Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

University Of Texas M D Anderson Cancer Center,the

Houston, TX · CCN 450076 · Rates published

Your selected procedure

You selected 93350 (CPT)

PR ECHO TTHRC R-T 2D W/WO M-MODE COMPLETE REST&ST

This hospital’s price: $133 across 34 payers · range $50-$747

Source: https://www.mdanderson.org/content/dam/mdanderson/documents/patients-and-family/becoming-our-patient/planning-for-care/74-6001118_MD%20Anderson%20Cancer%20Center_StandardCharges.csv · observed 2026-10-07

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

16,244 distinct procedures filed
47 distinct payers
1,817,979 rate rows
2026-10-07 last MRF observed
Data quality

1,806,314 of 1,817,979 rate rows are consumer-grade (99.4%)

11,665 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
template filing: same amount across many unrelated codes — excluded 9,283
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 2,288
per-diem day rate — not a per-procedure price 68
exceeds 10× this hospital's gross charge — excluded from medians 16
placeholder amount (≤ $0.02) — excluded from medians 10
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.mdanderson.org/content/dam/mdanderson/documents/patients-and-family/becoming-our-patient/planning-for-care/74-6001118_MD%20Anderson%20Cancer%20Center_StandardCharges.csv
Found on page https://www.mdanderson.org/patients-family/becoming-our-patient/planning-for-care/insurance-billing-financial-support/health-care-disclosures.html
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-10
Content fingerprint ef743d79f9c89797… · 126,417,459 bytes · first seen 2026-10-07

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
Q2057
HCPCS 		Afamitresgene Autoleucel 2.68x 10exp9 To 10x 10exp9 Cell IV Suspension [205503] 7 $770,620.00 $2,344,575.00 $820,601.25 nat. median
$809,217
1.0× median
Q2042
HCPCS 		Tisagenlecleucel 0.2 X10exp6 To 2.5x10exp8 Cell Intravenous Suspension [183167] 11 $523,152.00 $1,816,212.03 $635,674.20 nat. median
$738,272
0.9× median
J3402
HCPCS 		Remestemcel-l-rknd 6.68 X 10exp6 Cell/ml Intravenous Suspension [207932] 9 $194,000.00 $635,544.05 $635,544.00 nat. median
$209,753
outlier · 3.0×
Q2041
HCPCS 		Axicabtagene Ciloleucel Intravenous Suspension [183620] 11 $532,192.24 $1,646,700.00 $631,235.00 nat. median
$608,101
1.0× median
Q2056
HCPCS 		Ciltacabtagene Autoleucel 0.5 X 10exp6 To 1x 10exp8 Cell IV Suspension [196949] 9 $571,970.00 $1,715,909.25 $629,166.87 nat. median
$646,415
1.0× median
Q2054
HCPCS 		Lisocabtagene Maraleucel 1.5 X 10exp6 To 70 X 10exp6 Cell/ml IV Susp [193841] 9 $557,918.00 $1,673,753.76 $613,709.76 nat. median
$640,950
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel 300 X 10exp6 To 510 X 10exp6 Cell IV Suspension [194238] 9 $544,162.00 $1,632,485.40 $598,578.09 nat. median
$622,245
1.0× median
Q2053
HCPCS 		Brexucabtagene Autoleucel 2x 10exp6 To 2x 10exp8 Cell IV Suspension [192076] 9 $489,450.20 $1,510,740.00 $553,938.00 nat. median
$591,650
0.9× median
Q2058
HCPCS 		Obecabtagene Autoleucel Intravenous Suspension 10 X 10exp6 Cell Intravenous Susp… 8 $286,125.00 $858,375.00 $329,043.75 nat. median
$319,951
1.0× median
11
LOCAL 		Stem Cell Transplant- Tandem- Auto/Allo Unrelated 2 $141,100.00 $240,000.00 $190,550.00 nat. median
$43
outlier · 4463.6×
16
LOCAL 		Stem Cell Transplant- Single- Allo Unrelated 4 $160,000.00 $186,960.00 $176,250.00 nat. median
$274
outlier · 642.1×
18
LOCAL 		Stem Cell Transplant- Single- Mismatch Allo Related/Unrelated With Aml, Cml, Lymph… 1 $175,000.00 $175,000.00 $175,000.00 nat. median
$900
outlier · 194.4×
17
LOCAL 		Stem Cell Transplant- Single- Mismatch Allo Related/Unrelated 3 $160,000.00 $180,000.00 $172,500.00 nat. median
$900
outlier · 191.7×
J9183
HCPCS 		Gemcitabine 225 Mg Intravesical Implant [210339] 35 $63,292.32 $194,397.84 $167,272.56 nat. median
$80,283
outlier · 2.1×
01907
OTHER 		New Technology - Level 52 ($145,001-$160,000) 1 $152,500.50 $152,500.50 $152,500.50 nat. median
$88,646
1.7× median
01908
OTHER 		New Technology - Level 52 ($145,001-$160,000) 1 $152,500.50 $152,500.50 $152,500.50 nat. median
$89,169
1.7× median
15
LOCAL 		Stem Cell Transplant- Single- Allo Related With Aml, Cml, Lymphoma And Renal Cell 1 $145,000.00 $145,000.00 $145,000.00 nat. median
$7,638
outlier · 19.0×
12
LOCAL 		Stem Cell Transplant- Tandem- Auto/Allo Unrelated With Aml, Cml, Lymphoma And Rena… 1 $141,100.00 $141,100.00 $141,100.00 nat. median
$2,500
outlier · 56.4×
Q2043
HCPCS 		Sipuleucel-t In Lactated Ringers 50 Million Cell/250 Ml IV Suspension [104852] 36 $53,217.14 $163,452.63 $140,645.29 nat. median
$65,720
outlier · 2.1×
8
LOCAL 		Stem Cell Transplant- Tandem Auto To Allo 1st Attempt Related 2 $82,500.00 $195,000.00 $138,750.00 nat. median
$357
outlier · 388.8×
01905
OTHER 		New Technology - Level 51 ($130,001-$145,000) 1 $137,500.50 $137,500.50 $137,500.50 nat. median
$88,646
1.6× median
01906
OTHER 		New Technology - Level 51 ($130,001-$145,000) 1 $137,500.50 $137,500.50 $137,500.50 nat. median
$89,169
1.5× median
13
LOCAL 		Stem Cell Transplant- Single- Allo Related 5 $130,000.00 $145,000.00 $135,000.00 nat. median
$900
outlier · 150.0×
9
LOCAL 		Stem Cell Transplant- Tandem Auto To Auto 2 $132,800.00 $135,000.00 $133,900.00 nat. median
$1,300
outlier · 103.0×
10
LOCAL 		Stem Cell Transplant- Tandem Auto To Allo Related With Aml, Cml, Lymphoma And Rena… 1 $129,375.00 $129,375.00 $129,375.00 nat. median
$291
outlier · 444.3×
01903
OTHER 		New Technology - Level 50 ($115,001-$130,000) 1 $122,500.50 $122,500.50 $122,500.50 nat. median
$88,646
1.4× median
01904
OTHER 		New Technology - Level 50 ($115,001-$130,000) 1 $122,500.50 $122,500.50 $122,500.50 nat. median
$88,646
1.4× median
J9226
HCPCS 		Histrelin 50 Mg (65 Mcg/day) Implant Kit [164961] 36 $41,173.43 $131,022.20 $112,740.04 nat. median
$55,159
outlier · 2.0×
01902
OTHER 		New Technology - Level 49 ($100,001-$115,000) 1 $107,500.50 $107,500.50 $107,500.50 nat. median
$86,173
1.2× median
01901
OTHER 		New Technology - Level 49 ($100,001-$115,000) 1 $107,500.50 $107,500.50 $107,500.50 nat. median
$85,711
1.3× median
C9293
HCPCS 		Glucarpidase 1,000 Unit Intravenous Solution [116024] 35 $515.99 $121,802.96 $104,807.20 nat. median
$30,181
outlier · 3.5×
5
LOCAL 		Stem Cell Transplant- Tandem Auto To Allo 2nd Attempt Related 1 $103,125.00 $103,125.00 $103,125.00 nat. median
$2,785
outlier · 37.0×
111
LOCAL 		Car-t Case Rate 2 $82,500.00 $120,000.00 $101,250.00 nat. median
$1,841
outlier · 55.0×
01599
OTHER 		New Technology - Level 48 ($90,001-$100,000) 1 $95,000.50 $95,000.50 $95,000.50 nat. median
$85,250
1.1× median
01585
OTHER 		New Technology - Level 48 ($90,001-$100,000) 1 $95,000.50 $95,000.50 $95,000.50 nat. median
$85,250
1.1× median
J9248
HCPCS 		Melphalan Hcl 50 Mg Intra-arterial Solution [204067] 36 $787.79 $106,552.58 $91,684.78 nat. median
$902
outlier · 101.7×
6
LOCAL 		Stem Cell Transplant- Single- Auto 5 $82,500.00 $110,000.00 $90,000.00 nat. median
$2,750
outlier · 32.7×
J9028
HCPCS 		Nogapendekin Alfa Inbakicept-pmln 400 Mcg/0.4 Ml Intravesical Solution [204422] 36 $94.12 $100,861.49 $86,787.79 nat. median
$110
outlier · 790.2×
01598
OTHER 		New Technology - Level 47 ($80,001-$90,000) 1 $85,000.50 $85,000.50 $85,000.50 nat. median
$80,482
1.1× median
01584
OTHER 		New Technology - Level 47 ($80,001-$90,000) 1 $85,000.50 $85,000.50 $85,000.50 nat. median
$80,482
1.1× median
4
LOCAL 		Stem Cell Transplant- Single- Auto Breast 1 $84,360.00 $84,360.00 $84,360.00 nat. median
$896
outlier · 94.2×
38230
CPT 		Hc Marrow Collection 46 $148.05 $103,034.02 $83,864.90 nat. median
$2,134
outlier · 39.3×
7
LOCAL 		Stem Cell Transplant- Tandem Auto To Auto 1st Attempt 1 $82,500.00 $82,500.00 $82,500.00 nat. median
$1,700
outlier · 48.5×
14
LOCAL 		Stem Cell Transplant- Tandem Auto To Allo 1st Attempt Unrelated 1 $82,500.00 $82,500.00 $82,500.00 nat. median
$6,934
outlier · 11.9×
J9269
HCPCS 		Tagraxofusp-erzs 1,000 Mcg/ml Intravenous Solution [187739] 36 $348.62 $95,161.54 $81,834.23 nat. median
$512
outlier · 159.7×
01583
OTHER 		New Technology - Level 46 ($70,001-$80,000) 1 $75,000.50 $75,000.50 $75,000.50 nat. median
$71,013
1.1× median
01597
OTHER 		New Technology - Level 46 ($70,001-$80,000) 1 $75,000.50 $75,000.50 $75,000.50 nat. median
$71,013
1.1× median
J9118
HCPCS 		Calaspargase Pegol-mknl 750 Unit/ml Intravenous Solution [189288] 36 $81.91 $85,895.51 $73,910.09 nat. median
$200
outlier · 369.8×
J9359
HCPCS 		Loncastuximab Tesirine-lpyl 10 Mg Intravenous Solution [194597] 36 $216.74 $81,787.33 $70,375.15 nat. median
$739
outlier · 95.2×
J9266
HCPCS 		Pegaspargase 750 Unit/ml Injection Solution [12519] 36 $25,826.86 $79,325.37 $68,256.71 nat. median
$33,238
outlier · 2.1×

Other procedures at this hospital

Browse this hospital's 16,244 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
Q2057 HCPCS Afamitresgene Autoleucel 2.68x 10exp9 To 10x 10exp9 Cell IV Suspension [205503] 15 7 $2,344,575.00 — $770,620.00 $2,344,575.00 $820,601.25 2026-10-07
Q2042 HCPCS Tisagenlecleucel 0.2 X10exp6 To 2.5x10exp8 Cell Intravenous Suspension [183167] 37 11 $1,816,212.03 — $523,152.00 $1,816,212.03 $635,674.20 2026-10-07
J3402 HCPCS Remestemcel-l-rknd 6.68 X 10exp6 Cell/ml Intravenous Suspension [207932] 21 9 $635,544.00 — $194,000.00 $635,544.05 $635,544.00 2026-10-07
Q2041 HCPCS Axicabtagene Ciloleucel Intravenous Suspension [183620] 19 11 $1,646,700.00 — $532,192.24 $1,646,700.00 $631,235.00 2026-10-07
Q2056 HCPCS Ciltacabtagene Autoleucel 0.5 X 10exp6 To 1x 10exp8 Cell IV Suspension [196949] 16 9 $1,715,909.25 — $571,970.00 $1,715,909.25 $629,166.87 2026-10-07
Q2054 HCPCS Lisocabtagene Maraleucel 1.5 X 10exp6 To 70 X 10exp6 Cell/ml IV Susp [193841] 16 9 $1,673,753.76 — $557,918.00 $1,673,753.76 $613,709.76 2026-10-07
Q2055 HCPCS Idecabtagene Vicleucel 300 X 10exp6 To 510 X 10exp6 Cell IV Suspension [194238] 16 9 $1,632,485.40 — $544,162.00 $1,632,485.40 $598,578.09 2026-10-07
Q2053 HCPCS Brexucabtagene Autoleucel 2x 10exp6 To 2x 10exp8 Cell IV Suspension [192076] 16 9 $1,510,740.00 — $489,450.20 $1,510,740.00 $553,938.00 2026-10-07
Q2058 HCPCS Obecabtagene Autoleucel Intravenous Suspension 10 X 10exp6 Cell Intravenous Susp… 15 8 $858,375.00 — $286,125.00 $858,375.00 $329,043.75 2026-10-07
11 LOCAL Stem Cell Transplant- Tandem- Auto/Allo Unrelated 2 2 — — $141,100.00 $240,000.00 $190,550.00 2026-10-07
16 LOCAL Stem Cell Transplant- Single- Allo Unrelated 4 4 — — $160,000.00 $186,960.00 $176,250.00 2026-10-07
18 LOCAL Stem Cell Transplant- Single- Mismatch Allo Related/Unrelated With Aml, Cml, Lymph… 1 1 — — $175,000.00 $175,000.00 $175,000.00 2026-10-07
17 LOCAL Stem Cell Transplant- Single- Mismatch Allo Related/Unrelated 3 3 — — $160,000.00 $180,000.00 $172,500.00 2026-10-07
J9183 HCPCS Gemcitabine 225 Mg Intravesical Implant [210339] 84 35 $226,044.00 — $63,292.32 $194,397.84 $167,272.56 2026-10-07
01907 OTHER New Technology - Level 52 ($145,001-$160,000) 1 1 — — $152,500.50 $152,500.50 $152,500.50 2026-10-07
01908 OTHER New Technology - Level 52 ($145,001-$160,000) 1 1 — — $152,500.50 $152,500.50 $152,500.50 2026-10-07
15 LOCAL Stem Cell Transplant- Single- Allo Related With Aml, Cml, Lymphoma And Renal Cell 1 1 — — $145,000.00 $145,000.00 $145,000.00 2026-10-07
12 LOCAL Stem Cell Transplant- Tandem- Auto/Allo Unrelated With Aml, Cml, Lymphoma And Rena… 1 1 — — $141,100.00 $141,100.00 $141,100.00 2026-10-07
Q2043 HCPCS Sipuleucel-t In Lactated Ringers 50 Million Cell/250 Ml IV Suspension [104852] 86 36 $190,061.20 — $53,217.14 $163,452.63 $140,645.29 2026-10-07
8 LOCAL Stem Cell Transplant- Tandem Auto To Allo 1st Attempt Related 2 2 — — $82,500.00 $195,000.00 $138,750.00 2026-10-07
01905 OTHER New Technology - Level 51 ($130,001-$145,000) 1 1 — — $137,500.50 $137,500.50 $137,500.50 2026-10-07
01906 OTHER New Technology - Level 51 ($130,001-$145,000) 1 1 — — $137,500.50 $137,500.50 $137,500.50 2026-10-07
13 LOCAL Stem Cell Transplant- Single- Allo Related 5 5 — — $130,000.00 $145,000.00 $135,000.00 2026-10-07
9 LOCAL Stem Cell Transplant- Tandem Auto To Auto 2 2 — — $132,800.00 $135,000.00 $133,900.00 2026-10-07
10 LOCAL Stem Cell Transplant- Tandem Auto To Allo Related With Aml, Cml, Lymphoma And Rena… 1 1 — — $129,375.00 $129,375.00 $129,375.00 2026-10-07
01904 OTHER New Technology - Level 50 ($115,001-$130,000) 1 1 — — $122,500.50 $122,500.50 $122,500.50 2026-10-07
01903 OTHER New Technology - Level 50 ($115,001-$130,000) 1 1 — — $122,500.50 $122,500.50 $122,500.50 2026-10-07
J9226 HCPCS Histrelin 50 Mg (65 Mcg/day) Implant Kit [164961] 86 36 $152,351.40 — $41,173.43 $131,022.20 $112,740.04 2026-10-07
01902 OTHER New Technology - Level 49 ($100,001-$115,000) 1 1 — — $107,500.50 $107,500.50 $107,500.50 2026-10-07
01901 OTHER New Technology - Level 49 ($100,001-$115,000) 1 1 — — $107,500.50 $107,500.50 $107,500.50 2026-10-07
C9293 HCPCS Glucarpidase 1,000 Unit Intravenous Solution [116024] 84 35 $141,631.35 — $515.99 $121,802.96 $104,807.20 2026-10-07
5 LOCAL Stem Cell Transplant- Tandem Auto To Allo 2nd Attempt Related 1 1 — — $103,125.00 $103,125.00 $103,125.00 2026-10-07
111 LOCAL Car-t Case Rate 2 2 — — $82,500.00 $120,000.00 $101,250.00 2026-10-07
01599 OTHER New Technology - Level 48 ($90,001-$100,000) 1 1 — — $95,000.50 $95,000.50 $95,000.50 2026-10-07
01585 OTHER New Technology - Level 48 ($90,001-$100,000) 1 1 — — $95,000.50 $95,000.50 $95,000.50 2026-10-07
J9248 HCPCS Melphalan Hcl 50 Mg Intra-arterial Solution [204067] 86 36 $123,898.35 — $787.79 $106,552.58 $91,684.78 2026-10-07
6 LOCAL Stem Cell Transplant- Single- Auto 5 5 — — $82,500.00 $110,000.00 $90,000.00 2026-10-07
J9028 HCPCS Nogapendekin Alfa Inbakicept-pmln 400 Mcg/0.4 Ml Intravesical Solution [204422] 86 36 $117,280.80 — $94.12 $100,861.49 $86,787.79 2026-10-07
01598 OTHER New Technology - Level 47 ($80,001-$90,000) 1 1 — — $85,000.50 $85,000.50 $85,000.50 2026-10-07
01584 OTHER New Technology - Level 47 ($80,001-$90,000) 1 1 — — $85,000.50 $85,000.50 $85,000.50 2026-10-07
4 LOCAL Stem Cell Transplant- Single- Auto Breast 1 1 — — $84,360.00 $84,360.00 $84,360.00 2026-10-07
38230 CPT Hc Marrow Collection 140 46 $119,807.00 — $148.05 $103,034.02 $83,864.90 2026-10-07
14 LOCAL Stem Cell Transplant- Tandem Auto To Allo 1st Attempt Unrelated 1 1 — — $82,500.00 $82,500.00 $82,500.00 2026-10-07
7 LOCAL Stem Cell Transplant- Tandem Auto To Auto 1st Attempt 1 1 — — $82,500.00 $82,500.00 $82,500.00 2026-10-07
J9269 HCPCS Tagraxofusp-erzs 1,000 Mcg/ml Intravenous Solution [187739] 169 36 $110,586.80 — $348.62 $95,161.54 $81,834.23 2026-10-07
01597 OTHER New Technology - Level 46 ($70,001-$80,000) 1 1 — — $75,000.50 $75,000.50 $75,000.50 2026-10-07
01583 OTHER New Technology - Level 46 ($70,001-$80,000) 1 1 — — $75,000.50 $75,000.50 $75,000.50 2026-10-07
J9118 HCPCS Calaspargase Pegol-mknl 750 Unit/ml Intravenous Solution [189288] 86 36 $99,878.50 — $81.91 $85,895.51 $73,910.09 2026-10-07
J9359 HCPCS Loncastuximab Tesirine-lpyl 10 Mg Intravenous Solution [194597] 86 36 $95,101.55 — $216.74 $81,787.33 $70,375.15 2026-10-07
J9266 HCPCS Pegaspargase 750 Unit/ml Injection Solution [12519] 86 36 $92,238.80 — $25,826.86 $79,325.37 $68,256.71 2026-10-07
01582 OTHER New Technology - Level 45 ($60,001-$70,000) 1 1 — — $65,000.50 $65,000.50 $65,000.50 2026-10-07
01596 OTHER New Technology - Level 45 ($60,001-$70,000) 1 1 — — $65,000.50 $65,000.50 $65,000.50 2026-10-07
05244 OTHER Level 4 Blood Product Exchange And Related Services 1 1 — — $64,263.52 $64,263.52 $64,263.52 2026-10-07
J9348 HCPCS Naxitamab-gqgk 4 Mg/ml Intravenous Solution [193283] 86 36 $85,391.90 — $685.91 $73,437.03 $63,190.01 2026-10-07
3 LOCAL Stem Cell Transplant- Tandem Auto To Auto 2nd Attempt 1 1 — — $61,875.00 $61,875.00 $61,875.00 2026-10-07
J9229 HCPCS Inotuzumab Ozogamicin 0.9 Mg(0.25 Mg/ml Initial Concentration) IV Soln [183134] 86 36 $79,915.65 — $2,698.05 $68,727.46 $59,137.58 2026-10-07
J9600 HCPCS Porfimer 75 Mg Intravenous Solution [14472] 84 35 $76,406.15 — $21,393.72 $65,709.29 $56,540.55 2026-10-07
01581 OTHER New Technology - Level 44 ($50,001-$60,000) 1 1 — — $55,000.50 $55,000.50 $55,000.50 2026-10-07
01595 OTHER New Technology - Level 44 ($50,001-$60,000) 1 1 — — $55,000.50 $55,000.50 $55,000.50 2026-10-07
3877924719 [234683] NDC Glutamine (bulk) Powder [13713] 83 35 $74,070.40 — $20,739.71 $63,700.54 $54,812.10 2026-10-07
44005 CPT Hc Enterolysis Freeing Intestinal Adhesion 139 46 $77,061.00 — $741.49 $66,272.46 $53,942.70 2026-10-07
77371 CPT Hc Srs Gamma Knife 85 36 $71,624.00 — $3,428.07 $61,596.64 $53,001.76 2026-10-07
J9274 HCPCS Tebentafusp-tebn 100 Mcg/0.5 Ml Intravenous Solution [196717] 86 36 $70,466.80 — $217.09 $60,601.45 $52,145.43 2026-10-07
J9999 HCPCS Dinutuximab 3.5 Mg/ml Intravenous Solution [173725] 83 35 $68,576.35 — $19,201.38 $58,975.66 $50,746.50 2026-10-07
01580 OTHER New Technology - Level 43 ($40,001-$50,000) 1 1 — — $45,000.50 $45,000.50 $45,000.50 2026-10-07
01594 OTHER New Technology - Level 43 ($40,001-$50,000) 1 1 — — $45,000.50 $45,000.50 $45,000.50 2026-10-07
47120 CPT Hc Hepatectomy Resection Of Liver; Partial Lopectomy 139 46 $63,860.00 — $1,151.89 $54,919.60 $44,702.00 2026-10-07
J9210 HCPCS Emapalumab-lzsg 5 Mg/ml Intravenous Solution [187168] 252 36 $60,786.20 — $381.64 $104,552.26 $44,373.93 2026-10-07
0686T CPT Hc Ir Histotripsy Malignant Hepatocellular Tissue W Image Guide 121 39 $61,516.00 — $700.15 $52,903.76 $43,061.20 2026-10-07
J3357 HCPCS Ustekinumab 45 Mg/0.5 Ml Subcutaneous Solution [99447] 166 35 $75,206.43 — $14,038.54 $86,236.67 $42,617.00 2026-10-07
49000 CPT Hc Exploratory Laparotomy Celiotomy W/wo Biopsy 139 46 $60,579.00 — $568.07 $52,097.94 $42,405.30 2026-10-07
38205 CPT Hc Primary Pbsc Collection 292 40 $58,000.00 — $59.57 $90,006.74 $40,600.00 2026-10-07
37231 CPT Hc Tib/per Rvscuni Wstn&athr 84 36 $54,097.00 — $1,461.44 $46,523.42 $40,031.78 2026-10-07
37227 CPT Hc Fm/pop Rvscuni Wstnt&athr 84 36 $54,097.00 — $1,437.66 $46,523.42 $40,031.78 2026-10-07
J2502 HCPCS Pasireotide Pamoate 10 Mg IM Suspension [186119] 86 36 $52,239.10 — $563.79 $44,925.63 $38,656.93 2026-10-07
J9298 HCPCS Nivolumab 240 Mg-relatlimab-rmbw 80 Mg/20 Ml Intravenous Solution [197151] 86 36 $51,532.85 — $197.65 $44,318.25 $38,134.31 2026-10-07
C1882 HCPCS Hc Cardio Defibrillator Single/dual Viva Xt Dtb1d1 1,328 35 $49,535.00 — $11,480.00 $56,025.56 $37,502.75 2026-10-07
C2616 HCPCS Hc Brachytherapy Seed, Yttrium-90 250 35 $51,594.00 — $9,240.00 $47,730.86 $37,147.68 2026-10-07
J9345 HCPCS Retifanlimab-dlwr 500 Mg/20 Ml Intravenous Solution [200729] 86 36 $49,264.50 — $29.98 $42,367.47 $36,455.73 2026-10-07
J9043 HCPCS Cabazitaxel 10 Mg/ml (first Dilution) Intravenous Solution [105644] 86 36 $48,222.25 — $227.10 $41,471.14 $35,684.46 2026-10-07
J9281 HCPCS Mitomycin 4 Mg/ml Intra-pyelocalyceal Solution [40800003543] 169 36 $41,678.95 — $317.42 $71,687.75 $35,427.11 2026-10-07
01579 OTHER New Technology - Level 42 ($30,001-$40,000) 1 1 — — $35,000.50 $35,000.50 $35,000.50 2026-10-07
01593 OTHER New Technology - Level 42 ($30,001-$40,000) 1 1 — — $35,000.50 $35,000.50 $35,000.50 2026-10-07
38779-1754-8 [148958] NDC Ketamine (bulk) 100 % Powder [23101] 83 35 $46,665.15 — $13,066.24 $40,132.03 $34,532.21 2026-10-07
05166 OTHER Cochlear Implant Procedure 1 1 — — $33,686.28 $33,686.28 $33,686.28 2026-10-07
05232 OTHER Level 2 Icd And Similar Procedures 1 1 — — $32,068.73 $32,068.73 $32,068.73 2026-10-07
J9042 HCPCS Brentuximab Vedotin 50 Mg Intravenous Solution [111348] 86 36 $43,145.45 — $258.52 $37,105.09 $31,927.63 2026-10-07
05465 OTHER Level 5 Neurostimulator And Related Procedures 1 1 — — $31,526.06 $31,526.06 $31,526.06 2026-10-07
63685 CPT Hc Inc&plct Spinl Neu Gen 140 46 $43,854.00 — $252.81 $37,714.44 $30,697.80 2026-10-07
C1721 HCPCS Hc Cardio Defib D/chamb Virt 332 35 $41,026.00 — $10,680.60 $41,035.76 $30,516.00 2026-10-07
J9272 HCPCS Dostarlimab-gxly 50 Mg/ml Intravenous Solution [194605] 86 36 $40,199.45 — $243.82 $34,571.53 $29,747.59 2026-10-07
05200 OTHER Implantation Wireless Pa Pressure Monitor 1 1 — — $29,304.62 $29,304.62 $29,304.62 2026-10-07
J9382 HCPCS Zenocutuzumab-zbco 375 Mg/18.75 Ml (20 Mg/ml) Intravenous Solution [206643] 85 35 $39,252.65 — $33.57 $33,757.28 $29,046.96 2026-10-07
C1722 HCPCS Hc Aicd Single Chamber Gallant Vr_icd_umri_us 913 35 $38,140.00 — $8,960.00 $37,913.96 $28,532.06 2026-10-07
38211 CPT Hc Txprep Tumorcell Dep 127 40 $40,668.00 — $54.09 $34,974.48 $28,467.60 2026-10-07
38779-0330-5 [44708] NDC Haloperidol (bulk) Powder [17126] 83 35 $38,421.50 — $10,758.02 $33,042.49 $28,431.91 2026-10-07
J9153 HCPCS Daunorubicin 44 Mg And Cytarabine 100 Mg In Liposome IV Solution [183121] 86 36 $37,575.75 — $255.09 $32,315.15 $27,806.06 2026-10-07
05117 OTHER Level 7 Musculoskeletal Procedures 1 1 — — $27,721.73 $27,721.73 $27,721.73 2026-10-07
J1640 HCPCS Hemin Ivpb 7 Mg/ml [40800000366] 86 36 $37,435.40 — $34.17 $32,194.44 $27,702.20 2026-10-07
01592 OTHER New Technology - Level 41 ($25,001-$30,000) 1 1 — — $27,500.50 $27,500.50 $27,500.50 2026-10-07
01578 OTHER New Technology - Level 41 ($25,001-$30,000) 1 1 — — $27,500.50 $27,500.50 $27,500.50 2026-10-07
J9119 HCPCS Cemiplimab-rwlc 50 Mg/ml Intravenous Solution [186523] 86 36 $37,132.35 — $28.70 $31,933.82 $27,477.94 2026-10-07
3877924718 [234682] NDC Glutamine (bulk) Powder [13713] 83 35 $37,035.20 — $10,369.86 $31,850.27 $27,406.05 2026-10-07
38210 CPT Hc Auto Txprep Tcell Dep 210 40 $37,236.00 — $59.62 $33,062.70 $27,295.95 2026-10-07
J9144 HCPCS Daratumumab 1,800 Mg-hyaluronidase-fihj 30,000 Unit/15 Ml Subcut Soln [408000026… 86 36 $36,815.40 — $54.67 $31,661.24 $27,243.40 2026-10-07
05213 OTHER Level 3 Electrophysiologic Procedures 1 1 — — $26,703.99 $26,703.99 $26,703.99 2026-10-07
C2624 HCPCS Hc Cardiomems Pa Sensor Delivery System 83 35 $36,000.00 — $10,080.00 $30,960.00 $26,640.00 2026-10-07
J9228 HCPCS Ipilimumab 5 Mg/ml Inj Container [40800000416] 169 36 $30,256.60 — $183.41 $104,082.49 $26,020.68 2026-10-07
0620T CPT Hc Endovascular Venous Arterialization Tibl/prnl Vn, Rs&i 83 35 $35,056.00 — $9,815.68 $30,148.16 $25,941.44 2026-10-07
J9203 HCPCS Gemtuzumab Ozogamicin 4.5 Mg (1 Mg/ml Initial Concentration) IV Soln [183174] 86 36 $34,403.10 — $236.62 $29,586.67 $25,458.29 2026-10-07
J9316 HCPCS Pertuzumab 1,200 Mg-trastuzumab 600 Mg-hyaluron-zzxf/15 Ml Subcut Soln [191789] 169 36 $47,642.15 — $60.23 $40,972.25 $25,408.16 2026-10-07
33214 CPT Hc Upgrade Pm Sys Sngl-dual 140 46 $35,345.00 — $348.97 $30,396.70 $24,741.50 2026-10-07
J3380 HCPCS Vedolizumab 300 Mg Intravenous Solution [164372] 86 36 $33,116.15 — $20.98 $28,479.89 $24,505.95 2026-10-07
J1323 HCPCS Elranatamab-bcmm 40 Mg/ml Subcutaneous Solution [202348] 169 36 $28,179.30 — $185.31 $41,859.04 $23,952.40 2026-10-07
33289 CPT Hc Tcat Impl Wrls P-art Prs Snr L-t Hemodyn Mntr 132 42 $34,080.00 — $255.34 $33,700.31 $23,856.00 2026-10-07
J3263 HCPCS Toripalimab-tpzi 240 Mg/6 Ml (40 Mg/ml) Intravenous Solution [203182] 86 36 $31,964.80 — $39.50 $27,489.73 $23,653.95 2026-10-07
C1820 HCPCS Hc Restore Neurostimc1820 83 35 $31,850.00 — $8,918.00 $27,391.00 $23,569.00 2026-10-07
37236 CPT Hc Trnscth Artery Stent Init 140 46 $33,627.00 — $316.25 $28,919.22 $23,538.90 2026-10-07
37238 CPT Hc Trnscth Venous Stent Init 140 46 $33,627.00 — $218.87 $28,919.22 $23,538.90 2026-10-07
37230 CPT Hc Tib/per Rvsc Uni Vs Wstnt 84 36 $31,237.00 — $1,390.95 $26,863.82 $23,115.38 2026-10-07
37226 CPT Hc Fm/pop Rvsc Uni Vsl Wstnt 84 36 $31,237.00 — $1,044.21 $26,863.82 $23,115.38 2026-10-07
37229 CPT Hc Tib/per Rvsc Uni W/athrct 84 36 $31,237.00 — $1,386.03 $26,863.82 $23,115.38 2026-10-07
77372 CPT Hc Srs Stereo Radsrg Sgl Ses 85 36 $31,182.00 — $1,612.55 $26,816.52 $23,074.68 2026-10-07
37244 CPT Hc Emb Vascgi Bleed/lymext 140 46 $32,790.00 — $473.89 $28,199.40 $22,953.00 2026-10-07
37242 CPT Hc Emb Artry Wimg Notumr/hmr 140 46 $32,790.00 — $341.09 $28,199.40 $22,953.00 2026-10-07
J9301 HCPCS Obinutuzumab 1,000 Mg/40 Ml Intravenous Solution [132573] 86 36 $30,959.20 — $78.46 $26,624.91 $22,909.81 2026-10-07
J1440 HCPCS Fecal Microbiota, Live-jslm 150 Ml Rectal Suspension Enema [199654] 86 36 $30,830.85 — $64.03 $26,514.53 $22,814.83 2026-10-07
05231 OTHER Level 1 Icd And Similar Procedures 1 1 — — $22,725.36 $22,725.36 $22,725.36 2026-10-07
33229 CPT Hc Remov/repl Pulse Multlead 140 46 $32,396.00 — $272.48 $27,860.56 $22,677.20 2026-10-07
01577 OTHER New Technology - Level 40 ($20,001-$25,000) 1 1 — — $22,500.50 $22,500.50 $22,500.50 2026-10-07
01591 OTHER New Technology - Level 40 ($20,001-$25,000) 1 1 — — $22,500.50 $22,500.50 $22,500.50 2026-10-07
37241 CPT Hc Emb Vein Wimg Notumr/hemr 140 46 $31,453.00 — $307.65 $27,049.58 $22,017.10 2026-10-07
37243 CPT Hc Emb Organ/tumorhae/tace 140 46 $31,453.00 — $401.09 $27,049.58 $22,017.10 2026-10-07
J9022 HCPCS Atezolizumab 1,200 Mg/20 Ml (60 Mg/ml) Intravenous Solution [178549] 169 36 $39,105.75 — $91.02 $33,630.94 $21,899.24 2026-10-07
62361 CPT Hc Impl/re Dev-epi Inf Noprg 140 46 $30,916.00 — $276.93 $26,587.76 $21,641.20 2026-10-07
62360 CPT Hc Implnt/repl Dev Epi Resv 140 46 $30,882.00 — $126.27 $26,558.52 $21,617.40 2026-10-07
32663 CPT Hc Thoracoscopy With Lobectomy Single Lobe 139 46 $30,819.00 — $1,015.40 $26,504.34 $21,573.30 2026-10-07
05378 OTHER Level 8 Urology And Related Services 1 1 — — $21,175.04 $21,175.04 $21,175.04 2026-10-07
J9331 HCPCS Sirolimus-protein Bound 5 Mg/ml Intravenous Suspension [40800003820] 86 36 $28,133.35 — $84.53 $24,194.68 $20,818.68 2026-10-07
34708 CPT Hc Evasc Rpr Dplmnt Ilio-iliac Ndgft Rupture, S & I 139 46 $29,424.00 — $1,302.15 $25,304.64 $20,596.80 2026-10-07
34702 CPT Hc Evasc Rpr Dplmnt Aorto-aortic Ndgft Rupture, S & I 139 46 $29,424.00 — $1,323.79 $25,304.64 $20,596.80 2026-10-07
34703 CPT Hc Evasc Rpr Dplmnt Aorto-un-iliac Ndgft, S & I 139 46 $29,424.00 — $986.64 $25,304.64 $20,596.80 2026-10-07
34706 CPT Hc Evasc Rpr Dplmnt Aorto-bi-iliac Ndgft Rupture, S & I 139 46 $29,424.00 — $1,630.45 $25,304.64 $20,596.80 2026-10-07
34705 CPT Hc Evasc Rpr Dplmnt Aorto-bi-iliac Ndgft, S & I 139 46 $29,424.00 — $1,094.35 $25,304.64 $20,596.80 2026-10-07
34707 CPT Hc Evasc Rpr Dplmnt Ilio-iliac Ndgft, S & I 139 46 $29,424.00 — $836.62 $25,304.64 $20,596.80 2026-10-07
34701 CPT Hc Evasc Rpr Dplmnt Aorto-aortic Ndgf, S & I 139 46 $29,424.00 — $887.28 $25,304.64 $20,596.80 2026-10-07
34704 CPT Hc Evasc Rpr Dplmnt Aorto-un-iliac Ndgft Rupture, S & I 139 46 $29,424.00 — $1,641.52 $25,304.64 $20,596.80 2026-10-07
J9307 HCPCS Pralatrexate 20 Mg/ml (1 Ml) Intravenous Solution [99982] 335 36 $25,500.95 — $388.83 $43,861.63 $20,400.76 2026-10-07
J9223 HCPCS Lurbinectedin 0.5 Mg/ml Intravenous Solution [40800003600] 86 36 $27,551.20 — $206.13 $23,694.03 $20,387.89 2026-10-07
32674 CPT Hc Thoracoscopy With Mediastinal & Regional Lymphdenectomy 139 46 $29,103.00 — $155.18 $25,028.58 $20,372.10 2026-10-07
37233 CPT Hc Tib/per Rvsun Adl Vswathr 84 36 $27,494.00 — $642.69 $23,644.84 $20,345.56 2026-10-07
05464 OTHER Level 4 Neurostimulator And Related Procedures 1 1 — — $19,820.31 $19,820.31 $19,820.31 2026-10-07
05224 OTHER Level 4 Pacemaker And Similar Procedures 1 1 — — $19,678.89 $19,678.89 $19,678.89 2026-10-07
33225 CPT Hc Lv Lead Placem W/nw Genrt 139 46 $27,654.00 — $335.93 $23,782.44 $19,357.80 2026-10-07
D7949 HCPCS Pr Lefort Ii Or Lefort Iii - With Bone Graft 40 23 $25,975.00 — $4,999.34 $23,377.50 $19,351.38 2026-10-07
33228 CPT Hc Rem/repl Pm Gen Dual 140 46 $27,525.00 — $257.73 $23,671.50 $19,267.50 2026-10-07
93461 CPT Hc R/l Cat Coron Ang Graf Lv 140 46 $27,463.00 — $296.33 $23,618.18 $19,224.10 2026-10-07
51927-2909-0 [101816] NDC Ursodiol (bulk) 100 % Powder [35168] 83 35 $25,765.75 — $7,214.41 $22,158.54 $19,066.65 2026-10-07
93460 CPT Hc R/l Cath Coronary Angio Lv 140 46 $27,213.00 — $268.30 $23,403.18 $19,049.10 2026-10-07
J3101 HCPCS Tenecteplase 50 Mg Intravenous Solution [184741] 169 36 $25,190.50 — $171.94 $22,313.78 $18,892.88 2026-10-07
J1303 HCPCS Ravulizumab-cwvz 100 Mg/ml Intravenous Solution [192897] 169 36 $21,934.10 — $223.68 $69,165.46 $18,863.33 2026-10-07
05194 OTHER Level 4 Endovascular Procedures 1 1 — — $18,728.69 $18,728.69 $18,728.69 2026-10-07
J1930 HCPCS Lanreotide 60 Mg/0.2 Ml Subcutaneous Syringe [88570] 252 36 $25,599.60 — $35.72 $25,963.40 $18,431.71 2026-10-07
05471 OTHER Implantation Of Drug Infusion Device 1 1 — — $18,414.24 $18,414.24 $18,414.24 2026-10-07
0237T CPT Hc Trnslm Peri Brchocph Athr 83 35 $24,856.00 — $6,959.68 $21,376.16 $18,393.44 2026-10-07
0234T CPT Hc Translm Periph Renal Athr 83 35 $24,856.00 — $6,959.68 $21,376.16 $18,393.44 2026-10-07
0236T CPT Hc Trnslm Peri Abdaorta Athr 83 35 $24,856.00 — $6,959.68 $21,376.16 $18,393.44 2026-10-07
0235T CPT Hc Translum Periph Visc Athr 83 35 $24,856.00 — $6,959.68 $21,376.16 $18,393.44 2026-10-07
33206 CPT Hc Ins/rpl Pm S/ld Art W/gen 140 46 $26,193.00 — $331.26 $22,525.98 $18,335.10 2026-10-07
J9273 HCPCS Tisotumab Vedotin-tftv 40 Mg Intravenous Solution [195917] 86 36 $24,245.05 — $188.65 $20,850.74 $17,941.34 2026-10-07
05116 OTHER Level 6 Musculoskeletal Procedures 1 1 — — $17,913.59 $17,913.59 $17,913.59 2026-10-07
J0775 HCPCS Collagenase Clostridium Histolyticum 0.58 Mg/0.25 Ml Injection [40800004000] 86 36 $24,194.05 — $73.16 $20,806.88 $17,903.60 2026-10-07
32666 CPT Hc Thoracoscopy W/therapeutic Wedge Resection, Initial Unilateral 139 46 $25,495.00 — $634.97 $21,925.70 $17,846.50 2026-10-07
63650 CPT Hc Percu Implt Elc Arry Epi 140 46 $25,490.00 — $305.43 $21,921.40 $17,843.00 2026-10-07
93457 CPT Hc Rhc Coronary Angio Grafts 140 46 $25,440.00 — $251.09 $21,878.40 $17,808.00 2026-10-07
02616 OTHER Brachytx, Non-str,yttrium-90 1 1 — — $17,771.01 $17,771.01 $17,771.01 2026-10-07
34832 CPT Hc Rpiaa+rp Artrm-f Evr Abfp 139 46 $25,119.00 — $1,357.98 $21,602.34 $17,583.30 2026-10-07
33880 CPT Hc Ev Rpr Dta Ic Lsc Int Ep 139 46 $25,119.00 — $1,169.29 $21,602.34 $17,583.30 2026-10-07
34830 CPT Hc Rp Iaa+rp Artrm-f Evr Tbp 139 46 $25,119.00 — $1,263.54 $21,602.34 $17,583.30 2026-10-07
34831 CPT Hc Rpiaa+rp Artrm-f Evr Abip 139 46 $25,119.00 — $1,381.58 $21,602.34 $17,583.30 2026-10-07
01576 OTHER New Technology - Level 39 ($15,001-$20,000) 1 1 — — $17,500.50 $17,500.50 $17,500.50 2026-10-07
01590 OTHER New Technology - Level 39 ($15,001-$20,000) 1 1 — — $17,500.50 $17,500.50 $17,500.50 2026-10-07
L8686 HCPCS Hc Pump Med Synchr 20/40ml 83 35 $23,600.00 — $6,608.00 $20,296.00 $17,464.00 2026-10-07
61626 CPT Hc Tc Prm Oclu/embl P Ncnshn 140 46 $24,922.00 — $662.76 $21,432.92 $17,445.40 2026-10-07
61624 CPT Hc Tc Perm Occlu/embol P Cns 140 46 $24,922.00 — $855.07 $21,537.99 $17,445.40 2026-10-07
0238T CPT Hc Trnslm Priph Iliac Atherc 125 39 $24,856.00 — $958.12 $21,376.16 $17,399.20 2026-10-07
33208 CPT Hc Ins/rpl Pm D/ld A&v W/gen 140 46 $24,849.00 — $376.75 $21,370.14 $17,394.30 2026-10-07
C1767 HCPCS Hc Medtronic Neurostm Norchg 83 35 $23,360.00 — $6,540.80 $20,089.60 $17,286.40 2026-10-07
33264 CPT Hc Remv&repl Cvd Multi Lead 140 46 $24,405.00 — $293.88 $36,879.04 $17,083.50 2026-10-07
33263 CPT Hc Remv&repl Cvd Dual Lead 140 46 $24,405.00 — $281.82 $26,134.16 $17,083.50 2026-10-07
33262 CPT Hc Remv&repl Cvd Singl Lead 140 46 $24,405.00 — $271.49 $26,134.16 $17,083.50 2026-10-07
05496 OTHER Level 6 Intraocular Procedures 1 1 — — $16,817.36 $16,817.36 $16,817.36 2026-10-07
33249 CPT Hc Aicd Ins/rep Ld Generator 140 46 $23,964.00 — $663.98 $36,879.04 $16,774.80 2026-10-07
J9306 HCPCS Pertuzumab 420 Mg/14 Ml (30 Mg/ml) Intravenous Solution [116596] 86 36 $22,567.35 — $16.89 $19,407.92 $16,699.84 2026-10-07
J9063 HCPCS Mirvetuximab Soravtansine-gynx 5 Mg/ml Intravenous Solution [199485] 86 36 $22,496.75 — $69.52 $19,347.21 $16,647.60 2026-10-07
93459 CPT Hc Lhc Coronar Cath Graft Lv 140 46 $23,616.00 — $239.28 $20,309.76 $16,531.20 2026-10-07
38779-0053-9 [228163] NDC Tetracycline Hcl (bulk) Powder [7799] 83 35 $22,222.20 — $6,222.22 $19,111.09 $16,444.43 2026-10-07
37225 CPT Hc Fm/pop Rvsc Uni Vsl Wathr 84 36 $21,693.00 — $1,200.83 $18,655.98 $16,052.82 2026-10-07
93456 CPT Hc Rhc Coronary Angio 140 46 $22,882.00 — $223.29 $19,678.52 $16,017.40 2026-10-07
J9311 HCPCS Rituximab 1,400 Mg/11.7 Ml (120 Mg/ml)-hyaluronidase Subcutaneous Soln [182370] 86 36 $21,544.90 — $36.28 $18,528.61 $15,943.23 2026-10-07
93458 CPT Hc Lhc With Coronaries Lv 130 42 $22,656.00 — $256.52 $19,484.16 $15,859.20 2026-10-07
J1299 HCPCS Eculizumab 300 Mg/30 Ml Intravenous Solution [81696] 86 36 $21,369.35 — $44.70 $18,377.64 $15,813.32 2026-10-07
47135 CPT Pr Lvr Altrnsplj Orthotopic Prtl/whl Don Any Age 50 30 $38,252.00 — $3,972.11 $37,466.45 $15,719.25 2026-10-07
37182 CPT Hc Insertion Of Tips 140 46 $21,923.00 — $584.06 $21,537.99 $15,346.10 2026-10-07
22857 CPT Pr Total Disc Arthrp Ant Single Interspace Lumbar 45 27 $25,258.00 — $1,396.66 $21,469.30 $15,154.80 2026-10-07
J9015 HCPCS Aldesleukin 22 Million Unit Intravenous Solution [8993] 251 35 $21,639.30 — $275.42 $18,609.84 $15,147.55 2026-10-07
J2277 HCPCS Motixafortide 62 Mg Subcutaneous Solution [202660] 86 36 $20,294.85 — $25.22 $17,453.57 $15,018.19 2026-10-07
05494 OTHER Level 4 Intraocular Procedures 1 1 — — $14,820.30 $14,820.30 $14,820.30 2026-10-07
J9271 HCPCS Pembrolizumab 25 Mg/ml Inj Container [40800000420] 86 36 $19,707.40 — $58.56 $16,948.36 $14,583.48 2026-10-07
J2506 HCPCS Pegfilgrastim 6 Mg/0.6 Ml Subcutaneous Syringe [32267] 86 36 $19,485.05 — $58.40 $16,757.14 $14,418.94 2026-10-07
J9039 HCPCS Blinatumomab 35 Mcg Intravenous Solution [182219] 86 36 $19,296.25 — $163.21 $16,594.78 $14,279.23 2026-10-07
05495 OTHER Level 5 Intraocular Procedures 1 1 — — $14,255.17 $14,255.17 $14,255.17 2026-10-07
05881 OTHER Ancillary Outpatient Services When Patient Dies 1 1 — — $14,228.88 $14,228.88 $14,228.88 2026-10-07
J9216 HCPCS Interferon Gamma-1b 100 Mcg (2 Million Unit)/0.5 Ml Subcutaneous Soln [10307] 83 35 $19,196.45 — $5,375.01 $16,508.95 $14,205.37 2026-10-07
64575 CPT Hc Inc Impl Peripheral Ner 140 46 $20,271.00 — $233.14 $17,433.06 $14,189.70 2026-10-07
45397 CPT Pr Laps Proctectomy Combined Pull-thru W/reservoir 78 34 $18,856.00 — $1,548.56 $20,836.05 $14,142.00 2026-10-07
33881 CPT Hc Evrp Dta Wo Lsc In Ep Dta 139 46 $20,201.00 — $981.34 $17,372.86 $14,140.70 2026-10-07
33945 CPT Pr Heart Transplant W/wo Recipient Cardiectomy 50 30 $33,400.00 — $3,172.32 $28,390.00 $14,127.76 2026-10-07
22513 CPT Hc Vtb Aug+bx 1vtb Cn&img Th 140 46 $20,136.00 — $375.03 $17,316.96 $14,095.20 2026-10-07
22514 CPT Hc Vt Aug+bx 1vtb Can+img Lb 140 46 $20,136.00 — $350.44 $17,316.96 $14,095.20 2026-10-07
05094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 1 1 — — $14,079.44 $14,079.44 $14,079.44 2026-10-07
C1821 HCPCS Hc Vertiplex Spacer Spinal Superion Indir Decomprs Syst 83 35 $19,000.00 — $5,320.00 $16,340.00 $14,060.00 2026-10-07
C2621 HCPCS Hc Pacemkr S/d Chamb Consult 664 35 $19,027.00 — $4,483.36 $20,554.00 $13,987.44 2026-10-07
34845 CPT Hc Endovas Vis Aor Repair & Infrarenal Abdom Aorta W/fenest Endograft S&i; Incl… 84 36 $18,711.00 — $3,982.10 $16,091.46 $13,846.14 2026-10-07
34841 CPT Hc Endovascular Visceral Aorta Repair W/fenest Endograft S&i; Incl 1 Vis Art End… 84 36 $18,711.00 — $2,925.25 $16,091.46 $13,846.14 2026-10-07
D7948 HCPCS Pr Lefort Ii Or Lefort Iii (osteoplasty Of Facial Bones For Midface Hypoplasia O… 40 23 $18,462.00 — $3,430.92 $16,615.80 $13,754.19 2026-10-07
88880-2010-02 [323449] NDC Flucytosine Oral Suspension 50 Mg/ml (ip-cmpd) [40800002010] 83 35 $18,515.35 — $5,184.30 $15,923.20 $13,701.36 2026-10-07
33285 CPT Hc Insertion Subq Cardiac Rhythm Monitor W/prgrmg 140 46 $19,422.00 — $63.69 $16,702.92 $13,595.40 2026-10-07
J9329 HCPCS Tislelizumab-jsgr 10 Mg/ml Intravenous Solution [205480] 86 36 $18,260.45 — $57.42 $15,703.99 $13,512.73 2026-10-07
J9021 HCPCS Asparaginase Erwinia Chrysanthemi-rywn 10 Mg/0.5 Ml IM Solution [195401] 86 36 $18,247.35 — $55.30 $15,692.72 $13,503.04 2026-10-07
05377 OTHER Level 7 Urology And Related Services 1 1 — — $13,479.22 $13,479.22 $13,479.22 2026-10-07
77373 CPT Hc Sbrt Stereo Bdy Rad Txdel 85 36 $18,191.00 — $1,684.55 $15,644.26 $13,461.34 2026-10-07
J0491 HCPCS Anifrolumab-fnia 300 Mg/2 Ml (150 Mg/ml) Intravenous Solution [195592] 85 36 $18,090.90 — $18.10 $15,558.17 $13,387.27 2026-10-07
J9038 HCPCS Axatilimab-csfr 50 Mg/ml Intravenous Solution [207071] 168 35 $38,414.40 — $55.65 $33,036.38 $13,357.75 2026-10-07
33227 CPT Hc Rem/repl Pm Gen Sgl 140 46 $19,044.00 — $246.90 $16,377.84 $13,330.80 2026-10-07
05115 OTHER Level 5 Musculoskeletal Procedures 1 1 — — $13,116.76 $13,116.76 $13,116.76 2026-10-07
33207 CPT Hc Ins/rpl Pm S/ld Ven W/gen 140 46 $18,672.00 — $347.73 $16,057.92 $13,070.40 2026-10-07
93455 CPT Hc Coronary Angio Grafts 140 46 $18,614.00 — $199.93 $16,008.04 $13,029.80 2026-10-07
93452 CPT Hc Lhc Incl Intrap Inj For Left Ventriculography & Img S&i 127 41 $18,577.00 — $242.58 $15,976.22 $13,003.90 2026-10-07
33883 CPT Hc Plc Pep Evrp Dta Int Ext 139 46 $18,512.00 — $798.26 $15,920.32 $12,958.40 2026-10-07
33886 CPT Hc Plc Dep Dly Aft Evrp Dta 139 46 $18,512.00 — $690.79 $15,920.32 $12,958.40 2026-10-07
33935 CPT Pr Heart-lung Trnspl W/recipient Cardiectomy-pnumec 50 30 $42,293.00 — $3,541.25 $35,949.05 $12,955.33 2026-10-07
93453 CPT Hc R/lhc Include Intrap Inj 140 46 $18,369.00 — $226.49 $15,797.34 $12,858.30 2026-10-07
34718 CPT Hc Evasc Rpr Iliac Art N/a A-iliac Art Ndgft Uni 139 46 $18,271.00 — $885.07 $15,713.06 $12,789.70 2026-10-07
34717 CPT Hc Evasc Rpr Iliac Art Tm Of A-iliac Art Ndgft Uni 139 46 $18,271.00 — $316.75 $15,713.06 $12,789.70 2026-10-07
44211 CPT Pr Laps Colct Ttl Abd W/prctect Ileoanal Anastomsis 80 34 $17,005.00 — $1,541.92 $22,902.30 $12,753.75 2026-10-07
J9057 HCPCS Copanlisib Injection 15 Mg/ml [40800002885] 83 35 $17,210.80 — $4,819.02 $14,801.29 $12,735.99 2026-10-07
21077 CPT Hc Prep Prosths Orbit Pros 136 44 $18,100.00 — $1,344.44 $15,566.00 $12,670.00 2026-10-07
33240 CPT Hc Aicd Generator Replacemnt 85 36 $17,080.00 — $742.60 $26,134.16 $12,639.20 2026-10-07
93622 CPT Hc W/lv Pace & Record 139 46 $18,020.00 — $121.97 $15,497.20 $12,614.00 2026-10-07
01589 OTHER New Technology - Level 38 ($10,001-$15,000) 1 1 — — $12,500.50 $12,500.50 $12,500.50 2026-10-07
01575 OTHER New Technology - Level 38 ($10,001-$15,000) 1 1 — — $12,500.50 $12,500.50 $12,500.50 2026-10-07
27713 CPT Pr Osteot Tibia Uni Insj Xtrnl Ctrld Imed Lngth Dev 33 25 $16,553.00 — $1,548.83 $14,897.70 $12,414.75 2026-10-07
37239 CPT Hc Trnscth Venous Stent Addl 139 46 $17,653.00 — $107.47 $15,181.58 $12,357.10 2026-10-07
49906 CPT Pr Free Omental Flap W/microvascular Anast 48 28 $18,852.00 — $1,053.92 $16,024.20 $12,267.94 2026-10-07
32994 CPT Hc Ablation Therapy Reduct Or Erad >= 1 Pulm Tumor(s) W/img, Uni; Cryoablation 130 41 $17,515.00 — $336.01 $15,062.90 $12,260.50 2026-10-07
45395 CPT Pr Laps Proctectomy Abdominoperineal W/colostomy 78 34 $16,226.00 — $1,431.26 $16,030.80 $12,169.50 2026-10-07
37237 CPT Hc Trnscth Artery Stent Addl 139 46 $17,362.00 — $150.25 $14,931.32 $12,153.40 2026-10-07
55869 CPT Pr Laps Surg Prst8ect Rpbic Rad W/bi Pel Lymphadec 33 25 $16,204.00 — $1,171.75 $14,583.60 $12,153.00 2026-10-07
32998 CPT Hc Ablation Pulmonary Tumor Perq Inclu Img Radiofrequency, Uni 132 42 $17,293.00 — $336.23 $14,871.98 $12,105.10 2026-10-07
J9011 HCPCS Datopotamab Deruxtecan-dlnk 100 Mg Intravenous Solution [207184] 85 35 $16,343.15 — $51.52 $14,055.11 $12,093.93 2026-10-07
64561 CPT Hc Imp Neurostm Sacral Nrv 140 46 $17,239.00 — $222.81 $14,825.54 $12,067.30 2026-10-07
J1162 HCPCS Digoxin Immune Fab 40 Mg Intravenous Solution [31432] 85 36 $16,294.85 — $4,562.56 $14,013.57 $12,058.19 2026-10-07
27187 CPT Hc Reinforce Hip Bones W/wo Methyl, Femoral Neck/prox Femur 140 46 $17,021.00 — $747.10 $14,638.06 $11,914.70 2026-10-07
J9309 HCPCS Polatuzumab Vedotin-piiq 30 Mg Intravenous Solution [192677] 169 36 $13,849.20 — $136.23 $55,581.15 $11,910.31 2026-10-07
50437 CPT Hc Perq Dilation Exst Tract New Access Renal Coltj Sys Rad S&i 140 46 $16,901.00 — $178.78 $14,534.86 $11,830.70 2026-10-07
J9204 HCPCS Mogamulizumab-kpkc 4 Mg/ml Intravenous Solution [186083] 86 36 $15,980.50 — $248.50 $13,743.23 $11,825.57 2026-10-07
27458 CPT Pr Osteot Femur Uni Insj Xtrnl Ctrld Imed Lngth Dev 33 25 $15,755.00 — $1,528.21 $14,179.50 $11,816.25 2026-10-07
27235 CPT Hc Percutaneous Skeletal Fix Prox/neck Femur Fx 140 46 $16,874.00 — $679.97 $14,511.64 $11,811.80 2026-10-07
05193 OTHER Level 3 Endovascular Procedures 1 1 — — $11,794.23 $11,794.23 $11,794.23 2026-10-07
39503 CPT Pr Rpr Neonatal Diphrg Hernia W/wo Chest Tube Insj 51 32 $20,821.00 — $1,937.89 $20,829.60 $11,788.78 2026-10-07
47379 CPT Hc Laparoscopic Procedure Liver 397 37 $15,588.00 — $2,546.53 $38,993.26 $11,691.00 2026-10-07
J0741 HCPCS Cabotegravir ER 600 Mg/3 Ml-rilpivirine ER 900 Mg/3ml IM Suspension,er [194463] 169 36 $23,367.60 — $23.63 $20,096.14 $11,683.80 2026-10-07
J0896 HCPCS Luspatercept-aamt 25 Mg Subcutaneous Solution [189889] 169 36 $13,744.15 — $41.96 $35,459.78 $11,682.53 2026-10-07
51999 CPT Pr Robotic-assisted Cystectomy W/bilat Pelvic Lymphadenectomy 392 21 $16,274.50 — $2,151.60 $37,416.60 $11,616.75 2026-10-07
D7858 HCPCS Pr Joint Reconstruction 40 23 $15,492.00 — $2,744.73 $13,942.80 $11,541.54 2026-10-07
37183 CPT Hc Revision Of Tips 140 46 $16,453.00 — $268.30 $14,149.58 $11,517.10 2026-10-07
50436 CPT Hc Perq Dilation Exst Tract Endourologic Px W/img Guid Rad S&i 140 46 $16,453.00 — $107.22 $14,149.58 $11,517.10 2026-10-07
J0480 HCPCS Basiliximab 20 Mg Intravenous Solution [23082] 86 36 $15,539.25 — $4,350.99 $13,363.75 $11,499.05 2026-10-07
C1982 HCPCS Hc Trinav Infusion System Cath 83 35 $15,500.00 — $4,340.00 $13,330.00 $11,470.00 2026-10-07
21080 CPT Hc Prep Definit Obturatr 140 46 $16,357.00 — $606.58 $14,067.02 $11,449.90 2026-10-07
05463 OTHER Level 3 Neurostimulator And Related Procedures 1 1 — — $11,384.04 $11,384.04 $11,384.04 2026-10-07
J9356 HCPCS Trastuzumab 600 Mg-hyaluronidase-oysk 10,000 Unit/5 Ml Subcut Solution [187994] 86 36 $15,316.10 — $59.91 $13,171.85 $11,333.91 2026-10-07
50633-220-04 [385444] NDC Uridine Triacetate 10 Gram Oral Granules In Packet [176594] 83 35 $15,220.30 — $4,261.68 $13,089.46 $11,263.02 2026-10-07
50633-220-20 [385445] NDC Uridine Triacetate 10 Gram Oral Granules In Packet [176594] 83 35 $15,220.30 — $4,261.68 $13,089.46 $11,263.02 2026-10-07
50633-220-10 [399425] NDC Uridine Triacetate 10 Gram Oral Granules In Packet [176594] 83 35 $15,220.30 — $4,261.68 $13,089.46 $11,263.02 2026-10-07
50592 CPT Hc Ablat 1+ Rnltmr Pc Uni Rf 138 45 $16,020.00 — $246.90 $13,777.20 $11,214.00 2026-10-07
35302 CPT Hc Thromboendarterectomy W/graft Superficial Femoral Artery 139 46 $16,020.00 — $803.67 $13,777.20 $11,214.00 2026-10-07
50593 CPT Hc Ablat 1+ Rnltmr P/uni Cry 140 46 $16,020.00 — $329.53 $13,777.20 $11,214.00 2026-10-07
35286 CPT Hc Rpr Bldvs Wgft Otvn Lwext 140 46 $16,020.00 — $668.90 $13,777.20 $11,214.00 2026-10-07
35355 CPT Hc Thrmbendartrctrmy Pgf Ifm 139 46 $16,020.00 — $738.01 $13,777.20 $11,214.00 2026-10-07
35372 CPT Hc Thrmbendartrctrmy Pgf Dfm 140 46 $16,020.00 — $700.63 $13,777.20 $11,214.00 2026-10-07
A9608 HCPCS Flotufolastat F 18 Gallium 296-5,846 Mbq/ml (8-158 Mci/ml) IV Solution [201364] 85 35 $14,992.00 — $671.22 $12,893.12 $11,094.08 2026-10-07
37222 CPT Hc Iliac Revasc Uni Add Vesl 84 36 $14,962.00 — $371.80 $12,867.32 $11,071.88 2026-10-07
37221 CPT Hc Iliac Revsc Uni Iniw/stnt 84 36 $14,962.00 — $992.22 $12,867.32 $11,071.88 2026-10-07
37228 CPT Hc Tib/per Rvsc Uni Init Vsl 84 36 $14,962.00 — $1,087.27 $12,867.32 $11,071.88 2026-10-07
15829 CPT Pr Rhytidectomy Smas Flap 46 28 $16,175.00 — $857.21 $15,749.68 $11,031.35 2026-10-07
51927-1671-0 [355638] NDC Ribavirin (bulk) Powder [40800002041] 83 35 $14,742.00 — $4,127.76 $12,678.12 $10,909.08 2026-10-07
37223 CPT Hc Iliac Revsc Uni Add Wstnt 84 36 $14,715.00 — $427.07 $12,654.90 $10,889.10 2026-10-07
37232 CPT Hc Tib/per Rvsc Uni Addl Vsl 84 36 $14,715.00 — $398.77 $12,654.90 $10,889.10 2026-10-07
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