Hospital

ASCENSION BORGESS ALLEGAN HOSPITAL

Allegan, MI · CCN 231328 · Rates published

16,814 distinct procedures filed

43 distinct payers

300,578 rate rows

2026-01-01 last MRF observed

Data quality

291,988 of 300,578 rate rows are consumer-grade (97.1%)

8,590 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
per-diem day rate — not a per-procedure price	6,307
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	2,156
placeholder amount (≤ $0.02) — excluded from medians	127

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

Source MRF file	https://www.beaconhealthsystem.org/wp-content/uploads/2026/03/381359180-Beacon-Allegan-Hospital-Standard-Charges.csv
Found on page	https://www.beaconhealthsystem.org/hospital-chargemaster/
Discovered via	CMS hospital list
Last fetch	not_modified · 2026-05-18
Content fingerprint	31293f9422dd9f82… · 74,143,861 bytes · first seen 2026-05-13

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
0100T HCPCS	Prosth Retina Receive&gen	5	$77,913.19	$77,913.19	$77,913.19	nat. median $11,210 outlier · 7.0×
366035 CDM	Implant Neuroreceiver Stimulator	24	$22,096.75	$78,916.95	$62,738.97	nat. median $62,739 1.0× median
220216 CDM	Ipilimumab Vl 200mg, Per 1mg	28	$18,645.40	$66,590.70	$51,940.75	nat. median $4,347 outlier · 11.9×
220489 CDM	Ipilimumab Vl 200mg, Per 1mg	28	$18,645.40	$66,590.70	$51,940.75	nat. median $3,227 outlier · 16.1×
220523 CDM	Ocrelizumab Vl 300mg, Per 1mg	28	$13,142.92	$46,939.00	$36,612.42	nat. median $14 outlier · 2712.0×
220577 CDM	Opdualag 240mg/80mg 20ml Sdv, Per 3/1mg	28	$10,376.18	$37,057.80	$28,905.08	nat. median $1,946 outlier · 14.9×
300038 CDM	Neurostimulator Enterra Ii	28	$7,000.00	$25,000.00	$19,500.00	nat. median $688 outlier · 28.3×
220261 CDM	Cabazitaxel Vl 60mg, Per 1mg	28	$6,670.85	$23,824.45	$18,583.07	nat. median $14 outlier · 1376.5×
220463 CDM	Cabazitaxel Vl 60mg, Per 1mg	28	$6,670.85	$23,824.45	$18,583.07	nat. median $18,583 1.0× median
220488 CDM	Hemin Inj 350mg, Per 1mg	28	$6,571.96	$23,471.28	$18,307.60	nat. median $1,273 outlier · 14.4×
220347 CDM	Hemin 350 Mg Vial	28	$6,571.96	$23,471.28	$18,307.60	nat. median $4,721 outlier · 3.9×
220283 CDM	Atezolizumab Vl 1200mg, Per 10mg	28	$6,435.82	$22,985.08	$17,928.36	nat. median $284 outlier · 63.2×
220535 CDM	Risankizumab Rzaa IV Vl 60mg/ml 10ml 1mg	28	$6,318.74	$22,566.93	$17,602.21	nat. median $503 outlier · 35.0×
220475 CDM	Daunorubicin/cytarabine 44 Mg/100 Mg Sdv	28	$5,928.05	$21,171.60	$16,513.85	nat. median $12,703 1.3× median
220379 CDM	Daunorubicin/cytarabine 44 Mg/100 Mg Sdv	28	$5,928.05	$21,171.60	$16,513.85	nat. median $5,170 outlier · 3.2×
220462 CDM	Brentuximab Vl 50mg, Per 1mg	28	$5,363.40	$19,155.00	$14,940.90	nat. median $13 outlier · 1123.4×
220281 CDM	Brentuximab Vl 50mg, Per 1mg	28	$5,363.40	$19,155.00	$14,940.90	nat. median $10,152 1.5× median
220378 CDM	Daratumumab-hyal 1800 Mg-30000 Units	28	$5,275.29	$18,840.33	$14,695.46	nat. median $822 outlier · 17.9×
220490 CDM	Ipilimumab Vl 50mg, Per 1mg	28	$5,250.99	$18,753.53	$14,627.75	nat. median $350 outlier · 41.8×
220215 CDM	Ipilimumab Vl 50mg, Per 1mg	28	$5,250.99	$18,753.53	$14,627.75	nat. median $6,581 outlier · 2.2×
220097 CDM	Leuprolide Acetate 6 Month 45mg	28	$5,228.77	$18,674.18	$14,565.86	nat. median $437 outlier · 33.3×
220206 CDM	Lanreotide 90mg/0.3ml Syringe	28	$5,197.50	$18,562.50	$14,478.75	nat. median $1,546 outlier · 9.4×
0424T HCPCS	Insj/rplc Nstim Apnea Compl	5	$14,048.80	$14,048.80	$14,048.80	nat. median $24,752 0.6× median
0312T HCPCS	Laps Impltj Nstim Vagus	5	$14,048.80	$14,048.80	$14,048.80	nat. median $8,204 1.7× median
220391 CDM	Lurbinectedin Vl 4mg, Per 0.1mg	28	$4,828.82	$17,245.80	$13,451.72	nat. median $2,504 outlier · 5.4×
220521 CDM	Lurbinectedin Vl 4mg, Per 0.1mg	28	$4,828.82	$17,245.80	$13,451.72	nat. median $9,140 1.5× median
366117 CDM	Implant Neuroelectrodes	24	$4,627.27	$16,525.95	$13,138.13	nat. median $13,138 1.0× median
366034 CDM	Revise Spine Eltrd Perq Aray	24	$4,627.27	$16,525.95	$13,138.13	nat. median $1,603 outlier · 8.2×
366094 CDM	Imp. Neuroelectrodes Leads	24	$4,627.27	$16,525.95	$13,138.13	nat. median $7,271 1.8× median
220264 CDM	Nivolumab Inj 240mg, Per 1mg	28	$4,606.32	$16,451.13	$12,831.88	nat. median $115 outlier · 111.6×
220294 CDM	Rituximab-hyaluronidase 1,400 Mg Vial	28	$4,603.61	$16,441.45	$12,824.33	nat. median $638 outlier · 20.1×
220209 CDM	Vedolizumab Vl 300mg, Per 1mg	28	$4,528.23	$16,172.25	$12,614.35	nat. median $226 outlier · 55.7×
220324 CDM	Atezolizumab Vl 840mg, Per 10mg	28	$4,505.07	$16,089.55	$12,549.85	nat. median $15,285 0.8× median
220229 CDM	Pegfilgrastim Inj 6mg, Per 0.5mg	28	$4,361.74	$15,577.65	$12,150.57	nat. median $14 outlier · 852.1×
220102 CDM	Octreotide Lar Depot Kit 30mg, Per 1mg	28	$4,350.05	$15,535.88	$12,117.99	nat. median $115 outlier · 105.4×
81416 CPT	Exome Sequence Analysis	6	$810.98	$12,000.00	$12,000.00	nat. median $12,000 1.0× median
220179 CDM	Ramucirumab Vl 10mg/ml 50ml, Per 5mg	28	$4,226.25	$15,093.75	$11,773.13	nat. median $2,117 outlier · 5.6×
220501 CDM	Ramucirumab Vl 10mg/ml 50ml, Per 5mg	28	$4,226.25	$15,093.75	$11,773.13	nat. median $14 outlier · 817.6×
0414T HCPCS	Rmvl & Rpl Car Modulj Pls Gn	5	$11,427.22	$11,427.22	$11,427.22	nat. median $22,718 0.5× median
0408T HCPCS	Insj/rplc Cardiac Modulj Sys	5	$11,427.22	$11,427.22	$11,427.22	nat. median $32,221 outlier · 0.4×
0409T HCPCS	Insj/rplc Car Modulj Pls Gn	5	$11,427.22	$11,427.22	$11,427.22	nat. median $22,946 outlier · 0.5×
220199 CDM	Obinutuzumab 1000mg / 40 Ml	28	$3,711.33	$13,254.75	$10,338.70	nat. median $258 outlier · 40.1×
220202 CDM	Pertuzumab Vl 420mg, Per 1mg	28	$3,704.41	$13,230.03	$10,319.42	nat. median $2,203 outlier · 4.7×
220207 CDM	Lanreotide 60mg/0.2ml Syringe	28	$3,669.75	$13,106.25	$10,222.88	nat. median $1,036 outlier · 9.9×
212294 CDM	Alteplase Solr 100 Mg	28	$3,614.84	$12,910.13	$10,069.90	nat. median $10,070 1.0× median
0308T HCPCS	Insj Ocular Telescope Prosth	7	$9,864.69	$9,864.69	$9,864.69	nat. median $16,416 0.6× median
220092 CDM	Ado-trastuzumab Vl 160mg, Per 1mg	28	$3,430.13	$12,250.45	$9,555.35	nat. median $64 outlier · 149.9×
220447 CDM	Ado-trastuzumab Vl 160mg, Per 1mg	28	$3,430.13	$12,250.45	$9,555.35	nat. median $7,350 1.3× median
220497 CDM	Panitumumab Vl 20mg/ml 20ml, Per 10mg	28	$3,397.69	$12,134.60	$9,464.99	nat. median $9,344 1.0× median
220100 CDM	Panitumumab 400mg/20ml	28	$3,397.69	$12,134.60	$9,464.99	nat. median $279 outlier · 33.9×

Other procedures at this hospital

Browse this hospital's 16,814 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

0100T	HCPCS	Prosth Retina Receive&gen	5	5	—	—	$77,913.19	$77,913.19	$77,913.19	2026-01-01
366035	CDM	Implant Neuroreceiver Stimulator	28	24	$78,916.95	$38,669.31 51% off	$22,096.75	$78,916.95	$62,738.97	2026-01-01
220489	CDM	Ipilimumab Vl 200mg, Per 1mg	33	28	$66,590.70	$32,629.44 51% off	$18,645.40	$66,590.70	$51,940.75	2026-01-01
220216	CDM	Ipilimumab Vl 200mg, Per 1mg	33	28	$66,590.70	$32,629.44 51% off	$18,645.40	$66,590.70	$51,940.75	2026-01-01
220523	CDM	Ocrelizumab Vl 300mg, Per 1mg	33	28	$46,939.00	$23,000.11 51% off	$13,142.92	$46,939.00	$36,612.42	2026-01-01
220577	CDM	Opdualag 240mg/80mg 20ml Sdv, Per 3/1mg	33	28	$37,057.80	$18,158.32 51% off	$10,376.18	$37,057.80	$28,905.08	2026-01-01
300038	CDM	Neurostimulator Enterra Ii	33	28	$25,000.00	$12,250.00 51% off	$7,000.00	$25,000.00	$19,500.00	2026-01-01
220261	CDM	Cabazitaxel Vl 60mg, Per 1mg	33	28	$23,824.45	$11,673.98 51% off	$6,670.85	$23,824.45	$18,583.07	2026-01-01
220463	CDM	Cabazitaxel Vl 60mg, Per 1mg	33	28	$23,824.45	$11,673.98 51% off	$6,670.85	$23,824.45	$18,583.07	2026-01-01
220347	CDM	Hemin 350 Mg Vial	33	28	$23,471.28	$11,500.93 51% off	$6,571.96	$23,471.28	$18,307.60	2026-01-01
220488	CDM	Hemin Inj 350mg, Per 1mg	33	28	$23,471.28	$11,500.93 51% off	$6,571.96	$23,471.28	$18,307.60	2026-01-01
220283	CDM	Atezolizumab Vl 1200mg, Per 10mg	33	28	$22,985.08	$11,262.69 51% off	$6,435.82	$22,985.08	$17,928.36	2026-01-01
220535	CDM	Risankizumab Rzaa IV Vl 60mg/ml 10ml 1mg	33	28	$22,566.93	$11,057.80 51% off	$6,318.74	$22,566.93	$17,602.21	2026-01-01
220475	CDM	Daunorubicin/cytarabine 44 Mg/100 Mg Sdv	33	28	$21,171.60	$10,374.08 51% off	$5,928.05	$21,171.60	$16,513.85	2026-01-01
220379	CDM	Daunorubicin/cytarabine 44 Mg/100 Mg Sdv	33	28	$21,171.60	$10,374.08 51% off	$5,928.05	$21,171.60	$16,513.85	2026-01-01
220462	CDM	Brentuximab Vl 50mg, Per 1mg	33	28	$19,155.00	$9,385.95 51% off	$5,363.40	$19,155.00	$14,940.90	2026-01-01
220281	CDM	Brentuximab Vl 50mg, Per 1mg	33	28	$19,155.00	$9,385.95 51% off	$5,363.40	$19,155.00	$14,940.90	2026-01-01
220378	CDM	Daratumumab-hyal 1800 Mg-30000 Units	33	28	$18,840.33	$9,231.76 51% off	$5,275.29	$18,840.33	$14,695.46	2026-01-01
220490	CDM	Ipilimumab Vl 50mg, Per 1mg	33	28	$18,753.53	$9,189.23 51% off	$5,250.99	$18,753.53	$14,627.75	2026-01-01
220215	CDM	Ipilimumab Vl 50mg, Per 1mg	33	28	$18,753.53	$9,189.23 51% off	$5,250.99	$18,753.53	$14,627.75	2026-01-01
220097	CDM	Leuprolide Acetate 6 Month 45mg	33	28	$18,674.18	$9,150.35 51% off	$5,228.77	$18,674.18	$14,565.86	2026-01-01
220206	CDM	Lanreotide 90mg/0.3ml Syringe	33	28	$18,562.50	$9,095.63 51% off	$5,197.50	$18,562.50	$14,478.75	2026-01-01
0312T	HCPCS	Laps Impltj Nstim Vagus	5	5	—	—	$14,048.80	$14,048.80	$14,048.80	2026-01-01
0424T	HCPCS	Insj/rplc Nstim Apnea Compl	5	5	—	—	$14,048.80	$14,048.80	$14,048.80	2026-01-01
220391	CDM	Lurbinectedin Vl 4mg, Per 0.1mg	33	28	$17,245.80	$8,450.44 51% off	$4,828.82	$17,245.80	$13,451.72	2026-01-01
220521	CDM	Lurbinectedin Vl 4mg, Per 0.1mg	33	28	$17,245.80	$8,450.44 51% off	$4,828.82	$17,245.80	$13,451.72	2026-01-01
366117	CDM	Implant Neuroelectrodes	28	24	$16,525.95	$8,097.72 51% off	$4,627.27	$16,525.95	$13,138.13	2026-01-01
366034	CDM	Revise Spine Eltrd Perq Aray	28	24	$16,525.95	$8,097.72 51% off	$4,627.27	$16,525.95	$13,138.13	2026-01-01
366094	CDM	Imp. Neuroelectrodes Leads	28	24	$16,525.95	$8,097.72 51% off	$4,627.27	$16,525.95	$13,138.13	2026-01-01
220264	CDM	Nivolumab Inj 240mg, Per 1mg	33	28	$16,451.13	$8,061.05 51% off	$4,606.32	$16,451.13	$12,831.88	2026-01-01
220294	CDM	Rituximab-hyaluronidase 1,400 Mg Vial	33	28	$16,441.45	$8,056.31 51% off	$4,603.61	$16,441.45	$12,824.33	2026-01-01
220209	CDM	Vedolizumab Vl 300mg, Per 1mg	33	28	$16,172.25	$7,924.40 51% off	$4,528.23	$16,172.25	$12,614.35	2026-01-01
220324	CDM	Atezolizumab Vl 840mg, Per 10mg	33	28	$16,089.55	$7,883.88 51% off	$4,505.07	$16,089.55	$12,549.85	2026-01-01
220229	CDM	Pegfilgrastim Inj 6mg, Per 0.5mg	33	28	$15,577.65	$7,633.05 51% off	$4,361.74	$15,577.65	$12,150.57	2026-01-01
220102	CDM	Octreotide Lar Depot Kit 30mg, Per 1mg	33	28	$15,535.88	$7,612.58 51% off	$4,350.05	$15,535.88	$12,117.99	2026-01-01
81416	CPT	Exome Sequence Analysis	6	6	—	—	$810.98	$12,000.00	$12,000.00	2026-01-01
220179	CDM	Ramucirumab Vl 10mg/ml 50ml, Per 5mg	33	28	$15,093.75	$7,395.94 51% off	$4,226.25	$15,093.75	$11,773.13	2026-01-01
220501	CDM	Ramucirumab Vl 10mg/ml 50ml, Per 5mg	33	28	$15,093.75	$7,395.94 51% off	$4,226.25	$15,093.75	$11,773.13	2026-01-01
0414T	HCPCS	Rmvl & Rpl Car Modulj Pls Gn	5	5	—	—	$11,427.22	$11,427.22	$11,427.22	2026-01-01
0408T	HCPCS	Insj/rplc Cardiac Modulj Sys	5	5	—	—	$11,427.22	$11,427.22	$11,427.22	2026-01-01
0409T	HCPCS	Insj/rplc Car Modulj Pls Gn	5	5	—	—	$11,427.22	$11,427.22	$11,427.22	2026-01-01
220199	CDM	Obinutuzumab 1000mg / 40 Ml	33	28	$13,254.75	$6,494.83 51% off	$3,711.33	$13,254.75	$10,338.70	2026-01-01
220202	CDM	Pertuzumab Vl 420mg, Per 1mg	33	28	$13,230.03	$6,482.71 51% off	$3,704.41	$13,230.03	$10,319.42	2026-01-01
220207	CDM	Lanreotide 60mg/0.2ml Syringe	33	28	$13,106.25	$6,422.06 51% off	$3,669.75	$13,106.25	$10,222.88	2026-01-01
212294	CDM	Alteplase Solr 100 Mg	33	28	$12,910.13	$6,325.96 51% off	$3,614.84	$12,910.13	$10,069.90	2026-01-01
0308T	HCPCS	Insj Ocular Telescope Prosth	7	7	—	—	$9,864.69	$9,864.69	$9,864.69	2026-01-01
220447	CDM	Ado-trastuzumab Vl 160mg, Per 1mg	33	28	$12,250.45	$6,002.72 51% off	$3,430.13	$12,250.45	$9,555.35	2026-01-01
220092	CDM	Ado-trastuzumab Vl 160mg, Per 1mg	33	28	$12,250.45	$6,002.72 51% off	$3,430.13	$12,250.45	$9,555.35	2026-01-01
220100	CDM	Panitumumab 400mg/20ml	33	28	$12,134.60	$5,945.95 51% off	$3,397.69	$12,134.60	$9,464.99	2026-01-01
220497	CDM	Panitumumab Vl 20mg/ml 20ml, Per 10mg	33	28	$12,134.60	$5,945.95 51% off	$3,397.69	$12,134.60	$9,464.99	2026-01-01
220280	CDM	Benralizumab 30 Mg/1 Ml Syr	33	28	$12,058.48	$5,908.66 51% off	$3,376.37	$12,058.48	$9,405.61	2026-01-01
333210	CDM	Ins/repl Temp Transvenous Elec	29	25	$11,746.15	$5,755.61 51% off	$3,288.92	$12,333.46	$9,396.92	2026-01-01
220239	CDM	Pembrolizumab Vl 100mg, Per 1mg	33	28	$11,975.50	$5,868.00 51% off	$3,353.14	$11,975.50	$9,340.89	2026-01-01
0316T	HCPCS	Replc Vagus Nerve Pls Gen	5	5	—	—	$9,247.42	$9,247.42	$9,247.42	2026-01-01
0426T	HCPCS	Insj/rplc Nstim Apnea Stm Ld	5	5	—	—	$9,247.42	$9,247.42	$9,247.42	2026-01-01
0268T	HCPCS	Implt/rpl Crtd Sns Dev Gen	5	5	—	—	$9,247.42	$9,247.42	$9,247.42	2026-01-01
0431T	HCPCS	Rmvl/rplc Nstim Apnea Pls Gn	5	5	—	—	$9,247.42	$9,247.42	$9,247.42	2026-01-01
0427T	HCPCS	Insj/rplc Nstim Apnea Pls Gn	5	5	—	—	$9,247.42	$9,247.42	$9,247.42	2026-01-01
220506	CDM	Rituximab Vl 10mg/ml 50ml, Per 10mg	33	28	$11,744.00	$5,754.56 51% off	$3,288.32	$11,744.00	$9,160.32	2026-01-01
212850	CDM	Rituximab Inj. 500 Mg Vial	33	28	$11,744.00	$5,754.56 51% off	$3,288.32	$11,744.00	$9,160.32	2026-01-01
210053	CDM	Pegfilgrastim Soln 6	33	28	$11,557.78	$5,663.31 51% off	$3,236.18	$11,557.78	$9,015.07	2026-01-01
220158	CDM	Pembrolizumab 50mg / 2 Ml	33	28	$11,452.30	$5,611.63 51% off	$3,206.64	$11,452.30	$8,932.79	2026-01-01
0302T	HCPCS	Icar Ischm Mntrng Sys Compl	5	5	—	—	$8,709.04	$8,709.04	$8,709.04	2026-01-01
220590	CDM	Tezepelumab Ekko Sq 210mg, Per 1mg	33	28	$10,802.25	$5,293.10 51% off	$3,024.63	$10,802.25	$8,425.75	2026-01-01
110220	CDM	Cholangiography Post-operative	28	24	$10,183.05	$4,989.69 51% off	$2,851.25	$10,183.05	$8,095.52	2026-01-01
220124	CDM	Octreotide Depot Kit 20mg, Per 1mg	33	28	$10,375.05	$5,083.77 51% off	$2,905.01	$10,375.05	$8,092.54	2026-01-01
220575	CDM	Inclisiran Na Inj Sq 284mg 1.5ml Per 1mg	33	28	$10,246.74	$5,020.90 51% off	$2,869.09	$10,246.74	$7,992.46	2026-01-01
220380	CDM	Pegfilgrastim Jmdb Sq 6mg, Per 0.5mg	33	28	$10,144.77	$4,970.94 51% off	$2,840.54	$10,144.77	$7,912.92	2026-01-01
220589	CDM	Pegfilgrastim Cbqv 6mg Sq Kit, Per 0.5mg	33	28	$9,889.53	$4,845.87 51% off	$2,769.07	$9,889.53	$7,713.83	2026-01-01
220588	CDM	Pegfilgrastim Cbqv 6mg Sq, Per 0.5mg	33	28	$9,889.53	$4,845.87 51% off	$2,769.07	$9,889.53	$7,713.83	2026-01-01
0387T	HCPCS	Leadless Pm Ins/rpl Ventr	5	5	—	—	$7,678.13	$7,678.13	$7,678.13	2026-01-01
0238T	HCPCS	Trluml Perip Athrc Iliac Art	7	7	—	—	$7,678.13	$7,678.13	$7,678.13	2026-01-01
210320	CDM	Tenecteplase Vl 50mg, Per 1mg	33	28	$9,621.87	$4,714.72 51% off	$2,694.12	$9,621.87	$7,505.06	2026-01-01
220335	CDM	Rituximab-abbs Vl 10mg/ml 50ml, Per 10mg	33	28	$9,597.66	$4,702.85 51% off	$2,687.34	$9,597.66	$7,486.17	2026-01-01
220520	CDM	Rituximab-abbs Vl 10mg/ml 50ml, Per 10mg	33	28	$9,597.66	$4,702.85 51% off	$2,687.34	$9,597.66	$7,486.17	2026-01-01
220551	CDM	Octreotide Depot Kit 10mg, Per 1mg	33	28	$9,585.78	$4,697.03 51% off	$2,684.02	$9,585.78	$7,476.91	2026-01-01
210176	CDM	Bevacizumab Vl 25mg/ml 16ml, Per 10mg	33	28	$9,563.28	$4,686.01 51% off	$2,677.72	$9,563.28	$7,459.36	2026-01-01
220456	CDM	Bevacizumab Vl 25mg/ml 16ml, Per 10mg	33	28	$9,563.28	$4,686.01 51% off	$2,677.72	$9,563.28	$7,459.36	2026-01-01
220160	CDM	Gamunex-c 40gm / 400ml	33	28	$9,498.24	$4,654.14 51% off	$2,659.51	$9,498.24	$7,408.63	2026-01-01
210217	CDM	Leuprolide Acetate 22.5mg	33	28	$9,457.98	$4,634.41 51% off	$2,648.23	$9,457.98	$7,377.22	2026-01-01
220480	CDM	Durvalumab Vl 50mg/ml 10ml, Per 10mg	33	28	$9,439.45	$4,625.33 51% off	$2,643.05	$9,439.45	$7,362.77	2026-01-01
220267	CDM	Durvalumab Vl 50mg/ml 10ml, Per 10mg	33	28	$9,439.45	$4,625.33 51% off	$2,643.05	$9,439.45	$7,362.77	2026-01-01
210178	CDM	Pemetrexed Pwdr Vl 500mg, Per 10mg	33	28	$9,373.23	$4,592.88 51% off	$2,624.50	$9,373.23	$7,311.12	2026-01-01
220499	CDM	Pemetrexed Pwdr Vl 500mg, Per 10mg	33	28	$9,373.23	$4,592.88 51% off	$2,624.50	$9,373.23	$7,311.12	2026-01-01
63685	CPT	Implant Neuroreceiver Stimulator	16	12	$78,916.95	$38,669.31 51% off	$401.92	$59,187.71	$7,229.02	2026-01-01
210197	CDM	Rasburicase 7.5mg Vial	33	28	$9,244.89	$4,530.00 51% off	$2,588.57	$9,244.89	$7,211.01	2026-01-01
220503	CDM	Rasburicase 7.5mg Vial	33	28	$9,244.89	$4,530.00 51% off	$2,588.57	$9,244.89	$7,211.01	2026-01-01
220359	CDM	Darbepoetin Vl 500mcg Esrd, Per 1mcg	33	28	$9,224.03	$4,519.77 51% off	$2,582.73	$9,224.03	$7,194.74	2026-01-01
210198	CDM	Darbepoetin Vl 500mcg Non Esrd, Per 1mcg	33	28	$9,223.93	$4,519.73 51% off	$2,582.70	$9,223.93	$7,194.67	2026-01-01
220446	CDM	Ado-trastuzumab Vl 100mg, Per 1mg	33	28	$9,187.83	$4,502.04 51% off	$2,572.59	$9,187.83	$7,166.51	2026-01-01
220093	CDM	Ado-trastuzumab Vl 100mg, Per 1mg	33	28	$9,187.83	$4,502.04 51% off	$2,572.59	$9,187.83	$7,166.51	2026-01-01
220537	CDM	Nivolumab Vl 120mg, Per 1mg	33	28	$9,172.70	$4,494.62 51% off	$2,568.36	$9,172.70	$7,154.71	2026-01-01
380440	CDM	Biopsy Breast Open Incisional	28	24	$8,911.85	$4,366.81 51% off	$2,495.32	$8,911.85	$7,084.92	2026-01-01
380360	CDM	Skin Sub Grft T/arm/lg Child	28	24	$8,848.25	$4,335.64 51% off	$2,477.51	$8,848.25	$7,034.36	2026-01-01
366036	CDM	Revise/remove Neuroreceiver	28	24	$8,782.20	$4,303.28 51% off	$2,459.02	$8,782.20	$6,981.85	2026-01-01
220454	CDM	Bendamustine Hcl 100 Mg Vl, Per 1 Mg	33	28	$8,915.40	$4,368.55 51% off	$2,496.31	$8,915.40	$6,954.01	2026-01-01
210308	CDM	Bendamustine Hcl 100 Mg Vl, Per 1mg	33	28	$8,915.40	$4,368.55 51% off	$2,496.31	$8,915.40	$6,954.01	2026-01-01
220384	CDM	Rituximab-pvvr Ruxience Vl 500mg, 10mg	33	28	$8,827.83	$4,325.64 51% off	$2,471.79	$8,827.83	$6,885.71	2026-01-01
220508	CDM	Rituximab-pvvr Ruxience Vl 500mg, 10mg	33	28	$8,827.83	$4,325.64 51% off	$2,471.79	$8,827.83	$6,885.71	2026-01-01
335206	CDM	Repair Blood Vessel,direct,upper Extrem	29	25	$8,547.45	$4,188.25 51% off	$2,393.29	$8,974.82	$6,837.96	2026-01-01
280623	CDM	Tibialis Tendon	33	28	$8,766.45	$4,295.56 51% off	$2,454.61	$8,766.45	$6,837.83	2026-01-01
220251	CDM	Mepolizumab 100 Mg Vial	33	28	$8,625.75	$4,226.62 51% off	$2,415.21	$8,625.75	$6,728.09	2026-01-01
39503	CPT	Repair Of Diaphragm Hernia	11	7	—	—	$6,662.45	$6,817.33	$6,662.45	2026-01-01
0081U	HCPCS	Onc Uveal Mlnma Mrna 15 Gene	1	1	—	—	$6,480.00	$6,480.00	$6,480.00	2026-01-01
321320	CDM	Clsd Tx Nsl Bone Fx,w/stabilza	29	25	$7,738.50	$3,791.87 51% off	$2,166.78	$8,125.43	$6,190.80	2026-01-01
380435	CDM	Partial Amputation Of Toe	28	24	$7,716.90	$3,781.28 51% off	$2,160.73	$7,716.90	$6,134.94	2026-01-01
47135	CPT	Transplantation Of Liver	11	7	—	—	$6,118.58	$6,141.59	$6,118.58	2026-01-01
338898	CDM	Cld Tx Talus Fx,w/manipulation	34	29	$7,803.80	$3,823.86 51% off	$2,185.06	$8,193.99	$6,086.96	2026-01-01
338891	CDM	Close Tx Bimall Ankle Fx W/man	34	29	$7,803.80	$3,823.86 51% off	$2,185.06	$8,193.99	$6,086.96	2026-01-01
338895	CDM	Cl Tx Fx Wtbr Art Pt Dst Tibia	34	29	$7,803.80	$3,823.86 51% off	$2,185.06	$8,193.99	$6,086.96	2026-01-01
338893	CDM	Cl Tx Trimalleolar Ankl Fx,w/m	34	29	$7,803.80	$3,823.86 51% off	$2,185.06	$8,193.99	$6,086.96	2026-01-01
338813	CDM	Closed Tx Humeral Condylar Fx W/manip	34	29	$7,803.80	$3,823.86 51% off	$2,185.06	$8,193.99	$6,086.96	2026-01-01
338803	CDM	Clsd Tx Scapular Fx;w/manipula	34	29	$7,803.80	$3,823.86 51% off	$2,185.06	$8,193.99	$6,086.96	2026-01-01
338823	CDM	Cls Tx Rad Hd Neck Fx W Manip	34	29	$7,803.80	$3,823.86 51% off	$2,185.06	$8,193.99	$6,086.96	2026-01-01
338819	CDM	Cls Tx Monteggia Frct Disl@elb	34	29	$7,803.80	$3,823.86 51% off	$2,185.06	$8,193.99	$6,086.96	2026-01-01
338831	CDM	Treat Thumb Fracture	34	29	$7,803.80	$3,823.86 51% off	$2,185.06	$8,193.99	$6,086.96	2026-01-01
326765	CDM	Open Tx Dstl Phalangeal Fx,	29	25	$7,600.40	$3,724.20 51% off	$2,128.11	$7,980.42	$6,080.32	2026-01-01
220511	CDM	Romiplostim Vl 500mcg, Per 1mcg	33	28	$7,768.20	$3,806.42 51% off	$2,175.10	$7,768.20	$6,059.20	2026-01-01
220046	CDM	Romiplostim Vl 500mcg, Per 1mcg	33	28	$7,768.20	$3,806.42 51% off	$2,175.10	$7,768.20	$6,059.20	2026-01-01
220458	CDM	Bevacizumab-awwb Mvasi Vl 400mg Per 10mg	33	28	$7,751.94	$3,798.45 51% off	$2,170.54	$7,751.94	$6,046.51	2026-01-01
220313	CDM	Bevacizumab-awwb Mvasi Vl 400mg Per 10mg	33	28	$7,751.94	$3,798.45 51% off	$2,170.54	$7,751.94	$6,046.51	2026-01-01
220494	CDM	Nivolumab Vl 100mg, Per 1mg	33	28	$7,749.99	$3,797.50 51% off	$2,170.00	$7,749.99	$6,044.99	2026-01-01
220195	CDM	Nivolumab 100mg Vial	33	28	$7,749.99	$3,797.50 51% off	$2,170.00	$7,749.99	$6,044.99	2026-01-01
338877	CDM	Clsd Tx Hip Disl W/anes	34	29	$7,672.40	$3,759.48 51% off	$2,148.27	$8,056.02	$5,984.47	2026-01-01
380382	CDM	Amputation Of Toe	28	24	$7,410.75	$3,631.27 51% off	$2,075.01	$7,410.75	$5,891.55	2026-01-01
220484	CDM	Fam-trastuzumab Derux 100mg Vl, Per 1mg	33	28	$7,418.97	$3,635.30 51% off	$2,077.31	$7,418.97	$5,786.80	2026-01-01
220400	CDM	Fam-trastuzumab Derux 100mg Vl, Per 1mg	33	28	$7,418.97	$3,635.30 51% off	$2,077.31	$7,418.97	$5,786.80	2026-01-01
43116	CPT	Partial Removal Of Esophagus	11	7	—	—	$5,706.28	$5,718.58	$5,718.58	2026-01-01
220156	CDM	Carfilzomib Vl 60mg, Per 1mg	33	28	$7,305.54	$3,579.71 51% off	$2,045.55	$7,305.54	$5,698.32	2026-01-01
220467	CDM	Carfilzomib Vl 60mg, Per 1mg	33	28	$7,305.54	$3,579.71 51% off	$2,045.55	$7,305.54	$5,698.32	2026-01-01
33935	CPT	Transplantation Heart/lung	11	7	—	—	$5,649.30	$5,654.50	$5,654.50	2026-01-01
49605	CPT	Repair Umbilical Lesion	11	7	—	—	$5,650.62	$5,672.40	$5,650.62	2026-01-01
311012	CDM	Deb Skin Bone At Fx Site	29	25	$7,026.45	$3,442.96 51% off	$1,967.41	$7,377.77	$5,621.16	2026-01-01
338811	CDM	Humerus Fracture W/manipulation	34	29	$7,185.70	$3,520.99 51% off	$2,012.00	$7,544.98	$5,604.85	2026-01-01
32854	CPT	Lung Transplant With Bypass	11	7	—	—	$5,552.22	$5,579.76	$5,579.76	2026-01-01
33945	CPT	Transplantation Of Heart	11	7	—	—	$5,546.91	$5,565.83	$5,565.83	2026-01-01
220441	CDM	Trastuzumab-qyyp 420mg Vial, Muv	33	28	$7,132.98	$3,495.16 51% off	$1,997.23	$7,132.98	$5,563.72	2026-01-01
380431	CDM	Incision Drainage Leg Ankle Abscess	28	24	$6,996.05	$3,428.06 51% off	$1,958.89	$6,996.05	$5,561.86	2026-01-01
220213	CDM	Elotuzumab Vl 400mg, Per 1mg	33	28	$7,104.00	$3,480.96 51% off	$1,989.12	$7,104.00	$5,541.12	2026-01-01
220482	CDM	Elotuzumab Vl 400mg, Per 1mg	33	28	$7,104.00	$3,480.96 51% off	$1,989.12	$7,104.00	$5,541.12	2026-01-01
338809	CDM	Clsd Tx Shld Disloc,w/fx Gr Hu	34	29	$7,083.80	$3,471.06 51% off	$1,983.46	$7,437.99	$5,525.36	2026-01-01
220041	CDM	Denosumab Sq 120mg, Per 1mg	33	28	$7,068.81	$3,463.72 51% off	$1,979.27	$7,068.81	$5,513.67	2026-01-01
310180	CDM	I & D Complex Postop Wound Infection	29	25	$6,821.25	$3,342.41 51% off	$1,909.95	$7,162.31	$5,457.00	2026-01-01
220399	CDM	Tocilizumab Vl 400mg 20ml, Per 1mg	33	28	$6,980.28	$3,420.34 51% off	$1,954.48	$6,980.28	$5,444.62	2026-01-01
220516	CDM	Tocilizumab Vl 400mg 20ml, Per 1mg	33	28	$6,980.28	$3,420.34 51% off	$1,954.48	$6,980.28	$5,444.62	2026-01-01
380438	CDM	I & D Complex Postop Wound Infection	28	24	$6,821.25	$3,342.41 51% off	$1,909.95	$6,821.25	$5,422.90	2026-01-01
47142	CPT	Partial Removal Donor Liver	11	7	—	—	$5,367.22	$5,377.77	$5,367.22	2026-01-01
338879	CDM	Cltx Post Hip Arthrp Dislc Req Anes	34	29	$6,833.85	$3,348.59 51% off	$1,913.48	$7,175.54	$5,330.40	2026-01-01
338807	CDM	Cl Tx Shl Disl;w/manip;rq Anes	34	29	$6,833.80	$3,348.56 51% off	$1,913.46	$7,175.49	$5,330.36	2026-01-01
32853	CPT	Lung Transplant Double	11	7	—	—	$5,226.88	$5,259.39	$5,259.39	2026-01-01
61698	CPT	Brain Aneurysm Repr Complx	11	7	—	—	$5,248.09	$5,407.08	$5,248.09	2026-01-01
364831	CDM	Suture Dig Nerve Hand/foot	29	25	$6,489.95	$3,180.08 51% off	$1,817.19	$6,814.45	$5,191.96	2026-01-01
43123	CPT	Partial Removal Of Esophagus	11	7	—	—	$5,155.99	$5,180.49	$5,180.49	2026-01-01
337790	CDM	Penile Venous Occlusive Proc.	29	25	$6,466.00	$3,168.34 51% off	$1,810.48	$6,789.30	$5,172.80	2026-01-01
69930	CPT	Implant Cochlear Device	16	12	—	—	$1,344.31	$16,536.76	$5,145.46	2026-01-01
43108	CPT	Removal Of Esophagus	11	7	—	—	$5,095.82	$5,119.45	$5,119.45	2026-01-01
61686	CPT	Intracranial Vessel Surgery	11	7	—	—	$5,118.96	$5,255.22	$5,118.96	2026-01-01
300615	CDM	Egd With Ablation	28	24	$6,393.45	$3,132.79 51% off	$1,790.17	$6,393.45	$5,082.80	2026-01-01
0237T	HCPCS	Trluml Perip Athrc Brchiocph	7	7	—	—	$5,065.60	$5,065.60	$5,065.60	2026-01-01
0234T	HCPCS	Trluml Perip Athrc Renal Art	7	7	—	—	$5,065.60	$5,065.60	$5,065.60	2026-01-01
0236T	HCPCS	Trluml Perip Athrc Abd Aorta	7	7	—	—	$5,065.60	$5,065.60	$5,065.60	2026-01-01
0398T	HCPCS	Mrgfus Strtctc Les Abltj	5	5	—	—	$5,064.60	$5,064.60	$5,064.60	2026-01-01
20602	CDM	Multi Sleep Latency	29	24	$6,337.80	$3,105.52 51% off	$1,774.58	$6,337.80	$5,006.86	2026-01-01
43113	CPT	Removal Of Esophagus	11	7	—	—	$4,970.77	$4,998.12	$4,998.12	2026-01-01
220474	CDM	Daratumumab Vl 400mg, Per 10mg	33	28	$6,324.87	$3,099.19 51% off	$1,770.96	$6,324.87	$4,933.40	2026-01-01
220231	CDM	Daratumumab Vl 400mg, Per 10mg	33	28	$6,324.87	$3,099.19 51% off	$1,770.96	$6,324.87	$4,933.40	2026-01-01
220295	CDM	Aripiprazole Xr Injectable Susp	33	28	$6,322.62	$3,098.08 51% off	$1,770.33	$6,322.62	$4,931.64	2026-01-01
220460	CDM	Bevacizumab-bvzr Zirabev Vl 400mg, 10mg	33	28	$6,304.80	$3,089.35 51% off	$1,765.34	$6,304.80	$4,917.74	2026-01-01
220440	CDM	Bevacizumab-bvzr Zirabev Vl 400mg, 10mg	33	28	$6,304.80	$3,089.35 51% off	$1,765.34	$6,304.80	$4,917.74	2026-01-01
0304T	HCPCS	Icar Ischm Mntrng Sys Device	5	5	—	—	$4,889.64	$4,889.64	$4,889.64	2026-01-01
300039	CDM	Lead Neurostimulator Enterra	33	28	$6,250.00	$3,062.50 51% off	$1,750.00	$6,250.00	$4,875.00	2026-01-01
47141	CPT	Partial Removal Donor Liver	11	7	—	—	$4,869.94	$4,871.93	$4,869.94	2026-01-01
33916	CPT	Surgery Of Great Vessel	11	7	—	—	$4,814.31	$4,862.72	$4,862.72	2026-01-01
220185	CDM	Immune Globulin Hum-maltose 20gm 10%	33	28	$6,210.00	$3,042.90 51% off	$1,738.80	$6,210.00	$4,843.80	2026-01-01
61697	CPT	Brain Aneurysm Repr Complx	11	7	—	—	$4,800.88	$4,841.81	$4,841.81	2026-01-01
46748	CPT	Repair Of Cloacal Anomaly	11	7	—	—	$4,810.72	$4,829.87	$4,810.72	2026-01-01
61576	CPT	Skull Base/brainstem Surgery	11	7	—	—	$4,718.92	$4,800.51	$4,800.51	2026-01-01
120383	CDM	Multiple Spect Mycardial Perfu	29	24	$6,070.70	$2,974.64 51% off	$1,699.80	$6,070.70	$4,795.85	2026-01-01
61682	CPT	Intracranial Vessel Surgery	11	7	—	—	$4,795.52	$4,847.45	$4,795.52	2026-01-01
81415	CPT	Exome Sequence Analysis	6	6	—	—	$950.00	$4,780.00	$4,780.00	2026-01-01
0036U	HCPCS	Xome Tum & Nml Spec Seq Alys	3	3	—	—	$3,346.00	$4,780.00	$4,780.00	2026-01-01
220123	CDM	Gammagard Liquid 30gm	33	28	$6,089.40	$2,983.81 51% off	$1,705.03	$6,089.40	$4,749.73	2026-01-01
33249	CPT	Insj/rplcmt Defib W/lead(s)	16	12	—	—	$1,038.52	$15,856.43	$4,748.30	2026-01-01
220151	CDM	Gamunex-c 20gm / 200ml	33	28	$6,082.20	$2,980.28 51% off	$1,703.02	$6,082.20	$4,744.12	2026-01-01
33305	CPT	Repair Of Heart Wound	11	7	—	—	$4,680.77	$4,715.63	$4,715.63	2026-01-01
380380	CDM	Partial Excision Phalanx Of Toe	28	24	$5,891.35	$2,886.76 51% off	$1,649.58	$5,891.35	$4,683.62	2026-01-01
338817	CDM	Tx Clsd Elbow Disloc;w/anesth	34	29	$5,995.30	$2,937.70 51% off	$1,678.68	$6,295.06	$4,676.33	2026-01-01
364550	CDM	Reverse Shoulder Titanium Glns 36mmx24mm	33	28	$5,953.00	$2,916.97 51% off	$1,666.84	$5,953.00	$4,643.34	2026-01-01
61702	CPT	Inner Skull Vessel Surgery	11	7	—	—	$4,581.57	$4,633.21	$4,633.21	2026-01-01
360052	CDM	Anchor Speedbridge Implant Sys	33	28	$5,913.00	$2,897.37 51% off	$1,655.64	$5,913.00	$4,612.14	2026-01-01
360925	CDM	Peek Meniscal Root Repair Kit	33	28	$5,812.50	$2,848.13 51% off	$1,627.50	$5,812.50	$4,533.75	2026-01-01
326370	CDM	Rep Profundus Tendon	29	25	$5,661.75	$2,774.26 51% off	$1,585.29	$5,944.84	$4,529.40	2026-01-01
326350	CDM	Rep Flex Tndn Prim Sec Wo Free Graft	29	25	$5,661.75	$2,774.26 51% off	$1,585.29	$5,944.84	$4,529.40	2026-01-01
20808	CPT	Replantation Hand Complete	11	7	—	—	$4,459.28	$4,506.54	$4,506.54	2026-01-01
327658	CDM	Repair Of Leg Tendon Each	29	25	$5,633.15	$2,760.24 51% off	$1,577.28	$5,914.81	$4,506.52	2026-01-01
359409	CDM	Delivery	29	25	$5,620.60	$2,754.09 51% off	$1,573.77	$5,901.63	$4,496.48	2026-01-01
20601	CDM	Polysom 4+ 2/tech Cpap/bipap	29	24	$5,679.45	$2,782.93 51% off	$1,590.25	$5,679.45	$4,486.77	2026-01-01
20801	CDM	Telemetry Remote 30 Day ECG Tech Supp	29	24	$5,634.30	$2,760.81 51% off	$1,577.60	$5,634.30	$4,451.10	2026-01-01
360613	CDM	Augment Injectable Kit 3.0 Cc	33	28	$5,700.00	$2,793.00 51% off	$1,596.00	$5,700.00	$4,446.00	2026-01-01
46746	CPT	Repair Of Cloacal Anomaly	11	7	—	—	$4,435.65	$4,448.26	$4,435.65	2026-01-01
220487	CDM	Golimumab 50 Mg/4 Ml Sdv, Iv, Per 1 Mg	33	28	$5,670.27	$2,778.43 51% off	$1,587.68	$5,670.27	$4,422.81	2026-01-01
220376	CDM	Golimumab 50 Mg/4 Ml Sdv, Iv, Per 1 Mg	33	28	$5,670.27	$2,778.43 51% off	$1,587.68	$5,670.27	$4,422.81	2026-01-01
364502	CDM	Eclipse Humeral Cap Stem 43mm	33	28	$5,625.00	$2,756.25 51% off	$1,575.00	$5,625.00	$4,387.50	2026-01-01
364478	CDM	Eclipse Humeral Cap Stem 47mm	33	28	$5,625.00	$2,756.25 51% off	$1,575.00	$5,625.00	$4,387.50	2026-01-01
364493	CDM	Eclipse Humeral Cap Stem 45mm	33	28	$5,625.00	$2,756.25 51% off	$1,575.00	$5,625.00	$4,387.50	2026-01-01
364464	CDM	Eclipse Total Shoulder Hum Cap Stem 41mm	33	28	$5,625.00	$2,756.25 51% off	$1,575.00	$5,625.00	$4,387.50	2026-01-01
43124	CPT	Removal Of Esophagus	11	7	—	—	$4,340.95	$4,373.23	$4,373.23	2026-01-01
364501	CDM	Eclipse Large Cage Screw	33	28	$5,531.25	$2,710.31 51% off	$1,548.75	$5,531.25	$4,314.38	2026-01-01
364492	CDM	Eclipse Medium Cage Screw	33	28	$5,531.25	$2,710.31 51% off	$1,548.75	$5,531.25	$4,314.38	2026-01-01
364463	CDM	Eclipse Total Shoulder 30mm Cage Screw	33	28	$5,531.25	$2,710.31 51% off	$1,548.75	$5,531.25	$4,314.38	2026-01-01
212409	CDM	Digoxin Immune 40mg Vial	33	28	$5,520.48	$2,705.04 51% off	$1,545.73	$5,520.48	$4,305.97	2026-01-01
200055	CDM	MRI Orbit,face,nck W/wo Contr	29	24	$5,444.45	$2,667.78 51% off	$1,524.45	$5,444.45	$4,301.12	2026-01-01
26554	CPT	Double Transfer Toe-hand	11	7	—	—	$4,280.84	$4,300.00	$4,300.00	2026-01-01
61520	CPT	Removal Of Brain Lesion	11	7	—	—	$4,241.49	$4,298.76	$4,298.76	2026-01-01
43288	CPT	Esphg Thrsc Moblj	8	4	—	—	$4,288.43	$4,302.76	$4,288.43	2026-01-01
366089	CDM	Discography Cerv/thor	29	24	$5,413.20	$2,652.47 51% off	$1,515.70	$5,413.20	$4,276.43	2026-01-01
366090	CDM	Discography Lumbar	29	24	$5,413.20	$2,652.47 51% off	$1,515.70	$5,413.20	$4,276.43	2026-01-01
61886	CPT	Implant Neurostim Arrays	16	12	—	—	$954.01	$14,048.80	$4,230.05	2026-01-01
220451	CDM	Belimumab Vl 400mg, Per 10mg	33	28	$5,418.63	$2,655.13 51% off	$1,517.22	$5,418.63	$4,226.53	2026-01-01
220371	CDM	Belimumab Vl 400mg, Per 10mg	33	28	$5,418.63	$2,655.13 51% off	$1,517.22	$5,418.63	$4,226.53	2026-01-01
61692	CPT	Intracranial Vessel Surgery	11	7	—	—	$4,151.45	$4,225.09	$4,225.09	2026-01-01
117030	CDM	Abd Pelvis W/wo Contrast	29	24	$5,316.25	$2,604.96 51% off	$1,488.55	$5,316.25	$4,199.84	2026-01-01
117022	CDM	CT Abd W & Without /pelvis W Or Without	29	24	$5,316.25	$2,604.96 51% off	$1,488.55	$5,316.25	$4,199.84	2026-01-01
207003	CDM	MRA Neck W And Wo Contrast	29	24	$5,315.95	$2,604.82 51% off	$1,488.47	$5,315.95	$4,199.60	2026-01-01
380399	CDM	Flexor Tenomony, Toe	28	24	$5,258.45	$2,576.64 51% off	$1,472.37	$5,258.45	$4,180.47	2026-01-01
220192	CDM	Alpha 1 Proteinase Inhibitor 6 Vials	33	28	$5,358.00	$2,625.42 51% off	$1,500.24	$5,358.00	$4,179.24	2026-01-01
33877	CPT	Thoracoabdominal Graft	11	7	—	—	$4,142.65	$4,176.91	$4,176.91	2026-01-01
43118	CPT	Partial Removal Of Esophagus	11	7	—	—	$4,144.06	$4,176.56	$4,176.56	2026-01-01
220214	CDM	Elotuzumab Vl 300mg, Per 1mg	33	28	$5,328.00	$2,610.72 51% off	$1,491.84	$5,328.00	$4,155.84	2026-01-01
220481	CDM	Elotuzumab Vl 300mg, Per 1mg	33	28	$5,328.00	$2,610.72 51% off	$1,491.84	$5,328.00	$4,155.84	2026-01-01
43287	CPT	Esphg Dstl 2/3 W/laps Moblj	8	4	—	—	$4,095.08	$4,110.62	$4,110.62	2026-01-01
32852	CPT	Lung Transplant With Bypass	11	7	—	—	$4,049.60	$4,106.24	$4,106.24	2026-01-01
61526	CPT	Removal Of Brain Lesion	11	7	—	—	$3,788.91	$4,100.88	$4,100.88	2026-01-01
200766	CDM	MRI Lower Ext Any Joint Lt W Without	33	28	$5,239.10	$2,567.16 51% off	$1,466.95	$5,239.10	$4,086.50	2026-01-01
200767	CDM	MRI Lower Ext Any Joint Rt W Without	33	28	$5,239.10	$2,567.16 51% off	$1,466.95	$5,239.10	$4,086.50	2026-01-01
20603	CDM	Polysomnography 4+ 2/tech	29	24	$5,162.85	$2,529.80 51% off	$1,445.60	$5,162.85	$4,078.65	2026-01-01
47140	CPT	Partial Removal Donor Liver	11	7	—	—	$4,065.63	$4,077.67	$4,077.67	2026-01-01
220477	CDM	Doxorubicin (lipo) Vl 50mg, Per 10mg	33	28	$5,210.43	$2,553.11 51% off	$1,458.92	$5,210.43	$4,064.14	2026-01-01
220235	CDM	Doxorubicin (lipo) Vl 50mg, Per 10mg	33	28	$5,210.43	$2,553.11 51% off	$1,458.92	$5,210.43	$4,064.14	2026-01-01
32445	CPT	Removal Of Lung Extrapleural	11	7	—	—	$4,016.01	$4,052.76	$4,052.76	2026-01-01
335226	CDM	Repair Blood Vessel Lower Extr	29	25	$5,040.25	$2,469.72 51% off	$1,411.27	$5,292.26	$4,032.20	2026-01-01
46744	CPT	Repair Of Cloacal Anomaly	11	7	—	—	$4,024.30	$4,029.95	$4,024.30	2026-01-01
33783	CPT	Nikaidoh Proc W/ostia Implt	11	7	—	—	$3,983.60	$4,024.17	$4,024.17	2026-01-01
81425	CPT	Genome Sequence Analysis	4	4	—	—	$950.00	$5,031.20	$4,010.90	2026-01-01
207013	CDM	MRI Lower Ext Joint W/contrast Rt	33	28	$5,142.05	$2,519.60 51% off	$1,439.77	$5,142.05	$4,010.80	2026-01-01
207012	CDM	MRI Lower Ext Joint W/contrast Lt	33	28	$5,142.05	$2,519.60 51% off	$1,439.77	$5,142.05	$4,010.80	2026-01-01
43112	CPT	Esphg Tot W/thrcm	11	7	—	—	$3,972.53	$4,009.96	$4,009.96	2026-01-01
331530	CDM	Laryngoscopy Direct Fb Removal	29	25	$4,961.45	$2,431.11 51% off	$1,389.21	$5,209.52	$3,969.16	2026-01-01
33622	CPT	Redo Compl Cardiac Anomaly	11	7	—	—	$3,918.60	$3,959.29	$3,959.29	2026-01-01
220464	CDM	Calcitonin Vl 200iu/ml 2ml, Per 400iu	33	28	$5,063.38	$2,481.06 51% off	$1,417.75	$5,063.38	$3,949.44	2026-01-01
211724	CDM	Calcitonin Vl 200iu/ml 2ml, Per 400iu	33	28	$5,063.38	$2,481.06 51% off	$1,417.75	$5,063.38	$3,949.44	2026-01-01
220070	CDM	Immune Globulin 20gm	33	28	$5,037.00	$2,468.13 51% off	$1,410.36	$5,037.00	$3,928.86	2026-01-01
61700	CPT	Brain Aneurysm Repr Simple	11	7	—	—	$3,862.11	$3,923.17	$3,923.17	2026-01-01
47122	CPT	Extensive Removal Of Liver	11	7	—	—	$3,918.54	$3,920.67	$3,918.54	2026-01-01
33440	CPT	Rplcmt A-valve Tlcj Autol Pv	2	2	—	—	$3,911.23	$3,911.23	$3,911.23	2026-01-01
33858	CPT	As-aort Grf F/aortic Dsj	2	2	—	—	$3,875.58	$3,875.58	$3,875.58	2026-01-01
81541	CPT	Onc Prostate Mrna 46 Genes	6	6	—	—	$2,314.35	$3,873.00	$3,873.00	2026-01-01
81522	CPT	Onc Breast Mrna 12 Genes	3	3	—	—	$3,873.00	$3,873.00	$3,873.00	2026-01-01
0047U	HCPCS	Onc Prst8 Mrna 17 Gene Alg	3	3	—	—	$2,314.35	$3,873.00	$3,873.00	2026-01-01
81521	CPT	Onc Breast Mrna 70 Genes	6	6	—	—	$2,711.10	$3,873.00	$3,873.00	2026-01-01
0045U	HCPCS	Onc Brst Dux Carc Is 12 Gene	3	3	—	—	$2,711.10	$3,873.00	$3,873.00	2026-01-01
77425	CPT	Io Rad Tx Deliver By Elctrns	5	5	—	—	$3,872.78	$3,872.78	$3,872.78	2026-01-01
77424	CPT	Io Rad Tx Delivery By X-ray	5	5	—	—	$3,872.78	$3,872.78	$3,872.78	2026-01-01
77371	CPT	Srs Multisource	5	5	—	—	$3,872.78	$3,872.78	$3,872.78	2026-01-01
200255	CDM	MRA Chest W & Wo Contrast	33	28	$4,945.50	$2,423.30 51% off	$1,384.74	$4,945.50	$3,857.49	2026-01-01
33411	CPT	Replacement Of Aortic Valve	11	7	—	—	$3,828.61	$3,849.34	$3,849.34	2026-01-01
26556	CPT	Toe Joint Transfer	11	7	—	—	$3,809.32	$3,824.71	$3,824.71	2026-01-01
354001	CDM	Slit Prepuce Dorsal Or Lateral, Except N	29	25	$4,775.25	$2,339.87 51% off	$1,337.07	$5,014.01	$3,820.20	2026-01-01
280624	CDM	Gracilis Tendon	33	28	$4,866.75	$2,384.71 51% off	$1,362.69	$4,866.75	$3,796.07	2026-01-01
61616	CPT	Resect/excise Lesion Skull	11	7	—	—	$3,737.51	$3,787.50	$3,787.50	2026-01-01
47130	CPT	Partial Removal Of Liver	11	7	—	—	$3,777.57	$3,785.19	$3,785.19	2026-01-01
380407	CDM	Spl Skin Graft Tnk Arm Leg 1st 100sqcm L	28	24	$4,756.95	$2,330.91 51% off	$1,331.95	$4,756.95	$3,781.77	2026-01-01
338825	CDM	Manipulation Of A Radial Shaft Fracture	34	29	$4,839.20	$2,371.21 51% off	$1,354.98	$5,081.16	$3,774.58	2026-01-01
32851	CPT	Lung Transplant Single	11	7	—	—	$3,725.63	$3,772.69	$3,772.69	2026-01-01
61613	CPT	Remove Aneurysm Sinus	11	7	—	—	$3,713.90	$3,772.31	$3,772.31	2026-01-01
210142	CDM	Bortezomib Lyoph Vl 3.5mg Per 0.1mg	33	28	$4,836.00	$2,369.64 51% off	$1,354.08	$4,836.00	$3,772.08	2026-01-01
111732	CDM	CT Lumbar Spine W & Without Contrast	29	24	$4,767.20	$2,335.93 51% off	$1,334.82	$4,767.20	$3,766.09	2026-01-01
111730	CDM	CT Cervical Spine W & Without Contrast	29	24	$4,767.20	$2,335.93 51% off	$1,334.82	$4,767.20	$3,766.09	2026-01-01
312047	CDM	Intermediate Repair Of Laceration > 30cm	29	25	$4,694.35	$2,300.23 51% off	$1,314.42	$4,929.07	$3,755.48	2026-01-01
366029	CDM	Inject Into Disk Lesion	28	24	$4,707.15	$2,306.50 51% off	$1,318.00	$4,707.15	$3,742.18	2026-01-01
366033	CDM	Remove Neuro Electrode Leads	28	24	$4,707.15	$2,306.50 51% off	$1,318.00	$4,707.15	$3,742.18	2026-01-01
366076	CDM	Destr Paravertebral Nerve CT	28	24	$4,707.15	$2,306.50 51% off	$1,318.00	$4,707.15	$3,742.18	2026-01-01
366078	CDM	Destroy Paravertebral Nerve L/s	28	24	$4,707.15	$2,306.50 51% off	$1,318.00	$4,707.15	$3,742.18	2026-01-01
366028	CDM	Precutaneous Diskectomy	28	24	$4,707.15	$2,306.50 51% off	$1,318.00	$4,707.15	$3,742.18	2026-01-01
366084	CDM	Nerve (s) Relieve Pressure	28	24	$4,707.15	$2,306.50 51% off	$1,318.00	$4,707.15	$3,742.18	2026-01-01
200340	CDM	MRI Upper Ext Non Jnt Lt W/wo	33	28	$4,789.25	$2,346.73 51% off	$1,340.99	$4,789.25	$3,735.61	2026-01-01
207016	CDM	MRI Upper Ext Non Jnt Rt W/wo	33	28	$4,789.25	$2,346.73 51% off	$1,340.99	$4,789.25	$3,735.61	2026-01-01
33413	CPT	Replacement Of Aortic Valve	11	7	—	—	$3,680.46	$3,735.34	$3,735.34	2026-01-01
200530	CDM	MRI Pelvis W/wo Contrast	29	24	$4,727.50	$2,316.48 51% off	$1,323.70	$4,727.50	$3,734.72	2026-01-01
380323	CDM	Biopsy, Bone, Excisional; Deep	28	24	$4,695.25	$2,300.67 51% off	$1,314.67	$4,695.25	$3,732.72	2026-01-01
380322	CDM	Biopsy, Bone, Excisional; Superficial	28	24	$4,695.25	$2,300.67 51% off	$1,314.67	$4,695.25	$3,732.72	2026-01-01
380356	CDM	Skin Sub Graft Trnk/arm/leg	28	24	$4,694.35	$2,300.23 51% off	$1,314.42	$4,694.35	$3,732.01	2026-01-01
380362	CDM	Skn Sub Grft F/n/hf/g Child	28	24	$4,694.35	$2,300.23 51% off	$1,314.42	$4,694.35	$3,732.01	2026-01-01
380358	CDM	Skin Sub Graft Face/nk/hf/g	28	24	$4,694.35	$2,300.23 51% off	$1,314.42	$4,694.35	$3,732.01	2026-01-01
33871	CPT	Transvrs A-arch Grf Hypthrm	2	2	—	—	$3,726.34	$3,726.34	$3,726.34	2026-01-01
43117	CPT	Partial Removal Of Esophagus	11	7	—	—	$3,700.45	$3,725.36	$3,725.36	2026-01-01
20805	CPT	Replant Forearm Complete	11	7	—	—	$3,685.26	$3,725.35	$3,725.35	2026-01-01
33782	CPT	Nikaidoh Proc	11	7	—	—	$3,683.32	$3,725.14	$3,725.14	2026-01-01
357200	CDM	Colporrhapy,sutr Of Inj To Vag	29	25	$4,653.00	$2,279.97 51% off	$1,302.84	$4,885.65	$3,722.40	2026-01-01
121335	CDM	Tc99m Ceretec Labeled Autol Wbc/dose	33	28	$4,770.15	$2,337.37 51% off	$1,335.64	$4,770.15	$3,720.72	2026-01-01

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