|
CP17660142970985349
|
CDM
|
Disorders Of Liver Except Malig,cirr,alc Hepa W Mcc
|
6
|
6
|
$631,978.00
|
$631,978.00
|
$2.00
|
$631,978.00
|
$442,385.00
|
2025-11-25
|
|
CP17660142970983538
|
CDM
|
Major Chest Procedures W Mcc
|
6
|
6
|
$597,584.00
|
$597,584.00
|
$4.00
|
$597,584.00
|
$418,309.00
|
2025-11-25
|
|
CP17660142970985086
|
CDM
|
Other Resp System O.r. Procedures W Mcc
|
6
|
6
|
$339,023.00
|
$339,023.00
|
$4.00
|
$339,023.00
|
$237,316.00
|
2025-11-25
|
|
CP17660142970982333
|
CDM
|
Respiratory System Diagnosis W Ventilator Support 96+ Hours
|
6
|
6
|
$310,117.00
|
$310,117.00
|
$6.00
|
$310,117.00
|
$217,082.00
|
2025-11-25
|
|
CP17660142970992569
|
CDM
|
Wound Debridements For Injuries W Mcc
|
6
|
6
|
$307,416.00
|
$307,416.00
|
$4.00
|
$307,416.00
|
$215,191.00
|
2025-11-25
|
|
CP17660142970995337
|
CDM
|
Other Kidney & Urinary Tract Procedures W Mcc
|
6
|
6
|
$274,328.00
|
$274,328.00
|
$4.00
|
$274,328.00
|
$192,029.50
|
2025-11-25
|
|
CP17660142970992822
|
CDM
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis W Mcc
|
6
|
6
|
$269,896.00
|
$269,896.00
|
$5.00
|
$269,896.00
|
$188,927.00
|
2025-11-25
|
|
CP17660142970982597
|
CDM
|
Other Resp System O.r. Procedures W Cc
|
6
|
6
|
$259,363.00
|
$259,363.00
|
$2.00
|
$259,363.00
|
$181,554.00
|
2025-11-25
|
|
CP17660142970992734
|
CDM
|
Non-extensive O.r. Proc Unrelated To Principal Diagnosis W Mcc
|
6
|
6
|
$240,530.00
|
$240,530.00
|
$3.00
|
$240,530.00
|
$168,371.50
|
2025-11-25
|
|
CP17660142970992300
|
CDM
|
Other Kidney & Urinary Tract Diagnoses W Mcc
|
6
|
6
|
$239,074.00
|
$239,074.00
|
$2.00
|
$239,074.00
|
$167,352.00
|
2025-11-25
|
|
CP17660142970988433
|
CDM
|
Other Musculoskelet Sys & Conn Tiss O.r. Proc W Mcc
|
6
|
6
|
$219,982.00
|
$219,982.00
|
$3.00
|
$219,982.00
|
$153,987.50
|
2025-11-25
|
|
CP17660142970981530
|
CDM
|
Other Digestive System O.r. Procedures W Mcc
|
6
|
6
|
$207,424.00
|
$207,424.00
|
$4.00
|
$207,424.00
|
$145,197.00
|
2025-11-25
|
|
CP17660142970984364
|
CDM
|
Wnd Debrid & Skn Grft Exc Hand, For Musculo-conn Tiss Dis W Mcc
|
6
|
6
|
$190,574.00
|
$190,574.00
|
$6.00
|
$190,574.00
|
$133,402.00
|
2025-11-25
|
|
CP17660142970986795
|
CDM
|
Soft Tissue Procedures W Mcc
|
6
|
6
|
$181,505.00
|
$181,505.00
|
$3.00
|
$181,505.00
|
$127,053.50
|
2025-11-25
|
|
CP17660142970981685
|
CDM
|
Esophagitis, Gastroent & Misc Digest Disorders W Mcc
|
6
|
6
|
$175,030.00
|
$175,030.00
|
$1.00
|
$175,030.00
|
$122,521.50
|
2025-11-25
|
|
CP17660142970993829
|
CDM
|
Inflammation Of The Male Reproductive System Without Mcc
|
6
|
6
|
$173,110.00
|
$173,110.00
|
$1.00
|
$173,110.00
|
$121,177.50
|
2025-11-25
|
|
CP17660142970997613
|
CDM
|
Skin Grafts & Wound Debrid For Endoc, Nutrit & Metab Dis W Cc
|
6
|
6
|
$171,591.00
|
$171,591.00
|
$2.00
|
$171,591.00
|
$120,113.50
|
2025-11-25
|
|
CP17660142970983698
|
CDM
|
Respiratory Infections & Inflammations W Mcc
|
6
|
6
|
$170,953.00
|
$170,953.00
|
$2.00
|
$170,953.00
|
$119,667.00
|
2025-11-25
|
|
CP17660142970998596
|
CDM
|
HIV W Major Related Condition W Cc
|
6
|
6
|
$170,106.00
|
$170,106.00
|
$1.00
|
$170,106.00
|
$119,074.50
|
2025-11-25
|
|
CP17660142970996845
|
CDM
|
Postoperative Or Post-traumatic Infections W O.r. Proc W Mcc
|
6
|
6
|
$167,740.00
|
$167,740.00
|
$5.00
|
$167,740.00
|
$117,418.00
|
2025-11-25
|
|
CP17660142970989614
|
CDM
|
Other Circulatory System O.r. Procedures
|
6
|
6
|
$163,795.00
|
$163,795.00
|
$3.00
|
$163,795.00
|
$114,656.50
|
2025-11-25
|
|
CP17660142970990134
|
CDM
|
Skin Grafts & Wound Debrid For Endoc, Nutrit & Metab Dis W Mcc
|
6
|
6
|
$158,726.00
|
$158,726.00
|
$4.00
|
$158,726.00
|
$111,108.50
|
2025-11-25
|
|
CP17660142970985402
|
CDM
|
Pulmonary Edema & Respiratory Failure
|
6
|
6
|
$156,576.00
|
$156,576.00
|
$1.00
|
$156,576.00
|
$109,603.00
|
2025-11-25
|
|
CP17660142970985181
|
CDM
|
Non-bacterial Infect Of Nervous Sys Exc Viral Meningitis W Cc
|
6
|
6
|
$149,954.00
|
$149,954.00
|
$2.00
|
$149,954.00
|
$104,968.00
|
2025-11-25
|
|
CP17660142970984312
|
CDM
|
Osteomyelitis W Mcc
|
6
|
6
|
$147,758.00
|
$147,758.00
|
$2.00
|
$147,758.00
|
$103,431.00
|
2025-11-25
|
|
CP17660142970998208
|
CDM
|
Other O.r. Procedures For Injuries W Mcc
|
6
|
6
|
$147,469.00
|
$147,469.00
|
$4.00
|
$147,469.00
|
$103,228.50
|
2025-11-25
|
|
CP17660142970982035
|
CDM
|
Acute & Subacute Endocarditis W Mcc
|
6
|
6
|
$144,872.00
|
$144,872.00
|
$3.00
|
$144,872.00
|
$101,410.50
|
2025-11-25
|
|
CP17660142970999541
|
CDM
|
Menstrual & Other Female Reproductive System Disorders W Cc/mcc
|
6
|
6
|
$143,510.00
|
$143,510.00
|
$1.00
|
$143,510.00
|
$100,457.50
|
2025-11-25
|
|
CP17660142970986408
|
CDM
|
Aftercare, Musculoskeletal System & Connective Tissue W Mcc
|
6
|
6
|
$143,319.00
|
$143,319.00
|
$2.00
|
$143,319.00
|
$100,323.00
|
2025-11-25
|
|
CP17660142970988545
|
CDM
|
Respiratory System Diagnosis W Ventilator Support <96 Hours
|
6
|
6
|
$134,997.00
|
$134,997.00
|
$3.00
|
$134,997.00
|
$94,498.00
|
2025-11-25
|
|
CP17660142970984693
|
CDM
|
Other Hepatobiliary Or Pancreas O.r. Procedures W Mcc
|
6
|
6
|
$133,097.00
|
$133,097.00
|
$4.00
|
$133,097.00
|
$93,168.00
|
2025-11-25
|
|
CP17660142970989760
|
CDM
|
Other Circulatory System Diagnoses W Mcc
|
6
|
6
|
$132,942.00
|
$132,942.00
|
$2.00
|
$132,942.00
|
$93,059.50
|
2025-11-25
|
|
CP17660142970981992
|
CDM
|
Esophagitis, Gastroent & Misc Digest Disorders Without Mcc
|
6
|
6
|
$127,847.00
|
$127,847.00
|
$1.00
|
$127,847.00
|
$89,493.00
|
2025-11-25
|
|
CP17660142970994327
|
CDM
|
Complications Of Treatment W Cc
|
6
|
6
|
$126,791.00
|
$126,791.00
|
$1.00
|
$126,791.00
|
$88,753.50
|
2025-11-25
|
|
CP17660142970993121
|
CDM
|
Aftercare W Cc/mcc
|
6
|
6
|
$125,428.00
|
$125,428.00
|
$1.00
|
$125,428.00
|
$87,799.50
|
2025-11-25
|
|
CP17660142970994467
|
CDM
|
Complications Of Treatment W Mcc
|
6
|
6
|
$124,755.00
|
$124,755.00
|
$2.00
|
$124,755.00
|
$87,328.50
|
2025-11-25
|
|
CP17660142970990666
|
CDM
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis W Cc
|
6
|
6
|
$123,401.00
|
$123,401.00
|
$2.00
|
$123,401.00
|
$86,381.00
|
2025-11-25
|
|
CP17660142970992353
|
CDM
|
Renal Failure W Cc
|
6
|
6
|
$123,307.00
|
$123,307.00
|
$1.00
|
$123,307.00
|
$86,315.00
|
2025-11-25
|
|
CP17660142970986600
|
CDM
|
Pneumothorax W Mcc
|
6
|
6
|
$122,350.00
|
$122,350.00
|
$2.00
|
$122,350.00
|
$85,645.50
|
2025-11-25
|
|
CP17660142970997177
|
CDM
|
Minor Skin Disorders Without Mcc
|
6
|
6
|
$120,856.00
|
$120,856.00
|
$1.00
|
$120,856.00
|
$84,599.00
|
2025-11-25
|
|
CP17660142970984420
|
CDM
|
Aftercare, Musculoskeletal System & Connective Tissue W Cc
|
6
|
6
|
$115,321.00
|
$115,321.00
|
$1.00
|
$115,321.00
|
$80,725.00
|
2025-11-25
|
|
CP17660142970983822
|
CDM
|
Degenerative Nervous System Disorders W Mcc
|
6
|
6
|
$112,921.00
|
$112,921.00
|
$2.00
|
$112,921.00
|
$79,045.00
|
2025-11-25
|
|
CP17660142970996583
|
CDM
|
Infections, Female Reproductive System Without Cc/mcc
|
6
|
6
|
$105,886.00
|
$105,886.00
|
$1.00
|
$105,886.00
|
$74,120.50
|
2025-11-25
|
|
CP17660142970984837
|
CDM
|
Septic Arthritis W Cc
|
6
|
6
|
$101,628.00
|
$101,628.00
|
$1.00
|
$101,628.00
|
$71,139.50
|
2025-11-25
|
|
CP17660142970999854
|
CDM
|
Nutritional & Misc Metabolic Disorders Without Mcc
|
6
|
6
|
$97,201.00
|
$97,201.00
|
$1.00
|
$97,201.00
|
$68,041.00
|
2025-11-25
|
|
CP17660142970981809
|
CDM
|
Hand Or Wrist Proc, Except Major Thumb Or Joint Proc W Cc/mcc
|
6
|
6
|
$95,660.00
|
$95,660.00
|
$2.00
|
$95,660.00
|
$66,962.00
|
2025-11-25
|
|
CP17660142970996964
|
CDM
|
Postoperative & Post-traumatic Infections W Mcc
|
6
|
6
|
$94,761.00
|
$94,761.00
|
$2.00
|
$94,761.00
|
$66,333.00
|
2025-11-25
|
|
CP17660142970986784
|
CDM
|
Heart Failure & Shock W Mcc
|
6
|
6
|
$90,864.00
|
$90,864.00
|
$1.00
|
$90,864.00
|
$63,605.00
|
2025-11-25
|
|
CP17660142970988619
|
CDM
|
Lower Extrem & Humer Proc Except Hip,foot,femur W Cc
|
6
|
6
|
$89,434.00
|
$89,434.00
|
$3.00
|
$89,434.00
|
$62,604.00
|
2025-11-25
|
|
CP17660142970991246
|
CDM
|
Diabetes W Mcc
|
6
|
6
|
$86,374.00
|
$86,374.00
|
$1.00
|
$86,374.00
|
$60,462.00
|
2025-11-25
|
|
CP17660142970993118
|
CDM
|
Renal Failure W Mcc
|
6
|
6
|
$84,278.00
|
$84,278.00
|
$1.00
|
$84,278.00
|
$58,995.00
|
2025-11-25
|
|
CP17660142970981354
|
CDM
|
Osteomyelitis W Cc
|
6
|
6
|
$79,999.00
|
$79,999.00
|
$1.00
|
$79,999.00
|
$55,999.00
|
2025-11-25
|
|
CP17660142970983607
|
CDM
|
Pleural Effusion W Mcc
|
6
|
6
|
$79,469.00
|
$79,469.00
|
$2.00
|
$79,469.00
|
$55,628.50
|
2025-11-25
|
|
CP17660142970982310
|
CDM
|
Disorders Of Pancreas Except Malignancy W Mcc
|
6
|
6
|
$79,306.00
|
$79,306.00
|
$2.00
|
$79,306.00
|
$55,514.50
|
2025-11-25
|
|
CP17660142970999537
|
CDM
|
Infectious & Parasitic Diseases W O.r. Procedure W Mcc
|
6
|
6
|
$77,584.00
|
$77,584.00
|
$5.00
|
$77,584.00
|
$54,309.00
|
2025-11-25
|
|
CP17660142970997854
|
CDM
|
Other Endocrine, Nutrit & Metab O.r. Proc W Cc
|
6
|
6
|
$74,723.00
|
$74,723.00
|
$2.00
|
$74,723.00
|
$52,306.00
|
2025-11-25
|
|
CP17660142970981868
|
CDM
|
Tendonitis, Myositis & Bursitis W Mcc
|
6
|
6
|
$73,994.00
|
$73,994.00
|
$1.00
|
$73,994.00
|
$51,796.00
|
2025-11-25
|
|
CP17660142970985284
|
CDM
|
Wnd Debrid & Skn Grft Exc Hand, For Musculo-conn Tiss Dis W Cc
|
6
|
6
|
$56,143.00
|
$56,143.00
|
$3.00
|
$56,143.00
|
$39,300.00
|
2025-11-25
|
|
CP17660142970986850
|
CDM
|
Other Disorders Of Nervous System W Mcc
|
6
|
6
|
$55,368.00
|
$55,368.00
|
$2.00
|
$55,368.00
|
$38,757.50
|
2025-11-25
|
|
CP17660142970983716
|
CDM
|
Simple Pneumonia & Pleurisy W Mcc
|
6
|
6
|
$55,247.00
|
$55,247.00
|
$1.00
|
$55,247.00
|
$38,673.00
|
2025-11-25
|
|
CP17660142970991387
|
CDM
|
Nutritional & Misc Metabolic Disorders W Mcc
|
6
|
6
|
$50,128.00
|
$50,128.00
|
$1.00
|
$50,128.00
|
$35,089.50
|
2025-11-25
|
|
CP17660142970989143
|
CDM
|
Tendonitis, Myositis & Bursitis Without Mcc
|
6
|
6
|
$48,828.00
|
$48,828.00
|
$1.00
|
$48,828.00
|
$34,179.50
|
2025-11-25
|
|
CP17660142970995783
|
CDM
|
Cellulitis W Mcc
|
6
|
6
|
$48,611.00
|
$48,611.00
|
$1.00
|
$48,611.00
|
$34,027.50
|
2025-11-25
|
|
CP17660142970992543
|
CDM
|
Septicemia Without Mv 96+ Hours W Mcc
|
6
|
6
|
$41,336.00
|
$41,336.00
|
$2.00
|
$41,336.00
|
$28,935.00
|
2025-11-25
|
|
CP17660142970993566
|
CDM
|
Kidney & Urinary Tract Infections W Mcc
|
6
|
6
|
$33,894.00
|
$33,894.00
|
$1.00
|
$33,894.00
|
$23,726.00
|
2025-11-25
|
|
CP17660142970982143
|
CDM
|
Cardiac Arrhythmia & Conduction Disorders W Cc
|
6
|
6
|
$32,149.00
|
$32,149.00
|
$1.00
|
$32,149.00
|
$22,504.50
|
2025-11-25
|
|
CP17660142970987695
|
CDM
|
Digestive Malignancy W Cc
|
6
|
6
|
$19,778.00
|
$19,778.00
|
$1.00
|
$19,778.00
|
$13,845.00
|
2025-11-25
|
|
0236T
|
CPT
|
Atherectomy Abdominal Aorta
|
6
|
6
|
$12,580.00
|
$12,580.00
|
$8,216.00
|
$12,580.00
|
$10,900.50
|
2025-11-25
|
|
0237T
|
CPT
|
Atherectomy Brachioceph Trnk
|
6
|
6
|
$12,580.00
|
$12,580.00
|
$8,216.00
|
$12,580.00
|
$10,900.50
|
2025-11-25
|
|
23920
|
CPT
|
Carboxymethylcellulose Sodium
|
6
|
6
|
$4.00
|
$4.00
|
$3.00
|
$13,053.00
|
$4,570.50
|
2025-11-25
|
|
27511
|
CPT
|
Humalog Mix 75-25
|
6
|
6
|
$2.00
|
$2.00
|
$2.00
|
$13,053.00
|
$4,569.50
|
2025-11-25
|
|
22526
|
CPT
|
Perq Annuloplasty 1 Lvl
|
3
|
3
|
$4,764.00
|
$4,764.00
|
$3,573.00
|
$4,764.00
|
$3,811.00
|
2025-11-25
|
|
74178
|
CPT
|
CT Abd & Pelvis W/wo Contrast
|
6
|
6
|
$9,013.00
|
$9,013.00
|
$248.00
|
$9,013.00
|
$3,557.50
|
2025-11-25
|
|
36571
|
CPT
|
Picc Line Insert W Pump
|
6
|
6
|
$4,696.00
|
$4,696.00
|
$2,247.00
|
$4,696.00
|
$3,366.00
|
2025-11-25
|
|
31600
|
CPT
|
Tracheostomy Planned
|
6
|
6
|
$4,087.00
|
$4,087.00
|
$2,360.00
|
$4,087.00
|
$3,320.50
|
2025-11-25
|
|
43261
|
CPT
|
Ercp W Bx Sngl/mult
|
6
|
6
|
$2,964.00
|
$2,964.00
|
$2,223.00
|
$3,920.00
|
$2,854.00
|
2025-11-25
|
|
1000001
|
CDM
|
Intensive Care/high Acuity
|
3
|
3
|
$3,465.00
|
$3,465.00
|
$2,599.00
|
$3,465.00
|
$2,772.00
|
2025-11-25
|
|
71260
|
CPT
|
CT Chest (Pe) W Contrast
|
9
|
6
|
$4,862.00
|
$4,862.00
|
$125.00
|
$4,862.00
|
$2,768.00
|
2025-11-25
|
|
74177
|
CPT
|
CT Scan Of Abdomen And Pelvis With Contrast
|
6
|
6
|
$6,848.00
|
$6,848.00
|
$248.00
|
$6,848.00
|
$2,745.50
|
2025-11-25
|
|
23455
|
CPT
|
Carboxymethylcellulose Sodium
|
6
|
6
|
$4.00
|
$4.00
|
$3.00
|
$7,377.00
|
$2,584.00
|
2025-11-25
|
|
23405
|
CPT
|
Chlorostat
|
6
|
6
|
$4.00
|
$4.00
|
$3.00
|
$7,377.00
|
$2,584.00
|
2025-11-25
|
|
28103
|
CPT
|
Nitro-bid
|
6
|
6
|
$4.00
|
$4.00
|
$3.00
|
$7,377.00
|
$2,584.00
|
2025-11-25
|
|
28305
|
CPT
|
Hurricaine 20%
|
6
|
6
|
$4.00
|
$4.00
|
$3.00
|
$7,377.00
|
$2,584.00
|
2025-11-25
|
|
25420
|
CPT
|
Posaconazole 100mg Tab
|
6
|
6
|
$1.00
|
$1.00
|
$1.00
|
$7,377.00
|
$2,582.50
|
2025-11-25
|
|
1000002
|
CDM
|
Intermediate Care
|
3
|
3
|
$2,979.00
|
$2,979.00
|
$2,234.00
|
$2,979.00
|
$2,383.00
|
2025-11-25
|
|
36558
|
CPT
|
Ins Tun Cv Cath Without Port 5y/>
|
6
|
6
|
$2,492.00
|
$2,492.00
|
$1,869.00
|
$3,210.00
|
$2,369.50
|
2025-11-25
|
|
74176
|
CPT
|
CT Abd & Pelvis Wo Contrast
|
6
|
6
|
$5,928.00
|
$5,928.00
|
$170.00
|
$5,928.00
|
$2,344.50
|
2025-11-25
|
|
36556
|
CPT
|
Ins Non-tun Ctr Cvc Age 5 Yr/>
|
6
|
6
|
$2,373.00
|
$2,373.00
|
$1,780.00
|
$3,210.00
|
$2,310.00
|
2025-11-25
|
|
1
|
CDM
|
Private Room
|
3
|
3
|
$2,371.00
|
$2,371.00
|
$1,778.00
|
$2,371.00
|
$1,897.00
|
2025-11-25
|
|
2
|
CDM
|
Semi Private Room
|
3
|
3
|
$2,371.00
|
$2,371.00
|
$1,778.00
|
$2,371.00
|
$1,897.00
|
2025-11-25
|
|
43246
|
CPT
|
Peg Placement
|
6
|
6
|
$2,236.00
|
$2,236.00
|
$1,366.00
|
$2,236.00
|
$1,870.00
|
2025-11-25
|
|
31624
|
CPT
|
Bronchoscopy W Lavage
|
6
|
6
|
$2,216.00
|
$2,216.00
|
$1,267.00
|
$2,216.00
|
$1,791.50
|
2025-11-25
|
|
31645
|
CPT
|
Bronchoscopy W Aspiration Init
|
6
|
6
|
$2,216.00
|
$2,216.00
|
$1,267.00
|
$2,216.00
|
$1,791.50
|
2025-11-25
|
|
11047
|
CPT
|
Debr Bone Ea Addl <=20 Sq
|
3
|
3
|
$1,998.00
|
$1,998.00
|
$1,499.00
|
$1,998.00
|
$1,598.00
|
2025-11-25
|
|
71270
|
CPT
|
CT Thorax W/wo Contrast
|
6
|
6
|
$3,985.00
|
$3,985.00
|
$125.00
|
$3,985.00
|
$1,583.50
|
2025-11-25
|
|
94002
|
CPT
|
Ventilation Mgmt 1st Day
|
6
|
6
|
$3,254.00
|
$3,254.00
|
$440.00
|
$3,254.00
|
$1,534.50
|
2025-11-25
|
|
11044
|
CPT
|
Debr Bone 1st <= 20 Sq Cm
|
6
|
6
|
$1,734.00
|
$1,734.00
|
$1,175.00
|
$1,734.00
|
$1,533.00
|
2025-11-25
|
|
74170
|
CPT
|
CT Abdomen W/wo Contrast
|
6
|
6
|
$3,806.00
|
$3,806.00
|
$125.00
|
$3,806.00
|
$1,516.50
|
2025-11-25
|
|
36584
|
CPT
|
Picc Line Replacement Without Pump
|
6
|
6
|
$1,771.00
|
$1,771.00
|
$1,120.00
|
$1,771.00
|
$1,508.50
|
2025-11-25
|
|
36569
|
CPT
|
Ins Picc Without Pump 5y/>
|
6
|
6
|
$1,771.00
|
$1,771.00
|
$1,120.00
|
$1,771.00
|
$1,508.50
|
2025-11-25
|
|
45378
|
CPT
|
Diagnostic Exam Of Large Bowel Using An Endoscope
|
6
|
6
|
$2,567.00
|
$2,567.00
|
$662.00
|
$2,567.00
|
$1,435.00
|
2025-11-25
|
|
72193
|
CPT
|
CT Scan Of Pelvis With Contrast
|
6
|
6
|
$3,447.00
|
$3,447.00
|
$125.00
|
$3,447.00
|
$1,381.50
|
2025-11-25
|
|
74160
|
CPT
|
CT Abdomen W Contrast
|
6
|
6
|
$3,306.00
|
$3,306.00
|
$125.00
|
$3,306.00
|
$1,329.00
|
2025-11-25
|
|
70470
|
CPT
|
CT Head/brain W/wo Contrast
|
6
|
6
|
$3,239.00
|
$3,239.00
|
$125.00
|
$3,239.00
|
$1,303.50
|
2025-11-25
|
|
55500
|
CPT
|
Chlordiazepoxide Hcl 10mg- Ud
|
6
|
6
|
$1.00
|
$1.00
|
$1.00
|
$3,584.00
|
$1,255.00
|
2025-11-25
|
|
54312
|
CPT
|
Calcitriol 1mcg/ml 15ml
|
6
|
6
|
$1.00
|
$1.00
|
$1.00
|
$3,584.00
|
$1,255.00
|
2025-11-25
|
|
64420
|
CPT
|
Inj Anes Intercostal Nrv Sng
|
6
|
6
|
$2,380.00
|
$2,380.00
|
$502.00
|
$2,380.00
|
$1,251.50
|
2025-11-25
|
|
31603
|
CPT
|
Tracheostomy Emergent
|
6
|
6
|
$1,358.00
|
$1,358.00
|
$1,019.00
|
$1,577.00
|
$1,231.00
|
2025-11-25
|
|
36568
|
CPT
|
Ins Picc Without Pump <5y
|
6
|
6
|
$1,288.00
|
$1,288.00
|
$966.00
|
$1,600.00
|
$1,204.00
|
2025-11-25
|
|
94003
|
CPT
|
Ventilation Mgmt Ea Subsq Day
|
6
|
6
|
$2,303.00
|
$2,303.00
|
$440.00
|
$2,303.00
|
$1,177.50
|
2025-11-25
|
|
43235
|
CPT
|
Diagnostic Exam Of Esophagus, Stomach Or Small Bowel Using An Endoscope
|
6
|
6
|
$1,900.00
|
$1,900.00
|
$645.00
|
$1,900.00
|
$1,173.50
|
2025-11-25
|
|
26442
|
CPT
|
Magnesium Sulfate
|
6
|
6
|
$7.00
|
$7.00
|
$5.00
|
$3,327.00
|
$1,168.00
|
2025-11-25
|
|
23040
|
CPT
|
Carboxymethylcellulose Sodium
|
6
|
6
|
$4.00
|
$4.00
|
$3.00
|
$3,327.00
|
$1,166.50
|
2025-11-25
|
|
28315
|
CPT
|
Humulin N
|
6
|
6
|
$1.00
|
$1.00
|
$1.00
|
$3,327.00
|
$1,165.00
|
2025-11-25
|
|
57400
|
CPT
|
Glutose 15
|
6
|
6
|
$1.00
|
$1.00
|
$1.00
|
$3,291.00
|
$1,152.50
|
2025-11-25
|
|
73701
|
CPT
|
CT Lower Extr W Contrast
|
6
|
6
|
$2,808.00
|
$2,808.00
|
$125.00
|
$2,808.00
|
$1,142.00
|
2025-11-25
|
|
72125
|
CPT
|
CT C Spine Wo Contrast
|
6
|
6
|
$2,836.00
|
$2,836.00
|
$74.00
|
$2,836.00
|
$1,116.50
|
2025-11-25
|
|
32551
|
CPT
|
Chest Tube Insertion
|
6
|
6
|
$1,028.00
|
$1,028.00
|
$771.00
|
$1,600.00
|
$1,074.00
|
2025-11-25
|
|
71250
|
CPT
|
CT Chest (High Resolution)
|
6
|
6
|
$2,675.00
|
$2,675.00
|
$74.00
|
$2,675.00
|
$1,056.00
|
2025-11-25
|
|
70450
|
CPT
|
CT Scan
|
6
|
6
|
$2,670.00
|
$2,670.00
|
$74.00
|
$2,670.00
|
$1,054.50
|
2025-11-25
|
|
23031
|
CPT
|
Refresh Lacri-lube
|
6
|
6
|
$4.00
|
$4.00
|
$3.00
|
$2,953.00
|
$1,035.50
|
2025-11-25
|
|
49083
|
CPT
|
Abd Paracentesis W/imaging
|
6
|
6
|
$1,462.00
|
$1,462.00
|
$645.00
|
$1,462.00
|
$1,009.50
|
2025-11-25
|
|
PH001753
|
CDM
|
Fmt Upper Delivery
|
4
|
4
|
$1,300.00
|
$1,300.00
|
$845.00
|
$1,300.00
|
$1,007.50
|
2025-11-25
|
|
94660
|
CPT
|
Cpap/bipap Initiation & Mgmt
|
6
|
6
|
$2,194.00
|
$2,194.00
|
$156.00
|
$2,194.00
|
$934.50
|
2025-11-25
|
|
49082
|
CPT
|
Abd Paracentesis Without Imag
|
6
|
6
|
$1,154.00
|
$1,154.00
|
$645.00
|
$1,154.00
|
$922.00
|
2025-11-25
|
|
31646
|
CPT
|
Bronchoscopy W Aspiration Subs
|
6
|
6
|
$1,899.00
|
$1,899.00
|
$278.00
|
$1,899.00
|
$911.00
|
2025-11-25
|
|
28190
|
CPT
|
Removal Fb Foot Subq
|
6
|
6
|
$1,427.00
|
$1,427.00
|
$504.00
|
$1,427.00
|
$895.00
|
2025-11-25
|
|
73200
|
CPT
|
CT Upper Extrem Wo Contrast
|
6
|
6
|
$2,209.00
|
$2,209.00
|
$74.00
|
$2,209.00
|
$881.50
|
2025-11-25
|
|
70460
|
CPT
|
CT Head/brain W Contrast
|
6
|
6
|
$2,104.00
|
$2,104.00
|
$125.00
|
$2,104.00
|
$878.00
|
2025-11-25
|
|
11046
|
CPT
|
Debr Musl/Fas Ea Addl <=20 Sq
|
3
|
3
|
$1,085.00
|
$1,085.00
|
$814.00
|
$1,085.00
|
$868.00
|
2025-11-25
|
|
31615
|
CPT
|
Tracheobronchoscopy Thru Incis
|
6
|
6
|
$1,358.00
|
$1,358.00
|
$384.00
|
$1,358.00
|
$783.50
|
2025-11-25
|
|
53665
|
CPT
|
Artificial Tears
|
6
|
6
|
$4.00
|
$4.00
|
$3.00
|
$2,125.00
|
$746.00
|
2025-11-25
|
|
54001
|
CPT
|
Prednisone 10mg
|
6
|
6
|
$1.00
|
$1.00
|
$1.00
|
$2,125.00
|
$744.50
|
2025-11-25
|
|
94762
|
CPT
|
Pulse Ox Continuous/overnight
|
6
|
6
|
$1,800.00
|
$1,800.00
|
$92.00
|
$1,800.00
|
$740.50
|
2025-11-25
|
|
23921
|
CPT
|
Brimonidine Tartrate/timolol 5
|
6
|
6
|
$4.00
|
$4.00
|
$3.00
|
$2,098.00
|
$736.00
|
2025-11-25
|
|
52000
|
CPT
|
Pneumoc 20-val Conj-dip Crm/pf
|
3
|
3
|
$7.00
|
$7.00
|
$496.00
|
$709.00
|
$709.00
|
2025-11-25
|
|
90935
|
CPT
|
Hemodialysis
|
6
|
6
|
$901.00
|
$901.00
|
$488.00
|
$901.00
|
$698.00
|
2025-11-25
|
|
36430
|
CPT
|
Adm Bld Transfusion Per Visit
|
9
|
6
|
$1,181.00
|
$1,181.00
|
$314.00
|
$1,181.00
|
$695.00
|
2025-11-25
|
|
76946
|
CPT
|
Amniocentesis W/Us Guidance
|
3
|
3
|
$815.00
|
$815.00
|
$611.00
|
$815.00
|
$652.00
|
2025-11-25
|
|
43000046
|
CDM
|
Daily Heated High Flow O2
|
3
|
3
|
$793.00
|
$793.00
|
$595.00
|
$793.00
|
$634.00
|
2025-11-25
|
|
11043
|
CPT
|
Debr Musl/fas 1st <= 20 Sqcm
|
6
|
6
|
$680.00
|
$680.00
|
$510.00
|
$751.00
|
$612.00
|
2025-11-25
|
|
93971
|
CPT
|
Duplex Extr Veins; Uni/ltd
|
6
|
6
|
$1,484.00
|
$1,484.00
|
$74.00
|
$1,484.00
|
$609.50
|
2025-11-25
|
|
11620
|
CPT
|
Chlorhexidine Gluconate Mw
|
6
|
6
|
$4.00
|
$4.00
|
$3.00
|
$1,679.00
|
$589.50
|
2025-11-25
|
|
26432
|
CPT
|
Amino Acids
|
6
|
6
|
$7.00
|
$7.00
|
$5.00
|
$1,635.00
|
$575.50
|
2025-11-25
|
|
27510
|
CPT
|
Humalog
|
6
|
6
|
$2.00
|
$2.00
|
$2.00
|
$1,635.00
|
$573.00
|
2025-11-25
|
|
11045
|
CPT
|
Debr Sq Tis Ea Add <=20 Sq
|
3
|
3
|
$680.00
|
$680.00
|
$510.00
|
$680.00
|
$544.00
|
2025-11-25
|
|
10000009
|
CDM
|
Thoracentesis Ndl/cath Without Img
|
3
|
3
|
$641.00
|
$641.00
|
$481.00
|
$641.00
|
$513.00
|
2025-11-25
|
|
36410
|
CPT
|
Midline Insertion Venipuncture
|
3
|
3
|
$630.00
|
$630.00
|
$473.00
|
$630.00
|
$504.00
|
2025-11-25
|
|
31500
|
CPT
|
Endotrachael Intubation
|
9
|
6
|
$643.00
|
$643.00
|
$169.00
|
$643.00
|
$482.00
|
2025-11-25
|
|
11042
|
CPT
|
Debr Sq Tis 1st <= 20 Sqcm
|
6
|
6
|
$680.00
|
$680.00
|
$289.00
|
$680.00
|
$461.50
|
2025-11-25
|
|
78110
|
CPT
|
Perphenazine 2mg Tab
|
6
|
6
|
$1.00
|
$1.00
|
$1.00
|
$1,316.00
|
$461.00
|
2025-11-25
|
|
46930
|
CPT
|
Ambisome
|
6
|
6
|
$7.00
|
$7.00
|
$5.00
|
$1,217.00
|
$429.50
|
2025-11-25
|
|
43000039
|
CDM
|
Daily O2 Charge
|
3
|
3
|
$528.00
|
$528.00
|
$396.00
|
$528.00
|
$422.00
|
2025-11-25
|
|
76881
|
CPT
|
US Extremity Nonvasc Cmpl
|
6
|
6
|
$949.00
|
$949.00
|
$74.00
|
$949.00
|
$409.00
|
2025-11-25
|
|
76882
|
CPT
|
US Extremity Nonvasc Ltd
|
6
|
6
|
$949.00
|
$949.00
|
$74.00
|
$949.00
|
$409.00
|
2025-11-25
|
|
93000001
|
CDM
|
Respite Care
|
3
|
3
|
$500.00
|
$500.00
|
$375.00
|
$500.00
|
$400.00
|
2025-11-25
|
|
90945
|
CPT
|
Peritoneal Dialysis
|
6
|
6
|
$451.00
|
$451.00
|
$297.00
|
$451.00
|
$392.50
|
2025-11-25
|
|
76770
|
CPT
|
US Retroperit W Image Compl
|
6
|
6
|
$884.00
|
$884.00
|
$74.00
|
$884.00
|
$384.50
|
2025-11-25
|
|
10061
|
CPT
|
I&d Of Abscess Comp/mult
|
6
|
6
|
$432.00
|
$432.00
|
$289.00
|
$432.00
|
$379.50
|
2025-11-25
|
|
66494
|
CPT
|
Pneumovax 23
|
3
|
3
|
$434.00
|
$434.00
|
$326.00
|
$434.00
|
$347.00
|
2025-11-25
|
|
92950
|
CPT
|
Cpr (Code Blue)
|
6
|
6
|
$620.00
|
$620.00
|
$154.00
|
$620.00
|
$342.50
|
2025-11-25
|
|
76705
|
CPT
|
US Abdominal W Image Limited
|
6
|
6
|
$762.00
|
$762.00
|
$74.00
|
$762.00
|
$339.00
|
2025-11-25
|
|
76700
|
CPT
|
Ultrasound Of Abdomen
|
6
|
6
|
$759.00
|
$759.00
|
$74.00
|
$759.00
|
$337.50
|
2025-11-25
|
|
P9021
|
HCPCS
|
Rbc Each Unit
|
6
|
6
|
$693.00
|
$693.00
|
$105.00
|
$693.00
|
$335.00
|
2025-11-25
|
|
92612
|
CPT
|
Stfees Procedure
|
6
|
6
|
$630.00
|
$630.00
|
$132.00
|
$630.00
|
$331.00
|
2025-11-25
|
|
PH002780
|
CDM
|
Vasostrict
|
4
|
4
|
$425.00
|
$425.00
|
$276.00
|
$425.00
|
$329.50
|
2025-11-25
|
|
97606
|
CPT
|
Vaccuum Therapy >50cm
|
6
|
6
|
$358.00
|
$358.00
|
$269.00
|
$413.00
|
$323.50
|
2025-11-25
|
|
76830
|
CPT
|
Ultrasound Pelvis Through Vagina
|
6
|
6
|
$699.00
|
$699.00
|
$74.00
|
$699.00
|
$315.00
|
2025-11-25
|
|
96365
|
CPT
|
IV Infusion 16 Min1hr
|
6
|
6
|
$512.00
|
$512.00
|
$151.00
|
$512.00
|
$300.00
|
2025-11-25
|
|
PH002709
|
CDM
|
Tobramycin/nebulizer
|
4
|
4
|
$386.00
|
$386.00
|
$251.00
|
$386.00
|
$299.50
|
2025-11-25
|
|
94761
|
CPT
|
Pulse Ox Multiple Det
|
3
|
3
|
$365.00
|
$365.00
|
$274.00
|
$365.00
|
$292.00
|
2025-11-25
|
|
54858
|
CPT
|
Glucagen
|
3
|
3
|
$343.00
|
$343.00
|
$257.00
|
$343.00
|
$274.00
|
2025-11-25
|
|
94669
|
CPT
|
Mech Chest Wall Oscill
|
6
|
6
|
$406.00
|
$406.00
|
$156.00
|
$406.00
|
$264.00
|
2025-11-25
|
|
PH002378
|
CDM
|
Vabomere
|
4
|
4
|
$330.00
|
$330.00
|
$215.00
|
$330.00
|
$256.00
|
2025-11-25
|
|
40800
|
CPT
|
Tamiflu
|
6
|
6
|
$1.00
|
$1.00
|
$1.00
|
$720.00
|
$252.50
|
2025-11-25
|
|
51720
|
CPT
|
Potassium Acetate 40meq/20ml
|
6
|
6
|
$7.00
|
$7.00
|
$5.00
|
$709.00
|
$251.50
|
2025-11-25
|
|
51729
|
CPT
|
Sodium Chloride 23.4%
|
6
|
6
|
$7.00
|
$7.00
|
$5.00
|
$709.00
|
$251.50
|
2025-11-25
|
|
51710
|
CPT
|
Atropine Sulfate 1mg/1ml
|
6
|
6
|
$7.00
|
$7.00
|
$5.00
|
$709.00
|
$251.50
|
2025-11-25
|
|
10060
|
CPT
|
I&d Abscesssimple/single
|
6
|
6
|
$386.00
|
$386.00
|
$143.00
|
$386.00
|
$247.00
|
2025-11-25
|
|
97602
|
CPT
|
Non Excisional Debridement
|
6
|
6
|
$369.00
|
$369.00
|
$143.00
|
$369.00
|
$240.50
|
2025-11-25
|
|
PH002868
|
CDM
|
Eravacycline Di-hydrochloride
|
4
|
4
|
$306.00
|
$306.00
|
$199.00
|
$306.00
|
$237.50
|
2025-11-25
|
|
92523
|
CPT
|
Eval Speech Sound Prod W Lang
|
6
|
6
|
$328.00
|
$328.00
|
$154.00
|
$328.00
|
$233.00
|
2025-11-25
|
|
31502
|
CPT
|
Tracheotomy Tube Change
|
6
|
6
|
$273.00
|
$273.00
|
$169.00
|
$273.00
|
$229.50
|
2025-11-25
|
|
92611
|
CPT
|
Swallowing Eval By Cine/video
|
6
|
6
|
$489.00
|
$489.00
|
$61.00
|
$489.00
|
$227.50
|
2025-11-25
|
|
97597
|
CPT
|
Rmvl Devital Tis 20 Cm/<
|
6
|
6
|
$330.00
|
$330.00
|
$143.00
|
$330.00
|
$226.00
|
2025-11-25
|
|
17250
|
CPT
|
Chemical Cautery Tissue
|
6
|
6
|
$330.00
|
$330.00
|
$143.00
|
$330.00
|
$226.00
|
2025-11-25
|
|
29581
|
CPT
|
Appl Multlayer Ven Compress
|
6
|
6
|
$355.00
|
$355.00
|
$116.00
|
$355.00
|
$215.50
|
2025-11-25
|
|
97598
|
CPT
|
Rmvl Devital Tis Addl 20 Cm<
|
3
|
3
|
$268.00
|
$268.00
|
$201.00
|
$268.00
|
$214.00
|
2025-11-25
|
|
74018
|
CPT
|
Xray Abdomen 1 View
|
6
|
6
|
$438.00
|
$438.00
|
$62.00
|
$438.00
|
$208.50
|
2025-11-25
|
|
71046
|
CPT
|
Dx Chest 2vw
|
6
|
6
|
$432.00
|
$432.00
|
$62.00
|
$432.00
|
$206.00
|
2025-11-25
|
|
71045
|
CPT
|
Dx Chest 1vw
|
6
|
6
|
$427.00
|
$427.00
|
$62.00
|
$427.00
|
$204.00
|
2025-11-25
|
|
97605
|
CPT
|
Vaccuum Therapy <50cm
|
6
|
6
|
$268.00
|
$268.00
|
$143.00
|
$268.00
|
$204.00
|
2025-11-25
|
|
29580
|
CPT
|
Appl Unna Boot Unilat
|
6
|
6
|
$319.00
|
$319.00
|
$116.00
|
$319.00
|
$202.00
|
2025-11-25
|
|
78018
|
CPT
|
Sandostatin
|
6
|
6
|
$7.00
|
$7.00
|
$5.00
|
$552.00
|
$196.50
|
2025-11-25
|
|
94664
|
CPT
|
Demo/eval Pt Inhal/neb/ippb
|
6
|
6
|
$217.00
|
$217.00
|
$156.00
|
$223.00
|
$195.50
|
2025-11-25
|
|
93312
|
CPT
|
Dicloxacillin Sodium 500mg Cap
|
6
|
6
|
$1.00
|
$1.00
|
$1.00
|
$556.00
|
$195.00
|
2025-11-25
|
|
93304
|
CPT
|
Verapamil Hcl 120mg ER
|
6
|
6
|
$1.00
|
$1.00
|
$1.00
|
$556.00
|
$195.00
|
2025-11-25
|
|
78121
|
CPT
|
Ampicillin Trihydrate 500mg
|
6
|
6
|
$1.00
|
$1.00
|
$1.00
|
$552.00
|
$193.50
|
2025-11-25
|
|
97167
|
CPT
|
Ot Eval High Complexity
|
6
|
6
|
$365.00
|
$365.00
|
$68.00
|
$365.00
|
$185.50
|
2025-11-25
|
|
97163
|
CPT
|
Pt Eval High Complexity
|
6
|
6
|
$365.00
|
$365.00
|
$66.00
|
$365.00
|
$184.50
|
2025-11-25
|
|
94760
|
CPT
|
Pulse Ox Single Det
|
3
|
3
|
$223.00
|
$223.00
|
$167.00
|
$223.00
|
$178.00
|
2025-11-25
|
|
PH002844
|
CDM
|
Levothyroxine Sodium
|
4
|
4
|
$225.00
|
$225.00
|
$146.00
|
$225.00
|
$174.50
|
2025-11-25
|
|
96105
|
CPT
|
Assessment Of Aphasia
|
6
|
6
|
$324.00
|
$324.00
|
$66.00
|
$324.00
|
$168.50
|
2025-11-25
|
|
92610
|
CPT
|
Swallowing/oral Function Eval
|
6
|
6
|
$328.00
|
$328.00
|
$57.00
|
$328.00
|
$164.00
|
2025-11-25
|
|
97166
|
CPT
|
Ot Eval Mod Complexity
|
6
|
6
|
$304.00
|
$304.00
|
$68.00
|
$304.00
|
$162.50
|
2025-11-25
|
|
97162
|
CPT
|
Pt Eval Mod Complexity
|
6
|
6
|
$304.00
|
$304.00
|
$66.00
|
$304.00
|
$161.50
|
2025-11-25
|
|
96374
|
CPT
|
IV Push Initial
|
6
|
6
|
$171.00
|
$171.00
|
$128.00
|
$216.00
|
$161.00
|
2025-11-25
|
|
97168
|
CPT
|
Occupational Therapy Re-eval
|
6
|
6
|
$336.00
|
$336.00
|
$46.00
|
$336.00
|
$159.00
|
2025-11-25
|
|
94667
|
CPT
|
Manip Chest Wall (Cpt) Initial
|
6
|
6
|
$231.00
|
$231.00
|
$95.00
|
$231.00
|
$154.00
|
2025-11-25
|
|
PH000352
|
CDM
|
Clinimix
|
3
|
3
|
$192.00
|
$192.00
|
$144.00
|
$192.00
|
$154.00
|
2025-11-25
|
|
94640
|
CPT
|
Inhalation Treatment
|
6
|
6
|
$152.00
|
$152.00
|
$114.00
|
$223.00
|
$154.00
|
2025-11-25
|
|
92521
|
CPT
|
Eval Of Speech Fluency
|
6
|
6
|
$236.00
|
$236.00
|
$90.00
|
$236.00
|
$153.00
|
2025-11-25
|
|
92597
|
CPT
|
Eval Fitting Pros Device
|
6
|
6
|
$315.00
|
$315.00
|
$48.00
|
$315.00
|
$152.50
|
2025-11-25
|
|
94668
|
CPT
|
Manip Chest Wall (Cpt) Subseq
|
6
|
6
|
$209.00
|
$209.00
|
$95.00
|
$209.00
|
$146.00
|
2025-11-25
|
|
17273
|
CPT
|
Cyclosporine, Modified 25mg
|
6
|
6
|
$1.00
|
$1.00
|
$1.00
|
$413.00
|
$145.00
|
2025-11-25
|
|
78130
|
CPT
|
Digoxin0.5mg/2ml
|
6
|
6
|
$5.00
|
$5.00
|
$4.00
|
$406.00
|
$145.00
|
2025-11-25
|
|
78120
|
CPT
|
Amoxicillin
|
6
|
6
|
$1.00
|
$1.00
|
$1.00
|
$406.00
|
$143.00
|
2025-11-25
|
|
92522
|
CPT
|
Eval Speech Sound Production
|
6
|
6
|
$236.00
|
$236.00
|
$76.00
|
$236.00
|
$142.50
|
2025-11-25
|
|
31720
|
CPT
|
Catheter Aspiration Nasotrache
|
6
|
6
|
$127.00
|
$127.00
|
$95.00
|
$223.00
|
$141.50
|
2025-11-25
|
|
PH002775
|
CDM
|
Pirfenidone
|
3
|
3
|
$176.00
|
$176.00
|
$132.00
|
$176.00
|
$141.00
|
2025-11-25
|
|
PH002663
|
CDM
|
Vancomycin/water For Inj (Peg)
|
4
|
4
|
$180.00
|
$180.00
|
$117.00
|
$180.00
|
$139.50
|
2025-11-25
|
|
97165
|
CPT
|
Ot Eval Low Complexity
|
6
|
6
|
$243.00
|
$243.00
|
$68.00
|
$243.00
|
$139.50
|
2025-11-25
|
|
97161
|
CPT
|
Pt Eval Low Complexity
|
6
|
6
|
$243.00
|
$243.00
|
$66.00
|
$243.00
|
$138.50
|
2025-11-25
|
|
97164
|
CPT
|
Physical Therapy Re-eval
|
6
|
6
|
$250.00
|
$250.00
|
$46.00
|
$250.00
|
$126.50
|
2025-11-25
|
|
PH002234
|
CDM
|
Acch Magic Butt Cream
|
4
|
4
|
$160.00
|
$160.00
|
$104.00
|
$160.00
|
$124.00
|
2025-11-25
|
|
PH000426
|
CDM
|
Dexmedetomidine 400mcg/100ml
|
4
|
4
|
$160.00
|
$160.00
|
$104.00
|
$160.00
|
$124.00
|
2025-11-25
|
|
PH001447
|
CDM
|
First Vanc 25-300
|
4
|
4
|
$157.00
|
$157.00
|
$102.00
|
$157.00
|
$122.00
|
2025-11-25
|
|
92524
|
CPT
|
Behav/qual Analysis Voice/res
|
6
|
6
|
$184.00
|
$184.00
|
$74.00
|
$184.00
|
$122.00
|
2025-11-25
|
|
PH001044
|
CDM
|
First Vanc 50-150 Kit
|
4
|
4
|
$153.00
|
$153.00
|
$99.00
|
$153.00
|
$118.50
|
2025-11-25
|
|
PH002654
|
CDM
|
Vancomycin 1.25g In Water 250m
|
4
|
4
|
$150.00
|
$150.00
|
$98.00
|
$150.00
|
$116.50
|
2025-11-25
|
|
67810
|
CPT
|
Lamisil At
|
6
|
6
|
$4.00
|
$4.00
|
$3.00
|
$323.00
|
$115.00
|
2025-11-25
|
|
57420
|
CPT
|
Nystop 60gm Pwd
|
6
|
6
|
$4.00
|
$4.00
|
$3.00
|
$310.00
|
$110.50
|
2025-11-25
|
|
92526
|
CPT
|
Tx Swallow Function
|
6
|
6
|
$184.00
|
$184.00
|
$57.00
|
$184.00
|
$109.50
|
2025-11-25
|
|
92507
|
CPT
|
Tx Speech/lang/voice
|
6
|
6
|
$184.00
|
$184.00
|
$52.00
|
$184.00
|
$106.00
|
2025-11-25
|
|
89220
|
CPT
|
Sputum Collectionaerosol
|
6
|
6
|
$89.00
|
$89.00
|
$67.00
|
$173.00
|
$105.00
|
2025-11-25
|
|
97127
|
CPT
|
Tx Interven Cognitive Fxn
|
3
|
3
|
$127.00
|
$127.00
|
$95.00
|
$127.00
|
$102.00
|
2025-11-25
|
|
36592
|
CPT
|
Blood Draw Estab Picc/pvc
|
6
|
6
|
$97.00
|
$97.00
|
$73.00
|
$135.00
|
$96.00
|
2025-11-25
|
|
97763
|
CPT
|
Ortho/pros Mgmt&train Subsq En
|
9
|
6
|
$181.00
|
$181.00
|
$33.00
|
$181.00
|
$96.00
|
2025-11-25
|
|
51726
|
CPT
|
Magnesium Sulf 4meq(500mg)/ml-
|
6
|
6
|
$7.00
|
$7.00
|
$5.00
|
$254.00
|
$92.50
|
2025-11-25
|
|
93005
|
CPT
|
ECG 12 Lead Tracing Only
|
6
|
6
|
$165.00
|
$165.00
|
$42.00
|
$165.00
|
$92.00
|
2025-11-25
|
|
96368
|
CPT
|
IV Infusion Concurrent
|
3
|
3
|
$112.00
|
$112.00
|
$84.00
|
$112.00
|
$90.00
|
2025-11-25
|
|
53600
|
CPT
|
Aluminum Hydroxide
|
6
|
6
|
$1.00
|
$1.00
|
$1.00
|
$254.00
|
$89.50
|
2025-11-25
|
|
70390
|
CPT
|
Amikacin 1gm/4ml
|
6
|
6
|
$7.00
|
$7.00
|
$5.00
|
$243.00
|
$88.50
|
2025-11-25
|
|
24500
|
CPT
|
Potassium Cit 540mg (5meq)
|
6
|
6
|
$1.00
|
$1.00
|
$1.00
|
$251.00
|
$88.50
|
2025-11-25
|
|
P9060
|
HCPCS
|
Ffp Donor Retest Ea Unit
|
6
|
6
|
$158.00
|
$158.00
|
$37.00
|
$158.00
|
$86.00
|
2025-11-25
|
|
31000
|
CPT
|
Daliresp
|
6
|
6
|
$1.00
|
$1.00
|
$1.00
|
$241.00
|
$85.00
|
2025-11-25
|
|
36600
|
CPT
|
Arterial Puncture
|
6
|
6
|
$74.00
|
$74.00
|
$56.00
|
$135.00
|
$84.50
|
2025-11-25
|
|
PH002675
|
CDM
|
Fentanyl/ns 100ml Premix
|
4
|
4
|
$97.00
|
$97.00
|
$63.00
|
$97.00
|
$75.50
|
2025-11-25
|
|
96372
|
CPT
|
Tx Injection Subq/im
|
6
|
6
|
$101.00
|
$101.00
|
$51.00
|
$101.00
|
$74.50
|
2025-11-25
|
|
82575
|
CPT
|
Creatinine Clearance Test
|
6
|
6
|
$184.00
|
$184.00
|
$7.00
|
$184.00
|
$73.50
|
2025-11-25
|
|
97760
|
CPT
|
Orthotic Mgmt 1st Enc Ea 15m
|
6
|
6
|
$137.00
|
$137.00
|
$31.00
|
$137.00
|
$73.50
|
2025-11-25
|
|
51798
|
CPT
|
Bladder Scan
|
6
|
6
|
$110.00
|
$110.00
|
$42.00
|
$110.00
|
$71.50
|
2025-11-25
|
|
97110
|
CPT
|
Physical Therapy, Therapeutic Exercise
|
6
|
6
|
$148.00
|
$148.00
|
$20.00
|
$148.00
|
$69.50
|
2025-11-25
|
|
97542
|
CPT
|
Wheelchair Management Ea 15m
|
6
|
6
|
$137.00
|
$137.00
|
$21.00
|
$137.00
|
$66.50
|
2025-11-25
|
|
97530
|
CPT
|
Ther Act For Func Perf Ea 15m
|
6
|
6
|
$124.00
|
$124.00
|
$24.00
|
$124.00
|
$63.50
|
2025-11-25
|
|
97140
|
CPT
|
Manual Therapy Ea 15m
|
6
|
6
|
$132.00
|
$132.00
|
$19.00
|
$132.00
|
$63.00
|
2025-11-25
|
|
97535
|
CPT
|
Adl Training Ea 15 Min
|
6
|
6
|
$124.00
|
$124.00
|
$22.00
|
$124.00
|
$62.00
|
2025-11-25
|
|
97112
|
CPT
|
Neuromusc Reed Ea 15m
|
6
|
6
|
$120.00
|
$120.00
|
$22.00
|
$120.00
|
$61.00
|
2025-11-25
|
|
97116
|
CPT
|
Gait Training Ea 15m
|
6
|
6
|
$121.00
|
$121.00
|
$20.00
|
$121.00
|
$59.50
|
2025-11-25
|
|
PH000984
|
CDM
|
Cubicin
|
4
|
4
|
$71.00
|
$71.00
|
$46.00
|
$71.00
|
$55.00
|
2025-11-25
|
|
97761
|
CPT
|
Prosthetic Trn 1st Enc Ea 15m
|
6
|
6
|
$95.00
|
$95.00
|
$27.00
|
$95.00
|
$55.00
|
2025-11-25
|
|
97035
|
CPT
|
Ultrasound Ea 15m
|
6
|
6
|
$116.00
|
$116.00
|
$10.00
|
$116.00
|
$50.50
|
2025-11-25
|
|
16936
|
CPT
|
Levemir
|
6
|
3
|
$65.00
|
$65.00
|
$5.00
|
$123.00
|
$49.50
|
2025-11-25
|
|
PH001070
|
CDM
|
Diprivan
|
4
|
4
|
$60.00
|
$60.00
|
$39.00
|
$60.00
|
$46.50
|
2025-11-25
|
|
97032
|
CPT
|
E Stim (Manual) Ea 15m
|
6
|
6
|
$102.00
|
$102.00
|
$10.00
|
$102.00
|
$45.50
|
2025-11-25
|
|
PH002433
|
CDM
|
Daptomycin 350mg
|
4
|
4
|
$49.00
|
$49.00
|
$32.00
|
$49.00
|
$38.00
|
2025-11-25
|
|
71101
|
CPT
|
Lyrica
|
6
|
6
|
$1.00
|
$1.00
|
$1.00
|
$106.00
|
$37.50
|
2025-11-25
|
|
31011
|
CPT
|
Sodium Zirconium Cyclosilicate
|
6
|
3
|
$47.50
|
$47.50
|
$1.00
|
$94.00
|
$36.00
|
2025-11-25
|
|
93750
|
CPT
|
Zonisamide
|
6
|
6
|
$1.00
|
$1.00
|
$1.00
|
$97.00
|
$34.50
|
2025-11-25
|
|
70300
|
CPT
|
Methylpred Acetate 40mg
|
6
|
6
|
$7.00
|
$7.00
|
$5.00
|
$88.00
|
$34.50
|
2025-11-25
|
|
90471
|
CPT
|
Prednisone 20mg
|
6
|
6
|
$1.00
|
$1.00
|
$1.00
|
$73.00
|
$26.00
|
2025-11-25
|
|
82803
|
CPT
|
Blood Gasesanalysis
|
9
|
6
|
$511.00
|
$511.00
|
$6.00
|
$511.00
|
$26.00
|
2025-11-25
|
|
28715
|
CPT
|
Humulin 70-30
|
6
|
3
|
$33.00
|
$33.00
|
$5.00
|
$59.00
|
$25.50
|
2025-11-25
|
|
P9047
|
HCPCS
|
Buminate
|
6
|
6
|
$7.00
|
$7.00
|
$5.00
|
$53.00
|
$22.00
|
2025-11-25
|
|
40916
|
CPT
|
Furosemide
|
6
|
3
|
$27.00
|
$27.00
|
$5.00
|
$47.00
|
$21.00
|
2025-11-25
|
|
82962
|
CPT
|
Blood Glucose By Monitor
|
6
|
6
|
$49.00
|
$49.00
|
$2.00
|
$49.00
|
$20.00
|
2025-11-25
|
|
40978
|
CPT
|
Dopamine Hcl/d5w 1600mcg/ml-25
|
6
|
3
|
$24.00
|
$24.00
|
$5.00
|
$41.00
|
$19.00
|
2025-11-25
|
|
36415
|
CPT
|
Venipuncture Venous Blood
|
6
|
6
|
$28.00
|
$28.00
|
$7.00
|
$28.00
|
$15.00
|
2025-11-25
|
|
PH000949
|
CDM
|
Methylprednisolone Sod Succ 12
|
4
|
4
|
$18.00
|
$18.00
|
$12.00
|
$18.00
|
$14.00
|
2025-11-25
|
|
PH000981
|
CDM
|
Etomidate 20mg/10ml
|
4
|
4
|
$18.00
|
$18.00
|
$12.00
|
$18.00
|
$14.00
|
2025-11-25
|
|
93292
|
CPT
|
Cyproheptadine Hcl 4mg Tab
|
6
|
6
|
$1.00
|
$1.00
|
$1.00
|
$38.00
|
$14.00
|
2025-11-25
|
|
93293
|
CPT
|
Methyldopa 250mg Tab
|
6
|
6
|
$1.00
|
$1.00
|
$1.00
|
$38.00
|
$14.00
|
2025-11-25
|
|
90099955
|
CDM
|
Tpn Electrolytes
|
3
|
3
|
$18.00
|
$18.00
|
$14.00
|
$18.00
|
$14.00
|
2025-11-25
|
|
82948
|
CPT
|
Reagent Strip/blood Glucose
|
6
|
6
|
$30.00
|
$30.00
|
$4.00
|
$30.00
|
$14.00
|
2025-11-25
|
|
26431
|
CPT
|
Cefazolin Sodium/dextrose2000m
|
6
|
3
|
$16.50
|
$16.50
|
$5.00
|
$26.00
|
$13.50
|
2025-11-25
|
|
40923
|
CPT
|
Dobutamine Hcl/d5w 500mg/250ml
|
6
|
3
|
$16.00
|
$16.00
|
$5.00
|
$25.00
|
$13.00
|
2025-11-25
|
|
90099989
|
CDM
|
Xopenex 1.25mg/0.5ml
|
3
|
3
|
$16.00
|
$16.00
|
$12.00
|
$16.00
|
$13.00
|
2025-11-25
|
|
70329
|
CPT
|
Vecuronium Bromide 10mg
|
3
|
3
|
$15.00
|
$15.00
|
$11.00
|
$15.00
|
$12.00
|
2025-11-25
|
|
90011
|
CPT
|
Solu-cortef*100/2
|
3
|
3
|
$12.00
|
$12.00
|
$9.00
|
$12.00
|
$10.00
|
2025-11-25
|
|
90099388
|
CDM
|
Sterile Water Irrig
|
3
|
3
|
$13.00
|
$13.00
|
$10.00
|
$13.00
|
$10.00
|
2025-11-25
|
|
PH001224
|
CDM
|
Solu-medrol 40mg*
|
4
|
4
|
$11.00
|
$11.00
|
$7.00
|
$11.00
|
$8.50
|
2025-11-25
|
|
PH002460
|
CDM
|
Triple Ingredient Magic Cream
|
3
|
3
|
$10.00
|
$10.00
|
$8.00
|
$10.00
|
$8.00
|
2025-11-25
|
|
PH000026
|
CDM
|
Protonix IV
|
4
|
4
|
$10.00
|
$10.00
|
$7.00
|
$10.00
|
$8.00
|
2025-11-25
|
|
90460
|
CPT
|
Citalopram Hydrobromide 20mg
|
6
|
6
|
$1.00
|
$1.00
|
$1.00
|
$22.00
|
$8.00
|
2025-11-25
|
|
16800
|
CPT
|
Gentamicin Sulfate
|
6
|
3
|
$8.00
|
$8.00
|
$3.00
|
$12.00
|
$6.50
|
2025-11-25
|
|
31002
|
CPT
|
Seroquel
|
6
|
3
|
$8.50
|
$8.50
|
$1.00
|
$16.00
|
$6.50
|
2025-11-25
|
|
40946
|
CPT
|
Fluconazole/ns 200mg Ivpb
|
3
|
3
|
$7.00
|
$7.00
|
$5.00
|
$7.00
|
$6.00
|
2025-11-25
|
|
40943
|
CPT
|
Diltiazem Hcl 100mg Add
|
3
|
3
|
$7.00
|
$7.00
|
$5.00
|
$7.00
|
$6.00
|
2025-11-25
|
|
40942
|
CPT
|
Lidocaine Hcl/pf 4%
|
3
|
3
|
$7.00
|
$7.00
|
$5.00
|
$7.00
|
$6.00
|
2025-11-25
|
|
40940
|
CPT
|
Cupric Chloride 4mg/10ml Vial
|
3
|
3
|
$7.00
|
$7.00
|
$5.00
|
$7.00
|
$6.00
|
2025-11-25
|