Hospital

Loma Linda University Behavioral Med Ctr

Redlands, CA · CCN 054093 · Rates published

1,405 distinct procedures filed

16 distinct payers

33,493 rate rows

2026-08-31 last MRF observed

Data quality

32,899 of 33,493 rate rows are consumer-grade (98.2%)

594 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	317
placeholder amount (≤ $0.02) — excluded from medians	268
exceeds 10× this hospital's gross charge — excluded from medians	5
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	4

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

Source MRF file	https://pricetransparency.healthcare/llu-bmc/charges/export
Found on page	https://pricetransparency.healthcare/llu-bmc/charges/
Discovered via	Discovered by HANK
Last fetch	success · 2026-11-02
Content fingerprint	efd1dadb4262d2c1… · 28,711,061 bytes · first seen 2026-11-02

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
J3402 HCPCS	Remestemcel-l-rknd 6.68 X 10exp6 Cell/ml Intravenous Suspension [245044]	7	$128,040.00	$202,713.58	$139,680.00	nat. median $209,753 0.7× median
A9606 HCPCS	Radium Ra 223 Dichlor 1,100 Kbq/ml (30 Microcurie/ml) Intravenous Soln [202157]	7	$171.09	$48,297.60	$36,223.20	nat. median $266 outlier · 136.0×
A9513 HCPCS	Lutetium Lu 177 Dotatate 10 Mci/ml (370 Mbq/ml) Intravenous Solution [220890]	7	$319.94	$46,944.00	$35,208.00	nat. median $479 outlier · 73.5×
J0223 HCPCS	Givosiran 189 Mg/ml Subcutaneous Solution [226473]	7	$120.98	$43,401.60	$32,551.20	nat. median $156 outlier · 208.8×
A9607 HCPCS	Lutetium Lu-177 Vipivotide Tetraxetan 27 Mci/ml (1,000 Mbq/ml) IV Soln [233901]	7	$259.60	$41,616.00	$31,212.00	nat. median $432 outlier · 72.2×
J9274 HCPCS	Tebentafusp-tebn 100 Mcg/0.5 Ml Intravenous Solution [233477]	7	$222.49	$41,299.20	$30,974.40	nat. median $418 outlier · 74.0×
J2326 HCPCS	Nusinersen (pf) 12 Mg/5 Ml Intrathecal Solution [216584]	7	$1,285.78	$52,040.63	$29,142.75	nat. median $2,468 outlier · 11.8×
J0177 HCPCS	Aflibercept 8 Mg/0.07 Ml Intravitreal Solution For Injection [239224]	7	$301.18	$38,578.01	$28,933.51	nat. median $461 outlier · 62.8×
J0178 HCPCS	Aflibercept 2 Mg/0.05 Ml Intravitreal Solution For Injection [152966]	7	$731.89	$38,411.52	$28,808.64	nat. median $1,343 outlier · 21.5×
J1930 HCPCS	Lanreotide 60 Mg/0.2 Ml Subcutaneous Syringe [88570]	7	$35.72	$32,126.40	$24,094.80	nat. median $5,001 outlier · 4.8×
J3357 HCPCS	Ustekinumab 90 Mg/ml Subcutaneous Syringe [108054]	6	$20,201.96	$29,384.67	$22,038.50	nat. median $14,771 1.5× median
J9359 HCPCS	Loncastuximab Tesirine-lpyl 10 Mg Intravenous Solution [231219]	7	$221.49	$28,565.29	$21,423.97	nat. median $727 outlier · 29.4×
J3399 HCPCS	Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit [224879]	6	$19,506.26	$28,372.74	$21,279.56	nat. median $2,467,989 outlier · 0.0×
J9038 HCPCS	Axatilimab-csfr 50 Mg/ml Intravenous Solution [244149]	7	$55.65	$25,584.00	$19,188.00	nat. median $11,116 1.7× median
J9281 HCPCS	Mitomycin 40 Mg X 2 Intra-pyelocalyceal Kit [227769]	7	$323.17	$24,916.80	$18,687.60	nat. median $533 outlier · 35.1×
J0202 HCPCS	Alemtuzumab 12 Mg/1.2 Ml Intravenous Solution [208005]	7	$2,440.42	$24,033.34	$18,025.01	nat. median $3,931 outlier · 4.6×
J9229 HCPCS	Inotuzumab Ozogamicin 0.9 Mg(0.25 Mg/ml Initial Concentration) IV Soln [219527]	7	$2,816.77	$23,886.87	$17,915.15	nat. median $6,152 outlier · 2.9×
J2781 HCPCS	Pegcetacoplan (pf) 15 Mg/0.1 Ml Intravitreal Solution [237231]	7	$147.81	$23,651.62	$16,894.01	nat. median $173 outlier · 97.5×
J9600 HCPCS	Porfimer 75 Mg Intravenous Solution [14472]	6	$15,393.18	$22,390.08	$16,792.56	nat. median $29,838 0.6× median
J9282 HCPCS	Mitomycin 40 Mg X 2 Intravesical Kit [246379]	7	$278.33	$20,688.00	$15,516.00	nat. median $457 outlier · 34.0×
J2782 HCPCS	Avacincaptad Pegol (pf) 2 Mg/0.1 Ml Intravitreal Solution [239150]	7	$103.40	$20,160.00	$15,120.00	nat. median $128 outlier · 118.0×
J9309 HCPCS	Polatuzumab Vedotin-piiq 140 Mg Intravenous Solution [225066]	7	$137.23	$18,938.97	$14,204.23	nat. median $4,472 outlier · 3.2×
J3241 HCPCS	Teprotumumab-trbw 500 Mg Intravenous Solution [226977]	7	$367.91	$18,673.76	$14,005.32	nat. median $738 outlier · 19.0×
J7170 HCPCS	Emicizumab-kxwh 105 Mg/0.7 Ml Subcutaneous Solution [220371]	7	$55.64	$18,193.70	$13,645.28	nat. median $122 outlier · 112.1×
J9029 HCPCS	Nadofaragene Firadenovec-vncg 3x10exp11 Vp/ml Intravesical Suspension [238729]	7	$10,199.23	$64,282.30	$11,126.43	nat. median $68,131 outlier · 0.2×
J9042 HCPCS	Brentuximab Vedotin 50 Mg Intravenous Solution [153071]	7	$268.73	$13,136.45	$9,852.34	nat. median $1,041 outlier · 9.5×
J9153 HCPCS	Daunorubicin 44 Mg And Cytarabine 100 Mg In Liposome IV Solution [219514]	7	$261.20	$11,011.20	$8,258.40	nat. median $640 outlier · 12.9×
J1640 HCPCS	Hemin 350 Mg Intravenous Powder For Solution [218818]	7	$35.31	$10,970.07	$8,227.55	nat. median $80 outlier · 102.6×
J9203 HCPCS	Gemtuzumab Ozogamicin 4.5 Mg (1 Mg/ml Initial Concentration) IV Soln [219685]	7	$240.17	$10,383.94	$7,787.95	nat. median $689 outlier · 11.3×
J2506 HCPCS	Pegfilgrastim 6 Mg/0.6 Ml (deliverable) Wearable Subcutaneous Injector [208788]	7	$127.38	$10,268.78	$7,701.59	nat. median $1,662 outlier · 4.6×
J3380 HCPCS	Vedolizumab 300 Mg Intravenous Solution [205964]	7	$20.98	$9,704.35	$7,278.26	nat. median $204 outlier · 35.7×
J9043 HCPCS	Cabazitaxel 60 Mg/1.5ml (must Be Diluted To 10 Mg/ml) Intravenous Soln [105644]	7	$231.05	$9,420.70	$7,065.53	nat. median $742 outlier · 9.5×
J7313 HCPCS	Fluocinolone 0.19 Mg Intravitreal Implant [208310]	7	$509.81	$8,969.28	$6,726.96	nat. median $612 outlier · 11.0×
J7314 HCPCS	Fluocinolone 0.18 Mg Intravitreal Implant [223628]	7	$529.89	$8,897.28	$6,672.96	nat. median $644 outlier · 10.4×
J9331 HCPCS	Sirolimus-protein Bound 100 Mg Intravenous Suspension [233123]	7	$87.11	$8,491.52	$6,368.64	nat. median $169 outlier · 37.7×
J0801 HCPCS	Corticotropin 80 Unit/ml Injection Gel [9685]	7	$4,094.26	$8,959.30	$6,159.52	nat. median $5,165 1.2× median
J3101 HCPCS	Tenecteplase 50 Mg Intravenous Solution [220772]	7	$197.44	$8,204.34	$6,153.25	nat. median $4,042 1.5× median
J9223 HCPCS	Lurbinectedin 4 Mg Intravenous Solution [228261]	7	$212.10	$8,073.60	$6,055.20	nat. median $618 outlier · 9.8×
J0596 HCPCS	C1 Esterase Inhibitor, Recombinant 2,100 Unit Intravenous Solution [207371]	7	$36.68	$7,987.20	$5,990.40	nat. median $52 outlier · 115.8×
J1323 HCPCS	Elranatamab-bcmm 40 Mg/ml Subcutaneous Solution [239200]	7	$186.79	$7,807.25	$5,855.44	nat. median $2,094 outlier · 2.8×
J9273 HCPCS	Tisotumab Vedotin-tftv 40 Mg Intravenous Solution [232793]	7	$196.12	$7,381.86	$5,536.39	nat. median $583 outlier · 9.5×
J1449 HCPCS	Eflapegrastim-xnst 13.2 Mg/0.6 Ml Subcutaneous Syringe [235968]	7	$38.96	$7,200.00	$5,400.00	nat. median $31 outlier · 174.1×
70553 CPT	Hc MRI Brain W Wo Contrast	7	$448.71	$10,460.00	$5,070.40	nat. median $1,122 outlier · 4.5×
Q5111 HCPCS	Pegfilgrastim-cbqv 6 Mg/0.6 Ml Subcutaneous Auto-injector [237958]	7	$135.89	$6,680.00	$5,010.00	nat. median $2,014 outlier · 2.5×
78811 CPT	Hc PET Tumor Limited	7	$1,665.13	$6,110.40	$4,582.80	nat. median $1,664 outlier · 2.8×
J0717 HCPCS	Certolizumab Pegol 400 Mg/2 Ml (200 Mg/ml X2) Subcutaneous Syringe Kit [97853]	7	$3.79	$6,047.42	$4,535.57	nat. median $1,753 outlier · 2.6×
J9118 HCPCS	Calaspargase Pegol-mknl 750 Unit/ml Intravenous Solution [225926]	7	$82.08	$5,853.69	$4,390.27	nat. median $197 outlier · 22.3×
J9207 HCPCS	Ixabepilone 45 Mg Intravenous Solution [88653]	7	$139.75	$5,801.94	$4,351.45	nat. median $2,096 outlier · 2.1×
J9039 HCPCS	Blinatumomab 35 Mcg Intravenous Kit [208374]	7	$163.96	$5,654.58	$4,240.93	nat. median $621 outlier · 6.8×
J2406 HCPCS	Oritavancin 1,200 Mg Intravenous Solution [231752]	7	$43.72	$5,594.75	$4,196.06	nat. median $62 outlier · 67.7×

Other procedures at this hospital

Browse this hospital's 1,405 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

J0129	HCPCS	Abatacept (with Maltose) 250 Mg Intravenous Solution [70287]	8	7	$1,925.10	$866.30 55% off	$44.72	$1,540.08	$1,155.06	2026-08-31
J0586	HCPCS	Abobotulinumtoxina 300 Unit Intramuscular Solution [106761]	15	7	$634.20	$285.39 55% off	$8.90	$845.28	$507.36	2026-08-31
J9354	HCPCS	Ado-trastuzumab Emtansine 100 Mg Intravenous Solution [200177]	15	7	$4,979.06	$2,240.58 55% off	$42.20	$6,373.19	$3,983.25	2026-08-31
J0178	HCPCS	Aflibercept 2 Mg/0.05 Ml Intravitreal Solution For Injection [152966]	8	7	$48,014.40	$21,606.48 55% off	$731.89	$38,411.52	$28,808.64	2026-08-31
J0177	HCPCS	Aflibercept 8 Mg/0.07 Ml Intravitreal Solution For Injection [239224]	8	7	$48,222.51	$21,700.13 55% off	$301.18	$38,578.01	$28,933.51	2026-08-31
J0180	HCPCS	Agalsidase Beta 35 Mg Intravenous Solution [35775]	15	7	$9,674.75	$4,353.64 55% off	$227.58	$7,739.80	$1,105.50	2026-08-31
J0202	HCPCS	Alemtuzumab 12 Mg/1.2 Ml Intravenous Solution [208005]	8	7	$30,041.68	$13,518.76 55% off	$2,440.42	$24,033.34	$18,025.01	2026-08-31
J0221	HCPCS	Alglucosidase Alfa 50 Mg Intravenous Solution [76353]	8	7	$1,215.88	$547.15 55% off	$207.51	$972.70	$729.53	2026-08-31
J2997	HCPCS	Alteplase 1 Mg/2 Ml Syringe [408189]	22	7	$5,280.22	$2,376.10 55% off	$29.04	$8,448.34	$3,168.13	2026-08-31
C9399	HCPCS	Angiotensin Ii 2.5 Mg/ml Intravenous Solution [220829]	56	6	$870.47	$391.71 55% off	$8.55	$3,372.69	$539.33	2026-08-31
J7511	HCPCS	Anti-thymocyte Globulin (rabbit) 25 Mg Intravenous Solution [24585]	8	7	$1,376.95	$619.63 55% off	$757.32	$1,101.56	$826.17	2026-08-31
J0841	HCPCS	Antivenin Crotalidae (equine) 120 Mg Solution For Injection [222871]	7	6	$1,584.00	$712.80 55% off	$871.20	$1,267.20	$950.40	2026-08-31
J0391	HCPCS	Artesunate 110 Mg Intravenous Solution [230847]	8	7	$6,454.20	$2,904.39 55% off	$51.83	$5,163.36	$3,872.52	2026-08-31
J9022	HCPCS	Atezolizumab 1,200 Mg/20 Ml (60 Mg/ml) Intravenous Solution [214353]	8	7	$716.22	$322.30 55% off	$94.00	$572.98	$429.73	2026-08-31
J2782	HCPCS	Avacincaptad Pegol (pf) 2 Mg/0.1 Ml Intravitreal Solution [239150]	8	7	$25,200.00	$11,340.00 55% off	$103.40	$20,160.00	$15,120.00	2026-08-31
J0219	HCPCS	Avalglucosidase Alfa-ngpt 100 Mg Intravenous Solution [232506]	8	7	$2,431.75	$1,094.29 55% off	$81.20	$1,945.40	$1,459.05	2026-08-31
J9038	HCPCS	Axatilimab-csfr 50 Mg/ml Intravenous Solution [244149]	8	7	$31,980.00	$14,391.00 55% off	$55.65	$25,584.00	$19,188.00	2026-08-31
J0480	HCPCS	Basiliximab 20 Mg Intravenous Solution [23082]	8	7	$5,692.03	$2,561.41 55% off	$3,130.62	$4,812.31	$3,415.22	2026-08-31
J0485	HCPCS	Belatacept 250 Mg Intravenous Solution [153042]	8	7	$1,163.86	$523.74 55% off	$3.89	$931.09	$698.32	2026-08-31
J0490	HCPCS	Belimumab 120 Mg Intravenous Solution [108842]	15	7	$808.33	$363.75 55% off	$57.19	$2,155.38	$646.66	2026-08-31
J9034	HCPCS	Bendamustine 25 Mg/ml Intravenous Solution [212360]	8	7	$742.14	$333.96 55% off	$12.90	$593.71	$445.28	2026-08-31
J9039	HCPCS	Blinatumomab 35 Mcg Intravenous Kit [208374]	8	7	$7,068.22	$3,180.70 55% off	$163.96	$5,654.58	$4,240.93	2026-08-31
J9048	HCPCS	Bortezomib 3.5 Mg Intravenous Powder For Solution [220799]	8	7	$1,923.58	$865.61 55% off	$6.97	$1,538.86	$1,154.15	2026-08-31
J9042	HCPCS	Brentuximab Vedotin 50 Mg Intravenous Solution [153071]	8	7	$16,420.56	$7,389.25 55% off	$268.73	$13,136.45	$9,852.34	2026-08-31
J0597	HCPCS	C1 Esterase Inhibitor 500 Unit (10 Ml) Intravenous Kit [192162]	8	7	$5,330.96	$2,398.93 55% off	$76.05	$4,264.77	$3,198.58	2026-08-31
J0596	HCPCS	C1 Esterase Inhibitor, Recombinant 2,100 Unit Intravenous Solution [207371]	8	7	$9,984.00	$4,492.80 55% off	$36.68	$7,987.20	$5,990.40	2026-08-31
J9043	HCPCS	Cabazitaxel 60 Mg/1.5ml (must Be Diluted To 10 Mg/ml) Intravenous Soln [105644]	8	7	$11,775.88	$5,299.15 55% off	$231.05	$9,420.70	$7,065.53	2026-08-31
J9118	HCPCS	Calaspargase Pegol-mknl 750 Unit/ml Intravenous Solution [225926]	8	7	$7,317.11	$3,292.70 55% off	$82.08	$5,853.69	$4,390.27	2026-08-31
C9460	HCPCS	Cangrelor 50 Mg Intravenous Solution [210327]	8	7	$1,260.31	$567.14 55% off	$20.02	$1,008.25	$756.19	2026-08-31
J9047	HCPCS	Carfilzomib 10 Mg Intravenous Solution [222456]	22	7	$2,270.88	$1,021.90 55% off	$56.24	$3,633.40	$1,362.53	2026-08-31
J9050	HCPCS	Carmustine 100 Mg Intravenous Powder For Solution [28911]	15	7	$421.20	$189.54 55% off	$231.66	$518.40	$336.96	2026-08-31
J9119	HCPCS	Cemiplimab-rwlc 50 Mg/ml Intravenous Solution [222941]	8	7	$2,006.23	$902.80 55% off	$29.76	$1,604.98	$1,203.74	2026-08-31
J0716	HCPCS	Centruroides (scorpion) Polyvalent Antivenom 35 Mg IV Solution [153126]	7	6	$6,295.32	$2,832.89 55% off	$3,462.43	$5,036.26	$3,777.19	2026-08-31
J0717	HCPCS	Certolizumab Pegol 400 Mg/2 Ml (200 Mg/ml X2) Subcutaneous Syringe Kit [97853]	8	7	$7,559.28	$3,401.68 55% off	$3.79	$6,047.42	$4,535.57	2026-08-31
J9057	HCPCS	Copanlisib 60 Mg Intravenous Solution [219718]	7	6	$6,304.32	$2,836.94 55% off	$3,467.38	$5,043.46	$3,782.59	2026-08-31
J0801	HCPCS	Corticotropin 80 Unit/ml Injection Gel [9685]	15	7	$11,199.12	$5,039.60 55% off	$4,094.26	$8,959.30	$6,159.52	2026-08-31
J9275	HCPCS	Cosibelimab-ipdl 300 Mg/5 Ml (60 Mg/ml) Intravenous Solution [247041]	8	7	$778.50	$350.32 55% off	$22.92	$622.80	$467.10	2026-08-31
J0840	HCPCS	Crotalidae Polyval Immune Fab 1 Gram Solution For Injection [29313]	8	7	$3,837.60	$1,726.92 55% off	$1,841.02	$3,070.08	$2,302.56	2026-08-31
J9074	HCPCS	Cyclophosphamide 1 Gram Intravenous Powder For Solution [38270]	22	7	$672.43	$302.59 55% off	$3.65	$1,075.90	$403.46	2026-08-31
J9120	HCPCS	Dactinomycin 0.5 Mg Intravenous Solution [28912]	8	7	$885.00	$398.25 55% off	$337.67	$708.00	$531.00	2026-08-31
J0875	HCPCS	Dalbavancin 500 Mg Intravenous Solution [206124]	15	7	$1,921.46	$864.66 55% off	$15.00	$1,707.97	$1,280.98	2026-08-31
J9144	HCPCS	Daratumumab 1,800 Mg-hyaluronidase-fihj 30,000 Unit/15 Ml Subcut Soln [228045]	8	7	$899.03	$404.56 55% off	$55.03	$719.22	$539.42	2026-08-31
J0881	HCPCS	Darbepoetin Alfa 100 Mcg/0.5 Ml In Polysorbate Injection Syringe [108044]	29	7	$1,857.60	$835.92 55% off	$3.07	$3,715.20	$743.04	2026-08-31
J9153	HCPCS	Daunorubicin 44 Mg And Cytarabine 100 Mg In Liposome IV Solution [219514]	8	7	$13,764.00	$6,193.80 55% off	$261.20	$11,011.20	$8,258.40	2026-08-31
J9155	HCPCS	Degarelix 80 Mg Subcutaneous Solution [96986]	8	7	$586.14	$263.76 55% off	$4.46	$468.91	$351.68	2026-08-31
J0897	HCPCS	Denosumab 120 Mg/1.7 Ml (70 Mg/ml) Subcutaneous Solution [106804]	15	7	$2,508.16	$1,128.67 55% off	$29.51	$2,006.53	$1,504.90	2026-08-31
Q5136	HCPCS	Denosumab-bbdz 60 Mg/ml Subcutaneous Syringe [245944]	8	7	$1,924.96	$866.23 55% off	$27.91	$1,539.97	$1,154.98	2026-08-31
Q5157	HCPCS	Denosumab-bmwo 60 Mg/ml Subcutaneous Syringe [246286]	8	7	$2,137.99	$962.10 55% off	$26.21	$1,710.39	$1,282.79	2026-08-31
Q5159	HCPCS	Denosumab-dssb 60 Mg/ml Subcutaneous Syringe [247538]	7	6	$1,170.00	$526.50 55% off	$643.50	$936.00	$702.00	2026-08-31
Q5162	HCPCS	Denosumab-nxxp 60 Mg/ml Subcutaneous Syringe [247605]	8	7	$1,012.80	$455.76 55% off	$15.84	$810.24	$607.68	2026-08-31
J7312	HCPCS	Dexamethasone 0.7 Mg Intravitreal Implant [99461]	8	7	$1,680.00	$756.00 55% off	$203.79	$1,344.00	$1,008.00	2026-08-31
L8604	HCPCS	Dextranomer 50mg-hyaluronate 15mg/ml(1)-0.9%sodchl Gel Implant Syringe [227990]	7	6	$3,966.00	$1,784.70 55% off	$2,181.30	$3,172.80	$2,379.60	2026-08-31
J1162	HCPCS	Digoxin Immune Fab 40 Mg Intravenous Solution [31432]	8	7	$6,552.00	$2,948.40 55% off	$3,603.60	$5,241.60	$3,931.20	2026-08-31
J9272	HCPCS	Dostarlimab-gxly 50 Mg/ml Intravenous Solution [231227]	8	7	$1,501.96	$675.88 55% off	$247.08	$1,201.57	$901.18	2026-08-31
J1449	HCPCS	Eflapegrastim-xnst 13.2 Mg/0.6 Ml Subcutaneous Syringe [235968]	8	7	$9,000.00	$4,050.00 55% off	$38.96	$7,200.00	$5,400.00	2026-08-31
J9176	HCPCS	Elotuzumab 300 Mg Intravenous Solution [212322]	15	7	$2,841.11	$1,278.50 55% off	$8.04	$3,030.49	$2,130.83	2026-08-31
J1323	HCPCS	Elranatamab-bcmm 40 Mg/ml Subcutaneous Solution [239200]	8	7	$9,759.06	$4,391.58 55% off	$186.79	$7,807.25	$5,855.44	2026-08-31
J9210	HCPCS	Emapalumab-lzsg 5 Mg/ml Intravenous Solution [223872]	8	7	$2,226.60	$1,001.97 55% off	$384.14	$1,781.28	$1,335.96	2026-08-31
J7170	HCPCS	Emicizumab-kxwh 105 Mg/0.7 Ml Subcutaneous Solution [220371]	8	7	$22,742.13	$10,233.96 55% off	$55.64	$18,193.70	$13,645.28	2026-08-31
J9177	HCPCS	Enfortumab Vedotin-ejfv 20 Mg Intravenous Solution [226724]	15	7	$3,421.37	$1,539.62 55% off	$36.71	$4,105.63	$2,737.10	2026-08-31
J9321	HCPCS	Epcoritamab-bysp 4 Mg/0.8 Ml Subcutaneous Solution [238113]	15	7	$2,143.28	$964.48 55% off	$56.92	$20,575.39	$1,714.62	2026-08-31
J9179	HCPCS	Eribulin 1 Mg/2 Ml (0.5 Mg/ml) Intravenous Solution [106773]	8	7	$846.00	$380.70 55% off	$76.76	$676.80	$507.60	2026-08-31
J1438	HCPCS	Etanercept 25 Mg/0.5 Ml (0.5 Ml) Subcutaneous Syringe [108125]	7	6	$2,569.66	$1,156.35 55% off	$1,413.31	$2,055.73	$1,541.80	2026-08-31
J1428	HCPCS	Eteplirsen 50 Mg/ml Intravenous Solution [215689]	8	7	$960.00	$432.00 55% off	$167.51	$768.00	$576.00	2026-08-31
J7307	HCPCS	Etonogestrel 68 Mg Subdermal Implant [77012]	7	6	$1,530.43	$688.69 55% off	$841.74	$1,224.34	$918.26	2026-08-31
J9358	HCPCS	Fam-trastuzumab Deruxtecan-nxki 100 Mg Intravenous Solution [226729]	8	7	$3,888.95	$1,750.03 55% off	$31.26	$3,111.16	$2,333.37	2026-08-31
A9697	HCPCS	Ferumoxides 28 Mg Iron-32 Mg/ml Subcutaneous Suspension [241631]	8	7	$660.00	$297.00 55% off	$363.00	$1,254.00	$396.00	2026-08-31
Q5101	HCPCS	Filgrastim-sndz 300 Mcg/0.5 Ml Injection Syringe [211102]	8	7	$658.47	$296.31 55% off	$0.35	$526.78	$395.08	2026-08-31
A9609	HCPCS	Florbetaben F-18 8.1 Mci (300 Mbq) Intravenous Solution [231724]	7	6	$4,202.40	$1,891.08 55% off	$2,311.32	$3,361.92	$2,521.44	2026-08-31
A9588	HCPCS	Fluciclovine F18 10 Mci (370 Mbq) Intravenous Solution [219653]	8	7	$6,589.20	$2,965.14 55% off	$322.27	$5,271.36	$3,953.52	2026-08-31
J7314	HCPCS	Fluocinolone 0.18 Mg Intravitreal Implant [223628]	8	7	$11,121.60	$5,004.72 55% off	$529.89	$8,897.28	$6,672.96	2026-08-31
J7313	HCPCS	Fluocinolone 0.19 Mg Intravitreal Implant [208310]	8	7	$11,211.60	$5,045.22 55% off	$509.81	$8,969.28	$6,726.96	2026-08-31
A9591	HCPCS	Fluoroestradiol F-18 148 Mbq/ml To 3,700 Mbq/ml Intravenous Solution [229585]	8	7	$5,703.60	$2,566.62 55% off	$460.42	$4,562.88	$3,422.16	2026-08-31
J1451	HCPCS	Fomepizole 1 Gram/ml Intravenous Solution [22185]	15	7	$1,200.00	$540.00 55% off	$6.54	$960.00	$630.40	2026-08-31
J1458	HCPCS	Galsulfase 5 Mg/5 Ml Intravenous Solution [41550]	8	7	$611.76	$275.29 55% off	$336.47	$513.60	$367.06	2026-08-31
J9203	HCPCS	Gemtuzumab Ozogamicin 4.5 Mg (1 Mg/ml Initial Concentration) IV Soln [219685]	8	7	$12,979.92	$5,840.96 55% off	$240.17	$10,383.94	$7,787.95	2026-08-31
J0223	HCPCS	Givosiran 189 Mg/ml Subcutaneous Solution [226473]	8	7	$54,252.00	$24,413.40 55% off	$120.98	$43,401.60	$32,551.20	2026-08-31
J1602	HCPCS	Golimumab 12.5 Mg/ml Intravenous Solution [203118]	8	7	$599.76	$269.89 55% off	$11.29	$479.81	$359.86	2026-08-31
J1429	HCPCS	Golodirsen 50 Mg/ml Intravenous Solution [226694]	7	6	$960.00	$432.00 55% off	$528.00	$768.00	$576.00	2026-08-31
J9202	HCPCS	Goserelin 10.8 Mg Subcutaneous Implant [16254]	14	6	$2,635.15	$1,185.82 55% off	$778.15	$3,084.39	$1,626.19	2026-08-31
J1628	HCPCS	Guselkumab 200 Mg/20 Ml (10 Mg/ml) Intravenous Solution [242810]	8	7	$917.69	$412.96 55% off	$67.81	$734.15	$550.61	2026-08-31
74021	CPT	Hc Abdomen Three Or More Views	8	7	$842.00	$378.90 55% off	$134.46	$673.60	$505.20	2026-08-31
74019	CPT	Hc Abdomen Two Views	8	7	$674.00	$303.30 55% off	$134.46	$539.20	$404.40	2026-08-31
73610	CPT	Hc Ankle Complete	8	7	$1,123.00	$505.35 55% off	$111.93	$898.40	$673.80	2026-08-31
73600	CPT	Hc Ankle Limited	8	7	$959.00	$431.55 55% off	$111.93	$767.20	$575.40	2026-08-31
38222	CPT	Hc Bone Marrow Asp/at Time Of Bx	8	7	$4,855.00	$2,184.75 55% off	$2,670.25	$3,884.00	$2,913.00	2026-08-31
38221	CPT	Hc Bone Marrow Bx Only	8	7	$4,855.00	$2,184.75 55% off	$2,124.23	$3,884.00	$2,913.00	2026-08-31
909001155	CDM	Hc Chest 1view	7	6	$623.00	$280.35 55% off	$342.65	$498.40	$373.80	2026-08-31
909001152	CDM	Hc Chest 3view	7	6	$623.00	$280.35 55% off	$342.65	$498.40	$373.80	2026-08-31
74270	CPT	Hc Colon W Sngl Contrast Enema	8	7	$1,436.00	$646.20 55% off	$225.59	$1,148.80	$861.60	2026-08-31
74178	CPT	Hc CT Abdomen & Pelvis W & Without Co	15	7	$7,670.00	$3,451.50 55% off	$448.71	$6,136.00	$3,444.80	2026-08-31
74170	CPT	Hc CT Abdomen W/wo Cont	15	7	$6,243.00	$2,809.35 55% off	$225.59	$4,994.40	$2,804.00	2026-08-31
74150	CPT	Hc CT Abdomen Wo Contr	15	7	$4,791.00	$2,155.95 55% off	$134.46	$3,832.80	$2,132.00	2026-08-31
72193	CPT	Hc CT Bone Pelvis W Contrast	15	7	$4,918.00	$2,213.10 55% off	$225.59	$3,934.40	$2,208.80	2026-08-31
72192	CPT	Hc CT Bone Pelvis Without Contrast	15	7	$4,525.00	$2,036.25 55% off	$134.46	$3,620.00	$2,032.80	2026-08-31
72194	CPT	Hc CT Bone Pelvis W/wo Contrast	15	7	$5,375.00	$2,418.75 55% off	$225.59	$4,300.00	$2,414.40	2026-08-31
72127	CPT	Hc CT C Spine W/wo Contrast	15	7	$5,403.00	$2,431.35 55% off	$225.59	$4,322.40	$2,414.40	2026-08-31
71260	CPT	Hc CT Chest W Contrast	15	7	$4,918.00	$2,213.10 55% off	$225.59	$3,934.40	$2,208.80	2026-08-31
71270	CPT	Hc CT Chest W Wo Contra	15	7	$5,833.00	$2,624.85 55% off	$225.59	$4,666.40	$2,619.20	2026-08-31
71250	CPT	Hc CT Chest Without Contrast	15	7	$4,005.00	$1,802.25 55% off	$134.46	$3,204.00	$1,798.40	2026-08-31
72125	CPT	Hc CT Cspine Wo Contrast	15	7	$4,780.00	$2,151.00 55% off	$134.46	$3,824.00	$2,147.20	2026-08-31
70450	CPT	Hc CT Head No Contrast	15	7	$4,522.00	$2,034.90 55% off	$134.46	$3,617.60	$2,124.80	2026-08-31
70460	CPT	Hc CT Head W Contrast	15	7	$5,277.00	$2,374.65 55% off	$225.59	$4,221.60	$2,371.20	2026-08-31
70470	CPT	Hc CT Head W/wo Contras	15	7	$5,482.00	$2,466.90 55% off	$225.59	$4,385.60	$2,655.20	2026-08-31
70487	CPT	Hc CT Maxillofac W Cont	15	7	$4,333.00	$1,949.85 55% off	$225.59	$3,466.40	$1,946.40	2026-08-31
70486	CPT	Hc CT Maxillofac Without Co	15	7	$3,783.00	$1,702.35 55% off	$134.46	$3,026.40	$1,699.20	2026-08-31
70491	CPT	Hc CT Soft Tis Nck W Contr	15	7	$4,882.00	$2,196.90 55% off	$225.59	$3,905.60	$2,192.00	2026-08-31
70490	CPT	Hc CT Soft Tis Nck Wo Contr	15	7	$4,333.00	$1,949.85 55% off	$134.46	$3,466.40	$1,946.40	2026-08-31
70492	CPT	Hc CT Soft Tissue Neck W/wo Cntrst	15	7	$4,959.00	$2,231.55 55% off	$225.59	$3,967.20	$2,612.80	2026-08-31
72130	CPT	Hc CT Tspine W Without Contrast	15	7	$5,116.00	$2,302.20 55% off	$225.59	$4,092.80	$2,403.20	2026-08-31
95816	CPT	Hc Eeg,awake/drowsy	8	7	$2,957.00	$1,330.65 55% off	$277.71	$2,365.60	$1,774.20	2026-08-31
73080	CPT	Hc Elbow Complete	8	7	$1,238.00	$557.10 55% off	$111.93	$990.40	$742.80	2026-08-31
73070	CPT	Hc Elbow Limited 2 View	8	7	$875.00	$393.75 55% off	$111.93	$700.00	$525.00	2026-08-31
93005	CPT	Hc Electrocardiogram	8	7	$660.00	$297.00 55% off	$75.87	$528.00	$396.00	2026-08-31
90870	CPT	Hc Electroconvulsive Therapy	5	5	$2,886.00	$1,298.70 55% off	$900.00	$2,164.50	$1,074.00	2026-08-31
74220	CPT	Hc Esophogram	8	7	$1,198.00	$539.10 55% off	$225.59	$958.40	$718.80	2026-08-31
70150	CPT	Hc Facial Bones Complete	8	7	$1,695.00	$762.75 55% off	$134.46	$1,356.00	$1,017.00	2026-08-31
73140	CPT	Hc Fingers Min 2 Views	8	7	$736.00	$331.20 55% off	$111.93	$588.80	$441.60	2026-08-31
73630	CPT	Hc Foot Complete	8	7	$1,098.00	$494.10 55% off	$111.93	$878.40	$658.80	2026-08-31
73620	CPT	Hc Foot Limited 2 Views	8	7	$852.00	$383.40 55% off	$111.93	$681.60	$511.20	2026-08-31
73090	CPT	Hc Forearm	8	7	$877.00	$394.65 55% off	$111.93	$701.60	$526.20	2026-08-31
90899	CPT	Hc Full Day Adol/child	10	5	$1,347.00	$606.15 55% off	$471.35	$1,469.60	$847.98	2026-08-31
87507	CPT	Hc Gastro Panel Nucleic Acid	15	7	$1,762.00	$792.90 55% off	$416.78	$1,409.60	$1,057.20	2026-08-31
74245	CPT	Hc Gastro Ugi Smb W Wo Kub	7	6	$1,906.00	$857.70 55% off	$1,048.30	$1,524.80	$1,143.60	2026-08-31
73130	CPT	Hc Hand Complete Min 3 Views	8	7	$1,079.00	$485.55 55% off	$111.93	$863.20	$647.40	2026-08-31
73120	CPT	Hc Hand Limited 2 Views	8	7	$1,076.00	$484.20 55% off	$134.46	$860.80	$645.60	2026-08-31
90935	CPT	Hc Hemodialysis	8	7	$931.00	$418.95 55% off	$512.05	$882.72	$558.60	2026-08-31
73060	CPT	Hc Humerus	8	7	$1,046.00	$470.70 55% off	$111.93	$836.80	$627.60	2026-08-31
73560	CPT	Hc Knee 1-2 Views	8	7	$882.00	$396.90 55% off	$111.93	$705.60	$529.20	2026-08-31
73562	CPT	Hc Knee 3 Views	8	7	$1,013.00	$455.85 55% off	$111.93	$810.40	$607.80	2026-08-31
73564	CPT	Hc Knee Complete 4 Views	8	7	$1,244.00	$559.80 55% off	$134.46	$995.20	$746.40	2026-08-31
72110	CPT	Hc Lum Spine W/obliques	8	7	$1,600.00	$720.00 55% off	$134.46	$1,280.00	$960.00	2026-08-31
70110	CPT	Hc Mandible-complete	8	7	$1,790.00	$805.50 55% off	$134.46	$1,432.00	$1,074.00	2026-08-31
87483	CPT	Hc Meningitis Panel Nucleic Acid	15	7	$1,762.00	$792.90 55% off	$416.78	$1,409.60	$1,057.20	2026-08-31
70553	CPT	Hc MRI Brain W Wo Contrast	15	7	$13,075.00	$5,883.75 55% off	$448.71	$10,460.00	$5,070.40	2026-08-31
70551	CPT	Hc MRI Brain Wo Contrast	15	7	$11,051.00	$4,972.95 55% off	$306.88	$8,840.80	$4,100.80	2026-08-31
73721	CPT	Hc MRI Lower Extrem Joint Wo Cont	15	7	$8,287.00	$3,729.15 55% off	$306.88	$6,629.60	$2,912.80	2026-08-31
76376	CPT	Hc Multi-planar Recon	7	6	$1,768.00	$795.60 55% off	$972.40	$1,414.40	$1,060.80	2026-08-31
70160	CPT	Hc Nasal Bones	8	7	$1,173.00	$527.85 55% off	$111.93	$938.40	$703.80	2026-08-31
70200	CPT	Hc Orbits	8	7	$1,603.00	$721.35 55% off	$134.46	$1,282.40	$961.80	2026-08-31
72170	CPT	Hc Pelvis 1 Or 2 Views	8	7	$919.00	$413.55 55% off	$134.46	$735.20	$551.40	2026-08-31
72190	CPT	Hc Pelvis Complete Min 3 Views	8	7	$1,471.00	$661.95 55% off	$134.46	$1,176.80	$882.60	2026-08-31
88319	CPT	Hc Peroxidase Stain	15	7	$1,056.00	$475.20 55% off	$210.65	$1,036.24	$580.80	2026-08-31
78811	CPT	Hc PET Tumor Limited	8	7	$7,638.00	$3,437.10 55% off	$1,665.13	$6,110.40	$4,582.80	2026-08-31
74248	CPT	Hc Rdlgc Sm Int Flw Thrgh Stdy	7	6	$954.00	$429.30 55% off	$524.70	$763.20	$572.40	2026-08-31
80069	CPT	Hc Renal Function Panel	8	7	$561.00	$252.45 55% off	$8.68	$448.80	$336.60	2026-08-31
71110	CPT	Hc Ribs Bilateral	8	7	$1,577.00	$709.65 55% off	$134.46	$1,261.60	$946.20	2026-08-31
71100	CPT	Hc Ribs Unilateral	8	7	$1,240.00	$558.00 55% off	$111.93	$992.00	$744.00	2026-08-31
902302115	CDM	Hc Room Detox	3	3	$5,100.00	$2,295.00 55% off	$2,406.50	$3,825.00	$2,805.00	2026-08-31
902322115	CDM	Hc Room Detox Adolescent	3	3	$5,100.00	$2,295.00 55% off	$2,406.50	$3,825.00	$2,805.00	2026-08-31
902301115	CDM	Hc Room Detox Adult	3	3	$5,100.00	$2,295.00 55% off	$2,406.50	$3,825.00	$2,805.00	2026-08-31
902304115	CDM	Hc Room Detox Child	3	3	$5,100.00	$2,295.00 55% off	$2,406.50	$3,825.00	$2,805.00	2026-08-31
902303115	CDM	Hc Room Detox Geriatric	3	3	$5,100.00	$2,295.00 55% off	$2,406.50	$3,825.00	$2,805.00	2026-08-31
902301136	CDM	Hc Room ICU Psych Adolescent	4	4	$5,559.00	$2,501.55 55% off	$2,714.10	$4,447.20	$3,613.35	2026-08-31
902301116	CDM	Hc Room ICU Psych Adult	4	4	$5,049.00	$2,272.05 55% off	$2,510.10	$4,039.20	$3,281.85	2026-08-31
902301126	CDM	Hc Room ICU Psych Child	4	4	$5,559.00	$2,501.55 55% off	$2,714.10	$4,447.20	$3,613.35	2026-08-31
902301125	CDM	Hc Room ICU Psych Geriatric	4	4	$5,049.00	$2,272.05 55% off	$2,510.10	$4,039.20	$3,281.85	2026-08-31
902301138	CDM	Hc Room Intensive Adol Eating Dis	4	4	$2,338.00	$1,052.10 55% off	$1,285.90	$1,870.40	$1,589.60	2026-08-31
902301114	CDM	Hc Room Rehab	3	3	$1,849.00	$832.05 55% off	$1,016.95	$1,386.75	$1,224.00	2026-08-31
72220	CPT	Hc Sacrum And Coccyx	8	7	$1,151.00	$517.95 55% off	$111.93	$920.80	$690.60	2026-08-31
73010	CPT	Hc Scapula	8	7	$1,202.00	$540.90 55% off	$134.46	$961.60	$721.20	2026-08-31
73030	CPT	Hc Shoulder Complete Unilat	8	7	$1,153.00	$518.85 55% off	$111.93	$922.40	$691.80	2026-08-31
73020	CPT	Hc Shoulder Limited	8	7	$973.00	$437.85 55% off	$111.93	$778.40	$583.80	2026-08-31
70220	CPT	Hc Sinus/ Paranasal Complete	8	7	$1,722.00	$774.90 55% off	$111.93	$1,377.60	$1,033.20	2026-08-31
70260	CPT	Hc Skull Complete	8	7	$1,568.00	$705.60 55% off	$134.46	$1,254.40	$940.80	2026-08-31
70250	CPT	Hc Skull Limited	8	7	$1,173.00	$527.85 55% off	$134.46	$938.40	$703.80	2026-08-31
81479	CPT	Hc Sogdx 230 Gch1 81479	28	6	$800.00	$458.12 43% off	$275.00	$1,087.20	$524.38	2026-08-31
81405	CPT	Hc Sogdx 559 Tp53 Gene 81405	8	7	$1,395.00	$627.75 55% off	$301.35	$1,116.00	$837.00	2026-08-31
81450	CPT	Hc Som Myeloid Neoplasm Ngs	8	7	$1,989.23	$1,989.23	$759.53	$1,591.38	$1,193.54	2026-08-31
81406	CPT	Hc Som Ubems 81406	8	7	$967.50	$967.50	$282.88	$774.00	$580.50	2026-08-31
72040	CPT	Hc Spine 2-3 Views	8	7	$1,133.00	$509.85 55% off	$111.93	$906.40	$679.80	2026-08-31
72050	CPT	Hc Spine Minimum 4 Views	8	7	$1,758.00	$791.10 55% off	$134.46	$1,406.40	$1,054.80	2026-08-31
72070	CPT	Hc Thoracic Spine 2views	8	7	$1,133.00	$509.85 55% off	$134.46	$906.40	$679.80	2026-08-31
72072	CPT	Hc Thoracic Spine 3views	8	7	$1,241.00	$558.45 55% off	$134.46	$992.80	$744.60	2026-08-31
73590	CPT	Hc Tibia Fibula	8	7	$1,013.00	$455.85 55% off	$111.93	$810.40	$607.80	2026-08-31
88237	CPT	Hc Tiss Cul Neo Bone Marrow Bld	22	7	$648.00	$291.60 55% off	$111.65	$596.80	$388.80	2026-08-31
88230	CPT	Hc Tiss Cul Non-neo Lymphocyte	22	7	$684.00	$307.80 55% off	$55.55	$758.40	$410.40	2026-08-31
73660	CPT	Hc Toes	8	7	$740.00	$333.00 55% off	$111.93	$592.00	$444.00	2026-08-31
76770	CPT	Hc Ultrasound Retroperitoneal Complete	8	7	$2,430.00	$1,093.50 55% off	$134.46	$1,944.00	$1,458.00	2026-08-31
74455	CPT	Hc Voiding Cysto Urethrogram	8	7	$1,155.00	$519.75 55% off	$306.88	$924.00	$693.00	2026-08-31
73110	CPT	Hc Wrist Complete Min 3 Views	8	7	$1,106.00	$497.70 55% off	$111.93	$884.80	$663.60	2026-08-31
73100	CPT	Hc Wrist Limited	8	7	$919.00	$413.55 55% off	$111.93	$735.20	$551.40	2026-08-31
73552	CPT	Hc Xray Femur Min 2 Views	8	7	$655.00	$294.75 55% off	$111.93	$524.00	$393.00	2026-08-31
73521	CPT	Hc Xray Hip W/pelvis Bi 2 Views	8	7	$1,296.00	$583.20 55% off	$134.46	$1,036.80	$777.60	2026-08-31
73522	CPT	Hc Xray Hip W/pelvis Bi 3-4 Views	8	7	$1,446.00	$650.70 55% off	$134.46	$1,156.80	$867.60	2026-08-31
73523	CPT	Hc Xray Hip W/pelvis Bi 5/gt Views	8	7	$1,519.00	$683.55 55% off	$134.46	$1,215.20	$911.40	2026-08-31
73501	CPT	Hc Xray Hip W/pelvis Uni 1 View	8	7	$796.00	$358.20 55% off	$111.93	$636.80	$477.60	2026-08-31
73502	CPT	Hc Xray Hip W/pelvis Uni 2-3 View	8	7	$1,106.00	$497.70 55% off	$111.93	$884.80	$663.60	2026-08-31
73503	CPT	Hc Xray Hip W/pelvis Uni 4 Gt Views	8	7	$1,365.00	$614.25 55% off	$134.46	$1,092.00	$819.00	2026-08-31
J1640	HCPCS	Hemin 350 Mg Intravenous Powder For Solution [218818]	8	7	$13,712.59	$6,170.67 55% off	$35.31	$10,970.07	$8,227.55	2026-08-31
90651	HCPCS	Human Papillomavirus Vaccine,9-valent(pf) 0.5 Ml Intramuscular Syringe [208396]	7	6	$788.02	$354.61 55% off	$433.41	$630.42	$472.81	2026-08-31
J3424	HCPCS	Hydroxocobalamin 5 Gram Intravenous Solution [188307]	8	7	$1,257.60	$565.92 55% off	$5.44	$1,006.08	$754.56	2026-08-31
J0870	HCPCS	Imetelstat 188 Mg Intravenous Solution [241932]	15	7	$12,772.56	$5,747.65 55% off	$58.17	$10,218.05	$2,554.51	2026-08-31
J1786	HCPCS	Imiglucerase 400 Unit Intravenous Solution [26431]	8	7	$2,101.76	$945.79 55% off	$42.83	$1,681.41	$1,261.06	2026-08-31
J1566	HCPCS	Immune Glob,gamma(igg) 10 Gram-gly-gluc-iga 0 To 50 Mcg/ml IV Solution [210304]	8	7	$2,772.36	$1,247.56 55% off	$80.40	$2,217.89	$1,663.42	2026-08-31
J1306	HCPCS	Inclisiran 284 Mg/1.5 Ml Subcutaneous Syringe [233001]	8	7	$2,984.99	$1,343.25 55% off	$12.61	$2,387.99	$1,790.99	2026-08-31
J0588	HCPCS	Incobotulinumtoxina 100 Unit Intramuscular Solution [105971]	8	7	$613.20	$275.94 55% off	$5.29	$490.56	$367.92	2026-08-31
A9572	HCPCS	Indium 111-pentetreotide 3 Mci/ml-10 Mcg Intravenous Kit [13545]	8	7	$4,608.00	$2,073.60 55% off	$2,000.94	$3,686.40	$2,764.80	2026-08-31
J1745	HCPCS	Infliximab 100 Mg Intravenous Solution [23796]	8	7	$570.00	$256.50 55% off	$31.04	$456.00	$342.00	2026-08-31
Q5104	HCPCS	Infliximab-abda 100 Mg Intravenous Solution [219233]	8	7	$904.07	$406.83 55% off	$26.80	$723.26	$542.44	2026-08-31
Q5103	HCPCS	Infliximab-dyyb 100 Mg Intravenous Solution [216056]	8	7	$1,135.54	$510.99 55% off	$26.04	$908.43	$681.32	2026-08-31
J9229	HCPCS	Inotuzumab Ozogamicin 0.9 Mg(0.25 Mg/ml Initial Concentration) IV Soln [219527]	8	7	$29,858.59	$13,436.37 55% off	$2,816.77	$23,886.87	$17,915.15	2026-08-31
A9508	HCPCS	Iobenguane Sulfate I-123 10 Mci/5 Ml (370 Mbq/5 Ml) Intravenous Soln [153452]	8	7	$6,130.09	$2,758.54 55% off	$953.01	$4,904.07	$3,678.05	2026-08-31
J9228	HCPCS	Ipilimumab 50 Mg/10 Ml (5 Mg/ml) Intravenous Solution [108955]	8	7	$1,108.30	$498.74 55% off	$187.17	$886.64	$664.98	2026-08-31
J9207	HCPCS	Ixabepilone 45 Mg Intravenous Solution [88653]	8	7	$7,252.42	$3,263.59 55% off	$139.75	$5,801.94	$4,351.45	2026-08-31
A9616	HCPCS	Kit For Preparation Of Ga-68-gozetotide 25 Mcg Intravenous Solution [233443]	8	7	$1,326.00	$596.70 55% off	$729.30	$1,171.30	$795.60	2026-08-31
A9521	HCPCS	Kit For Preparation Of Tc-99m-exametazime 0.5 Mg Intravenous Kit [153476]	7	6	$2,227.68	$1,002.46 55% off	$1,225.22	$1,782.14	$1,336.61	2026-08-31
A9569	HCPCS	Kit For Preparation Of Tc-99m-exametazime 0.5 Mg Intravenous Solution [224767]	8	7	$2,056.76	$925.54 55% off	$934.13	$1,645.41	$1,234.06	2026-08-31
A9520	HCPCS	Kit For The Prep Of Tc-99m-tilmanocept 250 Mcg Solution For Injection [223025]	7	6	$755.82	$340.12 55% off	$415.70	$604.66	$453.49	2026-08-31
A9587	HCPCS	Kit For The Preparation Of Ga-68-dotatate 40 Mcg Intravenous Soln [215477]	8	7	$3,931.20	$1,769.04 55% off	$49.63	$3,144.96	$2,358.72	2026-08-31
J1930	HCPCS	Lanreotide 60 Mg/0.2 Ml Subcutaneous Syringe [88570]	15	7	$40,158.00	$18,071.10 55% off	$35.72	$32,126.40	$24,094.80	2026-08-31
J9218	HCPCS	Leuprolide 1 Mg/0.2 Ml Subcutaneous Kit [14135]	7	6	$855.36	$384.91 55% off	$470.45	$684.29	$513.22	2026-08-31
J1950	HCPCS	Leuprolide 11.25 Mg Intramuscular Kit [10390]	22	7	$4,956.43	$2,230.39 55% off	$1,248.17	$5,446.60	$2,973.86	2026-08-31
J9217	HCPCS	Leuprolide 30 Mg (4 Month) Intramuscular Syringe Kit [21108]	50	7	$2,730.11	$1,228.55 55% off	$176.20	$12,981.02	$1,833.17	2026-08-31
J7296	HCPCS	Levonorgestrel 17.5 Mcg/24 Hr (up To 5 Yrs) 19.5mg Intrauterine Device [216252]	7	6	$1,526.93	$687.12 55% off	$839.81	$1,221.54	$916.16	2026-08-31
J7297	HCPCS	Levonorgestrel 20.4 Mcg/24 Hr (up To 8 Yrs) 52 Mg Intrauterine Device [205847]	7	6	$1,173.98	$528.29 55% off	$645.69	$939.18	$704.39	2026-08-31
J9359	HCPCS	Loncastuximab Tesirine-lpyl 10 Mg Intravenous Solution [231219]	8	7	$35,706.61	$16,067.97 55% off	$221.49	$28,565.29	$21,423.97	2026-08-31
J9223	HCPCS	Lurbinectedin 4 Mg Intravenous Solution [228261]	8	7	$10,092.00	$4,541.40 55% off	$212.10	$8,073.60	$6,055.20	2026-08-31
J0896	HCPCS	Luspatercept-aamt 25 Mg Subcutaneous Solution [225877]	15	7	$5,034.48	$2,265.52 55% off	$42.75	$12,082.71	$4,027.58	2026-08-31
A9513	HCPCS	Lutetium Lu 177 Dotatate 10 Mci/ml (370 Mbq/ml) Intravenous Solution [220890]	8	7	$58,680.00	$26,406.00 55% off	$319.94	$46,944.00	$35,208.00	2026-08-31
A9607	HCPCS	Lutetium Lu-177 Vipivotide Tetraxetan 27 Mci/ml (1,000 Mbq/ml) IV Soln [233901]	8	7	$52,020.00	$23,409.00 55% off	$259.60	$41,616.00	$31,212.00	2026-08-31
J7504	HCPCS	Lymphocyte,anti-thymo Immune Globulin 50 Mg/ml Intravenous Solution [10475]	8	7	$1,339.22	$602.65 55% off	$736.57	$5,292.43	$803.53	2026-08-31
90620	HCPCS	Meningococcal B Vac,4-cmp 50 Mcg-50 Mcg-50 Mcg-25 Mcg/0.5ml IM Syringe [208665]	7	6	$601.34	$270.60 55% off	$330.74	$481.07	$360.80	2026-08-31
J2182	HCPCS	Mepolizumab 100 Mg Subcutaneous Solution [211796]	8	7	$4,498.06	$2,024.13 55% off	$31.82	$3,598.45	$2,698.84	2026-08-31
J9280	HCPCS	Mitomycin 20 Mg Intravenous Solution [10630]	22	7	$758.38	$341.27 55% off	$28.46	$1,213.38	$455.03	2026-08-31
J9281	HCPCS	Mitomycin 40 Mg X 2 Intra-pyelocalyceal Kit [227769]	8	7	$31,146.00	$14,015.70 55% off	$323.17	$24,916.80	$18,687.60	2026-08-31
J9282	HCPCS	Mitomycin 40 Mg X 2 Intravesical Kit [246379]	8	7	$25,860.00	$11,637.00 55% off	$278.33	$20,688.00	$15,516.00	2026-08-31
J9029	HCPCS	Nadofaragene Firadenovec-vncg 3x10exp11 Vp/ml Intravesical Suspension [238729]	8	7	$18,544.05	$8,344.82 55% off	$10,199.23	$64,282.30	$11,126.43	2026-08-31
J2323	HCPCS	Natalizumab 300 Mg/15 Ml Intravenous Solution [40120]	8	7	$710.34	$319.65 55% off	$24.32	$568.27	$426.20	2026-08-31
J9348	HCPCS	Naxitamab-gqgk 4 Mg/ml Intravenous Solution [229812]	8	7	$3,127.91	$1,407.56 55% off	$686.09	$2,502.33	$1,876.75	2026-08-31
90381	HCPCS	Nirsevimab-alip 100 Mg/ml Intramuscular Syringe [239073]	7	6	$714.07	$321.33 55% off	$392.74	$571.26	$428.44	2026-08-31
90380	HCPCS	Nirsevimab-alip 50 Mg/0.5 Ml Intramuscular Syringe [239072]	12	6	$1,428.14	$642.66 55% off	$785.48	$1,142.52	$856.89	2026-08-31
J9298	HCPCS	Nivolumab 240 Mg-relatlimab-rmbw 80 Mg/20 Ml Intravenous Solution [233890]	8	7	$943.82	$424.72 55% off	$201.76	$755.06	$566.29	2026-08-31
J2326	HCPCS	Nusinersen (pf) 12 Mg/5 Ml Intrathecal Solution [216584]	15	7	$36,428.44	$16,392.80 55% off	$1,285.78	$52,040.63	$29,142.75	2026-08-31
J2353	HCPCS	Octreotide,microspheres 20 Mg Intramuscular Wrap, Long-acting Release [40824435]	22	7	$5,539.56	$2,492.80 55% off	$188.35	$6,636.06	$3,323.74	2026-08-31
J0121	HCPCS	Omadacycline 100 Mg Intravenous Solution [223621]	8	7	$607.97	$273.59 55% off	$4.13	$486.38	$364.78	2026-08-31
J2357	HCPCS	Omalizumab 150 Mg Subcutaneous Solution [36151]	8	7	$1,864.51	$839.03 55% off	$41.82	$1,491.61	$1,118.71	2026-08-31
J0585	HCPCS	Onabotulinumtoxina 100 Unit Solution For Injection [32700]	8	7	$781.20	$351.54 55% off	$6.51	$624.96	$468.72	2026-08-31
J3399	HCPCS	Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit [224879]	7	6	$35,465.93	$15,959.67 55% off	$19,506.26	$28,372.74	$21,279.56	2026-08-31
J2406	HCPCS	Oritavancin 1,200 Mg Intravenous Solution [231752]	8	7	$6,993.44	$3,147.05 55% off	$43.72	$5,594.75	$4,196.06	2026-08-31
J2407	HCPCS	Oritavancin 400 Mg Intravenous Solution [207378]	8	7	$1,434.76	$645.64 55% off	$28.57	$1,147.81	$860.86	2026-08-31
J9264	HCPCS	Paclitaxel Protein-bound 100 Mg Intravenous Suspension [40475]	15	7	$1,896.07	$853.23 55% off	$6.02	$1,516.86	$1,137.64	2026-08-31
J2425	HCPCS	Palifermin 5.16 Mg Intravenous Solution [239790]	8	7	$4,601.84	$2,070.83 55% off	$36.72	$3,681.47	$2,761.10	2026-08-31
J2426	HCPCS	Paliperidone Palmitate 156 Mg/ml Intramuscular Syringe [99702]	15	7	$2,923.92	$1,315.76 55% off	$15.08	$2,339.14	$1,754.35	2026-08-31
J9266	HCPCS	Pegaspargase 750 Unit/ml Injection Solution [12519]	8	7	$6,757.42	$3,040.84 55% off	$3,716.58	$28,424.06	$4,054.45	2026-08-31
J2781	HCPCS	Pegcetacoplan (pf) 15 Mg/0.1 Ml Intravitreal Solution [237231]	22	7	$28,156.68	$12,670.51 55% off	$147.81	$23,651.62	$16,894.01	2026-08-31
J2506	HCPCS	Pegfilgrastim 6 Mg/0.6 Ml (deliverable) Wearable Subcutaneous Injector [208788]	8	7	$12,835.98	$5,776.19 55% off	$127.38	$10,268.78	$7,701.59	2026-08-31
Q5111	HCPCS	Pegfilgrastim-cbqv 6 Mg/0.6 Ml Subcutaneous Auto-injector [237958]	8	7	$8,350.00	$3,757.50 55% off	$135.89	$6,680.00	$5,010.00	2026-08-31
J2507	HCPCS	Pegloticase 8 Mg/50 Ml Intravenous Solution [247708]	15	7	$788.86	$354.99 55% off	$433.87	$31,554.29	$3,824.52	2026-08-31
J9271	HCPCS	Pembrolizumab 25 Mg/ml Intravenous Solution [208822]	8	7	$1,840.80	$828.36 55% off	$61.25	$1,472.64	$1,104.48	2026-08-31
A9548	HCPCS	Pentetate Indium Disodium In-111 1.5 Mci/1.5 Ml Intrathecal Solution [154582]	8	7	$3,187.81	$1,434.51 55% off	$745.62	$2,550.25	$1,912.69	2026-08-31
J9268	HCPCS	Pentostatin 10 Mg Intravenous Solution [10910]	8	7	$3,665.48	$1,649.47 55% off	$2,016.01	$2,932.38	$2,199.29	2026-08-31
J9316	HCPCS	Pertuzumab 1,200 Mg-trastuzumab 600 Mg-hyaluron-zzxf/15 Ml Subcut Soln [228328]	15	7	$1,163.42	$523.54 55% off	$60.23	$930.74	$698.05	2026-08-31
J9306	HCPCS	Pertuzumab 420 Mg/14 Ml (30 Mg/ml) Intravenous Solution [196616]	8	7	$590.46	$265.71 55% off	$17.02	$472.37	$354.28	2026-08-31
J2760	HCPCS	Phentolamine 5 Mg Injection Solution [10947]	15	7	$503.76	$226.69 55% off	$257.45	$470.37	$352.78	2026-08-31
J2562	HCPCS	Plerixafor 24 Mg/1.2 Ml (20 Mg/ml) Subcutaneous Solution [95849]	15	7	$500.00	$225.00 55% off	$32.74	$845.60	$400.00	2026-08-31
90677	HCPCS	Pneumococcal 20-valent Conj Vaccine-dip Crm (pf) 0.5 Ml IM Syringe [231988]	7	6	$759.38	$341.72 55% off	$417.66	$607.50	$455.63	2026-08-31
J9309	HCPCS	Polatuzumab Vedotin-piiq 140 Mg Intravenous Solution [225066]	8	7	$23,673.71	$10,653.17 55% off	$137.23	$18,938.97	$14,204.23	2026-08-31
J9600	HCPCS	Porfimer 75 Mg Intravenous Solution [14472]	7	6	$27,987.60	$12,594.42 55% off	$15,393.18	$22,390.08	$16,792.56	2026-08-31
90375	HCPCS	Rabies Immune Globulin (pf) 300 Unit/ml Intramuscular Solution [221392]	8	7	$832.93	$374.82 55% off	$275.18	$666.34	$499.76	2026-08-31
A9606	HCPCS	Radium Ra 223 Dichlor 1,100 Kbq/ml (30 Microcurie/ml) Intravenous Soln [202157]	8	7	$60,372.00	$27,167.40 55% off	$171.09	$48,297.60	$36,223.20	2026-08-31
J2783	HCPCS	Rasburicase 1.5 Mg Intravenous Solution [33591]	8	7	$1,341.68	$603.76 55% off	$382.19	$1,073.34	$805.01	2026-08-31
J1303	HCPCS	Ravulizumab-cwvz 100 Mg/ml Intravenous Solution [229668]	8	7	$2,678.15	$1,205.17 55% off	$223.68	$2,142.52	$1,606.89	2026-08-31
J0248	HCPCS	Remdesivir 100 Mg Intravenous Powder For Solution [227996]	8	7	$850.36	$382.66 55% off	$6.90	$680.29	$510.22	2026-08-31
J3402	HCPCS	Remestemcel-l-rknd 6.68 X 10exp6 Cell/ml Intravenous Suspension [245044]	8	7	$232,800.00	$104,760.00 55% off	$128,040.00	$202,713.58	$139,680.00	2026-08-31
J9345	HCPCS	Retifanlimab-dlwr 500 Mg/20 Ml Intravenous Solution [237494]	8	7	$902.28	$406.03 55% off	$30.40	$721.82	$541.37	2026-08-31
J0587	HCPCS	Rimabotulinumtoxinb 2,500 Unit/0.5 Ml Intramuscular Solution [108078]	8	7	$762.10	$342.94 55% off	$13.28	$609.68	$457.26	2026-08-31
J9311	HCPCS	Rituximab 1,400 Mg/11.7 Ml (120 Mg/ml)-hyaluronidase Subcutaneous Soln [218742]	15	7	$674.52	$303.53 55% off	$36.28	$539.62	$404.71	2026-08-31
J9319	HCPCS	Romidepsin 10 Mg/2 Ml Intravenous Powder For Solution [100344]	8	7	$3,838.38	$1,727.27 55% off	$30.80	$3,070.70	$2,303.03	2026-08-31
J2802	HCPCS	Romiplostim 125 Mcg Subcutaneous Solution [226462]	22	7	$3,468.80	$1,560.96 55% off	$11.11	$5,550.06	$2,081.28	2026-08-31
J9317	HCPCS	Sacituzumab Govitecan-hziy 180 Mg Intravenous Solution [227764]	8	7	$3,137.72	$1,411.97 55% off	$36.80	$2,510.18	$1,882.63	2026-08-31
J2850	HCPCS	Secretin (human) 16 Mcg Intravenous Solution [91185]	8	7	$630.00	$283.50 55% off	$40.23	$504.00	$378.00	2026-08-31
J2860	HCPCS	Siltuximab 100 Mg Intravenous Solution [205871]	15	7	$2,019.94	$908.97 55% off	$174.08	$6,463.78	$1,615.95	2026-08-31
J9331	HCPCS	Sirolimus-protein Bound 100 Mg Intravenous Suspension [233123]	8	7	$10,614.40	$4,776.48 55% off	$87.11	$8,491.52	$6,368.64	2026-08-31
J2941	HCPCS	Somatropin 5 Mg/1.5 Ml (3.3 Mg/ml) Subcutaneous Pen Injector [117385]	14	6	$913.54	$411.09 55% off	$390.70	$893.38	$591.25	2026-08-31
J9349	HCPCS	Tafasitamab-cxix 200 Mg Intravenous Solution [228997]	8	7	$1,708.80	$768.96 55% off	$14.17	$1,367.04	$1,025.28	2026-08-31
J9026	HCPCS	Tarlatamab-dlle 1 Mg Intravenous Solution [241612]	15	7	$1,854.00	$834.30 55% off	$1,019.70	$14,832.00	$1,567.72	2026-08-31
J9274	HCPCS	Tebentafusp-tebn 100 Mcg/0.5 Ml Intravenous Solution [233477]	8	7	$51,624.00	$23,230.80 55% off	$222.49	$41,299.20	$30,974.40	2026-08-31
J9380	HCPCS	Teclistamab-cqyv 10 Mg/ml Subcutaneous Solution [236039]	15	7	$849.73	$382.38 55% off	$34.50	$6,118.09	$679.78	2026-08-31
J9326	HCPCS	Telisotuzumab Vedotin-tllv 100 Mg Intravenous Solution [246066]	15	7	$16,776.00	$7,549.20 55% off	$145.99	$13,420.80	$2,684.16	2026-08-31
J9328	HCPCS	Temozolomide 100 Mg Intravenous Solution [97260]	8	7	$1,203.73	$541.68 55% off	$10.40	$962.98	$722.24	2026-08-31
J9330	HCPCS	Temsirolimus 25 Mg/ml (must Be Diluted To 10 Mg/ml) Intravenous Soln [82228]	8	7	$1,547.87	$696.54 55% off	$30.08	$1,238.30	$928.72	2026-08-31
J3101	HCPCS	Tenecteplase 50 Mg Intravenous Solution [220772]	15	7	$9,956.71	$4,480.52 55% off	$197.44	$8,204.34	$6,153.25	2026-08-31
J3241	HCPCS	Teprotumumab-trbw 500 Mg Intravenous Solution [226977]	8	7	$23,342.20	$10,503.99 55% off	$367.91	$18,673.76	$14,005.32	2026-08-31
J1670	HCPCS	Tetanus Immune Globulin (pf) 250 Unit/ml Intramuscular Syringe [119764]	8	7	$786.79	$354.06 55% off	$432.73	$629.43	$472.07	2026-08-31
J3240	HCPCS	Thyrotropin Alfa 0.9 Mg Intramuscular Solution [230836]	8	7	$2,475.08	$1,113.79 55% off	$1,361.29	$2,125.34	$1,485.05	2026-08-31
J9329	HCPCS	Tislelizumab-jsgr 10 Mg/ml Intravenous Solution [242397]	8	7	$668.88	$301.00 55% off	$58.27	$535.10	$401.33	2026-08-31
J9273	HCPCS	Tisotumab Vedotin-tftv 40 Mg Intravenous Solution [232793]	8	7	$9,227.32	$4,152.29 55% off	$196.12	$7,381.86	$5,536.39	2026-08-31
J1304	HCPCS	Tofersen 100 Mg/15 Ml (6.7 Mg/ml) Intrathecal Solution [237803]	8	7	$1,243.96	$559.78 55% off	$160.01	$995.17	$746.38	2026-08-31
J3263	HCPCS	Toripalimab-tpzi 240 Mg/6 Ml (40 Mg/ml) Intravenous Solution [240076]	8	7	$1,999.55	$899.80 55% off	$39.99	$1,599.64	$1,199.73	2026-08-31
J9352	HCPCS	Trabectedin 1 Mg Intravenous Powder For Solution [211543]	8	7	$4,737.11	$2,131.70 55% off	$391.07	$3,789.69	$2,842.27	2026-08-31
J9355	HCPCS	Trastuzumab 150 Mg Intravenous Solution [216113]	8	7	$1,870.10	$841.54 55% off	$73.43	$1,496.08	$1,122.06	2026-08-31
J9356	HCPCS	Trastuzumab 600 Mg-hyaluronidase-oysk 10,000 Unit/5 Ml Subcut Solution [224561]	8	7	$1,122.06	$504.93 55% off	$59.91	$897.65	$673.24	2026-08-31
Q5117	HCPCS	Trastuzumab-anns 150 Mg Intravenous Solution [226189]	15	7	$1,632.08	$734.44 55% off	$56.38	$3,655.86	$1,305.66	2026-08-31
J9347	HCPCS	Tremelimumab-actl 20 Mg/ml Intravenous Solution [236035]	8	7	$3,393.74	$1,527.18 55% off	$143.23	$2,714.99	$2,036.24	2026-08-31
J3300	HCPCS	Triamcinolone Acetonide (pf) 40 Mg/ml Intraocular Suspension [89128]	8	7	$778.80	$350.46 55% off	$18.78	$623.04	$467.28	2026-08-31
J3299	HCPCS	Triamcinolone Acetonide (pf) 40 Mg/ml Suprachoroidal Suspension [235246]	8	7	$2,200.00	$990.00 55% off	$47.78	$1,760.00	$1,320.00	2026-08-31
J3357	HCPCS	Ustekinumab 90 Mg/ml Subcutaneous Syringe [108054]	7	6	$36,730.84	$16,528.88 55% off	$20,201.96	$29,384.67	$22,038.50	2026-08-31
J3380	HCPCS	Vedolizumab 300 Mg Intravenous Solution [205964]	8	7	$12,130.44	$5,458.70 55% off	$20.98	$9,704.35	$7,278.26	2026-08-31
J1326	HCPCS	Zolbetuximab-clzb 100 Mg Intravenous Solution [243165]	8	7	$1,939.20	$872.64 55% off	$33.65	$1,551.36	$1,163.52	2026-08-31

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