Hospital

HOLY ROSARY HOSPITAL

Miles City, MT · CCN 271347 · Rates published

18,597 distinct procedures filed

13 distinct payers

850,456 rate rows

2026-07-15 last MRF observed

Data quality

846,791 of 850,456 rate rows are consumer-grade (99.6%)

3,665 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reason	Rows
placeholder amount (≤ $0.02) — excluded from medians	1,582
per-diem day rate — not a per-procedure price	1,546
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	275
template filing: same amount across many unrelated codes — excluded	260
percent-of-charges filed in the dollar field — excluded from medians	2

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

Source MRF file	https://intermountainhealthcare.org/sc10media/files/intermountain-health/locations/hospital-prices/810231792_holy-rosary-healthcare_standardcharges.ashx
Found on page	https://intermountainhealthcare.org/cms-hpt.txt
Discovered via	CMS hospital list
Last fetch	not_modified · 2026-10-24
Content fingerprint	8ab8df6416b14643… · 5,566,774 bytes · first seen 2026-05-09

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code	Description	Payers	Min $	Max $	Avg median	vs national
J1411 HCPCS	Inj Hemgenix Per Tx Dose	2	$3,605,000.00	$3,605,000.00	$3,605,000.00	nat. median $3,705,478 1.0× median
J1413 HCPCS	Inj Delandistrogene Mox Rokl	2	$3,296,000.00	$3,296,000.00	$3,296,000.00	nat. median $3,324,572 1.0× median
J3394 HCPCS	Inj Lovotibeglogene Autotem	2	$3,193,000.00	$3,193,000.00	$3,193,000.00	nat. median $3,286,000 1.0× median
J3393 HCPCS	Inj Betibeglogene Autotemce	2	$2,884,000.00	$2,884,000.00	$2,884,000.00	nat. median $2,994,107 1.0× median
J3399 HCPCS	Inj Onase Abepar-xioi Treat	2	$2,391,705.69	$2,391,705.69	$2,391,705.69	nat. median $2,467,386 1.0× median
Q2057 HCPCS	Afamitresgene Autoleucel	2	$770,620.00	$770,620.00	$770,620.00	nat. median $813,967 0.9× median
Q2042 HCPCS	Tisagenlecleucel Car-pos T	5	$529,192.86	$1,308,631.40	$591,726.20	nat. median $739,258 0.8× median
Q2056 HCPCS	Ciltacabtagene Car-pos T	5	$527,123.43	$1,269,217.50	$565,868.95	nat. median $646,415 0.9× median
Q2054 HCPCS	Lisocabtagene Mara Car Pos T	5	$516,726.08	$1,240,975.53	$562,538.19	nat. median $640,950 0.9× median
Q2055 HCPCS	Idecabtagene Vicleucel Car	5	$526,587.59	$1,258,636.33	$557,317.93	nat. median $622,450 0.9× median
Q2041 HCPCS	Axicabtagene Ciloleucel Car+	5	$489,455.96	$1,222,842.28	$533,230.17	nat. median $608,239 0.9× median
Q2053 HCPCS	Brexucabtagene Car Pos T	5	$460,530.40	$1,123,600.00	$489,304.61	nat. median $591,721 0.8× median
Q2043 HCPCS	Sipuleucel-t In Lactated Ringers 50 Million Cell/250 Ml IV Suspension	13	$55,015.23	$326,720.11	$275,692.03	nat. median $65,720 outlier · 4.2×
J3402 HCPCS	Inj. Remestemcel-l-rknd/ Td	2	$205,640.00	$205,640.00	$205,640.00	nat. median $209,753 1.0× median
A9607 HCPCS	Lutetium Lu-177 Vipivotide Tetraxetan 27 Mci/ml (1,000 Mbq/ml) IV Soln	13	$259.45	$209,339.57	$186,279.46	nat. median $432 outlier · 430.8×
J1823 HCPCS	Inebilizumab-cdon 10 Mg/ml Intravenous Solution	13	$484.40	$218,459.60	$184,339.95	nat. median $818 outlier · 225.5×
J9347 HCPCS	Tremelimumab-actl 20 Mg/ml Intravenous Solution	13	$135.45	$202,995.30	$180,634.05	nat. median $2,868 outlier · 63.0×
A9606 HCPCS	Radium Ra 223 Dichlor 1,100 Kbq/ml (30 Microcurie/ml) Intravenous Soln	13	$187.44	$138,366.53	$123,124.56	nat. median $266 outlier · 462.9×
Q9982 HCPCS	Flutemetamol F-18 5 Mci (185 Mbq) Intravenous Solution	13	$3,762.00	$364,248.78	$114,250.75	nat. median $3,080 outlier · 37.1×
J2507 HCPCS	Pegloticase 8 Mg/ml Intravenous Solution	13	$3,408.38	$113,714.02	$95,953.83	nat. median $9,200 outlier · 10.4×
J2350 HCPCS	Ocrelizumab 30 Mg/ml Intravenous Solution	13	$59.41	$103,264.48	$87,136.33	nat. median $470 outlier · 185.5×
Q0480 HCPCS	Driver Pneumatic Vad Rep	7	$80,781.07	$195,999.86	$86,797.56	nat. median $111,503 0.8× median
C1823 HCPCS	Hc Neurostim Generator/lead Lvl 46	13	$15,956.23	$125,014.10	$83,601.69	nat. median $31,620 outlier · 2.6×
K1007 HCPCS	Bil Hkaf Pc S/d Micro Sensor	2	$81,928.74	$81,928.74	$81,928.74	nat. median $96,983 0.8× median
A9543 HCPCS	Y90 Ibritumomab Rx	6	$70,418.21	$163,691.45	$73,978.98	nat. median $63,528 1.2× median
C1826 HCPCS	Hc Gen Neuro Rchg W Bat & Lds & Cmpnts Implant Lvl 56	13	$52.25	$76,747.54	$69,062.58	nat. median $28,756 outlier · 2.4×
90288 CPT	Botulism Ig IV	2	$64,749.00	$64,749.00	$64,749.00	nat. median $51,570 1.3× median
J9029 HCPCS	Instill Adstiladrin Tx Dose	5	$63,342.28	$158,748.33	$63,354.77	nat. median $68,423 0.9× median
C2616 HCPCS	Hc Brachytx Non-str Yttrium-90	13	$31,094.37	$66,089.05	$60,160.84	nat. median $26,836 outlier · 2.2×
C1717 HCPCS	Hc Brachytherapy Source Hdr Ir192	13	$31,094.37	$66,089.05	$60,160.84	nat. median $509 outlier · 118.2×
L8702 HCPCS	Ewhf S/d Uprt Micro Sensor	3	$59,284.57	$129,108.61	$59,284.57	nat. median $70,178 0.8× median
J7330 HCPCS	Cultured Chondrocytes Implnt	2	$57,856.13	$57,856.13	$57,856.13	nat. median $75,000 0.8× median
J9043 HCPCS	Cabazitaxel 10 Mg/ml (first Dilution) Intravenous Solution	13	$216.46	$66,037.25	$55,723.36	nat. median $735 outlier · 75.9×
C1820 HCPCS	Hc Generator Neuro Rechg Battery System Implant Lvl 16	13	$552.32	$66,089.05	$53,462.59	nat. median $22,986 outlier · 2.3×
C1882 HCPCS	Hc Icd Biv/crt-d Lvl 46	13	$15,956.23	$131,264.83	$53,462.59	nat. median $27,360 2.0× median
J9226 HCPCS	Supprelin La Implant	8	$45,020.65	$110,395.63	$52,493.17	nat. median $55,159 1.0× median
J9272 HCPCS	Dostarlimab-gxly 50 Mg/ml Intravenous Solution	13	$236.40	$59,006.00	$49,790.28	nat. median $786 outlier · 63.3×
J2327 HCPCS	Risankizumab-rzaa 60 Mg/ml Intravenous Solution	13	$14.63	$53,190.84	$47,331.52	nat. median $2,076 outlier · 22.8×
J9144 HCPCS	Daratumumab 1,800 Mg-hyaluronidase-fihj 30,000 Unit/15 Ml Subcut Soln	13	$51.41	$52,307.71	$44,138.14	nat. median $211 outlier · 208.8×
J3263 HCPCS	Toripalimab-tpzi 240 Mg/6 Ml (40 Mg/ml) Intravenous Solution	13	$38.87	$45,375.58	$40,377.16	nat. median $77 outlier · 525.4×
J9042 HCPCS	Brentuximab Vedotin 50 Mg Intravenous Solution	13	$239.86	$47,318.14	$39,927.85	nat. median $951 outlier · 42.0×
J9228 HCPCS	Ipilimumab 50 Mg/10 Ml (5 Mg/ml) Intravenous Solution	13	$176.88	$46,329.78	$39,093.86	nat. median $9,003 outlier · 4.3×
J9153 HCPCS	Daunorubicin 44 Mg And Cytarabine 100 Mg In Liposome IV Solution	13	$242.50	$45,991.01	$38,808.00	nat. median $632 outlier · 61.4×
L7181 HCPCS	Electronic Elbo Simultaneous	7	$35,929.06	$93,599.80	$38,537.58	nat. median $50,516 0.8× median
J9301 HCPCS	Obinutuzumab 1,000 Mg/40 Ml Intravenous Solution	13	$74.59	$45,521.71	$38,412.00	nat. median $287 outlier · 133.8×
C1721 HCPCS	Hc Icd Dual Chamber Lvl 1	13	$3.58	$88,844.97	$38,204.93	nat. median $22,344 1.7× median
J2323 HCPCS	Natalizumab 300 Mg/15 Ml Intravenous Solution	13	$24.00	$44,558.02	$37,598.82	nat. median $197 outlier · 190.6×
J9022 HCPCS	Atezolizumab 1,200 Mg/20 Ml (60 Mg/ml) Intravenous Solution	13	$86.24	$58,722.83	$37,418.77	nat. median $6,785 outlier · 5.5×
J3380 HCPCS	Vedolizumab 300 Mg Intravenous Solution	13	$21.31	$43,047.17	$36,323.94	nat. median $162 outlier · 224.2×
C9047 HCPCS	Caplacizumab-yhdp 11 Mg Injection Kit	13	$1,920.55	$39,422.03	$35,079.44	nat. median $3,316 outlier · 10.6×

Other procedures at this hospital

Browse this hospital's 18,597 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

J1411	HCPCS	Inj Hemgenix Per Tx Dose	7	2	—	—	$3,605,000.00	$3,605,000.00	$3,605,000.00	2026-07-15
J1413	HCPCS	Inj Delandistrogene Mox Rokl	7	2	—	—	$3,296,000.00	$3,296,000.00	$3,296,000.00	2026-07-15
J3394	HCPCS	Inj Lovotibeglogene Autotem	7	2	—	—	$3,193,000.00	$3,193,000.00	$3,193,000.00	2026-07-15
J3393	HCPCS	Inj Betibeglogene Autotemce	7	2	—	—	$2,884,000.00	$2,884,000.00	$2,884,000.00	2026-07-15
J3399	HCPCS	Inj Onase Abepar-xioi Treat	7	2	—	—	$2,391,705.69	$2,391,705.69	$2,391,705.69	2026-07-15
Q2057	HCPCS	Afamitresgene Autoleucel	7	2	—	—	$770,620.00	$770,620.00	$770,620.00	2026-07-15
Q2042	HCPCS	Tisagenlecleucel Car-pos T	17	5	—	—	$529,192.86	$1,308,631.40	$591,726.20	2026-07-15
Q2056	HCPCS	Ciltacabtagene Car-pos T	17	5	—	—	$527,123.43	$1,269,217.50	$565,868.95	2026-07-15
Q2054	HCPCS	Lisocabtagene Mara Car Pos T	17	5	—	—	$516,726.08	$1,240,975.53	$562,538.19	2026-07-15
Q2055	HCPCS	Idecabtagene Vicleucel Car	17	5	—	—	$526,587.59	$1,258,636.33	$557,317.93	2026-07-15
Q2041	HCPCS	Axicabtagene Ciloleucel Car+	17	5	—	—	$489,455.96	$1,222,842.28	$533,230.17	2026-07-15
Q2053	HCPCS	Brexucabtagene Car Pos T	17	5	—	—	$460,530.40	$1,123,600.00	$489,304.61	2026-07-15
Q2043	HCPCS	Sipuleucel-t In Lactated Ringers 50 Million Cell/250 Ml IV Suspension	68	13	$334,172.15	—	$55,015.23	$326,720.11	$275,692.03	2026-07-15
J3402	HCPCS	Inj. Remestemcel-l-rknd/ Td	7	2	—	—	$205,640.00	$205,640.00	$205,640.00	2026-07-15
A9607	HCPCS	Lutetium Lu-177 Vipivotide Tetraxetan 27 Mci/ml (1,000 Mbq/ml) IV Soln	51	13	$214,114.32	—	$259.45	$209,339.57	$186,279.46	2026-07-15
J1823	HCPCS	Inebilizumab-cdon 10 Mg/ml Intravenous Solution	68	13	$223,442.36	—	$484.40	$218,459.60	$184,339.95	2026-07-15
J9347	HCPCS	Tremelimumab-actl 20 Mg/ml Intravenous Solution	54	13	$207,625.35	—	$135.45	$202,995.30	$180,634.05	2026-07-15
A9606	HCPCS	Radium Ra 223 Dichlor 1,100 Kbq/ml (30 Microcurie/ml) Intravenous Soln	51	13	$141,522.48	—	$187.44	$138,366.53	$123,124.56	2026-07-15
Q9982	HCPCS	Flutemetamol F-18 5 Mci (185 Mbq) Intravenous Solution	81	13	$248,371.20	—	$3,762.00	$364,248.78	$114,250.75	2026-07-15
J2507	HCPCS	Pegloticase 8 Mg/ml Intravenous Solution	68	13	$116,307.68	—	$3,408.38	$113,714.02	$95,953.83	2026-07-15
J2350	HCPCS	Ocrelizumab 30 Mg/ml Intravenous Solution	68	13	$105,619.80	—	$59.41	$103,264.48	$87,136.33	2026-07-15
Q0480	HCPCS	Driver Pneumatic Vad Rep	23	7	—	—	$80,781.07	$195,999.86	$86,797.56	2026-07-15
C1823	HCPCS	Hc Neurostim Generator/lead Lvl 46	148	13	$95,528.60	—	$15,956.23	$125,014.10	$83,601.69	2026-07-15
K1007	HCPCS	Bil Hkaf Pc S/d Micro Sensor	7	2	—	—	$81,928.74	$81,928.74	$81,928.74	2026-07-15
A9543	HCPCS	Y90 Ibritumomab Rx	28	6	—	—	$70,418.21	$163,691.45	$73,978.98	2026-07-15
C1826	HCPCS	Hc Gen Neuro Rchg W Bat & Lds & Cmpnts Implant Lvl 56	39	13	$78,498.05	—	$52.25	$76,747.54	$69,062.58	2026-07-15
90288	CPT	Botulism Ig IV	7	2	—	—	$64,749.00	$64,749.00	$64,749.00	2026-07-15
J9029	HCPCS	Instill Adstiladrin Tx Dose	17	5	—	—	$63,342.28	$158,748.33	$63,354.77	2026-07-15
C2616	HCPCS	Hc Brachytx Non-str Yttrium-90	37	13	$67,596.45	—	$31,094.37	$66,089.05	$60,160.84	2026-07-15
C1717	HCPCS	Hc Brachytherapy Source Hdr Ir192	37	13	$67,596.45	—	$31,094.37	$66,089.05	$60,160.84	2026-07-15
L8702	HCPCS	Ewhf S/d Uprt Micro Sensor	9	3	—	—	$59,284.57	$129,108.61	$59,284.57	2026-07-15
J7330	HCPCS	Cultured Chondrocytes Implnt	7	2	—	—	$57,856.13	$57,856.13	$57,856.13	2026-07-15
J9043	HCPCS	Cabazitaxel 10 Mg/ml (first Dilution) Intravenous Solution	68	13	$67,543.47	—	$216.46	$66,037.25	$55,723.36	2026-07-15
C1820	HCPCS	Hc Generator Neuro Rechg Battery System Implant Lvl 16	111	13	$61,451.25	—	$552.32	$66,089.05	$53,462.59	2026-07-15
C1882	HCPCS	Hc Icd Biv/crt-d Lvl 46	481	13	$61,451.25	—	$15,956.23	$131,264.83	$53,462.59	2026-07-15
J9226	HCPCS	Supprelin La Implant	31	8	—	—	$45,020.65	$110,395.63	$52,493.17	2026-07-15
J9272	HCPCS	Dostarlimab-gxly 50 Mg/ml Intravenous Solution	68	13	$60,351.85	—	$236.40	$59,006.00	$49,790.28	2026-07-15
J2327	HCPCS	Risankizumab-rzaa 60 Mg/ml Intravenous Solution	54	13	$54,404.05	—	$14.63	$53,190.84	$47,331.52	2026-07-15
J9144	HCPCS	Daratumumab 1,800 Mg-hyaluronidase-fihj 30,000 Unit/15 Ml Subcut Soln	68	13	$53,500.78	—	$51.41	$52,307.71	$44,138.14	2026-07-15
J3263	HCPCS	Toripalimab-tpzi 240 Mg/6 Ml (40 Mg/ml) Intravenous Solution	54	13	$46,410.53	—	$38.87	$45,375.58	$40,377.16	2026-07-15
J9042	HCPCS	Brentuximab Vedotin 50 Mg Intravenous Solution	68	13	$48,397.40	—	$239.86	$47,318.14	$39,927.85	2026-07-15
J9228	HCPCS	Ipilimumab 50 Mg/10 Ml (5 Mg/ml) Intravenous Solution	68	13	$47,386.50	—	$176.88	$46,329.78	$39,093.86	2026-07-15
J9153	HCPCS	Daunorubicin 44 Mg And Cytarabine 100 Mg In Liposome IV Solution	68	13	$47,040.00	—	$242.50	$45,991.01	$38,808.00	2026-07-15
L7181	HCPCS	Electronic Elbo Simultaneous	23	7	—	—	$35,929.06	$93,599.80	$38,537.58	2026-07-15
J9301	HCPCS	Obinutuzumab 1,000 Mg/40 Ml Intravenous Solution	68	13	$46,560.00	—	$74.59	$45,521.71	$38,412.00	2026-07-15
C1721	HCPCS	Hc Icd Dual Chamber Lvl 1	370	13	$44,070.53	—	$3.58	$88,844.97	$38,204.93	2026-07-15
J2323	HCPCS	Natalizumab 300 Mg/15 Ml Intravenous Solution	68	13	$45,574.33	—	$24.00	$44,558.02	$37,598.82	2026-07-15
J9022	HCPCS	Atezolizumab 1,200 Mg/20 Ml (60 Mg/ml) Intravenous Solution	105	13	$51,052.89	—	$86.24	$58,722.83	$37,418.77	2026-07-15
J3380	HCPCS	Vedolizumab 300 Mg Intravenous Solution	68	13	$44,029.02	—	$21.31	$43,047.17	$36,323.94	2026-07-15
C9047	HCPCS	Caplacizumab-yhdp 11 Mg Injection Kit	44	13	$40,321.19	—	$1,920.55	$39,422.03	$35,079.44	2026-07-15
L7180	HCPCS	Electronic Elbow Sequential	23	7	—	—	$32,601.09	$82,025.06	$33,771.95	2026-07-15
L2006	HCPCS	Kaf Sng/dbl Swg/stn Mcpr Cus	9	3	—	—	$33,123.69	$75,571.76	$33,123.69	2026-07-15
J1932	HCPCS	Lanreotide 120 Mg/0.5 Ml Subcutaneous Syringe	96	13	$36,604.82	—	$29.84	$37,086.57	$31,749.47	2026-07-15
J9223	HCPCS	Lurbinectedin 4 Mg Intravenous Solution	68	13	$37,773.12	—	$203.60	$36,930.78	$31,162.83	2026-07-15
J9063	HCPCS	Mirvetuximab Soravtansine-gynx 5 Mg/ml Intravenous Solution	54	13	$35,407.60	—	$66.76	$34,618.01	$30,804.61	2026-07-15
J1299	HCPCS	Eculizumab 300 Mg/30 Ml Intravenous Solution	44	13	$34,920.00	—	$44.82	$34,141.28	$30,380.40	2026-07-15
C1722	HCPCS	Hc Icd Single Chamber Lvl 21	481	13	$34,687.45	—	$1,203.48	$76,747.54	$30,178.08	2026-07-15
L8701	HCPCS	Ewh S/d Uprt Micro Sensor	9	3	—	—	$30,132.81	$65,622.56	$30,132.81	2026-07-15
J9306	HCPCS	Pertuzumab 420 Mg/14 Ml (30 Mg/ml) Intravenous Solution	68	13	$36,407.79	—	$16.12	$35,595.90	$30,036.42	2026-07-15
37231	CPT	Tib/per Revasc Stent & Ather	43	9	—	—	$1,727.64	$36,773.72	$29,507.36	2026-07-15
J9311	HCPCS	Rituximab 1,400 Mg/11.7 Ml (120 Mg/ml)-hyaluronidase Subcutaneous Soln	68	13	$35,105.80	—	$36.69	$34,322.94	$28,962.28	2026-07-15
77372	CPT	Hc Linear Aclrtr Tx 1 Session	62	13	$33,803.76	—	$1,559.81	$33,049.94	$28,733.20	2026-07-15
37227	CPT	Fem/popl Revasc Stnt & Ather	43	9	—	—	$1,688.22	$37,828.94	$28,447.29	2026-07-15
J9266	HCPCS	Pegaspargase Injection	31	8	—	—	$26,442.79	$67,537.15	$28,424.06	2026-07-15
C2624	HCPCS	Hc Wireless Pressure Sensor Implant Lvl 37	74	13	$53,086.70	—	$7,038.92	$88,844.97	$28,380.81	2026-07-15
J9332	HCPCS	Efgartigimod Alfa-fcab 20 Mg/ml Intravenous Solution	59	13	$33,044.25	—	$32.15	$32,307.36	$28,087.61	2026-07-15
0278	RC	—	1,443	13	$31,534.00	—	$3.58	$159,553.41	$27,434.58	2026-07-15
Q0479	HCPCS	Hc Power Unit Mobile Heartmate Ii Replacement	60	13	$30,758.40	—	$10,748.79	$30,072.49	$26,452.22	2026-07-15
C1817	HCPCS	Hc Implant-septal Defect Lvl 40	222	13	$30,100.62	—	$10,862.90	$37,305.37	$26,373.87	2026-07-15
J3101	HCPCS	Tenecteplase 50 Mg Intravenous Solution	105	13	$34,141.92	—	$153.83	$38,159.94	$26,035.63	2026-07-15
C1982	HCPCS	Hc Cath Pressure Valve Occlu Lvl 44	37	13	$28,667.25	—	$13,186.94	$28,027.97	$25,513.85	2026-07-15
J0717	HCPCS	Certolizumab Pegol 400 Mg/2 Ml (200 Mg/ml X2) Subcutaneous Syringe Kit	105	13	$28,221.33	—	$3.91	$27,592.00	$24,552.55	2026-07-15
J9271	HCPCS	Pembrolizumab 25 Mg/ml Intravenous Solution	68	13	$29,586.91	—	$58.22	$28,927.12	$24,409.20	2026-07-15
J2860	HCPCS	Siltuximab 400 Mg Intravenous Solution	68	13	$29,013.52	—	$143.21	$28,366.52	$23,936.15	2026-07-15
J2506	HCPCS	Pegfilgrastim 6 Mg/0.6 Ml Subcutaneous Syringe	68	13	$28,224.00	—	$31.14	$27,594.60	$23,284.80	2026-07-15
0620T	CPT	Evasc Ven Artlz Tibl/prnl Vn	16	4	—	—	$23,097.89	$26,331.36	$23,097.89	2026-07-15
L5856	HCPCS	Elec Knee-shin Swing/stance	23	7	—	—	$21,557.21	$56,038.61	$23,072.63	2026-07-15
L6880	HCPCS	Elec Hand Ind Art Digits	23	7	—	—	$21,429.76	$55,924.93	$23,025.82	2026-07-15
37230	CPT	Tib/per Revasc W/stent	43	9	—	—	$1,635.14	$26,564.24	$22,614.51	2026-07-15
37229	CPT	Tib/per Revasc W/ather	43	9	—	—	$1,633.53	$29,534.66	$22,471.34	2026-07-15
J9057	HCPCS	Copanlisib 60 Mg Intravenous Solution	51	13	$25,585.00	—	$90.19	$25,014.45	$22,258.95	2026-07-15
A9596	HCPCS	Kit For Preparation Of Ga-68-gozetotide 25 Mcg Intravenous Solution	51	13	$25,585.00	—	$1,121.76	$25,014.45	$22,258.95	2026-07-15
A9588	HCPCS	Fluciclovine F18 10 Mci (370 Mbq) Intravenous Solution	44	13	$25,585.00	—	$563.62	$25,014.45	$22,258.95	2026-07-15
37225	CPT	Fem/popl Revas W/ather	43	9	—	—	$1,409.13	$29,421.89	$22,201.10	2026-07-15
A9595	HCPCS	Piflufolastat F 18 296 Mbq To 370 Mbq (8 Mci To 10 Mci) IV Syringe	88	13	$25,141.72	—	$661.54	$25,458.42	$21,832.04	2026-07-15
0211U	CPT	Hc Onc Pan-tumor Dna&rna Next-generation Sequencing	63	13	$25,365.00	—	$7,609.50	$24,799.36	$21,560.25	2026-07-15
18097	CPT	Hc Device Delivery System Supply Non Implant Lvl 40	37	13	$23,615.00	—	$10,862.90	$23,088.39	$21,017.35	2026-07-15
C9610	HCPCS	Hc Cath Coronary Drug-delivery Tpt Lvl 40	37	13	$23,615.00	—	$10,862.90	$23,088.39	$21,017.35	2026-07-15
J1412	HCPCS	Inj Roctavian Ml 2x10^13vc G	14	2	—	—	$11,667.97	$30,019.53	$20,843.75	2026-07-15
37226	CPT	Fem/popl Revasc W/stent	43	9	—	—	$1,220.13	$26,128.77	$20,710.73	2026-07-15
C2621	HCPCS	Hc Pacemaker Biv Crt-p Lvl 37	259	13	$23,615.00	—	$7,038.92	$54,618.97	$20,545.05	2026-07-15
J1162	HCPCS	Digoxin Immune Fab 40 Mg Intravenous Solution	68	13	$24,474.62	—	$4,658.67	$23,928.84	$20,191.57	2026-07-15
Q0481	HCPCS	Hc Controller Heartmate 3 Lvad	97	13	$21,965.20	—	$9,727.34	$34,012.31	$19,031.76	2026-07-15
L8614	HCPCS	Cochlear Device	21	6	—	—	$17,344.28	$21,424.55	$18,363.90	2026-07-15
J9354	HCPCS	Ado-trastuzumab Emtansine 100 Mg Intravenous Solution	105	13	$25,221.23	—	$40.45	$29,357.91	$18,169.30	2026-07-15
J2353	HCPCS	Octreotide,microspheres ER 20 Mg Intramuscular Susp, Extended Release	105	13	$22,015.33	—	$203.58	$23,094.85	$18,164.06	2026-07-15
Q0483	HCPCS	Monitor Elec Vad Rep	23	7	—	—	$16,816.87	$43,886.77	$18,069.37	2026-07-15
L5858	HCPCS	Stance Phase Only	23	7	—	—	$16,665.36	$43,415.31	$17,875.27	2026-07-15
L6975	HCPCS	Interscap-thor Myoelectronic	23	7	—	—	$15,948.16	$43,360.26	$17,852.60	2026-07-15
Q5127	HCPCS	Pegfilgrastim-fpgk 6 Mg/0.6 Ml Subcutaneous Syringe	54	13	$20,228.38	—	$184.91	$19,777.29	$17,598.69	2026-07-15
A9572	HCPCS	Indium 111-pentetreotide 3 Mci/ml-10 Mcg Intravenous Kit	58	13	$19,649.28	—	$6,811.20	$19,211.10	$16,898.38	2026-07-15
L5973	HCPCS	Ank-foot Sys Dors-plant Flex	23	7	—	—	$15,648.19	$40,742.48	$16,774.79	2026-07-15
26990	CPT	Hc Drainage Pelvic/hip Area Deep	62	13	$19,709.71	—	$729.68	$19,270.18	$16,753.25	2026-07-15
L6970	HCPCS	Interscapular-thor Switch CT	23	7	—	—	$14,555.45	$40,470.63	$16,662.86	2026-07-15
C1761	HCPCS	Hc Cath Translum Intravasc Litho/coronary Lvl 39	37	13	$18,614.95	—	$8,562.88	$18,199.84	$16,567.31	2026-07-15
L6965	HCPCS	Shldr Disartic Myoelectronic	23	7	—	—	$14,143.98	$39,977.08	$16,459.65	2026-07-15
Q5111	HCPCS	Pegfilgrastim-cbqv 6 Mg/0.6 Ml Subcutaneous Syringe	68	13	$19,639.20	—	$106.33	$19,201.25	$16,202.34	2026-07-15
Q0477	HCPCS	Hc Kit Lvad Heartmate 3 Modular Cable Replacement	60	13	$19,031.75	—	$695.87	$18,607.34	$16,176.99	2026-07-15
A9557	HCPCS	Kit For Preparation Of Tc-99m-bicisate 0.9 Mg Intravenous Solution	58	13	$18,760.59	—	$623.06	$18,342.23	$16,134.10	2026-07-15
J9061	HCPCS	Amivantamab-vmjw 50 Mg/ml Intravenous Solution	68	13	$19,464.22	—	$20.67	$19,030.17	$16,057.99	2026-07-15
C1764	HCPCS	Hc Loop Recorder Implant Lvl 37	148	13	$17,914.88	—	$7,038.92	$23,088.39	$15,822.71	2026-07-15
A9570	HCPCS	Indium In-111 Oxyquinoline 1 Mci/ml (37 Mbq/ml)(1 Ml) Intravenous Soln	58	13	$18,299.68	—	$4,403.08	$17,891.60	$15,737.72	2026-07-15
A9571	HCPCS	Indium In-111 Oxyquinoline 1 Mci/ml (37 Mbq/ml) Platelet (uw 174240)	58	13	$18,299.68	—	$4,403.08	$17,891.60	$15,737.72	2026-07-15
Q5120	HCPCS	Pegfilgrastim-bmez 6 Mg/0.6 Ml Subcutaneous Syringe	65	13	$18,465.70	—	$30.32	$18,053.91	$15,695.84	2026-07-15
Q0489	HCPCS	Pwr Pck Base Combo Vad Rep	23	7	—	—	$14,579.31	$38,047.46	$15,665.18	2026-07-15
J9299	HCPCS	Nivolumab 100 Mg/10 Ml Intravenous Solution	179	13	$19,052.33	—	$31.75	$40,641.78	$15,415.04	2026-07-15
27278	CPT	Arthrd Si Jt Plmt Iartic Dev	18	3	—	—	$570.44	$33,421.88	$15,374.06	2026-07-15
Q5122	HCPCS	Pegfilgrastim-apgf 6 Mg/0.6 Ml Subcutaneous Syringe	68	13	$18,463.21	—	$96.55	$18,051.48	$15,232.15	2026-07-15
L6960	HCPCS	Shldr Disartic Switch Contro	23	7	—	—	$12,021.60	$36,898.14	$15,191.96	2026-07-15
L6955	HCPCS	Above Elbow Myoelectronic CT	23	7	—	—	$11,919.39	$36,584.40	$15,062.80	2026-07-15
55875	CPT	Hc Transperi Needle Place Pros	62	13	$17,633.19	—	$973.31	$17,239.97	$14,988.21	2026-07-15
J1306	HCPCS	Inclisiran 284 Mg/1.5 Ml Subcutaneous Syringe	59	13	$17,477.53	—	$12.19	$17,087.78	$14,855.90	2026-07-15
55920	CPT	Hc Place Needles Pelvic For Rt	62	13	$17,381.66	—	$717.44	$16,994.05	$14,774.41	2026-07-15
E0766	HCPCS	Elec Stim Cancer Treatment	30	4	—	—	$11,353.00	$113,529.94	$14,769.01	2026-07-15
J9352	HCPCS	Trabectedin 1 Mg Intravenous Solution	68	13	$17,643.32	—	$362.82	$17,249.87	$14,555.74	2026-07-15
A0431	HCPCS	Rotary Wing Air Transport	16	4	—	—	$6,198.29	$14,453.53	$14,453.53	2026-07-15
37243	CPT	Vasc Embolize/occlude Organ	43	9	—	—	$866.50	$16,721.18	$14,443.08	2026-07-15
L5859	HCPCS	Knee-shin Pro Flex/ext Cont	23	7	—	—	$13,057.27	$33,893.95	$13,955.06	2026-07-15
A9587	HCPCS	Kit For The Preparation Of Ga-68-dotatate 40 Mcg Intravenous Soln	44	13	$15,965.04	—	$63.34	$15,609.02	$13,889.58	2026-07-15
L8687	HCPCS	Implt Nrostm Pls Gen Dua Rec	21	6	—	—	$9,264.92	$13,842.34	$13,765.33	2026-07-15
0238T	CPT	Trluml Perip Athrc Iliac Art	16	4	—	—	$1,552.45	$13,722.43	$13,722.43	2026-07-15
187301220	NDC	Pyridostigmine Bromide 60 Mg/5 Ml Oral Syrup	37	13	$15,191.56	—	$6,988.12	$14,852.79	$13,520.49	2026-07-15
J9600	HCPCS	Porfimer Sodium Injection	28	6	—	—	$3,646.70	$58,792.90	$13,323.05	2026-07-15
C1896	HCPCS	Hc Lead Icd Subcutan Non Sng/dual Lvl 26	111	13	$15,302.00	—	$2,093.00	$23,088.39	$13,312.74	2026-07-15
J0630	HCPCS	Calcitonin (salmon) 200 Unit/ml Injection Solution	68	13	$16,026.96	—	$1,101.74	$15,669.56	$13,222.24	2026-07-15
187520030	NDC	Fluorouracil 0.5 % Topical Cream	37	13	$14,536.33	—	$6,686.71	$14,212.17	$12,937.33	2026-07-15
20983	CPT	Ablate Bone Tumor(s) Perq	80	13	$14,954.03	—	$794.66	$15,005.25	$12,919.19	2026-07-15
L6945	HCPCS	Elbow Disart Myoelectronic C	23	7	—	—	$10,186.59	$31,265.90	$12,873.02	2026-07-15
J9205	HCPCS	Irinotecan Liposomal 4.3 Mg/ml Intravenous	68	13	$15,512.23	—	$64.77	$15,166.31	$12,797.59	2026-07-15
L6950	HCPCS	Above Elbow Switch Control	23	7	—	—	$9,952.43	$30,547.19	$12,577.10	2026-07-15
A9586	HCPCS	Florbetapir F-18 10 Mci (370 Mbq) Intravenous Solution	58	13	$14,621.32	—	$3,257.44	$14,295.26	$12,574.33	2026-07-15
J9268	HCPCS	Pentostatin 10 Mg Intravenous Solution	68	13	$15,101.70	—	$2,532.93	$14,764.93	$12,458.90	2026-07-15
A0430	HCPCS	Fixed Wing Air Transport	16	4	—	—	$5,331.17	$12,431.53	$12,431.53	2026-07-15
32994	CPT	Ablate Pulm Tumor Perq Crybl	123	13	$29,453.91	—	$109.13	$28,797.09	$12,349.22	2026-07-15
J9202	HCPCS	Goserelin 10.8 Mg Subcutaneous Implant	68	13	$14,941.75	—	$674.09	$14,608.55	$12,326.94	2026-07-15
L5969	HCPCS	Ak/ft Power Asst Incl Motors	7	2	—	—	$12,290.79	$12,290.79	$12,290.79	2026-07-15
A9604	HCPCS	Sm 153 Lexidronam	28	6	—	—	$5,935.73	$43,149.63	$12,265.72	2026-07-15
81416	CPT	Exome Sequence Analysis	26	8	—	—	$10,800.00	$27,480.00	$12,000.00	2026-07-15
37242	CPT	Vasc Embolize/occlude Artery	43	9	—	—	$739.42	$13,397.40	$11,972.81	2026-07-15
81519	CPT	Hc Oncology Breast Mrna Gene Expression 21 Genes	63	13	$13,942.80	—	$3,485.70	$13,631.88	$11,851.38	2026-07-15
J9056	HCPCS	Bendamustine 25 Mg/ml Intravenous Solution	54	13	$13,205.15	—	$27.84	$12,910.68	$11,488.48	2026-07-15
L7191	HCPCS	Elbow Child Myoelectronic CT	23	7	—	—	$9,224.40	$27,229.26	$11,211.03	2026-07-15
Q5130	HCPCS	Pegfilgrastim-pbbk 6 Mg/0.6 Ml Subcutaneous Syringe	54	13	$12,792.51	—	$137.97	$12,507.24	$11,129.48	2026-07-15
J7169	HCPCS	Factor Xa,inactivated-zhzo (recombinant) 200 Mg Intravenous Solution	51	13	$12,792.50	—	$128.75	$12,507.23	$11,129.48	2026-07-15
C1714	HCPCS	Hc Catheter Atherectomy Directional Lvl 35	74	13	$12,846.08	—	$5,561.58	$13,298.43	$11,123.17	2026-07-15
C1786	HCPCS	Hc Pacemaker Single Chamber Lvl 29	518	13	$12,846.08	—	$2,743.28	$45,139.58	$11,123.17	2026-07-15
L6940	HCPCS	Elbow Disarticulation Switch	23	7	—	—	$8,756.00	$26,874.97	$11,065.15	2026-07-15
37244	CPT	Vasc Embolize/occlude Bleed	43	9	—	—	$1,025.75	$12,336.60	$11,024.81	2026-07-15
L7186	HCPCS	Electron Elbow Child Switch	23	7	—	—	$8,827.68	$26,576.21	$10,942.15	2026-07-15
D7949	HCPCS	Reconstruct Midface W/graft	12	4	—	—	$7,941.77	$10,840.22	$10,840.22	2026-07-15
J1459	HCPCS	Immune Glob,gamm(igg) 10 %-pro-iga 0 To 50 Mcg/ml Intravenous Solution	179	13	$17,947.79	—	$48.58	$46,793.48	$10,768.68	2026-07-15
C2629	HCPCS	Hc Sheath Laser Lvl 35	37	13	$12,090.40	—	$5,561.58	$11,820.78	$10,760.46	2026-07-15
C1748	HCPCS	Hc Endoscope Single Use Lvl 35	37	13	$12,090.40	—	$5,561.58	$11,820.78	$10,760.46	2026-07-15
A9502	HCPCS	Kit For The Preparation Of Tc-99m-tetrofosmin 1.38 Mg IV Solution	58	13	$12,467.58	—	$97.21	$12,189.55	$10,722.12	2026-07-15
81455	CPT	Hc Gen Seq Analys Sol Org/hemtolmphoid Neo 51/>gen	63	13	$12,612.67	—	$2,627.64	$12,331.41	$10,720.77	2026-07-15
C1747	HCPCS	Hc Endoscope Insert Single Use Lvl 35	39	13	$12,090.40	—	$52.25	$11,820.78	$10,637.13	2026-07-15
C1603	HCPCS	Hc Rtrv/insrt/laser Device For Ivc Fltr Lvl 35	39	13	$12,090.40	—	$52.25	$11,820.78	$10,637.13	2026-07-15
L8685	HCPCS	Implt Nrostm Pls Gen Sng Rec	21	6	—	—	$7,119.03	$10,636.26	$10,577.08	2026-07-15
C1777	HCPCS	Hc Lead Icd Single Coil Lvl 32	259	13	$12,090.40	—	$3,906.04	$23,088.39	$10,518.65	2026-07-15
C1885	HCPCS	Hc Catheter Laser Lvl 34	111	13	$12,090.40	—	$4,943.62	$14,960.77	$10,518.65	2026-07-15
37228	CPT	Tib/per Revasc W/tla	43	9	—	—	$1,270.80	$13,249.29	$10,473.60	2026-07-15
J9353	HCPCS	Margetuximab-cmkb 25 Mg/ml Intravenous Solution	68	13	$12,608.20	—	$48.21	$12,327.04	$10,401.76	2026-07-15
J9317	HCPCS	Sacituzumab Govitecan-hziy 180 Mg Intravenous Solution	68	13	$12,608.09	—	$34.67	$12,326.93	$10,401.67	2026-07-15
J9176	HCPCS	Elotuzumab 300 Mg Intravenous Solution	105	13	$13,585.23	—	$7.58	$15,179.67	$10,363.66	2026-07-15
C1886	HCPCS	Hc Catheter Extravasc Tissue Ablat Lvl 31	222	13	$13,024.50	—	$3,472.01	$23,088.39	$9,887.24	2026-07-15
C1895	HCPCS	Hc Lead Icd Dual Coil Lvl 2	296	13	$11,418.70	—	$5.20	$23,088.39	$9,887.24	2026-07-15
L5991	HCPCS	Low Pros Ext Osseo Connector	9	3	—	—	$9,872.32	$22,058.70	$9,872.32	2026-07-15
37183	CPT	Revision Tips	43	9	—	—	$579.63	$10,989.00	$9,820.50	2026-07-15
0722	RC	—	222	13	$11,244.88	—	$2,175.80	$12,083.44	$9,813.38	2026-07-15
C1785	HCPCS	Hc Pacemaker Dual Chamber Lvl 31	296	13	$11,418.70	—	$3,472.01	$16,830.91	$9,782.45	2026-07-15
37235	CPT	Tib/per Revasc Stnt & Ather	43	9	—	—	$899.21	$10,911.60	$9,751.34	2026-07-15
0505T	CPT	Ev Fempop Artl Revsc	16	4	—	—	$9,745.44	$17,738.82	$9,745.44	2026-07-15
J3358	HCPCS	Ustekinumab 130 Mg/26 Ml Intravenous Solution	68	13	$11,782.69	—	$12.97	$11,519.94	$9,720.72	2026-07-15
2758901	NDC	Bebtelovimab 175 Mg/2 Ml (87.5 Mg/ml) Intravenous Solution (unapp)	37	13	$10,745.70	—	$4,943.02	$10,506.07	$9,563.67	2026-07-15
47383	CPT	Perq Abltj Lvr Cryoablation	80	13	$29,453.91	—	$556.36	$28,797.09	$9,539.59	2026-07-15
19296	CPT	Place Po Breast Cath For Rad	43	9	—	—	$501.08	$10,552.50	$9,430.43	2026-07-15
37238	CPT	Open/perq Place Stent Same	80	13	$40,286.44	—	$718.25	$39,388.05	$9,319.76	2026-07-15
J9023	HCPCS	Avelumab 20 Mg/ml Intravenous Solution	68	13	$11,267.76	—	$95.18	$11,016.49	$9,295.90	2026-07-15
36906	CPT	Thrmbc/nfs Dialysis Circuit	43	9	—	—	$796.26	$11,314.83	$9,132.02	2026-07-15
37234	CPT	Revsc Opn/prq Tib/pero Stent	43	9	—	—	$664.35	$10,195.20	$9,111.11	2026-07-15
J0490	HCPCS	Belimumab 400 Mg Intravenous Solution	68	13	$10,826.04	—	$53.67	$10,584.62	$8,931.48	2026-07-15
C1728	HCPCS	Hc Catheter Brachytx Seed Adm Lvl 34	74	13	$10,213.40	—	$4,452.71	$10,507.34	$8,905.42	2026-07-15
Q5108	HCPCS	Pegfilgrastim-jmdb 6 Mg/0.6 Ml Subcutaneous Syringe	68	13	$10,681.74	—	$99.13	$10,443.54	$8,812.43	2026-07-15
J1602	HCPCS	Golimumab 12.5 Mg/ml Intravenous Solution	68	13	$10,671.69	—	$11.04	$10,433.71	$8,804.15	2026-07-15
37236	CPT	Open/perq Place Stent 1st	80	13	$40,286.44	—	$1,037.55	$39,388.05	$8,790.26	2026-07-15
L8688	HCPCS	Implt Nrostm Pls Gen Dua Non	21	6	—	—	$5,911.84	$8,832.64	$8,783.49	2026-07-15
20982	CPT	Ablate Bone Tumor(s) Perq	43	9	—	—	$858.20	$10,004.12	$8,717.01	2026-07-15
0237T	CPT	Trluml Perip Athrc Brchiocph	16	4	—	—	$1,494.38	$8,674.11	$8,674.11	2026-07-15
0236T	CPT	Trluml Perip Athrc Abd Aorta	16	4	—	—	$2,024.91	$8,667.14	$8,667.14	2026-07-15
L6935	HCPCS	Below Elbow Myoelectronic CT	23	7	—	—	$7,833.10	$21,023.49	$8,655.94	2026-07-15
J0716	HCPCS	Centruroides Immune F(ab)	14	2	—	—	$5,403.48	$11,900.50	$8,651.99	2026-07-15
C1874	HCPCS	Hc Stent Coated/covered Implant Lvl 1	1,258	13	$10,149.92	—	$3.45	$102,849.25	$8,597.58	2026-07-15
C1052	HCPCS	Hc Catheter Gi Supply Lvl 33	37	13	$9,552.85	—	$4,394.31	$9,339.82	$8,502.04	2026-07-15
0315U	CPT	Onc Cutan Sq Cll Ca Mrna 40	12	5	—	—	$8,500.00	$19,465.00	$8,500.00	2026-07-15
0200	RC	—	37	13	$9,536.60	—	$4,386.84	$9,323.93	$8,487.57	2026-07-15
90378	CPT	Palivizumab 100 Mg/ml Intramuscular Solution	88	13	$13,454.08	—	$849.20	$17,199.54	$8,480.18	2026-07-15
D7858	HCPCS	Tmj Reconstruction	12	4	—	—	$4,940.37	$8,421.72	$8,421.72	2026-07-15
J0897	HCPCS	Denosumab 60 Mg/ml Subcutaneous Syringe	142	13	$9,596.58	—	$24.27	$16,436.85	$8,349.02	2026-07-15
J3240	HCPCS	Thyrotropin Alfa 0.9 Mg Intramuscular Solution	68	13	$10,117.54	—	$2,073.34	$9,891.92	$8,346.97	2026-07-15
J1950	HCPCS	Leuprolide 3.75 Mg Intramuscular Syringe Kit	105	13	$17,400.64	—	$1,603.00	$25,014.45	$8,294.65	2026-07-15
J9303	HCPCS	Panitumumab 100 Mg/5 Ml (20 Mg/ml) Intravenous Solution	105	13	$23,025.20	—	$159.33	$36,018.78	$8,289.07	2026-07-15
L6925	HCPCS	Wrist Disart Myoelectronic C	23	7	—	—	$7,689.16	$20,100.66	$8,276.00	2026-07-15
25208	CPT	Hc Drainage Of Forearm Lesion Unilat	37	13	$9,252.09	—	$4,255.96	$9,045.77	$8,234.36	2026-07-15
L5857	HCPCS	Elec Knee-shin Swing Only	23	7	—	—	$7,669.42	$19,859.13	$8,176.55	2026-07-15
L8679	HCPCS	Imp Neurosti Pls Gn Any Type	21	6	—	—	$7,568.71	$9,483.41	$8,128.64	2026-07-15
D7948	HCPCS	Reconstruct Midface No Graft	12	4	—	—	$5,602.50	$8,089.22	$8,089.22	2026-07-15
L6930	HCPCS	Below Elbow Switch Control	23	7	—	—	$6,701.54	$19,581.81	$8,062.36	2026-07-15
25028	CPT	I&d F/arm&/wrst Dp Absc/hmtm	124	13	$12,721.62	—	$610.76	$15,830.10	$8,049.32	2026-07-15
27831	CPT	Treat Lower Leg Dislocation	124	13	$12,721.62	—	$453.96	$15,830.10	$8,049.32	2026-07-15
27240	CPT	Treat Thigh Fracture	124	13	$12,633.47	—	$1,054.44	$15,720.41	$7,993.54	2026-07-15
0173	RC	—	37	13	$8,970.43	—	$4,126.40	$8,770.39	$7,983.68	2026-07-15
J3032	HCPCS	Eptinezumab-jjmr 100 Mg/ml Intravenous Solution	68	13	$9,661.67	—	$17.80	$9,446.21	$7,970.88	2026-07-15
22514	CPT	Perq Vertebral Augmentation	80	13	$9,373.30	—	$599.26	$9,501.13	$7,967.30	2026-07-15
22513	CPT	Perq Vertebral Augmentation	80	13	$9,373.30	—	$643.87	$9,546.15	$7,967.30	2026-07-15
55873	CPT	Cryoablate Prostate	43	9	—	—	$995.12	$9,907.05	$7,921.37	2026-07-15
L8619	HCPCS	Coch Imp Ext Proc/contr Rplc	23	7	—	—	$7,444.84	$19,147.38	$7,883.50	2026-07-15
25270	CPT	Hc Rpr Tdn/musc Xtnsr F/arm&/wrist Prim 1 Ea Tdn	62	13	$9,252.09	—	$545.35	$9,045.77	$7,864.28	2026-07-15
25260	CPT	Hc Rpr Tdn/musc Flxr F/arm&/wrst Prim 1 Ea Tdn/mu	62	13	$9,252.09	—	$699.63	$9,045.77	$7,864.28	2026-07-15
31298	CPT	Nsl/sins Ndsc Surg Frnt&sphn	43	9	—	—	$604.04	$9,658.23	$7,856.40	2026-07-15
37241	CPT	Vasc Embolize/occlude Venous	43	9	—	—	$670.79	$8,763.00	$7,831.20	2026-07-15
81552	CPT	Onc Uveal Mlnma Mrna 15 Gene	26	8	—	—	$6,998.40	$17,807.04	$7,776.00	2026-07-15
37221	CPT	Iliac Revasc W/stent	43	9	—	—	$1,159.80	$11,310.44	$7,767.93	2026-07-15
J9308	HCPCS	Ramucirumab 10 Mg/ml Intravenous Solution	105	13	$25,689.95	—	$71.07	$41,861.77	$7,706.99	2026-07-15
L6920	HCPCS	Wrist Disarticul Switch Ctrl	23	7	—	—	$6,660.24	$18,636.93	$7,673.33	2026-07-15
L7190	HCPCS	Elbow Adolescent Myoelectron	23	7	—	—	$7,539.19	$18,552.20	$7,638.45	2026-07-15
81456	CPT	Hc Tgsap So/hematolymphoid Neo/do 51/>rna Analysis	49	13	$8,758.80	—	$2,919.60	$8,563.48	$7,620.16	2026-07-15
56440	CPT	Hc Marsupialization Bartholins Gland Cyst	62	13	$8,936.31	—	$229.50	$8,737.03	$7,595.86	2026-07-15
57415	CPT	Hc Remove Vaginal Foreign Body	62	13	$8,936.31	—	$213.85	$8,737.03	$7,595.86	2026-07-15
59871	CPT	Hc Remove Cerclage Suture Under Anest Other Than Loc	62	13	$8,936.30	—	$209.12	$8,737.02	$7,595.86	2026-07-15
0094U	CPT	Genome Rapid Sequence Alys	26	8	—	—	$6,823.98	$17,363.24	$7,582.20	2026-07-15
J9047	HCPCS	Carfilzomib 30 Mg Intravenous Solution	105	13	$12,569.32	—	$49.58	$16,385.37	$7,541.59	2026-07-15
378807849	NDC	Fluorouracil 0.5 % Topical Cream	37	13	$8,465.44	—	$3,894.10	$8,276.66	$7,534.24	2026-07-15
J0875	HCPCS	Dalbavancin 500 Mg Intravenous Solution	68	13	$9,103.81	—	$15.61	$8,900.80	$7,510.65	2026-07-15
77373	CPT	Hc Linear Accelerator Max 5 Fractions; Includes Image Guidance	62	13	$8,793.88	—	$1,611.28	$8,597.78	$7,474.80	2026-07-15
E0786	HCPCS	Implantable Pump Replacement	48	4	—	—	$788.57	$9,925.44	$7,444.07	2026-07-15
C1778	HCPCS	Hc Lead Spnl Cord Stim Kit Lvl 24	111	13	$8,491.40	—	$1,830.41	$9,339.82	$7,387.52	2026-07-15
C1732	HCPCS	Hc Catheter Ep Diag/abl/3d/map Lvl 25	555	13	$8,491.40	—	$2,092.98	$23,088.39	$7,387.52	2026-07-15
37224	CPT	Fem/popl Revas W/tla	43	9	—	—	$1,043.18	$9,258.15	$7,364.97	2026-07-15
D7946	HCPCS	Reconstruction Maxilla Total	12	4	—	—	$5,035.70	$7,364.95	$7,364.95	2026-07-15
33285	CPT	Insj Subq Car Rhythm Mntr	41	8	—	—	$138.34	$8,737.70	$7,352.37	2026-07-15
81408	CPT	Hc Molecular Pathology Proc Level 9	63	13	$8,640.00	—	$1,800.00	$8,447.33	$7,344.00	2026-07-15
D7780	HCPCS	Reduct Compnd Facial Bone Fx	22	4	—	—	$985.92	$9,242.97	$7,246.98	2026-07-15
Q0224	HCPCS	Inj Pemivibart 4500 Mg	19	5	—	—	$52.25	$16,458.75	$7,239.00	2026-07-15
36903	CPT	Intro Cath Dialysis Circuit	43	9	—	—	$493.30	$9,322.92	$7,221.54	2026-07-15
81529	CPT	Onc Cutan Mlnma Mrna 31 Gene	26	8	—	—	$6,473.70	$16,471.97	$7,193.00	2026-07-15
47540	CPT	Perq Plmt Bile Duct Stent	43	9	—	—	$680.97	$8,378.92	$7,137.36	2026-07-15
J9264	HCPCS	Paclitaxel Protein-bound 100 Mg Intravenous Suspension	105	13	$8,235.89	—	$10.54	$8,199.59	$7,128.62	2026-07-15
D5915	HCPCS	Orbital Prosthesis	12	4	—	—	$6,270.90	$7,128.41	$7,128.41	2026-07-15
23333	CPT	Remove Shoulder Fb Deep	124	13	$11,167.82	—	$521.30	$13,896.63	$7,066.18	2026-07-15
47539	CPT	Perq Plmt Bile Duct Stent	43	9	—	—	$654.70	$8,212.68	$7,046.74	2026-07-15
C2630	HCPCS	Hc Cath Ep Diag/abl Non 3d/map Cool-tip Lvl 28	296	13	$8,019.62	—	$2,438.46	$14,960.77	$6,944.02	2026-07-15
L5987	HCPCS	Shank Ft W Vert Load Pylon	23	7	—	—	$6,450.63	$16,804.71	$6,918.96	2026-07-15
81162	CPT	Hc Brca1/brca2 Gene Analysis; Full Sequence Dup/del	63	13	$8,110.54	—	$1,642.39	$7,929.67	$6,893.96	2026-07-15
J7310	HCPCS	Ganciclovir Long Act Implant	21	6	—	—	$6,804.38	$19,200.00	$6,842.45	2026-07-15
L0486	HCPCS	Hc Cus Tlso 2shells Linr	60	13	$7,946.30	—	$1,766.17	$7,769.10	$6,754.36	2026-07-15
L8686	HCPCS	Implt Nrostm Pls Gen Sng Non	21	6	—	—	$4,542.60	$6,786.91	$6,749.15	2026-07-15
0267U	CPT	Rare Do Id Opt Gen Mapg&seq	12	5	—	—	$6,739.33	$15,433.07	$6,739.33	2026-07-15
A9521	HCPCS	Kit For Preparation Of Tc-99m-exametazime 0.5 Mg Intravenous Solution	58	13	$7,822.71	—	$1,953.92	$7,648.26	$6,727.53	2026-07-15
E0783	HCPCS	Programmable Infusion Pump	48	4	—	—	$808.46	$8,939.37	$6,704.57	2026-07-15
L8627	HCPCS	Cid Ext Speech Process Repl	23	7	—	—	$6,322.62	$16,220.29	$6,678.34	2026-07-15
L0484	HCPCS	Hc Tlso Rigid Plastic Cust Fab	60	13	$7,848.25	—	$1,664.71	$7,673.23	$6,671.01	2026-07-15
81411	CPT	Hc Aortic Dysfunction/dilation Dup/del Analysis	63	13	$7,777.08	—	$1,215.17	$7,603.65	$6,610.52	2026-07-15
J9355	HCPCS	Trastuzumab 150 Mg Intravenous Solution	68	13	$7,974.44	—	$75.03	$7,796.61	$6,578.91	2026-07-15
E2510	HCPCS	Sgd W Multi Methods Msg/accs	48	4	—	—	$668.36	$8,694.53	$6,520.87	2026-07-15
J0600	HCPCS	Edetate Calcium Disodium Inj	28	6	—	—	$6,193.29	$15,774.13	$6,516.42	2026-07-15
55980	CPT	Sex Transformation F To M	21	6	—	—	$6,464.43	$6,929.17	$6,500.60	2026-07-15
D7947	HCPCS	Reconstruct Maxilla Segment	12	4	—	—	$4,826.06	$6,471.99	$6,471.99	2026-07-15
J0129	HCPCS	Abatacept (with Maltose) 250 Mg Intravenous Solution	68	13	$7,745.45	—	$43.44	$7,572.73	$6,389.99	2026-07-15
L5280	HCPCS	Hemipelvect Canad Sing Axis	23	7	—	—	$5,081.38	$15,514.13	$6,387.59	2026-07-15
15829	CPT	Rhytidectomy Smas Flap	21	6	—	—	$6,347.54	$7,068.53	$6,383.06	2026-07-15
J3262	HCPCS	Tocilizumab 200 Mg/10 Ml (20 Mg/ml) Intravenous Solution	142	13	$7,728.44	—	$5.71	$15,112.19	$6,375.96	2026-07-15
47538	CPT	Perq Plmt Bile Duct Stent	43	9	—	—	$363.01	$7,448.68	$6,357.19	2026-07-15
L5615	HCPCS	Ak 4 Bar Link Hydl Swg/stanc	9	3	—	—	$6,322.67	$14,896.57	$6,322.67	2026-07-15
37220	CPT	Iliac Revasc	43	9	—	—	$941.03	$7,624.41	$6,295.26	2026-07-15
L8609	HCPCS	Artificial Cornea	21	6	—	—	$5,843.86	$7,325.59	$6,279.08	2026-07-15
81443	CPT	Hc Genetic Testing For Severe Inherited Conditions	63	13	$7,345.70	—	$2,203.70	$7,181.89	$6,243.84	2026-07-15
J9179	HCPCS	Eribulin 1 Mg/2 Ml (0.5 Mg/ml) Intravenous Solution	68	13	$7,526.58	—	$89.34	$7,358.74	$6,209.43	2026-07-15
J3316	HCPCS	Inj. Triptorelin Xr 3.75 Mg	14	2	—	—	$3,817.28	$8,581.88	$6,199.58	2026-07-15
J2802	HCPCS	Romiplostim 125 Mcg Subcutaneous Solution	81	13	$10,062.33	—	$11.01	$13,117.18	$6,171.63	2026-07-15
J9217	HCPCS	Leuprolide 30 Mg (4 Month) Subcutaneous Syringe	179	13	$8,089.55	—	$176.45	$13,558.49	$6,171.17	2026-07-15
L5250	HCPCS	Hip Canad Sing Axi Cons Fric	23	7	—	—	$5,178.07	$14,972.66	$6,164.65	2026-07-15
55970	CPT	Sex Transformation M To F	21	6	—	—	$6,123.40	$6,563.66	$6,157.66	2026-07-15
D7941	HCPCS	Bone Cutting Ramus Closed	12	4	—	—	$6,122.39	$6,425.11	$6,122.39	2026-07-15
D7945	HCPCS	Bone Cutting Body Mandible	12	4	—	—	$5,531.65	$6,114.43	$6,114.43	2026-07-15
C1757	HCPCS	Hc Catheter Thromb/embolectomy Lvl 10	1,258	13	$7,128.52	—	$134.90	$49,653.57	$6,041.63	2026-07-15
L7185	HCPCS	Electron Elbow Adolescent Sw	23	7	—	—	$5,925.59	$14,663.50	$6,037.36	2026-07-15
78206014701	NDC	Trastuzumab-dttb 150 Mg Intravenous Solution	37	13	$6,778.29	—	$3,118.01	$6,627.13	$6,032.68	2026-07-15
78206014799	NDC	Trastuzumab-dttb 150 Mg Intravenous Solution	37	13	$6,778.29	—	$3,118.01	$6,627.13	$6,032.68	2026-07-15
J2357	HCPCS	Omalizumab 150 Mg/ml Subcutaneous Syringe	68	13	$7,246.29	—	$38.29	$7,084.70	$5,978.19	2026-07-15
A9542	HCPCS	In111 Ibritumomab Dx	21	6	—	—	$4,200.00	$5,976.49	$5,943.24	2026-07-15

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