Price Transparency Hospital negotiated rates

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

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Hospital

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 — reasonRows
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 viaCMS 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.

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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
             
11760 CPT Repair Of Nail Bed 1 1 $231.00 $115.50 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
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
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
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
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
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
99285 CPT Emergency Dept Visit Hi Mdm 1 1 $402.00 $201.00 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
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
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
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
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
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
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
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
49082 CPT Abd Paracentesis 1 1 $162.00 $81.00 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
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
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
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
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
27560 CPT Treat Kneecap Dislocation 1 1 $871.00 $435.50 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
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
54600 CPT Reduce Testis Torsion 1 1 $946.00 $473.00 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
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
26770 CPT Treat Finger Dislocation 1 1 $673.00 $336.50 50% off $25.00 $25.00 $25.00 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
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
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
90870 CPT Electroconvulsive Therapy 29 26 $1,045.00 $522.50 50% off $796.00 $1,048.58 $922.29 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
96361 CPT Hydrate IV Infusion Add-on 29 26 $325.00 $162.50 50% off $49.84 $74.68 $49.84 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
11730 CPT Removal Of Nail Plate 29 26 $684.00 $342.00 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
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
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
99284 CPT Emergency Dept Visit Mod Mdm 29 26 $892.00 $446.00 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
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
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
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
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
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
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
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
42700 CPT Drainage Of Tonsil Abscess 29 26 $660.00 $330.00 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
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
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
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
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
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
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
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
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
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
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
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
65205 CPT Remove Foreign Body From Eye 29 26 $308.00 $154.00 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
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
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
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
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
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
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