|
J9043
|
HCPCS
|
Injection, Cabazitaxel, 1 Mg
|
58
|
27
|
$247,535.32
|
$173,274.72
30% off
|
$144,808.16
|
$240,109.26
|
$217,831.08
|
2023-11-10
|
|
J2350
|
HCPCS
|
Injection, Ocrelizumab, 1 Mg
|
58
|
27
|
$86,916.43
|
$60,841.50
30% off
|
$50,846.11
|
$84,308.94
|
$76,486.46
|
2023-11-10
|
|
63685
|
HCPCS
|
Insertion Of Spinal Neurostimulator Generator Or Receiver
|
60
|
27
|
$80,631.00
|
$56,441.70
30% off
|
$47,169.14
|
$78,212.07
|
$71,358.43
|
2023-11-10
|
|
J9228
|
HCPCS
|
Injection, Ipilimumab, 1 Mg
|
116
|
27
|
$98,602.82
|
$69,021.98
30% off
|
$23,073.26
|
$153,031.25
|
$65,275.14
|
2023-11-10
|
|
854
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Cc
|
54
|
27
|
$59,199.75
|
$41,439.82
30% off
|
$34,631.85
|
$57,423.75
|
$52,095.78
|
2023-11-10
|
|
330
|
MS_DRG
|
Major Small And Large Bowel Procedures With Cc
|
54
|
27
|
$52,382.04
|
$36,667.43
30% off
|
$30,643.49
|
$50,810.58
|
$46,096.20
|
2023-11-10
|
|
522
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc
|
54
|
27
|
$51,097.44
|
$35,768.21
30% off
|
$29,892.00
|
$49,564.52
|
$44,965.75
|
2023-11-10
|
|
J1930
|
HCPCS
|
Injection, Lanreotide, 1 Mg
|
58
|
27
|
$46,697.94
|
$32,688.56
30% off
|
$27,318.29
|
$45,297.00
|
$41,094.19
|
2023-11-10
|
|
482
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint Without Cc/mcc
|
54
|
27
|
$46,671.45
|
$32,670.02
30% off
|
$27,302.80
|
$45,271.31
|
$41,070.88
|
2023-11-10
|
|
J9022
|
HCPCS
|
Injection, Atezolizumab, 10 Mg
|
58
|
27
|
$46,003.00
|
$32,202.10
30% off
|
$26,911.76
|
$44,622.91
|
$40,482.64
|
2023-11-10
|
|
J9203
|
HCPCS
|
Injection, Gemtuzumab Ozogamicin, 0.1 Mg
|
58
|
27
|
$45,740.08
|
$32,018.06
30% off
|
$26,757.95
|
$44,367.88
|
$40,251.27
|
2023-11-10
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
54
|
27
|
$42,053.04
|
$29,437.13
30% off
|
$24,601.03
|
$40,791.45
|
$37,006.68
|
2023-11-10
|
|
480
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Mcc
|
54
|
27
|
$40,370.26
|
$28,259.18
30% off
|
$23,616.60
|
$39,159.15
|
$35,525.83
|
2023-11-10
|
|
J9144
|
HCPCS
|
Injection, Daratumumab, 10 Mg And Hyaluronidase-fihj
|
58
|
27
|
$38,654.67
|
$27,058.27
30% off
|
$22,612.98
|
$37,495.03
|
$34,016.11
|
2023-11-10
|
|
J3380
|
HCPCS
|
Injection, Vedolizumab, 1 Mg
|
58
|
27
|
$37,137.03
|
$25,995.92
30% off
|
$21,725.16
|
$36,022.92
|
$32,680.59
|
2023-11-10
|
|
470
|
MS_DRG
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without …
|
54
|
27
|
$36,820.86
|
$25,774.60
30% off
|
$21,540.20
|
$35,716.23
|
$32,402.36
|
2023-11-10
|
|
J9223
|
HCPCS
|
Injection, Lurbinectedin, 0.1 Mg
|
58
|
27
|
$35,206.27
|
$24,644.39
30% off
|
$20,595.67
|
$34,150.08
|
$30,981.52
|
2023-11-10
|
|
481
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Cc
|
54
|
27
|
$34,237.17
|
$23,966.02
30% off
|
$20,028.75
|
$33,210.06
|
$30,128.71
|
2023-11-10
|
|
175
|
MS_DRG
|
Pulmonary Embolism With Mcc Or Acute Cor Pulmonale
|
54
|
27
|
$33,938.75
|
$23,757.13
30% off
|
$19,854.17
|
$32,920.59
|
$29,866.10
|
2023-11-10
|
|
557
|
MS_DRG
|
Tendonitis, Myositis And Bursitis With Mcc
|
54
|
27
|
$33,690.79
|
$23,583.55
30% off
|
$19,709.11
|
$32,680.07
|
$29,647.90
|
2023-11-10
|
|
J9311
|
HCPCS
|
Injection, Rituximab 10 Mg And Hyaluronidase
|
58
|
27
|
$33,564.22
|
$23,494.95
30% off
|
$19,635.07
|
$32,557.29
|
$29,536.51
|
2023-11-10
|
|
J9301
|
HCPCS
|
Injection, Obinutuzumab, 10 Mg
|
58
|
27
|
$33,433.68
|
$23,403.58
30% off
|
$19,558.70
|
$32,430.67
|
$29,421.64
|
2023-11-10
|
|
659
|
MS_DRG
|
Kidney And Ureter Procedures For Non-neoplasm With Mcc
|
54
|
27
|
$32,906.29
|
$23,034.40
30% off
|
$19,250.18
|
$31,919.10
|
$28,957.54
|
2023-11-10
|
|
J2506
|
HCPCS
|
Injection, Pegfilgrastim, Excludes Biosimilar, 0.5 Mg
|
58
|
27
|
$32,754.86
|
$22,928.40
30% off
|
$19,161.59
|
$31,772.21
|
$28,824.28
|
2023-11-10
|
|
J9308
|
HCPCS
|
Injection, Ramucirumab, 5 Mg
|
58
|
27
|
$32,056.99
|
$22,439.89
30% off
|
$18,753.34
|
$31,095.28
|
$28,210.15
|
2023-11-10
|
|
C9399
|
HCPCS
|
Unclassified Drugs Or Biologicals
|
58
|
27
|
$30,366.42
|
$21,256.49
30% off
|
$17,764.36
|
$29,455.43
|
$26,722.45
|
2023-11-10
|
|
339
|
MS_DRG
|
Appendectomy With Complicated Principal Diagnosis With Cc
|
54
|
27
|
$29,554.26
|
$20,687.98
30% off
|
$17,289.24
|
$28,667.63
|
$26,007.75
|
2023-11-10
|
|
956
|
MS_DRG
|
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma
|
54
|
27
|
$28,214.93
|
$19,750.45
30% off
|
$16,505.73
|
$27,368.48
|
$24,829.14
|
2023-11-10
|
|
J9306
|
HCPCS
|
Injection, Pertuzumab, 1 Mg
|
58
|
27
|
$26,221.70
|
$18,355.19
30% off
|
$15,339.69
|
$25,435.05
|
$23,075.10
|
2023-11-10
|
|
J9271
|
HCPCS
|
Injection, Pembrolizumab, 1 Mg
|
116
|
27
|
$26,203.74
|
$18,342.61
30% off
|
$15,329.18
|
$25,417.64
|
$23,059.30
|
2023-11-10
|
|
194
|
MS_DRG
|
Simple Pneumonia And Pleurisy With Cc
|
54
|
27
|
$24,906.81
|
$17,434.76
30% off
|
$14,570.48
|
$24,159.60
|
$21,917.99
|
2023-11-10
|
|
941
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/…
|
54
|
27
|
$24,789.89
|
$17,352.92
30% off
|
$14,502.09
|
$24,046.19
|
$21,815.10
|
2023-11-10
|
|
J0717
|
HCPCS
|
Injection, Certolizumab Pegol, 1 Mg (code May Be Used For Medicare When Drug Adm…
|
58
|
27
|
$24,576.68
|
$17,203.68
30% off
|
$14,377.36
|
$23,839.38
|
$21,627.48
|
2023-11-10
|
|
336
|
MS_DRG
|
Peritoneal Adhesiolysis With Cc
|
54
|
27
|
$24,391.35
|
$17,073.95
30% off
|
$14,268.94
|
$23,659.61
|
$21,464.39
|
2023-11-10
|
|
698
|
MS_DRG
|
Other Kidney And Urinary Tract Diagnoses With Mcc
|
54
|
27
|
$24,321.90
|
$17,025.33
30% off
|
$14,228.31
|
$23,592.24
|
$21,403.27
|
2023-11-10
|
|
388
|
MS_DRG
|
Gastrointestinal Obstruction With Mcc
|
54
|
27
|
$23,787.55
|
$16,651.28
30% off
|
$13,915.72
|
$23,073.92
|
$20,933.04
|
2023-11-10
|
|
871
|
MS_DRG
|
Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc
|
54
|
27
|
$22,850.61
|
$15,995.42
30% off
|
$13,367.60
|
$22,165.09
|
$20,108.53
|
2023-11-10
|
|
486
|
MS_DRG
|
Knee Procedures With Principal Diagnosis Of Infection With Cc
|
54
|
27
|
$22,472.46
|
$15,730.72
30% off
|
$13,146.39
|
$21,798.29
|
$19,775.76
|
2023-11-10
|
|
Q5111
|
HCPCS
|
Injection, Pegfilgrastim-cbqv (udenyca), Biosimilar, 0.5 Mg
|
58
|
27
|
$21,307.53
|
$14,915.27
30% off
|
$12,464.91
|
$20,668.30
|
$18,750.63
|
2023-11-10
|
|
Q5108
|
HCPCS
|
Injection, Pegfilgrastim-jmdb (fulphila), Biosimilar, 0.5 Mg
|
58
|
27
|
$21,307.53
|
$14,915.27
30% off
|
$12,464.91
|
$20,668.30
|
$18,750.63
|
2023-11-10
|
|
J2353
|
HCPCS
|
Injection, Octreotide, Depot Form For Intramuscular Injection, 1 Mg
|
348
|
27
|
$21,273.36
|
$14,891.35
30% off
|
$8,118.61
|
$31,614.54
|
$18,391.35
|
2023-11-10
|
|
603
|
MS_DRG
|
Cellulitis Without Mcc
|
54
|
27
|
$19,951.80
|
$13,966.26
30% off
|
$11,671.80
|
$19,353.24
|
$17,557.58
|
2023-11-10
|
|
880
|
MS_DRG
|
Acute Adjustment Reaction And Psychosocial Dysfunction
|
54
|
27
|
$19,917.14
|
$13,942.00
30% off
|
$11,651.53
|
$19,319.63
|
$17,527.08
|
2023-11-10
|
|
177
|
MS_DRG
|
Respiratory Infections And Inflammations With Mcc
|
54
|
27
|
$19,809.68
|
$13,866.77
30% off
|
$11,588.66
|
$19,215.39
|
$17,432.52
|
2023-11-10
|
|
391
|
MS_DRG
|
Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc
|
54
|
27
|
$19,579.95
|
$13,705.97
30% off
|
$11,454.27
|
$18,992.55
|
$17,230.36
|
2023-11-10
|
|
440
|
MS_DRG
|
Disorders Of Pancreas Except Malignancy Without Cc/mcc
|
54
|
27
|
$19,534.52
|
$13,674.16
30% off
|
$11,427.69
|
$18,948.48
|
$17,190.38
|
2023-11-10
|
|
331
|
MS_DRG
|
Major Small And Large Bowel Procedures Without Cc/mcc
|
54
|
27
|
$19,431.42
|
$13,601.99
30% off
|
$11,367.38
|
$18,848.48
|
$17,099.65
|
2023-11-10
|
|
811
|
MS_DRG
|
Red Blood Cell Disorders With Mcc
|
54
|
27
|
$19,404.26
|
$13,582.98
30% off
|
$11,351.49
|
$18,822.13
|
$17,075.75
|
2023-11-10
|
|
J3110
|
HCPCS
|
Injection, Teriparatide, 10 Mcg
|
58
|
27
|
$19,279.95
|
$13,495.97
30% off
|
$11,278.77
|
$18,701.55
|
$16,966.36
|
2023-11-10
|
|
63650
|
HCPCS
|
Insertion Of Spinal Neurostimulator Electrode Array Through Skin
|
120
|
27
|
$22,916.75
|
$16,041.73
30% off
|
$10,018.71
|
$27,846.28
|
$16,703.06
|
2023-11-10
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
54
|
27
|
$18,504.42
|
$12,953.09
30% off
|
$10,825.08
|
$17,949.28
|
$16,283.89
|
2023-11-10
|
|
682
|
MS_DRG
|
Renal Failure With Mcc
|
54
|
27
|
$17,453.25
|
$12,217.27
30% off
|
$10,210.15
|
$16,929.65
|
$15,358.86
|
2023-11-10
|
|
J9354
|
HCPCS
|
Injection, Ado-trastuzumab Emtansine, 1 Mg
|
116
|
27
|
$20,319.46
|
$14,223.62
30% off
|
$9,143.74
|
$24,258.32
|
$15,005.11
|
2023-11-10
|
|
308
|
MS_DRG
|
Cardiac Arrhythmia And Conduction Disorders With Mcc
|
54
|
27
|
$16,493.04
|
$11,545.12
30% off
|
$9,648.43
|
$15,998.24
|
$14,513.87
|
2023-11-10
|
|
J9309
|
HCPCS
|
Injection, Polatuzumab Vedotin-piiq, 1 Mg
|
58
|
27
|
$16,404.46
|
$11,483.12
30% off
|
$9,596.61
|
$15,912.33
|
$14,435.92
|
2023-11-10
|
|
312
|
MS_DRG
|
Syncope And Collapse
|
54
|
27
|
$16,382.73
|
$11,467.91
30% off
|
$9,583.90
|
$15,891.25
|
$14,416.80
|
2023-11-10
|
|
J2182
|
HCPCS
|
Injection, Mepolizumab, 1 Mg
|
58
|
27
|
$16,163.05
|
$11,314.14
30% off
|
$9,455.38
|
$15,678.16
|
$14,223.48
|
2023-11-10
|
|
389
|
MS_DRG
|
Gastrointestinal Obstruction With Cc
|
54
|
27
|
$15,995.83
|
$11,197.08
30% off
|
$9,357.56
|
$15,515.96
|
$14,076.33
|
2023-11-10
|
|
190
|
MS_DRG
|
Chronic Obstructive Pulmonary Disease With Mcc
|
54
|
27
|
$15,917.39
|
$11,142.17
30% off
|
$9,311.67
|
$15,439.87
|
$14,007.30
|
2023-11-10
|
|
535
|
MS_DRG
|
Fractures Of Hip And Pelvis With Mcc
|
54
|
27
|
$15,893.15
|
$11,125.21
30% off
|
$9,297.49
|
$15,416.36
|
$13,985.97
|
2023-11-10
|
|
602
|
MS_DRG
|
Cellulitis With Mcc
|
54
|
27
|
$15,640.34
|
$10,948.24
30% off
|
$9,149.60
|
$15,171.13
|
$13,763.50
|
2023-11-10
|
|
J1162
|
HCPCS
|
Injection, Digoxin Immune Fab (ovine), Per Vial
|
58
|
27
|
$14,977.99
|
$10,484.59
30% off
|
$8,762.12
|
$14,528.65
|
$13,180.63
|
2023-11-10
|
|
64
|
MS_DRG
|
Intracranial Hemorrhage Or Cerebral Infarction With Mcc
|
54
|
27
|
$14,930.14
|
$10,451.10
30% off
|
$8,734.13
|
$14,482.24
|
$13,138.52
|
2023-11-10
|
|
280
|
MS_DRG
|
Acute Myocardial Infarction, Discharged Alive With Mcc
|
54
|
27
|
$14,849.01
|
$10,394.31
30% off
|
$8,686.67
|
$14,403.54
|
$13,067.13
|
2023-11-10
|
|
J9217
|
HCPCS
|
Leuprolide Acetate (for Depot Suspension), 7.5 Mg
|
348
|
27
|
$14,183.06
|
$9,928.14
30% off
|
$2,125.73
|
$52,499.22
|
$12,697.49
|
2023-11-10
|
|
864
|
MS_DRG
|
Fever And Inflammatory Conditions
|
54
|
27
|
$14,418.89
|
$10,093.22
30% off
|
$8,435.05
|
$13,986.32
|
$12,688.62
|
2023-11-10
|
|
387
|
MS_DRG
|
Inflammatory Bowel Disease Without Cc/mcc
|
54
|
27
|
$14,097.28
|
$9,868.10
30% off
|
$8,246.91
|
$13,674.36
|
$12,405.61
|
2023-11-10
|
|
J3101
|
HCPCS
|
Injection, Tenecteplase, 1 Mg
|
116
|
27
|
$16,750.83
|
$11,725.58
30% off
|
$6,798.23
|
$21,224.33
|
$12,036.26
|
2023-11-10
|
|
379
|
MS_DRG
|
Gastrointestinal Hemorrhage Without Cc/mcc
|
54
|
27
|
$13,609.67
|
$9,526.77
30% off
|
$7,961.66
|
$13,201.38
|
$11,976.51
|
2023-11-10
|
|
372
|
MS_DRG
|
Major Gastrointestinal Disorders And Peritoneal Infections With Cc
|
54
|
27
|
$13,364.83
|
$9,355.38
30% off
|
$7,818.43
|
$12,963.89
|
$11,761.05
|
2023-11-10
|
|
180
|
MS_DRG
|
Respiratory Neoplasms With Mcc
|
54
|
27
|
$13,180.25
|
$9,226.18
30% off
|
$7,710.45
|
$12,784.84
|
$11,598.62
|
2023-11-10
|
|
J9303
|
HCPCS
|
Injection, Panitumumab, 10 Mg
|
116
|
27
|
$17,335.76
|
$12,135.03
30% off
|
$4,056.57
|
$26,905.10
|
$11,476.27
|
2023-11-10
|
|
J9177
|
HCPCS
|
Injection, Enfortumab Vedotin-ejfv, 0.25 Mg
|
116
|
27
|
$15,087.51
|
$10,561.26
30% off
|
$7,060.96
|
$17,561.87
|
$11,466.51
|
2023-11-10
|
|
643
|
MS_DRG
|
Endocrine Disorders With Mcc
|
54
|
27
|
$12,933.21
|
$9,053.25
30% off
|
$7,565.93
|
$12,545.21
|
$11,381.22
|
2023-11-10
|
|
J9034
|
HCPCS
|
Injection, Bendamustine Hcl (bendeka), 1 Mg
|
58
|
27
|
$12,625.29
|
$8,837.70
30% off
|
$7,385.79
|
$12,246.53
|
$11,110.26
|
2023-11-10
|
|
22183004_1
|
CDM
|
Femoral Metal Taper Stem 18
|
58
|
27
|
$12,585.14
|
$8,809.60
30% off
|
$7,362.31
|
$12,207.59
|
$11,074.92
|
2023-11-10
|
|
947
|
MS_DRG
|
Signs And Symptoms With Mcc
|
54
|
27
|
$12,545.13
|
$8,781.59
30% off
|
$7,338.90
|
$12,168.78
|
$11,039.71
|
2023-11-10
|
|
J3315
|
HCPCS
|
Injection, Triptorelin Pamoate, 3.75 Mg
|
174
|
27
|
$12,451.34
|
$8,715.94
30% off
|
$2,428.02
|
$24,155.64
|
$10,957.18
|
2023-11-10
|
|
62350
|
HCPCS
|
Insertion, Revision, Or Repositioning Of Spinal Canal Tube For Medication Admini…
|
60
|
27
|
$12,376.60
|
$8,663.62
30% off
|
$7,240.31
|
$12,005.30
|
$10,953.29
|
2023-11-10
|
|
872
|
MS_DRG
|
Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc
|
54
|
27
|
$11,951.91
|
$8,366.34
30% off
|
$6,991.87
|
$11,593.36
|
$10,517.68
|
2023-11-10
|
|
948
|
MS_DRG
|
Signs And Symptoms Without Mcc
|
54
|
27
|
$11,826.91
|
$8,278.83
30% off
|
$6,918.74
|
$11,472.10
|
$10,407.68
|
2023-11-10
|
|
66
|
MS_DRG
|
Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc
|
54
|
27
|
$11,697.26
|
$8,188.08
30% off
|
$6,842.90
|
$11,346.34
|
$10,293.59
|
2023-11-10
|
|
885
|
MS_DRG
|
Psychoses
|
54
|
27
|
$11,553.34
|
$8,087.33
30% off
|
$6,758.70
|
$11,206.73
|
$10,166.93
|
2023-11-10
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
54
|
27
|
$11,537.43
|
$8,076.20
30% off
|
$6,749.40
|
$11,191.31
|
$10,152.94
|
2023-11-10
|
|
J9268
|
HCPCS
|
Injection, Pentostatin, 10 Mg
|
58
|
27
|
$11,316.42
|
$7,921.49
30% off
|
$6,620.11
|
$10,976.93
|
$9,958.45
|
2023-11-10
|
|
282
|
MS_DRG
|
Acute Myocardial Infarction, Discharged Alive Without Cc/mcc
|
54
|
27
|
$11,030.92
|
$7,721.64
30% off
|
$6,453.09
|
$10,699.99
|
$9,707.21
|
2023-11-10
|
|
J9176
|
HCPCS
|
Injection, Elotuzumab, 1 Mg
|
116
|
27
|
$11,912.30
|
$8,338.60
30% off
|
$5,973.18
|
$13,205.60
|
$9,700.04
|
2023-11-10
|
|
J2997
|
HCPCS
|
Injection, Alteplase Recombinant, 1 Mg
|
116
|
27
|
$16,223.59
|
$11,356.52
30% off
|
$324.49
|
$30,935.73
|
$9,597.58
|
2023-11-10
|
|
199
|
MS_DRG
|
Pneumothorax With Mcc
|
54
|
27
|
$10,785.29
|
$7,549.70
30% off
|
$6,309.39
|
$10,461.73
|
$9,491.06
|
2023-11-10
|
|
J9312
|
HCPCS
|
Injection, Rituximab, 10 Mg
|
116
|
27
|
$14,384.80
|
$10,069.36
30% off
|
$2,805.03
|
$23,255.43
|
$9,338.13
|
2023-11-10
|
|
Q5113
|
HCPCS
|
Injection, Trastuzumab-pkrb, Biosimilar, (herzuma), 10 Mg
|
116
|
27
|
$13,599.82
|
$9,519.88
30% off
|
$4,187.31
|
$19,440.58
|
$9,333.77
|
2023-11-10
|
|
179
|
MS_DRG
|
Respiratory Infections And Inflammations Without Cc/mcc
|
54
|
27
|
$10,164.12
|
$7,114.88
30% off
|
$5,946.01
|
$9,859.20
|
$8,944.43
|
2023-11-10
|
|
J7168
|
HCPCS
|
Prothrombin Complex Concentrate (human), Kcentra, Per I.u. Of Factor Ix Activity
|
58
|
27
|
$10,156.08
|
$7,109.26
30% off
|
$5,941.31
|
$9,851.40
|
$8,937.35
|
2023-11-10
|
|
689
|
MS_DRG
|
Kidney And Urinary Tract Infections With Mcc
|
54
|
27
|
$9,922.42
|
$6,945.69
30% off
|
$5,804.61
|
$9,624.74
|
$8,731.73
|
2023-11-10
|
|
J1561
|
HCPCS
|
Injection, Immune Globulin, (gamunex-c/gammaked), Non-lyophilized (e.g., Liquid)…
|
174
|
27
|
$9,866.28
|
$6,906.40
30% off
|
$2,885.89
|
$19,128.21
|
$8,682.33
|
2023-11-10
|
|
639
|
MS_DRG
|
Diabetes Without Cc/mcc
|
54
|
27
|
$9,829.98
|
$6,880.99
30% off
|
$5,750.54
|
$9,535.08
|
$8,650.38
|
2023-11-10
|
|
193
|
MS_DRG
|
Simple Pneumonia And Pleurisy With Mcc
|
54
|
27
|
$9,774.81
|
$6,842.37
30% off
|
$5,718.26
|
$9,481.57
|
$8,601.83
|
2023-11-10
|
|
291
|
MS_DRG
|
Heart Failure And Shock With Mcc
|
54
|
27
|
$9,677.92
|
$6,774.54
30% off
|
$5,661.58
|
$9,387.58
|
$8,516.57
|
2023-11-10
|
|
690
|
MS_DRG
|
Kidney And Urinary Tract Infections Without Mcc
|
54
|
27
|
$9,567.93
|
$6,697.55
30% off
|
$5,597.24
|
$9,280.89
|
$8,419.78
|
2023-11-10
|
|
Q5115
|
HCPCS
|
Injection, Rituximab-abbs, Biosimilar, (truxima), 10 Mg
|
116
|
27
|
$12,946.05
|
$9,062.24
30% off
|
$2,524.48
|
$20,929.44
|
$8,404.14
|
2023-11-10
|
|
378
|
MS_DRG
|
Gastrointestinal Hemorrhage With Cc
|
54
|
27
|
$9,460.58
|
$6,622.41
30% off
|
$5,534.44
|
$9,176.76
|
$8,325.31
|
2023-11-10
|
|
191
|
MS_DRG
|
Chronic Obstructive Pulmonary Disease With Cc
|
54
|
27
|
$9,458.79
|
$6,621.15
30% off
|
$5,533.39
|
$9,175.03
|
$8,323.74
|
2023-11-10
|
|
J1569
|
HCPCS
|
Injection, Immune Globulin, (gammagard Liquid), Non-lyophilized, (e.g., Liquid),…
|
232
|
27
|
$11,425.68
|
$7,997.98
30% off
|
$2,228.01
|
$22,165.83
|
$8,150.33
|
2023-11-10
|
|
J1950
|
HCPCS
|
Injection, Leuprolide Acetate (for Depot Suspension), Per 3.75 Mg
|
116
|
27
|
$12,879.12
|
$9,015.38
30% off
|
$1,783.80
|
$22,027.75
|
$8,121.27
|
2023-11-10
|
|
J9330
|
HCPCS
|
Injection, Temsirolimus, 1 Mg
|
58
|
27
|
$9,076.45
|
$6,353.52
30% off
|
$5,309.72
|
$8,804.16
|
$7,987.28
|
2023-11-10
|
|
J0202
|
HCPCS
|
Injection, Alemtuzumab, 1 Mg
|
58
|
27
|
$9,007.85
|
$6,305.50
30% off
|
$5,269.59
|
$8,737.61
|
$7,926.91
|
2023-11-10
|
|
640
|
MS_DRG
|
Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M…
|
54
|
27
|
$8,907.95
|
$6,235.56
30% off
|
$5,211.15
|
$8,640.71
|
$7,838.99
|
2023-11-10
|
|
22523992_1
|
CDM
|
Disposable Lithovue
|
58
|
27
|
$8,898.12
|
$6,228.68
30% off
|
$5,205.40
|
$8,631.18
|
$7,830.35
|
2023-11-10
|
|
158
|
MS_DRG
|
Dental And Oral Diseases With Cc
|
54
|
27
|
$8,890.34
|
$6,223.24
30% off
|
$5,200.85
|
$8,623.63
|
$7,823.50
|
2023-11-10
|
|
J0630
|
HCPCS
|
Injection, Calcitonin Salmon, Up To 400 Units
|
232
|
27
|
$9,811.06
|
$6,867.74
30% off
|
$3,830.69
|
$11,010.21
|
$7,820.23
|
2023-11-10
|
|
202
|
MS_DRG
|
Bronchitis And Asthma With Cc/mcc
|
54
|
27
|
$8,884.45
|
$6,219.12
30% off
|
$5,197.40
|
$8,617.92
|
$7,818.32
|
2023-11-10
|
|
J9173
|
HCPCS
|
Injection, Durvalumab, 10 Mg
|
116
|
27
|
$11,770.94
|
$8,239.65
30% off
|
$2,665.55
|
$18,415.83
|
$7,763.12
|
2023-11-10
|
|
63688
|
HCPCS
|
Removal Or Revision Of Neurostimulator Generator Or Receiver
|
60
|
27
|
$8,759.90
|
$6,131.93
30% off
|
$5,124.54
|
$8,497.10
|
$7,752.51
|
2023-11-10
|
|
988
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc
|
54
|
27
|
$8,693.19
|
$6,085.23
30% off
|
$5,085.52
|
$8,432.39
|
$7,650.01
|
2023-11-10
|
|
J9305
|
HCPCS
|
Injection, Pemetrexed, Not Otherwise Specified, 10 Mg
|
116
|
27
|
$11,591.53
|
$8,114.07
30% off
|
$2,297.90
|
$18,677.38
|
$7,537.19
|
2023-11-10
|
|
641
|
MS_DRG
|
Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou…
|
54
|
27
|
$8,405.02
|
$5,883.51
30% off
|
$4,916.93
|
$8,152.87
|
$7,396.41
|
2023-11-10
|
|
15273
|
HCPCS
|
Skin Substitute Graft To Wound 100.0 Sq Cm Or More Of Trunk, Arms, Or Legs, 100.…
|
60
|
27
|
$8,295.20
|
$5,806.64
30% off
|
$4,852.69
|
$8,046.34
|
$7,341.25
|
2023-11-10
|
|
J9041
|
HCPCS
|
Injection, Bortezomib, 0.1 Mg
|
58
|
27
|
$8,181.07
|
$5,726.75
30% off
|
$4,785.93
|
$7,935.64
|
$7,199.34
|
2023-11-10
|
|
J3262
|
HCPCS
|
Injection, Tocilizumab, 1 Mg
|
58
|
27
|
$8,112.93
|
$5,679.05
30% off
|
$4,746.06
|
$7,869.54
|
$7,139.38
|
2023-11-10
|
|
J2796
|
HCPCS
|
Injection, Romiplostim, 10 Micrograms
|
116
|
27
|
$9,663.33
|
$6,764.33
30% off
|
$4,349.03
|
$11,535.64
|
$7,136.87
|
2023-11-10
|
|
Q5123
|
HCPCS
|
Injection, Rituximab-arrx, Biosimilar, (riabni), 10 Mg
|
116
|
27
|
$10,974.78
|
$7,682.34
30% off
|
$2,140.08
|
$17,742.56
|
$7,124.46
|
2023-11-10
|
|
Q5119
|
HCPCS
|
Injection, Rituximab-pvvr, Biosimilar, (ruxience), 10 Mg
|
116
|
27
|
$10,974.78
|
$7,682.34
30% off
|
$2,140.08
|
$17,742.56
|
$7,124.46
|
2023-11-10
|
|
J0897
|
HCPCS
|
Injection, Denosumab, 1 Mg
|
116
|
27
|
$9,812.39
|
$6,868.67
30% off
|
$4,043.23
|
$12,331.86
|
$7,070.71
|
2023-11-10
|
|
897
|
MS_DRG
|
Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc
|
54
|
27
|
$7,997.24
|
$5,598.07
30% off
|
$4,678.39
|
$7,757.32
|
$7,037.57
|
2023-11-10
|
|
J9299
|
HCPCS
|
Injection, Nivolumab, 1 Mg
|
232
|
27
|
$10,091.47
|
$7,064.03
30% off
|
$860.22
|
$33,560.22
|
$7,013.58
|
2023-11-10
|
|
J9355
|
HCPCS
|
Injection, Trastuzumab, Excludes Biosimilar, 10 Mg
|
58
|
27
|
$7,953.53
|
$5,567.47
30% off
|
$4,652.82
|
$7,714.92
|
$6,999.11
|
2023-11-10
|
|
22799099_1
|
CDM
|
Kit Fracture Xpander Ii First
|
58
|
27
|
$7,903.53
|
$5,532.47
30% off
|
$4,623.57
|
$7,666.42
|
$6,955.11
|
2023-11-10
|
|
22799095_1
|
CDM
|
Kit Fracture Express Ii First
|
58
|
27
|
$7,900.20
|
$5,530.14
30% off
|
$4,621.62
|
$7,663.19
|
$6,952.18
|
2023-11-10
|
|
J9120
|
HCPCS
|
Injection, Dactinomycin, 0.5 Mg
|
116
|
27
|
$7,796.48
|
$5,457.53
30% off
|
$4,534.62
|
$7,606.23
|
$6,899.65
|
2023-11-10
|
|
281
|
MS_DRG
|
Acute Myocardial Infarction, Discharged Alive With Cc
|
54
|
27
|
$7,750.22
|
$5,425.15
30% off
|
$4,533.88
|
$7,517.71
|
$6,820.19
|
2023-11-10
|
|
J9264
|
HCPCS
|
Injection, Paclitaxel Protein-bound Particles, 1 Mg
|
58
|
27
|
$7,716.73
|
$5,401.71
30% off
|
$4,514.29
|
$7,485.23
|
$6,790.72
|
2023-11-10
|
|
J9047
|
HCPCS
|
Injection, Carfilzomib, 1 Mg
|
58
|
27
|
$7,685.17
|
$5,379.62
30% off
|
$4,495.82
|
$7,454.61
|
$6,762.95
|
2023-11-10
|
|
J9035
|
HCPCS
|
Injection, Bevacizumab, 10 Mg
|
116
|
27
|
$10,168.15
|
$7,117.71
30% off
|
$2,379.35
|
$15,780.98
|
$6,731.31
|
2023-11-10
|
|
J9202
|
HCPCS
|
Goserelin Acetate Implant, Per 3.6 Mg
|
174
|
27
|
$7,662.29
|
$5,363.60
30% off
|
$1,494.15
|
$10,368.39
|
$6,704.50
|
2023-11-10
|
|
22184442_1
|
CDM
|
Operating Room Services - General Classification
|
60
|
27
|
$7,488.40
|
$5,241.88
30% off
|
$4,380.71
|
$7,263.75
|
$6,627.24
|
2023-11-10
|
|
70
|
MS_DRG
|
Nonspecific Cerebrovascular Disorders With Mcc
|
54
|
27
|
$7,493.90
|
$5,245.73
30% off
|
$4,383.93
|
$7,269.08
|
$6,594.63
|
2023-11-10
|
|
J9400
|
HCPCS
|
Injection, Ziv-aflibercept, 1 Mg
|
116
|
27
|
$8,234.40
|
$5,764.08
30% off
|
$3,980.81
|
$9,374.08
|
$6,464.56
|
2023-11-10
|
|
36478
|
HCPCS
|
Laser Destruction Of Incompetent Vein Of Arm Or Leg Using Imaging Guidance
|
60
|
27
|
$7,298.00
|
$5,108.60
30% off
|
$4,269.33
|
$7,079.06
|
$6,458.73
|
2023-11-10
|
|
23798539_1
|
CDM
|
Specialty Services - Treatment Room
|
58
|
27
|
$7,309.00
|
$5,116.30
30% off
|
$4,275.77
|
$7,089.73
|
$6,431.92
|
2023-11-10
|
|
292
|
MS_DRG
|
Heart Failure And Shock With Cc
|
54
|
27
|
$7,288.52
|
$5,101.96
30% off
|
$4,263.78
|
$7,069.86
|
$6,413.90
|
2023-11-10
|
|
J9033
|
HCPCS
|
Injection, Bendamustine Hcl (treanda), 1 Mg
|
116
|
27
|
$9,479.30
|
$6,635.51
30% off
|
$2,218.16
|
$14,711.87
|
$6,275.30
|
2023-11-10
|
|
178
|
MS_DRG
|
Respiratory Infections And Inflammations With Cc
|
54
|
27
|
$7,118.62
|
$4,983.03
30% off
|
$4,164.39
|
$6,905.06
|
$6,264.39
|
2023-11-10
|
|
72295
|
HCPCS
|
Review By Radiologist Of Disc Of Lower Spine Image
|
58
|
27
|
$7,043.30
|
$4,930.31
30% off
|
$4,120.33
|
$6,832.00
|
$6,198.10
|
2023-11-10
|
|
72285
|
HCPCS
|
Review By Radiologist Of Disc Of Upper Or Middle Spine Image
|
58
|
27
|
$7,043.30
|
$4,930.31
30% off
|
$4,120.33
|
$6,832.00
|
$6,198.10
|
2023-11-10
|
|
J1459
|
HCPCS
|
Injection, Immune Globulin (privigen), Intravenous, Non-lyophilized (e.g., Liqui…
|
116
|
27
|
$8,497.49
|
$5,948.24
30% off
|
$3,314.03
|
$10,990.09
|
$6,061.55
|
2023-11-10
|
|
543
|
MS_DRG
|
Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With…
|
54
|
27
|
$6,810.27
|
$4,767.19
30% off
|
$3,984.01
|
$6,605.96
|
$5,993.04
|
2023-11-10
|
|
445
|
MS_DRG
|
Disorders Of The Biliary Tract With Cc
|
54
|
27
|
$6,734.83
|
$4,714.38
30% off
|
$3,939.88
|
$6,532.79
|
$5,926.65
|
2023-11-10
|
|
392
|
MS_DRG
|
Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc
|
54
|
27
|
$6,724.93
|
$4,707.45
30% off
|
$3,934.09
|
$6,523.19
|
$5,917.94
|
2023-11-10
|
|
J9023
|
HCPCS
|
Injection, Avelumab, 10 Mg
|
58
|
27
|
$6,706.26
|
$4,694.38
30% off
|
$3,923.16
|
$6,505.07
|
$5,901.51
|
2023-11-10
|
|
684
|
MS_DRG
|
Renal Failure Without Cc/mcc
|
54
|
27
|
$6,701.94
|
$4,691.36
30% off
|
$3,920.63
|
$6,500.88
|
$5,897.71
|
2023-11-10
|
|
Q5107
|
HCPCS
|
Injection, Bevacizumab-awwb, Biosimilar, (mvasi), 10 Mg
|
116
|
27
|
$8,902.28
|
$6,231.60
30% off
|
$2,083.16
|
$13,816.29
|
$5,893.32
|
2023-11-10
|
|
812
|
MS_DRG
|
Red Blood Cell Disorders Without Mcc
|
54
|
27
|
$6,532.63
|
$4,572.84
30% off
|
$3,821.59
|
$6,336.65
|
$5,748.71
|
2023-11-10
|
|
22265983_1
|
CDM
|
Tube Myringotomy 1.0
|
58
|
27
|
$6,411.20
|
$4,487.84
30% off
|
$3,750.55
|
$6,218.86
|
$5,641.86
|
2023-11-10
|
|
38222
|
HCPCS
|
Biopsy And Aspiration Of Bone Marrow Sample For Diagnosis
|
60
|
27
|
$6,181.10
|
$4,326.77
30% off
|
$3,615.94
|
$5,995.67
|
$5,470.27
|
2023-11-10
|
|
J9349
|
HCPCS
|
Injection, Tafasitamab-cxix, 2 Mg
|
58
|
27
|
$6,216.18
|
$4,351.33
30% off
|
$3,636.47
|
$6,029.69
|
$5,470.24
|
2023-11-10
|
|
J9179
|
HCPCS
|
Injection, Eribulin Mesylate, 0.1 Mg
|
58
|
27
|
$6,195.77
|
$4,337.04
30% off
|
$3,624.53
|
$6,009.90
|
$5,452.28
|
2023-11-10
|
|
J1439
|
HCPCS
|
Injection, Ferric Carboxymaltose, 1 Mg
|
58
|
27
|
$6,170.89
|
$4,319.62
30% off
|
$3,609.97
|
$5,985.76
|
$5,430.38
|
2023-11-10
|
|
189
|
MS_DRG
|
Pulmonary Edema And Respiratory Failure
|
54
|
27
|
$6,113.13
|
$4,279.19
30% off
|
$3,576.18
|
$5,929.74
|
$5,379.55
|
2023-11-10
|
|
10180
|
HCPCS
|
Complex Drainage Of Wound Infection After Surgery
|
60
|
27
|
$6,044.10
|
$4,230.87
30% off
|
$3,535.80
|
$5,862.78
|
$5,349.03
|
2023-11-10
|
|
23913136_1
|
CDM
|
Large Bioinductive Implant
|
58
|
27
|
$6,072.00
|
$4,250.40
30% off
|
$3,552.12
|
$5,889.84
|
$5,343.36
|
2023-11-10
|
|
446
|
MS_DRG
|
Disorders Of The Biliary Tract Without Cc/mcc
|
54
|
27
|
$6,058.99
|
$4,241.29
30% off
|
$3,544.51
|
$5,877.22
|
$5,331.91
|
2023-11-10
|
|
28208
|
HCPCS
|
Repair Of Tendon Of Top Side Of Foot
|
60
|
27
|
$5,996.00
|
$4,197.20
30% off
|
$3,507.66
|
$5,816.12
|
$5,306.46
|
2023-11-10
|
|
95811
|
HCPCS
|
Sleep Study In Sleep Lab With Continuous Airway Pressure (6 Years Or Older)
|
58
|
27
|
$5,985.00
|
$4,189.50
30% off
|
$3,501.23
|
$5,805.45
|
$5,266.80
|
2023-11-10
|
|
J1745
|
HCPCS
|
Injection, Infliximab, Excludes Biosimilar, 10 Mg
|
58
|
27
|
$5,960.07
|
$4,172.05
30% off
|
$3,486.64
|
$5,781.27
|
$5,244.86
|
2023-11-10
|
|
33210
|
HCPCS
|
Insertion Of Temporary Pacemaker Lead In Single Heart Chamber
|
60
|
27
|
$5,772.70
|
$4,040.89
30% off
|
$3,377.03
|
$5,599.52
|
$5,108.84
|
2023-11-10
|
|
22799101_1
|
CDM
|
Kit Fracture Xpander Ii Add
|
58
|
27
|
$5,738.61
|
$4,017.03
30% off
|
$3,357.09
|
$5,566.45
|
$5,049.98
|
2023-11-10
|
|
22799097_1
|
CDM
|
Kit Fracture Express Ii Add
|
58
|
27
|
$5,736.78
|
$4,015.75
30% off
|
$3,356.02
|
$5,564.68
|
$5,048.37
|
2023-11-10
|
|
683
|
MS_DRG
|
Renal Failure With Cc
|
54
|
27
|
$5,732.86
|
$4,013.00
30% off
|
$3,353.72
|
$5,560.87
|
$5,044.92
|
2023-11-10
|
|
J7327
|
HCPCS
|
Hyaluronan Or Derivative, Monovisc, For Intra-articular Injection, Per Dose
|
58
|
27
|
$5,436.00
|
$3,805.20
30% off
|
$3,180.06
|
$5,272.92
|
$4,783.68
|
2023-11-10
|
|
309
|
MS_DRG
|
Cardiac Arrhythmia And Conduction Disorders With Cc
|
54
|
27
|
$5,351.86
|
$3,746.30
30% off
|
$3,130.84
|
$5,191.30
|
$4,709.64
|
2023-11-10
|
|
90375
|
HCPCS
|
Rabies Immune Globulin For Injection
|
116
|
27
|
$7,205.82
|
$5,044.08
30% off
|
$1,324.00
|
$11,783.95
|
$4,651.08
|
2023-11-10
|
|
J3111
|
HCPCS
|
Injection, Romosozumab-aqqg, 1 Mg
|
58
|
27
|
$5,222.77
|
$3,655.94
30% off
|
$3,055.32
|
$5,066.09
|
$4,596.04
|
2023-11-10
|
|
22183499_1
|
CDM
|
Femoral Cemented Stem 14
|
58
|
27
|
$5,157.36
|
$3,610.15
30% off
|
$3,017.06
|
$5,002.64
|
$4,538.48
|
2023-11-10
|
|
22183035_1
|
CDM
|
Femoral Cemented Stem 11
|
58
|
27
|
$5,157.36
|
$3,610.15
30% off
|
$3,017.06
|
$5,002.64
|
$4,538.48
|
2023-11-10
|
|
63663
|
HCPCS
|
Revision Of Spinal Neurostimulator Electrode Array Using Fluoroscopic Guidance
|
60
|
27
|
$5,077.80
|
$3,554.46
30% off
|
$2,970.51
|
$4,925.47
|
$4,493.85
|
2023-11-10
|
|
63661
|
HCPCS
|
Insertion Of Spinal Neurostimulator Electrode Array Using Fluoroscopic Guidance
|
60
|
27
|
$5,077.80
|
$3,554.46
30% off
|
$2,970.51
|
$4,925.47
|
$4,493.85
|
2023-11-10
|
|
J9145
|
HCPCS
|
Injection, Daratumumab, 10 Mg
|
116
|
27
|
$6,758.55
|
$4,730.98
30% off
|
$1,581.50
|
$10,489.27
|
$4,474.16
|
2023-11-10
|
|
23539794_1
|
CDM
|
Speedbridge Imp System 4.0 X 24mm
|
58
|
27
|
$5,046.00
|
$3,532.20
30% off
|
$2,951.91
|
$4,894.62
|
$4,440.48
|
2023-11-10
|
|
C1771
|
HCPCS
|
Repair Device, Urinary, Incontinence, With Sling Graft
|
58
|
27
|
$4,980.49
|
$3,486.34
30% off
|
$2,913.59
|
$4,831.08
|
$4,382.83
|
2023-11-10
|
|
J2783
|
HCPCS
|
Injection, Rasburicase, 0.5 Mg
|
58
|
27
|
$4,889.42
|
$3,422.59
30% off
|
$2,860.31
|
$4,742.74
|
$4,302.69
|
2023-11-10
|
|
Q5103
|
HCPCS
|
Injection, Infliximab-dyyb, Biosimilar, (inflectra), 10 Mg
|
58
|
27
|
$4,829.45
|
$3,380.62
30% off
|
$2,825.23
|
$4,684.57
|
$4,249.92
|
2023-11-10
|
|
696
|
MS_DRG
|
Kidney And Urinary Tract Signs And Symptoms Without Mcc
|
54
|
27
|
$4,825.47
|
$3,377.83
30% off
|
$2,822.90
|
$4,680.70
|
$4,246.41
|
2023-11-10
|
|
78814
|
HCPCS
|
Nuclear Medicine Study Limited Area With CT Scan
|
58
|
27
|
$4,819.00
|
$3,373.30
30% off
|
$2,819.12
|
$4,674.43
|
$4,240.72
|
2023-11-10
|
|
78815
|
HCPCS
|
Nuclear Medicine Study From Skull Base To Mid-thigh With CT Scan
|
58
|
27
|
$4,819.00
|
$3,373.30
30% off
|
$2,819.12
|
$4,674.43
|
$4,240.72
|
2023-11-10
|
|
78816
|
HCPCS
|
Nuclear Medicine Study Whole Body With CT Scan
|
58
|
27
|
$4,819.00
|
$3,373.30
30% off
|
$2,819.12
|
$4,674.43
|
$4,240.72
|
2023-11-10
|
|
78608
|
HCPCS
|
Nuclear Medicine Study Of Brain With Metabolic Evaluation
|
58
|
27
|
$4,819.00
|
$3,373.30
30% off
|
$2,819.12
|
$4,674.43
|
$4,240.72
|
2023-11-10
|
|
22713759_1
|
CDM
|
Greenlight Moxy Fiber
|
58
|
27
|
$4,768.00
|
$3,337.60
30% off
|
$2,789.28
|
$4,624.96
|
$4,195.84
|
2023-11-10
|
|
22981712_1
|
CDM
|
Sling System Halo
|
58
|
27
|
$4,708.79
|
$3,296.15
30% off
|
$2,754.64
|
$4,567.53
|
$4,143.74
|
2023-11-10
|
|
62355
|
HCPCS
|
Removal Of Implanted Tube In Spinal Canal
|
60
|
27
|
$4,662.60
|
$3,263.82
30% off
|
$2,727.62
|
$4,522.72
|
$4,126.40
|
2023-11-10
|
|
64635
|
HCPCS
|
Destruction Of Lower Or Sacral Spinal Facet Joint Nerves Using Imaging Guidance,…
|
60
|
27
|
$4,660.60
|
$3,262.42
30% off
|
$2,726.45
|
$4,520.78
|
$4,124.63
|
2023-11-10
|
|
64633
|
HCPCS
|
Destruction Of Upper Or Middle Spinal Facet Joint Nerves Using Imaging Guidance,…
|
60
|
27
|
$4,660.60
|
$3,262.42
30% off
|
$2,726.45
|
$4,520.78
|
$4,124.63
|
2023-11-10
|
|
22183495_1
|
CDM
|
Femoral Press Fit Stem 15
|
58
|
27
|
$4,672.92
|
$3,271.04
30% off
|
$2,733.66
|
$4,532.73
|
$4,112.17
|
2023-11-10
|
|
22183040_1
|
CDM
|
Femoral Cemented Stem 16
|
58
|
27
|
$4,672.92
|
$3,271.04
30% off
|
$2,733.66
|
$4,532.73
|
$4,112.17
|
2023-11-10
|
|
22183497_1
|
CDM
|
Femoral Press Fit Stem 16
|
58
|
27
|
$4,672.92
|
$3,271.04
30% off
|
$2,733.66
|
$4,532.73
|
$4,112.17
|
2023-11-10
|
|
22183036_1
|
CDM
|
Femoral Press Fit Stem 13
|
58
|
27
|
$4,672.92
|
$3,271.04
30% off
|
$2,733.66
|
$4,532.73
|
$4,112.17
|
2023-11-10
|
|
J2357
|
HCPCS
|
Injection, Omalizumab, 5 Mg
|
58
|
27
|
$4,646.73
|
$3,252.71
30% off
|
$2,718.34
|
$4,507.33
|
$4,089.12
|
2023-11-10
|
|
J9395
|
HCPCS
|
Injection, Fulvestrant, 25 Mg
|
174
|
27
|
$4,638.85
|
$3,247.20
30% off
|
$522.48
|
$4,799.63
|
$3,975.49
|
2023-11-10
|
|
638
|
MS_DRG
|
Diabetes With Cc
|
54
|
27
|
$4,483.39
|
$3,138.37
30% off
|
$2,622.78
|
$4,348.89
|
$3,945.38
|
2023-11-10
|
|
74
|
MS_DRG
|
Cranial And Peripheral Nerve Disorders Without Mcc
|
54
|
27
|
$4,444.41
|
$3,111.09
30% off
|
$2,599.98
|
$4,311.08
|
$3,911.08
|
2023-11-10
|
|
36466
|
HCPCS
|
Injection Of Chemical Agent Into Multiple Incompetent Veins Of Same Leg Using Ul…
|
60
|
27
|
$4,374.60
|
$3,062.22
30% off
|
$2,559.14
|
$4,243.36
|
$3,871.52
|
2023-11-10
|
|
36465
|
HCPCS
|
Injection Of Chemical Agent Into Single Incompetent Vein Of Leg Using Ultrasound…
|
60
|
27
|
$4,374.60
|
$3,062.22
30% off
|
$2,559.14
|
$4,243.36
|
$3,871.52
|
2023-11-10
|
|
15115
|
HCPCS
|
Outer Layer Self Skin Graft Of Face, Scalp, Eyelids, Mouth, Neck, Ears, Around E…
|
60
|
27
|
$4,374.60
|
$3,062.22
30% off
|
$2,559.14
|
$4,243.36
|
$3,871.52
|
2023-11-10
|
|
15110
|
HCPCS
|
Outer Layer Self Skin Graft Of Trunk, Arms, Or Legs, 100.0 Sq Cm Or 1% Body Area…
|
60
|
27
|
$4,374.60
|
$3,062.22
30% off
|
$2,559.14
|
$4,243.36
|
$3,871.52
|
2023-11-10
|
|
439
|
MS_DRG
|
Disorders Of Pancreas Except Malignancy With Cc
|
54
|
27
|
$4,352.98
|
$3,047.09
30% off
|
$2,546.49
|
$4,222.39
|
$3,830.62
|
2023-11-10
|
|
24213637_1
|
CDM
|
Ankle Tightrope Titanium
|
58
|
27
|
$4,335.50
|
$3,034.85
30% off
|
$2,536.27
|
$4,205.44
|
$3,815.24
|
2023-11-10
|
|
23350160_1
|
CDM
|
Ankle Tightrope
|
58
|
27
|
$4,335.50
|
$3,034.85
30% off
|
$2,536.27
|
$4,205.44
|
$3,815.24
|
2023-11-10
|
|
J9055
|
HCPCS
|
Injection, Cetuximab, 10 Mg
|
116
|
27
|
$5,307.74
|
$3,715.42
30% off
|
$2,070.02
|
$6,864.68
|
$3,786.19
|
2023-11-10
|
|
95805
|
HCPCS
|
Sleep Study, Multiple Trials
|
58
|
27
|
$4,283.40
|
$2,998.38
30% off
|
$2,505.79
|
$4,154.90
|
$3,769.39
|
2023-11-10
|
|
300
|
MS_DRG
|
Peripheral Vascular Disorders With Cc
|
54
|
27
|
$4,200.15
|
$2,940.11
30% off
|
$2,457.09
|
$4,074.15
|
$3,696.13
|
2023-11-10
|
|
Q0138
|
HCPCS
|
Injection, Ferumoxytol, For Treatment Of Iron Deficiency Anemia, 1 Mg (non-esrd …
|
58
|
27
|
$4,199.67
|
$2,939.77
30% off
|
$2,456.81
|
$4,073.68
|
$3,695.71
|
2023-11-10
|
|
15274
|
HCPCS
|
Skin Substitute Graft To Wound 100.0 Sq Cm Or More Of Trunk, Arms, Or Legs, Each…
|
60
|
27
|
$4,147.70
|
$2,903.39
30% off
|
$2,426.40
|
$4,023.27
|
$3,670.72
|
2023-11-10
|
|
74178
|
HCPCS
|
CT Scan Of Abdomen And Pelvis Before And After Contrast
|
116
|
27
|
$3,983.50
|
$2,788.45
30% off
|
$2,296.59
|
$3,919.96
|
$3,531.22
|
2023-11-10
|
|
11423
|
HCPCS
|
Removal Of Noncancer Skin Growth Of Scalp, Neck, Hands, Feet, Or Genitals, 2.1-3…
|
60
|
27
|
$3,984.00
|
$2,788.80
30% off
|
$2,330.64
|
$3,864.48
|
$3,525.84
|
2023-11-10
|
|
72156
|
HCPCS
|
MRI Scan Of Upper Spinal Canal Before And After Contrast
|
58
|
27
|
$3,957.60
|
$2,770.32
30% off
|
$2,315.20
|
$3,838.87
|
$3,482.69
|
2023-11-10
|
|
71552
|
HCPCS
|
MRI Scan Of Chest Before And After Contrast
|
58
|
27
|
$3,957.60
|
$2,770.32
30% off
|
$2,315.20
|
$3,838.87
|
$3,482.69
|
2023-11-10
|
|
72157
|
HCPCS
|
MRI Scan Of Middle Spinal Canal Before And After Contrast
|
58
|
27
|
$3,957.60
|
$2,770.32
30% off
|
$2,315.20
|
$3,838.87
|
$3,482.69
|
2023-11-10
|
|
74183
|
HCPCS
|
MRI Scan Of Abdomen Before And After Contrast
|
58
|
27
|
$3,957.60
|
$2,770.32
30% off
|
$2,315.20
|
$3,838.87
|
$3,482.69
|
2023-11-10
|
|
72197
|
HCPCS
|
MRI Scan Of Pelvis Before And After Contrast
|
58
|
27
|
$3,957.60
|
$2,770.32
30% off
|
$2,315.20
|
$3,838.87
|
$3,482.69
|
2023-11-10
|
|
72158
|
HCPCS
|
MRI Scan Of Lower Spinal Canal Before And After Contrast
|
58
|
27
|
$3,957.60
|
$2,770.32
30% off
|
$2,315.20
|
$3,838.87
|
$3,482.69
|
2023-11-10
|
|
J1559
|
HCPCS
|
Injection, Immune Globulin (hizentra), 100 Mg
|
58
|
27
|
$3,901.19
|
$2,730.83
30% off
|
$2,282.20
|
$3,784.15
|
$3,433.05
|
2023-11-10
|
|
70553
|
HCPCS
|
MRI Scan Of Brain Before And After Contrast
|
58
|
27
|
$3,887.60
|
$2,721.32
30% off
|
$2,274.25
|
$3,770.97
|
$3,421.09
|
2023-11-10
|
|
22182508_1
|
CDM
|
Vena Cava Filter
|
58
|
27
|
$3,845.40
|
$2,691.78
30% off
|
$2,249.56
|
$3,730.04
|
$3,383.95
|
2023-11-10
|
|
A9521
|
HCPCS
|
Technetium Tc-99m Exametazime, Diagnostic, Per Study Dose, Up To 25 Millicuries
|
58
|
27
|
$3,807.50
|
$2,665.25
30% off
|
$2,227.39
|
$3,693.28
|
$3,350.60
|
2023-11-10
|
|
19083
|
HCPCS
|
Biopsy Of Breast And Placement Of Locating Device Using Ultrasound, First Growth
|
60
|
27
|
$3,772.00
|
$2,640.40
30% off
|
$2,206.62
|
$3,658.84
|
$3,338.22
|
2023-11-10
|
|
22183386_1
|
CDM
|
Advantage Fit System
|
58
|
27
|
$3,770.00
|
$2,639.00
30% off
|
$2,205.45
|
$3,656.90
|
$3,317.60
|
2023-11-10
|
|
22184441_1
|
CDM
|
Operating Room Services - General Classification
|
60
|
27
|
$3,737.90
|
$2,616.53
30% off
|
$2,186.67
|
$3,625.76
|
$3,308.04
|
2023-11-10
|
|
72149
|
HCPCS
|
MRI Scan Of Lower Spinal Canal With Contrast
|
58
|
27
|
$3,726.40
|
$2,608.48
30% off
|
$2,179.94
|
$3,614.61
|
$3,279.23
|
2023-11-10
|
|
72147
|
HCPCS
|
MRI Scan Of Middle Spinal Canal With Contrast
|
58
|
27
|
$3,726.40
|
$2,608.48
30% off
|
$2,179.94
|
$3,614.61
|
$3,279.23
|
2023-11-10
|
|
72142
|
HCPCS
|
MRI Scan Of Upper Spinal Canal With Contrast
|
58
|
27
|
$3,726.40
|
$2,608.48
30% off
|
$2,179.94
|
$3,614.61
|
$3,279.23
|
2023-11-10
|
|
J7321
|
HCPCS
|
Hyaluronan Or Derivative, Hyalgan, Supartz Or Visco-3, For Intra-articular Injec…
|
58
|
27
|
$3,695.69
|
$2,586.98
30% off
|
$2,161.98
|
$3,584.82
|
$3,252.21
|
2023-11-10
|
|
552
|
MS_DRG
|
Medical Back Problems Without Mcc
|
54
|
27
|
$3,670.11
|
$2,569.08
30% off
|
$2,147.01
|
$3,560.01
|
$3,229.70
|
2023-11-10
|
|
36479
|
HCPCS
|
Laser Destruction Of Incompetent Veins Of Arm Or Leg Using Imaging Guidance, Sub…
|
60
|
27
|
$3,648.90
|
$2,554.23
30% off
|
$2,134.61
|
$3,539.43
|
$3,229.28
|
2023-11-10
|
|
J7318
|
HCPCS
|
Hyaluronan Or Derivative, Durolane, For Intra-articular Injection, 1 Mg
|
58
|
27
|
$3,639.40
|
$2,547.58
30% off
|
$2,129.05
|
$3,530.22
|
$3,202.67
|
2023-11-10
|
|
10140
|
HCPCS
|
Drainage Of Blood Or Fluid Accumulation
|
60
|
27
|
$3,588.20
|
$2,511.74
30% off
|
$2,099.10
|
$3,480.55
|
$3,175.56
|
2023-11-10
|
|
10121
|
HCPCS
|
Removal Of Foreign Body From Tissue, Accessed Beneath The Skin, Complex
|
60
|
27
|
$3,588.20
|
$2,511.74
30% off
|
$2,099.10
|
$3,480.55
|
$3,175.56
|
2023-11-10
|
|
11044
|
HCPCS
|
Removal Of Bone, 20.0 Sq Cm Or Less
|
60
|
27
|
$3,588.20
|
$2,511.74
30% off
|
$2,099.10
|
$3,480.55
|
$3,175.56
|
2023-11-10
|
|
78454
|
HCPCS
|
Nuclear Medicine Studies Of Heart Muscle At Rest And With Stress With Single 2d …
|
58
|
27
|
$3,588.80
|
$2,512.16
30% off
|
$2,099.45
|
$3,481.14
|
$3,158.14
|
2023-11-10
|
|
A9548
|
HCPCS
|
Indium In-111 Pentetate, Diagnostic, Per 0.5 Millicurie
|
58
|
27
|
$3,498.70
|
$2,449.09
30% off
|
$2,046.74
|
$3,393.74
|
$3,078.86
|
2023-11-10
|
|
J0894
|
HCPCS
|
Injection, Decitabine, 1 Mg
|
232
|
27
|
$3,572.52
|
$2,500.76
30% off
|
$1,119.60
|
$4,702.97
|
$3,068.54
|
2023-11-10
|
|
78452
|
HCPCS
|
Nuclear Medicine Studies Of Heart Muscle At Rest And With Stress And Spect
|
58
|
27
|
$3,483.70
|
$2,438.59
30% off
|
$2,037.96
|
$3,379.19
|
$3,065.66
|
2023-11-10
|
|
536
|
MS_DRG
|
Fractures Of Hip And Pelvis Without Mcc
|
54
|
27
|
$3,442.08
|
$2,409.46
30% off
|
$2,013.62
|
$3,338.82
|
$3,029.03
|
2023-11-10
|
|
95810
|
HCPCS
|
Sleep Study In Sleep Lab (6 Years Or Older)
|
58
|
27
|
$3,410.50
|
$2,387.35
30% off
|
$1,995.14
|
$3,308.19
|
$3,001.24
|
2023-11-10
|
|
L8606
|
HCPCS
|
Injectable Bulking Agent, Synthetic Implant, Urinary Tract, 1 Ml Syringe, Includ…
|
58
|
27
|
$3,335.00
|
$2,334.50
30% off
|
$1,950.98
|
$3,234.95
|
$2,934.80
|
2023-11-10
|
|
22182015_1
|
CDM
|
Novasure
|
58
|
27
|
$3,335.00
|
$2,334.50
30% off
|
$1,950.98
|
$3,234.95
|
$2,934.80
|
2023-11-10
|
|
73721
|
HCPCS
|
MRI Scan Of Leg Joint Without Contrast
|
116
|
27
|
$4,046.55
|
$2,832.59
30% off
|
$1,578.15
|
$5,233.54
|
$2,886.54
|
2023-11-10
|
|
36556
|
HCPCS
|
Insertion Of Non-tunneled Central Venous Tube For Infusion (5 Years Or Older)
|
60
|
27
|
$3,220.00
|
$2,254.00
30% off
|
$1,883.70
|
$3,123.40
|
$2,849.70
|
2023-11-10
|
|
22388586_1
|
CDM
|
Xolair 150 Mg/1.2 Ml Powder Vl
|
58
|
27
|
$3,224.98
|
$2,257.49
30% off
|
$1,886.61
|
$3,128.23
|
$2,837.98
|
2023-11-10
|
|
22329463_1
|
CDM
|
Operating Room Services - Minor Surgery
|
60
|
27
|
$3,200.27
|
$2,240.19
30% off
|
$1,872.16
|
$3,104.26
|
$2,832.24
|
2023-11-10
|
|
55100
|
HCPCS
|
Drainage Of Abscess Of Scrotum
|
60
|
27
|
$3,174.00
|
$2,221.80
30% off
|
$1,856.79
|
$3,078.78
|
$2,808.99
|
2023-11-10
|
|
22183498_1
|
CDM
|
Femoral Press Fit Stem 14
|
58
|
27
|
$3,190.00
|
$2,233.00
30% off
|
$1,866.15
|
$3,094.30
|
$2,807.20
|
2023-11-10
|
|
22183037_1
|
CDM
|
Femoral Press Fit Stem 11
|
58
|
27
|
$3,190.00
|
$2,233.00
30% off
|
$1,866.15
|
$3,094.30
|
$2,807.20
|
2023-11-10
|
|
22183022_1
|
CDM
|
Femoral Press Fit Stem 12
|
58
|
27
|
$3,190.00
|
$2,233.00
30% off
|
$1,866.15
|
$3,094.30
|
$2,807.20
|
2023-11-10
|
|
24073332_1
|
CDM
|
Bicep Repair Ar-2260bc
|
58
|
27
|
$3,190.00
|
$2,233.00
30% off
|
$1,866.15
|
$3,094.30
|
$2,807.20
|
2023-11-10
|
|
27762
|
HCPCS
|
Closed Treatment Of Inside Portion Of Shin Bone At Ankle With Manipulation
|
60
|
27
|
$3,165.00
|
$2,215.50
30% off
|
$1,851.53
|
$3,070.05
|
$2,801.02
|
2023-11-10
|
|
27502
|
HCPCS
|
Closed Treatment Of Broken Thigh Bone At Midportion With Manipulation
|
60
|
27
|
$3,165.00
|
$2,215.50
30% off
|
$1,851.53
|
$3,070.05
|
$2,801.02
|
2023-11-10
|
|
74177
|
HCPCS
|
CT Scan Of Abdomen And Pelvis With Contrast
|
58
|
27
|
$3,127.30
|
$2,189.11
30% off
|
$1,829.47
|
$3,033.48
|
$2,752.02
|
2023-11-10
|
|
36569
|
HCPCS
|
Insertion Of Tube For Infusion (5 Years Or Older)
|
240
|
27
|
$3,158.70
|
$2,211.09
30% off
|
$1,287.10
|
$3,085.57
|
$2,742.59
|
2023-11-10
|
|
C1781
|
HCPCS
|
Mesh (implantable)
|
1,276
|
27
|
$3,114.89
|
$2,180.43
30% off
|
$543.45
|
$7,311.08
|
$2,689.88
|
2023-11-10
|
|
3600046_1
|
CDM
|
Operating Room Services - General Classification
|
60
|
27
|
$3,027.10
|
$2,118.97
30% off
|
$1,770.85
|
$2,936.29
|
$2,678.98
|
2023-11-10
|
|
22184115_1
|
CDM
|
Mesh Ventralex St 3.2
|
58
|
27
|
$3,040.55
|
$2,128.39
30% off
|
$1,778.72
|
$2,949.33
|
$2,675.68
|
2023-11-10
|
|
71551
|
HCPCS
|
MRI Scan Of Chest With Contrast
|
58
|
27
|
$3,028.60
|
$2,120.02
30% off
|
$1,771.73
|
$2,937.74
|
$2,665.17
|
2023-11-10
|
|
73723
|
HCPCS
|
MRI Scan Of Leg Joint Before And After Contrast
|
58
|
27
|
$3,028.60
|
$2,120.02
30% off
|
$1,771.73
|
$2,937.74
|
$2,665.17
|
2023-11-10
|
|
70552
|
HCPCS
|
MRI Scan Of Brain With Contrast
|
58
|
27
|
$3,028.60
|
$2,120.02
30% off
|
$1,771.73
|
$2,937.74
|
$2,665.17
|
2023-11-10
|
|
70543
|
HCPCS
|
MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Before And After Contrast
|
58
|
27
|
$3,028.60
|
$2,120.02
30% off
|
$1,771.73
|
$2,937.74
|
$2,665.17
|
2023-11-10
|
|
70542
|
HCPCS
|
MRI Scan Of Bone Of Eye Socket, Face, And/or Neck With Contrast
|
58
|
27
|
$3,028.60
|
$2,120.02
30% off
|
$1,771.73
|
$2,937.74
|
$2,665.17
|
2023-11-10
|
|
73722
|
HCPCS
|
MRI Scan Of Leg Joint With Contrast
|
58
|
27
|
$3,028.60
|
$2,120.02
30% off
|
$1,771.73
|
$2,937.74
|
$2,665.17
|
2023-11-10
|
|
73223
|
HCPCS
|
MRI Scan Of Arm Joint Before And After Contrast
|
58
|
27
|
$3,028.60
|
$2,120.02
30% off
|
$1,771.73
|
$2,937.74
|
$2,665.17
|
2023-11-10
|
|
73222
|
HCPCS
|
MRI Scan Of Arm Joint With Contrast
|
58
|
27
|
$3,028.60
|
$2,120.02
30% off
|
$1,771.73
|
$2,937.74
|
$2,665.17
|
2023-11-10
|
|
73220
|
HCPCS
|
MRI Scan Of Arm Before And After Contrast
|
58
|
27
|
$3,028.60
|
$2,120.02
30% off
|
$1,771.73
|
$2,937.74
|
$2,665.17
|
2023-11-10
|
|
73219
|
HCPCS
|
MRI Scan Of Arm With Contrast
|
58
|
27
|
$3,028.60
|
$2,120.02
30% off
|
$1,771.73
|
$2,937.74
|
$2,665.17
|
2023-11-10
|
|
73720
|
HCPCS
|
MRI Scan Of Leg Before And After Contrast
|
58
|
27
|
$3,028.60
|
$2,120.02
30% off
|
$1,771.73
|
$2,937.74
|
$2,665.17
|
2023-11-10
|
|
73719
|
HCPCS
|
MRI Scan Of Leg With Contrast
|
58
|
27
|
$3,028.60
|
$2,120.02
30% off
|
$1,771.73
|
$2,937.74
|
$2,665.17
|
2023-11-10
|
|
74182
|
HCPCS
|
MRI Scan Of Abdomen With Contrast
|
58
|
27
|
$3,028.60
|
$2,120.02
30% off
|
$1,771.73
|
$2,937.74
|
$2,665.17
|
2023-11-10
|
|
72196
|
HCPCS
|
MRI Scan Of Pelvis With Contrast
|
58
|
27
|
$3,028.60
|
$2,120.02
30% off
|
$1,771.73
|
$2,937.74
|
$2,665.17
|
2023-11-10
|
|
23819251_1
|
CDM
|
Urolift System
|
58
|
27
|
$3,002.00
|
$2,101.40
30% off
|
$1,756.17
|
$2,911.94
|
$2,641.76
|
2023-11-10
|
|
99070
|
HCPCS
|
Misc Supplies & Materials Charge
|
58
|
27
|
$2,991.40
|
$2,093.98
30% off
|
$1,749.97
|
$2,901.66
|
$2,632.43
|
2023-11-10
|
|
90376
|
HCPCS
|
Rabies Immune Globulin For Injection Beneath The Skin And/or Into Muscle, Heat-t…
|
58
|
27
|
$2,973.49
|
$2,081.44
30% off
|
$1,739.49
|
$2,884.29
|
$2,616.67
|
2023-11-10
|
|
195
|
MS_DRG
|
Simple Pneumonia And Pleurisy Without Cc/mcc
|
54
|
27
|
$2,932.53
|
$2,052.77
30% off
|
$1,715.53
|
$2,844.55
|
$2,580.63
|
2023-11-10
|
|
22122858_1
|
CDM
|
42998-0302-02 - Nitroprusside 25 mg/mL IV Sol [magr]
|
58
|
27
|
$2,902.18
|
$2,031.53
30% off
|
$1,697.78
|
$2,815.11
|
$2,553.92
|
2023-11-10
|
|
534
|
MS_DRG
|
Fractures Of Femur Without Mcc
|
54
|
27
|
$2,872.53
|
$2,010.77
30% off
|
$1,680.43
|
$2,786.35
|
$2,527.83
|
2023-11-10
|
|
J1451
|
HCPCS
|
Injection, Fomepizole, 15 Mg
|
232
|
27
|
$3,132.74
|
$2,192.92
30% off
|
$1,451.24
|
$4,058.06
|
$2,509.42
|
2023-11-10
|
|
74176
|
HCPCS
|
CT Scan Of Abdomen And Pelvis Without Contrast
|
58
|
27
|
$2,841.50
|
$1,989.05
30% off
|
$1,662.28
|
$2,756.26
|
$2,500.52
|
2023-11-10
|
|
563
|
MS_DRG
|
Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit…
|
54
|
27
|
$2,832.47
|
$1,982.73
30% off
|
$1,656.99
|
$2,747.50
|
$2,492.57
|
2023-11-10
|
|
22181697_1
|
CDM
|
Puros Bone Putty 5cc
|
58
|
27
|
$2,821.88
|
$1,975.32
30% off
|
$1,650.80
|
$2,737.22
|
$2,483.25
|
2023-11-10
|
|
22184213_1
|
CDM
|
Port MRI Implant
|
58
|
27
|
$2,787.12
|
$1,950.98
30% off
|
$1,630.47
|
$2,703.51
|
$2,452.67
|
2023-11-10
|
|
310
|
MS_DRG
|
Cardiac Arrhythmia And Conduction Disorders Without Cc/mcc
|
54
|
27
|
$2,772.97
|
$1,941.08
30% off
|
$1,622.19
|
$2,689.78
|
$2,440.21
|
2023-11-10
|
|
72146
|
HCPCS
|
MRI Scan Of Middle Spinal Canal Without Contrast
|
58
|
27
|
$2,746.30
|
$1,922.41
30% off
|
$1,606.59
|
$2,663.91
|
$2,416.74
|
2023-11-10
|
|
72141
|
HCPCS
|
MRI Scan Of Upper Spinal Canal Without Contrast
|
58
|
27
|
$2,746.30
|
$1,922.41
30% off
|
$1,606.59
|
$2,663.91
|
$2,416.74
|
2023-11-10
|
|
74181
|
HCPCS
|
MRI Scan Of Abdomen Without Contrast
|
58
|
27
|
$2,746.30
|
$1,922.41
30% off
|
$1,606.59
|
$2,663.91
|
$2,416.74
|
2023-11-10
|
|
71550
|
HCPCS
|
MRI Scan Of Chest Without Contrast
|
58
|
27
|
$2,746.30
|
$1,922.41
30% off
|
$1,606.59
|
$2,663.91
|
$2,416.74
|
2023-11-10
|
|
74185
|
HCPCS
|
MRI Scan Of Blood Vessels Of Abdomen
|
58
|
27
|
$2,746.30
|
$1,922.41
30% off
|
$1,606.59
|
$2,663.91
|
$2,416.74
|
2023-11-10
|
|
70551
|
HCPCS
|
MRI Scan Of Brain Without Contrast
|
58
|
27
|
$2,746.30
|
$1,922.41
30% off
|
$1,606.59
|
$2,663.91
|
$2,416.74
|
2023-11-10
|
|
70549
|
HCPCS
|
MRI Scan Of Blood Vessels Of Neck Before And After Contrast
|
58
|
27
|
$2,746.30
|
$1,922.41
30% off
|
$1,606.59
|
$2,663.91
|
$2,416.74
|
2023-11-10
|
|
70548
|
HCPCS
|
MRI Scan Of Blood Vessels Of Neck With Contrast
|
58
|
27
|
$2,746.30
|
$1,922.41
30% off
|
$1,606.59
|
$2,663.91
|
$2,416.74
|
2023-11-10
|
|
70547
|
HCPCS
|
MRI Scan Of Blood Vessels Of Neck Without Contrast
|
58
|
27
|
$2,746.30
|
$1,922.41
30% off
|
$1,606.59
|
$2,663.91
|
$2,416.74
|
2023-11-10
|
|
70546
|
HCPCS
|
MRI Scan Of Blood Vessels Of Head Before And After Contrast
|
58
|
27
|
$2,746.30
|
$1,922.41
30% off
|
$1,606.59
|
$2,663.91
|
$2,416.74
|
2023-11-10
|
|
70545
|
HCPCS
|
MRI Scan Of Blood Vessels Of Head With Contrast
|
58
|
27
|
$2,746.30
|
$1,922.41
30% off
|
$1,606.59
|
$2,663.91
|
$2,416.74
|
2023-11-10
|
|
70540
|
HCPCS
|
MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Without Contrast
|
58
|
27
|
$2,746.30
|
$1,922.41
30% off
|
$1,606.59
|
$2,663.91
|
$2,416.74
|
2023-11-10
|
|
70336
|
HCPCS
|
MRI Scan Of Jaw Joint
|
58
|
27
|
$2,746.30
|
$1,922.41
30% off
|
$1,606.59
|
$2,663.91
|
$2,416.74
|
2023-11-10
|
|
C8910
|
HCPCS
|
Magnetic Resonance Angiography Without Contrast, Chest (excluding Myocardium)
|
58
|
27
|
$2,746.30
|
$1,922.41
30% off
|
$1,606.59
|
$2,663.91
|
$2,416.74
|
2023-11-10
|