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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

NEXUS CHILDRENS HOSPITAL DALLAS

Dallas, TX · CCN 453318 · Rates published

Your selected procedure

You selected 93306 (HCPCS)

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function

This hospital’s price: $1,496 across 1 payer

Source: https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbNCHDDALLASTX&type=CDMWithoutLabel&fileType=CSV · observed 2026-04-28

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

1,739 distinct procedures filed
1 distinct payers
1,910 rate rows
2026-04-28 last MRF observed
Data quality

1,900 of 1,910 rate rows are consumer-grade (99.5%)

10 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
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 4
percent-of-charges filed in the dollar field — excluded from medians 4
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 2
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbNCHDDALLASTX&type=CDMWithoutLabel&fileType=CSV
Found on page https://apps.para-hcfs.com/PTT/FinalLinks/NexusChildrensDallas.aspx
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-18
Content fingerprint f13b758636fe4ed1… · 658,816 bytes · first seen 2026-09-22

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
49082
HCPCS 		Drainage Of Fluid From Abdominal Cavity 1 $9,297.76 $9,297.76 $9,297.76 nat. median
$1,057
outlier · 8.8×
49080
HCPCS 		Operating Room Services - Minor Surgery 1 $9,297.76 $9,297.76 $9,297.76 nat. median
$781
outlier · 11.9×
31600
HCPCS 		Incision Of Windpipe For Insertion Of Breathing Tube (older Than 2 Years) 1 $7,896.10 $7,896.10 $7,896.10 nat. median
$3,330
outlier · 2.4×
32550
HCPCS 		Insertion Of Indwelling Tube For Drainage Of Lung Fluid 1 $5,854.66 $5,854.66 $5,854.66 nat. median
$4,089
1.4× median
250-6028
CDM 		Dupixent 300 Mg/2 Ml Syringe 1 $5,546.88 $5,546.88 $5,546.88 nat. median
$5,547
1.0× median
36561
HCPCS 		Insertion Of Central Venous Tube With Port (5 Years Or Older) 1 $4,756.00 $4,756.00 $4,756.00 nat. median
$3,751
1.3× median
15120
HCPCS 		Partial Thickness Self Skin Graft To Face, Scalp, Eyelids, Mouth, Neck, Ears, Ar… 1 $4,520.92 $4,520.92 $4,520.92 nat. median
$3,643
1.2× median
75825
HCPCS 		Review By Radiologist Of Major Lower Body Vein Image 1 $4,438.00 $4,438.00 $4,438.00 nat. median
$3,183
1.4× median
71275
HCPCS 		CT Scan Of Blood Vessels Of Chest With Contrast 1 $4,270.12 $4,270.12 $4,270.12 nat. median
$759
outlier · 5.6×
75831
HCPCS 		Review By Radiologist Of Kidney Image 1 $4,050.00 $4,050.00 $4,050.00 nat. median
$3,129
1.3× median
75833
HCPCS 		Review By Radiologist Of Both Kidneys Veins Image 1 $4,050.00 $4,050.00 $4,050.00 nat. median
$3,198
1.3× median
93979
HCPCS 		Ultrasound Of Aorta, Vena Cava, Groin Vessels Or Bypass Grafts 1 $4,050.00 $4,050.00 $4,050.00 nat. median
$269
outlier · 15.1×
36558
HCPCS 		Insertion Of Tunneled Central Venous Tube For Infusion (5 Years Or Older) 1 $3,983.00 $3,983.00 $3,983.00 nat. median
$3,508
1.1× median
50693
HCPCS 		Placement Of Stent Of Ureter Through Existing Skin Access Using Imaging Guidance… 1 $3,668.68 $3,668.68 $3,668.68 nat. median
$4,222
0.9× median
49999
HCPCS 		Other Procedure On Abdomen 1 $3,665.00 $3,665.00 $3,665.00 nat. median
$1,683
outlier · 2.2×
75635
HCPCS 		CT Scan Of Abdominal Aorta And Both Leg Arteries With Contrast 1 $3,658.82 $3,658.82 $3,658.82 nat. median
$727
outlier · 5.0×
28011
HCPCS 		Repair Of Multiple Toe Tendons 1 $3,512.00 $3,512.00 $3,512.00 nat. median
$1,854
1.9× median
28010
HCPCS 		Repair Of Toe Tendon 1 $3,512.00 $3,512.00 $3,512.00 nat. median
$1,771
2.0× median
49422
HCPCS 		Removal Of Abdominal Cavity Tube 1 $3,507.50 $3,507.50 $3,507.50 nat. median
$3,466
1.0× median
15100
HCPCS 		Partial Thickness Self Skin Graft To Trunk, Arms, Or Legs, 100.0 Sq Cm Or 1% Bod… 1 $2,260.46 $4,520.92 $3,390.69 nat. median
$2,291
1.5× median
36582
HCPCS 		Replacement Of Tunneled Central Venous Tube With Port 1 $3,302.00 $3,302.00 $3,302.00 nat. median
$3,752
0.9× median
761-4012
CDM 		Operating Room Services - Minor Surgery 1 $3,218.50 $3,218.50 $3,218.50 nat. median
$3,218
1.0× median
761-1020
CDM 		Operating Room Services - Minor Surgery 1 $3,153.00 $3,153.00 $3,153.00 nat. median
$3,153
1.0× median
761-4007
CDM 		Operating Room Services - Minor Surgery 1 $3,153.00 $3,153.00 $3,153.00 nat. median
$3,153
1.0× median
15931
HCPCS 		Removal Of Pressure Sore Tissue Of Sacrum With Closure 1 $3,153.00 $3,153.00 $3,153.00 nat. median
$3,003
1.1× median
761-4009
CDM 		Operating Room Services - Minor Surgery 1 $3,153.00 $3,153.00 $3,153.00 nat. median
$3,153
1.0× median
761-1065
CDM 		Operating Room Services - Minor Surgery 1 $3,113.00 $3,113.00 $3,113.00 nat. median
$3,113
1.0× median
761-4013
CDM 		Operating Room Services - Minor Surgery 1 $2,938.00 $2,938.00 $2,938.00 nat. median
$2,938
1.0× median
761-1064
CDM 		Operating Room Services - Minor Surgery 1 $2,938.00 $2,938.00 $2,938.00 nat. median
$2,938
1.0× median
47531
HCPCS 		Injection Of Bile Duct For X-ray Through Already Existing Skin Access Using Imag… 1 $2,911.00 $2,911.00 $2,911.00 nat. median
$3,320
0.9× median
47532
HCPCS 		Injection Of Bile Duct For X-ray Through New Skin Access Using Imaging Guidance… 1 $2,911.00 $2,911.00 $2,911.00 nat. median
$3,811
0.8× median
47490
HCPCS 		Insertion Of Tube Into Gallbladder Using Imaging Guidance With Review By Radiolo… 1 $2,911.00 $2,911.00 $2,911.00 nat. median
$3,900
0.7× median
72194
HCPCS 		CT Scan Of Pelvis Before And After Contrast 1 $1,050.50 $3,277.30 $2,875.08 nat. median
$672
outlier · 4.3×
203-1001
CDM 		Intensive Care Unit - Pediatric 1 $2,820.00 $2,820.00 $2,820.00 nat. median
$2,820
1.0× median
44372
HCPCS 		Insertion Of Tube Into Middle Small Bowel Using An Endoscope 1 $2,816.80 $2,816.80 $2,816.80 nat. median
$2,184
1.3× median
49440
HCPCS 		Insertion Of Stomach Tube Using Fluoroscopic Guidance With Contrast 1 $2,816.80 $2,816.80 $2,816.80 nat. median
$2,196
1.3× median
95951
HCPCS 		Monitoring For Localization Of Cerebral Seizure Focus By Cable Or Radio, 16 Or M… 1 $2,805.00 $2,805.00 $2,805.00 nat. median
$1,030
outlier · 2.7×
51102
HCPCS 		Aspiration Of Bladder With Insertion Of Bladder Tube To Skin 1 $2,795.00 $2,795.00 $2,795.00 nat. median
$2,377
1.2× median
49423
HCPCS 		Exchange Of Abdominal Cavity Drainage Tube Using Imaging Guidance 1 $2,757.50 $2,757.50 $2,757.50 nat. median
$2,204
1.3× median
75630
HCPCS 		Review By Radiologist Of Abdominal Aorta And Both Leg Arteries Image 1 $2,732.50 $2,732.50 $2,732.50 nat. median
$3,317
0.8× median
202-1001
CDM 		Intensive Care Unit - Medical 1 $2,647.50 $2,647.50 $2,647.50 nat. median
$2,648
1.0× median
50433
HCPCS 		Placement Of Tube Of Kidney And Urinary Tube Through New Skin Access Using Imagi… 1 $2,598.76 $2,598.76 $2,598.76 nat. median
$3,954
0.7× median
74183
HCPCS 		MRI Scan Of Abdomen Before And After Contrast 1 $2,596.50 $2,596.50 $2,596.50 nat. median
$1,105
outlier · 2.3×
72197
HCPCS 		MRI Scan Of Pelvis Before And After Contrast 1 $2,383.00 $2,383.00 $2,383.00 nat. median
$1,074
outlier · 2.2×
72156
HCPCS 		MRI Scan Of Upper Spinal Canal Before And After Contrast 1 $2,383.00 $2,383.00 $2,383.00 nat. median
$1,110
outlier · 2.1×
206-1002
CDM 		Intensive Care Unit - Intermediate ICU 1 $2,357.50 $2,357.50 $2,357.50 nat. median
$2,358
1.0× median
360-1085
CDM 		Operating Room Services - Minor Surgery 1 $2,347.18 $2,347.18 $2,347.18 nat. median
$2,347
1.0× median
27301
HCPCS 		Drainage Of Deep Abscess Or Blood Accumulation Of Thigh Or Knee 1 $2,325.00 $2,325.00 $2,325.00 nat. median
$2,904
0.8× median
35081
HCPCS 		Repair Of Aneurysm Or Abdominal Aorta With Graft 1 $2,275.50 $2,275.50 $2,275.50 nat. median
$3,719
0.6× median
15121
HCPCS 		Partial Thickness Self Skin Graft Of Face, Scalp, Eyelids, Mouth, Neck, Ears, Ar… 1 $2,260.46 $2,260.46 $2,260.46 nat. median
$1,559
1.4× median

Other procedures at this hospital

Browse this hospital's 1,739 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
             
49082 HCPCS Drainage Of Fluid From Abdominal Cavity 1 1 $18,595.52 $9,297.76 50% off $9,297.76 $9,297.76 $9,297.76 2026-04-28
49080 HCPCS Operating Room Services - Minor Surgery 1 1 $18,595.52 $9,297.76 50% off $9,297.76 $9,297.76 $9,297.76 2026-04-28
31600 HCPCS Incision Of Windpipe For Insertion Of Breathing Tube (older Than 2 Years) 1 1 $15,792.20 $7,896.10 50% off $7,896.10 $7,896.10 $7,896.10 2026-04-28
32550 HCPCS Insertion Of Indwelling Tube For Drainage Of Lung Fluid 1 1 $11,709.32 $5,854.66 50% off $5,854.66 $5,854.66 $5,854.66 2026-04-28
250-6028 CDM Dupixent 300 Mg/2 Ml Syringe 1 1 $11,093.75 $5,546.88 50% off $5,546.88 $5,546.88 $5,546.88 2026-04-28
36561 HCPCS Insertion Of Central Venous Tube With Port (5 Years Or Older) 1 1 $9,512.00 $4,756.00 50% off $4,756.00 $4,756.00 $4,756.00 2026-04-28
15120 HCPCS Partial Thickness Self Skin Graft To Face, Scalp, Eyelids, Mouth, Neck, Ears, Ar… 1 1 $9,041.84 $4,520.92 50% off $4,520.92 $4,520.92 $4,520.92 2026-04-28
75825 HCPCS Review By Radiologist Of Major Lower Body Vein Image 1 1 $8,876.00 $4,438.00 50% off $4,438.00 $4,438.00 $4,438.00 2026-04-28
71275 HCPCS CT Scan Of Blood Vessels Of Chest With Contrast 1 1 $8,540.24 $4,270.12 50% off $4,270.12 $4,270.12 $4,270.12 2026-04-28
75833 HCPCS Review By Radiologist Of Both Kidneys Veins Image 1 1 $8,100.00 $4,050.00 50% off $4,050.00 $4,050.00 $4,050.00 2026-04-28
75831 HCPCS Review By Radiologist Of Kidney Image 1 1 $8,100.00 $4,050.00 50% off $4,050.00 $4,050.00 $4,050.00 2026-04-28
93979 HCPCS Ultrasound Of Aorta, Vena Cava, Groin Vessels Or Bypass Grafts 1 1 $8,100.00 $4,050.00 50% off $4,050.00 $4,050.00 $4,050.00 2026-04-28
36558 HCPCS Insertion Of Tunneled Central Venous Tube For Infusion (5 Years Or Older) 1 1 $7,966.00 $3,983.00 50% off $3,983.00 $3,983.00 $3,983.00 2026-04-28
50693 HCPCS Placement Of Stent Of Ureter Through Existing Skin Access Using Imaging Guidance… 1 1 $7,337.36 $3,668.68 50% off $3,668.68 $3,668.68 $3,668.68 2026-04-28
49999 HCPCS Other Procedure On Abdomen 1 1 $7,330.00 $3,665.00 50% off $3,665.00 $3,665.00 $3,665.00 2026-04-28
75635 HCPCS CT Scan Of Abdominal Aorta And Both Leg Arteries With Contrast 1 1 $7,317.64 $3,658.82 50% off $3,658.82 $3,658.82 $3,658.82 2026-04-28
28011 HCPCS Repair Of Multiple Toe Tendons 1 1 $7,024.00 $3,512.00 50% off $3,512.00 $3,512.00 $3,512.00 2026-04-28
28010 HCPCS Repair Of Toe Tendon 1 1 $7,024.00 $3,512.00 50% off $3,512.00 $3,512.00 $3,512.00 2026-04-28
49422 HCPCS Removal Of Abdominal Cavity Tube 1 1 $7,015.00 $3,507.50 50% off $3,507.50 $3,507.50 $3,507.50 2026-04-28
15100 HCPCS Partial Thickness Self Skin Graft To Trunk, Arms, Or Legs, 100.0 Sq Cm Or 1% Bod… 2 1 $6,781.38 $3,390.69 50% off $2,260.46 $4,520.92 $3,390.69 2026-04-28
36582 HCPCS Replacement Of Tunneled Central Venous Tube With Port 1 1 $6,604.00 $3,302.00 50% off $3,302.00 $3,302.00 $3,302.00 2026-04-28
761-4012 CDM Operating Room Services - Minor Surgery 1 1 $6,437.00 $3,218.50 50% off $3,218.50 $3,218.50 $3,218.50 2026-04-28
15931 HCPCS Removal Of Pressure Sore Tissue Of Sacrum With Closure 1 1 $6,306.00 $3,153.00 50% off $3,153.00 $3,153.00 $3,153.00 2026-04-28
761-4009 CDM Operating Room Services - Minor Surgery 1 1 $6,306.00 $3,153.00 50% off $3,153.00 $3,153.00 $3,153.00 2026-04-28
761-4007 CDM Operating Room Services - Minor Surgery 1 1 $6,306.00 $3,153.00 50% off $3,153.00 $3,153.00 $3,153.00 2026-04-28
761-1020 CDM Operating Room Services - Minor Surgery 1 1 $6,306.00 $3,153.00 50% off $3,153.00 $3,153.00 $3,153.00 2026-04-28
761-1065 CDM Operating Room Services - Minor Surgery 1 1 $6,226.00 $3,113.00 50% off $3,113.00 $3,113.00 $3,113.00 2026-04-28
761-1064 CDM Operating Room Services - Minor Surgery 1 1 $5,876.00 $2,938.00 50% off $2,938.00 $2,938.00 $2,938.00 2026-04-28
761-4013 CDM Operating Room Services - Minor Surgery 1 1 $5,876.00 $2,938.00 50% off $2,938.00 $2,938.00 $2,938.00 2026-04-28
47531 HCPCS Injection Of Bile Duct For X-ray Through Already Existing Skin Access Using Imag… 1 1 $5,822.00 $2,911.00 50% off $2,911.00 $2,911.00 $2,911.00 2026-04-28
47532 HCPCS Injection Of Bile Duct For X-ray Through New Skin Access Using Imaging Guidance … 1 1 $5,822.00 $2,911.00 50% off $2,911.00 $2,911.00 $2,911.00 2026-04-28
47490 HCPCS Insertion Of Tube Into Gallbladder Using Imaging Guidance With Review By Radiolo… 1 1 $5,822.00 $2,911.00 50% off $2,911.00 $2,911.00 $2,911.00 2026-04-28
72194 HCPCS CT Scan Of Pelvis Before And After Contrast 3 1 $5,750.16 $2,875.08 50% off $1,050.50 $3,277.30 $2,875.08 2026-04-28
203-1001 CDM Intensive Care Unit - Pediatric 1 1 $5,640.00 $2,820.00 50% off $2,820.00 $2,820.00 $2,820.00 2026-04-28
49440 HCPCS Insertion Of Stomach Tube Using Fluoroscopic Guidance With Contrast 1 1 $5,633.60 $2,816.80 50% off $2,816.80 $2,816.80 $2,816.80 2026-04-28
44372 HCPCS Insertion Of Tube Into Middle Small Bowel Using An Endoscope 1 1 $5,633.60 $2,816.80 50% off $2,816.80 $2,816.80 $2,816.80 2026-04-28
95951 HCPCS Monitoring For Localization Of Cerebral Seizure Focus By Cable Or Radio, 16 Or M… 1 1 $5,610.00 $2,805.00 50% off $2,805.00 $2,805.00 $2,805.00 2026-04-28
51102 HCPCS Aspiration Of Bladder With Insertion Of Bladder Tube To Skin 1 1 $5,590.00 $2,795.00 50% off $2,795.00 $2,795.00 $2,795.00 2026-04-28
49423 HCPCS Exchange Of Abdominal Cavity Drainage Tube Using Imaging Guidance 1 1 $5,515.00 $2,757.50 50% off $2,757.50 $2,757.50 $2,757.50 2026-04-28
75630 HCPCS Review By Radiologist Of Abdominal Aorta And Both Leg Arteries Image 1 1 $5,465.00 $2,732.50 50% off $2,732.50 $2,732.50 $2,732.50 2026-04-28
202-1001 CDM Intensive Care Unit - Medical 1 1 $5,295.00 $2,647.50 50% off $2,647.50 $2,647.50 $2,647.50 2026-04-28
50433 HCPCS Placement Of Tube Of Kidney And Urinary Tube Through New Skin Access Using Imagi… 1 1 $5,197.52 $2,598.76 50% off $2,598.76 $2,598.76 $2,598.76 2026-04-28
74183 HCPCS MRI Scan Of Abdomen Before And After Contrast 1 1 $5,193.00 $2,596.50 50% off $2,596.50 $2,596.50 $2,596.50 2026-04-28
72156 HCPCS MRI Scan Of Upper Spinal Canal Before And After Contrast 1 1 $4,766.00 $2,383.00 50% off $2,383.00 $2,383.00 $2,383.00 2026-04-28
72197 HCPCS MRI Scan Of Pelvis Before And After Contrast 1 1 $4,766.00 $2,383.00 50% off $2,383.00 $2,383.00 $2,383.00 2026-04-28
206-1002 CDM Intensive Care Unit - Intermediate ICU 1 1 $4,715.00 $2,357.50 50% off $2,357.50 $2,357.50 $2,357.50 2026-04-28
360-1085 CDM Operating Room Services - Minor Surgery 1 1 $4,694.36 $2,347.18 50% off $2,347.18 $2,347.18 $2,347.18 2026-04-28
27301 HCPCS Drainage Of Deep Abscess Or Blood Accumulation Of Thigh Or Knee 1 1 $4,650.00 $2,325.00 50% off $2,325.00 $2,325.00 $2,325.00 2026-04-28
35081 HCPCS Repair Of Aneurysm Or Abdominal Aorta With Graft 1 1 $4,551.00 $2,275.50 50% off $2,275.50 $2,275.50 $2,275.50 2026-04-28
15121 HCPCS Partial Thickness Self Skin Graft Of Face, Scalp, Eyelids, Mouth, Neck, Ears, Ar… 1 1 $4,520.92 $2,260.46 50% off $2,260.46 $2,260.46 $2,260.46 2026-04-28
15273 HCPCS Skin Substitute Graft To Wound 100.0 Sq Cm Or More Of Trunk, Arms, Or Legs, 100.… 4 1 $4,502.88 $2,251.44 50% off $1,704.00 $2,816.04 $2,251.44 2026-04-28
360-1092 CDM Operating Room Services - Minor Surgery 1 1 $4,448.04 $2,224.02 50% off $2,224.02 $2,224.02 $2,224.02 2026-04-28
206-1001 CDM Intensive Care Unit - Intermediate ICU 1 1 $4,380.00 $2,190.00 50% off $2,190.00 $2,190.00 $2,190.00 2026-04-28
50432 HCPCS Placement Of Tube Of Kidney Using Imaging Guidance With Review By Radiologist 1 1 $4,349.00 $2,174.50 50% off $2,174.50 $2,174.50 $2,174.50 2026-04-28
71552 HCPCS MRI Scan Of Chest Before And After Contrast 1 1 $4,333.00 $2,166.50 50% off $2,166.50 $2,166.50 $2,166.50 2026-04-28
761-1021 CDM Operating Room Services - Minor Surgery 1 1 $4,329.00 $2,164.50 50% off $2,164.50 $2,164.50 $2,164.50 2026-04-28
761-4010 CDM Operating Room Services - Minor Surgery 1 1 $4,329.00 $2,164.50 50% off $2,164.50 $2,164.50 $2,164.50 2026-04-28
761-4008 CDM Operating Room Services - Minor Surgery 1 1 $4,329.00 $2,164.50 50% off $2,164.50 $2,164.50 $2,164.50 2026-04-28
74178 HCPCS CT Scan Of Abdomen And Pelvis Before And After Contrast 1 1 $4,308.00 $2,154.00 50% off $2,154.00 $2,154.00 $2,154.00 2026-04-28
74170 HCPCS CT Scan Of Abdomen Before And After Contrast 2 1 $4,274.84 $2,137.42 50% off $1,155.50 $3,119.34 $2,137.42 2026-04-28
32551 HCPCS Removal Of Fluid From Between Lung And Chest Cavity 1 1 $4,220.00 $2,110.00 50% off $2,110.00 $2,110.00 $2,110.00 2026-04-28
113-1001 CDM Room & Board - Private (one Bed) - Pediatric 1 1 $4,190.00 $2,095.00 50% off $2,095.00 $2,095.00 $2,095.00 2026-04-28
11044 HCPCS Removal Of Bone, 20.0 Sq Cm Or Less 1 1 $4,175.00 $2,087.50 50% off $2,087.50 $2,087.50 $2,087.50 2026-04-28
70470 HCPCS CT Scan Of Head Or Brain Before And After Contrast 2 1 $4,069.46 $2,034.73 50% off $1,155.50 $2,913.96 $2,034.73 2026-04-28
123-1001 CDM Room & Board - Semi-private (two Beds) - Pediatric 1 1 $4,000.00 $2,000.00 50% off $2,000.00 $2,000.00 $2,000.00 2026-04-28
75989 HCPCS Review By Radiologist Of Image For Drainage Of Fluid 1 1 $4,000.00 $2,000.00 50% off $2,000.00 $2,000.00 $2,000.00 2026-04-28
32555 HCPCS Aspiration Of Fluid From Chest Cavity Using Imaging Guidance 1 1 $4,000.00 $2,000.00 50% off $2,000.00 $2,000.00 $2,000.00 2026-04-28
Q4113 HCPCS Graftjacket Xpress, Injectable, 1 Cc 2 1 $3,964.20 $1,982.10 50% off $1,982.00 $1,982.20 $1,982.10 2026-04-28
73220 HCPCS MRI Scan Of Arm Before And After Contrast 1 1 $3,939.00 $1,969.50 50% off $1,969.50 $1,969.50 $1,969.50 2026-04-28
C8912 HCPCS Magnetic Resonance Angiography With Contrast, Lower Extremity 1 1 $3,939.00 $1,969.50 50% off $1,969.50 $1,969.50 $1,969.50 2026-04-28
C8918 HCPCS Magnetic Resonance Angiography With Contrast, Pelvis 1 1 $3,939.00 $1,969.50 50% off $1,969.50 $1,969.50 $1,969.50 2026-04-28
C8909 HCPCS Magnetic Resonance Angiography With Contrast, Chest (excluding Myocardium) 1 1 $3,939.00 $1,969.50 50% off $1,969.50 $1,969.50 $1,969.50 2026-04-28
121-1002 CDM Room & Board - Semi-private (two Beds) - Medical/surgical/gyn 1 1 $3,890.00 $1,945.00 50% off $1,945.00 $1,945.00 $1,945.00 2026-04-28
15240 HCPCS Full Thickness Skin Graft To Forehead, Cheeks, Chin, Mouth, Neck, Underarms, Gen… 1 1 $3,872.00 $1,936.00 50% off $1,936.00 $1,936.00 $1,936.00 2026-04-28
15220 HCPCS Full Thickness Skin Graft To Scalp, Arms, Or Legs, 20.0 Sq Cm Or Less 1 1 $3,872.00 $1,936.00 50% off $1,936.00 $1,936.00 $1,936.00 2026-04-28
C8911 HCPCS Magnetic Resonance Angiography Without Contrast Followed By With Contrast, Chest… 1 1 $3,850.00 $1,925.00 50% off $1,925.00 $1,925.00 $1,925.00 2026-04-28
C8920 HCPCS Magnetic Resonance Angiography Without Contrast Followed By With Contrast, Pelvi… 1 1 $3,850.00 $1,925.00 50% off $1,925.00 $1,925.00 $1,925.00 2026-04-28
C8914 HCPCS Magnetic Resonance Angiography Without Contrast Followed By With Contrast, Lower… 1 1 $3,850.00 $1,925.00 50% off $1,925.00 $1,925.00 $1,925.00 2026-04-28
74177 HCPCS CT Scan Of Abdomen And Pelvis With Contrast 1 1 $3,784.00 $1,892.00 50% off $1,892.00 $1,892.00 $1,892.00 2026-04-28
194-1001 CDM Subacute Care - Subacute Care - Level IV 1 1 $3,755.00 $1,877.50 50% off $1,877.50 $1,877.50 $1,877.50 2026-04-28
C8934 HCPCS Magnetic Resonance Angiography With Contrast, Upper Extremity 2 1 $3,719.50 $1,859.75 50% off $1,750.00 $1,969.50 $1,859.75 2026-04-28
15278 HCPCS Skin Substitute Graft To Wound 100.0 Sq Cm Or More Of Face, Scalp, Eyelids, Mout… 2 1 $3,668.04 $1,834.02 50% off $852.00 $2,816.04 $1,834.02 2026-04-28
15274 HCPCS Skin Substitute Graft To Wound 100.0 Sq Cm Or More Of Trunk, Arms, Or Legs, Each… 2 1 $3,668.04 $1,834.02 50% off $852.00 $2,816.04 $1,834.02 2026-04-28
15271 HCPCS Application Of Skin Substitute Graft To Wound Of Trunk, Arms, Or Legs, 25.0 Sq C… 4 1 $3,604.16 $1,802.08 50% off $858.73 $2,742.50 $1,802.08 2026-04-28
15275 HCPCS Application Of Skin Substitute Graft To Wound Of Face, Scalp, Eyelids, Mouth, Ne… 4 1 $3,604.16 $1,802.08 50% off $858.73 $2,742.50 $1,802.08 2026-04-28
10140 HCPCS Drainage Of Blood Or Fluid Accumulation 1 1 $3,586.00 $1,793.00 50% off $1,793.00 $1,793.00 $1,793.00 2026-04-28
36569 HCPCS Insertion Of Tube For Infusion (5 Years Or Older) 1 1 $3,582.00 $1,791.00 50% off $1,791.00 $1,791.00 $1,791.00 2026-04-28
193-1001 CDM Subacute Care - Subacute Care - Level Iii 1 1 $3,540.00 $1,770.00 50% off $1,770.00 $1,770.00 $1,770.00 2026-04-28
36556 HCPCS Insertion Of Non-tunneled Central Venous Tube For Infusion (5 Years Or Older) 1 1 $3,538.00 $1,769.00 50% off $1,769.00 $1,769.00 $1,769.00 2026-04-28
14301 HCPCS Repair Of Wound By Transferring Skin, 30.1-60.0 Sq Cm 1 1 $3,521.00 $1,760.50 50% off $1,760.50 $1,760.50 $1,760.50 2026-04-28
124-1001 CDM Room & Board - Semi-private (two Beds) - Psychiatric 1 1 $3,520.00 $1,760.00 50% off $1,760.00 $1,760.00 $1,760.00 2026-04-28
118-1002 CDM Room & Board - Private (one Bed) - Rehabilitation 1 1 $3,435.00 $1,717.50 50% off $1,717.50 $1,717.50 $1,717.50 2026-04-28
32408 HCPCS Core Needle Biopsy Of Lung Or Center Cavity Of Chest (mediastinum), Accessed Thr… 1 1 $3,418.00 $1,709.00 50% off $1,709.00 $1,709.00 $1,709.00 2026-04-28
15277 HCPCS Skin Substitute Graft To Wound 100.0 Sq Cm Or More Of Face, Scalp, Eyelids, Mout… 3 1 $3,408.00 $1,704.00 50% off $858.73 $2,816.04 $1,704.00 2026-04-28
50435 HCPCS Replacement Of Kidney Drainage Tube Using Imaging Guidance With Review By Radiol… 1 1 $3,391.00 $1,695.50 50% off $1,695.50 $1,695.50 $1,695.50 2026-04-28
761-1019 CDM Operating Room Services - Minor Surgery 1 1 $3,346.00 $1,673.00 50% off $1,673.00 $1,673.00 $1,673.00 2026-04-28
73723 HCPCS MRI Scan Of Leg Joint Before And After Contrast 1 1 $3,333.00 $1,666.50 50% off $1,666.50 $1,666.50 $1,666.50 2026-04-28
95805 HCPCS Sleep Study, Multiple Trials 1 1 $3,322.00 $1,661.00 50% off $1,661.00 $1,661.00 $1,661.00 2026-04-28
95807 HCPCS Sleep Study Including Heart Rate And Breathing Attended By Technician 1 1 $3,322.00 $1,661.00 50% off $1,661.00 $1,661.00 $1,661.00 2026-04-28
121-1003 CDM Room & Board - Semi-private (two Beds) - Medical/surgical/gyn 1 1 $3,320.00 $1,660.00 50% off $1,660.00 $1,660.00 $1,660.00 2026-04-28
121-1001 CDM Room & Board - Semi-private (two Beds) - Medical/surgical/gyn 1 1 $3,320.00 $1,660.00 50% off $1,660.00 $1,660.00 $1,660.00 2026-04-28
31624 HCPCS Irrigation And Suction Of Lung Airways To Obtain Cells Using An Endoscope 1 1 $3,263.00 $1,631.50 50% off $1,631.50 $1,631.50 $1,631.50 2026-04-28
31622 HCPCS Diagnostic Exam Of Lung Airway Using An Endoscope 1 1 $3,263.00 $1,631.50 50% off $1,631.50 $1,631.50 $1,631.50 2026-04-28
74176 HCPCS CT Scan Of Abdomen And Pelvis Without Contrast 1 1 $3,256.00 $1,628.00 50% off $1,628.00 $1,628.00 $1,628.00 2026-04-28
36584 HCPCS Replacement Of Peripherally Inserted Central Venous Tube (picc) With Review By R… 1 1 $3,216.00 $1,608.00 50% off $1,608.00 $1,608.00 $1,608.00 2026-04-28
128-1003 CDM Room & Board - Semi-private (two Beds) - Rehabilitation 1 1 $3,215.00 $1,607.50 50% off $1,607.50 $1,607.50 $1,607.50 2026-04-28
128-1001 CDM Room & Board - Semi-private (two Beds) - Rehabilitation 1 1 $3,215.00 $1,607.50 50% off $1,607.50 $1,607.50 $1,607.50 2026-04-28
128-1002 CDM Room & Board - Semi-private (two Beds) - Rehabilitation 1 1 $3,215.00 $1,607.50 50% off $1,607.50 $1,607.50 $1,607.50 2026-04-28
75860 HCPCS Review By Radiologist Of Head Or Neck Vein System Image 1 1 $3,128.00 $1,564.00 50% off $1,564.00 $1,564.00 $1,564.00 2026-04-28
37193 HCPCS Removal Of Vena Cava Filter With Review By Radiologist 1 1 $3,128.00 $1,564.00 50% off $1,564.00 $1,564.00 $1,564.00 2026-04-28
75870 HCPCS Review By Radiologist Of Head Vein System Image 1 1 $3,128.00 $1,564.00 50% off $1,564.00 $1,564.00 $1,564.00 2026-04-28
430-1110 CDM Rev - Occupational Therapy 1 1 $3,080.00 $1,540.00 50% off $1,540.00 $1,540.00 $1,540.00 2026-04-28
74181 HCPCS MRI Scan Of Abdomen Without Contrast 2 1 $3,059.50 $1,529.75 50% off $1,090.00 $1,969.50 $1,529.75 2026-04-28
169-1001 CDM Room & Board - Other - Other 1 1 $3,035.00 $1,517.50 50% off $1,517.50 $1,517.50 $1,517.50 2026-04-28
75880 HCPCS Review By Radiologist Of Eye Socket Vein Of Eye Socket Image 1 1 $3,027.00 $1,513.50 50% off $1,513.50 $1,513.50 $1,513.50 2026-04-28
75872 HCPCS Review By Radiologist Of Spinal Canal Vein Image 1 1 $3,027.00 $1,513.50 50% off $1,513.50 $1,513.50 $1,513.50 2026-04-28
J0585 HCPCS Injection, Onabotulinumtoxina, 1 Unit 1 1 $3,014.19 $1,507.09 50% off $1,507.09 $1,507.09 $1,507.09 2026-04-28
360-5555 CDM Operating Room Services - Minor Surgery 1 1 $2,999.88 $1,499.94 50% off $1,499.94 $1,499.94 $1,499.94 2026-04-28
93306 HCPCS Ultrasound Of Heart With Color-depicted Blood Flow, Rate, Direction And Valve Fu… 1 1 $2,993.00 $1,496.50 50% off $1,496.50 $1,496.50 $1,496.50 2026-04-28
36580 HCPCS Replacement Of Nontunneled Central Venous Tube 1 1 $2,983.00 $1,491.50 50% off $1,491.50 $1,491.50 $1,491.50 2026-04-28
71270 HCPCS CT Scan Of Chest Before And After Contrast 1 1 $2,971.00 $1,485.50 50% off $1,485.50 $1,485.50 $1,485.50 2026-04-28
38505 HCPCS Needle Biopsy Or Removal Of Surface Lymph Nodes 1 1 $2,966.00 $1,483.00 50% off $1,483.00 $1,483.00 $1,483.00 2026-04-28
73202 HCPCS CT Scan Of Arm Before And After Contrast 1 1 $2,936.00 $1,468.00 50% off $1,468.00 $1,468.00 $1,468.00 2026-04-28
360-1025 CDM Operating Room Services - Minor Surgery 1 1 $2,924.00 $1,462.00 50% off $1,462.00 $1,462.00 $1,462.00 2026-04-28
360-1084 CDM Operating Room Services - Minor Surgery 1 1 $2,924.00 $1,462.00 50% off $1,462.00 $1,462.00 $1,462.00 2026-04-28
360-1048 CDM Operating Room Services - Minor Surgery 1 1 $2,900.00 $1,450.00 50% off $1,450.00 $1,450.00 $1,450.00 2026-04-28
192-1001 CDM Subacute Care - Subacute Care - Level Ii 1 1 $2,840.00 $1,420.00 50% off $1,420.00 $1,420.00 $1,420.00 2026-04-28
71260 HCPCS CT Scan Of Chest With Contrast 1 1 $2,829.00 $1,414.50 50% off $1,414.50 $1,414.50 $1,414.50 2026-04-28
360-1006 CDM Operating Room Services - Minor Surgery 1 1 $2,816.00 $1,408.00 50% off $1,408.00 $1,408.00 $1,408.00 2026-04-28
360-1007 CDM Operating Room Services - Minor Surgery 1 1 $2,816.00 $1,408.00 50% off $1,408.00 $1,408.00 $1,408.00 2026-04-28
10180 HCPCS Complex Drainage Of Wound Infection After Surgery 1 1 $2,789.00 $1,394.50 50% off $1,394.50 $1,394.50 $1,394.50 2026-04-28
50200 HCPCS Needle Biopsy Of Kidney 1 1 $2,705.00 $1,352.50 50% off $1,352.50 $1,352.50 $1,352.50 2026-04-28
70480 HCPCS CT Scan Of Cranial Cavity Without Contrast 2 1 $2,701.12 $1,350.56 50% off $884.50 $1,816.62 $1,350.56 2026-04-28
27613 HCPCS Biopsy Of Surface Tissue Of Leg Or Ankle 1 1 $2,696.00 $1,348.00 50% off $1,348.00 $1,348.00 $1,348.00 2026-04-28
25065 HCPCS Biopsy Of Surface Tissue Of Forearm Or Wrist 1 1 $2,696.00 $1,348.00 50% off $1,348.00 $1,348.00 $1,348.00 2026-04-28
360-1087 CDM Operating Room Services - Minor Surgery 1 1 $2,696.00 $1,348.00 50% off $1,348.00 $1,348.00 $1,348.00 2026-04-28
11043 HCPCS Removal Of Muscle And/or Tissue, 20.0 Sq Cm Or Less 1 1 $2,695.00 $1,347.50 50% off $1,347.50 $1,347.50 $1,347.50 2026-04-28
73201 HCPCS CT Scan Of Arm With Contrast 1 1 $2,691.00 $1,345.50 50% off $1,345.50 $1,345.50 $1,345.50 2026-04-28
72196 HCPCS MRI Scan Of Pelvis With Contrast 1 1 $2,650.00 $1,325.00 50% off $1,325.00 $1,325.00 $1,325.00 2026-04-28
72141 HCPCS MRI Scan Of Upper Spinal Canal Without Contrast 1 1 $2,646.00 $1,323.00 50% off $1,323.00 $1,323.00 $1,323.00 2026-04-28
70486 HCPCS CT Scan Of Face Without Contrast 2 1 $2,618.00 $1,309.00 50% off $884.50 $1,733.50 $1,309.00 2026-04-28
15004 HCPCS Preparation Of Skin Graft Site Of Face, Scalp, Eyelids, Mouth, Neck, Ears, Aroun… 1 1 $2,588.00 $1,294.00 50% off $1,294.00 $1,294.00 $1,294.00 2026-04-28
761-2003 CDM Operating Room Services - Minor Surgery 1 1 $2,588.00 $1,294.00 50% off $1,294.00 $1,294.00 $1,294.00 2026-04-28
11047 HCPCS Removal Of Bone, Each Additional 20.0 Sq Cm Or Less 1 1 $2,574.00 $1,287.00 50% off $1,287.00 $1,287.00 $1,287.00 2026-04-28
93307 HCPCS Ultrasound Of Heart 1 1 $2,573.00 $1,286.50 50% off $1,286.50 $1,286.50 $1,286.50 2026-04-28
15272 HCPCS Application Of Skin Substitute Graft To Wound Of Trunk, Arms, Or Legs, Each Addi… 2 1 $2,565.78 $1,282.89 50% off $861.78 $1,704.00 $1,282.89 2026-04-28
36589 HCPCS Removal Of Tunneled Central Venous Tube 1 1 $2,525.00 $1,262.50 50% off $1,262.50 $1,262.50 $1,262.50 2026-04-28
43246 HCPCS Insertion Of Stomach Tube Using A Flexible Endoscope 1 1 $2,516.00 $1,258.00 50% off $1,258.00 $1,258.00 $1,258.00 2026-04-28
71250 HCPCS CT Scan Of Chest Without Contrast 1 1 $2,496.00 $1,248.00 50% off $1,248.00 $1,248.00 $1,248.00 2026-04-28
90935 HCPCS Hemodialysis Procedure With Physician Evaluation 1 1 $2,485.00 $1,242.50 50% off $1,242.50 $1,242.50 $1,242.50 2026-04-28
430-1051 CDM Rev - Occupational Therapy 1 1 $2,475.00 $1,237.50 50% off $1,237.50 $1,237.50 $1,237.50 2026-04-28
430-1055 CDM Rev - Occupational Therapy 1 1 $2,475.00 $1,237.50 50% off $1,237.50 $1,237.50 $1,237.50 2026-04-28
73200 HCPCS CT Scan Of Arm Without Contrast 1 1 $2,446.00 $1,223.00 50% off $1,223.00 $1,223.00 $1,223.00 2026-04-28
45338 HCPCS Removal Of Polyps Or Growths Of Lower Large Bowel Using A Flexible Endoscope Wit… 1 1 $2,414.00 $1,207.00 50% off $1,207.00 $1,207.00 $1,207.00 2026-04-28
74182 HCPCS MRI Scan Of Abdomen With Contrast 1 1 $2,405.00 $1,202.50 50% off $1,202.50 $1,202.50 $1,202.50 2026-04-28
73722 HCPCS MRI Scan Of Leg Joint With Contrast 1 1 $2,405.00 $1,202.50 50% off $1,202.50 $1,202.50 $1,202.50 2026-04-28
72195 HCPCS MRI Scan Of Pelvis Without Contrast 1 1 $2,398.00 $1,199.00 50% off $1,199.00 $1,199.00 $1,199.00 2026-04-28
360-1004 CDM Operating Room Services - Minor Surgery 1 1 $2,376.00 $1,188.00 50% off $1,188.00 $1,188.00 $1,188.00 2026-04-28
360-1009 CDM Operating Room Services - Minor Surgery 1 1 $2,376.00 $1,188.00 50% off $1,188.00 $1,188.00 $1,188.00 2026-04-28
360-1011 CDM Operating Room Services - Minor Surgery 1 1 $2,376.00 $1,188.00 50% off $1,188.00 $1,188.00 $1,188.00 2026-04-28
360-1008 CDM Operating Room Services - Minor Surgery 1 1 $2,376.00 $1,188.00 50% off $1,188.00 $1,188.00 $1,188.00 2026-04-28
360-1010 CDM Operating Room Services - Minor Surgery 1 1 $2,376.00 $1,188.00 50% off $1,188.00 $1,188.00 $1,188.00 2026-04-28
360-1012 CDM Operating Room Services - Minor Surgery 1 1 $2,376.00 $1,188.00 50% off $1,188.00 $1,188.00 $1,188.00 2026-04-28
360-1005 CDM Operating Room Services - Minor Surgery 1 1 $2,376.00 $1,188.00 50% off $1,188.00 $1,188.00 $1,188.00 2026-04-28
Q4104 HCPCS Integra Bilayer Matrix Wound Dressing (bmwd), Per Square Centimeter 1 1 $2,332.00 $1,166.00 50% off $1,166.00 $1,166.00 $1,166.00 2026-04-28
Q4140 HCPCS Biodfence, Per Square Centimeter 1 1 $2,332.00 $1,166.00 50% off $1,166.00 $1,166.00 $1,166.00 2026-04-28
100-1001 CDM All Inclusive Rate - All-inclusive Room And Board Plus Ancillary 1 1 $2,315.00 $1,157.50 50% off $1,157.50 $1,157.50 $1,157.50 2026-04-28
73702 HCPCS CT Scan Of Leg Before And After Contrast 1 1 $2,311.00 $1,155.50 50% off $1,155.50 $1,155.50 $1,155.50 2026-04-28
72133 HCPCS CT Scan Of Lower Spine Before And After Contrast 1 1 $2,311.00 $1,155.50 50% off $1,155.50 $1,155.50 $1,155.50 2026-04-28
72130 HCPCS CT Scan Of Middle Spine Before And After Contrast 1 1 $2,311.00 $1,155.50 50% off $1,155.50 $1,155.50 $1,155.50 2026-04-28
72127 HCPCS CT Scan Of Upper Spine Before And After Contrast 1 1 $2,311.00 $1,155.50 50% off $1,155.50 $1,155.50 $1,155.50 2026-04-28
70492 HCPCS CT Scan Of Soft Tissue Of Neck Before And After Contrast 1 1 $2,311.00 $1,155.50 50% off $1,155.50 $1,155.50 $1,155.50 2026-04-28
70482 HCPCS CT Scan Of Cranial Cavity Before And After Contrast 1 1 $2,311.00 $1,155.50 50% off $1,155.50 $1,155.50 $1,155.50 2026-04-28
77012 HCPCS Review By Radiologist Of CT Guidance For Needle Placement 1 1 $2,311.00 $1,155.50 50% off $1,155.50 $1,155.50 $1,155.50 2026-04-28
70488 HCPCS CT Scan Of Face Before And After Contrast 1 1 $2,311.00 $1,155.50 50% off $1,155.50 $1,155.50 $1,155.50 2026-04-28
P9035 HCPCS Platelets, Pheresis, Leukocytes Reduced, Each Unit 1 1 $2,300.00 $1,150.00 50% off $1,150.00 $1,150.00 $1,150.00 2026-04-28
71551 HCPCS MRI Scan Of Chest With Contrast 1 1 $2,295.00 $1,147.50 50% off $1,147.50 $1,147.50 $1,147.50 2026-04-28
360-1017 CDM Operating Room Services - Minor Surgery 1 1 $2,287.00 $1,143.50 50% off $1,143.50 $1,143.50 $1,143.50 2026-04-28
360-1071 CDM Operating Room Services - Minor Surgery 1 1 $2,287.00 $1,143.50 50% off $1,143.50 $1,143.50 $1,143.50 2026-04-28
360-1013 CDM Operating Room Services - Minor Surgery 1 1 $2,287.00 $1,143.50 50% off $1,143.50 $1,143.50 $1,143.50 2026-04-28
43761 HCPCS Repositioning Of Oral Or Nasal Feeding Tube In Small Bowel 1 1 $2,287.00 $1,143.50 50% off $1,143.50 $1,143.50 $1,143.50 2026-04-28
360-1014 CDM Operating Room Services - Minor Surgery 1 1 $2,287.00 $1,143.50 50% off $1,143.50 $1,143.50 $1,143.50 2026-04-28
360-1015 CDM Operating Room Services - Minor Surgery 1 1 $2,287.00 $1,143.50 50% off $1,143.50 $1,143.50 $1,143.50 2026-04-28
360-1070 CDM Operating Room Services - Minor Surgery 1 1 $2,287.00 $1,143.50 50% off $1,143.50 $1,143.50 $1,143.50 2026-04-28
360-1016 CDM Operating Room Services - Minor Surgery 1 1 $2,287.00 $1,143.50 50% off $1,143.50 $1,143.50 $1,143.50 2026-04-28
96132 HCPCS Evaluation Of Neuropsychological Test, First Hour 2 1 $2,236.00 $1,118.00 50% off $748.00 $1,488.00 $1,118.00 2026-04-28
15276 HCPCS Application Of Skin Substitute Graft To Wound Of Face, Scalp, Eyelids, Mouth, Ne… 2 1 $2,233.28 $1,116.64 50% off $861.78 $1,371.50 $1,116.64 2026-04-28
50431 HCPCS Injection Procedure For Imaging Of Kidney And Ureter Through Already Existing Sk… 1 1 $2,215.00 $1,107.50 50% off $1,107.50 $1,107.50 $1,107.50 2026-04-28
72129 HCPCS CT Scan Of Middle Spine With Contrast 1 1 $2,202.00 $1,101.00 50% off $1,101.00 $1,101.00 $1,101.00 2026-04-28
72270 HCPCS Review By Radiologist Of Multiple Spinal Canals Image 1 1 $2,199.00 $1,099.50 50% off $1,099.50 $1,099.50 $1,099.50 2026-04-28
72265 HCPCS Review By Radiologist Of Lower Spinal Canal Image 1 1 $2,199.00 $1,099.50 50% off $1,099.50 $1,099.50 $1,099.50 2026-04-28
72240 HCPCS Review By Radiologist Of Upper Spinal Canal Image 1 1 $2,199.00 $1,099.50 50% off $1,099.50 $1,099.50 $1,099.50 2026-04-28
73219 HCPCS MRI Scan Of Arm With Contrast 1 1 $2,186.00 $1,093.00 50% off $1,093.00 $1,093.00 $1,093.00 2026-04-28
71550 HCPCS MRI Scan Of Chest Without Contrast 1 1 $2,186.00 $1,093.00 50% off $1,093.00 $1,093.00 $1,093.00 2026-04-28
70542 HCPCS MRI Scan Of Bone Of Eye Socket, Face, And/or Neck With Contrast 1 1 $2,186.00 $1,093.00 50% off $1,093.00 $1,093.00 $1,093.00 2026-04-28
93970 HCPCS Ultrasound Study Of Arm Or Leg Veins With Compression And Maneuvers 1 1 $2,147.00 $1,073.50 50% off $1,073.50 $1,073.50 $1,073.50 2026-04-28
36598 HCPCS Contrast Injection For Imaging To Evaluate Central Venous Access Device 1 1 $2,116.00 $1,058.00 50% off $1,058.00 $1,058.00 $1,058.00 2026-04-28
70487 HCPCS CT Scan Of Face With Contrast 1 1 $2,101.00 $1,050.50 50% off $1,050.50 $1,050.50 $1,050.50 2026-04-28
70481 HCPCS CT Scan Of Cranial Cavity With Contrast 1 1 $2,101.00 $1,050.50 50% off $1,050.50 $1,050.50 $1,050.50 2026-04-28
72126 HCPCS CT Scan Of Upper Spine With Contrast 1 1 $2,097.00 $1,048.50 50% off $1,048.50 $1,048.50 $1,048.50 2026-04-28
44500 HCPCS Dilation Of Stomach And/or Small Bowel Using Long Gastrointestinal Tube 1 1 $2,087.00 $1,043.50 50% off $1,043.50 $1,043.50 $1,043.50 2026-04-28
140-1000 CDM Room & Board - Deluxe Private - General Classification 1 1 $2,075.00 $1,037.50 50% off $1,037.50 $1,037.50 $1,037.50 2026-04-28
70460 HCPCS CT Scan Head Or Brain With Contrast 1 1 $2,065.00 $1,032.50 50% off $1,032.50 $1,032.50 $1,032.50 2026-04-28
74246 HCPCS Double Contrast X-ray Of Upper Digestive Tract 1 1 $2,035.00 $1,017.50 50% off $1,017.50 $1,017.50 $1,017.50 2026-04-28
74160 HCPCS CT Scan Of Abdomen With Contrast 1 1 $1,997.00 $998.50 50% off $998.50 $998.50 $998.50 2026-04-28
73701 HCPCS CT Scan Of Leg With Contrast Material 1 1 $1,997.00 $998.50 50% off $998.50 $998.50 $998.50 2026-04-28
72132 HCPCS CT Scan Of Lower Spine With Contrast 1 1 $1,997.00 $998.50 50% off $998.50 $998.50 $998.50 2026-04-28
72128 HCPCS CT Scan Of Middle Spine Without Contrast 1 1 $1,997.00 $998.50 50% off $998.50 $998.50 $998.50 2026-04-28
72125 HCPCS CT Scan Of Upper Spine Without Contrast 1 1 $1,997.00 $998.50 50% off $998.50 $998.50 $998.50 2026-04-28
360-1052 CDM Operating Room Services - Minor Surgery 1 1 $1,991.00 $995.50 50% off $995.50 $995.50 $995.50 2026-04-28
73721 HCPCS MRI Scan Of Leg Joint Without Contrast 1 1 $1,982.00 $991.00 50% off $991.00 $991.00 $991.00 2026-04-28
73218 HCPCS MRI Scan Of Arm Without Contrast 1 1 $1,982.00 $991.00 50% off $991.00 $991.00 $991.00 2026-04-28
90945 HCPCS Dialysis Procedure Including 1 Evaluation 1 1 $1,954.00 $977.00 50% off $977.00 $977.00 $977.00 2026-04-28
62270 HCPCS Removal Of Cerebrospinal Fluid With Lower Back Spinal Tap For Diagnostic Test 1 1 $1,908.00 $954.00 50% off $954.00 $954.00 $954.00 2026-04-28
430-1044 CDM Rev - Occupational Therapy 1 1 $1,880.00 $940.00 50% off $940.00 $940.00 $940.00 2026-04-28
761-1045 CDM Operating Room Services - Minor Surgery 1 1 $1,850.00 $925.00 50% off $925.00 $925.00 $925.00 2026-04-28
72193 HCPCS CT Scan Of Pelvis With Contrast 1 1 $1,815.00 $907.50 50% off $907.50 $907.50 $907.50 2026-04-28
15002 HCPCS Preparation Of Skin Graft Site Of Trunk, Arms, Or Legs, 100.0 Sq Cm Or 1% Body A… 1 1 $1,790.00 $895.00 50% off $895.00 $895.00 $895.00 2026-04-28
13160 HCPCS Extensive Or Complicated Repair Of Surface Wound Reopening 1 1 $1,790.00 $895.00 50% off $895.00 $895.00 $895.00 2026-04-28
15200 HCPCS Full Thickness Skin Graft To Trunk, 20.0 Sq Cm Or Less 1 1 $1,790.00 $895.00 50% off $895.00 $895.00 $895.00 2026-04-28
70450 HCPCS CT Scan Head Or Brain Without Contrast 1 1 $1,788.00 $894.00 50% off $894.00 $894.00 $894.00 2026-04-28
70491 HCPCS CT Scan Of Soft Tissue Of Neck With Contrast 1 1 $1,769.00 $884.50 50% off $884.50 $884.50 $884.50 2026-04-28
160-1071 CDM Room & Board - Other - General Classification 1 1 $1,750.00 $875.00 50% off $875.00 $875.00 $875.00 2026-04-28
160-1070 CDM Room & Board - Other - General Classification 1 1 $1,750.00 $875.00 50% off $875.00 $875.00 $875.00 2026-04-28
160-1012 CDM Room & Board - Other - General Classification 1 1 $1,750.00 $875.00 50% off $875.00 $875.00 $875.00 2026-04-28
160-1046 CDM Room & Board - Other - General Classification 1 1 $1,750.00 $875.00 50% off $875.00 $875.00 $875.00 2026-04-28
160-1049 CDM Room & Board - Other - General Classification 1 1 $1,750.00 $875.00 50% off $875.00 $875.00 $875.00 2026-04-28
160-1045 CDM Room & Board - Other - General Classification 1 1 $1,750.00 $875.00 50% off $875.00 $875.00 $875.00 2026-04-28
160-1002 CDM Room & Board - Other - General Classification 1 1 $1,750.00 $875.00 50% off $875.00 $875.00 $875.00 2026-04-28
160-1048 CDM Room & Board - Other - General Classification 1 1 $1,750.00 $875.00 50% off $875.00 $875.00 $875.00 2026-04-28
160-1057 CDM Room & Board - Other - General Classification 1 1 $1,750.00 $875.00 50% off $875.00 $875.00 $875.00 2026-04-28
160-1013 CDM Room & Board - Other - General Classification 1 1 $1,750.00 $875.00 50% off $875.00 $875.00 $875.00 2026-04-28
160-1034 CDM Room & Board - Other - General Classification 1 1 $1,750.00 $875.00 50% off $875.00 $875.00 $875.00 2026-04-28
160-1023 CDM Room & Board - Other - General Classification 1 1 $1,750.00 $875.00 50% off $875.00 $875.00 $875.00 2026-04-28
160-1060 CDM Room & Board - Other - General Classification 1 1 $1,750.00 $875.00 50% off $875.00 $875.00 $875.00 2026-04-28
160-1036 CDM Room & Board - Other - General Classification 1 1 $1,750.00 $875.00 50% off $875.00 $875.00 $875.00 2026-04-28
160-1056 CDM Room & Board - Other - General Classification 1 1 $1,750.00 $875.00 50% off $875.00 $875.00 $875.00 2026-04-28
160-1037 CDM Room & Board - Other - General Classification 1 1 $1,750.00 $875.00 50% off $875.00 $875.00 $875.00 2026-04-28
160-1067 CDM Room & Board - Other - General Classification 1 1 $1,750.00 $875.00 50% off $875.00 $875.00 $875.00 2026-04-28
160-1068 CDM Room & Board - Other - General Classification 1 1 $1,750.00 $875.00 50% off $875.00 $875.00 $875.00 2026-04-28
160-1078 CDM Room & Board - Other - General Classification 1 1 $1,750.00 $875.00 50% off $875.00 $875.00 $875.00 2026-04-28
160-1003 CDM Room & Board - Other - General Classification 1 1 $1,750.00 $875.00 50% off $875.00 $875.00 $875.00 2026-04-28
160-1058 CDM Room & Board - Other - General Classification 1 1 $1,750.00 $875.00 50% off $875.00 $875.00 $875.00 2026-04-28
160-1059 CDM Room & Board - Other - General Classification 1 1 $1,750.00 $875.00 50% off $875.00 $875.00 $875.00 2026-04-28
160-1069 CDM Room & Board - Other - General Classification 1 1 $1,750.00 $875.00 50% off $875.00 $875.00 $875.00 2026-04-28
160-1027 CDM Room & Board - Other - General Classification 1 1 $1,750.00 $875.00 50% off $875.00 $875.00 $875.00 2026-04-28
160-1035 CDM Room & Board - Other - General Classification 1 1 $1,750.00 $875.00 50% off $875.00 $875.00 $875.00 2026-04-28
160-1004 CDM Room & Board - Other - General Classification 1 1 $1,750.00 $875.00 50% off $875.00 $875.00 $875.00 2026-04-28
160-1014 CDM Room & Board - Other - General Classification 1 1 $1,750.00 $875.00 50% off $875.00 $875.00 $875.00 2026-04-28
160-1024 CDM Room & Board - Other - General Classification 1 1 $1,750.00 $875.00 50% off $875.00 $875.00 $875.00 2026-04-28
160-1001 CDM Room & Board - Other - General Classification 1 1 $1,750.00 $875.00 50% off $875.00 $875.00 $875.00 2026-04-28
160-1038 CDM Room & Board - Other - General Classification 1 1 $1,750.00 $875.00 50% off $875.00 $875.00 $875.00 2026-04-28
160-1016 CDM Room & Board - Other - General Classification 1 1 $1,750.00 $875.00 50% off $875.00 $875.00 $875.00 2026-04-28
160-1047 CDM Room & Board - Other - General Classification 1 1 $1,750.00 $875.00 50% off $875.00 $875.00 $875.00 2026-04-28
160-1026 CDM Room & Board - Other - General Classification 1 1 $1,750.00 $875.00 50% off $875.00 $875.00 $875.00 2026-04-28
160-1015 CDM Room & Board - Other - General Classification 1 1 $1,750.00 $875.00 50% off $875.00 $875.00 $875.00 2026-04-28
160-1025 CDM Room & Board - Other - General Classification 1 1 $1,750.00 $875.00 50% off $875.00 $875.00 $875.00 2026-04-28
160-1005 CDM Room & Board - Other - General Classification 1 1 $1,750.00 $875.00 50% off $875.00 $875.00 $875.00 2026-04-28
93975 HCPCS Complete Ultrasound Of Abdomen And Pelvis Artery And Vein Blood Flow 1 1 $1,724.00 $862.00 50% off $862.00 $862.00 $862.00 2026-04-28
94002 HCPCS Initial Hospital Inpatient Or Observation Ventilation Assistance And Management 1 1 $1,694.00 $847.00 50% off $847.00 $847.00 $847.00 2026-04-28
73700 HCPCS CT Scan Of Leg Without Contrast 2 1 $1,680.00 $840.00 50% off $786.00 $894.00 $840.00 2026-04-28
430-1046 CDM Rev - Occupational Therapy 1 1 $1,650.00 $825.00 50% off $825.00 $825.00 $825.00 2026-04-28
430-1050 CDM Rev - Occupational Therapy 1 1 $1,650.00 $825.00 50% off $825.00 $825.00 $825.00 2026-04-28
430-1052 CDM Rev - Occupational Therapy 1 1 $1,650.00 $825.00 50% off $825.00 $825.00 $825.00 2026-04-28
360-1060 CDM Operating Room Services - General Classification 1 1 $1,648.00 $824.00 50% off $824.00 $824.00 $824.00 2026-04-28
72192 HCPCS CT Scan Of Pelvis Without Contrast 1 1 $1,612.00 $806.00 50% off $806.00 $806.00 $806.00 2026-04-28
51600 HCPCS Injection Procedure For Imaging Of Bladder During Voiding 1 1 $1,606.00 $803.00 50% off $803.00 $803.00 $803.00 2026-04-28
72131 HCPCS CT Scan Of Lower Spine Without Contrast 1 1 $1,597.00 $798.50 50% off $798.50 $798.50 $798.50 2026-04-28
74150 HCPCS CT Scan Of Abdomen Without Contrast 1 1 $1,572.00 $786.00 50% off $786.00 $786.00 $786.00 2026-04-28
36573 HCPCS Insertion Of Tube For Infusion With Imaging Guidance And Review By Radiologist, … 1 1 $1,572.00 $786.00 50% off $786.00 $786.00 $786.00 2026-04-28
36568 HCPCS Insertion Of Tube For Infusion (younger Than 5 Years) 1 1 $1,572.00 $786.00 50% off $786.00 $786.00 $786.00 2026-04-28
70490 HCPCS CT Scan Of Soft Tissue Of Neck Without Contrast 1 1 $1,572.00 $786.00 50% off $786.00 $786.00 $786.00 2026-04-28
36590 HCPCS Removal Of Central Venous Tube With Port Or Pump 1 1 $1,550.00 $775.00 50% off $775.00 $775.00 $775.00 2026-04-28
81331 HCPCS Methylation Analysis (small Nuclear Ribonucleoprotein Polypeptide N And Ubiquiti… 1 1 $1,540.00 $770.00 50% off $770.00 $770.00 $770.00 2026-04-28
11042 HCPCS Removal Of Skin And Tissue, 20.0 Sq Cm Or Less 2 1 $1,522.50 $761.25 50% off $725.00 $797.50 $761.25 2026-04-28
87633 HCPCS Detection Test By Nucleic Acid For Multiple Types Of Respiratory Virus, Multiple… 1 1 $1,503.00 $751.50 50% off $751.50 $751.50 $751.50 2026-04-28
430-1130 CDM Rev - Occupational Therapy 1 1 $1,500.00 $750.00 50% off $750.00 $750.00 $750.00 2026-04-28
43752 HCPCS Insertion Of Stomach Tube Through Nose Or Mouth Using Fluoroscopic Guidance 1 1 $1,493.00 $746.50 50% off $746.50 $746.50 $746.50 2026-04-28
93930 HCPCS Ultrasound Of Arm Arteries Or Artery Grafts 1 1 $1,488.00 $744.00 50% off $744.00 $744.00 $744.00 2026-04-28
360-1019 CDM Operating Room Services - Minor Surgery 1 1 $1,484.00 $742.00 50% off $742.00 $742.00 $742.00 2026-04-28
94003 HCPCS Follow-up Inpatient Or Observation Ventilation Assistance And Management 1 1 $1,464.00 $732.00 50% off $732.00 $732.00 $732.00 2026-04-28
76856 HCPCS Complete Ultrasound Scan Of Pelvis 1 1 $1,453.00 $726.50 50% off $726.50 $726.50 $726.50 2026-04-28
270-0379 CDM Flexiseal Fecal Collection Sys 1 1 $1,432.00 $716.00 50% off $716.00 $716.00 $716.00 2026-04-28
86932 HCPCS Freezing And Thawing Of Blood Unit 1 1 $1,425.00 $712.50 50% off $712.50 $712.50 $712.50 2026-04-28
A7520 HCPCS Tracheostomy/laryngectomy Tube, Non-cuffed, Polyvinylchloride (pvc), Silicone Or… 1 1 $1,418.00 $709.00 50% off $709.00 $709.00 $709.00 2026-04-28
270-1542 CDM Dressing Micromatris Particles 1 1 $1,408.00 $704.00 50% off $704.00 $704.00 $704.00 2026-04-28
93925 HCPCS Ultrasound Of Leg Arteries Or Artery Grafts 1 1 $1,384.00 $692.00 50% off $692.00 $692.00 $692.00 2026-04-28
761-4011 CDM Operating Room Services - Minor Surgery 1 1 $1,330.00 $665.00 50% off $665.00 $665.00 $665.00 2026-04-28
190-1001 CDM Subacute Care - General Classification 1 1 $1,320.00 $660.00 50% off $660.00 $660.00 $660.00 2026-04-28
270-1541 CDM Dressing Matristem Sheet 3x7 1 1 $1,319.00 $659.50 50% off $659.50 $659.50 $659.50 2026-04-28
360-1046 CDM Operating Room Services - Minor Surgery 1 1 $1,280.00 $640.00 50% off $640.00 $640.00 $640.00 2026-04-28
Q4118 HCPCS Matristem Micromatrix, 1 Mg 1 1 $1,280.00 $640.00 50% off $640.00 $640.00 $640.00 2026-04-28
85613 HCPCS Clotting Factor X Assessment Test, Diluted 1 1 $1,279.00 $639.50 50% off $639.50 $639.50 $639.50 2026-04-28
94660 HCPCS Therapy Procedure Using A Positive Pressure Ventilator 3 1 $1,271.00 $635.50 50% off $279.50 $842.00 $635.50 2026-04-28
76770 HCPCS Complete Ultrasound Scan Behind Abdominal Cavity 2 1 $1,265.50 $632.75 50% off $632.00 $633.50 $632.75 2026-04-28
64645 HCPCS Injection Of Chemical For Paralysis Of Nerve Muscles On Arm Or Leg, 5 Or More Mu… 1 1 $1,265.00 $632.50 50% off $632.50 $632.50 $632.50 2026-04-28
76942 HCPCS Ultrasonic Guidance For Needle Placement 1 1 $1,236.00 $618.00 50% off $618.00 $618.00 $618.00 2026-04-28
43763 HCPCS Replacement Of Stomach Stoma Tube With Revision Of Stoma Opening 1 1 $1,215.00 $607.50 50% off $607.50 $607.50 $607.50 2026-04-28
43762 HCPCS Replacement Of Stomach Stoma Tube 1 1 $1,215.00 $607.50 50% off $607.50 $607.50 $607.50 2026-04-28
76641 HCPCS Complete Ultrasound Scan Of 1 Breast 1 1 $1,210.00 $605.00 50% off $605.00 $605.00 $605.00 2026-04-28
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