|
J9029
|
HCPCS
|
Adstiladrin 75 Ml Blad Instill
|
4
|
3
|
$152,938.00
|
—
|
$38,234.50
|
$116,064.65
|
$106,246.03
|
2026-02-24
|
|
3722750
|
OTHER
|
Fem/pop Revasc W/stent & Ather
|
4
|
3
|
$90,842.00
|
—
|
$22,710.50
|
$68,939.99
|
$63,107.93
|
2026-02-24
|
|
3722650
|
OTHER
|
Fem/pop Revasc W/stent
|
4
|
3
|
$90,842.00
|
—
|
$22,710.50
|
$68,939.99
|
$63,107.93
|
2026-02-24
|
|
33231
|
CPT
|
Insrt Icd W/mult Leads
|
4
|
3
|
$77,928.00
|
—
|
$100.00
|
$59,139.56
|
$54,136.58
|
2026-02-24
|
|
33230
|
CPT
|
Insrt Icd W/dual Leads
|
4
|
3
|
$77,928.00
|
—
|
$100.00
|
$59,139.56
|
$54,136.58
|
2026-02-24
|
|
33240
|
CPT
|
Insertion Pulse Generator
|
4
|
3
|
$75,926.50
|
—
|
$100.00
|
$57,620.62
|
$52,746.14
|
2026-02-24
|
|
3722550
|
OTHER
|
Fem/pop Revasc W/ather Bilat
|
4
|
3
|
$75,831.00
|
—
|
$18,957.75
|
$57,548.15
|
$52,679.79
|
2026-02-24
|
|
C1826
|
HCPCS
|
Neurostimulator Inceptiv
|
5
|
3
|
$80,630.00
|
—
|
$20,157.50
|
$61,190.11
|
$51,764.46
|
2026-02-24
|
|
J9359PO
|
OTHER
|
Loncastuximab Tesirine 10 Mg
|
4
|
3
|
$63,349.21
|
—
|
$15,837.30
|
$48,075.72
|
$44,008.69
|
2026-02-24
|
|
J2327JB
|
OTHER
|
Skyrizi 360 Mg/2.4 Ml Inj Kit
|
4
|
3
|
$50,302.57
|
—
|
$12,575.64
|
$38,174.62
|
$34,945.19
|
2026-02-24
|
|
33880
|
CPT
|
Endovascular Repair Of Thoraci
|
4
|
3
|
$47,703.25
|
—
|
$11,925.81
|
$36,202.00
|
$33,139.45
|
2026-02-24
|
|
63664
|
CPT
|
Revise Spine Eltrd Plate
|
4
|
3
|
$47,134.50
|
—
|
$100.00
|
$35,770.37
|
$32,744.34
|
2026-02-24
|
|
3722759LT
|
OTHER
|
Fem/popl Revas Stnt & Ather Lt
|
4
|
3
|
$45,421.25
|
—
|
$11,355.31
|
$34,470.19
|
$31,554.14
|
2026-02-24
|
|
37226LT
|
OTHER
|
Fem/popl Revasc W/stent Lt
|
4
|
3
|
$45,421.25
|
—
|
$11,355.31
|
$34,470.19
|
$31,554.14
|
2026-02-24
|
|
37227LT
|
OTHER
|
Fem/popl Revas Stnt & Ather Lt
|
4
|
3
|
$45,421.25
|
—
|
$11,355.31
|
$34,470.19
|
$31,554.14
|
2026-02-24
|
|
0237T50
|
OTHER
|
Triuml Perip Athrc Brchiocph B
|
4
|
3
|
$42,745.00
|
—
|
$10,686.25
|
$32,439.18
|
$29,694.95
|
2026-02-24
|
|
0238T50
|
OTHER
|
Triuml Perp Athrc Illiac Art B
|
4
|
3
|
$42,745.00
|
—
|
$10,686.25
|
$32,439.18
|
$29,694.95
|
2026-02-24
|
|
0234T50
|
OTHER
|
Triuml Perip Athrc Renal Art B
|
4
|
3
|
$42,745.00
|
—
|
$10,686.25
|
$32,439.18
|
$29,694.95
|
2026-02-24
|
|
J3357
|
HCPCS
|
Ustekinumab Inj 90 Mg/1 Ml Syr
|
4
|
3
|
$62,062.25
|
—
|
$183.83
|
$47,099.04
|
$27,679.76
|
2026-02-24
|
|
C1721
|
HCPCS
|
Generator, Biv Visionist Crt-p
|
60
|
3
|
$47,549.38
|
—
|
$3,596.25
|
$51,247.38
|
$27,603.46
|
2026-02-24
|
|
36906
|
CPT
|
Thrombectomy Mech/infus W Sten
|
4
|
3
|
$39,635.75
|
—
|
$100.00
|
$30,079.57
|
$27,534.96
|
2026-02-24
|
|
C1722
|
HCPCS
|
Inogen Mini Vr Df 4 Sing Chamb
|
35
|
3
|
$46,025.25
|
—
|
$6,484.50
|
$45,640.06
|
$27,513.87
|
2026-02-24
|
|
C1822
|
HCPCS
|
Kit, Ipg
|
5
|
3
|
$42,756.75
|
—
|
$10,689.19
|
$32,448.10
|
$27,449.83
|
2026-02-24
|
|
36837
|
CPT
|
Perc Arterio Fistula Sep Acc
|
4
|
3
|
$39,326.00
|
—
|
$9,831.50
|
$29,844.50
|
$27,319.77
|
2026-02-24
|
|
C9775
|
HCPCS
|
Revasc Lith-sten-ath Tib/per
|
4
|
3
|
$38,664.25
|
—
|
$9,666.06
|
$29,342.30
|
$26,860.06
|
2026-02-24
|
|
C9767
|
HCPCS
|
Revasc Lithotrip Stent-ather
|
4
|
3
|
$38,664.25
|
—
|
$100.00
|
$29,342.30
|
$26,860.06
|
2026-02-24
|
|
C9773
|
HCPCS
|
Revasc Lithotr-stent-tib/per
|
4
|
3
|
$38,664.25
|
—
|
$9,666.06
|
$29,342.30
|
$26,860.06
|
2026-02-24
|
|
37225RT
|
OTHER
|
Fem/popl Revas W/ather Rt
|
4
|
3
|
$37,915.75
|
—
|
$9,478.94
|
$28,774.26
|
$26,340.07
|
2026-02-24
|
|
37225LT
|
OTHER
|
Fem/popl Revas W/ather Lt
|
4
|
3
|
$37,915.75
|
—
|
$9,478.94
|
$28,774.26
|
$26,340.07
|
2026-02-24
|
|
3722559LT
|
OTHER
|
Fem/popl Revas W/ather Lt
|
4
|
3
|
$37,915.75
|
—
|
$9,478.94
|
$28,774.26
|
$26,340.07
|
2026-02-24
|
|
33208
|
CPT
|
Pacemaker Ins Atrial/vent
|
3
|
2
|
$34,165.25
|
—
|
$21,934.09
|
$25,928.01
|
$25,535.11
|
2026-02-24
|
|
J9298PO
|
OTHER
|
Opdualag 20ml Vial
|
4
|
3
|
$35,804.50
|
—
|
$8,951.13
|
$27,172.04
|
$24,873.39
|
2026-02-24
|
|
3722050
|
OTHER
|
Illiac Revasc Init Bilat
|
4
|
3
|
$35,464.75
|
—
|
$8,866.19
|
$26,914.20
|
$24,637.36
|
2026-02-24
|
|
C1820
|
HCPCS
|
Stimulator, Spinal Cord 37712
|
30
|
3
|
$36,183.88
|
—
|
$8,050.50
|
$39,633.17
|
$24,273.08
|
2026-02-24
|
|
3722450
|
OTHER
|
Fem/pop Revasc Bilat
|
4
|
3
|
$33,833.50
|
—
|
$8,458.38
|
$25,676.24
|
$23,504.14
|
2026-02-24
|
|
0075T
|
CPT
|
Transcath Vertebral Art Stent
|
4
|
3
|
$32,584.25
|
—
|
$8,146.06
|
$24,728.19
|
$22,636.28
|
2026-02-24
|
|
5059350
|
OTHER
|
Ablation Renal Tum Uni Cryo Bi
|
4
|
3
|
$32,093.25
|
—
|
$8,023.31
|
$24,355.57
|
$22,295.18
|
2026-02-24
|
|
37218
|
CPT
|
Transcath Placemt Intrav Sten
|
4
|
3
|
$30,337.00
|
—
|
$7,584.25
|
$23,022.75
|
$21,075.11
|
2026-02-24
|
|
33883
|
CPT
|
Placement Of Proximal Extensio
|
4
|
3
|
$29,094.25
|
—
|
$7,273.56
|
$22,079.63
|
$20,211.78
|
2026-02-24
|
|
0627T
|
CPT
|
Injection, Vivex
|
4
|
3
|
$28,964.75
|
—
|
$100.00
|
$21,981.35
|
$20,121.81
|
2026-02-24
|
|
J2350
|
HCPCS
|
Ocrelizumab 300 Mg/10 Ml Vial
|
4
|
3
|
$44,584.50
|
—
|
$70.40
|
$33,835.18
|
$19,884.69
|
2026-02-24
|
|
33207
|
CPT
|
Pacemaker Ins Ventricular
|
4
|
3
|
$27,937.25
|
—
|
$100.00
|
$21,201.58
|
$19,408.00
|
2026-02-24
|
|
37233
|
CPT
|
Tib/per Revasc W/ather Add-on
|
4
|
3
|
$26,856.75
|
—
|
$6,714.19
|
$20,381.59
|
$18,657.39
|
2026-02-24
|
|
37229
|
CPT
|
Tib/per Revasc W/ather
|
4
|
3
|
$26,856.75
|
—
|
$100.00
|
$20,381.59
|
$18,657.39
|
2026-02-24
|
|
37230
|
CPT
|
Tib/per Revasc W/stent
|
4
|
3
|
$26,856.75
|
—
|
$100.00
|
$20,381.59
|
$18,657.39
|
2026-02-24
|
|
C1772
|
HCPCS
|
Pump Pain Medtron 20cc
|
15
|
3
|
$24,842.00
|
—
|
$5,568.19
|
$28,278.89
|
$18,370.66
|
2026-02-24
|
|
J0870PO
|
OTHER
|
Imetelstat 188mg
|
4
|
3
|
$25,951.10
|
—
|
$6,487.78
|
$19,694.29
|
$18,028.23
|
2026-02-24
|
|
J9119PO
|
OTHER
|
Cemiplimab-rwlc 350 Mg Vial
|
4
|
3
|
$25,676.00
|
—
|
$6,419.00
|
$19,485.52
|
$17,837.12
|
2026-02-24
|
|
3722350
|
OTHER
|
Illiac Revasc W/stent Addl Bil
|
4
|
3
|
$25,300.75
|
—
|
$6,325.19
|
$19,200.74
|
$17,576.43
|
2026-02-24
|
|
35151
|
CPT
|
Popliteal Aneurysm Repair
|
4
|
3
|
$25,238.75
|
—
|
$6,309.69
|
$19,153.69
|
$17,533.36
|
2026-02-24
|
|
3722159LT
|
OTHER
|
Iliac Revasc W/stent Lt
|
4
|
3
|
$25,238.75
|
—
|
$6,309.69
|
$19,153.69
|
$17,533.36
|
2026-02-24
|
|
3722159RT
|
OTHER
|
Iliac Revasc W/stent Rt
|
4
|
3
|
$25,238.75
|
—
|
$6,309.69
|
$19,153.69
|
$17,533.36
|
2026-02-24
|
|
37221RT
|
OTHER
|
Iliac Revasc W/stent Rt
|
4
|
3
|
$25,238.75
|
—
|
$6,309.69
|
$19,153.69
|
$17,533.36
|
2026-02-24
|
|
33886
|
CPT
|
Placement Of Distal Extension
|
4
|
3
|
$24,956.50
|
—
|
$6,239.13
|
$18,939.49
|
$17,337.28
|
2026-02-24
|
|
J9043PO
|
OTHER
|
Jevtana 60mg Kit W/diluent
|
4
|
3
|
$24,346.00
|
—
|
$6,086.50
|
$18,476.18
|
$16,913.17
|
2026-02-24
|
|
C9765
|
HCPCS
|
Revasc Intra Lithotr-stent
|
4
|
3
|
$24,171.75
|
—
|
$100.00
|
$18,343.94
|
$16,792.12
|
2026-02-24
|
|
37238
|
CPT
|
Tc IV Stent Venous Init W/si
|
4
|
3
|
$24,047.25
|
—
|
$100.00
|
$18,249.46
|
$16,705.62
|
2026-02-24
|
|
37236
|
CPT
|
Tc IV Stent Arter Initial W/si
|
4
|
3
|
$24,047.25
|
—
|
$100.00
|
$18,249.46
|
$16,705.62
|
2026-02-24
|
|
J9316PO
|
OTHER
|
Phesgo 1200 Mg Vl
|
8
|
3
|
$27,687.75
|
—
|
$5,537.94
|
$25,213.50
|
$16,683.59
|
2026-02-24
|
|
C1882
|
HCPCS
|
Unify Assura Cd3357-40c Cell B
|
25
|
3
|
$46,025.25
|
—
|
$5,339.13
|
$43,311.56
|
$16,673.03
|
2026-02-24
|
|
C1767
|
HCPCS
|
Medtronic Interstim Genertor/i
|
25
|
3
|
$25,570.00
|
—
|
$525.75
|
$37,912.37
|
$16,484.28
|
2026-02-24
|
|
36907
|
CPT
|
Transluminal Balloon Ap Cds
|
4
|
3
|
$23,528.00
|
—
|
$5,882.00
|
$17,855.40
|
$16,344.91
|
2026-02-24
|
|
C9766
|
HCPCS
|
Revasc Intrav Lithotrip & Athr
|
4
|
3
|
$22,950.00
|
—
|
$100.00
|
$17,416.76
|
$15,943.37
|
2026-02-24
|
|
J1440
|
HCPCS
|
Rebyota Fecal 150 Ml Enema
|
4
|
3
|
$22,939.20
|
—
|
$5,734.80
|
$17,408.56
|
$15,935.86
|
2026-02-24
|
|
33212
|
CPT
|
Ins/rpl Pulse Gen Sngl Chamber
|
4
|
3
|
$22,848.50
|
—
|
$100.00
|
$17,339.73
|
$15,872.85
|
2026-02-24
|
|
33229
|
CPT
|
Rmvl & Replc Pm Gen Mult Leads
|
4
|
3
|
$22,800.50
|
—
|
$100.00
|
$17,303.30
|
$15,839.51
|
2026-02-24
|
|
33228
|
CPT
|
Rmvl & Rplc Pm Gen Dual Lead
|
4
|
3
|
$22,800.50
|
—
|
$100.00
|
$17,303.30
|
$15,839.51
|
2026-02-24
|
|
J1628
|
HCPCS
|
Guselkumab 200 Mg/20 Ml Vial
|
4
|
3
|
$35,361.99
|
—
|
$88.29
|
$26,836.21
|
$15,771.45
|
2026-02-24
|
|
C9761
|
HCPCS
|
Sure Flat Fee
|
4
|
3
|
$22,425.00
|
—
|
$100.00
|
$17,018.33
|
$15,578.65
|
2026-02-24
|
|
34707
|
CPT
|
Endo Rpr Iliac Art W Ilio-ilia
|
4
|
3
|
$21,783.00
|
—
|
$5,445.75
|
$16,531.12
|
$15,132.65
|
2026-02-24
|
|
50593LT
|
OTHER
|
Ablation Renal Tum Uni Cryo Lt
|
4
|
3
|
$21,395.25
|
—
|
$5,348.81
|
$16,236.86
|
$14,863.28
|
2026-02-24
|
|
50593RT
|
OTHER
|
Ablation Renal Tum Uni Cryo Rt
|
4
|
3
|
$21,395.25
|
—
|
$5,348.81
|
$16,236.86
|
$14,863.28
|
2026-02-24
|
|
0234TLT
|
OTHER
|
Trluml Peri Arth Renal Art Lt
|
4
|
3
|
$21,372.75
|
—
|
$5,343.19
|
$16,219.78
|
$14,847.65
|
2026-02-24
|
|
0237TRT
|
OTHER
|
Trluml Perip Arth Brchiocph Rt
|
4
|
3
|
$21,372.50
|
—
|
$5,343.13
|
$16,219.59
|
$14,847.48
|
2026-02-24
|
|
0238TLT
|
OTHER
|
Trluml Perip Arth Iliac Art Lt
|
4
|
3
|
$21,372.50
|
—
|
$5,343.13
|
$16,219.59
|
$14,847.48
|
2026-02-24
|
|
0237TLT
|
OTHER
|
Trluml Perip Arth Brchiocph Lt
|
4
|
3
|
$21,372.50
|
—
|
$5,343.13
|
$16,219.59
|
$14,847.48
|
2026-02-24
|
|
33227
|
CPT
|
Rmvl & Rplc Pm Gen Single Lead
|
4
|
3
|
$20,804.75
|
—
|
$100.00
|
$15,788.72
|
$14,453.06
|
2026-02-24
|
|
J9144PO
|
OTHER
|
Darzalex Faspro 1800 Mg
|
4
|
3
|
$20,789.75
|
—
|
$5,197.44
|
$15,777.34
|
$14,442.64
|
2026-02-24
|
|
92928
|
CPT
|
Prq Card Stent W/angio 1 Vsl N
|
3
|
2
|
$19,256.00
|
—
|
$12,362.35
|
$14,613.38
|
$14,391.93
|
2026-02-24
|
|
C9606
|
HCPCS
|
Prq Card Revasc M1 1 Vsl De
|
4
|
3
|
$19,256.00
|
—
|
$4,814.00
|
$14,613.38
|
$13,377.14
|
2026-02-24
|
|
92938
|
CPT
|
Prq Revasc Byp Graft Addl Nde
|
4
|
3
|
$19,256.00
|
—
|
$4,814.00
|
$14,613.38
|
$13,377.14
|
2026-02-24
|
|
92941
|
CPT
|
Prq Card Revasc Mi 1 Vsl Nde
|
4
|
3
|
$19,256.00
|
—
|
$4,814.00
|
$14,613.38
|
$13,377.14
|
2026-02-24
|
|
C9608
|
HCPCS
|
Prq Card Revasc Chronic Addl D
|
4
|
3
|
$19,256.00
|
—
|
$4,814.00
|
$14,613.38
|
$13,377.14
|
2026-02-24
|
|
92937
|
CPT
|
Prq Revasc Byp Graft 1 Vsl Nde
|
4
|
3
|
$19,256.00
|
—
|
$100.00
|
$14,613.38
|
$13,377.14
|
2026-02-24
|
|
C9600
|
HCPCS
|
Prq Card Stent W/angio 1 Vsl D
|
4
|
3
|
$19,256.00
|
—
|
$100.00
|
$14,613.38
|
$13,377.14
|
2026-02-24
|
|
92929
|
CPT
|
Prq Card Stent W/angio Addl De
|
4
|
3
|
$19,256.00
|
—
|
$4,814.00
|
$14,613.38
|
$13,377.14
|
2026-02-24
|
|
92943
|
CPT
|
Prq Card Revas Chronic 1vsl Nd
|
4
|
3
|
$19,256.00
|
—
|
$100.00
|
$14,613.38
|
$13,377.14
|
2026-02-24
|
|
C9607
|
HCPCS
|
Prq Card Revasc Chronic 1vsl D
|
4
|
3
|
$19,256.00
|
—
|
$100.00
|
$14,613.38
|
$13,377.14
|
2026-02-24
|
|
C9601
|
HCPCS
|
Prq Card Stent W/angio Addl De
|
4
|
3
|
$19,256.00
|
—
|
$4,814.00
|
$14,613.38
|
$13,377.14
|
2026-02-24
|
|
92944
|
CPT
|
Prq Card Revasc Chronic Addl D
|
4
|
3
|
$19,256.00
|
—
|
$4,814.00
|
$14,613.38
|
$13,377.14
|
2026-02-24
|
|
J9022PO
|
OTHER
|
Atezolizumab 840 Mg
|
4
|
3
|
$18,560.75
|
—
|
$4,640.19
|
$14,085.75
|
$12,894.15
|
2026-02-24
|
|
3299850
|
OTHER
|
Ablation Ther Pulm Tum-bil
|
4
|
3
|
$18,232.50
|
—
|
$4,558.13
|
$13,836.64
|
$12,666.12
|
2026-02-24
|
|
5059250
|
OTHER
|
Ablat Or> Renal Tum Bil
|
4
|
3
|
$18,231.50
|
—
|
$4,557.88
|
$13,835.89
|
$12,665.42
|
2026-02-24
|
|
J9223PO
|
OTHER
|
Lurbinectedin 4 Mg Vial
|
4
|
3
|
$18,210.50
|
—
|
$4,552.63
|
$13,819.95
|
$12,650.83
|
2026-02-24
|
|
3722059LT
|
OTHER
|
Iliac Revasc Lt
|
4
|
3
|
$17,732.75
|
—
|
$4,433.19
|
$13,457.38
|
$12,318.94
|
2026-02-24
|
|
C1817
|
HCPCS
|
Amplatzer Occluder
|
5
|
3
|
$19,114.75
|
—
|
$4,778.69
|
$14,506.18
|
$12,271.67
|
2026-02-24
|
|
Q4116
|
HCPCS
|
Matrix, Tissue, Alloderm 16x20
|
5
|
3
|
$24,869.50
|
—
|
$36.69
|
$18,873.46
|
$12,260.66
|
2026-02-24
|
|
37246
|
CPT
|
Pta Aorta
|
4
|
3
|
$16,917.50
|
—
|
$100.00
|
$12,838.69
|
$11,752.59
|
2026-02-24
|
|
36902
|
CPT
|
Sc Pta Percu Renal/viseral Art
|
4
|
3
|
$16,917.50
|
—
|
$100.00
|
$12,838.69
|
$11,752.59
|
2026-02-24
|
|
37224RT
|
OTHER
|
Fem/popl Revas W/tla Rt
|
4
|
3
|
$16,917.00
|
—
|
$4,229.25
|
$12,838.31
|
$11,752.24
|
2026-02-24
|
|
3722459RT
|
OTHER
|
Fem/popl Revas W/tla Rt
|
4
|
3
|
$16,917.00
|
—
|
$4,229.25
|
$12,838.31
|
$11,752.24
|
2026-02-24
|
|
37224LT
|
OTHER
|
Fem/popl Revas W/tla Lt
|
4
|
3
|
$16,917.00
|
—
|
$4,229.25
|
$12,838.31
|
$11,752.24
|
2026-02-24
|
|
3722459LT
|
OTHER
|
Fem/popl Revas W/tla Lt
|
4
|
3
|
$16,917.00
|
—
|
$4,229.25
|
$12,838.31
|
$11,752.24
|
2026-02-24
|
|
J9063PO
|
OTHER
|
Elahere 100mg Vl
|
4
|
3
|
$16,916.47
|
—
|
$4,229.12
|
$12,837.91
|
$11,751.87
|
2026-02-24
|
|
J9022
|
HCPCS
|
Atezolizumab 1,200 Mg/20 Ml Vl
|
4
|
3
|
$25,553.75
|
—
|
$107.34
|
$19,392.74
|
$11,396.97
|
2026-02-24
|
|
C2621
|
HCPCS
|
Pacemaker, Biventricular
|
15
|
3
|
$17,674.00
|
—
|
$4,113.69
|
$15,317.64
|
$11,346.71
|
2026-02-24
|
|
J9332
|
HCPCS
|
Efgartigimod Alfa 400mg/20ml
|
4
|
3
|
$15,555.25
|
—
|
$3,888.81
|
$11,804.88
|
$10,806.23
|
2026-02-24
|
|
20983RT
|
OTHER
|
Abl Ther 1/ +bone Cryob Rt
|
4
|
3
|
$15,046.25
|
—
|
$3,761.56
|
$11,418.60
|
$10,452.63
|
2026-02-24
|
|
22513
|
CPT
|
Vertebral Augmentation Percut
|
4
|
3
|
$15,046.25
|
—
|
$100.00
|
$11,418.60
|
$10,452.63
|
2026-02-24
|
|
J2506PO
|
OTHER
|
Neulasta Del Kit 6mg/0.6ml
|
4
|
3
|
$15,003.75
|
—
|
$3,750.94
|
$11,386.35
|
$10,423.10
|
2026-02-24
|
|
0481
|
RC
|
—
|
4
|
3
|
$14,879.75
|
—
|
$3,719.94
|
$11,292.24
|
$10,336.97
|
2026-02-24
|
|
93454
|
CPT
|
Coronary Artery Angio S & I
|
4
|
3
|
$14,879.75
|
—
|
$100.00
|
$11,292.24
|
$10,336.97
|
2026-02-24
|
|
Q4100
|
HCPCS
|
Cortiva, 1mm 16x20 Allograft
|
5
|
3
|
$16,010.75
|
—
|
$4,002.69
|
$12,150.56
|
$10,278.90
|
2026-02-24
|
|
J1930PO
|
OTHER
|
Somatuline Depot 90mg Syr
|
8
|
3
|
$15,124.88
|
—
|
$3,369.38
|
$12,728.46
|
$10,150.58
|
2026-02-24
|
|
63663
|
CPT
|
Revise Spine Eltrd Perq Aray
|
4
|
3
|
$13,975.50
|
—
|
$100.00
|
$10,606.01
|
$9,708.78
|
2026-02-24
|
|
J9308PO
|
OTHER
|
Ramucirumab 500mg/50ml Inj
|
4
|
3
|
$13,667.50
|
—
|
$3,416.88
|
$10,372.27
|
$9,494.82
|
2026-02-24
|
|
J9057PO
|
OTHER
|
Copanlisib 60mg Vial
|
4
|
3
|
$13,567.50
|
—
|
$3,391.88
|
$10,296.38
|
$9,425.35
|
2026-02-24
|
|
36252
|
CPT
|
Renal First Order Bilat
|
4
|
3
|
$13,561.50
|
—
|
$100.00
|
$10,291.82
|
$9,421.17
|
2026-02-24
|
|
C2596
|
HCPCS
|
Aquabeam, Handpiece Kit
|
5
|
3
|
$14,625.00
|
—
|
$3,656.25
|
$11,098.91
|
$9,389.25
|
2026-02-24
|
|
J9271PO
|
OTHER
|
Keytruda Pembrolizumab 100mg/4
|
4
|
3
|
$13,514.75
|
—
|
$3,378.69
|
$10,256.34
|
$9,388.69
|
2026-02-24
|
|
47382
|
CPT
|
Ablation 1 Or More Liver Tumor
|
3
|
2
|
$12,154.25
|
—
|
$7,803.03
|
$9,223.86
|
$9,084.09
|
2026-02-24
|
|
36226
|
CPT
|
Place Cath Vertebral Art
|
4
|
3
|
$12,860.25
|
—
|
$100.00
|
$9,759.64
|
$8,934.01
|
2026-02-24
|
|
36224
|
CPT
|
Place Cath Carotd Art
|
4
|
3
|
$12,860.25
|
—
|
$100.00
|
$9,759.64
|
$8,934.01
|
2026-02-24
|
|
92921
|
CPT
|
Prq Cardiac Angio Addl Art
|
4
|
3
|
$12,678.00
|
—
|
$3,169.50
|
$9,621.33
|
$8,807.41
|
2026-02-24
|
|
92920
|
CPT
|
Prq Cardiac Angioplast 1 Art
|
4
|
3
|
$12,678.00
|
—
|
$100.00
|
$9,621.33
|
$8,807.41
|
2026-02-24
|
|
3722259RT
|
OTHER
|
Iliac Revasc Add-on Rt
|
4
|
3
|
$12,651.00
|
—
|
$3,162.75
|
$9,600.84
|
$8,788.65
|
2026-02-24
|
|
3722259LT
|
OTHER
|
Iliac Revasc Add-on Lt
|
4
|
3
|
$12,651.00
|
—
|
$3,162.75
|
$9,600.84
|
$8,788.65
|
2026-02-24
|
|
37235
|
CPT
|
Tib/per Revas Stnt&ather Addl
|
4
|
3
|
$12,651.00
|
—
|
$3,162.75
|
$9,600.84
|
$8,788.65
|
2026-02-24
|
|
37234
|
CPT
|
Revsc Opn/prq Tib/pero Stent
|
4
|
3
|
$12,651.00
|
—
|
$3,162.75
|
$9,600.84
|
$8,788.65
|
2026-02-24
|
|
3722359RT
|
OTHER
|
Iliac Revasc W/stent Add-on Rt
|
4
|
3
|
$12,651.00
|
—
|
$3,162.75
|
$9,600.84
|
$8,788.65
|
2026-02-24
|
|
36904
|
CPT
|
Percu Thrombect Av Fistula
|
4
|
3
|
$12,385.00
|
—
|
$100.00
|
$9,398.98
|
$8,603.86
|
2026-02-24
|
|
C1895
|
HCPCS
|
Bs Icd Reliance Lead
|
10
|
3
|
$13,313.50
|
—
|
$3,190.19
|
$10,523.10
|
$8,547.26
|
2026-02-24
|
|
47539
|
CPT
|
Plmt Stent Duct Per New Access
|
4
|
3
|
$12,154.75
|
—
|
$100.00
|
$9,224.24
|
$8,443.90
|
2026-02-24
|
|
47540
|
CPT
|
Plmt Stent New Access Sep Bil
|
4
|
3
|
$12,154.75
|
—
|
$100.00
|
$9,224.24
|
$8,443.90
|
2026-02-24
|
|
C1724
|
HCPCS
|
Cath, Artherectomy, Rotational
|
4
|
3
|
$12,032.25
|
—
|
$3,008.06
|
$9,131.27
|
$8,358.80
|
2026-02-24
|
|
93461
|
CPT
|
R & L Hrt Art/ventricle Angio
|
4
|
3
|
$14,879.75
|
—
|
$100.00
|
$11,292.24
|
$8,356.90
|
2026-02-24
|
|
J2792PO
|
OTHER
|
Winrho 3000mcg
|
4
|
3
|
$11,943.00
|
—
|
$2,985.75
|
$9,063.54
|
$8,296.81
|
2026-02-24
|
|
37183
|
CPT
|
Revision Hepatic Shunt (tips)
|
4
|
3
|
$11,906.25
|
—
|
$100.00
|
$9,035.65
|
$8,271.27
|
2026-02-24
|
|
Q5115PO
|
OTHER
|
Rituximab-abbs 500 Mg Vial
|
4
|
3
|
$11,841.25
|
—
|
$2,960.31
|
$8,986.32
|
$8,226.11
|
2026-02-24
|
|
C1815
|
HCPCS
|
Cuff With Iz
|
10
|
3
|
$10,489.50
|
—
|
$2,676.19
|
$16,382.37
|
$8,062.28
|
2026-02-24
|
|
36482
|
CPT
|
Endoven Ablation Ther Chem 1st
|
4
|
3
|
$11,271.50
|
—
|
$100.00
|
$8,553.94
|
$7,830.31
|
2026-02-24
|
|
37247
|
CPT
|
Pta Addl Artery
|
4
|
3
|
$11,117.25
|
—
|
$2,779.31
|
$8,436.88
|
$7,723.15
|
2026-02-24
|
|
5043350
|
OTHER
|
Plmt Mephr Cath Per Bil
|
4
|
3
|
$11,078.50
|
—
|
$2,769.63
|
$8,407.47
|
$7,696.23
|
2026-02-24
|
|
5069450
|
OTHER
|
Plmt Ureter Stent Perc Bil
|
4
|
3
|
$11,077.50
|
—
|
$2,769.38
|
$8,406.71
|
$7,695.54
|
2026-02-24
|
|
C1813
|
HCPCS
|
Pump, Penile & Tubing Only
|
15
|
3
|
$12,398.00
|
—
|
$2,527.94
|
$15,936.52
|
$7,673.81
|
2026-02-24
|
|
C1761
|
HCPCS
|
Cath, Shock Wave Ivl
|
5
|
3
|
$7,960.00
|
—
|
$2,874.75
|
$8,726.59
|
$7,382.36
|
2026-02-24
|
|
J2356
|
HCPCS
|
Tezepelumab 210 Mg/1.91 Ml Syr
|
4
|
3
|
$10,608.32
|
—
|
$2,652.08
|
$8,050.65
|
$7,369.60
|
2026-02-24
|
|
J9217PO
|
OTHER
|
Lupron Depot 30mg 4month Kit
|
12
|
3
|
$11,878.00
|
—
|
$304.94
|
$21,520.20
|
$7,357.48
|
2026-02-24
|
|
J9306PO
|
OTHER
|
Pertuzumab 420mg/14ml
|
4
|
3
|
$10,565.25
|
—
|
$2,641.31
|
$8,017.97
|
$7,339.68
|
2026-02-24
|
|
J9330PO
|
OTHER
|
Torisel 25mg Inj W/diluent
|
4
|
3
|
$10,503.25
|
—
|
$2,625.81
|
$7,970.92
|
$7,296.61
|
2026-02-24
|
|
C1786
|
HCPCS
|
Accolade MRI Sr Pacemak Sin Ch
|
35
|
3
|
$12,428.00
|
—
|
$1,955.75
|
$11,183.53
|
$7,265.09
|
2026-02-24
|
|
J2783PO
|
OTHER
|
Rasburicase 7.5mg Vial
|
4
|
3
|
$10,430.75
|
—
|
$2,607.69
|
$7,915.90
|
$7,246.24
|
2026-02-24
|
|
C1785
|
HCPCS
|
Inisignia Ultra D.r.
|
45
|
3
|
$12,428.00
|
—
|
$60.44
|
$10,953.39
|
$7,167.94
|
2026-02-24
|
|
37191
|
CPT
|
Vena Cava Filter Insertion
|
4
|
3
|
$10,091.25
|
—
|
$100.00
|
$7,658.25
|
$7,010.39
|
2026-02-24
|
|
Q5122PO
|
OTHER
|
Nyvepria 6mg/0.6ml
|
4
|
3
|
$10,007.04
|
—
|
$2,501.76
|
$7,594.34
|
$6,951.89
|
2026-02-24
|
|
J3590PO
|
OTHER
|
Pegasys 180mcg 1ml Sdv
|
8
|
3
|
$9,950.75
|
—
|
$2,329.63
|
$8,031.44
|
$6,879.47
|
2026-02-24
|
|
Q4100JC
|
OTHER
|
Tissue, Permacol 151015
|
35
|
3
|
$10,554.75
|
—
|
$1,412.81
|
$25,251.26
|
$6,776.15
|
2026-02-24
|
|
37187
|
CPT
|
Thrombectomy Venous Mech
|
4
|
3
|
$9,721.00
|
—
|
$100.00
|
$7,377.27
|
$6,753.18
|
2026-02-24
|
|
C1714
|
HCPCS
|
Cath Atherectomy Directional
|
4
|
3
|
$9,624.50
|
—
|
$2,406.13
|
$7,304.03
|
$6,686.14
|
2026-02-24
|
|
92973
|
CPT
|
Coronary Thrombectomy
|
4
|
3
|
$9,617.25
|
—
|
$2,404.31
|
$7,298.53
|
$6,681.10
|
2026-02-24
|
|
37185
|
CPT
|
Thrombect Prim Art Mech Adl
|
4
|
3
|
$9,566.00
|
—
|
$2,391.50
|
$7,259.64
|
$6,645.50
|
2026-02-24
|
|
L8690
|
HCPCS
|
Cnb Ponto 5 Mini W/remote Cont
|
9
|
3
|
$9,100.50
|
—
|
$2,253.31
|
$9,975.74
|
$6,480.49
|
2026-02-24
|
|
Q4117
|
HCPCS
|
Device,hyalur Acid Wound 10x20
|
8
|
3
|
$7,363.12
|
—
|
$2,150.63
|
$9,613.56
|
$6,478.98
|
2026-02-24
|
|
C1874
|
HCPCS
|
Stent, Main Body
|
35
|
3
|
$11,047.75
|
—
|
$1,746.13
|
$22,743.66
|
$6,466.02
|
2026-02-24
|
|
J9303PO
|
OTHER
|
Vectibix 400mg 20mg/ml 20ml
|
4
|
3
|
$9,239.25
|
—
|
$2,309.81
|
$7,011.67
|
$6,418.51
|
2026-02-24
|
|
J1459
|
HCPCS
|
Privigen 10% 20 Gm/200 Ml Vial
|
7
|
3
|
$9,783.26
|
—
|
$59.48
|
$14,569.76
|
$6,280.85
|
2026-02-24
|
|
J2802PO
|
OTHER
|
Nplate 500mcg Lyophilized Pwd
|
4
|
3
|
$8,894.25
|
—
|
$2,223.56
|
$6,749.85
|
$6,178.84
|
2026-02-24
|
|
J9271
|
HCPCS
|
Pembrolizumab 100 Mg/4 Ml Vial
|
4
|
3
|
$13,321.25
|
—
|
$69.06
|
$10,109.50
|
$5,941.27
|
2026-02-24
|
|
J1306
|
HCPCS
|
Inclisiran Inj 284mg/1.5ml Syr
|
4
|
3
|
$8,498.00
|
—
|
$2,124.50
|
$6,449.13
|
$5,903.57
|
2026-02-24
|
|
Q4104
|
HCPCS
|
Matrix, Bilayer Mesh Wound 2x2
|
4
|
3
|
$8,497.75
|
—
|
$2,124.44
|
$6,448.94
|
$5,903.39
|
2026-02-24
|
|
C1784
|
HCPCS
|
Stent,9 X 10 Gore Viabahn End
|
5
|
3
|
$9,100.50
|
—
|
$2,275.13
|
$6,906.37
|
$5,842.52
|
2026-02-24
|
|
J2997
|
HCPCS
|
Activase 90mg/90ml Diluent
|
4
|
3
|
$13,045.25
|
—
|
$111.03
|
$9,900.04
|
$5,818.18
|
2026-02-24
|
|
55875
|
CPT
|
Transperi Needle Place, Pros
|
4
|
3
|
$8,346.00
|
—
|
$100.00
|
$6,333.78
|
$5,797.97
|
2026-02-24
|
|
38308
|
CPT
|
Incision Lymph Channels
|
4
|
3
|
$8,115.00
|
—
|
$100.00
|
$6,158.47
|
$5,637.49
|
2026-02-24
|
|
A2025
|
HCPCS
|
Miro 3d 5x5x2
|
4
|
3
|
$5,613.75
|
—
|
$2,027.19
|
$6,153.73
|
$5,633.15
|
2026-02-24
|
|
20555
|
CPT
|
Place Ndl Musc/tis For Rt
|
4
|
3
|
$8,016.25
|
—
|
$100.00
|
$6,083.53
|
$5,568.89
|
2026-02-24
|
|
C1759
|
HCPCS
|
Sjm Ice Catheter
|
4
|
3
|
$7,942.00
|
—
|
$1,985.50
|
$6,027.18
|
$5,517.31
|
2026-02-24
|
|
75705
|
CPT
|
Angiography Spinal Sel
|
4
|
3
|
$7,892.00
|
—
|
$100.00
|
$5,989.24
|
$5,482.57
|
2026-02-24
|
|
75891
|
CPT
|
Venography Hepatic Without Eval
|
4
|
3
|
$7,892.00
|
—
|
$100.00
|
$5,989.24
|
$5,482.57
|
2026-02-24
|
|
75831RT
|
OTHER
|
Venography Renal Unilat Rt
|
4
|
3
|
$7,892.00
|
—
|
$1,973.00
|
$5,989.24
|
$5,482.57
|
2026-02-24
|
|
75726
|
CPT
|
Angiography Visceral Sel
|
4
|
3
|
$7,892.00
|
—
|
$100.00
|
$5,989.24
|
$5,482.57
|
2026-02-24
|
|
75731RT
|
OTHER
|
Angiography Adrenal Unilat Rt
|
4
|
3
|
$7,892.00
|
—
|
$1,973.00
|
$5,989.24
|
$5,482.57
|
2026-02-24
|
|
75833
|
CPT
|
Venography Renal Bilat Sel
|
4
|
3
|
$7,892.00
|
—
|
$100.00
|
$5,989.24
|
$5,482.57
|
2026-02-24
|
|
75893
|
CPT
|
Venous Sampling By Catheter
|
4
|
3
|
$7,892.00
|
—
|
$100.00
|
$5,989.24
|
$5,482.57
|
2026-02-24
|
|
28825
|
CPT
|
Partial Amputation Of The Toe
|
4
|
3
|
$7,868.00
|
—
|
$100.00
|
$5,971.03
|
$5,465.90
|
2026-02-24
|
|
28820
|
CPT
|
Amputation Toe Metatarso Jnt
|
4
|
3
|
$7,868.00
|
—
|
$100.00
|
$5,971.03
|
$5,465.90
|
2026-02-24
|
|
36225
|
CPT
|
Place Cath Subclavian Art
|
4
|
3
|
$7,863.75
|
—
|
$100.00
|
$5,967.80
|
$5,462.95
|
2026-02-24
|
|
36223
|
CPT
|
Place Cath Carotid/inom Art
|
4
|
3
|
$7,863.75
|
—
|
$100.00
|
$5,967.80
|
$5,462.95
|
2026-02-24
|
|
36222
|
CPT
|
Place Cath Carotid/inom Art
|
4
|
3
|
$7,863.75
|
—
|
$100.00
|
$5,967.80
|
$5,462.95
|
2026-02-24
|
|
36221
|
CPT
|
Place Cath Thoracic Aorta
|
4
|
3
|
$7,863.75
|
—
|
$100.00
|
$5,967.80
|
$5,462.95
|
2026-02-24
|
|
J9354PO
|
OTHER
|
Ado-trastuzumab Emtans 160mg V
|
8
|
3
|
$9,339.88
|
—
|
$1,796.44
|
$8,722.80
|
$5,411.95
|
2026-02-24
|
|
A2007JC
|
OTHER
|
Restrata Wnd Matrix 2.5 X7.5cm
|
16
|
3
|
$5,966.12
|
—
|
$1,386.50
|
$11,655.19
|
$5,334.60
|
2026-02-24
|
|
47490
|
CPT
|
Cholecystostomy Percut Complet
|
4
|
3
|
$7,642.25
|
—
|
$100.00
|
$5,799.70
|
$5,309.07
|
2026-02-24
|
|
Q5111
|
HCPCS
|
Pegfilgrastim-cbqv 6mg/0.6ml
|
4
|
3
|
$11,778.50
|
—
|
$160.43
|
$8,938.70
|
$5,253.22
|
2026-02-24
|
|
22515
|
CPT
|
Kyphoplasty Each Add Thor/lumb
|
4
|
3
|
$7,523.00
|
—
|
$1,880.75
|
$5,709.20
|
$5,226.23
|
2026-02-24
|
|
47535
|
CPT
|
Conv Ext Biliary Drain Cath
|
4
|
3
|
$7,482.25
|
—
|
$100.00
|
$5,678.28
|
$5,197.91
|
2026-02-24
|
|
47534
|
CPT
|
Plmt Biliary Drain Cath Int/ex
|
4
|
3
|
$7,482.25
|
—
|
$100.00
|
$5,678.28
|
$5,197.91
|
2026-02-24
|
|
47532
|
CPT
|
Inject Cholangiography New Acc
|
4
|
3
|
$7,482.25
|
—
|
$100.00
|
$5,678.28
|
$5,197.91
|
2026-02-24
|
|
47531
|
CPT
|
T-tube Cholangiogram
|
4
|
3
|
$7,482.25
|
—
|
$100.00
|
$5,678.28
|
$5,197.91
|
2026-02-24
|
|
Q5107PO
|
OTHER
|
Bevacizumab-awwb 400 Mg
|
4
|
3
|
$7,444.75
|
—
|
$1,861.19
|
$5,649.82
|
$5,171.87
|
2026-02-24
|
|
50433RT
|
OTHER
|
Plmt Nephr Cath Perc Rt
|
4
|
3
|
$7,385.75
|
—
|
$1,846.44
|
$5,605.05
|
$5,130.88
|
2026-02-24
|
|
50693LT
|
OTHER
|
Plmt Ureteral Stent Lt
|
4
|
3
|
$7,385.75
|
—
|
$1,846.44
|
$5,605.05
|
$5,130.88
|
2026-02-24
|
|
50433LT
|
OTHER
|
Plmt Nephr Cath Perc Lt
|
4
|
3
|
$7,385.75
|
—
|
$1,846.44
|
$5,605.05
|
$5,130.88
|
2026-02-24
|
|
50693RT
|
OTHER
|
Plmt Ureteral Stent Perc
|
4
|
3
|
$7,385.75
|
—
|
$1,846.44
|
$5,605.05
|
$5,130.88
|
2026-02-24
|
|
50695RT
|
OTHER
|
Plt Uret Stent New Sep Cath Rt
|
4
|
3
|
$7,384.75
|
—
|
$1,846.19
|
$5,604.29
|
$5,130.18
|
2026-02-24
|
|
C1885
|
HCPCS
|
Catheter Laser Atherectomy Aur
|
14
|
3
|
$7,153.00
|
—
|
$1,723.25
|
$7,840.95
|
$5,122.76
|
2026-02-24
|
|
J9358PO
|
OTHER
|
Fam-trastuzumab Deruxtecan 100
|
4
|
3
|
$7,287.75
|
—
|
$1,821.94
|
$5,530.67
|
$5,062.80
|
2026-02-24
|
|
75746
|
CPT
|
Pulm Nonselect
|
4
|
3
|
$7,245.75
|
—
|
$100.00
|
$5,498.80
|
$5,033.62
|
2026-02-24
|
|
75860
|
CPT
|
Venography Venous Sinus
|
4
|
3
|
$7,245.75
|
—
|
$100.00
|
$5,498.80
|
$5,033.62
|
2026-02-24
|
|
Q5118PO
|
OTHER
|
Bevacizumab-bvzr 400 Mg
|
4
|
3
|
$7,162.50
|
—
|
$1,790.63
|
$5,435.62
|
$4,975.79
|
2026-02-24
|
|
37200
|
CPT
|
Transcatheter Biopsy
|
4
|
3
|
$7,059.50
|
—
|
$100.00
|
$5,357.45
|
$4,904.24
|
2026-02-24
|
|
J9285PO
|
OTHER
|
Lartruvo 500mg/50ml
|
4
|
3
|
$7,051.75
|
—
|
$1,762.94
|
$5,351.57
|
$4,898.85
|
2026-02-24
|
|
37197
|
CPT
|
Remove Intrvas Foreign Body
|
4
|
3
|
$7,022.00
|
—
|
$100.00
|
$5,329.00
|
$4,878.18
|
2026-02-24
|
|
J9177PO
|
OTHER
|
Padcev 30 Mg
|
8
|
3
|
$8,038.00
|
—
|
$1,608.13
|
$7,318.45
|
$4,844.64
|
2026-02-24
|
|
J7198
|
HCPCS
|
Feiba 2339 Units Vial
|
4
|
3
|
$10,794.75
|
—
|
$2.89
|
$8,192.14
|
$4,814.46
|
2026-02-24
|
|
0914T
|
CPT
|
Perc Transc DRG Del Sep Lesion
|
4
|
3
|
$6,913.00
|
—
|
$1,728.25
|
$5,246.28
|
$4,802.47
|
2026-02-24
|
|
75805
|
CPT
|
Lymphangiogr, Pelv/abd Uni
|
4
|
3
|
$6,876.00
|
—
|
$100.00
|
$5,218.20
|
$4,776.76
|
2026-02-24
|
|
36585
|
CPT
|
Replace Compl Per Ins Cent Ven
|
4
|
3
|
$6,876.00
|
—
|
$100.00
|
$5,218.20
|
$4,776.76
|
2026-02-24
|
|
36571
|
CPT
|
Insert Picvad Cath 5+
|
4
|
3
|
$6,876.00
|
—
|
$100.00
|
$5,218.20
|
$4,776.76
|
2026-02-24
|
|
22511
|
CPT
|
Lumbosacral Percut
|
4
|
3
|
$6,803.25
|
—
|
$100.00
|
$5,162.99
|
$4,726.22
|
2026-02-24
|
|
36253LT
|
OTHER
|
Renal 2nd/3rd Order Uni Lt
|
4
|
3
|
$6,781.25
|
—
|
$1,695.31
|
$5,146.29
|
$4,710.94
|
2026-02-24
|
|
36253RT
|
OTHER
|
Renal 2nd/3rd Order Uni Rt
|
4
|
3
|
$6,781.25
|
—
|
$1,695.31
|
$5,146.29
|
$4,710.94
|
2026-02-24
|
|
75898
|
CPT
|
Inf Angio F/u Each X
|
4
|
3
|
$6,726.25
|
—
|
$100.00
|
$5,104.55
|
$4,672.73
|
2026-02-24
|
|
J9203PO
|
OTHER
|
Mylotarg 5mg Pwd
|
4
|
3
|
$6,712.25
|
—
|
$1,678.06
|
$5,093.93
|
$4,663.00
|
2026-02-24
|
|
Q4205
|
HCPCS
|
Membrane,amniotic Cord 2s3cm
|
4
|
3
|
$4,643.00
|
—
|
$1,676.69
|
$5,089.75
|
$4,659.18
|
2026-02-24
|
|
5043250
|
OTHER
|
Plmt Nephr Cath Percut Bil
|
4
|
3
|
$6,631.50
|
—
|
$1,657.88
|
$5,032.65
|
$4,606.90
|
2026-02-24
|
|
J1437PO
|
OTHER
|
Ferric Derisomaltose 1000 Mg
|
4
|
3
|
$6,599.00
|
—
|
$1,649.75
|
$5,007.98
|
$4,584.33
|
2026-02-24
|
|
37766
|
CPT
|
Stab Phlebectomy Var Vein >20
|
4
|
3
|
$6,468.50
|
—
|
$100.00
|
$4,908.94
|
$4,493.67
|
2026-02-24
|
|
37765
|
CPT
|
Stab Phlebectomy Var Veins,10-
|
4
|
3
|
$6,468.50
|
—
|
$100.00
|
$4,908.94
|
$4,493.67
|
2026-02-24
|
|
5038650
|
OTHER
|
Rem Stent Via Transureth Bil
|
4
|
3
|
$6,452.50
|
—
|
$1,613.13
|
$4,896.80
|
$4,482.56
|
2026-02-24
|
|
5043450
|
OTHER
|
Convert Nephrostomy Cath Bil
|
4
|
3
|
$6,452.50
|
—
|
$1,613.13
|
$4,896.80
|
$4,482.56
|
2026-02-24
|
|
5038250
|
OTHER
|
Rem/rep Inter Dwell Stent Bil
|
4
|
3
|
$6,451.50
|
—
|
$1,612.88
|
$4,896.04
|
$4,481.85
|
2026-02-24
|
|
J9035PO
|
OTHER
|
Avastin 400mg 25mg/ml 16ml Sdv
|
4
|
3
|
$6,435.00
|
—
|
$1,608.75
|
$4,883.52
|
$4,470.40
|
2026-02-24
|
|
36478
|
CPT
|
Endovenous Vein Ablat 1st Vein
|
4
|
3
|
$6,332.75
|
—
|
$100.00
|
$4,805.92
|
$4,399.36
|
2026-02-24
|
|
J0565
|
HCPCS
|
Bezlotoxumab 1000 Mg/40ml Vial
|
4
|
3
|
$9,688.44
|
—
|
$46.96
|
$7,352.56
|
$4,321.05
|
2026-02-24
|
|
J9033PO
|
OTHER
|
Treanda 100mg Pwd
|
4
|
3
|
$6,156.25
|
—
|
$1,539.06
|
$4,671.98
|
$4,276.74
|
2026-02-24
|
|
J9312
|
HCPCS
|
Rituximab 500mg/50ml Inj
|
4
|
3
|
$9,372.50
|
—
|
$89.54
|
$7,112.79
|
$4,180.14
|
2026-02-24
|
|
36475
|
CPT
|
Endov Ablation Therapy Incomp
|
4
|
3
|
$5,960.75
|
—
|
$100.00
|
$4,523.61
|
$4,140.93
|
2026-02-24
|
|
36581
|
CPT
|
Rplacmnt Cad/vad Same Site
|
4
|
3
|
$5,927.00
|
—
|
$100.00
|
$4,498.00
|
$4,117.49
|
2026-02-24
|
|
90375
|
CPT
|
Hyperrab 300 Unit/ml 5ml Vial
|
4
|
3
|
$9,200.25
|
—
|
$419.03
|
$6,982.07
|
$4,103.31
|
2026-02-24
|
|
6463550
|
OTHER
|
Destr Paravertebr Nerve L/s Bi
|
4
|
3
|
$5,819.25
|
—
|
$1,454.81
|
$4,416.23
|
$4,042.64
|
2026-02-24
|
|
J1575PO
|
OTHER
|
Hyqvia 10 Gm
|
4
|
3
|
$5,808.00
|
—
|
$1,452.00
|
$4,407.69
|
$4,034.82
|
2026-02-24
|
|
C2618
|
HCPCS
|
System, Clarifix Cryotherapy
|
5
|
3
|
$4,325.25
|
—
|
$1,561.88
|
$4,741.23
|
$4,010.90
|
2026-02-24
|
|
41019
|
CPT
|
Place Ndl H&n For Rt
|
4
|
3
|
$5,725.25
|
—
|
$100.00
|
$4,344.89
|
$3,977.33
|
2026-02-24
|
|
5020050
|
OTHER
|
Renal Biopsy Trocar Bil
|
4
|
3
|
$5,654.75
|
—
|
$1,413.69
|
$4,291.39
|
$3,928.35
|
2026-02-24
|
|
G0390
|
HCPCS
|
Level 3 Trauma Activation
|
10
|
3
|
$5,553.50
|
—
|
$100.00
|
$6,321.26
|
$3,858.02
|
2026-02-24
|
|
37213
|
CPT
|
Subs Day Art/ven Thromb F/u
|
4
|
3
|
$5,528.50
|
—
|
$100.00
|
$4,195.58
|
$3,840.65
|
2026-02-24
|
|
J9145PO
|
OTHER
|
Darzalex 400mg Vial
|
4
|
3
|
$5,506.50
|
—
|
$1,376.63
|
$4,178.88
|
$3,825.37
|
2026-02-24
|
|
77778
|
CPT
|
Interstitial Implant, Complex
|
4
|
3
|
$5,493.25
|
—
|
$100.00
|
$4,168.83
|
$3,816.16
|
2026-02-24
|
|
0342
|
RC
|
—
|
4
|
3
|
$5,493.25
|
—
|
$1,373.31
|
$4,168.83
|
$3,816.16
|
2026-02-24
|
|
31653
|
CPT
|
Bronch Ebus Sampling 3> Node
|
4
|
3
|
$5,467.75
|
—
|
$100.00
|
$4,149.48
|
$3,798.45
|
2026-02-24
|
|
J1602
|
HCPCS
|
Golimumab 50 Mg/4 Ml Vial
|
7
|
3
|
$5,132.50
|
—
|
$13.00
|
$11,517.07
|
$3,794.00
|
2026-02-24
|
|
37249
|
CPT
|
Pta Addl Vein
|
4
|
3
|
$5,443.25
|
—
|
$1,360.81
|
$4,130.88
|
$3,781.43
|
2026-02-24
|
|
J9176PO
|
OTHER
|
Empliciti 300mg Sdv
|
4
|
3
|
$5,433.00
|
—
|
$1,358.25
|
$4,123.10
|
$3,774.30
|
2026-02-24
|
|
33235
|
CPT
|
Rmvl Pacemaker Electrode Dual
|
4
|
3
|
$5,251.25
|
—
|
$100.00
|
$3,985.17
|
$3,648.04
|
2026-02-24
|
|
33220
|
CPT
|
Rpr Two Transvenous Electrodes
|
4
|
3
|
$5,251.25
|
—
|
$100.00
|
$3,985.17
|
$3,648.04
|
2026-02-24
|
|
33218
|
CPT
|
Rpr Sngl Transvenous Electrode
|
4
|
3
|
$5,251.25
|
—
|
$100.00
|
$3,985.17
|
$3,648.04
|
2026-02-24
|
|
33215
|
CPT
|
Reposition Pacing-defib Lead
|
4
|
3
|
$5,251.25
|
—
|
$100.00
|
$3,985.17
|
$3,648.04
|
2026-02-24
|
|
C1734
|
HCPCS
|
Plate,patella Sutplt Ii Star S
|
30
|
3
|
$4,021.88
|
—
|
$173.75
|
$15,936.90
|
$3,607.14
|
2026-02-24
|
|
J1569
|
HCPCS
|
Immune Glob. (human) 20gm Vial
|
4
|
3
|
$7,981.50
|
—
|
$56.36
|
$6,057.16
|
$3,559.75
|
2026-02-24
|
|
75970
|
CPT
|
Transcatheter Bx ,rad S&i
|
4
|
3
|
$5,000.00
|
—
|
$1,250.00
|
$3,794.50
|
$3,473.50
|
2026-02-24
|
|
59412
|
CPT
|
Cephaic Version
|
4
|
3
|
$4,960.00
|
—
|
$100.00
|
$3,764.14
|
$3,445.71
|
2026-02-24
|
|
C1776
|
HCPCS
|
Tray, Tibial Infinity
|
570
|
3
|
$6,269.12
|
—
|
$114.38
|
$22,043.20
|
$3,411.33
|
2026-02-24
|
|
J9035
|
HCPCS
|
Becacizumab 25mg/ml 400mg Vial
|
4
|
3
|
$7,636.00
|
—
|
$86.14
|
$5,794.96
|
$3,405.66
|
2026-02-24
|
|
Q4186JC
|
OTHER
|
Epifix 3.5 X 3.5 Mesh
|
12
|
3
|
$3,135.75
|
—
|
$783.94
|
$6,321.07
|
$3,281.10
|
2026-02-24
|
|
63662
|
CPT
|
Remove Spine Eltrd Plate
|
4
|
3
|
$4,595.50
|
—
|
$100.00
|
$3,487.53
|
$3,192.49
|
2026-02-24
|
|
J0202PO
|
OTHER
|
Campath 30mg/ml 1ml Sol
|
4
|
3
|
$4,570.50
|
—
|
$1,142.63
|
$3,468.55
|
$3,175.12
|
2026-02-24
|
|
50435LT
|
OTHER
|
Exchange Nephro Tube Lt
|
4
|
3
|
$4,480.75
|
—
|
$1,120.19
|
$3,400.44
|
$3,112.77
|
2026-02-24
|
|
50387LT
|
OTHER
|
Rem/repl Ext Acc Nephr Cath Lt
|
4
|
3
|
$4,480.75
|
—
|
$1,120.19
|
$3,400.44
|
$3,112.77
|
2026-02-24
|
|
50387RT
|
OTHER
|
Rem/repl Ext Acc Nephr Cath Rt
|
4
|
3
|
$4,480.75
|
—
|
$1,120.19
|
$3,400.44
|
$3,112.77
|
2026-02-24
|
|
78452
|
CPT
|
Dual Isotope Gated Study
|
3
|
2
|
$4,145.75
|
—
|
$2,661.57
|
$3,146.21
|
$3,098.53
|
2026-02-24
|
|
51040
|
CPT
|
Cystostomy, Cystot W Drainage
|
4
|
3
|
$4,442.00
|
—
|
$100.00
|
$3,371.03
|
$3,085.86
|
2026-02-24
|
|
50432
|
CPT
|
Nephrostomy Tube Placement
|
4
|
3
|
$4,421.00
|
—
|
$100.00
|
$3,355.10
|
$3,071.27
|
2026-02-24
|
|
J0717
|
HCPCS
|
Certolizumab Pegol 200 Mg Vial
|
4
|
3
|
$6,885.48
|
—
|
$5.29
|
$5,225.39
|
$3,070.92
|
2026-02-24
|
|
C1777
|
HCPCS
|
Lead, Acuity X4 Spiral S Lv
|
5
|
3
|
$4,730.75
|
—
|
$1,182.69
|
$3,590.17
|
$3,037.14
|
2026-02-24
|
|
50386LT
|
OTHER
|
Rem Stent Via Transureth Lt
|
4
|
3
|
$4,301.00
|
—
|
$1,075.25
|
$3,264.03
|
$2,987.90
|
2026-02-24
|
|
50384RT
|
OTHER
|
Rem Inter Dwell Stent Per Rt
|
4
|
3
|
$4,301.00
|
—
|
$1,075.25
|
$3,264.03
|
$2,987.90
|
2026-02-24
|
|
50382RT
|
OTHER
|
Rem/rep Inter Dwell Stent Rt
|
4
|
3
|
$4,301.00
|
—
|
$1,075.25
|
$3,264.03
|
$2,987.90
|
2026-02-24
|
|
Q2050PO
|
OTHER
|
Doxil 20mg 2mg/ml 10ml
|
4
|
3
|
$4,286.00
|
—
|
$1,071.50
|
$3,252.65
|
$2,977.49
|
2026-02-24
|
|
C1747
|
HCPCS
|
Ureterscope Wiscope Disposab
|
15
|
3
|
$4,581.00
|
—
|
$332.75
|
$9,720.75
|
$2,941.00
|
2026-02-24
|
|
6441650
|
OTHER
|
Inj Brachial Plex Cont Inf Bil
|
4
|
3
|
$4,225.00
|
—
|
$1,056.25
|
$3,206.35
|
$2,935.11
|
2026-02-24
|
|
6447950
|
OTHER
|
Inj Transfor Cer/thor Sngle-bi
|
4
|
3
|
$4,225.00
|
—
|
$1,056.25
|
$3,206.35
|
$2,935.11
|
2026-02-24
|
|
64624
|
CPT
|
Ablation, Genicular Nerv Radio
|
4
|
3
|
$4,222.50
|
—
|
$100.00
|
$3,204.46
|
$2,933.38
|
2026-02-24
|
|
A9571
|
HCPCS
|
Isotope Autologous Pllts
|
4
|
3
|
$4,173.00
|
—
|
$1,043.25
|
$4,964.58
|
$2,922.98
|
2026-02-24
|
|
64585
|
CPT
|
Rev Or Rem Of Interstim Lead
|
4
|
3
|
$4,188.75
|
—
|
$100.00
|
$3,178.84
|
$2,909.93
|
2026-02-24
|
|
0683
|
RC
|
—
|
12
|
3
|
$5,553.50
|
—
|
$694.31
|
$6,321.26
|
$2,836.51
|
2026-02-24
|
|
C1880
|
HCPCS
|
Vena Cava Filter
|
5
|
3
|
$4,366.75
|
—
|
$1,091.69
|
$3,313.93
|
$2,803.45
|
2026-02-24
|
|
36465
|
CPT
|
Inj Non Compd Foam Sclerosant
|
4
|
3
|
$3,912.00
|
—
|
$100.00
|
$2,968.82
|
$2,717.66
|
2026-02-24
|
|
49999
|
CPT
|
G Tube Placement- CT Guided
|
4
|
3
|
$3,902.25
|
—
|
$100.00
|
$2,961.42
|
$2,710.89
|
2026-02-24
|
|
49446
|
CPT
|
Convert G Tube To G-j Tube Per
|
4
|
3
|
$3,902.25
|
—
|
$100.00
|
$2,961.42
|
$2,710.89
|
2026-02-24
|
|
49441
|
CPT
|
Insert Duod/jej Tube Perc
|
4
|
3
|
$3,902.25
|
—
|
$100.00
|
$2,961.42
|
$2,710.89
|
2026-02-24
|
|
49440
|
CPT
|
Insert Gastrostomy Tube Perc
|
4
|
3
|
$3,902.25
|
—
|
$100.00
|
$2,961.42
|
$2,710.89
|
2026-02-24
|
|
J9263
|
HCPCS
|
Eloxatin 100 Mg Vial
|
4
|
3
|
$5,915.00
|
—
|
$0.11
|
$4,488.89
|
$2,638.09
|
2026-02-24
|
|
33222
|
CPT
|
Revise Pocket Pacemaker
|
4
|
3
|
$3,792.00
|
—
|
$100.00
|
$2,877.75
|
$2,634.30
|
2026-02-24
|
|
J9264PO
|
OTHER
|
Paclitaxel Pb 100 Mg
|
4
|
3
|
$3,785.56
|
—
|
$946.39
|
$2,872.86
|
$2,629.83
|
2026-02-24
|
|
Q4197
|
HCPCS
|
Puraplyam Xt 4.91x4.91
|
4
|
3
|
$2,610.00
|
—
|
$652.50
|
$2,861.05
|
$2,619.02
|
2026-02-24
|
|
38221
|
CPT
|
Dx Bone Marrow Biopsies
|
4
|
3
|
$3,769.75
|
—
|
$100.00
|
$2,860.86
|
$2,618.85
|
2026-02-24
|
|
50200LT
|
OTHER
|
Renal Biopsy Trocar Lt
|
4
|
3
|
$3,769.75
|
—
|
$942.44
|
$2,860.86
|
$2,618.85
|
2026-02-24
|
|
50200RT
|
OTHER
|
Renal Biopsy Trocar Rt
|
4
|
3
|
$3,769.75
|
—
|
$942.44
|
$2,860.86
|
$2,618.85
|
2026-02-24
|
|
3624750
|
OTHER
|
Bil 3rd Order Abd,pelv,low Ext
|
4
|
3
|
$3,760.25
|
—
|
$940.06
|
$2,853.65
|
$2,612.24
|
2026-02-24
|