|
73554-1111-1
|
CDM
|
Lovotibeglogene Autotemcel 1.7 X 10exp6 To 20 X 10exp6 Cell/ml IV Susp
|
9
|
9
|
—
|
—
|
$1,603,460.12
|
$4,162,778.51
|
$2,222,789.32
|
2026-01-01
|
|
73554-3111-1
|
CDM
|
Betibeglogene Autotemcel 2 X 10exp6 To 20 X 10exp6 Cell/ml IV Susp
|
11
|
11
|
—
|
—
|
$1,448,286.56
|
$4,958,756.60
|
$2,286,386.28
|
2026-01-01
|
|
51167-290-09
|
CDM
|
Exagamglogene Autotemcel 4 X 10exp6 To 13 X 10exp6 Cell/ml IV Susp
|
15
|
15
|
—
|
—
|
$1,137,939.44
|
$4,974,391.34
|
$2,640,000.00
|
2026-01-01
|
|
51167-290-01
|
CDM
|
Exagamglogene Autotemcel 4 X 10exp6 To 13 X 10exp6 Cell/ml IV Susp
|
15
|
15
|
—
|
—
|
$1,137,939.44
|
$4,974,391.34
|
$2,640,000.00
|
2026-01-01
|
|
60923-561-70
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
24
|
24
|
$4,800,000.01
|
$2,496,000.01
48% off
|
$496,555.39
|
$4,320,000.01
|
$1,870,508.55
|
2026-01-01
|
|
60923-514-23
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
24
|
24
|
$4,800,000.01
|
$2,496,000.01
48% off
|
$496,555.39
|
$4,320,000.01
|
$1,870,508.55
|
2026-01-01
|
|
60923-532-41
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
24
|
24
|
$4,800,000.01
|
$2,496,000.01
48% off
|
$496,555.39
|
$4,320,000.01
|
$1,870,508.55
|
2026-01-01
|
|
60923-512-21
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
24
|
24
|
$4,800,000.01
|
$2,496,000.01
48% off
|
$496,555.39
|
$4,320,000.01
|
$1,870,508.55
|
2026-01-01
|
|
60923-521-30
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
24
|
24
|
$4,800,000.01
|
$2,496,000.01
48% off
|
$496,555.39
|
$4,320,000.01
|
$1,870,508.55
|
2026-01-01
|
|
60923-510-19
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
24
|
24
|
$4,800,000.01
|
$2,496,000.01
48% off
|
$496,555.39
|
$4,320,000.01
|
$1,870,508.55
|
2026-01-01
|
|
60923-526-35
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
24
|
24
|
$4,800,000.01
|
$2,496,000.01
48% off
|
$496,555.39
|
$4,320,000.01
|
$1,870,508.55
|
2026-01-01
|
|
60923-509-18
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
24
|
24
|
$4,800,000.01
|
$2,496,000.01
48% off
|
$496,555.39
|
$4,320,000.01
|
$1,870,508.55
|
2026-01-01
|
|
60923-519-28
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
24
|
24
|
$4,800,000.01
|
$2,496,000.01
48% off
|
$496,555.39
|
$4,320,000.01
|
$1,870,508.55
|
2026-01-01
|
|
60923-559-68
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
24
|
24
|
$4,800,000.01
|
$2,496,000.01
48% off
|
$496,555.39
|
$4,320,000.01
|
$1,870,508.55
|
2026-01-01
|
|
60923-502-11
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
24
|
24
|
$4,800,000.01
|
$2,496,000.01
48% off
|
$496,555.39
|
$4,320,000.01
|
$1,870,508.55
|
2026-01-01
|
|
60923-520-29
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
24
|
24
|
$4,800,000.01
|
$2,496,000.01
48% off
|
$496,555.39
|
$4,320,000.01
|
$1,870,508.55
|
2026-01-01
|
|
60923-518-27
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
24
|
24
|
$4,800,000.01
|
$2,496,000.01
48% off
|
$496,555.39
|
$4,320,000.01
|
$1,870,508.55
|
2026-01-01
|
|
60923-534-43
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
24
|
24
|
$4,800,000.01
|
$2,496,000.01
48% off
|
$496,555.39
|
$4,320,000.01
|
$1,870,508.55
|
2026-01-01
|
|
60923-503-12
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
24
|
24
|
$4,800,000.01
|
$2,496,000.01
48% off
|
$496,555.39
|
$4,320,000.01
|
$1,870,508.55
|
2026-01-01
|
|
60923-537-46
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
24
|
24
|
$4,800,000.01
|
$2,496,000.01
48% off
|
$496,555.39
|
$4,320,000.01
|
$1,870,508.55
|
2026-01-01
|
|
60923-540-49
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
24
|
24
|
$4,800,000.01
|
$2,496,000.01
48% off
|
$496,555.39
|
$4,320,000.01
|
$1,870,508.55
|
2026-01-01
|
|
60923-536-45
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
24
|
24
|
$4,800,000.01
|
$2,496,000.01
48% off
|
$496,555.39
|
$4,320,000.01
|
$1,870,508.55
|
2026-01-01
|
|
60923-524-33
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
24
|
24
|
$4,800,000.01
|
$2,496,000.01
48% off
|
$496,555.39
|
$4,320,000.01
|
$1,870,508.55
|
2026-01-01
|
|
60923-548-57
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
24
|
24
|
$4,800,000.00
|
$2,496,000.00
48% off
|
$496,555.39
|
$4,320,000.00
|
$1,870,508.54
|
2026-01-01
|
|
60923-525-34
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
24
|
24
|
$4,800,000.00
|
$2,496,000.00
48% off
|
$496,555.39
|
$4,320,000.00
|
$1,870,508.54
|
2026-01-01
|
|
60923-552-61
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
24
|
24
|
$4,800,000.00
|
$2,496,000.00
48% off
|
$496,555.39
|
$4,320,000.00
|
$1,870,508.54
|
2026-01-01
|
|
60923-507-16
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
24
|
24
|
$4,800,000.00
|
$2,496,000.00
48% off
|
$496,555.39
|
$4,320,000.00
|
$1,870,508.54
|
2026-01-01
|
|
60923-506-15
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
24
|
24
|
$4,800,000.00
|
$2,496,000.00
48% off
|
$496,555.39
|
$4,320,000.00
|
$1,870,508.54
|
2026-01-01
|
|
60923-516-25
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
24
|
24
|
$4,800,000.00
|
$2,496,000.00
48% off
|
$496,555.39
|
$4,320,000.00
|
$1,870,508.54
|
2026-01-01
|
|
60923-511-20
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
24
|
24
|
$4,800,000.00
|
$2,496,000.00
48% off
|
$496,555.39
|
$4,320,000.00
|
$1,870,508.54
|
2026-01-01
|
|
60923-545-54
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
24
|
24
|
$4,800,000.00
|
$2,496,000.00
48% off
|
$496,555.39
|
$4,320,000.00
|
$1,870,508.54
|
2026-01-01
|
|
60923-549-58
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
24
|
24
|
$4,800,000.00
|
$2,496,000.00
48% off
|
$496,555.39
|
$4,320,000.00
|
$1,870,508.54
|
2026-01-01
|
|
60923-528-37
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
24
|
24
|
$4,800,000.00
|
$2,496,000.00
48% off
|
$496,555.39
|
$4,320,000.00
|
$1,870,508.54
|
2026-01-01
|
|
60923-522-31
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
24
|
24
|
$4,800,000.00
|
$2,496,000.00
48% off
|
$496,555.39
|
$4,320,000.00
|
$1,870,508.54
|
2026-01-01
|
|
60923-546-55
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
24
|
24
|
$4,800,000.00
|
$2,496,000.00
48% off
|
$496,555.39
|
$4,320,000.00
|
$1,870,508.54
|
2026-01-01
|
|
60923-538-47
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
24
|
24
|
$4,800,000.00
|
$2,496,000.00
48% off
|
$496,555.39
|
$4,320,000.00
|
$1,870,508.54
|
2026-01-01
|
|
60923-542-51
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
24
|
24
|
$4,800,000.00
|
$2,496,000.00
48% off
|
$496,555.39
|
$4,320,000.00
|
$1,870,508.54
|
2026-01-01
|
|
60923-544-53
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
24
|
24
|
$4,800,000.00
|
$2,496,000.00
48% off
|
$496,555.39
|
$4,320,000.00
|
$1,870,508.54
|
2026-01-01
|
|
60923-547-56
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
24
|
24
|
$4,800,000.00
|
$2,496,000.00
48% off
|
$496,555.39
|
$4,320,000.00
|
$1,870,508.54
|
2026-01-01
|
|
60923-527-36
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
24
|
24
|
$4,800,000.00
|
$2,496,000.00
48% off
|
$496,555.39
|
$4,320,000.00
|
$1,870,508.54
|
2026-01-01
|
|
60923-560-69
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
24
|
24
|
$4,800,000.00
|
$2,496,000.00
48% off
|
$496,555.39
|
$4,320,000.00
|
$1,870,508.54
|
2026-01-01
|
|
60923-531-40
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
24
|
24
|
$4,800,000.00
|
$2,496,000.00
48% off
|
$496,555.39
|
$4,320,000.00
|
$1,870,508.54
|
2026-01-01
|
|
60923-501-10
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
24
|
24
|
$4,800,000.00
|
$2,496,000.00
48% off
|
$496,555.39
|
$4,320,000.00
|
$1,870,508.54
|
2026-01-01
|
|
60923-556-65
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
24
|
24
|
$4,800,000.00
|
$2,496,000.00
48% off
|
$496,555.39
|
$4,320,000.00
|
$1,870,508.54
|
2026-01-01
|
|
60923-530-39
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
24
|
24
|
$4,800,000.00
|
$2,496,000.00
48% off
|
$496,555.39
|
$4,320,000.00
|
$1,870,508.54
|
2026-01-01
|
|
60923-513-22
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
24
|
24
|
$4,800,000.00
|
$2,496,000.00
48% off
|
$496,555.39
|
$4,320,000.00
|
$1,870,508.54
|
2026-01-01
|
|
60923-523-32
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
24
|
24
|
$4,800,000.00
|
$2,496,000.00
48% off
|
$496,555.39
|
$4,320,000.00
|
$1,870,508.54
|
2026-01-01
|
|
60923-557-66
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
24
|
24
|
$4,800,000.00
|
$2,496,000.00
48% off
|
$496,555.39
|
$4,320,000.00
|
$1,870,508.54
|
2026-01-01
|
|
60923-505-14
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
24
|
24
|
$4,800,000.00
|
$2,496,000.00
48% off
|
$496,555.39
|
$4,320,000.00
|
$1,870,508.54
|
2026-01-01
|
|
60923-553-62
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
24
|
24
|
$4,800,000.00
|
$2,496,000.00
48% off
|
$496,555.39
|
$4,320,000.00
|
$1,870,508.54
|
2026-01-01
|
|
60923-551-60
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
24
|
24
|
$4,800,000.00
|
$2,496,000.00
48% off
|
$496,555.39
|
$4,320,000.00
|
$1,870,508.54
|
2026-01-01
|
|
60923-558-67
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
24
|
24
|
$4,800,000.00
|
$2,496,000.00
48% off
|
$496,555.39
|
$4,320,000.00
|
$1,870,508.54
|
2026-01-01
|
|
60923-535-44
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
24
|
24
|
$4,800,000.00
|
$2,496,000.00
48% off
|
$496,555.39
|
$4,320,000.00
|
$1,870,508.54
|
2026-01-01
|
|
60923-533-42
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
24
|
24
|
$4,800,000.00
|
$2,496,000.00
48% off
|
$496,555.39
|
$4,320,000.00
|
$1,870,508.54
|
2026-01-01
|
|
60923-555-64
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
24
|
24
|
$4,800,000.00
|
$2,496,000.00
48% off
|
$496,555.39
|
$4,320,000.00
|
$1,870,508.54
|
2026-01-01
|
|
60923-554-63
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
24
|
24
|
$4,800,000.00
|
$2,496,000.00
48% off
|
$496,555.39
|
$4,320,000.00
|
$1,870,508.54
|
2026-01-01
|
|
60923-515-24
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
24
|
24
|
$4,800,000.00
|
$2,496,000.00
48% off
|
$496,555.39
|
$4,320,000.00
|
$1,870,508.54
|
2026-01-01
|
|
60923-550-59
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
24
|
24
|
$4,800,000.00
|
$2,496,000.00
48% off
|
$496,555.39
|
$4,320,000.00
|
$1,870,508.54
|
2026-01-01
|
|
60923-529-38
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
24
|
24
|
$4,800,000.00
|
$2,496,000.00
48% off
|
$496,555.39
|
$4,320,000.00
|
$1,870,508.54
|
2026-01-01
|
|
60923-543-52
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
24
|
24
|
$4,800,000.00
|
$2,496,000.00
48% off
|
$496,555.39
|
$4,320,000.00
|
$1,870,508.54
|
2026-01-01
|
|
60923-517-26
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
24
|
24
|
$4,800,000.00
|
$2,496,000.00
48% off
|
$496,555.39
|
$4,320,000.00
|
$1,870,508.54
|
2026-01-01
|
|
60923-539-48
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
24
|
24
|
$4,800,000.00
|
$2,496,000.00
48% off
|
$496,555.39
|
$4,320,000.00
|
$1,870,508.54
|
2026-01-01
|
|
60923-508-17
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
24
|
24
|
$4,800,000.00
|
$2,496,000.00
48% off
|
$496,555.39
|
$4,320,000.00
|
$1,870,508.54
|
2026-01-01
|
|
60923-504-13
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
24
|
24
|
$4,800,000.00
|
$2,496,000.00
48% off
|
$496,555.39
|
$4,320,000.00
|
$1,870,508.54
|
2026-01-01
|
|
60923-541-50
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
24
|
24
|
$4,800,000.00
|
$2,496,000.00
48% off
|
$496,555.39
|
$4,320,000.00
|
$1,870,508.54
|
2026-01-01
|
|
71894-136-08
|
CDM
|
Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit
|
24
|
24
|
$3,483,066.54
|
$1,811,194.60
48% off
|
$360,319.89
|
$3,134,759.89
|
$1,357,313.70
|
2026-01-01
|
|
71894-129-05
|
CDM
|
Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit
|
24
|
24
|
$3,483,066.54
|
$1,811,194.60
48% off
|
$360,319.89
|
$3,134,759.89
|
$1,357,313.70
|
2026-01-01
|
|
71894-132-06
|
CDM
|
Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit
|
24
|
24
|
$3,483,066.54
|
$1,811,194.60
48% off
|
$360,319.89
|
$3,134,759.89
|
$1,357,313.70
|
2026-01-01
|
|
71894-120-02
|
CDM
|
Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit
|
24
|
24
|
$3,483,066.54
|
$1,811,194.60
48% off
|
$360,319.89
|
$3,134,759.89
|
$1,357,313.70
|
2026-01-01
|
|
71894-141-09
|
CDM
|
Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit
|
24
|
24
|
$3,483,066.54
|
$1,811,194.60
48% off
|
$360,319.89
|
$3,134,759.89
|
$1,357,313.70
|
2026-01-01
|
|
71894-134-07
|
CDM
|
Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit
|
24
|
24
|
$3,483,066.54
|
$1,811,194.60
48% off
|
$360,319.89
|
$3,134,759.89
|
$1,357,313.70
|
2026-01-01
|
|
71894-137-08
|
CDM
|
Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit
|
24
|
24
|
$3,483,066.54
|
$1,811,194.60
48% off
|
$360,319.89
|
$3,134,759.89
|
$1,357,313.70
|
2026-01-01
|
|
71894-122-03
|
CDM
|
Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit
|
24
|
24
|
$3,483,066.54
|
$1,811,194.60
48% off
|
$360,319.89
|
$3,134,759.89
|
$1,357,313.70
|
2026-01-01
|
|
71894-124-04
|
CDM
|
Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit
|
24
|
24
|
$3,483,066.54
|
$1,811,194.60
48% off
|
$360,319.89
|
$3,134,759.89
|
$1,357,313.70
|
2026-01-01
|
|
71894-127-05
|
CDM
|
Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit
|
24
|
24
|
$3,483,066.54
|
$1,811,194.60
48% off
|
$360,319.89
|
$3,134,759.89
|
$1,357,313.70
|
2026-01-01
|
|
71894-138-08
|
CDM
|
Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit
|
24
|
24
|
$3,483,066.54
|
$1,811,194.60
48% off
|
$360,319.89
|
$3,134,759.89
|
$1,357,313.70
|
2026-01-01
|
|
71894-125-04
|
CDM
|
Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit
|
24
|
24
|
$3,483,066.54
|
$1,811,194.60
48% off
|
$360,319.89
|
$3,134,759.89
|
$1,357,313.70
|
2026-01-01
|
|
71894-126-04
|
CDM
|
Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit
|
24
|
24
|
$3,483,066.54
|
$1,811,194.60
48% off
|
$360,319.89
|
$3,134,759.89
|
$1,357,313.70
|
2026-01-01
|
|
71894-130-06
|
CDM
|
Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit
|
24
|
24
|
$3,483,066.54
|
$1,811,194.60
48% off
|
$360,319.89
|
$3,134,759.89
|
$1,357,313.70
|
2026-01-01
|
|
71894-121-03
|
CDM
|
Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit
|
24
|
24
|
$3,483,066.54
|
$1,811,194.60
48% off
|
$360,319.89
|
$3,134,759.89
|
$1,357,313.70
|
2026-01-01
|
|
71894-128-05
|
CDM
|
Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit
|
24
|
24
|
$3,483,066.54
|
$1,811,194.60
48% off
|
$360,319.89
|
$3,134,759.89
|
$1,357,313.70
|
2026-01-01
|
|
71894-140-09
|
CDM
|
Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit
|
24
|
24
|
$3,483,066.54
|
$1,811,194.60
48% off
|
$360,319.89
|
$3,134,759.89
|
$1,357,313.70
|
2026-01-01
|
|
71894-131-06
|
CDM
|
Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit
|
24
|
24
|
$3,483,066.54
|
$1,811,194.60
48% off
|
$360,319.89
|
$3,134,759.89
|
$1,357,313.70
|
2026-01-01
|
|
71894-123-03
|
CDM
|
Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit
|
24
|
24
|
$3,483,066.54
|
$1,811,194.60
48% off
|
$360,319.89
|
$3,134,759.89
|
$1,357,313.70
|
2026-01-01
|
|
71894-139-09
|
CDM
|
Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit
|
24
|
24
|
$3,483,066.54
|
$1,811,194.60
48% off
|
$360,319.89
|
$3,134,759.89
|
$1,357,313.70
|
2026-01-01
|
|
71894-135-07
|
CDM
|
Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit
|
24
|
24
|
$3,483,066.54
|
$1,811,194.60
48% off
|
$360,319.89
|
$3,134,759.89
|
$1,357,313.70
|
2026-01-01
|
|
71894-133-07
|
CDM
|
Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit
|
24
|
24
|
$3,483,066.54
|
$1,811,194.60
48% off
|
$360,319.89
|
$3,134,759.89
|
$1,357,313.70
|
2026-01-01
|
|
73776-001-11
|
CDM
|
Lifileucel 7.5 X 10exp9 To 72 X 10exp9 Cell Intravenous Suspension
|
24
|
24
|
$2,810,000.00
|
$1,461,200.00
48% off
|
$290,691.80
|
$2,529,000.00
|
$1,095,026.88
|
2026-01-01
|
|
0078-0846-19
|
CDM
|
Tisagenlecleucel (kymriah) Infusion- B All
|
24
|
24
|
$2,719,137.50
|
$1,413,951.50
48% off
|
$281,292.16
|
$2,447,223.75
|
$1,059,618.74
|
2026-01-01
|
|
0078-0958-19
|
CDM
|
Tisagenlecleucel (kymriah) Infusion - Fl And Lbcl
|
24
|
24
|
$2,719,137.50
|
$1,413,951.50
48% off
|
$281,292.16
|
$2,447,223.75
|
$1,059,618.74
|
2026-01-01
|
|
73153-901-08
|
CDM
|
Lisocabtagene Maraleucel (breyanzi) Cd8 Injection - Lbcl
|
24
|
24
|
$2,656,752.00
|
$1,381,511.04
48% off
|
$274,838.44
|
$2,391,076.80
|
$1,035,307.78
|
2026-01-01
|
|
59572-515-01
|
CDM
|
Idecabtagene Vicleucel (abecma) Infusion - Mm
|
24
|
24
|
$2,641,562.15
|
$1,373,612.32
48% off
|
$273,267.07
|
$2,377,405.94
|
$1,029,388.46
|
2026-01-01
|
|
59572-515-03
|
CDM
|
Idecabtagene Vicleucel (abecma) Infusion - Mm
|
24
|
24
|
$2,641,562.15
|
$1,373,612.32
48% off
|
$273,267.07
|
$2,377,405.94
|
$1,029,388.46
|
2026-01-01
|
|
59572-515-02
|
CDM
|
Idecabtagene Vicleucel (abecma) Infusion - Mm
|
24
|
24
|
$2,641,562.15
|
$1,373,612.32
48% off
|
$273,267.07
|
$2,377,405.94
|
$1,029,388.46
|
2026-01-01
|
|
83047-410-04
|
CDM
|
Obecabtagene Autoleucel (aucatzyl) - B-all Infusion (drops Charge)
|
24
|
24
|
$2,625,000.00
|
$1,365,000.00
48% off
|
$271,553.73
|
$2,362,500.00
|
$1,022,934.36
|
2026-01-01
|
|
57894-111-01
|
CDM
|
Ciltacabtagene Autoleucel 0.5 X 10exp6 To 1x 10exp8 Cell IV Suspension
|
24
|
24
|
$2,610,277.50
|
$1,357,344.30
48% off
|
$270,030.70
|
$2,349,249.75
|
$1,017,197.17
|
2026-01-01
|
|
57894-111-02
|
CDM
|
Ciltacabtagene Autoleucel 0.5 X 10exp6 To 1x 10exp8 Cell IV Suspension
|
24
|
24
|
$2,610,277.50
|
$1,357,344.30
48% off
|
$270,030.70
|
$2,349,249.75
|
$1,017,197.17
|
2026-01-01
|
|
71287-220-01
|
CDM
|
Brexucabtagene Autoleucel (tecartus) Infusion - B-all
|
24
|
24
|
$2,310,000.00
|
$1,201,200.00
48% off
|
$238,967.28
|
$2,079,000.00
|
$900,182.24
|
2026-01-01
|
|
71287-219-01
|
CDM
|
Brexucabtagene Autoleucel (tecartus) Infusion - Mcl
|
24
|
24
|
$2,310,000.00
|
$1,201,200.00
48% off
|
$238,967.28
|
$2,079,000.00
|
$900,182.24
|
2026-01-01
|
|
71287-219-02
|
CDM
|
Brexucabtagene Autoleucel (tecartus) Infusion - Mcl
|
24
|
24
|
$2,120,000.00
|
$1,102,400.00
48% off
|
$219,311.97
|
$1,908,000.00
|
$826,141.28
|
2026-01-01
|
|
71287-119-02
|
CDM
|
Axicabtagene Ciloleucel (yescarta) Infusion - Fl And Lbcl
|
24
|
24
|
$2,120,000.00
|
$1,102,400.00
48% off
|
$219,311.97
|
$1,908,000.00
|
$826,141.28
|
2026-01-01
|
|
71287-220-02
|
CDM
|
Brexucabtagene Autoleucel (tecartus) Infusion - B-all
|
24
|
24
|
$2,120,000.00
|
$1,102,400.00
48% off
|
$219,311.97
|
$1,908,000.00
|
$826,141.28
|
2026-01-01
|
|
71287-119-01
|
CDM
|
Axicabtagene Ciloleucel (yescarta) Infusion - Fl And Lbcl
|
24
|
24
|
$2,120,000.00
|
$1,102,400.00
48% off
|
$219,311.97
|
$1,908,000.00
|
$826,141.28
|
2026-01-01
|
|
4
|
MS_DRG
|
Tracheostomy With Mv Greater Than 96 Hours Or Principal Diagnosis Except Face Mo…
|
24
|
24
|
$475,617.16
|
$247,320.92
48% off
|
$66,586.40
|
$428,055.44
|
$233,052.41
|
2026-01-01
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
24
|
24
|
$455,664.89
|
$236,945.74
48% off
|
$63,793.08
|
$410,098.40
|
$223,275.80
|
2026-01-01
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
24
|
24
|
$425,625.87
|
$221,325.45
48% off
|
$59,587.62
|
$383,063.28
|
$208,556.68
|
2026-01-01
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte…
|
24
|
24
|
$398,313.85
|
$207,123.20
48% off
|
$55,763.94
|
$358,482.47
|
$195,173.79
|
2026-01-01
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
24
|
24
|
$381,965.73
|
$198,622.18
48% off
|
$53,475.20
|
$343,769.16
|
$187,163.21
|
2026-01-01
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv Greater Than 96 Hours Or Principal Diagnosis Except…
|
24
|
24
|
$356,269.92
|
$185,260.36
48% off
|
$49,877.79
|
$320,642.93
|
$174,572.26
|
2026-01-01
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
24
|
24
|
$346,200.99
|
$180,024.51
48% off
|
$48,468.14
|
$311,580.89
|
$169,638.48
|
2026-01-01
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
24
|
24
|
$310,346.86
|
$161,380.37
48% off
|
$43,448.56
|
$279,312.18
|
$152,069.96
|
2026-01-01
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte…
|
24
|
24
|
$304,984.62
|
$158,592.00
48% off
|
$42,697.85
|
$274,486.16
|
$149,442.46
|
2026-01-01
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
24
|
24
|
$291,743.07
|
$151,706.40
48% off
|
$40,844.03
|
$262,568.76
|
$142,954.10
|
2026-01-01
|
|
64406-058-01
|
CDM
|
Nusinersen (pf) 12 Mg/5 Ml Intrathecal Solution
|
24
|
24
|
$355,094.63
|
$184,649.21
48% off
|
$36,734.20
|
$319,585.17
|
$138,376.57
|
2026-01-01
|
|
30237-8900-6
|
CDM
|
Sipuleucel-t In Lactated Ringers 50 Million Cell/250 Ml IV Suspension
|
24
|
24
|
$354,080.00
|
$184,121.60
48% off
|
$36,629.24
|
$318,672.00
|
$137,981.18
|
2026-01-01
|
|
582
|
MS_DRG
|
Mastectomy For Malignancy With Cc-mcc
|
24
|
24
|
$279,029.38
|
$145,095.28
48% off
|
$39,064.11
|
$251,126.44
|
$136,724.40
|
2026-01-01
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support Greater Than 96 Hours
|
24
|
24
|
$259,835.97
|
$135,114.70
48% off
|
$36,377.04
|
$233,852.37
|
$127,319.63
|
2026-01-01
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
24
|
24
|
$259,580.27
|
$134,981.74
48% off
|
$36,341.24
|
$233,622.24
|
$127,194.33
|
2026-01-01
|
|
578
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc-mcc
|
24
|
24
|
$253,817.39
|
$131,985.04
48% off
|
$35,534.43
|
$228,435.65
|
$124,370.52
|
2026-01-01
|
|
583
|
MS_DRG
|
Mastectomy For Malignancy Without Cc-mcc
|
24
|
24
|
$252,755.83
|
$131,433.03
48% off
|
$35,385.82
|
$227,480.25
|
$123,850.36
|
2026-01-01
|
|
581
|
MS_DRG
|
Other Skin Subcutaneous Tissue And Breast Procedures Without Cc-mcc
|
24
|
24
|
$238,995.45
|
$124,277.64
48% off
|
$33,459.36
|
$215,095.91
|
$117,107.77
|
2026-01-01
|
|
71336-1003-1
|
CDM
|
Vutrisiran 25 Mg/0.5 Ml Subcutaneous Syringe
|
24
|
24
|
$298,377.50
|
$155,156.30
48% off
|
$30,866.87
|
$268,539.75
|
$116,274.51
|
2026-01-01
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
24
|
24
|
$233,656.23
|
$121,501.24
48% off
|
$32,711.87
|
$210,290.61
|
$114,491.55
|
2026-01-01
|
|
344
|
MS_DRG
|
Minor Small And Large Bowel Procedures With Mcc
|
24
|
24
|
$229,511.56
|
$119,346.01
48% off
|
$32,131.62
|
$206,560.40
|
$112,460.66
|
2026-01-01
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
24
|
24
|
$218,471.69
|
$113,605.28
48% off
|
$30,586.04
|
$196,624.52
|
$107,051.13
|
2026-01-01
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
24
|
24
|
$215,298.37
|
$111,955.15
48% off
|
$30,141.77
|
$193,768.53
|
$105,496.20
|
2026-01-01
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv Greater Than 96 Hours
|
24
|
24
|
$213,637.35
|
$111,091.42
48% off
|
$29,909.23
|
$192,273.61
|
$104,682.30
|
2026-01-01
|
|
402
|
MS_DRG
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
24
|
24
|
$211,754.91
|
$110,112.55
48% off
|
$29,645.69
|
$190,579.42
|
$103,759.90
|
2026-01-01
|
|
451
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical Without Mcc
|
24
|
24
|
$208,570.76
|
$108,456.80
48% off
|
$29,199.91
|
$187,713.68
|
$102,199.67
|
2026-01-01
|
|
69866-1030-5
|
CDM
|
Autol Chondrocyte-collag,porc 500,000 Cell/cm2 (3 X 5 Cm)implant Sheet
|
24
|
24
|
$260,000.00
|
$135,200.00
48% off
|
$26,896.75
|
$234,000.00
|
$101,319.21
|
2026-01-01
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
24
|
24
|
$203,859.88
|
$106,007.14
48% off
|
$28,540.38
|
$183,473.89
|
$99,891.34
|
2026-01-01
|
|
326
|
MS_DRG
|
Stomach Esophageal And Duodenal Procedures With Mcc
|
24
|
24
|
$201,908.82
|
$104,992.58
48% off
|
$28,267.23
|
$181,717.93
|
$98,935.32
|
2026-01-01
|
|
585
|
MS_DRG
|
Breast Biopsy Local Excision And Other Breast Procedures Without Cc-mcc
|
24
|
24
|
$199,870.55
|
$103,932.69
48% off
|
$27,981.88
|
$179,883.49
|
$97,936.57
|
2026-01-01
|
|
802
|
MS_DRG
|
Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc
|
24
|
24
|
$197,417.86
|
$102,657.29
48% off
|
$27,638.50
|
$177,676.07
|
$96,734.75
|
2026-01-01
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
24
|
24
|
$196,988.11
|
$102,433.82
48% off
|
$27,578.34
|
$177,289.30
|
$96,524.17
|
2026-01-01
|
|
67979-002-01
|
CDM
|
Histrelin 50 Mg (65 Mcg/day) Implant Kit
|
24
|
24
|
$243,836.85
|
$126,795.16
48% off
|
$25,224.69
|
$219,453.17
|
$95,020.61
|
2026-01-01
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
24
|
24
|
$190,238.44
|
$98,923.99
48% off
|
$26,633.38
|
$171,214.60
|
$93,216.84
|
2026-01-01
|
|
71879-001-01
|
CDM
|
Dexamethasone (pf) 9 % Intraocular Suspension
|
24
|
24
|
$235,025.00
|
$122,213.00
48% off
|
$24,313.11
|
$211,522.50
|
$91,586.73
|
2026-01-01
|
|
75987-150-01
|
CDM
|
Inebilizumab-cdon 10 Mg/ml Intravenous Solution
|
24
|
24
|
$228,492.15
|
$118,815.92
48% off
|
$23,637.29
|
$205,642.94
|
$89,040.94
|
2026-01-01
|
|
0187-0010-50
|
CDM
|
Sodium Benzoate 10 %-sodium Phenylacetate 10 % Intravenous Solution
|
24
|
24
|
$228,303.50
|
$118,717.82
48% off
|
$23,617.78
|
$205,473.15
|
$88,967.43
|
2026-01-01
|
|
63004-8710-1
|
CDM
|
Corticotropin 80 Unit/ml Injection Gel
|
24
|
24
|
$219,920.00
|
$114,358.40
48% off
|
$22,750.51
|
$197,928.00
|
$85,700.46
|
2026-01-01
|
|
61755-010-01
|
CDM
|
Evinacumab-dgnb 150 Mg/ml Intravenous Solution
|
24
|
24
|
$219,348.50
|
$114,061.22
48% off
|
$22,691.39
|
$197,413.65
|
$85,477.76
|
2026-01-01
|
|
580
|
MS_DRG
|
Other Skin Subcutaneous Tissue And Breast Procedures With Cc
|
24
|
24
|
$173,941.14
|
$90,449.39
48% off
|
$24,351.76
|
$156,547.03
|
$85,231.16
|
2026-01-01
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
24
|
24
|
$173,430.71
|
$90,183.97
48% off
|
$24,280.30
|
$156,087.64
|
$84,981.05
|
2026-01-01
|
|
73372-0116-1
|
CDM
|
Afamelanotide 16 Mg Subcutaneous Implant
|
24
|
24
|
$216,855.00
|
$112,764.60
48% off
|
$22,433.44
|
$195,169.50
|
$84,506.07
|
2026-01-01
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
24
|
24
|
$169,757.55
|
$88,273.92
48% off
|
$23,766.06
|
$152,781.79
|
$83,181.20
|
2026-01-01
|
|
71336-1001-1
|
CDM
|
Givosiran 189 Mg/ml Subcutaneous Solution
|
24
|
24
|
$213,080.00
|
$110,801.60
48% off
|
$22,042.92
|
$191,772.00
|
$83,034.99
|
2026-01-01
|
|
571
|
MS_DRG
|
Skin Debridement With Cc
|
24
|
24
|
$168,698.75
|
$87,723.35
48% off
|
$23,617.83
|
$151,828.88
|
$82,662.39
|
2026-01-01
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome Neonate
|
24
|
24
|
$165,742.99
|
$86,186.35
48% off
|
$23,204.02
|
$149,168.69
|
$81,214.06
|
2026-01-01
|
|
50633-210-11
|
CDM
|
Glucarpidase 1,000 Unit Intravenous Solution
|
24
|
24
|
$205,870.00
|
$107,052.40
48% off
|
$21,297.05
|
$185,283.00
|
$80,225.33
|
2026-01-01
|
|
467
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Cc
|
24
|
24
|
$163,173.45
|
$84,850.19
48% off
|
$22,844.28
|
$146,856.10
|
$79,954.99
|
2026-01-01
|
|
717
|
MS_DRG
|
Other Male Reproductive System O.r. Procedures Except Malignancy With Cc-mcc
|
24
|
24
|
$161,576.30
|
$84,019.68
48% off
|
$22,620.68
|
$145,418.67
|
$79,172.39
|
2026-01-01
|
|
504
|
MS_DRG
|
Foot Procedures With Cc
|
24
|
24
|
$160,042.70
|
$83,222.20
48% off
|
$22,405.98
|
$144,038.43
|
$78,420.92
|
2026-01-01
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
24
|
24
|
$158,816.20
|
$82,584.42
48% off
|
$22,234.27
|
$142,934.58
|
$77,819.94
|
2026-01-01
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
24
|
24
|
$158,661.89
|
$82,504.18
48% off
|
$22,212.66
|
$142,795.70
|
$77,744.32
|
2026-01-01
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
24
|
24
|
$158,390.61
|
$82,363.11
48% off
|
$22,174.68
|
$142,551.54
|
$77,611.40
|
2026-01-01
|
|
0310-4535-30
|
CDM
|
Tremelimumab-actl 20 Mg/ml Intravenous Solution
|
24
|
24
|
$198,900.00
|
$103,428.00
48% off
|
$20,576.01
|
$179,010.00
|
$77,509.20
|
2026-01-01
|
|
50242-554-01
|
CDM
|
Ocrelizumab 920 Mg-hyaluronidase-ocsq 23,000 Unit/23 Ml Subcut Soln
|
24
|
24
|
$197,144.96
|
$102,515.38
48% off
|
$20,394.46
|
$177,430.46
|
$76,825.27
|
2026-01-01
|
|
423
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
24
|
24
|
$154,425.77
|
$80,301.40
48% off
|
$21,619.61
|
$138,983.19
|
$75,668.62
|
2026-01-01
|
|
500
|
MS_DRG
|
Soft Tissue Procedures With Mcc
|
24
|
24
|
$154,406.04
|
$80,291.14
48% off
|
$21,616.84
|
$138,965.43
|
$75,658.96
|
2026-01-01
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
24
|
24
|
$153,767.16
|
$79,958.92
48% off
|
$21,527.40
|
$138,390.44
|
$75,345.91
|
2026-01-01
|
|
464
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
24
|
24
|
$149,980.30
|
$77,989.76
48% off
|
$20,997.24
|
$134,982.27
|
$73,490.35
|
2026-01-01
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
24
|
24
|
$148,528.98
|
$77,235.07
48% off
|
$20,794.06
|
$133,676.08
|
$72,779.20
|
2026-01-01
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
24
|
24
|
$145,446.29
|
$75,632.07
48% off
|
$20,362.48
|
$130,901.66
|
$71,268.68
|
2026-01-01
|
|
26
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Cc
|
24
|
24
|
$145,346.63
|
$75,580.25
48% off
|
$20,348.53
|
$130,811.97
|
$71,219.85
|
2026-01-01
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
24
|
24
|
$143,545.80
|
$74,643.82
48% off
|
$20,096.41
|
$129,191.22
|
$70,337.44
|
2026-01-01
|
|
414
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc
|
24
|
24
|
$143,340.69
|
$74,537.16
48% off
|
$20,067.70
|
$129,006.62
|
$70,236.94
|
2026-01-01
|
|
47133
|
CPT
|
Hc Liver Transplant Cadaverc
|
24
|
24
|
$180,000.00
|
$93,600.00
48% off
|
$18,620.83
|
$162,000.00
|
$70,144.07
|
2026-01-01
|
|
47135
|
CPT
|
Hc Split Liver Trnspl Cadavr
|
24
|
24
|
$180,000.00
|
$93,600.00
48% off
|
$18,620.83
|
$162,000.00
|
$70,144.07
|
2026-01-01
|
|
91
|
MS_DRG
|
Other Disorders Of Nervous System With Mcc
|
24
|
24
|
$142,376.24
|
$74,035.64
48% off
|
$19,932.67
|
$128,138.61
|
$69,764.36
|
2026-01-01
|
|
448
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical Without Mcc
|
24
|
24
|
$141,412.89
|
$73,534.70
48% off
|
$19,797.80
|
$127,271.60
|
$69,292.31
|
2026-01-01
|
|
462
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc
|
24
|
24
|
$140,263.92
|
$72,937.24
48% off
|
$19,636.95
|
$126,237.53
|
$68,729.32
|
2026-01-01
|
|
0003-2328-22
|
CDM
|
Ipilimumab 200 Mg/40 Ml (5 Mg/ml) Intravenous Solution
|
24
|
24
|
$174,062.40
|
$90,512.45
48% off
|
$18,006.59
|
$156,656.16
|
$67,830.25
|
2026-01-01
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
24
|
24
|
$136,724.78
|
$71,096.88
48% off
|
$19,141.47
|
$123,052.30
|
$66,995.14
|
2026-01-01
|
|
33945
|
CPT
|
Hc Heart Transplant
|
24
|
24
|
$170,000.00
|
$88,400.00
48% off
|
$17,586.34
|
$153,000.00
|
$66,247.18
|
2026-01-01
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
24
|
24
|
$134,307.83
|
$69,840.07
48% off
|
$18,803.10
|
$120,877.04
|
$65,810.83
|
2026-01-01
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
24
|
24
|
$133,554.09
|
$69,448.12
48% off
|
$18,697.57
|
$120,198.68
|
$65,441.50
|
2026-01-01
|
|
577
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Cc
|
24
|
24
|
$133,237.87
|
$69,283.69
48% off
|
$18,653.30
|
$119,914.08
|
$65,286.55
|
2026-01-01
|
|
337
|
MS_DRG
|
Peritoneal Adhesiolysis Without Cc-mcc
|
24
|
24
|
$132,625.97
|
$68,965.50
48% off
|
$18,567.64
|
$119,363.37
|
$64,986.73
|
2026-01-01
|
|
321
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A…
|
24
|
24
|
$131,781.83
|
$68,526.55
48% off
|
$18,449.46
|
$118,603.65
|
$64,573.10
|
2026-01-01
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
24
|
24
|
$131,715.11
|
$68,491.86
48% off
|
$18,440.12
|
$118,543.60
|
$64,540.40
|
2026-01-01
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
24
|
24
|
$131,002.88
|
$68,121.50
48% off
|
$18,340.40
|
$117,902.59
|
$64,191.41
|
2026-01-01
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
24
|
24
|
$129,750.88
|
$67,470.46
48% off
|
$18,165.12
|
$116,775.79
|
$63,577.93
|
2026-01-01
|
|
593
|
MS_DRG
|
Skin Ulcers With Cc
|
24
|
24
|
$129,618.84
|
$67,401.79
48% off
|
$18,146.64
|
$116,656.95
|
$63,513.23
|
2026-01-01
|
|
518
|
MS_DRG
|
Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…
|
24
|
24
|
$129,032.13
|
$67,096.71
48% off
|
$18,064.50
|
$116,128.91
|
$63,225.74
|
2026-01-01
|
|
72187-0401-1
|
CDM
|
Tagraxofusp-erzs 1,000 Mcg/ml Intravenous Solution
|
24
|
24
|
$160,745.95
|
$83,587.89
48% off
|
$16,629.01
|
$144,671.36
|
$62,640.97
|
2026-01-01
|
|
40
|
MS_DRG
|
Peripheral Cranial Nerve And Other Nervous System Procedures With Mcc
|
24
|
24
|
$126,958.69
|
$66,018.52
48% off
|
$17,774.22
|
$114,262.82
|
$62,209.76
|
2026-01-01
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
24
|
24
|
$126,065.08
|
$65,553.84
48% off
|
$17,649.11
|
$113,458.57
|
$61,771.89
|
2026-01-01
|
|
483
|
MS_DRG
|
Major Joint Or Limb Reattachment Procedures Of Upper Extremities
|
24
|
24
|
$125,886.04
|
$65,460.74
48% off
|
$17,624.05
|
$113,297.44
|
$61,684.16
|
2026-01-01
|
|
274
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures Without Mcc
|
24
|
24
|
$125,736.47
|
$65,382.96
48% off
|
$17,603.11
|
$113,162.82
|
$61,610.87
|
2026-01-01
|
|
480
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Mcc
|
24
|
24
|
$125,212.53
|
$65,110.52
48% off
|
$17,529.75
|
$112,691.28
|
$61,354.14
|
2026-01-01
|
|
846
|
MS_DRG
|
Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc
|
24
|
24
|
$123,788.36
|
$64,369.95
48% off
|
$17,330.37
|
$111,409.52
|
$60,656.30
|
2026-01-01
|
|
472
|
MS_DRG
|
Cervical Spinal Fusion With Cc
|
24
|
24
|
$123,091.63
|
$64,007.65
48% off
|
$17,232.83
|
$110,782.47
|
$60,314.90
|
2026-01-01
|
|
473
|
MS_DRG
|
Cervical Spinal Fusion Without Cc-mcc
|
24
|
24
|
$122,720.70
|
$63,814.76
48% off
|
$17,180.90
|
$110,448.63
|
$60,133.14
|
2026-01-01
|
|
488
|
MS_DRG
|
Knee Procedures Without Principal Diagnosis Of Infection With Cc-mcc
|
24
|
24
|
$119,767.20
|
$62,278.94
48% off
|
$16,767.41
|
$107,790.48
|
$58,685.93
|
2026-01-01
|
|
824
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Cc
|
24
|
24
|
$118,997.26
|
$61,878.58
48% off
|
$16,659.62
|
$107,097.53
|
$58,308.66
|
2026-01-01
|
|
469
|
MS_DRG
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…
|
24
|
24
|
$117,375.56
|
$61,035.29
48% off
|
$16,432.58
|
$105,638.01
|
$57,514.03
|
2026-01-01
|
|
58468-0200-1
|
CDM
|
Alemtuzumab 12 Mg/1.2 Ml Intravenous Solution
|
24
|
24
|
$147,248.70
|
$76,569.32
48% off
|
$15,232.74
|
$132,523.83
|
$57,381.24
|
2026-01-01
|
|
273
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures With Mcc
|
24
|
24
|
$116,650.61
|
$60,658.32
48% off
|
$16,331.09
|
$104,985.55
|
$57,158.80
|
2026-01-01
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
24
|
24
|
$116,511.13
|
$60,585.79
48% off
|
$16,311.56
|
$104,860.02
|
$57,090.45
|
2026-01-01
|
|
335
|
MS_DRG
|
Peritoneal Adhesiolysis With Mcc
|
24
|
24
|
$115,113.17
|
$59,858.85
48% off
|
$16,115.84
|
$103,601.85
|
$56,405.45
|
2026-01-01
|
|
521
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc
|
24
|
24
|
$114,248.74
|
$59,409.34
48% off
|
$15,994.82
|
$102,823.86
|
$55,981.88
|
2026-01-01
|
|
24
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
24
|
24
|
$112,638.04
|
$58,571.78
48% off
|
$15,769.33
|
$101,374.24
|
$55,192.64
|
2026-01-01
|
|
659
|
MS_DRG
|
Kidney And Ureter Procedures For Non-neoplasm With Mcc
|
24
|
24
|
$112,150.90
|
$58,318.47
48% off
|
$15,701.13
|
$100,935.81
|
$54,953.94
|
2026-01-01
|
|
0006-5088-01
|
CDM
|
Sotatercept-csrk 60 Mg Subcutaneous 1 Syringe Kit
|
24
|
24
|
$140,000.00
|
$72,800.00
48% off
|
$14,482.87
|
$126,000.00
|
$54,556.50
|
2026-01-01
|
|
0006-5087-01
|
CDM
|
Sotatercept-csrk 45 Mg Subcutaneous 1 Syringe Kit
|
24
|
24
|
$140,000.00
|
$72,800.00
48% off
|
$14,482.87
|
$126,000.00
|
$54,556.50
|
2026-01-01
|
|
492
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip Foot And Femur With Mcc
|
24
|
24
|
$111,200.67
|
$57,824.35
48% off
|
$15,568.09
|
$100,080.60
|
$54,488.33
|
2026-01-01
|
|
75987-080-10
|
CDM
|
Pegloticase 8 Mg/ml Intravenous Solution
|
24
|
24
|
$139,802.80
|
$72,697.46
48% off
|
$14,462.47
|
$125,822.52
|
$54,479.65
|
2026-01-01
|
|
327
|
MS_DRG
|
Stomach Esophageal And Duodenal Procedures With Cc
|
24
|
24
|
$109,388.13
|
$56,881.83
48% off
|
$15,314.34
|
$98,449.31
|
$53,600.18
|
2026-01-01
|
|
468
|
MS_DRG
|
Revision Of Hip Or Knee Replacement Without Cc-mcc
|
24
|
24
|
$109,347.30
|
$56,860.60
48% off
|
$15,308.62
|
$98,412.57
|
$53,580.18
|
2026-01-01
|
|
654
|
MS_DRG
|
Major Bladder Procedures With Cc
|
24
|
24
|
$109,216.16
|
$56,792.40
48% off
|
$15,290.26
|
$98,294.54
|
$53,515.92
|
2026-01-01
|
|
69488-003-01
|
CDM
|
Lutetium Lu 177 Dotatate 10 Mci/ml (370 Mbq/ml) Intravenous Solution
|
24
|
24
|
$137,000.00
|
$71,240.00
48% off
|
$14,172.52
|
$123,300.00
|
$53,387.43
|
2026-01-01
|
|
69488-003-70
|
CDM
|
Lutetium Lu 177 Dotatate 10 Mci/ml (370 Mbq/ml) Intravenous Solution
|
24
|
24
|
$137,000.00
|
$71,240.00
48% off
|
$14,172.52
|
$123,300.00
|
$53,387.43
|
2026-01-01
|
|
334
|
MS_DRG
|
Rectal Resection Without Cc-mcc
|
24
|
24
|
$108,281.92
|
$56,306.60
48% off
|
$15,159.47
|
$97,453.73
|
$53,058.14
|
2026-01-01
|
|
79952-110-01
|
CDM
|
Loncastuximab Tesirine-lpyl 10 Mg Intravenous Solution
|
24
|
24
|
$135,116.30
|
$70,260.48
48% off
|
$13,977.65
|
$121,604.67
|
$52,653.37
|
2026-01-01
|
|
57894-061-03
|
CDM
|
Ustekinumab 90 Mg/ml Subcutaneous Syringe
|
24
|
24
|
$134,968.20
|
$70,183.46
48% off
|
$13,962.33
|
$121,471.38
|
$52,595.66
|
2026-01-01
|
|
417
|
MS_DRG
|
Laparoscopic Cholecystectomy Without C.d.e. With Mcc
|
24
|
24
|
$106,387.36
|
$55,321.43
48% off
|
$14,894.23
|
$95,748.63
|
$52,129.81
|
2026-01-01
|
|
907
|
MS_DRG
|
Other O.r. Procedures For Injuries With Mcc
|
24
|
24
|
$105,677.97
|
$54,952.54
48% off
|
$14,794.92
|
$95,110.17
|
$51,782.21
|
2026-01-01
|
|
987
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
24
|
24
|
$105,420.23
|
$54,818.52
48% off
|
$14,758.83
|
$94,878.21
|
$51,655.91
|
2026-01-01
|
|
166
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Mcc
|
24
|
24
|
$105,189.03
|
$54,698.30
48% off
|
$14,726.46
|
$94,670.13
|
$51,542.63
|
2026-01-01
|
|
622
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine Nutritional And Metabolic Disord…
|
24
|
24
|
$104,370.71
|
$54,272.77
48% off
|
$14,611.90
|
$93,933.64
|
$51,141.65
|
2026-01-01
|
|
0597-0035-10
|
CDM
|
Spesolimab-sbzo 60 Mg/ml Intravenous Solution
|
24
|
24
|
$130,389.15
|
$67,802.36
48% off
|
$13,488.63
|
$117,350.24
|
$50,811.26
|
2026-01-01
|
|
69488-010-61
|
CDM
|
Lutetium Lu-177 Vipivotide Tetraxetan 27 Mci/ml (1,000 Mbq/ml) IV Soln
|
24
|
24
|
$130,050.00
|
$67,626.00
48% off
|
$13,453.55
|
$117,045.00
|
$50,679.09
|
2026-01-01
|
|
62935-163-60
|
CDM
|
Leuprolide 45 Mg (pediatric 6 Month) Subcutaneous Syringe
|
24
|
24
|
$129,047.80
|
$67,104.86
48% off
|
$13,349.87
|
$116,143.02
|
$50,288.54
|
2026-01-01
|
|
72694-515-01
|
CDM
|
Calaspargase Pegol-mknl 750 Unit/ml Intravenous Solution
|
24
|
24
|
$128,920.50
|
$67,038.66
48% off
|
$13,336.70
|
$116,028.45
|
$50,238.94
|
2026-01-01
|
|
493
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip Foot And Femur With Cc
|
24
|
24
|
$102,475.19
|
$53,287.10
48% off
|
$14,346.53
|
$92,227.67
|
$50,212.85
|
2026-01-01
|
|
657
|
MS_DRG
|
Kidney And Ureter Procedures For Neoplasm With Cc
|
24
|
24
|
$101,974.78
|
$53,026.89
48% off
|
$14,276.47
|
$91,777.30
|
$49,967.64
|
2026-01-01
|
|
72694-954-01
|
CDM
|
Pegaspargase 750 Unit/ml Injection Solution
|
24
|
24
|
$127,691.25
|
$66,399.45
48% off
|
$13,209.54
|
$114,922.13
|
$49,759.91
|
2026-01-01
|
|
789
|
MS_DRG
|
Neonates Died Or Transferred To Another Acute Care Facility
|
24
|
24
|
$101,185.16
|
$52,616.28
48% off
|
$14,165.92
|
$91,066.64
|
$49,580.73
|
2026-01-01
|
|
330
|
MS_DRG
|
Major Small And Large Bowel Procedures With Cc
|
24
|
24
|
$101,027.77
|
$52,534.44
48% off
|
$14,143.89
|
$90,924.99
|
$49,503.61
|
2026-01-01
|
|
821
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Cc
|
24
|
24
|
$100,703.84
|
$52,366.00
48% off
|
$14,098.54
|
$90,633.46
|
$49,344.88
|
2026-01-01
|
|
242
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant With Mcc
|
24
|
24
|
$100,291.24
|
$52,151.44
48% off
|
$14,040.77
|
$90,262.11
|
$49,142.71
|
2026-01-01
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
24
|
24
|
$99,537.27
|
$51,759.38
48% off
|
$13,935.22
|
$89,583.54
|
$48,773.26
|
2026-01-01
|
|
511
|
MS_DRG
|
Shoulder Elbow Or Forearm Procedures Except Major Joint Procedures With Cc
|
24
|
24
|
$98,616.96
|
$51,280.82
48% off
|
$13,806.37
|
$88,755.26
|
$48,322.31
|
2026-01-01
|
|
73
|
MS_DRG
|
Cranial And Peripheral Nerve Disorders With Mcc
|
24
|
24
|
$97,705.34
|
$50,806.78
48% off
|
$13,678.75
|
$87,934.80
|
$47,875.61
|
2026-01-01
|
|
982
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc
|
24
|
24
|
$97,514.47
|
$50,707.52
48% off
|
$13,652.03
|
$87,763.02
|
$47,782.09
|
2026-01-01
|
|
615
|
MS_DRG
|
Adrenal And Pituitary Procedures Without Cc-mcc
|
24
|
24
|
$96,587.51
|
$50,225.51
48% off
|
$13,522.25
|
$86,928.76
|
$47,327.88
|
2026-01-01
|
|
542
|
MS_DRG
|
Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With…
|
24
|
24
|
$95,671.78
|
$49,749.32
48% off
|
$13,394.05
|
$86,104.60
|
$46,879.17
|
2026-01-01
|
|
614
|
MS_DRG
|
Adrenal And Pituitary Procedures With Cc-mcc
|
24
|
24
|
$95,120.62
|
$49,462.72
48% off
|
$13,316.89
|
$85,608.56
|
$46,609.10
|
2026-01-01
|
|
62935-154-50
|
CDM
|
Leuprolide 45 Mg (pediatric 6 Month) Subcutaneous Syringe
|
24
|
24
|
$119,098.95
|
$61,931.45
48% off
|
$12,320.67
|
$107,189.06
|
$46,411.58
|
2026-01-01
|
|
62935-153-50
|
CDM
|
Leuprolide 45 Mg (pediatric 6 Month) Subcutaneous Syringe
|
24
|
24
|
$119,098.95
|
$61,931.45
48% off
|
$12,320.67
|
$107,189.06
|
$46,411.58
|
2026-01-01
|
|
522
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc
|
24
|
24
|
$93,811.67
|
$48,782.07
48% off
|
$13,133.63
|
$84,430.51
|
$45,967.72
|
2026-01-01
|
|
707
|
MS_DRG
|
Major Male Pelvic Procedures With Cc-mcc
|
24
|
24
|
$93,523.90
|
$48,632.43
48% off
|
$13,093.35
|
$84,171.51
|
$45,826.71
|
2026-01-01
|
|
25682-028-01
|
CDM
|
Ravulizumab-cwvz 100 Mg/ml Intravenous Solution
|
24
|
24
|
$117,406.63
|
$61,051.45
48% off
|
$12,145.60
|
$105,665.97
|
$45,752.10
|
2026-01-01
|
|
956
|
MS_DRG
|
Limb Reattachment Hip And Femur Procedures For Multiple Significant Trauma
|
24
|
24
|
$93,104.11
|
$48,414.14
48% off
|
$13,034.57
|
$83,793.70
|
$45,621.01
|
2026-01-01
|
|
76128-155-75
|
CDM
|
Porfimer 75 Mg Intravenous Solution
|
24
|
24
|
$116,615.00
|
$60,639.80
48% off
|
$12,063.71
|
$104,953.50
|
$45,443.62
|
2026-01-01
|
|
252
|
MS_DRG
|
Other Vascular Procedures With Mcc
|
24
|
24
|
$92,685.70
|
$48,196.57
48% off
|
$12,976.00
|
$83,417.13
|
$45,415.99
|
2026-01-01
|
|
72493-103-03
|
CDM
|
Mitomycin 40 Mg X 2 Intra-pyelocalyceal Kit
|
24
|
24
|
$116,135.00
|
$60,390.20
48% off
|
$12,014.05
|
$104,521.50
|
$45,256.57
|
2026-01-01
|
|
358
|
MS_DRG
|
Other Digestive System O.r. Procedures Without Cc-mcc
|
24
|
24
|
$92,247.50
|
$47,968.70
48% off
|
$12,914.65
|
$83,022.75
|
$45,201.28
|
2026-01-01
|
|
61
|
MS_DRG
|
Ischemic Stroke Precerebral Occlusion Or Transient Ischemia With Thrombolytic Ag…
|
24
|
24
|
$92,048.64
|
$47,865.29
48% off
|
$12,886.81
|
$82,843.78
|
$45,103.83
|
2026-01-01
|
|
520
|
MS_DRG
|
Back And Neck Procedures Except Spinal Fusion Without Cc-mcc
|
24
|
24
|
$90,893.33
|
$47,264.53
48% off
|
$12,725.07
|
$81,804.00
|
$44,537.73
|
2026-01-01
|
|
99999-2227-29
|
CDM
|
Kit For Yttrium-90-ibritumomab 3.2 Mg/2 Ml Intravenous
|
24
|
24
|
$114,000.00
|
$59,280.00
48% off
|
$11,793.19
|
$102,600.00
|
$44,424.58
|
2026-01-01
|
|
72893-007-04
|
CDM
|
Kit For Yttrium-90-ibritumomab 3.2 Mg/2 Ml Intravenous
|
24
|
24
|
$114,000.01
|
$59,280.01
48% off
|
$11,793.19
|
$102,600.01
|
$44,424.58
|
2026-01-01
|
|
72493-101-40
|
CDM
|
Mitomycin 40 Mg X 2 Intra-pyelocalyceal Kit
|
24
|
24
|
$113,300.00
|
$58,916.00
48% off
|
$11,720.78
|
$101,970.00
|
$44,151.79
|
2026-01-01
|
|
502
|
MS_DRG
|
Soft Tissue Procedures Without Cc-mcc
|
24
|
24
|
$89,648.87
|
$46,617.41
48% off
|
$12,550.84
|
$80,683.98
|
$43,927.95
|
2026-01-01
|
|
658
|
MS_DRG
|
Kidney And Ureter Procedures For Neoplasm Without Cc-mcc
|
24
|
24
|
$89,452.44
|
$46,515.27
48% off
|
$12,523.34
|
$80,507.20
|
$43,831.70
|
2026-01-01
|
|
324
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc
|
24
|
24
|
$89,408.94
|
$46,492.65
48% off
|
$12,517.25
|
$80,468.05
|
$43,810.38
|
2026-01-01
|
|
0008-0100-01
|
CDM
|
Inotuzumab Ozogamicin 0.9 Mg IV Soln
|
24
|
24
|
$111,434.55
|
$57,945.97
48% off
|
$11,527.80
|
$100,291.10
|
$43,424.85
|
2026-01-01
|
|
418
|
MS_DRG
|
Laparoscopic Cholecystectomy Without C.d.e. With Cc
|
24
|
24
|
$88,313.20
|
$45,922.86
48% off
|
$12,363.85
|
$79,481.88
|
$43,273.47
|
2026-01-01
|
|
620
|
MS_DRG
|
O.r. Procedures For Obesity With Cc
|
24
|
24
|
$87,936.69
|
$45,727.08
48% off
|
$12,311.14
|
$79,143.02
|
$43,088.98
|
2026-01-01
|
|
336
|
MS_DRG
|
Peritoneal Adhesiolysis With Cc
|
24
|
24
|
$87,893.83
|
$45,704.79
48% off
|
$12,305.14
|
$79,104.44
|
$43,067.97
|
2026-01-01
|
|
94
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Mcc
|
24
|
24
|
$87,779.05
|
$45,645.11
48% off
|
$12,289.07
|
$79,001.15
|
$43,011.74
|
2026-01-01
|
|
519
|
MS_DRG
|
Back And Neck Procedures Except Spinal Fusion With Cc
|
24
|
24
|
$86,688.75
|
$45,078.15
48% off
|
$12,136.42
|
$78,019.87
|
$42,477.49
|
2026-01-01
|
|
164
|
MS_DRG
|
Major Chest Procedures With Cc
|
24
|
24
|
$86,581.04
|
$45,022.14
48% off
|
$12,121.35
|
$77,922.94
|
$42,424.71
|
2026-01-01
|
|
494
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip Foot And Femur Without Cc-mcc
|
24
|
24
|
$86,498.13
|
$44,979.03
48% off
|
$12,109.74
|
$77,848.31
|
$42,384.08
|
2026-01-01
|
|
713
|
MS_DRG
|
Transurethral Prostatectomy With Cc-mcc
|
24
|
24
|
$86,403.71
|
$44,929.93
48% off
|
$12,096.52
|
$77,763.34
|
$42,337.82
|
2026-01-01
|
|
827
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
24
|
24
|
$86,224.16
|
$44,836.56
48% off
|
$12,071.38
|
$77,601.74
|
$42,249.84
|
2026-01-01
|
|
157
|
MS_DRG
|
Dental And Oral Diseases With Mcc
|
24
|
24
|
$86,120.86
|
$44,782.84
48% off
|
$12,056.92
|
$77,508.77
|
$42,199.22
|
2026-01-01
|
|
63
|
MS_DRG
|
Ischemic Stroke Precerebral Occlusion Or Transient Ischemia With Thrombolytic Ag…
|
24
|
24
|
$85,959.12
|
$44,698.74
48% off
|
$12,034.28
|
$77,363.21
|
$42,119.97
|
2026-01-01
|
|
271
|
MS_DRG
|
Other Major Cardiovascular Procedures With Cc
|
24
|
24
|
$85,948.30
|
$44,693.11
48% off
|
$12,032.76
|
$77,353.47
|
$42,114.66
|
2026-01-01
|
|
0074-1050-01
|
CDM
|
Risankizumab-rzaa 150 Mg/ml Subcutaneous Syringe
|
24
|
24
|
$108,000.35
|
$56,160.18
48% off
|
$11,172.53
|
$97,200.32
|
$42,086.57
|
2026-01-01
|
|
253
|
MS_DRG
|
Other Vascular Procedures With Cc
|
24
|
24
|
$85,170.23
|
$44,288.52
48% off
|
$11,923.83
|
$76,653.21
|
$41,733.41
|
2026-01-01
|
|
515
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc
|
24
|
24
|
$84,876.70
|
$44,135.89
48% off
|
$11,882.74
|
$76,389.03
|
$41,589.58
|
2026-01-01
|
|
0006-5331-01
|
CDM
|
Belzutifan 40 Mg Tablet
|
24
|
24
|
$106,443.00
|
$55,350.36
48% off
|
$11,011.43
|
$95,798.70
|
$41,479.69
|
2026-01-01
|
|
470
|
MS_DRG
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without …
|
24
|
24
|
$84,638.23
|
$44,011.88
48% off
|
$11,849.35
|
$76,174.41
|
$41,472.73
|
2026-01-01
|
|
27
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures Without Cc-mcc
|
24
|
24
|
$83,975.59
|
$43,667.31
48% off
|
$11,756.58
|
$75,578.03
|
$41,148.04
|
2026-01-01
|
|
516
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc
|
24
|
24
|
$83,887.51
|
$43,621.51
48% off
|
$11,744.25
|
$75,498.76
|
$41,104.88
|
2026-01-01
|
|
331
|
MS_DRG
|
Major Small And Large Bowel Procedures Without Cc-mcc
|
24
|
24
|
$83,227.05
|
$43,278.07
48% off
|
$11,651.79
|
$74,904.35
|
$40,781.26
|
2026-01-01
|
|
198
|
MS_DRG
|
Interstitial Lung Disease Without Cc-mcc
|
24
|
24
|
$83,199.55
|
$43,263.77
48% off
|
$11,647.94
|
$74,879.60
|
$40,767.78
|
2026-01-01
|
|
570
|
MS_DRG
|
Skin Debridement With Mcc
|
24
|
24
|
$82,834.81
|
$43,074.10
48% off
|
$11,596.87
|
$74,551.33
|
$40,589.06
|
2026-01-01
|
|
243
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant With Cc
|
24
|
24
|
$82,798.66
|
$43,055.30
48% off
|
$11,591.81
|
$74,518.80
|
$40,571.34
|
2026-01-01
|
|
617
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine Nutritional And Metabolic Disorders With …
|
24
|
24
|
$82,496.70
|
$42,898.28
48% off
|
$11,549.54
|
$74,247.03
|
$40,423.38
|
2026-01-01
|
|
621
|
MS_DRG
|
O.r. Procedures For Obesity Without Cc-mcc
|
24
|
24
|
$82,142.46
|
$42,714.08
48% off
|
$11,499.94
|
$73,928.22
|
$40,249.81
|
2026-01-01
|
|
909
|
MS_DRG
|
Other O.r. Procedures For Injuries Without Cc-mcc
|
24
|
24
|
$81,974.35
|
$42,626.66
48% off
|
$11,476.41
|
$73,776.92
|
$40,167.43
|
2026-01-01
|
|
71104-984-01
|
CDM
|
Antihemophil Rfviii Fc-vwf-xten,bdd-ehtl 4,000 (+/-) Unit IV Solution
|
24
|
24
|
$102,800.00
|
$53,456.00
48% off
|
$10,634.56
|
$92,520.00
|
$40,060.06
|
2026-01-01
|
|
71104-991-08
|
CDM
|
Antihemophil Rfviii Fc-vwf-xten,bdd-ehtl 4,000 (+/-) Unit IV Solution
|
24
|
24
|
$102,800.00
|
$53,456.00
48% off
|
$10,634.56
|
$92,520.00
|
$40,060.06
|
2026-01-01
|
|
478
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Cc
|
24
|
24
|
$81,746.51
|
$42,508.19
48% off
|
$11,444.51
|
$73,571.86
|
$40,055.79
|
2026-01-01
|
|
584
|
MS_DRG
|
Breast Biopsy Local Excision And Other Breast Procedures With Cc-mcc
|
24
|
24
|
$81,578.74
|
$42,420.94
48% off
|
$11,421.02
|
$73,420.87
|
$39,973.58
|
2026-01-01
|
|
95
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Cc
|
24
|
24
|
$81,529.55
|
$42,395.37
48% off
|
$11,414.14
|
$73,376.60
|
$39,949.48
|
2026-01-01
|
|
32
|
MS_DRG
|
Ventricular Shunt Procedures With Cc
|
24
|
24
|
$81,310.29
|
$42,281.35
48% off
|
$11,383.44
|
$73,179.26
|
$39,842.04
|
2026-01-01
|
|
142
|
MS_DRG
|
Major Head And Neck Procedures Without Cc-mcc
|
24
|
24
|
$81,129.76
|
$42,187.48
48% off
|
$11,358.17
|
$73,016.78
|
$39,753.58
|
2026-01-01
|
|
0074-2100-01
|
CDM
|
Risankizumab-rzaa 150 Mg/ml Subcutaneous Pen Injector
|
24
|
24
|
$101,881.65
|
$52,978.46
48% off
|
$10,539.56
|
$91,693.49
|
$39,702.19
|
2026-01-01
|
|
0074-1069-01
|
CDM
|
Risankizumab-rzaa 360 Mg/2.4 Ml (150 Mg/ml) Subcut Wearable Injector
|
24
|
24
|
$101,881.66
|
$52,978.46
48% off
|
$10,539.56
|
$91,693.49
|
$39,702.19
|
2026-01-01
|
|
0074-1070-01
|
CDM
|
Risankizumab-rzaa 360 Mg/2.4 Ml (150 Mg/ml) Subcut Wearable Injector
|
24
|
24
|
$101,881.66
|
$52,978.46
48% off
|
$10,539.56
|
$91,693.49
|
$39,702.19
|
2026-01-01
|
|
24338-150-20
|
CDM
|
Triptorelin Pamoate (pediatric) 22.5 Mg IM Suspension
|
24
|
24
|
$101,004.35
|
$52,522.26
48% off
|
$10,448.80
|
$90,903.92
|
$39,360.31
|
2026-01-01
|
|
24338-150-01
|
CDM
|
Triptorelin Pamoate (pediatric) 22.5 Mg IM Suspension
|
24
|
24
|
$101,004.35
|
$52,522.26
48% off
|
$10,448.80
|
$90,903.92
|
$39,360.31
|
2026-01-01
|
|
735
|
MS_DRG
|
Pelvic Evisceration Radical Hysterectomy And Radical Vulvectomy Without Cc-mcc
|
24
|
24
|
$80,087.61
|
$41,645.56
48% off
|
$11,212.27
|
$72,078.85
|
$39,242.93
|
2026-01-01
|
|
486
|
MS_DRG
|
Knee Procedures With Principal Diagnosis Of Infection With Cc
|
24
|
24
|
$79,764.99
|
$41,477.79
48% off
|
$11,167.10
|
$71,788.49
|
$39,084.85
|
2026-01-01
|
|
80446-401-01
|
CDM
|
Tebentafusp-tebn 100 Mcg/0.5 Ml Intravenous Solution
|
24
|
24
|
$100,033.75
|
$52,017.55
48% off
|
$10,348.40
|
$90,030.38
|
$38,982.08
|
2026-01-01
|
|
796
|
MS_DRG
|
Vaginal Delivery With Sterilization And-or Dandc With Mcc
|
24
|
24
|
$77,731.82
|
$40,420.55
48% off
|
$10,882.45
|
$69,958.64
|
$38,088.59
|
2026-01-01
|