|
J3391
|
OTHER
|
"Inj, Atidarsagene Autotemcel"
|
3
|
1
|
—
|
—
|
$4,632,500.00
|
$4,632,500.00
|
$4,632,500.00
|
2026-05-08
|
|
J1414
|
OTHER
|
Beqvez (fidanacogene Elaparvovec-dz
|
3
|
1
|
—
|
—
|
$3,815,000.00
|
$3,815,000.00
|
$3,815,000.00
|
2026-05-08
|
|
J1411
|
OTHER
|
"Inj, Hemgenix, Per Tx Dose"
|
3
|
1
|
—
|
—
|
$3,815,000.00
|
$3,815,000.00
|
$3,815,000.00
|
2026-05-08
|
|
J1413
|
OTHER
|
Inj Delandistrogene Mox Rokl
|
3
|
1
|
—
|
—
|
$3,383,360.00
|
$3,383,360.00
|
$3,383,360.00
|
2026-05-08
|
|
J3394
|
OTHER
|
"Inj, Lovotibeglogene Autotem"
|
3
|
1
|
—
|
—
|
$3,379,000.00
|
$3,379,000.00
|
$3,379,000.00
|
2026-05-08
|
|
J3393
|
OTHER
|
"Inj, Betibeglogene Autotemce"
|
3
|
1
|
—
|
—
|
$3,052,000.00
|
$3,052,000.00
|
$3,052,000.00
|
2026-05-08
|
|
J3399
|
OTHER
|
Inj Onase Abepar-xioi Treat
|
3
|
1
|
—
|
—
|
$2,737,307.00
|
$2,737,307.00
|
$2,737,307.00
|
2026-05-08
|
|
J3392
|
OTHER
|
Casgevy (exagamglogene Autotemcel)
|
3
|
1
|
—
|
—
|
$2,398,000.00
|
$2,398,000.00
|
$2,398,000.00
|
2026-05-08
|
|
Q2057
|
OTHER
|
Tecelra (afamitresgene Autoleucel)
|
3
|
1
|
—
|
—
|
$792,430.00
|
$792,430.00
|
$792,430.00
|
2026-05-08
|
|
Q2056
|
OTHER
|
Ciltacabtagene Car-pos T
|
3
|
1
|
—
|
—
|
$605,288.00
|
$605,288.00
|
$605,288.00
|
2026-05-08
|
|
Q2055
|
OTHER
|
Idecabtagene Vicleucel Car
|
3
|
1
|
—
|
—
|
$575,861.00
|
$575,861.00
|
$575,861.00
|
2026-05-08
|
|
Q2054
|
OTHER
|
Lisocabtagene Mara Car Pos T
|
3
|
1
|
—
|
—
|
$567,588.00
|
$567,588.00
|
$567,588.00
|
2026-05-08
|
|
Q2042
|
OTHER
|
Tisagenlecleucel Car-pos T
|
3
|
1
|
—
|
—
|
$557,936.00
|
$557,936.00
|
$557,936.00
|
2026-05-08
|
|
Q2041
|
OTHER
|
Axicabtagene Ciloleucel Car+
|
3
|
1
|
—
|
—
|
$548,902.00
|
$548,902.00
|
$548,902.00
|
2026-05-08
|
|
Q2053
|
OTHER
|
Brexucabtagene Car Pos T
|
3
|
1
|
—
|
—
|
$503,580.00
|
$503,580.00
|
$503,580.00
|
2026-05-08
|
|
Q2058
|
OTHER
|
Obecbtge Autol Up To 400 Mil
|
3
|
1
|
—
|
—
|
$294,709.00
|
$294,709.00
|
$294,709.00
|
2026-05-08
|
|
A9543
|
OTHER
|
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
|
2026-05-08
|
|
38240
|
OTHER
|
Transplt Allo Hct/donor
|
3
|
1
|
—
|
—
|
$58,671.00
|
$174,504.00
|
$71,867.00
|
2026-05-08
|
|
J9029
|
OTHER
|
"Instill Adstiladrin, Tx Dose"
|
3
|
1
|
—
|
—
|
$63,431.00
|
$106,564.00
|
$63,431.00
|
2026-05-08
|
|
Q2043
|
OTHER
|
Sipuleucel-t Auto Cd54+
|
3
|
1
|
—
|
—
|
$55,946.00
|
$93,989.00
|
$55,946.00
|
2026-05-08
|
|
33276
|
OTHER
|
Insj Phrnc Nrv Stim Sys
|
3
|
1
|
—
|
—
|
$44,641.00
|
$132,777.00
|
$54,682.00
|
2026-05-08
|
|
A9699
|
OTHER
|
Radiopharmaceutical Therapeutic Noc
|
3
|
1
|
—
|
—
|
$52,618.00
|
$88,398.00
|
$52,618.00
|
2026-05-08
|
|
J9226
|
OTHER
|
Supprelin La Implant
|
3
|
1
|
—
|
—
|
$45,560.00
|
$76,541.00
|
$45,560.00
|
2026-05-08
|
|
Q9982
|
OTHER
|
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
|
2026-05-08
|
|
0620T
|
OTHER
|
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
|
2026-05-08
|
|
33264
|
OTHER
|
Rmvl Impltbl Dfb Pls Gen W/rplcmt Pls Gen Mlt Ld
|
3
|
1
|
$64,360.00
|
$33,467.20
48% off
|
$31,806.00
|
$94,600.00
|
$38,960.00
|
2026-05-08
|
|
33270
|
OTHER
|
Ins/rplcmnt Perm Subq Impltbl Dfb W/subq Eltrd
|
3
|
1
|
$81,380.00
|
$42,317.60
48% off
|
$31,806.00
|
$94,600.00
|
$38,960.00
|
2026-05-08
|
|
0571T
|
OTHER
|
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
|
2026-05-08
|
|
33249
|
OTHER
|
Insj/rplcmt Perm Dfb W/trnsvns Lds 1/dual Chmbr
|
3
|
1
|
$43,100.00
|
$22,412.00
48% off
|
$31,806.00
|
$94,600.00
|
$38,960.00
|
2026-05-08
|
|
33231
|
OTHER
|
Insj Implntbl Defib Pulse Gen W/exist Multileads
|
3
|
1
|
$70,350.00
|
$36,582.00
48% off
|
$31,806.00
|
$94,600.00
|
$38,960.00
|
2026-05-08
|
|
0408T
|
OTHER
|
Insj/rplc Cardiac Modulj Sys
|
3
|
1
|
—
|
—
|
$31,806.00
|
$94,600.00
|
$38,960.00
|
2026-05-08
|
|
69930
|
OTHER
|
Cochlear Device Implantation W/wo Mastoidectomy
|
3
|
1
|
$34,460.00
|
$17,919.20
48% off
|
$31,554.00
|
$93,851.00
|
$38,651.00
|
2026-05-08
|
|
64582
|
OTHER
|
Open Impltj Hpglsl Nrv Nstim Ra Pg&respir Sensor
|
3
|
1
|
$105,410.00
|
$54,813.20
48% off
|
$30,231.00
|
$89,915.00
|
$37,030.00
|
2026-05-08
|
|
0674T
|
OTHER
|
Laps Insj Nw/rpcmt Prm Isdss
|
3
|
1
|
—
|
—
|
$30,231.00
|
$89,915.00
|
$37,030.00
|
2026-05-08
|
|
61886
|
OTHER
|
Implant Neurostim Arrays
|
3
|
1
|
—
|
—
|
$30,231.00
|
$89,915.00
|
$37,030.00
|
2026-05-08
|
|
63685
|
OTHER
|
Ins/rplc Spi Npg/rcvr Pocket
|
3
|
1
|
—
|
—
|
$30,231.00
|
$89,915.00
|
$37,030.00
|
2026-05-08
|
|
64568
|
OTHER
|
Open Implantation Cranial Nerve Nea & Pulse Gen
|
3
|
1
|
$37,840.00
|
$19,676.80
48% off
|
$30,231.00
|
$89,915.00
|
$37,030.00
|
2026-05-08
|
|
33287
|
OTHER
|
Rmv&rplcmt Phrnc Nrv Stim Pg
|
3
|
1
|
—
|
—
|
$30,231.00
|
$89,915.00
|
$37,030.00
|
2026-05-08
|
|
33289
|
OTHER
|
Tcat Impl Wrls P-art Prs Snr L-t Hemodyn Mntr
|
3
|
1
|
$72,800.00
|
$37,856.00
48% off
|
$28,202.00
|
$83,880.00
|
$34,545.00
|
2026-05-08
|
|
A9513
|
OTHER
|
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
|
2026-05-08
|
|
C9760
|
OTHER
|
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
|
2026-05-08
|
|
A9590
|
OTHER
|
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
|
2026-05-08
|
|
90288
|
OTHER
|
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
|
2026-05-08
|
|
J9266
|
OTHER
|
Pegaspargase Injection
|
3
|
1
|
—
|
—
|
$28,424.00
|
$47,752.00
|
$28,424.00
|
2026-05-08
|
|
187001050
|
OTHER
|
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
|
2026-05-08
|
|
A9607
|
OTHER
|
"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
|
2026-05-08
|
|
33263
|
OTHER
|
Rmvl Impltbl Dfb Plse Gen W/rplcmt Plse Gen 2 Ld
|
3
|
1
|
$66,050.00
|
$34,346.00
48% off
|
$22,267.00
|
$66,229.00
|
$27,275.00
|
2026-05-08
|
|
0409T
|
OTHER
|
Insj/rplc Car Modulj Pls Gn
|
3
|
1
|
—
|
—
|
$22,267.00
|
$66,229.00
|
$27,275.00
|
2026-05-08
|
|
0614T
|
OTHER
|
Rmvl&rplcmt Ss Impl Dfb Pg
|
3
|
1
|
—
|
—
|
$22,267.00
|
$66,229.00
|
$27,275.00
|
2026-05-08
|
|
33230
|
OTHER
|
Insj Implntbl Defib Pulse Gen W/exist Dual Leads
|
3
|
1
|
$63,990.00
|
$33,274.80
48% off
|
$22,267.00
|
$66,229.00
|
$27,275.00
|
2026-05-08
|
|
33262
|
OTHER
|
Rmvl Impltbl Dfb Plse Gen W/repl Plse Gen 1 Lead
|
3
|
1
|
$68,390.00
|
$35,562.80
48% off
|
$22,267.00
|
$66,229.00
|
$27,275.00
|
2026-05-08
|
|
33240
|
OTHER
|
Insj Implntbl Defib Pulse Gen W/1 Existing Ld
|
3
|
1
|
$58,510.00
|
$30,425.20
48% off
|
$22,267.00
|
$66,229.00
|
$27,275.00
|
2026-05-08
|
|
0414T
|
OTHER
|
Rmvl & Rpl Car Modulj Pls Gn
|
3
|
1
|
—
|
—
|
$22,267.00
|
$66,229.00
|
$27,275.00
|
2026-05-08
|
|
0515T
|
OTHER
|
Insj Wcs Lv Compl Sys
|
3
|
1
|
—
|
—
|
$22,267.00
|
$66,229.00
|
$27,275.00
|
2026-05-08
|
|
68875010201
|
OTHER
|
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
|
2026-05-08
|
|
64590
|
OTHER
|
Ins/rplc Perph Sac/gstrc Npg/rcvr Pckt Crtj&conn
|
3
|
1
|
$29,499.00
|
$15,339.48
48% off
|
$21,273.00
|
$63,273.00
|
$26,058.00
|
2026-05-08
|
|
64580
|
OTHER
|
Opn Impltj Nea Neuromuscular
|
3
|
1
|
—
|
—
|
$21,273.00
|
$63,273.00
|
$26,058.00
|
2026-05-08
|
|
0816T
|
OTHER
|
Opn Insj/rplcmt Ins Ptn Subq
|
3
|
1
|
—
|
—
|
$21,273.00
|
$63,273.00
|
$26,058.00
|
2026-05-08
|
|
0817T
|
OTHER
|
Opn Insj/rplcmt Ins Ptn Subf
|
3
|
1
|
—
|
—
|
$21,273.00
|
$63,273.00
|
$26,058.00
|
2026-05-08
|
|
61891
|
OTHER
|
Rev/rplcmt Sk-mnt Crnl Nstm
|
3
|
1
|
—
|
—
|
$21,273.00
|
$63,273.00
|
$26,058.00
|
2026-05-08
|
|
63655
|
OTHER
|
Implant Neuroelectrodes
|
3
|
1
|
—
|
—
|
$21,273.00
|
$63,273.00
|
$26,058.00
|
2026-05-08
|
|
0680T
|
OTHER
|
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
|
2026-05-08
|
|
61885
|
OTHER
|
Insrt/redo Neurostim 1 Array
|
3
|
1
|
—
|
—
|
$21,273.00
|
$63,273.00
|
$26,058.00
|
2026-05-08
|
|
C9293
|
OTHER
|
"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
|
2026-05-08
|
|
54410
|
OTHER
|
Remove/replace Penis Prosth
|
3
|
1
|
—
|
—
|
$19,968.00
|
$59,391.00
|
$24,459.00
|
2026-05-08
|
|
53445
|
OTHER
|
Insert Uro/ves Nck Sphincter
|
3
|
1
|
—
|
—
|
$19,968.00
|
$59,391.00
|
$24,459.00
|
2026-05-08
|
|
53444
|
OTHER
|
Insert Tandem Cuff
|
3
|
1
|
—
|
—
|
$19,968.00
|
$59,391.00
|
$24,459.00
|
2026-05-08
|
|
53447
|
OTHER
|
Remove/replace Ur Sphincter
|
3
|
1
|
—
|
—
|
$19,968.00
|
$59,391.00
|
$24,459.00
|
2026-05-08
|
|
54401
|
OTHER
|
Insert Self-contd Prosthesis
|
3
|
1
|
—
|
—
|
$19,968.00
|
$59,391.00
|
$24,459.00
|
2026-05-08
|
|
54405
|
OTHER
|
Insj Multi-component Inflatable Penile Prosth
|
3
|
1
|
$18,260.00
|
$9,495.20
48% off
|
$19,968.00
|
$59,391.00
|
$24,459.00
|
2026-05-08
|
|
54411
|
OTHER
|
Remov/replc Penis Pros Comp
|
3
|
1
|
—
|
—
|
$19,968.00
|
$59,391.00
|
$24,459.00
|
2026-05-08
|
|
54416
|
OTHER
|
Remv/repl Penis Contain Pros
|
3
|
1
|
—
|
—
|
$19,968.00
|
$59,391.00
|
$24,459.00
|
2026-05-08
|
|
J9600
|
OTHER
|
Porfimer Sodium Injection
|
3
|
1
|
—
|
—
|
$24,229.00
|
$40,704.00
|
$24,229.00
|
2026-05-08
|
|
0823T
|
OTHER
|
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
|
2026-05-08
|
|
0825T
|
OTHER
|
Tcat Rmv&rpl1chmb Ldls Pm Ra
|
3
|
1
|
—
|
—
|
$18,919.00
|
$56,271.00
|
$23,174.00
|
2026-05-08
|
|
0525T
|
OTHER
|
Insj/rplcmt Compl Iims
|
3
|
1
|
—
|
—
|
$18,919.00
|
$56,271.00
|
$23,174.00
|
2026-05-08
|
|
0797T
|
OTHER
|
Tcat Ins 2chmbr Ldls Pm Rv
|
3
|
1
|
—
|
—
|
$18,919.00
|
$56,271.00
|
$23,174.00
|
2026-05-08
|
|
0803T
|
OTHER
|
Tcat Rmv&rpl2chmb Ldls Pm Rv
|
3
|
1
|
—
|
—
|
$18,919.00
|
$56,271.00
|
$23,174.00
|
2026-05-08
|
|
0802T
|
OTHER
|
Tcat Rmv&rpl2chmb Ldls Pm Ra
|
3
|
1
|
—
|
—
|
$18,919.00
|
$56,271.00
|
$23,174.00
|
2026-05-08
|
|
33221
|
OTHER
|
Ins Pacemaker Pulse Gen Only W/exist Mult Leads
|
3
|
1
|
$28,470.00
|
$14,804.40
48% off
|
$18,919.00
|
$56,271.00
|
$23,174.00
|
2026-05-08
|
|
0801T
|
OTHER
|
Tcat Rmv&rpl 2chmbr Ldls Pm
|
3
|
1
|
—
|
—
|
$18,919.00
|
$56,271.00
|
$23,174.00
|
2026-05-08
|
|
33274
|
OTHER
|
Tcat Insj/rpl Perm Leadless Pacemaker Rv W/img
|
3
|
1
|
$39,390.00
|
$20,482.80
48% off
|
$18,919.00
|
$56,271.00
|
$23,174.00
|
2026-05-08
|
|
33229
|
OTHER
|
Remvl Perm Pm Pls Gen W/repl Plse Gen Mult Lead
|
3
|
1
|
$31,730.00
|
$16,499.60
48% off
|
$18,919.00
|
$56,271.00
|
$23,174.00
|
2026-05-08
|
|
0795T
|
OTHER
|
Tcat Ins 2chmbr Ldls Pm Cmpl
|
3
|
1
|
—
|
—
|
$18,919.00
|
$56,271.00
|
$23,174.00
|
2026-05-08
|
|
0796T
|
OTHER
|
Tcat Ins 2chmbr Ldls Pm Ra
|
3
|
1
|
—
|
—
|
$18,919.00
|
$56,271.00
|
$23,174.00
|
2026-05-08
|
|
61624
|
OTHER
|
Tcat Perm Occls/embolization Perq Cns
|
3
|
1
|
$14,110.00
|
$7,337.20
48% off
|
$18,579.00
|
$55,260.00
|
$22,758.00
|
2026-05-08
|
|
37273
|
OTHER
|
Revsc Evasc Fpvt Athrc Uni Cplx Les 1st Vsl
|
3
|
1
|
$46,822.00
|
—
|
$18,579.00
|
$55,260.00
|
$22,758.00
|
2026-05-08
|
|
37182
|
OTHER
|
Insj Transvns Intrahepatc Portosysic Shunt
|
3
|
1
|
$14,560.00
|
$7,571.20
48% off
|
$18,579.00
|
$55,260.00
|
$22,758.00
|
2026-05-08
|
|
37292
|
OTHER
|
Revsc Evasc Tpvt St Athrc Uni Sf Les 1st Vsl
|
3
|
1
|
$46,822.00
|
—
|
$18,579.00
|
$55,260.00
|
$22,758.00
|
2026-05-08
|
|
37286
|
OTHER
|
Revsc Evasc Tpvt St Plmt Uni Cplx Les 1st Vsl
|
3
|
1
|
$46,822.00
|
—
|
$18,579.00
|
$55,260.00
|
$22,758.00
|
2026-05-08
|
|
37275
|
OTHER
|
Revsc Evasc Fpvt St Athrc Uni Sf Les 1st Vsl
|
3
|
1
|
$46,822.00
|
—
|
$18,579.00
|
$55,260.00
|
$22,758.00
|
2026-05-08
|
|
37284
|
OTHER
|
Revsc Evasc Tpvt St Plmt Uni Sf Les 1st Vsl
|
3
|
1
|
$46,822.00
|
—
|
$18,579.00
|
$55,260.00
|
$22,758.00
|
2026-05-08
|
|
37271
|
OTHER
|
Revsc Evasc Fpvt Athrc Uni Sf Les 1st Vsl
|
3
|
1
|
$46,822.00
|
—
|
$18,579.00
|
$55,260.00
|
$22,758.00
|
2026-05-08
|
|
37288
|
OTHER
|
Revsc Evasc Tpvt Athrc Uni Sf Les 1st Vsl
|
3
|
1
|
$46,822.00
|
—
|
$18,579.00
|
$55,260.00
|
$22,758.00
|
2026-05-08
|
|
37277
|
OTHER
|
Revsc Evasc Fpvt St Athrc Uni Cplx Les 1st Vsl
|
3
|
1
|
$46,822.00
|
—
|
$18,579.00
|
$55,260.00
|
$22,758.00
|
2026-05-08
|
|
37290
|
OTHER
|
Revsc Evasc Tpvt Athrc Uni Cplx Les 1st Vsl
|
3
|
1
|
$46,822.00
|
—
|
$18,579.00
|
$55,260.00
|
$22,758.00
|
2026-05-08
|
|
27278
|
OTHER
|
Arthrd Si Jt Prq Wo Tfxj Dev
|
3
|
1
|
—
|
—
|
$18,243.00
|
$54,261.00
|
$22,347.00
|
2026-05-08
|
|
25446
|
OTHER
|
Arthrp W/prostc Dst Rds&crps
|
3
|
1
|
—
|
—
|
$18,243.00
|
$54,261.00
|
$22,347.00
|
2026-05-08
|
|
22630
|
OTHER
|
Arthrd Pst Tq 1ntrspc Lum
|
3
|
1
|
—
|
—
|
$18,243.00
|
$54,261.00
|
$22,347.00
|
2026-05-08
|
|
24361
|
OTHER
|
Reconstruct Elbow Joint
|
3
|
1
|
—
|
—
|
$18,243.00
|
$54,261.00
|
$22,347.00
|
2026-05-08
|
|
22633
|
OTHER
|
Arthrodesis Combined Tq 1ntrspc Lumbar
|
3
|
1
|
$16,220.00
|
$8,434.40
48% off
|
$18,243.00
|
$54,261.00
|
$22,347.00
|
2026-05-08
|
|
22867
|
OTHER
|
Insj Stablj Dev W/dcmprn
|
3
|
1
|
—
|
—
|
$18,243.00
|
$54,261.00
|
$22,347.00
|
2026-05-08
|
|
20696
|
OTHER
|
App Mltpln Uni Xtrnl Fix 1st
|
3
|
1
|
—
|
—
|
$18,243.00
|
$54,261.00
|
$22,347.00
|
2026-05-08
|
|
22856
|
OTHER
|
Tot Disc Arthrp Art Disc Ant Appro 1 Ntrspc Crv
|
3
|
1
|
$39,350.00
|
$20,462.00
48% off
|
$18,243.00
|
$54,261.00
|
$22,347.00
|
2026-05-08
|
|
22612
|
OTHER
|
Arthrodesis Posterior/pstlat Tq 1ntrspc Lumbar
|
3
|
1
|
$27,560.00
|
$14,331.20
48% off
|
$18,243.00
|
$54,261.00
|
$22,347.00
|
2026-05-08
|
|
23616
|
OTHER
|
Optx Prx Hmrl Fx Fix Rpr Rpl
|
3
|
1
|
—
|
—
|
$18,243.00
|
$54,261.00
|
$22,347.00
|
2026-05-08
|
|
21243
|
OTHER
|
Reconstruction Of Jaw Joint
|
3
|
1
|
—
|
—
|
$18,243.00
|
$54,261.00
|
$22,347.00
|
2026-05-08
|
|
27702
|
OTHER
|
Reconstruct Ankle Joint
|
3
|
1
|
—
|
—
|
$18,243.00
|
$54,261.00
|
$22,347.00
|
2026-05-08
|
|
24363
|
OTHER
|
Replace Elbow Joint
|
3
|
1
|
—
|
—
|
$18,243.00
|
$54,261.00
|
$22,347.00
|
2026-05-08
|
|
24371
|
OTHER
|
Revise Reconst Elbow Joint
|
3
|
1
|
—
|
—
|
$18,243.00
|
$54,261.00
|
$22,347.00
|
2026-05-08
|
|
28705
|
OTHER
|
Arthrodesis Pantalar
|
3
|
1
|
—
|
—
|
$18,243.00
|
$54,261.00
|
$22,347.00
|
2026-05-08
|
|
25442
|
OTHER
|
Arthrp W/prostc Dstl Ulna
|
3
|
1
|
—
|
—
|
$18,243.00
|
$54,261.00
|
$22,347.00
|
2026-05-08
|
|
23472
|
OTHER
|
Reconstruct Shoulder Joint
|
3
|
1
|
—
|
—
|
$18,243.00
|
$54,261.00
|
$22,347.00
|
2026-05-08
|
|
27279
|
OTHER
|
Arthrd Si Jt Perq/min Nvas
|
3
|
1
|
—
|
—
|
$18,243.00
|
$54,261.00
|
$22,347.00
|
2026-05-08
|
|
0645T
|
OTHER
|
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
|
2026-05-08
|
|
0238T
|
OTHER
|
Trluml Perip Athrc Iliac Art
|
3
|
1
|
—
|
—
|
$17,814.00
|
$52,983.00
|
$21,820.00
|
2026-05-08
|
|
C9775
|
OTHER
|
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
|
2026-05-08
|
|
C9765
|
OTHER
|
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
|
2026-05-08
|
|
C9766
|
OTHER
|
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
|
2026-05-08
|
|
37184
|
OTHER
|
Prim Prq Trluml Mchnl Thrmbc N-cor N-icra 1st
|
3
|
1
|
$15,260.00
|
$7,935.20
48% off
|
$17,814.00
|
$52,983.00
|
$21,820.00
|
2026-05-08
|
|
0632T
|
OTHER
|
Perq Tcat US Abltj Nrv P-art
|
3
|
1
|
—
|
—
|
$17,814.00
|
$52,983.00
|
$21,820.00
|
2026-05-08
|
|
37242
|
OTHER
|
Vascular Embolization Or Occlusion Arterial Rs&i
|
3
|
1
|
$28,050.00
|
$14,586.00
48% off
|
$17,814.00
|
$52,983.00
|
$21,820.00
|
2026-05-08
|
|
C9774
|
OTHER
|
Revasc Lithotr-ather Tib/per
|
3
|
1
|
$61,430.00
|
$31,943.60
48% off
|
$17,814.00
|
$52,983.00
|
$21,820.00
|
2026-05-08
|
|
36836
|
OTHER
|
Perq Av Fistula Creation Uxtr Single Access
|
3
|
1
|
$53,910.00
|
$28,033.20
48% off
|
$17,814.00
|
$52,983.00
|
$21,820.00
|
2026-05-08
|
|
36837
|
OTHER
|
Perq Av Fistula Creation Uxtr Sep Access Sites
|
3
|
1
|
$53,910.00
|
$28,033.20
48% off
|
$17,814.00
|
$52,983.00
|
$21,820.00
|
2026-05-08
|
|
C9773
|
OTHER
|
Revasc Lithotr-stent Tib/per
|
3
|
1
|
$61,430.00
|
$31,943.60
48% off
|
$17,814.00
|
$52,983.00
|
$21,820.00
|
2026-05-08
|
|
33902
|
OTHER
|
Perq P-art Revsc St 1st Abnor Connj Unilateral
|
3
|
1
|
$53,910.00
|
$28,033.20
48% off
|
$17,814.00
|
$52,983.00
|
$21,820.00
|
2026-05-08
|
|
36906
|
OTHER
|
Perq Thrmbc/nfs Dial Circuit Tcat Plmt IV Stent
|
3
|
1
|
$41,180.00
|
$21,413.60
48% off
|
$17,814.00
|
$52,983.00
|
$21,820.00
|
2026-05-08
|
|
C9797
|
OTHER
|
Vasc Emb/occ W/prs-gen Cath
|
3
|
1
|
—
|
—
|
$17,814.00
|
$52,983.00
|
$21,820.00
|
2026-05-08
|
|
C9767
|
OTHER
|
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
|
2026-05-08
|
|
C9607
|
OTHER
|
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
|
2026-05-08
|
|
0793T
|
OTHER
|
Prq Tcat Thrm Ablt Nrv P-art
|
3
|
1
|
—
|
—
|
$17,814.00
|
$52,983.00
|
$21,820.00
|
2026-05-08
|
|
C9602
|
OTHER
|
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
|
2026-05-08
|
|
62362
|
OTHER
|
Impltj/rplcmt Ithcl/edrl Drug Nfs Prgrbl Pump
|
3
|
1
|
$22,140.00
|
$11,512.80
48% off
|
$17,533.00
|
$52,149.00
|
$21,477.00
|
2026-05-08
|
|
62360
|
OTHER
|
Impltj/rplcmt Ithcl/edrl Drug Nfs Subq Rsvr
|
3
|
1
|
$38,760.00
|
$20,155.20
48% off
|
$17,533.00
|
$52,149.00
|
$21,477.00
|
2026-05-08
|
|
62361
|
OTHER
|
Impltj/rplcmt Fs Non-prgrbl Pump
|
3
|
1
|
$22,140.00
|
$11,512.80
48% off
|
$17,533.00
|
$52,149.00
|
$21,477.00
|
2026-05-08
|
|
0686T
|
OTHER
|
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
|
2026-05-08
|
|
0888T
|
OTHER
|
Histotripsy Mal Renal Tissue
|
3
|
1
|
—
|
—
|
$17,361.00
|
$51,637.00
|
$21,266.00
|
2026-05-08
|
|
C9782
|
OTHER
|
Bl P Nyha Ii/iii Hf/ccs Iii/iv Cra
|
3
|
1
|
—
|
—
|
$17,361.00
|
$51,637.00
|
$21,266.00
|
2026-05-08
|
|
C9758
|
OTHER
|
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
|
2026-05-08
|
|
19357
|
OTHER
|
Tissue Expander Placement Breast Reconstruction
|
3
|
1
|
$22,540.00
|
$11,720.80
48% off
|
$17,260.00
|
$51,335.00
|
$21,142.00
|
2026-05-08
|
|
66683
|
OTHER
|
Implantation Iris Prosthesis
|
3
|
1
|
—
|
—
|
$16,286.00
|
$48,438.00
|
$19,948.00
|
2026-05-08
|
|
0308T
|
OTHER
|
Insj Ocular Telescope Prosth
|
3
|
1
|
—
|
—
|
$16,286.00
|
$48,438.00
|
$19,948.00
|
2026-05-08
|
|
67027
|
OTHER
|
Implant Eye Drug System
|
3
|
1
|
—
|
—
|
$15,242.00
|
$45,335.00
|
$18,671.00
|
2026-05-08
|
|
187552560
|
OTHER
|
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
|
2026-05-08
|
|
65770
|
OTHER
|
Keratoprosthesis
|
3
|
1
|
—
|
—
|
$14,175.00
|
$42,162.00
|
$17,364.00
|
2026-05-08
|
|
55882
|
OTHER
|
Ablt Trurl Prst8 Tis Trnsdcr
|
3
|
1
|
—
|
—
|
$12,889.00
|
$38,335.00
|
$15,788.00
|
2026-05-08
|
|
54417
|
OTHER
|
Remv/replc Penis Pros Compl
|
3
|
1
|
—
|
—
|
$12,889.00
|
$38,335.00
|
$15,788.00
|
2026-05-08
|
|
53440
|
OTHER
|
Sling Opration Corrj Male Urinary Incontinence
|
3
|
1
|
$11,170.00
|
$5,808.40
48% off
|
$12,889.00
|
$38,335.00
|
$15,788.00
|
2026-05-08
|
|
54400
|
OTHER
|
Insert Semi-rigid Prosthesis
|
3
|
1
|
—
|
—
|
$12,889.00
|
$38,335.00
|
$15,788.00
|
2026-05-08
|
|
53451
|
OTHER
|
Periurethral Tprnl Adjtbl Balo Cntnc Dev Bi Insj
|
3
|
1
|
$41,130.00
|
$21,387.60
48% off
|
$12,889.00
|
$38,335.00
|
$15,788.00
|
2026-05-08
|
|
24516
|
OTHER
|
Treat Humerus Fracture
|
3
|
1
|
—
|
—
|
$12,764.00
|
$37,964.00
|
$15,635.00
|
2026-05-08
|
|
22554
|
OTHER
|
Arthrd Ant Min Discect Interbody Cerv Below C2
|
3
|
1
|
$27,560.00
|
$14,331.20
48% off
|
$12,764.00
|
$37,964.00
|
$15,635.00
|
2026-05-08
|
|
24515
|
OTHER
|
Optx Humeral Shft Fx W/plate/screws W/wocerclage
|
3
|
1
|
$27,560.00
|
$14,331.20
48% off
|
$12,764.00
|
$37,964.00
|
$15,635.00
|
2026-05-08
|
|
24587
|
OTHER
|
Treat Elbow Fracture
|
3
|
1
|
—
|
—
|
$12,764.00
|
$37,964.00
|
$15,635.00
|
2026-05-08
|
|
22551
|
OTHER
|
Arthrd Ant Interbody Decompress Cervical Belw C2
|
3
|
1
|
$27,560.00
|
$14,331.20
48% off
|
$12,764.00
|
$37,964.00
|
$15,635.00
|
2026-05-08
|
|
24802
|
OTHER
|
Fusion/graft Of Elbow Joint
|
3
|
1
|
—
|
—
|
$12,764.00
|
$37,964.00
|
$15,635.00
|
2026-05-08
|
|
20982
|
OTHER
|
Ablation Bone Tumor Rf Perq W/img Gdn When Done
|
3
|
1
|
$16,520.00
|
$8,590.40
48% off
|
$12,764.00
|
$37,964.00
|
$15,635.00
|
2026-05-08
|
|
24586
|
OTHER
|
Treat Elbow Fracture
|
3
|
1
|
—
|
—
|
$12,764.00
|
$37,964.00
|
$15,635.00
|
2026-05-08
|
|
24346
|
OTHER
|
Reconstruct Elbow Med Ligmnt
|
3
|
1
|
—
|
—
|
$12,764.00
|
$37,964.00
|
$15,635.00
|
2026-05-08
|
|
24435
|
OTHER
|
Repair Humerus With Graft
|
3
|
1
|
—
|
—
|
$12,764.00
|
$37,964.00
|
$15,635.00
|
2026-05-08
|
|
27130
|
OTHER
|
Total Hip Arthroplasty
|
3
|
1
|
—
|
—
|
$12,764.00
|
$37,964.00
|
$15,635.00
|
2026-05-08
|
|
24498
|
OTHER
|
Reinforce Humerus
|
3
|
1
|
—
|
—
|
$12,764.00
|
$37,964.00
|
$15,635.00
|
2026-05-08
|
|
69729
|
OTHER
|
Impl Oi Implt Sk Tc Esp>=100
|
3
|
1
|
—
|
—
|
$12,764.00
|
$37,964.00
|
$15,635.00
|
2026-05-08
|
|
69730
|
OTHER
|
Rplc Oi Implt Sk Tc Esp>=100
|
3
|
1
|
—
|
—
|
$12,764.00
|
$37,964.00
|
$15,635.00
|
2026-05-08
|
|
0629T
|
OTHER
|
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
|
2026-05-08
|
|
0737T
|
OTHER
|
Xenograft Impltj Artclr Surf
|
3
|
1
|
—
|
—
|
$12,764.00
|
$37,964.00
|
$15,635.00
|
2026-05-08
|
|
69714
|
OTHER
|
Impltj Oi Implt Skull Perq Attachment Esp
|
3
|
1
|
$12,330.00
|
$6,411.60
48% off
|
$12,764.00
|
$37,964.00
|
$15,635.00
|
2026-05-08
|
|
24410
|
OTHER
|
Revision Of Humerus
|
3
|
1
|
—
|
—
|
$12,764.00
|
$37,964.00
|
$15,635.00
|
2026-05-08
|
|
22869
|
OTHER
|
Insj Stablj Dev Without Dcmprn
|
3
|
1
|
—
|
—
|
$12,764.00
|
$37,964.00
|
$15,635.00
|
2026-05-08
|
|
27429
|
OTHER
|
Reconstruction Knee
|
3
|
1
|
—
|
—
|
$12,764.00
|
$37,964.00
|
$15,635.00
|
2026-05-08
|
|
64628
|
OTHER
|
Thermal Dstrj Intraosseous Bvn 1st 2 Lmbr/sac
|
3
|
1
|
$44,150.00
|
$22,958.00
48% off
|
$12,764.00
|
$37,964.00
|
$15,635.00
|
2026-05-08
|
|
0627T
|
OTHER
|
Perq Njx Algc Fluor Lmbr 1st
|
3
|
1
|
—
|
—
|
$12,764.00
|
$37,964.00
|
$15,635.00
|
2026-05-08
|
|
27415
|
OTHER
|
Osteochondral Knee Allograft
|
3
|
1
|
—
|
—
|
$12,764.00
|
$37,964.00
|
$15,635.00
|
2026-05-08
|
|
C9781
|
OTHER
|
Arthrosc Shldr Sx; W/imp Sa Spacer
|
3
|
1
|
—
|
—
|
$12,764.00
|
$37,964.00
|
$15,635.00
|
2026-05-08
|
|
28735
|
OTHER
|
Fusion Of Foot Bones
|
3
|
1
|
—
|
—
|
$12,764.00
|
$37,964.00
|
$15,635.00
|
2026-05-08
|
|
23470
|
OTHER
|
Reconstruct Shoulder Joint
|
3
|
1
|
—
|
—
|
$12,764.00
|
$37,964.00
|
$15,635.00
|
2026-05-08
|
|
23802
|
OTHER
|
Arthrd Glenohumeral Jt W/grf
|
3
|
1
|
—
|
—
|
$12,764.00
|
$37,964.00
|
$15,635.00
|
2026-05-08
|
|
24430
|
OTHER
|
Repair Of Humerus
|
3
|
1
|
—
|
—
|
$12,764.00
|
$37,964.00
|
$15,635.00
|
2026-05-08
|
|
24545
|
OTHER
|
Open Tx Humeral Supracondylar Fracture Without Xtn
|
3
|
1
|
$12,330.00
|
$6,411.60
48% off
|
$12,764.00
|
$37,964.00
|
$15,635.00
|
2026-05-08
|
|
23680
|
OTHER
|
Open Tx Shoulder Dislocation W/neck Fracture
|
3
|
1
|
$12,330.00
|
$6,411.60
48% off
|
$12,764.00
|
$37,964.00
|
$15,635.00
|
2026-05-08
|
|
25810
|
OTHER
|
Arthrodesis Wrist W/iliac/other Autograft
|
3
|
1
|
$12,330.00
|
$6,411.60
48% off
|
$12,764.00
|
$37,964.00
|
$15,635.00
|
2026-05-08
|
|
25365
|
OTHER
|
Revise Radius & Ulna
|
3
|
1
|
—
|
—
|
$12,764.00
|
$37,964.00
|
$15,635.00
|
2026-05-08
|
|
24366
|
OTHER
|
Reconstruct Head Of Radius
|
3
|
1
|
—
|
—
|
$12,764.00
|
$37,964.00
|
$15,635.00
|
2026-05-08
|
|
27441
|
OTHER
|
Revision Of Knee Joint
|
3
|
1
|
—
|
—
|
$12,764.00
|
$37,964.00
|
$15,635.00
|
2026-05-08
|
|
27759
|
OTHER
|
Tx Tibl Shft Fx Imed Implt W/wo Screws&/cercla
|
3
|
1
|
$13,630.00
|
$7,087.60
48% off
|
$12,764.00
|
$37,964.00
|
$15,635.00
|
2026-05-08
|
|
20692
|
OTHER
|
Application Multiplane External Fixation System
|
3
|
1
|
$12,330.00
|
$6,411.60
48% off
|
$12,764.00
|
$37,964.00
|
$15,635.00
|
2026-05-08
|
|
24362
|
OTHER
|
Reconstruct Elbow Joint
|
3
|
1
|
—
|
—
|
$12,764.00
|
$37,964.00
|
$15,635.00
|
2026-05-08
|
|
27447
|
OTHER
|
Total Knee Arthroplasty
|
3
|
1
|
—
|
—
|
$12,764.00
|
$37,964.00
|
$15,635.00
|
2026-05-08
|
|
23615
|
OTHER
|
Open Treatment Proximal Humeral Fracture
|
3
|
1
|
$25,630.00
|
$13,327.60
48% off
|
$12,764.00
|
$37,964.00
|
$15,635.00
|
2026-05-08
|
|
24365
|
OTHER
|
Reconstruct Head Of Radius
|
3
|
1
|
—
|
—
|
$12,764.00
|
$37,964.00
|
$15,635.00
|
2026-05-08
|
|
27870
|
OTHER
|
Fusion Of Ankle Joint Open
|
3
|
1
|
—
|
—
|
$12,764.00
|
$37,964.00
|
$15,635.00
|
2026-05-08
|
|
24370
|
OTHER
|
Revise Reconst Elbow Joint
|
3
|
1
|
—
|
—
|
$12,764.00
|
$37,964.00
|
$15,635.00
|
2026-05-08
|
|
27828
|
OTHER
|
Open Treatment Fracture Distal Tibia & Fibula
|
3
|
1
|
$27,560.00
|
$14,331.20
48% off
|
$12,764.00
|
$37,964.00
|
$15,635.00
|
2026-05-08
|
|
24575
|
OTHER
|
Treat Humerus Fracture
|
3
|
1
|
—
|
—
|
$12,764.00
|
$37,964.00
|
$15,635.00
|
2026-05-08
|
|
24666
|
OTHER
|
Treat Radius Fracture
|
3
|
1
|
—
|
—
|
$12,764.00
|
$37,964.00
|
$15,635.00
|
2026-05-08
|
|
25444
|
OTHER
|
Arthrp W/prostc Lunate
|
3
|
1
|
—
|
—
|
$12,764.00
|
$37,964.00
|
$15,635.00
|
2026-05-08
|
|
25491
|
OTHER
|
Prophylactic Tx Ulna
|
3
|
1
|
—
|
—
|
$12,764.00
|
$37,964.00
|
$15,635.00
|
2026-05-08
|
|
25441
|
OTHER
|
Arthrp W/prostc Dstl Rds
|
3
|
1
|
—
|
—
|
$12,764.00
|
$37,964.00
|
$15,635.00
|
2026-05-08
|
|
29907
|
OTHER
|
Subtalar Arthro W/fusion
|
3
|
1
|
—
|
—
|
$12,764.00
|
$37,964.00
|
$15,635.00
|
2026-05-08
|
|
25391
|
OTHER
|
Lengthen Radius Or Ulna
|
3
|
1
|
—
|
—
|
$12,764.00
|
$37,964.00
|
$15,635.00
|
2026-05-08
|
|
24546
|
OTHER
|
Treat Humerus Fracture
|
3
|
1
|
—
|
—
|
$12,764.00
|
$37,964.00
|
$15,635.00
|
2026-05-08
|
|
23485
|
OTHER
|
Revision Of Collar Bone
|
3
|
1
|
—
|
—
|
$12,764.00
|
$37,964.00
|
$15,635.00
|
2026-05-08
|
|
23491
|
OTHER
|
Reinforce Shoulder Bones
|
3
|
1
|
—
|
—
|
$12,764.00
|
$37,964.00
|
$15,635.00
|
2026-05-08
|
|
C9734
|
OTHER
|
Focused U/s Abl/tx Int Oth Than Ul
|
3
|
1
|
—
|
—
|
$12,764.00
|
$37,964.00
|
$15,635.00
|
2026-05-08
|
|
29889
|
OTHER
|
Arthrs Aided Pst Cruciate Ligm Rpr/agmntj/rcnstj
|
3
|
1
|
$12,330.00
|
$6,411.60
48% off
|
$12,764.00
|
$37,964.00
|
$15,635.00
|
2026-05-08
|
|
C9757
|
OTHER
|
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
|
2026-05-08
|
|
28737
|
OTHER
|
Arthrd W/tdn Lngth&advmnt Tarsl Nvclr-cuneifor
|
3
|
1
|
$12,330.00
|
$6,411.60
48% off
|
$12,764.00
|
$37,964.00
|
$15,635.00
|
2026-05-08
|
|
28730
|
OTHER
|
Arthrd Midtarsl/tarsometatarsal Mult/transvrs
|
3
|
1
|
$12,330.00
|
$6,411.60
48% off
|
$12,764.00
|
$37,964.00
|
$15,635.00
|
2026-05-08
|
|
29856
|
OTHER
|
Tibial Arthroscopy/surgery
|
3
|
1
|
—
|
—
|
$12,764.00
|
$37,964.00
|
$15,635.00
|
2026-05-08
|
|
28715
|
OTHER
|
Arthrodesis Triple
|
3
|
1
|
—
|
—
|
$12,764.00
|
$37,964.00
|
$15,635.00
|
2026-05-08
|
|
23473
|
OTHER
|
Revis Reconst Shoulder Joint
|
3
|
1
|
—
|
—
|
$12,764.00
|
$37,964.00
|
$15,635.00
|
2026-05-08
|
|
28725
|
OTHER
|
Arthrodesis Subtalar
|
3
|
1
|
$25,110.00
|
$13,057.20
48% off
|
$12,764.00
|
$37,964.00
|
$15,635.00
|
2026-05-08
|
|
29867
|
OTHER
|
Arthroscopy Knee Osteochondral Allograft
|
3
|
1
|
$12,330.00
|
$6,411.60
48% off
|
$12,764.00
|
$37,964.00
|
$15,635.00
|
2026-05-08
|
|
27871
|
OTHER
|
Fusion Of Tibiofibular Joint
|
3
|
1
|
—
|
—
|
$12,764.00
|
$37,964.00
|
$15,635.00
|
2026-05-08
|
|
27827
|
OTHER
|
Open Treatment Fracture Distal Tibia Only
|
3
|
1
|
$27,560.00
|
$14,331.20
48% off
|
$12,764.00
|
$37,964.00
|
$15,635.00
|
2026-05-08
|
|
28297
|
OTHER
|
Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis
|
3
|
1
|
$10,540.00
|
$5,480.80
48% off
|
$12,764.00
|
$37,964.00
|
$15,635.00
|
2026-05-08
|
|
27709
|
OTHER
|
Osteotomy Tibia & Fibula
|
3
|
1
|
—
|
—
|
$12,764.00
|
$37,964.00
|
$15,635.00
|
2026-05-08
|
|
69716
|
OTHER
|
Impl Oi Implt Skull Mag Tc Attachment Esp<100
|
3
|
1
|
$44,150.00
|
$22,958.00
48% off
|
$12,764.00
|
$37,964.00
|
$15,635.00
|
2026-05-08
|
|
27758
|
OTHER
|
Optx Tibial Shft Fx W/plate/screws W/wo Cerclage
|
3
|
1
|
$22,080.00
|
$11,481.60
48% off
|
$12,764.00
|
$37,964.00
|
$15,635.00
|
2026-05-08
|
|
28320
|
OTHER
|
Repair Of Foot Bones
|
3
|
1
|
—
|
—
|
$12,764.00
|
$37,964.00
|
$15,635.00
|
2026-05-08
|
|
69719
|
OTHER
|
Rplcmt Oi Implt Skull Mag Tc Attachment Esp<100
|
3
|
1
|
$44,150.00
|
$22,958.00
48% off
|
$12,764.00
|
$37,964.00
|
$15,635.00
|
2026-05-08
|
|
28420
|
OTHER
|
Treat/graft Heel Fracture
|
3
|
1
|
—
|
—
|
$12,764.00
|
$37,964.00
|
$15,635.00
|
2026-05-08
|
|
27442
|
OTHER
|
Revision Of Knee Joint
|
3
|
1
|
—
|
—
|
$12,764.00
|
$37,964.00
|
$15,635.00
|
2026-05-08
|
|
24579
|
OTHER
|
Treat Humerus Fracture
|
3
|
1
|
—
|
—
|
$12,764.00
|
$37,964.00
|
$15,635.00
|
2026-05-08
|
|
27443
|
OTHER
|
Revision Of Knee Joint
|
3
|
1
|
—
|
—
|
$12,764.00
|
$37,964.00
|
$15,635.00
|
2026-05-08
|
|
27438
|
OTHER
|
Revise Kneecap With Implant
|
3
|
1
|
—
|
—
|
$12,764.00
|
$37,964.00
|
$15,635.00
|
2026-05-08
|
|
27356
|
OTHER
|
Remove Femur Lesion/graft
|
3
|
1
|
—
|
—
|
$12,764.00
|
$37,964.00
|
$15,635.00
|
2026-05-08
|
|
27428
|
OTHER
|
Ligamentous Reconstruction Knee Intra-articular
|
3
|
1
|
$12,330.00
|
$6,411.60
48% off
|
$12,764.00
|
$37,964.00
|
$15,635.00
|
2026-05-08
|
|
27440
|
OTHER
|
Revision Of Knee Joint
|
3
|
1
|
—
|
—
|
$12,764.00
|
$37,964.00
|
$15,635.00
|
2026-05-08
|
|
27446
|
OTHER
|
Revision Of Knee Joint
|
3
|
1
|
—
|
—
|
$12,764.00
|
$37,964.00
|
$15,635.00
|
2026-05-08
|
|
61888
|
OTHER
|
Revise/remove Neuroreceiver
|
3
|
1
|
—
|
—
|
$12,371.00
|
$36,795.00
|
$15,153.00
|
2026-05-08
|
|
64583
|
OTHER
|
Revj/rplcmt Hpglsl Nerve Nstim Ra Pg&respir Snr
|
3
|
1
|
$40,260.00
|
$20,935.20
48% off
|
$12,371.00
|
$36,795.00
|
$15,153.00
|
2026-05-08
|
|
0784T
|
OTHER
|
Ins/rplmt Eltrd Ra Spi Nstim
|
3
|
1
|
—
|
—
|
$12,371.00
|
$36,795.00
|
$15,153.00
|
2026-05-08
|
|
61715
|
OTHER
|
Mrgfus Strtctc Ablt Trgt Icr
|
3
|
1
|
—
|
—
|
$12,371.00
|
$36,795.00
|
$15,153.00
|
2026-05-08
|
|
64596
|
OTHER
|
Ins/rplcmt Prq Eltrd Ra Pn 1
|
3
|
1
|
—
|
—
|
$12,371.00
|
$36,795.00
|
$15,153.00
|
2026-05-08
|
|
43647
|
OTHER
|
Lap Impl Electrode Antrum
|
3
|
1
|
—
|
—
|
$12,371.00
|
$36,795.00
|
$15,153.00
|
2026-05-08
|
|
64575
|
OTHER
|
Opn Impltj Nea Perph Nerve
|
3
|
1
|
—
|
—
|
$12,371.00
|
$36,795.00
|
$15,153.00
|
2026-05-08
|
|
63664
|
OTHER
|
Revise Spine Eltrd Plate
|
3
|
1
|
—
|
—
|
$12,371.00
|
$36,795.00
|
$15,153.00
|
2026-05-08
|
|
33288
|
OTHER
|
Rmv&rplcmt Phrnc Nrv Stim Ld
|
3
|
1
|
—
|
—
|
$12,371.00
|
$36,795.00
|
$15,153.00
|
2026-05-08
|
|
64553
|
OTHER
|
Implant Neuroelectrodes
|
3
|
1
|
—
|
—
|
$12,371.00
|
$36,795.00
|
$15,153.00
|
2026-05-08
|
|
64569
|
OTHER
|
Revise/repl Vagus N Eltrd
|
3
|
1
|
—
|
—
|
$12,371.00
|
$36,795.00
|
$15,153.00
|
2026-05-08
|
|
0675T
|
OTHER
|
Laps Insj Nw/rpcmt Isdss 1ld
|
3
|
1
|
—
|
—
|
$12,371.00
|
$36,795.00
|
$15,153.00
|
2026-05-08
|
|
187000714
|
OTHER
|
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
|
2026-05-08
|
|
37296
|
OTHER
|
Revsc Evasc Imvt Angiop Uni Sf Les 1st Vsl
|
3
|
1
|
$29,486.00
|
—
|
$11,700.00
|
$34,800.00
|
$14,332.00
|
2026-05-08
|
|
37298
|
OTHER
|
Revsc Evasc Imvt Angiop Uni Cplx Les 1st Vsl
|
3
|
1
|
$29,486.00
|
—
|
$11,700.00
|
$34,800.00
|
$14,332.00
|
2026-05-08
|
|
37280
|
OTHER
|
Revsc Evasc Tpvt Angiop Uni Sf Les 1st Vsl
|
3
|
1
|
$29,486.00
|
—
|
$11,700.00
|
$34,800.00
|
$14,332.00
|
2026-05-08
|
|
37282
|
OTHER
|
Revsc Evasc Tpvt Angiop Uni Cplx Les 1st Vsl
|
3
|
1
|
$29,486.00
|
—
|
$11,700.00
|
$34,800.00
|
$14,332.00
|
2026-05-08
|
|
37269
|
OTHER
|
Revsc Evasc Fpvt St Plmt Uni Cplx Les 1st Vsl
|
3
|
1
|
$29,486.00
|
—
|
$11,700.00
|
$34,800.00
|
$14,332.00
|
2026-05-08
|
|
37258
|
OTHER
|
Revsc Evasc Ivt St Plmt Uni Sf Les 1st Vsl
|
3
|
1
|
$29,486.00
|
—
|
$11,700.00
|
$34,800.00
|
$14,332.00
|
2026-05-08
|
|
37260
|
OTHER
|
Revsc Evasc Ivt St Plmt Uni Cplx Les 1st Vsl
|
3
|
1
|
$29,486.00
|
—
|
$11,700.00
|
$34,800.00
|
$14,332.00
|
2026-05-08
|
|
37267
|
OTHER
|
Revsc Evasc Fpvt St Plmt Uni Sf Les 1st Vsl
|
3
|
1
|
$29,486.00
|
—
|
$11,700.00
|
$34,800.00
|
$14,332.00
|
2026-05-08
|
|
61623
|
OTHER
|
Evasc Temp Balloon Artl Occlusion Head/neck
|
3
|
1
|
$15,440.00
|
$8,028.80
48% off
|
$11,250.00
|
$33,461.00
|
$13,780.00
|
2026-05-08
|
|
61626
|
OTHER
|
Tcat Perm Occls/embolj Perq Non-cns Head/neck
|
3
|
1
|
$18,700.00
|
$9,724.00
48% off
|
$11,250.00
|
$33,461.00
|
$13,780.00
|
2026-05-08
|
|
0237T
|
OTHER
|
Trluml Perip Athrc Brchiocph
|
3
|
1
|
—
|
—
|
$11,250.00
|
$33,461.00
|
$13,780.00
|
2026-05-08
|
|
0236T
|
OTHER
|
Trluml Perip Athrc Abd Aorta
|
3
|
1
|
—
|
—
|
$11,250.00
|
$33,461.00
|
$13,780.00
|
2026-05-08
|
|
0234T
|
OTHER
|
Trluml Perip Athrc Renal Art
|
3
|
1
|
—
|
—
|
$11,250.00
|
$33,461.00
|
$13,780.00
|
2026-05-08
|
|
C9772
|
OTHER
|
Revasc Lithotrip Tibi/perone
|
3
|
1
|
$38,410.00
|
$19,973.20
48% off
|
$11,250.00
|
$33,461.00
|
$13,780.00
|
2026-05-08
|
|
C9600
|
OTHER
|
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
|
2026-05-08
|
|
C9783
|
OTHER
|
Bld Proc Tc Imp Cs Rd Dvc/plb Ctrl
|
3
|
1
|
—
|
—
|
$11,250.00
|
$33,461.00
|
$13,780.00
|
2026-05-08
|
|
37244
|
OTHER
|
Vascular Embolization Or Occlusion Hemorrhage
|
3
|
1
|
$28,050.00
|
$14,586.00
48% off
|
$11,250.00
|
$33,461.00
|
$13,780.00
|
2026-05-08
|
|
37236
|
OTHER
|
Open/perq Placement Intravascular Stent Initial
|
3
|
1
|
$30,720.00
|
$15,974.40
48% off
|
$11,250.00
|
$33,461.00
|
$13,780.00
|
2026-05-08
|
|
37238
|
OTHER
|
Open/perq Placement Intravascular Stent Same 1st
|
3
|
1
|
$30,720.00
|
$15,974.40
48% off
|
$11,250.00
|
$33,461.00
|
$13,780.00
|
2026-05-08
|
|
37187
|
OTHER
|
Prq Transluminal Mechanical Thrombectomy Vein
|
3
|
1
|
$13,230.00
|
$6,879.60
48% off
|
$11,250.00
|
$33,461.00
|
$13,780.00
|
2026-05-08
|
|
37241
|
OTHER
|
Vascular Embolization Or Occlusion Venous Rs&i
|
3
|
1
|
$28,050.00
|
$14,586.00
48% off
|
$11,250.00
|
$33,461.00
|
$13,780.00
|
2026-05-08
|
|
36903
|
OTHER
|
Intro Cath Dialysis Circuit W/tcat Plmt IV Stent
|
3
|
1
|
$33,650.00
|
$17,498.00
48% off
|
$11,250.00
|
$33,461.00
|
$13,780.00
|
2026-05-08
|
|
36905
|
OTHER
|
Perq Thrmbc/nfs Dial Circuit Trluml Balo Angiop
|
3
|
1
|
$33,750.00
|
$17,550.00
48% off
|
$11,250.00
|
$33,461.00
|
$13,780.00
|
2026-05-08
|
|
33901
|
OTHER
|
Perq P-art Revsc St 1st Nml Native Connj Bi
|
3
|
1
|
$33,310.00
|
$17,321.20
48% off
|
$11,250.00
|
$33,461.00
|
$13,780.00
|
2026-05-08
|
|
33900
|
OTHER
|
Perq P-art Revsc St 1st Nml Native Connj Uni
|
3
|
1
|
$33,310.00
|
$17,321.20
48% off
|
$11,250.00
|
$33,461.00
|
$13,780.00
|
2026-05-08
|
|
33903
|
OTHER
|
Perq P-art Revsc St 1st Abnormal Connj Bilateral
|
3
|
1
|
$33,310.00
|
$17,321.20
48% off
|
$11,250.00
|
$33,461.00
|
$13,780.00
|
2026-05-08
|
|
37243
|
OTHER
|
Vascular Embolize/occlude Organ Tumor Infarct
|
3
|
1
|
$28,050.00
|
$14,586.00
48% off
|
$11,250.00
|
$33,461.00
|
$13,780.00
|
2026-05-08
|
|
0505T
|
OTHER
|
Ev Fempop Artl Revsc
|
3
|
1
|
—
|
—
|
$11,250.00
|
$33,461.00
|
$13,780.00
|
2026-05-08
|
|
C9604
|
OTHER
|
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
|
2026-05-08
|
|
C9764
|
OTHER
|
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
|
2026-05-08
|
|
55869
|
OTHER
|
Laps Surg Prst8ect Rpbic Rad W/bi Pel Lymphadec
|
3
|
1
|
$27,150.00
|
—
|
$10,773.00
|
$32,043.00
|
$13,196.00
|
2026-05-08
|
|
55868
|
OTHER
|
Laps Surg Prst8ect Rpbic Radical W/lymph Node Bx
|
3
|
1
|
$27,150.00
|
—
|
$10,773.00
|
$32,043.00
|
$13,196.00
|
2026-05-08
|
|
0519T
|
OTHER
|
Rmv&rplcmt Pg Wcs Lv Both
|
3
|
1
|
—
|
—
|
$10,382.00
|
$30,879.00
|
$12,717.00
|
2026-05-08
|
|
0517T
|
OTHER
|
Insj Wcs Lv Both Compnt Pg
|
3
|
1
|
—
|
—
|
$10,382.00
|
$30,879.00
|
$12,717.00
|
2026-05-08
|
|
0520T
|
OTHER
|
Rmv&rplcmt Pg Wcs Lv Battery
|
3
|
1
|
—
|
—
|
$10,382.00
|
$30,879.00
|
$12,717.00
|
2026-05-08
|
|
33228
|
OTHER
|
Remvl Perm Pm Pls Gen W/repl Plse Gen 2 Lead Sys
|
3
|
1
|
$28,040.00
|
$14,580.80
48% off
|
$10,382.00
|
$30,879.00
|
$12,717.00
|
2026-05-08
|
|
0516T
|
OTHER
|
Insj Wcs Lv Eltrd Only
|
3
|
1
|
—
|
—
|
$10,382.00
|
$30,879.00
|
$12,717.00
|
2026-05-08
|
|
33214
|
OTHER
|
Upg Pacemaker Sys Convert 1chmbr Sys 2chmbr Sys
|
3
|
1
|
$34,400.00
|
$17,888.00
48% off
|
$10,382.00
|
$30,879.00
|
$12,717.00
|
2026-05-08
|
|
33224
|
OTHER
|
Insj Eltrd Car Ven Sys Attch Prev Pm/dfb Pls Gen
|
3
|
1
|
$29,780.00
|
$15,485.60
48% off
|
$10,382.00
|
$30,879.00
|
$12,717.00
|
2026-05-08
|
|
33213
|
OTHER
|
Ins Pacemaker Pulse Gen Only W/exist Dual Leads
|
3
|
1
|
$24,200.00
|
$12,584.00
48% off
|
$10,382.00
|
$30,879.00
|
$12,717.00
|
2026-05-08
|
|
33206
|
OTHER
|
Ins New/rplcmt Prm Pacemakr W/trans Eltrd Atrial
|
3
|
1
|
$27,330.00
|
$14,211.60
48% off
|
$10,382.00
|
$30,879.00
|
$12,717.00
|
2026-05-08
|
|
33208
|
OTHER
|
Ins New/rplcmt Prm Pm W/transv Eltrd Atrial&vent
|
3
|
1
|
$27,980.00
|
$14,549.60
48% off
|
$10,382.00
|
$30,879.00
|
$12,717.00
|
2026-05-08
|
|
33207
|
OTHER
|
Ins New/rplc Prm Pacemaker W/transv Eltrd Ventr
|
3
|
1
|
$27,650.00
|
$14,378.00
48% off
|
$10,382.00
|
$30,879.00
|
$12,717.00
|
2026-05-08
|
|
58554
|
OTHER
|
Laparo-vag Hyst W/t/o Compl
|
3
|
1
|
—
|
—
|
$10,328.00
|
$30,719.00
|
$12,651.00
|
2026-05-08
|
|
58552
|
OTHER
|
Laps W/vag Hysterect 250 Gm/&rmvl Tube&/ovaries
|
3
|
1
|
$23,270.00
|
$12,100.40
48% off
|
$10,328.00
|
$30,719.00
|
$12,651.00
|
2026-05-08
|
|
58546
|
OTHER
|
Laparo-myomectomy Complex
|
3
|
1
|
—
|
—
|
$10,328.00
|
$30,719.00
|
$12,651.00
|
2026-05-08
|
|
58553
|
OTHER
|
Laparo-vag Hyst Complex
|
3
|
1
|
—
|
—
|
$10,328.00
|
$30,719.00
|
$12,651.00
|
2026-05-08
|
|
58570
|
OTHER
|
Tlh Uterus 250 G Or Less
|
3
|
1
|
—
|
—
|
$10,328.00
|
$30,719.00
|
$12,651.00
|
2026-05-08
|
|
0679T
|
OTHER
|
Laparoscopic Removal Lead Perm Isdss
|
3
|
1
|
$28,010.00
|
$14,565.20
48% off
|
$10,328.00
|
$30,719.00
|
$12,651.00
|
2026-05-08
|
|
58544
|
OTHER
|
Lsh W/t/o Uterus Above 250 G
|
3
|
1
|
—
|
—
|
$10,328.00
|
$30,719.00
|
$12,651.00
|
2026-05-08
|
|
58571
|
OTHER
|
Laps Total Hysterect 250 Gm/< W/rmvl Tube/ovary
|
3
|
1
|
$8,530.00
|
$4,435.60
48% off
|
$10,328.00
|
$30,719.00
|
$12,651.00
|
2026-05-08
|
|
58541
|
OTHER
|
Lsh Uterus 250 G Or Less
|
3
|
1
|
—
|
—
|
$10,328.00
|
$30,719.00
|
$12,651.00
|
2026-05-08
|
|
58542
|
OTHER
|
Laps Supracrv Hysterect 250 Gm/< Rmvl Tube/ovar
|
3
|
1
|
$8,960.00
|
$4,659.20
48% off
|
$10,328.00
|
$30,719.00
|
$12,651.00
|
2026-05-08
|
|
0601T
|
OTHER
|
Ire Abltj 1+tumors Open
|
3
|
1
|
—
|
—
|
$10,328.00
|
$30,719.00
|
$12,651.00
|
2026-05-08
|
|
58543
|
OTHER
|
Lsh Uterus Above 250 G
|
3
|
1
|
—
|
—
|
$10,328.00
|
$30,719.00
|
$12,651.00
|
2026-05-08
|
|
58572
|
OTHER
|
Laparoscopy Total Hysterectomy Uterus >250 Gm
|
3
|
1
|
$8,960.00
|
$4,659.20
48% off
|
$10,328.00
|
$30,719.00
|
$12,651.00
|
2026-05-08
|