Hospital

LAKEWOOD HEALTH CENTER

Baudette, MN · CCN 241301 · Rates published

2,960 distinct procedures filed

8 distinct payers

96,533 rate rows

2026-02-28 last MRF observed

Data quality

95,305 of 96,533 rate rows are consumer-grade (98.7%)

1,228 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
placeholder amount (≤ $0.02) — excluded from medians	1,139
per-diem day rate — not a per-procedure price	72
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	17

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

Source MRF file	https://www.chihealth.com/content/dam/chihealthcom/documents/patients-and-visitors/financial-assistance/price-transparency-2025/umw/410758434_chi-lakewood-health_standardcharges.csv?adobe_mc=MCMID=20467918272730467680661837007042361720
Found on page	https://chilakewoodhealth.com/standard-charges/
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-10-20
Content fingerprint	efeb8993724fff50… · 22,541,853 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
J2350 HCPCS	Ocrevus 300mg/10ml	8	$76.03	$84,958.19	$58,083.67	nat. median $470 outlier · 123.7×
90733 CPT	Men Vac Acyw-135 50mcg	8	$19,683.74	$50,763.32	$34,705.54	nat. median $176 outlier · 197.1×
J0584 HCPCS	Burosumab-twza 10mg/ml Sdv	8	$11,840.88	$45,805.46	$26,641.97	nat. median $812 outlier · 32.8×
J3380 HCPCS	Vedolizumab 300mg Vial	8	$28.08	$38,525.39	$26,338.79	nat. median $162 outlier · 162.6×
603005658 CDM	No Active Code Description	8	$14,550.86	$37,525.89	$25,655.46	nat. median $22,018 1.2× median
J2327 HCPCS	Skyrizi 600 Mg/10 Ml Sdv	8	$13,795.70	$35,578.37	$24,323.99	nat. median $2,076 outlier · 11.7×
J3101 HCPCS	Tenecteplase 50 Mg Kit	8	$13,242.43	$34,151.53	$23,348.49	nat. median $3,820 outlier · 6.1×
603005650 CDM	No Active Code Description	8	$12,184.89	$31,424.19	$21,483.89	nat. median $18,438 1.2× median
J3590 HCPCS	Amyl/lipa/pro 36000un Cap.cr	8	$11,867.59	$30,605.89	$20,924.44	nat. median $781 outlier · 26.8×
J2323 HCPCS	Natalizumab 300 Mg/15 Ml Sdv	8	$11,355.17	$29,284.38	$20,020.96	nat. median $197 outlier · 101.5×
J9217 HCPCS	Leup Depot 1-month 7.5 Mg Kit	8	$3,262.39	$44,171.52	$19,706.19	nat. median $1,575 outlier · 12.5×
J2505 HCPCS	Pegfilgrastim 6 Mg/0.6 Ml Syr	8	$8,535.93	$26,416.46	$17,633.43	nat. median $6,278 outlier · 2.8×
J9271 HCPCS	Pembrolizumab 100mg/4ml Vial	8	$59.57	$23,799.06	$16,270.79	nat. median $276 outlier · 59.0×
313952 CDM	Batt Drive Sm	8	$8,676.16	$22,375.36	$15,297.44	nat. median $11,215 1.4× median
J0717 HCPCS	Certolizumab Pegol 400mg Kit	8	$7,979.25	$20,578.05	$14,068.67	nat. median $1,598 outlier · 8.8×
J2353 HCPCS	Octreotide 10 Mg Kit	8	$5,299.04	$26,811.05	$13,337.21	nat. median $5,573 outlier · 2.4×
603001516 CDM	Ethacrynate Sodium 50 Mg Vial	8	$6,669.50	$17,200.29	$11,759.38	nat. median $9,344 1.3× median
Q5111 HCPCS	Pegfilgrastim 6mg/0.6ml Syr	8	$6,663.30	$17,184.30	$11,748.45	nat. median $1,982 outlier · 5.9×
603005705 CDM	No Active Code Description	8	$6,588.13	$16,990.44	$11,615.92	nat. median $9,969 1.2× median
J1162 HCPCS	Digoxin Immune Fab 40 Mg Vial	8	$6,361.39	$16,405.69	$11,216.14	nat. median $7,141 1.6× median
346076 CDM	Radiolucent Drive	8	$6,228.58	$16,063.18	$10,981.97	nat. median $12,094 0.9× median
J9355 HCPCS	Trastuzumab 440 Mg Vial	8	$86.01	$15,679.81	$10,719.87	nat. median $553 outlier · 19.4×
J2997 HCPCS	Alteplase 100 Mg Vial	8	$203.57	$36,222.28	$10,318.43	nat. median $500 outlier · 20.6×
603004102 CDM	Teripara 20mcg/2.4ml Pen	8	$5,705.56	$14,714.33	$10,059.80	nat. median $8,633 1.2× median
603004834 CDM	Bari Sulf 105% W/v 650ml Bot	8	$5,377.19	$13,867.49	$9,480.84	nat. median $8,137 1.2× median
J9305 HCPCS	Pemetrexed 500 Mg Vial	8	$5,377.19	$13,867.49	$9,480.84	nat. median $209 outlier · 45.4×
Q5120 HCPCS	Pegfilgras-bmez 6mg/0.6 Ml Syr	8	$5,220.96	$13,464.58	$9,205.38	nat. median $371 outlier · 24.8×
J9207 HCPCS	Ixabepilone 15 Mg Vial	8	$3,215.24	$24,875.81	$8,968.83	nat. median $2,080 outlier · 4.3×
Q5123 HCPCS	Rituxim-arrx(riabni)500mg/50ml	8	$4,766.72	$12,293.12	$8,404.48	nat. median $1,006 outlier · 8.4×
J9034 HCPCS	Bendamustine 100 Mg Vial	8	$4,743.00	$12,231.93	$8,362.65	nat. median $90 outlier · 93.3×
90375 CPT	Rabies IM Glob 150u/ml 10ml	8	$1,086.08	$14,004.56	$7,859.70	nat. median $1,056 outlier · 7.4×
603005988 CDM	Dantrolenesodium 250mg/5ml Mdv	8	$4,408.10	$11,368.26	$7,772.18	nat. median $6,670 1.2× median
J0630 HCPCS	Cal (sal) 200 Ml 2 Ml Sdv	8	$4,314.10	$11,125.83	$7,606.43	nat. median $1,894 outlier · 4.0×
336010140 CDM	Or Level 5 First 30 Mins	8	$4,277.28	$11,030.88	$7,541.52	nat. median $7,542 1.0× median
J0897 HCPCS	Denosu 120mg/1.7ml Sdv	8	$2,850.65	$13,522.99	$7,276.65	nat. median $1,972 outlier · 3.7×
J1950 HCPCS	Leuprolide 11.25 Mg Kit	8	$2,737.69	$18,533.57	$7,123.42	nat. median $3,902 1.8× median
J3111 HCPCS	Romosozumab-aqqg 210mg/2.34ml	8	$3,995.98	$10,305.41	$7,045.54	nat. median $681 outlier · 10.3×
J1459 HCPCS	Imm Glob G(igg)/pro/0-50 400ml	8	$49.16	$27,572.27	$6,682.06	nat. median $1,388 outlier · 4.8×
90378 CPT	Palivizumab 100 Mg/ml Sdv	8	$2,421.48	$11,792.07	$6,181.15	nat. median $2,117 outlier · 2.9×
178697 CDM	Fxator Adj Lg Ns	8	$3,399.86	$8,768.06	$5,994.49	nat. median $5,461 1.1× median
341116 CDM	Tensioner Cable	8	$3,370.60	$8,692.60	$5,942.90	nat. median $6,554 0.9× median
Q5108 HCPCS	Pegfilgrastim 6mg/0.6ml Syr	8	$3,331.65	$8,592.15	$5,874.23	nat. median $1,244 outlier · 4.7×
233560 CDM	Bld Saw Head Osc	8	$3,313.60	$8,545.60	$5,842.40	nat. median $351 outlier · 16.6×
J1602 HCPCS	Golimumab 50 Mg/4 Ml Vial	8	$3,190.72	$8,228.68	$5,625.73	nat. median $273 outlier · 20.6×
341839 CDM	Distractor Mini Long	8	$3,157.04	$8,141.84	$5,566.36	nat. median $6,412 0.9× median
J3240 HCPCS	Thyrotropin Alfa 0.9 Mg Vial	8	$3,078.72	$7,939.84	$5,428.26	nat. median $2,980 1.8× median
603006095 CDM	Sarilumab 200 Mg/1.14 Ml	8	$3,061.47	$7,895.36	$5,397.85	nat. median $4,632 1.2× median
J9312 HCPCS	Rituximab 100mg/10ml Sdv	8	$1,249.57	$19,335.33	$5,359.97	nat. median $1,071 outlier · 5.0×
J7168 HCPCS	Kcentra 1000 Unit Vial	8	$2,088.10	$12,385.73	$5,330.15	nat. median $21 outlier · 253.8×
J3247 HCPCS	Secukinumab 125 Mg/5 Ml Sdv	8	$2,869.50	$7,400.27	$5,059.37	nat. median $49 outlier · 102.6×

Other procedures at this hospital

Browse this hospital's 2,960 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

107317	CDM	Clamp TB-TB Hyb-fx Ns	17	8	$2,036.00	$1,343.76 34% off	$773.68	$1,995.28	$1,364.12	2026-02-28
117057	CDM	Cable Troch Attch Ln 135 Ti Ns	17	8	$6,765.00	$4,464.90 34% off	$2,570.70	$6,629.70	$4,532.55	2026-02-28
122675	CDM	Stapler Intlumn Ceea 25mm	17	8	$2,090.32	$1,379.62 34% off	$794.33	$2,048.52	$1,400.52	2026-02-28
148598	CDM	Clamp Mult-pin 4pos Mr-sfe Ns	17	8	$1,684.00	$1,111.44 34% off	$639.92	$1,650.32	$1,128.28	2026-02-28
150039	CDM	Cable Troch Attch Std 51 Ti Ns	17	8	$4,694.00	$3,098.04 34% off	$1,783.72	$4,600.12	$3,144.98	2026-02-28
152186	CDM	Fxator Adj Ext-fx Lg Ns	17	8	$4,461.00	$2,944.26 34% off	$1,695.18	$4,371.78	$2,988.87	2026-02-28
165846	CDM	Clamp TB-TB U-joint Ext-fx Ns	17	8	$1,772.00	$1,169.52 34% off	$673.36	$1,736.56	$1,187.24	2026-02-28
178697	CDM	Fxator Adj Lg Ns	17	8	$8,947.00	$5,905.02 34% off	$3,399.86	$8,768.06	$5,994.49	2026-02-28
184528	CDM	Clamp Adj Wire-pin Hyp-fx Ns	17	8	$1,856.00	$1,224.96 34% off	$705.28	$1,818.88	$1,243.52	2026-02-28
192487	CDM	Clamp Adj 4mm Mr-sfe Lg Ns	17	8	$1,818.00	$1,199.88 34% off	$690.84	$1,781.64	$1,218.06	2026-02-28
210281	CDM	Clamp Mult-pin 6pos Mr-sfe Ns	17	8	$1,758.00	$1,160.28 34% off	$668.04	$1,722.84	$1,177.86	2026-02-28
220231	CDM	Cath Lasso Map 7fr 115cm	17	8	$2,033.00	$1,341.78 34% off	$772.54	$1,992.34	$1,362.11	2026-02-28
229218	CDM	Stapler Dst Series 25mm	17	8	$2,028.00	$1,338.48 34% off	$770.64	$1,987.44	$1,358.76	2026-02-28
229219	CDM	Stapler Dst Series 31mm	17	8	$1,977.75	$1,305.32 34% off	$751.55	$1,938.20	$1,325.10	2026-02-28
231763	CDM	Stapler Dst Eea Xl 3.5m 21mm	17	8	$2,472.20	$1,631.66 34% off	$939.44	$2,422.76	$1,656.38	2026-02-28
233465	CDM	Reamr Dhs Triple Cmplt Ns	17	8	$3,617.00	$2,387.22 34% off	$1,374.46	$3,544.66	$2,423.39	2026-02-28
233560	CDM	Bld Saw Head Osc	17	8	$8,720.00	$5,755.20 34% off	$3,313.60	$8,545.60	$5,842.40	2026-02-28
233865	CDM	Stapler Sgl Use 21mm	17	8	$2,373.42	$1,566.46 34% off	$901.90	$2,325.96	$1,590.20	2026-02-28
23655	CPT	Tx Disl Shldr W Anes Clsd ER	34	8	$2,528.00	$1,668.48 34% off	$359.86	$4,026.82	$1,244.74	2026-02-28
238814	CDM	Device Hld Gwire & Ream Rod Ns	17	8	$1,807.00	$1,192.62 34% off	$686.66	$1,770.86	$1,210.69	2026-02-28
24655	CPT	Tx Fx Radial W Man Clsd ER Pf	17	8	$1,776.00	$1,172.16 34% off	$674.88	$1,740.48	$1,189.92	2026-02-28
249500	CDM	Stapler Sgl Use 3.5mm 25mm	17	8	$2,583.00	$1,704.78 34% off	$981.54	$2,531.34	$1,730.61	2026-02-28
25675	CPT	Tx Disl Radioulnar Wman ER Pf	17	8	$2,030.00	$1,339.80 34% off	$771.40	$1,989.40	$1,360.10	2026-02-28
266220	CDM	Hail Tib Cann 9.0x255 Ti	17	8	$3,207.00	$2,116.62 34% off	$1,218.66	$3,142.86	$2,148.69	2026-02-28
267618	CDM	Cath Diag Ultra 10fr 90cm	17	8	$1,788.00	$1,180.08 34% off	$679.44	$1,752.24	$1,197.96	2026-02-28
26952	CPT	Amp Finger/thumb W Flap ER Pf	34	8	$2,386.00	$1,574.76 34% off	$629.28	$3,053.68	$1,606.32	2026-02-28
27096	CPT	Rad Inject Si Joint CT Guide	34	8	$2,451.00	$1,617.66 34% off	$608.38	$3,234.98	$1,552.97	2026-02-28
273199	CDM	Tensioner Bck-up Wire Ns	17	8	$2,495.00	$1,646.70 34% off	$948.10	$2,445.10	$1,671.65	2026-02-28
279457	CDM	Cs Grphc Rg/ag Fem Nailx Instr	17	8	$2,879.00	$1,900.14 34% off	$1,094.02	$2,821.42	$1,928.93	2026-02-28
279491	CDM	Arm Aim Ag Std Lck Ns	17	8	$2,178.00	$1,437.48 34% off	$827.64	$2,134.44	$1,459.26	2026-02-28
279499	CDM	Insrtr Sprl Blde Rg Nailx Ns	17	8	$1,638.00	$1,081.08 34% off	$622.44	$1,605.24	$1,097.46	2026-02-28
298781	CDM	Device Mi-lnth Appart 110mm Ns	17	8	$6,735.00	$4,445.10 34% off	$2,559.30	$6,600.30	$4,512.45	2026-02-28
298960	CDM	Cath Clsr Fast 7fr 100cm	17	8	$2,329.02	$1,537.16 34% off	$885.03	$2,282.44	$1,560.45	2026-02-28
312000500	CDM	Semi Private	9	6	$2,085.00	$1,376.10 34% off	$792.30	$2,043.30	$1,730.55	2026-02-28
312000600	CDM	Swing Bed	9	6	$1,450.00	$957.00 34% off	$551.00	$1,421.00	$1,203.50	2026-02-28
312000701	CDM	Telemetry	9	6	$2,856.00	$1,884.96 34% off	$1,085.28	$2,798.88	$2,370.48	2026-02-28
312712	CDM	Fxator Elbow Hinge Joint	17	8	$3,467.00	$2,288.22 34% off	$1,317.46	$3,397.66	$2,322.89	2026-02-28
313949	CDM	Batt Case F/12 V	17	8	$3,183.00	$2,100.78 34% off	$1,209.54	$3,119.34	$2,132.61	2026-02-28
313950	CDM	Batt 12 V	17	8	$2,168.00	$1,430.88 34% off	$823.84	$2,124.64	$1,452.56	2026-02-28
313952	CDM	Batt Drive Sm	17	8	$22,832.00	$15,069.12 34% off	$8,676.16	$22,375.36	$15,297.44	2026-02-28
313957	CDM	Attch Rck Sm Batt Drv Grphc Cs	17	8	$1,832.00	$1,209.12 34% off	$696.16	$1,795.36	$1,227.44	2026-02-28
317100100	CDM	Bassinette	9	6	$1,753.00	$1,156.98 34% off	$666.14	$1,717.94	$1,454.99	2026-02-28
321000020	CDM	Ccu/icu	9	6	$5,197.00	$3,430.02 34% off	$1,974.86	$5,093.06	$4,313.51	2026-02-28
321400100	CDM	Step Down	9	6	$2,914.00	$1,923.24 34% off	$1,107.32	$2,855.72	$2,418.62	2026-02-28
327953	CDM	Tfn 14mmx380mm L	17	8	$4,191.00	$2,766.06 34% off	$1,592.58	$4,107.18	$2,807.97	2026-02-28
329122	CDM	Tfn 14x120 Deg X340mm L	17	8	$3,910.00	$2,580.60 34% off	$1,485.80	$3,831.80	$2,619.70	2026-02-28
332289	CDM	Chuck Univ W/t-handle Sm	17	8	$2,526.00	$1,667.16 34% off	$959.88	$2,475.48	$1,692.42	2026-02-28
332480	CDM	Quick Coupling Mini	17	8	$2,567.00	$1,694.22 34% off	$975.46	$2,515.66	$1,719.89	2026-02-28
332482	CDM	Quick Coupling For K Wires	17	8	$6,550.00	$4,323.00 34% off	$2,489.00	$6,419.00	$4,388.50	2026-02-28
332483	CDM	Batt Drive Sm Casing 14.4 V	17	8	$3,478.00	$2,295.48 34% off	$1,321.64	$3,408.44	$2,330.26	2026-02-28
336000020	CDM	Cystoscopy First Half Hr	17	8	$1,938.00	$1,279.08 34% off	$736.44	$1,899.24	$1,298.46	2026-02-28
336010100	CDM	Or Level 1 First 30 Mins	17	8	$2,898.00	$1,912.68 34% off	$1,101.24	$2,840.04	$1,941.66	2026-02-28
336010110	CDM	Or Level 2 First 30 Mins	17	8	$3,591.00	$2,370.06 34% off	$1,364.58	$3,519.18	$2,405.97	2026-02-28
336010120	CDM	Or Level 3 First 30 Mins	17	8	$4,766.00	$3,145.56 34% off	$1,811.08	$4,670.68	$3,193.22	2026-02-28
336010130	CDM	Or Level 4 First 30 Mins	17	8	$7,336.00	$4,841.76 34% off	$2,787.68	$7,189.28	$4,915.12	2026-02-28
336010140	CDM	Or Level 5 First 30 Mins	17	8	$11,256.00	$7,428.96 34% off	$4,277.28	$11,030.88	$7,541.52	2026-02-28
339201	CDM	Fix Dst Rad Dfs Dim Ss Strl	17	8	$5,542.00	$3,657.72 34% off	$2,105.96	$5,431.16	$3,713.14	2026-02-28
341116	CDM	Tensioner Cable	17	8	$8,870.00	$5,854.20 34% off	$3,370.60	$8,692.60	$5,942.90	2026-02-28
341839	CDM	Distractor Mini Long	17	8	$8,308.00	$5,483.28 34% off	$3,157.04	$8,141.84	$5,566.36	2026-02-28
345002164	CDM	Trauma Act Wo Prenotice Lvl IV	17	8	$2,198.00	$1,450.68 34% off	$835.24	$2,154.04	$1,472.66	2026-02-28
345010307	CDM	Trauma Act IV Full Wo Pre Not	17	8	$2,103.00	$1,387.98 34% off	$799.14	$2,060.94	$1,409.01	2026-02-28
345010308	CDM	Trauma Act IV Part Wo Pre Not	17	8	$1,682.00	$1,110.12 34% off	$639.16	$1,648.36	$1,126.94	2026-02-28
346076	CDM	Radiolucent Drive	17	8	$16,391.00	$10,818.06 34% off	$6,228.58	$16,063.18	$10,981.97	2026-02-28
352702	CDM	Case Lcp Elbow Sys 3.5mm	17	8	$4,567.00	$3,014.22 34% off	$1,735.46	$4,475.66	$3,059.89	2026-02-28
368410105	CDM	Trauma Activation Wo Crit Care	17	8	$2,198.00	$1,450.68 34% off	$835.24	$2,154.04	$1,472.66	2026-02-28
372000025	CDM	Delivery Care-level Ii	17	8	$1,962.00	$1,294.92 34% off	$745.56	$1,922.76	$1,314.54	2026-02-28
372000030	CDM	Delivery Care-level Iii	17	8	$2,503.00	$1,651.98 34% off	$951.14	$2,452.94	$1,677.01	2026-02-28
372905	CDM	Plt Bender	17	8	$5,150.00	$3,399.00 34% off	$1,957.00	$5,047.00	$3,450.50	2026-02-28
43200	CPT	Esophagoscopy Flex Brush	17	8	$2,561.00	$1,690.26 34% off	$973.18	$2,509.78	$1,715.87	2026-02-28
43235	CPT	Egd Diag Brush Wash	20	8	$2,486.00	$1,640.76 34% off	$944.68	$2,436.28	$1,740.20	2026-02-28
43239	CPT	Egd Biopsy Sing/mult Pf	37	8	$1,053.00	$694.98 34% off	$400.14	$2,325.54	$1,155.63	2026-02-28
43246	CPT	Gastroscopy	17	8	$2,220.00	$1,465.20 34% off	$843.60	$2,175.60	$1,487.40	2026-02-28
43249	CPT	Espoh Egd Dialation <30mm	20	8	$2,373.00	$1,566.18 34% off	$901.74	$2,325.54	$1,661.10	2026-02-28
45330	CPT	Flex Sigmoidoscopy	17	8	$2,126.00	$1,403.16 34% off	$807.88	$2,083.48	$1,424.42	2026-02-28
45384	CPT	Colonoscopy W Rem Lesion	20	8	$3,231.00	$2,132.46 34% off	$1,212.74	$3,166.38	$2,261.70	2026-02-28
45505	CPT	Proctoplasty Prlps Mucmempf	17	8	$1,689.00	$1,114.74 34% off	$641.82	$1,655.22	$1,131.63	2026-02-28
470006180	CDM	Ankle W Cont Bi	17	8	$5,647.00	$3,727.02 34% off	$2,145.86	$5,534.06	$3,783.49	2026-02-28
470006210	CDM	Ankle W Wo Cont Bi	17	8	$4,911.00	$3,241.26 34% off	$1,866.18	$4,812.78	$3,290.37	2026-02-28
470007300	CDM	Shoulder W Cont Bi	17	8	$5,648.00	$3,727.68 34% off	$2,146.24	$5,535.04	$3,784.16	2026-02-28
47532	CPT	Inj Bil Drain W/guide New	17	8	$5,509.00	$3,635.94 34% off	$2,093.42	$5,398.82	$3,691.03	2026-02-28
47562	CPT	Lap Chole Assist Pf	17	8	$1,802.00	$1,189.32 34% off	$684.76	$1,765.96	$1,207.34	2026-02-28
49615	CPT	Rpr Aa Hrnrcr 3-10 Rdc Pf	17	8	$1,711.00	$1,129.26 34% off	$650.18	$1,676.78	$1,146.37	2026-02-28
603001516	CDM	Ethacrynate Sodium 50 Mg Vial	17	8	$17,551.31	$11,583.87 34% off	$6,669.50	$17,200.29	$11,759.38	2026-02-28
603001542	CDM	Exenatide 600mcg/2.4ml Pen	17	8	$2,974.83	$1,963.39 34% off	$1,130.44	$2,915.34	$1,993.14	2026-02-28
603001749	CDM	Fol Betarec 300 U/0.36ml Cart	17	8	$3,045.00	$2,009.70 34% off	$1,157.10	$2,984.10	$2,040.15	2026-02-28
603001750	CDM	Foll Betarec 600 U/.72ml Cart	17	8	$6,090.00	$4,019.40 34% off	$2,314.20	$5,968.20	$4,080.30	2026-02-28
603003317	CDM	Pegin Alfa 2a 180mcg/ml	17	8	$3,575.22	$2,359.65 34% off	$1,358.59	$3,503.72	$2,395.40	2026-02-28
603004102	CDM	Teripara 20mcg/2.4ml Pen	17	8	$15,014.62	$9,909.65 34% off	$5,705.56	$14,714.33	$10,059.80	2026-02-28
603004422	CDM	Vit A 100000 U/2 Ml Sdv	17	8	$1,841.00	$1,215.06 34% off	$699.58	$1,804.18	$1,233.47	2026-02-28
603004834	CDM	Bari Sulf 105% W/v 650ml Bot	17	8	$14,150.50	$9,339.33 34% off	$5,377.19	$13,867.49	$9,480.84	2026-02-28
603005270	CDM	No Active Code Description	17	8	$5,588.07	$3,688.13 34% off	$2,123.47	$5,476.31	$3,744.01	2026-02-28
603005271	CDM	No Active Code Description	17	8	$2,794.05	$1,844.08 34% off	$1,061.74	$2,738.17	$1,872.02	2026-02-28
603005601	CDM	No Active Code Description	17	8	$5,112.10	$3,373.99 34% off	$1,942.60	$5,009.86	$3,425.11	2026-02-28
603005606	CDM	No Active Code Description	17	8	$3,088.40	$2,038.35 34% off	$1,173.60	$3,026.64	$2,069.23	2026-02-28
603005650	CDM	No Active Code Description	17	8	$32,065.50	$21,163.23 34% off	$12,184.89	$31,424.19	$21,483.89	2026-02-28
603005658	CDM	No Active Code Description	17	8	$38,291.72	$25,272.54 34% off	$14,550.86	$37,525.89	$25,655.46	2026-02-28
603005674	CDM	No Active Code Description	17	8	$6,190.10	$4,085.47 34% off	$2,352.24	$6,066.30	$4,147.37	2026-02-28
603005705	CDM	No Active Code Description	17	8	$17,337.18	$11,442.54 34% off	$6,588.13	$16,990.44	$11,615.92	2026-02-28
603005988	CDM	Dantrolenesodium 250mg/5ml Mdv	17	8	$11,600.26	$7,656.18 34% off	$4,408.10	$11,368.26	$7,772.18	2026-02-28
603006095	CDM	Sarilumab 200 Mg/1.14 Ml	17	8	$8,056.48	$5,317.28 34% off	$3,061.47	$7,895.36	$5,397.85	2026-02-28
603006285	CDM	No Active Code Description	17	8	$2,182.95	$1,440.75 34% off	$829.53	$2,139.30	$1,462.58	2026-02-28
603006298	CDM	No Active Code Description	17	8	$1,652.00	$1,090.32 34% off	$627.76	$1,618.96	$1,106.84	2026-02-28
603006330	CDM	No Active Code Description	17	8	$1,643.18	$1,084.50 34% off	$624.41	$1,610.32	$1,100.94	2026-02-28
62320	CPT	Inj Epid Cerv/thora Without Imag	17	8	$1,666.00	$1,099.56 34% off	$633.08	$1,632.68	$1,116.22	2026-02-28
62321	CPT	Inj Epid Cerv/thora W Imag	17	8	$2,578.00	$1,701.48 34% off	$979.64	$2,526.44	$1,727.26	2026-02-28
62322	CPT	Inj Epidural Lum/sac Without Imag	34	8	$2,591.00	$1,710.06 34% off	$653.22	$3,393.74	$1,667.43	2026-02-28
62323	CPT	Inj Epidural Lum/sac W Imag	17	8	$2,604.00	$1,718.64 34% off	$989.52	$2,551.92	$1,744.68	2026-02-28
64490	CPT	Rad Inject Facet C/t CT Guide	34	8	$2,398.00	$1,582.68 34% off	$592.80	$3,171.28	$1,513.20	2026-02-28
64493	CPT	Rad Inject Facet L/s CT Guide	34	8	$2,398.00	$1,582.68 34% off	$592.80	$3,171.28	$1,513.20	2026-02-28
70336	CPT	Tmj Joints	20	8	$4,350.00	$2,871.00 34% off	$588.45	$4,263.00	$2,914.50	2026-02-28
70450	CPT	Head Wo Cont	20	8	$2,226.00	$1,469.16 34% off	$478.71	$2,181.48	$1,491.42	2026-02-28
70460	CPT	Head W Cont	20	8	$2,872.00	$1,895.52 34% off	$454.64	$2,814.56	$1,924.24	2026-02-28
70470	CPT	Head W Wo Cont	20	8	$3,272.00	$2,159.52 34% off	$454.64	$3,206.56	$2,192.24	2026-02-28
70480	CPT	Orbit Sella Pf Iac Wo Cont	20	8	$1,878.00	$1,239.48 34% off	$358.90	$1,840.44	$1,258.26	2026-02-28
70481	CPT	Orbit Sella Pf Iac W Cont	20	8	$2,370.00	$1,564.20 34% off	$454.64	$2,322.60	$1,587.90	2026-02-28
70482	CPT	Orbit Sella Pf Iac Wwo Cont	20	8	$2,626.00	$1,733.16 34% off	$454.64	$2,573.48	$1,759.42	2026-02-28
70486	CPT	Max Facial Sinus Wo Cont	20	8	$1,893.00	$1,249.38 34% off	$358.90	$1,855.14	$1,268.31	2026-02-28
70487	CPT	Max Facial Sinus W Cont	20	8	$2,651.00	$1,749.66 34% off	$454.64	$2,597.98	$1,776.17	2026-02-28
70488	CPT	Max Facial Sinus W Wo Cont	20	8	$2,925.00	$1,930.50 34% off	$454.64	$2,866.50	$1,959.75	2026-02-28
70490	CPT	Soft Tissue Neck Wo Cont	20	8	$2,735.00	$1,805.10 34% off	$358.90	$2,680.30	$1,832.45	2026-02-28
70491	CPT	Soft Tissue Neck W Cont	20	8	$2,894.00	$1,910.04 34% off	$454.64	$2,836.12	$1,938.98	2026-02-28
70492	CPT	Soft Tissue Neck W Wo Cont	20	8	$2,884.00	$1,903.44 34% off	$454.64	$2,826.32	$1,932.28	2026-02-28
70496	CPT	Ang Head	20	8	$2,422.00	$1,598.52 34% off	$454.64	$2,373.56	$1,622.74	2026-02-28
70498	CPT	Ang Neck	20	8	$3,036.00	$2,003.76 34% off	$454.64	$2,975.28	$2,034.12	2026-02-28
70540	CPT	Face Neck Orbit Wo Cont	20	8	$4,350.00	$2,871.00 34% off	$588.45	$4,263.00	$2,914.50	2026-02-28
70542	CPT	Face Neck Orbit W Cont	20	8	$4,350.00	$2,871.00 34% off	$618.69	$4,263.00	$2,914.50	2026-02-28
70543	CPT	Face Neck Orbit W Wo Cont	20	8	$4,460.00	$2,943.60 34% off	$618.69	$4,370.80	$2,988.20	2026-02-28
70544	CPT	Ang Head Wo Cont	20	8	$4,460.00	$2,943.60 34% off	$588.45	$4,370.80	$2,988.20	2026-02-28
70545	CPT	Ang Head W Cont	20	8	$4,945.00	$3,263.70 34% off	$618.69	$4,846.10	$3,313.15	2026-02-28
70546	CPT	Ang Head W Wo Cont	20	8	$5,069.00	$3,345.54 34% off	$618.69	$4,967.62	$3,396.23	2026-02-28
70547	CPT	Ang Neck Wo Cont	20	8	$4,962.00	$3,274.92 34% off	$588.45	$4,862.76	$3,324.54	2026-02-28
70548	CPT	Ang Neck W Cont	20	8	$5,069.00	$3,345.54 34% off	$618.69	$4,967.62	$3,396.23	2026-02-28
70549	CPT	Ang Neck W Wo Cont	20	8	$5,176.00	$3,416.16 34% off	$618.69	$5,072.48	$3,467.92	2026-02-28
70551	CPT	Brain Wo Cont	20	8	$5,008.00	$3,305.28 34% off	$588.45	$4,907.84	$3,355.36	2026-02-28
70552	CPT	Brain W Cont	20	8	$5,659.00	$3,734.94 34% off	$618.69	$5,545.82	$3,791.53	2026-02-28
70553	CPT	Brain W Wo Cont	20	8	$6,110.00	$4,032.60 34% off	$618.69	$5,987.80	$4,093.70	2026-02-28
71250	CPT	Chest Wo Cont	20	8	$2,195.00	$1,448.70 34% off	$358.90	$2,151.10	$1,470.65	2026-02-28
71260	CPT	Chest W Cont	20	8	$3,073.00	$2,028.18 34% off	$454.64	$3,011.54	$2,058.91	2026-02-28
71270	CPT	Chest W Wo Cont	20	8	$3,489.00	$2,302.74 34% off	$454.64	$3,419.22	$2,337.63	2026-02-28
71275	CPT	Ang Chest	20	8	$2,524.00	$1,665.84 34% off	$454.64	$2,473.52	$1,691.08	2026-02-28
71550	CPT	Chest Wo Cont	20	8	$4,437.00	$2,928.42 34% off	$588.45	$4,348.26	$2,972.79	2026-02-28
71551	CPT	Chest W Cont	20	8	$4,437.00	$2,928.42 34% off	$622.05	$4,348.26	$2,972.79	2026-02-28
71552	CPT	Chest W Wo Cont	20	8	$4,350.00	$2,871.00 34% off	$618.69	$4,263.00	$2,914.50	2026-02-28
71555	CPT	Ang Chest W Cont	20	8	$4,350.00	$2,871.00 34% off	$588.45	$4,263.00	$2,914.50	2026-02-28
72125	CPT	Cervical Spine Wo Cont	20	8	$2,233.00	$1,473.78 34% off	$358.90	$2,188.34	$1,496.11	2026-02-28
72126	CPT	Cervical Spine W Cont	20	8	$2,859.00	$1,886.94 34% off	$618.69	$2,801.82	$1,915.53	2026-02-28
72127	CPT	Cervical Spine W Wo Cont	20	8	$2,992.00	$1,974.72 34% off	$454.64	$2,932.16	$2,004.64	2026-02-28
72128	CPT	Thoracic Spine Wo Cont	20	8	$2,095.00	$1,382.70 34% off	$358.90	$2,053.10	$1,403.65	2026-02-28
72129	CPT	Thoracic Spine W Cont	20	8	$2,626.00	$1,733.16 34% off	$454.64	$2,573.48	$1,759.42	2026-02-28
72130	CPT	Thoracic Spine W Wo Cont	20	8	$2,762.00	$1,822.92 34% off	$454.64	$2,706.76	$1,850.54	2026-02-28
72131	CPT	Lumbar Spine Wo Cont	20	8	$2,090.00	$1,379.40 34% off	$358.90	$2,048.20	$1,400.30	2026-02-28
72132	CPT	Lumbar Spine W Cont	20	8	$2,358.00	$1,556.28 34% off	$618.69	$2,310.84	$1,579.86	2026-02-28
72133	CPT	Lumbar Spine W Wo Cont	20	8	$2,992.00	$1,974.72 34% off	$454.64	$2,932.16	$2,004.64	2026-02-28
72141	CPT	Cervical Spine Comp Wo Cont	20	8	$4,697.00	$3,100.02 34% off	$588.45	$4,603.06	$3,146.99	2026-02-28
72142	CPT	Cervical Spine Comp W Cont	20	8	$5,307.00	$3,502.62 34% off	$618.69	$5,200.86	$3,555.69	2026-02-28
72146	CPT	Thoracic Spine Comp Wo Cont	20	8	$4,460.00	$2,943.60 34% off	$588.45	$4,370.80	$2,988.20	2026-02-28
72147	CPT	Thoracic Spine Comp W Cont	20	8	$4,350.00	$2,871.00 34% off	$618.69	$4,263.00	$2,914.50	2026-02-28
72148	CPT	Lumbar Spine Comp Wo Cont	20	8	$4,677.00	$3,086.82 34% off	$588.45	$4,583.46	$3,133.59	2026-02-28
72149	CPT	Lumbar Spine Comp W Cont	20	8	$5,566.00	$3,673.56 34% off	$618.69	$5,454.68	$3,729.22	2026-02-28
72156	CPT	Cervical Spine Comp W Wo Cont	20	8	$5,402.00	$3,565.32 34% off	$618.69	$5,293.96	$3,619.34	2026-02-28
72157	CPT	Thoracic Spine Comp W Wo Cont	20	8	$5,277.00	$3,482.82 34% off	$618.69	$5,171.46	$3,535.59	2026-02-28
72158	CPT	Lumbar Spine Comp W Wo Cont	20	8	$5,706.00	$3,765.96 34% off	$618.69	$5,591.88	$3,823.02	2026-02-28
72191	CPT	Ang Pelvis	20	8	$2,422.00	$1,598.52 34% off	$454.64	$2,373.56	$1,622.74	2026-02-28
72192	CPT	Pelvis Wo Cont	20	8	$2,093.00	$1,381.38 34% off	$358.90	$2,051.14	$1,402.31	2026-02-28
72193	CPT	Pelvis W Cont	20	8	$2,416.00	$1,594.56 34% off	$454.64	$2,367.68	$1,618.72	2026-02-28
72194	CPT	Pelvis W Wo Cont	20	8	$3,262.00	$2,152.92 34% off	$454.64	$3,196.76	$2,185.54	2026-02-28
72195	CPT	Pelvis Wo Cont	20	8	$4,350.00	$2,871.00 34% off	$588.45	$4,263.00	$2,914.50	2026-02-28
72196	CPT	Pelvis W Cont	20	8	$4,350.00	$2,871.00 34% off	$618.69	$4,263.00	$2,914.50	2026-02-28
72197	CPT	Pelvis W Wo Cont	20	8	$4,823.00	$3,183.18 34% off	$618.69	$4,726.54	$3,231.41	2026-02-28
72198	CPT	Ang Pelvis W Cont	37	8	$4,350.00	$2,871.00 34% off	$588.45	$5,326.30	$3,393.00	2026-02-28
74150	CPT	Abdomen Wo Cont	20	8	$2,093.00	$1,381.38 34% off	$358.90	$2,051.14	$1,402.31	2026-02-28
74160	CPT	Abdomen W Cont	20	8	$2,477.00	$1,634.82 34% off	$454.64	$2,427.46	$1,659.59	2026-02-28
74170	CPT	Abdomen W Wo Cont	20	8	$3,262.00	$2,152.92 34% off	$454.64	$3,196.76	$2,185.54	2026-02-28
74174	CPT	CTA Abd Pelv W Cont	20	8	$2,793.00	$1,843.38 34% off	$618.69	$2,737.14	$1,871.31	2026-02-28
74175	CPT	Ang Abdomen	20	8	$2,492.00	$1,644.72 34% off	$454.64	$2,442.16	$1,669.64	2026-02-28
74176	CPT	Abdomen Pelvis Wo Cont	20	8	$4,476.00	$2,954.16 34% off	$588.45	$4,386.48	$2,998.92	2026-02-28
74177	CPT	Abdomen Pelvis W Cont	20	8	$5,282.00	$3,486.12 34% off	$618.69	$5,176.36	$3,538.94	2026-02-28
74178	CPT	Abdomen Pelvis W Wo Cont	20	8	$7,161.00	$4,726.26 34% off	$618.69	$7,017.78	$4,797.87	2026-02-28
74181	CPT	Abdomen Wo Cont	20	8	$4,350.00	$2,871.00 34% off	$588.45	$4,263.00	$2,914.50	2026-02-28
74182	CPT	Abdomen W Cont	20	8	$4,460.00	$2,943.60 34% off	$618.69	$4,370.80	$2,988.20	2026-02-28
74183	CPT	Abdomen W Wo Cont	20	8	$5,197.00	$3,430.02 34% off	$618.69	$5,093.06	$3,481.99	2026-02-28
74185	CPT	Ang Abdomen W Cont	20	8	$5,197.00	$3,430.02 34% off	$588.45	$5,093.06	$3,481.99	2026-02-28
75635	CPT	Ang Abdomen Aorta W Bi Runoff	17	8	$3,276.00	$2,162.16 34% off	$1,244.88	$3,210.48	$2,194.92	2026-02-28
77012	CPT	Guide	17	8	$2,381.00	$1,571.46 34% off	$904.78	$2,333.38	$1,595.27	2026-02-28
77075	CPT	Bone Survey Comp	17	8	$1,720.00	$1,135.20 34% off	$653.60	$1,685.60	$1,152.40	2026-02-28
78195	CPT	Lymphoscintigraphy	17	8	$2,044.00	$1,349.04 34% off	$776.72	$2,003.12	$1,369.48	2026-02-28
78226	CPT	Cholescintigraphy	17	8	$1,889.00	$1,246.74 34% off	$717.82	$1,851.22	$1,265.63	2026-02-28
78227	CPT	Cholescintigraphy W Pharm Int	17	8	$1,935.00	$1,277.10 34% off	$735.30	$1,896.30	$1,296.45	2026-02-28
78264	CPT	Gastric Empty Study	17	8	$1,931.00	$1,274.46 34% off	$733.78	$1,892.38	$1,293.77	2026-02-28
78278	CPT	Gi Blood Loss	17	8	$1,834.00	$1,210.44 34% off	$696.92	$1,797.32	$1,228.78	2026-02-28
78290	CPT	Bowel Imaging Meckels	17	8	$1,796.00	$1,185.36 34% off	$682.48	$1,760.08	$1,203.32	2026-02-28
78300	CPT	Bone Scan Limited	17	8	$1,889.00	$1,246.74 34% off	$717.82	$1,851.22	$1,265.63	2026-02-28
78305	CPT	Bone Scan Multi Area	17	8	$1,889.00	$1,246.74 34% off	$717.82	$1,851.22	$1,265.63	2026-02-28
78306	CPT	Bone Scan Whole Body	17	8	$2,467.00	$1,628.22 34% off	$937.46	$2,417.66	$1,652.89	2026-02-28
78315	CPT	Bone Scan 3 Phase	17	8	$2,200.00	$1,452.00 34% off	$836.00	$2,156.00	$1,474.00	2026-02-28
78451	CPT	Myocardial Perf Spect Singl	17	8	$2,589.00	$1,708.74 34% off	$983.82	$2,537.22	$1,734.63	2026-02-28
78452	CPT	Myocardial Perf Spect Multi	20	8	$5,076.00	$3,350.16 34% off	$1,584.52	$4,974.48	$3,400.92	2026-02-28
78472	CPT	Muga Resting	17	8	$1,799.00	$1,187.34 34% off	$683.62	$1,763.02	$1,205.33	2026-02-28
78580	CPT	Pulmonary Perfusion Imaging	17	8	$2,200.00	$1,452.00 34% off	$836.00	$2,156.00	$1,474.00	2026-02-28
78803	CPT	Tumor Image Spect	17	8	$4,083.00	$2,694.78 34% off	$1,551.54	$4,001.34	$2,735.61	2026-02-28
81229	CPT	Chrom Microarray Analy Rfx	17	8	$3,480.00	$2,296.80 34% off	$1,160.00	$3,410.40	$2,105.40	2026-02-28
81292	CPT	Mlh1 Gene Full Seq	17	8	$2,026.20	$1,337.30 34% off	$675.40	$1,985.68	$1,225.86	2026-02-28
81298	CPT	Msh6 Gene Full Seq	17	8	$2,277.15	$1,502.92 34% off	$641.85	$2,231.61	$1,377.68	2026-02-28
81302	CPT	Rett Syndrome	17	8	$1,890.00	$1,247.40 34% off	$527.87	$1,852.20	$1,143.45	2026-02-28
81317	CPT	Pms2 Gene Full Seq Analysis	17	8	$2,029.50	$1,339.47 34% off	$676.50	$1,988.91	$1,227.85	2026-02-28
81408	CPT	Vwf Sequencing	17	8	$6,000.00	$3,960.00 34% off	$2,000.00	$5,880.00	$3,630.00	2026-02-28
81420	CPT	Non Inv Prenatal Screening	30	8	$2,277.15	$1,502.92 34% off	$496.28	$2,231.61	$1,194.99	2026-02-28
81430	CPT	Hearing Loss Sequence Analys	17	8	$4,875.00	$3,217.50 34% off	$1,625.00	$4,777.50	$2,949.38	2026-02-28
90375	CPT	Rabies IM Glob 150u/ml 10ml	51	8	$11,732.67	$7,743.57 34% off	$1,086.08	$14,004.56	$7,859.70	2026-02-28
90376	CPT	Rabies Rig Pf 150u/ml 2ml Sdv	17	8	$3,167.96	$2,090.86 34% off	$1,203.83	$3,104.61	$2,122.54	2026-02-28
90378	CPT	Palivizumab 100 Mg/ml Sdv	34	8	$9,202.51	$6,073.66 34% off	$2,421.48	$11,792.07	$6,181.15	2026-02-28
90675	CPT	Rabies Vac (avian) 2.5 Inj Kit	34	8	$1,628.38	$1,074.73 34% off	$576.97	$1,703.66	$1,164.75	2026-02-28
90733	CPT	Men Vac Acyw-135 50mcg	17	8	$51,799.30	$34,187.54 34% off	$19,683.74	$50,763.32	$34,705.54	2026-02-28
93306	CPT	Echo Comp Wo Cont	37	8	$2,076.00	$1,370.16 34% off	$772.92	$2,034.48	$1,390.92	2026-02-28
95805	CPT	Multiple Sleep Latency Mslt	17	8	$2,642.00	$1,743.72 34% off	$1,003.96	$2,589.16	$1,770.14	2026-02-28
95808	CPT	Polysomnography Ltd	17	8	$3,692.00	$2,436.72 34% off	$1,402.96	$3,618.16	$2,473.64	2026-02-28
95810	CPT	Sleep Study Fully Poly	34	8	$3,732.50	$2,463.45 34% off	$1,402.96	$3,697.54	$2,527.91	2026-02-28
95811	CPT	Polysomnography	34	8	$3,953.00	$2,608.98 34% off	$1,479.34	$3,932.74	$2,688.71	2026-02-28
A0426	HCPCS	Amb Adv Life Supp (als1)	17	8	$1,708.00	$1,127.28 34% off	$649.04	$1,673.84	$1,144.36	2026-02-28
A0427	HCPCS	Advance Life Support 1	17	8	$1,770.00	$1,168.20 34% off	$672.60	$1,734.60	$1,185.90	2026-02-28
A0433	HCPCS	Advance Life Support 2	17	8	$1,884.00	$1,243.44 34% off	$715.92	$1,846.32	$1,262.28	2026-02-28
A0434	HCPCS	Ambulance Specialty Care	17	8	$2,106.00	$1,389.96 34% off	$800.28	$2,063.88	$1,411.02	2026-02-28
C1762	HCPCS	Bone Grft Sub Calceon 6pllt 10	136	8	$1,946.25	$1,284.53 34% off	$364.04	$6,645.38	$1,405.46	2026-02-28
C1768	HCPCS	Plt Cndyl 95d 16h 70x267 Ns	17	8	$2,411.00	$1,591.26 34% off	$916.18	$2,362.78	$1,615.37	2026-02-28
C1776	HCPCS	Plt Fem Prx Lcp 4h 4.5x175 L	13,124	8	$1,664.50	$1,098.57 34% off	$34.58	$9,185.54	$1,160.33	2026-02-28
C8929	HCPCS	Echo Comp W Cont	17	8	$2,533.00	$1,671.78 34% off	$962.54	$2,482.34	$1,697.11	2026-02-28
G0390	HCPCS	Trauma Activation W Crit Care	51	8	$1,946.00	$1,284.36 34% off	$639.16	$2,060.94	$1,328.78	2026-02-28
J0130	HCPCS	Abciximab 10 Mg/5 Ml Sdv	17	8	$4,718.63	$3,114.30 34% off	$1,793.08	$4,624.26	$3,161.49	2026-02-28
J0248	HCPCS	Remdesivir Powder 100 Mg Vial	17	8	$2,517.83	$1,661.77 34% off	$956.78	$2,467.48	$1,686.95	2026-02-28
J0256	HCPCS	Alpha1 Proteinase 1000mg/20ml	17	8	$2,065.00	$1,362.90 34% off	$784.70	$2,023.70	$1,383.55	2026-02-28
J0485	HCPCS	Belatacept 250mg Vial	17	8	$3,394.58	$2,240.43 34% off	$1,289.95	$3,326.69	$2,274.37	2026-02-28
J0584	HCPCS	Burosumab-twza 10mg/ml Sdv	34	8	$38,950.22	$25,707.15 34% off	$11,840.88	$45,805.46	$26,641.97	2026-02-28
J0630	HCPCS	Cal (sal) 200 Ml 2 Ml Sdv	17	8	$11,352.88	$7,492.91 34% off	$4,314.10	$11,125.83	$7,606.43	2026-02-28
J0717	HCPCS	Certolizumab Pegol 400mg Kit	17	8	$20,998.01	$13,858.69 34% off	$7,979.25	$20,578.05	$14,068.67	2026-02-28
J0881	HCPCS	Darbe Alfa 100 Mcg/0.5 Ml Syr	153	8	$3,910.20	$2,580.74 34% off	$257.36	$15,928.92	$2,502.53	2026-02-28
J0897	HCPCS	Denosu 120mg/1.7ml Sdv	34	8	$10,650.32	$7,029.22 34% off	$2,850.65	$13,522.99	$7,276.65	2026-02-28
J1162	HCPCS	Digoxin Immune Fab 40 Mg Vial	17	8	$16,740.50	$11,048.73 34% off	$6,361.39	$16,405.69	$11,216.14	2026-02-28
J1230	HCPCS	Methadone 10 Mg/1 Ml 20 Ml Mdv	17	8	$1,644.34	$1,085.27 34% off	$624.85	$1,611.46	$1,101.71	2026-02-28
J1327	HCPCS	Eptifibatide 200mg/100ml Sdv	51	8	$1,640.66	$1,082.84 34% off	$231.21	$5,158.24	$1,099.25	2026-02-28
J1439	HCPCS	Ferric Carb 750mg/15ml Sdv	17	8	$6,072.75	$4,008.02 34% off	$2,307.65	$5,951.30	$4,068.75	2026-02-28
J1447	HCPCS	Tbo-filgrastim 480mcg/0.8 Ml	17	8	$1,679.51	$1,108.48 34% off	$638.22	$1,645.92	$1,125.28	2026-02-28
J1451	HCPCS	Fomepizole 1.5gm/1.5ml Sdv	17	8	$6,060.64	$4,000.03 34% off	$2,303.05	$5,939.43	$4,060.63	2026-02-28
J1459	HCPCS	Imm Glob G(igg)/pro/0-50 400ml	71	8	$14,067.48	$9,284.54 34% off	$49.16	$27,572.27	$6,682.06	2026-02-28
J1561	HCPCS	Gamunex-c 25gm/25ml	68	8	$3,832.50	$2,529.45 34% off	$485.45	$10,015.60	$2,478.35	2026-02-28
J1566	HCPCS	Imm Glob(igg)10gm Vial	34	8	$2,971.24	$1,961.02 34% off	$752.72	$3,882.42	$1,921.41	2026-02-28
J1568	HCPCS	Imm Globgam(igg)/mal 2gm/20ml	85	8	$6,798.75	$4,487.18 34% off	$516.71	$19,988.33	$4,555.17	2026-02-28
J1569	HCPCS	Gammagard 10% 30 Gm/300 Ml	105	8	$6,111.35	$4,033.50 34% off	$56.18	$17,967.37	$2,902.90	2026-02-28
J1602	HCPCS	Golimumab 50 Mg/4 Ml Vial	17	8	$8,396.61	$5,541.77 34% off	$3,190.72	$8,228.68	$5,625.73	2026-02-28
J1670	HCPCS	Tetanus Immune Glob 250 Syr	17	8	$2,569.98	$1,696.19 34% off	$976.60	$2,518.59	$1,721.89	2026-02-28
J1740	HCPCS	Ibandronate 3 Mg/3 Ml Syringe	17	8	$1,845.90	$1,218.30 34% off	$701.45	$1,808.99	$1,236.76	2026-02-28
J1742	HCPCS	Ibutilide 1 Mg/10 Ml Vial	17	8	$1,959.41	$1,293.22 34% off	$744.58	$1,920.23	$1,312.81	2026-02-28
J1745	HCPCS	Infliximab 100 Mg Vial	20	8	$1,995.00	$1,316.70 34% off	$40.92	$1,955.10	$1,336.65	2026-02-28
J1950	HCPCS	Leuprolide 11.25 Mg Kit	34	8	$13,058.12	$8,618.36 34% off	$2,737.69	$18,533.57	$7,123.42	2026-02-28
J2315	HCPCS	Naltrexone Microspheres 380mg	17	8	$5,916.19	$3,904.69 34% off	$2,248.16	$5,797.87	$3,963.85	2026-02-28
J2323	HCPCS	Natalizumab 300 Mg/15 Ml Sdv	17	8	$29,882.02	$19,722.14 34% off	$11,355.17	$29,284.38	$20,020.96	2026-02-28
J2325	HCPCS	Nesiritide 1.5 Mg Vial	17	8	$3,704.79	$2,445.17 34% off	$1,407.83	$3,630.70	$2,482.21	2026-02-28
J2327	HCPCS	Skyrizi 600 Mg/10 Ml Sdv	17	8	$36,304.45	$23,960.94 34% off	$13,795.70	$35,578.37	$24,323.99	2026-02-28
J2350	HCPCS	Ocrevus 300mg/10ml	20	8	$86,692.03	$57,216.74 34% off	$76.03	$84,958.19	$58,083.67	2026-02-28
J2353	HCPCS	Octreotide 10 Mg Kit	51	8	$18,270.14	$12,058.30 34% off	$5,299.04	$26,811.05	$13,337.21	2026-02-28
J2357	HCPCS	Omalizumab 150 Mg Vial	17	8	$3,949.68	$2,606.79 34% off	$1,500.88	$3,870.69	$2,646.29	2026-02-28
J2505	HCPCS	Pegfilgrastim 6 Mg/0.6 Ml Syr	34	8	$24,709.27	$16,308.12 34% off	$8,535.93	$26,416.46	$17,633.43	2026-02-28
J2760	HCPCS	Phentolamine 5 Mg Vial	17	8	$1,714.90	$1,131.84 34% off	$651.67	$1,680.61	$1,148.99	2026-02-28
J2783	HCPCS	Rasburicase 1.5 Mg Vial	17	8	$3,817.21	$2,519.36 34% off	$1,450.54	$3,740.87	$2,557.54	2026-02-28
J2794	HCPCS	Risperidone Micro 25mg/2ml Syr	51	8	$3,387.90	$2,236.02 34% off	$858.24	$4,427.01	$2,269.90	2026-02-28
J2997	HCPCS	Alteplase 100 Mg Vial	51	8	$15,400.63	$10,164.42 34% off	$203.57	$36,222.28	$10,318.43	2026-02-28
J3101	HCPCS	Tenecteplase 50 Mg Kit	17	8	$34,848.49	$23,000.01 34% off	$13,242.43	$34,151.53	$23,348.49	2026-02-28
J3111	HCPCS	Romosozumab-aqqg 210mg/2.34ml	17	8	$10,515.72	$6,940.38 34% off	$3,995.98	$10,305.41	$7,045.54	2026-02-28
J3240	HCPCS	Thyrotropin Alfa 0.9 Mg Vial	17	8	$8,101.87	$5,347.24 34% off	$3,078.72	$7,939.84	$5,428.26	2026-02-28
J3247	HCPCS	Secukinumab 125 Mg/5 Ml Sdv	17	8	$7,551.29	$4,983.86 34% off	$2,869.50	$7,400.27	$5,059.37	2026-02-28
J3380	HCPCS	Vedolizumab 300mg Vial	20	8	$39,311.62	$25,945.67 34% off	$28.08	$38,525.39	$26,338.79	2026-02-28
J3590	HCPCS	Amyl/lipa/pro 36000un Cap.cr	17	8	$31,230.50	$20,612.13 34% off	$11,867.59	$30,605.89	$20,924.44	2026-02-28
J7168	HCPCS	Kcentra 1000 Unit Vial	34	8	$9,066.75	$5,984.06 34% off	$2,088.10	$12,385.73	$5,330.15	2026-02-28
J7324	HCPCS	Hyaluronate Sod 30 Mg/2 Ml Sy	17	8	$1,673.00	$1,104.18 34% off	$635.74	$1,639.54	$1,120.91	2026-02-28
J7325	HCPCS	Cli:hylan G-f 20 48mg/6ml Syr	51	8	$4,793.67	$3,163.83 34% off	$607.20	$5,637.35	$3,163.82	2026-02-28
J9033	HCPCS	Bendamustine 25 Mg Vial	17	8	$3,120.39	$2,059.46 34% off	$1,185.75	$3,057.99	$2,090.67	2026-02-28
J9034	HCPCS	Bendamustine 100 Mg Vial	17	8	$12,481.56	$8,237.83 34% off	$4,743.00	$12,231.93	$8,362.65	2026-02-28
J9035	HCPCS	Bevacizumab 100 Mg/4 Ml Sdv	34	8	$6,973.22	$4,602.33 34% off	$1,059.94	$10,934.02	$3,486.62	2026-02-28
J9055	HCPCS	Cetuximab 100 Mg/50 Ml Sdv	17	8	$2,842.46	$1,876.03 34% off	$1,080.14	$2,785.62	$1,904.45	2026-02-28
J9171	HCPCS	Docetaxel 20 Mg/0.5 Ml Vial	68	8	$3,890.27	$2,567.59 34% off	$547.78	$7,897.03	$2,082.68	2026-02-28
J9173	HCPCS	Durvalumab 120 Mg/2.4 Ml Vial	17	8	$4,160.94	$2,746.23 34% off	$1,581.16	$4,077.73	$2,787.83	2026-02-28
J9207	HCPCS	Ixabepilone 15 Mg Vial	34	8	$16,922.31	$11,168.73 34% off	$3,215.24	$24,875.81	$8,968.83	2026-02-28
J9214	HCPCS	Interf Alfa-2brec 18 Mill U/3	17	8	$1,967.60	$1,298.62 34% off	$747.69	$1,928.25	$1,318.30	2026-02-28
J9217	HCPCS	Leup Depot 1-month 7.5 Mg Kit	85	8	$29,412.22	$19,412.07 34% off	$3,262.39	$44,171.52	$19,706.19	2026-02-28
J9264	HCPCS	Paclitaxel Protein-bound100mg	17	8	$5,530.21	$3,649.94 34% off	$2,101.48	$5,419.61	$3,705.25	2026-02-28
J9271	HCPCS	Pembrolizumab 100mg/4ml Vial	20	8	$24,284.75	$16,027.94 34% off	$59.57	$23,799.06	$16,270.79	2026-02-28
J9280	HCPCS	Mitomycin 40mg	34	8	$2,903.10	$1,916.05 34% off	$323.56	$4,855.65	$1,358.62	2026-02-28
J9305	HCPCS	Pemetrexed 500 Mg Vial	17	8	$14,150.50	$9,339.33 34% off	$5,377.19	$13,867.49	$9,480.84	2026-02-28
J9312	HCPCS	Rituximab 100mg/10ml Sdv	34	8	$11,509.12	$7,596.03 34% off	$1,249.57	$19,335.33	$5,359.97	2026-02-28
J9355	HCPCS	Trastuzumab 440 Mg Vial	20	8	$15,999.80	$10,559.87 34% off	$86.01	$15,679.81	$10,719.87	2026-02-28
Other Inpatient	LOCAL	No Active Code Description	9	6	—	—	$3,459.00	$3,459.00	$3,459.00	2026-02-28
P9034	HCPCS	Platelets Pheresis	17	8	$2,580.00	$1,702.80 34% off	$980.40	$2,528.40	$1,728.60	2026-02-28
Q0138	HCPCS	Feraheme 510 Mg/17ml Sdv	17	8	$3,802.47	$2,509.64 34% off	$1,444.94	$3,726.43	$2,547.66	2026-02-28
Q0247	HCPCS	Sotrovimab 500 Mg/8 Ml Vial	17	8	$7,350.00	$4,851.00 34% off	$2,793.00	$7,203.00	$4,924.50	2026-02-28
Q0249	HCPCS	Tocilizu For Covid 200mg/10ml	51	8	$5,577.22	$3,680.97 34% off	$847.74	$10,931.35	$3,736.74	2026-02-28
Q5103	HCPCS	Infliximab-dyyb 100mg Vial	17	8	$3,974.39	$2,623.10 34% off	$1,510.27	$3,894.91	$2,662.85	2026-02-28
Q5104	HCPCS	Infliximab-abda 100mg Vial	17	8	$3,164.25	$2,088.41 34% off	$1,202.42	$3,100.97	$2,120.05	2026-02-28
Q5108	HCPCS	Pegfilgrastim 6mg/0.6ml Syr	17	8	$8,767.50	$5,786.55 34% off	$3,331.65	$8,592.15	$5,874.23	2026-02-28
Q5111	HCPCS	Pegfilgrastim 6mg/0.6ml Syr	17	8	$17,535.00	$11,573.10 34% off	$6,663.30	$17,184.30	$11,748.45	2026-02-28
Q5120	HCPCS	Pegfilgras-bmez 6mg/0.6 Ml Syr	17	8	$13,739.36	$9,067.98 34% off	$5,220.96	$13,464.58	$9,205.38	2026-02-28
Q5123	HCPCS	Rituxim-arrx(riabni)500mg/50ml	17	8	$12,544.00	$8,279.04 34% off	$4,766.72	$12,293.12	$8,404.48	2026-02-28

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