Price Transparency 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

DRISCOLL CHILDRENS HOSPITAL

Corpus Christi, TX · CCN 453301 · Rates published

5,221 distinct procedures filed
231 distinct payers
128,072 rate rows
2025-10-06 last MRF observed
Data quality

126,448 of 128,072 rate rows are consumer-grade (98.7%)

1,624 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
exceeds 10× this hospital's gross charge — excluded from medians 1,184
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 378
per-diem day rate — not a per-procedure price 54
placeholder amount (≤ $0.02) — excluded from medians 8
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://driscollchildrens.org/wp-content/uploads/742577746-1548286172_Driscoll-Childrens-Hospital_standardcharges.csv
Found on page https://driscollchildrens.org/patients/resources/price-transparency/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-18
Content fingerprint 6c6c794552ab7c8e… · 36,399,477 bytes · first seen 2026-05-13

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
PX-3100811
CDM 		Organ Living Donor 3 $165.82 $75,000.00 $75,000.00 nat. median
$127,034
0.6× median
PX-3100812
CDM 		Organ Cadaver Donor 3 $165.82 $75,000.00 $75,000.00 nat. median
$143,655
0.5× median
J9118
HCPCS 		Calaspargase Pegol-mknl 750 Unit/ml Intravenous Solution 5 $165.82 $27,326.25 $27,326.25 nat. median
$202
outlier · 135.3×
J2507
HCPCS 		Pegloticase 8 Mg/ml Intravenous Solution 5 $165.82 $26,147.60 $26,147.60 nat. median
$8,558
outlier · 3.1×
J1951
HCPCS 		Leuprolide 45 Mg (pediatric 6 Month) Subcutaneous Syringe 5 $165.82 $24,985.80 $24,985.80 nat. median
$188
outlier · 132.6×
J9229
HCPCS 		Inotuzumab Ozogamicin 0.9 Mg(0.25 Mg/ml Initial Concentration) IV Soln 5 $165.82 $22,319.64 $22,319.64 nat. median
$6,098
outlier · 3.7×
J9210
HCPCS 		Emapalumab-lzsg 5 Mg/ml Intravenous Solution 5 $165.82 $39,372.00 $19,686.00 nat. median
$756
outlier · 26.1×
J1290
HCPCS 		Ecallantide 10 Mg/ml (1 Ml) Subcutaneous Solution 5 $165.82 $15,921.60 $15,921.60 nat. median
$896
outlier · 17.8×
J0206
HCPCS 		Allopurinol 500 Mg Intravenous Solution 5 $165.82 $14,525.00 $14,525.00 nat. median
$9
outlier · 1538.7×
J3357
HCPCS 		Ustekinumab 90 Mg/ml Subcutaneous Syringe 5 $165.82 $13,288.50 $13,288.50 nat. median
$14,306
0.9× median
81416
CPT 		Exome Sequence Analysis, Family Member 5 $165.82 $12,987.60 $12,987.60 nat. median
$12,000
1.1× median
J9042
HCPCS 		Brentuximab Vedotin 50 Mg Intravenous Solution 5 $165.82 $11,098.00 $11,098.00 nat. median
$1,050
outlier · 10.6×
J9203
HCPCS 		Gemtuzumab Ozogamicin 4.5 Mg (1 Mg/ml Initial Concentration) IV Soln 5 $165.82 $9,787.05 $9,787.05 nat. median
$636
outlier · 15.4×
36253
CPT 		Hchg Scp Rnl Art 2nd Ordr Uni 5 $165.82 $7,166.00 $7,166.00 nat. median
$5,908
1.2× median
36254
CPT 		Hchg Scp Rnl Art 2nd Ordr Bil 5 $165.82 $7,166.00 $7,166.00 nat. median
$4,165
1.7× median
36555
CPT 		Cv Line < 5 Years Old 5 $165.82 $7,166.00 $7,166.00 nat. median
$2,692
outlier · 2.7×
36245
CPT 		Scp 1st Art Abd,Pel,L/E 5 $165.82 $7,166.00 $7,166.00 nat. median
$1,856
outlier · 3.9×
36246
CPT 		Scp 2nd Art Abd,Pel, L/e 5 $165.82 $7,166.00 $7,166.00 nat. median
$1,887
outlier · 3.8×
36620
CPT 		Aterial Cannula/Monitor 5 $165.82 $7,166.00 $7,166.00 nat. median
$495
outlier · 14.5×
37246
CPT 		Hchg Angplsty Prphrl Artry S&i 5 $165.82 $7,166.00 $7,166.00 nat. median
$6,982
1.0× median
36215
CPT 		Scp 1st Thor Or Brach Art 5 $165.82 $7,166.00 $7,166.00 nat. median
$1,405
outlier · 5.1×
36014
CPT 		Scp Lt Or Rt Pul Art 5 $165.82 $7,166.00 $7,166.00 nat. median
$1,339
outlier · 5.4×
36226
CPT 		Hchg Angio,Vetebral Cerv /Intracranial 5 $165.82 $7,166.00 $7,166.00 nat. median
$6,529
1.1× median
36225
CPT 		Hchg Angio,Sbclvn/Inno Vrtbrl 5 $165.82 $7,166.00 $7,166.00 nat. median
$4,447
1.6× median
36227
CPT 		Hchg Angio Carotid Extrn Uni 5 $165.82 $7,166.00 $7,166.00 nat. median
$3,196
outlier · 2.2×
36228
CPT 		Hchg Angio Ea Add Intrcrnl/Vert 5 $165.82 $7,166.00 $7,166.00 nat. median
$2,948
outlier · 2.4×
36248
CPT 		Scp Add 2/3 > Abd Pel L/e 5 $165.82 $7,166.00 $7,166.00 nat. median
$766
outlier · 9.4×
36247
CPT 		Scp 3rd Art Abd,Pel,L/E 5 $165.82 $7,166.00 $7,166.00 nat. median
$2,280
outlier · 3.1×
36251
CPT 		Hchg Angio Renal Uni W/wo Flsh 5 $165.82 $7,166.00 $7,166.00 nat. median
$3,999
1.8× median
36252
CPT 		Hchg Angio Renal Bil W/wo Flsh 5 $165.82 $7,166.00 $7,166.00 nat. median
$4,331
1.7× median
36216
CPT 		Scp 2nd Thor Or Brach Art 5 $165.82 $7,166.00 $7,166.00 nat. median
$1,479
outlier · 4.8×
36005
CPT 		Hchg Inject Contrast Ext Veno 5 $165.82 $7,166.00 $7,166.00 nat. median
$739
outlier · 9.7×
33895
CPT 		Hchg Evas St Rpr Thrc/Aa X Crsg 8 $165.82 $7,166.00 $7,166.00 nat. median
$4,098
1.7× median
36010
CPT 		Intro Cath Svc Or Ivc 5 $165.82 $7,166.00 $7,166.00 nat. median
$1,272
outlier · 5.6×
36217
CPT 		Scp 3rd> Thor Or Brach Ar 5 $165.82 $7,166.00 $7,166.00 nat. median
$1,749
outlier · 4.1×
36218
CPT 		Scp Add 2 Or 3 Ord Art Th 5 $165.82 $7,166.00 $7,166.00 nat. median
$825
outlier · 8.7×
33240
CPT 		Hchg Insrtn Aicd Only W Ex Sng Lead 5 $165.82 $7,166.00 $7,166.00 nat. median
$22,134
outlier · 0.3×
36556
CPT 		Cv Line => 5 Years Old 5 $165.82 $7,166.00 $7,166.00 nat. median
$2,458
outlier · 2.9×
33745
CPT 		Stent Intra-cardiac, Initial 8 $165.82 $7,166.00 $7,166.00 nat. median
$4,809
1.5× median
33894
CPT 		Hchg Evasc St Rpr Thrc/Aa Acrs Br 8 $165.82 $7,166.00 $7,166.00 nat. median
$4,161
1.7× median
10160
CPT 		Hchg Puncture Aspir Of Abcess, Hematoma, Bulla, Cyst 5 $165.82 $7,166.00 $7,166.00 nat. median
$444
outlier · 16.1×
33897
CPT 		Perq Trluml Angp Nt/Recr Coa 8 $165.82 $7,166.00 $7,166.00 nat. median
$4,353
1.6× median
36012
CPT 		Scp 2nd Ordr Vein Or Hghr 5 $165.82 $7,166.00 $7,166.00 nat. median
$1,481
outlier · 4.8×
36013
CPT 		Hchg Introd Cthtr Rt Ht Or Mpa 5 $165.82 $7,166.00 $7,166.00 nat. median
$1,050
outlier · 6.8×
36015
CPT 		Scp Seg Or Subseg Pul Art 5 $165.82 $7,166.00 $7,166.00 nat. median
$1,254
outlier · 5.7×
36200
CPT 		Scp Aorta 5 $165.82 $7,166.00 $7,166.00 nat. median
$1,370
outlier · 5.2×
36223
CPT 		Angio Carotid Cervical Un 5 $165.82 $7,166.00 $7,166.00 nat. median
$6,264
1.1× median
36221
CPT 		Angio Arch 5 $165.82 $7,166.00 $7,166.00 nat. median
$4,002
1.8× median
36224
CPT 		Hchg Angio, Carotid, Cerebral, Bil 5 $165.82 $7,166.00 $7,166.00 nat. median
$6,847
1.0× median
33212
CPT 		Insrt/Rplc Pm Only-single 5 $165.82 $7,166.00 $7,166.00 nat. median
$8,821
0.8× median

Other procedures at this hospital

Browse this hospital's 5,221 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
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
             
19120 CPT Hchg Excision Of Cyst, Fibroadenoma, Or Other Benign Or Malignant Tumor, Aberran… 2 2 $10,877.90 $2,175.58 80% off $165.82 $1,000.00 $582.91 2025-10-06
17999 CPT Hchg Unlisted Procedure, Skin, Mucous Membrane And Subcutaneous Tissue 2 2 $8,726.30 $1,745.26 80% off $165.82 $1,000.00 $582.91 2025-10-06
11960 CPT Hchg Insertion Of Tissue Expander(S) For Other Than Breast, Including Subsequent… 2 2 $15,390.10 $3,078.02 80% off $165.82 $1,000.00 $582.91 2025-10-06
17250 CPT Hchg Chemical Cauterization Of Granulation Tissue (Ie, Proud Flesh) 2 2 $808.50 $161.70 80% off $165.82 $1,000.00 $582.91 2025-10-06
17111 CPT Hchg Destruction (Eg, Laser Surgery, Electrosurgery, Cryosurgery, Chemosurgery, … 2 2 $579.70 $115.94 80% off $165.82 $1,000.00 $582.91 2025-10-06
11954 CPT Hchg Subcutaneous Injection Of Filling Material (Eg, Collagen); Over 10.0 Cc 2 2 $8,056.40 $1,611.28 80% off $165.82 $1,000.00 $582.91 2025-10-06
11106 CPT Hchg Incisional Biopsy Skin Single Lesion 2 2 $3,620.10 $724.02 80% off $165.82 $1,000.00 $582.91 2025-10-06
17110 CPT Hchg Destruction (Eg, Laser Surgery, Electrosurgery, Cryosurgery, Chemosurgery, … 2 2 $814.00 $162.80 80% off $165.82 $1,000.00 $582.91 2025-10-06
11952 CPT Hchg Subcutaneous Injection Of Filling Material (Eg, Collagen); 5.1 To 10.0 Cc 2 2 $2,853.40 $570.68 80% off $165.82 $1,000.00 $582.91 2025-10-06
10012 CPT Fine Needle Asp W Mr Ea Additional 2 2 $1,086.40 $217.28 80% off $165.82 $1,000.00 $582.91 2025-10-06
11951 CPT Hchg Subcutaneous Injection Of Filling Material (Eg, Collagen); 1.1 To 5.0 Cc 2 2 $3,351.70 $670.34 80% off $165.82 $1,000.00 $582.91 2025-10-06
17106 CPT Hchg Destruction Of Cutaneous Vascular Proliferative Lesions (Eg, Laser Techniqu… 2 2 $1,510.30 $302.06 80% off $165.82 $1,000.00 $582.91 2025-10-06
11105 CPT Hchg Punch Biopsy Of Skin (Including Simple Closure, When Performed) 2 2 $657.80 $131.56 80% off $165.82 $1,000.00 $582.91 2025-10-06
33223 CPT Hchg Rev Relc Icd Skn Pct 2 2 $3,977.60 $795.52 80% off $165.82 $1,000.00 $582.91 2025-10-06
33224 CPT Add Lv Pcng Ld Exstng Icd 2 2 $5,248.10 $1,049.62 80% off $165.82 $1,000.00 $582.91 2025-10-06
16030 CPT Dress/Debride Prtl Thk Burns >10% Body Surface 2 2 $902.00 $180.40 80% off $165.82 $1,000.00 $582.91 2025-10-06
16025 CPT Dress/Debride Prtl Thk Burns 5%-10% Body Surface 2 2 $873.40 $174.68 80% off $165.82 $1,000.00 $582.91 2025-10-06
11950 CPT Hchg Subcutaneous Injection Of Filling Material (Eg, Collagen); 1 Cc Or Less 2 2 $3,533.20 $706.64 80% off $165.82 $1,000.00 $582.91 2025-10-06
29355 CPT Hchg Appl Cast Long Leg Walker /Amb Rt 2 2 $493.90 $98.78 80% off $165.82 $1,000.00 $582.91 2025-10-06
16020 CPT Dress/Debride Prtl Thk Burns <5% Body Surface 2 2 $877.80 $175.56 80% off $165.82 $1,000.00 $582.91 2025-10-06
11901 CPT Hchg Injection, Intralesional; More Than 7 Lesions 2 2 $458.70 $91.74 80% off $165.82 $1,000.00 $582.91 2025-10-06
29325 CPT Hchg App Cast Hips 2 2 $448.80 $89.76 80% off $165.82 $1,000.00 $582.91 2025-10-06
29305 CPT Hchg Hchg App Cast Hip Rt 2 2 $405.90 $81.18 80% off $165.82 $1,000.00 $582.91 2025-10-06
16000 CPT Initial Tx 1st Deg Burn Local 2 2 $430.10 $86.02 80% off $165.82 $1,000.00 $582.91 2025-10-06
29358 CPT Hchg Appl Cast Long Leg Brace Rt 2 2 $448.80 $89.76 80% off $165.82 $1,000.00 $582.91 2025-10-06
29365 CPT Hchg App Cast Long Leg Thigh To Ankle Rt 2 2 $493.90 $98.78 80% off $165.82 $1,000.00 $582.91 2025-10-06
29405 CPT Hchg Appl Cast Short Leg Knee-toes Rt 2 2 $493.90 $98.78 80% off $165.82 $1,000.00 $582.91 2025-10-06
29425 CPT Hchg Appl Cast Short Leg Walker/Amb Rt 2 2 $543.40 $108.68 80% off $165.82 $1,000.00 $582.91 2025-10-06
29435 CPT Hchg App Cast Ptb Short Leg Rt 2 2 $405.90 $81.18 80% off $165.82 $1,000.00 $582.91 2025-10-06
29440 CPT Hchg Add Walker To Previous Applied Cast 2 2 $405.90 $81.18 80% off $165.82 $1,000.00 $582.91 2025-10-06
29445 CPT Hchg App Cast Rigid Leg Rt 2 2 $405.90 $81.18 80% off $165.82 $1,000.00 $582.91 2025-10-06
17107 CPT Hchg Destruction Of Cutaneous Vascular Proliferative Lesions (Eg, Laser Techniqu… 2 2 $2,367.20 $473.44 80% off $165.82 $1,000.00 $582.91 2025-10-06
29505 CPT Hchg Application Long Leg Splint Thigh To Ankle Or Toes 2 2 $312.80 $62.56 80% off $165.82 $1,000.00 $582.91 2025-10-06
17108 CPT Hchg Destruction Of Cutaneous Vascular Proliferative Lesions (Eg, Laser Techniqu… 2 2 $8,346.80 $1,669.36 80% off $165.82 $1,000.00 $582.91 2025-10-06
29520 CPT Hchg Hchg Strapping Hip Rt 2 2 $327.80 $65.56 80% off $165.82 $1,000.00 $582.91 2025-10-06
29530 CPT Hchg Strapping Knee Rt 2 2 $327.80 $65.56 80% off $165.82 $1,000.00 $582.91 2025-10-06
29540 CPT Hchg Strapping Ankle Or Foot Rt 2 2 $327.80 $65.56 80% off $165.82 $1,000.00 $582.91 2025-10-06
29550 CPT Hchg Strapping Toes Rt 2 2 $398.20 $79.64 80% off $165.82 $1,000.00 $582.91 2025-10-06
29700 CPT Hchg Removal/Bival Gaunlet/Boot/Body Cast Rt 2 2 $448.80 $89.76 80% off $165.82 $1,000.00 $582.91 2025-10-06
29705 CPT Hchg Removal/Bival Full Arm, Leg Cast Rt 2 2 $493.90 $98.78 80% off $165.82 $1,000.00 $582.91 2025-10-06
29710 CPT Hchg Removal /Bival Shoulder Or Hip Spica Rt 2 2 $405.90 $81.18 80% off $165.82 $1,000.00 $582.91 2025-10-06
29720 CPT Hchg Repair Spica -body Cast-jacket 2 2 $448.80 $89.76 80% off $165.82 $1,000.00 $582.91 2025-10-06
29730 CPT Hchg Window Cast Rt 2 2 $405.90 $81.18 80% off $165.82 $1,000.00 $582.91 2025-10-06
29740 CPT Wedging Of Cast Rt 2 2 $405.90 $81.18 80% off $165.82 $1,000.00 $582.91 2025-10-06
11104 CPT Hchg Punch Biopsy Of Skin (Including Simple Closure, When Performed); Single Les… 2 2 $1,395.90 $279.18 80% off $165.82 $1,000.00 $582.91 2025-10-06
11103 CPT Hchg Tangential Biopsy Of Skin (Eg, Shave, Scoop, Saucerize, Curette); Each Sepa… 2 2 $425.70 $85.14 80% off $165.82 $1,000.00 $582.91 2025-10-06
29280 CPT Hchg Strapping Hand Or Finger Rt 2 2 $398.20 $79.64 80% off $165.82 $1,000.00 $582.91 2025-10-06
29260 CPT Hchg Strapping Elbow Or Wrist Rt 2 2 $327.80 $65.56 80% off $165.82 $1,000.00 $582.91 2025-10-06
15877 CPT Hchg Suction Assisted Lipectomy; Trunk 2 2 $13,137.30 $2,627.46 80% off $165.82 $1,000.00 $582.91 2025-10-06
29240 CPT Hchg Strapping Shoulder Rt 2 2 $113.30 $22.66 80% off $165.82 $1,000.00 $582.91 2025-10-06
29200 CPT Hchg Strapping Chest 2 2 $381.70 $76.34 80% off $165.82 $1,000.00 $582.91 2025-10-06
15854 CPT Hchg Removal Of Sutures & Staples, No Anesthesia Required 2 2 $259.60 $51.92 80% off $165.82 $1,000.00 $582.91 2025-10-06
11900 CPT Hchg Injection, Intralesional; Up To And Including 7 Lesions 2 2 $651.20 $130.24 80% off $165.82 $1,000.00 $582.91 2025-10-06
29131 CPT Hchg Application Finger Splint Dynamic 2 2 $154.00 $30.80 80% off $165.82 $1,000.00 $582.91 2025-10-06
29130 CPT Hchg Application Finger Splint Static 2 2 $312.80 $62.56 80% off $165.82 $1,000.00 $582.91 2025-10-06
15853 CPT Hchg Removal - Suture Or Staple, No Anesthesia Req'd 2 2 $288.20 $57.64 80% off $165.82 $1,000.00 $582.91 2025-10-06
29126 CPT Hchg Appl Short Arm Splint Forearm -hand Dynamic Rt 2 2 $448.80 $89.76 80% off $165.82 $1,000.00 $582.91 2025-10-06
29125 CPT Hchg Application Short Arm Splint Forearm To Hand 2 2 $312.80 $62.56 80% off $165.82 $1,000.00 $582.91 2025-10-06
15852 CPT Hchg Dressing Change (for Other Than Burns) Under Anesthesia (Other Than Local) 2 2 $5,963.10 $1,192.62 80% off $165.82 $1,000.00 $582.91 2025-10-06
11771 CPT Hchg Excision Of Pilonidal Cyst Or Sinus; Extensive 2 2 $11,479.60 $2,295.92 80% off $165.82 $1,000.00 $582.91 2025-10-06
10011 CPT Fine Needle Asp W Mr 2 2 $1,086.40 $217.28 80% off $165.82 $1,000.00 $582.91 2025-10-06
33225 CPT Insrt Lv Pcng Ld W Icd 2 2 $6,023.60 $1,204.72 80% off $165.82 $1,000.00 $582.91 2025-10-06
29105 CPT Hchg Application Long Arm Splt Shoulder To Hand 2 2 $312.80 $62.56 80% off $165.82 $1,000.00 $582.91 2025-10-06
29086 CPT Hchg Appl Cast Finger Second Digit Rt 2 2 $405.90 $81.18 80% off $165.82 $1,000.00 $582.91 2025-10-06
15851 CPT Hchg Removal Of Sutures Or Staples Requiring Anesthesia 2 2 $1,502.60 $300.52 80% off $165.82 $1,000.00 $582.91 2025-10-06
29085 CPT Hchg Appl Cast Hand And Lower Forearm Rt 2 2 $493.90 $98.78 80% off $165.82 $1,000.00 $582.91 2025-10-06
29075 CPT Hchg Appl Cast Elbow To Finger Rt 2 2 $543.40 $108.68 80% off $165.82 $1,000.00 $582.91 2025-10-06
15777 CPT Hchg Implantation Of Biologic Implant (Eg, Acellular Dermal Matrix) For Soft Tis… 2 2 $9,023.30 $1,804.66 80% off $165.82 $1,000.00 $582.91 2025-10-06
11760 CPT Hchg Repair Of Nail Bed 2 2 $2,814.90 $562.98 80% off $165.82 $1,000.00 $582.91 2025-10-06
29065 CPT Hchg Shoulder To Hand Long Arm Rt 2 2 $493.90 $98.78 80% off $165.82 $1,000.00 $582.91 2025-10-06
29058 CPT Hchg Appl Cast Plaster Velpeau Rt 2 2 $405.90 $81.18 80% off $165.82 $1,000.00 $582.91 2025-10-06
15773 CPT Hchg Grafting Of Autologous Fat Harvested By Liposuction Technique To Face, Eyel… 2 2 $13,053.70 $2,610.74 80% off $165.82 $1,000.00 $582.91 2025-10-06
29055 CPT Hchg App Cast Shoulder Spica 2 2 $968.00 $193.60 80% off $165.82 $1,000.00 $582.91 2025-10-06
29049 CPT Hchg App Cast Figure Eight 2 2 $968.00 $193.60 80% off $165.82 $1,000.00 $582.91 2025-10-06
15772 CPT Hchg Grafting Of Autologous Fat Harvested By Liposuction Technique To Trunk, Bre… 2 2 $5,750.80 $1,150.16 80% off $165.82 $1,000.00 $582.91 2025-10-06
11750 CPT Hchg Excision Of Nail And Nail Matrix, Partial Or Complete (Eg, Ingrown Or Defor… 2 2 $3,460.60 $692.12 80% off $165.82 $1,000.00 $582.91 2025-10-06
11102 CPT Hchg Tangential Biopsy Of Skin (Eg, Shave, Scoop, Saucerize, Curette); Single Le… 2 2 $1,170.40 $234.08 80% off $165.82 $1,000.00 $582.91 2025-10-06
28660 CPT Hchg Tx Closed Interphalangeal Joint Disloc Without Anesth Rt 2 2 $921.80 $184.36 80% off $165.82 $1,000.00 $582.91 2025-10-06
28630 CPT Hchg Tx Closed Sesamoid Fx Rt 2 2 $921.80 $184.36 80% off $165.82 $1,000.00 $582.91 2025-10-06
15771 CPT Hchg Grafting Of Autologous Fat Harvested By Liposuction Technique To Trunk, Bre… 2 2 $15,478.10 $3,095.62 80% off $165.82 $1,000.00 $582.91 2025-10-06
28600 CPT Hchg Tx Closed Tarsometatarsal Joint Dislocation Without Anesth Rt 2 2 $921.80 $184.36 80% off $165.82 $1,000.00 $582.91 2025-10-06
28570 CPT Hchg Tx Closed Talotarsal Joint Dislocation Without Anesth Rt 2 2 $921.80 $184.36 80% off $165.82 $1,000.00 $582.91 2025-10-06
15769 CPT Hchg Grafting Of Autologous Soft Tissue, Other, Harvested By Direct Excision (Eg… 2 2 $11,288.20 $2,257.64 80% off $165.82 $1,000.00 $582.91 2025-10-06
11719 CPT Hchg Trimming Of Fingernails Or Toenails Any Number 2 2 $326.70 $65.34 80% off $165.82 $1,000.00 $582.91 2025-10-06
28540 CPT Hchg Tx Closed Tarsal Dislocation Without Anesth Rt 2 2 $921.80 $184.36 80% off $165.82 $1,000.00 $582.91 2025-10-06
28530 CPT Hchg Tx Closed Sesamoid Fx Rt 2 2 $921.80 $184.36 80% off $165.82 $1,000.00 $582.91 2025-10-06
15576 CPT Hchg Formation Of Direct Or Tubed Pedicle, With Or Without Transfer; Eyelids, No… 2 2 $8,268.70 $1,653.74 80% off $165.82 $1,000.00 $582.91 2025-10-06
28510 CPT Hchg Tx Closed Toe Fx Without Manipulation Rt 2 2 $1,119.80 $223.96 80% off $165.82 $1,000.00 $582.91 2025-10-06
28490 CPT Hchg Tx Closed Big Toe Fx Without Manipulation Rt 2 2 $1,119.80 $223.96 80% off $165.82 $1,000.00 $582.91 2025-10-06
15574 CPT Hchg Formation Of Direct Or Tubed Pedicle, With Or Without Transfer; Forehead, C… 2 2 $7,995.90 $1,599.18 80% off $165.82 $1,000.00 $582.91 2025-10-06
J9027 HCPCS Clofarabine 1 Mg/ml Intravenous Solution 10 5 $15,495.50 $3,099.10 80% off $165.82 $1,000.00 $588.40 2025-10-06
J9120 HCPCS Dactinomycin 0.5 Mg Intravenous Solution 10 5 $6,347.25 $1,269.45 80% off $165.82 $1,000.00 $594.55 2025-10-06
J9185 HCPCS Fludarabine 50 Mg/2 Ml Intravenous Solution 10 5 $1,722.75 $344.55 80% off $165.82 $1,000.00 $604.75 2025-10-06
57415 CPT Removal Impacted Vag Fb Spx W/Anes Oth/Thn Local 10 5 $2,374.00 $474.80 80% off $165.82 $1,000.00 $606.00 2025-10-06
81439 CPT Hchg Hrdtry Cardmypy Gene Panel 10 5 $2,311.50 $462.30 80% off $165.82 $1,000.00 $633.04 2025-10-06
81448 CPT Hrdtry Perph Neurphy Panel 10 5 $3,277.50 $655.50 80% off $165.82 $1,000.00 $633.04 2025-10-06
81413 CPT Hchg Car Ion Chnnlpath Inc 10 Gns 10 5 $3,839.85 $767.97 80% off $165.82 $1,000.00 $633.04 2025-10-06
81414 CPT Hchg Car Ion Chnnlpath Inc 2 Gns 10 5 $2,507.00 $501.40 80% off $165.82 $1,000.00 $633.04 2025-10-06
J0587 HCPCS Rimabotulinumtoxinb 5,000 Unit/ml Intramuscular Solution 10 5 $4,329.50 $865.90 80% off $165.82 $1,000.00 $636.00 2025-10-06
81324 CPT Pmp22 Gene Dup/Delet 100 32 $2,556.45 $511.29 80% off $165.82 $1,000.00 $637.02 2025-10-06
81450 CPT Targeted Genomic Seq Analysis 5-50 100 32 $8,935.50 $1,787.10 80% off $165.82 $1,000.00 $638.01 2025-10-06
J9261 HCPCS Nelarabine 250 Mg/50 Ml Intravenous Solution 10 5 $6,861.25 $1,372.25 80% off $165.82 $1,000.00 $644.95 2025-10-06
81325 CPT Pmp22 Gene Full Sequence 100 32 $1,874.50 $374.90 80% off $165.82 $1,000.00 $646.45 2025-10-06
81445 CPT Targeted Genomic Seq Analys 10 5 $5,487.80 $1,097.56 80% off $165.82 $1,000.00 $647.12 2025-10-06
81201 CPT Apc Gene Analysis Full 100 32 $2,477.10 $495.42 80% off $165.82 $1,020.47 $655.20 2025-10-06
J1602 HCPCS Golimumab 12.5 Mg/ml Intravenous Solution 10 5 $16,517.50 $3,303.50 80% off $165.82 $1,000.00 $664.50 2025-10-06
80412 CPT Cortrosyn Stim Test 100 32 $319.70 $63.94 80% off $165.82 $1,000.00 $673.36 2025-10-06
J1212 HCPCS Dimethyl Sulfoxide 50 % Intravesical Solution 10 5 $5,560.75 $1,112.15 80% off $165.82 $1,000.00 $682.52 2025-10-06
Q5115 HCPCS Rituximab-abbs 10 Mg/ml Intravenous Solution 18 5 $4,690.75 $938.15 80% off $165.82 $1,989.50 $698.95 2025-10-06
33741 CPT Transcatheter Atrial Septostomy Balloon 10 5 $20,736.10 $4,147.22 80% off $165.82 $1,000.00 $709.52 2025-10-06
81407 CPT Mopath Procedure Level 8 100 32 $10,511.00 $2,102.20 80% off $165.82 $1,000.00 $710.87 2025-10-06
J1459 HCPCS Immune Glob,gamm(igg) 10 %-pro-iga 0 To 50 Mcg/ml Intravenous Solution 18 5 $11,308.75 $2,261.75 80% off $165.82 $1,000.00 $719.85 2025-10-06
J0475 HCPCS Baclofen 40,000 Mcg/20 Ml (2,000 Mcg/ml) Intrathecal Solution 10 5 $5,715.25 $1,143.05 80% off $165.82 $1,000.00 $729.96 2025-10-06
81307 CPT Hchg Palb2 Gene Full Gene Seq 10 5 $4,994.45 $998.89 80% off $165.82 $1,000.00 $732.18 2025-10-06
81175 CPT Asxl1 Full Gene Sequence 10 5 $2,334.50 $466.90 80% off $165.82 $1,000.00 $732.18 2025-10-06
81431 CPT Hearing Loss Dup/Del Analys 10 5 $1,490.40 $298.08 80% off $165.82 $1,000.00 $735.50 2025-10-06
J1561 HCPCS Immune Globu G 1 Gram/10 Ml(10 %)-gly-iga Ave 46 Mcg/ml Injection Soln 34 5 $4,924.00 $984.80 80% off $101.28 $4,051.20 $753.20 2025-10-06
J1745 HCPCS Infliximab 100 Mg Intravenous Solution 95 30 $8,149.25 $1,629.85 80% off $165.82 $1,000.00 $768.90 2025-10-06
0282U CPT Rbc DNA Gntyp 12 Bld Grp Gen 10 5 $1,476.60 $295.32 80% off $165.82 $1,000.00 $779.26 2025-10-06
37218 CPT Hchg Stent Placement, Common Carotid Or Brachiocephalic 10 5 $10,402.70 $2,080.54 80% off $165.82 $1,000.00 $779.54 2025-10-06
J0490 HCPCS Belimumab 120 Mg Intravenous Solution 18 5 $3,661.75 $732.35 80% off $165.82 $2,037.20 $805.58 2025-10-06
J9055 HCPCS Cetuximab 100 Mg/50 Ml Intravenous Solution 18 5 $3,556.25 $711.25 80% off $165.82 $1,441.60 $860.40 2025-10-06
J9035 HCPCS Bevacizumab 25 Mg/ml Intravenous Solution 18 5 $23,785.00 $4,757.00 80% off $165.82 $2,943.20 $867.90 2025-10-06
J7195 HCPCS Coagulation Factor Ix (recomb) 500 Unit Intravenous Solution 10 5 $3,801.75 $760.35 80% off $165.82 $1,000.00 $880.00 2025-10-06
33621 CPT Hchg Insrt Cth Stn Plc Hyb I 10 5 $7,849.60 $1,569.92 80% off $165.82 $1,000.00 $882.13 2025-10-06
J9312 HCPCS Rituximab 10 Mg/ml Concentrate,intravenous 18 5 $6,103.50 $1,220.70 80% off $165.82 $4,052.00 $905.20 2025-10-06
78832 CPT Nuclear Medicine Study, Spect Imaging With Concurrent CT Scan, At Leas 92 29 $5,504.80 $1,100.96 80% off $165.82 $1,000.00 $908.50 2025-10-06
81185 CPT Cacna1a Gene Full Gene Seq 10 5 $2,919.85 $583.97 80% off $165.82 $1,000.00 $915.92 2025-10-06
J7511 HCPCS Anti-thymocyte Globulin (rabbit) 25 Mg Intravenous Solution 10 5 $4,678.00 $935.60 80% off $165.82 $1,000.00 $920.53 2025-10-06
J1568 HCPCS Immune Glob,gamm(igg)10 %-malt-iga Over 50 Mcg/ml Intravenous Solution 18 5 $16,492.00 $3,298.40 80% off $165.82 $1,764.80 $941.20 2025-10-06
J0485 HCPCS Belatacept 250 Mg Intravenous Solution 10 5 $6,768.00 $1,353.60 80% off $165.82 $1,000.00 $945.00 2025-10-06
J9330 HCPCS Temsirolimus 30 Mg/3 Ml (10 Mg/ml) (first Dilution) Intravenous Soln 10 5 $14,194.75 $2,838.95 80% off $165.82 $1,009.20 $1,009.20 2025-10-06
81465 CPT Whole Mitochondrial Deletions 10 5 $7,534.80 $1,506.96 80% off $165.82 $1,013.03 $1,013.03 2025-10-06
J0841 HCPCS Antivenin Crotalidae (equine) Solution For Injection 10 5 $6,969.75 $1,393.95 80% off $165.82 $1,019.46 $1,019.46 2025-10-06
J2506 HCPCS Pegfilgrastim 6 Mg/0.6 Ml Subcutaneous Syringe 10 5 $22,271.25 $4,454.25 80% off $165.82 $1,028.52 $1,028.52 2025-10-06
J2783 HCPCS Rasburicase 7.5 Mg Intravenous Solution 18 5 $18,282.75 $3,656.55 80% off $165.82 $5,360.40 $1,072.08 2025-10-06
J1931 HCPCS Laronidase 2.9 Mg/5 Ml Intravenous Solution 10 5 $9,452.75 $1,890.55 80% off $165.82 $1,074.16 $1,074.16 2025-10-06
J0180 HCPCS Agalsidase Beta 35 Mg Intravenous Solution 18 5 $45,516.75 $9,103.35 80% off $165.82 $7,538.30 $1,076.90 2025-10-06
J0129 HCPCS Abatacept (with Maltose) 250 Mg Intravenous Solution 10 5 $9,013.25 $1,802.65 80% off $165.82 $1,081.75 $1,081.75 2025-10-06
61624 CPT Emboliz Intracaran/Spinal 10 5 $7,517.40 $1,503.48 80% off $165.82 $1,107.13 $1,107.13 2025-10-06
81411 CPT Hchg Aortic Dysfunction/Dilation 100 32 $2,715.15 $543.03 80% off $165.82 $1,461.31 $1,134.16 2025-10-06
J2357 HCPCS Omalizumab 150 Mg/ml Subcutaneous Syringe 10 5 $7,776.25 $1,555.25 80% off $165.82 $1,181.40 $1,181.40 2025-10-06
J3262 HCPCS Tocilizumab 80 Mg/4 Ml (20 Mg/ml) Intravenous Solution 26 5 $8,413.75 $1,682.75 80% off $165.82 $2,364.00 $1,182.00 2025-10-06
J9264 HCPCS Paclitaxel Protein-bound 100 Mg Intravenous Suspension 10 5 $5,970.75 $1,194.15 80% off $165.82 $1,206.00 $1,206.00 2025-10-06
81277 CPT Hchg Cytogenomic Neo Microra Alys 10 5 $3,906.55 $781.31 80% off $165.82 $1,255.47 $1,255.47 2025-10-06
33477 CPT Hchg Prosth Pul Valve Endovas 10 5 $17,904.70 $3,580.94 80% off $165.82 $1,276.89 $1,276.89 2025-10-06
J0630 HCPCS Calcitonin (salmon) 200 Unit/ml Injection Solution 10 5 $5,280.00 $1,056.00 80% off $165.82 $1,366.44 $1,366.44 2025-10-06
Q5119 HCPCS Rituximab-pvvr 10 Mg/ml Intravenous Solution 10 5 $30,428.25 $6,085.65 80% off $165.82 $1,375.50 $1,375.50 2025-10-06
J2860 HCPCS Siltuximab 100 Mg Intravenous Solution 18 5 $8,402.25 $1,680.45 80% off $165.82 $5,568.80 $1,392.20 2025-10-06
81460 CPT Whole Mitochondrial Sequencing 10 5 $8,560.60 $1,712.12 80% off $165.82 $1,392.92 $1,392.92 2025-10-06
J1322 HCPCS Elosulfase Alfa 5 Mg/5 Ml (1 Mg/ml) Intravenous Solution 10 5 $7,957.00 $1,591.40 80% off $165.82 $1,400.65 $1,400.65 2025-10-06
81162 CPT Brca1&2 Gen Full Seq Dup/Del 100 32 $13,466.50 $2,693.30 80% off $165.82 $1,975.07 $1,532.90 2025-10-06
33620 CPT Hchg Rt&Lt Pa Band Hybrd I 10 5 $7,849.60 $1,569.92 80% off $165.82 $1,560.63 $1,560.63 2025-10-06
J3358 HCPCS Ustekinumab 130 Mg/26 Ml Intravenous Solution 10 5 $17,996.00 $3,599.20 80% off $165.82 $1,636.70 $1,636.70 2025-10-06
81408 CPT Mopath Procedure Level 9 100 32 $4,246.95 $849.39 80% off $165.82 $2,164.60 $1,680.00 2025-10-06
90375 HCPCS Rabies Immune Globulin (pf) 300 Unit/ml Intramuscular Solution 26 5 $16,867.00 $3,373.40 80% off $165.82 $2,846.80 $1,708.08 2025-10-06
J0178 HCPCS Aflibercept 2 Mg/0.05 Ml Intravitreal Solution For Injection 10 5 $12,306.75 $2,461.35 80% off $165.82 $1,751.34 $1,751.34 2025-10-06
81430 CPT Hearing Loss Sequence Analys 10 5 $1,490.40 $298.08 80% off $165.82 $1,758.74 $1,758.74 2025-10-06
J3240 HCPCS Thyrotropin Alfa 0.9 Mg Intramuscular Solution 10 5 $6,317.00 $1,263.40 80% off $165.82 $2,001.49 $2,001.49 2025-10-06
J0840 HCPCS Crotalidae Polyval Immune Fab Solution For Injection 10 5 $14,183.00 $2,836.60 80% off $165.82 $2,056.35 $2,056.35 2025-10-06
0152U CPT Nfct Ds DNA Untrgt Ngnrj Seq 10 5 $7,899.35 $1,579.87 80% off $165.82 $2,301.19 $2,301.19 2025-10-06
J1458 HCPCS Galsulfase 5 Mg/5 Ml Intravenous Solution 10 5 $15,757.75 $3,151.55 80% off $165.82 $2,309.60 $2,309.60 2025-10-06
81442 CPT Noonan Spectrum Disord. 10 5 $5,537.25 $1,107.45 80% off $165.82 $2,320.02 $2,320.02 2025-10-06
J7189 HCPCS Coagulation Factor Viia Recomb 1 Mg (1,000 Mcg) Intravenous Solution 18 5 $23,857.00 $4,771.40 80% off $165.82 $4,680.00 $2,340.00 2025-10-06
81455 CPT Targeted Genomic Seq Analysis 51+ 100 32 $23,064.40 $4,612.88 80% off $165.82 $3,159.88 $2,452.46 2025-10-06
0276U CPT Hchg Hem Inh Thrombocytopenia 42 10 5 $8,207.55 $1,641.51 80% off $165.82 $2,650.07 $2,650.07 2025-10-06
81443 CPT Hchg Genetic Tstg Severe Inh Cond 10 5 $8,243.20 $1,648.64 80% off $165.82 $2,650.07 $2,650.07 2025-10-06
81419 CPT Epilepsy Gen Seq Alys Panel 10 5 $5,924.80 $1,184.96 80% off $165.82 $2,650.07 $2,650.07 2025-10-06
A0430 HCPCS Amb Fixed Wing Base Rate 122 38 $21,885.00 $4,377.00 80% off $165.82 $3,513.39 $2,892.84 2025-10-06
81426 CPT Genome Sequence Analysis-each Comparator Genome 10 5 $11,774.85 $2,354.97 80% off $165.82 $2,932.98 $2,932.98 2025-10-06
81229 CPT Cytogen M Array Copy No&Snp 10 5 $4,347.00 $869.40 80% off $165.82 $2,980.80 $2,980.80 2025-10-06
J7504 HCPCS Lymphocyte,anti-thymo Immune Globulin 50 Mg/ml Intravenous Solution 10 5 $32,068.50 $6,413.70 80% off $165.82 $2,989.44 $2,989.44 2025-10-06
81456 CPT Hchg Tgsap So/Hl 51/< RNA Alys 10 5 $11,971.50 $2,394.30 80% off $165.82 $3,159.88 $3,159.88 2025-10-06
J0597 HCPCS C1 Esterase Inhibitor 500 Unit (10 Ml) Intravenous Kit 10 5 $12,019.50 $2,403.90 80% off $165.82 $3,222.50 $3,222.50 2025-10-06
J1743 HCPCS Idursulfase 6 Mg/3 Ml Intravenous Solution 10 5 $20,464.75 $4,092.95 80% off $165.82 $3,257.70 $3,257.70 2025-10-06
A0431 CPT Amb Rotary Wing Base Rate 122 38 $25,520.00 $5,104.00 80% off $165.82 $4,084.85 $3,363.35 2025-10-06
J9352 HCPCS Trabectedin 1 Mg Intravenous Solution 10 5 $19,479.75 $3,895.95 80% off $165.82 $3,372.80 $3,372.80 2025-10-06
81440 CPT Mitochondrial Gene 10 5 $1,437.50 $287.50 80% off $165.82 $3,597.57 $3,597.57 2025-10-06
J2997 HCPCS Alteplase 2 Mg/2 Ml Solution 26 5 $27,879.75 $5,575.95 80% off $165.82 $8,915.00 $4,457.50 2025-10-06
J9021 HCPCS Asparaginase Erwinia Chrysanthemi-rywn 10 Mg/0.5 Ml IM Solution 10 5 $28,037.00 $5,607.40 80% off $165.82 $4,953.00 $4,953.00 2025-10-06
J9039 HCPCS Blinatumomab 35 Mcg Intravenous Kit 10 5 $56,612.50 $11,322.50 80% off $165.82 $5,063.80 $5,063.80 2025-10-06
81415 CPT Whole Genome Sequencing 10 5 $14,090.95 $2,818.19 80% off $165.82 $5,173.39 $5,173.39 2025-10-06
81425 CPT Genome Sequence Analysis 10 5 $21,859.20 $4,371.84 80% off $165.82 $5,445.27 $5,445.27 2025-10-06
J9271 HCPCS Pembrolizumab 25 Mg/ml Intravenous Solution 10 5 $37,368.00 $7,473.60 80% off $165.82 $5,481.00 $5,481.00 2025-10-06
J1950 HCPCS Leuprolide 30 Mg (pediatric 3 Month) Intramuscular Syringe Kit 42 5 $34,365.50 $6,873.10 80% off $165.82 $18,522.24 $6,174.08 2025-10-06
J9266 HCPCS Pegaspargase 750 Unit/ml Injection Solution 95 30 $155,930.25 $31,186.05 80% off $165.82 $25,762.46 $6,233.87 2025-10-06
J1303 HCPCS Ravulizumab-cwvz 100 Mg/ml Intravenous Solution 18 5 $167,130.00 $33,426.00 80% off $165.82 $24,406.80 $6,656.40 2025-10-06
J3380 HCPCS Vedolizumab 300 Mg Intravenous Solution 10 5 $59,304.50 $11,860.90 80% off $165.82 $6,804.00 $6,804.00 2025-10-06
J9301 HCPCS Obinutuzumab 1,000 Mg/40 Ml Intravenous Solution 10 5 $57,026.00 $11,405.20 80% off $165.82 $7,055.00 $7,055.00 2025-10-06
37248 CPT Venous Angioplasty 20 5 $9,495.20 $1,899.04 80% off $165.82 $7,166.00 $7,166.00 2025-10-06
36556 CPT Cv Line => 5 Years Old 20 5 $2,316.60 $463.32 80% off $165.82 $7,166.00 $7,166.00 2025-10-06
36005 CPT Hchg Inject Contrast Ext Veno 20 5 $2,652.10 $530.42 80% off $165.82 $7,166.00 $7,166.00 2025-10-06
36226 CPT Hchg Angio,Vetebral Cerv /Intracranial 20 5 $4,964.30 $992.86 80% off $165.82 $7,166.00 $7,166.00 2025-10-06
36246 CPT Scp 2nd Art Abd,Pel, L/e 20 5 $1,219.90 $243.98 80% off $165.82 $7,166.00 $7,166.00 2025-10-06
36215 CPT Scp 1st Thor Or Brach Art 20 5 $1,529.00 $305.80 80% off $165.82 $7,166.00 $7,166.00 2025-10-06
36225 CPT Hchg Angio,Sbclvn/Inno Vrtbrl 20 5 $4,964.30 $992.86 80% off $165.82 $7,166.00 $7,166.00 2025-10-06
93594 CPT Hchg Rt Ht Cong Abl Nc 20 5 $7,646.10 $1,529.22 80% off $165.82 $7,166.00 $7,166.00 2025-10-06
92987 CPT Mitral Valvuloplasty 20 5 $12,266.10 $2,453.22 80% off $165.82 $7,166.00 $7,166.00 2025-10-06
93620 CPT Ep Ra Rv&His W Induc Arry 20 5 $12,876.60 $2,575.32 80% off $165.82 $7,166.00 $7,166.00 2025-10-06
33745 CPT Stent Intra-cardiac, Initial 28 8 $11,618.20 $2,323.64 80% off $165.82 $7,166.00 $7,166.00 2025-10-06
93458 CPT Hchg Lt Hrt Cor/Lv Angio 20 5 $12,796.30 $2,559.26 80% off $165.82 $7,166.00 $7,166.00 2025-10-06
36620 CPT Aterial Cannula/Monitor 20 5 $1,899.70 $379.94 80% off $165.82 $7,166.00 $7,166.00 2025-10-06
36216 CPT Scp 2nd Thor Or Brach Art 20 5 $1,430.00 $286.00 80% off $165.82 $7,166.00 $7,166.00 2025-10-06
36015 CPT Scp Seg Or Subseg Pul Art 20 5 $1,698.40 $339.68 80% off $165.82 $7,166.00 $7,166.00 2025-10-06
36247 CPT Scp 3rd Art Abd,Pel,L/E 20 5 $1,521.30 $304.26 80% off $165.82 $7,166.00 $7,166.00 2025-10-06
33212 CPT Insrt/Rplc Pm Only-single 20 5 $21,665.60 $4,333.12 80% off $165.82 $7,166.00 $7,166.00 2025-10-06
36227 CPT Hchg Angio Carotid Extrn Uni 20 5 $2,414.50 $482.90 80% off $165.82 $7,166.00 $7,166.00 2025-10-06
93657 CPT Hchg Add Ablt L R Atrm Afib 20 5 $7,625.20 $1,525.04 80% off $165.82 $7,166.00 $7,166.00 2025-10-06
93593 CPT Rt Ht Cong Nl Nc 20 5 $5,913.60 $1,182.72 80% off $165.82 $7,166.00 $7,166.00 2025-10-06
93799 CPT Hchg Stenting A Fontan Fenestration 20 5 $16,487.90 $3,297.58 80% off $165.82 $7,166.00 $7,166.00 2025-10-06
92937 CPT Prq Trluml Coronary Byp Grft Revasc One Vessel 20 5 $19,264.30 $3,852.86 80% off $165.82 $7,166.00 $7,166.00 2025-10-06
93455 CPT Hchg Cor Art/Grft Angio S&i 20 5 $13,120.80 $2,624.16 80% off $165.82 $7,166.00 $7,166.00 2025-10-06
36254 CPT Hchg Scp Rnl Art 2nd Ordr Bil 20 5 $16,060.00 $3,212.00 80% off $165.82 $7,166.00 $7,166.00 2025-10-06
33207 CPT Hchg Insrt/Rpl Pm Vntrclr 20 5 $21,665.60 $4,333.12 80% off $165.82 $7,166.00 $7,166.00 2025-10-06
93505 CPT Biopsy Endomyocardial 20 5 $2,972.20 $594.44 80% off $165.82 $7,166.00 $7,166.00 2025-10-06
93588 CPT Hchg Venography Chd Venovenous Collateral Below Heart 20 5 $2,956.80 $591.36 80% off $165.82 $7,166.00 $7,166.00 2025-10-06
93609 CPT Map Tachy Intra V/a 20 5 $14,738.90 $2,947.78 80% off $165.82 $7,166.00 $7,166.00 2025-10-06
93656 CPT Hchg Ep W Afib Abl Vt P.v.i. 20 5 $20,336.80 $4,067.36 80% off $165.82 $7,166.00 $7,166.00 2025-10-06
10160 CPT Hchg Puncture Aspir Of Abcess, Hematoma, Bulla, Cyst 20 5 $1,713.80 $342.76 80% off $165.82 $7,166.00 $7,166.00 2025-10-06
93456 CPT Hchg Rt Hrt Cor Art Angio 20 5 $13,522.30 $2,704.46 80% off $165.82 $7,166.00 $7,166.00 2025-10-06
93653 CPT Hchg Ep Eval W Ablation Svt 20 5 $47,844.50 $9,568.90 80% off $165.82 $7,166.00 $7,166.00 2025-10-06
93613 CPT 3-d Mapping Tachycardia 20 5 $10,631.50 $2,126.30 80% off $165.82 $7,166.00 $7,166.00 2025-10-06
93452 CPT Hchg Lt Hrt Cath W/Ventric 20 5 $12,422.30 $2,484.46 80% off $165.82 $7,166.00 $7,166.00 2025-10-06
92950 CPT Hchg Cpr 20 5 $724.90 $144.98 80% off $165.82 $7,166.00 $7,166.00 2025-10-06
93596 CPT Rt & Lt Ht Cong Nl Nc 20 5 $5,913.60 $1,182.72 80% off $165.82 $7,166.00 $7,166.00 2025-10-06
36217 CPT Scp 3rd> Thor Or Brach Ar 20 5 $1,698.40 $339.68 80% off $165.82 $7,166.00 $7,166.00 2025-10-06
93462 CPT Hchg Lt Hrt Cath Trnsptl Punc 20 5 $2,150.50 $430.10 80% off $165.82 $7,166.00 $7,166.00 2025-10-06
36200 CPT Scp Aorta 20 5 $2,026.20 $405.24 80% off $165.82 $7,166.00 $7,166.00 2025-10-06
32557 CPT Plu Drn W Ind Cath W Image 20 5 $2,237.40 $447.48 80% off $165.82 $7,166.00 $7,166.00 2025-10-06
37236 CPT Stent-initial 20 5 $5,954.30 $1,190.86 80% off $165.82 $7,166.00 $7,166.00 2025-10-06
33894 CPT Hchg Evasc St Rpr Thrc/Aa Acrs Br 28 8 $10,662.30 $2,132.46 80% off $165.82 $7,166.00 $7,166.00 2025-10-06
33897 CPT Perq Trluml Angp Nt/Recr Coa 28 8 $6,944.30 $1,388.86 80% off $165.82 $7,166.00 $7,166.00 2025-10-06
33222 CPT Rev/Reloc Skin Pocket 20 5 $15,306.50 $3,061.30 80% off $165.82 $7,166.00 $7,166.00 2025-10-06
36014 CPT Scp Lt Or Rt Pul Art 20 5 $1,698.40 $339.68 80% off $165.82 $7,166.00 $7,166.00 2025-10-06
36221 CPT Angio Arch 20 5 $2,234.10 $446.82 80% off $165.82 $7,166.00 $7,166.00 2025-10-06
37247 CPT Artery Angioplasty, Ea Additional Artery 20 5 $5,707.90 $1,141.58 80% off $165.82 $7,166.00 $7,166.00 2025-10-06
33017 CPT Hchg Pericardial Drainage >6 Yrs Non-congenital 28 8 $6,332.70 $1,266.54 80% off $165.82 $7,166.00 $7,166.00 2025-10-06
33208 CPT Hchg Insrt/Rpl Pm Atrial&Vent 20 5 $29,086.20 $5,817.24 80% off $165.82 $7,166.00 $7,166.00 2025-10-06
37239 CPT Hchg Stent Ea Add Vein 20 5 $2,651.00 $530.20 80% off $165.82 $7,166.00 $7,166.00 2025-10-06
36010 CPT Intro Cath Svc Or Ivc 20 5 $1,529.00 $305.80 80% off $165.82 $7,166.00 $7,166.00 2025-10-06
36248 CPT Scp Add 2/3 > Abd Pel L/e 20 5 $1,617.00 $323.40 80% off $165.82 $7,166.00 $7,166.00 2025-10-06
36252 CPT Hchg Angio Renal Bil W/wo Flsh 20 5 $4,392.30 $878.46 80% off $165.82 $7,166.00 $7,166.00 2025-10-06
37249 CPT Venous Angioplasty Ea Add 20 5 $8,849.50 $1,769.90 80% off $165.82 $7,166.00 $7,166.00 2025-10-06
36251 CPT Hchg Angio Renal Uni W/wo Flsh 20 5 $4,049.10 $809.82 80% off $165.82 $7,166.00 $7,166.00 2025-10-06
36224 CPT Hchg Angio, Carotid, Cerebral, Bil 20 5 $5,384.50 $1,076.90 80% off $165.82 $7,166.00 $7,166.00 2025-10-06
37246 CPT Hchg Angplsty Prphrl Artry S&i 20 5 $2,662.00 $532.40 80% off $165.82 $7,166.00 $7,166.00 2025-10-06
93457 CPT Hchg Rt Hrt Cor/Grft Angio 20 5 $17,760.60 $3,552.12 80% off $165.82 $7,166.00 $7,166.00 2025-10-06
93654 CPT Hchg Ep Eval W Ablation Vt 20 5 $20,332.40 $4,066.48 80% off $165.82 $7,166.00 $7,166.00 2025-10-06
92997 CPT Pulmonary Angioplasty 20 5 $9,497.40 $1,899.48 80% off $165.82 $7,166.00 $7,166.00 2025-10-06
37238 CPT Hchg Trncth Pl Stn Opn Int Vs 20 5 $5,299.80 $1,059.96 80% off $165.82 $7,166.00 $7,166.00 2025-10-06
36555 CPT Cv Line < 5 Years Old 20 5 $2,316.60 $463.32 80% off $165.82 $7,166.00 $7,166.00 2025-10-06
92960 CPT Cardioversion 20 5 $1,805.10 $361.02 80% off $165.82 $7,166.00 $7,166.00 2025-10-06
93451 CPT Hchg Right Heart Cath 20 5 $12,775.40 $2,555.08 80% off $165.82 $7,166.00 $7,166.00 2025-10-06
93454 CPT Hchg Coronary Art Angio S&i 20 5 $9,807.60 $1,961.52 80% off $165.82 $7,166.00 $7,166.00 2025-10-06
93461 CPT Hchg Rt&Lt Hrt Cor/Lv/Grft 20 5 $25,005.20 $5,001.04 80% off $165.82 $7,166.00 $7,166.00 2025-10-06
93503 CPT Arterial Line Monitoring 20 5 $1,931.60 $386.32 80% off $165.82 $7,166.00 $7,166.00 2025-10-06
93584 CPT Injection Lsvc 20 5 $2,956.80 $591.36 80% off $165.82 $7,166.00 $7,166.00 2025-10-06
93587 CPT Hchg Venography Chd Venovenous Coltrl at/Above Hrt 20 5 $2,956.80 $591.36 80% off $165.82 $7,166.00 $7,166.00 2025-10-06
93595 CPT Lt Ht Cong Nl Or Abn Nc 20 5 $9,867.00 $1,973.40 80% off $165.82 $7,166.00 $7,166.00 2025-10-06
93598 CPT Cardiac Output Thermodilution 20 5 $1,161.60 $232.32 80% off $165.82 $7,166.00 $7,166.00 2025-10-06
93623 CPT Ep W Stim/Pacing IV Drug 20 5 $12,158.30 $2,431.66 80% off $165.82 $7,166.00 $7,166.00 2025-10-06
93655 CPT Hchg Intrcrd Abl; Add On Proc 20 5 $7,999.20 $1,599.84 80% off $165.82 $7,166.00 $7,166.00 2025-10-06
93464 CPT Hchg Exerc W/Hemodynamic Meas 20 5 $9,989.10 $1,997.82 80% off $165.82 $7,166.00 $7,166.00 2025-10-06
93580 CPT Asd Occl Proc W Device 20 5 $18,934.30 $3,786.86 80% off $165.82 $7,166.00 $7,166.00 2025-10-06
93581 CPT Vsd Closure W/Implant 20 5 $18,383.20 $3,676.64 80% off $165.82 $7,166.00 $7,166.00 2025-10-06
93586 CPT Hchg Venography Chd Coronary Sinus 20 5 $2,956.80 $591.36 80% off $165.82 $7,166.00 $7,166.00 2025-10-06
33895 CPT Hchg Evas St Rpr Thrc/Aa X Crsg 28 8 $8,482.10 $1,696.42 80% off $165.82 $7,166.00 $7,166.00 2025-10-06
36228 CPT Hchg Angio Ea Add Intrcrnl/Vert 20 5 $4,964.30 $992.86 80% off $165.82 $7,166.00 $7,166.00 2025-10-06
36218 CPT Scp Add 2 Or 3 Ord Art Th 20 5 $1,698.40 $339.68 80% off $165.82 $7,166.00 $7,166.00 2025-10-06
93460 CPT Hchg Rt&Lt Hrt Cor/Lv 20 5 $20,764.70 $4,152.94 80% off $165.82 $7,166.00 $7,166.00 2025-10-06
36245 CPT Scp 1st Art Abd,Pel,L/E 20 5 $1,305.70 $261.14 80% off $165.82 $7,166.00 $7,166.00 2025-10-06
36012 CPT Scp 2nd Ordr Vein Or Hghr 20 5 $1,431.10 $286.22 80% off $165.82 $7,166.00 $7,166.00 2025-10-06
93597 CPT Rt & Lt Ht Cong Abl Nc 20 5 $22,055.00 $4,411.00 80% off $165.82 $7,166.00 $7,166.00 2025-10-06
93585 CPT Hchg Venography Chd Azygos/Hemiazygos Venous System 20 5 $2,956.80 $591.36 80% off $165.82 $7,166.00 $7,166.00 2025-10-06
93459 CPT Hchg Lt Hrt Cor/Lv/Grft Angio 20 5 $17,037.90 $3,407.58 80% off $165.82 $7,166.00 $7,166.00 2025-10-06
33018 CPT Hchg Pericardial Drainage <= 5yrs/Congenital Cardiac All Ages 28 8 $7,773.70 $1,554.74 80% off $165.82 $7,166.00 $7,166.00 2025-10-06
61626 CPT Hchg Emboliz Hd Nck Extracran 20 5 $7,093.90 $1,418.78 80% off $165.82 $7,166.00 $7,166.00 2025-10-06
33240 CPT Hchg Insrtn Aicd Only W Ex Sng Lead 20 5 $52,085.00 $10,417.00 80% off $165.82 $7,166.00 $7,166.00 2025-10-06
36013 CPT Hchg Introd Cthtr Rt Ht Or Mpa 20 5 $2,700.50 $540.10 80% off $165.82 $7,166.00 $7,166.00 2025-10-06
99195 CPT Therapeutic Phlebotomy 20 5 $2,036.10 $407.22 80% off $165.82 $7,166.00 $7,166.00 2025-10-06
36253 CPT Hchg Scp Rnl Art 2nd Ordr Uni 20 5 $14,896.20 $2,979.24 80% off $165.82 $7,166.00 $7,166.00 2025-10-06
93453 CPT Hchg Rt&Lt Hrt Cath W/Ventric 20 5 $20,392.90 $4,078.58 80% off $165.82 $7,166.00 $7,166.00 2025-10-06
33206 CPT Hchg Insrt/Rpl Pm Atrial 20 5 $23,427.80 $4,685.56 80% off $165.82 $7,166.00 $7,166.00 2025-10-06
33016 CPT Periocardiocentesis 20 5 $6,332.70 $1,266.54 80% off $165.82 $7,166.00 $7,166.00 2025-10-06
49185 CPT Hchg Sclerotherapy Of A Fluid Collection 20 5 $4,771.80 $954.36 80% off $165.82 $7,166.00 $7,166.00 2025-10-06
37237 CPT Stent Each Additional 20 5 $3,132.80 $626.56 80% off $165.82 $7,166.00 $7,166.00 2025-10-06
36223 CPT Angio Carotid Cervical Un 20 5 $4,964.30 $992.86 80% off $165.82 $7,166.00 $7,166.00 2025-10-06
J9203 HCPCS Gemtuzumab Ozogamicin 4.5 Mg (1 Mg/ml Initial Concentration) IV Soln 10 5 $64,600.00 $12,920.00 80% off $165.82 $9,787.05 $9,787.05 2025-10-06
J9042 HCPCS Brentuximab Vedotin 50 Mg Intravenous Solution 10 5 $31,401.00 $6,280.20 80% off $165.82 $11,098.00 $11,098.00 2025-10-06
81416 CPT Exome Sequence Analysis, Family Member 10 5 $3,516.70 $703.34 80% off $165.82 $12,987.60 $12,987.60 2025-10-06
J3357 HCPCS Ustekinumab 90 Mg/ml Subcutaneous Syringe 10 5 $69,508.75 $13,901.75 80% off $165.82 $13,288.50 $13,288.50 2025-10-06
J0206 HCPCS Allopurinol 500 Mg Intravenous Solution 10 5 $126,310.25 $25,262.05 80% off $165.82 $14,525.00 $14,525.00 2025-10-06
J1290 HCPCS Ecallantide 10 Mg/ml (1 Ml) Subcutaneous Solution 10 5 $52,905.75 $10,581.15 80% off $165.82 $15,921.60 $15,921.60 2025-10-06
J9210 HCPCS Emapalumab-lzsg 5 Mg/ml Intravenous Solution 26 5 $95,874.25 $19,174.85 80% off $165.82 $39,372.00 $19,686.00 2025-10-06
J9229 HCPCS Inotuzumab Ozogamicin 0.9 Mg(0.25 Mg/ml Initial Concentration) IV Soln 10 5 $126,276.25 $25,255.25 80% off $165.82 $22,319.64 $22,319.64 2025-10-06
J1951 HCPCS Leuprolide 45 Mg (pediatric 6 Month) Subcutaneous Syringe 10 5 $173,879.50 $34,775.90 80% off $165.82 $24,985.80 $24,985.80 2025-10-06
J2507 HCPCS Pegloticase 8 Mg/ml Intravenous Solution 10 5 $194,787.75 $38,957.55 80% off $165.82 $26,147.60 $26,147.60 2025-10-06
J9118 HCPCS Calaspargase Pegol-mknl 750 Unit/ml Intravenous Solution 10 5 $168,845.25 $33,769.05 80% off $165.82 $27,326.25 $27,326.25 2025-10-06
PX-3100812 CDM Organ Cadaver Donor 13 3 $208,195.90 $41,639.18 80% off $165.82 $75,000.00 $75,000.00 2025-10-06
PX-3100811 CDM Organ Living Donor 13 3 $184,107.41 $36,821.48 80% off $165.82 $75,000.00 $75,000.00 2025-10-06
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