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Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

LAWRENCE & MEMORIAL HOSPITAL

New London, CT · CCN 070007 · Rates published

22,444 distinct procedures filed
20 distinct payers
551,876 rate rows
2026-01-01 last MRF observed
Data quality

466,380 of 551,876 rate rows are consumer-grade (84.5%)

85,496 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
placeholder amount (≤ $0.02) — excluded from medians 77,507
template filing: same amount across many unrelated codes — excluded 7,959
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 30
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.lmhospital.org/-/media/Files/YNHHS/sc/060646704-LawrenceMemorialHospitalstandardcharges011025.ashx
Found on page https://www.lmhospital.org/patients-visitors/patients/billing-insurance/Pricing
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-08-05
Content fingerprint a7b4bad724fd787f… · 102,660,002 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
51167-290-09
OTHER 		Exagamglogene Autotemcel 4 X 10exp6 To 13 X 10exp6 Cell/ml IV Susp 11 $424,926.85 $4,833,305.04 $3,300,000.00 nat. median
$3,300,000
1.0× median
51167-290-01
OTHER 		Exagamglogene Autotemcel 4 X 10exp6 To 13 X 10exp6 Cell/ml IV Susp 11 $424,926.85 $4,833,305.04 $3,300,000.00 nat. median
$3,300,000
1.0× median
60923-520-29
OTHER 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 $185,422.63 $4,272,000.01 $1,971,415.94 nat. median
$1,971,416
1.0× median
60923-503-12
OTHER 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 $185,422.63 $4,272,000.01 $1,971,415.94 nat. median
$1,971,416
1.0× median
60923-514-23
OTHER 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 $185,422.63 $4,272,000.01 $1,971,415.94 nat. median
$1,971,416
1.0× median
60923-534-43
OTHER 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 $185,422.63 $4,272,000.01 $1,971,415.94 nat. median
$1,971,416
1.0× median
60923-521-30
OTHER 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 $185,422.63 $4,272,000.01 $1,971,415.94 nat. median
$1,971,416
1.0× median
60923-510-19
OTHER 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 $185,422.63 $4,272,000.01 $1,971,415.94 nat. median
$1,971,416
1.0× median
60923-524-33
OTHER 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 $185,422.63 $4,272,000.01 $1,971,415.94 nat. median
$1,971,416
1.0× median
60923-536-45
OTHER 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 $185,422.63 $4,272,000.01 $1,971,415.94 nat. median
$1,971,416
1.0× median
60923-540-49
OTHER 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 $185,422.63 $4,272,000.01 $1,971,415.94 nat. median
$1,971,416
1.0× median
60923-532-41
OTHER 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 $185,422.63 $4,272,000.01 $1,971,415.94 nat. median
$1,971,416
1.0× median
60923-512-21
OTHER 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 $185,422.63 $4,272,000.01 $1,971,415.94 nat. median
$1,971,416
1.0× median
60923-559-68
OTHER 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 $185,422.63 $4,272,000.01 $1,971,415.94 nat. median
$1,971,416
1.0× median
60923-561-70
OTHER 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 $185,422.63 $4,272,000.01 $1,971,415.94 nat. median
$1,971,416
1.0× median
60923-502-11
OTHER 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 $185,422.63 $4,272,000.01 $1,971,415.94 nat. median
$1,971,416
1.0× median
60923-537-46
OTHER 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 $185,422.63 $4,272,000.01 $1,971,415.94 nat. median
$1,971,416
1.0× median
60923-509-18
OTHER 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 $185,422.63 $4,272,000.01 $1,971,415.94 nat. median
$1,971,416
1.0× median
60923-519-28
OTHER 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 $185,422.63 $4,272,000.01 $1,971,415.94 nat. median
$1,971,416
1.0× median
60923-518-27
OTHER 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 $185,422.63 $4,272,000.01 $1,971,415.94 nat. median
$1,971,416
1.0× median
60923-526-35
OTHER 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 $185,422.63 $4,272,000.01 $1,971,415.94 nat. median
$1,971,416
1.0× median
60923-530-39
OTHER 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 $185,422.62 $4,272,000.00 $1,971,415.94 nat. median
$1,971,416
1.0× median
60923-523-32
OTHER 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 $185,422.62 $4,272,000.00 $1,971,415.94 nat. median
$1,971,416
1.0× median
60923-544-53
OTHER 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 $185,422.62 $4,272,000.00 $1,971,415.94 nat. median
$1,971,416
1.0× median
60923-527-36
OTHER 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 $185,422.62 $4,272,000.00 $1,971,415.94 nat. median
$1,971,416
1.0× median
60923-535-44
OTHER 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 $185,422.62 $4,272,000.00 $1,971,415.94 nat. median
$1,971,416
1.0× median
60923-517-26
OTHER 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 $185,422.62 $4,272,000.00 $1,971,415.94 nat. median
$1,971,416
1.0× median
60923-507-16
OTHER 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 $185,422.62 $4,272,000.00 $1,971,415.94 nat. median
$1,971,416
1.0× median
60923-525-34
OTHER 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 $185,422.62 $4,272,000.00 $1,971,415.94 nat. median
$1,971,416
1.0× median
60923-545-54
OTHER 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 $185,422.62 $4,272,000.00 $1,971,415.94 nat. median
$1,971,416
1.0× median
60923-547-56
OTHER 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 $185,422.62 $4,272,000.00 $1,971,415.94 nat. median
$1,971,416
1.0× median
60923-513-22
OTHER 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 $185,422.62 $4,272,000.00 $1,971,415.94 nat. median
$1,971,416
1.0× median
60923-506-15
OTHER 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 $185,422.62 $4,272,000.00 $1,971,415.94 nat. median
$1,971,416
1.0× median
60923-533-42
OTHER 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 $185,422.62 $4,272,000.00 $1,971,415.94 nat. median
$1,971,416
1.0× median
60923-522-31
OTHER 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 $185,422.62 $4,272,000.00 $1,971,415.94 nat. median
$1,971,416
1.0× median
60923-515-24
OTHER 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 $185,422.62 $4,272,000.00 $1,971,415.94 nat. median
$1,971,416
1.0× median
60923-538-47
OTHER 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 $185,422.62 $4,272,000.00 $1,971,415.94 nat. median
$1,971,416
1.0× median
60923-541-50
OTHER 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 $185,422.62 $4,272,000.00 $1,971,415.94 nat. median
$1,971,416
1.0× median
60923-528-37
OTHER 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 $185,422.62 $4,272,000.00 $1,971,415.94 nat. median
$1,971,416
1.0× median
60923-516-25
OTHER 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 $185,422.62 $4,272,000.00 $1,971,415.94 nat. median
$1,971,416
1.0× median
60923-529-38
OTHER 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 $185,422.62 $4,272,000.00 $1,971,415.94 nat. median
$1,971,416
1.0× median
60923-501-10
OTHER 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 $185,422.62 $4,272,000.00 $1,971,415.94 nat. median
$1,971,416
1.0× median
60923-504-13
OTHER 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 $185,422.62 $4,272,000.00 $1,971,415.94 nat. median
$1,971,416
1.0× median
60923-531-40
OTHER 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 $185,422.62 $4,272,000.00 $1,971,415.94 nat. median
$1,971,416
1.0× median
60923-511-20
OTHER 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 $185,422.62 $4,272,000.00 $1,971,415.94 nat. median
$1,971,416
1.0× median
60923-505-14
OTHER 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 $185,422.62 $4,272,000.00 $1,971,415.94 nat. median
$1,971,416
1.0× median
60923-539-48
OTHER 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 $185,422.62 $4,272,000.00 $1,971,415.94 nat. median
$1,971,416
1.0× median
60923-508-17
OTHER 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 $185,422.62 $4,272,000.00 $1,971,415.94 nat. median
$1,971,416
1.0× median
60923-542-51
OTHER 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 $185,422.62 $4,272,000.00 $1,971,415.94 nat. median
$1,971,416
1.0× median
60923-543-52
OTHER 		Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 $185,422.62 $4,272,000.00 $1,971,415.94 nat. median
$1,971,416
1.0× median

Other procedures at this hospital

Browse this hospital's 22,444 published procedures. Use the slice to choose what to show, then sort or filter any column.

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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
             
51167-290-09 OTHER Exagamglogene Autotemcel 4 X 10exp6 To 13 X 10exp6 Cell/ml IV Susp 11 11 — $3,960,000.00 $424,926.85 $4,833,305.04 $3,300,000.00 2026-01-01
51167-290-01 OTHER Exagamglogene Autotemcel 4 X 10exp6 To 13 X 10exp6 Cell/ml IV Susp 11 11 — $3,960,000.00 $424,926.85 $4,833,305.04 $3,300,000.00 2026-01-01
60923-537-46 OTHER Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 20 $4,800,000.01 $1,728,000.00 64% off $185,422.63 $4,272,000.01 $1,971,415.94 2026-01-01
60923-561-70 OTHER Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 20 $4,800,000.01 $1,728,000.00 64% off $185,422.63 $4,272,000.01 $1,971,415.94 2026-01-01
60923-520-29 OTHER Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 20 $4,800,000.01 $1,728,000.00 64% off $185,422.63 $4,272,000.01 $1,971,415.94 2026-01-01
60923-521-30 OTHER Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 20 $4,800,000.01 $1,728,000.00 64% off $185,422.63 $4,272,000.01 $1,971,415.94 2026-01-01
60923-510-19 OTHER Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 20 $4,800,000.01 $1,728,000.00 64% off $185,422.63 $4,272,000.01 $1,971,415.94 2026-01-01
60923-532-41 OTHER Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 20 $4,800,000.01 $1,728,000.00 64% off $185,422.63 $4,272,000.01 $1,971,415.94 2026-01-01
60923-559-68 OTHER Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 20 $4,800,000.01 $1,728,000.00 64% off $185,422.63 $4,272,000.01 $1,971,415.94 2026-01-01
60923-514-23 OTHER Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 20 $4,800,000.01 $1,728,000.00 64% off $185,422.63 $4,272,000.01 $1,971,415.94 2026-01-01
60923-536-45 OTHER Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 20 $4,800,000.01 $1,728,000.00 64% off $185,422.63 $4,272,000.01 $1,971,415.94 2026-01-01
60923-512-21 OTHER Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 20 $4,800,000.01 $1,728,000.00 64% off $185,422.63 $4,272,000.01 $1,971,415.94 2026-01-01
60923-509-18 OTHER Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 20 $4,800,000.01 $1,728,000.00 64% off $185,422.63 $4,272,000.01 $1,971,415.94 2026-01-01
60923-534-43 OTHER Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 20 $4,800,000.01 $1,728,000.00 64% off $185,422.63 $4,272,000.01 $1,971,415.94 2026-01-01
60923-502-11 OTHER Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 20 $4,800,000.01 $1,728,000.00 64% off $185,422.63 $4,272,000.01 $1,971,415.94 2026-01-01
60923-526-35 OTHER Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 20 $4,800,000.01 $1,728,000.00 64% off $185,422.63 $4,272,000.01 $1,971,415.94 2026-01-01
60923-503-12 OTHER Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 20 $4,800,000.01 $1,728,000.00 64% off $185,422.63 $4,272,000.01 $1,971,415.94 2026-01-01
60923-524-33 OTHER Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 20 $4,800,000.01 $1,728,000.00 64% off $185,422.63 $4,272,000.01 $1,971,415.94 2026-01-01
60923-540-49 OTHER Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 20 $4,800,000.01 $1,728,000.00 64% off $185,422.63 $4,272,000.01 $1,971,415.94 2026-01-01
60923-519-28 OTHER Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 20 $4,800,000.01 $1,728,000.00 64% off $185,422.63 $4,272,000.01 $1,971,415.94 2026-01-01
60923-518-27 OTHER Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 20 $4,800,000.01 $1,728,000.00 64% off $185,422.63 $4,272,000.01 $1,971,415.94 2026-01-01
60923-541-50 OTHER Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 20 $4,800,000.00 $1,728,000.00 64% off $185,422.62 $4,272,000.00 $1,971,415.94 2026-01-01
60923-504-13 OTHER Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 20 $4,800,000.00 $1,728,000.00 64% off $185,422.62 $4,272,000.00 $1,971,415.94 2026-01-01
60923-501-10 OTHER Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 20 $4,800,000.00 $1,728,000.00 64% off $185,422.62 $4,272,000.00 $1,971,415.94 2026-01-01
60923-517-26 OTHER Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 20 $4,800,000.00 $1,728,000.00 64% off $185,422.62 $4,272,000.00 $1,971,415.94 2026-01-01
60923-523-32 OTHER Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 20 $4,800,000.00 $1,728,000.00 64% off $185,422.62 $4,272,000.00 $1,971,415.94 2026-01-01
60923-551-60 OTHER Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 20 $4,800,000.00 $1,728,000.00 64% off $185,422.62 $4,272,000.00 $1,971,415.94 2026-01-01
60923-505-14 OTHER Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 20 $4,800,000.00 $1,728,000.00 64% off $185,422.62 $4,272,000.00 $1,971,415.94 2026-01-01
60923-515-24 OTHER Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 20 $4,800,000.00 $1,728,000.00 64% off $185,422.62 $4,272,000.00 $1,971,415.94 2026-01-01
60923-557-66 OTHER Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 20 $4,800,000.00 $1,728,000.00 64% off $185,422.62 $4,272,000.00 $1,971,415.94 2026-01-01
60923-513-22 OTHER Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 20 $4,800,000.00 $1,728,000.00 64% off $185,422.62 $4,272,000.00 $1,971,415.94 2026-01-01
60923-547-56 OTHER Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 20 $4,800,000.00 $1,728,000.00 64% off $185,422.62 $4,272,000.00 $1,971,415.94 2026-01-01
60923-555-64 OTHER Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 20 $4,800,000.00 $1,728,000.00 64% off $185,422.62 $4,272,000.00 $1,971,415.94 2026-01-01
60923-549-58 OTHER Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 20 $4,800,000.00 $1,728,000.00 64% off $185,422.62 $4,272,000.00 $1,971,415.94 2026-01-01
60923-548-57 OTHER Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 20 $4,800,000.00 $1,728,000.00 64% off $185,422.62 $4,272,000.00 $1,971,415.94 2026-01-01
60923-543-52 OTHER Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 20 $4,800,000.00 $1,728,000.00 64% off $185,422.62 $4,272,000.00 $1,971,415.94 2026-01-01
60923-539-48 OTHER Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 20 $4,800,000.00 $1,728,000.00 64% off $185,422.62 $4,272,000.00 $1,971,415.94 2026-01-01
60923-560-69 OTHER Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 20 $4,800,000.00 $1,728,000.00 64% off $185,422.62 $4,272,000.00 $1,971,415.94 2026-01-01
60923-552-61 OTHER Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 20 $4,800,000.00 $1,728,000.00 64% off $185,422.62 $4,272,000.00 $1,971,415.94 2026-01-01
60923-525-34 OTHER Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 20 $4,800,000.00 $1,728,000.00 64% off $185,422.62 $4,272,000.00 $1,971,415.94 2026-01-01
60923-527-36 OTHER Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 20 $4,800,000.00 $1,728,000.00 64% off $185,422.62 $4,272,000.00 $1,971,415.94 2026-01-01
60923-545-54 OTHER Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 20 $4,800,000.00 $1,728,000.00 64% off $185,422.62 $4,272,000.00 $1,971,415.94 2026-01-01
60923-533-42 OTHER Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 20 $4,800,000.00 $1,728,000.00 64% off $185,422.62 $4,272,000.00 $1,971,415.94 2026-01-01
60923-558-67 OTHER Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 20 $4,800,000.00 $1,728,000.00 64% off $185,422.62 $4,272,000.00 $1,971,415.94 2026-01-01
60923-556-65 OTHER Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 20 $4,800,000.00 $1,728,000.00 64% off $185,422.62 $4,272,000.00 $1,971,415.94 2026-01-01
60923-522-31 OTHER Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 20 $4,800,000.00 $1,728,000.00 64% off $185,422.62 $4,272,000.00 $1,971,415.94 2026-01-01
60923-554-63 OTHER Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 20 $4,800,000.00 $1,728,000.00 64% off $185,422.62 $4,272,000.00 $1,971,415.94 2026-01-01
60923-530-39 OTHER Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 20 $4,800,000.00 $1,728,000.00 64% off $185,422.62 $4,272,000.00 $1,971,415.94 2026-01-01
60923-507-16 OTHER Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 20 $4,800,000.00 $1,728,000.00 64% off $185,422.62 $4,272,000.00 $1,971,415.94 2026-01-01
60923-542-51 OTHER Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 20 $4,800,000.00 $1,728,000.00 64% off $185,422.62 $4,272,000.00 $1,971,415.94 2026-01-01
60923-506-15 OTHER Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 20 $4,800,000.00 $1,728,000.00 64% off $185,422.62 $4,272,000.00 $1,971,415.94 2026-01-01
60923-531-40 OTHER Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 20 $4,800,000.00 $1,728,000.00 64% off $185,422.62 $4,272,000.00 $1,971,415.94 2026-01-01
60923-528-37 OTHER Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 20 $4,800,000.00 $1,728,000.00 64% off $185,422.62 $4,272,000.00 $1,971,415.94 2026-01-01
60923-535-44 OTHER Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 20 $4,800,000.00 $1,728,000.00 64% off $185,422.62 $4,272,000.00 $1,971,415.94 2026-01-01
60923-546-55 OTHER Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 20 $4,800,000.00 $1,728,000.00 64% off $185,422.62 $4,272,000.00 $1,971,415.94 2026-01-01
60923-538-47 OTHER Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 20 $4,800,000.00 $1,728,000.00 64% off $185,422.62 $4,272,000.00 $1,971,415.94 2026-01-01
60923-550-59 OTHER Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 20 $4,800,000.00 $1,728,000.00 64% off $185,422.62 $4,272,000.00 $1,971,415.94 2026-01-01
60923-544-53 OTHER Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 20 $4,800,000.00 $1,728,000.00 64% off $185,422.62 $4,272,000.00 $1,971,415.94 2026-01-01
60923-529-38 OTHER Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 20 $4,800,000.00 $1,728,000.00 64% off $185,422.62 $4,272,000.00 $1,971,415.94 2026-01-01
60923-553-62 OTHER Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 20 $4,800,000.00 $1,728,000.00 64% off $185,422.62 $4,272,000.00 $1,971,415.94 2026-01-01
60923-508-17 OTHER Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 20 $4,800,000.00 $1,728,000.00 64% off $185,422.62 $4,272,000.00 $1,971,415.94 2026-01-01
60923-516-25 OTHER Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 20 $4,800,000.00 $1,728,000.00 64% off $185,422.62 $4,272,000.00 $1,971,415.94 2026-01-01
60923-511-20 OTHER Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp 20 20 $4,800,000.00 $1,728,000.00 64% off $185,422.62 $4,272,000.00 $1,971,415.94 2026-01-01
73554-1111-1 OTHER Lovotibeglogene Autotemcel 1.7 X 10exp6 To 20 X 10exp6 Cell/ml IV Susp 6 6 — — $598,760.56 $4,650,000.00 $1,961,860.75 2026-01-01
73554-3111-1 OTHER Betibeglogene Autotemcel 2 X 10exp6 To 20 X 10exp6 Cell/ml IV Susp 6 6 — — $540,815.99 $4,200,000.00 $1,772,003.26 2026-01-01
71894-126-04 OTHER Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit 20 20 $3,483,066.54 $1,253,903.95 64% off $134,549.86 $3,099,929.22 $1,430,536.02 2026-01-01
71894-124-04 OTHER Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit 20 20 $3,483,066.54 $1,253,903.95 64% off $134,549.86 $3,099,929.22 $1,430,536.02 2026-01-01
71894-132-06 OTHER Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit 20 20 $3,483,066.54 $1,253,903.95 64% off $134,549.86 $3,099,929.22 $1,430,536.02 2026-01-01
71894-139-09 OTHER Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit 20 20 $3,483,066.54 $1,253,903.95 64% off $134,549.86 $3,099,929.22 $1,430,536.02 2026-01-01
71894-134-07 OTHER Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit 20 20 $3,483,066.54 $1,253,903.95 64% off $134,549.86 $3,099,929.22 $1,430,536.02 2026-01-01
71894-122-03 OTHER Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit 20 20 $3,483,066.54 $1,253,903.95 64% off $134,549.86 $3,099,929.22 $1,430,536.02 2026-01-01
71894-127-05 OTHER Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit 20 20 $3,483,066.54 $1,253,903.95 64% off $134,549.86 $3,099,929.22 $1,430,536.02 2026-01-01
71894-130-06 OTHER Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit 20 20 $3,483,066.54 $1,253,903.95 64% off $134,549.86 $3,099,929.22 $1,430,536.02 2026-01-01
71894-121-03 OTHER Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit 20 20 $3,483,066.54 $1,253,903.95 64% off $134,549.86 $3,099,929.22 $1,430,536.02 2026-01-01
71894-133-07 OTHER Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit 20 20 $3,483,066.54 $1,253,903.95 64% off $134,549.86 $3,099,929.22 $1,430,536.02 2026-01-01
71894-141-09 OTHER Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit 20 20 $3,483,066.54 $1,253,903.95 64% off $134,549.86 $3,099,929.22 $1,430,536.02 2026-01-01
71894-136-08 OTHER Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit 20 20 $3,483,066.54 $1,253,903.95 64% off $134,549.86 $3,099,929.22 $1,430,536.02 2026-01-01
71894-125-04 OTHER Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit 20 20 $3,483,066.54 $1,253,903.95 64% off $134,549.86 $3,099,929.22 $1,430,536.02 2026-01-01
71894-123-03 OTHER Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit 20 20 $3,483,066.54 $1,253,903.95 64% off $134,549.86 $3,099,929.22 $1,430,536.02 2026-01-01
71894-138-08 OTHER Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit 20 20 $3,483,066.54 $1,253,903.95 64% off $134,549.86 $3,099,929.22 $1,430,536.02 2026-01-01
71894-135-07 OTHER Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit 20 20 $3,483,066.54 $1,253,903.95 64% off $134,549.86 $3,099,929.22 $1,430,536.02 2026-01-01
71894-137-08 OTHER Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit 20 20 $3,483,066.54 $1,253,903.95 64% off $134,549.86 $3,099,929.22 $1,430,536.02 2026-01-01
71894-120-02 OTHER Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit 20 20 $3,483,066.54 $1,253,903.95 64% off $134,549.86 $3,099,929.22 $1,430,536.02 2026-01-01
71894-128-05 OTHER Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit 20 20 $3,483,066.54 $1,253,903.95 64% off $134,549.86 $3,099,929.22 $1,430,536.02 2026-01-01
71894-129-05 OTHER Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit 20 20 $3,483,066.54 $1,253,903.95 64% off $134,549.86 $3,099,929.22 $1,430,536.02 2026-01-01
71894-140-09 OTHER Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit 20 20 $3,483,066.54 $1,253,903.95 64% off $134,549.86 $3,099,929.22 $1,430,536.02 2026-01-01
71894-131-06 OTHER Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit 20 20 $3,483,066.54 $1,253,903.95 64% off $134,549.86 $3,099,929.22 $1,430,536.02 2026-01-01
73776-001-11 OTHER Lifileucel 7.5 X 10exp9 To 72 X 10exp9 Cell Intravenous Suspension 20 20 $2,810,000.00 $1,011,600.00 64% off $108,549.49 $2,500,900.00 $1,154,099.75 2026-01-01
0078-0958-19 OTHER Tisagenlecleucel (kymriah) Infusion - Fl And Lbcl 20 20 $2,719,137.50 $978,889.50 64% off $105,039.50 $2,420,032.38 $1,116,781.46 2026-01-01
0078-0846-19 OTHER Tisagenlecleucel (kymriah) Infusion- B All 20 20 $2,719,137.50 $978,889.50 64% off $105,039.50 $2,420,032.38 $1,116,781.46 2026-01-01
73153-901-08 OTHER Lisocabtagene Maraleucel (breyanzi) Cd8 Injection - Lbcl 20 20 $2,656,752.00 $956,430.72 64% off $102,629.57 $2,364,509.28 $1,091,159.00 2026-01-01
59572-515-01 OTHER Idecabtagene Vicleucel (abecma) Infusion - Mm 20 20 $2,641,562.15 $950,962.37 64% off $102,042.79 $2,350,990.31 $1,084,920.35 2026-01-01
59572-515-03 OTHER Idecabtagene Vicleucel (abecma) Infusion - Mm 20 20 $2,641,562.15 $950,962.37 64% off $102,042.79 $2,350,990.31 $1,084,920.35 2026-01-01
59572-515-02 OTHER Idecabtagene Vicleucel (abecma) Infusion - Mm 20 20 $2,641,562.15 $950,962.37 64% off $102,042.79 $2,350,990.31 $1,084,920.35 2026-01-01
83047-410-04 OTHER Obecabtagene Autoleucel (aucatzyl) - B-all Infusion (drops Charge) 20 20 $2,625,000.00 $945,000.00 64% off $101,403.00 $2,336,250.00 $1,078,118.09 2026-01-01
57894-111-01 OTHER Ciltacabtagene Autoleucel 0.5 X 10exp6 To 1x 10exp8 Cell IV Suspension 20 20 $2,610,277.50 $939,699.90 64% off $100,834.27 $2,323,146.98 $1,072,071.39 2026-01-01
57894-111-02 OTHER Ciltacabtagene Autoleucel 0.5 X 10exp6 To 1x 10exp8 Cell IV Suspension 20 20 $2,610,277.50 $939,699.90 64% off $100,834.27 $2,323,146.98 $1,072,071.39 2026-01-01
71287-220-01 OTHER Brexucabtagene Autoleucel (tecartus) Infusion - B-all 20 20 $2,310,000.00 $831,600.00 64% off $89,234.64 $2,055,900.00 $948,743.92 2026-01-01
71287-219-01 OTHER Brexucabtagene Autoleucel (tecartus) Infusion - Mcl 20 20 $2,310,000.00 $831,600.00 64% off $89,234.64 $2,055,900.00 $948,743.92 2026-01-01
71287-219-02 OTHER Brexucabtagene Autoleucel (tecartus) Infusion - Mcl 20 20 $2,120,000.00 $763,200.00 64% off $81,894.99 $1,886,800.00 $870,708.70 2026-01-01
71287-119-02 OTHER Axicabtagene Ciloleucel (yescarta) Infusion - Fl And Lbcl 20 20 $2,120,000.00 $763,200.00 64% off $81,894.99 $1,886,800.00 $870,708.70 2026-01-01
71287-119-01 OTHER Axicabtagene Ciloleucel (yescarta) Infusion - Fl And Lbcl 20 20 $2,120,000.00 $763,200.00 64% off $81,894.99 $1,886,800.00 $870,708.70 2026-01-01
71287-220-02 OTHER Brexucabtagene Autoleucel (tecartus) Infusion - B-all 20 20 $2,120,000.00 $763,200.00 64% off $81,894.99 $1,886,800.00 $870,708.70 2026-01-01
4 OTHER Tracheostomy With Mv Greater Than 96 Hours Or Principal Diagnosis Except Face Mo… 20 20 $475,617.16 $171,222.18 64% off $24,497.29 $475,617.16 $268,257.14 2026-01-01
463 OTHER Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 20 20 $455,664.89 $164,039.36 64% off $23,469.62 $455,664.89 $257,003.67 2026-01-01
834 OTHER Acute Leukemia With Mcc 20 20 $425,625.87 $153,225.31 64% off $21,922.42 $425,625.87 $240,061.10 2026-01-01
456 OTHER Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 20 20 $398,313.85 $143,392.99 64% off $20,515.68 $398,313.85 $224,656.60 2026-01-01
426 OTHER Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 20 20 $381,965.73 $137,507.66 64% off $19,673.65 $381,965.73 $215,435.95 2026-01-01
3 OTHER Ecmo Or Tracheostomy With Mv Greater Than 96 Hours Or Principal Diagnosis Except… 20 20 $356,269.92 $128,257.17 64% off $18,350.15 $356,269.92 $200,943.02 2026-01-01
427 OTHER Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 20 20 $346,200.99 $124,632.36 64% off $17,831.54 $346,200.99 $195,263.95 2026-01-01
428 OTHER Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 20 20 $310,346.86 $111,724.87 64% off $15,984.82 $310,346.86 $175,041.54 2026-01-01
457 OTHER Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte… 20 20 $304,984.62 $109,794.46 64% off $15,708.63 $304,984.62 $172,017.13 2026-01-01
955 OTHER Craniotomy For Multiple Significant Trauma 20 20 $291,743.07 $105,027.51 64% off $15,026.61 $291,743.07 $164,548.64 2026-01-01
582 OTHER Mastectomy For Malignancy With Cc-mcc 20 20 $279,029.38 $100,450.58 64% off $14,371.78 $279,029.38 $157,377.89 2026-01-01
207 OTHER Respiratory System Diagnosis With Ventilator Support Greater Than 96 Hours 20 20 $259,835.97 $93,540.95 64% off $13,383.19 $259,835.97 $146,552.43 2026-01-01
447 OTHER Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 20 20 $259,580.27 $93,448.90 64% off $13,370.02 $259,580.27 $146,408.21 2026-01-01
64406-058-01 OTHER Nusinersen (pf) 12 Mg/5 Ml Intrathecal Solution 20 20 $355,094.63 $127,834.07 64% off $13,717.20 $316,034.22 $145,841.50 2026-01-01
30237-8900-6 OTHER Sipuleucel-t In Lactated Ringers 50 Million Cell/250 Ml IV Suspension 20 20 $354,080.00 $127,468.80 64% off $13,678.01 $315,131.20 $145,424.79 2026-01-01
578 OTHER Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc-mcc 20 20 $253,817.39 $91,374.26 64% off $13,073.20 $253,817.39 $143,157.84 2026-01-01
583 OTHER Mastectomy For Malignancy Without Cc-mcc 20 20 $252,755.83 $90,992.10 64% off $13,018.52 $252,755.83 $142,559.10 2026-01-01
581 OTHER Other Skin Subcutaneous Tissue And Breast Procedures Without Cc-mcc 20 20 $238,995.45 $86,038.36 64% off $12,309.78 $238,995.45 $134,797.98 2026-01-01
450 OTHER Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 20 20 $233,656.23 $84,116.24 64% off $12,034.77 $233,656.23 $131,786.56 2026-01-01
344 OTHER Minor Small And Large Bowel Procedures With Mcc 20 20 $229,511.56 $82,624.16 64% off $11,821.30 $229,511.56 $129,448.89 2026-01-01
275 OTHER Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 20 20 $218,471.69 $78,649.81 64% off $11,252.67 $218,471.69 $123,222.19 2026-01-01
71336-1003-1 OTHER Vutrisiran 25 Mg/0.5 Ml Subcutaneous Syringe 20 20 $298,377.50 $107,415.90 64% off $11,526.24 $265,555.98 $122,547.12 2026-01-01
429 OTHER Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 20 20 $215,298.37 $77,507.41 64% off $11,089.23 $215,298.37 $121,432.38 2026-01-01
870 OTHER Septicemia Or Severe Sepsis With Mv Greater Than 96 Hours 20 20 $213,637.35 $76,909.44 64% off $11,003.67 $213,637.35 $120,495.53 2026-01-01
402 OTHER Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 20 20 $211,754.91 $76,231.77 64% off $10,906.72 $211,754.91 $119,433.80 2026-01-01
451 OTHER Single Level Spinal Fusion Except Cervical Without Mcc 20 20 $208,570.76 $75,085.47 64% off $10,742.71 $208,570.76 $117,637.88 2026-01-01
163 OTHER Major Chest Procedures With Mcc 20 20 $203,859.88 $73,389.56 64% off $10,500.07 $203,859.88 $114,980.85 2026-01-01
326 OTHER Stomach Esophageal And Duodenal Procedures With Mcc 20 20 $201,908.82 $72,687.17 64% off $10,399.58 $201,908.82 $113,880.42 2026-01-01
585 OTHER Breast Biopsy Local Excision And Other Breast Procedures Without Cc-mcc 20 20 $199,870.55 $71,953.40 64% off $10,294.60 $199,870.55 $112,730.80 2026-01-01
802 OTHER Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 20 20 $197,417.86 $71,070.43 64% off $10,168.27 $197,417.86 $111,347.43 2026-01-01
276 OTHER Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 20 20 $196,988.11 $70,915.72 64% off $10,146.13 $196,988.11 $111,105.04 2026-01-01
20 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 20 20 $190,238.44 $68,485.84 64% off $9,798.48 $190,238.44 $107,298.10 2026-01-01
69866-1030-5 OTHER Autol Chondrocyte-collag,porc 500,000 Cell/cm2 (3 X 5 Cm)implant Sheet 20 20 $260,000.00 $93,600.00 64% off $10,043.73 $231,400.00 $106,785.03 2026-01-01
67979-002-01 OTHER Histrelin 50 Mg (65 Mcg/day) Implant Kit 20 20 $243,836.85 $87,781.27 64% off $9,419.35 $217,014.80 $100,146.64 2026-01-01
580 OTHER Other Skin Subcutaneous Tissue And Breast Procedures With Cc 20 20 $173,941.14 $62,618.81 64% off $8,959.07 $173,941.14 $98,106.11 2026-01-01
471 OTHER Cervical Spinal Fusion With Mcc 20 20 $173,430.71 $62,435.06 64% off $8,932.78 $173,430.71 $97,818.22 2026-01-01
71879-001-01 OTHER Dexamethasone (pf) 9 % Intraocular Suspension 20 20 $235,025.00 $84,609.00 64% off $9,078.95 $209,172.25 $96,527.51 2026-01-01
853 OTHER Infectious And Parasitic Diseases With O.r. Procedures With Mcc 20 20 $169,757.55 $61,112.72 64% off $8,743.59 $169,757.55 $95,746.49 2026-01-01
571 OTHER Skin Debridement With Cc 20 20 $168,698.75 $60,731.55 64% off $8,689.05 $168,698.75 $95,149.31 2026-01-01
75987-150-01 OTHER Inebilizumab-cdon 10 Mg/ml Intravenous Solution 20 20 $228,492.15 $82,257.17 64% off $8,826.59 $203,358.01 $93,844.39 2026-01-01
0187-0010-50 OTHER Sodium Benzoate 10 %-sodium Phenylacetate 10 % Intravenous Solution 20 20 $228,303.50 $82,189.26 64% off $8,819.30 $203,190.12 $93,766.91 2026-01-01
790 OTHER Extreme Immaturity Or Respiratory Distress Syndrome Neonate 20 20 $165,742.99 $59,667.48 64% off $8,536.81 $165,742.99 $93,482.20 2026-01-01
467 OTHER Revision Of Hip Or Knee Replacement With Cc 20 20 $163,173.45 $58,742.44 64% off $8,404.46 $163,173.45 $92,032.93 2026-01-01
717 OTHER Other Male Reproductive System O.r. Procedures Except Malignancy With Cc-mcc 20 20 $161,576.30 $58,167.47 64% off $8,322.20 $161,576.30 $91,132.11 2026-01-01
63004-8710-1 OTHER Corticotropin 80 Unit/ml Injection Gel 20 20 $219,920.00 $79,171.20 64% off $8,495.45 $195,728.80 $90,323.71 2026-01-01
504 OTHER Foot Procedures With Cc 20 20 $160,042.70 $57,615.37 64% off $8,243.21 $160,042.70 $90,267.13 2026-01-01
61755-010-01 OTHER Evinacumab-dgnb 150 Mg/ml Intravenous Solution 20 20 $219,348.50 $78,965.46 64% off $8,473.37 $195,220.17 $90,088.99 2026-01-01
799 OTHER Splenic Procedures With Mcc 20 20 $158,816.20 $57,173.83 64% off $8,180.04 $158,816.20 $89,575.36 2026-01-01
23 OTHER Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 20 20 $158,661.89 $57,118.28 64% off $8,172.09 $158,661.89 $89,488.32 2026-01-01
573 OTHER Skin Graft For Skin Ulcer Or Cellulitis With Mcc 20 20 $158,390.61 $57,020.62 64% off $8,158.12 $158,390.61 $89,335.32 2026-01-01
73372-0116-1 OTHER Afamelanotide 16 Mg Subcutaneous Implant 20 20 $216,855.00 $78,067.80 64% off $8,377.05 $193,000.95 $89,064.88 2026-01-01
71336-1001-1 OTHER Givosiran 189 Mg/ml Subcutaneous Solution 20 20 $213,080.00 $76,708.80 64% off $8,231.22 $189,641.20 $87,514.44 2026-01-01
423 OTHER Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 20 20 $154,425.77 $55,593.28 64% off $7,953.90 $154,425.77 $87,099.08 2026-01-01
500 OTHER Soft Tissue Procedures With Mcc 20 20 $154,406.04 $55,586.17 64% off $7,952.89 $154,406.04 $87,087.95 2026-01-01
28 OTHER Spinal Procedures With Mcc 20 20 $153,767.16 $55,356.18 64% off $7,919.98 $153,767.16 $86,727.60 2026-01-01
464 OTHER Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 20 20 $149,980.30 $53,992.91 64% off $7,724.93 $149,980.30 $84,591.74 2026-01-01
50633-210-11 OTHER Glucarpidase 1,000 Unit Intravenous Solution 20 20 $205,870.00 $74,113.20 64% off $7,952.70 $183,224.30 $84,553.21 2026-01-01
356 OTHER Other Digestive System O.r. Procedures With Mcc 20 20 $148,528.98 $53,470.43 64% off $7,650.18 $148,528.98 $83,773.17 2026-01-01
25 OTHER Craniotomy And Endovascular Intracranial Procedures With Mcc 20 20 $145,446.29 $52,360.66 64% off $7,491.40 $145,446.29 $82,034.48 2026-01-01
26 OTHER Craniotomy And Endovascular Intracranial Procedures With Cc 20 20 $145,346.63 $52,324.79 64% off $7,486.27 $145,346.63 $81,978.27 2026-01-01
0310-4535-30 OTHER Tremelimumab-actl 20 Mg/ml Intravenous Solution 20 20 $198,900.00 $71,604.00 64% off $7,683.45 $177,021.00 $81,690.54 2026-01-01
50242-554-01 OTHER Ocrelizumab 920 Mg-hyaluronidase-ocsq 23,000 Unit/23 Ml Subcut Soln 20 20 $197,144.96 $70,972.19 64% off $7,615.65 $175,459.01 $80,969.73 2026-01-01
329 OTHER Major Small And Large Bowel Procedures With Mcc 20 20 $143,545.80 $51,676.49 64% off $7,393.52 $143,545.80 $80,962.57 2026-01-01
414 OTHER Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 20 20 $143,340.69 $51,602.65 64% off $7,382.95 $143,340.69 $80,846.88 2026-01-01
91 OTHER Other Disorders Of Nervous System With Mcc 20 20 $142,376.24 $51,255.45 64% off $7,333.28 $142,376.24 $80,302.91 2026-01-01
448 OTHER Multiple Level Spinal Fusion Except Cervical Without Mcc 20 20 $141,412.89 $50,908.64 64% off $7,283.66 $141,412.89 $79,759.57 2026-01-01
462 OTHER Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 20 20 $140,263.92 $50,495.01 64% off $7,224.48 $140,263.92 $79,111.52 2026-01-01
277 OTHER Cardiac Defibrillator Implant Without Mcc 20 20 $136,724.78 $49,220.92 64% off $7,042.19 $136,724.78 $77,115.38 2026-01-01
820 OTHER Lymphoma And Leukemia With Major O.r. Procedures With Mcc 20 20 $134,307.83 $48,350.82 64% off $6,917.70 $134,307.83 $75,752.17 2026-01-01
673 OTHER Other Kidney And Urinary Tract Procedures With Mcc 20 20 $133,554.09 $48,079.47 64% off $6,878.88 $133,554.09 $75,327.05 2026-01-01
577 OTHER Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 20 20 $133,237.87 $47,965.63 64% off $6,862.59 $133,237.87 $75,148.69 2026-01-01
337 OTHER Peritoneal Adhesiolysis Without Cc-mcc 20 20 $132,625.97 $47,745.35 64% off $6,831.08 $132,625.97 $74,803.57 2026-01-01
321 OTHER Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 20 20 $131,781.83 $47,441.46 64% off $6,787.60 $131,781.83 $74,327.46 2026-01-01
856 OTHER Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 20 20 $131,715.11 $47,417.44 64% off $6,784.16 $131,715.11 $74,289.83 2026-01-01
47135 OTHER Hc Split Liver Trnspl Cadavr 20 20 $180,000.00 $64,800.00 64% off $6,953.35 $160,200.00 $73,928.10 2026-01-01
47133 OTHER Hc Liver Transplant Cadaverc 20 20 $180,000.00 $64,800.00 64% off $6,953.35 $160,200.00 $73,928.10 2026-01-01
466 OTHER Revision Of Hip Or Knee Replacement With Mcc 20 20 $131,002.88 $47,161.04 64% off $6,747.48 $131,002.88 $73,888.11 2026-01-01
823 OTHER Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 20 20 $129,750.88 $46,710.32 64% off $6,682.99 $129,750.88 $73,181.96 2026-01-01
593 OTHER Skin Ulcers With Cc 20 20 $129,618.84 $46,662.78 64% off $6,676.19 $129,618.84 $73,107.49 2026-01-01
518 OTHER Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 20 20 $129,032.13 $46,451.57 64% off $6,645.97 $129,032.13 $72,776.57 2026-01-01
40 OTHER Peripheral Cranial Nerve And Other Nervous System Procedures With Mcc 20 20 $126,958.69 $45,705.13 64% off $6,539.17 $126,958.69 $71,607.11 2026-01-01
0003-2328-22 OTHER Ipilimumab 200 Mg/40 Ml (5 Mg/ml) Intravenous Solution 20 20 $174,062.40 $62,662.46 64% off $6,723.98 $154,915.54 $71,489.46 2026-01-01
430 OTHER Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 20 20 $126,065.08 $45,383.43 64% off $6,493.15 $126,065.08 $71,103.11 2026-01-01
483 OTHER Major Joint Or Limb Reattachment Procedures Of Upper Extremities 20 20 $125,886.04 $45,318.97 64% off $6,483.93 $125,886.04 $71,002.12 2026-01-01
274 OTHER Percutaneous And Other Intracardiac Procedures Without Mcc 20 20 $125,736.47 $45,265.13 64% off $6,476.22 $125,736.47 $70,917.76 2026-01-01
480 OTHER Hip And Femur Procedures Except Major Joint With Mcc 20 20 $125,212.53 $45,076.51 64% off $6,449.24 $125,212.53 $70,622.25 2026-01-01
33945 OTHER Hc Heart Transplant 20 20 $170,000.00 $61,200.00 64% off $6,567.05 $151,300.00 $69,820.98 2026-01-01
846 OTHER Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 20 20 $123,788.36 $44,563.81 64% off $6,375.88 $123,788.36 $69,818.99 2026-01-01
472 OTHER Cervical Spinal Fusion With Cc 20 20 $123,091.63 $44,312.99 64% off $6,340.00 $123,091.63 $69,426.02 2026-01-01
473 OTHER Cervical Spinal Fusion Without Cc-mcc 20 20 $122,720.70 $44,179.45 64% off $6,320.89 $122,720.70 $69,216.81 2026-01-01
488 OTHER Knee Procedures Without Principal Diagnosis Of Infection With Cc-mcc 20 20 $119,767.20 $43,116.19 64% off $6,168.77 $119,767.20 $67,550.98 2026-01-01
824 OTHER Lymphoma And Non-acute Leukemia With Other Procedures With Cc 20 20 $118,997.26 $42,839.01 64% off $6,129.11 $118,997.26 $67,116.72 2026-01-01
469 OTHER Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 20 20 $117,375.56 $42,255.20 64% off $6,045.58 $117,375.56 $66,202.05 2026-01-01
72187-0401-1 OTHER Tagraxofusp-erzs 1,000 Mcg/ml Intravenous Solution 20 20 $160,745.95 $57,868.54 64% off $6,209.57 $143,063.90 $66,020.24 2026-01-01
273 OTHER Percutaneous And Other Intracardiac Procedures With Mcc 20 20 $116,650.61 $41,994.22 64% off $6,008.24 $116,650.61 $65,793.17 2026-01-01
981 OTHER Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 20 20 $116,511.13 $41,944.01 64% off $6,001.06 $116,511.13 $65,714.49 2026-01-01
335 OTHER Peritoneal Adhesiolysis With Mcc 20 20 $115,113.17 $41,440.74 64% off $5,929.06 $115,113.17 $64,926.02 2026-01-01
521 OTHER Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 20 20 $114,248.74 $41,129.54 64% off $5,884.53 $114,248.74 $64,438.46 2026-01-01
24 OTHER Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 20 20 $112,638.04 $40,549.69 64% off $5,801.57 $112,638.04 $63,530.00 2026-01-01
659 OTHER Kidney And Ureter Procedures For Non-neoplasm With Mcc 20 20 $112,150.90 $40,374.32 64% off $5,776.48 $112,150.90 $63,255.24 2026-01-01
492 OTHER Lower Extremity And Humerus Procedures Except Hip Foot And Femur With Mcc 20 20 $111,200.67 $40,032.24 64% off $5,727.54 $111,200.67 $62,719.29 2026-01-01
327 OTHER Stomach Esophageal And Duodenal Procedures With Cc 20 20 $109,388.13 $39,379.73 64% off $5,634.18 $109,388.13 $61,696.99 2026-01-01
468 OTHER Revision Of Hip Or Knee Replacement Without Cc-mcc 20 20 $109,347.30 $39,365.03 64% off $5,632.08 $109,347.30 $61,673.96 2026-01-01
654 OTHER Major Bladder Procedures With Cc 20 20 $109,216.16 $39,317.82 64% off $5,625.32 $109,216.16 $61,599.99 2026-01-01
334 OTHER Rectal Resection Without Cc-mcc 20 20 $108,281.92 $38,981.49 64% off $5,577.20 $108,281.92 $61,073.06 2026-01-01
58468-0200-1 OTHER Alemtuzumab 12 Mg/1.2 Ml Intravenous Solution 20 20 $147,248.70 $53,009.53 64% off $5,688.18 $131,051.34 $60,476.76 2026-01-01
417 OTHER Laparoscopic Cholecystectomy Without C.d.e. With Mcc 20 20 $106,387.36 $38,299.45 64% off $5,479.62 $106,387.36 $60,004.50 2026-01-01
907 OTHER Other O.r. Procedures For Injuries With Mcc 20 20 $105,677.97 $38,044.07 64% off $5,443.08 $105,677.97 $59,604.39 2026-01-01
987 OTHER Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 20 20 $105,420.23 $37,951.28 64% off $5,429.81 $105,420.23 $59,459.01 2026-01-01
166 OTHER Other Respiratory System O.r. Procedures With Mcc 20 20 $105,189.03 $37,868.05 64% off $5,417.90 $105,189.03 $59,328.62 2026-01-01
622 OTHER Skin Grafts And Wound Debridement For Endocrine Nutritional And Metabolic Disord… 20 20 $104,370.71 $37,573.46 64% off $5,375.75 $104,370.71 $58,867.07 2026-01-01
493 OTHER Lower Extremity And Humerus Procedures Except Hip Foot And Femur With Cc 20 20 $102,475.19 $36,891.07 64% off $5,278.12 $102,475.19 $57,797.96 2026-01-01
657 OTHER Kidney And Ureter Procedures For Neoplasm With Cc 20 20 $101,974.78 $36,710.92 64% off $5,252.35 $101,974.78 $57,515.71 2026-01-01
0006-5087-01 OTHER Sotatercept-csrk 45 Mg Subcutaneous 1 Syringe Kit 20 20 $140,000.00 $50,400.00 64% off $5,408.16 $124,600.00 $57,499.63 2026-01-01
0006-5088-01 OTHER Sotatercept-csrk 60 Mg Subcutaneous 1 Syringe Kit 20 20 $140,000.00 $50,400.00 64% off $5,408.16 $124,600.00 $57,499.63 2026-01-01
75987-080-10 OTHER Pegloticase 8 Mg/ml Intravenous Solution 20 20 $139,802.80 $50,329.01 64% off $5,400.54 $124,424.49 $57,418.63 2026-01-01
789 OTHER Neonates Died Or Transferred To Another Acute Care Facility 20 20 $101,185.16 $36,426.66 64% off $5,211.67 $101,185.16 $57,070.35 2026-01-01
330 OTHER Major Small And Large Bowel Procedures With Cc 20 20 $101,027.77 $36,370.00 64% off $5,203.57 $101,027.77 $56,981.58 2026-01-01
821 OTHER Lymphoma And Leukemia With Major O.r. Procedures With Cc 20 20 $100,703.84 $36,253.38 64% off $5,186.88 $100,703.84 $56,798.89 2026-01-01
242 OTHER Permanent Cardiac Pacemaker Implant With Mcc 20 20 $100,291.24 $36,104.85 64% off $5,165.63 $100,291.24 $56,566.17 2026-01-01
69488-003-01 OTHER Lutetium Lu 177 Dotatate 10 Mci/ml (370 Mbq/ml) Intravenous Solution 20 20 $137,000.00 $49,320.00 64% off $5,292.27 $121,930.00 $56,267.50 2026-01-01
69488-003-70 OTHER Lutetium Lu 177 Dotatate 10 Mci/ml (370 Mbq/ml) Intravenous Solution 20 20 $137,000.00 $49,320.00 64% off $5,292.27 $121,930.00 $56,267.50 2026-01-01
239 OTHER Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 20 20 $99,537.27 $35,833.42 64% off $5,126.80 $99,537.27 $56,140.91 2026-01-01
511 OTHER Shoulder Elbow Or Forearm Procedures Except Major Joint Procedures With Cc 20 20 $98,616.96 $35,502.10 64% off $5,079.40 $98,616.96 $55,621.84 2026-01-01
79952-110-01 OTHER Loncastuximab Tesirine-lpyl 10 Mg Intravenous Solution 20 20 $135,116.30 $48,641.87 64% off $5,219.50 $120,253.51 $55,493.84 2026-01-01
57894-061-03 OTHER Ustekinumab 90 Mg/ml Subcutaneous Syringe 20 20 $134,968.20 $48,588.55 64% off $5,213.78 $120,121.70 $55,433.01 2026-01-01
73 OTHER Cranial And Peripheral Nerve Disorders With Mcc 20 20 $97,705.34 $35,173.92 64% off $5,032.44 $97,705.34 $55,107.67 2026-01-01
982 OTHER Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 20 20 $97,514.47 $35,105.21 64% off $5,022.61 $97,514.47 $55,000.02 2026-01-01
615 OTHER Adrenal And Pituitary Procedures Without Cc-mcc 20 20 $96,587.51 $34,771.50 64% off $4,974.87 $96,587.51 $54,477.19 2026-01-01
542 OTHER Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 20 20 $95,671.78 $34,441.84 64% off $4,927.70 $95,671.78 $53,960.70 2026-01-01
614 OTHER Adrenal And Pituitary Procedures With Cc-mcc 20 20 $95,120.62 $34,243.42 64% off $4,899.31 $95,120.62 $53,649.84 2026-01-01
0597-0035-10 OTHER Spesolimab-sbzo 60 Mg/ml Intravenous Solution 20 20 $130,389.15 $46,940.09 64% off $5,036.90 $116,046.34 $53,552.35 2026-01-01
69488-010-61 OTHER Lutetium Lu-177 Vipivotide Tetraxetan 27 Mci/ml (1,000 Mbq/ml) IV Soln 20 20 $130,050.00 $46,818.00 64% off $5,023.79 $115,744.50 $53,413.05 2026-01-01
62935-163-60 OTHER Leuprolide 45 Mg (pediatric 6 Month) Subcutaneous Syringe 20 20 $129,047.80 $46,457.21 64% off $4,985.08 $114,852.54 $53,001.43 2026-01-01
72694-515-01 OTHER Calaspargase Pegol-mknl 750 Unit/ml Intravenous Solution 20 20 $128,920.50 $46,411.38 64% off $4,980.16 $114,739.25 $52,949.15 2026-01-01
522 OTHER Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 20 20 $93,811.67 $33,772.20 64% off $4,831.89 $93,811.67 $52,911.57 2026-01-01
707 OTHER Major Male Pelvic Procedures With Cc-mcc 20 20 $93,523.90 $33,668.60 64% off $4,817.07 $93,523.90 $52,749.26 2026-01-01
956 OTHER Limb Reattachment Hip And Femur Procedures For Multiple Significant Trauma 20 20 $93,104.11 $33,517.48 64% off $4,795.45 $93,104.11 $52,512.49 2026-01-01
72694-954-01 OTHER Pegaspargase 750 Unit/ml Injection Solution 20 20 $127,691.25 $45,968.85 64% off $4,932.68 $113,645.21 $52,444.29 2026-01-01
252 OTHER Other Vascular Procedures With Mcc 20 20 $92,685.70 $33,366.85 64% off $4,773.90 $92,685.70 $52,276.50 2026-01-01
358 OTHER Other Digestive System O.r. Procedures Without Cc-mcc 20 20 $92,247.50 $33,209.10 64% off $4,751.33 $92,247.50 $52,029.35 2026-01-01
61 OTHER Ischemic Stroke Precerebral Occlusion Or Transient Ischemia With Thrombolytic Ag… 20 20 $92,048.64 $33,137.51 64% off $4,741.09 $92,048.64 $51,917.18 2026-01-01
520 OTHER Back And Neck Procedures Except Spinal Fusion Without Cc-mcc 20 20 $90,893.33 $32,721.60 64% off $4,681.58 $90,893.33 $51,265.57 2026-01-01
502 OTHER Soft Tissue Procedures Without Cc-mcc 20 20 $89,648.87 $32,273.59 64% off $4,617.48 $89,648.87 $50,563.67 2026-01-01
658 OTHER Kidney And Ureter Procedures For Neoplasm Without Cc-mcc 20 20 $89,452.44 $32,202.88 64% off $4,607.37 $89,452.44 $50,452.88 2026-01-01
324 OTHER Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 20 20 $89,408.94 $32,187.22 64% off $4,605.13 $89,408.94 $50,428.35 2026-01-01
418 OTHER Laparoscopic Cholecystectomy Without C.d.e. With Cc 20 20 $88,313.20 $31,792.75 64% off $4,548.69 $88,313.20 $49,810.32 2026-01-01
620 OTHER O.r. Procedures For Obesity With Cc 20 20 $87,936.69 $31,657.21 64% off $4,529.30 $87,936.69 $49,597.97 2026-01-01
336 OTHER Peritoneal Adhesiolysis With Cc 20 20 $87,893.83 $31,641.78 64% off $4,527.09 $87,893.83 $49,573.79 2026-01-01
94 OTHER Bacterial And Tuberculous Infections Of Nervous System With Mcc 20 20 $87,779.05 $31,600.46 64% off $4,521.18 $87,779.05 $49,509.06 2026-01-01
62935-154-50 OTHER Leuprolide 45 Mg (pediatric 6 Month) Subcutaneous Syringe 20 20 $119,098.95 $42,875.62 64% off $4,600.76 $105,998.07 $48,915.32 2026-01-01
62935-153-50 OTHER Leuprolide 45 Mg (pediatric 6 Month) Subcutaneous Syringe 20 20 $119,098.95 $42,875.62 64% off $4,600.76 $105,998.07 $48,915.32 2026-01-01
519 OTHER Back And Neck Procedures Except Spinal Fusion With Cc 20 20 $86,688.75 $31,207.95 64% off $4,465.02 $86,688.75 $48,894.10 2026-01-01
164 OTHER Major Chest Procedures With Cc 20 20 $86,581.04 $31,169.18 64% off $4,459.47 $86,581.04 $48,833.35 2026-01-01
494 OTHER Lower Extremity And Humerus Procedures Except Hip Foot And Femur Without Cc-mcc 20 20 $86,498.13 $31,139.33 64% off $4,455.20 $86,498.13 $48,786.59 2026-01-01
713 OTHER Transurethral Prostatectomy With Cc-mcc 20 20 $86,403.71 $31,105.34 64% off $4,450.34 $86,403.71 $48,733.34 2026-01-01
827 OTHER Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 20 20 $86,224.16 $31,040.70 64% off $4,441.09 $86,224.16 $48,632.07 2026-01-01
157 OTHER Dental And Oral Diseases With Mcc 20 20 $86,120.86 $31,003.51 64% off $4,435.77 $86,120.86 $48,573.81 2026-01-01
63 OTHER Ischemic Stroke Precerebral Occlusion Or Transient Ischemia With Thrombolytic Ag… 20 20 $85,959.12 $30,945.28 64% off $4,427.44 $85,959.12 $48,482.58 2026-01-01
271 OTHER Other Major Cardiovascular Procedures With Cc 20 20 $85,948.30 $30,941.39 64% off $4,426.88 $85,948.30 $48,476.47 2026-01-01
25682-028-01 OTHER Ravulizumab-cwvz 100 Mg/ml Intravenous Solution 20 20 $117,406.63 $42,266.39 64% off $4,535.38 $104,491.90 $48,220.27 2026-01-01
253 OTHER Other Vascular Procedures With Cc 20 20 $85,170.23 $30,661.28 64% off $4,386.80 $85,170.23 $48,037.63 2026-01-01
76128-155-75 OTHER Porfimer 75 Mg Intravenous Solution 20 20 $116,615.00 $41,981.40 64% off $4,504.80 $103,787.35 $47,895.14 2026-01-01
515 OTHER Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 20 20 $84,876.70 $30,555.61 64% off $4,371.69 $84,876.70 $47,872.07 2026-01-01
470 OTHER Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 20 20 $84,638.23 $30,469.76 64% off $4,359.40 $84,638.23 $47,737.57 2026-01-01
72493-103-03 OTHER Mitomycin 40 Mg X 2 Intra-pyelocalyceal Kit 20 20 $116,135.00 $41,808.60 64% off $4,486.26 $103,360.15 $47,698.00 2026-01-01
27 OTHER Craniotomy And Endovascular Intracranial Procedures Without Cc-mcc 20 20 $83,975.59 $30,231.21 64% off $4,325.27 $83,975.59 $47,363.83 2026-01-01
516 OTHER Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 20 20 $83,887.51 $30,199.50 64% off $4,320.74 $83,887.51 $47,314.15 2026-01-01
331 OTHER Major Small And Large Bowel Procedures Without Cc-mcc 20 20 $83,227.05 $29,961.74 64% off $4,286.72 $83,227.05 $46,941.64 2026-01-01
198 OTHER Interstitial Lung Disease Without Cc-mcc 20 20 $83,199.55 $29,951.84 64% off $4,285.30 $83,199.55 $46,926.13 2026-01-01
72893-007-04 OTHER Kit For Yttrium-90-ibritumomab 3.2 Mg/2 Ml Intravenous 20 20 $114,000.01 $41,040.00 64% off $4,403.79 $101,460.01 $46,821.13 2026-01-01
99999-2227-29 OTHER Kit For Yttrium-90-ibritumomab 3.2 Mg/2 Ml Intravenous 20 20 $114,000.00 $41,040.00 64% off $4,403.79 $101,460.00 $46,821.13 2026-01-01
570 OTHER Skin Debridement With Mcc 20 20 $82,834.81 $29,820.53 64% off $4,266.52 $82,834.81 $46,720.41 2026-01-01
243 OTHER Permanent Cardiac Pacemaker Implant With Cc 20 20 $82,798.66 $29,807.52 64% off $4,264.65 $82,798.66 $46,700.02 2026-01-01
72493-101-40 OTHER Mitomycin 40 Mg X 2 Intra-pyelocalyceal Kit 20 20 $113,300.00 $40,788.00 64% off $4,376.75 $100,837.00 $46,533.63 2026-01-01
617 OTHER Amputation Of Lower Limb For Endocrine Nutritional And Metabolic Disorders With … 20 20 $82,496.70 $29,698.81 64% off $4,249.10 $82,496.70 $46,529.71 2026-01-01
621 OTHER O.r. Procedures For Obesity Without Cc-mcc 20 20 $82,142.46 $29,571.29 64% off $4,230.86 $82,142.46 $46,329.91 2026-01-01
909 OTHER Other O.r. Procedures For Injuries Without Cc-mcc 20 20 $81,974.35 $29,510.77 64% off $4,222.20 $81,974.35 $46,235.10 2026-01-01
478 OTHER Biopsies Of Musculoskeletal System And Connective Tissue With Cc 20 20 $81,746.51 $29,428.75 64% off $4,210.46 $81,746.51 $46,106.59 2026-01-01
584 OTHER Breast Biopsy Local Excision And Other Breast Procedures With Cc-mcc 20 20 $81,578.74 $29,368.35 64% off $4,201.82 $81,578.74 $46,011.96 2026-01-01
95 OTHER Bacterial And Tuberculous Infections Of Nervous System With Cc 20 20 $81,529.55 $29,350.64 64% off $4,199.29 $81,529.55 $45,984.21 2026-01-01
32 OTHER Ventricular Shunt Procedures With Cc 20 20 $81,310.29 $29,271.70 64% off $4,187.99 $81,310.29 $45,860.55 2026-01-01
0008-0100-01 OTHER Inotuzumab Ozogamicin 0.9 Mg IV Soln 20 20 $111,434.55 $40,116.44 64% off $4,304.68 $99,176.75 $45,767.47 2026-01-01
142 OTHER Major Head And Neck Procedures Without Cc-mcc 20 20 $81,129.76 $29,206.71 64% off $4,178.70 $81,129.76 $45,758.73 2026-01-01
735 OTHER Pelvic Evisceration Radical Hysterectomy And Radical Vulvectomy Without Cc-mcc 20 20 $80,087.61 $28,831.54 64% off $4,125.02 $80,087.61 $45,170.94 2026-01-01
486 OTHER Knee Procedures With Principal Diagnosis Of Infection With Cc 20 20 $79,764.99 $28,715.40 64% off $4,108.40 $79,764.99 $44,988.97 2026-01-01
0074-1050-01 OTHER Risankizumab-rzaa 150 Mg/ml Subcutaneous Syringe 20 20 $108,000.35 $38,880.13 64% off $4,172.02 $96,120.31 $44,357.00 2026-01-01
796 OTHER Vaginal Delivery With Sterilization And-or Dandc With Mcc 20 20 $77,731.82 $27,983.46 64% off $4,003.68 $77,731.82 $43,842.23 2026-01-01
0006-5331-01 OTHER Belzutifan 40 Mg Tablet 20 20 $106,443.00 $38,319.48 64% off $4,111.86 $94,734.27 $43,717.38 2026-01-01
322 OTHER Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 20 20 $76,946.79 $27,700.85 64% off $3,963.25 $76,946.79 $43,399.46 2026-01-01
737 OTHER Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 20 20 $76,714.92 $27,617.37 64% off $3,951.30 $76,714.92 $43,268.68 2026-01-01
564 OTHER Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 20 20 $76,434.00 $27,516.24 64% off $3,936.83 $76,434.00 $43,110.23 2026-01-01
940 OTHER O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 20 20 $76,305.72 $27,470.06 64% off $3,930.23 $76,305.72 $43,037.88 2026-01-01
62 OTHER Ischemic Stroke Precerebral Occlusion Or Transient Ischemia With Thrombolytic Ag… 20 20 $75,005.71 $27,002.06 64% off $3,863.27 $75,005.71 $42,304.65 2026-01-01
71104-991-08 OTHER Antihemophil Rfviii Fc-vwf-xten,bdd-ehtl 4,000 (+/-) Unit IV Solution 20 20 $102,800.00 $37,008.00 64% off $3,971.13 $91,492.00 $42,221.15 2026-01-01
71104-984-01 OTHER Antihemophil Rfviii Fc-vwf-xten,bdd-ehtl 4,000 (+/-) Unit IV Solution 20 20 $102,800.00 $37,008.00 64% off $3,971.13 $91,492.00 $42,221.15 2026-01-01
481 OTHER Hip And Femur Procedures Except Major Joint With Cc 20 20 $74,692.86 $26,889.43 64% off $3,847.15 $74,692.86 $42,128.19 2026-01-01
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