|
J0630
|
HCPCS
|
-salmon (miacalcin) 400iu/2ml Inj [thay]
|
3
|
3
|
$4,561.15
|
—
|
$3,238.42
|
$4,378.71
|
$4,287.48
|
2026-07-17
|
|
10180
|
CPT
|
10180 I&dâ Complexâ Poâ Woundâ Infection
|
8
|
4
|
$4,335.00
|
$3,468.00
20% off
|
$2,558.00
|
$4,604.00
|
$4,183.50
|
2026-09-03
|
|
26123
|
CPT
|
26123 Fasciectomy, Partial Palmar With Release Of Single Digit Including Proxima…
|
3
|
3
|
$4,995.00
|
—
|
$3,546.45
|
$4,795.20
|
$4,695.30
|
2026-07-17
|
|
26125
|
CPT
|
26125 Add-on Fasciectomy, Partial Palmar With Release Of Single Digit Including …
|
3
|
3
|
$2,992.00
|
—
|
$2,124.32
|
$2,872.32
|
$2,812.48
|
2026-07-17
|
|
26742
|
CPT
|
26742 Frac W Disloc Ther
|
3
|
3
|
$2,913.00
|
—
|
$2,068.23
|
$2,796.48
|
$2,738.22
|
2026-07-17
|
|
27266
|
CPT
|
27266 Trmt Disloc Post Hip
|
3
|
3
|
$3,011.00
|
—
|
$2,137.81
|
$2,890.56
|
$2,830.34
|
2026-07-17
|
|
27428
|
CPT
|
27428 Ligamentous Reconstruction (Augmentation), Knee; Intra-articular (Open)
|
16
|
4
|
$7,452.00
|
$5,961.50
20% off
|
$941.00
|
$13,317.00
|
$4,881.50
|
2026-09-03
|
|
27447
|
CPT
|
27447 Arthroplasty Tot Kne
|
3
|
3
|
$9,458.00
|
—
|
$6,715.18
|
$9,079.68
|
$8,890.52
|
2026-07-17
|
|
27502
|
CPT
|
27502 Fx Clo Femoral Shaft
|
3
|
3
|
$2,749.00
|
—
|
$1,951.79
|
$2,639.04
|
$2,584.06
|
2026-07-17
|
|
28208
|
CPT
|
28208 Rpr Tend Exten Ft 1&2 Ea
|
3
|
3
|
$3,750.00
|
—
|
$2,662.50
|
$3,600.00
|
$3,525.00
|
2026-07-17
|
|
28285
|
CPT
|
28285 Correction Hammertoe
|
3
|
3
|
$2,926.00
|
—
|
$2,077.46
|
$2,808.96
|
$2,750.44
|
2026-07-17
|
|
28297
|
CPT
|
28297 Correction Hallux Valgus
|
3
|
3
|
$5,007.00
|
—
|
$3,554.97
|
$4,806.72
|
$4,706.58
|
2026-07-17
|
|
28308
|
CPT
|
28306 Osteotomy, With Or Without Lengthening, Shortening Or Angula
|
3
|
3
|
$3,024.00
|
—
|
$2,147.04
|
$2,903.04
|
$2,842.56
|
2026-07-17
|
|
28435
|
CPT
|
28435 Clo Tx Talus Fx W Ma
|
3
|
3
|
$2,739.00
|
—
|
$1,944.69
|
$2,629.44
|
$2,574.66
|
2026-07-17
|
|
28740
|
CPT
|
28740 Arthrodesis Midtarsometatar Single Jt
|
3
|
3
|
$8,105.00
|
—
|
$5,754.55
|
$7,780.80
|
$7,618.70
|
2026-07-17
|
|
28230
|
CPT
|
29065-application Of Long Arm Cast-sc Pf
|
3
|
3
|
$5,969.00
|
—
|
$4,237.99
|
$5,730.24
|
$5,610.86
|
2026-07-17
|
|
29826
|
CPT
|
29826 Shoulder Arthroscopy/surgery-sc Pf
|
3
|
3
|
$5,293.00
|
—
|
$3,758.03
|
$5,081.28
|
$4,975.42
|
2026-07-17
|
|
29827
|
CPT
|
29827 Scope Shldr Rt Cuff Repr
|
3
|
3
|
$7,600.00
|
—
|
$5,396.00
|
$7,296.00
|
$7,144.00
|
2026-07-17
|
|
29828
|
CPT
|
29828 Biceps Tenodesis
|
3
|
3
|
$5,334.00
|
—
|
$3,787.14
|
$5,120.64
|
$5,013.96
|
2026-07-17
|
|
29877
|
CPT
|
29877 Arthros Debrid/Shave Cart
|
3
|
3
|
$5,902.00
|
—
|
$4,190.42
|
$5,665.92
|
$5,547.88
|
2026-07-17
|
|
29999
|
CPT
|
29999 Arthroscopy, Unlisted Procedure
|
13
|
4
|
$4,951.00
|
$3,961.00
|
$1,644.00
|
$5,258.00
|
$2,921.00
|
2026-09-03
|
|
30520
|
CPT
|
30520 Septoplasty Or Submucous Resection, With Or Without Cartilage Scoring, Con…
|
3
|
3
|
$3,476.00
|
—
|
$2,467.96
|
$3,336.96
|
$3,267.44
|
2026-07-17
|
|
31570
|
CPT
|
31570 Laryngoscopy, Direct, With Injection Into Vocal Cord(s), Therapeutic
|
3
|
3
|
$2,937.00
|
—
|
$2,085.27
|
$2,819.52
|
$2,760.78
|
2026-07-17
|
|
32556
|
CPT
|
32556 Insert Cath Pleura Without IM
|
3
|
3
|
$3,188.00
|
—
|
$2,263.48
|
$3,060.48
|
$2,996.72
|
2026-07-17
|
|
36558
|
CPT
|
36558 Central Line
|
3
|
3
|
$5,003.00
|
—
|
$3,552.13
|
$4,802.88
|
$4,702.82
|
2026-07-17
|
|
38220
|
CPT
|
38220 Bone Marrow Aspirate
|
3
|
3
|
$2,856.00
|
—
|
$2,027.76
|
$2,741.76
|
$2,684.64
|
2026-07-17
|
|
38500
|
CPT
|
38500 Biopsy Rem Lymph Nod
|
3
|
3
|
$3,703.00
|
—
|
$2,629.13
|
$3,554.88
|
$3,480.82
|
2026-07-17
|
|
42415
|
CPT
|
42415 Exc Prtd Tum Prsv Fac Nrv
|
3
|
3
|
$4,511.00
|
—
|
$3,202.81
|
$4,330.56
|
$4,240.34
|
2026-07-17
|
|
42820
|
CPT
|
42820 Tonsillectomy And Adenoidectomy; Younger Than Age 12
|
3
|
3
|
$6,063.00
|
—
|
$4,304.73
|
$5,820.48
|
$5,699.22
|
2026-07-17
|
|
42821
|
CPT
|
42821 Tonsillectomy And Adenoidectomy; Age 12 Or Over
|
3
|
3
|
$4,451.00
|
—
|
$3,160.21
|
$4,272.96
|
$4,183.94
|
2026-07-17
|
|
43200
|
CPT
|
43200 Esophagoscopy Diagn
|
3
|
3
|
$3,557.00
|
—
|
$2,525.47
|
$3,414.72
|
$3,343.58
|
2026-07-17
|
|
43249
|
CPT
|
43249 Dila Esoph W Balloon
|
3
|
3
|
$5,476.00
|
—
|
$3,887.96
|
$5,256.96
|
$5,147.44
|
2026-07-17
|
|
43450
|
CPT
|
43450 Dilation Of Esophagu
|
3
|
3
|
$3,009.00
|
—
|
$2,136.39
|
$2,888.64
|
$2,828.46
|
2026-07-17
|
|
44005
|
CPT
|
44005 Lysis Of Adhesions
|
3
|
3
|
$5,620.00
|
—
|
$3,990.20
|
$5,395.20
|
$5,282.80
|
2026-07-17
|
|
44050
|
CPT
|
44050 Release Of Small Bowel Obstruction
|
3
|
3
|
$4,800.00
|
—
|
$3,408.00
|
$4,608.00
|
$4,512.00
|
2026-07-17
|
|
44120
|
CPT
|
44120 Enterectomy Resectn
|
3
|
3
|
$6,380.00
|
—
|
$4,529.80
|
$6,124.80
|
$5,997.20
|
2026-07-17
|
|
44140
|
CPT
|
44140 Colectomy Partial
|
3
|
3
|
$6,900.00
|
—
|
$4,899.00
|
$6,624.00
|
$6,486.00
|
2026-07-17
|
|
44160
|
CPT
|
44160 Colectomy, Partial, With Removal Of Terminal Ileum With Ileo
|
3
|
3
|
$6,394.00
|
—
|
$4,539.74
|
$6,138.24
|
$6,010.36
|
2026-07-17
|
|
44204
|
CPT
|
44204 Colectomy
|
3
|
3
|
$6,366.00
|
—
|
$4,519.86
|
$6,111.36
|
$5,984.04
|
2026-07-17
|
|
44205
|
CPT
|
44205 Lap Colectomy
|
3
|
3
|
$6,920.00
|
—
|
$4,913.20
|
$6,643.20
|
$6,504.80
|
2026-07-17
|
|
44604
|
CPT
|
44604 Rep Perforated Intes
|
3
|
3
|
$5,447.00
|
—
|
$3,867.37
|
$5,229.12
|
$5,120.18
|
2026-07-17
|
|
44620
|
CPT
|
44620 Closure Of Enterostomy, Large Or Small Intestine;
|
3
|
3
|
$4,483.00
|
—
|
$3,182.93
|
$4,303.68
|
$4,214.02
|
2026-07-17
|
|
44960
|
CPT
|
44960 Appendectomy For Rup
|
3
|
3
|
$4,489.00
|
—
|
$3,187.19
|
$4,309.44
|
$4,219.66
|
2026-07-17
|
|
44970
|
CPT
|
44970 Appendectomy Lap
|
3
|
3
|
$4,654.00
|
—
|
$3,304.34
|
$4,467.84
|
$4,374.76
|
2026-07-17
|
|
45541
|
CPT
|
45541 Reduction Rectal Prolapse
|
3
|
3
|
$13,501.00
|
—
|
$9,585.71
|
$12,960.96
|
$12,690.94
|
2026-07-17
|
|
45915
|
CPT
|
45915 Removal Rectum Foreign Body
|
3
|
3
|
$12,045.00
|
—
|
$8,551.95
|
$11,563.20
|
$11,322.30
|
2026-07-17
|
|
47562
|
CPT
|
47562 Lap Cholecystectomy
|
3
|
3
|
$3,215.00
|
—
|
$2,282.65
|
$3,086.40
|
$3,022.10
|
2026-07-17
|
|
47563
|
CPT
|
47563 Lap Chole W Cholangi
|
3
|
3
|
$3,103.00
|
—
|
$2,203.13
|
$2,978.88
|
$2,916.82
|
2026-07-17
|
|
47600
|
CPT
|
47600 Cholecystectomy
|
3
|
3
|
$4,041.00
|
—
|
$2,869.11
|
$3,879.36
|
$3,798.54
|
2026-07-17
|
|
47605
|
CPT
|
47605 Cholecystectomy W Ch
|
3
|
3
|
$4,520.00
|
—
|
$3,209.20
|
$4,339.20
|
$4,248.80
|
2026-07-17
|
|
49000
|
CPT
|
49000 Exploraty Laparotomy
|
3
|
3
|
$3,961.00
|
—
|
$2,812.31
|
$3,802.56
|
$3,723.34
|
2026-07-17
|
|
49505
|
CPT
|
49505 Rep Ingu Hern 5 Up W
|
3
|
3
|
$3,490.00
|
—
|
$2,477.90
|
$3,350.40
|
$3,280.60
|
2026-07-17
|
|
49507
|
CPT
|
49507 Repair Ing Her Incar
|
3
|
3
|
$4,122.00
|
—
|
$2,926.62
|
$3,957.12
|
$3,874.68
|
2026-07-17
|
|
49520
|
CPT
|
49520 Repair Recurrent Inguinal Hernia, Any Age; Reducible
|
3
|
3
|
$3,705.00
|
—
|
$2,630.55
|
$3,556.80
|
$3,482.70
|
2026-07-17
|
|
49560
|
CPT
|
49560 Repair Initial Ventral Hernia Reducible Clinic Charge
|
3
|
3
|
$3,398.00
|
—
|
$2,412.58
|
$3,262.08
|
$3,194.12
|
2026-07-17
|
|
49561
|
CPT
|
49561 Incarcerated Inciscional Hernia
|
3
|
3
|
$4,587.00
|
—
|
$3,256.77
|
$4,403.52
|
$4,311.78
|
2026-07-17
|
|
49568
|
CPT
|
49568 Implantation Of Mesh
|
3
|
3
|
$2,801.00
|
—
|
$1,988.71
|
$2,688.96
|
$2,632.94
|
2026-07-17
|
|
49654
|
CPT
|
49654 - Laparoscopy, Surgical, Repair, Incisional Hernia (includes Mesh Insertio…
|
3
|
3
|
$4,038.25
|
—
|
$2,867.16
|
$3,876.72
|
$3,795.96
|
2026-07-17
|
|
51840
|
CPT
|
51840 Mmk Procedure
|
3
|
3
|
$3,566.00
|
—
|
$2,531.86
|
$3,423.36
|
$3,352.04
|
2026-07-17
|
|
52310
|
CPT
|
52310 Rmvl Calculus
|
3
|
3
|
$3,078.00
|
—
|
$2,185.38
|
$2,954.88
|
$2,893.32
|
2026-07-17
|
|
52330
|
CPT
|
52330 Cystoscopy And Treatment
|
3
|
3
|
$3,732.00
|
—
|
$2,649.72
|
$3,582.72
|
$3,508.08
|
2026-07-17
|
|
54161
|
CPT
|
54161 Circumcision, Surgical Excision Other Than Clamp, Device, Or Dorsal Slit; …
|
3
|
3
|
$2,750.00
|
—
|
$1,952.50
|
$2,640.00
|
$2,585.00
|
2026-07-17
|
|
55250
|
CPT
|
55250 Vasectomy
|
3
|
3
|
$3,196.00
|
—
|
$2,269.16
|
$3,068.16
|
$3,004.24
|
2026-07-17
|
|
56440
|
CPT
|
56440 Marsupialization Of Bartholin's Gland Cyst
|
3
|
3
|
$3,123.00
|
—
|
$2,217.33
|
$2,998.08
|
$2,935.62
|
2026-07-17
|
|
57240
|
CPT
|
57240 Colporrhaphy Anteri
|
3
|
3
|
$6,991.00
|
—
|
$4,963.61
|
$6,711.36
|
$6,571.54
|
2026-07-17
|
|
57250
|
CPT
|
57250 Colporrahphy Posteri
|
3
|
3
|
$7,702.00
|
—
|
$5,468.42
|
$7,393.92
|
$7,239.88
|
2026-07-17
|
|
57260
|
CPT
|
57260 Colporrhaphy A & P
|
3
|
3
|
$4,399.00
|
—
|
$3,123.29
|
$4,223.04
|
$4,135.06
|
2026-07-17
|
|
57265
|
CPT
|
57265 Colpo A&p Entero Rep
|
3
|
3
|
$11,286.00
|
—
|
$8,013.06
|
$10,834.56
|
$10,608.84
|
2026-07-17
|
|
57282
|
CPT
|
57282 Colpopexy
|
3
|
3
|
$5,479.00
|
—
|
$3,890.09
|
$5,259.84
|
$5,150.26
|
2026-07-17
|
|
57288
|
CPT
|
57288 Sling Procedure
|
3
|
3
|
$6,596.00
|
—
|
$4,683.16
|
$6,332.16
|
$6,200.24
|
2026-07-17
|
|
57410
|
CPT
|
57410 Pelvic Exam
|
3
|
3
|
$3,298.00
|
—
|
$2,341.58
|
$3,166.08
|
$3,100.12
|
2026-07-17
|
|
58150
|
CPT
|
58150 Hysterectomy Abdom
|
3
|
3
|
$5,293.00
|
—
|
$3,758.03
|
$5,081.28
|
$4,975.42
|
2026-07-17
|
|
58152
|
CPT
|
58152 Hysterectomy
|
3
|
3
|
$6,538.00
|
—
|
$4,641.98
|
$6,276.48
|
$6,145.72
|
2026-07-17
|
|
58260
|
CPT
|
58260 Hyster Vaginal
|
3
|
3
|
$3,145.00
|
—
|
$2,232.95
|
$3,019.20
|
$2,956.30
|
2026-07-17
|
|
58262
|
CPT
|
58262 Hyster Vag Tube Ovar
|
3
|
3
|
$6,841.00
|
—
|
$4,857.11
|
$6,567.36
|
$6,430.54
|
2026-07-17
|
|
58267
|
CPT
|
58267 Hyst Vag W Urine Rep
|
3
|
3
|
$5,270.00
|
—
|
$3,741.70
|
$5,059.20
|
$4,953.80
|
2026-07-17
|
|
58291
|
CPT
|
58291 Hyster Vag Uter>250
|
3
|
3
|
$7,473.00
|
—
|
$5,305.83
|
$7,174.08
|
$7,024.62
|
2026-07-17
|
|
58550
|
CPT
|
58550 Lap Assisted Total Hysterectomy
|
3
|
3
|
$5,787.00
|
—
|
$4,108.77
|
$5,555.52
|
$5,439.78
|
2026-07-17
|
|
58552
|
CPT
|
58552 Lap Vag Hys W Sal Oo
|
3
|
3
|
$4,950.00
|
—
|
$3,514.50
|
$4,752.00
|
$4,653.00
|
2026-07-17
|
|
58558
|
CPT
|
58558 Hysteroscopy W/bx Without D&c
|
3
|
3
|
$2,800.00
|
—
|
$1,988.00
|
$2,688.00
|
$2,632.00
|
2026-07-17
|
|
58563
|
CPT
|
58563 Hysteroscopy, Surgical; With Endometrial Ablation (eg, Endometrial Resecti…
|
3
|
3
|
$3,557.00
|
—
|
$2,525.47
|
$3,414.72
|
$3,343.58
|
2026-07-17
|
|
58571
|
CPT
|
58571 Lap Hysterectory
|
3
|
3
|
$15,103.00
|
—
|
$10,723.13
|
$14,498.88
|
$14,196.82
|
2026-07-17
|
|
58660
|
CPT
|
58660 Lap Lysis Adhisions
|
3
|
3
|
$5,622.00
|
—
|
$3,991.62
|
$5,397.12
|
$5,284.68
|
2026-07-17
|
|
58661
|
CPT
|
58661 Lap W Rem Adnexal St
|
3
|
3
|
$5,485.00
|
—
|
$3,894.35
|
$5,265.60
|
$5,155.90
|
2026-07-17
|
|
58662
|
CPT
|
58662 Cauterize Endometri
|
3
|
3
|
$7,034.00
|
—
|
$4,994.14
|
$6,752.64
|
$6,611.96
|
2026-07-17
|
|
58940
|
CPT
|
58940 Oophorectomy Part To
|
3
|
3
|
$2,769.00
|
—
|
$1,965.99
|
$2,658.24
|
$2,602.86
|
2026-07-17
|
|
58956
|
CPT
|
58956 Total Abd Hyster
|
3
|
3
|
$7,153.00
|
—
|
$5,078.63
|
$6,866.88
|
$6,723.82
|
2026-07-17
|
|
59151
|
CPT
|
59151 Salpingectomy
|
3
|
3
|
$4,553.00
|
—
|
$3,232.63
|
$4,370.88
|
$4,279.82
|
2026-07-17
|
|
59510
|
CPT
|
59510 OB Care,c Sect,compl
|
3
|
3
|
$11,786.00
|
—
|
$8,368.06
|
$11,314.56
|
$11,078.84
|
2026-07-17
|
|
59820
|
CPT
|
59820 Treat Missed Abortio
|
3
|
3
|
$6,650.00
|
—
|
$4,721.50
|
$6,384.00
|
$6,251.00
|
2026-07-17
|
|
64520
|
CPT
|
64520 Inj Anes Lmbr/thrc Paravertebral
|
3
|
3
|
$3,569.00
|
—
|
$2,533.99
|
$3,426.24
|
$3,354.86
|
2026-07-17
|
|
69424
|
CPT
|
69424 Ventilating Tube Removal General Anesth
|
3
|
3
|
$3,274.00
|
—
|
$2,324.54
|
$3,143.04
|
$3,077.56
|
2026-07-17
|
|
69436
|
CPT
|
69436 Typanostomy Requiring Insert Vent Tub
|
3
|
3
|
$3,554.00
|
—
|
$2,523.34
|
$3,411.84
|
$3,340.76
|
2026-07-17
|
|
21552
|
CPT
|
70121552 Excision, Tumor, Soft Tissue Of Neck Or Anterior Thorax, Subcutaneous; …
|
3
|
3
|
$3,472.00
|
—
|
$2,465.12
|
$3,333.12
|
$3,263.68
|
2026-07-17
|
|
95811
|
CPT
|
95811 Split Night Polysomnography Sleep Study
|
11
|
7
|
$4,512.00
|
$3,610.00
|
$2,662.00
|
$4,792.00
|
$4,286.00
|
2026-09-03
|
|
Q4159
|
HCPCS
|
Affinity 2.5 X 2.5
|
8
|
4
|
$4,253.00
|
$3,402.00
20% off
|
$2,509.00
|
$4,517.00
|
$4,104.00
|
2026-09-03
|
|
22167421
|
CDM
|
Alteplase (Activase) 100mg Sdv [Thay]
|
8
|
4
|
$12,673.00
|
$10,138.00
20% off
|
$7,477.00
|
$13,459.00
|
$12,229.50
|
2026-09-03
|
|
J2997
|
HCPCS
|
Alteplase (activase) 100mg Vial [thay]
|
6
|
3
|
$6,539.93
|
—
|
$275.01
|
$12,184.82
|
$4,691.77
|
2026-07-17
|
|
27871588
|
CDM
|
Alteplase (Activase) 50mg Sdv [Thay]
|
8
|
4
|
$6,336.00
|
$5,069.00
|
$3,738.00
|
$6,729.00
|
$6,114.50
|
2026-09-03
|
|
24047010
|
CDM
|
Aripiprazole (Abilify Maintena) 400 Mg Rec Sd Syr [Thay]
|
8
|
4
|
$4,289.00
|
$3,431.00
20% off
|
$2,531.00
|
$4,555.00
|
$4,138.50
|
2026-09-03
|
|
J0401
|
HCPCS
|
ARIPiprazole (abilify Maintena) 400 Mg Rec Syr [thay]
|
3
|
3
|
$4,114.52
|
—
|
$2,921.31
|
$3,949.94
|
$3,867.65
|
2026-07-17
|
|
27961137
|
CDM
|
Aripiprazole 300 Mg Pwd
|
8
|
4
|
$3,921.00
|
$3,137.00
|
$2,313.00
|
$4,164.00
|
$3,783.50
|
2026-09-03
|
|
90000420
|
CDM
|
Arthrex Knotless Swivelock
|
8
|
4
|
$3,500.00
|
$2,800.00
20% off
|
$2,065.00
|
$3,717.00
|
$3,377.50
|
2026-09-03
|
|
90000473
|
CDM
|
Arthrex Mpfl Kit
|
8
|
4
|
$3,200.00
|
$2,560.00
20% off
|
$1,888.00
|
$3,398.00
|
$3,088.00
|
2026-09-03
|
|
90000453
|
CDM
|
Arthrex Speed Bridge
|
8
|
4
|
$3,200.00
|
$2,560.00
20% off
|
$1,888.00
|
$3,398.00
|
$3,088.00
|
2026-09-03
|
|
27401971
|
CDM
|
Atezolizumab (Tecentriq) 1200 Mg/20 Ml Sdv [Thay]
|
8
|
4
|
$17,728.00
|
$14,182.00
20% off
|
$10,460.00
|
$18,827.00
|
$17,107.50
|
2026-09-03
|
|
CDM
|
CDM
|
Bard Phasix 11 Cm
|
8
|
4
|
$3,443.00
|
$2,754.00
20% off
|
$2,031.00
|
$3,656.00
|
$3,322.50
|
2026-09-03
|
|
90000387
|
CDM
|
Bard Phasix Mesh Plug 15x20cm
|
8
|
4
|
$6,313.00
|
$5,050.00
20% off
|
$3,725.00
|
$6,704.00
|
$6,092.00
|
2026-09-03
|
|
J9034
|
HCPCS
|
Bendamustine (bendeka) 100mg/4ml [thay]
|
3
|
3
|
$4,725.49
|
—
|
$3,355.09
|
$4,536.47
|
$4,441.96
|
2026-07-17
|
|
24075753
|
CDM
|
Bendamustine (Bendeka) 100mg/4ml Mdv [Thay]
|
8
|
4
|
$4,680.00
|
$3,744.00
20% off
|
$2,761.00
|
$4,970.00
|
$4,516.50
|
2026-09-03
|
|
27115659
|
CDM
|
Bendamustine (Bendeka) 100mg/4ml Mdv [Thay]
|
8
|
4
|
$4,453.00
|
$3,562.00
20% off
|
$2,627.00
|
$4,729.00
|
$4,297.00
|
2026-09-03
|
|
23536716
|
CDM
|
Benralizumab (Fasenra) 30mg/ml Sd Syr [Thay]
|
8
|
4
|
$7,705.00
|
$6,164.00
20% off
|
$4,546.00
|
$8,183.00
|
$7,435.50
|
2026-09-03
|
|
J0517
|
HCPCS
|
Benralizumab 30 mg/mL Sol
|
3
|
3
|
$7,069.87
|
—
|
$5,019.61
|
$6,787.07
|
$6,645.68
|
2026-07-17
|
|
27317278
|
CDM
|
Bevacizumab (Avastin) 400mg/16ml Sdv [Thay]
|
8
|
4
|
$5,738.00
|
$4,590.00
20% off
|
$3,385.00
|
$6,094.00
|
$5,537.00
|
2026-09-03
|
|
27487125
|
CDM
|
Bevacizumab Bvzr (Zirabev) 400mg/16ml Sdv [Thay]
|
8
|
4
|
$4,416.00
|
$3,533.00
|
$2,605.00
|
$4,690.00
|
$4,261.50
|
2026-09-03
|
|
22167480
|
CDM
|
Bortezomib (Velcade) 3.5mg Sdv [Thay]
|
8
|
4
|
$3,078.00
|
$2,462.00
20% off
|
$1,816.00
|
$3,269.00
|
$2,970.50
|
2026-09-03
|
|
J9041
|
HCPCS
|
Bortezomib (velcade) 3.5mg Vial [thay]
|
3
|
3
|
$3,127.76
|
—
|
$2,220.71
|
$3,002.65
|
$2,940.09
|
2026-07-17
|
|
J9043
|
HCPCS
|
Cabazitaxel (jevtana) 60 Mg/1.5 Ml Sol [thay]
|
3
|
3
|
$19,805.47
|
—
|
$14,061.88
|
$19,013.25
|
$18,617.14
|
2026-07-17
|
|
23621449
|
CDM
|
Cabazitaxel (Jevtana) 60mg/6ml Sdv [Thay]
|
8
|
4
|
$230,700.00
|
$184,560.00
20% off
|
$136,113.00
|
$245,003.00
|
$222,625.50
|
2026-09-03
|
|
23095628
|
CDM
|
Calcitonin 400 Units/2ml Vial [Thay]
|
8
|
4
|
$5,262.00
|
$4,210.00
|
$3,105.00
|
$5,588.00
|
$5,078.00
|
2026-09-03
|
|
27328107
|
CDM
|
Calcitonin 400 Units/2ml Vial [Thay]
|
8
|
4
|
$5,260.00
|
$4,208.00
20% off
|
$3,103.00
|
$5,586.00
|
$5,076.00
|
2026-09-03
|
|
27419417
|
CDM
|
Cemiplimab (Libtayo) 350mg/7ml Sdv [Thay]
|
8
|
4
|
$17,297.00
|
$13,838.00
|
$10,205.00
|
$18,369.00
|
$16,691.50
|
2026-09-03
|
|
27463128
|
CDM
|
Certolizumab (Cimzia) 400 Mg/2 Syringe Kit [Thay]
|
8
|
4
|
$7,777.00
|
$6,222.00
|
$4,588.00
|
$8,259.00
|
$7,505.00
|
2026-09-03
|
|
J0717
|
HCPCS
|
Certolizumab (cimzia) 400 Mg/kit [thay]
|
3
|
3
|
$6,251.50
|
—
|
$4,438.57
|
$6,001.44
|
$5,876.41
|
2026-07-17
|
|
23598540
|
CDM
|
Certolizumab (Cimzia) 400 Mg/kit Vial [Thay]
|
8
|
4
|
$6,934.00
|
$5,547.00
20% off
|
$4,091.00
|
$7,364.00
|
$6,691.50
|
2026-09-03
|
|
24188307
|
CDM
|
Cetuximab (Erbitux) 200mg/100ml Sdv [Thay]
|
8
|
4
|
$2,797.00
|
$2,238.00
|
$1,650.00
|
$2,970.00
|
$2,699.00
|
2026-09-03
|
|
74170
|
CPT
|
CT Abdomen With + Without Contrast
|
11
|
7
|
$3,622.00
|
$2,898.00
|
$1,936.17
|
$3,847.00
|
$3,441.00
|
2026-09-03
|
|
74160
|
CPT
|
CT Abdomen With Contrast
|
11
|
7
|
$2,745.00
|
$2,196.00
20% off
|
$1,620.00
|
$2,915.00
|
$2,608.00
|
2026-09-03
|
|
74150
|
CPT
|
CT Abdomen Without Contrast
|
11
|
7
|
$2,740.00
|
$2,192.00
20% off
|
$1,465.44
|
$2,910.00
|
$2,603.00
|
2026-09-03
|
|
74178
|
CPT
|
CT Abdomen/pelvis W + Without Contrast
|
11
|
7
|
$5,807.00
|
$5,389.00
|
$3,324.93
|
$6,167.00
|
$5,517.00
|
2026-09-03
|
|
74176
|
CPT
|
CT Abdomen/pelvis Without Contrast
|
11
|
7
|
$4,435.00
|
$3,548.00
20% off
|
$2,497.78
|
$4,710.00
|
$4,213.00
|
2026-09-03
|
|
74175
|
CPT
|
CT Angiography Abdomen With + Without Contrast
|
11
|
7
|
$3,315.00
|
$2,652.00
20% off
|
$1,956.00
|
$3,521.00
|
$3,149.00
|
2026-09-03
|
|
74174
|
CPT
|
CT Angiography Abdomen/pelvis With + Without C
|
11
|
7
|
$5,896.00
|
$4,717.00
|
$3,479.00
|
$6,262.00
|
$5,601.00
|
2026-09-03
|
|
75635
|
CPT
|
CT Angiography Aorta With Runoff
|
11
|
7
|
$4,375.00
|
$3,500.00
20% off
|
$2,235.08
|
$4,646.00
|
$4,156.00
|
2026-09-03
|
|
71275
|
CPT
|
CT Angiography Chest W/wo Contrast
|
11
|
7
|
$3,639.00
|
$2,911.00
20% off
|
$2,146.33
|
$3,865.00
|
$3,457.00
|
2026-09-03
|
|
70496
|
CPT
|
CT Angiography Head With + Without Contrast
|
11
|
7
|
$3,004.00
|
$2,403.00
20% off
|
$1,772.00
|
$3,190.00
|
$2,854.00
|
2026-09-03
|
|
70498
|
CPT
|
CT Angiography Neck W/wo Contrast
|
11
|
7
|
$3,289.00
|
$2,631.00
20% off
|
$1,821.15
|
$3,493.00
|
$3,125.00
|
2026-09-03
|
|
72191
|
CPT
|
CT Angiography Pelvis With + Without Contrast
|
11
|
7
|
$3,686.00
|
$2,949.00
|
$2,175.00
|
$3,915.00
|
$3,502.00
|
2026-09-03
|
|
71260
|
CPT
|
CT Chest W/contrast
|
11
|
7
|
$2,921.00
|
$2,337.00
|
$1,629.45
|
$3,102.00
|
$2,775.00
|
2026-09-03
|
|
71270
|
CPT
|
CT Chest W/wo Contrast
|
11
|
7
|
$3,163.00
|
$2,530.00
20% off
|
$1,856.65
|
$3,359.00
|
$3,005.00
|
2026-09-03
|
|
70460
|
CPT
|
CT Head Or Brain With Contrast
|
11
|
7
|
$2,811.00
|
$2,249.00
|
$1,460.47
|
$2,985.00
|
$2,670.00
|
2026-09-03
|
|
73702
|
CPT
|
CT Lower Extremity W/+without Contrast Left
|
11
|
7
|
$2,871.00
|
$2,297.00
|
$1,694.00
|
$3,049.00
|
$2,727.00
|
2026-09-03
|
|
70482
|
CPT
|
CT Orbit Sella Etc. With + Without Contrast
|
11
|
7
|
$2,954.00
|
$2,363.00
20% off
|
$1,743.00
|
$3,137.00
|
$2,806.00
|
2026-09-03
|
|
70481
|
CPT
|
CT Orbit Sella Etc. With Contrast
|
11
|
7
|
$2,788.00
|
$2,230.00
20% off
|
$1,579.04
|
$2,961.00
|
$2,649.00
|
2026-09-03
|
|
72194
|
CPT
|
CT Pelvis With + Without Contrast
|
11
|
7
|
$3,285.00
|
$2,628.00
20% off
|
$1,832.51
|
$3,489.00
|
$3,121.00
|
2026-09-03
|
|
74177
|
CPT
|
CT Scan Of Abdomen And Pelvis With Contrast
|
11
|
7
|
$4,947.00
|
$3,958.00
|
$2,919.00
|
$5,254.00
|
$4,700.00
|
2026-09-03
|
|
72193
|
CPT
|
CT Scan Of Pelvis With Contrast
|
11
|
7
|
$3,164.00
|
$2,531.00
20% off
|
$1,670.63
|
$3,360.00
|
$3,006.00
|
2026-09-03
|
|
70492
|
CPT
|
CT Soft Tissue Neck/chest With + Without Cont
|
11
|
7
|
$3,115.00
|
$2,492.00
20% off
|
$1,830.38
|
$3,308.00
|
$2,959.00
|
2026-09-03
|
|
72127
|
CPT
|
CT Spine Cervical With + Without Contrast
|
11
|
7
|
$2,727.00
|
$2,182.00
|
$1,609.00
|
$2,896.00
|
$2,591.00
|
2026-09-03
|
|
72126
|
CPT
|
CT Spine Cervical With Contrast
|
11
|
7
|
$2,955.00
|
$2,364.00
20% off
|
$1,688.38
|
$3,138.00
|
$2,807.00
|
2026-09-03
|
|
72132
|
CPT
|
CT Spine Lumbar With Contrast
|
11
|
7
|
$2,923.00
|
$2,338.00
20% off
|
$1,576.20
|
$3,104.00
|
$2,777.00
|
2026-09-03
|
|
73202
|
CPT
|
CT Upper Extremity W/+without Contrast Left
|
11
|
7
|
$2,971.00
|
$2,377.00
|
$1,753.00
|
$3,155.00
|
$2,822.00
|
2026-09-03
|
|
24090082
|
CDM
|
Cyclophosphamide 2000 Mg Sdv [Thay]
|
8
|
4
|
$2,813.00
|
$2,250.00
20% off
|
$1,660.00
|
$2,987.00
|
$2,714.50
|
2026-09-03
|
|
52441
|
CPT
|
Cystourethroscopy W/ins Of Perm Adj Transprostatic Impl Single Implant
|
3
|
3
|
$3,427.00
|
—
|
$2,433.17
|
$3,289.92
|
$3,221.38
|
2026-07-17
|
|
52442
|
CPT
|
Cystourethroscopy W/ins Of Perm Adj Transprostatic Impl; Ea Addl Impl
|
3
|
3
|
$2,830.00
|
—
|
$2,009.30
|
$2,716.80
|
$2,660.20
|
2026-07-17
|
|
27808213
|
CDM
|
Dalbavancin (Dalvance) 500mg Sdv [Thay]
|
8
|
4
|
$3,202.00
|
$2,562.00
|
$1,889.00
|
$3,401.00
|
$3,090.00
|
2026-09-03
|
|
22713780
|
CDM
|
Dantrolene Sodium (Ryanodex) 250mg Vial [Thay]
|
8
|
4
|
$4,914.00
|
$3,931.00
20% off
|
$2,899.00
|
$5,219.00
|
$4,742.00
|
2026-09-03
|
|
22167554
|
CDM
|
Darbepoetin (Aranesp) 200mcg/1ml Sdv [Thay]
|
8
|
4
|
$2,972.00
|
$2,378.00
|
$1,753.00
|
$3,156.00
|
$2,868.00
|
2026-09-03
|
|
27863020
|
CDM
|
Denosumab (Prolia) 60mg/ml Sd Syr [Thay]
|
8
|
4
|
$3,215.00
|
$2,572.00
20% off
|
$1,897.00
|
$3,414.00
|
$3,102.50
|
2026-09-03
|
|
22167557
|
CDM
|
Denosumab (Prolia) 60mg/ml Sd Syr [Thay]
|
8
|
4
|
$2,836.00
|
$2,269.00
|
$1,673.00
|
$3,012.00
|
$2,737.00
|
2026-09-03
|
|
22167558
|
CDM
|
Denosumab (Xgeva) 120mg/1.7ml Vial [Thay]
|
8
|
4
|
$4,565.00
|
$3,652.00
20% off
|
$2,693.00
|
$4,848.00
|
$4,405.00
|
2026-09-03
|
|
49320
|
CPT
|
Diagnostic Laparosco
|
3
|
3
|
$9,251.00
|
—
|
$6,568.21
|
$8,880.96
|
$8,695.94
|
2026-07-17
|
|
24044111
|
CDM
|
Docetaxel 160mg/8ml Mdv [Thay]
|
8
|
4
|
$4,382.00
|
$3,506.00
|
$2,585.00
|
$4,654.00
|
$4,229.00
|
2026-09-03
|
|
27709128
|
CDM
|
Enfortumab (Padcev) 20mg/2ml Sdv [Thay]
|
8
|
4
|
$4,957.00
|
$3,966.00
|
$2,925.00
|
$5,264.00
|
$4,783.50
|
2026-09-03
|
|
24075
|
CPT
|
Exc Tumor Soft Tiss Upper Arm/elbow Subq <3cm
|
8
|
4
|
$3,772.00
|
$3,018.00
|
$2,225.00
|
$4,006.00
|
$3,640.00
|
2026-09-03
|
|
23574809
|
CDM
|
Fludeoxyglucose F-18 (Fdg F-18) Sol [Thay]
|
8
|
4
|
$39,000.00
|
$31,200.00
20% off
|
$23,010.00
|
$41,418.00
|
$37,635.00
|
2026-09-03
|
|
23867401
|
CDM
|
Fulvestrant 250mg/5ml X2 Sd Syr [Thay]
|
8
|
4
|
$3,490.00
|
$2,792.00
20% off
|
$2,059.00
|
$3,706.00
|
$3,367.50
|
2026-09-03
|
|
27511654
|
CDM
|
Fulvestrant 250mg/5ml X2 Sd Syr [Thay]
|
8
|
4
|
$3,141.00
|
$2,513.00
|
$1,853.00
|
$3,336.00
|
$3,031.00
|
2026-09-03
|
|
J9395
|
HCPCS
|
Fulvestrant 50 mg/mL Sol
|
3
|
3
|
$3,540.29
|
—
|
$2,513.61
|
$3,398.68
|
$3,327.87
|
2026-07-17
|
|
28008729
|
CDM
|
Golimumab 50 Mg/4 Ml Sol
|
8
|
4
|
$3,599.00
|
$2,879.00
20% off
|
$2,123.00
|
$3,822.00
|
$3,473.00
|
2026-09-03
|
|
24142658
|
CDM
|
Goserelin (Zoladex) 10.8 Mg Implant [Thay]
|
8
|
4
|
$3,955.00
|
$3,164.00
20% off
|
$2,333.00
|
$4,200.00
|
$3,816.50
|
2026-09-03
|
|
J7327
|
HCPCS
|
Hyaluronan (monovisc) Inj Syr [thay]
|
3
|
3
|
$2,900.00
|
—
|
$2,059.00
|
$2,784.00
|
$2,726.00
|
2026-07-17
|
|
23154476
|
CDM
|
Hyaluronate 88mg/4ml Sd Syr [Thay]
|
8
|
4
|
$2,880.00
|
$2,304.00
20% off
|
$1,699.00
|
$3,059.00
|
$2,779.50
|
2026-09-03
|
|
J9311
|
HCPCS
|
Hyaluronidase-rituximab 23,400 Units-1400 Mg/11.7 Ml Sol
|
3
|
3
|
$9,490.27
|
—
|
$6,738.09
|
$9,110.66
|
$8,920.85
|
2026-07-17
|
|
22167710
|
CDM
|
Immune Globulin (Gammagard 10%) IV 20gm [Thay]
|
8
|
4
|
$6,334.00
|
$5,067.00
20% off
|
$3,737.00
|
$6,727.00
|
$6,112.50
|
2026-09-03
|
|
J1569
|
HCPCS
|
Immune Globulin (gammagard 10%) IV 20gm [thay]
|
6
|
3
|
$7,104.62
|
—
|
$4,040.39
|
$8,177.80
|
$5,755.62
|
2026-07-17
|
|
63650
|
CPT
|
Implantation Of Neuro Electrode Array, Epidural
|
3
|
3
|
$6,155.00
|
—
|
$4,370.05
|
$5,908.80
|
$5,785.70
|
2026-07-17
|
|
27402322
|
CDM
|
Inclisiran (Leqvio) 284mg/1.5ml Sd Syr [Thay]
|
8
|
4
|
$5,460.00
|
$4,368.00
20% off
|
$3,221.00
|
$5,799.00
|
$5,269.00
|
2026-09-03
|
|
24089608
|
CDM
|
Ipilimumab (Yervoy) 200mg/40ml Sdv [Thay]
|
8
|
4
|
$56,755.00
|
$45,404.00
20% off
|
$33,485.00
|
$60,274.00
|
$54,768.50
|
2026-09-03
|
|
J9228
|
HCPCS
|
Ipilimumab (yervoy) 200mg/40ml Vial [thay]
|
6
|
3
|
$33,806.28
|
—
|
$9,622.30
|
$51,897.61
|
$25,696.53
|
2026-07-17
|
|
24089610
|
CDM
|
Ipilimumab (Yervoy) 50mg/10ml Sdv [Thay]
|
8
|
4
|
$14,189.00
|
$11,351.00
20% off
|
$8,372.00
|
$15,069.00
|
$13,692.00
|
2026-09-03
|
|
23853424
|
CDM
|
Lanreotide (Somatuline Depot) 120mg/0.5ml Sd Syr [Thay]
|
8
|
4
|
$13,769.00
|
$11,015.00
20% off
|
$8,124.00
|
$14,623.00
|
$13,287.00
|
2026-09-03
|
|
28025808
|
CDM
|
Lanreotide (Somatuline Depot) 120mg/0.5ml Sd Syr [Thay]
|
8
|
4
|
$12,805.00
|
$10,244.00
20% off
|
$7,555.00
|
$13,599.00
|
$12,357.00
|
2026-09-03
|
|
J1930
|
HCPCS
|
Lanreotide 120 Mg/0.5 Ml Sol
|
3
|
3
|
$11,492.48
|
—
|
$8,159.66
|
$11,032.78
|
$10,802.93
|
2026-07-17
|
|
23921065
|
CDM
|
Leuprolide (Eligard) 45mg Sd Syr [Thay]
|
8
|
4
|
$4,553.00
|
$3,642.00
20% off
|
$2,686.00
|
$4,835.00
|
$4,393.50
|
2026-09-03
|
|
27685708
|
CDM
|
Leuprolide (Eligard) 45mg Sd Syr [Thay]
|
8
|
4
|
$4,553.00
|
$3,642.00
20% off
|
$2,686.00
|
$4,835.00
|
$4,393.50
|
2026-09-03
|
|
22167748
|
CDM
|
Leuprolide (Eligard) 45mg Sd Syr [Thay]
|
8
|
4
|
$4,439.00
|
$3,551.00
20% off
|
$2,619.00
|
$4,714.00
|
$4,283.50
|
2026-09-03
|
|
J1950
|
HCPCS
|
Leuprolide Acetate (eligard) 45mg Kit [thay]
|
6
|
3
|
$4,515.91
|
—
|
$3,165.75
|
$4,390.10
|
$4,235.86
|
2026-07-17
|
|
90000403
|
CDM
|
Mild Device Kit
|
8
|
4
|
$4,649.00
|
$3,719.00
20% off
|
$2,743.00
|
$4,937.00
|
$4,486.50
|
2026-09-03
|
|
74185
|
CPT
|
MRA Abdomen With Or Without Contrast
|
11
|
7
|
$2,984.00
|
$2,387.00
20% off
|
$1,761.00
|
$3,169.00
|
$2,835.00
|
2026-09-03
|
|
71555
|
CPT
|
MRA Chest With + Without Contrast
|
11
|
7
|
$3,356.00
|
$2,685.00
|
$1,980.00
|
$3,564.00
|
$3,188.00
|
2026-09-03
|
|
70546
|
CPT
|
MRA Head With + Without Contrast
|
11
|
7
|
$7,088.00
|
$5,670.00
20% off
|
$2,778.23
|
$7,527.00
|
$6,734.00
|
2026-09-03
|
|
70545
|
CPT
|
MRA Head With Contrast
|
11
|
7
|
$5,679.00
|
$4,543.00
20% off
|
$3,351.00
|
$6,031.00
|
$5,395.00
|
2026-09-03
|
|
70544
|
CPT
|
MRA Head Without Contrast
|
11
|
7
|
$3,231.00
|
$2,585.00
|
$1,906.00
|
$3,431.00
|
$3,069.00
|
2026-09-03
|
|
73725
|
CPT
|
MRA Lower Extremity Left
|
11
|
7
|
$2,861.00
|
$2,289.00
|
$1,688.00
|
$3,038.00
|
$2,718.00
|
2026-09-03
|
|
70549
|
CPT
|
MRA Neck With + Without Contrast
|
11
|
7
|
$3,878.00
|
$3,102.00
20% off
|
$2,288.00
|
$4,118.00
|
$3,684.00
|
2026-09-03
|
|
70548
|
CPT
|
MRA Neck With Contrast
|
11
|
7
|
$3,236.00
|
$2,589.00
|
$1,909.00
|
$3,437.00
|
$3,074.00
|
2026-09-03
|
|
72198
|
CPT
|
MRA Pelvis With + Without Contrast
|
11
|
7
|
$3,020.00
|
$2,416.00
20% off
|
$1,782.00
|
$3,207.00
|
$2,869.00
|
2026-09-03
|
|
72159
|
CPT
|
MRA Spinal Canal
|
11
|
7
|
$3,144.00
|
$2,515.00
20% off
|
$1,855.00
|
$3,339.00
|
$2,987.00
|
2026-09-03
|
|
74183
|
CPT
|
MRI Abdomen With + Without Contrast
|
11
|
7
|
$5,136.00
|
$4,109.00
|
$2,763.32
|
$5,454.00
|
$4,879.00
|
2026-09-03
|
|
74181
|
CPT
|
MRI Abdomen Without Contrast
|
11
|
7
|
$3,641.00
|
$2,913.00
|
$2,009.30
|
$3,867.00
|
$3,459.00
|
2026-09-03
|
|
70552
|
CPT
|
MRI Brain With Contrast
|
11
|
7
|
$3,677.00
|
$2,942.00
|
$2,169.00
|
$3,905.00
|
$3,493.00
|
2026-09-03
|
|
70551
|
CPT
|
MRI Brain Without Contrast
|
11
|
7
|
$3,567.00
|
$2,854.00
|
$2,105.00
|
$3,788.00
|
$3,389.00
|
2026-09-03
|
|
71552
|
CPT
|
MRI Chest With + Without Contrast
|
11
|
7
|
$4,181.00
|
$3,345.00
|
$2,467.00
|
$4,440.00
|
$3,972.00
|
2026-09-03
|
|
71550
|
CPT
|
MRI Chest Without Contrast
|
11
|
7
|
$3,717.00
|
$2,974.00
|
$2,193.00
|
$3,947.00
|
$3,531.00
|
2026-09-03
|
|
70543
|
CPT
|
MRI Face Neck Orbit With + Without Contrast
|
11
|
7
|
$3,705.00
|
$2,964.00
20% off
|
$1,856.65
|
$3,935.00
|
$3,520.00
|
2026-09-03
|
|
70540
|
CPT
|
MRI Face Neck Orbit Without Contrast
|
11
|
7
|
$3,554.00
|
$2,843.00
20% off
|
$2,097.00
|
$3,774.00
|
$3,376.00
|
2026-09-03
|
|
73723
|
CPT
|
MRI Le Joint With + Without Contrast Left
|
11
|
7
|
$3,895.00
|
$3,116.00
20% off
|
$2,277.68
|
$4,136.00
|
$3,700.00
|
2026-09-03
|
|
73722
|
CPT
|
MRI Le Joint With Contrast Left
|
19
|
7
|
$3,796.00
|
$3,097.50
|
$2,240.00
|
$4,193.00
|
$3,682.00
|
2026-09-03
|
|
73720
|
CPT
|
MRI Le Non Joint With + Without Contrast Left
|
11
|
7
|
$3,739.00
|
$2,991.00
20% off
|
$2,029.89
|
$3,971.00
|
$3,552.00
|
2026-09-03
|
|
73718
|
CPT
|
MRI Le Non Joint Without Contrast Left
|
11
|
7
|
$2,869.00
|
$2,295.00
20% off
|
$1,657.14
|
$3,047.00
|
$2,726.00
|
2026-09-03
|
|
72197
|
CPT
|
MRI Pelvis With + Without Contrast
|
11
|
7
|
$4,266.00
|
$3,413.00
|
$2,387.02
|
$4,530.00
|
$4,053.00
|
2026-09-03
|
|
72196
|
CPT
|
MRI Pelvis With Contrast
|
11
|
7
|
$3,439.00
|
$2,751.00
20% off
|
$2,029.00
|
$3,652.00
|
$3,267.00
|
2026-09-03
|
|
72195
|
CPT
|
MRI Pelvis Without Contrast
|
11
|
7
|
$2,824.00
|
$2,259.00
20% off
|
$1,666.00
|
$2,999.00
|
$2,683.00
|
2026-09-03
|
|
70553
|
CPT
|
MRI Scan
|
11
|
7
|
$4,012.00
|
$3,210.00
|
$2,213.78
|
$4,261.00
|
$3,811.00
|
2026-09-03
|
|
73721
|
CPT
|
MRI Scan Of Leg Joint
|
11
|
7
|
$2,936.00
|
$2,349.00
|
$1,647.20
|
$3,118.00
|
$2,789.00
|
2026-09-03
|
|
72148
|
CPT
|
MRI Scan Of Lower Spinal Canal
|
11
|
7
|
$3,625.00
|
$2,900.00
20% off
|
$2,139.00
|
$3,850.00
|
$3,444.00
|
2026-09-03
|
|
72156
|
CPT
|
MRI Spine Cervical With + Without Contrast
|
11
|
7
|
$4,811.00
|
$3,849.00
|
$2,838.00
|
$5,109.00
|
$4,570.00
|
2026-09-03
|
|
72142
|
CPT
|
MRI Spine Cervical With Contrast
|
11
|
7
|
$4,009.00
|
$3,207.00
20% off
|
$1,537.86
|
$4,258.00
|
$3,809.00
|
2026-09-03
|
|
72141
|
CPT
|
MRI Spine Cervical Without Contrast
|
11
|
7
|
$3,557.00
|
$2,846.00
|
$2,099.00
|
$3,778.00
|
$3,379.00
|
2026-09-03
|
|
72158
|
CPT
|
MRI Spine Lumbar With + Without Contrast
|
11
|
7
|
$4,182.00
|
$3,346.00
|
$2,467.00
|
$4,441.00
|
$3,973.00
|
2026-09-03
|
|
72149
|
CPT
|
MRI Spine Lumbar With Contrast
|
11
|
7
|
$3,354.00
|
$2,683.00
20% off
|
$1,979.00
|
$3,562.00
|
$3,186.00
|
2026-09-03
|
|
72157
|
CPT
|
MRI Spine Thoracic With + Without Contrast
|
11
|
7
|
$4,210.00
|
$3,368.00
20% off
|
$2,484.00
|
$4,471.00
|
$4,000.00
|
2026-09-03
|
|
72147
|
CPT
|
MRI Spine Thoracic With Contrast
|
11
|
7
|
$4,038.00
|
$3,230.00
20% off
|
$1,350.42
|
$4,288.00
|
$3,836.00
|
2026-09-03
|
|
72146
|
CPT
|
MRI Spine Thoracic Without Contrast
|
11
|
7
|
$3,360.00
|
$2,688.00
20% off
|
$1,982.00
|
$3,568.00
|
$3,192.00
|
2026-09-03
|
|
73223
|
CPT
|
MRI Ue Joint With + Without Contrast Left
|
11
|
7
|
$3,600.00
|
$2,880.00
20% off
|
$2,124.00
|
$3,823.00
|
$3,420.00
|
2026-09-03
|
|
73222
|
CPT
|
MRI Ue Joint With Contrast Right
|
8
|
4
|
$3,948.00
|
$3,158.00
20% off
|
$2,329.00
|
$4,193.00
|
$3,810.00
|
2026-09-03
|
|
73221
|
CPT
|
MRI Ue Joint Without Contrast Left
|
11
|
7
|
$2,736.00
|
$2,189.00
|
$1,614.00
|
$2,906.00
|
$2,599.00
|
2026-09-03
|
|
73220
|
CPT
|
MRI Ue Non Joint With + Without Contrast Left
|
11
|
7
|
$3,473.00
|
$2,778.00
20% off
|
$2,049.00
|
$3,688.00
|
$3,299.00
|
2026-09-03
|
|
73219
|
CPT
|
MRI Ue Non Joint With Contrast Left
|
11
|
7
|
$3,079.00
|
$2,463.00
20% off
|
$1,817.00
|
$3,270.00
|
$2,925.00
|
2026-09-03
|
|
27417443
|
CDM
|
Naltrexone (Vivitrol) 380mg Sdv [Thay]
|
8
|
4
|
$2,880.00
|
$2,304.00
20% off
|
$1,699.00
|
$3,059.00
|
$2,779.50
|
2026-09-03
|
|
24089611
|
CDM
|
Nivolumab (Opdivo) 100mg/10ml Sdv [Thay]
|
8
|
4
|
$5,186.00
|
$4,149.00
|
$3,060.00
|
$5,508.00
|
$5,004.50
|
2026-09-03
|
|
J9299
|
HCPCS
|
Nivolumab (opdivo) 100mg/10ml Vial [thay]
|
3
|
3
|
$4,985.33
|
—
|
$3,539.58
|
$4,785.92
|
$4,686.21
|
2026-07-17
|
|
25117674
|
CDM
|
Nivolumab (Opdivo) 120mg/12ml Sdv [Thay]
|
8
|
4
|
$6,223.00
|
$4,978.00
20% off
|
$3,672.00
|
$6,609.00
|
$6,005.00
|
2026-09-03
|
|
24422546
|
CDM
|
Nivolumab (Opdivo) 240 Mg/24ml Sdv [Thay]
|
8
|
4
|
$12,447.00
|
$9,958.00
|
$7,344.00
|
$13,219.00
|
$12,011.50
|
2026-09-03
|
|
78452
|
CPT
|
Nuc Med Myocardial Spect Multiple Studies
|
11
|
7
|
$4,700.00
|
$3,760.00
20% off
|
$2,675.28
|
$4,991.00
|
$4,465.00
|
2026-09-03
|
|
23563797
|
CDM
|
Obinutuzumab (Gazyva) 1000mg/40ml Sdv [Thay]
|
8
|
4
|
$13,141.00
|
$10,513.00
|
$7,753.00
|
$13,956.00
|
$12,681.00
|
2026-09-03
|
|
J9301
|
HCPCS
|
Obinutuzumab 25 mg/mL Sol
|
3
|
3
|
$11,841.80
|
—
|
$8,407.68
|
$11,368.13
|
$11,131.29
|
2026-07-17
|
|
23814761
|
CDM
|
Ocrelizumab (Ocrevus) 300mg/10ml Sdv [Thay]
|
8
|
4
|
$25,627.00
|
$20,502.00
|
$15,120.00
|
$27,216.00
|
$24,730.00
|
2026-09-03
|
|
J2350
|
HCPCS
|
Ocrelizumab 300 Mg/10 Ml Sol
|
3
|
3
|
$23,420.00
|
—
|
$16,628.20
|
$22,483.20
|
$22,014.80
|
2026-07-17
|
|
27375771
|
CDM
|
Oritavancin (Kimyrsa) 1200mg Sdv [Thay]
|
8
|
4
|
$7,033.00
|
$5,626.00
20% off
|
$4,149.00
|
$7,469.00
|
$6,787.00
|
2026-09-03
|
|
27468074
|
CDM
|
Paclitaxel Protein-bound 100mg/20ml Sdv [Thay]
|
8
|
4
|
$3,034.00
|
$2,427.00
20% off
|
$1,790.00
|
$3,222.00
|
$2,928.00
|
2026-09-03
|
|
J2426
|
HCPCS
|
Paliperidone 234 Mg/1.5 Ml ER
|
6
|
3
|
$7,401.09
|
—
|
$2,292.71
|
$11,110.08
|
$5,658.41
|
2026-07-17
|
|
23137265
|
CDM
|
Paliperidone ER 234mg/1.5ml Sd Syr [Thay]
|
8
|
4
|
$4,174.00
|
$3,339.00
20% off
|
$2,463.00
|
$4,433.00
|
$4,028.00
|
2026-09-03
|
|
23325439
|
CDM
|
Paliperidone ER 819mg/2.625ml Sd Syr [Thay]
|
8
|
4
|
$13,361.00
|
$10,689.00
|
$7,883.00
|
$14,189.00
|
$12,893.50
|
2026-09-03
|
|
90378
|
CPT
|
Palivizumab (Synagis) 100mg/1ml Vial
|
28
|
7
|
$3,452.81
|
$2,641.50
23% off
|
$1,349.00
|
$4,585.00
|
$2,633.73
|
2026-09-03
|
|
27380102
|
CDM
|
Palivizumab 100mg/1ml Sdv [Thay]
|
8
|
4
|
$5,165.00
|
$4,132.00
20% off
|
$3,047.00
|
$5,485.00
|
$4,984.00
|
2026-09-03
|
|
22167892
|
CDM
|
Palivizumab 100mg/1ml Sdv [Thay]
|
8
|
4
|
$4,991.00
|
$3,993.00
|
$2,945.00
|
$5,300.00
|
$4,816.00
|
2026-09-03
|
|
27387874
|
CDM
|
Palivizumab 50mg/0.5ml Sdv [Thay]
|
8
|
4
|
$3,126.00
|
$2,501.00
|
$1,844.00
|
$3,320.00
|
$3,016.50
|
2026-09-03
|
|
22167893
|
CDM
|
Palivizumab 50mg/0.5ml Sdv [Thay]
|
8
|
4
|
$3,021.00
|
$2,417.00
|
$1,782.00
|
$3,208.00
|
$2,915.00
|
2026-09-03
|
|
J2505
|
HCPCS
|
Pegfilgrastim (neulasta) 6mg/0.6ml [thay]
|
3
|
3
|
$8,992.72
|
—
|
$6,384.83
|
$8,633.02
|
$8,453.16
|
2026-07-17
|
|
23639308
|
CDM
|
Pegfilgrastim 6mg/0.6 Ml Sd Onpro Kit [Thay]
|
8
|
4
|
$9,242.00
|
$7,394.00
|
$5,453.00
|
$9,815.00
|
$8,918.50
|
2026-09-03
|
|
22167897
|
CDM
|
Pegfilgrastim 6mg/0.6ml Sd Syr [Thay]
|
8
|
4
|
$9,242.00
|
$7,394.00
|
$5,453.00
|
$9,815.00
|
$8,918.50
|
2026-09-03
|
|
28001262
|
CDM
|
Pegfilgrastim Cbqv (Udenyca) 6mg/0.6ml Sd Onpro Kit [Thay]
|
8
|
4
|
$6,012.00
|
$4,810.00
|
$3,547.00
|
$6,385.00
|
$5,802.00
|
2026-09-03
|
|
27991038
|
CDM
|
Pegfilgrastim Cbqv (Udenyca) 6mg/0.6ml Sd Syr [Thay]
|
8
|
4
|
$6,012.00
|
$4,810.00
|
$3,547.00
|
$6,385.00
|
$5,802.00
|
2026-09-03
|
|
27552126
|
CDM
|
Pegfilgrastim Jmdb 6mg/0.6ml Sd Syr [Thay]
|
8
|
4
|
$6,012.00
|
$4,810.00
|
$3,547.00
|
$6,385.00
|
$5,802.00
|
2026-09-03
|
|
27712792
|
CDM
|
Pegfilgrastim Jmdb 6mg/0.6ml Sd Syr [Thay]
|
8
|
4
|
$3,758.00
|
$3,006.00
20% off
|
$2,217.00
|
$3,991.00
|
$3,626.50
|
2026-09-03
|
|
J9271
|
HCPCS
|
Pembrolizumab (keytruda) 25 Mg/ml Sol [thay]
|
3
|
3
|
$6,917.89
|
—
|
$4,911.70
|
$6,641.17
|
$6,502.81
|
2026-07-17
|
|
28012823
|
CDM
|
Pembrolizumab 100mg/4ml Sdv [Thay]
|
8
|
4
|
$8,326.00
|
$6,661.00
|
$4,912.00
|
$8,842.00
|
$8,034.50
|
2026-09-03
|
|
23793667
|
CDM
|
Pembrolizumab 100mg/4ml Sdv [Thay]
|
8
|
4
|
$7,541.00
|
$6,033.00
|
$4,449.00
|
$8,009.00
|
$7,277.00
|
2026-09-03
|
|
24049471
|
CDM
|
Pemetrexed (Alimta) 500mg/20ml Sdv [Thay]
|
8
|
4
|
$7,277.00
|
$5,822.00
|
$4,293.00
|
$7,728.00
|
$7,022.50
|
2026-09-03
|
|
J9305
|
HCPCS
|
PEMEtrexed 100 Mg Rec
|
6
|
3
|
$4,204.34
|
—
|
$1,277.43
|
$6,345.09
|
$3,209.98
|
2026-07-17
|
|
63685
|
CPT
|
Percutaneous Implantation Of Neurostimulator Electrode Array, Epidural)
|
3
|
3
|
$13,750.00
|
—
|
$9,762.50
|
$13,200.00
|
$12,925.00
|
2026-07-17
|
|
23598643
|
CDM
|
Pertuzumab (Perjeta) 420mg/14ml Sdv [Thay]
|
8
|
4
|
$10,610.00
|
$8,488.00
20% off
|
$6,260.00
|
$11,268.00
|
$10,239.00
|
2026-09-03
|
|
J9306
|
HCPCS
|
Pertuzumab (perjeta) 420mg/14ml Sol [thay]
|
3
|
3
|
$9,298.16
|
—
|
$6,601.69
|
$8,926.23
|
$8,740.27
|
2026-07-17
|
|
78815
|
CPT
|
PET Skullmid Thigh
|
11
|
7
|
$7,700.00
|
$6,160.00
20% off
|
$3,807.73
|
$8,177.00
|
$7,315.00
|
2026-09-03
|
|
78816
|
CPT
|
PET Whole Body
|
11
|
7
|
$6,270.00
|
$5,016.00
20% off
|
$3,699.00
|
$6,659.00
|
$5,957.00
|
2026-09-03
|
|
27452183
|
CDM
|
Prothrombin Complex (Kcentra) 1000unit Sdv [Thay]
|
8
|
4
|
$3,474.00
|
$2,779.00
20% off
|
$2,050.00
|
$3,689.00
|
$3,352.50
|
2026-09-03
|
|
Q4197
|
HCPCS
|
Puraply Am Xt 4.91 X 4.91
|
8
|
4
|
$5,738.00
|
$4,590.00
20% off
|
$3,385.00
|
$6,094.00
|
$5,537.00
|
2026-09-03
|
|
27839742
|
CDM
|
Rabies Immune Globulin (Hyperrab) 1500units / 5ml Sdv [Thay]
|
8
|
4
|
$5,229.00
|
$4,183.00
20% off
|
$3,085.00
|
$5,553.00
|
$5,046.00
|
2026-09-03
|
|
27834930
|
CDM
|
Rabies Immune Globulin (Hyperrab) 900units / 3ml Sdv [Thay]
|
8
|
4
|
$3,620.00
|
$2,896.00
20% off
|
$2,136.00
|
$3,844.00
|
$3,493.00
|
2026-09-03
|
|
23903165
|
CDM
|
Rasburicase (Elitek) 7.5 Mg Sdv [Thay]
|
8
|
4
|
$7,098.00
|
$5,678.00
20% off
|
$4,188.00
|
$7,538.00
|
$6,849.50
|
2026-09-03
|
|
J2783
|
HCPCS
|
Rasburicase 7.5 Mg Rec
|
3
|
3
|
$6,263.31
|
—
|
$4,446.95
|
$6,012.78
|
$5,887.51
|
2026-07-17
|
|
11646
|
CPT
|
Remove Malig Lesion W/margins, Face, Ears, Eyelids, Nose, Lips; Diam 4.0+ Cm Cha…
|
11
|
7
|
$4,952.00
|
$3,962.00
|
$1,831.80
|
$5,259.00
|
$4,704.00
|
2026-09-03
|
|
24342
|
CPT
|
Repair Of Ruptured Tendon
|
16
|
4
|
$6,410.50
|
$5,128.50
|
$650.00
|
$12,493.00
|
$4,055.50
|
2026-09-03
|
|
27829161
|
CDM
|
Risankizumab Rzaa (Skyrizi) 600mg/10ml Sdv [Thay]
|
8
|
4
|
$14,572.00
|
$11,658.00
|
$8,597.00
|
$15,475.00
|
$14,062.00
|
2026-09-03
|
|
J9312
|
HCPCS
|
riTUXimab (rituxan) 100 Mg/ 10 Ml Vial [thay]
|
6
|
3
|
$5,236.15
|
—
|
$1,396.30
|
$8,165.45
|
$3,963.49
|
2026-07-17
|
|
23784443
|
CDM
|
Rituximab 500 Mg/50ml Sdv [Thay]
|
8
|
4
|
$8,456.00
|
$6,765.00
|
$4,989.00
|
$8,980.00
|
$8,160.00
|
2026-09-03
|
|
28013757
|
CDM
|
Rituximab-abbs (Truxima) 500 Mg/50ml Sdv [Thay]
|
8
|
4
|
$7,610.00
|
$6,088.00
20% off
|
$4,490.00
|
$8,082.00
|
$7,344.00
|
2026-09-03
|
|
23897094
|
CDM
|
Rituximab/hyaluronidase 1400mg/11.7ml Sdv [Thay]
|
8
|
4
|
$9,470.00
|
$7,576.00
20% off
|
$5,587.00
|
$10,057.00
|
$9,138.50
|
2026-09-03
|
|
22167974
|
CDM
|
Romiplostim (Nplate) 250mcg Sdv [Thay]
|
8
|
4
|
$4,054.00
|
$3,243.00
20% off
|
$2,392.00
|
$4,305.00
|
$3,912.00
|
2026-09-03
|
|
J2796
|
HCPCS
|
Romiplostim (nplate) 250mcg Vial [thay]
|
3
|
3
|
$2,816.80
|
—
|
$1,999.93
|
$2,704.13
|
$2,647.79
|
2026-07-17
|
|
J3111
|
HCPCS
|
Romosozumab 105 Mg/1.17 Ml Sol
|
3
|
3
|
$3,305.00
|
—
|
$2,346.55
|
$3,172.80
|
$3,106.70
|
2026-07-17
|
|
27843142
|
CDM
|
Romosozumab 210 Mg/2.34ml Sd Syr [Thay]
|
8
|
4
|
$4,206.00
|
$3,365.00
|
$2,482.00
|
$4,467.00
|
$4,059.00
|
2026-09-03
|
|
23817641
|
CDM
|
Romosozumab 210 Mg/2.34ml Sd Syr [Thay]
|
8
|
4
|
$3,684.00
|
$2,947.00
20% off
|
$2,174.00
|
$3,912.00
|
$3,555.00
|
2026-09-03
|
|
J9999
|
HCPCS
|
Sacituzumab Govitecan 180 Mg Rec
|
3
|
3
|
$3,671.60
|
—
|
$2,606.84
|
$3,524.74
|
$3,451.30
|
2026-07-17
|
|
24049464
|
CDM
|
Sacituzumab Govitecan 180mg Sdv [Thay]
|
8
|
4
|
$3,622.00
|
$2,898.00
|
$2,137.00
|
$3,847.00
|
$3,495.00
|
2026-09-03
|
|
29807
|
CPT
|
Shoulder Arthroscopy/surgery
|
3
|
3
|
$4,200.00
|
—
|
$2,982.00
|
$4,032.00
|
$3,948.00
|
2026-07-17
|
|
95810
|
CPT
|
Sleep Study
|
11
|
7
|
$4,113.00
|
$3,290.00
20% off
|
$2,427.00
|
$4,368.00
|
$3,907.00
|
2026-09-03
|
|
22168017
|
CDM
|
Tenecteplase (Tnkase) 50mg IV Kit [Thay]
|
8
|
4
|
$9,686.00
|
$7,749.00
|
$5,715.00
|
$10,287.00
|
$9,347.00
|
2026-09-03
|
|
J3101
|
HCPCS
|
Tenecteplase (tnkase) 50mg IV Kit [thay]
|
3
|
3
|
$8,714.34
|
—
|
$6,187.18
|
$8,365.76
|
$8,191.48
|
2026-07-17
|
|
28011
|
CPT
|
Tenotomy, Percutaneous, Toe; Multiple Tendons
|
16
|
4
|
$6,479.00
|
$5,183.50
|
$247.00
|
$12,984.00
|
$3,972.50
|
2026-09-03
|
|
TESTCDM
|
CDM
|
Test Charge Item
|
8
|
4
|
$6,750.00
|
$5,400.00
20% off
|
$3,983.00
|
$7,169.00
|
$6,514.00
|
2026-09-03
|
|
27953825
|
CDM
|
Tezepelumab Ekko 210 Mg/1.91 Ml Sol
|
8
|
4
|
$6,302.00
|
$5,042.00
|
$3,718.00
|
$6,693.00
|
$6,081.50
|
2026-09-03
|
|
27644865
|
CDM
|
Tildrakizumab (Ilumya) 100mg Sd Syr [Thay]
|
8
|
4
|
$23,640.00
|
$18,912.00
20% off
|
$13,948.00
|
$25,106.00
|
$22,812.50
|
2026-09-03
|
|
23598642
|
CDM
|
Trastuzumab (Herceptin) 150 Mg Sdv [Thay]
|
8
|
4
|
$2,992.00
|
$2,394.00
|
$1,765.00
|
$3,178.00
|
$2,887.00
|
2026-09-03
|
|
J9355
|
HCPCS
|
Trastuzumab (herceptin) 150 Mg Vial [thay]
|
3
|
3
|
$3,042.16
|
—
|
$2,159.93
|
$2,920.47
|
$2,859.63
|
2026-07-17
|
|
93306
|
CPT
|
US Echo Complete
|
11
|
7
|
$2,700.00
|
$2,160.00
20% off
|
$1,347.58
|
$2,867.00
|
$2,565.00
|
2026-09-03
|
|
28013808
|
CDM
|
Vedolizumab (Entyvio) 300mg Sdv [Thay]
|
8
|
4
|
$13,478.00
|
$10,782.00
20% off
|
$7,952.00
|
$14,314.00
|
$13,006.50
|
2026-09-03
|
|
36573
|
CPT
|
Xr Insert Picc Line 5+ Year.
|
11
|
7
|
$3,207.00
|
$2,566.00
|
$1,892.00
|
$3,406.00
|
$3,047.00
|
2026-09-03
|