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Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

MAYO CLINIC HEALTH SYSTEM - CANNON FALLS

Cannon Falls, MN · CCN 241346 · Rates published

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You selected 59510 (CPT)

This facility hasn’t published a payer-negotiated rate for this exact code. See its full rate list below.

5,218 distinct procedures filed
314 distinct payers
7,038,623 rate rows
2026-03-31 last MRF observed
Data quality

2,563,643 of 7,038,623 rate rows are consumer-grade (36.4%)

4,474,980 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 — reasonRows
professional (physician) fee — not the facility price 4,473,309
per-diem day rate — not a per-procedure price 1,130
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 508
exceeds 10× this hospital's gross charge — excluded from medians 15
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 12
placeholder amount (≤ $0.02) — excluded from medians 6
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://mcorgstatic.blob.core.windows.net/cms-price/411404075_mayo-clinic-health-system-cannon-falls_standardcharges.csv
Found on page https://www.mayoclinichealthsystem.org/for-patients-and-visitors/price-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-09-21
Content fingerprint 4a4d5dcb48cd69b1… · 3,664,189,446 bytes · first seen 2026-05-04

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
J0225
HCPCS 		Vutrisiran 25 Mg/0.5 Ml Subcutaneous Syringe 294 $43,692.06 $210,058.00 $199,555.10 nat. median
$6,067
outlier · 32.9×
A9607
HCPCS 		Lutetium Lu-177 Vipivotide Tetraxetan 27 Mci/ml (1,000 Mbq/ml) IV Soln 294 $255.84 $161,500.00 $153,425.00 nat. median
$396
outlier · 387.5×
J1823
HCPCS 		Inebilizumab-cdon 10 Mg/ml Intravenous Solution 294 $495.55 $120,491.60 $114,467.02 nat. median
$562
outlier · 203.6×
J9359
HCPCS 		Loncastuximab Tesirine-lpyl 10 Mg/2 Ml Intravenous Solution (wetted) 294 $216.90 $81,733.40 $77,646.73 nat. median
$292
outlier · 265.6×
J2507
HCPCS 		Pegloticase 8 Mg/ml Intravenous Solution 295 $3,660.83 $77,074.84 $75,485.67 nat. median
$4,390
outlier · 17.2×
2821
APR_DRG 		Disorders Of Pancreas Except Malignancy 24 $12,800.10 $71,913.12 $71,913.12 nat. median
$4,491
outlier · 16.0×
J3357
HCPCS 		Ustekinumab 90 Mg/ml Subcutaneous Syringe 295 $13,482.06 $82,537.95 $71,282.78 nat. median
$20,264
outlier · 3.5×
RX-707820
CDM 		Belantamab Mafodotin-blmf 70 Mg/1.4 Ml Intravenous Solution (wetted) 294 $13,994.32 $67,280.40 $63,916.38 —
RX-219415
CDM 		Belantamab Mafodotin-blmf 70 Mg Intravenous Solution 294 $13,994.32 $67,280.40 $63,916.38 —
4261
APR_DRG 		Non-hypovolemic Sodium Disorders 24 $12,268.02 $56,751.58 $56,751.58 nat. median
$4,003
outlier · 14.2×
J0638
HCPCS 		Canakinumab (pf) 150 Mg/ml Subcutaneous Solution 295 $141.60 $54,485.39 $53,361.98 nat. median
$235
outlier · 227.3×
J2350
HCPCS 		Ocrelizumab 30 Mg/ml Intravenous Solution 295 $59.41 $52,256.13 $51,178.69 nat. median
$133
outlier · 384.9×
33264
CPT 		Pr Rmvl&rplc Icd Gen Multi Lead 295 $323.95 $51,181.08 $50,125.80 nat. median
$32,779
1.5× median
33249
CPT 		Pr Ins/rplc Dfib W Transven Lead 295 $723.02 $47,684.23 $46,701.05 nat. median
$32,069
1.5× median
0620T
CPT 		Pr Endovasc Venous Arterialization Tibial/peroneal 294 $9,111.86 $48,101.03 $41,616.65 nat. median
$34,349
1.2× median
92930
CPT 		Pr Perq Tcat Plmt Ntrac St 2+les 2+st 2+c Segments 294 $731.00 $41,245.37 $40,394.95 nat. median
$19,336
outlier · 2.1×
33270
CPT 		Pr Ins/rplc Subq Icd W Subq Elec 295 $447.78 $40,353.94 $39,521.90 nat. median
$32,475
1.2× median
C2616
HCPCS 		Yttrium-90 Microspheres 3 Gbq/5 Ml For Intravenous Solution 294 $8,629.40 $42,870.00 $39,413.13 nat. median
$22,121
1.8× median
J9334
HCPCS 		Efgartigimod Alfa 1008 Mg-hyaluron-qvfc 11,200 Unit/5.6 Ml Subcut Soln 294 $33.89 $41,450.60 $39,378.07 nat. median
$45
outlier · 869.1×
93656
CPT 		Pr Ep Eval Tx Art Fib Pulm Vein 295 $718.24 $39,535.26 $38,720.10 nat. median
$26,469
1.5× median
93654
CPT 		Pr Ep Eval W Vent Tachy Ablate 295 $763.57 $38,235.46 $37,447.10 nat. median
$26,477
1.4× median
C9767
HCPCS 		Hc Revasc Lithotrip-stent-ather 294 $7,984.08 $38,385.00 $36,465.75 nat. median
$19,649
1.9× median
33274
CPT 		Pr Rplc/insrt Transcath Leadls Pm 294 $571.47 $37,102.50 $36,337.50 nat. median
$20,959
1.7× median
37231
CPT 		Pr Revasc Tib/pero Stnt&arth&angp 295 $473.80 $43,050.25 $35,563.25 nat. median
$19,288
1.8× median
C9607
HCPCS 		Hc Perc Translum Revasc Cor Sngl 294 $7,783.36 $37,420.00 $35,549.00 nat. median
$19,925
1.8× median
C9602
HCPCS 		Hc Perc Translum Ather Wangio Sng 294 $7,542.50 $36,262.00 $34,448.90 nat. median
$19,918
1.7× median
C9606
HCPCS 		Hc Perc Translum Revasc Ami Sngl 294 $523.61 $36,105.00 $34,299.75 nat. median
$17,051
outlier · 2.0×
33263
CPT 		Pr Rmvl&rplc Icd Gen Dual Lead 295 $312.27 $34,094.53 $33,391.55 nat. median
$23,924
1.4× median
1363
APR_DRG 		Respiratory Malignancy 24 $31,598.44 $33,261.51 $33,261.51 nat. median
$10,182
outlier · 3.3×
J9272
HCPCS 		Dostarlimab-gxly 50 Mg/ml Intravenous Solution 294 $243.71 $34,619.50 $32,888.53 nat. median
$567
outlier · 58.0×
33262
CPT 		Pr Rmvl&rplc Icd Gen Sngl Lead 295 $300.84 $33,481.49 $32,791.15 nat. median
$23,514
1.4× median
J9382
HCPCS 		Zenocutuzumab-zbco 375 Mg/18.75 Ml (20 Mg/ml) Intravenous Solution 294 $7,164.89 $34,446.60 $32,724.27 nat. median
$37
outlier · 878.5×
93653
CPT 		Pr Ep Eval W Supravent Ablate 295 $633.43 $32,747.20 $32,072.00 nat. median
$25,502
1.3× median
J9024
HCPCS 		Atezolizumab 1,875 Mg-hyaluronidase-tqjs 30,000 Unit/15 Ml Subcut Soln 294 $31.58 $33,689.90 $32,005.41 nat. median
$47
outlier · 687.5×
36836
CPT 		Pr Perq Av Fistula Creation Uxtr Single Access 294 $6,626.88 $30,904.20 $30,267.00 nat. median
$18,385
1.6× median
J0896
HCPCS 		Luspatercept-aamt 75 Mg/1.5 Ml Subcutaneous Solution (wetted) 295 $41.98 $30,765.88 $30,131.53 nat. median
$228
outlier · 132.4×
1333
APR_DRG 		Respiratory Failure 24 $28,501.95 $30,002.05 $30,002.05 nat. median
$9,273
outlier · 3.2×
2451
APR_DRG 		Inflammatory Bowel Disease 24 $12,037.63 $28,466.30 $28,466.30 nat. median
$4,759
outlier · 6.0×
J2329
HCPCS 		Ublituximab-xiiy 25 Mg/ml Intravenous Solution 294 $6,207.28 $29,842.70 $28,350.57 nat. median
$116
outlier · 244.8×
J3245
HCPCS 		Tildrakizumab-asmn 100 Mg/ml Subcutaneous Syringe 295 $127.45 $28,575.33 $27,986.15 nat. median
$217
outlier · 129.0×
37290
CPT 		Pr Revsc Evsc Tpvt Athrc Cplx 1 294 $6,082.13 $28,363.77 $27,778.95 nat. median
$18,837
1.5× median
C9766
HCPCS 		Hc Revasc Intra Lithotrip-ather 294 $6,058.21 $29,126.00 $27,669.70 nat. median
$18,864
1.5× median
37227
CPT 		Pr Revasc Fem/pop W Stnt/athr/ang 295 $451.43 $33,261.45 $27,476.85 nat. median
$19,510
1.4× median
37294
CPT 		Pr Rvsc Evsc Tpvt St Athr Cpx 1 294 $6,004.96 $28,003.90 $27,426.50 nat. median
$19,143
1.4× median
1943
APR_DRG 		Heart Failure 24 $25,956.74 $27,322.88 $27,322.88 nat. median
$9,228
outlier · 3.0×
C9604
HCPCS 		Hc Perc Translum Revasc Sngl Vssl 294 $5,904.08 $28,385.00 $26,965.75 nat. median
$14,775
1.8× median
37277
CPT 		Pr Rvsc Evsc Fpvt St Athr Cpx 1 294 $5,886.19 $27,450.03 $26,884.05 nat. median
$19,143
1.4× median
C9600
HCPCS 		Hc Perc Transcath Plct Drug Stnt Sng 294 $5,865.39 $28,199.00 $26,789.05 nat. median
$13,311
outlier · 2.0×
37273
CPT 		Pr Revsc Evsc Fpvt Athrc Cplx 1 294 $5,802.16 $27,058.15 $26,500.25 nat. median
$18,862
1.4× median
J3263
HCPCS 		Toripalimab-tpzi 240 Mg/6 Ml (40 Mg/ml) Intravenous Solution 294 $5,744.98 $27,620.10 $26,239.10 nat. median
$51
outlier · 513.3×

Other procedures at this hospital

Browse this hospital's 5,218 published procedures. Use the slice to choose what to show, then sort or filter any column.

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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
             
J0225 HCPCS Vutrisiran 25 Mg/0.5 Ml Subcutaneous Syringe 377 294 $210,058.00 $184,851.04 $43,692.06 $210,058.00 $199,555.10 2026-03-31
A9607 HCPCS Lutetium Lu-177 Vipivotide Tetraxetan 27 Mci/ml (1,000 Mbq/ml) IV Soln 377 294 $161,500.00 $142,120.00 $255.84 $161,500.00 $153,425.00 2026-03-31
J1823 HCPCS Inebilizumab-cdon 10 Mg/ml Intravenous Solution 377 294 $120,491.60 $106,032.61 $495.55 $120,491.60 $114,467.02 2026-03-31
J9359 HCPCS Loncastuximab Tesirine-lpyl 10 Mg/2 Ml Intravenous Solution (wetted) 377 294 $81,733.40 $71,925.39 $216.90 $81,733.40 $77,646.73 2026-03-31
J2507 HCPCS Pegloticase 8 Mg/ml Intravenous Solution 379 295 $79,458.60 $69,923.57 $3,660.83 $77,074.84 $75,485.67 2026-03-31
2821 APR_DRG Disorders Of Pancreas Except Malignancy 26 24 — — $12,800.10 $71,913.12 $71,913.12 2026-03-31
J3357 HCPCS Ustekinumab 90 Mg/ml Subcutaneous Syringe 379 295 $75,034.50 $66,030.36 $13,482.06 $82,537.95 $71,282.78 2026-03-31
RX-219415 CDM Belantamab Mafodotin-blmf 70 Mg Intravenous Solution 377 294 $67,280.40 $59,206.75 $13,994.32 $67,280.40 $63,916.38 2026-03-31
RX-707820 CDM Belantamab Mafodotin-blmf 70 Mg/1.4 Ml Intravenous Solution (wetted) 377 294 $67,280.40 $59,206.75 $13,994.32 $67,280.40 $63,916.38 2026-03-31
4261 APR_DRG Non-hypovolemic Sodium Disorders 26 24 — — $12,268.02 $56,751.58 $56,751.58 2026-03-31
J0638 HCPCS Canakinumab (pf) 150 Mg/ml Subcutaneous Solution 379 295 $56,170.50 $49,430.04 $141.60 $54,485.39 $53,361.98 2026-03-31
J2350 HCPCS Ocrelizumab 30 Mg/ml Intravenous Solution 379 295 $53,872.30 $47,407.62 $59.41 $52,256.13 $51,178.69 2026-03-31
33264 CPT Pr Rmvl&rplc Icd Gen Multi Lead 379 295 $52,764.00 $46,432.32 $323.95 $51,181.08 $50,125.80 2026-03-31
33249 CPT Pr Ins/rplc Dfib W Transven Lead 379 295 $49,159.00 $43,259.92 $723.02 $47,684.23 $46,701.05 2026-03-31
0620T CPT Pr Endovasc Venous Arterialization Tibial/peroneal 377 294 $43,807.00 $38,550.16 $9,111.86 $48,101.03 $41,616.65 2026-03-31
92930 CPT Pr Perq Tcat Plmt Ntrac St 2+les 2+st 2+c Segments 377 294 $42,521.00 $37,418.48 $731.00 $41,245.37 $40,394.95 2026-03-31
33270 CPT Pr Ins/rplc Subq Icd W Subq Elec 379 295 $41,602.00 $36,609.76 $447.78 $40,353.94 $39,521.90 2026-03-31
C2616 HCPCS Yttrium-90 Microspheres 3 Gbq/5 Ml For Intravenous Solution 752 294 $41,487.50 $36,509.00 $8,629.40 $42,870.00 $39,413.13 2026-03-31
J9334 HCPCS Efgartigimod Alfa 1008 Mg-hyaluron-qvfc 11,200 Unit/5.6 Ml Subcut Soln 377 294 $41,450.60 $36,476.53 $33.89 $41,450.60 $39,378.07 2026-03-31
93656 CPT Pr Ep Eval Tx Art Fib Pulm Vein 379 295 $40,758.00 $35,867.04 $718.24 $39,535.26 $38,720.10 2026-03-31
93654 CPT Pr Ep Eval W Vent Tachy Ablate 379 295 $39,418.00 $34,687.84 $763.57 $38,235.46 $37,447.10 2026-03-31
C9767 HCPCS Hc Revasc Lithotrip-stent-ather 754 294 $38,385.00 $33,778.80 $7,984.08 $38,385.00 $36,465.75 2026-03-31
33274 CPT Pr Rplc/insrt Transcath Leadls Pm 377 294 $38,250.00 $33,660.00 $571.47 $37,102.50 $36,337.50 2026-03-31
37231 CPT Pr Revasc Tib/pero Stnt&arth&angp 379 295 $37,435.00 $32,942.80 $473.80 $43,050.25 $35,563.25 2026-03-31
C9607 HCPCS Hc Perc Translum Revasc Cor Sngl 377 294 $37,420.00 $32,929.60 $7,783.36 $37,420.00 $35,549.00 2026-03-31
C9602 HCPCS Hc Perc Translum Ather Wangio Sng 377 294 $36,262.00 $31,910.56 $7,542.50 $36,262.00 $34,448.90 2026-03-31
C9606 HCPCS Hc Perc Translum Revasc Ami Sngl 377 294 $36,105.00 $31,772.40 $523.61 $36,105.00 $34,299.75 2026-03-31
33263 CPT Pr Rmvl&rplc Icd Gen Dual Lead 379 295 $35,149.00 $30,931.12 $312.27 $34,094.53 $33,391.55 2026-03-31
1363 APR_DRG Respiratory Malignancy 26 24 — — $31,598.44 $33,261.51 $33,261.51 2026-03-31
J9272 HCPCS Dostarlimab-gxly 50 Mg/ml Intravenous Solution 377 294 $34,619.50 $30,465.16 $243.71 $34,619.50 $32,888.53 2026-03-31
33262 CPT Pr Rmvl&rplc Icd Gen Sngl Lead 379 295 $34,517.00 $30,374.96 $300.84 $33,481.49 $32,791.15 2026-03-31
J9382 HCPCS Zenocutuzumab-zbco 375 Mg/18.75 Ml (20 Mg/ml) Intravenous Solution 377 294 $34,446.60 $30,313.01 $7,164.89 $34,446.60 $32,724.27 2026-03-31
93653 CPT Pr Ep Eval W Supravent Ablate 379 295 $33,760.00 $29,708.80 $633.43 $32,747.20 $32,072.00 2026-03-31
J9024 HCPCS Atezolizumab 1,875 Mg-hyaluronidase-tqjs 30,000 Unit/15 Ml Subcut Soln 377 294 $33,689.90 $29,647.11 $31.58 $33,689.90 $32,005.41 2026-03-31
36836 CPT Pr Perq Av Fistula Creation Uxtr Single Access 377 294 $31,860.00 $28,036.80 $6,626.88 $30,904.20 $30,267.00 2026-03-31
J0896 HCPCS Luspatercept-aamt 75 Mg/1.5 Ml Subcutaneous Solution (wetted) 379 295 $31,717.40 $27,911.31 $41.98 $30,765.88 $30,131.53 2026-03-31
1333 APR_DRG Respiratory Failure 26 24 — — $28,501.95 $30,002.05 $30,002.05 2026-03-31
2451 APR_DRG Inflammatory Bowel Disease 27 24 — — $12,037.63 $28,466.30 $28,466.30 2026-03-31
J2329 HCPCS Ublituximab-xiiy 25 Mg/ml Intravenous Solution 377 294 $29,842.70 $26,261.58 $6,207.28 $29,842.70 $28,350.57 2026-03-31
J3245 HCPCS Tildrakizumab-asmn 100 Mg/ml Subcutaneous Syringe 379 295 $29,459.10 $25,924.01 $127.45 $28,575.33 $27,986.15 2026-03-31
37290 CPT Pr Revsc Evsc Tpvt Athrc Cplx 1 377 294 $29,241.00 $25,732.08 $6,082.13 $28,363.77 $27,778.95 2026-03-31
C9766 HCPCS Hc Revasc Intra Lithotrip-ather 377 294 $29,126.00 $25,630.88 $6,058.21 $29,126.00 $27,669.70 2026-03-31
37227 CPT Pr Revasc Fem/pop W Stnt/athr/ang 379 295 $28,923.00 $25,452.24 $451.43 $33,261.45 $27,476.85 2026-03-31
37294 CPT Pr Rvsc Evsc Tpvt St Athr Cpx 1 377 294 $28,870.00 $25,405.60 $6,004.96 $28,003.90 $27,426.50 2026-03-31
1943 APR_DRG Heart Failure 26 24 — — $25,956.74 $27,322.88 $27,322.88 2026-03-31
C9604 HCPCS Hc Perc Translum Revasc Sngl Vssl 377 294 $28,385.00 $24,978.80 $5,904.08 $28,385.00 $26,965.75 2026-03-31
37277 CPT Pr Rvsc Evsc Fpvt St Athr Cpx 1 377 294 $28,299.00 $24,903.12 $5,886.19 $27,450.03 $26,884.05 2026-03-31
C9600 HCPCS Hc Perc Transcath Plct Drug Stnt Sng 377 294 $28,199.00 $24,815.12 $5,865.39 $28,199.00 $26,789.05 2026-03-31
37273 CPT Pr Revsc Evsc Fpvt Athrc Cplx 1 377 294 $27,895.00 $24,547.60 $5,802.16 $27,058.15 $26,500.25 2026-03-31
J3263 HCPCS Toripalimab-tpzi 240 Mg/6 Ml (40 Mg/ml) Intravenous Solution 377 294 $27,620.10 $24,305.69 $5,744.98 $27,620.10 $26,239.10 2026-03-31
92941 CPT Pr Perc Revasc Trans Mi Sngl Vesl 379 295 $27,605.00 $24,292.40 $420.14 $26,776.85 $26,224.75 2026-03-31
92933 CPT Pr Ptca Intracor Stnt Sngl Mjr 379 295 $26,965.00 $23,729.20 $491.39 $26,156.05 $25,616.75 2026-03-31
92945 CPT Pr Perq Trluml Revsc Chrnc Tot Occls 1 Antgrd&rtrgr 377 294 $26,778.00 $23,564.64 $913.95 $25,974.66 $25,439.10 2026-03-31
1443 APR_DRG Respiratory Signs, Symptoms And Miscellaneous Diagnoses 26 24 — — $23,781.80 $25,033.46 $25,033.46 2026-03-31
37230 CPT Pr Revasc Tib/pero W Stent&angiop 379 295 $26,178.00 $23,036.64 $438.19 $30,104.70 $24,869.10 2026-03-31
4263 APR_DRG Non-hypovolemic Sodium Disorders 26 24 — — $23,466.39 $24,701.45 $24,701.45 2026-03-31
37226 CPT Pr Revasc Fem/pop W Stent/angplst 379 295 $25,778.00 $22,684.64 $325.34 $29,644.70 $24,489.10 2026-03-31
37229 CPT Pr Revasc Tib/peroneal W Athrc 379 295 $25,713.00 $22,627.44 $440.36 $29,569.95 $24,427.35 2026-03-31
J2327 HCPCS Risankizumab-rzaa 60 Mg/ml Intravenous Solution 377 294 $25,675.30 $22,594.26 $5,340.46 $25,675.30 $24,391.54 2026-03-31
J3380 HCPCS Vedolizumab 300 Mg Intravenous Solution 380 295 $25,557.80 $22,490.86 $5,316.02 $24,791.07 $24,279.91 2026-03-31
37298 CPT Pr Revsc Evsc Imvt Angio Cplx 1 377 294 $25,473.00 $22,416.24 $5,132.30 $24,708.81 $24,199.35 2026-03-31
37221 CPT Pr Revasc Opn/perc Iliac W Stent 379 295 $24,560.00 $21,612.80 $278.11 $28,244.00 $23,332.00 2026-03-31
J9301 HCPCS Obinutuzumab 1,000 Mg/40 Ml Intravenous Solution 379 295 $24,133.80 $21,237.74 $79.00 $23,409.79 $22,927.11 2026-03-31
37286 CPT Pr Revsc Evasc Tpvt St Cplx 1st 377 294 $23,931.00 $21,059.28 $4,977.65 $23,213.07 $22,734.45 2026-03-31
C9765 HCPCS Hc Revasc Intra Lithotrip-stent 377 294 $23,835.00 $20,974.80 $4,957.68 $23,835.00 $22,643.25 2026-03-31
C9772 HCPCS Hc Revasc Lithotrip Tibi/perone 377 294 $23,721.00 $20,874.48 $4,933.97 $23,721.00 $22,534.95 2026-03-31
C9601 HCPCS Hc Perc Transcath Plct Drug Stnt Add 375 292 $23,594.00 $20,762.72 $4,907.55 $23,594.00 $22,414.30 2026-03-31
92924 CPT Pr Ptca W Cor Angio Sngl Mjr 379 295 $23,469.00 $20,652.72 $416.77 $22,764.93 $22,295.55 2026-03-31
33208 CPT Pr Ins/rplc Pcmkr Atrial & Vent 379 295 $23,224.00 $20,437.12 $413.35 $22,527.28 $22,062.80 2026-03-31
37288 CPT Pr Revsc Evsc Tpvt Athrc Sf 1st 377 294 $23,124.00 $20,349.12 $4,809.79 $22,430.28 $21,967.80 2026-03-31
37282 CPT Pr Rvsc Evsc Tpvt Angio Cplx 1 377 294 $23,121.00 $20,346.48 $4,809.17 $22,427.37 $21,964.95 2026-03-31
J9289 HCPCS Nivolumab 600 Mg-hyaluronidase-nvhy 10,000 Unit/5 Ml Subcut Solution 377 294 $23,010.70 $20,249.42 $4,786.23 $23,010.70 $21,860.17 2026-03-31
33206 CPT Pr Ins/rplc Pcmkr Atrial 379 295 $22,911.00 $20,161.68 $367.16 $22,223.67 $21,765.45 2026-03-31
92928 CPT Pr Plc Intracor Stnt Sngl 379 295 $22,745.00 $20,015.60 $411.64 $22,062.65 $21,607.75 2026-03-31
J2323 HCPCS Natalizumab 300 Mg/15 Ml Intravenous Solution 379 295 $22,623.10 $19,908.33 $24.00 $21,944.41 $21,491.95 2026-03-31
C9603 HCPCS Hc Perc Translum Ather Wangio Ea Add 375 292 $22,591.00 $19,880.08 $4,698.93 $22,591.00 $21,461.45 2026-03-31
92937 CPT Pr Perc Revasc Trans Cor Sngl Vesl 379 295 $22,414.00 $19,724.32 $464.83 $21,741.58 $21,293.30 2026-03-31
33229 CPT Pr Rplc Perm Gen Mult Lead 379 295 $22,332.00 $19,652.16 $301.19 $21,662.04 $21,215.40 2026-03-31
37271 CPT Pr Revsc Evsc Fpvt Athrc Sf 1st 377 294 $22,137.00 $19,480.56 $4,604.50 $21,472.89 $21,030.15 2026-03-31
1393 APR_DRG Other Pneumonia 26 24 — — $19,643.09 $20,676.93 $20,676.93 2026-03-31
J1323 HCPCS Elranatamab-bcmm 40 Mg/ml Subcutaneous Solution 754 294 $29,051.30 $25,565.15 $4,431.27 $36,798.40 $20,665.07 2026-03-31
37228 CPT Pr Revasc Tib/pero W Angplst Unilat 379 295 $21,704.00 $19,099.52 $340.01 $24,959.60 $20,618.80 2026-03-31
37242 CPT Pr Vasc Embl/occlude Arterial 379 295 $21,494.00 $18,914.72 $380.00 $20,849.18 $20,419.30 2026-03-31
C9764 HCPCS Hc Revasc Intravasc Lithotripsy 377 294 $21,493.00 $18,913.84 $4,470.54 $21,493.00 $20,418.35 2026-03-31
J1930 HCPCS Lanreotide 90 Mg/0.3 Ml Subcutaneous Syringe 1,133 295 $21,389.10 $18,822.41 $34.05 $24,393.85 $20,319.65 2026-03-31
36905 CPT Pr Av Fistula Pta Thrombectomy 377 294 $21,290.00 $18,735.20 $3,343.49 $20,651.30 $20,225.50 2026-03-31
92943 CPT Pr Perc Revasc Trans Chr Sngl Vesl 379 295 $21,248.00 $18,698.24 $563.02 $20,610.56 $20,185.60 2026-03-31
36903 CPT Pr Av Fistula Stent 377 294 $21,239.00 $18,690.32 $4,417.71 $20,601.83 $20,177.05 2026-03-31
36906 CPT Pr Av Fistula Stent Thrombectomy 377 294 $21,146.00 $18,608.48 $4,398.37 $20,511.62 $20,088.70 2026-03-31
J9273 HCPCS Tisotumab Vedotin-tftv 40 Mg/4 Ml Intravenous Solution (wetted) 377 294 $21,058.30 $18,531.30 $188.76 $21,058.30 $20,005.39 2026-03-31
37225 CPT Pr Revasc Fem/pop W Athrc/angplst 379 295 $20,831.00 $18,331.28 $377.31 $23,955.65 $19,789.45 2026-03-31
37241 CPT Pr Vasc Embl/occlude Venous 379 295 $20,631.00 $18,155.28 $342.49 $20,012.07 $19,599.45 2026-03-31
92929 CPT Hc Plc Intracor Stnt Ea Add 377 294 $20,621.00 $18,146.48 $4,289.17 $20,621.00 $19,589.95 2026-03-31
37258 CPT Pr Revsc Evasc Ivt Stent Sf 1st 377 294 $20,526.00 $18,062.88 $4,269.41 $19,910.22 $19,499.70 2026-03-31
J3101 HCPCS Tenecteplase 50 Mg Intravenous Solution 382 295 $20,226.50 $17,799.32 $172.22 $19,619.71 $19,215.18 2026-03-31
J9331 HCPCS Sirolimus-protein Bound 100 Mg Intravenous Suspension 377 294 $20,018.00 $17,615.84 $84.57 $20,018.00 $19,017.10 2026-03-31
J9063 HCPCS Mirvetuximab Soravtansine-gynx 5 Mg/ml Intravenous Solution 377 294 $19,572.30 $17,223.62 $4,071.04 $19,572.30 $18,593.69 2026-03-31
33207 CPT Pr Ins/rplc Pcmkr Vent 379 295 $19,378.00 $17,052.64 $383.48 $18,796.66 $18,409.10 2026-03-31
33228 CPT Pr Rplc Perm Gen Dual Lead 379 295 $19,304.00 $16,987.52 $287.90 $18,724.88 $18,338.80 2026-03-31
7212 APR_DRG Post-operative, Post-traumatic, Other Device Infections 26 24 — — $12,909.80 $18,324.00 $18,324.00 2026-03-31
37243 CPT Pr Vasc Embl/occlude Tmr Infarct 379 295 $19,158.00 $16,859.04 $453.38 $18,583.26 $18,200.10 2026-03-31
37236 CPT Pr Plc Opn/perc Stent Init 379 295 $18,926.00 $16,654.88 $344.94 $18,358.22 $17,979.70 2026-03-31
37244 CPT Pr Vasc Embl/occlude Hemorrhage 379 295 $18,816.00 $16,558.08 $532.12 $18,251.52 $17,875.20 2026-03-31
3512 APR_DRG Other Musculoskeletal System And Connective Tissue Diagnoses 26 24 — — $11,628.97 $17,870.73 $17,870.73 2026-03-31
7202 APR_DRG Septicemia And Disseminated Infections 26 24 — — $13,200.53 $17,749.48 $17,749.48 2026-03-31
1133 APR_DRG Infections Of Upper Respiratory Tract 26 24 — — $16,741.33 $17,622.45 $17,622.45 2026-03-31
37280 CPT Pr Revsc Evsc Tpvt Angio Sf 1st 377 294 $18,431.00 $16,219.28 $3,833.65 $17,878.07 $17,509.45 2026-03-31
J9347 HCPCS Tremelimumab-actl 20 Mg/ml Intravenous Solution 754 294 $64,435.90 $56,703.59 $2,141.15 $118,577.80 $17,479.09 2026-03-31
93461 CPT Pr Cath Plc Art/grft Ang W R&l Hrt 379 295 $18,302.00 $16,105.76 $1,321.96 $17,752.94 $17,386.90 2026-03-31
1402 APR_DRG Chronic Obstructive Pulmonary Disease 26 24 — — $12,257.05 $16,811.19 $16,811.19 2026-03-31
SUP-ZARTHABS110120 CDM Graft Tissue Disc Frozen Regenerative Sterile 20mm 375 292 $17,510.00 $15,408.80 $3,642.08 $17,510.00 $16,634.50 2026-03-31
37238 CPT Pr Plc Opn/perc Stent Same Init 379 295 $17,437.00 $15,344.56 $242.67 $16,913.89 $16,565.15 2026-03-31
2452 APR_DRG Inflammatory Bowel Disease 26 24 — — $12,037.63 $16,476.30 $16,476.30 2026-03-31
27130 CPT Pr Arthro Acetab&fem Prosth (tha) 378 294 $17,244.00 $15,174.72 $1,078.05 $16,726.68 $16,381.80 2026-03-31
33285 CPT Pr Impl Pt Actv Card Event Record 379 295 $17,228.00 $15,160.64 $67.76 $16,711.16 $16,366.60 2026-03-31
J9271 HCPCS Pembrolizumab 25 Mg/ml Intravenous Solution 379 295 $17,201.30 $15,137.14 $60.29 $16,685.26 $16,341.24 2026-03-31
3832 APR_DRG Cellulitis And Other Skin Infections 26 24 — — $11,480.87 $16,251.11 $16,251.11 2026-03-31
2442 APR_DRG Diverticulitis And Diverticulosis 26 24 — — $12,062.32 $16,181.82 $16,181.82 2026-03-31
1392 APR_DRG Other Pneumonia 26 24 — — $10,778.74 $16,023.03 $16,023.03 2026-03-31
J9039 HCPCS Blinatumomab 35 Mcg Intravenous (wrapper) 379 295 $16,850.20 $14,828.18 $164.25 $16,344.69 $16,007.69 2026-03-31
37187 CPT Pr Thrmbct Mech Trluml Vein 379 295 $16,597.00 $14,605.36 $316.30 $16,099.09 $15,767.15 2026-03-31
47554 CPT Pr Bilry Endo Perc Via T-tube W Rmvl 379 295 $16,587.00 $14,596.56 $368.82 $16,089.39 $15,757.65 2026-03-31
J9332 HCPCS Efgartigimod Alfa-fcab 20 Mg/ml Intravenous Solution (restricted) 377 294 $16,210.50 $14,265.24 $32.15 $16,210.50 $15,399.98 2026-03-31
37224 CPT Pr Revasc Fem/pop W Angplst Unilat 379 295 $16,175.00 $14,234.00 $251.03 $18,601.25 $15,366.25 2026-03-31
4632 APR_DRG Kidney And Urinary Tract Infections 26 24 — — $11,659.14 $15,307.05 $15,307.05 2026-03-31
47383 CPT Pr Ablt Perc Liver Tmr Cryoablat 379 295 $16,104.00 $14,171.52 $379.03 $15,620.88 $15,298.80 2026-03-31
33225 CPT Hc Ins Pacing Elctd Lv Lead Add 377 293 $15,770.00 $13,877.60 $351.28 $15,296.90 $14,981.50 2026-03-31
27138 CPT Pr Rev Total Hip Femoral Only 378 294 $15,377.00 $13,531.76 $1,264.39 $14,915.69 $14,608.15 2026-03-31
33227 CPT Pr Rplc Perm Gen Sngl Lead 379 295 $15,344.00 $13,502.72 $276.12 $14,883.68 $14,576.80 2026-03-31
37222 CPT Hc Revasc Iliac Arty Ea Ipsi Vssl 379 295 $15,123.00 $13,308.24 $116.70 $17,391.45 $14,366.85 2026-03-31
93655 CPT Hc Ablt Arrhythmia Add On 377 293 $14,891.00 $13,104.08 $232.14 $14,444.27 $14,146.45 2026-03-31
37234 CPT Hc Revasc Tib/pero Stnt&angiop Ea 379 295 $14,875.00 $13,090.00 $178.30 $17,106.25 $14,131.25 2026-03-31
7203 APR_DRG Septicemia And Disseminated Infections 26 24 — — $12,963.29 $13,645.56 $13,645.56 2026-03-31
J9011 HCPCS Datopotamab Deruxtecan-dlnk 100 Mg/5 Ml Intravenous Solution (wetted) 377 294 $14,341.70 $12,620.70 $2,983.07 $14,341.70 $13,624.62 2026-03-31
50593 CPT Pr Ablation Renal Tumor Perc Cryo 379 295 $14,306.00 $12,589.28 $378.73 $13,876.82 $13,590.70 2026-03-31
93620 CPT Pr Ep Eval W Arrhythmia 379 295 $14,166.00 $12,466.08 $923.08 $13,741.02 $13,457.70 2026-03-31
J0491 HCPCS Anifrolumab-fnia 300 Mg/2 Ml (150 Mg/ml) Intravenous Solution 377 294 $14,154.70 $12,456.14 $18.08 $14,154.70 $13,446.97 2026-03-31
37220 CPT Pr Revasc Iliac Artery Init Vessel 379 295 $13,910.00 $12,240.80 $226.77 $15,996.50 $13,214.50 2026-03-31
37233 CPT Hc Revasc Tib/pero Athr&angiop Ea 377 293 $13,890.00 $12,223.20 $2,889.12 $15,973.50 $13,195.50 2026-03-31
93453 CPT Pr Rt&lt Hrt Cath W Ventriclgrphy 379 295 $13,890.00 $12,223.20 $1,112.95 $13,473.30 $13,195.50 2026-03-31
A9586 HCPCS Florbetapir F-18 10 Mci (370 Mbq) Intravenous Solution 377 294 $13,597.50 $11,965.80 $1,825.64 $13,597.50 $12,917.63 2026-03-31
33990 CPT Pr Ins Perc Vent Assist Dev Left Heart Arterial Only W Img 377 293 $13,570.00 $11,941.60 $278.21 $13,162.90 $12,891.50 2026-03-31
27487 CPT Pr Rev Tot Knee Arthro Fem&tib 376 292 $13,549.00 $11,923.12 $1,457.47 $13,142.53 $12,871.55 2026-03-31
93459 CPT Pr Cath Plc Arty/grft Ang W L Hrt 379 295 $13,411.00 $11,801.68 $1,081.49 $13,008.67 $12,740.45 2026-03-31
33216 CPT Pr Ins Sngl Eltrd/ppcmkr/icd 379 295 $13,388.00 $11,781.44 $304.05 $12,986.36 $12,718.60 2026-03-31
93460 CPT Pr Cath Plc Art/ven Ang W R&l Hrt 379 295 $13,371.00 $11,766.48 $1,199.76 $12,969.87 $12,702.45 2026-03-31
92920 CPT Pr Ptca Sngl Mjr Arty/brnch 379 295 $13,369.00 $11,764.72 $343.70 $12,967.93 $12,700.55 2026-03-31
36908 CPT Hc Av Fistula Stent Central 375 292 $13,332.00 $11,732.16 $2,115.89 $12,932.04 $12,665.40 2026-03-31
36832 CPT Pr Rev Art Ven Fstl Wo Thrmbct 379 295 $13,182.00 $11,600.16 $614.33 $12,786.54 $12,522.90 2026-03-31
64555 CPT Pr Impl Neurostim Peripheral Perc 379 295 $12,927.00 $11,375.76 $282.81 $12,539.19 $12,280.65 2026-03-31
0201T CPT Hc Perc Sacrl Augmntation Bilat 377 294 $12,905.00 $11,356.40 $2,684.24 $12,517.85 $12,259.75 2026-03-31
36902 CPT Pr Av Fistula Pta 377 294 $12,877.00 $11,331.76 $1,804.62 $12,490.69 $12,233.15 2026-03-31
1412 APR_DRG Asthma 26 24 — — $8,760.13 $12,116.88 $12,116.88 2026-03-31
J9038 HCPCS Axatilimab-csfr 50 Mg/ml Intravenous Solution 754 294 $20,965.20 $18,449.38 $2,569.13 $29,578.80 $11,981.05 2026-03-31
36907 CPT Hc Av Fistula Pta Central 375 292 $12,564.00 $11,056.32 $872.13 $12,187.08 $11,935.80 2026-03-31
33210 CPT Pr Ins/rplc Temp Elec/pcmkr Sngl 379 295 $12,358.00 $10,875.04 $125.91 $11,987.26 $11,740.10 2026-03-31
22510 CPT Pr Perc Cervicothoracic Inject 379 295 $12,326.00 $10,846.88 $358.36 $11,956.22 $11,709.70 2026-03-31
22514 CPT Pr Perc Vert Agmntj Cav Crtj Lmbr 379 295 $12,216.00 $10,750.08 $393.69 $11,849.52 $11,605.20 2026-03-31
0644T CPT Pr Tcat Rmvl/dblk Icar Mas Perq 377 294 $12,165.00 $10,705.20 $2,507.93 $11,800.05 $11,556.75 2026-03-31
22511 CPT Pr Perc Lumbosacral Injection 379 295 $12,157.00 $10,698.16 $338.76 $11,792.29 $11,549.15 2026-03-31
93650 CPT Pr Ablt Av Node 379 295 $12,153.00 $10,694.64 $444.22 $11,788.41 $11,545.35 2026-03-31
J9200 HCPCS Floxuridine 0.5 Gram/5 Ml Solution For Injection (wetted) 377 293 $12,145.60 $10,688.13 $2,526.28 $11,781.23 $11,538.32 2026-03-31
93456 CPT Pr Cath Plc Cor Arty/ang W Rt Hrt 379 295 $12,132.00 $10,676.16 $1,091.29 $11,768.04 $11,525.40 2026-03-31
0913T CPT Pr Prq Tcat Ther Rx Ntrac Balo1 377 294 $12,113.00 $10,659.44 $2,519.50 $12,606.85 $11,507.35 2026-03-31
22513 CPT Pr Perc Vertebplsty Cavty Img Guid 1 379 295 $12,092.00 $10,640.96 $420.13 $11,729.24 $11,487.40 2026-03-31
A9582 HCPCS Iobenguane Sulfate I-123 10 Mci/5 Ml (370 Mbq/5 Ml) Intravenous Soln 377 294 $12,059.00 $10,611.92 $2,317.50 $12,059.00 $11,456.05 2026-03-31
77373 CPT Hc Stereotactic Body Radtn Del 379 295 $12,020.00 $10,577.60 $1,000.91 $11,659.40 $11,419.00 2026-03-31
J9312 HCPCS Rituximab 10 Mg/ml Concentrate,intravenous 379 295 $11,961.30 $10,525.94 $2,487.95 $11,602.46 $11,363.24 2026-03-31
J1162 HCPCS Digoxin Immune Fab 40 Mg Intravenous Solution 379 295 $11,949.80 $10,515.82 $2,485.56 $11,591.31 $11,352.31 2026-03-31
93455 CPT Pr Cath Plc Cor Arty/grft Angio 379 295 $11,903.00 $10,474.64 $976.27 $11,545.91 $11,307.85 2026-03-31
A9572 HCPCS Indium 111-pentetreotide 3 Mci/ml-10 Mcg Intravenous Kit 377 294 $11,901.00 $10,472.88 $2,000.94 $11,901.00 $11,305.95 2026-03-31
27447 CPT Pr Arthro Knee Condyle&plat (tka) 378 294 $11,818.00 $10,399.84 $1,076.03 $14,020.50 $11,227.10 2026-03-31
A9548 HCPCS Pentetate Indium Disodium In-111 1.5 Mci/1.5 Ml Intrathecal Solution 377 294 $11,758.00 $10,347.04 $745.62 $11,405.26 $11,170.10 2026-03-31
93457 CPT Pr Cath Plc Arty/grft Ang W R Hrt 379 295 $11,730.00 $10,322.40 $1,189.19 $11,378.10 $11,143.50 2026-03-31
J2506 HCPCS Pegfilgrastim 6 Mg/0.6 Ml Subcutaneous Syringe 377 294 $11,722.90 $10,316.15 $89.34 $11,722.90 $11,136.76 2026-03-31
50592 CPT Pr Ablation Renal Tumors Unilat Rf 379 295 $11,581.00 $10,191.28 $283.15 $11,233.57 $11,001.95 2026-03-31
93596 CPT Pr R&l Hrt Cath Chd Nml Nt Cnj 377 294 $11,564.00 $10,176.32 $2,405.31 $11,564.00 $10,985.80 2026-03-31
20982 CPT Pr Ablation Bn Tmr Radiofrequency 379 295 $11,346.00 $9,984.48 $297.91 $19,147.84 $10,778.70 2026-03-31
27702 CPT Pr Arthroplasty Ank W Implant 376 292 $11,262.00 $9,910.56 $832.54 $10,924.14 $10,698.90 2026-03-31
23472 CPT Pr Arthro Glh Jt Total Shoulder 378 294 $11,239.00 $9,890.32 $1,210.36 $19,147.84 $10,677.05 2026-03-31
20983 CPT Pr Ablation Bn Tmr Cryoablation 379 295 $11,071.00 $9,742.48 $284.57 $10,738.87 $10,517.45 2026-03-31
0200T CPT Hc Perc Sac Augmentation Unlat Inj 377 294 $11,068.00 $9,739.84 $2,302.14 $10,735.96 $10,514.60 2026-03-31
J9061 HCPCS Amivantamab-vmjw 50 Mg/ml Intravenous Solution 377 294 $11,050.10 $9,724.09 $22.54 $11,050.10 $10,497.60 2026-03-31
J0584 HCPCS Burosumab-twza 10 Mg/ml Subcutaneous Solution 379 295 $11,023.50 $9,700.68 $2,292.89 $10,692.80 $10,472.33 2026-03-31
37223 CPT Hc Revasc Iliac Arty Stnt Angplst 379 295 $10,922.00 $9,611.36 $132.35 $12,560.30 $10,375.90 2026-03-31
36909 CPT Hc Av Fistula Embolization 375 292 $10,896.00 $9,588.48 $2,266.37 $10,569.12 $10,351.20 2026-03-31
93458 CPT Pr Cath Plc Arty/vent Ang W L Hrt 379 295 $10,711.00 $9,425.68 $1,006.38 $10,389.67 $10,175.45 2026-03-31
J9276 HCPCS Zanidatamab-hrii 300 Mg/6 Ml Intravenous Solution (wetted) 377 294 $10,641.70 $9,364.70 $2,213.47 $10,641.70 $10,109.62 2026-03-31
0238T CPT Hc Tlpa Iliac Arty Ea Vssl 377 294 $10,629.00 $9,353.52 $2,210.83 $10,629.00 $10,097.55 2026-03-31
J2997 HCPCS Alteplase 100 Mg Intravenous Solution 1,133 295 $10,620.30 $9,345.86 $94.45 $20,191.04 $10,089.29 2026-03-31
RX-707829 CDM Denileukin Diftitox-cxdl 150 Mcg/ml Intravenous Solution (wetted) 377 294 $10,558.20 $9,291.22 $2,196.11 $10,558.20 $10,030.29 2026-03-31
93657 CPT Hc Ablt Atrium Add Linear Cath 377 293 $10,486.00 $9,227.68 $232.14 $10,171.42 $9,961.70 2026-03-31
A9606 HCPCS Radium Ra 223 Dichlor 1,100 Kbq/ml (30 Microcurie/ml) Intravenous Soln 379 295 $10,470.00 $9,213.60 $2,177.76 $10,155.90 $9,946.50 2026-03-31
36904 CPT Pr Av Fistula Thrombectomy 377 294 $10,451.00 $9,196.88 $2,173.81 $10,137.47 $9,928.45 2026-03-31
42330 CPT Pr Sialolithtomy Uncomp Intraoral 379 295 $10,353.00 $9,110.64 $144.45 $10,042.41 $9,835.35 2026-03-31
0237T CPT Hc Trluml Periph Athrc W/rs&i Brchiocphl Ea Vsl 377 294 $10,338.00 $9,097.44 $2,150.30 $12,606.85 $9,821.10 2026-03-31
49618 CPT Pr Rpr Aa Hrn Rcr > 10 Ncr/strn 374 291 $10,337.00 $9,096.56 $1,003.73 $10,026.89 $9,820.15 2026-03-31
J2353 HCPCS Octreotide,microspheres ER 20 Mg Intramuscular Susp, Extended Release 1,133 295 $10,265.30 $9,033.46 $203.58 $14,705.30 $9,752.04 2026-03-31
37607 CPT Pr Lig/banding Angioaccess Avf 379 295 $10,027.00 $8,823.76 $313.93 $9,726.19 $9,525.65 2026-03-31
37246 CPT Pr Pta Arterial Initial 377 294 $10,002.00 $8,801.76 $2,080.42 $9,701.94 $9,501.90 2026-03-31
A9800 HCPCS Kit For Preparation Of Ga-68-gozetotide 25 Mcg Intravenous Solution 377 294 $10,000.00 $8,800.00 $362.50 $10,000.00 $9,500.00 2026-03-31
J0565 HCPCS Bezlotoxumab 25 Mg/ml Intravenous Solution 379 295 $9,872.60 $8,687.89 $2,053.50 $9,576.42 $9,378.97 2026-03-31
PX-720000008 CDM Hc Labor & Delivery Level 3 Long 375 292 $9,757.00 $8,586.16 $2,029.46 $9,757.00 $9,269.15 2026-03-31
50694 CPT Pr Plc Ureter Stnt New Wo Nephrost Cath 379 295 $9,736.00 $8,567.68 $217.35 $9,443.92 $9,249.20 2026-03-31
93462 CPT Hc Lt Hrt Cath Txsptl Punc 377 293 $9,724.00 $8,557.12 $157.58 $9,432.28 $9,237.80 2026-03-31
33235 CPT Pr Rmvl Pcmkr Elec Dual Lead Sys 379 295 $9,466.00 $8,330.08 $519.11 $9,182.02 $8,992.70 2026-03-31
37289 CPT Hc Revsc Evsc Tpvt Athrc Sf Ea 375 292 $9,279.00 $8,165.52 $1,378.40 $9,000.63 $8,815.05 2026-03-31
27486 CPT Pr Rev Tot Knee Arthro 1 Compnt 378 294 $9,202.00 $8,097.76 $1,185.44 $14,020.50 $8,741.90 2026-03-31
37239 CPT Hc Plc Opn/perc Stent Same Ea Add 377 293 $9,187.00 $8,084.56 $118.16 $8,911.39 $8,727.65 2026-03-31
37248 CPT Pr Pta Venous Initial 377 294 $9,172.00 $8,071.36 $1,907.78 $8,896.84 $8,713.40 2026-03-31
23470 CPT Pr Arthro Glh Jt Hemiarthro 378 294 $9,156.00 $8,057.28 $1,015.36 $14,020.50 $8,698.20 2026-03-31
J1306 HCPCS Inclisiran 284 Mg/1.5 Ml Subcutaneous Syringe 377 294 $9,098.80 $8,006.94 $12.32 $9,098.80 $8,643.86 2026-03-31
33233 CPT Pr Rmvl Pcmkr Pulse Gen Only 379 295 $9,080.00 $7,990.40 $198.00 $9,037.15 $8,626.00 2026-03-31
63650 CPT Pr Impl Neurostim Elec Perc Epi 379 295 $9,059.00 $7,971.92 $360.22 $8,787.23 $8,606.05 2026-03-31
SUP-00810063820046 CDM Tapestry Biointegrative Implant 30mmx30mm 375 292 $9,000.00 $7,920.00 $1,872.00 $9,000.00 $8,550.00 2026-03-31
37235 CPT Hc Revasc Tib/pero Stnt&anthr Ea 379 295 $8,996.00 $7,916.48 $243.04 $10,345.40 $8,546.20 2026-03-31
PX-360000008 CDM Hc Or Level 12 603 294 $8,983.00 $7,905.04 $1,868.46 $8,983.00 $8,533.85 2026-03-31
93454 CPT Pr Cath Plc Cor Arty Angio S&i 379 295 $8,907.00 $7,838.16 $876.42 $8,639.79 $8,461.65 2026-03-31
43240 CPT Pr Egd W Transmural Drn 379 295 $8,891.00 $7,824.08 $325.85 $8,624.27 $8,446.45 2026-03-31
J0139 HCPCS Adalimumab 40 Mg/0.8 Ml Subcutaneous Injection (wrapper) (restricted) 375 292 $8,862.00 $7,798.56 $1,843.30 $9,748.20 $8,418.90 2026-03-31
J2182 HCPCS Mepolizumab 100 Mg Subcutaneous Solution 753 295 $8,648.00 $7,610.24 $1,798.78 $10,037.17 $8,388.56 2026-03-31
32994 CPT Pr Ablate Pulm Tumor Perq Crybl 377 294 $8,575.00 $7,546.00 $1,783.60 $11,608.33 $8,146.25 2026-03-31
J9326 HCPCS Telisotuzumab Vedotin-tllv 20 Mg/ml Intravenous Solution (wrapper) 752 294 $39,378.80 $34,653.34 $143.99 $39,378.80 $8,089.76 2026-03-31
A9592 HCPCS Copper Cu-64 Dotatate 148 Mbq/4 Ml (4 Mci/4 Ml) Intravenous Solution 377 294 $8,500.00 $7,480.00 $594.28 $8,500.00 $8,075.00 2026-03-31
37232 CPT Hc Revasc Tib/pero W Angplst Ea 379 295 $8,457.00 $7,442.16 $113.27 $9,725.55 $8,034.15 2026-03-31
66989 CPT Pr Xcpsl Ctrc Rmvl Cplx Insj 1+ 376 293 $8,452.00 $7,437.76 $825.28 $8,198.44 $8,029.40 2026-03-31
PX-360000006 CDM Hc Or Level 11 603 294 $8,400.00 $7,392.00 $1,747.20 $8,400.00 $7,980.00 2026-03-31
33218 CPT Pr Rpr Sngl Eltrd/ppcmkr/icd 379 295 $8,367.00 $7,362.96 $320.42 $8,115.99 $7,948.65 2026-03-31
43276 CPT Pr Ercp Stent Exchange W Dil 379 295 $8,308.00 $7,311.04 $398.99 $8,058.76 $7,892.60 2026-03-31
J9286 HCPCS Glofitamab-gxbm 1 Mg/ml Intravenous Solution 754 294 $19,601.00 $17,248.88 $1,686.96 $31,091.60 $7,867.09 2026-03-31
Q5111 HCPCS Pegfilgrastim-cbqv 6 Mg/0.6 Ml Subcutaneous Syringe 379 295 $8,261.00 $7,269.68 $106.33 $8,013.17 $7,847.95 2026-03-31
J1944 HCPCS Aripiprazole Lauroxil ER 882 Mg/3.2 Ml Suspension, Ext.rel. IM Syringe 379 295 $8,240.10 $7,251.29 $3.35 $7,992.90 $7,828.10 2026-03-31
43274 CPT Pr Ercp Duct Stent Plc W Dil 379 295 $8,078.00 $7,108.64 $383.27 $7,835.66 $7,674.10 2026-03-31
J0870 HCPCS Imetelstat 188 Mg/6 Ml Intravenous Solution (wetted) 754 294 $18,974.25 $16,697.34 $1,634.82 $30,088.80 $7,623.91 2026-03-31
93623 CPT Hc Stim Hrt Pacing Post IV Inf 377 293 $8,007.00 $7,046.16 $296.97 $7,766.79 $7,606.65 2026-03-31
45389 CPT Pr Colonoscopy Flex Stent Plc 379 295 $8,000.00 $7,040.00 $241.37 $7,760.00 $7,600.00 2026-03-31
37211 CPT Pr Transcath Artl Thpy W S&i Init 379 295 $7,956.00 $7,001.28 $304.12 $7,717.32 $7,558.20 2026-03-31
66991 CPT Pr Xcapsl Ctrc Rmvl Insj 1+ 379 295 $7,941.00 $6,988.08 $48.49 $7,702.77 $7,543.95 2026-03-31
36251 CPT Pr Sel Cath Renal Arty&angio Unilat 379 295 $7,917.00 $6,966.96 $202.89 $7,679.49 $7,521.15 2026-03-31
RX-178591 CDM Abaloparatide 80 Mcg/dose(3,120 Mcg/1.56 Ml) Subcutaneous Pen Injector 377 294 $7,875.50 $6,930.44 $1,638.10 $8,663.05 $7,481.73 2026-03-31
33952 CPT Pr Ecmo Insert Cannula >=6yr Perc 377 293 $7,851.00 $6,908.88 $343.68 $7,615.47 $7,458.45 2026-03-31
36253 CPT Pr Cath 2nd+ord Renal Artery Unilat 379 295 $7,807.00 $6,870.16 $285.35 $7,572.79 $7,416.65 2026-03-31
27828 CPT Pr Opn Tx Dist Tib W Tib&fib Fix 378 294 $7,792.00 $6,856.96 $1,159.31 $14,020.50 $7,402.40 2026-03-31
J2802 HCPCS Romiplostim 250 Mcg Subcutaneous Solution 752 294 $7,611.20 $6,697.86 $11.01 $14,797.40 $7,382.86 2026-03-31
58573 CPT Pr Lap Tot Hyst Utrs>250g W Tb/ov 378 294 $7,730.00 $6,802.40 $1,017.86 $11,608.33 $7,343.50 2026-03-31
Q5136 HCPCS Denosumab-bbdz 120 Mg/1.7 Ml (70 Mg/ml) Subcutaneous Solution 377 294 $7,709.90 $6,784.71 $1,603.66 $7,709.90 $7,324.41 2026-03-31
29888 CPT Pr Arthsc Aid Acl Rpr 378 294 $7,692.00 $6,768.96 $834.67 $7,924.16 $7,307.40 2026-03-31
23420 CPT Pr Rcnst Avul Cmplx Shldr Chr 378 294 $7,692.00 $6,768.96 $852.19 $7,924.16 $7,307.40 2026-03-31
37252 CPT Hc Intravasc US Noncoronary Init Vsl 377 293 $7,686.00 $6,763.68 $70.69 $7,455.42 $7,301.70 2026-03-31
27446 CPT Pr Arthro Knee Med/lat Cmprt (unilat) 378 294 $7,652.00 $6,733.76 $975.23 $14,020.50 $7,269.40 2026-03-31
58554 CPT Pr Lap Vag Hyst Utrs>250 G W Rmvl 376 292 $7,650.00 $6,732.00 $1,072.68 $7,420.50 $7,267.50 2026-03-31
24357 CPT Pr Tenotomy Elbow Percutaneous 379 295 $7,632.00 $6,716.16 $375.28 $7,403.04 $7,250.40 2026-03-31
77301 CPT Hc Imrt Radiotherapy Plan 379 295 $7,631.00 $6,715.28 $1,322.19 $7,402.07 $7,249.45 2026-03-31
Q5115 HCPCS Rituximab-abbs 10 Mg/ml Intravenous Solution 379 295 $7,628.10 $6,712.73 $29.38 $7,399.26 $7,246.70 2026-03-31
36557 CPT Hc Ins Tunl Cvc Wo Port < 5 Yr 379 295 $7,548.00 $6,642.24 $281.27 $7,321.56 $7,170.60 2026-03-31
PX-720000009 CDM Hc Labor & Delivery Level 3 Short 375 292 $7,540.00 $6,635.20 $1,568.32 $7,540.00 $7,163.00 2026-03-31
J9321 HCPCS Epcoritamab-bysp 0.8 Mg/ml Subcutaneous Dilution 754 294 $25,804.95 $22,708.36 $904.97 $47,259.10 $7,090.34 2026-03-31
49617 CPT Pr Rpr Aa Hrn Rcr > 10 Rdc 374 291 $7,452.00 $6,557.76 $718.67 $7,228.44 $7,079.40 2026-03-31
J0177 HCPCS Aflibercept 8 Mg/0.07 Ml Intravitreal Solution For Injection 377 294 $7,418.80 $6,528.54 $1,543.11 $7,418.80 $7,047.86 2026-03-31
78815 CPT Pr Pet/ct Trunk 379 295 $7,418.00 $6,527.84 $1,365.96 $7,195.46 $7,047.10 2026-03-31
J9026 HCPCS Tarlatamab-dlle 10 Mg Intravenous Solution 754 294 $24,112.15 $21,218.69 $988.46 $43,472.10 $6,897.20 2026-03-31
22515 CPT Hc Perc Vert Agmnt Mech Ea Add 377 293 $7,229.00 $6,361.52 $171.41 $7,012.13 $6,867.55 2026-03-31
27870 CPT Pr Arthrodesis Ankle Opn 378 294 $7,172.00 $6,311.36 $874.38 $14,020.50 $6,813.40 2026-03-31
50437 CPT Pr Perq Dil Xst Trc New Acs Ren Coltj Sys 377 294 $7,162.00 $6,302.56 $318.12 $6,947.14 $6,803.90 2026-03-31
PX-360000004 CDM Hc Or Level 10 603 294 $7,143.00 $6,285.84 $1,485.74 $7,143.00 $6,785.85 2026-03-31
J9350 HCPCS Mosunetuzumab-axgb 1 Mg/ml Intravenous Solution 754 294 $28,309.80 $24,912.62 $467.46 $54,372.20 $6,778.41 2026-03-31
33244 CPT Pr Rmvl Icd Elec Transven Extract 379 295 $7,135.00 $6,278.80 $697.95 $6,920.95 $6,778.25 2026-03-31
PX-720000006 CDM Hc Labor & Delivery Level 2 Long 375 292 $7,103.00 $6,250.64 $1,477.42 $7,103.00 $6,747.85 2026-03-31
J0401 HCPCS Aripiprazole ER 400 Mg Suspension, Extended Rel.intramuscular Syringe 379 295 $7,079.30 $6,229.78 $7.28 $6,866.92 $6,725.34 2026-03-31
23412 CPT Pr Rpr Rupt Musctndn Cuff Chronic 379 295 $7,038.00 $6,193.44 $744.29 $7,924.16 $6,686.10 2026-03-31
58563 CPT Pr Hysteroscopy Endometrial Ablt 378 294 $7,000.00 $6,160.00 $200.08 $6,790.00 $6,650.00 2026-03-31
A9557 HCPCS Kit For Preparation Of Tc-99m-bicisate 0.9 Mg Intravenous Solution 377 294 $6,996.00 $6,156.48 $775.52 $6,996.00 $6,646.20 2026-03-31
37200 CPT Pr Transcatheter Biopsy 379 295 $6,989.00 $6,150.32 $174.35 $6,779.33 $6,639.55 2026-03-31
49616 CPT Pr Rpr Aa Hrn Rcr 3-10 Ncr/strn 376 293 $6,987.00 $6,148.56 $558.50 $6,777.39 $6,637.65 2026-03-31
43277 CPT Pr Ercp W Trans Baln Dil 379 295 $6,967.00 $6,130.96 $314.69 $6,757.99 $6,618.65 2026-03-31
36475 CPT Hc Endovenous Ablation 1st Vein 752 295 $6,890.00 $6,063.20 $220.48 $7,163.45 $6,601.45 2026-03-31
J1932 HCPCS Lanreotide 120 Mg/0.5 Ml Subcutaneous Syringe (cipla) 377 294 $6,948.10 $6,114.33 $1,445.20 $6,948.10 $6,600.70 2026-03-31
27827 CPT Pr Opn Tx Dist Tibia Fx 378 294 $6,908.00 $6,079.04 $997.72 $14,020.50 $6,562.60 2026-03-31
37249 CPT Hc Pta Venous Ea Add 375 292 $6,896.00 $6,068.48 $635.85 $6,689.12 $6,551.20 2026-03-31
RX-163412 CDM Idarucizumab 2.5 Gram/50 Ml Intravenous Solution 375 292 $6,890.70 $6,063.82 $1,433.27 $6,890.70 $6,546.17 2026-03-31
93229 CPT Hc Remote 30 Day ECG Tech Supp 379 295 $6,845.00 $6,023.60 $356.46 $6,639.65 $6,502.75 2026-03-31
A9515 HCPCS Choline-11 (c-11) 33.1 Mci/ml Intravenous Solution 377 294 $6,840.00 $6,019.20 $1,422.72 $6,840.00 $6,498.00 2026-03-31
PX-360000029 CDM Hc Or Level 9 603 294 $6,835.00 $6,014.80 $1,421.68 $6,835.00 $6,493.25 2026-03-31
36252 CPT Pr Sel Cath Renal Arty&angio Bil 379 295 $6,828.00 $6,008.64 $276.01 $6,623.16 $6,486.60 2026-03-31
37197 CPT Pr Rtrev/rmvl Intravasc Fb W Img 379 295 $6,813.00 $5,995.44 $240.55 $6,608.61 $6,472.35 2026-03-31
37191 CPT Pr Insert Evasc Vena Cava Filter 379 295 $6,722.00 $5,915.36 $176.71 $6,520.34 $6,385.90 2026-03-31
36558 CPT Pr Ins Tunl Cvc Wo Port >=5yr 379 295 $6,689.00 $5,886.32 $219.20 $6,488.33 $6,354.55 2026-03-31
25448 CPT Pr Arthrp Intercarp/carp/mtcrpl Jt Susp 378 294 $6,676.00 $5,874.88 $3.80 $6,475.72 $6,342.20 2026-03-31
49418 CPT Pr Ins Intraperitoneal Cath W Img 379 295 $6,674.00 $5,873.12 $165.24 $6,473.78 $6,340.30 2026-03-31
36478 CPT Pr Endovenous Ablt Laser 1st Vein 379 295 $6,665.00 $5,865.20 $222.30 $6,465.05 $6,331.75 2026-03-31
J3111 HCPCS Romosozumab-aqqg 210 Mg/2.34 Ml(105 Mg/1.17 Ml X2)subcutaneous Syringe 379 295 $6,650.00 $5,852.00 $12.07 $6,450.50 $6,317.50 2026-03-31
47534 CPT Pr Plc Biliary Drn Cath Intrnl-extrnl 379 295 $6,643.00 $5,845.84 $298.91 $6,443.71 $6,310.85 2026-03-31
37184 CPT Pr Thrmbct Mech Prim Perc Init Vsl 379 295 $6,643.00 $5,845.84 $342.43 $20,019.10 $6,310.85 2026-03-31
Q4125 HCPCS Graft Tissue Patch Dermis Room Temperature Achilles Sterile Thick 0.8 1.7mm Arth… 377 294 $6,600.00 $5,808.00 $118.88 $6,402.00 $6,270.00 2026-03-31
27418 CPT Pr Tubercleplasty Anterior Tibial 378 294 $6,570.00 $5,781.60 $719.06 $7,924.16 $6,241.50 2026-03-31
50693 CPT Pr Plc Ureter Stnt Pre-exist Nephrost Trct 379 295 $6,570.00 $5,781.60 $167.45 $6,372.90 $6,241.50 2026-03-31
37186 CPT Hc Thrmbct Perc Trluml Sec Noncor 377 293 $6,570.00 $5,781.60 $193.49 $6,372.90 $6,241.50 2026-03-31
A9570 HCPCS Indium In-111 Oxyquinoline 1 Mci/ml (37 Mbq/ml)(1 Ml) Intravenous Soln 377 294 $6,563.00 $5,775.44 $1,103.19 $6,563.00 $6,234.85 2026-03-31
PX-200000000 CDM Intensive Care - Facility 314 186 $6,531.00 $5,747.28 $5,551.40 $6,335.00 $6,204.40 2026-03-31
27759 CPT Pr Tx Tib Fx Intramdlry Impl 376 292 $6,523.00 $5,740.24 $858.46 $6,327.31 $6,196.85 2026-03-31
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