Hospital

THE JAMES B. HAGGIN MEMORIAL HOSPITAL

Harrodsburg, KY · CCN 181302 · Rates published

3,406 distinct procedures filed

8 distinct payers

172,056 rate rows

2026-02-24 last MRF observed

Data quality

158,332 of 172,056 rate rows are consumer-grade (92.0%)

13,724 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	13,624
placeholder amount (≤ $0.02) — excluded from medians	64
exceeds 10× this hospital's gross charge — excluded from medians	20
per-diem day rate — not a per-procedure price	16

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

Source MRF file	https://emhealth.slicedhealth.io/pricer/61-0510934-1902862824_EphraimMcDowellHealth_standardcharges.CSV
Found on page	https://hagginhospital.org/cms-hpt.txt
Discovered via	CMS hospital list
Last fetch	Latest re-check couldn't be parsed — showing last good data · 2026-05-18
Content fingerprint	fec0045bcba25f60… · 46,332,208 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
Q2043 HCPCS	"provenge 50,000,000 Cell/250ml"	7	$55,272.32	$123,317.37	$55,272.32	nat. median $66,682 0.8× median
J9029 CPT	"adstiladrin 75 Ml Blad Instill"	7	$42,822.64	$152,234.49	$42,822.64	nat. median $69,774 0.6× median
33264 CPT	"remv & Replc Cvd Gen Mult Lead"	7	$32,061.58	$77,569.53	$32,061.58	nat. median $31,873 1.0× median
33231 CPT	"insrt Icd W/mult Leads"	7	$32,061.58	$77,569.53	$32,061.58	nat. median $30,121 1.1× median
33249 CPT	"ins Eltrd Pace-defib"	7	$32,061.58	$100,998.51	$32,061.58	nat. median $31,833 1.0× median
C2624 HCPCS	"cardiomems"	7	$21,157.78	$107,269.78	$30,174.34	nat. median $32,760 0.9× median
33289 CPT	"transc Impl Wirel Pulm Art P/s"	7	$28,428.33	$75,215.91	$28,428.33	nat. median $28,318 1.0× median
L8614 HCPCS	"kit Dual Proc Incl 2 Nucl Proc"	7	$12,432.07	$94,177.53	$26,491.57	nat. median $23,403 1.1× median
C1826 CPT	"stimulator, Closed Loop Evoke"	7	$22,576.40	$91,203.53	$25,655.00	nat. median $30,963 0.8× median
3722650 CPT	"fem/pop Revasc W/stent"	7	$25,435.76	$90,424.13	$25,435.76	—
3722750 CPT	"fem/pop Revasc W/stent & Ather"	7	$25,435.76	$90,424.13	$25,435.76	—
33262 CPT	"remv & Replc Cvd Gen Sing Lead"	7	$22,446.19	$77,569.53	$22,446.19	nat. median $23,398 1.0× median
33240 CPT	"insertion Pulse Generator"	7	$22,446.19	$75,577.24	$22,446.19	nat. median $22,137 1.0× median
33230 CPT	"insrt Icd W/dual Leads"	7	$22,446.19	$77,569.53	$22,446.19	nat. median $22,360 1.0× median
33263 CPT	"remv & Replc Cvd Gen Dual Lead"	7	$22,446.19	$77,569.53	$22,446.19	nat. median $23,504 1.0× median
64590 CPT	"imp Generator/ipg-stage 2"	7	$15,618.45	$24,140.69	$21,444.39	nat. median $18,334 1.2× median
3722550 CPT	"fem/pop Revasc W/ather Bilat"	7	$21,232.68	$75,482.18	$21,232.68	—
33229 CPT	"rmvl & Replc Pm Gen Mult Leads"	7	$14,683.52	$22,695.62	$19,071.16	nat. median $18,727 1.0× median
27279 CPT	"cornerloc Proc /si Fusion"	7	$18,390.05	$39,485.28	$18,390.05	nat. median $17,268 1.1× median
J9347PO CPT	"tremelimumab 25 Mg Vl"	7	$2,322.21	$98,955.90	$18,045.58	—
37184 CPT	"thrombectomy Prim Art Mech"	7	$6,260.32	$17,956.72	$17,956.72	nat. median $10,431 1.7× median
36906 CPT	"thrombectomy Mech/infus W Sten"	7	$17,956.72	$39,453.43	$17,956.72	nat. median $18,387 1.0× median
C9607 HCPCS	"prq Card Revasc Chronic 1vsl D"	7	$12,400.86	$19,167.42	$17,956.72	nat. median $20,002 0.9× median
37242 CPT	"vasc Emb Or Occl Arterial"	7	$13,791.58	$21,316.99	$17,956.72	nat. median $16,728 1.1× median
37230 CPT	"tib/per Revasc W/stent"	7	$17,295.75	$26,733.21	$17,956.72	nat. median $16,861 1.1× median
37231 CPT	"tib/per Revasc Stent & Ather"	7	$17,351.78	$26,819.81	$17,956.72	nat. median $18,087 1.0× median
37229 CPT	"tib/per Revasc W/ather"	7	$17,295.75	$26,733.21	$17,956.72	nat. median $16,929 1.1× median
C9767 HCPCS	"revasc Lithotrip Stent-ather"	7	$17,956.72	$38,486.39	$17,956.72	nat. median $20,596 0.9× median
C9766 HCPCS	"revasc Intrav Lithotrip & Athr"	7	$14,779.80	$22,844.43	$17,956.72	nat. median $19,548 0.9× median
93580 CPT	"perc Closure Asd/pfo"	7	$17,956.72	$34,727.27	$17,956.72	nat. median $18,266 1.0× median
C9765 HCPCS	"revasc Intra Lithotr-stent"	7	$15,566.61	$24,060.56	$17,956.72	nat. median $18,806 1.0× median
J9281 CPT	"jelmyto 80 Mg Ureteral Gel Kit"	7	$17,805.15	$63,297.31	$17,805.15	nat. median $545 outlier · 32.7×
J9359PO CPT	"loncastuximab Tesirine 10 Mg"	7	$17,737.78	$63,057.80	$17,737.78	—
J9228PO CPT	"yervoy 200mg 5mg/ml 40ml Sdv"	7	$4,415.04	$62,778.88	$16,677.40	—
C1882 HCPCS	"unify Assura Cd3357-40q Cell B"	7	$5,979.82	$60,616.38	$16,092.06	nat. median $27,114 0.6× median
C1822 HCPCS	"generator, Implantable Pulse"	7	$8,874.67	$57,163.58	$16,079.77	nat. median $31,540 0.5× median
C1722 HCPCS	"ellipse Nxtgen 1411-36q Sgl Me"	7	$7,262.64	$67,217.87	$15,639.82	nat. median $20,770 0.8× median
C1721 HCPCS	"fortify Assura Nxt Gen2357 Dua"	7	$4,027.80	$67,217.87	$14,841.82	nat. median $22,213 0.7× median
C1816 HCPCS	"generator Neurostim Spine"	7	$14,445.06	$51,352.19	$14,445.06	nat. median $13,332 1.1× median
3722150 CPT	"illiac Revasc W/stent Bilat"	7	$14,133.49	$50,244.56	$14,133.49	—
J2327JB CPT	"skyrizi 360 Mg/2.4 Ml Inj Kit"	7	$14,084.72	$50,071.18	$14,084.72	—
C1820 HCPCS	"battery, Neurostimulator"	7	$8,314.81	$68,988.69	$13,492.74	nat. median $22,013 0.6× median
33880 CPT	"endovascular Repair Of Thoraci"	7	$13,356.91	$47,483.82	$13,356.91	nat. median $4,646 outlier · 2.9×
0627T CPT	"injection, Vivex"	7	$12,866.82	$28,831.51	$12,866.82	nat. median $12,867 1.0× median
20982 CPT	"ablation Ther Reduct 1 Bone Tu"	7	$9,689.79	$14,977.04	$12,866.82	nat. median $10,779 1.2× median
3722759RT CPT	"fem/popl Revas Stnt & Ather Rt"	7	$12,717.95	$45,212.31	$12,717.95	—
3722659LT CPT	"fem/popl Revasc W/stent Lt"	7	$12,717.95	$45,212.31	$12,717.95	—
3722759LT CPT	"fem/popl Revas Stnt & Ather Lt"	7	$12,717.95	$45,212.31	$12,717.95	—
37226LT CPT	"fem/popl Revasc W/stent Lt"	7	$12,717.95	$45,212.31	$12,717.95	—
37226RT CPT	"fem/popl Revasc W/stent Rt"	7	$12,717.95	$45,212.31	$12,717.95	—

Other procedures at this hospital

Browse this hospital's 3,406 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

0075T	CPT	"transcath Vertebral Art Stent"	16	7	$32,584.25	—	$9,123.59	$32,434.36	$9,123.59	2026-02-24
0234T50	CPT	"triuml Perip Athrc Renal Art B"	16	7	$42,745.00	—	$11,968.60	$42,548.37	$11,968.60	2026-02-24
0234TLT	CPT	"trluml Peri Arth Renal Art Lt"	16	7	$21,372.75	—	$5,984.37	$21,274.44	$5,984.37	2026-02-24
0234TRT	CPT	"trluml Peri Arth Renal Art R"	16	7	$21,372.75	—	$5,984.37	$21,274.44	$5,984.37	2026-02-24
0235T	CPT	"trluml Perip Arth Visceral"	16	7	$21,372.75	—	$5,984.37	$21,274.44	$5,984.37	2026-02-24
0237T50	CPT	"triuml Perip Athrc Brchiocph B"	16	7	$42,745.00	—	$11,968.60	$42,548.37	$11,968.60	2026-02-24
0237TLT	CPT	"trluml Perip Arth Brchiocph Lt"	16	7	$21,372.50	—	$5,984.30	$21,274.19	$5,984.30	2026-02-24
0237TRT	CPT	"trluml Perip Arth Brchiocph Rt"	16	7	$21,372.50	—	$5,984.30	$21,274.19	$5,984.30	2026-02-24
0238T50	CPT	"triuml Perp Athrc Illiac Art B"	16	7	$42,745.00	—	$11,968.60	$42,548.37	$11,968.60	2026-02-24
0238TLT	CPT	"trluml Perip Arth Iliac Art Lt"	16	7	$21,372.50	—	$5,984.30	$21,274.19	$5,984.30	2026-02-24
0238TRT	CPT	"trluml Perip Arth Iliac Art Rt"	16	7	$21,372.50	—	$5,984.30	$21,274.19	$5,984.30	2026-02-24
0442T	CPT	"ablation Perc Plexus Trunc Nrv"	16	7	$13,697.75	—	$6,404.07	$13,634.74	$6,404.07	2026-02-24
0627T	CPT	"injection, Vivex"	16	7	$28,964.75	—	$12,866.82	$28,831.51	$12,866.82	2026-02-24
0913T	CPT	"perc Trans Thr Dr Del Intr Bal"	16	7	$13,827.00	—	$3,871.56	$13,763.40	$3,871.56	2026-02-24
15273	CPT	"skin Sub Grft T/arm/lg Child"	16	7	$5,696.00	—	$3,660.97	$5,669.80	$3,660.97	2026-02-24
20982	CPT	"ablation Ther Reduct 1 Bone Tu"	16	7	$15,046.25	—	$9,689.79	$14,977.04	$12,866.82	2026-02-24
2098350	CPT	"abl Ther 1/ +bone Cryob Bil"	16	7	$22,569.25	—	$6,319.39	$22,465.43	$6,319.39	2026-02-24
20983LT	CPT	"abl Ther 1/ +bone Cryob Lt"	16	7	$15,046.25	—	$4,212.95	$14,977.04	$4,212.95	2026-02-24
20983RT	CPT	"abl Ther 1/ +bone Cryob Rt"	16	7	$15,046.25	—	$4,212.95	$14,977.04	$4,212.95	2026-02-24
22513	CPT	"vertebral Augmentation Percut"	16	7	$15,046.25	—	$7,143.73	$14,977.04	$7,143.73	2026-02-24
22514	CPT	"vertebral Augmentation Lumbar"	16	7	$15,046.25	—	$7,143.73	$14,977.04	$7,143.73	2026-02-24
27279	CPT	"cornerloc Proc /si Fusion"	16	7	$39,667.75	—	$18,390.05	$39,485.28	$18,390.05	2026-02-24
31652	CPT	"bronch Ebus Sampling 1/2 Node"	16	7	$5,467.75	—	$3,521.23	$5,442.60	$3,686.95	2026-02-24
31653	CPT	"bronch Ebus Sampling 3> Node"	16	7	$5,467.75	—	$3,521.23	$5,442.60	$3,686.95	2026-02-24
32550	CPT	"insert Indw Tunn Pleural Cath"	16	7	$7,482.25	—	$3,529.06	$7,447.83	$3,529.06	2026-02-24
32994	CPT	"ablation Ther Pulm Tum Cryoabl"	16	7	$12,154.25	—	$7,827.34	$12,098.34	$10,411.22	2026-02-24
3299850	CPT	"ablation Ther Pulm Tum-bil"	16	7	$18,232.50	—	$5,105.10	$18,148.63	$5,105.10	2026-02-24
33206	CPT	"pacemaker Ins Atrial"	16	7	$27,937.25	—	$10,465.33	$27,808.74	$10,465.33	2026-02-24
33207	CPT	"pacemaker Ins Ventricular"	16	7	$27,937.25	—	$10,465.33	$27,808.74	$10,465.33	2026-02-24
33208	CPT	"pacemaker Ins Atrial/vent"	16	7	$34,165.25	—	$10,465.33	$34,008.09	$10,465.33	2026-02-24
33210	CPT	"transven Ins Temp Pacing Elect"	16	7	$17,845.25	—	$8,275.98	$17,763.16	$8,275.98	2026-02-24
3321052	CPT	"repos Temp Tran Sing Chamb Car"	16	7	$17,845.25	—	$4,996.67	$17,763.16	$4,996.67	2026-02-24
33211	CPT	"leads Insertion Dual Pacing"	16	7	$11,979.00	—	$7,714.48	$11,923.90	$8,275.98	2026-02-24
33212	CPT	"ins/rpl Pulse Gen Sngl Chamber"	16	7	$22,848.50	—	$8,275.98	$22,743.40	$8,275.98	2026-02-24
33213	CPT	"ins/rpl Pulse Gen Dual Chamber"	16	7	$25,860.00	—	$10,465.33	$25,741.04	$10,465.33	2026-02-24
33214	CPT	"pacemaker Upgrade Sngl To Dual"	16	7	$34,165.25	—	$10,465.33	$34,008.09	$10,465.33	2026-02-24
33216	CPT	"ins Sngl Transvenous Electrode"	16	7	$11,979.00	—	$7,714.48	$11,923.90	$8,275.98	2026-02-24
33217	CPT	"ins Dual Transvenous Electrode"	16	7	$11,979.00	—	$7,714.48	$11,923.90	$8,275.98	2026-02-24
33218	CPT	"rpr Sngl Transvenous Electrode"	16	7	$5,251.25	—	$3,381.81	$5,227.09	$3,639.30	2026-02-24
33220	CPT	"rpr Two Transvenous Electrodes"	16	7	$5,251.25	—	$3,381.81	$5,227.09	$3,639.30	2026-02-24
33224	CPT	"insert Pacing Lead & Connect"	16	7	$34,165.00	—	$10,465.33	$34,007.84	$10,465.33	2026-02-24
33225	CPT	"l Ventric Pacing Lead Add-on"	16	7	$31,405.00	—	$8,793.40	$31,260.54	$8,793.40	2026-02-24
33227	CPT	"rmvl & Rplc Pm Gen Single Lead"	16	7	$20,804.75	—	$8,275.98	$20,709.05	$8,275.98	2026-02-24
33228	CPT	"rmvl & Rplc Pm Gen Dual Lead"	16	7	$22,800.50	—	$10,465.33	$22,695.62	$10,465.33	2026-02-24
33229	CPT	"rmvl & Replc Pm Gen Mult Leads"	16	7	$22,800.50	—	$14,683.52	$22,695.62	$19,071.16	2026-02-24
33230	CPT	"insrt Icd W/dual Leads"	16	7	$77,928.00	—	$22,446.19	$77,569.53	$22,446.19	2026-02-24
33231	CPT	"insrt Icd W/mult Leads"	16	7	$77,928.00	—	$32,061.58	$77,569.53	$32,061.58	2026-02-24
33233	CPT	"rmvl Pacemaker Pulse Generator"	16	7	$17,845.25	—	$8,275.98	$17,763.16	$8,275.98	2026-02-24
33234	CPT	"rmvl Pacemaker System Sng Lead"	16	7	$5,251.25	—	$3,381.81	$5,227.09	$3,639.30	2026-02-24
33235	CPT	"rmvl Pacemaker Electrode Dual"	16	7	$5,251.25	—	$3,381.81	$5,227.09	$3,639.30	2026-02-24
33240	CPT	"insertion Pulse Generator"	16	7	$75,926.50	—	$22,446.19	$75,577.24	$22,446.19	2026-02-24
33241	CPT	"remove Pulse Generator"	16	7	$5,251.25	—	$3,381.81	$5,227.09	$3,639.30	2026-02-24
33244	CPT	"remove Eltrd Transvenous"	16	7	$5,251.25	—	$3,381.81	$5,227.09	$3,639.30	2026-02-24
33249	CPT	"ins Eltrd Pace-defib"	16	7	$101,465.25	—	$32,061.58	$100,998.51	$32,061.58	2026-02-24
33262	CPT	"remv & Replc Cvd Gen Sing Lead"	16	7	$77,928.00	—	$22,446.19	$77,569.53	$22,446.19	2026-02-24
33263	CPT	"remv & Replc Cvd Gen Dual Lead"	16	7	$77,928.00	—	$22,446.19	$77,569.53	$22,446.19	2026-02-24
33264	CPT	"remv & Replc Cvd Gen Mult Lead"	16	7	$77,928.00	—	$32,061.58	$77,569.53	$32,061.58	2026-02-24
33285	CPT	"cardiac Event Rec, Implantat"	16	7	$18,382.00	—	$8,275.98	$18,297.44	$8,275.98	2026-02-24
33289	CPT	"transc Impl Wirel Pulm Art P/s"	16	7	$75,563.50	—	$28,428.33	$75,215.91	$28,428.33	2026-02-24
33880	CPT	"endovascular Repair Of Thoraci"	16	7	$47,703.25	—	$13,356.91	$47,483.82	$13,356.91	2026-02-24
33881	CPT	"tvar, W/out Subclavian"	16	7	$40,806.00	—	$11,425.68	$40,618.29	$11,425.68	2026-02-24
33883	CPT	"placement Of Proximal Extensio"	16	7	$29,094.25	—	$8,146.39	$28,960.42	$8,146.39	2026-02-24
33886	CPT	"placement Of Distal Extension"	16	7	$24,956.50	—	$6,987.82	$24,841.70	$6,987.82	2026-02-24
33900	CPT	"perc Parvstent Initi Norm Uni"	16	7	$24,302.00	—	$6,804.56	$24,190.21	$6,804.56	2026-02-24
33901	CPT	"perc Parvstent Initi Norm Bil"	16	7	$24,302.00	—	$6,804.56	$24,190.21	$6,804.56	2026-02-24
33902	CPT	"perc Parvstent Initi Abnor Uni"	16	7	$39,326.00	—	$11,011.28	$39,145.10	$11,011.28	2026-02-24
33903	CPT	"perc Parvstent Initi Abno Bil"	16	7	$24,302.00	—	$6,804.56	$24,190.21	$6,804.56	2026-02-24
33990	CPT	"insert Perc Vent Asst Dev Lt"	16	7	$13,494.50	—	$3,778.46	$13,432.43	$3,778.46	2026-02-24
33995	CPT	"insert Percut Vent Asst Dev Rt"	16	7	$13,494.50	—	$3,778.46	$13,432.43	$3,778.46	2026-02-24
34701	CPT	"endo Rpr Infrarenal Tube Endog"	16	7	$21,783.00	—	$6,099.24	$21,682.80	$6,099.24	2026-02-24
34703	CPT	"endo Rpr Infrarenal/iliac W Un"	16	7	$22,543.50	—	$6,312.18	$22,439.80	$6,312.18	2026-02-24
34705	CPT	"endo Rpr Infrarenal/iliac W Bi"	16	7	$33,816.50	—	$9,468.62	$33,660.94	$9,468.62	2026-02-24
34707	CPT	"endo Rpr Iliac Art W Ilio-ilia"	16	7	$21,783.00	—	$6,099.24	$21,682.80	$6,099.24	2026-02-24
35151	CPT	"popliteal Aneurysm Repair"	16	7	$25,238.75	—	$7,066.85	$25,122.65	$7,066.85	2026-02-24
36223	CPT	"place Cath Carotid/inom Art"	16	7	$7,863.75	—	$5,064.26	$7,827.58	$5,405.70	2026-02-24
36224	CPT	"place Cath Carotd Art"	16	7	$12,860.25	—	$5,405.70	$12,801.09	$5,405.70	2026-02-24
36226	CPT	"place Cath Vertebral Art"	16	7	$12,860.25	—	$5,405.70	$12,801.09	$5,405.70	2026-02-24
36482	CPT	"endoven Ablation Ther Chem 1st"	16	7	$11,271.50	—	$5,405.70	$11,219.65	$5,405.70	2026-02-24
36516	CPT	"apheresis Immunoad Slctv"	16	7	$9,602.00	—	$4,685.17	$9,557.83	$4,685.17	2026-02-24
36836	CPT	"perc Arterio Fistula Single Ac"	16	7	$39,326.00	—	$11,011.28	$39,145.10	$11,011.28	2026-02-24
36837	CPT	"perc Arterio Fistula Sep Acc"	16	7	$39,326.00	—	$11,011.28	$39,145.10	$11,011.28	2026-02-24
36902	CPT	"sc Pta Percu Renal/viseral Art"	16	7	$16,917.50	—	$5,701.52	$16,839.68	$5,701.52	2026-02-24
36903	CPT	"stent Dialysis Graft With S&i"	16	7	$26,149.25	—	$11,340.57	$26,028.96	$11,340.57	2026-02-24
36904	CPT	"percu Thrombect Av Fistula"	16	7	$12,385.00	—	$5,701.52	$12,328.03	$5,701.52	2026-02-24
36905	CPT	"thrombectomy Mech W/pta Dialy"	16	7	$26,149.25	—	$11,340.57	$26,028.96	$11,340.57	2026-02-24
36906	CPT	"thrombectomy Mech/infus W Sten"	16	7	$39,635.75	—	$17,956.72	$39,453.43	$17,956.72	2026-02-24
36907	CPT	"transluminal Balloon Ap Cds"	16	7	$23,528.00	—	$6,587.84	$23,419.77	$6,587.84	2026-02-24
37182	CPT	"tips Insertion Transv Ih Porto"	16	7	$18,000.00	—	$5,040.00	$17,917.20	$5,040.00	2026-02-24
37183	CPT	"revision Hepatic Shunt (tips)"	16	7	$11,906.25	—	$5,701.52	$11,851.48	$5,701.52	2026-02-24
37184	CPT	"thrombectomy Prim Art Mech"	16	7	$9,721.00	—	$6,260.32	$17,956.72	$17,956.72	2026-02-24
37187	CPT	"thrombectomy Venous Mech"	16	7	$9,721.00	—	$6,260.32	$11,340.57	$11,340.57	2026-02-24
37191	CPT	"vena Cava Filter Insertion"	16	7	$10,091.25	—	$5,405.70	$10,044.83	$5,405.70	2026-02-24
37200	CPT	"transcatheter Biopsy"	16	7	$7,059.50	—	$4,546.32	$7,027.03	$5,405.70	2026-02-24
37211	CPT	"infusion For Art Thromboly S&i"	16	7	$10,113.25	—	$5,405.70	$10,066.73	$5,405.70	2026-02-24
37215	CPT	"cerv Carotid Stent W/dep"	16	7	$32,584.25	—	$9,123.59	$32,434.36	$9,123.59	2026-02-24
37216	CPT	"carotid Stent Without Eps"	16	7	$30,337.00	—	$8,494.36	$30,197.45	$8,494.36	2026-02-24
37218	CPT	"transcath, Placemt Intrav Sten"	16	7	$30,337.00	—	$8,494.36	$30,197.45	$8,494.36	2026-02-24
3722050	CPT	"illiac Revasc Init Bilat"	16	7	$35,464.75	—	$9,930.13	$35,301.61	$9,930.13	2026-02-24
3722059LT	CPT	"iliac Revasc Lt"	16	7	$17,732.75	—	$4,965.17	$17,651.18	$4,965.17	2026-02-24
3722059RT	CPT	"iliac Revasc Rt"	16	7	$17,732.75	—	$4,965.17	$17,651.18	$4,965.17	2026-02-24
37220LT	CPT	"iliac Revasc Lt"	16	7	$17,732.75	—	$4,965.17	$17,651.18	$4,965.17	2026-02-24
37220RT	CPT	"iliac Revasc Rt"	16	7	$17,732.75	—	$4,965.17	$17,651.18	$4,965.17	2026-02-24
3722150	CPT	"illiac Revasc W/stent Bilat"	16	7	$50,476.75	—	$14,133.49	$50,244.56	$14,133.49	2026-02-24
3722159LT	CPT	"iliac Revasc W/stent Lt"	16	7	$25,238.75	—	$7,066.85	$25,122.65	$7,066.85	2026-02-24
3722159RT	CPT	"iliac Revasc W/stent Rt"	16	7	$25,238.75	—	$7,066.85	$25,122.65	$7,066.85	2026-02-24
37221LT	CPT	"iliac Revasc W/stene Lt"	16	7	$25,238.75	—	$7,066.85	$25,122.65	$7,066.85	2026-02-24
37221RT	CPT	"iliac Revasc W/stent Rt"	16	7	$25,238.75	—	$7,066.85	$25,122.65	$7,066.85	2026-02-24
3722250	CPT	"illiac Revasc Add Bilat"	16	7	$25,300.75	—	$7,084.21	$25,184.37	$7,084.21	2026-02-24
3722259LT	CPT	"iliac Revasc Add-on Lt"	16	7	$12,651.00	—	$3,542.28	$12,592.81	$3,542.28	2026-02-24
3722259RT	CPT	"iliac Revasc Add-on Rt"	16	7	$12,651.00	—	$3,542.28	$12,592.81	$3,542.28	2026-02-24
37222LT	CPT	"iliac Revasc Add-on Lt"	16	7	$12,651.00	—	$3,542.28	$12,592.81	$3,542.28	2026-02-24
37222RT	CPT	"iliac Revasc Add-on Rt"	16	7	$12,651.00	—	$3,542.28	$12,592.81	$3,542.28	2026-02-24
3722350	CPT	"illiac Revasc W/stent Addl Bil"	16	7	$25,300.75	—	$7,084.21	$25,184.37	$7,084.21	2026-02-24
3722359LT	CPT	"iliac Revasc W/stent Add-on Lt"	16	7	$12,651.00	—	$3,542.28	$12,592.81	$3,542.28	2026-02-24
3722359RT	CPT	"iliac Revasc W/stent Add-on Rt"	16	7	$12,651.00	—	$3,542.28	$12,592.81	$3,542.28	2026-02-24
37223LT	CPT	"iliac Revasc W/stent Add-on Lt"	16	7	$12,651.00	—	$3,542.28	$12,592.81	$3,542.28	2026-02-24
37223RT	CPT	"iliac Revasc W/stent Add-on Rt"	16	7	$12,651.00	—	$3,542.28	$12,592.81	$3,542.28	2026-02-24
3722450	CPT	"fem/pop Revasc Bilat"	16	7	$33,833.50	—	$9,473.38	$33,677.87	$9,473.38	2026-02-24
3722459LT	CPT	"fem/popl Revas W/tla Lt"	16	7	$16,917.00	—	$4,736.76	$16,839.18	$4,736.76	2026-02-24
3722459RT	CPT	"fem/popl Revas W/tla Rt"	16	7	$16,917.00	—	$4,736.76	$16,839.18	$4,736.76	2026-02-24
37224LT	CPT	"fem/popl Revas W/tla Lt"	16	7	$16,917.00	—	$4,736.76	$16,839.18	$4,736.76	2026-02-24
37224RT	CPT	"fem/popl Revas W/tla Rt"	16	7	$16,917.00	—	$4,736.76	$16,839.18	$4,736.76	2026-02-24
3722550	CPT	"fem/pop Revasc W/ather Bilat"	16	7	$75,831.00	—	$21,232.68	$75,482.18	$21,232.68	2026-02-24
3722559LT	CPT	"fem/popl Revas W/ather Lt"	16	7	$37,915.75	—	$10,616.41	$37,741.34	$10,616.41	2026-02-24
3722559RT	CPT	"fem/popl Revas W/ather Rt"	16	7	$37,915.75	—	$10,616.41	$37,741.34	$10,616.41	2026-02-24
37225LT	CPT	"fem/popl Revas W/ather Lt"	16	7	$37,915.75	—	$10,616.41	$37,741.34	$10,616.41	2026-02-24
37225RT	CPT	"fem/popl Revas W/ather Rt"	16	7	$37,915.75	—	$10,616.41	$37,741.34	$10,616.41	2026-02-24
3722650	CPT	"fem/pop Revasc W/stent"	16	7	$90,842.00	—	$25,435.76	$90,424.13	$25,435.76	2026-02-24
3722659LT	CPT	"fem/popl Revasc W/stent Lt"	16	7	$45,421.25	—	$12,717.95	$45,212.31	$12,717.95	2026-02-24
3722659RT	CPT	"fem/popl Revasc W/stent Rt"	16	7	$45,421.25	—	$12,717.95	$45,212.31	$12,717.95	2026-02-24
37226LT	CPT	"fem/popl Revasc W/stent Lt"	16	7	$45,421.25	—	$12,717.95	$45,212.31	$12,717.95	2026-02-24
37226RT	CPT	"fem/popl Revasc W/stent Rt"	16	7	$45,421.25	—	$12,717.95	$45,212.31	$12,717.95	2026-02-24
3722750	CPT	"fem/pop Revasc W/stent & Ather"	16	7	$90,842.00	—	$25,435.76	$90,424.13	$25,435.76	2026-02-24
3722759LT	CPT	"fem/popl Revas Stnt & Ather Lt"	16	7	$45,421.25	—	$12,717.95	$45,212.31	$12,717.95	2026-02-24
3722759RT	CPT	"fem/popl Revas Stnt & Ather Rt"	16	7	$45,421.25	—	$12,717.95	$45,212.31	$12,717.95	2026-02-24
37227LT	CPT	"fem/popl Revas Stnt & Ather Lt"	16	7	$45,421.25	—	$12,717.95	$45,212.31	$12,717.95	2026-02-24
37227RT	CPT	"fem/popl Revas Stnt & Ather Rt"	16	7	$45,421.25	—	$12,717.95	$45,212.31	$12,717.95	2026-02-24
37228	CPT	"tib/per Revasc W/tla"	16	7	$12,651.00	—	$8,147.24	$12,592.81	$11,340.57	2026-02-24
37229	CPT	"tib/per Revasc W/ather"	16	7	$26,856.75	—	$17,295.75	$26,733.21	$17,956.72	2026-02-24
37230	CPT	"tib/per Revasc W/stent"	16	7	$26,856.75	—	$17,295.75	$26,733.21	$17,956.72	2026-02-24
37231	CPT	"tib/per Revasc Stent & Ather"	16	7	$26,943.75	—	$17,351.78	$26,819.81	$17,956.72	2026-02-24
37232	CPT	"tib/per Revasc Add-on"	16	7	$12,651.00	—	$3,542.28	$12,592.81	$3,542.28	2026-02-24
37233	CPT	"tib/per Revasc W/ather Add-on"	16	7	$26,856.75	—	$7,519.89	$26,733.21	$7,519.89	2026-02-24
37234	CPT	"revsc Opn/prq Tib/pero Stent"	16	7	$12,651.00	—	$3,542.28	$12,592.81	$3,542.28	2026-02-24
37235	CPT	"tib/per Revas Stnt&ather Addl"	16	7	$12,651.00	—	$3,542.28	$12,592.81	$3,542.28	2026-02-24
37236	CPT	"tc IV Stent Arter Initial W/si"	16	7	$24,047.25	—	$11,340.57	$23,936.63	$11,340.57	2026-02-24
37237	CPT	"tc IV Stent Arter Ea Addl W/si"	16	7	$24,047.25	—	$6,733.23	$23,936.63	$6,733.23	2026-02-24
37238	CPT	"tc IV Stent Venous Init W/si"	16	7	$24,047.25	—	$11,340.57	$23,936.63	$11,340.57	2026-02-24
37239	CPT	"tc IV Stent Venous Ea Addl W/s"	16	7	$24,047.25	—	$6,733.23	$23,936.63	$6,733.23	2026-02-24
37241	CPT	"vasc Emb Or Occl Venous"	16	7	$21,415.50	—	$11,340.57	$21,316.99	$11,340.57	2026-02-24
37242	CPT	"vasc Emb Or Occl Arterial"	16	7	$21,415.50	—	$13,791.58	$21,316.99	$17,956.72	2026-02-24
37243	CPT	"vascular Emboliz Or Occlusion"	16	7	$23,550.00	—	$11,340.57	$23,441.67	$11,340.57	2026-02-24
37244	CPT	"vasc Occl Art-ven Hem"	16	7	$27,272.75	—	$11,340.57	$27,147.30	$11,340.57	2026-02-24
37246	CPT	"pta Aorta"	16	7	$16,917.50	—	$5,701.52	$16,839.68	$5,701.52	2026-02-24
37248	CPT	"pta Brach/ceph Art"	16	7	$16,917.50	—	$5,701.52	$16,839.68	$5,701.52	2026-02-24
38308	CPT	"incision Lymph Channels"	16	7	$8,115.00	—	$3,829.28	$8,077.67	$3,829.28	2026-02-24
41019	CPT	"place Ndl H&n For Rt"	16	7	$5,725.25	—	$3,687.06	$5,915.66	$5,915.66	2026-02-24
43276	CPT	"ercp Stent Exch Pre/post Dilat"	16	7	$12,091.75	—	$5,952.81	$12,036.13	$5,952.81	2026-02-24
47382	CPT	"ablation 1 Or More Liver Tumor"	16	7	$12,154.25	—	$5,834.36	$12,098.34	$5,834.36	2026-02-24
47383	CPT	"ablation 1 + Liver Tum Cryoabl"	16	7	$12,154.75	—	$7,827.66	$12,098.84	$10,411.22	2026-02-24
47490	CPT	"cholecystostomy Percut Complet"	16	7	$7,642.25	—	$3,529.06	$7,607.10	$3,529.06	2026-02-24
47531	CPT	"injection Procedure T-tube"	16	7	$7,482.25	—	$3,529.06	$7,447.83	$3,529.06	2026-02-24
47532	CPT	"inject Cholangiography New Acc"	16	7	$7,482.25	—	$3,529.06	$7,447.83	$3,529.06	2026-02-24
47533	CPT	"plmt Biliary Drainage Cath Per"	16	7	$7,482.25	—	$3,529.06	$7,447.83	$3,529.06	2026-02-24
47534	CPT	"plmt Biliary Drain Cath Int/ex"	16	7	$7,482.25	—	$3,529.06	$7,447.83	$3,529.06	2026-02-24
47535	CPT	"conv Ext Biliary Drain Cath"	16	7	$7,482.25	—	$3,529.06	$7,447.83	$3,529.06	2026-02-24
47536	CPT	"exch Biliary Drain Cath /conv"	16	7	$7,591.25	—	$3,529.06	$7,556.33	$3,529.06	2026-02-24
47538	CPT	"plmt Stent Bile Duct Perc"	16	7	$12,154.75	—	$5,834.36	$12,098.84	$5,834.36	2026-02-24
47539	CPT	"plmt Stent Duct Per New Access"	16	7	$12,154.75	—	$5,834.36	$12,098.84	$5,834.36	2026-02-24
47540	CPT	"plmt Stent New Access Sep Bil"	16	7	$12,154.75	—	$5,834.36	$12,098.84	$5,834.36	2026-02-24
47541	CPT	"plmt Access Biliary Tree Sm Bo"	16	7	$7,482.25	—	$4,818.57	$7,447.83	$6,239.75	2026-02-24
49402	CPT	"remove Fb Abdomen"	16	7	$7,642.25	—	$3,529.06	$7,607.10	$3,529.06	2026-02-24
49418	CPT	"insrt Tun Ip Cath Perc"	16	7	$7,482.25	—	$3,529.06	$7,447.83	$3,529.06	2026-02-24
49419	CPT	"insert Tun Ip Cath W/port"	16	7	$11,455.00	—	$5,405.70	$11,402.31	$5,405.70	2026-02-24
5059050	CPT	"bilateral Lithotripsy"	16	7	$15,957.50	—	$4,468.10	$15,884.10	$4,468.10	2026-02-24
5059250	CPT	"ablat Or> Renal Tum Bil"	16	7	$18,231.50	—	$5,104.82	$18,147.64	$5,104.82	2026-02-24
5059350	CPT	"ablation Renal Tum Uni Cryo Bi"	16	7	$32,093.25	—	$8,986.11	$31,945.62	$8,986.11	2026-02-24
50593LT	CPT	"ablation Renal Tum Uni Cryo Lt"	16	7	$21,395.25	—	$5,990.67	$21,296.83	$5,990.67	2026-02-24
50593RT	CPT	"ablation Renal Tum Uni Cryo Rt"	16	7	$21,395.25	—	$5,990.67	$21,296.83	$5,990.67	2026-02-24
55875	CPT	"transperi Needle Place, Pros"	16	7	$8,346.00	—	$5,083.62	$8,307.61	$5,083.62	2026-02-24
63650	CPT	"perc Electrode Screening"	16	7	$13,362.75	—	$6,562.90	$13,301.28	$6,562.90	2026-02-24
63663	CPT	"revise Spine Eltrd Perq Aray"	16	7	$13,975.50	—	$6,562.90	$13,911.21	$6,562.90	2026-02-24
63664	CPT	"revise Spine Eltrd Plate"	16	7	$47,134.50	—	$12,470.31	$46,917.68	$12,470.31	2026-02-24
64555	CPT	"perc Implnt Neur Stim Perip Nr"	16	7	$15,505.00	—	$6,562.90	$15,433.68	$6,562.90	2026-02-24
64561	CPT	"percutaneous(nonincisional)lea"	16	7	$13,975.50	—	$6,562.90	$13,911.21	$6,562.90	2026-02-24
6456159	CPT	"percutaneous(non-inc)lead Tst2"	16	7	$13,975.50	—	$3,913.14	$13,911.21	$3,913.14	2026-02-24
64581	CPT	"imp Tined Lead-stage 1"	16	7	$15,433.50	—	$6,562.90	$15,362.51	$6,562.90	2026-02-24
64590	CPT	"imp Generator/ipg-stage 2"	16	7	$24,252.25	—	$15,618.45	$24,140.69	$21,444.39	2026-02-24
75605	CPT	"aortogram Thorac By Serial"	16	7	$11,213.00	—	$5,405.70	$11,161.42	$5,405.70	2026-02-24
75705	CPT	"angiography Spinal Sel"	16	7	$7,892.00	—	$5,082.45	$7,855.70	$5,405.70	2026-02-24
75726	CPT	"angiography Visceral Sel"	16	7	$7,892.00	—	$5,082.45	$7,855.70	$5,405.70	2026-02-24
75736	CPT	"angiography Pelvic (selective)"	16	7	$11,212.00	—	$5,405.70	$11,160.42	$5,405.70	2026-02-24
75842	CPT	"venography Adrenal Bilat Sel"	16	7	$7,892.00	—	$5,082.45	$7,855.70	$5,405.70	2026-02-24
75893	CPT	"venous Sampling Thru Cath S&i"	16	7	$7,892.00	—	$5,082.45	$7,855.70	$5,405.70	2026-02-24
92920	CPT	"prq Cardiac Angioplast 1 Art"	16	7	$12,678.00	—	$5,701.52	$12,619.68	$5,701.52	2026-02-24
92921	CPT	"prq Cardiac Angio Addl Art"	16	7	$12,678.00	—	$3,549.84	$12,619.68	$3,549.84	2026-02-24
92928	CPT	"prq Card Stent W/angio 1 Vsl D"	16	7	$19,256.00	—	$11,340.57	$19,167.42	$11,340.57	2026-02-24
92929	CPT	"prq Card Stent W/angio Addl Nd"	16	7	$19,256.00	—	$5,391.68	$19,167.42	$5,391.68	2026-02-24
92937	CPT	"perc Trans Revasc Coron Art"	16	7	$19,256.00	—	$11,340.57	$19,167.42	$11,340.57	2026-02-24
92938	CPT	"prq Revasc Byp Graft Addl De"	16	7	$19,256.00	—	$5,391.68	$19,167.42	$5,391.68	2026-02-24
92941	CPT	"prq Card Revasc M1 1 Vsl De"	16	7	$19,256.00	—	$5,391.68	$19,167.42	$5,391.68	2026-02-24
92943	CPT	"prq Card Revasc Chronic 1vsl D"	16	7	$19,256.00	—	$11,340.57	$19,167.42	$11,340.57	2026-02-24
92944	CPT	"prq Card Revasc Chronic Addl N"	16	7	$19,256.00	—	$5,391.68	$19,167.42	$5,391.68	2026-02-24
93462	CPT	"l Hrt Cath Trnsptl Puncture"	16	7	$14,879.75	—	$4,166.33	$14,811.30	$4,166.33	2026-02-24
93580	CPT	"perc Closure Asd/pfo"	16	7	$34,887.75	—	$17,956.72	$34,727.27	$17,956.72	2026-02-24
A2008	CPT	"theragen Mesh Bilay Graft 49.2"	32	7	$11,683.75	—	$2,934.75	$12,826.97	$3,608.15	2026-02-24
A9600	HCPCS	"strontium 89 Chloride 4 Mci's"	16	7	$10,488.75	—	$4,146.34	$10,440.50	$4,146.34	2026-02-24
A9604	HCPCS	"samarium 153"	16	7	$17,182.25	—	$4,314.91	$17,103.21	$4,314.91	2026-02-24
C1602	CPT	"cerament 10ml W/gentamicin"	16	7	$27,257.00	—	$7,631.96	$27,131.62	$7,631.96	2026-02-24
C1721	HCPCS	"fortify Assura Nxt Gen2357 Dua"	320	7	$47,922.88	—	$4,027.80	$67,217.87	$14,841.82	2026-02-24
C1722	HCPCS	"ellipse Nxtgen 1411-36q Sgl Me"	240	7	$46,025.25	—	$7,262.64	$67,217.87	$15,639.82	2026-02-24
C1764	HCPCS	"linq System Implant"	16	7	$12,681.50	—	$3,550.82	$12,623.17	$3,550.82	2026-02-24
C1767	HCPCS	"generator, Battery"	112	7	$31,436.00	—	$588.84	$64,501.92	$12,363.68	2026-02-24
C1772	HCPCS	"pump, Programmable"	48	7	$28,069.25	—	$7,383.18	$37,091.59	$10,433.64	2026-02-24
C1785	HCPCS	"assur 2240 Dl Chbr Pacer Merl"	256	7	$12,866.88	—	$67.69	$15,831.84	$3,952.27	2026-02-24
C1786	HCPCS	"mdt Adapta Sr Gen"	224	7	$11,466.38	—	$2,190.44	$24,290.75	$4,124.05	2026-02-24
C1815	HCPCS	"pump Control With Iz"	48	7	$20,795.75	—	$2,997.33	$21,487.70	$6,044.36	2026-02-24
C1816	HCPCS	"generator Neurostim Spine"	16	7	$51,589.50	—	$14,445.06	$51,352.19	$14,445.06	2026-02-24
C1817	HCPCS	"amplatzer Occluder"	16	7	$19,114.75	—	$5,352.13	$19,026.82	$5,352.13	2026-02-24
C1820	HCPCS	"battery, Neurostimulator"	160	7	$38,019.25	—	$8,314.81	$68,988.69	$13,492.74	2026-02-24
C1821	HCPCS	"x-stop Kyphon"	16	7	$14,224.25	—	$3,982.79	$14,158.82	$3,982.79	2026-02-24
C1822	HCPCS	"generator, Implantable Pulse"	64	7	$42,028.88	—	$8,874.67	$57,163.58	$16,079.77	2026-02-24
C1826	CPT	"stimulator, Closed Loop Evoke"	32	7	$86,127.50	—	$22,576.40	$91,203.53	$25,655.00	2026-02-24
C1874	HCPCS	"stent, Icast Covered"	226	7	$9,376.00	—	$1,764.00	$29,831.39	$4,448.64	2026-02-24
C1882	HCPCS	"unify Assura Cd3357-40q Cell B"	176	7	$53,583.25	—	$5,979.82	$60,616.38	$16,092.06	2026-02-24
C1895	HCPCS	"durata Dual Icd Tachy Leads"	80	7	$12,760.75	—	$786.80	$13,802.47	$3,835.79	2026-02-24
C2596	HCPCS	"aquabeam, Handpiece Kit"	16	7	$14,625.00	—	$4,095.00	$14,557.73	$4,095.00	2026-02-24
C2621	HCPCS	"percepta Crt P MRI Ppm Gen"	112	7	$17,674.00	—	$4,528.16	$20,091.15	$5,120.64	2026-02-24
C2624	HCPCS	"cardiomems"	32	7	$91,664.50	—	$21,157.78	$107,269.78	$30,174.34	2026-02-24
C9600	HCPCS	"prq Card Stent W/angio 1 Vsl D"	16	7	$19,256.00	—	$11,340.57	$19,167.42	$11,340.57	2026-02-24
C9601	HCPCS	"prq Card Stent W/angio Addl De"	16	7	$19,256.00	—	$5,391.68	$19,167.42	$5,391.68	2026-02-24
C9603	HCPCS	"prq Revasc Byp Graft Addl De"	16	7	$19,256.00	—	$5,391.68	$19,167.42	$5,391.68	2026-02-24
C9604	HCPCS	"perc Trans Revasc Coron Art"	16	7	$19,256.00	—	$11,340.57	$19,167.42	$11,340.57	2026-02-24
C9606	HCPCS	"prq Card Revasc M1 1 Vsl De"	16	7	$19,256.00	—	$5,391.68	$19,167.42	$5,391.68	2026-02-24
C9607	HCPCS	"prq Card Revasc Chronic 1vsl D"	16	7	$19,256.00	—	$12,400.86	$19,167.42	$17,956.72	2026-02-24
C9608	HCPCS	"prq Card Revasc Chronic Addl D"	16	7	$19,256.00	—	$5,391.68	$19,167.42	$5,391.68	2026-02-24
C9610	CPT	"balloon, Drug Coat Coronary Bs"	16	7	$20,524.00	—	$5,746.72	$20,429.59	$5,746.72	2026-02-24
C9761	HCPCS	"sure Flat Fee"	16	7	$22,425.00	—	$9,247.15	$22,321.85	$9,247.15	2026-02-24
C9764	HCPCS	"revasc Intravasc Lithotripsy"	16	7	$11,930.50	—	$7,683.24	$11,875.62	$11,340.57	2026-02-24
C9765	HCPCS	"revasc Intra Lithotr-stent"	16	7	$24,171.75	—	$15,566.61	$24,060.56	$17,956.72	2026-02-24
C9766	HCPCS	"revasc Intrav Lithotrip & Athr"	16	7	$22,950.00	—	$14,779.80	$22,844.43	$17,956.72	2026-02-24
C9767	HCPCS	"revasc Lithotrip Stent-ather"	16	7	$38,664.25	—	$17,956.72	$38,486.39	$17,956.72	2026-02-24
C9772	CPT	"revasc Lithotrip Tibi/perone"	16	7	$24,171.75	—	$6,768.09	$24,060.56	$6,768.09	2026-02-24
C9773	CPT	"revasc Lithotr-stent-tib/per"	16	7	$38,664.25	—	$10,825.99	$38,486.39	$10,825.99	2026-02-24
C9774	CPT	"revasc Lithotr-ather Tib/per"	16	7	$38,664.25	—	$10,825.99	$38,486.39	$10,825.99	2026-02-24
C9775	CPT	"revasc Lith-sten-ath Tib/per"	16	7	$38,664.25	—	$10,825.99	$38,486.39	$10,825.99	2026-02-24
G2170	HCPCS	"perc Arterioven Fistula Creat"	16	7	$38,579.50	—	$10,802.26	$38,402.03	$10,802.26	2026-02-24
G2171	HCPCS	"perc Avf Magnetic Art/ven Cath"	16	7	$38,579.50	—	$10,802.26	$38,402.03	$10,802.26	2026-02-24
J0870PO	CPT	"imetelstat 47mg"	32	7	$16,220.57	—	$1,817.21	$25,831.72	$6,863.25	2026-02-24
J0896PO	CPT	"luspatercept 75 Mg Vial"	32	7	$20,519.38	—	$2,872.73	$30,637.42	$8,618.12	2026-02-24
J1162	HCPCS	"digifab 40mg Vial"	16	7	$1,666.75	—	$1,073.39	$5,168.23	$5,168.23	2026-02-24
J1299	CPT	"eculizumab 300mg Vial"	16	7	$18,772.75	—	$5,256.37	$18,686.40	$5,256.37	2026-02-24
J1299PO	CPT	"eculizumab 300mg"	16	7	$16,628.82	—	$4,656.07	$16,552.33	$4,656.07	2026-02-24
J1440	CPT	"rebyota Fecal 150 Ml Enema"	16	7	$22,939.20	—	$6,422.98	$22,833.68	$6,422.98	2026-02-24
J1459	HCPCS	"privigen 10% 40 Gm/400 Ml Vial"	22	7	$19,198.52	—	$50.74	$19,110.21	$6,300.42	2026-02-24
J1930PO	CPT	"somatuline Depot 60mg Syr"	48	7	$13,477.50	—	$2,833.88	$16,695.10	$4,696.23	2026-02-24
J2267	CPT	"mirikizumab-mrkz 300mg/15ml Vl"	16	7	$24,454.19	—	$6,847.17	$24,341.70	$6,847.17	2026-02-24
J2278	HCPCS	"ziconotide Acetate 25mcg/ml 20"	22	7	$10,556.50	—	$10.14	$10,507.94	$6,733.50	2026-02-24
J2327	CPT	"risankizumab-rzaa 600 Mg/10ml"	16	7	$23,289.86	—	$6,521.16	$23,182.73	$6,521.16	2026-02-24
J2327JB	CPT	"skyrizi 360 Mg/2.4 Ml Inj Kit"	16	7	$50,302.57	—	$14,084.72	$50,071.18	$14,084.72	2026-02-24
J2353PO	CPT	"sandostatin Lar Depot 30mg Syr"	32	7	$11,771.00	—	$2,639.63	$14,049.82	$3,952.13	2026-02-24
J2406	CPT	"oritavancin Inj 1200 Mg Vial"	16	7	$12,769.00	—	$3,575.32	$12,710.26	$3,575.32	2026-02-24
J2506PO	CPT	"neulasta 6mg 0.6 Ml Syr"	16	7	$15,003.75	—	$4,201.05	$14,934.73	$4,201.05	2026-02-24
J3101	HCPCS	"tenecteplase 50 Mg Vial"	22	7	$17,064.50	—	$172.22	$18,722.23	$10,989.54	2026-02-24
J3263PO	CPT	"toripalimab 240 Mg Vl"	16	7	$23,127.28	—	$6,475.64	$23,020.89	$6,475.64	2026-02-24
J7504	HCPCS	"atgam 250mg/5ml Ampule"	16	7	$1,643.75	—	$1,058.58	$5,135.09	$5,135.09	2026-02-24
J7504PO	CPT	"atgam 250mg/5ml"	16	7	$12,903.27	—	$3,612.92	$12,843.92	$3,612.92	2026-02-24
J9015	HCPCS	"proleukin 22 Mmu Vial"	16	7	$2,876.25	—	$1,852.31	$5,301.26	$5,301.26	2026-02-24
J9022PO	CPT	"atezolizumab 1200 Mg"	32	7	$22,538.00	—	$5,197.01	$26,393.28	$7,424.27	2026-02-24
J9026PO	CPT	"tarlatamab 10mg Vl"	16	7	$38,235.00	—	$10,705.80	$38,059.12	$10,705.80	2026-02-24
J9029	CPT	"adstiladrin 75 Ml Blad Instill"	16	7	$152,938.00	—	$42,822.64	$152,234.49	$42,822.64	2026-02-24
J9042PO	CPT	"brentuximab 5mg/ml Vial"	16	7	$16,999.50	—	$4,759.86	$16,921.30	$4,759.86	2026-02-24
J9043PO	CPT	"jevtana 60mg Kit W/diluent"	16	7	$24,346.00	—	$6,816.88	$24,234.01	$6,816.88	2026-02-24
J9057PO	CPT	"copanlisib 60mg Vial"	16	7	$13,567.50	—	$3,798.90	$13,505.09	$3,798.90	2026-02-24
J9063PO	CPT	"elahere 100mg Vl"	16	7	$16,916.47	—	$4,736.61	$16,838.65	$4,736.61	2026-02-24
J9119PO	CPT	"cemiplimab-rwlc 350 Mg Vial"	16	7	$25,676.00	—	$7,189.28	$25,557.89	$7,189.28	2026-02-24
J9144PO	CPT	"darzalex Faspro 1800 Mg"	16	7	$20,789.75	—	$5,821.13	$20,694.12	$5,821.13	2026-02-24
J9223PO	CPT	"lurbinectedin 4 Mg Vial"	16	7	$18,210.50	—	$5,098.94	$18,126.73	$5,098.94	2026-02-24
J9228PO	CPT	"yervoy 200mg 5mg/ml 40ml Sdv"	32	7	$39,418.50	—	$4,415.04	$62,778.88	$16,677.40	2026-02-24
J9271PO	CPT	"keytruda Pembrolizumab 100mg/4"	16	7	$13,514.75	—	$3,784.13	$13,452.58	$3,784.13	2026-02-24
J9273PO	CPT	"tivdak 40mg"	16	7	$16,829.53	—	$4,712.27	$16,752.11	$4,712.27	2026-02-24
J9281	CPT	"jelmyto 80 Mg Ureteral Gel Kit"	16	7	$63,589.82	—	$17,805.15	$63,297.31	$17,805.15	2026-02-24
J9298PO	CPT	"opdualag 20ml Vial"	16	7	$35,804.50	—	$10,025.26	$35,639.80	$10,025.26	2026-02-24
J9301PO	CPT	"obinutuzumab 1000 Mg Vial"	16	7	$16,154.50	—	$4,523.26	$16,080.19	$4,523.26	2026-02-24
J9309PO	CPT	"polatuzumab-vedotin 140 Mg"	32	7	$25,106.08	—	$2,533.77	$40,973.65	$10,266.59	2026-02-24
J9311PO	CPT	"rituxan Hycela 1400 Mg"	32	7	$19,315.75	—	$5,048.05	$20,507.98	$5,768.77	2026-02-24
J9316PO	CPT	"phesgo 1800 Mg Vl"	32	7	$27,687.75	—	$6,202.49	$33,070.92	$9,302.65	2026-02-24
J9332	CPT	"efgartigimod Alfa 400mg/20ml"	16	7	$15,555.25	—	$4,355.47	$15,483.70	$4,355.47	2026-02-24
J9347PO	CPT	"tremelimumab 25 Mg Vl"	32	7	$53,853.40	—	$2,322.21	$98,955.90	$18,045.58	2026-02-24
J9354	HCPCS	"ado-trastuzumab Emtans 100mg V"	22	7	$7,185.75	—	$42.16	$11,441.13	$4,627.62	2026-02-24
J9359PO	CPT	"loncastuximab Tesirine 10 Mg"	16	7	$63,349.21	—	$17,737.78	$63,057.80	$17,737.78	2026-02-24
L8614	HCPCS	"kit Dual Proc Incl 2 Nucl Proc"	48	7	$50,212.75	—	$12,432.07	$94,177.53	$26,491.57	2026-02-24
L8690	HCPCS	"implant, Osia Aoi"	80	7	$11,781.50	—	$1,548.12	$13,084.53	$3,645.25	2026-02-24
Q2043	HCPCS	"provenge 50,000,000 Cell/250ml"	16	7	$123,887.25	—	$55,272.32	$123,317.37	$55,272.32	2026-02-24
Q2050PO	CPT	"doxil 50mg 2mg/ml 25ml"	32	7	$9,126.50	—	$1,200.08	$13,902.75	$3,910.76	2026-02-24
Q4100	HCPCS	"cortiva, 1mm 16x20 Allograft"	16	7	$16,010.75	—	$4,483.01	$15,937.10	$4,483.01	2026-02-24
Q4104	HCPCS	"matrix, Integra Mesh Bil 4x5"	22	7	$13,172.75	—	$51.00	$13,112.16	$5,472.55	2026-02-24
Q4107	HCPCS	"jacket Grft Acel Dermal 8x16WD"	16	7	$23,919.00	—	$6,697.32	$23,808.97	$6,697.32	2026-02-24
Q4116	HCPCS	"tissue, Alloderm 6 X 16"	80	7	$23,671.25	—	$2,807.28	$31,743.31	$6,963.46	2026-02-24
Q4122	HCPCS	"dcell, Decellular Dermis 16x20"	16	7	$18,601.00	—	$5,208.28	$18,515.44	$5,208.28	2026-02-24

See an error in this hospital's data? Submit a correction