|
556
|
MS_DRG
|
Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc
|
2
|
2
|
$361,569.19
|
—
|
$12,491.39
|
$948,036.19
|
$480,263.79
|
2026-02-25
|
|
71
|
MS_DRG
|
Other Cerebrovascular Disorders With Cc
|
2
|
2
|
$218,831.69
|
—
|
$15,430.01
|
$600,500.69
|
$307,965.35
|
2026-02-25
|
|
438
|
MS_DRG
|
Disorders Of Pancreas Except Malignancy With Mcc
|
2
|
2
|
$191,239.85
|
—
|
$24,516.58
|
$510,848.85
|
$267,682.71
|
2026-02-25
|
|
57
|
MS_DRG
|
Degenerative Nervous System Disorders Without Mcc
|
2
|
2
|
$135,243.79
|
—
|
$19,484.53
|
$352,453.79
|
$185,969.16
|
2026-02-25
|
|
192
|
MS_DRG
|
Chronic Obstructive Pulmonary Disease Without Cc/mcc
|
2
|
2
|
$104,077.64
|
$4,091,292.21
|
$9,655.04
|
$246,815.64
|
$128,235.34
|
2026-02-25
|
|
552
|
MS_DRG
|
Medical Back Problems Without Mcc
|
2
|
2
|
$98,453.31
|
$3,870,199.46
|
$14,456.99
|
$231,882.31
|
$123,169.65
|
2026-02-25
|
|
561
|
MS_DRG
|
Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc
|
2
|
2
|
$78,768.00
|
$3,096,369.98
|
$12,089.85
|
$212,197.00
|
$112,143.43
|
2026-02-25
|
|
682
|
MS_DRG
|
Renal Failure With Mcc
|
2
|
2
|
$59,184.39
|
$2,326,538.45
|
$22,272.76
|
$136,759.39
|
$79,516.08
|
2026-02-25
|
|
560
|
MS_DRG
|
Aftercare, Musculoskeletal System And Connective Tissue With Cc
|
2
|
2
|
$56,065.51
|
$2,203,935.30
|
$16,935.42
|
$115,022.51
|
$65,978.96
|
2026-02-25
|
|
945
|
MS_DRG
|
Rehabilitation With Cc/mcc
|
2
|
2
|
$39,658.03
|
$1,558,957.16
|
$23,289.40
|
$79,997.03
|
$51,643.21
|
2026-02-25
|
|
293
|
MS_DRG
|
Heart Failure And Shock Without Cc/mcc
|
2
|
2
|
$33,040.79
|
$1,298,833.44
|
$8,512.07
|
$78,494.46
|
$43,503.27
|
2026-02-25
|
|
208
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support <=96 Hours
|
1
|
1
|
$41,671.42
|
$1,638,103.63
|
$41,337.70
|
$41,337.70
|
$41,337.70
|
2026-02-25
|
|
56
|
MS_DRG
|
Degenerative Nervous System Disorders With Mcc
|
1
|
1
|
$57,110.38
|
$2,245,009.04
|
$34,937.10
|
$34,937.10
|
$34,937.10
|
2026-02-25
|
|
98
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc
|
1
|
1
|
$132,239.05
|
—
|
$34,513.00
|
$34,513.00
|
$34,513.00
|
2026-02-25
|
|
871
|
MS_DRG
|
Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc
|
1
|
1
|
$51,195.71
|
$2,012,503.36
|
$29,213.26
|
$29,213.26
|
$29,213.26
|
2026-02-25
|
|
52
|
MS_DRG
|
Spinal Disorders And Injuries With Cc/mcc
|
1
|
1
|
$121,120.56
|
$4,761,249.21
|
$26,781.45
|
$26,781.45
|
$26,781.45
|
2026-02-25
|
|
199
|
MS_DRG
|
Pneumothorax With Mcc
|
1
|
1
|
$37,993.97
|
$1,493,542.96
|
$26,530.30
|
$26,530.30
|
$26,530.30
|
2026-02-25
|
|
371
|
MS_DRG
|
Major Gastrointestinal Disorders And Peritoneal Infections With Mcc
|
1
|
1
|
$25,960.96
|
$1,020,525.34
|
$25,960.96
|
$25,960.96
|
$25,960.96
|
2026-02-25
|
|
441
|
MS_DRG
|
Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc
|
1
|
1
|
$24,713.90
|
$971,503.41
|
$24,713.90
|
$24,713.90
|
$24,713.90
|
2026-02-25
|
|
884
|
MS_DRG
|
Organic Disturbances And Intellectual Disability
|
1
|
1
|
$54,342.36
|
$2,136,198.17
|
$24,196.25
|
$24,196.25
|
$24,196.25
|
2026-02-25
|
|
280
|
MS_DRG
|
Acute Myocardial Infarction, Discharged Alive With Mcc
|
1
|
1
|
$27,594.46
|
$1,084,738.22
|
$24,124.06
|
$24,124.06
|
$24,124.06
|
2026-02-25
|
|
177
|
MS_DRG
|
Respiratory Infections And Inflammations With Mcc
|
1
|
1
|
$57,370.24
|
$2,255,224.29
|
$23,501.45
|
$23,501.45
|
$23,501.45
|
2026-02-25
|
|
432
|
MS_DRG
|
Cirrhosis And Alcoholic Hepatitis With Mcc
|
1
|
1
|
$22,561.60
|
$886,896.30
|
$22,561.60
|
$22,561.60
|
$22,561.60
|
2026-02-25
|
|
602
|
MS_DRG
|
Cellulitis With Mcc
|
1
|
1
|
$24,607.66
|
$967,327.11
|
$21,374.93
|
$21,374.93
|
$21,374.93
|
2026-02-25
|
|
640
|
MS_DRG
|
Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M…
|
1
|
1
|
$50,088.38
|
$1,968,974.22
|
$20,086.09
|
$20,086.09
|
$20,086.09
|
2026-02-25
|
|
193
|
MS_DRG
|
Simple Pneumonia And Pleurisy With Mcc
|
1
|
1
|
$50,140.52
|
$1,971,023.95
|
$19,767.26
|
$19,767.26
|
$19,767.26
|
2026-02-25
|
|
540
|
MS_DRG
|
Osteomyelitis With Cc
|
1
|
1
|
$52,184.48
|
$2,051,371.91
|
$19,495.06
|
$19,495.06
|
$19,495.06
|
2026-02-25
|
|
291
|
MS_DRG
|
Heart Failure And Shock With Mcc
|
1
|
1
|
$55,546.05
|
$2,183,515.08
|
$19,307.07
|
$19,307.07
|
$19,307.07
|
2026-02-25
|
|
391
|
MS_DRG
|
Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc
|
1
|
1
|
$24,797.90
|
$974,805.35
|
$19,073.96
|
$19,073.96
|
$19,073.96
|
2026-02-25
|
|
189
|
MS_DRG
|
Pulmonary Edema And Respiratory Failure
|
1
|
1
|
$35,391.76
|
$1,391,250.09
|
$18,579.18
|
$18,579.18
|
$18,579.18
|
2026-02-25
|
|
308
|
MS_DRG
|
Cardiac Arrhythmia And Conduction Disorders With Mcc
|
1
|
1
|
$48,042.71
|
$1,888,558.90
|
$18,106.96
|
$18,106.96
|
$18,106.96
|
2026-02-25
|
|
689
|
MS_DRG
|
Kidney And Urinary Tract Infections With Mcc
|
1
|
1
|
$57,580.83
|
$2,263,502.54
|
$17,449.75
|
$17,449.75
|
$17,449.75
|
2026-02-25
|
|
546
|
MS_DRG
|
Connective Tissue Disorders With Cc
|
1
|
1
|
$115,880.27
|
$4,555,253.22
|
$17,345.98
|
$17,345.98
|
$17,345.98
|
2026-02-25
|
|
190
|
MS_DRG
|
Chronic Obstructive Pulmonary Disease With Mcc
|
1
|
1
|
$36,865.18
|
$1,449,170.41
|
$16,658.70
|
$16,658.70
|
$16,658.70
|
2026-02-25
|
|
300
|
MS_DRG
|
Peripheral Vascular Disorders With Cc
|
1
|
1
|
$36,798.26
|
$1,446,539.71
|
$16,054.13
|
$16,054.13
|
$16,054.13
|
2026-02-25
|
|
433
|
MS_DRG
|
Cirrhosis And Alcoholic Hepatitis With Cc
|
1
|
1
|
$20,428.83
|
$803,057.31
|
$15,884.19
|
$15,884.19
|
$15,884.19
|
2026-02-25
|
|
74
|
MS_DRG
|
Cranial And Peripheral Nerve Disorders Without Mcc
|
1
|
1
|
$24,051.74
|
$945,473.70
|
$15,502.20
|
$15,502.20
|
$15,502.20
|
2026-02-25
|
|
543
|
MS_DRG
|
Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With…
|
1
|
1
|
$31,859.38
|
$1,252,392.23
|
$15,460.09
|
$15,460.09
|
$15,460.09
|
2026-02-25
|
|
872
|
MS_DRG
|
Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc
|
1
|
1
|
$28,798.74
|
$1,132,078.47
|
$15,389.41
|
$15,389.41
|
$15,389.41
|
2026-02-25
|
|
92
|
MS_DRG
|
Other Disorders Of Nervous System With Cc
|
1
|
1
|
$128,808.04
|
—
|
$15,384.90
|
$15,384.90
|
$15,384.90
|
2026-02-25
|
|
923
|
MS_DRG
|
Other Injury, Poisoning And Toxic Effect Diagnoses Without Mcc
|
1
|
1
|
$17,110.75
|
$672,623.58
|
$15,305.19
|
$15,305.19
|
$15,305.19
|
2026-02-25
|
|
699
|
MS_DRG
|
Other Kidney And Urinary Tract Diagnoses With Cc
|
1
|
1
|
$42,378.27
|
$1,665,889.79
|
$15,264.59
|
$15,264.59
|
$15,264.59
|
2026-02-25
|
|
65
|
MS_DRG
|
Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours
|
1
|
1
|
$42,130.56
|
$1,656,152.31
|
$15,193.90
|
$15,193.90
|
$15,193.90
|
2026-02-25
|
|
378
|
MS_DRG
|
Gastrointestinal Hemorrhage With Cc
|
1
|
1
|
$28,222.60
|
$1,109,430.41
|
$14,748.75
|
$14,748.75
|
$14,748.75
|
2026-02-25
|
|
178
|
MS_DRG
|
Respiratory Infections And Inflammations With Cc
|
1
|
1
|
$23,510.31
|
$924,190.29
|
$14,678.06
|
$14,678.06
|
$14,678.06
|
2026-02-25
|
|
202
|
MS_DRG
|
Bronchitis And Asthma With Cc/mcc
|
1
|
1
|
$27,529.61
|
$1,082,188.77
|
$14,605.88
|
$14,605.88
|
$14,605.88
|
2026-02-25
|
|
60
|
MS_DRG
|
Multiple Sclerosis And Cerebellar Ataxia Without Cc/mcc
|
1
|
1
|
$218,564.85
|
—
|
$13,832.87
|
$13,832.87
|
$13,832.87
|
2026-02-25
|
|
595
|
MS_DRG
|
Major Skin Disorders With Mcc
|
1
|
1
|
$13,639.28
|
$536,160.10
|
$13,639.28
|
$13,639.28
|
$13,639.28
|
2026-02-25
|
|
638
|
MS_DRG
|
Diabetes With Cc
|
1
|
1
|
$21,804.49
|
$857,134.34
|
$13,477.95
|
$13,477.95
|
$13,477.95
|
2026-02-25
|
|
558
|
MS_DRG
|
Tendonitis, Myositis And Bursitis Without Mcc
|
1
|
1
|
$27,745.56
|
$1,090,677.96
|
$13,432.83
|
$13,432.83
|
$13,432.83
|
2026-02-25
|
|
897
|
MS_DRG
|
Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc
|
1
|
1
|
$19,527.48
|
$767,625.24
|
$13,276.43
|
$13,276.43
|
$13,276.43
|
2026-02-25
|
|
683
|
MS_DRG
|
Renal Failure With Cc
|
1
|
1
|
$26,241.97
|
$1,031,571.84
|
$13,171.16
|
$13,171.16
|
$13,171.16
|
2026-02-25
|
|
603
|
MS_DRG
|
Cellulitis Without Mcc
|
1
|
1
|
$26,749.09
|
$1,051,506.69
|
$13,097.47
|
$13,097.47
|
$13,097.47
|
2026-02-25
|
|
918
|
MS_DRG
|
Poisoning And Toxic Effects Of Drugs Without Mcc
|
1
|
1
|
$29,098.65
|
$1,143,868.04
|
$12,889.93
|
$12,889.93
|
$12,889.93
|
2026-02-25
|
|
292
|
MS_DRG
|
Heart Failure And Shock With Cc
|
1
|
1
|
$33,108.09
|
$1,301,479.13
|
$12,768.11
|
$12,768.11
|
$12,768.11
|
2026-02-25
|
|
191
|
MS_DRG
|
Chronic Obstructive Pulmonary Disease With Cc
|
1
|
1
|
$22,753.64
|
$894,445.48
|
$12,677.88
|
$12,677.88
|
$12,677.88
|
2026-02-25
|
|
439
|
MS_DRG
|
Disorders Of Pancreas Except Malignancy With Cc
|
1
|
1
|
$25,371.90
|
$997,369.47
|
$12,650.81
|
$12,650.81
|
$12,650.81
|
2026-02-25
|
|
Q4161
|
HCPCS
|
Bio-connekt Wound Matrix, Per Square Centimeter
|
35
|
13
|
$24,000.00
|
$4,320.00
82% off
|
$945.00
|
$36,000.00
|
$12,600.00
|
2026-02-25
|
|
547
|
MS_DRG
|
Connective Tissue Disorders Without Cc/mcc
|
1
|
1
|
$221,117.33
|
—
|
$12,575.61
|
$12,575.61
|
$12,575.61
|
2026-02-25
|
|
690
|
MS_DRG
|
Kidney And Urinary Tract Infections Without Mcc
|
1
|
1
|
$35,661.91
|
$1,401,869.75
|
$12,174.07
|
$12,174.07
|
$12,174.07
|
2026-02-25
|
|
536
|
MS_DRG
|
Fractures Of Hip And Pelvis Without Mcc
|
1
|
1
|
$23,413.71
|
$920,392.74
|
$12,145.50
|
$12,145.50
|
$12,145.50
|
2026-02-25
|
|
194
|
MS_DRG
|
Simple Pneumonia And Pleurisy With Cc
|
1
|
1
|
$30,771.14
|
$1,209,613.54
|
$12,119.93
|
$12,119.93
|
$12,119.93
|
2026-02-25
|
|
948
|
MS_DRG
|
Signs And Symptoms Without Mcc
|
1
|
1
|
$37,509.78
|
$1,474,509.57
|
$12,038.72
|
$12,038.72
|
$12,038.72
|
2026-02-25
|
|
93
|
MS_DRG
|
Other Disorders Of Nervous System Without Cc/mcc
|
1
|
1
|
$219,237.21
|
—
|
$11,975.56
|
$11,975.56
|
$11,975.56
|
2026-02-25
|
|
176
|
MS_DRG
|
Pulmonary Embolism Without Mcc
|
1
|
1
|
$11,781.07
|
$463,113.76
|
$11,781.07
|
$11,781.07
|
$11,781.07
|
2026-02-25
|
|
392
|
MS_DRG
|
Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc
|
1
|
1
|
$17,296.19
|
$679,913.34
|
$11,724.40
|
$11,724.40
|
$11,724.40
|
2026-02-25
|
|
641
|
MS_DRG
|
Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou…
|
1
|
1
|
$29,006.51
|
$1,140,245.83
|
$11,703.35
|
$11,703.35
|
$11,703.35
|
2026-02-25
|
|
541
|
MS_DRG
|
Osteomyelitis Without Cc/mcc
|
1
|
1
|
$39,726.10
|
$1,561,632.99
|
$11,602.59
|
$11,602.59
|
$11,602.59
|
2026-02-25
|
|
645
|
MS_DRG
|
Endocrine Disorders Without Cc/mcc
|
1
|
1
|
$45,345.32
|
$1,782,524.53
|
$11,554.46
|
$11,554.46
|
$11,554.46
|
2026-02-25
|
|
305
|
MS_DRG
|
Hypertension Without Mcc
|
1
|
1
|
$14,804.78
|
$581,975.71
|
$11,355.95
|
$11,355.95
|
$11,355.95
|
2026-02-25
|
|
637
|
MS_DRG
|
Diabetes With Mcc
|
1
|
1
|
$11,250.63
|
$442,262.27
|
$11,250.63
|
$11,250.63
|
$11,250.63
|
2026-02-25
|
|
309
|
MS_DRG
|
Cardiac Arrhythmia And Conduction Disorders With Cc
|
1
|
1
|
$21,334.60
|
$838,662.93
|
$11,064.19
|
$11,064.19
|
$11,064.19
|
2026-02-25
|
|
869
|
MS_DRG
|
Other Infectious And Parasitic Diseases Diagnoses Without Cc/mcc
|
1
|
1
|
$27,641.52
|
$1,086,588.15
|
$10,973.96
|
$10,973.96
|
$10,973.96
|
2026-02-25
|
|
373
|
MS_DRG
|
Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/mcc
|
1
|
1
|
$19,644.79
|
$772,236.69
|
$10,939.37
|
$10,939.37
|
$10,939.37
|
2026-02-25
|
|
301
|
MS_DRG
|
Peripheral Vascular Disorders Without Cc/mcc
|
1
|
1
|
$59,125.75
|
$2,324,233.22
|
$10,823.57
|
$10,823.57
|
$10,823.57
|
2026-02-25
|
|
435
|
MS_DRG
|
Malignancy Of Hepatobiliary System Or Pancreas With Mcc
|
1
|
1
|
$10,788.25
|
$424,086.11
|
$10,788.25
|
$10,788.25
|
$10,788.25
|
2026-02-25
|
|
312
|
MS_DRG
|
Syncope And Collapse
|
1
|
1
|
$10,718.64
|
$421,349.74
|
$10,718.64
|
$10,718.64
|
$10,718.64
|
2026-02-25
|
|
153
|
MS_DRG
|
Otitis Media And Uri Without Mcc
|
1
|
1
|
$10,708.60
|
$420,955.07
|
$10,708.60
|
$10,708.60
|
$10,708.60
|
2026-02-25
|
|
935
|
MS_DRG
|
Non-extensive Burns
|
1
|
1
|
$10,500.01
|
$412,755.39
|
$10,500.01
|
$10,500.01
|
$10,500.01
|
2026-02-25
|
|
812
|
MS_DRG
|
Red Blood Cell Disorders Without Mcc
|
1
|
1
|
$10,353.24
|
$406,985.86
|
$10,353.24
|
$10,353.24
|
$10,353.24
|
2026-02-25
|
|
387
|
MS_DRG
|
Inflammatory Bowel Disease Without Cc/mcc
|
1
|
1
|
$22,311.17
|
$877,052.07
|
$10,246.07
|
$10,246.07
|
$10,246.07
|
2026-02-25
|
|
728
|
MS_DRG
|
Inflammation Of The Male Reproductive System Without Mcc
|
1
|
1
|
$9,868.09
|
$387,914.62
|
$9,868.09
|
$9,868.09
|
$9,868.09
|
2026-02-25
|
|
195
|
MS_DRG
|
Simple Pneumonia And Pleurisy Without Cc/mcc
|
1
|
1
|
$19,790.55
|
$777,966.60
|
$9,452.01
|
$9,452.01
|
$9,452.01
|
2026-02-25
|
|
440
|
MS_DRG
|
Disorders Of Pancreas Except Malignancy Without Cc/mcc
|
1
|
1
|
$27,483.88
|
$1,080,391.32
|
$9,345.23
|
$9,345.23
|
$9,345.23
|
2026-02-25
|
|
639
|
MS_DRG
|
Diabetes Without Cc/mcc
|
1
|
1
|
$19,625.90
|
$771,494.21
|
$9,342.23
|
$9,342.23
|
$9,342.23
|
2026-02-25
|
|
313
|
MS_DRG
|
Chest Pain
|
1
|
1
|
$9,028.20
|
$354,898.54
|
$9,028.20
|
$9,028.20
|
$9,028.20
|
2026-02-25
|
|
684
|
MS_DRG
|
Renal Failure Without Cc/mcc
|
1
|
1
|
$32,571.19
|
$1,280,373.28
|
$9,027.91
|
$9,027.91
|
$9,027.91
|
2026-02-25
|
|
310
|
MS_DRG
|
Cardiac Arrhythmia And Conduction Disorders Without Cc/mcc
|
1
|
1
|
$220,141.47
|
—
|
$8,513.58
|
$8,513.58
|
$8,513.58
|
2026-02-25
|
|
203
|
MS_DRG
|
Bronchitis And Asthma Without Cc/mcc
|
1
|
1
|
$7,849.40
|
$308,559.91
|
$7,849.40
|
$7,849.40
|
$7,849.40
|
2026-02-25
|
|
389
|
MS_DRG
|
Gastrointestinal Obstruction With Cc
|
1
|
1
|
$7,313.68
|
$287,500.76
|
$7,313.68
|
$7,313.68
|
$7,313.68
|
2026-02-25
|
|
894
|
MS_DRG
|
Alcohol, Drug Abuse Or Dependence, Left Ama
|
1
|
1
|
$7,279.18
|
$286,144.57
|
$7,279.18
|
$7,279.18
|
$7,279.18
|
2026-02-25
|
|
182
|
MS_DRG
|
Respiratory Neoplasms Without Cc/mcc
|
1
|
1
|
$6,137.53
|
$241,266.30
|
$6,137.53
|
$6,137.53
|
$6,137.53
|
2026-02-25
|
|
IO
|
CDM
|
Room & Board - Private (one Bed) - General Classification
|
4
|
4
|
$8,046.53
|
$3,931.00
51% off
|
$1,689.77
|
$6,839.55
|
$5,994.66
|
2026-02-25
|
|
Q4342
|
HCPCS
|
Theramend, Per Square Centimeter
|
38
|
12
|
$22,080.00
|
$3,974.40
82% off
|
$441.60
|
$75,072.00
|
$5,961.60
|
2026-02-25
|
|
04827293
|
CDM
|
Humira(cf) Pedi Crohn 80mg/0.8
|
12
|
12
|
$28,647.38
|
$5,156.53
82% off
|
$945.00
|
$24,350.27
|
$5,156.53
|
2026-02-25
|
|
IC
|
CDM
|
Intensive Care Unit - General Classification
|
4
|
4
|
$6,866.72
|
$3,931.00
43% off
|
$1,442.01
|
$5,836.71
|
$5,115.70
|
2026-02-25
|
|
J3101
|
HCPCS
|
Injection, Tenecteplase, 1 Mg
|
12
|
12
|
$10,523.94
|
$1,894.31
82% off
|
$129.59
|
$10,523.94
|
$4,946.26
|
2026-02-25
|
|
01601654
|
CDM
|
Excision, Open, Intr-abd Tumor, Cyst, En
|
1
|
1
|
$6,297.36
|
—
|
$4,408.15
|
$4,408.15
|
$4,408.15
|
2026-02-25
|
|
TE
|
CDM
|
Room & Board - Semi-private (two Beds) - General Classification
|
4
|
4
|
$4,777.57
|
$3,931.00
|
$1,003.29
|
$4,060.93
|
$3,559.29
|
2026-02-25
|
|
04821271
|
CDM
|
Nf-avonex IM Kit 30mcg/0.5ml
|
12
|
12
|
$19,454.14
|
$3,501.75
82% off
|
$945.00
|
$16,536.02
|
$3,501.75
|
2026-02-25
|
|
04827832
|
CDM
|
Humira(cf) Pen 40 Mg/0.4 Ml
|
12
|
12
|
$16,614.00
|
$2,990.52
82% off
|
$945.00
|
$14,121.90
|
$2,990.52
|
2026-02-25
|
|
01800053
|
CDM
|
Operating Room Services - General Classification
|
12
|
12
|
$15,060.20
|
$2,710.84
82% off
|
$945.00
|
$12,801.17
|
$2,710.84
|
2026-02-25
|
|
02408782
|
CDM
|
Pro-osteon
|
12
|
12
|
$14,777.84
|
$2,660.01
82% off
|
$945.00
|
$12,561.16
|
$2,660.01
|
2026-02-25
|
|
04821541
|
CDM
|
Lupron Depot 22.5 Mg 3mo Kit
|
12
|
12
|
$14,332.40
|
$2,579.83
82% off
|
$945.00
|
$12,182.54
|
$2,579.83
|
2026-02-25
|
|
04826539
|
CDM
|
Humira Pen Ps-uv-adol Hs 40 Mg
|
12
|
12
|
$13,286.19
|
$2,391.51
82% off
|
$945.00
|
$11,293.26
|
$2,391.51
|
2026-02-25
|
|
C1771
|
HCPCS
|
Repair Device, Urinary, Incontinence, With Sling Graft
|
13
|
13
|
$4,608.34
|
$829.50
82% off
|
$829.50
|
$4,608.34
|
$2,334.00
|
2026-02-25
|
|
IS
|
CDM
|
Room & Board - Private (one Bed) - General Classification
|
4
|
4
|
$3,017.45
|
$3,931.00
|
$633.66
|
$2,564.83
|
$2,248.01
|
2026-02-25
|
|
01800046
|
CDM
|
Operating Room Services - General Classification
|
12
|
12
|
$11,295.10
|
$2,033.12
82% off
|
$903.61
|
$9,600.84
|
$2,183.56
|
2026-02-25
|
|
04826661
|
CDM
|
Enema Bottle 120 Ml
|
1
|
1
|
$2,902.00
|
—
|
$2,031.40
|
$2,031.40
|
$2,031.40
|
2026-02-25
|
|
J9214
|
HCPCS
|
Injection, Interferon, Alfa-2b, Recombinant, 1 Million Units
|
11
|
11
|
$2,371.78
|
$152.44
94% off
|
$35.85
|
$2,371.78
|
$1,873.71
|
2026-02-25
|
|
MS
|
CDM
|
Room & Board - Semi-private (two Beds) - General Classification
|
4
|
4
|
$2,514.55
|
$3,931.00
|
$528.06
|
$2,137.37
|
$1,873.34
|
2026-02-25
|
|
J7307
|
HCPCS
|
Etonogestrel (contraceptive) Implant System, Including Implant And Supplies
|
11
|
11
|
$2,250.40
|
$152.44
93% off
|
$405.07
|
$2,250.40
|
$1,777.82
|
2026-02-25
|
|
J0840
|
HCPCS
|
Injection, Crotalidae Polyvalent Immune Fab (ovine), Up To 1 Gram
|
12
|
12
|
$4,947.50
|
$890.55
82% off
|
$395.80
|
$4,345.18
|
$1,760.70
|
2026-02-25
|
|
02407172
|
CDM
|
Dhc-25 Staple Gun
|
12
|
12
|
$8,343.51
|
$1,501.83
82% off
|
$667.48
|
$7,091.98
|
$1,752.13
|
2026-02-25
|
|
04823643
|
CDM
|
Humira 40 Mg/0.8 Ml Syringe
|
12
|
12
|
$8,222.97
|
$1,480.13
82% off
|
$657.84
|
$6,989.52
|
$1,726.82
|
2026-02-25
|
|
04828021
|
CDM
|
Ajovy 225 Mg/1.5 Ml Syringe
|
1
|
1
|
$2,346.00
|
—
|
$1,642.20
|
$1,642.20
|
$1,642.20
|
2026-02-25
|
|
SW
|
CDM
|
Room & Board - Private (one Bed) - General Classification
|
4
|
4
|
$2,200.00
|
$3,931.00
|
$462.00
|
$1,870.00
|
$1,639.00
|
2026-02-25
|
|
04824463
|
CDM
|
Gamunex-c Ivpb : 24g /240 Ml
|
12
|
12
|
$7,697.19
|
$1,385.49
82% off
|
$615.78
|
$6,542.61
|
$1,616.41
|
2026-02-25
|
|
04823989
|
CDM
|
Gamunex-c Ivpb : 70g /700 Ml
|
12
|
12
|
$7,697.19
|
$1,385.49
82% off
|
$615.78
|
$6,542.61
|
$1,616.41
|
2026-02-25
|
|
00752
|
HCPCS
|
Anesthesia For Procedure To Repair Upper Abdominal Incisional Hernia And/or Woun…
|
5
|
5
|
$1,587.44
|
—
|
$41.00
|
$1,587.44
|
$1,587.44
|
2026-02-25
|
|
01800038
|
CDM
|
Operating Room Services - General Classification
|
12
|
12
|
$7,530.11
|
$1,355.42
82% off
|
$602.41
|
$6,400.59
|
$1,581.33
|
2026-02-25
|
|
05400814
|
CDM
|
Operating Room Services - General Classification
|
12
|
12
|
$7,530.11
|
$1,355.42
82% off
|
$602.41
|
$6,400.59
|
$1,581.33
|
2026-02-25
|
|
05400517
|
CDM
|
Operating Room Services - General Classification
|
12
|
12
|
$7,530.11
|
$1,355.42
82% off
|
$602.41
|
$6,400.59
|
$1,581.33
|
2026-02-25
|
|
05400756
|
CDM
|
Operating Room Services - General Classification
|
12
|
12
|
$7,530.11
|
$1,355.42
82% off
|
$602.41
|
$6,400.59
|
$1,581.33
|
2026-02-25
|
|
04823396
|
CDM
|
Humira Pen 40 Mg/0.8 Ml
|
12
|
12
|
$7,482.23
|
$1,346.80
82% off
|
$598.58
|
$6,359.90
|
$1,571.27
|
2026-02-25
|
|
04826508
|
CDM
|
Forteo 560 Mcg/2.24 Ml Pen Inj
|
12
|
12
|
$7,332.71
|
$1,319.89
82% off
|
$586.62
|
$6,232.80
|
$1,539.87
|
2026-02-25
|
|
J9217
|
HCPCS
|
Leuprolide Acetate (for Depot Suspension), 7.5 Mg
|
11
|
11
|
$8,422.33
|
$152.44
98% off
|
$334.77
|
$7,158.98
|
$1,516.02
|
2026-02-25
|
|
04828051
|
CDM
|
Wegovy 2.4 Mg/0.75 Ml Pen
|
1
|
1
|
$2,158.00
|
—
|
$1,510.60
|
$1,510.60
|
$1,510.60
|
2026-02-25
|
|
00406
|
HCPCS
|
Anesthesia For Removal Of Breast And Lymph Nodes
|
5
|
5
|
$1,496.32
|
—
|
$41.00
|
$1,496.32
|
$1,496.32
|
2026-02-25
|
|
04827280
|
CDM
|
Trulicity 1.5 Mg/0.5 Ml Pen
|
1
|
1
|
$2,127.00
|
—
|
$1,488.90
|
$1,488.90
|
$1,488.90
|
2026-02-25
|
|
04827925
|
CDM
|
Trulicity 1.5 Mg/0.5 Ml Pen
|
1
|
1
|
$2,127.00
|
—
|
$1,488.90
|
$1,488.90
|
$1,488.90
|
2026-02-25
|
|
J1162
|
HCPCS
|
Injection, Digoxin Immune Fab (ovine), Per Vial
|
12
|
12
|
$6,623.51
|
$1,192.23
82% off
|
$529.88
|
$5,699.92
|
$1,481.95
|
2026-02-25
|
|
44143
|
HCPCS
|
Partial Removal Of Large Bowel With Creation Of Opening From Large Bowel To Skin
|
12
|
12
|
$7,161.00
|
$1,500.66
79% off
|
$70.00
|
$5,012.70
|
$1,471.51
|
2026-02-25
|
|
02406596
|
CDM
|
Hickman Subcutaneous Port
|
12
|
12
|
$6,973.78
|
$1,255.28
82% off
|
$557.90
|
$5,927.71
|
$1,464.49
|
2026-02-25
|
|
J0630
|
HCPCS
|
Injection, Calcitonin Salmon, Up To 400 Units
|
12
|
12
|
$1,868.11
|
$336.26
82% off
|
$336.26
|
$1,868.11
|
$1,391.74
|
2026-02-25
|
|
44204
|
HCPCS
|
Partial Removal Of Large Bowel Using An Endoscope
|
12
|
12
|
$6,672.00
|
$1,389.08
79% off
|
$218.17
|
$4,670.40
|
$1,374.01
|
2026-02-25
|
|
45402
|
HCPCS
|
Repair Of Rectal Prolapse With Partial Removal Of Lower Large Bowel Using An End…
|
12
|
12
|
$6,611.00
|
$1,378.55
79% off
|
$228.59
|
$4,627.70
|
$1,363.80
|
2026-02-25
|
|
02407081
|
CDM
|
Peritoneo-venous Shunt
|
12
|
12
|
$6,482.02
|
$1,166.76
82% off
|
$518.56
|
$5,509.72
|
$1,361.22
|
2026-02-25
|
|
04823531
|
CDM
|
Nf-avonex 30mcg Intramuscular Kit
|
12
|
12
|
$6,463.66
|
$1,163.46
82% off
|
$517.09
|
$5,494.11
|
$1,357.37
|
2026-02-25
|
|
04827717
|
CDM
|
Opsumit 10 Mg Tablet
|
1
|
1
|
$1,932.00
|
—
|
$1,352.40
|
$1,352.40
|
$1,352.40
|
2026-02-25
|
|
01405304
|
CDM
|
Laceration Repair Complex
|
1
|
1
|
$1,917.34
|
—
|
$1,342.14
|
$1,342.14
|
$1,342.14
|
2026-02-25
|
|
SF
|
CDM
|
Room & Board - Semi-private (two Beds) - General Classification
|
4
|
4
|
$1,776.95
|
$3,931.00
|
$373.16
|
$1,510.41
|
$1,323.83
|
2026-02-25
|
|
SN
|
CDM
|
Room & Board - Private (one Bed) - General Classification
|
4
|
4
|
$1,776.95
|
$3,931.00
|
$373.16
|
$1,510.41
|
$1,323.83
|
2026-02-25
|
|
74170
|
HCPCS
|
CT Scan Of Abdomen Before And After Contrast
|
13
|
13
|
$7,308.82
|
$1,315.59
82% off
|
$340.87
|
$7,308.82
|
$1,315.59
|
2026-02-25
|
|
43631
|
HCPCS
|
Removal Of Lower Part Of Stomach With Reattachment Of Remaining Stomach To First…
|
12
|
12
|
$6,314.00
|
$1,324.55
79% off
|
$936.33
|
$4,419.80
|
$1,297.18
|
2026-02-25
|
|
02407289
|
CDM
|
Novasure System
|
12
|
12
|
$6,098.63
|
$1,097.75
82% off
|
$487.89
|
$5,183.84
|
$1,280.71
|
2026-02-25
|
|
00797
|
HCPCS
|
Anesthesia For Procedure On Stomach For Weight Loss
|
5
|
5
|
$1,242.33
|
—
|
$41.00
|
$1,242.33
|
$1,242.33
|
2026-02-25
|
|
44202
|
HCPCS
|
Partial Removal And Reconnection Of Small Bowel Using An Endoscope
|
12
|
12
|
$6,033.00
|
$1,263.09
79% off
|
$40.00
|
$4,223.10
|
$1,239.99
|
2026-02-25
|
|
04824882
|
CDM
|
Nf-enbrel Subcutaneous Solution 50mg/1ml
|
12
|
12
|
$5,819.92
|
$1,047.59
82% off
|
$465.59
|
$4,946.93
|
$1,222.18
|
2026-02-25
|
|
71270
|
HCPCS
|
CT Scan Of Chest Before And After Contrast
|
13
|
13
|
$6,773.18
|
$1,219.17
82% off
|
$357.58
|
$6,773.18
|
$1,219.17
|
2026-02-25
|
|
72194
|
HCPCS
|
CT Scan Of Pelvis Before And After Contrast
|
13
|
13
|
$6,773.18
|
$1,219.17
82% off
|
$339.01
|
$6,773.18
|
$1,219.17
|
2026-02-25
|
|
04824130
|
CDM
|
Harvoni 90-400 Mg Tablet
|
12
|
12
|
$5,778.00
|
$1,040.04
82% off
|
$462.24
|
$4,911.30
|
$1,213.38
|
2026-02-25
|
|
04824129
|
CDM
|
Harvoni 90-400 Mg Tablet
|
12
|
12
|
$5,778.00
|
$1,040.04
82% off
|
$462.24
|
$4,911.30
|
$1,213.38
|
2026-02-25
|
|
04825620
|
CDM
|
Harvoni 90-400 Mg Tablet
|
12
|
12
|
$5,778.00
|
$1,040.04
82% off
|
$462.24
|
$4,911.30
|
$1,213.38
|
2026-02-25
|
|
74178
|
HCPCS
|
CT Scan Of Abdomen And Pelvis Before And After Contrast
|
13
|
13
|
$6,689.54
|
$1,204.12
82% off
|
$457.92
|
$6,689.54
|
$1,204.12
|
2026-02-25
|
|
44140
|
HCPCS
|
Partial Removal Of Large Bowel With Connection
|
12
|
12
|
$5,844.00
|
$1,225.72
79% off
|
$40.00
|
$4,090.80
|
$1,200.35
|
2026-02-25
|
|
BH
|
CDM
|
Room & Board - Other - General Classification
|
4
|
4
|
$1,554.78
|
$3,931.00
|
$326.50
|
$1,321.56
|
$1,158.32
|
2026-02-25
|
|
00532
|
HCPCS
|
Anesthesia For Access To Central Vein
|
5
|
5
|
$1,155.49
|
—
|
$41.00
|
$1,155.49
|
$1,155.49
|
2026-02-25
|
|
04823950
|
CDM
|
Gamunex-c 40 Gram/400 Ml Vial
|
12
|
12
|
$5,409.65
|
$973.74
82% off
|
$432.77
|
$4,598.20
|
$1,136.03
|
2026-02-25
|
|
02409558
|
CDM
|
Bipolar Device Ns2007
|
12
|
12
|
$5,342.49
|
$961.65
82% off
|
$427.40
|
$4,541.12
|
$1,121.92
|
2026-02-25
|
|
74160
|
HCPCS
|
CT Scan Of Abdomen With Contrast
|
13
|
13
|
$6,148.10
|
$1,106.66
82% off
|
$299.45
|
$6,148.10
|
$1,106.66
|
2026-02-25
|
|
LA
|
CDM
|
Leave Of Absence - General Classification
|
4
|
4
|
$1,465.67
|
$3,931.00
|
$307.79
|
$1,245.82
|
$1,091.93
|
2026-02-25
|
|
71260
|
HCPCS
|
CT Scan Of Chest With Contrast
|
13
|
13
|
$6,060.23
|
$1,090.84
82% off
|
$297.64
|
$6,060.23
|
$1,090.84
|
2026-02-25
|
|
72193
|
HCPCS
|
CT Scan Of Pelvis With Contrast
|
13
|
13
|
$6,060.23
|
$1,090.84
82% off
|
$293.26
|
$6,060.23
|
$1,090.84
|
2026-02-25
|
|
04823463
|
CDM
|
Sovaldi 400 Mg Tablet
|
12
|
12
|
$5,136.00
|
$924.48
82% off
|
$410.88
|
$4,365.60
|
$1,088.82
|
2026-02-25
|
|
44120
|
HCPCS
|
Partial Removal Of Small Bowel With Reconnection
|
12
|
12
|
$5,310.00
|
$1,110.22
79% off
|
$698.81
|
$3,717.00
|
$1,081.09
|
2026-02-25
|
|
74177
|
HCPCS
|
CT Scan Of Abdomen And Pelvis With Contrast
|
13
|
13
|
$5,972.81
|
$1,075.11
82% off
|
$404.21
|
$5,972.81
|
$1,075.11
|
2026-02-25
|
|
01405296
|
CDM
|
Laceration Repair Interme
|
1
|
1
|
$1,533.82
|
—
|
$1,073.67
|
$1,073.67
|
$1,073.67
|
2026-02-25
|
|
19307
|
HCPCS
|
Removal Of Breast And Underarm Lymph Nodes
|
12
|
12
|
$5,200.00
|
$1,115.97
79% off
|
$70.00
|
$3,640.00
|
$1,061.31
|
2026-02-25
|
|
04824051
|
CDM
|
Nf-hyperab IM Soln 150iu/1ml
|
12
|
12
|
$4,876.25
|
$877.73
82% off
|
$390.10
|
$4,144.81
|
$1,057.65
|
2026-02-25
|
|
04828412
|
CDM
|
Neupogen 480 Mcg/1.6 Ml Vial
|
1
|
1
|
$1,503.00
|
—
|
$1,052.10
|
$1,052.10
|
$1,052.10
|
2026-02-25
|
|
04821320
|
CDM
|
Lupron Depot-ped 7.5 Mg Kit
|
12
|
12
|
$4,822.96
|
$868.13
82% off
|
$385.84
|
$4,099.52
|
$1,051.26
|
2026-02-25
|
|
04827629
|
CDM
|
Teriparatide 560mcg/2.24ml Pen
|
12
|
12
|
$4,790.32
|
$862.26
82% off
|
$383.23
|
$4,071.77
|
$1,047.34
|
2026-02-25
|
|
04821328
|
CDM
|
Lupron Depot 7.5 Mg Kit
|
12
|
12
|
$4,777.53
|
$859.96
82% off
|
$382.20
|
$4,060.90
|
$1,045.80
|
2026-02-25
|
|
J2997
|
HCPCS
|
Injection, Alteplase Recombinant, 1 Mg
|
32
|
12
|
$5,775.00
|
$1,039.50
82% off
|
$9.59
|
$11,022.10
|
$1,037.37
|
2026-02-25
|
|
02406752
|
CDM
|
Groshong Port Tray
|
12
|
12
|
$4,678.22
|
$842.08
82% off
|
$374.26
|
$3,976.49
|
$1,033.88
|
2026-02-25
|
|
43770
|
HCPCS
|
Insertion Of Adjustable Stomach Reduction Device Using An Endoscope
|
12
|
12
|
$4,934.00
|
$1,049.85
79% off
|
$130.00
|
$3,453.80
|
$1,009.96
|
2026-02-25
|
|
M0239
|
HCPCS
|
Intravenous Infusion, Bamlanivimab-xxxx, Includes Infusion And Post Administrati…
|
13
|
13
|
$1,316.04
|
$236.89
82% off
|
$236.89
|
$1,316.04
|
$1,000.19
|
2026-02-25
|
|
44005
|
HCPCS
|
Release Of Intestinal Scar Tissue
|
12
|
12
|
$4,751.00
|
$998.21
79% off
|
$70.00
|
$3,325.70
|
$975.00
|
2026-02-25
|
|
43280
|
HCPCS
|
Strengthening Of Muscle Between Esophagus And Stomach By Wrapping Part Of Stomac…
|
12
|
12
|
$4,686.00
|
$988.99
79% off
|
$65.00
|
$3,280.20
|
$972.30
|
2026-02-25
|
|
47600
|
HCPCS
|
Removal Of Gallbladder
|
12
|
12
|
$4,691.00
|
$992.79
79% off
|
$115.41
|
$3,283.70
|
$948.87
|
2026-02-25
|
|
70470
|
HCPCS
|
CT Scan Of Head Or Brain Before And After Contrast
|
13
|
13
|
$5,142.19
|
$925.59
82% off
|
$247.72
|
$5,142.19
|
$925.59
|
2026-02-25
|
|
70488
|
HCPCS
|
CT Scan Of Face Before And After Contrast
|
13
|
13
|
$5,142.19
|
$925.59
82% off
|
$265.31
|
$5,142.19
|
$925.59
|
2026-02-25
|
|
47605
|
HCPCS
|
Removal Of Gallbladder With X-ray Study Of Bile Ducts
|
12
|
12
|
$4,927.00
|
$1,041.24
79% off
|
$618.02
|
$3,448.90
|
$925.39
|
2026-02-25
|
|
Q4018
|
HCPCS
|
Cast Supplies, Long Arm Splint, Adult (11 Years +), Fiberglass
|
13
|
13
|
$1,216.90
|
$219.04
82% off
|
$219.04
|
$1,216.90
|
$924.84
|
2026-02-25
|
|
05400806
|
CDM
|
Operating Room Services - General Classification
|
12
|
12
|
$3,765.01
|
$677.70
82% off
|
$301.20
|
$3,200.26
|
$924.30
|
2026-02-25
|
|
05400715
|
CDM
|
Operating Room Services - General Classification
|
12
|
12
|
$3,765.01
|
$677.70
82% off
|
$301.20
|
$3,200.26
|
$924.30
|
2026-02-25
|
|
05400731
|
CDM
|
Operating Room Services - General Classification
|
12
|
12
|
$3,765.01
|
$677.70
82% off
|
$301.20
|
$3,200.26
|
$924.30
|
2026-02-25
|
|
01800020
|
CDM
|
Operating Room Services - General Classification
|
12
|
12
|
$3,765.01
|
$677.70
82% off
|
$301.20
|
$3,200.26
|
$924.30
|
2026-02-25
|
|
01214
|
HCPCS
|
Anesthesia For Total Hip Replacement
|
5
|
5
|
$920.59
|
—
|
$41.00
|
$920.59
|
$920.59
|
2026-02-25
|
|
58150
|
HCPCS
|
Removal Of Uterus And Cervix Through Abdomen
|
12
|
12
|
$4,511.00
|
$923.93
80% off
|
$65.00
|
$3,157.70
|
$919.58
|
2026-02-25
|
|
74176
|
HCPCS
|
CT Scan Of Abdomen And Pelvis Without Contrast
|
13
|
13
|
$3,822.60
|
$688.07
82% off
|
$256.82
|
$3,822.60
|
$917.42
|
2026-02-25
|
|
04823182
|
CDM
|
Gammagard Ivpb : 50g /500 Ml
|
12
|
12
|
$3,685.88
|
$663.46
82% off
|
$294.87
|
$3,133.00
|
$914.81
|
2026-02-25
|
|
Q4137
|
HCPCS
|
Amnioexcel, Amnioexcel Plus Or Biodexcel, Per Square Centimeter
|
26
|
13
|
$1,253.69
|
$225.66
82% off
|
$204.17
|
$1,373.08
|
$914.76
|
2026-02-25
|
|
04827544
|
CDM
|
Zyvox 600 Mg Tablet
|
1
|
1
|
$1,300.00
|
—
|
$910.00
|
$910.00
|
$910.00
|
2026-02-25
|
|
02403676
|
CDM
|
Protack 5mm
|
12
|
12
|
$3,551.88
|
$639.34
82% off
|
$284.15
|
$3,019.10
|
$898.73
|
2026-02-25
|
|
J1050
|
HCPCS
|
Injection, Medroxyprogesterone Acetate, 1 Mg
|
11
|
11
|
$1,134.49
|
$152.44
87% off
|
$204.21
|
$1,134.49
|
$896.25
|
2026-02-25
|
|
04826008
|
CDM
|
Neupogen 480 Mcg/0.8 Ml Syr
|
12
|
12
|
$3,411.80
|
$614.12
82% off
|
$272.94
|
$2,900.03
|
$881.91
|
2026-02-25
|
|
58552
|
HCPCS
|
Removal Of Uterus, Tubes, And/or Ovaries Through Vagina Using An Endoscope, 250.…
|
12
|
12
|
$4,342.00
|
$870.14
80% off
|
$125.00
|
$3,039.40
|
$870.14
|
2026-02-25
|
|
01000724
|
CDM
|
Reduction/manipulation
|
12
|
12
|
$3,181.54
|
$572.68
82% off
|
$254.52
|
$2,704.31
|
$868.56
|
2026-02-25
|
|
70482
|
HCPCS
|
CT Scan Of Cranial Cavity Before And After Contrast
|
13
|
13
|
$4,804.96
|
$864.89
82% off
|
$330.14
|
$4,804.96
|
$864.89
|
2026-02-25
|
|
43774
|
HCPCS
|
Removal Of Stomach Reduction Device And Port Using An Endoscope
|
12
|
12
|
$4,205.00
|
$888.89
79% off
|
$160.00
|
$2,943.50
|
$863.59
|
2026-02-25
|
|
02406018
|
CDM
|
Ligasure Impact
|
12
|
12
|
$3,252.35
|
$585.42
82% off
|
$260.19
|
$2,764.50
|
$862.78
|
2026-02-25
|
|
58180
|
HCPCS
|
Removal Of Uterus Through Abdomen
|
12
|
12
|
$4,250.00
|
$859.04
80% off
|
$70.00
|
$2,975.00
|
$859.04
|
2026-02-25
|
|
04827539
|
CDM
|
Ibrance 75 Mg Tablet
|
12
|
12
|
$3,194.01
|
$574.92
82% off
|
$255.52
|
$2,714.91
|
$855.78
|
2026-02-25
|
|
01600057
|
CDM
|
Surgeon Assisted By Md
|
1
|
1
|
$1,220.66
|
—
|
$854.46
|
$854.46
|
$854.46
|
2026-02-25
|
|
57280
|
HCPCS
|
Attachment Of Vagina To Rear Pelvic Bone
|
12
|
12
|
$4,273.00
|
$853.30
80% off
|
$65.00
|
$2,991.10
|
$853.30
|
2026-02-25
|
|
04823894
|
CDM
|
Enema Bottle 120 Ml
|
12
|
12
|
$3,105.48
|
$558.99
82% off
|
$248.44
|
$2,639.66
|
$845.16
|
2026-02-25
|
|
59612
|
HCPCS
|
Vaginal Delivery After Previous Cesarean Delivery
|
25
|
13
|
$9,392.17
|
$1,690.59
82% off
|
$544.28
|
$7,983.34
|
$836.39
|
2026-02-25
|
|
44180
|
HCPCS
|
Release Of Small Bowel Scar Tissue Using An Endoscope
|
12
|
12
|
$4,021.00
|
$847.45
79% off
|
$130.00
|
$2,814.70
|
$828.59
|
2026-02-25
|
|
58571
|
HCPCS
|
Removal Of Uterus, Tubes, And/or Ovaries Through Abdomen Using An Endoscope, 250…
|
12
|
12
|
$4,034.00
|
$822.29
80% off
|
$160.00
|
$2,823.80
|
$822.29
|
2026-02-25
|
|
04827632
|
CDM
|
Ozempic 0.25-0.5 Mg/dose Pen
|
12
|
12
|
$2,994.00
|
$538.92
82% off
|
$239.52
|
$2,544.90
|
$817.36
|
2026-02-25
|
|
58740
|
HCPCS
|
Removal Of Scar Tissue Of Ovaries Or Fallopian Tubes
|
12
|
12
|
$4,004.00
|
$819.34
80% off
|
$709.38
|
$2,802.80
|
$815.87
|
2026-02-25
|
|
L1686
|
HCPCS
|
Hip Orthosis, Abduction Control Of Hip Joint, Postoperative Hip Abduction Type, …
|
13
|
13
|
$1,161.06
|
$208.99
82% off
|
$92.88
|
$2,167.88
|
$812.74
|
2026-02-25
|
|
01402
|
HCPCS
|
Anesthesia For Procedure For Total Knee Joint Replacement
|
5
|
5
|
$805.62
|
—
|
$41.00
|
$805.62
|
$805.62
|
2026-02-25
|
|
00790
|
HCPCS
|
Anesthesia For Other Procedure On Upper Abdomen
|
5
|
5
|
$805.62
|
—
|
$41.00
|
$805.62
|
$805.62
|
2026-02-25
|
|
70487
|
HCPCS
|
CT Scan Of Face With Contrast
|
13
|
13
|
$4,471.59
|
$804.89
82% off
|
$230.16
|
$4,471.59
|
$804.89
|
2026-02-25
|
|
02408568
|
CDM
|
Gell Port Xe
|
12
|
12
|
$2,932.13
|
$527.78
82% off
|
$234.57
|
$2,492.31
|
$800.47
|
2026-02-25
|
|
58545
|
HCPCS
|
Removal Of Growth Of Uterus Using An Endoscope, 250.0 G Or Less
|
12
|
12
|
$3,981.00
|
$800.02
80% off
|
$155.00
|
$2,786.70
|
$800.02
|
2026-02-25
|
|
J0897
|
HCPCS
|
Injection, Denosumab, 1 Mg
|
12
|
12
|
$4,423.20
|
$796.18
82% off
|
$29.70
|
$3,759.72
|
$796.18
|
2026-02-25
|
|
02407016
|
CDM
|
O.b. Tray & Pack
|
12
|
12
|
$2,914.70
|
$524.65
82% off
|
$233.18
|
$2,477.50
|
$795.71
|
2026-02-25
|
|
04826660
|
CDM
|
Enema Bottle 120 Ml
|
12
|
12
|
$2,902.00
|
$522.36
82% off
|
$232.16
|
$2,466.70
|
$792.25
|
2026-02-25
|
|
G0168
|
HCPCS
|
Wound Closure Utilizing Tissue Adhesive(s) Only
|
13
|
13
|
$1,039.41
|
$187.09
82% off
|
$187.09
|
$1,039.41
|
$789.95
|
2026-02-25
|
|
01203346
|
CDM
|
Rev - Fs-rural/clinic
|
11
|
11
|
$2,555.48
|
$152.44
94% off
|
$204.44
|
$2,172.16
|
$781.98
|
2026-02-25
|
|
58550
|
HCPCS
|
Removal Of Uterus Through Vagina Using An Endoscope, 250.0 G Or Less
|
12
|
12
|
$3,908.00
|
$781.63
80% off
|
$130.00
|
$2,735.60
|
$781.63
|
2026-02-25
|
|
59409
|
HCPCS
|
Vaginal Delivery
|
25
|
13
|
$4,681.46
|
$842.66
82% off
|
$35.00
|
$4,074.00
|
$780.72
|
2026-02-25
|
|
44960
|
HCPCS
|
Removal Of Ruptured Infected Appendix
|
12
|
12
|
$3,830.00
|
$807.98
79% off
|
$65.00
|
$2,681.00
|
$778.58
|
2026-02-25
|
|
74175
|
HCPCS
|
CT Scan Of Blood Vessels Of Abdomen With Contrast
|
13
|
13
|
$3,385.50
|
$609.39
82% off
|
$270.84
|
$3,385.50
|
$778.07
|
2026-02-25
|
|
71275
|
HCPCS
|
CT Scan Of Blood Vessels Of Chest With Contrast
|
13
|
13
|
$3,484.44
|
$627.20
82% off
|
$278.76
|
$3,484.44
|
$778.07
|
2026-02-25
|
|
70498
|
HCPCS
|
CT Scan Of Blood Vessels Of Neck With Contrast
|
13
|
13
|
$3,711.40
|
$668.05
82% off
|
$296.91
|
$3,711.40
|
$778.07
|
2026-02-25
|
|
43760
|
HCPCS
|
Change Gastrostomy Tube
|
13
|
13
|
$984.10
|
$177.14
82% off
|
$177.14
|
$1,174.00
|
$777.44
|
2026-02-25
|
|
70492
|
HCPCS
|
CT Scan Of Soft Tissue Of Neck Before And After Contrast
|
13
|
13
|
$4,312.72
|
$776.29
82% off
|
$330.14
|
$4,312.72
|
$776.29
|
2026-02-25
|
|
70460
|
HCPCS
|
CT Scan Head Or Brain With Contrast
|
13
|
13
|
$4,298.96
|
$773.81
82% off
|
$216.71
|
$4,298.96
|
$773.81
|
2026-02-25
|
|
70481
|
HCPCS
|
CT Scan Of Cranial Cavity With Contrast
|
13
|
13
|
$4,298.96
|
$773.81
82% off
|
$330.14
|
$4,298.96
|
$773.81
|
2026-02-25
|
|
00402
|
HCPCS
|
Anesthesia For Reconstruction Of Breast
|
5
|
5
|
$773.73
|
—
|
$41.00
|
$773.73
|
$773.73
|
2026-02-25
|
|
05400780
|
CDM
|
Operating Room Services - General Classification
|
12
|
12
|
$2,823.74
|
$508.27
82% off
|
$225.90
|
$2,400.18
|
$770.88
|
2026-02-25
|
|
05400152
|
CDM
|
Operating Room Services - General Classification
|
12
|
12
|
$2,823.74
|
$508.27
82% off
|
$225.90
|
$2,400.18
|
$770.88
|
2026-02-25
|
|
05400137
|
CDM
|
Operating Room Services - General Classification
|
12
|
12
|
$2,823.74
|
$508.27
82% off
|
$225.90
|
$2,400.18
|
$770.88
|
2026-02-25
|
|
01800012
|
CDM
|
Operating Room Services - General Classification
|
12
|
12
|
$2,823.74
|
$508.27
82% off
|
$225.90
|
$2,400.18
|
$770.88
|
2026-02-25
|
|
05400707
|
CDM
|
Operating Room Services - General Classification
|
12
|
12
|
$2,823.74
|
$508.27
82% off
|
$225.90
|
$2,400.18
|
$770.88
|
2026-02-25
|
|
44620
|
HCPCS
|
Closure Of Surgically Created Large Or Small Bowel Opening
|
12
|
12
|
$3,784.00
|
$795.50
79% off
|
$84.51
|
$2,648.80
|
$770.43
|
2026-02-25
|
|
72130
|
HCPCS
|
CT Scan Of Middle Spine Before And After Contrast
|
13
|
13
|
$3,336.20
|
$600.52
82% off
|
$266.90
|
$3,336.20
|
$768.00
|
2026-02-25
|
|
93886
|
HCPCS
|
Complete Ultrasound Of Within The Brain Blood Flow
|
13
|
13
|
$4,234.59
|
$762.23
82% off
|
$280.97
|
$3,599.40
|
$762.23
|
2026-02-25
|
|
J0878
|
HCPCS
|
Injection, Daptomycin, 1 Mg
|
12
|
12
|
$1,023.03
|
$184.15
82% off
|
$1.03
|
$1,023.03
|
$762.15
|
2026-02-25
|
|
49900
|
HCPCS
|
Suture Of Postsurgical Opening In Abdominal Wall
|
12
|
12
|
$3,666.00
|
$796.54
78% off
|
$334.70
|
$2,566.20
|
$756.71
|
2026-02-25
|
|
04824864
|
CDM
|
Gammagard Ivpb : 25g /250 Ml
|
12
|
12
|
$2,771.72
|
$498.91
82% off
|
$221.74
|
$2,355.96
|
$756.68
|
2026-02-25
|
|
04824311
|
CDM
|
Revlimid 25 Mg Capsule
|
12
|
12
|
$2,757.38
|
$496.33
82% off
|
$220.59
|
$2,343.77
|
$752.76
|
2026-02-25
|
|
27502
|
HCPCS
|
Closed Treatment Of Broken Thigh Bone At Midportion With Manipulation
|
12
|
12
|
$3,392.00
|
$755.28
78% off
|
$71.48
|
$2,374.40
|
$742.89
|
2026-02-25
|
|
74150
|
HCPCS
|
CT Scan Of Abdomen Without Contrast
|
13
|
13
|
$4,117.11
|
$741.08
82% off
|
$208.42
|
$4,117.11
|
$741.08
|
2026-02-25
|
|
58570
|
HCPCS
|
Removal Of Uterus Through Abdomen Using An Endoscope, 250.0 G Or Less
|
12
|
12
|
$3,589.00
|
$723.09
80% off
|
$136.30
|
$2,512.30
|
$723.09
|
2026-02-25
|
|
01965
|
HCPCS
|
Anesthesia For Incomplete Or Missed Abortion
|
5
|
5
|
$721.80
|
—
|
$41.00
|
$721.80
|
$721.80
|
2026-02-25
|
|
02400507
|
CDM
|
Dissector Syst Smsbtovl
|
12
|
12
|
$2,616.53
|
$470.98
82% off
|
$209.32
|
$2,224.05
|
$714.32
|
2026-02-25
|
|
27252
|
HCPCS
|
Closed Treatment Of Dislocated Hip Under Anesthesia
|
12
|
12
|
$3,362.00
|
$721.39
79% off
|
$36.00
|
$2,353.40
|
$708.05
|
2026-02-25
|
|
00844
|
HCPCS
|
Anesthesia For Procedure On Large Bowel
|
5
|
5
|
$706.82
|
—
|
$41.00
|
$706.82
|
$706.82
|
2026-02-25
|
|
73701
|
HCPCS
|
CT Scan Of Leg With Contrast Material
|
13
|
13
|
$3,869.60
|
$696.53
82% off
|
$293.26
|
$3,869.60
|
$696.53
|
2026-02-25
|
|
A4301
|
HCPCS
|
Implantable Access Total Catheter, Port/reservoir (e.g., Venous, Arterial, Epidu…
|
13
|
13
|
$912.71
|
$164.29
82% off
|
$164.29
|
$912.71
|
$693.66
|
2026-02-25
|
|
70491
|
HCPCS
|
CT Scan Of Soft Tissue Of Neck With Contrast
|
13
|
13
|
$3,823.85
|
$688.29
82% off
|
$305.43
|
$3,823.85
|
$690.77
|
2026-02-25
|
|
00520
|
HCPCS
|
Anesthesia For Other Closed Procedure On Chest
|
5
|
5
|
$690.50
|
—
|
$41.00
|
$690.50
|
$690.50
|
2026-02-25
|
|
00840
|
HCPCS
|
Anesthesia For Other Procedure On Lower Abdomen
|
5
|
5
|
$690.50
|
—
|
$41.00
|
$690.50
|
$690.50
|
2026-02-25
|
|
00832
|
HCPCS
|
Anesthesia For Repair Of Abdominal Wall Hernia
|
5
|
5
|
$690.50
|
—
|
$41.00
|
$690.50
|
$690.50
|
2026-02-25
|
|
01230
|
HCPCS
|
Anesthesia For Procedure On Upper 2/3rd Of Thigh Bone
|
5
|
5
|
$690.50
|
—
|
$41.00
|
$690.50
|
$690.50
|
2026-02-25
|
|
01210
|
HCPCS
|
Anesthesia For Other Procedure On Hip Joint
|
5
|
5
|
$690.50
|
—
|
$41.00
|
$690.50
|
$690.50
|
2026-02-25
|
|
00320
|
HCPCS
|
Anesthesia For Other Procedure On Neck Area (1 Year Or Older)
|
5
|
5
|
$690.50
|
—
|
$41.00
|
$690.50
|
$690.50
|
2026-02-25
|
|
58925
|
HCPCS
|
Removal Of Cysts Of Ovaries
|
12
|
12
|
$3,411.00
|
$694.72
80% off
|
$68.00
|
$2,387.70
|
$685.19
|
2026-02-25
|
|
57260
|
HCPCS
|
Plastic Repair Of Vagina And Tissue Separating Vagina, Rectum, And Bladder
|
12
|
12
|
$3,449.00
|
$684.85
80% off
|
$121.61
|
$2,414.30
|
$684.85
|
2026-02-25
|
|
72192
|
HCPCS
|
CT Scan Of Pelvis Without Contrast
|
13
|
13
|
$3,800.04
|
$684.01
82% off
|
$204.64
|
$3,800.04
|
$684.01
|
2026-02-25
|
|
71250
|
HCPCS
|
CT Scan Of Chest Without Contrast
|
13
|
13
|
$3,800.04
|
$684.01
82% off
|
$233.36
|
$3,800.04
|
$684.01
|
2026-02-25
|
|
90736
|
HCPCS
|
Shingles Vaccine For Injection Under Skin
|
12
|
12
|
$878.96
|
$152.44
83% off
|
$158.21
|
$878.96
|
$681.19
|
2026-02-25
|
|
43246
|
HCPCS
|
Insertion Of Stomach Tube Using A Flexible Endoscope
|
13
|
13
|
$2,823.74
|
$508.27
82% off
|
$225.90
|
$2,400.18
|
$677.70
|
2026-02-25
|
|
73202
|
HCPCS
|
CT Scan Of Arm Before And After Contrast
|
13
|
13
|
$2,796.00
|
$503.28
82% off
|
$223.68
|
$2,796.00
|
$671.04
|
2026-02-25
|
|
73702
|
HCPCS
|
CT Scan Of Leg Before And After Contrast
|
13
|
13
|
$2,786.02
|
$501.48
82% off
|
$222.88
|
$2,786.02
|
$668.64
|
2026-02-25
|
|
47563
|
HCPCS
|
Removal Of Gallbladder With X-ray Study Of Bile Ducts Using An Endoscope
|
12
|
12
|
$3,162.00
|
$673.51
79% off
|
$536.48
|
$2,213.40
|
$667.16
|
2026-02-25
|
|
C1750
|
HCPCS
|
Catheter, Hemodialysis/peritoneal, Long-term
|
26
|
13
|
$1,144.73
|
$206.05
82% off
|
$147.36
|
$1,470.78
|
$660.23
|
2026-02-25
|
|
23073
|
HCPCS
|
Removal Of Growth Of Muscle Of Shoulder, 5.0 Cm Or More
|
12
|
12
|
$3,131.00
|
$659.56
79% off
|
$36.00
|
$2,191.70
|
$659.56
|
2026-02-25
|
|
19371
|
HCPCS
|
Removal Of Capsule Around Breast Implant
|
12
|
12
|
$3,222.00
|
$656.69
80% off
|
$84.51
|
$2,255.40
|
$656.69
|
2026-02-25
|
|
57287
|
HCPCS
|
Removal Or Revision Of Incontinence Sling
|
12
|
12
|
$3,326.00
|
$667.43
80% off
|
$596.89
|
$2,328.20
|
$656.31
|
2026-02-25
|
|
58662
|
HCPCS
|
Destruction Or Removal Of Ovary Or Growth Of Pelvis Using An Endoscope
|
12
|
12
|
$3,156.00
|
$640.83
80% off
|
$305.66
|
$2,209.20
|
$640.83
|
2026-02-25
|
|
04827969
|
CDM
|
Trulicity 4.5 Mg/0.5 Ml Pen
|
12
|
12
|
$2,345.00
|
$422.10
82% off
|
$187.60
|
$1,993.25
|
$640.18
|
2026-02-25
|
|
43870
|
HCPCS
|
Closure Of Surgically Created Opening From Stomach To Skin
|
12
|
12
|
$3,116.00
|
$665.45
79% off
|
$25.00
|
$2,181.20
|
$637.42
|
2026-02-25
|
|
43830
|
HCPCS
|
Insertion Of Stomach Feeding Tube
|
12
|
12
|
$3,101.00
|
$670.13
78% off
|
$483.99
|
$2,170.70
|
$635.97
|
2026-02-25
|
|
60210
|
HCPCS
|
Partial Removal Of Thyroid Lobe On Side Of Neck
|
12
|
12
|
$3,149.00
|
$644.20
80% off
|
$565.52
|
$2,204.30
|
$635.93
|
2026-02-25
|
|
01202215
|
CDM
|
Casting - Large
|
12
|
12
|
$2,319.14
|
$417.45
82% off
|
$185.53
|
$1,971.27
|
$633.12
|
2026-02-25
|
|
51840
|
HCPCS
|
Simple Suture Of Bladder Neck To Vaginal Wall And Pubic Bone With Urethra Suspen…
|
12
|
12
|
$3,101.00
|
$626.99
80% off
|
$60.00
|
$2,170.70
|
$626.99
|
2026-02-25
|
|
15760
|
HCPCS
|
Graft With Closure Of Wound
|
12
|
12
|
$3,165.00
|
$623.57
80% off
|
$60.00
|
$2,215.50
|
$623.57
|
2026-02-25
|
|
47562
|
HCPCS
|
Removal Of Gallbladder Using An Endoscope
|
12
|
12
|
$2,911.00
|
$622.92
79% off
|
$466.12
|
$2,037.70
|
$622.92
|
2026-02-25
|
|
15120
|
HCPCS
|
Partial Thickness Self Skin Graft To Face, Scalp, Eyelids, Mouth, Neck, Ears, Ar…
|
12
|
12
|
$3,107.00
|
$621.97
80% off
|
$92.70
|
$2,174.90
|
$621.97
|
2026-02-25
|
|
70486
|
HCPCS
|
CT Scan Of Face Without Contrast
|
13
|
13
|
$3,450.27
|
$621.05
82% off
|
$208.72
|
$3,450.27
|
$621.05
|
2026-02-25
|
|
02000092
|
CDM
|
Recovery Room - General Classification
|
12
|
12
|
$2,273.60
|
$409.25
82% off
|
$181.89
|
$1,932.56
|
$620.69
|
2026-02-25
|
|
02408600
|
CDM
|
Cs40b Stapler Crv Cutter
|
12
|
12
|
$2,273.11
|
$409.16
82% off
|
$181.85
|
$1,932.14
|
$620.56
|
2026-02-25
|
|
00410
|
HCPCS
|
Anesthesia For Procedure To Correct Abnormal Heart Rhythm
|
5
|
5
|
$618.98
|
—
|
$41.00
|
$618.98
|
$618.98
|
2026-02-25
|
|
25605
|
HCPCS
|
Closed Treatment Of Broken Or Growth Plate Separate Of Forearm Bone At Wrist Wit…
|
25
|
13
|
$5,345.83
|
$962.25
82% off
|
$15.00
|
$4,543.96
|
$616.98
|
2026-02-25
|
|
02409994
|
CDM
|
Multi Layer Wound Matrix 5cm
|
12
|
12
|
$2,237.89
|
$402.82
82% off
|
$179.03
|
$1,902.21
|
$610.94
|
2026-02-25
|
|
00860
|
HCPCS
|
Anesthesia For Other Procedure On Lower Abdomen Outside Abdominal Cavity
|
5
|
5
|
$605.88
|
—
|
$41.00
|
$605.88
|
$605.88
|
2026-02-25
|
|
72125
|
HCPCS
|
CT Scan Of Upper Spine Without Contrast
|
13
|
13
|
$3,336.20
|
$600.52
82% off
|
$238.84
|
$3,336.20
|
$600.52
|
2026-02-25
|
|
72131
|
HCPCS
|
CT Scan Of Lower Spine Without Contrast
|
13
|
13
|
$3,336.20
|
$600.52
82% off
|
$232.06
|
$3,336.20
|
$600.52
|
2026-02-25
|
|
72128
|
HCPCS
|
CT Scan Of Middle Spine Without Contrast
|
13
|
13
|
$3,336.20
|
$600.52
82% off
|
$233.48
|
$3,336.20
|
$600.52
|
2026-02-25
|
|
70480
|
HCPCS
|
CT Scan Of Cranial Cavity Without Contrast
|
13
|
13
|
$3,336.20
|
$600.52
82% off
|
$266.90
|
$3,336.20
|
$600.52
|
2026-02-25
|
|
Q4186
|
HCPCS
|
Epifix, Per Square Centimeter
|
34
|
13
|
$2,971.83
|
$534.93
82% off
|
$142.23
|
$2,830.50
|
$599.40
|
2026-02-25
|
|
01000716
|
CDM
|
Laceration Complex
|
12
|
12
|
$2,187.40
|
$393.73
82% off
|
$174.99
|
$1,859.29
|
$597.16
|
2026-02-25
|
|
90678
|
HCPCS
|
Respiratory Syncytial Virus Vaccine, preF, Subunit, Bivalent, For Intramuscular …
|
12
|
12
|
$767.37
|
$152.44
80% off
|
$138.13
|
$767.37
|
$594.71
|
2026-02-25
|