Hospital

HOSPITAL GENERAL DE CASTANER

Castaner, PR · CCN 400010 · Rates published

1,102 distinct procedures filed

7 distinct payers

7,721 rate rows

2023-08-31 last MRF observed · ⚠ 38 mo old

Data quality

7,482 of 7,721 rate rows are consumer-grade (96.9%)

239 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 — reason	Rows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	186
template filing: same amount across many unrelated codes — excluded	53

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 38 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)

Source MRF file	https://hgcastaner.com/pdf/660352014_Hospital-General-de-Castaner-Inc_standardcharges.csv
Discovered via	Discovered by HANK (automated)
Last fetch	not_modified · 2026-09-20
Content fingerprint	70126456472dfd4a… · 902,047 bytes · first seen 2026-05-13

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
59409 CPT	Obstetrical Care	7	$842.42	$842.42	$842.42	nat. median $3,148 outlier · 0.3×
88120 CPT	Cytp Urne 3-5 Probes Ea Spec	7	$390.68	$612.63	$612.63	nat. median $350 1.8× median
43030 CPT	Cricopharyngeal Myotomy	7	$538.69	$560.00	$549.35	nat. median $5,917 outlier · 0.1×
11010 CPT	Dbrdmt W/rmvl Fm Fx&/dislc Skn&subq Tiss	7	$500.04	$500.04	$500.04	nat. median $946 0.5× median
12046 CPT	Rpr Intermediate N/h/f/xtrnl Gent 20.1-30.0 Cm	7	$499.12	$499.12	$499.12	nat. median $833 0.6× median
12057 CPT	Repair Intermediate F/e/e/n/l/m&/muc > 30.0 Cm	7	$371.00	$612.33	$491.67	nat. median $657 0.7× median
88121 CPT	Cytp Urine 3-5 Probes Cmptr	7	$491.48	$491.48	$491.48	nat. median $310 1.6× median
26607 CPT	Cltx Mtcrpl Fx W/mnpj W/xtrnl Fixj Ea B1	7	$486.07	$486.07	$486.07	nat. median $3,111 outlier · 0.2×
A0429 HCPCS	Bls-emergency	7	$460.57	$460.57	$460.57	nat. median $667 0.7× median
0200 RC		7	$342.00	$521.00	$457.00	nat. median $3,916 outlier · 0.1×
15920 CPT	Exc Coccygeal Pr Ulc W/coccygectomy W/prim Sutr	7	$253.50	$644.25	$448.88	nat. median $2,893 outlier · 0.2×
0113 RC		7	$342.00	$441.50	$425.00	nat. median $898 outlier · 0.5×
0123 RC		7	$342.00	$441.50	$425.00	nat. median $911 outlier · 0.5×
0120 RC		7	$342.00	$441.50	$425.00	nat. median $986 outlier · 0.4×
0110 RC		7	$342.00	$441.50	$425.00	nat. median $961 outlier · 0.4×
12037 CPT	Intmd Rpr S/tr/ext >30.0 Cm	7	$294.00	$495.34	$394.67	nat. median $1,950 outlier · 0.2×
13132 CPT	Repair Complex F/c/c/m/n/ax/g/h/f 2.6 Cm-7.5 Cm	7	$292.50	$494.10	$393.30	nat. median $856 outlier · 0.5×
69610 CPT	Tympanic Memb Rpr +-sit Prepj Prf8j Patch	5	$19.50	$391.52	$391.52	nat. median $1,663 outlier · 0.2×
44378 CPT	Small Bowel Endoscopy	7	$338.72	$406.69	$372.70	nat. median $2,201 outlier · 0.2×
43250 CPT	Upr Gi Ndsc Rmvl Les Hot Bx/bipolar Caut	7	$252.00	$426.84	$339.42	nat. median $2,040 outlier · 0.2×
23655 CPT	Clsd Tx Shoulder Dislc W/manipulation Req Anes	7	$246.60	$418.13	$332.37	nat. median $1,762 outlier · 0.2×
13121 CPT	Repair, Complex, Scalp, Arms, And/or Legs; 2.6 Cm	7	$217.62	$443.56	$330.59	nat. median $780 outlier · 0.4×
27265 CPT	Cltx Post Hip Arthrp Dislc Without Anes	7	$225.00	$416.25	$320.62	nat. median $549 0.6× median
40801 CPT	Drainage Of Mouth Lesion	7	$320.61	$320.61	$320.61	nat. median $695 outlier · 0.5×
13101 CPT	Cmplx Rpr Trunk 2.6-7.5 Cm	7	$203.00	$412.16	$307.58	nat. median $838 outlier · 0.4×
13131 CPT	Cmplx Rpr F/c/c/m/n/ax/g/h/f	7	$200.00	$401.19	$300.60	nat. median $607 outlier · 0.5×
12036 CPT	Intmd Rpr S/a/t/ext 20.1-30	7	$157.00	$437.59	$297.30	nat. median $857 outlier · 0.3×
11044 CPT	Dbrdmt Bone M&/f 20 Sq Cm/<	7	$270.00	$322.66	$296.33	nat. median $1,752 outlier · 0.2×
12045 CPT	Intmd Rpr N-hf/genit12.6-20	7	$171.00	$414.60	$292.80	nat. median $813 outlier · 0.4×
26675 CPT	Treat Hand Dislocation	7	$110.00	$473.95	$291.98	nat. median $1,668 outlier · 0.2×
26080 CPT	Arthrt Expl Drg/rmvl Loose/fb Iphal Jt Ea	7	$170.00	$406.65	$288.32	nat. median $2,027 outlier · 0.1×
A0428 HCPCS	Bls	7	$287.86	$287.86	$287.86	nat. median $454 0.6× median
87902 CPT	Genotype Dna/rna Hep C	7	$200.00	$355.78	$286.05	nat. median $386 0.7× median
26010 CPT	Drainage Of Finger Abscess	7	$280.36	$280.36	$280.36	nat. median $328 0.9× median
26070 CPT	Arthrotomy, With Exploration, Drainage, Or Removal	7	$220.00	$332.16	$276.08	nat. median $1,857 outlier · 0.1×
74177 CPT	CT Abd & Pelv W/contrast	7	$223.45	$325.73	$274.59	nat. median $976 outlier · 0.3×
12035 CPT	Repair Intermediate S/a/t/e 12.6-20.0cm	7	$150.00	$395.42	$272.71	nat. median $643 outlier · 0.4×
13120 CPT	Repair Complex Scalp/arm/leg 1.1 Cm-2.5 Cm	7	$177.00	$365.07	$271.04	nat. median $697 outlier · 0.4×
43246 CPT	Egd Place Gastrostomy Tube	7	$211.43	$330.00	$270.71	nat. median $2,129 outlier · 0.1×
26011 CPT	Drain/inj Joint/bursa W/us	7	$110.00	$416.18	$263.09	nat. median $1,701 outlier · 0.2×
12054 CPT	Repair Intermediate F/e/e/n/l/m&/muc 7.6-12.5 Cm	7	$141.38	$378.41	$259.89	nat. median $599 outlier · 0.4×
12044 CPT	Repair Intermediate N/h/f/xtrnl Gent 7.6-12.5cm	7	$132.00	$376.70	$254.35	nat. median $772 outlier · 0.3×
12053 CPT	Repair, Intermediate, Wounds Of Face, Ears, Eyelid	7	$135.00	$361.83	$248.41	nat. median $578 outlier · 0.4×
95819 CPT	EEG W/rec Awake&asleep	7	$53.63	$438.07	$245.85	nat. median $538 outlier · 0.5×
11043 CPT	Debridement Muscle & Fascia 20 Sq Cm/<	7	$237.51	$240.00	$238.75	nat. median $782 outlier · 0.3×
73702 CPT	CT Lwr Extremity W/O&with Contrast	7	$196.67	$279.09	$237.88	nat. median $708 outlier · 0.3×
12052 CPT	Intmd Rpr Face/mm 2.6-5.0 Cm	7	$152.00	$309.31	$230.66	nat. median $535 outlier · 0.4×
12042 CPT	Intmd Rpr N-hf/genit2.6-7.5	7	$150.00	$304.26	$227.13	nat. median $541 outlier · 0.4×
15277 CPT	Application Of Skin Substitute Graft To Face, Scal	7	$107.35	$345.15	$226.25	nat. median $2,073 outlier · 0.1×
90736 CPT	Zoster Shingles Vaccine Live Subcutaneous	7	$172.06	$226.00	$226.00	nat. median $269 0.8× median

Other procedures at this hospital

Browse this hospital's 1,102 published procedures. Use the slice to choose what to show, then sort or filter any column.

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

59409	CPT	Obstetrical Care	7	7	$842.42	$673.94	$842.42	$842.42	$842.42	2023-08-31
88120	CPT	Cytp Urne 3-5 Probes Ea Spec	7	7	$612.63	$490.10 20% off	$390.68	$612.63	$612.63	2023-08-31
43030	CPT	Cricopharyngeal Myotomy	7	7	$1,162.02	$929.62	$538.69	$560.00	$549.35	2023-08-31
11010	CPT	Dbrdmt W/rmvl Fm Fx&/dislc Skn&subq Tiss	7	7	$621.20	$496.96 20% off	$500.04	$500.04	$500.04	2023-08-31
12046	CPT	Rpr Intermediate N/h/f/xtrnl Gent 20.1-30.0 Cm	7	7	$708.61	$566.89	$499.12	$499.12	$499.12	2023-08-31
12057	CPT	Repair Intermediate F/e/e/n/l/m&/muc > 30.0 Cm	7	7	$958.34	$766.67 20% off	$371.00	$612.33	$491.67	2023-08-31
88121	CPT	Cytp Urine 3-5 Probes Cmptr	7	7	$491.48	$393.18 20% off	$491.48	$491.48	$491.48	2023-08-31
26607	CPT	Cltx Mtcrpl Fx W/mnpj W/xtrnl Fixj Ea B1	7	7	$1,090.23	$872.18 20% off	$486.07	$486.07	$486.07	2023-08-31
A0429	HCPCS	Bls-emergency	7	7	$460.57	$368.46	$460.57	$460.57	$460.57	2023-08-31
0200	RC	—	7	7	$642.00	$513.60	$342.00	$521.00	$457.00	2023-08-31
15920	CPT	Exc Coccygeal Pr Ulc W/coccygectomy W/prim Sutr	7	7	$1,408.63	$1,126.90 20% off	$253.50	$644.25	$448.88	2023-08-31
0110	RC	—	7	7	$562.00	$449.60	$342.00	$441.50	$425.00	2023-08-31
0123	RC	—	7	7	$428.00	$342.40 20% off	$342.00	$441.50	$425.00	2023-08-31
0120	RC	—	7	7	$535.00	$428.00 20% off	$342.00	$441.50	$425.00	2023-08-31
0113	RC	—	7	7	$455.00	$364.00 20% off	$342.00	$441.50	$425.00	2023-08-31
12037	CPT	Intmd Rpr S/tr/ext >30.0 Cm	7	7	$743.73	$594.98 20% off	$294.00	$495.34	$394.67	2023-08-31
13132	CPT	Repair Complex F/c/c/m/n/ax/g/h/f 2.6 Cm-7.5 Cm	7	7	$687.54	$550.03 20% off	$292.50	$494.10	$393.30	2023-08-31
69610	CPT	Tympanic Memb Rpr +-sit Prepj Prf8j Patch	5	5	$643.05	$514.44	$19.50	$391.52	$391.52	2023-08-31
44378	CPT	Small Bowel Endoscopy	7	7	$866.25	$693.00 20% off	$338.72	$406.69	$372.70	2023-08-31
43250	CPT	Upr Gi Ndsc Rmvl Les Hot Bx/bipolar Caut	7	7	$426.84	$341.47 20% off	$252.00	$426.84	$339.42	2023-08-31
23655	CPT	Clsd Tx Shoulder Dislc W/manipulation Req Anes	7	7	$908.39	$726.71 20% off	$246.60	$418.13	$332.37	2023-08-31
13121	CPT	Repair, Complex, Scalp, Arms, And/or Legs; 2.6 Cm	7	7	$585.30	$468.24	$217.62	$443.56	$330.59	2023-08-31
27265	CPT	Cltx Post Hip Arthrp Dislc Without Anes	7	7	$909.95	$727.96 20% off	$225.00	$416.25	$320.62	2023-08-31
40801	CPT	Drainage Of Mouth Lesion	7	7	$320.61	$256.49	$320.61	$320.61	$320.61	2023-08-31
13101	CPT	Cmplx Rpr Trunk 2.6-7.5 Cm	7	7	$557.21	$445.77	$203.00	$412.16	$307.58	2023-08-31
13131	CPT	Cmplx Rpr F/c/c/m/n/ax/g/h/f	7	7	$549.41	$439.52 20% off	$200.00	$401.19	$300.60	2023-08-31
12036	CPT	Intmd Rpr S/a/t/ext 20.1-30	7	7	$636.03	$508.82 20% off	$157.00	$437.59	$297.30	2023-08-31
11044	CPT	Dbrdmt Bone M&/f 20 Sq Cm/<	7	7	$511.95	$409.56 20% off	$270.00	$322.66	$296.33	2023-08-31
12045	CPT	Intmd Rpr N-hf/genit12.6-20	7	7	$605.59	$484.48	$171.00	$414.60	$292.80	2023-08-31
26675	CPT	Treat Hand Dislocation	7	7	$942.73	$754.18 20% off	$110.00	$473.95	$291.98	2023-08-31
26080	CPT	Arthrt Expl Drg/rmvl Loose/fb Iphal Jt Ea	7	7	$882.64	$706.11 20% off	$170.00	$406.65	$288.32	2023-08-31
A0428	HCPCS	Bls	7	7	$287.86	$230.29	$287.86	$287.86	$287.86	2023-08-31
87902	CPT	Genotype Dna/rna Hep C	7	7	$355.78	$284.62 20% off	$200.00	$355.78	$286.05	2023-08-31
26010	CPT	Drainage Of Finger Abscess	7	7	$280.36	$224.29	$280.36	$280.36	$280.36	2023-08-31
26070	CPT	Arthrotomy, With Exploration, Drainage, Or Removal	7	7	$720.31	$576.25	$220.00	$332.16	$276.08	2023-08-31
74177	CPT	CT Abd & Pelv W/contrast	7	7	$688.22	$550.58	$223.45	$325.73	$274.59	2023-08-31
12035	CPT	Repair Intermediate S/a/t/e 12.6-20.0cm	7	7	$541.60	$433.28 20% off	$150.00	$395.42	$272.71	2023-08-31
13120	CPT	Repair Complex Scalp/arm/leg 1.1 Cm-2.5 Cm	7	7	$521.31	$417.05	$177.00	$365.07	$271.04	2023-08-31
43246	CPT	Egd Place Gastrostomy Tube	7	7	$452.63	$362.11	$211.43	$330.00	$270.71	2023-08-31
26011	CPT	Drain/inj Joint/bursa W/us	7	7	$416.18	$332.94 20% off	$110.00	$416.18	$263.09	2023-08-31
12054	CPT	Repair Intermediate F/e/e/n/l/m&/muc 7.6-12.5 Cm	7	7	$495.56	$396.45	$141.38	$378.41	$259.89	2023-08-31
12044	CPT	Repair Intermediate N/h/f/xtrnl Gent 7.6-12.5cm	7	7	$480.73	$384.58 20% off	$132.00	$376.70	$254.35	2023-08-31
12053	CPT	Repair, Intermediate, Wounds Of Face, Ears, Eyelid	7	7	$483.85	$387.08 20% off	$135.00	$361.83	$248.41	2023-08-31
95819	CPT	EEG W/rec Awake&asleep	7	7	$954.44	$763.55 20% off	$53.63	$438.07	$245.85	2023-08-31
11043	CPT	Debridement Muscle & Fascia 20 Sq Cm/<	7	7	$348.84	$279.07 20% off	$237.51	$240.00	$238.75	2023-08-31
73702	CPT	CT Lwr Extremity W/O&with Contrast	7	7	$279.09	$223.27 20% off	$196.67	$279.09	$237.88	2023-08-31
12052	CPT	Intmd Rpr Face/mm 2.6-5.0 Cm	7	7	$447.95	$358.36	$152.00	$309.31	$230.66	2023-08-31
12042	CPT	Intmd Rpr N-hf/genit2.6-7.5	7	7	$440.15	$352.12	$150.00	$304.26	$227.13	2023-08-31
15277	CPT	Application Of Skin Substitute Graft To Face, Scal	7	7	$515.07	$412.05 20% off	$107.35	$345.15	$226.25	2023-08-31
90736	CPT	Zoster Shingles Vaccine Live Subcutaneous	7	7	$236.00	$188.80	$172.06	$226.00	$226.00	2023-08-31
12032	CPT	Intmd Rpr S/a/t/ext 2.6-7.5	7	7	$426.10	$340.88 20% off	$136.65	$313.05	$224.85	2023-08-31
87901	CPT	Nfct Agt Gexyp HIV 1 Rev Transcrip&proteas Regns	7	7	$350.35	$280.28 20% off	$145.00	$286.05	$222.49	2023-08-31
12034	CPT	Intmd Rpr S/tr/ext 7.6-12.5	7	7	$461.22	$368.98	$112.00	$328.13	$220.06	2023-08-31
92961	CPT	Cardioversion Electric Int	7	7	$559.55	$447.64	$177.26	$260.69	$218.97	2023-08-31
90651	CPT	Human Papiloma Virus (hpv) Vaccine Types6,11,16,18,31,33,45,52,58, nonavalent(H…	7	7	$220.00	$176.00 20% off	$4.00	$217.00	$217.00	2023-08-31
99205	CPT	Office/outpatient Visit New	7	7	$373.03	$298.43	$210.25	$210.25	$210.25	2023-08-31
92950	CPT	Heart/lung Resuscitation Cpr	7	7	$418.30	$334.64 20% off	$97.50	$322.49	$210.00	2023-08-31
42809	CPT	Remove Pharynx Foreign Body	7	7	$208.04	$166.43 20% off	$208.04	$208.04	$208.04	2023-08-31
12051	CPT	Intmd Rpr Face/mm 2.5 Cm/<	7	7	$378.50	$302.80 20% off	$140.00	$273.20	$206.60	2023-08-31
80434	CPT	Insulin Tolerance Panel	7	7	$285.03	$228.02 20% off	$98.00	$285.03	$205.00	2023-08-31
57455	CPT	Biopsy Of Cervix W/scope	7	7	$250.09	$200.07 20% off	$151.77	$250.09	$200.93	2023-08-31
72193	CPT	CT Pelvis With Contrast	7	7	$508.88	$407.11	$161.92	$238.82	$200.37	2023-08-31
46320	CPT	Removal Of Hemorrhoid Clot	7	7	$196.46	$157.17	$196.46	$196.46	$196.46	2023-08-31
12041	CPT	Intmd Rpr N-hf/genit 2.5cm/<	7	7	$329.33	$263.46 20% off	$130.50	$252.24	$191.37	2023-08-31
46083	CPT	Incise External Hemorrhoid	7	7	$189.65	$151.72 20% off	$189.65	$189.65	$189.65	2023-08-31
99220	CPT	1st Obs Care Pr D High Severity	7	7	$407.37	$325.90	$188.75	$188.75	$188.75	2023-08-31
12031	CPT	Intmd Rpr S/a/t/ext 2.5 Cm/<	7	7	$340.26	$272.21	$119.70	$252.62	$186.16	2023-08-31
30310	CPT	Removal Foreign Body Intranasal General Anes	7	7	$452.63	$362.11	$156.00	$208.72	$182.36	2023-08-31
G0438	HCPCS	Ppps, Initial Visit	7	7	$373.81	$299.05	$174.94	$174.94	$174.94	2023-08-31
90650	CPT	Human Papiloma Virus (hpv) Vaccine Types 16, 18 Bivalent, 3 Dose Schedule, For I…	2	2	$182.72	$146.18	$160.00	$182.72	$171.36	2023-08-31
J0221	HCPCS	Lumizyme Injection	7	7	$171.05	$136.84 20% off	$171.05	$171.05	$171.05	2023-08-31
G0402	HCPCS	Initial Preventive Exam	7	7	$279.38	$223.51	$169.50	$169.50	$169.50	2023-08-31
20520	CPT	Removal Foreign Body Muscle/tendon Sheath Simple	7	7	$329.33	$263.46 20% off	$119.29	$212.39	$165.84	2023-08-31
32551	CPT	Tube Thoracostomy Includes Water Seal	7	7	$355.86	$284.69	$163.33	$163.33	$163.33	2023-08-31
90620	CPT	Menb Rp W/omv Vaccine IM	7	7	$161.00	$128.80	$161.00	$161.00	$161.00	2023-08-31
76811	CPT	Ultras Preg Uter Fet & Mat Eval Single Or First Gest	7	7	$374.38	$299.50 20% off	$125.00	$185.22	$158.63	2023-08-31
88173	CPT	Cytopath Eval Fna Report	7	7	$156.40	$125.12 20% off	$75.00	$156.40	$156.40	2023-08-31
99291	CPT	Critical Care, Evaluation And Management Of The Cr	7	7	$490.09	$392.08	$30.00	$282.42	$156.21	2023-08-31
74280	CPT	Contrast X-ray Exam Of Colon	7	7	$466.29	$373.03 20% off	$75.00	$232.34	$152.56	2023-08-31
G0204	HCPCS	Dx Mammo Incl Cad Bi	7	7	$151.17	$120.94	$151.17	$151.17	$151.17	2023-08-31
28190	CPT	Removal Of Foot Foreign Body	7	7	$300.46	$240.36 20% off	$34.13	$266.12	$150.12	2023-08-31
73700	CPT	CT Lower Extremity Without Contrast	7	7	$183.34	$146.67 20% off	$116.78	$183.34	$150.06	2023-08-31
31515	CPT	Laryngoscopy For Aspiration	7	7	$245.05	$196.04 20% off	$90.00	$209.53	$149.76	2023-08-31
10061	CPT	Incision&drainage Abscess Complicated/multiple	7	7	$406.59	$325.27 20% off	$80.00	$212.23	$146.12	2023-08-31
90649	CPT	Hpv Vaccine 4 Valent IM	3	3	$195.00	$156.00 20% off	$4.00	$195.00	$145.00	2023-08-31
12005	CPT	Smpl Rpr Scalp/neck/ax/genit/trunk 12.6-20.0cm	7	7	$218.51	$174.81	$119.70	$169.54	$144.62	2023-08-31
30300	CPT	Removal Foreign Body Intranasal Office Procedure	7	7	$252.07	$201.66	$96.30	$190.53	$143.41	2023-08-31
99285	CPT	Emergency Dept Visit	7	7	$383.18	$306.54 20% off	$95.00	$176.29	$143.15	2023-08-31
11042	CPT	Debridement Subcutaneous Tissue 20 Sq Cm/<	7	7	$160.00	$128.00 20% off	$125.24	$160.00	$142.62	2023-08-31
90733	CPT	Meningococcal Vaccine Sc	2	2	$165.00	$132.00 20% off	$120.00	$165.00	$142.50	2023-08-31
90670	CPT	Pneumococcal Vacc 13 Val IM	3	3	$215.33	$172.27	$4.00	$198.00	$137.60	2023-08-31
90837	CPT	Psytx W Pt 60 Minutes	7	7	$275.48	$220.39	$137.08	$137.08	$137.08	2023-08-31
21310	CPT	Closed Tx Nose Fx Without Manj	7	7	$136.26	$109.01	$136.26	$136.26	$136.26	2023-08-31
76776	CPT	US Exam K Transpl W/doppler	7	7	$158.73	$126.98 20% off	$113.27	$158.73	$136.00	2023-08-31
90734	CPT	Meningococcal Vaccine IM	2	2	$160.00	$128.00 20% off	$120.00	$145.64	$132.82	2023-08-31
99345	CPT	Home Visit For The Evaluation And Management Of A	7	7	$489.31	$391.45	$40.00	$225.62	$132.81	2023-08-31
90747	CPT	Hepb Vacc Ill Pat 4 Dose IM	2	2	$199.00	$159.20 20% off	$65.00	$199.00	$132.00	2023-08-31
53260	CPT	Treatment Of Urethra Lesion	7	7	$407.37	$325.90	$50.00	$210.59	$130.29	2023-08-31
S0195	HCPCS	Pneumcoccl Conjugat Vac IM 5-9 Yr Not Prev Recvd	7	7	$130.00	$104.00 20% off	$130.00	$130.00	$130.00	2023-08-31
11750	CPT	Removal Of Nail Bed	7	7	$227.10	$181.68	$97.50	$159.57	$128.53	2023-08-31
11760	CPT	Repair Nail Bed	7	7	$256.75	$205.40 20% off	$58.50	$197.63	$128.06	2023-08-31
51703	CPT	Insert Bladder Cath Complex	7	7	$174.03	$139.22 20% off	$115.00	$136.71	$125.86	2023-08-31
11402	CPT	Exc Tr-ext B9+marg 1.1-2 Cm	7	7	$255.19	$204.15 20% off	$78.00	$172.97	$125.48	2023-08-31
90681	CPT	Rotavirus Vacc 2 Dose Oral	3	3	$127.94	$102.35 20% off	$4.00	$127.94	$125.00	2023-08-31
28515	CPT	Cltx Fx Phlx/phlg Oth/thn Grt Toe W/mnpj	7	7	$318.41	$254.72 20% off	$80.10	$168.99	$124.55	2023-08-31
12014	CPT	Simple Repair F/e/e/n/l/m 5.1cm-7.5cm	7	7	$171.69	$137.35 20% off	$107.10	$140.28	$123.69	2023-08-31
76805	CPT	Ultras Pregnant Uterus Fetal& Mat Eval After First	7	7	$295.17	$236.13 20% off	$75.00	$143.78	$123.30	2023-08-31
74245	CPT	X-ray Upper Gi&small Intest	7	7	$189.90	$151.92 20% off	$60.00	$189.90	$122.38	2023-08-31
G0202	HCPCS	Scr Mammo Bi Incl Cad	7	7	$121.82	$97.46	$121.82	$121.82	$121.82	2023-08-31
G0439	HCPCS	Ppps, Subseq Visit	7	7	$253.63	$202.91	$118.60	$118.60	$118.60	2023-08-31
93224	CPT	Xtrnl ECG Up To 48 Hr Record Scan Stor W/phy R&i	7	7	$205.00	$164.00 20% off	$90.94	$205.00	$118.59	2023-08-31
93784	CPT	Ambulatory Bp Monitoring	7	7	$182.12	$145.70	$54.69	$182.12	$118.41	2023-08-31
90716	CPT	Varicella Virus Vaccine, Live, For Subcutaneous Use	2	2	$133.85	$107.08 20% off	$102.43	$130.00	$116.22	2023-08-31
90621	CPT	Menb Rlp Vaccine IM	7	7	$140.26	$112.21	$116.00	$116.00	$116.00	2023-08-31
12004	CPT	Rpr S/n/ax/gen/trk7.6-12.5cm	7	7	$128.05	$102.44 20% off	$99.00	$130.53	$114.77	2023-08-31
90847	CPT	Family Psytx W/pt 50 Min	7	7	$231.00	$184.80	$114.72	$114.72	$114.72	2023-08-31
90680	CPT	Rotovirus Vacc 3 Dose Oral	3	3	$114.00	$91.20 20% off	$4.00	$114.00	$114.00	2023-08-31
17110	CPT	Destruct B9 Lesion 1-14	7	7	$113.36	$90.69	$113.36	$113.36	$113.36	2023-08-31
99344	CPT	Home Visit For The Evaluation And Management Of A	7	7	$401.91	$321.53	$40.00	$185.54	$112.77	2023-08-31
G0420	HCPCS	Ed Svc Ckd Ind Per Session	7	7	$247.39	$197.91 20% off	$112.61	$112.61	$112.61	2023-08-31
99350	CPT	Home Visit For The Evaluation And Management Of An	7	7	$394.88	$315.91	$40.00	$182.30	$111.15	2023-08-31
90710	CPT	Measles Mumps Rubella Varicella Vacc Live Subq	2	2	$217.00	$173.60 20% off	$3.90	$217.00	$110.45	2023-08-31
77078	CPT	Computed Tomography, Bone Mineral Density Study, 1 Or More Sites; Axial Skeleton…	7	7	$240.62	$192.49 20% off	$52.73	$117.51	$110.36	2023-08-31
99284	CPT	Emergency Dept Visit	7	7	$263.78	$211.02 20% off	$94.00	$119.70	$110.00	2023-08-31
90636	CPT	Hepatitis A & B Vaccine Hepa-hepb Adult IM	1	1	$110.00	$88.00 20% off	$110.00	$110.00	$110.00	2023-08-31
91030	CPT	Acid Perfusion Of Esophagus	7	7	$307.48	$245.98 20% off	$78.00	$141.64	$109.82	2023-08-31
88342	CPT	Imcytchm Tiss Immunoproxidase Ea Antb	7	7	$109.04	$87.23 20% off	$109.04	$109.04	$109.04	2023-08-31
74270	CPT	Contrast X-ray Exam Of Colon	7	7	$324.31	$259.45	$60.00	$164.56	$107.45	2023-08-31
30901	CPT	Control Nasal Hemorrhage Anterior Simple	7	7	$141.53	$113.22 20% off	$72.90	$141.53	$107.22	2023-08-31
76801	CPT	Ultras Pregnant Uterus Fetal & Mat Eval First Trim	7	7	$257.80	$206.24 20% off	$50.00	$125.28	$107.20	2023-08-31
76830	CPT	Ultrasound Transvaginal	7	7	$259.30	$207.44 20% off	$88.17	$124.64	$106.41	2023-08-31
76700	CPT	Ultrasound Abdom B-scan And/or Real Time Comple	7	7	$259.30	$207.44 20% off	$88.40	$124.24	$106.32	2023-08-31
81241	CPT	F5 Gene	7	7	$135.00	$108.00 20% off	$73.37	$135.00	$104.19	2023-08-31
99221	CPT	1st Hosp Care Pr D 30 Min	7	7	$175.00	$140.00 20% off	$103.19	$103.19	$103.19	2023-08-31
12013	CPT	Rpr F/e/e/n/l/m 2.6-5.0 Cm	7	7	$134.23	$107.38 20% off	$88.20	$116.81	$102.50	2023-08-31
10120	CPT	Remove Foreign Body	7	7	$229.44	$183.55 20% off	$47.70	$156.39	$102.05	2023-08-31
69205	CPT	Clear Outer Ear Canal	7	7	$101.93	$81.54 20% off	$101.93	$101.93	$101.93	2023-08-31
99218	CPT	Initial Observation Care	7	7	$220.07	$176.06	$101.40	$101.40	$101.40	2023-08-31
G0429	HCPCS	Dermal Filler Injection(s)	7	7	$154.52	$123.62	$101.22	$101.22	$101.22	2023-08-31
74247	CPT	Contrst X-ray Uppr Gi Tract	7	7	$156.57	$125.26	$40.00	$156.57	$101.11	2023-08-31
11765	CPT	Wedge Excision Skin Nail Fold	7	7	$206.03	$164.82 20% off	$28.28	$173.84	$101.06	2023-08-31
76536	CPT	US Soft Tiss Head&nck R-t Img	7	7	$244.35	$195.48 20% off	$43.71	$117.78	$100.95	2023-08-31
76816	CPT	Ultrasound, Pregnant Uterus, Real Time With Image	7	7	$238.38	$190.70 20% off	$83.56	$116.96	$100.26	2023-08-31
74250	CPT	Radex Sm Int W/mlt Srl Flms	7	7	$254.81	$203.85	$60.00	$115.26	$100.00	2023-08-31
90698	CPT	Dtap-hib-ip Vaccine IM	3	3	$110.50	$88.40	$4.00	$110.50	$100.00	2023-08-31
88331	CPT	Path Consltj Surg 1st Blk Frozen Sctj 1 Spec	7	7	$99.48	$79.58 20% off	$70.00	$99.48	$99.48	2023-08-31
76817	CPT	Ultras Preg Uterus With Image Doc Transvaginal	7	7	$201.76	$161.41	$70.13	$115.00	$98.85	2023-08-31
76770	CPT	US Exam Abdo Back Wall Comp	7	7	$238.38	$190.70 20% off	$45.00	$115.19	$98.50	2023-08-31
29435	CPT	Apply Short Leg Cast	7	7	$183.40	$146.72 20% off	$75.60	$121.15	$98.38	2023-08-31
43754	CPT	Dx Gastr Intub W/asp Spec	7	7	$167.52	$134.02	$29.00	$167.52	$98.26	2023-08-31
G0168	HCPCS	Wound Closure By Adhesive	7	7	$97.88	$78.30 20% off	$97.88	$97.88	$97.88	2023-08-31
88162	CPT	Cytopath Smear Other Source	7	7	$97.77	$78.22	$70.00	$97.77	$97.77	2023-08-31
99204	CPT	Office/outpatient Visit New	7	7	$285.63	$228.50 20% off	$25.00	$167.29	$96.14	2023-08-31
76856	CPT	Ultrasound Pelvic (nonobstetric) Complete	7	7	$230.90	$184.72 20% off	$75.00	$111.94	$95.74	2023-08-31
12011	CPT	Rpr F/e/e/n/l/m 2.5 Cm/<	7	7	$127.21	$101.76 20% off	$78.30	$111.78	$95.04	2023-08-31
90723	CPT	Dtap-hep B-ipv Vaccine IM	2	2	$110.00	$88.00 20% off	$90.00	$100.00	$95.00	2023-08-31
56420	CPT	Drainage Of Gland Abscess	7	7	$231.78	$185.42 20% off	$50.00	$139.61	$94.81	2023-08-31
87536	CPT	HIV-1 Quant&revrse Trnscrpj	7	7	$190.00	$152.00 20% off	$73.54	$190.00	$94.55	2023-08-31
12002	CPT	Rpr S/n/ax/gen/trnk2.6-7.5cm	7	7	$135.01	$108.01	$74.70	$111.40	$93.05	2023-08-31
74230	CPT	Cine/vid X-ray Throat/esoph	7	7	$272.00	$217.60 20% off	$63.00	$130.13	$92.51	2023-08-31
13102	CPT	Repair Complex Trunk Ea 5 Cm/<	7	7	$163.89	$131.11 20% off	$59.48	$125.13	$92.31	2023-08-31
16025	CPT	Dress/debrid P-thick Burn M	7	7	$248.17	$198.54	$29.25	$154.00	$91.62	2023-08-31
90834	CPT	Psytx W Pt 45 Minutes	7	7	$143.90	$115.12 20% off	$91.27	$91.27	$91.27	2023-08-31
90691	CPT	Typhoid Vaccine IM	7	7	$90.58	$72.47	$90.58	$90.58	$90.58	2023-08-31
56405	CPT	I & D Of Vulva/perineum	7	7	$267.68	$214.14 20% off	$63.00	$117.45	$90.22	2023-08-31
86817	CPT	Hla Typing; Dr/dq, Multiple Antigens	7	7	$106.14	$84.91 20% off	$74.30	$106.14	$90.22	2023-08-31
92012	CPT	Eye Exam Establish Patient	7	7	$114.72	$91.78	$90.11	$90.11	$90.11	2023-08-31
76870	CPT	Ultrasound Scrotum And Contents	7	7	$221.19	$176.95 20% off	$48.84	$107.59	$90.00	2023-08-31
58100	CPT	Biopsy Of Uterus Lining	7	7	$145.16	$116.12 20% off	$80.00	$95.41	$87.70	2023-08-31
90791	CPT	Psych Diagnostic Evaluation	7	7	$217.07	$173.66	$35.00	$140.35	$87.67	2023-08-31
29065	CPT	Application Cast Shoulder Hand Long Arm	7	7	$152.18	$121.74 20% off	$76.50	$98.40	$87.45	2023-08-31
99343	CPT	Home Visit For The Evaluation And Management Of A	7	7	$283.29	$226.63 20% off	$40.00	$132.44	$86.22	2023-08-31
99349	CPT	Home Visit For The Evaluation And Management Of An	7	7	$283.29	$226.63 20% off	$40.00	$131.41	$85.70	2023-08-31
43761	CPT	Reposition Gastrostomy Tube	7	7	$234.90	$187.92 20% off	$45.00	$123.82	$84.41	2023-08-31
51705	CPT	Chng Cstost Tube Smpl	7	7	$117.06	$93.65	$72.00	$96.61	$84.31	2023-08-31
99215	CPT	Office/outpatient Visit Est	7	7	$148.17	$118.54	$20.00	$148.17	$84.08	2023-08-31
74241	CPT	Radex Gi Trc Upr +-dlyd Flms W/kub	7	7	$130.08	$104.06 20% off	$55.00	$130.08	$83.85	2023-08-31
74240	CPT	X-ray Upper Gi Delay Without Kub	7	7	$253.32	$202.66	$66.00	$125.00	$80.81	2023-08-31
76705	CPT	Echo Exam Of Abdomen	7	7	$92.73	$74.18 20% off	$66.11	$92.73	$79.42	2023-08-31
12001	CPT	Rpr S/n/ax/gen/trnk 2.5cm/<	7	7	$101.45	$81.16 20% off	$66.60	$91.54	$79.07	2023-08-31
74400	CPT	Contrst X-ray Urinary Tract	7	7	$269.01	$215.21	$68.00	$121.79	$78.56	2023-08-31
11730	CPT	Avulsion Nail Plate Partial/complete Simple 1	7	7	$122.52	$98.02	$45.00	$111.83	$78.42	2023-08-31
90945	CPT	Dialysis One Evaluation	7	7	$190.42	$152.34	$68.25	$87.38	$77.81	2023-08-31
99238	CPT	Hosp Dschrg D Mgmt 30 Min/<	7	7	$125.00	$100.00 20% off	$74.38	$74.38	$74.38	2023-08-31
99217	CPT	Observation Care Discharge	7	7	$159.98	$127.99	$74.38	$74.38	$74.38	2023-08-31
99232	CPT	Sbsq Hosp Care Pr D 25 Min	7	7	$124.39	$99.51 20% off	$73.99	$73.99	$73.99	2023-08-31
80081	CPT	Obstetric Panel (includes HIV Testing)	7	7	$101.97	$81.58	$64.69	$83.18	$73.94	2023-08-31
96125	CPT	Cognitive Test By Hc Pro	7	7	$241.93	$193.54 20% off	$35.00	$112.76	$73.88	2023-08-31
90732	CPT	Pneumococcal Vaccine	2	2	$114.21	$91.37	$50.00	$96.00	$73.00	2023-08-31
88160	CPT	Cytopath Smear Other Source	7	7	$72.81	$58.25	$25.00	$72.81	$72.81	2023-08-31
73040	CPT	Radex Sho Arthg Rs&i	7	7	$253.32	$202.66	$10.50	$113.07	$72.46	2023-08-31
88104	CPT	Cytopath Fl Nongyn Smears	7	7	$71.70	$57.36 20% off	$30.00	$71.70	$71.70	2023-08-31
88305	CPT	Level IV - Surgical Pathology, Gross And Microscop	7	7	$70.56	$56.45	$70.56	$70.56	$70.56	2023-08-31
29405	CPT	Application Short Leg Cast Below Knee-toe	7	7	$131.89	$105.51 20% off	$56.70	$83.19	$69.94	2023-08-31
29105	CPT	Application Long Arm Splint Shoulder Hand	7	7	$94.43	$75.54 20% off	$54.00	$84.29	$69.14	2023-08-31
96105	CPT	Assessment Of Aphasia (includes Assessment Of Expr	7	7	$228.66	$182.93	$30.71	$106.93	$68.82	2023-08-31
88112	CPT	Cytp Slctv Cell Enhancement Interpj Xcpt C/v	7	7	$68.80	$55.04 20% off	$27.00	$68.80	$68.80	2023-08-31
85366	CPT	Fibrin Dgradj Splt Produxs Paracoagj	7	7	$80.46	$64.37	$12.00	$80.46	$68.39	2023-08-31
G0245	HCPCS	Initial Foot Exam Pt Lops	7	7	$94.43	$75.54 20% off	$67.97	$67.97	$67.97	2023-08-31
88161	CPT	Cytopath Smear Other Source	7	7	$67.73	$54.18 20% off	$26.00	$67.73	$67.73	2023-08-31
99203	CPT	Office/outpatient Visit New	7	7	$167.01	$133.61	$18.00	$110.24	$67.62	2023-08-31
29505	CPT	Application Long Leg Splint Thigh Ankle/toes	7	7	$113.16	$90.53	$46.80	$87.96	$67.38	2023-08-31
82805	CPT	Blood Gases W/o2 Saturation	7	7	$78.77	$63.02	$40.00	$78.77	$66.95	2023-08-31
17000	CPT	Destruct Premalg Lesion	7	7	$66.94	$53.55 20% off	$66.94	$66.94	$66.94	2023-08-31
72083	CPT	X-ray Exam Entire Spi 4/5 Vw	7	7	$78.28	$62.62 20% off	$53.73	$78.28	$66.00	2023-08-31
88106	CPT	Cytp Flu Br/wa Xcpt C/v Filter Meth Only Interpj	7	7	$65.58	$52.46 20% off	$65.58	$65.58	$65.58	2023-08-31
92083	CPT	Visual Field Examination(s)	7	7	$138.91	$111.13	$65.55	$65.55	$65.55	2023-08-31
94750	CPT	Pulm Compliance Std	7	7	$193.54	$154.83 20% off	$43.86	$87.03	$65.44	2023-08-31
99214	CPT	Office/outpatient Visit Est	7	7	$110.61	$88.49	$20.00	$110.61	$65.31	2023-08-31
15851	CPT	Removal Sutures Under Anesthesia Other Surgeon	7	7	$103.16	$82.53	$27.30	$103.16	$65.23	2023-08-31
99283	CPT	Emergency Dept Visit	7	7	$145.00	$116.00 20% off	$63.10	$105.00	$65.00	2023-08-31
96116	CPT	Neurobehavioral Status Exam (clinical Assessment O	7	7	$187.30	$149.84 20% off	$30.62	$97.46	$64.04	2023-08-31
59020	CPT	Ftl Contrcj Strs Tst	7	7	$156.08	$124.86 20% off	$55.58	$71.96	$63.77	2023-08-31
51702	CPT	Insert Temp Bladder Cath	7	7	$63.72	$50.98	$63.72	$63.72	$63.72	2023-08-31
74220	CPT	Contrast X-ray Esophagus	7	7	$202.51	$162.01	$40.00	$98.88	$63.34	2023-08-31
97597	CPT	Rmvl Devital Tis 20 Cm/<	7	7	$91.31	$73.05	$35.10	$91.31	$63.20	2023-08-31
99348	CPT	Home Visit For The Evaluation And Management Of An	7	7	$184.96	$147.96 20% off	$40.00	$85.55	$62.77	2023-08-31
90632	CPT	Hep A Vaccine Adult IM	2	2	$81.00	$64.80 20% off	$44.06	$81.00	$62.53	2023-08-31
96371	CPT	Sc Ther Infusion Reset Pump	7	7	$139.69	$111.75 20% off	$58.00	$66.78	$62.39	2023-08-31
69200	CPT	Clear Outer Ear Canal	7	7	$105.35	$84.28	$40.80	$83.94	$62.37	2023-08-31
88108	CPT	Cytopath Concentrate Tech	7	7	$61.93	$49.54 20% off	$27.00	$61.93	$61.93	2023-08-31
99334	CPT	Dom/r-home E/m Est Pt Self-lmtd/minor	7	7	$132.67	$106.14	$50.40	$61.38	$61.38	2023-08-31
93272	CPT	Wearable Patient Activated Electrocardiographic Rh	7	7	$96.53	$77.22 20% off	$25.99	$96.53	$61.26	2023-08-31
99342	CPT	Home Visit For The Evaluation And Management Of A	7	7	$172.47	$137.98	$40.00	$81.20	$60.60	2023-08-31
29126	CPT	Apply Forearm Splint	7	7	$109.26	$87.41	$41.68	$78.89	$60.28	2023-08-31
29515	CPT	Application Lower Leg Splint	7	7	$110.82	$88.65 20% off	$46.80	$73.43	$60.12	2023-08-31
94070	CPT	Brncspsm Provocation Eval Mlt Spmtry W/admn Agt	7	7	$130.33	$104.26 20% off	$58.50	$61.16	$59.83	2023-08-31
76775	CPT	Ultrasound Retroperitoneal B-scan Limited	7	7	$124.04	$99.24	$41.75	$90.00	$59.71	2023-08-31
92610	CPT	Evaluate Swallowing Function	7	7	$161.54	$129.24	$30.71	$88.55	$59.63	2023-08-31
90653	CPT	Flu Vaccine Adjuvantim	7	7	$59.53	$47.62 20% off	$59.53	$59.53	$59.53	2023-08-31
65210	CPT	Rmvl Fb Xtrnl Eye Embedded Scjncl/scll Nonprf8	7	7	$81.16	$64.93	$57.89	$57.89	$57.89	2023-08-31
J1110	HCPCS	Inj Dihydroergotamine Mesylt	7	7	$58.61	$46.89	$57.66	$57.66	$57.66	2023-08-31
J0500	HCPCS	Dicyclomine Injection	7	7	$63.50	$50.80 20% off	$57.58	$57.58	$57.58	2023-08-31
92507	CPT	Speech/hearing Therapy	7	7	$175.59	$140.47 20% off	$21.94	$80.57	$57.28	2023-08-31
G0117	HCPCS	Glaucoma Scrn Hgh Risk Direc	7	7	$121.74	$97.39 20% off	$57.21	$57.21	$57.21	2023-08-31
92526	CPT	Oral Function Therapy	7	7	$193.54	$154.83 20% off	$25.40	$88.18	$56.79	2023-08-31
96365	CPT	Ther/proph/diag IV Inf Init	7	7	$156.08	$124.86 20% off	$40.00	$73.23	$56.62	2023-08-31
20610	CPT	Drain/inj Joint/bursa Without US	7	7	$103.01	$82.41	$51.30	$61.79	$56.55	2023-08-31
84445	CPT	Assay Of Tsi Globulin	7	7	$200.00	$160.00 20% off	$43.95	$200.00	$56.51	2023-08-31
G0108	HCPCS	Diab Manage Trn Per Indiv	7	7	$123.30	$98.64 20% off	$56.36	$56.36	$56.36	2023-08-31
80438	CPT	Trh Stimj Panel 1 Hr	7	7	$179.49	$143.59 20% off	$43.57	$128.00	$56.01	2023-08-31
96401	CPT	Chemo Anti-neopl Sq/im	7	7	$173.25	$138.60 20% off	$30.71	$81.21	$55.96	2023-08-31
59050	CPT	Fetal Monitor W/report	7	7	$116.28	$93.02 20% off	$52.62	$58.50	$55.56	2023-08-31
72082	CPT	X-ray Exam Entire Spi 2/3 Vw	7	7	$66.32	$53.06	$44.60	$66.32	$55.46	2023-08-31
92002	CPT	Oph Medical Xm&eval Intrm New Pt	7	7	$104.57	$83.66	$25.00	$85.77	$55.38	2023-08-31
94726	CPT	Pulm Funct Tst Plethysmograp	7	7	$118.00	$94.40	$24.00	$60.00	$55.09	2023-08-31
94060	CPT	Evaluation Of Wheezing	7	7	$130.33	$104.26 20% off	$37.05	$60.89	$54.82	2023-08-31
70134	CPT	Radiologic Examination, Internal Auditory Meati, C	7	7	$118.81	$95.05	$35.71	$75.00	$54.70	2023-08-31
20550	CPT	Injection 1 Tendon Sheath/ligament Aponeurosis	7	7	$88.19	$70.55 20% off	$54.56	$54.56	$54.56	2023-08-31
94375	CPT	Respir Flo Vol Loop	7	7	$85.84	$68.68	$40.56	$68.25	$54.41	2023-08-31
G0180	HCPCS	Md Certification Hha Patient	7	7	$117.06	$93.65	$54.24	$54.24	$54.24	2023-08-31
15850	CPT	Removal Sutures Under Anesthesia Same Surgeon	7	7	$88.97	$71.17 20% off	$54.00	$54.00	$54.00	2023-08-31
11057	CPT	Trim Skin Lesions Over 4	7	7	$76.39	$61.11 20% off	$30.71	$76.39	$53.55	2023-08-31
74740	CPT	Hsg Rs&i	7	7	$189.80	$151.84 20% off	$18.71	$84.08	$53.47	2023-08-31
29125	CPT	Apply Forearm Splint	7	7	$88.19	$70.55 20% off	$40.50	$66.24	$53.37	2023-08-31
80055	CPT	Obstetric Panel	7	7	$80.00	$64.00 20% off	$41.31	$80.00	$53.12	2023-08-31
80074	CPT	Acute Hepatitis Panel	7	7	$76.00	$60.80 20% off	$41.17	$70.00	$52.93	2023-08-31
11740	CPT	Drain Blood From Under Nail	7	7	$52.87	$42.30	$52.87	$52.87	$52.87	2023-08-31
29131	CPT	Application Of Finger Splint	7	7	$76.48	$61.18 20% off	$52.80	$52.80	$52.80	2023-08-31
86870	CPT	Rbc Antibody Identification	7	7	$70.00	$56.00 20% off	$52.28	$70.00	$52.28	2023-08-31
94729	CPT	Co/membane Diffuse Capacity	7	7	$94.00	$75.20 20% off	$19.20	$56.55	$52.27	2023-08-31
86360	CPT	T Cell Absolute Count/ratio	7	7	$85.00	$68.00 20% off	$40.61	$85.00	$52.20	2023-08-31
20605	CPT	Drain/inject Joint/bursa	7	7	$52.04	$41.63 20% off	$52.04	$52.04	$52.04	2023-08-31
90832	CPT	Psytx W Pt 30 Minutes	7	7	$107.93	$86.34 20% off	$35.00	$68.54	$51.77	2023-08-31
16020	CPT	Dress/debrid P-thick Burn S	7	7	$121.74	$97.39 20% off	$19.50	$83.96	$51.73	2023-08-31
70370	CPT	Radex Pharynx/larx W/fluor&/magnification Tq	7	7	$186.07	$148.85 20% off	$25.00	$82.29	$51.45	2023-08-31
99202	CPT	Office Outpt New 20 Minutes	7	7	$111.60	$89.28	$18.00	$77.74	$51.37	2023-08-31
94660	CPT	Pos Airway Pressure Cpap	7	7	$85.06	$68.05	$36.08	$65.46	$50.77	2023-08-31
73523	CPT	X-ray Exam Hips Bi 5/> Views	7	7	$59.78	$47.82 20% off	$40.54	$59.78	$50.16	2023-08-31
76882	CPT	US Xtr Non-vasc Lmtd	7	7	$120.31	$96.25	$41.51	$58.64	$50.08	2023-08-31
72052	CPT	X-ray Exam Neck Spine 6/>vws	7	7	$124.79	$99.83 20% off	$40.02	$61.22	$50.00	2023-08-31
82664	CPT	Electrophoretic Test	7	7	$61.50	$49.20	$43.05	$61.50	$50.00	2023-08-31
99341	CPT	Home Visit For The Evaluation And Management Of A	7	7	$120.18	$96.15	$40.00	$56.32	$50.00	2023-08-31
65222	CPT	Rmvl Fb Xtrnl Eye Crnl W/slit Lamp	7	7	$113.94	$91.15 20% off	$30.00	$69.80	$49.90	2023-08-31
20600	CPT	Arthrocentesis Aspir&/injection Small Jt/bursa	7	7	$81.16	$64.93	$49.87	$49.87	$49.87	2023-08-31
11000	CPT	Dbrdmt X10sv Eczmt/infct Skn Up 10% Bdy Surf	7	7	$63.99	$51.19 20% off	$42.00	$56.80	$49.40	2023-08-31
20612	CPT	Aspiration&/injection Ganglion Cyst Any Location	7	7	$92.87	$74.29 20% off	$35.88	$61.83	$48.85	2023-08-31
77085	CPT	Dxa Bone Density Study Axial Skeleton	7	7	$112.09	$89.67 20% off	$40.79	$55.79	$48.29	2023-08-31
99347	CPT	Home Visit For The Evaluation And Management Of An	7	7	$120.18	$96.15	$30.00	$56.32	$48.16	2023-08-31
57800	CPT	Dilation Of Cervical Canal	7	7	$108.48	$86.78 20% off	$29.25	$66.88	$48.06	2023-08-31
72110	CPT	X-ray Exam L-2 Spine 4/>vws	7	7	$101.63	$81.30 20% off	$34.95	$52.16	$48.00	2023-08-31
29580	CPT	Application Of Paste Boot	7	7	$64.42	$51.54	$31.45	$64.42	$47.94	2023-08-31
11056	CPT	Trim Skin Lesions 2 To 4	7	7	$68.81	$55.05	$27.00	$68.81	$47.91	2023-08-31
99213	CPT	Office/outpatient Visit Est	7	7	$75.56	$60.45	$20.00	$75.56	$47.78	2023-08-31
20552	CPT	Inj Trigger Point 1/2 Muscl	7	7	$86.62	$69.30	$38.70	$56.77	$47.73	2023-08-31
87522	CPT	Hepatitis C Revrs Trnscrpj	7	7	$195.00	$156.00 20% off	$37.02	$195.00	$47.60	2023-08-31
87517	CPT	Iadna Hep B Virus Quan	7	7	$60.00	$48.00 20% off	$37.02	$60.00	$47.60	2023-08-31
87592	CPT	Iadna Neisseria Gonorrhoeae Qu	7	7	$60.00	$48.00 20% off	$37.02	$60.00	$47.60	2023-08-31
74022	CPT	Radex Abd Compl Aqt Abd W/s/e/d Views 1 View Ch	7	7	$101.63	$81.30 20% off	$31.91	$63.00	$47.44	2023-08-31
87527	CPT	Hepatitis G DNA Quant	7	7	$58.00	$46.40 20% off	$36.09	$58.00	$46.40	2023-08-31
83970	CPT	Assay Of Parathormone	7	7	$130.00	$104.00 20% off	$35.67	$130.00	$45.86	2023-08-31
73503	CPT	X-ray Exam Hip Uni 4/> Views	7	7	$54.71	$43.77	$36.99	$54.71	$45.85	2023-08-31
70130	CPT	Radex Mastoids Compl Minimum 3 Views Pr Side	7	7	$125.54	$100.43 20% off	$33.00	$58.32	$45.66	2023-08-31
82088	CPT	Assay Of Aldosterone	7	7	$145.26	$116.21	$35.22	$100.00	$45.28	2023-08-31
70330	CPT	Radex Tmprmand Jt Opn&clsd Mouth Bi	7	7	$108.35	$86.68	$26.00	$50.37	$45.00	2023-08-31
Q0091	HCPCS	Obtaining Screen Pap Smear	7	7	$44.52	$35.62	$44.52	$44.52	$44.52	2023-08-31
72114	CPT	X-ray Exam L-s Spine Bending	7	7	$124.79	$99.83 20% off	$32.00	$59.42	$44.09	2023-08-31
43752	CPT	Naso/oro-gastric Tube Plmt Req Phys&fluor Gdn	7	7	$92.09	$73.67 20% off	$42.21	$45.00	$43.60	2023-08-31
16000	CPT	Initial Treatment Of Burn(s)	7	7	$103.79	$83.04	$14.63	$72.29	$43.46	2023-08-31
73522	CPT	X-ray Exam Hips Bi 3-4 Views	7	7	$51.08	$40.86 20% off	$34.96	$51.08	$43.02	2023-08-31

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