Price Transparency Hospital negotiated rates

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

JACKSON HOSPITAL

Marianna, FL · CCN 100142 · Rates published

1,418 distinct procedures filed
28 distinct payers
58,510 rate rows
2025-01-21 last MRF observed · ⚠ 17 mo old
Data quality

52,529 of 58,510 rate rows are consumer-grade (89.8%)

5,981 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 5,267
placeholder amount (≤ $0.02) — excluded from medians 704
exceeds 10× this hospital's gross charge — excluded from medians 10

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 17 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.jackson-hospital.com/wp-content/uploads/2025/03/596001321_Jackson-Hospital_standardcharges.csv
Found on page https://www.jackson-hospital.com/patients-visitors/price-transparency/charge-master/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint a1ca4c2de63f6f60… · 40,460,765 bytes · first seen 2026-05-08

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
J9298
HCPCS 		Nivolumab/relatilima 240mg/80mg 20ml 27 $193.86 $26,048.70 $14,471.50 nat. median
$561
outlier · 25.8×
J9228
HCPCS 		Yervoy Inj 5mg/ml 10ml 27 $180.05 $22,941.00 $12,745.00 nat. median
$9,890
1.3× median
0323
RC 		11 $1,735.00 $28,350.00 $9,450.00 nat. median
$1,474
outlier · 6.4×
J9022
HCPCS 		Tecentriq Inj 1200mg/20ml Vial 27 $88.22 $19,961.10 $9,061.99 nat. median
$6,911
1.3× median
J9316
HCPCS 		Phesgo 1200mg/600mg/30000un 27 $63.88 $23,866.20 $8,216.85 nat. median
$282
outlier · 29.2×
J9042
HCPCS 		Adcetris (brentuximab) Inj 50mg Vial 27 $248.93 $20,343.60 $7,676.43 nat. median
$1,037
outlier · 7.4×
J9037
HCPCS 		Belantamab Mafodotin Inj 100mg/vial 27 $41.73 $23,190.30 $7,676.43 nat. median
$108
outlier · 70.9×
J9271
HCPCS 		Pembrolizumab Inj 100mg/4ml Chem 27 $57.60 $15,232.05 $7,676.43 nat. median
$736
outlier · 10.4×
27650
HCPCS 		Repair Ruptured Achilles Tendon 28 $509.00 $9,215.83 $7,425.30 nat. median
$6,601
1.1× median
J0896
HCPCS 		Reblozyl Inj 25mg/vial 27 $41.28 $20,858.18 $7,202.25 nat. median
$4,606
1.6× median
0320
RC 		11 $98.00 $11,709.00 $6,195.00 nat. median
$204
outlier · 30.4×
0481
RC 		11 $1,170.00 $8,893.00 $5,958.31 nat. median
$1,018
outlier · 5.9×
J1162
HCPCS 		Digoxin Immune Fab Inj 40mg 27 $4,677.84 $11,067.98 $5,274.04 nat. median
$7,308
0.7× median
J9299
HCPCS 		Nivolumab Inj 120mg/12ml(chemo) 27 $32.30 $20,514.60 $5,208.48 nat. median
$2,944
1.8× median
J9354
HCPCS 		Adotrastuzumab Emtansine 100mg Inj 27 $40.97 $16,899.08 $4,817.22 nat. median
$4,293
1.1× median
J0596
HCPCS 		Ruconest Inj 2100 Units 27 $34.67 $19,538.78 $4,815.43 nat. median
$49
outlier · 98.9×
J3101
HCPCS 		Tenecteplase(tnkase) Inj 50mg 27 $162.43 $19,602.45 $4,815.43 nat. median
$5,957
0.8× median
J9301
HCPCS 		Obinutuzumab 1000mg/40ml (chem) 27 $74.83 $22,158.90 $4,815.43 nat. median
$314
outlier · 15.4×
J9119
HCPCS 		Cemiplimab-rwlc 350mg/7ml (chem) 27 $28.21 $18,447.30 $4,815.43 nat. median
$91
outlier · 53.0×
J9177
HCPCS 		Padcev Inj 30mg/vial 27 $36.65 $11,376.45 $4,746.64 nat. median
$3,113
1.5× median
J2353
HCPCS 		Octreotide Acetate Depot 30mg Inj(im 27 $218.37 $17,007.98 $4,236.11 nat. median
$5,975
0.7× median
J9306
HCPCS 		Perjeta (pertuzumab) Inj 420mg/14ml 27 $16.19 $17,548.43 $3,867.75 nat. median
$85
outlier · 45.6×
J9144
HCPCS 		Darzalex /faspro 1 800mg/30 000units 27 $51.39 $26,061.53 $3,867.75 nat. median
$232
outlier · 16.7×
J9223
HCPCS 		Lurbinectedin 4mg Inj 27 $204.90 $20,533.28 $3,867.75 nat. median
$626
outlier · 6.2×
J0517
HCPCS 		Benralizumab 30mg Inj Syr. 27 $165.89 $14,812.43 $3,867.75 nat. median
$914
outlier · 4.2×
J9035
HCPCS 		Bevacizumab 400mg(25mg/ml) 16mlchm 27 $73.19 $8,570.93 $3,867.75 nat. median
$765
outlier · 5.1×
Q5120
HCPCS 		Pegfilgrastim-bmez Syr 6mg/0.6ml 27 $24.71 $8,408.70 $3,867.75 nat. median
$361
outlier · 10.7×
J9352
HCPCS 		Trabectedin Inj 1mg/vial 27 $362.75 $8,490.60 $3,867.75 nat. median
$1,059
outlier · 3.7×
J9358
HCPCS 		Fam-trastuzumab Deruxtecan 100mg Inj 27 $28.81 $7,546.28 $3,856.99 nat. median
$109
outlier · 35.3×
J9205
HCPCS 		Irinotecan Liposome 43mg/ml 10ml 27 $64.22 $7,434.00 $3,799.60 nat. median
$207
outlier · 18.4×
47534
HCPCS 		US Cholecystostomy/drain Place (47534) 28 $2,046.00 $10,044.00 $3,793.91 nat. median
$4,262
0.9× median
J7169
HCPCS 		Andexxa 200mg/vial 27 $131.80 $7,468.50 $3,734.25 nat. median
$280
outlier · 13.3×
J2506
HCPCS 		Pegfilgrastim-apgf Syr 6mg/0.6ml 27 $19.98 $16,895.48 $3,685.41 nat. median
$2,076
1.8× median
25260
HCPCS 		Repair Tendon Or Muscle Forearm/wrist 28 $509.00 $5,907.00 $3,488.11 nat. median
$3,485
1.0× median
J3490
HCPCS 		Esmolol Hcl 2500mg/250ml Pm 10 $129.38 $13,117.28 $3,478.76 nat. median
$48
outlier · 72.4×
36556
HCPCS 		Insertion Cent Venous >5 Yrs 28 $509.00 $7,632.00 $3,383.71 nat. median
$2,458
1.4× median
31613
HCPCS 		Repair Windpipe Opening 28 $509.00 $4,582.00 $3,370.89 nat. median
$3,340
1.0× median
0360
RC 		11 $282.90 $87,778.80 $3,302.50 nat. median
$2,181
1.5× median
57415
HCPCS 		Foreign Body Removal Vagina 28 $509.00 $4,101.78 $3,299.93 nat. median
$3,207
1.0× median
38222
HCPCS 		Bone Marrow Biopsy W Asp 28 $1,552.00 $5,250.00 $3,076.84 nat. median
$2,752
1.1× median
10180
HCPCS 		I Andd Complex Postop Wound Inf 28 $509.00 $6,674.00 $3,076.84 nat. median
$2,867
1.1× median
27372
HCPCS 		Remov Fb Deep Thigh/knee Region 28 $509.00 $4,268.00 $3,032.22 nat. median
$3,131
1.0× median
46045
HCPCS 		Incision Of Anal Abscess 28 $509.00 $6,674.00 $2,948.20 nat. median
$2,869
1.0× median
42720
HCPCS 		Drainage Of Throat Abscess 28 $509.00 $4,183.75 $2,928.85 nat. median
$3,120
0.9× median
J9173
HCPCS 		Imfinzi Inj 120mg/2.4ml 27 $83.88 $10,827.90 $2,743.12 nat. median
$1,151
outlier · 2.4×
J9308
HCPCS 		Cyramza Inj 500mg/50ml 27 $72.91 $18,268.20 $2,709.39 nat. median
$1,489
1.8× median
J7200
HCPCS 		Coagulation Factor 9 16 $2.87 $3,954.25 $2,708.66 nat. median
$3
outlier · 943.8×
Q5117
HCPCS 		Kanjinti 420mg/vial 27 $34.69 $9,947.93 $2,704.21 nat. median
$935
outlier · 2.9×
A9521
HCPCS 		C-isotope 99mTc Ceretec Per Dose (25mCi) 21 $1,324.00 $6,466.79 $2,648.00 nat. median
$1,818
1.5× median
53060
HCPCS 		Drain Urethra Abscess 28 $509.00 $3,791.00 $2,448.22 nat. median
$2,255
1.1× median

Other procedures at this hospital

Browse this hospital's 1,418 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
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
             
0278 RC — 200 10 $898.00 $139.00 85% off $13.50 $8,211.00 $652.70 2025-01-21
0306 RC — 10 10 $721.00 $29.50 96% off $331.66 $648.90 $379.97 2025-01-21
0320 RC — 30 11 $12,390.00 $5,575.50 55% off $98.00 $11,709.00 $6,195.00 2025-01-21
0323 RC — 27 11 $11,151.00 $7.00 100% off $1,735.00 $28,350.00 $9,450.00 2025-01-21
0360 RC — 267 11 $5,446.00 $1,563.50 71% off $282.90 $87,778.80 $3,302.50 2025-01-21
0361 RC — 11 11 $2,343.00 $11,609.50 $1,077.78 $2,343.00 $1,218.36 2025-01-21
0370 RC — 330 10 $869.00 $289.50 67% off $6.44 $4,951.80 $642.50 2025-01-21
0391 RC — 22 11 $838.00 $444.50 47% off $385.48 $1,060.20 $587.80 2025-01-21
0402 RC — 11 11 $1,109.00 $73.50 93% off $375.00 $998.10 $592.21 2025-01-21
0450 RC — 1,341 11 $667.00 $306.00 54% off $29.90 $6,048.00 $408.94 2025-01-21
0480 RC — 11 11 $1,701.00 $48,766.00 $850.50 $1,701.00 $1,190.70 2025-01-21
0481 RC — 11 11 $8,893.00 $850.50 90% off $1,170.00 $8,893.00 $5,958.31 2025-01-21
0483 RC — 11 11 $1,701.00 $850.50 50% off $850.50 $1,701.00 $1,190.70 2025-01-21
0710 RC — 50 10 $1,159.00 $463.50 60% off $426.42 $1,667.70 $811.00 2025-01-21
0720 RC — 33 11 $2,643.00 $929.50 65% off $358.80 $2,378.70 $617.40 2025-01-21
0722 RC — 22 11 $1,260.00 $64.50 95% off $579.60 $1,673.10 $905.75 2025-01-21
0790 RC — 11 11 $2,873.00 $3.00 100% off $1,170.00 $2,585.70 $1,493.96 2025-01-21
0983 RC — 11 11 $1,964.00 $3.50 100% off $903.44 $1,767.60 $1,048.78 2025-01-21
10005 HCPCS US Fna (10005) 28 28 $2,267.00 $225.00 90% off $706.25 $2,267.00 $794.77 2025-01-21
10006 HCPCS US Fna Add Lesion (10006) 17 17 $2,267.00 $1,133.50 50% off $351.00 $2,267.00 $1,133.50 2025-01-21
10081 HCPCS I Andd Pilonidal Complex 28 28 $566.00 $1,133.50 $283.00 $847.50 $566.00 2025-01-21
10180 HCPCS I Andd Complex Postop Wound Inf 28 28 $7,024.00 $283.00 96% off $509.00 $6,674.00 $3,076.84 2025-01-21
11012 HCPCS Debride Skin/muscle/bone Fx 28 28 $1,157.00 $3,512.00 $509.00 $3,692.21 $1,157.00 2025-01-21
11104 HCPCS Biopsy Skin Subq 27 27 $922.00 $241.50 74% off $401.04 $922.00 $461.00 2025-01-21
11404 HCPCS Exc Tr-ext 3.1 - 4 Cm 28 28 $2,601.00 $155.00 94% off $509.00 $2,601.00 $1,741.84 2025-01-21
11420 HCPCS Exc Benign Lesion .5cm Or Less 28 28 $1,698.00 $1,300.50 23% off $509.00 $2,090.20 $1,577.28 2025-01-21
11421 HCPCS Exc Benign 0.6 - 1.0cm 28 28 $1,570.00 $849.00 46% off $443.69 $1,570.00 $706.25 2025-01-21
11443 HCPCS Excision Benign Lesion 2.1 3.0cm 28 28 $1,570.00 $785.00 50% off $509.00 $2,090.20 $1,504.39 2025-01-21
11606 HCPCS Excision Malignant Lesion > 4.0cm 28 28 $4,268.00 $785.00 82% off $509.00 $4,268.00 $1,941.86 2025-01-21
11640 HCPCS Excision Malignant Lesion O.5cm 28 28 $1,844.00 $2,134.00 $443.69 $1,844.00 $706.25 2025-01-21
11644 HCPCS Exc Malignant Lesion 3.1 - 4.0cm 28 28 $3,133.00 $922.00 71% off $509.00 $3,133.00 $1,741.84 2025-01-21
15271 HCPCS Apply Skin Sub. First 25 Sqcm 27 27 $4,498.00 $1,566.50 65% off $1,836.14 $4,498.00 $2,203.37 2025-01-21
16030 HCPCS Debride Large Burn (per Session) 55 28 $711.00 $311.00 56% off $355.50 $711.00 $414.69 2025-01-21
19000 HCPCS US Aspiration Breast Cyst (19000) 28 28 $2,269.00 $355.50 84% off $706.25 $2,269.00 $794.77 2025-01-21
19001 HCPCS US Asp Breast Cyst Add Lesion (19001) 17 17 $2,269.00 $1,134.50 50% off $351.00 $2,269.00 $1,134.50 2025-01-21
19020 HCPCS US Breast Drainage Cath Placement(19020) 28 28 $4,326.00 $1,134.50 74% off $1,403.78 $4,326.00 $1,802.82 2025-01-21
19083 HCPCS US Breast Bx Bilat (19083) 95 28 $3,316.00 $1,659.00 50% off $1,403.78 $3,318.00 $1,741.84 2025-01-21
19084 HCPCS US Breast Bx Bil Add Lesion (19084) 19 17 $388.00 $1,658.00 $194.00 $388.00 $388.00 2025-01-21
19281 HCPCS Mm Mammo Guidance Needle Loc (19281) 22 22 $1,844.00 $194.00 89% off $922.00 $2,090.20 $1,741.84 2025-01-21
19285 HCPCS US Needle Localization (19285) 22 22 $417.00 $922.00 $208.50 $847.50 $417.00 2025-01-21
20206 HCPCS CT Biopsy Deep Muscle (20206) 37 28 $4,435.00 $208.50 95% off $720.59 $4,435.00 $1,863.81 2025-01-21
20220 HCPCS CT Biopsy Bone Superficial (20220) 28 28 $4,435.00 $1,659.00 63% off $720.59 $4,435.00 $1,741.84 2025-01-21
20225 HCPCS CT Biopsy Bone Deep (20225) 28 28 $4,435.00 $2,217.50 50% off $1,552.00 $4,435.00 $1,990.13 2025-01-21
20611 HCPCS US Inj Therap Hip/shld/knee L (20611) 84 28 $2,267.00 $1,133.50 50% off $296.31 $2,267.00 $498.41 2025-01-21
23065 HCPCS US Bx Shoulder Soft Tissue (23065) 28 28 $4,529.00 $1,133.50 75% off $925.00 $4,529.00 $1,943.85 2025-01-21
23350 HCPCS Sp Injection Arthro Shoulder (23350) 17 17 $2,269.00 $2,264.50 $345.66 $2,269.00 $1,134.50 2025-01-21
23500 HCPCS Trmt Clavicle Fracture Without Manipulation 28 28 $543.00 $1,134.50 $240.79 $543.00 $371.96 2025-01-21
23505 HCPCS Clsd Trmt Clav Frac W/manip 28 28 $3,407.00 $271.50 92% off $485.36 $3,407.00 $1,720.52 2025-01-21
23605 HCPCS Treat Humerus Fracture 28 28 $3,407.00 $1,703.50 50% off $485.36 $3,407.00 $1,720.52 2025-01-21
23650 HCPCS Closed Trmt Shoulder W/manip 28 28 $612.00 $1,703.50 $240.79 $612.00 $408.99 2025-01-21
23655 HCPCS Closed Trmt Shoulder W/anes 28 28 $2,828.00 $306.00 89% off $509.00 $2,828.00 $1,720.52 2025-01-21
24505 HCPCS Closed Trmt Humerus Shaft W/manip 28 28 $1,089.00 $172.50 84% off $485.36 $2,064.62 $1,089.00 2025-01-21
24535 HCPCS Trt Humerus Fracture 28 28 $3,836.00 $544.50 86% off $485.36 $3,836.00 $1,720.52 2025-01-21
24577 HCPCS Treat Humerus Fracture 28 28 $1,090.00 $1,918.00 $485.36 $2,064.62 $1,090.00 2025-01-21
24675 HCPCS Closed Trmt Ulnar Frac W Manipulation 28 28 $1,028.00 $545.00 47% off $485.36 $2,064.62 $1,028.00 2025-01-21
25246 HCPCS Sp Injection Arthro Wrist (25246) 17 17 $2,269.00 $514.00 77% off $345.66 $2,269.00 $1,134.50 2025-01-21
25260 HCPCS Repair Tendon Or Muscle Forearm/wrist 28 28 $5,907.00 $1,134.50 81% off $509.00 $5,907.00 $3,488.11 2025-01-21
25605 HCPCS Clsd Trmt Sidtal Radial W/manipul 28 28 $4,127.00 $2,953.50 28% off $485.36 $4,127.00 $1,720.52 2025-01-21
26700 HCPCS Closed Trmt Metacarpophalangeal 28 28 $612.00 $2,063.50 $240.79 $612.00 $408.99 2025-01-21
26725 HCPCS Closed Trmt Phalangeal W/manipula 28 28 $612.00 $146.50 76% off $240.79 $612.00 $408.99 2025-01-21
26750 HCPCS Closed Trmt Distal Phalangeal 28 28 $612.00 $146.50 76% off $240.79 $612.00 $408.99 2025-01-21
26770 HCPCS Closed Trmt Interphalangeal Joint 28 28 $612.00 $306.00 50% off $240.79 $612.00 $408.99 2025-01-21
27093 HCPCS Sp Injection Arthro Hip (27093) 34 17 $2,836.00 $720.25 75% off $345.66 $3,062.70 $1,440.82 2025-01-21
27301 HCPCS I Andd Thigh/knee Deep Abscess Bursa Hema 27 27 $1,626.00 $1,701.50 $813.00 $3,692.21 $1,626.00 2025-01-21
27369 HCPCS Sp Injection Arthro Knee (27369) 17 17 $2,269.00 $813.00 64% off $345.66 $2,269.00 $1,134.50 2025-01-21
27372 HCPCS Remov Fb Deep Thigh/knee Region 28 28 $4,268.00 $1,134.50 73% off $509.00 $4,268.00 $3,032.22 2025-01-21
27500 HCPCS Closed Trmt Femoral Shaft Frac 28 28 $910.00 $2,134.00 $240.79 $910.00 $492.50 2025-01-21
27502 HCPCS Closed Trmt Femoral Shaft W/manip 28 28 $3,407.00 $146.50 96% off $485.36 $3,407.00 $1,720.52 2025-01-21
27510 HCPCS Closed Trmt Femoral Fr Distal End 28 28 $910.00 $146.50 84% off $455.00 $2,064.62 $910.00 2025-01-21
27552 HCPCS Treat Knee Dislocation 28 28 $2,828.00 $146.50 95% off $509.00 $2,828.00 $1,720.52 2025-01-21
27562 HCPCS Treat Kneecap Dislocation 28 28 $1,019.00 $146.50 86% off $240.79 $1,019.00 $560.45 2025-01-21
27650 HCPCS Repair Ruptured Achilles Tendon 28 28 $8,599.00 $130.50 98% off $509.00 $9,215.83 $7,425.30 2025-01-21
27842 HCPCS Treat Ankle Dislocation 28 28 $2,828.00 $146.50 95% off $509.00 $2,828.00 $1,720.52 2025-01-21
28435 HCPCS Treatment Of Ankle Fracture 28 28 $754.00 $146.50 81% off $377.00 $2,064.62 $754.00 2025-01-21
28510 HCPCS Closed Trmt Frac Phalanx/phalange 28 28 $612.00 $146.50 76% off $240.79 $612.00 $408.99 2025-01-21
28515 HCPCS Closed Trmt Interphalangeal Disl 28 28 $612.00 $306.00 50% off $240.79 $612.00 $408.99 2025-01-21
28660 HCPCS Closed Trmt Tarsometartarsal Join 28 28 $612.00 $146.50 76% off $240.79 $612.00 $408.99 2025-01-21
31500 HCPCS Intubation Endotracheal ER Proc 28 28 $569.00 $203.50 64% off $233.10 $569.00 $388.08 2025-01-21
31605 HCPCS Incision Of Windpipe 28 28 $1,465.00 $342.00 77% off $233.10 $1,465.00 $805.75 2025-01-21
31613 HCPCS Repair Windpipe Opening 28 28 $4,582.00 $732.50 84% off $509.00 $4,582.00 $3,370.89 2025-01-21
32408 HCPCS CT Biopsy Lung/mediastinum (32408) 28 28 $3,316.00 $2,291.00 31% off $1,051.23 $3,316.00 $1,741.84 2025-01-21
32551 HCPCS Thoracostomy 28 28 $4,168.00 $1,658.00 60% off $925.00 $4,168.00 $1,670.02 2025-01-21
32554 HCPCS Thoracentesis 28 28 $1,606.00 $2,084.00 $620.60 $1,606.00 $1,007.41 2025-01-21
32555 HCPCS US Thoracentesis (non Rad) (32555) 28 28 $2,267.00 $803.00 65% off $620.60 $2,267.00 $1,082.15 2025-01-21
32556 HCPCS Thoracentesis W/insert Tube 28 28 $1,013.00 $1,133.50 $506.50 $2,447.23 $1,013.00 2025-01-21
32557 HCPCS US Plueral Drainage Cath (32557) 28 28 $3,360.00 $506.50 85% off $925.00 $3,360.00 $1,670.02 2025-01-21
32999 HCPCS Chest Surgery Procedure 28 28 $846.00 $1,680.00 $423.00 $846.00 $642.33 2025-01-21
33016 HCPCS Pericardiocentesis 28 28 $1,013.00 $423.00 58% off $506.50 $2,004.03 $1,013.00 2025-01-21
36430 HCPCS Transfusion Blood Or Components Per Day 28 28 $1,178.00 $11.50 99% off $426.12 $1,178.00 $474.99 2025-01-21
36556 HCPCS Insertion Cent Venous >5 Yrs 28 28 $8,480.00 $589.00 93% off $509.00 $7,632.00 $3,383.71 2025-01-21
36573 HCPCS Sp Picc Line Procedure (36573) 27 27 $4,595.00 $4,240.00 $1,157.78 $4,595.00 $1,670.02 2025-01-21
36584 HCPCS Sp Picc Line Replacement (36584) 27 27 $4,593.00 $2,297.50 50% off $1,157.78 $4,593.00 $1,670.02 2025-01-21
36593 HCPCS Declotting Of Vascular Cath 39 28 $866.00 $192.00 78% off $310.88 $910.00 $455.00 2025-01-21
36597 HCPCS Sp Picc Line Adjustment (36597) 27 27 $4,595.00 $455.00 90% off $777.77 $4,595.00 $1,670.02 2025-01-21
38222 HCPCS Bone Marrow Biopsy W Asp 28 28 $5,250.00 $26.00 100% off $1,552.00 $5,250.00 $3,076.84 2025-01-21
38505 HCPCS US Bx Lymph Node (38505) 28 28 $4,433.00 $2,625.00 41% off $1,276.14 $4,433.00 $1,741.84 2025-01-21
38792 HCPCS Nm Injection Radiopharm (38792) 28 28 $1,458.00 $2,216.50 $387.76 $1,458.00 $434.38 2025-01-21
40650 HCPCS Repair Lip 28 28 $1,465.00 $729.00 50% off $509.00 $1,465.00 $872.52 2025-01-21
42400 HCPCS US Bx Parotid Gland (42400) 28 28 $1,921.00 $732.50 62% off $706.25 $1,921.00 $1,174.57 2025-01-21
42720 HCPCS Drainage Of Throat Abscess 28 28 $3,083.00 $325.00 89% off $509.00 $4,183.75 $2,928.85 2025-01-21
43752 HCPCS Naso/oro Gastric Intubation 28 28 $831.00 $165.00 80% off $400.55 $831.00 $425.57 2025-01-21
43762 HCPCS Replace G-tube 22 22 $730.00 $152.50 79% off $244.13 $730.00 $365.00 2025-01-21
45005 HCPCS Inc And Drain Submucosal Abscess Rectum 28 28 $4,456.00 $365.00 92% off $509.00 $4,456.00 $1,562.21 2025-01-21
46040 HCPCS I Andd Ischiorectal/perirectal Absce 28 28 $4,456.00 $2,228.00 50% off $509.00 $4,456.00 $1,562.21 2025-01-21
46045 HCPCS Incision Of Anal Abscess 28 28 $7,241.00 $2,228.00 69% off $509.00 $6,674.00 $2,948.20 2025-01-21
46608 HCPCS Anoscopy With Removal Of Foreign Body 28 28 $2,554.00 $3,620.50 $509.00 $2,554.00 $1,084.35 2025-01-21
47000 HCPCS CT Biopsy Liver (47000) 30 28 $3,318.00 $1,277.00 62% off $761.32 $3,318.00 $1,741.84 2025-01-21
47534 HCPCS US Cholecystostomy/drain Place (47534) 28 28 $11,160.00 $1,659.00 85% off $2,046.00 $10,044.00 $3,793.91 2025-01-21
48102 HCPCS CT Biopsy Pancreas (48102) 28 28 $3,318.00 $5,580.00 $761.32 $3,318.00 $1,741.84 2025-01-21
49082 HCPCS Paracentesis 28 28 $2,551.00 $1,659.00 35% off $761.32 $2,551.00 $974.06 2025-01-21
49083 HCPCS US Paracentesis (49083) 28 28 $2,551.00 $1,275.50 50% off $761.32 $2,551.00 $974.06 2025-01-21
49180 HCPCS CT Biopsy Abd/retroperitoneum (49180) 28 28 $3,318.00 $1,275.50 62% off $761.32 $3,318.00 $1,741.84 2025-01-21
49405 HCPCS CT Drain (livr/spln/renl)abscess (49405) 28 28 $4,724.00 $1,659.00 65% off $761.32 $4,724.00 $1,802.82 2025-01-21
50200 HCPCS CT Biopsy Renal (50200) 28 28 $3,318.00 $2,362.00 29% off $1,545.03 $3,318.00 $1,741.84 2025-01-21
51705 HCPCS Change Of Bladder Tube 22 22 $724.00 $143.50 80% off $244.13 $724.00 $362.00 2025-01-21
53060 HCPCS Drain Urethra Abscess 28 28 $3,791.00 $362.00 90% off $509.00 $3,791.00 $2,448.22 2025-01-21
53620 HCPCS Dilate Urethra Stricture 28 28 $3,681.00 $245.00 93% off $425.80 $3,681.00 $717.56 2025-01-21
55000 HCPCS US Asp Abscess/cyst/hematoma (55000) 28 28 $2,269.00 $325.50 86% off $90.90 $2,269.00 $730.98 2025-01-21
57415 HCPCS Foreign Body Removal Vagina 28 28 $3,787.00 $417.50 89% off $509.00 $4,101.78 $3,299.93 2025-01-21
60100 HCPCS US Thyroid Core Bx (60100) 28 28 $1,538.00 $167.00 89% off $706.25 $1,538.00 $977.73 2025-01-21
62270 HCPCS Fl Spinal Puncture Lumbar (62270) 28 28 $2,267.00 $769.00 66% off $695.14 $2,267.00 $851.75 2025-01-21
62302 HCPCS Sp Myelogram Cervical (62302) 28 28 $1,938.00 $1,133.50 42% off $590.03 $1,938.00 $820.82 2025-01-21
62304 HCPCS Sp Myelogram Lumbar (62304) 30 28 $2,267.00 $969.00 57% off $590.03 $2,267.00 $886.79 2025-01-21
64400 HCPCS Inj Anes Agent Trigeminal Nerve 28 28 $706.00 $1,133.50 $296.31 $706.00 $428.45 2025-01-21
64450 HCPCS N Block Other Peripheral 28 28 $1,881.00 $353.00 81% off $420.92 $1,881.00 $695.14 2025-01-21
65220 HCPCS Removal Corneal Without Slit Lamp 28 28 $802.00 $175.00 78% off $79.46 $802.00 $400.77 2025-01-21
70496 HCPCS CT Angio Brain (70496) 28 28 $1,458.00 $781.50 46% off $178.69 $1,458.00 $403.48 2025-01-21
70498 HCPCS CT Angio Carotids (70498) 28 28 $1,458.00 $729.00 50% off $178.69 $1,458.00 $403.48 2025-01-21
70543 HCPCS MRI Face And Neck Wwo (70543) 28 28 $1,833.00 $864.00 53% off $358.48 $1,833.00 $452.72 2025-01-21
70544 HCPCS MRA Brain And Brain Stem Wo (70544) 28 28 $1,728.00 $916.50 47% off $242.63 $1,728.00 $534.09 2025-01-21
70547 HCPCS MRA Carotid Artery Wo (70547) 28 28 $1,728.00 $864.00 50% off $242.63 $1,728.00 $534.09 2025-01-21
70552 HCPCS MRI Brain And Stem W (70552) 28 28 $1,780.00 $864.00 51% off $358.48 $1,780.00 $452.72 2025-01-21
70553 HCPCS MRI Iac's Wwo (70553) 37 28 $1,728.00 $890.00 48% off $358.48 $1,833.00 $864.00 2025-01-21
71275 HCPCS CT Angio Chest (71275) 28 28 $1,458.00 $729.00 50% off $178.69 $1,458.00 $403.48 2025-01-21
71552 HCPCS MRI Chest Wwo (71552) 28 28 $1,833.00 $864.00 53% off $358.48 $1,833.00 $452.72 2025-01-21
72126 HCPCS CT Spine Cervical W (72126) 28 28 $1,510.00 $729.00 52% off $320.76 $1,510.00 $372.61 2025-01-21
72132 HCPCS CT Spine Lumbar W (72132) 28 28 $1,510.00 $729.00 52% off $320.76 $1,510.00 $372.61 2025-01-21
72142 HCPCS MRI Spine Cervical W (72142) 28 28 $1,780.00 $864.00 51% off $358.48 $1,780.00 $452.72 2025-01-21
72147 HCPCS MRI Spine Thoracic W (72147) 28 28 $1,780.00 $864.00 51% off $358.48 $1,780.00 $452.72 2025-01-21
72149 HCPCS MRI Spine Lumbar W (72149) 28 28 $1,780.00 $864.00 51% off $358.48 $1,780.00 $452.72 2025-01-21
72156 HCPCS MRI Spine Cervical Wwo (72156) 28 28 $1,833.00 $890.00 51% off $358.48 $1,833.00 $452.72 2025-01-21
72157 HCPCS MRI Spine Thoracic Wwo (72157) 28 28 $1,833.00 $916.50 50% off $358.48 $1,833.00 $452.72 2025-01-21
72158 HCPCS MRI Spine Lumbar Wwo (72158) 28 28 $1,833.00 $916.50 50% off $358.48 $1,833.00 $452.72 2025-01-21
72191 HCPCS CT Angio Pelvis (72191) 28 28 $1,563.00 $150.00 90% off $178.69 $1,563.00 $403.48 2025-01-21
72197 HCPCS MRI Pelvis Wwo (72197) 28 28 $1,833.00 $864.00 53% off $358.48 $1,833.00 $452.72 2025-01-21
73040 HCPCS Sp Arthrogram Shoulder L (73040) 56 28 $1,067.00 $341.75 68% off $124.88 $960.30 $358.48 2025-01-21
73201 HCPCS CT Ext Upper W Lt (73201) 56 28 $1,510.00 $1,106.25 27% off $320.76 $1,510.00 $372.61 2025-01-21
73206 HCPCS CT Angio Ext Upper Bilat (73206) 84 28 $1,458.00 $729.00 50% off $178.69 $1,685.00 $403.48 2025-01-21
73219 HCPCS MRI Ext Upper W Lt (73219) 56 28 $1,780.00 $877.00 51% off $358.48 $1,780.00 $452.72 2025-01-21
73220 HCPCS MRI Ext Upper Wwo Bi (73220) 84 28 $1,833.00 $916.50 50% off $358.48 $3,298.50 $452.72 2025-01-21
73222 HCPCS MRI Ext Upper Joint W Lt (73222) 56 28 $1,780.00 $877.00 51% off $429.55 $1,780.00 $820.82 2025-01-21
73223 HCPCS MRI Ext Upper Joint Wwo Lt (73223) 56 28 $1,833.00 $903.25 51% off $358.48 $1,833.00 $452.72 2025-01-21
73706 HCPCS CT Angio Ext Lower Bilat (73706) 84 28 $1,458.00 $781.50 46% off $178.69 $1,685.00 $403.48 2025-01-21
73719 HCPCS MRI Ext Lower W Lt (73719) 56 28 $1,756.00 $1,296.25 26% off $358.48 $1,782.00 $452.72 2025-01-21
73720 HCPCS MRI Ext Lower Wwo Bilat (73720) 84 28 $1,833.00 $916.50 50% off $358.48 $3,298.50 $452.72 2025-01-21
73722 HCPCS MRI Ext Lower Joint W Bilat (73722) 84 28 $1,780.00 $890.00 50% off $429.55 $3,298.50 $820.82 2025-01-21
73723 HCPCS MRI Ext Lower Joint Wwo Bilat (73723) 84 28 $1,833.00 $1,832.50 $358.48 $3,298.50 $452.72 2025-01-21
74174 HCPCS CT Angio Abd/pelvis (74174) 28 28 $1,060.00 $781.50 26% off $358.48 $1,060.00 $426.44 2025-01-21
74175 HCPCS CT Angio Abdomen (74175) 28 28 $1,458.00 $530.00 64% off $178.69 $1,458.00 $403.48 2025-01-21
74177 HCPCS CT Abd/pelvis Combo W (74177) 28 28 $1,510.00 $729.00 52% off $320.76 $1,510.00 $372.61 2025-01-21
74178 HCPCS CT Abd/pelv Combo Wwo (74178) 37 28 $1,563.00 $755.00 52% off $320.76 $1,563.00 $729.00 2025-01-21
74182 HCPCS MRI Abdomen W (74182) 28 28 $1,780.00 $864.00 51% off $358.48 $1,780.00 $452.72 2025-01-21
74183 HCPCS MRI Abdomen Wwo (74183) 28 28 $1,833.00 $890.00 51% off $358.48 $1,833.00 $452.72 2025-01-21
74425 HCPCS Fl Urography Antegrade (74425) 36 28 $836.00 $418.00 50% off $124.88 $754.20 $400.79 2025-01-21
75635 HCPCS CT Angio Runoff (75635) 28 28 $1,458.00 $52.00 96% off $178.69 $1,458.00 $403.48 2025-01-21
76080 HCPCS Fl Fistula/sinus Tract (76080) 28 28 $1,062.00 $130.50 88% off $98.14 $955.80 $550.37 2025-01-21
76098 HCPCS Mm Breast Specimen Film(s) (76098) 28 28 $1,062.00 $531.00 50% off $27.07 $955.80 $550.37 2025-01-21
77012 HCPCS CT Guidance Needle (77012) 17 17 $1,458.00 $142.00 90% off $86.90 $1,458.00 $729.00 2025-01-21
78013 HCPCS Nm Thyroid Scan (78013) 28 28 $1,458.00 $142.00 90% off $387.76 $1,458.00 $434.38 2025-01-21
78014 HCPCS Nm Thyroid Uptake And Scan (78014) 28 28 $1,213.00 $729.00 40% off $387.76 $1,213.00 $434.38 2025-01-21
78195 HCPCS Nm Lymphoscintigraphy (78195) 56 28 $2,186.50 $667.75 69% off $540.30 $2,623.50 $956.06 2025-01-21
78226 HCPCS Nm Hida Scan W Po Stim (78226) 28 28 $1,458.00 $1,457.50 $387.76 $1,458.00 $434.38 2025-01-21
78227 HCPCS Nm Hida Scan W IV Stim (78227) 28 28 $1,458.00 $729.00 50% off $387.76 $1,458.00 $559.22 2025-01-21
78264 HCPCS Nm Gastric Emptying Study (78264) 28 28 $1,458.00 $729.00 50% off $387.76 $1,458.00 $434.38 2025-01-21
78278 HCPCS Nm Gi Bleed Study (78278) 28 28 $1,458.00 $729.00 50% off $403.35 $1,458.00 $901.77 2025-01-21
78290 HCPCS Nm Meckles (78290) 28 28 $1,458.00 $729.00 50% off $387.76 $1,458.00 $434.38 2025-01-21
78300 HCPCS Nm Bone Scan Limited (78300) 28 28 $1,458.00 $729.00 50% off $387.76 $1,458.00 $434.38 2025-01-21
78306 HCPCS Nm Bone Scan Whole Body (78306) 28 28 $1,615.00 $729.00 55% off $387.76 $1,615.00 $434.38 2025-01-21
78315 HCPCS Nm Bone Scan Triple Phase (78315) 28 28 $1,563.00 $807.50 48% off $387.76 $1,563.00 $434.38 2025-01-21
78451 HCPCS Nm Cardiac Resting Only (78451) 28 28 $3,594.00 $781.50 78% off $886.63 $3,234.60 $1,310.41 2025-01-21
78452 HCPCS Nm Cardiac Exercise Drug/isotope (78452) 35 28 $3,594.00 $1,797.00 50% off $928.74 $3,236.40 $1,572.50 2025-01-21
78472 HCPCS Nm Muga Scan (78472) 28 28 $1,458.00 $1,798.00 $387.76 $1,458.00 $434.38 2025-01-21
78473 HCPCS Nm Muga Scan Multiple Planar (78473) 28 28 $1,458.00 $729.00 50% off $387.76 $1,458.00 $434.38 2025-01-21
78579 HCPCS Nm Lung Scan Ventilation (78579) 28 28 $1,458.00 $729.00 50% off $403.35 $1,458.00 $801.90 2025-01-21
78580 HCPCS Nm Lung Scan Perfusion (78580) 28 28 $1,458.00 $729.00 50% off $403.35 $1,458.00 $801.90 2025-01-21
78582 HCPCS Nm Lung Scan Vent And Perf Combo (78582) 28 28 $1,458.00 $729.00 50% off $540.30 $1,458.00 $916.80 2025-01-21
78707 HCPCS Nm Renal Scan (78707) 28 28 $1,458.00 $729.00 50% off $387.76 $1,458.00 $559.22 2025-01-21
78708 HCPCS Nm Renal With Drug Intervention (78708) 28 28 $2,426.00 $729.00 70% off $384.66 $2,183.40 $540.30 2025-01-21
78801 HCPCS Nm Inflammatory Process Lmtd (78801) 28 28 $2,226.00 $1,213.00 46% off $403.35 $2,003.40 $956.06 2025-01-21
78802 HCPCS Nm Inflammatory Process Whole (78802) 28 28 $2,226.00 $1,113.00 50% off $914.83 $2,220.12 $1,310.41 2025-01-21
81420 HCPCS Qnatal (tm) Advanced 28 28 $630.00 $98.50 84% off $233.00 $756.00 $504.00 2025-01-21
87633 HCPCS Respiratory Viral Panel Pcr 27 27 $552.00 $8.00 99% off $174.55 $552.00 $386.40 2025-01-21
90375 HCPCS Rabies Immune Globulin 900iu/3ml 27 27 $4,234.00 $177.00 96% off $280.37 $3,810.60 $1,369.70 2025-01-21
90377 HCPCS Rabies Immune Globulin 300iu/2ml 37 27 $2,237.00 $2,117.00 $250.52 $9,188.78 $1,342.20 2025-01-21
92953 HCPCS Temp Transcutaneous Pacing 28 28 $415.00 $142.00 66% off $190.90 $788.22 $415.00 2025-01-21
93306 HCPCS US Echocardiogram (93306) 28 28 $1,701.00 $220.50 87% off $456.95 $1,701.00 $569.64 2025-01-21
93308 HCPCS US Echocardiogram Limited (93308) 28 28 $1,701.00 $850.50 50% off $242.63 $1,701.00 $470.39 2025-01-21
93351 HCPCS US Echo Bubble Study (93351) 28 28 $1,873.00 $200.50 89% off $456.95 $1,873.00 $569.64 2025-01-21
94002 HCPCS Ventilator Per Protocol 28 28 $1,441.00 $299.00 79% off $662.86 $1,296.90 $759.40 2025-01-21
95816 HCPCS US EEG - Awake And Drowsy 27 27 $734.00 $86.50 88% off $236.00 $660.60 $359.94 2025-01-21
95819 HCPCS US EEG 27 27 $837.00 $367.00 56% off $236.00 $753.30 $359.94 2025-01-21
96413 HCPCS Infusion - Chemo Up To 1 Hour 38 28 $921.00 $162.50 82% off $183.14 $828.90 $449.50 2025-01-21
96416 HCPCS Chemo Prolong Infuse W/pump 38 28 $921.00 $87.50 90% off $183.60 $828.90 $513.17 2025-01-21
97606 HCPCS Neg Press Wnd Tx >50cm (wound Vac) 27 27 $922.00 $241.00 74% off $401.04 $829.80 $429.12 2025-01-21
97607 HCPCS Neg Press Wnd Tx 27 27 $922.00 $461.00 50% off $401.04 $829.80 $429.12 2025-01-21
97608 HCPCS Neg Press Wound Tx >50 Cm 27 27 $922.00 $461.00 50% off $401.04 $829.80 $429.12 2025-01-21
A9517 HCPCS C-isotope Iodine I-131 (25 mCi) 27 27 $1,654.00 $158.00 90% off $23.13 $1,488.60 $433.88 2025-01-21
A9521 HCPCS C-isotope 99mTc Ceretec Per Dose (25mCi) 21 21 $2,648.00 $827.00 69% off $1,324.00 $6,466.79 $2,648.00 2025-01-21
A9547 HCPCS C-isotope In-111 Oxyquinolin(per .5 mCi) 21 21 $1,247.00 $85.00 93% off $623.50 $1,247.00 $772.64 2025-01-21
A9572 HCPCS C-isotope In-111 Octreotide(up To 6 mCi) 21 21 $6,064.00 $63.50 99% off $1,500.00 $5,457.60 $1,914.61 2025-01-21
C1781 HCPCS Mesh Ventralight 11cm 160 10 $978.00 $446.50 54% off $165.50 $2,636.72 $772.80 2025-01-21
C1788 HCPCS Powerport Clearvue 8fr Slim 20 10 $639.00 $1,433.00 $293.94 $1,314.00 $623.35 2025-01-21
C1880 HCPCS Greenfield Femoral System 12fr 10 10 $1,508.00 $217.50 86% off $754.00 $1,387.36 $1,032.98 2025-01-21
C9290 HCPCS Bupivacaine Liposome 1.3% Inj 10ml 20 10 $683.00 $3.38 100% off $314.18 $876.15 $482.43 2025-01-21
C9488 HCPCS Conivaptan/ D5w(vaprisol) 20mg/100ml 16 16 $1,760.00 $486.75 72% off $94.12 $1,584.00 $844.80 2025-01-21
J0248 HCPCS Remdesivir Inj 100mg/20ml (5mg/ml) 27 27 $1,791.00 $61.25 97% off $6.35 $1,611.90 $493.51 2025-01-21
J0289 HCPCS Ambisome (amphotericin B) Inj 50mg 27 27 $861.75 $76.75 91% off $23.98 $775.58 $430.88 2025-01-21
J0517 HCPCS Benralizumab 30mg Inj Syr. 27 27 $16,458.25 $72.38 100% off $165.89 $14,812.43 $3,867.75 2025-01-21
J0565 HCPCS Bezlotoxumab Inj 1000mg/40ml 27 27 $11,347.75 $318.63 97% off $39.87 $10,212.98 $1,945.02 2025-01-21
J0596 HCPCS Ruconest Inj 2100 Units 27 27 $21,709.75 $5,673.88 74% off $34.67 $19,538.78 $4,815.43 2025-01-21
J0630 HCPCS Calciton (miacalcin)inj 400iu/2ml 27 27 $2,504.25 $38.75 98% off $1,142.41 $2,504.25 $1,330.57 2025-01-21
J0717 HCPCS Certolizumab Pegol 200mg/ml Prefil 27 27 $8,063.75 $550.38 93% off $3.90 $7,257.38 $1,945.02 2025-01-21
J0791 HCPCS Adakveo Vial 10mg/ml 10ml 27 27 $7,328.00 $10.00 100% off $128.68 $6,595.20 $1,050.54 2025-01-21
J0841 HCPCS Anavip Vial 27 27 $2,926.50 $148.25 95% off $1,027.17 $2,926.50 $1,521.78 2025-01-21
J0875 HCPCS Dalbavancin(dalvance) Inj 500mg 27 27 $2,781.00 $1,463.25 47% off $15.60 $2,781.00 $1,390.50 2025-01-21
J0881 HCPCS Aranesp Inj 150mcg (n-esrd) 36 27 $3,396.00 $24.38 99% off $2.97 $3,056.40 $632.69 2025-01-21
J0896 HCPCS Reblozyl Inj 25mg/vial 36 27 $11,579.00 $17.13 100% off $41.28 $20,858.18 $7,202.25 2025-01-21
J1162 HCPCS Digoxin Immune Fab Inj 40mg 27 27 $12,297.75 $10.00 100% off $4,677.84 $11,067.98 $5,274.04 2025-01-21
J1306 HCPCS Inclisiran 284mg/1.5ml Inj 27 27 $9,574.00 $39.63 100% off $12.28 $8,616.60 $1,945.02 2025-01-21
J1410 HCPCS Conj Estrogens (premarin) Inj 25mg 27 27 $993.75 $33.25 97% off $122.25 $894.38 $382.91 2025-01-21
J1430 HCPCS Ethanolamine Olea 5%(ethamolin) 2ml 27 27 $1,196.25 $496.88 58% off $491.65 $1,076.63 $598.13 2025-01-21
J1439 HCPCS Ferric Carboxymaltose Inj 750mg/15ml 27 27 $3,674.25 $598.13 84% off $1.11 $3,306.83 $493.51 2025-01-21
J1459 HCPCS Immune Globulin Human 10% 40gm/400ml 45 27 $9,888.00 $25.13 100% off $49.28 $8,899.20 $1,945.02 2025-01-21
J1561 HCPCS Gamunex-c 10% 10gmg/100ml 70 27 $4,190.00 $1,236.00 71% off $49.01 $15,083.33 $1,676.00 2025-01-21
J1562 HCPCS Hep-b Imm Glob (human) 5ml Vial 31 16 $1,937.75 $1,047.50 46% off $25.34 $1,743.98 $416.25 2025-01-21
J1569 HCPCS Gammagard Lq Sf 10% /100ml 36 27 $3,017.25 $208.13 93% off $46.46 $8,830.80 $1,849.90 2025-01-21
J1572 HCPCS Immune Globulin Human 10% 20gm/200ml 27 27 $5,585.25 $4,906.00 $44.54 $5,026.73 $1,945.02 2025-01-21
J1602 HCPCS Simponi Aria 50mg/4ml(vial) 27 27 $5,823.63 $10.00 100% off $10.54 $5,241.27 $1,945.02 2025-01-21
J1670 HCPCS Tetanus Imm Glob (hyper-tet ) 250u 27 27 $1,473.25 $10.00 99% off $198.63 $1,325.93 $572.07 2025-01-21
J1745 HCPCS Infliximab(remicade)inj 100mg 27 27 $3,414.25 $29.88 99% off $30.53 $3,072.83 $1,707.13 2025-01-21
J1830 HCPCS Interferon Beta 1b Inj 0.3mg 16 16 $1,503.75 $40.38 97% off $102.29 $1,353.38 $751.88 2025-01-21
J2353 HCPCS Octreotide Acetate Depot 30mg Inj(im 45 27 $18,897.75 $56.25 100% off $218.37 $17,007.98 $4,236.11 2025-01-21
J2506 HCPCS Pegfilgrastim-apgf Syr 6mg/0.6ml 36 27 $11,392.50 $10.00 100% off $19.98 $16,895.48 $3,685.41 2025-01-21
J2760 HCPCS Phentolamine (regitine) Inj 5mg 21 21 $1,171.25 $120.60 90% off $394.63 $1,054.13 $538.78 2025-01-21
J2785 HCPCS Regadenoson(lexiscan) Inj 0.4mg/5ml 10 10 $718.50 $10.00 99% off $107.62 $646.65 $373.62 2025-01-21
J2794 HCPCS risperiDONE INJ(risperiDAL Cons 25mg 27 27 $1,598.25 $359.25 78% off $10.99 $1,438.43 $493.51 2025-01-21
J3101 HCPCS Tenecteplase(tnkase) Inj 50mg 27 27 $21,780.50 $11.25 100% off $162.43 $19,602.45 $4,815.43 2025-01-21
J3111 HCPCS Romosozumab 210mg/2.34ml Inj (2 Syr) 27 27 $7,478.25 $10.00 100% off $11.49 $6,730.43 $1,050.54 2025-01-21
J3262 HCPCS Tocilizumab 80mg/4ml 45 27 $1,586.25 $10.00 99% off $5.97 $7,137.90 $1,062.79 2025-01-21
J3490 HCPCS Esmolol Hcl 2500mg/250ml Pm 20 10 $281.25 $38.00 86% off $129.38 $13,117.28 $3,478.76 2025-01-21
J7168 HCPCS Prothrombin Complex Conc. 500 Iu 36 27 $3,534.50 $7,287.38 $2.21 $7,029.23 $1,917.24 2025-01-21
J7169 HCPCS Andexxa 200mg/vial 27 27 $7,468.50 $3,905.13 48% off $131.80 $7,468.50 $3,734.25 2025-01-21
J7192 HCPCS Factor-8 Antihemophilic 2145 Iu 57 27 $3,636.25 $3,734.25 $1.54 $6,725.48 $1,818.13 2025-01-21
J7200 HCPCS Coagulation Factor 9 16 16 $3,954.25 $1,818.13 54% off $2.87 $3,954.25 $2,708.66 2025-01-21
J7298 HCPCS Mirena Kit 16 16 $1,123.00 $1,977.13 $479.41 $1,123.00 $561.50 2025-01-21
J7502 HCPCS Cyclosporine Oral Sol 100mg/ml 10 10 $2,233.50 $486.88 78% off $3.70 $2,010.15 $1,161.42 2025-01-21
J9022 HCPCS Tecentriq Inj 1200mg/20ml Vial 36 27 $21,122.75 $334.38 98% off $88.22 $19,961.10 $9,061.99 2025-01-21
J9035 HCPCS Bevacizumab 400mg(25mg/ml) 16mlchm 27 27 $9,523.25 $11,089.50 $73.19 $8,570.93 $3,867.75 2025-01-21
J9037 HCPCS Belantamab Mafodotin Inj 100mg/vial 27 27 $25,767.00 $4,761.63 82% off $41.73 $23,190.30 $7,676.43 2025-01-21
J9042 HCPCS Adcetris (brentuximab) Inj 50mg Vial 27 27 $22,604.00 $70.25 100% off $248.93 $20,343.60 $7,676.43 2025-01-21
J9047 HCPCS Carfilzomib 30mg Inj (chm) 45 27 $4,889.25 $11,302.00 $51.97 $8,800.65 $1,369.70 2025-01-21
J9055 HCPCS Erbitux (cetuximab) 100mg/50ml (chm) 27 27 $2,306.00 $4,889.25 $77.10 $2,130.26 $1,153.00 2025-01-21
J9119 HCPCS Cemiplimab-rwlc 350mg/7ml (chem) 27 27 $20,497.00 $283.75 99% off $28.21 $18,447.30 $4,815.43 2025-01-21
J9144 HCPCS Darzalex /faspro 1 800mg/30 000units 27 27 $28,957.25 $150.63 99% off $51.39 $26,061.53 $3,867.75 2025-01-21
J9145 HCPCS Daratumumab 20mg/ml 20ml 42 27 $7,992.75 $14,478.63 $65.32 $7,193.48 $1,898.34 2025-01-21
J9173 HCPCS Imfinzi Inj 120mg/2.4ml 42 27 $2,887.50 $10.00 100% off $83.88 $10,827.90 $2,743.12 2025-01-21
J9177 HCPCS Padcev Inj 30mg/vial 36 27 $12,640.50 $6,015.50 52% off $36.65 $11,376.45 $4,746.64 2025-01-21
J9202 HCPCS Goserelin (zoladex) Syrg 3.6mg 27 27 $2,839.50 $16.13 99% off $703.06 $2,555.55 $1,050.54 2025-01-21
J9205 HCPCS Irinotecan Liposome 43mg/ml 10ml 27 27 $8,260.00 $1,419.75 83% off $64.22 $7,434.00 $3,799.60 2025-01-21
J9217 HCPCS Eligard (leuprolide Acetate) 22.5mg 45 27 $3,845.25 $4,130.00 $180.79 $6,951.60 $669.50 2025-01-21
J9223 HCPCS Lurbinectedin 4mg Inj 27 27 $22,814.75 $643.75 97% off $204.90 $20,533.28 $3,867.75 2025-01-21
J9227 HCPCS Sarclisa Sf 20mg/ml 5ml 42 27 $2,363.25 $11,407.38 $79.35 $10,633.95 $2,245.09 2025-01-21
J9228 HCPCS Yervoy Inj 5mg/ml 10ml 27 27 $25,490.00 $5,907.75 77% off $180.05 $22,941.00 $12,745.00 2025-01-21
J9271 HCPCS Pembrolizumab Inj 100mg/4ml Chem 27 27 $16,924.50 $11.50 100% off $57.60 $15,232.05 $7,676.43 2025-01-21
J9298 HCPCS Nivolumab/relatilima 240mg/80mg 20ml 27 27 $28,943.00 $209.13 99% off $193.86 $26,048.70 $14,471.50 2025-01-21
J9299 HCPCS Nivolumab Inj 120mg/12ml(chemo) 36 27 $11,180.25 $14,471.50 $32.30 $20,514.60 $5,208.48 2025-01-21
J9301 HCPCS Obinutuzumab 1000mg/40ml (chem) 27 27 $24,621.00 $11,397.00 54% off $74.83 $22,158.90 $4,815.43 2025-01-21
J9306 HCPCS Perjeta (pertuzumab) Inj 420mg/14ml 27 27 $19,498.25 $20.88 100% off $16.19 $17,548.43 $3,867.75 2025-01-21
J9308 HCPCS Cyramza Inj 500mg/50ml 36 27 $20,298.00 $10.00 100% off $72.91 $18,268.20 $2,709.39 2025-01-21
J9316 HCPCS Phesgo 1200mg/600mg/30000un 36 27 $26,518.00 $2,133.38 92% off $63.88 $23,866.20 $8,216.85 2025-01-21
J9317 HCPCS Trodelvy 180mg Vial 27 27 $7,181.50 $13,258.25 $35.44 $6,463.35 $1,003.19 2025-01-21
J9349 HCPCS Monjuvi Pr Inj Spd 200mg 27 27 $3,968.25 $3,590.75 $13.97 $3,968.25 $1,984.13 2025-01-21
J9352 HCPCS Trabectedin Inj 1mg/vial 27 27 $9,434.00 $1,984.13 79% off $362.75 $8,490.60 $3,867.75 2025-01-21
J9354 HCPCS Adotrastuzumab Emtansine 100mg Inj 36 27 $11,735.50 $4,717.00 60% off $40.97 $16,899.08 $4,817.22 2025-01-21
J9355 HCPCS Trastuzumab (herceptin) Vial 150mg 27 27 $4,655.75 $9,388.38 $77.05 $4,236.11 $2,327.88 2025-01-21
J9358 HCPCS Fam-trastuzumab Deruxtecan 100mg Inj 27 27 $8,384.75 $2,327.88 72% off $28.81 $7,546.28 $3,856.99 2025-01-21
P9034 HCPCS Bb Results Apheresis Platelet Unit 28 28 $715.00 $124.00 83% off $328.90 $715.00 $411.62 2025-01-21
P9035 HCPCS Bb Result Plt Apheresis Irradiated 28 28 $766.00 $357.50 53% off $352.36 $766.00 $487.10 2025-01-21
Q2050 HCPCS Doxil 50mg/25ml Inj (chem) 27 27 $5,087.50 — $136.05 $4,578.75 $1,945.02 2025-01-21
Q4158 HCPCS Marigen 7x 7 Cm 80 10 $3,171.00 $1,885.00 41% off $664.24 $5,816.70 $1,651.56 2025-01-21
Q5107 HCPCS Bevacizumab-awwb 100mg/4ml (chem) 36 27 $2,025.25 $156.88 92% off $28.73 $7,290.68 $577.79 2025-01-21
Q5108 HCPCS Pegfilgrastim-jmdb 6mg/0.6ml Syringe 27 27 $2,769.25 $4,050.38 $125.30 $2,769.25 $1,384.63 2025-01-21
Q5111 HCPCS Pegfilgrastim-cbqv 6mg/0.6ml Syringe 27 27 $3,700.75 $1,384.63 63% off $135.55 $3,700.75 $1,850.38 2025-01-21
Q5114 HCPCS Ogivri Vial 150mg 42 27 $653.00 $1,850.38 $51.84 $2,467.00 $620.35 2025-01-21
Q5115 HCPCS Truxima Inj 100mg/10ml 42 27 $1,846.75 $1,233.50 33% off $31.83 $8,309.48 $1,754.41 2025-01-21
Q5117 HCPCS Kanjinti 420mg/vial 38 27 $11,053.25 $4,616.38 58% off $34.69 $9,947.93 $2,704.21 2025-01-21
Q5118 HCPCS Bevacizumab-bvzr 400mg/16ml (chm) 36 27 $6,580.35 $1,973.88 70% off $23.00 $5,922.32 $648.66 2025-01-21
Q5119 HCPCS Ruxience- Pvvr 500mg/50ml (chm) 43 27 $9,237.50 $822.63 91% off $23.59 $8,313.75 $1,847.50 2025-01-21
Q5120 HCPCS Pegfilgrastim-bmez Syr 6mg/0.6ml 27 27 $9,343.00 $923.75 90% off $24.71 $8,408.70 $3,867.75 2025-01-21
V2632 HCPCS Cataract Procedure 10 10 $1,990.00 $2.50 100% off $915.40 $1,791.00 $1,048.73 2025-01-21
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