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

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You selected 27447 (HCPCS)

Revision of thigh muscles 27447

This hospital’s price: $25,131 across 1 payer

Source: https://trinityhealth.pt.panaceainc.com/MRFDownload/trinityhealth/genesismedicalcenter · observed 2026-03-31

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.

28,097 distinct procedures filed
4 distinct payers
237,433 rate rows
2026-03-31 last MRF observed
Data quality

183,876 of 237,433 rate rows are consumer-grade (77.4%)

53,557 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 37,114
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-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 759
percent-of-charges filed in the dollar field — excluded from medians 114
placeholder amount (≤ $0.02) — excluded from medians 17
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 6
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 · 2026-08-14
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
$3,324,572
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
$2,997,086
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
$2,460,273
1.1× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 1 $2,332,000.00 $2,471,920.00 $2,401,960.00 nat. median
$2,405,851
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 1 $770,620.00 $816,857.20 $793,738.60 nat. median
$809,151
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 3 $102,175.82 $613,024.05 $587,150.68 nat. median
$691,418
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 3 $102,175.82 $586,581.56 $568,499.35 nat. median
$631,793
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 3 $102,175.82 $573,736.08 $549,327.15 nat. median
$610,161
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 3 $102,175.82 $574,133.80 $543,402.69 nat. median
$624,417
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 3 $102,175.82 $565,061.07 $530,682.57 nat. median
$588,565
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 3 $102,175.82 $519,103.20 $503,288.00 nat. median
$577,541
0.9× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 1 $270,375.00 $286,597.50 $278,486.25 nat. median
$302,242
0.9× median
C9073
HCPCS 		Brexucabtagene Autoleucel Ca 1 $102,175.82 $102,175.82 $102,175.82 nat. median
$27,071
outlier · 3.8×
C9076
HCPCS 		Lisocabtagene Car Pos T 1 $102,175.82 $102,175.82 $102,175.82 nat. median
$27,935
outlier · 3.7×
C9098
HCPCS 		Ciltacabtagene Car Pos T 1 $102,175.82 $102,175.82 $102,175.82 nat. median
$30,221
outlier · 3.4×
Q2040
HCPCS 		Tisagenlecleucel Car-pos T 1 $102,175.82 $102,175.82 $102,175.82 nat. median
$10,345
outlier · 9.9×
C9081
HCPCS 		Idecabtagene Car Pos T 1 $102,175.82 $102,175.82 $102,175.82 nat. median
$27,427
outlier · 3.7×
C9031
HCPCS 		Lutetium Lu 177 Dotatate, Tx 1 $96,265.59 $96,265.59 $96,265.59 nat. median
$524
outlier · 183.8×
33982
HCPCS 		Replace Vad Intra Without Bp 1 $84,056.52 $84,056.52 $84,056.52 nat. median
$4,133
outlier · 20.3×
0451T
OTHER 		Insj/rplcmt Aortic Ventr Sys 1 $84,056.52 $84,056.52 $84,056.52 nat. median
$12,234
outlier · 6.9×
0454T
OTHER 		Insj/rplcmt Subq Electrode 1 $84,056.52 $84,056.52 $84,056.52 nat. median
$11,403
outlier · 7.4×
33981
HCPCS 		Replace Vad Pump Ext 1 $84,056.52 $84,056.52 $84,056.52 nat. median
$3,542
outlier · 23.7×
0459T
OTHER 		Relocaj Rplcmt Aortic Ventr 1 $84,056.52 $84,056.52 $84,056.52 nat. median
$12,234
outlier · 6.9×
33979
HCPCS 		Insert Intracorporeal Device 1 $84,056.52 $84,056.52 $84,056.52 nat. median
$4,160
outlier · 20.2×
33983
HCPCS 		Replace Vad Intra W/bp 1 $84,056.52 $84,056.52 $84,056.52 nat. median
$4,386
outlier · 19.2×
0453T
OTHER 		Insj/rplcmt Mech-elec Ntrfce 1 $84,056.52 $84,056.52 $84,056.52 nat. median
$11,403
outlier · 7.4×
33995
HCPCS 		Insj Perq Vad R Hrt Venous 1 $84,056.52 $84,056.52 $84,056.52 nat. median
$3,805
outlier · 22.1×
0452T
OTHER 		Insj/rplcmt Dev Vasc Seal 1 $84,056.52 $84,056.52 $84,056.52 nat. median
$12,234
outlier · 6.9×
Q2043
HCPCS 		Sipuleucel-t - Su 4 $63,771.61 $120,328.67 $76,647.72 nat. median
$65,655
1.2× median
J9029
HCPCS 		Instill Adstiladrin, Tx Dose 3 $63,431.05 $73,031.21 $65,588.65 nat. median
$69,291
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×
C9149
HCPCS 		Inj, Teplizumab-mzwv, 5 Mcg 1 $63,940.38 $63,940.38 $63,940.38 nat. median
$64
outlier · 998.1×
Q9995
HCPCS 		Inj. Emicizumab-kxwh, 0.5 Mg 1 $63,940.38 $63,940.38 $63,940.38 nat. median
$12,268
outlier · 5.2×
C9146
HCPCS 		Inj, Elahere, 1 Mg 1 $63,940.38 $63,940.38 $63,940.38 nat. median
$105
outlier · 607.7×
C9085
HCPCS 		Inj Avalglucosid Alfa-ngpt 1 $63,940.38 $63,940.38 $63,940.38 nat. median
$264
outlier · 242.0×
J9376
HCPCS 		Inj Pozelimab-bbfg, 1 Mg 1 $63,940.38 $63,940.38 $63,940.38 nat. median
$109
outlier · 586.3×
C9052
HCPCS 		Injection, Ravulizumab-cwv 1 $63,940.38 $63,940.38 $63,940.38 nat. median
$15,401
outlier · 4.2×
C1825
HCPCS 		Barostim Neo Ipg System 4 $59,062.50 $131,250.00 $61,687.50 nat. median
$53,130
1.2× median
C9741
HCPCS 		Impl Pressure Sensor W/angio 1 $59,702.18 $59,702.18 $59,702.18 nat. median
$12,184
outlier · 4.9×
G0448
HCPCS 		Place Perm Pacing Cardiovert 1 $59,702.18 $59,702.18 $59,702.18 nat. median
$8,162
outlier · 7.3×
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 28,097 published procedures. Use the slice to choose what to show, then sort or filter any column.

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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
C9098 HCPCS Ciltacabtagene Car Pos T 1 1 — — $102,175.82 $102,175.82 $102,175.82 2026-03-31
Q2040 HCPCS Tisagenlecleucel 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
C9076 HCPCS Lisocabtagene 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
C9031 HCPCS Lutetium Lu 177 Dotatate, Tx 1 1 — — $96,265.59 $96,265.59 $96,265.59 2026-03-31
33979 HCPCS Insert Intracorporeal Device 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
33981 HCPCS Replace Vad Pump Ext 1 1 — — $84,056.52 $84,056.52 $84,056.52 2026-03-31
0454T OTHER Insj/rplcmt Subq Electrode 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
33995 HCPCS Insj Perq Vad R Hrt Venous 1 1 — — $84,056.52 $84,056.52 $84,056.52 2026-03-31
0451T OTHER Insj/rplcmt Aortic Ventr Sys 1 1 — — $84,056.52 $84,056.52 $84,056.52 2026-03-31
0459T OTHER Relocaj Rplcmt Aortic Ventr 1 1 — — $84,056.52 $84,056.52 $84,056.52 2026-03-31
0453T OTHER Insj/rplcmt Mech-elec Ntrfce 1 1 — — $84,056.52 $84,056.52 $84,056.52 2026-03-31
0452T OTHER Insj/rplcmt Dev Vasc Seal 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
C9146 HCPCS Inj, Elahere, 1 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
Q9995 HCPCS Inj. Emicizumab-kxwh, 0.5 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
J9376 HCPCS Inj Pozelimab-bbfg, 1 Mg 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
G0448 HCPCS Place Perm Pacing Cardiovert 1 1 — — $59,702.18 $59,702.18 $59,702.18 2026-03-31
C9741 HCPCS Impl Pressure Sensor W/angio 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
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
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
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
0312T OTHER Laps Impltj Nstim Vagus 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
61870 HCPCS Implant Neuroelectrodes 1 1 — — $51,631.89 $51,631.89 $51,631.89 2026-03-31
0316T OTHER Replc Vagus Nerve Pls Gen 1 1 — — $51,631.89 $51,631.89 $51,631.89 2026-03-31
0466T OTHER Insj Ch Wal Respir Eltrd/ra 1 1 — — $51,631.89 $51,631.89 $51,631.89 2026-03-31
0424T OTHER Insj/rplc Nstim Apnea Compl 1 1 — — $51,631.89 $51,631.89 $51,631.89 2026-03-31
0427T OTHER Insj/rplc Nstim Apnea Pls Gn 1 1 — — $51,631.89 $51,631.89 $51,631.89 2026-03-31
0431T OTHER Rmvl/rplc Nstim Apnea Pls Gn 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
0746T OTHER Car Ablt Rad Arr Cnv Loc Map 1 1 — — $45,327.70 $45,327.70 $45,327.70 2026-03-31
0747T OTHER Car Ablt Rad Arrhyt Dlvr Rad 1 1 — — $45,327.70 $45,327.70 $45,327.70 2026-03-31
0745T OTHER Car Ablt Rad Arr N-invas Loc 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
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
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
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
E0194 HCPCS Air Fluidized Bed 1 1 — — $43,977.21 $43,977.21 $43,977.21 2026-03-31
E0194NU OTHER 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
33509 HCPCS Ndsc Hrv Uxtr Art 1 Sgm Cab 1 1 — — $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
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
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
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
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
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
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
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
0254T OTHER Evasc Rpr Iliac Art Bifur 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
34847 HCPCS Visc & Infraren Abd 3 Prosth 1 1 — — $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
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
33894 HCPCS Evasc St Rpr Thrc/aa Acrs Br 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
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
34842 HCPCS Endovasc Visc Aorta 2 Graft 1 1 — — $41,273.13 $41,273.13 $41,273.13 2026-03-31
34843 HCPCS Endovasc Visc Aorta 3 Graft 1 1 — — $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
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
34845 HCPCS Visc & Infraren Abd 1 Prosth 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
34846 HCPCS Visc & Infraren Abd 2 Prosth 1 1 — — $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
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
34711 HCPCS Dlyd Plmt Xtn Prosth Ea Addl 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
0544T OTHER Tcat Mv Annulus Rcnstj 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
0646T OTHER Ttvi/rplcmt W/prstc Vlv Perq 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
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
0806T OTHER Tcat S&ivc Prstc Vl Impl Opn 1 1 — — $38,865.97 $38,865.97 $38,865.97 2026-03-31
0545T OTHER Tcat Tv Annulus Rcnstj 1 1 — — $38,865.97 $38,865.97 $38,865.97 2026-03-31
S2206 HCPCS Minimally Invasive Direct Co 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
S2207 HCPCS Minimally Invasive Direct Co 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
0643T OTHER Tcat L Ventr Rstrj Dev Implt 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
0805T OTHER Tcat S&ivc Prstc Vl Impl Prq 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
0543T OTHER Ta Mv Rpr W/artif Chord Tend 1 1 — — $38,865.97 $38,865.97 $38,865.97 2026-03-31
0570T OTHER Ttvr Perq Ea Addl Prosth 1 1 — — $38,865.97 $38,865.97 $38,865.97 2026-03-31
0345T OTHER Transcath Mtral Vlve Repair 1 1 — — $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
0613T OTHER Perq Tcat Intratrl Septl Sht 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
0483T OTHER Tmvi Percutaneous Approach 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
0484T OTHER Tmvi Transthoracic Exposure 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
0569T OTHER Ttvr Perq Appr 1st Prosth 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
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
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 OTHER 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 OTHER 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 OTHER Evasc Ven Artlz Tibl/prnl Vn 4 3 — — $29,258.85 $37,100.53 $33,313.04 2026-03-31
0268T OTHER Implt/rpl Crtd Sns Dev Gen 4 3 — — $30,473.59 $51,631.89 $33,163.12 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
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 4 3 — — $30,473.59 $51,631.89 $33,163.12 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
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 2 1 — — $32,061.58 $33,985.27 $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
0408T OTHER Insj/rplc Cardiac Modulj Sys 4 3 — — $21,087.52 $36,047.88 $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 OTHER 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 OTHER Arthrd Si Jt Prq Tfx&implt 1 1 — — $30,077.22 $30,077.22 $30,077.22 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
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
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
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
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
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
0553T OTHER Perq Tcat Iliac Anast Implt 1 1 — — $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
0076T OTHER S&i Stent/chest Vert Art 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
C7534 HCPCS Fem/pop Revasc W/arthr & US 1 1 — — $29,258.85 $29,258.85 $29,258.85 2026-03-31
0238T OTHER 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
C7535 HCPCS Fem/pop Revasc W/stent & US 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
C7515 HCPCS Cath/angio Dial Cir W/embol 1 1 — — $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
S2095 HCPCS Transcath Emboliz Microspher 1 1 — — $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
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
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
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
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
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
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
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
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
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
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
93653 HCPCS Compre Ep Eval Tx Svt 6 3 — — $1,914.89 $45,327.70 $25,268.27 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
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
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
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
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
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
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
0409T OTHER Insj/rplc Car Modulj Pls Gn 4 3 — — $22,446.19 $59,702.18 $24,810.21 2026-03-31
0414T OTHER Rmvl & Rpl Car Modulj Pls Gn 4 3 — — $22,446.19 $59,702.18 $24,810.21 2026-03-31
0614T OTHER 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
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
69710 HCPCS Implant/replace Hearing Aid 1 1 — — $23,416.15 $23,416.15 $23,416.15 2026-03-31
0816T OTHER Opn Insj/rplcmt Ins Ptn Subq 4 3 — — $21,444.39 $51,631.89 $23,350.16 2026-03-31
0817T OTHER Opn Insj/rplcmt Ins Ptn Subf 4 3 — — $21,444.39 $51,631.89 $23,350.16 2026-03-31
0956T OTHER Prt Crn Ch Cr&tun Elt S-sclp 2 1 — — $22,500.50 $23,850.53 $23,175.51 2026-03-31
0960T OTHER Rpl S-sclp Eltr Ra Rcvr&tlmt 2 1 — — $22,500.50 $23,850.53 $23,175.51 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
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 6 3 — — $1,059.00 $59,702.18 $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
33230 HCPCS Insrt Pulse Gen W/dual Leads 6 3 — — $1,099.00 $59,702.18 $23,119.57 2026-03-31
0916T OTHER Insj Perm Ccm-d Sys Pg Only 2 1 — — $22,446.19 $23,792.96 $23,119.57 2026-03-31
0515T OTHER Insj Wcs Lv Compl Sys 4 3 — — $21,087.52 $25,827.45 $23,119.57 2026-03-31
0923T OTHER Rmvl&rplcmt Perm Ccm-d Pg 2 1 — — $22,446.19 $23,792.96 $23,119.57 2026-03-31
92934 HCPCS Prq Card Stent/ath/angio 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
92929 HCPCS Prq Card Stent W/angio Addl 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
C9608 HCPCS Perc D-e Cor Revasc Chro Add 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
92972 HCPCS Perq Trluml Coronry Lithotrp 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
C9601 HCPCS Perc Drug-el Cor Stent Bran 1 1 — — $22,769.26 $22,769.26 $22,769.26 2026-03-31
0715T OTHER Perq Trluml Coronry Lithotrp 1 1 — — $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
C7532 HCPCS Angio With US Non-coronary 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
C9605 HCPCS Perc D-e Cor Revasc T Cabg B 1 1 — — $22,769.26 $22,769.26 $22,769.26 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
92993 HCPCS Revision Of Heart Chamber 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
33904 HCPCS Perq P-art Revsc Each Addl 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
92925 HCPCS Prq Card Angio/athrect Addl 1 1 — — $22,769.26 $22,769.26 $22,769.26 2026-03-31
0659T OTHER Tcat Intra-c Nfs Supersat O2 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
64580 HCPCS Opn Impltj Nea Neuromuscular 6 3 — — $797.95 $51,631.89 $22,087.72 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
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 OTHER 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
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
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
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
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
C9750 HCPCS Ins/rem-replace Compl Iims 1 1 — — $21,087.52 $21,087.52 $21,087.52 2026-03-31
0387T OTHER 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
33282 HCPCS Implant Pat-active Ht Record 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
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
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
54401 HCPCS Insert Self-contd Prosthesis 6 3 — — $1,768.00 $36,214.62 $20,732.42 2026-03-31
0795T OTHER Tcat Ins 2chmbr Ldls Pm Cmpl 4 3 — — $19,071.16 $21,350.15 $20,651.47 2026-03-31
0801T OTHER Tcat Rmv&rpl 2chmbr Ldls Pm 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
0796T OTHER Tcat Ins 2chmbr Ldls Pm Ra 4 3 — — $19,071.16 $21,350.15 $20,651.47 2026-03-31
0797T OTHER Tcat Ins 2chmbr Ldls Pm Rv 4 3 — — $19,071.16 $21,350.15 $20,651.47 2026-03-31
0803T OTHER Tcat Rmv&rpl2chmb Ldls Pm Rv 4 3 — — $19,071.16 $21,350.15 $20,651.47 2026-03-31
0823T OTHER Tcat Ins 1chmbr Ldls Pm Ra 4 3 — — $19,071.16 $21,350.15 $20,651.47 2026-03-31
0825T OTHER Tcat Rmv&rpl1chmb Ldls Pm Ra 4 3 — — $19,071.16 $21,350.15 $20,651.47 2026-03-31
0802T OTHER Tcat Rmv&rpl2chmb 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
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
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
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
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
C9038 HCPCS Inj Mogamulizumab-kpkc 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
C9050 HCPCS Injection, Emapalumab-lzsg 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
J9118 HCPCS Inj. Calaspargase Pegol-mknl 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
C9091 HCPCS Sirolimus, Protein-bound,1mg 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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