|
101
|
MS_DRG
|
Seizures Without McC
|
8
|
8
|
$16,146.00
|
$7,283.46
55% off
|
$9,066.62
|
$16,721.57
|
$9,494.54
|
2026-03-31
|
|
125
|
MS_DRG
|
Other Disorders Of The Eye Without McC
|
8
|
8
|
$8,748.00
|
$3,946.22
55% off
|
$7,712.55
|
$14,224.26
|
$8,150.17
|
2026-03-31
|
|
175
|
MS_DRG
|
Pulmonary Embolism With McC Or Acute Cor Pulmonale
|
8
|
8
|
$23,801.00
|
$10,736.63
55% off
|
$13,709.47
|
$25,447.31
|
$14,235.99
|
2026-03-31
|
|
176
|
MS_DRG
|
Pulmonary Embolism Without McC
|
8
|
8
|
$5,708.00
|
$2,574.88
55% off
|
$8,086.23
|
$14,913.43
|
$8,521.17
|
2026-03-31
|
|
177
|
MS_DRG
|
Respiratory Infections And Inflammations With McC
|
8
|
8
|
$16,380.00
|
$7,389.02
55% off
|
$15,461.10
|
$28,950.58
|
$16,195.82
|
2026-03-31
|
|
178
|
MS_DRG
|
Respiratory Infections And Inflammations With Cc
|
8
|
8
|
$9,720.00
|
$4,384.69
55% off
|
$9,803.92
|
$18,081.38
|
$10,226.56
|
2026-03-31
|
|
184
|
MS_DRG
|
Major Chest Trauma With Cc
|
8
|
8
|
$13,801.00
|
$6,225.63
55% off
|
$10,688.88
|
$19,713.52
|
$11,105.17
|
2026-03-31
|
|
189
|
MS_DRG
|
Pulmonary Edema And Respiratory Failure
|
8
|
8
|
$14,955.00
|
$6,746.20
55% off
|
$12,409.59
|
$22,887.02
|
$12,813.55
|
2026-03-31
|
|
190
|
MS_DRG
|
Chronic Obstructive Pulmonary Disease With McC
|
8
|
8
|
$9,861.00
|
$4,448.30
55% off
|
$11,126.85
|
$20,521.25
|
$11,540.00
|
2026-03-31
|
|
19083
|
CPT
|
Biopsy Breast; 1st Lesion With Imaging
|
14
|
14
|
$3,159.00
|
$1,425.02
55% off
|
$670.34
|
$4,603.00
|
$1,848.76
|
2026-03-31
|
|
191
|
MS_DRG
|
Chronic Obstructive Pulmonary Disease With Cc
|
8
|
8
|
$12,303.00
|
$5,549.88
55% off
|
$8,467.94
|
$15,617.42
|
$8,900.15
|
2026-03-31
|
|
193
|
MS_DRG
|
Simple Pneumonia And Pleurisy With McC
|
8
|
8
|
$23,465.00
|
$10,585.06
55% off
|
$13,161.09
|
$24,350.57
|
$13,622.44
|
2026-03-31
|
|
194
|
MS_DRG
|
Simple Pneumonia And Pleurisy With Cc
|
8
|
8
|
$11,534.00
|
$5,202.99
55% off
|
$8,095.27
|
$14,930.10
|
$8,530.15
|
2026-03-31
|
|
195
|
MS_DRG
|
Simple Pneumonia And Pleurisy Without Cc/McC
|
8
|
8
|
$4,939.00
|
$2,227.98
55% off
|
$6,313.28
|
$11,643.59
|
$6,807.60
|
2026-03-31
|
|
201
|
MS_DRG
|
Pneumothorax Without Cc/McC
|
8
|
8
|
$12,442.00
|
$5,612.59
55% off
|
$7,183.18
|
$13,247.94
|
$7,624.59
|
2026-03-31
|
|
202
|
MS_DRG
|
Bronchitis And Asthma With Cc/McC
|
8
|
8
|
$11,922.00
|
$5,378.01
55% off
|
$9,755.70
|
$17,992.45
|
$10,178.68
|
2026-03-31
|
|
205
|
MS_DRG
|
Other Respiratory System Diagnoses With McC
|
7
|
7
|
$8,806.00
|
$3,972.39
55% off
|
$17,946.37
|
$21,074.81
|
$18,392.40
|
2026-03-31
|
|
21337
|
CPT
|
Treat Nasal Septal Fracture
|
14
|
14
|
$7,023.00
|
$3,168.08
55% off
|
$1,490.28
|
$7,023.00
|
$2,559.73
|
2026-03-31
|
|
26350
|
CPT
|
Repair Finger/Hand Tendon
|
24
|
14
|
$6,433.00
|
$2,901.93
55% off
|
$767.95
|
$6,433.00
|
$2,191.08
|
2026-03-31
|
|
27340
|
CPT
|
Removal Of Kneecap Bursa
|
26
|
14
|
$7,061.00
|
$3,185.22
55% off
|
$310.24
|
$7,061.00
|
$1,907.18
|
2026-03-31
|
|
280
|
MS_DRG
|
Acute Myocardial Infarction, Discharged Alive With McC
|
7
|
7
|
$9,030.00
|
$4,073.43
55% off
|
$15,844.59
|
$18,463.19
|
$16,113.18
|
2026-03-31
|
|
281
|
MS_DRG
|
Acute Myocardial Infarction, Discharged Alive With Cc
|
8
|
8
|
$5,901.00
|
$2,661.94
55% off
|
$9,232.36
|
$17,027.25
|
$9,659.09
|
2026-03-31
|
|
282
|
MS_DRG
|
Acute Myocardial Infarction, Discharged Alive Without Cc/McC
|
8
|
8
|
$17,890.00
|
$8,070.18
55% off
|
$7,263.54
|
$13,396.15
|
$7,704.38
|
2026-03-31
|
|
291
|
MS_DRG
|
Heart Failure And Shock With McC
|
8
|
8
|
$19,549.00
|
$8,818.55
55% off
|
$12,877.65
|
$23,783.68
|
$13,305.31
|
2026-03-31
|
|
292
|
MS_DRG
|
Heart Failure And Shock With Cc
|
8
|
8
|
$15,977.00
|
$7,207.22
55% off
|
$8,528.21
|
$15,728.57
|
$8,959.98
|
2026-03-31
|
|
293
|
MS_DRG
|
Heart Failure And Shock Without Cc/McC
|
8
|
8
|
$8,021.00
|
$3,618.27
55% off
|
$5,685.47
|
$10,485.72
|
$6,228.67
|
2026-03-31
|
|
299
|
MS_DRG
|
Peripheral Vascular Disorders With McC
|
8
|
8
|
$19,013.00
|
$8,576.76
55% off
|
$16,109.51
|
$30,247.40
|
$16,921.30
|
2026-03-31
|
|
305
|
MS_DRG
|
Hypertension Without McC
|
8
|
8
|
$11,067.00
|
$4,992.32
55% off
|
$7,584.98
|
$13,988.98
|
$8,023.51
|
2026-03-31
|
|
306
|
MS_DRG
|
Cardiac Congenital And Valvular Disorders With McC
|
8
|
8
|
$26,083.00
|
$11,766.04
55% off
|
$15,582.44
|
$29,193.27
|
$16,331.59
|
2026-03-31
|
|
307
|
MS_DRG
|
Cardiac Congenital And Valvular Disorders Without McC
|
8
|
8
|
$17,555.00
|
$7,919.06
55% off
|
$9,173.09
|
$16,917.94
|
$9,600.25
|
2026-03-31
|
|
308
|
MS_DRG
|
Cardiac Arrhythmia And Conduction Disorders With McC
|
8
|
8
|
$28,291.00
|
$12,762.07
55% off
|
$12,094.18
|
$22,305.30
|
$12,500.40
|
2026-03-31
|
|
309
|
MS_DRG
|
Cardiac Arrhythmia And Conduction Disorders With Cc
|
8
|
8
|
$27,069.00
|
$12,210.83
55% off
|
$7,390.11
|
$13,629.58
|
$7,830.04
|
2026-03-31
|
|
310
|
MS_DRG
|
Cardiac Arrhythmia And Conduction Disorders Without Cc/McC
|
8
|
8
|
$13,193.00
|
$5,951.36
55% off
|
$5,686.47
|
$10,487.57
|
$6,229.60
|
2026-03-31
|
|
312
|
MS_DRG
|
Syncope And Collapse
|
8
|
8
|
$8,735.00
|
$3,940.36
55% off
|
$8,755.22
|
$16,147.26
|
$9,185.37
|
2026-03-31
|
|
314
|
MS_DRG
|
Other Circulatory System Diagnoses With McC
|
8
|
8
|
$26,670.00
|
$12,030.84
55% off
|
$20,301.02
|
$38,630.42
|
$21,611.01
|
2026-03-31
|
|
315
|
MS_DRG
|
Other Circulatory System Diagnoses With Cc
|
8
|
8
|
$49,165.00
|
$22,178.33
55% off
|
$9,676.35
|
$17,846.10
|
$10,099.90
|
2026-03-31
|
|
328
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures Without Cc/McC
|
8
|
8
|
$89,644.50
|
$40,438.63
55% off
|
$15,827.92
|
$29,684.21
|
$17,271.42
|
2026-03-31
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With McC
|
4
|
4
|
$94,989.00
|
$42,849.54
55% off
|
$49,104.41
|
$85,154.76
|
$51,446.99
|
2026-03-31
|
|
330
|
MS_DRG
|
Major Small And Large Bowel Procedures With Cc
|
4
|
4
|
$97,589.50
|
$44,022.62
55% off
|
$25,609.29
|
$44,410.53
|
$26,831.01
|
2026-03-31
|
|
336
|
MS_DRG
|
Peritoneal Adhesiolysis With Cc
|
8
|
8
|
$33,410.00
|
$15,071.25
55% off
|
$20,518.70
|
$39,065.78
|
$22,729.98
|
2026-03-31
|
|
337
|
MS_DRG
|
Peritoneal Adhesiolysis Without Cc/McC
|
8
|
8
|
$31,186.00
|
$14,068.00
55% off
|
$15,204.51
|
$28,437.41
|
$16,545.99
|
2026-03-31
|
|
348
|
MS_DRG
|
Anal And Stomal Procedures With Cc
|
8
|
8
|
$97,258.50
|
$43,873.31
55% off
|
$13,109.23
|
$24,246.83
|
$13,545.57
|
2026-03-31
|
|
355
|
MS_DRG
|
Hernia Procedures Except Inguinal And Femoral Without Cc/McC
|
8
|
8
|
$26,269.00
|
$11,849.95
55% off
|
$13,444.55
|
$24,917.47
|
$14,497.95
|
2026-03-31
|
|
36590
|
CPT
|
Removal Cv Catheter
|
14
|
14
|
$4,328.00
|
$1,952.36
55% off
|
$918.40
|
$4,328.00
|
$2,004.85
|
2026-03-31
|
|
368
|
MS_DRG
|
Major Esophageal Disorders With McC
|
8
|
8
|
$33,719.00
|
$15,210.64
55% off
|
$15,731.58
|
$29,491.54
|
$16,498.46
|
2026-03-31
|
|
372
|
MS_DRG
|
Major Gastrointestinal Disorders And Peritoneal Infections With Cc
|
8
|
8
|
$13,792.00
|
$6,221.57
55% off
|
$10,255.95
|
$18,915.05
|
$10,675.34
|
2026-03-31
|
|
373
|
MS_DRG
|
Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/McC
|
8
|
8
|
$14,511.00
|
$6,545.91
55% off
|
$7,306.73
|
$13,475.81
|
$7,747.26
|
2026-03-31
|
|
377
|
MS_DRG
|
Gastrointestinal Hemorrhage With McC
|
8
|
8
|
$20,549.00
|
$9,269.65
55% off
|
$17,918.58
|
$33,865.53
|
$18,945.39
|
2026-03-31
|
|
378
|
MS_DRG
|
Gastrointestinal Hemorrhage With Cc
|
8
|
8
|
$18,563.00
|
$8,373.77
55% off
|
$9,851.13
|
$18,264.78
|
$10,297.51
|
2026-03-31
|
|
379
|
MS_DRG
|
Gastrointestinal Hemorrhage Without Cc/McC
|
8
|
8
|
$6,165.00
|
$2,781.03
55% off
|
$6,332.37
|
$11,678.79
|
$6,825.20
|
2026-03-31
|
|
380
|
MS_DRG
|
Complicated Peptic Ulcer With McC
|
8
|
8
|
$33,787.00
|
$15,241.32
55% off
|
$19,161.67
|
$36,351.72
|
$20,336.24
|
2026-03-31
|
|
384
|
MS_DRG
|
Uncomplicated Peptic Ulcer Without McC
|
8
|
8
|
$14,725.00
|
$6,642.45
55% off
|
$8,586.47
|
$15,836.02
|
$9,017.83
|
2026-03-31
|
|
386
|
MS_DRG
|
Inflammatory Bowel Disease With Cc
|
8
|
8
|
$22,310.00
|
$10,064.04
55% off
|
$9,806.93
|
$18,086.93
|
$10,229.54
|
2026-03-31
|
|
387
|
MS_DRG
|
Inflammatory Bowel Disease Without Cc/McC
|
8
|
8
|
$11,673.00
|
$5,265.69
55% off
|
$6,843.66
|
$12,621.76
|
$7,296.69
|
2026-03-31
|
|
388
|
MS_DRG
|
Gastrointestinal Obstruction With McC
|
7
|
7
|
$7,569.00
|
$3,414.38
55% off
|
$14,665.41
|
$16,997.97
|
$14,834.46
|
2026-03-31
|
|
389
|
MS_DRG
|
Gastrointestinal Obstruction With Cc
|
8
|
8
|
$9,526.00
|
$4,297.18
55% off
|
$7,933.54
|
$14,631.83
|
$8,369.58
|
2026-03-31
|
|
390
|
MS_DRG
|
Gastrointestinal Obstruction Without Cc/McC
|
8
|
8
|
$7,818.00
|
$3,526.70
55% off
|
$5,464.48
|
$10,078.14
|
$6,024.88
|
2026-03-31
|
|
391
|
MS_DRG
|
Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With McC
|
8
|
8
|
$13,323.00
|
$6,010.01
55% off
|
$12,734.08
|
$23,496.53
|
$13,144.66
|
2026-03-31
|
|
392
|
MS_DRG
|
Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without McC
|
8
|
8
|
$14,732.00
|
$6,645.61
55% off
|
$7,831.08
|
$14,455.84
|
$8,271.10
|
2026-03-31
|
|
393
|
MS_DRG
|
Other Digestive System Diagnoses With McC
|
8
|
8
|
$14,104.00
|
$6,362.31
55% off
|
$15,800.12
|
$29,628.63
|
$16,575.15
|
2026-03-31
|
|
394
|
MS_DRG
|
Other Digestive System Diagnoses With Cc
|
8
|
8
|
$8,729.00
|
$3,937.65
55% off
|
$9,399.11
|
$17,334.78
|
$9,824.64
|
2026-03-31
|
|
395
|
MS_DRG
|
Other Digestive System Diagnoses Without Cc/McC
|
8
|
8
|
$13,208.00
|
$5,958.13
55% off
|
$6,519.21
|
$11,789.95
|
$6,907.03
|
2026-03-31
|
|
399
|
MS_DRG
|
Appendix Procedures Without Cc/McC
|
8
|
8
|
$21,935.00
|
$9,894.88
55% off
|
$11,589.17
|
$21,206.71
|
$12,338.89
|
2026-03-31
|
|
417
|
MS_DRG
|
Laparoscopic Cholecystectomy Without C.d.e. With McC
|
5
|
5
|
$36,843.00
|
$16,619.88
55% off
|
$25,493.91
|
$44,210.45
|
$27,467.46
|
2026-03-31
|
|
418
|
MS_DRG
|
Laparoscopic Cholecystectomy Without C.d.e. With Cc
|
8
|
8
|
$43,574.00
|
$19,656.23
55% off
|
$243.54
|
$31,338.58
|
$18,234.00
|
2026-03-31
|
|
419
|
MS_DRG
|
Laparoscopic Cholecystectomy Without C.d.e. Without Cc/McC
|
8
|
8
|
$25,906.00
|
$11,686.20
55% off
|
$13,637.22
|
$25,302.81
|
$14,722.15
|
2026-03-31
|
|
432
|
MS_DRG
|
Cirrhosis And Alcoholic Hepatitis With McC
|
8
|
8
|
$31,903.00
|
$14,391.44
55% off
|
$19,217.24
|
$36,462.87
|
$20,398.42
|
2026-03-31
|
|
43202
|
CPT
|
Esophagoscopy With Biopsy
|
14
|
14
|
$2,594.00
|
$1,170.15
55% off
|
$550.45
|
$4,603.00
|
$1,644.59
|
2026-03-31
|
|
43215
|
CPT
|
Esophagoscopy With Foreign Body Removal
|
14
|
14
|
$3,560.00
|
$1,605.92
55% off
|
$755.43
|
$4,603.00
|
$1,922.54
|
2026-03-31
|
|
43244
|
CPT
|
Egd Varices Ligation
|
14
|
14
|
$4,094.00
|
$1,846.80
55% off
|
$868.75
|
$4,603.00
|
$2,020.80
|
2026-03-31
|
|
43245
|
CPT
|
Egd Dilate Stricture
|
14
|
14
|
$2,548.00
|
$1,149.40
55% off
|
$540.69
|
$4,603.00
|
$1,615.43
|
2026-03-31
|
|
43246
|
CPT
|
Egd Place Gastrostomy Tube
|
14
|
14
|
$2,902.00
|
$1,309.09
55% off
|
$615.80
|
$4,603.00
|
$1,801.47
|
2026-03-31
|
|
43248
|
CPT
|
Egd Guide Wire Insertion
|
14
|
14
|
$4,176.00
|
$1,883.79
55% off
|
$886.15
|
$4,176.00
|
$1,633.78
|
2026-03-31
|
|
43249
|
CPT
|
Egd Ballon Dilation Less Than 30 Mm Diameter
|
14
|
14
|
$3,868.00
|
$1,744.85
55% off
|
$958.10
|
$4,603.00
|
$1,979.21
|
2026-03-31
|
|
43251
|
CPT
|
Egd Remove Lesion; Snare Technique
|
14
|
14
|
$2,845.00
|
$1,283.38
55% off
|
$603.71
|
$4,603.00
|
$1,790.98
|
2026-03-31
|
|
43255
|
CPT
|
Egd Control Bleeding
|
14
|
14
|
$2,918.00
|
$1,316.31
55% off
|
$619.20
|
$4,603.00
|
$1,804.41
|
2026-03-31
|
|
433
|
MS_DRG
|
Cirrhosis And Alcoholic Hepatitis With Cc
|
8
|
8
|
$14,401.00
|
$6,496.29
55% off
|
$10,609.53
|
$19,567.16
|
$11,026.38
|
2026-03-31
|
|
435
|
MS_DRG
|
Malignancy Of Hepatobiliary System Or Pancreas With McC
|
7
|
7
|
$10,286.00
|
$4,640.01
55% off
|
$17,999.16
|
$21,140.42
|
$18,449.65
|
2026-03-31
|
|
438
|
MS_DRG
|
Disorders Of Pancreas Except Malignancy With McC
|
8
|
8
|
$37,015.00
|
$16,697.47
55% off
|
$16,086.35
|
$30,201.09
|
$16,895.40
|
2026-03-31
|
|
439
|
MS_DRG
|
Disorders Of Pancreas Except Malignancy With Cc
|
8
|
8
|
$7,208.00
|
$3,251.53
55% off
|
$8,449.85
|
$15,584.07
|
$8,882.19
|
2026-03-31
|
|
440
|
MS_DRG
|
Disorders Of Pancreas Except Malignancy Without Cc/McC
|
8
|
8
|
$15,716.00
|
$7,089.49
55% off
|
$6,241.96
|
$11,512.06
|
$6,741.84
|
2026-03-31
|
|
441
|
MS_DRG
|
Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With McC
|
8
|
8
|
$11,811.00
|
$5,327.94
55% off
|
$17,610.12
|
$33,248.61
|
$18,600.27
|
2026-03-31
|
|
442
|
MS_DRG
|
Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc
|
8
|
8
|
$18,943.00
|
$8,545.19
55% off
|
$9,696.44
|
$17,899.82
|
$10,124.01
|
2026-03-31
|
|
44377
|
CPT
|
Sm Bowel Enteroscopy W/Biopsy
|
14
|
14
|
$2,790.00
|
$1,258.57
55% off
|
$592.04
|
$4,603.00
|
$1,768.86
|
2026-03-31
|
|
44394
|
CPT
|
Colonoscopy With Snare
|
14
|
14
|
$3,274.00
|
$1,476.90
55% off
|
$694.74
|
$4,603.00
|
$1,554.01
|
2026-03-31
|
|
446
|
MS_DRG
|
Disorders Of The Biliary Tract Without Cc/McC
|
8
|
8
|
$5,558.00
|
$2,507.21
55% off
|
$8,310.23
|
$15,326.56
|
$8,743.57
|
2026-03-31
|
|
45380
|
CPT
|
Colonoscopy With Biopsy
|
14
|
14
|
$2,913.00
|
$1,314.05
55% off
|
$955.46
|
$4,603.00
|
$1,547.24
|
2026-03-31
|
|
45382
|
CPT
|
Colonoscopy; Control Bleeding
|
14
|
14
|
$3,763.00
|
$1,697.49
55% off
|
$798.51
|
$4,603.00
|
$1,643.99
|
2026-03-31
|
|
45384
|
CPT
|
Colonoscopy With Lesion Removal
|
14
|
14
|
$3,312.00
|
$1,494.04
55% off
|
$1,086.34
|
$4,603.00
|
$1,561.01
|
2026-03-31
|
|
45385
|
CPT
|
Colonoscopy With Lesion Removal
|
14
|
14
|
$3,693.00
|
$1,665.91
55% off
|
$1,191.30
|
$4,603.00
|
$1,631.11
|
2026-03-31
|
|
45388
|
CPT
|
Colonoscopy With Ablation
|
14
|
14
|
$3,930.00
|
$1,772.82
55% off
|
$833.95
|
$4,603.00
|
$1,674.72
|
2026-03-31
|
|
45390
|
CPT
|
Colonoscopy With With Resection
|
14
|
14
|
$2,874.00
|
$1,296.46
55% off
|
$609.86
|
$5,062.58
|
$1,796.32
|
2026-03-31
|
|
467
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Cc
|
5
|
5
|
$47,775.00
|
$21,551.30
55% off
|
$37,674.67
|
$65,333.79
|
$40,591.17
|
2026-03-31
|
|
481
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Cc
|
8
|
8
|
$53,703.00
|
$24,225.42
55% off
|
$20,387.17
|
$38,802.71
|
$22,576.92
|
2026-03-31
|
|
48102
|
CPT
|
Needle Biopsy, Pancreas
|
14
|
14
|
$3,118.00
|
$1,406.53
55% off
|
$661.64
|
$4,603.00
|
$1,841.21
|
2026-03-31
|
|
483
|
MS_DRG
|
Major Joint Or Limb Reattachment Procedures Of Upper Extremities
|
5
|
5
|
$58,347.00
|
$26,320.33
55% off
|
$29,612.21
|
$51,352.22
|
$31,904.57
|
2026-03-31
|
|
49406
|
CPT
|
Image Guided Fluid Collection Drainage By Catheter
|
14
|
14
|
$2,622.00
|
$1,182.78
55% off
|
$556.39
|
$4,603.00
|
$1,662.35
|
2026-03-31
|
|
49440
|
CPT
|
Place Gastrostomy Tube
|
14
|
14
|
$4,338.00
|
$1,956.87
55% off
|
$920.52
|
$4,603.00
|
$2,065.69
|
2026-03-31
|
|
50200
|
CPT
|
Renal Biopsy
|
14
|
14
|
$3,118.00
|
$1,406.53
55% off
|
$661.64
|
$4,603.00
|
$1,841.21
|
2026-03-31
|
|
536
|
MS_DRG
|
Fractures Of Hip And Pelvis Without McC
|
7
|
7
|
$4,220.00
|
$1,903.64
55% off
|
$8,112.34
|
$9,295.48
|
$8,466.61
|
2026-03-31
|
|
537
|
MS_DRG
|
Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh With Cc/McC
|
8
|
8
|
$12,358.00
|
$5,574.69
55% off
|
$9,585.94
|
$17,679.36
|
$10,010.14
|
2026-03-31
|
|
54
|
MS_DRG
|
Nervous System Neoplasms With McC
|
8
|
8
|
$18,981.00
|
$8,562.33
55% off
|
$15,129.49
|
$28,287.35
|
$15,824.79
|
2026-03-31
|
|
542
|
MS_DRG
|
Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With…
|
8
|
8
|
$13,341.00
|
$6,018.13
55% off
|
$17,348.90
|
$32,726.18
|
$18,308.01
|
2026-03-31
|
|
543
|
MS_DRG
|
Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With…
|
8
|
8
|
$15,124.00
|
$6,822.44
55% off
|
$10,326.26
|
$19,044.73
|
$10,745.15
|
2026-03-31
|
|
544
|
MS_DRG
|
Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With…
|
8
|
8
|
$13,297.00
|
$5,998.28
55% off
|
$7,579.96
|
$13,979.72
|
$8,018.53
|
2026-03-31
|
|
552
|
MS_DRG
|
Medical Back Problems Without McC
|
8
|
8
|
$6,773.00
|
$3,055.30
55% off
|
$9,656.26
|
$17,809.04
|
$10,079.95
|
2026-03-31
|
|
553
|
MS_DRG
|
Bone Diseases And Arthropathies With McC
|
7
|
7
|
$7,669.00
|
$3,459.49
55% off
|
$12,993.43
|
$14,920.41
|
$13,021.33
|
2026-03-31
|
|
554
|
MS_DRG
|
Bone Diseases And Arthropathies Without McC
|
7
|
7
|
$4,456.00
|
$2,010.10
55% off
|
$8,338.35
|
$9,554.45
|
$8,675.02
|
2026-03-31
|
|
555
|
MS_DRG
|
Signs And Symptoms Of Musculoskeletal System And Connective Tissue With McC
|
8
|
8
|
$14,541.00
|
$6,559.45
55% off
|
$13,229.65
|
$24,487.67
|
$13,699.14
|
2026-03-31
|
|
556
|
MS_DRG
|
Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without McC
|
8
|
8
|
$17,002.00
|
$7,669.60
55% off
|
$8,343.38
|
$15,387.70
|
$8,776.48
|
2026-03-31
|
|
558
|
MS_DRG
|
Tendonitis, Myositis And Bursitis Without McC
|
8
|
8
|
$36,270.00
|
$16,361.40
55% off
|
$8,972.19
|
$16,547.42
|
$9,400.79
|
2026-03-31
|
|
56
|
MS_DRG
|
Degenerative Nervous System Disorders With McC
|
4
|
4
|
$9,380.00
|
$4,231.32
55% off
|
$23,335.54
|
$26,738.88
|
$25,041.03
|
2026-03-31
|
|
565
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue Diagnoses With Cc
|
8
|
8
|
$28,966.00
|
$13,066.56
55% off
|
$9,787.85
|
$18,051.73
|
$10,210.60
|
2026-03-31
|
|
59412
|
CPT
|
Antepartum Manipulation Of Fetus
|
14
|
14
|
$3,335.00
|
$1,504.42
55% off
|
$707.69
|
$5,869.55
|
$2,114.39
|
2026-03-31
|
|
603
|
MS_DRG
|
Cellulitis Without McC
|
8
|
8
|
$20,807.00
|
$9,386.04
55% off
|
$8,748.19
|
$16,134.29
|
$9,178.39
|
2026-03-31
|
|
606
|
MS_DRG
|
Minor Skin Disorders With McC
|
8
|
8
|
$28,489.00
|
$12,851.39
55% off
|
$15,002.58
|
$28,033.54
|
$15,682.81
|
2026-03-31
|
|
63650
|
CPT
|
Implant Neuroelectrodes
|
14
|
14
|
$26,346.00
|
$11,884.68
55% off
|
$5,590.62
|
$26,346.00
|
$9,358.10
|
2026-03-31
|
|
637
|
MS_DRG
|
Diabetes With McC
|
8
|
8
|
$19,074.00
|
$8,604.28
55% off
|
$14,293.96
|
$26,616.30
|
$14,889.96
|
2026-03-31
|
|
638
|
MS_DRG
|
Diabetes With Cc
|
9
|
9
|
$40,023.00
|
$18,054.38
55% off
|
$2,093.78
|
$2,661.80
|
$2,093.78
|
2026-03-31
|
|
64
|
MS_DRG
|
Intracranial Hemorrhage Or Cerebral Infarction With McC
|
8
|
8
|
$20,720.00
|
$9,346.79
55% off
|
$19,613.71
|
$37,255.79
|
$20,842.00
|
2026-03-31
|
|
640
|
MS_DRG
|
Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M…
|
8
|
8
|
$25,394.00
|
$11,455.23
55% off
|
$13,357.48
|
$24,743.33
|
$13,842.15
|
2026-03-31
|
|
641
|
MS_DRG
|
Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou…
|
8
|
8
|
$12,491.00
|
$5,634.69
55% off
|
$7,817.02
|
$14,416.93
|
$8,253.89
|
2026-03-31
|
|
643
|
MS_DRG
|
Endocrine Disorders With McC
|
8
|
8
|
$16,449.00
|
$7,420.14
55% off
|
$16,233.64
|
$30,495.65
|
$17,060.18
|
2026-03-31
|
|
644
|
MS_DRG
|
Endocrine Disorders With Cc
|
8
|
8
|
$11,825.00
|
$5,334.26
55% off
|
$10,296.13
|
$18,989.15
|
$10,715.23
|
2026-03-31
|
|
645
|
MS_DRG
|
Endocrine Disorders Without Cc/McC
|
13
|
13
|
$12,346.00
|
$5,569.28
55% off
|
$310.96
|
$5,191.00
|
$2,750.98
|
2026-03-31
|
|
64624
|
CPT
|
Dstrj Nulyt Agt Gnclr Nrv
|
14
|
14
|
$4,824.00
|
$2,176.11
55% off
|
$1,023.65
|
$5,080.00
|
$2,548.11
|
2026-03-31
|
|
64625
|
CPT
|
Rf Abltj Nrv Nrvtg Si Jt
|
13
|
13
|
$5,877.00
|
$2,651.11
55% off
|
$227.00
|
$5,877.00
|
$2,012.28
|
2026-03-31
|
|
64635
|
CPT
|
Destroy Lumb/Sac Facet Jnt
|
14
|
14
|
$3,335.00
|
$1,504.42
55% off
|
$707.69
|
$5,080.00
|
$2,114.39
|
2026-03-31
|
|
65
|
MS_DRG
|
Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours
|
8
|
8
|
$29,828.00
|
$13,455.41
55% off
|
$10,148.46
|
$18,716.82
|
$10,568.62
|
2026-03-31
|
|
66
|
MS_DRG
|
Intracranial Hemorrhage Or Cerebral Infarction Without Cc/McC
|
8
|
8
|
$23,020.00
|
$10,384.32
55% off
|
$6,874.80
|
$12,679.19
|
$7,325.40
|
2026-03-31
|
|
663
|
MS_DRG
|
Minor Bladder Procedures With Cc
|
8
|
8
|
$21,327.00
|
$9,620.61
55% off
|
$15,067.42
|
$28,163.23
|
$16,386.46
|
2026-03-31
|
|
68
|
MS_DRG
|
Precerebral Occlusion Without Infarction Without McC
|
8
|
8
|
$14,962.00
|
$6,749.36
55% off
|
$8,682.90
|
$16,330.67
|
$9,192.77
|
2026-03-31
|
|
682
|
MS_DRG
|
Renal Failure With McC
|
13
|
13
|
$13,079.00
|
$5,899.94
55% off
|
$231.80
|
$5,191.00
|
$3,161.41
|
2026-03-31
|
|
683
|
MS_DRG
|
Renal Failure With Cc
|
8
|
8
|
$10,491.00
|
$4,732.49
55% off
|
$8,797.41
|
$16,225.07
|
$9,227.26
|
2026-03-31
|
|
684
|
MS_DRG
|
Renal Failure Without Cc/McC
|
8
|
8
|
$21,687.00
|
$9,783.01
55% off
|
$6,030.01
|
$11,121.16
|
$6,546.39
|
2026-03-31
|
|
689
|
MS_DRG
|
Kidney And Urinary Tract Infections With McC
|
8
|
8
|
$15,841.00
|
$7,145.88
55% off
|
$11,655.21
|
$21,495.72
|
$12,064.58
|
2026-03-31
|
|
69
|
MS_DRG
|
Transient Ischemia Without Thrombolytic
|
8
|
8
|
$12,092.00
|
$5,454.70
55% off
|
$8,023.95
|
$14,798.57
|
$8,459.34
|
2026-03-31
|
|
690
|
MS_DRG
|
Kidney And Urinary Tract Infections Without McC
|
8
|
8
|
$10,858.00
|
$4,898.04
55% off
|
$8,131.43
|
$14,996.80
|
$8,566.05
|
2026-03-31
|
|
698
|
MS_DRG
|
Other Kidney And Urinary Tract Diagnoses With McC
|
8
|
8
|
$12,721.00
|
$5,738.44
55% off
|
$16,310.51
|
$30,649.41
|
$17,146.21
|
2026-03-31
|
|
699
|
MS_DRG
|
Other Kidney And Urinary Tract Diagnoses With Cc
|
8
|
8
|
$17,519.00
|
$7,902.82
55% off
|
$10,195.68
|
$18,803.89
|
$10,615.50
|
2026-03-31
|
|
700
|
MS_DRG
|
Other Kidney And Urinary Tract Diagnoses Without Cc/McC
|
8
|
8
|
$12,421.00
|
$5,603.11
55% off
|
$6,930.05
|
$12,781.09
|
$7,376.35
|
2026-03-31
|
|
70547
|
CPT
|
MRA Neck
|
14
|
14
|
$4,505.00
|
$2,032.21
55% off
|
$398.32
|
$4,505.00
|
$1,534.40
|
2026-03-31
|
|
70549
|
CPT
|
MRA Neck With And Without Contrast
|
12
|
12
|
$5,220.00
|
$2,354.74
55% off
|
$607.75
|
$5,220.00
|
$1,777.93
|
2026-03-31
|
|
71
|
MS_DRG
|
Other Cerebrovascular Disorders With Cc
|
8
|
8
|
$9,041.00
|
$4,078.40
55% off
|
$10,306.17
|
$19,007.68
|
$10,725.20
|
2026-03-31
|
|
71550
|
CPT
|
MRI Chest With Contrast
|
12
|
12
|
$4,618.00
|
$2,083.18
55% off
|
$578.05
|
$4,618.00
|
$1,572.89
|
2026-03-31
|
|
71552
|
CPT
|
MRI Chest With And With Out Contrast
|
12
|
12
|
$4,769.00
|
$2,151.30
55% off
|
$607.75
|
$4,769.00
|
$1,624.32
|
2026-03-31
|
|
724
|
MS_DRG
|
Malignancy, Male Reproductive System Without Cc/McC
|
7
|
7
|
$3,819.00
|
$1,722.75
55% off
|
$6,586.51
|
$7,547.11
|
$7,059.56
|
2026-03-31
|
|
726
|
MS_DRG
|
Benign Prostatic Hypertrophy Without McC
|
7
|
7
|
$4,102.00
|
$1,850.41
55% off
|
$7,252.49
|
$8,310.22
|
$7,673.69
|
2026-03-31
|
|
74
|
MS_DRG
|
Cranial And Peripheral Nerve Disorders Without McC
|
8
|
8
|
$36,518.00
|
$16,473.27
55% off
|
$10,354.39
|
$19,096.60
|
$10,773.08
|
2026-03-31
|
|
759
|
MS_DRG
|
Infections, Female Reproductive System Without Cc/McC
|
8
|
8
|
$12,411.00
|
$5,598.60
55% off
|
$6,665.86
|
$12,293.85
|
$7,132.73
|
2026-03-31
|
|
768
|
MS_DRG
|
Vaginal Delivery With O.r. Procedures Except Sterilization And/Or D&c
|
8
|
8
|
$16,598.00
|
$7,487.36
55% off
|
$7,336.65
|
$12,701.67
|
$8,360.00
|
2026-03-31
|
|
776
|
MS_DRG
|
Postpartum And Post Abortion Diagnoses Without O.r. Procedures
|
8
|
8
|
$11,821.00
|
$5,332.45
55% off
|
$6,576.46
|
$12,128.97
|
$7,050.30
|
2026-03-31
|
|
784
|
MS_DRG
|
Cesarean Section With Sterilization With Cc
|
8
|
8
|
$22,881.00
|
$10,321.62
55% off
|
$7,222.91
|
$12,474.20
|
$9,488.78
|
2026-03-31
|
|
78452
|
CPT
|
Myocardial Spect Multiple Studies
|
14
|
14
|
$3,065.00
|
$1,382.62
55% off
|
$1,005.32
|
$3,065.00
|
$1,534.25
|
2026-03-31
|
|
785
|
MS_DRG
|
Cesarean Section With Sterilization Without Cc/McC
|
8
|
8
|
$23,187.00
|
$10,459.66
55% off
|
$7,049.81
|
$12,128.00
|
$8,573.11
|
2026-03-31
|
|
786
|
MS_DRG
|
Cesarean Section Without Sterilization With McC
|
8
|
8
|
$33,086.00
|
$14,925.09
55% off
|
$10,269.00
|
$19,409.67
|
$11,409.32
|
2026-03-31
|
|
78608
|
CPT
|
Brain Imaging (Pet)
|
14
|
14
|
$7,710.00
|
$3,477.98
55% off
|
$1,636.06
|
$7,710.00
|
$2,692.62
|
2026-03-31
|
|
787
|
MS_DRG
|
Cesarean Section Without Sterilization With Cc
|
8
|
8
|
$25,374.00
|
$11,446.21
55% off
|
$7,556.51
|
$13,141.39
|
$9,996.29
|
2026-03-31
|
|
788
|
MS_DRG
|
Cesarean Section Without Sterilization Without Cc/McC
|
8
|
8
|
$24,921.00
|
$11,241.86
55% off
|
$7,049.81
|
$12,128.00
|
$8,582.07
|
2026-03-31
|
|
78815
|
CPT
|
PET Scan; Skull Or Thigh
|
14
|
14
|
$7,111.00
|
$3,207.77
55% off
|
$1,508.95
|
$7,183.00
|
$2,654.73
|
2026-03-31
|
|
78816
|
CPT
|
Full Body PET Scan
|
14
|
14
|
$5,209.00
|
$2,349.78
55% off
|
$1,105.35
|
$7,183.00
|
$2,304.76
|
2026-03-31
|
|
789
|
MS_DRG
|
Neonates, Died Or Transferred To Another Acute Care Facility
|
6
|
6
|
$8,172.00
|
$3,686.39
55% off
|
$1,659.00
|
$8,446.68
|
$4,714.84
|
2026-03-31
|
|
791
|
MS_DRG
|
Prematurity With Major Problems
|
3
|
3
|
$13,228.00
|
$5,967.15
55% off
|
$1,659.00
|
$19,024.01
|
$18,687.64
|
2026-03-31
|
|
792
|
MS_DRG
|
Prematurity Without Major Problems
|
6
|
6
|
$8,121.00
|
$3,663.38
55% off
|
$1,659.00
|
$11,479.08
|
$6,231.04
|
2026-03-31
|
|
793
|
MS_DRG
|
Full Term Neonate With Major Problems
|
6
|
6
|
$7,379.00
|
$3,328.67
55% off
|
$1,659.00
|
$19,542.37
|
$10,262.68
|
2026-03-31
|
|
794
|
MS_DRG
|
Neonate With Other Significant Problems
|
6
|
6
|
$5,880.00
|
$2,652.47
55% off
|
$1,659.00
|
$6,917.35
|
$3,950.18
|
2026-03-31
|
|
797
|
MS_DRG
|
Vaginal Delivery With Sterilization And/Or D&c With Cc
|
8
|
8
|
$30,523.00
|
$13,768.93
55% off
|
$6,914.68
|
$11,857.74
|
$8,360.00
|
2026-03-31
|
|
805
|
MS_DRG
|
Vaginal Delivery Without Sterilization Or D&c With McC
|
8
|
8
|
$14,210.00
|
$6,410.13
55% off
|
$7,381.69
|
$12,791.76
|
$8,360.00
|
2026-03-31
|
|
806
|
MS_DRG
|
Vaginal Delivery Without Sterilization Or D&c With Cc
|
8
|
8
|
$17,268.00
|
$7,789.59
55% off
|
$5,454.39
|
$8,937.16
|
$6,748.93
|
2026-03-31
|
|
807
|
MS_DRG
|
Vaginal Delivery Without Sterilization Or D&c Without Cc/McC
|
8
|
8
|
$14,201.00
|
$6,406.07
55% off
|
$2,940.15
|
$8,653.00
|
$6,034.65
|
2026-03-31
|
|
809
|
MS_DRG
|
Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co…
|
8
|
8
|
$24,151.00
|
$10,894.52
55% off
|
$12,711.84
|
$23,452.06
|
$13,119.79
|
2026-03-31
|
|
812
|
MS_DRG
|
Red Blood Cell Disorders Without McC
|
8
|
8
|
$13,658.00
|
$6,161.12
55% off
|
$9,223.32
|
$17,010.57
|
$9,650.11
|
2026-03-31
|
|
813
|
MS_DRG
|
Coagulation Disorders
|
8
|
8
|
$84,550.00
|
$38,140.50
55% off
|
$15,114.67
|
$28,257.71
|
$15,704.72
|
2026-03-31
|
|
81450
|
CPT
|
Molecular Pathology
|
13
|
13
|
$5,241.00
|
$2,364.22
55% off
|
$1,112.14
|
$5,241.00
|
$1,794.52
|
2026-03-31
|
|
81455
|
CPT
|
Genomic Sequencing Procedures
|
23
|
13
|
$3,900.00
|
$1,759.29
55% off
|
$827.58
|
$11,522.15
|
$1,803.37
|
2026-03-31
|
|
815
|
MS_DRG
|
Reticuloendothelial And Immunity Disorders With Cc
|
8
|
8
|
$8,765.00
|
$3,953.89
55% off
|
$10,185.63
|
$18,785.36
|
$10,605.52
|
2026-03-31
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With McC
|
5
|
5
|
$50,698.00
|
$22,869.87
55% off
|
$48,979.42
|
$84,938.00
|
$52,771.05
|
2026-03-31
|
|
833
|
MS_DRG
|
Other Antepartum Diagnoses Without O.r. Procedures Without Cc/McC
|
7
|
7
|
$2,278.00
|
$1,027.61
55% off
|
$5,252.53
|
$6,018.58
|
$5,829.44
|
2026-03-31
|
|
840
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With McC
|
5
|
5
|
$41,747.00
|
$18,832.07
55% off
|
$32,494.57
|
$59,929.76
|
$35,180.48
|
2026-03-31
|
|
857
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc
|
5
|
5
|
$64,491.00
|
$29,091.89
55% off
|
$22,877.64
|
$39,673.43
|
$24,648.67
|
2026-03-31
|
|
863
|
MS_DRG
|
Postoperative And Post-traumatic Infections Without McC
|
8
|
8
|
$7,661.00
|
$3,455.88
55% off
|
$10,023.91
|
$18,487.10
|
$10,444.97
|
2026-03-31
|
|
864
|
MS_DRG
|
Fever And Inflammatory Conditions
|
8
|
8
|
$6,924.00
|
$3,123.42
55% off
|
$8,916.95
|
$16,445.53
|
$9,345.94
|
2026-03-31
|
|
865
|
MS_DRG
|
Viral Illness With McC
|
8
|
8
|
$14,474.00
|
$6,529.22
55% off
|
$14,864.57
|
$27,757.51
|
$15,528.38
|
2026-03-31
|
|
866
|
MS_DRG
|
Viral Illness Without McC
|
8
|
8
|
$15,445.00
|
$6,967.24
55% off
|
$8,735.13
|
$16,110.21
|
$9,165.43
|
2026-03-31
|
|
871
|
MS_DRG
|
Septicemia Or Severe Sepsis Without Mv >96 Hours With McC
|
8
|
8
|
$17,903.00
|
$8,076.04
55% off
|
$18,979.19
|
$35,986.76
|
$20,132.07
|
2026-03-31
|
|
872
|
MS_DRG
|
Septicemia Or Severe Sepsis Without Mv >96 Hours Without McC
|
8
|
8
|
$19,135.00
|
$8,631.80
55% off
|
$10,279.05
|
$18,957.66
|
$10,698.27
|
2026-03-31
|
|
884
|
MS_DRG
|
Organic Disturbances And Intellectual Disability
|
8
|
8
|
$20,725.00
|
$9,349.05
55% off
|
$15,889.05
|
$29,806.48
|
$16,674.64
|
2026-03-31
|
|
894
|
MS_DRG
|
Alcohol, Drug Abuse Or Dependence, Left Ama
|
8
|
8
|
$23,987.00
|
$10,820.54
55% off
|
$6,196.76
|
$11,428.69
|
$6,700.15
|
2026-03-31
|
|
896
|
MS_DRG
|
Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With McC
|
8
|
8
|
$18,235.00
|
$8,225.81
55% off
|
$17,150.67
|
$32,329.72
|
$18,086.22
|
2026-03-31
|
|
897
|
MS_DRG
|
Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without McC
|
8
|
8
|
$19,217.00
|
$8,668.79
55% off
|
$298.02
|
$16,354.75
|
$9,297.07
|
2026-03-31
|
|
91
|
MS_DRG
|
Other Disorders Of Nervous System With McC
|
8
|
8
|
$38,649.00
|
$17,434.56
55% off
|
$17,253.49
|
$32,535.36
|
$18,201.25
|
2026-03-31
|
|
918
|
MS_DRG
|
Poisoning And Toxic Effects Of Drugs Without McC
|
8
|
8
|
$6,869.00
|
$3,098.61
55% off
|
$8,609.57
|
$15,878.63
|
$9,040.76
|
2026-03-31
|
|
949
|
MS_DRG
|
Aftercare With Cc/McC
|
7
|
7
|
$5,668.00
|
$2,556.83
55% off
|
$11,950.54
|
$13,693.45
|
$12,006.00
|
2026-03-31
|
|
95811
|
CPT
|
Sleep Study With Titration
|
14
|
14
|
$4,863.00
|
$2,193.70
55% off
|
$1,031.93
|
$4,863.00
|
$1,727.34
|
2026-03-31
|
|
964
|
MS_DRG
|
Other Multiple Significant Trauma With Cc
|
8
|
8
|
$33,761.00
|
$15,229.59
55% off
|
$15,182.28
|
$28,392.95
|
$15,883.87
|
2026-03-31
|
|
98
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc
|
5
|
5
|
$27,697.00
|
$12,494.12
55% off
|
$23,052.27
|
$42,515.32
|
$24,957.70
|
2026-03-31
|
|
998
|
MS_DRG
|
Principal Diagnosis Invalid As Discharge Diagnosis
|
8
|
8
|
$14,625.00
|
$6,597.34
55% off
|
$5,312.31
|
$8,653.00
|
$6,034.65
|
2026-03-31
|
|
A4216
|
HCPCS
|
Sterile Water For Injection Ij Soln
|
24
|
13
|
$3,726.00
|
$1,680.80
55% off
|
$790.66
|
$7,200.00
|
$2,463.84
|
2026-03-31
|
|
A9502
|
HCPCS
|
Technetium Tc 99m Tetrofosmin IV Kit
|
12
|
12
|
$13,158.00
|
$5,935.57
55% off
|
$73.10
|
$13,158.00
|
$4,502.67
|
2026-03-31
|
|
A9520
|
HCPCS
|
Technetium Tc-99m Tilmanocept Injection
|
14
|
14
|
$3,665.00
|
$1,653.28
55% off
|
$777.71
|
$3,665.00
|
$1,785.04
|
2026-03-31
|
|
A9584
|
HCPCS
|
Ioflupane I 123 185 Mbq/2.5ml IV Soln
|
13
|
13
|
$13,997.00
|
$6,314.05
55% off
|
$2,970.16
|
$13,997.00
|
$4,792.57
|
2026-03-31
|
|
A9586
|
HCPCS
|
Florbetapir F 18 500-1900 Mbq/ml IV Soln
|
14
|
14
|
$15,430.00
|
$6,960.47
55% off
|
$3,274.25
|
$15,430.00
|
$5,480.73
|
2026-03-31
|
|
A9587
|
HCPCS
|
Gallium Ga 68 Dotatate IV Kit
|
14
|
14
|
$17,691.00
|
$7,980.41
55% off
|
$3,754.03
|
$17,691.00
|
$6,283.84
|
2026-03-31
|
|
G0390
|
HCPCS
|
Trauma Team Activation With Critical Care
|
13
|
13
|
$10,417.00
|
$4,699.11
55% off
|
$366.12
|
$10,417.00
|
$3,562.61
|
2026-03-31
|
|
J0401
|
HCPCS
|
Aripiprazole ER 300 Mg IM Prsy
|
28
|
14
|
$6,342.50
|
$2,861.10
55% off
|
$1,155.43
|
$7,240.00
|
$2,693.41
|
2026-03-31
|
|
J0517
|
HCPCS
|
Benralizumab 30 Mg/ml Sc Sosy
|
14
|
14
|
$14,514.00
|
$6,547.27
55% off
|
$3,079.87
|
$14,514.00
|
$5,114.40
|
2026-03-31
|
|
J0597
|
HCPCS
|
C1 Esterase Inhibitor (human) 500 Units IV Kit
|
14
|
14
|
$10,722.00
|
$4,836.69
55% off
|
$3,218.00
|
$10,722.00
|
$3,651.91
|
2026-03-31
|
|
J0717
|
HCPCS
|
Certolizumab Pegol 200 Mg/ml Sc Pskt
|
14
|
14
|
$7,590.00
|
$3,423.85
55% off
|
$946.00
|
$7,590.00
|
$2,585.16
|
2026-03-31
|
|
J0875
|
HCPCS
|
Dalbavancin Hcl 500 Mg/25ml IV (wet Solr Vial)
|
14
|
14
|
$7,061.00
|
$3,185.22
55% off
|
$1,498.34
|
$7,061.00
|
$2,814.60
|
2026-03-31
|
|
J0896
|
HCPCS
|
Luspatercept-aamt 25 Mg Sc Solr
|
28
|
14
|
$20,198.00
|
$9,111.31
55% off
|
$2,149.37
|
$30,267.00
|
$9,521.84
|
2026-03-31
|
|
J0897
|
HCPCS
|
Denosumab 120 Mg/1.7ml Sc Soln
|
28
|
14
|
$6,642.50
|
$2,996.44
55% off
|
$996.70
|
$8,588.00
|
$3,149.89
|
2026-03-31
|
|
J1569
|
HCPCS
|
Gammagard 1 Gm/10 Ml Ij Soln (wrapped)
|
70
|
14
|
$4,251.00
|
$1,917.63
55% off
|
$253.15
|
$12,632.00
|
$1,820.74
|
2026-03-31
|
|
J1602
|
HCPCS
|
Golimumab 50 Mg/4ml IV Soln
|
14
|
14
|
$4,859.00
|
$2,191.89
55% off
|
$527.00
|
$4,859.00
|
$1,654.97
|
2026-03-31
|
|
J1640
|
HCPCS
|
Hemin 350 Mg/50ml IV (wet Solr Vial)
|
14
|
14
|
$26,922.00
|
$12,144.51
55% off
|
$5,712.85
|
$26,922.00
|
$15,574.38
|
2026-03-31
|
|
J1932
|
HCPCS
|
Lanreotide Acetate 120 Mg/0.5ml Sc Soln
|
14
|
14
|
$21,403.00
|
$9,654.89
55% off
|
$4,541.72
|
$21,403.00
|
$8,226.95
|
2026-03-31
|
|
J1950
|
HCPCS
|
Leuprolide Acetate (3 Month) 11.25 Mg IM Kit
|
42
|
14
|
$5,521.00
|
$2,490.52
55% off
|
$975.91
|
$13,677.00
|
$3,916.84
|
2026-03-31
|
|
J2182
|
HCPCS
|
Mepolizumab 100 Mg Sc Solr
|
14
|
14
|
$8,880.00
|
$4,005.77
55% off
|
$2,912.64
|
$8,880.00
|
$3,085.00
|
2026-03-31
|
|
J2315
|
HCPCS
|
Naltrexone 380 Mg IM Susr
|
14
|
14
|
$4,383.00
|
$1,977.17
55% off
|
$1,437.62
|
$4,383.00
|
$1,591.33
|
2026-03-31
|
|
J2323
|
HCPCS
|
Natalizumab 300 Mg/15ml IV Conc
|
14
|
14
|
$21,371.00
|
$9,640.46
55% off
|
$7,009.69
|
$21,371.00
|
$7,357.50
|
2026-03-31
|
|
J2327
|
HCPCS
|
Risankizumab-rzaa 600 Mg/10ml IV Soln
|
14
|
14
|
$26,215.00
|
$11,825.59
55% off
|
$5,562.82
|
$26,215.00
|
$13,336.83
|
2026-03-31
|
|
J2350
|
HCPCS
|
Ocrelizumab 300 Mg/10ml IV Soln
|
14
|
14
|
$52,175.00
|
$23,536.14
55% off
|
$17,113.40
|
$52,175.00
|
$18,741.20
|
2026-03-31
|
|
J2351
|
HCPCS
|
Ocrelizumab-hyaluronidase-ocsq 920-23000 Mg-ut/23ml Sc Soln
|
14
|
14
|
$104,289.00
|
$47,044.77
55% off
|
$20,023.49
|
$104,289.00
|
$39,976.57
|
2026-03-31
|
|
J2353
|
HCPCS
|
Octreotide Acetate 20 Mg IM Kit
|
28
|
14
|
$13,895.50
|
$6,268.26
55% off
|
$2,363.91
|
$16,651.00
|
$5,914.43
|
2026-03-31
|
|
J2356
|
HCPCS
|
Tezepelumab-ekko 210 Mg/1.91ml Sc Sosy
|
14
|
14
|
$11,070.00
|
$4,993.68
55% off
|
$2,349.05
|
$11,070.00
|
$3,874.50
|
2026-03-31
|
|
J2426
|
HCPCS
|
Paliperidone Palmitate ER 156 Mg/ml IM Susy
|
28
|
14
|
$7,370.00
|
$3,324.61
55% off
|
$1,253.68
|
$8,832.00
|
$3,137.13
|
2026-03-31
|
|
J2427
|
HCPCS
|
Paliperidone Palmitate ER 546 Mg/1.75ml IM Susy
|
14
|
14
|
$17,604.00
|
$7,941.16
55% off
|
$5,774.11
|
$17,604.00
|
$6,778.59
|
2026-03-31
|
|
J2506
|
HCPCS
|
Pegfilgrastim 6 Mg/0.6ml Sc Sosy
|
14
|
14
|
$15,464.00
|
$6,975.81
55% off
|
$239.76
|
$15,464.00
|
$5,267.04
|
2026-03-31
|
|
J2802
|
HCPCS
|
Romiplostim 125 Mcg Sc Solr
|
42
|
14
|
$6,998.00
|
$3,156.80
55% off
|
$748.85
|
$13,936.00
|
$3,337.55
|
2026-03-31
|
|
J3101
|
HCPCS
|
Tenecteplase 50 Mg IV Kit
|
14
|
14
|
$20,571.00
|
$9,279.58
55% off
|
$4,365.17
|
$20,571.00
|
$11,442.36
|
2026-03-31
|
|
J3111
|
HCPCS
|
Romosozumab-aqqg 105 Mg/1.17ml Sc Sosy
|
14
|
14
|
$6,745.00
|
$3,042.67
55% off
|
$1,431.29
|
$6,745.00
|
$2,385.60
|
2026-03-31
|
|
J3241
|
HCPCS
|
Teprotumumab-trbw 500 Mg IV Solr
|
14
|
14
|
$44,993.00
|
$20,296.34
55% off
|
$9,547.51
|
$44,993.00
|
$17,037.71
|
2026-03-31
|
|
J3358
|
HCPCS
|
Ustekinumab 130 Mg/26ml IV Soln
|
14
|
14
|
$5,402.00
|
$2,436.84
55% off
|
$1,146.30
|
$5,402.00
|
$2,629.43
|
2026-03-31
|
|
J3380
|
HCPCS
|
Vedolizumab 300 Mg IV Solr
|
14
|
14
|
$24,321.00
|
$10,971.20
55% off
|
$6,807.00
|
$24,321.00
|
$8,322.65
|
2026-03-31
|
|
J9022
|
HCPCS
|
Atezolizumab 1200 Mg/20ml IV Soln
|
14
|
14
|
$28,709.00
|
$12,950.63
55% off
|
$6,092.05
|
$28,709.00
|
$11,547.06
|
2026-03-31
|
|
J9023
|
HCPCS
|
Avelumab 200 Mg/10ml IV Soln
|
14
|
14
|
$20,946.00
|
$9,448.74
55% off
|
$6,870.29
|
$20,946.00
|
$7,757.60
|
2026-03-31
|
|
J9026
|
HCPCS
|
Tarlatamab-dlle 1 Mg/1.1ml IV (wet Solr Vial)
|
28
|
14
|
$20,454.00
|
$9,226.80
55% off
|
$799.57
|
$37,140.00
|
$5,824.56
|
2026-03-31
|
|
J9034
|
HCPCS
|
Bendamustine Hcl 100 Mg/4ml IV Soln (bendeka)
|
14
|
14
|
$5,998.00
|
$2,705.70
55% off
|
$1,345.00
|
$5,998.00
|
$2,042.92
|
2026-03-31
|
|
J9035
|
HCPCS
|
Bevacizumab 100 Mg/4ml IV Soln
|
28
|
14
|
$4,842.00
|
$2,184.22
55% off
|
$647.14
|
$7,711.00
|
$2,251.11
|
2026-03-31
|
|
J9039
|
HCPCS
|
Blinatumomab Continuous IV Infusion (chargeable Ccrx)
|
14
|
14
|
$14,197.00
|
$6,404.27
55% off
|
$4,656.62
|
$14,197.00
|
$5,343.62
|
2026-03-31
|
|
J9042
|
HCPCS
|
Brentuximab Vedotin 50 Mg IV Solr
|
14
|
14
|
$31,669.00
|
$14,285.89
55% off
|
$10,387.43
|
$31,669.00
|
$12,276.75
|
2026-03-31
|
|
J9043
|
HCPCS
|
Cabazitaxel 60 Mg/1.5ml IV Soln
|
14
|
14
|
$33,346.00
|
$15,042.38
55% off
|
$7,076.02
|
$33,346.00
|
$13,997.17
|
2026-03-31
|
|
J9047
|
HCPCS
|
Carfilzomib 10 Mg/5ml IV (wet Solr Vial)
|
42
|
14
|
$4,602.00
|
$2,075.96
55% off
|
$334.00
|
$9,327.00
|
$1,747.07
|
2026-03-31
|
|
J9061
|
HCPCS
|
Amivantamab-vmjw 350 Mg/7ml IV Soln
|
14
|
14
|
$9,608.00
|
$4,334.17
55% off
|
$3,151.42
|
$9,608.00
|
$3,721.38
|
2026-03-31
|
|
J9144
|
HCPCS
|
Daratumumab-hyaluronidase-fihj 1800-30000 Mg-ut/15ml Sc Soln
|
14
|
14
|
$27,031.00
|
$12,193.68
55% off
|
$5,735.98
|
$27,031.00
|
$10,517.70
|
2026-03-31
|
|
J9153
|
HCPCS
|
Daunorubicin-cytarabine Lipo 44-100 Mg IV Susr
|
14
|
14
|
$27,588.00
|
$12,444.95
55% off
|
$9,048.86
|
$27,588.00
|
$10,818.72
|
2026-03-31
|
|
J9173
|
HCPCS
|
Durvalumab 120 Mg/2.4ml IV Soln
|
28
|
14
|
$6,610.50
|
$2,982.00
55% off
|
$851.49
|
$10,625.00
|
$3,040.50
|
2026-03-31
|
|
J9176
|
HCPCS
|
Elotuzumab 300 Mg IV Solr
|
28
|
14
|
$6,690.00
|
$3,017.86
55% off
|
$1,883.70
|
$7,637.00
|
$2,754.00
|
2026-03-31
|
|
J9177
|
HCPCS
|
Enfortumab Vedotin-ejfv 20 Mg IV Solr
|
28
|
14
|
$8,487.50
|
$3,828.71
55% off
|
$1,443.38
|
$10,173.00
|
$3,613.45
|
2026-03-31
|
|
J9203
|
HCPCS
|
Gemtuzumab Ozogamicin 4.5 Mg IV Solr
|
14
|
14
|
$25,264.00
|
$11,396.59
55% off
|
$8,286.59
|
$25,264.00
|
$10,590.97
|
2026-03-31
|
|
J9205
|
HCPCS
|
Irinotecan Hcl Liposome 43 Mg/10ml IV Susp
|
14
|
14
|
$7,713.00
|
$3,479.33
55% off
|
$2,529.86
|
$7,713.00
|
$2,851.83
|
2026-03-31
|
|
J9207
|
HCPCS
|
Ixabepilone 15 Mg IV Solr
|
28
|
14
|
$9,730.00
|
$4,389.20
55% off
|
$1,605.56
|
$14,565.00
|
$4,812.27
|
2026-03-31
|
|
J9217
|
HCPCS
|
Leuprolide Acetate (3 Month) 22.5 Mg IM Kit
|
104
|
14
|
$6,565.00
|
$2,961.47
55% off
|
$213.70
|
$32,513.00
|
$2,674.23
|
2026-03-31
|
|
J9223
|
HCPCS
|
Lurbinectedin 4 Mg IV Solr
|
14
|
14
|
$20,244.00
|
$9,132.07
55% off
|
$6,640.03
|
$20,244.00
|
$8,298.20
|
2026-03-31
|
|
J9227
|
HCPCS
|
Isatuximab-irfc 100 Mg/5ml IV Soln
|
28
|
14
|
$6,731.00
|
$3,036.35
55% off
|
$484.66
|
$11,178.00
|
$2,327.98
|
2026-03-31
|
|
J9228
|
HCPCS
|
Ipilimumab 200 Mg/40ml IV Soln
|
28
|
14
|
$55,475.00
|
$25,024.78
55% off
|
$4,716.36
|
$88,724.00
|
$21,114.70
|
2026-03-31
|
|
J9229
|
HCPCS
|
Inotuzumab Ozogamicin 0.9 Mg IV Solr
|
14
|
14
|
$58,607.00
|
$26,437.62
55% off
|
$19,223.10
|
$58,607.00
|
$24,152.76
|
2026-03-31
|
|
J9266
|
HCPCS
|
Pegaspargase 750 Unit/ml Ij Soln
|
14
|
14
|
$67,635.00
|
$30,510.15
55% off
|
$22,184.28
|
$67,635.00
|
$27,070.53
|
2026-03-31
|
|
J9268
|
HCPCS
|
Pentostatin 10 Mg IV Solr
|
14
|
14
|
$12,112.00
|
$5,463.72
55% off
|
$2,386.81
|
$12,112.00
|
$4,125.35
|
2026-03-31
|
|
J9269
|
HCPCS
|
Tagraxofusp-erzs 1000 Mcg/ml IV Soln
|
14
|
14
|
$81,076.00
|
$36,573.38
55% off
|
$26,592.93
|
$81,076.00
|
$34,036.00
|
2026-03-31
|
|
J9271
|
HCPCS
|
Pembrolizumab 100 Mg/4ml IV Soln
|
14
|
14
|
$28,996.00
|
$13,080.10
55% off
|
$9,510.69
|
$28,996.00
|
$12,900.00
|
2026-03-31
|
|
J9272
|
HCPCS
|
Dostarlimab-gxly 500 Mg/10ml IV Soln
|
14
|
14
|
$29,511.00
|
$13,312.41
55% off
|
$9,679.61
|
$29,511.00
|
$12,124.50
|
2026-03-31
|
|
J9274
|
HCPCS
|
Tebentafusp-tebn 100 Mcg/0.5ml IV Soln
|
14
|
14
|
$10,337.00
|
$4,663.02
55% off
|
$3,390.54
|
$10,337.00
|
$4,341.30
|
2026-03-31
|
|
J9286
|
HCPCS
|
Glofitamab-gxbm 2.5 Mg/2.5ml IV Soln
|
24
|
14
|
$6,663.00
|
$3,005.68
55% off
|
$2,170.70
|
$6,663.00
|
$2,611.44
|
2026-03-31
|
|
J9299
|
HCPCS
|
Nivolumab 40 Mg/4ml IV Soln
|
36
|
14
|
$19,589.00
|
$8,836.60
55% off
|
$4,138.96
|
$19,805.00
|
$6,979.53
|
2026-03-31
|
|
J9302
|
HCPCS
|
Ofatumumab 100 Mg/5ml IV Conc
|
28
|
14
|
$9,533.00
|
$4,300.34
55% off
|
$1,484.20
|
$14,541.00
|
$4,647.23
|
2026-03-31
|
|
J9305
|
HCPCS
|
Pemetrexed Disodium 100 Mg IV Solr
|
56
|
14
|
$6,951.50
|
$3,135.82
55% off
|
$50.70
|
$21,192.00
|
$2,070.71
|
2026-03-31
|
|
J9306
|
HCPCS
|
Pertuzumab 420 Mg/14ml IV Soln
|
14
|
14
|
$16,593.00
|
$7,485.10
55% off
|
$5,442.50
|
$16,593.00
|
$6,801.90
|
2026-03-31
|
|
J9307
|
HCPCS
|
Pralatrexate 20 Mg/ml IV Soln
|
28
|
14
|
$28,083.50
|
$12,668.47
55% off
|
$6,072.00
|
$37,425.00
|
$12,574.80
|
2026-03-31
|
|
J9308
|
HCPCS
|
Ramucirumab 500 Mg/50ml IV Soln
|
14
|
14
|
$18,340.00
|
$8,273.17
55% off
|
$6,015.52
|
$18,340.00
|
$7,333.50
|
2026-03-31
|
|
J9309
|
HCPCS
|
Polatuzumab Vedotin-piiq 140 Mg IV Solr
|
28
|
14
|
$28,807.00
|
$12,994.84
55% off
|
$3,347.57
|
$47,408.00
|
$12,877.91
|
2026-03-31
|
|
J9311
|
HCPCS
|
Rituximab-hyaluronidase Human 1400-23400 Mg -ut/11.7ml Sc Soln
|
28
|
14
|
$16,971.50
|
$7,655.84
55% off
|
$3,362.10
|
$18,099.00
|
$6,260.80
|
2026-03-31
|
|
J9312
|
HCPCS
|
Rituximab 100 Mg/10ml IV Soln
|
28
|
14
|
$6,825.00
|
$3,078.76
55% off
|
$491.24
|
$11,335.00
|
$2,360.14
|
2026-03-31
|
|
J9317
|
HCPCS
|
Sacituzumab Govitecan-hziy 180 Mg IV Solr
|
14
|
14
|
$6,336.00
|
$2,858.17
55% off
|
$2,078.21
|
$6,336.00
|
$2,563.92
|
2026-03-31
|
|
J9319
|
HCPCS
|
Romidepsin 10 Mg IV Solr
|
14
|
14
|
$7,737.00
|
$3,490.16
55% off
|
$2,537.74
|
$7,737.00
|
$3,197.50
|
2026-03-31
|
|
J9332
|
HCPCS
|
Efgartigimod Alfa-fcab 400 Mg/20ml IV Soln
|
14
|
14
|
$45,643.00
|
$20,589.56
55% off
|
$9,685.44
|
$45,643.00
|
$18,355.31
|
2026-03-31
|
|
J9334
|
HCPCS
|
Efgartigimod Alfa-hyalur-qvfc 180-2000 Mg-unit/ml Sc Soln
|
14
|
14
|
$39,445.00
|
$17,793.64
55% off
|
$8,370.23
|
$39,445.00
|
$15,762.88
|
2026-03-31
|
|
J9347
|
HCPCS
|
Tremelimumab-actl 25 Mg/1.25ml IV Soln
|
28
|
14
|
$55,209.00
|
$24,904.78
55% off
|
$2,802.76
|
$101,873.00
|
$20,979.67
|
2026-03-31
|
|
J9350
|
HCPCS
|
Mosunetuzumab-axgb 1 Mg/ml IV Soln
|
28
|
14
|
$24,072.50
|
$10,859.10
55% off
|
$528.08
|
$46,535.00
|
$8,436.74
|
2026-03-31
|
|
J9352
|
HCPCS
|
Trabectedin Continuous IV Infusion (chargeable Ccrx)
|
14
|
14
|
$9,535.00
|
$4,301.24
55% off
|
$3,127.48
|
$9,535.00
|
$3,590.35
|
2026-03-31
|
|
J9358
|
HCPCS
|
Fam-trastuzumab Deruxtec-nxki 100 Mg IV Solr
|
14
|
14
|
$7,838.00
|
$3,535.72
55% off
|
$1,663.22
|
$7,838.00
|
$4,144.14
|
2026-03-31
|
|
J9359
|
HCPCS
|
Loncastuximab Tesirine-lpyl 10 Mg IV Solr
|
14
|
14
|
$69,732.00
|
$31,456.11
55% off
|
$22,872.10
|
$69,732.00
|
$28,326.26
|
2026-03-31
|
|
J9400
|
HCPCS
|
Ziv-aflibercept 100 Mg/4ml IV Soln
|
28
|
14
|
$9,652.50
|
$4,354.24
55% off
|
$765.00
|
$15,405.00
|
$1,773.00
|
2026-03-31
|
|
Q4125
|
HCPCS
|
Skin Substitute
|
27
|
14
|
$5,828.00
|
$2,629.01
55% off
|
$177.40
|
$5,828.00
|
$1,911.58
|
2026-03-31
|
|
Q5099
|
HCPCS
|
Ustekinumab-stba 45 Mg/0.5ml Sc Sosy
|
37
|
13
|
$5,072.00
|
$2,287.98
55% off
|
$258.79
|
$10,084.00
|
$2,536.00
|
2026-03-31
|
|
Q5107
|
HCPCS
|
Bevacizumab-awwb 100 Mg/4ml IV Soln
|
28
|
14
|
$4,247.00
|
$1,915.82
55% off
|
$368.17
|
$6,759.00
|
$1,648.25
|
2026-03-31
|
|
Q5108
|
HCPCS
|
Pegfilgrastim-jmdb 6 Mg/0.6ml Sc Sosy
|
14
|
14
|
$5,070.00
|
$2,287.08
55% off
|
$1,075.85
|
$5,070.00
|
$1,734.95
|
2026-03-31
|
|
Q5111
|
HCPCS
|
Pegfilgrastim-cbqv 6 Mg/0.6ml Sc Sosy
|
14
|
14
|
$10,080.00
|
$4,547.09
55% off
|
$1,752.72
|
$10,080.00
|
$3,449.38
|
2026-03-31
|
|
Q5114
|
HCPCS
|
Trastuzumab-dkst 150 Mg IV Solr
|
28
|
14
|
$4,339.50
|
$1,957.55
55% off
|
$491.88
|
$6,361.00
|
$2,086.30
|
2026-03-31
|
|
Q5115
|
HCPCS
|
Rituximab-abbs 100 Mg/10ml IV Soln
|
28
|
14
|
$6,148.50
|
$2,773.59
55% off
|
$443.50
|
$10,207.00
|
$2,127.97
|
2026-03-31
|
|
Q5116
|
HCPCS
|
Trastuzumab-qyyp 150 Mg IV Solr
|
39
|
14
|
$8,199.00
|
$3,698.57
55% off
|
$264.75
|
$13,431.00
|
$2,781.10
|
2026-03-31
|
|
Q5117
|
HCPCS
|
Trastuzumab-anns 150 Mg IV Solr
|
42
|
14
|
$3,351.00
|
$1,511.64
55% off
|
$437.25
|
$9,200.00
|
$1,714.30
|
2026-03-31
|
|
Q5119
|
HCPCS
|
Rituximab-pvvr 100 Mg/10ml IV Soln
|
28
|
14
|
$5,221.50
|
$2,355.42
55% off
|
$377.93
|
$8,662.00
|
$1,809.54
|
2026-03-31
|
|
Q5122
|
HCPCS
|
Pegfilgrastim-apgf 6 Mg/0.6ml Sc Sosy
|
14
|
14
|
$9,480.00
|
$4,276.43
55% off
|
$1,180.32
|
$9,480.00
|
$3,244.05
|
2026-03-31
|
|
Q5123
|
HCPCS
|
Rituximab-arrx 100 Mg/10ml IV Soln
|
28
|
14
|
$5,221.50
|
$2,355.42
55% off
|
$377.93
|
$8,662.00
|
$1,809.54
|
2026-03-31
|
|
Q5129
|
HCPCS
|
Bevacizumab-adcd 100 Mg/4ml IV Soln
|
26
|
13
|
$4,125.00
|
$1,860.79
55% off
|
$357.77
|
$7,981.24
|
$1,840.65
|
2026-03-31
|
|
Q5133
|
HCPCS
|
Tocilizumab-bavi 400 Mg/20ml IV Soln
|
14
|
14
|
$5,388.00
|
$2,430.53
55% off
|
$1,143.33
|
$5,388.00
|
$2,101.39
|
2026-03-31
|
|
Q5135
|
HCPCS
|
Tocilizumab-aazg 400 Mg/20ml IV Soln
|
14
|
14
|
$4,761.00
|
$2,147.69
55% off
|
$1,010.28
|
$4,761.00
|
$1,905.03
|
2026-03-31
|
|
Q5136
|
HCPCS
|
Denosumab-bbdz 60 Mg/ml Sc Sosy
|
14
|
14
|
$3,910.00
|
$1,763.80
55% off
|
$829.70
|
$3,910.00
|
$1,784.91
|
2026-03-31
|
|
Q5157
|
HCPCS
|
Denosumab-bmwo 120 Mg/1.7ml Sc Soln
|
28
|
14
|
$6,131.00
|
$2,765.70
55% off
|
$920.10
|
$7,926.00
|
$2,724.94
|
2026-03-31
|
|
Q9998
|
HCPCS
|
Ustekinumab-aekn 130 Mg/26ml IV Soln
|
13
|
13
|
$3,420.00
|
$1,542.76
55% off
|
$1,121.76
|
$3,420.00
|
$1,710.00
|
2026-03-31
|