|
Q2054
|
HCPCS
|
Hc Lisocabtagene Mara Car Pos T (Breyanzi)
|
112
|
95
|
$2,956,964.98
|
$1,922,027.24
35% off
|
$455,372.61
|
$2,749,977.43
|
$595,933.32
|
2026-03-01
|
|
Q2041
|
HCPCS
|
Hc Axicabtagene Ciloleucel Car+ (Yescarta)
|
112
|
95
|
$2,909,170.00
|
$1,890,960.50
35% off
|
$448,012.18
|
$2,705,528.10
|
$564,123.78
|
2026-03-01
|
|
Q2055
|
HCPCS
|
Hc Idecabtagene Vicleucel Car 50ml (Abecma)
|
112
|
95
|
$2,884,057.54
|
$1,874,637.40
35% off
|
$444,144.86
|
$2,682,173.51
|
$591,566.63
|
2026-03-01
|
|
Q2056
|
CPT
|
Hc Ciltacabtagene Car-pos T(Carvykti) 70 Ml
|
111
|
94
|
$2,776,552.00
|
$1,804,758.80
35% off
|
$6,696.41
|
$2,582,193.36
|
$611,155.56
|
2026-03-01
|
|
Q2042
|
HCPCS
|
Tisagenlecleucel IV Up To 600 Million Car Pos
|
112
|
95
|
$2,591,313.00
|
$1,684,353.45
35% off
|
$399,062.20
|
$2,409,921.09
|
$600,523.18
|
2026-03-01
|
|
Q2053
|
HCPCS
|
Hc Brexucabtagene Car Pos T (Tecartus) Mcl
|
145
|
95
|
$2,448,600.00
|
$1,591,590.00
35% off
|
$377,084.40
|
$2,482,145.82
|
$621,536.73
|
2026-03-01
|
|
Rx24338005008_C9399_100095_000
|
OTHER
|
Carmustine In Polifeprosan 77 Mg Wafer For Implant
|
66
|
49
|
$1,902,341.00
|
$1,236,521.65
35% off
|
$9.79
|
$1,902,341.00
|
$119,419.04
|
2026-05-28
|
|
Rx30237890006_Q2043_100095_000
|
OTHER
|
Sipuleucelt In Lactated Ringers 50 Million Cell 25
|
112
|
61
|
$586,116.90
|
$380,975.99
35% off
|
$629.77
|
$586,116.90
|
$57,833.44
|
2026-05-28
|
|
Rx71336100301_J0225_100095_000
|
OTHER
|
Vutrisiran 25 Mg 0.5 Ml Subcutaneous Syringe 0.5 M
|
58
|
38
|
$459,740.10
|
$298,831.07
35% off
|
$9,894.77
|
$459,740.10
|
$136,693.54
|
2026-05-06
|
|
J0225
|
HCPCS
|
Vutrisiran 25 Mg/0.5 Ml Subcutaneous Syringe
|
118
|
98
|
$459,740.10
|
$298,831.06
35% off
|
$5,009.56
|
$427,558.29
|
$70,799.98
|
2026-03-01
|
|
Rx64406005801_J2326_100095_000
|
OTHER
|
Nusinersen Pf 12 Mg 5 Ml Intrathecal Solution 5 Ml
|
80
|
59
|
$418,481.00
|
$272,012.65
35% off
|
$629.77
|
$418,481.00
|
$155,219.65
|
2026-05-28
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
73
|
61
|
—
|
$268,783.37
|
$9,059.83
|
$352,656.64
|
$95,524.17
|
2026-03-01
|
|
Rx68382039601_J3490_100095_000
|
OTHER
|
Sodium Benzoate 10 -sodium Phenylacetate 10 Intra
|
57
|
46
|
$284,700.00
|
$185,055.00
35% off
|
$629.77
|
$284,700.00
|
$107,276.27
|
2026-05-28
|
|
PX-8120000001
|
CDM
|
Hc Cadaver Donor Sac- Liver
|
37
|
31
|
$269,900.00
|
$175,435.00
35% off
|
$41,564.60
|
$251,007.00
|
$187,310.60
|
2026-03-01
|
|
Sx00000197247_00000_100095_000
|
OTHER
|
Kit Implnt Lvad Heartmate 3
|
71
|
47
|
$244,815.00
|
$159,129.75
35% off
|
$629.77
|
$290,840.00
|
$157,660.86
|
2026-05-28
|
|
Sx00000196816_00000_100095_000
|
OTHER
|
Implant Heartmate Ii
|
85
|
58
|
$206,000.00
|
$133,900.00
35% off
|
$629.77
|
$226,600.00
|
$85,201.60
|
2026-05-28
|
|
Rx00597003510_00000_100095_000
|
OTHER
|
Spesolimabsbzo 60 Mg Ml Intravenous Solution 7.5 M
|
24
|
22
|
$200,903.60
|
$130,587.34
35% off
|
$48,417.77
|
$200,903.60
|
$151,983.58
|
2026-05-06
|
|
PX-8120000000
|
CDM
|
Hc Cadaver Donor Sac- Kidney
|
37
|
31
|
$194,370.00
|
$126,340.50
35% off
|
$29,932.98
|
$180,764.10
|
$134,892.78
|
2026-03-01
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
69
|
57
|
—
|
$125,421.72
|
$9,059.83
|
$141,173.52
|
$47,114.64
|
2026-03-01
|
|
Sx00000204485_00000_100095_000
|
OTHER
|
Implant Hvad Pump
|
71
|
47
|
$186,625.00
|
$121,306.25
35% off
|
$629.77
|
$205,287.50
|
$120,186.51
|
2026-05-28
|
|
Rx75987015001_J1823_100095_000
|
OTHER
|
Inebilizumabcdon 10 Mg Ml Intravenous Solution 10
|
70
|
42
|
$176,030.40
|
$114,419.76
35% off
|
$947.03
|
$176,030.40
|
$58,519.71
|
2026-05-06
|
|
Rx75987015003_J1823_100095_000
|
OTHER
|
Inebilizumabcdon 10 Mg Ml Intravenous Solution 10
|
70
|
42
|
$176,030.40
|
$114,419.76
35% off
|
$947.03
|
$176,030.40
|
$58,519.71
|
2026-05-06
|
|
Sx00000216398_00000_100095_000
|
OTHER
|
Custom Extendible P Tibia
|
33
|
25
|
$166,500.00
|
$108,225.00
35% off
|
$629.77
|
$166,500.00
|
$84,915.00
|
2026-05-28
|
|
PX-8110000000
|
CDM
|
Hc Living Donor Sac- Kidney
|
37
|
31
|
$165,000.00
|
$107,250.00
35% off
|
$25,410.00
|
$153,450.00
|
$114,510.00
|
2026-03-01
|
|
C1823
|
HCPCS
|
Hc Remede System 1001
|
78
|
31
|
$151,250.00
|
$98,312.50
35% off
|
$22,233.75
|
$147,056.25
|
$98,319.38
|
2026-03-01
|
|
Rx00310453530_J9347_100095_000
|
OTHER
|
Tremelimumabactl 20 Mg Ml Intravenous Solution 15
|
58
|
38
|
$150,228.00
|
$97,648.20
35% off
|
$272.19
|
$150,228.00
|
$44,883.12
|
2026-05-06
|
|
Rx50633021011_C9293_100095_000
|
OTHER
|
Glucarpidase 1000 Unit Intravenous Solution 1 Eac
|
47
|
37
|
$148,225.00
|
$96,346.25
35% off
|
$29,382.44
|
$148,225.00
|
$74,112.50
|
2026-05-06
|
|
38240
|
CPT
|
Hc Hpc Allogeneic
|
101
|
81
|
$147,856.00
|
$96,106.40
35% off
|
$4,859.58
|
$137,506.08
|
$62,055.06
|
2026-03-01
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
69
|
56
|
—
|
$85,608.81
|
$17,565.46
|
$146,502.40
|
$48,893.05
|
2026-03-01
|
|
Rx66658051001_J9210_100095_000
|
OTHER
|
Emapalumablzsg 5 Mg Ml Intravenous Solution 20 Ml
|
110
|
61
|
$130,082.50
|
$84,553.63
35% off
|
$456.87
|
$130,082.50
|
$40,494.46
|
2026-05-28
|
|
PX-8130000000
|
CDM
|
Hc Cadaver Donor Sac-pancreas
|
37
|
31
|
$121,000.00
|
$78,650.00
35% off
|
$18,634.00
|
$112,530.00
|
$83,974.00
|
2026-03-01
|
|
C1605
|
HCPCS
|
Hc Aveir Ntap C1605
|
49
|
41
|
$118,705.00
|
$77,158.25
35% off
|
$18,280.57
|
$110,395.65
|
$70,985.59
|
2026-03-01
|
|
33276
|
CPT
|
Hc Insertion Phrenic Nerve Stimulator System
|
78
|
62
|
$112,501.00
|
$73,125.65
35% off
|
$17,325.15
|
$104,625.93
|
$43,454.03
|
2026-03-01
|
|
Sx00000268839_00000_100095_000
|
OTHER
|
Kit NeuRx Dps
|
35
|
24
|
$100,375.00
|
$65,243.75
35% off
|
$24,190.38
|
$100,375.00
|
$71,065.50
|
2026-05-06
|
|
Sx00000062346_00000_100095_000
|
OTHER
|
Transcatheter Sapien 3 23mm
|
35
|
24
|
$89,375.00
|
$58,093.75
35% off
|
$21,539.38
|
$89,375.00
|
$63,277.50
|
2026-05-06
|
|
Sx00000118466_00000_100095_000
|
OTHER
|
Valve Certitude 23mm
|
35
|
24
|
$89,375.00
|
$58,093.75
35% off
|
$21,539.38
|
$89,375.00
|
$63,277.50
|
2026-05-06
|
|
Sx00000118467_00000_100095_000
|
OTHER
|
Valve Certitude 26mm
|
35
|
24
|
$89,375.00
|
$58,093.75
35% off
|
$21,539.38
|
$89,375.00
|
$63,277.50
|
2026-05-06
|
|
Sx00000062345_00000_100095_000
|
OTHER
|
Transcatheter Sapien 3 29mm
|
35
|
24
|
$89,375.00
|
$58,093.75
35% off
|
$21,539.38
|
$89,375.00
|
$63,277.50
|
2026-05-06
|
|
Sx00000192129_00000_100095_000
|
OTHER
|
Transcath Ultra S3 Ultra 23mm
|
35
|
24
|
$89,375.00
|
$58,093.75
35% off
|
$21,539.38
|
$89,375.00
|
$63,277.50
|
2026-05-06
|
|
Sx00000264286_00000_100095_000
|
OTHER
|
Valve Tavr Sapien 3 Ultra Comm Sys 20mm
|
35
|
24
|
$89,375.00
|
$58,093.75
35% off
|
$21,539.38
|
$89,375.00
|
$63,277.50
|
2026-05-06
|
|
Sx00000192128_00000_100095_000
|
OTHER
|
Transcath Ultra S3 Ultra 20mm
|
35
|
24
|
$89,375.00
|
$58,093.75
35% off
|
$21,539.38
|
$89,375.00
|
$63,277.50
|
2026-05-06
|
|
Sx00000195429_00000_100095_000
|
OTHER
|
Valve 27mm Lotus And Large Lotus
|
35
|
24
|
$89,375.00
|
$58,093.75
35% off
|
$21,539.38
|
$89,375.00
|
$63,277.50
|
2026-05-06
|
|
Sx00000118468_00000_100095_000
|
OTHER
|
Valve Certitude 29mm
|
35
|
24
|
$89,375.00
|
$58,093.75
35% off
|
$21,539.38
|
$89,375.00
|
$63,277.50
|
2026-05-06
|
|
Sx00000195427_00000_100095_000
|
OTHER
|
Valve 23mm Lotus And Large Lotus
|
35
|
24
|
$89,375.00
|
$58,093.75
35% off
|
$21,539.38
|
$89,375.00
|
$63,277.50
|
2026-05-06
|
|
Sx00000195428_00000_100095_000
|
OTHER
|
Valve 25mm Lotus And Large Lotus
|
35
|
24
|
$89,375.00
|
$58,093.75
35% off
|
$21,539.38
|
$89,375.00
|
$63,277.50
|
2026-05-06
|
|
Sx00000195425_00000_100095_000
|
OTHER
|
Valve 25mm Lotus With 15f Isleeve
|
35
|
24
|
$89,375.00
|
$58,093.75
35% off
|
$21,539.38
|
$89,375.00
|
$63,277.50
|
2026-05-06
|
|
Sx00000195424_00000_100095_000
|
OTHER
|
Valve 23mm Lotus With 15f Isleeve
|
35
|
24
|
$89,375.00
|
$58,093.75
35% off
|
$21,539.38
|
$89,375.00
|
$63,277.50
|
2026-05-06
|
|
Sx00000062343_00000_100095_000
|
OTHER
|
Transcatheter Sapien 3 20mm
|
35
|
24
|
$89,375.00
|
$58,093.75
35% off
|
$21,539.38
|
$89,375.00
|
$63,277.50
|
2026-05-06
|
|
Sx00000195426_00000_100095_000
|
OTHER
|
Valve 27mm Lotus With 15f Isleeve
|
35
|
24
|
$89,375.00
|
$58,093.75
35% off
|
$21,539.38
|
$89,375.00
|
$63,277.50
|
2026-05-06
|
|
Sx00000148134_00000_100095_000
|
OTHER
|
Valve 20mm Certitude
|
35
|
24
|
$89,375.00
|
$58,093.75
35% off
|
$21,539.38
|
$89,375.00
|
$63,277.50
|
2026-05-06
|
|
Sx00000192130_00000_100095_000
|
OTHER
|
Transcath Ultra S3 Ultra 26mm
|
35
|
24
|
$89,375.00
|
$58,093.75
35% off
|
$21,539.38
|
$89,375.00
|
$63,277.50
|
2026-05-06
|
|
Sx00000062344_00000_100095_000
|
OTHER
|
Transcatheter Sapien 3 26mm
|
35
|
24
|
$89,375.00
|
$58,093.75
35% off
|
$21,539.38
|
$89,375.00
|
$63,277.50
|
2026-05-06
|
|
Sx00000191617_00000_100095_000
|
OTHER
|
Cath Pump Impella 55 US
|
82
|
58
|
$87,500.00
|
$56,875.00
35% off
|
$34.39
|
$96,250.00
|
$45,456.25
|
2026-05-28
|
|
Rx00069033621_00000_100095_000
|
OTHER
|
Sildenafil Pulmonary Hypertension 10 Mg Ml Oral Po
|
24
|
22
|
$85,454.10
|
$55,545.17
35% off
|
$20,594.44
|
$85,454.10
|
$64,646.03
|
2026-05-06
|
|
0483T
|
CPT
|
Hc Tmvi Percutaneous Approach
|
40
|
34
|
$83,602.00
|
$54,341.30
35% off
|
$12,874.71
|
$77,749.86
|
$55,762.54
|
2026-03-01
|
|
Sx00000240844_00000_100095_000
|
OTHER
|
Cnterpc Vbr 20 Mm Ht 5387 Mm
|
35
|
24
|
$82,522.00
|
$53,639.30
35% off
|
$19,887.80
|
$82,522.00
|
$58,425.58
|
2026-05-06
|
|
Sx00000240845_00000_100095_000
|
OTHER
|
Cnterpc Vbr 20 Mm Ht 76132 Mm
|
35
|
24
|
$82,522.00
|
$53,639.30
35% off
|
$19,887.80
|
$82,522.00
|
$58,425.58
|
2026-05-06
|
|
Sx00000240843_00000_100095_000
|
OTHER
|
Cnterpc Vbr 20 Mm Ht 40-62 Mm
|
68
|
44
|
$82,522.00
|
$53,639.30
35% off
|
$629.77
|
$82,522.00
|
$49,025.57
|
2026-05-28
|
|
Sx00000101268_00000_100095_000
|
OTHER
|
Evolutpro 29mm
|
35
|
24
|
$82,500.00
|
$53,625.00
35% off
|
$19,882.50
|
$82,500.00
|
$58,410.00
|
2026-05-06
|
|
Sx00000101267_00000_100095_000
|
OTHER
|
Evolutpro 26mm
|
35
|
24
|
$82,500.00
|
$53,625.00
35% off
|
$19,882.50
|
$82,500.00
|
$58,410.00
|
2026-05-06
|
|
Sx00000062348_00000_100095_000
|
OTHER
|
Valve Evolut R Transcath 26mm
|
35
|
24
|
$82,500.00
|
$53,625.00
35% off
|
$19,882.50
|
$82,500.00
|
$58,410.00
|
2026-05-06
|
|
Sx00000062349_00000_100095_000
|
OTHER
|
Valve Evolut R Transcath 29mm
|
35
|
24
|
$82,500.00
|
$53,625.00
35% off
|
$19,882.50
|
$82,500.00
|
$58,410.00
|
2026-05-06
|
|
Sx00000027010_00000_100095_000
|
OTHER
|
Corevalve 26mm
|
35
|
24
|
$82,500.00
|
$53,625.00
35% off
|
$19,882.50
|
$82,500.00
|
$58,410.00
|
2026-05-06
|
|
Sx00000022701_00000_100095_000
|
OTHER
|
Corevalve 31mm
|
35
|
24
|
$82,500.00
|
$53,625.00
35% off
|
$19,882.50
|
$82,500.00
|
$58,410.00
|
2026-05-06
|
|
Sx00000195430_00000_100095_000
|
OTHER
|
Mictraclip G4 System
|
35
|
24
|
$82,500.00
|
$53,625.00
35% off
|
$19,882.50
|
$82,500.00
|
$58,410.00
|
2026-05-06
|
|
Sx00000015949_00000_100095_000
|
OTHER
|
Corevalve 23mm
|
35
|
24
|
$82,500.00
|
$53,625.00
35% off
|
$19,882.50
|
$82,500.00
|
$58,410.00
|
2026-05-06
|
|
Sx00000192114_00000_100095_000
|
OTHER
|
Valve Aort Evolutpro Plus 29mm
|
35
|
24
|
$82,500.00
|
$53,625.00
35% off
|
$19,882.50
|
$82,500.00
|
$58,410.00
|
2026-05-06
|
|
Sx00000192115_00000_100095_000
|
OTHER
|
Valve Aort Evolutpro Plus 34mm
|
35
|
24
|
$82,500.00
|
$53,625.00
35% off
|
$19,882.50
|
$82,500.00
|
$58,410.00
|
2026-05-06
|
|
Sx00000192112_00000_100095_000
|
OTHER
|
Valve Aort Evolutpro Plus 23mm
|
35
|
24
|
$82,500.00
|
$53,625.00
35% off
|
$19,882.50
|
$82,500.00
|
$58,410.00
|
2026-05-06
|
|
Sx00000192113_00000_100095_000
|
OTHER
|
Valve Aort Evolutpro Plus 26mm
|
35
|
24
|
$82,500.00
|
$53,625.00
35% off
|
$19,882.50
|
$82,500.00
|
$58,410.00
|
2026-05-06
|
|
Sx00000002826_00000_100095_000
|
OTHER
|
Corevalve 29mm
|
35
|
24
|
$82,500.00
|
$53,625.00
35% off
|
$19,882.50
|
$82,500.00
|
$58,410.00
|
2026-05-06
|
|
Sx00000062347_00000_100095_000
|
OTHER
|
Valve Evolut R Transcath 23mm
|
35
|
24
|
$82,500.00
|
$53,625.00
35% off
|
$19,882.50
|
$82,500.00
|
$58,410.00
|
2026-05-06
|
|
Sx00000101266_00000_100095_000
|
OTHER
|
Evolutpro 23mm
|
35
|
24
|
$82,500.00
|
$53,625.00
35% off
|
$19,882.50
|
$82,500.00
|
$58,410.00
|
2026-05-06
|
|
Sx00000075478_00000_100095_000
|
OTHER
|
Cath Trans Evolut R 34mm
|
68
|
44
|
$82,500.00
|
$53,625.00
35% off
|
$629.77
|
$82,500.00
|
$49,012.50
|
2026-05-28
|
|
Rx00074106501_C9399_100095_000
|
OTHER
|
Risankizumabrzaa 180 Mg 1.2 Ml 150 Mg Ml Subcut We
|
31
|
26
|
$80,958.90
|
$52,623.29
35% off
|
$9.79
|
$80,958.90
|
$56,671.23
|
2026-05-06
|
|
Rx00074106601_C9399_100095_000
|
OTHER
|
Risankizumabrzaa 180 Mg 1.2 Ml 150 Mg Ml Subcut We
|
31
|
26
|
$80,958.90
|
$52,623.29
35% off
|
$9.79
|
$80,958.90
|
$56,671.23
|
2026-05-06
|
|
Sx00000243045_00000_100095_000
|
OTHER
|
Ipg Barostim Neo
|
33
|
25
|
$78,750.00
|
$51,187.50
35% off
|
$629.77
|
$78,750.00
|
$40,162.50
|
2026-05-28
|
|
Sx00000240839_00000_100095_000
|
OTHER
|
Cnterpc Vbr 20 Mm Ht 2028 Mm
|
35
|
24
|
$78,512.50
|
$51,033.13
35% off
|
$18,921.51
|
$78,512.50
|
$55,586.85
|
2026-05-06
|
|
Sx00000240842_00000_100095_000
|
OTHER
|
Cnterpc Vbr 20 Mm Ht 3247 Mm
|
35
|
24
|
$78,512.50
|
$51,033.13
35% off
|
$18,921.51
|
$78,512.50
|
$55,586.85
|
2026-05-06
|
|
Sx00000192126_00000_100095_000
|
OTHER
|
Valve 27mm Lotus Edge Sys
|
35
|
24
|
$77,000.00
|
$50,050.00
35% off
|
$18,557.00
|
$77,000.00
|
$54,516.00
|
2026-05-06
|
|
Sx00000192125_00000_100095_000
|
OTHER
|
Valve 25mm Lotus Edge Sys
|
35
|
24
|
$77,000.00
|
$50,050.00
35% off
|
$18,557.00
|
$77,000.00
|
$54,516.00
|
2026-05-06
|
|
Sx00000192124_00000_100095_000
|
OTHER
|
Valve 23mm Lotus Edge Sys
|
68
|
44
|
$77,000.00
|
$50,050.00
35% off
|
$629.77
|
$77,000.00
|
$45,745.00
|
2026-05-28
|
|
Sx00000248921_00000_100095_000
|
OTHER
|
Ipg Kit Nipg2000
|
35
|
24
|
$74,250.00
|
$48,262.50
35% off
|
$17,894.25
|
$74,250.00
|
$52,569.00
|
2026-05-06
|
|
Rx00591405094_00000_100095_000
|
OTHER
|
Sildenafil Pulmonary Hypertension 10 Mg Ml Oral Po
|
24
|
22
|
$73,872.20
|
$48,016.93
35% off
|
$17,803.20
|
$73,872.20
|
$55,884.32
|
2026-05-06
|
|
Sx00000215329_C1713_100095_000
|
OTHER
|
Nail Tib Ante 3h 10x360mm
|
69
|
45
|
$72,938.25
|
$47,409.86
35% off
|
$629.77
|
$72,938.25
|
$43,762.95
|
2026-05-28
|
|
Sx00000117364_00000_100095_000
|
OTHER
|
Artery Aortoiliac Cryopreserve
|
68
|
44
|
$72,061.40
|
$46,839.91
35% off
|
$629.77
|
$72,061.40
|
$42,811.02
|
2026-05-28
|
|
Sx00000031864_00000_100095_000
|
OTHER
|
Cath Impella Rp With Smartassist
|
35
|
24
|
$68,750.00
|
$44,687.50
35% off
|
$16,568.75
|
$68,750.00
|
$48,675.00
|
2026-05-06
|
|
Sx00000026811_00000_100095_000
|
OTHER
|
Cath Impella Cp 3.5 Pump
|
35
|
24
|
$68,750.00
|
$44,687.50
35% off
|
$16,568.75
|
$68,750.00
|
$48,675.00
|
2026-05-06
|
|
Sx00000003933_00000_100095_000
|
OTHER
|
Impella 5.0 Fem Ctdn
|
35
|
24
|
$68,750.00
|
$44,687.50
35% off
|
$16,568.75
|
$68,750.00
|
$48,675.00
|
2026-05-06
|
|
0268T
|
CPT
|
Hc Implt/Rpl Crtd Sns Dev Gen
|
44
|
37
|
$68,600.00
|
$44,590.00
35% off
|
$10,564.40
|
$68,600.00
|
$47,608.40
|
2026-03-01
|
|
Rx31722013631_00000_100095_000
|
OTHER
|
Sildenafil Pulmonary Hypertension 10 Mg Ml Oral Po
|
24
|
22
|
$68,512.10
|
$44,532.87
35% off
|
$16,511.42
|
$68,512.10
|
$51,829.40
|
2026-05-06
|
|
Sx00000072770_00000_100095_000
|
OTHER
|
Artery Aortoiliac 13mmx12cm
|
68
|
44
|
$68,062.50
|
$44,240.63
35% off
|
$629.77
|
$68,062.50
|
$40,435.32
|
2026-05-28
|
|
Rx66302001401_00000_100095_000
|
OTHER
|
Dinutuximab 3.5 Mg Ml Intravenous Solution 5 Ml Vi
|
24
|
22
|
$66,760.80
|
$43,394.52
35% off
|
$16,089.35
|
$66,760.80
|
$50,504.54
|
2026-05-06
|
|
Rx82959011101_00000_100095_000
|
OTHER
|
Imetelstat 188 Mg 6 Ml IV Solr 1 Each Vial
|
24
|
22
|
$65,961.80
|
$42,875.17
35% off
|
$15,896.79
|
$65,961.80
|
$49,900.10
|
2026-05-06
|
|
Sx00000264694_C1713_100095_000
|
OTHER
|
Nail Fem Ante 10.7x245mm 10dg
|
36
|
25
|
$63,990.85
|
$41,594.05
35% off
|
$15,421.79
|
$63,990.85
|
$45,657.47
|
2026-05-06
|
|
0620T
|
HCPCS
|
Hc Evasc Ven Artlz Tibl/Prnl Vn
|
81
|
65
|
$63,764.00
|
$41,446.60
35% off
|
$9,819.66
|
$63,764.00
|
$42,824.26
|
2026-03-01
|
|
Rx73475310203_00000_100095_000
|
OTHER
|
Efgartigimod Alfa 1008 Mghyaluronqvfc 11200 Unit
|
24
|
22
|
$60,757.60
|
$39,492.44
35% off
|
$14,642.58
|
$60,757.60
|
$45,963.12
|
2026-05-06
|
|
Rx82705001001_00000_100095_000
|
OTHER
|
Epcoritamabbysp 48 Mg 0.8 Ml Subcutaneous Solution
|
24
|
22
|
$59,528.70
|
$38,693.66
35% off
|
$14,346.42
|
$59,528.70
|
$45,033.46
|
2026-05-06
|
|
Rx40800000315_A9543_100095_000
|
OTHER
|
Y90 Zevalin Inj Ghs 40 Millicurie Kit
|
88
|
58
|
$58,305.80
|
$37,898.77
35% off
|
$629.77
|
$148,693.62
|
$46,644.64
|
2026-05-28
|
|
Sx00000184957_00000_100095_000
|
OTHER
|
Stent Tag 31x31x10cm 20fr
|
35
|
24
|
$58,095.13
|
$37,761.83
35% off
|
$14,000.93
|
$58,095.13
|
$41,131.35
|
2026-05-06
|
|
Sx00000184959_00000_100095_000
|
OTHER
|
Stent Tag 37x37x10cm 22fr
|
35
|
24
|
$58,095.13
|
$37,761.83
35% off
|
$14,000.93
|
$58,095.13
|
$41,131.35
|
2026-05-06
|
|
Sx00000184963_00000_100095_000
|
OTHER
|
Stent Tag 40x40x15cm 22fr
|
35
|
24
|
$58,095.13
|
$37,761.83
35% off
|
$14,000.93
|
$58,095.13
|
$41,131.35
|
2026-05-06
|
|
Sx00000184954_00000_100095_000
|
OTHER
|
Stent Tag 45x45x15cm 24fr
|
35
|
24
|
$58,095.13
|
$37,761.83
35% off
|
$14,000.93
|
$58,095.13
|
$41,131.35
|
2026-05-06
|
|
Sx00000184958_00000_100095_000
|
OTHER
|
Stent Tag 31x31x15cm 20fr
|
35
|
24
|
$58,095.13
|
$37,761.83
35% off
|
$14,000.93
|
$58,095.13
|
$41,131.35
|
2026-05-06
|
|
Sx00000184955_00000_100095_000
|
OTHER
|
Stent Tag 45x45x20cm 24fr
|
35
|
24
|
$58,095.13
|
$37,761.83
35% off
|
$14,000.93
|
$58,095.13
|
$41,131.35
|
2026-05-06
|
|
Sx00000184956_00000_100095_000
|
OTHER
|
Stent Tag 31x26x10cm 20fr
|
35
|
24
|
$58,095.13
|
$37,761.83
35% off
|
$14,000.93
|
$58,095.13
|
$41,131.35
|
2026-05-06
|
|
Sx00000184949_00000_100095_000
|
OTHER
|
Stent Tag 28x28x15cm 20fr
|
35
|
24
|
$58,095.13
|
$37,761.83
35% off
|
$14,000.93
|
$58,095.13
|
$41,131.35
|
2026-05-06
|
|
Sx00000184951_00000_100095_000
|
OTHER
|
Stent Tag 34x34x15cm 22fr
|
35
|
24
|
$58,095.13
|
$37,761.83
35% off
|
$14,000.93
|
$58,095.13
|
$41,131.35
|
2026-05-06
|
|
Sx00000184950_00000_100095_000
|
OTHER
|
Stent Tag 34x34x10cm 22fr
|
35
|
24
|
$58,095.13
|
$37,761.83
35% off
|
$14,000.93
|
$58,095.13
|
$41,131.35
|
2026-05-06
|
|
Sx00000184952_00000_100095_000
|
OTHER
|
Stent Tag 34x34x20cm 22fr
|
35
|
24
|
$58,095.13
|
$37,761.83
35% off
|
$14,000.93
|
$58,095.13
|
$41,131.35
|
2026-05-06
|
|
Sx00000184948_00000_100095_000
|
OTHER
|
Stent Tag 28x28x10cm 20fr
|
35
|
24
|
$58,095.13
|
$37,761.83
35% off
|
$14,000.93
|
$58,095.13
|
$41,131.35
|
2026-05-06
|
|
Sx00000184946_00000_100095_000
|
OTHER
|
Stent Tag 26x21x10cm 20fr
|
35
|
24
|
$58,095.13
|
$37,761.83
35% off
|
$14,000.93
|
$58,095.13
|
$41,131.35
|
2026-05-06
|
|
Sx00000184947_00000_100095_000
|
OTHER
|
Stent Tag 26x26x10cm 20fr
|
35
|
24
|
$58,095.13
|
$37,761.83
35% off
|
$14,000.93
|
$58,095.13
|
$41,131.35
|
2026-05-06
|
|
Sx00000184964_00000_100095_000
|
OTHER
|
Stent Tag 40x40x20cm 22fr
|
35
|
24
|
$58,095.13
|
$37,761.83
35% off
|
$14,000.93
|
$58,095.13
|
$41,131.35
|
2026-05-06
|
|
Sx00000184960_00000_100095_000
|
OTHER
|
Stent Tag 37x37x15cm 22fr
|
35
|
24
|
$58,095.13
|
$37,761.83
35% off
|
$14,000.93
|
$58,095.13
|
$41,131.35
|
2026-05-06
|
|
Sx00000184961_00000_100095_000
|
OTHER
|
Stent Tag 37x37x20cm 22fr
|
35
|
24
|
$58,095.13
|
$37,761.83
35% off
|
$14,000.93
|
$58,095.13
|
$41,131.35
|
2026-05-06
|
|
Sx00000184953_00000_100095_000
|
OTHER
|
Stent Tag 45x45x10cm 24fr
|
35
|
24
|
$58,095.13
|
$37,761.83
35% off
|
$14,000.93
|
$58,095.13
|
$41,131.35
|
2026-05-06
|
|
Sx00000184945_00000_100095_000
|
OTHER
|
Stent Tag 21x21x10cm 18fr
|
35
|
24
|
$58,095.13
|
$37,761.83
35% off
|
$14,000.93
|
$58,095.13
|
$41,131.35
|
2026-05-06
|
|
Sx00000184962_00000_100095_000
|
OTHER
|
Stent Tag 40x40x10cm 22fr
|
35
|
24
|
$58,095.13
|
$37,761.83
35% off
|
$14,000.93
|
$58,095.13
|
$41,131.35
|
2026-05-06
|
|
Sx00000027995_00000_100095_000
|
OTHER
|
Endo Valiant Pm 46x46x200
|
35
|
24
|
$56,023.76
|
$36,415.44
35% off
|
$13,501.73
|
$56,023.76
|
$39,664.82
|
2026-05-06
|
|
Sx00000025258_00000_100095_000
|
OTHER
|
Endo Valiant Pm 32x32x200
|
35
|
24
|
$56,023.76
|
$36,415.44
35% off
|
$13,501.73
|
$56,023.76
|
$39,664.82
|
2026-05-06
|
|
Sx00000023767_00000_100095_000
|
OTHER
|
Endo Valiant Pm 38x38x200
|
35
|
24
|
$56,023.76
|
$36,415.44
35% off
|
$13,501.73
|
$56,023.76
|
$39,664.82
|
2026-05-06
|
|
Sx00000022288_00000_100095_000
|
OTHER
|
Endo Valiant Pm 30x30x200
|
35
|
24
|
$56,023.76
|
$36,415.44
35% off
|
$13,501.73
|
$56,023.76
|
$39,664.82
|
2026-05-06
|
|
Sx00000022289_00000_100095_000
|
OTHER
|
Endo Valiant Pm 44x44x200
|
35
|
24
|
$56,023.76
|
$36,415.44
35% off
|
$13,501.73
|
$56,023.76
|
$39,664.82
|
2026-05-06
|
|
Sx00000020779_00000_100095_000
|
OTHER
|
Endo Valiant Pm 34x34x200
|
35
|
24
|
$56,023.76
|
$36,415.44
35% off
|
$13,501.73
|
$56,023.76
|
$39,664.82
|
2026-05-06
|
|
Sx00000002173_00000_100095_000
|
OTHER
|
Endo Valiant Pm 40x40x200
|
35
|
24
|
$56,023.76
|
$36,415.44
35% off
|
$13,501.73
|
$56,023.76
|
$39,664.82
|
2026-05-06
|
|
Sx00000013591_00000_100095_000
|
OTHER
|
Endo Valiant Pm 36x36x200
|
35
|
24
|
$56,023.76
|
$36,415.44
35% off
|
$13,501.73
|
$56,023.76
|
$39,664.82
|
2026-05-06
|
|
CPT 69718
|
OTHER
|
—
|
25
|
25
|
$50,000.00
|
$32,500.00
35% off
|
$17,500.00
|
$46,768.09
|
$40,000.00
|
2026-05-28
|
|
CPT 69715
|
OTHER
|
—
|
25
|
25
|
$50,000.00
|
$32,500.00
35% off
|
$17,500.00
|
$46,768.09
|
$40,000.00
|
2026-05-28
|
|
18
|
OTHER
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
48
|
39
|
—
|
—
|
$654,252.67
|
$2,288,048.80
|
$1,251,661.84
|
2026-05-06
|
|
7
|
OTHER
|
Lung Transplant
|
26
|
23
|
—
|
—
|
$82,199.85
|
$1,730,277.76
|
$683,066.81
|
2026-05-06
|
|
1
|
OTHER
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
46
|
38
|
—
|
—
|
$216,098.57
|
$677,273.62
|
$446,686.09
|
2026-05-06
|
|
927
|
OTHER
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
51
|
41
|
—
|
—
|
$119,419.01
|
$565,788.78
|
$342,603.90
|
2026-05-06
|
|
2
|
OTHER
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
46
|
38
|
—
|
—
|
$102,194.44
|
$602,309.54
|
$326,461.92
|
2026-05-06
|
|
4
|
OTHER
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
32
|
27
|
—
|
—
|
$7,797.81
|
$759,369.02
|
$287,598.08
|
2026-05-06
|
|
6
|
OTHER
|
Liver Transplant Without Mcc
|
46
|
38
|
—
|
—
|
$41,358.58
|
$490,405.16
|
$247,082.21
|
2026-05-06
|
|
8
|
OTHER
|
Simultaneous Pancreas And Kidney Transplant
|
46
|
38
|
—
|
—
|
$44,006.90
|
$473,552.32
|
$239,510.34
|
2026-05-06
|
|
5
|
OTHER
|
Liver Transplant With Mcc Or Intestinal Transplant
|
46
|
38
|
—
|
—
|
$88,125.11
|
$378,849.96
|
$220,575.42
|
2026-05-06
|
|
969
|
OTHER
|
HIV With Extensive O.r. Procedures With Mcc
|
51
|
41
|
—
|
—
|
$45,582.00
|
$592,708.51
|
$214,397.97
|
2026-05-06
|
|
3
|
OTHER
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
32
|
27
|
—
|
—
|
$9,845.27
|
$516,079.53
|
$211,306.13
|
2026-05-06
|
|
215
|
OTHER
|
Other Heart Assist System Implant
|
51
|
41
|
—
|
—
|
$93,638.26
|
$281,347.79
|
$181,394.42
|
2026-05-06
|
|
216
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
51
|
41
|
—
|
—
|
$83,910.51
|
$243,046.92
|
$163,478.71
|
2026-05-06
|
|
10
|
OTHER
|
Pancreas Transplant
|
46
|
38
|
—
|
—
|
$37,170.47
|
$291,126.68
|
$159,811.04
|
2026-05-06
|
|
207
|
OTHER
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
51
|
41
|
—
|
—
|
$45,019.81
|
$446,384.20
|
$154,974.05
|
2026-05-06
|
|
268
|
OTHER
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
51
|
41
|
—
|
—
|
$43,780.86
|
$432,603.33
|
$153,650.08
|
2026-05-06
|
|
20
|
OTHER
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
51
|
41
|
—
|
—
|
$73,374.12
|
$309,746.98
|
$150,097.72
|
2026-05-06
|
|
456
|
OTHER
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
51
|
41
|
—
|
—
|
$75,999.84
|
$260,402.15
|
$149,689.28
|
2026-05-06
|
|
570
|
OTHER
|
Skin Debridement With Mcc
|
32
|
27
|
—
|
—
|
$16,830.00
|
$449,415.11
|
$148,647.86
|
2026-05-06
|
|
219
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
51
|
41
|
—
|
—
|
$68,978.21
|
$241,945.65
|
$136,935.49
|
2026-05-06
|
|
837
|
OTHER
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
51
|
41
|
—
|
—
|
$46,382.00
|
$374,649.90
|
$123,822.68
|
2026-05-06
|
|
233
|
OTHER
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
51
|
41
|
—
|
—
|
$60,200.30
|
$186,421.14
|
$123,310.72
|
2026-05-06
|
|
14
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
47
|
38
|
—
|
—
|
$31,105.63
|
$255,485.10
|
$121,892.25
|
2026-05-06
|
|
231
|
OTHER
|
Coronary Bypass With Ptca With Mcc
|
51
|
41
|
—
|
—
|
$66,759.39
|
$250,048.24
|
$120,767.67
|
2026-05-06
|
|
163
|
OTHER
|
Major Chest Procedures With Mcc
|
51
|
41
|
—
|
—
|
$40,978.00
|
$368,003.46
|
$120,589.66
|
2026-05-06
|
|
212
|
OTHER
|
Hip & Femur Procedures Except Major Joint Age 0-17
|
51
|
41
|
—
|
—
|
$72,111.72
|
$259,819.52
|
$119,094.44
|
2026-05-06
|
|
461
|
OTHER
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
51
|
41
|
—
|
—
|
$39,658.82
|
$299,185.13
|
$116,597.30
|
2026-05-06
|
|
957
|
OTHER
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
51
|
41
|
—
|
—
|
$54,768.88
|
$178,021.17
|
$116,395.02
|
2026-05-06
|
|
653
|
OTHER
|
Major Bladder Procedures With Mcc
|
51
|
41
|
—
|
—
|
$50,592.08
|
$346,102.22
|
$115,988.83
|
2026-05-06
|
|
21
|
OTHER
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
51
|
41
|
—
|
—
|
$53,964.65
|
$295,555.84
|
$109,058.98
|
2026-05-06
|
|
275
|
OTHER
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
51
|
41
|
—
|
—
|
$48,614.87
|
$168,547.95
|
$108,581.41
|
2026-05-06
|
|
870
|
OTHER
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
51
|
41
|
—
|
—
|
$50,433.84
|
$165,912.52
|
$108,173.18
|
2026-05-06
|
|
650
|
OTHER
|
Kidney Transplant With Hemodialysis With Mcc
|
47
|
38
|
—
|
—
|
$25,853.79
|
$189,318.00
|
$107,585.90
|
2026-05-06
|
|
955
|
OTHER
|
Craniotomy For Multiple Significant Trauma
|
51
|
41
|
—
|
—
|
$49,367.90
|
$162,854.95
|
$106,111.43
|
2026-05-06
|
|
217
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
51
|
41
|
—
|
—
|
$46,503.51
|
$154,020.92
|
$100,262.21
|
2026-05-06
|
|
326
|
OTHER
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
51
|
41
|
—
|
—
|
$49,423.55
|
$304,865.89
|
$99,040.50
|
2026-05-06
|
|
266
|
OTHER
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
51
|
41
|
—
|
—
|
$46,813.80
|
$149,906.89
|
$98,360.35
|
2026-05-06
|
|
471
|
OTHER
|
Cervical Spinal Fusion With Mcc
|
51
|
41
|
—
|
—
|
$40,152.66
|
$311,469.55
|
$97,885.18
|
2026-05-06
|
|
651
|
OTHER
|
Kidney Transplant With Hemodialysis Without Mcc
|
47
|
38
|
—
|
—
|
$25,853.78
|
$175,317.80
|
$96,600.30
|
2026-05-06
|
|
16
|
OTHER
|
Autologous Bone Marrow Transplant With Cc/mcc
|
47
|
38
|
—
|
—
|
$45,781.79
|
$141,557.60
|
$93,669.70
|
2026-05-06
|
|
11
|
OTHER
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
51
|
41
|
—
|
—
|
$41,160.35
|
$180,115.88
|
$91,565.57
|
2026-05-06
|
|
820
|
OTHER
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
51
|
41
|
—
|
—
|
$42,298.67
|
$138,861.86
|
$90,580.26
|
2026-05-06
|
|
235
|
OTHER
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
51
|
41
|
—
|
—
|
$38,353.09
|
$140,338.17
|
$89,345.63
|
2026-05-06
|
|
232
|
OTHER
|
Coronary Bypass With Ptca Without Mcc
|
51
|
41
|
—
|
—
|
$48,331.52
|
$155,398.09
|
$89,012.58
|
2026-05-06
|
|
22
|
OTHER
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…
|
51
|
41
|
—
|
—
|
$38,051.22
|
$286,082.92
|
$85,791.51
|
2026-05-06
|
|
23
|
OTHER
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
51
|
41
|
—
|
—
|
$42,951.40
|
$229,530.84
|
$85,746.35
|
2026-05-06
|
|
239
|
OTHER
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
51
|
41
|
—
|
—
|
$41,102.97
|
$156,738.40
|
$85,359.15
|
2026-05-06
|
|
277
|
OTHER
|
Cellulitis Age >17 W Cc
|
51
|
41
|
—
|
—
|
$44,297.44
|
$186,329.60
|
$84,925.86
|
2026-05-06
|
|
267
|
OTHER
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
51
|
41
|
—
|
—
|
$36,317.98
|
$133,371.04
|
$84,844.51
|
2026-05-06
|
|
405
|
OTHER
|
Pancreas, Liver And Shunt Procedures With Mcc
|
51
|
41
|
—
|
—
|
$39,599.30
|
$129,474.49
|
$84,536.90
|
2026-05-06
|
|
356
|
OTHER
|
Other Digestive System O.r. Procedures With Mcc
|
51
|
41
|
—
|
—
|
$32,215.00
|
$264,271.64
|
$83,181.15
|
2026-05-06
|
|
234
|
OTHER
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
51
|
41
|
—
|
—
|
$38,172.51
|
$126,886.77
|
$82,529.64
|
2026-05-06
|
|
463
|
OTHER
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
51
|
41
|
—
|
—
|
$35,571.73
|
$128,813.85
|
$82,192.79
|
2026-05-06
|
|
220
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
51
|
41
|
—
|
—
|
$34,527.03
|
$126,326.30
|
$80,426.66
|
2026-05-06
|
|
228
|
OTHER
|
Other Cardiothoracic Procedures With Mcc
|
51
|
41
|
—
|
—
|
$32,486.04
|
$156,736.40
|
$79,966.83
|
2026-05-06
|
|
823
|
OTHER
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
51
|
41
|
—
|
—
|
$33,917.01
|
$136,344.24
|
$79,944.74
|
2026-05-06
|
|
453
|
OTHER
|
Combined Anterior And Posterior Spinal Fusion With Mcc
|
33
|
28
|
—
|
—
|
$5,600.00
|
$218,924.50
|
$79,814.93
|
2026-05-06
|
|
270
|
OTHER
|
Other Major Cardiovascular Procedures With Mcc
|
51
|
41
|
—
|
—
|
$33,460.95
|
$122,422.05
|
$77,941.50
|
2026-05-06
|
|
826
|
OTHER
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
51
|
41
|
—
|
—
|
$34,650.76
|
$119,963.66
|
$77,307.21
|
2026-05-06
|
|
652
|
OTHER
|
Kidney Transplant
|
46
|
38
|
—
|
—
|
$25,853.78
|
$141,711.22
|
$76,690.65
|
2026-05-06
|
|
245
|
OTHER
|
Aicd Generator Procedures
|
51
|
41
|
—
|
—
|
$31,857.59
|
$116,550.18
|
$74,203.88
|
2026-05-06
|
|
269
|
OTHER
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
51
|
41
|
—
|
—
|
$25,532.09
|
$167,214.62
|
$73,848.42
|
2026-05-06
|
|
19
|
OTHER
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
47
|
38
|
—
|
—
|
$13,095.12
|
$154,582.35
|
$73,751.44
|
2026-05-06
|
|
799
|
OTHER
|
Splenectomy With Mcc
|
51
|
41
|
—
|
—
|
$30,997.94
|
$113,401.98
|
$72,199.96
|
2026-05-06
|
|
12
|
OTHER
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc
|
51
|
41
|
—
|
—
|
$26,349.37
|
$136,091.66
|
$71,119.02
|
2026-05-06
|
|
458
|
OTHER
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
51
|
41
|
—
|
—
|
$28,153.34
|
$120,351.78
|
$70,754.48
|
2026-05-06
|
|
221
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
51
|
41
|
—
|
—
|
$31,006.12
|
$109,533.51
|
$70,269.82
|
2026-05-06
|
|
736
|
OTHER
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc
|
51
|
41
|
—
|
—
|
$27,905.87
|
$109,784.82
|
$68,845.35
|
2026-05-06
|
|
40
|
OTHER
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc
|
51
|
41
|
—
|
—
|
$34,358.68
|
$167,148.60
|
$68,377.17
|
2026-05-06
|
|
25
|
OTHER
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
51
|
41
|
—
|
—
|
$29,158.18
|
$106,664.35
|
$67,911.26
|
2026-05-06
|
|
853
|
OTHER
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
51
|
41
|
—
|
—
|
$32,603.26
|
$119,281.01
|
$67,692.11
|
2026-05-06
|
|
901
|
OTHER
|
Wound Debridements For Injuries With Mcc
|
51
|
41
|
—
|
—
|
$28,885.98
|
$105,667.43
|
$67,276.71
|
2026-05-06
|
|
319
|
OTHER
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
51
|
41
|
—
|
—
|
$29,055.05
|
$104,768.28
|
$66,911.66
|
2026-05-06
|
|
423
|
OTHER
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
51
|
41
|
—
|
—
|
$27,723.61
|
$103,535.60
|
$65,629.60
|
2026-05-06
|
|
347
|
OTHER
|
Anal And Stomal Procedures With Mcc
|
51
|
41
|
—
|
—
|
$19,699.00
|
$235,994.58
|
$63,849.88
|
2026-05-06
|
|
17
|
OTHER
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
47
|
38
|
—
|
—
|
$15,118.50
|
$117,700.05
|
$63,399.65
|
2026-05-06
|
|
276
|
OTHER
|
Non-maligant Breast Disorders
|
51
|
41
|
—
|
—
|
$40,373.25
|
$147,736.44
|
$63,339.56
|
2026-05-06
|
|
970
|
OTHER
|
HIV With Extensive O.r. Procedures Without Mcc
|
51
|
41
|
—
|
—
|
$22,281.25
|
$232,256.88
|
$63,281.21
|
2026-05-06
|
|
31
|
OTHER
|
Ventricular Shunt Procedures With Mcc
|
51
|
41
|
—
|
—
|
$27,706.72
|
$99,945.81
|
$62,895.72
|
2026-05-06
|
|
236
|
OTHER
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
51
|
41
|
—
|
—
|
$26,812.41
|
$98,073.58
|
$62,443.00
|
2026-05-06
|
|
28
|
OTHER
|
Spinal Procedures With Mcc
|
51
|
41
|
—
|
—
|
$39,624.96
|
$144,996.08
|
$61,547.58
|
2026-05-06
|
|
242
|
OTHER
|
Permanent Cardiac Pacemaker Implant With Mcc
|
51
|
41
|
—
|
—
|
$28,085.52
|
$132,312.54
|
$61,355.67
|
2026-05-06
|
|
197
|
OTHER
|
Interstitial Lung Disease With Cc
|
32
|
27
|
—
|
—
|
$9,256.97
|
$236,933.53
|
$61,201.36
|
2026-05-06
|
|
802
|
OTHER
|
Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc
|
51
|
41
|
—
|
—
|
$30,246.21
|
$184,119.26
|
$60,924.15
|
2026-05-06
|
|
616
|
OTHER
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
51
|
41
|
—
|
—
|
$24,772.00
|
$102,990.88
|
$60,745.07
|
2026-05-06
|
|
495
|
OTHER
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
51
|
41
|
—
|
—
|
$24,077.15
|
$101,709.13
|
$60,537.40
|
2026-05-06
|
|
907
|
OTHER
|
Other O.r. Procedures For Injuries With Mcc
|
51
|
41
|
—
|
—
|
$25,976.20
|
$95,011.24
|
$60,493.72
|
2026-05-06
|
|
739
|
OTHER
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…
|
51
|
41
|
—
|
—
|
$25,957.96
|
$94,944.46
|
$60,451.21
|
2026-05-06
|
|
34
|
OTHER
|
Carotid Artery Stent Procedures With Mcc
|
51
|
41
|
—
|
—
|
$25,357.53
|
$92,745.49
|
$59,051.51
|
2026-05-06
|
|
457
|
OTHER
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
51
|
41
|
—
|
—
|
$37,410.08
|
$136,884.69
|
$59,046.29
|
2026-05-06
|
|
485
|
OTHER
|
Knee Procedures With Principal Diagnosis Of Infection With Mcc
|
51
|
41
|
—
|
—
|
$26,840.60
|
$187,111.74
|
$58,878.51
|
2026-05-06
|
|
958
|
OTHER
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
51
|
41
|
—
|
—
|
$26,797.43
|
$98,018.73
|
$58,512.19
|
2026-05-06
|
|
166
|
OTHER
|
Other Respiratory System O.r. Procedures With Mcc
|
51
|
41
|
—
|
—
|
$25,107.45
|
$91,829.65
|
$58,468.55
|
2026-05-06
|
|
271
|
OTHER
|
Other Major Cardiovascular Procedures With Cc
|
51
|
41
|
—
|
—
|
$23,919.03
|
$103,686.92
|
$58,164.29
|
2026-05-06
|
|
956
|
OTHER
|
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma
|
51
|
41
|
—
|
—
|
$24,925.76
|
$91,164.24
|
$58,045.00
|
2026-05-06
|
|
252
|
OTHER
|
Other Vascular Procedures With Mcc
|
51
|
41
|
—
|
—
|
$23,033.35
|
$98,587.04
|
$57,895.13
|
2026-05-06
|
|
904
|
OTHER
|
Skin Grafts For Injuries With Cc/mcc
|
51
|
41
|
—
|
—
|
$24,866.97
|
$102,554.56
|
$57,823.60
|
2026-05-06
|
|
24
|
OTHER
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
51
|
41
|
—
|
—
|
$24,790.95
|
$90,670.54
|
$57,730.75
|
2026-05-06
|
|
573
|
OTHER
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
51
|
41
|
—
|
—
|
$30,679.20
|
$146,873.07
|
$57,292.66
|
2026-05-06
|
|
454
|
OTHER
|
Combined Anterior And Posterior Spinal Fusion With Cc
|
50
|
41
|
—
|
—
|
$5,600.00
|
$108,613.26
|
$57,106.63
|
2026-05-06
|
|
939
|
OTHER
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc
|
51
|
41
|
—
|
—
|
$23,409.88
|
$111,036.70
|
$57,097.30
|
2026-05-06
|
|
849
|
OTHER
|
Radiotherapy
|
51
|
41
|
—
|
—
|
$11,161.05
|
$212,886.40
|
$56,335.44
|
2026-05-06
|
|
981
|
OTHER
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
51
|
41
|
—
|
—
|
$30,992.08
|
$113,380.51
|
$56,294.81
|
2026-05-06
|
|
673
|
OTHER
|
Other Kidney And Urinary Tract Procedures With Mcc
|
51
|
41
|
—
|
—
|
$25,380.81
|
$139,756.90
|
$55,864.68
|
2026-05-06
|
|
260
|
OTHER
|
Cardiac Pacemaker Revision Except Device Replacement With Mcc
|
51
|
41
|
—
|
—
|
$22,215.27
|
$89,775.89
|
$55,813.73
|
2026-05-06
|
|
656
|
OTHER
|
Kidney And Ureter Procedures For Neoplasm With Mcc
|
51
|
41
|
—
|
—
|
$23,029.85
|
$105,321.07
|
$55,717.50
|
2026-05-06
|
|
94
|
OTHER
|
Bacterial And Tuberculous Infections Of Nervous System With Mcc
|
51
|
41
|
—
|
—
|
$23,794.55
|
$87,021.49
|
$55,408.02
|
2026-05-06
|
|
218
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
51
|
41
|
—
|
—
|
$38,777.05
|
$141,890.81
|
$55,349.15
|
2026-05-06
|
|
335
|
OTHER
|
Peritoneal Adhesiolysis With Mcc
|
51
|
41
|
—
|
—
|
$23,629.79
|
$86,418.09
|
$55,023.94
|
2026-05-06
|
|
665
|
OTHER
|
Prostatectomy With Mcc
|
51
|
41
|
—
|
—
|
$22,393.72
|
$93,608.17
|
$54,856.24
|
2026-05-06
|
|
97
|
OTHER
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc
|
51
|
41
|
—
|
—
|
$23,377.10
|
$85,492.71
|
$54,434.90
|
2026-05-06
|
|
492
|
OTHER
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc
|
51
|
41
|
—
|
—
|
$23,159.58
|
$84,696.12
|
$53,927.85
|
2026-05-06
|
|
474
|
OTHER
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
51
|
41
|
—
|
—
|
$29,238.94
|
$106,960.10
|
$53,916.73
|
2026-05-06
|
|
933
|
OTHER
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft
|
51
|
41
|
—
|
—
|
$20,067.64
|
$110,486.12
|
$53,842.26
|
2026-05-06
|
|
856
|
OTHER
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
51
|
41
|
—
|
—
|
$29,414.12
|
$107,601.66
|
$53,263.10
|
2026-05-06
|
|
332
|
OTHER
|
Rectal Resection With Mcc
|
51
|
41
|
—
|
—
|
$22,622.31
|
$82,728.50
|
$52,675.40
|
2026-05-06
|
|
329
|
OTHER
|
Major Small And Large Bowel Procedures With Mcc
|
51
|
41
|
—
|
—
|
$35,042.07
|
$129,654.39
|
$52,449.72
|
2026-05-06
|
|
459
|
OTHER
|
Spinal Fusion Except Cervical With Mcc
|
33
|
28
|
—
|
—
|
$5,600.00
|
$141,579.10
|
$52,346.65
|
2026-05-06
|
|
265
|
OTHER
|
Aicd Lead Procedures
|
51
|
41
|
—
|
—
|
$19,481.63
|
$85,077.72
|
$52,279.68
|
2026-05-06
|
|
477
|
OTHER
|
Biopsies Of Musculoskeletal System And Connective Tissue With Mcc
|
51
|
41
|
—
|
—
|
$22,428.89
|
$82,020.15
|
$52,224.52
|
2026-05-06
|
|
834
|
OTHER
|
Acute Leukemia Without Major O.r. Procedures With Mcc
|
51
|
41
|
—
|
—
|
$31,852.48
|
$131,826.11
|
$51,423.09
|
2026-05-06
|
|
273
|
OTHER
|
Percutaneous And Other Intracardiac Procedures With Mcc
|
51
|
41
|
—
|
—
|
$23,949.70
|
$93,813.92
|
$51,291.53
|
2026-05-06
|
|
229
|
OTHER
|
Other Cardiothoracic Procedures Without Mcc
|
51
|
41
|
—
|
—
|
$20,262.20
|
$96,414.97
|
$50,899.60
|
2026-05-06
|
|
140
|
OTHER
|
Major Head And Neck Procedures With Mcc
|
51
|
41
|
—
|
—
|
$16,293.38
|
$147,696.34
|
$50,870.88
|
2026-05-06
|
|
406
|
OTHER
|
Pancreas, Liver And Shunt Procedures With Cc
|
51
|
41
|
—
|
—
|
$20,070.91
|
$104,069.98
|
$50,479.35
|
2026-05-06
|
|
518
|
OTHER
|
Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…
|
51
|
41
|
—
|
—
|
$15,404.81
|
$85,478.40
|
$50,441.61
|
2026-05-06
|
|
576
|
OTHER
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
51
|
41
|
—
|
—
|
$10,184.35
|
$128,677.91
|
$50,195.02
|
2026-05-06
|
|
668
|
OTHER
|
Transurethral Procedures With Mcc
|
51
|
41
|
—
|
—
|
$19,545.97
|
$101,917.14
|
$50,042.04
|
2026-05-06
|
|
800
|
OTHER
|
Splenectomy With Cc
|
51
|
41
|
—
|
—
|
$22,009.97
|
$114,594.32
|
$50,036.72
|
2026-05-06
|
|
469
|
OTHER
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…
|
51
|
41
|
—
|
—
|
$21,319.82
|
$77,958.49
|
$49,639.15
|
2026-05-06
|
|
574
|
OTHER
|
Skin Graft For Skin Ulcer Or Cellulitis With Cc
|
51
|
41
|
—
|
—
|
$16,597.69
|
$82,637.87
|
$49,617.78
|
2026-05-06
|
|
414
|
OTHER
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc
|
51
|
41
|
—
|
—
|
$22,850.89
|
$83,565.63
|
$49,585.96
|
2026-05-06
|
|
579
|
OTHER
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc
|
51
|
41
|
—
|
—
|
$21,259.26
|
$77,736.69
|
$49,497.97
|
2026-05-06
|
|
500
|
OTHER
|
Soft Tissue Procedures With Mcc
|
51
|
41
|
—
|
—
|
$26,295.47
|
$141,551.58
|
$48,733.10
|
2026-05-06
|
|
963
|
OTHER
|
Other Multiple Significant Trauma With Mcc
|
51
|
41
|
—
|
—
|
$18,977.95
|
$100,693.23
|
$47,712.05
|
2026-05-06
|
|
13
|
OTHER
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc
|
51
|
41
|
—
|
—
|
$16,209.04
|
$103,321.11
|
$47,692.66
|
2026-05-06
|
|
503
|
OTHER
|
Foot Procedures With Mcc
|
51
|
41
|
—
|
—
|
$18,984.31
|
$163,349.95
|
$47,625.18
|
2026-05-06
|
|
29
|
OTHER
|
Spinal Procedures With Cc Or Spinal Neurostimulators
|
51
|
41
|
—
|
—
|
$21,892.91
|
$80,057.29
|
$47,455.42
|
2026-05-06
|
|
466
|
OTHER
|
Revision Of Hip Or Knee Replacement With Mcc
|
51
|
41
|
—
|
—
|
$33,210.88
|
$121,506.21
|
$47,446.44
|
2026-05-06
|
|
327
|
OTHER
|
Stomach, Esophageal And Duodenal Procedures With Cc
|
51
|
41
|
—
|
—
|
$23,528.90
|
$172,324.25
|
$47,347.95
|
2026-05-06
|
|
26
|
OTHER
|
Craniotomy And Endovascular Intracranial Procedures With Cc
|
51
|
41
|
—
|
—
|
$19,951.57
|
$72,947.61
|
$46,449.59
|
2026-05-06
|
|
288
|
OTHER
|
Acute And Subacute Endocarditis With Mcc
|
51
|
41
|
—
|
—
|
$15,130.00
|
$150,178.87
|
$46,046.49
|
2026-05-06
|
|
928
|
OTHER
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
32
|
27
|
—
|
—
|
$4,715.00
|
$159,291.76
|
$45,997.98
|
2026-05-06
|
|
895
|
OTHER
|
Alcohol, Drug Abuse Or Dependence With Rehabilitation Therapy
|
30
|
24
|
—
|
—
|
$8,470.12
|
$196,661.72
|
$45,831.01
|
2026-05-06
|
|
278
|
OTHER
|
Cellulitis Age >17 Without Cc
|
52
|
42
|
—
|
—
|
$567.65
|
$119,328.71
|
$45,786.61
|
2026-05-06
|
|
432
|
OTHER
|
Cirrhosis And Alcoholic Hepatitis With Mcc
|
51
|
41
|
—
|
—
|
$14,231.93
|
$191,792.42
|
$45,303.86
|
2026-05-06
|
|
959
|
OTHER
|
Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc
|
51
|
41
|
—
|
—
|
$19,127.77
|
$157,666.97
|
$44,843.32
|
2026-05-06
|
|
480
|
OTHER
|
Hip And Femur Procedures Except Major Joint With Mcc
|
51
|
41
|
—
|
—
|
$19,185.70
|
$70,142.85
|
$44,664.28
|
2026-05-06
|
|
353
|
OTHER
|
Hernia Procedures Except Inguinal And Femoral With Mcc
|
51
|
41
|
—
|
—
|
$19,133.59
|
$69,952.05
|
$44,542.82
|
2026-05-06
|
|
745
|
OTHER
|
D&c, Conization, Laparoscopy And Tubal Interruption Without Cc/mcc
|
32
|
27
|
—
|
—
|
$6,712.98
|
$194,587.44
|
$44,339.61
|
2026-05-06
|
|
472
|
OTHER
|
Cervical Spinal Fusion With Cc
|
51
|
41
|
—
|
—
|
$18,900.46
|
$69,098.22
|
$43,999.34
|
2026-05-06
|
|
263
|
OTHER
|
Vein Ligation And Stripping
|
51
|
41
|
—
|
—
|
$14,052.82
|
$91,734.68
|
$43,948.70
|
2026-05-06
|
|
344
|
OTHER
|
Minor Small And Large Bowel Procedures With Mcc
|
51
|
41
|
—
|
—
|
$17,580.38
|
$70,292.41
|
$43,936.39
|
2026-05-06
|
|
628
|
OTHER
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc
|
51
|
41
|
—
|
—
|
$25,728.73
|
$94,104.94
|
$43,852.71
|
2026-05-06
|
|
37
|
OTHER
|
Extracranial Procedures With Mcc
|
51
|
41
|
—
|
—
|
$21,659.76
|
$79,203.46
|
$43,710.61
|
2026-05-06
|
|
625
|
OTHER
|
Thyroid, Parathyroid And Thyroglossal Procedures With Mcc
|
51
|
41
|
—
|
—
|
$18,704.43
|
$68,380.34
|
$43,542.39
|
2026-05-06
|
|
462
|
OTHER
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc
|
51
|
41
|
—
|
—
|
$18,682.95
|
$68,301.63
|
$43,492.29
|
2026-05-06
|
|
654
|
OTHER
|
Major Bladder Procedures With Cc
|
51
|
41
|
—
|
—
|
$18,411.37
|
$67,307.08
|
$42,859.22
|
2026-05-06
|
|
253
|
OTHER
|
Other Vascular Procedures With Cc
|
51
|
41
|
—
|
—
|
$17,016.81
|
$94,601.40
|
$42,746.40
|
2026-05-06
|
|
258
|
OTHER
|
Cardiac Pacemaker Device Replacement With Mcc
|
51
|
41
|
—
|
—
|
$18,303.27
|
$66,911.18
|
$42,607.22
|
2026-05-06
|
|
323
|
OTHER
|
Urinary Stones W Cc, &/or Esw Lithotripsy
|
51
|
41
|
—
|
—
|
$26,913.64
|
$101,586.69
|
$42,529.13
|
2026-05-06
|
|
411
|
OTHER
|
Cholecystectomy With C.d.e. With Mcc
|
51
|
41
|
—
|
—
|
$17,853.26
|
$65,263.14
|
$41,558.20
|
2026-05-06
|
|
408
|
OTHER
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
51
|
41
|
—
|
—
|
$22,834.61
|
$83,506.00
|
$41,111.40
|
2026-05-06
|
|
61
|
OTHER
|
Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…
|
51
|
41
|
—
|
—
|
$17,638.34
|
$64,476.09
|
$41,057.21
|
2026-05-06
|
|
272
|
OTHER
|
Other Major Cardiovascular Procedures Without Cc/mcc
|
51
|
41
|
—
|
—
|
$16,328.04
|
$79,845.80
|
$41,000.87
|
2026-05-06
|
|
622
|
OTHER
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
51
|
41
|
—
|
—
|
$24,402.16
|
$89,246.70
|
$40,979.75
|
2026-05-06
|
|
790
|
OTHER
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
34
|
28
|
—
|
—
|
$2,984.35
|
$141,783.48
|
$40,942.19
|
2026-05-06
|
|
240
|
OTHER
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc
|
51
|
41
|
—
|
—
|
$18,998.14
|
$69,455.97
|
$40,876.04
|
2026-05-06
|
|
208
|
OTHER
|
Respiratory System Diagnosis With Ventilator Support <=96 Hours
|
51
|
41
|
—
|
—
|
$17,510.69
|
$64,008.63
|
$40,759.66
|
2026-05-06
|
|
982
|
OTHER
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc
|
51
|
41
|
—
|
—
|
$15,977.03
|
$91,685.78
|
$40,117.68
|
2026-05-06
|
|
274
|
OTHER
|
Percutaneous And Other Intracardiac Procedures Without Mcc
|
51
|
41
|
—
|
—
|
$14,306.70
|
$74,435.85
|
$39,949.84
|
2026-05-06
|