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

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Hospital

NORTHWOOD DEACONESS HEALTH CENTER

Northwood, ND · CCN 351312 · Rates published

1,504 distinct procedures filed
12 distinct payers
24,298 rate rows
2026-07-15 last MRF observed
Data quality

23,479 of 24,298 rate rows are consumer-grade (96.6%)

819 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
placeholder amount (≤ $0.02) — excluded from medians 720
percent-of-charges filed in the dollar field — excluded from medians 96
exceeds 10× this hospital's gross charge — excluded from medians 3
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://bc8c8f2c-827c-4cc9-a491-1bd43be631b9.usrfiles.com/ugd/bc8c8f_ff3710e97c6749a4a41b65041f63f9a1.csv
Found on page https://www.ndhc.net/financial-services
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-10-01
Content fingerprint ced5ec16089c827e… · 8,136,465 bytes · first seen 2026-05-18

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
J2506
HCPCS 		Pegfilgrastim Soln Prefilled Syringe 6 Mg/0.6ml 12 $4,779.78 $9,000.33 $8,257.58 nat. median
$916
outlier · 9.0×
J3101
HCPCS 		Tenecteplase For IV Soln Kit 50 Mg 12 $4,238.13 $7,980.39 $7,321.81 nat. median
$498
outlier · 14.7×
J3245
HCPCS 		Pr Ilumya 12 $106.67 $19,537.25 $5,288.23 nat. median
$217
outlier · 24.4×
J2182
HCPCS 		Mepolizumab Subcutaneous Solution Pref Syringe 100 Mg/ml 12 $2,534.73 $4,772.89 $4,379.01 nat. median
$80
outlier · 55.0×
70549
HCPCS 		Hc MRA Neck W/wo Dye 12 $2,472.99 $4,656.63 $4,272.34 nat. median
$606
outlier · 7.1×
J1568
HCPCS 		Immune Globulin (Human) IV Soln 20 Gm/200ml 12 $2,263.06 $6,373.46 $4,172.47 nat. median
$383
outlier · 10.9×
J1437
HCPCS 		Ferric Derisomaltose (One Dose) IV Sol 1000 Mg/10ml (Fe Eq) 12 $2,296.03 $4,323.43 $3,966.64 nat. median
$41
outlier · 96.5×
37609
HCPCS 		Hc Temporal Artery Procedure 12 $1,952.24 $3,676.07 $3,372.70 nat. median
$1,943
1.7× median
46220
HCPCS 		Hc Remove Anal Tag 12 $1,952.24 $3,676.07 $3,372.70 nat. median
$1,320
outlier · 2.6×
73723
HCPCS 		Hc MRI Lower Ext Joint W/wo Dye 12 $1,952.24 $3,676.07 $3,372.70 nat. median
$756
outlier · 4.5×
Q5122
HCPCS 		Pegfilgrastim-apgf Soln Prefilled Syringe 6 Mg/0.6ml 12 $1,884.52 $3,548.56 $3,255.72 nat. median
$487
outlier · 6.7×
38221
HCPCS 		Hc Bone Marrow Biopsy 12 $1,822.06 $3,430.93 $3,147.80 nat. median
$1,664
1.9× median
54065
HCPCS 		Pr Dstrj Lesion Penis Extensive 12 $1,736.18 $3,269.22 $2,999.43 nat. median
$1,959
1.5× median
73220
HCPCS 		Hc MRI-upper Ext W/wo Dye 12 $1,690.23 $3,182.70 $2,920.05 nat. median
$737
outlier · 4.0×
73223
HCPCS 		Hc MRI Upper Ext Joint W/wo Dye 12 $1,690.23 $3,182.70 $2,920.05 nat. median
$757
outlier · 3.9×
36476
HCPCS 		Hc Endovenous Rf,vein Add-on 12 $1,690.23 $3,182.70 $2,920.05 nat. median
$1,400
outlier · 2.1×
70548
HCPCS 		Hc MRA Neck With Contrast 12 $1,690.23 $3,182.70 $2,920.05 nat. median
$544
outlier · 5.4×
J3358
HCPCS 		Ustekinumab IV Soln 130 Mg/26ml (5 Mg/ml) (For IV Infusion) 12 $1,652.36 $3,111.39 $2,854.62 nat. median
$38
outlier · 75.3×
70544
HCPCS 		Hc MRA Head Without Contrast 12 $1,627.33 $3,064.25 $2,811.38 nat. median
$435
outlier · 6.5×
70547
HCPCS 		Hc MRA Neck Without Contrast 12 $1,627.33 $3,064.25 $2,811.38 nat. median
$402
outlier · 7.0×
74182
HCPCS 		Hc MRI Abdomen With Contrast 12 $1,586.30 $2,987.00 $2,740.50 nat. median
$580
outlier · 4.7×
74174
HCPCS 		Hc CTA Abdomen/pelvis W/contrast 12 $1,577.55 $2,970.52 $2,725.38 nat. median
$549
outlier · 5.0×
36482
HCPCS 		Hc Endoven Ablti Ther Chem Adhesive 1st Vein 12 $263.65 $8,755.00 $2,572.98 nat. median
$6,090
outlier · 0.4×
45388
HCPCS 		Hc Colonoscopy W/ablation 12 $1,171.13 $4,869.84 $2,395.72 nat. median
$1,618
1.5× median
J0897
HCPCS 		Denosumab Inj 120 Mg/1.7ml 12 $1,322.29 $3,376.50 $2,356.91 nat. median
$86
outlier · 27.4×
27752
HCPCS 		Pr Cltx Tibial Shaft Fx W/manj W/wo Skel Tracj 12 $1,301.31 $2,450.37 $2,248.16 nat. median
$1,893
1.2× median
A0433
HCPCS 		Hc Als 2 12 $1,287.09 $2,423.59 $2,223.59 nat. median
$783
outlier · 2.8×
J2315
HCPCS 		Naltrexone For IM Extended Release Susp 380 Mg 12 $1,211.12 $2,280.54 $2,092.34 nat. median
$5
outlier · 422.7×
1210000
OTHER 		Hc Room & Nursing Sp 12 $1,728.00 $2,881.00 $2,052.00 —
Q5108
HCPCS 		Pegfilgrastim-jmdb Soln Prefilled Syringe 6 Mg/0.6ml 12 $1,183.36 $2,228.26 $2,044.38 nat. median
$418
outlier · 4.9×
59426
HCPCS 		Pr Antepartum Care Only 7/> Visits 12 $1,139.40 $2,145.49 $1,968.43 nat. median
$1,292
1.5× median
73719
HCPCS 		Hc Lower Ext With Contrast 12 $1,132.84 $2,133.13 $1,957.10 nat. median
$575
outlier · 3.4×
36473
HCPCS 		Hc Endoven Abltj Incmptnt Vein Mchnchem 1st Vein 12 $267.48 $6,365.40 $1,942.07 nat. median
$3,234
0.6× median
43249
HCPCS 		Pr Egd Balloon Dilation Esophagus <30 Mm Diam 12 $266.39 $3,064.25 $1,920.96 nat. median
$1,996
1.0× median
J7686
HCPCS 		Treprostinil Inhalation Solution 0.6 Mg/ml 12 $1,094.82 $2,061.53 $1,891.41 nat. median
$927
outlier · 2.0×
70491
HCPCS 		Hc CT Soft Tissue Neck With Contrast 12 $1,085.80 $2,044.55 $1,875.83 nat. median
$327
outlier · 5.7×
J2997
HCPCS 		Alteplase For Inj 2 Mg 12 $164.61 $6,354.84 $1,842.41 nat. median
$428
outlier · 4.3×
70481
HCPCS 		Hc CT Orbits/fossa/sella/iac With Contrast 12 $1,040.94 $1,960.09 $1,798.34 nat. median
$332
outlier · 5.4×
73702
HCPCS 		Hc CT Lower Extrem W/wo Dye 12 $1,040.94 $1,960.09 $1,798.34 nat. median
$369
outlier · 4.9×
74176
HCPCS 		Hc CT Abd/pelvis Without Contrast 12 $1,022.89 $1,926.10 $1,767.15 nat. median
$333
outlier · 5.3×
L3905
HCPCS 		Nd Wh Ortho,dynamic,custom,jts 12 $1,001.01 $1,884.90 $1,729.35 nat. median
$1,068
1.6× median
72128
HCPCS 		Hc CT Spine Thoracic Without Contrast 12 $980.77 $1,846.79 $1,694.38 nat. median
$213
outlier · 7.9×
72197
HCPCS 		Hc MRI Pelvis W/wo Dye 12 $519.65 $4,528.91 $1,691.83 nat. median
$606
outlier · 2.8×
72194
HCPCS 		Hc CT Pelvis W/wo Dye 12 $976.39 $1,838.55 $1,686.83 nat. median
$337
outlier · 5.0×
72157
HCPCS 		Hc MRI T-spine W/wo Dye 12 $519.65 $4,500.07 $1,684.17 nat. median
$624
outlier · 2.7×
72156
HCPCS 		Hc MRI C-spine W/wo Dye 12 $519.65 $4,500.07 $1,684.17 nat. median
$625
outlier · 2.7×
72158
HCPCS 		Hc MRI L-spine W/wo Dye 12 $519.65 $4,500.07 $1,684.17 nat. median
$616
outlier · 2.7×
74183
HCPCS 		Hc MRI Abdomen W/wo Dye 12 $519.65 $4,331.15 $1,639.32 nat. median
$611
outlier · 2.7×
12037
HCPCS 		Hc Layr Clos Wnd Trunk,arm,leg >30cm 12 $530.59 $4,288.92 $1,638.41 nat. median
$1,899
0.9× median
70553
HCPCS 		Hc MRI-brain W/wo Dye 12 $519.65 $4,237.42 $1,614.43 nat. median
$616
outlier · 2.6×

Other procedures at this hospital

Browse this hospital's 1,504 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J2506 HCPCS Pegfilgrastim Soln Prefilled Syringe 6 Mg/0.6ml 12 12 $8,738.18 $6,990.54 20% off $4,779.78 $9,000.33 $8,257.58 2026-07-15
J3101 HCPCS Tenecteplase For IV Soln Kit 50 Mg 12 12 $7,747.95 $6,198.36 20% off $4,238.13 $7,980.39 $7,321.81 2026-07-15
J3245 HCPCS Pr Ilumya 24 12 $9,581.60 $7,665.28 20% off $106.67 $19,537.25 $5,288.23 2026-07-15
J2182 HCPCS Mepolizumab Subcutaneous Solution Pref Syringe 100 Mg/ml 12 12 $4,633.87 $3,707.10 $2,534.73 $4,772.89 $4,379.01 2026-07-15
70549 HCPCS Hc MRA Neck W/wo Dye 12 12 $4,521.00 $3,616.80 $2,472.99 $4,656.63 $4,272.34 2026-07-15
J1568 HCPCS Immune Globulin (Human) IV Soln 20 Gm/200ml 24 12 $5,162.52 $4,130.02 $2,263.06 $6,373.46 $4,172.47 2026-07-15
J1437 HCPCS Ferric Derisomaltose (One Dose) IV Sol 1000 Mg/10ml (Fe Eq) 12 12 $4,197.50 $3,358.00 20% off $2,296.03 $4,323.43 $3,966.64 2026-07-15
73723 HCPCS Hc MRI Lower Ext Joint W/wo Dye 12 12 $3,569.00 $2,855.20 20% off $1,952.24 $3,676.07 $3,372.70 2026-07-15
46220 HCPCS Hc Remove Anal Tag 12 12 $3,569.00 $2,855.20 20% off $1,952.24 $3,676.07 $3,372.70 2026-07-15
37609 HCPCS Hc Temporal Artery Procedure 12 12 $3,569.00 $2,855.20 20% off $1,952.24 $3,676.07 $3,372.70 2026-07-15
Q5122 HCPCS Pegfilgrastim-apgf Soln Prefilled Syringe 6 Mg/0.6ml 12 12 $3,445.20 $2,756.16 20% off $1,884.52 $3,548.56 $3,255.72 2026-07-15
38221 HCPCS Hc Bone Marrow Biopsy 12 12 $3,331.00 $2,664.80 $1,822.06 $3,430.93 $3,147.80 2026-07-15
54065 HCPCS Pr Dstrj Lesion Penis Extensive 12 12 $3,174.00 $2,539.20 20% off $1,736.18 $3,269.22 $2,999.43 2026-07-15
73220 HCPCS Hc MRI-upper Ext W/wo Dye 12 12 $3,090.00 $2,472.00 20% off $1,690.23 $3,182.70 $2,920.05 2026-07-15
73223 HCPCS Hc MRI Upper Ext Joint W/wo Dye 12 12 $3,090.00 $2,472.00 20% off $1,690.23 $3,182.70 $2,920.05 2026-07-15
36476 HCPCS Hc Endovenous Rf,vein Add-on 12 12 $3,090.00 $2,472.00 20% off $1,690.23 $3,182.70 $2,920.05 2026-07-15
70548 HCPCS Hc MRA Neck With Contrast 12 12 $3,090.00 $2,472.00 20% off $1,690.23 $3,182.70 $2,920.05 2026-07-15
J3358 HCPCS Ustekinumab IV Soln 130 Mg/26ml (5 Mg/ml) (For IV Infusion) 12 12 $3,020.77 $2,416.62 $1,652.36 $3,111.39 $2,854.62 2026-07-15
70547 HCPCS Hc MRA Neck Without Contrast 12 12 $2,975.00 $2,380.00 20% off $1,627.33 $3,064.25 $2,811.38 2026-07-15
70544 HCPCS Hc MRA Head Without Contrast 12 12 $2,975.00 $2,380.00 20% off $1,627.33 $3,064.25 $2,811.38 2026-07-15
74182 HCPCS Hc MRI Abdomen With Contrast 12 12 $2,900.00 $2,320.00 20% off $1,586.30 $2,987.00 $2,740.50 2026-07-15
74174 HCPCS Hc CTA Abdomen/pelvis W/contrast 12 12 $2,884.00 $2,307.20 20% off $1,577.55 $2,970.52 $2,725.38 2026-07-15
36482 HCPCS Hc Endoven Ablti Ther Chem Adhesive 1st Vein 24 12 $4,491.00 $3,592.80 20% off $263.65 $8,755.00 $2,572.98 2026-07-15
45388 HCPCS Hc Colonoscopy W/ablation 24 12 $3,434.50 $2,747.60 $1,171.13 $4,869.84 $2,395.72 2026-07-15
J0897 HCPCS Denosumab Inj 120 Mg/1.7ml 24 12 $2,847.76 $2,278.20 $1,322.29 $3,376.50 $2,356.91 2026-07-15
27752 HCPCS Pr Cltx Tibial Shaft Fx W/manj W/wo Skel Tracj 12 12 $2,379.00 $1,903.20 20% off $1,301.31 $2,450.37 $2,248.16 2026-07-15
A0433 HCPCS Hc Als 2 12 12 $2,353.00 $1,882.40 $1,287.09 $2,423.59 $2,223.59 2026-07-15
J2315 HCPCS Naltrexone For IM Extended Release Susp 380 Mg 12 12 $2,214.12 $1,771.30 $1,211.12 $2,280.54 $2,092.34 2026-07-15
1210000 OTHER Hc Room & Nursing Sp 12 12 $2,160.00 $1,728.00 20% off $1,728.00 $2,881.00 $2,052.00 2026-07-15
Q5108 HCPCS Pegfilgrastim-jmdb Soln Prefilled Syringe 6 Mg/0.6ml 12 12 $2,163.36 $1,730.69 $1,183.36 $2,228.26 $2,044.38 2026-07-15
59426 HCPCS Pr Antepartum Care Only 7/> Visits 12 12 $2,083.00 $1,666.40 $1,139.40 $2,145.49 $1,968.43 2026-07-15
73719 HCPCS Hc Lower Ext With Contrast 12 12 $2,071.00 $1,656.80 20% off $1,132.84 $2,133.13 $1,957.10 2026-07-15
36473 HCPCS Hc Endoven Abltj Incmptnt Vein Mchnchem 1st Vein 24 12 $3,334.50 $2,667.60 20% off $267.48 $6,365.40 $1,942.07 2026-07-15
43249 HCPCS Pr Egd Balloon Dilation Esophagus <30 Mm Diam 36 12 $2,088.00 $1,670.40 $266.39 $3,064.25 $1,920.96 2026-07-15
J7686 HCPCS Treprostinil Inhalation Solution 0.6 Mg/ml 12 12 $2,001.49 $1,601.19 20% off $1,094.82 $2,061.53 $1,891.41 2026-07-15
70491 HCPCS Hc CT Soft Tissue Neck With Contrast 12 12 $1,985.00 $1,588.00 20% off $1,085.80 $2,044.55 $1,875.83 2026-07-15
J2997 HCPCS Alteplase For Inj 2 Mg 24 12 $3,235.35 $2,588.28 20% off $164.61 $6,354.84 $1,842.41 2026-07-15
70481 HCPCS Hc CT Orbits/fossa/sella/iac With Contrast 12 12 $1,903.00 $1,522.40 $1,040.94 $1,960.09 $1,798.34 2026-07-15
73702 HCPCS Hc CT Lower Extrem W/wo Dye 12 12 $1,903.00 $1,522.40 $1,040.94 $1,960.09 $1,798.34 2026-07-15
74176 HCPCS Hc CT Abd/pelvis Without Contrast 12 12 $1,870.00 $1,496.00 20% off $1,022.89 $1,926.10 $1,767.15 2026-07-15
L3905 HCPCS Nd Wh Ortho,dynamic,custom,jts 12 12 $1,830.00 $1,464.00 20% off $1,001.01 $1,884.90 $1,729.35 2026-07-15
72128 HCPCS Hc CT Spine Thoracic Without Contrast 12 12 $1,793.00 $1,434.40 $980.77 $1,846.79 $1,694.38 2026-07-15
72197 HCPCS Hc MRI Pelvis W/wo Dye 24 12 $2,673.50 $2,138.80 $519.65 $4,528.91 $1,691.83 2026-07-15
72194 HCPCS Hc CT Pelvis W/wo Dye 12 12 $1,785.00 $1,428.00 20% off $976.39 $1,838.55 $1,686.83 2026-07-15
72158 HCPCS Hc MRI L-spine W/wo Dye 24 12 $2,659.50 $2,127.60 20% off $519.65 $4,500.07 $1,684.17 2026-07-15
72157 HCPCS Hc MRI T-spine W/wo Dye 24 12 $2,659.50 $2,127.60 20% off $519.65 $4,500.07 $1,684.17 2026-07-15
72156 HCPCS Hc MRI C-spine W/wo Dye 24 12 $2,659.50 $2,127.60 20% off $519.65 $4,500.07 $1,684.17 2026-07-15
74183 HCPCS Hc MRI Abdomen W/wo Dye 24 12 $2,577.50 $2,062.00 20% off $519.65 $4,331.15 $1,639.32 2026-07-15
12037 HCPCS Hc Layr Clos Wnd Trunk,arm,leg >30cm 24 12 $2,567.00 $2,053.60 20% off $530.59 $4,288.92 $1,638.41 2026-07-15
70553 HCPCS Hc MRI-brain W/wo Dye 24 12 $2,532.00 $2,025.60 20% off $519.65 $4,237.42 $1,614.43 2026-07-15
87902 HCPCS Nd Hep C Genotype 12 12 $1,704.00 $1,363.20 20% off $932.09 $1,755.12 $1,610.28 2026-07-15
L3730 HCPCS Nd Eo,hinge,flexion/ext Assist 12 12 $1,655.00 $1,324.00 20% off $905.28 $1,704.65 $1,563.97 2026-07-15
45398 HCPCS Hc Colonoscopy W/band Ligation 24 12 $1,863.50 $1,490.80 20% off $867.54 $2,205.23 $1,546.35 2026-07-15
43270 HCPCS Hc Egd Lesion Ablation 24 12 $2,193.00 $1,754.40 $771.82 $3,064.25 $1,540.33 2026-07-15
72131 HCPCS Hc CT Spine Lumbar Without Contrast 12 12 $1,612.00 $1,289.60 20% off $881.76 $1,660.36 $1,523.34 2026-07-15
72125 HCPCS Hc CT Spine Cervical Without Contrast 12 12 $1,612.00 $1,289.60 20% off $881.76 $1,660.36 $1,523.34 2026-07-15
0202U OTHER Nd Respiratory Pathegen 20 Targets 12 12 $1,610.00 $1,288.00 20% off $880.67 $1,658.30 $1,521.45 2026-07-15
A0427 HCPCS Hc Als 1 ER 12 12 $1,607.00 $1,285.60 20% off $879.03 $1,655.21 $1,518.62 2026-07-15
73200 HCPCS Hc CT Upper Extrem Without Contrast 12 12 $1,565.00 $1,252.00 20% off $856.05 $1,611.95 $1,478.92 2026-07-15
25605 HCPCS Pr Cltx Dstl Rdl Fx/epiphysl Sep W/mnpj 12 12 $1,554.00 $1,243.20 20% off $850.04 $1,600.62 $1,468.53 2026-07-15
73720 HCPCS Hc MRI-lower Ext W/wo Dye 24 12 $2,259.50 $1,807.60 20% off $519.65 $3,676.07 $1,465.37 2026-07-15
73701 HCPCS Hc CT Lower Extrem With Contrast 12 12 $1,545.00 $1,236.00 20% off $845.12 $1,591.35 $1,460.03 2026-07-15
12047 HCPCS Hc Layr Clos Wnd Rest Body >30cm 24 12 $2,153.00 $1,722.40 $619.75 $3,268.19 $1,451.31 2026-07-15
74178 HCPCS Hc CT Abd/pelvis W/o&w Contrast 24 12 $2,224.00 $1,779.20 20% off $519.65 $3,602.94 $1,445.95 2026-07-15
43255 HCPCS Hc Upper Gi Endoscopy,ctrl Bleed 24 12 $2,092.50 $1,674.00 20% off $661.87 $3,064.25 $1,436.82 2026-07-15
70543 HCPCS Hc MRI Orbit/face/neck W/wo Dye 24 12 $2,200.50 $1,760.40 $519.65 $3,554.53 $1,433.10 2026-07-15
74160 HCPCS Hc CT Abd With Contrast 12 12 $1,499.00 $1,199.20 20% off $819.95 $1,543.97 $1,416.55 2026-07-15
73201 HCPCS Hc CT Upper Extrem With Contrast 12 12 $1,487.00 $1,189.60 20% off $813.39 $1,531.61 $1,405.22 2026-07-15
J7307 HCPCS Etonogestrel Subdermal Implant 68 Mg 36 12 $1,546.96 $1,237.57 $731.04 $1,640.79 $1,384.40 2026-07-15
71250 HCPCS Hc CT Thorax Wo Contrast 12 12 $1,452.00 $1,161.60 20% off $794.24 $1,495.56 $1,372.14 2026-07-15
C8929 HCPCS Hc Tte W/wo Fol W/con Doppler 12 12 $1,430.00 $1,144.00 20% off $782.21 $1,472.90 $1,351.35 2026-07-15
70488 HCPCS Hc CT Maxilofacial W/wo Dye 12 12 $1,428.00 $1,142.40 $781.12 $1,470.84 $1,349.46 2026-07-15
25565 HCPCS Pr Closed Tx Radial&ulnar Shaft Fractures W/mnpj 12 12 $1,420.00 $1,136.00 20% off $776.74 $1,462.60 $1,341.90 2026-07-15
26765 HCPCS Pr Open Tx Distal Phalangeal Fracture Each 12 12 $1,406.00 $1,124.80 20% off $769.08 $1,448.18 $1,328.67 2026-07-15
74177 HCPCS Hc CT Abd/pelvis W/contrast 24 12 $1,993.50 $1,594.80 20% off $519.65 $3,128.11 $1,319.87 2026-07-15
70470 HCPCS Hc CT Brain W/wo Dye 12 12 $1,395.00 $1,116.00 20% off $763.07 $1,436.85 $1,318.28 2026-07-15
72146 HCPCS Hc MRI-t-spine Without Contrast 24 12 $1,985.50 $1,588.40 $519.65 $3,111.63 $1,315.49 2026-07-15
81265 HCPCS Nd "pr Comparative Analysis,str" 12 12 $1,384.00 $1,107.20 $757.05 $1,425.52 $1,307.88 2026-07-15
45382 HCPCS Hc Colonoscopy-control Bleeding 24 12 $1,712.00 $1,369.60 20% off $701.80 $2,205.23 $1,302.24 2026-07-15
73700 HCPCS Hc CT Lower Extrem Without Contrast 12 12 $1,361.00 $1,088.80 20% off $744.47 $1,401.83 $1,286.14 2026-07-15
36483 HCPCS Hc Endoven Abliti Ther Chem Adhesive Sbsq Vein 24 12 $2,244.50 $1,795.60 $130.73 $4,377.50 $1,285.46 2026-07-15
A0429 HCPCS Hc Bls,er 12 12 $1,352.00 $1,081.60 20% off $739.54 $1,392.56 $1,277.64 2026-07-15
74185 HCPCS Hc MRA Abdomen W/wo Dye 24 12 $1,902.50 $1,522.00 20% off $519.65 $2,940.65 $1,270.09 2026-07-15
70551 HCPCS Hc MRI-brain/brain Stem 24 12 $1,857.00 $1,485.60 20% off $519.65 $2,846.92 $1,245.20 2026-07-15
27818 HCPCS Pr Cltx Trimalleolar Ankle Fx W/manipulation 12 12 $1,309.00 $1,047.20 $716.02 $1,348.27 $1,237.01 2026-07-15
72195 HCPCS Hc MRI Pelvis Wo Dye 24 12 $1,834.50 $1,467.60 20% off $519.65 $2,800.57 $1,232.89 2026-07-15
73218 HCPCS Hc MRI Upper Ext Without Contrast 24 12 $1,813.50 $1,450.80 20% off $519.65 $2,757.31 $1,221.41 2026-07-15
95811 HCPCS Hc Polysomnogram;sleep Stg;4+cpap 24 12 $1,573.50 $1,258.80 20% off $656.40 $2,005.41 $1,218.00 2026-07-15
95810 HCPCS Hc Polysomnogram;sleep Stg;4+ 24 12 $1,573.50 $1,258.80 20% off $656.40 $2,005.41 $1,218.00 2026-07-15
71275 HCPCS Hc CTA Chest 24 12 $1,751.50 $1,401.20 20% off $519.65 $2,629.59 $1,187.49 2026-07-15
72192 HCPCS Hc CT Pelvis Without Contrast 12 12 $1,249.00 $999.20 $683.20 $1,286.47 $1,180.30 2026-07-15
L3763 HCPCS Nd Ewho Custom Rigid Without Jnts 12 12 $1,240.00 $992.00 20% off $678.28 $1,277.20 $1,171.80 2026-07-15
23655 HCPCS Hc Closed Rx Shldr Disloc,anesthesia 24 12 $1,695.00 $1,356.00 20% off $553.02 $2,450.37 $1,171.32 2026-07-15
72141 HCPCS Hc MRI-c-spine Without Contrast 24 12 $1,716.50 $1,373.20 20% off $519.65 $2,557.49 $1,168.35 2026-07-15
72148 HCPCS Hc MRI-l-spine Without Contrast 24 12 $1,686.00 $1,348.80 20% off $519.65 $2,494.66 $1,151.66 2026-07-15
81261 HCPCS Nd Igh Gene Rearrangement; Amplified Method 12 12 $1,211.00 $968.80 20% off $662.42 $1,247.33 $1,144.39 2026-07-15
74181 HCPCS Hc MRI-abdomen Without Contrast 24 12 $1,664.50 $1,331.60 20% off $519.65 $2,450.37 $1,139.90 2026-07-15
73721 HCPCS Hc MRI-lower Ext Joint Without Contrast 24 12 $1,654.00 $1,323.20 20% off $519.65 $2,428.74 $1,134.16 2026-07-15
J3424 HCPCS Hydroxocobalamin (Antidote) For IV Soln 5 Gm 12 12 $1,198.72 $958.98 $655.70 $1,234.68 $1,132.79 2026-07-15
73221 HCPCS Hc MRI-upper Ext Joint Without Contrast 24 12 $1,638.50 $1,310.80 20% off $519.65 $2,396.81 $1,125.68 2026-07-15
59425 HCPCS Pr Antepartum Care Only 4-6 Visits 12 12 $1,190.00 $952.00 20% off $650.93 $1,225.70 $1,124.55 2026-07-15
70486 HCPCS Hc CT Facial Bones Without Contrast 12 12 $1,190.00 $952.00 20% off $650.93 $1,225.70 $1,124.55 2026-07-15
70487 HCPCS Hc CT Maxilofacial With Contrast 12 12 $1,190.00 $952.00 20% off $650.93 $1,225.70 $1,124.55 2026-07-15
70490 HCPCS Hc CT Soft Tissue Neck Without Contrast 12 12 $1,190.00 $952.00 20% off $650.93 $1,225.70 $1,124.55 2026-07-15
70450 HCPCS Hc CT Brain Without Contrast 12 12 $1,189.00 $951.20 $650.38 $1,224.67 $1,123.61 2026-07-15
72132 HCPCS Hc CT Spine Lumbar With Contrast 12 12 $1,180.00 $944.00 20% off $645.46 $1,215.40 $1,115.10 2026-07-15
43245 HCPCS Pr Egd Dilation Gastric/duodenal Stricture 36 12 $1,147.00 $917.60 20% off $266.39 $3,064.25 $1,083.91 2026-07-15
70492 HCPCS Hc CT Soft Tissue Neck W/wo Dye 24 12 $1,553.00 $1,242.40 $519.65 $2,220.68 $1,078.91 2026-07-15
43250 HCPCS Hc Upper Gi Endoscopy,tumor 24 12 $1,731.00 $1,384.80 $266.39 $3,064.25 $1,064.47 2026-07-15
70552 HCPCS Hc MRI-brain/brain Stem 24 12 $1,498.00 $1,198.40 $519.65 $2,107.38 $1,048.83 2026-07-15
99291 HCPCS Hc Critical Care 1st Hour 24 12 $1,425.00 $1,140.00 20% off $563.41 $1,874.60 $1,045.45 2026-07-15
71270 HCPCS Hc CT Thorax W+wo Contrast 24 12 $1,489.00 $1,191.20 $519.65 $2,088.84 $1,043.91 2026-07-15
73718 HCPCS Hc MRI Lower Ext Without Contrast 24 12 $1,474.00 $1,179.20 $519.65 $2,057.94 $1,035.70 2026-07-15
71260 HCPCS Hc CT Thorax W Contrast 24 12 $1,472.50 $1,178.00 20% off $519.65 $2,054.85 $1,034.88 2026-07-15
93971 HCPCS Hc Unilat/ltd Venous 12 12 $1,089.00 $871.20 $595.68 $1,121.67 $1,029.11 2026-07-15
93976 HCPCS Hc Duplex Abd Organ Follow Up 12 12 $1,079.00 $863.20 $590.21 $1,111.37 $1,019.65 2026-07-15
11646 HCPCS Pr Excision Malignant Lesion F/e/e/n/l >4.0 Cm 24 12 $1,173.00 $938.40 $573.26 $1,336.94 $1,017.00 2026-07-15
93306 HCPCS Hc Tte W/doppler Complete 12 12 $1,063.00 $850.40 20% off $581.46 $1,094.89 $1,004.54 2026-07-15
P9040 HCPCS Nd Blood Processing Per Unit Irr Leuko Redu 12 12 $1,057.00 $845.60 20% off $578.18 $1,088.71 $998.87 2026-07-15
81264 HCPCS Nd Igk Gene Rearrangement Analysis 12 12 $1,057.00 $845.60 20% off $578.18 $1,088.71 $998.87 2026-07-15
93925 HCPCS Hc Duplex Lower Extremity 12 12 $1,050.00 $840.00 20% off $574.35 $1,081.50 $992.25 2026-07-15
74150 HCPCS Hc CT Abd Without Contrast 12 12 $1,046.00 $836.80 20% off $572.16 $1,077.38 $988.47 2026-07-15
J7298 HCPCS Levonorgestrel IUD 20 Mcg/day (Initial) (52 Mg Total) 24 12 $1,044.97 $835.98 $563.41 $1,091.75 $978.50 2026-07-15
36474 HCPCS Hc Endoven Abltj Incmptnt Vein Mchnchem Sbsq Veins 24 12 $1,674.00 $1,339.20 20% off $141.13 $3,182.70 $977.99 2026-07-15
74170 HCPCS Hc CT Abd W/wo Dye 24 12 $1,367.50 $1,094.00 20% off $519.65 $1,838.55 $977.44 2026-07-15
36589 HCPCS Hc Remove Cv Access Device Without Port 12 12 $1,030.00 $824.00 20% off $563.41 $1,060.90 $973.35 2026-07-15
J7300 HCPCS Pr Intraut Copper Contraceptive 12 12 $1,030.00 $824.00 20% off $563.41 $1,060.90 $973.35 2026-07-15
72193 HCPCS Hc CT Pelvis With Contrast 24 12 $1,230.50 $984.40 20% off $519.65 $1,556.33 $964.25 2026-07-15
36475 HCPCS Pr Endoven Abltj Incmptnt Vein Xtr Rf 1st Vein 48 12 $1,406.50 $1,125.20 $183.25 $6,365.40 $956.04 2026-07-15
26641 HCPCS Pr Cltx Carpo/metacarpal Dislocation Thumb W/manj 12 12 $1,011.00 $808.80 20% off $553.02 $1,041.33 $955.39 2026-07-15
23505 HCPCS Pr Clsd Tx Clavicular Fracture W/manipulation 12 12 $1,002.00 $801.60 20% off $548.09 $1,032.06 $946.89 2026-07-15
71271 HCPCS Chg Computed Tomography Thorax Lw Dose Lng Ca Scr C- 24 12 $1,009.00 $807.20 $541.53 $1,058.84 $940.50 2026-07-15
13132 HCPCS Pr Repair Complex F/c/c/m/n/ax/g/h/f 2.6-7.5 Cm 36 12 $989.00 $791.20 $515.27 $1,225.70 $934.61 2026-07-15
12020 HCPCS Hc Closure Superf Wnd Dehis Smpl 12 12 $989.00 $791.20 $540.98 $1,018.67 $934.61 2026-07-15
45385 HCPCS Hc Colonoscopy/polypectomy Snare 24 12 $1,395.00 $1,116.00 20% off $355.00 $2,205.23 $919.80 2026-07-15
24655 HCPCS Pr Closed Tx Radial Head/neck Fx W/manipulation 12 12 $973.00 $778.40 20% off $532.23 $1,002.19 $919.49 2026-07-15
13152 HCPCS Hc Repr Cmpl Wnd Lid,nos,ear 2.5-7.5 24 12 $975.50 $780.40 $526.21 $1,018.67 $913.90 2026-07-15
43251 HCPCS Pr Egd Removal Tumor Polyp/other Lesion Snare Tech 12 12 $955.00 $764.00 20% off $522.38 $983.65 $902.48 2026-07-15
45384 HCPCS Hc Colonoscopy/polypectomy 24 12 $1,368.00 $1,094.40 $325.46 $2,205.23 $891.99 2026-07-15
45379 HCPCS Hc Colonoscopy W/fb Removal 24 12 $1,368.00 $1,094.40 $325.46 $2,205.23 $891.99 2026-07-15
45378 HCPCS Pr Colonoscopy Flx Dx W/collj Spec When Pfrmd 36 12 $941.05 $752.84 $266.39 $1,838.55 $889.30 2026-07-15
43236 HCPCS Hc Upper Gi Scope W/submuc Inj 24 12 $1,281.50 $1,025.20 $425.57 $1,838.55 $888.87 2026-07-15
20520 HCPCS Hc Removal Of Foreign Body 24 12 $1,390.50 $1,112.40 $281.70 $2,333.98 $884.98 2026-07-15
23600 HCPCS Pr Cltx Proximal Humeral Fracture Without Manipulation 12 12 $935.00 $748.00 20% off $511.44 $963.05 $883.58 2026-07-15
27830 HCPCS Pr Cltx Prox Tibfib Jt Dislc Without Anes 12 12 $927.00 $741.60 20% off $507.07 $954.81 $876.01 2026-07-15
27560 HCPCS Pr Closed Tx Patellar Dislocation Without Anesthesia 12 12 $927.00 $741.60 20% off $507.07 $954.81 $876.01 2026-07-15
27760 HCPCS Pr Cltx Medial Malleolus Fx Without Manipulation 12 12 $926.00 $740.80 20% off $506.52 $953.78 $875.07 2026-07-15
27824 HCPCS Pr Cltx Fx W8 Brg Artclr Prtn Dstl Tibia Without Manj 12 12 $919.00 $735.20 $502.69 $946.57 $868.45 2026-07-15
26725 HCPCS Pr Cltx Phlngl Fx Prox/middle Px/f/t W/manj Ea 12 12 $918.00 $734.40 20% off $502.15 $945.54 $867.51 2026-07-15
27808 HCPCS Pr Closed Tx Bimalleolar Ankle Fracture Without Manj 12 12 $915.00 $732.00 20% off $500.50 $942.45 $864.67 2026-07-15
45381 HCPCS Hc Colonoscopy,submucous Inj 24 12 $1,341.00 $1,072.80 20% off $295.93 $2,205.23 $864.18 2026-07-15
45380 HCPCS Hc Colonoscopy W/biopsy(s) 24 12 $1,341.00 $1,072.80 20% off $295.93 $2,205.23 $864.18 2026-07-15
27520 HCPCS Pr Closed Tx Patellar Fracture Without Manipulation 12 12 $896.00 $716.80 20% off $490.11 $922.88 $846.72 2026-07-15
24600 HCPCS Pr Treatment Closed Elbow Dislocation Without Anes 12 12 $893.00 $714.40 20% off $488.47 $919.79 $843.88 2026-07-15
88235 HCPCS Nd Chg Tissue Culture, Placenta 12 12 $892.00 $713.60 20% off $487.92 $918.76 $842.94 2026-07-15
11626 HCPCS Pr Excision Malignant Lesion S/n/h/f/g >4.0 Cm 12 12 $880.00 $704.00 20% off $481.36 $906.40 $831.60 2026-07-15
76380 HCPCS Hc CT Limited Or Localized Follow-up Study 12 12 $874.00 $699.20 $478.08 $900.22 $825.93 2026-07-15
45331 HCPCS Hc Sigmoidoscopy/ Biopsy 24 12 $1,217.00 $973.60 20% off $355.00 $1,838.55 $822.43 2026-07-15
13151 HCPCS Hc Repr Cmpl Wnd Lid,nos,ear 1.1-2.5 24 12 $925.00 $740.00 20% off $470.97 $1,018.67 $817.95 2026-07-15
93880 HCPCS Hc Carotid Doppler 12 12 $860.00 $688.00 20% off $470.42 $885.80 $812.70 2026-07-15
86366 HCPCS Nd Chg Muscle-specific Kinase Antibody 12 12 $848.00 $678.40 20% off $463.86 $873.44 $801.36 2026-07-15
A0428 HCPCS Hc Bls 12 12 $844.00 $675.20 $461.67 $869.32 $797.58 2026-07-15
12036 HCPCS Hc Layr Clos Wnd Trunk,arm,leg 20.1-30 24 12 $914.00 $731.20 $458.93 $1,018.67 $797.05 2026-07-15
25622 HCPCS Pr Closed Tx Carpal Scaphoid Fracture Without Mnpj 12 12 $840.00 $672.00 20% off $459.48 $865.20 $793.80 2026-07-15
L3806 HCPCS Nd Whfo W/joint(s) Custom Fab 12 12 $838.00 $670.40 20% off $458.39 $863.14 $791.91 2026-07-15
88233 HCPCS Nd Chg Tissue Culture, Skin/biopsy 12 12 $836.00 $668.80 20% off $457.29 $861.08 $790.02 2026-07-15
12045 HCPCS Hc Layr Clos Wnd Rest Body 12.6-20 24 12 $903.50 $722.80 20% off $447.45 $1,018.67 $784.15 2026-07-15
92950 HCPCS Pr Cardiopulmonary Resuscitation 36 12 $833.00 $666.40 20% off $297.02 $1,470.84 $782.07 2026-07-15
C9399 HCPCS Liraglutide Soln Pen-injector 18 Mg/3ml (6 Mg/ml) 12 12 $825.50 $660.40 20% off $451.55 $850.26 $780.10 2026-07-15
P9037 HCPCS Nd Hc Platelet Pheresis, L/r, Irradiated 12 12 $825.00 $660.00 20% off $451.27 $849.75 $779.62 2026-07-15
13121 HCPCS Hc Repr Cmpl Wnd Scalp,extr 2.6-7.5 24 12 $895.50 $716.40 $438.69 $1,018.67 $776.55 2026-07-15
11644 HCPCS Pr Excision Malignant Lesion F/e/e/n/l 3.1-4.0 Cm 24 12 $891.50 $713.20 $443.07 $1,002.19 $773.95 2026-07-15
11606 HCPCS Pr Excision Malignant Lesion Trunk/arm/leg > 4.0 Cm 24 12 $952.50 $762.00 20% off $423.38 $1,164.93 $771.54 2026-07-15
J1439 HCPCS Ferric Carboxymaltose IV Soln 750 Mg/15ml (Fe Equivalent) 12 12 $805.92 $644.74 $440.84 $830.10 $761.59 2026-07-15
26605 HCPCS Pr Cltx Metacarpal Fx W/manipulation Each Bone 12 12 $798.00 $638.40 20% off $436.51 $821.94 $754.11 2026-07-15
17286 HCPCS Pr Destruction Mal Lesion F/e/e/n/l/m >4.0 Cm 12 12 $798.00 $638.40 20% off $436.51 $821.94 $754.11 2026-07-15
36430 HCPCS Nd Blood Admin Outpatient 1 Hour 24 12 $919.50 $735.60 20% off $414.08 $1,114.46 $746.38 2026-07-15
13101 HCPCS Hc Repr Cmpl Wnd Trunk 2.6-7.5cm 24 12 $876.50 $701.20 $417.91 $1,018.67 $744.90 2026-07-15
43247 HCPCS Hc Operative Upper Gi Endoscopy 24 12 $1,136.00 $908.80 $266.39 $1,838.55 $739.00 2026-07-15
G0105 HCPCS Hc Scrn Colonoscopy Hi Risk 24 12 $1,136.00 $908.80 $266.39 $1,838.55 $739.00 2026-07-15
G0121 HCPCS Hc Scrn Colonoscopy Not Hi Risk 24 12 $1,136.00 $908.80 $266.39 $1,838.55 $739.00 2026-07-15
J0248 HCPCS Remdesivir For IV Soln 100 Mg 12 12 $781.00 $624.80 20% off $427.21 $804.43 $738.05 2026-07-15
25600 HCPCS Pr Cltx Dstl Radial Fx/epiphysl Sep Without Mnpj 24 12 $789.00 $631.20 $423.38 $828.12 $735.30 2026-07-15
23620 HCPCS Pr Cltx Greater Humeral Tuberosity Fx Without Mnpj 12 12 $778.00 $622.40 20% off $425.57 $801.34 $735.21 2026-07-15
23650 HCPCS Pr Clsd Tx Shoulder Dislc W/manipulation Without Anes 24 12 $823.00 $658.40 20% off $422.83 $899.19 $734.35 2026-07-15
45005 HCPCS Pr I&d Submucosal Abscess Rectum 12 12 $774.00 $619.20 $423.38 $797.22 $731.43 2026-07-15
26770 HCPCS Pr Cltx Iphal Jt Dislc W/manj Without Anes 12 12 $774.00 $619.20 $423.38 $797.22 $731.43 2026-07-15
26600 HCPCS Pr Cltx Metacarpal Fx Without Manipulation Each Bone 12 12 $774.00 $619.20 $423.38 $797.22 $731.43 2026-07-15
92523 HCPCS Hc Eval Of Speech Sound Lang Comprehen 12 12 $774.00 $619.20 $423.38 $797.22 $731.43 2026-07-15
26700 HCPCS Pr Cltx Metacarpophalangeal Dislc W/manj Without Anes 24 12 $784.50 $627.60 20% off $414.08 $836.36 $719.15 2026-07-15
P9016 HCPCS Nd Blood Processing Per Unit Leuko Reduced 12 12 $757.00 $605.60 20% off $414.08 $779.71 $715.37 2026-07-15
92612 HCPCS Hc Endoscopy Swallow Test 12 12 $745.00 $596.00 20% off $407.51 $767.35 $704.02 2026-07-15
P9035 HCPCS Nd Hc Platelet Pheresis, L/r 12 12 $741.00 $592.80 20% off $405.33 $763.23 $700.25 2026-07-15
13120 HCPCS Hc Repr Cmpl Wnd Scalp,extr 1.1-2.5 24 12 $850.50 $680.40 $389.46 $1,018.67 $694.20 2026-07-15
90380 HCPCS Pr Rsv Monoclonal Antb Seasonal Dose 0.5ml IM Use 24 12 $739.60 $591.68 $398.87 $772.50 $692.74 2026-07-15
90381 HCPCS Pr Rsv Monoclonal Antb Seasonal Dose 1 Ml IM Use 24 12 $739.60 $591.68 $398.87 $772.50 $692.74 2026-07-15
74230 HCPCS Hc Swallowing Fcn W Cine/video 12 12 $732.00 $585.60 $400.40 $753.96 $691.74 2026-07-15
24650 HCPCS Pr Closed Tx Radial Head/neck Fx Without Manipulation 12 12 $729.00 $583.20 $398.76 $750.87 $688.90 2026-07-15
45330 HCPCS Hc Diagnostic Sigmoidoscopy 24 12 $1,082.00 $865.60 20% off $207.31 $1,838.55 $683.38 2026-07-15
43239 HCPCS Hc Upper Gi Endoscopy,biopsy 24 12 $1,082.00 $865.60 20% off $207.31 $1,838.55 $683.38 2026-07-15
11426 HCPCS Pr Exc B9 Lesion Mrgn Xcp Sk Tg S/n/h/f/g > 4.0cm 12 12 $714.00 $571.20 $390.56 $735.42 $674.73 2026-07-15
93975 HCPCS Hc Abd Organ Duplex 12 12 $707.00 $565.60 $386.73 $728.21 $668.12 2026-07-15
27786 HCPCS Pr Cltx Dstl Fibular Fx Lat Malls Without Manj 24 12 $757.50 $606.00 20% off $384.54 $836.36 $667.85 2026-07-15
17284 HCPCS Pr Destruction Mal Lesion F/e/e/n/l/m 3.1-4.0cm 12 12 $703.00 $562.40 20% off $384.54 $724.09 $664.34 2026-07-15
30905 HCPCS Pr Ctrl Nsl Hemrrg Pst Nasal Packs&/cautery 1st 24 12 $763.50 $610.80 20% off $370.32 $875.50 $660.08 2026-07-15
G0480 HCPCS Nd Drug Test Def 1-7 Classes 12 12 $694.00 $555.20 $379.62 $714.82 $655.83 2026-07-15
11643 HCPCS Pr Excision Malignant Lesion F/e/e/n/l 2.1-3.0 Cm 24 12 $723.50 $578.80 20% off $377.43 $779.71 $655.50 2026-07-15
43235 HCPCS Hc Upper Gi Endoscopy,dx 24 12 $1,054.50 $843.60 20% off $177.23 $1,838.55 $655.06 2026-07-15
L3906 HCPCS Nd Wrist Cock-up Custom 12 12 $693.00 $554.40 20% off $379.07 $713.79 $654.88 2026-07-15
12057 HCPCS Hc Layr Clos Wnd Face,facial >30cm 24 12 $883.50 $706.80 20% off $352.27 $1,156.69 $653.66 2026-07-15
12056 HCPCS Hc Layr Clos Wnd Face,facial 20.1-30 24 12 $887.00 $709.60 20% off $352.27 $1,163.90 $653.66 2026-07-15
12046 HCPCS Hc Layr Clos Wnd Rest Body 20.1-30 24 12 $832.50 $666.00 20% off $352.27 $1,051.63 $653.66 2026-07-15
12044 HCPCS Hc Layr Clos Wnd Rest Body 7.6-12.5 24 12 $816.50 $653.20 $352.27 $1,018.67 $653.66 2026-07-15
99285 HCPCS Hc Ed Level V 24 12 $963.50 $770.80 20% off $281.70 $1,454.36 $651.40 2026-07-15
87633 HCPCS Nd Respiratory Virus 12-25 Targets 12 12 $682.00 $545.60 $373.05 $702.46 $644.49 2026-07-15
J0882 HCPCS Darbepoetin Alfa Soln Prefilled Syringe 60 Mcg/0.3ml 12 12 $679.51 $543.61 $371.69 $699.90 $642.13 2026-07-15
17274 HCPCS Pr Destruction Malignant Lesion S/n/h/f/g 3.1-4.0cm 12 12 $678.00 $542.40 20% off $370.87 $698.34 $640.71 2026-07-15
92960 HCPCS Hc Cardioversion 24 12 $899.50 $719.60 20% off $333.12 $1,225.70 $639.10 2026-07-15
J2794 HCPCS Risperidone Microspheres For IM Extended Rel Susp 25 Mg 12 12 $667.14 $533.71 20% off $364.93 $687.15 $630.44 2026-07-15
12055 HCPCS Hc Layr Clos Wnd Face,facial 12.6-20 24 12 $773.00 $618.40 $352.27 $929.06 $628.68 2026-07-15
23500 HCPCS Pr Clsd Tx Clavicular Fracture Without Manipulation 12 12 $664.00 $531.20 $363.21 $683.92 $627.48 2026-07-15
13100 HCPCS Hc Repr Cmpl Wnd Trunk 1.1-2.5cm 24 12 $803.00 $642.40 $337.50 $1,018.67 $626.25 2026-07-15
11010 HCPCS Hc Debirde Skin,fx 24 12 $702.50 $562.00 20% off $359.93 $769.41 $625.10 2026-07-15
17283 HCPCS Pr Destruction Mal Lesion F/e/e/n/l/m 2.1-3.0cm 12 12 $649.00 $519.20 $355.00 $668.47 $613.30 2026-07-15
0100U OTHER Nd Respiratory Pathogen 20 Targets 12 12 $649.00 $519.20 $355.00 $668.47 $613.30 2026-07-15
13131 HCPCS Hc Repr Cmpl Wnd Head,fac,hand 1.1-2.5 24 12 $697.00 $557.60 $352.27 $772.50 $611.80 2026-07-15
12054 HCPCS Hc Layr Clos Wnd Face,facial 7.6-12.5 24 12 $666.00 $532.80 20% off $352.27 $708.64 $611.80 2026-07-15
12053 HCPCS Hc Layr Clos Wnd Face,facial 5.1-7.5 24 12 $648.50 $518.80 20% off $352.27 $672.59 $611.80 2026-07-15
12035 HCPCS Hc Layr Clos Wnd Trunk,arm,leg 12.6-20 24 12 $686.00 $548.80 20% off $352.27 $749.84 $611.80 2026-07-15
25560 HCPCS Pr Closed Tx Radial&ulnar Shaft Fractures Without Mnpj 24 12 $694.00 $555.20 $351.72 $767.35 $610.85 2026-07-15
12021 HCPCS Hc Closure Superf Wnd Dehis W Packing 12 12 $644.00 $515.20 $352.27 $663.32 $608.58 2026-07-15
96112 HCPCS Hc Developmental Tst By Phys/qhp 1st Hr 12 12 $643.00 $514.40 20% off $351.72 $662.29 $607.63 2026-07-15
51102 HCPCS Pr Aspiration Bladder Insert Suprapubic Catheter 12 12 $643.00 $514.40 20% off $351.72 $662.29 $607.63 2026-07-15
12032 HCPCS Pr Repair Intermediate S/a/t/e 2.6-7.5 Cm 36 12 $644.00 $515.20 $321.64 $877.56 $596.68 2026-07-15
99236 HCPCS Pr Hospital Ip/obs Care Same Date High Mdm 85 Min 12 12 $629.00 $503.20 20% off $344.06 $647.87 $594.40 2026-07-15
28470 HCPCS Pr Closed Tx Metatarsal Fracture Without Manipulation 24 12 $627.50 $502.00 20% off $341.88 $648.90 $592.98 2026-07-15
L3808 HCPCS Nd Whfo, Rigid Without Joints, Resting Hand 24 12 $646.00 $516.80 20% off $340.23 $690.10 $590.90 2026-07-15
12034 HCPCS Hc Layr Clos Wnd Trunk,arm,leg 7.6-12.5 24 12 $632.00 $505.60 $339.14 $663.32 $589.00 2026-07-15
74246 HCPCS Hc Xray Exam Of Fistula 24 12 $836.00 $668.80 20% off $293.19 $1,170.08 $586.74 2026-07-15
81315 HCPCS Nd Pml Rara Quantitative Pcr, Varies 12 12 $618.00 $494.40 20% off $338.05 $636.54 $584.01 2026-07-15
12052 HCPCS Hc Layr Clos Wnd Face,facial 2.5-5 24 12 $628.00 $502.40 $334.76 $663.32 $581.40 2026-07-15
93923 HCPCS Hc Noninvasv Extrem Exam,mult,bilat 12 12 $614.00 $491.20 20% off $335.86 $632.42 $580.23 2026-07-15
11406 HCPCS Pr Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l >4.0 Cm 24 12 $684.00 $547.20 $325.46 $796.19 $580.12 2026-07-15
93978 HCPCS Hc Abd Vasculature Duplex 12 12 $610.00 $488.00 20% off $333.67 $628.30 $576.45 2026-07-15
12042 HCPCS Hc Layr Clos Wnd Rest Body 2.6-7.5 24 12 $623.50 $498.80 20% off $329.84 $663.32 $572.85 2026-07-15
11624 HCPCS Pr Excision Malignant Lesion S/n/h/f/g 3.1-4.0 Cm 12 12 $595.00 $476.00 20% off $325.46 $612.85 $562.27 2026-07-15
11444 HCPCS Pr Exc B9 Les Mrgn Xcp Sk Tg F/e/e/n/l/m 3.1-4.0cm 12 12 $595.00 $476.00 20% off $325.46 $612.85 $562.27 2026-07-15
25500 HCPCS Pr Closed Tx Radial Shaft Fracture Without Manipulation 12 12 $595.00 $476.00 20% off $325.46 $612.85 $562.27 2026-07-15
L3921 HCPCS Nd Ho Hand Based Pass Prog Flex 12 12 $593.00 $474.40 20% off $324.37 $610.79 $560.38 2026-07-15
99223 HCPCS Pr 1st Hospital Ip/obs Care High Mdm 75 Minutes 12 12 $586.00 $468.80 20% off $320.54 $603.58 $553.77 2026-07-15
46221 HCPCS Pr Hemorrhoidectomy Internal Rubber Band Ligations 12 12 $586.00 $468.80 20% off $320.54 $603.58 $553.77 2026-07-15
12031 HCPCS Pr Repair Intermediate S/a/t/e 2.5 Cm/< 36 12 $644.00 $515.20 $253.81 $674.65 $551.80 2026-07-15
32551 HCPCS Hc Insertion Of Chest Tube 24 12 $814.00 $651.20 $239.59 $1,225.70 $551.03 2026-07-15
76830 HCPCS Hc US Transvaginal 12 12 $582.00 $465.60 $318.35 $599.46 $549.99 2026-07-15
17273 HCPCS Pr Destruction Malignant Lesion S/n/h/f/g 2.1-3.0cm 12 12 $578.00 $462.40 20% off $316.17 $595.34 $546.21 2026-07-15
11604 HCPCS Pr Excision Mal Lesion Trunk/arm/leg 3.1-4.0 Cm 24 12 $673.00 $538.40 20% off $293.19 $834.30 $543.40 2026-07-15
17282 HCPCS Pr Destruction Mal Lesion F/e/e/n/l/m 1.1-2.0cm 12 12 $570.00 $456.00 20% off $311.79 $587.10 $538.65 2026-07-15
M0239 HCPCS Nd IV Infusion Bamlan 12 12 $567.00 $453.60 $310.15 $584.01 $535.82 2026-07-15
M0243 HCPCS Nd IV Infusion Regeneron 12 12 $567.00 $453.60 $310.15 $584.01 $535.82 2026-07-15
M0222 HCPCS Hc Bebtelovimab Admin / Infusion 12 12 $567.00 $453.60 $310.15 $584.01 $535.82 2026-07-15
M0247 HCPCS Hc Sotrovimab Admin/infusion 12 12 $567.00 $453.60 $310.15 $584.01 $535.82 2026-07-15
M0245 HCPCS Hc IV Infusion Bamlan/etese 12 12 $567.00 $453.60 $310.15 $584.01 $535.82 2026-07-15
81270 HCPCS Nd Pr Jak2 Gene Analysis P.val617phe Variant 12 12 $560.00 $448.00 20% off $306.32 $576.80 $529.20 2026-07-15
11750 HCPCS Pr Excision Nail Matrix Permanent Removal 36 12 $554.00 $443.20 20% off $283.35 $980.56 $523.53 2026-07-15
11642 HCPCS Pr Excision Malignant Lesion F/e/e/n/l 1.1-2.0 Cm 12 12 $552.00 $441.60 $301.94 $568.56 $521.64 2026-07-15
76872 HCPCS Hc Prostate Transrectal 12 12 $545.00 $436.00 20% off $298.12 $561.35 $515.02 2026-07-15
11600 HCPCS Pr Excision Mal Lesion Trunk/arm/leg 0.5 Cm/< 12 12 $543.00 $434.40 20% off $297.02 $559.29 $513.13 2026-07-15
49082 HCPCS Hc Abd Paracentesis 24 12 $833.00 $666.40 $130.19 $1,470.84 $513.13 2026-07-15
G0390 HCPCS Nd Trauma Activation Level V 12 12 $541.00 $432.80 20% off $295.93 $557.23 $511.25 2026-07-15
ndgmckenzie OTHER Pr Transj Care Mgmt Mod Mdm F2f 14 Cal D Discharge 12 12 $541.00 $432.80 20% off $295.93 $557.23 $511.25 2026-07-15
J9217 HCPCS Leuprolide Acetate (6 Month) For Inj Kit 45 Mg 24 12 $826.45 $661.16 $133.49 $1,451.14 $511.00 2026-07-15
11443 HCPCS Pr Exc B9 Les Mrgn Xcp Sk Tg F/e/e/n/l/m 2.1-3.0cm 24 12 $565.50 $452.40 20% off $293.19 $612.85 $509.20 2026-07-15
11623 HCPCS Pr Excision Malignant Lesion S/n/h/f/g 2.1-3.0 Cm 12 12 $536.00 $428.80 20% off $293.19 $552.08 $506.52 2026-07-15
L3702 HCPCS Nd Elbow Ortho,custom,no Jts 12 12 $534.00 $427.20 20% off $292.10 $550.02 $504.63 2026-07-15
12051 HCPCS Hc Layr Clos Wnd Facial<2.5cm 24 12 $580.00 $464.00 20% off $282.25 $663.32 $502.70 2026-07-15
76536 HCPCS Hc US Exam Head/neck 12 12 $523.00 $418.40 20% off $286.08 $538.69 $494.24 2026-07-15
64450 HCPCS Hc Peripheral Nerve Block 24 12 $808.00 $646.40 $112.68 $1,452.30 $491.72 2026-07-15
17272 HCPCS Pr Destruction Malignant Lesion S/n/h/f/g 1.1-2.0cm 12 12 $518.00 $414.40 20% off $283.35 $533.54 $489.51 2026-07-15
99292 HCPCS Hc Critical Care Addl 30 Min 24 12 $538.50 $430.80 20% off $281.70 $578.86 $489.25 2026-07-15
10061 HCPCS Pr Incision & Drainage Abscess Complicated/multiple 24 12 $526.00 $420.80 20% off $281.70 $553.11 $489.25 2026-07-15
0097U OTHER Nd Gi Pathogen Panel 12 12 $515.00 $412.00 20% off $281.70 $530.45 $486.68 2026-07-15
76706 HCPCS Hc Ultrasound Exam Aaa Screen 12 12 $514.00 $411.20 20% off $281.16 $529.42 $485.73 2026-07-15
86481 HCPCS Nd TB Ag Response T-cell Susp 12 12 $512.00 $409.60 $280.06 $527.36 $483.84 2026-07-15
82139 HCPCS Nd Amino Acides,6 Or More,ea Specimen 12 12 $512.00 $409.60 $280.06 $527.36 $483.84 2026-07-15
87536 HCPCS Nd HIV-1,quantification 12 12 $512.00 $409.60 $280.06 $527.36 $483.84 2026-07-15
76705 HCPCS Hc US Echo Exam Of Abdomen 12 12 $509.00 $407.20 20% off $278.42 $524.27 $481.00 2026-07-15
76870 HCPCS Hc US Scrotum 12 12 $508.00 $406.40 20% off $277.88 $523.24 $480.06 2026-07-15
90847 HCPCS Hc Family Psychotherapy W/patient 12 12 $507.00 $405.60 $277.33 $522.21 $479.12 2026-07-15
26720 HCPCS Pr Cltx Phlngl Fx Prox/middle Px/f/t Without Manj Ea 12 12 $507.00 $405.60 $277.33 $522.21 $479.12 2026-07-15
99205 HCPCS Pr Office/outpatient New High Mdm 60 Minutes 12 12 $507.00 $405.60 $201.33 $522.21 $479.12 2026-07-15
10121 HCPCS Hc Remove Foreign Body,cmplx 24 12 $589.00 $471.20 $262.01 $719.97 $477.16 2026-07-15
76805 HCPCS Hc US Pregnancy >=14wks Sngl Fetus 12 12 $503.00 $402.40 20% off $275.14 $518.09 $475.34 2026-07-15
46083 HCPCS Pr Incision Thrombosed Hemorrhoid External 12 12 $501.00 $400.80 20% off $274.05 $516.03 $473.44 2026-07-15
L3919 HCPCS Nd Ho Custom Static Without Joints Cf 12 12 $500.00 $400.00 20% off $273.50 $515.00 $472.50 2026-07-15
81403 HCPCS Nd Chg Molecular Pathology Procedure Level 4 12 12 $500.00 $400.00 20% off $273.50 $515.00 $472.50 2026-07-15
51700 HCPCS Pr Bldr Irrigation Smpl Lavage &/instlj 12 12 $499.00 $399.20 20% off $272.95 $513.97 $471.56 2026-07-15
11602 HCPCS Pr Excision Mal Lesion Trunk/arm/leg 1.1-2.0 Cm 24 12 $542.50 $434.00 20% off $268.03 $612.85 $470.75 2026-07-15
85366 HCPCS Nd Fibrinogen Test 12 12 $492.00 $393.60 $269.12 $506.76 $464.94 2026-07-15
93970 HCPCS Hc Venous Imaging 12 12 $489.00 $391.20 20% off $267.48 $503.67 $462.11 2026-07-15
76881 HCPCS Hc Ultrasound Of Extremity 12 12 $488.00 $390.40 20% off $266.94 $502.64 $461.16 2026-07-15
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