Price Transparencybeta 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

GENESIS MEDICAL CENTER, ALEDO

Aledo, IL · CCN 141304 · Rates published

28,102 distinct procedures filed
4 distinct payers
237,433 rate rows
2026-03-31 last MRF observed
Data quality

183,883 of 237,433 rate rows are consumer-grade (77.4%)

53,550 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 37,872
per-diem day rate — not a per-procedure price 12,639
exceeds 10× this hospital's gross charge — excluded from medians 2,136
template filing: same amount across many unrelated codes — excluded 772
percent-of-charges filed in the dollar field — excluded from medians 114
placeholder amount (≤ $0.02) — excluded from medians 17
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://trinityhealth.pt.panaceainc.com/MRFDownload/trinityhealth/genesismedicalcenter
Found on page https://www.mercyone.org/for-patients/billing-and-financial-information/price-estimator
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 56e00793df625499… · 4,859,250 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
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 1 $4,377,500.00 $4,640,150.00 $4,508,825.00 nat. median
$4,505,000
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 1 $3,710,000.00 $3,932,600.00 $3,821,300.00 nat. median
$3,710,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 3 $63,940.38 $4,202,502.50 $3,795,824.67 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 3 $63,940.38 $3,840,514.91 $3,424,309.05 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 1 $3,261,355.00 $3,457,036.30 $3,359,195.65 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 1 $2,950,686.67 $3,127,727.87 $3,039,207.27 nat. median
$3,004,655
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 2 $2,452,115.60 $2,613,492.77 $2,599,242.54 nat. median
$2,468,984
1.1× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 1 $2,332,000.00 $2,471,920.00 $2,401,960.00 nat. median
$2,448,600
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 1 $770,620.00 $816,857.20 $793,738.60 nat. median
$824,563
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 3 $102,175.82 $613,024.05 $587,150.68 nat. median
$753,246
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 3 $102,175.82 $586,581.56 $568,499.35 nat. median
$674,867
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 3 $102,175.82 $573,736.08 $549,327.15 nat. median
$625,184
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 3 $102,175.82 $574,133.80 $543,402.69 nat. median
$673,137
0.8× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 3 $102,175.82 $565,061.07 $530,682.57 nat. median
$634,303
0.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 3 $102,175.82 $519,103.20 $503,288.00 nat. median
$619,808
0.8× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 1 $270,375.00 $286,597.50 $278,486.25 nat. median
$324,450
0.9× median
C9081
HCPCS 		Idecabtagene Car Pos T 1 $102,175.82 $102,175.82 $102,175.82 nat. median
$30,475
outlier · 3.4×
C9076
HCPCS 		Lisocabtagene Car Pos T 1 $102,175.82 $102,175.82 $102,175.82 nat. median
$30,475
outlier · 3.4×
C9073
HCPCS 		Brexucabtagene Autoleucel Ca 1 $102,175.82 $102,175.82 $102,175.82 nat. median
$29,278
outlier · 3.5×
Q2040
HCPCS 		Tisagenlecleucel Car-pos T 1 $102,175.82 $102,175.82 $102,175.82 nat. median
$25,594
outlier · 4.0×
C9098
HCPCS 		Ciltacabtagene Car Pos T 1 $102,175.82 $102,175.82 $102,175.82 nat. median
$57,174
1.8× median
C9031
HCPCS 		Lutetium Lu 177 Dotatate, Tx 1 $96,265.59 $96,265.59 $96,265.59 nat. median
$664
outlier · 145.0×
0459T
HCPCS 		Relocaj Rplcmt Aortic Ventr 1 $84,056.52 $84,056.52 $84,056.52 nat. median
$4,777
outlier · 17.6×
33983
HCPCS 		Replace Vad Intra W/bp 1 $84,056.52 $84,056.52 $84,056.52 nat. median
$4,137
outlier · 20.3×
33982
HCPCS 		Replace Vad Intra Without Bp 1 $84,056.52 $84,056.52 $84,056.52 nat. median
$3,827
outlier · 22.0×
33995
HCPCS 		Insj Perq Vad R Hrt Venous 1 $84,056.52 $84,056.52 $84,056.52 nat. median
$4,085
outlier · 20.6×
0451T
HCPCS 		Insj/rplcmt Aortic Ventr Sys 1 $84,056.52 $84,056.52 $84,056.52 nat. median
$5,906
outlier · 14.2×
33979
HCPCS 		Insert Intracorporeal Device 1 $84,056.52 $84,056.52 $84,056.52 nat. median
$3,859
outlier · 21.8×
0453T
HCPCS 		Insj/rplcmt Mech-elec Ntrfce 1 $84,056.52 $84,056.52 $84,056.52 nat. median
$7,729
outlier · 10.9×
33981
HCPCS 		Replace Vad Pump Ext 1 $84,056.52 $84,056.52 $84,056.52 nat. median
$3,337
outlier · 25.2×
0454T
HCPCS 		Insj/rplcmt Subq Electrode 1 $84,056.52 $84,056.52 $84,056.52 nat. median
$7,729
outlier · 10.9×
0452T
HCPCS 		Insj/rplcmt Dev Vasc Seal 1 $84,056.52 $84,056.52 $84,056.52 nat. median
$5,055
outlier · 16.6×
Q2043
HCPCS 		Sipuleucel-t - Su 4 $63,771.61 $120,328.67 $76,647.72 nat. median
$66,682
1.1× median
J9029
HCPCS 		Instill Adstiladrin, Tx Dose 3 $63,431.05 $73,031.21 $65,588.65 nat. median
$69,774
0.9× median
S2235
HCPCS 		Implant Auditory Brain Imp 1 $64,859.46 $64,859.46 $64,859.46 nat. median
$4,174
outlier · 15.5×
J9376
HCPCS 		Inj Pozelimab-bbfg, 1 Mg 1 $63,940.38 $63,940.38 $63,940.38 nat. median
$121
outlier · 528.1×
Q9995
HCPCS 		Inj. Emicizumab-kxwh, 0.5 Mg 1 $63,940.38 $63,940.38 $63,940.38 nat. median
$16,171
outlier · 4.0×
C9146
HCPCS 		Inj, Elahere, 1 Mg 1 $63,940.38 $63,940.38 $63,940.38 nat. median
$178
outlier · 359.8×
C9149
HCPCS 		Inj, Teplizumab-mzwv, 5 Mcg 1 $63,940.38 $63,940.38 $63,940.38 nat. median
$155
outlier · 412.7×
C9052
HCPCS 		Injection, Ravulizumab-cwv 1 $63,940.38 $63,940.38 $63,940.38 nat. median
$16,171
outlier · 4.0×
C9085
HCPCS 		Inj Avalglucosid Alfa-ngpt 1 $63,940.38 $63,940.38 $63,940.38 nat. median
$15,264
outlier · 4.2×
C1825
HCPCS 		Barostim Neo Ipg System 4 $59,062.50 $131,250.00 $61,687.50 nat. median
$52,021
1.2× median
G0448
HCPCS 		Place Perm Pacing Cardiovert 1 $59,702.18 $59,702.18 $59,702.18 nat. median
$8,132
outlier · 7.3×
C9741
HCPCS 		Impl Pressure Sensor W/angio 1 $59,702.18 $59,702.18 $59,702.18 nat. median
$13,387
outlier · 4.5×
724063-5825433
CDM 		Carmustine 7.7 Mg Wafer 4 $56,142.61 $91,075.79 $58,637.84 nat. median
$58,638
1.0× median
2745419-4840443
CDM 		Valve Sapien 3 Ultra Thv 23mm W Command 4 $54,843.75 $88,968.75 $57,281.25 nat. median
$57,281
1.0× median
2745420-4840444
CDM 		Valve Sapien 3 Ultra Thv 26mm W Command 4 $54,843.75 $88,968.75 $57,281.25 nat. median
$57,281
1.0× median
2748519-5743634
CDM 		Cmd System 20 Valve Sapien 3 4 $54,843.75 $88,968.75 $57,281.25 nat. median
$57,281
1.0× median
2745952-5008381
CDM 		Valve Sapien 3 Thv 29mm W Command System 4 $54,843.75 $88,968.75 $57,281.25 nat. median
$57,281
1.0× median
2748519-6963876
CDM 		Valve Sapien 3 Ultra Thv 20mm 4 $54,843.75 $88,968.75 $57,281.25 nat. median
$57,281
1.0× median

Other procedures at this hospital

Browse this hospital's 28,102 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
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 2 1 — — $4,377,500.00 $4,640,150.00 $4,508,825.00 2026-03-31
J1414 HCPCS Inj, Beqvez, Per Tx Dose 2 1 — — $3,710,000.00 $3,932,600.00 $3,821,300.00 2026-03-31
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 4 3 — — $63,940.38 $4,202,502.50 $3,795,824.67 2026-03-31
J1413 HCPCS Inj Delandistrogene Mox Rokl 4 3 — — $63,940.38 $3,840,514.91 $3,424,309.05 2026-03-31
J3394 HCPCS Inj, Lovotibeglogene Autotem 2 1 — — $3,261,355.00 $3,457,036.30 $3,359,195.65 2026-03-31
J3393 HCPCS Inj, Betibeglogene Autotemce 2 1 — — $2,950,686.67 $3,127,727.87 $3,039,207.27 2026-03-31
J3399 HCPCS Inj Onase Abepar-xioi Treat 3 2 — — $2,452,115.60 $2,613,492.77 $2,599,242.54 2026-03-31
J3392 HCPCS Inj, Exagamglogene Autotem 2 1 — — $2,332,000.00 $2,471,920.00 $2,401,960.00 2026-03-31
Q2057 HCPCS Afamitresgene Autoleucel 2 1 — — $770,620.00 $816,857.20 $793,738.60 2026-03-31
Q2042 HCPCS Tisagenlecleucel Car-pos T 4 3 — — $102,175.82 $613,024.05 $587,150.68 2026-03-31
Q2056 HCPCS Ciltacabtagene Car-pos T 4 3 — — $102,175.82 $586,581.56 $568,499.35 2026-03-31
Q2055 HCPCS Idecabtagene Vicleucel Car 4 3 — — $102,175.82 $573,736.08 $549,327.15 2026-03-31
Q2054 HCPCS Lisocabtagene Mara Car Pos T 4 3 — — $102,175.82 $574,133.80 $543,402.69 2026-03-31
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 4 3 — — $102,175.82 $565,061.07 $530,682.57 2026-03-31
Q2053 HCPCS Brexucabtagene Car Pos T 4 3 — — $102,175.82 $519,103.20 $503,288.00 2026-03-31
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 2 1 — — $270,375.00 $286,597.50 $278,486.25 2026-03-31
Q2040 HCPCS Tisagenlecleucel Car-pos T 1 1 — — $102,175.82 $102,175.82 $102,175.82 2026-03-31
C9098 HCPCS Ciltacabtagene Car Pos T 1 1 — — $102,175.82 $102,175.82 $102,175.82 2026-03-31
C9073 HCPCS Brexucabtagene Autoleucel Ca 1 1 — — $102,175.82 $102,175.82 $102,175.82 2026-03-31
C9076 HCPCS Lisocabtagene Car Pos T 1 1 — — $102,175.82 $102,175.82 $102,175.82 2026-03-31
C9081 HCPCS Idecabtagene Car Pos T 1 1 — — $102,175.82 $102,175.82 $102,175.82 2026-03-31
C9031 HCPCS Lutetium Lu 177 Dotatate, Tx 1 1 — — $96,265.59 $96,265.59 $96,265.59 2026-03-31
0459T HCPCS Relocaj Rplcmt Aortic Ventr 1 1 — — $84,056.52 $84,056.52 $84,056.52 2026-03-31
0453T HCPCS Insj/rplcmt Mech-elec Ntrfce 1 1 — — $84,056.52 $84,056.52 $84,056.52 2026-03-31
33995 HCPCS Insj Perq Vad R Hrt Venous 1 1 — — $84,056.52 $84,056.52 $84,056.52 2026-03-31
33982 HCPCS Replace Vad Intra Without Bp 1 1 — — $84,056.52 $84,056.52 $84,056.52 2026-03-31
33981 HCPCS Replace Vad Pump Ext 1 1 — — $84,056.52 $84,056.52 $84,056.52 2026-03-31
0454T HCPCS Insj/rplcmt Subq Electrode 1 1 — — $84,056.52 $84,056.52 $84,056.52 2026-03-31
33979 HCPCS Insert Intracorporeal Device 1 1 — — $84,056.52 $84,056.52 $84,056.52 2026-03-31
0452T HCPCS Insj/rplcmt Dev Vasc Seal 1 1 — — $84,056.52 $84,056.52 $84,056.52 2026-03-31
0451T HCPCS Insj/rplcmt Aortic Ventr Sys 1 1 — — $84,056.52 $84,056.52 $84,056.52 2026-03-31
33983 HCPCS Replace Vad Intra W/bp 1 1 — — $84,056.52 $84,056.52 $84,056.52 2026-03-31
Q2043 HCPCS Sipuleucel-t - Su 8 4 $164,833.80 $98,900.28 40% off $63,771.61 $120,328.67 $76,647.72 2026-03-31
J9029 HCPCS Instill Adstiladrin, Tx Dose 4 3 — — $63,431.05 $73,031.21 $65,588.65 2026-03-31
S2235 HCPCS Implant Auditory Brain Imp 1 1 — — $64,859.46 $64,859.46 $64,859.46 2026-03-31
Q9995 HCPCS Inj. Emicizumab-kxwh, 0.5 Mg 1 1 — — $63,940.38 $63,940.38 $63,940.38 2026-03-31
C9085 HCPCS Inj Avalglucosid Alfa-ngpt 1 1 — — $63,940.38 $63,940.38 $63,940.38 2026-03-31
J9376 HCPCS Inj Pozelimab-bbfg, 1 Mg 1 1 — — $63,940.38 $63,940.38 $63,940.38 2026-03-31
C9146 HCPCS Inj, Elahere, 1 Mg 1 1 — — $63,940.38 $63,940.38 $63,940.38 2026-03-31
C9149 HCPCS Inj, Teplizumab-mzwv, 5 Mcg 1 1 — — $63,940.38 $63,940.38 $63,940.38 2026-03-31
C9052 HCPCS Injection, Ravulizumab-cwv 1 1 — — $63,940.38 $63,940.38 $63,940.38 2026-03-31
C1825 HCPCS Barostim Neo Ipg System 8 4 $131,250.00 $78,750.00 40% off $59,062.50 $131,250.00 $61,687.50 2026-03-31
C9741 HCPCS Impl Pressure Sensor W/angio 1 1 — — $59,702.18 $59,702.18 $59,702.18 2026-03-31
G0448 HCPCS Place Perm Pacing Cardiovert 1 1 — — $59,702.18 $59,702.18 $59,702.18 2026-03-31
724063-5825433 CDM Carmustine 7.7 Mg Wafer 8 4 $124,761.36 $74,856.82 40% off $56,142.61 $91,075.79 $58,637.84 2026-03-31
2745420-4840444 CDM Valve Sapien 3 Ultra Thv 26mm W Command 8 4 $121,875.00 $73,125.00 40% off $54,843.75 $88,968.75 $57,281.25 2026-03-31
2745952-5008381 CDM Valve Sapien 3 Thv 29mm W Command System 8 4 $121,875.00 $73,125.00 40% off $54,843.75 $88,968.75 $57,281.25 2026-03-31
2745419-4840443 CDM Valve Sapien 3 Ultra Thv 23mm W Command 8 4 $121,875.00 $73,125.00 40% off $54,843.75 $88,968.75 $57,281.25 2026-03-31
2748519-6963876 CDM Valve Sapien 3 Ultra Thv 20mm 8 4 $121,875.00 $73,125.00 40% off $54,843.75 $88,968.75 $57,281.25 2026-03-31
2748519-5743634 CDM Cmd System 20 Valve Sapien 3 8 4 $121,875.00 $73,125.00 40% off $54,843.75 $88,968.75 $57,281.25 2026-03-31
J2351 HCPCS Ocrelizumab-hyaluronidase (920 Mg-23,000 Units/23 Ml) Inj 10 4 $121,933.23 $73,159.94 40% off $47.24 $89,011.26 $56,698.96 2026-03-31
J9347 HCPCS Tremelimumab Actl 300 Mg/15 Ml Inj 10 4 $122,243.75 $73,346.25 40% off $141.17 $89,237.94 $56,232.13 2026-03-31
C1767 HCPCS Generator Barostim Neo2 2014 8 4 $118,125.00 $70,875.00 40% off $53,156.25 $118,125.00 $55,518.75 2026-03-31
0316T HCPCS Replc Vagus Nerve Pls Gen 1 1 — — $51,631.89 $51,631.89 $51,631.89 2026-03-31
61889 HCPCS Ins Sk-mnt Crnl Nstm Pg/rcvr 1 1 — — $51,631.89 $51,631.89 $51,631.89 2026-03-31
0431T HCPCS Rmvl/rplc Nstim Apnea Pls Gn 1 1 — — $51,631.89 $51,631.89 $51,631.89 2026-03-31
0312T HCPCS Laps Impltj Nstim Vagus 1 1 — — $51,631.89 $51,631.89 $51,631.89 2026-03-31
0466T HCPCS Insj Ch Wal Respir Eltrd/ra 1 1 — — $51,631.89 $51,631.89 $51,631.89 2026-03-31
0424T HCPCS Insj/rplc Nstim Apnea Compl 1 1 — — $51,631.89 $51,631.89 $51,631.89 2026-03-31
0427T HCPCS Insj/rplc Nstim Apnea Pls Gn 1 1 — — $51,631.89 $51,631.89 $51,631.89 2026-03-31
61870 HCPCS Implant Neuroelectrodes 1 1 — — $51,631.89 $51,631.89 $51,631.89 2026-03-31
L7180 HCPCS Electronic Elbow Sequential 1 1 — — $51,183.29 $51,183.29 $51,183.29 2026-03-31
33276 HCPCS Insj Phrnc Nrv Stim Sys 4 3 — — $45,000.50 $51,750.58 $49,666.21 2026-03-31
J9226 HCPCS Supprelin La Implant 5 3 — — $22,415.84 $63,940.38 $48,294.01 2026-03-31
0745T HCPCS Car Ablt Rad Arr N-invas Loc 1 1 — — $45,327.70 $45,327.70 $45,327.70 2026-03-31
0747T HCPCS Car Ablt Rad Arrhyt Dlvr Rad 1 1 — — $45,327.70 $45,327.70 $45,327.70 2026-03-31
0746T HCPCS Car Ablt Rad Arr Cnv Loc Map 1 1 — — $45,327.70 $45,327.70 $45,327.70 2026-03-31
2746447-5334485 CDM Catheter Impella Cp 8 4 $93,750.00 $56,250.00 40% off $42,187.50 $68,437.50 $44,062.50 2026-03-31
2746447-6961740 CDM Set Pump Impella Cp 8 4 $93,750.00 $56,250.00 40% off $42,187.50 $68,437.50 $44,062.50 2026-03-31
2749271-6969735 CDM Impella Rp W Smart Assist 8 4 $93,750.00 $56,250.00 40% off $42,187.50 $68,437.50 $44,062.50 2026-03-31
2749271-5810165 CDM Catheter Impella Rp 8 4 $93,750.00 $56,250.00 40% off $42,187.50 $68,437.50 $44,062.50 2026-03-31
E0194NU HCPCS Air Fluidized Bed 1 1 — — $43,977.21 $43,977.21 $43,977.21 2026-03-31
E0194 HCPCS Air Fluidized Bed 1 1 — — $43,977.21 $43,977.21 $43,977.21 2026-03-31
33513 HCPCS CABG/vein Only/4 Cor Venous Gfts 33513 1 1 $8,072.00 $4,843.20 40% off $42,879.09 $42,879.09 $42,879.09 2026-03-31
33512 HCPCS CABG/vein Only/3 Cor Venous Gfts 33512 1 1 $7,865.00 $4,719.00 40% off $42,879.09 $42,879.09 $42,879.09 2026-03-31
33510 HCPCS CABGsingle Coronary Venous Graft 33510 1 1 $6,312.00 $3,787.20 40% off $42,879.09 $42,879.09 $42,879.09 2026-03-31
33509 HCPCS Ndsc Hrv Uxtr Art 1 Sgm Cab 1 1 — — $42,879.09 $42,879.09 $42,879.09 2026-03-31
33536 HCPCS Cabg Arterial Four Or More 33536 1 1 $9,489.00 $5,693.40 40% off $42,879.09 $42,879.09 $42,879.09 2026-03-31
33511 HCPCS CABG/vein Only/2 Cor Venous Gfts 33511 1 1 $6,929.00 $4,157.40 40% off $42,879.09 $42,879.09 $42,879.09 2026-03-31
33534 HCPCS Cabg 2 Arterial Grafts 33534 1 1 $7,173.00 $4,303.80 40% off $42,879.09 $42,879.09 $42,879.09 2026-03-31
33535 HCPCS Cabg 3 Arterial Grafts 33535 1 1 $7,992.00 $4,795.20 40% off $42,879.09 $42,879.09 $42,879.09 2026-03-31
33533 HCPCS CABGsingle Artery Graft 33533 1 1 $6,910.00 $4,146.00 40% off $42,879.09 $42,879.09 $42,879.09 2026-03-31
C2624 HCPCS Sensor Cardiomems 8 4 $88,125.00 $52,875.00 40% off $39,656.25 $88,125.00 $41,418.75 2026-03-31
34843 HCPCS Endovasc Visc Aorta 3 Graft 1 1 — — $41,273.13 $41,273.13 $41,273.13 2026-03-31
34711 HCPCS Dlyd Plmt Xtn Prosth Ea Addl 1 1 — — $41,273.13 $41,273.13 $41,273.13 2026-03-31
33895 HCPCS Evasc St Rpr Thrc/aa X Crsg 1 1 — — $41,273.13 $41,273.13 $41,273.13 2026-03-31
34847 HCPCS Visc & Infraren Abd 3 Prosth 1 1 — — $41,273.13 $41,273.13 $41,273.13 2026-03-31
34842 HCPCS Endovasc Visc Aorta 2 Graft 1 1 — — $41,273.13 $41,273.13 $41,273.13 2026-03-31
33894 HCPCS Evasc St Rpr Thrc/aa Acrs Br 1 1 — — $41,273.13 $41,273.13 $41,273.13 2026-03-31
34846 HCPCS Visc & Infraren Abd 2 Prosth 1 1 — — $41,273.13 $41,273.13 $41,273.13 2026-03-31
33880 HCPCS Descend Thora Aorta Rpr/lt Sub Art 33880 1 1 $5,945.00 $3,567.00 40% off $41,273.13 $41,273.13 $41,273.13 2026-03-31
34706 HCPCS Evasc Rpr A-biiliac Rpt 34706 1 1 $5,783.00 $3,469.80 40% off $41,273.13 $41,273.13 $41,273.13 2026-03-31
34707 HCPCS Evasc Rpr Ilio-iliac Ndgft 1 1 — — $41,273.13 $41,273.13 $41,273.13 2026-03-31
34708 HCPCS Evasc Rpr Ilio-iliac Rpt 1 1 — — $41,273.13 $41,273.13 $41,273.13 2026-03-31
0254T HCPCS Evasc Rpr Iliac Art Bifur 1 1 — — $41,273.13 $41,273.13 $41,273.13 2026-03-31
33881 HCPCS Des Thora Aorta Rpr Without Lt Sub Art 33881 1 1 $5,119.00 $3,071.40 40% off $41,273.13 $41,273.13 $41,273.13 2026-03-31
34841 HCPCS Endovasc Visc Aorta 1 Graft 1 1 — — $41,273.13 $41,273.13 $41,273.13 2026-03-31
34702 HCPCS Evasc Rpr A-ao Ndgft Rpt 34702 1 1 $4,687.00 $2,812.20 40% off $41,273.13 $41,273.13 $41,273.13 2026-03-31
34704 HCPCS Evasc Rpr A-unilac Ndgft Rpt 1 1 — — $41,273.13 $41,273.13 $41,273.13 2026-03-31
34844 HCPCS Endovasc Visc Aorta 4 Graft 1 1 — — $41,273.13 $41,273.13 $41,273.13 2026-03-31
34848 HCPCS Visc & Infraren Abd 4+ Prost 1 1 — — $41,273.13 $41,273.13 $41,273.13 2026-03-31
34845 HCPCS Visc & Infraren Abd 1 Prosth 1 1 — — $41,273.13 $41,273.13 $41,273.13 2026-03-31
J7330 HCPCS Cultured Chondrocytes Implnt 1 1 — — $40,658.87 $40,658.87 $40,658.87 2026-03-31
S2206 HCPCS Minimally Invasive Direct Co 1 1 — — $38,865.97 $38,865.97 $38,865.97 2026-03-31
0544T HCPCS Tcat Mv Annulus Rcnstj 1 1 — — $38,865.97 $38,865.97 $38,865.97 2026-03-31
S2208 HCPCS Minimally Invasive Direct Co 1 1 — — $38,865.97 $38,865.97 $38,865.97 2026-03-31
S2209 HCPCS Minimally Invasive Direct Co 1 1 — — $38,865.97 $38,865.97 $38,865.97 2026-03-31
33741 HCPCS Tas Congenital Car Anomal 1 1 — — $38,865.97 $38,865.97 $38,865.97 2026-03-31
0543T HCPCS Ta Mv Rpr W/artif Chord Tend 1 1 — — $38,865.97 $38,865.97 $38,865.97 2026-03-31
33745 HCPCS Tis Cgen Car Anomal 1st Shnt 1 1 — — $38,865.97 $38,865.97 $38,865.97 2026-03-31
33746 HCPCS Tis Cgen Car Anomal Ea Addl 1 1 — — $38,865.97 $38,865.97 $38,865.97 2026-03-31
0570T HCPCS Ttvr Perq Ea Addl Prosth 1 1 — — $38,865.97 $38,865.97 $38,865.97 2026-03-31
0484T HCPCS Tmvi Transthoracic Exposure 1 1 — — $38,865.97 $38,865.97 $38,865.97 2026-03-31
33418 HCPCS Repair Tcat Mitral Valve Initial 33418 1 1 $6,701.00 $4,020.60 40% off $38,865.97 $38,865.97 $38,865.97 2026-03-31
0569T HCPCS Ttvr Perq Appr 1st Prosth 1 1 — — $38,865.97 $38,865.97 $38,865.97 2026-03-31
0805T HCPCS Tcat S&ivc Prstc Vl Impl Prq 1 1 — — $38,865.97 $38,865.97 $38,865.97 2026-03-31
0613T HCPCS Perq Tcat Intratrl Septl Sht 1 1 — — $38,865.97 $38,865.97 $38,865.97 2026-03-31
33366 HCPCS Trans Cath Replace Aortic Valve 33366 1 1 $6,799.00 $4,079.40 40% off $38,865.97 $38,865.97 $38,865.97 2026-03-31
33365 HCPCS Replace Aortic Valve Open Transaortic 33365 1 1 $6,280.00 $3,768.00 40% off $38,865.97 $38,865.97 $38,865.97 2026-03-31
0545T HCPCS Tcat Tv Annulus Rcnstj 1 1 — — $38,865.97 $38,865.97 $38,865.97 2026-03-31
33362 HCPCS Replace Aortic Valve Open Femoral 33362 1 1 $5,231.00 $3,138.60 40% off $38,865.97 $38,865.97 $38,865.97 2026-03-31
33363 HCPCS Replace Aortic Valve Open Axillry 33363 1 1 $5,414.00 $3,248.40 40% off $38,865.97 $38,865.97 $38,865.97 2026-03-31
0646T HCPCS Ttvi/rplcmt W/prstc Vlv Perq 1 1 — — $38,865.97 $38,865.97 $38,865.97 2026-03-31
0345T HCPCS Transcath Mtral Vlve Repair 1 1 — — $38,865.97 $38,865.97 $38,865.97 2026-03-31
33364 HCPCS Replace Aortic Valve Open Iliac 33364 1 1 $5,695.00 $3,417.00 40% off $38,865.97 $38,865.97 $38,865.97 2026-03-31
0806T HCPCS Tcat S&ivc Prstc Vl Impl Opn 1 1 — — $38,865.97 $38,865.97 $38,865.97 2026-03-31
33269 HCPCS Excl Laa Thrscp Any Method 1 1 — — $38,865.97 $38,865.97 $38,865.97 2026-03-31
0643T HCPCS Tcat L Ventr Rstrj Dev Implt 1 1 — — $38,865.97 $38,865.97 $38,865.97 2026-03-31
S2207 HCPCS Minimally Invasive Direct Co 1 1 — — $38,865.97 $38,865.97 $38,865.97 2026-03-31
S2205 HCPCS Minimally Invasive Direct Co 1 1 — — $38,865.97 $38,865.97 $38,865.97 2026-03-31
0483T HCPCS Tmvi Percutaneous Approach 1 1 — — $38,865.97 $38,865.97 $38,865.97 2026-03-31
J9359 HCPCS Loncastuximab Tesirine 10 Mg Inj 10 4 $83,674.75 $50,204.85 40% off $216.74 $61,082.57 $38,490.39 2026-03-31
E0194UE HCPCS Air Fluidized Bed 1 1 — — $38,229.63 $38,229.63 $38,229.63 2026-03-31
61640 HCPCS Dilate Ic Vasospasm Init 1 1 — — $36,979.55 $36,979.55 $36,979.55 2026-03-31
61641 HCPCS Dilat Ic Vspsm Ea Vsl Sm Ter 1 1 — — $36,979.55 $36,979.55 $36,979.55 2026-03-31
61642 HCPCS Dilat Ic Vspsm Ea Diff Ter 1 1 — — $36,979.55 $36,979.55 $36,979.55 2026-03-31
2737657-3038906 CDM Catheter Impella 2.5 8 4 $75,000.00 $45,000.00 40% off $33,750.00 $54,750.00 $35,250.00 2026-03-31
2737657-6950088 CDM Set Pump Impella 2.5 Aic 8 4 $75,000.00 $45,000.00 40% off $33,750.00 $54,750.00 $35,250.00 2026-03-31
38240 HCPCS Transplt Allo Hct/donor 6 3 — — $314.00 $62,690.87 $35,138.92 2026-03-31
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 4 3 — — $32,061.58 $59,702.18 $35,016.57 2026-03-31
713337-421298 CDM Ribavirin For Inhalation 6 Gm 8 4 $73,702.00 $44,221.20 40% off $33,165.90 $53,802.46 $34,639.94 2026-03-31
S2061 HCPCS Donor Lobectomy (lung) 1 1 — — $34,381.80 $34,381.80 $34,381.80 2026-03-31
S2060 HCPCS Lobar Lung Transplantation 1 1 — — $34,381.80 $34,381.80 $34,381.80 2026-03-31
32850 HCPCS Donor Pneumonectomy 1 1 — — $34,381.80 $34,381.80 $34,381.80 2026-03-31
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 4 3 — — $29,258.85 $37,100.53 $33,313.04 2026-03-31
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 4 3 — — $30,473.59 $51,631.89 $33,163.12 2026-03-31
0268T HCPCS Implt/rpl Crtd Sns Dev Gen 4 3 — — $30,473.59 $51,631.89 $33,163.12 2026-03-31
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 4 3 — — $30,473.59 $51,631.89 $33,163.12 2026-03-31
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 2 1 — — $32,061.58 $33,985.27 $33,023.43 2026-03-31
0408T HCPCS Insj/rplc Cardiac Modulj Sys 4 3 — — $21,087.52 $36,047.88 $33,023.43 2026-03-31
33231 HCPCS Insrt Pulse Gen W/mult Leads 6 3 — — $1,140.93 $59,702.18 $33,023.43 2026-03-31
33249 HCPCS Insj/rplcmt Defib W/lead(s) 6 3 — — $2,331.00 $59,702.18 $33,023.43 2026-03-31
69930 HCPCS Implant Cochlear Device 6 3 — — $2,985.75 $64,859.46 $32,762.06 2026-03-31
64568 HCPCS Opn Impltj Crnl Nrv Nea&pg 6 3 — — $1,294.00 $51,631.89 $31,387.80 2026-03-31
61886 HCPCS Implant Neurostim Arrays 6 3 — — $1,486.00 $51,631.89 $31,387.80 2026-03-31
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 4 3 — — $28,428.33 $59,702.18 $30,990.18 2026-03-31
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 3 2 — — $16,612.91 $32,302.01 $30,473.59 2026-03-31
C9760 HCPCS Non-blind Interatrial Shunt 4 3 — — $27,500.50 $38,865.97 $30,388.06 2026-03-31
C1882 HCPCS Defib Inogen Crt-d G141 72 4 $57,844.00 $34,706.40 40% off $23,758.20 $70,875.00 $30,371.89 2026-03-31
0809T HCPCS Arthrd Si Jt Prq Tfx&implt 1 1 — — $30,077.22 $30,077.22 $30,077.22 2026-03-31
2752892-6225577 CDM Watchman Laa Device Procedure 8 4 $63,750.00 $38,250.00 40% off $28,687.50 $46,537.50 $29,962.50 2026-03-31
2752892-6950388 CDM Device Watchman Llc Bundle 8 4 $63,750.00 $38,250.00 40% off $28,687.50 $46,537.50 $29,962.50 2026-03-31
J9266 HCPCS Pegaspargase 750 I-units/ml Inj 5 Ml 18 4 $39,824.08 $23,894.45 40% off $4,104.40 $57,835.95 $29,360.13 2026-03-31
0076T HCPCS S&i Stent/chest Vert Art 1 1 — — $29,258.85 $29,258.85 $29,258.85 2026-03-31
37222 HCPCS Iliac Revasc Add-on 37222 1 1 $2,959.00 $1,775.40 40% off $29,258.85 $29,258.85 $29,258.85 2026-03-31
0238T HCPCS Trluml Perip Athrc Iliac Art 0238t 1 1 $34,384.00 $20,630.40 40% off $29,258.85 $29,258.85 $29,258.85 2026-03-31
0553T HCPCS Perq Tcat Iliac Anast Implt 1 1 — — $29,258.85 $29,258.85 $29,258.85 2026-03-31
C7534 HCPCS Fem/pop Revasc W/arthr & US 1 1 — — $29,258.85 $29,258.85 $29,258.85 2026-03-31
C7535 HCPCS Fem/pop Revasc W/stent & US 1 1 — — $29,258.85 $29,258.85 $29,258.85 2026-03-31
S2095 HCPCS Transcath Emboliz Microspher 1 1 — — $29,258.85 $29,258.85 $29,258.85 2026-03-31
C7515 HCPCS Cath/angio Dial Cir W/embol 1 1 — — $29,258.85 $29,258.85 $29,258.85 2026-03-31
C7530 HCPCS Cath/aplasty Dial Cir W/stnt 1 1 — — $29,258.85 $29,258.85 $29,258.85 2026-03-31
C7514 HCPCS Cath/angio Dial Cir W/stents 1 1 — — $29,258.85 $29,258.85 $29,258.85 2026-03-31
37239 HCPCS Open/Perq Place Stent Ea Ddd 37239 1 1 $6,572.00 $3,943.20 40% off $29,258.85 $29,258.85 $29,258.85 2026-03-31
37232 HCPCS Angioplasty Tib/pero/unilat/ea Add 37232 1 1 $3,962.00 $2,377.20 40% off $29,258.85 $29,258.85 $29,258.85 2026-03-31
37186 HCPCS Sec Art Thrombectomy Add-on 37186 1 1 $4,353.00 $2,611.80 40% off $29,258.85 $29,258.85 $29,258.85 2026-03-31
37223 HCPCS Stent Iliac/open/perc/ea Ad/ipsila 37223 1 1 $3,964.00 $2,378.40 40% off $29,258.85 $29,258.85 $29,258.85 2026-03-31
A9543 HCPCS Nm Zevalin, Therapeutic 9 4 $50,129.00 $30,077.40 40% off $23,059.34 $96,265.59 $29,074.82 2026-03-31
J2350 HCPCS Ocrelizumab 30 Mg/ml Inj 10 Ml 11 4 $60,952.81 $36,571.69 40% off $59.70 $63,940.38 $28,038.29 2026-03-31
724063-520849 CDM Carmustine 7.7 Mg Wafer 8 4 $57,296.47 $34,377.88 40% off $25,783.41 $41,826.42 $26,929.34 2026-03-31
L8614 HCPCS Cochlear Device 1 1 — — $26,872.86 $26,872.86 $26,872.86 2026-03-31
C1722 HCPCS Defib Inogen Vr Df4 D140 48 4 $44,299.00 $26,579.40 40% off $16,007.85 $75,000.00 $25,830.85 2026-03-31
J9600 HCPCS Porfimer Sodium Injection 5 3 — — $4,296.01 $63,940.38 $25,682.13 2026-03-31
2736944-2815626 CDM Stent Thoracic 40mmx15cm 8 4 $53,907.00 $32,344.20 40% off $24,258.15 $39,352.11 $25,336.29 2026-03-31
2736935-2815617 CDM Stent Thoracic 28mmx10cm 8 4 $53,907.00 $32,344.20 40% off $24,258.15 $39,352.11 $25,336.29 2026-03-31
2736941-2815623 CDM Stent Thoracic 37mmx10cm 8 4 $53,907.00 $32,344.20 40% off $24,258.15 $39,352.11 $25,336.29 2026-03-31
2736942-2815624 CDM Stent Thoracic 37mmx15cm 8 4 $53,907.00 $32,344.20 40% off $24,258.15 $39,352.11 $25,336.29 2026-03-31
2736943-2815625 CDM Stent Thoracic 40mmx10cm 8 4 $53,907.00 $32,344.20 40% off $24,258.15 $39,352.11 $25,336.29 2026-03-31
2736938-2815620 CDM Stent Thoracic 31mmx15cm 8 4 $53,907.00 $32,344.20 40% off $24,258.15 $39,352.11 $25,336.29 2026-03-31
2736939-2815621 CDM Stent Thoracic 34mmx10cm 8 4 $53,907.00 $32,344.20 40% off $24,258.15 $39,352.11 $25,336.29 2026-03-31
2736936-2815618 CDM Stent Thoracic 28mmx15cm 8 4 $53,907.00 $32,344.20 40% off $24,258.15 $39,352.11 $25,336.29 2026-03-31
2736940-2815622 CDM Stent Thoracic 34mmx15cm 8 4 $53,907.00 $32,344.20 40% off $24,258.15 $39,352.11 $25,336.29 2026-03-31
2736937-2815619 CDM Stent Thoracic 31mmx10cm 8 4 $53,907.00 $32,344.20 40% off $24,258.15 $39,352.11 $25,336.29 2026-03-31
93654 HCPCS Compre Ep Eval Tx Vt 6 3 — — $2,555.54 $45,327.70 $25,268.27 2026-03-31
93656 HCPCS Compre Ep Eval Abltj Atr Fib 6 3 — — $2,556.51 $45,327.70 $25,268.27 2026-03-31
93653 HCPCS Compre Ep Eval Tx Svt 6 3 — — $1,914.89 $45,327.70 $25,268.27 2026-03-31
27130 HCPCS Total Hip Arthroplasty 27130 1 1 $2,953.00 $1,771.80 40% off $25,130.60 $25,130.60 $25,130.60 2026-03-31
27447 HCPCS Revision Of Thigh Muscles 27447 1 1 $2,950.00 $1,770.00 40% off $25,130.60 $25,130.60 $25,130.60 2026-03-31
27487 HCPCS Revise/replace Knee Joint 27487 1 1 $4,023.00 $2,413.80 40% off $25,130.60 $25,130.60 $25,130.60 2026-03-31
27134 HCPCS Revise Hip Joint Replacement 27134 1 1 $4,367.00 $2,620.20 40% off $25,130.60 $25,130.60 $25,130.60 2026-03-31
27486 HCPCS Revise/replace Knee Joint 1 1 $3,229.00 $1,937.40 40% off $25,130.60 $25,130.60 $25,130.60 2026-03-31
J3357 HCPCS Ustekinumab 45 Mg/0.5 Ml Inj 17 4 $64,541.35 $38,724.81 40% off $171.22 $62,820.23 $24,956.00 2026-03-31
0414T HCPCS Rmvl & Rpl Car Modulj Pls Gn 4 3 — — $22,446.19 $59,702.18 $24,810.21 2026-03-31
0409T HCPCS Insj/rplc Car Modulj Pls Gn 4 3 — — $22,446.19 $59,702.18 $24,810.21 2026-03-31
0614T HCPCS Rmvl&rplcmt Ss Impl Dfb Pg 4 3 — — $22,446.19 $59,702.18 $24,810.21 2026-03-31
2747714-5427000 CDM Catheter Cardiohelp Set 7.0 8 4 $51,679.00 $31,007.40 40% off $23,255.55 $37,725.67 $24,289.13 2026-03-31
L6975 HCPCS Interscap-thor Myoelectronic 1 1 — — $24,108.29 $24,108.29 $24,108.29 2026-03-31
C1721 HCPCS Defib Lumax 740 Hf-t 365608 48 4 $51,188.00 $30,712.80 40% off $18,441.00 $62,625.00 $24,058.36 2026-03-31
J7310 HCPCS Ganciclovir Long Act Implant 1 1 — — $24,025.63 $24,025.63 $24,025.63 2026-03-31
69710 HCPCS Implant/replace Hearing Aid 1 1 — — $23,416.15 $23,416.15 $23,416.15 2026-03-31
69715 HCPCS Temple Bne Implnt W/stimulat 1 1 — — $23,416.15 $23,416.15 $23,416.15 2026-03-31
69718 HCPCS Revise Temple Bone Implant 1 1 — — $23,416.15 $23,416.15 $23,416.15 2026-03-31
0817T HCPCS Opn Insj/rplcmt Ins Ptn Subf 4 3 — — $21,444.39 $51,631.89 $23,350.16 2026-03-31
0816T HCPCS Opn Insj/rplcmt Ins Ptn Subq 4 3 — — $21,444.39 $51,631.89 $23,350.16 2026-03-31
0960T HCPCS Rpl S-sclp Eltr Ra Rcvr&tlmt 2 1 — — $22,500.50 $23,850.53 $23,175.51 2026-03-31
0956T HCPCS Prt Crn Ch Cr&tun Elt S-sclp 2 1 — — $22,500.50 $23,850.53 $23,175.51 2026-03-31
0916T HCPCS Insj Perm Ccm-d Sys Pg Only 2 1 — — $22,446.19 $23,792.96 $23,119.57 2026-03-31
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 6 3 — — $1,101.00 $59,702.18 $23,119.57 2026-03-31
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 6 3 — — $1,059.00 $59,702.18 $23,119.57 2026-03-31
0515T HCPCS Insj Wcs Lv Compl Sys 4 3 — — $21,087.52 $25,827.45 $23,119.57 2026-03-31
33230 HCPCS Insrt Pulse Gen W/dual Leads 6 3 — — $1,099.00 $59,702.18 $23,119.57 2026-03-31
33240 HCPCS Insrt Pulse Gen W/singl Lead 6 3 — — $1,315.97 $59,702.18 $23,119.57 2026-03-31
0923T HCPCS Rmvl&rplcmt Perm Ccm-d Pg 2 1 — — $22,446.19 $23,792.96 $23,119.57 2026-03-31
33897 HCPCS Perq Trluml Angp Nt/recr Coa 1 1 — — $22,769.26 $22,769.26 $22,769.26 2026-03-31
33904 HCPCS Perq P-art Revsc Each Addl 1 1 — — $22,769.26 $22,769.26 $22,769.26 2026-03-31
92938 HCPCS Prq Revasc Byp Graft Addl 1 1 — — $22,769.26 $22,769.26 $22,769.26 2026-03-31
0659T HCPCS Tcat Intra-c Nfs Supersat O2 1 1 — — $22,769.26 $22,769.26 $22,769.26 2026-03-31
0715T HCPCS Perq Trluml Coronry Lithotrp 1 1 — — $22,769.26 $22,769.26 $22,769.26 2026-03-31
92944 HCPCS Prq Card Revasc Chronic Addl 1 1 — — $22,769.26 $22,769.26 $22,769.26 2026-03-31
C9601 HCPCS Perc Drug-el Cor Stent Bran 1 1 — — $22,769.26 $22,769.26 $22,769.26 2026-03-31
92934 HCPCS Prq Card Stent/ath/angio 1 1 — — $22,769.26 $22,769.26 $22,769.26 2026-03-31
C9606 HCPCS Perc D-e Cor Revasc W Ami S 1 1 — — $22,769.26 $22,769.26 $22,769.26 2026-03-31
C7533 HCPCS Ptca With Plcmt Brachytx Dev 1 1 — — $22,769.26 $22,769.26 $22,769.26 2026-03-31
92929 HCPCS Prq Card Stent W/angio Addl 1 1 — — $22,769.26 $22,769.26 $22,769.26 2026-03-31
C7532 HCPCS Angio With US Non-coronary 1 1 — — $22,769.26 $22,769.26 $22,769.26 2026-03-31
92925 HCPCS Prq Card Angio/athrect Addl 1 1 — — $22,769.26 $22,769.26 $22,769.26 2026-03-31
92993 HCPCS Revision Of Heart Chamber 1 1 — — $22,769.26 $22,769.26 $22,769.26 2026-03-31
C9603 HCPCS Perc D-e Cor Stent Ather Br 1 1 — — $22,769.26 $22,769.26 $22,769.26 2026-03-31
92992 HCPCS Revision Of Heart Chamber 1 1 — — $22,769.26 $22,769.26 $22,769.26 2026-03-31
92972 HCPCS Perq Trluml Coronry Lithotrp 1 1 — — $22,769.26 $22,769.26 $22,769.26 2026-03-31
92986 HCPCS Perc Valvuloplasty; Aortic Valve 92986 1 1 $4,652.00 $2,791.20 40% off $22,769.26 $22,769.26 $22,769.26 2026-03-31
92921 HCPCS Prq Cardiac Angio Addl Art 1 1 — — $22,769.26 $22,769.26 $22,769.26 2026-03-31
92987 HCPCS Perc Valvuloplasty/mitral Valve 92987 1 1 $4,820.00 $2,892.00 40% off $22,769.26 $22,769.26 $22,769.26 2026-03-31
C9605 HCPCS Perc D-e Cor Revasc T Cabg B 1 1 — — $22,769.26 $22,769.26 $22,769.26 2026-03-31
C9608 HCPCS Perc D-e Cor Revasc Chro Add 1 1 — — $22,769.26 $22,769.26 $22,769.26 2026-03-31
64590 HCPCS Ins/rpl Prph Sac/gstr Npg/r 6 3 — — $470.77 $51,631.89 $22,087.72 2026-03-31
64580 HCPCS Opn Impltj Nea Neuromuscular 6 3 — — $797.95 $51,631.89 $22,087.72 2026-03-31
63655 HCPCS Implant Neuroelectrodes 6 3 — — $1,837.00 $51,631.89 $22,087.72 2026-03-31
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 4 3 — — $16,612.91 $23,969.27 $22,087.72 2026-03-31
61885 HCPCS Insrt/redo Neurostim 1 Array 6 3 — — $1,076.68 $51,631.89 $22,087.72 2026-03-31
J9334 HCPCS Efgartigimod Alfa-hyaluronidase Qvfc 1008 Mg Inj 11 4 $47,513.83 $28,508.30 40% off $33.74 $34,685.10 $21,856.36 2026-03-31
0680T HCPCS Insj/rplcmt Pg Only Isdss 3 2 — — $16,612.91 $22,731.05 $21,444.39 2026-03-31
L6970 HCPCS Interscapular-thor Switch CT 1 1 — — $21,382.99 $21,382.99 $21,382.99 2026-03-31
3400126-521509 CDM Nm I 131 Tositumomab, Therapeudic 8 4 $45,467.00 $27,280.20 40% off $20,460.15 $33,190.91 $21,369.49 2026-03-31
33955 HCPCS Ecmo/ecls Insj Cent Cannula 0-5yrs 33955 1 1 $3,247.00 $1,948.20 40% off $21,203.94 $21,203.94 $21,203.94 2026-03-31
33956 HCPCS Ecmo/ecls Insj Cent Cannula 6yrs&older 33956 1 1 $3,091.00 $1,854.60 40% off $21,203.94 $21,203.94 $21,203.94 2026-03-31
33988 HCPCS Insertion Of Left Heart Vent For Ecmo/ecls 33988 1 1 $2,851.00 $1,710.60 40% off $21,203.94 $21,203.94 $21,203.94 2026-03-31
C9750 HCPCS Ins/rem-replace Compl Iims 1 1 — — $21,087.52 $21,087.52 $21,087.52 2026-03-31
0387T HCPCS Leadless C Pm Ins/rpl Ventr 1 1 — — $21,087.52 $21,087.52 $21,087.52 2026-03-31
C7540 HCPCS Rmv&rplc Pm Dul W/l Vnt Lead 1 1 — — $21,087.52 $21,087.52 $21,087.52 2026-03-31
C7539 HCPCS Insrt A & V Pm W/l Vent Lead 1 1 — — $21,087.52 $21,087.52 $21,087.52 2026-03-31
C7537 HCPCS Insrt Atril Pm W/l Vent Lead 1 1 — — $21,087.52 $21,087.52 $21,087.52 2026-03-31
C7538 HCPCS Insrt Vent Pm W/l Vent Lead 1 1 — — $21,087.52 $21,087.52 $21,087.52 2026-03-31
33208 HCPCS Insert New Or Repl Ppm W/a&v Leads 33208 1 1 $2,115.00 $1,269.00 40% off $21,087.52 $21,087.52 $21,087.52 2026-03-31
33203 HCPCS Insert Epicard Eltrd Endo 33203 1 1 $2,607.00 $1,564.20 40% off $21,087.52 $21,087.52 $21,087.52 2026-03-31
33282 HCPCS Implant Pat-active Ht Record 1 1 — — $21,087.52 $21,087.52 $21,087.52 2026-03-31
J9298 HCPCS Nivolumab-relatlimab Rmbw 240 Mg-80 Mg/20 Ml 11 4 $45,594.66 $27,356.80 40% off $197.65 $63,940.38 $20,973.54 2026-03-31
54416 HCPCS Remv/repl Penis Contain Pros 6 3 — — $1,784.00 $36,214.62 $20,732.42 2026-03-31
54405 HCPCS Insert Multi-comp Penis Pros 6 3 — — $2,200.54 $36,214.62 $20,732.42 2026-03-31
54401 HCPCS Insert Self-contd Prosthesis 6 3 — — $1,768.00 $36,214.62 $20,732.42 2026-03-31
54410 HCPCS Remove/replace Penis Prosth 6 3 — — $2,309.77 $36,214.62 $20,732.42 2026-03-31
54411 HCPCS Remov/replc Penis Pros Comp 6 3 — — $2,510.99 $36,214.62 $20,732.42 2026-03-31
0796T HCPCS Tcat Ins 2chmbr Ldls Pm Ra 4 3 — — $19,071.16 $21,350.15 $20,651.47 2026-03-31
0825T HCPCS Tcat Rmv&rpl1chmb Ldls Pm Ra 4 3 — — $19,071.16 $21,350.15 $20,651.47 2026-03-31
0801T HCPCS Tcat Rmv&rpl 2chmbr Ldls Pm 4 3 — — $19,071.16 $21,350.15 $20,651.47 2026-03-31
0797T HCPCS Tcat Ins 2chmbr Ldls Pm Rv 4 3 — — $19,071.16 $21,350.15 $20,651.47 2026-03-31
0795T HCPCS Tcat Ins 2chmbr Ldls Pm Cmpl 4 3 — — $19,071.16 $21,350.15 $20,651.47 2026-03-31
0802T HCPCS Tcat Rmv&rpl2chmb Ldls Pm Ra 4 3 — — $19,071.16 $21,350.15 $20,651.47 2026-03-31
33274 HCPCS Tcat Insj/rpl Perm Ldls Pm 4 3 — — $19,071.16 $21,350.15 $20,651.47 2026-03-31
0803T HCPCS Tcat Rmv&rpl2chmb Ldls Pm Rv 4 3 — — $19,071.16 $21,350.15 $20,651.47 2026-03-31
0823T HCPCS Tcat Ins 1chmbr Ldls Pm Ra 4 3 — — $19,071.16 $21,350.15 $20,651.47 2026-03-31
J2327 HCPCS Risankizumab 150 mg/mL So 14 4 $48,755.57 $29,253.34 40% off $17.25 $48,235.52 $20,589.97 2026-03-31
27647 HCPCS Resect Talus/calcaneus Tum 27647 1 1 $2,364.00 $1,418.40 40% off $20,521.92 $20,521.92 $20,521.92 2026-03-31
27880 HCPCS Amputation Leg Thr Tib/Fib 27880 1 1 $2,960.00 $1,776.00 40% off $20,521.92 $20,521.92 $20,521.92 2026-03-31
27870 HCPCS Fusion Of Ankle Joint Open 1 1 $2,344.00 $1,406.40 40% off $20,521.92 $20,521.92 $20,521.92 2026-03-31
27715 HCPCS Lengthening Or Shortening - Tibia And Fibula 27715 1 1 $2,474.00 $1,484.40 40% off $20,521.92 $20,521.92 $20,521.92 2026-03-31
S2065 HCPCS Simult Panc Kidn Trans 1 1 — — $20,435.78 $20,435.78 $20,435.78 2026-03-31
50300 HCPCS Remove Cadaver Donor Kidney 1 1 — — $20,435.78 $20,435.78 $20,435.78 2026-03-31
L6965 HCPCS Shldr Disartic Myoelectronic 1 1 — — $20,344.59 $20,344.59 $20,344.59 2026-03-31
J9118 HCPCS Inj. Calaspargase Pegol-mknl 1 1 — — $20,303.97 $20,303.97 $20,303.97 2026-03-31
C9091 HCPCS Sirolimus, Protein-bound,1mg 1 1 — — $20,303.97 $20,303.97 $20,303.97 2026-03-31
C9080 HCPCS Inj, Melphalan Flufen, 1 Mg 1 1 — — $20,303.97 $20,303.97 $20,303.97 2026-03-31
C9069 HCPCS Belantamab Mafodontin-blmf 1 1 — — $20,303.97 $20,303.97 $20,303.97 2026-03-31
C9082 HCPCS Inj Dostarlimab-gxly, 100 Mg 1 1 — — $20,303.97 $20,303.97 $20,303.97 2026-03-31
C9024 HCPCS Inj, Daunorubicin-cytarabine 1 1 — — $20,303.97 $20,303.97 $20,303.97 2026-03-31
C9028 HCPCS Inj. Inotuzumab Ozogamicin 1 1 — — $20,303.97 $20,303.97 $20,303.97 2026-03-31
C9029 HCPCS Injection, Guselkumab 1 1 — — $20,303.97 $20,303.97 $20,303.97 2026-03-31
C9050 HCPCS Injection, Emapalumab-lzsg 1 1 — — $20,303.97 $20,303.97 $20,303.97 2026-03-31
C9038 HCPCS Inj Mogamulizumab-kpkc 1 1 — — $20,303.97 $20,303.97 $20,303.97 2026-03-31
J9345 HCPCS Retifanlimab Dlwr 500 Mg/20 Ml Inj 11 4 $43,590.34 $26,154.20 40% off $29.98 $31,820.95 $20,051.56 2026-03-31
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