|
3690012
|
OTHER
|
Hdh Or Level 6
|
52
|
26
|
$8,201.00
|
$6,560.80
20% off
|
$2,624.32
|
$7,544.92
|
$5,822.71
|
2026-05-22
|
|
3690004
|
OTHER
|
Hdh Or Level 5
|
52
|
26
|
$6,988.00
|
$5,590.40
20% off
|
$2,236.16
|
$6,428.96
|
$4,961.48
|
2026-05-22
|
|
3610200
|
OTHER
|
Hc Biopsy Lung/medstnm Core With Imaging
|
52
|
26
|
$6,120.00
|
$4,896.00
20% off
|
$1,958.40
|
$5,630.40
|
$4,345.20
|
2026-05-22
|
|
3690003
|
OTHER
|
Hdh Or Level 4
|
52
|
26
|
$5,607.00
|
$4,485.60
|
$1,794.24
|
$5,158.44
|
$3,980.97
|
2026-05-22
|
|
4900727
|
OTHER
|
Hc Lumbar Spine Fusion
|
68
|
34
|
$4,718.00
|
$3,774.40
20% off
|
$1,509.76
|
$6,032.88
|
$3,538.50
|
2026-05-22
|
|
4901213
|
OTHER
|
Hc Correct Metacarpal Flaw
|
68
|
34
|
$10,152.00
|
$8,121.60
|
$1,178.40
|
$9,339.84
|
$3,378.59
|
2026-05-22
|
|
3690002
|
OTHER
|
Hdh Or Level 3
|
52
|
26
|
$4,593.00
|
$3,674.40
20% off
|
$1,469.76
|
$4,225.56
|
$3,261.03
|
2026-05-22
|
|
3610693
|
OTHER
|
Hc Biopsy Breast Localiz Devic Specmn Imag US Guide
|
120
|
34
|
$4,679.00
|
$3,743.20
20% off
|
$635.62
|
$6,456.56
|
$3,228.51
|
2026-05-22
|
|
4510020
|
OTHER
|
Hdh Vaginal Delivery Only
|
68
|
34
|
$9,324.00
|
$7,459.20
20% off
|
$952.95
|
$8,578.08
|
$3,103.03
|
2026-05-22
|
|
4901963
|
OTHER
|
Hc Bronchoscopy/needle Bx Each
|
68
|
34
|
$9,217.00
|
$7,373.60
|
$686.42
|
$8,479.64
|
$3,067.41
|
2026-05-22
|
|
4901982
|
OTHER
|
Hc Bronch Ebus Samplng 1/2 Node
|
68
|
34
|
$9,217.00
|
$7,373.60
|
$1,613.92
|
$8,479.64
|
$3,067.41
|
2026-05-22
|
|
4901983
|
OTHER
|
Hc Bronch Ebus Samplng 3/> Node
|
68
|
34
|
$9,217.00
|
$7,373.60
|
$1,613.92
|
$8,479.64
|
$3,067.41
|
2026-05-22
|
|
4901962
|
OTHER
|
Hc Bronchoscopy/lung Bx Each
|
68
|
34
|
$9,217.00
|
$7,373.60
|
$686.42
|
$8,479.64
|
$3,067.41
|
2026-05-22
|
|
4901350
|
OTHER
|
Hc Removal Of Foreign Body
|
68
|
34
|
$8,535.00
|
$6,828.00
20% off
|
$832.41
|
$10,969.00
|
$2,840.45
|
2026-05-22
|
|
4902589
|
OTHER
|
Hc Colonoscopy And Biopsy
|
56
|
28
|
$3,490.00
|
$2,792.00
20% off
|
$1,116.80
|
$4,917.00
|
$2,792.00
|
2026-05-22
|
|
3690001
|
OTHER
|
Hdh Or Level 2
|
52
|
26
|
$3,458.00
|
$2,766.40
20% off
|
$1,106.56
|
$3,181.36
|
$2,455.18
|
2026-05-22
|
|
5109014
|
OTHER
|
Hdh Eye Laser Post Capsul Yag Bilat
|
52
|
26
|
$3,317.00
|
$2,653.60
20% off
|
$1,061.44
|
$3,051.64
|
$2,355.07
|
2026-05-22
|
|
4900931
|
OTHER
|
Hc Treat Elbow Dislocation
|
68
|
34
|
$6,704.00
|
$5,363.20
20% off
|
$508.02
|
$6,167.68
|
$2,231.09
|
2026-05-22
|
|
5109011
|
OTHER
|
Hdh Eye Laser Iridotomy-bilateral
|
52
|
26
|
$3,129.00
|
$2,503.20
20% off
|
$1,001.28
|
$2,878.68
|
$2,221.59
|
2026-05-22
|
|
4900654
|
OTHER
|
Hc Closed Tx Nose Fx Without Stablj
|
68
|
34
|
$6,672.00
|
$5,337.60
|
$578.84
|
$6,138.24
|
$2,220.44
|
2026-05-22
|
|
4902427
|
OTHER
|
Hc Removal Of Esophagus Pouch
|
68
|
34
|
$2,756.00
|
$2,204.80
|
$881.92
|
$2,535.52
|
$2,065.84
|
2026-05-22
|
|
3610362
|
OTHER
|
Hc Biopsy Lymph Nodes Perc Supfcl
|
58
|
29
|
$6,223.00
|
$4,978.40
20% off
|
$653.32
|
$5,725.16
|
$2,031.19
|
2026-05-22
|
|
3610254
|
OTHER
|
Hc Biopsy Abd/retroperitonl Mass
|
58
|
29
|
$6,120.00
|
$4,896.00
20% off
|
$284.53
|
$5,630.40
|
$1,997.57
|
2026-05-22
|
|
3610054
|
OTHER
|
Hc Biopsy Bone Superfical
|
58
|
29
|
$6,120.00
|
$4,896.00
20% off
|
$236.98
|
$5,630.40
|
$1,997.57
|
2026-05-22
|
|
3611014
|
OTHER
|
Hc Biopsy Muscle Percut Needle
|
58
|
29
|
$6,120.00
|
$4,896.00
20% off
|
$236.98
|
$5,630.40
|
$1,997.57
|
2026-05-22
|
|
3610391
|
OTHER
|
Hc Biopsy Liver Percut Needle
|
58
|
29
|
$6,120.00
|
$4,896.00
20% off
|
$284.53
|
$5,630.40
|
$1,997.57
|
2026-05-22
|
|
4903618
|
OTHER
|
Hc Colon Ca Scrn Not Hi Rsk Ind
|
52
|
26
|
$2,466.00
|
$1,972.80
20% off
|
$789.12
|
$4,917.00
|
$1,987.60
|
2026-05-22
|
|
4903617
|
OTHER
|
Hc Colorectal Scrn; Hi Risk Ind
|
54
|
27
|
$2,466.00
|
$1,972.80
20% off
|
$789.12
|
$4,917.00
|
$1,972.80
|
2026-05-22
|
|
4902587
|
OTHER
|
Hc Diagnostic Colonoscopy
|
56
|
28
|
$2,466.00
|
$1,972.80
20% off
|
$789.12
|
$4,917.00
|
$1,972.80
|
2026-05-22
|
|
4902162
|
OTHER
|
Hc Av Fusion Direct Any Site
|
68
|
34
|
$2,103.00
|
$1,682.40
|
$672.96
|
$5,622.00
|
$1,903.22
|
2026-05-22
|
|
3690013
|
OTHER
|
Hdh Or Level 6 Each Additional 15 Minutes
|
52
|
26
|
$2,679.00
|
$2,143.20
20% off
|
$857.28
|
$2,464.68
|
$1,902.09
|
2026-05-22
|
|
3611401
|
OTHER
|
Hc Chest Tube Insertion Wo Imaging
|
68
|
34
|
$5,691.00
|
$4,552.80
|
$468.52
|
$5,235.72
|
$1,893.97
|
2026-05-22
|
|
4902520
|
OTHER
|
Hc Small Bowel Endoscopy
|
68
|
34
|
$5,675.00
|
$4,540.00
20% off
|
$924.44
|
$5,221.00
|
$1,888.64
|
2026-05-22
|
|
4902515
|
OTHER
|
Hc Small Bowel Endoscopy
|
68
|
34
|
$5,625.00
|
$4,500.00
20% off
|
$480.68
|
$5,175.00
|
$1,872.00
|
2026-05-22
|
|
2707524
|
OTHER
|
Hdh Blade Helical 11mm X 80mm
|
52
|
26
|
$2,618.90
|
$2,095.12
20% off
|
$838.05
|
$2,409.39
|
$1,859.42
|
2026-05-22
|
|
4901959
|
OTHER
|
Hc Bronchoscopy W/biopsy(s)
|
68
|
34
|
$5,173.00
|
$4,138.40
20% off
|
$686.42
|
$4,917.00
|
$1,721.58
|
2026-05-22
|
|
4901958
|
OTHER
|
Hc Dx Bronchoscope/lavage
|
68
|
34
|
$5,173.00
|
$4,138.40
20% off
|
$686.42
|
$4,917.00
|
$1,721.58
|
2026-05-22
|
|
4901957
|
OTHER
|
Hc Dx Bronchoscope/brush
|
68
|
34
|
$5,173.00
|
$4,138.40
20% off
|
$686.42
|
$4,917.00
|
$1,721.58
|
2026-05-22
|
|
4901976
|
OTHER
|
Hc Bronchoscopy Clear Airways
|
58
|
29
|
$5,173.00
|
$4,138.40
20% off
|
$686.42
|
$4,759.16
|
$1,688.47
|
2026-05-22
|
|
4901956
|
OTHER
|
Hc Dx Bronchoscope/wash
|
58
|
29
|
$5,173.00
|
$4,138.40
20% off
|
$686.42
|
$4,759.16
|
$1,688.47
|
2026-05-22
|
|
2060014
|
OTHER
|
Hc Intermediate Care Unit Rm
|
16
|
8
|
$1,877.00
|
$1,501.60
20% off
|
$1,426.52
|
$1,726.84
|
$1,676.16
|
2026-05-22
|
|
4900833
|
OTHER
|
Hc Treat Dislocation/fracture
|
68
|
34
|
$5,013.00
|
$4,010.40
20% off
|
$181.79
|
$4,917.00
|
$1,668.32
|
2026-05-22
|
|
6100039
|
OTHER
|
Hc Mr Lower Ext Jnt W Contrast
|
106
|
34
|
$3,214.00
|
$2,571.20
20% off
|
$237.83
|
$4,435.32
|
$1,589.00
|
2026-05-22
|
|
6100032
|
OTHER
|
Hc Mr Upper Ext Jnt W Contrast
|
106
|
34
|
$3,214.00
|
$2,571.20
20% off
|
$237.83
|
$4,435.32
|
$1,589.00
|
2026-05-22
|
|
3610116
|
OTHER
|
Hc Repl Non Tunnel Cntrl Cv Cath
|
58
|
29
|
$4,831.00
|
$3,864.80
|
$474.03
|
$4,444.52
|
$1,576.84
|
2026-05-22
|
|
5109012
|
OTHER
|
Hdh Eye Laser Post Capsul Yag Unilat
|
52
|
26
|
$2,211.00
|
$1,768.80
20% off
|
$707.52
|
$2,034.12
|
$1,569.81
|
2026-05-22
|
|
3610024
|
OTHER
|
Hc Chest Tube Insert With Imaging
|
68
|
34
|
$4,660.00
|
$3,728.00
20% off
|
$468.52
|
$4,287.20
|
$1,550.85
|
2026-05-22
|
|
3611137
|
OTHER
|
Hc Biopsy Bone Deep
|
68
|
34
|
$4,658.00
|
$3,726.40
20% off
|
$832.41
|
$4,917.00
|
$1,550.18
|
2026-05-22
|
|
3690000
|
OTHER
|
Hdh Or Level 1
|
52
|
26
|
$2,178.00
|
$1,742.40
|
$696.96
|
$2,003.76
|
$1,546.38
|
2026-05-22
|
|
4902849
|
OTHER
|
Hc Change Of Bladder Tube
|
42
|
21
|
$2,002.00
|
$1,601.60
20% off
|
$640.64
|
$3,304.00
|
$1,521.52
|
2026-05-22
|
|
3690009
|
OTHER
|
Hdh Or Level 5 Each Additional 15 Minutes
|
52
|
26
|
$2,125.00
|
$1,700.00
20% off
|
$680.00
|
$1,955.00
|
$1,508.75
|
2026-05-22
|
|
4047390
|
OTHER
|
Hc PET CT Whole Body
|
68
|
34
|
$4,488.00
|
$3,590.40
20% off
|
$721.13
|
$4,128.96
|
$1,493.61
|
2026-05-22
|
|
4047392
|
OTHER
|
Hc PET CT Skull To Mid-thigh
|
68
|
34
|
$4,488.00
|
$3,590.40
20% off
|
$721.13
|
$4,128.96
|
$1,493.61
|
2026-05-22
|
|
3611920
|
OTHER
|
Hc Nerve Block Other Peripheral
|
120
|
34
|
$2,081.00
|
$1,664.80
20% off
|
$178.23
|
$2,871.32
|
$1,435.89
|
2026-05-22
|
|
5109010
|
OTHER
|
Hdh Eye Argon Laser Trabeculo
|
52
|
26
|
$2,018.00
|
$1,614.40
|
$645.76
|
$1,856.56
|
$1,432.78
|
2026-05-22
|
|
2707541
|
OTHER
|
Hdh Capsocam
|
52
|
26
|
$1,992.00
|
$1,593.60
20% off
|
$637.44
|
$1,832.64
|
$1,414.32
|
2026-05-22
|
|
6109251
|
OTHER
|
Hc Mr Lower Ext Xcl Jnt Wo&w Con
|
106
|
34
|
$2,771.00
|
$2,216.80
|
$237.83
|
$3,824.44
|
$1,370.15
|
2026-05-22
|
|
6101682
|
OTHER
|
Hc Mr Brachial Plexus Wo&w Con
|
106
|
34
|
$2,771.00
|
$2,216.80
|
$237.83
|
$3,824.44
|
$1,370.15
|
2026-05-22
|
|
6100043
|
OTHER
|
Hc Mr Lower Ext Xcl Jnt W Con
|
106
|
34
|
$2,771.00
|
$2,216.80
|
$237.83
|
$3,823.52
|
$1,369.82
|
2026-05-22
|
|
6100010
|
OTHER
|
Hc Mr Lower Ext Jnt Wo Con
|
106
|
34
|
$2,771.00
|
$2,216.80
|
$157.38
|
$3,823.52
|
$1,369.82
|
2026-05-22
|
|
6100014
|
OTHER
|
Hc MRA Upper Ext Wo&w Con
|
106
|
34
|
$2,771.00
|
$2,216.80
|
$191.44
|
$3,823.52
|
$1,369.82
|
2026-05-22
|
|
6100037
|
OTHER
|
Hc Mr Lower Ext Jnt Wo&w Con
|
106
|
34
|
$2,771.00
|
$2,216.80
|
$237.83
|
$3,823.52
|
$1,369.82
|
2026-05-22
|
|
6100041
|
OTHER
|
Hc Mr Lower Ext Xcl Jnt Wo Con
|
106
|
34
|
$2,771.00
|
$2,216.80
|
$157.38
|
$3,823.52
|
$1,369.82
|
2026-05-22
|
|
6100109
|
OTHER
|
Hc MRA Lower Ext Wo&w Contrast
|
106
|
34
|
$2,771.00
|
$2,216.80
|
$191.44
|
$3,823.52
|
$1,369.82
|
2026-05-22
|
|
6100034
|
OTHER
|
Hc Mr Upper Ext Jnt Wo&w Con
|
106
|
34
|
$2,771.00
|
$2,216.80
|
$237.83
|
$3,823.52
|
$1,369.82
|
2026-05-22
|
|
4902593
|
OTHER
|
Hc Colonoscopy W/lesion Removal
|
68
|
34
|
$3,732.00
|
$2,985.60
20% off
|
$548.40
|
$4,917.00
|
$1,242.01
|
2026-05-22
|
|
4902478
|
OTHER
|
Hc Egd Control Bleeding Any
|
68
|
34
|
$3,727.00
|
$2,981.60
20% off
|
$480.68
|
$4,917.00
|
$1,240.35
|
2026-05-22
|
|
4902474
|
OTHER
|
Hc Egd Remove Lesion Snare
|
68
|
34
|
$3,727.00
|
$2,981.60
20% off
|
$480.68
|
$4,917.00
|
$1,240.35
|
2026-05-22
|
|
7500100
|
OTHER
|
Hc Capsule Video Endoscopy
|
68
|
34
|
$1,706.00
|
$1,364.80
20% off
|
$545.92
|
$1,569.52
|
$1,232.64
|
2026-05-22
|
|
3611254
|
OTHER
|
Hc Myelogram 2+ Regions Lumbar Inj Same Md
|
68
|
34
|
$3,644.00
|
$2,915.20
20% off
|
$234.46
|
$3,352.48
|
$1,212.72
|
2026-05-22
|
|
3410076
|
OTHER
|
Hc Nm Myocard Perf Spect Mult Comp
|
68
|
34
|
$3,550.00
|
$2,840.00
20% off
|
$547.47
|
$3,266.00
|
$1,181.44
|
2026-05-22
|
|
4902594
|
OTHER
|
Hc Colonoscopy W/balloon Dilat
|
68
|
34
|
$3,490.00
|
$2,792.00
20% off
|
$548.40
|
$4,917.00
|
$1,161.47
|
2026-05-22
|
|
4902590
|
OTHER
|
Hc Colonoscopy Submucous Njx
|
68
|
34
|
$3,490.00
|
$2,792.00
20% off
|
$548.40
|
$4,917.00
|
$1,161.47
|
2026-05-22
|
|
4902600
|
OTHER
|
Hc Colonoscopy W/decompression
|
68
|
34
|
$3,490.00
|
$2,792.00
20% off
|
$548.40
|
$3,210.80
|
$1,161.47
|
2026-05-22
|
|
3690008
|
OTHER
|
Hdh Or Level 4 Each Additional 15 Minutes
|
52
|
26
|
$1,634.00
|
$1,307.20
20% off
|
$522.88
|
$1,503.28
|
$1,160.14
|
2026-05-22
|
|
1114007
|
OTHER
|
Hdh Swing Bed
|
14
|
7
|
$1,276.00
|
$1,020.80
20% off
|
$969.76
|
$1,173.92
|
$1,148.40
|
2026-05-22
|
|
3611327
|
OTHER
|
Hc Abdominal Paracentesis W Img
|
68
|
34
|
$3,447.00
|
$2,757.60
20% off
|
$284.53
|
$3,171.24
|
$1,147.16
|
2026-05-22
|
|
3610754
|
OTHER
|
Hc Stent/pta W Thromb Any Meth Perph Dialys Circ Incl Angio Comp
|
68
|
34
|
$1,528.00
|
$1,222.40
|
$488.96
|
$5,456.45
|
$1,146.00
|
2026-05-22
|
|
1113007
|
OTHER
|
Hdh Private Room
|
16
|
8
|
$1,276.00
|
$1,020.80
20% off
|
$969.76
|
$1,173.92
|
$1,139.47
|
2026-05-22
|
|
4900720
|
OTHER
|
Hc Perq Vertebral Augmentation
|
68
|
34
|
$1,507.00
|
$1,205.60
20% off
|
$482.24
|
$2,465.84
|
$1,130.25
|
2026-05-22
|
|
4902471
|
OTHER
|
Hc Egd Guide Wire Insertion
|
68
|
34
|
$3,392.00
|
$2,713.60
20% off
|
$480.68
|
$4,917.00
|
$1,128.86
|
2026-05-22
|
|
4902462
|
OTHER
|
Hc Egd Biopsy Single/multiple
|
68
|
34
|
$3,392.00
|
$2,713.60
20% off
|
$480.68
|
$4,917.00
|
$1,128.86
|
2026-05-22
|
|
4902470
|
OTHER
|
Hc Egd Remove Foreign Body
|
68
|
34
|
$3,392.00
|
$2,713.60
20% off
|
$480.68
|
$4,917.00
|
$1,128.86
|
2026-05-22
|
|
4902536
|
OTHER
|
Hc Colonoscopy With Biopsy
|
58
|
29
|
$3,451.00
|
$2,760.80
|
$548.40
|
$3,304.00
|
$1,126.41
|
2026-05-22
|
|
4902540
|
OTHER
|
Hc Colonoscopy Via Stoma W/snare
|
58
|
29
|
$3,451.00
|
$2,760.80
|
$548.40
|
$3,304.00
|
$1,126.41
|
2026-05-22
|
|
3500031
|
OTHER
|
Hc CTA Neck Wo&w Contrast
|
68
|
34
|
$3,476.00
|
$2,780.80
|
$279.34
|
$3,197.92
|
$1,112.32
|
2026-05-22
|
|
6100026
|
OTHER
|
Hc Mr Upper Ext Xcl Jnt W Con
|
106
|
34
|
$2,243.00
|
$1,794.40
|
$237.83
|
$3,095.80
|
$1,109.10
|
2026-05-22
|
|
6109255
|
OTHER
|
Hc Mr Upperext Jnt Wo Con
|
106
|
34
|
$2,243.00
|
$1,794.40
|
$157.38
|
$3,095.80
|
$1,109.10
|
2026-05-22
|
|
6100027
|
OTHER
|
Hc Mr Upper Ext Xcl Jnt Wo Con
|
106
|
34
|
$2,243.00
|
$1,794.40
|
$157.38
|
$3,095.80
|
$1,109.10
|
2026-05-22
|
|
4903350
|
OTHER
|
Hc Implant Neuroelectrodes
|
68
|
34
|
$1,214.00
|
$971.20
|
$388.48
|
$4,917.00
|
$1,098.67
|
2026-05-22
|
|
4900226
|
OTHER
|
Hc Remove Pilonidal Cyst Compl
|
68
|
34
|
$1,283.00
|
$1,026.40
|
$410.56
|
$5,622.00
|
$1,087.45
|
2026-05-22
|
|
3520201
|
OTHER
|
Hc CT Abdomen Pelvis With Con
|
68
|
34
|
$3,384.00
|
$2,707.20
20% off
|
$242.56
|
$3,113.28
|
$1,082.88
|
2026-05-22
|
|
1211008
|
OTHER
|
Hc Medical Surgical Room
|
16
|
8
|
$1,201.00
|
$960.80
20% off
|
$912.76
|
$1,104.92
|
$1,072.49
|
2026-05-22
|
|
3617085
|
OTHER
|
Hc Picc Line Insert Incl Img Wo Port
|
68
|
34
|
$3,219.00
|
$2,575.20
20% off
|
$474.03
|
$2,961.48
|
$1,071.28
|
2026-05-22
|
|
4903324
|
OTHER
|
Hc Implant Spinal Canal Cath
|
68
|
34
|
$1,175.00
|
$940.00
20% off
|
$376.00
|
$4,917.00
|
$1,063.38
|
2026-05-22
|
|
3610753
|
OTHER
|
Hc Pta W Thromb Any Meth Periph Dialys Circ Incl Angio Comp
|
68
|
34
|
$1,413.00
|
$1,130.40
|
$452.16
|
$3,022.11
|
$1,059.75
|
2026-05-22
|
|
4900721
|
OTHER
|
Hc Perq Vertebral Augmentation
|
68
|
34
|
$1,404.00
|
$1,123.20
|
$449.28
|
$2,465.84
|
$1,053.00
|
2026-05-22
|
|
3520202
|
OTHER
|
Hc CT Abdomen Pelvis Wo & W Con
|
68
|
34
|
$3,269.00
|
$2,615.20
20% off
|
$242.56
|
$3,007.48
|
$1,046.08
|
2026-05-22
|
|
6111661
|
OTHER
|
Hc Mr Brain Wo&w Contrast
|
68
|
34
|
$3,143.00
|
$2,514.40
20% off
|
$237.83
|
$2,891.56
|
$1,045.99
|
2026-05-22
|
|
6100046
|
OTHER
|
Hc Mr Pelvis Wo&w Contrast
|
68
|
34
|
$3,143.00
|
$2,514.40
20% off
|
$237.83
|
$2,891.56
|
$1,045.99
|
2026-05-22
|
|
6121670
|
OTHER
|
Hc Mr Spine Thoracic Wo&w Con
|
68
|
34
|
$3,143.00
|
$2,514.40
20% off
|
$237.83
|
$2,891.56
|
$1,045.99
|
2026-05-22
|
|
6121669
|
OTHER
|
Hc Mr Spine Cervical Wo&w Cont
|
68
|
34
|
$3,143.00
|
$2,514.40
20% off
|
$237.83
|
$2,891.56
|
$1,045.99
|
2026-05-22
|
|
6121671
|
OTHER
|
Hc Mr Spine Lumbar Wo&w Contrast
|
68
|
34
|
$3,143.00
|
$2,514.40
20% off
|
$237.83
|
$2,891.56
|
$1,045.99
|
2026-05-22
|
|
6100117
|
OTHER
|
Hc MRA Abdomen Wo&w Contrast
|
68
|
34
|
$3,128.00
|
$2,502.40
20% off
|
$191.44
|
$2,877.76
|
$1,041.00
|
2026-05-22
|
|
4510016
|
OTHER
|
Hdh Cl Tx Feml Fx W Man W Without Sktl Trct Bil
|
68
|
34
|
$3,107.00
|
$2,485.60
20% off
|
$181.79
|
$2,858.44
|
$1,034.01
|
2026-05-22
|
|
4903328
|
OTHER
|
Hc Implant Spine Infusion Pump
|
68
|
34
|
$1,141.00
|
$912.80
20% off
|
$365.12
|
$4,917.00
|
$1,032.61
|
2026-05-22
|
|
2728025
|
OTHER
|
Hdh Peg Kit 20 Fr Safety
|
52
|
26
|
$1,452.00
|
$1,161.60
20% off
|
$464.64
|
$1,335.84
|
$1,030.92
|
2026-05-22
|
|
4901254
|
OTHER
|
Hc Treat Finger Dislocation
|
68
|
34
|
$1,135.00
|
$908.00
20% off
|
$363.20
|
$4,917.00
|
$1,027.17
|
2026-05-22
|
|
4903354
|
OTHER
|
Hc Revise Spine Eltrd Perq Aray
|
68
|
34
|
$1,330.00
|
$1,064.00
20% off
|
$425.60
|
$2,300.01
|
$997.50
|
2026-05-22
|
|
6121672
|
OTHER
|
Hc Mr Pelvis With Contrast
|
68
|
34
|
$2,991.00
|
$2,392.80
|
$237.83
|
$2,751.72
|
$995.40
|
2026-05-22
|
|
3610147
|
OTHER
|
Hc Insert Tunnel Cv Cath Wo Port
|
68
|
34
|
$1,099.00
|
$879.20
|
$351.68
|
$4,917.00
|
$994.60
|
2026-05-22
|
|
3610057
|
OTHER
|
Hc Abd Paracentesis Wo Imaging
|
68
|
34
|
$2,954.00
|
$2,363.20
20% off
|
$284.53
|
$2,717.68
|
$983.09
|
2026-05-22
|
|
4903357
|
OTHER
|
Hc Revise/remove Neuroreceiver
|
58
|
29
|
$1,105.00
|
$884.00
20% off
|
$353.60
|
$3,304.00
|
$979.03
|
2026-05-22
|
|
4500005
|
OTHER
|
Hc Ed Visit Critical Care
|
68
|
34
|
$2,918.00
|
$2,334.40
|
$42.34
|
$2,684.56
|
$971.11
|
2026-05-22
|
|
5109015
|
OTHER
|
Hdh Cysto With Calibration Or Dilation
|
68
|
34
|
$2,908.00
|
$2,326.40
|
$656.96
|
$2,675.36
|
$967.79
|
2026-05-22
|
|
5109016
|
OTHER
|
Hdh Cysto With Rmvl Stent Or Fb
|
68
|
34
|
$2,908.00
|
$2,326.40
|
$656.96
|
$2,675.36
|
$967.79
|
2026-05-22
|
|
4900225
|
OTHER
|
Hc Remove Pilonidal Cyst Exten
|
68
|
34
|
$1,063.00
|
$850.40
20% off
|
$340.16
|
$5,622.00
|
$962.02
|
2026-05-22
|
|
3610113
|
OTHER
|
Hc Insert Tunnel Cvad Port
|
68
|
34
|
$1,058.00
|
$846.40
20% off
|
$338.56
|
$5,622.00
|
$957.49
|
2026-05-22
|
|
4900737
|
OTHER
|
Hc Insj Stablj Dev Without Dcmprn
|
68
|
34
|
$1,265.00
|
$1,012.00
20% off
|
$404.80
|
$6,032.88
|
$948.75
|
2026-05-22
|
|
3610014
|
OTHER
|
Hc Thoracentesis Aspirate Only W Imaging
|
68
|
34
|
$2,807.00
|
$2,245.60
20% off
|
$468.52
|
$2,582.44
|
$934.17
|
2026-05-22
|
|
4901581
|
OTHER
|
Hc Removal Of Foot Foreign Body
|
68
|
34
|
$1,030.00
|
$824.00
20% off
|
$329.60
|
$6,945.00
|
$932.15
|
2026-05-22
|
|
3610133
|
OTHER
|
Hc Xr Lumbar Puncture Diag W Imaging
|
68
|
34
|
$2,800.00
|
$2,240.00
20% off
|
$348.38
|
$2,576.00
|
$931.84
|
2026-05-22
|
|
3501501
|
OTHER
|
Hc CT Guidance Needle Plcmnt S&i
|
68
|
34
|
$2,850.00
|
$2,280.00
20% off
|
$68.62
|
$2,622.00
|
$930.24
|
2026-05-22
|
|
3520115
|
OTHER
|
Hc CTA Abdominal Aorta W Runoff
|
68
|
34
|
$2,850.00
|
$2,280.00
20% off
|
$279.34
|
$2,622.00
|
$930.24
|
2026-05-22
|
|
6101659
|
OTHER
|
Hc Mr Brain Wo Contrast
|
68
|
34
|
$2,771.00
|
$2,216.80
|
$157.38
|
$2,549.32
|
$922.19
|
2026-05-22
|
|
6100020
|
OTHER
|
Hc MRA Head Wo&w Contrast
|
68
|
34
|
$2,771.00
|
$2,216.80
|
$191.44
|
$2,549.32
|
$922.19
|
2026-05-22
|
|
6100024
|
OTHER
|
Hc MRA Neck With Contrast
|
68
|
34
|
$2,771.00
|
$2,216.80
|
$191.44
|
$2,549.32
|
$922.19
|
2026-05-22
|
|
6100106
|
OTHER
|
Hc MRA Chest Without & With Con
|
68
|
34
|
$2,771.00
|
$2,216.80
|
$191.44
|
$2,549.32
|
$922.19
|
2026-05-22
|
|
6100116
|
OTHER
|
Hc MRA Abdomen With Contrast
|
68
|
34
|
$2,771.00
|
$2,216.80
|
$191.44
|
$2,549.32
|
$922.19
|
2026-05-22
|
|
6100045
|
OTHER
|
Hc Mr Pelvis Without Contrast
|
68
|
34
|
$2,771.00
|
$2,216.80
|
$157.38
|
$2,549.32
|
$922.19
|
2026-05-22
|
|
6100048
|
OTHER
|
Hc Mr Abdomen With Contrast
|
68
|
34
|
$2,771.00
|
$2,216.80
|
$237.83
|
$2,549.32
|
$922.19
|
2026-05-22
|
|
6100023
|
OTHER
|
Hc MRA Neck W0&w Contrast
|
68
|
34
|
$2,771.00
|
$2,216.80
|
$191.44
|
$2,549.32
|
$922.19
|
2026-05-22
|
|
6121667
|
OTHER
|
Hc Mr Spine Lumbar Wo Contrast
|
68
|
34
|
$2,771.00
|
$2,216.80
|
$157.38
|
$2,549.32
|
$922.19
|
2026-05-22
|
|
6100025
|
OTHER
|
Hc MRA Neck Without Contrast
|
68
|
34
|
$2,771.00
|
$2,216.80
|
$191.44
|
$2,549.32
|
$922.19
|
2026-05-22
|
|
6100050
|
OTHER
|
Hc Mr Orbits/face/neckwo&w Con
|
68
|
34
|
$2,771.00
|
$2,216.80
|
$237.83
|
$2,549.32
|
$922.19
|
2026-05-22
|
|
6101678
|
OTHER
|
Hc Mr Abdomen Without Contrast
|
68
|
34
|
$2,771.00
|
$2,216.80
|
$157.38
|
$2,549.32
|
$922.19
|
2026-05-22
|
|
6100049
|
OTHER
|
Hc Mr Orbits/face/neck With Con
|
68
|
34
|
$2,771.00
|
$2,216.80
|
$237.83
|
$2,549.32
|
$922.19
|
2026-05-22
|
|
6100110
|
OTHER
|
Hc MRA Lower Ext Without Contrast
|
68
|
34
|
$2,771.00
|
$2,216.80
|
$191.44
|
$2,549.32
|
$922.19
|
2026-05-22
|
|
6126748
|
OTHER
|
Hc MRA Spinal Canal Wo&w Contrast
|
68
|
34
|
$2,771.00
|
$2,216.80
|
$191.44
|
$2,549.32
|
$922.19
|
2026-05-22
|
|
6100051
|
OTHER
|
Hc Mr Chest With Contrast
|
68
|
34
|
$2,771.00
|
$2,216.80
|
$237.83
|
$2,549.32
|
$922.19
|
2026-05-22
|
|
6100111
|
OTHER
|
Hc MRA Lower Ext With Contrast
|
68
|
34
|
$2,771.00
|
$2,216.80
|
$191.44
|
$2,549.32
|
$922.19
|
2026-05-22
|
|
6121668
|
OTHER
|
Hc Mr Spine Lumbar W Contrast
|
68
|
34
|
$2,771.00
|
$2,216.80
|
$237.83
|
$2,549.32
|
$922.19
|
2026-05-22
|
|
6100115
|
OTHER
|
Hc MRA Abdomen Without Contrast
|
68
|
34
|
$2,771.00
|
$2,216.80
|
$191.44
|
$2,549.32
|
$922.19
|
2026-05-22
|
|
6109253
|
OTHER
|
Hc Mr Upper Ext Xcl Jnt Wo&w Con
|
68
|
34
|
$2,771.00
|
$2,216.80
|
$237.83
|
$2,549.32
|
$922.19
|
2026-05-22
|
|
6100052
|
OTHER
|
Hc Mr Chest Wo&w Contrast
|
68
|
34
|
$2,771.00
|
$2,216.80
|
$237.83
|
$2,549.32
|
$922.19
|
2026-05-22
|
|
6100021
|
OTHER
|
Hc MRA Head With Contrast
|
68
|
34
|
$2,771.00
|
$2,216.80
|
$191.44
|
$2,549.32
|
$922.19
|
2026-05-22
|
|
6111657
|
OTHER
|
Hc Mr Orbit/face/neck Wo Contrast
|
68
|
34
|
$2,771.00
|
$2,216.80
|
$157.38
|
$2,549.32
|
$922.19
|
2026-05-22
|
|
6100047
|
OTHER
|
Hc Mr Abdomen Wo&w Contrast
|
68
|
34
|
$2,771.00
|
$2,216.80
|
$237.83
|
$2,549.32
|
$922.19
|
2026-05-22
|
|
6121664
|
OTHER
|
Hc Mr Spine Cervical W Contrast
|
68
|
34
|
$2,771.00
|
$2,216.80
|
$237.83
|
$2,549.32
|
$922.19
|
2026-05-22
|
|
6111660
|
OTHER
|
Hc Mr Brain With Contrast
|
68
|
34
|
$2,771.00
|
$2,216.80
|
$237.83
|
$2,549.32
|
$922.19
|
2026-05-22
|
|
6121666
|
OTHER
|
Hc Mr Spine Thoracic W Contrast
|
68
|
34
|
$2,771.00
|
$2,216.80
|
$237.83
|
$2,549.32
|
$922.19
|
2026-05-22
|
|
6111662
|
OTHER
|
Hc Mr Chest Without Contrast
|
68
|
34
|
$2,771.00
|
$2,216.80
|
$157.38
|
$2,549.32
|
$922.19
|
2026-05-22
|
|
6100022
|
OTHER
|
Hc MRA Head Without Contrast
|
68
|
34
|
$2,771.00
|
$2,216.80
|
$191.44
|
$2,549.32
|
$922.19
|
2026-05-22
|
|
6101663
|
OTHER
|
Hc Mr Spine Cervicalwo Contrast
|
68
|
34
|
$2,771.00
|
$2,216.80
|
$157.38
|
$2,549.32
|
$922.19
|
2026-05-22
|
|
6121665
|
OTHER
|
Hc Mr Spine Thoracic Wo Contrast
|
68
|
34
|
$2,771.00
|
$2,216.80
|
$157.38
|
$2,549.32
|
$922.19
|
2026-05-22
|
|
6120001
|
OTHER
|
Hc MRA Pelvis Without Contrast
|
68
|
34
|
$2,771.00
|
$2,216.80
|
$191.44
|
$2,549.32
|
$922.19
|
2026-05-22
|
|
3690007
|
OTHER
|
Hdh Or Level 3 Each Additional 15 Minutes
|
52
|
26
|
$1,295.00
|
$1,036.00
20% off
|
$414.40
|
$1,191.40
|
$919.45
|
2026-05-22
|
|
4902497
|
OTHER
|
Hc Dilate Esophagus 1/mult Pass
|
58
|
29
|
$2,782.00
|
$2,225.60
20% off
|
$184.45
|
$3,304.00
|
$908.04
|
2026-05-22
|
|
3610022
|
OTHER
|
Hc Aspiration Fn US Guide 1st Lesion
|
68
|
34
|
$2,622.00
|
$2,097.60
20% off
|
$236.98
|
$2,412.24
|
$872.60
|
2026-05-22
|
|
2728047
|
OTHER
|
Hdh Tube Blakemore 20fr
|
52
|
26
|
$1,228.40
|
$982.72
20% off
|
$393.09
|
$1,130.13
|
$872.16
|
2026-05-22
|
|
2728046
|
OTHER
|
Hdh Tube Blakemore 16fr
|
52
|
26
|
$1,228.40
|
$982.72
20% off
|
$393.09
|
$1,130.13
|
$872.16
|
2026-05-22
|
|
3500033
|
OTHER
|
Hc CTA Upper Extrmty Wo&w Con
|
68
|
34
|
$2,613.00
|
$2,090.40
|
$279.34
|
$2,403.96
|
$869.61
|
2026-05-22
|
|
3520116
|
OTHER
|
Hc CTA Abd & Pelvis W Con Incl Wo
|
68
|
34
|
$2,597.00
|
$2,077.60
20% off
|
$279.34
|
$2,389.24
|
$864.28
|
2026-05-22
|
|
4903356
|
OTHER
|
Hc Insrt/redo Spine N Generator
|
52
|
26
|
$1,069.00
|
$855.20
|
$342.08
|
$4,917.00
|
$861.62
|
2026-05-22
|
|
2550025
|
OTHER
|
Hc Ceretec Tc99m Exametazine/dose
|
68
|
34
|
$2,585.00
|
$2,068.00
20% off
|
$79.78
|
$2,378.20
|
$860.29
|
2026-05-22
|
|
4902529
|
OTHER
|
Hc Small Bowel Endoscopy Br/wa
|
58
|
29
|
$2,591.00
|
$2,072.80
|
$548.40
|
$3,304.00
|
$845.70
|
2026-05-22
|
|
3520200
|
OTHER
|
Hc CT Abdomen Pelvis Without Con
|
68
|
34
|
$2,461.00
|
$1,968.80
20% off
|
$242.56
|
$2,264.12
|
$819.02
|
2026-05-22
|
|
3612000
|
OTHER
|
Hc Ablation Tx Bone 1+ Tumor Rfa W Img
|
68
|
34
|
$1,083.00
|
$866.40
20% off
|
$346.56
|
$996.36
|
$812.25
|
2026-05-22
|
|
2728048
|
OTHER
|
Hdh Bronchoscope 5.0 Single Use
|
52
|
26
|
$1,140.00
|
$912.00
20% off
|
$364.80
|
$1,048.80
|
$809.40
|
2026-05-22
|
|
4902468
|
OTHER
|
Hc Egd Dilate Stricture
|
68
|
34
|
$2,431.00
|
$1,944.80
20% off
|
$480.68
|
$4,917.00
|
$809.04
|
2026-05-22
|
|
3611251
|
OTHER
|
Hc Myelogram Cervical Via Lumbar Inj Same Md
|
68
|
34
|
$2,429.00
|
$1,943.20
20% off
|
$234.46
|
$2,234.68
|
$808.37
|
2026-05-22
|
|
3611253
|
OTHER
|
Hc Myelogram Lumbarvia Lumbar Inj Same Md
|
68
|
34
|
$2,429.00
|
$1,943.20
20% off
|
$234.46
|
$2,234.68
|
$808.37
|
2026-05-22
|
|
4902535
|
OTHER
|
Hc Colonoscopy Thru Stoma Spx
|
58
|
29
|
$2,466.00
|
$1,972.80
20% off
|
$548.40
|
$3,304.00
|
$804.90
|
2026-05-22
|
|
4902472
|
OTHER
|
Hc Esoph Egd Dilation <30 Mm
|
68
|
34
|
$2,413.00
|
$1,930.40
|
$480.68
|
$4,917.00
|
$803.05
|
2026-05-22
|
|
4902531
|
OTHER
|
Hc Small Bowel Endoscopy
|
58
|
29
|
$2,439.00
|
$1,951.20
20% off
|
$548.40
|
$3,304.00
|
$796.09
|
2026-05-22
|
|
4902451
|
OTHER
|
Hc Esophagoscopy Balloon <30mm
|
58
|
29
|
$2,431.00
|
$1,944.80
20% off
|
$480.68
|
$3,304.00
|
$793.48
|
2026-05-22
|
|
4902458
|
OTHER
|
Hc Egd Diagnostic Brush Wash
|
58
|
29
|
$2,420.00
|
$1,936.00
20% off
|
$480.68
|
$3,304.00
|
$789.89
|
2026-05-22
|
|
3410075
|
OTHER
|
Hc Nm Myocard Perf Spect Sgl Comp
|
68
|
34
|
$2,365.00
|
$1,892.00
20% off
|
$547.47
|
$2,175.80
|
$787.07
|
2026-05-22
|
|
3610694
|
OTHER
|
Hc Biopsy Brest Localiz Dev Specmn Img US Guid Ea Addt Lesion
|
68
|
34
|
$2,339.00
|
$1,871.20
20% off
|
$635.62
|
$2,151.88
|
$778.41
|
2026-05-22
|
|
3106691
|
OTHER
|
Hc Flow Cytometry Each Add Marker
|
68
|
34
|
$2,325.00
|
$1,860.00
20% off
|
$37.42
|
$2,139.00
|
$773.76
|
2026-05-22
|
|
4901580
|
OTHER
|
Hc Removal Of Foot Foreign Body
|
106
|
34
|
$852.00
|
$681.60
20% off
|
$272.64
|
$4,917.00
|
$766.80
|
2026-05-22
|
|
6100500
|
OTHER
|
Hc Mr Brachial Plexus Wo Contrast
|
68
|
34
|
$2,243.00
|
$1,794.40
|
$157.38
|
$2,063.56
|
$746.47
|
2026-05-22
|
|
6101656
|
OTHER
|
Hc Mr Temporomandibular Jt Wo Con
|
68
|
34
|
$2,243.00
|
$1,794.40
|
$157.38
|
$2,063.56
|
$746.47
|
2026-05-22
|
|
3611916
|
OTHER
|
Hc Nerve Block Femoral
|
68
|
34
|
$2,225.00
|
$1,780.00
20% off
|
$178.23
|
$2,047.00
|
$740.48
|
2026-05-22
|
|
3501507
|
OTHER
|
Hc CTA Chest W Or Wo Contrast
|
68
|
34
|
$2,186.00
|
$1,748.80
20% off
|
$279.34
|
$2,011.12
|
$727.50
|
2026-05-22
|
|
3606970
|
OTHER
|
Hc N Block Single Level Intercostal
|
58
|
29
|
$2,225.00
|
$1,780.00
20% off
|
$178.23
|
$3,304.00
|
$726.24
|
2026-05-22
|
|
4902469
|
OTHER
|
Hc Egd Place Gastrostomy Tube
|
68
|
34
|
$2,178.00
|
$1,742.40
|
$480.68
|
$4,917.00
|
$724.84
|
2026-05-22
|
|
3521482
|
OTHER
|
Hc CT Spine Thoracic Wo&w Contr
|
68
|
34
|
$2,168.00
|
$1,734.40
|
$242.56
|
$1,994.56
|
$721.51
|
2026-05-22
|
|
3521471
|
OTHER
|
Hc CT Spine Cervical Wo&w Cont
|
68
|
34
|
$2,168.00
|
$1,734.40
|
$242.56
|
$1,994.56
|
$721.51
|
2026-05-22
|
|
3617201
|
OTHER
|
Hc Nerve Block Sciatic
|
68
|
34
|
$2,164.00
|
$1,731.20
20% off
|
$178.23
|
$1,990.88
|
$720.17
|
2026-05-22
|
|
3411401
|
OTHER
|
Hc Nm Pulmonary Vent & Perfusion Img
|
68
|
34
|
$2,164.00
|
$1,731.20
20% off
|
$547.47
|
$1,990.88
|
$720.17
|
2026-05-22
|
|
4903406
|
OTHER
|
Hc Implant Neuroelectrodes
|
68
|
34
|
$956.00
|
$764.80
20% off
|
$305.92
|
$2,300.01
|
$717.00
|
2026-05-22
|
|
3610751
|
OTHER
|
Hc Stent/pta Periph Dialysis Sys Incl Angio Dialys Circ
|
68
|
34
|
$953.00
|
$762.40
20% off
|
$304.96
|
$5,456.45
|
$714.75
|
2026-05-22
|
|
3521478
|
OTHER
|
Hc CT Spine Lumbar Wo&w Contrast
|
68
|
34
|
$2,131.00
|
$1,704.80
20% off
|
$242.56
|
$1,960.52
|
$709.20
|
2026-05-22
|
|
3521435
|
OTHER
|
Hc CT Neck Sft Tissue Wo&w Contr
|
68
|
34
|
$2,131.00
|
$1,704.80
20% off
|
$242.56
|
$1,960.52
|
$709.20
|
2026-05-22
|
|
3521441
|
OTHER
|
Hc CT Abdomen Wo&w Contrast
|
68
|
34
|
$2,131.00
|
$1,704.80
20% off
|
$242.56
|
$1,960.52
|
$709.20
|
2026-05-22
|
|
3511688
|
OTHER
|
Hc CT Facial/sinus W&wo Contrast
|
68
|
34
|
$2,131.00
|
$1,704.80
20% off
|
$242.56
|
$1,960.52
|
$709.20
|
2026-05-22
|
|
3511432
|
OTHER
|
Hc CT Head Wo&w Contrast
|
68
|
34
|
$2,131.00
|
$1,704.80
20% off
|
$242.56
|
$1,960.52
|
$709.20
|
2026-05-22
|
|
3690006
|
OTHER
|
Hdh Or Level 2 Each Additional 15 Minutes
|
52
|
26
|
$998.00
|
$798.40
20% off
|
$319.36
|
$918.16
|
$708.58
|
2026-05-22
|
|
4902614
|
OTHER
|
Hc Incision Of Rectal Abscess
|
68
|
34
|
$967.00
|
$773.60
20% off
|
$309.44
|
$5,622.00
|
$703.39
|
2026-05-22
|
|
2728037
|
OTHER
|
Hdh Dressing Pico 15cm X 20cm Sterile Pump
|
52
|
26
|
$984.95
|
$787.96
20% off
|
$315.18
|
$906.15
|
$699.31
|
2026-05-22
|
|
2707539
|
OTHER
|
Hdh Puraply Xt Per Sq Cm
|
16
|
8
|
—
|
—
|
$678.55
|
$712.48
|
$698.91
|
2026-05-22
|
|
3610356
|
OTHER
|
Hc Chemodenervation Trunk 1-5 Muscles
|
68
|
34
|
$2,081.00
|
$1,664.80
20% off
|
$178.23
|
$1,914.52
|
$692.56
|
2026-05-22
|
|
4903438
|
OTHER
|
Hc Chemodenerv 1 Extrem 5/> Ea
|
68
|
34
|
$2,081.00
|
$1,664.80
20% off
|
$433.54
|
$1,914.52
|
$692.56
|
2026-05-22
|
|
4903437
|
OTHER
|
Hc Chemodenerv 1 Extrem 5/> Mus
|
68
|
34
|
$2,081.00
|
$1,664.80
20% off
|
$178.23
|
$1,914.52
|
$692.56
|
2026-05-22
|
|
3610355
|
OTHER
|
Hc Chemodenervation Trunk 6+ Muscles
|
68
|
34
|
$2,081.00
|
$1,664.80
20% off
|
$178.23
|
$1,914.52
|
$692.56
|
2026-05-22
|
|
4903436
|
OTHER
|
Hc Chemodenerv 1 Extrem 1-4 Ea
|
68
|
34
|
$2,081.00
|
$1,664.80
20% off
|
$433.54
|
$1,914.52
|
$692.56
|
2026-05-22
|
|
2707536
|
OTHER
|
Hdh Port Power Low Profile Sngl
|
68
|
34
|
$2,080.00
|
$1,664.00
20% off
|
$123.78
|
$1,913.60
|
$692.23
|
2026-05-22
|
|
3430021
|
OTHER
|
Hc Lymphoseek Tc99m Tilmanocept Up To 0.5mci
|
68
|
34
|
$2,073.00
|
$1,658.40
|
$79.78
|
$1,907.16
|
$689.89
|
2026-05-22
|
|
4510003
|
OTHER
|
Hdh Cl Tx Feml Fx W Manip W Without Sktl Trct
|
68
|
34
|
$2,071.00
|
$1,656.80
20% off
|
$181.79
|
$1,905.32
|
$689.23
|
2026-05-22
|
|
2728050
|
OTHER
|
Hdh Kit Cricothyrotomy Ctccs600
|
52
|
26
|
$961.20
|
$768.96
20% off
|
$307.58
|
$884.30
|
$682.45
|
2026-05-22
|
|
4901157
|
OTHER
|
Hc Repair Finger Tendon
|
68
|
34
|
$754.00
|
$603.20
|
$241.28
|
$6,945.00
|
$682.37
|
2026-05-22
|
|
3610011
|
OTHER
|
Hc Lumbar Puncture Diagnostic
|
58
|
29
|
$2,082.00
|
$1,665.60
20% off
|
$348.38
|
$3,304.00
|
$679.56
|
2026-05-22
|
|
4907049
|
OTHER
|
Hc And Asc Cystouretheroscopy
|
58
|
29
|
$895.00
|
$716.00
20% off
|
$286.40
|
$3,304.00
|
$676.67
|
2026-05-22
|
|
3610072
|
OTHER
|
Hc Arthro Asp/inj Med Joint Wo US Guid
|
120
|
34
|
$976.00
|
$780.80
20% off
|
$107.66
|
$1,346.88
|
$673.44
|
2026-05-22
|
|
3610138
|
OTHER
|
Hc Arthro Asp/inj Lrg Joint W US Guidance
|
120
|
34
|
$976.00
|
$780.80
20% off
|
$195.00
|
$1,346.88
|
$673.44
|
2026-05-22
|
|
3610685
|
OTHER
|
Hc Injection Blood Patch
|
58
|
29
|
$2,055.00
|
$1,644.00
20% off
|
$348.38
|
$3,304.00
|
$670.75
|
2026-05-22
|
|
4902610
|
OTHER
|
Hc Remove Rectal Obstruction
|
58
|
29
|
$785.00
|
$628.00
20% off
|
$251.20
|
$3,304.00
|
$669.90
|
2026-05-22
|
|
4901395
|
OTHER
|
Hc Treatment Of Thigh Fracture
|
68
|
34
|
$1,996.00
|
$1,596.80
20% off
|
$181.79
|
$4,917.00
|
$664.27
|
2026-05-22
|
|
4510013
|
OTHER
|
Hdh Rmvl Fb,intraoclar;frm Anter Cham Bilat
|
68
|
34
|
$1,956.00
|
$1,564.80
20% off
|
$234.80
|
$1,799.52
|
$650.96
|
2026-05-22
|
|
7105003
|
OTHER
|
Hdh Recovery Rm First 1/2 Hr
|
52
|
26
|
$906.00
|
$724.80
20% off
|
$289.92
|
$833.52
|
$643.26
|
2026-05-22
|
|
3610074
|
OTHER
|
Hc Arthro Asp/inj Sm Joint Wo US Guid
|
120
|
34
|
$918.00
|
$734.40
20% off
|
$107.66
|
$1,266.84
|
$633.42
|
2026-05-22
|
|
4900688
|
OTHER
|
Hc Drain Neck/chest Lesion
|
68
|
34
|
$691.00
|
$552.80
20% off
|
$221.12
|
$4,917.00
|
$625.36
|
2026-05-22
|
|
3500030
|
OTHER
|
Hc CTA Head Wo&w Contrast
|
68
|
34
|
$1,871.00
|
$1,496.80
20% off
|
$279.34
|
$1,721.32
|
$622.67
|
2026-05-22
|
|
3520003
|
OTHER
|
Hc CT Upper Extremity W Cont
|
68
|
34
|
$1,859.00
|
$1,487.20
20% off
|
$242.56
|
$1,710.28
|
$618.67
|
2026-05-22
|
|
3520009
|
OTHER
|
Hc CT Lower Extremity W Cont
|
68
|
34
|
$1,859.00
|
$1,487.20
20% off
|
$242.56
|
$1,710.28
|
$618.67
|
2026-05-22
|
|
3521480
|
OTHER
|
Hc CT Spine Thoracic W Contrast
|
68
|
34
|
$1,859.00
|
$1,487.20
20% off
|
$242.56
|
$1,710.28
|
$618.67
|
2026-05-22
|
|
3520005
|
OTHER
|
Hc CT Upper Extremity W&wo Con
|
68
|
34
|
$1,859.00
|
$1,487.20
20% off
|
$242.56
|
$1,710.28
|
$618.67
|
2026-05-22
|
|
3511430
|
OTHER
|
Hc CT Head With Contrast
|
68
|
34
|
$1,859.00
|
$1,487.20
20% off
|
$242.56
|
$1,710.28
|
$618.67
|
2026-05-22
|
|
3520011
|
OTHER
|
Hc CT Lower Extremity W&wo Con
|
68
|
34
|
$1,859.00
|
$1,487.20
20% off
|
$242.56
|
$1,710.28
|
$618.67
|
2026-05-22
|
|
3521476
|
OTHER
|
Hc CT Spine Lumbar W Contrast
|
68
|
34
|
$1,859.00
|
$1,487.20
20% off
|
$242.56
|
$1,710.28
|
$618.67
|
2026-05-22
|
|
3611980
|
OTHER
|
Hc Lysis Tx Tnnld Cath Chest Subq
|
68
|
34
|
$1,855.00
|
$1,484.00
20% off
|
$468.52
|
$1,706.60
|
$617.35
|
2026-05-22
|
|
3610013
|
OTHER
|
Hc Thoracentesis Wo Imaging
|
68
|
34
|
$1,855.00
|
$1,484.00
20% off
|
$468.52
|
$1,706.60
|
$617.35
|
2026-05-22
|
|
3611979
|
OTHER
|
Hc Lysis Tx Tnnld Cath Chest Day1
|
68
|
34
|
$1,855.00
|
$1,484.00
20% off
|
$468.52
|
$1,706.60
|
$617.35
|
2026-05-22
|
|
4901998
|
OTHER
|
Hc Aspirate Pleura Without Imaging
|
68
|
34
|
$1,855.00
|
$1,484.00
20% off
|
$468.52
|
$1,706.60
|
$617.35
|
2026-05-22
|
|
3521434
|
OTHER
|
Hc CT Neck Sft Tissue W Contrast
|
68
|
34
|
$1,832.00
|
$1,465.60
20% off
|
$242.56
|
$1,685.44
|
$609.69
|
2026-05-22
|
|
3511463
|
OTHER
|
Hc CT Facial/sinus With Contrast
|
68
|
34
|
$1,832.00
|
$1,465.60
20% off
|
$242.56
|
$1,685.44
|
$609.69
|
2026-05-22
|
|
3521652
|
OTHER
|
Hc CT Facial/sinus Without Contr
|
68
|
34
|
$1,832.00
|
$1,465.60
20% off
|
$113.15
|
$1,685.44
|
$609.69
|
2026-05-22
|
|
3521453
|
OTHER
|
Hc CT Spine Cervical W Contrast
|
68
|
34
|
$1,832.00
|
$1,465.60
20% off
|
$242.56
|
$1,685.44
|
$609.69
|
2026-05-22
|
|
3500032
|
OTHER
|
Hc CTA Abdomen Wo&w Contrast
|
68
|
34
|
$1,832.00
|
$1,465.60
20% off
|
$279.34
|
$1,685.44
|
$609.69
|
2026-05-22
|
|
4901073
|
OTHER
|
Hc Treat Wrist Bone Fracture
|
120
|
34
|
$880.00
|
$704.00
20% off
|
$181.79
|
$1,214.40
|
$607.20
|
2026-05-22
|
|
4902274
|
OTHER
|
Hc Repair Lip
|
68
|
34
|
$770.00
|
$616.00
20% off
|
$246.40
|
$5,622.00
|
$601.99
|
2026-05-22
|
|
4903301
|
OTHER
|
Hc Drain Cerebro Spinal Fluid
|
58
|
29
|
$1,834.00
|
$1,467.20
20% off
|
$348.38
|
$3,304.00
|
$598.62
|
2026-05-22
|
|
3611925
|
OTHER
|
Hc Nerve Block Greater Occipital Nerve
|
120
|
34
|
$857.00
|
$685.60
20% off
|
$178.23
|
$1,182.20
|
$591.33
|
2026-05-22
|
|
3619281
|
OTHER
|
Hc N Block Spenopalatine Ganglion
|
120
|
34
|
$857.00
|
$685.60
20% off
|
$178.23
|
$1,182.20
|
$591.33
|
2026-05-22
|
|
4903423
|
OTHER
|
Hc Destroy Nerve Face Muscle
|
120
|
34
|
$857.00
|
$685.60
20% off
|
$178.23
|
$1,182.20
|
$591.33
|
2026-05-22
|
|
4903425
|
OTHER
|
Hc Chemodenerv Musc Neck Dyston
|
120
|
34
|
$857.00
|
$685.60
20% off
|
$178.23
|
$1,182.20
|
$591.33
|
2026-05-22
|
|
4902561
|
OTHER
|
Hc Proctosigmoidoscopy Dx
|
68
|
34
|
$1,348.00
|
$1,078.40
|
$431.36
|
$1,240.16
|
$575.82
|
2026-05-22
|
|
4902583
|
OTHER
|
Hc Sigmoidoscopy W/ablation
|
68
|
34
|
$1,631.00
|
$1,304.80
20% off
|
$521.92
|
$1,500.52
|
$575.82
|
2026-05-22
|
|
4902572
|
OTHER
|
Hc Diagnostic Sigmoidoscopy
|
68
|
34
|
$1,027.00
|
$821.60
20% off
|
$328.64
|
$944.84
|
$575.82
|
2026-05-22
|
|
3416788
|
OTHER
|
Hc Nm Lymphoscintigram
|
68
|
34
|
$1,407.00
|
$1,125.60
20% off
|
$450.24
|
$1,294.44
|
$574.84
|
2026-05-22
|
|
3411353
|
OTHER
|
Hc Nm Gastrointestnl Bld Loss Acute
|
68
|
34
|
$1,081.00
|
$864.80
20% off
|
$345.92
|
$994.52
|
$574.84
|
2026-05-22
|
|
3410110
|
OTHER
|
Hc Lymphatic Mapping Day 1
|
68
|
34
|
$1,407.00
|
$1,125.60
20% off
|
$450.24
|
$1,294.44
|
$574.84
|
2026-05-22
|
|
3416081
|
OTHER
|
Hc Nm Lung Perfusion Img Particulate
|
68
|
34
|
$886.00
|
$708.80
20% off
|
$283.52
|
$815.12
|
$574.84
|
2026-05-22
|
|
3411384
|
OTHER
|
Hc Nm Liver & Spleen Imaging Static
|
68
|
34
|
$1,068.00
|
$854.40
20% off
|
$341.76
|
$982.56
|
$574.84
|
2026-05-22
|
|
3411323
|
OTHER
|
Hc Nm Lung Ventilation Xe Sgl Proj
|
68
|
34
|
$886.00
|
$708.80
20% off
|
$283.52
|
$815.12
|
$574.84
|
2026-05-22
|
|
3610750
|
OTHER
|
Hc Pta Periph Dialysis Sys Incls Angio Dialysis Circ
|
68
|
34
|
$764.00
|
$611.20
|
$244.48
|
$1,632.32
|
$573.00
|
2026-05-22
|
|
3521448
|
OTHER
|
Hc CT Abdomen With Contrast
|
68
|
34
|
$1,711.00
|
$1,368.80
20% off
|
$242.56
|
$1,574.12
|
$569.42
|
2026-05-22
|
|
3511655
|
OTHER
|
Hc CT Orbit/mstd/sella/iac Wo&w C
|
68
|
34
|
$1,706.00
|
$1,364.80
20% off
|
$242.56
|
$1,569.52
|
$567.76
|
2026-05-22
|
|
4902573
|
OTHER
|
Hc Sigmoidoscopy And Biopsy
|
58
|
29
|
$1,363.00
|
$1,090.40
|
$436.16
|
$3,304.00
|
$564.86
|
2026-05-22
|
|
4902576
|
OTHER
|
Hc Sigmoidoscopy For Bleeding
|
58
|
29
|
$1,631.00
|
$1,304.80
20% off
|
$521.92
|
$3,304.00
|
$564.86
|
2026-05-22
|
|
4902580
|
OTHER
|
Hc Sig W/tndsc Balloon Dilation
|
58
|
29
|
$1,631.00
|
$1,304.80
20% off
|
$521.92
|
$3,304.00
|
$564.86
|
2026-05-22
|
|
4902579
|
OTHER
|
Hc Sigmoidoscopy W/tumr Remove
|
58
|
29
|
$1,631.00
|
$1,304.80
20% off
|
$521.92
|
$3,304.00
|
$564.86
|
2026-05-22
|
|
3410068
|
OTHER
|
Hc Nm Tumor/abscess Loc Spect Sngl Area/day
|
68
|
34
|
$819.00
|
$655.20
|
$262.08
|
$753.48
|
$563.89
|
2026-05-22
|
|
4901399
|
OTHER
|
Hc Treatment Of Thigh Fracture
|
58
|
29
|
$1,721.00
|
$1,376.80
20% off
|
$181.79
|
$3,304.00
|
$561.73
|
2026-05-22
|
|
3501438
|
OTHER
|
Hc CT Chest/lung Wo&w Contrast
|
68
|
34
|
$1,684.00
|
$1,347.20
20% off
|
$242.56
|
$1,549.28
|
$560.43
|
2026-05-22
|
|
3200009
|
OTHER
|
Hc Sinus Tract Study S&i
|
68
|
34
|
$1,645.00
|
$1,316.00
20% off
|
$87.85
|
$1,513.40
|
$547.46
|
2026-05-22
|
|
3690005
|
OTHER
|
Hdh Or Level 1 Each Additional 15 Minutes
|
52
|
26
|
$766.00
|
$612.80
20% off
|
$245.12
|
$704.72
|
$543.86
|
2026-05-22
|
|
4901986
|
OTHER
|
Hc Clearance Of Airways
|
42
|
21
|
$714.00
|
$571.20
|
$228.48
|
$3,304.00
|
$542.64
|
2026-05-22
|
|
3521450
|
OTHER
|
Hc CT Pelvis With Contrast
|
68
|
34
|
$1,607.00
|
$1,285.60
20% off
|
$242.56
|
$1,478.44
|
$534.81
|
2026-05-22
|
|
4901311
|
OTHER
|
Hc Treat Hip Dislocation
|
68
|
34
|
$919.00
|
$735.20
|
$294.08
|
$4,917.00
|
$533.42
|
2026-05-22
|
|
4901315
|
OTHER
|
Hc Treat Hip Dislocation
|
68
|
34
|
$1,384.00
|
$1,107.20
|
$442.88
|
$4,917.00
|
$533.42
|
2026-05-22
|
|
9220018
|
OTHER
|
Hdh Nerve Conduction 13+ Studies
|
68
|
34
|
$1,599.00
|
$1,279.20
20% off
|
$241.33
|
$1,471.08
|
$532.14
|
2026-05-22
|
|
9220115
|
OTHER
|
Hc Nerve Conduction 9 - 10 Studies
|
68
|
34
|
$1,599.00
|
$1,279.20
20% off
|
$241.33
|
$1,471.08
|
$532.14
|
2026-05-22
|
|
4810808
|
OTHER
|
Hc 2d Echo W Cont Wo Cf/doppler
|
68
|
34
|
$1,595.00
|
$1,276.00
20% off
|
$217.67
|
$1,467.40
|
$530.82
|
2026-05-22
|
|
4901237
|
OTHER
|
Hc Treat Knuckle Dislocation
|
68
|
34
|
$664.00
|
$531.20
|
$212.48
|
$4,917.00
|
$527.23
|
2026-05-22
|
|
4901410
|
OTHER
|
Hc Treat Kneecap Dislocation
|
58
|
29
|
$945.00
|
$756.00
20% off
|
$302.40
|
$3,304.00
|
$523.26
|
2026-05-22
|
|
4900829
|
OTHER
|
Hc Treat Shoulder Dislocation
|
96
|
29
|
$845.00
|
$676.00
20% off
|
$270.40
|
$3,304.00
|
$523.26
|
2026-05-22
|
|
4901668
|
OTHER
|
Hc Treat Foot Dislocation
|
58
|
29
|
$1,169.00
|
$935.20
|
$374.08
|
$3,304.00
|
$523.26
|
2026-05-22
|
|
4901511
|
OTHER
|
Hc Treat Ankle Dislocation
|
58
|
29
|
$827.00
|
$661.60
20% off
|
$264.64
|
$3,304.00
|
$523.26
|
2026-05-22
|
|
3610154
|
OTHER
|
Hc Replace Tunneled Cntrl Cv Cath
|
68
|
34
|
$576.00
|
$460.80
20% off
|
$184.32
|
$4,917.00
|
$521.28
|
2026-05-22
|
|
3610139
|
OTHER
|
Hc Arthro Asp/inj Lrg Joint Wo US Guid
|
120
|
34
|
$752.00
|
$601.60
20% off
|
$107.66
|
$1,037.76
|
$518.88
|
2026-05-22
|
|
3619073
|
OTHER
|
Hc Excision Malignant Tral Lesion 4cm
|
68
|
34
|
$565.00
|
$452.00
20% off
|
$180.80
|
$4,917.00
|
$511.32
|
2026-05-22
|
|
3521433
|
OTHER
|
Hc CT Neck Sft Tissue Wo Contrast
|
68
|
34
|
$1,532.00
|
$1,225.60
20% off
|
$113.15
|
$1,409.44
|
$509.85
|
2026-05-22
|
|
3501437
|
OTHER
|
Hc CT Chest/lung With Contrast
|
68
|
34
|
$1,532.00
|
$1,225.60
20% off
|
$242.56
|
$1,409.44
|
$509.85
|
2026-05-22
|
|
3511654
|
OTHER
|
Hc CT Orbits/mstd/sella With Cont
|
68
|
34
|
$1,532.00
|
$1,225.60
20% off
|
$242.56
|
$1,409.44
|
$509.85
|
2026-05-22
|
|
3521477
|
OTHER
|
Hc CT Spine Lumbar Wo Contrast
|
68
|
34
|
$1,532.00
|
$1,225.60
20% off
|
$113.15
|
$1,409.44
|
$509.85
|
2026-05-22
|
|
3521451
|
OTHER
|
Hc CT Pelvis Wo&w Contrast
|
68
|
34
|
$1,532.00
|
$1,225.60
20% off
|
$242.56
|
$1,409.44
|
$509.85
|
2026-05-22
|
|
3520007
|
OTHER
|
Hc CT Lower Extremity Wo Cont
|
72
|
34
|
$1,532.00
|
$1,225.60
20% off
|
$113.15
|
$1,409.44
|
$502.50
|
2026-05-22
|
|
3610656
|
OTHER
|
Hc Declot By Thrombolytics Cvad
|
68
|
34
|
$1,502.00
|
$1,201.60
20% off
|
$170.99
|
$1,381.84
|
$499.87
|
2026-05-22
|
|
3610192
|
OTHER
|
Hc Picc Insertion With Port
|
68
|
34
|
$1,155.00
|
$924.00
20% off
|
$369.60
|
$5,622.00
|
$497.73
|
2026-05-22
|
|
4830101
|
OTHER
|
Hc Echo 2d With Contr Rest/stress
|
68
|
34
|
$1,491.00
|
$1,192.80
20% off
|
$217.67
|
$1,371.72
|
$496.21
|
2026-05-22
|
|
4800810
|
OTHER
|
Hc Echocard 2d Wo Contrast Rest/stress
|
68
|
34
|
$1,491.00
|
$1,192.80
20% off
|
$217.67
|
$1,371.72
|
$496.21
|
2026-05-22
|
|
4901498
|
OTHER
|
Hc Treatment Of Ankle Fracture
|
96
|
29
|
$1,010.00
|
$808.00
20% off
|
$181.79
|
$3,304.00
|
$489.65
|
2026-05-22
|
|
3615021
|
OTHER
|
Hc Picc Line Insertion Failed
|
58
|
29
|
$1,472.00
|
$1,177.60
20% off
|
$471.04
|
$3,304.00
|
$488.25
|
2026-05-22
|
|
3617081
|
OTHER
|
Hc Picc Line Insert Wo Port
|
58
|
29
|
$1,472.00
|
$1,177.60
20% off
|
$471.04
|
$3,304.00
|
$488.25
|
2026-05-22
|
|
4510021
|
OTHER
|
Hdh Unlisted Px Dentalvr Strux
|
52
|
26
|
$685.00
|
$548.00
20% off
|
$219.20
|
$630.20
|
$486.35
|
2026-05-22
|
|
4900722
|
OTHER
|
Hc Perq Vertebral Augmentation
|
68
|
34
|
$647.00
|
$517.60
|
$207.04
|
$2,733.60
|
$485.25
|
2026-05-22
|
|
3613255
|
OTHER
|
Hc Insert Cath Cricothyroid
|
68
|
34
|
$632.00
|
$505.60
|
$202.24
|
$1,244.26
|
$474.00
|
2026-05-22
|
|
3501436
|
OTHER
|
Hc CT Chest/lung Without Contrast
|
68
|
34
|
$1,424.00
|
$1,139.20
|
$113.15
|
$1,310.08
|
$473.90
|
2026-05-22
|