|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
3
|
3
|
$92,897.07
|
$55,738.24
40% off
|
$92,897.07
|
$99,885.81
|
$92,897.07
|
2025-11-18
|
|
486
|
MS_DRG
|
Knee Procedures With Principal Diagnosis Of Infection With Cc
|
7
|
7
|
$39,428.26
|
$23,656.96
40% off
|
$36,671.01
|
$82,952.26
|
$81,646.54
|
2025-11-18
|
|
371
|
MS_DRG
|
Major Gastrointestinal Disorders And Peritoneal Infections With Mcc
|
7
|
7
|
$26,628.04
|
$15,976.82
40% off
|
$26,357.35
|
$63,456.04
|
$62,351.20
|
2025-11-18
|
|
393
|
MS_DRG
|
Other Digestive System Diagnoses With Mcc
|
7
|
7
|
$27,364.37
|
$16,418.62
40% off
|
$26,907.46
|
$60,844.37
|
$59,839.97
|
2025-11-18
|
|
560
|
MS_DRG
|
Aftercare, Musculoskeletal System And Connective Tissue With Cc
|
8
|
8
|
$22,018.44
|
$13,211.06
40% off
|
$22,018.44
|
$65,542.44
|
$58,487.08
|
2025-11-18
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
3
|
3
|
$58,311.67
|
$34,987.00
40% off
|
$58,311.67
|
$117,430.30
|
$58,311.67
|
2025-11-18
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
3
|
3
|
$57,600.36
|
$34,560.22
40% off
|
$57,600.36
|
$76,559.61
|
$57,600.36
|
2025-11-18
|
|
521
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc
|
3
|
3
|
$54,354.49
|
$32,612.69
40% off
|
$54,354.49
|
$54,440.71
|
$54,354.49
|
2025-11-18
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
7
|
7
|
$24,038.59
|
$14,423.15
40% off
|
$24,038.59
|
$61,852.44
|
$50,822.59
|
2025-11-18
|
|
540
|
MS_DRG
|
Osteomyelitis With Cc
|
8
|
8
|
$19,940.95
|
$11,964.57
40% off
|
$19,276.05
|
$56,768.95
|
$50,799.03
|
2025-11-18
|
|
559
|
MS_DRG
|
Aftercare, Musculoskeletal System And Connective Tissue With Mcc
|
8
|
8
|
$19,276.57
|
$11,565.94
40% off
|
$19,276.57
|
$52,756.57
|
$47,329.37
|
2025-11-18
|
|
549
|
MS_DRG
|
Septic Arthritis With Cc
|
8
|
8
|
$18,512.01
|
$11,107.21
40% off
|
$15,942.15
|
$51,992.01
|
$46,564.81
|
2025-11-18
|
|
872
|
MS_DRG
|
Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc
|
7
|
7
|
$22,411.83
|
$13,447.10
40% off
|
$14,701.63
|
$45,847.83
|
$45,144.75
|
2025-11-18
|
|
592
|
MS_DRG
|
Skin Ulcers With Mcc
|
8
|
8
|
$19,030.77
|
$11,418.46
40% off
|
$18,467.49
|
$49,162.77
|
$44,278.29
|
2025-11-18
|
|
244
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant Without Cc/mcc
|
7
|
7
|
$21,515.66
|
$12,909.40
40% off
|
$21,515.66
|
$44,951.66
|
$44,248.58
|
2025-11-18
|
|
871
|
MS_DRG
|
Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc
|
7
|
7
|
$20,876.11
|
$12,525.67
40% off
|
$20,876.11
|
$44,312.11
|
$43,609.03
|
2025-11-18
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
3
|
3
|
$41,778.63
|
$25,067.18
40% off
|
$41,778.63
|
$61,900.44
|
$41,778.63
|
2025-11-18
|
|
548
|
MS_DRG
|
Septic Arthritis With Mcc
|
7
|
7
|
$17,133.95
|
$10,280.37
40% off
|
$17,133.95
|
$40,569.95
|
$39,866.87
|
2025-11-18
|
|
480
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Mcc
|
3
|
3
|
$39,209.02
|
$23,525.41
40% off
|
$39,209.02
|
$51,512.94
|
$39,209.02
|
2025-11-18
|
|
682
|
MS_DRG
|
Renal Failure With Mcc
|
7
|
7
|
$19,153.44
|
$11,492.06
40% off
|
$19,153.44
|
$39,241.44
|
$38,638.80
|
2025-11-18
|
|
543
|
MS_DRG
|
Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With…
|
7
|
7
|
$19,144.06
|
$11,486.43
40% off
|
$19,144.06
|
$39,232.06
|
$38,629.42
|
2025-11-18
|
|
289
|
MS_DRG
|
Acute And Subacute Endocarditis With Cc
|
7
|
7
|
$15,190.85
|
$9,114.51
40% off
|
$15,190.85
|
$38,626.85
|
$37,923.77
|
2025-11-18
|
|
689
|
MS_DRG
|
Kidney And Urinary Tract Infections With Mcc
|
7
|
7
|
$18,433.38
|
$11,060.03
40% off
|
$16,713.78
|
$38,521.38
|
$37,918.74
|
2025-11-18
|
|
481
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Cc
|
3
|
3
|
$56,905.73
|
$34,143.44
40% off
|
$37,706.62
|
$37,706.62
|
$37,706.62
|
2025-11-18
|
|
470
|
MS_DRG
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without …
|
3
|
3
|
$112,794.68
|
$67,676.81
40% off
|
$36,143.05
|
$36,143.05
|
$36,143.05
|
2025-11-18
|
|
570
|
MS_DRG
|
Skin Debridement With Mcc
|
7
|
7
|
$15,610.00
|
$9,366.00
40% off
|
$15,610.00
|
$35,698.00
|
$35,095.36
|
2025-11-18
|
|
690
|
MS_DRG
|
Kidney And Urinary Tract Infections Without Mcc
|
7
|
7
|
$15,222.11
|
$9,133.27
40% off
|
$11,640.95
|
$35,310.11
|
$34,707.47
|
2025-11-18
|
|
306
|
MS_DRG
|
Cardiac Congenital And Valvular Disorders With Mcc
|
4
|
4
|
$60,798.40
|
$36,479.04
40% off
|
$34,429.95
|
$180,958.12
|
$34,429.95
|
2025-11-18
|
|
222
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock…
|
2
|
2
|
$33,864.95
|
$20,318.97
40% off
|
$33,864.95
|
$33,864.95
|
$33,864.95
|
2025-11-18
|
|
41
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe…
|
3
|
3
|
$33,183.31
|
$19,909.99
40% off
|
$33,183.31
|
$36,419.95
|
$33,183.31
|
2025-11-18
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
3
|
3
|
$32,890.87
|
$19,734.52
40% off
|
$32,890.87
|
$47,058.51
|
$32,890.87
|
2025-11-18
|
|
208
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support <=96 Hours
|
3
|
3
|
$32,477.60
|
$19,486.56
40% off
|
$32,477.60
|
$34,503.79
|
$32,477.60
|
2025-11-18
|
|
389
|
MS_DRG
|
Gastrointestinal Obstruction With Cc
|
8
|
8
|
$12,162.54
|
$7,297.52
40% off
|
$12,162.54
|
$35,598.54
|
$31,799.50
|
2025-11-18
|
|
432
|
MS_DRG
|
Cirrhosis And Alcoholic Hepatitis With Mcc
|
7
|
7
|
$15,419.15
|
$9,251.49
40% off
|
$15,419.15
|
$32,159.15
|
$31,656.95
|
2025-11-18
|
|
493
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc
|
3
|
3
|
$30,551.07
|
$18,330.64
40% off
|
$30,551.07
|
$39,809.23
|
$30,551.07
|
2025-11-18
|
|
64
|
MS_DRG
|
Intracranial Hemorrhage Or Cerebral Infarction With Mcc
|
7
|
7
|
$13,682.73
|
$8,209.64
40% off
|
$13,682.73
|
$31,817.85
|
$30,422.73
|
2025-11-18
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
2
|
2
|
$30,240.33
|
$18,144.20
40% off
|
$30,240.33
|
$30,240.33
|
$30,240.33
|
2025-11-18
|
|
444
|
MS_DRG
|
Disorders Of The Biliary Tract With Mcc
|
8
|
8
|
$12,255.81
|
$7,353.49
40% off
|
$12,255.81
|
$32,343.81
|
$29,087.49
|
2025-11-18
|
|
100
|
MS_DRG
|
Seizures With Mcc
|
6
|
6
|
$18,368.78
|
$11,021.27
40% off
|
$18,368.78
|
$38,456.78
|
$28,376.80
|
2025-11-18
|
|
354
|
MS_DRG
|
Hernia Procedures Except Inguinal And Femoral With Cc
|
3
|
3
|
$54,438.81
|
$32,663.29
40% off
|
$27,961.53
|
$27,961.53
|
$27,961.53
|
2025-11-18
|
|
58
|
MS_DRG
|
Multiple Sclerosis And Cerebellar Ataxia With Mcc
|
4
|
4
|
$22,571.75
|
$13,543.05
40% off
|
$22,571.75
|
$60,379.75
|
$27,319.40
|
2025-11-18
|
|
464
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
7
|
7
|
$10,811.87
|
$6,487.12
40% off
|
$10,811.87
|
$27,551.87
|
$27,049.67
|
2025-11-18
|
|
J9228
|
HCPCS
|
Injection, Ipilimumab, 1 Mg
|
40
|
20
|
$56,602.03
|
$33,961.21
40% off
|
$7,699.93
|
$90,557.20
|
$26,718.15
|
2025-11-18
|
|
380
|
MS_DRG
|
Complicated Peptic Ulcer With Mcc
|
3
|
3
|
$31,507.39
|
$18,904.43
40% off
|
$26,678.55
|
$26,678.55
|
$26,678.55
|
2025-11-18
|
|
623
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
3
|
3
|
$33,165.49
|
$19,899.29
40% off
|
$26,530.87
|
$26,530.87
|
$26,530.87
|
2025-11-18
|
|
418
|
MS_DRG
|
Laparoscopic Cholecystectomy Without C.d.e. With Cc
|
3
|
3
|
$26,120.67
|
$15,672.40
40% off
|
$26,120.67
|
$26,139.52
|
$26,120.67
|
2025-11-18
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
2
|
2
|
$26,095.68
|
$15,657.41
40% off
|
$26,095.68
|
$26,095.68
|
$26,095.68
|
2025-11-18
|
|
377
|
MS_DRG
|
Gastrointestinal Hemorrhage With Mcc
|
3
|
3
|
$30,072.35
|
$18,043.41
40% off
|
$26,049.06
|
$26,049.06
|
$26,049.06
|
2025-11-18
|
|
700
|
MS_DRG
|
Other Kidney And Urinary Tract Diagnoses Without Cc/mcc
|
7
|
7
|
$12,800.86
|
$7,680.52
40% off
|
$8,451.04
|
$26,192.86
|
$25,791.10
|
2025-11-18
|
|
438
|
MS_DRG
|
Disorders Of Pancreas Except Malignancy With Mcc
|
3
|
3
|
$30,459.94
|
$18,275.96
40% off
|
$25,081.75
|
$25,081.75
|
$25,081.75
|
2025-11-18
|
|
65
|
MS_DRG
|
Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours
|
7
|
7
|
$12,048.64
|
$7,229.18
40% off
|
$12,048.64
|
$25,440.64
|
$25,038.88
|
2025-11-18
|
|
922
|
MS_DRG
|
Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc
|
6
|
6
|
$13,012.48
|
$7,807.49
40% off
|
$13,012.48
|
$26,404.48
|
$24,927.18
|
2025-11-18
|
|
57
|
MS_DRG
|
Degenerative Nervous System Disorders Without Mcc
|
6
|
6
|
$11,286.13
|
$6,771.68
40% off
|
$11,286.13
|
$30,754.54
|
$24,678.13
|
2025-11-18
|
|
600
|
MS_DRG
|
Non-malignant Breast Disorders With Cc/mcc
|
8
|
8
|
$10,534.60
|
$6,320.76
40% off
|
$10,534.60
|
$27,274.60
|
$24,561.00
|
2025-11-18
|
|
602
|
MS_DRG
|
Cellulitis With Mcc
|
3
|
3
|
$29,320.45
|
$17,592.27
40% off
|
$24,515.03
|
$24,515.03
|
$24,515.03
|
2025-11-18
|
|
177
|
MS_DRG
|
Respiratory Infections And Inflammations With Mcc
|
3
|
3
|
$24,398.23
|
$14,638.94
40% off
|
$24,398.23
|
$27,749.24
|
$24,398.23
|
2025-11-18
|
|
193
|
MS_DRG
|
Simple Pneumonia And Pleurisy With Mcc
|
7
|
7
|
$11,391.54
|
$6,834.92
40% off
|
$11,391.54
|
$24,783.54
|
$24,381.78
|
2025-11-18
|
|
383
|
MS_DRG
|
Uncomplicated Peptic Ulcer With Mcc
|
3
|
3
|
$35,678.72
|
$21,407.23
40% off
|
$24,204.90
|
$24,204.90
|
$24,204.90
|
2025-11-18
|
|
501
|
MS_DRG
|
Soft Tissue Procedures With Cc
|
3
|
3
|
$28,641.01
|
$17,184.61
40% off
|
$23,850.46
|
$23,850.46
|
$23,850.46
|
2025-11-18
|
|
727
|
MS_DRG
|
Inflammation Of The Male Reproductive System With Mcc
|
7
|
7
|
$10,839.71
|
$6,503.83
40% off
|
$10,839.71
|
$24,231.71
|
$23,829.95
|
2025-11-18
|
|
292
|
MS_DRG
|
Heart Failure And Shock With Cc
|
7
|
7
|
$10,802.50
|
$6,481.50
40% off
|
$10,802.50
|
$24,194.50
|
$23,792.74
|
2025-11-18
|
|
641
|
MS_DRG
|
Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou…
|
7
|
7
|
$10,783.29
|
$6,469.97
40% off
|
$10,783.29
|
$24,175.29
|
$23,773.53
|
2025-11-18
|
|
603
|
MS_DRG
|
Cellulitis Without Mcc
|
7
|
7
|
$10,600.34
|
$6,360.21
40% off
|
$10,600.34
|
$23,992.34
|
$23,590.58
|
2025-11-18
|
|
280
|
MS_DRG
|
Acute Myocardial Infarction, Discharged Alive With Mcc
|
6
|
6
|
$10,344.37
|
$6,206.62
40% off
|
$10,344.37
|
$24,572.25
|
$23,535.49
|
2025-11-18
|
|
98
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc
|
5
|
5
|
$19,767.65
|
$11,860.59
40% off
|
$19,767.65
|
$39,855.65
|
$23,466.49
|
2025-11-18
|
|
194
|
MS_DRG
|
Simple Pneumonia And Pleurisy With Cc
|
7
|
7
|
$10,148.18
|
$6,088.91
40% off
|
$10,148.18
|
$23,540.18
|
$23,138.42
|
2025-11-18
|
|
J9274
|
HCPCS
|
Injection, Tebentafusp-tebn, 1 Microgram
|
20
|
20
|
$52,485.00
|
$31,491.00
40% off
|
$17,844.90
|
$52,485.00
|
$22,264.14
|
2025-11-18
|
|
179
|
MS_DRG
|
Respiratory Infections And Inflammations Without Cc/mcc
|
7
|
7
|
$9,149.44
|
$5,489.66
40% off
|
$9,149.44
|
$22,541.44
|
$22,139.68
|
2025-11-18
|
|
358
|
MS_DRG
|
Other Digestive System O.r. Procedures Without Cc/mcc
|
3
|
3
|
$31,859.01
|
$19,115.41
40% off
|
$21,000.22
|
$21,000.22
|
$21,000.22
|
2025-11-18
|
|
419
|
MS_DRG
|
Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc
|
3
|
3
|
$23,023.51
|
$13,814.11
40% off
|
$20,778.70
|
$20,778.70
|
$20,778.70
|
2025-11-18
|
|
74
|
MS_DRG
|
Cranial And Peripheral Nerve Disorders Without Mcc
|
7
|
7
|
$8,924.43
|
$5,354.66
40% off
|
$8,924.43
|
$25,664.43
|
$20,739.43
|
2025-11-18
|
|
643
|
MS_DRG
|
Endocrine Disorders With Mcc
|
4
|
4
|
$21,742.21
|
$13,045.33
40% off
|
$20,503.64
|
$54,824.21
|
$20,503.64
|
2025-11-18
|
|
SUP-112918_1
|
CDM
|
Kit Inst Non Sterile 7.0 Fixos (jchc)
|
20
|
20
|
$48,753.00
|
$29,251.80
40% off
|
$14,625.90
|
$43,877.70
|
$20,476.26
|
2025-11-18
|
|
189
|
MS_DRG
|
Pulmonary Edema And Respiratory Failure
|
3
|
3
|
$20,167.76
|
$12,100.66
40% off
|
$20,167.76
|
$20,378.12
|
$20,167.76
|
2025-11-18
|
|
536
|
MS_DRG
|
Fractures Of Hip And Pelvis Without Mcc
|
8
|
8
|
$8,753.41
|
$5,252.05
40% off
|
$8,753.41
|
$22,145.41
|
$19,974.53
|
2025-11-18
|
|
394
|
MS_DRG
|
Other Digestive System Diagnoses With Cc
|
8
|
8
|
$8,610.93
|
$5,166.56
40% off
|
$8,610.93
|
$22,002.93
|
$19,832.05
|
2025-11-18
|
|
67
|
MS_DRG
|
Precerebral Occlusion Without Infarction With Mcc
|
4
|
4
|
$13,196.27
|
$7,917.76
40% off
|
$13,196.27
|
$26,588.27
|
$19,747.27
|
2025-11-18
|
|
J2507
|
HCPCS
|
Injection, Pegloticase, 1 Mg
|
20
|
20
|
$46,114.49
|
$27,668.69
40% off
|
$15,678.93
|
$46,114.49
|
$19,561.77
|
2025-11-18
|
|
252
|
MS_DRG
|
Other Vascular Procedures With Mcc
|
2
|
2
|
$19,555.53
|
$11,733.32
40% off
|
$19,555.53
|
$19,555.53
|
$19,555.53
|
2025-11-18
|
|
811
|
MS_DRG
|
Red Blood Cell Disorders With Mcc
|
7
|
7
|
$9,086.15
|
$5,451.69
40% off
|
$9,086.15
|
$23,163.75
|
$19,130.15
|
2025-11-18
|
|
190
|
MS_DRG
|
Chronic Obstructive Pulmonary Disease With Mcc
|
6
|
6
|
$9,813.45
|
$5,888.07
40% off
|
$9,813.45
|
$19,857.45
|
$18,948.33
|
2025-11-18
|
|
139
|
MS_DRG
|
Salivary Gland Procedures
|
3
|
3
|
$19,331.31
|
$11,598.79
40% off
|
$18,927.15
|
$18,927.15
|
$18,927.15
|
2025-11-18
|
|
964
|
MS_DRG
|
Other Multiple Significant Trauma With Cc
|
3
|
3
|
$18,875.33
|
$11,325.20
40% off
|
$18,875.33
|
$24,825.16
|
$18,875.33
|
2025-11-18
|
|
SUP-112917_1
|
CDM
|
Kit Inst Non Sterile 5.0 Fixos (jchc)
|
20
|
20
|
$44,877.00
|
$26,926.20
40% off
|
$13,463.10
|
$40,389.30
|
$18,848.34
|
2025-11-18
|
|
535
|
MS_DRG
|
Fractures Of Hip And Pelvis With Mcc
|
7
|
7
|
$8,950.63
|
$5,370.38
40% off
|
$8,950.63
|
$18,994.63
|
$18,693.31
|
2025-11-18
|
|
809
|
MS_DRG
|
Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co…
|
8
|
8
|
$7,066.00
|
$4,239.60
40% off
|
$7,066.00
|
$20,458.00
|
$18,597.31
|
2025-11-18
|
|
597
|
MS_DRG
|
Malignant Breast Disorders With Mcc
|
6
|
6
|
$8,660.41
|
$5,196.25
40% off
|
$8,660.41
|
$18,704.41
|
$18,553.75
|
2025-11-18
|
|
564
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc
|
3
|
3
|
$20,581.86
|
$12,349.12
40% off
|
$18,524.72
|
$18,524.72
|
$18,524.72
|
2025-11-18
|
|
616
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
3
|
3
|
$18,189.40
|
$10,913.64
40% off
|
$18,189.40
|
$38,371.18
|
$18,189.40
|
2025-11-18
|
|
71
|
MS_DRG
|
Other Cerebrovascular Disorders With Cc
|
6
|
6
|
$9,406.47
|
$5,643.88
40% off
|
$9,406.47
|
$26,146.47
|
$18,128.62
|
2025-11-18
|
|
205
|
MS_DRG
|
Other Respiratory System Diagnoses With Mcc
|
4
|
4
|
$14,614.52
|
$8,768.71
40% off
|
$14,614.52
|
$38,244.52
|
$18,041.82
|
2025-11-18
|
|
557
|
MS_DRG
|
Tendonitis, Myositis And Bursitis With Mcc
|
7
|
7
|
$8,036.07
|
$4,821.64
40% off
|
$8,036.07
|
$18,080.07
|
$17,778.75
|
2025-11-18
|
|
684
|
MS_DRG
|
Renal Failure Without Cc/mcc
|
7
|
7
|
$7,997.79
|
$4,798.67
40% off
|
$7,997.79
|
$18,041.79
|
$17,740.47
|
2025-11-18
|
|
565
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue Diagnoses With Cc
|
7
|
7
|
$7,684.06
|
$4,610.44
40% off
|
$7,684.06
|
$17,728.06
|
$17,426.74
|
2025-11-18
|
|
663
|
MS_DRG
|
Minor Bladder Procedures With Cc
|
3
|
3
|
$48,873.84
|
$29,324.30
40% off
|
$17,273.12
|
$17,273.12
|
$17,273.12
|
2025-11-18
|
|
91
|
MS_DRG
|
Other Disorders Of Nervous System With Mcc
|
6
|
6
|
$7,286.67
|
$4,372.00
40% off
|
$7,286.67
|
$17,330.67
|
$17,180.01
|
2025-11-18
|
|
369
|
MS_DRG
|
Major Esophageal Disorders With Cc
|
4
|
4
|
$16,141.83
|
$9,685.10
40% off
|
$16,141.83
|
$42,134.83
|
$17,093.29
|
2025-11-18
|
|
308
|
MS_DRG
|
Cardiac Arrhythmia And Conduction Disorders With Mcc
|
3
|
3
|
$20,232.29
|
$12,139.37
40% off
|
$16,743.32
|
$16,743.32
|
$16,743.32
|
2025-11-18
|
|
433
|
MS_DRG
|
Cirrhosis And Alcoholic Hepatitis With Cc
|
3
|
3
|
$16,553.94
|
$9,932.36
40% off
|
$16,553.94
|
$18,515.49
|
$16,553.94
|
2025-11-18
|
|
580
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Cc
|
3
|
3
|
$16,520.02
|
$9,912.01
40% off
|
$16,520.02
|
$21,727.55
|
$16,520.02
|
2025-11-18
|
|
J9298
|
HCPCS
|
Injection, Nivolumab And Relatlimab-rmbw, 3 Mg/1 Mg
|
20
|
20
|
$38,564.95
|
$23,138.97
40% off
|
$13,112.08
|
$38,564.95
|
$16,359.25
|
2025-11-18
|
|
66
|
MS_DRG
|
Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc
|
6
|
6
|
$9,851.98
|
$5,911.19
40% off
|
$9,851.98
|
$19,895.98
|
$16,016.75
|
2025-11-18
|
|
550
|
MS_DRG
|
Septic Arthritis Without Cc/mcc
|
4
|
4
|
$76,064.66
|
$45,638.80
40% off
|
$15,942.15
|
$201,303.66
|
$15,942.15
|
2025-11-18
|
|
683
|
MS_DRG
|
Renal Failure With Cc
|
6
|
6
|
$9,321.46
|
$5,592.88
40% off
|
$9,321.46
|
$22,713.46
|
$15,931.76
|
2025-11-18
|
|
884
|
MS_DRG
|
Organic Disturbances And Intellectual Disability
|
8
|
8
|
$6,614.54
|
$3,968.73
40% off
|
$4,410.54
|
$17,802.54
|
$15,631.66
|
2025-11-18
|
|
183
|
MS_DRG
|
Major Chest Trauma With Mcc
|
3
|
3
|
$15,509.25
|
$9,305.55
40% off
|
$15,509.25
|
$18,199.82
|
$15,509.25
|
2025-11-18
|
|
95
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Cc
|
3
|
3
|
$15,165.33
|
$9,099.20
40% off
|
$15,165.33
|
$35,428.64
|
$15,165.33
|
2025-11-18
|
|
135
|
MS_DRG
|
Sinus And Mastoid Procedures With Cc/mcc
|
3
|
3
|
$15,126.24
|
$9,075.74
40% off
|
$15,126.24
|
$39,526.79
|
$15,126.24
|
2025-11-18
|
|
283
|
MS_DRG
|
Acute Myocardial Infarction, Expired With Mcc
|
3
|
3
|
$14,841.27
|
$8,904.76
40% off
|
$14,841.27
|
$20,429.80
|
$14,841.27
|
2025-11-18
|
|
374
|
MS_DRG
|
Digestive Malignancy With Mcc
|
7
|
7
|
$5,033.59
|
$3,020.15
40% off
|
$5,033.59
|
$15,077.59
|
$14,776.27
|
2025-11-18
|
|
439
|
MS_DRG
|
Disorders Of Pancreas Except Malignancy With Cc
|
3
|
3
|
$23,614.22
|
$14,168.53
40% off
|
$14,487.49
|
$14,487.49
|
$14,487.49
|
2025-11-18
|
|
446
|
MS_DRG
|
Disorders Of The Biliary Tract Without Cc/mcc
|
7
|
7
|
$7,021.18
|
$4,212.71
40% off
|
$7,021.18
|
$17,065.18
|
$14,110.18
|
2025-11-18
|
|
J0638
|
HCPCS
|
Injection, Canakinumab, 1 Mg
|
20
|
20
|
$32,076.53
|
$19,245.92
40% off
|
$10,906.02
|
$32,076.53
|
$13,606.86
|
2025-11-18
|
|
310
|
MS_DRG
|
Cardiac Arrhythmia And Conduction Disorders Without Cc/mcc
|
8
|
8
|
$5,119.82
|
$3,071.89
40% off
|
$5,119.82
|
$15,163.82
|
$13,535.66
|
2025-11-18
|
|
J9042
|
HCPCS
|
Injection, Brentuximab Vedotin, 1 Mg
|
20
|
20
|
$31,699.50
|
$19,019.70
40% off
|
$10,777.83
|
$31,699.50
|
$13,446.93
|
2025-11-18
|
|
949
|
MS_DRG
|
Aftercare With Cc/mcc
|
3
|
3
|
$13,431.40
|
$8,058.84
40% off
|
$13,431.40
|
$34,698.40
|
$13,431.40
|
2025-11-18
|
|
184
|
MS_DRG
|
Major Chest Trauma With Cc
|
7
|
7
|
$6,284.96
|
$3,770.98
40% off
|
$6,284.96
|
$16,328.96
|
$13,390.96
|
2025-11-18
|
|
200
|
MS_DRG
|
Pneumothorax With Cc
|
3
|
3
|
$13,292.38
|
$7,975.43
40% off
|
$13,292.38
|
$15,157.60
|
$13,292.38
|
2025-11-18
|
|
J2350
|
HCPCS
|
Injection, Ocrelizumab, 1 Mg
|
20
|
20
|
$30,961.44
|
$18,576.86
40% off
|
$10,526.89
|
$30,961.44
|
$13,133.84
|
2025-11-18
|
|
441
|
MS_DRG
|
Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc
|
3
|
3
|
$13,128.99
|
$7,877.39
40% off
|
$13,128.99
|
$27,224.97
|
$13,128.99
|
2025-11-18
|
|
571
|
MS_DRG
|
Skin Debridement With Cc
|
3
|
3
|
$13,004.18
|
$7,802.51
40% off
|
$13,004.18
|
$22,423.50
|
$13,004.18
|
2025-11-18
|
|
304
|
MS_DRG
|
Hypertension With Mcc
|
3
|
3
|
$12,978.93
|
$7,787.36
40% off
|
$12,978.93
|
$15,179.75
|
$12,978.93
|
2025-11-18
|
|
203
|
MS_DRG
|
Bronchitis And Asthma Without Cc/mcc
|
7
|
7
|
$6,463.08
|
$3,877.85
40% off
|
$6,463.08
|
$13,159.08
|
$12,958.20
|
2025-11-18
|
|
94
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Mcc
|
2
|
2
|
$12,939.18
|
$7,763.51
40% off
|
$12,939.18
|
$12,939.18
|
$12,939.18
|
2025-11-18
|
|
644
|
MS_DRG
|
Endocrine Disorders With Cc
|
3
|
3
|
$27,584.89
|
$16,550.93
40% off
|
$12,938.69
|
$12,938.69
|
$12,938.69
|
2025-11-18
|
|
J9309
|
HCPCS
|
Injection, Polatuzumab Vedotin-piiq, 1 Mg
|
40
|
20
|
$28,259.48
|
$16,955.69
40% off
|
$3,393.35
|
$46,538.53
|
$12,901.76
|
2025-11-18
|
|
897
|
MS_DRG
|
Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc
|
3
|
3
|
$30,928.51
|
$18,557.11
40% off
|
$12,899.92
|
$12,899.92
|
$12,899.92
|
2025-11-18
|
|
J9272
|
HCPCS
|
Injection, Dostarlimab-gxly, 10 Mg
|
20
|
20
|
$30,085.68
|
$18,051.41
40% off
|
$10,229.13
|
$30,085.68
|
$12,762.35
|
2025-11-18
|
|
97
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc
|
2
|
2
|
$12,635.37
|
$7,581.22
40% off
|
$12,635.37
|
$12,635.37
|
$12,635.37
|
2025-11-18
|
|
J9043
|
HCPCS
|
Injection, Cabazitaxel, 1 Mg
|
20
|
20
|
$29,729.40
|
$17,837.64
40% off
|
$10,108.00
|
$29,729.40
|
$12,611.22
|
2025-11-18
|
|
638
|
MS_DRG
|
Diabetes With Cc
|
3
|
3
|
$19,770.49
|
$11,862.29
40% off
|
$12,586.10
|
$12,586.10
|
$12,586.10
|
2025-11-18
|
|
637
|
MS_DRG
|
Diabetes With Mcc
|
6
|
6
|
$5,733.62
|
$3,440.17
40% off
|
$5,733.62
|
$12,429.62
|
$12,329.18
|
2025-11-18
|
|
950
|
MS_DRG
|
Aftercare Without Cc/mcc
|
7
|
7
|
$5,183.76
|
$3,110.26
40% off
|
$5,183.76
|
$15,227.76
|
$12,272.76
|
2025-11-18
|
|
554
|
MS_DRG
|
Bone Diseases And Arthropathies Without Mcc
|
4
|
4
|
$17,465.60
|
$10,479.36
40% off
|
$12,242.75
|
$43,458.60
|
$12,242.75
|
2025-11-18
|
|
948
|
MS_DRG
|
Signs And Symptoms Without Mcc
|
7
|
7
|
$5,029.75
|
$3,017.85
40% off
|
$5,029.75
|
$15,073.75
|
$12,118.75
|
2025-11-18
|
|
561
|
MS_DRG
|
Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc
|
4
|
4
|
$17,403.35
|
$10,442.01
40% off
|
$12,063.68
|
$48,122.35
|
$12,063.68
|
2025-11-18
|
|
141
|
MS_DRG
|
Major Head And Neck Procedures With Cc
|
3
|
3
|
$11,949.71
|
$7,169.83
40% off
|
$11,949.71
|
$29,442.03
|
$11,949.71
|
2025-11-18
|
|
344
|
MS_DRG
|
Minor Small And Large Bowel Procedures With Mcc
|
2
|
2
|
$11,890.09
|
$7,134.05
40% off
|
$11,890.09
|
$11,890.09
|
$11,890.09
|
2025-11-18
|
|
311
|
MS_DRG
|
Angina Pectoris
|
7
|
7
|
$5,234.78
|
$3,140.87
40% off
|
$5,234.78
|
$11,930.78
|
$11,729.90
|
2025-11-18
|
|
282
|
MS_DRG
|
Acute Myocardial Infarction, Discharged Alive Without Cc/mcc
|
3
|
3
|
$12,803.98
|
$7,682.39
40% off
|
$11,698.17
|
$11,698.17
|
$11,698.17
|
2025-11-18
|
|
552
|
MS_DRG
|
Medical Back Problems Without Mcc
|
4
|
4
|
$26,825.23
|
$16,095.14
40% off
|
$11,609.56
|
$78,811.23
|
$11,609.56
|
2025-11-18
|
|
J9022
|
HCPCS
|
Injection, Atezolizumab, 10 Mg
|
40
|
20
|
$24,637.41
|
$14,782.44
40% off
|
$6,899.08
|
$28,983.40
|
$11,593.36
|
2025-11-18
|
|
J9119
|
HCPCS
|
Injection, Cemiplimab-rwlc, 1 Mg
|
20
|
20
|
$27,322.41
|
$16,393.45
40% off
|
$9,289.62
|
$27,322.41
|
$11,590.17
|
2025-11-18
|
|
605
|
MS_DRG
|
Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc
|
3
|
3
|
$23,463.91
|
$14,078.35
40% off
|
$11,580.03
|
$11,580.03
|
$11,580.03
|
2025-11-18
|
|
176
|
MS_DRG
|
Pulmonary Embolism Without Mcc
|
7
|
7
|
$5,808.88
|
$3,485.33
40% off
|
$4,849.81
|
$14,120.14
|
$11,545.81
|
2025-11-18
|
|
149
|
MS_DRG
|
Dysequilibrium
|
3
|
3
|
$13,406.97
|
$8,044.18
40% off
|
$11,436.04
|
$11,436.04
|
$11,436.04
|
2025-11-18
|
|
J3245
|
HCPCS
|
Injection, Tildrakizumab, 1 Mg
|
20
|
20
|
$26,942.16
|
$16,165.30
40% off
|
$9,160.33
|
$26,942.16
|
$11,428.86
|
2025-11-18
|
|
J9144
|
HCPCS
|
Injection, Daratumumab, 10 Mg And Hyaluronidase-fihj
|
20
|
20
|
$26,439.66
|
$15,863.80
40% off
|
$8,989.48
|
$26,439.66
|
$11,215.70
|
2025-11-18
|
|
558
|
MS_DRG
|
Tendonitis, Myositis And Bursitis Without Mcc
|
8
|
8
|
$4,541.96
|
$2,725.18
40% off
|
$4,541.96
|
$11,633.56
|
$11,137.52
|
2025-11-18
|
|
698
|
MS_DRG
|
Other Kidney And Urinary Tract Diagnoses With Mcc
|
3
|
3
|
$11,058.39
|
$6,635.03
40% off
|
$11,058.39
|
$22,513.95
|
$11,058.39
|
2025-11-18
|
|
312
|
MS_DRG
|
Syncope And Collapse
|
4
|
4
|
$9,653.63
|
$5,792.18
40% off
|
$9,653.63
|
$26,194.63
|
$10,875.27
|
2025-11-18
|
|
316
|
MS_DRG
|
Other Circulatory System Diagnoses Without Cc/mcc
|
8
|
8
|
$4,621.74
|
$2,773.04
40% off
|
$4,621.74
|
$11,317.74
|
$10,736.49
|
2025-11-18
|
|
812
|
MS_DRG
|
Red Blood Cell Disorders Without Mcc
|
3
|
3
|
$10,425.60
|
$6,255.36
40% off
|
$10,425.60
|
$14,245.67
|
$10,425.60
|
2025-11-18
|
|
86
|
MS_DRG
|
Traumatic Stupor And Coma <1 Hour With Cc
|
3
|
3
|
$10,234.83
|
$6,140.90
40% off
|
$10,234.83
|
$14,755.17
|
$10,234.83
|
2025-11-18
|
|
199
|
MS_DRG
|
Pneumothorax With Mcc
|
3
|
3
|
$10,151.89
|
$6,091.13
40% off
|
$10,151.89
|
$23,049.29
|
$10,151.89
|
2025-11-18
|
|
247
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc
|
2
|
2
|
$10,150.02
|
$6,090.01
40% off
|
$10,150.02
|
$10,150.02
|
$10,150.02
|
2025-11-18
|
|
180
|
MS_DRG
|
Respiratory Neoplasms With Mcc
|
6
|
6
|
$4,518.46
|
$2,711.08
40% off
|
$4,518.46
|
$11,214.46
|
$10,129.02
|
2025-11-18
|
|
864
|
MS_DRG
|
Fever And Inflammatory Conditions
|
3
|
3
|
$10,116.12
|
$6,069.67
40% off
|
$10,116.12
|
$11,633.56
|
$10,116.12
|
2025-11-18
|
|
390
|
MS_DRG
|
Gastrointestinal Obstruction Without Cc/mcc
|
8
|
8
|
$3,920.42
|
$2,352.25
40% off
|
$3,920.42
|
$10,616.42
|
$10,048.94
|
2025-11-18
|
|
305
|
MS_DRG
|
Hypertension Without Mcc
|
3
|
3
|
$9,985.49
|
$5,991.29
40% off
|
$9,985.49
|
$11,696.33
|
$9,985.49
|
2025-11-18
|
|
84
|
MS_DRG
|
Traumatic Stupor And Coma >1 Hour Without Cc/mcc
|
3
|
3
|
$18,669.27
|
$11,201.56
40% off
|
$9,868.77
|
$9,868.77
|
$9,868.77
|
2025-11-18
|
|
J9301
|
HCPCS
|
Injection, Obinutuzumab, 10 Mg
|
20
|
20
|
$22,510.70
|
$13,506.42
40% off
|
$7,653.64
|
$22,510.70
|
$9,549.03
|
2025-11-18
|
|
309
|
MS_DRG
|
Cardiac Arrhythmia And Conduction Disorders With Cc
|
3
|
3
|
$9,544.23
|
$5,726.54
40% off
|
$9,544.23
|
$11,399.12
|
$9,544.23
|
2025-11-18
|
|
556
|
MS_DRG
|
Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc
|
4
|
4
|
$12,503.25
|
$7,501.95
40% off
|
$9,185.75
|
$33,770.25
|
$9,185.75
|
2025-11-18
|
|
195
|
MS_DRG
|
Simple Pneumonia And Pleurisy Without Cc/mcc
|
3
|
3
|
$20,776.94
|
$12,466.16
40% off
|
$9,043.61
|
$9,043.61
|
$9,043.61
|
2025-11-18
|
|
143
|
MS_DRG
|
Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc
|
2
|
2
|
$8,830.72
|
$5,298.43
40% off
|
$8,830.72
|
$8,830.72
|
$8,830.72
|
2025-11-18
|
|
607
|
MS_DRG
|
Minor Skin Disorders Without Mcc
|
3
|
3
|
$8,763.95
|
$5,258.37
40% off
|
$8,763.95
|
$9,765.40
|
$8,763.95
|
2025-11-18
|
|
J9223
|
HCPCS
|
Injection, Lurbinectedin, 0.1 Mg
|
20
|
20
|
$20,635.00
|
$12,381.00
40% off
|
$7,015.90
|
$20,635.00
|
$8,753.37
|
2025-11-18
|
|
440
|
MS_DRG
|
Disorders Of Pancreas Except Malignancy Without Cc/mcc
|
3
|
3
|
$8,474.71
|
$5,084.82
40% off
|
$8,474.71
|
$12,368.27
|
$8,474.71
|
2025-11-18
|
|
598
|
MS_DRG
|
Malignant Breast Disorders With Cc
|
4
|
4
|
$5,198.98
|
$3,119.39
40% off
|
$5,198.98
|
$14,650.98
|
$8,346.12
|
2025-11-18
|
|
153
|
MS_DRG
|
Otitis Media And Uri Without Mcc
|
3
|
3
|
$13,115.42
|
$7,869.25
40% off
|
$8,199.98
|
$8,199.98
|
$8,199.98
|
2025-11-18
|
|
291
|
MS_DRG
|
Heart Failure And Shock With Mcc
|
3
|
3
|
$8,171.13
|
$4,902.68
40% off
|
$8,171.13
|
$21,768.16
|
$8,171.13
|
2025-11-18
|
|
SUP-112948_1
|
CDM
|
Bone Viable Matrix Bio4 10cc (jchc)
|
20
|
20
|
$19,200.00
|
$11,520.00
40% off
|
$5,760.00
|
$17,280.00
|
$8,064.00
|
2025-11-18
|
|
93
|
MS_DRG
|
Other Disorders Of Nervous System Without Cc/mcc
|
4
|
4
|
$5,438.40
|
$3,263.04
40% off
|
$5,438.40
|
$14,890.40
|
$8,015.40
|
2025-11-18
|
|
391
|
MS_DRG
|
Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc
|
3
|
3
|
$7,941.59
|
$4,764.95
40% off
|
$7,941.59
|
$19,096.98
|
$7,941.59
|
2025-11-18
|
|
J0896
|
HCPCS
|
Injection, Luspatercept-aamt, 0.25 Mg
|
20
|
20
|
$18,509.06
|
$11,105.44
40% off
|
$6,293.08
|
$18,509.06
|
$7,851.55
|
2025-11-18
|
|
378
|
MS_DRG
|
Gastrointestinal Hemorrhage With Cc
|
3
|
3
|
$7,785.76
|
$4,671.46
40% off
|
$7,785.76
|
$17,071.91
|
$7,785.76
|
2025-11-18
|
|
694
|
MS_DRG
|
Urinary Stones Without Mcc
|
3
|
3
|
$7,773.85
|
$4,664.31
40% off
|
$7,773.85
|
$10,586.87
|
$7,773.85
|
2025-11-18
|
|
420
|
MS_DRG
|
Hepatobiliary Diagnostic Procedures With Mcc
|
2
|
2
|
$7,672.05
|
$4,603.23
40% off
|
$7,672.05
|
$7,672.05
|
$7,672.05
|
2025-11-18
|
|
175
|
MS_DRG
|
Pulmonary Embolism With Mcc Or Acute Cor Pulmonale
|
2
|
2
|
$7,277.33
|
$4,366.40
40% off
|
$7,277.33
|
$7,277.33
|
$7,277.33
|
2025-11-18
|
|
J9306
|
HCPCS
|
Injection, Pertuzumab, 1 Mg
|
20
|
20
|
$17,061.23
|
$10,236.74
40% off
|
$5,800.82
|
$17,061.23
|
$7,237.38
|
2025-11-18
|
|
178
|
MS_DRG
|
Respiratory Infections And Inflammations With Cc
|
3
|
3
|
$6,534.45
|
$3,920.67
40% off
|
$6,534.45
|
$18,349.45
|
$6,534.45
|
2025-11-18
|
|
639
|
MS_DRG
|
Diabetes Without Cc/mcc
|
3
|
3
|
$6,406.41
|
$3,843.85
40% off
|
$6,406.41
|
$10,302.59
|
$6,406.41
|
2025-11-18
|
|
J9354
|
HCPCS
|
Injection, Ado-trastuzumab Emtansine, 1 Mg
|
40
|
20
|
$12,976.29
|
$7,785.77
40% off
|
$3,394.59
|
$15,968.50
|
$6,387.40
|
2025-11-18
|
|
J9271
|
HCPCS
|
Injection, Pembrolizumab, 1 Mg
|
20
|
20
|
$14,754.30
|
$8,852.58
40% off
|
$5,016.46
|
$14,754.30
|
$6,258.77
|
2025-11-18
|
|
201
|
MS_DRG
|
Pneumothorax Without Cc/mcc
|
3
|
3
|
$6,239.48
|
$3,743.69
40% off
|
$6,239.48
|
$12,545.49
|
$6,239.48
|
2025-11-18
|
|
Q4150
|
HCPCS
|
Allowrap Ds Or Dry, Per Square Centimeter
|
82
|
22
|
$9,172.80
|
$5,503.68
40% off
|
$1,810.43
|
$19,968.00
|
$5,990.40
|
2025-11-18
|
|
J3380
|
HCPCS
|
Injection, Vedolizumab, Intravenous, 1 Mg
|
20
|
20
|
$14,039.87
|
$8,423.92
40% off
|
$4,773.56
|
$14,039.87
|
$5,955.72
|
2025-11-18
|
|
373
|
MS_DRG
|
Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/mcc
|
5
|
5
|
$2,637.58
|
$1,582.55
40% off
|
$2,637.58
|
$5,985.58
|
$5,885.14
|
2025-11-18
|
|
617
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
2
|
2
|
$5,687.68
|
$3,412.61
40% off
|
$5,687.68
|
$5,687.68
|
$5,687.68
|
2025-11-18
|
|
395
|
MS_DRG
|
Other Digestive System Diagnoses Without Cc/mcc
|
6
|
6
|
$2,365.75
|
$1,419.45
40% off
|
$2,365.75
|
$5,713.75
|
$5,663.53
|
2025-11-18
|
|
J1932
|
HCPCS
|
Injection, Lanreotide, (cipla), 1 Mg
|
20
|
20
|
$13,338.99
|
$8,003.39
40% off
|
$4,535.26
|
$13,338.99
|
$5,658.40
|
2025-11-18
|
|
J2323
|
HCPCS
|
Injection, Natalizumab, 1 Mg
|
20
|
20
|
$13,318.83
|
$7,991.30
40% off
|
$4,528.40
|
$13,318.83
|
$5,649.85
|
2025-11-18
|
|
392
|
MS_DRG
|
Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc
|
4
|
4
|
$3,279.05
|
$1,967.43
40% off
|
$3,205.05
|
$9,700.17
|
$5,568.05
|
2025-11-18
|
|
563
|
MS_DRG
|
Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit…
|
7
|
7
|
$2,257.94
|
$1,354.76
40% off
|
$2,257.94
|
$5,605.94
|
$5,505.50
|
2025-11-18
|
|
J9303
|
HCPCS
|
Injection, Panitumumab, 10 Mg
|
40
|
20
|
$11,332.81
|
$6,799.69
40% off
|
$1,543.30
|
$18,126.50
|
$5,351.07
|
2025-11-18
|
|
J3101
|
HCPCS
|
Injection, Tenecteplase, 1 Mg
|
20
|
20
|
$12,445.89
|
$7,467.53
40% off
|
$4,231.60
|
$12,445.89
|
$5,279.55
|
2025-11-18
|
|
951
|
MS_DRG
|
Other Factors Influencing Health Status
|
4
|
4
|
$2,878.94
|
$1,727.37
40% off
|
$2,878.94
|
$8,122.45
|
$5,241.94
|
2025-11-18
|
|
J9207
|
HCPCS
|
Injection, Ixabepilone, 1 Mg
|
40
|
20
|
$10,082.80
|
$6,049.68
40% off
|
$1,715.78
|
$15,119.20
|
$5,093.47
|
2025-11-18
|
|
595
|
MS_DRG
|
Major Skin Disorders With Mcc
|
2
|
2
|
$5,025.70
|
$3,015.42
40% off
|
$5,025.70
|
$5,025.70
|
$5,025.70
|
2025-11-18
|
|
SUP-112919_1
|
CDM
|
Handle Teardrop Ao Med Cann (jchc)
|
20
|
20
|
$11,801.70
|
$7,081.02
40% off
|
$3,540.51
|
$10,621.53
|
$4,956.71
|
2025-11-18
|
|
SUP-112781_1
|
CDM
|
Cement Ha Bone Substitute 10cc Hydro Set Inject(JCHC)
|
20
|
20
|
$11,718.00
|
$7,030.80
40% off
|
$3,515.40
|
$10,546.20
|
$4,921.56
|
2025-11-18
|
|
45307
|
HCPCS
|
Removal Of Foreign Bodies From Rectum And/or Lower Large Bowel Using A Rigid End…
|
36
|
22
|
$12,397.00
|
$7,438.20
40% off
|
$64.80
|
$12,397.00
|
$4,884.42
|
2025-11-18
|
|
SUP-112947_1
|
CDM
|
Bone Viable Matrix Bio4 5cc (jchc)
|
20
|
20
|
$11,625.00
|
$6,975.00
40% off
|
$3,487.50
|
$10,462.50
|
$4,882.50
|
2025-11-18
|
|
699
|
MS_DRG
|
Other Kidney And Urinary Tract Diagnoses With Cc
|
6
|
6
|
$2,539.05
|
$1,523.43
40% off
|
$1,831.55
|
$5,179.55
|
$4,636.83
|
2025-11-18
|
|
J2427
|
HCPCS
|
Injection, Paliperidone Palmitate Extended Release (invega Hafyera, Or Invega Tr…
|
20
|
20
|
$10,707.71
|
$6,424.63
40% off
|
$3,640.62
|
$10,707.71
|
$4,542.21
|
2025-11-18
|
|
808
|
MS_DRG
|
Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co…
|
2
|
2
|
$4,294.86
|
$2,576.92
40% off
|
$4,294.86
|
$4,294.86
|
$4,294.86
|
2025-11-18
|
|
J9177
|
HCPCS
|
Injection, Enfortumab Vedotin-ejfv, 0.25 Mg
|
40
|
20
|
$8,788.12
|
$5,272.88
40% off
|
$2,391.05
|
$10,543.75
|
$4,217.50
|
2025-11-18
|
|
J2353
|
HCPCS
|
Injection, Octreotide, Depot Form For Intramuscular Injection, 1 Mg
|
60
|
20
|
$6,924.45
|
$4,154.67
40% off
|
$1,796.95
|
$10,368.84
|
$4,147.54
|
2025-11-18
|
|
J2506
|
HCPCS
|
Injection, Pegfilgrastim, Excludes Biosimilar, 0.5 Mg
|
20
|
20
|
$9,626.99
|
$5,776.19
40% off
|
$3,273.18
|
$9,626.99
|
$4,083.77
|
2025-11-18
|
|
J9061
|
HCPCS
|
Injection, Amivantamab-vmjw, 2 Mg
|
20
|
20
|
$9,526.69
|
$5,716.01
40% off
|
$3,239.07
|
$9,526.69
|
$4,041.22
|
2025-11-18
|
|
640
|
MS_DRG
|
Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M…
|
3
|
3
|
$4,028.00
|
$2,416.80
40% off
|
$4,028.00
|
$11,117.00
|
$4,028.00
|
2025-11-18
|
|
101
|
MS_DRG
|
Seizures Without Mcc
|
3
|
3
|
$4,004.06
|
$2,402.44
40% off
|
$4,004.06
|
$9,957.38
|
$4,004.06
|
2025-11-18
|
|
HB-036001759_1
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$9,367.00
|
$5,620.20
40% off
|
$2,810.10
|
$8,430.30
|
$3,934.14
|
2025-11-18
|
|
HB-036002121_1
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$9,347.00
|
$5,608.20
40% off
|
$2,804.10
|
$8,412.30
|
$3,925.74
|
2025-11-18
|
|
HB-036001758_1
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$9,301.00
|
$5,580.60
40% off
|
$2,790.30
|
$8,370.90
|
$3,906.42
|
2025-11-18
|
|
J0717
|
HCPCS
|
Injection, Certolizumab Pegol, 1 Mg (code May Be Used For Medicare When Drug Adm…
|
20
|
20
|
$8,999.15
|
$5,399.49
40% off
|
$3,059.71
|
$8,999.15
|
$3,817.44
|
2025-11-18
|
|
47379
|
HCPCS
|
Other Procedure On Liver Using An Endoscope
|
4
|
4
|
$3,808.00
|
$2,284.80
40% off
|
$1,332.80
|
$3,808.00
|
$3,808.00
|
2025-11-18
|
|
SUP-132510_1
|
CDM
|
Pk Cutting Forcep 5mm 33cm (jchc)
|
20
|
20
|
$9,056.25
|
$5,433.75
40% off
|
$2,716.88
|
$8,150.63
|
$3,803.63
|
2025-11-18
|
|
A6215
|
HCPCS
|
Foam Dressing, Wound Filler, Sterile, Per Gram
|
160
|
20
|
$6,708.45
|
$4,025.07
40% off
|
$885.11
|
$17,415.00
|
$3,736.28
|
2025-11-18
|
|
HB-036001837_1
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$8,877.00
|
$5,326.20
40% off
|
$2,663.10
|
$7,989.30
|
$3,728.34
|
2025-11-18
|
|
J0517
|
HCPCS
|
Injection, Benralizumab, 1 Mg
|
20
|
20
|
$8,770.58
|
$5,262.35
40% off
|
$2,982.00
|
$8,770.58
|
$3,720.48
|
2025-11-18
|
|
HB-036001788_1
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$8,741.00
|
$5,244.60
40% off
|
$2,622.30
|
$7,866.90
|
$3,671.22
|
2025-11-18
|
|
HB-036001785_1
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$8,445.00
|
$5,067.00
40% off
|
$2,533.50
|
$7,600.50
|
$3,546.90
|
2025-11-18
|
|
HB-036001925_1
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$8,440.00
|
$5,064.00
40% off
|
$2,532.00
|
$7,596.00
|
$3,544.80
|
2025-11-18
|
|
J9299
|
HCPCS
|
Injection, Nivolumab, 1 Mg
|
60
|
20
|
$8,284.00
|
$4,970.40
40% off
|
$1,128.67
|
$19,867.72
|
$3,514.07
|
2025-11-18
|
|
43760
|
HCPCS
|
Change Gastrostomy Tube
|
26
|
22
|
$8,764.00
|
$5,258.40
40% off
|
$452.55
|
$8,764.00
|
$3,505.60
|
2025-11-18
|
|
J0491
|
HCPCS
|
Injection, Anifrolumab-fnia, 1 Mg
|
20
|
20
|
$8,160.96
|
$4,896.58
40% off
|
$2,774.73
|
$8,160.96
|
$3,461.88
|
2025-11-18
|
|
C1763
|
HCPCS
|
Connective Tissue, Non-human (includes Synthetic)
|
142
|
22
|
$7,935.13
|
$4,761.08
40% off
|
$734.83
|
$9,080.41
|
$3,424.44
|
2025-11-18
|
|
HB-036001760_1
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$8,063.00
|
$4,837.80
40% off
|
$2,418.90
|
$7,256.70
|
$3,386.46
|
2025-11-18
|
|
J2802
|
HCPCS
|
Injection, Romiplostim, 1 Microgram
|
40
|
20
|
$6,194.28
|
$3,716.57
40% off
|
$1,404.04
|
$8,259.03
|
$3,303.61
|
2025-11-18
|
|
J9358
|
HCPCS
|
Injection, Fam-trastuzumab Deruxtecan-nxki, 1 Mg
|
20
|
20
|
$7,726.18
|
$4,635.71
40% off
|
$2,626.90
|
$7,726.18
|
$3,277.45
|
2025-11-18
|
|
L8699
|
HCPCS
|
Prosthetic Implant, Not Otherwise Specified
|
80
|
20
|
$6,378.84
|
$3,827.31
40% off
|
$944.78
|
$9,142.88
|
$3,276.00
|
2025-11-18
|
|
27613
|
HCPCS
|
Biopsy Of Surface Tissue Of Leg Or Ankle
|
35
|
22
|
$8,101.00
|
$4,860.60
40% off
|
$142.28
|
$8,101.00
|
$3,240.40
|
2025-11-18
|
|
J9400
|
HCPCS
|
Injection, Ziv-aflibercept, 1 Mg
|
40
|
20
|
$6,010.00
|
$3,606.00
40% off
|
$1,363.40
|
$8,010.00
|
$3,204.00
|
2025-11-18
|
|
SUP-112940_1
|
CDM
|
Wedge Cotton Allogrft 10x22x20 (jchc)
|
20
|
20
|
$7,623.00
|
$4,573.80
40% off
|
$2,286.90
|
$6,860.70
|
$3,201.66
|
2025-11-18
|
|
J1162
|
HCPCS
|
Injection, Digoxin Immune Fab (ovine), Per Vial
|
20
|
20
|
$7,461.00
|
$4,476.60
40% off
|
$2,536.74
|
$7,461.00
|
$3,164.95
|
2025-11-18
|
|
27599
|
HCPCS
|
Other Procedure On Thigh Or Knee
|
4
|
4
|
$3,146.00
|
$1,887.60
40% off
|
$1,101.10
|
$3,146.00
|
$3,146.00
|
2025-11-18
|
|
HB-036001932_1
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$7,443.00
|
$4,465.80
40% off
|
$2,232.90
|
$6,698.70
|
$3,126.06
|
2025-11-18
|
|
J9035
|
HCPCS
|
Injection, Bevacizumab, 10 Mg
|
20
|
20
|
$7,341.85
|
$4,405.11
40% off
|
$2,496.23
|
$7,341.85
|
$3,114.41
|
2025-11-18
|
|
C1762
|
HCPCS
|
Connective Tissue, Human (includes Fascia Lata)
|
62
|
22
|
$7,203.74
|
$4,322.24
40% off
|
$1,824.63
|
$7,623.00
|
$3,067.64
|
2025-11-18
|
|
SUP-144966_1
|
CDM
|
Fixation Pack Lapiplasty Lesser Tmt (jchc)
|
20
|
20
|
$7,279.65
|
$4,367.79
40% off
|
$2,183.90
|
$6,551.69
|
$3,057.45
|
2025-11-18
|
|
J9325
|
HCPCS
|
Injection, Talimogene Laherparepvec, Per 1 Million Plaque Forming Units
|
40
|
20
|
$8,822.59
|
$5,293.56
40% off
|
$58.04
|
$17,474.48
|
$3,056.01
|
2025-11-18
|
|
SUP-104413_1
|
CDM
|
Wedge Evans (jchc)
|
20
|
20
|
$7,203.74
|
$4,322.24
40% off
|
$2,161.12
|
$6,483.37
|
$3,025.57
|
2025-11-18
|
|
SUP-113155_1
|
CDM
|
Forceps Plate Cut 1.5-2.7mm (jchc)
|
20
|
20
|
$7,174.50
|
$4,304.70
40% off
|
$2,152.35
|
$6,457.05
|
$3,013.29
|
2025-11-18
|
|
HB-036001752_1
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$7,060.00
|
$4,236.00
40% off
|
$2,118.00
|
$6,354.00
|
$2,965.20
|
2025-11-18
|
|
49659
|
HCPCS
|
Other Repair Of Hernia Using An Endoscope
|
4
|
4
|
$2,960.00
|
$1,776.00
40% off
|
$1,036.00
|
$2,960.00
|
$2,960.00
|
2025-11-18
|
|
442
|
MS_DRG
|
Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc
|
3
|
3
|
$2,951.05
|
$1,770.63
40% off
|
$2,951.05
|
$7,677.05
|
$2,951.05
|
2025-11-18
|
|
26952
|
HCPCS
|
Amputation Of Finger Or Thumb With Tissue Flap
|
22
|
22
|
$6,343.00
|
$3,805.80
40% off
|
$2,156.62
|
$6,343.00
|
$2,912.70
|
2025-11-18
|
|
SUP-112946_1
|
CDM
|
Bone Viable Matrix Bio4 2.5cc (jchc)
|
20
|
20
|
$6,693.75
|
$4,016.25
40% off
|
$2,008.13
|
$6,024.38
|
$2,811.38
|
2025-11-18
|
|
SUP-132479_1
|
CDM
|
Mpfl Biocomposite (jchc)
|
20
|
20
|
$6,693.75
|
$4,016.25
40% off
|
$2,008.13
|
$6,024.38
|
$2,811.38
|
2025-11-18
|
|
HB-036001783_1
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$6,621.00
|
$3,972.60
40% off
|
$1,986.30
|
$5,958.90
|
$2,780.82
|
2025-11-18
|
|
J1950
|
HCPCS
|
Injection, Leuprolide Acetate (for Depot Suspension), Per 3.75 Mg
|
60
|
20
|
$6,498.83
|
$3,899.30
40% off
|
$918.57
|
$19,496.57
|
$2,756.81
|
2025-11-18
|
|
J9317
|
HCPCS
|
Injection, Sacituzumab Govitecan-hziy, 2.5 Mg
|
20
|
20
|
$6,418.75
|
$3,851.25
40% off
|
$2,182.38
|
$6,418.75
|
$2,722.84
|
2025-11-18
|
|
288
|
MS_DRG
|
Acute And Subacute Endocarditis With Mcc
|
3
|
3
|
$2,720.49
|
$1,632.29
40% off
|
$2,720.49
|
$7,446.49
|
$2,720.49
|
2025-11-18
|
|
754
|
MS_DRG
|
Malignancy, Female Reproductive System With Mcc
|
3
|
3
|
$2,689.71
|
$1,613.83
40% off
|
$2,689.71
|
$7,415.71
|
$2,689.71
|
2025-11-18
|
|
J9032
|
HCPCS
|
Injection, Belinostat, 10 Mg
|
20
|
20
|
$6,335.70
|
$3,801.42
40% off
|
$2,154.14
|
$6,335.70
|
$2,687.60
|
2025-11-18
|
|
HB-036001835_1
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$6,391.00
|
$3,834.60
40% off
|
$1,917.30
|
$5,751.90
|
$2,684.22
|
2025-11-18
|
|
SUP-112780_1
|
CDM
|
Cement Ha Bone Substitute 5cc Hydro Set Inject(JCHC)
|
20
|
20
|
$6,355.20
|
$3,813.12
40% off
|
$1,906.56
|
$5,719.68
|
$2,669.18
|
2025-11-18
|
|
J9034
|
HCPCS
|
Injection, Bendamustine Hcl (bendeka), 1 Mg
|
20
|
20
|
$6,194.50
|
$3,716.70
40% off
|
$2,106.13
|
$6,194.50
|
$2,627.70
|
2025-11-18
|
|
HB-036002127_1
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$6,200.00
|
$3,720.00
40% off
|
$1,860.00
|
$5,580.00
|
$2,604.00
|
2025-11-18
|
|
HB-036001750_1
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$6,141.00
|
$3,684.60
40% off
|
$1,842.30
|
$5,526.90
|
$2,579.22
|
2025-11-18
|
|
SUP-146297_1
|
CDM
|
Probe Coolief Multi-cooled 17g X 100mm X 4mm (jchc)
|
20
|
20
|
$6,112.00
|
$3,667.20
40% off
|
$1,833.60
|
$5,500.80
|
$2,567.04
|
2025-11-18
|
|
SUP-146298_1
|
CDM
|
Probe Coolief Multi-cooled 17g X 75mm X 4mm (jchc)
|
20
|
20
|
$6,112.00
|
$3,667.20
40% off
|
$1,833.60
|
$5,500.80
|
$2,567.04
|
2025-11-18
|
|
73222
|
HCPCS
|
MRI Scan Of Arm Joint With Contrast
|
22
|
22
|
$6,110.00
|
$3,666.00
40% off
|
$1,113.56
|
$6,110.00
|
$2,566.20
|
2025-11-18
|
|
C1776
|
HCPCS
|
Joint Device (implantable)
|
920
|
20
|
$4,966.40
|
$2,979.84
40% off
|
$209.81
|
$17,478.45
|
$2,560.00
|
2025-11-18
|
|
49566
|
HCPCS
|
Repair Recurrent Incisional Or Ventral Hernia; Incarcerated Or Strangulated
|
4
|
4
|
$2,550.00
|
$1,530.00
40% off
|
$892.50
|
$2,550.00
|
$2,550.00
|
2025-11-18
|
|
HB-036001751_1
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$6,013.00
|
$3,607.80
40% off
|
$1,803.90
|
$5,411.70
|
$2,525.46
|
2025-11-18
|
|
49561
|
HCPCS
|
Repair Initial Incisional Or Ventral Hernia; Incarcerated Or Strangulated
|
4
|
4
|
$2,512.00
|
$1,507.20
40% off
|
$879.20
|
$2,512.00
|
$2,512.00
|
2025-11-18
|
|
HB-036001891_1
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$5,951.00
|
$3,570.60
40% off
|
$1,785.30
|
$5,355.90
|
$2,499.42
|
2025-11-18
|
|
HB-036001897_1
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$5,951.00
|
$3,570.60
40% off
|
$1,785.30
|
$5,355.90
|
$2,499.42
|
2025-11-18
|
|
Q5120
|
HCPCS
|
Injection, Pegfilgrastim-bmez (ziextenzo), Biosimilar, 0.5 Mg
|
20
|
20
|
$5,888.30
|
$3,532.98
40% off
|
$2,002.02
|
$5,888.30
|
$2,497.82
|
2025-11-18
|
|
Q5122
|
HCPCS
|
Injection, Pegfilgrastim-apgf (nyvepria), Biosimilar, 0.5 Mg
|
20
|
20
|
$5,887.50
|
$3,532.50
40% off
|
$2,001.75
|
$5,887.50
|
$2,497.48
|
2025-11-18
|
|
22999
|
HCPCS
|
Other Procedure On Abdominal Muscle Or Bone
|
4
|
4
|
$2,422.00
|
$1,453.20
40% off
|
$847.70
|
$2,422.00
|
$2,422.00
|
2025-11-18
|
|
J0565
|
HCPCS
|
Injection, Bezlotoxumab, 10 Mg
|
20
|
20
|
$5,700.00
|
$3,420.00
40% off
|
$1,938.00
|
$5,700.00
|
$2,417.94
|
2025-11-18
|
|
27562
|
HCPCS
|
Closed Treatment Of Dislocated Kneecap Under Anesthesia
|
35
|
22
|
$5,997.00
|
$3,598.20
40% off
|
$436.16
|
$5,997.00
|
$2,398.80
|
2025-11-18
|
|
P9035
|
HCPCS
|
Platelets, Pheresis, Leukocytes Reduced, Each Unit
|
22
|
22
|
$5,703.00
|
$3,421.80
40% off
|
$420.17
|
$5,703.00
|
$2,395.26
|
2025-11-18
|
|
HB-036001923_1
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$5,700.00
|
$3,420.00
40% off
|
$1,710.00
|
$5,130.00
|
$2,394.00
|
2025-11-18
|
|
HB-036001799_1
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$5,647.00
|
$3,388.20
40% off
|
$1,694.10
|
$5,082.30
|
$2,371.74
|
2025-11-18
|
|
HB-036001784_1
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$5,600.00
|
$3,360.00
40% off
|
$1,680.00
|
$5,040.00
|
$2,352.00
|
2025-11-18
|
|
70551
|
HCPCS
|
MRI Scan Of Brain Without Contrast
|
22
|
22
|
$5,500.00
|
$3,300.00
40% off
|
$806.94
|
$5,500.00
|
$2,310.00
|
2025-11-18
|
|
J2182
|
HCPCS
|
Injection, Mepolizumab, 1 Mg
|
20
|
20
|
$5,404.23
|
$3,242.54
40% off
|
$1,837.44
|
$5,404.23
|
$2,292.48
|
2025-11-18
|
|
SUP-112911_1
|
CDM
|
Screw Rack 7.0mm (jchc)
|
20
|
20
|
$5,440.00
|
$3,264.00
40% off
|
$1,632.00
|
$4,896.00
|
$2,284.80
|
2025-11-18
|
|
J1306
|
HCPCS
|
Injection, Inclisiran, 1 Mg
|
20
|
20
|
$5,381.60
|
$3,228.96
40% off
|
$1,829.74
|
$5,381.60
|
$2,282.88
|
2025-11-18
|
|
Q5123
|
HCPCS
|
Injection, Rituximab-arrx, Biosimilar, (riabni), 10 Mg
|
20
|
20
|
$5,376.00
|
$3,225.60
40% off
|
$1,827.84
|
$5,376.00
|
$2,280.50
|
2025-11-18
|
|
HB-036001800_1
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$5,410.00
|
$3,246.00
40% off
|
$1,623.00
|
$4,869.00
|
$2,272.20
|
2025-11-18
|
|
J9217
|
HCPCS
|
Leuprolide Acetate (for Depot Suspension), 7.5 Mg
|
160
|
20
|
$3,642.34
|
$2,185.40
40% off
|
$230.36
|
$19,316.99
|
$2,262.97
|
2025-11-18
|
|
44979
|
HCPCS
|
Other Procedure On Appendix Using An Endoscope
|
4
|
4
|
$2,239.00
|
$1,343.40
40% off
|
$783.65
|
$2,239.00
|
$2,239.00
|
2025-11-18
|
|
SUP-101791_1
|
CDM
|
Femoral 17mmx170mm Standard (jchc)
|
20
|
20
|
$5,324.80
|
$3,194.88
40% off
|
$1,597.44
|
$4,792.32
|
$2,236.42
|
2025-11-18
|
|
SUP-101793_1
|
CDM
|
Femoral 9mmx130mm Standard (jchc)
|
20
|
20
|
$5,324.80
|
$3,194.88
40% off
|
$1,597.44
|
$4,792.32
|
$2,236.42
|
2025-11-18
|
|
SUP-101789_1
|
CDM
|
Femoral 13mmx150mm Standard (jchc)
|
20
|
20
|
$5,324.80
|
$3,194.88
40% off
|
$1,597.44
|
$4,792.32
|
$2,236.42
|
2025-11-18
|
|
SUP-101792_1
|
CDM
|
Femoral 7mmx120mm Standard (jchc)
|
20
|
20
|
$5,324.80
|
$3,194.88
40% off
|
$1,597.44
|
$4,792.32
|
$2,236.42
|
2025-11-18
|
|
J9023
|
HCPCS
|
Injection, Avelumab, 10 Mg
|
20
|
20
|
$5,245.05
|
$3,147.03
40% off
|
$1,783.32
|
$5,245.05
|
$2,224.95
|
2025-11-18
|
|
J1569
|
HCPCS
|
Injection, Immune Globulin, (gammagard Liquid), Non-lyophilized, (e.g., Liquid),…
|
20
|
20
|
$5,238.30
|
$3,142.98
40% off
|
$1,781.02
|
$5,238.30
|
$2,222.09
|
2025-11-18
|
|
P9037
|
HCPCS
|
Platelets, Pheresis, Leukocytes Reduced, Irradiated, Each Unit
|
22
|
22
|
$5,251.00
|
$3,150.60
40% off
|
$420.17
|
$5,251.00
|
$2,205.42
|
2025-11-18
|
|
J9033
|
HCPCS
|
Injection, Bendamustine Hydrochloride, 1 Mg
|
40
|
20
|
$4,653.44
|
$2,792.06
40% off
|
$634.91
|
$7,439.50
|
$2,198.40
|
2025-11-18
|
|
HB-036001930_1
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$5,179.00
|
$3,107.40
40% off
|
$1,553.70
|
$4,661.10
|
$2,175.18
|
2025-11-18
|
|
HB-036001763_1
|
CDM
|
Operating Room Services - General Classification
|
20
|
20
|
$5,153.00
|
$3,091.80
40% off
|
$1,545.90
|
$4,637.70
|
$2,164.26
|
2025-11-18
|
|
62322
|
HCPCS
|
Injection Of Substance Into Lower Spine Canal
|
38
|
22
|
$5,800.00
|
$3,480.00
40% off
|
$68.98
|
$5,800.00
|
$2,111.20
|
2025-11-18
|
|
J1944
|
HCPCS
|
Injection, Aripiprazole Lauroxil, (aristada), 1 Mg
|
80
|
20
|
$4,177.73
|
$2,506.64
40% off
|
$811.41
|
$5,757.92
|
$2,096.30
|
2025-11-18
|