Hospital

EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER

Danville, KY · CCN 180048 · Rates published

1,898 distinct procedures filed

3 distinct payers

28,585 rate rows

2026-02-24 last MRF observed

Data quality

26,660 of 28,585 rate rows are consumer-grade (93.3%)

1,925 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reason	Rows
template filing: same amount across many unrelated codes — excluded	1,901
placeholder amount (≤ $0.02) — excluded from medians	16
per-diem day rate — not a per-procedure price	6
exceeds 10× this hospital's gross charge — excluded from medians	2

Data source & audit trail ↓ Download audit trail (JSON)

Source MRF file	https://emhealth.slicedhealth.io/pricer/61-0492356-1821135963_EphraimMcDowellHealth_standardcharges.CSV
Found on page	https://emhealth.org/patient-resources/pay-my-bill/pricing-transparency/
Discovered via	CMS hospital list
Last fetch	not_modified · 2026-05-17
Content fingerprint	d73e40eb140fc8a9… · 9,473,760 bytes · first seen 2026-05-09

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
J9029 CPT	"adstiladrin 75 Ml Blad Instill"	3	$38,234.50	$116,064.65	$106,246.03	nat. median $69,774 1.5× median
3722650 CPT	"fem/pop Revasc W/stent"	3	$22,710.50	$68,939.99	$63,107.93	—
3722750 CPT	"fem/pop Revasc W/stent & Ather"	3	$22,710.50	$68,939.99	$63,107.93	—
33231 CPT	"insrt Icd W/mult Leads"	3	$100.00	$59,139.56	$54,136.58	nat. median $30,121 1.8× median
33230 CPT	"insrt Icd W/dual Leads"	3	$100.00	$59,139.56	$54,136.58	nat. median $22,359 outlier · 2.4×
33240 CPT	"insertion Pulse Generator"	3	$100.00	$57,620.62	$52,746.14	nat. median $22,134 outlier · 2.4×
3722550 CPT	"fem/pop Revasc W/ather Bilat"	3	$18,957.75	$57,548.15	$52,679.79	—
C1826 CPT	"neurostimulator Inceptiv"	3	$20,157.50	$61,190.11	$51,764.46	nat. median $30,935 1.7× median
J9359PO CPT	"loncastuximab Tesirine 10 Mg"	3	$15,837.30	$48,075.72	$44,008.69	—
J2327JB CPT	"skyrizi 360 Mg/2.4 Ml Inj Kit"	3	$12,575.64	$38,174.62	$34,945.19	—
33880 CPT	"endovascular Repair Of Thoraci"	3	$11,925.81	$36,202.00	$33,139.45	nat. median $4,648 outlier · 7.1×
63664 CPT	"revise Spine Eltrd Plate"	3	$100.00	$35,770.37	$32,744.34	nat. median $11,953 outlier · 2.7×
3722759LT CPT	"fem/popl Revas Stnt & Ather Lt"	3	$11,355.31	$34,470.19	$31,554.14	—
37226LT CPT	"fem/popl Revasc W/stent Lt"	3	$11,355.31	$34,470.19	$31,554.14	—
37227LT CPT	"fem/popl Revas Stnt & Ather Lt"	3	$11,355.31	$34,470.19	$31,554.14	—
0237T50 CPT	"triuml Perip Athrc Brchiocph B"	3	$10,686.25	$32,439.18	$29,694.95	—
0238T50 CPT	"triuml Perp Athrc Illiac Art B"	3	$10,686.25	$32,439.18	$29,694.95	—
0234T50 CPT	"triuml Perip Athrc Renal Art B"	3	$10,686.25	$32,439.18	$29,694.95	—
J3357 HCPCS	"ustekinumab Inj 90 Mg/1 Ml Syr"	3	$183.83	$47,099.04	$27,679.76	nat. median $14,306 1.9× median
C1721 HCPCS	"generator, Biv Visionist Crt-p"	3	$3,596.25	$51,247.38	$27,603.46	nat. median $22,210 1.2× median
36906 CPT	"thrombectomy Mech/infus W Sten"	3	$100.00	$30,079.57	$27,534.96	nat. median $18,386 1.5× median
C1722 HCPCS	"inogen Mini Vr Df 4 Sing Chamb"	3	$6,484.50	$45,640.06	$27,513.87	nat. median $20,768 1.3× median
C1822 HCPCS	"kit, Ipg"	3	$10,689.19	$32,448.10	$27,449.83	nat. median $31,540 0.9× median
36837 CPT	"perc Arterio Fistula Sep Acc"	3	$9,831.50	$29,844.50	$27,319.77	nat. median $17,500 1.6× median
C9773 CPT	"revasc Lithotr-stent-tib/per"	3	$9,666.06	$29,342.30	$26,860.06	nat. median $19,390 1.4× median
C9775 CPT	"revasc Lith-sten-ath Tib/per"	3	$9,666.06	$29,342.30	$26,860.06	nat. median $19,467 1.4× median
C9767 HCPCS	"revasc Lithotrip Stent-ather"	3	$100.00	$29,342.30	$26,860.06	nat. median $20,605 1.3× median
37225RT CPT	"fem/popl Revas W/ather Rt"	3	$9,478.94	$28,774.26	$26,340.07	—
37225LT CPT	"fem/popl Revas W/ather Lt"	3	$9,478.94	$28,774.26	$26,340.07	—
3722559LT CPT	"fem/popl Revas W/ather Lt"	3	$9,478.94	$28,774.26	$26,340.07	—
J9298PO CPT	"opdualag 20ml Vial"	3	$8,951.13	$27,172.04	$24,873.39	—
3722050 CPT	"illiac Revasc Init Bilat"	3	$8,866.19	$26,914.20	$24,637.36	—
C1820 HCPCS	"stimulator, Spinal Cord 37712"	3	$8,050.50	$39,633.17	$24,273.08	nat. median $22,013 1.1× median
33208 CPT	"pacemaker Ins Atrial/vent"	3	$100.00	$25,928.01	$23,734.60	nat. median $11,773 outlier · 2.0×
3722450 CPT	"fem/pop Revasc Bilat"	3	$8,458.38	$25,676.24	$23,504.14	—
0075T CPT	"transcath Vertebral Art Stent"	3	$8,146.06	$24,728.19	$22,636.28	nat. median $8,397 outlier · 2.7×
5059350 CPT	"ablation Renal Tum Uni Cryo Bi"	3	$8,023.31	$24,355.57	$22,295.18	—
37218 CPT	"transcath Placemt Intrav Sten"	3	$7,584.25	$23,022.75	$21,075.11	nat. median $4,347 outlier · 4.8×
33883 CPT	"placement Of Proximal Extensio"	3	$7,273.56	$22,079.63	$20,211.78	nat. median $3,178 outlier · 6.4×
0627T CPT	"injection, Vivex"	3	$100.00	$21,981.35	$20,121.81	nat. median $12,867 1.6× median
J2350 HCPCS	"ocrelizumab 300 Mg/10 Ml Vial"	3	$70.40	$33,835.18	$19,884.69	nat. median $712 outlier · 27.9×
33207 CPT	"pacemaker Ins Ventricular"	3	$100.00	$21,201.58	$19,408.00	nat. median $11,490 1.7× median
37230 CPT	"tib/per Revasc W/stent"	3	$100.00	$20,381.59	$18,657.39	nat. median $16,861 1.1× median
37229 CPT	"tib/per Revasc W/ather"	3	$100.00	$20,381.59	$18,657.39	nat. median $16,929 1.1× median
37233 CPT	"tib/per Revasc W/ather Add-on"	3	$6,714.19	$20,381.59	$18,657.39	nat. median $8,700 outlier · 2.1×
C1772 HCPCS	"pump Pain Medtron 20cc"	3	$5,568.19	$28,278.89	$18,370.66	nat. median $8,320 outlier · 2.2×
J0870PO CPT	"imetelstat 188mg"	3	$6,487.78	$19,694.29	$18,028.23	—
J9119PO CPT	"cemiplimab-rwlc 350 Mg Vial"	3	$6,419.00	$19,485.52	$17,837.12	—
3722350 CPT	"illiac Revasc W/stent Addl Bil"	3	$6,325.19	$19,200.74	$17,576.43	—
35151 CPT	"popliteal Aneurysm Repair"	3	$6,309.69	$19,153.69	$17,533.36	nat. median $3,103 outlier · 5.7×

Other procedures at this hospital

Browse this hospital's 1,898 published procedures. Use the slice to choose what to show, then sort or filter any column.

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

3624750	CPT	"bil 3rd Order Abd,pelv,low Ext"	4	3	$3,760.25	—	$940.06	$2,853.65	$2,612.24	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	CPT	"renal Biopsy Trocar Lt"	4	3	$3,769.75	—	$942.44	$2,860.86	$2,618.85	2026-02-24
50200RT	CPT	"renal Biopsy Trocar Rt"	4	3	$3,769.75	—	$942.44	$2,860.86	$2,618.85	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
J9264PO	CPT	"paclitaxel Pb 100 Mg"	4	3	$3,785.56	—	$946.39	$2,872.86	$2,629.83	2026-02-24
33222	CPT	"revise Pocket Pacemaker"	4	3	$3,792.00	—	$100.00	$2,877.75	$2,634.30	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
49440	CPT	"insert Gastrostomy Tube Perc"	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
36465	CPT	"inj Non Compd Foam Sclerosant"	4	3	$3,912.00	—	$100.00	$2,968.82	$2,717.66	2026-02-24
78452	CPT	"dual Isotope Gated Study"	4	3	$4,145.75	—	$100.00	$3,146.21	$2,880.05	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
64624	CPT	"ablation, Genicular Nerv Radio"	4	3	$4,222.50	—	$100.00	$3,204.46	$2,933.38	2026-02-24
6447950	CPT	"inj Transfor Cer/thor Sngle-bi"	4	3	$4,225.00	—	$1,056.25	$3,206.35	$2,935.11	2026-02-24
6441650	CPT	"inj Brachial Plex Cont Inf Bil"	4	3	$4,225.00	—	$1,056.25	$3,206.35	$2,935.11	2026-02-24
Q2050PO	CPT	"doxil 20mg 2mg/ml 10ml"	4	3	$4,286.00	—	$1,071.50	$3,252.65	$2,977.49	2026-02-24
50384RT	CPT	"rem Inter Dwell Stent Per Rt"	4	3	$4,301.00	—	$1,075.25	$3,264.03	$2,987.90	2026-02-24
50386LT	CPT	"rem Stent Via Transureth Lt"	4	3	$4,301.00	—	$1,075.25	$3,264.03	$2,987.90	2026-02-24
50382RT	CPT	"rem/rep Inter Dwell Stent Rt"	4	3	$4,301.00	—	$1,075.25	$3,264.03	$2,987.90	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
50432	CPT	"nephrostomy Tube Placement"	4	3	$4,421.00	—	$100.00	$3,355.10	$3,071.27	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
50435LT	CPT	"exchange Nephro Tube Lt"	4	3	$4,480.75	—	$1,120.19	$3,400.44	$3,112.77	2026-02-24
50387LT	CPT	"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	CPT	"rem/repl Ext Acc Nephr Cath Rt"	4	3	$4,480.75	—	$1,120.19	$3,400.44	$3,112.77	2026-02-24
J0202PO	CPT	"campath 30mg/ml 1ml Sol"	4	3	$4,570.50	—	$1,142.63	$3,468.55	$3,175.12	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
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
59412	CPT	"cephaic Version"	4	3	$4,960.00	—	$100.00	$3,764.14	$3,445.71	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
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
J9176PO	CPT	"empliciti 300mg Sdv"	4	3	$5,433.00	—	$1,358.25	$4,123.10	$3,774.30	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
31653	CPT	"bronch Ebus Sampling 3> Node"	4	3	$5,467.75	—	$100.00	$4,149.48	$3,798.45	2026-02-24
0342	RC	—	4	3	$5,493.25	—	$1,373.31	$4,168.83	$3,816.16	2026-02-24
77778	CPT	"interstitial Implant, Complex"	4	3	$5,493.25	—	$100.00	$4,168.83	$3,816.16	2026-02-24
J9145PO	CPT	"darzalex 400mg Vial"	4	3	$5,506.50	—	$1,376.63	$4,178.88	$3,825.37	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
5020050	CPT	"renal Biopsy Trocar Bil"	4	3	$5,654.75	—	$1,413.69	$4,291.39	$3,928.35	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
J1575PO	CPT	"hyqvia 10 Gm"	4	3	$5,808.00	—	$1,452.00	$4,407.69	$4,034.82	2026-02-24
6463550	CPT	"destr Paravertebr Nerve L/s Bi"	4	3	$5,819.25	—	$1,454.81	$4,416.23	$4,042.64	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
36581	CPT	"rplacmnt Cad/vad Same Site"	4	3	$5,927.00	—	$100.00	$4,498.00	$4,117.49	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
J9033PO	CPT	"treanda 100mg Pwd"	4	3	$6,156.25	—	$1,539.06	$4,671.98	$4,276.74	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
36478	CPT	"endovenous Vein Ablat 1st Vein"	4	3	$6,332.75	—	$100.00	$4,805.92	$4,399.36	2026-02-24
J9035PO	CPT	"avastin 400mg 25mg/ml 16ml Sdv"	4	3	$6,435.00	—	$1,608.75	$4,883.52	$4,470.40	2026-02-24
5038250	CPT	"rem/rep Inter Dwell Stent Bil"	4	3	$6,451.50	—	$1,612.88	$4,896.04	$4,481.85	2026-02-24
5043450	CPT	"convert Nephrostomy Cath Bil"	4	3	$6,452.50	—	$1,613.13	$4,896.80	$4,482.56	2026-02-24
5038650	CPT	"rem Stent Via Transureth Bil"	4	3	$6,452.50	—	$1,613.13	$4,896.80	$4,482.56	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
A9571	HCPCS	"isotope Autologous Pllts"	4	3	$4,173.00	—	$1,043.25	$4,964.58	$2,922.98	2026-02-24
J1437PO	CPT	"ferric Derisomaltose 1000 Mg"	4	3	$6,599.00	—	$1,649.75	$5,007.98	$4,584.33	2026-02-24
5043250	CPT	"plmt Nephr Cath Percut Bil"	4	3	$6,631.50	—	$1,657.88	$5,032.65	$4,606.90	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
J9203PO	CPT	"mylotarg 5mg Pwd"	4	3	$6,712.25	—	$1,678.06	$5,093.93	$4,663.00	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
36253RT	CPT	"renal 2nd/3rd Order Uni Rt"	4	3	$6,781.25	—	$1,695.31	$5,146.29	$4,710.94	2026-02-24
36253LT	CPT	"renal 2nd/3rd Order Uni Lt"	4	3	$6,781.25	—	$1,695.31	$5,146.29	$4,710.94	2026-02-24
22511	CPT	"lumbosacral Percut"	4	3	$6,803.25	—	$100.00	$5,162.99	$4,726.22	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
75805	CPT	"lymphangiogr, Pelv/abd Uni"	4	3	$6,876.00	—	$100.00	$5,218.20	$4,776.76	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
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
37197	CPT	"remove Intrvas Foreign Body"	4	3	$7,022.00	—	$100.00	$5,329.00	$4,878.18	2026-02-24
J9285PO	CPT	"lartruvo 500mg/50ml"	4	3	$7,051.75	—	$1,762.94	$5,351.57	$4,898.85	2026-02-24
37200	CPT	"transcatheter Biopsy"	4	3	$7,059.50	—	$100.00	$5,357.45	$4,904.24	2026-02-24
Q5118PO	CPT	"bevacizumab-bvzr 400 Mg"	4	3	$7,162.50	—	$1,790.63	$5,435.62	$4,975.79	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
J9358PO	CPT	"fam-trastuzumab Deruxtecan 100"	4	3	$7,287.75	—	$1,821.94	$5,530.67	$5,062.80	2026-02-24
50695RT	CPT	"plt Uret Stent New Sep Cath Rt"	4	3	$7,384.75	—	$1,846.19	$5,604.29	$5,130.18	2026-02-24
50433LT	CPT	"plmt Nephr Cath Perc Lt"	4	3	$7,385.75	—	$1,846.44	$5,605.05	$5,130.88	2026-02-24
50433RT	CPT	"plmt Nephr Cath Perc Rt"	4	3	$7,385.75	—	$1,846.44	$5,605.05	$5,130.88	2026-02-24
50693LT	CPT	"plmt Ureteral Stent Lt"	4	3	$7,385.75	—	$1,846.44	$5,605.05	$5,130.88	2026-02-24
50693RT	CPT	"plmt Ureteral Stent Perc"	4	3	$7,385.75	—	$1,846.44	$5,605.05	$5,130.88	2026-02-24
Q5107PO	CPT	"bevacizumab-awwb 400 Mg"	4	3	$7,444.75	—	$1,861.19	$5,649.82	$5,171.87	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
47531	CPT	"t-tube Cholangiogram"	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
47534	CPT	"plmt Biliary Drain Cath Int/ex"	4	3	$7,482.25	—	$100.00	$5,678.28	$5,197.91	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
J9035	HCPCS	"becacizumab 25mg/ml 400mg Vial"	4	3	$7,636.00	—	$86.14	$5,794.96	$3,405.66	2026-02-24
47490	CPT	"cholecystostomy Percut Complet"	4	3	$7,642.25	—	$100.00	$5,799.70	$5,309.07	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
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
75831RT	CPT	"venography Renal 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
75891	CPT	"venography Hepatic Without Eval"	4	3	$7,892.00	—	$100.00	$5,989.24	$5,482.57	2026-02-24
75731RT	CPT	"angiography Adrenal Unilat Rt"	4	3	$7,892.00	—	$1,973.00	$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
75705	CPT	"angiography Spinal Sel"	4	3	$7,892.00	—	$100.00	$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
C1759	HCPCS	"sjm Ice Catheter"	4	3	$7,942.00	—	$1,985.50	$6,027.18	$5,517.31	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
20555	CPT	"place Ndl Musc/tis For Rt"	4	3	$8,016.25	—	$100.00	$6,083.53	$5,568.89	2026-02-24
A2025	CPT	"miro 3d 5x5x2"	4	3	$5,613.75	—	$2,027.19	$6,153.73	$5,633.15	2026-02-24
38308	CPT	"incision Lymph Channels"	4	3	$8,115.00	—	$100.00	$6,158.47	$5,637.49	2026-02-24
Q4186JC	CPT	"epifix 3.5 X 3.5 Mesh"	12	3	$3,135.75	—	$783.94	$6,321.07	$3,281.10	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
0683	RC	—	12	3	$5,553.50	—	$694.31	$6,321.26	$2,836.51	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
Q4104	HCPCS	"matrix, Bilayer Mesh Wound 2x2"	4	3	$8,497.75	—	$2,124.44	$6,448.94	$5,903.39	2026-02-24
J1306	CPT	"inclisiran Inj 284mg/1.5ml Syr"	4	3	$8,498.00	—	$2,124.50	$6,449.13	$5,903.57	2026-02-24
J2802PO	CPT	"nplate 500mcg Lyophilized Pwd"	4	3	$8,894.25	—	$2,223.56	$6,749.85	$6,178.84	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
90375	CPT	"hyperrab 300 Unit/ml 5ml Vial"	4	3	$9,200.25	—	$419.03	$6,982.07	$4,103.31	2026-02-24
J9303PO	CPT	"vectibix 400mg 20mg/ml 20ml"	4	3	$9,239.25	—	$2,309.81	$7,011.67	$6,418.51	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
37185	CPT	"thrombect Prim Art Mech Adl"	4	3	$9,566.00	—	$2,391.50	$7,259.64	$6,645.50	2026-02-24
92973	CPT	"coronary Thrombectomy"	4	3	$9,617.25	—	$2,404.31	$7,298.53	$6,681.10	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
J9177PO	CPT	"padcev 30 Mg"	8	3	$8,038.00	—	$1,608.13	$7,318.45	$4,844.64	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
37187	CPT	"thrombectomy Venous Mech"	4	3	$9,721.00	—	$100.00	$7,377.27	$6,753.18	2026-02-24
Q5122PO	CPT	"nyvepria 6mg/0.6ml"	4	3	$10,007.04	—	$2,501.76	$7,594.34	$6,951.89	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
C1885	HCPCS	"catheter Laser Atherectomy Aur"	14	3	$7,153.00	—	$1,723.25	$7,840.95	$5,122.76	2026-02-24
J2783PO	CPT	"rasburicase 7.5mg Vial"	4	3	$10,430.75	—	$2,607.69	$7,915.90	$7,246.24	2026-02-24
J9330PO	CPT	"torisel 25mg Inj W/diluent"	4	3	$10,503.25	—	$2,625.81	$7,970.92	$7,296.61	2026-02-24
J9306PO	CPT	"pertuzumab 420mg/14ml"	4	3	$10,565.25	—	$2,641.31	$8,017.97	$7,339.68	2026-02-24
J3590PO	CPT	"pegasys 180mcg 1ml Sdv"	8	3	$9,950.75	—	$2,329.63	$8,031.44	$6,879.47	2026-02-24
J2356	CPT	"tezepelumab 210 Mg/1.91 Ml Syr"	4	3	$10,608.32	—	$2,652.08	$8,050.65	$7,369.60	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
5069450	CPT	"plmt Ureter Stent Perc Bil"	4	3	$11,077.50	—	$2,769.38	$8,406.71	$7,695.54	2026-02-24
5043350	CPT	"plmt Mephr Cath Per Bil"	4	3	$11,078.50	—	$2,769.63	$8,407.47	$7,696.23	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
36482	CPT	"endoven Ablation Ther Chem 1st"	4	3	$11,271.50	—	$100.00	$8,553.94	$7,830.31	2026-02-24
J9354PO	CPT	"ado-trastuzumab Emtans 160mg V"	8	3	$9,339.88	—	$1,796.44	$8,722.80	$5,411.95	2026-02-24
C1761	CPT	"cath, Shock Wave Ivl"	5	3	$7,960.00	—	$2,874.75	$8,726.59	$7,382.36	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
Q5115PO	CPT	"rituximab-abbs 500 Mg Vial"	4	3	$11,841.25	—	$2,960.31	$8,986.32	$8,226.11	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
J2792PO	CPT	"winrho 3000mcg"	4	3	$11,943.00	—	$2,985.75	$9,063.54	$8,296.81	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
47382	CPT	"ablation 1 Or More Liver Tumor"	4	3	$12,154.25	—	$100.00	$9,223.86	$8,443.56	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
36904	CPT	"percu Thrombect Av Fistula"	4	3	$12,385.00	—	$100.00	$9,398.98	$8,603.86	2026-02-24
3722259LT	CPT	"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	CPT	"iliac Revasc W/stent Add-on Rt"	4	3	$12,651.00	—	$3,162.75	$9,600.84	$8,788.65	2026-02-24
3722259RT	CPT	"iliac Revasc Add-on Rt"	4	3	$12,651.00	—	$3,162.75	$9,600.84	$8,788.65	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
92920	CPT	"prq Cardiac Angioplast 1 Art"	4	3	$12,678.00	—	$100.00	$9,621.33	$8,807.41	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
C1747	CPT	"ureterscope Wiscope Disposab"	15	3	$4,581.00	—	$332.75	$9,720.75	$2,941.00	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
J2997	HCPCS	"activase 90mg/90ml Diluent"	4	3	$13,045.25	—	$111.03	$9,900.04	$5,818.18	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
J9271	HCPCS	"pembrolizumab 100 Mg/4 Ml Vial"	4	3	$13,321.25	—	$69.06	$10,109.50	$5,941.27	2026-02-24
J9271PO	CPT	"keytruda Pembrolizumab 100mg/4"	4	3	$13,514.75	—	$3,378.69	$10,256.34	$9,388.69	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
J9057PO	CPT	"copanlisib 60mg Vial"	4	3	$13,567.50	—	$3,391.88	$10,296.38	$9,425.35	2026-02-24
J9308PO	CPT	"ramucirumab 500mg/50ml Inj"	4	3	$13,667.50	—	$3,416.88	$10,372.27	$9,494.82	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
63663	CPT	"revise Spine Eltrd Perq Aray"	4	3	$13,975.50	—	$100.00	$10,606.01	$9,708.78	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
C2596	HCPCS	"aquabeam, Handpiece Kit"	5	3	$14,625.00	—	$3,656.25	$11,098.91	$9,389.25	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
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
93461	CPT	"r & L Hrt Art/ventricle Angio"	4	3	$14,879.75	—	$100.00	$11,292.24	$8,356.90	2026-02-24
J2506PO	CPT	"neulasta Del Kit 6mg/0.6ml"	4	3	$15,003.75	—	$3,750.94	$11,386.35	$10,423.10	2026-02-24
22513	CPT	"vertebral Augmentation Percut"	4	3	$15,046.25	—	$100.00	$11,418.60	$10,452.63	2026-02-24
20983RT	CPT	"abl Ther 1/ +bone Cryob Rt"	4	3	$15,046.25	—	$3,761.56	$11,418.60	$10,452.63	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
A2007JC	CPT	"restrata Wnd Matrix 2.5 X7.5cm"	16	3	$5,966.12	—	$1,386.50	$11,655.19	$5,334.60	2026-02-24
J9332	CPT	"efgartigimod Alfa 400mg/20ml"	4	3	$15,555.25	—	$3,888.81	$11,804.88	$10,806.23	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	CPT	"somatuline Depot 90mg Syr"	8	3	$15,124.88	—	$3,369.38	$12,728.46	$10,150.58	2026-02-24
J9063PO	CPT	"elahere 100mg Vl"	4	3	$16,916.47	—	$4,229.12	$12,837.91	$11,751.87	2026-02-24
37224LT	CPT	"fem/popl Revas W/tla Lt"	4	3	$16,917.00	—	$4,229.25	$12,838.31	$11,752.24	2026-02-24
3722459RT	CPT	"fem/popl Revas W/tla Rt"	4	3	$16,917.00	—	$4,229.25	$12,838.31	$11,752.24	2026-02-24
3722459LT	CPT	"fem/popl Revas W/tla Lt"	4	3	$16,917.00	—	$4,229.25	$12,838.31	$11,752.24	2026-02-24
37224RT	CPT	"fem/popl Revas W/tla Rt"	4	3	$16,917.00	—	$4,229.25	$12,838.31	$11,752.24	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
37246	CPT	"pta Aorta"	4	3	$16,917.50	—	$100.00	$12,838.69	$11,752.59	2026-02-24
3722059LT	CPT	"iliac Revasc Lt"	4	3	$17,732.75	—	$4,433.19	$13,457.38	$12,318.94	2026-02-24
J9223PO	CPT	"lurbinectedin 4 Mg Vial"	4	3	$18,210.50	—	$4,552.63	$13,819.95	$12,650.83	2026-02-24
5059250	CPT	"ablat Or> Renal Tum Bil"	4	3	$18,231.50	—	$4,557.88	$13,835.89	$12,665.42	2026-02-24
3299850	CPT	"ablation Ther Pulm Tum-bil"	4	3	$18,232.50	—	$4,558.13	$13,836.64	$12,666.12	2026-02-24
J9022PO	CPT	"atezolizumab 840 Mg"	4	3	$18,560.75	—	$4,640.19	$14,085.75	$12,894.15	2026-02-24
C1817	HCPCS	"amplatzer Occluder"	5	3	$19,114.75	—	$4,778.69	$14,506.18	$12,271.67	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
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
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
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
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
92928	CPT	"prq Card Stent W/angio 1 Vsl N"	4	3	$19,256.00	—	$100.00	$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
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
92943	CPT	"prq Card Revas Chronic 1vsl Nd"	4	3	$19,256.00	—	$100.00	$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
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
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
C2621	HCPCS	"pacemaker, Biventricular"	15	3	$17,674.00	—	$4,113.69	$15,317.64	$11,346.71	2026-02-24
J9144PO	CPT	"darzalex Faspro 1800 Mg"	4	3	$20,789.75	—	$5,197.44	$15,777.34	$14,442.64	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
C1813	HCPCS	"pump, Penile & Tubing Only"	15	3	$12,398.00	—	$2,527.94	$15,936.52	$7,673.81	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
0237TRT	CPT	"trluml Perip Arth Brchiocph Rt"	4	3	$21,372.50	—	$5,343.13	$16,219.59	$14,847.48	2026-02-24
0238TLT	CPT	"trluml Perip Arth Iliac Art Lt"	4	3	$21,372.50	—	$5,343.13	$16,219.59	$14,847.48	2026-02-24
0237TLT	CPT	"trluml Perip Arth Brchiocph Lt"	4	3	$21,372.50	—	$5,343.13	$16,219.59	$14,847.48	2026-02-24
0234TLT	CPT	"trluml Peri Arth Renal Art Lt"	4	3	$21,372.75	—	$5,343.19	$16,219.78	$14,847.65	2026-02-24
50593RT	CPT	"ablation Renal Tum Uni Cryo Rt"	4	3	$21,395.25	—	$5,348.81	$16,236.86	$14,863.28	2026-02-24
50593LT	CPT	"ablation Renal Tum Uni Cryo Lt"	4	3	$21,395.25	—	$5,348.81	$16,236.86	$14,863.28	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
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
C9761	HCPCS	"sure Flat Fee"	4	3	$22,425.00	—	$100.00	$17,018.33	$15,578.65	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
33229	CPT	"rmvl & Replc Pm Gen Mult Leads"	4	3	$22,800.50	—	$100.00	$17,303.30	$15,839.51	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
J1440	CPT	"rebyota Fecal 150 Ml Enema"	4	3	$22,939.20	—	$5,734.80	$17,408.56	$15,935.86	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
36907	CPT	"transluminal Balloon Ap Cds"	4	3	$23,528.00	—	$5,882.00	$17,855.40	$16,344.91	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
C9765	HCPCS	"revasc Intra Lithotr-stent"	4	3	$24,171.75	—	$100.00	$18,343.94	$16,792.12	2026-02-24
J9043PO	CPT	"jevtana 60mg Kit W/diluent"	4	3	$24,346.00	—	$6,086.50	$18,476.18	$16,913.17	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
33886	CPT	"placement Of Distal Extension"	4	3	$24,956.50	—	$6,239.13	$18,939.49	$17,337.28	2026-02-24
3722159RT	CPT	"iliac Revasc W/stent Rt"	4	3	$25,238.75	—	$6,309.69	$19,153.69	$17,533.36	2026-02-24
3722159LT	CPT	"iliac Revasc W/stent Lt"	4	3	$25,238.75	—	$6,309.69	$19,153.69	$17,533.36	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
37221RT	CPT	"iliac Revasc W/stent Rt"	4	3	$25,238.75	—	$6,309.69	$19,153.69	$17,533.36	2026-02-24
3722350	CPT	"illiac Revasc W/stent Addl Bil"	4	3	$25,300.75	—	$6,325.19	$19,200.74	$17,576.43	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
J9119PO	CPT	"cemiplimab-rwlc 350 Mg Vial"	4	3	$25,676.00	—	$6,419.00	$19,485.52	$17,837.12	2026-02-24
J0870PO	CPT	"imetelstat 188mg"	4	3	$25,951.10	—	$6,487.78	$19,694.29	$18,028.23	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
33207	CPT	"pacemaker Ins Ventricular"	4	3	$27,937.25	—	$100.00	$21,201.58	$19,408.00	2026-02-24
J9217PO	CPT	"lupron Depot 30mg 4month Kit"	12	3	$11,878.00	—	$304.94	$21,520.20	$7,357.48	2026-02-24
0627T	CPT	"injection, Vivex"	4	3	$28,964.75	—	$100.00	$21,981.35	$20,121.81	2026-02-24
C1776	HCPCS	"tray, Tibial Infinity"	570	3	$6,269.12	—	$114.38	$22,043.20	$3,411.33	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
C1874	HCPCS	"stent, Main Body"	35	3	$11,047.75	—	$1,746.13	$22,743.66	$6,466.02	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
5059350	CPT	"ablation Renal Tum Uni Cryo Bi"	4	3	$32,093.25	—	$8,023.31	$24,355.57	$22,295.18	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
J9316PO	CPT	"phesgo 1200 Mg Vl"	8	3	$27,687.75	—	$5,537.94	$25,213.50	$16,683.59	2026-02-24
Q4100JC	CPT	"tissue, Permacol 151015"	35	3	$10,554.75	—	$1,412.81	$25,251.26	$6,776.15	2026-02-24
3722450	CPT	"fem/pop Revasc Bilat"	4	3	$33,833.50	—	$8,458.38	$25,676.24	$23,504.14	2026-02-24
33208	CPT	"pacemaker Ins Atrial/vent"	4	3	$34,165.25	—	$100.00	$25,928.01	$23,734.60	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
3722050	CPT	"illiac Revasc Init Bilat"	4	3	$35,464.75	—	$8,866.19	$26,914.20	$24,637.36	2026-02-24
J9298PO	CPT	"opdualag 20ml Vial"	4	3	$35,804.50	—	$8,951.13	$27,172.04	$24,873.39	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
3722559LT	CPT	"fem/popl Revas W/ather Lt"	4	3	$37,915.75	—	$9,478.94	$28,774.26	$26,340.07	2026-02-24
37225RT	CPT	"fem/popl Revas W/ather Rt"	4	3	$37,915.75	—	$9,478.94	$28,774.26	$26,340.07	2026-02-24
37225LT	CPT	"fem/popl Revas W/ather Lt"	4	3	$37,915.75	—	$9,478.94	$28,774.26	$26,340.07	2026-02-24
C9773	CPT	"revasc Lithotr-stent-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
C9775	CPT	"revasc Lith-sten-ath Tib/per"	4	3	$38,664.25	—	$9,666.06	$29,342.30	$26,860.06	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
36906	CPT	"thrombectomy Mech/infus W Sten"	4	3	$39,635.75	—	$100.00	$30,079.57	$27,534.96	2026-02-24
0234T50	CPT	"triuml Perip Athrc Renal Art B"	4	3	$42,745.00	—	$10,686.25	$32,439.18	$29,694.95	2026-02-24
0237T50	CPT	"triuml Perip Athrc Brchiocph B"	4	3	$42,745.00	—	$10,686.25	$32,439.18	$29,694.95	2026-02-24
0238T50	CPT	"triuml Perp Athrc Illiac Art B"	4	3	$42,745.00	—	$10,686.25	$32,439.18	$29,694.95	2026-02-24
C1822	HCPCS	"kit, Ipg"	5	3	$42,756.75	—	$10,689.19	$32,448.10	$27,449.83	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
37227LT	CPT	"fem/popl Revas Stnt & Ather Lt"	4	3	$45,421.25	—	$11,355.31	$34,470.19	$31,554.14	2026-02-24
37226LT	CPT	"fem/popl Revasc W/stent Lt"	4	3	$45,421.25	—	$11,355.31	$34,470.19	$31,554.14	2026-02-24
3722759LT	CPT	"fem/popl Revas Stnt & Ather Lt"	4	3	$45,421.25	—	$11,355.31	$34,470.19	$31,554.14	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
33880	CPT	"endovascular Repair Of Thoraci"	4	3	$47,703.25	—	$11,925.81	$36,202.00	$33,139.45	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
J2327JB	CPT	"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
C1820	HCPCS	"stimulator, Spinal Cord 37712"	30	3	$36,183.88	—	$8,050.50	$39,633.17	$24,273.08	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
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
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
J9359PO	CPT	"loncastuximab Tesirine 10 Mg"	4	3	$63,349.21	—	$15,837.30	$48,075.72	$44,008.69	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
3722550	CPT	"fem/pop Revasc W/ather Bilat"	4	3	$75,831.00	—	$18,957.75	$57,548.15	$52,679.79	2026-02-24
33240	CPT	"insertion Pulse Generator"	4	3	$75,926.50	—	$100.00	$57,620.62	$52,746.14	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
33231	CPT	"insrt Icd W/mult Leads"	4	3	$77,928.00	—	$100.00	$59,139.56	$54,136.58	2026-02-24
C1826	CPT	"neurostimulator Inceptiv"	5	3	$80,630.00	—	$20,157.50	$61,190.11	$51,764.46	2026-02-24
3722750	CPT	"fem/pop Revasc W/stent & Ather"	4	3	$90,842.00	—	$22,710.50	$68,939.99	$63,107.93	2026-02-24
3722650	CPT	"fem/pop Revasc W/stent"	4	3	$90,842.00	—	$22,710.50	$68,939.99	$63,107.93	2026-02-24
J9029	CPT	"adstiladrin 75 Ml Blad Instill"	4	3	$152,938.00	—	$38,234.50	$116,064.65	$106,246.03	2026-02-24

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