Hospital

ST LOUIS CHILDRENS HOSPITAL

Saint Louis, MO · CCN 263301 · Rates published

3,108 distinct procedures filed

45 distinct payers

475,767 rate rows

2025-12-15 last MRF observed

Data quality

462,832 of 475,767 rate rows are consumer-grade (97.3%)

12,935 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reason	Rows
exceeds 10× this hospital's gross charge — excluded from medians	11,763
template filing: same amount across many unrelated codes — excluded	623
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	242
per-diem day rate — not a per-procedure price	188
placeholder amount (≤ $0.02) — excluded from medians	60
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	59

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

Source MRF file	https://www.bjc.org/hpt/51/430654870_StLouisChildrensHospital_standardcharges.json
Found on page	https://www.bjc.org/patients-visitors/billing-and-financial-assistance/hospital-rates-disclosure
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-09-21
Content fingerprint	d27a26f6e8776bd0… · 464,284,430 bytes · first seen 2026-05-06

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
J3392 HCPCS	Hc Casgevy Injection, Exagamglogene Autotemcel, Per Treatment	7	$4,075,500.00	$4,785,000.00	$4,537,500.00	nat. median $2,401,960 1.9× median
J1413 HCPCS	Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp-220 Ml	43	$0.04	$4,832,000.00	$3,616,000.00	nat. median $3,324,572 1.1× median
J3399 HCPCS	Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension 16.6 Ml	45	$0.04	$4,269,194.66	$3,264,678.27	nat. median $2,466,282 1.3× median
J3394 HCPCS	Hc Lyfgenia Suspension	11	$3,252,508.08	$3,415,133.48	$3,252,508.08	nat. median $3,286,000 1.0× median
Q2042 HCPCS	Hc Tisagenlecleucel Car-t Therapy	14	$0.49	$1,954,737.08	$1,230,483.65	nat. median $738,272 1.7× median
Q2041 HCPCS	Hc Yescarta Car-t Therapy	45	$0.49	$1,801,798.50	$532,192.24	nat. median $608,101 0.9× median
J2326 HCPCS	Nusinersen (pf) 12 Mg/5 Ml Intrathecal Solution	42	$1,286.15	$439,558.84	$379,054.86	nat. median $2,487 outlier · 152.4×
36575 CPT	Rpr Tun/non-tun Ctr Vad Cath Without Subq Port/Pmp	45	$617.39	$246,467.70	$188,475.30	nat. median $900 outlier · 209.4×
J0801 HCPCS	Corticotropin 80 Unit/ml Injection Gel	19	$81,653.75	$141,535.10	$121,158.30	nat. median $5,216 outlier · 23.2×
33477 CPT	Tcat Pulmonary Valve Implantation Prq Approach	45	$1,118.37	$155,201.47	$112,292.83	nat. median $7,124 outlier · 15.8×
J0567 HCPCS	Cerliponase Alfa 150 Mg/5 Ml Intraventricular Solution	42	$121.20	$226,753.88	$108,288.89	nat. median $171 outlier · 631.8×
J9118 HCPCS	Calaspargase Pegol-mknl 750 Unit/ml Intravenous Solution	45	$82.08	$198,438.66	$94,712.65	nat. median $200 outlier · 473.9×
93564 CPT	Njx DRG Cgen C-cathj Slctv Opacification S&i	42	$18,042.10	$133,004.57	$90,756.06	nat. median $653 outlier · 139.0×
J9348 HCPCS	Naxitamab-gqgk 4 Mg/ml Intravenous Solution	19	$61,163.65	$99,050.44	$90,754.97	nat. median $834 outlier · 108.8×
C1822 HCPCS	Livanova Generator Neurostimulator Perm MRI Ti Vns Therapy Sentiva 1000d	34	$46,286.24	$98,358.26	$80,711.63	nat. median $31,540 outlier · 2.6×
J2350 HCPCS	Ocrelizumab 30 Mg/ml Intravenous Solution	45	$59.32	$114,730.81	$75,036.73	nat. median $414 outlier · 181.1×
37242 CPT	Vascular Embolization Or Occlusion Arterial Rs&I	45	$11,466.06	$127,114.27	$73,576.73	nat. median $16,874 outlier · 4.4×
J0638 HCPCS	Canakinumab (pf) 150 Mg/ml Subcutaneous Solution	45	$147.74	$142,871.97	$73,032.86	nat. median $253 outlier · 289.2×
33746 CPT	Tis Crtj St Congenital Cardiac Anomal Ea Addl	45	$737.76	$78,639.66	$60,691.32	nat. median $3,306 outlier · 18.4×
36227 CPT	Slctv Cath Xtrnl Carotid Angio Xtrnl Carotd Circ\|BILATERAL Procedure	45	$3,107.61	$75,551.38	$59,685.59	nat. median $2,984 outlier · 20.0×
J9210 HCPCS	Emapalumab-lzsg 5 Mg/ml Intravenous Solution	42	$384.13	$123,824.31	$56,455.18	nat. median $743 outlier · 76.0×
33904 CPT	Perq P-art Revsc St Ea Addl Vsl/Sep Les NM/Abnl	42	$2,427.53	$96,228.71	$55,473.02	nat. median $3,284 outlier · 16.9×
36226 CPT	Slctv Cath Vertebral Art Angio Vertebral Artery\|LEFT Side	45	$38,758.62	$75,551.38	$55,050.27	nat. median $6,845 outlier · 8.0×
93584 CPT	Venography Chd Anomalous/Persistent Svc Nt DRG	42	$22,798.00	$73,732.76	$54,783.44	nat. median $1,373 outlier · 39.9×
93654 CPT	Compre Ep Eval Abltj 3d Mapg Tx Vt	45	$25,725.02	$71,052.25	$54,334.07	nat. median $27,029 outlier · 2.0×
93588 CPT	Venography Chd Venovenous Collateral Below Heart	42	$18,042.10	$77,866.16	$53,132.21	nat. median $1,271 outlier · 41.8×
93653 CPT	Compre Ep Eval Abltj 3d Mapg Tx Svt	45	$25,725.02	$68,748.31	$52,572.24	nat. median $26,640 2.0× median
C1820 HCPCS	Medtronic Inc Neurostimulator Dbs Brainsense Percept Rechargeable B35300	34	$28,798.00	$68,722.50	$52,552.50	nat. median $22,969 outlier · 2.3×
50436 CPT	Perq Dilation Xst Trc Endourologic Px W/Img\|RIGHT Side\|separate Practitioner	45	$3,703.78	$78,803.09	$51,222.01	nat. median $3,562 outlier · 14.4×
C1767 HCPCS	Generator Neurostimulator Vns Therapy Aspirehc Pulse Strl	34	$193.52	$110,194.00	$50,397.68	nat. median $23,881 outlier · 2.1×
92997 CPT	Prq Trluml Pulmonary Art Balloon Angiop 1 Vsl\|SEPARATE Structure	45	$8,416.15	$63,594.03	$48,630.73	nat. median $11,473 outlier · 4.2×
J9042 HCPCS	Brentuximab Vedotin 50 Mg Intravenous Solution	45	$268.45	$86,534.86	$43,636.18	nat. median $962 outlier · 45.3×
33745 CPT	Tis Crtj St Congenital Cardiac Anomal 1st Shunt	45	$11,361.85	$56,513.70	$43,615.28	nat. median $5,046 outlier · 8.6×
33903 CPT	Perq P-art Revsc St 1st Abnormal Connj Bilateral	45	$8,416.15	$56,513.70	$43,216.36	nat. median $11,839 outlier · 3.7×
33902 CPT	Perq P-art Revsc St 1st Abnor Connj Unilateral\|RIGHT Side	45	$7,141.38	$70,024.86	$41,885.20	nat. median $17,374 outlier · 2.4×
L8670 HCPCS	611130	34	$15,960.00	$74,375.00	$40,950.00	nat. median $1,063 outlier · 38.5×
36224 CPT	Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art\|LEFT Side\|separate Structure	45	$5,804.62	$53,868.13	$39,938.34	nat. median $7,122 outlier · 5.6×
33895 CPT	Evasc St Rpr Coarcj Thrc/Aa Xcrsg Maj Side Brnch	42	$3,190.73	$62,959.19	$39,839.40	nat. median $4,161 outlier · 9.6×
36228 CPT	Slctv Cath Intrcrnl Brnch Angio Intrl Carot/Vert\|LEFT Side\|separate Structure	45	$3,107.61	$45,263.45	$39,565.58	nat. median $2,845 outlier · 13.9×
37239 CPT	Open/Perq Placement Intravasc Stent Same Ea Addl	42	$1,577.35	$82,864.75	$39,459.00	nat. median $6,855 outlier · 5.8×
37247 CPT	Trlml Balo Angiop Open/Perq Img S&i Ea Addl Art\|UNUSUAL Non-overlapping Service	42	$880.68	$69,546.37	$39,459.00	nat. median $3,579 outlier · 11.0×
93568 CPT	Njx DRG C-cathj Nslctv P-art Angiography\|UNUSUAL Non-overlapping Service	45	$455.59	$58,344.00	$39,459.00	nat. median $814 outlier · 48.5×
93581 CPT	Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt	45	$18,042.10	$68,819.67	$39,459.00	nat. median $17,534 outlier · 2.3×
93580 CPT	Prq Tcat Clsr Cgen Intratrl Comunicaj W/Implt	45	$18,042.10	$84,974.22	$39,459.00	nat. median $18,311 outlier · 2.2×
J9228 HCPCS	Ipilimumab 200 Mg/40 Ml (5 Mg/ml) Intravenous Solution	42	$186.91	$241,001.75	$38,177.54	nat. median $8,966 outlier · 4.3×
J9153 HCPCS	Daunorubicin 44 Mg And Cytarabine 100 Mg In Liposome IV Solution	19	$13,800.78	$43,041.20	$37,936.80	nat. median $632 outlier · 60.0×
93582 CPT	Percutan Transcath Closure Pat Duct Arteriosus	45	$13,100.48	$47,798.14	$36,888.92	nat. median $18,028 outlier · 2.0×
J2327 HCPCS	Risankizumab-rzaa 60 Mg/ml Intravenous Solution	45	$14.93	$57,752.23	$36,615.48	nat. median $1,767 outlier · 20.7×
93462 CPT	Left Heart Cath By Transeptal Puncture	42	$1,568.99	$70,661.44	$36,250.00	nat. median $4,850 outlier · 7.5×
93575 CPT	Njx DRG C-cathj Slctv Pulm Angrph Mapca Chd Ea	42	$488.06	$119,168.42	$36,250.00	nat. median $1,002 outlier · 36.2×

Other procedures at this hospital

Browse this hospital's 3,108 published procedures. Use the slice to choose what to show, then sort or filter any column.

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code	Type	Description	Rate rows	Payers	Gross	Cash	Min $	Max $	Avg median	Last observed

0402T	CPT	Collagen Cross-linking Cornea&Pachymetry	74	45	$28,919.30	$17,351.58 40% off	$2,339.93	$24,581.41	$21,689.48	2025-12-15
0600T	CPT	Hc Ablation, Ire, 1+ Tumor Per Org W Img Guide Perq	26	19	$18,193.00	$10,915.80 40% off	$8,950.96	$14,554.40	$10,815.74	2025-12-15
0686T	CPT	Hc Histotripsy Mal Hepatocellular Tissue With Img Guide	26	19	$33,505.00	$20,103.00 40% off	$16,484.46	$26,804.00	$19,918.72	2025-12-15
10081	CPT	Incision & Drainage Pilonidal Cyst Complicated	100	45	$1,840.85	$1,104.51 40% off	$696.95	$15,078.74	$10,366.63	2025-12-15
10140	CPT	I&d Hematoma Seroma/Fluid Collection\|BILATERAL Procedure	100	45	$14,327.55	$8,596.53 40% off	$1,625.51	$15,487.32	$11,331.09	2025-12-15
11011	CPT	Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/m/f Musc	100	45	$20,704.10	$12,422.46 40% off	$796.06	$20,704.10	$15,388.03	2025-12-15
11012	CPT	Dbrdmt Fx&/Dislc Subq T/m/f Bone\|RIGHT Hand, Fourth Digit	112	45	$17,142.60	$10,285.56 40% off	$2,858.84	$14,571.21	$9,308.43	2025-12-15
11420	CPT	Exc B9 Lesion Mrgn Xcp Sk Tg S/n/h/f/g 0.5 Cm/<	74	45	$9,031.10	$5,418.66 40% off	$2,858.84	$13,072.66	$8,592.73	2025-12-15
11770	CPT	Excision Pilonidal Cyst/Sinus Simple	100	45	$11,412.00	$6,847.20 40% off	$2,858.84	$10,986.16	$8,280.82	2025-12-15
11771	CPT	Excision Pilonidal Cyst/Sinus Extensive	100	45	$14,348.70	$8,609.22 40% off	$2,858.84	$12,196.40	$9,972.35	2025-12-15
11772	CPT	Excision Pilonidal Cyst/Sinus Complicated	100	45	$19,401.33	$11,640.80 40% off	$2,858.84	$12,114.50	$8,971.85	2025-12-15
11981	CPT	Insertion Drug Delivery Implant	100	45	$15,048.35	$9,029.01 40% off	$119.97	$16,588.00	$11,888.20	2025-12-15
11982	CPT	Removal Non-biodegradable Drug Delivery Implant	100	45	$9,995.60	$5,997.36 40% off	$234.83	$14,827.60	$10,009.33	2025-12-15
15002	CPT	Prep Site Trunk/Arm/Leg 1st 100 Sq Cm/1pct	74	45	$14,965.16	$8,979.10 40% off	$727.40	$12,720.39	$9,817.14	2025-12-15
15100	CPT	Splt Agrft T/a/L 1st 100 Sqcm/</1% Bdy Inft/Chld	74	45	$44,612.24	$26,767.34 40% off	$2,066.61	$31,808.53	$14,939.02	2025-12-15
15120	CPT	Splt Agrft F/S/N/H/F/G/M/Dgt 1st 100 Sqcm/</1%	74	45	$13,746.75	$8,248.05 40% off	$3,220.32	$11,684.74	$9,801.43	2025-12-15
20501	CPT	Injection Sinus Tract Diagnostic	100	45	$35,177.80	$21,106.68 40% off	$501.35	$29,901.13	$22,865.57	2025-12-15
20670	CPT	Removal Implant Superficial Separate Procedure	86	45	$10,889.40	$6,533.64 40% off	$1,625.51	$9,757.54	$8,221.50	2025-12-15
20680	CPT	Removal Implant Deep\|LEFT Side	131	45	$12,227.96	$7,336.78 40% off	$1,143.53	$21,988.00	$12,944.81	2025-12-15
20982	CPT	Ablation Bone Tumor Rf Perq W/Img Gdn When Done\|LEFT Side	100	45	$33,506.70	$20,104.02 40% off	$10,706.90	$45,431.49	$29,530.47	2025-12-15
20983	CPT	Hc Ablate Bone Tumr(S) Perq	26	19	$15,591.00	$9,354.60 40% off	$7,670.77	$12,472.80	$9,268.85	2025-12-15
21899	CPT	Unlisted Procedure Neck/Thorax	74	45	$31,784.23	$19,070.54 40% off	$233.11	$27,016.60	$20,850.45	2025-12-15
22899	CPT	Unlisted Procedure Spine	74	45	$50,336.08	$30,201.65 40% off	$242.77	$42,785.67	$33,020.47	2025-12-15
24220	CPT	Injection Procedure For Elbow Arthrography\|LEFT Side	89	45	$15,914.65	$9,548.79 40% off	$236.63	$15,914.65	$12,015.56	2025-12-15
24635	CPT	Open Tx Monteggia Fracture Dislocation Elbow\|RIGHT Side	74	45	$18,513.05	$11,107.83 40% off	$10,034.07	$18,513.05	$14,334.95	2025-12-15
24685	CPT	Open Treatment Ulnar Fracture Proximal End\|RIGHT Side	74	45	$23,541.17	$14,124.70 40% off	$4,587.00	$23,541.17	$18,076.60	2025-12-15
24999	CPT	Unlisted Procedure Humerus/Elbow	100	45	$18,665.50	$11,199.30 40% off	$394.09	$21,988.00	$12,972.52	2025-12-15
25000	CPT	Incision Extensor Tendon Sheath Wrist\|LEFT Side	74	45	$8,465.80	$5,079.48 40% off	$1,640.71	$9,908.35	$7,909.55	2025-12-15
25020	CPT	Dcmprn Fasct F/Arm&Wrst Flxr/Xtnsr Without Dbrdmt	74	45	$15,954.34	$9,572.60 40% off	$8,216.49	$15,954.34	$11,854.07	2025-12-15
25111	CPT	Excision Ganglion Wrist Dorsal/Volar Primary\|RIGHT Side	74	45	$10,952.65	$6,571.59 40% off	$4,587.00	$12,831.00	$9,050.90	2025-12-15
25215	CPT	Carpectomy All Bones Proximal Row\|RIGHT Side\|unusual Non-overlapping Service	74	45	$39,298.75	$23,579.25 40% off	$4,587.00	$28,020.01	$14,652.78	2025-12-15
25295	CPT	Tnols Flxr/Xtnsr Tendon Forearm&/Wrist 1 Ea\|LEFT Side	74	45	$29,034.53	$17,420.72 40% off	$3,220.32	$24,679.35	$19,046.65	2025-12-15
25999	CPT	Unlisted Procedure Forearm/Wrist	100	45	$12,074.71	$7,244.83 40% off	$4,781.75	$12,074.71	$7,921.01	2025-12-15
26160	CPT	Exc Lesion Tdn Shth/Jt Capsl Hand/Fngr\|RIGHT Side	74	45	$5,993.75	$3,596.25 40% off	$1,582.59	$9,458.40	$7,796.51	2025-12-15
26418	CPT	Repair Extensor Tendon Finger Without Graft Each\|RIGHT Hand, Fifth Digit	86	45	$10,980.40	$6,588.24 40% off	$1,582.59	$10,639.89	$8,990.28	2025-12-15
26587	CPT	Rcnstj Polydactylous Digit Soft Tissue & Bone\|LEFT Hand, Thumb	91	45	$11,412.40	$6,847.44 40% off	$1,288.13	$14,776.06	$11,190.94	2025-12-15
26605	CPT	Cltx Metacarpal Fx W/Manipulation Each Bone\|RIGHT Hand, Thumb	74	45	$27,301.30	$16,380.78 40% off	$8,684.00	$27,301.30	$19,878.43	2025-12-15
26608	CPT	Prq Skeletal Fixj Metacarpal Fx Each Bone\|RIGHT Hand, Fifth Digit	79	45	$8,627.62	$5,176.57 40% off	$1,288.13	$9,857.13	$7,850.21	2025-12-15
26727	CPT	Prq Skel Fixj Phlngl Shft Fx Prox/Middle Px/F/T\|RIGHT Hand, Second Digit	79	45	$11,467.01	$6,880.21 40% off	$1,288.13	$10,430.15	$8,797.90	2025-12-15
26951	CPT	Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr\|RIGHT Hand, Second Digit	74	45	$10,815.40	$6,489.24 40% off	$3,220.32	$10,767.33	$9,031.89	2025-12-15
27599	CPT	Unlisted Procedure Femur/Knee	100	45	$21,933.62	$13,160.17 40% off	$116.60	$21,933.62	$10,352.81	2025-12-15
27600	CPT	Dcmprn Fasct Leg Ant&/Lat Compartments Only\|LEFT Side	80	45	$39,854.58	$23,912.75 40% off	$16,471.00	$39,854.58	$30,090.21	2025-12-15
27886	CPT	Amp Leg Thru Tibia&Fibula Re-amputation\|right Side	74	45	$11,647.07	$6,988.24 40% off	$6,312.71	$11,647.07	$9,201.19	2025-12-15
27899	CPT	Unlisted Procedure Leg/Ankle	100	45	$23,838.23	$14,302.94 40% off	$225.34	$23,838.23	$15,637.88	2025-12-15
28010	CPT	Tenotomy Percutaneous Toe Single Tendon\|RIGHT Foot, Fifth Digit	145	45	$8,065.80	$4,839.48 40% off	$1,288.13	$39,245.00	$9,094.21	2025-12-15
28232	CPT	Tx Open Tendon Flexor Toe 1 Tendon Spx\|RIGHT Foot, Third Digit	117	45	$7,998.05	$4,798.83 40% off	$633.04	$39,245.00	$9,473.63	2025-12-15
28899	CPT	Unlisted Procedure Foot/Toes\|LEFT Side	120	45	$18,384.10	$11,030.46 40% off	$208.61	$39,245.00	$15,433.34	2025-12-15
29065	CPT	Application Cast Shoulder Hand Long Arm\|UNUSUAL Non-overlapping Service	74	45	$11,836.30	$7,101.78 40% off	$6,417.58	$11,840.55	$9,350.68	2025-12-15
31574	CPT	Laryngoscopy Flexible W/Injection Agmntj Uni	74	45	$18,089.55	$10,853.73 40% off	$9,316.12	$18,089.55	$13,440.54	2025-12-15
31615	CPT	Tracheobronchoscopy Thru Est Tracheostomy Inc	74	45	$11,787.15	$7,072.29 40% off	$530.81	$10,019.08	$7,732.37	2025-12-15
31623	CPT	Brnchsc Brushing/Protected Brushings	100	45	$25,529.00	$15,317.40 40% off	$919.06	$21,699.65	$16,593.85	2025-12-15
31629	CPT	Bronchoscopy Needle Bx Trachea Main Stem&/Bron\|RIGHT Side	74	45	$22,910.90	$13,746.54 40% off	$6,945.99	$19,474.27	$15,029.55	2025-12-15
31630	CPT	Brnchsc W/Tracheal/Bronchial Dilat/Clsd Rdctj Fx	74	45	$14,159.58	$8,495.75 40% off	$3,669.46	$12,035.64	$9,288.68	2025-12-15
31631	CPT	Bronchoscopy W/Placement Tracheal Stent	74	45	$37,672.32	$22,603.39 40% off	$6,945.99	$32,021.47	$24,713.04	2025-12-15
31632	CPT	Bronchoscopy W/Transbronchial Lung Bx Each Lobe	74	45	$20,542.15	$12,325.29 40% off	$3,669.46	$17,460.83	$15,406.61	2025-12-15
31635	CPT	Bronchoscopy W/Removal Foreign Body\|SEPARATE Practitioner	86	45	$78,803.09	$47,281.85 40% off	$3,669.46	$26,483.07	$23,367.41	2025-12-15
31640	CPT	Bronchoscopy W/Excision Tumor	74	45	$24,316.42	$14,589.85 40% off	$3,669.46	$20,668.96	$15,951.57	2025-12-15
31641	CPT	Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc\|UNUSUAL Non-overlapping Service	86	45	$13,755.90	$8,253.54 40% off	$3,669.46	$11,692.52	$10,316.93	2025-12-15
31654	CPT	Brnschsc Tndsc Ebus Dx/Tx Intervention Perph Les	74	45	$22,910.90	$13,746.54 40% off	$6,945.99	$19,474.27	$15,029.55	2025-12-15
31899	CPT	Unlisted Procedure Trachea Bronchi	74	45	$28,590.54	$17,154.32 40% off	$1,751.79	$24,301.96	$18,755.39	2025-12-15
32400	CPT	Biopsy Pleura Percutaneous Needle\|RIGHT Side	74	45	$12,697.10	$7,618.26 40% off	$1,625.51	$10,792.54	$8,329.30	2025-12-15
33206	CPT	Hc Insrt Atrial Pcmkr	26	19	$18,043.00	$10,825.80 40% off	$8,877.16	$14,434.40	$10,726.57	2025-12-15
33207	CPT	Ins New/Rplc Prm Pacemaker W/Transv Eltrd Ventr	100	45	$42,771.34	$25,662.80 40% off	$5,433.65	$50,407.00	$22,840.77	2025-12-15
33208	CPT	Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent\|DOCUMENTATION On File	100	45	$77,355.65	$46,413.39 40% off	$10,286.91	$50,407.00	$23,347.00	2025-12-15
33212	CPT	Hc Replacement Pacer Single	26	19	$17,216.00	$10,329.60 40% off	$8,470.27	$13,772.80	$10,234.91	2025-12-15
33214	CPT	Hc Upgrade Single To Dual	26	19	$17,921.00	$10,752.60 40% off	$8,817.13	$14,336.80	$10,654.03	2025-12-15
33227	CPT	Hc Rmv/Rpl Pcmkr 1 Lead Sys	26	19	$15,066.00	$9,039.60 40% off	$7,412.47	$12,052.80	$8,956.74	2025-12-15
33228	CPT	Remvl Perm Pm Pls Gen W/Repl Plse Gen 2 Lead Sys	100	45	$24,819.84	$14,891.90 40% off	$7,738.18	$50,407.00	$18,441.14	2025-12-15
33233	CPT	Removal Permanent Pacemaker Pulse Generator Only	100	45	$19,870.58	$11,922.35 40% off	$3,279.18	$50,407.00	$23,347.00	2025-12-15
33240	CPT	Hc Ins/Repl Vr/Vvi Icd Gen	26	19	$48,987.00	$29,392.20 40% off	$24,101.60	$39,189.60	$29,122.77	2025-12-15
33249	CPT	Insj/Rplcmt Perm Dfb W/Trnsvns Lds 1/Dual Chmbr	100	45	$96,025.32	$57,615.19 40% off	$14,641.43	$52,727.85	$33,940.21	2025-12-15
33263	CPT	Rmvl Impltbl Dfb Plse Gen W/Rplcmt Plse Gen 2 Ld	74	45	$64,696.11	$38,817.67 40% off	$21,892.25	$39,179.55	$33,231.05	2025-12-15
33285	CPT	Insertion Subq Cardiac Rhythm Monitor W/Prgrmg	100	45	$31,528.93	$18,917.36 40% off	$3,279.18	$50,407.00	$17,094.07	2025-12-15
33289	CPT	Hc Rhc Ins Pa Pres Sensor	15	14	$18,619.00	$11,171.40 40% off	$9,160.55	$14,895.20	$10,799.02	2025-12-15
33477	CPT	Tcat Pulmonary Valve Implantation Prq Approach	100	45	$182,589.97	$109,553.98 40% off	$1,118.37	$155,201.47	$112,292.83	2025-12-15
33741	CPT	Tas Congenital Cardiac Anomalies Any Method	63	42	$40,106.73	$24,064.04 40% off	$3,190.73	$38,129.00	$28,074.71	2025-12-15
33745	CPT	Tis Crtj St Congenital Cardiac Anomal 1st Shunt	74	45	$66,486.71	$39,892.03 40% off	$11,361.85	$56,513.70	$43,615.28	2025-12-15
33746	CPT	Tis Crtj St Congenital Cardiac Anomal Ea Addl	74	45	$92,517.25	$55,510.35 40% off	$737.76	$78,639.66	$60,691.32	2025-12-15
33894	CPT	Hc Ao Coarctation Stent Over Maj Side Branch	15	14	$21,053.00	$12,631.80 40% off	$10,358.08	$16,842.40	$12,210.74	2025-12-15
33895	CPT	Evasc St Rpr Coarcj Thrc/Aa Xcrsg Maj Side Brnch	78	42	$74,069.64	$44,441.78 40% off	$3,190.73	$62,959.19	$39,839.40	2025-12-15
33897	CPT	Perq Transluminal Angioplasty Native/Recr Coa	78	42	$49,230.76	$29,538.46 40% off	$3,190.73	$41,846.15	$31,254.00	2025-12-15
33900	CPT	Perq P-art Revsc St 1st Nml Native Connj Uni	78	42	$79,634.39	$47,780.63 40% off	$6,401.41	$67,689.23	$36,250.00	2025-12-15
33901	CPT	Hc Stent Pul Art Bilat	15	14	$17,106.00	$10,263.60 40% off	$8,416.15	$13,684.80	$9,921.48	2025-12-15
33902	CPT	Perq P-art Revsc St 1st Abnor Connj Unilateral\|RIGHT Side	100	45	$82,382.19	$49,429.31 40% off	$7,141.38	$70,024.86	$41,885.20	2025-12-15
33903	CPT	Perq P-art Revsc St 1st Abnormal Connj Bilateral	89	45	$66,486.71	$39,892.03 40% off	$8,416.15	$56,513.70	$43,216.36	2025-12-15
33904	CPT	Perq P-art Revsc St Ea Addl Vsl/Sep Les NM/Abnl	78	42	$113,210.25	$67,926.15 40% off	$2,427.53	$96,228.71	$55,473.02	2025-12-15
35045	CPT	Dir Rpr Ruptd Aneurysm Radial/Ulnar Artery	74	45	$17,783.59	$10,670.15 40% off	$9,158.55	$17,783.59	$13,213.21	2025-12-15
36005	CPT	Njx Px Xtr Vngrph W/Intro Ndl/Intracath\|BILATERAL Procedure\|unusual Non-overlapp…	135	45	$8,505.50	$5,103.30 40% off	$165.31	$33,041.00	$15,392.57	2025-12-15
36012	CPT	Slctv Cath Plmt Ven Sys 2nd Order/> Slctv Branc	89	42	$67,292.96	$40,375.78 40% off	$641.57	$57,199.02	$25,785.00	2025-12-15
36215	CPT	Slctv Cathj Ea 1st Ord Thrc/Brch/Cphlc Brnch\|SEPARATE Structure\|left Side	140	45	$44,181.45	$26,508.87 40% off	$537.78	$58,344.00	$25,785.00	2025-12-15
36216	CPT	Slctv Cathj 1st 2nd Ord Thrc/Brch/Cphlc Brnch\|RIGHT Side	135	45	$49,930.92	$29,958.55 40% off	$1,532.58	$114,188.52	$25,374.00	2025-12-15
36217	CPT	Slctv Cathj 3rd+ Ord Slctv Thrc/Brch/Cphlc Brnch\|RIGHT Side	89	42	$117,068.71	$70,241.23 40% off	$1,905.02	$99,508.40	$25,785.00	2025-12-15
36218	CPT	Slctv Cathj Ea 2nd+ Ord Thrc/Brch/Cphlc Brnch	123	45	$16,003.83	$9,602.30 40% off	$392.62	$33,041.00	$12,002.87	2025-12-15
36223	CPT	Slctv Cath Carotid/Innom Art Angio Intrcranl Art\|BILATERAL Procedure	74	45	$77,154.52	$46,292.71 40% off	$4,587.00	$40,333.05	$32,663.87	2025-12-15
36224	CPT	Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art\|LEFT Side\|separate Structure	100	45	$53,251.12	$31,950.67 40% off	$5,804.62	$53,868.13	$39,938.34	2025-12-15
36225	CPT	Slctv Cath Subclavian Art Angio Vertebral Artery\|LEFT Side	74	45	$77,154.52	$46,292.71 40% off	$4,587.00	$13,676.49	$11,680.03	2025-12-15
36226	CPT	Slctv Cath Vertebral Art Angio Vertebral Artery\|LEFT Side	74	45	$68,325.43	$40,995.26 40% off	$38,758.62	$75,551.38	$55,050.27	2025-12-15
36227	CPT	Slctv Cath Xtrnl Carotid Angio Xtrnl Carotd Circ\|BILATERAL Procedure	86	45	$75,551.38	$45,330.83 40% off	$3,107.61	$75,551.38	$59,685.59	2025-12-15
36228	CPT	Slctv Cath Intrcrnl Brnch Angio Intrl Carot/Vert\|LEFT Side\|separate Structure	86	45	$53,251.12	$31,950.67 40% off	$3,107.61	$45,263.45	$39,565.58	2025-12-15
36251	CPT	Slctv Cath 1stord W/wo Art Punct/Fluoro/S&I Un	100	45	$48,525.86	$29,115.52 40% off	$2,412.77	$48,525.86	$31,832.96	2025-12-15
36253	CPT	Supslctv Cath 2nd+Ord Renal&Accessory Artery/S&I\|LEFT Side\|unusual Non-overlappi…	100	45	$46,245.75	$27,747.45 40% off	$5,533.03	$39,308.89	$30,059.74	2025-12-15
36254	CPT	Supslctv Cath 2nd+Ord Renal&Accessory Artery/S&I	100	45	$51,451.85	$30,871.11 40% off	$6,532.78	$43,734.07	$33,443.70	2025-12-15
36470	CPT	Injection Sclerosant Single Incmptnt Vein	100	45	$12,817.04	$7,690.22 40% off	$429.52	$12,817.04	$8,407.98	2025-12-15
36556	CPT	Insj Non-tunneled Central Venous Cath Age 5 Yr/>	100	45	$22,918.03	$13,750.82 40% off	$3,107.61	$19,480.33	$14,896.72	2025-12-15
36557	CPT	Insert Tunneled Cvc Without Subq Port/Pmp Age <5 Yr\|RIGHT Side	100	45	$18,229.02	$10,937.41 40% off	$5,533.03	$18,229.02	$11,958.24	2025-12-15
36561	CPT	Insj Tunneled Ctr Vad W/Subq Port Age 5 Yr/>	100	45	$19,366.83	$11,620.10 40% off	$3,380.04	$14,782.19	$10,013.71	2025-12-15
36569	CPT	Insertion Picc Without Img Gdn 5 Yr/>	112	45	$24,127.50	$14,476.50 40% off	$1,549.29	$20,508.38	$12,729.34	2025-12-15
36575	CPT	Rpr Tun/non-tun Ctr Vad Cath Without Subq Port/Pmp	100	45	$289,962.00	$173,977.20 40% off	$617.39	$246,467.70	$188,475.30	2025-12-15
36578	CPT	Rplcmt Cath Ctr Vad Subq Port/Pmp	74	45	$77,334.08	$46,400.45 40% off	$4,587.00	$55,139.20	$11,352.97	2025-12-15
36582	CPT	Rplcmt Compl Tun Ctr Vad W/Subq Port	100	45	$35,898.25	$21,538.95 40% off	$3,107.61	$18,692.60	$14,294.34	2025-12-15
36585	CPT	Rplcmt Compl Prph Ctr Vad W/Subq Port	74	45	$23,707.58	$14,224.55 40% off	$3,107.61	$20,151.44	$15,552.17	2025-12-15
36836	CPT	Hc Create Av Fistula Sngl Perc Access	15	14	$31,982.00	$19,189.20 40% off	$15,735.14	$25,585.60	$18,549.56	2025-12-15
36837	CPT	Hc Create Av Fistula Dual Perc Access	15	14	$23,097.00	$13,858.20 40% off	$11,363.72	$18,477.60	$13,396.26	2025-12-15
36905	CPT	Perq Thrmbc/Nfs Dial Circuit Trluml Balo Angiop	100	45	$39,631.52	$23,778.91 40% off	$8,416.15	$33,686.79	$25,760.49	2025-12-15
36907	CPT	Hc Trluml Balo Angiop Ctr Dialysis Seg W/Img S&i	26	19	$14,319.00	$8,591.40 40% off	$7,044.95	$11,455.20	$8,512.65	2025-12-15
37184	CPT	Hc Pri Perc Throm Noncr Ini	26	19	$16,008.00	$9,604.80 40% off	$7,875.94	$12,806.40	$9,516.76	2025-12-15
37187	CPT	Hc Perc Thromb Vn W Inj Int	26	19	$17,106.00	$10,263.60 40% off	$8,416.15	$13,684.80	$10,169.51	2025-12-15
37200	CPT	Transcatheter Biopsy	89	42	$61,003.41	$36,602.05 40% off	$5,476.60	$51,852.90	$25,785.00	2025-12-15
37236	CPT	Open/Perq Placement Intravascular Stent Initial	111	45	$48,525.86	$29,115.52 40% off	$8,617.87	$48,525.86	$33,054.77	2025-12-15
37238	CPT	Open/Perq Placement Intravascular Stent Same 1st\|UNUSUAL Non-overlapping Service	101	42	$114,219.09	$68,531.45 40% off	$8,416.15	$41,929.40	$28,059.88	2025-12-15
37239	CPT	Open/Perq Placement Intravasc Stent Same Ea Addl	89	42	$94,185.32	$56,511.19 40% off	$1,577.35	$82,864.75	$39,459.00	2025-12-15
37241	CPT	Vascular Embolization Or Occlusion Venous Rs&I	123	45	$27,517.93	$16,510.76 40% off	$8,416.15	$33,041.00	$18,042.10	2025-12-15
37242	CPT	Vascular Embolization Or Occlusion Arterial Rs&I	111	45	$127,053.77	$76,232.26 40% off	$11,466.06	$127,114.27	$73,576.73	2025-12-15
37243	CPT	Vascular Embolize/Occlude Organ Tumor Infarct	100	45	$46,245.75	$27,747.45 40% off	$11,361.85	$39,308.89	$30,059.74	2025-12-15
37244	CPT	Hc Vasc Embolz/Occlud Bleed	26	19	$26,440.00	$15,864.00 40% off	$13,008.48	$21,152.00	$15,718.58	2025-12-15
37246	CPT	Trlml Balo Angiop Open/Perq Img S&i 1st Art\|UNUSUAL Non-overlapping Service	94	42	$69,546.37	$41,727.82 40% off	$5,414.46	$38,129.00	$14,660.42	2025-12-15
37247	CPT	Trlml Balo Angiop Open/Perq Img S&i Ea Addl Art\|UNUSUAL Non-overlapping Service	89	42	$69,546.37	$41,727.82 40% off	$880.68	$69,546.37	$39,459.00	2025-12-15
37248	CPT	Trlml Balo Angiop Open/Perq W/Img S&i 1st Vein	89	42	$50,481.11	$30,288.67 40% off	$4,875.72	$50,481.11	$32,812.72	2025-12-15
37249	CPT	Trlml Balo Angiop Open/Perq W/Img S&i Addl Vein	89	42	$53,481.62	$32,088.97 40% off	$1,406.63	$53,481.62	$34,763.05	2025-12-15
37799	CPT	Unlisted Procedure Vascular Surgery	115	45	$34,180.24	$20,508.14 40% off	$150.55	$29,053.20	$18,525.69	2025-12-15
38210	CPT	Hc Trnsplnt Prep Tcel Dpltn	72	45	$22,971.00	$13,782.60 40% off	$434.21	$19,525.35	$15,068.98	2025-12-15
38220	CPT	Diagnostic Bone Marrow Aspirations\|RIGHT Side	104	45	$14,591.85	$8,755.11 40% off	$1,740.20	$17,577.45	$12,216.33	2025-12-15
38221	CPT	Diagnostic Bone Marrow Biopsies\|LEFT Side	89	45	$18,861.00	$11,316.60 40% off	$1,799.64	$18,861.00	$13,447.89	2025-12-15
38222	CPT	Diagnostic Bone Marrow Biopsies & Aspirations\|RIGHT Side	74	45	$14,040.30	$8,424.18 40% off	$8,579.05	$15,828.50	$11,901.45	2025-12-15
43273	CPT	Endoscopic Papilla Cannulation Bile/Pancreatic	94	45	$19,815.13	$11,889.08 40% off	$558.91	$14,128.19	$8,280.44	2025-12-15
43274	CPT	Ercp Stent Placement Biliary/Pancreatic Duct	114	45	$14,649.22	$8,789.53 40% off	$2,342.90	$13,316.96	$7,954.53	2025-12-15
43276	CPT	Ercp Biliary/Panc Duct Stent Exchange W/Dil&Wire	114	45	$22,057.83	$13,234.70 40% off	$2,437.37	$15,727.23	$8,029.67	2025-12-15
43277	CPT	Ercp Balloon Dilate Biliary/Panc Duct/Ampulla Ea	114	45	$16,062.31	$9,637.39 40% off	$1,917.82	$13,652.96	$8,705.77	2025-12-15
43497	CPT	Transoral Lower Esophageal Myotomy	74	45	$20,796.50	$12,477.90 40% off	$5,975.01	$17,677.03	$13,642.50	2025-12-15
43999	CPT	Unlisted Procedure Stomach	74	45	$16,265.57	$9,759.34 40% off	$892.66	$13,825.73	$10,670.21	2025-12-15
44364	CPT	Enteroscopy > 2nd Prtn W/Rmvl Lesion Snare	114	45	$23,213.80	$13,928.28 40% off	$1,362.35	$19,731.73	$11,955.11	2025-12-15
45999	CPT	Unlisted Procedure Rectum	74	45	$1,547.98	$928.79 40% off	$915.27	$10,794.20	$8,594.88	2025-12-15
47532	CPT	Njx Cholangio Prq W/Img Gid Rs&I New Access	100	45	$20,252.43	$12,151.46 40% off	$1,625.51	$17,214.57	$13,164.08	2025-12-15
47536	CPT	Exchange Biliary DRG Catheter Prq W/Img Gid Rs&I	100	45	$12,909.99	$7,745.99 40% off	$3,167.99	$10,973.49	$8,391.49	2025-12-15
47537	CPT	Removal Biliary DRG Catheter Req Fluor Gid Rs&I	100	45	$12,572.37	$7,543.42 40% off	$892.66	$10,686.51	$8,172.04	2025-12-15
47542	CPT	Balloon Dilat Biliary Duct/Ampulla Prq Each Duct	100	45	$12,909.99	$7,745.99 40% off	$1,181.78	$10,973.49	$8,391.49	2025-12-15
47554	CPT	Hc Bil Endo Perc C Remcalcu	26	19	$14,346.00	$8,607.60 40% off	$7,058.23	$11,476.80	$8,528.69	2025-12-15
49406	CPT	Img-guide Fluid Collxn Drainag Cath Periton Perq	100	45	$37,702.44	$22,621.46 40% off	$1,625.51	$12,285.39	$9,394.71	2025-12-15
49423	CPT	Exchng Absc/Cst DRG Cath Rad Gid Spx\|UNUSUAL Non-overlapping Service	100	45	$35,177.80	$21,106.68 40% off	$1,755.46	$29,901.13	$22,865.57	2025-12-15
49505	CPT	Rpr 1st Ingun Hrna Age 5 Yrs/> Reducible\|RIGHT Side	74	45	$11,304.60	$6,782.76 40% off	$4,697.00	$15,408.01	$11,114.88	2025-12-15
50200	CPT	Renal Biopsy Prq Trocar/Needle\|BILATERAL Procedure\|discontinued Out-patient Hosp…	96	45	$9,042.30	$5,425.38 40% off	$1,747.28	$15,469.65	$11,602.24	2025-12-15
50436	CPT	Perq Dilation Xst Trc Endourologic Px W/Img\|RIGHT Side\|separate Practitioner	114	45	$78,803.09	$47,281.85 40% off	$3,703.78	$78,803.09	$51,222.01	2025-12-15
50437	CPT	Perq Dilation Xst Trc New Access Renal Coltj Sys\|SEPARATE Practitioner\|right Sid…	100	45	$47,154.32	$28,292.59 40% off	$3,703.78	$47,154.32	$30,933.23	2025-12-15
54150	CPT	Circumcision W/Clamp/Oth Dev W/Block	74	45	$14,607.75	$8,764.65 40% off	$7,522.99	$14,607.75	$10,853.56	2025-12-15
56605	CPT	Biopsy Vulva/Perineum 1 Lesion Spx	74	45	$12,023.26	$7,213.96 40% off	$906.50	$9,698.20	$7,758.56	2025-12-15
56800	CPT	Plastic Repair Introitus	74	45	$25,993.34	$15,596.00 40% off	$4,923.44	$22,094.34	$17,051.63	2025-12-15
57160	CPT	Fit&Insj Pessary/Oth Intravaginal Support Devi	74	45	$14,227.25	$8,536.35 40% off	$198.98	$12,093.16	$9,333.08	2025-12-15
57410	CPT	Pelvic Examination W/Anesthesia Other Than Local	100	45	$11,376.95	$6,826.17 40% off	$3,186.00	$9,954.29	$8,418.94	2025-12-15
57454	CPT	Colposcopy Cervix Bx Cervix & Endocrv Curretage\|SEPARATE Practitioner	74	45	$22,767.86	$13,660.72 40% off	$4,587.00	$17,924.15	$14,799.11	2025-12-15
58110	CPT	Endometrial Bx Conjunct W/Colposcopy\|SEPARATE Practitioner	74	45	$22,767.86	$13,660.72 40% off	$5,950.04	$19,352.68	$14,935.72	2025-12-15
58300	CPT	Insertion Intrauterine Device IUD	82	45	$12,404.00	$7,442.40 40% off	$35.09	$14,587.57	$11,549.88	2025-12-15
58301	CPT	Removal Intrauterine Device IUD	74	45	$15,048.35	$9,029.01 40% off	$119.97	$15,693.70	$12,682.00	2025-12-15
58555	CPT	Hysteroscopy Diagnostic Separate Procedure	74	45	$8,566.15	$5,139.69 40% off	$3,186.00	$12,050.21	$8,463.00	2025-12-15
58562	CPT	Hysteroscopy Removal Impacted Foreign Body	74	45	$18,093.90	$10,856.34 40% off	$3,186.00	$13,913.17	$11,869.60	2025-12-15
61070	CPT	Puncture Shunt Tube/Reservoir Aspiration/Inj Px	100	45	$15,344.90	$9,206.94 40% off	$694.73	$13,043.17	$9,974.19	2025-12-15
61650	CPT	Evasc Intracranial Prolng Admn Rx Agent Art 1st	74	45	$34,648.70	$20,789.22 40% off	$519.23	$29,451.40	$22,729.55	2025-12-15
62270	CPT	Diagnostic Lumbar Spinal Puncture	89	45	$16,696.00	$10,017.60 40% off	$694.73	$14,191.60	$10,952.58	2025-12-15
62272	CPT	Therapeutic Spinal Puncture Drainage Csf	100	45	$15,994.55	$9,596.73 40% off	$694.73	$13,595.37	$10,396.46	2025-12-15
62282	CPT	Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral	74	45	$46,153.88	$27,692.33 40% off	$1,625.51	$39,230.80	$30,276.95	2025-12-15
62322	CPT	Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac Without Img Gdn\|UNUSUAL Non-overlapping Service	100	45	$18,059.78	$10,835.87 40% off	$956.45	$18,059.78	$12,902.96	2025-12-15
62329	CPT	Therapeutic Spinal Pnxr Drainage Csf W/Fluor/CT	74	45	$19,007.93	$11,404.76 40% off	$694.73	$16,156.74	$12,469.20	2025-12-15
64400	CPT	Injection Aa&/Strd Trigeminal Nerve Each Branch\|RIGHT Side\|unusual Non-overlappi…	86	45	$33,046.21	$19,827.73 40% off	$5,826.33	$28,089.28	$24,784.66	2025-12-15
64415	CPT	Injection Aa&/Strd Brachial Plexus W/Img Gdn\|SEPARATE Practitioner\|right Side	88	45	$12,071.40	$7,242.84 40% off	$7,644.00	$24,653.10	$18,613.09	2025-12-15
64417	CPT	Injection Aa&/Strd Axillary Nerve W/Img Gdn\|DISTINCT Procedural Service\|right Si…	74	45	$24,442.50	$14,665.50 40% off	$6,690.00	$24,442.50	$18,026.82	2025-12-15
64418	CPT	Injection Aa&/Strd Suprascapular Nerve\|RIGHT Side\|separate Practitioner	74	45	$46,648.73	$27,989.24 40% off	$24,024.10	$46,648.73	$34,660.01	2025-12-15
64445	CPT	Injection Aa&/Strd Sciatic Nerve W/Img Gdn\|LEFT Side\|separate Practitioner\|unusu…	102	45	$27,915.71	$16,749.43 40% off	$4,587.00	$30,782.75	$21,894.00	2025-12-15
64447	CPT	Injection Aa&/Strd Femoral Nerve W/Img Gdn\|SEPARATE Practitioner\|left Side	108	45	$25,760.61	$15,456.37 40% off	$7,644.00	$38,660.56	$23,549.00	2025-12-15
64450	CPT	Injection Aa&/Strd Other Peripheral Nerve/Branch\|LEFT Side\|separate Practitioner	121	45	$14,352.15	$8,611.29 40% off	$3,220.32	$40,667.77	$19,132.00	2025-12-15
64488	CPT	Tap Block Bilateral By Injection(S)\|SEPARATE Practitioner	74	45	$17,927.93	$10,756.76 40% off	$5,950.04	$15,238.74	$11,760.72	2025-12-15
64611	CPT	Chemodenerv Parotid&Submandibl Salivary Glnds\|BILATERAL Procedure	112	45	$14,987.55	$8,992.53 40% off	$302.10	$43,853.42	$17,460.00	2025-12-15
64612	CPT	Chemodnrvtj Musc Musc Innervated Facial Nrv Unil	100	45	$9,188.20	$5,512.92 40% off	$317.34	$17,647.65	$11,470.97	2025-12-15
64616	CPT	Chemodenervation Muscle Neck Unilat For Dystonia	100	45	$18,701.55	$11,220.93 40% off	$317.34	$18,701.55	$12,268.22	2025-12-15
64640	CPT	Dstrj Neurolytic Agent Other Peripheral Nerve	100	45	$26,755.95	$16,053.57 40% off	$1,611.79	$26,755.95	$17,551.90	2025-12-15
64645	CPT	Chemodenervation 1 Extremity Ea Addl 5/> Muscles	74	45	$23,820.75	$14,292.45 40% off	$6.51	$20,247.64	$15,626.41	2025-12-15
64718	CPT	Neuroplasty &/Transposition Ulnar Nerve Elbow\|LEFT Side	74	45	$14,189.30	$8,513.58 40% off	$4,587.00	$20,621.30	$13,802.98	2025-12-15
64999	CPT	Unlisted Procedure Nervous System	74	45	$36,684.47	$22,010.68 40% off	$6,690.00	$34,940.86	$19,132.00	2025-12-15
81425	CPT	Hc Genome Sequence Anal	74	45	$14,466.00	$8,679.60 40% off	$5,031.20	$12,296.10	$10,220.23	2025-12-15
92928	CPT	Perq Tcat Plmt Ntrac St 1 Les 1+c Segments\|RIGHT Coronary Artery	78	42	$75,178.83	$45,107.30 40% off	$11,361.85	$55,116.62	$25,834.05	2025-12-15
92986	CPT	Hc Aorta Valvuloplasty	17	15	$12,444.00	$7,466.40 40% off	$6,122.45	$9,955.20	$8,710.80	2025-12-15
92990	CPT	Prq Balloon Valvuloplasty Pulmonary Valve	78	42	$52,410.34	$31,446.20 40% off	$8,416.15	$44,548.79	$31,774.50	2025-12-15
92997	CPT	Prq Trluml Pulmonary Art Balloon Angiop 1 Vsl\|SEPARATE Structure	102	45	$68,421.98	$41,053.19 40% off	$8,416.15	$63,594.03	$48,630.73	2025-12-15
92998	CPT	Prq Trluml Pulmonary Art Balloon Angiop Ea Vsl	80	42	$75,527.18	$45,316.31 40% off	$1,822.86	$64,198.10	$31,774.50	2025-12-15
93451	CPT	Right Heart Cath O2 Saturation & Cardiac Output	78	42	$20,449.69	$12,269.81 40% off	$3,190.73	$33,041.00	$9,788.65	2025-12-15
93453	CPT	R & L Hrt Cath W/Njx L Ventriculog Img S&i\|separate Practitioner	90	42	$87,481.52	$52,488.91 40% off	$3,477.71	$33,041.00	$12,881.87	2025-12-15
93454	CPT	Cath Placement & Njx Coronary Art Angio Img S&i	78	42	$30,830.04	$18,498.02 40% off	$4,887.53	$33,041.00	$22,288.89	2025-12-15
93458	CPT	Cath Plmt L Hrt & Arts W/Njx & Angio Img S&i	78	42	$36,035.43	$21,621.26 40% off	$5,485.80	$36,654.24	$24,091.57	2025-12-15
93460	CPT	R & L Hrt Cath Winjx Hrt Art& L Ventr Img	78	42	$39,590.77	$23,754.46 40% off	$5,601.67	$33,652.15	$21,628.15	2025-12-15
93461	CPT	R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I	63	42	$42,189.86	$25,313.92 40% off	$3,190.73	$33,041.00	$14,605.81	2025-12-15
93462	CPT	Left Heart Cath By Transeptal Puncture	78	42	$83,131.10	$49,878.66 40% off	$1,568.99	$70,661.44	$36,250.00	2025-12-15
93505	CPT	Endomyocardial Biopsy	90	42	$35,760.98	$21,456.59 40% off	$3,107.61	$38,129.00	$25,203.35	2025-12-15
93563	CPT	Njx DRG Cgen C-cathj Slctv Coronary Angrph S&i	90	42	$37,804.28	$22,682.57 40% off	$553.01	$58,344.00	$25,785.00	2025-12-15
93564	CPT	Njx DRG Cgen C-cathj Slctv Opacification S&i	63	42	$156,475.96	$93,885.58 40% off	$18,042.10	$133,004.57	$90,756.06	2025-12-15
93565	CPT	Njx DRG C-cathj Slctv L Vntrc/R Atrial Angrphs&I	78	42	$42,811.91	$25,687.15 40% off	$442.31	$38,129.00	$27,827.74	2025-12-15
93566	CPT	Njx DRG C-cathj Slctv R Vntrc/R Atrial Angrphs&I	78	42	$48,015.43	$28,809.26 40% off	$676.01	$58,344.00	$31,774.50	2025-12-15
93567	CPT	Njx DRG C-cathj Supravalvular Aortography S&i	90	42	$53,428.34	$32,057.00 40% off	$497.90	$45,414.09	$25,785.00	2025-12-15
93568	CPT	Njx DRG C-cathj Nslctv P-art Angiography\|UNUSUAL Non-overlapping Service	83	45	$68,421.98	$41,053.19 40% off	$455.59	$58,344.00	$39,459.00	2025-12-15
93569	CPT	Njx DRG C-cathj Slctv P-art Angiography Uni	78	42	$53,428.34	$32,057.00 40% off	$488.06	$45,414.09	$32,014.72	2025-12-15
93573	CPT	Njx DRG C-cathj Slctv P-art Angiography Bi	78	42	$55,142.09	$33,085.25 40% off	$512.17	$46,870.78	$32,511.71	2025-12-15
93574	CPT	Njx DRG C-cathj Slctv Pulm Ven Angiography	78	42	$55,142.09	$33,085.25 40% off	$271.09	$46,870.78	$32,511.71	2025-12-15
93575	CPT	Njx DRG C-cathj Slctv Pulm Angrph Mapca Chd Ea	78	42	$140,198.14	$84,118.88 40% off	$488.06	$119,168.42	$36,250.00	2025-12-15
93580	CPT	Prq Tcat Clsr Cgen Intratrl Comunicaj W/Implt	83	45	$99,969.67	$59,981.80 40% off	$18,042.10	$84,974.22	$39,459.00	2025-12-15
93581	CPT	Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt	83	45	$80,964.32	$48,578.59 40% off	$18,042.10	$68,819.67	$39,459.00	2025-12-15
93582	CPT	Percutan Transcath Closure Pat Duct Arteriosus	89	45	$56,233.11	$33,739.87 40% off	$13,100.48	$47,798.14	$36,888.92	2025-12-15
93584	CPT	Venography Chd Anomalous/Persistent Svc Nt DRG	63	42	$73,732.76	$44,239.66 40% off	$22,798.00	$73,732.76	$54,783.44	2025-12-15
93585	CPT	Venography Chd Azygos/Hemiazygos Venous System	63	42	$44,181.45	$26,508.87 40% off	$3,190.73	$38,129.00	$30,706.11	2025-12-15
93588	CPT	Venography Chd Venovenous Collateral Below Heart	63	42	$91,607.25	$54,964.35 40% off	$18,042.10	$77,866.16	$53,132.21	2025-12-15
93593	CPT	R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj	83	42	$45,763.18	$27,457.91 40% off	$3,439.08	$38,898.70	$29,746.07	2025-12-15
93594	CPT	R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj	78	42	$49,230.76	$29,538.46 40% off	$3,190.73	$41,846.15	$31,254.00	2025-12-15
93595	CPT	L Hrt Cath Chd Img Cath Trgt Zon Nml/Abnl Nt Cnj	78	42	$37,804.28	$22,682.57 40% off	$3,190.73	$33,041.00	$14,775.33	2025-12-15
93596	CPT	R&l Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj	90	42	$35,853.31	$21,511.99 40% off	$3,190.73	$38,129.00	$25,725.02	2025-12-15
93597	CPT	R&l Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj	107	42	$50,206.90	$30,124.14 40% off	$4,980.52	$56,626.04	$25,374.00	2025-12-15
93619	CPT	Hc Comp Ep Eval Without Induct	22	19	$12,461.00	$7,476.60 40% off	$6,130.81	$9,968.80	$9,084.07	2025-12-15
93620	CPT	Hc Comp Ep Eval W Induct	74	45	$20,099.00	$12,059.40 40% off	$7,676.47	$17,084.15	$14,199.94	2025-12-15
93653	CPT	Compre Ep Eval Abltj 3d Mapg Tx Svt	101	45	$80,880.37	$48,528.22 40% off	$25,725.02	$68,748.31	$52,572.24	2025-12-15
93654	CPT	Compre Ep Eval Abltj 3d Mapg Tx Vt	101	45	$83,590.88	$50,154.53 40% off	$25,725.02	$71,052.25	$54,334.07	2025-12-15
93656	CPT	Compre Ep Eval Abltj Atr Fib Pulm Vein Isolation	78	42	$46,108.58	$27,665.15 40% off	$22,798.00	$48,540.00	$32,963.43	2025-12-15
93799	CPT	Hc Intravasc Flow Ifr/Dfr 1 St	121	45	$36,066.69	$21,640.01 40% off	$454.12	$50,407.00	$10,939.00	2025-12-15
95782	CPT	Hc Poly <6yr W 4+ Para	74	45	$13,433.00	$8,059.80 40% off	$845.18	$11,418.05	$9,490.42	2025-12-15
95783	CPT	Hc Polysomnogrpy<6yr W Cpap	74	45	$14,180.00	$8,508.00 40% off	$845.18	$12,053.00	$10,018.17	2025-12-15
A0433	HCPCS	Hc Ambulance Als2	87	44	$14,056.00	$8,433.60 40% off	$753.49	$14,056.00	$9,136.40	2025-12-15
C1721	HCPCS	Hc Icd, Dual Chamber	184	34	$38,500.00	$23,100.00 40% off	$0.49	$35,209.13	$22,451.00	2025-12-15
C1722	HCPCS	Hc Icd Single 100% Credit	154	34	$36,834.00	$22,100.40 40% off	$0.49	$32,478.08	$19,490.68	2025-12-15
C1764	HCPCS	Medtronic Inc Reveal Linq Ii Implantable Cardiac Monitor Lnq22	62	34	$16,257.50	$9,754.50 40% off	$6,503.00	$13,818.88	$11,339.60	2025-12-15
C1767	HCPCS	Generator Neurostimulator Vns Therapy Aspirehc Pulse Strl	772	34	$66,500.00	$39,900.00 40% off	$193.52	$110,194.00	$50,397.68	2025-12-15
C1772	HCPCS	Medtronic Usa Inc X Pump Infusion Programmable Ulp Ami 20ml Volume 8667-20	186	34	$39,823.00	$23,893.80 40% off	$14,350.00	$222,083.75	$29,610.62	2025-12-15
C1817	HCPCS	611040	156	34	$25,553.50	$15,332.10 40% off	$10,221.40	$26,063.98	$19,011.81	2025-12-15
C1820	HCPCS	Medtronic Inc Neurostimulator Dbs Brainsense Percept Rechargeable B35300	124	34	$76,422.50	$45,853.50 40% off	$28,798.00	$68,722.50	$52,552.50	2025-12-15
C1822	HCPCS	Livanova Generator Neurostimulator Perm MRI Ti Vns Therapy Sentiva 1000d	62	34	$115,715.60	$69,429.36 40% off	$46,286.24	$98,358.26	$80,711.63	2025-12-15
C1874	HCPCS	611130	1,972	34	$19,600.00	$11,760.00 40% off	$1,260.00	$53,550.00	$11,640.48	2025-12-15
C1882	HCPCS	611120	248	34	$42,000.00	$25,200.00 40% off	$0.49	$46,112.50	$22,161.51	2025-12-15
C2621	HCPCS	Pacemaker Cardiac 11mm 19.9cu Cm 46.5x59mm Serena Surescan	278	34	$19,827.50	$11,896.50 40% off	$0.49	$20,825.00	$12,799.50	2025-12-15
J0139	HCPCS	Adalimumab 40 Mg/0.4 Ml Subcutaneous Pen Kit	21	19	$14,195.75	$8,517.45 40% off	$7,012.70	$12,402.00	$10,405.48	2025-12-15
J0391	HCPCS	Artesunate 110 Mg Intravenous Solution	21	19	$21,625.65	$12,975.39 40% off	$10,683.07	$19,270.90	$15,851.60	2025-12-15
J0480	HCPCS	Basiliximab 20 Mg Intravenous Solution	74	45	$20,598.10	$12,358.86 40% off	$4,781.07	$30,823.56	$15,170.50	2025-12-15
J0567	HCPCS	Cerliponase Alfa 150 Mg/5 Ml Intraventricular Solution	124	42	$143,905.50	$86,343.30 40% off	$121.20	$226,753.88	$108,288.89	2025-12-15
J0597	HCPCS	C1 Esterase Inhibitor 500 Unit (10 Ml) Intravenous Solution	21	19	$17,130.30	$10,278.18 40% off	$8,462.37	$13,704.24	$12,556.51	2025-12-15
J0598	HCPCS	C1 Esterase Inhibitor 500 Unit (5 Ml) Intravenous Solution	21	19	$14,037.25	$8,422.35 40% off	$4,098.60	$11,229.80	$10,289.30	2025-12-15
J0600	HCPCS	Edetate Calcium Disodium 200 Mg/ml Injection Solution	74	45	$25,717.50	$15,430.50 40% off	$6,209.68	$40,033.81	$18,850.93	2025-12-15
J0638	HCPCS	Canakinumab (pf) 150 Mg/ml Subcutaneous Solution	74	45	$99,635.55	$59,781.33 40% off	$147.74	$142,871.97	$73,032.86	2025-12-15
J0791	HCPCS	Crizanlizumab-tmca 10 Mg/ml Intravenous Solution	74	45	$10,900.30	$6,540.18 40% off	$129.59	$16,709.33	$7,989.92	2025-12-15
J0801	HCPCS	Corticotropin 80 Unit/ml Injection Gel	21	19	$165,291.00	$99,174.60 40% off	$81,653.75	$141,535.10	$121,158.30	2025-12-15
J1162	HCPCS	Digoxin Immune Fab 40 Mg Intravenous Solution	21	19	$20,460.35	$12,276.21 40% off	$10,107.41	$16,793.80	$14,997.44	2025-12-15
J1299	HCPCS	Eculizumab 300 Mg/30 Ml Intravenous Solution	70	42	$30,984.25	$18,590.55 40% off	$45.03	$43,546.26	$22,819.90	2025-12-15
J1413	HCPCS	Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp-220 Ml	62	43	—	$3,840,000.00	$0.04	$4,832,000.00	$3,616,000.00	2025-12-15
J1458	HCPCS	Galsulfase 5 Mg/5 Ml Intravenous Solution	70	42	$11,470.50	$6,882.30 40% off	$513.86	$16,564.28	$8,522.58	2025-12-15
J1743	HCPCS	Idursulfase 6 Mg/3 Ml Intravenous Solution	70	42	$14,711.75	$8,827.05 40% off	$558.10	$21,588.42	$10,930.83	2025-12-15
J1950	HCPCS	Leuprolide 11.25 Mg Intramuscular Kit	259	45	$18,932.55	$11,359.53 40% off	$1,763.87	$45,486.68	$14,095.33	2025-12-15
J2182	HCPCS	Mepolizumab 100 Mg Subcutaneous Solution	73	45	$13,848.75	$8,309.25 40% off	$31.89	$20,559.48	$10,151.13	2025-12-15
J2326	HCPCS	Nusinersen (pf) 12 Mg/5 Ml Intrathecal Solution	64	42	$517,128.05	$310,276.83 40% off	$1,286.15	$439,558.84	$379,054.86	2025-12-15
J2327	HCPCS	Risankizumab-rzaa 60 Mg/ml Intravenous Solution	74	45	$49,952.90	$29,971.74 40% off	$14.93	$57,752.23	$36,615.48	2025-12-15
J2350	HCPCS	Ocrelizumab 30 Mg/ml Intravenous Solution	77	45	$102,369.35	$61,421.61 40% off	$59.32	$114,730.81	$75,036.73	2025-12-15
J2425	HCPCS	Palifermin 5.16 Mg Intravenous Solution	21	19	$17,265.75	$10,359.45 40% off	$8,529.28	$13,812.60	$12,655.79	2025-12-15
J2506	HCPCS	Pegfilgrastim 6 Mg/0.6 Ml (deliverable) Wearable Subcutaneous Injector	92	45	$17,635.40	$10,581.24 40% off	$122.84	$14,990.09	$11,463.01	2025-12-15
J2562	HCPCS	Plerixafor 24 Mg/1.2 Ml (20 Mg/ml) Subcutaneous Solution	74	45	$47,348.35	$28,409.01 40% off	$30.66	$40,246.10	$28,527.38	2025-12-15
J2796	HCPCS	Romiplostim 500 Mcg/ml Vial	68	39	$12,845.45	$7,707.27 40% off	$2,337.87	$10,918.63	$8,426.62	2025-12-15
J2802	HCPCS	Romiplostim 250 Mcg Subcutaneous Solution	74	45	$12,845.45	$7,707.27 40% off	$11.05	$17,809.84	$9,415.71	2025-12-15
J3101	HCPCS	Tenecteplase 50 Mg Intravenous Solution - For Stemi	41	19	$32,001.55	$19,200.93 40% off	$15,808.77	$29,058.00	$23,457.14	2025-12-15
J3285	HCPCS	Treprostinil Sodium 10 Mg/ml Injection Solution	124	19	$47,250.65	$28,350.39 40% off	$3,965.50	$151,207.32	$18,752.00	2025-12-15
J3380	HCPCS	Vedolizumab 300 Mg Intravenous Solution	74	45	$29,600.95	$17,760.57 40% off	$21.37	$41,331.72	$21,801.10	2025-12-15
J3392	HCPCS	Hc Casgevy Injection, Exagamglogene Autotemcel, Per Treatment	7	7	—	$4,950,000.00	$4,075,500.00	$4,785,000.00	$4,537,500.00	2025-12-15
J3394	HCPCS	Hc Lyfgenia Suspension	12	11	—	—	$3,252,508.08	$3,415,133.48	$3,252,508.08	2025-12-15
J3399	HCPCS	Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension 16.6 Ml	72	45	—	$3,013,549.17	$0.04	$4,269,194.66	$3,264,678.27	2025-12-15
J7189	HCPCS	Coagulation Factor Viia Recomb 1 Mg (1,000 Mcg) Intravenous Solution	136	45	$10,626.30	$6,375.78 40% off	$2.62	$84,455.70	$10,057.48	2025-12-15
J7504	HCPCS	Lymphocyte,anti-thymo Immune Globulin 50 Mg/ml Intravenous Solution	21	19	$21,978.55	$13,187.13 40% off	$10,857.40	$17,582.84	$16,110.28	2025-12-15
J9015	HCPCS	Aldesleukin 22 Million Unit Intravenous Solution	74	45	$28,425.20	$17,055.12 40% off	$3,338.87	$39,068.82	$20,835.67	2025-12-15
J9021	HCPCS	Asparaginase Erwinia Chrysanthemi-rywn 10 Mg/0.5 Ml IM Solution	74	45	$26,126.80	$15,676.08 40% off	$56.18	$36,219.25	$19,150.94	2025-12-15
J9038	HCPCS	Axatilimab-csfr 50 Mg/ml Intravenous Solution	136	45	$21,316.70	$12,790.02 40% off	$55.65	$78,930.62	$19,652.58	2025-12-15
J9039	HCPCS	Blinatumomab 35 Mcg Intravenous Kit	78	45	$27,628.70	$16,577.22 40% off	$163.68	$36,933.57	$20,251.84	2025-12-15
J9042	HCPCS	Brentuximab Vedotin 50 Mg Intravenous Solution	74	45	$59,457.50	$35,674.50 40% off	$268.45	$86,534.86	$43,636.18	2025-12-15
J9118	HCPCS	Calaspargase Pegol-mknl 750 Unit/ml Intravenous Solution	74	45	$128,598.30	$77,158.98 40% off	$82.08	$198,438.66	$94,712.65	2025-12-15
J9153	HCPCS	Daunorubicin 44 Mg And Cytarabine 100 Mg In Liposome IV Solution	21	19	$53,801.50	$32,280.90 40% off	$13,800.78	$43,041.20	$37,936.80	2025-12-15
J9203	HCPCS	Gemtuzumab Ozogamicin 4.5 Mg (1 Mg/ml Initial Concentration) IV Soln	74	45	$47,824.20	$28,694.52 40% off	$240.17	$69,676.92	$35,055.14	2025-12-15
J9210	HCPCS	Emapalumab-lzsg 5 Mg/ml Intravenous Solution	70	42	$75,982.75	$45,589.65 40% off	$384.13	$123,824.31	$56,455.18	2025-12-15
J9216	HCPCS	Interferon Gamma-1b 100 Mcg (2 Million Unit)/0.5 Ml Subcutaneous Soln	21	19	$32,588.35	$19,553.01 40% off	$16,098.64	$34,312.34	$23,887.26	2025-12-15
J9228	HCPCS	Ipilimumab 200 Mg/40 Ml (5 Mg/ml) Intravenous Solution	128	42	$173,287.05	$103,972.23 40% off	$186.91	$241,001.75	$38,177.54	2025-12-15
J9268	HCPCS	Pentostatin 10 Mg Intravenous Solution	74	45	$11,043.20	$6,625.92 40% off	$2,537.10	$16,356.68	$8,094.67	2025-12-15
J9271	HCPCS	Pembrolizumab 25 Mg/ml Intravenous Solution	74	45	$27,664.00	$16,598.40 40% off	$59.73	$38,507.93	$20,277.71	2025-12-15
J9348	HCPCS	Naxitamab-gqgk 4 Mg/ml Intravenous Solution	21	19	$123,813.05	$74,287.83 40% off	$61,163.65	$99,050.44	$90,754.97	2025-12-15
L8614	HCPCS	611420	1,342	34	$49,199.50	$29,519.70 40% off	$316.07	$54,494.27	$28,805.94	2025-12-15
L8619	HCPCS	Hc Coch Implant Ext Replacement	260	45	$17,714.61	$10,628.77 40% off	$7,085.84	$21,250.00	$13,330.24	2025-12-15
L8670	HCPCS	611130	275	34	$63,000.00	$37,800.00 40% off	$15,960.00	$74,375.00	$40,950.00	2025-12-15
Q0224	HCPCS	Pemivibart 125 Mg/ml Intravenous Solution (eua)	74	45	$28,575.05	$17,145.03 40% off	$9,429.77	$46,669.83	$20,945.51	2025-12-15
Q0495	HCPCS	Hc Hvad Battery Charger	74	45	$17,430.04	$10,458.02 40% off	$5,118.21	$14,815.53	$10,623.60	2025-12-15
Q2041	HCPCS	Hc Yescarta Car-t Therapy	136	45	$2,058,375.00	$1,235,025.00 40% off	$0.49	$1,801,798.50	$532,192.24	2025-12-15
Q2042	HCPCS	Hc Tisagenlecleucel Car-t Therapy	29	14	$2,270,265.04	$1,362,159.02 40% off	$0.49	$1,954,737.08	$1,230,483.65	2025-12-15
Q4432	HCPCS	Kerecis Graft Biological Meshed Omega3 Surgiclose 43cm Fish Skin 2 To 1 50205n20…	600	21	$22,353.72	$13,412.23 40% off	$1,543.50	$33,471.90	$12,075.00	2025-12-15
Q5140	HCPCS	Adalimumab-fkjp 20 Mg/0.4 Ml Subcutaneous Syringe Kit	23	19	$13,416.05	$8,049.63 40% off	$5,890.60	$11,781.20	$9,833.96	2025-12-15
Q5151	HCPCS	Eculizumab-aagh 300 Mg/30 Ml Intravenous Solution	22	19	$20,560.80	$12,336.48 40% off	$5,715.00	$16,448.64	$15,071.07	2025-12-15
Q5152	HCPCS	Eculizumab-aeeb 300 Mg/30 Ml Intravenous Solution	22	19	$27,537.30	$16,522.38 40% off	$7,347.00	$22,029.84	$20,184.84	2025-12-15
Q9994	HCPCS	Enteral Pump Accessory For Fat Hydrolysis Cartridge	20	18	$20,592.00	$12,355.20 40% off	$10,172.45	$16,473.60	$15,392.52	2025-12-15

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