|
0236T
|
CPT
|
Atherectomy Abdominal Aorta
|
7
|
7
|
$11,980.50
|
$11,980.50
|
$3,098.52
|
$10,782.45
|
$9,584.40
|
2026-05-09
|
|
0237T
|
CPT
|
Atherectomy Brachioceph Trnk
|
7
|
7
|
$11,980.50
|
$11,980.50
|
$3,098.52
|
$10,782.45
|
$9,584.40
|
2026-05-09
|
|
10000009
|
CPT
|
Thoracentesis Ndl/Cath Without Img
|
7
|
7
|
$610.00
|
$610.00
|
$157.76
|
$549.00
|
$488.00
|
2026-05-09
|
|
10060
|
CPT
|
I&d Abscesssimple/Single
|
7
|
7
|
$367.50
|
$367.50
|
$95.05
|
$330.75
|
$294.00
|
2026-05-09
|
|
10061
|
CPT
|
I&d Of Abscess Comp/Mult
|
7
|
7
|
$411.50
|
$411.50
|
$106.43
|
$370.35
|
$329.20
|
2026-05-09
|
|
110
|
CPT
|
Private Room
|
7
|
7
|
$2,232.00
|
$2,232.00
|
$577.26
|
$2,008.80
|
$1,562.40
|
2026-05-09
|
|
11042
|
CPT
|
Debr Sq Tis 1st <= 20 Sqcm
|
7
|
7
|
$647.75
|
$647.75
|
$167.53
|
$582.98
|
$518.21
|
2026-05-09
|
|
11043
|
CPT
|
Debr Musl/Fas 1st <= 20 Sqcm
|
7
|
7
|
$647.75
|
$647.75
|
$167.53
|
$582.98
|
$518.21
|
2026-05-09
|
|
11044
|
CPT
|
Debr Bone 1st <= 20 Sq Cm
|
7
|
7
|
$1,651.75
|
$1,651.75
|
$427.19
|
$1,486.58
|
$1,321.40
|
2026-05-09
|
|
11045
|
CPT
|
Debr Sq Tis Ea Add <=20 Sq
|
7
|
7
|
$647.75
|
$647.75
|
$167.53
|
$582.98
|
$518.21
|
2026-05-09
|
|
11046
|
CPT
|
Debr Musl/Fas Ea Addl <=20 Sq
|
7
|
7
|
$1,205.50
|
$1,205.50
|
$311.78
|
$1,084.95
|
$964.40
|
2026-05-09
|
|
11047
|
CPT
|
Debr Bone Ea Addl <=20 Sq
|
7
|
7
|
$2,219.75
|
$2,219.75
|
$574.09
|
$1,997.78
|
$1,775.81
|
2026-05-09
|
|
120
|
CPT
|
Semi Private Room
|
7
|
7
|
$2,232.00
|
$2,232.00
|
$577.26
|
$2,008.80
|
$1,562.40
|
2026-05-09
|
|
166
|
CPT
|
Other Resp System O.r. Procedures W Mcc
|
10
|
9
|
$418,503.87
|
$418,503.87
|
$93,812.84
|
$117,725.91
|
$98,104.92
|
2026-05-09
|
|
175
|
CPT
|
Pulmonary Embolism W Mcc
|
10
|
9
|
$113,864.41
|
$113,864.41
|
$39,791.06
|
$49,933.87
|
$41,611.56
|
2026-05-09
|
|
177
|
CPT
|
Respiratory Infections & Inflammations W Mcc
|
10
|
9
|
$105,247.54
|
$105,247.54
|
$30,286.10
|
$38,006.08
|
$31,671.73
|
2026-05-09
|
|
189
|
CPT
|
Pulmonary Edema & Respiratory Failure
|
10
|
9
|
$199,625.15
|
$199,625.15
|
$36,668.54
|
$46,015.42
|
$38,346.19
|
2026-05-09
|
|
190
|
CPT
|
Chronic Obstructive Pulmonary Disease W Mcc
|
10
|
9
|
$87,318.05
|
$87,318.05
|
$26,762.77
|
$33,584.65
|
$27,987.21
|
2026-05-09
|
|
191
|
CPT
|
Chronic Obstructive Pulmonary Disease W Cc
|
10
|
9
|
$53,333.31
|
$53,333.31
|
$22,525.62
|
$28,267.44
|
$23,556.20
|
2026-05-09
|
|
193
|
CPT
|
Simple Pneumonia & Pleurisy W Mcc
|
10
|
9
|
$132,105.64
|
$132,105.64
|
$32,988.71
|
$41,397.59
|
$34,498.00
|
2026-05-09
|
|
200
|
CPT
|
Intensive Care/high Acuity
|
7
|
7
|
$3,225.00
|
$3,225.00
|
$834.08
|
$2,902.50
|
$2,301.25
|
2026-05-09
|
|
206
|
CPT
|
Intermediate Care
|
7
|
7
|
$2,784.00
|
$2,784.00
|
$720.03
|
$2,505.60
|
$2,102.80
|
2026-05-09
|
|
207
|
CPT
|
Respiratory System Diagnosis W Ventilator Support 96+ Hours
|
10
|
9
|
$304,620.85
|
$304,620.85
|
$71,848.35
|
$90,162.64
|
$75,135.53
|
2026-05-09
|
|
208
|
CPT
|
Respiratory System Diagnosis W Ventilator Support <96 Hours
|
10
|
9
|
$154,777.15
|
$154,777.15
|
$42,360.07
|
$53,157.73
|
$44,298.11
|
2026-05-09
|
|
22526
|
CPT
|
Perq Annuloplasty 1 Lvl
|
7
|
7
|
$4,537.00
|
$4,537.00
|
$1,173.40
|
$4,083.30
|
$3,629.60
|
2026-05-09
|
|
28190
|
CPT
|
Removal Fb Foot Subq
|
7
|
7
|
$1,358.75
|
$1,358.75
|
$351.41
|
$1,222.88
|
$1,087.01
|
2026-05-09
|
|
288
|
OTHER
|
Acute & Subacute Endocarditis W Mcc
|
10
|
9
|
$92,872.87
|
$92,872.87
|
$39,554.39
|
$49,636.88
|
$41,364.06
|
2026-05-09
|
|
289
|
CPT
|
Acute & Subacute Endocarditis W Cc
|
10
|
9
|
$94,229.82
|
$94,229.82
|
$30,232.65
|
$37,939.01
|
$31,615.84
|
2026-05-09
|
|
299
|
CPT
|
Peripheral Vascular Disorders W Mcc
|
10
|
9
|
$108,209.50
|
$108,209.50
|
$30,480.77
|
$38,250.38
|
$31,875.32
|
2026-05-09
|
|
3
|
CPT
|
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.r.
|
10
|
9
|
$564,933.78
|
$564,933.78
|
$141,429.26
|
$177,479.85
|
$147,899.88
|
2026-05-09
|
|
313
|
CPT
|
Chest Pain
|
10
|
9
|
$49,433.02
|
$49,433.02
|
$17,754.05
|
$22,279.59
|
$18,566.32
|
2026-05-09
|
|
31500
|
CPT
|
Endotrachael Intubation
|
7
|
7
|
$612.00
|
$612.00
|
$158.28
|
$550.80
|
$489.60
|
2026-05-09
|
|
31600
|
CPT
|
Tracheostomy Planned
|
7
|
7
|
$3,892.50
|
$3,892.50
|
$1,006.72
|
$3,503.25
|
$3,114.00
|
2026-05-09
|
|
31603
|
CPT
|
Tracheostomy Emergent
|
7
|
7
|
$1,293.25
|
$1,293.25
|
$334.47
|
$1,163.93
|
$1,034.60
|
2026-05-09
|
|
31615
|
CPT
|
Tracheobronchoscopy Thru Incis
|
7
|
7
|
$1,293.25
|
$1,293.25
|
$334.47
|
$1,163.93
|
$1,034.60
|
2026-05-09
|
|
31622
|
CPT
|
Brnchsc Dx -cell Washg Spx
|
7
|
7
|
$1,679.00
|
$1,679.00
|
$434.24
|
$1,511.10
|
$1,343.20
|
2026-05-09
|
|
31623
|
CPT
|
Brnchsc Brushing/Protected
|
7
|
7
|
$1,775.50
|
$1,775.50
|
$459.20
|
$1,597.95
|
$1,420.40
|
2026-05-09
|
|
31624
|
CPT
|
Bronchoscopy W Lavage
|
7
|
7
|
$2,110.25
|
$2,110.25
|
$545.77
|
$1,899.23
|
$1,688.19
|
2026-05-09
|
|
31645
|
CPT
|
Bronchoscopy W Aspiration Init
|
7
|
7
|
$2,110.25
|
$2,110.25
|
$545.77
|
$1,899.23
|
$1,688.19
|
2026-05-09
|
|
31646
|
CPT
|
Bronchoscopy W Aspiration Subs
|
7
|
7
|
$2,110.25
|
$2,110.25
|
$545.77
|
$1,899.23
|
$1,688.19
|
2026-05-09
|
|
32551
|
CPT
|
Chest Tube Insertion
|
7
|
7
|
$978.75
|
$978.75
|
$253.13
|
$880.88
|
$783.00
|
2026-05-09
|
|
36410
|
CPT
|
Midline Insertion Venipuncture
|
7
|
7
|
$700.00
|
$700.00
|
$181.04
|
$630.00
|
$560.00
|
2026-05-09
|
|
36430
|
CPT
|
Adm Bld Transfusion Per Visit
|
7
|
7
|
$1,125.00
|
$1,125.00
|
$290.96
|
$1,012.50
|
$900.00
|
2026-05-09
|
|
36556
|
CPT
|
Ins Non-tun Ctr Cvc Age 5 Yr/>
|
7
|
7
|
$2,259.50
|
$2,259.50
|
$584.37
|
$2,033.55
|
$1,807.60
|
2026-05-09
|
|
36558
|
CPT
|
Insert Central Line Without Port
|
7
|
7
|
$2,373.00
|
$2,373.00
|
$613.73
|
$2,135.70
|
$1,898.40
|
2026-05-09
|
|
36568
|
CPT
|
Ins Picc Without Pump <5y
|
7
|
7
|
$1,226.50
|
$1,226.50
|
$317.21
|
$1,103.85
|
$981.20
|
2026-05-09
|
|
36569
|
CPT
|
Ins Picc Without Pump 5y/>
|
7
|
7
|
$1,687.00
|
$1,687.00
|
$436.31
|
$1,518.30
|
$1,349.60
|
2026-05-09
|
|
36571
|
CPT
|
Picc Line Insert W Pump
|
7
|
7
|
$4,472.50
|
$4,472.50
|
$1,156.72
|
$4,025.25
|
$3,578.00
|
2026-05-09
|
|
36584
|
CPT
|
Picc Line Replacement Without Pump
|
7
|
7
|
$1,687.00
|
$1,687.00
|
$436.31
|
$1,518.30
|
$1,349.60
|
2026-05-09
|
|
371
|
CPT
|
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc
|
10
|
9
|
$74,551.80
|
$74,551.80
|
$37,420.54
|
$46,959.11
|
$39,132.59
|
2026-05-09
|
|
391
|
CPT
|
Esophagitis, Gastroent & Misc Digest Disorders W Mcc
|
10
|
9
|
$98,670.23
|
$98,670.23
|
$30,560.94
|
$38,350.98
|
$31,959.15
|
2026-05-09
|
|
4
|
CPT
|
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck Without Maj O.r.
|
10
|
9
|
$411,894.50
|
$411,894.50
|
$111,692.85
|
$140,163.58
|
$116,802.98
|
2026-05-09
|
|
43000039
|
CPT
|
Daily O2 Charge
|
7
|
7
|
$503.00
|
$503.00
|
$130.09
|
$452.70
|
$402.40
|
2026-05-09
|
|
43000046
|
CPT
|
Daily Heated High Flow O2
|
7
|
7
|
$755.00
|
$755.00
|
$195.27
|
$679.50
|
$604.00
|
2026-05-09
|
|
43235
|
CPT
|
Upper Gi Endo Dx
|
7
|
7
|
$1,809.25
|
$1,809.25
|
$467.93
|
$1,628.33
|
$1,447.40
|
2026-05-09
|
|
43246
|
CPT
|
Peg Placement
|
7
|
7
|
$2,129.75
|
$2,129.75
|
$550.82
|
$1,916.78
|
$1,703.81
|
2026-05-09
|
|
43261
|
CPT
|
Ercp W Bx Sngl/Mult
|
7
|
7
|
$2,822.50
|
$2,822.50
|
$729.98
|
$2,540.25
|
$2,258.00
|
2026-05-09
|
|
463
|
CPT
|
Wnd Debrid & Skn Grft Exc Hand, For Musculo-conn Tiss Dis W Mcc
|
10
|
9
|
$203,538.33
|
$203,538.33
|
$53,369.03
|
$66,972.90
|
$55,810.75
|
2026-05-09
|
|
464
|
CPT
|
Wnd Debrid & Skn Grft Exc Hand, For Musculo-conn Tiss Dis W Cc
|
10
|
9
|
$135,207.66
|
$135,207.66
|
$40,352.19
|
$50,638.04
|
$42,198.37
|
2026-05-09
|
|
49082
|
CPT
|
Abd Paracentesis Without Imag
|
7
|
7
|
$1,099.25
|
$1,099.25
|
$284.30
|
$989.33
|
$879.40
|
2026-05-09
|
|
49083
|
CPT
|
Abd Paracentesis W/Imaging
|
7
|
7
|
$1,392.25
|
$1,392.25
|
$360.08
|
$1,253.03
|
$1,113.81
|
2026-05-09
|
|
500
|
CPT
|
Soft Tissue Procedures W Mcc
|
10
|
9
|
$249,059.42
|
$249,059.42
|
$46,345.28
|
$58,158.78
|
$48,465.65
|
2026-05-09
|
|
501
|
CPT
|
Soft Tissue Procedures W Cc
|
10
|
9
|
$216,342.28
|
$216,342.28
|
$46,345.28
|
$58,158.78
|
$48,465.65
|
2026-05-09
|
|
51703
|
CPT
|
Foley Cath Insert Comp
|
7
|
7
|
$436.00
|
$436.00
|
$112.76
|
$392.40
|
$348.80
|
2026-05-09
|
|
539
|
CPT
|
Osteomyelitis W Mcc
|
10
|
9
|
$146,078.86
|
$146,078.86
|
$40,630.85
|
$50,987.73
|
$42,489.78
|
2026-05-09
|
|
540
|
CPT
|
Osteomyelitis W Cc
|
10
|
9
|
$71,542.83
|
$71,542.83
|
$31,984.77
|
$40,137.75
|
$33,448.13
|
2026-05-09
|
|
548
|
CPT
|
Septic Arthritis W Mcc
|
10
|
9
|
$119,943.87
|
$119,943.87
|
$35,370.68
|
$44,386.73
|
$36,988.94
|
2026-05-09
|
|
549
|
CPT
|
Septic Arthritis W Cc
|
10
|
9
|
$115,482.18
|
$115,482.18
|
$35,370.68
|
$44,386.73
|
$36,988.94
|
2026-05-09
|
|
550
|
CPT
|
Septic Arthritis Without Cc/Mcc
|
10
|
9
|
$75,234.17
|
$75,234.17
|
$35,370.68
|
$44,386.73
|
$36,988.94
|
2026-05-09
|
|
558
|
CPT
|
Tendonitis, Myositis & Bursitis Without Mcc
|
10
|
9
|
$22,328.83
|
$22,328.83
|
$28,255.31
|
$35,457.65
|
$29,548.04
|
2026-05-09
|
|
559
|
CPT
|
Aftercare, Musculoskeletal System & Connective Tissue W Mcc
|
10
|
9
|
$49,418.82
|
$49,418.82
|
$32,706.23
|
$41,043.11
|
$34,202.60
|
2026-05-09
|
|
565
|
CPT
|
Other Musculoskeletal Sys & Connective Tissue Diagnoses W Cc
|
10
|
9
|
$71,607.00
|
$71,607.00
|
$29,824.21
|
$37,426.45
|
$31,188.71
|
2026-05-09
|
|
570
|
CPT
|
Skin Debridement W Mcc
|
10
|
9
|
$47,324.88
|
$47,324.88
|
$49,887.69
|
$62,604.16
|
$52,170.13
|
2026-05-09
|
|
571
|
CPT
|
Skin Debridement W Cc
|
10
|
9
|
$110,446.93
|
$110,446.93
|
$36,298.27
|
$45,550.77
|
$37,958.97
|
2026-05-09
|
|
592
|
CPT
|
Skin Ulcers W Mcc
|
10
|
9
|
$51,821.21
|
$51,821.21
|
$33,710.17
|
$42,302.96
|
$35,252.46
|
2026-05-09
|
|
593
|
CPT
|
Skin Ulcers W Cc
|
10
|
9
|
$13,852.01
|
$13,852.01
|
$29,160.00
|
$36,592.94
|
$30,494.12
|
2026-05-09
|
|
617
|
CPT
|
Amputat Of Lower Limb For Endocrine,nutrit,& Metabol Dis W Cc
|
10
|
9
|
$253,132.65
|
$253,132.65
|
$51,464.22
|
$64,582.55
|
$53,818.79
|
2026-05-09
|
|
622
|
CPT
|
Skin Grafts & Wound Debrid For Endoc, Nutrit & Metab Dis W Mcc
|
10
|
9
|
$336,612.23
|
$336,612.23
|
$49,368.54
|
$61,952.68
|
$51,627.24
|
2026-05-09
|
|
623
|
CPT
|
Skin Grafts & Wound Debrid For Endoc, Nutrit & Metab Dis W Cc
|
10
|
9
|
$103,450.80
|
$103,450.80
|
$36,107.40
|
$45,311.25
|
$37,759.38
|
2026-05-09
|
|
637
|
CPT
|
Diabetes W Mcc
|
10
|
9
|
$104,252.82
|
$104,252.82
|
$38,794.75
|
$48,683.61
|
$40,569.67
|
2026-05-09
|
|
638
|
CPT
|
Diabetes W Cc
|
10
|
9
|
$76,809.79
|
$76,809.79
|
$28,293.49
|
$35,505.55
|
$29,587.96
|
2026-05-09
|
|
640
|
CPT
|
Nutritional & Misc Metabolic Disorders W Mcc
|
10
|
9
|
$108,951.42
|
$108,951.42
|
$33,862.86
|
$42,494.57
|
$35,412.14
|
2026-05-09
|
|
641
|
CPT
|
Nutritional & Misc Metabolic Disorders Without Mcc
|
10
|
9
|
$29,664.10
|
$29,664.10
|
$22,365.29
|
$28,066.25
|
$23,388.54
|
2026-05-09
|
|
64420
|
CPT
|
Inj Anes Intercostal Nrv Sng
|
7
|
7
|
$2,267.00
|
$2,267.00
|
$586.31
|
$2,040.30
|
$1,813.60
|
2026-05-09
|
|
689
|
CPT
|
Kidney & Urinary Tract Infections W Mcc
|
10
|
9
|
$30,100.06
|
$30,100.06
|
$25,251.13
|
$31,687.70
|
$26,406.42
|
2026-05-09
|
|
690
|
CPT
|
Kidney & Urinary Tract Infections Without Mcc
|
10
|
9
|
$56,003.64
|
$56,003.64
|
$18,498.41
|
$23,213.69
|
$19,344.75
|
2026-05-09
|
|
70
|
CPT
|
Nonspecific Cerebrovascular Disorders W Mcc
|
10
|
9
|
$35,974.03
|
$35,974.03
|
$31,793.91
|
$39,898.24
|
$33,248.53
|
2026-05-09
|
|
70450
|
CPT
|
CT Head/Brain Wo Contrast
|
7
|
7
|
$2,103.25
|
$2,103.25
|
$543.96
|
$1,892.93
|
$1,682.60
|
2026-05-09
|
|
70460
|
CPT
|
CT Head/Brain W Contrast
|
7
|
7
|
$2,003.50
|
$2,003.50
|
$518.17
|
$1,803.15
|
$1,602.80
|
2026-05-09
|
|
70470
|
CPT
|
CT Head/Brain W/Wo Contrast
|
7
|
7
|
$3,085.00
|
$3,085.00
|
$797.87
|
$2,776.50
|
$2,468.00
|
2026-05-09
|
|
71045
|
CPT
|
Dx Chest 1vw
|
7
|
7
|
$407.00
|
$407.00
|
$105.26
|
$366.30
|
$325.60
|
2026-05-09
|
|
71046
|
CPT
|
Dx Chest 2vw
|
7
|
7
|
$411.00
|
$411.00
|
$106.30
|
$369.90
|
$328.80
|
2026-05-09
|
|
71250
|
CPT
|
CT Chest (High Resolution)
|
7
|
7
|
$2,547.25
|
$2,547.25
|
$658.80
|
$2,292.53
|
$2,037.81
|
2026-05-09
|
|
71260
|
CPT
|
CT Chest (Pe) W Contrast
|
12
|
7
|
$4,630.50
|
$4,630.50
|
$852.19
|
$4,167.45
|
$3,103.43
|
2026-05-09
|
|
71270
|
CPT
|
CT Thorax W/Wo Contrast
|
7
|
7
|
$3,794.75
|
$3,794.75
|
$981.44
|
$3,415.28
|
$3,035.80
|
2026-05-09
|
|
72125
|
CPT
|
CT C Spine Wo Contrast
|
7
|
7
|
$2,700.50
|
$2,700.50
|
$698.43
|
$2,430.45
|
$2,160.40
|
2026-05-09
|
|
72193
|
CPT
|
CT Pelvis W Contrast
|
7
|
7
|
$3,025.00
|
$3,025.00
|
$782.36
|
$2,722.50
|
$2,420.00
|
2026-05-09
|
|
73200
|
CPT
|
CT Upper Extrem Wo Contrast
|
7
|
7
|
$2,103.25
|
$2,103.25
|
$543.96
|
$1,892.93
|
$1,682.60
|
2026-05-09
|
|
73701
|
CPT
|
CT Lower Extr W Contrast
|
7
|
7
|
$2,674.25
|
$2,674.25
|
$691.64
|
$2,406.83
|
$2,139.39
|
2026-05-09
|
|
74018
|
CPT
|
Xray Abdomen 1 View
|
7
|
7
|
$417.00
|
$417.00
|
$107.85
|
$375.30
|
$333.60
|
2026-05-09
|
|
74160
|
CPT
|
CT Abdomen W Contrast
|
7
|
7
|
$3,148.00
|
$3,148.00
|
$814.17
|
$2,833.20
|
$2,518.40
|
2026-05-09
|
|
74170
|
CPT
|
CT Abdomen W/Wo Contrast
|
7
|
7
|
$3,624.50
|
$3,624.50
|
$937.40
|
$3,262.05
|
$2,899.60
|
2026-05-09
|
|
74176
|
CPT
|
CT Abd & Pelvis Wo Contrast
|
7
|
7
|
$5,427.50
|
$5,427.50
|
$1,403.71
|
$4,884.75
|
$4,342.00
|
2026-05-09
|
|
74177
|
CPT
|
CT Abd & Pelvis W Contrast
|
7
|
7
|
$7,202.00
|
$7,202.00
|
$1,862.65
|
$6,481.80
|
$5,761.60
|
2026-05-09
|
|
74178
|
CPT
|
CT Abd & Pelvis W/Wo Contrast
|
7
|
7
|
$8,583.75
|
$8,583.75
|
$2,220.02
|
$7,725.38
|
$6,867.01
|
2026-05-09
|
|
757
|
CPT
|
Infections, Female Reproductive System W Mcc
|
10
|
9
|
$21,182.89
|
$21,182.89
|
$39,791.06
|
$49,933.87
|
$41,611.56
|
2026-05-09
|
|
76700
|
CPT
|
US Abdominal W Image Complete
|
7
|
7
|
$980.75
|
$980.75
|
$253.65
|
$882.68
|
$784.60
|
2026-05-09
|
|
76705
|
CPT
|
US Abdominal W Image Limited
|
7
|
7
|
$725.50
|
$725.50
|
$187.64
|
$652.95
|
$580.40
|
2026-05-09
|
|
76770
|
CPT
|
US Retroperit W Image Compl
|
7
|
7
|
$842.00
|
$842.00
|
$217.77
|
$757.80
|
$673.60
|
2026-05-09
|
|
76830
|
CPT
|
US Transvaginal
|
7
|
7
|
$665.75
|
$665.75
|
$172.18
|
$599.18
|
$532.60
|
2026-05-09
|
|
76881
|
CPT
|
US Extremity Nonvasc Cmpl
|
7
|
7
|
$904.00
|
$904.00
|
$233.80
|
$813.60
|
$723.20
|
2026-05-09
|
|
76882
|
CPT
|
US Extremity Nonvasc Ltd
|
7
|
7
|
$904.00
|
$904.00
|
$233.80
|
$813.60
|
$723.20
|
2026-05-09
|
|
76946
|
CPT
|
Amniocentesis W/Us Guidance
|
7
|
7
|
$776.00
|
$776.00
|
$200.70
|
$698.40
|
$620.80
|
2026-05-09
|
|
853
|
CPT
|
Infectious & Parasitic Diseases W O.r. Procedure W Mcc
|
10
|
9
|
$206,538.27
|
$206,538.27
|
$64,068.79
|
$80,400.05
|
$67,000.04
|
2026-05-09
|
|
854
|
CPT
|
Infectious & Parasitic Diseases W O.r. Procedure W Cc
|
10
|
9
|
$103,522.10
|
$103,522.10
|
$51,464.22
|
$64,582.55
|
$53,818.79
|
2026-05-09
|
|
856
|
CPT
|
Postoperative Or Post-traumatic Infections W O.r. Proc W Mcc
|
10
|
9
|
$104,220.49
|
$104,220.49
|
$56,602.24
|
$71,030.26
|
$59,191.89
|
2026-05-09
|
|
867
|
CPT
|
Other Infectious & Parasitic Diseases Diagnoses W Mcc
|
10
|
9
|
$32,299.53
|
$32,299.53
|
$43,489.97
|
$54,575.65
|
$45,479.71
|
2026-05-09
|
|
870
|
CPT
|
Septicemia W Mv 96+ Hours
|
10
|
9
|
$441,960.35
|
$441,960.35
|
$76,879.49
|
$96,476.23
|
$80,396.86
|
2026-05-09
|
|
871
|
CPT
|
Septicemia Without Mv 96+ Hours W Mcc
|
10
|
9
|
$126,149.88
|
$126,149.88
|
$34,924.06
|
$43,826.27
|
$36,521.89
|
2026-05-09
|
|
872
|
CPT
|
Septicemia Without Mv 96+ Hours Without Mcc
|
10
|
9
|
$45,687.33
|
$45,687.33
|
$23,563.90
|
$29,570.39
|
$24,642.00
|
2026-05-09
|
|
90935
|
CPT
|
Hemodialysis
|
7
|
7
|
$1,048.00
|
$1,048.00
|
$271.04
|
$943.20
|
$838.40
|
2026-05-09
|
|
90945
|
CPT
|
Peritoneal Dialysis
|
7
|
7
|
$429.00
|
$429.00
|
$110.95
|
$386.10
|
$343.20
|
2026-05-09
|
|
92611
|
CPT
|
Swallowing Eval By Cine/Video
|
7
|
7
|
$466.00
|
$466.00
|
$120.52
|
$419.40
|
$372.80
|
2026-05-09
|
|
92612
|
CPT
|
St - Fees Procedure
|
7
|
7
|
$600.00
|
$600.00
|
$155.18
|
$540.00
|
$480.00
|
2026-05-09
|
|
92950
|
CPT
|
Cpr (Code Blue)
|
7
|
7
|
$590.00
|
$590.00
|
$152.59
|
$531.00
|
$472.00
|
2026-05-09
|
|
93000001
|
CPT
|
Respite Care
|
7
|
7
|
$500.00
|
$500.00
|
$129.32
|
$450.00
|
$400.00
|
2026-05-09
|
|
939
|
CPT
|
O.r. Proc W Diagnoses Of Other Contact W Health Services W Mcc
|
10
|
9
|
$107,572.00
|
$107,572.00
|
$51,971.91
|
$65,219.65
|
$54,349.71
|
2026-05-09
|
|
93971
|
CPT
|
Duplex Extr Veins; Uni/Ltd
|
7
|
7
|
$1,413.25
|
$1,413.25
|
$365.51
|
$1,271.93
|
$1,130.60
|
2026-05-09
|
|
94
|
CPT
|
Bacterial & Tuberculous Infections Of Nervous System W Mcc
|
10
|
9
|
$81,034.84
|
$81,034.84
|
$41,791.29
|
$52,443.98
|
$43,703.32
|
2026-05-09
|
|
94002
|
CPT
|
Ventilation Mgmt 1st Day
|
7
|
7
|
$3,099.00
|
$3,099.00
|
$801.49
|
$2,789.10
|
$2,479.20
|
2026-05-09
|
|
94003
|
CPT
|
Ventilation Mgmt Ea Subsq Day
|
7
|
7
|
$2,193.50
|
$2,193.50
|
$567.30
|
$1,974.15
|
$1,754.80
|
2026-05-09
|
|
94660
|
CPT
|
CPAP/Bipap Initiation & Mgmt
|
7
|
7
|
$2,089.00
|
$2,089.00
|
$540.28
|
$1,880.10
|
$1,671.20
|
2026-05-09
|
|
94669
|
CPT
|
Mech Chest Wall Oscill
|
7
|
7
|
$386.10
|
$386.10
|
$99.86
|
$347.49
|
$308.88
|
2026-05-09
|
|
94762
|
CPT
|
Pulse Ox Continuous/Overnight
|
7
|
7
|
$2,000.25
|
$2,000.25
|
$517.32
|
$1,800.23
|
$1,600.19
|
2026-05-09
|
|
95
|
CPT
|
Bacterial & Tuberculous Infections Of Nervous System W Cc
|
10
|
9
|
$84,846.28
|
$84,846.28
|
$28,014.83
|
$35,155.86
|
$29,296.55
|
2026-05-09
|
|
96365
|
CPT
|
IV Infusion 16 Min - 1hr
|
7
|
7
|
$487.25
|
$487.25
|
$126.02
|
$438.53
|
$389.80
|
2026-05-09
|
|
981
|
CPT
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis W Mcc
|
10
|
9
|
$196,319.87
|
$196,319.87
|
$91,270.54
|
$114,535.58
|
$95,446.32
|
2026-05-09
|
|
988
|
CPT
|
Non-extensive O.r. Proc Unrelated To Principal Diagnosis W Cc
|
10
|
9
|
$126,070.82
|
$126,070.82
|
$24,300.64
|
$30,494.92
|
$25,412.43
|
2026-05-09
|
|
99152
|
CPT
|
Mod Sed 1st 15m (same Md)
|
7
|
7
|
$361.00
|
$361.00
|
$93.37
|
$324.90
|
$288.80
|
2026-05-09
|
|
J0289
|
CPT
|
Ph000495-ambisome
|
7
|
7
|
$450.06
|
$450.06
|
$116.40
|
$405.05
|
$360.05
|
2026-05-09
|
|
J1335
|
CPT
|
Ph000021-ertapenem Sodium
|
7
|
7
|
$421.45
|
$421.45
|
$109.00
|
$379.31
|
$337.16
|
2026-05-09
|
|
J1442
|
CPT
|
Ph000899-neupogen
|
12
|
7
|
$472.25
|
$472.25
|
$122.14
|
$676.80
|
$401.41
|
2026-05-09
|
|
J1610
|
CPT
|
Ph000890-glucagen
|
7
|
7
|
$560.00
|
$560.00
|
$144.83
|
$504.00
|
$448.00
|
2026-05-09
|
|
J2248
|
CPT
|
Ph000496-mycamine 100mg
|
7
|
7
|
$374.00
|
$374.00
|
$96.73
|
$336.60
|
$299.20
|
2026-05-09
|
|
J2997
|
CPT
|
Ph000802-cathflo Activase
|
12
|
7
|
$335.90
|
$335.90
|
$86.87
|
$5,940.24
|
$302.31
|
2026-05-09
|
|
P9021
|
CPT
|
Rbc Each Unit
|
7
|
7
|
$660.00
|
$660.00
|
$170.70
|
$594.00
|
$528.00
|
2026-05-09
|
|
PH000008
|
CPT
|
Ph000008-glucagon Emergency Kit
|
7
|
7
|
$421.20
|
$421.20
|
$108.93
|
$379.08
|
$336.96
|
2026-05-09
|
|
PH000015
|
CPT
|
Ph000015-prevnar 13
|
7
|
7
|
$698.28
|
$698.28
|
$180.60
|
$628.45
|
$558.62
|
2026-05-09
|
|
PH000038
|
CPT
|
Ph000038-lumigan
|
7
|
7
|
$717.96
|
$717.96
|
$185.69
|
$646.16
|
$574.37
|
2026-05-09
|
|
PH000040
|
CPT
|
Ph000040-alphagan P
|
7
|
7
|
$388.88
|
$388.88
|
$100.58
|
$349.99
|
$311.11
|
2026-05-09
|
|
PH000093
|
CPT
|
Ph000093-santyl30gm
|
7
|
7
|
$431.93
|
$431.93
|
$111.71
|
$388.74
|
$345.55
|
2026-05-09
|
|
PH000229
|
CPT
|
Ph000229-argatroban
|
7
|
7
|
$765.00
|
$765.00
|
$197.85
|
$688.50
|
$612.00
|
2026-05-09
|
|
PH000290
|
CPT
|
Ph000290-symbicort 160/4.5
|
7
|
7
|
$604.44
|
$604.44
|
$156.33
|
$544.00
|
$483.56
|
2026-05-09
|
|
PH000404
|
CPT
|
Ph000404-acyclovir 15gm Oint
|
7
|
7
|
$598.20
|
$598.20
|
$154.71
|
$538.38
|
$478.56
|
2026-05-09
|
|
PH000595
|
CPT
|
Ph000595-combivent Respimat
|
7
|
7
|
$356.32
|
$356.32
|
$92.16
|
$320.69
|
$285.06
|
2026-05-09
|
|
PH000656
|
CPT
|
Ph000656-nicardipine Hcl
|
7
|
7
|
$379.41
|
$379.41
|
$98.13
|
$341.47
|
$303.53
|
2026-05-09
|
|
PH000659
|
CPT
|
Ph000659-argatroban In 0.9 % Sod Chlor
|
7
|
7
|
$1,063.94
|
$1,063.94
|
$275.17
|
$957.55
|
$851.15
|
2026-05-09
|
|
PH000739
|
CPT
|
Ph000739-brevibloc
|
7
|
7
|
$701.52
|
$701.52
|
$181.43
|
$631.37
|
$561.22
|
2026-05-09
|
|
PH000804
|
CPT
|
Ph000804-tarceva
|
7
|
7
|
$422.57
|
$422.57
|
$109.29
|
$380.31
|
$338.06
|
2026-05-09
|
|
PH000913
|
CPT
|
Ph000913-samsca
|
7
|
7
|
$780.30
|
$780.30
|
$201.81
|
$702.27
|
$624.24
|
2026-05-09
|
|
PH001061
|
CPT
|
Ph001061-albumin 25% 100ml Mid
|
7
|
7
|
$360.00
|
$360.00
|
$93.11
|
$324.00
|
$288.00
|
2026-05-09
|
|
PH001077
|
CPT
|
Ph001077-sandostatin
|
7
|
7
|
$415.13
|
$415.13
|
$107.37
|
$373.62
|
$332.11
|
2026-05-09
|
|
PH001085
|
CPT
|
Ph001085-pneumovax 23
|
7
|
7
|
$434.28
|
$434.28
|
$112.32
|
$390.85
|
$347.43
|
2026-05-09
|
|
PH001095
|
CPT
|
Ph001095-enoxaparin 300mg/3ml
|
7
|
7
|
$380.58
|
$380.58
|
$98.43
|
$342.52
|
$304.46
|
2026-05-09
|
|
PH001118
|
CPT
|
Ph001118-epogen20k/ml
|
7
|
7
|
$497.40
|
$497.40
|
$128.64
|
$447.66
|
$397.92
|
2026-05-09
|
|
PH001127
|
CPT
|
Ph001127-procrit
|
7
|
7
|
$1,603.50
|
$1,603.50
|
$414.71
|
$1,443.15
|
$1,282.80
|
2026-05-09
|
|
PH001156
|
CPT
|
Ph001156-permethrin 5% Crm
|
7
|
7
|
$371.25
|
$371.25
|
$96.02
|
$334.13
|
$297.00
|
2026-05-09
|
|
PH001160
|
CPT
|
Ph001160-procrit
|
7
|
7
|
$400.88
|
$400.88
|
$103.68
|
$360.79
|
$320.70
|
2026-05-09
|
|
PH001262
|
CPT
|
Ph001262-miacalcin Inj
|
7
|
7
|
$4,865.52
|
$4,865.52
|
$1,258.37
|
$4,378.97
|
$3,892.41
|
2026-05-09
|
|
PH001281
|
CPT
|
Ph001281-brimonidine Tartrate 0.15% 5ml
|
7
|
7
|
$383.36
|
$383.36
|
$99.15
|
$345.02
|
$306.69
|
2026-05-09
|
|
PH001289
|
CPT
|
Ph001289-calcitonin,salmon,synthetic
|
7
|
7
|
$355.62
|
$355.62
|
$91.97
|
$320.06
|
$284.50
|
2026-05-09
|
|
PH001406
|
CPT
|
Ph001406-chlorothiazide Sodium 500mg In
|
7
|
7
|
$374.25
|
$374.25
|
$96.79
|
$336.83
|
$299.40
|
2026-05-09
|
|
PH001433
|
CPT
|
Ph001433-teflaro 400mg
|
7
|
7
|
$467.05
|
$467.05
|
$120.79
|
$420.35
|
$373.64
|
2026-05-09
|
|
PH001437
|
CPT
|
Ph001437-desmopressin (nonrefrigerated)
|
7
|
7
|
$492.50
|
$492.50
|
$127.38
|
$443.25
|
$394.00
|
2026-05-09
|
|
PH001445
|
CPT
|
Ph001445-advair Diskus 250/50-60
|
7
|
7
|
$590.90
|
$590.90
|
$152.82
|
$531.81
|
$472.72
|
2026-05-09
|
|
PH001461
|
CPT
|
Ph001461-zoledronic Acid
|
7
|
7
|
$1,257.44
|
$1,257.44
|
$325.21
|
$1,131.70
|
$1,005.96
|
2026-05-09
|
|
PH001496
|
CPT
|
Ph001496-teflaro 600mg
|
7
|
7
|
$467.05
|
$467.05
|
$120.79
|
$420.35
|
$373.64
|
2026-05-09
|
|
PH001499
|
CPT
|
Ph001499-privigen
|
7
|
7
|
$5,124.60
|
$5,124.60
|
$1,325.38
|
$4,612.14
|
$4,099.68
|
2026-05-09
|
|
PH001500
|
CPT
|
Ph001500-privigen 10gm
|
7
|
7
|
$2,562.30
|
$2,562.30
|
$662.69
|
$2,306.07
|
$2,049.84
|
2026-05-09
|
|
PH001531
|
CPT
|
Ph001531-fluticasone/salmeterol 500/50-
|
7
|
7
|
$494.60
|
$494.60
|
$127.92
|
$445.14
|
$395.68
|
2026-05-09
|
|
PH001557
|
CPT
|
Ph001557-zerbaxa 1.5gm
|
7
|
7
|
$433.08
|
$433.08
|
$112.01
|
$389.77
|
$346.46
|
2026-05-09
|
|
PH001560
|
CPT
|
Ph001560-sporanox Oral Sol
|
7
|
7
|
$514.13
|
$514.13
|
$132.97
|
$462.72
|
$411.31
|
2026-05-09
|
|
PH001588
|
CPT
|
Ph001588-hydrocortisone1%pramoxine1%
|
7
|
7
|
$363.96
|
$363.96
|
$94.13
|
$327.56
|
$291.17
|
2026-05-09
|
|
PH001609
|
CPT
|
Ph001609-ceftazidime/avibactam 2.5gm
|
7
|
7
|
$565.12
|
$565.12
|
$146.16
|
$508.61
|
$452.10
|
2026-05-09
|
|
PH001622
|
CPT
|
Ph001622-digoxin Immune Fab
|
7
|
7
|
$6,898.50
|
$6,898.50
|
$1,784.16
|
$6,208.65
|
$5,518.80
|
2026-05-09
|
|
PH001631
|
CPT
|
Ph001631-pulmicort Flexhaler
|
7
|
7
|
$396.90
|
$396.90
|
$102.65
|
$357.21
|
$317.52
|
2026-05-09
|
|
PH001659
|
CPT
|
Ph001659-firvanq 50-300 Kit
|
7
|
7
|
$473.00
|
$473.00
|
$122.33
|
$425.70
|
$378.40
|
2026-05-09
|
|
PH001664
|
CPT
|
Ph001664-fondaparinux Sodium 10mg
|
7
|
7
|
$385.83
|
$385.83
|
$99.79
|
$347.25
|
$308.67
|
2026-05-09
|
|
PH001692
|
CPT
|
Ph001692-nitrofurantoin 25mg/5ml Os
|
7
|
7
|
$1,095.60
|
$1,095.60
|
$283.36
|
$986.04
|
$876.48
|
2026-05-09
|
|
PH001694
|
CPT
|
Ph001694-becaplermin 0.01% Gel
|
7
|
7
|
$1,942.43
|
$1,942.43
|
$502.37
|
$1,748.19
|
$1,553.94
|
2026-05-09
|
|
PH001700
|
CPT
|
Ph001700-fidaxomicin 200mg Tab
|
7
|
7
|
$469.88
|
$469.88
|
$121.53
|
$422.89
|
$375.90
|
2026-05-09
|
|
PH001735
|
CPT
|
Ph001735-breo Ellipta 100-25 60ct
|
7
|
7
|
$593.04
|
$593.04
|
$153.38
|
$533.74
|
$474.44
|
2026-05-09
|
|
PH001744
|
CPT
|
Ph001744-bethkis Inh 300mg/4ml
|
7
|
7
|
$397.65
|
$397.65
|
$102.84
|
$357.89
|
$318.12
|
2026-05-09
|
|
PH001746
|
CPT
|
Ph001746-gatifloxacin 0.5% Opth
|
7
|
7
|
$354.48
|
$354.48
|
$91.68
|
$319.03
|
$283.58
|
2026-05-09
|
|
PH001753
|
CPT
|
Ph001753-fmt Upper Delivery
|
7
|
7
|
$1,300.00
|
$1,300.00
|
$336.22
|
$1,170.00
|
$1,040.00
|
2026-05-09
|
|
PH001762
|
CPT
|
Ph001762-bromfenac Sodium 0.09%
|
7
|
7
|
$427.38
|
$427.38
|
$110.53
|
$384.64
|
$341.90
|
2026-05-09
|
|
PH001767
|
CPT
|
Ph001767-metronidazole 0.75% Gel
|
7
|
7
|
$410.04
|
$410.04
|
$106.05
|
$369.04
|
$328.04
|
2026-05-09
|
|
PH001775
|
CPT
|
Ph001775-buprenorphine 10mcg/hr
|
7
|
7
|
$374.60
|
$374.60
|
$96.88
|
$337.14
|
$299.68
|
2026-05-09
|
|
PH001802
|
CPT
|
Ph001802-breo Ellipta200-25
|
7
|
7
|
$593.04
|
$593.04
|
$153.38
|
$533.74
|
$474.44
|
2026-05-09
|
|
PH001806
|
CPT
|
Ph001806-anoro Ellipta 62.5/25
|
7
|
7
|
$691.52
|
$691.52
|
$178.85
|
$622.37
|
$553.22
|
2026-05-09
|
|
PH001810
|
CPT
|
Ph001810-incruse Ellipta 62.5mg
|
7
|
7
|
$531.15
|
$531.15
|
$137.37
|
$478.04
|
$424.93
|
2026-05-09
|
|
PH001811
|
CPT
|
Ph001811-argatroban In Nacl 50/50
|
7
|
7
|
$396.00
|
$396.00
|
$102.42
|
$356.40
|
$316.80
|
2026-05-09
|
|
PH001812
|
CPT
|
Ph001812-estrogens, Conjugated Crm
|
7
|
7
|
$655.41
|
$655.41
|
$169.51
|
$589.87
|
$524.33
|
2026-05-09
|
|
PH001835
|
CPT
|
Ph001835-mycophenolate Mof. 200mg/ml-16
|
7
|
7
|
$2,071.31
|
$2,071.31
|
$535.70
|
$1,864.18
|
$1,657.05
|
2026-05-09
|
|
PH001837
|
CPT
|
Ph001837-valganciclovir Hcl 50mg/ml Pwd
|
7
|
7
|
$1,605.26
|
$1,605.26
|
$415.17
|
$1,444.73
|
$1,284.20
|
2026-05-09
|
|
PH001843
|
CPT
|
Ph001843-flovent Hfa 110
|
7
|
7
|
$410.75
|
$410.75
|
$106.23
|
$369.68
|
$328.60
|
2026-05-09
|
|
PH001845
|
CPT
|
Ph001845-noxafil 200mg/5ml Os
|
7
|
7
|
$2,159.33
|
$2,159.33
|
$558.47
|
$1,943.40
|
$1,727.46
|
2026-05-09
|
|
PH001848
|
CPT
|
Ph001848-brinzolamide/brimonidine Tart
|
7
|
7
|
$381.44
|
$381.44
|
$98.65
|
$343.30
|
$305.15
|
2026-05-09
|
|
PH001854
|
CPT
|
Ph001854-fluconazole 40mg/ml Os
|
7
|
7
|
$390.09
|
$390.09
|
$100.89
|
$351.08
|
$312.07
|
2026-05-09
|
|
PH001855
|
CPT
|
Ph001855-darbepoetin Alfa In Poly 100mc
|
7
|
7
|
$1,161.00
|
$1,161.00
|
$300.27
|
$1,044.90
|
$928.80
|
2026-05-09
|
|
PH001868
|
CPT
|
Ph001868-tbo-filgrastim 480mcg
|
7
|
7
|
$858.78
|
$858.78
|
$222.11
|
$772.90
|
$687.02
|
2026-05-09
|
|
PH001871
|
CPT
|
Ph001871-desoximetasone 0.25% Crm 60gm
|
7
|
7
|
$416.40
|
$416.40
|
$107.69
|
$374.76
|
$333.12
|
2026-05-09
|
|
PH001876
|
CPT
|
Ph001876-calcitriol 1mcg/ml 15ml
|
7
|
7
|
$358.00
|
$358.00
|
$92.59
|
$322.20
|
$286.40
|
2026-05-09
|
|
PH001891
|
CPT
|
Ph001891-sucralfate 1gm/10ml 420ml
|
7
|
7
|
$381.57
|
$381.57
|
$98.69
|
$343.41
|
$305.25
|
2026-05-09
|
|
PH001899
|
CPT
|
Ph001899-ciprofloxacin 0.2% Otic
|
7
|
7
|
$390.45
|
$390.45
|
$100.98
|
$351.41
|
$312.36
|
2026-05-09
|
|
PH001903
|
CPT
|
Ph001903-paregoric 2mg/5ml 473ml
|
7
|
7
|
$516.72
|
$516.72
|
$133.64
|
$465.05
|
$413.38
|
2026-05-09
|
|
PH001914
|
CPT
|
Ph001914-acyclovir 200mg/5ml Os
|
7
|
7
|
$667.80
|
$667.80
|
$172.71
|
$601.02
|
$534.24
|
2026-05-09
|
|
PH001938
|
CPT
|
Ph001938-cardene I.v. 40mg/200ml
|
7
|
7
|
$487.92
|
$487.92
|
$126.19
|
$439.13
|
$390.33
|
2026-05-09
|
|
PH001944
|
CPT
|
Ph001944-lacosamide 10mg/ml Os
|
7
|
7
|
$552.45
|
$552.45
|
$142.88
|
$497.21
|
$441.95
|
2026-05-09
|
|
PH001949
|
CPT
|
Ph001949-fluphenazine Hcl 5mg/ml Os
|
7
|
7
|
$564.78
|
$564.78
|
$146.07
|
$508.30
|
$451.82
|
2026-05-09
|
|
PH001969
|
CPT
|
Ph001969-fluticasone Furoate 200mcg 14c
|
7
|
7
|
$390.78
|
$390.78
|
$101.07
|
$351.70
|
$312.62
|
2026-05-09
|
|
PH001974
|
CPT
|
Ph001974-linezolid 100mg/5ml 150ml
|
7
|
7
|
$1,230.00
|
$1,230.00
|
$318.11
|
$1,107.00
|
$984.00
|
2026-05-09
|
|
PH001977
|
CPT
|
Ph001977-fondaparinux Sodium 7.5mg/0.6m
|
7
|
7
|
$407.40
|
$407.40
|
$105.37
|
$366.66
|
$325.92
|
2026-05-09
|
|
PH002012
|
CPT
|
Ph002012-nicardipine In Dex 20mg/200ml
|
7
|
7
|
$365.94
|
$365.94
|
$94.64
|
$329.35
|
$292.75
|
2026-05-09
|
|
PH002020
|
CPT
|
Ph002020-brimonidine Tartrate/timolol 5
|
7
|
7
|
$408.26
|
$408.26
|
$105.59
|
$367.43
|
$326.61
|
2026-05-09
|
|
PH002068
|
CPT
|
Ph002068-ddavp 4mcg/ml 10ml Mdv
|
7
|
7
|
$1,232.27
|
$1,232.27
|
$318.70
|
$1,109.04
|
$985.82
|
2026-05-09
|
|
PH002088
|
CPT
|
Ph002088-difluprednate 0.05%
|
7
|
7
|
$436.00
|
$436.00
|
$112.76
|
$392.40
|
$348.80
|
2026-05-09
|
|
PH002113
|
CPT
|
Ph002113-copaxone 20mg Syr
|
7
|
7
|
$426.84
|
$426.84
|
$110.39
|
$384.16
|
$341.48
|
2026-05-09
|
|
PH002114
|
CPT
|
Ph002114-dimethyl Sulfoxide
|
7
|
7
|
$992.84
|
$992.84
|
$256.78
|
$893.56
|
$794.27
|
2026-05-09
|
|
PH002142
|
CPT
|
Ph002142-acyclovir 5% 5gm Oint
|
7
|
7
|
$421.14
|
$421.14
|
$108.92
|
$379.03
|
$336.92
|
2026-05-09
|
|
PH002179
|
CPT
|
Ph002179-kengreal 50mg Vial
|
7
|
7
|
$1,605.59
|
$1,605.59
|
$415.25
|
$1,445.03
|
$1,284.47
|
2026-05-09
|
|
PH002180
|
CPT
|
Ph002180-meningococcal B Vaccine,4-comp
|
7
|
7
|
$357.00
|
$357.00
|
$92.33
|
$321.30
|
$285.60
|
2026-05-09
|
|
PH002191
|
CPT
|
Ph002191-spiriva Respimat 2.5mcg
|
7
|
7
|
$768.05
|
$768.05
|
$198.64
|
$691.25
|
$614.44
|
2026-05-09
|
|
PH002192
|
CPT
|
Ph002192-tiotropium Bromide 1.25mcg Res
|
7
|
7
|
$768.05
|
$768.05
|
$198.64
|
$691.25
|
$614.44
|
2026-05-09
|
|
PH002206
|
CPT
|
Ph002206-naproxen 125mg/5ml Os
|
7
|
7
|
$1,055.88
|
$1,055.88
|
$273.08
|
$950.29
|
$844.71
|
2026-05-09
|
|
PH002209
|
CPT
|
Ph002209-cresemba 372mg
|
7
|
7
|
$546.99
|
$546.99
|
$141.47
|
$492.29
|
$437.59
|
2026-05-09
|
|
PH002211
|
CPT
|
Ph002211-delafloxacin Meglumine 300mg
|
7
|
7
|
$425.70
|
$425.70
|
$110.10
|
$383.13
|
$340.56
|
2026-05-09
|
|
PH002223
|
CPT
|
Ph002223-voriconazole 40mg/ml 75ml
|
7
|
7
|
$1,582.95
|
$1,582.95
|
$409.40
|
$1,424.66
|
$1,266.36
|
2026-05-09
|
|
PH002239
|
CPT
|
Ph002239-venofer 200mg/10ml
|
7
|
7
|
$367.29
|
$367.29
|
$94.99
|
$330.56
|
$293.83
|
2026-05-09
|
|
PH002254
|
CPT
|
Ph002254-paliperidone Palmitate 156mg
|
7
|
7
|
$3,348.21
|
$3,348.21
|
$865.95
|
$3,013.39
|
$2,678.57
|
2026-05-09
|
|
PH002261
|
CPT
|
Ph002261-estrogens, Conjugated 25mg Inj
|
7
|
7
|
$536.00
|
$536.00
|
$138.63
|
$482.40
|
$428.80
|
2026-05-09
|
|
PH002262
|
CPT
|
Ph002262-anidulafungin 100mg
|
7
|
7
|
$381.78
|
$381.78
|
$98.74
|
$343.60
|
$305.43
|
2026-05-09
|
|
PH002273
|
CPT
|
Ph002273-zoledronic Acid/man-water 5mg/
|
7
|
7
|
$1,506.63
|
$1,506.63
|
$389.66
|
$1,355.97
|
$1,205.31
|
2026-05-09
|
|
PH002281
|
CPT
|
Ph002281-teriflunomide 14mg Tab
|
7
|
7
|
$425.93
|
$425.93
|
$110.16
|
$383.34
|
$340.75
|
2026-05-09
|
|
PH002284
|
CPT
|
Ph002284-paliperidone Palmitate 234mg S
|
7
|
7
|
$5,022.18
|
$5,022.18
|
$1,298.89
|
$4,519.96
|
$4,017.74
|
2026-05-09
|
|
PH002291
|
CPT
|
Ph002291-immune Glob G/Gly/IgaAvg46 5gm
|
7
|
7
|
$1,026.90
|
$1,026.90
|
$265.59
|
$924.21
|
$821.52
|
2026-05-09
|
|
PH002292
|
CPT
|
Ph002292-darbepoetin AlfaInPolysorbat 4
|
7
|
7
|
$464.40
|
$464.40
|
$120.11
|
$417.96
|
$371.52
|
2026-05-09
|
|
PH002297
|
CPT
|
Ph002297-elviteg/cob/emtri/tenof Alafen
|
7
|
7
|
$379.52
|
$379.52
|
$98.16
|
$341.57
|
$303.62
|
2026-05-09
|
|
PH002299
|
CPT
|
Ph002299-bromfenac Sodium 0.07% 3ml
|
7
|
7
|
$505.01
|
$505.01
|
$130.61
|
$454.51
|
$404.01
|
2026-05-09
|
|
PH002300
|
CPT
|
Ph002300-loteprednol Etabonate 0.5% 5ml
|
7
|
7
|
$450.18
|
$450.18
|
$116.43
|
$405.16
|
$360.14
|
2026-05-09
|
|
PH002304
|
CPT
|
Ph002304-escitalopram Oxalate 1mg/ml Os
|
7
|
7
|
$380.40
|
$380.40
|
$98.38
|
$342.36
|
$304.32
|
2026-05-09
|
|
PH002308
|
CPT
|
Ph002308-cholestyramine (With Sugar) 37
|
7
|
7
|
$393.39
|
$393.39
|
$101.74
|
$354.05
|
$314.71
|
2026-05-09
|
|
PH002315
|
CPT
|
Ph002315-dronabinol 5mg/ml Os
|
7
|
7
|
$1,749.99
|
$1,749.99
|
$452.60
|
$1,574.99
|
$1,399.99
|
2026-05-09
|
|
PH002330
|
CPT
|
Ph002330-netarsudil Mesylate Opth. Soln
|
7
|
7
|
$467.94
|
$467.94
|
$121.02
|
$421.15
|
$374.36
|
2026-05-09
|
|
PH002337
|
CPT
|
Ph002337-levothyroxine Sodium 200mcg In
|
7
|
7
|
$422.32
|
$422.32
|
$109.22
|
$380.09
|
$337.86
|
2026-05-09
|
|
PH002341
|
CPT
|
Ph002341-samsca
|
7
|
7
|
$809.46
|
$809.46
|
$209.35
|
$728.51
|
$647.57
|
2026-05-09
|
|
PH002350
|
CPT
|
Ph002350-granix
|
7
|
7
|
$449.75
|
$449.75
|
$116.32
|
$404.78
|
$359.80
|
2026-05-09
|
|
PH002366
|
CPT
|
Ph002366-bicillin L-a
|
7
|
7
|
$774.77
|
$774.77
|
$200.38
|
$697.29
|
$619.82
|
2026-05-09
|
|
PH002378
|
CPT
|
Ph002378-vabomere
|
7
|
7
|
$432.00
|
$432.00
|
$111.73
|
$388.80
|
$345.60
|
2026-05-09
|
|
PH002380
|
CPT
|
Ph002380-adempas
|
7
|
7
|
$435.03
|
$435.03
|
$112.51
|
$391.53
|
$348.02
|
2026-05-09
|
|
PH002381
|
CPT
|
Ph002381-uptravi
|
7
|
7
|
$554.59
|
$554.59
|
$143.43
|
$499.13
|
$443.67
|
2026-05-09
|
|
PH002382
|
CPT
|
Ph002382-uptravi
|
7
|
7
|
$475.49
|
$475.49
|
$122.98
|
$427.94
|
$380.39
|
2026-05-09
|
|
PH002398
|
CPT
|
Ph002398-eligard
|
7
|
7
|
$2,032.61
|
$2,032.61
|
$525.69
|
$1,829.35
|
$1,626.09
|
2026-05-09
|
|
PH002402
|
CPT
|
Ph002402-letairis
|
7
|
7
|
$618.71
|
$618.71
|
$160.02
|
$556.84
|
$494.97
|
2026-05-09
|
|
PH002457
|
CPT
|
Ph002457-infliximab 100mg
|
7
|
7
|
$1,751.73
|
$1,751.73
|
$453.05
|
$1,576.56
|
$1,401.38
|
2026-05-09
|
|
PH002458
|
CPT
|
Ph002458-tobramycin/nebulizer 300mg/5ml
|
7
|
7
|
$386.31
|
$386.31
|
$99.91
|
$347.68
|
$309.05
|
2026-05-09
|
|
PH002463
|
CPT
|
Ph002463-epoetin Alfa-epbx 40k unit/1ML
|
7
|
7
|
$661.80
|
$661.80
|
$171.16
|
$595.62
|
$529.44
|
2026-05-09
|
|
PH002475
|
CPT
|
Ph002475-immun Globg(Igg)/Malt/Iga Ov50
|
7
|
7
|
$8,405.10
|
$8,405.10
|
$2,173.81
|
$7,564.59
|
$6,724.08
|
2026-05-09
|
|
PH002476
|
CPT
|
Ph002476-immun Globg(Igg)/Malt/Iga Ov50
|
7
|
7
|
$1,400.85
|
$1,400.85
|
$362.30
|
$1,260.77
|
$1,120.68
|
2026-05-09
|
|
PH002481
|
CPT
|
Ph002481-alirocumab Pen Injctr 75mg/ml
|
7
|
7
|
$450.00
|
$450.00
|
$116.38
|
$405.00
|
$360.00
|
2026-05-09
|
|
PH002498
|
CPT
|
Ph002498-tiotropium Br/Olodaterol Hcl
|
7
|
7
|
$704.40
|
$704.40
|
$182.18
|
$633.96
|
$563.52
|
2026-05-09
|
|
PH002517
|
CPT
|
Ph002517-immune Globul G/Gly/Iga Avg 46
|
7
|
7
|
$4,107.60
|
$4,107.60
|
$1,062.35
|
$3,696.84
|
$3,286.08
|
2026-05-09
|
|
PH002524
|
CPT
|
Ph002524-esmolol Hcl In Sterile Water
|
7
|
7
|
$430.20
|
$430.20
|
$111.26
|
$387.18
|
$344.16
|
2026-05-09
|
|
PH002526
|
CPT
|
Ph002526-imipenem/cilastatin/relebactam
|
7
|
7
|
$446.99
|
$446.99
|
$115.61
|
$402.29
|
$357.59
|
2026-05-09
|
|
PH002532
|
CPT
|
Ph002532-valbenazine Tosylate 80mg Cap
|
7
|
7
|
$401.10
|
$401.10
|
$103.74
|
$360.99
|
$320.88
|
2026-05-09
|
|
PH002538
|
CPT
|
Ph002538-daptomycin 500mg
|
7
|
7
|
$801.81
|
$801.81
|
$207.37
|
$721.63
|
$641.45
|
2026-05-09
|
|
PH002543
|
CPT
|
Ph002543-albumin Human 5% Vial
|
7
|
7
|
$415.80
|
$415.80
|
$107.54
|
$374.22
|
$332.64
|
2026-05-09
|
|
PH002553
|
CPT
|
Ph002553-diclofenac Sodium 1.5% Oral So
|
7
|
7
|
$391.05
|
$391.05
|
$101.14
|
$351.95
|
$312.84
|
2026-05-09
|
|
PH002564
|
CPT
|
Ph002564-nortriptyline Hcl 10mg/5mL Sol
|
7
|
7
|
$455.68
|
$455.68
|
$117.85
|
$410.11
|
$364.55
|
2026-05-09
|
|
PH002571
|
CPT
|
Ph002571-remdesivir (Eua) 100mg Vial
|
7
|
7
|
$780.00
|
$780.00
|
$201.73
|
$702.00
|
$624.00
|
2026-05-09
|
|
PH002609
|
CPT
|
Ph002609-phentolamine Mesylate 5mg Vial
|
7
|
7
|
$734.96
|
$734.96
|
$190.08
|
$661.46
|
$587.97
|
2026-05-09
|
|
PH002618
|
CPT
|
Ph002618-bictegrav/emtricit/tenofov Ala
|
7
|
7
|
$379.52
|
$379.52
|
$98.16
|
$341.57
|
$303.62
|
2026-05-09
|
|
PH002635
|
CPT
|
Ph002635-amino Ac 8 %/D14w/Electrolytes
|
7
|
7
|
$362.76
|
$362.76
|
$93.82
|
$326.48
|
$290.20
|
2026-05-09
|
|
PH002676
|
CPT
|
Ph002676-zoledronic Acid 4mg/100ml Ns 0
|
7
|
7
|
$360.00
|
$360.00
|
$93.11
|
$324.00
|
$288.00
|
2026-05-09
|
|
PH002678
|
CPT
|
Ph002678-latanoprostene Bunod
|
7
|
7
|
$481.78
|
$481.78
|
$124.60
|
$433.60
|
$385.43
|
2026-05-09
|
|
PH002684
|
CPT
|
Ph002684-natamycin
|
7
|
7
|
$710.46
|
$710.46
|
$183.75
|
$639.41
|
$568.37
|
2026-05-09
|
|
PH002709
|
CPT
|
Ph002709-tobramycin/nebulizer
|
7
|
7
|
$386.31
|
$386.31
|
$99.91
|
$347.68
|
$309.05
|
2026-05-09
|
|
PH002732
|
CPT
|
Ph002732-cefiderocol Sulfate Tosylate
|
7
|
7
|
$418.40
|
$418.40
|
$108.21
|
$376.56
|
$334.72
|
2026-05-09
|
|
PH002733
|
CPT
|
Ph002733-ciprofloxacin HCL/Fluocinolone
|
7
|
7
|
$488.63
|
$488.63
|
$126.37
|
$439.77
|
$390.90
|
2026-05-09
|
|
PH002743
|
CPT
|
Ph002743-betoptic S
|
7
|
7
|
$489.09
|
$489.09
|
$126.49
|
$440.18
|
$391.27
|
2026-05-09
|
|
PH002744
|
CPT
|
Ph002744-nplate
|
7
|
7
|
$1,788.75
|
$1,788.75
|
$462.62
|
$1,609.88
|
$1,431.01
|
2026-05-09
|
|
PH002745
|
CPT
|
Ph002745-nplate
|
7
|
7
|
$3,577.46
|
$3,577.46
|
$925.24
|
$3,219.71
|
$2,861.97
|
2026-05-09
|
|
PH002758
|
CPT
|
Ph002758-retacrit
|
7
|
7
|
$441.20
|
$441.20
|
$114.11
|
$397.08
|
$352.96
|
2026-05-09
|
|
PH002761
|
CPT
|
Ph002761-trelegy Ellipta
|
7
|
7
|
$446.36
|
$446.36
|
$115.44
|
$401.72
|
$357.08
|
2026-05-09
|
|
PH002780
|
CPT
|
Ph002780-vasostrict
|
7
|
7
|
$424.76
|
$424.76
|
$109.86
|
$382.28
|
$339.81
|
2026-05-09
|
|
PH002785
|
CPT
|
Ph002785-valganciclovir Hcl
|
7
|
7
|
$1,490.63
|
$1,490.63
|
$385.52
|
$1,341.57
|
$1,192.51
|
2026-05-09
|
|
PH002793
|
CPT
|
Ph002793-epidiolex
|
7
|
7
|
$2,355.00
|
$2,355.00
|
$609.07
|
$2,119.50
|
$1,884.00
|
2026-05-09
|
|
PH002821
|
CPT
|
Ph002821-baclofen
|
7
|
7
|
$1,701.26
|
$1,701.26
|
$440.00
|
$1,531.13
|
$1,361.01
|
2026-05-09
|
|
PH002826
|
CPT
|
Ph002826-immune Globul G/Gly/Iga Avg 46
|
7
|
7
|
$2,053.80
|
$2,053.80
|
$531.17
|
$1,848.42
|
$1,643.04
|
2026-05-09
|
|
PH002835
|
CPT
|
Ph002835-bimatoprost
|
7
|
7
|
$403.89
|
$403.89
|
$104.46
|
$363.50
|
$323.11
|
2026-05-09
|