Hospital

MEDINA MEMORIAL HOSPITAL

Medina, NY · CCN 331319 · Rates published

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You selected 93350 (HCPCS)

ECHO DURING STRESS OTHER

This hospital’s price: $852 across 7 payers · range $766-$852

Source: https://orleanscommunityhealth.org/wp-content/uploads/2025/03/160755799_orleans-community-health_standardcharges-1.csv · observed 2024-12-12

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

1,893 distinct procedures filed

7 distinct payers

73,439 rate rows

2024-12-12 last MRF observed · ⚠ 22 mo old

Data quality

73,129 of 73,439 rate rows are consumer-grade (99.6%)

310 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
placeholder amount (≤ $0.02) — excluded from medians	230
per-diem day rate — not a per-procedure price	80

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 22 months old.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://orleanscommunityhealth.org/wp-content/uploads/2025/03/160755799_orleans-community-health_standardcharges-1.csv
Found on page	https://orleanscommunityhealth.org/
Discovered via	Discovered by HANK
Last fetch	success · 2026-08-01
Content fingerprint	e006ba7f7b7216aa… · 16,797,559 bytes · first seen 2026-06-15

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
J3380 HCPCS	Entyvio Intravenous Pwd For Soln 300mg	7	$7,134.74	$11,955.50	$11,955.50	nat. median $155 outlier · 77.4×
J3101 HCPCS	Tenecteplase 50mg/10ml Inj	7	$6,994.64	$11,720.75	$11,720.75	nat. median $3,787 outlier · 3.1×
J1162 HCPCS	Digoxin Immune Fab 40mg Inj	7	$4,054.38	$6,793.82	$6,793.82	nat. median $7,165 0.9× median
C1786 HCPCS	Pacemaker Single Chamber	7	$5,007.43	$5,573.80	$5,573.80	nat. median $7,842 0.7× median
J0135 HCPCS	Nf-humira Subcutaneous Solution 40mg/0.8	7	$3,063.86	$5,134.03	$5,134.03	nat. median $3,420 1.5× median
50590 HCPCS	Procedure Lithotripsy	7	$4,311.18	$4,798.80	$4,798.80	nat. median $4,382 1.1× median
J2997 HCPCS	aLTEPLase 2mg Injection	7	$162.31	$13,572.66	$4,185.90	nat. median $500 outlier · 8.4×
90710 HCPCS	Measles/mumps/rubella/varicella Vaccine	7	$3,711.03	$4,130.77	$4,130.77	nat. median $348 outlier · 11.9×
28297 HCPCS	Lapidus Bunionectomy	7	$3,088.56	$3,437.90	$3,437.90	nat. median $7,584 outlier · 0.5×
28291 HCPCS	Hallux Rigidus W/cheilect1st Mp Jtw/impl	7	$3,055.14	$3,400.70	$3,400.70	nat. median $7,167 outlier · 0.5×
28725 HCPCS	Arthroesis Subtalar	7	$2,979.95	$3,317.00	$3,317.00	nat. median $10,564 outlier · 0.3×
A9569 HCPCS	Nm Tc Exametazime Wbc	7	$2,762.72	$3,075.20	$3,075.20	nat. median $1,915 1.6× median
15110 HCPCS	Epid Autograph T A L 1st 100scm	7	$2,690.31	$2,994.60	$2,994.60	nat. median $2,188 1.4× median
20680 HCPCS	Remove Implant Deep	7	$2,659.68	$2,960.50	$2,960.50	nat. median $3,264 0.9× median
15115 HCPCS	Epid Autograph Fc Hnd Ft 1st 100scm	7	$2,640.18	$2,938.80	$2,938.80	nat. median $2,167 1.4× median
28116 HCPCS	Ostectomy Tarsal Coalition	7	$2,450.80	$2,728.00	$2,728.00	nat. median $3,505 0.8× median
28296 HCPCS	Corrj Hallux Valgus W/sesmdc Dist Metar	7	$2,428.52	$2,703.20	$2,703.20	nat. median $3,795 0.7× median
13160 HCPCS	2nd Clos Surg Wound - Complete	7	$2,300.41	$2,560.60	$2,560.60	nat. median $2,654 1.0× median
32550 HCPCS	Ins Indwelling Tunneled Pleural Catheter	7	$2,253.06	$2,507.90	$2,507.90	nat. median $4,089 0.6× median
28292 HCPCS	Corrj Hallux Valgus W/sesmdc W/res Prox	7	$2,130.52	$2,371.50	$2,371.50	nat. median $3,590 0.7× median
10180 HCPCS	I&d Postop Wound Infection Complex	7	$2,091.54	$2,591.60	$2,328.18	nat. median $2,862 0.8× median
28525 HCPCS	Open Tx Fx Phalanx/phalang Not Gr Toet1	7	$2,080.40	$2,315.70	$2,315.70	nat. median $3,423 0.7× median
28111 HCPCS	Ostectomy Complete 1st Metatarsal Head	7	$2,044.19	$2,275.40	$2,275.40	nat. median $3,315 0.7× median
28820 HCPCS	Amputation Toe Metatarsophalang Joint	7	$2,027.48	$2,256.80	$2,256.80	nat. median $3,394 0.7× median
29893 HCPCS	Endoscopic Plantar Fasciotomy	7	$2,019.12	$2,247.50	$2,247.50	nat. median $3,446 0.7× median
28825 HCPCS	Amputation Toe Interphalangeal Joint	7	$1,999.63	$2,225.80	$2,225.80	nat. median $3,332 0.7× median
78452 HCPCS	Nm Myoper Spect Multi	7	$1,999.63	$2,225.80	$2,225.80	nat. median $1,822 1.2× median
59409 HCPCS	Delivery Vaginal W Or Without Episiotomy	7	$1,969.00	$2,191.70	$2,191.70	nat. median $3,148 0.7× median
0310 RC		7	$1,957.30	$2,178.68	$2,178.68	nat. median $175 outlier · 12.4×
28192 HCPCS	Removal Fb Foot Deep	7	$1,946.72	$2,166.90	$2,166.90	nat. median $1,863 1.2× median
28060 HCPCS	Exc Fasciectomy Plantar Fascia Partial	7	$1,938.36	$2,157.60	$2,157.60	nat. median $3,346 0.6× median
72157 HCPCS	MRI Thoracic W And Wo Contrast	7	$1,938.36	$2,157.60	$2,157.60	nat. median $1,114 1.9× median
57415 HCPCS	Removal Fb Vagina	7	$1,938.36	$2,157.60	$2,157.60	nat. median $3,180 0.7× median
72158 HCPCS	MRI Lumbar W And Wo Contrast	7	$1,918.86	$2,135.90	$2,135.90	nat. median $1,097 1.9× median
72156 HCPCS	MRI Cervical W And Wo Contrast	7	$1,910.51	$2,126.60	$2,126.60	nat. median $1,110 1.9× median
28122 HCPCS	Exc Partial Tarsal Metatarsal Bone	7	$1,899.37	$2,114.20	$2,114.20	nat. median $3,453 0.6× median
70553 HCPCS	MRI Brain Head W And Wo Contrast	7	$1,885.44	$2,098.70	$2,098.70	nat. median $1,136 1.8× median
71552 HCPCS	MRI Chest W And Wo Contrast	7	$1,877.09	$2,089.40	$2,089.40	nat. median $1,103 1.9× median
72197 HCPCS	MRI Pelvis W And Wo Contrast	7	$1,874.30	$2,086.30	$2,086.30	nat. median $1,074 1.9× median
74183 HCPCS	MRI Abdomen W And Wo Contrast	7	$1,871.52	$2,083.20	$2,083.20	nat. median $1,105 1.9× median
J7168 HCPCS	Kcentra Mr Kit 500 Unit Range	7	$1,226.86	$2,055.82	$2,055.82	nat. median $20 outlier · 101.1×
28080 HCPCS	Exc Interdigital Morton Neur Sgl Ea	7	$1,832.53	$2,039.80	$2,039.80	nat. median $2,050 1.0× median
70543 HCPCS	MRI Orbit Face Neck W And Wo Contrast	7	$1,829.74	$2,036.70	$2,036.70	nat. median $1,087 1.9× median
74178 HCPCS	CT Abdomen And Pelvis W Wo Contrast	7	$1,829.74	$2,036.70	$2,036.70	nat. median $1,027 2.0× median
28024 HCPCS	Arthrt W/expl Drg/rmvl Loose/fb Iphal T1	7	$1,826.96	$2,033.60	$2,033.60	nat. median $1,894 1.1× median
73223 HCPCS	MRI Upper Ext Jnt W And Wo Contrast Rt	7	$1,790.76	$1,993.30	$1,993.30	nat. median $1,158 1.7× median
28090 HCPCS	Exc Les Tendon Sheath/cap W/synvct Foot	7	$1,787.97	$1,990.20	$1,990.20	nat. median $2,008 1.0× median
73723 HCPCS	MRI Lower Ext Jnt W And Wo Contrast Rt	7	$1,782.40	$1,984.00	$1,984.00	nat. median $1,199 1.7× median
70546 HCPCS	MRA Head W And Wo Contrast	7	$1,779.62	$1,980.90	$1,980.90	nat. median $1,073 1.8× median
70549 HCPCS	MRA Neck W And Wo Contrast	7	$1,740.62	$1,937.50	$1,937.50	nat. median $1,063 1.8× median

Other procedures at this hospital

Browse this hospital's 1,893 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

J3380	HCPCS	Entyvio Intravenous Pwd For Soln 300mg	20	7	$19,283.07	$7,713.00 60% off	$7,134.74	$11,955.50	$11,955.50	2024-12-12
J3101	HCPCS	Tenecteplase 50mg/10ml Inj	20	7	$18,904.44	$7,561.00 60% off	$6,994.64	$11,720.75	$11,720.75	2024-12-12
J1162	HCPCS	Digoxin Immune Fab 40mg Inj	20	7	$10,957.78	$4,383.00 60% off	$4,054.38	$6,793.82	$6,793.82	2024-12-12
C1786	HCPCS	Pacemaker Single Chamber	20	7	$8,990.00	$3,596.00 60% off	$5,007.43	$5,573.80	$5,573.80	2024-12-12
J0135	HCPCS	Nf-humira Subcutaneous Solution 40mg/0.8	20	7	$8,280.69	$3,312.00 60% off	$3,063.86	$5,134.03	$5,134.03	2024-12-12
50590	HCPCS	Procedure Lithotripsy	20	7	$7,740.00	$3,096.00 60% off	$4,311.18	$4,798.80	$4,798.80	2024-12-12
J2997	HCPCS	aLTEPLase 2mg Injection	40	7	$11,165.03	$4,465.50 60% off	$162.31	$13,572.66	$4,185.90	2024-12-12
90710	HCPCS	Measles/mumps/rubella/varicella Vaccine	20	7	$6,662.54	$2,665.00 60% off	$3,711.03	$4,130.77	$4,130.77	2024-12-12
28297	HCPCS	Lapidus Bunionectomy	20	7	$5,545.00	$2,218.00 60% off	$3,088.56	$3,437.90	$3,437.90	2024-12-12
28291	HCPCS	Hallux Rigidus W/cheilect1st Mp Jtw/impl	20	7	$5,485.00	$2,194.00 60% off	$3,055.14	$3,400.70	$3,400.70	2024-12-12
28725	HCPCS	Arthroesis Subtalar	20	7	$5,350.00	$2,140.00 60% off	$2,979.95	$3,317.00	$3,317.00	2024-12-12
A9569	HCPCS	Nm Tc Exametazime Wbc	20	7	$4,960.00	$1,984.00 60% off	$2,762.72	$3,075.20	$3,075.20	2024-12-12
15110	HCPCS	Epid Autograph T A L 1st 100scm	20	7	$4,830.00	$1,932.00 60% off	$2,690.31	$2,994.60	$2,994.60	2024-12-12
20680	HCPCS	Remove Implant Deep	20	7	$4,775.00	$1,910.00 60% off	$2,659.68	$2,960.50	$2,960.50	2024-12-12
15115	HCPCS	Epid Autograph Fc Hnd Ft 1st 100scm	20	7	$4,740.00	$1,896.00 60% off	$2,640.18	$2,938.80	$2,938.80	2024-12-12
28116	HCPCS	Ostectomy Tarsal Coalition	20	7	$4,400.00	$1,760.00 60% off	$2,450.80	$2,728.00	$2,728.00	2024-12-12
28296	HCPCS	Corrj Hallux Valgus W/sesmdc Dist Metar	20	7	$4,360.00	$1,744.00 60% off	$2,428.52	$2,703.20	$2,703.20	2024-12-12
13160	HCPCS	2nd Clos Surg Wound - Complete	20	7	$4,130.00	$1,652.00 60% off	$2,300.41	$2,560.60	$2,560.60	2024-12-12
32550	HCPCS	Ins Indwelling Tunneled Pleural Catheter	20	7	$4,045.00	$1,618.00 60% off	$2,253.06	$2,507.90	$2,507.90	2024-12-12
28292	HCPCS	Corrj Hallux Valgus W/sesmdc W/res Prox	20	7	$3,825.00	$1,530.00 60% off	$2,130.52	$2,371.50	$2,371.50	2024-12-12
10180	HCPCS	I&d Postop Wound Infection Complex	40	7	$3,967.50	$1,587.00 60% off	$2,091.54	$2,591.60	$2,328.18	2024-12-12
28525	HCPCS	Open Tx Fx Phalanx/phalang Not Gr Toet1	20	7	$3,735.00	$1,494.00 60% off	$2,080.40	$2,315.70	$2,315.70	2024-12-12
28111	HCPCS	Ostectomy Complete 1st Metatarsal Head	20	7	$3,670.00	$1,468.00 60% off	$2,044.19	$2,275.40	$2,275.40	2024-12-12
28820	HCPCS	Amputation Toe Metatarsophalang Joint	20	7	$3,640.00	$1,456.00 60% off	$2,027.48	$2,256.80	$2,256.80	2024-12-12
29893	HCPCS	Endoscopic Plantar Fasciotomy	20	7	$3,625.00	$1,450.00 60% off	$2,019.12	$2,247.50	$2,247.50	2024-12-12
78452	HCPCS	Nm Myoper Spect Multi	20	7	$3,590.00	$1,436.00 60% off	$1,999.63	$2,225.80	$2,225.80	2024-12-12
28825	HCPCS	Amputation Toe Interphalangeal Joint	20	7	$3,590.00	$1,436.00 60% off	$1,999.63	$2,225.80	$2,225.80	2024-12-12
59409	HCPCS	Delivery Vaginal W Or Without Episiotomy	20	7	$3,535.00	$1,414.00 60% off	$1,969.00	$2,191.70	$2,191.70	2024-12-12
0310	RC	—	20	7	$3,514.00	$1,405.00 60% off	$1,957.30	$2,178.68	$2,178.68	2024-12-12
28192	HCPCS	Removal Fb Foot Deep	20	7	$3,495.00	$1,398.00 60% off	$1,946.72	$2,166.90	$2,166.90	2024-12-12
72157	HCPCS	MRI Thoracic W And Wo Contrast	20	7	$3,480.00	$1,392.00 60% off	$1,938.36	$2,157.60	$2,157.60	2024-12-12
28060	HCPCS	Exc Fasciectomy Plantar Fascia Partial	20	7	$3,480.00	$1,392.00 60% off	$1,938.36	$2,157.60	$2,157.60	2024-12-12
57415	HCPCS	Removal Fb Vagina	20	7	$3,480.00	$1,392.00 60% off	$1,938.36	$2,157.60	$2,157.60	2024-12-12
72158	HCPCS	MRI Lumbar W And Wo Contrast	20	7	$3,445.00	$1,378.00 60% off	$1,918.86	$2,135.90	$2,135.90	2024-12-12
72156	HCPCS	MRI Cervical W And Wo Contrast	20	7	$3,430.00	$1,372.00 60% off	$1,910.51	$2,126.60	$2,126.60	2024-12-12
28122	HCPCS	Exc Partial Tarsal Metatarsal Bone	20	7	$3,410.00	$1,364.00 60% off	$1,899.37	$2,114.20	$2,114.20	2024-12-12
70553	HCPCS	MRI Brain Head W And Wo Contrast	20	7	$3,385.00	$1,354.00 60% off	$1,885.44	$2,098.70	$2,098.70	2024-12-12
71552	HCPCS	MRI Chest W And Wo Contrast	20	7	$3,370.00	$1,348.00 60% off	$1,877.09	$2,089.40	$2,089.40	2024-12-12
72197	HCPCS	MRI Pelvis W And Wo Contrast	20	7	$3,365.00	$1,346.00 60% off	$1,874.30	$2,086.30	$2,086.30	2024-12-12
74183	HCPCS	MRI Abdomen W And Wo Contrast	20	7	$3,360.00	$1,344.00 60% off	$1,871.52	$2,083.20	$2,083.20	2024-12-12
J7168	HCPCS	Kcentra Mr Kit 500 Unit Range	20	7	$3,315.84	$1,326.00 60% off	$1,226.86	$2,055.82	$2,055.82	2024-12-12
28080	HCPCS	Exc Interdigital Morton Neur Sgl Ea	20	7	$3,290.00	$1,316.00 60% off	$1,832.53	$2,039.80	$2,039.80	2024-12-12
70543	HCPCS	MRI Orbit Face Neck W And Wo Contrast	20	7	$3,285.00	$1,314.00 60% off	$1,829.74	$2,036.70	$2,036.70	2024-12-12
74178	HCPCS	CT Abdomen And Pelvis W Wo Contrast	20	7	$3,285.00	$1,314.00 60% off	$1,829.74	$2,036.70	$2,036.70	2024-12-12
28024	HCPCS	Arthrt W/expl Drg/rmvl Loose/fb Iphal T1	20	7	$3,280.00	$1,312.00 60% off	$1,826.96	$2,033.60	$2,033.60	2024-12-12
73223	HCPCS	MRI Upper Ext Jnt W And Wo Contrast Rt	20	7	$3,215.00	$1,286.00 60% off	$1,790.76	$1,993.30	$1,993.30	2024-12-12
28090	HCPCS	Exc Les Tendon Sheath/cap W/synvct Foot	20	7	$3,210.00	$1,284.00 60% off	$1,787.97	$1,990.20	$1,990.20	2024-12-12
73723	HCPCS	MRI Lower Ext Jnt W And Wo Contrast Rt	20	7	$3,200.00	$1,280.00 60% off	$1,782.40	$1,984.00	$1,984.00	2024-12-12
70546	HCPCS	MRA Head W And Wo Contrast	20	7	$3,195.00	$1,278.00 60% off	$1,779.62	$1,980.90	$1,980.90	2024-12-12
70549	HCPCS	MRA Neck W And Wo Contrast	20	7	$3,125.00	$1,250.00 60% off	$1,740.62	$1,937.50	$1,937.50	2024-12-12
78804	HCPCS	Nm Tum Loc Wb Multiple Days	20	7	$3,120.00	$1,248.00 60% off	$1,737.84	$1,934.40	$1,934.40	2024-12-12
73220	HCPCS	MRI Upper Ext Oth Jnt W And Wo Cont Rt	20	7	$3,120.00	$1,248.00 60% off	$1,737.84	$1,934.40	$1,934.40	2024-12-12
73720	HCPCS	MRI Lower Ext Oth Jnt W And Wo Cont Rt	20	7	$3,115.00	$1,246.00 60% off	$1,735.06	$1,931.30	$1,931.30	2024-12-12
43281	HCPCS	Laparoscopy Repair Paraesophageal Hernia	20	7	$3,050.00	$1,220.00 60% off	$1,698.85	$1,891.00	$1,891.00	2024-12-12
15277	HCPCS	App Skn Sub Grft >=100scm 1st 100scm	20	7	$3,010.00	$1,204.00 60% off	$1,676.57	$1,866.20	$1,866.20	2024-12-12
28043	HCPCS	Exc Tumor Sft Tiss Ft/toe Sub<1.5cm	20	7	$3,000.00	$1,200.00 60% off	$1,671.00	$1,860.00	$1,860.00	2024-12-12
43771	HCPCS	Revision Adj Gastric Restrictive Device	20	7	$3,000.00	$1,200.00 60% off	$1,671.00	$1,860.00	$1,860.00	2024-12-12
28285	HCPCS	Correction Hammertoe	20	7	$2,990.00	$1,196.00 60% off	$1,665.43	$1,853.80	$1,853.80	2024-12-12
28113	HCPCS	Ostectomy Complete 5th Metatarsal Head	20	7	$2,985.00	$1,194.00 60% off	$1,662.64	$1,850.70	$1,850.70	2024-12-12
28124	HCPCS	Exc Partical Bone Phalanx Toe	20	7	$2,980.00	$1,192.00 60% off	$1,659.86	$1,847.60	$1,847.60	2024-12-12
28288	HCPCS	Ostectomy Partial	20	7	$2,925.00	$1,170.00 60% off	$1,629.22	$1,813.50	$1,813.50	2024-12-12
74174	HCPCS	CT Angio Abd Pel	20	7	$2,895.00	$1,158.00 60% off	$1,612.52	$1,794.90	$1,794.90	2024-12-12
74177	HCPCS	CT Abdomen And Pelvis W Contrast	20	7	$2,890.00	$1,156.00 60% off	$1,609.73	$1,791.80	$1,791.80	2024-12-12
28308	HCPCS	Osteotomy W/wo Lngth Shrt/corrj Metar Xc	20	7	$2,865.00	$1,146.00 60% off	$1,595.80	$1,776.30	$1,776.30	2024-12-12
20240	HCPCS	Bx Bone Open Superficial	20	7	$2,855.00	$1,142.00 60% off	$1,590.24	$1,770.10	$1,770.10	2024-12-12
28112	HCPCS	Ostectomy Complete Metatarsal Head	20	7	$2,835.00	$1,134.00 60% off	$1,579.10	$1,757.70	$1,757.70	2024-12-12
54700	HCPCS	Drainage Of Scrotum Lt	20	7	$2,830.00	$1,132.00 60% off	$1,576.31	$1,754.60	$1,754.60	2024-12-12
0360	RC	—	120	7	$3,000.00	$1,200.00 60% off	$32.31	$4,960.00	$1,749.75	2024-12-12
28092	HCPCS	Exc Lesion Tendn Sheath/cap W/syn Toe Ea	20	7	$2,790.00	$1,116.00 60% off	$1,554.03	$1,729.80	$1,729.80	2024-12-12
73719	HCPCS	MRI Lower Ext Oth Than Jnt W Cont Rt	20	7	$2,770.00	$1,108.00 60% off	$1,542.89	$1,717.40	$1,717.40	2024-12-12
28126	HCPCS	Resection Partl/compl Phalangeal Base Ea	20	7	$2,765.00	$1,106.00 60% off	$1,540.10	$1,714.30	$1,714.30	2024-12-12
73722	HCPCS	MRI Lower Ext Jnt W Contrast Rt	20	7	$2,730.00	$1,092.00 60% off	$1,520.61	$1,692.60	$1,692.60	2024-12-12
78451	HCPCS	Nm Myoperf Spect Single	20	7	$2,730.00	$1,092.00 60% off	$1,520.61	$1,692.60	$1,692.60	2024-12-12
73219	HCPCS	MRI Upper Ext Oth Than Jnt W Cont Rt	20	7	$2,710.00	$1,084.00 60% off	$1,509.47	$1,680.20	$1,680.20	2024-12-12
73222	HCPCS	MRI Upper Ext Jnt W Contrast Rt	20	7	$2,705.00	$1,082.00 60% off	$1,506.68	$1,677.10	$1,677.10	2024-12-12
70552	HCPCS	MRI Brain Head W Contrast	20	7	$2,685.00	$1,074.00 60% off	$1,495.54	$1,664.70	$1,664.70	2024-12-12
72149	HCPCS	MRI Lumbar W Contrast	20	7	$2,675.00	$1,070.00 60% off	$1,489.98	$1,658.50	$1,658.50	2024-12-12
72142	HCPCS	MRI Cervical Spine W Contrast	20	7	$2,675.00	$1,070.00 60% off	$1,489.98	$1,658.50	$1,658.50	2024-12-12
19020	HCPCS	Mastotomy W Drainage Of Abscess Rt	20	7	$2,645.00	$1,058.00 60% off	$1,473.26	$1,639.90	$1,639.90	2024-12-12
70542	HCPCS	MRI Orbit Face Neck W Co	20	7	$2,610.00	$1,044.00 60% off	$1,453.77	$1,618.20	$1,618.20	2024-12-12
72147	HCPCS	MRI Thoracic Spine W Contrast	20	7	$2,605.00	$1,042.00 60% off	$1,450.98	$1,615.10	$1,615.10	2024-12-12
78454	HCPCS	Nm Myoper Plan Multi	20	7	$2,565.00	$1,026.00 60% off	$1,428.70	$1,590.30	$1,590.30	2024-12-12
74182	HCPCS	MRI Abdomen W Contrast	20	7	$2,560.00	$1,024.00 60% off	$1,425.92	$1,587.20	$1,587.20	2024-12-12
71551	HCPCS	MRI Chest W Contrast	20	7	$2,545.00	$1,018.00 60% off	$1,417.56	$1,577.90	$1,577.90	2024-12-12
72196	HCPCS	MRI Pelvis W Contrast	20	7	$2,540.00	$1,016.00 60% off	$1,414.78	$1,574.80	$1,574.80	2024-12-12
11012	HCPCS	Dbrdmt Open Fx & Dislc Subq T/m/f Bone	20	7	$2,515.00	$1,006.00 60% off	$1,400.86	$1,559.30	$1,559.30	2024-12-12
10121	HCPCS	Incision And Rem Fb Complicated	60	7	$2,495.00	$998.00 60% off	$192.16	$1,856.90	$1,546.90	2024-12-12
70548	HCPCS	MRA Neck W Contrast	20	7	$2,475.00	$990.00 60% off	$1,378.58	$1,534.50	$1,534.50	2024-12-12
11044	HCPCS	Debride Bone 1st 20 Sq Cm Or Less	60	7	$2,445.00	$978.00 60% off	$256.22	$1,801.10	$1,515.90	2024-12-12
70545	HCPCS	MRA Head W Contrast	20	7	$2,390.00	$956.00 60% off	$1,331.23	$1,481.80	$1,481.80	2024-12-12
75635	HCPCS	CTA Aorto-iliofemoral Runoff	20	7	$2,355.00	$942.00 60% off	$1,311.74	$1,460.10	$1,460.10	2024-12-12
74181	HCPCS	MRI Abdomen Wo Contrast	20	7	$2,350.00	$940.00 60% off	$1,308.95	$1,457.00	$1,457.00	2024-12-12
72146	HCPCS	MRI Thoracic Spine Wo Contrast	20	7	$2,340.00	$936.00 60% off	$1,303.38	$1,450.80	$1,450.80	2024-12-12
72141	HCPCS	MRI Cervical Spine Wo Contrast	20	7	$2,330.00	$932.00 60% off	$1,297.81	$1,444.60	$1,444.60	2024-12-12
10140	HCPCS	I&d Hematoma Seroma	40	7	$2,465.00	$986.00 60% off	$1,233.76	$1,683.30	$1,442.78	2024-12-12
72148	HCPCS	MRI Lumbar Wo Contrast	20	7	$2,325.00	$930.00 60% off	$1,295.02	$1,441.50	$1,441.50	2024-12-12
74176	HCPCS	CT Abdomen And Pelvis Wo Contrast	20	7	$2,325.00	$930.00 60% off	$1,295.02	$1,441.50	$1,441.50	2024-12-12
70551	HCPCS	MRI Brain Head Wo Contrast	20	7	$2,305.00	$922.00 60% off	$1,283.88	$1,429.10	$1,429.10	2024-12-12
71275	HCPCS	CT Angio Chest	20	7	$2,300.00	$920.00 60% off	$1,281.10	$1,426.00	$1,426.00	2024-12-12
74170	HCPCS	CT Abdomen W Wo Con	20	7	$2,280.00	$912.00 60% off	$1,269.96	$1,413.60	$1,413.60	2024-12-12
72195	HCPCS	MRI Pelvis Wo Contrast	20	7	$2,265.00	$906.00 60% off	$1,261.60	$1,404.30	$1,404.30	2024-12-12
74175	HCPCS	CT Angio Abd Wo And W	20	7	$2,250.00	$900.00 60% off	$1,253.25	$1,395.00	$1,395.00	2024-12-12
36590	HCPCS	Dc Picc Procedure	20	7	$2,250.00	$900.00 60% off	$1,253.25	$1,395.00	$1,395.00	2024-12-12
70540	HCPCS	MRI Orbit Face Neck Wo Contrast	20	7	$2,245.00	$898.00 60% off	$1,250.46	$1,391.90	$1,391.90	2024-12-12
70498	HCPCS	CT Angio W/wo Neck Wo Contrast	20	7	$2,240.00	$896.00 60% off	$1,247.68	$1,388.80	$1,388.80	2024-12-12
15273	HCPCS	App Skn Sub Grft >=100scm 1st 100sc	40	7	$2,360.00	$944.00 60% off	$1,169.70	$1,624.40	$1,380.67	2024-12-12
28240	HCPCS	Tenotomy Lengthen Release Abductr Halluc	20	7	$2,225.00	$890.00 60% off	$1,239.32	$1,379.50	$1,379.50	2024-12-12
70544	HCPCS	MRA Head Wo Contrast	20	7	$2,225.00	$890.00 60% off	$1,239.32	$1,379.50	$1,379.50	2024-12-12
70496	HCPCS	CT Angio Head W/wo Contrast	20	7	$2,220.00	$888.00 60% off	$1,236.54	$1,376.40	$1,376.40	2024-12-12
71550	HCPCS	MRI Chest Wo Contrast	20	7	$2,220.00	$888.00 60% off	$1,236.54	$1,376.40	$1,376.40	2024-12-12
70547	HCPCS	MRA Neck Wo Contrast	20	7	$2,210.00	$884.00 60% off	$1,230.97	$1,370.20	$1,370.20	2024-12-12
73718	HCPCS	MRI Lower Ext Oth Than Jnt Wo Cont Rt	20	7	$2,210.00	$884.00 60% off	$1,230.97	$1,370.20	$1,370.20	2024-12-12
73218	HCPCS	MRI Upper Ext Oth Than Jnt Wo Cont Rt	20	7	$2,205.00	$882.00 60% off	$1,228.18	$1,367.10	$1,367.10	2024-12-12
72133	HCPCS	CT Ls Spine W And Wo Contrast	20	7	$2,205.00	$882.00 60% off	$1,228.18	$1,367.10	$1,367.10	2024-12-12
72194	HCPCS	CT Pelvis W Wo Contrast	20	7	$2,200.00	$880.00 60% off	$1,225.40	$1,364.00	$1,364.00	2024-12-12
73721	HCPCS	MRI Lower Ext Jnt Wo Contrast Rt	20	7	$2,195.00	$878.00 60% off	$1,222.62	$1,360.90	$1,360.90	2024-12-12
73221	HCPCS	MRI Upper Ext Jnt Wo Contrast Rt	20	7	$2,190.00	$876.00 60% off	$1,219.83	$1,357.80	$1,357.80	2024-12-12
71270	HCPCS	CT Chest W Wo Contrast	20	7	$2,185.00	$874.00 60% off	$1,217.04	$1,354.70	$1,354.70	2024-12-12
44180	HCPCS	Laparoscopy Enterolysis	20	7	$2,180.00	$872.00 60% off	$1,214.26	$1,351.60	$1,351.60	2024-12-12
81162	HCPCS	Brca 1/2 Comprehensive Analysis Lc	20	7	$2,165.00	$866.00 60% off	$1,205.90	$1,342.30	$1,342.30	2024-12-12
70336	HCPCS	MRI Temporamandibular Joints	20	7	$2,160.00	$864.00 60% off	$1,203.12	$1,339.20	$1,339.20	2024-12-12
72191	HCPCS	CT Angio Pelvis Wo And W	20	7	$2,150.00	$860.00 60% off	$1,197.55	$1,333.00	$1,333.00	2024-12-12
70482	HCPCS	CT Orb Sel Po Fo W Wo Contrast	20	7	$2,130.00	$852.00 60% off	$1,186.41	$1,320.60	$1,320.60	2024-12-12
73706	HCPCS	CTA Lo Ext W Wo Right	20	7	$2,115.00	$846.00 60% off	$1,178.06	$1,311.30	$1,311.30	2024-12-12
70488	HCPCS	CT Max Face W Wo Contrast	20	7	$2,110.00	$844.00 60% off	$1,175.27	$1,308.20	$1,308.20	2024-12-12
70492	HCPCS	CT Soft Tis Neck W Wo Con	20	7	$2,090.00	$836.00 60% off	$1,164.13	$1,295.80	$1,295.80	2024-12-12
78453	HCPCS	Nm Myoper Plan Single	20	7	$2,070.00	$828.00 60% off	$1,152.99	$1,283.40	$1,283.40	2024-12-12
74185	HCPCS	MRA Abdomen W And Or Wo Contrast	20	7	$2,050.00	$820.00 60% off	$1,141.85	$1,271.00	$1,271.00	2024-12-12
73702	HCPCS	CT Lo Ext W Wo Con Left	20	7	$2,040.00	$816.00 60% off	$1,136.28	$1,264.80	$1,264.80	2024-12-12
70470	HCPCS	CT Head W Wo Contrast	20	7	$2,040.00	$816.00 60% off	$1,136.28	$1,264.80	$1,264.80	2024-12-12
72126	HCPCS	CT Cervical Spine W/contrast	20	7	$2,020.00	$808.00 60% off	$1,125.14	$1,252.40	$1,252.40	2024-12-12
73202	HCPCS	CT Up Ext W Wo Con Left	20	7	$2,010.00	$804.00 60% off	$1,119.57	$1,246.20	$1,246.20	2024-12-12
72132	HCPCS	CT Ls Spine W Contrast	20	7	$2,000.00	$800.00 60% off	$1,114.00	$1,240.00	$1,240.00	2024-12-12
27502	HCPCS	Close Tx Femoral Shaft W Manipulation W	20	7	$2,000.00	$800.00 60% off	$1,114.00	$1,240.00	$1,240.00	2024-12-12
C8929	HCPCS	Echo W/contrast Tech	20	7	$1,985.00	$794.00 60% off	$1,105.64	$1,230.70	$1,230.70	2024-12-12
74160	HCPCS	CT Abdomen W Con	20	7	$1,960.00	$784.00 60% off	$1,091.72	$1,215.20	$1,215.20	2024-12-12
31603	HCPCS	Temporary Trache	20	7	$1,945.00	$778.00 60% off	$1,083.36	$1,205.90	$1,205.90	2024-12-12
72129	HCPCS	CT T Spine W Contrast	20	7	$1,940.00	$776.00 60% off	$1,080.58	$1,202.80	$1,202.80	2024-12-12
71260	HCPCS	CT Chest W Con	20	7	$1,905.00	$762.00 60% off	$1,061.08	$1,181.10	$1,181.10	2024-12-12
72193	HCPCS	CT Pelvis W Con	20	7	$1,890.00	$756.00 60% off	$1,052.73	$1,171.80	$1,171.80	2024-12-12
72198	HCPCS	MRA Pelvis W And Or Wo Contrast	20	7	$1,880.00	$752.00 60% off	$1,047.16	$1,165.60	$1,165.60	2024-12-12
93312	HCPCS	Tee Tech	20	7	$1,875.00	$750.00 60% off	$1,044.38	$1,162.50	$1,162.50	2024-12-12
70481	HCPCS	CT Orb Sel Po Fo W Con	20	7	$1,870.00	$748.00 60% off	$1,041.59	$1,159.40	$1,159.40	2024-12-12
70491	HCPCS	CT Soft Tis Neck W Con	20	7	$1,845.00	$738.00 60% off	$1,027.66	$1,143.90	$1,143.90	2024-12-12
J1212	HCPCS	Dimethyl Sulfoxide-50 Inj 50ml	20	7	$1,841.70	$736.00 60% off	$681.43	$1,141.85	$1,141.85	2024-12-12
11010	HCPCS	Debriment Incl Removal Of Foreign Materi	20	7	$1,820.00	$728.00 60% off	$1,013.74	$1,128.40	$1,128.40	2024-12-12
70487	HCPCS	CT Max Face W Con	20	7	$1,820.00	$728.00 60% off	$1,013.74	$1,128.40	$1,128.40	2024-12-12
15275	HCPCS	App Skn Sub Grft F 100scm 1st 25scm Tech	40	7	$1,897.50	$759.00 60% off	$988.68	$1,252.40	$1,112.82	2024-12-12
73201	HCPCS	CT Up Ext W Con Left	20	7	$1,790.00	$716.00 60% off	$997.03	$1,109.80	$1,109.80	2024-12-12
J9280	HCPCS	Mitomycin 40mg Inj	20	7	$1,783.21	$713.00 60% off	$659.79	$1,105.59	$1,105.59	2024-12-12
73725	HCPCS	MRA Lower Extremity Rt	20	7	$1,775.00	$710.00 60% off	$988.68	$1,100.50	$1,100.50	2024-12-12
36569	HCPCS	Insert Picc Line	20	7	$1,765.00	$706.00 60% off	$983.10	$1,094.30	$1,094.30	2024-12-12
73701	HCPCS	CT Lo Ext W Con Left	20	7	$1,765.00	$706.00 60% off	$983.10	$1,094.30	$1,094.30	2024-12-12
81229	HCPCS	Snp Microarray-pediatric (reveal) Lc	20	7	$1,755.00	$702.00 60% off	$977.54	$1,088.10	$1,088.10	2024-12-12
28230	HCPCS	Tenotomy Open Tendon Flexor Ft Sgl Mult	20	7	$1,750.00	$700.00 60% off	$974.75	$1,085.00	$1,085.00	2024-12-12
11005	HCPCS	Debridement Of Skin Abdominal Wall	20	7	$1,750.00	$700.00 60% off	$974.75	$1,085.00	$1,085.00	2024-12-12
78709	HCPCS	Nm Renal Multi Vf W Wo Pharm	20	7	$1,745.00	$698.00 60% off	$971.96	$1,081.90	$1,081.90	2024-12-12
70460	HCPCS	CT Head W Contrast	20	7	$1,715.00	$686.00 60% off	$955.26	$1,063.30	$1,063.30	2024-12-12
78582	HCPCS	Nm Lung Vent And Perfusion	20	7	$1,690.00	$676.00 60% off	$941.33	$1,047.80	$1,047.80	2024-12-12
15271	HCPCS	App Skn Sub Grft 100scm 1st 25scm Tech	40	7	$1,767.50	$707.00 60% off	$921.84	$1,165.60	$1,036.63	2024-12-12
46040	HCPCS	I&d Ischiorectal And/or Perirectal Absce	40	7	$1,802.50	$721.00 60% off	$559.78	$1,612.00	$1,035.65	2024-12-12
78315	HCPCS	Nm Bone Three Phase	20	7	$1,665.00	$666.00 60% off	$927.40	$1,032.30	$1,032.30	2024-12-12
78494	HCPCS	Nm Muga Spect	20	7	$1,655.00	$662.00 60% off	$921.84	$1,026.10	$1,026.10	2024-12-12
28232	HCPCS	Tenotomy Open Tendon Flexor Toe Single	20	7	$1,655.00	$662.00 60% off	$921.84	$1,026.10	$1,026.10	2024-12-12
93306	HCPCS	Echo 2d Mode W Spectral Color Flow	20	7	$1,650.00	$660.00 60% off	$919.05	$1,023.00	$1,023.00	2024-12-12
78227	HCPCS	Nm Hepatobiliary Scan With Ef	20	7	$1,645.00	$658.00 60% off	$916.26	$1,019.90	$1,019.90	2024-12-12
28234	HCPCS	Tenotomy Open Extensor Foot/toe Ea Tendo	20	7	$1,640.00	$656.00 60% off	$913.48	$1,016.80	$1,016.80	2024-12-12
64640	HCPCS	Destruction Oth Peripheral Nerve Or Bran	20	7	$1,630.00	$652.00 60% off	$907.91	$1,010.60	$1,010.60	2024-12-12
72125	HCPCS	CT Cervical Spine Wo Contrast	20	7	$1,630.00	$652.00 60% off	$907.91	$1,010.60	$1,010.60	2024-12-12
78708	HCPCS	Nm Renal Captopril	20	7	$1,625.00	$650.00 60% off	$905.12	$1,007.50	$1,007.50	2024-12-12
78472	HCPCS	Nm Muga No Spect	20	7	$1,625.00	$650.00 60% off	$905.12	$1,007.50	$1,007.50	2024-12-12
47100	HCPCS	Biopsy Liver Wedge	20	7	$1,620.00	$648.00 60% off	$902.34	$1,004.40	$1,004.40	2024-12-12
15278	HCPCS	App Skn Sub Grft 100scm Ea Addtl 100scm	20	7	$1,615.00	$646.00 60% off	$899.56	$1,001.30	$1,001.30	2024-12-12
72131	HCPCS	CT L Spine Wo Contrast	20	7	$1,610.00	$644.00 60% off	$896.77	$998.20	$998.20	2024-12-12
71555	HCPCS	MRA Chest W And Or Wo Contrast	20	7	$1,590.00	$636.00 60% off	$885.63	$985.80	$985.80	2024-12-12
72128	HCPCS	CT T Spine Wo Contrast	20	7	$1,575.00	$630.00 60% off	$877.28	$976.50	$976.50	2024-12-12
C8928	HCPCS	Echo During Stress W/contrast	20	7	$1,575.00	$630.00 60% off	$877.28	$976.50	$976.50	2024-12-12
78306	HCPCS	Nm Bone Whole Body	20	7	$1,565.00	$626.00 60% off	$871.70	$970.30	$970.30	2024-12-12
75898	HCPCS	Contrast Inj Thru Catheter	20	7	$1,545.00	$618.00 60% off	$860.56	$957.90	$957.90	2024-12-12
78707	HCPCS	Nm Kidney Flow Func	20	7	$1,540.00	$616.00 60% off	$857.78	$954.80	$954.80	2024-12-12
J1451	HCPCS	Fomepizole Ivpb: 1.5gm/100ml Ns	40	7	$1,957.12	$782.50 60% off	$565.62	$1,479.03	$947.80	2024-12-12
74150	HCPCS	CT Abdomen Wo Con	20	7	$1,525.00	$610.00 60% off	$849.42	$945.50	$945.50	2024-12-12
71250	HCPCS	CT Chest Diagnostic Wo Contrast	20	7	$1,525.00	$610.00 60% off	$849.42	$945.50	$945.50	2024-12-12
32551	HCPCS	Tube Thoracostomy Bilateral 50	40	7	$1,602.50	$641.00 60% off	$782.58	$1,116.00	$936.85	2024-12-12
J0248	HCPCS	Veklury IV Pwd For Soln 100mg Vial	20	7	$1,510.47	$604.00 60% off	$558.87	$936.49	$936.49	2024-12-12
70480	HCPCS	CT Orb Sel Po Fo Wo Contrast	20	7	$1,510.00	$604.00 60% off	$841.07	$936.20	$936.20	2024-12-12
47563	HCPCS	Lap Cholecystectomy W Cholangiography	20	7	$1,505.00	$602.00 60% off	$838.28	$933.10	$933.10	2024-12-12
72192	HCPCS	CT Pelvis Wo Contrast	20	7	$1,500.00	$600.00 60% off	$835.50	$930.00	$930.00	2024-12-12
36568	HCPCS	Insert Picc Line Under 5 Years Old	20	7	$1,500.00	$600.00 60% off	$835.50	$930.00	$930.00	2024-12-12
90371	HCPCS	Hepatitis B Immune Globulin 0.5ml	20	7	$1,499.90	$599.00 60% off	$835.44	$929.94	$929.94	2024-12-12
70490	HCPCS	CT Soft Tis Neck Wo Con	20	7	$1,470.00	$588.00 60% off	$818.79	$911.40	$911.40	2024-12-12
55100	HCPCS	Drainage Of Scrotal Wall Abscess	20	7	$1,470.00	$588.00 60% off	$818.79	$911.40	$911.40	2024-12-12
J1561	HCPCS	Immune Globulin (ivig) 10% 5gm Inj Vial	40	7	$2,163.90	$865.00 60% off	$320.26	$2,146.58	$908.84	2024-12-12
47562	HCPCS	Laparoscopic Cholecystectomy	20	7	$1,460.00	$584.00 60% off	$813.22	$905.20	$905.20	2024-12-12
11406	HCPCS	Exc Benign Lesion Over 4.0cm	40	7	$1,586.03	$634.00 60% off	$264.58	$1,672.17	$898.38	2024-12-12
70486	HCPCS	CT Max Face Wo Contrast	20	7	$1,445.00	$578.00 60% off	$804.86	$895.90	$895.90	2024-12-12
36589	HCPCS	Removal Tunneled Cv Cath Without Portor Pump	20	7	$1,440.00	$576.00 60% off	$802.08	$892.80	$892.80	2024-12-12
78278	HCPCS	Nm Gi Bld Loss	20	7	$1,430.00	$572.00 60% off	$796.51	$886.60	$886.60	2024-12-12
73200	HCPCS	CT Up Ext Wo Con Left	20	7	$1,425.00	$570.00 60% off	$793.72	$883.50	$883.50	2024-12-12
78264	HCPCS	Nm Gastric Emptying Study	20	7	$1,425.00	$570.00 60% off	$793.72	$883.50	$883.50	2024-12-12
78226	HCPCS	Nm Hepatobiliary Scan	20	7	$1,425.00	$570.00 60% off	$793.72	$883.50	$883.50	2024-12-12
73700	HCPCS	CT Lo Ext Wo Con Left	20	7	$1,420.00	$568.00 60% off	$790.94	$880.40	$880.40	2024-12-12
47010	HCPCS	Hepatotomy Open Drainage Abscess/cyst	20	7	$1,415.00	$566.00 60% off	$788.16	$877.30	$877.30	2024-12-12
70450	HCPCS	CT Head Wo Contrast	20	7	$1,405.00	$562.00 60% off	$782.58	$871.10	$871.10	2024-12-12
78071	HCPCS	Nm Parathyroid W Spect	20	7	$1,395.00	$558.00 60% off	$777.02	$864.90	$864.90	2024-12-12
27818	HCPCS	Cl Tx Fx Trimalleolar Ankle W/man Rt	20	7	$1,390.00	$556.00 60% off	$774.23	$861.80	$861.80	2024-12-12
27810	HCPCS	Close Tx Bimall Ankle	20	7	$1,390.00	$556.00 60% off	$774.23	$861.80	$861.80	2024-12-12
24535	HCPCS	Tx Humerus Fx Lt	20	7	$1,390.00	$556.00 60% off	$774.23	$861.80	$861.80	2024-12-12
93350	HCPCS	Echo During Stress Other	20	7	$1,375.00	$550.00 60% off	$765.88	$852.50	$852.50	2024-12-12
11047	HCPCS	Debride Bone Ea Addtl 20 Sq Cm	20	7	$1,375.00	$550.00 60% off	$765.88	$852.50	$852.50	2024-12-12
11043	HCPCS	Deb Muscle Fascia 1st 20 Sq Cm Or <	60	7	$1,360.00	$544.00 60% off	$194.95	$1,060.20	$843.20	2024-12-12
23655	HCPCS	Tx Closed Shoulder W/anes	20	7	$1,360.00	$544.00 60% off	$757.52	$843.20	$843.20	2024-12-12
J1670	HCPCS	Tetanus Immune Globulin 250 Unit 1ml	20	7	$1,349.25	$539.00 60% off	$499.22	$836.53	$836.53	2024-12-12
47531	HCPCS	Cholangiogram Rad	20	7	$1,335.00	$534.00 60% off	$743.60	$827.70	$827.70	2024-12-12
49520	HCPCS	Rpr Recurrent Inguinal Hernia Reducible	20	7	$1,335.00	$534.00 60% off	$743.60	$827.70	$827.70	2024-12-12
99285	HCPCS	Level V	20	7	$1,335.00	$534.00 60% off	$743.60	$827.70	$827.70	2024-12-12
47700	HCPCS	Exc Congenial Artresia Bile Duct Wo Rpr	20	7	$1,280.00	$512.00 60% off	$712.96	$793.60	$793.60	2024-12-12
40652	HCPCS	Repair Lip	20	7	$1,280.00	$512.00 60% off	$712.96	$793.60	$793.60	2024-12-12
49507	HCPCS	Rpr Ing Hernia Age 5 > Incarc Strangulat	20	7	$1,260.00	$504.00 60% off	$701.82	$781.20	$781.20	2024-12-12
23931	HCPCS	I&d Bursa Upper Arm Or Elbow	20	7	$1,255.00	$502.00 60% off	$699.04	$778.10	$778.10	2024-12-12
11772	HCPCS	Exc Pilonidal Cyst Or Sinus Complicated	20	7	$1,250.00	$500.00 60% off	$696.25	$775.00	$775.00	2024-12-12
44970	HCPCS	Laparoscopic Appendectomy	20	7	$1,250.00	$500.00 60% off	$696.25	$775.00	$775.00	2024-12-12
92960	HCPCS	Elect Cardiovers	20	7	$1,230.00	$492.00 60% off	$685.11	$762.60	$762.60	2024-12-12
49596	HCPCS	Rpr Ant Hernia Init > 10 Cm Incar Strang	20	7	$1,230.00	$492.00 60% off	$685.11	$762.60	$762.60	2024-12-12
J1745	HCPCS	Infliximab 100mg Inj	20	7	$1,226.66	$490.00 60% off	$453.86	$760.53	$760.53	2024-12-12
P9036	HCPCS	Platelet Pheresis Irradiated	20	7	$1,225.00	$490.00 60% off	$682.32	$759.50	$759.50	2024-12-12
20615	HCPCS	Inj And Aspiration Bone Cyst	20	7	$1,225.00	$490.00 60% off	$682.32	$759.50	$759.50	2024-12-12
78216	HCPCS	Nm Liver Spleen Flow And Static Imaging	20	7	$1,220.00	$488.00 60% off	$679.54	$756.40	$756.40	2024-12-12
78070	HCPCS	Nm Thyroid Parathyroid	20	7	$1,215.00	$486.00 60% off	$676.76	$753.30	$753.30	2024-12-12
64721RT	OTHER	Carpal Tunnel Release Rt	20	7	$1,200.00	$480.00 60% off	$668.40	$744.00	$744.00	2024-12-12
64721LT	OTHER	Carpal Tunnel Release Lt	20	7	$1,200.00	$480.00 60% off	$668.40	$744.00	$744.00	2024-12-12
49651	HCPCS	Laparoscopy Rpr Recurrent Ing Hernia	20	7	$1,200.00	$480.00 60% off	$668.40	$744.00	$744.00	2024-12-12
15220	HCPCS	Graft Full Thick Direct Closure 20sqcm <	20	7	$1,185.00	$474.00 60% off	$660.04	$734.70	$734.70	2024-12-12
49525	HCPCS	Repair Inguinal Hernia Sliding Any Age	20	7	$1,185.00	$474.00 60% off	$660.04	$734.70	$734.70	2024-12-12
15274	HCPCS	App Skn Grft T A L 100scm Ea Add 100scm	20	7	$1,175.00	$470.00 60% off	$654.48	$728.50	$728.50	2024-12-12
78580	HCPCS	Nm Lung Perf Img Particulate	20	7	$1,165.00	$466.00 60% off	$648.90	$722.30	$722.30	2024-12-12
90377	HCPCS	Kedrab Intramuscular Solution 150iu/1ml	20	7	$1,162.69	$465.00 60% off	$647.62	$720.87	$720.87	2024-12-12
23605	HCPCS	Closed Treatment Prox Humerus Fx Left	20	7	$1,160.00	$464.00 60% off	$646.12	$719.20	$719.20	2024-12-12
78290	HCPCS	Nm Meckel Loc	20	7	$1,150.00	$460.00 60% off	$640.55	$713.00	$713.00	2024-12-12
93975	HCPCS	US Vascular Flow Complete	20	7	$1,150.00	$460.00 60% off	$640.55	$713.00	$713.00	2024-12-12
78300	HCPCS	Nm Bone Limited Area	20	7	$1,130.00	$452.00 60% off	$629.41	$700.60	$700.60	2024-12-12
36575	HCPCS	Repair Central Venous Access Cath	20	7	$1,130.00	$452.00 60% off	$629.41	$700.60	$700.60	2024-12-12
78014	HCPCS	Nm Thyroid Imaging Uptake And Scan	20	7	$1,125.00	$450.00 60% off	$626.62	$697.50	$697.50	2024-12-12
P9035	HCPCS	Platelet Pheresis, Leuko Reduced	20	7	$1,125.00	$450.00 60% off	$626.62	$697.50	$697.50	2024-12-12
99291	HCPCS	Critical Care 30-74 Minutes	40	7	$1,222.50	$489.00 60% off	$292.42	$1,190.40	$697.47	2024-12-12
49505	HCPCS	Repair Inguinal Hernia	20	7	$1,120.00	$448.00 60% off	$623.84	$694.40	$694.40	2024-12-12
C1788	HCPCS	Implant MRI	20	7	$1,118.00	$447.00 60% off	$622.73	$693.16	$693.16	2024-12-12
78701	HCPCS	Nm Renal Img Vf	20	7	$1,110.00	$444.00 60% off	$618.27	$688.20	$688.20	2024-12-12
36561	HCPCS	Ins Central Venous Acces Device 5 Yr >	20	7	$1,105.00	$442.00 60% off	$615.48	$685.10	$685.10	2024-12-12
43888	HCPCS	Removal Subcutaneous Port Component Only	20	7	$1,100.00	$440.00 60% off	$612.70	$682.00	$682.00	2024-12-12
15116	HCPCS	Epid Autograph Fc Hnd Ft Ea Addtl 100scm	20	7	$1,080.00	$432.00 60% off	$601.56	$669.60	$669.60	2024-12-12
78445	HCPCS	Nm Vasc Flow Img Nc	20	7	$1,080.00	$432.00 60% off	$601.56	$669.60	$669.60	2024-12-12
36140	HCPCS	Art Line Placement Extremity	20	7	$1,075.00	$430.00 60% off	$598.78	$666.50	$666.50	2024-12-12
49617	HCPCS	Rpr Ant Abd Hernia Recur W Mesh > 10cm	20	7	$1,065.00	$426.00 60% off	$593.20	$660.30	$660.30	2024-12-12
93307	HCPCS	Echo 2d Mode Wo Color	20	7	$1,060.00	$424.00 60% off	$590.42	$657.20	$657.20	2024-12-12
46260	HCPCS	Hemmorrhoidectomy Int & Ext 2 > Groups	20	7	$1,060.00	$424.00 60% off	$590.42	$657.20	$657.20	2024-12-12
5452050	OTHER	Orchiectomy Simple W Wo 50	20	7	$1,055.00	$422.00 60% off	$587.64	$654.10	$654.10	2024-12-12
G0379	HCPCS	Observ Services Direct Admit	20	7	$1,050.00	$420.00 60% off	$584.85	$651.00	$651.00	2024-12-12
90675	HCPCS	Imovax Rabies IM Pwd For Susp 2.5iu	20	7	$1,036.65	$414.00 60% off	$577.41	$642.72	$642.72	2024-12-12
13152	HCPCS	Repair 2.6cm 7.5cm Eyelids Nose Ears Lip	20	7	$1,035.00	$414.00 60% off	$576.50	$641.70	$641.70	2024-12-12
25565	HCPCS	Cl Tx Fx Radial And Ulnar Fx W Man 50	40	7	$1,085.00	$434.00 60% off	$540.29	$744.00	$634.90	2024-12-12
52356	HCPCS	Cysto W Ureteroscopy And Or Pyeloscopy	20	7	$1,015.00	$406.00 60% off	$565.36	$629.30	$629.30	2024-12-12
45398	HCPCS	Colonoscopy W Band Ligation	20	7	$1,015.00	$406.00 60% off	$565.36	$629.30	$629.30	2024-12-12
32554	HCPCS	Thoracentesis Wo Imaging Guidance Rt	40	7	$1,072.50	$429.00 60% off	$526.36	$744.00	$627.15	2024-12-12
27788	HCPCS	Close Tx Distal Fibular Fx W/manipulatio	20	7	$1,000.00	$400.00 60% off	$557.00	$620.00	$620.00	2024-12-12
78579	HCPCS	Nm Lung Vent Only	20	7	$990.00	$396.00 60% off	$551.43	$613.80	$613.80	2024-12-12
43240	HCPCS	Egd W Transmural Drainage Pseudocyst	20	7	$990.00	$396.00 60% off	$551.43	$613.80	$613.80	2024-12-12
94002	HCPCS	Ventilator 1st Day	20	7	$980.00	$392.00 60% off	$545.86	$607.60	$607.60	2024-12-12
45385	HCPCS	Colonoscopy W Lesion Removal	20	7	$970.00	$388.00 60% off	$540.29	$601.40	$601.40	2024-12-12
C9290	HCPCS	Exparel Injection Suspension 1.3%	20	7	$967.68	$387.00 60% off	$539.00	$599.96	$599.96	2024-12-12
13121	HCPCS	Repair 2.6-7.5cm Cmplx Scalp, Arms Legs	20	7	$965.00	$386.00 60% off	$537.50	$598.30	$598.30	2024-12-12
46270	HCPCS	Fistulectomy/fistulotomy	20	7	$955.00	$382.00 60% off	$531.94	$592.10	$592.10	2024-12-12
10081	HCPCS	I&d Pilonidal Cyst Complicated	60	7	$955.00	$382.00 60% off	$253.44	$874.20	$592.10	2024-12-12
27840	HCPCS	Closed Tx Ankle Dis Without Anesth Lt	20	7	$950.00	$380.00 60% off	$529.15	$589.00	$589.00	2024-12-12
26641	HCPCS	Close Tx Carpometacarpal Disloc W Man Fa	20	7	$950.00	$380.00 60% off	$529.15	$589.00	$589.00	2024-12-12
31615	HCPCS	Tracheobronchoscopy Thru Trach Incision	20	7	$940.00	$376.00 60% off	$523.58	$582.80	$582.80	2024-12-12
21931	HCPCS	Exc Tumor Soft Tissue Back/flank 3 Cm >	20	7	$935.00	$374.00 60% off	$520.80	$579.70	$579.70	2024-12-12
31605	HCPCS	Tracheostomy Emergent Cricothyriod Mem	20	7	$926.00	$370.00 60% off	$515.78	$574.12	$574.12	2024-12-12
49595	HCPCS	Rpr Anterior Hernia Init > Than 10 Cm	20	7	$925.00	$370.00 60% off	$515.22	$573.50	$573.50	2024-12-12
C1713	HCPCS	Plate 12-hole	40	7	$997.00	$398.50 60% off	$292.42	$910.78	$571.87	2024-12-12
23625	HCPCS	Cl Tx Fx Humeral Tuberosity W Man Rt	20	7	$915.00	$366.00 60% off	$509.66	$567.30	$567.30	2024-12-12
46255	HCPCS	Hemmorrhoidectomy	20	7	$910.00	$364.00 60% off	$506.87	$564.20	$564.20	2024-12-12
36556	HCPCS	Insert Cvp Cath >age 5	40	7	$987.50	$395.00 60% off	$222.80	$976.50	$562.64	2024-12-12
16030	HCPCS	Tx Partial Burn Dressing/debride Large	20	7	$900.00	$360.00 60% off	$501.30	$558.00	$558.00	2024-12-12
27560	HCPCS	Close Tx Patellar Without Anes Lt	20	7	$900.00	$360.00 60% off	$501.30	$558.00	$558.00	2024-12-12
49594	HCPCS	Rpr Ant Hernia Init 3-10 Cm Incar Strang	20	7	$895.00	$358.00 60% off	$498.52	$554.90	$554.90	2024-12-12
99284	HCPCS	Level IV	20	7	$890.00	$356.00 60% off	$495.73	$551.80	$551.80	2024-12-12
25605	HCPCS	Tx Fx Radius Ulna Lt	20	7	$890.00	$356.00 60% off	$495.73	$551.80	$551.80	2024-12-12
28190	HCPCS	Removal Fb Foot	20	7	$880.00	$352.00 60% off	$490.16	$545.60	$545.60	2024-12-12
A9500	HCPCS	Nm Tc Sestamibi Supply	20	7	$880.00	$352.00 60% off	$490.16	$545.60	$545.60	2024-12-12
A9541	HCPCS	Nm Tc Sulfur Colloid Per Mci	20	7	$877.50	$351.00 60% off	$488.77	$544.05	$544.05	2024-12-12
A9537	HCPCS	Nm Tc Mebrofenin Per Mci	20	7	$877.50	$351.00 60% off	$488.77	$544.05	$544.05	2024-12-12
A9538	HCPCS	Nm Tc Pyrophosphate Per Mci	20	7	$877.50	$351.00 60% off	$488.77	$544.05	$544.05	2024-12-12
A9510	HCPCS	Nm Tc Disofenin Per Vial	20	7	$877.50	$351.00 60% off	$488.77	$544.05	$544.05	2024-12-12
A9562	HCPCS	Nm Tc Mertiatide Per Mci	20	7	$877.50	$351.00 60% off	$488.77	$544.05	$544.05	2024-12-12
A9512	HCPCS	Nm Tc Pertechnetate Per Mci	20	7	$877.50	$351.00 60% off	$488.77	$544.05	$544.05	2024-12-12
11646	HCPCS	Exc Malignant Lesion Over 4.0 Cm	20	7	$875.00	$350.00 60% off	$487.38	$542.50	$542.50	2024-12-12
62270	HCPCS	Punct Spinal Lumbar	20	7	$870.00	$348.00 60% off	$484.59	$539.40	$539.40	2024-12-12
45384	HCPCS	Colonoscopy W Rem By Hot Biopsy Forceps	20	7	$865.00	$346.00 60% off	$481.80	$536.30	$536.30	2024-12-12
55250	HCPCS	Vasectomy Uni Bil W Postop Seman Exam	20	7	$855.00	$342.00 60% off	$476.24	$530.10	$530.10	2024-12-12

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