|
12000001
|
OTHER
|
Hb Semi-private Room
|
5
|
5
|
$5,168.00
|
$1,292.00
75% off
|
$1,847.56
|
$5,064.64
|
$4,111.66
|
2026-05-06
|
|
12000002
|
OTHER
|
Hb Pcu/progressive Care Room
|
5
|
5
|
$6,330.00
|
$1,582.50
75% off
|
$2,262.98
|
$6,203.40
|
$5,036.15
|
2026-05-06
|
|
12000004
|
OTHER
|
Hb Imu/intermediate Care Room
|
5
|
5
|
$5,166.00
|
$1,291.50
75% off
|
$1,846.85
|
$5,062.68
|
$4,110.07
|
2026-05-06
|
|
12000007
|
OTHER
|
Hb Telemetry Room
|
5
|
5
|
$6,199.00
|
$1,549.75
75% off
|
$2,216.14
|
$6,075.02
|
$4,931.92
|
2026-05-06
|
|
12400002
|
OTHER
|
Hb Psych Semi-private Room
|
5
|
5
|
$5,168.00
|
$1,292.00
75% off
|
$1,847.56
|
$5,064.64
|
$4,111.66
|
2026-05-06
|
|
16400001
|
OTHER
|
Hb Isolation Room
|
5
|
5
|
$6,149.00
|
$1,537.25
75% off
|
$2,198.27
|
$6,026.02
|
$4,892.14
|
2026-05-06
|
|
20000001
|
OTHER
|
Hb Intensive Care Room
|
5
|
5
|
$9,902.00
|
$2,475.50
75% off
|
$3,539.97
|
$9,703.96
|
$7,878.03
|
2026-05-06
|
|
27200002
|
OTHER
|
Cath Atherectomy Sys 149x1.8 (67023)
|
10
|
5
|
$9,907.27
|
$2,476.82
75% off
|
$3,453.99
|
$9,949.99
|
$7,882.23
|
2026-05-06
|
|
27200003
|
OTHER
|
Cath Stealth Solid 1.25 (70792)
|
5
|
5
|
$11,509.05
|
$2,877.26
75% off
|
$4,114.49
|
$11,278.87
|
$9,156.60
|
2026-05-06
|
|
27200008
|
OTHER
|
Cath Artherectomy Laser 420006 (67022)
|
15
|
5
|
$10,153.05
|
$2,538.26
75% off
|
$3,211.60
|
$11,611.09
|
$8,085.15
|
2026-05-06
|
|
27200117
|
OTHER
|
Kit Novasure Dispo Device (5827)
|
10
|
5
|
$8,027.09
|
$2,006.78
75% off
|
$1,417.76
|
$11,846.66
|
$4,104.02
|
2026-05-06
|
|
27200118
|
OTHER
|
Ball Lutonix 035 7x130x60 (66660)
|
80
|
5
|
$7,416.64
|
$1,854.16
75% off
|
$1,716.72
|
$9,710.79
|
$5,767.88
|
2026-05-06
|
|
27200126
|
OTHER
|
Cath Pioneer Plus 6fr (2103)
|
20
|
5
|
$3,439.80
|
$859.95
75% off
|
$1,016.02
|
$8,886.89
|
$2,852.39
|
2026-05-06
|
|
27200134
|
OTHER
|
Cryoneedle Ice Force 2.1mm (70978)
|
5
|
5
|
$6,860.00
|
$1,715.00
75% off
|
$2,452.45
|
$6,722.80
|
$5,457.82
|
2026-05-06
|
|
27200184
|
OTHER
|
Ureteroscope Lithovue Flexible (64963)
|
5
|
5
|
$7,056.00
|
$1,764.00
75% off
|
$2,522.52
|
$6,914.88
|
$5,613.75
|
2026-05-06
|
|
27210011
|
OTHER
|
16fr Symphony Cath (179708)
|
155
|
5
|
$8,722.00
|
$2,180.50
75% off
|
$90.46
|
$32,457.89
|
$6,332.76
|
2026-05-06
|
|
27210015
|
OTHER
|
Device Remov Tiss Myosure Xl (45001)
|
10
|
5
|
$10,536.35
|
$2,634.09
75% off
|
$1,317.32
|
$17,040.13
|
$4,913.64
|
2026-05-06
|
|
27510001
|
OTHER
|
Pacemaker Cardiac Azure Wl (57902)
|
52
|
9
|
$13,843.71
|
$3,460.93
75% off
|
$2,249.60
|
$21,753.77
|
$4,895.57
|
2026-05-06
|
|
27510002
|
OTHER
|
Pacemaker Cardiac Azure (57903)
|
52
|
9
|
$10,799.18
|
$2,699.80
75% off
|
$1,751.46
|
$40,696.95
|
$3,960.04
|
2026-05-06
|
|
27800020
|
OTHER
|
Grafix Prime 5x5 Sq Cm Ps13055 (60838)
|
89
|
9
|
$9,061.47
|
$2,265.37
75% off
|
$776.16
|
$9,176.25
|
$2,718.44
|
2026-05-06
|
|
27800025
|
OTHER
|
Hb Ck Spaceoar Gel Kit
|
14
|
9
|
$11,068.00
|
$2,767.00
75% off
|
$2,213.60
|
$10,846.64
|
$3,873.80
|
2026-05-06
|
|
27800026
|
OTHER
|
Hb Ck Spaceoar Vue System
|
14
|
9
|
$11,679.00
|
$2,919.75
75% off
|
$2,335.80
|
$11,445.42
|
$4,087.65
|
2026-05-06
|
|
27810003
|
OTHER
|
Graft Bone Sub Strucsure 21692 (71490)
|
31
|
10
|
$10,848.00
|
$2,712.00
75% off
|
$1,893.65
|
$10,631.04
|
$3,254.40
|
2026-05-06
|
|
27810004
|
OTHER
|
Generator Proclm 7 Elite 3662 (60772)
|
144
|
10
|
$77,292.00
|
$19,323.00
75% off
|
$7,074.25
|
$105,211.42
|
$26,461.24
|
2026-05-06
|
|
27810005
|
OTHER
|
Exclud Trnk 23x14.5x12 16fr (91797)
|
240
|
10
|
$9,115.71
|
$2,278.93
75% off
|
$249.00
|
$41,145.45
|
$2,774.18
|
2026-05-06
|
|
27810006
|
OTHER
|
System Sling Male Uro (36309)
|
75
|
10
|
$7,066.54
|
$1,766.64
75% off
|
$828.69
|
$18,427.58
|
$2,473.29
|
2026-05-06
|
|
27810007
|
OTHER
|
Apex 3d Talus Flat Left Size 1 Tps (172367)
|
1,944
|
10
|
$7,252.00
|
$1,813.00
75% off
|
$50.00
|
$39,778.69
|
$2,631.36
|
2026-05-06
|
|
27810008
|
OTHER
|
Exclaim Lead 90 Cm (136523)
|
180
|
10
|
$9,310.00
|
$2,327.50
75% off
|
$500.00
|
$17,791.01
|
$3,062.14
|
2026-05-06
|
|
27810011
|
OTHER
|
Istent Inject (99408)
|
15
|
9
|
$8,232.00
|
$2,058.00
75% off
|
$1,646.40
|
$8,067.36
|
$2,469.60
|
2026-05-06
|
|
27810014
|
OTHER
|
Cuff Belt W-inhibizone 5cm (358)
|
128
|
10
|
$43,522.52
|
$10,880.63
75% off
|
$2,199.77
|
$52,175.15
|
$15,056.15
|
2026-05-06
|
|
27810015
|
OTHER
|
Generator Prodigy MRI Neurosti (63575)
|
110
|
10
|
$57,630.00
|
$14,407.50
75% off
|
$784.00
|
$61,460.70
|
$17,760.75
|
2026-05-06
|
|
27810016
|
OTHER
|
26 X 10 X 12 Mm Peek Silverstone-p (72722)
|
90
|
10
|
$12,712.50
|
$3,178.13
75% off
|
$725.20
|
$20,763.75
|
$3,813.75
|
2026-05-06
|
|
27810017
|
OTHER
|
Cath Viabahnbx 11mmx59x135cm (54530)
|
240
|
10
|
$12,349.77
|
$3,087.44
75% off
|
$510.00
|
$23,046.10
|
$4,165.36
|
2026-05-06
|
|
27810025
|
OTHER
|
Sys Stent Nps Transcarotid (184286)
|
16
|
10
|
$11,349.72
|
$2,837.43
75% off
|
$2,269.94
|
$11,122.73
|
$3,688.66
|
2026-05-06
|
|
27810036
|
OTHER
|
Balloon Presr Regulatr 61/70cm (345)
|
48
|
10
|
$23,388.29
|
$5,847.07
75% off
|
$2,225.47
|
$23,797.59
|
$7,224.09
|
2026-05-06
|
|
27820005
|
OTHER
|
Protect Nerve Axoguard 10x40 (52835)
|
30
|
9
|
$9,888.63
|
$2,472.16
75% off
|
$1,958.06
|
$9,787.20
|
$2,996.08
|
2026-05-06
|
|
27820008
|
OTHER
|
Card Sys Reveal Linq W-monitor (40881)
|
32
|
10
|
$14,653.27
|
$3,663.32
75% off
|
$2,712.00
|
$15,431.62
|
$4,734.99
|
2026-05-06
|
|
27820009
|
OTHER
|
Cobalt MRI Xt Dr Device (91208)
|
13
|
9
|
$39,001.95
|
$9,750.49
75% off
|
$7,800.39
|
$38,221.91
|
$11,700.59
|
2026-05-06
|
|
27820010
|
OTHER
|
Cobalt MRI Vr Device (91205)
|
13
|
9
|
$36,225.54
|
$9,056.39
75% off
|
$7,245.11
|
$35,501.03
|
$10,867.66
|
2026-05-06
|
|
27820013
|
OTHER
|
Stent Istent Trabecular Lt (66211)
|
30
|
9
|
$8,327.00
|
$2,081.75
75% off
|
$1,568.00
|
$8,637.72
|
$2,644.20
|
2026-05-06
|
|
27820021
|
OTHER
|
Tissuemend 6x10 Sq Cm 64959004 (74720)
|
15
|
9
|
$10,509.00
|
$2,627.25
75% off
|
$2,101.80
|
$10,298.82
|
$3,152.70
|
2026-05-06
|
|
27830004
|
OTHER
|
Primatrix 8x8cm Ag Mesh Sq Cm (72982)
|
31
|
10
|
$11,878.80
|
$2,969.70
75% off
|
$1,937.13
|
$11,641.22
|
$3,563.64
|
2026-05-06
|
|
27870005
|
OTHER
|
Hb Y-90, Brachytherapy Source,non-stranded, Yttrium 90 Per Source
|
14
|
9
|
$96,000.00
|
$24,000.00
75% off
|
$19,200.00
|
$94,080.00
|
$33,600.00
|
2026-05-06
|
|
27881060
|
OTHER
|
Hb Spaceoar Gel Kit
|
14
|
9
|
$11,961.00
|
$2,990.25
75% off
|
$2,392.20
|
$11,721.78
|
$4,186.35
|
2026-05-06
|
|
27881061
|
OTHER
|
Hb Spaceoar Vue System
|
14
|
9
|
$11,906.00
|
$2,976.50
75% off
|
$2,381.20
|
$11,667.88
|
$4,167.10
|
2026-05-06
|
|
27891123
|
OTHER
|
Graft Nerve Adv 1 2x30 (41112)
|
112
|
10
|
$9,261.00
|
$2,315.25
75% off
|
$556.40
|
$29,796.81
|
$3,319.00
|
2026-05-06
|
|
27891124
|
OTHER
|
Dressing Matrix Wnd 4x5in (17044)
|
63
|
10
|
$16,533.44
|
$4,133.36
75% off
|
$1,896.35
|
$21,394.87
|
$4,960.03
|
2026-05-06
|
|
27891147
|
OTHER
|
Matrix Strattice Firm 10x16cm (29914)
|
48
|
10
|
$33,649.14
|
$8,412.29
75% off
|
$3,364.91
|
$51,520.68
|
$11,903.39
|
2026-05-06
|
|
27891161
|
OTHER
|
Pump Drug Deliv Sys 20ml (30652)
|
16
|
10
|
$39,510.45
|
$9,877.61
75% off
|
$7,902.09
|
$38,720.24
|
$12,840.90
|
2026-05-06
|
|
27891164
|
OTHER
|
Puraply Antimicrobial 6x9 (52183)
|
74
|
10
|
$6,664.00
|
$1,666.00
75% off
|
$666.40
|
$17,042.89
|
$2,644.20
|
2026-05-06
|
|
27891166
|
OTHER
|
Allogaft Arthroflex 40x70x1.5 (59653)
|
61
|
10
|
$10,998.86
|
$2,749.72
75% off
|
$887.41
|
$12,790.47
|
$3,299.66
|
2026-05-06
|
|
27891181
|
OTHER
|
Augment Injectable Kit 3.0ccinjectable Usa (71484)
|
16
|
10
|
$13,025.63
|
$3,256.41
75% off
|
$2,605.13
|
$12,765.12
|
$4,233.33
|
2026-05-06
|
|
27891188
|
OTHER
|
Freedom 4a Neurostimulator System 4 Contacts And Wearable Antenna Assembly (1387…
|
31
|
10
|
$61,020.00
|
$15,255.00
75% off
|
$1,176.00
|
$59,799.60
|
$12,204.00
|
2026-05-06
|
|
32000126
|
OTHER
|
Hb Rad Endoscopic Cath Biliary & Pancreatic Ductal Systems S/i
|
6
|
6
|
$3,121.00
|
$780.25
75% off
|
$817.23
|
$3,058.58
|
$2,496.80
|
2026-05-06
|
|
32000192
|
OTHER
|
Hb Venous Sampling W/wo Angiography S&i
|
7
|
7
|
$6,727.00
|
$1,681.75
75% off
|
$1,215.76
|
$15,707.76
|
$5,717.95
|
2026-05-06
|
|
32098258
|
OTHER
|
Hb Unlisted Breast Procedure
|
9
|
7
|
$9,772.00
|
$2,443.00
75% off
|
$3,268.98
|
$9,576.56
|
$7,329.00
|
2026-05-06
|
|
33100012
|
OTHER
|
Hb Ck Robotic Sbrt Cmp Or Tx1-frctn
|
16
|
11
|
$10,137.00
|
$2,534.25
75% off
|
$1,200.00
|
$9,934.26
|
$3,985.49
|
2026-05-06
|
|
33300004
|
OTHER
|
Hb Simulator Field Set 3d
|
16
|
11
|
$13,879.00
|
$3,469.75
75% off
|
$385.75
|
$13,601.42
|
$2,777.47
|
2026-05-06
|
|
33300006
|
OTHER
|
Hb Radiation Therapy Dose Plan, Imrt
|
16
|
11
|
$14,479.00
|
$3,619.75
75% off
|
$849.40
|
$14,189.42
|
$2,775.16
|
2026-05-06
|
|
33300046
|
OTHER
|
Hb Ck Srs Linear Based
|
16
|
11
|
$9,629.00
|
$2,407.25
75% off
|
$757.90
|
$17,760.00
|
$4,038.46
|
2026-05-06
|
|
33300047
|
OTHER
|
Hb Ck Sbrt Delivery
|
16
|
11
|
$10,137.00
|
$2,534.25
75% off
|
$1,200.00
|
$9,934.26
|
$3,985.49
|
2026-05-06
|
|
33300067
|
OTHER
|
Hb Ck Simulator Field Set 3d
|
16
|
11
|
$13,879.00
|
$3,469.75
75% off
|
$385.75
|
$13,601.42
|
$2,777.47
|
2026-05-06
|
|
33300069
|
OTHER
|
Hb Ck Radiation Therapy Dose Plan, Imrt
|
16
|
11
|
$14,479.00
|
$3,619.75
75% off
|
$849.40
|
$14,189.42
|
$2,775.16
|
2026-05-06
|
|
34300001
|
OTHER
|
Hb Rad-i-123,dx,per Mci
|
9
|
7
|
$11,584.00
|
$2,896.00
75% off
|
$4,141.28
|
$11,352.32
|
$8,688.00
|
2026-05-06
|
|
34300008
|
OTHER
|
Hb Rad-i123 Dat Scan/ 5mci Dose
|
9
|
7
|
$9,612.00
|
$2,403.00
75% off
|
$3,436.29
|
$9,419.76
|
$7,209.00
|
2026-05-06
|
|
34300018
|
OTHER
|
Hb Rad-supply Of Tagged Tc99 Wbc
|
9
|
7
|
$3,836.00
|
$959.00
75% off
|
$1,371.37
|
$3,759.28
|
$2,877.00
|
2026-05-06
|
|
34300019
|
OTHER
|
Hb Rad Fdg/dose
|
9
|
7
|
$3,576.00
|
$894.00
75% off
|
$1,278.42
|
$3,504.48
|
$2,682.00
|
2026-05-06
|
|
34300021
|
OTHER
|
Hb Rad- Tc99m Neurolite/dose
|
9
|
7
|
$4,285.00
|
$1,071.25
75% off
|
$1,531.89
|
$4,199.30
|
$3,213.75
|
2026-05-06
|
|
34300025
|
OTHER
|
Hb Rad-111 Octreoscan/up To 6 Mci
|
9
|
7
|
$10,488.00
|
$2,622.00
75% off
|
$3,749.46
|
$10,278.24
|
$7,866.00
|
2026-05-06
|
|
34300041
|
OTHER
|
Hb Rad Tc 99m (tilmanocept) Lymphoseek/dose
|
9
|
7
|
$3,382.00
|
$845.50
75% off
|
$1,209.07
|
$3,314.36
|
$2,536.50
|
2026-05-06
|
|
34300044
|
OTHER
|
Hb Rad Tc-99 Exametazine (ceretec); Per Study Dose Up To 25 Mci
|
9
|
7
|
$3,836.00
|
$959.00
75% off
|
$1,371.37
|
$3,759.28
|
$2,877.00
|
2026-05-06
|
|
34300053
|
OTHER
|
Florbetapir F-18 10 Mci (370 Mbq) Intravenous Solution
|
36
|
7
|
$3,477.82
|
$869.45
75% off
|
$124.41
|
$12,432.28
|
$2,488.73
|
2026-05-06
|
|
34300055
|
OTHER
|
Hb Rad Florbetapir F18, Diagnostic, Per Study Dose, Up To 10 Millicuries
|
9
|
7
|
$12,686.00
|
$3,171.50
75% off
|
$4,535.25
|
$12,432.28
|
$9,514.50
|
2026-05-06
|
|
34370003
|
OTHER
|
Hb Gallium Illuccix 1 Mci
|
9
|
7
|
$4,089.00
|
$1,022.25
75% off
|
$1,461.82
|
$4,007.22
|
$3,066.75
|
2026-05-06
|
|
34370004
|
OTHER
|
Hb Rad Iodine I-123 Ioflupane/ 5mci Dose
|
9
|
7
|
$8,048.00
|
$2,012.00
75% off
|
$2,877.16
|
$7,887.04
|
$6,036.00
|
2026-05-06
|
|
34400001
|
OTHER
|
Hb Rad-sm153/150 Mci Per Dose
|
9
|
7
|
$31,140.00
|
$7,785.00
75% off
|
$11,132.55
|
$30,517.20
|
$23,355.00
|
2026-05-06
|
|
34400002
|
OTHER
|
Hb Rad-supply Y90 Zevalin/dose
|
9
|
7
|
$99,999.00
|
$24,999.75
75% off
|
$35,749.64
|
$97,999.02
|
$74,999.25
|
2026-05-06
|
|
34400003
|
OTHER
|
Hb Rad-sr89 Chloride/mci
|
9
|
7
|
$5,536.00
|
$1,384.00
75% off
|
$1,979.12
|
$5,425.28
|
$4,152.00
|
2026-05-06
|
|
36000026
|
OTHER
|
Hb Ir Radiofrequency Ablation Bone Tumor(s)
|
9
|
7
|
$8,627.00
|
$2,156.75
75% off
|
$3,084.15
|
$9,205.76
|
$6,470.25
|
2026-05-06
|
|
36000050
|
OTHER
|
Hb Ir Insert Indwelling Tunneled Pleural Cath W/cuff
|
9
|
7
|
$8,400.00
|
$2,100.00
75% off
|
$2,766.06
|
$8,232.00
|
$6,300.00
|
2026-05-06
|
|
36000051
|
OTHER
|
Hb Thoracostomy Open Includes Connection To Drain Sys
|
9
|
7
|
$2,946.00
|
$736.50
75% off
|
$1,053.20
|
$6,328.96
|
$2,651.40
|
2026-05-06
|
|
36000093
|
OTHER
|
Hb Ir Insert Tunneled Centrally Inserted Central Venous Cath, Without Sq Port/pump; …
|
9
|
7
|
$7,344.00
|
$1,836.00
75% off
|
$2,625.48
|
$7,197.12
|
$5,508.00
|
2026-05-06
|
|
36000095
|
OTHER
|
Hb Ir Insert Tunneled Centrally Inserted Central Venous Cath, With Sq Port; >5yrs
|
9
|
7
|
$10,944.00
|
$2,736.00
75% off
|
$3,872.48
|
$10,725.12
|
$8,208.00
|
2026-05-06
|
|
36000103
|
OTHER
|
Hb Ir Replace, Complete, Non- Tunneled Centrally Inserted Cv Cath, Without Port/pump…
|
9
|
7
|
$3,308.00
|
$827.00
75% off
|
$1,182.61
|
$3,452.16
|
$2,481.00
|
2026-05-06
|
|
36000104
|
OTHER
|
Hb Ir Replace, Complete, Tunneled Centrally Inserted Cv Cath, Without Sq Port/pump, …
|
16
|
11
|
$7,487.00
|
$1,871.75
75% off
|
$223.07
|
$7,337.26
|
$2,721.33
|
2026-05-06
|
|
36000117
|
OTHER
|
Hb Ir Revision Tips
|
9
|
7
|
$23,805.00
|
$5,951.25
75% off
|
$2,766.06
|
$23,328.90
|
$14,283.00
|
2026-05-06
|
|
36000125
|
OTHER
|
Hb Ir Transcath Biopsy
|
16
|
11
|
$7,839.00
|
$1,959.75
75% off
|
$136.80
|
$12,082.56
|
$3,752.92
|
2026-05-06
|
|
36000154
|
OTHER
|
Hb Rad Inj Proc Radioactive Tracer Sentinel Node
|
9
|
7
|
$4,174.00
|
$1,043.50
75% off
|
$628.65
|
$4,090.52
|
$2,504.40
|
2026-05-06
|
|
36000177
|
OTHER
|
Hb Ir Cholecystostomy, Perc, Complete Proc W/guidance, S&i
|
9
|
7
|
$5,628.00
|
$1,407.00
75% off
|
$2,012.01
|
$9,205.76
|
$4,235.12
|
2026-05-06
|
|
36000203
|
OTHER
|
Hb Ir Insert Tunneled Intraperitoneal Cath, Complete Proc S&i
|
9
|
7
|
$10,524.00
|
$2,631.00
75% off
|
$1,508.76
|
$10,313.52
|
$6,314.40
|
2026-05-06
|
|
36000221
|
OTHER
|
Hb Rad Renal Biopsy; Perc By Trocar/needle
|
16
|
11
|
$5,435.00
|
$1,358.75
75% off
|
$164.53
|
$7,479.68
|
$2,602.01
|
2026-05-06
|
|
36000225
|
OTHER
|
Hb Ir Remove/replace Ext/int Transnephric Ureteral Stent W/fluoro
|
9
|
7
|
$4,787.00
|
$1,196.75
75% off
|
$1,609.34
|
$4,691.26
|
$3,590.25
|
2026-05-06
|
|
36000237
|
OTHER
|
Hb Ablation Renal Tumor(s), Unilateral, Perc, Cryotherapy
|
9
|
7
|
$27,276.00
|
$6,819.00
75% off
|
$4,023.36
|
$26,730.48
|
$16,365.60
|
2026-05-06
|
|
36000263
|
OTHER
|
Hb Rad Transcervical Intro Fallopian Tube Cath Diagnosis/re-establish Patency
|
9
|
7
|
$6,199.00
|
$1,549.75
75% off
|
$2,216.14
|
$7,479.68
|
$4,649.25
|
2026-05-06
|
|
36000463
|
OTHER
|
Hb Ir Evasc Rpr Iliac Art Tm Of A-iliac Art Ndgft Uni
|
9
|
7
|
$7,858.00
|
$1,964.50
75% off
|
$2,809.24
|
$7,700.84
|
$4,958.40
|
2026-05-06
|
|
36000464
|
OTHER
|
Hb Ir Evasc Rpr Iliac Art N/a A-iliac Art Ndgft Uni
|
9
|
7
|
$32,545.00
|
$8,136.25
75% off
|
$7,040.88
|
$31,894.10
|
$19,527.00
|
2026-05-06
|
|
36000471
|
OTHER
|
Hb Cv Evasc Rpr Dplmnt Aorto-bi-iliac Ndgft
|
9
|
7
|
$8,110.00
|
$2,027.50
75% off
|
$2,899.33
|
$16,110.08
|
$7,040.88
|
2026-05-06
|
|
36000472
|
OTHER
|
Hb Cv Placement Xtn Prosth For Endovascular Rpr
|
9
|
7
|
$7,024.00
|
$1,756.00
75% off
|
$2,511.08
|
$6,883.52
|
$4,432.14
|
2026-05-06
|
|
36000482
|
OTHER
|
Hb Tap Block Bilateral By Injection(s)
|
9
|
7
|
$6,895.00
|
$1,723.75
75% off
|
$628.65
|
$6,757.10
|
$4,137.00
|
2026-05-06
|
|
36000493
|
OTHER
|
Hb Abltj 1/+thyr Ndul 1lobe Prq
|
9
|
7
|
$4,861.00
|
$1,215.25
75% off
|
$1,737.81
|
$4,763.78
|
$3,067.29
|
2026-05-06
|
|
36000533
|
OTHER
|
Hb Amputation Foot Midtarsal
|
9
|
7
|
$8,504.00
|
$2,126.00
75% off
|
$3,040.18
|
$8,333.92
|
$5,366.02
|
2026-05-06
|
|
36000802
|
OTHER
|
Hb Ir Perq Access & Closure Fem Art For Delivery Endogft
|
9
|
7
|
$5,101.00
|
$1,275.25
75% off
|
$1,823.61
|
$4,998.98
|
$3,218.73
|
2026-05-06
|
|
36000803
|
OTHER
|
Hb Ir Transcatheter Dlvr Enhncd Fixation Devices Rs&i
|
9
|
7
|
$6,083.00
|
$1,520.75
75% off
|
$2,174.67
|
$5,961.34
|
$3,838.37
|
2026-05-06
|
|
36000804
|
OTHER
|
Hb Ir Evasc Rpr Dplmnt Aorto-aortic Endogft
|
9
|
7
|
$19,171.00
|
$4,792.75
75% off
|
$6,853.63
|
$18,787.58
|
$12,096.90
|
2026-05-06
|
|
36010008
|
OTHER
|
Hb Ir Vasc Occusion Or Embolization Venous
|
16
|
11
|
$22,488.00
|
$5,622.00
75% off
|
$439.46
|
$22,038.24
|
$4,903.48
|
2026-05-06
|
|
36010009
|
OTHER
|
Hb Ir Vasc Occusion Or Embolization Arterial
|
16
|
11
|
$26,257.00
|
$6,564.25
75% off
|
$490.73
|
$25,731.86
|
$4,903.48
|
2026-05-06
|
|
36010010
|
OTHER
|
Hb Ir Vasc Occlusion Or Embolization Tumor, Organ Ischemia, Infarction
|
16
|
11
|
$22,860.00
|
$5,715.00
75% off
|
$585.12
|
$22,402.80
|
$4,903.48
|
2026-05-06
|
|
36010011
|
OTHER
|
Hb Ir Vasc Occlusion Or Embolization Arterial/venous Hemorr, Lymph Extra
|
16
|
11
|
$16,366.00
|
$4,091.50
75% off
|
$682.54
|
$16,038.68
|
$4,903.48
|
2026-05-06
|
|
36010012
|
OTHER
|
Hb Ir Transcath Place IV Stent 1st Artery
|
16
|
11
|
$30,269.00
|
$7,567.25
75% off
|
$458.23
|
$29,663.62
|
$3,355.01
|
2026-05-06
|
|
36010013
|
OTHER
|
Hb Ir Transcath Place IV Stent Ea Addl Artery
|
16
|
11
|
$6,450.00
|
$1,612.50
75% off
|
$214.45
|
$7,479.68
|
$2,787.43
|
2026-05-06
|
|
36010014
|
OTHER
|
Hb Ir Transcath Place IV Stent 1st Vein
|
16
|
11
|
$26,257.00
|
$6,564.25
75% off
|
$320.98
|
$25,731.86
|
$3,355.01
|
2026-05-06
|
|
36010018
|
OTHER
|
Hb Ir Image Guided Fluid Collection By Cath Peritoneal/retroperitoneal,
|
16
|
11
|
$6,068.00
|
$1,517.00
75% off
|
$208.36
|
$7,479.68
|
$2,719.14
|
2026-05-06
|
|
36010035
|
OTHER
|
Hb Ir Dilate Exist Trct, Perq,w/image Guide,inc New Access Rnl Clt Sys
|
9
|
7
|
$9,781.00
|
$2,445.25
75% off
|
$1,508.76
|
$9,585.38
|
$5,868.60
|
2026-05-06
|
|
36050015
|
OTHER
|
Hb Ir Thoracostomy Open Includes Connection To Drain Sys
|
9
|
7
|
$2,946.00
|
$736.50
75% off
|
$1,053.20
|
$6,328.96
|
$2,651.40
|
2026-05-06
|
|
36050036
|
OTHER
|
Hb Ir Supersel Cath Plcmnt; 2nd/3rd Order, Renal Unilateral
|
16
|
11
|
$12,917.00
|
$3,229.25
75% off
|
$375.72
|
$12,658.66
|
$3,355.01
|
2026-05-06
|
|
36050046
|
OTHER
|
Hb Ir Primary Perc Mech Thrombectomy, Noncoronary, Arteria; Initial Vessel
|
9
|
7
|
$14,221.00
|
$3,555.25
75% off
|
$4,777.74
|
$13,936.58
|
$10,665.75
|
2026-05-06
|
|
36050047
|
OTHER
|
Hb Ir Primary Perc Mech Thrombectomy, Noncoronary, Arteria; 2nd + Vessel(s)
|
9
|
7
|
$9,946.00
|
$2,486.50
75% off
|
$3,555.70
|
$10,931.84
|
$7,459.50
|
2026-05-06
|
|
36050048
|
OTHER
|
Hb Ir Secondary Perc Intraluminal Thrombectomy, Noncoronary, Arterial
|
9
|
7
|
$4,287.00
|
$1,071.75
75% off
|
$1,532.60
|
$10,931.84
|
$3,858.30
|
2026-05-06
|
|
36050051
|
OTHER
|
Hb Ir Insert Vena Cava Filter, Endovascular
|
9
|
7
|
$14,615.00
|
$3,653.75
75% off
|
$2,766.06
|
$14,322.70
|
$8,769.00
|
2026-05-06
|
|
36050052
|
OTHER
|
Hb Ir Retrieval Vena Cava Filter, Endovascular
|
9
|
7
|
$8,813.00
|
$2,203.25
75% off
|
$2,766.06
|
$8,636.74
|
$6,328.96
|
2026-05-06
|
|
36050062
|
OTHER
|
Hb Ir Pta Iliac Artery, Unilateral; Initial Vessel
|
9
|
7
|
$15,754.00
|
$3,938.50
75% off
|
$5,632.06
|
$15,438.92
|
$9,940.77
|
2026-05-06
|
|
36050063
|
OTHER
|
Hb Ir Stent(s) Iliac Artery, Unilateral; Initial Vessel
|
9
|
7
|
$31,508.00
|
$7,877.00
75% off
|
$11,264.11
|
$30,877.84
|
$19,881.55
|
2026-05-06
|
|
36050064
|
OTHER
|
Hb Ir Pta Iliac Artery, Ea Addtl Ipsilateral Iliac Vessel
|
9
|
7
|
$17,848.00
|
$4,462.00
75% off
|
$6,380.66
|
$17,491.04
|
$11,262.09
|
2026-05-06
|
|
36050065
|
OTHER
|
Hb Ir Stent(s) Iliac Artery, Ea Ipsilateral Iliac Vessel Incl Pta
|
9
|
7
|
$8,902.00
|
$2,225.50
75% off
|
$3,182.47
|
$8,723.96
|
$5,617.16
|
2026-05-06
|
|
36050066
|
OTHER
|
Hb Ir Pta Femoral/popliteal Artery(s), Unilateral
|
9
|
7
|
$13,128.00
|
$3,282.00
75% off
|
$4,693.26
|
$12,865.44
|
$8,283.77
|
2026-05-06
|
|
36050067
|
OTHER
|
Hb Ir Stent(s), Femoral/popliteal Artery(s), Unilateral, Incl Pta
|
9
|
7
|
$31,508.00
|
$7,877.00
75% off
|
$11,264.11
|
$30,877.84
|
$19,881.55
|
2026-05-06
|
|
36050068
|
OTHER
|
Hb Ir Pta Tibial/peroneal Artery, Unilateral; Initial
|
9
|
7
|
$31,508.00
|
$7,877.00
75% off
|
$11,264.11
|
$30,877.84
|
$19,881.55
|
2026-05-06
|
|
36050070
|
OTHER
|
Hb Ir Pta Tibial/peroneal Artery, Unilateral; Ea Addtl
|
9
|
7
|
$9,757.00
|
$2,439.25
75% off
|
$3,488.13
|
$9,561.86
|
$6,156.67
|
2026-05-06
|
|
36050090
|
OTHER
|
Hb Ir Thrombolytic Arterial Therapy Initial Day
|
16
|
11
|
$12,179.00
|
$3,044.75
75% off
|
$388.62
|
$11,935.42
|
$4,129.24
|
2026-05-06
|
|
36050092
|
OTHER
|
Hb Ir Thrombolytic Art/ven Subs Day
|
9
|
7
|
$12,600.00
|
$3,150.00
75% off
|
$4,023.36
|
$12,348.00
|
$9,205.76
|
2026-05-06
|
|
36050093
|
OTHER
|
Hb Ir Thrombolytic Art/ven Final Day
|
9
|
7
|
$12,600.00
|
$3,150.00
75% off
|
$4,023.36
|
$12,348.00
|
$9,205.76
|
2026-05-06
|
|
36050094
|
OTHER
|
Hb Ir Removal Intravascular Foreign Body
|
16
|
11
|
$5,162.00
|
$1,290.50
75% off
|
$290.76
|
$12,082.56
|
$2,471.31
|
2026-05-06
|
|
36050101
|
OTHER
|
Hb Ir Cath Place Selective Ext Carotid Incl S&i
|
16
|
11
|
$14,782.00
|
$3,695.50
75% off
|
$104.23
|
$14,486.36
|
$2,838.86
|
2026-05-06
|
|
36050103
|
OTHER
|
Hb Ir Thoracentesis With Imaging
|
9
|
7
|
$3,830.00
|
$957.50
75% off
|
$1,369.23
|
$6,328.96
|
$2,911.65
|
2026-05-06
|
|
36050104
|
OTHER
|
Hb Ir Chest Tube Drain Indwelling With Imaging
|
9
|
7
|
$5,188.00
|
$1,297.00
75% off
|
$1,854.71
|
$6,328.96
|
$3,891.00
|
2026-05-06
|
|
36070025
|
OTHER
|
Hb Lithotripsy
|
6
|
6
|
$18,083.00
|
$4,520.75
75% off
|
$6,464.67
|
$17,721.34
|
$13,974.54
|
2026-05-06
|
|
36070028
|
OTHER
|
Hb Ir Atherectomy/pta Tibial/peroneal Artery, Unilateral; Initial
|
9
|
7
|
$23,780.00
|
$5,945.00
75% off
|
$8,501.35
|
$23,304.40
|
$15,005.18
|
2026-05-06
|
|
36070029
|
OTHER
|
Hb Rad Image Guided Fluid Collection By Cath Peritoneal/retroperitoneal,
|
16
|
11
|
$6,068.00
|
$1,517.00
75% off
|
$208.36
|
$7,479.68
|
$2,719.14
|
2026-05-06
|
|
36070032
|
OTHER
|
Hb Ir Ivus Non-coronary Incl Rs&i; Initial Vessel
|
6
|
6
|
$5,465.00
|
$1,366.25
75% off
|
$1,953.74
|
$5,355.70
|
$4,223.35
|
2026-05-06
|
|
36090191
|
OTHER
|
Hb Ir Biopsy Pancreas, Perc Needle
|
9
|
7
|
$4,366.00
|
$1,091.50
75% off
|
$1,560.85
|
$7,479.68
|
$3,441.04
|
2026-05-06
|
|
36090221
|
OTHER
|
Hb Ir Renal Biopsy; Perc By Trocar/needle
|
16
|
11
|
$5,435.00
|
$1,358.75
75% off
|
$164.53
|
$7,479.68
|
$2,602.01
|
2026-05-06
|
|
36090305
|
OTHER
|
Hb Ir Perc Vertebroplasty Inject, 1 Vertebral Bdy; Lumbosacral
|
9
|
7
|
$7,255.00
|
$1,813.75
75% off
|
$2,593.66
|
$7,479.68
|
$5,441.25
|
2026-05-06
|
|
36090307
|
OTHER
|
Hb Ir Perc Vertebral Augmentation, 1 Vertebral Bdy; Thoracic
|
9
|
7
|
$16,161.00
|
$4,040.25
75% off
|
$3,268.98
|
$15,837.78
|
$9,696.60
|
2026-05-06
|
|
36090308
|
OTHER
|
Hb Ir Perc Vertebral Augmentation, 1 Vertebral Bdy; Lumbar
|
9
|
7
|
$17,343.00
|
$4,335.75
75% off
|
$3,268.98
|
$16,996.14
|
$10,405.80
|
2026-05-06
|
|
36090309
|
OTHER
|
Hb Ir Perc Vertebral Augmentation, 1 Vertebral Bdy; Each Addl
|
9
|
7
|
$5,851.00
|
$1,462.75
75% off
|
$2,091.73
|
$7,479.68
|
$4,388.25
|
2026-05-06
|
|
36090448
|
OTHER
|
Hb Ir Si Joint Injection Incld Imaging
|
9
|
7
|
$2,932.00
|
$733.00
75% off
|
$1,048.19
|
$6,328.96
|
$2,638.80
|
2026-05-06
|
|
36091051
|
OTHER
|
Hb Thoracostomy Bilateral Open Includes Connection To Drain Sys
|
9
|
7
|
$2,946.00
|
$736.50
75% off
|
$1,053.20
|
$6,328.96
|
$2,651.40
|
2026-05-06
|
|
36099017
|
OTHER
|
Hb Ir Place Biliary Drain Cath Perc Inc Imaging & All Rs&i; External
|
16
|
11
|
$8,400.00
|
$2,100.00
75% off
|
$299.62
|
$9,205.76
|
$3,513.18
|
2026-05-06
|
|
36099023
|
OTHER
|
Hb Ir Place Bile Duct Stent Perc With Rs&i; Each, New Acc Without Sep Drain
|
16
|
11
|
$10,099.00
|
$2,524.75
75% off
|
$435.77
|
$16,110.08
|
$4,834.89
|
2026-05-06
|
|
36099031
|
OTHER
|
Hb Ir Place Nephrostomy Cath Perc Inc Dx Nephro With Guide And Rs&i
|
9
|
7
|
$5,789.00
|
$1,447.25
75% off
|
$2,069.57
|
$7,479.68
|
$4,341.75
|
2026-05-06
|
|
36099032
|
OTHER
|
Hb Ir Place Nephro Cath Perc Inc Dx Nephro With Guide Rs&i; New Access
|
9
|
7
|
$7,126.00
|
$1,781.50
75% off
|
$2,547.55
|
$7,479.68
|
$5,344.50
|
2026-05-06
|
|
36099033
|
OTHER
|
Hb Ir Convert Nephroureteral Cath Perc Inc Dx Nephro; Via Pre-exist
|
9
|
7
|
$4,787.00
|
$1,196.75
75% off
|
$1,508.76
|
$4,691.26
|
$3,452.16
|
2026-05-06
|
|
36099034
|
OTHER
|
Hb Ir Exchange Nephrostomy Cath Perc Inc Dx Nephro With Guide And Rs&i
|
9
|
7
|
$4,787.00
|
$1,196.75
75% off
|
$1,508.76
|
$4,691.26
|
$3,452.16
|
2026-05-06
|
|
36099036
|
OTHER
|
Hb Ir Place Ureteral Stent Perc Inc Dx Nephro; New Access Without Sep Cath
|
9
|
7
|
$5,500.00
|
$1,375.00
75% off
|
$1,966.25
|
$7,479.68
|
$4,125.00
|
2026-05-06
|
|
36099041
|
OTHER
|
Hb Ir Placement Ureteral Stent, Perc; Pre-existing Nephro Tract
|
9
|
7
|
$5,522.00
|
$1,380.50
75% off
|
$1,974.12
|
$7,479.68
|
$4,141.50
|
2026-05-06
|
|
36099049
|
OTHER
|
Hb Ir Intro Cath Dialysis Circuit W/transluminal Balloon Angio
|
16
|
11
|
$15,754.00
|
$3,938.50
75% off
|
$213.19
|
$15,438.92
|
$5,833.55
|
2026-05-06
|
|
36099051
|
OTHER
|
Hb Ir Thrmbc/nfs Dialysis Circuit
|
16
|
11
|
$12,451.00
|
$3,112.75
75% off
|
$336.07
|
$12,201.98
|
$4,129.24
|
2026-05-06
|
|
36099057
|
OTHER
|
Hb Ir Transluminal Balloon Angio 1st Artery
|
16
|
11
|
$15,754.00
|
$3,938.50
75% off
|
$350.11
|
$15,438.92
|
$4,903.48
|
2026-05-06
|
|
36099059
|
OTHER
|
Hb Ir Transluminal Balloon Angio 1st Vein
|
16
|
11
|
$15,754.00
|
$3,938.50
75% off
|
$301.07
|
$15,438.92
|
$4,903.48
|
2026-05-06
|
|
36099065
|
OTHER
|
Hb Ir Ablation, 1 Or More, Liver Tumor(s) Perq Cryoablation
|
9
|
7
|
$9,583.00
|
$2,395.75
75% off
|
$3,425.92
|
$9,391.34
|
$7,187.25
|
2026-05-06
|
|
36099081
|
OTHER
|
Hb Proc Room Surgery Level 5 Init 15
|
6
|
6
|
$3,239.00
|
$809.75
75% off
|
$1,157.94
|
$3,174.22
|
$2,503.10
|
2026-05-06
|
|
36099084
|
OTHER
|
Hb Or Surgery Level 3 Init 15
|
6
|
6
|
$4,285.00
|
$1,071.25
75% off
|
$1,531.89
|
$4,199.30
|
$3,311.45
|
2026-05-06
|
|
36099085
|
OTHER
|
Hb Or Surgery Level 4 Init 15
|
6
|
6
|
$5,571.00
|
$1,392.75
75% off
|
$1,991.63
|
$5,459.58
|
$4,305.27
|
2026-05-06
|
|
36099086
|
OTHER
|
Hb Or Surgery Level 5 Init 15
|
6
|
6
|
$6,942.00
|
$1,735.50
75% off
|
$2,481.77
|
$6,803.16
|
$5,364.78
|
2026-05-06
|
|
36099092
|
OTHER
|
Hb Rplj Thumb Distal Tip Mp Joint Compl Amputation
|
9
|
7
|
$24,880.00
|
$6,220.00
75% off
|
$8,894.60
|
$24,382.40
|
$15,699.28
|
2026-05-06
|
|
36099099
|
OTHER
|
Hb Ir Ablation Ther 1+ Pulm Tumors Perq Cryoablation
|
9
|
7
|
$15,540.00
|
$3,885.00
75% off
|
$2,766.06
|
$15,229.20
|
$9,324.00
|
2026-05-06
|
|
36100002
|
OTHER
|
Hb I&d Complex Postop Wound Infection
|
16
|
11
|
$8,785.00
|
$2,196.25
75% off
|
$185.15
|
$8,609.30
|
$2,838.86
|
2026-05-06
|
|
36100003
|
OTHER
|
Hb Exc Sacral Pr Ulc Prepj Musc/myoq Flap/skn Grf Clsr
|
9
|
7
|
$6,651.00
|
$1,662.75
75% off
|
$2,377.73
|
$9,205.76
|
$4,988.25
|
2026-05-06
|
|
36100004
|
OTHER
|
Hb Amputation Toe Metatarsophalangeal Joint
|
9
|
7
|
$10,950.00
|
$2,737.50
75% off
|
$2,766.06
|
$10,731.00
|
$6,570.00
|
2026-05-06
|
|
36100014
|
OTHER
|
Hb Removal Implant Deep
|
16
|
11
|
$7,121.00
|
$1,780.25
75% off
|
$205.80
|
$7,479.68
|
$2,907.37
|
2026-05-06
|
|
36100016
|
OTHER
|
Hb Exc Trochanteric Pr Ulcer Musc/myoq Flap/skin
|
16
|
11
|
$5,154.00
|
$1,288.50
75% off
|
$1,058.40
|
$7,479.68
|
$2,467.48
|
2026-05-06
|
|
40400005
|
OTHER
|
Hb Rad PET Imaging Brain Alzheimers
|
17
|
12
|
$8,724.00
|
$2,181.00
75% off
|
$735.92
|
$8,549.52
|
$4,471.80
|
2026-05-06
|
|
40400008
|
OTHER
|
Hb Rad Myocard Img PET Prfus Mlt Std Rst&strs Cncrnt CT
|
17
|
12
|
$8,937.00
|
$2,234.25
75% off
|
$2,024.42
|
$13,047.80
|
$3,229.63
|
2026-05-06
|
|
40400010
|
OTHER
|
Hb Rad Myocard Img PET Prfus W/metab 2rtracer Cncrnt CT
|
17
|
12
|
$10,923.00
|
$2,730.75
75% off
|
$2,474.04
|
$15,945.67
|
$3,504.89
|
2026-05-06
|
|
40400011
|
OTHER
|
Hb Rad Myocard Img PET Prfus W/metab Dual Radiotracer
|
17
|
12
|
$10,923.00
|
$2,730.75
75% off
|
$2,474.03
|
$15,945.67
|
$3,504.87
|
2026-05-06
|
|
40410004
|
OTHER
|
Hb Rad Nm Pet/ct Full Body
|
17
|
12
|
$13,183.00
|
$3,295.75
75% off
|
$1,448.70
|
$12,919.34
|
$4,712.92
|
2026-05-06
|
|
40410006
|
OTHER
|
Hb Rad Nm Pet/ct Skull - Thigh
|
17
|
12
|
$12,080.00
|
$3,020.00
75% off
|
$1,448.70
|
$11,838.40
|
$4,471.80
|
2026-05-06
|
|
41000021
|
OTHER
|
Hb Resp Ther- Trach/bronch Assist
|
5
|
5
|
$3,230.00
|
$807.50
75% off
|
$1,154.73
|
$3,165.40
|
$2,569.79
|
2026-05-06
|
|
45000033
|
OTHER
|
Hb Lac Repair Complex 2.6-7.5 Cm Scalp,arms,7/0r Legs
|
8
|
6
|
$3,052.00
|
$763.00
75% off
|
$1,091.09
|
$7,479.68
|
$2,868.88
|
2026-05-06
|
|
45000067
|
OTHER
|
Hb Closed Tx Bimalleolar Ankle Fracture W/manipulation
|
8
|
6
|
$3,591.00
|
$897.75
75% off
|
$1,283.78
|
$3,519.18
|
$2,775.12
|
2026-05-06
|
|
45000096
|
OTHER
|
Hb Thoracotomy; W/control Traumatic Hemmorhage/repair Lung Tear
|
8
|
6
|
$4,072.00
|
$1,018.00
75% off
|
$1,455.74
|
$3,990.56
|
$2,811.72
|
2026-05-06
|
|
45000098
|
OTHER
|
Hb Repair Cardiac Wound; Without Bypass
|
8
|
6
|
$7,238.00
|
$1,809.50
75% off
|
$2,587.59
|
$7,093.24
|
$4,997.84
|
2026-05-06
|
|
45000176
|
OTHER
|
Hb Repair, Tendon Or Muscle, Extensor Fa/w; Ea Tendon Or Muscle
|
8
|
6
|
$5,689.00
|
$1,422.25
75% off
|
$2,033.82
|
$9,205.76
|
$4,396.46
|
2026-05-06
|
|
45000177
|
OTHER
|
Hb Repair Blood Vessel, Direct; Upper Extremity
|
8
|
6
|
$6,487.00
|
$1,621.75
75% off
|
$2,319.10
|
$6,357.26
|
$5,013.16
|
2026-05-06
|
|
45000196
|
OTHER
|
Hb Closed Tx Manibular Fracture W/interdental Fixation
|
15
|
11
|
$9,305.00
|
$2,326.25
75% off
|
$479.40
|
$9,118.90
|
$3,268.98
|
2026-05-06
|
|
45000200
|
OTHER
|
Hb Closed Tx Femoral Fx, Proximal End, Neck W/manipulation
|
8
|
6
|
$5,538.00
|
$1,384.50
75% off
|
$1,979.84
|
$5,427.24
|
$3,823.99
|
2026-05-06
|
|
45000201
|
OTHER
|
Hb Closed Tx Medial Melleolus Fx With Manipulation
|
8
|
6
|
$3,164.00
|
$791.00
75% off
|
$1,131.13
|
$3,452.16
|
$2,445.14
|
2026-05-06
|
|
45000220
|
OTHER
|
Hb Cl Tx Mand/maxill Alveolar Ridge Fx
|
8
|
6
|
$7,198.00
|
$1,799.50
75% off
|
$2,573.29
|
$7,479.68
|
$5,562.61
|
2026-05-06
|
|
45000236
|
OTHER
|
Hb Ed - Vaginal Delivery Only
|
8
|
6
|
$8,629.00
|
$2,157.25
75% off
|
$2,766.06
|
$8,456.42
|
$6,400.35
|
2026-05-06
|
|
45000242
|
OTHER
|
Hb Nasal/sinus Endo W/bld Cntrl Hemrrg
|
8
|
6
|
$4,605.00
|
$1,151.25
75% off
|
$1,646.29
|
$9,205.76
|
$4,083.93
|
2026-05-06
|
|
45000254
|
OTHER
|
Hb Cl Tx Sprcndylr/trnscndylr Fem Fx W/manj
|
8
|
6
|
$4,394.00
|
$1,098.50
75% off
|
$1,570.86
|
$7,479.68
|
$3,468.45
|
2026-05-06
|
|
45000313
|
OTHER
|
Hb Debridement Skin Bone At Fx Site
|
8
|
6
|
$7,424.00
|
$1,856.00
75% off
|
$2,654.08
|
$7,275.52
|
$5,737.26
|
2026-05-06
|
|
45000314
|
OTHER
|
Hb Amp F/th 1/2 Jt/phalanx W/neurect Local Flap
|
15
|
11
|
$9,734.00
|
$2,433.50
75% off
|
$350.40
|
$9,539.32
|
$3,479.91
|
2026-05-06
|
|
45000316
|
OTHER
|
Hb Exploration Penetrating Wound Spx Chest
|
8
|
6
|
$5,488.00
|
$1,372.00
75% off
|
$1,961.96
|
$7,479.68
|
$4,241.12
|
2026-05-06
|
|
45070068
|
OTHER
|
Hb Canthotomy
|
8
|
6
|
$3,248.00
|
$812.00
75% off
|
$1,161.16
|
$3,452.16
|
$2,510.06
|
2026-05-06
|
|
45071002
|
OTHER
|
Hb Vasc Occlusion Or Embolization Arterial/venous Hemorr, Lymph Extra
|
15
|
11
|
$16,366.00
|
$4,091.50
75% off
|
$682.54
|
$16,038.68
|
$4,777.74
|
2026-05-06
|
|
45071008
|
OTHER
|
Hb Closed Tx Radial Shaft Fx W/tx Of Dislocation Of Distal Rad Joint
|
8
|
6
|
$3,161.00
|
$790.25
75% off
|
$1,130.06
|
$3,452.16
|
$2,442.82
|
2026-05-06
|
|
45071015
|
OTHER
|
Hb Ligation Major Artery Extremity
|
8
|
6
|
$4,234.00
|
$1,058.50
75% off
|
$1,513.66
|
$6,328.96
|
$3,272.03
|
2026-05-06
|
|
45071028
|
OTHER
|
Hb I&d Deep Absc Bursa/hematoma Thigh/knee Region
|
15
|
11
|
$7,464.00
|
$1,866.00
75% off
|
$106.20
|
$7,479.68
|
$2,668.38
|
2026-05-06
|
|
45071030
|
OTHER
|
Hb Cysto W/irrig & Evac Mult Obstr Clots
|
15
|
11
|
$9,529.00
|
$2,382.25
75% off
|
$288.97
|
$9,338.42
|
$2,766.06
|
2026-05-06
|
|
45071053
|
OTHER
|
Hb Closed Tx Nasal Septal Fract W/wo Stabilization
|
15
|
11
|
$8,402.00
|
$2,100.50
75% off
|
$51.60
|
$8,233.96
|
$2,766.06
|
2026-05-06
|
|
45071054
|
OTHER
|
Hb Insert Tunneled Cvc Without Subq Port/pmp Age 5 Yr/>
|
8
|
6
|
$8,792.00
|
$2,198.00
75% off
|
$2,766.06
|
$8,616.16
|
$6,461.48
|
2026-05-06
|
|
48000031
|
OTHER
|
Hb Ins/replace Single/dual Implant Defib W/lead(s)
|
8
|
6
|
$101,644.00
|
$25,411.00
75% off
|
$4,023.36
|
$99,611.12
|
$56,285.37
|
2026-05-06
|
|
48000057
|
OTHER
|
Hb Atherectomy Femoral/popliteal Artery(s), Unilateral, Incl Pta
|
8
|
6
|
$26,803.00
|
$6,700.75
75% off
|
$9,582.07
|
$26,266.94
|
$18,507.47
|
2026-05-06
|
|
48000058
|
OTHER
|
Hb Stent(s)/atherectomy, Femoral/popliteal Art, Unilateral Incl Pta
|
8
|
6
|
$51,956.00
|
$12,989.00
75% off
|
$18,574.27
|
$50,916.88
|
$35,875.62
|
2026-05-06
|
|
48000059
|
OTHER
|
Hb Atherectomy/pta Tibial/peroneal Artery, Unilateral; Initial
|
8
|
6
|
$23,780.00
|
$5,945.00
75% off
|
$8,501.35
|
$23,304.40
|
$16,420.09
|
2026-05-06
|
|
48000060
|
OTHER
|
Hb Stent(s)/atherectomy Tibial/peroneal Artery, Unilateral; Initial
|
8
|
6
|
$44,923.00
|
$11,230.75
75% off
|
$16,059.97
|
$44,024.54
|
$31,019.33
|
2026-05-06
|
|
48000094
|
OTHER
|
Hb Periph Athrect W S&i Renal
|
8
|
6
|
$23,310.00
|
$5,827.50
75% off
|
$4,777.74
|
$22,843.80
|
$14,207.17
|
2026-05-06
|
|
48000095
|
OTHER
|
Hb Periph Athrect W S&i Visceral Ea Ertery
|
8
|
6
|
$10,791.00
|
$2,697.75
75% off
|
$3,857.78
|
$10,575.18
|
$7,451.18
|
2026-05-06
|
|
48000096
|
OTHER
|
Hb Periph Athrect W S&i Abd Aorta
|
8
|
6
|
$23,310.00
|
$5,827.50
75% off
|
$4,777.74
|
$22,843.80
|
$14,207.17
|
2026-05-06
|
|
48000097
|
OTHER
|
Hb Periph Athrect W S&i Brachioceph
|
8
|
6
|
$23,310.00
|
$5,827.50
75% off
|
$4,777.74
|
$22,843.80
|
$14,207.17
|
2026-05-06
|
|
48000098
|
OTHER
|
Hb Periph Athrect W S&i Iliac
|
8
|
6
|
$20,352.00
|
$5,088.00
75% off
|
$4,777.74
|
$19,944.96
|
$13,097.92
|
2026-05-06
|
|
48080027
|
OTHER
|
Hb Cvl Secondary Perc Intraluminal Thrombectomy, Noncoronary, Arterial
|
8
|
6
|
$5,144.00
|
$1,286.00
75% off
|
$1,838.98
|
$10,931.84
|
$4,703.67
|
2026-05-06
|
|
48080039
|
OTHER
|
Hb Transcath Plcmnt Intravasc Stent(s), Cervical Carotid Artery W/embolic Protec…
|
8
|
6
|
$28,130.00
|
$7,032.50
75% off
|
$4,777.74
|
$27,567.40
|
$16,014.67
|
2026-05-06
|
|
48080041
|
OTHER
|
Hb Pta Iliac Artery, Unilateral; Initial Vessel
|
8
|
6
|
$15,754.00
|
$3,938.50
75% off
|
$5,632.06
|
$15,438.92
|
$10,878.14
|
2026-05-06
|
|
48080042
|
OTHER
|
Hb Stent(s) Iliac Artery, Unilateral; Initial Vessel
|
8
|
6
|
$31,508.00
|
$7,877.00
75% off
|
$11,264.11
|
$30,877.84
|
$21,756.28
|
2026-05-06
|
|
48080044
|
OTHER
|
Hb Stent(s) Iliac Artery, Ea Ipsilateral Iliac Vessel Incl Pta
|
8
|
6
|
$8,902.00
|
$2,225.50
75% off
|
$3,182.47
|
$8,723.96
|
$6,146.83
|
2026-05-06
|
|
48080045
|
OTHER
|
Hb Pta Femoral/popliteal Artery(s), Unilateral
|
8
|
6
|
$15,754.00
|
$3,938.50
75% off
|
$5,632.06
|
$15,438.92
|
$10,878.14
|
2026-05-06
|
|
48080046
|
OTHER
|
Hb Stent(s), Femoral/popliteal Artery(s), Unilateral, Incl Pta
|
8
|
6
|
$31,508.00
|
$7,877.00
75% off
|
$11,264.11
|
$30,877.84
|
$21,756.28
|
2026-05-06
|
|
48080047
|
OTHER
|
Hb Pta Tibial/peroneal Artery, Unilateral; Initial
|
8
|
6
|
$31,508.00
|
$7,877.00
75% off
|
$11,264.11
|
$30,877.84
|
$21,756.28
|
2026-05-06
|
|
48080048
|
OTHER
|
Hb Stent(s) Tibial/peroneal Artery, Unilateral; Initial
|
8
|
6
|
$50,689.00
|
$12,672.25
75% off
|
$18,121.32
|
$49,675.22
|
$35,000.75
|
2026-05-06
|
|
48080055
|
OTHER
|
Hb Cvl Cath Placement Thoracic Aorta
|
15
|
11
|
$20,188.00
|
$5,047.00
75% off
|
$208.10
|
$19,784.24
|
$2,766.06
|
2026-05-06
|
|
48080074
|
OTHER
|
Hb Ivus Non-coronary Incl Rs&i; Initial Vessel
|
5
|
5
|
$5,465.00
|
$1,366.25
75% off
|
$1,953.74
|
$5,355.70
|
$4,347.95
|
2026-05-06
|
|
48080101
|
OTHER
|
Hb Cv Insert, Sq Cardiac Rhythm Monitor, Include Program
|
9
|
7
|
$28,960.00
|
$7,240.00
75% off
|
$10,353.20
|
$28,380.80
|
$18,273.76
|
2026-05-06
|
|
48100005
|
OTHER
|
Hb Insert Intra-aortic Balloon Assist Device; Perc
|
8
|
6
|
$5,608.00
|
$1,402.00
75% off
|
$2,004.86
|
$10,931.84
|
$4,903.48
|
2026-05-06
|
|
48100006
|
OTHER
|
Hb Remove Intra-aortic Balloon Assist Device; Perc
|
8
|
6
|
$3,961.00
|
$990.25
75% off
|
$1,416.06
|
$10,931.84
|
$3,723.34
|
2026-05-06
|
|
48100014
|
OTHER
|
Hb Right Heart Cath Only
|
8
|
6
|
$17,000.00
|
$4,250.00
75% off
|
$6,077.50
|
$16,660.00
|
$11,738.50
|
2026-05-06
|
|
48100016
|
OTHER
|
Hb Lhc & Rhc +/-lvgram
|
8
|
6
|
$21,819.00
|
$5,454.75
75% off
|
$7,800.29
|
$21,382.62
|
$15,066.02
|
2026-05-06
|
|
48100017
|
OTHER
|
Hb Coronary Angiography Only
|
8
|
6
|
$20,861.00
|
$5,215.25
75% off
|
$7,457.81
|
$20,443.78
|
$14,404.52
|
2026-05-06
|
|
48100018
|
OTHER
|
Hb Coronry&bypass Grft Angiogrph
|
8
|
6
|
$15,583.00
|
$3,895.75
75% off
|
$5,570.92
|
$15,271.34
|
$10,760.06
|
2026-05-06
|
|
48100019
|
OTHER
|
Hb Rhc And Coronary Angiography
|
8
|
6
|
$18,364.00
|
$4,591.00
75% off
|
$6,565.13
|
$17,996.72
|
$12,680.34
|
2026-05-06
|
|
48100020
|
OTHER
|
Hb Rhc And Coronary/bypass Angio
|
8
|
6
|
$19,851.00
|
$4,962.75
75% off
|
$7,096.73
|
$19,453.98
|
$13,707.11
|
2026-05-06
|
|
48100021
|
OTHER
|
Hb Lhc+/-lvgram & Coronary Angio
|
8
|
6
|
$24,386.00
|
$6,096.50
75% off
|
$8,718.00
|
$23,898.28
|
$16,838.53
|
2026-05-06
|
|
48100022
|
OTHER
|
Hb Lhc+/-lvgrm&cornry&grft Angio
|
8
|
6
|
$19,764.00
|
$4,941.00
75% off
|
$7,065.63
|
$19,368.72
|
$13,647.04
|
2026-05-06
|
|
48100023
|
OTHER
|
Hb Lhc&rhc+/-lvg & Coronry Angio
|
8
|
6
|
$20,957.00
|
$5,239.25
75% off
|
$7,492.13
|
$20,537.86
|
$14,470.81
|
2026-05-06
|
|
48100024
|
OTHER
|
Hb Lhc&rhc+/-lvg Cor&byps Gf Ang
|
8
|
6
|
$21,738.00
|
$5,434.50
75% off
|
$7,771.34
|
$21,303.24
|
$15,010.09
|
2026-05-06
|
|
48100025
|
OTHER
|
Hb Lhc Transeptl/transapicl Pnct
|
8
|
6
|
$8,993.00
|
$2,248.25
75% off
|
$3,215.00
|
$8,813.14
|
$6,209.66
|
2026-05-06
|
|
48100026
|
OTHER
|
Hb Drug Adm & Hemodynamic Measure
|
5
|
5
|
$3,291.00
|
$822.75
75% off
|
$1,176.53
|
$3,225.18
|
$2,618.32
|
2026-05-06
|
|
48100027
|
OTHER
|
Hb Insert Heart Catheter
|
8
|
6
|
$3,887.00
|
$971.75
75% off
|
$1,389.60
|
$6,328.96
|
$3,003.88
|
2026-05-06
|
|
48100031
|
OTHER
|
Hb Selctive Rt Vent/atrial Angio
|
5
|
5
|
$4,521.00
|
$1,130.25
75% off
|
$1,616.26
|
$4,430.58
|
$3,596.91
|
2026-05-06
|
|
48100033
|
OTHER
|
Hb Inject Pulm Art Hrt Cath
|
5
|
5
|
$3,440.00
|
$860.00
75% off
|
$1,229.80
|
$3,371.20
|
$2,736.86
|
2026-05-06
|
|
48100039
|
OTHER
|
Hb Intravas Doppler Cor-1st Ves
|
5
|
5
|
$7,025.00
|
$1,756.25
75% off
|
$2,511.44
|
$6,884.50
|
$5,589.09
|
2026-05-06
|
|
48100077
|
OTHER
|
Hb Cvl Cath Place Carotid/inom Brain Incl S&i
|
8
|
6
|
$14,615.00
|
$3,653.75
75% off
|
$2,766.06
|
$14,322.70
|
$8,645.10
|
2026-05-06
|
|
48100082
|
OTHER
|
Hb Lhc Vent Punc
|
8
|
6
|
$21,290.00
|
$5,322.50
75% off
|
$7,611.18
|
$20,864.20
|
$14,700.74
|
2026-05-06
|
|
48100085
|
OTHER
|
Hb Cv Pericard Drainage 6yr+ Without Cgen Car
|
8
|
6
|
$6,565.00
|
$1,641.25
75% off
|
$2,346.99
|
$7,479.68
|
$5,073.43
|
2026-05-06
|
|
48100087
|
OTHER
|
Hb Cv Perq Pericard Drainage W/ins Cath W/ct Guidance
|
8
|
6
|
$6,076.00
|
$1,519.00
75% off
|
$2,172.17
|
$7,479.68
|
$4,695.53
|
2026-05-06
|
|
48100088
|
OTHER
|
Hb Cv Evasc Rpr Iliac Art Tm Of A-iliac Art Ndgft Uni
|
8
|
6
|
$7,858.00
|
$1,964.50
75% off
|
$2,809.24
|
$7,700.84
|
$5,425.95
|
2026-05-06
|
|
48100089
|
OTHER
|
Hb Cv Evasc Rpr Iliac Art N/a A-iliac Art Ndgft Uni
|
8
|
6
|
$32,545.00
|
$8,136.25
75% off
|
$7,040.88
|
$31,894.10
|
$20,259.42
|
2026-05-06
|
|
48100091
|
OTHER
|
Hb Revasc Intravasc Lithotripsy
|
8
|
6
|
$15,198.00
|
$3,799.50
75% off
|
$5,433.29
|
$14,894.04
|
$10,494.22
|
2026-05-06
|
|
48100092
|
OTHER
|
Hb Revasc Intra Lithotrip-stent
|
8
|
6
|
$37,387.00
|
$9,346.75
75% off
|
$13,365.85
|
$36,639.26
|
$25,815.72
|
2026-05-06
|
|
48100093
|
OTHER
|
Hb Revasc Intra Lithotrip-ather
|
8
|
6
|
$30,396.00
|
$7,599.00
75% off
|
$10,866.57
|
$29,788.08
|
$20,988.44
|
2026-05-06
|
|
48100094
|
OTHER
|
Hb Revasc Lithotrip-stent-ather
|
8
|
6
|
$47,476.00
|
$11,869.00
75% off
|
$16,972.67
|
$46,526.48
|
$32,782.18
|
2026-05-06
|
|
48100104
|
OTHER
|
Hb Prq Tcat Ther Rx Ntrac Balo1
|
8
|
6
|
$17,105.00
|
$4,276.25
75% off
|
$6,115.04
|
$16,762.90
|
$11,811.01
|
2026-05-06
|
|
48100117
|
OTHER
|
Hb Tcat Impl Wrls L Atr Prs Snr
|
8
|
6
|
$9,650.00
|
$2,412.50
75% off
|
$3,449.88
|
$9,457.00
|
$6,663.32
|
2026-05-06
|
|
48150009
|
OTHER
|
Hb Cv Thrmbc/nfs Dialysis Circuit W/transluminal Balloon Angio
|
15
|
11
|
$26,257.00
|
$6,564.25
75% off
|
$421.84
|
$25,731.86
|
$6,035.04
|
2026-05-06
|
|
48150014
|
OTHER
|
Hb Cv Transluminal Balloon Angio 1st Artery
|
15
|
11
|
$15,754.00
|
$3,938.50
75% off
|
$350.11
|
$15,438.92
|
$4,777.74
|
2026-05-06
|
|
48150033
|
OTHER
|
Hb Perq P-art Revsc St 1st Nml Native Connj Uni
|
8
|
6
|
$32,395.00
|
$8,098.75
75% off
|
$11,581.21
|
$31,747.10
|
$22,368.75
|
2026-05-06
|
|
48150034
|
OTHER
|
Hb Perq P-art Revsc St 1st Nml Native Connj Bi
|
8
|
6
|
$32,395.00
|
$8,098.75
75% off
|
$11,581.21
|
$31,747.10
|
$22,368.75
|
2026-05-06
|
|
48150035
|
OTHER
|
Hb Perq P-art Revsc St 1st Abnor Connj Unilateral
|
8
|
6
|
$52,421.00
|
$13,105.25
75% off
|
$18,740.51
|
$51,372.58
|
$36,196.70
|
2026-05-06
|
|
48150036
|
OTHER
|
Hb Perq P-art Revsc St 1st Abnormal Connj Bilateral
|
8
|
6
|
$52,421.00
|
$13,105.25
75% off
|
$18,740.51
|
$51,372.58
|
$36,196.70
|
2026-05-06
|
|
48150037
|
OTHER
|
Hb Perq P-art Revsc St Ea Addl Vsl/sep Les Nm/abnl
|
5
|
5
|
$32,395.00
|
$8,098.75
75% off
|
$11,581.21
|
$31,747.10
|
$25,773.46
|
2026-05-06
|
|
48150038
|
OTHER
|
Hb Perq Av Fistula Creation Uxtr Single Access
|
8
|
6
|
$52,421.00
|
$13,105.25
75% off
|
$18,740.51
|
$51,372.58
|
$36,196.70
|
2026-05-06
|
|
48150039
|
OTHER
|
Hb Perq Av Fistula Creation Uxtr Sep Access Sites
|
8
|
6
|
$52,421.00
|
$13,105.25
75% off
|
$18,740.51
|
$51,372.58
|
$36,196.70
|
2026-05-06
|
|
48150040
|
OTHER
|
Hb Insertion Bioprosthetic Valve Open Femoral Vein
|
8
|
6
|
$15,685.00
|
$3,921.25
75% off
|
$5,607.39
|
$15,371.30
|
$10,830.49
|
2026-05-06
|
|
48300019
|
OTHER
|
Hb Cardiac US Complete With Contrast
|
8
|
6
|
$4,686.00
|
$1,171.50
75% off
|
$1,095.12
|
$4,592.28
|
$2,594.88
|
2026-05-06
|
|
48300023
|
OTHER
|
Hb Stress Echo With Contrast
|
8
|
6
|
$4,686.00
|
$1,171.50
75% off
|
$1,095.12
|
$4,592.28
|
$2,594.88
|
2026-05-06
|
|
48300027
|
OTHER
|
Hb Dobutamine Stress Echo W/contrast
|
8
|
6
|
$4,686.00
|
$1,171.50
75% off
|
$1,095.12
|
$4,592.28
|
$2,594.88
|
2026-05-06
|
|
51010299
|
OTHER
|
Hb Secondary Clos Wnd/deh Ext/comp
|
15
|
11
|
$7,882.00
|
$1,970.50
75% off
|
$292.80
|
$7,724.36
|
$2,766.06
|
2026-05-06
|
|
51099139
|
OTHER
|
Hb Skin Splt Grft Trnk/arm/leg
|
8
|
6
|
$5,260.00
|
$1,315.00
75% off
|
$1,880.45
|
$6,328.96
|
$4,064.93
|
2026-05-06
|
|
51099148
|
OTHER
|
Hb Amputation Toe Interphalangeal Joint
|
8
|
6
|
$8,698.00
|
$2,174.50
75% off
|
$2,766.06
|
$8,524.04
|
$6,426.23
|
2026-05-06
|
|
61000038
|
OTHER
|
Hb Rad MRA Abdomen W/contrast
|
9
|
7
|
$3,385.00
|
$846.25
75% off
|
$1,210.14
|
$3,317.30
|
$2,538.75
|
2026-05-06
|
|
61000039
|
OTHER
|
Hb Rad MRA Abdomen Without Contrast
|
9
|
7
|
$3,426.00
|
$856.50
75% off
|
$1,224.80
|
$3,357.48
|
$2,569.50
|
2026-05-06
|
|
61000040
|
OTHER
|
Hb Rad MRA Abdomen Wo/w Contrast
|
9
|
7
|
$5,152.00
|
$1,288.00
75% off
|
$1,741.47
|
$5,048.96
|
$3,864.00
|
2026-05-06
|
|
61000041
|
OTHER
|
Hb Rad MRA Chest W/contr
|
9
|
7
|
$4,405.00
|
$1,101.25
75% off
|
$1,574.79
|
$4,316.90
|
$3,303.75
|
2026-05-06
|
|
61000042
|
OTHER
|
Hb Rad MRA Chest Without Contr
|
9
|
7
|
$3,792.00
|
$948.00
75% off
|
$1,355.64
|
$3,716.16
|
$2,844.00
|
2026-05-06
|
|
61000043
|
OTHER
|
Hb Rad MRA Low Ext O/t Jt W/contr
|
9
|
7
|
$6,219.00
|
$1,554.75
75% off
|
$1,741.47
|
$6,094.62
|
$4,664.25
|
2026-05-06
|
|
61000044
|
OTHER
|
Hb Rad MRA Low Ext O/t Jt Without Contr
|
9
|
7
|
$5,230.00
|
$1,307.50
75% off
|
$1,741.47
|
$5,125.40
|
$3,922.50
|
2026-05-06
|
|
61000045
|
OTHER
|
Hb Rad MRA Low Ext O/t Jt Without & W/co
|
9
|
7
|
$7,000.00
|
$1,750.00
75% off
|
$1,741.47
|
$6,860.00
|
$5,250.00
|
2026-05-06
|
|
61000046
|
OTHER
|
Hb Rad MRA Pelvis W/contr
|
9
|
7
|
$3,335.00
|
$833.75
75% off
|
$1,192.26
|
$3,268.30
|
$2,501.25
|
2026-05-06
|
|
61000047
|
OTHER
|
Hb Rad MRA Pelvis Without Contr
|
9
|
7
|
$3,335.00
|
$833.75
75% off
|
$1,192.26
|
$3,268.30
|
$2,501.25
|
2026-05-06
|
|
61000048
|
OTHER
|
Hb Rad MRA Pelvis Without & W/contr
|
9
|
7
|
$4,871.00
|
$1,217.75
75% off
|
$1,741.38
|
$4,773.58
|
$3,653.25
|
2026-05-06
|
|
61000049
|
OTHER
|
Hb Rad MRA Chest Without & W/contr
|
9
|
7
|
$5,346.00
|
$1,336.50
75% off
|
$1,741.47
|
$5,239.08
|
$4,009.50
|
2026-05-06
|
|
61000057
|
OTHER
|
Hb Rad MRI Breast Bilateral, With Contr
|
9
|
7
|
$5,216.00
|
$1,304.00
75% off
|
$1,864.72
|
$5,111.68
|
$3,912.00
|
2026-05-06
|
|
61000061
|
OTHER
|
Hb Rad MRI Breast Uni, With Contr
|
9
|
7
|
$4,000.00
|
$1,000.00
75% off
|
$1,430.00
|
$3,920.00
|
$3,000.00
|
2026-05-06
|
|
72000004
|
OTHER
|
Hb Breech Version
|
8
|
6
|
$4,405.00
|
$1,101.25
75% off
|
$1,574.79
|
$6,328.96
|
$3,404.18
|
2026-05-06
|
|
72000014
|
OTHER
|
Hb Vaginal Delivery Simple
|
5
|
5
|
$11,066.00
|
$2,766.50
75% off
|
$3,956.10
|
$10,844.68
|
$8,804.11
|
2026-05-06
|
|
72000015
|
OTHER
|
Hb Vaginal Delivery Complex
|
5
|
5
|
$13,830.00
|
$3,457.50
75% off
|
$4,944.23
|
$13,553.40
|
$11,003.15
|
2026-05-06
|
|
72000016
|
OTHER
|
Hb Cesarean Section - Simple
|
5
|
5
|
$15,151.00
|
$3,787.75
75% off
|
$5,416.48
|
$14,847.98
|
$12,054.14
|
2026-05-06
|
|
72000017
|
OTHER
|
Hb Cesarean Section - Complex
|
5
|
5
|
$18,935.00
|
$4,733.75
75% off
|
$6,769.26
|
$18,556.30
|
$15,064.69
|
2026-05-06
|
|
72000018
|
OTHER
|
Hb Addtl Delivery Procedure
|
5
|
5
|
$4,426.00
|
$1,106.50
75% off
|
$1,582.30
|
$4,337.48
|
$3,521.33
|
2026-05-06
|
|
72000019
|
OTHER
|
Hb Stage 3 Delivery
|
5
|
5
|
$6,588.00
|
$1,647.00
75% off
|
$2,355.21
|
$6,456.24
|
$5,241.41
|
2026-05-06
|
|
76100015
|
OTHER
|
Hb Rad Thoracentesis With Imaging
|
8
|
6
|
$3,830.00
|
$957.50
75% off
|
$1,369.23
|
$6,328.96
|
$2,979.40
|
2026-05-06
|
|
76100016
|
OTHER
|
Hb Rad Chest Tube Drain Indwelling With Imaging
|
9
|
7
|
$5,188.00
|
$1,297.00
75% off
|
$1,854.71
|
$6,328.96
|
$3,891.00
|
2026-05-06
|
|
76100032
|
OTHER
|
Hb Tenolysis Flexor Or Ext Tendon, Leg &/or Ankle, Sng, Ea
|
8
|
6
|
$10,950.00
|
$2,737.50
75% off
|
$3,268.98
|
$10,731.00
|
$7,846.09
|
2026-05-06
|
|
88199999
|
OTHER
|
Hb Daily Crrt Charge
|
5
|
5
|
$3,411.00
|
$852.75
75% off
|
$1,219.43
|
$3,342.78
|
$2,713.79
|
2026-05-06
|
|
94000004
|
OTHER
|
Hb App Hc Skin Sub 1st 25 Sq Cm Trunk,ams,legs
|
8
|
6
|
$6,196.00
|
$1,549.00
75% off
|
$2,215.07
|
$7,479.68
|
$4,788.27
|
2026-05-06
|
|
94000005
|
OTHER
|
Hb App Hc Skin Sub 1st 100 Sq Cm Trunk,arms,legs
|
8
|
6
|
$11,008.00
|
$2,752.00
75% off
|
$3,268.98
|
$10,787.84
|
$7,867.84
|
2026-05-06
|
|
94000007
|
OTHER
|
Hb App Hc Skin Sub 1st 25 Sq Cm Face,scalp,eyelids,mouth,neck,ears,orbits,genita…
|
8
|
6
|
$6,165.00
|
$1,541.25
75% off
|
$2,203.99
|
$7,479.68
|
$4,764.31
|
2026-05-06
|
|
94000034
|
OTHER
|
Hb App Lc Skin Sub 1st 25 Sq Cm Face,scalp,eyelids,mouth,neck
|
8
|
6
|
$6,165.00
|
$1,541.25
75% off
|
$2,203.99
|
$7,479.68
|
$4,764.31
|
2026-05-06
|
|
94000035
|
OTHER
|
Hb App Lc Skin Sub 1st 25 Sq Cm Trunk,ams,legs
|
8
|
6
|
$6,196.00
|
$1,549.00
75% off
|
$2,215.07
|
$7,479.68
|
$4,788.27
|
2026-05-06
|