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

JOHN H STROGER JR HOSPITAL

Chicago, IL · CCN 140124 · Rates published

9,336 distinct procedures filed
4 distinct payers
103,752 rate rows
2026-05-14 last MRF observed
Data quality

99,848 of 103,752 rate rows are consumer-grade (96.2%)

3,904 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
template filing: same amount across many unrelated codes — excluded 2,783
per-diem day rate — not a per-procedure price 1,009
exceeds 10× this hospital's gross charge — excluded from medians 98
placeholder amount (≤ $0.02) — excluded from medians 14
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://cookcountyhealth.org/wp-content/uploads/366006541_JOHN-H-STROGER-JR-HOSP-OF-COOK-COUNTY-PROVIDENT-HOSPITAL_standardcharges-2.csv
Found on page https://cookcountyhealth.org/patients-visitors/billing-insurance/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-18
Content fingerprint 9c95138343e95832… · 8,238,999 bytes · first seen 2026-05-13

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
C9293
OTHER 		Glucarpidase 1000 Units 3 $37,464.00 $71,360.00 $58,872.00 nat. median
$479
outlier · 122.8×
J3241
OTHER 		Teprotumumab Trbw 500 Mg Pow 4 $359.09 $60,543.67 $40,488.58 nat. median
$378
outlier · 107.0×
J2502
OTHER 		Pasireotide 40 Mg Lar Inj - Nf 4 $563.79 $51,027.18 $34,124.43 nat. median
$575
outlier · 59.3×
J9229
OTHER 		Inotuzumab Ozogamicin 0.9 Mg (sdv) Inj 4 $2,698.05 $38,043.99 $25,441.92 nat. median
$2,779
outlier · 9.2×
C9047
OTHER 		Caplacizumab Yhdp 11 Mg Kit-nf 3 $15,120.44 $28,800.84 $23,760.70 nat. median
$842
outlier · 28.2×
J9042
OTHER 		Brentuximab Vedotin 50 Mg (sdv) - Nf 4 $258.52 $33,544.11 $22,432.62 nat. median
$268
outlier · 83.6×
C1882
OTHER 		Gallant-hf Crtd-cdhfa500q 4 $9,450.00 $50,000.00 $21,052.50 nat. median
$38,488
0.5× median
0238T
OTHER 		Pf-perq Vertebral Augment Cv 4 $627.52 $37,278.40 $20,376.85 nat. median
$18,025
1.1× median
J7313
OTHER 		Fluocinolone Ophthalmic 0.19 Mg Imp- Nf 4 $497.80 $29,568.00 $19,773.60 nat. median
$510
outlier · 38.8×
0236T
OTHER 		Pf-perq Lumbosacral Injection 4 $861.09 $25,079.20 $19,128.85 nat. median
$11,688
1.6× median
0237T
OTHER 		Pf-vertebroplasty Addl Inject 4 $417.68 $25,079.20 $19,128.85 nat. median
$11,853
1.6× median
J3101
OTHER 		Tenecteplase 50 Mg Inj Vl 4 $171.94 $27,878.79 $18,643.94 nat. median
$195
outlier · 95.6×
J2506
OTHER 		Pegfilgrastim 6 Mg/0.6 Ml Inj - Nf 4 $58.40 $21,564.45 $14,421.23 nat. median
$124
outlier · 116.2×
J0717
OTHER 		Certolizumab 200 Mg/ml Kit - Nf 4 $4.49 $20,158.10 $13,480.73 nat. median
$5
outlier · 2664.2×
J0517
OTHER 		Benralizumab 30 Mg/ml Sol 4 $168.13 $19,073.88 $12,755.66 nat. median
$174
outlier · 73.1×
J3357
OTHER 		Ustekinumab 90 Mg/ml (sdv) - Nf 4 $157.68 $24,465.89 $12,208.17 nat. median
$179
outlier · 68.4×
J9153
OTHER 		Daunorubicin Liposomal - Cytarabine Liposomal 44 Mg-100 Mg (sdv) Inj 4 $255.09 $17,347.87 $11,601.38 nat. median
$260
outlier · 44.5×
J0391
OTHER 		Artesunate 110 Mg Pow Nf 4 $48.90 $16,732.80 $11,190.06 nat. median
$53
outlier · 211.7×
J1162
OTHER 		Digoxin Immune Fab 40 Mg Pwd 4 $4,968.58 $16,712.64 $11,176.58 nat. median
$5,270
outlier · 2.1×
C1721
OTHER 		Elipse Dc Df1 Icd-cd2411-36c 4 $122.20 $30,000.00 $10,937.50 nat. median
$29,283
outlier · 0.4×
J9273
OTHER 		Tisotumab Vedotin Tftv 40 Mg Inj 4 $188.65 $16,220.96 $10,847.76 nat. median
$194
outlier · 55.8×
C2621
OTHER 		Allure Crt-p (is1) Sys-pm3222 4 $122.20 $50,000.00 $10,550.00 nat. median
$11,411
0.9× median
C1713
OTHER 		Anchor Lvl 10 4 $36.69 $28,231.20 $10,482.02 nat. median
$1,605
outlier · 6.5×
J2353
OTHER 		Octreotide 20 Mg Inj Vl Depot 4 $212.20 $23,226.20 $10,420.15 nat. median
$221
outlier · 47.1×
J9043
OTHER 		Cabazitaxel 60 Mg/1.5 Ml (sdv) Diluted To 10 Mg/ml Inj 4 $227.10 $15,324.45 $10,248.23 nat. median
$238
outlier · 43.0×
J9331
OTHER 		Sirolimus Protein-bound 100 Mg Inj - Nf 4 $84.53 $15,133.15 $10,120.29 nat. median
$105
outlier · 96.8×
481
OTHER 		Temp Pacemaker 4 $273.00 $76,399.20 $10,036.00 nat. median
$11,210
0.9× median
J2997
OTHER 		Alteplase 100 Mg Inj Vl 4 $94.15 $29,569.20 $9,887.21 nat. median
$107
outlier · 92.4×
Q9991
OTHER 		Buprenorphine 100 Mg/0.5 Ml Ers 4 $1,976.55 $14,228.52 $9,515.33 nat. median
$2,016
outlier · 4.7×
D4260
OTHER 		Osseous Surgery 4 Or > Teeth P 4 $434.27 $12,096.80 $9,450.62 nat. median
$5,886
1.6× median
C1722
OTHER 		Elipse Sc Df1 Icd-cd1411-36c 4 $122.20 $28,000.00 $9,400.00 nat. median
$26,287
outlier · 0.4×
J9223
OTHER 		Lurbinectedin 4 Mg Inj (sdv) - Nf 4 $206.13 $13,546.06 $9,058.92 nat. median
$213
outlier · 42.5×
C1785
OTHER 		Assurity MRI Dr Rf Pm-pm2272 4 $122.20 $34,000.00 $8,750.00 nat. median
$11,187
0.8× median
J0896
OTHER 		Luspatercept 25 Mg (sdv) Inj - Nf 4 $41.96 $28,157.88 $8,672.36 nat. median
$46
outlier · 187.9×
C1820
OTHER 		Neurostim Generator Lvl 10 4 $122.20 $19,507.20 $8,642.20 nat. median
$16,396
0.5× median
A2006
OTHER 		Novosorb Synpath Dermal 20x40 4 $2,100.00 $19,200.00 $8,400.00 nat. median
$126
outlier · 66.7×
J3380
OTHER 		Vedolizumab 300 Mg (sdv) Inj - Nf 4 $22.06 $12,490.51 $8,353.03 nat. median
$24
outlier · 353.9×
361
OTHER 		Ccl P Ekos-arterial Infusion 4 $3,785.00 $34,546.40 $8,287.83 nat. median
$1,764
outlier · 4.7×
J1950
OTHER 		Leuprolide 3.75 Mg Inj 1 Month Kit - Adult 4 $1,737.10 $18,155.32 $8,235.28 nat. median
$1,808
outlier · 4.6×
90378
OTHER 		Palivizumab 50 Mg/ 0.5 Ml Inj Vl 4 $2,212.83 $12,234.84 $8,182.05 nat. median
$763
outlier · 10.7×
33935
OTHER 		Pf-transplantation Heart/lung 4 $4,558.97 $11,120.00 $8,016.22 nat. median
$5,838
1.4× median
33945
OTHER 		Pf-transplantation Of Heart 4 $3,249.46 $10,950.40 $7,863.68 nat. median
$6,118
1.3× median
J0139
OTHER 		Adalimumab 40 Mg/0.8 Ml (pfs) Kit - Nf 4 $91.73 $11,630.00 $7,777.56 nat. median
$94
outlier · 83.1×
J9352
OTHER 		Trabectedin 1 Mg Inj (sdv) 4 $383.07 $11,585.21 $7,747.61 nat. median
$393
outlier · 19.7×
C1748
OTHER 		Single Use Duodenoscope 4 $5,127.50 $11,720.00 $7,691.25 nat. median
$4,856
1.6× median
J9015
OTHER 		Aldesleukin 22000000 Units Inj 4 $5,301.26 $11,435.75 $7,647.66 nat. median
$5,301
1.4× median
C1758
OTHER 		Catheter Ureteral Lvl 10 4 $1,050.00 $15,000.00 $7,500.00 nat. median
$123
outlier · 60.8×
J0177
OTHER 		Aflibercept Ophthalmic 114.3 Mg/ml Sol-nf 4 $319.74 $10,770.51 $7,202.78 nat. median
$329
outlier · 21.9×
39503
OTHER 		Pf-repair Of Diaphragm Hernia 4 $973.57 $13,080.00 $7,098.26 nat. median
$7,898
0.9× median
360
OTHER 		Surgery Basic Level 1 - 1st Hour 4 $930.00 $68,642.40 $6,840.94 nat. median
$7,392
0.9× median

Other procedures at this hospital

Browse this hospital's 9,336 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
             
0075T OTHER Pf-fna W/image 14 4 $10,459.00 $7,321.30 30% off $44.45 $8,367.20 $4,272.02 2026-05-14
0236T OTHER Pf-perq Lumbosacral Injection 16 4 $30,389.00 $21,272.30 30% off $861.09 $25,079.20 $19,128.85 2026-05-14
0237T OTHER Pf-vertebroplasty Addl Inject 16 4 $30,389.00 $21,272.30 30% off $417.68 $25,079.20 $19,128.85 2026-05-14
0238T OTHER Pf-perq Vertebral Augment Cv 16 4 $38,973.50 $27,281.45 30% off $627.52 $37,278.40 $20,376.85 2026-05-14
19364 OTHER Pf-breast Reconstruction 8 4 $6,815.00 $4,770.50 30% off $1,721.57 $5,452.00 $3,405.90 2026-05-14
20805 OTHER Pf-replant Forearm Complete 8 4 $8,448.00 $5,913.60 30% off $3,068.59 $6,758.40 $3,907.63 2026-05-14
20808 OTHER Pf-replantation Hand Complete 8 4 $10,168.00 $7,117.60 30% off $3,647.89 $8,134.40 $5,073.17 2026-05-14
20816 OTHER Pf-replantation Digit Complete 8 4 $5,332.00 $3,732.40 30% off $2,703.14 $4,405.63 $3,384.53 2026-05-14
20969 OTHER Pf-bone/skin Graft Microvasc 8 4 $6,577.00 $4,603.90 30% off $2,976.07 $5,261.60 $3,477.03 2026-05-14
20970 OTHER Pf-bone/skin Graft Iliac Crest 8 4 $7,391.00 $5,173.70 30% off $2,965.40 $5,912.80 $3,456.86 2026-05-14
20973 OTHER Pf-bone/skin Graft Great Toe 8 4 $7,780.00 $5,446.00 30% off $3,175.85 $6,224.00 $3,329.35 2026-05-14
22514 OTHER Perq Vertebral Aug Lumbar 12 4 $18,534.00 $12,973.80 30% off $567.33 $14,827.20 $3,479.24 2026-05-14
26551 OTHER Pf-great Toe-hand Transfer 8 4 $8,572.00 $6,000.40 30% off $1,832.69 $6,857.60 $3,838.85 2026-05-14
26553 OTHER Pf-single Transfer Toe-hand 8 4 $8,515.00 $5,960.50 30% off $3,072.71 $6,812.00 $3,503.57 2026-05-14
26554 OTHER Pf-double Transfer Toe-hand 8 4 $9,897.00 $6,927.90 30% off $3,648.22 $7,917.60 $4,100.10 2026-05-14
26556 OTHER Pf-toe Joint Transfer 8 4 $8,864.00 $6,204.80 30% off $1,534.65 $7,091.20 $3,629.86 2026-05-14
27077 OTHER Pf-resect Hip Tum W/innom Bone 8 4 $7,260.00 $5,082.00 30% off $2,818.02 $5,808.00 $3,342.84 2026-05-14
31395 OTHER Pf-reconstruct Larynx&pharynx 8 4 $7,097.00 $4,967.90 30% off $2,945.58 $5,677.60 $3,452.07 2026-05-14
323 OTHER Arteriogram Lower Ext Runoff 6 3 $6,232.00 $4,362.40 30% off $3,785.00 $4,985.60 $3,889.00 2026-05-14
32445 OTHER Pf-removal Of Lung 8 4 $9,980.00 $6,986.00 30% off $1,950.25 $7,984.00 $4,196.40 2026-05-14
32851 OTHER Pf-lung Transplant Single 8 4 $9,243.00 $6,470.10 30% off $1,517.94 $7,394.40 $3,797.49 2026-05-14
32852 OTHER Pf-lung Transplant With Bypass 8 4 $10,023.00 $7,016.10 30% off $3,213.25 $8,018.40 $4,393.20 2026-05-14
32853 OTHER Pf-lung Transplant Double 8 4 $12,883.00 $9,018.10 30% off $3,635.37 $10,306.40 $5,196.20 2026-05-14
32854 OTHER Pf-lung Transplant With Bypass 8 4 $13,678.00 $9,574.60 30% off $3,824.54 $10,942.40 $6,016.19 2026-05-14
33305 OTHER Pf-repair Of Heart Wound 8 4 $11,489.00 $8,042.30 30% off $1,761.14 $9,191.20 $4,277.81 2026-05-14
33406 OTHER Pf-replacement Of Aortic Valve 8 4 $8,138.00 $5,696.60 30% off $2,579.94 $6,510.40 $3,428.06 2026-05-14
33410 OTHER Pf-replacement Of Aortic Valve 8 4 $7,212.00 $5,048.40 30% off $2,463.18 $5,769.60 $3,442.83 2026-05-14
33411 OTHER Pf-replacement Of Aortic Valve 8 4 $9,453.00 $6,617.10 30% off $2,722.81 $7,562.40 $3,821.07 2026-05-14
33412 OTHER Pf-replacement Of Aortic Valve 8 4 $8,869.00 $6,208.30 30% off $3,094.03 $7,095.20 $4,162.83 2026-05-14
33413 OTHER Pf-replacement Of Aortic Valve 8 4 $9,094.00 $6,365.80 30% off $3,144.09 $7,275.20 $4,058.93 2026-05-14
33414 OTHER Pf-repair Of Aortic Valve 8 4 $6,068.00 $4,247.60 30% off $2,438.56 $4,854.40 $3,353.40 2026-05-14
33430 OTHER Pf-replacement Of Mitral Valve 8 4 $7,919.00 $5,543.30 30% off $2,521.19 $6,335.20 $3,364.56 2026-05-14
33440 OTHER Pf-rplcmt A-valve Tlcj Auto Pv 8 4 $9,584.00 $6,708.80 30% off $2,177.60 $7,667.20 $4,663.53 2026-05-14
33463 OTHER Pf-valvuloplasty Tricuspid 8 4 $8,670.00 $6,069.00 30% off $2,042.07 $6,936.00 $3,535.42 2026-05-14
33464 OTHER Pf-valvuloplasty Tricuspid 8 4 $6,843.00 $4,790.10 30% off $2,166.95 $5,474.40 $3,465.56 2026-05-14
33465 OTHER Pf-replace Tricuspid Valve 8 4 $7,754.00 $5,427.80 30% off $2,256.33 $6,203.20 $3,328.74 2026-05-14
33516 OTHER Pf-cabg Vein Six Or More 8 4 $7,646.00 $5,352.20 30% off $2,700.65 $6,116.80 $3,418.24 2026-05-14
33542 OTHER Pf-removal Of Heart Lesion 8 4 $7,430.00 $5,201.00 30% off $2,334.24 $5,944.00 $3,351.93 2026-05-14
33545 OTHER Pf-repair Of Heart Damage 8 4 $8,655.00 $6,058.50 30% off $2,858.34 $6,924.00 $3,674.07 2026-05-14
33548 OTHER Pf-restore/remodel Ventricle 8 4 $8,349.00 $5,844.30 30% off $2,963.98 $6,679.20 $3,837.35 2026-05-14
33619 OTHER Pf-repair Single Ventricle 8 4 $7,775.00 $5,442.50 30% off $2,472.04 $6,220.00 $3,678.77 2026-05-14
33622 OTHER Pf-redo Compl Cardiac Anomaly 8 4 $9,644.00 $6,750.80 30% off $1,059.32 $7,715.20 $5,052.65 2026-05-14
33780 OTHER Pf-repair Great Vessels Defect 8 4 $6,666.00 $4,666.20 30% off $2,655.16 $5,332.80 $3,376.97 2026-05-14
33782 OTHER Pf-nikaidoh Proc 8 4 $9,077.00 $6,353.90 30% off $2,641.20 $7,261.60 $4,415.95 2026-05-14
33783 OTHER Pf-nikaidoh Proc W/ostia Implt 8 4 $9,801.00 $6,860.70 30% off $3,685.02 $7,840.80 $4,778.09 2026-05-14
33786 OTHER Pf-repair Arterial Trunk 8 4 $6,414.00 $4,489.80 30% off $2,984.32 $5,131.20 $3,623.10 2026-05-14
33858 OTHER Pf-as-aort Grf F/aortic Dsj 8 4 $9,533.00 $6,673.10 30% off $4,583.30 $7,626.40 $5,504.37 2026-05-14
33859 OTHER Pf-as-aort Grf F/ds Oth/th Dsj 8 4 $6,861.00 $4,802.70 30% off $90.52 $5,488.80 $3,368.42 2026-05-14
33863 OTHER Pf-ascending Aortic Graft 8 4 $8,834.00 $6,183.80 30% off $2,093.30 $7,067.20 $3,873.03 2026-05-14
33864 OTHER Pf-ascending Aortic Graft 8 4 $9,016.00 $6,311.20 30% off $3,573.72 $7,212.80 $4,150.82 2026-05-14
33871 OTHER Pf-transvrs A-arch Grf Hypthrm 8 4 $9,142.00 $6,399.40 30% off $3,856.59 $7,313.60 $4,521.26 2026-05-14
33875 OTHER Pf-thoracic Aortic Graft 8 4 $7,711.00 $5,397.70 30% off $2,537.81 $6,168.80 $3,761.43 2026-05-14
33877 OTHER Pf-thoracoabdominal Graft 8 4 $10,121.00 $7,084.70 30% off $3,121.36 $8,096.80 $4,185.43 2026-05-14
33916 OTHER Pf-surgery Of Great Vessel 8 4 $11,728.00 $8,209.60 30% off $1,551.19 $9,382.40 $3,932.44 2026-05-14
33927 OTHER Pf-musculoskeletal Surg Nos 8 4 $7,120.00 $4,984.00 30% off $462.18 $5,696.00 $3,535.71 2026-05-14
33935 OTHER Pf-transplantation Heart/lung 8 4 $13,900.00 $9,730.00 30% off $4,558.97 $11,120.00 $8,016.22 2026-05-14
33945 OTHER Pf-transplantation Of Heart 8 4 $13,688.00 $9,581.60 30% off $3,249.46 $10,950.40 $7,863.68 2026-05-14
34843 OTHER Pf-endovasc Visc Aorta 3 Graft 13 4 $5,558.00 $3,890.60 30% off $1,378.50 $14,458.40 $3,612.70 2026-05-14
34844 OTHER Pf-endovasc Visc Aorta 4 Graft 13 4 $6,507.00 $4,554.90 30% off $1,409.18 $14,458.40 $4,229.55 2026-05-14
34845 OTHER Pf-visc & Infraren Abd 1 Prost 13 4 $6,712.00 $4,698.40 30% off $1,229.09 $14,458.40 $4,362.80 2026-05-14
34846 OTHER Pf-visc & Infraren Abd 2 Prost 13 4 $7,658.00 $5,360.60 30% off $1,232.06 $14,458.40 $4,977.70 2026-05-14
34847 OTHER Pf-visc & Infraren Abd 3 Prost 13 4 $8,607.00 $6,024.90 30% off $1,378.50 $14,458.40 $5,594.55 2026-05-14
34848 OTHER Pf-visc & Infraren Abd 4+ Prst 13 4 $9,555.00 $6,688.50 30% off $1,408.01 $14,458.40 $6,210.75 2026-05-14
35092 OTHER Pf-repair Artery Rupture Aorta 8 4 $7,135.00 $4,994.50 30% off $2,043.77 $5,708.00 $3,414.48 2026-05-14
35540 OTHER Pf-artery Bypass Graft 8 4 $6,906.00 $4,834.20 30% off $2,524.66 $5,524.80 $3,408.98 2026-05-14
360 OTHER Surgery Basic Level 1 - 1st Hour 73 4 $11,953.00 $8,367.10 30% off $930.00 $68,642.40 $6,840.94 2026-05-14
361 OTHER Ccl P Ekos-arterial Infusion 16 4 $14,669.00 $10,268.30 30% off $3,785.00 $34,546.40 $8,287.83 2026-05-14
39503 OTHER Pf-repair Of Diaphragm Hernia 8 4 $16,350.00 $11,445.00 30% off $973.57 $13,080.00 $7,098.26 2026-05-14
43108 OTHER Pf-removal Of Esophagus 8 4 $12,509.00 $8,756.30 30% off $2,397.43 $10,007.20 $4,721.87 2026-05-14
43112 OTHER Pf-removal Of Esophagus 8 4 $9,689.00 $6,782.30 30% off $2,937.54 $7,751.20 $4,396.06 2026-05-14
43113 OTHER Pf-removal Of Esophagus 8 4 $12,264.00 $8,584.80 30% off $2,510.18 $9,811.20 $5,040.34 2026-05-14
43116 OTHER Pf-partial Removal Esophagus 8 4 $13,983.00 $9,788.10 30% off $2,320.77 $11,186.40 $5,861.36 2026-05-14
43117 OTHER Pf-partial Removal Esophagus 8 4 $9,141.00 $6,398.70 30% off $2,674.27 $7,312.80 $4,537.93 2026-05-14
43118 OTHER Pf-partial Removal Esophagus 8 4 $10,215.00 $7,150.50 30% off $2,320.37 $8,172.00 $4,412.81 2026-05-14
43121 OTHER Pf-partial Removal Esophagus 8 4 $8,103.00 $5,672.10 30% off $2,054.69 $6,482.40 $4,057.38 2026-05-14
43122 OTHER Pf-partial Removal Esophagus 8 4 $7,049.00 $4,934.30 30% off $2,665.65 $5,639.20 $3,364.03 2026-05-14
43123 OTHER Pf-partial Removal Esophagus 8 4 $12,708.00 $8,895.60 30% off $2,368.01 $10,166.40 $4,632.44 2026-05-14
43124 OTHER Pf-removal Of Esophagus 8 4 $10,769.00 $7,538.30 30% off $2,011.09 $8,615.20 $5,219.35 2026-05-14
43286 OTHER Pf-laryngoplsty Laryngeal Sten 8 4 $8,886.00 $6,220.20 30% off $1,305.05 $7,108.80 $4,159.94 2026-05-14
43287 OTHER Pf-px Extraocular Musc Nos 8 4 $9,961.00 $6,972.70 30% off $3,629.15 $7,968.80 $4,770.83 2026-05-14
43288 OTHER Pf-tear Duct System Surg Nos 8 4 $10,486.00 $7,340.20 30% off $4,064.10 $8,388.80 $4,953.28 2026-05-14
43313 OTHER Pf-esophagoplasty Congenital 8 4 $8,179.00 $5,725.30 30% off $1,820.28 $6,543.20 $3,574.98 2026-05-14
43314 OTHER Pf-tracheo-esophagoplasty Cong 8 4 $8,728.00 $6,109.60 30% off $3,348.44 $6,982.40 $3,657.03 2026-05-14
44127 OTHER Pf-enterectomy W/taper Cong 8 4 $7,997.00 $5,597.90 30% off $2,631.41 $6,397.60 $3,326.40 2026-05-14
45126 OTHER Pf-pelvic Exenteration 8 4 $7,140.00 $4,998.00 30% off $1,227.19 $5,712.00 $3,404.48 2026-05-14
46744 OTHER Pf-repair Of Cloacal Anomaly 8 4 $9,969.00 $6,978.30 30% off $2,883.90 $7,975.20 $3,804.32 2026-05-14
46746 OTHER Pf-repair Of Cloacal Anomaly 8 4 $10,968.00 $7,677.60 30% off $3,748.74 $8,774.40 $4,222.35 2026-05-14
46748 OTHER Pf-repair Of Cloacal Anomaly 8 4 $11,877.00 $8,313.90 30% off $4,010.18 $9,501.60 $4,613.74 2026-05-14
47122 OTHER Pf-extensive Removal Of Liver 8 4 $9,516.00 $6,661.20 30% off $2,680.16 $7,612.80 $4,075.75 2026-05-14
47125 OTHER Pf-partial Removal Of Liver 8 4 $8,540.00 $5,978.00 30% off $3,223.88 $6,832.00 $4,003.72 2026-05-14
47130 OTHER Pf-partial Removal Of Liver 8 4 $9,134.00 $6,393.80 30% off $3,482.52 $7,307.20 $3,964.21 2026-05-14
47135 OTHER Pf-transplantation Of Liver 8 4 $15,174.00 $10,621.80 30% off $3,805.45 $12,139.20 $6,189.73 2026-05-14
47140 OTHER Pf-partial Removal Donor Liver 8 4 $10,087.00 $7,060.90 30% off $3,638.35 $8,069.60 $5,438.50 2026-05-14
47141 OTHER Pf-partial Removal Donor Liver 8 4 $12,037.00 $8,425.90 30% off $4,120.81 $9,629.60 $4,602.14 2026-05-14
47142 OTHER Pf-partial Removal Donor Liver 8 4 $13,241.00 $9,268.70 30% off $4,788.52 $10,592.80 $5,589.61 2026-05-14
47361 OTHER Pf-repair Liver Wound 8 4 $8,369.00 $5,858.30 30% off $2,160.66 $6,695.20 $3,525.97 2026-05-14
47780 OTHER Pf-fuse Bile Ducts And Bowel 8 4 $6,881.00 $4,816.70 30% off $1,805.14 $5,504.80 $3,388.12 2026-05-14
47785 OTHER Pf-fuse Bile Ducts And Bowel 8 4 $8,989.00 $6,292.30 30% off $2,132.87 $7,191.20 $3,581.20 2026-05-14
480 OTHER Ccl P Ep Study 6 3 $18,693.00 $13,085.10 30% off $3,785.00 $14,954.40 $3,889.00 2026-05-14
481 OTHER Temp Pacemaker 82 4 $18,693.00 $13,085.10 30% off $273.00 $76,399.20 $10,036.00 2026-05-14
48105 OTHER Pf-resect/debride Pancreas 8 4 $7,551.00 $5,285.70 30% off $1,024.52 $6,040.80 $3,380.32 2026-05-14
48150 OTHER Pf-partial Removal Of Pancreas 8 4 $8,615.00 $6,030.50 30% off $1,442.07 $6,892.00 $3,691.55 2026-05-14
48152 OTHER Pf-pancreatectomy 8 4 $8,093.00 $5,665.10 30% off $3,010.61 $6,474.40 $3,712.27 2026-05-14
48153 OTHER Pf-pancreatectomy 8 4 $8,639.00 $6,047.30 30% off $3,265.58 $6,911.20 $3,720.66 2026-05-14
48154 OTHER Pf-pancreatectomy 8 4 $8,128.00 $5,689.60 30% off $3,022.04 $6,502.40 $3,716.32 2026-05-14
49605 OTHER Pf-repair Umbilical Lesion 8 4 $13,748.00 $9,623.60 30% off $847.18 $10,998.40 $5,645.57 2026-05-14
55899 OTHER Pf-genital Surgery Proc Nos 7 4 $5,270.00 $3,689.00 30% off $2,635.00 $4,216.00 $3,425.50 2026-05-14
61518 OTHER Pf-removal Of Brain Lesion 8 4 $8,518.00 $5,962.60 30% off $107.36 $6,814.40 $3,436.99 2026-05-14
61519 OTHER Pf-remove Brain Lining Lesion 8 4 $9,009.00 $6,306.30 30% off $3,261.03 $7,207.20 $3,787.91 2026-05-14
61520 OTHER Pf-removal Of Brain Lesion 8 4 $11,082.00 $7,757.40 30% off $3,608.70 $8,865.60 $4,753.45 2026-05-14
61521 OTHER Pf-removal Of Brain Lesion 8 4 $9,601.00 $6,720.70 30% off $3,499.94 $7,680.80 $4,501.24 2026-05-14
61522 OTHER Pf-removal Of Brain Abscess 8 4 $6,737.00 $4,715.90 30% off $2,299.57 $5,389.60 $3,501.20 2026-05-14
61526 OTHER Pf-removal Of Brain Lesion 8 4 $9,292.00 $6,504.40 30% off $2,558.46 $7,433.60 $4,517.96 2026-05-14
61530 OTHER Pf-removal Of Brain Lesion 8 4 $9,398.00 $6,578.60 30% off $3,337.55 $7,518.40 $4,099.45 2026-05-14
61538 OTHER Pf-removal Of Brain Tissue 8 4 $8,148.00 $5,703.60 30% off $2,146.55 $6,518.40 $3,400.47 2026-05-14
61545 OTHER Pf-excision Of Brain Tumor 8 4 $9,775.00 $6,842.50 30% off $2,332.63 $7,820.00 $3,975.60 2026-05-14
61546 OTHER Pf-removal Of Pituitary Gland 8 4 $7,098.00 $4,968.60 30% off $2,474.67 $5,678.40 $3,587.78 2026-05-14
61576 OTHER Pf-skull Base/brainstem Surg 8 4 $12,999.00 $9,099.30 30% off $3,077.08 $10,399.20 $4,265.16 2026-05-14
61580 OTHER Pf-craniofacial Approach Skull 8 4 $6,336.00 $4,435.20 30% off $2,224.67 $5,068.80 $3,677.22 2026-05-14
61582 OTHER Pf-craniofacial Approach Skull 8 4 $9,196.00 $6,437.20 30% off $2,530.61 $7,356.80 $3,563.19 2026-05-14
61583 OTHER Pf-craniofacial Approach Skull 8 4 $9,008.00 $6,305.60 30% off $2,900.91 $7,206.40 $3,765.40 2026-05-14
61584 OTHER Pf-orbitocran Approach/skull 8 4 $8,665.00 $6,065.50 30% off $2,737.26 $6,932.00 $3,724.22 2026-05-14
61585 OTHER Pf-orbitocran Approach/skull 8 4 $10,073.00 $7,051.10 30% off $2,942.85 $8,058.40 $3,964.02 2026-05-14
61586 OTHER Pf-resect Nasopharynx Skull 8 4 $7,856.00 $5,499.20 30% off $1,943.42 $6,284.80 $3,634.75 2026-05-14
61590 OTHER Pf-infratemporl Approach/skull 8 4 $7,694.00 $5,385.80 30% off $2,979.87 $6,155.20 $3,552.64 2026-05-14
61591 OTHER Pf-infratemporl Approach/skull 8 4 $8,203.00 $5,742.10 30% off $3,241.02 $6,562.40 $3,754.30 2026-05-14
61592 OTHER Pf-orbitocran Approach/skull 8 4 $9,366.00 $6,556.20 30% off $3,123.29 $7,492.80 $3,939.81 2026-05-14
61595 OTHER Pf-transtempor Approach/skull 8 4 $6,413.00 $4,489.10 30% off $2,221.66 $5,130.40 $3,476.51 2026-05-14
61597 OTHER Pf-transcondylr Approach/skull 8 4 $9,269.00 $6,488.30 30% off $2,658.73 $7,415.20 $3,495.02 2026-05-14
61598 OTHER Pf-transpetrosl Approach/skull 8 4 $8,782.00 $6,147.40 30% off $2,540.82 $7,025.60 $3,740.99 2026-05-14
61606 OTHER Pf-resect/excise Cranial Les 8 4 $8,377.00 $5,863.90 30% off $2,372.37 $6,701.60 $3,600.66 2026-05-14
61607 OTHER Pf-resect/excise Cranial Les 8 4 $7,484.00 $5,238.80 30% off $2,791.45 $5,987.20 $3,754.22 2026-05-14
61608 OTHER Pf-resect/excise Cranial Les 8 4 $9,900.00 $6,930.00 30% off $3,324.55 $7,920.00 $4,107.03 2026-05-14
61613 OTHER Pf-remove Aneurysm Sinus 8 4 $10,067.00 $7,046.90 30% off $575.84 $8,053.60 $3,923.22 2026-05-14
61615 OTHER Pf-resect/excise Lesion Skull 8 4 $8,675.00 $6,072.50 30% off $2,486.93 $6,940.00 $3,476.16 2026-05-14
61616 OTHER Pf-resect/excise Lesion Skull 8 4 $9,736.00 $6,815.20 30% off $3,372.88 $7,788.80 $3,986.38 2026-05-14
61682 OTHER Pf-intracranial Vessel Surgery 8 4 $12,518.00 $8,762.60 30% off $2,784.51 $10,014.40 $5,389.02 2026-05-14
61684 OTHER Pf-intracranial Vessel Surgery 8 4 $8,715.00 $6,100.50 30% off $3,131.67 $6,972.00 $4,581.66 2026-05-14
61686 OTHER Pf-intracranial Vessel Surgery 8 4 $13,678.00 $9,574.60 30% off $3,491.27 $10,942.40 $5,727.14 2026-05-14
61690 OTHER Pf-intracranial Vessel Surgery 8 4 $6,731.00 $4,711.70 30% off $2,317.19 $5,522.55 $3,731.66 2026-05-14
61692 OTHER Pf-intracranial Vessel Surgery 8 4 $11,140.00 $7,798.00 30% off $2,678.35 $8,912.00 $4,611.84 2026-05-14
61697 OTHER Pf-brain Aneurysm Repr Complx 8 4 $12,875.00 $9,012.50 30% off $3,970.82 $10,300.00 $5,240.28 2026-05-14
61698 OTHER Pf-brain Aneurysm Repr Complx 8 4 $14,083.00 $9,858.10 30% off $3,805.48 $11,266.40 $5,883.26 2026-05-14
61700 OTHER Pf-brain Aneurysm Repr Simple 8 4 $10,237.00 $7,165.90 30% off $3,959.58 $8,189.60 $5,271.35 2026-05-14
61702 OTHER Pf-inner Skull Vessel Surgery 8 4 $12,267.00 $8,586.90 30% off $3,801.44 $9,813.60 $4,948.45 2026-05-14
63250 OTHER Pf-revise Spinal Cord Vessels 8 4 $9,073.00 $6,351.10 30% off $1,865.76 $7,258.40 $3,630.32 2026-05-14
63251 OTHER Pf-revise Spinal Cord Vessels 8 4 $9,284.00 $6,498.80 30% off $3,201.05 $7,427.20 $3,974.77 2026-05-14
63252 OTHER Pf-revise Spinal Cord Vessels 8 4 $9,283.00 $6,498.10 30% off $3,169.21 $7,426.40 $4,013.44 2026-05-14
63286 OTHER Pf-biopsy/excise Spinal Tumor 8 4 $7,932.00 $5,552.40 30% off $2,795.22 $6,345.60 $3,418.01 2026-05-14
63287 OTHER Pf-biopsy/excise Spinal Tumor 8 4 $8,419.00 $5,893.30 30% off $2,891.11 $6,735.20 $3,519.52 2026-05-14
63290 OTHER Pf-biopsy/excise Spinal Tumor 8 4 $8,563.00 $5,994.10 30% off $2,936.24 $6,850.40 $3,662.74 2026-05-14
90378 OTHER Palivizumab 50 Mg/ 0.5 Ml Inj Vl 8 4 $15,293.54 $10,705.48 30% off $2,212.83 $12,234.84 $8,182.05 2026-05-14
90396 OTHER Varicella Zoster Immune Globulin 125 Intl Units/1.2 Ml Sol 8 4 $7,982.66 $5,587.86 30% off $2,772.03 $6,386.13 $4,270.72 2026-05-14
A2006 OTHER Novosorb Synpath Dermal 20x40 14 4 $24,000.00 $16,800.00 30% off $2,100.00 $19,200.00 $8,400.00 2026-05-14
A4648 OTHER Savi Clip 6 3 $6,063.00 $4,244.10 30% off $2,122.05 $4,850.40 $4,001.58 2026-05-14
A9600 OTHER Nm Strontium Per Mci 4 2 $10,366.00 $7,256.20 30% off $159.26 $8,292.80 $3,448.58 2026-05-14
C1713 OTHER Anchor Lvl 10 96 4 $26,000.00 $18,200.00 30% off $36.69 $28,231.20 $10,482.02 2026-05-14
C1714 OTHER Cath Atherectomy Dir Lvl 10 46 4 $11,750.00 $8,225.00 30% off $122.20 $15,000.00 $4,443.75 2026-05-14
C1721 OTHER Elipse Dc Df1 Icd-cd2411-36c 86 4 $24,624.00 $17,236.80 30% off $122.20 $30,000.00 $10,937.50 2026-05-14
C1722 OTHER Elipse Sc Df1 Icd-cd1411-36c 79 4 $22,983.00 $16,088.10 30% off $122.20 $28,000.00 $9,400.00 2026-05-14
C1724 OTHER Cath Atherec Rotation Lvl 10 98 4 $9,400.00 $6,580.00 30% off $48.75 $20,800.00 $4,850.00 2026-05-14
C1725 OTHER Catheter Angio Nonlaser Lv 10 110 4 $9,400.00 $6,580.00 30% off $48.75 $20,800.00 $4,087.50 2026-05-14
C1726 OTHER Cath Bln Dilat Non Vasc Lvl 10 46 4 $11,750.00 $8,225.00 30% off $122.20 $15,000.00 $4,443.75 2026-05-14
C1727 OTHER Cath Bal Tis Dis N-vas Lvl 10 46 4 $11,750.00 $8,225.00 30% off $122.20 $15,000.00 $4,443.75 2026-05-14
C1729 OTHER Catheter Drainage Lvl 10 46 4 $11,750.00 $8,225.00 30% off $122.20 $15,000.00 $4,443.75 2026-05-14
C1732 OTHER Ablation Cath-118432s 166 4 $7,425.00 $5,197.50 30% off $122.20 $15,000.00 $3,639.78 2026-05-14
C1748 OTHER Single Use Duodenoscope 8 4 $14,650.00 $10,255.00 30% off $5,127.50 $11,720.00 $7,691.25 2026-05-14
C1750 OTHER Cath Dialysis Longterm Lvl 10 46 4 $11,750.00 $8,225.00 30% off $122.20 $15,000.00 $4,443.75 2026-05-14
C1751 OTHER Catheter Infusion Lvl 10 48 4 $9,000.00 $6,300.00 30% off $122.20 $15,000.00 $4,187.50 2026-05-14
C1753 OTHER Cath Intravas Ultrasound Lv 10 114 4 $8,283.00 $5,798.10 30% off $48.75 $20,800.00 $4,850.00 2026-05-14
C1755 OTHER Catheter Intraspinal Lvl 10 46 4 $11,750.00 $8,225.00 30% off $122.20 $15,000.00 $4,443.75 2026-05-14
C1757 OTHER Cath Thromb/embolect Lvl 10 104 4 $9,400.00 $6,580.00 30% off $48.75 $20,800.00 $4,187.50 2026-05-14
C1758 OTHER Catheter Ureteral Lvl 10 34 4 $11,750.00 $8,225.00 30% off $1,050.00 $15,000.00 $7,500.00 2026-05-14
C1759 OTHER Cath Intra Echocardio Lvl 10 62 4 $8,283.00 $5,798.10 30% off $122.20 $15,000.00 $4,443.75 2026-05-14
C1760 OTHER Closure Dev Vasc Lvl 10 98 4 $9,400.00 $6,580.00 30% off $48.75 $20,800.00 $4,850.00 2026-05-14
C1761 OTHER Ccl Shockwave C2ivl2512 24 4 $8,625.00 $6,037.50 30% off $2,406.25 $9,400.00 $4,606.25 2026-05-14
C1762 OTHER Conn Tiss Human Lvl 10 48 4 $9,000.00 $6,300.00 30% off $3.90 $15,000.00 $4,187.50 2026-05-14
C1763 OTHER Conn Tiss Non-human Lvl 10 54 4 $11,750.00 $8,225.00 30% off $122.20 $20,800.00 $6,562.50 2026-05-14
C1764 OTHER Confirm Af Ic Monit Ilr-dm2102 62 4 $11,750.00 $8,225.00 30% off $122.20 $15,000.00 $4,787.50 2026-05-14
C1767 OTHER Generator-neuro Non-rech L10 54 4 $11,750.00 $8,225.00 30% off $122.20 $20,800.00 $6,562.50 2026-05-14
C1768 OTHER Graft Vascular Lvl 10 98 4 $9,400.00 $6,580.00 30% off $48.75 $20,800.00 $4,850.00 2026-05-14
C1769 OTHER Guidewire Lvl 10 108 4 $9,400.00 $6,580.00 30% off $4.55 $20,800.00 $4,112.50 2026-05-14
C1771 OTHER Urinary Imp Repr W Slg Lvl 10 46 4 $11,750.00 $8,225.00 30% off $122.20 $15,000.00 $4,443.75 2026-05-14
C1773 OTHER Ret Dev Insertable Lvl 10 46 4 $11,750.00 $8,225.00 30% off $122.20 $15,000.00 $4,443.75 2026-05-14
C1776 OTHER Ibalance Tka, Lig Bal Syst Set 54 4 $11,750.00 $8,225.00 30% off $122.20 $20,800.00 $6,562.50 2026-05-14
C1777 OTHER Lead Card Defib Single Lvl 10 54 4 $9,500.00 $6,650.00 30% off $122.20 $15,000.00 $4,443.75 2026-05-14
C1778 OTHER Lead Neurostim Implant Lvl 10 46 4 $11,750.00 $8,225.00 30% off $122.20 $15,000.00 $4,443.75 2026-05-14
C1779 OTHER Lead Pacemaker Vdd Lv 10 46 4 $11,750.00 $8,225.00 30% off $122.20 $15,000.00 $4,443.75 2026-05-14
C1781 OTHER Mesh Lvl 7 99 4 $9,400.00 $6,580.00 30% off $48.75 $20,800.00 $5,000.00 2026-05-14
C1782 OTHER Morcellator Lvl 10 46 4 $11,750.00 $8,225.00 30% off $122.20 $15,000.00 $4,443.75 2026-05-14
C1783 OTHER Aqueous Drainage Device Lvl 10 44 4 $11,750.00 $8,225.00 30% off $122.20 $15,000.00 $4,700.00 2026-05-14
C1785 OTHER Assurity MRI Dr Rf Pm-pm2272 133 4 $18,750.00 $13,125.00 30% off $122.20 $34,000.00 $8,750.00 2026-05-14
C1786 OTHER Assurity MRI Sr Rf Pm-pm1272 78 4 $8,750.00 $6,125.00 30% off $122.20 $15,000.00 $4,443.75 2026-05-14
C1787 OTHER Neurostim Programr Lvl 10 46 4 $11,750.00 $8,225.00 30% off $122.20 $15,000.00 $4,443.75 2026-05-14
C1788 OTHER Catheter Indwelling Lvl 10 46 4 $11,750.00 $8,225.00 30% off $122.20 $15,000.00 $4,443.75 2026-05-14
C1789 OTHER Breast Implant Lvl 10 46 4 $11,750.00 $8,225.00 30% off $122.20 $15,000.00 $4,443.75 2026-05-14
C1813 OTHER Penile Implant Inflat Lvl 10 46 4 $11,750.00 $8,225.00 30% off $122.20 $15,000.00 $4,443.75 2026-05-14
C1815 OTHER Urinary Sphincter Imp Lvl 10 46 4 $11,750.00 $8,225.00 30% off $122.20 $15,000.00 $4,443.75 2026-05-14
C1817 OTHER Septal Defect Imp Sys Lvl 10 98 4 $9,400.00 $6,580.00 30% off $48.75 $20,800.00 $4,850.00 2026-05-14
C1820 OTHER Neurostim Generator Lvl 10 86 4 $22,050.00 $15,435.00 30% off $122.20 $19,507.20 $8,642.20 2026-05-14
C1821 OTHER Interspinous Distrct Dev Lvl 6 46 4 $11,750.00 $8,225.00 30% off $122.20 $15,000.00 $4,443.75 2026-05-14
C1874 OTHER Stent Coat W Del Lvl 7 99 4 $9,400.00 $6,580.00 30% off $48.75 $20,800.00 $5,000.00 2026-05-14
C1875 OTHER Stent Cov Without Del Sy Lvl 10 98 4 $9,400.00 $6,580.00 30% off $48.75 $20,800.00 $4,850.00 2026-05-14
C1876 OTHER Stent Non Coat W Del Lvl 10 98 4 $9,400.00 $6,580.00 30% off $48.75 $20,800.00 $4,850.00 2026-05-14
C1877 OTHER Stent Non Coat Wo Del Lvl 10 98 4 $9,400.00 $6,580.00 30% off $48.75 $20,800.00 $4,850.00 2026-05-14
C1880 OTHER Vena Cava Filter Lvl 10 46 4 $11,750.00 $8,225.00 30% off $122.20 $15,000.00 $4,443.75 2026-05-14
C1882 OTHER Gallant-hf Crtd-cdhfa500q 56 4 $37,500.00 $26,250.00 30% off $9,450.00 $50,000.00 $21,052.50 2026-05-14
C1883 OTHER Adapt/ext Lead Lvl 10 48 4 $9,000.00 $6,300.00 30% off $122.20 $15,000.00 $4,187.50 2026-05-14
C1884 OTHER Embolization Protect Sys L 10 46 4 $11,750.00 $8,225.00 30% off $122.20 $15,000.00 $4,443.75 2026-05-14
C1887 OTHER Catheter Guiding Lvl 10 100 4 $9,400.00 $6,580.00 30% off $48.75 $20,800.00 $4,700.00 2026-05-14
C1889 OTHER Implant/device Nos Lvl 10 46 4 $11,750.00 $8,225.00 30% off $122.20 $15,000.00 $4,443.75 2026-05-14
C1893 OTHER Sheath Fixednon-peel Lvl 10 54 4 $6,250.00 $4,375.00 30% off $122.20 $15,000.00 $4,087.50 2026-05-14
C1894 OTHER Introducer/sheath Lvl 10 120 4 $6,250.00 $4,375.00 30% off $17.75 $20,800.00 $3,425.00 2026-05-14
C1895 OTHER Lead Card Defib Dual Lvl 10 54 4 $9,500.00 $6,650.00 30% off $122.20 $15,000.00 $4,443.75 2026-05-14
C1896 OTHER Sq Emblem S-icd Electrode 8 4 $11,250.00 $7,875.00 30% off $3,937.50 $9,000.00 $5,906.25 2026-05-14
C1897 OTHER Lead Neurostim Test Kit Lvl 10 46 4 $11,750.00 $8,225.00 30% off $122.20 $15,000.00 $4,443.75 2026-05-14
C1898 OTHER Lead Pacemaker Lvl 10 50 4 $6,250.00 $4,375.00 30% off $122.20 $15,000.00 $4,150.00 2026-05-14
C1899 OTHER Lead Pmkr/aicd Combo Lvl 6 46 4 $11,750.00 $8,225.00 30% off $122.20 $15,000.00 $4,443.75 2026-05-14
C1900 OTHER Lead Coronary Venous Lv 10 60 4 $7,000.00 $4,900.00 30% off $122.20 $15,000.00 $4,150.00 2026-05-14
C2617 OTHER Stent Noncortemp Wo Del Lvl 10 46 4 $11,750.00 $8,225.00 30% off $122.20 $15,000.00 $4,443.75 2026-05-14
C2618 OTHER Probe Cryoablation Lvl 10 46 4 $11,750.00 $8,225.00 30% off $122.20 $15,000.00 $4,443.75 2026-05-14
C2619 OTHER Pmkr Dual Non R/rr Lvl 10 46 4 $11,750.00 $8,225.00 30% off $122.20 $15,000.00 $4,443.75 2026-05-14
C2620 OTHER Pacemaker Sgl Non R/r Lvl 10 46 4 $11,750.00 $8,225.00 30% off $122.20 $15,000.00 $4,443.75 2026-05-14
C2621 OTHER Allure Crt-p (is1) Sys-pm3222 110 4 $22,000.00 $15,400.00 30% off $122.20 $50,000.00 $10,550.00 2026-05-14
C2622 OTHER Penile Implant Ninflat Lvl 10 46 4 $11,750.00 $8,225.00 30% off $122.20 $15,000.00 $4,443.75 2026-05-14
C2624 OTHER Wireless Pressure Sensor Lvl 6 42 4 $6,250.00 $4,375.00 30% off $122.20 $15,000.00 $4,150.00 2026-05-14
C2625 OTHER Stent Noncortemp With Del Lvl 10 46 4 $11,750.00 $8,225.00 30% off $122.20 $15,000.00 $4,443.75 2026-05-14
C2627 OTHER Catheter Suprapubic Lvl 10 46 4 $11,750.00 $8,225.00 30% off $122.20 $15,000.00 $4,443.75 2026-05-14
C2628 OTHER Catheter Occlusion Lvl 10 46 4 $11,750.00 $8,225.00 30% off $122.20 $15,000.00 $4,443.75 2026-05-14
C2631 OTHER Urinary Imp Repr Wo Slg Lvl 10 46 4 $11,750.00 $8,225.00 30% off $122.20 $15,000.00 $4,443.75 2026-05-14
C9047 OTHER Caplacizumab Yhdp 11 Mg Kit-nf 6 3 $36,001.06 $25,200.74 30% off $15,120.44 $28,800.84 $23,760.70 2026-05-14
C9293 OTHER Glucarpidase 1000 Units 6 3 $89,200.00 $62,440.00 30% off $37,464.00 $71,360.00 $58,872.00 2026-05-14
C9355 OTHER Collagen Nerve Cuff Lvl 10 46 4 $11,750.00 $8,225.00 30% off $122.20 $15,000.00 $4,443.75 2026-05-14
C9361 OTHER Graft Nerve Neuromend Lvl 10 46 4 $11,750.00 $8,225.00 30% off $122.20 $15,000.00 $4,443.75 2026-05-14
C9363 OTHER Skin Substitute-integra Lvl 10 46 4 $11,750.00 $8,225.00 30% off $122.20 $15,000.00 $4,443.75 2026-05-14
C9364 OTHER Graft Tissue Permacol Lvl 10 46 4 $11,750.00 $8,225.00 30% off $122.20 $15,000.00 $4,443.75 2026-05-14
D4260 OTHER Osseous Surgery 4 Or > Teeth P 8 4 $15,121.00 $10,584.70 30% off $434.27 $12,096.80 $9,450.62 2026-05-14
D7944 OTHER Osteotomy Segmented/subapical 8 4 $5,475.00 $3,832.50 30% off $2,302.98 $4,380.00 $3,421.88 2026-05-14
J0129 OTHER Abatacept 250 Mg Inj - Nf 8 4 $6,510.00 $4,557.00 30% off $44.49 $5,208.00 $3,482.85 2026-05-14
J0139 OTHER Adalimumab 40 Mg/0.8 Ml (pfs) Kit - Nf 8 4 $14,537.50 $10,176.25 30% off $91.73 $11,630.00 $7,777.56 2026-05-14
J0177 OTHER Aflibercept Ophthalmic 114.3 Mg/ml Sol-nf 8 4 $13,463.14 $9,424.20 30% off $319.74 $10,770.51 $7,202.78 2026-05-14
J0178 OTHER Aflibercept Ophthalmic 40 Mg/ml Inj Ophth 8 4 $9,616.53 $6,731.57 30% off $790.04 $7,693.22 $5,144.84 2026-05-14
J0391 OTHER Artesunate 110 Mg Pow Nf 8 4 $20,916.00 $14,641.20 30% off $48.90 $16,732.80 $11,190.06 2026-05-14
J0491 OTHER Anifrolumab Fnia 300 Mg/2 Ml Sol 8 4 $8,035.91 $5,625.13 30% off $18.10 $6,428.72 $4,299.21 2026-05-14
J0517 OTHER Benralizumab 30 Mg/ml Sol 8 4 $23,842.35 $16,689.65 30% off $168.13 $19,073.88 $12,755.66 2026-05-14
J0717 OTHER Certolizumab 200 Mg/ml Kit - Nf 8 4 $25,197.62 $17,638.33 30% off $4.49 $20,158.10 $13,480.73 2026-05-14
J0875 OTHER Dalbavancin 500 Mg Inj (sdv) - Nf 8 4 $7,472.35 $5,230.64 30% off $15.55 $5,977.88 $3,997.70 2026-05-14
J0896 OTHER Luspatercept 25 Mg (sdv) Inj - Nf 14 4 $11,799.13 $8,259.39 30% off $41.96 $28,157.88 $8,672.36 2026-05-14
J1162 OTHER Digoxin Immune Fab 40 Mg Pwd 8 4 $20,890.80 $14,623.56 30% off $4,968.58 $16,712.64 $11,176.58 2026-05-14
J1303 OTHER Ravulizumab 100 Mg/ml Inj 11 Ml Vl 14 4 $5,480.15 $3,836.10 30% off $225.19 $7,315.93 $3,756.28 2026-05-14
J1438 OTHER Etanercept 50 Mg/ml Inj - Nf 8 4 $8,565.48 $5,995.84 30% off $1,080.88 $6,852.38 $4,582.53 2026-05-14
J1823 OTHER Inebilizumab Cdon 100 Mg/10 Ml Sol-nf 8 4 $11,963.60 $8,374.52 30% off $494.43 $9,570.88 $6,400.52 2026-05-14
J1950 OTHER Leuprolide 3.75 Mg Inj 1 Month Kit - Adult 20 4 $16,521.46 $11,565.02 30% off $1,737.10 $18,155.32 $8,235.28 2026-05-14
J2182 OTHER Mepolizumab 100 Mg Inj - Nf 8 4 $7,653.37 $5,357.36 30% off $31.33 $6,122.70 $4,094.55 2026-05-14
J2315 OTHER Naltrexone 380 Mg Inj 8 4 $7,099.44 $4,969.60 30% off $4.24 $5,679.55 $3,798.20 2026-05-14
J2353 OTHER Octreotide 20 Mg Inj Vl Depot 20 4 $19,388.46 $13,571.92 30% off $212.20 $23,226.20 $10,420.15 2026-05-14
J2356 OTHER Tezepelumab Ekko 210 Mg/1.91 Ml Sol - Nf 8 4 $9,607.14 $6,725.00 30% off $18.30 $7,685.71 $5,139.82 2026-05-14
J2426 OTHER Paliperidone 117 Mg/0.75 Ml Sus - Nf 38 4 $9,993.48 $6,995.44 30% off $15.08 $13,705.86 $6,695.35 2026-05-14
J2502 OTHER Pasireotide 40 Mg Lar Inj - Nf 8 4 $63,783.97 $44,648.78 30% off $563.79 $51,027.18 $34,124.43 2026-05-14
J2506 OTHER Pegfilgrastim 6 Mg/0.6 Ml Inj - Nf 8 4 $26,955.56 $18,868.90 30% off $58.40 $21,564.45 $14,421.23 2026-05-14
J2777 OTHER Faricimab Ophthalmic Svoa 6 Mg/0.05 Ml Sol Sdv -nf 8 4 $9,616.53 $6,731.57 30% off $34.48 $7,693.22 $5,144.84 2026-05-14
J2778 OTHER Ranibizumab Ophthalmic 0.5 Mg Inj - Nf 8 4 $9,616.53 $6,731.57 30% off $91.11 $7,693.22 $5,144.84 2026-05-14
J2802 OTHER Romiplostim 250 Mcg Inj (sdv) 20 4 $11,562.68 $8,093.88 30% off $11.00 $18,500.23 $6,186.03 2026-05-14
J2997 OTHER Alteplase 100 Mg Inj Vl 20 4 $18,480.77 $12,936.54 30% off $94.15 $29,569.20 $9,887.21 2026-05-14
J3101 OTHER Tenecteplase 50 Mg Inj Vl 8 4 $34,848.49 $24,393.94 30% off $171.94 $27,878.79 $18,643.94 2026-05-14
J3110 OTHER Teriparatide 600 Mcg/2.4 Ml Dev - Nf 8 4 $8,043.54 $5,630.48 30% off $46.41 $6,434.84 $4,303.30 2026-05-14
J3240 OTHER Thyrotropin Alpha 0.9 Mg Inj 8 4 $8,492.92 $5,945.05 30% off $2,113.24 $6,794.34 $4,543.72 2026-05-14
J3241 OTHER Teprotumumab Trbw 500 Mg Pow 8 4 $75,679.59 $52,975.71 30% off $359.09 $60,543.67 $40,488.58 2026-05-14
J3357 OTHER Ustekinumab 90 Mg/ml (sdv) - Nf 14 4 $30,582.36 $21,407.65 30% off $157.68 $24,465.89 $12,208.17 2026-05-14
J3380 OTHER Vedolizumab 300 Mg (sdv) Inj - Nf 8 4 $15,613.14 $10,929.19 30% off $22.06 $12,490.51 $8,353.03 2026-05-14
J3396 OTHER Verteporfin 15 Mg Inj - Nf 8 4 $7,180.78 $5,026.55 30% off $11.55 $5,744.63 $3,841.72 2026-05-14
J7296 OTHER Levonorgestrel 19.5 Mg (kyleena) IUD Dev 6 3 $5,101.45 $3,571.01 30% off $2,142.61 $4,081.16 $3,366.95 2026-05-14
J7298 OTHER Levonorgestrel 52 Mg (mirena) IUD Dev 6 3 $5,101.46 $3,571.02 30% off $2,142.61 $4,081.17 $3,366.97 2026-05-14
J7313 OTHER Fluocinolone Ophthalmic 0.19 Mg Imp- Nf 8 4 $36,960.00 $25,872.00 30% off $497.80 $29,568.00 $19,773.60 2026-05-14
J7351 OTHER Bimatoprost Ophthalmic 10 Mcg Implant 8 4 $8,505.00 $5,953.50 30% off $212.36 $6,804.00 $4,550.18 2026-05-14
J9015 OTHER Aldesleukin 22000000 Units Inj 8 4 $14,294.69 $10,006.28 30% off $5,301.26 $11,435.75 $7,647.66 2026-05-14
J9039 OTHER Blinatumomab 35 Mcg Inj (sdv) - Nf 8 4 $8,581.63 $6,007.14 30% off $163.21 $6,865.30 $4,591.17 2026-05-14
J9042 OTHER Brentuximab Vedotin 50 Mg (sdv) - Nf 8 4 $41,930.14 $29,351.10 30% off $258.52 $33,544.11 $22,432.62 2026-05-14
J9043 OTHER Cabazitaxel 60 Mg/1.5 Ml (sdv) Diluted To 10 Mg/ml Inj 8 4 $19,155.56 $13,408.89 30% off $227.10 $15,324.45 $10,248.23 2026-05-14
J9153 OTHER Daunorubicin Liposomal - Cytarabine Liposomal 44 Mg-100 Mg (sdv) Inj 8 4 $21,684.84 $15,179.39 30% off $255.09 $17,347.87 $11,601.38 2026-05-14
J9176 OTHER Elotuzumab 300 Mg Inj (sdv) 14 4 $5,175.83 $3,623.08 30% off $7.88 $5,486.80 $3,416.05 2026-05-14
J9177 OTHER Enfortumab Vedotin 30 Mg (sdv) Inj 14 4 $9,332.54 $6,532.78 30% off $36.66 $7,466.03 $4,128.40 2026-05-14
J9217 OTHER Leuprolide 7.5 Mg Inj 1 Month Kit - Adult 20 4 $9,100.35 $6,370.24 30% off $155.42 $28,846.27 $6,068.48 2026-05-14
J9223 OTHER Lurbinectedin 4 Mg Inj (sdv) - Nf 8 4 $16,932.57 $11,852.80 30% off $206.13 $13,546.06 $9,058.92 2026-05-14
J9229 OTHER Inotuzumab Ozogamicin 0.9 Mg (sdv) Inj 8 4 $47,554.99 $33,288.49 30% off $2,698.05 $38,043.99 $25,441.92 2026-05-14
J9268 OTHER Pentostatin 10 Mg Inj 8 4 $12,395.39 $8,676.77 30% off $2,543.89 $9,916.31 $6,631.53 2026-05-14
J9273 OTHER Tisotumab Vedotin Tftv 40 Mg Inj 8 4 $20,276.20 $14,193.34 30% off $188.65 $16,220.96 $10,847.76 2026-05-14
J9307 OTHER Pralatrexate 20 Mg/ml Sol - Nf 8 4 $9,000.74 $6,300.52 30% off $388.83 $7,200.59 $4,815.39 2026-05-14
J9309 OTHER Polatuzumab-piiq Vedotin 30 Mg Inj 14 4 $8,583.18 $6,008.22 30% off $136.23 $31,750.50 $6,308.64 2026-05-14
J9319 OTHER Romidepsin 10 Mg Inj - Nf 8 4 $7,657.69 $5,360.39 30% off $31.08 $6,126.15 $4,096.86 2026-05-14
J9331 OTHER Sirolimus Protein-bound 100 Mg Inj - Nf 8 4 $18,916.44 $13,241.50 30% off $84.53 $15,133.15 $10,120.29 2026-05-14
J9334 OTHER Efgartigimod Alfa-hyaluronidase Qvfc 180 Mg-2000 Units/ml Sol 8 4 $7,331.06 $5,131.74 30% off $33.74 $5,864.85 $3,922.11 2026-05-14
J9347 OTHER Tremelimumab Actl 20 Mg/ml 1.25ml (sdv) 16 4 $6,525.90 $4,568.12 30% off $141.17 $5,220.72 $3,491.36 2026-05-14
J9352 OTHER Trabectedin 1 Mg Inj (sdv) 8 4 $14,481.52 $10,137.06 30% off $383.07 $11,585.21 $7,747.61 2026-05-14
J9354 OTHER Ado-trastuzumab Emtansine 100 Mg (sdv) Inj - Nf 14 4 $9,642.77 $6,749.94 30% off $41.85 $12,293.70 $6,457.42 2026-05-14
Q4101 OTHER Apligraf Lvl 10 38 4 $6,250.00 $4,375.00 30% off $30.30 $15,000.00 $4,087.50 2026-05-14
Q4104 OTHER Integra Bmwd Lvl 10 38 4 $6,250.00 $4,375.00 30% off $53.76 $15,000.00 $4,087.50 2026-05-14
Q4105 OTHER Integra Drt Lvl 10 38 4 $6,250.00 $4,375.00 30% off $26.09 $15,000.00 $4,087.50 2026-05-14
Q4122 OTHER Dermacel Per Sq Cm Lvl 10 38 4 $6,250.00 $4,375.00 30% off $110.00 $15,000.00 $4,087.50 2026-05-14
Q9991 OTHER Buprenorphine 100 Mg/0.5 Ml Ers 8 4 $17,785.66 $12,449.96 30% off $1,976.55 $14,228.52 $9,515.33 2026-05-14
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