Hospital

RIVERSIDE MEDICAL CENTER

Kankakee, IL · CCN 140186 · Rates published

Your selected procedure

You selected 59610 (CPT)

Routine OB Care Vag Dlvry & Postpartum Care Vb

This hospital’s price: $3,541 across 9 payers · range $2,571-$3,915

Source: https://www.riversidehealthcare.org/sites/default/files/Machine%20Readable%20File%202025_Updated%201.14.25.zip · observed 2024-05-13

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

3,572 distinct procedures filed

67 distinct payers

318,924 rate rows

2024-05-13 last MRF observed · ⚠ 29 mo old

Data quality

256,137 of 318,924 rate rows are consumer-grade (80.3%)

62,787 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reason	Rows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	59,436
per-diem day rate — not a per-procedure price	1,631
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only	804
exceeds 10× this hospital's gross charge — excluded from medians	780
template filing: same amount across many unrelated codes — excluded	112
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	24

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 29 months old.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://apim.services.craneware.com/api-pricing-transparency/api/public/40e3102d5608e1d56aa13fa18d40822d/charges/mrf
Found on page	https://www.cdmpricing.com/40e3102d5608e1d56aa13fa18d40822d
Discovered via	CMS hospital list
Last fetch	not_modified · 2026-10-10
Content fingerprint	4fd931643816b911… · 57,786,231 bytes · first seen 2026-05-18

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
Q2043 HCPCS	Provenge	3	$91,596.00	$91,596.00	$91,596.00	nat. median $63,499 1.4× median
J1823 HCPCS	Inebilizumab-cdon 10 Mg/ml Intravenous Solution	4	$52,096.00	$79,834.00	$79,834.00	nat. median $562 outlier · 142.0×
A9800 HCPCS	Locametz	3	$72,059.00	$72,059.00	$72,059.00	nat. median $873 outlier · 82.5×
J1305 HCPCS	Evinacumab-dgnb 150 Mg/ml Intravenous Solution	3	$20,796.00	$72,334.00	$46,565.00	nat. median $260 outlier · 179.1×
J2507 HCPCS	Pegloticase 8 Mg/ml Intravenous Solution	4	$33,423.00	$45,501.00	$45,501.00	nat. median $4,390 outlier · 10.4×
J9229 HCPCS	Inotuzumab Ozogamicin 0.9 Mg(0.25 Mg/ml Initial Concentration) IV Soln	5	$19,910.00	$38,890.00	$38,890.00	nat. median $4,856 outlier · 8.0×
J0638 HCPCS	Canakinumab (pf) 150 Mg/ml Subcutaneous Solution	3	$31,322.00	$31,322.00	$31,322.00	nat. median $235 outlier · 133.4×
J2350 HCPCS	Ocrevus	4	$22,475.00	$29,823.00	$29,823.00	nat. median $133 outlier · 224.3×
J3241 HCPCS	Tepezza	4	$19,400.00	$27,732.00	$27,732.00	nat. median $709 outlier · 39.1×
J9228 HCPCS	Yervoy	4	$9,921.00	$58,338.00	$27,135.00	nat. median $6,073 outlier · 4.5×
J9347 HCPCS	Tremelimumab-actl 20 Mg/ml Intravenous Solution	4	$3,779.00	$67,101.00	$25,470.50	nat. median $355 outlier · 71.8×
J9298 HCPCS	Opdualag	4	$16,899.00	$25,146.00	$25,146.00	nat. median $446 outlier · 56.3×
J1300 HCPCS	Eculizumab 300 Mg/30 Ml Intravenous Solution	4	$14,872.00	$22,322.00	$22,322.00	nat. median $781 outlier · 28.6×
J9306 HCPCS	Perjeta	4	$14,883.00	$22,109.00	$22,109.00	nat. median $43 outlier · 518.2×
J3245 HCPCS	Ilumya Pfs	3	$22,036.00	$22,036.00	$22,036.00	nat. median $217 outlier · 101.6×
J9043 HCPCS	Cabazitaxel Injection	4	$16,127.00	$21,335.00	$21,335.00	nat. median $509 outlier · 41.9×
J9042 HCPCS	Brentuximab Vedotin 50 Mg Intravenous Solution	4	$13,386.00	$19,767.00	$19,767.00	nat. median $555 outlier · 35.6×
J9272 HCPCS	Jemperli	3	$19,509.00	$19,509.00	$19,509.00	nat. median $567 outlier · 34.4×
J1640 HCPCS	Hemin 350 Mg Intravenous Powder For Solution	4	$8,078.00	$18,550.00	$18,550.00	nat. median $74 outlier · 251.9×
J3357 HCPCS	Ustekinumab 45 Mg/0.5 Ml Subcutaneous Syringe	3	$11,743.00	$23,486.00	$17,614.50	nat. median $20,264 0.9× median
J9153 HCPCS	Daunorubicin 44 Mg And Cytarabine 100 Mg In Liposome IV Solution	5	$8,480.00	$17,541.00	$17,541.00	nat. median $722 outlier · 24.3×
J9203 HCPCS	Mylotarg	5	$8,736.00	$17,053.00	$17,053.00	nat. median $679 outlier · 25.1×
J9119 HCPCS	Libtayo	4	$12,093.00	$15,999.00	$15,999.00	nat. median $53 outlier · 300.4×
37225 CPT	Removal Of Plaque In Arteries Of Leg	10	$1,189.00	$17,051.00	$15,774.00	nat. median $17,778 0.9× median
37229 CPT	Removal Of Plaque In Artery Of Leg; Initial Vessel	9	$1,387.00	$15,568.00	$15,568.00	nat. median $18,507 0.8× median
J3263 HCPCS	Toripalimab-tpzi 240 Mg/6 Ml (40 Mg/ml) Intravenous Solution	4	$10,340.00	$15,552.00	$15,552.00	nat. median $51 outlier · 304.2×
J9037 HCPCS	Belantamab Mafodotin-blmf 100 Mg/2ml Intravenous Solution (wet Solr Vial)	3	$15,438.00	$15,438.00	$15,438.00	nat. median $118 outlier · 130.3×
J9144 HCPCS	Darzalex Faspro	4	$11,426.00	$15,147.00	$15,147.00	nat. median $114 outlier · 132.3×
J2327 HCPCS	Skyrizi 600mg/10ml	4	$11,537.00	$14,838.00	$14,838.00	nat. median $48 outlier · 309.3×
A9570 HCPCS	Indium In-111 Oxyquinoline 1 Mci/ml Labeled Autologous Wbc	3	$13,693.00	$13,693.00	$13,693.00	nat. median $1,647 outlier · 8.3×
37227 CPT	Fem/popl Revasc Stnt & Ather	3	$1,430.00	$15,767.00	$13,560.00	nat. median $19,510 0.7× median
37238 CPT	Insertion Of Stent In Vein With Review By Radiologist; Initial Vein	2	$606.00	$13,560.00	$13,560.00	nat. median $12,691 1.1× median
37231 CPT	Tib/per Revasc Stent & Ather	3	$473.00	$13,560.00	$13,560.00	nat. median $19,288 0.7× median
37244 CPT	Occlusion Of Artery Or Vein Bleeding With Review By Radiologist	2	$1,293.00	$13,560.00	$13,560.00	nat. median $12,413 1.1× median
37241 CPT	Occlusion Of Vein With Review By Radiologist	2	$834.00	$13,560.00	$13,560.00	nat. median $12,310 1.1× median
36903 CPT	Intro Cath Dialysis Circuit	1	$8,850.00	$13,560.00	$13,560.00	nat. median $12,181 1.1× median
C9767 HCPCS	Revasc Lithotrip-stent-ather	1	$8,850.00	$13,560.00	$13,560.00	nat. median $19,649 0.7× median
37242 CPT	Occlusion Of Artery With Review By Radiologist	3	$930.00	$13,560.00	$13,560.00	nat. median $17,587 0.8× median
33274 CPT	Insertion Of Permanent Leadless Pacemaker Using Imaging Guidance	2	$299.00	$13,560.00	$13,560.00	nat. median $20,959 0.6× median
37243 CPT	Occlusion Of Growths Or Obstructed Vessels With Review By Radiologist	2	$1,108.00	$13,560.00	$13,560.00	nat. median $12,495 1.1× median
J9309 HCPCS	Polivy	4	$4,414.00	$30,020.00	$13,516.00	nat. median $399 outlier · 33.9×
J0896 HCPCS	Reblozyl	3	$6,712.00	$20,136.00	$13,424.00	nat. median $228 outlier · 59.0×
J9223 HCPCS	Zepzelca	4	$9,154.00	$13,382.00	$13,382.00	nat. median $452 outlier · 29.6×
J3101 HCPCS	Injection; Tenecteplase; 1 Mg	4	$6,108.00	$12,992.00	$12,992.00	nat. median $498 outlier · 26.1×
37226 CPT	Fem/popl Revasc W/stent	11	$286.00	$13,961.00	$12,930.00	nat. median $12,895 1.0× median
J7198 HCPCS	Anti-inhibitor Coagulant Complex 350 Unit-650 Unit Intravenous Soln	5	$6,116.00	$12,643.00	$12,643.00	nat. median $6 outlier · 2022.9×
J2356 HCPCS	Tezspire Pfs	4	$9,488.00	$12,642.00	$12,642.00	nat. median $43 outlier · 292.0×
J9301 HCPCS	Gazyva	4	$9,396.00	$12,235.00	$12,235.00	nat. median $170 outlier · 72.0×
J9022 HCPCS	Tecentriq	4	$8,717.00	$16,985.00	$12,171.00	nat. median $1,229 outlier · 9.9×
J2323 HCPCS	Tysabri	4	$9,733.00	$11,916.00	$11,916.00	nat. median $50 outlier · 236.2×

Other procedures at this hospital

Browse this hospital's 3,572 published procedures. Use the slice to choose what to show, then sort or filter any column.

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code	Type	Description	Rate rows	Payers	Gross	Cash	Min $	Max $	Avg median	Last observed

Q2043	HCPCS	Provenge	18	3	$199,098.00	$53,000.00 73% off	$91,596.00	$91,596.00	$91,596.00	2024-05-13
J1823	HCPCS	Inebilizumab-cdon 10 Mg/ml Intravenous Solution	25	4	$182,794.00	$48,660.00 73% off	$52,096.00	$79,834.00	$79,834.00	2024-05-13
A9800	HCPCS	Locametz	18	3	$15,244.00	$4,058.00 73% off	$72,059.00	$72,059.00	$72,059.00	2024-05-13
J1305	HCPCS	Evinacumab-dgnb 150 Mg/ml Intravenous Solution	36	3	$108,620.00	$28,914.50 73% off	$20,796.00	$72,334.00	$46,565.00	2024-05-13
J2507	HCPCS	Pegloticase 8 Mg/ml Intravenous Solution	25	4	$117,275.00	$31,219.00 73% off	$33,423.00	$45,501.00	$45,501.00	2024-05-13
J9229	HCPCS	Inotuzumab Ozogamicin 0.9 Mg(0.25 Mg/ml Initial Concentration) IV Soln	27	5	$90,276.00	$24,031.00 73% off	$19,910.00	$38,890.00	$38,890.00	2024-05-13
J0638	HCPCS	Canakinumab (pf) 150 Mg/ml Subcutaneous Solution	18	3	$77,775.00	$20,704.00 73% off	$31,322.00	$31,322.00	$31,322.00	2024-05-13
J2350	HCPCS	Ocrevus	25	4	$78,858.00	$20,992.00 73% off	$22,475.00	$29,823.00	$29,823.00	2024-05-13
J3241	HCPCS	Tepezza	25	4	$68,070.00	$18,120.00 73% off	$19,400.00	$27,732.00	$27,732.00	2024-05-13
J9228	HCPCS	Yervoy	50	4	$87,031.50	$23,167.50 73% off	$9,921.00	$58,338.00	$27,135.00	2024-05-13
J9347	HCPCS	Tremelimumab-actl 20 Mg/ml Intravenous Solution	50	4	$86,190.00	$22,944.00 73% off	$3,779.00	$67,101.00	$25,470.50	2024-05-13
J9298	HCPCS	Opdualag	25	4	$59,292.00	$15,784.00 73% off	$16,899.00	$25,146.00	$25,146.00	2024-05-13
J1300	HCPCS	Eculizumab 300 Mg/30 Ml Intravenous Solution	25	4	$52,184.00	$13,891.00 73% off	$14,872.00	$22,322.00	$22,322.00	2024-05-13
J9306	HCPCS	Perjeta	25	4	$52,214.00	$13,899.00 73% off	$14,883.00	$22,109.00	$22,109.00	2024-05-13
J3245	HCPCS	Ilumya Pfs	18	3	$68,950.00	$18,354.00 73% off	$22,036.00	$22,036.00	$22,036.00	2024-05-13
J9043	HCPCS	Cabazitaxel Injection	25	4	$41,911.00	$11,157.00 73% off	$16,127.00	$21,335.00	$21,335.00	2024-05-13
J9042	HCPCS	Brentuximab Vedotin 50 Mg Intravenous Solution	25	4	$46,968.00	$12,503.00 73% off	$13,386.00	$19,767.00	$19,767.00	2024-05-13
J9272	HCPCS	Jemperli	18	3	$46,252.00	$12,312.00 73% off	$19,509.00	$19,509.00	$19,509.00	2024-05-13
J1640	HCPCS	Hemin 350 Mg Intravenous Powder For Solution	20	4	$42,778.00	$11,388.00 73% off	$8,078.00	$18,550.00	$18,550.00	2024-05-13
J3357	HCPCS	Ustekinumab 45 Mg/0.5 Ml Subcutaneous Syringe	36	3	$83,528.50	$22,235.50 73% off	$11,743.00	$23,486.00	$17,614.50	2024-05-13
J9153	HCPCS	Daunorubicin 44 Mg And Cytarabine 100 Mg In Liposome IV Solution	27	5	$41,820.00	$11,132.00 73% off	$8,480.00	$17,541.00	$17,541.00	2024-05-13
J9203	HCPCS	Mylotarg	27	5	$39,586.00	$10,538.00 73% off	$8,736.00	$17,053.00	$17,053.00	2024-05-13
J9119	HCPCS	Libtayo	25	4	$42,427.00	$11,294.00 73% off	$12,093.00	$15,999.00	$15,999.00	2024-05-13
37225	CPT	Removal Of Plaque In Arteries Of Leg	14	10	$21,877.00	$10,939.00 50% off	$1,189.00	$17,051.00	$15,774.00	2024-05-13
37229	CPT	Removal Of Plaque In Artery Of Leg; Initial Vessel	11	9	$1,630.00	$815.00 50% off	$1,387.00	$15,568.00	$15,568.00	2024-05-13
J3263	HCPCS	Toripalimab-tpzi 240 Mg/6 Ml (40 Mg/ml) Intravenous Solution	25	4	$36,279.00	$9,658.00 73% off	$10,340.00	$15,552.00	$15,552.00	2024-05-13
J9037	HCPCS	Belantamab Mafodotin-blmf 100 Mg/2ml Intravenous Solution (wet Solr Vial)	18	3	$35,306.00	$9,398.00 73% off	$15,438.00	$15,438.00	$15,438.00	2024-05-13
J9144	HCPCS	Darzalex Faspro	25	4	$40,091.00	$10,672.00 73% off	$11,426.00	$15,147.00	$15,147.00	2024-05-13
J2327	HCPCS	Skyrizi 600mg/10ml	25	4	$40,479.00	$10,775.00 73% off	$11,537.00	$14,838.00	$14,838.00	2024-05-13
A9570	HCPCS	Indium In-111 Oxyquinoline 1 Mci/ml Labeled Autologous Wbc	18	3	$24,063.00	$6,406.00 73% off	$13,693.00	$13,693.00	$13,693.00	2024-05-13
33274	CPT	Insertion Of Permanent Leadless Pacemaker Using Imaging Guidance	15	2	$40,000.00	$10,648.00 73% off	$299.00	$13,560.00	$13,560.00	2024-05-13
37243	CPT	Occlusion Of Growths Or Obstructed Vessels With Review By Radiologist	14	2	$33,818.00	$9,002.00 73% off	$1,108.00	$13,560.00	$13,560.00	2024-05-13
37244	CPT	Occlusion Of Artery Or Vein Bleeding With Review By Radiologist	14	2	$35,101.00	$9,344.00 73% off	$1,293.00	$13,560.00	$13,560.00	2024-05-13
37241	CPT	Occlusion Of Vein With Review By Radiologist	14	2	$35,622.00	$9,483.00 73% off	$834.00	$13,560.00	$13,560.00	2024-05-13
C9767	HCPCS	Revasc Lithotrip-stent-ather	13	1	$38,500.00	$10,249.00 73% off	$8,850.00	$13,560.00	$13,560.00	2024-05-13
37238	CPT	Insertion Of Stent In Vein With Review By Radiologist; Initial Vein	14	2	$40,000.00	$10,648.00 73% off	$606.00	$13,560.00	$13,560.00	2024-05-13
37227	CPT	Fem/popl Revasc Stnt & Ather	17	3	$51,000.00	$13,576.00 73% off	$1,430.00	$15,767.00	$13,560.00	2024-05-13
36903	CPT	Intro Cath Dialysis Circuit	13	1	$34,139.00	$9,088.00 73% off	$8,850.00	$13,560.00	$13,560.00	2024-05-13
37231	CPT	Tib/per Revasc Stent & Ather	16	3	$46,000.00	$12,245.00 73% off	$473.00	$13,560.00	$13,560.00	2024-05-13
37242	CPT	Occlusion Of Artery With Review By Radiologist	17	3	$35,330.00	$9,405.00 73% off	$930.00	$13,560.00	$13,560.00	2024-05-13
J9309	HCPCS	Polivy	50	4	$43,882.50	$11,681.50 73% off	$4,414.00	$30,020.00	$13,516.00	2024-05-13
J0896	HCPCS	Reblozyl	36	3	$31,627.50	$8,419.50 73% off	$6,712.00	$20,136.00	$13,424.00	2024-05-13
J9223	HCPCS	Zepzelca	25	4	$32,120.00	$8,550.00 73% off	$9,154.00	$13,382.00	$13,382.00	2024-05-13
J3101	HCPCS	Injection; Tenecteplase; 1 Mg	20	4	$31,310.00	$8,335.00 73% off	$6,108.00	$12,992.00	$12,992.00	2024-05-13
37226	CPT	Fem/popl Revasc W/stent	16	11	$17,932.00	$8,966.00 50% off	$286.00	$13,961.00	$12,930.00	2024-05-13
J7198	HCPCS	Anti-inhibitor Coagulant Complex 350 Unit-650 Unit Intravenous Soln	27	5	$34,060.00	$9,067.00 73% off	$6,116.00	$12,643.00	$12,643.00	2024-05-13
J2356	HCPCS	Tezspire Pfs	25	4	$33,287.00	$8,861.00 73% off	$9,488.00	$12,642.00	$12,642.00	2024-05-13
J9301	HCPCS	Gazyva	25	4	$32,967.00	$8,776.00 73% off	$9,396.00	$12,235.00	$12,235.00	2024-05-13
J9022	HCPCS	Tecentriq	50	4	$37,141.50	$9,887.00 73% off	$8,717.00	$16,985.00	$12,171.00	2024-05-13
J2323	HCPCS	Tysabri	25	4	$34,151.00	$9,091.00 73% off	$9,733.00	$11,916.00	$11,916.00	2024-05-13
J7201	HCPCS	Factor Ix Recomb, Fc Fusion Protein 2,000 Unit Intravenous Solution	27	5	$29,920.00	$7,965.00 73% off	$6,099.00	$11,780.00	$11,780.00	2024-05-13
J9273	HCPCS	Tisotumab Vedotin-tftv 40 Mg Intravenous Solution	18	3	$28,492.00	$7,585.00 73% off	$11,547.00	$11,547.00	$11,547.00	2024-05-13
J7205	HCPCS	Factor Viii Recomb, Fc Fusion Protein 3,000 Unit Intravenous Solution	27	5	$30,960.00	$8,242.00 73% off	$6,139.00	$11,400.00	$11,400.00	2024-05-13
J3380	HCPCS	Entyvio	25	4	$34,666.00	$9,228.00 73% off	$9,881.00	$11,325.00	$11,325.00	2024-05-13
33270	CPT	Insertion Or Replacement Of Defibrillator With Electrode	23	9	$77,000.00	$20,497.00 73% off	$645.00	$13,560.00	$11,150.00	2024-05-13
J1303	HCPCS	Ultomiris	25	4	$25,616.00	$6,819.00 73% off	$7,301.00	$10,950.00	$10,950.00	2024-05-13
J9332	HCPCS	Vyvgart	25	4	$24,762.00	$6,592.00 73% off	$7,057.00	$10,600.00	$10,600.00	2024-05-13
J9302	HCPCS	Ofatumumab 1,000 Mg/50 Ml Intravenous Solution	27	5	$24,135.00	$6,425.00 73% off	$5,840.00	$10,553.00	$10,553.00	2024-05-13
22513	CPT	Treatment Of Broken Middle Spine Bone With Placement Of Stabilizing Device Using…	11	9	$14,451.00	$7,226.00 50% off	$1,247.00	$10,426.00	$10,426.00	2024-05-13
A9572	HCPCS	Indium 111-pentetreotide 3 Mci/ml-10 Mcg Intravenous Kit	18	3	$6,319.00	$1,682.00 73% off	$10,408.00	$10,408.00	$10,408.00	2024-05-13
22514	CPT	Treatment Of Broken Lower Spine Bone With Placement Of Stabilizing Device	11	9	$14,361.00	$7,181.00 50% off	$1,161.00	$10,360.00	$10,360.00	2024-05-13
J7189	HCPCS	Coagulation Factor Viia Recomb 2 Mg (2,000 Mcg) Intravenous Solution	54	5	$37,520.00	$9,987.50 73% off	$4,219.00	$20,950.00	$9,463.50	2024-05-13
J0741	HCPCS	Cabenuva 600mg/900mg Kit	36	3	$22,079.00	$5,877.50 73% off	$7,564.00	$11,346.00	$9,455.00	2024-05-13
J0391	HCPCS	Artesunate 110 Mg Intravenous Solution	18	3	$19,920.00	$5,303.00 73% off	$9,407.00	$9,407.00	$9,407.00	2024-05-13
J9271	HCPCS	Keytruda	25	4	$23,128.00	$6,157.00 73% off	$6,591.00	$9,349.00	$9,349.00	2024-05-13
J9057	HCPCS	Aliqopa	20	4	$21,014.00	$5,594.00 73% off	$4,340.00	$8,827.00	$8,827.00	2024-05-13
J0491	HCPCS	Anifrolumab-fnia 300 Mg/2 Ml (150 Mg/ml) Intravenous Solution	18	3	$20,917.00	$5,568.00 73% off	$8,577.00	$8,577.00	$8,577.00	2024-05-13
J1932	HCPCS	Lanreotide	25	4	$35,571.00	$9,469.00 73% off	$8,383.00	$10,138.00	$8,383.00	2024-05-13
J0517	HCPCS	Fasenra Pfs	28	5	$22,707.00	$6,045.00 73% off	$170.00	$8,327.00	$8,327.00	2024-05-13
J2406	HCPCS	Kimyrsa	18	3	$21,348.00	$5,683.00 73% off	$8,302.00	$8,302.00	$8,302.00	2024-05-13
J1430	HCPCS	Ethanolamine Oleate 5 % Intravenous Solution	20	4	$20,156.00	$5,366.00 73% off	$4,321.00	$8,233.00	$8,233.00	2024-05-13
0152U	CPT	Infectious Disease DNA Untrgt Ngnrj Seq (Ref Lab)	18	3	$5,300.00	$1,411.00 73% off	$7,442.00	$7,973.00	$7,973.00	2024-05-13
J1162	HCPCS	Digoxin Immune Fab 40 Mg Intravenous Solution	20	4	$19,132.00	$5,093.00 73% off	$3,862.00	$7,883.00	$7,883.00	2024-05-13
37228	CPT	Balloon Dilation Of Artery Of Leg; Initial Vessel	14	10	$4,830.00	$2,415.00 50% off	$1,038.00	$8,531.00	$7,754.00	2024-05-13
J1744	HCPCS	Icatibant 30 Mg/3 Ml Subcutaneous Syringe	20	4	$44,590.00	$11,870.00 73% off	$4,080.00	$7,678.00	$7,678.00	2024-05-13
J9295	HCPCS	Necitumumab 800 Mg/50 Ml (16 Mg/ml) Intravenous Solution	20	4	$17,319.00	$4,610.00 73% off	$4,463.00	$7,576.00	$7,576.00	2024-05-13
J2997	HCPCS	Cathflo Activase	54	3	$17,601.00	$4,685.00 73% off	$301.00	$15,071.00	$7,536.00	2024-05-13
J9354	HCPCS	Kadcyla	50	4	$20,439.50	$5,441.00 73% off	$4,481.00	$10,571.00	$6,888.50	2024-05-13
Q5120	HCPCS	Pegfilgrastim-bmez 6 Mg/0.6 Ml Subcutaneous Syringe	25	4	$23,779.00	$6,330.00 73% off	$4,475.00	$6,866.00	$6,866.00	2024-05-13
A9600	HCPCS	Sr-89 Strontium (matastron) Injection	18	3	$8,038.00	$2,140.00 73% off	$6,841.00	$6,841.00	$6,841.00	2024-05-13
J2353	HCPCS	SandoSTATIN Lar Depot	75	4	$18,465.00	$4,915.00 73% off	$2,271.00	$10,666.00	$6,814.00	2024-05-13
37221	CPT	Insertion Of Stent In Groin Artery; Initial Vessel	14	10	$1,575.00	$788.00 50% off	$1,259.00	$7,274.00	$6,624.00	2024-05-13
J0565	HCPCS	Bezlotoxumab 25 Mg/ml Intravenous Solution	18	3	$15,200.00	$4,046.00 73% off	$6,582.00	$6,582.00	$6,582.00	2024-05-13
J9015	HCPCS	Aldesleukin 22000000 Units/1.22ml IV (wet Solr Vial)	27	5	$22,347.00	$5,949.00 73% off	$4,357.00	$6,506.00	$6,506.00	2024-05-13
61520	CPT	Crnec Tum Infrattl/Postfossa Crblopnt Angle Tum	13	9	$8,599.00	$4,300.00 50% off	$4,370.00	$6,646.00	$6,257.00	2024-05-13
J0840	HCPCS	Crotalidae Polyval Immune Fab Solution For Injection	20	4	$12,792.00	$3,405.00 73% off	$6,178.00	$6,251.00	$6,251.00	2024-05-13
J9061	HCPCS	Rybrevant	18	3	$14,585.00	$3,883.00 73% off	$5,940.00	$5,940.00	$5,940.00	2024-05-13
J1306	HCPCS	Leqvio	25	4	$13,662.00	$3,637.00 73% off	$3,893.00	$5,723.00	$5,723.00	2024-05-13
J7171	HCPCS	Adamts13, Recombinant-krhn 1,500 (+/-) Unit Intravenous Kit	36	3	$13,120.00	$3,492.50 73% off	$2,861.00	$8,583.00	$5,722.00	2024-05-13
J0597	HCPCS	C1 Esterase Inhibitor 500 Unit (10 Ml) Intravenous Kit	20	4	—	$2,165,910.00	$2,494.00	$5,591.00	$5,591.00	2024-05-13
J3358	HCPCS	Ustekinumab 130 Mg/26 Ml Intravenous Solution	25	4	$16,196.00	$4,311.00 73% off	$4,616.00	$5,525.00	$5,525.00	2024-05-13
37224	CPT	Balloon Dilation Of Artery Of Leg	14	10	$7,520.00	$3,760.00 50% off	$850.00	$6,013.00	$5,424.00	2024-05-13
93656	CPT	Comprehensive Electrophysiologic Evaluation With Catheter Destruction Of Abnorma…	26	10	$28,620.00	$7,939.00 72% off	$1,285.00	$13,560.00	$5,396.00	2024-05-13
93654	CPT	Comprehensive Electrophysiologic Evaluation With Catheter Destruction Of Abnorma…	26	10	$21,909.00	$6,141.00 72% off	$1,282.00	$13,560.00	$5,395.00	2024-05-13
J9308	HCPCS	Cyramza	50	4	$17,481.50	$4,653.50 73% off	$1,661.00	$11,758.00	$5,328.00	2024-05-13
93580	CPT	Repair Of Congenital Abnormality In Wall Between Upper Heart Chambers With Impla…	26	10	$21,905.00	$6,101.00 72% off	$1,113.00	$13,560.00	$5,278.50	2024-05-13
33249	CPT	Insertion Of Implantable Defibrillator System	26	10	$43,899.50	$12,072.00 73% off	$1,046.00	$13,560.00	$5,215.00	2024-05-13
J9299	HCPCS	Opdivo	100	4	$13,996.50	$3,726.00 73% off	$1,450.00	$12,514.00	$5,214.00	2024-05-13
93653	CPT	Comprehensive Electrophysiologic Evaluation With Catheter Destruction Of Abnorma…	26	10	$22,080.00	$6,116.00 72% off	$957.00	$13,560.00	$5,153.00	2024-05-13
J7192	HCPCS	Antihemophilic Factor Viii, Full Length 1,000 (+/-) Unit IV Solution	81	5	$11,516.00	$3,066.00 73% off	$1,235.00	$7,677.00	$5,117.00	2024-05-13
37236	CPT	Insertion Of Stent In Artery (except Lower Extremity; Chest; Heart; Neck And Bra…	14	10	$4,180.00	$2,090.00 50% off	$866.00	$5,761.00	$5,084.50	2024-05-13
J2182	HCPCS	Nucala	25	4	$14,755.00	$3,928.00 73% off	$3,948.00	$5,026.00	$5,026.00	2024-05-13
J9319	HCPCS	Romidepsin 10 Mg/2 Ml Intravenous Powder For Solution	25	4	$12,795.00	$3,406.00 73% off	$3,612.00	$4,912.00	$4,912.00	2024-05-13
33208	CPT	Insertion Of Pacemaker And Upper And Lower Heart Chamber Electrode	26	10	$19,592.50	$5,511.50 72% off	$595.00	$13,560.00	$4,880.50	2024-05-13
33225	CPT	Insertion Of Left Lower Heart Electrode For Pacemaker Or Defibrillator	26	10	$21,464.50	$5,884.00 73% off	$538.00	$13,560.00	$4,827.50	2024-05-13
J9177	HCPCS	Padcev	50	4	$14,045.00	$3,739.00 73% off	$3,203.00	$7,152.00	$4,786.00	2024-05-13
33229	CPT	Removal And Replacement Of Multiple Lead Permanent Pacemaker	26	10	$18,187.00	$4,940.00 73% off	$427.00	$13,560.00	$4,753.00	2024-05-13
33228	CPT	Removal And Replacement Of Dual Lead Permanent Pacemaker	26	10	$18,345.50	$4,982.00 73% off	$404.00	$13,560.00	$4,737.50	2024-05-13
61518	CPT	Crnec Exc Brain Tumor Infratentorial/Post Fossa	13	9	$6,644.00	$3,322.00 50% off	$3,234.00	$4,953.00	$4,582.00	2024-05-13
J9358	HCPCS	Enhertu	25	4	$11,233.00	$2,990.00 73% off	$3,202.00	$4,579.00	$4,579.00	2024-05-13
J9205	HCPCS	Onivyde	25	4	$11,624.00	$3,094.00 73% off	$3,313.00	$4,497.00	$4,497.00	2024-05-13
37220	CPT	Balloon Dilation Of Groin Artery; Initial Vessel	14	10	$4,709.00	$2,355.00 50% off	$772.00	$4,972.00	$4,479.00	2024-05-13
J9304	HCPCS	Pemfexy	25	4	$17,810.00	$4,741.00 73% off	$4,369.00	$5,076.00	$4,369.00	2024-05-13
J7169	HCPCS	Andexxa	18	3	$10,000.00	$2,662.00 73% off	$4,359.00	$4,359.00	$4,359.00	2024-05-13
J1950	HCPCS	Lupron Depot	50	4	$13,722.50	$3,653.00 73% off	$1,955.00	$8,286.00	$4,314.00	2024-05-13
J9145	HCPCS	Daratumumab 20 Mg/ml Intravenous Solution	25	4	$11,765.00	$3,132.00 73% off	$3,353.00	$4,249.00	$4,249.00	2024-05-13
61512	CPT	Crnec Trephine Bone Flap Meningioma Supratentor	13	9	$6,825.00	$3,413.00 50% off	$2,987.00	$4,578.00	$4,240.00	2024-05-13
J0791	HCPCS	Adakveo	25	4	$9,812.00	$2,612.00 73% off	$2,796.00	$4,204.00	$4,204.00	2024-05-13
J9317	HCPCS	Trodelvy	18	3	$9,856.00	$2,624.00 73% off	$4,149.00	$4,149.00	$4,149.00	2024-05-13
J0180	HCPCS	Fabrazyme	54	5	$17,039.00	$4,536.00 73% off	$894.00	$12,874.00	$4,049.00	2024-05-13
J2783	HCPCS	Rasburicase 1.5 Mg Intravenous Solution	50	4	$12,894.00	$3,432.50 73% off	$1,225.00	$9,180.00	$3,980.50	2024-05-13
61322	CPT	Craniect/Craniot W/wo Duraplasty Without Lobectomy	13	9	$6,027.00	$3,014.00 50% off	$2,779.00	$4,256.00	$3,958.00	2024-05-13
J9207	HCPCS	Ixabepilone Injection	54	5	$10,828.00	$2,882.50 73% off	$1,450.00	$9,887.00	$3,823.50	2024-05-13
61595	CPT	Transtemp Appr Post Cran Fossa Dcompr Sinus/Nrv	13	9	$4,988.00	$2,494.00 50% off	$2,676.00	$4,005.00	$3,754.00	2024-05-13
J9176	HCPCS	Elotuzumab 400 Mg Intravenous Solution	54	5	$10,411.50	$2,771.50 73% off	$1,922.00	$4,996.00	$3,747.00	2024-05-13
59510	CPT	OB Antepartum Care Cesarean Dlvr & Postpartum	13	9	$5,235.00	$2,618.00 50% off	$2,708.00	$4,123.00	$3,732.00	2024-05-13
61343	CPT	Crnec Suboccipital Crv Lam Dcmprn Medulla & Cord	13	9	$5,032.00	$2,516.00 50% off	$2,563.00	$3,942.00	$3,647.00	2024-05-13
J3247	HCPCS	Cosentyx	18	3	$8,545.00	$2,275.00 73% off	$3,621.00	$3,621.00	$3,621.00	2024-05-13
61510	CPT	Craniec Trephine Bone Flp Brain Tumor Suprtentor	13	9	$5,775.00	$2,888.00 50% off	$2,559.00	$3,908.00	$3,620.00	2024-05-13
J9303	HCPCS	Panitumumab 100 Mg/5 Ml (20 Mg/ml) Intravenous Solution	54	5	$17,254.00	$4,593.00 73% off	$1,154.00	$10,474.00	$3,616.50	2024-05-13
59610	CPT	Routine OB Care Vag Dlvry & Postpartum Care Vb	13	9	$4,972.00	$2,486.00 50% off	$2,571.00	$3,915.00	$3,541.00	2024-05-13
61312	CPT	Craniectomy Hmtma Supratentorial Extra/Subdural	13	9	$6,602.00	$3,301.00 50% off	$2,426.00	$3,733.00	$3,460.00	2024-05-13
61315	CPT	Craniectomy Hmtma Supratentorial Intracerebral	13	9	$4,758.00	$2,379.00 50% off	$2,412.00	$3,710.00	$3,442.00	2024-05-13
44146	CPT	Colectomy Prtl W/Coloproctostomy & Colostomy	13	9	$4,759.00	$2,380.00 50% off	$2,400.00	$3,592.00	$3,430.00	2024-05-13
63271	CPT	Lam Exc Ispi Les Oth/Thn Neo Idrl Thoracic	13	9	$6,388.00	$3,194.00 50% off	$2,415.00	$3,709.00	$3,417.00	2024-05-13
22864	CPT	Rmvl Tot Disc Arthrp Ant 1 Interspace Cervical	13	9	$4,984.00	$2,492.00 50% off	$2,415.00	$3,449.00	$3,412.00	2024-05-13
J3240	HCPCS	Thyrogen	25	4	$7,909.00	$2,105.00 73% off	$2,254.00	$3,409.00	$3,409.00	2024-05-13
59400	CPT	OB Care Antepartum Vag Dlvr & Postpartum	13	9	$4,831.00	$2,416.00 50% off	$2,431.00	$3,718.00	$3,354.00	2024-05-13
J0349	HCPCS	Rezzayo	18	3	$8,034.00	$2,139.00 73% off	$3,340.00	$3,340.00	$3,340.00	2024-05-13
55874	CPT	Injection Of Biodegradable Material Next To Prostate	3	1	$430.00	$215.00 50% off	$3,322.00	$3,322.00	$3,322.00	2024-05-13
J9312	HCPCS	Rituxan	50	4	$11,274.00	$3,001.00 73% off	$1,071.00	$6,409.00	$3,318.50	2024-05-13
61313	CPT	Craniectomy Hmtma Supratentorial Intracerebral	13	9	$6,103.00	$3,052.00 50% off	$2,312.00	$3,546.00	$3,289.00	2024-05-13
Q5111	HCPCS	Pegfilgrastim-cbqv 6 Mg/0.6 Ml Subcutaneous Syringe	25	4	$23,779.00	$6,330.00 73% off	$3,288.00	$4,760.00	$3,288.00	2024-05-13
37184	CPT	Prim Art M-thrmbc 1st Vsl	14	10	$3,202.00	$1,601.00 50% off	$1,130.00	$3,540.00	$3,273.00	2024-05-13
J9173	HCPCS	Imfinzi	50	4	$10,237.50	$2,725.00 73% off	$1,129.00	$6,755.00	$3,163.50	2024-05-13
61514	CPT	Crnec Trephine Bone Flap Brain Absc Supratentor	13	9	$4,354.00	$2,177.00 50% off	$2,227.00	$3,414.00	$3,156.00	2024-05-13
77301	CPT	High Precision Radiation Therapy Planning	10	1	$13,156.00	$3,502.00 73% off	$3,149.00	$3,149.00	$3,149.00	2024-05-13
37246	CPT	Balloon Dilation Of Artery With Review By Radiologist; Initial Artery	10	8	$3,186.00	$1,593.00 50% off	$2,233.00	$3,136.00	$3,136.00	2024-05-13
J9023	HCPCS	Bavencio	18	3	$7,744.00	$2,062.00 73% off	$3,126.00	$3,126.00	$3,126.00	2024-05-13
J3032	HCPCS	Vyepti	18	3	$7,311.00	$1,946.00 73% off	$3,079.00	$3,079.00	$3,079.00	2024-05-13
27134	CPT	Revj Tot Hip Arthrp Bth W/wo Agrft/Algrft	13	9	$4,864.00	$2,432.00 50% off	$2,162.00	$3,251.00	$3,062.00	2024-05-13
61314	CPT	Craniectomy Hmtma Infratentorial Extra/Subdural	13	9	$5,166.00	$2,583.00 50% off	$2,130.00	$3,273.00	$3,031.00	2024-05-13
22633	CPT	Fusion Of Spine In Lower Back With Partial Removal Of Spine Bone And Disc	13	9	$5,938.00	$2,969.00 50% off	$2,135.00	$3,203.00	$3,020.00	2024-05-13
22319	CPT	Optx&/Rdctj Odntd Fx&/Dislc Ant W/Int Fixj	13	9	$4,407.00	$2,204.00 50% off	$2,125.00	$3,250.00	$3,010.00	2024-05-13
J9035	HCPCS	Avastin	36	3	$7,969.50	$2,121.50 73% off	$1,196.00	$4,782.00	$2,989.00	2024-05-13
33880	CPT	Evasc Rpr Ta Ndgft Cov Lsa	15	10	$3,939.00	$1,970.00 50% off	$1,015.00	$3,217.00	$2,971.00	2024-05-13
63275	CPT	Laminectomy Bx/Exc Ispi Neo Xdrl Cervical	13	9	$4,280.00	$2,140.00 50% off	$2,099.00	$3,210.00	$2,968.00	2024-05-13
44141	CPT	Colectomy Prtl W/Skin Level Cecost/Colostomy	13	9	$4,116.00	$2,058.00 50% off	$2,087.00	$3,103.00	$2,954.00	2024-05-13
44207	CPT	Laps Colectomy Prtl W/Colopxtstmy Lw Anast	13	9	$4,990.00	$2,495.00 50% off	$2,060.00	$3,117.00	$2,951.00	2024-05-13
63276	CPT	Laminectomy Bx/Exc Ispi Neo Xdrl Thoracic	13	9	$8,544.00	$4,272.00 50% off	$2,082.00	$3,178.00	$2,951.00	2024-05-13
A9569	HCPCS	Tc-99m Exametazime Labeled Autologous White Blood Cells	18	3	$2,780.00	$740.00 73% off	$2,947.00	$2,947.00	$2,947.00	2024-05-13
J0717	HCPCS	Cimzia	25	4	$45,754.00	$12,180.00 73% off	$2,944.00	$6,521.00	$2,944.00	2024-05-13
31297	CPT	Nasal/Sinus Ndsc Surg W/Dilation Sphenoid Sinus	13	9	$3,874.00	$1,937.00 50% off	$2,028.00	$3,194.00	$2,938.00	2024-05-13
Q5108	HCPCS	Fulphila	25	4	$8,350.00	$2,223.00 73% off	$2,380.00	$2,926.00	$2,926.00	2024-05-13
88348	CPT	Electron Microscopy For Diagnosis	28	4	$2,055.00	$547.00 73% off	$903.00	$2,912.00	$2,912.00	2024-05-13
88333	CPT	Hc Intraop Cyto Path Consult Init	28	4	$2,055.00	$547.00 73% off	$71.00	$2,912.00	$2,912.00	2024-05-13
63064	CPT	Costovertebral Dcmprn Spinal Cord Thoracic 1 Seg	13	9	$4,168.00	$2,084.00 50% off	$2,065.00	$3,123.00	$2,912.00	2024-05-13
88309	CPT	Hc Gross & Micro Level Vi	28	4	$2,055.00	$547.00 73% off	$644.00	$2,912.00	$2,912.00	2024-05-13
J9227	HCPCS	Sarclisa	50	4	$9,498.00	$2,528.50 73% off	$902.00	$6,434.00	$2,899.50	2024-05-13
44144	CPT	Colectomy Prtl W/Colost/Ileost & Mucofistula	13	9	$3,998.00	$1,999.00 50% off	$2,024.00	$3,018.00	$2,870.00	2024-05-13
35646	CPT	Byp Oth/Thn Vein Aortobifemoral	13	9	$3,790.00	$1,895.00 50% off	$1,980.00	$3,110.00	$2,853.00	2024-05-13
22857	CPT	Total Disc Arthrp Ant Single Interspace Lumbar	13	9	$4,725.00	$2,363.00 50% off	$2,002.00	$3,097.00	$2,843.00	2024-05-13
Q3027	HCPCS	Interferon Beta-1a 30 Mcg/0.5 Ml Intramuscular Syringe Kit	20	4	$33,063.00	$8,801.00 73% off	$1,553.00	$2,828.00	$2,828.00	2024-05-13
J7168	HCPCS	Kcentra	36	3	$8,940.00	$2,380.00 73% off	$1,875.00	$3,750.00	$2,812.50	2024-05-13
27487	CPT	Revj Tot Knee Arthrp Fem&Entire Tibial Compone	13	9	$4,467.00	$2,234.00 50% off	$1,985.00	$2,977.00	$2,802.00	2024-05-13
22551	CPT	Fusion Of Upper Spine Bone With Removal Of Disc And Release Of Spinal Cord Or Ne…	13	9	$5,520.00	$2,760.00 50% off	$1,972.00	$3,012.00	$2,798.00	2024-05-13
36217	CPT	Insertion Of Tube Into Chest Or Arm Artery; Initial Third Order Branch	14	10	$727.00	$364.00 50% off	$584.00	$3,334.00	$2,790.00	2024-05-13
J7187	HCPCS	Antihemophilic Factor-vwf 1,000 Unit-2,400 Unit Intravenous Solution	75	4	$4,752.00	$1,265.00 73% off	$1,094.00	$5,544.00	$2,772.00	2024-05-13
63265	CPT	Lam Exc/Evac Ispi Les Oth/Thn Neo Xdrl Cervical	13	9	$3,962.00	$1,981.00 50% off	$1,941.00	$2,970.00	$2,750.00	2024-05-13
52648	CPT	Complete Laser Vaporization Of Prostate Including Control Of Bleeding Using An E…	13	9	$1,843.00	$922.00 50% off	$1,827.00	$2,808.00	$2,734.00	2024-05-13
44143	CPT	Colectomy Prtl W/End Colostomy & Clsr Dstl Sgmt	13	9	$3,760.00	$1,880.00 50% off	$1,906.00	$2,833.00	$2,698.00	2024-05-13
33363	CPT	Replace Aortic Valve Open	28	11	$33,879.00	$9,019.00 73% off	$918.00	$13,560.00	$2,691.00	2024-05-13
27132	CPT	Conv Prev Hip Tot Hip Arthrp W/wo Agrft/Algrft	13	9	$4,255.00	$2,128.00 50% off	$1,890.00	$2,833.00	$2,668.00	2024-05-13
22856	CPT	Insertion Of Artificial Upper Spine Disc; Anterior Approach	13	9	$7,035.00	$3,518.00 50% off	$1,888.00	$2,912.00	$2,666.00	2024-05-13
75894	CPT	X-rays Transcath Therapy	12	2	$1,862.00	$496.00 73% off	$62.00	$2,657.00	$2,657.00	2024-05-13
J0897	HCPCS	Prolia	63	13	$7,144.00	$1,902.00 73% off	$18.00	$5,297.00	$2,648.00	2024-05-13
J1459	HCPCS	Immune Globulin, Gamm(igg) 10 %-pro-iga (privigen) Intravenous Solution	100	4	$4,800.00	$1,278.00 73% off	$803.00	$8,255.00	$2,638.00	2024-05-13
44603	CPT	Enterorrhaphy Multiple Perforations	13	9	$3,673.00	$1,837.00 50% off	$1,856.00	$2,761.00	$2,637.00	2024-05-13
A9521	HCPCS	Kit For Preparation Of Tc-99m Exametazime (ceretec)	18	3	$2,780.00	$740.00 73% off	$2,635.00	$2,635.00	$2,635.00	2024-05-13
44626	CPT	Clsr Ntrstm Lg/Sm Rescj & Colorectal Anastomosis	13	9	$3,625.00	$1,813.00 50% off	$1,830.00	$2,742.00	$2,606.00	2024-05-13
J0875	HCPCS	Dalvance	18	3	$7,117.00	$1,894.00 73% off	$2,605.00	$2,605.00	$2,605.00	2024-05-13
23473	CPT	Revision Of Total Shoulder Repair	13	9	$4,112.00	$2,056.00 50% off	$1,825.00	$2,747.00	$2,588.00	2024-05-13
22220	CPT	Osteotomy Spine W/Dsc Ant Appr 1 Vrt Sgm Crv	13	9	$3,810.00	$1,905.00 50% off	$1,884.00	$2,802.00	$2,580.00	2024-05-13
49020	CPT	Drainage Periton Abscess/Local Peritonitis Open	13	9	$3,589.00	$1,795.00 50% off	$1,824.00	$2,698.00	$2,577.00	2024-05-13
22612	CPT	Arthrodesis Posterior/Pstlat Tq 1ntrspc Lumbar	13	9	$5,179.00	$2,590.00 50% off	$1,821.00	$2,762.00	$2,572.00	2024-05-13
62010	CPT	Elvtn Deprs Skl Fx W/Rpr Dura&/Dbrdmt Brn	13	9	$3,682.00	$1,841.00 50% off	$1,788.00	$2,732.00	$2,537.00	2024-05-13
J7402	HCPCS	Mometasone 1,350 Mcg Sinus Implant	18	3	$5,897.00	$1,570.00 73% off	$2,529.00	$2,529.00	$2,529.00	2024-05-13
43281	CPT	Laps Rpr Paraesphgl Hrna Incl Fundplsty Without Mesh	13	9	$3,510.00	$1,755.00 50% off	$1,780.00	$2,641.00	$2,514.00	2024-05-13
44204	CPT	Laparoscopy Colectomy Partial W/Anastomosis	13	9	$3,628.00	$1,814.00 50% off	$1,754.00	$2,623.00	$2,494.00	2024-05-13
22558	CPT	Arthrd Ant Interbody Min Dsc Lumbar	13	9	$3,908.00	$1,954.00 50% off	$1,754.00	$2,650.00	$2,489.00	2024-05-13
J7182	HCPCS	Antihemophilic Fviii,b-dom Truncated 1,000 (+/-) Unit Intravenous Soln	162	5	$10,800.00	$2,875.00 73% off	$315.00	$7,382.00	$2,461.00	2024-05-13
J9047	HCPCS	Kyprolis	75	4	$6,550.00	$1,744.00 73% off	$622.00	$4,913.00	$2,457.00	2024-05-13
J9330	HCPCS	Temsirolimus 30 Mg/3 Ml (10 Mg/ml) (first Dilution) Intravenous Soln	100	4	$14,002.00	$3,727.50 73% off	$1,269.00	$7,352.00	$2,455.00	2024-05-13
27138	CPT	Revj Tot Hip Arthrp Fem Only W/wo Algrft	13	9	$7,256.00	$3,628.00 50% off	$1,727.00	$2,591.00	$2,440.00	2024-05-13
22327	CPT	Optx&/Rdctj Vrt Fx&/Dislc Pst 1 Vrt Sgm Th	13	9	$3,915.00	$1,958.00 50% off	$1,740.00	$2,562.00	$2,430.00	2024-05-13
22326	CPT	Optx&/Rdctj Vrt Fx&/Dislc Pst 1 Vrt Sgm Cr	13	9	$3,815.00	$1,908.00 50% off	$1,729.00	$2,596.00	$2,425.00	2024-05-13
63056	CPT	Transpedicular Dcmprn Spinal Cord 1 Seg Lumbar	13	9	$6,525.00	$3,263.00 50% off	$1,717.00	$2,587.00	$2,420.00	2024-05-13
J7210	HCPCS	Antihemophilic Fviii,sgl-chn,b-dom Trunc 1,000(+/-) Unit Range IV Soln	27	5	$7,600.00	$2,023.00 73% off	$1,321.00	$2,410.00	$2,410.00	2024-05-13
15734	CPT	Creation Of Muscle Graft To Trunk	13	9	$3,675.00	$1,838.00 50% off	$1,704.00	$2,491.00	$2,348.00	2024-05-13
19357	CPT	Reconstruction Of Breast Using Tissue Expander	13	9	$4,196.00	$2,098.00 50% off	$1,678.00	$2,506.00	$2,344.00	2024-05-13
34704	CPT	Hc Endovasc Rpr By Aorto-uni-iliac Endograft; For Rupture Inc Occlusion	50	20	$14,454.00	$3,848.00 73% off	$1,412.00	$3,171.00	$2,332.00	2024-05-13
J9179	HCPCS	Eribulin 1 Mg/2 Ml (0.5 Mg/ml) Intravenous Solution	25	4	$5,640.00	$1,501.00 73% off	$1,465.00	$2,331.00	$2,331.00	2024-05-13
22325	CPT	Optx&/Rdctj Vrt Fx&/Dislc Pst 1 Vrt Sgm Lm	13	9	$6,346.00	$3,173.00 50% off	$1,669.00	$2,495.00	$2,323.00	2024-05-13
58563	CPT	Exam Of Uterus With Destruction Of Lining Of Uterus Using An Endoscope	13	9	$5,313.00	$2,657.00 50% off	$2,125.00	$2,568.00	$2,317.00	2024-05-13
23472	CPT	Prosthetic Repair Of Shoulder Joint; Total Shoulder	13	9	$3,660.00	$1,830.00 50% off	$1,635.00	$2,461.00	$2,315.00	2024-05-13
61798	CPT	Stereotactic Radiosurgery 1 Complex Cranial Les	13	9	$6,723.00	$3,362.00 50% off	$1,606.00	$2,432.00	$2,299.00	2024-05-13
J7298	HCPCS	Mirena	21	4	$2,429.00	$647.00 73% off	$954.00	$2,290.00	$2,290.00	2024-05-13
J7296	HCPCS	Kyleena	21	4	$2,429.00	$647.00 73% off	$954.00	$2,290.00	$2,290.00	2024-05-13
61751	CPT	Strtctc Bx Aspir/Exc Burr Icra Lesion W/ct&i/mr	13	9	$6,008.00	$3,004.00 50% off	$1,602.00	$2,443.00	$2,286.00	2024-05-13
44640	CPT	Closure Intestinal Cutaneous Fistula	13	9	$3,165.00	$1,583.00 50% off	$1,599.00	$2,393.00	$2,277.00	2024-05-13
J9349	HCPCS	Monjuvi	18	3	$5,393.00	$1,436.00 73% off	$2,274.00	$2,274.00	$2,274.00	2024-05-13
44202	CPT	Laps Enterect Rescj 1 Small Intest Rescj & Ana	13	9	$3,131.00	$1,566.00 50% off	$1,589.00	$2,363.00	$2,247.00	2024-05-13
J9034	HCPCS	Bendeka	25	4	$9,895.00	$2,634.00 73% off	$2,246.00	$2,821.00	$2,246.00	2024-05-13
63267	CPT	Removal Of Growth Of Lower Spine Bone Outside Spine Membrane	13	9	$5,351.00	$2,676.00 50% off	$1,586.00	$2,430.00	$2,238.00	2024-05-13
27486	CPT	Revj Total Knee Arthrp W/wo Algrft 1 Component	13	9	$5,384.00	$2,692.00 50% off	$1,586.00	$2,373.00	$2,236.00	2024-05-13
33361	CPT	Replace Aortic Valve Perq	15	10	$3,120.00	$1,560.00 50% off	$811.00	$2,377.00	$2,235.00	2024-05-13
J2515	HCPCS	Pentobarbital Sodium 50 Mg/ml Injection Solution	20	4	$5,600.00	$1,491.00 73% off	$290.00	$2,228.00	$2,228.00	2024-05-13
36247	CPT	Insertion Of Tube Into Abdominal; Pelvic; Or Leg Artery; Initial Third Order Bra…	14	10	$3,150.00	$1,575.00 50% off	$573.00	$2,485.00	$2,206.00	2024-05-13
43840	CPT	Gastrorrhaphy Sutr Prf8 Duol/Gstr Ulcer Wnd/Inj	13	9	$3,078.00	$1,539.00 50% off	$1,566.00	$2,314.00	$2,205.00	2024-05-13
36252	CPT	Insertion Of Tube Into First Order Main And Accessory Arteries Of Both Kidneys F…	14	10	$1,050.00	$525.00 50% off	$675.00	$2,420.00	$2,202.00	2024-05-13
PX-45000728	CDM	Hc ER Procedure Level Iii	10	1	$934.00	$249.00 73% off	$2,200.00	$2,200.00	$2,200.00	2024-05-13
12005	CPT	Simple Repair Of Surface Wound Of Scalp; Neck; Underarms; Trunk; Arms; Or Legs; …	13	3	$448.00	$119.00 73% off	$98.00	$2,200.00	$2,200.00	2024-05-13
45999	CPT	Unlisted Procedure Rectum	10	1	$1,722.00	$458.00 73% off	$2,200.00	$2,200.00	$2,200.00	2024-05-13
PX-45000726	CDM	Hc ER Procedure Level I	10	1	$563.00	$150.00 73% off	$2,200.00	$2,200.00	$2,200.00	2024-05-13
36680	CPT	Insertion Of Needle For Infusion Into Bone	12	2	$439.00	$117.00 73% off	$88.00	$2,200.00	$2,200.00	2024-05-13
55100	CPT	Drainage Of Scrotum Abscess	13	3	$3,048.00	$811.00 73% off	$108.00	$2,200.00	$2,200.00	2024-05-13
27810	CPT	Treatment Of Ankle Fracture	13	3	$1,612.00	$429.00 73% off	$297.00	$2,200.00	$2,200.00	2024-05-13
30905	CPT	Control Of Nosebleed	13	3	$342.00	$91.00 73% off	$79.00	$2,200.00	$2,200.00	2024-05-13
PX-45000727	CDM	Hc ER Procedure Level Ii	10	1	$747.00	$199.00 73% off	$2,200.00	$2,200.00	$2,200.00	2024-05-13
PX-45000730	CDM	Hc ER Procedure Level V	10	1	$2,791.00	$743.00 73% off	$2,200.00	$2,200.00	$2,200.00	2024-05-13
27265	CPT	Treat Hip Dislocation	12	2	$464.00	$124.00 73% off	$236.00	$2,200.00	$2,200.00	2024-05-13
43753	CPT	Tx Gastro Intub W/asp	12	2	$857.00	$228.00 73% off	$12.00	$2,200.00	$2,200.00	2024-05-13
37195	CPT	Thrombolytic Therapy Stroke	12	2	$809.00	$215.00 73% off	$460.00	$2,200.00	$2,200.00	2024-05-13
49082	CPT	Drainage Of Fluid From Abdominal Cavity	13	3	$1,521.00	$405.00 73% off	$40.00	$2,200.00	$2,200.00	2024-05-13
27752	CPT	Treatment Of Tibia Fracture	13	3	$1,636.00	$436.00 73% off	$312.00	$2,200.00	$2,200.00	2024-05-13
24600	CPT	Repair Of Dislocated Elbow	13	3	$489.00	$130.00 73% off	$202.00	$2,200.00	$2,200.00	2024-05-13
27840	CPT	Closed Treatment Of Dislocated Ankle	12	2	$473.00	$126.00 73% off	$134.00	$2,200.00	$2,200.00	2024-05-13
13122	CPT	Cmplx Rpr S/a/l Addl 5 Cm/>	11	2	$398.00	$106.00 73% off	$150.00	$2,200.00	$2,200.00	2024-05-13
PX-45000729	CDM	Hc ER Procedure Level IV	10	1	$1,863.00	$496.00 73% off	$2,200.00	$2,200.00	$2,200.00	2024-05-13
12035	CPT	Intmd Rpr S/a/t/ext 12.6-20	13	3	$434.00	$116.00 73% off	$140.00	$2,200.00	$2,200.00	2024-05-13
12034	CPT	Intermediate Repair Of Wound Of Scalp; Underarms; Trunk; Arms; Or Legs; 7.6-12.5…	13	3	$434.00	$116.00 73% off	$104.00	$2,200.00	$2,200.00	2024-05-13
12016	CPT	Rpr Fe/e/en/l/m 12.6-20.0 Cm	17	5	$418.00	$111.00 73% off	$123.00	$2,200.00	$2,200.00	2024-05-13
J9202	HCPCS	Zoladex	50	4	$7,553.00	$2,010.50 73% off	$1,088.00	$3,395.00	$2,198.50	2024-05-13
27280	CPT	Arthrodesis Si Jt Opn W/Obtaining B1 Grf Instrmj	13	9	$3,164.00	$1,582.00 50% off	$1,552.00	$2,195.00	$2,195.00	2024-05-13
77373	CPT	Cranial Lesion Surgery Using Radiation Over Multiple Sessions	10	1	$10,897.00	$2,901.00 73% off	$2,193.00	$2,193.00	$2,193.00	2024-05-13
37617	CPT	Ligation Major Artery Abdomen	13	9	$3,643.00	$1,822.00 50% off	$1,520.00	$2,322.00	$2,188.00	2024-05-13
15738	CPT	Musc Myocutaneous/Fasciocutaneous Flap Lxtr	13	9	$3,675.00	$1,838.00 50% off	$1,455.00	$2,344.00	$2,186.00	2024-05-13
J9264	HCPCS	Abraxane	18	3	$6,042.00	$1,608.00 73% off	$2,185.00	$2,185.00	$2,185.00	2024-05-13
27415	CPT	Osteochondral Allograft Knee Open	13	9	$3,177.00	$1,589.00 50% off	$1,546.00	$2,303.00	$2,182.00	2024-05-13
36223	CPT	Insertion Of Tube Into Intracranial Artery For Diagnosis Or Treatment With Revie…	14	10	$3,342.00	$1,671.00 50% off	$581.00	$2,408.00	$2,180.00	2024-05-13
43820	CPT	Gastrojejunostomy Without Vagotomy	13	9	$2,895.00	$1,448.00 50% off	$1,547.00	$2,284.00	$2,177.00	2024-05-13
44140	CPT	Colectomy Partial W/Anastomosis	13	9	$3,041.00	$1,521.00 50% off	$1,538.00	$2,282.00	$2,175.00	2024-05-13
44205	CPT	Laps Colectomy Prtl W/Rmvl Terminal Ileum	13	9	$4,714.00	$2,357.00 50% off	$1,521.00	$2,280.00	$2,168.00	2024-05-13
J2796	HCPCS	Romiplostim 125 Mcg Subcutaneous Solution	75	4	$5,244.00	$1,396.00 73% off	$1,435.00	$4,159.00	$2,162.00	2024-05-13
27130	CPT	Replacement Of Thigh Bone And Hip Joint With Prosthesis	13	9	$3,428.00	$1,714.00 50% off	$1,530.00	$2,292.00	$2,159.00	2024-05-13
27447	CPT	Replacement Of Knee Joint; Both Sides Of Knee	13	9	$3,425.00	$1,713.00 50% off	$1,528.00	$2,291.00	$2,157.00	2024-05-13
92986	CPT	Revision Of Aortic Valve	15	10	$3,150.00	$1,575.00 50% off	$664.00	$2,298.00	$2,151.00	2024-05-13
81442	CPT	Hc Hras Gene Analysis (Ref Lab)	77	23	$5,360.00	$1,427.00 73% off	$4.00	$8,039.00	$2,144.00	2024-05-13
90375	HCPCS	Rabies Immune Globulin (pf) 300 Unit/ml Intramuscular Solution	40	4	$8,166.00	$2,174.00 73% off	$665.00	$4,758.00	$2,137.50	2024-05-13
J7190	HCPCS	Antihemophilic Factor-vwf Intravenous Solution Wrapper	81	5	$4,752.00	$1,265.00 73% off	$615.00	$4,272.00	$2,136.00	2024-05-13
27506	CPT	Optx Fem Shft Fx W/Insj Imed Implt W/wo Screw	13	9	$3,375.00	$1,688.00 50% off	$1,506.00	$2,248.00	$2,123.00	2024-05-13
22849	CPT	Reinsertion Spinal Fixation Device	13	9	$3,084.00	$1,542.00 50% off	$1,497.00	$2,258.00	$2,106.00	2024-05-13
63045	CPT	Partial Removal Of Spine Bone With Release Of Upper Spinal Cord And/or Nerves; 1…	13	9	$5,670.00	$2,835.00 50% off	$1,488.00	$2,243.00	$2,106.00	2024-05-13
36225	CPT	Insertion Of Tube Into Chest Artery For Diagnosis Or Treatment With Review By Ra…	14	10	$3,045.00	$1,523.00 50% off	$581.00	$2,384.00	$2,100.00	2024-05-13
63042	CPT	Partial Removal Of Spine Bone With Re-exploration; Release Of Lower Spinal Cord …	13	9	$2,966.00	$1,483.00 50% off	$1,489.00	$2,261.00	$2,099.00	2024-05-13
77372	CPT	Complete Single Session Course Of Cranial Lesion Surgery Using Radiation And A M…	10	1	$29,210.00	$7,776.00 73% off	$2,098.00	$2,098.00	$2,098.00	2024-05-13
61154	CPT	Burr Hole W/Evac&/Drg Hematoma Xdrl/Sdrl	13	9	$4,712.00	$2,356.00 50% off	$1,477.00	$2,256.00	$2,093.00	2024-05-13
22600	CPT	Arthrd Pst/Pstlat Tq 1ntrspc Crv Belw C2 Segment	13	9	$3,276.00	$1,638.00 50% off	$1,486.00	$2,244.00	$2,092.00	2024-05-13
Q5123	HCPCS	Rituximab-arrx 10 Mg/ml Intravenous Solution	50	4	$10,710.50	$2,851.00 73% off	$666.00	$4,086.00	$2,074.00	2024-05-13
59515	CPT	Cesarean Delivery Only W/Postpartum Care	13	9	$2,890.00	$1,445.00 50% off	$1,470.00	$2,283.00	$2,059.00	2024-05-13
15736	CPT	Creation Of Muscle Graft To Arm	13	9	$3,675.00	$1,838.00 50% off	$1,371.00	$2,186.00	$2,053.00	2024-05-13
22610	CPT	Arthrodesis Posterior/Pstlat Tq 1ntrspc Thoracic	13	9	$5,576.00	$2,788.00 50% off	$1,456.00	$2,179.00	$2,042.00	2024-05-13
50081	CPT	Removal Or Crushing Kidney Stone Or Insertion Of Kidney Stent Using An Endoscope…	13	9	$5,064.00	$2,532.00 50% off	$1,413.00	$2,054.00	$2,033.00	2024-05-13
63003	CPT	Laminectomy Without Ffd 1/2 Vert Seg Thoracic	13	9	$2,910.00	$1,455.00 50% off	$1,431.00	$2,180.00	$2,032.00	2024-05-13
31627	CPT	Computer-assisted Image-guided Navigation Of Lung Airways Using An Endoscope	13	9	$262.00	$131.00 50% off	$1,385.00	$2,029.00	$2,029.00	2024-05-13
36251	CPT	Insertion Of Tube Into First Order Main And Accessory Arteries Of Kidney For Ima…	14	10	$2,104.00	$1,052.00 50% off	$507.00	$2,218.00	$2,020.00	2024-05-13
44160	CPT	Colectomy Prtl W/Rmvl Terminal Ileum & Ileocolos	13	9	$3,383.00	$1,692.00 50% off	$1,422.00	$2,112.00	$2,012.00	2024-05-13
27724	CPT	Rpr Non/Mal Tibia W/Iliac/Oth Agrft	13	9	$2,915.00	$1,458.00 50% off	$1,420.00	$2,139.00	$2,011.00	2024-05-13
37252	CPT	Ultrasound Evaluation Of Blood Vessel With Review By Radiologist; Initial Vessel	11	9	$2,776.00	$1,388.00 50% off	$227.00	$2,001.00	$2,001.00	2024-05-13
J3425	HCPCS	Hydroxocobalamin 5 Gram Intravenous Solution	18	3	$3,992.00	$1,063.00 73% off	$2,000.00	$2,000.00	$2,000.00	2024-05-13
81408	CPT	Hc Molecular Pathology Procedure Level 9 (Ref Lab)	79	24	$5,000.00	$1,331.00 73% off	$4.00	$7,500.00	$2,000.00	2024-05-13
27445	CPT	Arthroplasty Knee Hinge Prosthesis	13	9	$2,881.00	$1,441.00 50% off	$1,415.00	$2,109.00	$1,990.00	2024-05-13
63046	CPT	Lam Facetectomy & Foramotomy 1 Vrt Sgm Thoracic	13	9	$7,072.00	$3,536.00 50% off	$1,414.00	$2,120.00	$1,987.00	2024-05-13
44120	CPT	Entrc Rescj Small Intestine 1 Rescj & Anast	13	9	$2,770.00	$1,385.00 50% off	$1,405.00	$2,085.00	$1,987.00	2024-05-13
58558	CPT	Biopsy Of Lining Of Uterus And/or Removal Of Polyp Using An Endoscope	13	9	$1,428.00	$714.00 50% off	$648.00	$1,987.00	$1,987.00	2024-05-13
78816	CPT	Nuclear Medicine Study Whole Body With CT Scan	65	13	$6,010.00	$1,600.00 73% off	$64.00	$3,318.00	$1,985.00	2024-05-13
78608	CPT	Hc PET Brain Metabolic Imaging-pi	65	13	$4,610.00	$1,227.00 73% off	$64.00	$3,318.00	$1,985.00	2024-05-13
78815	CPT	Nuclear Medicine Study From Skull Base To Mid-thigh With CT Scan	63	12	$6,500.00	$1,730.00 73% off	$1,512.00	$3,318.00	$1,985.00	2024-05-13
37186	CPT	Secondary Removal And Dissolving Of Blood Clot From Artery Or Artery Graft Using…	16	11	$1,969.00	$985.00 50% off	$143.00	$2,180.00	$1,966.00	2024-05-13
J3262	HCPCS	Actemra	75	4	$5,312.00	$1,414.00 73% off	$606.00	$3,928.00	$1,964.00	2024-05-13

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