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

COPLEY HOSPITAL

Morrisville, VT · CCN 471305 · Rates published

6,215 distinct procedures filed
7 distinct payers
74,510 rate rows
2026-05-09 last MRF observed
Data quality

70,880 of 74,510 rate rows are consumer-grade (95.1%)

3,630 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 3,570
per-diem day rate — not a per-procedure price 37
exceeds 10× this hospital's gross charge — excluded from medians 18
placeholder amount (≤ $0.02) — excluded from medians 5
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.copleyvt.org/030179423_Copley-Hospital_standardcharges.csv
Found on page https://www.copleyvt.org/for-patients-and-visitors/billing-and-insurance/
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-10-21
Content fingerprint bc1ed12bec23595d… · 4,247,790 bytes · first seen 2026-05-09

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
7100711
OTHER 		Ipilimumab Inj Sdv 200mg/40ml 7 $26,774.38 $59,152.70 $37,804.80 nat. median
$718
outlier · 52.6×
7100984
OTHER 		Ocrelizumab Inj Sdv 300mg/10ml (nf) 7 $17,800.71 $39,327.15 $25,134.19 nat. median
$25,134
1.0× median
7101196
OTHER 		Risankizumab-rzaa Inj Syr 75mg/0.83ml 7 $16,880.94 $37,295.10 $23,835.50 nat. median
$23,835
1.0× median
7100270
OTHER 		Cabazitaxel Inj Sdv 60mg/1.5ml 7 $13,111.13 $28,966.45 $18,512.61 nat. median
$1,626
outlier · 11.4×
7101107
OTHER 		Pralatrexate Inj Sdv: 40mg/2ml 7 $9,899.03 $21,869.95 $13,977.20 nat. median
$13,977
1.0× median
7100196
OTHER 		Atezolizumab Inj Sdv 1200mg/20ml 7 $9,740.36 $21,519.40 $13,753.16 nat. median
$1,626
outlier · 8.5×
7101473
OTHER 		Vedolizumab Inj Sdv 300mg 7 $8,120.55 $17,940.75 $11,466.03 nat. median
$11,466
1.0× median
7100983
OTHER 		Obinutuzumab Inj Sdv 1000mg/40ml 7 $7,406.75 $16,363.75 $10,458.16 nat. median
$10,458
1.0× median
7101399
OTHER 		Tenecteplase Inj Kit: 50mg 7 $7,333.22 $16,201.30 $10,354.34 nat. median
$10,354
1.0× median
7100143
OTHER 		Alteplase Inj Sdv: 100mg 7 $7,303.55 $16,135.75 $10,312.44 nat. median
$1,626
outlier · 6.3×
7100239
OTHER 		Brentuximab Inj Sdv 50mg 7 $7,226.58 $15,965.70 $10,203.76 nat. median
$1,626
outlier · 6.3×
7101156
OTHER 		Ramucirumab Inj Sdv: 500mg/50ml 7 $6,327.02 $13,978.30 $8,933.60 nat. median
$8,934
1.0× median
7101055
OTHER 		Pertuzumab Inj Sdv 420mg/14ml 7 $6,293.48 $13,904.20 $8,886.24 nat. median
$8,886
1.0× median
7101027
OTHER 		Panitumumab Inj Sdv 400mg/20ml 7 $6,013.12 $13,284.80 $8,490.39 nat. median
$8,490
1.0× median
7100126
OTHER 		Ado-trastuzumab Emtansine Inj Sdv 160mg 7 $5,946.90 $13,138.50 $8,396.89 nat. median
$450
outlier · 18.7×
7101572
OTHER 		Collagenase Clostridium Inj: 0.9mg 7 $5,945.18 $13,134.70 $8,394.45 nat. median
$8,394
1.0× median
7101168
OTHER 		RiTUXimab Inj Sdv 500mg 7 $5,163.44 $11,407.60 $7,290.65 nat. median
$7,291
1.0× median
7101106
OTHER 		Pralatrexate Inj Sdv: 20mg/1ml 7 $5,142.37 $11,361.05 $7,260.91 nat. median
$7,261
1.0× median
7101040
OTHER 		Pembrolizumab Inj Sdv 100mg/4ml 7 $5,071.85 $11,205.25 $7,161.34 nat. median
$7,161
1.0× median
7100990
OTHER 		Octreotide Lar Syringe: 30mg 7 $5,038.74 $11,132.10 $7,114.59 nat. median
$7,115
1.0× median
7100223
OTHER 		Benralizumab Inj Syr 30mg/ml 7 $4,985.42 $11,014.30 $7,039.30 nat. median
$1,626
outlier · 4.3×
7100746
OTHER 		Lanreotide Acetate Inj: 120mg/0.5ml 7 $4,510.70 $9,965.50 $6,369.01 nat. median
$8,182
0.8× median
7101037
OTHER 		Pegfilgrastim Onpro Inj Kit 6mg/0.6ml 7 $4,469.42 $9,874.30 $6,310.72 nat. median
$6,311
1.0× median
7100989
OTHER 		Octreotide Lar Syringe: 20mg 7 $4,123.27 $9,109.55 $5,821.96 nat. median
$5,822
1.0× median
7100421
OTHER 		Digoxin Immune Fab Inj Sdv: 40mg 7 $3,989.97 $8,815.05 $5,633.74 nat. median
$450
outlier · 12.5×
1047103
OTHER 		Smith Nephew Unipolar Hip Pressfit 7 $3,873.44 $8,557.60 $5,469.20 nat. median
$5,469
1.0× median
7100125
OTHER 		Ado-trastuzumab Emtansine Inj Sdv 100mg 7 $3,865.27 $8,539.55 $5,457.67 nat. median
$450
outlier · 12.1×
1020006
OTHER 		Arthroflex Dermal Matrix 7 $3,813.67 $8,425.55 $5,384.81 nat. median
$5,385
1.0× median
3100128
OTHER 		Polysomnography With Titration 7 $3,753.04 $8,291.60 $5,299.20 nat. median
$97
outlier · 54.4×
1200119
OTHER 		Applicaton On-body Injector 7 $3,655.00 $8,477.56 $5,160.77 nat. median
$5,161
1.0× median
1048102
OTHER 		Conformis Itotal - ( Ps / Cr ) 7 $3,623.61 $8,005.65 $5,116.45 nat. median
$5,116
1.0× median
7100477
OTHER 		Durvalumab Inj Sdv 500mg/10ml 7 $3,621.03 $7,999.95 $5,112.81 nat. median
$1,317
outlier · 3.9×
7101036
OTHER 		Pegfilgrastim Inj Syr 6mg/0.6ml 7 $3,587.06 $7,924.90 $5,064.85 nat. median
$5,065
1.0× median
1048100
OTHER 		Conformis Itotal Cr 7 $3,418.93 $7,553.45 $4,827.45 nat. median
$4,827
1.0× median
1002062
OTHER 		Inspace Balloon US Large 7 $3,359.16 $7,421.40 $4,743.06 nat. median
$4,743
1.0× median
1002060
OTHER 		Inspace Balloon US Small 7 $3,359.16 $7,421.40 $4,743.06 nat. median
$4,743
1.0× median
2070013
OTHER 		Xr Fl Cholangiogram Injection 7 $3,350.99 $7,403.35 $4,731.52 nat. median
$24
outlier · 194.1×
7100222
OTHER 		Bendamustine Inj Sdv 100mg 7 $3,266.71 $7,217.15 $4,612.52 nat. median
$1,626
outlier · 2.8×
7100988
OTHER 		Octreotide Lar Syringe: 10mg 7 $3,203.93 $7,078.45 $4,523.88 nat. median
$4,524
1.0× median
7100969
OTHER 		Nivolumab Inj Sdv 100mg/10ml 7 $2,919.27 $6,449.55 $4,121.94 nat. median
$3,213
1.3× median
7100592
OTHER 		Gammagard Inj Sdv 10% 300ml 7 $2,919.27 $6,449.55 $4,121.94 nat. median
$146
outlier · 28.2×
1002061
OTHER 		Inspace Balloon US Medium 7 $2,889.60 $6,384.00 $4,080.05 nat. median
$4,080
1.0× median
7100396
OTHER 		Denosumab Inj Sdv: 120mg/1.7ml 7 $2,862.08 $6,323.20 $4,041.19 nat. median
$709
outlier · 5.7×
3060232
OTHER 		*81460 Whole Mitochondrial Genome 7 $2,788.55 $6,160.75 $3,937.37 nat. median
$3,937
1.0× median
1048105
OTHER 		Smith Nephew Standard Knee 7 $2,702.55 $5,970.75 $3,815.94 nat. median
$3,816
1.0× median
3100127
OTHER 		Polysomnography 4 Or More Addl Param Of 7 $2,694.38 $5,952.70 $3,804.40 nat. median
$303
outlier · 12.6×
2070015
OTHER 		Di Needle Biopsy Muscle 7 $2,632.46 $5,815.90 $3,716.97 nat. median
$24
outlier · 152.5×
7100851
OTHER 		Mepolizumab Inj Sdv : 100mg 7 $2,627.73 $5,805.45 $3,710.30 nat. median
$3,710
1.0× median
7100467
OTHER 		DOXOrubicin Liposomal Inj Sdv 50mg/25ml 7 $2,613.54 $5,774.10 $3,690.26 nat. median
$450
outlier · 8.2×
7100716
OTHER 		Irinotecan Liposomal Inj Sdv 43mg/10ml 7 $2,499.16 $5,521.40 $3,528.76 nat. median
$287
outlier · 12.3×

Other procedures at this hospital

Browse this hospital's 6,215 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
             
3060269 OTHER *0219u Nfct Agt HIV Gnrj Seq Alys 10 7 $2,991.00 $2,392.80 $1,286.13 $2,841.45 $1,815.99 2026-05-09
3060249 OTHER *81259 Hba1 Hba2 Full Gene Seq 10 7 $3,075.00 $2,460.00 20% off $1,322.25 $2,921.25 $1,866.99 2026-05-09
3060209 OTHER *81408 Mopatholgy Procedue Level 9 10 7 $3,358.00 $2,686.40 20% off $1,443.94 $3,190.10 $2,038.81 2026-05-09
3060232 OTHER *81460 Whole Mitochondrial Genome 10 7 $6,485.00 $5,188.00 20% off $2,788.55 $6,160.75 $3,937.37 2026-05-09
3060233 OTHER *81465 Whole Mitochondrial Genome 10 7 $4,715.00 $3,772.00 20% off $2,027.45 $4,479.25 $2,862.71 2026-05-09
2080002 OTHER *ct Upper Extremity Wdye 10 7 $2,666.00 $2,132.80 $1,146.38 $2,532.70 $1,618.66 2026-05-09
2020047 OTHER *mm Stereotactic Breast Bx 1st Les 19081 10 7 $4,673.00 $3,738.40 20% off $2,009.39 $4,439.35 $2,837.21 2026-05-09
2080006 OTHER *mr Jnt Of Lwr Extre Wo Dye 10 7 $2,773.00 $2,218.40 $1,192.39 $2,634.35 $1,616.89 2026-05-09
2080007 OTHER *mr Joint Lwr Extr Wwo Contrast 10 7 $2,666.00 $2,132.80 $1,146.38 $2,532.70 $1,618.66 2026-05-09
2080008 OTHER *mr Joint Of Lwr Extr Wdye 10 7 $4,100.00 $3,280.00 20% off $1,763.00 $3,895.00 $2,489.32 2026-05-09
2080009 OTHER *mr Joint Upr Extr Wwo Contrast 10 7 $2,666.00 $2,132.80 $1,146.38 $2,532.70 $1,618.66 2026-05-09
2080010 OTHER *mr Joint Upr Extrem Wdye 10 7 $4,186.00 $3,348.80 $1,799.98 $3,976.70 $2,541.53 2026-05-09
2080011 OTHER *mr Joint Upr Extrem Wo Dye 10 7 $2,773.00 $2,218.40 $1,192.39 $2,634.35 $1,616.89 2026-05-09
2080012 OTHER *mr Lower Extremity Wo Dye 10 7 $2,773.00 $2,218.40 $1,192.39 $2,634.35 $1,616.89 2026-05-09
2080013 OTHER *mr Lwr Extremity Wwo Contrast 10 7 $2,666.00 $2,132.80 $1,146.38 $2,532.70 $1,618.66 2026-05-09
2040047 OTHER *mr Upper Ext Not Joint W Contrast 10 7 $2,609.00 $2,087.20 20% off $1,121.87 $2,478.55 $1,584.05 2026-05-09
2080015 OTHER *mr Uppr Extremity Wwo Contrast 10 7 $2,623.00 $2,098.40 $1,127.89 $2,491.85 $1,592.56 2026-05-09
2050005 OTHER *nm Hida Scan 10 7 $2,265.00 $1,812.00 20% off $973.95 $2,151.75 $1,375.20 2026-05-09
2050004 OTHER *nm Hida W Cck 10 7 $2,779.00 $2,223.20 20% off $1,194.97 $2,640.05 $1,687.27 2026-05-09
2050010 OTHER *nm Lung Vq Study 10 7 $2,720.00 $2,176.00 20% off $1,169.60 $2,584.00 $1,651.45 2026-05-09
2080029 OTHER *nm Wbc Imag Ceretec Whole T0 25 mCi 10 7 $5,115.00 $4,092.00 20% off $2,199.45 $4,859.25 $3,105.57 2026-05-09
2080033 OTHER *xr Contrast Of Shoulder 10 7 $2,609.00 $2,087.20 20% off $1,121.87 $2,478.55 $1,584.05 2026-05-09
7100101 OTHER Abatacept Lyophilisate Inj Sdv 250mg 10 7 $2,776.00 $2,220.80 $1,193.68 $2,637.20 $1,685.45 2026-05-09
1 OTHER Acute 5 5 $1,750.00 $1,400.00 20% off $1,365.00 $1,662.50 $1,540.00 2026-05-09
7100125 OTHER Ado-trastuzumab Emtansine Inj Sdv 100mg 10 7 $8,989.00 $7,191.20 20% off $3,865.27 $8,539.55 $5,457.67 2026-05-09
7100126 OTHER Ado-trastuzumab Emtansine Inj Sdv 160mg 10 7 $13,830.00 $11,064.00 20% off $5,946.90 $13,138.50 $8,396.89 2026-05-09
1020004 OTHER Allopatch Hd Extra Ultra Thick 10 7 $2,395.00 $1,916.00 20% off $1,029.85 $2,275.25 $1,454.12 2026-05-09
7100143 OTHER Alteplase Inj Sdv: 100mg 10 7 $16,985.00 $13,588.00 20% off $7,303.55 $16,135.75 $10,312.44 2026-05-09
1200119 OTHER Applicaton On-body Injector 10 7 $8,500.00 $6,800.00 20% off $3,655.00 $8,477.56 $5,160.77 2026-05-09
1020006 OTHER Arthroflex Dermal Matrix 10 7 $8,869.00 $7,095.20 20% off $3,813.67 $8,425.55 $5,384.81 2026-05-09
7100196 OTHER Atezolizumab Inj Sdv 1200mg/20ml 10 7 $22,652.00 $18,121.60 20% off $9,740.36 $21,519.40 $13,753.16 2026-05-09
159618 OTHER Attempted Vbac Delivery 16 7 $4,740.00 $3,792.00 20% off $2,038.20 $4,503.00 $2,563.74 2026-05-09
1002026 OTHER Axoguard Nerve Protector 10mm X 20mm 10 7 $2,651.00 $2,120.80 $1,139.93 $2,518.45 $1,609.56 2026-05-09
1002025 OTHER Axoguard Nerve Protector 10mm X 40mm 10 7 $3,188.85 $2,551.08 20% off $1,371.21 $3,029.41 $1,936.11 2026-05-09
7100221 OTHER Bendamustine Inj Mdv 100mg/4ml 10 7 $4,503.00 $3,602.40 20% off $1,936.29 $4,277.85 $2,733.99 2026-05-09
7100222 OTHER Bendamustine Inj Sdv 100mg 10 7 $7,597.00 $6,077.60 $3,266.71 $7,217.15 $4,612.52 2026-05-09
7100223 OTHER Benralizumab Inj Syr 30mg/ml 10 7 $11,594.00 $9,275.20 $4,985.42 $11,014.30 $7,039.30 2026-05-09
7100230 OTHER Bevacizumab Inj Sdv 400mg/16ml 10 7 $5,762.00 $4,609.60 $2,477.66 $5,473.90 $3,498.40 2026-05-09
7100232 OTHER Bevacizumab-awwb Inj Sdv 400mg/16ml 10 7 $4,686.00 $3,748.80 $2,014.98 $4,451.70 $2,845.11 2026-05-09
1002073 OTHER Bioinductive Implant W Arthro Del Medium 10 7 $2,415.00 $1,932.00 20% off $1,038.45 $2,294.25 $1,466.26 2026-05-09
1002074 OTHER Bioinductive Implant With Arthro Del Large 10 7 $2,415.00 $1,932.00 20% off $1,038.45 $2,294.25 $1,466.26 2026-05-09
7100239 OTHER Brentuximab Inj Sdv 50mg 10 7 $16,806.00 $13,444.80 20% off $7,226.58 $15,965.70 $10,203.76 2026-05-09
7100270 OTHER Cabazitaxel Inj Sdv 60mg/1.5ml 10 7 $30,491.00 $24,392.80 20% off $13,111.13 $28,966.45 $18,512.61 2026-05-09
7100293 OTHER Carfilzomib Inj Sdv 60mg 10 7 $4,238.00 $3,390.40 20% off $1,822.34 $4,026.10 $2,573.10 2026-05-09
159510 OTHER Cesarean Delivery 59510 16 7 $4,882.00 $3,905.60 20% off $2,099.26 $4,637.90 $2,539.14 2026-05-09
159515 OTHER Cesarean Delivery Only 59515 16 7 $2,862.00 $2,289.60 20% off $1,194.51 $2,718.90 $1,277.49 2026-05-09
7100332 OTHER Cetuximab Inj Sdv 200mg/100ml 10 7 $3,428.00 $2,742.40 20% off $1,474.04 $3,256.60 $2,081.31 2026-05-09
600100 OTHER Circumcision 10 7 $3,031.00 $2,424.80 $1,303.33 $2,879.45 $1,840.27 2026-05-09
144144 OTHER Colectomy Partial W Resection W Colostom 16 7 $2,820.00 $2,256.00 20% off $1,212.60 $2,930.18 $1,679.70 2026-05-09
144150 OTHER Colectomy Total Abdominal Wo Proctectomy 16 7 $3,087.00 $2,469.60 20% off $1,327.41 $3,091.16 $1,771.73 2026-05-09
7101572 OTHER Collagenase Clostridium Inj: 0.9mg 10 7 $13,826.00 $11,060.80 20% off $5,945.18 $13,134.70 $8,394.45 2026-05-09
1200102 OTHER Compl Rplcmt Picc Rs&i 10 7 $2,722.00 $2,177.60 20% off $1,170.46 $2,585.90 $1,652.66 2026-05-09
3001595 OTHER Comprehensive Aortopathy Gene Panel 10 7 $2,860.00 $2,288.00 20% off $1,229.80 $2,717.00 $1,736.45 2026-05-09
1048102 OTHER Conformis Itotal - ( Ps / Cr ) 10 7 $8,427.00 $6,741.60 $3,623.61 $8,005.65 $5,116.45 2026-05-09
1048100 OTHER Conformis Itotal Cr 10 7 $7,951.00 $6,360.80 20% off $3,418.93 $7,553.45 $4,827.45 2026-05-09
7100370 OTHER Copper Iud: 176mg 10 7 $2,261.00 $1,808.80 20% off $972.23 $2,147.95 $1,372.76 2026-05-09
144055 OTHER Correct Malrotation Of Bowel 16 7 $2,329.00 $1,863.20 20% off $1,001.47 $2,467.56 $1,420.44 2026-05-09
2030002 OTHER CT Abd Pelvis W IV Contrast Only 10 7 $2,666.00 $2,132.80 $1,146.38 $2,532.70 $1,449.50 2026-05-09
2030001 OTHER CT Abd Pelvis Wwo Contrast 10 7 $2,666.00 $2,132.80 $1,146.38 $2,532.70 $1,618.66 2026-05-09
2030007 OTHER CT Angio Abd Pelvis Wwo Contrast 10 7 $2,666.00 $2,132.80 $1,146.38 $2,532.70 $1,618.66 2026-05-09
2030010 OTHER CT Angiography Chest 10 7 $2,330.00 $1,864.00 20% off $1,001.90 $2,213.50 $1,357.56 2026-05-09
2030046 OTHER CT Cspine W IV Contrast 10 7 $2,611.00 $2,088.80 $1,122.73 $2,480.45 $1,585.27 2026-05-09
2030040 OTHER CT Lumbar Spine W Contrast 10 7 $2,666.00 $2,132.80 $1,146.38 $2,532.70 $1,618.66 2026-05-09
7101567 OTHER CycloPHOSphamide Inj Sdv 2000mg 10 7 $2,692.00 $2,153.60 20% off $1,157.56 $2,557.40 $1,634.45 2026-05-09
7100381 OTHER Dactinomycin Inj 0.5mg Sdv 10 7 $2,186.00 $1,748.80 20% off $939.98 $2,076.70 $1,327.23 2026-05-09
7100386 OTHER Daratumumab Inj Sdv 400mg/20ml 10 7 $5,652.00 $4,521.60 $2,430.36 $5,369.40 $3,431.61 2026-05-09
7100388 OTHER Darbepoetin Alfa Inj Syr 300mcg/0.6ml(nf 10 7 $2,889.00 $2,311.20 20% off $1,242.27 $2,744.55 $1,754.06 2026-05-09
7100391 OTHER Darbepoetin Alfa Inj Syr 500mcg/1ml (nf) 10 7 $5,007.00 $4,005.60 20% off $2,153.01 $4,756.65 $3,040.00 2026-05-09
125023 OTHER Decompress Forearm 1 Space 16 7 $3,502.00 $2,801.60 20% off $1,229.78 $3,326.90 $1,505.86 2026-05-09
800123 OTHER Delivery Placenta 10 7 $2,965.00 $2,372.00 20% off $1,274.95 $2,816.75 $1,800.20 2026-05-09
1002009 OTHER Deltoid Ligament Reconstruction System 10 7 $2,534.00 $2,027.20 20% off $1,089.62 $2,407.30 $1,538.52 2026-05-09
7100396 OTHER Denosumab Inj Sdv: 120mg/1.7ml 10 7 $6,656.00 $5,324.80 20% off $2,862.08 $6,323.20 $4,041.19 2026-05-09
7100397 OTHER Denosumab Inj Syr: 60mg/1ml 10 7 $3,496.00 $2,796.80 $1,503.28 $3,321.20 $2,122.60 2026-05-09
2070015 OTHER Di Needle Biopsy Muscle 10 7 $6,122.00 $4,897.60 $2,632.46 $5,815.90 $3,716.97 2026-05-09
2070018 OTHER Di Needle Biopsy Prostate 10 7 $5,669.00 $4,535.20 20% off $2,437.67 $5,385.55 $3,441.93 2026-05-09
2070021 OTHER Di Needle Bx Lymph Nodes 38505 10 7 $3,048.00 $2,438.40 20% off $1,310.64 $2,895.60 $1,850.60 2026-05-09
2070022 OTHER Di Needle Bx Thyroid Percutaneuos 60100 10 7 $3,048.00 $2,438.40 20% off $1,310.64 $2,895.60 $1,850.60 2026-05-09
7100421 OTHER Digoxin Immune Fab Inj Sdv: 40mg 10 7 $9,279.00 $7,423.20 20% off $3,989.97 $8,815.05 $5,633.74 2026-05-09
7100467 OTHER DOXOrubicin Liposomal Inj Sdv 50mg/25ml 10 7 $6,078.00 $4,862.40 20% off $2,613.54 $5,774.10 $3,690.26 2026-05-09
127030 OTHER Drainage Of Hip Joint 16 7 $3,218.00 $2,574.40 20% off $876.60 $3,057.10 $1,383.74 2026-05-09
7014169 OTHER Dress Surgaflex 4x20 Sq Cm 10 7 $2,285.00 $1,828.00 20% off $982.55 $2,170.75 $1,387.34 2026-05-09
7100476 OTHER Durvalumab Inj Sdv 120mg/2.4ml 10 7 $2,282.00 $1,825.60 20% off $981.26 $2,167.90 $1,385.52 2026-05-09
7100477 OTHER Durvalumab Inj Sdv 500mg/10ml 10 7 $8,421.00 $6,736.80 20% off $3,621.03 $7,999.95 $5,112.81 2026-05-09
3592960 OTHER Electroconversion 10 7 $2,396.00 $1,916.80 20% off $1,030.28 $2,276.20 $1,454.73 2026-05-09
158353 OTHER Endometr Ablate Thermal 16 7 $4,315.00 $3,452.00 20% off $380.29 $4,099.25 $1,855.45 2026-05-09
7100521 OTHER Etonogestrel Implant: 68mg 10 7 $2,671.00 $2,136.80 $1,148.53 $2,537.45 $1,621.70 2026-05-09
149203 OTHER Exc Abd Tum 5 Cm Or Less 11 7 $2,680.00 $2,144.00 20% off $1,152.40 $2,546.00 $2,002.49 2026-05-09
800102 OTHER External Cephalic Version 10 7 $4,187.00 $3,349.60 20% off $1,800.41 $3,977.65 $2,542.14 2026-05-09
7100528 OTHER Factor Ix Complex Inj Sdv:1000units/10ml 10 7 $2,933.00 $2,346.40 $1,261.19 $2,786.35 $1,780.77 2026-05-09
7101532 OTHER Fibrinogen Concentrate(human) Sdv 957mg 10 7 $2,476.00 $1,980.80 20% off $1,064.68 $2,352.20 $1,503.30 2026-05-09
128705 OTHER Fusion Of Foot Bones 28705 16 7 $4,340.00 $3,472.00 20% off $1,145.51 $4,123.00 $1,866.20 2026-05-09
7100590 OTHER Gammagard Inj Sdv 10% 100ml 10 7 $2,264.00 $1,811.20 20% off $973.52 $2,150.80 $1,374.59 2026-05-09
7100591 OTHER Gammagard Inj Sdv 10% 200ml 10 7 $4,525.00 $3,620.00 20% off $1,945.75 $4,298.75 $2,747.36 2026-05-09
7100592 OTHER Gammagard Inj Sdv 10% 300ml 10 7 $6,789.00 $5,431.20 20% off $2,919.27 $6,449.55 $4,121.94 2026-05-09
158563 OTHER Hysteroscopy Ablation 16 7 $6,866.00 $5,492.80 20% off $398.11 $6,522.70 $2,952.38 2026-05-09
1026100 OTHER I-stent W 10 7 $2,500.00 $2,000.00 20% off $1,075.00 $2,375.00 $1,517.88 2026-05-09
7100690 OTHER Immune Globulin (gamunex-c) Sdv 20gm 10 7 $2,620.00 $2,096.00 20% off $1,126.60 $2,489.00 $1,590.73 2026-05-09
7100694 OTHER Immune Globulin (privigen) Inj Sdv 20gm 10 7 $3,252.00 $2,601.60 20% off $1,398.36 $3,089.40 $1,974.45 2026-05-09
136561 OTHER Insert Tunneled Cv Cath 36561 16 7 $3,450.00 $2,760.00 20% off $555.37 $3,277.50 $1,483.50 2026-05-09
136563 OTHER Insert Tunneled Cv Cath 36563 16 7 $4,229.00 $3,383.20 20% off $601.63 $4,017.55 $1,818.47 2026-05-09
1200101 OTHER Insj Picc 5 Yr+ Wo Imaging 10 7 $2,970.00 $2,376.00 20% off $1,277.10 $2,821.50 $1,803.23 2026-05-09
1002062 OTHER Inspace Balloon US Large 10 7 $7,812.00 $6,249.60 $3,359.16 $7,421.40 $4,743.06 2026-05-09
1002061 OTHER Inspace Balloon US Medium 10 7 $6,720.00 $5,376.00 20% off $2,889.60 $6,384.00 $4,080.05 2026-05-09
1002060 OTHER Inspace Balloon US Small 10 7 $7,812.00 $6,249.60 $3,359.16 $7,421.40 $4,743.06 2026-05-09
7100711 OTHER Ipilimumab Inj Sdv 200mg/40ml 10 7 $62,266.00 $49,812.80 $26,774.38 $59,152.70 $37,804.80 2026-05-09
7100716 OTHER Irinotecan Liposomal Inj Sdv 43mg/10ml 10 7 $5,812.00 $4,649.60 $2,499.16 $5,521.40 $3,528.76 2026-05-09
1002018 OTHER Knotless Speedbridge 4.75mm X 19.1mm 10 7 $2,635.00 $2,108.00 20% off $1,133.05 $2,503.25 $1,599.84 2026-05-09
1034145 OTHER Knotless Tightrope Ss 10 7 $2,301.00 $1,840.80 20% off $989.43 $2,185.95 $1,397.05 2026-05-09
7100746 OTHER Lanreotide Acetate Inj: 120mg/0.5ml 10 7 $10,490.00 $8,392.00 20% off $4,510.70 $9,965.50 $6,369.01 2026-05-09
144205 OTHER Lap Colectomy Part W Ileum 16 7 $3,128.00 $2,502.40 20% off $1,215.57 $2,971.60 $1,351.76 2026-05-09
144202 OTHER Lap Enterectomy 16 7 $3,296.00 $2,636.80 $1,260.83 $3,131.20 $1,424.37 2026-05-09
149655 OTHER Lap Inc Hern Repair Comp 10 7 $2,549.00 $2,039.20 20% off $1,096.07 $2,421.55 $1,547.62 2026-05-09
149654 OTHER Lap Inc Hernia Repair 10 7 $2,089.00 $1,671.20 20% off $898.27 $1,984.55 $1,268.34 2026-05-09
144206 OTHER Lap Surg Colectomy Partial W End Colosto 16 7 $2,786.00 $2,228.80 $1,197.98 $2,895.04 $1,657.24 2026-05-09
149653 OTHER Lap Vent Abd Hern Proc Comp 10 7 $2,293.00 $1,834.40 $985.99 $2,178.35 $1,392.19 2026-05-09
144204 OTHER Laparo Partial Colectomy 16 7 $4,076.00 $3,260.80 $1,396.70 $3,872.20 $1,752.68 2026-05-09
158554 OTHER Laparo-vag Hyst W T O Compl 16 7 $3,157.00 $2,525.60 20% off $1,205.48 $2,999.15 $1,364.30 2026-05-09
1034146 OTHER Lateral Ankle Reconstruction 10 7 $2,267.00 $1,813.60 20% off $974.81 $2,153.65 $1,376.41 2026-05-09
7100775 OTHER Levonorgestrel IUD : 13.5mg 10 7 $2,120.00 $1,696.00 20% off $911.60 $2,014.00 $1,287.16 2026-05-09
7100776 OTHER Levonorgestrel IUD : 19.5mg 10 7 $2,429.00 $1,943.20 20% off $1,044.47 $2,307.55 $1,474.76 2026-05-09
7100777 OTHER Levonorgestrel Iud: 52mg 10 7 $2,544.00 $2,035.20 20% off $1,093.92 $2,416.80 $1,544.59 2026-05-09
7100851 OTHER Mepolizumab Inj Sdv : 100mg 10 7 $6,111.00 $4,888.80 20% off $2,627.73 $5,805.45 $3,710.30 2026-05-09
2020043 OTHER Mm Stereotactic Breast Bx Addl Lesions 10 7 $2,289.00 $1,831.20 20% off $984.27 $2,174.55 $1,389.77 2026-05-09
2040000 OTHER Mr Abdomen Wwo Contrast 10 7 $2,666.00 $2,132.80 $1,146.38 $2,532.70 $1,618.66 2026-05-09
2040073 OTHER Mr Angiography Chest Wwo Contrast 10 7 $3,912.00 $3,129.60 20% off $1,682.16 $3,716.40 $2,375.17 2026-05-09
2040059 OTHER Mr Angiography Neck W Contrast 10 7 $3,912.00 $3,129.60 20% off $1,682.16 $3,716.40 $2,375.17 2026-05-09
2040003 OTHER Mr Angiography Neck Wo Contrast 10 7 $2,773.00 $2,218.40 $1,192.39 $2,634.35 $1,616.89 2026-05-09
2040072 OTHER Mr Angiography Neck Wwo Contrast 10 7 $3,912.00 $3,129.60 20% off $1,682.16 $3,716.40 $2,375.17 2026-05-09
2040004 OTHER Mr Brain With Contrast 10 7 $2,653.00 $2,122.40 $1,140.79 $2,520.35 $1,610.77 2026-05-09
2040006 OTHER Mr Brain Wo Contrast 10 7 $2,773.00 $2,218.40 $1,192.39 $2,634.35 $1,616.89 2026-05-09
2040005 OTHER Mr Brain Wwo Contrast 10 7 $5,231.00 $4,184.80 $2,249.33 $4,969.45 $3,050.77 2026-05-09
2040011 OTHER Mr Chest Wwo Contrast 10 7 $2,621.00 $2,096.80 $1,127.03 $2,489.95 $1,591.34 2026-05-09
2040053 OTHER Mr Cholangiopancreatography Mrcp 10 7 $2,348.00 $1,878.40 $1,009.64 $2,230.60 $1,425.59 2026-05-09
2040028 OTHER Mr Cspine With Contrast 10 7 $2,666.00 $2,132.80 $1,146.38 $2,532.70 $1,618.66 2026-05-09
2040030 OTHER Mr Cspine Wo Contrast 10 7 $2,773.00 $2,218.40 $1,192.39 $2,634.35 $1,616.89 2026-05-09
2040029 OTHER Mr Cspine Wwo Contrast 10 7 $2,666.00 $2,132.80 $1,146.38 $2,532.70 $1,618.66 2026-05-09
2040025 OTHER Mr Ls Spine With Contrast 10 7 $2,621.00 $2,096.80 $1,127.03 $2,489.95 $1,591.34 2026-05-09
2040027 OTHER Mr Ls Spine Wo Contrast 10 7 $3,075.00 $2,460.00 20% off $1,322.25 $2,921.25 $1,792.88 2026-05-09
2040026 OTHER Mr Ls Spine Wwo Contrast 10 7 $2,666.00 $2,132.80 $1,146.38 $2,532.70 $1,618.66 2026-05-09
2040031 OTHER Mr Orbt Face Neck Wwo Contrast 10 7 $2,666.00 $2,132.80 $1,146.38 $2,532.70 $1,618.66 2026-05-09
2040055 OTHER Mr Pelvis W Contrast 10 7 $2,964.00 $2,371.20 20% off $1,274.52 $2,815.80 $1,799.60 2026-05-09
2040032 OTHER Mr Pelvis Wwo Contrast 10 7 $2,666.00 $2,132.80 $1,146.38 $2,532.70 $1,618.66 2026-05-09
2040054 OTHER Mr Tspine W Contrast 10 7 $2,098.00 $1,678.40 $902.14 $1,993.10 $1,273.80 2026-05-09
2040009 OTHER Mr Tspine Wwo Contrast 10 7 $2,666.00 $2,132.80 $1,146.38 $2,532.70 $1,618.66 2026-05-09
115734 OTHER Muscle Myocutaneous Fasciocutaneous Flap 16 7 $2,390.00 $1,912.00 20% off $1,027.70 $2,270.50 $1,454.57 2026-05-09
123395 OTHER Muscle Transfer Shoulder Arm 16 7 $2,354.00 $1,883.20 20% off $1,012.22 $2,277.97 $1,263.06 2026-05-09
1036105 OTHER Nail Femoral Retro - Ante 10mm X 320mm 10 7 $2,147.00 $1,717.60 20% off $923.21 $2,039.65 $1,303.55 2026-05-09
1036106 OTHER Nail Femoral Retro - Ante 10mm X 340mm 10 7 $2,147.00 $1,717.60 20% off $923.21 $2,039.65 $1,303.55 2026-05-09
1036107 OTHER Nail Femoral Retro - Ante 10mm X 360mm 10 7 $2,222.00 $1,777.60 20% off $955.46 $2,110.90 $1,349.09 2026-05-09
1036108 OTHER Nail Femoral Retro - Ante 10mm X 380mm 10 7 $2,222.00 $1,777.60 20% off $955.46 $2,110.90 $1,349.09 2026-05-09
1036109 OTHER Nail Femoral Retro - Ante 10mm X 400mm 10 7 $2,492.00 $1,993.60 20% off $1,071.56 $2,367.40 $1,513.02 2026-05-09
1036110 OTHER Nail Femoral Retro - Ante 10mm X 420mm 10 7 $2,245.00 $1,796.00 20% off $965.35 $2,132.75 $1,363.05 2026-05-09
1036111 OTHER Nail Femoral Retro - Ante 11mm X 320mm 10 7 $2,147.00 $1,717.60 20% off $923.21 $2,039.65 $1,303.55 2026-05-09
1036112 OTHER Nail Femoral Retro - Ante 11mm X 340mm 10 7 $2,147.00 $1,717.60 20% off $923.21 $2,039.65 $1,303.55 2026-05-09
1036113 OTHER Nail Femoral Retro - Ante 11mm X 360mm 10 7 $2,222.00 $1,777.60 20% off $955.46 $2,110.90 $1,349.09 2026-05-09
1036114 OTHER Nail Femoral Retro - Ante 11mm X 380mm 10 7 $2,245.00 $1,796.00 20% off $965.35 $2,132.75 $1,363.05 2026-05-09
1036115 OTHER Nail Femoral Retro - Ante 11mm X 400mm 10 7 $2,284.00 $1,827.20 20% off $982.12 $2,169.80 $1,386.73 2026-05-09
1036116 OTHER Nail Femoral Retro - Ante 11mm X 420mm 10 7 $2,245.00 $1,796.00 20% off $965.35 $2,132.75 $1,363.05 2026-05-09
1036117 OTHER Nail Femoral Retro - Ante 12mm X 320mm 10 7 $2,147.00 $1,717.60 20% off $923.21 $2,039.65 $1,303.55 2026-05-09
1036118 OTHER Nail Femoral Retro - Ante 12mm X 340mm 10 7 $2,147.00 $1,717.60 20% off $923.21 $2,039.65 $1,303.55 2026-05-09
1036119 OTHER Nail Femoral Retro - Ante 12mm X 360mm 10 7 $2,222.00 $1,777.60 20% off $955.46 $2,110.90 $1,349.09 2026-05-09
1036120 OTHER Nail Femoral Retro - Ante 12mm X 380mm 10 7 $2,222.00 $1,777.60 20% off $955.46 $2,110.90 $1,349.09 2026-05-09
1036121 OTHER Nail Femoral Retro - Ante 12mm X 400mm 10 7 $2,147.00 $1,717.60 20% off $923.21 $2,039.65 $1,303.55 2026-05-09
1036122 OTHER Nail Femoral Retro - Ante 12mm X 420mm 10 7 $2,222.00 $1,777.60 20% off $955.46 $2,110.90 $1,349.09 2026-05-09
1036140 OTHER Nail Tibial Cannulated 9mm X 300mm 10 7 $2,183.00 $1,746.40 $938.69 $2,073.85 $1,325.41 2026-05-09
1020013 OTHER Neuroflex Nerve Cuff 2mm 10 7 $2,543.00 $2,034.40 $1,093.49 $2,415.85 $1,543.98 2026-05-09
1020015 OTHER Neuroflex Nerve Cuff 4mm 10 7 $2,798.00 $2,238.40 $1,203.14 $2,658.10 $1,698.81 2026-05-09
3 OTHER Newborn 5 5 $1,750.00 $1,400.00 20% off $1,365.00 $1,662.50 $1,540.00 2026-05-09
7100969 OTHER Nivolumab Inj Sdv 100mg/10ml 10 7 $6,789.00 $5,431.20 20% off $2,919.27 $6,449.55 $4,121.94 2026-05-09
7100970 OTHER Nivolumab Inj Sdv 40mg/4ml 10 7 $2,715.00 $2,172.00 20% off $1,167.45 $2,579.25 $1,648.41 2026-05-09
2050001 OTHER Nm Bone Scan 3 Phase 10 7 $2,265.00 $1,812.00 20% off $973.95 $2,151.75 $1,375.20 2026-05-09
2050002 OTHER Nm Bone Scan Whole Body 10 7 $2,265.00 $1,812.00 20% off $973.95 $2,151.75 $1,375.20 2026-05-09
2050021 OTHER Nm Bone Spect CT Localization 10 7 $2,698.00 $2,158.40 $1,160.14 $2,563.10 $1,638.09 2026-05-09
2050003 OTHER Nm Gastric Emptying Study 10 7 $2,265.00 $1,812.00 20% off $973.95 $2,151.75 $1,375.20 2026-05-09
2050000 OTHER Nm Gi Bleed 10 7 $2,196.00 $1,756.80 20% off $944.28 $2,086.20 $1,333.30 2026-05-09
2050011 OTHER Nm Lymphoscintigraphy 10 7 $2,779.00 $2,223.20 20% off $1,194.97 $2,640.05 $1,687.27 2026-05-09
2050006 OTHER Nm Mpi Complete 10 7 $3,171.00 $2,536.80 $1,363.53 $3,012.45 $1,781.78 2026-05-09
2050007 OTHER Nm Mpi Rest Or Stress Only 10 7 $3,459.00 $2,767.20 20% off $1,487.37 $3,286.05 $2,100.13 2026-05-09
2050014 OTHER Nm Parathyroid Scan 10 7 $2,196.00 $1,756.80 20% off $944.28 $2,086.20 $1,333.30 2026-05-09
2050008 OTHER Nm Renal Study With Pharm 10 7 $2,735.00 $2,188.00 20% off $1,176.05 $2,598.25 $1,660.56 2026-05-09
2050009 OTHER Nm Renal Study Wo Pharm 10 7 $2,720.00 $2,176.00 20% off $1,169.60 $2,584.00 $1,651.45 2026-05-09
2050017 OTHER Nm Thyroid Scan 10 7 $2,073.00 $1,658.40 $891.39 $1,969.35 $1,258.62 2026-05-09
2050018 OTHER Nm Thyroid Uptake And Scan 10 7 $2,229.00 $1,783.20 20% off $958.47 $2,117.55 $1,353.34 2026-05-09
2050016 OTHER Nm Tumor Localization Spect 10 7 $3,103.00 $2,482.40 20% off $1,334.29 $2,947.85 $1,883.99 2026-05-09
7100983 OTHER Obinutuzumab Inj Sdv 1000mg/40ml 10 7 $17,225.00 $13,780.00 20% off $7,406.75 $16,363.75 $10,458.16 2026-05-09
4 OTHER Obstetric GYN 5 5 $1,750.00 $1,400.00 20% off $1,365.00 $1,662.50 $1,540.00 2026-05-09
159400 OTHER Obstetrical Care 59400 16 7 $4,311.00 $3,448.80 $1,853.73 $4,095.45 $2,301.14 2026-05-09
7100984 OTHER Ocrelizumab Inj Sdv 300mg/10ml (nf) 10 7 $41,397.00 $33,117.60 20% off $17,800.71 $39,327.15 $25,134.19 2026-05-09
7100988 OTHER Octreotide Lar Syringe: 10mg 10 7 $7,451.00 $5,960.80 20% off $3,203.93 $7,078.45 $4,523.88 2026-05-09
7100989 OTHER Octreotide Lar Syringe: 20mg 10 7 $9,589.00 $7,671.20 20% off $4,123.27 $9,109.55 $5,821.96 2026-05-09
7100990 OTHER Octreotide Lar Syringe: 30mg 10 7 $11,718.00 $9,374.40 20% off $5,038.74 $11,132.10 $7,114.59 2026-05-09
127415 OTHER Osteochondral Knee Allograft 16 7 $4,675.00 $3,740.00 20% off $1,282.70 $4,441.25 $2,010.25 2026-05-09
7101020 OTHER PACLitaxel Protein Bound Inj Sdv 100mg 10 7 $3,111.00 $2,488.80 $1,337.73 $2,955.45 $1,888.84 2026-05-09
7101026 OTHER Panitumumab Inj Sdv 100mg/5ml 10 7 $3,496.00 $2,796.80 $1,503.28 $3,321.20 $2,122.60 2026-05-09
7101027 OTHER Panitumumab Inj Sdv 400mg/20ml 10 7 $13,984.00 $11,187.20 $6,013.12 $13,284.80 $8,490.39 2026-05-09
1002055 OTHER Pars Achilles Midsubstance Speedbridge 10 7 $3,370.00 $2,696.00 20% off $1,449.10 $3,201.50 $2,046.09 2026-05-09
144146 OTHER Partial Removal Of Colon 16 7 $3,576.00 $2,860.80 $1,537.68 $3,495.54 $2,001.99 2026-05-09
144140 OTHER Partial Removal Of Colon 44140 16 7 $3,089.00 $2,471.20 20% off $1,221.15 $2,934.55 $1,342.41 2026-05-09
144141 OTHER Partial Removal Of Colon 44141 16 7 $4,516.00 $3,612.80 $1,643.45 $4,290.20 $1,941.88 2026-05-09
144143 OTHER Partial Removal Of Colon 44143 16 7 $3,837.00 $3,069.60 20% off $1,496.67 $3,645.15 $1,658.16 2026-05-09
1034153 OTHER Peek Achilles Speedbridge 4.75 X 19.1mm 10 7 $2,443.87 $1,955.10 $1,050.86 $2,321.68 $1,483.80 2026-05-09
7101036 OTHER Pegfilgrastim Inj Syr 6mg/0.6ml 10 7 $8,342.00 $6,673.60 $3,587.06 $7,924.90 $5,064.85 2026-05-09
7101037 OTHER Pegfilgrastim Onpro Inj Kit 6mg/0.6ml 10 7 $10,394.00 $8,315.20 $4,469.42 $9,874.30 $6,310.72 2026-05-09
7101038 OTHER Pegfilgrastim-cbqv Inj Syr: 6mg/0.6ml 10 7 $3,491.00 $2,792.80 $1,501.13 $3,316.45 $2,119.56 2026-05-09
7101039 OTHER Pegfilgrastim-jmdb Inj Syr 6mg/0.6ml 10 7 $3,376.00 $2,700.80 $1,451.68 $3,207.20 $2,049.74 2026-05-09
127299 OTHER Pelvis Hip Joint Surgery 10 7 $2,447.00 $1,957.60 20% off $1,052.21 $2,324.65 $1,485.70 2026-05-09
7101040 OTHER Pembrolizumab Inj Sdv 100mg/4ml 10 7 $11,795.00 $9,436.00 20% off $5,071.85 $11,205.25 $7,161.34 2026-05-09
7101055 OTHER Pertuzumab Inj Sdv 420mg/14ml 10 7 $14,636.00 $11,708.80 20% off $6,293.48 $13,904.20 $8,886.24 2026-05-09
1041174 OTHER Plate 3.5mm Distal Humerus 6 Hole 158mm 10 7 $2,605.00 $2,084.00 20% off $1,120.15 $2,474.75 $1,581.62 2026-05-09
1041197 OTHER Plate 3.5mm Lcp Proximal Humerus 5 Hole 10 7 $2,119.00 $1,695.20 20% off $911.17 $2,013.05 $1,286.55 2026-05-09
1041198 OTHER Plate 3.5mm Lcp Proximal Humerus 6 Hole 10 7 $2,124.00 $1,699.20 20% off $913.32 $2,017.80 $1,289.59 2026-05-09
1041199 OTHER Plate 3.5mm Lcp Proximal Humerus 8 Hole 10 7 $2,309.00 $1,847.20 20% off $992.87 $2,193.55 $1,401.91 2026-05-09
1041230 OTHER Plate 3.5mm Med Dis Tib Plt L 12 H 173mm 10 7 $2,197.00 $1,757.60 20% off $944.71 $2,087.15 $1,333.91 2026-05-09
1041234 OTHER Plate 3.5mm Med Dis Tib Plt R 12 H 173mm 10 7 $2,276.00 $1,820.80 20% off $978.68 $2,162.20 $1,381.88 2026-05-09
1041246 OTHER Plate 4.5mm Lcp Condylar L 12 H 278mm 10 7 $2,181.00 $1,744.80 20% off $937.83 $2,071.95 $1,324.20 2026-05-09
1041249 OTHER Plate 4.5mm Lcp Condylar L 8 H 206mm 10 7 $2,102.00 $1,681.60 20% off $903.86 $1,996.90 $1,276.23 2026-05-09
1041250 OTHER Plate 4.5mm Lcp Condylar R 10 H 242mm 10 7 $2,357.00 $1,885.60 20% off $1,013.51 $2,239.15 $1,431.06 2026-05-09
1041253 OTHER Plate 4.5mm Lcp Condylar R 6 H 170mm 10 7 $2,061.00 $1,648.80 20% off $886.23 $1,957.95 $1,251.34 2026-05-09
1041254 OTHER Plate 4.5mm Lcp Condylar R 8 H 206mm 10 7 $2,581.00 $2,064.80 $1,109.83 $2,451.95 $1,567.06 2026-05-09
1041255 OTHER Plate 4.5mm Lcp Crvd Condlr 14 H 314mm L 10 7 $2,352.00 $1,881.60 20% off $1,011.36 $2,234.40 $1,428.01 2026-05-09
1041256 OTHER Plate 4.5mm Lcp Crvd Condlr 16 H 350mm L 10 7 $2,337.00 $1,869.60 20% off $1,004.91 $2,220.15 $1,418.91 2026-05-09
1041257 OTHER Plate 4.5mm Lcp Crvd Condlr 18 H 386mm L 10 7 $2,387.00 $1,909.60 20% off $1,026.41 $2,267.65 $1,449.26 2026-05-09
1041258 OTHER Plate 4.5mm Lcp Crvd Condlr 18 H 386mm R 10 7 $2,411.00 $1,928.80 20% off $1,036.73 $2,290.45 $1,463.84 2026-05-09
1041260 OTHER Plate 4.5mm Lcp Prox Tibia L 12 H 226mm 10 7 $2,234.00 $1,787.20 20% off $960.62 $2,122.30 $1,356.38 2026-05-09
1041262 OTHER Plate 4.5mm Lcp Prox Tibia L 6 H 118mm 10 7 $2,160.00 $1,728.00 20% off $928.80 $2,052.00 $1,311.44 2026-05-09
1041265 OTHER Plate 4.5mm Lcp Prox Tibia R 12 H 226mm 10 7 $2,827.00 $2,261.60 20% off $1,215.61 $2,685.65 $1,716.41 2026-05-09
3100127 OTHER Polysomnography 4 Or More Addl Param Of 10 7 $6,266.00 $5,012.80 20% off $2,694.38 $5,952.70 $3,804.40 2026-05-09
3100128 OTHER Polysomnography With Titration 10 7 $8,728.00 $6,982.40 20% off $3,753.04 $8,291.60 $5,299.20 2026-05-09
7101106 OTHER Pralatrexate Inj Sdv: 20mg/1ml 10 7 $11,959.00 $9,567.20 $5,142.37 $11,361.05 $7,260.91 2026-05-09
7101107 OTHER Pralatrexate Inj Sdv: 40mg/2ml 10 7 $23,021.00 $18,416.80 20% off $9,899.03 $21,869.95 $13,977.20 2026-05-09
1020019 OTHER Pre Shaped Achilles Tendon 10 7 $3,333.00 $2,666.40 20% off $1,433.19 $3,166.35 $2,023.63 2026-05-09
1002052 OTHER Pro-dense Injectable Graft 10cc 10 7 $3,878.00 $3,102.40 20% off $1,667.54 $3,684.10 $2,354.53 2026-05-09
1002051 OTHER Pro-dense Injectable Graft 5cc 10 7 $2,133.00 $1,706.40 $917.19 $2,026.35 $1,295.05 2026-05-09
3001379 OTHER Product Plate Cmv(-) Irrad Leukopoo Pher 10 7 $2,259.00 $1,807.20 20% off $971.37 $2,146.05 $1,371.55 2026-05-09
3001377 OTHER Product Plate Irrad Leukopoor Pheresis 10 7 $3,183.00 $2,546.40 20% off $1,368.69 $3,023.85 $1,932.56 2026-05-09
5 OTHER Progressive Care Medsurg 5 5 $2,500.00 $2,000.00 20% off $1,950.00 $2,375.00 $2,200.00 2026-05-09
6 OTHER Progressive Care OB 5 5 $2,500.00 $2,000.00 20% off $1,950.00 $2,375.00 $2,200.00 2026-05-09
7101139 OTHER Prothrombin Complex Inj Kit: 1000 Units 10 7 $4,528.00 $3,622.40 20% off $1,947.04 $4,301.60 $2,749.18 2026-05-09
7101140 OTHER Prothrombin Complex Inj Kit: 500 Units 10 7 $2,253.00 $1,802.40 $968.79 $2,140.35 $1,367.91 2026-05-09
1020021 OTHER Proximal Humerus Left 10 7 $5,749.00 $4,599.20 20% off $2,472.07 $5,461.55 $3,490.51 2026-05-09
1020022 OTHER Proximal Humerus Right 10 7 $4,623.00 $3,698.40 20% off $1,987.89 $4,391.85 $2,806.86 2026-05-09
7101153 OTHER Rabies Immune Globulin Inj:1500units/5ml 10 7 $4,712.00 $3,769.60 20% off $2,026.16 $4,476.40 $2,860.89 2026-05-09
7101155 OTHER Ramucirumab Inj Sdv: 100mg/10ml 10 7 $3,087.00 $2,469.60 20% off $1,327.41 $2,932.65 $1,874.27 2026-05-09
7101156 OTHER Ramucirumab Inj Sdv: 500mg/50ml 10 7 $14,714.00 $11,771.20 $6,327.02 $13,978.30 $8,933.60 2026-05-09
123472 OTHER Reconstruct Shoulder Joint 23472 16 7 $2,861.00 $2,288.80 $1,230.23 $2,717.95 $1,410.42 2026-05-09
144160 OTHER Removal Of Colon 16 7 $2,901.00 $2,320.80 $1,131.46 $2,755.95 $1,253.66 2026-05-09
164857 OTHER Repair Arm Leg Nerve 16 7 $3,718.00 $2,974.40 20% off $975.79 $3,532.10 $1,598.74 2026-05-09
144626 OTHER Repair Bowel Opening 44626 16 7 $4,100.00 $3,280.00 20% off $1,440.71 $3,895.00 $1,763.00 2026-05-09
144661 OTHER Repair Bowel-bladder Fistula 16 7 $3,626.00 $2,900.80 $1,405.08 $3,444.70 $1,566.97 2026-05-09
126357 OTHER Repair Finger Hand Tendon 26357 16 7 $3,078.00 $2,462.40 20% off $845.92 $2,924.10 $1,323.54 2026-05-09
143840 OTHER Repair Of Stomach Lesion 16 7 $3,124.00 $2,499.20 20% off $1,237.18 $2,967.80 $1,358.83 2026-05-09
125320 OTHER Repair Revise Wrist Joint 16 7 $3,562.00 $2,849.60 20% off $944.54 $3,383.90 $1,531.66 2026-05-09
123473 OTHER Revis Reconst Shoulder Joint 23473 16 7 $2,903.00 $2,322.40 $1,248.29 $2,830.50 $1,567.13 2026-05-09
123474 OTHER Revis Reconst Shoulder Joint 23474 16 7 $3,131.00 $2,504.80 $1,346.33 $3,053.05 $1,690.25 2026-05-09
127134 OTHER Revise Hip Joint Replacement 27134 16 7 $3,769.00 $3,015.20 20% off $1,620.67 $3,580.55 $1,845.57 2026-05-09
127137 OTHER Revise Hip Joint Replacement 27137 16 7 $2,752.00 $2,201.60 20% off $1,183.36 $2,614.40 $1,426.12 2026-05-09
127138 OTHER Revise Hip Joint Replacement 27138 16 7 $3,111.00 $2,488.80 $1,337.73 $2,955.45 $1,480.80 2026-05-09
127486 OTHER Revise Replace Knee Joint 27486 16 7 $2,564.00 $2,051.20 20% off $1,102.52 $2,474.78 $1,372.38 2026-05-09
127487 OTHER Revise Replace Knee Joint 27487 16 7 $3,531.00 $2,824.80 $1,518.33 $3,354.45 $1,704.88 2026-05-09
123485 OTHER Revision Of Collar Bone 23485 16 7 $3,114.00 $2,491.20 20% off $893.52 $2,958.30 $1,339.02 2026-05-09
7101196 OTHER Risankizumab-rzaa Inj Syr 75mg/0.83ml 10 7 $39,258.00 $31,406.40 $16,880.94 $37,295.10 $23,835.50 2026-05-09
7101167 OTHER RiTUXimab Inj Sdv 100mg 10 7 $2,402.00 $1,921.60 20% off $1,032.86 $2,281.90 $1,458.38 2026-05-09
7101168 OTHER RiTUXimab Inj Sdv 500mg 10 7 $12,008.00 $9,606.40 20% off $5,163.44 $11,407.60 $7,290.65 2026-05-09
7101524 OTHER romiPLOStim Inj Sdv 125mcg 10 7 $2,718.00 $2,174.40 $1,168.74 $2,582.10 $1,650.24 2026-05-09
7101531 OTHER romiPLOStim Inj Sdv 250mcg 10 7 $5,258.00 $4,206.40 20% off $2,260.94 $4,995.10 $3,192.39 2026-05-09
7101562 OTHER Romosozumab-aqqg Inj 210mg/2.34ml(2x105) 10 7 $5,192.00 $4,153.60 $2,232.56 $4,932.40 $3,152.32 2026-05-09
149561 OTHER Rpr Ventral Hern Init Block 10 7 $2,136.00 $1,708.80 20% off $918.48 $2,029.20 $1,296.87 2026-05-09
123334 OTHER Shoulder Prosthesis Removal 23334 16 7 $3,817.00 $3,053.60 20% off $996.36 $3,626.15 $1,641.31 2026-05-09
123335 OTHER Shoulder Prosthesis Removal 23335 16 7 $4,380.00 $3,504.00 20% off $1,181.20 $4,161.00 $1,883.40 2026-05-09
1047102 OTHER Smith Nephew Hemi Hip 10 7 $3,885.00 $3,108.00 20% off $1,670.55 $3,690.75 $2,358.78 2026-05-09
1047101 OTHER Smith Nephew Standard Hip 10 7 $5,623.00 $4,498.40 20% off $2,417.89 $5,341.85 $3,414.01 2026-05-09
1048105 OTHER Smith Nephew Standard Knee 10 7 $6,285.00 $5,028.00 20% off $2,702.55 $5,970.75 $3,815.94 2026-05-09
1048106 OTHER Smith Nephew Uni Knee 10 7 $5,292.00 $4,233.60 $2,275.56 $5,027.40 $3,213.04 2026-05-09
1047103 OTHER Smith Nephew Unipolar Hip Pressfit 10 7 $9,008.00 $7,206.40 20% off $3,873.44 $8,557.60 $5,469.20 2026-05-09
1034158 OTHER Speedbridge 4.75mm X 19.1mm 10 7 $2,132.00 $1,705.60 20% off $916.76 $2,025.40 $1,294.44 2026-05-09
1034159 OTHER Speedbridge Sp 5.5mm X 24.5mm 10 7 $2,355.00 $1,884.00 20% off $1,012.65 $2,237.25 $1,429.84 2026-05-09
144602 OTHER Suture Small Intestine Enterorrhaphy Sng 16 7 $2,324.00 $1,859.20 20% off $999.32 $2,325.95 $1,333.55 2026-05-09
7101399 OTHER Tenecteplase Inj Kit: 50mg 10 7 $17,054.00 $13,643.20 $7,333.22 $16,201.30 $10,354.34 2026-05-09
1020025 OTHER Tibialis Posterior Tendon 10 7 $2,449.00 $1,959.20 20% off $1,053.07 $2,326.55 $1,486.91 2026-05-09
7101423 OTHER Tocilizumab Inj Sdv 400mg/20ml 10 7 $5,152.00 $4,121.60 $2,215.36 $4,894.40 $3,128.03 2026-05-09
127130 OTHER Total Hip Arthroplasty 27130 16 7 $4,880.00 $3,904.00 20% off $1,193.57 $4,636.00 $2,098.40 2026-05-09
127132 OTHER Total Hip Arthroplasty 27132 16 7 $4,602.00 $3,681.60 20% off $1,548.98 $4,371.90 $1,978.86 2026-05-09
127447 OTHER Total Knee Arthroplasty 16 7 $3,318.00 $2,654.40 20% off $1,192.12 $3,152.10 $1,426.74 2026-05-09
126483 OTHER Transplant Graft Hand Tendon 16 7 $2,936.00 $2,348.80 $823.37 $2,789.20 $1,262.48 2026-05-09
7101432 OTHER Trastuzumab Inj Sdv 150mg 10 7 $3,983.00 $3,186.40 20% off $1,712.69 $3,783.85 $2,418.28 2026-05-09
7101433 OTHER Trastuzumab-anns Inj Mdv 420mg 10 7 $3,489.00 $2,791.20 20% off $1,500.27 $3,314.55 $2,118.35 2026-05-09
127828 OTHER Treat Lower Leg Fracture 27828 16 7 $2,405.00 $1,924.00 20% off $1,034.15 $2,360.04 $1,301.89 2026-05-09
127506 OTHER Treatment Of Thigh Fracture 27506 16 7 $2,439.00 $1,951.20 20% off $1,048.77 $2,366.62 $1,311.76 2026-05-09
7101435 OTHER Triamcinolone Ac Opth Sdv:40mg/ml: 0.9ml 10 7 $3,422.00 $2,737.60 20% off $1,471.46 $3,250.90 $2,077.66 2026-05-09
1020026 OTHER Tricortical Ilium Strip 10 7 $2,064.00 $1,651.20 20% off $887.52 $1,960.80 $1,253.16 2026-05-09
2020046 OTHER US Breast Biopsy Ea Addtl Lesion 19084 10 7 $2,380.00 $1,904.00 20% off $1,023.40 $2,261.00 $1,445.02 2026-05-09
2070002 OTHER US Breast Biopsy First Lesion 19083 10 7 $4,673.00 $3,738.40 20% off $2,009.39 $4,439.35 $2,837.21 2026-05-09
7101447 OTHER Ustekinumab Inj Sdv 130mg/26ml 10 7 $4,237.00 $3,389.60 20% off $1,821.91 $4,025.15 $2,572.49 2026-05-09
800122 OTHER Vaginal Delivery Each 10 7 $2,270.00 $1,816.00 20% off $976.10 $2,156.50 $1,378.23 2026-05-09
159610 OTHER Vbac Delivery 16 7 $4,420.00 $3,536.00 20% off $1,900.60 $4,199.00 $2,392.08 2026-05-09
7101473 OTHER Vedolizumab Inj Sdv 300mg 10 7 $18,885.00 $15,108.00 20% off $8,120.55 $17,940.75 $11,466.03 2026-05-09
1020016 OTHER Vivigen F Cellualr Bone Martrix - Large 10 7 $4,820.00 $3,856.00 20% off $2,072.60 $4,579.00 $2,926.47 2026-05-09
2070013 OTHER Xr Fl Cholangiogram Injection 10 7 $7,793.00 $6,234.40 20% off $3,350.99 $7,403.35 $4,731.52 2026-05-09
2000159 OTHER Xr Fl Cystography 10 7 $2,611.00 $2,088.80 $1,122.73 $2,480.45 $1,585.27 2026-05-09
7101506 OTHER Zoledronic Acid Inj Sdv Bottle 5mg/100ml 10 7 $2,802.00 $2,241.60 20% off $1,204.86 $2,661.90 $1,701.24 2026-05-09
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