|
90378
|
HCPCS
|
Respiratory Syncytial Virus Antibody For Injection Into Tissue Or Muscle
|
36
|
18
|
$135,765.10
|
$108,612.08
|
$38,834.80
|
$132,497.15
|
$55,812.45
|
2026-05-04
|
|
74704349_ERX
|
CDM
|
Curosurf 240 Mg/3 Ml Vial
|
18
|
18
|
$120,570.50
|
$96,456.40
20% off
|
$37,666.22
|
$108,513.45
|
$49,813.70
|
2026-05-04
|
|
J2507
|
HCPCS
|
Injection, Pegloticase, 1 Mg
|
18
|
18
|
$105,553.65
|
$84,442.92
20% off
|
$32,974.96
|
$94,998.29
|
$43,609.49
|
2026-05-04
|
|
J9228
|
HCPCS
|
Injection, Ipilimumab, 1 Mg
|
18
|
18
|
$79,781.25
|
$63,825.00
20% off
|
$24,923.66
|
$71,803.13
|
$32,961.62
|
2026-05-04
|
|
J1300
|
HCPCS
|
Injection, Eculizumab, 10 Mg
|
18
|
18
|
$68,807.25
|
$55,045.80
|
$21,495.38
|
$61,926.53
|
$28,427.71
|
2026-05-04
|
|
J3245
|
HCPCS
|
Injection, Tildrakizumab, 1 Mg
|
18
|
18
|
$46,832.85
|
$37,466.28
20% off
|
$14,630.58
|
$42,149.57
|
$19,348.99
|
2026-05-04
|
|
J2350
|
HCPCS
|
Injection, Ocrelizumab, 1 Mg
|
18
|
18
|
$46,411.70
|
$37,129.36
|
$14,499.02
|
$41,770.53
|
$19,174.99
|
2026-05-04
|
|
J0896
|
HCPCS
|
Injection, Luspatercept-aamt, 0.25 Mg
|
36
|
18
|
$43,209.28
|
$34,567.42
20% off
|
$13,485.26
|
$38,926.71
|
$17,850.88
|
2026-05-04
|
|
J9063
|
HCPCS
|
Injection, Mirvetuximab Soravtansine-gynx, 1 Mg
|
18
|
18
|
$42,663.60
|
$34,130.88
20% off
|
$13,328.11
|
$38,397.24
|
$17,626.47
|
2026-05-04
|
|
J0222
|
HCPCS
|
Injection, Patisiran, 0.1 Mg
|
18
|
18
|
$40,292.75
|
$32,234.20
20% off
|
$12,587.46
|
$36,263.48
|
$16,646.95
|
2026-05-04
|
|
J9022
|
HCPCS
|
Injection, Atezolizumab, 10 Mg
|
18
|
18
|
$39,570.45
|
$31,656.36
|
$12,361.81
|
$35,613.41
|
$16,348.53
|
2026-05-04
|
|
J1303
|
HCPCS
|
Injection, Ravulizumab-cwvz, 10 Mg
|
36
|
18
|
$33,622.32
|
$26,897.86
|
$4,516.66
|
$47,508.03
|
$14,751.36
|
2026-05-04
|
|
J1930
|
HCPCS
|
Injection, Lanreotide, 1 Mg
|
18
|
18
|
$33,630.35
|
$26,904.28
20% off
|
$10,506.12
|
$30,267.32
|
$13,894.38
|
2026-05-04
|
|
J9333
|
HCPCS
|
Injection, Rozanolixizumab-noli, 1 Mg
|
18
|
18
|
$32,317.20
|
$25,853.76
20% off
|
$10,095.89
|
$29,085.48
|
$13,351.85
|
2026-05-04
|
|
J9359
|
HCPCS
|
Injection, Loncastuximab Tesirine-lpyl, 0.075 Mg
|
18
|
18
|
$30,190.90
|
$24,152.72
20% off
|
$9,431.64
|
$27,171.81
|
$12,473.37
|
2026-05-04
|
|
J9043
|
HCPCS
|
Injection, Cabazitaxel, 1 Mg
|
36
|
18
|
$23,402.22
|
$18,721.78
20% off
|
$4,527.52
|
$29,080.58
|
$11,309.11
|
2026-05-04
|
|
J9308
|
HCPCS
|
Injection, Ramucirumab, 5 Mg
|
18
|
18
|
$25,878.50
|
$20,702.80
20% off
|
$8,084.44
|
$23,290.65
|
$10,691.70
|
2026-05-04
|
|
004983LWJH
|
CDM
|
Hc Medtronic Generator 3023
|
18
|
18
|
$25,570.67
|
$20,456.54
|
$7,988.28
|
$23,013.60
|
$10,564.52
|
2026-05-04
|
|
J0180
|
HCPCS
|
Injection, Agalsidase Beta, 1 Mg
|
18
|
18
|
$25,459.55
|
$20,367.64
20% off
|
$7,953.56
|
$22,913.60
|
$10,518.61
|
2026-05-04
|
|
J9307
|
HCPCS
|
Injection, Pralatrexate, 1 Mg
|
36
|
18
|
$21,098.05
|
$16,878.44
|
$4,785.58
|
$24,189.62
|
$9,501.14
|
2026-05-04
|
|
J9144
|
HCPCS
|
Injection, Daratumumab, 10 Mg And Hyaluronidase-fihj
|
18
|
18
|
$22,467.25
|
$17,973.80
20% off
|
$7,018.77
|
$20,220.53
|
$9,282.35
|
2026-05-04
|
|
J3380
|
HCPCS
|
Injection, Vedolizumab, Intravenous, 1 Mg
|
18
|
18
|
$21,092.25
|
$16,873.80
20% off
|
$6,589.22
|
$18,983.03
|
$8,714.26
|
2026-05-04
|
|
19296
|
HCPCS
|
Insertion Of Expandable Tube In Breast For Radiation Treatment Using Imaging Gui…
|
33
|
18
|
$27,300.00
|
$21,840.00
20% off
|
$122.83
|
$24,570.00
|
$8,714.16
|
2026-05-04
|
|
J2353
|
HCPCS
|
Injection, Octreotide, Depot Form For Intramuscular Injection, 1 Mg
|
36
|
18
|
$18,497.70
|
$14,798.16
20% off
|
$4,628.82
|
$19,960.61
|
$8,107.60
|
2026-05-04
|
|
J2323
|
HCPCS
|
Injection, Natalizumab, 1 Mg
|
18
|
18
|
$18,602.50
|
$14,882.00
20% off
|
$5,811.42
|
$16,742.25
|
$7,685.62
|
2026-05-04
|
|
C1781
|
HCPCS
|
Mesh (implantable)
|
234
|
18
|
$11,197.00
|
$8,957.60
|
$94.39
|
$30,045.60
|
$6,679.72
|
2026-05-04
|
|
J9306
|
HCPCS
|
Injection, Pertuzumab, 1 Mg
|
18
|
18
|
$15,392.75
|
$12,314.20
|
$4,808.70
|
$13,853.48
|
$6,359.51
|
2026-05-04
|
|
J2356
|
HCPCS
|
Injection, Tezepelumab-ekko, 1 Mg
|
18
|
18
|
$15,374.05
|
$12,299.24
20% off
|
$4,802.85
|
$13,836.65
|
$6,351.79
|
2026-05-04
|
|
J9303
|
HCPCS
|
Injection, Panitumumab, 10 Mg
|
18
|
18
|
$15,066.10
|
$12,052.88
20% off
|
$4,706.65
|
$13,559.49
|
$6,224.56
|
2026-05-04
|
|
J9299
|
HCPCS
|
Injection, Nivolumab, 1 Mg
|
54
|
18
|
$11,018.40
|
$8,814.72
20% off
|
$2,872.86
|
$15,806.48
|
$6,146.96
|
2026-05-04
|
|
J9354
|
HCPCS
|
Injection, Ado-trastuzumab Emtansine, 1 Mg
|
18
|
18
|
$14,411.70
|
$11,529.36
20% off
|
$4,502.22
|
$12,970.53
|
$5,954.19
|
2026-05-04
|
|
38760
|
HCPCS
|
Removal Of Lymph Nodes Of Groin
|
33
|
18
|
$18,640.00
|
$14,912.00
20% off
|
$497.09
|
$16,776.00
|
$5,949.89
|
2026-05-04
|
|
J3101
|
HCPCS
|
Injection, Tenecteplase, 1 Mg
|
36
|
18
|
$13,452.00
|
$10,761.60
20% off
|
$3,363.03
|
$14,524.97
|
$5,895.02
|
2026-05-04
|
|
J0739
|
HCPCS
|
Injection, Cabotegravir, 1mg, Fda Approved Prescription, Only For Use As HIV Pre…
|
18
|
18
|
$14,167.25
|
$11,333.80
20% off
|
$4,425.85
|
$12,750.53
|
$5,853.20
|
2026-05-04
|
|
J9312
|
HCPCS
|
Injection, Rituximab, 10 Mg
|
36
|
18
|
$14,166.08
|
$11,332.86
20% off
|
$4,147.39
|
$13,550.63
|
$5,831.04
|
2026-05-04
|
|
J2506
|
HCPCS
|
Injection, Pegfilgrastim, Excludes Biosimilar, 0.5 Mg
|
18
|
18
|
$13,942.20
|
$11,153.76
20% off
|
$4,355.54
|
$12,547.98
|
$5,760.22
|
2026-05-04
|
|
Q9992
|
HCPCS
|
Injection, Buprenorphine Extended-release (sublocade), Greater Than 100 Mg
|
18
|
18
|
$13,699.65
|
$10,959.72
20% off
|
$4,279.77
|
$12,329.69
|
$5,660.01
|
2026-05-04
|
|
J9207
|
HCPCS
|
Injection, Ixabepilone, 1 Mg
|
18
|
18
|
$13,649.25
|
$10,919.40
20% off
|
$4,264.03
|
$12,284.33
|
$5,639.19
|
2026-05-04
|
|
J9047
|
HCPCS
|
Injection, Carfilzomib, 1 Mg
|
36
|
18
|
$12,272.42
|
$9,817.94
20% off
|
$3,129.14
|
$13,075.56
|
$5,397.93
|
2026-05-04
|
|
C1785
|
HCPCS
|
Pacemaker, Dual Chamber, Rate-responsive (implantable)
|
18
|
18
|
$12,964.64
|
$10,371.71
20% off
|
$4,050.15
|
$11,668.18
|
$5,356.34
|
2026-05-04
|
|
J2783
|
HCPCS
|
Injection, Rasburicase, 0.5 Mg
|
36
|
18
|
$12,156.27
|
$9,725.02
|
$1,601.28
|
$17,268.12
|
$5,303.57
|
2026-05-04
|
|
008081LWJH
|
CDM
|
Hc Cryosurgery
|
18
|
18
|
$12,670.86
|
$10,136.69
|
$3,958.38
|
$11,403.77
|
$5,234.97
|
2026-05-04
|
|
J9302
|
HCPCS
|
Injection, Ofatumumab, 10 Mg
|
18
|
18
|
$12,663.25
|
$10,130.60
20% off
|
$3,956.00
|
$11,396.93
|
$5,231.82
|
2026-05-04
|
|
J7168
|
HCPCS
|
Prothrombin Complex Concentrate (human), Kcentra, Per I.u. Of Factor Ix Activity
|
36
|
18
|
$11,450.97
|
$9,160.78
|
$2,549.39
|
$13,267.17
|
$5,211.05
|
2026-05-04
|
|
J7187
|
HCPCS
|
Injection, Von Willebrand Factor Complex (humate-p), Per Iu Vwf:rco
|
36
|
18
|
$12,526.72
|
$10,021.38
|
$3,856.86
|
$11,436.80
|
$5,171.01
|
2026-05-04
|
|
49605
|
HCPCS
|
Repair Of Large Defect Of Abdominal Wall At Navel
|
15
|
15
|
$14,130.00
|
$11,304.00
20% off
|
$2,853.14
|
$12,717.00
|
$5,052.97
|
2026-05-04
|
|
J9177
|
HCPCS
|
Injection, Enfortumab Vedotin-ejfv, 0.25 Mg
|
18
|
18
|
$12,023.95
|
$9,619.16
20% off
|
$3,756.28
|
$10,821.56
|
$4,967.69
|
2026-05-04
|
|
J1306
|
HCPCS
|
Injection, Inclisiran, 1 Mg
|
18
|
18
|
$12,023.05
|
$9,618.44
|
$3,756.00
|
$10,820.75
|
$4,967.32
|
2026-05-04
|
|
C1747
|
HCPCS
|
Endoscope, Single-use (i.e. Disposable), Urinary Tract, Imaging/illumination Dev…
|
18
|
18
|
$11,985.00
|
$9,588.00
20% off
|
$3,744.11
|
$10,786.50
|
$4,951.60
|
2026-05-04
|
|
J9227
|
HCPCS
|
Injection, Isatuximab-irfc, 10 Mg
|
18
|
18
|
$11,920.00
|
$9,536.00
20% off
|
$3,723.81
|
$10,728.00
|
$4,924.75
|
2026-05-04
|
|
J3590
|
HCPCS
|
Unclassified Biologics
|
18
|
18
|
$11,536.65
|
$9,229.32
20% off
|
$3,604.05
|
$10,382.99
|
$4,766.36
|
2026-05-04
|
|
J2327
|
HCPCS
|
Injection, Risankizumab-rzaa, Intravenous, 1 Mg
|
36
|
18
|
$15,027.54
|
$12,022.03
20% off
|
$49.32
|
$26,907.48
|
$4,740.99
|
2026-05-04
|
|
J1950
|
HCPCS
|
Injection, Leuprolide Acetate (for Depot Suspension), Per 3.75 Mg
|
36
|
18
|
$9,746.02
|
$7,796.82
20% off
|
$1,874.81
|
$12,141.68
|
$4,721.76
|
2026-05-04
|
|
J1459
|
HCPCS
|
Injection, Immune Globulin (privigen), Intravenous, Non-lyophilized (e.g., Liqui…
|
72
|
18
|
$9,911.48
|
$7,929.18
20% off
|
$1,636.44
|
$23,566.14
|
$4,714.47
|
2026-05-04
|
|
33285
|
HCPCS
|
Insertion Of Heart Rhythm Monitor Under Skin
|
33
|
18
|
$14,456.00
|
$11,564.80
20% off
|
$50.24
|
$13,010.40
|
$4,614.36
|
2026-05-04
|
|
20101
|
HCPCS
|
Exploration Of Wound Of Chest
|
33
|
18
|
$13,967.22
|
$11,173.78
|
$123.98
|
$12,570.50
|
$4,458.34
|
2026-05-04
|
|
J9176
|
HCPCS
|
Injection, Elotuzumab, 1 Mg
|
18
|
18
|
$10,683.55
|
$8,546.84
|
$3,337.54
|
$9,615.20
|
$4,413.91
|
2026-05-04
|
|
C1764
|
HCPCS
|
Event Recorder, Cardiac (implantable)
|
18
|
18
|
$10,372.96
|
$8,298.37
|
$3,240.51
|
$9,335.66
|
$4,285.59
|
2026-05-04
|
|
J0565
|
HCPCS
|
Injection, Bezlotoxumab, 10 Mg
|
18
|
18
|
$10,303.15
|
$8,242.52
|
$3,218.70
|
$9,272.84
|
$4,256.74
|
2026-05-04
|
|
C1778
|
HCPCS
|
Lead, Neurostimulator (implantable)
|
18
|
18
|
$10,091.74
|
$8,073.39
20% off
|
$3,152.66
|
$9,082.57
|
$4,169.41
|
2026-05-04
|
|
J9311
|
HCPCS
|
Injection, Rituximab 10 Mg And Hyaluronidase
|
36
|
18
|
$13,263.05
|
$10,610.43
20% off
|
$27.36
|
$23,794.65
|
$4,169.11
|
2026-05-04
|
|
20010011
|
CDM
|
Intensive Care Unit - General Classification
|
11
|
11
|
$4,900.00
|
$3,920.00
20% off
|
$3,034.08
|
$4,410.00
|
$4,165.00
|
2026-05-04
|
|
20010001
|
CDM
|
Intensive Care Unit - General Classification
|
11
|
11
|
$4,900.00
|
$3,920.00
20% off
|
$3,034.08
|
$4,410.00
|
$4,165.00
|
2026-05-04
|
|
109969
|
CDM
|
Endopath Linear Cutter Refill
|
18
|
18
|
$9,917.86
|
$7,934.29
|
$3,098.34
|
$8,926.07
|
$4,097.56
|
2026-05-04
|
|
J0129
|
HCPCS
|
Injection, Abatacept, 10 Mg (code May Be Used For Medicare When Drug Administere…
|
18
|
18
|
$9,821.00
|
$7,856.80
20% off
|
$3,068.08
|
$8,838.90
|
$4,057.55
|
2026-05-04
|
|
114269
|
CDM
|
Pacemaker Device
|
18
|
18
|
$9,650.00
|
$7,720.00
20% off
|
$3,014.66
|
$8,685.00
|
$3,986.90
|
2026-05-04
|
|
J0897
|
HCPCS
|
Injection, Denosumab, 1 Mg
|
36
|
18
|
$9,369.75
|
$7,495.80
20% off
|
$2,533.33
|
$9,567.23
|
$3,964.02
|
2026-05-04
|
|
49329
|
HCPCS
|
Other Procedure On Abdomen Using An Endoscope
|
7
|
7
|
$4,400.31
|
$3,520.25
|
$50.50
|
$4,664.33
|
$3,960.28
|
2026-05-04
|
|
98110236_FAC
|
CDM
|
Hc Pr Ed 10140 Drainage Of Hematoma/fluid Cdm
|
3
|
3
|
$4,634.00
|
$3,707.20
20% off
|
$3,475.50
|
$4,170.60
|
$3,938.90
|
2026-05-04
|
|
Q5111
|
HCPCS
|
Injection, Pegfilgrastim-cbqv (udenyca), Biosimilar, 0.5 Mg
|
36
|
18
|
$8,194.75
|
$6,555.80
20% off
|
$1,676.03
|
$9,922.05
|
$3,897.16
|
2026-05-04
|
|
Q3027
|
HCPCS
|
Injection, Interferon Beta-1a, 1 Mcg For Intramuscular Use
|
18
|
18
|
$9,334.70
|
$7,467.76
20% off
|
$2,916.16
|
$8,401.23
|
$3,856.63
|
2026-05-04
|
|
43659
|
HCPCS
|
Other Procedure On Stomach Using An Endoscope
|
7
|
7
|
$4,263.00
|
$3,410.40
20% off
|
$50.50
|
$4,518.78
|
$3,836.70
|
2026-05-04
|
|
Q5119
|
HCPCS
|
Injection, Rituximab-pvvr, Biosimilar, (ruxience), 10 Mg
|
36
|
18
|
$9,317.65
|
$7,454.12
20% off
|
$2,669.47
|
$9,081.23
|
$3,830.78
|
2026-05-04
|
|
C5273
|
HCPCS
|
Application Of Low Cost Skin Substitute Graft To Trunk, Arms, Legs, Total Wound …
|
25
|
18
|
$10,883.45
|
$8,706.76
20% off
|
$50.50
|
$9,795.11
|
$3,809.21
|
2026-05-04
|
|
Q5115
|
HCPCS
|
Injection, Rituximab-abbs, Biosimilar, (truxima), 10 Mg
|
36
|
18
|
$8,686.20
|
$6,948.96
20% off
|
$2,247.20
|
$9,161.15
|
$3,795.77
|
2026-05-04
|
|
J2792
|
HCPCS
|
Injection, Rho D Immune Globulin, Intravenous, Human, Solvent Detergent, 100 Iu
|
18
|
18
|
$9,128.60
|
$7,302.88
20% off
|
$2,851.77
|
$8,215.74
|
$3,771.48
|
2026-05-04
|
|
J0741
|
HCPCS
|
Injection, Cabotegravir And Rilpivirine, 2mg/3mg
|
36
|
18
|
$11,979.31
|
$9,583.45
|
$23.47
|
$21,495.15
|
$3,764.41
|
2026-05-04
|
|
97510786_FAC{2}
|
CDM
|
Hc Pr 46220 Excise Anal External Tag/papilla
|
3
|
3
|
$4,419.00
|
$3,535.20
20% off
|
$3,314.25
|
$3,977.10
|
$3,756.15
|
2026-05-04
|
|
J9319
|
HCPCS
|
Injection, Romidepsin, Lyophilized, 0.1 Mg
|
18
|
18
|
$9,066.80
|
$7,253.44
20% off
|
$2,832.47
|
$8,160.12
|
$3,745.95
|
2026-05-04
|
|
J9035
|
HCPCS
|
Injection, Bevacizumab, 10 Mg
|
18
|
18
|
$9,036.20
|
$7,228.96
20% off
|
$2,822.91
|
$8,132.58
|
$3,733.31
|
2026-05-04
|
|
38500
|
HCPCS
|
Biopsy Or Removal Of Lymph Nodes
|
33
|
18
|
$11,453.00
|
$9,162.40
20% off
|
$152.29
|
$10,307.70
|
$3,655.80
|
2026-05-04
|
|
J3111
|
HCPCS
|
Injection, Romosozumab-aqqg, 1 Mg
|
18
|
18
|
$8,818.90
|
$7,055.12
20% off
|
$2,755.02
|
$7,937.01
|
$3,643.53
|
2026-05-04
|
|
J9145
|
HCPCS
|
Injection, Daratumumab, 10 Mg
|
18
|
18
|
$8,753.20
|
$7,002.56
20% off
|
$2,734.50
|
$7,877.88
|
$3,616.39
|
2026-05-04
|
|
97510077_FAC{2}
|
CDM
|
Hc Pr 11426 Exc H-f-nk-sp B9+marg > 4 Cm
|
3
|
3
|
$4,123.00
|
$3,298.40
20% off
|
$3,092.25
|
$3,710.70
|
$3,504.55
|
2026-05-04
|
|
J9032
|
HCPCS
|
Injection, Belinostat, 10 Mg
|
18
|
18
|
$8,448.10
|
$6,758.48
20% off
|
$2,639.19
|
$7,603.29
|
$3,490.33
|
2026-05-04
|
|
C1815
|
HCPCS
|
Prosthesis, Urinary Sphincter (implantable)
|
54
|
18
|
$6,284.21
|
$5,027.37
|
$1,484.39
|
$8,959.30
|
$3,484.17
|
2026-05-04
|
|
15273
|
HCPCS
|
Skin Substitute Graft To Wound 100.0 Sq Cm Or More Of Trunk, Arms, Or Legs, 100.…
|
33
|
18
|
$10,883.45
|
$8,706.76
20% off
|
$113.39
|
$9,795.11
|
$3,474.00
|
2026-05-04
|
|
J3240
|
HCPCS
|
Injection, Thyrotropin Alpha, 0.9 Mg, Provided In 1.1 Mg Vial
|
18
|
18
|
$8,372.90
|
$6,698.32
20% off
|
$2,615.69
|
$7,535.61
|
$3,459.26
|
2026-05-04
|
|
19120
|
HCPCS
|
Removal Of Growth And Tissue Of Breast, Duct, Or Nipple
|
51
|
18
|
$6,667.89
|
$5,334.31
20% off
|
$315.34
|
$9,805.50
|
$3,403.60
|
2026-05-04
|
|
Q5120
|
HCPCS
|
Injection, Pegfilgrastim-bmez (ziextenzo), Biosimilar, 0.5 Mg
|
18
|
18
|
$8,179.05
|
$6,543.24
20% off
|
$2,555.14
|
$7,361.15
|
$3,379.17
|
2026-05-04
|
|
J0875
|
HCPCS
|
Injection, Dalbavancin, 5 Mg
|
18
|
18
|
$8,113.30
|
$6,490.64
20% off
|
$2,534.59
|
$7,301.97
|
$3,352.01
|
2026-05-04
|
|
J9316
|
HCPCS
|
Injection, Pertuzumab, Trastuzumab, And Hyaluronidase-zzxf, Per 10 Mg
|
36
|
18
|
$10,534.29
|
$8,427.43
|
$50.51
|
$18,816.21
|
$3,338.41
|
2026-05-04
|
|
12010014
|
CDM
|
Room & Board - Semi-private (two Beds) - General Classification
|
11
|
11
|
$3,905.00
|
$3,124.00
20% off
|
$2,417.98
|
$3,514.50
|
$3,319.25
|
2026-05-04
|
|
J9268
|
HCPCS
|
Injection, Pentostatin, 10 Mg
|
18
|
18
|
$7,981.95
|
$6,385.56
|
$2,493.56
|
$7,183.76
|
$3,297.74
|
2026-05-04
|
|
98110235_FAC{2}
|
CDM
|
Hc Pr Ed 10121 Remove Foreign Body Complicated Cdm
|
3
|
3
|
$3,833.50
|
$3,066.80
|
$2,875.13
|
$3,450.15
|
$3,258.48
|
2026-05-04
|
|
47554
|
HCPCS
|
Removal Of Bile Duct Stones Using An Endoscope
|
33
|
18
|
$10,102.00
|
$8,081.60
|
$258.94
|
$9,091.80
|
$3,224.56
|
2026-05-04
|
|
J0256
|
HCPCS
|
Injection, Alpha 1 Proteinase Inhibitor (human), Not Otherwise Specified, 10 Mg
|
18
|
18
|
$7,760.65
|
$6,208.52
|
$2,424.43
|
$6,984.59
|
$3,206.31
|
2026-05-04
|
|
114319
|
CDM
|
Loop Recorder St.jude
|
18
|
18
|
$7,720.00
|
$6,176.00
20% off
|
$2,411.73
|
$6,948.00
|
$3,189.52
|
2026-05-04
|
|
008078LWJH
|
CDM
|
Hc Eswl Lithotripsy Bilateral
|
18
|
18
|
$7,692.43
|
$6,153.94
20% off
|
$2,403.12
|
$6,923.19
|
$3,178.13
|
2026-05-04
|
|
646082
|
CDM
|
Allograft Placental Tissue Am200
|
18
|
18
|
$7,665.96
|
$6,132.77
|
$2,394.85
|
$6,899.36
|
$3,167.20
|
2026-05-04
|
|
J3247
|
HCPCS
|
Injection, Secukinumab, Intravenous, 1 Mg
|
18
|
18
|
$7,563.90
|
$6,051.12
20% off
|
$2,362.96
|
$6,807.51
|
$3,125.03
|
2026-05-04
|
|
47541
|
HCPCS
|
Placement Of Access Device Into Biliary Tract Using Imaging Guidance With Review…
|
33
|
18
|
$9,747.00
|
$7,797.60
|
$192.71
|
$8,772.30
|
$3,111.24
|
2026-05-04
|
|
49418
|
HCPCS
|
Insertion Of Abdominal Tube Using Imaging Guidance With Review By Radiologist
|
33
|
18
|
$9,747.00
|
$7,797.60
|
$116.47
|
$8,772.30
|
$3,111.24
|
2026-05-04
|
|
20600001
|
CDM
|
Intensive Care Unit - Intermediate ICU
|
11
|
11
|
$3,645.00
|
$2,916.00
20% off
|
$2,256.98
|
$3,280.50
|
$3,098.25
|
2026-05-04
|
|
12010011
|
CDM
|
Room & Board - Semi-private (two Beds) - General Classification
|
11
|
11
|
$3,640.00
|
$2,912.00
20% off
|
$2,253.89
|
$3,276.00
|
$3,094.00
|
2026-05-04
|
|
J3358
|
HCPCS
|
Ustekinumab, For Intravenous Injection, 1 Mg
|
18
|
18
|
$7,468.80
|
$5,975.04
20% off
|
$2,333.25
|
$6,721.92
|
$3,085.73
|
2026-05-04
|
|
46250
|
HCPCS
|
Removal Of Multiple External Hemorrhoids
|
51
|
18
|
$8,026.00
|
$6,420.80
20% off
|
$194.64
|
$8,381.58
|
$3,059.28
|
2026-05-04
|
|
177128
|
CDM
|
Greenlight Laser Greenlight Laser With Fiber
|
18
|
18
|
$7,334.00
|
$5,867.20
20% off
|
$2,291.14
|
$6,600.60
|
$3,030.05
|
2026-05-04
|
|
J0717
|
HCPCS
|
Injection, Certolizumab Pegol, 1 Mg (code May Be Used For Medicare When Drug Adm…
|
54
|
18
|
$8,176.10
|
$6,540.88
20% off
|
$7.90
|
$8,627.22
|
$3,027.19
|
2026-05-04
|
|
49190
|
HCPCS
|
Removal Or Destruction Of Growth(s) In The Abdomen, More Than 30.0 Cm
|
15
|
15
|
$9,090.00
|
$7,272.00
20% off
|
$1,688.78
|
$8,181.00
|
$2,998.59
|
2026-05-04
|
|
49659
|
HCPCS
|
Other Repair Of Hernia Using An Endoscope
|
7
|
7
|
$3,288.99
|
$2,631.19
20% off
|
$1,085.12
|
$3,486.33
|
$2,960.09
|
2026-05-04
|
|
Q5107
|
HCPCS
|
Injection, Bevacizumab-awwb, Biosimilar, (mvasi), 10 Mg
|
18
|
18
|
$7,159.85
|
$5,727.88
20% off
|
$2,236.74
|
$6,443.87
|
$2,958.09
|
2026-05-04
|
|
J9023
|
HCPCS
|
Injection, Avelumab, 10 Mg
|
18
|
18
|
$7,095.50
|
$5,676.40
20% off
|
$2,216.63
|
$6,385.95
|
$2,931.51
|
2026-05-04
|
|
62305
|
HCPCS
|
X-ray Of Multiple Regions Of Spinal Canal With Review By Radiologist
|
33
|
18
|
$9,147.00
|
$7,317.60
|
$73.90
|
$8,232.30
|
$2,919.72
|
2026-05-04
|
|
Q0249
|
HCPCS
|
Injection, Tocilizumab, For Hospitalized Adults And Pediatric Patients (2 Years …
|
54
|
18
|
$5,086.40
|
$4,069.12
|
$1,314.97
|
$7,500.47
|
$2,916.85
|
2026-05-04
|
|
59618
|
HCPCS
|
Cesarean Delivery And Care Before And After Delivery Following Attempted Vaginal…
|
15
|
15
|
$9,039.70
|
$7,231.76
20% off
|
$2,447.07
|
$8,135.73
|
$2,855.28
|
2026-05-04
|
|
58120
|
HCPCS
|
Dilation And Scraping Of Uterus
|
33
|
18
|
$8,936.00
|
$7,148.80
20% off
|
$139.77
|
$8,042.40
|
$2,852.37
|
2026-05-04
|
|
57460
|
HCPCS
|
Biopsy Of Cervix Using An Endoscope With Loop Electrode
|
33
|
18
|
$8,934.00
|
$7,147.20
20% off
|
$94.34
|
$8,040.60
|
$2,851.73
|
2026-05-04
|
|
57105
|
HCPCS
|
Biopsy Of Extensive Area Of Vaginal Mucous Membrane
|
33
|
18
|
$8,934.00
|
$7,147.20
20% off
|
$88.94
|
$8,040.60
|
$2,851.73
|
2026-05-04
|
|
11626
|
HCPCS
|
Removal Of Cancer Skin Growth Of Scalp, Neck, Hands, Feet, Or Genitals, More Tha…
|
33
|
18
|
$8,121.00
|
$6,496.80
20% off
|
$178.11
|
$7,308.90
|
$2,842.35
|
2026-05-04
|
|
35207
|
HCPCS
|
Repair Of Blood Vessel Of Hand Or Finger
|
33
|
18
|
$8,795.00
|
$7,036.00
20% off
|
$456.66
|
$7,915.50
|
$2,807.36
|
2026-05-04
|
|
49422
|
HCPCS
|
Removal Of Abdominal Cavity Tube
|
33
|
18
|
$8,769.00
|
$7,015.20
20% off
|
$127.83
|
$7,892.10
|
$2,799.06
|
2026-05-04
|
|
98110386_FAC{2}
|
CDM
|
Hc Pr Ed 46320 Removal Of Hemorrhoid Clot Cdm
|
3
|
3
|
$3,289.00
|
$2,631.20
20% off
|
$2,466.75
|
$2,960.10
|
$2,795.65
|
2026-05-04
|
|
12010012
|
CDM
|
Room & Board - Semi-private (two Beds) - General Classification
|
11
|
11
|
$3,285.00
|
$2,628.00
20% off
|
$2,034.07
|
$2,956.50
|
$2,792.25
|
2026-05-04
|
|
59510
|
HCPCS
|
Cesarean Delivery With Care Before And After Delivery
|
15
|
15
|
$8,986.68
|
$7,189.34
20% off
|
$2,422.79
|
$8,088.01
|
$2,786.21
|
2026-05-04
|
|
11646
|
HCPCS
|
Removal Of Cancer Skin Growth Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, More…
|
33
|
18
|
$8,683.51
|
$6,946.81
|
$231.02
|
$7,815.16
|
$2,771.78
|
2026-05-04
|
|
22511
|
HCPCS
|
Stabilization Of Lower Spine Bone
|
33
|
18
|
$8,676.00
|
$6,940.80
20% off
|
$360.56
|
$7,808.40
|
$2,769.38
|
2026-05-04
|
|
27532
|
HCPCS
|
Closed Treatment Of Broken Shin Bone With Traction
|
33
|
18
|
$8,676.00
|
$6,940.80
20% off
|
$358.09
|
$7,808.40
|
$2,769.38
|
2026-05-04
|
|
22510
|
HCPCS
|
Stabilization Of Upper Spine Bone
|
33
|
18
|
$8,676.00
|
$6,940.80
20% off
|
$381.81
|
$7,808.40
|
$2,769.38
|
2026-05-04
|
|
011671LWJH
|
CDM
|
Hc Revision Press Fit Non-slotted Stem 14mm X 100mm Item 71421314
|
18
|
18
|
$6,598.00
|
$5,278.40
20% off
|
$2,061.22
|
$5,938.20
|
$2,725.97
|
2026-05-04
|
|
J0485
|
HCPCS
|
Injection, Belatacept, 1 Mg
|
18
|
18
|
$6,594.30
|
$5,275.44
20% off
|
$2,060.06
|
$5,934.87
|
$2,724.44
|
2026-05-04
|
|
20680
|
HCPCS
|
Removal Of Deep Implant From Bone
|
34
|
18
|
$8,570.00
|
$6,856.00
20% off
|
$254.89
|
$7,713.00
|
$2,706.40
|
2026-05-04
|
|
20956
|
HCPCS
|
Bone Graft Of Pelvic Bone With Microvascular Connection
|
15
|
15
|
$6,910.43
|
$5,528.34
20% off
|
$1,568.65
|
$6,219.39
|
$2,694.39
|
2026-05-04
|
|
J7327
|
HCPCS
|
Hyaluronan Or Derivative, Monovisc, For Intra-articular Injection, Per Dose
|
18
|
18
|
$6,489.45
|
$5,191.56
|
$2,027.30
|
$5,840.51
|
$2,681.11
|
2026-05-04
|
|
003040LWJH
|
CDM
|
Hc Esophageal Kit 220-180-540
|
18
|
18
|
$6,467.16
|
$5,173.73
|
$2,020.34
|
$5,820.44
|
$2,671.90
|
2026-05-04
|
|
J1569
|
HCPCS
|
Injection, Immune Globulin, (gammagard Liquid), Non-lyophilized, (e.g., Liquid),…
|
108
|
18
|
$5,940.05
|
$4,752.04
|
$38.48
|
$11,629.98
|
$2,664.08
|
2026-05-04
|
|
59610
|
HCPCS
|
Vaginal Delivery And Care Before And After Delivery After Previous Cesarean Deli…
|
15
|
15
|
$8,423.59
|
$6,738.87
20% off
|
$2,281.20
|
$7,581.23
|
$2,663.77
|
2026-05-04
|
|
Q5118
|
HCPCS
|
Injection, Bevacizumab-bvzr, Biosimilar, (zirabev), 10 Mg
|
18
|
18
|
$6,394.20
|
$5,115.36
20% off
|
$1,997.55
|
$5,754.78
|
$2,641.77
|
2026-05-04
|
|
62302
|
HCPCS
|
X-ray Of Upper Spinal Canal With Review By Radiologist
|
33
|
18
|
$8,238.00
|
$6,590.40
20% off
|
$69.69
|
$7,414.20
|
$2,629.57
|
2026-05-04
|
|
96910486_FAC{2}
|
CDM
|
Hc Pr 11406 Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l Gt 4.0 Cm Cdm
|
3
|
3
|
$3,078.00
|
$2,462.40
20% off
|
$2,308.50
|
$2,770.20
|
$2,616.30
|
2026-05-04
|
|
J9330
|
HCPCS
|
Injection, Temsirolimus, 1 Mg
|
18
|
18
|
$6,297.80
|
$5,038.24
20% off
|
$1,967.43
|
$5,668.02
|
$2,601.93
|
2026-05-04
|
|
1057666
|
CDM
|
Balloon Inflation Urethral Optilume 24fr X 5cm Includes Inflation Device 96313
|
18
|
18
|
$6,282.15
|
$5,025.72
|
$1,962.54
|
$5,653.94
|
$2,595.47
|
2026-05-04
|
|
11450
|
HCPCS
|
Removal Of Skin And Tissue Of Underarms For Inflamed Sweat Glands With Simple Or…
|
33
|
18
|
$8,122.00
|
$6,497.60
|
$159.98
|
$7,309.80
|
$2,592.54
|
2026-05-04
|
|
11462
|
HCPCS
|
Removal Of Skin And Tissue Of Groin For Inflamed Sweat Glands With Simple Or Int…
|
33
|
18
|
$8,121.00
|
$6,496.80
20% off
|
$153.82
|
$7,308.90
|
$2,592.22
|
2026-05-04
|
|
15780
|
HCPCS
|
Dermabrasion Of Skin Of Total Face
|
33
|
18
|
$8,121.00
|
$6,496.80
20% off
|
$404.68
|
$7,308.90
|
$2,592.22
|
2026-05-04
|
|
15782
|
HCPCS
|
Dermabrasion Of Skin Other Than Face
|
33
|
18
|
$8,121.00
|
$6,496.80
20% off
|
$227.36
|
$7,308.90
|
$2,592.22
|
2026-05-04
|
|
97510076_FAC{2}
|
CDM
|
Hc Pr 11423 Exc H-f-nk-sp B9+marg 2.1-3
|
3
|
3
|
$3,033.00
|
$2,426.40
20% off
|
$2,274.75
|
$2,729.70
|
$2,578.05
|
2026-05-04
|
|
97510410_FAC{2}
|
CDM
|
Hc Pr 21930 Exc Back Les Sc < 3 Cm
|
3
|
3
|
$3,033.00
|
$2,426.40
20% off
|
$2,274.75
|
$2,729.70
|
$2,578.05
|
2026-05-04
|
|
26370
|
HCPCS
|
Repair Of Tendon Deep In Underside Of Finger
|
33
|
18
|
$7,799.00
|
$6,239.20
20% off
|
$480.53
|
$7,019.10
|
$2,561.97
|
2026-05-04
|
|
59400
|
HCPCS
|
Vaginal Delivery With Care Before And After Delivery
|
15
|
15
|
$8,099.71
|
$6,479.77
|
$2,179.62
|
$7,289.74
|
$2,550.43
|
2026-05-04
|
|
12210003
|
CDM
|
Room & Board - Semi-private (two Beds) - Obstetrics (ob)
|
11
|
11
|
$2,990.00
|
$2,392.00
20% off
|
$1,851.41
|
$2,691.00
|
$2,541.50
|
2026-05-04
|
|
12210001
|
CDM
|
Room & Board - Semi-private (two Beds) - Obstetrics (ob)
|
11
|
11
|
$2,990.00
|
$2,392.00
20% off
|
$1,851.41
|
$2,691.00
|
$2,541.50
|
2026-05-04
|
|
12010001
|
CDM
|
Room & Board - Semi-private (two Beds) - General Classification
|
11
|
11
|
$2,990.00
|
$2,392.00
20% off
|
$1,851.41
|
$2,691.00
|
$2,541.50
|
2026-05-04
|
|
12410001
|
CDM
|
Room & Board - Semi-private (two Beds) - Psychiatric
|
11
|
11
|
$2,990.00
|
$2,392.00
20% off
|
$1,851.41
|
$2,691.00
|
$2,541.50
|
2026-05-04
|
|
11426
|
HCPCS
|
Removal Of Noncancer Skin Growth Of Scalp, Neck, Hands, Feet, Or Genitals, More …
|
51
|
18
|
$4,532.00
|
$3,625.60
20% off
|
$162.48
|
$7,309.80
|
$2,537.31
|
2026-05-04
|
|
10180
|
HCPCS
|
Complex Drainage Of Wound Infection After Surgery
|
35
|
18
|
$8,121.00
|
$6,496.80
20% off
|
$108.19
|
$7,308.90
|
$2,537.00
|
2026-05-04
|
|
J9202
|
HCPCS
|
Goserelin Acetate Implant, Per 3.6 Mg
|
36
|
18
|
$5,208.15
|
$4,166.52
|
$1,010.38
|
$6,463.85
|
$2,513.72
|
2026-05-04
|
|
J1566
|
HCPCS
|
Injection, Immune Globulin, Intravenous, Lyophilized (e.g., Powder), Not Otherwi…
|
36
|
18
|
$5,304.20
|
$4,243.36
20% off
|
$1,106.54
|
$6,359.72
|
$2,497.95
|
2026-05-04
|
|
28208
|
HCPCS
|
Repair Of Tendon Of Top Side Of Foot
|
33
|
18
|
$7,799.00
|
$6,239.20
20% off
|
$196.57
|
$7,019.10
|
$2,489.44
|
2026-05-04
|
|
81455
|
HCPCS
|
Genomic Sequence Analysis Panel Of DNA Or Combined DNA And RNA Of 51 Or More Gen…
|
18
|
18
|
$6,013.14
|
$4,810.51
20% off
|
$1,878.50
|
$5,411.83
|
$2,484.33
|
2026-05-04
|
|
97511034_FAC{2}
|
CDM
|
Hc Pr 55250 Removal Of Sperm Duct(s)
|
3
|
3
|
$2,899.00
|
$2,319.20
20% off
|
$2,174.25
|
$2,609.10
|
$2,464.15
|
2026-05-04
|
|
11624
|
HCPCS
|
Removal Of Cancer Skin Growth Of Scalp, Neck, Hands, Feet, Or Genitals, 3.1-4.0 …
|
33
|
18
|
$7,529.34
|
$6,023.47
20% off
|
$142.27
|
$6,776.41
|
$2,403.37
|
2026-05-04
|
|
J2182
|
HCPCS
|
Injection, Mepolizumab, 1 Mg
|
18
|
18
|
$5,741.60
|
$4,593.28
20% off
|
$1,793.68
|
$5,167.44
|
$2,372.14
|
2026-05-04
|
|
113227
|
CDM
|
Medtronic Quad Lead 3093
|
18
|
18
|
$5,635.60
|
$4,508.48
20% off
|
$1,760.56
|
$5,072.04
|
$2,328.35
|
2026-05-04
|
|
112780
|
CDM
|
Tutoplast Fascia Lata 6cm X 8cm Coloplast 93-7268 Suspend 93-7268
|
18
|
18
|
$5,624.02
|
$4,499.22
|
$1,756.94
|
$5,061.62
|
$2,323.57
|
2026-05-04
|
|
44157
|
HCPCS
|
Removal Of Large Bowel And Rectum With Attachment Of Small Bowel To Anus
|
15
|
15
|
$7,231.28
|
$5,785.02
20% off
|
$1,278.71
|
$6,508.15
|
$2,314.90
|
2026-05-04
|
|
002253LWJH
|
CDM
|
Hc Femoral Filter 50-301
|
18
|
18
|
$5,439.49
|
$4,351.59
20% off
|
$1,699.30
|
$4,895.54
|
$2,247.32
|
2026-05-04
|
|
77021
|
HCPCS
|
Review By Radiologist Of MRI Guidance For Needle Placement
|
33
|
18
|
$6,957.00
|
$5,565.60
|
$71.32
|
$6,261.30
|
$2,220.67
|
2026-05-04
|
|
Q5122
|
HCPCS
|
Injection, Pegfilgrastim-apgf (nyvepria), Biosimilar, 0.5 Mg
|
18
|
18
|
$5,362.30
|
$4,289.84
20% off
|
$1,675.18
|
$4,826.07
|
$2,215.44
|
2026-05-04
|
|
44146
|
HCPCS
|
Partial Removal Of Large Bowel And Reattachment To Rectum And Creation Of Large …
|
15
|
15
|
$6,072.00
|
$4,857.60
|
$1,227.88
|
$5,464.80
|
$2,210.08
|
2026-05-04
|
|
45100
|
HCPCS
|
Biopsy Of Anal And/or Rectal Wall Through Anus
|
33
|
18
|
$6,874.88
|
$5,499.90
20% off
|
$184.43
|
$6,187.39
|
$2,194.46
|
2026-05-04
|
|
378574
|
CDM
|
Mesh Phasix St 10 X 15cm 1201015
|
18
|
18
|
$5,301.00
|
$4,240.80
|
$1,656.03
|
$4,770.90
|
$2,190.11
|
2026-05-04
|
|
44155
|
HCPCS
|
Removal Of Large Bowel And Rectum And Creation Of Opening From End Of Small Bowe…
|
15
|
15
|
$8,145.11
|
$6,516.09
|
$1,211.53
|
$7,330.60
|
$2,189.95
|
2026-05-04
|
|
J1561
|
HCPCS
|
Injection, Immune Globulin, (gamunex-c/gammaked), Non-lyophilized (e.g., Liquid)…
|
72
|
18
|
$4,613.48
|
$3,690.78
20% off
|
$613.73
|
$8,294.36
|
$2,172.40
|
2026-05-04
|
|
J3032
|
HCPCS
|
Injection, Eptinezumab-jjmr, 1 Mg
|
36
|
18
|
$5,284.45
|
$4,227.57
|
$533.57
|
$7,974.86
|
$2,152.66
|
2026-05-04
|
|
008077LWJH
|
CDM
|
Hc Eswl Lithotripsy Unilateral
|
18
|
18
|
$5,205.31
|
$4,164.25
|
$1,626.14
|
$4,684.78
|
$2,150.57
|
2026-05-04
|
|
J0882
|
HCPCS
|
Injection, Darbepoetin Alfa, 1 Microgram (for Esrd On Dialysis)
|
144
|
18
|
$4,070.03
|
$3,256.02
20% off
|
$322.43
|
$11,283.48
|
$2,135.32
|
2026-05-04
|
|
36561
|
HCPCS
|
Insertion Of Central Venous Tube With Port (5 Years Or Older)
|
33
|
18
|
$6,079.00
|
$4,863.20
20% off
|
$299.02
|
$5,471.10
|
$2,127.65
|
2026-05-04
|
|
43632
|
HCPCS
|
Removal Of Lower Part Of Stomach With Reattachment Of Remaining Stomach To Secon…
|
15
|
15
|
$8,222.47
|
$6,577.98
|
$1,190.15
|
$7,400.22
|
$2,120.65
|
2026-05-04
|
|
J9055
|
HCPCS
|
Injection, Cetuximab, 10 Mg
|
18
|
18
|
$5,129.75
|
$4,103.80
|
$1,602.53
|
$4,616.78
|
$2,119.36
|
2026-05-04
|
|
33017
|
HCPCS
|
Drainage Of Heart Sac Using Tube And Imaging Guidance (6 Years Or Older)
|
18
|
18
|
$5,100.00
|
$4,080.00
20% off
|
$1,593.24
|
$4,590.00
|
$2,107.07
|
2026-05-04
|
|
49188
|
HCPCS
|
Removal Or Destruction Of Growth(s) In The Abdomen, 10.1 To 20.0 Cm
|
15
|
15
|
$6,345.00
|
$5,076.00
20% off
|
$1,179.19
|
$5,710.50
|
$2,106.56
|
2026-05-04
|
|
46614
|
HCPCS
|
Control Of Bleeding Of Anus Using An Endoscope
|
33
|
18
|
$6,547.66
|
$5,238.13
|
$38.70
|
$5,892.89
|
$2,090.01
|
2026-05-04
|
|
10121
|
HCPCS
|
Removal Of Foreign Body From Tissue, Accessed Beneath The Skin, Complex
|
52
|
18
|
$4,634.00
|
$3,707.20
20% off
|
$110.69
|
$5,922.06
|
$2,041.50
|
2026-05-04
|
|
55250
|
HCPCS
|
Removal Of Sperm Duct
|
51
|
18
|
$5,820.00
|
$4,656.00
20% off
|
$144.04
|
$5,239.80
|
$2,037.00
|
2026-05-04
|
|
37609
|
HCPCS
|
Tying Or Biopsy Of Artery On Side Of Skull
|
51
|
18
|
$4,634.00
|
$3,707.20
20% off
|
$184.82
|
$5,829.30
|
$2,027.38
|
2026-05-04
|
|
J9179
|
HCPCS
|
Injection, Eribulin Mesylate, 0.1 Mg
|
18
|
18
|
$4,838.85
|
$3,871.08
20% off
|
$1,511.66
|
$4,354.97
|
$1,999.17
|
2026-05-04
|
|
20525
|
HCPCS
|
Complicated Removal Of Foreign Body In Deep Muscle Or Tendon
|
33
|
18
|
$6,243.00
|
$4,994.40
20% off
|
$150.36
|
$5,618.70
|
$1,992.77
|
2026-05-04
|
|
011657LWJH
|
CDM
|
Hc Rapid Cure Stimulan 10cc Item 620-010
|
18
|
18
|
$4,785.00
|
$3,828.00
20% off
|
$1,494.83
|
$4,306.50
|
$1,976.93
|
2026-05-04
|
|
44150
|
HCPCS
|
Removal Of Large Bowel With Attachment Of Small Bowel To Rectum Or Creation Of O…
|
15
|
15
|
$6,811.12
|
$5,448.90
|
$1,087.93
|
$6,130.01
|
$1,974.17
|
2026-05-04
|
|
J9349
|
HCPCS
|
Injection, Tafasitamab-cxix, 2 Mg
|
18
|
18
|
$4,698.95
|
$3,759.16
20% off
|
$1,467.95
|
$4,229.06
|
$1,941.37
|
2026-05-04
|
|
27134
|
HCPCS
|
Revision Of Thigh Bone And Hip Joint Prosthesis
|
15
|
15
|
$4,315.62
|
$3,452.50
|
$1,131.24
|
$3,884.06
|
$1,937.29
|
2026-05-04
|
|
44141
|
HCPCS
|
Partial Removal Of Large Bowel With Creation Of Opening To Skin
|
15
|
15
|
$8,726.38
|
$6,981.10
20% off
|
$1,060.79
|
$7,853.74
|
$1,922.71
|
2026-05-04
|
|
20103
|
HCPCS
|
Exploration Of Wound Of Arm Or Leg
|
33
|
18
|
$6,014.48
|
$4,811.58
20% off
|
$206.00
|
$5,413.03
|
$1,919.82
|
2026-05-04
|
|
J7326
|
HCPCS
|
Hyaluronan Or Derivative, Gel-one, For Intra-articular Injection, Per Dose
|
36
|
18
|
$4,095.43
|
$3,276.34
20% off
|
$862.22
|
$4,887.77
|
$1,919.80
|
2026-05-04
|
|
55700
|
HCPCS
|
Biopsy Of Prostate Gland
|
25
|
18
|
$5,484.00
|
$4,387.20
20% off
|
$75.11
|
$4,935.60
|
$1,919.40
|
2026-05-04
|
|
26765
|
HCPCS
|
Treatment Of Broken End Of Finger Or Thumb
|
36
|
18
|
$4,676.50
|
$3,741.20
20% off
|
$313.81
|
$7,019.10
|
$1,917.50
|
2026-05-04
|
|
77049
|
HCPCS
|
MRI Scan Of Both Breasts
|
33
|
18
|
$6,007.16
|
$4,805.73
|
$107.23
|
$5,406.44
|
$1,917.49
|
2026-05-04
|
|
45110
|
HCPCS
|
Removal Of Rectum With Creation Of Opening From Large Bowel To Skin Through Abdo…
|
15
|
15
|
$6,344.85
|
$5,075.88
20% off
|
$1,065.98
|
$5,710.37
|
$1,917.07
|
2026-05-04
|
|
26607
|
HCPCS
|
Closed Treatment Of Broken Hand Bone With Manipulation And Placement Of External…
|
33
|
18
|
$6,000.00
|
$4,800.00
20% off
|
$313.61
|
$5,400.00
|
$1,915.20
|
2026-05-04
|
|
57800
|
HCPCS
|
Dilation Of Cervical Canal
|
33
|
18
|
$5,956.00
|
$4,764.80
|
$28.69
|
$5,360.40
|
$1,901.16
|
2026-05-04
|
|
Q9991
|
HCPCS
|
Injection, Buprenorphine Extended-release (sublocade), Less Than Or Equal To 100…
|
18
|
18
|
$4,586.20
|
$3,668.96
|
$1,432.73
|
$4,127.58
|
$1,894.78
|
2026-05-04
|
|
46040
|
HCPCS
|
Drainage Of Deep Abscess In Rectum
|
33
|
18
|
$5,930.85
|
$4,744.68
20% off
|
$268.26
|
$5,337.77
|
$1,893.13
|
2026-05-04
|
|
J0775
|
HCPCS
|
Injection, Collagenase, Clostridium Histolyticum, 0.01 Mg
|
36
|
18
|
$5,996.93
|
$4,797.54
20% off
|
$18.71
|
$10,740.56
|
$1,891.04
|
2026-05-04
|
|
J1744
|
HCPCS
|
Injection, Icatibant, 1 Mg
|
18
|
18
|
$4,547.95
|
$3,638.36
|
$1,420.78
|
$4,093.16
|
$1,878.99
|
2026-05-04
|
|
57510
|
HCPCS
|
Electro Or Thermal Destruction Of Cervix
|
33
|
18
|
$5,883.80
|
$4,707.04
20% off
|
$67.19
|
$5,295.42
|
$1,878.11
|
2026-05-04
|
|
38510
|
HCPCS
|
Biopsy Or Removal Of Deep Lymph Nodes Of Neck
|
33
|
18
|
$5,609.00
|
$4,487.20
20% off
|
$256.57
|
$5,048.10
|
$1,876.80
|
2026-05-04
|
|
78452
|
HCPCS
|
Nuclear Medicine Studies Of Heart Muscle At Rest And With Stress And Spect
|
33
|
18
|
$5,867.00
|
$4,693.60
|
$75.74
|
$5,280.30
|
$1,872.75
|
2026-05-04
|
|
C5277
|
HCPCS
|
Application Of Low Cost Skin Substitute Graft To Face, Scalp, Eyelids, Mouth, Ne…
|
25
|
18
|
$5,300.47
|
$4,240.38
|
$50.50
|
$4,770.42
|
$1,855.16
|
2026-05-04
|
|
C5275
|
HCPCS
|
Application Of Low Cost Skin Substitute Graft To Face, Scalp, Eyelids, Mouth, Ne…
|
25
|
18
|
$5,300.47
|
$4,240.38
|
$27.58
|
$4,770.42
|
$1,855.16
|
2026-05-04
|
|
C5271
|
HCPCS
|
Application Of Low Cost Skin Substitute Graft To Trunk, Arms, Legs, Total Wound …
|
25
|
18
|
$5,300.47
|
$4,240.38
|
$29.50
|
$4,770.42
|
$1,855.16
|
2026-05-04
|
|
C5278
|
HCPCS
|
Application Of Low Cost Skin Substitute Graft To Face, Scalp, Eyelids, Mouth, Ne…
|
25
|
18
|
$5,300.47
|
$4,240.38
|
$50.50
|
$4,770.42
|
$1,855.16
|
2026-05-04
|
|
20520
|
HCPCS
|
Removal Of Foreign Body In Muscle Or Tendon
|
33
|
18
|
$5,788.67
|
$4,630.94
|
$90.49
|
$5,209.80
|
$1,847.74
|
2026-05-04
|
|
30400
|
HCPCS
|
Reshaping Of Tip Of Nose
|
15
|
15
|
$3,723.00
|
$2,978.40
20% off
|
$1,226.21
|
$3,946.38
|
$1,839.32
|
2026-05-04
|
|
113888
|
CDM
|
Implant Collamend 1175102
|
18
|
18
|
$4,439.00
|
$3,551.20
20% off
|
$1,386.74
|
$3,995.10
|
$1,833.97
|
2026-05-04
|
|
17210001
|
CDM
|
Nursery - Newborn - Level Ii
|
11
|
11
|
$2,150.00
|
$1,720.00
20% off
|
$1,331.28
|
$1,935.00
|
$1,827.50
|
2026-05-04
|
|
J1439
|
HCPCS
|
Injection, Ferric Carboxymaltose, 1 Mg
|
18
|
18
|
$4,422.65
|
$3,538.12
|
$1,381.64
|
$3,980.39
|
$1,827.22
|
2026-05-04
|
|
14041
|
HCPCS
|
Repair Of Wound Of Forehead, Cheeks, Chin, Mouth, Neck, Underarms, Genitals, Han…
|
33
|
18
|
$5,211.00
|
$4,168.80
|
$461.85
|
$4,689.90
|
$1,823.85
|
2026-05-04
|
|
15260
|
HCPCS
|
Full Thickness Skin Graft To Nose, Ears, Eyelids, Or Lips, 20.0 Sq Cm Or Less
|
33
|
18
|
$5,211.00
|
$4,168.80
|
$528.40
|
$4,689.90
|
$1,823.85
|
2026-05-04
|
|
15240
|
HCPCS
|
Full Thickness Skin Graft To Forehead, Cheeks, Chin, Mouth, Neck, Underarms, Gen…
|
33
|
18
|
$5,211.00
|
$4,168.80
|
$483.80
|
$4,689.90
|
$1,823.85
|
2026-05-04
|
|
15200
|
HCPCS
|
Full Thickness Skin Graft To Trunk, 20.0 Sq Cm Or Less
|
33
|
18
|
$5,211.00
|
$4,168.80
|
$406.60
|
$4,689.90
|
$1,823.85
|
2026-05-04
|
|
14061
|
HCPCS
|
Repair Of Wound Of Eyelids, Nose, Ears, Or Lips By Transferring Skin, 10.1-30.0 …
|
33
|
18
|
$5,211.00
|
$4,168.80
|
$495.35
|
$4,689.90
|
$1,823.85
|
2026-05-04
|
|
008079LWJH
|
CDM
|
Hc Greenlight Laser
|
18
|
18
|
$4,413.89
|
$3,531.11
20% off
|
$1,378.90
|
$3,972.50
|
$1,823.60
|
2026-05-04
|
|
20102
|
HCPCS
|
Exploration Of Wound Of Abdomen, Back, Or Flank
|
33
|
18
|
$5,709.21
|
$4,567.37
|
$243.32
|
$5,138.29
|
$1,822.38
|
2026-05-04
|
|
44206
|
HCPCS
|
Partial Removal Of Large Bowel With Creation Of Opening From Large Bowel To Skin…
|
15
|
15
|
$7,979.93
|
$6,383.94
20% off
|
$1,015.73
|
$7,181.94
|
$1,820.00
|
2026-05-04
|
|
19283
|
HCPCS
|
Placement Of Locating Device In Breast Using X-ray With Needle Guidance, First G…
|
18
|
18
|
$4,394.00
|
$3,515.20
20% off
|
$1,372.69
|
$3,954.60
|
$1,815.39
|
2026-05-04
|
|
14040
|
HCPCS
|
Repair Of Wound Of Forehead, Cheeks, Chin, Mouth, Neck, Underarms, Genitals, Han…
|
33
|
18
|
$5,211.00
|
$4,168.80
|
$378.88
|
$4,689.90
|
$1,812.82
|
2026-05-04
|
|
26418
|
HCPCS
|
Repair Of Tendon On Top Side Of Finger
|
36
|
18
|
$3,909.22
|
$3,127.38
|
$386.00
|
$5,019.30
|
$1,806.11
|
2026-05-04
|
|
27487
|
HCPCS
|
Revision Of Thigh And Lower Leg Bone Components Of Total Knee Joint Prosthesis
|
15
|
15
|
$4,029.17
|
$3,223.34
|
$1,045.38
|
$3,626.25
|
$1,803.25
|
2026-05-04
|
|
64624
|
HCPCS
|
Destruction Of Nerve Branches Of Knee Using Imaging Guidance
|
33
|
18
|
$5,644.00
|
$4,515.20
20% off
|
$134.93
|
$5,079.60
|
$1,801.56
|
2026-05-04
|
|
21550
|
HCPCS
|
Biopsy Of Soft Tissue Of Neck Or Chest
|
33
|
18
|
$5,603.62
|
$4,482.90
|
$94.34
|
$5,043.26
|
$1,788.68
|
2026-05-04
|
|
20220
|
HCPCS
|
Biopsy Of Bone Using Needle Or Trocar
|
18
|
18
|
$4,308.00
|
$3,446.40
20% off
|
$1,345.82
|
$3,877.20
|
$1,779.85
|
2026-05-04
|
|
23474
|
HCPCS
|
Revision Of Total Shoulder Repair, Total Shoulder
|
15
|
15
|
$3,153.19
|
$2,522.55
20% off
|
$1,035.18
|
$2,837.87
|
$1,778.46
|
2026-05-04
|
|
27502
|
HCPCS
|
Closed Treatment Of Broken Thigh Bone At Midportion With Manipulation
|
33
|
18
|
$5,069.40
|
$4,055.52
|
$455.31
|
$4,562.46
|
$1,774.29
|
2026-05-04
|
|
11771
|
HCPCS
|
Extensive Removal Of Cyst Of Tailbone
|
33
|
18
|
$5,296.00
|
$4,236.80
|
$271.64
|
$4,766.40
|
$1,772.57
|
2026-05-04
|
|
49187
|
HCPCS
|
Removal Or Destruction Of Growth(s) In The Abdomen, 5.1 To 10.0 Cm
|
15
|
15
|
$5,310.00
|
$4,248.00
20% off
|
$986.28
|
$4,779.00
|
$1,757.76
|
2026-05-04
|
|
50432
|
HCPCS
|
Placement Of Tube Of Kidney Using Imaging Guidance With Review By Radiologist
|
33
|
18
|
$5,484.00
|
$4,387.20
20% off
|
$118.40
|
$4,935.60
|
$1,750.49
|
2026-05-04
|
|
50434
|
HCPCS
|
Conversion Of Kidney Tube To Nephroureteral Tube Using Imaging Guidance And Stud…
|
33
|
18
|
$5,484.00
|
$4,387.20
20% off
|
$110.51
|
$4,935.60
|
$1,750.49
|
2026-05-04
|
|
50435
|
HCPCS
|
Replacement Of Kidney Drainage Tube Using Imaging Guidance With Review By Radiol…
|
33
|
18
|
$5,484.00
|
$4,387.20
20% off
|
$58.14
|
$4,935.60
|
$1,750.49
|
2026-05-04
|
|
14001
|
HCPCS
|
Repair Of Wound Of Trunk By Transferring Skin, 10.1-30.0 Sq Cm
|
33
|
18
|
$5,211.00
|
$4,168.80
|
$395.05
|
$4,689.90
|
$1,744.12
|
2026-05-04
|
|
14060
|
HCPCS
|
Repair Of Wound Of Eyelids, Nose, Ears, Or Lips By Transferring Skin, 10.0 Sq Cm…
|
33
|
18
|
$5,211.00
|
$4,168.80
|
$468.98
|
$4,689.90
|
$1,744.12
|
2026-05-04
|
|
13160
|
HCPCS
|
Extensive Or Complicated Repair Of Surface Wound Reopening
|
33
|
18
|
$5,211.00
|
$4,168.80
|
$478.60
|
$4,689.90
|
$1,744.12
|
2026-05-04
|
|
15220
|
HCPCS
|
Full Thickness Skin Graft To Scalp, Arms, Or Legs, 20.0 Sq Cm Or Less
|
33
|
18
|
$5,211.00
|
$4,168.80
|
$370.02
|
$4,689.90
|
$1,744.12
|
2026-05-04
|
|
14021
|
HCPCS
|
Repair Of Wound Of Scalp, Arms, Or Legs By Transferring Skin, 10.1-30.0 Sq Cm
|
33
|
18
|
$5,211.00
|
$4,168.80
|
$430.09
|
$4,689.90
|
$1,744.12
|
2026-05-04
|
|
44143
|
HCPCS
|
Partial Removal Of Large Bowel With Creation Of Opening From Large Bowel To Skin
|
15
|
15
|
$5,974.76
|
$4,779.81
|
$965.87
|
$5,377.28
|
$1,738.02
|
2026-05-04
|
|
26410
|
HCPCS
|
Repair Of Tendon On Top Of Hand
|
36
|
18
|
$3,810.03
|
$3,048.02
|
$370.21
|
$4,807.80
|
$1,731.97
|
2026-05-04
|
|
J9214
|
HCPCS
|
Injection, Interferon, Alfa-2b, Recombinant, 1 Million Units
|
36
|
18
|
$3,642.70
|
$2,914.16
20% off
|
$746.71
|
$4,405.64
|
$1,730.43
|
2026-05-04
|
|
44227
|
HCPCS
|
Closure Of Opening From Large Or Small Bowel To Skin Using An Endoscope
|
15
|
15
|
$4,806.00
|
$3,844.80
|
$967.80
|
$4,325.40
|
$1,727.52
|
2026-05-04
|
|
27132
|
HCPCS
|
Total Hip Replacement After Previous Hip Surgery
|
15
|
15
|
$3,863.99
|
$3,091.19
20% off
|
$997.44
|
$3,477.59
|
$1,723.28
|
2026-05-04
|
|
44145
|
HCPCS
|
Partial Removal Of Large Bowel And Reattachment To Rectum
|
15
|
15
|
$5,814.80
|
$4,651.84
20% off
|
$965.30
|
$5,233.32
|
$1,723.05
|
2026-05-04
|
|
004985LWJH
|
CDM
|
Hc Medtronic Patient Programmer
|
18
|
18
|
$4,157.76
|
$3,326.21
|
$1,298.88
|
$3,741.98
|
$1,717.78
|
2026-05-04
|
|
14020
|
HCPCS
|
Repair Of Wound Of Scalp, Arms, Or Legs By Transferring Skin, 10.0 Sq Cm Or Less
|
33
|
18
|
$5,211.00
|
$4,168.80
|
$345.76
|
$4,689.90
|
$1,711.81
|
2026-05-04
|
|
J7318
|
HCPCS
|
Hyaluronan Or Derivative, Durolane, For Intra-articular Injection, 1 Mg
|
36
|
18
|
$3,674.20
|
$2,939.36
20% off
|
$787.25
|
$4,345.56
|
$1,706.84
|
2026-05-04
|
|
43246
|
HCPCS
|
Insertion Of Stomach Tube Using A Flexible Endoscope
|
33
|
18
|
$5,347.00
|
$4,277.60
|
$116.86
|
$4,812.30
|
$1,706.76
|
2026-05-04
|
|
11772
|
HCPCS
|
Complicated Removal Of Cyst Of Tailbone
|
33
|
18
|
$5,090.31
|
$4,072.25
|
$350.19
|
$4,581.28
|
$1,703.73
|
2026-05-04
|
|
J9155
|
HCPCS
|
Injection, Degarelix, 1 Mg
|
36
|
18
|
$3,737.15
|
$2,989.72
|
$829.55
|
$4,337.01
|
$1,703.48
|
2026-05-04
|
|
15275
|
HCPCS
|
Application Of Skin Substitute Graft To Wound Of Face, Scalp, Eyelids, Mouth, Ne…
|
33
|
18
|
$5,300.47
|
$4,240.38
|
$55.25
|
$4,770.42
|
$1,691.91
|
2026-05-04
|
|
15278
|
HCPCS
|
Skin Substitute Graft To Wound 100.0 Sq Cm Or More Of Face, Scalp, Eyelids, Mout…
|
33
|
18
|
$5,300.47
|
$4,240.38
|
$33.49
|
$4,770.42
|
$1,691.91
|
2026-05-04
|
|
15277
|
HCPCS
|
Skin Substitute Graft To Wound 100.0 Sq Cm Or More Of Face, Scalp, Eyelids, Mout…
|
33
|
18
|
$5,300.47
|
$4,240.38
|
$134.52
|
$4,770.42
|
$1,691.91
|
2026-05-04
|
|
15271
|
HCPCS
|
Application Of Skin Substitute Graft To Wound Of Trunk, Arms, Or Legs, 25.0 Sq C…
|
33
|
18
|
$5,300.47
|
$4,240.38
|
$49.67
|
$4,770.42
|
$1,691.91
|
2026-05-04
|
|
J9395
|
HCPCS
|
Injection, Fulvestrant, 25 Mg
|
18
|
18
|
$4,093.80
|
$3,275.04
20% off
|
$1,278.90
|
$3,684.42
|
$1,691.36
|
2026-05-04
|
|
49020
|
HCPCS
|
Drainage Of Abdominal Abscess Or Infection
|
15
|
15
|
$6,472.39
|
$5,177.91
20% off
|
$937.76
|
$5,825.15
|
$1,690.85
|
2026-05-04
|
|
60254
|
HCPCS
|
Removal Of Thyroid And Surrounding Lymph Nodes With Extensive Neck Removal
|
15
|
15
|
$5,459.34
|
$4,367.47
20% off
|
$983.20
|
$4,913.41
|
$1,689.73
|
2026-05-04
|
|
004329LWJH
|
CDM
|
Hc Tutoplast Fascia 6cm X 8cm
|
18
|
18
|
$4,080.40
|
$3,264.32
20% off
|
$1,274.72
|
$3,672.36
|
$1,685.82
|
2026-05-04
|
|
74178
|
HCPCS
|
CT Scan Of Abdomen And Pelvis Before And After Contrast
|
33
|
18
|
$5,278.00
|
$4,222.40
20% off
|
$93.99
|
$4,750.20
|
$1,684.74
|
2026-05-04
|
|
006405LWJH
|
CDM
|
Hc Miniarc Subfacial 720046-01
|
18
|
18
|
$4,076.22
|
$3,260.98
|
$1,273.41
|
$3,668.60
|
$1,684.09
|
2026-05-04
|
|
004815LWJH
|
CDM
|
Hc Handpiece Novasure
|
18
|
18
|
$4,076.22
|
$3,260.98
|
$1,273.41
|
$3,668.60
|
$1,684.09
|
2026-05-04
|
|
004726LWJH
|
CDM
|
Hc Monarc Subfascial 72403830
|
18
|
18
|
$4,076.22
|
$3,260.98
|
$1,273.41
|
$3,668.60
|
$1,684.09
|
2026-05-04
|
|
005485LWJH
|
CDM
|
Hc Monarc C 72404195
|
18
|
18
|
$4,076.22
|
$3,260.98
|
$1,273.41
|
$3,668.60
|
$1,684.09
|
2026-05-04
|
|
006093LWJH
|
CDM
|
Hc Fiber Holmium Laser Dur1000rbx
|
18
|
18
|
$4,075.17
|
$3,260.14
|
$1,273.08
|
$3,667.65
|
$1,683.66
|
2026-05-04
|
|
006549LWJH
|
CDM
|
Hc Ligasure Impact Lf4200
|
18
|
18
|
$4,075.17
|
$3,260.14
|
$1,273.08
|
$3,667.65
|
$1,683.66
|
2026-05-04
|
|
004374LWJH
|
CDM
|
Hc Tutoplast Fascia 4cm X 7cm
|
18
|
18
|
$4,074.13
|
$3,259.30
20% off
|
$1,272.76
|
$3,666.72
|
$1,683.22
|
2026-05-04
|
|
12010004
|
CDM
|
Room & Board - Semi-private (two Beds) - General Classification
|
11
|
11
|
$1,980.00
|
$1,584.00
20% off
|
$1,226.02
|
$1,782.00
|
$1,683.00
|
2026-05-04
|
|
Q5135
|
HCPCS
|
Injection, Tocilizumab-aazg (tyenne), Biosimilar, 1 Mg
|
54
|
18
|
$4,052.85
|
$3,242.28
|
$6.20
|
$5,441.40
|
$1,674.43
|
2026-05-04
|
|
1191M
|
OTHER
|
Hc Pr 1191m L&i Impairment Rating By Ap Per Insurer Req
|
6
|
6
|
$1,729.18
|
$1,383.34
20% off
|
$1,296.89
|
$1,832.93
|
$1,668.66
|
2026-05-04
|
|
1192M
|
OTHER
|
Hc Pr 1192m L&i Impairment Rating By Ap Per Insurer Req
|
6
|
6
|
$1,729.18
|
$1,383.34
20% off
|
$1,296.89
|
$1,832.93
|
$1,668.66
|
2026-05-04
|
|
46220
|
HCPCS
|
Removal Of Single External Noncancer Growth Of Anus
|
33
|
18
|
$5,215.00
|
$4,172.00
20% off
|
$73.92
|
$4,693.50
|
$1,664.63
|
2026-05-04
|
|
14000
|
HCPCS
|
Repair Of Wound Of Trunk By Transferring Skin, 10.0 Sq Cm Or Less
|
33
|
18
|
$5,211.00
|
$4,168.80
|
$307.46
|
$4,689.90
|
$1,663.35
|
2026-05-04
|
|
97510070_FAC{2}
|
CDM
|
Hc Pr 11403 Exc Skin Benig 2.1-3cm Trunk, Arm, Leg
|
3
|
3
|
$1,956.40
|
$1,565.12
20% off
|
$1,467.30
|
$1,760.76
|
$1,662.94
|
2026-05-04
|
|
J0174
|
HCPCS
|
Injection, Lecanemab-irmb, 1 Mg
|
36
|
18
|
$3,798.70
|
$3,038.96
|
$942.25
|
$4,123.13
|
$1,662.28
|
2026-05-04
|
|
95811
|
HCPCS
|
Sleep Study In Sleep Lab With Continuous Airway Pressure (6 Years Or Older)
|
51
|
18
|
$3,028.68
|
$2,422.94
20% off
|
$126.02
|
$4,763.70
|
$1,653.53
|
2026-05-04
|
|
44626
|
HCPCS
|
Closure Of Surgically Created Large Or Small Bowel Opening With Bowel Removal An…
|
15
|
15
|
$5,462.49
|
$4,369.99
20% off
|
$927.37
|
$4,916.24
|
$1,651.93
|
2026-05-04
|
|
006661LWJH
|
CDM
|
Hc Mesh Atrium Cqur Xlarge 31536
|
18
|
18
|
$3,993.62
|
$3,194.90
|
$1,247.61
|
$3,594.26
|
$1,649.97
|
2026-05-04
|
|
15879
|
HCPCS
|
Suction Assisted Removal Of Fat Of Leg
|
7
|
7
|
$1,832.37
|
$1,465.90
|
$656.25
|
$1,942.31
|
$1,649.13
|
2026-05-04
|
|
15876
|
HCPCS
|
Suction Assisted Removal Of Fat Of Head And Neck
|
7
|
7
|
$1,832.37
|
$1,465.90
|
$367.50
|
$1,942.31
|
$1,649.13
|
2026-05-04
|
|
15877
|
HCPCS
|
Suction Assisted Removal Of Fat Of Body
|
7
|
7
|
$1,832.37
|
$1,465.90
|
$656.25
|
$1,942.31
|
$1,649.13
|
2026-05-04
|
|
J2802
|
HCPCS
|
Injection, Romiplostim, 1 Microgram
|
36
|
18
|
$3,988.62
|
$3,190.90
20% off
|
$1,246.04
|
$3,589.79
|
$1,647.90
|
2026-05-04
|
|
27091
|
HCPCS
|
Removal Of Hip Prosthesis, Complicated
|
15
|
15
|
$3,794.99
|
$3,035.99
20% off
|
$952.20
|
$3,415.49
|
$1,647.54
|
2026-05-04
|
|
30430
|
HCPCS
|
Revision To Reshape Nose Or Small Amount Of Tip Of Nose After Previous Repair
|
15
|
15
|
$3,100.00
|
$2,480.00
20% off
|
$1,094.33
|
$3,286.00
|
$1,641.50
|
2026-05-04
|
|
27252
|
HCPCS
|
Closed Treatment Of Dislocated Hip Under Anesthesia
|
33
|
18
|
$4,674.00
|
$3,739.20
20% off
|
$450.88
|
$4,206.60
|
$1,635.90
|
2026-05-04
|
|
J9301
|
HCPCS
|
Injection, Obinutuzumab, 10 Mg
|
18
|
18
|
$3,950.80
|
$3,160.64
20% off
|
$1,234.23
|
$3,555.72
|
$1,632.28
|
2026-05-04
|
|
112684
|
CDM
|
Bard Composix Large 10 X 13
|
18
|
18
|
$3,933.34
|
$3,146.67
20% off
|
$1,228.78
|
$3,540.01
|
$1,625.06
|
2026-05-04
|
|
36901
|
HCPCS
|
Insertion Of Needle And/or Tube Into Hemodialysis Circuit With Review By Radiolo…
|
33
|
18
|
$5,083.00
|
$4,066.40
20% off
|
$96.26
|
$4,574.70
|
$1,622.49
|
2026-05-04
|
|
11644
|
HCPCS
|
Removal Of Cancer Skin Growth Of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 3.1-…
|
33
|
18
|
$4,632.00
|
$3,705.60
20% off
|
$168.46
|
$4,168.80
|
$1,621.20
|
2026-05-04
|
|
90377
|
HCPCS
|
Rabies Immune Globulin For Injection Beneath The Skin And/or Into Muscle
|
18
|
18
|
$3,918.25
|
$3,134.60
20% off
|
$1,224.06
|
$3,526.43
|
$1,618.83
|
2026-05-04
|
|
44204
|
HCPCS
|
Partial Removal Of Large Bowel Using An Endoscope
|
15
|
15
|
$5,072.53
|
$4,058.02
20% off
|
$906.12
|
$4,565.28
|
$1,607.23
|
2026-05-04
|
|
27211177WJHL
|
CDM
|
Hc Jada System Pp Vacuum Hemorrhage Control
|
18
|
18
|
$3,885.00
|
$3,108.00
20% off
|
$1,213.67
|
$3,496.50
|
$1,605.09
|
2026-05-04
|
|
J3424
|
HCPCS
|
Injection, Hydroxocobalamin, Intravenous, 25 Mg
|
18
|
18
|
$3,881.00
|
$3,104.80
|
$1,212.42
|
$3,492.90
|
$1,603.43
|
2026-05-04
|
|
32553
|
HCPCS
|
Insertion Of Device In Chest Cavity For Radiation Therapy Guidance
|
18
|
18
|
$3,867.00
|
$3,093.60
20% off
|
$1,208.05
|
$3,480.30
|
$1,597.65
|
2026-05-04
|
|
96910535_FAC
|
CDM
|
Hc Pr 11603 Exc Tr-ext Mlg+marg 2.1-3 Cm
|
3
|
3
|
$1,879.00
|
$1,503.20
20% off
|
$1,409.25
|
$1,691.10
|
$1,597.15
|
2026-05-04
|