|
A9513
|
HCPCS
|
Nm Iso Lu-177 Lutetium Dotatate 10 Mci/ml (370 Mbq/ml) Intravenous Solution Per …
|
39
|
33
|
$164,400.00
|
$16,440.00
90% off
|
$70,868.00
|
$128,784.00
|
$99,826.00
|
2025-06-05
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
18
|
16
|
$298,242.33
|
$29,824.23
90% off
|
$84,743.48
|
$182,307.78
|
$88,304.16
|
2025-06-05
|
|
J9347
|
HCPCS
|
Tremelimumab-actl 20 Mg/ml Intravenous Solution
|
39
|
33
|
$123,318.00
|
$12,331.80
90% off
|
$49,686.00
|
$98,582.40
|
$74,134.20
|
2025-06-05
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
38
|
32
|
$179,545.32
|
$17,954.53
90% off
|
$38,786.48
|
$83,452.73
|
$43,826.36
|
2025-06-05
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
25
|
19
|
$85,000.58
|
$8,500.06
90% off
|
$41,721.02
|
$89,759.72
|
$43,474.02
|
2025-06-05
|
|
J9229
|
HCPCS
|
Inotuzumab Ozogamicin 0.9 Mg(0.25 Mg/ml Initial Concentration) IV Soln
|
39
|
33
|
$69,963.97
|
$6,996.40
90% off
|
$28,330.02
|
$57,132.86
|
$42,731.44
|
2025-06-05
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
17
|
15
|
$143,368.69
|
$14,336.87
90% off
|
$32,392.04
|
$69,685.23
|
$33,753.06
|
2025-06-05
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With McC
|
21
|
16
|
$87,201.39
|
$8,720.14
90% off
|
$29,994.87
|
$64,534.35
|
$31,255.17
|
2025-06-05
|
|
J9298
|
HCPCS
|
Nivolumab 240 Mg-relatlimab-rmbw 80 Mg/20 Ml Intravenous Solution
|
39
|
33
|
$45,951.68
|
$4,595.17
90% off
|
$18,251.20
|
$36,940.80
|
$27,596.00
|
2025-06-05
|
|
C2616
|
HCPCS
|
Nm Iso Y-90 Sir-spheres Resin Microspheres Per Dose
|
39
|
33
|
$66,000.00
|
$6,600.00
90% off
|
$22,330.11
|
$30,593.91
|
$26,462.01
|
2025-06-05
|
|
166
|
MS_DRG
|
Other Respiratory System O.r. Procedures With McC
|
21
|
16
|
$91,414.88
|
$9,141.49
90% off
|
$23,091.85
|
$49,689.45
|
$24,062.10
|
2025-06-05
|
|
J9043
|
HCPCS
|
Cabazitaxel 10 Mg/ml (final Conc) Intravenous Solution
|
39
|
33
|
$29,236.17
|
$2,923.62
90% off
|
$15,501.00
|
$31,343.04
|
$23,422.02
|
2025-06-05
|
|
622
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
23
|
18
|
$80,254.78
|
$8,025.48
90% off
|
$22,442.33
|
$63,648.00
|
$23,385.29
|
2025-06-05
|
|
94
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With McC
|
25
|
19
|
$153,527.92
|
$15,352.79
90% off
|
$21,882.77
|
$47,075.31
|
$22,802.22
|
2025-06-05
|
|
J9272
|
HCPCS
|
Dostarlimab-gxly 50 Mg/ml Intravenous Solution
|
39
|
33
|
$35,845.68
|
$3,584.57
90% off
|
$14,185.50
|
$28,659.60
|
$21,422.55
|
2025-06-05
|
|
J9042
|
HCPCS
|
Brentuximab Vedotin 50 Mg Intravenous Solution
|
39
|
33
|
$36,400.20
|
$3,640.02
90% off
|
$13,002.83
|
$29,040.00
|
$21,021.42
|
2025-06-05
|
|
208
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support <=96 Hours
|
27
|
21
|
$30,535.67
|
$3,053.57
90% off
|
$16,095.86
|
$45,629.70
|
$20,514.79
|
2025-06-05
|
|
840
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With McC
|
23
|
18
|
$50,548.87
|
$5,054.89
90% off
|
$19,125.76
|
$54,219.80
|
$19,929.37
|
2025-06-05
|
|
J9153
|
HCPCS
|
Daunorubicin 44 Mg And Cytarabine 100 Mg In Liposome IV Solution
|
39
|
33
|
$32,410.50
|
$3,241.05
90% off
|
$12,496.88
|
$25,769.57
|
$19,133.22
|
2025-06-05
|
|
982
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc
|
27
|
21
|
$36,361.49
|
$3,636.15
90% off
|
$14,683.47
|
$41,624.50
|
$19,098.50
|
2025-06-05
|
|
974
|
MS_DRG
|
HIV With Major Related Condition With McC
|
25
|
19
|
$115,001.65
|
$11,500.16
90% off
|
$17,909.48
|
$38,528.36
|
$18,661.99
|
2025-06-05
|
|
J9022
|
HCPCS
|
Atezolizumab 1,200 Mg/20 Ml (60 Mg/ml) Intravenous Solution
|
51
|
33
|
$33,864.71
|
$3,386.47
90% off
|
$8,602.44
|
$24,949.44
|
$18,619.32
|
2025-06-05
|
|
849
|
MS_DRG
|
Radiotherapy
|
27
|
21
|
$75,774.47
|
$7,577.45
90% off
|
$16,019.70
|
$45,405.30
|
$18,453.92
|
2025-06-05
|
|
464
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
23
|
18
|
$51,888.58
|
$5,188.86
90% off
|
$17,683.98
|
$50,126.20
|
$18,427.01
|
2025-06-05
|
|
999
|
MS_DRG
|
Ungroupable
|
23
|
18
|
$51,888.58
|
$5,188.86
90% off
|
$17,683.98
|
$50,126.20
|
$18,427.01
|
2025-06-05
|
|
545
|
MS_DRG
|
Connective Tissue Disorders With McC
|
34
|
29
|
$274,171.35
|
$27,417.13
90% off
|
$15,154.87
|
$32,602.01
|
$18,401.01
|
2025-06-05
|
|
95
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Cc
|
27
|
21
|
$37,033.59
|
$3,703.36
90% off
|
$14,377.00
|
$40,749.00
|
$18,388.79
|
2025-06-05
|
|
548
|
MS_DRG
|
Septic Arthritis With McC
|
38
|
32
|
$54,643.63
|
$5,464.36
90% off
|
$12,082.39
|
$34,246.50
|
$17,988.75
|
2025-06-05
|
|
64
|
MS_DRG
|
Intracranial Hemorrhage Or Cerebral Infarction With McC
|
38
|
32
|
$21,294.82
|
$2,129.48
90% off
|
$11,930.06
|
$33,814.70
|
$17,772.85
|
2025-06-05
|
|
80
|
MS_DRG
|
Nontraumatic Stupor And Coma With McC
|
38
|
32
|
$67,355.35
|
$6,735.53
90% off
|
$11,921.66
|
$33,792.60
|
$17,761.80
|
2025-06-05
|
|
871
|
MS_DRG
|
Septicemia Or Severe Sepsis Without Mv >96 Hours With McC
|
38
|
32
|
$48,347.34
|
$4,834.73
90% off
|
$11,767.53
|
$33,359.10
|
$17,653.05
|
2025-06-05
|
|
J9119
|
HCPCS
|
Cemiplimab-rwlc 50 Mg/ml Intravenous Solution
|
39
|
33
|
$32,880.95
|
$3,288.09
90% off
|
$11,777.50
|
$23,494.80
|
$17,636.15
|
2025-06-05
|
|
432
|
MS_DRG
|
Cirrhosis And Alcoholic Hepatitis With McC
|
38
|
32
|
$38,849.18
|
$3,884.92
90% off
|
$11,749.54
|
$33,304.70
|
$17,625.85
|
2025-06-05
|
|
283
|
MS_DRG
|
Acute Myocardial Infarction, Expired With McC
|
38
|
32
|
$28,872.53
|
$2,887.25
90% off
|
$11,727.35
|
$33,241.80
|
$17,486.40
|
2025-06-05
|
|
744
|
MS_DRG
|
D&c, Conization, Laparoscopy And Tubal Interruption With Cc/McC
|
38
|
32
|
$45,733.85
|
$4,573.38
90% off
|
$11,718.95
|
$33,216.30
|
$17,473.65
|
2025-06-05
|
|
846
|
MS_DRG
|
Chemotherapy Without Acute Leukemia As Secondary Diagnosis With McC
|
38
|
32
|
$91,971.56
|
$9,197.16
90% off
|
$15,316.20
|
$32,949.10
|
$17,340.05
|
2025-06-05
|
|
288
|
MS_DRG
|
Acute And Subacute Endocarditis With McC
|
25
|
19
|
$94,971.34
|
$9,497.13
90% off
|
$16,381.94
|
$35,241.96
|
$17,070.26
|
2025-06-05
|
|
205
|
MS_DRG
|
Other Respiratory System Diagnoses With McC
|
38
|
32
|
$50,531.79
|
$5,053.18
90% off
|
$11,321.92
|
$32,090.90
|
$16,910.95
|
2025-06-05
|
|
196
|
MS_DRG
|
Interstitial Lung Disease With McC
|
38
|
32
|
$35,913.86
|
$3,591.39
90% off
|
$11,299.73
|
$32,031.40
|
$16,881.20
|
2025-06-05
|
|
542
|
MS_DRG
|
Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With…
|
38
|
32
|
$19,620.12
|
$1,962.01
90% off
|
$11,185.78
|
$31,703.30
|
$16,717.15
|
2025-06-05
|
|
862
|
MS_DRG
|
Postoperative And Post-traumatic Infections With McC
|
34
|
29
|
$52,121.91
|
$5,212.19
90% off
|
$11,027.45
|
$31,256.20
|
$16,493.60
|
2025-06-05
|
|
J9144
|
HCPCS
|
Daratumumab 1,800 Mg-hyaluronidase-fihj 30,000 Unit/15 Ml Subcut Soln
|
39
|
33
|
$31,070.14
|
$3,107.01
90% off
|
$10,717.20
|
$22,252.32
|
$16,484.76
|
2025-06-05
|
|
441
|
MS_DRG
|
Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With McC
|
38
|
32
|
$33,653.28
|
$3,365.33
90% off
|
$10,964.47
|
$31,079.40
|
$16,405.20
|
2025-06-05
|
|
J2327
|
HCPCS
|
Risankizumab-rzaa 60 Mg/ml Intravenous Solution
|
39
|
33
|
$31,371.11
|
$3,137.11
90% off
|
$10,980.00
|
$21,801.60
|
$16,390.80
|
2025-06-05
|
|
435
|
MS_DRG
|
Malignancy Of Hepatobiliary System Or Pancreas With McC
|
38
|
32
|
$35,845.05
|
$3,584.50
90% off
|
$10,942.88
|
$31,016.50
|
$16,373.75
|
2025-06-05
|
|
314
|
MS_DRG
|
Other Circulatory System Diagnoses With McC
|
27
|
21
|
$29,684.88
|
$2,968.49
90% off
|
$12,915.43
|
$36,607.80
|
$16,362.15
|
2025-06-05
|
|
91
|
MS_DRG
|
Other Disorders Of Nervous System With McC
|
30
|
28
|
$31,909.09
|
$3,190.91
90% off
|
$10,932.69
|
$30,987.60
|
$16,359.30
|
2025-06-05
|
|
322
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Intraluminal Device Without McC
|
38
|
32
|
$35,711.92
|
$3,571.19
90% off
|
$10,850.52
|
$30,754.70
|
$16,242.85
|
2025-06-05
|
|
501
|
MS_DRG
|
Soft Tissue Procedures With Cc
|
38
|
32
|
$16,262.18
|
$1,626.22
90% off
|
$10,703.59
|
$30,343.30
|
$16,037.15
|
2025-06-05
|
|
J9228
|
HCPCS
|
Ipilimumab 50 Mg/10 Ml (5 Mg/ml) Intravenous Solution
|
51
|
33
|
$26,979.74
|
$2,697.97
90% off
|
$10,535.50
|
$85,704.00
|
$15,980.75
|
2025-06-05
|
|
199
|
MS_DRG
|
Pneumothorax With McC
|
38
|
32
|
$20,779.02
|
$2,077.90
90% off
|
$10,587.24
|
$30,008.40
|
$15,977.70
|
2025-06-05
|
|
580
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Cc
|
38
|
32
|
$25,851.23
|
$2,585.12
90% off
|
$10,633.42
|
$30,139.30
|
$15,935.15
|
2025-06-05
|
|
180
|
MS_DRG
|
Respiratory Neoplasms With McC
|
38
|
32
|
$31,349.27
|
$3,134.93
90% off
|
$10,482.28
|
$29,710.90
|
$15,828.95
|
2025-06-05
|
|
70
|
MS_DRG
|
Nonspecific Cerebrovascular Disorders With McC
|
34
|
29
|
$54,282.76
|
$5,428.28
90% off
|
$10,428.31
|
$29,557.90
|
$15,752.45
|
2025-06-05
|
|
915
|
MS_DRG
|
Allergic Reactions With McC
|
38
|
32
|
$13,208.60
|
$1,320.86
90% off
|
$10,422.91
|
$29,542.60
|
$15,744.80
|
2025-06-05
|
|
374
|
MS_DRG
|
Digestive Malignancy With McC
|
27
|
21
|
$31,194.66
|
$3,119.47
90% off
|
$12,662.94
|
$35,895.50
|
$15,727.14
|
2025-06-05
|
|
371
|
MS_DRG
|
Major Gastrointestinal Disorders And Peritoneal Infections With McC
|
34
|
29
|
$54,855.06
|
$5,485.51
90% off
|
$10,483.48
|
$29,721.10
|
$15,726.05
|
2025-06-05
|
|
922
|
MS_DRG
|
Other Injury, Poisoning And Toxic Effect Diagnoses With McC
|
38
|
32
|
$29,012.84
|
$2,901.28
90% off
|
$10,132.03
|
$28,716.40
|
$15,331.70
|
2025-06-05
|
|
698
|
MS_DRG
|
Other Kidney And Urinary Tract Diagnoses With McC
|
38
|
32
|
$31,308.79
|
$3,130.88
90% off
|
$10,081.06
|
$28,575.30
|
$15,153.15
|
2025-06-05
|
|
571
|
MS_DRG
|
Skin Debridement With Cc
|
34
|
29
|
$53,395.21
|
$5,339.52
90% off
|
$10,041.47
|
$28,471.60
|
$15,101.30
|
2025-06-05
|
|
643
|
MS_DRG
|
Endocrine Disorders With McC
|
34
|
29
|
$38,279.86
|
$3,827.99
90% off
|
$9,939.52
|
$28,174.10
|
$15,060.55
|
2025-06-05
|
|
438
|
MS_DRG
|
Disorders Of Pancreas Except Malignancy With McC
|
38
|
32
|
$19,789.90
|
$1,978.99
90% off
|
$9,977.90
|
$28,284.60
|
$15,007.80
|
2025-06-05
|
|
393
|
MS_DRG
|
Other Digestive System Diagnoses With McC
|
38
|
32
|
$32,025.56
|
$3,202.56
90% off
|
$9,931.72
|
$28,150.30
|
$14,940.65
|
2025-06-05
|
|
280
|
MS_DRG
|
Acute Myocardial Infarction, Discharged Alive With McC
|
38
|
32
|
$34,359.47
|
$3,435.95
90% off
|
$9,844.16
|
$27,905.50
|
$14,926.25
|
2025-06-05
|
|
157
|
MS_DRG
|
Dental And Oral Diseases With McC
|
38
|
32
|
$26,535.26
|
$2,653.53
90% off
|
$9,820.77
|
$27,835.80
|
$14,891.40
|
2025-06-05
|
|
98
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc
|
38
|
32
|
$107,094.95
|
$10,709.49
90% off
|
$13,010.19
|
$27,987.90
|
$14,859.45
|
2025-06-05
|
|
814
|
MS_DRG
|
Reticuloendothelial And Immunity Disorders With McC
|
27
|
21
|
$26,561.25
|
$2,656.12
90% off
|
$12,537.60
|
$35,535.10
|
$14,826.10
|
2025-06-05
|
|
867
|
MS_DRG
|
Other Infectious And Parasitic Diseases Diagnoses With McC
|
38
|
32
|
$101,616.52
|
$10,161.65
90% off
|
$12,860.26
|
$27,666.61
|
$14,806.81
|
2025-06-05
|
|
J9223
|
HCPCS
|
Lurbinectedin 4 Mg Intravenous Solution
|
39
|
33
|
$24,893.00
|
$2,489.30
90% off
|
$9,736.40
|
$19,659.84
|
$14,698.12
|
2025-06-05
|
|
299
|
MS_DRG
|
Peripheral Vascular Disorders With McC
|
38
|
32
|
$56,843.04
|
$5,684.30
90% off
|
$9,701.42
|
$27,500.90
|
$14,615.95
|
2025-06-05
|
|
177
|
MS_DRG
|
Respiratory Infections And Inflammations With McC
|
38
|
32
|
$40,181.07
|
$4,018.11
90% off
|
$9,694.82
|
$27,480.50
|
$14,605.75
|
2025-06-05
|
|
J9316
|
HCPCS
|
Pertuzumab 600 Mg-trastuzumab 600 Mg-hyaluronid-zzxf/10 Ml Subcut Soln
|
39
|
33
|
$27,521.25
|
$2,752.12
90% off
|
$9,562.80
|
$19,290.24
|
$14,426.52
|
2025-06-05
|
|
186
|
MS_DRG
|
Pleural Effusion With McC
|
34
|
29
|
$42,560.80
|
$4,256.08
90% off
|
$9,475.92
|
$26,860.00
|
$14,403.50
|
2025-06-05
|
|
564
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue Diagnoses With McC
|
38
|
32
|
$57,634.47
|
$5,763.45
90% off
|
$9,411.14
|
$26,676.40
|
$14,311.70
|
2025-06-05
|
|
841
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Cc
|
38
|
32
|
$56,550.75
|
$5,655.07
90% off
|
$9,403.95
|
$26,654.30
|
$14,300.65
|
2025-06-05
|
|
813
|
MS_DRG
|
Coagulation Disorders
|
38
|
32
|
$18,990.06
|
$1,899.01
90% off
|
$9,284.00
|
$26,314.30
|
$14,130.65
|
2025-06-05
|
|
77
|
MS_DRG
|
Hypertensive Encephalopathy With McC
|
38
|
32
|
$27,925.63
|
$2,792.56
90% off
|
$9,273.80
|
$26,285.40
|
$14,008.20
|
2025-06-05
|
|
539
|
MS_DRG
|
Osteomyelitis With McC
|
34
|
29
|
$91,159.61
|
$9,115.96
90% off
|
$12,129.17
|
$26,098.90
|
$13,914.95
|
2025-06-05
|
|
919
|
MS_DRG
|
Complications Of Treatment With McC
|
38
|
32
|
$163,270.79
|
$16,327.08
90% off
|
$10,936.89
|
$23,527.33
|
$13,863.67
|
2025-06-05
|
|
682
|
MS_DRG
|
Renal Failure With McC
|
34
|
29
|
$49,061.66
|
$4,906.17
90% off
|
$9,007.52
|
$25,534.00
|
$13,740.50
|
2025-06-05
|
|
935
|
MS_DRG
|
Non-extensive Burns
|
23
|
20
|
$25,329.77
|
$2,532.98
90% off
|
$13,172.72
|
$37,337.10
|
$13,726.20
|
2025-06-05
|
|
100
|
MS_DRG
|
Seizures With McC
|
34
|
29
|
$85,081.59
|
$8,508.16
90% off
|
$11,906.67
|
$25,615.04
|
$13,673.02
|
2025-06-05
|
|
54
|
MS_DRG
|
Nervous System Neoplasms With McC
|
34
|
29
|
$36,637.85
|
$3,663.78
90% off
|
$8,990.73
|
$25,484.70
|
$13,607.85
|
2025-06-05
|
|
604
|
MS_DRG
|
Trauma To The Skin, Subcutaneous Tissue And Breast With McC
|
38
|
32
|
$43,263.95
|
$4,326.39
90% off
|
$8,910.36
|
$25,256.90
|
$13,601.95
|
2025-06-05
|
|
306
|
MS_DRG
|
Cardiac Congenital And Valvular Disorders With McC
|
38
|
32
|
$22,896.57
|
$2,289.66
90% off
|
$8,980.53
|
$25,455.80
|
$13,593.40
|
2025-06-05
|
|
602
|
MS_DRG
|
Cellulitis With McC
|
34
|
29
|
$46,049.91
|
$4,604.99
90% off
|
$8,811.40
|
$24,979.80
|
$13,355.40
|
2025-06-05
|
|
727
|
MS_DRG
|
Inflammation Of The Male Reproductive System With McC
|
38
|
32
|
$77,643.06
|
$7,764.31
90% off
|
$8,812.60
|
$24,978.10
|
$13,354.55
|
2025-06-05
|
|
388
|
MS_DRG
|
Gastrointestinal Obstruction With McC
|
34
|
29
|
$55,175.46
|
$5,517.55
90% off
|
$8,717.24
|
$24,709.50
|
$13,220.25
|
2025-06-05
|
|
J2323
|
HCPCS
|
Natalizumab 300 Mg/15 Ml Intravenous Solution
|
39
|
33
|
$26,466.92
|
$2,646.69
90% off
|
$8,868.00
|
$17,503.20
|
$13,185.60
|
2025-06-05
|
|
757
|
MS_DRG
|
Infections, Female Reproductive System With McC
|
38
|
32
|
$47,692.16
|
$4,769.22
90% off
|
$8,488.14
|
$24,058.40
|
$13,002.70
|
2025-06-05
|
|
175
|
MS_DRG
|
Pulmonary Embolism With McC Or Acute Cor Pulmonale
|
38
|
32
|
$40,215.78
|
$4,021.58
90% off
|
$8,450.96
|
$23,954.70
|
$12,842.85
|
2025-06-05
|
|
811
|
MS_DRG
|
Red Blood Cell Disorders With McC
|
38
|
32
|
$46,177.75
|
$4,617.77
90% off
|
$8,437.76
|
$23,915.60
|
$12,823.30
|
2025-06-05
|
|
83
|
MS_DRG
|
Traumatic Stupor And Coma >1 Hour With Cc
|
38
|
32
|
$33,734.69
|
$3,373.47
90% off
|
$8,338.81
|
$23,635.10
|
$12,683.05
|
2025-06-05
|
|
754
|
MS_DRG
|
Malignancy, Female Reproductive System With McC
|
38
|
32
|
$124,279.44
|
$12,427.94
90% off
|
$10,851.12
|
$23,344.11
|
$12,537.56
|
2025-06-05
|
|
J1300
|
HCPCS
|
Eculizumab 300 Mg/30 Ml Intravenous Solution
|
39
|
33
|
$20,221.27
|
$2,022.13
90% off
|
$8,260.50
|
$16,395.84
|
$12,328.17
|
2025-06-05
|
|
J3380
|
HCPCS
|
Vedolizumab 300 Mg Intravenous Solution
|
39
|
33
|
$26,866.40
|
$2,686.64
90% off
|
$7,998.00
|
$16,639.20
|
$12,318.60
|
2025-06-05
|
|
640
|
MS_DRG
|
Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M…
|
34
|
29
|
$37,158.19
|
$3,715.82
90% off
|
$7,964.57
|
$22,577.70
|
$12,262.35
|
2025-06-05
|
|
193
|
MS_DRG
|
Simple Pneumonia And Pleurisy With McC
|
34
|
29
|
$42,882.69
|
$4,288.27
90% off
|
$7,902.79
|
$22,402.60
|
$12,174.80
|
2025-06-05
|
|
86
|
MS_DRG
|
Traumatic Stupor And Coma <1 Hour With Cc
|
38
|
32
|
$44,413.60
|
$4,441.36
90% off
|
$7,866.21
|
$22,297.20
|
$12,122.10
|
2025-06-05
|
|
J1303
|
HCPCS
|
Ravulizumab-cwvz 100 Mg/ml Intravenous Solution
|
39
|
33
|
$19,852.41
|
$1,985.24
90% off
|
$8,116.20
|
$16,086.24
|
$12,101.22
|
2025-06-05
|
|
J9306
|
HCPCS
|
Pertuzumab 420 Mg/14 Ml (30 Mg/ml) Intravenous Solution
|
39
|
33
|
$20,233.04
|
$2,023.30
90% off
|
$7,900.20
|
$16,228.80
|
$12,064.50
|
2025-06-05
|
|
291
|
MS_DRG
|
Heart Failure And Shock With McC
|
34
|
29
|
$26,853.47
|
$2,685.35
90% off
|
$7,825.43
|
$22,183.30
|
$11,957.15
|
2025-06-05
|
|
391
|
MS_DRG
|
Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With McC
|
38
|
32
|
$27,539.12
|
$2,753.91
90% off
|
$7,703.68
|
$21,843.30
|
$11,895.15
|
2025-06-05
|
|
551
|
MS_DRG
|
Medical Back Problems With McC
|
34
|
29
|
$94,228.14
|
$9,422.81
90% off
|
$10,233.99
|
$22,016.39
|
$11,873.69
|
2025-06-05
|
|
637
|
MS_DRG
|
Diabetes With McC
|
29
|
24
|
$5,411.66
|
$541.17
90% off
|
$8,734.04
|
$15,573.22
|
$11,871.05
|
2025-06-05
|
|
540
|
MS_DRG
|
Osteomyelitis With Cc
|
38
|
32
|
$66,386.28
|
$6,638.63
90% off
|
$7,761.26
|
$22,004.80
|
$11,867.90
|
2025-06-05
|
|
77372
|
CPT
|
Complete Single Session Course Of Cranial Lesion Surgery Using Radiation And A M…
|
8
|
7
|
$22,259.00
|
$2,225.90
90% off
|
$1,631.33
|
$13,390.00
|
$11,517.76
|
2025-06-05
|
|
947
|
MS_DRG
|
Signs And Symptoms With McC
|
34
|
29
|
$34,504.07
|
$3,450.41
90% off
|
$7,506.37
|
$21,277.20
|
$11,504.10
|
2025-06-05
|
|
C9740
|
HCPCS
|
Hc Cysto Impl 4 Or More
|
39
|
33
|
$27,390.00
|
$2,739.00
90% off
|
$11,410.63
|
$11,410.63
|
$11,410.63
|
2025-06-05
|
|
809
|
MS_DRG
|
Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co…
|
38
|
32
|
$39,456.15
|
$3,945.61
90% off
|
$7,427.80
|
$21,054.50
|
$11,392.75
|
2025-06-05
|
|
189
|
MS_DRG
|
Pulmonary Edema And Respiratory Failure
|
38
|
32
|
$33,235.68
|
$3,323.57
90% off
|
$7,421.20
|
$21,037.50
|
$11,384.25
|
2025-06-05
|
|
375
|
MS_DRG
|
Digestive Malignancy With Cc
|
38
|
32
|
$23,876.31
|
$2,387.63
90% off
|
$7,369.02
|
$20,887.90
|
$11,309.45
|
2025-06-05
|
|
308
|
MS_DRG
|
Cardiac Arrhythmia And Conduction Disorders With McC
|
38
|
32
|
$71,874.56
|
$7,187.46
90% off
|
$7,232.28
|
$20,502.00
|
$11,224.50
|
2025-06-05
|
|
896
|
MS_DRG
|
Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With McC
|
19
|
17
|
$16,689.41
|
$1,668.94
90% off
|
$1.78
|
$30,273.60
|
$11,128.95
|
2025-06-05
|
|
549
|
MS_DRG
|
Septic Arthritis With Cc
|
38
|
32
|
$20,149.13
|
$2,014.91
90% off
|
$7,227.49
|
$20,485.00
|
$11,108.00
|
2025-06-05
|
|
289
|
MS_DRG
|
Acute And Subacute Endocarditis With Cc
|
34
|
29
|
$115,399.76
|
$11,539.98
90% off
|
$9,456.12
|
$20,342.87
|
$11,036.93
|
2025-06-05
|
|
886
|
MS_DRG
|
Behavioral And Developmental Disorders
|
14
|
12
|
$16,127.00
|
$1,612.70
90% off
|
$882.01
|
$30,538.80
|
$11,000.71
|
2025-06-05
|
|
557
|
MS_DRG
|
Tendonitis, Myositis And Bursitis With McC
|
34
|
29
|
$86,788.05
|
$8,678.80
90% off
|
$9,294.19
|
$19,995.78
|
$10,971.39
|
2025-06-05
|
|
304
|
MS_DRG
|
Hypertension With McC
|
38
|
32
|
$23,833.58
|
$2,383.36
90% off
|
$7,045.76
|
$19,971.60
|
$10,851.30
|
2025-06-05
|
|
689
|
MS_DRG
|
Kidney And Urinary Tract Infections With McC
|
34
|
29
|
$42,241.11
|
$4,224.11
90% off
|
$7,043.36
|
$19,964.80
|
$10,847.90
|
2025-06-05
|
|
302
|
MS_DRG
|
Atherosclerosis With McC
|
38
|
32
|
$22,714.67
|
$2,271.47
90% off
|
$6,976.79
|
$19,774.40
|
$10,752.70
|
2025-06-05
|
|
560
|
MS_DRG
|
Aftercare, Musculoskeletal System And Connective Tissue With Cc
|
34
|
29
|
$36,308.60
|
$3,630.86
90% off
|
$6,829.26
|
$19,359.60
|
$10,545.30
|
2025-06-05
|
|
J2993
|
HCPCS
|
Reteplase 10 Unit X 2 (20 Unit Total) Intravenous Solution
|
39
|
33
|
$18,730.42
|
$1,873.04
90% off
|
$7,050.70
|
$13,920.91
|
$10,485.81
|
2025-06-05
|
|
884
|
MS_DRG
|
Organic Disturbances And Intellectual Disability
|
23
|
20
|
$24,779.91
|
$2,477.99
90% off
|
$890.26
|
$28,391.70
|
$10,437.76
|
2025-06-05
|
|
190
|
MS_DRG
|
Chronic Obstructive Pulmonary Disease With McC
|
34
|
29
|
$42,730.54
|
$4,273.05
90% off
|
$6,735.10
|
$19,096.10
|
$10,413.55
|
2025-06-05
|
|
181
|
MS_DRG
|
Respiratory Neoplasms With Cc
|
38
|
32
|
$55,796.85
|
$5,579.68
90% off
|
$6,658.93
|
$18,873.40
|
$10,410.20
|
2025-06-05
|
|
J9271
|
HCPCS
|
Pembrolizumab 25 Mg/ml Intravenous Solution
|
39
|
33
|
$17,924.45
|
$1,792.44
90% off
|
$6,992.00
|
$13,732.80
|
$10,362.40
|
2025-06-05
|
|
200
|
MS_DRG
|
Pneumothorax With Cc
|
38
|
32
|
$40,292.52
|
$4,029.25
90% off
|
$6,642.14
|
$18,825.80
|
$10,278.40
|
2025-06-05
|
|
917
|
MS_DRG
|
Poisoning And Toxic Effects Of Drugs With McC
|
23
|
18
|
$18,862.97
|
$1,886.30
90% off
|
$980.93
|
$27,873.20
|
$10,247.16
|
2025-06-05
|
|
381
|
MS_DRG
|
Complicated Peptic Ulcer With Cc
|
38
|
32
|
$51,449.92
|
$5,144.99
90% off
|
$6,531.79
|
$18,514.70
|
$10,230.85
|
2025-06-05
|
|
445
|
MS_DRG
|
Disorders Of The Biliary Tract With Cc
|
38
|
32
|
$45,446.81
|
$4,544.68
90% off
|
$6,504.20
|
$18,434.80
|
$10,082.90
|
2025-06-05
|
|
300
|
MS_DRG
|
Peripheral Vascular Disorders With Cc
|
38
|
32
|
$28,823.57
|
$2,882.36
90% off
|
$6,420.83
|
$18,198.50
|
$10,072.75
|
2025-06-05
|
|
596
|
MS_DRG
|
Major Skin Disorders Without McC
|
38
|
32
|
$16,518.03
|
$1,651.80
90% off
|
$6,483.81
|
$18,377.00
|
$10,054.00
|
2025-06-05
|
|
975
|
MS_DRG
|
HIV With Major Related Condition With Cc
|
38
|
32
|
$151,605.31
|
$15,160.53
90% off
|
$8,524.73
|
$18,339.03
|
$10,035.01
|
2025-06-05
|
|
543
|
MS_DRG
|
Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With…
|
34
|
29
|
$15,300.62
|
$1,530.06
90% off
|
$6,362.66
|
$18,033.60
|
$9,990.30
|
2025-06-05
|
|
433
|
MS_DRG
|
Cirrhosis And Alcoholic Hepatitis With Cc
|
38
|
32
|
$26,765.66
|
$2,676.57
90% off
|
$6,416.03
|
$18,184.90
|
$9,957.95
|
2025-06-05
|
|
J9311
|
HCPCS
|
Rituximab 1,400 Mg/11.7 Ml (120 Mg/ml)-hyaluronidase Subcutaneous Soln
|
64
|
33
|
$20,387.41
|
$2,038.74
90% off
|
$6,360.20
|
$13,344.24
|
$9,852.22
|
2025-06-05
|
|
71
|
MS_DRG
|
Nonspecific Cerebrovascular Disorders With Cc
|
34
|
29
|
$53,727.03
|
$5,372.70
90% off
|
$6,320.68
|
$17,914.60
|
$9,822.80
|
2025-06-05
|
|
868
|
MS_DRG
|
Other Infectious And Parasitic Diseases Diagnoses With Cc
|
38
|
32
|
$40,596.18
|
$4,059.62
90% off
|
$6,297.89
|
$17,850.00
|
$9,790.50
|
2025-06-05
|
|
74
|
MS_DRG
|
Cranial And Peripheral Nerve Disorders Without McC
|
38
|
32
|
$16,060.63
|
$1,606.06
90% off
|
$6,251.71
|
$17,720.80
|
$9,725.90
|
2025-06-05
|
|
644
|
MS_DRG
|
Endocrine Disorders With Cc
|
38
|
32
|
$33,068.59
|
$3,306.86
90% off
|
$6,197.73
|
$17,569.50
|
$9,650.25
|
2025-06-05
|
|
872
|
MS_DRG
|
Septicemia Or Severe Sepsis Without Mv >96 Hours Without McC
|
38
|
32
|
$26,007.19
|
$2,600.72
90% off
|
$6,183.34
|
$17,527.00
|
$9,629.00
|
2025-06-05
|
|
65
|
MS_DRG
|
Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours
|
38
|
32
|
$29,516.60
|
$2,951.66
90% off
|
$6,098.77
|
$17,289.00
|
$9,618.00
|
2025-06-05
|
|
372
|
MS_DRG
|
Major Gastrointestinal Disorders And Peritoneal Infections With Cc
|
38
|
32
|
$39,609.85
|
$3,960.98
90% off
|
$6,173.14
|
$17,498.10
|
$9,614.55
|
2025-06-05
|
|
699
|
MS_DRG
|
Other Kidney And Urinary Tract Diagnoses With Cc
|
34
|
29
|
$55,329.38
|
$5,532.94
90% off
|
$6,116.76
|
$17,336.60
|
$9,533.80
|
2025-06-05
|
|
923
|
MS_DRG
|
Other Injury, Poisoning And Toxic Effect Diagnoses Without McC
|
38
|
32
|
$13,062.11
|
$1,306.21
90% off
|
$6,116.76
|
$17,336.60
|
$9,533.80
|
2025-06-05
|
|
565
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue Diagnoses With Cc
|
38
|
32
|
$15,650.68
|
$1,565.07
90% off
|
$6,115.56
|
$17,333.20
|
$9,532.10
|
2025-06-05
|
|
920
|
MS_DRG
|
Complications Of Treatment With Cc
|
34
|
31
|
$53,565.61
|
$5,356.56
90% off
|
$6,092.77
|
$17,268.60
|
$9,499.80
|
2025-06-05
|
|
J9308
|
HCPCS
|
Ramucirumab 10 Mg/ml Intravenous Solution
|
51
|
33
|
$4,516.05
|
$451.60
90% off
|
$1,699.40
|
$17,272.80
|
$9,486.10
|
2025-06-05
|
|
197
|
MS_DRG
|
Interstitial Lung Disease With Cc
|
38
|
32
|
$48,953.71
|
$4,895.37
90% off
|
$5,937.44
|
$16,828.30
|
$9,387.65
|
2025-06-05
|
|
178
|
MS_DRG
|
Respiratory Infections And Inflammations With Cc
|
38
|
32
|
$47,033.10
|
$4,703.31
90% off
|
$5,950.04
|
$16,865.70
|
$9,298.35
|
2025-06-05
|
|
864
|
MS_DRG
|
Fever And Inflammatory Conditions
|
38
|
32
|
$10,927.40
|
$1,092.74
90% off
|
$5,950.04
|
$16,865.70
|
$9,298.35
|
2025-06-05
|
|
92
|
MS_DRG
|
Other Disorders Of Nervous System With Cc
|
34
|
31
|
$39,588.43
|
$3,958.84
90% off
|
$5,433.28
|
$16,811.30
|
$9,271.15
|
2025-06-05
|
|
158
|
MS_DRG
|
Dental And Oral Diseases With Cc
|
38
|
32
|
$38,962.05
|
$3,896.20
90% off
|
$5,641.17
|
$15,988.50
|
$9,211.25
|
2025-06-05
|
|
81455
|
CPT
|
Targeted Genomic Sequence Analysis Panel Of DNA Or Combine DNA And RNA Of 51 Or …
|
39
|
33
|
$3,093.00
|
$309.30
90% off
|
$2,452.46
|
$15,707.45
|
$9,079.95
|
2025-06-05
|
|
442
|
MS_DRG
|
Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc
|
38
|
32
|
$57,427.90
|
$5,742.79
90% off
|
$5,794.70
|
$16,425.40
|
$9,078.20
|
2025-06-05
|
|
101
|
MS_DRG
|
Seizures Without McC
|
34
|
29
|
$27,704.41
|
$2,770.44
90% off
|
$5,527.82
|
$15,667.20
|
$9,050.60
|
2025-06-05
|
|
315
|
MS_DRG
|
Other Circulatory System Diagnoses With Cc
|
34
|
29
|
$9,993.08
|
$999.31
90% off
|
$5,771.31
|
$16,359.10
|
$9,045.05
|
2025-06-05
|
|
394
|
MS_DRG
|
Other Digestive System Diagnoses With Cc
|
34
|
31
|
$20,662.68
|
$2,066.27
90% off
|
$5,645.37
|
$16,002.10
|
$8,866.55
|
2025-06-05
|
|
281
|
MS_DRG
|
Acute Myocardial Infarction, Discharged Alive With Cc
|
38
|
32
|
$21,081.99
|
$2,108.20
90% off
|
$5,528.42
|
$15,670.60
|
$8,808.80
|
2025-06-05
|
|
593
|
MS_DRG
|
Skin Ulcers With Cc
|
34
|
29
|
$124,092.18
|
$12,409.22
90% off
|
$7,333.04
|
$15,775.21
|
$8,753.10
|
2025-06-05
|
|
307
|
MS_DRG
|
Cardiac Congenital And Valvular Disorders Without McC
|
38
|
32
|
$7,981.52
|
$798.15
90% off
|
$5,556.01
|
$15,747.10
|
$8,739.05
|
2025-06-05
|
|
812
|
MS_DRG
|
Red Blood Cell Disorders Without McC
|
38
|
32
|
$30,068.35
|
$3,006.83
90% off
|
$5,535.01
|
$15,689.30
|
$8,710.15
|
2025-06-05
|
|
638
|
MS_DRG
|
Diabetes With Cc
|
34
|
29
|
$31,037.45
|
$3,103.74
90% off
|
$5,500.83
|
$15,592.40
|
$8,661.70
|
2025-06-05
|
|
76
|
MS_DRG
|
Viral Meningitis Without Cc/McC
|
38
|
32
|
$34,225.06
|
$3,422.51
90% off
|
$5,499.03
|
$15,587.30
|
$8,659.15
|
2025-06-05
|
|
J9204
|
HCPCS
|
Mogamulizumab-kpkc 4 Mg/ml Intravenous Solution
|
39
|
33
|
$14,249.74
|
$1,424.97
90% off
|
$5,713.80
|
$11,563.68
|
$8,638.74
|
2025-06-05
|
|
885
|
MS_DRG
|
Psychoses
|
14
|
12
|
$18,303.87
|
$1,830.39
90% off
|
$824.31
|
$23,961.50
|
$8,631.56
|
2025-06-05
|
|
563
|
MS_DRG
|
Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit…
|
34
|
29
|
$63,259.80
|
$6,325.98
90% off
|
$5,360.49
|
$15,192.90
|
$8,569.95
|
2025-06-05
|
|
206
|
MS_DRG
|
Other Respiratory System Diagnoses Without McC
|
38
|
32
|
$22,981.64
|
$2,298.16
90% off
|
$5,432.46
|
$15,398.60
|
$8,564.80
|
2025-06-05
|
|
81
|
MS_DRG
|
Nontraumatic Stupor And Coma Without McC
|
38
|
32
|
$38,953.70
|
$3,895.37
90% off
|
$5,426.46
|
$15,381.60
|
$8,556.30
|
2025-06-05
|
|
J3101
|
HCPCS
|
Tenecteplase 50 Mg Intravenous Solution
|
51
|
33
|
$14,559.34
|
$1,455.93
90% off
|
$5,603.70
|
$19,084.80
|
$8,527.29
|
2025-06-05
|
|
60
|
MS_DRG
|
Multiple Sclerosis And Cerebellar Ataxia Without Cc/McC
|
38
|
32
|
$39,453.35
|
$3,945.33
90% off
|
$5,352.09
|
$15,170.80
|
$8,450.90
|
2025-06-05
|
|
683
|
MS_DRG
|
Renal Failure With Cc
|
38
|
32
|
$21,344.18
|
$2,134.42
90% off
|
$5,331.10
|
$15,111.30
|
$8,421.15
|
2025-06-05
|
|
866
|
MS_DRG
|
Viral Illness Without McC
|
38
|
32
|
$22,519.38
|
$2,251.94
90% off
|
$5,306.51
|
$15,039.90
|
$8,385.45
|
2025-06-05
|
|
603
|
MS_DRG
|
Cellulitis Without McC
|
38
|
32
|
$22,756.50
|
$2,275.65
90% off
|
$5,282.52
|
$14,975.30
|
$8,353.15
|
2025-06-05
|
|
546
|
MS_DRG
|
Connective Tissue Disorders With Cc
|
34
|
29
|
$112,316.83
|
$11,231.68
90% off
|
$6,943.21
|
$14,937.80
|
$8,334.40
|
2025-06-05
|
|
541
|
MS_DRG
|
Osteomyelitis Without Cc/McC
|
38
|
32
|
$23,345.60
|
$2,334.56
90% off
|
$5,247.14
|
$14,871.60
|
$8,301.30
|
2025-06-05
|
|
292
|
MS_DRG
|
Heart Failure And Shock With Cc
|
34
|
29
|
$10,518.86
|
$1,051.89
90% off
|
$5,164.97
|
$14,642.10
|
$8,294.55
|
2025-06-05
|
|
831
|
MS_DRG
|
Other Antepartum Diagnoses Without O.r. Procedures With McC
|
38
|
32
|
$158,305.20
|
$15,830.52
90% off
|
$6,903.03
|
$14,850.06
|
$8,290.53
|
2025-06-05
|
|
312
|
MS_DRG
|
Syncope And Collapse
|
38
|
32
|
$19,276.53
|
$1,927.65
90% off
|
$5,225.55
|
$14,812.10
|
$8,271.55
|
2025-06-05
|
|
607
|
MS_DRG
|
Minor Skin Disorders Without McC
|
38
|
32
|
$16,900.75
|
$1,690.07
90% off
|
$5,182.97
|
$14,693.10
|
$8,212.05
|
2025-06-05
|
|
558
|
MS_DRG
|
Tendonitis, Myositis And Bursitis Without McC
|
34
|
29
|
$17,187.66
|
$1,718.77
90% off
|
$5,180.57
|
$14,684.60
|
$8,207.80
|
2025-06-05
|
|
187
|
MS_DRG
|
Pleural Effusion With Cc
|
38
|
32
|
$28,962.60
|
$2,896.26
90% off
|
$4,744.30
|
$14,679.50
|
$8,205.25
|
2025-06-05
|
|
550
|
MS_DRG
|
Septic Arthritis Without Cc/McC
|
38
|
32
|
$11,253.10
|
$1,125.31
90% off
|
$5,170.37
|
$14,655.70
|
$8,193.35
|
2025-06-05
|
|
439
|
MS_DRG
|
Disorders Of Pancreas Except Malignancy With Cc
|
38
|
32
|
$26,299.57
|
$2,629.96
90% off
|
$5,158.98
|
$14,623.40
|
$8,177.20
|
2025-06-05
|
|
191
|
MS_DRG
|
Chronic Obstructive Pulmonary Disease With Cc
|
34
|
29
|
$41,923.51
|
$4,192.35
90% off
|
$5,152.38
|
$14,604.70
|
$8,167.85
|
2025-06-05
|
|
293
|
MS_DRG
|
Heart Failure And Shock Without Cc/McC
|
29
|
24
|
$4,757.86
|
$475.79
90% off
|
$4,420.77
|
$11,957.15
|
$8,154.23
|
2025-06-05
|
|
103
|
MS_DRG
|
Headaches Without McC
|
38
|
32
|
$34,900.77
|
$3,490.08
90% off
|
$5,099.00
|
$14,453.40
|
$8,092.20
|
2025-06-05
|
|
918
|
MS_DRG
|
Poisoning And Toxic Effects Of Drugs Without McC
|
38
|
32
|
$24,333.51
|
$2,433.35
90% off
|
$923.23
|
$15,034.80
|
$7,979.02
|
2025-06-05
|
|
554
|
MS_DRG
|
Bone Diseases And Arthropathies Without McC
|
38
|
32
|
$33,224.92
|
$3,322.49
90% off
|
$5,005.44
|
$14,188.20
|
$7,959.60
|
2025-06-05
|
|
642
|
MS_DRG
|
Inborn And Other Disorders Of Metabolism
|
38
|
32
|
$7,082.06
|
$708.21
90% off
|
$4,917.88
|
$13,940.00
|
$7,835.50
|
2025-06-05
|
|
194
|
MS_DRG
|
Simple Pneumonia And Pleurisy With Cc
|
38
|
32
|
$29,497.86
|
$2,949.79
90% off
|
$4,917.88
|
$13,940.00
|
$7,835.50
|
2025-06-05
|
|
561
|
MS_DRG
|
Aftercare, Musculoskeletal System And Connective Tissue Without Cc/McC
|
36
|
30
|
$3,916.43
|
$391.64
90% off
|
$4,903.49
|
$10,549.49
|
$7,815.10
|
2025-06-05
|
|
728
|
MS_DRG
|
Inflammation Of The Male Reproductive System Without McC
|
38
|
32
|
$20,107.42
|
$2,010.74
90% off
|
$4,900.49
|
$13,890.70
|
$7,810.85
|
2025-06-05
|
|
386
|
MS_DRG
|
Inflammatory Bowel Disease With Cc
|
27
|
21
|
$38,281.15
|
$3,828.11
90% off
|
$0.99
|
$16,870.80
|
$7,809.52
|
2025-06-05
|
|
690
|
MS_DRG
|
Kidney And Urinary Tract Infections Without McC
|
34
|
29
|
$21,288.31
|
$2,128.83
90% off
|
$4,813.53
|
$13,644.20
|
$7,795.60
|
2025-06-05
|
|
J2353
|
HCPCS
|
Octreotide,microspheres ER 20 Mg Intramuscular Susp, Extended Release
|
51
|
33
|
$14,310.53
|
$1,431.05
90% off
|
$5,137.60
|
$15,670.08
|
$7,792.16
|
2025-06-05
|
|
176
|
MS_DRG
|
Pulmonary Embolism Without McC
|
38
|
32
|
$20,440.22
|
$2,044.02
90% off
|
$4,884.89
|
$13,846.50
|
$7,788.75
|
2025-06-05
|
|
J7165
|
HCPCS
|
Human Prothrombin Cmplx (pcc)-lans 4factor 1,000 Unit (800-1280 Unit) IV Solutio…
|
39
|
33
|
$14,647.50
|
$1,464.75
90% off
|
$5,955.00
|
$9,540.00
|
$7,747.50
|
2025-06-05
|
|
389
|
MS_DRG
|
Gastrointestinal Obstruction With Cc
|
34
|
29
|
$13,511.13
|
$1,351.11
90% off
|
$4,807.53
|
$13,628.90
|
$7,679.95
|
2025-06-05
|
|
69
|
MS_DRG
|
Transient Ischemia Without Thrombolytic
|
38
|
32
|
$30,894.12
|
$3,089.41
90% off
|
$4,790.14
|
$13,577.90
|
$7,654.45
|
2025-06-05
|
|
392
|
MS_DRG
|
Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without McC
|
38
|
32
|
$14,982.84
|
$1,498.28
90% off
|
$4,679.78
|
$13,265.10
|
$7,606.05
|
2025-06-05
|
|
641
|
MS_DRG
|
Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou…
|
38
|
32
|
$19,042.45
|
$1,904.24
90% off
|
$4,686.38
|
$13,285.50
|
$7,508.25
|
2025-06-05
|
|
694
|
MS_DRG
|
Urinary Stones Without McC
|
38
|
32
|
$25,342.15
|
$2,534.21
90% off
|
$4,686.38
|
$13,283.80
|
$7,507.40
|
2025-06-05
|
|
645
|
MS_DRG
|
Endocrine Disorders Without Cc/McC
|
34
|
29
|
$16,369.70
|
$1,636.97
90% off
|
$4,670.19
|
$13,243.00
|
$7,487.00
|
2025-06-05
|
|
544
|
MS_DRG
|
Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With…
|
34
|
29
|
$20,425.85
|
$2,042.58
90% off
|
$4,461.15
|
$13,227.70
|
$7,479.35
|
2025-06-05
|
|
536
|
MS_DRG
|
Fractures Of Hip And Pelvis Without McC
|
34
|
29
|
$33,156.03
|
$3,315.60
90% off
|
$4,455.41
|
$13,210.70
|
$7,470.85
|
2025-06-05
|
|
179
|
MS_DRG
|
Respiratory Infections And Inflammations Without Cc/McC
|
38
|
32
|
$57,383.22
|
$5,738.32
90% off
|
$4,616.21
|
$13,084.90
|
$7,407.95
|
2025-06-05
|
|
J0896
|
HCPCS
|
Luspatercept-aamt 25 Mg Subcutaneous Solution
|
51
|
33
|
$12,255.61
|
$1,225.56
90% off
|
$4,878.00
|
$29,584.80
|
$7,369.80
|
2025-06-05
|
|
A9588
|
HCPCS
|
Fluciclovine F18 10 Mci (370 Mbq) Intravenous Solution
|
39
|
33
|
$19,827.00
|
$1,982.70
90% off
|
$6,581.85
|
$7,978.00
|
$7,279.93
|
2025-06-05
|
|
309
|
MS_DRG
|
Cardiac Arrhythmia And Conduction Disorders With Cc
|
38
|
32
|
$10,331.86
|
$1,033.19
90% off
|
$4,433.89
|
$12,568.10
|
$7,257.55
|
2025-06-05
|
|
A9582
|
HCPCS
|
Nm Iso I-123 Iobenguane (mibg) Per Dose Up To 15mci
|
39
|
33
|
$17,509.50
|
$1,750.95
90% off
|
$2,721.33
|
$11,761.12
|
$7,241.23
|
2025-06-05
|
|
J9356
|
HCPCS
|
Trastuzumab 600 Mg-hyaluronidase-oysk 10,000 Unit/5 Ml Subcut Solution
|
39
|
33
|
$14,493.25
|
$1,449.32
90% off
|
$4,825.80
|
$9,627.60
|
$7,226.70
|
2025-06-05
|
|
566
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue Diagnoses Without Cc/McC
|
38
|
32
|
$61,030.38
|
$6,103.04
90% off
|
$4,486.67
|
$12,716.00
|
$7,223.50
|
2025-06-05
|
|
J9354
|
HCPCS
|
Ado-trastuzumab Emtansine 100 Mg Intravenous Solution
|
51
|
33
|
$12,185.08
|
$1,218.51
90% off
|
$4,690.00
|
$15,528.96
|
$7,197.80
|
2025-06-05
|
|
J1561
|
HCPCS
|
Immune Glob G 40 Gram/400 Ml(10%)-gly-iga Ave 46 Mcg/ml Injection Soln
|
39
|
33
|
$17,577.00
|
$1,757.70
90% off
|
$4,770.40
|
$9,615.36
|
$7,192.88
|
2025-06-05
|
|
552
|
MS_DRG
|
Medical Back Problems Without McC
|
34
|
29
|
$108,600.84
|
$10,860.08
90% off
|
$5,780.31
|
$12,435.91
|
$7,191.45
|
2025-06-05
|
|
290
|
MS_DRG
|
Acute And Subacute Endocarditis Without Cc/McC
|
34
|
31
|
$104,878.10
|
$10,487.81
90% off
|
$5,871.47
|
$12,632.04
|
$7,181.52
|
2025-06-05
|
|
948
|
MS_DRG
|
Signs And Symptoms Without McC
|
34
|
29
|
$31,459.67
|
$3,145.97
90% off
|
$824.31
|
$13,506.50
|
$7,165.40
|
2025-06-05
|
|
384
|
MS_DRG
|
Uncomplicated Peptic Ulcer Without McC
|
27
|
21
|
$28,328.34
|
$2,832.83
90% off
|
$0.87
|
$14,783.20
|
$7,113.62
|
2025-06-05
|
|
202
|
MS_DRG
|
Bronchitis And Asthma With Cc/McC
|
38
|
32
|
$90,654.17
|
$9,065.42
90% off
|
$5,797.70
|
$12,473.33
|
$7,102.16
|
2025-06-05
|
|
J7169
|
HCPCS
|
Factor Xa,inactivated-zhzo (recombinant) 200 Mg Intravenous Solution
|
39
|
33
|
$7,750.00
|
$775.00
90% off
|
$3,225.20
|
$10,956.00
|
$7,090.60
|
2025-06-05
|
|
J2356
|
HCPCS
|
Tezepelumab-ekko 210 Mg/1.91 Ml (110 Mg/ml) Subcutaneous Syringe
|
51
|
33
|
$13,168.96
|
$1,316.90
90% off
|
$4,648.08
|
$9,504.72
|
$7,076.40
|
2025-06-05
|
|
J9227
|
HCPCS
|
Isatuximab-irfc 20 Mg/ml Intravenous Solution
|
39
|
33
|
$12,268.18
|
$1,226.82
90% off
|
$4,661.50
|
$9,452.40
|
$7,056.95
|
2025-06-05
|
|
305
|
MS_DRG
|
Hypertension Without McC
|
24
|
20
|
$17,435.70
|
$1,743.57
90% off
|
$0.75
|
$12,761.90
|
$7,056.93
|
2025-06-05
|
|
373
|
MS_DRG
|
Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/McC
|
38
|
32
|
$16,611.96
|
$1,661.20
90% off
|
$4,350.53
|
$12,330.10
|
$7,030.55
|
2025-06-05
|
|
282
|
MS_DRG
|
Acute Myocardial Infarction, Discharged Alive Without Cc/McC
|
34
|
29
|
$12,200.32
|
$1,220.03
90% off
|
$4,348.73
|
$12,326.70
|
$7,028.85
|
2025-06-05
|
|
301
|
MS_DRG
|
Peripheral Vascular Disorders Without Cc/McC
|
38
|
32
|
$11,520.21
|
$1,152.02
90% off
|
$4,278.56
|
$12,126.10
|
$6,928.55
|
2025-06-05
|
|
313
|
MS_DRG
|
Chest Pain
|
38
|
32
|
$21,003.70
|
$2,100.37
90% off
|
$4,278.56
|
$12,126.10
|
$6,928.55
|
2025-06-05
|
|
153
|
MS_DRG
|
Otitis Media And Uri Without McC
|
38
|
32
|
$29,460.13
|
$2,946.01
90% off
|
$4,268.36
|
$12,098.90
|
$6,914.95
|
2025-06-05
|
|
443
|
MS_DRG
|
Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without C…
|
38
|
32
|
$5,576.32
|
$557.63
90% off
|
$4,214.38
|
$11,944.20
|
$6,837.60
|
2025-06-05
|
|
36482
|
CPT
|
Hc Endoven Ablti Ther Chem Adhesive 1st Vein
|
39
|
33
|
$17,118.00
|
$1,711.80
90% off
|
$6,806.70
|
$6,806.70
|
$6,806.70
|
2025-06-05
|
|
311
|
MS_DRG
|
Angina Pectoris
|
38
|
32
|
$22,164.26
|
$2,216.43
90% off
|
$4,188.00
|
$11,874.50
|
$6,802.75
|
2025-06-05
|
|
203
|
MS_DRG
|
Bronchitis And Asthma Without Cc/McC
|
38
|
32
|
$34,991.05
|
$3,499.10
90% off
|
$4,177.80
|
$11,837.10
|
$6,784.05
|
2025-06-05
|
|
949
|
MS_DRG
|
Aftercare With Cc/McC
|
18
|
13
|
$37,784.90
|
$3,778.49
90% off
|
$6,471.21
|
$18,341.30
|
$6,743.11
|
2025-06-05
|
|
832
|
MS_DRG
|
Other Antepartum Diagnoses Without O.r. Procedures With Cc
|
29
|
24
|
$19,114.36
|
$1,911.44
90% off
|
$4,482.47
|
$12,704.10
|
$6,739.55
|
2025-06-05
|
|
66
|
MS_DRG
|
Intracranial Hemorrhage Or Cerebral Infarction Without Cc/McC
|
34
|
29
|
$18,339.74
|
$1,833.97
90% off
|
$4,128.02
|
$11,701.10
|
$6,716.05
|
2025-06-05
|
|
921
|
MS_DRG
|
Complications Of Treatment Without Cc/McC
|
38
|
32
|
$40,693.59
|
$4,069.36
90% off
|
$4,124.42
|
$11,689.20
|
$6,710.10
|
2025-06-05
|
|
303
|
MS_DRG
|
Atherosclerosis Without McC
|
38
|
32
|
$14,977.02
|
$1,497.70
90% off
|
$4,032.66
|
$11,430.80
|
$6,688.90
|
2025-06-05
|
|
Q5127
|
HCPCS
|
Pegfilgrastim-fpgk 6 Mg/0.6 Ml Subcutaneous Syringe
|
39
|
33
|
$13,330.78
|
$1,333.08
90% off
|
$5,037.60
|
$8,316.72
|
$6,677.16
|
2025-06-05
|
|
122
|
MS_DRG
|
Acute Major Eye Infections Without Cc/McC
|
36
|
30
|
$3,383.46
|
$338.35
90% off
|
$4,068.05
|
$8,752.10
|
$6,631.05
|
2025-06-05
|
|
201
|
MS_DRG
|
Pneumothorax Without Cc/McC
|
38
|
32
|
$28,008.86
|
$2,800.89
90% off
|
$4,060.85
|
$11,507.30
|
$6,619.15
|
2025-06-05
|
|
387
|
MS_DRG
|
Inflammatory Bowel Disease Without Cc/McC
|
38
|
32
|
$6,602.58
|
$660.26
90% off
|
$4,020.07
|
$11,395.10
|
$6,563.05
|
2025-06-05
|
|
192
|
MS_DRG
|
Chronic Obstructive Pulmonary Disease Without Cc/McC
|
38
|
32
|
$26,690.39
|
$2,669.04
90% off
|
$3,881.53
|
$11,002.40
|
$6,474.70
|
2025-06-05
|
|
159
|
MS_DRG
|
Dental And Oral Diseases Without Cc/McC
|
38
|
32
|
$22,616.65
|
$2,261.66
90% off
|
$3,955.90
|
$11,213.20
|
$6,472.10
|
2025-06-05
|
|
916
|
MS_DRG
|
Allergic Reactions Without McC
|
38
|
32
|
$20,794.20
|
$2,079.42
90% off
|
$3,617.43
|
$11,192.80
|
$6,461.90
|
2025-06-05
|
|
776
|
MS_DRG
|
Postpartum And Post Abortion Diagnoses Without O.r. Procedures
|
29
|
24
|
$13,233.13
|
$1,323.31
90% off
|
$4,279.16
|
$12,127.80
|
$6,451.40
|
2025-06-05
|
|
204
|
MS_DRG
|
Respiratory Signs And Symptoms
|
27
|
21
|
$18,764.91
|
$1,876.49
90% off
|
$0.81
|
$13,759.80
|
$6,410.63
|
2025-06-05
|
|
C9739
|
HCPCS
|
Hc Cystoscopy Prostatic Imp 1-3
|
39
|
33
|
$13,363.00
|
$1,336.30
90% off
|
$6,409.10
|
$6,409.10
|
$6,409.10
|
2025-06-05
|
|
J9352
|
HCPCS
|
Trabectedin 1 Mg Intravenous Solution
|
39
|
33
|
$10,688.74
|
$1,068.87
90% off
|
$4,128.40
|
$8,614.08
|
$6,371.24
|
2025-06-05
|
|
759
|
MS_DRG
|
Infections, Female Reproductive System Without Cc/McC
|
38
|
32
|
$23,118.06
|
$2,311.81
90% off
|
$3,838.35
|
$10,878.30
|
$6,304.65
|
2025-06-05
|
|
639
|
MS_DRG
|
Diabetes Without Cc/McC
|
38
|
32
|
$20,093.84
|
$2,009.38
90% off
|
$3,757.98
|
$10,652.20
|
$6,299.60
|
2025-06-05
|
|
395
|
MS_DRG
|
Other Digestive System Diagnoses Without Cc/McC
|
38
|
32
|
$20,494.64
|
$2,049.46
90% off
|
$3,816.76
|
$10,818.80
|
$6,274.90
|
2025-06-05
|
|
379
|
MS_DRG
|
Gastrointestinal Hemorrhage Without Cc/McC
|
34
|
29
|
$16,236.96
|
$1,623.70
90% off
|
$3,633.82
|
$10,774.60
|
$6,252.80
|
2025-06-05
|
|
J2426
|
HCPCS
|
Paliperidone Palmitate 234 Mg/1.5 Ml Intramuscular Syringe
|
51
|
33
|
$10,783.97
|
$1,078.40
90% off
|
$2,717.52
|
$8,317.30
|
$6,196.79
|
2025-06-05
|
|
378
|
MS_DRG
|
Gastrointestinal Hemorrhage With Cc
|
25
|
23
|
$2,746.00
|
$274.60
90% off
|
$5,912.85
|
$9,245.65
|
$6,161.29
|
2025-06-05
|
|
195
|
MS_DRG
|
Simple Pneumonia And Pleurisy Without Cc/McC
|
38
|
32
|
$16,924.66
|
$1,692.47
90% off
|
$3,734.59
|
$10,587.60
|
$6,159.30
|
2025-06-05
|
|
440
|
MS_DRG
|
Disorders Of Pancreas Except Malignancy Without Cc/McC
|
37
|
31
|
$14,687.94
|
$1,468.79
90% off
|
$3,689.01
|
$10,456.70
|
$6,093.85
|
2025-06-05
|
|
A9570
|
HCPCS
|
Nm Iso In-111 Labeled Wbc Diagnostic Per Dose
|
39
|
33
|
$9,360.00
|
$936.00
90% off
|
$5,063.65
|
$7,123.90
|
$6,093.77
|
2025-06-05
|
|
883
|
MS_DRG
|
Disorders Of Personality And Impulse Control
|
12
|
10
|
$5,511.37
|
$551.14
90% off
|
$964.45
|
$14,841.65
|
$6,041.53
|
2025-06-05
|
|
684
|
MS_DRG
|
Renal Failure Without Cc/McC
|
38
|
32
|
$13,457.92
|
$1,345.79
90% off
|
$3,642.83
|
$10,327.50
|
$6,029.25
|
2025-06-05
|
|
601
|
MS_DRG
|
Non-malignant Breast Disorders Without Cc/McC
|
34
|
31
|
$39,437.09
|
$3,943.71
90% off
|
$3,595.45
|
$10,191.50
|
$5,961.25
|
2025-06-05
|
|
882
|
MS_DRG
|
Neuroses Except Depressive
|
14
|
12
|
$13,989.27
|
$1,398.93
90% off
|
$840.80
|
$16,352.30
|
$5,890.72
|
2025-06-05
|
|
605
|
MS_DRG
|
Trauma To The Skin, Subcutaneous Tissue And Breast Without McC
|
18
|
13
|
$10,890.98
|
$1,089.10
90% off
|
$5,539.81
|
$15,702.90
|
$5,772.58
|
2025-06-05
|
|
310
|
MS_DRG
|
Cardiac Arrhythmia And Conduction Disorders Without Cc/McC
|
38
|
32
|
$16,816.59
|
$1,681.66
90% off
|
$3,355.55
|
$9,511.50
|
$5,729.25
|
2025-06-05
|
|
J1930
|
HCPCS
|
Lanreotide 120 Mg/0.5 Ml Subcutaneous Syringe
|
39
|
33
|
$13,783.63
|
$1,378.36
90% off
|
$3,513.60
|
$7,902.00
|
$5,707.80
|
2025-06-05
|
|
894
|
MS_DRG
|
Alcohol, Drug Abuse Or Dependence, Left Ama
|
25
|
23
|
$7,516.25
|
$751.62
90% off
|
$708.91
|
$10,609.70
|
$5,623.35
|
2025-06-05
|
|
J9319
|
HCPCS
|
Romidepsin 10 Mg/2 Ml Intravenous Powder For Solution
|
39
|
33
|
$9,915.82
|
$991.58
90% off
|
$3,727.00
|
$7,498.00
|
$5,612.50
|
2025-06-05
|
|
881
|
MS_DRG
|
Depressive Neuroses
|
14
|
12
|
$10,620.42
|
$1,062.04
90% off
|
$873.77
|
$15,539.70
|
$5,597.41
|
2025-06-05
|
|
J9173
|
HCPCS
|
Durvalumab 50 Mg/ml Intravenous Solution
|
51
|
33
|
$12,796.49
|
$1,279.65
90% off
|
$1,178.76
|
$9,922.80
|
$5,550.78
|
2025-06-05
|
|
J2182
|
HCPCS
|
Mepolizumab 100 Mg Subcutaneous Solution
|
39
|
33
|
$10,735.06
|
$1,073.51
90% off
|
$3,719.00
|
$7,382.40
|
$5,550.70
|
2025-06-05
|
|
390
|
MS_DRG
|
Gastrointestinal Obstruction Without Cc/McC
|
38
|
32
|
$16,986.66
|
$1,698.67
90% off
|
$3,281.79
|
$9,300.70
|
$5,515.85
|
2025-06-05
|
|
J9176
|
HCPCS
|
Elotuzumab 400 Mg Intravenous Solution
|
39
|
33
|
$9,221.54
|
$922.15
90% off
|
$3,612.00
|
$7,344.00
|
$5,478.00
|
2025-06-05
|
|
897
|
MS_DRG
|
Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without McC
|
14
|
12
|
$12,906.37
|
$1,290.64
90% off
|
$783.10
|
$14,997.40
|
$5,402.07
|
2025-06-05
|
|
J9177
|
HCPCS
|
Enfortumab Vedotin-ejfv 20 Mg Intravenous Solution
|
51
|
33
|
$8,707.90
|
$870.79
90% off
|
$3,532.80
|
$10,506.24
|
$5,268.48
|
2025-06-05
|
|
951
|
MS_DRG
|
Other Factors Influencing Health Status
|
11
|
11
|
$934.13
|
$93.41
90% off
|
$5,228.15
|
$5,228.15
|
$5,228.15
|
2025-06-05
|
|
J9312
|
HCPCS
|
Rituximab 10 Mg/ml Concentrate,intravenous
|
51
|
33
|
$2,912.52
|
$291.25
90% off
|
$962.20
|
$9,414.00
|
$5,188.10
|
2025-06-05
|
|
Q5111
|
HCPCS
|
Pegfilgrastim-cbqv 6 Mg/0.6 Ml Subcutaneous Syringe
|
39
|
33
|
$12,942.50
|
$1,294.25
90% off
|
$1,904.76
|
$8,350.08
|
$5,127.42
|
2025-06-05
|
|
J0401
|
HCPCS
|
Aripiprazole ER 400 Mg Intramuscular Suspension,extended Release
|
51
|
33
|
$8,741.51
|
$874.15
90% off
|
$2,493.00
|
$6,796.80
|
$5,060.40
|
2025-06-05
|
|
J9358
|
HCPCS
|
Fam-trastuzumab Deruxtecan-nxki 100 Mg Intravenous Solution
|
39
|
33
|
$8,705.95
|
$870.59
90% off
|
$3,327.00
|
$6,727.20
|
$5,027.10
|
2025-06-05
|
|
Q5114
|
HCPCS
|
Trastuzumab-dkst 420 Mg Intravenous Solution
|
39
|
33
|
$8,137.66
|
$813.77
90% off
|
$2,425.92
|
$7,616.28
|
$5,021.10
|
2025-06-05
|
|
Q5108
|
HCPCS
|
Pegfilgrastim-jmdb 6 Mg/0.6 Ml Subcutaneous Syringe
|
39
|
33
|
$6,471.26
|
$647.13
90% off
|
$1,911.60
|
$8,040.96
|
$4,976.28
|
2025-06-05
|
|
J0717
|
HCPCS
|
Certolizumab Pegol 400 Mg (200 Mg X 2 Vials) Subcutaneous Kit
|
39
|
33
|
$17,729.49
|
$1,772.95
90% off
|
$2,256.00
|
$7,584.00
|
$4,920.00
|
2025-06-05
|
|
A9586
|
HCPCS
|
Nm PET Iso F18 Florbetapir Per Dose Up To 10 Mci
|
39
|
33
|
$8,572.20
|
$857.22
90% off
|
$4,043.60
|
$5,691.94
|
$4,867.77
|
2025-06-05
|
|
J9205
|
HCPCS
|
Irinotecan Liposomal 4.3 Mg/ml Intravenous
|
39
|
33
|
$9,008.60
|
$900.86
90% off
|
$3,027.44
|
$6,605.83
|
$4,816.64
|
2025-06-05
|
|
833
|
MS_DRG
|
Other Antepartum Diagnoses Without O.r. Procedures Without Cc/McC
|
25
|
23
|
$6,436.23
|
$643.62
90% off
|
$3,117.46
|
$8,836.60
|
$4,805.80
|
2025-06-05
|
|
J1459
|
HCPCS
|
Immune Glob,gamm(igg) 10 %-pro-iga 0 To 50 Mcg/ml Intravenous Solution
|
75
|
33
|
$5,612.24
|
$561.22
90% off
|
$583.90
|
$9,438.72
|
$4,719.36
|
2025-06-05
|
|
J0791
|
HCPCS
|
Crizanlizumab-tmca 10 Mg/ml Intravenous Solution
|
39
|
33
|
$7,604.12
|
$760.41
90% off
|
$3,107.40
|
$6,175.68
|
$4,641.54
|
2025-06-05
|
|
J9317
|
HCPCS
|
Sacituzumab Govitecan-hziy 180 Mg Intravenous Solution
|
39
|
33
|
$7,638.28
|
$763.83
90% off
|
$2,995.20
|
$6,096.38
|
$4,545.79
|
2025-06-05
|
|
J9047
|
HCPCS
|
Carfilzomib 60 Mg Intravenous Solution
|
63
|
33
|
$10,153.06
|
$1,015.31
90% off
|
$575.60
|
$7,218.72
|
$4,531.41
|
2025-06-05
|
|
J9268
|
HCPCS
|
Pentostatin 10 Mg Intravenous Solution
|
39
|
33
|
$9,148.97
|
$914.90
90% off
|
$2,849.58
|
$6,149.86
|
$4,499.72
|
2025-06-05
|
|
A9584
|
HCPCS
|
Nm Iso Ioflupane (datscan) Per Dose Up To 5 Mci
|
39
|
33
|
$15,611.62
|
$1,561.16
90% off
|
$4,055.91
|
$4,916.26
|
$4,486.09
|
2025-06-05
|
|
J0840
|
HCPCS
|
Crotalidae Polyval Immune Fab Solution For Injection
|
39
|
33
|
$9,913.80
|
$991.38
90% off
|
$2,415.44
|
$6,396.00
|
$4,405.72
|
2025-06-05
|
|
J9353
|
HCPCS
|
Margetuximab-cmkb 25 Mg/ml Intravenous Solution
|
39
|
33
|
$7,322.11
|
$732.21
90% off
|
$2,869.50
|
$5,834.40
|
$4,351.95
|
2025-06-05
|
|
47531
|
CPT
|
Injection Of Bile Duct For X-ray Through Already Existing Skin Access Using Imag…
|
39
|
33
|
$10,622.00
|
$1,062.20
90% off
|
$4,285.24
|
$4,285.24
|
$4,285.24
|
2025-06-05
|
|
47490
|
CPT
|
Insertion Of Tube Into Gallbladder Using Imaging Guidance With Review By Radiolo…
|
39
|
33
|
$10,622.00
|
$1,062.20
90% off
|
$4,285.24
|
$4,285.24
|
$4,285.24
|
2025-06-05
|
|
J3111
|
HCPCS
|
Romosozumab-aqqg 210 Mg/2.34 Ml(105 Mg/1.17 Ml X2)subcutaneous Syringe
|
39
|
33
|
$7,761.60
|
$776.16
90% off
|
$2,738.40
|
$5,680.08
|
$4,209.24
|
2025-06-05
|
|
Q5117
|
HCPCS
|
Trastuzumab-anns 420 Mg Intravenous Solution
|
39
|
33
|
$11,805.36
|
$1,180.54
90% off
|
$734.58
|
$7,612.92
|
$4,173.75
|
2025-06-05
|
|
90377
|
HCPCS
|
Rabies Immune Globulin (pf) 150 Unit/ml Intramuscular Solution
|
48
|
33
|
$10,550.05
|
$1,055.00
90% off
|
$612.40
|
$7,586.80
|
$4,099.60
|
2025-06-05
|
|
A9800
|
HCPCS
|
Nm Iso Gallium Ga-68 Gozetotide (locametz) Per 1 Mci Kit
|
39
|
33
|
$4,000.00
|
$400.00
90% off
|
$3,196.80
|
$4,780.80
|
$3,988.80
|
2025-06-05
|