Price Transparencybeta Hospital negotiated rates

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

STE GENEVIEVE COUNTY MEMORIAL HOSPITAL

Sainte Genevieve, MO · CCN 261330 · Rates published

3,667 distinct procedures filed
26 distinct payers
148,278 rate rows
2026-07-15 last MRF observed
Data quality

147,805 of 148,278 rate rows are consumer-grade (99.7%)

473 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
exceeds 10× this hospital's gross charge — excluded from medians 192
per-diem day rate — not a per-procedure price 126
percent-of-charges filed in the dollar field — excluded from medians 104
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 28
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 23
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://genevievecountymemorialhospital.pg.quadax.revenuemasters.com/cdm-files/430915730_ste-genevieve-county-memorial-hospital_standardcharges.csv
Found on page https://genevievecountymemorialhospital.pg.quadax.revenuemasters.com/disclaimer?
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-14
Content fingerprint 23fd0b808c8f8d38… · 37,487,554 bytes · first seen 2026-06-16

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
J2507
HCPCS 		Krystexxa 8mg/ml Sdv 26 $36,766.32 $134,359.45 $64,498.10 nat. median
$8,784
outlier · 7.3×
J9359
HCPCS 		Zynlonta 10 Mg Vial 26 $33,586.47 $122,737.98 $58,919.55 nat. median
$701
outlier · 84.1×
J2350
HCPCS 		Ocrevus 300mg Vial 26 $25,126.61 $89,450.72 $43,524.31 nat. median
$331
outlier · 131.6×
J9228
HCPCS 		Ipilimumab 200 Mg /40 Ml Vl 26 $9,743.80 $138,751.53 $36,831.54 nat. median
$8,184
outlier · 4.5×
C1762
HCPCS 		Imp-connective Tissue, Human 26 $11,570.00 $47,668.40 $31,933.20 nat. median
$2,933
outlier · 10.9×
J1628
HCPCS 		Tremfya 200mg/20 Ml Vial 26 $16,867.81 $60,049.39 $29,218.41 nat. median
$196
outlier · 148.7×
J9042
HCPCS 		Adcetris 50mg Vial 26 $15,261.88 $55,770.52 $26,772.84 nat. median
$885
outlier · 30.2×
J9309
HCPCS 		Polatuzumab Vedotin-piiq 26 $6,720.65 $83,461.49 $23,444.24 nat. median
$4,103
outlier · 5.7×
J9022
HCPCS 		Atezolizumab 840 Mg/14ml 26 $9,692.04 $50,537.40 $23,281.27 nat. median
$5,498
outlier · 4.2×
J9144
HCPCS 		Darzalex 1,800mg/15ml Vial 26 $13,366.65 $47,585.27 $23,153.71 nat. median
$202
outlier · 114.6×
J9119
HCPCS 		Libtayo 350mg/7ml Vial 26 $13,133.71 $47,993.79 $23,039.57 nat. median
$89
outlier · 260.3×
J2327
HCPCS 		Syrizi 600mg/10ml Vial 26 $12,628.99 $46,149.28 $22,154.13 nat. median
$961
outlier · 23.1×
J3380
HCPCS 		Entyvio 300mg Vial 26 $11,724.60 $41,739.56 $20,309.35 nat. median
$150
outlier · 135.6×
J3101
HCPCS 		Tnkase 50mg Kit 26 $9,249.83 $32,929.39 $16,022.55 nat. median
$3,475
outlier · 4.6×
J0896
HCPCS 		Luspatercept-aamt 25 Mg Vial 26 $4,988.67 $53,189.76 $15,365.09 nat. median
$4,503
outlier · 3.4×
J2353
HCPCS 		Sardostatin Lar 30mg Kit 26 $8,211.49 $29,232.90 $14,223.94 nat. median
$5,513
outlier · 2.6×
J9306
HCPCS 		Pertuzumab Vial 420 Mg/14 Ml 26 $7,996.74 $29,220.66 $14,027.81 nat. median
$67
outlier · 210.4×
J2997
HCPCS 		Alteplase (Activase)100mg Vial 26 $226.52 $34,923.88 $13,839.40 nat. median
$488
outlier · 28.4×
J9354
HCPCS 		Kadcyla 100mg Vial 26 $6,597.10 $28,191.50 $12,987.09 nat. median
$4,097
outlier · 3.2×
J9332
HCPCS 		Vyvgart 400mg/20ml Vial 26 $7,340.32 $26,794.82 $12,869.95 nat. median
$109
outlier · 118.1×
J9330
HCPCS 		Temsirolimus 30mg/3ml 26 $7,325.11 $26,765.47 $12,849.40 nat. median
$629
outlier · 20.4×
J0517
HCPCS 		Fasenra 30mg Syringe 26 $7,180.63 $25,563.03 $12,438.28 nat. median
$801
outlier · 15.5×
J2506
HCPCS 		Neulasta 6mg/0.6ml On-body Inj 26 $7,157.07 $25,479.18 $12,397.48 nat. median
$1,555
outlier · 8.0×
J9271
HCPCS 		Pembrolizumab 100mg/4ml Vial ( 26 $6,988.04 $25,534.36 $12,258.26 nat. median
$254
outlier · 48.3×
J0717
HCPCS 		Certolizumab 200mg/ml 2pk Inj 26 $7,025.01 $25,009.04 $12,168.73 nat. median
$1,187
outlier · 10.3×
J9357
HCPCS 		Valrubicin 800 Mg/20 Ml Vial 26 $6,707.98 $23,880.40 $11,619.56 nat. median
$1,762
outlier · 6.6×
J9177
HCPCS 		Padcev 20mg Vial 26 $4,480.65 $24,475.91 $11,275.42 nat. median
$2,933
outlier · 3.8×
J0491
HCPCS 		Anifrolumab-fnia 300mg/2ml Sdv 26 $6,417.92 $23,450.84 $11,258.10 nat. median
$60
outlier · 186.1×
Q4282
HCPCS 		Cygnus Dual 4x4 26 $3,850.50 $28,515.60 $10,627.38 nat. median
$625
outlier · 17.0×
J9299
HCPCS 		Opdivo 100mg Vial 26 $2,360.52 $34,343.62 $10,209.48 nat. median
$2,649
outlier · 3.9×
J9303
HCPCS 		Panitumumab 100mg/5ml Vial 26 $3,310.02 $32,261.89 $10,194.86 nat. median
$1,725
outlier · 5.9×
J2356
HCPCS 		Tezspire 210mg/1.91ml Syringe 26 $5,453.63 $19,414.91 $9,446.78 nat. median
$75
outlier · 125.7×
J9358
HCPCS 		Enhertu 100 Mg Vial 26 $5,162.53 $18,862.29 $9,055.60 nat. median
$94
outlier · 95.9×
J9217
HCPCS 		Eligard 22.5mg Syringe 26 $1,463.31 $57,140.89 $8,983.17 nat. median
$1,518
outlier · 5.9×
C1763
HCPCS 		Imp-connective Tissue Nonhuman 26 $3,245.50 $13,371.46 $8,957.58 nat. median
$2,304
outlier · 3.9×
J9176
HCPCS 		Empliciti 300mg Vial 26 $3,783.59 $18,377.33 $8,465.96 nat. median
$2,586
outlier · 3.3×
Q4197
HCPCS 		PuraPly Xt 4.91x4.91 26 $4,818.75 $17,154.75 $8,347.04 nat. median
$210
outlier · 39.8×
Q5111
HCPCS 		Udenyca Onpro 26 $4,659.28 $16,587.04 $8,070.81 nat. median
$1,862
outlier · 4.3×
J9353
HCPCS 		Margenza 250mg Vial 26 $4,576.26 $16,720.46 $8,027.27 nat. median
$93
outlier · 86.2×
J2182
HCPCS 		Nucala 100mg Vial 26 $4,483.78 $15,962.24 $7,766.80 nat. median
$2,559
outlier · 3.0×
J9317
HCPCS 		Trodelvy 180mg Vial 26 $4,173.93 $15,249.45 $7,321.31 nat. median
$107
outlier · 68.5×
Q5117
HCPCS 		Kanjinti 150mg Vial 26 $2,384.65 $22,136.76 $7,247.82 nat. median
$764
outlier · 9.5×
J0180
HCPCS 		Fabrazyme 35mg Vial 26 $1,367.92 $34,176.20 $7,174.14 nat. median
$1,875
outlier · 3.8×
C1734
HCPCS 		Allograft/lifenet Bone Dowels 26 $2,581.75 $10,636.81 $7,125.63 nat. median
$2,582
outlier · 2.8×
J1950
HCPCS 		Lupron 3.75mg Syringe 26 $2,255.62 $24,001.11 $6,947.30 nat. median
$3,885
1.8× median
J9173
HCPCS 		Durvalumab 120 Mg/2.4 Ml Vial 26 $1,854.99 $24,880.66 $6,522.15 nat. median
$1,035
outlier · 6.3×
Q5116
HCPCS 		Trastuzumab-qyyp 26 $2,128.36 $19,729.63 $6,464.34 nat. median
$429
outlier · 15.1×
J9023
HCPCS 		Bavencio 200mg/10ml Vial 26 $3,533.83 $13,343.08 $6,299.58 nat. median
$248
outlier · 25.4×
J9202
HCPCS 		Goserelin Acetate 3.6 Mg Kit 26 $2,119.64 $18,675.13 $6,280.60 nat. median
$1,777
outlier · 3.5×
J0840
HCPCS 		Crofab 1 Gram Vial 26 $3,571.29 $12,646.91 $6,070.52 nat. median
$3,427
1.8× median

Other procedures at this hospital

Browse this hospital's 3,667 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
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
             
J2507 HCPCS Krystexxa 8mg/ml Sdv 52 26 $149,015.47 $74,507.74 50% off $36,766.32 $134,359.45 $64,498.10 2026-07-15
J9359 HCPCS Zynlonta 10 Mg Vial 52 26 $136,126.86 $68,063.43 50% off $33,586.47 $122,737.98 $58,919.55 2026-07-15
J2350 HCPCS Ocrevus 300mg Vial 26 26 $100,506.43 $50,253.21 50% off $25,126.61 $89,450.72 $43,524.31 2026-07-15
J9228 HCPCS Ipilimumab 200 Mg /40 Ml Vl 52 26 $97,437.90 $48,718.95 50% off $9,743.80 $138,751.53 $36,831.54 2026-07-15
C1762 HCPCS Imp-connective Tissue, Human 26 26 $46,280.00 $23,140.00 50% off $11,570.00 $47,668.40 $31,933.20 2026-07-15
J1628 HCPCS Tremfya 200mg/20 Ml Vial 26 26 $67,471.22 $33,735.61 50% off $16,867.81 $60,049.39 $29,218.41 2026-07-15
J9042 HCPCS Adcetris 50mg Vial 52 26 $61,855.52 $30,927.76 50% off $15,261.88 $55,770.52 $26,772.84 2026-07-15
J9309 HCPCS Polatuzumab Vedotin-piiq 104 26 $59,473.93 $29,736.96 50% off $6,720.65 $83,461.49 $23,444.24 2026-07-15
J9022 HCPCS Atezolizumab 840 Mg/14ml 104 26 $47,556.17 $23,778.08 50% off $9,692.04 $50,537.40 $23,281.27 2026-07-15
J9144 HCPCS Darzalex 1,800mg/15ml Vial 26 26 $53,466.59 $26,733.29 50% off $13,366.65 $47,585.27 $23,153.71 2026-07-15
J9119 HCPCS Libtayo 350mg/7ml Vial 52 26 $53,230.23 $26,615.11 50% off $13,133.71 $47,993.79 $23,039.57 2026-07-15
J2327 HCPCS Syrizi 600mg/10ml Vial 52 26 $51,184.54 $25,592.26 50% off $12,628.99 $46,149.28 $22,154.13 2026-07-15
J3380 HCPCS Entyvio 300mg Vial 26 26 $46,898.38 $23,449.19 50% off $11,724.60 $41,739.56 $20,309.35 2026-07-15
J3101 HCPCS Tnkase 50mg Kit 26 26 $36,999.31 $18,499.65 50% off $9,249.83 $32,929.39 $16,022.55 2026-07-15
J0896 HCPCS Luspatercept-aamt 25 Mg Vial 52 26 $39,859.22 $19,929.61 50% off $4,988.67 $53,189.76 $15,365.09 2026-07-15
J2353 HCPCS Sardostatin Lar 30mg Kit 26 26 $32,845.95 $16,422.97 50% off $8,211.49 $29,232.90 $14,223.94 2026-07-15
J9306 HCPCS Pertuzumab Vial 420 Mg/14 Ml 52 26 $32,409.58 $16,204.79 50% off $7,996.74 $29,220.66 $14,027.81 2026-07-15
J2997 HCPCS Alteplase (Activase)100mg Vial 76 26 $37,784.81 $18,892.40 50% off $226.52 $34,923.88 $13,839.40 2026-07-15
J9354 HCPCS Kadcyla 100mg Vial 104 26 $28,972.73 $14,486.36 50% off $6,597.10 $28,191.50 $12,987.09 2026-07-15
J9332 HCPCS Vyvgart 400mg/20ml Vial 52 26 $29,733.92 $14,866.96 50% off $7,340.32 $26,794.82 $12,869.95 2026-07-15
J9330 HCPCS Temsirolimus 30mg/3ml 52 26 $29,686.99 $14,843.49 50% off $7,325.11 $26,765.47 $12,849.40 2026-07-15
J0517 HCPCS Fasenra 30mg Syringe 26 26 $28,722.51 $14,361.25 50% off $7,180.63 $25,563.03 $12,438.28 2026-07-15
J2506 HCPCS Neulasta 6mg/0.6ml On-body Inj 26 26 $28,628.29 $14,314.15 50% off $7,157.07 $25,479.18 $12,397.48 2026-07-15
J9271 HCPCS Pembrolizumab 100mg/4ml Vial ( 52 26 $28,321.23 $14,160.61 50% off $6,988.04 $25,534.36 $12,258.26 2026-07-15
J0717 HCPCS Certolizumab 200mg/ml 2pk Inj 26 26 $28,100.05 $14,050.02 50% off $7,025.01 $25,009.04 $12,168.73 2026-07-15
J9357 HCPCS Valrubicin 800 Mg/20 Ml Vial 26 26 $26,831.91 $13,415.95 50% off $6,707.98 $23,880.40 $11,619.56 2026-07-15
J9177 HCPCS Padcev 20mg Vial 104 26 $22,594.05 $11,297.02 50% off $4,480.65 $24,475.91 $11,275.42 2026-07-15
J0491 HCPCS Anifrolumab-fnia 300mg/2ml Sdv 52 26 $26,010.47 $13,005.24 50% off $6,417.92 $23,450.84 $11,258.10 2026-07-15
Q4282 HCPCS Cygnus Dual 4x4 78 26 $21,360.00 $10,680.00 50% off $3,850.50 $28,515.60 $10,627.38 2026-07-15
J9299 HCPCS Opdivo 100mg Vial 208 26 $23,888.83 $11,944.42 50% off $2,360.52 $34,343.62 $10,209.48 2026-07-15
J9303 HCPCS Panitumumab 100mg/5ml Vial 104 26 $24,451.65 $12,225.83 50% off $3,310.02 $32,261.89 $10,194.86 2026-07-15
J2356 HCPCS Tezspire 210mg/1.91ml Syringe 26 26 $21,814.51 $10,907.25 50% off $5,453.63 $19,414.91 $9,446.78 2026-07-15
J9358 HCPCS Enhertu 100 Mg Vial 52 26 $20,921.84 $10,460.92 50% off $5,162.53 $18,862.29 $9,055.60 2026-07-15
J9217 HCPCS Eligard 22.5mg Syringe 156 26 $21,896.24 $10,948.12 50% off $1,463.31 $57,140.89 $8,983.17 2026-07-15
C1763 HCPCS Imp-connective Tissue Nonhuman 26 26 $12,982.00 $6,491.00 50% off $3,245.50 $13,371.46 $8,957.58 2026-07-15
J9176 HCPCS Empliciti 300mg Vial 104 26 $17,825.35 $8,912.68 50% off $3,783.59 $18,377.33 $8,465.96 2026-07-15
Q4197 HCPCS PuraPly Xt 4.91x4.91 26 26 $19,275.00 $9,637.50 50% off $4,818.75 $17,154.75 $8,347.04 2026-07-15
Q5111 HCPCS Udenyca Onpro 26 26 $18,637.12 $9,318.56 50% off $4,659.28 $16,587.04 $8,070.81 2026-07-15
J9353 HCPCS Margenza 250mg Vial 52 26 $18,546.03 $9,273.01 50% off $4,576.26 $16,720.46 $8,027.27 2026-07-15
J2182 HCPCS Nucala 100mg Vial 26 26 $17,935.10 $8,967.55 50% off $4,483.78 $15,962.24 $7,766.80 2026-07-15
J9317 HCPCS Trodelvy 180mg Vial 52 26 $16,914.97 $8,457.48 50% off $4,173.93 $15,249.45 $7,321.31 2026-07-15
Q5117 HCPCS Kanjinti 150mg Vial 104 26 $17,010.60 $8,505.31 50% off $2,384.65 $22,136.76 $7,247.82 2026-07-15
J0180 HCPCS Fabrazyme 35mg Vial 104 26 $21,511.97 $10,755.99 50% off $1,367.92 $34,176.20 $7,174.14 2026-07-15
C1734 HCPCS Allograft/lifenet Bone Dowels 26 26 $10,327.00 $5,163.50 50% off $2,581.75 $10,636.81 $7,125.63 2026-07-15
J1950 HCPCS Lupron 3.75mg Syringe 52 26 $17,995.00 $8,997.50 50% off $2,255.62 $24,001.11 $6,947.30 2026-07-15
J9173 HCPCS Durvalumab 120 Mg/2.4 Ml Vial 104 26 $14,323.73 $7,161.87 50% off $1,854.99 $24,880.66 $6,522.15 2026-07-15
Q5116 HCPCS Trastuzumab-qyyp 104 26 $15,167.06 $7,583.53 50% off $2,128.36 $19,729.63 $6,464.34 2026-07-15
J9023 HCPCS Bavencio 200mg/10ml Vial 52 26 $14,563.77 $7,281.88 50% off $3,533.83 $13,343.08 $6,299.58 2026-07-15
J9202 HCPCS Goserelin Acetate 3.6 Mg Kit 52 26 $14,730.93 $7,365.47 50% off $2,119.64 $18,675.13 $6,280.60 2026-07-15
J0840 HCPCS Crofab 1 Gram Vial 49 26 $14,285.17 $7,142.59 50% off $3,571.29 $12,646.91 $6,070.52 2026-07-15
J9047 HCPCS Kyprolis 10mg Vial 156 26 $13,374.80 $6,687.41 50% off $1,130.00 $22,001.77 $5,789.03 2026-07-15
C1769 HCPCS Guidewire 26 26 $8,190.00 $4,095.00 50% off $2,047.50 $8,435.70 $5,651.10 2026-07-15
C1776 HCPCS Biomet-total Shoulder 182 26 $11,600.00 $5,800.00 50% off $900.00 $20,567.04 $5,353.12 2026-07-15
J1569 HCPCS Gammagard 10gm/100ml 104 26 $11,634.79 $5,817.39 50% off $969.57 $20,709.93 $5,352.01 2026-07-15
J9145 HCPCS Darzalex 100mg/5ml Vial 104 26 $13,477.81 $6,738.90 50% off $1,455.85 $19,165.85 $5,281.15 2026-07-15
J9035 HCPCS Bevacizumab 25mg/ml,100mg Vial 104 26 $13,032.51 $6,516.25 50% off $1,408.45 $18,529.99 $5,107.54 2026-07-15
Q5114 HCPCS Ogivri 150mg Vial 104 26 $11,791.90 $5,895.95 50% off $1,662.83 $15,308.77 $5,033.38 2026-07-15
J0129 HCPCS Abatacept 250mg Vial 52 26 $11,365.51 $5,682.75 50% off $2,804.74 $10,245.73 $4,919.35 2026-07-15
Q4194 HCPCS Novachor 1.5x2.75 26 26 $11,232.00 $5,616.00 50% off $2,808.00 $9,996.48 $4,864.02 2026-07-15
0636 RC — 91 26 $19,434.39 $9,717.19 50% off $18.75 $16,954.41 $4,858.60 2026-07-15
J7168 HCPCS Kcentra 1,000 Unit Vial 104 26 $10,133.85 $5,066.93 50% off $1,669.27 $12,341.81 $4,797.98 2026-07-15
J9355 HCPCS Herceptin 150ml Vial 52 26 $11,045.94 $5,522.97 50% off $2,725.90 $9,957.59 $4,781.03 2026-07-15
C2618 HCPCS Probe, Cryoablation 26 26 $6,759.00 $3,379.50 50% off $1,689.75 $6,961.77 $4,663.71 2026-07-15
78800 HCPCS Wbc Scan/limited, Single Day 26 26 $18,249.00 $9,124.50 50% off $158.99 $15,511.65 $4,653.50 2026-07-15
J3247 HCPCS Cosentyx 125mg/5ml Sdv 26 26 $10,523.69 $5,261.85 50% off $2,630.92 $9,366.08 $4,557.28 2026-07-15
Q9992 HCPCS Sublocade 300mg/1.5ml 26 26 $10,497.31 $5,248.65 50% off $2,624.33 $9,342.61 $4,545.86 2026-07-15
Q9991 HCPCS Sublocade 100mg/0.5ml 26 26 $10,497.31 $5,248.65 50% off $2,624.33 $9,342.61 $4,545.86 2026-07-15
Q5107 HCPCS Mvsai 100Mg Vial 104 26 $11,428.62 $5,714.31 50% off $1,237.77 $16,239.61 $4,482.29 2026-07-15
J1566 HCPCS Gammagard S/d 10gram Vial 26 26 $10,262.81 $5,131.40 50% off $2,565.70 $9,133.90 $4,444.31 2026-07-15
J9349 HCPCS Monjuvi 200mg Vial 52 26 $10,108.62 $5,054.31 50% off $2,494.64 $9,112.45 $4,375.34 2026-07-15
J9179 HCPCS Halaven 1 Mg/2ml Vial 52 26 $9,981.50 $4,990.75 50% off $2,463.18 $8,998.17 $4,320.31 2026-07-15
78804 HCPCS Wbc Scan/whole Body, Multi Day 26 26 $16,351.50 $8,175.75 50% off $433.22 $13,898.78 $4,169.63 2026-07-15
C1713 HCPCS Implant-fracture/fixation Comp 182 26 $9,968.00 $4,984.00 50% off $31.38 $23,751.80 $4,129.02 2026-07-15
J3032 HCPCS Vyepti 100mg/ml Vial 52 26 $9,534.75 $4,767.38 50% off $2,352.95 $8,595.35 $4,126.94 2026-07-15
J1602 HCPCS Golimumab 50 Mg/4ml Vial 52 26 $9,511.81 $4,755.90 50% off $2,347.29 $8,574.67 $4,117.01 2026-07-15
J3262 HCPCS Tocilizumab 80 Mg/4 Ml Vial 156 26 $9,409.08 $4,704.54 50% off $951.20 $15,460.10 $4,072.55 2026-07-15
Q5108 HCPCS Pegfilgrastim-jmdb 26 26 $9,338.56 $4,669.28 50% off $2,334.64 $8,311.32 $4,044.06 2026-07-15
0790 RC — 60 26 $9,827.00 $4,913.50 50% off $1,188.63 $13,660.61 $4,025.38 2026-07-15
J9264 HCPCS Abraxane 100mg Vial 104 26 $8,321.62 $4,160.81 50% off $1,362.70 $10,093.65 $3,857.61 2026-07-15
J3590 HCPCS Tyenne 200mg/10ml Vial 208 26 $8,531.82 $4,265.91 50% off $711.23 $12,446.13 $3,741.84 2026-07-15
J0897 HCPCS Denosumab 60mg/ml 1 Ml Vial 78 26 $8,326.95 $4,163.48 50% off $375.00 $20,639.15 $3,605.99 2026-07-15
J1451 HCPCS Fomepizole 1.5gm/ 1.5ml Vial 52 26 $8,224.96 $4,112.48 50% off $2,014.48 $7,468.88 $3,558.98 2026-07-15
J0875 HCPCS Dalbavancin 500 Mg Vial 52 26 $8,130.06 $4,065.03 50% off $1,991.24 $7,382.69 $3,517.93 2026-07-15
J9171 HCPCS Docetaxel 160 Mg /8ml Vial 208 26 $7,924.00 $3,962.00 50% off $1,078.21 $12,467.87 $3,502.21 2026-07-15
J2783 HCPCS Rasburicase/Elitek 1.5 Mg Sdv 52 26 $7,975.28 $3,987.64 50% off $1,968.29 $7,188.90 $3,451.97 2026-07-15
Q4159 HCPCS Affinity 1.5x1.5 52 26 $7,874.50 $3,937.25 50% off $1,181.25 $9,811.36 $3,352.62 2026-07-15
70471 HCPCS CTA Head & Neck With & Without 26 26 $5,270.00 $2,635.00 50% off $770.00 $4,690.30 $3,135.65 2026-07-15
J1745 HCPCS Infliximab 100mg Vial 78 26 $8,215.59 $4,107.80 50% off $861.95 $7,501.77 $3,068.55 2026-07-15
C1783 HCPCS Implant Intraocular-toric 26 26 $4,400.00 $2,200.00 50% off $1,100.00 $4,532.00 $3,036.00 2026-07-15
Q5136 HCPCS Jubbonti 60mg/ml Syringe 26 26 $6,921.72 $3,460.86 50% off $1,730.43 $6,160.33 $2,997.45 2026-07-15
Q5103 HCPCS inFLIXimabDYYB 100mg/10ml Sdv 52 26 $6,777.46 $3,388.73 50% off $1,672.76 $6,108.87 $2,933.52 2026-07-15
V2630 HCPCS Intraocular Lens 26 26 $4,240.00 $2,120.00 50% off $1,060.00 $4,367.20 $2,925.60 2026-07-15
J2357 HCPCS Omalizumab 150 Mg/ml Syringe 103 26 $7,871.66 $3,935.83 50% off $17.25 $13,566.60 $2,888.22 2026-07-15
87632 HCPCS Respiratory Virus Pcr Panel I 26 26 $7,034.00 $3,517.00 50% off $55.00 $6,260.26 $2,857.57 2026-07-15
J3111 HCPCS Romosozumab-aqqg 105 Mg/1.17ml 26 26 $6,598.17 $3,299.09 50% off $1,649.54 $5,872.37 $2,857.34 2026-07-15
Q4196 HCPCS PuraPly Am 2x2 206 26 $5,912.00 $2,956.00 50% off $245.00 $23,549.40 $2,704.80 2026-07-15
J0490 HCPCS Benlysta 120mgVial 104 26 $6,802.67 $3,401.34 50% off $800.42 $9,427.53 $2,674.66 2026-07-15
27132 HCPCS Total Hip Arthroplasty 18 18 $6,309.00 $3,154.50 50% off $451.80 $5,615.01 $2,574.07 2026-07-15
J9312 HCPCS riTUXimab 100mg / 10ml Vial 102 26 $5,696.80 $2,848.40 50% off $29.00 $24,818.55 $2,531.28 2026-07-15
81229 HCPCS Oligo-snp Array 47 26 $8,689.00 $4,344.50 50% off $55.00 $7,733.21 $2,499.53 2026-07-15
C1747 HCPCS Endoscope, Single Use 26 26 $3,552.00 $1,776.00 50% off $888.00 $3,658.56 $2,450.88 2026-07-15
Q0138 HCPCS Ferumoxytol 30 Mg/ml 17ml Vial 52 26 $5,467.63 $2,733.81 50% off $1,339.22 $4,964.78 $2,365.88 2026-07-15
J9155 HCPCS Degarelix Acetate 120 Mg Vial 52 26 $4,596.16 $2,298.09 50% off $907.40 $4,950.81 $2,297.68 2026-07-15
A9697 HCPCS Magtrace, Per Study Dose 26 26 $3,322.00 $1,661.00 50% off $830.50 $2,956.58 $2,292.18 2026-07-15
27138 HCPCS Revise Hip Joint Replacement 18 18 $5,585.00 $2,792.50 50% off $451.80 $4,970.65 $2,278.68 2026-07-15
J9000 HCPCS Doxorubicin Lipo 20mg/10mL Vl 205 26 $5,523.61 $2,761.80 50% off $354.37 $12,408.34 $2,264.68 2026-07-15
Q4101 HCPCS Apligraf 44 Sq Cm 50 26 $9,020.00 $4,510.00 50% off $51.38 $8,027.80 $2,255.00 2026-07-15
15277 HCPCS App Skin Sub +/= 100 Sq Cm 44 26 $8,824.00 $4,412.00 50% off $160.25 $7,853.36 $2,250.12 2026-07-15
15273 HCPCS App Skin Sub +/= 100 Sq Cm 44 26 $8,824.00 $4,412.00 50% off $144.00 $7,853.36 $2,250.12 2026-07-15
C1771 HCPCS Imp-urinary Device With Sling 26 26 $3,201.00 $1,600.50 50% off $800.25 $3,297.03 $2,208.69 2026-07-15
58750 HCPCS Tubotubal/anast Tubl Revers 18 18 $5,393.00 $2,696.50 50% off $451.80 $4,799.77 $2,200.34 2026-07-15
58267 HCPCS Hyst Vaginal W/mmk 18 18 $5,311.00 $2,655.50 50% off $451.80 $4,726.79 $2,166.89 2026-07-15
J9263 HCPCS Oxaliplatin 100mg/20ml Vial 104 26 $4,350.95 $2,175.47 50% off $880.54 $4,647.04 $2,140.77 2026-07-15
58760 HCPCS Fimbrioplasty 18 18 $5,171.00 $2,585.50 50% off $451.80 $4,602.19 $2,109.77 2026-07-15
20969 HCPCS Bone/skin Graft Microvasc 18 18 $5,157.00 $2,578.50 50% off $451.80 $4,589.73 $2,104.06 2026-07-15
58152 HCPCS Hyst Abdominal W/mmk Tah 18 18 $5,152.00 $2,576.00 50% off $451.80 $4,585.28 $2,102.02 2026-07-15
58280 HCPCS Hyst Vag W/copect And Entero 18 18 $5,088.00 $2,544.00 50% off $451.80 $4,528.32 $2,075.90 2026-07-15
48001 HCPCS Placement Of Drain Pancreas 18 18 $5,070.00 $2,535.00 50% off $451.80 $4,512.30 $2,068.56 2026-07-15
58550 HCPCS Laparoscopy Hyst W/without Bso 18 18 $5,059.00 $2,529.50 50% off $451.80 $4,502.51 $2,064.07 2026-07-15
59510 HCPCS OB & Antepartum C-section & Pp 19 19 $5,030.00 $2,515.00 50% off $451.80 $4,476.70 $2,052.24 2026-07-15
J0881 HCPCS Aranesp 500 Mcg Syringe 203 26 $5,020.69 $2,510.34 50% off $217.53 $14,811.65 $2,048.44 2026-07-15
L8607 HCPCS Prolaryn 25 25 $2,940.00 $1,470.00 50% off $735.00 $2,499.00 $2,028.60 2026-07-15
58752 HCPCS Revise Ovarian Tube(s) 18 18 $4,943.00 $2,471.50 50% off $451.80 $4,399.27 $2,016.74 2026-07-15
58263 HCPCS Hyst Vaginal W/bso And Entero 18 18 $4,928.00 $2,464.00 50% off $451.80 $4,385.92 $2,010.62 2026-07-15
27513 HCPCS Open Treatment Femur Fx 18 18 $4,928.00 $2,464.00 50% off $451.80 $4,385.92 $2,010.62 2026-07-15
58943 HCPCS Oophorectomy Malig With Bx 18 18 $4,917.00 $2,458.50 50% off $451.80 $4,376.13 $2,006.14 2026-07-15
58210 HCPCS Hyst Abd Radical W/node Biopsy 18 18 $4,854.00 $2,427.00 50% off $451.80 $4,320.06 $1,980.43 2026-07-15
0762 RC — 1 1 — — $1,978.00 $1,978.00 $1,978.00 2026-07-15
J9060 HCPCS Cisplatin 100 Mg/100ml Vial 153 26 $4,497.59 $2,248.80 50% off $498.92 $7,023.83 $1,973.31 2026-07-15
C8921 HCPCS Echo Bubble Test (tte) 26 26 $3,271.00 $1,635.50 50% off $431.00 $2,911.19 $1,946.24 2026-07-15
J9040 HCPCS Bleomycin Sulfate 30 Unit Vial 52 26 $4,462.81 $2,231.40 50% off $1,101.67 $4,021.85 $1,931.67 2026-07-15
58770 HCPCS Salpingostomy Abdominal 18 18 $4,719.00 $2,359.50 50% off $451.80 $4,199.91 $1,925.35 2026-07-15
Q5119 HCPCS Ruxience 100mg Vial 103 26 $4,381.77 $2,190.89 50% off $29.00 $18,966.67 $1,922.54 2026-07-15
58275 HCPCS Hyst Vag W/colpectomy 18 18 $4,647.00 $2,323.50 50% off $451.80 $4,135.83 $1,895.98 2026-07-15
J9045 HCPCS CARBOplatin 150mg/15ml Vial 206 26 $5,794.93 $2,897.47 50% off $292.13 $6,663.00 $1,892.93 2026-07-15
J9267 HCPCS Paclitaxel 100mg 153 26 $4,713.15 $2,356.57 50% off $294.71 $6,102.10 $1,884.00 2026-07-15
58270 HCPCS Hyst Vaginal W/enterocele Repr 18 18 $4,602.00 $2,301.00 50% off $451.80 $4,095.78 $1,877.62 2026-07-15
59400 HCPCS Obstetrical Care 19 19 $4,532.00 $2,266.00 50% off $451.80 $4,033.48 $1,849.06 2026-07-15
58660 HCPCS Laparoscopy/lysis Adhesions 18 18 $4,530.00 $2,265.00 50% off $451.80 $4,031.70 $1,848.24 2026-07-15
59618 HCPCS Attempted Vbac Delivery 18 18 $4,479.00 $2,239.50 50% off $451.80 $3,986.31 $1,827.43 2026-07-15
58262 HCPCS Hyst Vaginal With Bso 18 18 $4,471.00 $2,235.50 50% off $451.80 $3,979.19 $1,824.17 2026-07-15
J3489 HCPCS Zoledronic Acid 4 Mg/5ml Vl 78 26 $3,929.67 $1,964.84 50% off $943.52 $3,929.41 $1,810.18 2026-07-15
57265 HCPCS Repair A&p W/enterocele 18 18 $4,331.00 $2,165.50 50% off $451.80 $3,854.59 $1,767.05 2026-07-15
59622 HCPCS Attempted Vbac After Care 18 18 $4,263.00 $2,131.50 50% off $451.80 $3,794.07 $1,739.30 2026-07-15
31242 HCPCS Nsl Sinus Ndscrf Abltj Pnn 18 18 $4,251.00 $2,125.50 50% off $451.80 $3,783.39 $1,734.41 2026-07-15
27506 HCPCS Opn Trtmnt Fmrl Shft Fx W Fxtn 18 18 $4,196.00 $2,098.00 50% off $451.80 $3,734.44 $1,711.97 2026-07-15
51841 HCPCS Ant Vesicour Mmk Complicate 18 18 $4,182.00 $2,091.00 50% off $451.80 $3,721.98 $1,706.26 2026-07-15
58150 HCPCS Hyst Abdominal Tah 18 18 $4,110.00 $2,055.00 50% off $451.80 $3,657.90 $1,676.88 2026-07-15
57284 HCPCS Paravaginal Defect Repair 18 18 $4,109.00 $2,054.50 50% off $451.80 $3,657.01 $1,676.47 2026-07-15
63005 HCPCS Remove Spine Lamina 1/2 Lmbr 18 18 $4,091.00 $2,045.50 50% off $451.80 $3,640.99 $1,669.13 2026-07-15
J9075 HCPCS Cyclophosphamide 2 Gm Vial 153 26 $2,766.34 $1,383.17 50% off $528.48 $4,076.60 $1,660.42 2026-07-15
49060 HCPCS Drain Peritoneal Abscess 18 18 $4,033.00 $2,016.50 50% off $451.80 $3,589.37 $1,645.46 2026-07-15
49020 HCPCS Drain Peritoneal Abscess Op 18 18 $4,033.00 $2,016.50 50% off $451.80 $3,589.37 $1,645.46 2026-07-15
27514 HCPCS Treatment Of Thigh Fracture 18 18 $4,022.00 $2,011.00 50% off $451.80 $3,579.58 $1,640.98 2026-07-15
A4648 HCPCS Magseed Implant 25 25 $2,357.05 $1,178.53 50% off $589.26 $2,003.49 $1,626.36 2026-07-15
30420 HCPCS Reconstruction Of Nose 35 18 $2,824.00 $1,412.00 50% off $451.80 $5,026.72 $1,623.80 2026-07-15
19305 HCPCS Mast Radical 36 18 $4,480.50 $2,240.25 50% off $451.80 $5,316.86 $1,620.45 2026-07-15
P9057 HCPCS Rbc, Leuko Redu Degly Irra 21 21 $2,347.00 $1,173.50 50% off $586.75 $2,088.83 $1,619.43 2026-07-15
58260 HCPCS Hyst Vaginal 18 18 $3,962.00 $1,981.00 50% off $451.80 $3,526.18 $1,616.50 2026-07-15
78816 HCPCS Pet/ct Whole Bode 38 23 $7,032.50 $3,516.25 50% off $65.00 $5,977.63 $1,616.43 2026-07-15
52317 HCPCS Litholapaxy, Bladder 44 26 $6,333.00 $3,166.50 50% off $190.50 $5,383.05 $1,614.92 2026-07-15
45800 HCPCS Rectovesical Fistula 18 18 $3,958.00 $1,979.00 50% off $451.80 $3,522.62 $1,614.86 2026-07-15
59610 HCPCS Vbac Delivery 18 18 $3,958.00 $1,979.00 50% off $451.80 $3,522.62 $1,614.86 2026-07-15
27232 HCPCS Treat Thigh Fracture 18 18 $3,942.00 $1,971.00 50% off $451.80 $3,508.38 $1,608.34 2026-07-15
27244 HCPCS Treat Thigh Fracture 18 18 $3,891.00 $1,945.50 50% off $451.80 $3,462.99 $1,587.53 2026-07-15
Q5121 HCPCS Avsola 100mg Vial 52 26 $3,665.52 $1,832.76 50% off $904.96 $3,302.97 $1,586.58 2026-07-15
57282 HCPCS Sacrospinous Ligament Fix 18 18 $3,888.00 $1,944.00 50% off $451.80 $3,460.32 $1,586.30 2026-07-15
57280 HCPCS Colpopexy Abdominal Approach 18 18 $3,888.00 $1,944.00 50% off $451.80 $3,460.32 $1,586.30 2026-07-15
0278 RC — 3,648 26 $3,127.50 $1,563.75 50% off $1.18 $23,742.53 $1,576.12 2026-07-15
C1765 HCPCS Locking Plate 24 24 $2,284.00 $1,142.00 50% off $571.00 $1,941.40 $1,575.96 2026-07-15
27447 HCPCS Total Knee Arthroplasty Bilat 36 18 $4,308.00 $2,154.00 50% off $451.80 $5,112.16 $1,558.06 2026-07-15
44145 HCPCS Colectomy W/resection 18 18 $3,809.00 $1,904.50 50% off $451.80 $3,390.01 $1,554.07 2026-07-15
58672 HCPCS Laparoscopy Fimbroplasty 18 18 $3,809.00 $1,904.50 50% off $451.80 $3,390.01 $1,554.07 2026-07-15
44205 HCPCS Lap Colectonmy Part W/ileum 18 18 $3,789.00 $1,894.50 50% off $451.80 $3,372.21 $1,545.91 2026-07-15
90371 HCPCS Bay Hep B Vial 5ml 26 26 $3,560.62 $1,780.31 50% off $890.16 $3,168.95 $1,541.92 2026-07-15
57260 HCPCS Cmbn Ant Pst Colprhy 18 18 $3,775.00 $1,887.50 50% off $451.80 $3,359.75 $1,540.20 2026-07-15
27226 HCPCS Treat Hip Wall Fracture 18 18 $3,769.00 $1,884.50 50% off $451.80 $3,354.41 $1,537.75 2026-07-15
44140 HCPCS Partial Removal Of Colon 18 18 $3,733.00 $1,866.50 50% off $451.80 $3,322.37 $1,523.06 2026-07-15
78815 HCPCS Pet/ct Standard Body 39 23 $7,032.50 $3,516.25 50% off $64.25 $5,977.63 $1,513.87 2026-07-15
27187 HCPCS Pinning Femoral Neck Prx Femur 18 18 $3,668.00 $1,834.00 50% off $451.80 $3,264.52 $1,496.54 2026-07-15
59515 HCPCS Cesarean Delivery 18 18 $3,659.00 $1,829.50 50% off $451.80 $3,256.51 $1,492.87 2026-07-15
P9054 HCPCS Rbc Leuko Reduce Deglycer 21 21 $2,160.00 $1,080.00 50% off $540.00 $1,922.40 $1,490.40 2026-07-15
J9360 HCPCS Vinblastine 10mg/10ml Vial 50 26 $5,913.77 $2,956.89 50% off $29.00 $5,263.26 $1,478.44 2026-07-15
27511 HCPCS Treatment Of Thigh Fracture 18 18 $3,622.00 $1,811.00 50% off $451.80 $3,223.58 $1,477.78 2026-07-15
27134 HCPCS Revise Hip Joint Replacement 16 16 $3,622.00 $1,811.00 50% off $905.50 $3,223.58 $1,477.78 2026-07-15
58561 HCPCS Hysteroscopy Remove Myoma 18 18 $3,608.00 $1,804.00 50% off $451.80 $3,211.12 $1,472.06 2026-07-15
58565 HCPCS Essure Procedure 18 18 $3,605.00 $1,802.50 50% off $451.80 $3,208.45 $1,470.84 2026-07-15
57300 HCPCS Closure Recto-vag Fistula 18 18 $3,586.00 $1,793.00 50% off $451.80 $3,191.54 $1,463.09 2026-07-15
90375 HCPCS Rabies Immune Globulin 150iu 26 26 $3,361.29 $1,680.64 50% off $840.32 $2,991.55 $1,455.61 2026-07-15
J0185 HCPCS Cinvanti 130mg/18ml Vial 50 26 $3,340.41 $1,670.20 50% off $562.47 $2,972.96 $1,446.56 2026-07-15
43645 HCPCS Lap Gastr Bypass Inc Small 18 18 $3,522.00 $1,761.00 50% off $451.80 $3,134.58 $1,436.98 2026-07-15
M0243 HCPCS Inf, Casirivamab/imdevimab 25 25 $2,081.50 $1,040.75 50% off $520.38 $1,852.54 $1,436.24 2026-07-15
M0247 HCPCS Inf, Sotrovimab, Pre/post 25 25 $2,081.50 $1,040.75 50% off $520.38 $1,852.54 $1,436.24 2026-07-15
29880 HCPCS Knee Arthro W/meniscctmy Bilat 35 18 $4,984.00 $2,492.00 50% off $451.80 $4,435.76 $1,432.90 2026-07-15
63030 HCPCS Laminotomy One Interspace 18 18 $3,508.00 $1,754.00 50% off $451.80 $3,122.12 $1,431.26 2026-07-15
J7300 HCPCS Paragard I.u.d 51 26 $5,685.20 $2,842.60 50% off $277.50 $5,059.83 $1,421.30 2026-07-15
P9052 HCPCS Plt Pher Leuk Reduc Match 21 21 $2,058.00 $1,029.00 50% off $514.50 $1,831.62 $1,420.02 2026-07-15
J0248 HCPCS REMdesivir 100 Mg Vial 52 26 $3,262.28 $1,631.14 50% off $799.13 $2,961.96 $1,411.62 2026-07-15
59120 HCPCS Ectopic Pregnancy Rx W/bso 18 18 $3,454.00 $1,727.00 50% off $451.80 $3,074.06 $1,409.23 2026-07-15
44207 HCPCS Colectomy/coloproctostomy 18 18 $3,428.00 $1,714.00 50% off $451.80 $3,050.92 $1,398.62 2026-07-15
J9390 HCPCS Vinorelbine 10 Mg/1ml 104 26 $3,051.23 $1,525.62 50% off $680.70 $3,021.82 $1,392.07 2026-07-15
J9100 HCPCS Cytarabine 1000mg/50ml Vial 100 26 $3,168.49 $1,584.24 50% off $560.27 $2,891.29 $1,388.79 2026-07-15
J0894 HCPCS Decitabine 50 Mg Vial 48 24 $2,426.86 $1,213.43 50% off $599.36 $2,186.12 $1,379.78 2026-07-15
58180 HCPCS Hyst Supracervical Tah 18 18 $3,361.00 $1,680.50 50% off $451.80 $2,991.29 $1,371.29 2026-07-15
59150 HCPCS Lap Ectopic Pregnancy Without Bso 18 18 $3,361.00 $1,680.50 50% off $451.80 $2,991.29 $1,371.29 2026-07-15
59151 HCPCS Lap Ectopic Pregnancy W/bso 18 18 $3,361.00 $1,680.50 50% off $451.80 $2,991.29 $1,371.29 2026-07-15
59121 HCPCS Ectopic Pregnancy Rx Without Bso 18 18 $3,361.00 $1,680.50 50% off $451.80 $2,991.29 $1,371.29 2026-07-15
57555 HCPCS Remove Cervix/repair Vagina 18 18 $3,361.00 $1,680.50 50% off $451.80 $2,991.29 $1,371.29 2026-07-15
44144 HCPCS Partial Removal Of Colon 18 18 $3,345.00 $1,672.50 50% off $451.80 $2,977.05 $1,364.76 2026-07-15
44227 HCPCS Laparoscopic Closure Intestine 19 19 $3,344.00 $1,672.00 50% off $451.80 $2,976.16 $1,364.35 2026-07-15
44238 HCPCS Unlisted Laparoscopy Intestine 18 18 $3,344.00 $1,672.00 50% off $451.80 $2,976.16 $1,364.35 2026-07-15
57120 HCPCS Colpocleisis 18 18 $3,342.00 $1,671.00 50% off $451.80 $2,974.38 $1,363.54 2026-07-15
44143 HCPCS Colectomy, Partial; Distal Seg 18 18 $3,335.00 $1,667.50 50% off $451.80 $2,968.15 $1,360.68 2026-07-15
23474 HCPCS Revision Reconst Shoulder Jt 18 18 $3,324.00 $1,662.00 50% off $451.80 $2,958.36 $1,356.19 2026-07-15
23077 HCPCS Resect Shoulder Tumor < 5 Cm 18 18 $3,324.00 $1,662.00 50% off $451.80 $2,958.36 $1,356.19 2026-07-15
43644 HCPCS Lapgastric Bypass/rouv-en-y 18 18 $3,313.00 $1,656.50 50% off $451.80 $2,948.57 $1,351.70 2026-07-15
27536 HCPCS Treat Knee Fracture 18 18 $3,312.00 $1,656.00 50% off $451.80 $2,947.68 $1,351.30 2026-07-15
43282 HCPCS Lap Paraesoph Her Rpr W/mesh 18 18 $3,304.00 $1,652.00 50% off $451.80 $2,940.56 $1,348.03 2026-07-15
90675 HCPCS Imovax Rabies Vacc .5 IU/Dose 24 24 $2,363.10 $1,181.55 50% off $590.78 $2,103.16 $1,346.97 2026-07-15
11044 HCPCS Debride Bone First 20 Cm 44 26 $5,262.00 $2,631.00 50% off $144.75 $4,683.18 $1,341.81 2026-07-15
J9025 HCPCS Azactidine 100mg Vial 52 26 $3,071.34 $1,535.67 50% off $758.36 $2,767.22 $1,329.40 2026-07-15
27556 HCPCS Treat Knee Dislocation 18 18 $3,210.00 $1,605.00 50% off $451.80 $2,856.90 $1,309.68 2026-07-15
92950 HCPCS Cardiac Arrest W/inject/infusi 42 26 $2,479.00 $1,239.50 50% off $218.99 $2,206.31 $1,308.60 2026-07-15
C1788 HCPCS Infuse-a-port 25 25 $1,894.50 $947.25 50% off $455.38 $1,610.33 $1,307.21 2026-07-15
59410 HCPCS Vaginal Delivery W/pp Care 18 18 $3,177.00 $1,588.50 50% off $451.80 $2,827.53 $1,296.22 2026-07-15
J1301 HCPCS Radicava 30mg/100ml Bag 26 26 $2,991.00 $1,495.50 50% off $747.75 $2,661.99 $1,295.26 2026-07-15
J0121 HCPCS Omadacycline 100mg Vial 48 24 $2,276.72 $1,138.36 50% off $557.77 $2,066.91 $1,292.26 2026-07-15
19357 HCPCS Tiss Xpndr Plmt Brst Rcnstj 18 18 $3,164.00 $1,582.00 50% off $451.80 $2,815.96 $1,290.91 2026-07-15
58720 HCPCS Sapingo-oophorectomy 18 18 $3,148.00 $1,574.00 50% off $451.80 $2,801.72 $1,284.38 2026-07-15
44605 HCPCS Repair Of Bowel Lesion 18 18 $3,137.00 $1,568.50 50% off $451.80 $2,791.93 $1,279.90 2026-07-15
J9206 HCPCS Irinotecan 300mg Vial 149 26 $2,470.95 $1,235.47 50% off $323.46 $3,984.73 $1,275.33 2026-07-15
J0585 HCPCS Botox 100 Units Vial 26 26 $2,939.81 $1,469.90 50% off $734.95 $2,616.43 $1,273.08 2026-07-15
52648 HCPCS Prostate Saturation Sampling 45 26 $3,120.00 $1,560.00 50% off $375.25 $3,742.00 $1,272.96 2026-07-15
27412 HCPCS Autochondrocyte Implant Knee 18 18 $3,112.00 $1,556.00 50% off $451.80 $2,769.68 $1,269.70 2026-07-15
J2430 HCPCS Pamidronate 90mg/10ml Vial 100 26 $4,093.74 $2,046.87 50% off $408.96 $3,736.62 $1,269.44 2026-07-15
38724 HCPCS Removal Of Lymph Nodes Neck 18 18 $3,108.00 $1,554.00 50% off $451.80 $2,766.12 $1,268.06 2026-07-15
23455 HCPCS Repair Shoulder Capsule 18 18 $3,100.00 $1,550.00 50% off $451.80 $2,759.00 $1,264.80 2026-07-15
23472 HCPCS Total Shldr Replacement 19 19 $3,082.00 $1,541.00 50% off $266.48 $2,742.98 $1,257.46 2026-07-15
44640 HCPCS Repair Bowel-skin Fistual 18 18 $3,077.00 $1,538.50 50% off $451.80 $2,738.53 $1,255.42 2026-07-15
58563 HCPCS Hysteroscopy Endo Ablation 19 19 $3,073.00 $1,536.50 50% off $451.80 $2,734.97 $1,253.78 2026-07-15
58560 HCPCS Hysteroscopy W/uterine Sept 18 18 $3,057.00 $1,528.50 50% off $451.80 $2,720.73 $1,247.26 2026-07-15
J7298 HCPCS Marena System 76 26 $2,303.00 $1,151.50 50% off $327.13 $4,526.32 $1,243.04 2026-07-15
57268 HCPCS Repair Enterocele Vag Appro 18 18 $3,027.00 $1,513.50 50% off $451.80 $2,694.03 $1,235.02 2026-07-15
A9569 HCPCS Tech Tc 99m Ex Label Auto Wbc 26 26 $1,780.50 $890.25 50% off $445.13 $1,780.50 $1,228.55 2026-07-15
23420 HCPCS Repair Of Shoulder 18 18 $3,008.00 $1,504.00 50% off $451.80 $2,677.12 $1,227.26 2026-07-15
57106 HCPCS Vaginectomy 18 18 $2,997.00 $1,498.50 50% off $451.80 $2,667.33 $1,222.78 2026-07-15
58925 HCPCS Ovarian Cystectomy 18 18 $2,986.00 $1,493.00 50% off $451.80 $2,657.54 $1,218.29 2026-07-15
43501 HCPCS Surgical Repair Of Stomach 18 18 $2,986.00 $1,493.00 50% off $451.80 $2,657.54 $1,218.29 2026-07-15
58940 HCPCS Oophorectomy 18 18 $2,986.00 $1,493.00 50% off $451.80 $2,657.54 $1,218.29 2026-07-15
59514 HCPCS C-section Delivery Only 18 18 $2,986.00 $1,493.00 50% off $451.80 $2,657.54 $1,218.29 2026-07-15
32200 HCPCS Drain Open Lung Lesion 18 18 $2,986.00 $1,493.00 50% off $451.80 $2,657.54 $1,218.29 2026-07-15
27486 HCPCS Revise/replace Knee Joint 18 18 $2,974.00 $1,487.00 50% off $451.80 $2,646.86 $1,213.39 2026-07-15
0202 RC — 8 5 $1,382.00 $691.00 50% off $1,064.14 $2,485.00 $1,211.21 2026-07-15
58400 HCPCS Uterine Suspension 18 18 $2,957.00 $1,478.50 50% off $451.80 $2,631.73 $1,206.46 2026-07-15
J1190 HCPCS Dexrazoxane 500mg Vial 48 24 $2,124.94 $1,062.47 50% off $520.60 $1,929.07 $1,206.11 2026-07-15
J0775 HCPCS Xiaflex Injection 50 26 $4,817.92 $2,408.96 50% off $22.02 $4,287.95 $1,204.48 2026-07-15
43281 HCPCS Lap Paraesophag Hern Repair 18 18 $2,936.00 $1,468.00 50% off $451.80 $2,613.04 $1,197.89 2026-07-15
29881 HCPCS Kne Arth W/menisc W/shav Bilat 36 18 $3,306.00 $1,653.00 50% off $451.80 $3,923.12 $1,195.67 2026-07-15
23450 HCPCS Repair Shoulder Capsule 18 18 $2,921.00 $1,460.50 50% off $451.80 $2,599.69 $1,191.77 2026-07-15
19370 HCPCS Revj Peri-implt Capsule Brst 18 18 $2,910.00 $1,455.00 50% off $451.80 $2,589.90 $1,187.28 2026-07-15
27177 HCPCS Treat Slipped Epiphysis 18 18 $2,909.00 $1,454.50 50% off $451.80 $2,589.01 $1,186.87 2026-07-15
49204 HCPCS Exc Abd Tum Over 5 Cm 18 18 $2,903.00 $1,451.50 50% off $451.80 $2,583.67 $1,184.42 2026-07-15
29883 HCPCS Knee Arthro/surgery 18 18 $2,898.00 $1,449.00 50% off $451.80 $2,579.22 $1,182.38 2026-07-15
J9033 HCPCS Bendamustine 100mg Vial 102 26 $2,651.54 $1,325.77 50% off $199.29 $4,655.16 $1,178.81 2026-07-15
P9053 HCPCS Plt Pher Leuk Red Cmv-ir 21 21 $1,705.00 $852.50 50% off $426.25 $1,517.45 $1,176.45 2026-07-15
26541 HCPCS Ligament Reconstruction 18 18 $2,880.00 $1,440.00 50% off $451.80 $2,563.20 $1,175.04 2026-07-15
38720 HCPCS Cervical Lymphadenectomy 18 18 $2,876.00 $1,438.00 50% off $451.80 $2,559.64 $1,173.41 2026-07-15
27130 HCPCS Total Hip Replacement 19 19 $2,872.00 $1,436.00 50% off $237.19 $2,556.08 $1,171.78 2026-07-15
27415 HCPCS Osteochondral Knee Allograft 18 18 $2,866.00 $1,433.00 50% off $451.80 $2,550.74 $1,169.33 2026-07-15
27125 HCPCS Hemiarthroplasty Hip Partial 18 18 $2,837.00 $1,418.50 50% off $451.80 $2,524.93 $1,157.50 2026-07-15
J9351 HCPCS Topotecan 4mg Vial 52 26 $2,662.35 $1,331.17 50% off $653.72 $2,411.74 $1,152.12 2026-07-15
J0714 HCPCS Ceftazidime & Avibactam 2.5mg 48 24 $2,023.17 $1,011.59 50% off $495.68 $1,836.64 $1,148.35 2026-07-15
0164 RC — 12 3 $1,472.00 $736.00 50% off $887.04 $1,522.35 $1,148.07 2026-07-15
58559 HCPCS Hysteroscopy, Lysis Adhesions 18 18 $2,805.00 $1,402.50 50% off $451.80 $2,496.45 $1,144.44 2026-07-15
19083 HCPCS Breast Bx W/clip Using US 66 26 $2,632.00 $1,316.00 50% off $209.79 $4,072.64 $1,144.00 2026-07-15
58671 HCPCS Laparoscopy/tubal/with Rings 18 18 $2,793.00 $1,396.50 50% off $451.80 $2,485.77 $1,139.54 2026-07-15
58670 HCPCS Laparoscopy/tubal/fulg 18 18 $2,793.00 $1,396.50 50% off $451.80 $2,485.77 $1,139.54 2026-07-15
15734 HCPCS Muscle-skin Graft Trunk 18 18 $2,785.00 $1,392.50 50% off $451.80 $2,478.65 $1,136.28 2026-07-15
21034 HCPCS Excise Max/zygoma Mal Tumor 18 18 $2,763.00 $1,381.50 50% off $451.80 $2,459.07 $1,127.30 2026-07-15
55876 HCPCS Fiducial Marker Placement 44 26 $4,420.00 $2,210.00 50% off $73.75 $3,933.80 $1,127.10 2026-07-15
60502 HCPCS Re-exploration, Head/neck 18 18 $2,756.00 $1,378.00 50% off $451.80 $2,452.84 $1,124.45 2026-07-15
29867 HCPCS Osteochondral Allograft 18 18 $2,746.00 $1,373.00 50% off $451.80 $2,443.94 $1,120.37 2026-07-15
24149 HCPCS Release Of Flexion Contracture 18 18 $2,735.00 $1,367.50 50% off $451.80 $2,434.15 $1,115.88 2026-07-15
J9041 HCPCS Bortezomib 3.5mg Vial 24 24 $1,945.10 $972.55 50% off $486.28 $1,731.14 $1,108.71 2026-07-15
27882 HCPCS Amputation Of Lower Leg 18 18 $2,715.00 $1,357.50 50% off $451.80 $2,416.35 $1,107.72 2026-07-15
0120 RC — 15 3 $1,327.00 $663.50 50% off $776.93 $1,722.10 $1,105.00 2026-07-15
58562 HCPCS Hysteroscopy Remove Fb 18 18 $2,707.00 $1,353.50 50% off $451.80 $2,409.23 $1,104.46 2026-07-15
25350 HCPCS Osteotomy Radius Distal Third 18 18 $2,702.00 $1,351.00 50% off $451.80 $2,404.78 $1,102.42 2026-07-15
27880 HCPCS Amputation Lower Leg 18 18 $2,700.00 $1,350.00 50% off $451.80 $2,403.00 $1,101.60 2026-07-15
58700 HCPCS Salpingectomy 18 18 $2,699.00 $1,349.50 50% off $451.80 $2,402.11 $1,101.19 2026-07-15
58140 HCPCS Myomectomy Abd Appr 1 Or Month 18 18 $2,691.00 $1,345.50 50% off $451.80 $2,394.99 $1,097.93 2026-07-15
44320 HCPCS Colostomy 18 18 $2,691.00 $1,345.50 50% off $451.80 $2,394.99 $1,097.93 2026-07-15
46750 HCPCS Spincteroplasty Anal For 1 18 18 $2,691.00 $1,345.50 50% off $451.80 $2,394.99 $1,097.93 2026-07-15
57550 HCPCS Excision Cervical Stump 18 18 $2,691.00 $1,345.50 50% off $451.80 $2,394.99 $1,097.93 2026-07-15
44005 HCPCS Enterolysis 18 18 $2,691.00 $1,345.50 50% off $451.80 $2,394.99 $1,097.93 2026-07-15
51845 HCPCS Abd/vag Vesical Neck Suspen 18 18 $2,691.00 $1,345.50 50% off $451.80 $2,394.99 $1,097.93 2026-07-15
58145 HCPCS Myomectomy Vag Appr 1 Or Month 18 18 $2,691.00 $1,345.50 50% off $451.80 $2,394.99 $1,097.93 2026-07-15
J1740 HCPCS Boniva 3mg\3ml Injection 24 24 $1,915.30 $957.65 50% off $478.83 $1,704.62 $1,091.72 2026-07-15
J1212 HCPCS Dimethyl Sulfoxide 50ml Vial 26 26 $2,519.07 $1,259.54 50% off $629.77 $2,241.97 $1,090.88 2026-07-15
M0222 HCPCS Inj, Bebtelovimab, Pre/post 25 25 $1,578.00 $789.00 50% off $394.50 $1,404.42 $1,088.82 2026-07-15
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