|
J9228
|
HCPCS
|
Injection, Ipilimumab, 1 Mg
|
18
|
9
|
$95,036.59
|
$71,277.44
25% off
|
$10,279.17
|
$119,822.09
|
$35,536.10
|
2026-05-14
|
|
J2350
|
HCPCS
|
Injection, Ocrelizumab, 1 Mg
|
9
|
9
|
$63,450.65
|
$47,587.99
25% off
|
$17,157.06
|
$49,999.11
|
$27,029.98
|
2026-05-14
|
|
J9043
|
HCPCS
|
Injection, Cabazitaxel, 1 Mg
|
9
|
9
|
$60,586.90
|
$45,440.18
25% off
|
$16,382.70
|
$47,742.48
|
$25,810.02
|
2026-05-14
|
|
J9042
|
HCPCS
|
Injection, Brentuximab Vedotin, 1 Mg
|
9
|
9
|
$54,208.38
|
$40,656.29
25% off
|
$14,657.95
|
$42,716.20
|
$23,092.77
|
2026-05-14
|
|
J9022
|
HCPCS
|
Injection, Atezolizumab, 10 Mg
|
9
|
9
|
$49,132.83
|
$36,849.62
25% off
|
$13,285.52
|
$38,716.67
|
$20,930.59
|
2026-05-14
|
|
J9119
|
HCPCS
|
Injection, Cemiplimab-rwlc, 1 Mg
|
9
|
9
|
$46,653.42
|
$34,990.07
25% off
|
$12,615.08
|
$36,762.90
|
$19,874.36
|
2026-05-14
|
|
J9144
|
HCPCS
|
Injection, Daratumumab, 10 Mg And Hyaluronidase-fihj
|
9
|
9
|
$37,678.72
|
$28,259.04
25% off
|
$10,188.33
|
$29,690.83
|
$16,051.13
|
2026-05-14
|
|
J2327
|
HCPCS
|
Injection, Risankizumab-rzaa, Intravenous, 1 Mg
|
9
|
9
|
$36,842.12
|
$27,631.59
25% off
|
$9,962.11
|
$29,031.59
|
$15,694.74
|
2026-05-14
|
|
J0870
|
HCPCS
|
Injection, Imetelstat, 1 Mg
|
9
|
9
|
$36,217.24
|
$27,162.93
25% off
|
$9,793.14
|
$28,539.19
|
$15,428.54
|
2026-05-14
|
|
J3245
|
HCPCS
|
Injection, Tildrakizumab, 1 Mg
|
9
|
9
|
$35,994.73
|
$26,996.05
25% off
|
$9,732.98
|
$28,363.85
|
$15,333.76
|
2026-05-14
|
|
J3101
|
HCPCS
|
Injection, Tenecteplase, 1 Mg
|
9
|
9
|
$35,176.08
|
$26,382.06
25% off
|
$9,511.61
|
$27,718.75
|
$14,985.01
|
2026-05-14
|
|
J3380
|
HCPCS
|
Injection, Vedolizumab, Intravenous, 1 Mg
|
9
|
9
|
$34,900.89
|
$26,175.67
25% off
|
$9,437.20
|
$27,501.90
|
$14,867.78
|
2026-05-14
|
|
J9308
|
HCPCS
|
Injection, Ramucirumab, 5 Mg
|
9
|
9
|
$31,349.51
|
$23,512.13
25% off
|
$8,476.91
|
$24,703.41
|
$13,354.89
|
2026-05-14
|
|
J0775
|
HCPCS
|
Injection, Collagenase, Clostridium Histolyticum, 0.01 Mg
|
9
|
9
|
$30,397.61
|
$22,798.21
25% off
|
$8,219.51
|
$23,953.32
|
$12,949.38
|
2026-05-14
|
|
25004189
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$25,556.00
|
$19,167.00
25% off
|
$6,910.34
|
$20,138.13
|
$11,529.59
|
2026-05-14
|
|
25003827
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$25,448.00
|
$19,086.00
25% off
|
$6,881.14
|
$20,053.02
|
$11,480.86
|
2026-05-14
|
|
J9330
|
HCPCS
|
Injection, Temsirolimus, 1 Mg
|
9
|
9
|
$25,935.00
|
$19,451.25
25% off
|
$7,012.82
|
$20,436.78
|
$11,048.31
|
2026-05-14
|
|
J9306
|
HCPCS
|
Injection, Pertuzumab, 1 Mg
|
9
|
9
|
$25,298.10
|
$18,973.58
25% off
|
$6,840.61
|
$19,934.90
|
$10,776.99
|
2026-05-14
|
|
25015705
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$23,818.00
|
$17,863.50
25% off
|
$6,440.39
|
$18,768.58
|
$10,745.49
|
2026-05-14
|
|
J0896
|
HCPCS
|
Injection, Luspatercept-aamt, 0.25 Mg
|
9
|
9
|
$25,222.72
|
$18,917.04
25% off
|
$6,820.22
|
$19,875.50
|
$10,744.88
|
2026-05-14
|
|
25002250
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$23,728.00
|
$17,796.00
25% off
|
$6,416.05
|
$18,697.66
|
$10,704.89
|
2026-05-14
|
|
J9271
|
HCPCS
|
Injection, Pembrolizumab, 1 Mg
|
9
|
9
|
$24,760.54
|
$18,570.41
25% off
|
$6,695.25
|
$19,511.31
|
$10,547.99
|
2026-05-14
|
|
25007348
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$23,364.00
|
$17,523.00
25% off
|
$6,317.63
|
$18,410.83
|
$10,540.67
|
2026-05-14
|
|
25004058
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$22,635.00
|
$16,976.25
25% off
|
$6,120.50
|
$17,836.38
|
$10,211.78
|
2026-05-14
|
|
J2506
|
HCPCS
|
Injection, Pegfilgrastim, Excludes Biosimilar, 0.5 Mg
|
9
|
9
|
$23,592.29
|
$17,694.22
25% off
|
$6,379.36
|
$18,590.72
|
$10,050.32
|
2026-05-14
|
|
25002405
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$21,662.00
|
$16,246.50
25% off
|
$5,857.40
|
$17,069.66
|
$9,772.81
|
2026-05-14
|
|
25006517
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$21,296.00
|
$15,972.00
25% off
|
$5,758.44
|
$16,781.25
|
$9,607.69
|
2026-05-14
|
|
25010870
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$21,184.00
|
$15,888.00
25% off
|
$5,728.15
|
$16,692.99
|
$9,557.16
|
2026-05-14
|
|
J9354
|
HCPCS
|
Injection, Ado-trastuzumab Emtansine, 1 Mg
|
18
|
9
|
$19,881.27
|
$14,910.95
25% off
|
$4,156.12
|
$19,221.12
|
$9,269.07
|
2026-05-14
|
|
25001792
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$20,250.00
|
$15,187.50
25% off
|
$5,475.60
|
$15,957.00
|
$9,135.79
|
2026-05-14
|
|
25006746
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$19,502.00
|
$14,626.50
25% off
|
$5,273.34
|
$15,367.58
|
$8,798.33
|
2026-05-14
|
|
25002283
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$19,470.00
|
$14,602.50
25% off
|
$5,264.69
|
$15,342.36
|
$8,783.89
|
2026-05-14
|
|
25009570
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$19,470.00
|
$14,602.50
25% off
|
$5,264.69
|
$15,342.36
|
$8,783.89
|
2026-05-14
|
|
J1162
|
HCPCS
|
Injection, Digoxin Immune Fab (ovine), Per Vial
|
9
|
9
|
$20,472.98
|
$15,354.74
25% off
|
$5,535.89
|
$16,132.71
|
$8,721.49
|
2026-05-14
|
|
25017579
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$19,106.00
|
$14,329.50
25% off
|
$5,166.26
|
$15,055.53
|
$8,619.67
|
2026-05-14
|
|
25019604
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$19,106.00
|
$14,329.50
25% off
|
$5,166.26
|
$15,055.53
|
$8,619.67
|
2026-05-14
|
|
25013736
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$18,575.00
|
$13,931.25
25% off
|
$5,022.68
|
$14,637.10
|
$8,380.11
|
2026-05-14
|
|
25013227
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$18,497.00
|
$13,872.75
25% off
|
$5,001.59
|
$14,575.64
|
$8,344.92
|
2026-05-14
|
|
25002326
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$18,497.00
|
$13,872.75
25% off
|
$5,001.59
|
$14,575.64
|
$8,344.92
|
2026-05-14
|
|
25002307
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$18,497.00
|
$13,872.75
25% off
|
$5,001.59
|
$14,575.64
|
$8,344.92
|
2026-05-14
|
|
25002310
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$18,497.00
|
$13,872.75
25% off
|
$5,001.59
|
$14,575.64
|
$8,344.92
|
2026-05-14
|
|
25015693
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$18,495.00
|
$13,871.25
25% off
|
$5,001.05
|
$14,574.06
|
$8,344.02
|
2026-05-14
|
|
25009135
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$18,379.00
|
$13,784.25
25% off
|
$4,969.68
|
$14,482.65
|
$8,291.68
|
2026-05-14
|
|
25004795
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$18,254.00
|
$13,690.50
25% off
|
$4,935.88
|
$14,384.15
|
$8,235.29
|
2026-05-14
|
|
25010170
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$18,139.00
|
$13,604.25
25% off
|
$4,904.79
|
$14,293.53
|
$8,183.41
|
2026-05-14
|
|
25000021
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$18,132.00
|
$13,599.00
25% off
|
$4,902.89
|
$14,288.02
|
$8,180.25
|
2026-05-14
|
|
25009611
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$18,132.00
|
$13,599.00
25% off
|
$4,902.89
|
$14,288.02
|
$8,180.25
|
2026-05-14
|
|
25005426
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$17,645.00
|
$13,233.75
25% off
|
$4,771.21
|
$13,904.26
|
$7,960.54
|
2026-05-14
|
|
25011407
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$17,645.00
|
$13,233.75
25% off
|
$4,771.21
|
$13,904.26
|
$7,960.54
|
2026-05-14
|
|
25019504
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$17,401.00
|
$13,050.75
25% off
|
$4,705.23
|
$13,711.99
|
$7,850.47
|
2026-05-14
|
|
25019611
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$17,401.00
|
$13,050.75
25% off
|
$4,705.23
|
$13,711.99
|
$7,850.47
|
2026-05-14
|
|
25009784
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$17,280.00
|
$12,960.00
25% off
|
$4,672.51
|
$13,616.64
|
$7,795.87
|
2026-05-14
|
|
25001306
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$17,195.00
|
$12,896.25
25% off
|
$4,649.53
|
$13,549.66
|
$7,757.52
|
2026-05-14
|
|
25002832
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$17,036.00
|
$12,777.00
25% off
|
$4,606.53
|
$13,424.37
|
$7,685.80
|
2026-05-14
|
|
25014424
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$16,916.00
|
$12,687.00
25% off
|
$4,574.09
|
$13,329.81
|
$7,631.66
|
2026-05-14
|
|
J1932
|
HCPCS
|
Injection, Lanreotide, (cipla), 1 Mg
|
9
|
9
|
$17,820.89
|
$13,365.67
25% off
|
$4,818.77
|
$14,042.86
|
$7,591.70
|
2026-05-14
|
|
Q5127
|
HCPCS
|
Injection, Pegfilgrastim-fpgk (stimufend), Biosimilar, 0.5 Mg
|
9
|
9
|
$17,699.83
|
$13,274.87
25% off
|
$4,786.03
|
$13,947.47
|
$7,540.13
|
2026-05-14
|
|
25009593
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$16,593.00
|
$12,444.75
25% off
|
$4,486.75
|
$13,075.28
|
$7,485.93
|
2026-05-14
|
|
25026353
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$16,429.00
|
$12,321.75
25% off
|
$4,442.40
|
$12,946.05
|
$7,411.94
|
2026-05-14
|
|
25002446
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$16,428.00
|
$12,321.00
25% off
|
$4,442.13
|
$12,945.26
|
$7,411.49
|
2026-05-14
|
|
25004566
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$16,428.00
|
$12,321.00
25% off
|
$4,442.13
|
$12,945.26
|
$7,411.49
|
2026-05-14
|
|
25014928
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$16,428.00
|
$12,321.00
25% off
|
$4,442.13
|
$12,945.26
|
$7,411.49
|
2026-05-14
|
|
25002291
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$16,395.00
|
$12,296.25
25% off
|
$4,433.21
|
$12,919.26
|
$7,396.60
|
2026-05-14
|
|
25022657
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$16,395.00
|
$12,296.25
25% off
|
$4,433.21
|
$12,919.26
|
$7,396.60
|
2026-05-14
|
|
25019259
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$16,395.00
|
$12,296.25
25% off
|
$4,433.21
|
$12,919.26
|
$7,396.60
|
2026-05-14
|
|
25009542
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$16,395.00
|
$12,296.25
25% off
|
$4,433.21
|
$12,919.26
|
$7,396.60
|
2026-05-14
|
|
25025142
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$16,395.00
|
$12,296.25
25% off
|
$4,433.21
|
$12,919.26
|
$7,396.60
|
2026-05-14
|
|
J9312
|
HCPCS
|
Injection, Rituximab, 10 Mg
|
9
|
9
|
$17,357.53
|
$13,018.15
25% off
|
$4,693.48
|
$13,677.73
|
$7,394.31
|
2026-05-14
|
|
25003121
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$16,204.00
|
$12,153.00
25% off
|
$4,381.56
|
$12,768.75
|
$7,310.43
|
2026-05-14
|
|
J2353
|
HCPCS
|
Injection, Octreotide, Depot Form For Intramuscular Injection, 1 Mg
|
9
|
9
|
$17,062.96
|
$12,797.22
25% off
|
$4,613.82
|
$13,445.61
|
$7,268.82
|
2026-05-14
|
|
25011212
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$16,073.00
|
$12,054.75
25% off
|
$4,346.14
|
$12,665.52
|
$7,251.34
|
2026-05-14
|
|
25019566
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$16,072.00
|
$12,054.00
25% off
|
$4,345.87
|
$12,664.74
|
$7,250.88
|
2026-05-14
|
|
25000117
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$16,064.00
|
$12,048.00
25% off
|
$4,343.71
|
$12,658.43
|
$7,247.27
|
2026-05-14
|
|
25019943
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$16,020.00
|
$12,015.00
25% off
|
$4,331.81
|
$12,623.76
|
$7,227.43
|
2026-05-14
|
|
Q5111
|
HCPCS
|
Injection, Pegfilgrastim-cbqv (udenyca), Biosimilar, 0.5 Mg
|
18
|
9
|
$16,323.99
|
$12,243.00
25% off
|
$4,181.38
|
$13,541.23
|
$6,954.02
|
2026-05-14
|
|
J9173
|
HCPCS
|
Injection, Durvalumab, 10 Mg
|
9
|
9
|
$16,286.46
|
$12,214.85
25% off
|
$4,403.86
|
$12,833.73
|
$6,938.03
|
2026-05-14
|
|
25002279
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$15,322.00
|
$11,491.50
25% off
|
$4,143.07
|
$12,073.74
|
$6,912.52
|
2026-05-14
|
|
25005379
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$15,310.00
|
$11,482.50
25% off
|
$4,139.82
|
$12,064.28
|
$6,907.10
|
2026-05-14
|
|
25002427
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$15,211.00
|
$11,408.25
25% off
|
$4,113.05
|
$11,986.27
|
$6,862.44
|
2026-05-14
|
|
25012229
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$15,211.00
|
$11,408.25
25% off
|
$4,113.05
|
$11,986.27
|
$6,862.44
|
2026-05-14
|
|
25014840
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$15,211.00
|
$11,408.25
25% off
|
$4,113.05
|
$11,986.27
|
$6,862.44
|
2026-05-14
|
|
25019912
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$15,174.00
|
$11,380.50
25% off
|
$4,103.05
|
$11,957.11
|
$6,845.75
|
2026-05-14
|
|
Q5115
|
HCPCS
|
Injection, Rituximab-abbs, Biosimilar, (truxima), 10 Mg
|
9
|
9
|
$15,654.86
|
$11,741.15
25% off
|
$4,233.07
|
$12,336.03
|
$6,668.97
|
2026-05-14
|
|
J9207
|
HCPCS
|
Injection, Ixabepilone, 1 Mg
|
18
|
9
|
$16,583.88
|
$12,437.92
25% off
|
$2,242.14
|
$19,602.15
|
$6,630.24
|
2026-05-14
|
|
J9303
|
HCPCS
|
Injection, Panitumumab, 10 Mg
|
18
|
9
|
$17,567.72
|
$13,175.79
25% off
|
$1,954.23
|
$21,991.72
|
$6,620.70
|
2026-05-14
|
|
25007420
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$14,658.00
|
$10,993.50
25% off
|
$3,963.52
|
$11,550.50
|
$6,612.96
|
2026-05-14
|
|
25004875
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$14,602.00
|
$10,951.50
25% off
|
$3,948.38
|
$11,506.38
|
$6,587.69
|
2026-05-14
|
|
25003079
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$14,573.00
|
$10,929.75
25% off
|
$3,940.54
|
$11,483.52
|
$6,574.61
|
2026-05-14
|
|
25003247
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$14,304.00
|
$10,728.00
25% off
|
$3,867.80
|
$11,271.55
|
$6,453.25
|
2026-05-14
|
|
J2182
|
HCPCS
|
Injection, Mepolizumab, 1 Mg
|
9
|
9
|
$15,125.81
|
$11,344.36
25% off
|
$4,090.02
|
$11,919.14
|
$6,443.60
|
2026-05-14
|
|
25001312
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$14,231.00
|
$10,673.25
25% off
|
$3,848.06
|
$11,214.03
|
$6,420.32
|
2026-05-14
|
|
25007331
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$13,787.00
|
$10,340.25
25% off
|
$3,728.00
|
$10,864.16
|
$6,220.01
|
2026-05-14
|
|
Q5122
|
HCPCS
|
Injection, Pegfilgrastim-apgf (nyvepria), Biosimilar, 0.5 Mg
|
9
|
9
|
$14,557.69
|
$10,918.27
25% off
|
$3,936.40
|
$11,471.46
|
$6,201.58
|
2026-05-14
|
|
J1950
|
HCPCS
|
Injection, Leuprolide Acetate (for Depot Suspension), Per 3.75 Mg
|
9
|
9
|
$14,548.24
|
$10,911.18
25% off
|
$3,933.84
|
$11,464.01
|
$6,197.55
|
2026-05-14
|
|
25002825
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$13,630.00
|
$10,222.50
25% off
|
$3,685.55
|
$10,740.44
|
$6,149.18
|
2026-05-14
|
|
25007089
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$13,577.00
|
$10,182.75
25% off
|
$3,671.22
|
$10,698.68
|
$6,125.26
|
2026-05-14
|
|
J0741
|
HCPCS
|
Injection, Cabotegravir And Rilpivirine, 2mg/3mg
|
9
|
9
|
$14,294.45
|
$10,720.84
25% off
|
$3,865.22
|
$11,264.03
|
$6,089.44
|
2026-05-14
|
|
95805
|
HCPCS
|
Sleep Study, Multiple Trials
|
10
|
10
|
$13,075.00
|
$9,806.25
25% off
|
$3,535.48
|
$10,303.10
|
$5,898.78
|
2026-05-14
|
|
25001029
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$13,072.00
|
$9,804.00
25% off
|
$3,534.67
|
$10,300.74
|
$5,897.43
|
2026-05-14
|
|
25002768
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$12,899.00
|
$9,674.25
25% off
|
$3,487.89
|
$10,164.41
|
$5,819.38
|
2026-05-14
|
|
25012633
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$12,899.00
|
$9,674.25
25% off
|
$3,487.89
|
$10,164.41
|
$5,819.38
|
2026-05-14
|
|
25012217
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$12,412.00
|
$9,309.00
25% off
|
$3,356.20
|
$9,780.66
|
$5,599.68
|
2026-05-14
|
|
25005405
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$12,412.00
|
$9,309.00
25% off
|
$3,356.20
|
$9,780.66
|
$5,599.68
|
2026-05-14
|
|
25006386
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$12,137.00
|
$9,102.75
25% off
|
$3,281.84
|
$9,563.96
|
$5,475.60
|
2026-05-14
|
|
25001838
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$12,137.00
|
$9,102.75
25% off
|
$3,281.84
|
$9,563.96
|
$5,475.60
|
2026-05-14
|
|
25001727
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$12,076.00
|
$9,057.00
25% off
|
$3,265.35
|
$9,515.89
|
$5,448.09
|
2026-05-14
|
|
25000355
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$12,076.00
|
$9,057.00
25% off
|
$3,265.35
|
$9,515.89
|
$5,448.09
|
2026-05-14
|
|
25014987
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$12,068.00
|
$9,051.00
25% off
|
$3,263.19
|
$9,509.58
|
$5,444.48
|
2026-05-14
|
|
J0897
|
HCPCS
|
Injection, Denosumab, 1 Mg
|
18
|
9
|
$11,287.97
|
$8,465.98
25% off
|
$2,149.91
|
$11,524.57
|
$5,402.59
|
2026-05-14
|
|
25003064
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$11,926.00
|
$8,944.50
25% off
|
$3,224.79
|
$9,397.69
|
$5,380.41
|
2026-05-14
|
|
25001731
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$11,805.00
|
$8,853.75
25% off
|
$3,192.07
|
$9,302.34
|
$5,325.83
|
2026-05-14
|
|
25001851
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$11,790.00
|
$8,842.50
25% off
|
$3,188.02
|
$9,290.52
|
$5,319.06
|
2026-05-14
|
|
25006978
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$11,790.00
|
$8,842.50
25% off
|
$3,188.02
|
$9,290.52
|
$5,319.06
|
2026-05-14
|
|
25004806
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$11,741.00
|
$8,805.75
25% off
|
$3,174.77
|
$9,251.91
|
$5,296.95
|
2026-05-14
|
|
25023673
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$11,667.00
|
$8,750.25
25% off
|
$3,154.76
|
$9,193.60
|
$5,263.57
|
2026-05-14
|
|
J2997
|
HCPCS
|
Injection, Alteplase Recombinant, 1 Mg
|
18
|
9
|
$18,555.60
|
$13,916.70
25% off
|
$240.37
|
$28,543.16
|
$5,247.49
|
2026-05-14
|
|
25000692
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$11,622.00
|
$8,716.50
25% off
|
$3,142.59
|
$9,158.14
|
$5,243.27
|
2026-05-14
|
|
J7168
|
HCPCS
|
Prothrombin Complex Concentrate (human), Kcentra, Per I.u. Of Factor Ix Activity
|
9
|
9
|
$12,265.68
|
$9,199.26
25% off
|
$3,316.64
|
$9,665.36
|
$5,225.18
|
2026-05-14
|
|
25005637
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$11,561.00
|
$8,670.75
25% off
|
$3,126.09
|
$9,110.07
|
$5,215.74
|
2026-05-14
|
|
25002348
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$11,561.00
|
$8,670.75
25% off
|
$3,126.09
|
$9,110.07
|
$5,215.74
|
2026-05-14
|
|
J9145
|
HCPCS
|
Injection, Daratumumab, 10 Mg
|
9
|
9
|
$12,106.39
|
$9,079.79
25% off
|
$3,273.57
|
$9,539.84
|
$5,157.32
|
2026-05-14
|
|
J9358
|
HCPCS
|
Injection, Fam-trastuzumab Deruxtecan-nxki, 1 Mg
|
9
|
9
|
$12,078.11
|
$9,058.58
25% off
|
$3,265.92
|
$9,517.55
|
$5,145.27
|
2026-05-14
|
|
910158_ERX
|
CDM
|
Ryanodex 250 Mg Vial
|
10
|
10
|
$11,368.26
|
$8,526.20
25% off
|
$3,073.98
|
$8,958.19
|
$5,128.79
|
2026-05-14
|
|
Q5158
|
HCPCS
|
Injection, Denosumab-bnht (bomyntra/conexxence), Biosimilar, 1 Mg
|
18
|
9
|
$10,630.43
|
$7,972.83
25% off
|
$2,024.67
|
$10,853.26
|
$5,087.89
|
2026-05-14
|
|
J9035
|
HCPCS
|
Injection, Bevacizumab, 10 Mg
|
9
|
9
|
$11,885.93
|
$8,914.45
25% off
|
$3,213.96
|
$9,366.11
|
$5,063.41
|
2026-05-14
|
|
Q5157
|
HCPCS
|
Injection, Denosumab-bmwo (stoboclo/osenvelt), Biosimilar, 1 Mg
|
18
|
9
|
$10,411.24
|
$7,808.43
25% off
|
$1,982.93
|
$10,629.46
|
$4,982.97
|
2026-05-14
|
|
25009439
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$10,953.00
|
$8,214.75
25% off
|
$2,961.69
|
$8,630.96
|
$4,941.44
|
2026-05-14
|
|
Q5107
|
HCPCS
|
Injection, Bevacizumab-awwb, Biosimilar, (mvasi), 10 Mg
|
9
|
9
|
$11,487.32
|
$8,615.49
25% off
|
$3,106.17
|
$9,052.01
|
$4,893.60
|
2026-05-14
|
|
25015199
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$10,829.00
|
$8,121.75
25% off
|
$2,928.16
|
$8,533.25
|
$4,885.50
|
2026-05-14
|
|
J9205
|
HCPCS
|
Injection, Irinotecan Liposome, 1 Mg
|
9
|
9
|
$11,397.56
|
$8,548.17
25% off
|
$3,081.90
|
$8,981.28
|
$4,855.36
|
2026-05-14
|
|
25002474
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$10,587.00
|
$7,940.25
25% off
|
$2,862.72
|
$8,342.56
|
$4,776.33
|
2026-05-14
|
|
25011858
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$10,587.00
|
$7,940.25
25% off
|
$2,862.72
|
$8,342.56
|
$4,776.33
|
2026-05-14
|
|
25006945
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$10,587.00
|
$7,940.25
25% off
|
$2,862.72
|
$8,342.56
|
$4,776.33
|
2026-05-14
|
|
25001215
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$10,482.00
|
$7,861.50
25% off
|
$2,834.33
|
$8,259.82
|
$4,728.95
|
2026-05-14
|
|
Q5136
|
HCPCS
|
Injection, Denosumab-bbdz (jubbonti/wyost), Biosimilar, 1 Mg
|
18
|
9
|
$9,903.90
|
$7,427.92
25% off
|
$1,785.34
|
$10,405.70
|
$4,685.86
|
2026-05-14
|
|
25006873
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$10,344.00
|
$7,758.00
25% off
|
$2,797.02
|
$8,151.07
|
$4,666.69
|
2026-05-14
|
|
25002635
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$10,344.00
|
$7,758.00
25% off
|
$2,797.02
|
$8,151.07
|
$4,666.69
|
2026-05-14
|
|
25009806
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$10,344.00
|
$7,758.00
25% off
|
$2,797.02
|
$8,151.07
|
$4,666.69
|
2026-05-14
|
|
25010142
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$10,344.00
|
$7,758.00
25% off
|
$2,797.02
|
$8,151.07
|
$4,666.69
|
2026-05-14
|
|
25001714
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$10,274.00
|
$7,705.50
25% off
|
$2,778.09
|
$8,095.91
|
$4,635.11
|
2026-05-14
|
|
25009452
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$10,237.00
|
$7,677.75
25% off
|
$2,768.08
|
$8,066.76
|
$4,618.42
|
2026-05-14
|
|
25006724
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$10,236.00
|
$7,677.00
25% off
|
$2,767.81
|
$8,065.97
|
$4,617.98
|
2026-05-14
|
|
25003326
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$10,221.00
|
$7,665.75
25% off
|
$2,763.76
|
$8,054.15
|
$4,611.20
|
2026-05-14
|
|
C9399
|
HCPCS
|
Unclassified Drugs Or Biologicals
|
9
|
9
|
$10,710.69
|
$8,033.02
25% off
|
$2,896.17
|
$8,440.02
|
$4,562.75
|
2026-05-14
|
|
25002412
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$9,978.00
|
$7,483.50
25% off
|
$2,698.05
|
$7,862.66
|
$4,501.58
|
2026-05-14
|
|
25003986
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$9,978.00
|
$7,483.50
25% off
|
$2,698.05
|
$7,862.66
|
$4,501.58
|
2026-05-14
|
|
J9177
|
HCPCS
|
Injection, Enfortumab Vedotin-ejfv, 0.25 Mg
|
9
|
9
|
$10,513.31
|
$7,884.98
25% off
|
$2,842.80
|
$8,284.49
|
$4,478.67
|
2026-05-14
|
|
38493_ERX
|
CDM
|
Naglazyme 5 Mg/5 Ml Vial
|
9
|
9
|
$10,491.68
|
$7,868.76
25% off
|
$2,836.95
|
$8,267.44
|
$4,469.46
|
2026-05-14
|
|
25001882
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$9,788.00
|
$7,341.00
25% off
|
$2,646.68
|
$7,712.94
|
$4,415.85
|
2026-05-14
|
|
25003208
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$9,779.00
|
$7,334.25
25% off
|
$2,644.24
|
$7,705.85
|
$4,411.80
|
2026-05-14
|
|
25000039
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$9,736.00
|
$7,302.00
25% off
|
$2,632.61
|
$7,671.97
|
$4,392.40
|
2026-05-14
|
|
25001624
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$9,721.00
|
$7,290.75
25% off
|
$2,628.56
|
$7,660.15
|
$4,385.63
|
2026-05-14
|
|
25007663
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$9,721.00
|
$7,290.75
25% off
|
$2,628.56
|
$7,660.15
|
$4,385.63
|
2026-05-14
|
|
Q5130
|
HCPCS
|
Injection, Pegfilgrastim-pbbk (fylnetra), Biosimilar, 0.5 Mg
|
9
|
9
|
$10,290.00
|
$7,717.50
25% off
|
$2,782.42
|
$8,108.52
|
$4,383.54
|
2026-05-14
|
|
25010954
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$9,660.00
|
$7,245.00
25% off
|
$2,612.06
|
$7,612.08
|
$4,358.11
|
2026-05-14
|
|
25001153
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$9,650.00
|
$7,237.50
25% off
|
$2,609.36
|
$7,604.20
|
$4,353.60
|
2026-05-14
|
|
25001202
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$9,640.00
|
$7,230.00
25% off
|
$2,606.66
|
$7,596.32
|
$4,349.09
|
2026-05-14
|
|
25010968
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$9,614.00
|
$7,210.50
25% off
|
$2,599.63
|
$7,575.83
|
$4,337.35
|
2026-05-14
|
|
J2802
|
HCPCS
|
Injection, Romiplostim, 1 Microgram
|
18
|
9
|
$8,923.55
|
$6,692.66
25% off
|
$1,608.64
|
$9,375.62
|
$4,222.04
|
2026-05-14
|
|
25004234
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$9,292.00
|
$6,969.00
25% off
|
$2,512.56
|
$7,322.10
|
$4,192.09
|
2026-05-14
|
|
25004342
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$9,292.00
|
$6,969.00
25% off
|
$2,512.56
|
$7,322.10
|
$4,192.09
|
2026-05-14
|
|
25003426
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$9,281.00
|
$6,960.75
25% off
|
$2,509.58
|
$7,313.43
|
$4,187.12
|
2026-05-14
|
|
25006439
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$9,248.00
|
$6,936.00
25% off
|
$2,500.66
|
$7,287.42
|
$4,172.23
|
2026-05-14
|
|
25000017
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$9,248.00
|
$6,936.00
25% off
|
$2,500.66
|
$7,287.42
|
$4,172.23
|
2026-05-14
|
|
25001387
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$9,248.00
|
$6,936.00
25% off
|
$2,500.66
|
$7,287.42
|
$4,172.23
|
2026-05-14
|
|
25001129
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$9,177.00
|
$6,882.75
25% off
|
$2,481.46
|
$7,231.48
|
$4,140.20
|
2026-05-14
|
|
25014972
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$9,127.00
|
$6,845.25
25% off
|
$2,467.94
|
$7,192.08
|
$4,117.64
|
2026-05-14
|
|
25012603
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$9,127.00
|
$6,845.25
25% off
|
$2,467.94
|
$7,192.08
|
$4,117.64
|
2026-05-14
|
|
25002379
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$9,100.00
|
$6,825.00
25% off
|
$2,460.64
|
$7,170.80
|
$4,105.47
|
2026-05-14
|
|
25001844
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$9,000.00
|
$6,750.00
25% off
|
$2,433.60
|
$7,092.00
|
$4,060.35
|
2026-05-14
|
|
25004853
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$8,928.00
|
$6,696.00
25% off
|
$2,414.13
|
$7,035.26
|
$4,027.87
|
2026-05-14
|
|
25001995
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$8,921.00
|
$6,690.75
25% off
|
$2,412.24
|
$7,029.75
|
$4,024.71
|
2026-05-14
|
|
25001681
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$8,884.00
|
$6,663.00
25% off
|
$2,402.23
|
$7,000.59
|
$4,008.01
|
2026-05-14
|
|
J9034
|
HCPCS
|
Injection, Bendamustine Hcl (bendeka), 1 Mg
|
9
|
9
|
$9,298.54
|
$6,973.91
25% off
|
$2,514.33
|
$7,327.25
|
$3,961.18
|
2026-05-14
|
|
25001746
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$8,671.00
|
$6,503.25
25% off
|
$2,344.64
|
$6,832.75
|
$3,911.93
|
2026-05-14
|
|
25000080
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$8,657.00
|
$6,492.75
25% off
|
$2,340.85
|
$6,821.72
|
$3,905.61
|
2026-05-14
|
|
Q2050
|
HCPCS
|
Injection, Doxorubicin Hydrochloride, Liposomal, Not Otherwise Specified, 10 Mg
|
9
|
9
|
$9,112.93
|
$6,834.70
25% off
|
$2,464.14
|
$7,180.99
|
$3,882.11
|
2026-05-14
|
|
25000268
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$8,465.00
|
$6,348.75
25% off
|
$2,288.94
|
$6,670.42
|
$3,818.99
|
2026-05-14
|
|
J9299
|
HCPCS
|
Injection, Nivolumab, 1 Mg
|
18
|
9
|
$8,897.23
|
$6,672.92
25% off
|
$1,413.41
|
$9,903.08
|
$3,802.71
|
2026-05-14
|
|
25002391
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$8,216.00
|
$6,162.00
25% off
|
$2,221.61
|
$6,474.21
|
$3,706.65
|
2026-05-14
|
|
25001160
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$8,153.00
|
$6,114.75
25% off
|
$2,204.57
|
$6,424.56
|
$3,678.22
|
2026-05-14
|
|
25000130
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$8,153.00
|
$6,114.75
25% off
|
$2,204.57
|
$6,424.56
|
$3,678.22
|
2026-05-14
|
|
25010975
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$8,153.00
|
$6,114.75
25% off
|
$2,204.57
|
$6,424.56
|
$3,678.22
|
2026-05-14
|
|
25002629
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$8,153.00
|
$6,114.75
25% off
|
$2,204.57
|
$6,424.56
|
$3,678.22
|
2026-05-14
|
|
25010097
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$8,113.00
|
$6,084.75
25% off
|
$2,193.76
|
$6,393.04
|
$3,660.18
|
2026-05-14
|
|
J3358
|
HCPCS
|
Ustekinumab, For Intravenous Injection, 1 Mg
|
9
|
9
|
$8,399.22
|
$6,299.42
25% off
|
$2,271.15
|
$6,618.59
|
$3,578.07
|
2026-05-14
|
|
25000520
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$7,916.00
|
$5,937.00
25% off
|
$2,140.49
|
$6,237.81
|
$3,571.30
|
2026-05-14
|
|
25001539
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$7,858.00
|
$5,893.50
25% off
|
$2,124.80
|
$6,192.10
|
$3,545.14
|
2026-05-14
|
|
J0517
|
HCPCS
|
Injection, Benralizumab, 1 Mg
|
9
|
9
|
$8,274.87
|
$6,206.15
25% off
|
$2,237.52
|
$6,520.60
|
$3,525.09
|
2026-05-14
|
|
25010325
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$7,760.00
|
$5,820.00
25% off
|
$2,098.30
|
$6,114.88
|
$3,500.93
|
2026-05-14
|
|
25000364
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$7,756.00
|
$5,817.00
25% off
|
$2,097.22
|
$6,111.73
|
$3,499.12
|
2026-05-14
|
|
25004083
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$7,733.00
|
$5,799.75
25% off
|
$2,091.00
|
$6,093.60
|
$3,488.74
|
2026-05-14
|
|
J2777
|
HCPCS
|
Injection, Faricimab-svoa, 0.1 Mg
|
18
|
9
|
$7,361.02
|
$5,520.77
25% off
|
$1,303.53
|
$7,802.22
|
$3,470.15
|
2026-05-14
|
|
25010051
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$7,669.00
|
$5,751.75
25% off
|
$2,073.70
|
$6,043.17
|
$3,459.86
|
2026-05-14
|
|
25003187
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$7,552.00
|
$5,664.00
25% off
|
$2,042.06
|
$5,950.98
|
$3,407.09
|
2026-05-14
|
|
25010529
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$7,544.00
|
$5,658.00
25% off
|
$2,039.90
|
$5,944.67
|
$3,403.47
|
2026-05-14
|
|
25000063
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$7,532.00
|
$5,649.00
25% off
|
$2,036.65
|
$5,935.22
|
$3,398.06
|
2026-05-14
|
|
25000586
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$7,492.00
|
$5,619.00
25% off
|
$2,025.84
|
$5,903.70
|
$3,380.02
|
2026-05-14
|
|
25001246
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$7,480.00
|
$5,610.00
25% off
|
$2,022.59
|
$5,894.24
|
$3,374.60
|
2026-05-14
|
|
25000056
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$7,473.00
|
$5,604.75
25% off
|
$2,020.70
|
$5,888.72
|
$3,371.44
|
2026-05-14
|
|
Q5108
|
HCPCS
|
Injection, Pegfilgrastim-jmdb (fulphila), Biosimilar, 0.5 Mg
|
9
|
9
|
$7,898.59
|
$5,923.94
25% off
|
$2,135.78
|
$6,224.09
|
$3,364.80
|
2026-05-14
|
|
25019709
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$7,447.00
|
$5,585.25
25% off
|
$2,013.67
|
$5,868.24
|
$3,359.72
|
2026-05-14
|
|
25003051
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$7,446.00
|
$5,584.50
25% off
|
$2,013.40
|
$5,867.45
|
$3,359.27
|
2026-05-14
|
|
25004839
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$7,446.00
|
$5,584.50
25% off
|
$2,013.40
|
$5,867.45
|
$3,359.27
|
2026-05-14
|
|
25012316
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$7,446.00
|
$5,584.50
25% off
|
$2,013.40
|
$5,867.45
|
$3,359.27
|
2026-05-14
|
|
25005552
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$7,443.00
|
$5,582.25
25% off
|
$2,012.59
|
$5,865.08
|
$3,357.91
|
2026-05-14
|
|
25015597
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$7,403.00
|
$5,552.25
25% off
|
$2,001.77
|
$5,833.56
|
$3,339.86
|
2026-05-14
|
|
25001805
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$7,351.00
|
$5,513.25
25% off
|
$1,987.71
|
$5,792.59
|
$3,316.41
|
2026-05-14
|
|
J9305
|
HCPCS
|
Injection, Pemetrexed, Not Otherwise Specified, 10 Mg
|
18
|
9
|
$9,124.59
|
$6,843.44
25% off
|
$882.55
|
$11,808.43
|
$3,311.98
|
2026-05-14
|
|
25004257
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$7,333.00
|
$5,499.75
25% off
|
$1,982.84
|
$5,778.40
|
$3,308.28
|
2026-05-14
|
|
25014583
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$7,326.00
|
$5,494.50
25% off
|
$1,980.95
|
$5,772.89
|
$3,305.12
|
2026-05-14
|
|
25002988
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$7,300.00
|
$5,475.00
25% off
|
$1,973.92
|
$5,752.40
|
$3,293.39
|
2026-05-14
|
|
25005124
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$7,297.00
|
$5,472.75
25% off
|
$1,973.11
|
$5,750.04
|
$3,292.04
|
2026-05-14
|
|
25010999
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$7,270.00
|
$5,452.50
25% off
|
$1,965.81
|
$5,728.76
|
$3,279.86
|
2026-05-14
|
|
25005224
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$7,249.00
|
$5,436.75
25% off
|
$1,960.13
|
$5,712.21
|
$3,270.39
|
2026-05-14
|
|
25004031
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$7,241.00
|
$5,430.75
25% off
|
$1,957.97
|
$5,705.91
|
$3,266.78
|
2026-05-14
|
|
25015206
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$7,239.00
|
$5,429.25
25% off
|
$1,957.43
|
$5,704.33
|
$3,265.88
|
2026-05-14
|
|
25000784
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$7,221.00
|
$5,415.75
25% off
|
$1,952.56
|
$5,690.15
|
$3,257.76
|
2026-05-14
|
|
J3032
|
HCPCS
|
Injection, Eptinezumab-jjmr, 1 Mg
|
9
|
9
|
$7,596.31
|
$5,697.23
25% off
|
$2,054.04
|
$5,985.89
|
$3,236.03
|
2026-05-14
|
|
25001261
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$7,160.00
|
$5,370.00
25% off
|
$1,936.06
|
$5,642.08
|
$3,230.23
|
2026-05-14
|
|
25010649
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$7,160.00
|
$5,370.00
25% off
|
$1,936.06
|
$5,642.08
|
$3,230.23
|
2026-05-14
|
|
J1602
|
HCPCS
|
Injection, Golimumab, 1 Mg, For Intravenous Use
|
9
|
9
|
$7,578.56
|
$5,683.92
25% off
|
$2,049.24
|
$5,971.91
|
$3,228.47
|
2026-05-14
|
|
25003806
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$7,136.00
|
$5,352.00
25% off
|
$1,929.57
|
$5,623.17
|
$3,219.41
|
2026-05-14
|
|
25001662
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$7,126.00
|
$5,344.50
25% off
|
$1,926.87
|
$5,615.29
|
$3,214.89
|
2026-05-14
|
|
J2426
|
HCPCS
|
Injection, Paliperidone Palmitate Extended Release (invega Sustenna), 1 Mg
|
9
|
9
|
$7,521.50
|
$5,641.13
25% off
|
$2,033.81
|
$5,926.94
|
$3,204.16
|
2026-05-14
|
|
25000328
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$7,088.00
|
$5,316.00
25% off
|
$1,916.60
|
$5,585.34
|
$3,197.75
|
2026-05-14
|
|
25003360
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$7,088.00
|
$5,316.00
25% off
|
$1,916.60
|
$5,585.34
|
$3,197.75
|
2026-05-14
|
|
25007784
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$7,088.00
|
$5,316.00
25% off
|
$1,916.60
|
$5,585.34
|
$3,197.75
|
2026-05-14
|
|
25005455
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$7,071.00
|
$5,303.25
25% off
|
$1,912.00
|
$5,571.95
|
$3,190.09
|
2026-05-14
|
|
25003169
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$7,042.00
|
$5,281.50
25% off
|
$1,904.16
|
$5,549.10
|
$3,176.99
|
2026-05-14
|
|
25003639
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$6,974.00
|
$5,230.50
25% off
|
$1,885.77
|
$5,495.51
|
$3,146.32
|
2026-05-14
|
|
25010235
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$6,974.00
|
$5,230.50
25% off
|
$1,885.77
|
$5,495.51
|
$3,146.32
|
2026-05-14
|
|
25009953
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$6,938.00
|
$5,203.50
25% off
|
$1,876.04
|
$5,467.14
|
$3,130.08
|
2026-05-14
|
|
25001518
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$6,923.00
|
$5,192.25
25% off
|
$1,871.98
|
$5,455.32
|
$3,123.31
|
2026-05-14
|
|
25002246
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$6,889.00
|
$5,166.75
25% off
|
$1,862.79
|
$5,428.53
|
$3,107.97
|
2026-05-14
|
|
72200028
|
CDM
|
Intensive Care Unit - General Classification
|
6
|
6
|
$5,667.00
|
$4,250.25
25% off
|
$1,532.36
|
$4,403.26
|
$3,107.22
|
2026-05-14
|
|
72200010
|
CDM
|
Intensive Care Unit - General Classification
|
6
|
6
|
$5,667.00
|
$4,250.25
25% off
|
$1,532.36
|
$4,403.26
|
$3,107.22
|
2026-05-14
|
|
25015313
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$6,845.00
|
$5,133.75
25% off
|
$1,850.89
|
$5,393.86
|
$3,088.12
|
2026-05-14
|
|
25002681
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$6,829.00
|
$5,121.75
25% off
|
$1,846.56
|
$5,381.25
|
$3,080.90
|
2026-05-14
|
|
J9047
|
HCPCS
|
Injection, Carfilzomib, 1 Mg
|
27
|
9
|
$7,191.55
|
$5,393.66
25% off
|
$708.32
|
$11,071.09
|
$3,063.60
|
2026-05-14
|
|
25010533
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$6,734.00
|
$5,050.50
25% off
|
$1,820.87
|
$5,306.39
|
$3,038.04
|
2026-05-14
|
|
25004991
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$6,660.00
|
$4,995.00
25% off
|
$1,800.86
|
$5,248.08
|
$3,004.66
|
2026-05-14
|
|
25002654
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$6,636.00
|
$4,977.00
25% off
|
$1,794.37
|
$5,229.17
|
$2,993.84
|
2026-05-14
|
|
25001004
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$6,620.00
|
$4,965.00
25% off
|
$1,790.05
|
$5,216.56
|
$2,986.61
|
2026-05-14
|
|
25001573
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$6,619.00
|
$4,964.25
25% off
|
$1,789.78
|
$5,215.77
|
$2,986.16
|
2026-05-14
|
|
25006266
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$6,594.00
|
$4,945.50
25% off
|
$1,783.02
|
$5,196.07
|
$2,974.88
|
2026-05-14
|
|
25002858
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$6,540.00
|
$4,905.00
25% off
|
$1,768.42
|
$5,153.52
|
$2,950.52
|
2026-05-14
|
|
25010508
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$6,464.00
|
$4,848.00
25% off
|
$1,747.87
|
$5,093.63
|
$2,916.23
|
2026-05-14
|
|
25001330
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$6,464.00
|
$4,848.00
25% off
|
$1,747.87
|
$5,093.63
|
$2,916.23
|
2026-05-14
|
|
25005268
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$6,426.00
|
$4,819.50
25% off
|
$1,737.59
|
$5,063.69
|
$2,899.09
|
2026-05-14
|
|
25006471
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$6,405.00
|
$4,803.75
25% off
|
$1,731.91
|
$5,047.14
|
$2,889.61
|
2026-05-14
|
|
25011103
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$6,372.00
|
$4,779.00
25% off
|
$1,722.99
|
$5,021.14
|
$2,874.72
|
2026-05-14
|
|
J1439
|
HCPCS
|
Injection, Ferric Carboxymaltose, 1 Mg
|
9
|
9
|
$6,682.43
|
$5,011.82
25% off
|
$1,806.93
|
$5,265.75
|
$2,846.72
|
2026-05-14
|
|
Q4197
|
HCPCS
|
Puraply Xt, Per Square Centimeter
|
9
|
9
|
$6,676.00
|
$5,007.00
25% off
|
$1,805.19
|
$5,260.69
|
$2,843.98
|
2026-05-14
|
|
25012330
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$6,271.00
|
$4,703.25
25% off
|
$1,695.68
|
$4,941.55
|
$2,829.16
|
2026-05-14
|
|
25006546
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$6,268.00
|
$4,701.00
25% off
|
$1,694.87
|
$4,939.18
|
$2,827.81
|
2026-05-14
|
|
25005206
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$6,236.00
|
$4,677.00
25% off
|
$1,686.21
|
$4,913.97
|
$2,813.38
|
2026-05-14
|
|
25009215
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$6,225.00
|
$4,668.75
25% off
|
$1,683.24
|
$4,905.30
|
$2,808.41
|
2026-05-14
|
|
Q5114
|
HCPCS
|
Injection, Trastuzumab-dkst, Biosimilar, (ogivri), 10 Mg
|
18
|
9
|
$6,794.17
|
$5,095.64
25% off
|
$1,011.80
|
$7,759.03
|
$2,805.54
|
2026-05-14
|
|
25002951
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$6,212.00
|
$4,659.00
25% off
|
$1,679.72
|
$4,895.06
|
$2,802.55
|
2026-05-14
|
|
25011392
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$6,194.00
|
$4,645.50
25% off
|
$1,674.86
|
$4,880.87
|
$2,794.42
|
2026-05-14
|
|
25009756
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$6,177.00
|
$4,632.75
25% off
|
$1,670.26
|
$4,867.48
|
$2,786.76
|
2026-05-14
|
|
25000291
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$6,066.00
|
$4,549.50
25% off
|
$1,640.25
|
$4,780.01
|
$2,736.68
|
2026-05-14
|
|
25003195
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$6,046.00
|
$4,534.50
25% off
|
$1,634.84
|
$4,764.25
|
$2,727.65
|
2026-05-14
|
|
25009387
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$6,045.00
|
$4,533.75
25% off
|
$1,634.57
|
$4,763.46
|
$2,727.20
|
2026-05-14
|
|
25001502
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$6,041.00
|
$4,530.75
25% off
|
$1,633.49
|
$4,760.31
|
$2,725.40
|
2026-05-14
|
|
20225
|
HCPCS
|
Deep Biopsy Of Bone Using Needle Or Trocar
|
10
|
10
|
$6,035.00
|
$4,526.25
25% off
|
$1,631.86
|
$4,755.58
|
$2,722.69
|
2026-05-14
|
|
25002469
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$6,033.00
|
$4,524.75
25% off
|
$1,631.32
|
$4,754.00
|
$2,721.79
|
2026-05-14
|
|
J9202
|
HCPCS
|
Goserelin Acetate Implant, Per 3.6 Mg
|
18
|
9
|
$7,793.55
|
$5,845.16
25% off
|
$638.89
|
$10,420.78
|
$2,718.86
|
2026-05-14
|
|
25006073
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$5,993.00
|
$4,494.75
25% off
|
$1,620.51
|
$4,722.48
|
$2,703.74
|
2026-05-14
|
|
25003373
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$5,970.00
|
$4,477.50
25% off
|
$1,614.29
|
$4,704.36
|
$2,693.36
|
2026-05-14
|
|
25005431
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$5,951.00
|
$4,463.25
25% off
|
$1,609.15
|
$4,689.39
|
$2,684.80
|
2026-05-14
|
|
25003009
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$5,936.00
|
$4,452.00
25% off
|
$1,605.09
|
$4,677.57
|
$2,678.03
|
2026-05-14
|
|
J1569
|
HCPCS
|
Injection, Immune Globulin, (gammagard Liquid), Non-lyophilized, (e.g., Liquid),…
|
9
|
9
|
$6,285.90
|
$4,714.43
25% off
|
$1,699.71
|
$4,953.29
|
$2,677.79
|
2026-05-14
|
|
25000171
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$5,913.00
|
$4,434.75
25% off
|
$1,598.88
|
$4,659.44
|
$2,667.65
|
2026-05-14
|
|
J1459
|
HCPCS
|
Injection, Immune Globulin (privigen), Intravenous, Non-lyophilized (e.g., Liqui…
|
9
|
9
|
$6,262.00
|
$4,696.50
25% off
|
$1,693.24
|
$4,934.46
|
$2,667.61
|
2026-05-14
|
|
25004485
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$5,885.00
|
$4,413.75
25% off
|
$1,591.30
|
$4,637.38
|
$2,655.02
|
2026-05-14
|
|
J1451
|
HCPCS
|
Injection, Fomepizole, 15 Mg
|
9
|
9
|
$6,174.00
|
$4,630.50
25% off
|
$1,669.45
|
$4,865.11
|
$2,630.12
|
2026-05-14
|
|
J9048
|
HCPCS
|
Injection, Bortezomib (fresenius Kabi), Not Therapeutically Equivalent To J9041,…
|
9
|
9
|
$6,142.69
|
$4,607.02
25% off
|
$1,660.98
|
$4,840.44
|
$2,616.79
|
2026-05-14
|
|
25000252
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$5,786.00
|
$4,339.50
25% off
|
$1,564.53
|
$4,559.37
|
$2,610.36
|
2026-05-14
|
|
25003949
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$5,735.00
|
$4,301.25
25% off
|
$1,550.74
|
$4,519.18
|
$2,587.35
|
2026-05-14
|
|
J9264
|
HCPCS
|
Injection, Paclitaxel Protein-bound Particles, 1 Mg
|
9
|
9
|
$6,059.63
|
$4,544.72
25% off
|
$1,638.52
|
$4,774.99
|
$2,581.40
|
2026-05-14
|
|
25005548
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$5,711.00
|
$4,283.25
25% off
|
$1,544.25
|
$4,500.27
|
$2,576.52
|
2026-05-14
|
|
25001112
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$5,687.00
|
$4,265.25
25% off
|
$1,537.76
|
$4,481.36
|
$2,565.69
|
2026-05-14
|
|
25002668
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$5,677.00
|
$4,257.75
25% off
|
$1,535.06
|
$4,473.48
|
$2,561.18
|
2026-05-14
|
|
78816
|
HCPCS
|
Nuclear Medicine Study Whole Body With CT Scan
|
28
|
11
|
$6,738.00
|
$5,053.50
25% off
|
$108.06
|
$5,309.54
|
$2,560.44
|
2026-05-14
|
|
25009481
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$5,655.00
|
$4,241.25
25% off
|
$1,529.11
|
$4,456.14
|
$2,551.26
|
2026-05-14
|
|
J9355
|
HCPCS
|
Injection, Trastuzumab, Excludes Biosimilar, 10 Mg
|
9
|
9
|
$5,981.04
|
$4,485.78
25% off
|
$1,617.27
|
$4,713.06
|
$2,547.92
|
2026-05-14
|
|
59510
|
HCPCS
|
Cesarean Delivery With Care Before And After Delivery
|
14
|
11
|
$5,346.00
|
$4,009.50
25% off
|
$1,445.56
|
$4,212.65
|
$2,530.69
|
2026-05-14
|
|
25000700
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$5,599.00
|
$4,199.25
25% off
|
$1,513.97
|
$4,412.01
|
$2,525.99
|
2026-05-14
|
|
25003895
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$5,598.00
|
$4,198.50
25% off
|
$1,513.70
|
$4,411.22
|
$2,525.54
|
2026-05-14
|
|
25003275
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$5,591.00
|
$4,193.25
25% off
|
$1,511.81
|
$4,405.71
|
$2,522.38
|
2026-05-14
|
|
G0390
|
HCPCS
|
Trauma Response Team Associated With Hospital Critical Care Service
|
10
|
10
|
$5,591.00
|
$4,193.25
25% off
|
$1,511.81
|
$4,405.71
|
$2,522.38
|
2026-05-14
|
|
25005108
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$5,586.00
|
$4,189.50
25% off
|
$1,510.45
|
$4,401.77
|
$2,520.12
|
2026-05-14
|
|
90378
|
HCPCS
|
Respiratory Syncytial Virus Antibody For Injection Into Tissue Or Muscle
|
18
|
9
|
$5,269.10
|
$3,951.82
25% off
|
$986.58
|
$5,429.00
|
$2,512.74
|
2026-05-14
|
|
25001134
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$5,532.00
|
$4,149.00
25% off
|
$1,495.85
|
$4,359.22
|
$2,495.76
|
2026-05-14
|
|
25005820
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$5,532.00
|
$4,149.00
25% off
|
$1,495.85
|
$4,359.22
|
$2,495.76
|
2026-05-14
|
|
25004203
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$5,512.00
|
$4,134.00
25% off
|
$1,490.44
|
$4,343.46
|
$2,486.74
|
2026-05-14
|
|
J9055
|
HCPCS
|
Injection, Cetuximab, 10 Mg
|
18
|
9
|
$5,241.99
|
$3,931.49
25% off
|
$944.96
|
$5,507.58
|
$2,480.16
|
2026-05-14
|
|
25002937
|
CDM
|
Operating Room Services - General Classification
|
10
|
10
|
$5,478.00
|
$4,108.50
25% off
|
$1,481.25
|
$4,316.66
|
$2,471.40
|
2026-05-14
|