Price Transparencybeta Hospital negotiated rates

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

Geisinger Encompass Health Rehabilitation Hospital

Danville, PA · CCN 393047 · Rates published

1,539 distinct procedures filed
3 distinct payers
4,666 rate rows
2026-01-01 last MRF observed
Data quality

4,660 of 4,666 rate rows are consumer-grade (99.9%)

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

Excluded — reasonRows
placeholder amount (≤ $0.02) — excluded from medians 6
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://edge.sitecorecloud.io/encompasshee178-encompasshed9db-prodb258-07da/media/Project/EncompassHealth/encompasshealth/Files/1-price-transparency/721398803_Geisinger-Encompass-Health-Rehabilitation-Hospital_standardcharges.csv
Found on page https://www.encompasshealth.com/locations/geisinger/financial-information/price-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-12
Content fingerprint 801cbcfe297d6907… · 10,395,833 bytes · first seen 2026-05-14

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
L7181
HCPCS 		Electronic Elbo Simultaneous 3 $22,503.13 $28,128.91 $26,253.65 nat. median
$50,516
0.5× median
L7180
HCPCS 		Electronic Elbow Sequential 3 $19,974.96 $24,968.70 $23,304.12 nat. median
$46,980
outlier · 0.5×
L5856
HCPCS 		Elec Knee-shin Swing/stance 3 $13,482.22 $16,852.77 $15,729.25 nat. median
$30,017
0.5× median
L8614
HCPCS 		Cochlear Device 3 $11,155.75 $13,944.69 $13,015.04 nat. median
$22,351
0.6× median
L5858
HCPCS 		Stance Phase Only 3 $10,437.86 $13,047.32 $12,177.50 nat. median
$23,237
0.5× median
L6975
HCPCS 		Interscap-thor Myoelectronic 3 $10,115.66 $12,644.57 $11,801.60 nat. median
$22,826
0.5× median
L5973
HCPCS 		Ank-foot Sys Dors-plant Flex 3 $9,832.49 $12,290.61 $11,471.24 nat. median
$21,726
0.5× median
L6970
HCPCS 		Interscapular-thor Switch CT 3 $9,162.62 $11,453.27 $10,689.72 nat. median
$20,980
0.5× median
L6965
HCPCS 		Shldr Disartic Myoelectronic 3 $8,524.95 $10,656.19 $9,945.77 nat. median
$19,981
outlier · 0.5×
L5859
HCPCS 		Knee-shin Pro Flex/ext Cont 3 $8,148.75 $10,185.94 $9,506.88 nat. median
$18,321
0.5× median
L6960
HCPCS 		Shldr Disartic Switch Contro 3 $7,442.15 $9,302.68 $8,682.51 nat. median
$16,650
0.5× median
L6955
HCPCS 		Above Elbow Myoelectronic CT 3 $7,009.96 $8,762.45 $8,178.29 nat. median
$15,745
0.5× median
L6945
HCPCS 		Elbow Disart Myoelectronic C 3 $6,083.08 $7,603.85 $7,096.92 nat. median
$13,912
0.5× median
L6950
HCPCS 		Above Elbow Switch Control 3 $5,763.86 $7,204.82 $6,724.50 nat. median
$12,858
0.5× median
L7191
HCPCS 		Elbow Child Myoelectronic CT 3 $5,648.91 $7,061.14 $6,590.40 nat. median
$13,827
outlier · 0.5×
L6940
HCPCS 		Elbow Disarticulation Switch 3 $5,438.69 $6,798.37 $6,345.14 nat. median
$12,193
0.5× median
L7186
HCPCS 		Electron Elbow Child Switch 3 $5,244.64 $6,555.80 $6,118.74 nat. median
$13,302
outlier · 0.5×
L6935
HCPCS 		Below Elbow Myoelectronic CT 3 $4,936.60 $6,170.75 $5,759.37 nat. median
$11,147
0.5× median
L6925
HCPCS 		Wrist Disart Myoelectronic C 3 $4,834.44 $6,043.05 $5,640.18 nat. median
$10,846
0.5× median
L8619
HCPCS 		Replace Cochlear Processor 3 $4,789.09 $5,986.36 $5,587.27 nat. median
$13,189
outlier · 0.4×
L5857
HCPCS 		Elec Knee-shin Swing Only 3 $4,784.01 $5,980.01 $5,581.35 nat. median
$10,749
0.5× median
L7190
HCPCS 		Elbow Adolescent Myoelectron 3 $4,471.48 $5,589.35 $5,216.72 nat. median
$10,857
outlier · 0.5×
L5701
HCPCS 		Replace Socket Above Knee 3 $4,467.00 $5,583.75 $5,211.50 nat. median
$4,549
1.1× median
L6920
HCPCS 		Wrist Disarticul Switch Ctrl 3 $4,409.82 $5,512.27 $5,144.79 nat. median
$9,420
0.5× median
L6930
HCPCS 		Below Elbow Switch Control 3 $4,171.79 $5,214.74 $4,867.09 nat. median
$9,632
0.5× median
L8627
HCPCS 		Cid Ext Speech Process Repl 3 $4,091.42 $5,114.28 $4,773.33 nat. median
$8,785
0.5× median
L5987
HCPCS 		Shank Ft W Vert Load Pylon 3 $4,040.15 $5,050.19 $4,713.51 nat. median
$8,991
0.5× median
L5649
HCPCS 		Isch Containmt/narrow M-i So 3 $3,790.20 $4,737.75 $4,421.90 nat. median
$2,968
1.5× median
81408
CDM 		Mopath Procedure Level 9 3 $3,708.00 $4,635.00 $4,326.00 nat. median
$4,326
1.0× median
L8609
HCPCS 		Artificial Cornea 3 $3,659.21 $4,574.02 $4,269.08 nat. median
$8,066
0.5× median
L2036
HCPCS 		Kafo Plas Doub Free Knee Mol 3 $3,531.00 $4,413.75 $4,119.50 nat. median
$2,509
1.6× median
L0486
HCPCS 		Tlso Rigid Lined Cust Fab Two 3 $3,507.60 $4,384.50 $4,092.20 nat. median
$2,644
1.5× median
L7008
HCPCS 		Pediatric Electric Hand 3 $3,505.43 $4,381.78 $4,089.67 nat. median
$7,523
0.5× median
L7185
HCPCS 		Electron Elbow Adolescent Sw 3 $3,434.42 $4,293.02 $4,006.82 nat. median
$9,262
outlier · 0.4×
L8682
HCPCS 		Implt Neurostim Radiofq Rec 3 $3,362.12 $4,202.65 $3,922.48 nat. median
$7,454
0.5× median
L7170
HCPCS 		Electronic Elbow Hosmer Swit 3 $3,354.47 $4,193.09 $3,913.55 nat. median
$9,290
outlier · 0.4×
L0484
HCPCS 		Tlso Rigid Plastic Cust Fab 3 $3,297.00 $4,121.25 $3,846.50 nat. median
$2,351
1.6× median
L5250
HCPCS 		Hip Canad Sing Axi Cons Fric 3 $2,968.33 $3,710.41 $3,463.05 nat. median
$7,091
outlier · 0.5×
L8683
HCPCS 		Radiofq Trsmtr For Implt Neu 3 $2,959.43 $3,699.29 $3,452.67 nat. median
$6,622
0.5× median
L5270
HCPCS 		Tilt Table Locking Hip Sing 3 $2,942.32 $3,677.90 $3,432.71 nat. median
$7,136
outlier · 0.5×
L5280
HCPCS 		Hemipelvect Canad Sing Axis 3 $2,912.90 $3,641.13 $3,398.39 nat. median
$7,340
outlier · 0.5×
L5341
HCPCS 		Hemipelvectomy Canadian Sach 3 $2,891.33 $3,614.16 $3,373.22 nat. median
$7,400
outlier · 0.5×
L4631
HCPCS 		Afo, Walking Boot, Custom 3 $2,801.40 $3,501.75 $3,268.30 nat. median
$1,951
1.7× median
L8690
HCPCS 		Aud Osseo Dev, Int/ext Comp 3 $2,671.74 $3,339.68 $3,117.03 nat. median
$5,649
0.6× median
L5331
HCPCS 		Hip Disart Canadian Sach Ft 3 $2,660.69 $3,325.86 $3,104.14 nat. median
$6,939
outlier · 0.4×
L6570
HCPCS 		Scap Thorac Prosth Tiss Shap 3 $2,646.94 $3,308.68 $3,088.10 nat. median
$6,005
0.5× median
L0464
HCPCS 		Tlso 4mod Sacro-scap Pre 3 $2,643.00 $3,303.75 $3,083.50 nat. median
$1,789
1.7× median
L5600
HCPCS 		Hip Disart Sach Laminat Mold 3 $2,636.67 $3,295.84 $3,076.11 nat. median
$5,933
0.5× median
L5961
HCPCS 		Endo Poly Hip, Pneu/hyd/rot 3 $2,602.71 $3,253.39 $3,036.49 nat. median
$6,009
0.5× median
L6205
HCPCS 		Elbow Molded W/expand Inter 3 $2,600.77 $3,250.96 $3,034.23 nat. median
$5,129
0.6× median

Other procedures at this hospital

Browse this hospital's 1,539 published procedures. Use the slice to choose what to show, then sort or filter any column.

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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
             
L7181 HCPCS Electronic Elbo Simultaneous 3 3 $37,505.21 $28,128.91 25% off $22,503.13 $28,128.91 $26,253.65 2026-01-01
L7180 HCPCS Electronic Elbow Sequential 3 3 $33,291.60 $24,968.70 25% off $19,974.96 $24,968.70 $23,304.12 2026-01-01
L5856 HCPCS Elec Knee-shin Swing/stance 3 3 $22,470.36 $16,852.77 25% off $13,482.22 $16,852.77 $15,729.25 2026-01-01
L8614 HCPCS Cochlear Device 3 3 $18,592.92 $13,944.69 25% off $11,155.75 $13,944.69 $13,015.04 2026-01-01
L5858 HCPCS Stance Phase Only 3 3 $17,396.43 $13,047.32 25% off $10,437.86 $13,047.32 $12,177.50 2026-01-01
L6975 HCPCS Interscap-thor Myoelectronic 3 3 $16,859.43 $12,644.57 25% off $10,115.66 $12,644.57 $11,801.60 2026-01-01
L5973 HCPCS Ank-foot Sys Dors-plant Flex 3 3 $16,387.48 $12,290.61 25% off $9,832.49 $12,290.61 $11,471.24 2026-01-01
L6970 HCPCS Interscapular-thor Switch CT 3 3 $15,271.03 $11,453.27 25% off $9,162.62 $11,453.27 $10,689.72 2026-01-01
L6965 HCPCS Shldr Disartic Myoelectronic 3 3 $14,208.25 $10,656.19 25% off $8,524.95 $10,656.19 $9,945.77 2026-01-01
L5859 HCPCS Knee-shin Pro Flex/ext Cont 3 3 $13,581.25 $10,185.94 25% off $8,148.75 $10,185.94 $9,506.88 2026-01-01
L6960 HCPCS Shldr Disartic Switch Contro 3 3 $12,403.58 $9,302.68 25% off $7,442.15 $9,302.68 $8,682.51 2026-01-01
L6955 HCPCS Above Elbow Myoelectronic CT 3 3 $11,683.27 $8,762.45 25% off $7,009.96 $8,762.45 $8,178.29 2026-01-01
L6945 HCPCS Elbow Disart Myoelectronic C 3 3 $10,138.46 $7,603.85 25% off $6,083.08 $7,603.85 $7,096.92 2026-01-01
L6950 HCPCS Above Elbow Switch Control 3 3 $9,606.43 $7,204.82 25% off $5,763.86 $7,204.82 $6,724.50 2026-01-01
L7191 HCPCS Elbow Child Myoelectronic CT 3 3 $9,414.85 $7,061.14 25% off $5,648.91 $7,061.14 $6,590.40 2026-01-01
L6940 HCPCS Elbow Disarticulation Switch 3 3 $9,064.49 $6,798.37 25% off $5,438.69 $6,798.37 $6,345.14 2026-01-01
L7186 HCPCS Electron Elbow Child Switch 3 3 $8,741.06 $6,555.80 25% off $5,244.64 $6,555.80 $6,118.74 2026-01-01
L6935 HCPCS Below Elbow Myoelectronic CT 3 3 $8,227.67 $6,170.75 25% off $4,936.60 $6,170.75 $5,759.37 2026-01-01
L6925 HCPCS Wrist Disart Myoelectronic C 3 3 $8,057.40 $6,043.05 25% off $4,834.44 $6,043.05 $5,640.18 2026-01-01
L8619 HCPCS Replace Cochlear Processor 3 3 $7,981.81 $5,986.36 25% off $4,789.09 $5,986.36 $5,587.27 2026-01-01
L5857 HCPCS Elec Knee-shin Swing Only 3 3 $7,973.35 $5,980.01 25% off $4,784.01 $5,980.01 $5,581.35 2026-01-01
L7190 HCPCS Elbow Adolescent Myoelectron 3 3 $7,452.46 $5,589.35 25% off $4,471.48 $5,589.35 $5,216.72 2026-01-01
L5701 HCPCS Replace Socket Above Knee 3 3 $7,445.00 $5,583.75 25% off $4,467.00 $5,583.75 $5,211.50 2026-01-01
L6920 HCPCS Wrist Disarticul Switch Ctrl 3 3 $7,349.70 $5,512.27 25% off $4,409.82 $5,512.27 $5,144.79 2026-01-01
L6930 HCPCS Below Elbow Switch Control 3 3 $6,952.99 $5,214.74 25% off $4,171.79 $5,214.74 $4,867.09 2026-01-01
L8627 HCPCS Cid Ext Speech Process Repl 3 3 $6,819.04 $5,114.28 25% off $4,091.42 $5,114.28 $4,773.33 2026-01-01
L5987 HCPCS Shank Ft W Vert Load Pylon 3 3 $6,733.58 $5,050.19 25% off $4,040.15 $5,050.19 $4,713.51 2026-01-01
L5649 HCPCS Isch Containmt/narrow M-i So 3 3 $6,317.00 $4,737.75 25% off $3,790.20 $4,737.75 $4,421.90 2026-01-01
81408 CDM Mopath Procedure Level 9 3 3 $6,180.00 $4,635.00 25% off $3,708.00 $4,635.00 $4,326.00 2026-01-01
L8609 HCPCS Artificial Cornea 3 3 $6,098.69 $4,574.02 25% off $3,659.21 $4,574.02 $4,269.08 2026-01-01
L2036 HCPCS Kafo Plas Doub Free Knee Mol 3 3 $5,885.00 $4,413.75 25% off $3,531.00 $4,413.75 $4,119.50 2026-01-01
L0486 HCPCS Tlso Rigid Lined Cust Fab Two 3 3 $5,846.00 $4,384.50 25% off $3,507.60 $4,384.50 $4,092.20 2026-01-01
L7008 HCPCS Pediatric Electric Hand 3 3 $5,842.38 $4,381.78 25% off $3,505.43 $4,381.78 $4,089.67 2026-01-01
L7185 HCPCS Electron Elbow Adolescent Sw 3 3 $5,724.03 $4,293.02 25% off $3,434.42 $4,293.02 $4,006.82 2026-01-01
L8682 HCPCS Implt Neurostim Radiofq Rec 3 3 $5,603.54 $4,202.65 25% off $3,362.12 $4,202.65 $3,922.48 2026-01-01
L7170 HCPCS Electronic Elbow Hosmer Swit 3 3 $5,590.78 $4,193.09 25% off $3,354.47 $4,193.09 $3,913.55 2026-01-01
L0484 HCPCS Tlso Rigid Plastic Cust Fab 3 3 $5,495.00 $4,121.25 25% off $3,297.00 $4,121.25 $3,846.50 2026-01-01
L5250 HCPCS Hip Canad Sing Axi Cons Fric 3 3 $4,947.22 $3,710.41 25% off $2,968.33 $3,710.41 $3,463.05 2026-01-01
L8683 HCPCS Radiofq Trsmtr For Implt Neu 3 3 $4,932.39 $3,699.29 25% off $2,959.43 $3,699.29 $3,452.67 2026-01-01
L5270 HCPCS Tilt Table Locking Hip Sing 3 3 $4,903.87 $3,677.90 25% off $2,942.32 $3,677.90 $3,432.71 2026-01-01
L5280 HCPCS Hemipelvect Canad Sing Axis 3 3 $4,854.84 $3,641.13 25% off $2,912.90 $3,641.13 $3,398.39 2026-01-01
L5341 HCPCS Hemipelvectomy Canadian Sach 3 3 $4,818.88 $3,614.16 25% off $2,891.33 $3,614.16 $3,373.22 2026-01-01
L4631 HCPCS Afo, Walking Boot, Custom 3 3 $4,669.00 $3,501.75 25% off $2,801.40 $3,501.75 $3,268.30 2026-01-01
L8690 HCPCS Aud Osseo Dev, Int/ext Comp 3 3 $4,452.90 $3,339.68 25% off $2,671.74 $3,339.68 $3,117.03 2026-01-01
L5331 HCPCS Hip Disart Canadian Sach Ft 3 3 $4,434.48 $3,325.86 25% off $2,660.69 $3,325.86 $3,104.14 2026-01-01
L6570 HCPCS Scap Thorac Prosth Tiss Shap 3 3 $4,411.57 $3,308.68 25% off $2,646.94 $3,308.68 $3,088.10 2026-01-01
L0464 HCPCS Tlso 4mod Sacro-scap Pre 3 3 $4,405.00 $3,303.75 25% off $2,643.00 $3,303.75 $3,083.50 2026-01-01
L5600 HCPCS Hip Disart Sach Laminat Mold 3 3 $4,394.45 $3,295.84 25% off $2,636.67 $3,295.84 $3,076.11 2026-01-01
L5961 HCPCS Endo Poly Hip, Pneu/hyd/rot 3 3 $4,337.85 $3,253.39 25% off $2,602.71 $3,253.39 $3,036.49 2026-01-01
L6205 HCPCS Elbow Molded W/expand Inter 3 3 $4,334.61 $3,250.96 25% off $2,600.77 $3,250.96 $3,034.23 2026-01-01
L5702 HCPCS Replace Socket Hip 3 3 $4,295.03 $3,221.27 25% off $2,577.02 $3,221.27 $3,006.52 2026-01-01
L5595 HCPCS Hip Disartic Sach Thermopls 3 3 $4,028.94 $3,021.70 25% off $2,417.36 $3,021.70 $2,820.26 2026-01-01
L8044 HCPCS Hemi-facial Prosthesis 3 3 $4,006.53 $3,004.90 25% off $2,403.92 $3,004.90 $2,804.57 2026-01-01
L5651 HCPCS Ak Flex Inner Sicket Ext Fra 3 3 $4,003.00 $3,002.25 25% off $2,401.80 $3,002.25 $2,802.10 2026-01-01
L5782 HCPCS Hd Low Limb Pros Vacuum Pump 3 3 $3,948.32 $2,961.24 25% off $2,368.99 $2,961.24 $2,763.82 2026-01-01
L2005 HCPCS Kafo Sng/dbl Mechanical Act 3 3 $3,828.15 $2,871.11 25% off $2,296.89 $2,871.11 $2,679.70 2026-01-01
L6881 HCPCS Term Dev Auto Grasp Feature 3 3 $3,826.75 $2,870.06 25% off $2,296.05 $2,870.06 $2,678.72 2026-01-01
77301 CDM Radiation Imr Plan 3 3 $3,787.00 $2,840.25 25% off $2,272.20 $2,840.25 $2,650.90 2026-01-01
L5781 HCPCS Lower Limb Pros Vacuum Pump 3 3 $3,745.23 $2,808.92 25% off $2,247.14 $2,808.92 $2,621.66 2026-01-01
L6350 HCPCS Thoracic Intern Lock Elbow 3 3 $3,734.74 $2,801.05 25% off $2,240.84 $2,801.05 $2,614.32 2026-01-01
L2020 HCPCS Kafo Dbl Solid Stirrup Band/ 3 3 $3,702.00 $2,776.50 25% off $2,221.20 $2,776.50 $2,591.40 2026-01-01
99283 CDM Emergency Room-moderate 3 3 $3,653.00 $2,739.75 25% off $2,191.80 $2,739.75 $2,557.10 2026-01-01
L5160 HCPCS Mold Socket Bent Knee Shin S 3 3 $3,641.93 $2,731.45 25% off $2,185.16 $2,731.45 $2,549.35 2026-01-01
L6550 HCPCS Shldr Disar Prosth Tiss Shap 3 3 $3,635.88 $2,726.91 25% off $2,181.53 $2,726.91 $2,545.12 2026-01-01
L5230 HCPCS Fem Focal Defic Constant Fri 3 3 $3,627.23 $2,720.42 25% off $2,176.34 $2,720.42 $2,539.06 2026-01-01
L8043 HCPCS Upper Facial Prosthesis 3 3 $3,618.84 $2,714.13 25% off $2,171.30 $2,714.13 $2,533.19 2026-01-01
L5105 HCPCS Plast Socket Jts/thgh Lacer 3 3 $3,618.10 $2,713.57 25% off $2,170.86 $2,713.57 $2,532.67 2026-01-01
L6300 HCPCS Shlder Disart Int Lock Elbow 3 3 $3,552.34 $2,664.26 25% off $2,131.40 $2,664.26 $2,486.64 2026-01-01
L7009 HCPCS Adult Electric Hook 3 3 $3,536.54 $2,652.41 25% off $2,121.92 $2,652.41 $2,475.58 2026-01-01
L5980 HCPCS Flex Foot System 3 3 $3,535.25 $2,651.44 25% off $2,121.15 $2,651.44 $2,474.68 2026-01-01
L6624 HCPCS Flex/ext/rotation Wrist Unit 3 3 $3,525.22 $2,643.91 25% off $2,115.13 $2,643.91 $2,467.65 2026-01-01
L0637 HCPCS Lso Sag-coronal Panel Prefab 3 3 $3,521.00 $2,640.75 25% off $2,112.60 $2,640.75 $2,464.70 2026-01-01
L0650 HCPCS Lso Sc R Ant/pos Pnl Pre Ots 3 3 $3,521.00 $2,640.75 25% off $2,112.60 $2,640.75 $2,464.70 2026-01-01
L5840 HCPCS Multi-axial Knee/shin System 3 3 $3,492.40 $2,619.30 25% off $2,095.44 $2,619.30 $2,444.68 2026-01-01
L5814 HCPCS Endo Knee-shin Hydral Swg Ph 3 3 $3,476.30 $2,607.22 25% off $2,085.78 $2,607.22 $2,433.41 2026-01-01
L7007 HCPCS Adult Electric Hand 3 3 $3,458.32 $2,593.74 25% off $2,074.99 $2,593.74 $2,420.82 2026-01-01
L8035 HCPCS Custom Breast Prosthesis 3 3 $3,429.30 $2,571.97 25% off $2,057.58 $2,571.97 $2,400.51 2026-01-01
L5968 HCPCS Multiaxial Ankle W Dorsiflex 3 3 $3,401.48 $2,551.11 25% off $2,040.89 $2,551.11 $2,381.04 2026-01-01
L5150 HCPCS Mold Sckt Ext Knee Shin Sach 3 3 $3,348.35 $2,511.26 25% off $2,009.01 $2,511.26 $2,343.84 2026-01-01
L8042 HCPCS Orbital Prosthesis 3 3 $3,231.06 $2,423.30 25% off $1,938.64 $2,423.30 $2,261.74 2026-01-01
L5200 HCPCS Kne Sing Axis Fric Shin Sach 3 3 $3,172.43 $2,379.32 25% off $1,903.46 $2,379.32 $2,220.70 2026-01-01
L5930 HCPCS High Activity Kinee Frame 3 3 $3,150.62 $2,362.97 25% off $1,890.37 $2,362.97 $2,205.43 2026-01-01
L5321 HCPCS Ak Open End Sach 3 3 $3,133.83 $2,350.37 25% off $1,880.30 $2,350.37 $2,193.68 2026-01-01
L0640 HCPCS Lso S/c Shell/panel Custom 3 3 $3,101.00 $2,325.75 25% off $1,860.60 $2,325.75 $2,170.70 2026-01-01
L6588 HCPCS Shdr Fair Lead Cable Molded 3 3 $3,069.65 $2,302.24 25% off $1,841.79 $2,302.24 $2,148.76 2026-01-01
L6885 HCPCS Replc Sockt Shldr Dis/interc 3 3 $3,066.00 $2,299.50 25% off $1,839.60 $2,299.50 $2,146.20 2026-01-01
L6360 HCPCS Thoracic Passive Restor Comp 3 3 $3,066.00 $2,299.50 25% off $1,839.60 $2,299.50 $2,146.20 2026-01-01
L5981 HCPCS Flex-walk Sys Low Ext Prosth 3 3 $3,055.76 $2,291.82 25% off $1,833.46 $2,291.82 $2,139.03 2026-01-01
L6648 HCPCS Ext Pwrd Shlder Lock/unlock 3 3 $3,044.83 $2,283.62 25% off $1,826.90 $2,283.62 $2,131.38 2026-01-01
L0631 HCPCS Lso Sag-coro Rigid Frame Prefb 3 3 $3,043.00 $2,282.25 25% off $1,825.80 $2,282.25 $2,130.10 2026-01-01
L0648 HCPCS Lso Sag R An/pos Pnl Pre Ots 3 3 $3,043.00 $2,282.25 25% off $1,825.80 $2,282.25 $2,130.10 2026-01-01
L1005 HCPCS Tension Based Scoliosis Orth 3 3 $2,990.08 $2,242.56 25% off $1,794.05 $2,242.56 $2,093.06 2026-01-01
L0460 HCPCS Tlso 2mod Symphsis-stern Pre 3 3 $2,975.00 $2,231.25 25% off $1,785.00 $2,231.25 $2,082.50 2026-01-01
L1945 HCPCS Afo Molded Plas Rig Ant Tib 3 3 $2,972.00 $2,229.00 25% off $1,783.20 $2,229.00 $2,080.40 2026-01-01
L0830 HCPCS Halo Cerv Into Milwauee Typ 3 3 $2,956.93 $2,217.70 25% off $1,774.16 $2,217.70 $2,069.85 2026-01-01
L5826 HCPCS Miniature Knee Joint 3 3 $2,952.39 $2,214.29 25% off $1,771.43 $2,214.29 $2,066.67 2026-01-01
L6646 HCPCS Multipo Locking Shoulder Jnt 3 3 $2,952.26 $2,214.20 25% off $1,771.36 $2,214.20 $2,066.58 2026-01-01
L0457 HCPCS Tlso Flex Trnk Sj-ss Pre Ots 3 3 $2,947.00 $2,210.25 25% off $1,768.20 $2,210.25 $2,062.90 2026-01-01
L0456 HCPCS Tlso Flex Prefab 3 3 $2,947.00 $2,210.25 25% off $1,768.20 $2,210.25 $2,062.90 2026-01-01
L6500 HCPCS Above Elbow Prosth Tiss Shap 3 3 $2,942.09 $2,206.57 25% off $1,765.25 $2,206.57 $2,059.46 2026-01-01
L6450 HCPCS Elb Disart Prosth Tiss Shap 3 3 $2,939.68 $2,204.76 25% off $1,763.81 $2,204.76 $2,057.78 2026-01-01
L6310 HCPCS Shoulder Passive Restor Comp 3 3 $2,921.34 $2,191.01 25% off $1,752.80 $2,191.01 $2,044.94 2026-01-01
L1686 HCPCS Ho Post-op Hip Abduction Prefb 3 3 $2,921.00 $2,190.75 25% off $1,752.60 $2,190.75 $2,044.70 2026-01-01
L6882 HCPCS Microprocessor Control Uplmb 3 3 $2,902.76 $2,177.07 25% off $1,741.66 $2,177.07 $2,031.93 2026-01-01
L6055 HCPCS Wrst Mold Sock W/exp Interfa 3 3 $2,879.08 $2,159.31 25% off $1,727.45 $2,159.31 $2,015.36 2026-01-01
L8041 HCPCS Midfacial Prosthesis 3 3 $2,875.65 $2,156.74 25% off $1,725.39 $2,156.74 $2,012.95 2026-01-01
L6590 HCPCS Shdr Fair Lead Cable Direct 3 3 $2,807.87 $2,105.90 25% off $1,684.72 $2,105.90 $1,965.51 2026-01-01
L8045 HCPCS Auricular Prosthesis 3 3 $2,796.88 $2,097.66 25% off $1,678.13 $2,097.66 $1,957.82 2026-01-01
L5828 HCPCS Endo Knee-shin Fluid Swg/sta 3 3 $2,787.33 $2,090.50 25% off $1,672.40 $2,090.50 $1,951.13 2026-01-01
L7040 HCPCS Prehensile Actuator 3 3 $2,773.73 $2,080.30 25% off $1,664.24 $2,080.30 $1,941.61 2026-01-01
L5700 HCPCS Replace Socket Below Knee 3 3 $2,746.92 $2,060.19 25% off $1,648.15 $2,060.19 $1,922.84 2026-01-01
L3905 HCPCS Who W/nontorsion Jnt(s) Cf 3 3 $2,674.00 $2,005.50 25% off $1,604.40 $2,005.50 $1,871.80 2026-01-01
L1843 HCPCS Ko Single Upright Custom Fit 3 3 $2,659.00 $1,994.25 25% off $1,595.40 $1,994.25 $1,861.30 2026-01-01
L6693 HCPCS Lockingelbow Forearm Cntrbal 3 3 $2,657.41 $1,993.06 25% off $1,594.45 $1,993.06 $1,860.19 2026-01-01
L1932 HCPCS Afo Rig Ant Tib Prefab Tcf/= 3 3 $2,644.00 $1,983.00 25% off $1,586.40 $1,983.00 $1,850.80 2026-01-01
L0458 HCPCS Tlso 2mod Symphis-xipho Pre 3 3 $2,643.00 $1,982.25 25% off $1,585.80 $1,982.25 $1,850.10 2026-01-01
L5060 HCPCS Symes Met Fr Leath Socket Ar 3 3 $2,633.54 $1,975.15 25% off $1,580.12 $1,975.15 $1,843.48 2026-01-01
L5220 HCPCS No Knee Joint With Artic Ali 3 3 $2,629.96 $1,972.47 25% off $1,577.98 $1,972.47 $1,840.97 2026-01-01
81407 CDM Mopath Procedure Level 8 3 3 $2,616.00 $1,962.00 25% off $1,569.60 $1,962.00 $1,831.20 2026-01-01
L6200 HCPCS Elbow Mold Outsid Lock Hinge 3 3 $2,604.19 $1,953.14 25% off $1,562.51 $1,953.14 $1,822.93 2026-01-01
L8046 HCPCS Partial Facial Prosthesis 3 3 $2,584.85 $1,938.64 25% off $1,550.91 $1,938.64 $1,809.39 2026-01-01
L3904 HCPCS Whfo Electric Custom Fitted 3 3 $2,564.67 $1,923.50 25% off $1,538.80 $1,923.50 $1,795.27 2026-01-01
L6250 HCPCS Elbow Inter Loc Elbow Forarm 3 3 $2,560.44 $1,920.33 25% off $1,536.26 $1,920.33 $1,792.31 2026-01-01
90937 CDM Peritoneal Dialysis 3 3 $2,550.00 $1,912.50 25% off $1,530.00 $1,912.50 $1,785.00 2026-01-01
L5950 HCPCS Endo Ak Ultra-light Material 3 3 $2,549.00 $1,911.75 25% off $1,529.40 $1,911.75 $1,784.30 2026-01-01
L1845 HCPCS Ko W/adj Flex/ext Rotat Cus 3 3 $2,536.00 $1,902.00 25% off $1,521.60 $1,902.00 $1,775.20 2026-01-01
L8691 HCPCS Aud Osseo Dev Ext Snd Process 3 3 $2,495.99 $1,871.99 25% off $1,497.59 $1,871.99 $1,747.19 2026-01-01
L1951 HCPCS Afo Spiral Prefabricated 3 3 $2,489.00 $1,866.75 25% off $1,493.40 $1,866.75 $1,742.30 2026-01-01
L6130 HCPCS Elbow Stump Activated Lock H 3 3 $2,468.31 $1,851.23 25% off $1,480.99 $1,851.23 $1,727.82 2026-01-01
L5585 HCPCS Prep Ak Ischial Open End 3 3 $2,439.56 $1,829.67 25% off $1,463.74 $1,829.67 $1,707.69 2026-01-01
L8040 HCPCS Nasal Prosthesis 3 3 $2,385.78 $1,789.34 25% off $1,431.47 $1,789.34 $1,670.05 2026-01-01
L5728 HCPCS Knee-shin Fluid Swg & Stance 3 3 $2,354.48 $1,765.86 25% off $1,412.69 $1,765.86 $1,648.14 2026-01-01
L6638 HCPCS Elec Lock On Manual Pw Elbow 3 3 $2,340.78 $1,755.59 25% off $1,404.47 $1,755.59 $1,638.55 2026-01-01
L0810 HCPCS Halo Cervical Into Jckt Vest 3 3 $2,337.62 $1,753.21 25% off $1,402.57 $1,753.21 $1,636.33 2026-01-01
L5613 HCPCS Ak 4 Bar Ling W/hydraul Swig 3 3 $2,336.71 $1,752.53 25% off $1,402.03 $1,752.53 $1,635.70 2026-01-01
L2510 HCPCS Th/wght Bear Quad-lat Brim M 3 3 $2,314.00 $1,735.50 25% off $1,388.40 $1,735.50 $1,619.80 2026-01-01
L5210 HCPCS No Knee/ankle Joints W/ft B 3 3 $2,313.71 $1,735.28 25% off $1,388.23 $1,735.28 $1,619.60 2026-01-01
L6370 HCPCS Thoracic Passive Restor Cap 3 3 $2,308.22 $1,731.16 25% off $1,384.93 $1,731.16 $1,615.75 2026-01-01
L5590 HCPCS Prep Ak Ischial Laminated 3 3 $2,292.12 $1,719.09 25% off $1,375.27 $1,719.09 $1,604.48 2026-01-01
L5100 HCPCS Molded Socket Shin Sach Foot 3 3 $2,279.54 $1,709.65 25% off $1,367.72 $1,709.65 $1,595.68 2026-01-01
L6120 HCPCS Elbow Mold Doub Splt Soc Ste 3 3 $2,268.28 $1,701.21 25% off $1,360.97 $1,701.21 $1,587.80 2026-01-01
L3764 HCPCS Ewho W/joint(s) Cf 3 3 $2,256.00 $1,692.00 25% off $1,353.60 $1,692.00 $1,579.20 2026-01-01
L5580 HCPCS Prep Ak Ischial Thermo Mold 3 3 $2,249.23 $1,686.92 25% off $1,349.54 $1,686.92 $1,574.46 2026-01-01
L5979 HCPCS Multi-axial Ankle/ft Prosth 3 3 $2,232.81 $1,674.61 25% off $1,339.69 $1,674.61 $1,562.97 2026-01-01
L1970 HCPCS Afo Plastic Molded W/ankle J 3 3 $2,230.00 $1,672.50 25% off $1,338.00 $1,672.50 $1,561.00 2026-01-01
78582 CDM Nm Pulm Perfusion With Ventilati 3 3 $2,219.00 $1,664.25 25% off $1,331.40 $1,664.25 $1,553.30 2026-01-01
L6400 HCPCS Below Elbow Prosth Tiss Shap 3 3 $2,217.13 $1,662.85 25% off $1,330.28 $1,662.85 $1,551.99 2026-01-01
L5673 HCPCS Socket Insert W Lock Mech 3 3 $2,212.00 $1,659.00 25% off $1,327.20 $1,659.00 $1,548.40 2026-01-01
L6721 HCPCS Hook/hand, Hvy Dty, Vol Open 3 3 $2,201.52 $1,651.14 25% off $1,320.91 $1,651.14 $1,541.06 2026-01-01
L5301 HCPCS Bk Mold Socket Sach Ft Endo 3 3 $2,189.23 $1,641.92 25% off $1,313.54 $1,641.92 $1,532.46 2026-01-01
L5050 HCPCS Ank Symes Mold Sckt Sach Ft 3 3 $2,188.21 $1,641.16 25% off $1,312.93 $1,641.16 $1,531.75 2026-01-01
L6621 HCPCS Flex/ext Wrist W/wo Friction 3 3 $2,141.00 $1,605.75 25% off $1,284.60 $1,605.75 $1,498.70 2026-01-01
L6884 HCPCS Replc Sockt Above Elbow Disa 3 3 $2,128.67 $1,596.50 25% off $1,277.20 $1,596.50 $1,490.07 2026-01-01
L6584 HCPCS Elbow Fair Lead Cable Molded 3 3 $2,125.68 $1,594.26 25% off $1,275.41 $1,594.26 $1,487.98 2026-01-01
L0820 HCPCS Halo Cervical Into Body Jack 3 3 $2,098.17 $1,573.63 25% off $1,258.90 $1,573.63 $1,468.72 2026-01-01
L8631 HCPCS Mcp Joint Repl 2 Pc Or More 3 3 $2,032.05 $1,524.04 25% off $1,219.23 $1,524.04 $1,422.43 2026-01-01
L1833 HCPCS Ko Adj Jnt Pos R Sup Pre Ots 3 3 $2,014.00 $1,510.50 25% off $1,208.40 $1,510.50 $1,409.80 2026-01-01
L1832 HCPCS Ko Adj Jnt Pos Rigid Pre-fab 3 3 $2,014.00 $1,510.50 25% off $1,208.40 $1,510.50 $1,409.80 2026-01-01
L5703 HCPCS Symes Ankle Without (sach) Foot 3 3 $1,994.57 $1,495.93 25% off $1,196.74 $1,495.93 $1,396.20 2026-01-01
L5830 HCPCS Endo Knee-shin Pneum/swg Pha 3 3 $1,980.51 $1,485.38 25% off $1,188.31 $1,485.38 $1,386.36 2026-01-01
L3763 HCPCS Ewho Rigid Without Jnts Cf 3 3 $1,977.00 $1,482.75 25% off $1,186.20 $1,482.75 $1,383.90 2026-01-01
L5610 HCPCS Above Knee Hydracadence 3 3 $1,974.09 $1,480.57 25% off $1,184.45 $1,480.57 $1,381.86 2026-01-01
L6110 HCPCS Elbow Mold Sock Suspension T 3 3 $1,946.42 $1,459.82 25% off $1,167.85 $1,459.82 $1,362.49 2026-01-01
L5570 HCPCS Prep Ak Ischial Direct Form 3 3 $1,926.65 $1,444.99 25% off $1,155.99 $1,444.99 $1,348.65 2026-01-01
L2034 HCPCS Kafo Pla Sin Up W/wo K/a Cus 3 3 $1,903.47 $1,427.60 25% off $1,142.08 $1,427.60 $1,332.43 2026-01-01
L6722 HCPCS Hook/hand, Hvy Dty, Vol Clos 3 3 $1,897.88 $1,423.41 25% off $1,138.73 $1,423.41 $1,328.52 2026-01-01
L5726 HCPCS Knee-shin Ext Jnts Fld Swg E 3 3 $1,889.83 $1,417.37 25% off $1,133.90 $1,417.37 $1,322.88 2026-01-01
L5020 HCPCS Tibial Tubercle Hgt W/toe F 3 3 $1,889.57 $1,417.18 25% off $1,133.74 $1,417.18 $1,322.70 2026-01-01
78580 CDM Nm Pulmonary Perfusion 3 3 $1,882.00 $1,411.50 25% off $1,129.20 $1,411.50 $1,317.40 2026-01-01
L5988 HCPCS Vertical Shock Reducing Pylo 3 3 $1,869.93 $1,402.45 25% off $1,121.96 $1,402.45 $1,308.95 2026-01-01
L0710 HCPCS Ctlso A-p-l Control W/inter 3 3 $1,869.16 $1,401.87 25% off $1,121.50 $1,401.87 $1,308.41 2026-01-01
L6586 HCPCS Elbow Fair Lead Cable Dir Fo 3 3 $1,859.53 $1,394.65 25% off $1,115.72 $1,394.65 $1,301.67 2026-01-01
L2114 HCPCS Afo Tib Fx Semi-rigid 3 3 $1,858.00 $1,393.50 25% off $1,114.80 $1,393.50 $1,300.60 2026-01-01
L5560 HCPCS Prep Ak Ischial Plast Molded 3 3 $1,853.18 $1,389.88 25% off $1,111.91 $1,389.88 $1,297.23 2026-01-01
P9037 HCPCS Platelets Irradiated 1 Unit 3 3 $1,852.00 $1,389.00 25% off $1,111.20 $1,389.00 $1,296.40 2026-01-01
78306 CDM Nm Bone Joint Image Whole Body 3 3 $1,851.00 $1,388.25 25% off $1,110.60 $1,388.25 $1,295.70 2026-01-01
L5679 HCPCS Socket Insert Without Lock Mech 3 3 $1,844.00 $1,383.00 25% off $1,106.40 $1,383.00 $1,290.80 2026-01-01
L1000 HCPCS Ctlso Milwauke Initial Model 3 3 $1,835.63 $1,376.72 25% off $1,101.38 $1,376.72 $1,284.94 2026-01-01
L6100 HCPCS Elb Mold Sock Flex Hinge Pad 3 3 $1,835.09 $1,376.32 25% off $1,101.05 $1,376.32 $1,284.56 2026-01-01
L0700 HCPCS Ctlso A-p-l Control Molded 3 3 $1,829.59 $1,372.19 25% off $1,097.75 $1,372.19 $1,280.71 2026-01-01
L6384 HCPCS Postop Dsg Cast Chg Shlder/t 3 3 $1,820.39 $1,365.29 25% off $1,092.23 $1,365.29 $1,274.27 2026-01-01
L6050 HCPCS Wrst Mld Sck Flx Hng Tri Pad 3 3 $1,811.26 $1,358.44 25% off $1,086.76 $1,358.44 $1,267.88 2026-01-01
L1690 HCPCS Combination Bilateral Ho 3 3 $1,806.53 $1,354.90 25% off $1,083.92 $1,354.90 $1,264.57 2026-01-01
L8659 HCPCS Interphalangeal Joint Repl 3 3 $1,806.26 $1,354.69 25% off $1,083.76 $1,354.69 $1,264.38 2026-01-01
L5540 HCPCS Prep Bk Ptb Laminated Socket 3 3 $1,806.14 $1,354.61 25% off $1,083.68 $1,354.61 $1,264.30 2026-01-01
L5822 HCPCS Endo Knee-shin Pneum Swg Frc 3 3 $1,776.45 $1,332.34 25% off $1,065.87 $1,332.34 $1,243.52 2026-01-01
L1960 HCPCS Afo Pos Solid Ank Plastic Mo 3 3 $1,774.00 $1,330.50 25% off $1,064.40 $1,330.50 $1,241.80 2026-01-01
L5460 HCPCS Postop App Non-wgt Bear Dsg 3 3 $1,753.00 $1,314.75 25% off $1,051.80 $1,314.75 $1,227.10 2026-01-01
L5530 HCPCS Prep Bk Ptb Thermopls Molded 3 3 $1,735.61 $1,301.71 25% off $1,041.37 $1,301.71 $1,214.93 2026-01-01
L5535 HCPCS Prep Bk Ptb Open End Socket 3 3 $1,710.43 $1,282.82 25% off $1,026.26 $1,282.82 $1,197.30 2026-01-01
L5990 HCPCS User Adjustable Heel Height 3 3 $1,698.18 $1,273.63 25% off $1,018.91 $1,273.63 $1,188.73 2026-01-01
L1310 HCPCS Post-operative Body Jacket 3 3 $1,693.84 $1,270.38 25% off $1,016.30 $1,270.38 $1,185.69 2026-01-01
L3967 HCPCS Sewho Airplane Without Jnts Cf 3 3 $1,686.53 $1,264.90 25% off $1,011.92 $1,264.90 $1,180.57 2026-01-01
L3978 HCPCS Sewhfo Airplane W/jnts Cf 3 3 $1,686.53 $1,264.90 25% off $1,011.92 $1,264.90 $1,180.57 2026-01-01
L3973 HCPCS Sewho Airplane W/jnt(s) Cf 3 3 $1,686.53 $1,264.90 25% off $1,011.92 $1,264.90 $1,180.57 2026-01-01
L5845 HCPCS Knee-shin Sys Stance Flexion 3 3 $1,677.72 $1,258.29 25% off $1,006.63 $1,258.29 $1,174.40 2026-01-01
L1907 HCPCS Afo Supramalleolar Custom 3 3 $1,667.00 $1,250.25 25% off $1,000.20 $1,250.25 $1,166.90 2026-01-01
L2128 HCPCS Kafo Fem Fx Cast Molded To Pt 3 3 $1,665.97 $1,249.48 25% off $999.58 $1,249.48 $1,166.18 2026-01-01
L5505 HCPCS Init Ak Ischal Plstr Direct 3 3 $1,658.41 $1,243.81 25% off $995.05 $1,243.81 $1,160.89 2026-01-01
L5650 HCPCS Tot Contact Ak/knee Disart S 3 3 $1,652.00 $1,239.00 25% off $991.20 $1,239.00 $1,156.40 2026-01-01
L1300 HCPCS Body Jacket Mold To Patient 3 3 $1,648.49 $1,236.37 25% off $989.09 $1,236.37 $1,153.94 2026-01-01
L5000 HCPCS Sho Insert W Arch Toe Filler 3 3 $1,648.00 $1,236.00 25% off $988.80 $1,236.00 $1,153.60 2026-01-01
L0200 HCPCS Cerv Col Supp Adj Bar & Thor 3 3 $1,646.00 $1,234.50 25% off $987.60 $1,234.50 $1,152.20 2026-01-01
L2038 HCPCS Kafo Without Joint Multi-axis An 3 3 $1,630.79 $1,223.09 25% off $978.47 $1,223.09 $1,141.55 2026-01-01
L6320 HCPCS Shoulder Passive Restor Cap 3 3 $1,629.44 $1,222.08 25% off $977.66 $1,222.08 $1,140.61 2026-01-01
77385 CDM Radiation Imrt Simple 3 3 $1,628.00 $1,221.00 25% off $976.80 $1,221.00 $1,139.60 2026-01-01
L2627 HCPCS Plastic Mold Recipro Hip & C 3 3 $1,617.18 $1,212.88 25% off $970.31 $1,212.88 $1,132.03 2026-01-01
77386 CDM Radiation Imrt Complex 3 3 $1,617.00 $1,212.75 25% off $970.20 $1,212.75 $1,131.90 2026-01-01
77470 CDM Radiation Special Treatment 3 3 $1,617.00 $1,212.75 25% off $970.20 $1,212.75 $1,131.90 2026-01-01
L8689 HCPCS External Recharg Sys Intern 3 3 $1,614.61 $1,210.96 25% off $968.77 $1,210.96 $1,130.23 2026-01-01
L1755 HCPCS Legg Perthes Patten Bottom T 3 3 $1,607.45 $1,205.59 25% off $964.47 $1,205.59 $1,125.21 2026-01-01
L2037 HCPCS Kafo Plas Sing Free Knee Mol 3 3 $1,605.35 $1,204.01 25% off $963.21 $1,204.01 $1,123.74 2026-01-01
L3971 HCPCS Sewho Cap Design W/jnt(s) Cf 3 3 $1,600.92 $1,200.69 25% off $960.55 $1,200.69 $1,120.64 2026-01-01
L3977 HCPCS Sewhfo Cap Design W/jnts Cf 3 3 $1,600.92 $1,200.69 25% off $960.55 $1,200.69 $1,120.64 2026-01-01
L1710 HCPCS Legg Perthes Orth Newington 3 3 $1,599.90 $1,199.92 25% off $959.94 $1,199.92 $1,119.93 2026-01-01
L2628 HCPCS Metal Frame Recipro Hip & Ca 3 3 $1,590.74 $1,193.06 25% off $954.44 $1,193.06 $1,113.52 2026-01-01
L1940 HCPCS Afo Molded To Patient Plasti 3 3 $1,587.00 $1,190.25 25% off $952.20 $1,190.25 $1,110.90 2026-01-01
L5614 HCPCS 4-bar Link Above Knee W/swing 3 3 $1,579.52 $1,184.64 25% off $947.71 $1,184.64 $1,105.66 2026-01-01
95816 CDM EEG-awake And Drowsy 3 3 $1,561.00 $1,170.75 25% off $936.60 $1,170.75 $1,092.70 2026-01-01
L6910 HCPCS Hand Restoration No Fingers 3 3 $1,543.87 $1,157.90 25% off $926.32 $1,157.90 $1,080.71 2026-01-01
L7045 HCPCS Pediatric Electric Hook 3 3 $1,541.15 $1,155.86 25% off $924.69 $1,155.86 $1,078.81 2026-01-01
L6580 HCPCS Wrist/elbow Bowden Cable Mol 3 3 $1,539.92 $1,154.94 25% off $923.95 $1,154.94 $1,077.94 2026-01-01
L5611 HCPCS Ak 4 Bar Link W/fric Swing 3 3 $1,536.23 $1,152.17 25% off $921.74 $1,152.17 $1,075.36 2026-01-01
L6900 HCPCS Hand Restorat Thumb/1 Finger 3 3 $1,531.91 $1,148.93 25% off $919.15 $1,148.93 $1,072.34 2026-01-01
L6883 HCPCS Replc Sockt Below E/w Disa 3 3 $1,513.07 $1,134.80 25% off $907.84 $1,134.80 $1,059.15 2026-01-01
L6905 HCPCS Hand Restoration Multiple Fi 3 3 $1,503.91 $1,127.93 25% off $902.35 $1,127.93 $1,052.74 2026-01-01
L6382 HCPCS Postop Dsg Cast Chg Elb Dis/ 3 3 $1,491.79 $1,118.84 25% off $895.07 $1,118.84 $1,044.25 2026-01-01
L5643 HCPCS Hip Flex Inner Socket Ext Fr 3 3 $1,484.04 $1,113.03 25% off $890.42 $1,113.03 $1,038.83 2026-01-01
L0482 HCPCS Tlso Rigid Lined Custom Fab 3 3 $1,480.26 $1,110.19 25% off $888.16 $1,110.19 $1,036.18 2026-01-01
L5631 HCPCS Ak/knee Disartic Acrylic Soc 3 3 $1,467.00 $1,100.25 25% off $880.20 $1,100.25 $1,026.90 2026-01-01
L6713 HCPCS Ped Term Dev, Hand, Vol Open 3 3 $1,462.39 $1,096.79 25% off $877.43 $1,096.79 $1,023.67 2026-01-01
L5824 HCPCS Endo Knee-shin Fluid Swing P 3 3 $1,462.23 $1,096.67 25% off $877.34 $1,096.67 $1,023.56 2026-01-01
L1844 HCPCS Ko W/adj Jt Rot Contrl Molded 3 3 $1,452.92 $1,089.69 25% off $871.75 $1,089.69 $1,017.04 2026-01-01
L5420 HCPCS Postop Dsg & 1 Cast Chg Ak/d 3 3 $1,449.32 $1,086.99 25% off $869.59 $1,086.99 $1,014.52 2026-01-01
93978 CDM US Aorta Duplex Complete 3 3 $1,447.00 $1,085.25 25% off $868.20 $1,085.25 $1,012.90 2026-01-01
L1990 HCPCS Afo Doub Solid Stirrup Calf 3 3 $1,446.00 $1,084.50 25% off $867.60 $1,084.50 $1,012.20 2026-01-01
L5724 HCPCS Knee-shin Exo Fluid Swing Ph 3 3 $1,439.21 $1,079.41 25% off $863.53 $1,079.41 $1,007.45 2026-01-01
L3915 HCPCS Who W Nontor Jnt(s) Prefab 3 3 $1,433.00 $1,074.75 25% off $859.80 $1,074.75 $1,003.10 2026-01-01
87507 CDM Iadna-dna/rna Probe Tq 12-25 3 3 $1,432.00 $1,074.00 25% off $859.20 $1,074.00 $1,002.40 2026-01-01
87633 CDM Resp Virus 12-25 Targets 3 3 $1,432.00 $1,074.00 25% off $859.20 $1,074.00 $1,002.40 2026-01-01
L3961 HCPCS Sewho Cap Design Without Jnts Cf 3 3 $1,428.46 $1,071.35 25% off $857.08 $1,071.35 $999.92 2026-01-01
L3976 HCPCS Sewhfo Airplane Without Jnts Cf 3 3 $1,428.46 $1,071.35 25% off $857.08 $1,071.35 $999.92 2026-01-01
L3975 HCPCS Sewhfo Cap Design Without Jnt Cf 3 3 $1,428.46 $1,071.35 25% off $857.08 $1,071.35 $999.92 2026-01-01
L2340 HCPCS Pre-tibial Shell Molded To P 3 3 $1,425.00 $1,068.75 25% off $855.00 $1,068.75 $997.50 2026-01-01
L8693 HCPCS Aud Osseo Dev, Abutment 3 3 $1,419.34 $1,064.51 25% off $851.60 $1,064.51 $993.54 2026-01-01
L6010 HCPCS Hand Robin-aids Little/ring 3 3 $1,409.84 $1,057.38 25% off $845.90 $1,057.38 $986.89 2026-01-01
L2280 HCPCS Molded Inner Boot 3 3 $1,408.00 $1,056.00 25% off $844.80 $1,056.00 $985.60 2026-01-01
L3901 HCPCS Hinge Ext/flex Wrist Finger 3 3 $1,407.84 $1,055.88 25% off $844.70 $1,055.88 $985.49 2026-01-01
L1200 HCPCS Furnish Initial Orthosis Only 3 3 $1,402.27 $1,051.70 25% off $841.36 $1,051.70 $981.59 2026-01-01
L6707 HCPCS Term Dev Mech Hook Col Close 3 3 $1,402.15 $1,051.61 25% off $841.29 $1,051.61 $981.50 2026-01-01
L1971 HCPCS Afo W/ankle Joint, Prefab 3 3 $1,389.00 $1,041.75 25% off $833.40 $1,041.75 $972.30 2026-01-01
L5510 HCPCS Prep Bk Ptb Plaster Molded 3 3 $1,388.16 $1,041.12 25% off $832.90 $1,041.12 $971.71 2026-01-01
L5520 HCPCS Perp Bk Ptb Thermopls Direct 3 3 $1,371.16 $1,028.37 25% off $822.70 $1,028.37 $959.81 2026-01-01
L1700 HCPCS Leg Perthes Orth Toronto Typ 3 3 $1,366.73 $1,025.05 25% off $820.04 $1,025.05 $956.71 2026-01-01
L3760 HCPCS Eo Withjoint, Prefabricated 3 3 $1,353.00 $1,014.75 25% off $811.80 $1,014.75 $947.10 2026-01-01
L5707 HCPCS Custom Shape Cvr Hip Disart 3 3 $1,345.59 $1,009.19 25% off $807.35 $1,009.19 $941.91 2026-01-01
801 CDM Hd Inhouse Tablo 6 3 $1,419.00 $1,064.25 25% off $667.80 $1,293.75 $934.88 2026-01-01
L6020 HCPCS Part Hand Robin-aids No Fing 3 3 $1,314.45 $985.84 25% off $788.67 $985.84 $920.12 2026-01-01
L6582 HCPCS Wrist/elbow Bowden Cbl Dir F 3 3 $1,312.29 $984.22 25% off $787.37 $984.22 $918.60 2026-01-01
L0112 HCPCS Cranial Cervical Orthosis 3 3 $1,307.54 $980.65 25% off $784.52 $980.65 $915.28 2026-01-01
L0472 HCPCS Tlso Rigid Frame Hyperex Pre 3 3 $1,301.00 $975.75 25% off $780.60 $975.75 $910.70 2026-01-01
L5616 HCPCS Ak Univ Multiplex Sys Frict 3 3 $1,294.99 $971.24 25% off $776.99 $971.24 $906.49 2026-01-01
L5966 HCPCS Hip Flexible Cover System 3 3 $1,293.16 $969.87 25% off $775.90 $969.87 $905.21 2026-01-01
L6709 HCPCS Term Dev Mech Hand Col Close 3 3 $1,290.81 $968.11 25% off $774.49 $968.11 $903.57 2026-01-01
L0480 HCPCS Tlso Rigid Plastic Custom Fa 3 3 $1,274.39 $955.79 25% off $764.63 $955.79 $892.07 2026-01-01
L0636 HCPCS Lso Sagittal Rigid Panel Cus 3 3 $1,268.18 $951.13 25% off $760.91 $951.13 $887.73 2026-01-01
L6000 HCPCS Par Hand Robin-aids Thum Rem 3 3 $1,266.89 $950.17 25% off $760.13 $950.17 $886.82 2026-01-01
L6380 HCPCS Postop Dsg Cast Chg Wrst/elb 3 3 $1,246.65 $934.99 25% off $747.99 $934.99 $872.65 2026-01-01
L3900 HCPCS Hinge Extension/flex Wrist/f 3 3 $1,239.71 $929.78 25% off $743.83 $929.78 $867.80 2026-01-01
L6714 HCPCS Ped Term Dev, Hand, Vol Clos 3 3 $1,238.61 $928.96 25% off $743.17 $928.96 $867.03 2026-01-01
L0859 HCPCS MRI Compatible System 3 3 $1,232.28 $924.21 25% off $739.37 $924.21 $862.60 2026-01-01
L0638 HCPCS Lso Sag-coronal Panel Custom 3 3 $1,232.14 $924.11 25% off $739.28 $924.11 $862.50 2026-01-01
L4000 HCPCS Repl Girdle Milwaukee Orth 3 3 $1,232.03 $924.02 25% off $739.22 $924.02 $862.42 2026-01-01
L6697 HCPCS Cus Elbo Skt In Not Con/atyp 3 3 $1,231.25 $923.44 25% off $738.75 $923.44 $861.88 2026-01-01
L5683 HCPCS Initial Custom Socket Insert 3 3 $1,231.25 $923.44 25% off $738.75 $923.44 $861.88 2026-01-01
L6696 HCPCS Cus Elbo Skt In For Con/atyp 3 3 $1,231.25 $923.44 25% off $738.75 $923.44 $861.88 2026-01-01
L5681 HCPCS Intl Custm Cong/latyp Insert 3 3 $1,231.25 $923.44 25% off $738.75 $923.44 $861.88 2026-01-01
L3806 HCPCS Whfo W/joint(s) Custom Fab 3 3 $1,225.00 $918.75 25% off $735.00 $918.75 $857.50 2026-01-01
L5500 HCPCS Init Bk Ptb Plaster Direct 3 3 $1,224.59 $918.44 25% off $734.75 $918.44 $857.21 2026-01-01
L5624 HCPCS Test Socket Above Knee 3 3 $1,220.00 $915.00 25% off $732.00 $915.00 $854.00 2026-01-01
L0627 HCPCS Lo Sagitt Rigid Panel Prefab 3 3 $1,218.00 $913.50 25% off $730.80 $913.50 $852.60 2026-01-01
L0642 HCPCS Lo Sag Ri An/pos Pnl Pre Ots 3 3 $1,218.00 $913.50 25% off $730.80 $913.50 $852.60 2026-01-01
L3906 HCPCS Who Without Joints Cf 3 3 $1,198.00 $898.50 25% off $718.80 $898.50 $838.60 2026-01-01
L1720 HCPCS Legg Perthes Orthosis Trilat 3 3 $1,179.33 $884.50 25% off $707.60 $884.50 $825.53 2026-01-01
L2126 HCPCS Kafo Fem Fx Cast Thermoplas 3 3 $1,176.49 $882.37 25% off $705.89 $882.37 $823.54 2026-01-01
L0462 HCPCS Tlso 3mod Sacro-scap Pre 3 3 $1,166.46 $874.85 25% off $699.88 $874.85 $816.52 2026-01-01
L8628 HCPCS Cid Ext Controller Repl 3 3 $1,162.75 $872.06 25% off $697.65 $872.06 $813.92 2026-01-01
L2525 HCPCS Th/wght Bear Nar M-l Brim Mo 3 3 $1,161.47 $871.10 25% off $696.88 $871.10 $813.03 2026-01-01
L5010 HCPCS Mold Socket Ank Hgt W/toe F 3 3 $1,160.82 $870.62 25% off $696.49 $870.62 $812.57 2026-01-01
L6712 HCPCS Ped Term Dev, Hook, Vol Clos 3 3 $1,158.67 $869.00 25% off $695.20 $869.00 $811.07 2026-01-01
L3766 HCPCS Ewhfo W/joint(s) Cf 3 3 $1,154.42 $865.82 25% off $692.65 $865.82 $808.09 2026-01-01
L2136 HCPCS Kafo Femoral Fx Cast Rigid 3 3 $1,150.38 $862.78 25% off $690.23 $862.78 $805.27 2026-01-01
L5400 HCPCS Postop Dress & 1 Cast Chg Bk 3 3 $1,147.56 $860.67 25% off $688.54 $860.67 $803.29 2026-01-01
L5780 HCPCS Knee-shin Pneum/hydra Pneum 3 3 $1,135.22 $851.41 25% off $681.13 $851.41 $794.65 2026-01-01
L2250 HCPCS Foot Plate Molded Stirrup At 3 3 $1,116.00 $837.00 25% off $669.60 $837.00 $781.20 2026-01-01
L1685 HCPCS Post-op Hip Abduct Custom Fa 3 3 $1,112.87 $834.65 25% off $667.72 $834.65 $779.01 2026-01-01
L1920 HCPCS Afo Sing Upright With Adjust S 3 3 $1,106.00 $829.50 25% off $663.60 $829.50 $774.20 2026-01-01
L1680 HCPCS Pelvic & Hip Control Thigh C 3 3 $1,090.46 $817.85 25% off $654.28 $817.85 $763.32 2026-01-01
L3765 HCPCS Ewhfo Rigid Without Jnts Cf 3 3 $1,090.18 $817.63 25% off $654.11 $817.63 $763.13 2026-01-01
L5639 HCPCS Below Knee Wood Socket 3 3 $1,088.57 $816.43 25% off $653.14 $816.43 $762.00 2026-01-01
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