Hospital

LUCILE SALTER PACKARD CHILDREN'S HSP AT STANFORD

Palo Alto, CA · CCN 053305 · Rates published

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You selected 93350 (CPT)

HC Echo Stress Pharm Induc

This hospital’s price: $4,336 across 5 payers · range $4,052-$4,664

Source: https://www.stanfordchildrens.org/content/dam/sch/config-public/charges/770003859-lucile-salter-packard-childrens-hospital-at-stanford-standardcharges.json · observed 2026-03-31

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

3,481 distinct procedures filed

11 distinct payers

72,135 rate rows

2026-03-31 last MRF observed

Data quality

55,866 of 72,135 rate rows are consumer-grade (77.4%)

16,269 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 — reason	Rows
per-diem day rate — not a per-procedure price	10,959
exceeds 10× this hospital's gross charge — excluded from medians	3,484
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only	1,729
percent-of-charges filed in the dollar field — excluded from medians	93
placeholder amount (≤ $0.02) — excluded from medians	4

Data source & audit trail ↓ Download audit trail (JSON)

Source MRF file	https://www.stanfordchildrens.org/content/dam/sch/config-public/charges/770003859-lucile-salter-packard-childrens-hospital-at-stanford-standardcharges.json
Found on page	https://www.stanfordchildrens.org/en/patients-families/finance-assistance/pricing-transparency.html
Discovered via	CMS hospital list
Last fetch	not_modified · 2026-10-20
Content fingerprint	2dfe11562deb7415… · 151,083,826 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
J3394 HCPCS	Lovotibeglogene Autotemcel 1.7 X 10exp6 To 20 X 10exp6 Cell/ml IV Susp	6	$1,934,958.00	$2,025,757.00	$2,014,485.40	nat. median $3,286,000 0.6× median
J3389 HCPCS	Prademagene Zamikeracel 5.5 Cm X 7.5 Cm Topical Sheets	6	$1,225,252.98	$1,282,748.67	$1,275,611.27	nat. median $3,335,820 outlier · 0.4×
J3387 HCPCS	Elivaldogene Autotemcel 4 X 10exp6 To 30 X 10exp6 Cell/ml IV Susp	6	$1,168,020.00	$1,222,830.00	$1,216,026.00	nat. median $3,180,000 outlier · 0.4×
J3399 HCPCS	Onasemnogene (zolgensma)(wt= 9.1-9.5 Kg Ndc Kit)	1	$1,042,603.18	$1,042,603.18	$1,042,603.18	nat. median $2,467,386 outlier · 0.4×
Q2042 HCPCS	Tisagenlecleucel 0.2 X10exp6 To 2.5x10exp8 Cell Intravenous Suspension	6	$377,881.07	$395,613.36	$393,412.11	nat. median $739,258 0.5× median
J0588 HCPCS	Incobotulinumtoxina 100 Unit Intramuscular Solution	6	$195,321.06	$204,537.86	$203,374.15	nat. median $19 outlier · 10875.6×
J0801 HCPCS	Corticotropin 80 Unit/ml Injection Gel	6	$178,361.38	$186,782.34	$185,717.43	nat. median $5,212 outlier · 35.6×
J1951 HCPCS	Leuprolide 45 Mg (pediatric 6 Month) Subcutaneous Syringe	6	$145,257.44	$152,073.73	$151,227.57	nat. median $173 outlier · 871.8×
J7311 HCPCS	Fluocinolone 0.59 Mg Intravitreal Implant	3	$114,351.34	$115,881.05	$114,351.34	nat. median $440 outlier · 259.6×
J7352 HCPCS	Afamelanotide 16 Mg Subcutaneous Implant	3	$113,797.86	$115,320.16	$113,797.86	nat. median $3,403 outlier · 33.4×
J9266 HCPCS	Pegaspargase 750 Unit/ml Injection Solution	6	$107,621.18	$112,816.16	$112,116.04	nat. median $33,233 outlier · 3.4×
J9226 HCPCS	Histrelin 50 Mg (65 Mcg/day) Implant Kit	3	$105,335.64	$106,744.74	$105,335.64	nat. median $55,159 1.9× median
J9348 HCPCS	Naxitamab-gqgk 4 Mg/ml Intravenous Solution	6	$99,632.47	$104,452.58	$103,798.99	nat. median $832 outlier · 124.7×
J9229 HCPCS	Inotuzumab Ozogamicin 0.9 Mg(0.25 Mg/ml Initial Concentration) IV Soln	6	$93,242.95	$97,669.67	$97,100.60	nat. median $6,176 outlier · 15.7×
J0638 HCPCS	Canakinumab (pf) 150 Mg/ml Subcutaneous Solution	6	$85,702.33	$89,775.21	$89,250.06	nat. median $253 outlier · 353.1×
J2350 HCPCS	Ocrelizumab 30 Mg/ml Intravenous Solution	6	$82,999.18	$86,945.21	$86,435.82	nat. median $470 outlier · 184.0×
J1246 HCPCS	Dinutuximab 3.5 Mg/ml (additive For Mixture)	6	$80,012.61	$83,818.48	$83,326.49	nat. median $4,092 outlier · 20.4×
93455 CPT	Hc Cath Coro Grft Angio W Inj W Img	8	$63,035.00	$86,901.80	$75,497.20	nat. median $5,582 outlier · 13.5×
619 MS_DRG	O.r. Procedures For Obesity With Mcc	3	$72,407.00	$72,407.00	$72,407.00	nat. median $26,760 outlier · 2.7×
620 MS_DRG	O.r. Procedures For Obesity With Cc	3	$72,407.00	$72,407.00	$72,407.00	nat. median $16,363 outlier · 4.4×
621 MS_DRG	O.r. Procedures For Obesity Without Cc/mcc	3	$72,407.00	$72,407.00	$72,407.00	nat. median $15,363 outlier · 4.7×
J7202 HCPCS	Factor Ix Recomb, Albumin Fusion Protein 2,000 (+/-) Unit IV Solution	6	$44,033.24	$80,725.41	$61,604.47	nat. median $7 outlier · 9006.5×
C9293 HCPCS	Glucarpidase 1,000 Unit Intravenous Solution	6	$56,642.15	$59,300.11	$58,970.15	nat. median $30,297 1.9× median
J9118 HCPCS	Calaspargase Pegol-mknl 750 Unit/ml Intravenous Solution	6	$197.11	$122,148.24	$58,443.07	nat. median $200 outlier · 292.4×
J9381 HCPCS	Teplizumab-mzwv 1 Mg/ml Intravenous Solution	6	$53,998.06	$60,049.26	$56,945.98	nat. median $55 outlier · 1027.7×
0646T CPT	Hc Transcath Tricsp Vlv Impl/Rplc W Prosth Perq	5	$49,098.74	$63,035.00	$56,515.59	nat. median $13,441 outlier · 4.2×
0643T CPT	Hc Transcath Lt Vntr Rstr Dvc Plcmnt	5	$46,659.52	$63,035.00	$53,707.90	nat. median $10,868 outlier · 4.9×
0644T CPT	Hc Transcath Rmvl/Dblk Intracar Mas Perq W Img	5	$46,659.52	$63,035.00	$53,707.90	nat. median $8,694 outlier · 6.2×
33270 CPT	Hc Insrt/Rplce Perm Icd Subq	8	$53,168.47	$81,650.53	$53,168.47	nat. median $32,114 1.7× median
J7180 HCPCS	Factor Xiii 1,000 Unit-1,600 Unit Intravenous Solution	6	$50,798.77	$53,233.77	$52,911.95	nat. median $14 outlier · 3916.5×
33894 CPT	Hc Evasc Stnt Repair Thor/Abd Aa Mjr Brnch	5	$37,040.23	$56,882.49	$52,885.56	nat. median $4,533 outlier · 11.7×
J9042 HCPCS	Brentuximab Vedotin 50 Mg Intravenous Solution	6	$50,340.70	$52,847.76	$52,481.31	nat. median $951 outlier · 55.2×
L8691 HCPCS	Hc Aoi External Sound Processor	5	$45,576.00	$56,160.00	$52,477.20	nat. median $3,882 outlier · 13.5×
L8694 HCPCS	Hc Aoi Transducer/Actuator Replcmnt	5	$44,900.80	$55,328.00	$51,699.76	nat. median $1,178 outlier · 43.9×
L8621 HCPCS	Hc Zinc Air Battery Replcmnt Oseo Int Processor	5	$44,056.80	$54,288.00	$50,727.96	nat. median $1
J9256 HCPCS	Nipocalimab-aahu 185 Mg/ml Intravenous Solution	6	$47,702.68	$49,992.40	$49,688.61	nat. median $39 outlier · 1265.6×
93590 CPT	Hc Closure Perq Trnscth Mitral Init Occ Device	8	$48,913.61	$63,035.00	$48,913.61	nat. median $18,375 outlier · 2.7×
93591 CPT	Hc Closure Perq Trnscth Aortic Init Occ Device	8	$48,913.61	$63,035.00	$48,913.61	nat. median $18,485 outlier · 2.6×
33249 CPT	Hc Insrt/Repl Icd Sng/Duo W Lds	8	$47,833.30	$73,457.34	$47,833.30	nat. median $31,620 1.5× median
93609 CPT	Hc Ep Add-on Map Tachy Site	5	$47,266.89	$54,407.03	$47,266.89	nat. median $3,253 outlier · 14.5×
33264 CPT	Hc Rmvl & Replce Icd Multi Ld	8	$47,050.63	$72,255.41	$47,050.63	nat. median $31,574 1.5× median
0645T CPT	Hc Transcath Impl Cor Sinus Redct Dvc	5	$46,659.52	$53,707.90	$46,659.52	nat. median $17,894 outlier · 2.6×
93631 CPT	Hc Pace & Map Tachy Site Intra-op	8	$46,411.22	$53,422.10	$46,411.22	nat. median $1,760 outlier · 26.4×
93654 CPT	Hc Ep Stdy W Abltn Vent Tachy	8	$46,265.45	$55,707.00	$46,265.45	nat. median $27,016 1.7× median
J9269 HCPCS	Tagraxofusp-erzs 1,000 Mcg/ml Intravenous Solution	6	$44,226.61	$46,301.97	$46,044.34	nat. median $512 outlier · 89.8×
J9153 HCPCS	Daunorubicin 44 Mg And Cytarabine 100 Mg In Liposome IV Solution	6	$43,842.13	$46,044.24	$45,715.65	nat. median $632 outlier · 72.3×
J1640 HCPCS	Hemin 350 Mg Intravenous Powder For Solution	6	$43,678.38	$45,779.25	$45,498.91	nat. median $80 outlier · 569.4×
93653 CPT	Hc Ep Stdy W Abltn Supravent Tachy	8	$30,244.92	$60,611.00	$45,491.29	nat. median $26,652 1.7× median
J1744 HCPCS	Icatibant 30 Mg/3 Ml Subcutaneous Syringe	6	$42,609.39	$44,660.10	$44,385.98	nat. median $1,538 outlier · 28.9×
L8688 HCPCS	Hc Impl Neuro Stimulator Gp119	5	$37,980.00	$46,800.00	$43,731.00	nat. median $12,140 outlier · 3.6×

Other procedures at this hospital

Browse this hospital's 3,481 published procedures. Use the slice to choose what to show, then sort or filter any column.

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

J3394	HCPCS	Lovotibeglogene Autotemcel 1.7 X 10exp6 To 20 X 10exp6 Cell/ml IV Susp	6	6	—	$3,131,000.00	$1,934,958.00	$2,025,757.00	$2,014,485.40	2026-03-31
J3389	HCPCS	Prademagene Zamikeracel 5.5 Cm X 7.5 Cm Topical Sheets	6	6	$3,965,220.00	$1,982,610.00 50% off	$1,225,252.98	$1,282,748.67	$1,275,611.27	2026-03-31
J3387	HCPCS	Elivaldogene Autotemcel 4 X 10exp6 To 30 X 10exp6 Cell/ml IV Susp	6	6	$3,780,000.00	$1,890,000.00 50% off	$1,168,020.00	$1,222,830.00	$1,216,026.00	2026-03-31
J3399	HCPCS	Onasemnogene (zolgensma)(wt= 9.1-9.5 Kg Ndc Kit)	1	1	$3,259,153.42	$1,629,576.71 50% off	$1,042,603.18	$1,042,603.18	$1,042,603.18	2026-03-31
Q2042	HCPCS	Tisagenlecleucel 0.2 X10exp6 To 2.5x10exp8 Cell Intravenous Suspension	6	6	$1,222,916.10	$611,458.05 50% off	$377,881.07	$395,613.36	$393,412.11	2026-03-31
J0588	HCPCS	Incobotulinumtoxina 100 Unit Intramuscular Solution	12	6	$632,186.20	$316,093.10 50% off	$195,321.06	$204,537.86	$203,374.15	2026-03-31
J0801	HCPCS	Corticotropin 80 Unit/ml Injection Gel	12	6	$577,300.51	$288,650.25 50% off	$178,361.38	$186,782.34	$185,717.43	2026-03-31
J1951	HCPCS	Leuprolide 45 Mg (pediatric 6 Month) Subcutaneous Syringe	6	6	$470,088.80	$235,044.40 50% off	$145,257.44	$152,073.73	$151,227.57	2026-03-31
J7311	HCPCS	Fluocinolone 0.59 Mg Intravitreal Implant	3	3	$235,339.25	$117,669.62 50% off	$114,351.34	$115,881.05	$114,351.34	2026-03-31
J7352	HCPCS	Afamelanotide 16 Mg Subcutaneous Implant	3	3	$234,200.16	$117,100.08 50% off	$113,797.86	$115,320.16	$113,797.86	2026-03-31
J9266	HCPCS	Pegaspargase 750 Unit/ml Injection Solution	12	6	$348,512.41	$174,256.20 50% off	$107,621.18	$112,816.16	$112,116.04	2026-03-31
J9226	HCPCS	Histrelin 50 Mg (65 Mcg/day) Implant Kit	3	3	$216,784.60	$108,392.30 50% off	$105,335.64	$106,744.74	$105,335.64	2026-03-31
J9348	HCPCS	Naxitamab-gqgk 4 Mg/ml Intravenous Solution	12	6	$322,658.98	$161,329.49 50% off	$99,632.47	$104,452.58	$103,798.99	2026-03-31
J9229	HCPCS	Inotuzumab Ozogamicin 0.9 Mg(0.25 Mg/ml Initial Concentration) IV Soln	12	6	$301,836.32	$150,918.16 50% off	$93,242.95	$97,669.67	$97,100.60	2026-03-31
J0638	HCPCS	Canakinumab (pf) 150 Mg/ml Subcutaneous Solution	12	6	$277,433.03	$138,716.51 50% off	$85,702.33	$89,775.21	$89,250.06	2026-03-31
J2350	HCPCS	Ocrelizumab 30 Mg/ml Intravenous Solution	12	6	$268,684.97	$134,342.48 50% off	$82,999.18	$86,945.21	$86,435.82	2026-03-31
J1246	HCPCS	Dinutuximab 3.5 Mg/ml (additive For Mixture)	12	6	$259,019.67	$129,509.83 50% off	$80,012.61	$83,818.48	$83,326.49	2026-03-31
93455	CPT	Hc Cath Coro Grft Angio W Inj W Img	8	8	$155,376.00	$77,688.00 50% off	$63,035.00	$86,901.80	$75,497.20	2026-03-31
619	MS_DRG	O.r. Procedures For Obesity With Mcc	3	3	—	$103,814.87	$72,407.00	$72,407.00	$72,407.00	2026-03-31
621	MS_DRG	O.r. Procedures For Obesity Without Cc/mcc	3	3	—	$92,470.94	$72,407.00	$72,407.00	$72,407.00	2026-03-31
620	MS_DRG	O.r. Procedures For Obesity With Cc	3	3	—	$89,147.98	$72,407.00	$72,407.00	$72,407.00	2026-03-31
J7202	HCPCS	Factor Ix Recomb, Albumin Fusion Protein 2,000 (+/-) Unit IV Solution	24	6	$196,020.00	$98,010.00 50% off	$44,033.24	$80,725.41	$61,604.47	2026-03-31
C9293	HCPCS	Glucarpidase 1,000 Unit Intravenous Solution	6	6	$183,307.92	$91,653.96 50% off	$56,642.15	$59,300.11	$58,970.15	2026-03-31
J9118	HCPCS	Calaspargase Pegol-mknl 750 Unit/ml Intravenous Solution	24	6	$189,110.66	$94,555.33 50% off	$197.11	$122,148.24	$58,443.07	2026-03-31
J9381	HCPCS	Teplizumab-mzwv 1 Mg/ml Intravenous Solution	24	6	$180,187.33	$90,093.66 50% off	$53,998.06	$60,049.26	$56,945.98	2026-03-31
0646T	CPT	Hc Transcath Tricsp Vlv Impl/Rplc W Prosth Perq	5	5	$101,047.00	$50,523.50 50% off	$49,098.74	$63,035.00	$56,515.59	2026-03-31
0644T	CPT	Hc Transcath Rmvl/Dblk Intracar Mas Perq W Img	5	5	$96,027.00	$48,013.50 50% off	$46,659.52	$63,035.00	$53,707.90	2026-03-31
0643T	CPT	Hc Transcath Lt Vntr Rstr Dvc Plcmnt	5	5	$96,027.00	$48,013.50 50% off	$46,659.52	$63,035.00	$53,707.90	2026-03-31
33270	CPT	Hc Insrt/Rplce Perm Icd Subq	8	8	$145,987.00	$72,993.50 50% off	$53,168.47	$81,650.53	$53,168.47	2026-03-31
J7180	HCPCS	Factor Xiii 1,000 Unit-1,600 Unit Intravenous Solution	12	6	$164,476.50	$82,238.25 50% off	$50,798.77	$53,233.77	$52,911.95	2026-03-31
33894	CPT	Hc Evasc Stnt Repair Thor/Abd Aa Mjr Brnch	5	5	$101,703.00	$50,851.50 50% off	$37,040.23	$56,882.49	$52,885.56	2026-03-31
J9042	HCPCS	Brentuximab Vedotin 50 Mg Intravenous Solution	12	6	$163,138.68	$81,569.34 50% off	$50,340.70	$52,847.76	$52,481.31	2026-03-31
L8691	HCPCS	Hc Aoi External Sound Processor	5	5	$108,000.00	$54,000.00 50% off	$45,576.00	$56,160.00	$52,477.20	2026-03-31
L8694	HCPCS	Hc Aoi Transducer/Actuator Replcmnt	5	5	$106,400.00	$53,200.00 50% off	$44,900.80	$55,328.00	$51,699.76	2026-03-31
L8621	HCPCS	Hc Zinc Air Battery Replcmnt Oseo Int Processor	5	5	$104,400.00	$52,200.00 50% off	$44,056.80	$54,288.00	$50,727.96	2026-03-31
J9256	HCPCS	Nipocalimab-aahu 185 Mg/ml Intravenous Solution	12	6	$154,456.80	$77,228.40 50% off	$47,702.68	$49,992.40	$49,688.61	2026-03-31
93591	CPT	Hc Closure Perq Trnscth Aortic Init Occ Device	8	8	$100,666.00	$50,333.00 50% off	$48,913.61	$63,035.00	$48,913.61	2026-03-31
93590	CPT	Hc Closure Perq Trnscth Mitral Init Occ Device	8	8	$100,666.00	$50,333.00 50% off	$48,913.61	$63,035.00	$48,913.61	2026-03-31
33249	CPT	Hc Insrt/Repl Icd Sng/Duo W Lds	8	8	$131,338.00	$65,669.00 50% off	$47,833.30	$73,457.34	$47,833.30	2026-03-31
93609	CPT	Hc Ep Add-on Map Tachy Site	5	5	$97,277.00	$48,638.50 50% off	$47,266.89	$54,407.03	$47,266.89	2026-03-31
33264	CPT	Hc Rmvl & Replce Icd Multi Ld	8	8	$129,189.00	$64,594.50 50% off	$47,050.63	$72,255.41	$47,050.63	2026-03-31
0645T	CPT	Hc Transcath Impl Cor Sinus Redct Dvc	5	5	$96,027.00	$48,013.50 50% off	$46,659.52	$53,707.90	$46,659.52	2026-03-31
93631	CPT	Hc Pace & Map Tachy Site Intra-op	8	8	$95,516.00	$47,758.00 50% off	$46,411.22	$53,422.10	$46,411.22	2026-03-31
93654	CPT	Hc Ep Stdy W Abltn Vent Tachy	10	8	$95,216.00	$47,608.00 50% off	$46,265.45	$55,707.00	$46,265.45	2026-03-31
J9269	HCPCS	Tagraxofusp-erzs 1,000 Mcg/ml Intravenous Solution	6	6	$143,128.20	$71,564.10 50% off	$44,226.61	$46,301.97	$46,044.34	2026-03-31
J9153	HCPCS	Daunorubicin 44 Mg And Cytarabine 100 Mg In Liposome IV Solution	12	6	$142,107.70	$71,053.85 50% off	$43,842.13	$46,044.24	$45,715.65	2026-03-31
J1640	HCPCS	Hemin 350 Mg Intravenous Powder For Solution	12	6	$141,433.17	$70,716.58 50% off	$43,678.38	$45,779.25	$45,498.91	2026-03-31
93653	CPT	Hc Ep Stdy W Abltn Supravent Tachy	14	8	$87,048.00	$43,524.00 50% off	$30,244.92	$60,611.00	$45,491.29	2026-03-31
J1744	HCPCS	Icatibant 30 Mg/3 Ml Subcutaneous Syringe	12	6	$137,973.65	$68,986.82 50% off	$42,609.39	$44,660.10	$44,385.98	2026-03-31
L8688	HCPCS	Hc Impl Neuro Stimulator Gp119	5	5	$90,000.00	$45,000.00 50% off	$37,980.00	$46,800.00	$43,731.00	2026-03-31
92970	CPT	Hc Cardio Assist Internal	8	8	$89,629.00	$44,814.50 50% off	$43,550.73	$50,129.50	$43,550.73	2026-03-31
33263	CPT	Hc Rmvl & Replce Icd Dual Ld	8	8	$119,304.00	$59,652.00 50% off	$43,450.52	$66,726.73	$43,450.52	2026-03-31
J2327	HCPCS	Risankizumab-rzaa 60 Mg/ml Intravenous Solution	12	6	$134,885.23	$67,442.61 50% off	$41,655.06	$43,660.99	$43,392.43	2026-03-31
33262	CPT	Hc Rmvl & Replce Icd Sgl Ld	8	8	$118,850.00	$59,425.00 50% off	$43,285.17	$66,472.81	$43,285.17	2026-03-31
J9210	HCPCS	Emapalumab-lzsg 5 Mg/ml Intravenous Solution	24	6	$137,794.41	$68,897.20 50% off	$14,184.67	$74,302.69	$42,912.43	2026-03-31
J3380	HCPCS	Vedolizumab 300 Mg Intravenous Solution	12	6	$125,123.82	$62,561.91 50% off	$38,638.79	$40,503.18	$40,252.19	2026-03-31
33418	CPT	Hc Cath Mitral Valve Repair	7	7	$94,400.00	$47,200.00 50% off	$39,836.80	$56,640.00	$39,836.80	2026-03-31
33897	CPT	Hc Translm Angio Perq Natv/Recurnt Coarc Aa	5	5	$76,519.00	$38,259.50 50% off	$27,868.22	$42,797.08	$39,789.88	2026-03-31
J9022	HCPCS	Atezolizumab 1,200 Mg/20 Ml (60 Mg/ml) Intravenous Solution	24	6	$125,735.90	$62,867.94 50% off	$31,939.17	$47,913.19	$39,605.02	2026-03-31
J9301	HCPCS	Obinutuzumab 1,000 Mg/40 Ml Intravenous Solution	12	6	$116,979.66	$58,489.83 50% off	$36,122.24	$37,868.54	$37,632.21	2026-03-31
33895	CPT	Hc Evasc Stnt Repair Thor/Abd Aa Wo Mjr Brnch	7	5	$101,703.00	$50,851.50 50% off	$37,040.23	$56,882.49	$37,040.23	2026-03-31
93582	CPT	Hc Closure Perq Trnscath Pda	7	5	$76,132.00	$38,066.00 50% off	$36,992.54	$66,666.00	$36,992.54	2026-03-31
J9228	HCPCS	Ipilimumab 50 Mg/10 Ml (5 Mg/ml) Intravenous Solution	12	6	$114,471.02	$57,235.51 50% off	$35,302.39	$37,103.77	$36,824.93	2026-03-31
33477	CPT	Hc Implnt Perq Trnscath Pulm Valve	11	8	$99,783.00	$49,891.50 50% off	$11,684.79	$63,035.00	$36,340.97	2026-03-31
93656	CPT	Hc Ep Stdy W Abltn Pulm Vein Afib	8	8	$73,295.00	$36,647.50 50% off	$35,614.04	$40,993.89	$35,614.04	2026-03-31
J3401	HCPCS	Beremagene Geperpavec-svdt 5 X 10exp9 Pfu/2.5 Ml Topical Gel	6	6	$110,240.00	$55,120.00 50% off	$34,064.16	$35,662.64	$35,464.21	2026-03-31
J2323	HCPCS	Natalizumab 300 Mg/15 Ml Intravenous Solution	12	6	$109,915.15	$54,957.57 50% off	$33,939.31	$35,583.17	$35,359.56	2026-03-31
C2624	HCPCS	Hc Impl Sensor Pulm Artry Gp115	5	5	$71,500.00	$35,750.00 50% off	$30,173.00	$37,180.00	$34,741.85	2026-03-31
C9734	HCPCS	Hc Mr Hifu Other Than Uterine	5	5	$68,522.00	$34,261.00 50% off	$33,294.84	$35,631.44	$34,463.14	2026-03-31
J9223	HCPCS	Lurbinectedin 4 Mg Intravenous Solution	12	6	$104,255.50	$52,127.75 50% off	$32,145.80	$33,799.05	$33,538.59	2026-03-31
0613T	CPT	Hc Transcath Intratrl Septl Shnt Perq	8	8	$68,125.00	$34,062.50 50% off	$33,101.94	$63,035.00	$33,101.94	2026-03-31
38210	CPT	Hc Depletion Tcell Alpha Be	5	5	$64,458.00	$32,229.00 50% off	$31,320.14	$33,518.16	$32,419.15	2026-03-31
0797T	CPT	Hc Insrt Leadless Pcmkr Dual Rt Vnt Comp W Img	5	5	$57,880.00	$28,940.00 50% off	$28,123.89	$63,035.00	$32,372.28	2026-03-31
0580T	CPT	Hc Ep Rmvl Subst Icd Gen Only	8	8	$66,498.00	$33,249.00 50% off	$32,311.38	$37,192.33	$32,311.38	2026-03-31
0573T	CPT	Hc Ep Remvl Subst Icd Elect	8	8	$66,498.00	$33,249.00 50% off	$32,311.38	$37,192.33	$32,311.38	2026-03-31
0574T	CPT	Hc Ep Repostn Substs Icd Elect	8	8	$66,498.00	$33,249.00 50% off	$32,311.38	$37,192.33	$32,311.38	2026-03-31
0572T	CPT	Hc Ep Insrtn Subst Icd Elect	8	8	$66,498.00	$33,249.00 50% off	$32,311.38	$37,192.33	$32,311.38	2026-03-31
0571T	CPT	Hc Ep Ins Icd W Subst Electrode W Img	8	8	$66,498.00	$33,249.00 50% off	$32,311.38	$37,192.33	$32,311.38	2026-03-31
33952	CPT	Hc Ecmo Insrt Periphrl Cannula 6+ Yrs	7	7	$76,519.00	$38,259.50 50% off	$32,291.02	$45,911.40	$32,291.02	2026-03-31
93580	CPT	Hc Closure Perq Trnscath Asd	9	8	$64,320.00	$32,160.00 50% off	$31,253.09	$35,974.18	$31,253.09	2026-03-31
37260	CPT	Hc Cath Revasc Stent Plcmt Iliac Artery Cmplx Les 1st Vsl	5	5	$59,978.40	$29,989.20 50% off	$21,844.13	$33,545.92	$31,188.77	2026-03-31
J1602	HCPCS	Golimumab 100 Mg/ml Subcutaneous Pen Injector	12	6	$94,871.50	$47,435.75 50% off	$29,290.82	$30,716.55	$30,520.02	2026-03-31
37277	CPT	Hc Cath Fem/Pop Stent Plcmt Atherect Uni Cmplx Les 1st Vsl	5	5	$57,543.60	$28,771.80 50% off	$20,957.38	$32,184.14	$29,922.67	2026-03-31
33225	CPT	Hc Insrt Lead Pcng Lt Vent Add On	8	8	$78,944.00	$39,472.00 50% off	$28,751.40	$44,153.38	$28,751.40	2026-03-31
37294	CPT	Hc Cath Revasc Tib/Peroneal Stent Plcmt/Atherect Cmplx Les 1st Vsl	5	5	$55,134.00	$27,567.00 50% off	$20,079.80	$30,836.45	$28,669.68	2026-03-31
783	MS_DRG	Cesarean Section With Sterilization With Mcc	3	3	—	$252,241.54	$27,865.00	$27,865.00	$27,865.00	2026-03-31
J1303	HCPCS	Ravulizumab-cwvz 100 Mg/ml Intravenous Solution	12	6	$82,901.04	$41,450.52 50% off	$25,591.95	$26,844.11	$26,669.12	2026-03-31
33745	CPT	Hc Transcath Intracard Shunt Incl R/l Cath Init	5	5	$47,304.00	$23,652.00 50% off	$17,228.12	$63,035.00	$26,457.13	2026-03-31
J9015	HCPCS	Aldesleukin 22 Million Unit Intravenous Solution	12	6	$81,932.60	$40,966.30 50% off	$25,248.02	$26,577.60	$26,357.32	2026-03-31
L8614	HCPCS	Hc Impl Cochlear Gp074	105	5	$51,590.00	$25,795.00 50% off	$7,300.60	$53,040.00	$26,268.32	2026-03-31
C1721	HCPCS	Hc Impl Card Defib Dual Gp100	53	5	$50,616.00	$25,308.00 50% off	$5,950.20	$93,600.00	$26,213.20	2026-03-31
37258	CPT	Hc Cath Revasc Stent Plcmt Iliac Artery Sf Les 1st Vsl	5	5	$49,982.00	$24,991.00 50% off	$18,203.44	$27,954.93	$25,990.64	2026-03-31
J1299	HCPCS	Eculizumab 300 Mg/30 Ml Intravenous Solution	12	6	$80,768.59	$40,384.29 50% off	$24,933.02	$26,154.26	$25,983.11	2026-03-31
0650T	CPT	Hc Remote Eval Card Rhy Sys Of Imp Devc W Anal	5	5	$49,514.00	$24,757.00 50% off	$24,058.85	$27,693.18	$25,747.28	2026-03-31
37290	CPT	Hc Cath Revasc Tib/Peroneal Atherect Uni Cmplx Les 1st Vsl	5	5	$49,174.80	$24,587.40 50% off	$17,909.46	$27,503.47	$25,570.90	2026-03-31
37286	CPT	Hc Cath Revasc Tib/Peroneal Stent Plcmt Cmplx Les 1st Vsl	5	5	$49,174.80	$24,587.40 50% off	$17,909.46	$27,503.47	$25,570.90	2026-03-31
J2506	HCPCS	Pegfilgrastim 6 Mg/0.6 Ml Subcutaneous Syringe	12	6	$79,469.74	$39,734.87 50% off	$24,531.68	$25,734.08	$25,565.28	2026-03-31
37799	CPT	Hc Unlisted Proc Vascular	15	8	$69,471.00	$34,735.50 50% off	$162.47	$38,855.13	$25,301.34	2026-03-31
33881	CPT	Hc Repair Dtaa No Cov Lsa	8	8	$69,471.00	$34,735.50 50% off	$25,301.34	$38,855.13	$25,301.34	2026-03-31
61624	CPT	Hc Embl/Occld Perq Cns	8	8	$69,471.00	$34,735.50 50% off	$25,301.34	$38,855.13	$25,301.34	2026-03-31
37244	CPT	Hc Embl/Occld Hmrg	8	8	$69,471.00	$34,735.50 50% off	$25,301.34	$38,855.13	$25,301.34	2026-03-31
61626	CPT	Hc Embol/Occld Non Cns	8	8	$69,471.00	$34,735.50 50% off	$25,301.34	$38,855.13	$25,301.34	2026-03-31
33208	CPT	Hc Insrt/Rplce Perm Pcmkr	8	8	$69,471.00	$34,735.50 50% off	$25,301.34	$38,855.13	$25,301.34	2026-03-31
37197	CPT	Hc Rmvl Fb Intravasc W S&i	8	8	$69,471.00	$34,735.50 50% off	$25,301.34	$25,301.34	$25,301.34	2026-03-31
93770	CPT	Hc Meas Venous Pressure	5	5	$48,420.00	$24,210.00 50% off	$23,527.28	$27,081.31	$25,178.40	2026-03-31
36906	CPT	Hc Thrmbc Prq Dlysis Circ W/Trnscth Pl Stnt	7	7	$59,451.00	$29,725.50 50% off	$25,088.32	$35,670.60	$25,088.32	2026-03-31
C2616	HCPCS	Hc Impl Theraspere Radioemblztn Gp111	5	5	$51,590.00	$25,795.00 50% off	$21,770.98	$26,826.80	$25,067.58	2026-03-31
J9380	HCPCS	Teclistamab-cqyv 90 Mg/ml Subcutaneous Solution	24	6	$80,371.75	$40,185.88 50% off	$8,119.89	$43,499.60	$25,028.63	2026-03-31
37275	CPT	Hc Cath Fem/Pop Stent Plcmt Atherect Uni Sf Les 1st Vsl	5	5	$47,953.00	$23,976.50 50% off	$17,464.48	$26,820.11	$24,935.56	2026-03-31
33956	CPT	Hc Ecmo Insert Cannula Stern 6+ Yrs	7	7	$58,878.00	$29,439.00 50% off	$24,846.52	$35,326.80	$24,846.52	2026-03-31
33274	CPT	Hc Insrt/Replce Leadless Pcmkr W Img	8	8	$68,125.00	$34,062.50 50% off	$24,811.13	$38,102.31	$24,811.13	2026-03-31
92977	CPT	Hc Thrombolysis Cor Vsl Via Infsn	5	5	$51,003.00	$25,501.50 50% off	$24,782.36	$28,525.98	$24,782.36	2026-03-31
C9600	HCPCS	Hc Plcmt Stent Drug Cor W Angio Sgl Art	8	8	$51,003.00	$25,501.50 50% off	$24,782.36	$28,525.98	$24,782.36	2026-03-31
C1882	HCPCS	Hc Impl Card Defib Oth Gp096	68	3	$50,450.00	$25,225.00 50% off	$21,379.60	$53,179.20	$24,780.90	2026-03-31
0524T	CPT	Hc Abltn Chem Ev Cath Bln Occln W Guid	7	7	$57,762.00	$28,881.00 50% off	$24,375.56	$34,657.20	$24,375.56	2026-03-31
93463	CPT	Hc Admin Drug W Hemodyn Meas	8	8	$48,420.00	$24,210.00 50% off	$23,527.28	$27,081.31	$24,352.84	2026-03-31
C1767	HCPCS	Hc Impl Gen Nrostim Nonrchg Gp093	83	3	$50,050.00	$25,025.00 50% off	$455.76	$50,224.80	$24,319.30	2026-03-31
J9271	HCPCS	Pembrolizumab 25 Mg/ml Intravenous Solution	12	6	$74,637.76	$37,318.88 50% off	$22,993.91	$24,217.71	$24,010.56	2026-03-31
J0517	HCPCS	Benralizumab 30 Mg/ml Subcutaneous Syringe	12	6	$74,577.15	$37,288.57 50% off	$23,019.87	$24,151.33	$23,991.33	2026-03-31
93622	CPT	Hc Ep Add-on Indct Pace Lt Vnt	7	5	$49,311.00	$24,655.50 50% off	$23,960.21	$30,305.50	$23,960.21	2026-03-31
93657	CPT	Hc Ep Stdy W Addtl Abltn Atria Afib	8	8	$49,311.00	$24,655.50 50% off	$23,960.21	$27,579.64	$23,960.21	2026-03-31
93620	CPT	Hc Ep Stdy W Induction	9	8	$49,311.00	$24,655.50 50% off	$23,960.21	$27,579.64	$23,960.21	2026-03-31
J9303	HCPCS	Panitumumab 100 Mg/5 Ml (20 Mg/ml) Intravenous Solution	24	6	$76,796.58	$38,398.29 50% off	$7,270.95	$42,168.80	$23,901.89	2026-03-31
37292	CPT	Hc Cath Revasc Tib/Peroneal Stent Plcmt/Atherect Sf Les 1st Vsl	5	5	$45,945.00	$22,972.50 50% off	$16,733.17	$25,697.04	$23,891.40	2026-03-31
J7201	HCPCS	Factor Ix Recomb, Fc Fusion Protein 500 Unit Intravenous Solution	72	6	$75,041.40	$37,520.70 50% off	$3,860.55	$64,718.63	$23,551.26	2026-03-31
93650	CPT	Hc Abltn Av Node Func	8	8	$48,420.00	$24,210.00 50% off	$23,527.28	$27,081.31	$23,527.28	2026-03-31
93581	CPT	Hc Closure Perq Trnscath Vsd	8	8	$48,420.00	$24,210.00 50% off	$23,527.28	$27,081.31	$23,527.28	2026-03-31
92998	CPT	Hc Angio Ptpa Ea Addl Vsl	10	7	$48,420.00	$24,210.00 50% off	$2,605.25	$27,081.31	$23,527.28	2026-03-31
92941	CPT	Hc Revasc Trluml Coronry Totl Occl Acute Mi	7	7	$55,697.00	$27,848.50 50% off	$23,504.13	$33,418.20	$23,504.13	2026-03-31
J9039	HCPCS	Blinatumomab 35 Mcg Intravenous Kit	12	6	$72,940.73	$36,470.36 50% off	$22,514.21	$23,621.95	$23,464.89	2026-03-31
93261	CPT	Hc Interog Eval In Pers Impld Subq Lead Defib	5	5	$44,679.00	$22,339.50 50% off	$21,709.53	$24,988.96	$23,233.08	2026-03-31
C1722	HCPCS	Hc Impl Defibrillator Gp113	15	5	$47,200.00	$23,600.00 50% off	$15,867.20	$30,888.00	$22,934.48	2026-03-31
38205	CPT	Hc Allogen Stem Cell Harv Proc	5	5	$47,121.00	$23,560.50 50% off	$19,885.06	$24,502.92	$22,896.09	2026-03-31
0579T	CPT	Hc Ep Rmt Interog W Data Rvw Icd W Subst Elect	8	8	$44,679.00	$22,339.50 50% off	$21,709.53	$24,988.96	$22,471.31	2026-03-31
0578T	CPT	Hc Ep Rmt Interog W Intrm Anal Icd W Subst Elect	8	8	$44,679.00	$22,339.50 50% off	$21,709.53	$24,988.96	$22,471.31	2026-03-31
0576T	CPT	Hc Ep Interog Eval Icd W Subst Elect	8	8	$44,679.00	$22,339.50 50% off	$21,709.53	$24,988.96	$22,471.31	2026-03-31
0575T	CPT	Hc Ep Prgrm Eval Icd W Substs Elect	8	8	$44,679.00	$22,339.50 50% off	$21,709.53	$24,988.96	$22,471.31	2026-03-31
0804T	CPT	Hc Eval Pcmkr Ldls Dual In Person	5	5	$42,977.00	$21,488.50 50% off	$20,882.52	$24,037.04	$22,348.04	2026-03-31
J9021	HCPCS	Asparaginase Erwinia Chrysanthemi-rywn 10 Mg/0.5 Ml IM Solution	12	6	$69,124.70	$34,562.35 50% off	$21,290.38	$22,434.24	$22,237.01	2026-03-31
J0491	HCPCS	Anifrolumab-fnia 300 Mg/2 Ml (150 Mg/ml) Intravenous Solution	12	6	$68,389.43	$34,194.71 50% off	$21,107.86	$22,149.60	$22,000.74	2026-03-31
0577T	CPT	Hc Ep Eval Icd W Substs Elect Incl Induct	5	5	$44,679.00	$22,339.50 50% off	$21,709.53	$24,988.96	$21,709.53	2026-03-31
75957	CPT	Hc Repair Desc Thor Aorta No Lsa	5	5	$45,788.00	$22,894.00 50% off	$19,322.54	$22,248.39	$21,566.15	2026-03-31
93460	CPT	Hc Cath Rt&Lt Hrt W Lt Vntgrphy Angio	8	8	$43,971.00	$21,985.50 50% off	$21,365.51	$63,035.00	$21,365.51	2026-03-31
37288	CPT	Hc Cath Revasc Tib/Peroneal Atherect Uni Sf Les 1st Vsl	5	5	$40,979.00	$20,489.50 50% off	$14,924.55	$22,919.55	$21,309.08	2026-03-31
37284	CPT	Hc Cath Revasc Tib/Peroneal Stent Plcmt Sf Les 1st Vsl	5	5	$40,979.00	$20,489.50 50% off	$14,924.55	$22,919.55	$21,309.08	2026-03-31
J7504	HCPCS	Lymphocyte,anti-thymo Immune Globulin 50 Mg/ml Intravenous Solution	12	6	$65,818.02	$32,909.01 50% off	$20,313.30	$21,317.75	$21,173.51	2026-03-31
33207	CPT	Hc Insrt/Rplce Perm Pcmkr Vent	8	8	$58,107.00	$29,053.50 50% off	$21,162.57	$32,499.25	$21,162.57	2026-03-31
33206	CPT	Hc Insrt/Rplce Perm Pcmkr Atrl	8	8	$58,107.00	$29,053.50 50% off	$21,162.57	$32,499.25	$21,162.57	2026-03-31
37221	CPT	Hc Revasc Iliac Artery Stent Pl	7	7	$49,982.00	$24,991.00 50% off	$21,092.40	$29,989.20	$21,092.40	2026-03-31
J3357	HCPCS	Ustekinumab 90 Mg/ml Subcutaneous Syringe	12	6	$64,891.18	$32,445.58 50% off	$20,051.36	$20,992.31	$20,875.49	2026-03-31
93595	CPT	Hc Cath Lt Hrt Cngtl NM/Abnml Nt W Img	5	5	$36,642.00	$18,321.00 50% off	$17,804.35	$63,035.00	$20,493.87	2026-03-31
93597	CPT	Hc Cath R/l Hrt Cngtl Abnml Nt Cnx W Img	7	4	$36,642.00	$18,321.00 50% off	$17,804.35	$63,035.00	$20,493.87	2026-03-31
37227	CPT	Hc Revasc Fem/Pop Uni Stent Pl/Ather	7	7	$47,953.00	$23,976.50 50% off	$20,236.17	$28,771.80	$20,236.17	2026-03-31
37238	CPT	Hc Plcmt Stent Trnscath Open/Perq Vein Init	9	8	$54,955.00	$27,477.50 50% off	$20,014.61	$30,736.33	$20,014.61	2026-03-31
37236	CPT	Hc Plcmt Stent Trnscath Open/Perq	8	8	$54,942.00	$27,471.00 50% off	$20,009.88	$30,729.06	$20,009.88	2026-03-31
93461	CPT	Hc Cath Pl Cor R/l Cath W Lt Vntrgrphy	8	8	$41,096.00	$20,548.00 50% off	$19,968.55	$63,035.00	$19,968.55	2026-03-31
J1162	HCPCS	Digoxin Immune Fab 40 Mg Intravenous Solution	12	6	$61,607.58	$30,803.79 50% off	$19,012.27	$19,955.67	$19,819.01	2026-03-31
37269	CPT	Hc Cath Fem/Pop Uni Stent Plcmt Cmplx Les 1st Vsl	5	5	$38,055.60	$19,027.80 50% off	$13,859.85	$21,284.50	$19,788.91	2026-03-31
93454	CPT	Hc Angio Coronary Art S&i	9	8	$40,570.00	$20,285.00 50% off	$19,712.96	$63,035.00	$19,712.96	2026-03-31
36903	CPT	Hc Intr Cth Dlys Circ W/Trnscth Pl Stnt	7	7	$46,617.00	$23,308.50 50% off	$19,672.37	$27,970.20	$19,672.37	2026-03-31
37273	CPT	Hc Cath Fem/Pop Atherectomy Uni Cmplx Les 1st Vsl	5	5	$37,680.00	$18,840.00 50% off	$13,723.06	$21,074.42	$19,593.60	2026-03-31
37231	CPT	Hc Revasc Tib/Peroneal Stent Pl/Ather	7	7	$45,945.00	$22,972.50 50% off	$19,388.79	$27,567.00	$19,388.79	2026-03-31
95707	CPT	Hc EEG Wo Video 2-12 Hrs Contin Monit	5	5	$39,744.00	$19,872.00 50% off	$16,771.97	$20,666.88	$19,311.61	2026-03-31
37242	CPT	Hc Embl/Occld Vasc Art Non Hmrg	8	7	$52,867.00	$26,433.50 50% off	$19,254.16	$29,568.51	$19,254.16	2026-03-31
92990	CPT	Hc Revision Pulm Vlve	8	5	$39,545.00	$19,772.50 50% off	$19,214.92	$30,305.50	$19,214.92	2026-03-31
93596	CPT	Hc Cath R/l Hrt Cngtl Nml Nt Cnx W Img	4	3	$36,642.00	$18,321.00 50% off	$17,804.35	$63,035.00	$19,149.11	2026-03-31
93593	CPT	Hc Cath Rt Hrt Cngtl Nml Nt Cnx W Img	6	5	$36,642.00	$18,321.00 50% off	$17,804.35	$63,035.00	$19,149.11	2026-03-31
93594	CPT	Hc Cath Rt Hrt Cngtl Abnml Nt Cnx W Img	6	4	$36,642.00	$18,321.00 50% off	$17,804.35	$63,035.00	$19,149.11	2026-03-31
J2356	HCPCS	Tezepelumab-ekko 210 Mg/1.91 Ml (110 Mg/ml) Subcutaneous Syringe	12	6	$59,499.36	$29,749.68 50% off	$18,360.83	$19,273.66	$19,140.80	2026-03-31
J1428	HCPCS	Eteplirsen 50 Mg/ml Intravenous Solution	16	4	$59,455.20	$29,727.60 50% off	$6,331.46	$32,064.80	$19,055.62	2026-03-31
95706	CPT	Hc EEG Wo Video 2-12 Hrs Intermit Monit	5	5	$38,880.00	$19,440.00 50% off	$16,407.36	$20,217.60	$18,891.79	2026-03-31
93456	CPT	Hc Cath Rt Hrt W Coronary Angio	9	8	$38,812.00	$19,406.00 50% off	$18,858.75	$63,035.00	$18,858.75	2026-03-31
33289	CPT	Hc Insert Transcath Wrls P-art Prs Snsr	8	8	$51,003.00	$25,501.50 50% off	$18,575.29	$63,035.00	$18,575.29	2026-03-31
90288	HCPCS	Botulism Immune Globulin, Human 100 Mg Intravenous Solution	6	6	$57,300.00	$28,650.00 50% off	$17,705.70	$18,536.55	$18,433.41	2026-03-31
93564	CPT	Hc Inj Hrt Cath Cngtl Cor Art/Grft	8	8	$36,642.00	$18,321.00 50% off	$17,804.35	$20,493.87	$18,429.10	2026-03-31
93464	CPT	Hc Stdy Phys Exercise W Hem Monitor	8	8	$36,642.00	$18,321.00 50% off	$17,804.35	$20,493.87	$18,429.10	2026-03-31
92973	CPT	Hc Thrmbcty Mech Perq Coronary	8	8	$36,642.00	$18,321.00 50% off	$17,804.35	$20,493.87	$18,429.10	2026-03-31
93571	CPT	Hc Meas Hrt Flow Reserve Init Vsl	8	8	$36,642.00	$18,321.00 50% off	$17,804.35	$20,493.87	$18,429.10	2026-03-31
33240	CPT	Hc Insrt Icd Gen W Exist Sgl Ld	8	8	$50,528.00	$25,264.00 50% off	$18,402.30	$28,260.31	$18,402.30	2026-03-31
33235	CPT	Hc Rmvl Lead Dual Pcmkr	8	8	$50,528.00	$25,264.00 50% off	$18,402.30	$28,260.31	$18,402.30	2026-03-31
J9217	HCPCS	Leuprolide 7.5 Mg Intramuscular Syringe Kit	48	6	$58,657.02	$29,328.51 50% off	$8,614.12	$36,124.36	$18,369.22	2026-03-31
37241	CPT	Hc Embl/Occld Venous Non Hmrg	12	8	$50,179.00	$25,089.50 50% off	$14,490.74	$48,254.01	$18,275.19	2026-03-31
Q5151	HCPCS	Eculizumab-aagh 300 Mg/30 Ml Intravenous Solution	12	6	$56,560.62	$28,280.31 50% off	$17,452.76	$18,322.98	$18,195.41	2026-03-31
0235T	CPT	Hc Transluminal Periph Atherect Visceral	7	7	$38,612.00	$19,306.00 50% off	$16,294.26	$23,167.20	$18,186.25	2026-03-31
0823T	CPT	Hc Transcath Pcmkr Ldls R Atrial W Img	5	5	$32,494.00	$16,247.00 50% off	$15,788.83	$63,035.00	$18,173.89	2026-03-31
0805T	CPT	Hc Transcath S/i Vc Prstc Vlv Impl Perq	5	5	$32,494.00	$16,247.00 50% off	$15,788.83	$63,035.00	$18,173.89	2026-03-31
0825T	CPT	Hc Transcath Rmvl/Rplce Ldls R Atrial W Img	5	5	$32,494.00	$16,247.00 50% off	$15,788.83	$63,035.00	$18,173.89	2026-03-31
93619	CPT	Hc Ep Stdy Wo Induction	5	5	$37,317.00	$18,658.50 50% off	$18,132.33	$20,871.40	$18,132.33	2026-03-31
93621	CPT	Hc Ep Indct Pace Lt Atr	5	5	$37,317.00	$18,658.50 50% off	$18,132.33	$20,871.40	$18,132.33	2026-03-31
J1950	HCPCS	Leuprolide 11.25 Mg Intramuscular Kit	84	6	$56,352.56	$28,176.28 50% off	$7,228.67	$54,664.77	$18,128.47	2026-03-31
93575	CPT	Hc Inj Cath Slct P Angrph Mapca	9	8	$35,441.00	$17,720.50 50% off	$17,220.78	$19,822.15	$17,825.05	2026-03-31
92920	CPT	Hc Angio Perq Coronary Sig Maj Art	11	8	$36,642.00	$18,321.00 50% off	$6,362.86	$20,493.87	$17,804.35	2026-03-31
92986	CPT	Hc Revision Aortic Vlve	6	5	$36,642.00	$18,321.00 50% off	$17,804.35	$20,493.87	$17,804.35	2026-03-31
92997	CPT	Hc Angio Ptpa Sgl Vsl	10	7	$36,642.00	$18,321.00 50% off	$12,420.22	$20,493.87	$17,804.35	2026-03-31
93505	CPT	Hc Biopsy Hrt Lung	8	6	$36,642.00	$18,321.00 50% off	$12,657.84	$63,035.00	$17,804.35	2026-03-31
93451	CPT	Hc Cath Rt Hrt	8	8	$36,642.00	$18,321.00 50% off	$17,804.35	$63,035.00	$17,804.35	2026-03-31
93462	CPT	Hc Cath Lt Hrt Trnseptl Punc Add-on	11	8	$36,642.00	$18,321.00 50% off	$3,196.43	$63,035.00	$17,804.35	2026-03-31
93618	CPT	Hc Indct Arythm Via Elect Pace	5	5	$36,642.00	$18,321.00 50% off	$17,804.35	$20,493.87	$17,804.35	2026-03-31
93453	CPT	Hc Cath Rt&Lt Hrt W Lt Vntrclogrphy	9	8	$36,642.00	$18,321.00 50% off	$16,084.00	$63,035.00	$17,804.35	2026-03-31
93452	CPT	Hc Cath Lt Hrt W Lt Ventrclogrphy	8	8	$36,642.00	$18,321.00 50% off	$17,804.35	$63,035.00	$17,804.35	2026-03-31
92928	CPT	Hc Plcmt Stent Trnscath	11	8	$36,642.00	$18,321.00 50% off	$4,762.31	$20,493.87	$17,804.35	2026-03-31
92987	CPT	Hc Revision Mitral Vlve	8	8	$36,642.00	$18,321.00 50% off	$17,804.35	$20,493.87	$17,804.35	2026-03-31
J0180	HCPCS	Agalsidase Beta 35 Mg Intravenous Solution	24	6	$57,066.87	$28,533.43 50% off	$4,401.64	$32,314.07	$17,738.08	2026-03-31
J0597	HCPCS	C1 Esterase Inhibitor 500 Unit (10 Ml) Intravenous Kit	12	6	$55,032.55	$27,516.27 50% off	$16,980.59	$17,828.65	$17,703.83	2026-03-31
36905	CPT	Hc Thrmbc Prq Dlysis Circ W/Trnslm Bln Angp	7	7	$41,816.00	$20,908.00 50% off	$17,646.35	$25,089.60	$17,646.35	2026-03-31
Q4130	HCPCS	Hc Impl Mesh Gp079	5	5	$36,000.00	$18,000.00 50% off	$15,192.00	$18,720.00	$17,492.40	2026-03-31
37229	CPT	Hc Revasc Tib/Peroneal Atherectomy	7	7	$40,979.00	$20,489.50 50% off	$17,293.14	$24,587.40	$17,293.14	2026-03-31
0238T	CPT	Hc Transluminal Periph Atherect Iliac Art	7	7	$40,979.00	$20,489.50 50% off	$17,293.14	$24,587.40	$17,293.14	2026-03-31
37230	CPT	Hc Revasc Tib/Peroneal Stent Pl	7	7	$40,979.00	$20,489.50 50% off	$17,293.14	$24,587.40	$17,293.14	2026-03-31
79445	CPT	Hc Radio Rx Thrpy Intra-art Admin	5	5	$35,476.00	$17,738.00 50% off	$14,970.87	$18,447.52	$17,237.79	2026-03-31
33993	CPT	Hc Reposition Rt/Lt Vad W Img Distinct Session	8	8	$47,304.00	$23,652.00 50% off	$17,228.12	$26,457.13	$17,228.12	2026-03-31
33992	CPT	Hc Rmvl Perc Vad Lt Hrt Art/Ven Canula(S) Distinct Session	8	8	$47,304.00	$23,652.00 50% off	$17,228.12	$26,457.13	$17,228.12	2026-03-31
33741	CPT	Hc Transcath Atrial Septostomy Cong Anom Any Mthd	5	5	$47,304.00	$23,652.00 50% off	$17,228.12	$26,457.13	$17,228.12	2026-03-31
33999	CPT	Hc Unlisted Proc Cardiac Surgery	8	8	$46,740.00	$23,370.00 50% off	$17,022.71	$26,141.68	$17,022.71	2026-03-31
33244	CPT	Hc Rmvl Icd Via Transven Extrct	8	8	$46,740.00	$23,370.00 50% off	$17,022.71	$26,141.68	$17,022.71	2026-03-31
33211	CPT	Hc Insrt/Replce Temp Lead Dual Chmb	8	8	$46,740.00	$23,370.00 50% off	$17,022.71	$26,141.68	$17,022.71	2026-03-31
37243	CPT	Hc Vasc/Lymph Emblz Tum Organ Infarc	7	7	$40,329.00	$20,164.50 50% off	$17,018.84	$24,197.40	$17,018.84	2026-03-31
805	MS_DRG	Vaginal Delivery Without Sterilization Or D&c With Mcc	6	6	—	$66,711.73	$17,000.00	$17,000.00	$17,000.00	2026-03-31
798	MS_DRG	Vaginal Delivery With Sterilization And/or D&c Without Cc/mcc	6	6	—	$65,936.43	$17,000.00	$17,000.00	$17,000.00	2026-03-31
796	MS_DRG	Vaginal Delivery With Sterilization And/or D&c With Mcc	6	6	—	$72,251.32	$17,000.00	$17,000.00	$17,000.00	2026-03-31
797	MS_DRG	Vaginal Delivery With Sterilization And/or D&c With Cc	6	6	—	$76,385.91	$17,000.00	$17,000.00	$17,000.00	2026-03-31
785	MS_DRG	Cesarean Section With Sterilization Without Cc/mcc	6	6	—	$66,969.76	$17,000.00	$17,000.00	$17,000.00	2026-03-31
786	MS_DRG	Cesarean Section Without Sterilization With Mcc	6	6	—	$98,530.00	$1,172.48	$17,000.00	$17,000.00	2026-03-31
787	MS_DRG	Cesarean Section Without Sterilization With Cc	7	6	—	$84,230.30	$7,498.24	$17,000.00	$17,000.00	2026-03-31
784	MS_DRG	Cesarean Section With Sterilization With Cc	6	6	—	$76,558.15	$17,000.00	$17,000.00	$17,000.00	2026-03-31
768	MS_DRG	Vaginal Delivery With O.r. Procedures Except Sterilization And/or D&c	7	6	—	$64,938.37	$4,704.40	$17,000.00	$17,000.00	2026-03-31
788	MS_DRG	Cesarean Section Without Sterilization Without Cc/mcc	7	6	—	$74,200.44	$9,761.40	$17,000.00	$17,000.00	2026-03-31
A9603	HCPCS	Pafolacianine 3.2 Mg/1.6 Ml Intravenous Solution	12	6	$52,651.70	$26,325.85 50% off	$16,244.90	$17,058.45	$16,937.90	2026-03-31
0826T	CPT	Hc Eval Pcmkr Ldls Sgl Chmbr	5	5	$32,494.00	$16,247.00 50% off	$15,788.83	$18,173.89	$16,896.88	2026-03-31
J9309	HCPCS	Polatuzumab Vedotin-piiq 30 Mg Intravenous Solution	12	6	$52,517.48	$26,258.74 50% off	$16,158.75	$17,061.80	$16,894.47	2026-03-31
37282	CPT	Hc Cath Revasc Tib/Peroneal Angiop Cmplx Les 1st Vsl	5	5	$32,442.00	$16,221.00 50% off	$11,815.38	$18,144.81	$16,869.84	2026-03-31
75600	CPT	Hc Aortogrphy Thoracic Sgl Img S&i	5	5	$34,651.00	$17,325.50 50% off	$14,622.72	$18,018.52	$16,836.92	2026-03-31
J0896	HCPCS	Luspatercept-aamt 25 Mg Subcutaneous Solution	12	6	$51,976.30	$25,988.15 50% off	$16,036.20	$16,839.95	$16,720.63	2026-03-31
Q5111	HCPCS	Pegfilgrastim-cbqv 6 Mg/0.6 Ml Subcutaneous Syringe	12	6	$51,723.95	$25,861.97 50% off	$15,958.23	$16,758.32	$16,639.46	2026-03-31
J7175	HCPCS	Coagulation Factor X 250 (+/-) Unit Range Intravenous Solution	24	6	$52,868.18	$26,434.08 50% off	$10,874.53	$22,820.89	$16,592.56	2026-03-31
22515	CPT	Hc Perc Vertebral Augmentation T/l Ea Ad	7	7	$39,124.00	$19,562.00 50% off	$16,510.33	$23,474.40	$16,510.33	2026-03-31
22514	CPT	Hc Perc Vertebral Augmentation Lumbar	7	7	$39,124.00	$19,562.00 50% off	$16,510.33	$23,474.40	$16,510.33	2026-03-31
22513	CPT	Hc Perc Vertebral Augmentation Thoracic	7	7	$39,124.00	$19,562.00 50% off	$16,510.33	$23,474.40	$16,510.33	2026-03-31
37267	CPT	Hc Cath Fem/Pop Uni Stent Plcmt Sf Les 1st Vsl	5	5	$31,713.00	$15,856.50 50% off	$11,549.87	$17,737.08	$16,490.76	2026-03-31
33241	CPT	Hc Rmvl Icd Gen Only	8	8	$44,844.00	$22,422.00 50% off	$16,332.18	$25,081.25	$16,332.18	2026-03-31
33234	CPT	Hc Rmvl Lead Sgl Pcmkr	8	8	$44,844.00	$22,422.00 50% off	$16,332.18	$25,081.25	$16,332.18	2026-03-31
33233	CPT	Hc Rmvl Pcmkr Gen Only	8	8	$44,844.00	$22,422.00 50% off	$16,332.18	$16,332.18	$16,332.18	2026-03-31
33231	CPT	Hc Insrt Icd Gen W Exist Multi Ld	8	8	$44,844.00	$22,422.00 50% off	$16,332.18	$25,081.25	$16,332.18	2026-03-31
33230	CPT	Hc Insrt Icd Gen W Exist Dual Ld	8	8	$44,844.00	$22,422.00 50% off	$16,332.18	$25,081.25	$16,332.18	2026-03-31
33229	CPT	Hc Rmvl & Repl Perm Pcmkr Mlti Ld	8	8	$44,844.00	$22,422.00 50% off	$16,332.18	$26,443.00	$16,332.18	2026-03-31
33228	CPT	Hc Rmvl & Repl Perm Pcmkr Dual Ld	9	8	$44,844.00	$22,422.00 50% off	$13,574.75	$25,081.25	$16,332.18	2026-03-31
33227	CPT	Hc Rmvl & Replce Perm Pcmkr Sgl Ld	8	8	$44,844.00	$22,422.00 50% off	$16,332.18	$25,081.25	$16,332.18	2026-03-31
33226	CPT	Hc Reposition Lt Vent Lead	8	8	$44,844.00	$22,422.00 50% off	$16,332.18	$25,081.25	$16,332.18	2026-03-31
33223	CPT	Hc Relocate Pocket Icd	8	8	$44,844.00	$22,422.00 50% off	$16,332.18	$16,332.18	$16,332.18	2026-03-31
33222	CPT	Hc Relocate Pocket Pcmkr	8	8	$44,844.00	$22,422.00 50% off	$16,332.18	$16,332.18	$16,332.18	2026-03-31
33217	CPT	Hc Insrt 2 Leads Pcmkr Or Icd	8	8	$44,844.00	$22,422.00 50% off	$16,332.18	$25,081.25	$16,332.18	2026-03-31
33214	CPT	Hc Upgrade Pcmkr Sgl To Dual	8	8	$44,844.00	$22,422.00 50% off	$16,332.18	$25,081.25	$16,332.18	2026-03-31
37271	CPT	Hc Cath Fem/Pop Artherectomy Uni Sf Les 1st Vsl	5	5	$31,400.00	$15,700.00 50% off	$11,435.88	$17,562.02	$16,328.00	2026-03-31
J0480	HCPCS	Basiliximab 20 Mg Intravenous Solution	24	6	$51,769.41	$25,884.71 50% off	$13,813.86	$19,032.72	$16,322.01	2026-03-31
75894	CPT	Hc Thrpy Transcath Embol	5	5	$34,651.00	$17,325.50 50% off	$14,622.72	$16,836.92	$16,320.62	2026-03-31
75860	CPT	Hc Venogram Neck Sinus Or Jug	5	5	$34,651.00	$17,325.50 50% off	$14,622.72	$16,836.92	$16,320.62	2026-03-31
75710	CPT	Hc Angio Extremity Uni	5	5	$34,651.00	$17,325.50 50% off	$14,622.72	$16,836.92	$16,320.62	2026-03-31
75705	CPT	Hc Angio Spinal	5	5	$34,651.00	$17,325.50 50% off	$14,622.72	$16,836.92	$16,320.62	2026-03-31
75741	CPT	Hc Angio Pulmonary Uni	5	5	$34,651.00	$17,325.50 50% off	$14,622.72	$16,836.92	$16,320.62	2026-03-31
75726	CPT	Hc Angio Visceral Abd	5	5	$34,651.00	$17,325.50 50% off	$14,622.72	$16,836.92	$16,320.62	2026-03-31
75625	CPT	Hc Aortogrphy Abd Serial Img S&i	5	5	$34,651.00	$17,325.50 50% off	$14,622.72	$16,836.92	$16,320.62	2026-03-31
J2425	HCPCS	Palifermin 5.16 Mg Intravenous Solution	12	6	$50,642.22	$25,321.11 50% off	$15,623.97	$16,408.38	$16,291.46	2026-03-31
37256	CPT	Hc Cath Revasc Angiop Iliac Artery Cmplx Les 1st Vsl	5	5	$31,197.60	$15,598.80 50% off	$11,362.17	$17,448.82	$16,222.75	2026-03-31
J2353	HCPCS	Octreotide,microspheres ER 20 Mg Intramuscular Susp, Extended Release	24	6	$50,423.43	$25,211.71 50% off	$13,467.71	$18,524.27	$15,897.98	2026-03-31
C9482	HCPCS	Sotalol 150 Mg/10 Ml (15 Mg/ml) Intravenous Solution	12	6	$49,336.54	$24,668.27 50% off	$15,220.52	$15,985.99	$15,871.42	2026-03-31
0863T	CPT	Hc Rlcj Pulse Gen Wcs Lv Transmtr Only	5	5	$32,494.00	$16,247.00 50% off	$15,788.83	$15,788.83	$15,788.83	2026-03-31
0862T	CPT	Hc Rlcj Pulse Gen Wcs Lv Battery Only	5	5	$32,494.00	$16,247.00 50% off	$15,788.83	$15,788.83	$15,788.83	2026-03-31
0861T	CPT	Hc Rmv Pulse Gen Wrls Lv Both Compnt	5	5	$32,494.00	$16,247.00 50% off	$15,788.83	$15,788.83	$15,788.83	2026-03-31
0824T	CPT	Hc Transcat Rmvl Pcmkr Ldls R Atrial W Img	5	5	$32,494.00	$16,247.00 50% off	$15,788.83	$63,035.00	$15,788.83	2026-03-31
J9352	HCPCS	Trabectedin 1 Mg Intravenous Solution	12	6	$49,055.49	$24,527.74 50% off	$15,088.99	$15,941.85	$15,780.74	2026-03-31
Q5122	HCPCS	Pegfilgrastim-apgf 6 Mg/0.6 Ml Subcutaneous Syringe	12	6	$48,631.45	$24,315.72 50% off	$15,002.65	$15,757.90	$15,644.60	2026-03-31
G0269	HCPCS	Hc Place Occlusive Dev Art/Vein	7	7	$36,642.00	$18,321.00 50% off	$15,462.92	$21,985.20	$15,462.92	2026-03-31
0234T	CPT	Hc Transluminal Periph Atherect Renal	7	7	$36,155.00	$18,077.50 50% off	$15,257.41	$21,693.00	$15,257.41	2026-03-31
J0565	HCPCS	Bezlotoxumab 25 Mg/ml Intravenous Solution	12	6	$47,085.20	$23,542.60 50% off	$14,524.85	$15,257.68	$15,147.17	2026-03-31
61645	CPT	Hc Fl Perc Art Mech Thrmbect/Inf Thrmb Intracr	7	7	$35,283.00	$17,641.50 50% off	$14,889.43	$21,169.80	$14,889.43	2026-03-31
124	MS_DRG	Other Disorders Of The Eye With Mcc Or Thrombolytic Agent	5	5	—	$70,120.77	$14,838.50	$14,838.50	$14,838.50	2026-03-31
93724	CPT	Hc Electronic Analysis Antitach Pcmkr	5	5	$28,351.00	$14,175.50 50% off	$13,775.75	$15,856.71	$14,742.52	2026-03-31
J2182	HCPCS	Mepolizumab 100 Mg Subcutaneous Solution	12	6	$45,537.47	$22,768.73 50% off	$14,046.61	$14,756.99	$14,649.26	2026-03-31
J1437	HCPCS	Ferric Derisomaltose 100 Mg Iron/ml Intravenous Solution	12	6	$45,256.67	$22,628.33 50% off	$13,959.84	$14,666.15	$14,558.92	2026-03-31
J0897	HCPCS	Denosumab 120 Mg/1.7 Ml (70 Mg/ml) Subcutaneous Solution	24	6	$45,325.40	$22,662.69 50% off	$13,581.62	$15,106.59	$14,325.36	2026-03-31
33272	CPT	Hc Rmvl Subq Dfb Electrode	8	8	$38,743.00	$19,371.50 50% off	$14,110.20	$21,668.96	$14,110.20	2026-03-31
33271	CPT	Hc Insrt Subq Dfb Electrode	8	8	$38,743.00	$19,371.50 50% off	$14,110.20	$21,668.96	$14,110.20	2026-03-31
37280	CPT	Hc Cath Revasc Tib/Peroneal Angiop Sf Les 1st Vsl	5	5	$27,035.00	$13,517.50 50% off	$9,846.15	$15,120.68	$14,058.20	2026-03-31
37183	CPT	Hc Tips Revision	7	7	$33,194.00	$16,597.00 50% off	$14,007.87	$19,916.40	$14,007.87	2026-03-31
C2621	HCPCS	Hc Impl Pacemaker Other Gp073	21	3	$28,800.00	$14,400.00 50% off	$7,434.27	$16,150.72	$13,993.92	2026-03-31
37254	CPT	Hc Cath Revasc Angiop Iliac Artery Sf Les 1st Vsl	5	5	$25,998.00	$12,999.00 50% off	$9,468.47	$14,540.68	$13,518.96	2026-03-31
C9167	HCPCS	Adamts13, Recombinant-krhn 500 (+/-) Unit Intravenous Kit	24	6	$42,879.40	$21,439.70 50% off	$6,612.63	$20,820.04	$13,406.03	2026-03-31
37226	CPT	Hc Revasc Fem/Pop Uni Stent Pl	7	7	$31,713.00	$15,856.50 50% off	$13,382.89	$19,027.80	$13,382.89	2026-03-31
J0139	HCPCS	Adalimumab 40 Mg/0.4 Ml Subcutaneous Syringe Kit	18	6	$42,816.41	$21,408.20 50% off	$203.21	$13,902.35	$13,279.22	2026-03-31
37225	CPT	Hc Revasc Fem/Pop Stent Pl	7	7	$31,400.00	$15,700.00 50% off	$13,250.80	$18,840.00	$13,250.80	2026-03-31
J1743	HCPCS	Idursulfase 6 Mg/3 Ml Intravenous Solution	12	6	$41,031.94	$20,515.97 50% off	$12,654.40	$13,299.45	$13,199.83	2026-03-31
J0596	HCPCS	C1 Esterase Inhibitor 500 Unit (5 Ml) Intravenous Solution	12	6	$40,629.79	$20,314.89 50% off	$12,530.13	$13,169.36	$13,070.47	2026-03-31
47399	CPT	Hc Ins Tunn Transhepatic Ven Access Dvc	9	8	$35,770.00	$17,885.00 50% off	$2,528.62	$20,006.16	$13,027.43	2026-03-31
J2783	HCPCS	Rasburicase 1.5 Mg Intravenous Solution	24	6	$41,570.49	$20,785.25 50% off	$4,273.61	$22,421.96	$12,946.70	2026-03-31
93799	CPT	Hc Unlisted Proc Cardiovascular	5	5	$24,871.00	$12,435.50 50% off	$12,084.82	$13,910.35	$12,932.92	2026-03-31
93318	CPT	Hc Echo Trnsesoph Cong 2d	5	5	$24,871.00	$12,435.50 50% off	$12,084.82	$13,910.35	$12,932.92	2026-03-31
92960	CPT	Hc Cardioversion	5	5	$24,871.00	$12,435.50 50% off	$12,084.82	$13,910.35	$12,932.92	2026-03-31
37182	CPT	Hc Insrt Shunt Hepatic/Tips	8	8	$35,454.00	$17,727.00 50% off	$12,912.35	$19,829.42	$12,912.35	2026-03-31
33904	CPT	Hc Perq P-art Revsc Each Addl	9	8	$35,441.00	$17,720.50 50% off	$12,907.61	$19,822.15	$12,907.61	2026-03-31
33903	CPT	Hc Perq P-art Revsc 1 Abnor Bi	8	8	$35,441.00	$17,720.50 50% off	$12,907.61	$19,822.15	$12,907.61	2026-03-31

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