,804.56
|
$1,443.65
|
$535.63
|
$1,991.00
|
$1,533.88
|
2026-03-11
|
|
44110
|
HCPCS
|
44110 Excision Of 1 Or More Lesions Of Small Or Large Intestine
|
15
|
15
|
$1,914.77
|
$1,531.82
|
$799.22
|
$1,723.29
|
$1,531.82
|
2026-03-11
|
|
28825
|
HCPCS
|
28825 Amputation Toe Interphalangeal Joint Profee
|
19
|
19
|
$1,801.47
|
$1,441.18
|
$278.76
|
$1,801.47
|
$1,531.25
|
2026-03-11
|
|
35206
|
HCPCS
|
35206 Repair Blood Vessel Direct Upper Extremity Profee
|
19
|
19
|
$1,799.41
|
$1,439.53
|
$731.12
|
$2,879.33
|
$1,529.50
|
2026-03-11
|
|
59151
|
HCPCS
|
59151 Laparoscopic Treatment Of Ectopic Pregnancy With Salp
|
19
|
19
|
$1,794.26
|
$1,435.41
|
$705.37
|
$3,788.76
|
$1,525.12
|
2026-03-11
|
|
24538
|
HCPCS
|
24538 Percutaneous Skeletal Fixation Of Supracondylar Or Transcondylar
|
14
|
14
|
$1,758.21
|
$1,406.57
|
$779.94
|
$2,090.50
|
$1,520.85
|
2026-03-11
|
|
49616
|
HCPCS
|
49616 Rpr Aa Hrn Rcr 3-10 Ncr/strn
|
15
|
15
|
$1,898.91
|
$1,519.13
|
$797.74
|
$1,709.02
|
$1,519.13
|
2026-03-11
|
|
72156
|
HCPCS
|
MRI Spine Cervical With + Without Contrast
|
35
|
20
|
$5,015.07
|
$4,012.06
|
$524.83
|
$4,513.56
|
$1,507.34
|
2026-03-11
|
|
49565
|
HCPCS
|
49565 Repair Recurrent Incisional Or Ventral Hernia Reducible Profee
|
10
|
10
|
$1,771.60
|
$1,417.28
20% off
|
$785.88
|
$1,594.44
|
$1,505.86
|
2026-03-11
|
|
C8901
|
HCPCS
|
MRA Abdomen Without Contrast
|
30
|
20
|
$4,248.75
|
$3,399.00
20% off
|
$241.72
|
$3,823.88
|
$1,501.82
|
2026-03-11
|
|
49595
|
HCPCS
|
49595 Repair Of Anterior Abdominal Hernia S Ie Epigastric Inc
|
19
|
19
|
$1,765.42
|
$1,412.34
|
$716.55
|
$4,250.32
|
$1,500.61
|
2026-03-11
|
|
72157
|
HCPCS
|
MRI Spine Thoracic With + Without Contrast
|
35
|
20
|
$4,928.55
|
$3,942.84
20% off
|
$526.45
|
$4,435.70
|
$1,498.28
|
2026-03-11
|
|
26370
|
HCPCS
|
26370 Repair Or Advancement Of Profundus Tendon With Intact
|
19
|
19
|
$1,758.21
|
$1,406.57
|
$729.20
|
$2,284.06
|
$1,494.48
|
2026-03-11
|
|
58925
|
HCPCS
|
58925 Ovarian Cystectomy Unilateral Or Bilateral Profee
|
19
|
19
|
$1,756.15
|
$1,404.92
20% off
|
$696.60
|
$2,852.62
|
$1,492.73
|
2026-03-11
|
|
46255
|
HCPCS
|
46255 Hemorrhoidectomy Internal And External Single Column/group Profee
|
19
|
19
|
$1,751.00
|
$1,400.80
20% off
|
$554.68
|
$1,938.89
|
$1,488.35
|
2026-03-11
|
|
28725
|
HCPCS
|
28725 Arthrodesis Subtalar Profee
|
19
|
19
|
$1,746.88
|
$1,397.50
20% off
|
$716.50
|
$4,248.66
|
$1,484.85
|
2026-03-11
|
|
72142
|
HCPCS
|
MRI Spine Cervical With Contrast
|
30
|
20
|
$4,046.87
|
$3,237.50
|
$472.25
|
$3,642.18
|
$1,476.97
|
2026-03-11
|
|
27540
|
HCPCS
|
27540 Open Treatment Of Intercondylar Spine S And/or Tuberosity
|
15
|
15
|
$1,842.67
|
$1,474.14
|
$751.90
|
$1,658.40
|
$1,474.14
|
2026-03-11
|
|
64708
|
HCPCS
|
64708 Neuroplasty Major Peripheral Nerve Arm Or Leg Open Other Than Specified
|
19
|
19
|
$1,733.49
|
$1,386.79
20% off
|
$450.99
|
$1,733.49
|
$1,473.47
|
2026-03-11
|
|
27814
|
HCPCS
|
27814 Open Treatment Of Bimalleolar Ankle Fracture
|
19
|
19
|
$1,731.43
|
$1,385.14
20% off
|
$703.19
|
$3,677.76
|
$1,471.72
|
2026-03-11
|
|
27252
|
HCPCS
|
27252 Closed Treatment Of Hip Dislocation Traumatic Requiring Anesthesia Profee
|
14
|
14
|
$1,714.95
|
$1,371.96
20% off
|
$760.75
|
$1,714.95
|
$1,457.71
|
2026-03-11
|
|
27590
|
HCPCS
|
27590 Amputation Thigh Through Femur Any Level Profee
|
15
|
15
|
$1,822.07
|
$1,457.66
|
$728.69
|
$1,639.86
|
$1,457.66
|
2026-03-11
|
|
49594
|
HCPCS
|
49594 Rpr Aa Hrn 1st 3-10 Ncr/strn.
|
19
|
19
|
$1,710.83
|
$1,368.66
20% off
|
$694.84
|
$6,254.58
|
$1,454.21
|
2026-03-11
|
|
49900
|
HCPCS
|
49900 Suture Abd Wall For Evisceration/ Dehisce
|
15
|
15
|
$1,816.92
|
$1,453.54
|
$796.24
|
$1,635.23
|
$1,453.54
|
2026-03-11
|
|
27524
|
HCPCS
|
27524 Open Treatment Of Patellar Fracture With Internal
|
19
|
19
|
$1,706.71
|
$1,365.37
|
$694.61
|
$3,677.76
|
$1,450.70
|
2026-03-11
|
|
74182
|
HCPCS
|
MRI Abdomen With Contrast
|
30
|
20
|
$4,169.44
|
$3,335.55
20% off
|
$508.79
|
$3,752.50
|
$1,444.82
|
2026-03-11
|
|
46924
|
HCPCS
|
46924 Destruction Of Lesion S Anus Eg Condyloma Papilloma
|
19
|
19
|
$1,699.50
|
$1,359.60
20% off
|
$581.67
|
$1,720.09
|
$1,444.58
|
2026-03-11
|
|
C8912
|
HCPCS
|
MRA Lower Extremity With Contrast Right
|
30
|
20
|
$3,954.17
|
$3,163.34
|
$508.79
|
$3,558.75
|
$1,436.48
|
2026-03-11
|
|
51860
|
HCPCS
|
51860 Cystorrhaphy Suture Of Bladder Wound Injury Or Rupture Simple Profee
|
19
|
19
|
$1,688.17
|
$1,350.54
|
$678.38
|
$2,064.43
|
$1,434.94
|
2026-03-11
|
|
49587
|
HCPCS
|
49587 Repair Umbilical Hernia Age 5 Years Or Older
|
10
|
10
|
$1,686.11
|
$1,348.89
|
$747.96
|
$1,517.50
|
$1,433.19
|
2026-03-11
|
|
49255
|
HCPCS
|
49255 Omentectomy Epiploectomy Resection Of Omentum Separate Procedure Profee
|
15
|
15
|
$1,790.14
|
$1,432.11
20% off
|
$750.54
|
$1,611.13
|
$1,432.11
|
2026-03-11
|
|
C8920
|
HCPCS
|
MRA Pelvis With + Without Contrast
|
30
|
20
|
$3,875.89
|
$3,100.71
20% off
|
$551.49
|
$3,488.30
|
$1,428.28
|
2026-03-11
|
|
28298
|
HCPCS
|
28298 Correction Hallux Valgus Bunionectomy With Sesamoidectomy
|
19
|
19
|
$1,678.90
|
$1,343.12
20% off
|
$744.76
|
$2,552.27
|
$1,427.07
|
2026-03-11
|
|
24341
|
HCPCS
|
24341 Repair Tendon Or Muscle Upper Arm Or Elbow Each Tendon
|
19
|
19
|
$1,676.84
|
$1,341.47
20% off
|
$692.33
|
$3,767.62
|
$1,425.31
|
2026-03-11
|
|
23430
|
HCPCS
|
23430 Repair Biceps Tendon.
|
19
|
19
|
$1,669.63
|
$1,335.70
20% off
|
$684.98
|
$3,767.62
|
$1,419.19
|
2026-03-11
|
|
46060
|
HCPCS
|
46060 Incision And Drainage Of Ischiorectal Or Intramural
|
19
|
19
|
$1,665.51
|
$1,332.41
|
$479.45
|
$1,938.89
|
$1,415.68
|
2026-03-11
|
|
50387
|
HCPCS
|
50387 Removal And Replacement Of Externally Accessible Nephr
|
19
|
19
|
$1,767.48
|
$1,413.98
20% off
|
$483.12
|
$1,767.48
|
$1,413.98
|
2026-03-11
|
|
25607
|
HCPCS
|
25607 Open Treatment Of Distal Radial Extra-articular Fracture
|
19
|
19
|
$1,663.45
|
$1,330.76
20% off
|
$683.20
|
$5,296.10
|
$1,413.93
|
2026-03-11
|
|
21554
|
HCPCS
|
21554 Excision Tumor Soft Tissue Of Neck Or Anterior Thorax
|
19
|
19
|
$1,663.45
|
$1,330.76
20% off
|
$676.96
|
$1,891.79
|
$1,413.93
|
2026-03-11
|
|
55400
|
HCPCS
|
55400 Vasovasostomy Vasovasorrhaphy Profee
|
10
|
10
|
$1,662.42
|
$1,329.94
|
$737.45
|
$1,496.18
|
$1,413.06
|
2026-03-11
|
|
70552
|
HCPCS
|
MRI Brain With Contrast
|
30
|
20
|
$3,965.50
|
$3,172.40
20% off
|
$463.38
|
$3,568.95
|
$1,411.65
|
2026-03-11
|
|
C8918
|
HCPCS
|
MRA Pelvis With Contrast
|
30
|
20
|
$3,840.87
|
$3,072.70
|
$508.79
|
$3,456.78
|
$1,411.35
|
2026-03-11
|
|
11005
|
HCPCS
|
11005 Debridement Of Skin Subcutaneous Tissue Muscle And Fascia
|
15
|
15
|
$1,760.27
|
$1,408.22
|
$706.44
|
$1,584.24
|
$1,408.22
|
2026-03-11
|
|
72194
|
HCPCS
|
CT Pelvis With + Without Contrast
|
30
|
20
|
$4,687.53
|
$3,750.02
20% off
|
$361.87
|
$4,218.78
|
$1,406.78
|
2026-03-11
|
|
26350
|
HCPCS
|
26350 Repair Or Advancement Flexor Tendon Not In Zone 2 Digital
|
19
|
19
|
$1,654.18
|
$1,323.34
20% off
|
$705.57
|
$2,284.06
|
$1,406.05
|
2026-03-11
|
|
75635
|
HCPCS
|
CT Angio Abdomen Aorta + Iliofemoral
|
35
|
20
|
$5,045.97
|
$4,036.78
|
$408.56
|
$4,541.37
|
$1,405.83
|
2026-03-11
|
|
24575
|
HCPCS
|
24575 Open Treatment Of Humeral Epicondylar Fracture Medial
|
19
|
19
|
$1,652.12
|
$1,321.70
|
$681.73
|
$5,296.10
|
$1,404.30
|
2026-03-11
|
|
28120
|
HCPCS
|
28120 Partial Excision Craterization Saucerization Sequestrectomy
|
19
|
19
|
$1,652.12
|
$1,321.70
|
$658.60
|
$1,766.89
|
$1,404.30
|
2026-03-11
|
|
27691
|
HCPCS
|
27691 Transfer Or Transplant Of Single Tendon With Muscle
|
19
|
19
|
$1,649.65
|
$1,319.72
20% off
|
$689.18
|
$3,767.62
|
$1,402.20
|
2026-03-11
|
|
J7301
|
HCPCS
|
IUD Skyla
|
37
|
19
|
$3,034.14
|
$2,427.31
20% off
|
$704.44
|
$2,730.73
|
$1,397.44
|
2026-03-11
|
|
28238
|
HCPCS
|
28238 Reconstruction Advancement Posterior Tibial Tendon
|
19
|
19
|
$1,641.82
|
$1,313.46
|
$659.02
|
$4,248.66
|
$1,395.55
|
2026-03-11
|
|
27345
|
HCPCS
|
27345 Excision Of Synovial Cyst Of Popliteal Space Eg Baker's Cyst Profee
|
19
|
19
|
$1,641.82
|
$1,313.46
|
$457.83
|
$1,780.73
|
$1,395.55
|
2026-03-11
|
|
46260
|
HCPCS
|
46260 Hemorrhoidectomy Internal And External 2 Or More Columns/groups Profee
|
19
|
19
|
$1,638.73
|
$1,310.98
20% off
|
$470.72
|
$1,938.89
|
$1,392.92
|
2026-03-11
|
|
49592
|
HCPCS
|
49592 Repair Aa Hernia Initial <3cm Incarcerated
|
19
|
19
|
$1,634.61
|
$1,307.69
|
$443.98
|
$6,254.58
|
$1,389.42
|
2026-03-11
|
|
19125
|
HCPCS
|
19125 Excision Of Breast Lesion Identified By Preoperative Placement
|
19
|
19
|
$1,634.61
|
$1,307.69
|
$616.26
|
$2,002.09
|
$1,389.42
|
2026-03-11
|
|
70553
|
HCPCS
|
MRI Brain And Iac With + Without Contrast
|
35
|
20
|
$4,994.47
|
$3,995.58
|
$523.20
|
$4,495.02
|
$1,387.70
|
2026-03-11
|
|
72196
|
HCPCS
|
MRI Pelvis With Contrast
|
30
|
20
|
$3,907.82
|
$3,126.26
|
$464.18
|
$3,517.04
|
$1,386.80
|
2026-03-11
|
|
29875
|
HCPCS
|
29875 Arthroscopy Knee Surgical Synovectomy Limited Eg Plica Or Shelf
|
19
|
19
|
$1,628.12
|
$1,302.50
|
$464.79
|
$2,420.12
|
$1,383.90
|
2026-03-11
|
|
23515
|
HCPCS
|
23515 Open Treatment Of Clavicular Fracture Includes Internal Fixation
|
19
|
19
|
$1,627.40
|
$1,301.92
20% off
|
$667.28
|
$5,296.10
|
$1,383.29
|
2026-03-11
|
|
70542
|
HCPCS
|
MRI Neck With Contrast
|
30
|
20
|
$4,046.87
|
$3,237.50
|
$473.08
|
$3,642.18
|
$1,382.41
|
2026-03-11
|
|
28730
|
HCPCS
|
28730 Arthrodesis Midtarsal Or Tarsometatarsal Multiple Or Transverse Profee
|
19
|
19
|
$1,624.31
|
$1,299.45
|
$666.35
|
$4,248.66
|
$1,380.66
|
2026-03-11
|
|
43830
|
HCPCS
|
43830 Gastrostomy Open Without Construction Of Gastric Tube Eg
|
19
|
19
|
$1,622.25
|
$1,297.80
20% off
|
$674.68
|
$1,963.15
|
$1,378.91
|
2026-03-11
|
|
27602
|
HCPCS
|
27602 Decompression Fasciotomy Leg Anterior And/or Lateral And Poster
|
19
|
19
|
$1,621.22
|
$1,296.98
|
$446.01
|
$1,780.73
|
$1,378.04
|
2026-03-11
|
|
21933
|
HCPCS
|
21933 Profee-exc Back Tum Deep 5cm/>
|
19
|
19
|
$1,618.13
|
$1,294.50
20% off
|
$697.10
|
$1,891.79
|
$1,375.41
|
2026-03-11
|
|
46280
|
HCPCS
|
46280 Surgical Treatment Of Anal Fistula Fistulectomy/fistulotomy
|
19
|
19
|
$1,618.13
|
$1,294.50
20% off
|
$470.86
|
$1,938.89
|
$1,375.41
|
2026-03-11
|
|
26608
|
HCPCS
|
26608 Percutaneous Skeletal Fixation Of Metacarpal Fracture Each Bone Profee
|
19
|
19
|
$1,618.13
|
$1,294.50
20% off
|
$450.89
|
$2,090.50
|
$1,375.41
|
2026-03-11
|
|
60220
|
HCPCS
|
60220 Total Thyroid Lobectomy Unilateral With Or Without Isthmusectomy Profee
|
19
|
19
|
$1,610.92
|
$1,288.74
|
$637.60
|
$3,943.74
|
$1,369.28
|
2026-03-11
|
|
27043
|
HCPCS
|
27043 Excision Tumor Soft Tissue Of Pelvis And Hip Area Subc
|
19
|
19
|
$1,610.92
|
$1,288.74
|
$450.50
|
$1,891.79
|
$1,369.28
|
2026-03-11
|
|
72149
|
HCPCS
|
MRI Spine Lumbar With Contrast
|
30
|
20
|
$4,130.30
|
$3,304.24
20% off
|
$435.43
|
$3,717.27
|
$1,366.38
|
2026-03-11
|
|
26727
|
HCPCS
|
26727 Percutaneous Skeletal Fixation Of Unstable Phalangeal Shaft
|
19
|
19
|
$1,594.44
|
$1,275.55
20% off
|
$443.50
|
$2,090.50
|
$1,355.27
|
2026-03-11
|
|
73719
|
HCPCS
|
MRI Lower Extremity With Contrast Right
|
30
|
20
|
$3,921.21
|
$3,136.97
|
$461.75
|
$3,529.09
|
$1,354.55
|
2026-03-11
|
|
22902
|
HCPCS
|
22902 Excision Tumor Soft Tissue Of Abdominal Wall Subcutaneous Less Than 3 Cm
|
19
|
19
|
$1,590.32
|
$1,272.26
|
$496.54
|
$1,590.32
|
$1,351.77
|
2026-03-11
|
|
23605
|
HCPCS
|
23605 Closed Treatment Of Proximal Humeral Surgical Or Anatomical Neck
|
19
|
19
|
$1,584.14
|
$1,267.31
20% off
|
$514.28
|
$1,584.14
|
$1,346.52
|
2026-03-11
|
|
27695
|
HCPCS
|
27695 Repair Primary Disrupted Ligament Ankle Collateral Profee
|
19
|
19
|
$1,581.05
|
$1,264.84
20% off
|
$455.22
|
$2,569.92
|
$1,343.89
|
2026-03-11
|
|
73219
|
HCPCS
|
MRI Humerus With Contrast Left
|
30
|
20
|
$3,863.53
|
$3,090.82
20% off
|
$479.30
|
$3,477.18
|
$1,343.14
|
2026-03-11
|
|
49585
|
HCPCS
|
49585 Repair Umbilical Hernia Age 5 Years Or Older Reducible Profee
|
10
|
10
|
$1,576.93
|
$1,261.54
20% off
|
$699.53
|
$1,419.24
|
$1,340.39
|
2026-03-11
|
|
20525
|
HCPCS
|
20525 Removal Of Foreign Body In Muscle Or Tendon Sheath Deep Or Complicated
|
19
|
19
|
$1,576.93
|
$1,261.54
20% off
|
$471.58
|
$1,891.79
|
$1,340.39
|
2026-03-11
|
|
24900
|
HCPCS
|
24900 Amputation Arm Through Humerus With Primary Closure Profee
|
15
|
15
|
$1,669.63
|
$1,335.70
20% off
|
$707.90
|
$1,502.67
|
$1,335.70
|
2026-03-11
|
|
35226
|
HCPCS
|
35226 Repair Blood Vessel Direct Lower Extremity Profee
|
19
|
19
|
$3,008.63
|
$2,406.90
20% off
|
$663.50
|
$2,707.77
|
$1,334.63
|
2026-03-11
|
|
72127
|
HCPCS
|
CT Spine Cervical With + Without Contrast
|
30
|
20
|
$4,404.28
|
$3,523.42
20% off
|
$335.83
|
$3,963.85
|
$1,331.07
|
2026-03-11
|
|
27829
|
HCPCS
|
27829 Open Treatment Of Distal Tibiofibular Joint Syndesmosis Disruption
|
19
|
19
|
$1,565.81
|
$1,252.65
|
$656.41
|
$3,677.76
|
$1,330.94
|
2026-03-11
|
|
57010
|
HCPCS
|
57010 Colpotomy With Drainage Of Pelvic Abscess Profee
|
19
|
19
|
$1,563.54
|
$1,250.83
20% off
|
$404.18
|
$1,621.40
|
$1,329.01
|
2026-03-11
|
|
29882
|
HCPCS
|
29882 Arthroscopy Knee Surgical With Meniscus Repair Medial Or Lateral Profee
|
19
|
19
|
$1,563.54
|
$1,250.83
20% off
|
$632.27
|
$2,420.12
|
$1,329.01
|
2026-03-11
|
|
29891
|
HCPCS
|
29891 Arthroscopy Ankle Surgical Excision Of Osteochondral Defect Of Talus
|
19
|
19
|
$1,560.37
|
$1,248.30
|
$622.37
|
$3,948.72
|
$1,326.31
|
2026-03-11
|
|
27327
|
HCPCS
|
27327 Exc Thigh/knee Les Sc<3 Cm
|
19
|
19
|
$1,556.74
|
$1,245.39
20% off
|
$513.61
|
$1,891.79
|
$1,323.23
|
2026-03-11
|
|
C8900
|
HCPCS
|
MRA Abdomen With Contrast
|
30
|
20
|
$3,427.84
|
$2,742.27
20% off
|
$508.79
|
$3,085.06
|
$1,319.74
|
2026-03-11
|
|
24073
|
HCPCS
|
24073 Excision Tumor Soft Tissue Upper Arm Or Elbow Subfascial 5 Cm Or Greater
|
19
|
19
|
$1,552.21
|
$1,241.77
|
$647.83
|
$1,891.79
|
$1,319.38
|
2026-03-11
|
|
74183
|
HCPCS
|
MRI Abdomen With + Without Contrast
|
35
|
20
|
$4,794.65
|
$3,835.72
20% off
|
$579.80
|
$4,315.19
|
$1,318.81
|
2026-03-11
|
|
71552
|
HCPCS
|
MRI Chest With + Without Contrast
|
35
|
20
|
$4,700.92
|
$3,760.74
|
$642.50
|
$4,230.83
|
$1,318.81
|
2026-03-11
|
|
27097
|
HCPCS
|
27097 Release Or Recession Hamstring Proximal Profee
|
19
|
19
|
$1,545.00
|
$1,236.00
20% off
|
$633.79
|
$2,569.92
|
$1,313.25
|
2026-03-11
|
|
73702
|
HCPCS
|
CT Lower Extremity W/+without Contrast Bilat
|
70
|
20
|
$2,900.48
|
$2,320.38
20% off
|
$342.88
|
$4,078.80
|
$1,311.74
|
2026-03-11
|
|
46200
|
HCPCS
|
46200 Fissurectomy Including Sphincterotomy When Performed Profee
|
19
|
19
|
$1,539.85
|
$1,231.88
|
$502.08
|
$1,938.89
|
$1,308.87
|
2026-03-11
|
|
26951
|
HCPCS
|
26951 Amputation Finger Or Thumb Primary Or Secondary Any Joint
|
19
|
19
|
$1,538.82
|
$1,231.06
|
$668.79
|
$1,538.82
|
$1,308.00
|
2026-03-11
|
|
59425
|
HCPCS
|
59425 Antepartum Care Only 4-6 Visits
|
15
|
15
|
$1,634.61
|
$1,307.69
|
$725.11
|
$1,471.15
|
$1,307.69
|
2026-03-11
|
|
C8919
|
HCPCS
|
MRA Pelvis Without Contrast
|
30
|
20
|
$3,372.22
|
$2,697.78
|
$419.44
|
$3,035.00
|
$1,307.41
|
2026-03-11
|
|
49650
|
HCPCS
|
49650 Laparoscopy Surgical Repair Initial Inguinal Hernia Profee
|
19
|
19
|
$1,529.55
|
$1,223.64
|
$421.63
|
$3,788.76
|
$1,300.12
|
2026-03-11
|
|
77047
|
HCPCS
|
MRI Breast Without Contrast Bilateral
|
30
|
20
|
$3,602.94
|
$2,882.35
20% off
|
$276.67
|
$3,242.65
|
$1,299.24
|
2026-03-11
|
|
29824
|
HCPCS
|
29824 Arthroscopy Shoulder Surgical Distal Claviculectomy Including
|
19
|
19
|
$1,527.49
|
$1,221.99
20% off
|
$626.91
|
$2,420.12
|
$1,298.37
|
2026-03-11
|
|
J1451
|
HCPCS
|
Fomepizole 1 G/ml IV Sol
|
19
|
19
|
$2,853.69
|
$2,282.95
20% off
|
$8.36
|
$2,568.32
|
$1,297.00
|
2026-03-11
|
|
47562
|
HCPCS
|
47562 Laparoscopy Surgical Cholecystectomy Profee
|
19
|
19
|
$1,522.34
|
$1,217.87
20% off
|
$633.13
|
$3,788.76
|
$1,293.99
|
2026-03-11
|
|
19301
|
HCPCS
|
19301 Mastectomy Partial Eg Lumpectomy Tylectomy Quadrantectomy
|
19
|
19
|
$1,522.34
|
$1,217.87
20% off
|
$631.59
|
$2,002.09
|
$1,293.99
|
2026-03-11
|
|
27301
|
HCPCS
|
27301 Incision And Drainage Deep Abscess Bursa Or Hematoma Thigh
|
19
|
19
|
$1,520.28
|
$1,216.22
20% off
|
$674.40
|
$1,569.72
|
$1,292.24
|
2026-03-11
|
|
24605
|
HCPCS
|
24605 Treatment Of Closed Elbow Dislocation Requiring Anesthesia Profee
|
19
|
19
|
$1,610.92
|
$1,288.74
|
$466.15
|
$1,610.92
|
$1,288.74
|
2026-03-11
|
|
38531
|
HCPCS
|
38531 Open Biopsy/excision Inguinofemoral Lymph Node
|
19
|
19
|
$1,516.16
|
$1,212.93
|
$430.32
|
$3,379.21
|
$1,288.74
|
2026-03-11
|