Price Transparencybeta Hospital negotiated rates

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

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Hospital

JACKSON GENERAL HOSPITAL

Ripley, WV · CCN 511320 · Rates published

4,910 distinct procedures filed
32 distinct payers
231,959 rate rows
2026-05-13 last MRF observed
Data quality

18,108 of 231,959 rate rows are consumer-grade (7.8%)

213,851 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 212,710
per-diem day rate — not a per-procedure price 709
exceeds 10× this hospital's gross charge — excluded from medians 419
placeholder amount (≤ $0.02) — excluded from medians 13
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://wvumedicine.org/wp-content/uploads/2026/04/550462730_Community-Health-Association_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 508a8322ecebc098… · 42,617,083 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 30 $101,970.00 $101,970.00 $101,970.00 nat. median
$69,774
1.5× median
J9226
CPT 		Supprelin La Implant 30 $73,550.30 $73,550.30 $73,550.30 nat. median
$60,368
1.2× median
J0480
CPT 		Basiliximab 30 $7,385.85 $7,385.85 $7,385.85 nat. median
$6,964
1.1× median
J2787
CPT 		Riboflavin 5'phos Opth<=3ml 30 $4,108.50 $4,108.50 $4,108.50 nat. median
$3,848
1.1× median
J3240
CPT 		Thyrotropin Injection 30 $3,334.93 $3,334.93 $3,334.93 nat. median
$2,976
1.1× median
Q4113
CPT 		Graftjacket Xpress 30 $3,295.88 $3,295.88 $3,295.88 nat. median
$1,929
1.7× median
J1950
CPT 		Leuprolide Acetate /3.75 Mg 30 $2,581.59 $2,581.59 $2,581.59 nat. median
$4,344
0.6× median
J7298
CPT 		Mirena, 52 Mg 30 $2,290.45 $2,290.45 $2,290.45 nat. median
$1,692
1.4× median
50419-0424-01
CPT 		Kyleena 30 $2,290.45 $2,290.45 $2,290.45 —
J7296
CPT 		Kyleena, 19.5 Mg 30 $2,290.45 $2,290.45 $2,290.45 nat. median
$1,626
1.4× median
50419-0423-01
CPT 		Mirena 30 $2,290.45 $2,290.45 $2,290.45 —
78206-0145-01
CPT 		Nexplanon 30 $2,289.44 $2,289.44 $2,289.44 —
J9357
CPT 		Valrubicin Injection 30 $2,250.35 $2,250.35 $2,250.35 nat. median
$1,873
1.2× median
00990-7983-09
CPT 		Sodium Chloride 11 $2,224.96 $2,224.96 $2,224.96 —
100021928
CPT 		Hchg Step Down Room 11 $2,224.96 $2,224.96 $2,224.96 —
110334928
CPT 		Hchg Ganciclovir Ophth 2mg/0.1ml Per Dose 11 $2,224.96 $2,224.96 $2,224.96 —
110470928
CPT 		Hchg Juv Derm Volbella Xc Per 1ml Syringe 11 $2,224.96 $2,224.96 $2,224.96 —
110337928
CPT 		Hchg Bupivacaine Hcl Pf (marcaine) 0.25% Inj Per 1ml 11 $2,224.96 $2,224.96 $2,224.96 —
110474928
CPT 		Hchg Belotero Balance With Lidocaine Per 1ml Syringe 11 $2,224.96 $2,224.96 $2,224.96 —
500330928
CPT 		Hchg Hospice Daily 11 $2,224.96 $2,224.96 $2,224.96 —
110468928
CPT 		Hchg Juv Derm Ultra Plus Xc Per 1ml Syringe 11 $2,224.96 $2,224.96 $2,224.96 —
110471928
CPT 		Hchg Juv Derm Vollure Per 1ml Syringe 11 $2,224.96 $2,224.96 $2,224.96 —
110323928
CPT 		Hchg Methotrexate Ophth 400mcg/0.1ml Per Dose 11 $2,224.96 $2,224.96 $2,224.96 —
00270-1316-35
CPT 		Isovue-370 11 $2,224.96 $2,224.96 $2,224.96 —
00270-1315-35
CPT 		Isovue-300 11 $2,224.96 $2,224.96 $2,224.96 —
00270-1111-03
CPT 		Prohance 11 $2,224.96 $2,224.96 $2,224.96 —
00338-0017-48
CPT 		Dextrose 11 $2,224.96 $2,224.96 $2,224.96 —
00338-0017-04
CPT 		Dextrose 11 $2,224.96 $2,224.96 $2,224.96 —
00338-0049-04
CPT 		Sodium Chloride 11 $2,224.96 $2,224.96 $2,224.96 —
00338-0117-04
CPT 		Lactated Ringer's 11 $2,224.96 $2,224.96 $2,224.96 —
110472928
CPT 		Hchg Restylane Per 1ml Syringe 11 $2,224.96 $2,224.96 $2,224.96 —
100117928
CPT 		Hchg Transitional Care Bed 11 $2,224.96 $2,224.96 $2,224.96 —
110333928
CPT 		Hchg Sufentanil 50mcg/ml Inj (sufenta) - Per 1ml 11 $2,224.96 $2,224.96 $2,224.96 —
110348928
CPT 		Hchg Inject, Intravitreal Vancomycin, Per Dose 11 $2,224.96 $2,224.96 $2,224.96 —
38205
CPT 		Harvest Allogeneic Stem Cell 11 $2,224.96 $2,224.96 $2,224.96 nat. median
$2,138
1.0× median
00264-7800-10
CPT 		Sodium Chloride 11 $2,224.96 $2,224.96 $2,224.96 —
110283928
CPT 		Hchg Sodium Chloride Syringe 11 $2,224.96 $2,224.96 $2,224.96 —
110299928
CPT 		Hchg Gi Cocktail - Maalox Max 10ml & Lidocane Viscous 2% 5ml- Per 15ml 11 $2,224.96 $2,224.96 $2,224.96 —
00990-7983-02
CPT 		Sodium Chloride 11 $2,224.96 $2,224.96 $2,224.96 —
00264-7510-00
CPT 		Dextrose 11 $2,224.96 $2,224.96 $2,224.96 —
00407-1412-33
CPT 		Omnipaque 240 11 $2,224.96 $2,224.96 $2,224.96 —
00264-7800-00
CPT 		Sodium Chloride 11 $2,224.96 $2,224.96 $2,224.96 —
00264-7750-00
CPT 		Lactated Ringer's 11 $2,224.96 $2,224.96 $2,224.96 —
00264-7510-10
CPT 		Dextrose 11 $2,224.96 $2,224.96 $2,224.96 —
00264-7510-20
CPT 		Dextrose 11 $2,224.96 $2,224.96 $2,224.96 —
100003928
CPT 		Hchg Cardiac Care Room 11 $2,224.96 $2,224.96 $2,224.96 —
00990-7922-09
CPT 		Dextrose 11 $2,224.96 $2,224.96 $2,224.96 —
00270-0445-40
CPT 		Gastrografin 11 $2,224.96 $2,224.96 $2,224.96 —
00264-7800-20
CPT 		Sodium Chloride 11 $2,224.96 $2,224.96 $2,224.96 —
100020928
CPT 		Hchg Routine Room 11 $2,224.96 $2,224.96 $2,224.96 —

Other procedures at this hospital

Browse this hospital's 4,910 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
             
J3111 CPT Inj. Romosozumab-aqqg 1 Mg 32 30 $38.00 $19.00 50% off $17.70 $17.70 $17.70 2026-05-13
J2274 CPT Inj Morphine Pf Epid Ithc 32 30 $55.00 $27.50 50% off $18.55 $18.55 $18.55 2026-05-13
J7402 CPT Mometasone Sinus Sinuva 32 30 $33.00 $16.50 50% off $18.73 $18.73 $18.73 2026-05-13
J3396 CPT Verteporfin Injection 32 30 $26.00 $13.00 50% off $19.02 $19.02 $19.02 2026-05-13
J2798 CPT Inj., Perseris, 0.5 Mg 32 30 $34.00 $17.00 50% off $19.17 $19.17 $19.17 2026-05-13
J1306 CPT Injection, Inclisiran, 1 Mg 32 30 $36.00 $18.00 50% off $20.01 $20.01 $20.01 2026-05-13
J2794 CPT Inj Risperdal Consta, 0.5 Mg 32 30 $36.00 $18.00 50% off $20.05 $20.05 $20.05 2026-05-13
J2427 CPT Inj, Invega Hafyera/trinza 32 30 $38.00 $19.00 50% off $20.15 $20.15 $20.15 2026-05-13
71288-0201-85 CPT Regadenoson 32 30 $20.58 $10.29 50% off $20.58 $20.58 $20.58 2026-05-13
70461-0025-04 CPT Fluad 2025-2026 Formula 1 1 $174.00 $87.00 50% off $21.07 $21.07 $21.07 2026-05-13
58160-0912-41 CPT Fluarix 2025-2026 Formula 32 30 $42.00 $21.00 50% off $21.07 $21.07 $21.07 2026-05-13
19515-0904-52 CPT FluLaval 2025-2026 Formula 32 30 $42.00 $21.00 50% off $21.07 $21.07 $21.07 2026-05-13
19515-0814-41 CPT FluLaval Quadrivalent 2023-2024 Formula 32 30 $42.00 $21.00 50% off $21.07 $21.07 $21.07 2026-05-13
19515-0904-41 CPT FluLaval 2025-2026 Formula 1 1 $42.00 $21.00 50% off $21.07 $21.07 $21.07 2026-05-13
19515-0810-41 CPT FluLaval 2024-2025 Formula 32 30 $42.00 $21.00 50% off $21.07 $21.07 $21.07 2026-05-13
90656 CPT Iiv3 Vacc No Prsv 0.5 Ml IM 32 30 $39.00 $19.50 50% off $21.07 $21.07 $21.07 2026-05-13
J1335 CPT Ertapenem Injection 32 30 $30.00 $15.00 50% off $21.40 $21.40 $21.40 2026-05-13
42023-0221-01 CPT Ertapenem 32 30 $30.17 $15.09 50% off $21.40 $21.40 $21.40 2026-05-13
43598-0901-11 CPT Ertapenem 32 30 $67.52 $33.76 50% off $21.40 $21.40 $21.40 2026-05-13
16714-0889-01 CPT Ertapenem 32 30 $87.07 $43.54 50% off $21.40 $21.40 $21.40 2026-05-13
J0587 CPT Inj, Rimabotulinumtoxinb 32 30 $39.00 $19.50 50% off $21.50 $21.50 $21.50 2026-05-13
90657 CPT Iiv3 Vaccine Splt 0.25 Ml IM 32 30 $27.00 $13.50 50% off $21.62 $21.62 $21.62 2026-05-13
63323-0842-21 CPT Dicyclomine HCl 32 30 $22.05 $11.03 50% off $22.05 $22.05 $22.05 2026-05-13
00641-6253-01 CPT Regadenoson 32 30 $41.34 $20.67 50% off $23.56 $23.56 $23.56 2026-05-13
60505-6116-00 CPT Regadenoson 32 30 $68.91 $34.46 50% off $23.56 $23.56 $23.56 2026-05-13
J2426 CPT Inj, Invega Sustenna, 1 Mg 32 30 $43.00 $21.50 50% off $23.63 $23.63 $23.63 2026-05-13
90648 CPT Hib Prp-t Vaccine 4 Dose IM 32 30 $34.00 $17.00 50% off $25.21 $25.21 $25.21 2026-05-13
49281-0546-58 CPT Haemophilus Influenzae Type B Vaccine; Prp-t Conjugate 32 30 $36.00 $18.00 50% off $25.21 $25.21 $25.21 2026-05-13
49281-0544-58 CPT Pentacel-acthib Component 33 30 $36.00 $18.00 50% off $25.21 $217.26 $25.21 2026-05-13
49281-0547-58 CPT ActHIB 32 30 $36.00 $18.00 50% off $25.21 $25.21 $25.21 2026-05-13
J0875 CPT Injection, Dalbavancin 32 30 $27.00 $13.50 50% off $25.23 $25.23 $25.23 2026-05-13
00074-5015-01 CPT Skyrizi 600mg/10ml 32 30 $29,296.56 $14,648.28 50% off $25.34 $25.34 $25.34 2026-05-13
90660 CPT Laiv3 Vaccine Intranasal 32 30 $73.00 $36.50 50% off $27.56 $27.56 $27.56 2026-05-13
00310-3040-00 CPT Saphnelo 32 30 $15,688.11 $7,844.06 50% off $28.35 $28.35 $28.35 2026-05-13
J0491 CPT Inj Anifrolumab-fnia 1mg 32 30 $55.00 $27.50 50% off $28.35 $28.35 $28.35 2026-05-13
J3304 CPT Inj Triamcinolone Ace Xr 1mg 32 30 $65.00 $32.50 50% off $28.94 $28.94 $28.94 2026-05-13
J0558 CPT Peng Benzathine/procaine Inj 32 30 $56.00 $28.00 50% off $29.01 $29.01 $29.01 2026-05-13
00009-0011-04 CPT Solu-cortef 100mg Vial 32 30 $56.09 $28.05 50% off $29.45 $29.45 $29.45 2026-05-13
00009-0011-03 CPT Solu-cortef 100mg Vial 32 30 $82.62 $41.31 50% off $29.45 $29.45 $29.45 2026-05-13
J2356 CPT Inj Tezepelumab-ekko, 1mg 32 30 $67.00 $33.50 50% off $30.67 $30.67 $30.67 2026-05-13
J1120 CPT Acetazolamid Sodium Injectio 32 30 $31.00 $15.50 50% off $31.00 $31.00 $31.00 2026-05-13
A9567 CPT Technetium Tc-99m Aerosol 32 30 $253.00 $126.50 50% off $34.04 $34.04 $34.04 2026-05-13
J0561 CPT Penicillin G Benzathine Inj 32 30 $85.00 $42.50 50% off $35.85 $35.85 $35.85 2026-05-13
J2799 CPT Inj, Uzedy, 1 Mg 32 30 $68.00 $34.00 50% off $40.76 $40.76 $40.76 2026-05-13
J0897 CPT Denosumab Injection 32 30 $91.00 $45.50 50% off $41.58 $41.58 $41.58 2026-05-13
55513-0670-01 CPT Avsola 32 30 $4,189.50 $2,094.75 50% off $42.17 $42.17 $42.17 2026-05-13
67457-0524-33 CPT Ibandronate Sodium 32 30 $179.43 $89.72 50% off $42.24 $42.24 $42.24 2026-05-13
60505-6097-00 CPT Ibandronate Sodium 32 30 $195.57 $97.79 50% off $42.24 $42.24 $42.24 2026-05-13
Q5107 CPT Inj Mvasi 10 Mg 32 30 $181.00 $90.50 50% off $42.27 $42.27 $42.27 2026-05-13
J9208 CPT Ifosfamide Injection 32 30 $83.00 $41.50 50% off $44.14 $44.14 $44.14 2026-05-13
J0834 CPT Inj., Cosyntropin, 0.25 Mg 32 30 $90.00 $45.00 50% off $44.73 $44.73 $44.73 2026-05-13
J2407 CPT Injection, Oritavancin 32 30 $80.00 $40.00 50% off $45.54 $45.54 $45.54 2026-05-13
A9539 CPT Tc99m Pentetate 32 30 $165.00 $82.50 50% off $49.17 $49.17 $49.17 2026-05-13
90714 CPT Td Vacc No Presv 7 Yrs+ IM 32 30 $139.00 $69.50 50% off $50.06 $50.06 $50.06 2026-05-13
49281-0215-88 CPT Tenivac 32 30 $102.59 $51.30 50% off $50.06 $50.06 $50.06 2026-05-13
Q4101 CPT Apligraf 32 30 $584.00 $292.00 50% off $50.16 $50.16 $50.16 2026-05-13
J2182 CPT Injection, Mepolizumab, 1mg 32 30 $116.00 $58.00 50% off $50.34 $50.34 $50.34 2026-05-13
90744 CPT Hepb Vacc 3 Dose Ped/adol IM 32 30 $66.00 $33.00 50% off $50.77 $50.77 $50.77 2026-05-13
A9540 CPT Tc99m Maa 32 30 $491.00 $245.50 50% off $52.95 $52.95 $52.95 2026-05-13
J9334 CPT Inj Efgart-alfa 2mg Hya-qvfc 32 30 $98.00 $49.00 50% off $53.20 $53.20 $53.20 2026-05-13
Q2038 CPT Fluzone Vacc, 3 Yrs & >, IM 32 30 $54.00 $27.00 50% off $54.00 $54.00 $54.00 2026-05-13
58160-0842-43 CPT Boostrix 34 30 $62.00 $31.00 50% off $56.96 $299.95 $56.96 2026-05-13
58160-0810-43 CPT Infanrix 32 30 $79.00 $39.50 50% off $56.96 $56.96 $56.96 2026-05-13
90700 CPT Dtap Vaccine < 7 Yrs IM 32 30 $64.00 $32.00 50% off $56.96 $56.96 $56.96 2026-05-13
90647 CPT Hib Prp-omp Vacc 3 Dose IM 32 30 $83.00 $41.50 50% off $58.58 $58.58 $58.58 2026-05-13
J2777 CPT Inj, Faricimab-svoa, 0.1mg 32 30 $72.00 $36.00 50% off $59.55 $59.55 $59.55 2026-05-13
A9503 CPT Technetium Tc-99m Medronate; Diagnostic; Per Study Dose; Up To 30 Millicuries 32 30 $129.00 $64.50 50% off $61.59 $61.59 $61.59 2026-05-13
90715 CPT Tdap Vaccine 7 Yrs/> IM 32 30 $136.00 $68.00 50% off $63.21 $63.21 $63.21 2026-05-13
58160-0842-52 CPT Boostrix 32 30 $102.68 $51.34 50% off $63.21 $63.21 $63.21 2026-05-13
J2357 CPT Omalizumab Injection 32 30 $148.00 $74.00 50% off $65.11 $65.11 $65.11 2026-05-13
J0565 CPT Inj, Bezlotoxumab, 10 Mg 32 30 $137.00 $68.50 50% off $65.77 $65.77 $65.77 2026-05-13
J2406 CPT Injection, Oritavancin 10 Mg 32 30 $123.00 $61.50 50% off $67.52 $67.52 $67.52 2026-05-13
90633 CPT Hepa Vacc Ped/adol 2 Dose IM 32 30 $98.00 $49.00 50% off $68.72 $68.72 $68.72 2026-05-13
58160-0825-43 CPT Havrix Pediatric 32 30 $79.00 $39.50 50% off $68.72 $68.72 $68.72 2026-05-13
J1110 CPT Inj Dihydroergotamine Mesylt 32 30 $130.00 $65.00 50% off $69.86 $69.86 $69.86 2026-05-13
J1569 CPT Gammagard Liquid Injection 32 30 $169.00 $84.50 50% off $72.85 $72.85 $72.85 2026-05-13
96361 CPT Infusion Into A Vein For Hydration; Each Additional Hour 33 30 $656.00 $328.00 50% off $24.00 $74.68 $74.68 2026-05-13
J1455 CPT Foscarnet Sodium Injection 32 30 $79.00 $39.50 50% off $79.00 $79.00 $79.00 2026-05-13
J1459 CPT Inj Ivig Privigen 500 Mg 32 30 $110.00 $55.00 50% off $79.68 $79.68 $79.68 2026-05-13
J3299 CPT Inj Xipere 1 Mg 32 30 $124.00 $62.00 50% off $80.16 $80.16 $80.16 2026-05-13
J1561 CPT Gamunex-c/gammaked 32 30 $178.00 $89.00 50% off $82.15 $82.15 $82.15 2026-05-13
Q4152 CPT Dermapure 1 Square Cm 32 30 $94.00 $47.00 50% off $83.19 $83.19 $83.19 2026-05-13
55513-0190-01 CPT Neulasta 32 30 $12,696.78 $6,348.39 50% off $83.62 $83.62 $83.62 2026-05-13
J1460 CPT Gamma Globulin 1 Cc Inj 32 30 $143.00 $71.50 50% off $83.70 $83.70 $83.70 2026-05-13
90713 CPT Poliovirus Ipv Sc/im 32 30 $123.00 $61.50 50% off $84.18 $84.18 $84.18 2026-05-13
J0490 CPT Belimumab Injection 32 30 $2,570.07 $1,285.04 50% off $85.80 $85.80 $85.80 2026-05-13
49401-0102-01 CPT Benlysta 32 30 $13,192.04 $6,596.02 50% off $85.80 $85.80 $85.80 2026-05-13
68516-5216-03 CPT Albutein 32 30 $246.00 $123.00 50% off $87.58 $87.58 $87.58 2026-05-13
68516-5216-01 CPT Albutein 32 30 $307.50 $153.75 50% off $87.58 $87.58 $87.58 2026-05-13
P9047 CPT Albumin (human), 25%, 50ml 32 30 $105.00 $52.50 50% off $87.58 $87.58 $87.58 2026-05-13
90281 CPT Human Ig IM 32 30 $286.00 $143.00 50% off $92.80 $92.80 $92.80 2026-05-13
00143-9192-01 CPT Foscarnet Sodium 32 30 $344.62 $172.31 50% off $97.96 $97.96 $97.96 2026-05-13
50242-0150-01 CPT Ocrevus 32 30 $61,922.88 $30,961.44 50% off $98.59 $98.59 $98.59 2026-05-13
J9280 CPT Mitomycin Injection 32 30 $242.00 $121.00 50% off $104.53 $104.53 $104.53 2026-05-13
J0775 CPT Collagenase, Clost Hist Inj 32 30 $247.00 $123.50 50% off $109.35 $109.35 $109.35 2026-05-13
90632 CPT Hepa Vaccine Adult IM 32 30 $195.00 $97.50 50% off $115.93 $115.93 $115.93 2026-05-13
58160-0826-43 CPT Havrix 32 30 $198.00 $99.00 50% off $115.93 $115.93 $115.93 2026-05-13
90746 CPT Hepb Vaccine 3 Dose Adult IM 32 30 $139.00 $69.50 50% off $116.13 $116.13 $116.13 2026-05-13
58160-0821-43 CPT Engerix-b 32 30 $133.00 $66.50 50% off $116.13 $116.13 $116.13 2026-05-13
58160-0821-52 CPT Engerix-b 32 30 $133.00 $66.50 50% off $116.13 $116.13 $116.13 2026-05-13
J7321 CPT Hyalgan Supartz Visco-3 Dose 32 30 $712.00 $356.00 50% off $120.62 $120.62 $120.62 2026-05-13
90662 CPT Iiv No Prsv Increased Ag IM 32 30 $238.00 $119.00 50% off $121.11 $121.11 $121.11 2026-05-13
90743 CPT Hepb Vacc 2 Dose Adolesc IM 32 30 $139.00 $69.50 50% off $124.00 $124.00 $124.00 2026-05-13
A9541 CPT Technetium Tc-99m Sulfur Colloid; Diagnostic; Per Study Dose; Up To 20 Millicuri… 32 30 $129.00 $64.50 50% off $129.00 $129.00 $129.00 2026-05-13
J1566 CPT Immune Globulin, Powder 32 30 $232.00 $116.00 50% off $129.53 $129.53 $129.53 2026-05-13
J2779 CPT Inj, Susvimo 0.1 Mg 32 30 $172.00 $86.00 50% off $133.29 $133.29 $133.29 2026-05-13
J2790 CPT Rho D Immune Globulin Inj 32 30 $204.00 $102.00 50% off $133.91 $133.91 $133.91 2026-05-13
91319 CPT Sarscv2 Vac 10mcg Trs-suc IM 32 30 $135.00 $67.50 50% off $135.00 $135.00 $135.00 2026-05-13
90696 CPT Dtap-ipv Vaccine 4-6 Yrs IM 34 30 $138.00 $69.00 50% off $138.00 $172.00 $138.00 2026-05-13
J2997 CPT Alteplase Recombinant 32 30 $243.00 $121.50 50% off $146.80 $146.80 $146.80 2026-05-13
Q4201 CPT Matrion 1 Sq Cm 33 30 $155.00 $77.50 50% off $155.00 $171.96 $155.00 2026-05-13
Q4160 CPT Nushield 1 Square Cm 32 30 $554.00 $277.00 50% off $161.68 $161.68 $161.68 2026-05-13
58160-0812-43 CPT Kinrix 32 30 $166.00 $83.00 50% off $166.00 $166.00 $166.00 2026-05-13
A9560 CPT Technetium Tc-99m Labeled Red Blood Cells; Diagnostic; Per Study Dose; Up To 30 … 32 30 $444.00 $222.00 50% off $166.40 $166.40 $166.40 2026-05-13
Q4122 CPT Dermacell, Awm, Porous Sq Cm 40 30 $170.00 $85.00 50% off $133.00 $199.70 $170.00 2026-05-13
Q4196 CPT Puraply Am 1 Sq Cm 33 30 $186.00 $93.00 50% off $131.00 $171.22 $171.22 2026-05-13
J2778 CPT Ranibizumab Injection 32 30 $180.00 $90.00 50% off $180.00 $180.00 $180.00 2026-05-13
90691 CPT Typhoid Vaccine IM 32 30 $425.00 $212.50 50% off $180.23 $180.23 $180.23 2026-05-13
58160-0831-03 CPT Priorix 32 30 $251.00 $125.50 50% off $182.39 $182.39 $182.39 2026-05-13
00006-4681-01 CPT M-m-r Ii 32 30 $251.00 $125.50 50% off $182.39 $182.39 $182.39 2026-05-13
90707 CPT Mmr Vaccine Sc 32 30 $258.00 $129.00 50% off $182.39 $182.39 $182.39 2026-05-13
90681 CPT Rv1 Vacc 2 Dose Live Oral 32 30 $309.00 $154.50 50% off $182.97 $182.97 $182.97 2026-05-13
58160-0740-02 CPT Rotarix 32 30 $300.00 $150.00 50% off $182.97 $182.97 $182.97 2026-05-13
A9516 CPT Iodine I-123 Sod Iodide Mic 32 30 $185.00 $92.50 50% off $185.00 $185.00 $185.00 2026-05-13
A9537 CPT Technetium Tc-99m Mebrofenin; Diagnostic; Per Study Dose; Up To 15 Millicuries 32 30 $187.00 $93.50 50% off $187.00 $187.00 $187.00 2026-05-13
58160-0811-43 CPT Pediarix 32 30 $366.00 $183.00 50% off $187.79 $187.79 $187.79 2026-05-13
90723 CPT Dtap-hep B-ipv Vaccine IM 32 30 $189.00 $94.50 50% off $187.79 $187.79 $187.79 2026-05-13
90680 CPT Rv5 Vacc 3 Dose Live Oral 32 30 $253.00 $126.50 50% off $189.75 $189.75 $189.75 2026-05-13
00006-4047-02 CPT Rotavirus Vaccine; Pentavalent 32 30 $243.00 $121.50 50% off $189.75 $189.75 $189.75 2026-05-13
00006-4047-01 CPT RotaTeq 33 30 $243.00 $121.50 50% off $182.97 $189.75 $189.75 2026-05-13
Q4197 CPT Puraply Xt 1 Sq Cm 32 30 $240.00 $120.00 50% off $202.92 $202.92 $202.92 2026-05-13
55566-4100-01 CPT Euflexxa 32 30 $1,503.38 $751.69 50% off $210.05 $210.05 $210.05 2026-05-13
J7323 CPT Euflexxa Inj Per Dose 32 30 $1,003.00 $501.50 50% off $210.05 $210.05 $210.05 2026-05-13
90636 CPT Hep A/hep B Vacc Adult IM 32 30 $286.00 $143.00 50% off $213.39 $213.39 $213.39 2026-05-13
59676-0360-01 CPT Orthovisc 32 30 $431.35 $215.68 50% off $215.56 $215.56 $215.56 2026-05-13
J7324 CPT Orthovisc Inj Per Dose 32 30 $360.00 $180.00 50% off $215.56 $215.56 $215.56 2026-05-13
91320 CPT Sarscv2 Vac 30mcg Trs-suc IM 32 30 $301.00 $150.50 50% off $216.32 $216.32 $216.32 2026-05-13
90698 CPT Dtap-ipv/hib Vaccine IM 32 30 $318.00 $159.00 50% off $217.26 $217.26 $217.26 2026-05-13
49281-0561-01 CPT Pentacel-dtap/ipv Component 32 30 $303.00 $151.50 50% off $217.26 $217.26 $217.26 2026-05-13
90710 CPT Mmrv Vaccine Sc 32 30 $808.00 $404.00 50% off $218.94 $218.94 $218.94 2026-05-13
00006-4171-01 CPT ProQuad 32 30 $777.00 $388.50 50% off $218.94 $218.94 $218.94 2026-05-13
90732 CPT Ppsv23 Vacc 2 Yrs+ Subq/im 32 30 $316.00 $158.00 50% off $220.23 $220.23 $220.23 2026-05-13
00006-4837-01 CPT Pneumovax 23 32 30 $314.00 $157.00 50% off $220.23 $220.23 $220.23 2026-05-13
90371 CPT Hep B Ig IM 32 30 $464.00 $232.00 50% off $227.52 $227.52 $227.52 2026-05-13
91321 CPT Sarscov2 Vac 25 Mcg/.25ml IM 32 30 $339.00 $169.50 50% off $240.77 $240.77 $240.77 2026-05-13
91322 CPT Sarscov2 Vac 50 Mcg/0.5ml IM 32 30 $372.00 $186.00 50% off $240.77 $240.77 $240.77 2026-05-13
91304 CPT Sarscov2 Vac 5mcg/0.5ml IM 32 30 $315.00 $157.50 50% off $244.53 $244.53 $244.53 2026-05-13
J2781 CPT Inj, Pegcetacoplan, 1mg 32 30 $452.00 $226.00 50% off $249.91 $249.91 $249.91 2026-05-13
Q4199 CPT Cygnus Matrix, Per Sq Cm 34 30 $258.00 $129.00 50% off $207.00 $443.00 $258.00 2026-05-13
90717 CPT Yellow Fever Vaccine Subq 32 30 $617.00 $308.50 50% off $263.36 $263.36 $263.36 2026-05-13
90739 CPT Hepb Vacc 2/4 Dose Adult IM 32 30 $380.00 $190.00 50% off $264.46 $264.46 $264.46 2026-05-13
A9606 CPT Radium Ra223 Dichloride Ther 32 30 $317.00 $158.50 50% off $265.91 $265.91 $265.91 2026-05-13
J1426 CPT Injection, Casimersen, 10 Mg 32 30 $362.00 $181.00 50% off $274.28 $274.28 $274.28 2026-05-13
J0517 CPT Inj., Benralizumab, 1 Mg 32 30 $585.00 $292.50 50% off $279.68 $279.68 $279.68 2026-05-13
J0475 CPT Baclofen 10 Mg Injection 32 30 $709.00 $354.50 50% off $293.37 $293.37 $293.37 2026-05-13
J9217 CPT Leuprolide Acetate Suspnsion 32 30 $377.00 $188.50 50% off $299.15 $299.15 $299.15 2026-05-13
A9509 CPT Iodine I-123 Sod Iodide Mil 32 30 $741.00 $370.50 50% off $299.31 $299.31 $299.31 2026-05-13
58160-0827-03 CPT Menveo 32 30 $304.00 $152.00 50% off $299.95 $299.95 $299.95 2026-05-13
58160-0955-09 CPT Menveo 32 30 $304.00 $152.00 50% off $299.95 $299.95 $299.95 2026-05-13
58160-0958-01 CPT Menveo 32 30 $304.00 $152.00 50% off $299.95 $299.95 $299.95 2026-05-13
90734 CPT Menacwyd/menacwycrm Vacc IM 32 30 $313.00 $156.50 50% off $299.95 $299.95 $299.95 2026-05-13
J1610 CPT Glucagon Hydrochloride/1 Mg 32 30 $410.00 $205.00 50% off $310.81 $310.81 $310.81 2026-05-13
00597-0053-01 CPT Glucagen 32 30 $1,013.16 $506.58 50% off $310.81 $310.81 $310.81 2026-05-13
00548-5850-00 CPT Glucagon Emergency Kit 32 30 $759.03 $379.51 50% off $310.81 $310.81 $310.81 2026-05-13
00548-5905-00 CPT Injection; Glucagon Hydrochloride; Per 1 Mg 32 30 $759.87 $379.94 50% off $310.81 $310.81 $310.81 2026-05-13
90619 CPT Menacwy-tt Vaccine IM 32 30 $441.00 $220.50 50% off $330.38 $330.38 $330.38 2026-05-13
58160-0959-01 CPT Menveo 34 30 $429.00 $214.50 50% off $63.21 $330.38 $330.38 2026-05-13
49281-0590-58 CPT MenQuadfi 33 30 $429.00 $214.50 50% off $299.95 $330.38 $330.38 2026-05-13
96360 CPT Infusion Into A Vein For Hydration; 31-60 Minutes 33 30 $451.00 $225.50 50% off $60.00 $336.96 $336.96 2026-05-13
J7312 CPT Dexamethasone Intra Implant 32 30 $589.00 $294.50 50% off $339.26 $339.26 $339.26 2026-05-13
J7351 CPT Inj Bimatoprost Itc Imp1mcg 32 30 $608.00 $304.00 50% off $340.25 $340.25 $340.25 2026-05-13
90716 CPT Var Vaccine Live Subq 32 30 $548.00 $274.00 50% off $344.92 $344.92 $344.92 2026-05-13
00006-4827-01 CPT Varivax 32 30 $522.00 $261.00 50% off $344.92 $344.92 $344.92 2026-05-13
Q4195 CPT Puraply; Per Square Centimeter 32 30 $2,560.00 $1,280.00 50% off $349.59 $349.59 $349.59 2026-05-13
90621 CPT Menb-fhbp Vacc 2/3 Dose IM 32 30 $509.00 $254.50 50% off $376.46 $376.46 $376.46 2026-05-13
90620 CPT Menb-4c Vaccine IM 32 30 $458.00 $229.00 50% off $411.10 $411.10 $411.10 2026-05-13
00005-2000-01 CPT Prevnar 20 33 30 $588.00 $294.00 50% off $418.37 $476.29 $418.37 2026-05-13
00006-4329-01 CPT Pneumococcal Conjugate Vaccine; 15 Valent (pcv15); For Intramuscular Use 32 30 $588.00 $294.00 50% off $418.37 $418.37 $418.37 2026-05-13
58160-0820-43 CPT Engerix-b 34 30 $588.00 $294.00 50% off $50.77 $418.37 $418.37 2026-05-13
90671 CPT Pcv15 Vaccine IM 32 30 $545.00 $272.50 50% off $418.37 $418.37 $418.37 2026-05-13
90677 CPT Pcv20 Vaccine IM 32 30 $727.00 $363.50 50% off $476.29 $476.29 $476.29 2026-05-13
A9513 CPT Lutetium Lu 177 Dotatat Ther 32 30 $556.00 $278.00 50% off $479.23 $479.23 $479.23 2026-05-13
90738 CPT Inactivated Je Vacc IM 32 30 $1,063.00 $531.50 50% off $504.42 $504.42 $504.42 2026-05-13
Q4210 CPT Axolotl Graf Dualgraf Sq Cm 32 30 $515.00 $257.50 50% off $515.00 $515.00 $515.00 2026-05-13
50632-0010-01 CPT RabAvert 32 30 $978.96 $489.48 50% off $535.82 $535.82 $535.82 2026-05-13
90675 CPT Rabies Vaccine IM 32 30 $1,138.00 $569.00 50% off $535.82 $535.82 $535.82 2026-05-13
J3241 CPT Inj. Teprotumumab-trbw 10 Mg 32 30 $1,082.00 $541.00 50% off $541.20 $541.20 $541.20 2026-05-13
90679 CPT Rsv Vacc Pref Recomb Adjt IM 32 30 $684.00 $342.00 50% off $554.40 $554.40 $554.40 2026-05-13
90378 CPT Rsv Mab IM 50mg 32 30 $5,462.00 $2,731.00 50% off $560.47 $560.47 $560.47 2026-05-13
00006-4121-01 CPT Gardasil 9 32 30 $823.00 $411.50 50% off $569.07 $569.07 $569.07 2026-05-13
90651 CPT 9vhpv Vaccine 2/3 Dose IM 32 30 $871.00 $435.50 50% off $569.07 $569.07 $569.07 2026-05-13
90678 CPT Rsv Vacc Pref Bivalent IM 32 30 $812.00 $406.00 50% off $584.10 $584.10 $584.10 2026-05-13
Q4159 CPT Affinity1 Square Cm 32 30 $970.00 $485.00 50% off $593.44 $593.44 $593.44 2026-05-13
J7308 CPT Aminolevulinic Acid Hcl Top 32 30 $1,180.00 $590.00 50% off $647.33 $647.33 $647.33 2026-05-13
A9552 CPT F18 Fdg 32 30 $854.00 $427.00 50% off $647.79 $647.79 $647.79 2026-05-13
J3315 CPT Triptorelin Pamoate 32 30 $2,316.00 $1,158.00 50% off $682.42 $682.42 $682.42 2026-05-13
G0378 CPT Hospital Observation Per Hr 31 30 $51.00 $25.50 50% off $708.61 $708.61 $708.61 2026-05-13
A9500 CPT Technetium Tc-99m Sestamibi; Diagnostic; Per Study Dose 33 30 $1,480.00 $740.00 50% off $740.00 $743.46 $740.00 2026-05-13
J7313 CPT Inj., Iluvien, 0.01 Mg 32 30 $1,454.00 $727.00 50% off $810.07 $810.07 $810.07 2026-05-13
J7326 CPT Gel-one 32 30 $1,485.00 $742.50 50% off $820.53 $820.53 $820.53 2026-05-13
J7314 CPT Inj., Yutiq, 0.01 Mg 32 30 $1,545.00 $772.50 50% off $872.85 $872.85 $872.85 2026-05-13
Q4282 CPT Cygnus Dual Per Sq Cm 32 30 $922.00 $461.00 50% off $922.00 $922.00 $922.00 2026-05-13
A9595 CPT Piflu F-18, Dia 1 Millicurie 32 30 $1,154.00 $577.00 50% off $957.58 $957.58 $957.58 2026-05-13
49281-0574-88 CPT Beyfortus 32 30 $1,475.00 $737.50 50% off $980.10 $980.10 $980.10 2026-05-13
90381 CPT Rsv Monoc Antb Seasn 1 Ml IM 32 30 $1,578.00 $789.00 50% off $980.10 $980.10 $980.10 2026-05-13
J9202 CPT Goserelin Acetate Implant 32 30 $3,372.00 $1,686.00 50% off $1,004.87 $1,004.87 $1,004.87 2026-05-13
A2001 CPT Innovamatrix Ac, Per Sq Cm 32 30 $1,048.40 $524.20 50% off $1,048.40 $1,048.40 $1,048.40 2026-05-13
90870 CPT Electroconvulsive Therapy 31 29 $995.00 $497.50 50% off $1,048.58 $1,048.58 $1,048.58 2026-05-13
J1212 CPT Dimethyl Sulfoxide 50% 50 Ml 32 30 $2,011.00 $1,005.50 50% off $1,123.35 $1,123.35 $1,123.35 2026-05-13
J7327 CPT Monovisc Inj Per Dose 32 30 $1,802.00 $901.00 50% off $1,178.71 $1,178.71 $1,178.71 2026-05-13
A9562 CPT Technetium Tc-99m Mertiatide; Diagnostic; Per Study Dose; Up To 15 Millicuries 32 30 $1,711.00 $855.50 50% off $1,283.16 $1,283.16 $1,283.16 2026-05-13
J0178 CPT Aflibercept Injection 32 30 $1,694.00 $847.00 50% off $1,422.76 $1,422.76 $1,422.76 2026-05-13
49281-0575-00 CPT Beyfortus 32 30 $1,475.00 $737.50 50% off $1,475.00 $1,475.00 $1,475.00 2026-05-13
Q4194 CPT Novachor; Per Square Centimeter 32 30 $1,516.00 $758.00 50% off $1,516.00 $1,516.00 $1,516.00 2026-05-13
90380 CPT Rsv Monoc Antb Seasn .5ml IM 32 30 $1,578.00 $789.00 50% off $1,578.00 $1,578.00 $1,578.00 2026-05-13
J7307 CPT Etonogestrel Implant System 32 30 $1,657.00 $828.50 50% off $1,657.00 $1,657.00 $1,657.00 2026-05-13
J7297 CPT Liletta, 52 Mg 32 30 $2,796.00 $1,398.00 50% off $1,756.97 $1,756.97 $1,756.97 2026-05-13
J7301 CPT Skyla, 13.5 Mg 32 30 $3,035.00 $1,517.50 50% off $1,907.17 $1,907.17 $1,907.17 2026-05-13
50419-0422-01 CPT Skyla 32 30 $3,034.14 $1,517.07 50% off $1,907.17 $1,907.17 $1,907.17 2026-05-13
59365-5128-01 CPT ParaGard T380a 32 30 $2,929.50 $1,464.75 50% off $2,148.30 $2,148.30 $2,148.30 2026-05-13
J7300 CPT Intra Copp Contra (paragard) 32 30 $3,127.00 $1,563.50 50% off $2,148.30 $2,148.30 $2,148.30 2026-05-13
110334928 CPT Hchg Ganciclovir Ophth 2mg/0.1ml Per Dose 11 11 $1.00 $0.50 50% off $2,224.96 $2,224.96 $2,224.96 2026-05-13
110467928 CPT Hchg Juv Derm Ultra Plus Xc Per (1) 0.55ml Syringe 11 11 $861.00 $430.50 50% off $2,224.96 $2,224.96 $2,224.96 2026-05-13
110348928 CPT Hchg Inject, Intravitreal Vancomycin, Per Dose 11 11 $1.00 $0.50 50% off $2,224.96 $2,224.96 $2,224.96 2026-05-13
919608928 CPT Hchg Triple Antibiotic Ointment (neosporin) Unit Dose Packets 11 11 $1.00 $0.50 50% off $2,224.96 $2,224.96 $2,224.96 2026-05-13
00264-7510-10 CPT Dextrose 11 11 $10.50 $5.25 50% off $2,224.96 $2,224.96 $2,224.96 2026-05-13
110471928 CPT Hchg Juv Derm Vollure Per 1ml Syringe 11 11 $1,128.00 $564.00 50% off $2,224.96 $2,224.96 $2,224.96 2026-05-13
00270-0445-40 CPT Gastrografin 22 11 $19.26 $9.63 50% off $2,224.96 $2,224.96 $2,224.96 2026-05-13
00264-7800-00 CPT Sodium Chloride 11 11 $9.00 $4.50 50% off $2,224.96 $2,224.96 $2,224.96 2026-05-13
110472928 CPT Hchg Restylane Per 1ml Syringe 11 11 $899.00 $449.50 50% off $2,224.96 $2,224.96 $2,224.96 2026-05-13
38205 CPT Harvest Allogeneic Stem Cell 11 11 $5,800.00 $2,900.00 50% off $2,224.96 $2,224.96 $2,224.96 2026-05-13
94664 CPT Evaluate Pt Use Of Inhaler 11 11 $225.00 $112.50 50% off $2,224.96 $2,224.96 $2,224.96 2026-05-13
00338-0117-04 CPT Lactated Ringer's 11 11 $6.00 $3.00 50% off $2,224.96 $2,224.96 $2,224.96 2026-05-13
00407-1412-33 CPT Omnipaque 240 11 11 $12.49 $6.25 50% off $2,224.96 $2,224.96 $2,224.96 2026-05-13
110299928 CPT Hchg Gi Cocktail - Maalox Max 10ml & Lidocane Viscous 2% 5ml- Per 15ml 11 11 $4.00 $2.00 50% off $2,224.96 $2,224.96 $2,224.96 2026-05-13
94667 CPT Initial Therapy Service To Facilitate Lung Function 11 11 $180.00 $90.00 50% off $2,224.96 $2,224.96 $2,224.96 2026-05-13
00264-7510-00 CPT Dextrose 11 11 $12.00 $6.00 50% off $2,224.96 $2,224.96 $2,224.96 2026-05-13
00264-7750-00 CPT Lactated Ringer's 11 11 $9.00 $4.50 50% off $2,224.96 $2,224.96 $2,224.96 2026-05-13
00264-7510-20 CPT Dextrose 11 11 $9.75 $4.88 50% off $2,224.96 $2,224.96 $2,224.96 2026-05-13
00338-0017-04 CPT Dextrose 11 11 $6.00 $3.00 50% off $2,224.96 $2,224.96 $2,224.96 2026-05-13
00990-7983-03 CPT Sodium Chloride 11 11 $15.00 $7.50 50% off $2,224.96 $2,224.96 $2,224.96 2026-05-13
919606928 CPT Hchg Silvadene 1% Cream, Per 1 Gm 11 11 $2.00 $1.00 50% off $2,224.96 $2,224.96 $2,224.96 2026-05-13
110356928 CPT Hchg Hydralazine Per 25 Mg Tab 11 11 $1.00 $0.50 50% off $2,224.96 $2,224.96 $2,224.96 2026-05-13
94640 CPT Inhalation Treatment For Airway Obstruction Or Sputum Production 55 11 $230.00 $115.00 50% off $2,224.96 $2,224.96 $2,224.96 2026-05-13
110274928 CPT Hchg 0.9% Ns 250 Ml 11 11 $12.00 $6.00 50% off $2,224.96 $2,224.96 $2,224.96 2026-05-13
919607928 CPT Hchg Silver Nitrate Swabs - Each 11 11 $3.00 $1.50 50% off $2,224.96 $2,224.96 $2,224.96 2026-05-13
89220 CPT Sputum Specimen Collection 11 11 $83.00 $41.50 50% off $2,224.96 $2,224.96 $2,224.96 2026-05-13
919605928 CPT Hchg Phenol Ez Swabs Each 11 11 $13.00 $6.50 50% off $2,224.96 $2,224.96 $2,224.96 2026-05-13
110473928 CPT Hchg Belotero Balance Per 1ml Syringe 11 11 $855.00 $427.50 50% off $2,224.96 $2,224.96 $2,224.96 2026-05-13
100020928 CPT Hchg Routine Room 12 11 $1,205.00 $602.50 50% off $2,224.96 $2,224.96 $2,224.96 2026-05-13
A9270 CPT Non-covered Item Or Service 22 11 $3.13 $1.57 50% off $2,224.96 $2,224.96 $2,224.96 2026-05-13
00338-0049-04 CPT Sodium Chloride 11 11 $6.00 $3.00 50% off $2,224.96 $2,224.96 $2,224.96 2026-05-13
110474928 CPT Hchg Belotero Balance With Lidocaine Per 1ml Syringe 11 11 $987.00 $493.50 50% off $2,224.96 $2,224.96 $2,224.96 2026-05-13
110470928 CPT Hchg Juv Derm Volbella Xc Per 1ml Syringe 11 11 $1,128.00 $564.00 50% off $2,224.96 $2,224.96 $2,224.96 2026-05-13
Q9967 CPT Low Osmolar Contrast Material; 300-399 Mg/ml Iodine Concentration; Per Ml 11 11 $16.38 $8.19 50% off $2,224.96 $2,224.96 $2,224.96 2026-05-13
100117928 CPT Hchg Transitional Care Bed 12 11 $804.00 $402.00 50% off $2,224.96 $2,224.96 $2,224.96 2026-05-13
110407928 CPT Hchg Clindamycin Intravitreal Inj Per 1mg/0.1ml 11 11 $20.00 $10.00 50% off $2,224.96 $2,224.96 $2,224.96 2026-05-13
110469928 CPT Hchg Juv Derm Volbella Xc Per (1) 0.55ml Syringe 11 11 $615.00 $307.50 50% off $2,224.96 $2,224.96 $2,224.96 2026-05-13
110333928 CPT Hchg Sufentanil 50mcg/ml Inj (sufenta) - Per 1ml 11 11 $35.00 $17.50 50% off $2,224.96 $2,224.96 $2,224.96 2026-05-13
J3490 CPT Drugs Unclassified Injection 11 11 $7.00 $3.50 50% off $2,224.96 $2,224.96 $2,224.96 2026-05-13
94644 CPT Cbt 1st Hour 11 11 $493.00 $246.50 50% off $2,224.96 $2,224.96 $2,224.96 2026-05-13
94660 CPT Therapy Procedure Using A Positive Pressure Ventilator 33 11 $459.00 $229.50 50% off $2,224.96 $2,224.96 $2,224.96 2026-05-13
500330928 CPT Hchg Hospice Daily 12 11 $771.00 $385.50 50% off $2,224.96 $2,224.96 $2,224.96 2026-05-13
94668 CPT Chest Wall Manipulation 11 11 $180.00 $90.00 50% off $2,224.96 $2,224.96 $2,224.96 2026-05-13
100003928 CPT Hchg Cardiac Care Room 12 11 $2,716.00 $1,358.00 50% off $2,224.96 $2,224.96 $2,224.96 2026-05-13
J7060 CPT 5% Dextrose/water (500 Ml = 1 Unit) 11 11 $15.00 $7.50 50% off $2,224.96 $2,224.96 $2,224.96 2026-05-13
00264-7800-10 CPT Sodium Chloride 11 11 $9.00 $4.50 50% off $2,224.96 $2,224.96 $2,224.96 2026-05-13
G0239 CPT Oth Resp Proc, Group 11 11 $166.00 $83.00 50% off $2,224.96 $2,224.96 $2,224.96 2026-05-13
00338-0017-48 CPT Dextrose 11 11 $5.10 $2.55 50% off $2,224.96 $2,224.96 $2,224.96 2026-05-13
100021928 CPT Hchg Step Down Room 12 11 $5,241.00 $2,620.50 50% off $2,224.96 $2,224.96 $2,224.96 2026-05-13
110323928 CPT Hchg Methotrexate Ophth 400mcg/0.1ml Per Dose 11 11 $1.00 $0.50 50% off $2,224.96 $2,224.96 $2,224.96 2026-05-13
110283928 CPT Hchg Sodium Chloride Syringe 11 11 $2.00 $1.00 50% off $2,224.96 $2,224.96 $2,224.96 2026-05-13
110337928 CPT Hchg Bupivacaine Hcl Pf (marcaine) 0.25% Inj Per 1ml 11 11 $2.00 $1.00 50% off $2,224.96 $2,224.96 $2,224.96 2026-05-13
00990-7953-09 CPT Lactated Ringer's 11 11 $15.00 $7.50 50% off $2,224.96 $2,224.96 $2,224.96 2026-05-13
100022928 CPT Hchg Telemetry Room 12 11 $3,463.00 $1,731.50 50% off $2,224.96 $2,224.96 $2,224.96 2026-05-13
00270-1316-35 CPT Isovue-370 33 11 $21.84 $10.92 50% off $2,224.96 $2,224.96 $2,224.96 2026-05-13
00270-1111-03 CPT Prohance 11 11 $76.02 $38.01 50% off $2,224.96 $2,224.96 $2,224.96 2026-05-13
110480928 CPT Hchg Sodium Tetradecyl Sulfate (sotradecol) Per 1ml 11 11 $78.00 $39.00 50% off $2,224.96 $2,224.96 $2,224.96 2026-05-13
00270-1315-35 CPT Isovue-300 33 11 $24.60 $12.30 50% off $2,224.96 $2,224.96 $2,224.96 2026-05-13
94002 CPT Vent Mgmt Inpat Init Day 11 11 $1,243.00 $621.50 50% off $2,224.96 $2,224.96 $2,224.96 2026-05-13
00990-7922-09 CPT Dextrose 11 11 $15.00 $7.50 50% off $2,224.96 $2,224.96 $2,224.96 2026-05-13
94003 CPT Follow-up Inpatient Or Observation Ventilation Assistance And Management 11 11 $1,638.00 $819.00 50% off $2,224.96 $2,224.96 $2,224.96 2026-05-13
100008928 CPT Hchg Isolation Room 12 11 $1,205.00 $602.50 50% off $2,224.96 $2,224.96 $2,224.96 2026-05-13
00990-7983-09 CPT Sodium Chloride 11 11 $60.00 $30.00 50% off $2,224.96 $2,224.96 $2,224.96 2026-05-13
00264-7800-20 CPT Sodium Chloride 11 11 $8.25 $4.13 50% off $2,224.96 $2,224.96 $2,224.96 2026-05-13
00990-7983-02 CPT Sodium Chloride 11 11 $15.00 $7.50 50% off $2,224.96 $2,224.96 $2,224.96 2026-05-13
110468928 CPT Hchg Juv Derm Ultra Plus Xc Per 1ml Syringe 11 11 $1,047.00 $523.50 50% off $2,224.96 $2,224.96 $2,224.96 2026-05-13
J9357 CPT Valrubicin Injection 32 30 $4,088.00 $2,044.00 50% off $2,250.35 $2,250.35 $2,250.35 2026-05-13
78206-0145-01 CPT Nexplanon 32 30 $2,804.46 $1,402.23 50% off $2,289.44 $2,289.44 $2,289.44 2026-05-13
50419-0423-01 CPT Mirena 32 30 $3,643.89 $1,821.95 50% off $2,290.45 $2,290.45 $2,290.45 2026-05-13
50419-0424-01 CPT Kyleena 32 30 $3,470.37 $1,735.19 50% off $2,290.45 $2,290.45 $2,290.45 2026-05-13
J7296 CPT Kyleena, 19.5 Mg 32 30 $3,644.00 $1,822.00 50% off $2,290.45 $2,290.45 $2,290.45 2026-05-13
J7298 CPT Mirena, 52 Mg 32 30 $3,644.00 $1,822.00 50% off $2,290.45 $2,290.45 $2,290.45 2026-05-13
J1950 CPT Leuprolide Acetate /3.75 Mg 32 30 $5,215.00 $2,607.50 50% off $2,581.59 $2,581.59 $2,581.59 2026-05-13
Q4113 CPT Graftjacket Xpress 32 30 $5,732.00 $2,866.00 50% off $3,295.88 $3,295.88 $3,295.88 2026-05-13
J3240 CPT Thyrotropin Injection 32 30 $6,067.00 $3,033.50 50% off $3,334.93 $3,334.93 $3,334.93 2026-05-13
J2787 CPT Riboflavin 5'phos Opth<=3ml 32 30 $13,680.00 $6,840.00 50% off $4,108.50 $4,108.50 $4,108.50 2026-05-13
J0480 CPT Basiliximab 32 30 $13,463.00 $6,731.50 50% off $7,385.85 $7,385.85 $7,385.85 2026-05-13
J9226 CPT Supprelin La Implant 32 30 $150,543.00 $75,271.50 50% off $73,550.30 $73,550.30 $73,550.30 2026-05-13
J9029 CPT Instill Adstiladrin, Tx Dose 32 30 $138,420.00 $69,210.00 50% off $101,970.00 $101,970.00 $101,970.00 2026-05-13
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