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

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Hospital

BARNES-KASSON COUNTY HOSPITAL

Susquehanna, PA · CCN 391309 · Rates published

1,972 distinct procedures filed
15 distinct payers
62,156 rate rows
2026-05-22 last MRF observed
Data quality

5,223 of 62,156 rate rows are consumer-grade (8.4%)

56,933 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 56,870
per-diem day rate — not a per-procedure price 52
exceeds 10× this hospital's gross charge — excluded from medians 11
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file http://www.barnes-kasson.org/images/docs/240798681_barnes-kasson-county-hospital_standardcharges.csv
Found on page http://www.barnes-kasson.org/index.php/resources/insurance-and-payment
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-18
Content fingerprint fbabf14fdb7a2350… · 16,177,999 bytes · first seen 2026-05-09

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
47562
OTHER 		Or-lap, Surgical Cholecystectomy 1 $6,416.60 $6,416.60 $6,416.60 nat. median
$5,844
1.1× median
49591
OTHER 		Or - Repair Anterior Adb Hernia, Initial 1 $3,881.19 $3,881.19 $3,881.19 nat. median
$3,728
1.0× median
50590
OTHER 		Or- Lithotripsy, Eswl (RIGHT),Right Side 1 $3,793.21 $3,793.21 $3,793.21 nat. median
$3,608
1.1× median
43249
OTHER 		Or-gastro Dilation Esophagus < 30mm 1 $3,117.57 $3,117.57 $3,117.57 nat. median
$1,942
1.6× median
120
OTHER 		Anesth Ear SURGERY,Certified Registered Nurse Anesthetist (crna) Without Medica… 1 $1,703.87 $1,703.87 $1,703.87 nat. median
$1,852
0.9× median
112
OTHER 		Nf-ketorolac Oral Tablet 10mg 1 $1,703.87 $1,703.87 $1,703.87 nat. median
$3,671
outlier · 0.5×
43239
OTHER 		Or-egd W/biopsy; Single Or Multiple 2 $1,031.25 $2,371.43 $1,701.34 nat. median
$1,105
1.5× median
45380
OTHER 		Or-colonoscopy W/biopsy 3 $1,308.69 $2,327.91 $1,450.17 nat. median
$1,440
1.0× median
45378
OTHER 		Or-colonoscopy Diagnostic 2 $1,002.65 $1,896.00 $1,449.33 nat. median
$1,119
1.3× median
0360
OTHER 		Or-colonoscopy -screening; Not High Risk 2 $354.16 $11,530.94 $1,446.64 nat. median
$2,271
0.6× median
45338
OTHER 		Or-sigmoidoscopy W/tumor(s) Removal 1 $1,308.69 $1,308.69 $1,308.69 nat. median
$1,212
1.1× median
45385
OTHER 		Or-colonoscopy W/lesion Removal-snare 2 $1,296.66 $1,308.69 $1,302.68 nat. median
$1,428
0.9× median
78452
OTHER 		Nm Cardiac (spect) Mult Stdy 2 $77.87 $1,280.52 $1,268.75 nat. median
$1,353
0.9× median
49452
OTHER 		Or - Replace G-j Tube, Percutaneous 1 $1,100.88 $1,100.88 $1,100.88 nat. median
$972
1.1× median
45905
OTHER 		Or-dilation Of Anal Sphincter 1 $1,039.33 $1,039.33 $1,039.33 nat. median
$1,182
0.9× median
43235
OTHER 		Or-egd Diagnostic Brush Wash 1 $1,031.25 $1,031.25 $1,031.25 nat. median
$1,079
1.0× median
43247
OTHER 		Or-edg Removal Foreign Body 1 $1,031.25 $1,031.25 $1,031.25 nat. median
$1,008
1.0× median
45330
OTHER 		Or-sigmoidoscopy, Flex; Diagnostic 1 $1,002.65 $1,002.65 $1,002.65 nat. median
$955
1.0× median
G0121
OTHER 		Or-colonoscopy -screening; Not High Risk 2 $991.71 $1,011.95 $1,001.83 nat. median
$1,014
1.0× median
G0104
OTHER 		Or-screening; Flexible Sigmoidscope 1 $991.71 $991.71 $991.71 nat. median
$877
1.1× median
G0105
OTHER 		Or-colonoscopy - Screening; High Risk 1 $991.71 $991.71 $991.71 nat. median
$975
1.0× median
86832
OTHER 		Hla; High Definition 1 $966.01 $966.01 $966.01 nat. median
$333
outlier · 2.9×
99291
OTHER 		99291- Critical Care - Phy Charge 1 $935.36 $935.36 $935.36 nat. median
$887
1.1× median
74177
OTHER 		CT Abd/pel W/contra-other Facility 2 $858.13 $866.09 $862.11 nat. median
$458
1.9× median
74178
OTHER 		CT Abd/pel Without With CONTRAST,Technical Component 2 $858.13 $866.09 $862.11 nat. median
$495
1.7× median
70460
OTHER 		CT Head With CONTRAST,Technical Component 2 $547.70 $1,015.92 $781.81 nat. median
$276
outlier · 2.8×
0341
OTHER 		Nm Biliary Scan 2 $369.29 $1,315.13 $667.96 nat. median
$907
0.7× median
71275
OTHER 		CTA Chest W/c Incl Non IF,Technical Component 1 $642.19 $642.19 $642.19 nat. median
$311
outlier · 2.1×
70498
OTHER 		CTA Neck W/c Incl Non IF,Technical Component 1 $642.19 $642.19 $642.19 nat. median
$328
2.0× median
70496
OTHER 		CTA Head W/c Incl Non IF,Technical Component 1 $642.19 $642.19 $642.19 nat. median
$325
2.0× median
75635
OTHER 		CTA Abd Aorto-ilio Fem.ru 1 $642.19 $642.19 $642.19 nat. median
$318
outlier · 2.0×
0480
OTHER 		Cv Echocardiogram 2d 3 $141.02 $2,013.99 $629.14 nat. median
$689
0.9× median
70492
OTHER 		CT St Neck Without & W Contrast 1 $621.10 $621.10 $621.10 nat. median
$255
outlier · 2.4×
71270
OTHER 		CT Thorax Without & With CONTRAST,Technical Component 2 $616.77 $622.49 $619.63 nat. median
$304
outlier · 2.0×
74170
OTHER 		CT Abd Without & W Contrast 1 $616.77 $616.77 $616.77 nat. median
$308
outlier · 2.0×
70470
OTHER 		CT Head Without & W CONTRAST,Technical Component 1 $616.77 $616.77 $616.77 nat. median
$276
outlier · 2.2×
93306
OTHER 		Cv Echo -transthoracic W Cont Monitoring 4 $70.52 $833.50 $611.12 nat. median
$609
1.0× median
71260
OTHER 		CT Thorax With CONTRAST,Technical Component 2 $547.70 $552.78 $550.24 nat. median
$260
outlier · 2.1×
74176
OTHER 		CT Abd/pel Without CONTRAST,Technical Component 3 $101.07 $536.77 $531.84 nat. median
$302
1.8× median
70491
OTHER 		CT St Neck With CONTRAST,Technical Component 1 $525.00 $525.00 $525.00 nat. median
$282
1.9× median
87633
OTHER 		12-15 Targets Respiratory Profile, Pcr 2 $453.25 $458.33 $455.79 nat. median
$448
1.0× median
0352
OTHER 		CT Abd W/contrast 1 $287.67 $665.67 $427.81 nat. median
$1,143
outlier · 0.4×
78226
OTHER 		Nm Biliary Scan 1 $409.75 $409.75 $409.75 nat. median
$468
0.9× median
99285
OTHER 		99285-ER Visit-high Compl 1 $379.00 $379.00 $379.00 nat. median
$692
0.5× median
78315
OTHER 		Nm Bone Scan 3 Phase 2 $356.27 $369.29 $362.78 nat. median
$463
0.8× median
78264
OTHER 		Nm Gastric Emptying 2 $356.10 $369.11 $362.61 nat. median
$444
0.8× median
93017
OTHER 		Stress Test 4 $60.12 $429.81 $359.77 nat. median
$299
1.2× median
0403
OTHER 		Mammo Bilat Screening W Cad 1 $356.31 $356.31 $356.31 nat. median
$166
outlier · 2.2×
78306
OTHER 		Nm Bone Scan (whole Body) 1 $356.27 $356.27 $356.27 nat. median
$449
0.8× median
0611
OTHER 		MRA Head Without Contrast 1 $336.05 $336.05 $336.05 nat. median
$1,201
outlier · 0.3×

Other procedures at this hospital

Browse this hospital's 1,972 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
47562 OTHER Or-lap, Surgical Cholecystectomy 2 1 $17,503.00 $12,252.10 30% off $6,416.60 $6,416.60 $6,416.60 2026-05-22
49591 OTHER Or - Repair Anterior Adb Hernia, Initial 2 1 $10,587.00 $7,410.90 30% off $3,881.19 $3,881.19 $3,881.19 2026-05-22
50590 OTHER Or- Lithotripsy, Eswl (RIGHT),Right Side 2 1 $10,347.00 $7,242.90 30% off $3,793.21 $3,793.21 $3,793.21 2026-05-22
43249 OTHER Or-gastro Dilation Esophagus < 30mm 2 1 $5,691.00 $3,983.70 30% off $3,117.57 $3,117.57 $3,117.57 2026-05-22
112 OTHER Nf-ketorolac Oral Tablet 10mg 2 1 $3.00 $2.10 30% off $1,703.87 $1,703.87 $1,703.87 2026-05-22
120 OTHER Anesth Ear SURGERY,Certified Registered Nurse Anesthetist (crna) Without Medica… 2 1 $120.00 $84.00 30% off $1,703.87 $1,703.87 $1,703.87 2026-05-22
43239 OTHER Or-egd W/biopsy; Single Or Multiple 4 2 $2,813.00 $1,969.10 30% off $1,031.25 $2,371.43 $1,701.34 2026-05-22
45380 OTHER Or-colonoscopy W/biopsy 6 3 $3,537.00 $2,475.90 30% off $1,308.69 $2,327.91 $1,450.17 2026-05-22
45378 OTHER Or-colonoscopy Diagnostic 4 2 $2,735.00 $1,914.50 30% off $1,002.65 $1,896.00 $1,449.33 2026-05-22
0360 OTHER Or-colonoscopy -screening; Not High Risk 16 2 $2,809.00 — $354.16 $11,530.94 $1,446.64 2026-05-22
45338 OTHER Or-sigmoidoscopy W/tumor(s) Removal 2 1 $3,537.00 $2,475.90 30% off $1,308.69 $1,308.69 $1,308.69 2026-05-22
45385 OTHER Or-colonoscopy W/lesion Removal-snare 4 2 $3,537.00 $2,475.90 30% off $1,296.66 $1,308.69 $1,302.68 2026-05-22
78452 OTHER Nm Cardiac (spect) Mult Stdy 6 2 $1,847.93 $1,293.55 30% off $77.87 $1,280.52 $1,268.75 2026-05-22
49452 OTHER Or - Replace G-j Tube, Percutaneous 2 1 $2,780.00 $1,946.00 30% off $1,100.88 $1,100.88 $1,100.88 2026-05-22
45905 OTHER Or-dilation Of Anal Sphincter 2 1 $2,809.00 $1,966.30 30% off $1,039.33 $1,039.33 $1,039.33 2026-05-22
43235 OTHER Or-egd Diagnostic Brush Wash 2 1 $2,813.00 $1,969.10 30% off $1,031.25 $1,031.25 $1,031.25 2026-05-22
43247 OTHER Or-edg Removal Foreign Body 2 1 $2,813.00 $1,969.10 30% off $1,031.25 $1,031.25 $1,031.25 2026-05-22
45330 OTHER Or-sigmoidoscopy, Flex; Diagnostic 2 1 $2,735.00 $1,914.50 30% off $1,002.65 $1,002.65 $1,002.65 2026-05-22
G0121 OTHER Or-colonoscopy -screening; Not High Risk 4 2 $2,735.00 $1,914.50 30% off $991.71 $1,011.95 $1,001.83 2026-05-22
G0104 OTHER Or-screening; Flexible Sigmoidscope 2 1 $2,735.00 $1,914.50 30% off $991.71 $991.71 $991.71 2026-05-22
G0105 OTHER Or-colonoscopy - Screening; High Risk 2 1 $2,735.00 $1,914.50 30% off $991.71 $991.71 $991.71 2026-05-22
86832 OTHER Hla; High Definition 2 1 $971.25 $679.88 30% off $966.01 $966.01 $966.01 2026-05-22
99291 OTHER 99291- Critical Care - Phy Charge 2 1 $770.00 $539.00 30% off $935.36 $935.36 $935.36 2026-05-22
74178 OTHER CT Abd/pel Without With CONTRAST,Technical Component 4 2 $1,327.89 $929.52 30% off $858.13 $866.09 $862.11 2026-05-22
74177 OTHER CT Abd/pel W/contra-other Facility 4 2 $2,340.78 $1,638.55 30% off $858.13 $866.09 $862.11 2026-05-22
70460 OTHER CT Head With CONTRAST,Technical Component 4 2 $844.50 $591.15 30% off $547.70 $1,015.92 $781.81 2026-05-22
0341 OTHER Nm Biliary Scan 4 2 $1,044.77 — $369.29 $1,315.13 $667.96 2026-05-22
75635 OTHER CTA Abd Aorto-ilio Fem.ru 2 1 $1,751.76 $1,226.23 30% off $642.19 $642.19 $642.19 2026-05-22
70496 OTHER CTA Head W/c Incl Non IF,Technical Component 2 1 $1,018.88 $713.21 30% off $642.19 $642.19 $642.19 2026-05-22
71275 OTHER CTA Chest W/c Incl Non IF,Technical Component 2 1 $1,030.88 $721.62 30% off $642.19 $642.19 $642.19 2026-05-22
70498 OTHER CTA Neck W/c Incl Non IF,Technical Component 2 1 $1,018.88 $713.21 30% off $642.19 $642.19 $642.19 2026-05-22
0480 OTHER Cv Echocardiogram 2d 3 3 $1,667.00 — $141.02 $2,013.99 $629.14 2026-05-22
70492 OTHER CT St Neck Without & W Contrast 2 1 $959.20 $671.44 30% off $621.10 $621.10 $621.10 2026-05-22
71270 OTHER CT Thorax Without & With CONTRAST,Technical Component 4 2 $961.20 $672.84 30% off $616.77 $622.49 $619.63 2026-05-22
70470 OTHER CT Head Without & W CONTRAST,Technical Component 2 1 $951.20 $665.84 30% off $616.77 $616.77 $616.77 2026-05-22
74170 OTHER CT Abd Without & W Contrast 2 1 $965.20 $675.64 30% off $616.77 $616.77 $616.77 2026-05-22
93306 OTHER Cv Echo -transthoracic W Cont Monitoring 10 4 $1,667.00 $1,166.90 30% off $70.52 $833.50 $611.12 2026-05-22
71260 OTHER CT Thorax With CONTRAST,Technical Component 4 2 $848.00 $593.60 30% off $547.70 $552.78 $550.24 2026-05-22
74176 OTHER CT Abd/pel Without CONTRAST,Technical Component 6 3 $865.37 $605.76 30% off $101.07 $536.77 $531.84 2026-05-22
70491 OTHER CT St Neck With CONTRAST,Technical Component 2 1 $863.00 $604.10 30% off $525.00 $525.00 $525.00 2026-05-22
87633 OTHER 12-15 Targets Respiratory Profile, Pcr 4 2 $1,250.00 $875.00 30% off $453.25 $458.33 $455.79 2026-05-22
0352 OTHER CT Abd W/contrast 4 1 $1,126.41 — $287.67 $665.67 $427.81 2026-05-22
78226 OTHER Nm Biliary Scan 2 1 $611.36 $427.95 30% off $409.75 $409.75 $409.75 2026-05-22
99285 OTHER 99285-ER Visit-high Compl 2 1 $500.00 $350.00 30% off $379.00 $379.00 $379.00 2026-05-22
78315 OTHER Nm Bone Scan 3 Phase 4 2 $543.91 $380.73 30% off $356.27 $369.29 $362.78 2026-05-22
78264 OTHER Nm Gastric Emptying 4 2 $535.67 $374.97 30% off $356.10 $369.11 $362.61 2026-05-22
93017 OTHER Stress Test 8 4 $976.84 $683.79 30% off $60.12 $429.81 $359.77 2026-05-22
0403 OTHER Mammo Bilat Screening W Cad 1 1 $492.00 — $356.31 $356.31 $356.31 2026-05-22
78306 OTHER Nm Bone Scan (whole Body) 2 1 $535.91 $375.13 30% off $356.27 $356.27 $356.27 2026-05-22
0611 OTHER MRA Head Without Contrast 1 1 $884.34 — $336.05 $336.05 $336.05 2026-05-22
0525 OTHER Snf Discharge Day <=30min Non Covered 1 1 $120.00 — $317.44 $317.44 $317.44 2026-05-22
36430 OTHER Blood Transf. Admin Room 2 1 $855.51 $598.86 30% off $313.63 $313.63 $313.63 2026-05-22
99283 OTHER 99283-ER Visit-lw/mod Com 10 4 $200.00 $140.00 30% off $75.28 $329.08 $307.47 2026-05-22
87506 OTHER Gastrointestinal (gi) Panel, Stool - Bk 4 2 $790.00 $553.00 30% off $286.45 $323.90 $305.17 2026-05-22
78227 OTHER Nm Biliary Scan With Pharm INTERV,Technical Component 4 2 $612.36 $428.65 30% off $297.82 $297.82 $297.82 2026-05-22
76536 OTHER Read Ultra Soft Tiss HD/NECK,professional Component 8 4 $386.43 $270.50 30% off $50.98 $457.54 $291.55 2026-05-22
99284 OTHER 99284-ER Visit-mod Cmplxt 8 2 $350.00 $245.00 30% off $126.02 $379.00 $289.73 2026-05-22
0921 OTHER Cv Venous Bilat 5 2 $763.36 — $204.55 $351.15 $288.55 2026-05-22
74021 OTHER Abdomen Xray - 3 VIEWS,Technical Component 2 1 $308.15 $215.71 30% off $286.15 $286.15 $286.15 2026-05-22
93970 OTHER Cv Venous Bilat 8 3 $439.18 $307.43 30% off $33.53 $519.08 $284.96 2026-05-22
93880 OTHER Cv Carotids BILAT,Technical Component 6 2 $432.68 $302.88 30% off $39.08 $290.08 $279.84 2026-05-22
93978 OTHER Cv Aorta Ivc Comp 6 2 $436.68 $305.68 30% off $40.30 $282.44 $279.84 2026-05-22
70486 OTHER CT Maxillofacial W/O,Technical Component 6 3 $472.41 $330.68 30% off $77.50 $280.76 $279.26 2026-05-22
71250 OTHER CT Thorax Without CONTRAST,Technical Component 6 3 $473.91 $331.74 30% off $83.10 $280.76 $278.18 2026-05-22
72192 OTHER CT Pelvis Without Contrast 2 1 $453.41 $317.38 30% off $278.18 $278.18 $278.18 2026-05-22
70480 OTHER CT Orbit Iac Without Contrast 2 1 $758.82 $531.17 30% off $278.18 $278.18 $278.18 2026-05-22
70490 OTHER CT St Neck W/O,Technical Component 2 1 $484.41 $339.08 30% off $278.18 $278.18 $278.18 2026-05-22
76817 OTHER Read OB Ultrasound, TRANSVAGINAL,professional Component 4 2 $404.93 $283.45 30% off $53.03 $457.54 $255.28 2026-05-22
93975 OTHER Cv Renal Arterial 6 2 $678.00 $474.60 30% off $57.20 $268.49 $250.86 2026-05-22
76870 OTHER Read Ultra TESTICULAR,professional Component 6 3 $388.93 $272.25 30% off $44.00 $336.43 $248.95 2026-05-22
76801 OTHER Read Ultra OB < 14 WKS,professional Component 4 2 $396.43 $277.50 30% off $38.39 $457.54 $247.97 2026-05-22
76856 OTHER Read Ultra Pelvic Non OB,professional Component 10 5 $393.43 $275.40 30% off $46.50 $457.54 $246.66 2026-05-22
76775 OTHER Read Ultra Retroperitoneal LIMITED,professional Component 6 3 $386.43 $270.50 30% off $49.00 $457.54 $246.66 2026-05-22
76770 OTHER Read Ultra Retroperitoneal COMP,professional Component 6 3 $399.43 $279.60 30% off $49.00 $248.95 $246.66 2026-05-22
76830 OTHER Read Ultrasound TRANSVAGINAL,professional Component 10 5 $395.93 $277.15 30% off $46.50 $457.54 $246.66 2026-05-22
0450 OTHER 99291-critical Care-1st H 5 1 $310.00 — $117.56 $418.00 $244.53 2026-05-22
70450 OTHER CT Head Without Contr Other Facility 8 4 $758.82 $531.17 30% off $77.50 $280.76 $242.37 2026-05-22
77066 OTHER Mammo Diag Bilateral W Cad 2 1 $346.50 $242.55 30% off $236.00 $236.00 $236.00 2026-05-22
71271 OTHER CT Thorax Lung Cancer Low DOSE,Technical Component 6 3 $438.00 $306.60 30% off $73.38 $237.17 $232.43 2026-05-22
0402 OTHER US Abdominal Limited 4 2 $609.08 — $164.35 $1,315.10 $231.45 2026-05-22
0482 OTHER Stress Test 2 2 $976.84 — $46.50 $367.94 $207.22 2026-05-22
76706 OTHER Read Cv Aaa SCREENING,professional Component 6 2 $324.50 $227.15 30% off $28.31 $231.24 $204.51 2026-05-22
12042 OTHER Lacer/hands+ Int 2.6 - 7. 2 1 $495.00 $346.50 30% off $202.45 $202.45 $202.45 2026-05-22
72128 OTHER CT Thoracic Spine Without Contrast 4 2 $473.91 $331.74 30% off $114.10 $278.50 $196.30 2026-05-22
99282 OTHER 99282-ER Visit-low Comple 10 4 $125.00 $87.50 30% off $32.98 $288.56 $188.10 2026-05-22
0521 OTHER Hsp Op Clinic Est Prb Foc 9 2 $85.00 — $21.00 $327.00 $186.98 2026-05-22
20605 OTHER Arthrocentesis Aspir Inj Inter Jt 20605 28 11 $149.00 $104.30 30% off $154.11 $211.11 $182.61 2026-05-22
G0402 OTHER Clinic - Ippe - Welcome To Medicare 28 11 $245.00 $171.50 30% off $154.11 $211.11 $182.61 2026-05-22
25630 OTHER Fx Carpal Bone Wo Manipul 28 11 $898.00 $628.60 30% off $154.11 $211.11 $182.61 2026-05-22
99386 OTHER Prevent Exam Init. 40-64 99386 28 11 $110.00 $77.00 30% off $154.11 $211.11 $182.61 2026-05-22
99442 OTHER Telephone Visit - 11-20 Minute Discuss 28 11 $90.00 $63.00 30% off $154.11 $211.11 $182.61 2026-05-22
99203 OTHER Clinic New Pt Prob Focus 30 Min 28 11 $117.00 $81.90 30% off $154.11 $214.77 $182.61 2026-05-22
99310 OTHER Subseq Snf High Complex 28 11 $135.00 $94.50 30% off $154.11 $211.11 $182.61 2026-05-22
99441 OTHER Telephone Visit - 5-10 Minute Discussion 28 11 $60.00 $42.00 30% off $154.11 $211.11 $182.61 2026-05-22
99214 OTHER Clinic Visit Established Pt 30 Min 28 11 $182.00 $127.40 30% off $154.11 $214.77 $182.61 2026-05-22
99215 OTHER Hsp Op Clinic Established 40 Mins 28 11 $257.00 $179.90 30% off $154.11 $211.11 $182.61 2026-05-22
20600 OTHER Injection Sm Jt Or Bursa 20600 28 11 $150.00 $105.00 30% off $154.11 $211.11 $182.61 2026-05-22
99387 OTHER Prevent Exam Initial 65+ 99387 28 11 $110.00 $77.00 30% off $154.11 $211.11 $182.61 2026-05-22
99350 OTHER Home Vis Comp Complex Est 28 11 $205.00 $143.50 30% off $154.11 $211.11 $182.61 2026-05-22
99383 OTHER Prevent Exam Initial 5-11 99383 28 11 $110.00 $77.00 30% off $154.11 $211.11 $182.61 2026-05-22
99397 OTHER Prev.exam Periodic 65+ 99397 28 11 $95.00 $66.50 30% off $147.09 $211.11 $182.61 2026-05-22
99211 OTHER Nurse Visit 1-10 Minutes 28 11 $43.00 $30.10 30% off $154.11 $214.77 $182.61 2026-05-22
99381 OTHER Prevent Exam Initial < 1 99381 28 11 $110.00 $77.00 30% off $154.11 $211.11 $182.61 2026-05-22
99384 OTHER Prevent Exam Init. 12-17 99384 28 11 $110.00 $77.00 30% off $154.11 $211.11 $182.61 2026-05-22
G9156 OTHER Clinic - Est & Document Wheelchair 28 11 $125.00 $87.50 30% off $154.11 $211.11 $182.61 2026-05-22
99307 OTHER Subseq Snf-sf Decision Mk 30 11 $98.00 $68.60 30% off $148.96 $214.77 $182.61 2026-05-22
99391 OTHER Prev Exam Periodic <1 99391 28 11 $95.00 $66.50 30% off $154.11 $211.11 $182.61 2026-05-22
G0439 OTHER Clinic - Mc Annual Wellness - Subsequent 28 11 $171.00 $119.70 30% off $154.11 $211.11 $182.61 2026-05-22
99205 OTHER Clinic New Pt High 60 Min 28 11 $314.00 $219.80 30% off $154.11 $211.11 $182.61 2026-05-22
17250 OTHER Chemical Cauterization Granulation Tis 28 11 $264.00 $184.80 30% off $154.11 $211.11 $182.61 2026-05-22
99233 OTHER 99233 Subq Hosp Ip/obs High 50 MIN,Policy Criteria Applied 28 11 $225.00 $157.50 30% off $154.11 $211.11 $182.61 2026-05-22
99443 OTHER Telephone Visit - 21-30 Minute Discuss 28 11 $120.00 $84.00 30% off $154.11 $211.11 $182.61 2026-05-22
99202 OTHER Clinic New Pt Problem Focus 15 Min 28 11 $102.00 $71.40 30% off $154.11 $214.77 $182.61 2026-05-22
11102 OTHER Tangential Biopsy, Skin; Single Lesion 28 11 $200.00 $140.00 30% off $154.11 $211.11 $182.61 2026-05-22
88142 OTHER Pap Smear-thin Prep 28 11 $35.00 $24.50 30% off $154.11 $211.11 $182.61 2026-05-22
81025 OTHER Pregnancy Test - Urine 28 11 $25.00 $17.50 30% off $154.11 $211.11 $182.61 2026-05-22
99347 OTHER Home Vis Interval Sim Est 28 11 $105.00 $73.50 30% off $154.11 $211.11 $182.61 2026-05-22
S0612 OTHER Annual GYN Visit Est Pt 28 11 $110.00 $77.00 30% off $154.11 $211.11 $182.61 2026-05-22
20612 OTHER Aspiration/injection Ganglion Cyst(s) 28 11 $179.00 $125.30 30% off $154.11 $211.11 $182.61 2026-05-22
99406 OTHER Counseling; Smoking/tobacco Cessation 28 11 $46.00 $32.20 30% off $154.11 $211.11 $182.61 2026-05-22
99316 OTHER Snf Discharge Day >30 Min 30 11 $130.00 $91.00 30% off $154.11 $214.77 $182.61 2026-05-22
17263 OTHER Destruction Malignant 2.1-3.0cm 28 11 $380.00 $266.00 30% off $154.11 $211.11 $182.61 2026-05-22
90792 OTHER Psych Diag Eval With Med Services 28 11 $421.00 $294.70 30% off $154.11 $211.11 $182.61 2026-05-22
17000 OTHER Destruction Premalignant Lesion; 1st 28 11 $189.00 $132.30 30% off $154.11 $211.11 $182.61 2026-05-22
99392 OTHER Prevent Exam Periodic 1-4 99392 28 11 $95.00 $66.50 30% off $154.11 $211.11 $182.61 2026-05-22
99306 OTHER Initial Snf-high Complex 30 11 $145.00 $101.50 30% off $154.11 $214.77 $182.61 2026-05-22
99308 OTHER Subseq Snf-low Complex 28 11 $103.00 $72.10 30% off $154.11 $214.77 $182.61 2026-05-22
S0610 OTHER Annual GYN Visit New Pt 28 11 $130.00 $91.00 30% off $154.11 $211.11 $182.61 2026-05-22
11312 OTHER Shav. Les. Face 1.1-2cm 28 11 $391.00 $273.70 30% off $154.11 $211.11 $182.61 2026-05-22
99396 OTHER Prev.exam Periodic 40-64 99396 28 11 $95.00 $66.50 30% off $154.11 $214.77 $182.61 2026-05-22
97755 OTHER Assistive Technology Assessment 28 11 $110.00 $77.00 30% off $154.11 $211.11 $182.61 2026-05-22
99382 OTHER Prevent Exam Initial 1-4 99382 28 11 $110.00 $77.00 30% off $154.11 $211.11 $182.61 2026-05-22
99385 OTHER Prevent Exam Init. 18-39 99385 28 11 $110.00 $77.00 30% off $154.11 $211.11 $182.61 2026-05-22
G0444 OTHER Annual Depression SCREENING,Significant, Separately Identifiable Evaluation And … 28 11 $25.00 $17.50 30% off $154.11 $211.11 $182.61 2026-05-22
99348 OTHER Home Visit Expand Sim Est 28 11 $135.00 $94.50 30% off $154.11 $211.11 $182.61 2026-05-22
99499 OTHER E&m Other / Cdl Physical 99499 28 11 $125.00 $87.50 30% off $154.11 $211.11 $182.61 2026-05-22
99309 OTHER Subseq Snf-moderate Com 28 11 $130.00 $91.00 30% off $154.11 $211.11 $182.61 2026-05-22
17003 OTHER Destruction Premalignant Lesion; 2-14 18 8 $19.00 $13.30 30% off $154.11 $182.61 $182.61 2026-05-22
99212 OTHER Clinic Visit Established Pf 10 Min 28 11 $60.00 $42.00 30% off $147.09 $211.11 $182.61 2026-05-22
11302 OTHER Shaving, Lesion 1.1-2.0cm Truck/arm/leg 28 11 $389.00 $272.30 30% off $154.11 $211.11 $182.61 2026-05-22
67800 OTHER Excision Of Chalazion; Single 28 11 $364.00 $254.80 30% off $154.11 $211.11 $182.61 2026-05-22
17262 OTHER Destruction Malignant 1.1-2.0cm 28 11 $526.00 $368.20 30% off $154.11 $211.11 $182.61 2026-05-22
11201 OTHER Removal Of Skin Tags Ea. 28 11 $45.00 $31.50 30% off $154.11 $211.11 $182.61 2026-05-22
17110 OTHER Destruction Benign Lesions Up To 14 28 11 $332.00 $232.40 30% off $154.11 $211.11 $182.61 2026-05-22
11200 OTHER Removal Of Skin Tags1-15 28 11 $170.00 $119.00 30% off $154.11 $211.11 $182.61 2026-05-22
G0372 OTHER Clinic - Est & Document Mobility Device 28 11 $125.00 $87.50 30% off $154.11 $211.11 $182.61 2026-05-22
99349 OTHER Home Vis Detail Inter Est 28 11 $165.00 $115.50 30% off $154.11 $211.11 $182.61 2026-05-22
G0438 OTHER Clinic - Mc Annual Wellness - Initial 28 11 $252.00 $176.40 30% off $154.11 $211.11 $182.61 2026-05-22
97810 OTHER Acupuncture Treatment - Initial 15 Mins 28 11 $45.00 $31.50 30% off $154.11 $211.11 $182.61 2026-05-22
99315 OTHER Snf Discharge Day <=30min 30 11 $120.00 $84.00 30% off $154.11 $214.77 $182.61 2026-05-22
11107 OTHER Incisional Biopsy Skin, Each Additional 28 11 $140.00 $98.00 30% off $154.11 $211.11 $182.61 2026-05-22
521 OTHER Post And Core Buildup 28 11 $255.00 $178.50 30% off $154.11 $214.77 $182.61 2026-05-22
99204 OTHER Clinic New Pt Mod 45 Mins 28 11 $238.00 $166.60 30% off $154.11 $211.11 $182.61 2026-05-22
11106 OTHER Incisional Biopsy Skin Single Lesion 28 11 $293.00 $205.10 30% off $154.11 $211.11 $182.61 2026-05-22
25600 OTHER Fx Colles W/wo Uln Wo Man 28 11 $960.00 $672.00 30% off $154.11 $211.11 $182.61 2026-05-22
11105 OTHER Punch Biopsy Skin; Each Additional 28 11 $85.00 $59.50 30% off $154.11 $211.11 $182.61 2026-05-22
11104 OTHER Punch Biopsy Of Skin; Single Lesion 28 11 $327.00 $228.90 30% off $154.11 $211.11 $182.61 2026-05-22
11976 OTHER Removal, Implantable Contraceptive Cap 28 11 $413.00 $289.10 30% off $154.11 $211.11 $182.61 2026-05-22
11103 OTHER Tangential Biopsy, Skin; Ea Sep/addl 28 11 $155.97 $109.18 30% off $154.11 $211.11 $182.61 2026-05-22
25622 OTHER Fx Carpal Navicu. Wo Mani 28 11 $893.00 $625.10 30% off $154.11 $211.11 $182.61 2026-05-22
99304 OTHER 99304 Initial Snf-low Compl-sf 30 11 $115.00 $80.50 30% off $154.11 $214.77 $182.61 2026-05-22
11056 OTHER Parng/cut Hypk Lesion 2-4 11056 28 11 $232.00 $162.40 30% off $154.11 $211.11 $182.61 2026-05-22
20553 OTHER Injection Trgr Pts Sn/mult 3+musc 20553 28 11 $170.00 $119.00 30% off $154.11 $211.11 $182.61 2026-05-22
99450 OTHER Life/dis Insur Exam New 28 11 $87.00 $60.90 30% off $154.11 $211.11 $182.61 2026-05-22
99223 OTHER 99223 1st Hosp Ip/obs High 75 MIN,Policy Criteria Applied 28 11 $345.00 $241.50 30% off $154.11 $211.11 $182.61 2026-05-22
20550 OTHER Trigger Pnt Inj:tend Sheath/ligamt 20550 28 11 $250.00 $175.00 30% off $154.11 $211.11 $182.61 2026-05-22
11055 OTHER Parng/cut Hypk Lesion 1 11055 28 11 $202.00 $141.40 30% off $154.11 $211.11 $182.61 2026-05-22
99395 OTHER Prev.exam Periodic 18-39 99395 28 11 $95.00 $66.50 30% off $154.11 $211.11 $182.61 2026-05-22
69209 OTHER Removal Impacted Cerumen; Irr/lav Unilat 28 11 $168.00 $117.60 30% off $154.11 $211.11 $182.61 2026-05-22
11721 OTHER Debrid. Nails 6 Or More 11721 28 11 $135.00 $94.50 30% off $154.11 $214.77 $182.61 2026-05-22
11720 OTHER Debridement-nails 1-5 11720 28 11 $97.00 $67.90 30% off $154.11 $211.11 $182.61 2026-05-22
29086 OTHER Application Cast Finger 28 11 $165.00 $115.50 30% off $154.11 $211.11 $182.61 2026-05-22
17280 OTHER Distruction Malignant Lesion <0.5cm 28 11 $270.00 $189.00 30% off $154.11 $211.11 $182.61 2026-05-22
99213 OTHER Hsp Op Clinic Established Pt 20 Mins 28 11 $129.00 $90.30 30% off $154.11 $214.77 $182.61 2026-05-22
17281 OTHER Destruction Malignant 0.6-1.0 Cm 28 11 $390.00 $273.00 30% off $154.11 $211.11 $182.61 2026-05-22
97811 OTHER Acupuncture Treatment - Add 15 Mins 28 11 $40.00 $28.00 30% off $154.11 $211.11 $182.61 2026-05-22
17271 OTHER Destruction Malignant Lesion .06-1.0 Cm 28 11 $380.00 $266.00 30% off $154.11 $211.11 $182.61 2026-05-22
99305 OTHER Initial Snf-mod Complexit 30 11 $125.00 $87.50 30% off $154.11 $214.77 $182.61 2026-05-22
99393 OTHER Prev.exam Periodic 5-11 99393 28 11 $95.00 $66.50 30% off $154.11 $211.11 $182.61 2026-05-22
90471 OTHER Vax Admin ; Injection; 1 Vax - Over 18 28 11 $23.00 $16.10 30% off $100.20 $211.11 $182.61 2026-05-22
92960 OTHER Cardioversion, Elective - External 28 11 $1,580.00 $1,106.00 30% off $154.11 $211.11 $182.61 2026-05-22
26160 OTHER Ex.lesion Of Tendon-hand 28 11 $1,669.00 $1,168.30 30% off $154.11 $211.11 $182.61 2026-05-22
92950 OTHER Cardiac Arrest 28 11 $756.93 $529.85 30% off $154.11 $211.11 $182.61 2026-05-22
76857 OTHER Read Ultra Pelvic (nonob) LIMITED,professional Component 4 2 $275.12 $192.59 30% off $165.06 $200.00 $182.53 2026-05-22
72125 OTHER CT Cervical Without CONTRAST,Technical Component 4 2 $473.91 $331.74 30% off $83.10 $278.50 $180.80 2026-05-22
99281 OTHER 99281-ER Visit-prob Focus 4 2 $50.00 $35.00 30% off $95.32 $260.00 $177.66 2026-05-22
0391 OTHER Blood Transf. Admin Room 2 2 $855.51 — $27.84 $325.09 $176.47 2026-05-22
0320 OTHER A-c Joints Xray Bilateral 4 2 $262.88 — $108.97 $469.20 $175.69 2026-05-22
12032 OTHER Lacer/body Int 2.6 - 7.5 2 1 $590.00 $413.00 30% off $171.11 $171.11 $171.11 2026-05-22
71111 OTHER Read Ribs Bilt 3VWCH,professional Component 4 2 $247.22 $173.06 30% off $166.60 $172.69 $169.64 2026-05-22
76700 OTHER Read Ultra Abdominal COMP,professional Component 8 4 $450.45 $315.31 30% off $57.50 $522.17 $169.50 2026-05-22
77080 OTHER Dexa AXIAL,Technical Component 8 4 $249.90 $174.93 30% off $163.46 $225.40 $169.05 2026-05-22
73521 OTHER Hip Bilat & Ap PELV,Technical Component 6 3 $247.22 $173.06 30% off $166.60 $172.69 $168.15 2026-05-22
72050 OTHER Cervical 4+v Spine XRAY,Technical Component 6 3 $252.72 $176.91 30% off $26.50 $168.15 $168.15 2026-05-22
70150 OTHER Facial Bones 3+v 4 2 $454.45 $318.12 30% off $166.60 $168.15 $167.38 2026-05-22
72110 OTHER Ls Spine Xray Comp W/OBL,Technical Component 6 3 $252.72 $176.91 30% off $22.50 $168.15 $166.60 2026-05-22
71110 OTHER Read Ribs Bilat 3V,professional Component, Bilateral Procedure 2 1 $247.22 $173.06 30% off $166.60 $166.60 $166.60 2026-05-22
71101 OTHER Read Ribs Unilat - 2v W/chest (PA),professional Component 6 3 $242.22 $169.56 30% off $16.50 $309.03 $166.60 2026-05-22
A9502 OTHER Myoview (tc 99) 4 2 $304.00 $212.80 30% off $161.30 $162.80 $162.05 2026-05-22
93925 OTHER Cv Lower Arterial Bilat 4 2 $433.68 $303.57 30% off $39.58 $282.44 $161.01 2026-05-22
0960 OTHER Treatment Of Anal Fissure 1 1 $783.00 — $155.20 $155.20 $155.20 2026-05-22
97167 OTHER Ot - Evaluation High Complex 60 MIN,Occupational Therapy 2 1 $390.60 $273.42 30% off $154.68 $154.68 $154.68 2026-05-22
0710 OTHER Recovery Room 2 2 $250.00 — $94.78 $214.08 $154.43 2026-05-22
0460 OTHER Pul Func Test-w Bron (contract Phy) 1 1 $406.20 — $154.36 $154.36 $154.36 2026-05-22
87497 OTHER Cytomegalovirus Quant Pcr 2 1 $408.03 $285.62 30% off $147.95 $147.95 $147.95 2026-05-22
81256 OTHER Hereditary Hemochromatosis DNA Analysis 2 1 $403.45 $282.42 30% off $146.29 $146.29 $146.29 2026-05-22
97166 OTHER Ot - Evaluation Mod Complex 45 MIN,Occupational Therapy 6 3 $390.60 $273.42 30% off $143.19 $148.43 $144.52 2026-05-22
0522 OTHER Home Visit Expand Sim Est 2 2 $135.00 — $51.30 $235.86 $143.58 2026-05-22
93971 OTHER Cv Venous UNILAT,Technical Component 8 3 $310.00 $217.00 30% off $21.65 $269.14 $137.97 2026-05-22
11420 OTHER Ex.les.hd/nck/hnd/ft<.5cm 2 1 $375.00 $262.50 30% off $137.47 $137.47 $137.47 2026-05-22
86341 OTHER Islet Cell (pancreas) Antibody 2 1 $165.00 $115.50 30% off $136.80 $136.80 $136.80 2026-05-22
76705 OTHER Read Ultrasound Abdominal; LIMITED,professional Component 8 4 $207.00 $144.90 30% off $37.50 $213.52 $136.06 2026-05-22
74018 OTHER Abdomen Xray - 1 VIEW,Technical Component 8 4 $169.80 $118.86 30% off $13.77 $211.21 $134.58 2026-05-22
87799 OTHER Bk Virus Qt Pcr Ur Or Ser 2 1 $215.00 $150.50 30% off $134.22 $134.22 $134.22 2026-05-22
83970 OTHER Parathyroid Hormone 4 2 $206.00 $144.20 30% off $129.35 $131.99 $130.67 2026-05-22
P9019 OTHER Platelet Concentrate 2 1 $352.95 $247.07 30% off $130.59 $130.59 $130.59 2026-05-22
86738 OTHER Myco Plasma Pneumoniae An 2 1 $126.14 $88.30 30% off $125.46 $125.46 $125.46 2026-05-22
72020 OTHER Spine Any Level (1v) 2 1 $311.00 $217.70 30% off $123.16 $123.16 $123.16 2026-05-22
71047 OTHER Chest (3) Views 2 1 $190.30 $133.21 30% off $123.00 $123.00 $123.00 2026-05-22
80375 OTHER Dexamethasone Serum 2 1 $338.75 $237.13 30% off $122.83 $122.83 $122.83 2026-05-22
74019 OTHER Abdomen Xray - 2 VIEWS,Technical Component 4 2 $307.15 $215.01 30% off $16.48 $226.63 $121.56 2026-05-22
88342 OTHER Tissue Exam 6 3 $325.00 $227.50 30% off $117.84 $133.25 $120.25 2026-05-22
93979 OTHER Cv Aorta Ivc Limited 4 1 $306.64 $214.65 30% off $24.97 $214.13 $119.55 2026-05-22
87624 OTHER Hpv High Risk 4 2 $175.00 $122.50 30% off $63.45 $174.06 $118.75 2026-05-22
72131 OTHER CT Lumbar W/O,Technical Component 6 3 $473.91 $331.74 30% off $88.10 $278.50 $114.10 2026-05-22
71045 OTHER Chest (1) VIEW,Technical Component 6 3 $177.80 $124.46 30% off $8.11 $114.92 $113.86 2026-05-22
71046 OTHER Chest (2) VIEWS,Technical Component 10 5 $182.80 $127.96 30% off $14.85 $155.30 $113.86 2026-05-22
73080 OTHER Elbow Bilateral 3+V,bilateral Procedure 10 2 $172.50 $120.75 30% off $11.50 $121.97 $112.91 2026-05-22
A9541 OTHER Sulfur Colloid 4 2 $304.00 $212.80 30% off $109.82 $111.45 $110.63 2026-05-22
72082 OTHER Read; Spine, Entire Thoracic; SCOLIOSIS,professional Component 4 2 $273.73 $191.61 30% off $34.34 $184.57 $109.45 2026-05-22
73620 OTHER Foot Bilateral (2V),bilateral Procedure 4 1 $286.75 $200.73 30% off $105.12 $113.55 $109.34 2026-05-22
97163 OTHER Pt Evaluation High Complex 45 MIN,Physical Therapy 4 2 $290.25 $203.18 30% off $106.40 $107.39 $106.90 2026-05-22
97161 OTHER Pt Evaluation Low Complex 20 MIN,Physical Therapy 8 4 $290.25 $203.18 30% off $38.60 $127.71 $106.90 2026-05-22
97162 OTHER Pt Evaluation Mod Complex 30 MIN,Physical Therapy 6 3 $290.25 $203.18 30% off $39.44 $107.39 $106.40 2026-05-22
73660 OTHER Read Toe(s) 2+V,professional Component 10 3 $286.75 $200.73 30% off $9.00 $285.20 $106.10 2026-05-22
73564 OTHER Knee Bilat (4+v) XRAY,bilateral Procedure 16 4 $286.75 $200.73 30% off $22.42 $143.38 $106.10 2026-05-22
73060 OTHER Humerus Bilat (2+v) XRAY,bilateral Procedure 6 3 $286.75 $200.73 30% off $11.50 $114.70 $106.10 2026-05-22
71100 OTHER Read Ribs Unilat 2V,professional Component 4 2 $167.88 $117.52 30% off $106.10 $106.10 $106.10 2026-05-22
10060 OTHER I&d Of Abscess Simple/single 2 1 $615.00 $430.50 30% off $105.39 $105.39 $105.39 2026-05-22
73610 OTHER Ankle Bilat (3+ V) XRAY,Technical Component, Bilateral Procedure 12 3 $286.75 $200.73 30% off $18.73 $117.57 $105.12 2026-05-22
73565 OTHER Knee Bilat Standing Xray 2 1 $158.38 $110.86 30% off $105.12 $105.12 $105.12 2026-05-22
73630 OTHER Foot BILATERAL(3+V),bilateral Procedure, Technical Component 14 3 $286.75 $200.72 30% off $11.50 $285.19 $105.12 2026-05-22
73562 OTHER Knee Bilat (3 V) XRAY,bilateral Procedure 16 3 $159.88 $111.91 30% off $16.50 $194.99 $105.12 2026-05-22
73650 OTHER Calcaneus Bilat 2+v XRAY,bilateral Procedure 2 1 $286.75 $200.73 30% off $105.12 $105.12 $105.12 2026-05-22
73560 OTHER Knee Bilat 1-2 V XRAY,bilateral Procedure 10 3 $286.75 $200.73 30% off $16.50 $106.10 $105.12 2026-05-22
73130 OTHER Hand Bilat (3+v) XRAY,bilateral Procedure 20 5 $286.75 $200.73 30% off $11.50 $168.18 $105.12 2026-05-22
73140 OTHER Finger Xray Left 2nd Digit (2+V),Technical Component, Left Hand, Second Digit 14 3 $286.75 $200.73 30% off $9.00 $133.51 $105.12 2026-05-22
73502 OTHER Hip Unilat (2+v) LEFT,Technical Component, Left Side 12 3 $162.88 $114.01 30% off $22.36 $106.10 $105.12 2026-05-22
73070 OTHER Elbow Bilateral (2V),bilateral Procedure 6 2 $286.75 $200.73 30% off $11.50 $105.12 $105.12 2026-05-22
73552 OTHER Femur Xray (2+v) BILATERAL,bilateral Procedure 6 2 $286.75 $200.73 30% off $105.12 $106.10 $105.12 2026-05-22
72170 OTHER Pelvis 1-2v,technical Component 6 3 $157.38 $110.16 30% off $10.00 $106.10 $105.12 2026-05-22
73010 OTHER Read Scapula COMPLETE,professional Component 2 1 $286.75 $200.73 30% off $105.12 $105.12 $105.12 2026-05-22
73030 OTHER Read Shoulder (2+V),professional Component 18 4 $286.75 $200.73 30% off $16.50 $143.38 $105.12 2026-05-22
72100 OTHER Ls Spine Xray (2-3 V),Technical Component 6 3 $162.38 $113.66 30% off $22.50 $106.10 $105.12 2026-05-22
72070 OTHER Read Thorac.spine 2V,professional Component 6 3 $161.38 $112.97 30% off $20.19 $106.10 $105.12 2026-05-22
71120 OTHER Sternum 2+V,Technical Component 2 1 $286.75 $200.73 30% off $105.12 $105.12 $105.12 2026-05-22
84207 OTHER Vit B6 Level 2 1 $267.68 $187.38 30% off $104.93 $104.93 $104.93 2026-05-22
73120 OTHER Hand Bilat (2v) XRAY,Technical Component, Bilateral Procedure 4 2 $286.75 $200.73 30% off $10.00 $194.99 $102.50 2026-05-22
83880 OTHER Brain Natriuretic 6 3 $275.00 $192.50 30% off $99.71 $104.50 $101.75 2026-05-22
93922 OTHER Cv Sngl Lv Up/lw Ext Art Bil 4 2 $160.86 $112.60 30% off $12.58 $190.00 $101.29 2026-05-22
82308 OTHER Calcitonin Level [serum] 2 1 $255.15 $178.61 30% off $100.02 $100.02 $100.02 2026-05-22
82610 OTHER Cystatin C Level 2 1 $275.00 $192.50 30% off $99.71 $99.71 $99.71 2026-05-22
70360 OTHER Neck Soft Tissue 2 1 $146.00 $102.20 30% off $96.78 $96.78 $96.78 2026-05-22
73110 OTHER Read Wrist (3+V),professional Component 10 3 $260.00 $182.00 30% off $11.50 $96.20 $95.32 2026-05-22
82507 OTHER Zz Urorisk 24 Hr Urine 2 1 $240.31 $168.22 30% off $94.20 $94.20 $94.20 2026-05-22
710 OTHER Recovery Room 6 3 $250.00 $175.00 30% off $91.65 $95.00 $92.50 2026-05-22
76882 OTHER Read Ultra Extm Nonv LMTD,professional Component 4 2 $271.12 $189.79 30% off $7.85 $165.06 $86.45 2026-05-22
J3301 OTHER Triamcinolone Per 40mg 40mg/ml 5mlvial 2 1 $234.00 $163.80 30% off $85.78 $85.78 $85.78 2026-05-22
99221 OTHER 99221 1st Hosp Ip/os Sf/low 40 MINS,Policy Criteria Applied 2 1 $185.00 $129.50 30% off $85.48 $85.48 $85.48 2026-05-22
99238 OTHER 99238 Hosp Ip/obs Discharge Mgt < 30 2 1 $153.00 $107.10 30% off $83.83 $83.83 $83.83 2026-05-22
82088 OTHER Aldosterone Serum 4 2 $388.22 $271.75 30% off $26.00 $140.77 $83.39 2026-05-22
87635 OTHER Covid-19 - RNA 8 4 $225.00 $157.50 30% off $35.49 $112.50 $82.41 2026-05-22
82306 OTHER Vitamin D 25-hydroxy 8 4 $340.00 $238.00 30% off $19.18 $125.80 $82.09 2026-05-22
99232 OTHER 99232 Subq Hosp Ip/obs Moderate 35,Policy Criteria Applied 2 1 $150.00 $105.00 30% off $82.08 $82.08 $82.08 2026-05-22
87636 OTHER Covid-19 & Influenza A/b - By RNA 2 1 $225.00 $157.50 30% off $81.58 $81.58 $81.58 2026-05-22
77067 OTHER Mammo Bilat Screening W CAD,Technical Component 10 4 $492.00 $344.40 30% off $38.61 $246.00 $80.93 2026-05-22
87476 OTHER Borrelia Burgdorferi (lyme) Pcr 8 4 $176.00 $123.20 30% off $22.69 $123.70 $80.50 2026-05-22
0981 OTHER Lacer/body Simp < 2.5 9 2 $350.00 — $16.64 $242.20 $80.09 2026-05-22
G0279 OTHER Mammo Diagnostic Tomography Bilat/unilat 4 2 $207.33 $145.13 30% off $76.01 $82.93 $79.47 2026-05-22
84425 OTHER Vitamin B-1 Level 2 1 $202.23 $141.56 30% off $79.27 $79.27 $79.27 2026-05-22
0982 OTHER 99218 Observ Care-low Com 5 1 $105.00 — $42.45 $147.08 $78.84 2026-05-22
12014 OTHER Lacer/face Simp 5.1 - 7.5 2 1 $480.00 $336.00 30% off $77.39 $77.39 $77.39 2026-05-22
86325 OTHER Ena Ab (sm/rnp) 2 1 $213.08 $149.16 30% off $77.26 $77.26 $77.26 2026-05-22
12004 OTHER Lacer/body Simp 7.6 - 12. 2 1 $440.00 $308.00 30% off $76.07 $76.07 $76.07 2026-05-22
84681 OTHER C-peptide Serum 4 2 $198.24 $138.77 30% off $71.88 $75.33 $73.60 2026-05-22
0251 OTHER Acetazolamide (diamox) 250mg Tab 2 2 $3.00 — $11.87 $132.84 $72.36 2026-05-22
86316 OTHER Ca-15-3 2 1 $104.00 $72.80 30% off $71.88 $71.88 $71.88 2026-05-22
93226 OTHER Holter Monitor Scanning 4 2 $280.72 $196.50 30% off $39.76 $102.92 $71.34 2026-05-22
86480 OTHER Quantiferon TB Gold 6 3 $310.00 $217.00 30% off $51.95 $112.41 $71.02 2026-05-22
86162 OTHER Ch50 2 1 $102.00 $71.40 30% off $70.18 $70.18 $70.18 2026-05-22
87641 OTHER Mrsa - Pcr 4 2 $189.00 $132.30 30% off $68.53 $71.82 $70.17 2026-05-22
86334 OTHER Immunofix E-phoresis Serum 2 1 $112.00 $78.40 30% off $70.03 $70.03 $70.03 2026-05-22
81241 OTHER Factor V Leiden Mutation Analysis 2 1 $366.85 $256.80 30% off $66.70 $66.70 $66.70 2026-05-22
82803 OTHER Abg Analysis 2 1 $183.00 $128.10 30% off $66.36 $66.36 $66.36 2026-05-22
84166 OTHER Zz Protein Electrophoresis U 4 2 $169.89 $118.92 30% off $61.60 $69.65 $65.62 2026-05-22
95992 OTHER Pt - Canalith Repositioning MANEUVER,Physical Therapy 8 4 $176.00 $123.20 30% off $23.40 $77.44 $64.82 2026-05-22
96365 OTHER IV Infusion Prop/dx To 1h 2 1 $175.00 $122.50 30% off $64.15 $64.15 $64.15 2026-05-22
87798 OTHER A. Phagocytophilum Pcr 6 2 $176.00 $123.20 30% off $23.19 $63.82 $63.62 2026-05-22
90714 OTHER TetanusDiptheriaTox (decavac) Adult Syr 2 1 $173.00 $121.10 30% off $63.42 $63.42 $63.42 2026-05-22
87230 OTHER C Difficile 6 3 $166.18 $116.33 30% off $60.26 $165.28 $61.49 2026-05-22
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