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

KAISER FOUNDATION HOSPITAL - DOWNEY

Downey, CA · CCN 050139 · Rates published

9,057 distinct procedures filed
4 distinct payers
115,846 rate rows
2026-07-30 last MRF observed
Data quality

112,960 of 115,846 rate rows are consumer-grade (97.5%)

2,886 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 2,822
placeholder amount (≤ $0.02) — excluded from medians 56
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 8
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://healthy.kaiserpermanente.org/content/dam/kporg/final/documents/health-plan-documents/coverage-information/machine-readable/941105628-downey-medical-center-standard-charges-scal-en.csv
Found on page https://healthy.kaiserpermanente.org/southern-california/doctors-locations/price-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-16
Content fingerprint 261651687969d4b3… · 209,267,026 bytes · first seen 2026-05-09

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
J3391
HCPCS 		"Inj, Atidarsagene Autotemcel" 1 $4,632,500.00 $4,632,500.00 $4,632,500.00 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		"Inj, Hemgenix, Per Tx Dose" 1 $3,815,000.00 $3,815,000.00 $3,815,000.00 nat. median
$3,685,267
1.0× median
J1414
HCPCS 		Beqvez (fidanacogene Elaparvovec-dz 1 $3,815,000.00 $3,815,000.00 $3,815,000.00 nat. median
$3,508,750
1.1× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 1 $3,383,360.00 $3,383,360.00 $3,383,360.00 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		"Inj, Lovotibeglogene Autotem" 1 $3,379,000.00 $3,379,000.00 $3,379,000.00 nat. median
$3,248,446
1.0× median
J3393
HCPCS 		"Inj, Betibeglogene Autotemce" 1 $3,052,000.00 $3,052,000.00 $3,052,000.00 nat. median
$2,968,000
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 1 $2,737,307.00 $2,737,307.00 $2,737,307.00 nat. median
$2,455,111
1.1× median
J3392
HCPCS 		Casgevy (exagamglogene Autotemcel) 1 $2,398,000.00 $2,398,000.00 $2,398,000.00 nat. median
$2,332,000
1.0× median
Q2057
HCPCS 		Tecelra (afamitresgene Autoleucel) 1 $792,430.00 $792,430.00 $792,430.00 nat. median
$813,967
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 1 $605,288.00 $605,288.00 $605,288.00 nat. median
$599,737
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 1 $575,861.00 $575,861.00 $575,861.00 nat. median
$574,037
1.0× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 1 $567,588.00 $567,588.00 $567,588.00 nat. median
$579,571
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 1 $557,936.00 $557,936.00 $557,936.00 nat. median
$621,313
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 1 $548,902.00 $548,902.00 $548,902.00 nat. median
$562,501
1.0× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 1 $503,580.00 $503,580.00 $503,580.00 nat. median
$513,770
1.0× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 1 $294,709.00 $294,709.00 $294,709.00 nat. median
$286,598
1.0× median
A9543
HCPCS 		Yttrium Y-90 Ibritumomab Tiuxetan Tx To 40 Mci 1 $83,439.00 $140,178.00 $83,439.00 nat. median
$65,477
1.3× median
J9029
HCPCS 		"Instill Adstiladrin, Tx Dose" 1 $63,431.00 $106,564.00 $63,431.00 nat. median
$66,211
1.0× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 1 $55,946.00 $93,989.00 $55,946.00 nat. median
$63,499
0.9× median
A9699
HCPCS 		Radiopharmaceutical Therapeutic Noc 1 $52,618.00 $88,398.00 $52,618.00 nat. median
$7,098
outlier · 7.4×
J9226
HCPCS 		Supprelin La Implant 1 $45,560.00 $76,541.00 $45,560.00 nat. median
$57,036
0.8× median
Q9982
HCPCS 		flutemetamoL F-18 5 mCi (185 MBq) Soln 1 Each Vial 1 $39,696.53 $47,453.33 $43,574.93 nat. median
$2,916
outlier · 14.9×
0620T
CPT 		Endovascular Venous Arterialization Tibl/prnl Vn 1 $34,721.00 $103,272.00 $42,531.00 nat. median
$34,349
1.2× median
0571T
CPT 		Insj/rplcmt Icds W/substernal Electrode 1 $31,806.00 $94,600.00 $38,960.00 nat. median
$32,945
1.2× median
0674T
CPT 		Laps Insj Nw/rpcmt Prm Isdss 1 $30,231.00 $89,915.00 $37,030.00 nat. median
$29,815
1.2× median
A9513
HCPCS 		Lutetium Lu 177 Dotatate 10 mCi/mL (370 MBq/mL) Soln 1 Each Vial 1 $28,018.43 $80,512.74 $33,493.30 nat. median
$550
outlier · 60.9×
C9760
HCPCS 		Nonrnd Nonblinded Proc Nyha Class Ii Iii IV Hf; 1 $27,281.00 $81,142.00 $33,417.00 nat. median
$28,845
1.2× median
A9590
HCPCS 		Iobenguane I-131 30 mCi/2 Ml Soln 1 Each Vial 1 $4,817.49 $142,736.25 $31,757.79 nat. median
$488
outlier · 65.1×
90288
CPT 		Botulism Immune Globulin (human) 100 Mg Recon Soln 1 Each Vial 1 $23,929.35 $68,762.50 $28,605.20 nat. median
$43,548
0.7× median
J9266
HCPCS 		Pegaspargase Injection 1 $28,424.00 $47,752.00 $28,424.00 nat. median
$31,084
0.9× median
187001050
NDC 		Sodium Benzoate-sod Phenylacet 10-10 % Soln 50 Ml Vial 1 $22,882.36 $65,753.92 $27,353.63 —
A9607
HCPCS 		"lutetium Lu-177 Vipivotide Tetraxetan 27 mCi/mL (1,000 MBq/mL) Soln 1 Each Vial… 1 $22,817.56 $65,567.70 $27,276.16 nat. median
$396
outlier · 68.9×
0614T
CPT 		Rmvl&rplcmt Ss Impl Dfb Pg 1 $22,267.00 $66,229.00 $27,275.00 nat. median
$24,111
1.1× median
68875010201
NDC 		Teduglutide 5 Mg Kit 1 Each Kit 1 $22,815.30 $65,561.21 $27,273.46 —
0816T
CPT 		Opn Insj/rplcmt Ins Ptn Subq 1 $21,273.00 $63,273.00 $26,058.00 nat. median
$21,090
1.2× median
0817T
CPT 		Opn Insj/rplcmt Ins Ptn Subf 1 $21,273.00 $63,273.00 $26,058.00 nat. median
$20,981
1.2× median
0680T
CPT 		Insj/rplcmt Pulse Generator Only Isdss 1 $21,273.00 $63,273.00 $26,058.00 nat. median
$20,981
1.2× median
C9293
HCPCS 		"glucarpidase 1,000 Unit Recon Soln 1 Each Vial" 1 $20,633.98 $59,293.06 $24,665.91 nat. median
$57,284
outlier · 0.4×
J9600
HCPCS 		Porfimer Sodium Injection 1 $24,229.00 $40,704.00 $24,229.00 nat. median
$26,416
0.9× median
0823T
CPT 		Tcat Insj Perm 1chmbr Ldls Pacemaker R Atrial 1 $18,919.00 $56,271.00 $23,174.00 nat. median
$20,485
1.1× median
0825T
CPT 		Tcat Rmv&rpl1chmb Ldls Pm Ra 1 $18,919.00 $56,271.00 $23,174.00 nat. median
$20,485
1.1× median
0803T
CPT 		Tcat Rmv&rpl2chmb Ldls Pm Rv 1 $18,919.00 $56,271.00 $23,174.00 nat. median
$20,278
1.1× median
0802T
CPT 		Tcat Rmv&rpl2chmb Ldls Pm Ra 1 $18,919.00 $56,271.00 $23,174.00 nat. median
$20,278
1.1× median
0795T
CPT 		Tcat Ins 2chmbr Ldls Pm Cmpl 1 $18,919.00 $56,271.00 $23,174.00 nat. median
$19,928
1.2× median
0801T
CPT 		Tcat Rmv&rpl 2chmbr Ldls Pm 1 $18,919.00 $56,271.00 $23,174.00 nat. median
$20,278
1.1× median
0796T
CPT 		Tcat Ins 2chmbr Ldls Pm Ra 1 $18,919.00 $56,271.00 $23,174.00 nat. median
$20,278
1.1× median
0797T
CPT 		Tcat Ins 2chmbr Ldls Pm Rv 1 $18,919.00 $56,271.00 $23,174.00 nat. median
$20,278
1.1× median
37292
CPT 		Revsc Evasc Tpvt St Athrc Uni Sf Les 1st Vsl 1 $18,579.00 $55,260.00 $22,758.00 nat. median
$19,143
1.2× median
37284
CPT 		Revsc Evasc Tpvt St Plmt Uni Sf Les 1st Vsl 1 $18,579.00 $55,260.00 $22,758.00 nat. median
$19,143
1.2× median
37277
CPT 		Revsc Evasc Fpvt St Athrc Uni Cplx Les 1st Vsl 1 $18,579.00 $55,260.00 $22,758.00 nat. median
$19,143
1.2× median

Other procedures at this hospital

Browse this hospital's 9,057 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
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
             
J3391 HCPCS "Inj, Atidarsagene Autotemcel" 3 1 — — $4,632,500.00 $4,632,500.00 $4,632,500.00 2026-07-17
J1414 HCPCS Beqvez (fidanacogene Elaparvovec-dz 3 1 — — $3,815,000.00 $3,815,000.00 $3,815,000.00 2026-07-17
J1411 HCPCS "Inj, Hemgenix, Per Tx Dose" 3 1 — — $3,815,000.00 $3,815,000.00 $3,815,000.00 2026-07-17
J1413 HCPCS Inj Delandistrogene Mox Rokl 3 1 — — $3,383,360.00 $3,383,360.00 $3,383,360.00 2026-07-17
J3394 HCPCS "Inj, Lovotibeglogene Autotem" 3 1 — — $3,379,000.00 $3,379,000.00 $3,379,000.00 2026-07-17
J3393 HCPCS "Inj, Betibeglogene Autotemce" 3 1 — — $3,052,000.00 $3,052,000.00 $3,052,000.00 2026-07-17
J3399 HCPCS Inj Onase Abepar-xioi Treat 3 1 — — $2,737,307.00 $2,737,307.00 $2,737,307.00 2026-07-17
J3392 HCPCS Casgevy (exagamglogene Autotemcel) 3 1 — — $2,398,000.00 $2,398,000.00 $2,398,000.00 2026-07-17
Q2057 HCPCS Tecelra (afamitresgene Autoleucel) 3 1 — — $792,430.00 $792,430.00 $792,430.00 2026-07-17
Q2056 HCPCS Ciltacabtagene Car-pos T 3 1 — — $605,288.00 $605,288.00 $605,288.00 2026-07-17
Q2055 HCPCS Idecabtagene Vicleucel Car 3 1 — — $575,861.00 $575,861.00 $575,861.00 2026-07-17
Q2054 HCPCS Lisocabtagene Mara Car Pos T 3 1 — — $567,588.00 $567,588.00 $567,588.00 2026-07-17
Q2042 HCPCS Tisagenlecleucel Car-pos T 3 1 — — $557,936.00 $557,936.00 $557,936.00 2026-07-17
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 3 1 — — $548,902.00 $548,902.00 $548,902.00 2026-07-17
Q2053 HCPCS Brexucabtagene Car Pos T 3 1 — — $503,580.00 $503,580.00 $503,580.00 2026-07-17
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 3 1 — — $294,709.00 $294,709.00 $294,709.00 2026-07-17
A9543 HCPCS Yttrium Y-90 Ibritumomab Tiuxetan Tx To 40 Mci 3 1 $182,231.00 $94,760.12 48% off $83,439.00 $140,178.00 $83,439.00 2026-07-17
J9029 HCPCS "Instill Adstiladrin, Tx Dose" 3 1 — — $63,431.00 $106,564.00 $63,431.00 2026-07-17
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 3 1 — — $55,946.00 $93,989.00 $55,946.00 2026-07-17
A9699 HCPCS Radiopharmaceutical Therapeutic Noc 3 1 — — $52,618.00 $88,398.00 $52,618.00 2026-07-17
J9226 HCPCS Supprelin La Implant 3 1 — — $45,560.00 $76,541.00 $45,560.00 2026-07-17
Q9982 HCPCS flutemetamoL F-18 5 mCi (185 MBq) Soln 1 Each Vial 2 1 $10,029.00 $5,215.08 48% off $39,696.53 $47,453.33 $43,574.93 2026-07-17
0620T CPT Endovascular Venous Arterialization Tibl/prnl Vn 3 1 $76,790.00 $39,930.80 48% off $34,721.00 $103,272.00 $42,531.00 2026-07-17
0571T CPT Insj/rplcmt Icds W/substernal Electrode 3 1 $72,760.00 $37,835.20 48% off $31,806.00 $94,600.00 $38,960.00 2026-07-17
0674T CPT Laps Insj Nw/rpcmt Prm Isdss 3 1 — — $30,231.00 $89,915.00 $37,030.00 2026-07-17
A9513 HCPCS Lutetium Lu 177 Dotatate 10 mCi/mL (370 MBq/mL) Soln 1 Each Vial 3 1 $193,132.79 $100,429.05 48% off $28,018.43 $80,512.74 $33,493.30 2026-07-17
C9760 HCPCS Nonrnd Nonblinded Proc Nyha Class Ii Iii IV Hf; 3 1 $63,130.00 $32,827.60 48% off $27,281.00 $81,142.00 $33,417.00 2026-07-17
A9590 HCPCS Iobenguane I-131 30 mCi/2 Ml Soln 1 Each Vial 6 1 $156,579.60 $81,421.39 48% off $4,817.49 $142,736.25 $31,757.79 2026-07-17
90288 CPT Botulism Immune Globulin (human) 100 Mg Recon Soln 1 Each Vial 3 1 $137,525.00 $71,513.00 48% off $23,929.35 $68,762.50 $28,605.20 2026-07-17
J9266 HCPCS Pegaspargase Injection 3 1 — — $28,424.00 $47,752.00 $28,424.00 2026-07-17
187001050 NDC Sodium Benzoate-sod Phenylacet 10-10 % Soln 50 Ml Vial 3 1 $131,507.84 $68,384.08 48% off $22,882.36 $65,753.92 $27,353.63 2026-07-17
A9607 HCPCS "lutetium Lu-177 Vipivotide Tetraxetan 27 mCi/mL (1,000 MBq/mL) Soln 1 Each Vial… 3 1 $147,409.21 $76,652.79 48% off $22,817.56 $65,567.70 $27,276.16 2026-07-17
0614T CPT Rmvl&rplcmt Ss Impl Dfb Pg 3 1 — — $22,267.00 $66,229.00 $27,275.00 2026-07-17
68875010201 NDC Teduglutide 5 Mg Kit 1 Each Kit 3 1 $135,055.95 $70,229.09 48% off $22,815.30 $65,561.21 $27,273.46 2026-07-17
0816T CPT Opn Insj/rplcmt Ins Ptn Subq 3 1 — — $21,273.00 $63,273.00 $26,058.00 2026-07-17
0817T CPT Opn Insj/rplcmt Ins Ptn Subf 3 1 — — $21,273.00 $63,273.00 $26,058.00 2026-07-17
0680T CPT Insj/rplcmt Pulse Generator Only Isdss 3 1 $59,530.00 $30,955.60 48% off $21,273.00 $63,273.00 $26,058.00 2026-07-17
C9293 HCPCS "glucarpidase 1,000 Unit Recon Soln 1 Each Vial" 3 1 $124,516.04 $64,748.34 48% off $20,633.98 $59,293.06 $24,665.91 2026-07-17
J9600 HCPCS Porfimer Sodium Injection 3 1 — — $24,229.00 $40,704.00 $24,229.00 2026-07-17
0801T CPT Tcat Rmv&rpl 2chmbr Ldls Pm 3 1 — — $18,919.00 $56,271.00 $23,174.00 2026-07-17
0795T CPT Tcat Ins 2chmbr Ldls Pm Cmpl 3 1 — — $18,919.00 $56,271.00 $23,174.00 2026-07-17
0823T CPT Tcat Insj Perm 1chmbr Ldls Pacemaker R Atrial 3 1 $34,490.00 $17,934.80 48% off $18,919.00 $56,271.00 $23,174.00 2026-07-17
0803T CPT Tcat Rmv&rpl2chmb Ldls Pm Rv 3 1 — — $18,919.00 $56,271.00 $23,174.00 2026-07-17
0796T CPT Tcat Ins 2chmbr Ldls Pm Ra 3 1 — — $18,919.00 $56,271.00 $23,174.00 2026-07-17
0802T CPT Tcat Rmv&rpl2chmb Ldls Pm Ra 3 1 — — $18,919.00 $56,271.00 $23,174.00 2026-07-17
0797T CPT Tcat Ins 2chmbr Ldls Pm Rv 3 1 — — $18,919.00 $56,271.00 $23,174.00 2026-07-17
0825T CPT Tcat Rmv&rpl1chmb Ldls Pm Ra 3 1 — — $18,919.00 $56,271.00 $23,174.00 2026-07-17
37290 CPT Revsc Evasc Tpvt Athrc Uni Cplx Les 1st Vsl 3 1 $46,822.00 — $18,579.00 $55,260.00 $22,758.00 2026-07-17
37275 CPT Revsc Evasc Fpvt St Athrc Uni Sf Les 1st Vsl 3 1 $46,822.00 — $18,579.00 $55,260.00 $22,758.00 2026-07-17
37288 CPT Revsc Evasc Tpvt Athrc Uni Sf Les 1st Vsl 3 1 $46,822.00 — $18,579.00 $55,260.00 $22,758.00 2026-07-17
37292 CPT Revsc Evasc Tpvt St Athrc Uni Sf Les 1st Vsl 3 1 $46,822.00 — $18,579.00 $55,260.00 $22,758.00 2026-07-17
37284 CPT Revsc Evasc Tpvt St Plmt Uni Sf Les 1st Vsl 3 1 $46,822.00 — $18,579.00 $55,260.00 $22,758.00 2026-07-17
37271 CPT Revsc Evasc Fpvt Athrc Uni Sf Les 1st Vsl 3 1 $46,822.00 — $18,579.00 $55,260.00 $22,758.00 2026-07-17
37277 CPT Revsc Evasc Fpvt St Athrc Uni Cplx Les 1st Vsl 3 1 $46,822.00 — $18,579.00 $55,260.00 $22,758.00 2026-07-17
37286 CPT Revsc Evasc Tpvt St Plmt Uni Cplx Les 1st Vsl 3 1 $46,822.00 — $18,579.00 $55,260.00 $22,758.00 2026-07-17
37273 CPT Revsc Evasc Fpvt Athrc Uni Cplx Les 1st Vsl 3 1 $46,822.00 — $18,579.00 $55,260.00 $22,758.00 2026-07-17
C9767 HCPCS Rev Evar Any Ves;iv Litho&tl Stnt Plcmt&atherect 3 1 $37,750.00 $19,630.00 48% off $17,814.00 $52,983.00 $21,820.00 2026-07-17
C9773 HCPCS Revasc Lithotr-stent Tib/per 3 1 $61,430.00 $31,943.60 48% off $17,814.00 $52,983.00 $21,820.00 2026-07-17
C9775 HCPCS Revasc Lith-sten-ath Tib/per 3 1 $61,430.00 $31,943.60 48% off $17,814.00 $52,983.00 $21,820.00 2026-07-17
0632T CPT Perq Tcat US Abltj Nrv P-art 3 1 — — $17,814.00 $52,983.00 $21,820.00 2026-07-17
C9766 HCPCS Rev Evar Any Ves);iv Lithotripsy And Atherectomy 3 1 $23,470.00 $12,204.40 48% off $17,814.00 $52,983.00 $21,820.00 2026-07-17
C9765 HCPCS Rev Evar Any Ves;iv Lithotripsy & Tl Stent Plcmt 3 1 $23,470.00 $12,204.40 48% off $17,814.00 $52,983.00 $21,820.00 2026-07-17
0793T CPT Prq Tcat Thrm Ablt Nrv P-art 3 1 — — $17,814.00 $52,983.00 $21,820.00 2026-07-17
C9607 HCPCS Pc Tl Rev Chrn Tot Occl Ca Ca Br/cabg; 1 Ves 3 1 $32,470.00 $16,884.40 48% off $17,814.00 $52,983.00 $21,820.00 2026-07-17
0645T CPT Tcat Implantation Coronary Sinus Reduction Dev 3 1 $71,827.00 $37,350.04 48% off $17,814.00 $52,983.00 $21,820.00 2026-07-17
C9797 HCPCS Vasc Emb/occ W/prs-gen Cath 3 1 — — $17,814.00 $52,983.00 $21,820.00 2026-07-17
C9774 HCPCS Revasc Lithotr-ather Tib/per 3 1 $61,430.00 $31,943.60 48% off $17,814.00 $52,983.00 $21,820.00 2026-07-17
C9602 HCPCS Pc Tl Cor Atherect W/rx Elut Ic Stent; 1 Mca/br 3 1 $33,010.00 $17,165.20 48% off $17,814.00 $52,983.00 $21,820.00 2026-07-17
0888T CPT Histotripsy Mal Renal Tissue 3 1 — — $17,361.00 $51,637.00 $21,266.00 2026-07-17
0686T CPT Histotripsy Mal Hepatocellular Tiss W/img Gdn 3 1 $63,950.00 $33,254.00 48% off $17,361.00 $51,637.00 $21,266.00 2026-07-17
C9782 HCPCS Bl P Nyha Ii/iii Hf/ccs Iii/iv Cra 3 1 — — $17,361.00 $51,637.00 $21,266.00 2026-07-17
C9758 HCPCS Bi Proc Nyha Cl Iii/iv Hf;trnscath Impl Ias/pc 3 1 $70,220.00 $36,514.40 48% off $17,361.00 $51,637.00 $21,266.00 2026-07-17
187552560 NDC Bexarotene 1 % Gel 60 G Tube 3 1 $83,983.06 $43,671.19 48% off $14,613.05 $41,991.53 $17,468.48 2026-07-17
0627T CPT Perq Njx Algc Fluor Lmbr 1st 3 1 — — $12,764.00 $37,964.00 $15,635.00 2026-07-17
C9781 HCPCS Arthrosc Shldr Sx; W/imp Sa Spacer 3 1 — — $12,764.00 $37,964.00 $15,635.00 2026-07-17
C9734 HCPCS Focused U/s Abl/tx Int Oth Than Ul 3 1 — — $12,764.00 $37,964.00 $15,635.00 2026-07-17
0737T CPT Xenograft Impltj Artclr Surf 3 1 — — $12,764.00 $37,964.00 $15,635.00 2026-07-17
C9757 HCPCS Laminotomy Decomp Nerve Root; 1 Interspace Lumb 3 1 $12,330.00 $6,411.60 48% off $12,764.00 $37,964.00 $15,635.00 2026-07-17
0629T CPT Perq Njx Algc Cell&/prdct Uni/bi CT Lmbr 1st 3 1 $43,710.00 $22,729.20 48% off $12,764.00 $37,964.00 $15,635.00 2026-07-17
0784T CPT Ins/rplmt Eltrd Ra Spi Nstim 3 1 — — $12,371.00 $36,795.00 $15,153.00 2026-07-17
0675T CPT Laps Insj Nw/rpcmt Isdss 1ld 3 1 — — $12,371.00 $36,795.00 $15,153.00 2026-07-17
187000714 NDC Ribavirin 6 Gram Recon Soln 4 Each Vial 3 1 $71,893.39 $37,384.56 48% off $12,509.45 $35,946.70 $14,953.83 2026-07-17
37282 CPT Revsc Evasc Tpvt Angiop Uni Cplx Les 1st Vsl 3 1 $29,486.00 — $11,700.00 $34,800.00 $14,332.00 2026-07-17
37258 CPT Revsc Evasc Ivt St Plmt Uni Sf Les 1st Vsl 3 1 $29,486.00 — $11,700.00 $34,800.00 $14,332.00 2026-07-17
37298 CPT Revsc Evasc Imvt Angiop Uni Cplx Les 1st Vsl 3 1 $29,486.00 — $11,700.00 $34,800.00 $14,332.00 2026-07-17
37296 CPT Revsc Evasc Imvt Angiop Uni Sf Les 1st Vsl 3 1 $29,486.00 — $11,700.00 $34,800.00 $14,332.00 2026-07-17
37280 CPT Revsc Evasc Tpvt Angiop Uni Sf Les 1st Vsl 3 1 $29,486.00 — $11,700.00 $34,800.00 $14,332.00 2026-07-17
37267 CPT Revsc Evasc Fpvt St Plmt Uni Sf Les 1st Vsl 3 1 $29,486.00 — $11,700.00 $34,800.00 $14,332.00 2026-07-17
37260 CPT Revsc Evasc Ivt St Plmt Uni Cplx Les 1st Vsl 3 1 $29,486.00 — $11,700.00 $34,800.00 $14,332.00 2026-07-17
37269 CPT Revsc Evasc Fpvt St Plmt Uni Cplx Les 1st Vsl 3 1 $29,486.00 — $11,700.00 $34,800.00 $14,332.00 2026-07-17
C9772 HCPCS Revasc Lithotrip Tibi/perone 3 1 $38,410.00 $19,973.20 48% off $11,250.00 $33,461.00 $13,780.00 2026-07-17
C9783 HCPCS Bld Proc Tc Imp Cs Rd Dvc/plb Ctrl 3 1 — — $11,250.00 $33,461.00 $13,780.00 2026-07-17
C9604 HCPCS Pc Tl Rev Of/thru Cabg Comb De Ic Stnt; 1 Ves 3 1 $30,860.00 $16,047.20 48% off $11,250.00 $33,461.00 $13,780.00 2026-07-17
C9600 HCPCS Pc Trnscth Plcmt Rx Elut Ic Stents; 1 Maj Ca/br 3 1 $22,880.00 $11,897.60 48% off $11,250.00 $33,461.00 $13,780.00 2026-07-17
C9764 HCPCS Rev Evar Open/perq Any Vessel;iv Lithotripsy 3 1 $11,730.00 $6,099.60 48% off $11,250.00 $33,461.00 $13,780.00 2026-07-17
55868 CPT Laps Surg Prst8ect Rpbic Radical W/lymph Node Bx 3 1 $27,150.00 — $10,773.00 $32,043.00 $13,196.00 2026-07-17
55869 CPT Laps Surg Prst8ect Rpbic Rad W/bi Pel Lymphadec 3 1 $27,150.00 — $10,773.00 $32,043.00 $13,196.00 2026-07-17
0677T CPT Laps Repos Lead Isdss 1st Ld 3 1 — — $10,328.00 $30,719.00 $12,651.00 2026-07-17
0600T CPT Ire Abltj 1+tum Organ Perq 3 1 — — $10,328.00 $30,719.00 $12,651.00 2026-07-17
C9785 HCPCS Endo Out Rd Gp Appl Endo & Il T Ins 3 1 — — $10,328.00 $30,719.00 $12,651.00 2026-07-17
C9901 HCPCS Endo Def Cls Entr Git/col Sys & Tiss Anch Comp 3 1 $18,220.00 $9,474.40 48% off $10,328.00 $30,719.00 $12,651.00 2026-07-17
0679T CPT Laparoscopic Removal Lead Perm Isdss 3 1 $28,010.00 $14,565.20 48% off $10,328.00 $30,719.00 $12,651.00 2026-07-17
0601T CPT Ire Abltj 1+tumors Open 3 1 — — $10,328.00 $30,719.00 $12,651.00 2026-07-17
J1412 HCPCS Inj Roctavian Ml 2x10^13vc G 3 1 — — $12,368.00 $20,779.00 $12,368.00 2026-07-17
C9792 HCPCS Bl/nonbl Pd Nyha Cl Ii Iii Iva Hf; 3 1 — — $9,673.00 $28,770.00 $11,848.00 2026-07-17
52597 CPT Trurl Robotic-assisted Waterjet Resection Prst8 3 1 $24,179.00 — $9,594.00 $28,536.00 $11,752.00 2026-07-17
C9761 HCPCS Cs Urs&/pylscpy Lth&aspr K Cll Sys 3 1 — — $9,173.00 $27,284.00 $11,236.00 2026-07-17
C9740 HCPCS Cysturethrscpy Insrt Transprostat Impl; 4/> Impl 3 1 $10,230.00 $5,319.60 48% off $9,173.00 $27,284.00 $11,236.00 2026-07-17
0572T CPT Insertion Ss Dfb Electrode 3 1 — — $8,210.00 $24,419.00 $10,057.00 2026-07-17
C9780 HCPCS Ins Cvc Thru Cvo Via I-s App Inc Ig 3 1 — — $8,185.00 $24,344.00 $10,026.00 2026-07-17
G0413 HCPCS Pelvic Ring Fracture Uni/bil 3 1 — — $7,087.00 $21,078.00 $8,681.00 2026-07-17
G0276 HCPCS Pild/placebo Control Clin Tr 3 1 — — $7,087.00 $21,078.00 $8,681.00 2026-07-17
0594T CPT Osteot Hum Xtrnl Lngth Dev 3 1 — — $7,087.00 $21,078.00 $8,681.00 2026-07-17
C1822 HCPCS System Spinal Cord Stimulation Senza Omina 3 3 $41,250.00 $14,437.50 65% off $7,631.25 $20,625.00 $8,662.50 2026-07-30
0587T CPT Perq Impltj/rplcmt Isdns Bldr Dysf Ptn 3 1 $5,950.00 $3,094.00 48% off $6,510.00 $19,364.00 $7,975.00 2026-07-17
50242017505 NDC Risdiplam 0.75 mg/mL Recon Soln 80 Ml Bottle 3 1 $38,770.26 $20,160.54 48% off $6,486.58 $18,639.59 $7,754.07 2026-07-17
10122050201 NDC Elapegademase-lvlr 2.4 Mg/1.5 Ml (1.6 mg/mL) Soln 1.5 Ml Vial 3 1 $38,384.93 $19,960.16 48% off $6,391.40 $18,366.10 $7,640.30 2026-07-17
C9606 HCPCS Perq Tl Rev Ac Total/subtotal Occlusion 1 Ves 3 1 $33,510.00 $17,425.20 48% off $6,277.40 $18,038.50 $7,504.02 2026-07-17
Q0224 HCPCS "Inj, Pemivibart, 4500 Mg" 3 1 — — $7,239.00 $12,162.00 $7,239.00 2026-07-17
0884T CPT Esphgsc Flx 1st Tndsc Dilat 3 1 — — $5,905.00 $17,564.00 $7,233.00 2026-07-17
60699 CPT Unlisted Procedure Endocrine System 3 1 $14,994.00 — $5,788.00 $17,215.00 $7,090.00 2026-07-17
58679 CPT Unlisted Laparoscopy Procedure Oviduct/ovary 3 1 $14,994.00 — $5,788.00 $17,215.00 $7,090.00 2026-07-17
49329 CPT Unlisted Laparoscopic Px Abd Pertoneum & Omentum 3 1 $14,994.00 — $5,788.00 $17,215.00 $7,090.00 2026-07-17
47379 CPT Unlis Laparoscopic Procedure Liver 3 1 $10,238.00 — $5,788.00 $17,215.00 $7,090.00 2026-07-17
37256 CPT Revsc Evasc Ivt Angiop Uni Cplx Les 1st Vsl 3 1 $14,537.00 — $5,768.00 $17,157.00 $7,066.00 2026-07-17
37263 CPT Revsc Evasc Fpvt Angiop Uni Sf Les 1st Vsl 3 1 $14,537.00 — $5,768.00 $17,157.00 $7,066.00 2026-07-17
37265 CPT Revsc Evasc Fpvt Angiop Uni Cplx Les 1st Vsl 3 1 $14,537.00 — $5,768.00 $17,157.00 $7,066.00 2026-07-17
37254 CPT Revsc Evasc Ivt Angiop Uni Sf Les 1st Vsl 3 1 $14,537.00 — $5,768.00 $17,157.00 $7,066.00 2026-07-17
0644T CPT Tcat Rmvl/dblk Icar Mas Perq 3 1 — — $5,656.00 $16,823.00 $6,928.00 2026-07-17
A9572 HCPCS Indium In-111 Pentetreotide Dx Dose To 6 Mci 3 1 $15,071.00 $7,836.92 48% off $6,901.00 $11,593.00 $6,901.00 2026-07-17
55714 CPT Bx Prostate In-bore Ct/mri Trgt Les Only 1st 3 1 $13,695.00 — $5,434.00 $16,163.00 $6,656.00 2026-07-17
55713 CPT Bx Prostate In-bore Ct/mri Bx Addl Trgt Les 1st 3 1 $13,695.00 — $5,434.00 $16,163.00 $6,656.00 2026-07-17
0744T CPT Insj Bioprostc Vlv Fem Vn 3 1 — — $5,363.00 $15,950.00 $6,569.00 2026-07-17
J0600 HCPCS Edetate Calcium Disodium Inj 3 1 — — $6,455.00 $10,844.00 $6,455.00 2026-07-17
66658020490 NDC Nitisinone 4 mg/mL Susp 90 Ml Bottle 3 1 $30,793.02 $16,012.37 48% off $5,357.99 $15,396.51 $6,404.95 2026-07-17
0886T CPT Sgmdsc Flx 1st Tndsc Dilat 3 1 — — $5,167.00 $15,368.00 $6,329.00 2026-07-17
0885T CPT Colsc Flx 1st Tndsc Dilat 3 1 — — $5,167.00 $15,368.00 $6,329.00 2026-07-17
0671T CPT Insj Ant Sgm DRG Dev Trab Mw Without Res&ctrc Rmvl1+ 3 1 $7,430.00 $3,863.60 48% off $5,119.00 $15,224.00 $6,270.00 2026-07-17
C1820 HCPCS Charger Battery Patient 168 3 $26,055.75 $9,119.51 65% off $0.74 $22,462.50 $6,264.57 2026-07-30
0867T CPT Tpla B9 Prst8 Hyprplsa>=50ml 3 1 — — $5,043.00 $15,000.00 $6,178.00 2026-07-17
0655T CPT Tprnl Focal Abltj Mal Prst8 3 1 — — $5,043.00 $15,000.00 $6,178.00 2026-07-17
0714T CPT Tpla B9 Prst8 Hyprplsa<50ml 3 1 — — $5,043.00 $15,000.00 $6,178.00 2026-07-17
C9739 HCPCS Cysturethrscpy Insrt Transprostat Impl; 1-3 Impl 3 1 $8,830.00 $4,591.60 48% off $5,043.00 $15,000.00 $6,178.00 2026-07-17
C9608 HCPCS Pc Tl Rev Chrn Tot Occl; Ea Add Ca Ca Br/bp Gft 3 1 $27,440.00 $14,268.80 48% off $5,140.66 $14,772.00 $6,145.15 2026-07-17
C9603 HCPCS Perq Tl Cor Atherect; Ea Add Br Maj Coronary Art 3 1 $26,930.00 $14,003.60 48% off $5,045.30 $14,498.00 $6,031.17 2026-07-17
C9778 HCPCS Colpopexy Vaginal; Mi Exp Apprch 3 1 — — $4,897.00 $14,565.00 $5,998.00 2026-07-17
C9601 HCPCS Pc Trnscth Plcmt Rx-elut Ic Stnt;ea Add Br Mca 3 1 $26,470.00 $13,764.40 48% off $4,959.35 $14,251.00 $5,928.42 2026-07-17
C1767 HCPCS Generator Neurostim 58.9x51.6x6.9mm Pulse Duo Vagus Nerve Titan Polyurethane Lea… 150 3 $25,714.28 $8,999.99 65% off $1.04 $25,659.75 $5,927.84 2026-07-30
C9605 HCPCS Pc Tl Rev Of/thru Cabg; Ea Add Br Subtend Bp Gft 3 1 $26,470.00 $13,764.40 48% off $4,958.13 $14,247.50 $5,926.96 2026-07-17
C1734 HCPCS Graft Bone Distal Femur Osteochondral Whole Right Allograft 3 3 $27,624.00 $9,668.40 65% off $5,110.44 $13,812.00 $5,801.04 2026-07-30
L8627 HCPCS Electrode Slim 20 W/nucleus Profile Plus 3 3 $27,540.00 $9,639.00 65% off $5,094.90 $13,770.00 $5,783.40 2026-07-30
72126000701 NDC Inotersen 284 Mg/1.5 Ml Syringe 1.5 Ml Syringe 3 1 $26,962.72 $14,020.61 48% off $4,691.51 $13,481.36 $5,608.25 2026-07-17
A9571 HCPCS Indium In-111 Autologous Platelets Dx Study Dose 3 1 $11,807.00 $6,139.64 48% off $5,406.00 $9,082.00 $5,406.00 2026-07-17
A9570 HCPCS Indium In-111 Autologous Wbc Dx Per Study Dose 3 1 $11,807.00 $6,139.64 48% off $5,406.00 $9,082.00 $5,406.00 2026-07-17
C9047 HCPCS Caplacizumab-yhdp 11 Mg Recon Soln 1 Each Vial 3 1 $24,691.44 $12,839.55 48% off $4,475.29 $12,860.02 $5,349.77 2026-07-17
L8685 HCPCS Neurostimulator Implant Restoresensor Surescan MRI Tech Long Lasting 3 3 $25,350.00 $8,872.50 65% off $4,689.75 $12,675.00 $5,323.50 2026-07-30
C1816 HCPCS Kit Stimulator Rcvr 12 Contacts Freedom 4a Scs System 18 3 $25,125.00 $8,793.75 65% off $4,023.75 $14,250.00 $5,313.75 2026-07-30
J9225 HCPCS Histrelin Implant Vantas 50 Mg 3 1 — — $5,307.00 $8,916.00 $5,307.00 2026-07-17
J9015 HCPCS Aldesleukin Injection 3 1 — — $5,301.00 $8,906.00 $5,301.00 2026-07-17
173089601 NDC Belantamab Mafodotin-blmf 100 Mg Recon Soln 1 Each Vial 3 1 $25,465.23 $13,241.92 48% off $4,430.95 $12,732.62 $5,296.77 2026-07-17
10122010150 NDC Deferiprone 100 mg/mL Soln 500 Ml Bottle 3 1 $26,483.60 $13,771.47 48% off $4,388.70 $12,611.20 $5,246.26 2026-07-17
0810T CPT Subrta Njx Rx Agt W/vtrc 3 1 — — $4,216.00 $12,541.00 $5,165.00 2026-07-17
J7504 HCPCS Lymphocyte Immune Globulin 3 1 — — $5,013.00 $8,422.00 $5,013.00 2026-07-17
J0225 HCPCS "Inj, Vutrisiran, 1 Mg" 3 1 — — $4,984.00 $8,373.00 $4,984.00 2026-07-17
J1162 HCPCS Digoxin Immune Fab (ovine) 3 1 — — $4,968.00 $8,347.00 $4,968.00 2026-07-17
8042301 NDC Antivenin Micrurus Fulvius Recon Soln 1 Each Vial 3 1 $24,208.46 $12,588.40 48% off $4,139.06 $11,893.85 $4,947.84 2026-07-17
0661T CPT Rmvl&rimpltj Ant Sgm Implt 3 1 — — $3,991.00 $11,870.00 $4,888.00 2026-07-17
0660T CPT Implt Ant Sgm Io Nbio Rx Sys 3 1 — — $3,991.00 $11,870.00 $4,888.00 2026-07-17
0621T CPT Trabeculostomy Interno Laser 3 1 — — $3,991.00 $11,870.00 $4,888.00 2026-07-17
J0716 HCPCS Centruroides Immune F(ab) 3 1 — — $4,859.00 $8,163.00 $4,859.00 2026-07-17
J1632 HCPCS Brexanolone 5 mg/mL Soln 20 Ml Vial 3 1 $23,249.00 $12,089.48 48% off $4,045.33 $11,624.50 $4,835.79 2026-07-17
38779001909 NDC "Clotrimazole Powd 1,000 G Jar" 3 1 $22,827.80 $11,870.46 48% off $3,972.04 $11,413.90 $4,748.18 2026-07-17
J0480 HCPCS Basiliximab 3 1 — — $4,673.00 $7,850.00 $4,673.00 2026-07-17
0581T CPT Abltj Mal Brst Tum Perq Crtx 3 1 — — $3,799.00 $11,299.00 $4,653.00 2026-07-17
A9542 HCPCS Indium In-111 Ibritumomab Tiuxetan Dx To 5 Mci 3 1 $10,117.00 $5,260.84 48% off $4,632.00 $7,782.00 $4,632.00 2026-07-17
0654T CPT Egd Flexible Transnasal W/insj Intral Tube/cath 3 1 $5,260.00 $2,735.20 48% off $3,774.00 $11,226.00 $4,623.00 2026-07-17
C9779 HCPCS Esd Includ Endoscopy/colonoscopy Mucosal Clos 3 1 $6,820.00 $3,546.40 48% off $3,774.00 $11,226.00 $4,623.00 2026-07-17
0718T CPT Adrc Ther Prtl Rc Tear Njx 3 1 — — $3,632.00 $10,802.00 $4,449.00 2026-07-17
0717T CPT Adrc Ther Prtl Rc Tear 3 1 — — $3,632.00 $10,802.00 $4,449.00 2026-07-17
0574T CPT Repos Prev Ss Impl Dfb Eltrd 3 1 — — $3,610.00 $10,738.00 $4,422.00 2026-07-17
0573T CPT Rmvl Substernal Implantable Defibrillator Eltrd 3 1 $3,480.00 $1,809.60 48% off $3,610.00 $10,738.00 $4,422.00 2026-07-17
0861T CPT Rmvl Pg Wcs Lv Both Compnt 3 1 — — $3,610.00 $10,738.00 $4,422.00 2026-07-17
0532T CPT Removal Iims Implantable Mntr Only Incl Img S&i 3 1 $3,750.00 $1,950.00 48% off $3,610.00 $10,738.00 $4,422.00 2026-07-17
0580T CPT Rmvl Substernal Impltbl Dfb Pulse Generator Only 3 1 $3,480.00 $1,809.60 48% off $3,610.00 $10,738.00 $4,422.00 2026-07-17
0531T CPT Removal Iims Electrode Only 3 1 — — $3,610.00 $10,738.00 $4,422.00 2026-07-17
55712 CPT Bx Prostate Tprnl MRI-US Gid Trgt Les 1st 3 1 $9,003.00 — $3,573.00 $10,626.00 $4,376.00 2026-07-17
55711 CPT Bx Prostate Transrectal MRI-US Gid Trgt Les 1st 3 1 $9,003.00 — $3,573.00 $10,626.00 $4,376.00 2026-07-17
55710 CPT Bx Prostate Transperineal US Gid W/mri Fus Gdn 1 3 1 $9,003.00 — $3,573.00 $10,626.00 $4,376.00 2026-07-17
55709 CPT Bx Prostate Transperineal Ultrasound-guided 3 1 $9,003.00 — $3,573.00 $10,626.00 $4,376.00 2026-07-17
55708 CPT Bx Prostate Transrectal US Gid W/mri Fus Gdn 1st 3 1 $9,003.00 — $3,573.00 $10,626.00 $4,376.00 2026-07-17
55707 CPT Biopsy Prostate Transrectal Ultrasound-guided 3 1 $9,003.00 — $3,573.00 $10,626.00 $4,376.00 2026-07-17
68727010001 NDC Sodium Oxybate 500 mg/mL Soln 180 Ml Bottle 3 1 $21,751.56 $11,310.81 48% off $3,605.62 $10,360.98 $4,310.17 2026-07-17
C7507 HCPCS Perq Va Aug 1st Thor & Any Add Thor/l Va Bodies 3 1 $18,830.00 $9,791.60 48% off $3,527.15 $10,135.50 $4,216.37 2026-07-17
J0801 HCPCS Inj. Acthar Gel To 40 Units 3 1 — — $4,188.00 $7,035.00 $4,188.00 2026-07-17
0819T CPT Revj/rmvl Ins Ptn Subf 3 1 — — $3,412.00 $10,147.00 $4,179.00 2026-07-17
0818T CPT Revj/rmvl Ins Ptn Subq 3 1 — — $3,412.00 $10,147.00 $4,179.00 2026-07-17
0787T CPT Revj/rmvl Nea Sac W/nstim 3 1 — — $3,412.00 $10,147.00 $4,179.00 2026-07-17
0785T CPT Revj/rmvl Nea Spi W/nstim 3 1 — — $3,412.00 $10,147.00 $4,179.00 2026-07-17
0588T CPT Revj/ Or Rmvl Perq Isdns Bldr Dysf Ptn 3 1 $2,820.00 $1,466.40 48% off $3,412.00 $10,147.00 $4,179.00 2026-07-17
0682T CPT Removal Pulse Generator Only Isdss 3 1 $9,260.00 $4,815.20 48% off $3,412.00 $10,147.00 $4,179.00 2026-07-17
0681T CPT Relocation Pulse Generator Only Isdss 3 1 $9,260.00 $4,815.20 48% off $3,412.00 $10,147.00 $4,179.00 2026-07-17
C7508 HCPCS Perq Va Aug First Lmb & Any Add Thor/l Va Bodies 3 1 $18,650.00 $9,698.00 48% off $3,493.92 $10,040.00 $4,176.64 2026-07-17
A9604 HCPCS Samarium Sm-153 Lexidronam Tx Dose To 150 Mci 3 1 $9,100.00 $4,732.00 48% off $4,167.00 $7,000.00 $4,167.00 2026-07-17
J9200 HCPCS Floxuridine Injection 3 1 — — $4,126.00 $6,931.00 $4,126.00 2026-07-17
C1882 HCPCS Pacer-cardioverter Defibrillator (pcd) Medtronic 180 3 $15,679.73 $5,487.91 65% off $27.46 $39,825.00 $4,090.21 2026-07-30
C9358 HCPCS Graft Sfttis 13cmx25cmx2.4-3.5mm Surgimend Bovine Collagen Matrix 18 3 $10,406.25 $3,642.18 65% off $1,595.63 $17,250.00 $4,071.00 2026-07-30
0530T CPT Removal Complete Iims 2 1 — — $3,610.00 $4,422.00 $4,016.00 2026-07-17
44778062101 NDC Balance Salt Soln-epinephrine 500-0.3 Ml Soln 500.3 Ml Vial 3 1 $19,152.48 $9,959.29 48% off $3,332.53 $9,576.24 $3,983.72 2026-07-17
44778061201 NDC Balance Salt Soln Plus-epinephrine 500-0.3 Ml Soln 500.3 Ml Vial 3 1 $19,152.48 $9,959.29 48% off $3,332.53 $9,576.24 $3,983.72 2026-07-17
0869T CPT Njx B1 Sub Mtrl Hw Fixj Aug 3 1 — — $3,219.00 $9,573.00 $3,942.00 2026-07-17
0707T CPT Njx Bone Sub Matrl Into Subchondral Bone Defect 3 1 $9,170.00 $4,768.40 48% off $3,219.00 $9,573.00 $3,942.00 2026-07-17
G0330 HCPCS Fs Dntl Rehab Proc Pt Rqrs Mon Anes 3 1 — — $3,217.00 $9,569.00 $3,941.00 2026-07-17
C1722 HCPCS Defibrillator Aicd Atrial Lead Sys 8426 Cpi Guidant Cvs Origin Acs 162 3 $14,662.50 $5,131.88 65% off $42.86 $20,768.16 $3,885.57 2026-07-30
69639012001 NDC Mechlorethamine 0.016 % Gel 60 G Tube 3 1 $18,410.50 $9,573.46 48% off $3,203.43 $9,205.25 $3,829.38 2026-07-17
0824T CPT Tcat Rmv 1chmbr Ldls Pm Ra 3 1 — — $3,122.00 $9,287.00 $3,825.00 2026-07-17
0800T CPT Tcat Rmvl 2chmbr Ldls Pm Rv 3 1 — — $3,122.00 $9,287.00 $3,825.00 2026-07-17
0799T CPT Tcat Rmvl 2chmbr Ldls Pm Ra 3 1 — — $3,122.00 $9,287.00 $3,825.00 2026-07-17
0798T CPT Tcat Rmv 2chmbr Ldls Pm Cmpl 3 1 — — $3,122.00 $9,287.00 $3,825.00 2026-07-17
L8605 HCPCS Dextranomer-hyaluronate-nacl 50-15 mg/mL (4) Syringe Gel 1 Ml Syringe 3 1 $18,318.65 $9,525.70 48% off $3,187.45 $9,159.33 $3,810.28 2026-07-17
68040075240 NDC Emollient ER Emulsion 225 G Bottle 3 1 $18,154.04 $9,440.10 48% off $3,158.80 $9,077.02 $3,776.04 2026-07-17
J3316 HCPCS "Inj., Triptorelin Xr 3.75 Mg" 3 1 — — $3,773.00 $6,338.00 $3,773.00 2026-07-17
A9586 HCPCS Florbetapir F18 Dx Per Study Dose Up To 10 Mci 3 1 $8,182.00 $4,254.64 48% off $3,746.00 $6,294.00 $3,746.00 2026-07-17
75987005006 NDC Glycerol Phenylbutyrate 1.1 gram/mL Liqd 25 Ml Bottle 3 1 $18,453.68 $9,595.91 48% off $3,090.42 $8,880.52 $3,694.30 2026-07-17
C7532 HCPCS Transluminal Balloon Angioplasty Initial Artery 3 1 $17,850.00 $9,282.00 48% off $3,044.83 $8,749.50 $3,639.79 2026-07-17
J2507 HCPCS Pegloticase Injection 3 1 — — $3,639.00 $6,113.00 $3,639.00 2026-07-17
76310002201 NDC Aldesleukin 22 Million Unit/1.22 Ml Recon Soln 1 Each Vial 3 1 $17,365.59 $9,030.11 48% off $3,021.61 $8,682.80 $3,612.04 2026-07-17
L8686 HCPCS Neurostimulator Implant Restoreadvanced Surescan MRI Tech Long Lasting 3 3 $17,178.15 $6,012.35 65% off $3,177.96 $8,589.08 $3,607.41 2026-07-30
J0802 HCPCS "Inj. (ani), Up To 40 Units" 3 1 — — $3,547.00 $5,959.00 $3,547.00 2026-07-17
J9057 HCPCS Copanlisib 60 Mg Recon Soln 1 Each Vial 3 1 $16,436.23 $8,546.84 48% off $2,859.90 $8,218.12 $3,418.74 2026-07-17
C2624 HCPCS Cartridges 15 Agx100 I-125 Loaded In C20 Sterile Flatpack 6 3 $18,407.00 $6,442.45 65% off $11.84 $18,375.00 $3,415.38 2026-07-30
42546015590 NDC Emollient Emulsion 90 G Tube 3 1 $16,320.88 $8,486.86 48% off $2,839.83 $8,160.44 $3,394.74 2026-07-17
C9796 HCPCS Rpr Intst Excl Anrect Fistula 3 1 — — $2,721.00 $8,092.00 $3,333.00 2026-07-17
A9608 HCPCS "flotufolastat F-18 296 MBq/mL To 5,846 MBq/mL Soln 1 Each Vial" 3 1 $17,176.92 $8,932.00 48% off $2,757.95 $7,925.15 $3,296.86 2026-07-17
J1807 HCPCS Ethacrynate Sodium 50 Mg Recon Soln 1 Each Vial 1 1 $15,650.74 $8,138.38 48% off $3,255.35 $3,255.35 $3,255.35 2026-07-17
C1772 HCPCS Kit Infuse .83ml/hr 120ml 5 Day Painpump Pain Mgmt 18 3 $15,206.25 $5,322.19 65% off $243.61 $9,412.50 $3,229.80 2026-07-30
A9557 HCPCS Technetium Tc-99m Bicisate Dx Up To 25 Mci 3 1 $6,985.00 $3,632.20 48% off $3,198.00 $5,373.00 $3,198.00 2026-07-17
J3398 HCPCS Inj Luxturna 1 Billion Vec G 3 1 — — $3,163.00 $5,314.00 $3,163.00 2026-07-17
C1721 HCPCS Defibrillator Aicd System Dual Chamber Cpi Guidant 204 3 $13,213.61 $4,624.76 65% off $0.73 $25,500.00 $3,124.30 2026-07-30
73606001001 NDC "pegcetacoplan 1,080 Mg/20 Ml Soln 20 Ml Vial" 3 1 $15,165.18 $7,885.89 48% off $2,549.54 $7,326.26 $3,047.72 2026-07-17
42794008614 NDC Sodium Phenylbutyrate 0.94 Gram/gram Powd 266 G Bottle 3 1 $14,591.99 $7,587.83 48% off $2,539.01 $7,296.00 $3,035.13 2026-07-17
A9591 HCPCS "fluoroestradioL F-18 148 MBq/mL To 3,700 MBq/mL Soln 1 Each Vial" 3 1 $14,874.36 $7,734.67 48% off $2,513.22 $7,221.90 $3,004.31 2026-07-17
L8619 HCPCS Implant Cochlear Std Opus 2 2 Processor Beige 21 3 $11,664.00 $4,082.40 65% off $0.74 $8,460.00 $2,985.26 2026-07-30
J7352 HCPCS "Afamelanotide Implant, 1 Mg" 3 1 — — $2,943.00 $4,945.00 $2,943.00 2026-07-17
D5924 HCPCS Pcm Peek Completely Solid Pdsr 4194 Custom Implant 3 3 $13,950.00 $4,882.50 65% off $2,580.75 $6,975.00 $2,929.50 2026-07-30
J2993 HCPCS Reteplase Injection 3 1 — — $2,905.00 $4,880.00 $2,905.00 2026-07-17
A9594 HCPCS Gallium Ga-68 Gozetotide 18.5 MBq To 185 MBq/mL Soln 1 Each Vial 2 1 $334.28 $173.83 48% off $2,559.37 $3,059.47 $2,809.42 2026-07-17
0699T CPT Injection Posterior Chamber Eye Medication 3 1 $7,430.00 $3,863.60 48% off $2,262.00 $6,729.00 $2,771.00 2026-07-17
J9286 HCPCS "Inj Glofitamab Gxbm, 2.5 Mg" 3 1 — — $2,771.00 $4,655.00 $2,771.00 2026-07-17
69468015110 NDC Uridine Triacetate 10 Gram Granules Pkt 1 Each Packet 3 1 $13,149.68 $6,837.83 48% off $2,288.04 $6,574.84 $2,735.13 2026-07-17
C9789 HCPCS It Antneoplst Pharm/biol Agt Rp Any 3 1 — — $2,232.00 $6,640.00 $2,735.00 2026-07-17
J9229 HCPCS Inj Inotuzumab Ozogam 0.1 Mg 3 1 — — $2,698.00 $4,533.00 $2,698.00 2026-07-17
Q4104 HCPCS Dressing 10x8in Bilayer Matrix Meshed Biodegrad Wound Bovine Collagen Glycosamin… 9 3 $8,472.78 $2,965.47 65% off $1,480.74 $6,969.72 $2,578.80 2026-07-30
J9268 HCPCS Pentostatin Injection 3 1 — — $2,544.00 $4,274.00 $2,544.00 2026-07-17
Q4130 HCPCS Graft 3" X 48" Mediskin Porcine Perforated Xenograft Sterile 123 3 $9,300.00 $3,255.00 65% off $220.61 $17,441.25 $2,539.25 2026-07-30
A9582 HCPCS Iodine I-123 Iobenguane Dx Study Dose To 15 Mci 3 1 $5,507.00 $2,863.64 48% off $2,521.00 $4,236.00 $2,521.00 2026-07-17
Q0479 HCPCS Device Ventricular Assist Heartmate Ii Module Power 3 3 $12,000.00 $4,200.00 65% off $2,220.00 $6,000.00 $2,520.00 2026-07-30
72835090202 NDC Calcipotriene-dressing 0.005 % Kit 1 Each Kit 3 1 $12,095.00 $6,289.40 48% off $2,104.53 $6,047.50 $2,515.76 2026-07-17
A9592 HCPCS Copper Cu-64 Dotatate 148 MBq/4 Ml (4 mCi/4 Ml) Soln 1 Each Vial 3 1 $12,057.00 $6,269.64 48% off $2,097.92 $6,028.50 $2,507.86 2026-07-17
J2787 HCPCS Riboflavin 5-phosphate Sod (b2) 0.146 % Drop 3 Ml Syringe 6 1 $10,355.60 $5,384.91 48% off $1,127.35 $6,476.50 $2,474.02 2026-07-17
0569T CPT Ttvr Percutaneous Approach Initial Prosthesis 1 1 $11,850.00 $6,162.00 48% off $2,464.80 $2,464.80 $2,464.80 2026-07-17
J0202 HCPCS "Injection, Alemtuzumab" 3 1 — — $2,440.00 $4,100.00 $2,440.00 2026-07-17
C7505 HCPCS Perq Vtp First Ls & Any Add Ct/ls Vert Bodies 3 1 $10,660.00 $5,543.20 48% off $1,996.82 $5,738.00 $2,387.01 2026-07-17
0653T CPT Egd Flexible Transnasal W/biopsy Single/multiple 3 1 $3,490.00 $1,814.80 48% off $1,882.00 $5,597.00 $2,305.00 2026-07-17
0652T CPT Egd Flexible Transnasal Dx W/collj Spec Br/wa 3 1 $3,460.00 $1,799.20 48% off $1,882.00 $5,597.00 $2,305.00 2026-07-17
0647T CPT Insj Gastrostomy Tube Perq W/magnetic Gastropexy 3 1 $5,260.00 $2,735.20 48% off $1,882.00 $5,597.00 $2,305.00 2026-07-17
0863T CPT Rlcj Pg Wcs Lv Trnsmtr Only 3 1 — — $1,815.00 $5,397.00 $2,223.00 2026-07-17
0862T CPT Rlcj Pg Wcs Lv Battery Only 3 1 — — $1,815.00 $5,397.00 $2,223.00 2026-07-17
J1826 HCPCS Interferon Beta-1a Inj 3 1 — — $2,203.00 $3,701.00 $2,203.00 2026-07-17
44087907001 NDC "follitropin Alfa 1,050 Unit Recon Soln 1 Each Vial" 3 1 $10,554.16 $5,488.16 48% off $1,836.42 $5,277.08 $2,195.27 2026-07-17
C9482 HCPCS sotaloL 150 Mg/10 Ml (15 mg/mL) Soln 10 Ml Vial 3 1 $10,288.52 $5,350.03 48% off $1,790.20 $5,144.26 $2,140.01 2026-07-17
A9569 HCPCS Technetium Tc-99m Exametazime Autolg Wbc Dx Dose 3 1 $4,671.00 $2,428.92 48% off $2,139.00 $3,593.00 $2,139.00 2026-07-17
J3240 HCPCS Thyrotropin Injection 3 1 — — $2,113.00 $3,550.00 $2,113.00 2026-07-17
J0599 HCPCS "c1 Esterase Inhibitor 2,000 Unit Recon Soln 1 Each Vial" 6 1 $9,444.86 $4,911.33 48% off $1,264.36 $5,448.57 $2,081.36 2026-07-17
Q4150 HCPCS Graft Soft Tissue 4cm X 4cm Allowrap Ds Wet Amniotic Membrane 6 3 $9,864.30 $3,452.51 65% off $1,728.94 $5,191.50 $2,071.51 2026-07-30
C2621 HCPCS Allure Crt-p Sys, Merlinpkg 60 3 $9,522.00 $3,332.70 65% off $1,263.73 $11,632.50 $2,068.92 2026-07-30
90378 CPT Palivizumab 50 Mg/0.5 Ml Soln 0.5 Ml Vial 6 1 $8,208.39 $4,268.36 48% off $989.27 $5,365.66 $2,049.68 2026-07-17
C1817 HCPCS Amplatzer Amulet Nitinol Plastic D10- Mm L7.5 Mm X W11-13 Mm Od16 Mm Odsec22 Mm … 192 3 $8,722.00 $3,052.70 65% off $0.74 $24,375.00 $2,033.85 2026-07-30
Q4122 HCPCS Graft Sfttis 16cmx4cmx1.25-2mm Dermacell Dermis Decellularized Biocompat Sterile 30 3 $9,213.50 $3,224.73 65% off $1,115.55 $6,864.00 $2,030.80 2026-07-30
D2664 HCPCS Onlay Resin Composite 4/> Surfaces 3 1 — — $1,649.00 $4,906.00 $2,020.00 2026-07-17
0692T CPT Therapeutic Ultrafiltration 3 1 — — $1,626.00 $4,837.00 $1,992.00 2026-07-17
D4341 HCPCS Prdntl Scal&root Plan 4/>teeth-quad 3 1 — — $1,620.00 $4,818.00 $1,984.00 2026-07-17
D2390 HCPCS Resin Compos Crown Anterior 3 1 — — $1,620.00 $4,818.00 $1,984.00 2026-07-17
D7240 HCPCS Removal Impacted Tooth - Cmpl Bony 3 1 — — $1,620.00 $4,818.00 $1,984.00 2026-07-17
D2794 HCPCS Crown - Titanium And Titanium Aly 3 1 — — $1,620.00 $4,818.00 $1,984.00 2026-07-17
D2932 HCPCS Prefabricated Resin Crown 3 1 — — $1,620.00 $4,818.00 $1,984.00 2026-07-17
D2393 HCPCS Resin Compos - 3 Surfaces Posterior 3 1 — — $1,620.00 $4,818.00 $1,984.00 2026-07-17
D2930 HCPCS Prfabr Stainless Steel Crown-prim 3 1 — — $1,620.00 $4,818.00 $1,984.00 2026-07-17
D2330 HCPCS Resin-based Composite One Surf Ant 3 1 — — $1,620.00 $4,818.00 $1,984.00 2026-07-17
D2740 HCPCS Crown - Porcelain/ceramic 3 1 — — $1,620.00 $4,818.00 $1,984.00 2026-07-17
D2999 HCPCS Unspec Restorative Proc By Report 3 1 — — $1,620.00 $4,818.00 $1,984.00 2026-07-17
D1575 HCPCS Dist Shoe Spc Mntnr - Fix Uni-quad 3 1 — — $1,620.00 $4,818.00 $1,984.00 2026-07-17
D2331 HCPCS Resin-based Composite 2 Surface Ant 3 1 — — $1,620.00 $4,818.00 $1,984.00 2026-07-17
D2931 HCPCS Prfabr Stainless Steel Crown-perm 3 1 — — $1,620.00 $4,818.00 $1,984.00 2026-07-17
D2391 HCPCS Resin Compos - 1 Surface Posterior 3 1 — — $1,620.00 $4,818.00 $1,984.00 2026-07-17
D2791 HCPCS Crown - Full Cast Predom Base Metl 3 1 — — $1,620.00 $4,818.00 $1,984.00 2026-07-17
D3310 HCPCS Endodontic Therapy Anterior Tooth 3 1 — — $1,620.00 $4,818.00 $1,984.00 2026-07-17
D2392 HCPCS Resin Compos - 2 Surfaces Posterior 3 1 — — $1,620.00 $4,818.00 $1,984.00 2026-07-17
D2394 HCPCS Resin Compos - 4/more Surfaces Post 3 1 — — $1,620.00 $4,818.00 $1,984.00 2026-07-17
D2990 HCPCS Resin Infil Incipient Smth Surf Les 3 1 — — $1,620.00 $4,818.00 $1,984.00 2026-07-17
D3220 HCPCS Tx Pulpot-coronl Dentnocementl Junc 3 1 — — $1,620.00 $4,818.00 $1,984.00 2026-07-17
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