|
J2507
|
HCPCS
|
Krystexxa (pegloticase) 8 Mg Inj,zero Drug Wasted, 340b Drug Pricing
|
10
|
4
|
$114,437.70
|
$77,817.64
32% off
|
$18,626.74
|
$91,550.16
|
$36,605.41
|
2026-03-30
|
|
J3357
|
HCPCS
|
Stelara 90mg/ml Inj,340b Drug Pricing
|
10
|
4
|
$91,789.65
|
$62,416.96
32% off
|
$19,030.00
|
$73,431.72
|
$29,360.94
|
2026-03-30
|
|
J2350
|
HCPCS
|
Ocrevus 300 Mg Inj,340b Drug Pricing
|
10
|
4
|
$70,971.75
|
$48,260.79
32% off
|
$19,351.14
|
$56,777.40
|
$22,701.88
|
2026-03-30
|
|
63685
|
HCPCS
|
Pm-neurostimulator/rechargeable W/chrg S
|
12
|
4
|
$69,009.00
|
$46,926.12
32% off
|
$10,889.60
|
$55,207.20
|
$22,182.25
|
2026-03-30
|
|
J9316
|
HCPCS
|
Phesgo 1200-600-30000 (15 Ml) Inj,340b Drug Pricing, Zero Drug Wasted
|
18
|
4
|
$52,353.96
|
$35,600.69
32% off
|
$10,578.47
|
$41,883.17
|
$16,746.57
|
2026-03-30
|
|
C1821
|
HCPCS
|
Tops 30 M
|
10
|
4
|
$50,750.00
|
$34,510.00
32% off
|
$16,074.35
|
$40,600.00
|
$16,392.66
|
2026-03-30
|
|
C1822
|
HCPCS
|
Pm Kit Ipg Senza Charger & Remote Nevro
|
10
|
4
|
$46,257.00
|
$31,454.76
32% off
|
$14,651.25
|
$37,005.60
|
$14,941.38
|
2026-03-30
|
|
J9277
|
HCPCS
|
Keytruda Qlex
|
10
|
4
|
$43,312.90
|
$29,452.77
32% off
|
$13,718.76
|
$34,650.32
|
$13,990.41
|
2026-03-30
|
|
J9022
|
HCPCS
|
Tecentriq (atezolizumab) 1200mg Inj,zero Drug Wasted
|
10
|
4
|
$41,721.69
|
$28,370.75
32% off
|
$13,214.76
|
$102,773.95
|
$13,476.44
|
2026-03-30
|
|
J9119
|
HCPCS
|
Libtayo (cemiplimab) 350 Mg/7 Ml Inj
|
10
|
4
|
$40,804.80
|
$27,747.26
32% off
|
$12,924.36
|
$32,643.84
|
$13,180.28
|
2026-03-30
|
|
J2327
|
HCPCS
|
Skyrizi 600mg/ 10ml Inj,zero Drug Wasted, 340b Drug Pricing
|
10
|
4
|
$37,341.72
|
$25,392.37
32% off
|
$11,827.46
|
$29,873.38
|
$12,061.67
|
2026-03-30
|
|
J9309
|
HCPCS
|
Polatuzumab (polivy) 30mg,zero Drug Wasted
|
18
|
4
|
$14,357.74
|
$9,763.26
32% off
|
$4,547.61
|
$53,600.86
|
$11,486.19
|
2026-03-30
|
|
J1930
|
HCPCS
|
Somatuline Depot 120 Mg/0.5ml Inj,340b Drug Pricing, Zero Drug Wasted
|
10
|
4
|
$35,798.40
|
$24,342.91
32% off
|
$320.31
|
$28,638.72
|
$11,450.91
|
2026-03-30
|
|
64580
|
HCPCS
|
Pm-inc Impt J Nstim Elt
|
12
|
4
|
$32,000.00
|
$21,760.00
32% off
|
$8,783.22
|
$25,600.00
|
$10,286.08
|
2026-03-30
|
|
J9144
|
HCPCS
|
Daratumumab-hyaluronidase 1800mg/15ml
|
10
|
4
|
$31,468.68
|
$21,398.70
32% off
|
$9,967.27
|
$25,174.94
|
$10,164.64
|
2026-03-30
|
|
J3380
|
HCPCS
|
Entyvio 300mg Vial,340b Drug Pricing
|
10
|
4
|
$31,199.70
|
$21,215.80
32% off
|
$6,291.50
|
$24,959.76
|
$9,979.91
|
2026-03-30
|
|
J3101
|
HCPCS
|
Tnkase (tenecteplase) 50 Mg Inj Kit,zero Drug Wasted, 340b Drug Pricing
|
10
|
4
|
$30,766.20
|
$20,921.02
32% off
|
$6,302.69
|
$24,612.96
|
$9,841.24
|
2026-03-30
|
|
J2323
|
HCPCS
|
Tysabri 300 Mg Inj,340b Drug Pricing
|
10
|
4
|
$29,553.60
|
$20,096.45
32% off
|
$6,581.68
|
$23,642.88
|
$9,453.36
|
2026-03-30
|
|
J9308
|
HCPCS
|
Cyramza 500mg/50ml,zero Drug Wasted
|
10
|
4
|
$26,484.45
|
$18,009.43
32% off
|
$3,222.36
|
$21,187.56
|
$8,471.63
|
2026-03-30
|
|
22214
|
HCPCS
|
Osteotomy Lumbar Vertebral Segment
|
24
|
4
|
$24,829.00
|
$16,883.72
32% off
|
$1,477.98
|
$28,000.00
|
$7,910.20
|
2026-03-30
|
|
C1815
|
HCPCS
|
Prodisc C Nova Sl 19x16MM H5mm
|
18
|
4
|
$24,000.00
|
$16,320.00
32% off
|
$6,651.46
|
$19,200.00
|
$7,676.93
|
2026-03-30
|
|
J9332
|
HCPCS
|
Vyvgart 400mg/20ml Inj,340b Drug Pricing
|
10
|
4
|
$22,731.15
|
$15,457.18
32% off
|
$7,199.78
|
$18,184.92
|
$7,342.35
|
2026-03-30
|
|
J9271
|
HCPCS
|
Keytruda (pembrolizumab) 100 Mg/4 Ml Inj
|
10
|
4
|
$21,656.40
|
$14,726.35
32% off
|
$216.35
|
$17,325.12
|
$6,927.28
|
2026-03-30
|
|
J0517
|
HCPCS
|
Fasenra 30 Mg/ Ml,340b Drug Pricing
|
10
|
4
|
$19,841.10
|
$13,491.95
32% off
|
$6,284.39
|
$15,872.88
|
$6,408.83
|
2026-03-30
|
|
22114
|
HCPCS
|
Partial Excision Of Lumbar Vetebra
|
24
|
4
|
$22,520.00
|
$15,313.60
32% off
|
$1,177.52
|
$28,000.00
|
$6,319.69
|
2026-03-30
|
|
64553
|
HCPCS
|
Pm-implant J Neurostim Eltrd Cranial Ner
|
12
|
4
|
$17,556.00
|
$11,938.08
32% off
|
$5,560.62
|
$14,044.80
|
$5,691.52
|
2026-03-30
|
|
64575
|
HCPCS
|
Pm-inc Impt J Periph Nerv Stim
|
12
|
4
|
$17,556.00
|
$11,938.08
32% off
|
$5,560.62
|
$20,756.85
|
$5,691.52
|
2026-03-30
|
|
J0875
|
HCPCS
|
Dalvance 500 Mg Inj,zero Drug Wasted, 340b Drug Pricing
|
18
|
4
|
$6,037.20
|
$4,105.30
32% off
|
$1,912.20
|
$13,657.60
|
$5,407.32
|
2026-03-30
|
|
J9173
|
HCPCS
|
Imfinzi 500 Mg Inj,340b Drug Pricing, Zero Drug Wasted
|
10
|
4
|
$15,460.80
|
$10,513.34
32% off
|
$4,896.99
|
$12,368.64
|
$4,993.96
|
2026-03-30
|
|
J1576
|
HCPCS
|
Panzyga 10% 100ml (10 Gram),340b Drug Pricing
|
34
|
4
|
$7,740.00
|
$5,263.20
32% off
|
$1,225.76
|
$19,872.00
|
$4,903.08
|
2026-03-30
|
|
J9177
|
HCPCS
|
Padcev (enfortumab) 30 Mg Inj,zero Drug Wasted
|
10
|
4
|
$15,168.60
|
$10,314.65
32% off
|
$4,804.44
|
$12,134.88
|
$4,899.58
|
2026-03-30
|
|
Q5111
|
HCPCS
|
Udenyca (pegfilgrastim) 6mg Onbody,340b Drug Pricing, Zero Drug Wasted
|
10
|
4
|
$15,030.00
|
$10,220.40
32% off
|
$4,760.55
|
$12,024.00
|
$4,854.81
|
2026-03-30
|
|
C1899
|
HCPCS
|
Inspace Subacromial Balloon Spacer-large
|
10
|
4
|
$13,185.58
|
$8,966.19
32% off
|
$4,176.35
|
$10,548.46
|
$4,259.05
|
2026-03-30
|
|
J1306
|
HCPCS
|
Leqvio 189mg / Ml 1.5ml (284mg/1.5ml),340b Drug Pricing
|
10
|
4
|
$12,915.75
|
$8,782.71
32% off
|
$4,090.88
|
$10,332.60
|
$4,171.89
|
2026-03-30
|
|
Q5119
|
HCPCS
|
Rituximab-pvvr (ruxience) 500 Mg Inj,340b Drug Pricing, Zero Drug Wasted
|
18
|
4
|
$12,902.40
|
$8,773.63
32% off
|
$794.53
|
$10,321.92
|
$4,086.66
|
2026-03-30
|
|
C1734
|
HCPCS
|
Cement Hydroset Xt
|
18
|
4
|
$5,081.61
|
$3,455.49
32% off
|
$1,609.53
|
$11,321.63
|
$4,065.29
|
2026-03-30
|
|
63046
|
HCPCS
|
Laminectomy/facetectomy & Forminotomy Th
|
24
|
4
|
$13,506.25
|
$9,184.25
32% off
|
$1,202.49
|
$18,160.00
|
$4,028.69
|
2026-03-30
|
|
22856
|
HCPCS
|
Hardware Removal
|
34
|
4
|
$6,012.00
|
$4,088.16
32% off
|
$1,551.35
|
$17,369.23
|
$3,898.07
|
2026-03-30
|
|
63650
|
HCPCS
|
Pm-imp Neuroelectrodes Lead
|
12
|
4
|
$9,784.65
|
$6,653.56
32% off
|
$3,099.15
|
$7,827.72
|
$3,883.95
|
2026-03-30
|
|
64555
|
HCPCS
|
Pm-percutaneous Implant Peripheral Nerve
|
12
|
4
|
$9,625.00
|
$6,545.00
32% off
|
$3,048.58
|
$7,700.00
|
$3,858.16
|
2026-03-30
|
|
64561
|
HCPCS
|
Pm-implt Neuro Nver
|
12
|
4
|
$9,625.00
|
$6,545.00
32% off
|
$3,048.58
|
$7,700.00
|
$3,858.16
|
2026-03-30
|
|
63047
|
HCPCS
|
Laminectomy
|
24
|
4
|
$11,416.25
|
$7,763.05
32% off
|
$1,085.29
|
$15,192.00
|
$3,840.69
|
2026-03-30
|
|
62350
|
HCPCS
|
Pm-insert Spinal Canal Cath
|
12
|
4
|
$8,906.00
|
$6,056.08
32% off
|
$2,820.85
|
$7,124.80
|
$3,742.05
|
2026-03-30
|
|
63020
|
HCPCS
|
Laminotomy With Decompression
|
24
|
4
|
$8,458.00
|
$5,751.44
32% off
|
$1,084.06
|
$10,550.40
|
$3,579.76
|
2026-03-30
|
|
0202T
|
OTHER
|
Partial Exc Add On
|
12
|
4
|
$8,000.00
|
$5,440.00
32% off
|
$2,533.89
|
$6,400.00
|
$3,525.50
|
2026-03-30
|
|
93291
|
HCPCS
|
Loop Recorder
|
10
|
4
|
$10,909.50
|
$7,418.46
32% off
|
$19.74
|
$8,727.60
|
$3,489.64
|
2026-03-30
|
|
63030
|
HCPCS
|
Laminotomy Or Hemilaminectomy
|
24
|
4
|
$8,262.50
|
$5,618.50
32% off
|
$915.48
|
$10,584.00
|
$3,413.21
|
2026-03-30
|
|
22220
|
HCPCS
|
Osteotomy Of Spine
|
24
|
4
|
$7,892.50
|
$5,366.90
32% off
|
$1,590.44
|
$8,040.00
|
$3,198.95
|
2026-03-30
|
|
C9132
|
HCPCS
|
Kcentra 1024 Units,340b Drug Pricing
|
10
|
4
|
$9,780.00
|
$6,650.40
32% off
|
$2,155.71
|
$7,824.00
|
$3,128.35
|
2026-03-30
|
|
C1820
|
HCPCS
|
Neurostim Restore Advanced
|
138
|
4
|
$6,000.00
|
$4,080.00
32% off
|
$15.84
|
$68,000.00
|
$3,033.78
|
2026-03-30
|
|
J9171
|
HCPCS
|
Docetaxel 160 Mg / 16 Ml Inj,340b Drug Pricing, Drug Amount Discarded
|
10
|
4
|
$9,108.00
|
$6,193.44
32% off
|
$31.46
|
$7,286.40
|
$2,913.39
|
2026-03-30
|
|
63056
|
HCPCS
|
Lumbar Spine Decompression Transpedicula
|
24
|
4
|
$6,661.50
|
$4,529.82
32% off
|
$1,355.95
|
$7,233.60
|
$2,878.10
|
2026-03-30
|
|
22857
|
HCPCS
|
Sd-total Disc Arthroplasty Pro Fee
|
24
|
4
|
$7,866.00
|
$5,348.88
32% off
|
$1,635.15
|
$7,160.00
|
$2,848.82
|
2026-03-30
|
|
22630
|
HCPCS
|
Arthrodesis
|
24
|
4
|
$7,231.25
|
$4,917.25
32% off
|
$1,526.20
|
$7,152.00
|
$2,845.64
|
2026-03-30
|
|
J9312
|
HCPCS
|
Rituximab (rituxan) 100 Mg Inj,zero Drug Wasted, 340b Drug Pricing
|
18
|
4
|
$3,382.35
|
$2,300.00
32% off
|
$1,071.31
|
$13,529.16
|
$2,705.88
|
2026-03-30
|
|
22861
|
HCPCS
|
Revision Total Disc Arthroplasty
|
24
|
4
|
$6,651.50
|
$4,523.02
32% off
|
$1,552.01
|
$6,722.40
|
$2,674.71
|
2026-03-30
|
|
90375
|
HCPCS
|
Hyperab Rabies Globulin Vial 10 Ml
|
18
|
4
|
$8,272.50
|
$5,625.30
32% off
|
$775.94
|
$6,618.00
|
$2,620.20
|
2026-03-30
|
|
47564
|
HCPCS
|
Chole/lap W/explor Common Bile Duct
|
12
|
4
|
$4,635.00
|
$3,151.80
32% off
|
$1,468.07
|
$5,072.21
|
$2,602.57
|
2026-03-30
|
|
J0897
|
HCPCS
|
Prolia 60mg/ml,zero Drug Wasted, 340b Drug Pricing
|
20
|
4
|
$7,325.75
|
$4,981.51
32% off
|
$1,203.38
|
$6,577.20
|
$2,505.41
|
2026-03-30
|
|
J9217
|
HCPCS
|
Lupron 7.5 Mg Inj
|
10
|
4
|
$7,726.71
|
$5,254.16
32% off
|
$1,789.95
|
$6,181.37
|
$2,471.56
|
2026-03-30
|
|
J2997
|
HCPCS
|
Activase 50mg 1x50mg,340b Drug Pricing
|
10
|
4
|
$7,501.00
|
$5,100.68
32% off
|
$2,375.83
|
$6,000.80
|
$2,422.88
|
2026-03-30
|
|
63688
|
HCPCS
|
Pm-revise/remove Neuroreceiver
|
12
|
4
|
$5,117.50
|
$3,479.90
32% off
|
$1,620.90
|
$4,094.00
|
$2,325.05
|
2026-03-30
|
|
J1602
|
HCPCS
|
Simponi Aria 50mg Iv,340b Drug Pricing, Zero Drug Wasted
|
10
|
4
|
$7,197.15
|
$4,894.06
32% off
|
$1,371.76
|
$5,757.72
|
$2,302.17
|
2026-03-30
|
|
J2248
|
HCPCS
|
Micafungin (mycamine) 100 Mg Inj,zero Drug Wasted, 340b Drug Pricing
|
10
|
4
|
$6,934.00
|
$4,715.12
32% off
|
$2,196.25
|
$5,547.20
|
$2,239.74
|
2026-03-30
|
|
J3032
|
HCPCS
|
Vyepti 100mg / Ml Inj,zero Drug Wasted, 340b Drug Pricing
|
10
|
4
|
$6,797.40
|
$4,622.23
32% off
|
$2,152.98
|
$5,437.92
|
$2,195.62
|
2026-03-30
|
|
J3358
|
HCPCS
|
Stelara 130 Mg/26 Ml Injection,zero Drug Wasted, 340b Drug Pricing
|
10
|
4
|
$6,522.50
|
$4,435.30
32% off
|
$377.59
|
$5,218.00
|
$2,086.36
|
2026-03-30
|
|
J1950
|
HCPCS
|
Lupron 3.75 Mg Inj,zero Drug Wasted, 340b Drug Pricing
|
10
|
4
|
$6,175.23
|
$4,199.16
32% off
|
$1,955.91
|
$4,940.18
|
$1,994.64
|
2026-03-30
|
|
J1459
|
HCPCS
|
Privigen 10% 100ml (10 Gram),340b Drug Pricing
|
50
|
4
|
$6,149.55
|
$4,181.69
32% off
|
$217.42
|
$20,855.80
|
$1,967.08
|
2026-03-30
|
|
J1439
|
HCPCS
|
Injectafer 750 Mg / 15ml Vial,340b Drug Pricing
|
10
|
4
|
$6,088.20
|
$4,139.98
32% off
|
$17.82
|
$4,870.56
|
$1,947.44
|
2026-03-30
|
|
J1448
|
HCPCS
|
Cosela (trilaciclib) 300 Mg Inj,zero Drug Wasted
|
10
|
4
|
$5,726.13
|
$3,893.77
32% off
|
$1,813.67
|
$4,580.90
|
$1,849.58
|
2026-03-30
|
|
22830
|
HCPCS
|
Exploration Of Fusion
|
12
|
4
|
$3,600.00
|
$2,448.00
32% off
|
$1,140.25
|
$3,600.00
|
$1,766.48
|
2026-03-30
|
|
22849
|
HCPCS
|
Sd-reinsertion Of Spinal Fix Dev Pro Fee
|
32
|
4
|
$3,382.00
|
$2,299.76
32% off
|
$888.45
|
$12,336.80
|
$1,754.35
|
2026-03-30
|
|
J9264
|
HCPCS
|
Abraxane (paclitaxel Pb) 100mg Inj,340b Drug Pricing
|
10
|
4
|
$5,332.65
|
$3,626.20
32% off
|
$1,246.84
|
$4,266.12
|
$1,705.77
|
2026-03-30
|
|
J1568
|
HCPCS
|
Immuno Globulin 10gm Vial (octagam),zero Drug Wasted, 340b Drug Pricing
|
40
|
4
|
$4,017.75
|
$2,732.07
32% off
|
$402.18
|
$8,458.40
|
$1,705.19
|
2026-03-30
|
|
44626
|
HCPCS
|
Entrostomy W/rec
|
24
|
4
|
$4,650.00
|
$3,162.00
32% off
|
$1,266.94
|
$4,240.00
|
$1,687.01
|
2026-03-30
|
|
44227
|
HCPCS
|
Laparoscopy
|
24
|
4
|
$4,600.00
|
$3,128.00
32% off
|
$1,298.62
|
$4,080.00
|
$1,623.35
|
2026-03-30
|
|
44143
|
HCPCS
|
Rk-w/colostomy
|
24
|
4
|
$4,125.00
|
$2,805.00
32% off
|
$997.72
|
$4,080.00
|
$1,623.35
|
2026-03-30
|
|
J0129
|
HCPCS
|
Orencia 250 Mg Inj,340b Drug Pricing
|
10
|
4
|
$4,967.70
|
$3,378.04
32% off
|
$1,573.45
|
$13,715.09
|
$1,604.60
|
2026-03-30
|
|
36573
|
HCPCS
|
Ic-picc Line Placement With Imaging
|
12
|
4
|
$3,840.87
|
$2,611.79
32% off
|
$1,216.54
|
$3,072.70
|
$1,594.58
|
2026-03-30
|
|
C1776
|
HCPCS
|
Insert 0* Polyethylene 36mm
|
538
|
4
|
$4,350.00
|
$2,958.00
32% off
|
$68.57
|
$30,516.00
|
$1,573.69
|
2026-03-30
|
|
J1561
|
HCPCS
|
Gamunex 10% 100ml (10 Gram),zero Drug Wasted, 340b Drug Pricing
|
62
|
4
|
$4,802.40
|
$3,265.63
32% off
|
$45.99
|
$18,397.76
|
$1,536.16
|
2026-03-30
|
|
J3262
|
HCPCS
|
Actemra 200 Mg/10 Ml Inj,zero Drug Wasted, 340b Drug Pricing
|
30
|
4
|
$4,780.50
|
$3,250.74
32% off
|
$20.48
|
$7,648.76
|
$1,529.15
|
2026-03-30
|
|
47600
|
HCPCS
|
Open Chol
|
24
|
4
|
$4,117.50
|
$2,799.90
32% off
|
$1,042.87
|
$3,708.00
|
$1,475.34
|
2026-03-30
|
|
19303
|
HCPCS
|
Complete Mastectomy
|
24
|
4
|
$3,762.50
|
$2,558.50
32% off
|
$945.20
|
$5,437.42
|
$1,440.33
|
2026-03-30
|
|
44204
|
HCPCS
|
Laproscopy Colectomy
|
24
|
4
|
$3,836.61
|
$2,608.89
32% off
|
$1,140.25
|
$3,258.58
|
$1,392.85
|
2026-03-30
|
|
J2357
|
HCPCS
|
Xolair 150mg Inj,zero Drug Wasted, 340b Drug Pricing
|
10
|
4
|
$4,310.00
|
$2,930.80
32% off
|
$1,365.13
|
$5,922.33
|
$1,392.17
|
2026-03-30
|
|
J2506
|
HCPCS
|
Neulasta (pegfilgrastim) 6mg Inj,zero Drug Wasted
|
10
|
4
|
$4,192.50
|
$2,850.90
32% off
|
$1,327.92
|
$3,354.00
|
$1,354.21
|
2026-03-30
|
|
63661
|
HCPCS
|
Pm-remove Neuroelectrodes Leads
|
12
|
4
|
$2,741.00
|
$1,863.88
32% off
|
$868.17
|
$2,415.92
|
$1,352.61
|
2026-03-30
|
|
64605
|
HCPCS
|
Pm-dest W Neuro
|
12
|
4
|
$2,741.00
|
$1,863.88
32% off
|
$868.17
|
$2,415.92
|
$1,352.61
|
2026-03-30
|
|
J9145
|
HCPCS
|
Darzalex 20 Mg/ml 20 Ml,zero Drug Wasted, 340b Drug Pricing
|
20
|
4
|
$4,726.50
|
$3,214.02
32% off
|
$279.69
|
$6,049.60
|
$1,315.76
|
2026-03-30
|
|
44205
|
HCPCS
|
Colectomy Partial
|
24
|
4
|
$3,825.00
|
$2,601.00
32% off
|
$1,156.09
|
$3,200.00
|
$1,285.33
|
2026-03-30
|
|
44310
|
HCPCS
|
Ileostomy
|
24
|
4
|
$3,575.00
|
$2,431.00
32% off
|
$997.72
|
$3,200.00
|
$1,273.22
|
2026-03-30
|
|
L8699
|
HCPCS
|
Essure System Birth Control
|
10
|
4
|
$3,901.50
|
$2,653.02
32% off
|
$1,235.74
|
$3,121.20
|
$1,260.21
|
2026-03-30
|
|
44202
|
HCPCS
|
Resection Laparo, Surg Enterec, Small In
|
24
|
4
|
$2,669.64
|
$1,815.36
32% off
|
$527.00
|
$2,940.36
|
$1,259.13
|
2026-03-30
|
|
64633
|
HCPCS
|
Pm-dest Paravertebral Nerve CT Bilat,bilateral Procedure
|
36
|
4
|
$1,841.50
|
$1,252.22
32% off
|
$583.27
|
$2,415.92
|
$1,182.72
|
2026-03-30
|
|
44120
|
HCPCS
|
Rk-lap Enterolysis Pro Fee
|
14
|
4
|
$2,670.00
|
$1,815.60
32% off
|
$845.68
|
$2,136.00
|
$1,173.81
|
2026-03-30
|
|
Q5103
|
HCPCS
|
Inflectra 100mg Vial,zero Drug Wasted, 340b Drug Pricing
|
10
|
4
|
$3,509.00
|
$2,386.12
32% off
|
$1,111.43
|
$8,533.53
|
$1,133.44
|
2026-03-30
|
|
64635
|
HCPCS
|
Pm-dest Paravertebral Nrv L/s,bilateral Procedure
|
36
|
4
|
$1,713.50
|
$1,165.18
32% off
|
$542.72
|
$2,415.92
|
$1,131.51
|
2026-03-30
|
|
44005
|
HCPCS
|
Entrolysis
|
24
|
4
|
$3,187.50
|
$2,167.50
32% off
|
$902.70
|
$2,820.00
|
$1,122.02
|
2026-03-30
|
|
44180
|
HCPCS
|
Lap Enterolysis
|
34
|
4
|
$2,670.00
|
$1,815.60
32% off
|
$760.17
|
$5,072.21
|
$1,120.61
|
2026-03-30
|
|
15100
|
HCPCS
|
Autograft
|
24
|
4
|
$2,840.00
|
$1,931.20
32% off
|
$689.62
|
$2,800.00
|
$1,114.07
|
2026-03-30
|
|
47562
|
HCPCS
|
Lap Cholecystectomy
|
44
|
4
|
$2,375.00
|
$1,615.00
32% off
|
$530.53
|
$5,072.21
|
$1,089.91
|
2026-03-30
|
|
J1569
|
HCPCS
|
Gammagard 10% 100ml (10 Gram),zero Drug Wasted, 340b Drug Pricing
|
60
|
4
|
$4,466.73
|
$3,037.38
32% off
|
$46.01
|
$12,336.40
|
$1,088.78
|
2026-03-30
|
|
47605
|
HCPCS
|
Cholecystectomy
|
24
|
4
|
$2,559.00
|
$1,740.12
32% off
|
$585.96
|
$2,614.40
|
$1,075.16
|
2026-03-30
|
|
46040
|
HCPCS
|
Incision/drainage Perirectal Abscess
|
12
|
4
|
$3,323.00
|
$2,259.64
32% off
|
$157.00
|
$2,658.40
|
$1,057.72
|
2026-03-30
|
|
11420
|
HCPCS
|
Cl Esx Beg Sclp/nk/hd/ft/gen <0.5 11420
|
12
|
4
|
$1,883.00
|
$1,280.44
32% off
|
$596.42
|
$1,883.00
|
$1,057.32
|
2026-03-30
|
|
22852
|
HCPCS
|
Removal Of Hardware Segmental
|
24
|
4
|
$2,822.00
|
$1,918.96
32% off
|
$707.39
|
$3,300.00
|
$1,050.40
|
2026-03-30
|
|
Q0138
|
HCPCS
|
Feraheme 510mg/ 17ml,zero Drug Wasted, 340b Drug Pricing
|
10
|
4
|
$3,259.25
|
$2,216.29
32% off
|
$17.84
|
$2,607.40
|
$1,042.54
|
2026-03-30
|
|
64625
|
HCPCS
|
Pm-si Joint Nb One Time Code,bilateral Procedure
|
36
|
4
|
$1,713.50
|
$1,165.18
32% off
|
$542.72
|
$2,415.92
|
$1,010.17
|
2026-03-30
|
|
66984
|
HCPCS
|
Cataract Left,left Side
|
24
|
4
|
$1,780.00
|
$1,210.40
32% off
|
$563.79
|
$2,170.83
|
$999.48
|
2026-03-30
|
|
44050
|
HCPCS
|
Reduction Of Volvulus
|
24
|
4
|
$2,992.50
|
$2,034.90
32% off
|
$902.70
|
$2,508.00
|
$997.88
|
2026-03-30
|
|
19101
|
HCPCS
|
Breast Bx Open
|
24
|
4
|
$2,312.50
|
$1,572.50
32% off
|
$223.68
|
$3,082.46
|
$994.70
|
2026-03-30
|
|
49441
|
HCPCS
|
Duodenostomy Tube Study With Imaging
|
10
|
4
|
$3,047.00
|
$2,071.96
32% off
|
$965.09
|
$2,437.60
|
$984.20
|
2026-03-30
|
|
49000
|
HCPCS
|
Exploratory Laparotomy
|
24
|
4
|
$2,524.00
|
$1,716.32
32% off
|
$648.67
|
$2,400.00
|
$954.91
|
2026-03-30
|
|
47563
|
HCPCS
|
Cholecystectomy/lap
|
24
|
4
|
$2,325.00
|
$1,581.00
32% off
|
$522.61
|
$5,072.21
|
$954.91
|
2026-03-30
|
|
78452
|
HCPCS
|
Nm Myocard Perf Multi
|
12
|
4
|
$2,170.00
|
$1,475.60
32% off
|
$687.31
|
$1,736.00
|
$954.09
|
2026-03-30
|
|
C1778
|
HCPCS
|
Nma Multi-modality Monitoring Kit
|
76
|
4
|
$1,750.00
|
$1,190.00
32% off
|
$1.74
|
$60,200.00
|
$931.78
|
2026-03-30
|
|
J0630
|
HCPCS
|
Miacalcin (calcitonin) 400 Iu/2 Ml Inj,340b Drug Pricing
|
10
|
4
|
$2,880.00
|
$1,958.40
32% off
|
$912.20
|
$5,123.47
|
$930.26
|
2026-03-30
|
|
74174
|
HCPCS
|
CTA Abd Pelvis
|
12
|
4
|
$2,883.65
|
$1,960.88
32% off
|
$285.60
|
$2,306.92
|
$917.88
|
2026-03-30
|
|
74177
|
HCPCS
|
CT Abd Pelv W Cont
|
12
|
4
|
$2,883.65
|
$1,960.88
32% off
|
$285.60
|
$2,306.92
|
$917.88
|
2026-03-30
|
|
Q5117
|
HCPCS
|
Kanjinti 150 Mg Inj (per Vial),340b Drug Pricing, Zero Drug Wasted
|
20
|
4
|
$2,611.33
|
$1,775.71
32% off
|
$103.38
|
$3,916.99
|
$905.98
|
2026-03-30
|
|
90377
|
HCPCS
|
Kedrab Rabies Globulin 2ml
|
10
|
4
|
$2,765.00
|
$1,880.20
32% off
|
$875.78
|
$2,212.00
|
$893.11
|
2026-03-30
|
|
J0881
|
HCPCS
|
Aranesp 100 Mcg/1 Ml,zero Drug Wasted, 340b Drug Pricing
|
10
|
4
|
$2,786.40
|
$1,894.75
32% off
|
$4.41
|
$2,229.12
|
$891.29
|
2026-03-30
|
|
22858
|
HCPCS
|
Sd-total Disc Arthroplasty Pro Fee
|
24
|
4
|
$2,756.00
|
$1,874.08
32% off
|
$157.85
|
$2,729.60
|
$879.51
|
2026-03-30
|
|
C1771
|
HCPCS
|
Miniarc Sling Implant
|
18
|
4
|
$2,393.50
|
$1,627.58
32% off
|
$758.11
|
$2,134.80
|
$853.58
|
2026-03-30
|
|
38531
|
HCPCS
|
Exc Node Bx
|
24
|
4
|
$1,977.50
|
$1,344.70
32% off
|
$413.34
|
$2,650.00
|
$843.50
|
2026-03-30
|
|
64624
|
HCPCS
|
Pm-genicular Ablation Lt,left Side
|
24
|
4
|
$1,713.50
|
$1,165.18
32% off
|
$542.72
|
$1,713.50
|
$840.79
|
2026-03-30
|
|
38525
|
HCPCS
|
Biopsy
|
24
|
4
|
$1,950.00
|
$1,326.00
32% off
|
$411.76
|
$3,082.46
|
$827.59
|
2026-03-30
|
|
J0248
|
HCPCS
|
Remdesivir 100mg Inj,340b Drug Pricing
|
10
|
4
|
$2,551.05
|
$1,734.71
32% off
|
$808.01
|
$2,040.84
|
$824.01
|
2026-03-30
|
|
78451
|
HCPCS
|
Nm Myocard Perf Sngl
|
12
|
4
|
$2,284.00
|
$1,553.12
32% off
|
$723.43
|
$1,827.20
|
$786.55
|
2026-03-30
|
|
44970
|
HCPCS
|
Lap Appendectomy
|
24
|
4
|
$2,135.00
|
$1,451.80
32% off
|
$576.46
|
$5,072.21
|
$779.85
|
2026-03-30
|
|
24115
|
HCPCS
|
Remove Graft Bone Lesion 24115
|
12
|
4
|
$1,388.00
|
$943.84
32% off
|
$439.63
|
$6,335.25
|
$779.37
|
2026-03-30
|
|
74178
|
HCPCS
|
CT Abd Pelv Wwo
|
12
|
4
|
$2,382.00
|
$1,619.76
32% off
|
$285.60
|
$1,905.60
|
$765.67
|
2026-03-30
|
|
58660
|
HCPCS
|
Lap Lysis Of Adhesions
|
24
|
4
|
$2,120.00
|
$1,441.60
32% off
|
$582.80
|
$5,072.21
|
$763.93
|
2026-03-30
|
|
72132
|
HCPCS
|
CT L Spine W Contrast
|
12
|
4
|
$2,382.00
|
$1,619.76
32% off
|
$496.95
|
$1,905.60
|
$758.19
|
2026-03-30
|
|
73201
|
HCPCS
|
CT Ue Lt W Contrast,left Side
|
24
|
4
|
$2,382.00
|
$1,619.76
32% off
|
$285.60
|
$1,905.60
|
$758.19
|
2026-03-30
|
|
71270
|
HCPCS
|
CT Chest Wwo Contrast
|
12
|
4
|
$2,382.00
|
$1,619.76
32% off
|
$285.60
|
$1,905.60
|
$758.19
|
2026-03-30
|
|
36569
|
HCPCS
|
Ic-picc Line Placement Without Imaging
|
26
|
4
|
$3,870.87
|
$2,632.19
32% off
|
$90.90
|
$3,096.70
|
$750.00
|
2026-03-30
|
|
22850
|
HCPCS
|
Sd-hardware Removal Pro Fee
|
14
|
4
|
$2,300.00
|
$1,564.00
32% off
|
$728.49
|
$1,840.00
|
$739.43
|
2026-03-30
|
|
78804
|
HCPCS
|
Nm Inflam Imgng Wb
|
20
|
4
|
$2,170.00
|
$1,475.60
32% off
|
$687.31
|
$1,827.20
|
$734.17
|
2026-03-30
|
|
73222
|
HCPCS
|
MRI Lue Joint W Contrast,left Side
|
24
|
4
|
$2,153.00
|
$1,464.04
32% off
|
$681.93
|
$1,722.40
|
$732.98
|
2026-03-30
|
|
78801
|
HCPCS
|
Nm Inflam Imgng Ltd
|
12
|
4
|
$2,284.00
|
$1,553.12
32% off
|
$394.87
|
$1,827.20
|
$727.01
|
2026-03-30
|
|
24655
|
HCPCS
|
Closed Reduction
|
12
|
4
|
$2,259.00
|
$1,536.12
32% off
|
$157.00
|
$1,807.20
|
$719.05
|
2026-03-30
|
|
0278
|
RC
|
—
|
546
|
4
|
$1,985.00
|
$1,349.80
32% off
|
$24.71
|
$11,520.00
|
$717.08
|
2026-03-30
|
|
28805
|
HCPCS
|
Amputation, Foot, Transmetatarsal
|
24
|
4
|
$1,717.50
|
$1,167.90
32% off
|
$397.51
|
$2,989.11
|
$698.41
|
2026-03-30
|
|
49594
|
HCPCS
|
Rk-abd Hernia Repair Pro Fee
|
22
|
4
|
$1,800.00
|
$1,224.00
32% off
|
$570.12
|
$1,724.00
|
$696.08
|
2026-03-30
|
|
28820
|
HCPCS
|
Amputation
|
24
|
4
|
$1,717.50
|
$1,167.90
32% off
|
$173.17
|
$2,180.00
|
$693.90
|
2026-03-30
|
|
27632
|
HCPCS
|
Exc Tumor
|
24
|
4
|
$1,717.50
|
$1,167.90
32% off
|
$397.51
|
$2,627.10
|
$693.90
|
2026-03-30
|
|
72197
|
HCPCS
|
MRI Pelvis Wwo Contrast
|
12
|
4
|
$2,153.00
|
$1,464.04
32% off
|
$515.70
|
$1,722.40
|
$692.07
|
2026-03-30
|
|
74183
|
HCPCS
|
MRI Abd Wwo Contrast
|
12
|
4
|
$2,153.00
|
$1,464.04
32% off
|
$515.70
|
$1,722.40
|
$692.07
|
2026-03-30
|
|
70553
|
HCPCS
|
MRI Brain Wwo Contrast
|
12
|
4
|
$2,153.00
|
$1,464.04
32% off
|
$515.70
|
$1,722.40
|
$692.07
|
2026-03-30
|
|
72156
|
HCPCS
|
MRI C Sp Wwo Contrast
|
12
|
4
|
$2,153.00
|
$1,464.04
32% off
|
$515.70
|
$1,722.40
|
$692.07
|
2026-03-30
|
|
72158
|
HCPCS
|
MRI L Sp Wwo Contrast
|
12
|
4
|
$2,153.00
|
$1,464.04
32% off
|
$515.70
|
$1,722.40
|
$692.07
|
2026-03-30
|
|
45330
|
HCPCS
|
Sig Flexible
|
12
|
4
|
$1,777.00
|
$1,208.36
32% off
|
$562.84
|
$1,572.35
|
$688.13
|
2026-03-30
|
|
73722
|
HCPCS
|
MRI Lle Joint W Contrast,left Side
|
24
|
4
|
$1,872.00
|
$1,272.96
32% off
|
$592.93
|
$1,497.60
|
$687.60
|
2026-03-30
|
|
81194
|
HCPCS
|
Gene Testing Path Group
|
12
|
4
|
$1,555.00
|
$1,057.40
32% off
|
$492.53
|
$1,244.00
|
$685.27
|
2026-03-30
|
|
49613
|
HCPCS
|
Rk-hernia Repair
|
22
|
4
|
$1,425.00
|
$969.00
32% off
|
$399.24
|
$1,724.00
|
$682.57
|
2026-03-30
|
|
75574
|
HCPCS
|
CTA Heart Coronary
|
12
|
4
|
$2,111.00
|
$1,435.48
32% off
|
$285.60
|
$1,688.80
|
$678.56
|
2026-03-30
|
|
J1301
|
HCPCS
|
Radicava 30mg/100ml,340b Drug Pricing
|
10
|
4
|
$2,095.00
|
$1,424.60
32% off
|
$663.56
|
$1,676.00
|
$676.70
|
2026-03-30
|
|
C1880
|
HCPCS
|
Vena Cava Filter Gunther Femoral
|
26
|
4
|
$1,823.50
|
$1,239.98
32% off
|
$572.03
|
$1,698.80
|
$672.59
|
2026-03-30
|
|
36590
|
HCPCS
|
Removal Cv Cath
|
24
|
4
|
$1,682.50
|
$1,144.10
32% off
|
$181.61
|
$1,948.52
|
$668.44
|
2026-03-30
|
|
36561
|
HCPCS
|
Insertion Of Cv Cath Access Device
|
24
|
4
|
$1,682.50
|
$1,144.10
32% off
|
$316.45
|
$2,816.80
|
$668.44
|
2026-03-30
|
|
36558
|
HCPCS
|
Insertion Of Cv Cath
|
24
|
4
|
$1,682.50
|
$1,144.10
32% off
|
$246.99
|
$2,816.80
|
$668.44
|
2026-03-30
|
|
81405
|
HCPCS
|
Alpha-galactosidase A Defic. (full Gene
|
10
|
4
|
$2,062.00
|
$1,402.16
32% off
|
$653.11
|
$1,649.60
|
$666.05
|
2026-03-30
|
|
J0666
|
HCPCS
|
Exparel (bupivacaine Liposome) 20 Ml Inj,zero Drug Waste, 340b Drug Pricing
|
12
|
4
|
$1,507.04
|
$1,024.79
32% off
|
$477.33
|
$1,205.63
|
$664.13
|
2026-03-30
|
|
45379
|
HCPCS
|
Colo Fb Removal
|
12
|
4
|
$1,180.00
|
$802.40
32% off
|
$373.75
|
$1,180.00
|
$662.58
|
2026-03-30
|
|
G0104
|
HCPCS
|
Flex Sig Screening
|
12
|
4
|
$1,545.00
|
$1,050.60
32% off
|
$489.35
|
$1,545.00
|
$650.66
|
2026-03-30
|
|
19301
|
HCPCS
|
Partial Mastectomy
|
24
|
4
|
$1,709.38
|
$1,162.38
32% off
|
$475.10
|
$3,082.46
|
$636.31
|
2026-03-30
|
|
75635
|
HCPCS
|
CTA Aorta Runoff
|
12
|
4
|
$1,964.00
|
$1,335.52
32% off
|
$285.60
|
$1,571.20
|
$631.31
|
2026-03-30
|
|
54690
|
HCPCS
|
Lap Orchiectomy
|
24
|
4
|
$1,775.00
|
$1,207.00
32% off
|
$506.78
|
$5,072.21
|
$631.24
|
2026-03-30
|
|
71275
|
HCPCS
|
CTA Chest
|
12
|
4
|
$1,964.00
|
$1,335.52
32% off
|
$285.60
|
$1,571.20
|
$628.39
|
2026-03-30
|
|
11403
|
HCPCS
|
Cl Esx Bgn Trunk/arm/leg 2.1-3.0 11403
|
12
|
4
|
$1,883.00
|
$1,280.44
32% off
|
$596.42
|
$1,572.35
|
$627.78
|
2026-03-30
|
|
72193
|
HCPCS
|
CT Pelvis W Contrast
|
12
|
4
|
$1,964.00
|
$1,335.52
32% off
|
$285.60
|
$1,571.20
|
$625.14
|
2026-03-30
|
|
70487
|
HCPCS
|
CT Fac Sin W Contrast
|
12
|
4
|
$1,964.00
|
$1,335.52
32% off
|
$285.60
|
$1,571.20
|
$625.14
|
2026-03-30
|
|
70470
|
HCPCS
|
CT Brain Wwo Cont
|
12
|
4
|
$1,964.00
|
$1,335.52
32% off
|
$285.60
|
$1,571.20
|
$625.14
|
2026-03-30
|
|
11406
|
HCPCS
|
Cl Esx Bgn Trunk/arm/leg >4.0 Cm 11406
|
12
|
4
|
$1,100.00
|
$748.00
32% off
|
$348.41
|
$1,523.27
|
$617.65
|
2026-03-30
|
|
73223
|
HCPCS
|
MRI Lue Joint Wwo Contrast,left Side
|
24
|
4
|
$1,872.00
|
$1,272.96
32% off
|
$515.70
|
$1,497.60
|
$601.73
|
2026-03-30
|
|
72142
|
HCPCS
|
MRI C Sp W Contrast
|
12
|
4
|
$1,872.00
|
$1,272.96
32% off
|
$515.70
|
$1,497.60
|
$601.73
|
2026-03-30
|
|
70552
|
HCPCS
|
MRI Brain W Contrast
|
12
|
4
|
$1,872.00
|
$1,272.96
32% off
|
$285.60
|
$1,497.60
|
$601.73
|
2026-03-30
|
|
73220
|
HCPCS
|
MRI Lue Wwo Contrast,left Side
|
24
|
4
|
$1,872.00
|
$1,272.96
32% off
|
$515.70
|
$1,497.60
|
$601.73
|
2026-03-30
|
|
72149
|
HCPCS
|
MRI L Sp W Contrast
|
12
|
4
|
$1,872.00
|
$1,272.96
32% off
|
$515.70
|
$1,497.60
|
$601.73
|
2026-03-30
|
|
20103
|
HCPCS
|
Explore Penetrating Wound,extremity
|
12
|
4
|
$1,884.00
|
$1,281.12
32% off
|
$157.00
|
$1,507.20
|
$599.68
|
2026-03-30
|
|
55100
|
HCPCS
|
I & D Abcess Scrotum
|
12
|
4
|
$1,884.00
|
$1,281.12
32% off
|
$157.00
|
$1,507.20
|
$599.68
|
2026-03-30
|
|
73720
|
HCPCS
|
MRI Lle Wwo Contrast,left Side
|
24
|
4
|
$1,825.25
|
$1,241.17
32% off
|
$515.70
|
$1,497.60
|
$595.87
|
2026-03-30
|
|
64479
|
HCPCS
|
Pm-transforam Epi Inj Cer/thor Bil,bilateral Procedure
|
12
|
4
|
$1,304.10
|
$886.79
32% off
|
$413.05
|
$1,304.10
|
$590.39
|
2026-03-30
|
|
64517
|
HCPCS
|
Pm-hypogastric Plexus Block
|
12
|
4
|
$1,285.00
|
$873.80
32% off
|
$407.00
|
$1,285.00
|
$587.31
|
2026-03-30
|
|
J0883
|
HCPCS
|
Argatroban 250mg/2.5ml Sdv,zero Drug Wasted
|
10
|
4
|
$1,836.00
|
$1,248.48
32% off
|
$4.23
|
$1,468.80
|
$587.28
|
2026-03-30
|
|
Q5121
|
HCPCS
|
Avsola 100mg Inj,zero Drug Wasted, 340b Drug Pricing
|
10
|
4
|
$1,800.00
|
$1,224.00
32% off
|
$570.12
|
$1,440.00
|
$581.41
|
2026-03-30
|
|
46255
|
HCPCS
|
Hemorrhoidectomy
|
24
|
4
|
$1,500.00
|
$1,020.00
32% off
|
$366.76
|
$2,616.66
|
$572.94
|
2026-03-30
|
|
70543
|
HCPCS
|
MRI Orb Fac Nk Wwo Contrast
|
12
|
4
|
$1,778.50
|
$1,209.38
32% off
|
$515.70
|
$1,422.80
|
$571.68
|
2026-03-30
|
|
72157
|
HCPCS
|
MRI T Sp Wwo Contrast
|
12
|
4
|
$1,778.50
|
$1,209.38
32% off
|
$515.70
|
$1,422.80
|
$571.68
|
2026-03-30
|
|
73723
|
HCPCS
|
MRI Lle Joint Wwo Contrast,left Side
|
24
|
4
|
$1,778.25
|
$1,209.21
32% off
|
$515.70
|
$1,422.80
|
$571.60
|
2026-03-30
|
|
49507
|
HCPCS
|
Inguinal Hernia Repair
|
24
|
4
|
$1,608.00
|
$1,093.44
32% off
|
$475.10
|
$3,289.61
|
$569.99
|
2026-03-30
|
|
19083
|
HCPCS
|
Breast Bx W/plmt First Lesion W/us Guida
|
34
|
4
|
$1,275.00
|
$867.00
32% off
|
$140.77
|
$1,777.00
|
$562.84
|
2026-03-30
|
|
64490
|
HCPCS
|
Pm-facette Cert/thora Lev 1 Bil,bilateral Procedure
|
36
|
4
|
$869.40
|
$591.19
32% off
|
$275.37
|
$1,285.00
|
$555.29
|
2026-03-30
|
|
J1745
|
HCPCS
|
Infliximab (remicade) 100 Mg Inj,340b Drug Pricing
|
10
|
4
|
$1,710.00
|
$1,162.80
32% off
|
$541.62
|
$9,696.64
|
$552.35
|
2026-03-30
|
|
11404
|
HCPCS
|
Excision Of Benigh Skin Lesion
|
24
|
4
|
$625.00
|
$425.00
32% off
|
$159.28
|
$1,523.27
|
$551.38
|
2026-03-30
|
|
45398
|
HCPCS
|
Colonoscopy W/flex W/band
|
44
|
4
|
$1,230.00
|
$836.40
32% off
|
$222.39
|
$1,948.52
|
$551.29
|
2026-03-30
|
|
21556
|
HCPCS
|
Exc Of Tumor
|
24
|
4
|
$1,675.00
|
$1,139.00
32% off
|
$513.28
|
$2,627.10
|
$549.08
|
2026-03-30
|
|
70481
|
HCPCS
|
CT Tmp Orb W Contrast
|
12
|
4
|
$1,708.00
|
$1,161.44
32% off
|
$285.60
|
$1,366.40
|
$549.02
|
2026-03-30
|
|
72130
|
HCPCS
|
CT T Spine Wwo Contrast
|
12
|
4
|
$1,708.00
|
$1,161.44
32% off
|
$285.60
|
$1,366.40
|
$549.02
|
2026-03-30
|
|
73702
|
HCPCS
|
CT Le Lt Wwo Contrast,left Side
|
24
|
4
|
$1,708.00
|
$1,161.44
32% off
|
$285.60
|
$1,366.40
|
$549.02
|
2026-03-30
|
|
73206
|
HCPCS
|
CTA Upper Extremity
|
12
|
4
|
$1,708.00
|
$1,161.44
32% off
|
$285.60
|
$1,366.40
|
$549.02
|
2026-03-30
|
|
74175
|
HCPCS
|
CTA Abd
|
12
|
4
|
$1,708.00
|
$1,161.44
32% off
|
$285.60
|
$1,366.40
|
$549.02
|
2026-03-30
|
|
72127
|
HCPCS
|
CT C Spine Wwo Contrast
|
12
|
4
|
$1,708.00
|
$1,161.44
32% off
|
$285.60
|
$1,366.40
|
$549.02
|
2026-03-30
|
|
73202
|
HCPCS
|
CT Ue Lt Wwo Contrast,left Side
|
12
|
4
|
$1,708.00
|
$1,161.44
32% off
|
$285.60
|
$1,366.40
|
$549.02
|
2026-03-30
|
|
49591
|
HCPCS
|
Rk-abd Hernia Repair Pro Fee
|
38
|
4
|
$1,675.00
|
$1,139.00
32% off
|
$325.61
|
$2,400.00
|
$548.90
|
2026-03-30
|
|
32550
|
HCPCS
|
Insertion Chest Tube Catheter
|
12
|
4
|
$973.75
|
$662.15
32% off
|
$308.43
|
$3,289.61
|
$546.76
|
2026-03-30
|
|
32400
|
HCPCS
|
Insertion Thoracentesis/paracentesis
|
12
|
4
|
$973.75
|
$662.15
32% off
|
$308.43
|
$1,523.27
|
$546.76
|
2026-03-30
|
|
72129
|
HCPCS
|
CT T Spine W Contrast
|
12
|
4
|
$1,708.00
|
$1,161.44
32% off
|
$285.60
|
$1,366.40
|
$543.66
|
2026-03-30
|
|
70488
|
HCPCS
|
CT Fac Sin Wwo Contrast
|
12
|
4
|
$1,708.00
|
$1,161.44
32% off
|
$285.60
|
$1,366.40
|
$543.66
|
2026-03-30
|
|
64454
|
HCPCS
|
Pm-genicular Nb One Time Bil,bilateral Procedure
|
66
|
4
|
$989.40
|
$672.79
32% off
|
$197.57
|
$2,000.40
|
$533.23
|
2026-03-30
|
|
64483
|
HCPCS
|
Pm-transfor Epi Inj Lumb/sacl1 Bil,bilateral Procedure
|
36
|
4
|
$803.50
|
$546.38
32% off
|
$254.50
|
$1,304.10
|
$532.01
|
2026-03-30
|
|
64493
|
HCPCS
|
Pm-facette Lum/sacral Lv1 Bil,bilateral Procedure
|
36
|
4
|
$803.50
|
$546.38
32% off
|
$254.50
|
$1,304.10
|
$532.01
|
2026-03-30
|
|
64520
|
HCPCS
|
Pm-sympathet Block Thor/lumb/caud Bil,bilateral Procedure
|
24
|
4
|
$1,053.80
|
$716.59
32% off
|
$254.50
|
$1,304.10
|
$532.01
|
2026-03-30
|
|
64510
|
HCPCS
|
Pm-nerve Block Stellate Ganglion Bil,bilateral Procedure
|
36
|
4
|
$803.50
|
$546.38
32% off
|
$254.50
|
$1,304.10
|
$532.01
|
2026-03-30
|
|
64640
|
HCPCS
|
Pm-destroy W Neurolytic Other Periph Lt,left Side
|
36
|
4
|
$803.75
|
$546.55
32% off
|
$254.50
|
$1,304.10
|
$532.01
|
2026-03-30
|
|
21931
|
HCPCS
|
Exc Tumor
|
24
|
4
|
$1,582.50
|
$1,076.10
32% off
|
$469.06
|
$1,665.00
|
$529.98
|
2026-03-30
|
|
23071
|
HCPCS
|
Exc Tumor Soft Tis Should Subcutan 3cm
|
24
|
4
|
$1,582.50
|
$1,076.10
32% off
|
$421.83
|
$1,665.00
|
$529.98
|
2026-03-30
|
|
64415
|
HCPCS
|
Pm-bil Nbi Brachial Plexus,bilateral Procedure
|
36
|
4
|
$803.50
|
$546.38
32% off
|
$254.50
|
$1,285.00
|
$528.93
|
2026-03-30
|
|
36010
|
HCPCS
|
Insertion Central Venous Line
|
38
|
4
|
$1,639.00
|
$1,114.52
32% off
|
$100.07
|
$1,380.00
|
$524.27
|
2026-03-30
|
|
70482
|
HCPCS
|
CT Tmp Orb Wwo Contrast
|
12
|
4
|
$1,622.60
|
$1,103.37
32% off
|
$285.60
|
$1,298.08
|
$521.57
|
2026-03-30
|
|
72133
|
HCPCS
|
CT L Spine Wwo Contrast
|
12
|
4
|
$1,622.50
|
$1,103.30
32% off
|
$285.60
|
$1,298.00
|
$521.54
|
2026-03-30
|
|
73706
|
HCPCS
|
CTA Lower Extremity
|
12
|
4
|
$1,622.50
|
$1,103.30
32% off
|
$285.60
|
$1,298.00
|
$521.54
|
2026-03-30
|
|
70496
|
HCPCS
|
CTA Head
|
12
|
4
|
$1,622.50
|
$1,103.30
32% off
|
$285.60
|
$1,298.00
|
$521.54
|
2026-03-30
|
|
72194
|
HCPCS
|
CT Pelvis Wwo Contrast
|
12
|
4
|
$1,622.50
|
$1,103.30
32% off
|
$285.60
|
$1,298.00
|
$521.54
|
2026-03-30
|
|
70498
|
HCPCS
|
CTA Neck
|
12
|
4
|
$1,622.50
|
$1,103.30
32% off
|
$285.60
|
$1,298.00
|
$521.54
|
2026-03-30
|
|
74170
|
HCPCS
|
CT Abd Wwo Contrast
|
12
|
4
|
$1,622.50
|
$1,103.30
32% off
|
$285.60
|
$1,298.00
|
$521.54
|
2026-03-30
|
|
74160
|
HCPCS
|
CT Abd W Contrast
|
12
|
4
|
$1,622.50
|
$1,103.30
32% off
|
$285.60
|
$1,298.00
|
$520.75
|
2026-03-30
|
|
45385
|
HCPCS
|
Colonoscopy W/lesion Removal
|
44
|
4
|
$1,137.00
|
$773.16
32% off
|
$239.42
|
$1,777.00
|
$518.50
|
2026-03-30
|
|
70460
|
HCPCS
|
CT Brain W Cont
|
12
|
4
|
$1,622.60
|
$1,103.37
32% off
|
$285.60
|
$1,298.08
|
$516.47
|
2026-03-30
|
|
71260
|
HCPCS
|
CT Chest W Contrast
|
12
|
4
|
$1,622.50
|
$1,103.30
32% off
|
$285.60
|
$1,298.00
|
$516.44
|
2026-03-30
|
|
70492
|
HCPCS
|
CT Neck Soft Tissue Wwo
|
12
|
4
|
$1,622.50
|
$1,103.30
32% off
|
$285.60
|
$1,298.00
|
$516.44
|
2026-03-30
|
|
70491
|
HCPCS
|
CT Neck Soft Tissue W
|
12
|
4
|
$1,622.50
|
$1,103.30
32% off
|
$285.60
|
$1,298.00
|
$516.44
|
2026-03-30
|
|
73701
|
HCPCS
|
CT Le Lt W Contrast,left Side
|
24
|
4
|
$1,622.25
|
$1,103.13
32% off
|
$285.60
|
$1,298.00
|
$516.37
|
2026-03-30
|
|
49615
|
HCPCS
|
Rk-rep Ant Abd Hern Rec, Inc Imp Mes 3-1
|
22
|
4
|
$793.00
|
$539.24
32% off
|
$251.17
|
$1,268.00
|
$511.97
|
2026-03-30
|
|
63057
|
HCPCS
|
Lumbar Decompression Each Addt'l Segment
|
24
|
4
|
$2,173.50
|
$1,477.98
32% off
|
$157.85
|
$2,748.80
|
$511.53
|
2026-03-30
|
|
25605
|
HCPCS
|
Txt Fracture Radius Ulna
|
38
|
4
|
$1,153.00
|
$784.04
32% off
|
$157.00
|
$1,665.60
|
$509.60
|
2026-03-30
|
|
49505
|
HCPCS
|
Inguinal Hernia Repair
|
24
|
4
|
$1,489.00
|
$1,012.52
32% off
|
$459.27
|
$3,289.61
|
$508.53
|
2026-03-30
|
|
43270
|
HCPCS
|
Egd Lesion Ablation
|
34
|
4
|
$1,050.00
|
$714.00
32% off
|
$211.90
|
$1,612.95
|
$506.78
|
2026-03-30
|
|
74176
|
HCPCS
|
CT Renal Stone
|
12
|
4
|
$1,592.00
|
$1,082.56
32% off
|
$262.51
|
$1,273.60
|
$506.74
|
2026-03-30
|
|
90675
|
HCPCS
|
Rabies Vaccine (rabavert) 1 Ml Inj,340b Drug Pricing
|
10
|
4
|
$1,564.65
|
$1,063.96
32% off
|
$322.03
|
$1,251.72
|
$500.49
|
2026-03-30
|
|
C9250
|
HCPCS
|
Tisseel Prima 4ml Syringe
|
22
|
4
|
$637.36
|
$433.40
32% off
|
$125.85
|
$1,251.31
|
$500.32
|
2026-03-30
|
|
45380
|
HCPCS
|
Colonoscopy W/biopsy
|
34
|
4
|
$806.00
|
$548.08
32% off
|
$189.92
|
$1,777.00
|
$500.00
|
2026-03-30
|
|
27818
|
HCPCS
|
Reduction Trimalleolar Ankle Pro Fee
|
26
|
4
|
$1,086.00
|
$738.48
32% off
|
$157.00
|
$1,716.80
|
$499.23
|
2026-03-30
|
|
43245
|
HCPCS
|
Egd W/guidewire
|
22
|
4
|
$1,545.00
|
$1,050.60
32% off
|
$244.68
|
$1,612.95
|
$499.05
|
2026-03-30
|
|
43236
|
HCPCS
|
Egd Flex With Mu Inj
|
22
|
4
|
$1,545.00
|
$1,050.60
32% off
|
$244.68
|
$1,545.00
|
$499.05
|
2026-03-30
|
|
0750
|
RC
|
—
|
10
|
4
|
$1,545.00
|
$1,050.60
32% off
|
$489.35
|
$1,236.00
|
$499.05
|
2026-03-30
|
|
45338
|
HCPCS
|
Rk-flex Sig With Tum/pol/les Rem Pro Fee
|
34
|
4
|
$1,545.00
|
$1,050.60
32% off
|
$116.04
|
$1,948.52
|
$499.05
|
2026-03-30
|
|
44389
|
HCPCS
|
Colonoscopy Thru Stoma W/cold Forcep Bx
|
22
|
4
|
$1,545.00
|
$1,050.60
32% off
|
$244.68
|
$1,545.00
|
$499.05
|
2026-03-30
|
|
45333
|
HCPCS
|
Sigm Fex/rem Pol/lestion
|
44
|
4
|
$1,158.75
|
$787.95
32% off
|
$91.62
|
$1,572.35
|
$496.62
|
2026-03-30
|
|
C1883
|
HCPCS
|
Pm Lead Linear St 50cm 8 Contact
|
42
|
4
|
$1,352.00
|
$919.36
32% off
|
$84.56
|
$3,840.00
|
$495.64
|
2026-03-30
|
|
45378
|
HCPCS
|
Dx Colonoscopy
|
54
|
4
|
$1,468.00
|
$998.24
32% off
|
$175.58
|
$1,640.00
|
$494.20
|
2026-03-30
|
|
32555
|
HCPCS
|
Rk- Thoracentesis Needle/cath Ple Pro Fe
|
24
|
4
|
$1,150.50
|
$782.34
32% off
|
$101.66
|
$1,534.00
|
$488.28
|
2026-03-30
|
|
J2760
|
HCPCS
|
Phentolamine 5 Mg Inj,340b Drug Pricing
|
10
|
4
|
$1,511.25
|
$1,027.65
32% off
|
$478.67
|
$2,198.31
|
$488.15
|
2026-03-30
|
|
22226
|
HCPCS
|
Osteotomy Each Add Verebral Segment
|
22
|
4
|
$3,980.00
|
$2,706.40
32% off
|
$157.85
|
$5,160.00
|
$487.75
|
2026-03-30
|
|
22840
|
HCPCS
|
Sd-insertion Of Spine Fixation
|
18
|
4
|
$1,500.00
|
$1,020.00
32% off
|
$157.85
|
$1,200.00
|
$484.51
|
2026-03-30
|
|
43247
|
HCPCS
|
Egd Removal Of Fb
|
34
|
4
|
$900.00
|
$612.00
32% off
|
$167.88
|
$1,525.00
|
$483.02
|
2026-03-30
|
|
10121
|
HCPCS
|
Fb Removal Complicated
|
52
|
4
|
$1,500.00
|
$1,020.00
32% off
|
$142.53
|
$2,330.40
|
$482.16
|
2026-03-30
|
|
G0105
|
HCPCS
|
Rk Screening Colo High Risk
|
44
|
4
|
$1,109.00
|
$754.12
32% off
|
$175.58
|
$1,545.00
|
$481.76
|
2026-03-30
|
|
0390
|
RC
|
—
|
22
|
4
|
$1,489.50
|
$1,012.86
32% off
|
$405.10
|
$1,191.60
|
$481.12
|
2026-03-30
|
|
45335
|
HCPCS
|
Rk-flex Sig With Inj Pro Fee
|
34
|
4
|
$772.50
|
$525.30
32% off
|
$66.15
|
$1,572.35
|
$480.00
|
2026-03-30
|
|
11402
|
HCPCS
|
Esx Bgn Trunk/arm/leg 1.1-2.0 Cm 11402
|
12
|
4
|
$961.00
|
$653.48
32% off
|
$304.39
|
$961.00
|
$478.87
|
2026-03-30
|
|
11400
|
HCPCS
|
Cl Esx Bgn Les Trunk/arms/leg .05 11400
|
12
|
4
|
$961.00
|
$653.48
32% off
|
$304.39
|
$961.00
|
$478.87
|
2026-03-30
|
|
46221
|
HCPCS
|
Ligation Of Hemorrhoid
|
24
|
4
|
$1,200.00
|
$816.00
32% off
|
$206.77
|
$1,500.00
|
$477.46
|
2026-03-30
|
|
43239
|
HCPCS
|
Egd W/bx Single/multiple
|
34
|
4
|
$806.00
|
$548.08
32% off
|
$132.10
|
$1,500.00
|
$475.10
|
2026-03-30
|
|
99291
|
HCPCS
|
Critical Care 1st Hour Pro Fee
|
52
|
4
|
$1,500.00
|
$1,020.00
32% off
|
$157.00
|
$1,265.00
|
$475.10
|
2026-03-30
|
|
43248
|
HCPCS
|
Egd Guide Wire Insertion
|
22
|
4
|
$1,468.00
|
$998.24
32% off
|
$210.63
|
$1,468.00
|
$474.17
|
2026-03-30
|
|
43220
|
HCPCS
|
Egd W/trns Ballon Dilation <30mm
|
22
|
4
|
$1,468.00
|
$998.24
32% off
|
$221.87
|
$1,612.95
|
$474.17
|
2026-03-30
|
|
0360
|
RC
|
—
|
26
|
4
|
$1,468.00
|
$998.24
32% off
|
$75.07
|
$1,421.60
|
$474.17
|
2026-03-30
|
|
45386
|
HCPCS
|
Egd W/trns Ballon Dilation
|
22
|
4
|
$1,468.00
|
$998.24
32% off
|
$221.87
|
$1,468.00
|
$474.17
|
2026-03-30
|
|
43249
|
HCPCS
|
Egd Esoph Dilation <30 Mins
|
44
|
4
|
$1,066.50
|
$725.22
32% off
|
$145.76
|
$1,612.95
|
$471.88
|
2026-03-30
|
|
11010
|
HCPCS
|
Cl Debridement Skin 11010
|
12
|
4
|
$908.00
|
$617.44
32% off
|
$287.60
|
$908.00
|
$470.31
|
2026-03-30
|
|
11004
|
HCPCS
|
Rk-debridement Sub
|
24
|
4
|
$1,087.50
|
$739.50
32% off
|
$285.06
|
$1,275.00
|
$470.24
|
2026-03-30
|
|
64447
|
HCPCS
|
Pm-nerve Block Femoral
|
12
|
4
|
$991.00
|
$673.88
32% off
|
$313.88
|
$991.00
|
$467.06
|
2026-03-30
|
|
62272
|
HCPCS
|
Pm-drain Cerebro Spinal Fluid
|
12
|
4
|
$991.00
|
$673.88
32% off
|
$313.88
|
$991.00
|
$467.06
|
2026-03-30
|
|
64445
|
HCPCS
|
Pm-nerve Block Sciatic
|
12
|
4
|
$991.00
|
$673.88
32% off
|
$313.88
|
$991.00
|
$467.06
|
2026-03-30
|
|
62323
|
HCPCS
|
Pm-njx Interlainar Lumb/sac Bi
|
12
|
4
|
$989.40
|
$672.79
32% off
|
$313.38
|
$989.40
|
$466.80
|
2026-03-30
|
|
43251
|
HCPCS
|
Egd W/snare
|
34
|
4
|
$700.00
|
$476.00
32% off
|
$185.20
|
$1,612.95
|
$464.97
|
2026-03-30
|
|
43246
|
HCPCS
|
Egd W/peg Placement
|
34
|
4
|
$1,225.00
|
$833.00
32% off
|
$189.05
|
$1,612.95
|
$464.97
|
2026-03-30
|
|
45384
|
HCPCS
|
Colonoscopy W/lesion Removal
|
34
|
4
|
$700.50
|
$476.34
32% off
|
$215.58
|
$1,468.00
|
$464.97
|
2026-03-30
|
|
64421
|
HCPCS
|
Pm-nb Each Add Level Lt,left Side
|
24
|
4
|
$803.50
|
$546.38
32% off
|
$254.50
|
$803.50
|
$451.16
|
2026-03-30
|
|
64530
|
HCPCS
|
Pm-nerve Block Inj Celiac Pelus Lt,left Side
|
24
|
4
|
$803.50
|
$546.38
32% off
|
$254.50
|
$803.50
|
$451.16
|
2026-03-30
|
|
49592
|
HCPCS
|
Rk-abd Hernia Repair Pro Fee
|
22
|
4
|
$1,200.00
|
$816.00
32% off
|
$380.08
|
$1,100.80
|
$444.46
|
2026-03-30
|
|
25565
|
HCPCS
|
Closed Treatment, Radial & Ulnar Shaft F
|
12
|
4
|
$1,393.00
|
$947.24
32% off
|
$157.00
|
$1,114.40
|
$443.40
|
2026-03-30
|
|
43235
|
HCPCS
|
Egd Dx Brush Wash
|
44
|
4
|
$985.00
|
$669.80
32% off
|
$118.05
|
$1,468.00
|
$443.25
|
2026-03-30
|
|
23655
|
HCPCS
|
Closed Tx Shoulder With Anes
|
14
|
4
|
$745.00
|
$506.60
32% off
|
$235.96
|
$1,525.43
|
$434.99
|
2026-03-30
|
|
J0714
|
HCPCS
|
Avycaz 2.5 Gm Inj,zero Drug Waste, 340b Drug Pricing
|
10
|
4
|
$1,356.30
|
$922.28
32% off
|
$217.74
|
$1,085.04
|
$433.85
|
2026-03-30
|
|
44394
|
HCPCS
|
Colo W/hot Bx Thru Stoma
|
12
|
4
|
$772.50
|
$525.30
32% off
|
$244.68
|
$1,058.12
|
$433.76
|
2026-03-30
|
|
44392
|
HCPCS
|
Colo W/hot Bx
|
12
|
4
|
$772.50
|
$525.30
32% off
|
$244.68
|
$1,058.12
|
$433.76
|
2026-03-30
|
|
96413
|
HCPCS
|
Ic-chemothrpy IV Inf 1st Hr Up To 90 Min
|
22
|
4
|
$1,345.00
|
$914.60
32% off
|
$336.25
|
$1,076.00
|
$433.47
|
2026-03-30
|
|
96417
|
HCPCS
|
Ic-chemothrpy IV Inf 1st Hr Up To 90 Min
|
12
|
4
|
$1,342.00
|
$912.56
32% off
|
$65.77
|
$1,073.60
|
$431.37
|
2026-03-30
|
|
71552
|
HCPCS
|
MRI Chest W/wo
|
12
|
4
|
$1,070.65
|
$728.04
32% off
|
$339.12
|
$1,070.65
|
$430.76
|
2026-03-30
|
|
87662
|
HCPCS
|
Zika Virus By Pcr
|
10
|
4
|
$1,341.00
|
$911.88
32% off
|
$57.98
|
$1,072.80
|
$428.95
|
2026-03-30
|
|
27337
|
HCPCS
|
Exc Sub Tissue
|
16
|
4
|
$1,265.00
|
$860.20
32% off
|
$400.67
|
$2,627.10
|
$424.68
|
2026-03-30
|
|
49650
|
HCPCS
|
Lap Ing Hernia Repair
|
24
|
4
|
$1,215.00
|
$826.20
32% off
|
$367.41
|
$5,072.21
|
$423.76
|
2026-03-30
|
|
C1781
|
HCPCS
|
Mesh Prolene 12x12
|
226
|
4
|
$881.00
|
$599.08
32% off
|
$51.63
|
$3,946.00
|
$421.42
|
2026-03-30
|
|
64430
|
HCPCS
|
Pm-nerve Block Inj Pudendal Bilat
|
22
|
4
|
$1,303.40
|
$886.31
32% off
|
$407.00
|
$1,303.40
|
$421.01
|
2026-03-30
|
|
72195
|
HCPCS
|
MRI Pelvis Wo Contrast
|
12
|
4
|
$1,296.00
|
$881.28
32% off
|
$262.51
|
$1,036.80
|
$416.59
|
2026-03-30
|
|
73718
|
HCPCS
|
MRI Lle Wo Contrast,left Side
|
24
|
4
|
$1,296.00
|
$881.28
32% off
|
$262.51
|
$1,036.80
|
$416.59
|
2026-03-30
|