Hospital

JEFFERSON MEDICAL CENTER

Ranson, WV · CCN 511319 · Rates published

2,669 distinct procedures filed

28 distinct payers

79,084 rate rows

2026-05-13 last MRF observed

Data quality

9,441 of 79,084 rate rows are consumer-grade (11.9%)

69,643 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	68,837
per-diem day rate — not a per-procedure price	494
exceeds 10× this hospital's gross charge — excluded from medians	173
template filing: same amount across many unrelated codes — excluded	138
placeholder amount (≤ $0.02) — excluded from medians	1

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

Source MRF file	https://wvumedicine.org/wp-content/uploads/2026/04/550359755_Jefferson-Medical-Center-_standardcharges.csv
Found on page	https://wvumedicine.org/billing-and-insurance/costs-and-charges/
Discovered via	CMS hospital list
Last fetch	not_modified · 2026-05-18
Content fingerprint	c76ff1252d1aa6d2… · 12,553,514 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
J9029 CPT	Instill Adstiladrin, Tx Dose	27	$101,970.00	$101,970.00	$101,970.00	nat. median $69,774 1.5× median
J9226 CPT	Supprelin La Implant	27	$73,550.30	$73,550.30	$73,550.30	nat. median $60,368 1.2× median
J0480 CPT	Basiliximab	27	$7,385.85	$7,385.85	$7,385.85	nat. median $6,963 1.1× median
J2787 CPT	Riboflavin 5'phos Opth<=3ml	27	$4,108.50	$4,108.50	$4,108.50	nat. median $3,848 1.1× median
J3240 CPT	Thyrotropin Injection	27	$3,334.93	$3,334.93	$3,334.93	nat. median $2,976 1.1× median
J1950 CPT	Leuprolide Acetate /3.75 Mg	27	$2,581.59	$2,581.59	$2,581.59	nat. median $4,345 0.6× median
J7298 CPT	Mirena, 52 Mg	27	$2,290.45	$2,290.45	$2,290.45	nat. median $1,692 1.4× median
J7296 CPT	Kyleena, 19.5 Mg	27	$2,290.45	$2,290.45	$2,290.45	nat. median $1,626 1.4× median
J9357 CPT	Valrubicin Injection	27	$2,250.35	$2,250.35	$2,250.35	nat. median $1,873 1.2× median
J7300 CPT	Intra Copp Contra (paragard)	27	$2,148.30	$2,148.30	$2,148.30	nat. median $1,690 1.3× median
94799 CPT	Unlisted Pulmonary Svc/px	12	$1,937.62	$1,937.62	$1,937.62	nat. median $165 outlier · 11.8×
94667 CPT	Chest Wall Manipulation	12	$1,937.62	$1,937.62	$1,937.62	nat. median $153 outlier · 12.7×
94644 CPT	Cbt 1st Hour	12	$1,937.62	$1,937.62	$1,937.62	nat. median $186 outlier · 10.4×
94664 CPT	Evaluate Pt Use Of Inhaler	12	$1,937.62	$1,937.62	$1,937.62	nat. median $189 outlier · 10.3×
94660 CPT	Pos Airway Pressure Cpap	12	$1,937.62	$1,937.62	$1,937.62	nat. median $375 outlier · 5.2×
94668 CPT	Chest Wall Manipulation	12	$1,937.62	$1,937.62	$1,937.62	nat. median $136 outlier · 14.3×
99465 CPT	Nb Resuscitation	2	$1,937.62	$1,937.62	$1,937.62	nat. median $682 outlier · 2.8×
94669 CPT	Mechanical Chest Wall Oscill	12	$1,937.62	$1,937.62	$1,937.62	nat. median $214 outlier · 9.1×
110474211 CPT	Hchg Belotero Balance With Lidocaine Per 1ml Syringe	12	$1,937.62	$1,937.62	$1,937.62	—
110337211 CPT	Hchg Bupivacaine Hcl Pf (marcaine) 0.25% Inj Per 1ml	12	$1,937.62	$1,937.62	$1,937.62	—
94002 CPT	Vent Mgmt Inpat Init Day	12	$1,937.62	$1,937.62	$1,937.62	nat. median $929 outlier · 2.1×
919607211 CPT	Hchg Silver Nitrate Swabs - Each	12	$1,937.62	$1,937.62	$1,937.62	—
100008211 CPT	Hchg Isolation Room	12	$1,937.62	$1,937.62	$1,937.62	—
94003 CPT	Vent Mgmt Inpat Subq Day	12	$1,937.62	$1,937.62	$1,937.62	nat. median $828 outlier · 2.3×
94640 CPT	Airway Inhalation Treatment	12	$1,937.62	$1,937.62	$1,937.62	nat. median $195 outlier · 10.0×
94645 CPT	Cbt Each Addl Hour	12	$1,937.62	$1,937.62	$1,937.62	nat. median $136 outlier · 14.2×
100109211 CPT	Hchg Birthing Room - L&d	12	$1,937.62	$1,937.62	$1,937.62	—
100010211 CPT	Hchg Newborn Room	12	$1,937.62	$1,937.62	$1,937.62	—
100117211 CPT	Hchg Transitional Care Bed	12	$1,937.62	$1,937.62	$1,937.62	—
919606211 CPT	Hchg Silvadene 1% Cream, Per 1 Gm	12	$1,937.62	$1,937.62	$1,937.62	—
100020211 CPT	Hchg Routine Room	12	$1,937.62	$1,937.62	$1,937.62	—
89220 CPT	Sputum Specimen Collection	12	$1,937.62	$1,937.62	$1,937.62	nat. median $161 outlier · 12.1×
110471211 CPT	Hchg Juv Derm Vollure Per 1ml Syringe	12	$1,937.62	$1,937.62	$1,937.62	—
110323211 CPT	Hchg Methotrexate Ophth 400mcg/0.1ml Per Dose	12	$1,937.62	$1,937.62	$1,937.62	—
110299211 CPT	Hchg Gi Cocktail - Maalox Max 10ml & Lidocane Viscous 2% 5ml- Per 15ml	12	$1,937.62	$1,937.62	$1,937.62	—
100015211 CPT	Hchg OB Room	12	$1,937.62	$1,937.62	$1,937.62	—
110333211 CPT	Hchg Sufentanil 50mcg/ml Inj (sufenta) - Per 1ml	12	$1,937.62	$1,937.62	$1,937.62	—
110334211 CPT	Hchg Ganciclovir Ophth 2mg/0.1ml Per Dose	12	$1,937.62	$1,937.62	$1,937.62	—
110472211 CPT	Hchg Restylane Per 1ml Syringe	12	$1,937.62	$1,937.62	$1,937.62	—
110348211 CPT	Hchg Inject, Intravitreal Vancomycin, Per Dose	12	$1,937.62	$1,937.62	$1,937.62	—
110356211 CPT	Hchg Hydralazine Per 25 Mg Tab	12	$1,937.62	$1,937.62	$1,937.62	—
100007211 CPT	Hchg Intensive Care Room	12	$1,937.62	$1,937.62	$1,937.62	—
110407211 CPT	Hchg Clindamycin Intravitreal Inj Per 1mg/0.1ml	12	$1,937.62	$1,937.62	$1,937.62	—
100022211 CPT	Hchg Telemetry Room	12	$1,937.62	$1,937.62	$1,937.62	—
919605211 CPT	Hchg Phenol Ez Swabs Each	12	$1,937.62	$1,937.62	$1,937.62	—
110480211 CPT	Hchg Sodium Tetradecyl Sulfate (sotradecol) Per 1ml	12	$1,937.62	$1,937.62	$1,937.62	—
110283211 CPT	Hchg Sodium Chloride Syringe	12	$1,937.62	$1,937.62	$1,937.62	—
919608211 CPT	Hchg Triple Antibiotic Ointment (neosporin) Unit Dose Packets	12	$1,937.62	$1,937.62	$1,937.62	—
110467211 CPT	Hchg Juv Derm Ultra Plus Xc Per (1) 0.55ml Syringe	12	$1,937.62	$1,937.62	$1,937.62	—
110469211 CPT	Hchg Juv Derm Volbella Xc Per (1) 0.55ml Syringe	12	$1,937.62	$1,937.62	$1,937.62	—

Other procedures at this hospital

Browse this hospital's 2,669 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

J9029	CPT	Instill Adstiladrin, Tx Dose	30	27	$138,420.00	$69,210.00 50% off	$101,970.00	$101,970.00	$101,970.00	2026-05-13
J9226	CPT	Supprelin La Implant	30	27	$150,543.00	$75,271.50 50% off	$73,550.30	$73,550.30	$73,550.30	2026-05-13
J0480	CPT	Basiliximab	30	27	$13,463.00	$6,731.50 50% off	$7,385.85	$7,385.85	$7,385.85	2026-05-13
J2787	CPT	Riboflavin 5'phos Opth<=3ml	30	27	$13,680.00	$6,840.00 50% off	$4,108.50	$4,108.50	$4,108.50	2026-05-13
J3240	CPT	Thyrotropin Injection	30	27	$6,067.00	$3,033.50 50% off	$3,334.93	$3,334.93	$3,334.93	2026-05-13
J1950	CPT	Leuprolide Acetate /3.75 Mg	30	27	$5,215.00	$2,607.50 50% off	$2,581.59	$2,581.59	$2,581.59	2026-05-13
J7298	CPT	Mirena, 52 Mg	30	27	$3,644.00	$1,822.00 50% off	$2,290.45	$2,290.45	$2,290.45	2026-05-13
J7296	CPT	Kyleena, 19.5 Mg	30	27	$3,644.00	$1,822.00 50% off	$2,290.45	$2,290.45	$2,290.45	2026-05-13
J9357	CPT	Valrubicin Injection	30	27	$4,088.00	$2,044.00 50% off	$2,250.35	$2,250.35	$2,250.35	2026-05-13
J7300	CPT	Intra Copp Contra (paragard)	30	27	$3,127.00	$1,563.50 50% off	$2,148.30	$2,148.30	$2,148.30	2026-05-13
110471211	CPT	Hchg Juv Derm Vollure Per 1ml Syringe	12	12	$1,128.00	$564.00 50% off	$1,937.62	$1,937.62	$1,937.62	2026-05-13
300003211	CPT	Hchg Delivery Charge	12	12	$7,638.00	$3,819.00 50% off	$1,937.62	$1,937.62	$1,937.62	2026-05-13
110348211	CPT	Hchg Inject, Intravitreal Vancomycin, Per Dose	12	12	$1.00	$0.50 50% off	$1,937.62	$1,937.62	$1,937.62	2026-05-13
94664	CPT	Evaluate Pt Use Of Inhaler	12	12	$225.00	$112.50 50% off	$1,937.62	$1,937.62	$1,937.62	2026-05-13
100008211	CPT	Hchg Isolation Room	13	12	$2,549.00	$1,274.50 50% off	$1,937.62	$1,937.62	$1,937.62	2026-05-13
110334211	CPT	Hchg Ganciclovir Ophth 2mg/0.1ml Per Dose	12	12	$1.00	$0.50 50% off	$1,937.62	$1,937.62	$1,937.62	2026-05-13
110333211	CPT	Hchg Sufentanil 50mcg/ml Inj (sufenta) - Per 1ml	12	12	$35.00	$17.50 50% off	$1,937.62	$1,937.62	$1,937.62	2026-05-13
100022211	CPT	Hchg Telemetry Room	13	12	$2,013.00	$1,006.50 50% off	$1,937.62	$1,937.62	$1,937.62	2026-05-13
919605211	CPT	Hchg Phenol Ez Swabs Each	12	12	$13.00	$6.50 50% off	$1,937.62	$1,937.62	$1,937.62	2026-05-13
110470211	CPT	Hchg Juv Derm Volbella Xc Per 1ml Syringe	12	12	$1,128.00	$564.00 50% off	$1,937.62	$1,937.62	$1,937.62	2026-05-13
110473211	CPT	Hchg Belotero Balance Per 1ml Syringe	12	12	$855.00	$427.50 50% off	$1,937.62	$1,937.62	$1,937.62	2026-05-13
100117211	CPT	Hchg Transitional Care Bed	13	12	$1,328.00	$664.00 50% off	$1,937.62	$1,937.62	$1,937.62	2026-05-13
110323211	CPT	Hchg Methotrexate Ophth 400mcg/0.1ml Per Dose	12	12	$1.00	$0.50 50% off	$1,937.62	$1,937.62	$1,937.62	2026-05-13
100010211	CPT	Hchg Newborn Room	13	12	$968.00	$484.00 50% off	$1,937.62	$1,937.62	$1,937.62	2026-05-13
94668	CPT	Chest Wall Manipulation	12	12	$209.00	$104.50 50% off	$1,937.62	$1,937.62	$1,937.62	2026-05-13
94669	CPT	Mechanical Chest Wall Oscill	12	12	$401.00	$200.50 50% off	$1,937.62	$1,937.62	$1,937.62	2026-05-13
919607211	CPT	Hchg Silver Nitrate Swabs - Each	12	12	$3.00	$1.50 50% off	$1,937.62	$1,937.62	$1,937.62	2026-05-13
110283211	CPT	Hchg Sodium Chloride Syringe	12	12	$2.00	$1.00 50% off	$1,937.62	$1,937.62	$1,937.62	2026-05-13
110468211	CPT	Hchg Juv Derm Ultra Plus Xc Per 1ml Syringe	12	12	$1,047.00	$523.50 50% off	$1,937.62	$1,937.62	$1,937.62	2026-05-13
110299211	CPT	Hchg Gi Cocktail - Maalox Max 10ml & Lidocane Viscous 2% 5ml- Per 15ml	12	12	$4.00	$2.00 50% off	$1,937.62	$1,937.62	$1,937.62	2026-05-13
110274211	CPT	Hchg 0.9% Ns 250 Ml	12	12	$12.00	$6.00 50% off	$1,937.62	$1,937.62	$1,937.62	2026-05-13
110474211	CPT	Hchg Belotero Balance With Lidocaine Per 1ml Syringe	12	12	$987.00	$493.50 50% off	$1,937.62	$1,937.62	$1,937.62	2026-05-13
94640	CPT	Airway Inhalation Treatment	12	12	$18.00	$9.00 50% off	$1,937.62	$1,937.62	$1,937.62	2026-05-13
110469211	CPT	Hchg Juv Derm Volbella Xc Per (1) 0.55ml Syringe	12	12	$615.00	$307.50 50% off	$1,937.62	$1,937.62	$1,937.62	2026-05-13
94003	CPT	Vent Mgmt Inpat Subq Day	12	12	$1,733.00	$866.50 50% off	$1,937.62	$1,937.62	$1,937.62	2026-05-13
94660	CPT	Pos Airway Pressure Cpap	12	12	$689.00	$344.50 50% off	$1,937.62	$1,937.62	$1,937.62	2026-05-13
94799	CPT	Unlisted Pulmonary Svc/px	12	12	$311.00	$155.50 50% off	$1,937.62	$1,937.62	$1,937.62	2026-05-13
94002	CPT	Vent Mgmt Inpat Init Day	12	12	$1,749.00	$874.50 50% off	$1,937.62	$1,937.62	$1,937.62	2026-05-13
110480211	CPT	Hchg Sodium Tetradecyl Sulfate (sotradecol) Per 1ml	12	12	$78.00	$39.00 50% off	$1,937.62	$1,937.62	$1,937.62	2026-05-13
100020211	CPT	Hchg Routine Room	13	12	$2,111.00	$1,055.50 50% off	$1,937.62	$1,937.62	$1,937.62	2026-05-13
94645	CPT	Cbt Each Addl Hour	12	12	$107.00	$53.50 50% off	$1,937.62	$1,937.62	$1,937.62	2026-05-13
94644	CPT	Cbt 1st Hour	12	12	$564.00	$282.00 50% off	$1,937.62	$1,937.62	$1,937.62	2026-05-13
89220	CPT	Sputum Specimen Collection	12	12	$229.00	$114.50 50% off	$1,937.62	$1,937.62	$1,937.62	2026-05-13
919606211	CPT	Hchg Silvadene 1% Cream, Per 1 Gm	12	12	$2.00	$1.00 50% off	$1,937.62	$1,937.62	$1,937.62	2026-05-13
110337211	CPT	Hchg Bupivacaine Hcl Pf (marcaine) 0.25% Inj Per 1ml	12	12	$2.00	$1.00 50% off	$1,937.62	$1,937.62	$1,937.62	2026-05-13
110472211	CPT	Hchg Restylane Per 1ml Syringe	12	12	$899.00	$449.50 50% off	$1,937.62	$1,937.62	$1,937.62	2026-05-13
94667	CPT	Chest Wall Manipulation	12	12	$220.00	$110.00 50% off	$1,937.62	$1,937.62	$1,937.62	2026-05-13
110407211	CPT	Hchg Clindamycin Intravitreal Inj Per 1mg/0.1ml	12	12	$20.00	$10.00 50% off	$1,937.62	$1,937.62	$1,937.62	2026-05-13
99465	CPT	Nb Resuscitation	2	2	$283.00	$141.50 50% off	$1,937.62	$1,937.62	$1,937.62	2026-05-13
100014211	CPT	Hchg Nursery	13	12	$2,027.00	$1,013.50 50% off	$1,937.62	$1,937.62	$1,937.62	2026-05-13
100015211	CPT	Hchg OB Room	13	12	$2,451.00	$1,225.50 50% off	$1,937.62	$1,937.62	$1,937.62	2026-05-13
110356211	CPT	Hchg Hydralazine Per 25 Mg Tab	12	12	$1.00	$0.50 50% off	$1,937.62	$1,937.62	$1,937.62	2026-05-13
J3490	CPT	Drugs Unclassified Injection	12	12	$5.00	$2.50 50% off	$1,937.62	$1,937.62	$1,937.62	2026-05-13
110467211	CPT	Hchg Juv Derm Ultra Plus Xc Per (1) 0.55ml Syringe	12	12	$861.00	$430.50 50% off	$1,937.62	$1,937.62	$1,937.62	2026-05-13
100007211	CPT	Hchg Intensive Care Room	13	12	$4,335.00	$2,167.50 50% off	$1,937.62	$1,937.62	$1,937.62	2026-05-13
919608211	CPT	Hchg Triple Antibiotic Ointment (neosporin) Unit Dose Packets	12	12	$1.00	$0.50 50% off	$1,937.62	$1,937.62	$1,937.62	2026-05-13
100109211	CPT	Hchg Birthing Room - L&d	13	12	$2,745.00	$1,372.50 50% off	$1,937.62	$1,937.62	$1,937.62	2026-05-13
J7301	CPT	Skyla, 13.5 Mg	30	27	$3,035.00	$1,517.50 50% off	$1,907.17	$1,907.17	$1,907.17	2026-05-13
J7297	CPT	Liletta, 52 Mg	30	27	$2,796.00	$1,398.00 50% off	$1,756.97	$1,756.97	$1,756.97	2026-05-13
J7307	CPT	Etonogestrel Implant System	30	27	$1,657.00	$828.50 50% off	$1,657.00	$1,657.00	$1,657.00	2026-05-13
90380	CPT	Rsv Monoc Antb Seasn .5ml IM	30	27	$1,578.00	$789.00 50% off	$1,578.00	$1,578.00	$1,578.00	2026-05-13
J0178	CPT	Aflibercept Injection	30	27	$1,694.00	$847.00 50% off	$1,422.76	$1,422.76	$1,422.76	2026-05-13
A9562	CPT	Tc99m Mertiatide	30	27	$1,278.00	$639.00 50% off	$1,278.00	$1,278.00	$1,278.00	2026-05-13
J7327	CPT	Monovisc Inj Per Dose	30	27	$1,802.00	$901.00 50% off	$1,178.71	$1,178.71	$1,178.71	2026-05-13
J1212	CPT	Dimethyl Sulfoxide 50% 50 Ml	30	27	$2,011.00	$1,005.50 50% off	$1,123.35	$1,123.35	$1,123.35	2026-05-13
A2001	CPT	Innovamatrix Ac, Per Sq Cm	30	27	$1,048.40	$524.20 50% off	$1,048.40	$1,048.40	$1,048.40	2026-05-13
J9202	CPT	Goserelin Acetate Implant	30	27	$3,372.00	$1,686.00 50% off	$1,004.87	$1,004.87	$1,004.87	2026-05-13
90381	CPT	Rsv Monoc Antb Seasn 1 Ml IM	30	27	$1,578.00	$789.00 50% off	$980.10	$980.10	$980.10	2026-05-13
A9595	CPT	Piflu F-18, Dia 1 Millicurie	30	27	$1,154.00	$577.00 50% off	$957.58	$957.58	$957.58	2026-05-13
90870	CPT	Electroconvulsive Therapy	29	26	$1,045.00	$522.50 50% off	$796.00	$1,048.58	$922.29	2026-05-13
Q4282	CPT	Cygnus Dual Per Sq Cm	30	27	$922.00	$461.00 50% off	$922.00	$922.00	$922.00	2026-05-13
J7314	CPT	Inj., Yutiq, 0.01 Mg	30	27	$1,545.00	$772.50 50% off	$872.85	$872.85	$872.85	2026-05-13
J7326	CPT	Gel-one	30	27	$1,485.00	$742.50 50% off	$820.53	$820.53	$820.53	2026-05-13
J7313	CPT	Inj., Iluvien, 0.01 Mg	30	27	$1,454.00	$727.00 50% off	$810.07	$810.07	$810.07	2026-05-13
A9500	CPT	Tc99m Sestamibi	30	27	$740.00	$370.00 50% off	$740.00	$740.00	$740.00	2026-05-13
J3315	CPT	Triptorelin Pamoate	30	27	$2,316.00	$1,158.00 50% off	$682.42	$682.42	$682.42	2026-05-13
A9552	CPT	F18 Fdg	30	27	$854.00	$427.00 50% off	$647.79	$647.79	$647.79	2026-05-13
J7308	CPT	Aminolevulinic Acid Hcl Top	30	27	$1,180.00	$590.00 50% off	$647.33	$647.33	$647.33	2026-05-13
G0378	CPT	Hospital Observation Per Hr	30	27	$88.00	$44.00 50% off	$515.00	$708.61	$611.80	2026-05-13
G0379	CPT	Direct Refer Hospital Observ	30	27	$971.00	$485.50 50% off	$515.00	$708.61	$611.80	2026-05-13
A9541	CPT	Tc99m Sulfur Colloid	30	27	$694.00	$347.00 50% off	$585.12	$585.12	$585.12	2026-05-13
90678	CPT	Rsv Vacc Pref Bivalent IM	30	27	$812.00	$406.00 50% off	$584.10	$584.10	$584.10	2026-05-13
90651	CPT	9vhpv Vaccine 2/3 Dose IM	30	27	$871.00	$435.50 50% off	$569.07	$569.07	$569.07	2026-05-13
90378	CPT	Rsv Mab IM 50mg	30	27	$5,462.00	$2,731.00 50% off	$560.47	$560.47	$560.47	2026-05-13
90679	CPT	Rsv Vacc Pref Recomb Adjt IM	30	27	$684.00	$342.00 50% off	$554.40	$554.40	$554.40	2026-05-13
J3241	CPT	Inj. Teprotumumab-trbw 10 Mg	30	27	$1,082.00	$541.00 50% off	$541.20	$541.20	$541.20	2026-05-13
90675	CPT	Rabies Vaccine IM	30	27	$1,218.00	$609.00 50% off	$535.82	$535.82	$535.82	2026-05-13
Q4210	CPT	Axolotl Graf Dualgraf Sq Cm	30	27	$515.00	$257.50 50% off	$515.00	$515.00	$515.00	2026-05-13
90738	CPT	Inactivated Je Vacc IM	30	27	$1,063.00	$531.50 50% off	$504.42	$504.42	$504.42	2026-05-13
A9513	CPT	Lutetium Lu 177 Dotatat Ther	30	27	$556.00	$278.00 50% off	$479.23	$479.23	$479.23	2026-05-13
90677	CPT	Pcv20 Vaccine IM	30	27	$727.00	$363.50 50% off	$476.29	$476.29	$476.29	2026-05-13
Q4199	CPT	Cygnus Matrix, Per Sq Cm	32	27	$443.00	$221.50 50% off	$207.00	$443.00	$443.00	2026-05-13
90671	CPT	Pcv15 Vaccine IM	30	27	$545.00	$272.50 50% off	$418.37	$418.37	$418.37	2026-05-13
90620	CPT	Menb-4c Vaccine IM	30	27	$458.00	$229.00 50% off	$411.10	$411.10	$411.10	2026-05-13
90621	CPT	Menb-fhbp Vacc 2/3 Dose IM	30	27	$509.00	$254.50 50% off	$376.46	$376.46	$376.46	2026-05-13
90716	CPT	Var Vaccine Live Subq	30	27	$548.00	$274.00 50% off	$344.92	$344.92	$344.92	2026-05-13
J7351	CPT	Inj Bimatoprost Itc Imp1mcg	30	27	$608.00	$304.00 50% off	$340.25	$340.25	$340.25	2026-05-13
J7312	CPT	Dexamethasone Intra Implant	30	27	$589.00	$294.50 50% off	$339.26	$339.26	$339.26	2026-05-13
90619	CPT	Menacwy-tt Vaccine IM	30	27	$441.00	$220.50 50% off	$330.38	$330.38	$330.38	2026-05-13
J1610	CPT	Glucagon Hydrochloride/1 Mg	30	27	$410.00	$205.00 50% off	$310.81	$310.81	$310.81	2026-05-13
90734	CPT	Menacwyd/menacwycrm Vacc IM	30	27	$313.00	$156.50 50% off	$299.95	$299.95	$299.95	2026-05-13
J9217	CPT	Leuprolide Acetate Suspnsion	30	27	$513.00	$256.50 50% off	$299.15	$299.15	$299.15	2026-05-13
J0475	CPT	Baclofen 10 Mg Injection	30	27	$709.00	$354.50 50% off	$293.37	$293.37	$293.37	2026-05-13
J0517	CPT	Inj., Benralizumab, 1 Mg	30	27	$585.00	$292.50 50% off	$279.68	$279.68	$279.68	2026-05-13
J1426	CPT	Injection, Casimersen, 10 Mg	30	27	$362.00	$181.00 50% off	$274.28	$274.28	$274.28	2026-05-13
A9606	CPT	Radium Ra223 Dichloride Ther	30	27	$317.00	$158.50 50% off	$265.91	$265.91	$265.91	2026-05-13
90739	CPT	Hepb Vacc 2/4 Dose Adult IM	30	27	$380.00	$190.00 50% off	$264.46	$264.46	$264.46	2026-05-13
90717	CPT	Yellow Fever Vaccine Subq	30	27	$617.00	$308.50 50% off	$263.36	$263.36	$263.36	2026-05-13
J2781	CPT	Inj, Pegcetacoplan, 1mg	30	27	$452.00	$226.00 50% off	$249.91	$249.91	$249.91	2026-05-13
91304	CPT	Sarscov2 Vac 5mcg/0.5ml IM	30	27	$315.00	$157.50 50% off	$244.53	$244.53	$244.53	2026-05-13
91321	CPT	Sarscov2 Vac 25 Mcg/.25ml IM	30	27	$339.00	$169.50 50% off	$240.77	$240.77	$240.77	2026-05-13
91322	CPT	Sarscov2 Vac 50 Mcg/0.5ml IM	30	27	$372.00	$186.00 50% off	$240.77	$240.77	$240.77	2026-05-13
90371	CPT	Hep B Ig IM	30	27	$498.00	$249.00 50% off	$227.52	$227.52	$227.52	2026-05-13
90732	CPT	Ppsv23 Vacc 2 Yrs+ Subq/im	30	27	$316.00	$158.00 50% off	$220.23	$220.23	$220.23	2026-05-13
90710	CPT	Mmrv Vaccine Sc	30	27	$808.00	$404.00 50% off	$218.94	$218.94	$218.94	2026-05-13
90698	CPT	Dtap-ipv/hib Vaccine IM	30	27	$318.00	$159.00 50% off	$217.26	$217.26	$217.26	2026-05-13
91320	CPT	Sarscv2 Vac 30mcg Trs-suc IM	30	27	$301.00	$150.50 50% off	$216.32	$216.32	$216.32	2026-05-13
J7324	CPT	Orthovisc Inj Per Dose	30	27	$360.00	$180.00 50% off	$215.56	$215.56	$215.56	2026-05-13
90636	CPT	Hep A/hep B Vacc Adult IM	30	27	$286.00	$143.00 50% off	$213.39	$213.39	$213.39	2026-05-13
J7323	CPT	Euflexxa Inj Per Dose	30	27	$1,003.00	$501.50 50% off	$210.05	$210.05	$210.05	2026-05-13
90680	CPT	Rv5 Vacc 3 Dose Live Oral	30	27	$253.00	$126.50 50% off	$189.75	$189.75	$189.75	2026-05-13
90723	CPT	Dtap-hep B-ipv Vaccine IM	30	27	$189.00	$94.50 50% off	$187.79	$187.79	$187.79	2026-05-13
A9537	CPT	Tc99m Mebrofenin	30	27	$187.00	$93.50 50% off	$187.00	$187.00	$187.00	2026-05-13
90681	CPT	Rv1 Vacc 2 Dose Live Oral	30	27	$309.00	$154.50 50% off	$182.97	$182.97	$182.97	2026-05-13
90707	CPT	Mmr Vaccine Sc	30	27	$258.00	$129.00 50% off	$182.39	$182.39	$182.39	2026-05-13
96360	CPT	Hydration IV Infusion Init	29	26	$523.00	$261.50 50% off	$180.98	$336.96	$180.98	2026-05-13
90691	CPT	Typhoid Vaccine IM	30	27	$425.00	$212.50 50% off	$180.23	$180.23	$180.23	2026-05-13
J2778	CPT	Ranibizumab Injection	30	27	$180.00	$90.00 50% off	$180.00	$180.00	$180.00	2026-05-13
90696	CPT	Dtap-ipv Vaccine 4-6 Yrs IM	31	27	$172.00	$86.00 50% off	$138.00	$172.00	$172.00	2026-05-13
A9560	CPT	Tc99m Labeled Rbc	30	27	$3,117.00	$1,558.50 50% off	$166.40	$166.40	$166.40	2026-05-13
J2997	CPT	Alteplase Recombinant	30	27	$256.00	$128.00 50% off	$146.80	$146.80	$146.80	2026-05-13
91319	CPT	Sarscv2 Vac 10mcg Trs-suc IM	30	27	$135.00	$67.50 50% off	$135.00	$135.00	$135.00	2026-05-13
J2790	CPT	Rho D Immune Globulin Inj	30	27	$263.00	$131.50 50% off	$133.91	$133.91	$133.91	2026-05-13
J2779	CPT	Inj, Susvimo 0.1 Mg	30	27	$172.00	$86.00 50% off	$133.29	$133.29	$133.29	2026-05-13
J1566	CPT	Immune Globulin, Powder	30	27	$232.00	$116.00 50% off	$129.53	$129.53	$129.53	2026-05-13
90743	CPT	Hepb Vacc 2 Dose Adolesc IM	30	27	$139.00	$69.50 50% off	$124.00	$124.00	$124.00	2026-05-13
90662	CPT	Iiv No Prsv Increased Ag IM	30	27	$238.00	$119.00 50% off	$121.11	$121.11	$121.11	2026-05-13
J7321	CPT	Hyalgan Supartz Visco-3 Dose	30	27	$712.00	$356.00 50% off	$120.62	$120.62	$120.62	2026-05-13
90746	CPT	Hepb Vaccine 3 Dose Adult IM	30	27	$139.00	$69.50 50% off	$116.13	$116.13	$116.13	2026-05-13
90632	CPT	Hepa Vaccine Adult IM	30	27	$195.00	$97.50 50% off	$115.93	$115.93	$115.93	2026-05-13
J0775	CPT	Collagenase, Clost Hist Inj	30	27	$247.00	$123.50 50% off	$109.35	$109.35	$109.35	2026-05-13
J9280	CPT	Mitomycin Injection	30	27	$242.00	$121.00 50% off	$104.53	$104.53	$104.53	2026-05-13
90281	CPT	Human Ig IM	30	27	$286.00	$143.00 50% off	$92.80	$92.80	$92.80	2026-05-13
P9047	CPT	Albumin (human), 25%, 50ml	30	27	$105.00	$52.50 50% off	$87.58	$87.58	$87.58	2026-05-13
J0490	CPT	Belimumab Injection	30	27	$162.00	$81.00 50% off	$85.80	$85.80	$85.80	2026-05-13
A9561	CPT	Tc99m Oxidronate	30	27	$101.00	$50.50 50% off	$84.28	$84.28	$84.28	2026-05-13
90713	CPT	Poliovirus Ipv Sc/im	30	27	$123.00	$61.50 50% off	$84.18	$84.18	$84.18	2026-05-13
J1460	CPT	Gamma Globulin 1 Cc Inj	30	27	$143.00	$71.50 50% off	$83.70	$83.70	$83.70	2026-05-13
J1561	CPT	Gamunex-c/gammaked	30	27	$178.00	$89.00 50% off	$82.15	$82.15	$82.15	2026-05-13
J3299	CPT	Inj Xipere 1 Mg	30	27	$124.00	$62.00 50% off	$80.16	$80.16	$80.16	2026-05-13
J1459	CPT	Inj Ivig Privigen 500 Mg	30	27	$110.00	$55.00 50% off	$79.68	$79.68	$79.68	2026-05-13
J1455	CPT	Foscarnet Sodium Injection	30	27	$79.00	$39.50 50% off	$79.00	$79.00	$79.00	2026-05-13
J1569	CPT	Gammagard Liquid Injection	30	27	$169.00	$84.50 50% off	$72.85	$72.85	$72.85	2026-05-13
J1110	CPT	Inj Dihydroergotamine Mesylt	30	27	$130.00	$65.00 50% off	$69.86	$69.86	$69.86	2026-05-13
90633	CPT	Hepa Vacc Ped/adol 2 Dose IM	30	27	$83.00	$41.50 50% off	$68.72	$68.72	$68.72	2026-05-13
J2406	CPT	Injection, Oritavancin 10 Mg	30	27	$123.00	$61.50 50% off	$67.52	$67.52	$67.52	2026-05-13
J0565	CPT	Inj, Bezlotoxumab, 10 Mg	30	27	$137.00	$68.50 50% off	$65.77	$65.77	$65.77	2026-05-13
J2357	CPT	Omalizumab Injection	30	27	$148.00	$74.00 50% off	$65.11	$65.11	$65.11	2026-05-13
90715	CPT	Tdap Vaccine 7 Yrs/> IM	30	27	$136.00	$68.00 50% off	$63.21	$63.21	$63.21	2026-05-13
J2777	CPT	Inj, Faricimab-svoa, 0.1mg	30	27	$72.00	$36.00 50% off	$59.55	$59.55	$59.55	2026-05-13
90647	CPT	Hib Prp-omp Vacc 3 Dose IM	30	27	$83.00	$41.50 50% off	$58.58	$58.58	$58.58	2026-05-13
90700	CPT	Dtap Vaccine < 7 Yrs IM	30	27	$64.00	$32.00 50% off	$56.96	$56.96	$56.96	2026-05-13
Q2038	CPT	Fluzone Vacc, 3 Yrs & >, IM	30	27	$54.00	$27.00 50% off	$54.00	$54.00	$54.00	2026-05-13
J9334	CPT	Inj Efgart-alfa 2mg Hya-qvfc	30	27	$98.00	$49.00 50% off	$53.20	$53.20	$53.20	2026-05-13
A9540	CPT	Tc99m Maa	30	27	$671.00	$335.50 50% off	$52.95	$52.95	$52.95	2026-05-13
90744	CPT	Hepb Vacc 3 Dose Ped/adol IM	30	27	$66.00	$33.00 50% off	$50.77	$50.77	$50.77	2026-05-13
J2182	CPT	Injection, Mepolizumab, 1mg	30	27	$116.00	$58.00 50% off	$50.34	$50.34	$50.34	2026-05-13
90714	CPT	Td Vacc No Presv 7 Yrs+ IM	30	27	$139.00	$69.50 50% off	$50.06	$50.06	$50.06	2026-05-13
96361	CPT	Hydrate IV Infusion Add-on	29	26	$325.00	$162.50 50% off	$49.84	$74.68	$49.84	2026-05-13
Q4122	CPT	Dermacell, Awm, Porous Sq Cm	30	27	$47.00	$23.50 50% off	$47.00	$47.00	$47.00	2026-05-13
J2407	CPT	Injection, Oritavancin	30	27	$80.00	$40.00 50% off	$45.54	$45.54	$45.54	2026-05-13
J0834	CPT	Inj., Cosyntropin, 0.25 Mg	30	27	$90.00	$45.00 50% off	$44.73	$44.73	$44.73	2026-05-13
J9208	CPT	Ifosfamide Injection	30	27	$83.00	$41.50 50% off	$44.14	$44.14	$44.14	2026-05-13
Q5107	CPT	Inj Mvasi 10 Mg	30	27	$181.00	$90.50 50% off	$42.27	$42.27	$42.27	2026-05-13
J0897	CPT	Denosumab Injection	30	27	$91.00	$45.50 50% off	$41.58	$41.58	$41.58	2026-05-13
J2799	CPT	Inj, Uzedy, 1 Mg	30	27	$68.00	$34.00 50% off	$40.76	$40.76	$40.76	2026-05-13
J0561	CPT	Penicillin G Benzathine Inj	30	27	$85.00	$42.50 50% off	$35.85	$35.85	$35.85	2026-05-13
A9567	CPT	Technetium Tc-99m Aerosol	30	27	$215.00	$107.50 50% off	$34.04	$34.04	$34.04	2026-05-13
J1120	CPT	Acetazolamid Sodium Injectio	30	27	$31.00	$15.50 50% off	$31.00	$31.00	$31.00	2026-05-13
J2356	CPT	Inj Tezepelumab-ekko, 1mg	30	27	$67.00	$33.50 50% off	$30.67	$30.67	$30.67	2026-05-13
J0558	CPT	Peng Benzathine/procaine Inj	30	27	$56.00	$28.00 50% off	$29.01	$29.01	$29.01	2026-05-13
J3304	CPT	Inj Triamcinolone Ace Xr 1mg	30	27	$65.00	$32.50 50% off	$28.94	$28.94	$28.94	2026-05-13
J0491	CPT	Inj Anifrolumab-fnia 1mg	30	27	$55.00	$27.50 50% off	$28.35	$28.35	$28.35	2026-05-13
90660	CPT	Laiv3 Vaccine Intranasal	30	27	$73.00	$36.50 50% off	$27.56	$27.56	$27.56	2026-05-13
J0875	CPT	Injection, Dalbavancin	30	27	$27.00	$13.50 50% off	$25.23	$25.23	$25.23	2026-05-13
90648	CPT	Hib Prp-t Vaccine 4 Dose IM	30	27	$34.00	$17.00 50% off	$25.21	$25.21	$25.21	2026-05-13
11760	CPT	Repair Of Nail Bed	1	1	$231.00	$115.50 50% off	$25.00	$25.00	$25.00	2026-05-13
21480	CPT	Cltx Tmprmand Dislc 1st/sbsq	29	26	$657.00	$328.50 50% off	$25.00	$25.00	$25.00	2026-05-13
11750	CPT	Removal Of Nail Bed	1	1	$209.00	$104.50 50% off	$25.00	$25.00	$25.00	2026-05-13
11740	CPT	Drain Blood From Under Nail	1	1	$67.00	$33.50 50% off	$25.00	$25.00	$25.00	2026-05-13
11730	CPT	Removal Of Nail Plate	29	26	$684.00	$342.00 50% off	$25.00	$25.00	$25.00	2026-05-13
20611	CPT	Drain/inj Joint/bursa W/us	1	1	$116.00	$58.00 50% off	$25.00	$25.00	$25.00	2026-05-13
20610	CPT	Drain/inj Joint/bursa Without US	29	26	$941.00	$470.50 50% off	$25.00	$25.00	$25.00	2026-05-13
G0168	CPT	Wound Closure By Adhesive	1	1	$34.00	$17.00 50% off	$25.00	$25.00	$25.00	2026-05-13
99291	CPT	Critical Care First Hour	1	1	$461.00	$230.50 50% off	$25.00	$25.00	$25.00	2026-05-13
99292	CPT	Critical Care Addl 30 Min	1	1	$237.00	$118.50 50% off	$25.00	$25.00	$25.00	2026-05-13
99282	CPT	Emergency Dept Visit Sf Mdm	1	1	$94.00	$47.00 50% off	$25.00	$25.00	$25.00	2026-05-13
99211	CPT	Off/op Est May X Req Phy/qhp	1	1	$18.00	$9.00 50% off	$25.00	$25.00	$25.00	2026-05-13
99283	CPT	Emergency Dept Visit Low Mdm	1	1	$163.00	$81.50 50% off	$25.00	$25.00	$25.00	2026-05-13
97597	CPT	Dbrdmt Opn Wnd 1st 20 Cm/<	1	1	$71.00	$35.50 50% off	$25.00	$25.00	$25.00	2026-05-13
10140	CPT	I&d Hmtma Seroma/fluid Collj	1	1	$254.00	$127.00 50% off	$25.00	$25.00	$25.00	2026-05-13
99152	CPT	Mod Sed Same Phys/qhp 5/>yrs	1	1	$26.00	$13.00 50% off	$25.00	$25.00	$25.00	2026-05-13
96375	CPT	Tx/pro/dx Inj New Drug Addon	29	26	$169.00	$84.50 50% off	$25.00	$25.00	$25.00	2026-05-13
99157	CPT	Mod Sed Other Phys/qhp Ea	1	1	$126.00	$63.00 50% off	$25.00	$25.00	$25.00	2026-05-13
99212	CPT	Office O/p Est Sf 10 Min	1	1	$71.00	$35.50 50% off	$25.00	$25.00	$25.00	2026-05-13
99281	CPT	Emr Dpt Vst Mayx Req Phy/qhp	1	1	$26.00	$13.00 50% off	$25.00	$25.00	$25.00	2026-05-13
96376	CPT	Tx/pro/dx Inj Same Drug Adon	29	26	$181.00	$90.50 50% off	$25.00	$25.00	$25.00	2026-05-13
99153	CPT	Mod Sed Same Phys/qhp Ea	1	1	$26.00	$13.00 50% off	$25.00	$25.00	$25.00	2026-05-13
99284	CPT	Emergency Dept Visit Mod Mdm	29	26	$892.00	$446.00 50% off	$25.00	$25.00	$25.00	2026-05-13
16020	CPT	Dress/debrid P-thick Burn S	1	1	$120.00	$60.00 50% off	$25.00	$25.00	$25.00	2026-05-13
96365	CPT	Ther/proph/diag IV Inf Init	29	26	$788.00	$394.00 50% off	$25.00	$25.00	$25.00	2026-05-13
96374	CPT	Ther/proph/diag Inj IV Push	29	26	$522.00	$261.00 50% off	$25.00	$25.00	$25.00	2026-05-13
99285	CPT	Emergency Dept Visit Hi Mdm	1	1	$402.00	$201.00 50% off	$25.00	$25.00	$25.00	2026-05-13
11424	CPT	Exc H-f-nk-sp B9+marg 3.1-4	29	26	$3,164.00	$1,582.00 50% off	$25.00	$25.00	$25.00	2026-05-13
10120	CPT	Inc&rmvl Fb Subq Tiss Smpl	29	26	$779.00	$389.50 50% off	$25.00	$25.00	$25.00	2026-05-13
11421	CPT	Exc H-f-nk-sp B9+marg 0.6-1	1	1	$218.00	$109.00 50% off	$25.00	$25.00	$25.00	2026-05-13
10081	CPT	I&d Pilonidal Cyst Comp	1	1	$381.00	$190.50 50% off	$25.00	$25.00	$25.00	2026-05-13
92960	CPT	Cardioversion Electric Ext	1	1	$215.00	$107.50 50% off	$25.00	$25.00	$25.00	2026-05-13
13132	CPT	Cmplx Rpr F/c/c/m/n/ax/g/h/f	1	1	$568.00	$284.00 50% off	$25.00	$25.00	$25.00	2026-05-13
13131	CPT	Cmplx Rpr F/c/c/m/n/ax/g/h/f	29	26	$1,246.00	$623.00 50% off	$25.00	$25.00	$25.00	2026-05-13
13122	CPT	Cmplx Rpr S/a/l Addl 5 Cm/>	1	1	$158.00	$79.00 50% off	$25.00	$25.00	$25.00	2026-05-13
10080	CPT	I&d Pilonidal Cyst Simple	1	1	$231.00	$115.50 50% off	$25.00	$25.00	$25.00	2026-05-13
13121	CPT	Cmplx Rpr S/a/l 2.6-7.5 Cm	1	1	$487.00	$243.50 50% off	$25.00	$25.00	$25.00	2026-05-13
12055	CPT	Intmd Rpr Face/mm 12.6-20 Cm	1	1	$667.00	$333.50 50% off	$25.00	$25.00	$25.00	2026-05-13
12054	CPT	Intmd Rpr Face/mm 7.6-12.5cm	29	26	$1,182.00	$591.00 50% off	$25.00	$25.00	$25.00	2026-05-13
12052	CPT	Intmd Rpr Face/mm 2.6-5.0 Cm	1	1	$386.00	$193.00 50% off	$25.00	$25.00	$25.00	2026-05-13
12051	CPT	Intmd Rpr Face/mm 2.5 Cm/<	1	1	$332.00	$166.00 50% off	$25.00	$25.00	$25.00	2026-05-13
12044	CPT	Intmd Rpr N-hf/genit7.6-12.5	29	26	$1,400.00	$700.00 50% off	$25.00	$25.00	$25.00	2026-05-13
12042	CPT	Intmd Rpr N-hf/genit2.6-7.5	1	1	$375.00	$187.50 50% off	$25.00	$25.00	$25.00	2026-05-13
12041	CPT	Intmd Rpr N-hf/genit 2.5cm/<	1	1	$289.00	$144.50 50% off	$25.00	$25.00	$25.00	2026-05-13
12035	CPT	Intmd Rpr S/a/t/ext 12.6-20	29	26	$1,182.00	$591.00 50% off	$25.00	$25.00	$25.00	2026-05-13
12034	CPT	Intmd Rpr S/tr/ext 7.6-12.5	1	1	$404.00	$202.00 50% off	$25.00	$25.00	$25.00	2026-05-13
69200	CPT	Clear Outer Ear Canal	29	26	$368.00	$184.00 50% off	$25.00	$25.00	$25.00	2026-05-13
76529	CPT	Echo Exam Of Eye	29	26	$175.00	$87.50 50% off	$25.00	$25.00	$25.00	2026-05-13
65220	CPT	Remove Foreign Body From Eye	29	26	$1,001.00	$500.50 50% off	$25.00	$25.00	$25.00	2026-05-13
24535	CPT	Treat Humerus Fracture	29	26	$4,437.00	$2,218.50 50% off	$25.00	$25.00	$25.00	2026-05-13
64466	CPT	Thrc Fascial Pln Blk Uni Njx	29	26	$1,376.00	$688.00 50% off	$25.00	$25.00	$25.00	2026-05-13
65222	CPT	Remove Foreign Body From Eye	1	1	$93.00	$46.50 50% off	$25.00	$25.00	$25.00	2026-05-13
59612	CPT	Vbac Delivery Only	1	1	$2,019.00	$1,009.50 50% off	$25.00	$25.00	$25.00	2026-05-13
56420	CPT	Drainage Of Gland Abscess	1	1	$224.00	$112.00 50% off	$25.00	$25.00	$25.00	2026-05-13
62270	CPT	Dx Lmbr Spi Pnxr	29	26	$2,271.00	$1,135.50 50% off	$25.00	$25.00	$25.00	2026-05-13
54700	CPT	Drainage Of Scrotum	29	26	$4,072.00	$2,036.00 50% off	$25.00	$25.00	$25.00	2026-05-13
12014	CPT	Rpr F/e/e/n/l/m 5.1-7.5 Cm	1	1	$174.00	$87.00 50% off	$25.00	$25.00	$25.00	2026-05-13
51705	CPT	Change Of Bladder Tube	1	1	$108.00	$54.00 50% off	$25.00	$25.00	$25.00	2026-05-13
56405	CPT	I & D Of Vulva/perineum	1	1	$258.00	$129.00 50% off	$25.00	$25.00	$25.00	2026-05-13
64418	CPT	Njx Aa&/strd Sprscap Nrv	1	1	$111.00	$55.50 50% off	$25.00	$25.00	$25.00	2026-05-13
43762	CPT	Rplc Gtube No Revj Trc	1	1	$82.00	$41.00 50% off	$25.00	$25.00	$25.00	2026-05-13
42700	CPT	Drainage Of Tonsil Abscess	29	26	$660.00	$330.00 50% off	$25.00	$25.00	$25.00	2026-05-13
46040	CPT	Incision Of Rectal Abscess	1	1	$969.00	$484.50 50% off	$25.00	$25.00	$25.00	2026-05-13
41800	CPT	Drainage Of Gum Lesion	1	1	$400.00	$200.00 50% off	$25.00	$25.00	$25.00	2026-05-13
12005	CPT	Rpr S/n/a/gen/trk12.6-20.0cm	1	1	$217.00	$108.50 50% off	$25.00	$25.00	$25.00	2026-05-13
42000	CPT	Drainage Mouth Roof Lesion	29	26	$675.00	$337.50 50% off	$25.00	$25.00	$25.00	2026-05-13
49082	CPT	Abd Paracentesis	1	1	$162.00	$81.00 50% off	$25.00	$25.00	$25.00	2026-05-13
36680	CPT	Insert Needle Bone Cavity	29	26	$1,101.00	$550.50 50% off	$25.00	$25.00	$25.00	2026-05-13
36573	CPT	Insj Picc Rs&i 5 Yr+	29	26	$3,016.00	$1,508.00 50% off	$25.00	$25.00	$25.00	2026-05-13
37195	CPT	Thrombolytic Therapy Stroke	29	26	$1,067.00	$533.50 50% off	$25.00	$25.00	$25.00	2026-05-13
32556	CPT	Insert Cath Pleura Without Image	1	1	$263.00	$131.50 50% off	$25.00	$25.00	$25.00	2026-05-13
30906	CPT	Repeat Control Of Nosebleed	1	1	$280.00	$140.00 50% off	$25.00	$25.00	$25.00	2026-05-13
35206	CPT	Repair Blood Vessel Dir Uxtr	29	26	$4,899.00	$2,449.50 50% off	$25.00	$25.00	$25.00	2026-05-13
40800	CPT	Drainage Of Mouth Lesion	1	1	$250.00	$125.00 50% off	$25.00	$25.00	$25.00	2026-05-13
49083	CPT	Abd Paracentesis W/imaging	1	1	$213.00	$106.50 50% off	$25.00	$25.00	$25.00	2026-05-13
29515	CPT	Application Lower Leg Splint	1	1	$111.00	$55.50 50% off	$25.00	$25.00	$25.00	2026-05-13
29105	CPT	Apply Long Arm Splint	1	1	$90.00	$45.00 50% off	$25.00	$25.00	$25.00	2026-05-13
28635	CPT	Treat Toe Dislocation	1	1	$274.00	$137.00 50% off	$25.00	$25.00	$25.00	2026-05-13
29125	CPT	Apply Forearm Splint	1	1	$91.00	$45.50 50% off	$25.00	$25.00	$25.00	2026-05-13
27818	CPT	Treatment Of Ankle Fracture	29	26	$4,437.00	$2,218.50 50% off	$25.00	$25.00	$25.00	2026-05-13
27788	CPT	Treatment Of Ankle Fracture	1	1	$913.00	$456.50 50% off	$25.00	$25.00	$25.00	2026-05-13
28190	CPT	Removal Of Foot Foreign Body	1	1	$283.00	$141.50 50% off	$25.00	$25.00	$25.00	2026-05-13
29130	CPT	Application Of Finger Splint	29	26	$368.00	$184.00 50% off	$25.00	$25.00	$25.00	2026-05-13
29505	CPT	Application Long Leg Splint	29	26	$462.00	$231.00 50% off	$25.00	$25.00	$25.00	2026-05-13
10021	CPT	Fna Bx Without Img Gdn 1st Les	1	1	$108.00	$54.00 50% off	$25.00	$25.00	$25.00	2026-05-13
30905	CPT	Control Of Nosebleed	1	1	$233.00	$116.50 50% off	$25.00	$25.00	$25.00	2026-05-13
12001	CPT	Rpr S/n/ax/gen/trnk 2.5cm/<	1	1	$104.00	$52.00 50% off	$25.00	$25.00	$25.00	2026-05-13
32551	CPT	Insertion Of Chest Tube	29	26	$3,004.00	$1,502.00 50% off	$25.00	$25.00	$25.00	2026-05-13
12002	CPT	Rpr S/n/ax/gen/trnk2.6-7.5cm	1	1	$136.00	$68.00 50% off	$25.00	$25.00	$25.00	2026-05-13
36558	CPT	Insert Tunneled Cv Cath	1	1	$535.00	$267.50 50% off	$25.00	$25.00	$25.00	2026-05-13
12004	CPT	Rpr S/n/ax/gen/trk7.6-12.5cm	29	26	$684.00	$342.00 50% off	$25.00	$25.00	$25.00	2026-05-13
36593	CPT	Declot Vascular Device	29	26	$1,055.00	$527.50 50% off	$25.00	$25.00	$25.00	2026-05-13
27560	CPT	Treat Kneecap Dislocation	1	1	$871.00	$435.50 50% off	$25.00	$25.00	$25.00	2026-05-13
23650	CPT	Cltx Sho Dslc W/mnpj Wo Anes	29	26	$657.00	$328.50 50% off	$25.00	$25.00	$25.00	2026-05-13
23655	CPT	Cltx Sho Dslc W/mnpj W/anes	29	26	$4,545.00	$2,272.50 50% off	$25.00	$25.00	$25.00	2026-05-13
12006	CPT	Rpr S/n/a/gen/trk20.1-30.0cm	1	1	$263.00	$131.50 50% off	$25.00	$25.00	$25.00	2026-05-13
12011	CPT	Rpr F/e/e/n/l/m 2.5 Cm/<	1	1	$129.00	$64.50 50% off	$25.00	$25.00	$25.00	2026-05-13
23931	CPT	I&d Upr A/e Bursa	29	26	$3,221.00	$1,610.50 50% off	$25.00	$25.00	$25.00	2026-05-13
12013	CPT	Rpr F/e/e/n/l/m 2.6-5.0 Cm	1	1	$135.00	$67.50 50% off	$25.00	$25.00	$25.00	2026-05-13
43752	CPT	Nasal/orogastric W/tube Plmt	1	1	$80.00	$40.00 50% off	$25.00	$25.00	$25.00	2026-05-13
27752	CPT	Treatment Of Tibia Fracture	1	1	$1,115.00	$557.50 50% off	$25.00	$25.00	$25.00	2026-05-13
28630	CPT	Treat Toe Dislocation	1	1	$250.00	$125.00 50% off	$25.00	$25.00	$25.00	2026-05-13
12015	CPT	Rpr F/e/e/n/l/m 7.6-12.5 Cm	29	26	$572.00	$286.00 50% off	$25.00	$25.00	$25.00	2026-05-13
54600	CPT	Reduce Testis Torsion	1	1	$946.00	$473.00 50% off	$25.00	$25.00	$25.00	2026-05-13
30300	CPT	Remove Nasal Foreign Body	29	26	$368.00	$184.00 50% off	$25.00	$25.00	$25.00	2026-05-13
24341	CPT	Rpr Tdn/musc Upr A/e Each	29	26	$14,198.00	$7,099.00 50% off	$25.00	$25.00	$25.00	2026-05-13
12016	CPT	Rpr Fe/e/en/l/m 12.6-20.0 Cm	1	1	$296.00	$148.00 50% off	$25.00	$25.00	$25.00	2026-05-13
57415	CPT	Remove Vaginal Foreign Body	29	26	$6,320.00	$3,160.00 50% off	$25.00	$25.00	$25.00	2026-05-13
26755	CPT	Treat Finger Fracture Each	29	26	$477.00	$238.50 50% off	$25.00	$25.00	$25.00	2026-05-13
26725	CPT	Treat Finger Fracture Each	1	1	$706.00	$353.00 50% off	$25.00	$25.00	$25.00	2026-05-13
12031	CPT	Intmd Rpr S/a/t/ext 2.5 Cm/<	1	1	$295.00	$147.50 50% off	$25.00	$25.00	$25.00	2026-05-13
65205	CPT	Remove Foreign Body From Eye	29	26	$308.00	$154.00 50% off	$25.00	$25.00	$25.00	2026-05-13
26770	CPT	Treat Finger Dislocation	1	1	$673.00	$336.50 50% off	$25.00	$25.00	$25.00	2026-05-13
26700	CPT	Treat Knuckle Dislocation	29	26	$700.00	$350.00 50% off	$25.00	$25.00	$25.00	2026-05-13

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