Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

CHI ST LUKES HEALTH MEMORIAL SAN AUGUSTINE

San Augustine, TX · CCN 670783 · Rates published

659 distinct procedures filed
21 distinct payers
142,375 rate rows
2026-02-28 last MRF observed
Data quality

142,318 of 142,375 rate rows are consumer-grade (100.0%)

57 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 33
placeholder amount (≤ $0.02) — excluded from medians 16
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 6
exceeds 10× this hospital's gross charge — excluded from medians 1
per-diem day rate — not a per-procedure price 1
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.commonspirit.org/content/dam/commonspiritorg/en/stlum/soet/finance/price-transparency/752663904_chi-st-lukes-health-memorial-san-augustine_standardcharges.json
Found on page https://www.commonspirit.org/patient-resources/stlukes-memorial-price-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-21
Content fingerprint eca3eb47fe7a1592… · 99,967,134 bytes · first seen 2026-05-05

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
J1932
HCPCS 		Lanreotide Syrg 120 Mg/0.5 Ml120 Mg 9 $61,943.41 $442,452.87 $238,924.55 nat. median
$113
outlier · 2112.3×
J2506
HCPCS 		Pegfilgrastim Syrg 6 Mg/0.6 Ml6 Mg 9 $33,637.75 $240,269.61 $129,745.60 nat. median
$1,646
outlier · 78.8×
Q5127
HCPCS 		Pegfilgrastim-fpgk Syrg 6 Mg/0.6 Ml0 Mg 9 $23,214.47 $165,817.64 $89,541.53 nat. median
$399
outlier · 224.2×
C1824
HCPCS 		Optimizer Smart Mini Imp Ipg 10 $40,950.00 $273,000.00 $68,250.00 nat. median
$35,360
1.9× median
C1882
HCPCS 		Crtd Cobalt Hf MRI Is1 Df1 10 $2,309.58 $421,293.60 $66,599.67 nat. median
$27,360
outlier · 2.4×
Q5130
HCPCS 		Pegfilgrastim-pbbk Syrg 6 Mg/0.6 Ml0 Mg 9 $13,496.00 $96,400.00 $52,056.00 nat. median
$353
outlier · 147.4×
C1722
HCPCS 		Cobalt Vr MRI Surescan 10 $8,662.98 $318,257.10 $50,471.41 nat. median
$20,901
outlier · 2.4×
C1721
HCPCS 		Defib Gallant Vr Df-1 10 $10,080.48 $319,398.45 $49,031.57 nat. median
$22,344
outlier · 2.2×
C1784
HCPCS 		Gore Tag Thorac Endopros Any Size 10 $5,392.65 $218,343.30 $48,512.99 nat. median
$96
outlier · 503.8×
C1767
HCPCS 		Interstim2 Neurostimulator Medtro 10 $20,334.20 $179,235.00 $43,484.31 nat. median
$23,896
1.8× median
C9603
HCPCS 		Perc De Cor Stent Atherect Add 10 $100.00 $81,207.29 $35,285.60 nat. median
$12,723
outlier · 2.8×
C9605
HCPCS 		Revasc Byp Graft Destent Addl Ves 10 $100.00 $81,207.29 $35,285.60 nat. median
$11,203
outlier · 3.1×
C9601
HCPCS 		Coronary Drug Elut Stent Addl Ves 10 $100.00 $81,207.29 $35,285.60 nat. median
$12,050
outlier · 2.9×
C9608
HCPCS 		Coronary Revasc Chronic Des Addl 10 $100.00 $81,207.29 $35,285.60 nat. median
$11,824
outlier · 3.0×
C9606
HCPCS 		Coronary Revasc Acute Des Sgles 11 $100.00 $81,207.29 $34,277.44 nat. median
$17,846
1.9× median
J2353
HCPCS 		Octreotidemicrospheres Serr 20 Mg20 Mg 19 $199.43 $147,749.78 $29,557.03 nat. median
$5,573
outlier · 5.3×
J2356
HCPCS 		Tezepelumab-ekko Syrg 210 Mg/1.91 Ml (110 Mg/ml)210 Mg 9 $7,409.03 $52,921.59 $28,577.67 nat. median
$81
outlier · 351.5×
C2621
HCPCS 		Bi V Pacemaker 10 $16,854.24 $112,361.55 $28,090.39 nat. median
$10,636
outlier · 2.6×
C9607
HCPCS 		Coronary Revasc Chronic Des Sgles 20 $100.00 $81,207.29 $26,732.55 nat. median
$20,030
1.3× median
C9602
HCPCS 		Perc De Cor Stent Atherectomy 20 $100.00 $81,207.29 $26,732.55 nat. median
$20,101
1.3× median
C9046
HCPCS 		Cocaine Hcl Soln 4 %1 Applic 9 $1.76 $112,008.00 $26,498.75 nat. median
$456
outlier · 58.1×
C1820
HCPCS 		Imp Neuro Stimulator Axonics 10 $15,561.63 $103,744.20 $25,936.05 nat. median
$22,986
1.1× median
J3101
HCPCS 		Tenecteplase Kit 50 Mg50 Mg 19 $145.73 $150,354.12 $25,144.02 nat. median
$3,820
outlier · 6.6×
C1815
HCPCS 		Ams800 Acc Kit 10 $2,095.38 $179,802.00 $24,858.26 nat. median
$8,044
outlier · 3.1×
E0749
HCPCS 		Osteogen 20m Bone Stimulatorg 10 $538.49 $96,667.20 $24,166.80 nat. median
$2,843
outlier · 8.5×
J0717
HCPCS 		Certolizumab Pegol Kit 400 Mg (200 Mg X 2 Vials)200 Mg 19 $3.96 $138,802.89 $23,817.46 nat. median
$1,598
outlier · 14.9×
C9767
HCPCS 		Revasc Lithotrip-stent-ather 20 $3,326.00 $105,696.10 $23,431.76 nat. median
$20,608
1.1× median
J1306
HCPCS 		Inclisiran Syrg 284 Mg/1.5 Ml284 Mg 9 $5,935.44 $42,395.95 $22,893.82 nat. median
$44
outlier · 518.4×
C9765
HCPCS 		Revasc Intra Lithotrip-stent 20 $3,326.00 $105,696.10 $17,821.70 nat. median
$19,139
0.9× median
C9766
HCPCS 		Revasc Intra Lithotrip-ather 20 $3,326.00 $105,696.10 $17,821.70 nat. median
$19,268
0.9× median
Other Inpatient
LOCAL 		No Active Code Description 6 $17,355.00 $17,355.00 $17,355.00 nat. median
$4,648
outlier · 3.7×
C9604
HCPCS 		Revasc Byp Graft Destent Sngl Ves 20 $100.00 $81,207.29 $16,882.95 nat. median
$14,775
1.1× median
C9600
HCPCS 		Coronary Drug Elut Stent Sngl Ves 20 $100.00 $81,206.49 $16,882.95 nat. median
$14,512
1.2× median
C9775
HCPCS 		Revasc Lith-sten-ath Tib/per 21 $3,326.00 $68,233.36 $16,235.39 nat. median
$19,784
0.8× median
C1786
HCPCS 		Cath Leadless Vr Set 10 $1,275.91 $151,557.00 $16,091.58 nat. median
$7,852
outlier · 2.0×
C9774
HCPCS 		Revasc Lithotr-ather Tib/per 21 $3,326.00 $68,233.36 $16,080.77 nat. median
$19,561
0.8× median
C9773
HCPCS 		Revasc Lithotr-stent Tib/per 21 $3,326.00 $68,233.36 $16,080.77 nat. median
$19,390
0.8× median
C1813
HCPCS 		700 Cxr Ms Pump 16cmx9.5mm 10 $100.00 $150,631.95 $15,718.08 nat. median
$10,463
1.5× median
C1895
HCPCS 		Icd Biotronik Lead Rv Linox Sd 10 $1,303.32 $106,737.75 $15,446.93 nat. median
$6,156
outlier · 2.5×
C1883
HCPCS 		Artisan 70cm 2x8 Spin Cord Stim Lead 10 $1,162.20 $188,357.40 $15,364.69 nat. median
$1,018
outlier · 15.1×
C1764
HCPCS 		Confirm Implantable Cardiac Monit 10 $5,868.30 $67,510.80 $15,297.94 nat. median
$7,740
2.0× median
C1821
HCPCS 		Globus 9x10x22 Sustain 0 Cage 10 $1,106.91 $115,323.60 $15,261.23 nat. median
$3,538
outlier · 4.3×
C1886
HCPCS 		Osteocool Probe Rf 17g 15mm 8 $100.00 $22,614.23 $15,221.12 nat. median
$2,967
outlier · 5.1×
J0894
HCPCS 		Decitabine Solr 50 Mg50 Mg 10 $2.30 $39,585.70 $15,042.57 nat. median
$227
outlier · 66.4×
C1785
HCPCS 		Pacemkr Essentio MRI Dr El Std 10 $481.48 $220,317.30 $14,849.10 nat. median
$6,720
outlier · 2.2×
J7168
HCPCS 		Hum Prothrombin Cplx(pcc)4fact Solr 500 Unit (400-620 Unit)500 Unit 9 $3,698.04 $26,414.57 $14,263.87 nat. median
$21
outlier · 679.2×
C1896
HCPCS 		Electrd Subsq Emblem 10 $6,552.32 $58,791.60 $14,148.75 nat. median
$5,296
outlier · 2.7×
Q4130
HCPCS 		Tiss Firm Strattice 10x20 9 $3,445.53 $24,610.88 $13,289.88 nat. median
$3,472
outlier · 3.8×
J2182
HCPCS 		Mepolizumab Atin 100 Mg/ml100 Mg 19 $28.19 $85,344.85 $12,993.98 nat. median
$2,791
outlier · 4.7×
V2790
HCPCS 		Amniofix Membrane Allograft 4 X 6 10 $3,651.01 $56,319.90 $12,953.58 nat. median
$1,805
outlier · 7.2×

Other procedures at this hospital

Browse this hospital's 659 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J1932 HCPCS Lanreotide Syrg 120 Mg/0.5 Ml120 Mg 12 9 $442,452.87 $66,367.93 85% off $61,943.41 $442,452.87 $238,924.55 2026-02-28
J2506 HCPCS Pegfilgrastim Syrg 6 Mg/0.6 Ml6 Mg 12 9 $240,269.61 $36,040.45 85% off $33,637.75 $240,269.61 $129,745.60 2026-02-28
Q5127 HCPCS Pegfilgrastim-fpgk Syrg 6 Mg/0.6 Ml0 Mg 12 9 $165,817.64 $24,872.65 85% off $23,214.47 $165,817.64 $89,541.53 2026-02-28
C1824 HCPCS Optimizer Smart Mini Imp Ipg 20 10 $273,000.00 $40,950.00 85% off $40,950.00 $273,000.00 $68,250.00 2026-02-28
C1882 HCPCS Crtd Cobalt Hf MRI Is1 Df1 520 10 $254,258.02 $38,138.71 85% off $2,309.58 $421,293.60 $66,599.67 2026-02-28
Q5130 HCPCS Pegfilgrastim-pbbk Syrg 6 Mg/0.6 Ml0 Mg 12 9 $96,400.00 $14,460.00 85% off $13,496.00 $96,400.00 $52,056.00 2026-02-28
C1722 HCPCS Cobalt Vr MRI Surescan 260 10 $206,750.00 $31,012.50 85% off $8,662.98 $318,257.10 $50,471.41 2026-02-28
C1721 HCPCS Defib Gallant Vr Df-1 320 10 $141,473.85 $21,221.08 85% off $10,080.48 $319,398.45 $49,031.57 2026-02-28
C1784 HCPCS Gore Tag Thorac Endopros Any Size 60 10 $213,001.95 $31,950.30 85% off $5,392.65 $218,343.30 $48,512.99 2026-02-28
C1767 HCPCS Interstim2 Neurostimulator Medtro 80 10 $165,486.83 $24,823.03 85% off $20,334.20 $179,235.00 $43,484.31 2026-02-28
C9603 HCPCS Perc De Cor Stent Atherect Add 13 10 $50,408.00 $7,561.20 85% off $100.00 $81,207.29 $35,285.60 2026-02-28
C9601 HCPCS Coronary Drug Elut Stent Addl Ves 13 10 $50,408.00 $7,561.20 85% off $100.00 $81,207.29 $35,285.60 2026-02-28
C9608 HCPCS Coronary Revasc Chronic Des Addl 13 10 $50,408.00 $7,561.20 85% off $100.00 $81,207.29 $35,285.60 2026-02-28
C9605 HCPCS Revasc Byp Graft Destent Addl Ves 13 10 $50,408.00 $7,561.20 85% off $100.00 $81,207.29 $35,285.60 2026-02-28
C9606 HCPCS Coronary Revasc Acute Des Sgles 17 11 $50,408.00 $7,561.20 85% off $100.00 $81,207.29 $34,277.44 2026-02-28
J2353 HCPCS Octreotidemicrospheres Serr 20 Mg20 Mg 50 19 $98,669.07 $14,800.36 85% off $199.43 $147,749.78 $29,557.03 2026-02-28
J2356 HCPCS Tezepelumab-ekko Syrg 210 Mg/1.91 Ml (110 Mg/ml)210 Mg 12 9 $52,921.59 $7,938.24 85% off $7,409.03 $52,921.59 $28,577.67 2026-02-28
C2621 HCPCS Bi V Pacemaker 20 10 $112,361.55 $16,854.24 85% off $16,854.24 $112,361.55 $28,090.39 2026-02-28
C9607 HCPCS Coronary Revasc Chronic Des Sgles 29 20 $50,408.00 $7,561.20 85% off $100.00 $81,207.29 $26,732.55 2026-02-28
C9602 HCPCS Perc De Cor Stent Atherectomy 29 20 $50,408.00 $7,561.20 85% off $100.00 $81,207.29 $26,732.55 2026-02-28
C9046 HCPCS Cocaine Hcl Soln 4 %1 Applic 75 9 $66,000.00 $9,900.00 85% off $1.76 $112,008.00 $26,498.75 2026-02-28
C1820 HCPCS Imp Neuro Stimulator Axonics 20 10 $103,744.20 $15,561.63 85% off $15,561.63 $103,744.20 $25,936.05 2026-02-28
J3101 HCPCS Tenecteplase Kit 50 Mg50 Mg 39 19 $139,689.00 $20,953.35 85% off $145.73 $150,354.12 $25,144.02 2026-02-28
C1815 HCPCS Ams800 Acc Kit 400 10 $81,480.00 $12,222.01 85% off $2,095.38 $179,802.00 $24,858.26 2026-02-28
E0749 HCPCS Osteogen 20m Bone Stimulatorg 36 10 $96,667.20 $14,500.08 85% off $538.49 $96,667.20 $24,166.80 2026-02-28
J0717 HCPCS Certolizumab Pegol Kit 400 Mg (200 Mg X 2 Vials)200 Mg 39 19 $138,802.89 $20,820.44 85% off $3.96 $138,802.89 $23,817.46 2026-02-28
C9767 HCPCS Revasc Lithotrip-stent-ather 29 20 $65,609.00 $9,841.35 85% off $3,326.00 $105,696.10 $23,431.76 2026-02-28
J1306 HCPCS Inclisiran Syrg 284 Mg/1.5 Ml284 Mg 12 9 $42,395.95 $6,359.40 85% off $5,935.44 $42,395.95 $22,893.82 2026-02-28
C9766 HCPCS Revasc Intra Lithotrip-ather 29 20 $65,609.00 $9,841.35 85% off $3,326.00 $105,696.10 $17,821.70 2026-02-28
C9765 HCPCS Revasc Intra Lithotrip-stent 29 20 $65,609.00 $9,841.35 85% off $3,326.00 $105,696.10 $17,821.70 2026-02-28
Other Inpatient LOCAL No Active Code Description 7 6 — — $17,355.00 $17,355.00 $17,355.00 2026-02-28
C9600 HCPCS Coronary Drug Elut Stent Sngl Ves 29 20 $50,407.50 $7,561.13 85% off $100.00 $81,206.49 $16,882.95 2026-02-28
C9604 HCPCS Revasc Byp Graft Destent Sngl Ves 29 20 $50,408.00 $7,561.20 85% off $100.00 $81,207.29 $16,882.95 2026-02-28
C9775 HCPCS Revasc Lith-sten-ath Tib/per 39 21 $65,609.00 $9,841.35 85% off $3,326.00 $68,233.36 $16,235.39 2026-02-28
C1786 HCPCS Cath Leadless Vr Set 480 10 $59,521.88 $8,928.28 85% off $1,275.91 $151,557.00 $16,091.58 2026-02-28
C9773 HCPCS Revasc Lithotr-stent Tib/per 40 21 $65,609.00 $9,841.35 85% off $3,326.00 $68,233.36 $16,080.77 2026-02-28
C9774 HCPCS Revasc Lithotr-ather Tib/per 40 21 $65,609.00 $9,841.35 85% off $3,326.00 $68,233.36 $16,080.77 2026-02-28
C1813 HCPCS 700 Cxr Ms Pump 16cmx9.5mm 551 10 $39,098.85 $5,864.83 85% off $100.00 $150,631.95 $15,718.08 2026-02-28
C1895 HCPCS Icd Biotronik Lead Rv Linox Sd 140 10 $56,508.90 $8,476.34 85% off $1,303.32 $106,737.75 $15,446.93 2026-02-28
C1883 HCPCS Artisan 70cm 2x8 Spin Cord Stim Lead 100 10 $63,539.70 $9,530.96 85% off $1,162.20 $188,357.40 $15,364.69 2026-02-28
C1764 HCPCS Confirm Implantable Cardiac Monit 120 10 $50,842.05 $7,626.31 85% off $5,868.30 $67,510.80 $15,297.94 2026-02-28
C1821 HCPCS Globus 9x10x22 Sustain 0 Cage 140 10 $61,044.90 $9,156.74 85% off $1,106.91 $115,323.60 $15,261.23 2026-02-28
C1886 HCPCS Osteocool Probe Rf 17g 15mm 11 8 $21,744.45 $3,261.67 85% off $100.00 $22,614.23 $15,221.12 2026-02-28
J0894 HCPCS Decitabine Solr 50 Mg50 Mg 29 10 $37,606.42 $5,640.97 85% off $2.30 $39,585.70 $15,042.57 2026-02-28
C1785 HCPCS Pacemkr Essentio MRI Dr El Std 640 10 $55,903.57 $8,385.54 85% off $481.48 $220,317.30 $14,849.10 2026-02-28
J7168 HCPCS Hum Prothrombin Cplx(pcc)4fact Solr 500 Unit (400-620 Unit)500 Unit 12 9 $26,414.57 $3,962.19 85% off $3,698.04 $26,414.57 $14,263.87 2026-02-28
C1896 HCPCS Electrd Subsq Emblem 60 10 $56,595.00 $8,489.25 85% off $6,552.32 $58,791.60 $14,148.75 2026-02-28
Q4130 HCPCS Tiss Firm Strattice 10x20 12 9 $24,610.88 $3,691.64 85% off $3,445.53 $24,610.88 $13,289.88 2026-02-28
J2182 HCPCS Mepolizumab Atin 100 Mg/ml100 Mg 39 19 $85,344.85 $12,801.73 85% off $28.19 $85,344.85 $12,993.98 2026-02-28
V2790 HCPCS Amniofix Membrane Allograft 4 X 6 40 10 $40,329.97 $6,049.50 85% off $3,651.01 $56,319.90 $12,953.58 2026-02-28
J9355 HCPCS Trastuzumab Solr 440 Mg440 Mg 39 19 $54,089.08 $8,113.37 85% off $72.26 $105,763.14 $12,440.49 2026-02-28
C1761 HCPCS Cath C2 Shockwave Ivl 3.5x12mm 51 10 $41,088.60 $6,163.29 85% off $100.00 $49,352.10 $12,338.03 2026-02-28
C1778 HCPCS Imp Kt Lead Tined Axonics 100 10 $36,232.35 $5,434.86 85% off $3,624.24 $52,734.15 $11,703.87 2026-02-28
C9764 HCPCS Revasc Intravasc Lithotripsy 29 20 $41,990.00 $6,298.50 85% off $3,269.58 $67,645.89 $11,255.30 2026-02-28
L8670 HCPCS Grft Vasc Propaten 8x8mmx90x40 40 10 $35,732.55 $5,359.89 85% off $3,586.28 $47,556.60 $10,938.02 2026-02-28
Q4128 HCPCS Flexhd Pliable 16x20 Thick 77 10 $24,445.05 $3,666.76 85% off $34.47 $86,345.70 $10,742.80 2026-02-28
C1714 HCPCS Crosser Bard 14srx 151 8 $15,049.65 $2,257.45 85% off $100.00 $31,759.73 $10,568.04 2026-02-28
C9772 HCPCS Revasc Lithotrip Tibi/perone 39 21 $41,033.00 $6,154.95 85% off $3,326.00 $42,674.32 $10,185.75 2026-02-28
C1900 HCPCS Icd Biotronit Lead Corox Lv 180 10 $31,087.35 $4,663.11 85% off $1,378.29 $64,984.50 $9,904.90 2026-02-28
J0248 HCPCS Remdesivir Solr 100 Mg100 Mg 11 8 $13,221.84 $1,983.28 85% off $100.00 $13,750.72 $9,255.29 2026-02-28
C1874 HCPCS Acucise Endopye Cath B1005 2,940 10 $31,507.35 $4,726.11 85% off $89.15 $213,001.95 $9,009.92 2026-02-28
J1303 HCPCS Ravulizumab-cwvz Soln 100 Mg/ml1100 Mg 39 19 $49,387.65 $7,408.15 85% off $204.72 $49,387.65 $8,888.86 2026-02-28
C1885 HCPCS Cath Excimer Clirpath 1.4 X150 51 8 $13,020.00 $1,953.00 85% off $100.00 $19,107.82 $8,828.82 2026-02-28
J0840 HCPCS Antivenin Crotalidae Polyvalent Immune Fab (ovine) Solr 1 Vial 39 19 $56,636.93 $8,495.54 85% off $1,742.61 $56,636.93 $8,464.31 2026-02-28
J0630 HCPCS Calcitoninsalmonsynthetic Soln 200 Unit/ml400 Unit 61 19 $36,219.41 $5,432.92 85% off $892.45 $36,232.14 $8,333.40 2026-02-28
C1880 HCPCS Filter Bard Eclipse Ivc Femoral 160 10 $23,887.50 $3,583.13 85% off $1,266.93 $52,460.10 $7,704.32 2026-02-28
C1875 HCPCS Fluency Stent Graft 7mmx40mm8f 20 10 $30,698.85 $4,604.83 85% off $4,604.83 $30,698.85 $7,674.72 2026-02-28
Q4125 HCPCS Arthoflex Dermis Graft 4.0x7.0mm 172 10 $28,159.95 $4,224.00 85% off $43.77 $50,543.85 $7,581.63 2026-02-28
J3111 HCPCS Romosozumab-aqqg Kit 210 Mg/2.34 Ml105 Mg 61 19 $25,992.58 $3,898.89 85% off $10.32 $36,088.21 $7,217.65 2026-02-28
C1759 HCPCS Cath Acunav 8fr 90cm 41 10 $14,424.90 $2,163.74 85% off $100.00 $24,770.55 $7,185.36 2026-02-28
C1762 HCPCS Anterior Tibialis Graft 2,191 10 $23,122.05 $3,468.31 85% off $59.22 $143,181.15 $7,183.61 2026-02-28
C1889 HCPCS Annuloplasty Ring Model 5200 32mm 1,720 10 $22,632.22 $3,394.84 85% off $48.20 $344,516.55 $6,932.62 2026-02-28
J9217 HCPCS Leuprolide Sykt 22.5 Mg22 Mg 88 19 $28,526.69 $4,279.01 85% off $10.47 $257,376.24 $6,656.23 2026-02-28
C1771 HCPCS Advance Male Sling Ams 180 10 $17,329.20 $2,599.38 85% off $1,728.72 $72,941.40 $6,583.08 2026-02-28
C1876 HCPCS Cath Lab No Cost Device 2,425 10 $23,148.30 $3,472.25 85% off $0.48 $213,001.95 $6,410.38 2026-02-28
C1776 HCPCS Core Fem Frsh 16mm 28,172 10 $20,668.20 $3,100.23 85% off $39.45 $154,086.45 $6,409.32 2026-02-28
C2630 HCPCS Cath Ablation Cont Frc Df Crv 71 8 $12,667.20 $1,900.08 85% off $100.00 $20,545.98 $6,342.00 2026-02-28
J9394 HCPCS Fulvestrant Syrg 250 Mg/5 Ml250 Mg 12 9 $11,568.00 $1,735.20 85% off $1,619.52 $11,568.00 $6,246.72 2026-02-28
C2618 HCPCS Prb Malleable Cryo 10cm 40 10 $24,596.25 $3,689.44 85% off $3,677.47 $24,676.05 $6,169.02 2026-02-28
J9271 HCPCS Pembrolizumab Soln 25 Mg/ml200 Mg 39 19 $26,496.03 $3,974.41 85% off $52.44 $136,449.67 $6,094.09 2026-02-28
J0897 HCPCS Denosumab Soln 120 Mg/1.7 Ml (70 Mg/ml)120 Mg 39 19 $30,175.02 $4,526.26 85% off $24.76 $43,390.03 $6,074.61 2026-02-28
C1763 HCPCS Axoguard Nerve Connector 2x15mm 320 10 $19,098.97 $2,864.85 85% off $31.98 $116,912.25 $5,994.76 2026-02-28
C1768 HCPCS Graft Vascular Hemashield 12x6x40 2,140 10 $19,578.30 $2,936.75 85% off $286.35 $114,082.50 $5,685.35 2026-02-28
C1877 HCPCS Stent Genesis Xd 29mm Unmounted 91 10 $22,384.95 $3,357.75 85% off $100.00 $27,354.60 $5,596.24 2026-02-28
J1451 HCPCS Fomepizole Soln 1 Gram/ml1 Gm 94 19 $17,071.67 $2,560.76 85% off $5.46 $95,104.39 $5,552.64 2026-02-28
C2631 HCPCS Tvt Incontinence Device 810081 20 10 $22,090.95 $3,313.65 85% off $3,313.65 $22,090.95 $5,522.74 2026-02-28
J0583 HCPCS Bivalirudin Solr 250 Mg250 Mg 76 10 $12,146.40 $1,821.96 85% off $0.19 $22,157.35 $5,481.65 2026-02-28
C2623 HCPCS Inpact Admiral Dcb 21 8 $6,834.45 $1,025.17 85% off $100.00 $8,473.92 $5,467.56 2026-02-28
J9351 HCPCS Topotecan Hcl Solr 4 Mg4 Mg 41 10 $25,181.73 $3,777.26 85% off $2.28 $26,000.05 $5,436.96 2026-02-28
C1724 HCPCS Cath Atherectomy Sys Sld 1.50mmx200cm 81 10 $17,846.85 $2,677.03 85% off $100.00 $32,826.15 $5,335.37 2026-02-28
Q4122 HCPCS Decellularized Dermis 50x90x.8mm 61 10 $20,796.30 $3,119.45 85% off $116.22 $49,822.50 $5,199.08 2026-02-28
J1162 HCPCS Digoxin Immune Fab Solr 38 Mg40 Mg 55 19 $84,191.91 $12,628.79 85% off $5.46 $84,191.91 $4,931.22 2026-02-28
C1777 HCPCS Lead Durata Q 65cm 20 10 $18,901.05 $2,835.16 85% off $2,835.16 $18,901.05 $4,725.27 2026-02-28
C1899 HCPCS Ring Physio Ii Edwards M-32 20 10 $18,838.05 $2,825.71 85% off $2,825.71 $18,838.05 $4,709.52 2026-02-28
C1733 HCPCS Cable Cryo Umb Coax 191 10 $6,535.20 $980.28 85% off $75.60 $44,102.10 $4,488.75 2026-02-28
L8612 HCPCS Csf Lumboper Shunt T-tub 4452 20 10 $17,158.05 $2,573.71 85% off $2,573.71 $17,158.05 $4,289.52 2026-02-28
C9353 HCPCS Conn Nerve Axoguard 4x15 21 10 $17,105.55 $2,565.84 85% off $1,238.76 $17,105.55 $4,276.39 2026-02-28
J1447 HCPCS Tbo-filgrastim (granix) Syrg 300 Mcg/0.5 Ml300 Mcg 83 19 $11,561.45 $1,734.22 85% off $0.37 $69,315.46 $4,046.52 2026-02-28
Q4116 HCPCS Allderm Restore Lg Perf Med 79 10 $11,087.49 $1,663.13 85% off $35.15 $116,907.00 $3,990.00 2026-02-28
Q5125 HCPCS Filgrastim-ayow Syrg 300 Mcg/0.5 Ml300 Mcg 12 9 $7,357.25 $1,103.59 85% off $1,030.02 $7,357.25 $3,972.91 2026-02-28
J3240 HCPCS Thyrotropin Alfa Solr 1.1 Mg (0.9 Mg/ Ml Final Conc.)1 Mg 28 19 $31,303.01 $4,695.46 85% off $1,911.89 $31,303.01 $3,917.98 2026-02-28
C1787 HCPCS Prgmr Smrt Kt Insterstim 51 10 $6,552.00 $982.80 85% off $100.00 $15,496.95 $3,874.24 2026-02-28
G0465 HCPCS Autolog Prp Diab Wound Ulcer 13 10 $5,532.00 $829.80 85% off $100.00 $8,912.06 $3,872.40 2026-02-28
J9305 HCPCS Pemetrexed Solr 100 Mg100 Mg 39 19 $16,371.04 $2,455.66 85% off $3.74 $79,824.99 $3,765.34 2026-02-28
Q4107 HCPCS Alloderm 6x12 Cm Thick 89 10 $10,662.87 $1,599.44 85% off $97.13 $14,446.76 $3,611.69 2026-02-28
L8699 HCPCS Femoral Uni Depuy Asr Sz 55 40 10 $16,587.38 $2,488.11 85% off $372.18 $30,693.60 $3,542.60 2026-02-28
J9075 HCPCS Cyclophosphamide Solr 500 Mg500 Mg 72 9 $7,535.30 $1,130.30 85% off $42.90 $16,947.12 $3,406.78 2026-02-28
J9025 HCPCS Azacitidine Solr 100 Mg100 Mg 17 10 $13,540.16 $2,031.03 85% off $0.45 $13,540.16 $3,385.04 2026-02-28
C1749 HCPCS Third Eye Retroscope 20 10 $13,267.80 $1,990.17 85% off $1,990.17 $13,267.80 $3,316.95 2026-02-28
C1781 HCPCS Davol Xm Mesh 3.9x5.9 4,060 10 $9,388.05 $1,408.21 85% off $38.91 $172,163.25 $3,311.13 2026-02-28
C1782 HCPCS Device Tiss Reach Myosure 11 8 $4,473.00 $670.95 85% off $100.00 $4,651.92 $3,131.10 2026-02-28
C1779 HCPCS Lead Boston Ventricle 52cm 160 10 $11,162.55 $1,674.38 85% off $1,130.38 $44,264.85 $3,053.61 2026-02-28
C8904 HCPCS MRI Breast Unilateral Wo Cont 11 8 $4,346.00 $651.90 85% off $100.00 $4,519.84 $3,042.20 2026-02-28
C1716 HCPCS Evolution Cscr 7r 76 19 $20,507.55 $3,076.14 85% off $250.72 $22,528.80 $3,037.73 2026-02-28
J1453 HCPCS Fosaprepitant Solr 150 Mg150 Mg 41 10 $7,408.54 $1,111.28 85% off $0.20 $7,742.08 $2,963.42 2026-02-28
L0830 HCPCS Brace Halo Small 20 10 $11,700.15 $1,755.03 85% off $1,755.03 $11,700.15 $2,925.04 2026-02-28
C1753 HCPCS Cath Imag Cor Opticross Edfu 121 8 $4,134.90 $620.24 85% off $100.00 $18,489.75 $2,894.43 2026-02-28
J0490 HCPCS Belimumab Solr 120 Mg120 Mg 39 19 $12,169.16 $1,825.38 85% off $50.10 $44,127.68 $2,798.91 2026-02-28
C1732 HCPCS Artic Front Advance Cryocath 28mm 231 8 $5,925.15 $888.78 85% off $100.00 $24,602.76 $2,796.68 2026-02-28
J0850 HCPCS Cytomegalovirus Immune Glob Soln 50 Mg/ml2 Gm 28 19 $20,388.80 $3,058.32 85% off $1,677.10 $20,388.80 $2,774.10 2026-02-28
C8907 HCPCS MRI Breasts Without Contrast 11 8 $3,863.00 $579.45 85% off $100.00 $4,017.52 $2,704.10 2026-02-28
L8600 HCPCS Imp Mamm Smooth Rnd Mod+ 525 120 10 $8,395.00 $1,259.25 85% off $1,162.50 $17,010.00 $2,675.40 2026-02-28
C1789 HCPCS Expander Art Plus Sm Te Hp 300 1,040 10 $8,382.15 $1,257.33 85% off $65.52 $23,153.55 $2,671.22 2026-02-28
J0841 HCPCS Antivenin Crotalidae Immune F(ab)2 (equine) Solr 1 Vial 28 19 $28,225.92 $4,233.89 85% off $977.66 $28,225.92 $2,671.12 2026-02-28
C1766 HCPCS Agilis Nxt Introducer 8.5f 71 Cm Med Cur 61 10 $6,091.05 $913.66 85% off $100.00 $11,611.24 $2,625.27 2026-02-28
J9171 HCPCS Docetaxel Soln 20 Mg/ml (1 Ml)20 Mg 113 10 $7,040.10 $1,056.02 85% off $1.07 $18,729.56 $2,622.35 2026-02-28
J1745 HCPCS Infliximab Solr 100 Mg100 Mg 39 19 $27,018.61 $4,052.80 85% off $29.34 $27,018.61 $2,527.61 2026-02-28
J1611 HCPCS Glucagon Emergency Kit 1 Mg1 Mg 24 9 $4,895.39 $734.32 85% off $552.26 $5,846.09 $2,510.41 2026-02-28
C9358 HCPCS Biologic Mesh 5 X 8 20 10 $9,531.90 $1,429.79 85% off $1,429.79 $9,531.90 $2,382.98 2026-02-28
C1788 HCPCS Lap-band Ap Sys W/access Port I L 500 10 $7,326.90 $1,099.04 85% off $0.95 $270,911.55 $2,356.56 2026-02-28
C1760 HCPCS A-c Mizuho 10x10 Fbe 07-940-34 760 10 $7,249.73 $1,087.47 85% off $136.40 $208,575.15 $2,350.95 2026-02-28
Q5101 HCPCS Filgrastim-sndz Syrg 300 Mcg/0.5 Ml300 Mcg 39 19 $12,695.11 $1,904.27 85% off $0.23 $12,695.40 $2,285.12 2026-02-28
C2625 HCPCS Flexima Stent 7fr 12cm 80 10 $6,916.35 $1,037.46 85% off $441.00 $11,222.40 $2,280.71 2026-02-28
C1884 HCPCS Sys Emolic Protect Lg 190cm 51 10 $5,483.10 $822.47 85% off $100.00 $12,600.00 $2,142.00 2026-02-28
J9120 HCPCS Dactinomycin Solr 0.5 Mg0 Mg 28 19 $14,382.11 $2,157.32 85% off $286.63 $14,382.11 $2,130.05 2026-02-28
C1770 HCPCS Head Hum Stnd Sr 40x14mm 20 10 $8,401.05 $1,260.16 85% off $1,260.16 $8,401.05 $2,100.27 2026-02-28
C1713 HCPCS Continuum Tm Cluster Shell 48mm Gg 43,916 10 $5,734.05 $860.11 85% off $1.74 $169,495.20 $1,979.34 2026-02-28
G0390 HCPCS Trauma Response W/hosp Critical C 27 19 $3,540.00 $531.00 85% off $100.00 $3,681.60 $1,907.06 2026-02-28
L3901 HCPCS Whfo Dynamic Flexor Hinge 20 10 $7,550.55 $1,132.59 85% off $1,132.59 $7,550.55 $1,887.64 2026-02-28
J9280 HCPCS Mitomycin Solr 40 Mg40 Mg 50 19 $27,292.77 $4,093.92 85% off $25.41 $29,243.91 $1,862.03 2026-02-28
J0170 HCPCS Epinephrine Hcl Soln 1 Mg/ml (1 Ml)1 Mg 12 9 $3,374.00 $506.10 85% off $472.36 $3,374.00 $1,821.96 2026-02-28
J2599 HCPCS Vasopressin Soln 20 Unit/ml20 Unit 11 8 $2,602.80 $390.42 85% off $100.00 $2,706.92 $1,821.96 2026-02-28
C1730 HCPCS Catheter Electrophysiology 5fr Dia 5mm 401 10 $3,151.05 $472.66 85% off $55.92 $10,608.78 $1,814.72 2026-02-28
C1898 HCPCS Icd Biotronik Ld Atrial Setrox 45 120 10 $5,554.50 $833.18 85% off $334.85 $13,514.55 $1,805.24 2026-02-28
Q4186 HCPCS Epifix A Sq Cm - 18mm Disc 17 10 $6,855.00 $1,028.25 85% off $179.09 $6,855.00 $1,713.75 2026-02-28
C1765 HCPCS Interceed 3x4 100 10 $4,917.15 $737.58 85% off $519.91 $9,059.40 $1,711.95 2026-02-28
L8607 HCPCS Gel Inj Prolaryn 1.0cc 20 10 $6,826.05 $1,023.91 85% off $1,023.91 $6,826.05 $1,706.52 2026-02-28
Q4118 HCPCS Martristem Micromatrix 200mg 89 10 $7,733.73 $1,160.06 85% off $2.89 $12,030.25 $1,663.62 2026-02-28
C8929 HCPCS Echo M-mode & 2-d W/contrast 27 19 $9,046.00 $1,356.90 85% off $100.00 $9,407.84 $1,661.20 2026-02-28
C1772 HCPCS Plt Zevo 3lvl 59mm 20 10 $6,553.05 $982.96 85% off $982.96 $6,553.05 $1,638.27 2026-02-28
C8925 HCPCS Echo Transesophageal W/contrast 27 19 $7,053.00 $1,057.95 85% off $100.00 $7,335.12 $1,622.19 2026-02-28
J0174 HCPCS Lecanemab-irmb Soln 100 Mg/ml200 Mg 12 9 $2,962.38 $444.36 85% off $414.74 $2,962.38 $1,599.68 2026-02-28
C8902 HCPCS MRA Angio Abdomen W/wo Contr 37 19 $6,800.00 $1,020.00 85% off $339.11 $7,213.44 $1,564.00 2026-02-28
C1750 HCPCS Arrow Cath 3 Lumen 20cm Press Inj 611 10 $5,011.65 $751.75 85% off $100.00 $17,035.20 $1,559.52 2026-02-28
L8613 HCPCS Brackman Partial Ossicular Implan 40 10 $5,874.23 $881.13 85% off $811.60 $6,337.80 $1,552.76 2026-02-28
J0256 HCPCS Alpha-1 Proteinase Inhib.(hum) Soln 1000 Mg (+/-)/20 Ml1000 Mg 39 19 $6,782.32 $1,017.35 85% off $4.47 $10,604.00 $1,484.56 2026-02-28
C9399 HCPCS Sulbactam-durlobactam Solr 1 Gram-1 Gram (0.5 Gram X 2)3 Ml 13 9 $3,663.20 $549.48 85% off $512.85 $3,663.20 $1,465.28 2026-02-28
C1731 HCPCS Cath Reflex 20 Pole 15-25mm 71 10 $5,821.20 $873.18 85% off $94.88 $14,564.55 $1,455.30 2026-02-28
J9030 HCPCS Bcg Vaccine Susr 81 Mg0 29 10 $3,948.36 $592.26 85% off $4.22 $3,948.36 $1,453.56 2026-02-28
J0878 HCPCS Daptomycin Solr 500 Mg500 Mg 53 10 $3,586.08 $537.92 85% off $0.03 $10,306.90 $1,442.97 2026-02-28
J0834 HCPCS Cosyntropin Solr 0.25 Mg0 Mg 53 10 $2,483.19 $372.48 85% off $28.35 $18,555.08 $1,370.12 2026-02-28
C1773 HCPCS Retrv Clvrsnr 4 Loop 6fx90cm 71 10 $4,962.30 $744.35 85% off $100.00 $6,038.55 $1,328.49 2026-02-28
J1740 HCPCS Ibandronate Syrg 3 Mg/3 Ml3 Mg 29 10 $3,245.47 $486.82 85% off $25.64 $3,386.79 $1,298.19 2026-02-28
J1670 HCPCS Tetanus Immune Globulin Syrg 250 Unit/ml250 Unit 28 19 $14,581.66 $2,187.25 85% off $522.82 $14,581.66 $1,282.36 2026-02-28
C1757 HCPCS Cath Aspir Indigo 140 Cm + 401 10 $2,403.45 $360.52 85% off $9.45 $43,680.00 $1,270.92 2026-02-28
J2325 HCPCS Nesiritide Solr 1.5 Mg1 Mg 17 10 $4,897.93 $734.69 85% off $68.08 $4,897.93 $1,224.49 2026-02-28
J0132 HCPCS Acetylcysteine IV Soln 6000 Mg/30 Ml6000 Mg 75 9 $4,349.57 $652.44 85% off $0.64 $7,017.92 $1,214.64 2026-02-28
J1290 HCPCS Ecallantide Soln 10 Mg/ml (1 Ml)1 Ml 28 19 $318,954.25 $47,843.14 85% off $520.93 $318,954.25 $1,186.50 2026-02-28
C8928 HCPCS Hiet Tte Stress W/wo Cont 27 19 $2,616.00 $392.40 85% off $100.00 $2,720.64 $1,176.18 2026-02-28
C1892 HCPCS Cath Leadlss Vr Delivery Aveir 31 8 $1,680.00 $252.00 85% off $30.24 $6,840.08 $1,176.00 2026-02-28
J1610 HCPCS Glucagon Emergency Kit 1 Mg1 Mg 72 19 $3,970.72 $595.61 85% off $175.34 $6,481.86 $1,166.40 2026-02-28
C2617 HCPCS Flexima Nephro Cath Kit 8frx25cm 640 10 $2,963.10 $444.47 85% off $90.60 $8,721.30 $1,165.97 2026-02-28
Q4124 HCPCS Oasis Tri Layer Matrix 1sq Cm 12 9 $2,120.82 $318.13 85% off $296.92 $2,120.82 $1,145.25 2026-02-28
C8914 HCPCS MRA Lower Ext W/wo Cont 37 19 $6,627.96 $994.20 85% off $339.11 $6,893.08 $1,141.73 2026-02-28
C8912 HCPCS MRA Lower Ext W Cont 37 19 $4,460.00 $669.00 85% off $339.11 $6,757.92 $1,141.73 2026-02-28
C1878 HCPCS Imp Prolaryn Plus 1cc Ink 40 10 $3,763.72 $564.56 85% off $426.20 $4,686.15 $1,130.60 2026-02-28
C1726 HCPCS Cath Bal Em Frontal 6.0 X 17mm 301 10 $2,554.65 $383.20 85% off $39.51 $9,157.52 $1,117.18 2026-02-28
P9037 HCPCS Cf-platelet Pheresis Leuko Irradiated 33 18 $1,742.00 $261.30 85% off $100.00 $4,565.60 $1,097.50 2026-02-28
J1335 HCPCS Ertapenem Sodium Inj Solr 1 Gram1 Gm 89 10 $2,708.46 $406.27 85% off $11.77 $2,810.84 $1,081.07 2026-02-28
J0885 HCPCS Epoetin Alfa Soln 10000 Unit/ml10000 Unit 130 19 $3,709.86 $556.48 85% off $7.02 $49,464.77 $1,079.01 2026-02-28
Q4801 HCPCS Epoetin Alfa Soln 10000 Unit/ml10000 Unit 11 8 $1,534.38 $230.16 85% off $100.00 $1,595.76 $1,074.07 2026-02-28
L8606 HCPCS Syringe Coaptite 20 10 $4,290.30 $643.55 85% off $643.55 $4,290.30 $1,072.58 2026-02-28
J7519 HCPCS Mycophenolate Mofetil Hcl Solr 500 Mg500 Mg 36 9 $2,102.68 $315.41 85% off $234.84 $2,498.11 $1,069.93 2026-02-28
G0257 HCPCS Unschedule Emer Dialysis Esrd 27 19 $3,626.00 $543.90 85% off $100.00 $3,771.04 $1,041.69 2026-02-28
C2628 HCPCS Cath Coda 46mm 11 8 $1,470.00 $220.50 85% off $100.00 $1,528.80 $1,029.00 2026-02-28
L3730 HCPCS Eo W/jnt Cf 20 10 $4,107.60 $616.14 85% off $616.14 $4,107.60 $1,026.90 2026-02-28
J2783 HCPCS Rasburicase Solr 1.5 Mg1 Mg 39 19 $15,717.25 $2,357.59 85% off $343.26 $15,717.25 $1,019.70 2026-02-28
C8908 HCPCS MRI Breasts W/wo Contrast 27 19 $5,894.00 $884.10 85% off $339.11 $6,129.76 $1,017.33 2026-02-28
J1205 HCPCS Chlorothiazide Sodium Solr 500 Mg500 Mg 65 10 $2,405.18 $360.78 85% off $45.09 $7,234.63 $1,013.89 2026-02-28
C8905 HCPCS MRI Breast Unilateral Wwo Con 27 19 $5,543.00 $831.45 85% off $339.11 $5,764.72 $997.74 2026-02-28
J9185 HCPCS Fludarabine Phosphate Solr 50 Mg50 Mg 39 19 $7,076.15 $1,061.43 85% off $59.08 $7,076.15 $990.67 2026-02-28
C8936 HCPCS MRA Upper Ext Wo/w Cont 27 19 $4,583.00 $687.45 85% off $339.11 $4,766.32 $988.99 2026-02-28
C8933 HCPCS MRA Angio Spinal Canal W/wo Contr 27 19 $4,583.00 $687.45 85% off $339.11 $4,766.32 $988.99 2026-02-28
C8906 HCPCS MRI Breasts W/contrast 27 19 $4,499.00 $674.85 85% off $339.11 $4,678.96 $988.99 2026-02-28
C8918 HCPCS MRA Pelvis W/contrast 27 19 $4,333.00 $649.95 85% off $339.11 $4,506.32 $988.99 2026-02-28
C8911 HCPCS MRA Angio Chest W/wo Contrast 27 19 $5,270.00 $790.50 85% off $339.11 $5,480.80 $988.99 2026-02-28
C8909 HCPCS MRA Chest W/contrast 27 19 $4,583.00 $687.45 85% off $339.11 $4,766.32 $988.99 2026-02-28
C8900 HCPCS MRA Abdomen W/contrast 27 19 $4,830.00 $724.50 85% off $339.11 $5,023.20 $988.99 2026-02-28
C8913 HCPCS MRA Lower Ext Without Cont 37 19 $4,225.00 $633.75 85% off $216.07 $4,638.40 $971.75 2026-02-28
C1752 HCPCS Catheter Hickman Vitac 0600564 200 10 $3,283.35 $492.50 85% off $144.59 $5,704.65 $964.47 2026-02-28
J9040 HCPCS Bleomycin Sulfate Solr 15 Unit15 Unit 29 10 $1,323.38 $198.51 85% off $34.80 $5,637.86 $926.37 2026-02-28
C8920 HCPCS MRA Angio Pelvis W/wo Contrast 27 19 $3,706.00 $555.90 85% off $339.11 $3,854.24 $925.77 2026-02-28
G0278 HCPCS Hiet Non Selective Le With Heart Cath 25 10 $1,084.00 $162.60 85% off $100.00 $2,128.14 $924.70 2026-02-28
Q9956 HCPCS Perflutren Protein-a Microsphr Susp 0.22 Mg/ml0 Mg 16 10 $2,828.78 $424.32 85% off $100.15 $2,828.78 $919.36 2026-02-28
J9173 HCPCS Durvalumab 39 19 $3,938.48 $590.78 85% off $75.77 $8,999.68 $905.86 2026-02-28
J1652 HCPCS Fondaparinux Syrg 2.5 Mg/0.5 Ml2 Mg 232 10 $2,217.20 $332.58 85% off $1.04 $9,643.86 $886.88 2026-02-28
J3243 HCPCS Tigecycline Solr 50 Mg50 Mg 53 10 $2,211.77 $331.77 85% off $0.59 $36,207.84 $884.71 2026-02-28
C1893 HCPCS Cath Cps Dir Univ 115d 47cm 171 10 $1,177.05 $176.56 85% off $100.00 $6,560.74 $881.69 2026-02-28
J1050 HCPCS Medroxyprogesterone Acetate Inj Susp 150 Mg/ml150 Mg 89 10 $1,676.79 $251.52 85% off $0.45 $16,773.60 $869.34 2026-02-28
J2248 HCPCS Micafungin Solr 100 Mg100 Mg 65 10 $2,163.22 $324.49 85% off $0.33 $4,326.44 $865.29 2026-02-28
J8501 HCPCS Aprepitant Cap 40 Mg40 Mg 29 10 $2,119.65 $317.95 85% off $3.70 $2,731.02 $847.86 2026-02-28
J2791 HCPCS Rho D Immune Globulin Syrg 1500 Unit (300 Mcg)300 Mcg 29 10 $1,855.32 $278.30 85% off $5.42 $3,373.23 $843.31 2026-02-28
C1725 HCPCS Balloon Cath Stent 12frx65cm 1,783 10 $1,475.25 $221.29 85% off $10.40 $20,529.60 $836.33 2026-02-28
J8700 HCPCS Temozolomide Cap 100 Mg100 Mg 49 19 $3,600.35 $540.06 85% off $0.38 $10,801.05 $828.08 2026-02-28
P9053 HCPCS Cf-platelet Pheresis Leuko Cmvv Neg Irr 33 18 $1,211.00 $181.65 85% off $100.00 $3,522.48 $823.48 2026-02-28
C8924 HCPCS Echo 2-d Only W/contrast 27 19 $3,572.00 $535.80 85% off $100.00 $3,714.88 $821.56 2026-02-28
J3241 HCPCS Teprotumumab-trbw Solr 500 Mg500 Mg 28 19 $379,013.96 $56,852.10 85% off $311.09 $379,013.96 $816.78 2026-02-28
J2997 HCPCS Alteplase Solr 100 Mg100 Mg 39 19 $203,605.10 $30,540.77 85% off $80.57 $203,605.10 $814.60 2026-02-28
L8689 HCPCS Ext Neurostimulaotr-verify 20 10 $3,179.40 $476.91 85% off $476.91 $3,179.40 $794.85 2026-02-28
J2021 HCPCS Linezolid Pgbk 600 Mg/300 Ml600 Mg 12 9 $1,446.00 $216.90 85% off $202.44 $1,446.00 $780.84 2026-02-28
L3671 HCPCS Non Articular Humeral Orthosis 20 10 $3,095.40 $464.31 85% off $464.31 $3,095.40 $773.85 2026-02-28
P9035 HCPCS Cf-platelet Pheresis X 1 33 18 $1,644.00 $246.60 85% off $100.00 $3,215.68 $773.00 2026-02-28
Q5111 HCPCS Pegfilgrastim-cbqv Syrg 6 Mg/0.6 Ml6 Mg 28 19 $160,988.00 $24,148.20 85% off $153.67 $160,988.00 $756.72 2026-02-28
Q5122 HCPCS Pegfilgrastim-apgf Syrg 6 Mg/0.6 Ml6 Mg 28 19 $151,348.00 $22,702.20 85% off $73.66 $151,348.00 $756.72 2026-02-28
L8501 HCPCS Passy Ventilator Speaking Valve 20 10 $3,011.40 $451.71 85% off $451.71 $3,011.40 $752.85 2026-02-28
C5275 HCPCS Application Skin Substitute 29 20 $2,625.00 $393.75 85% off $328.03 $4,228.88 $745.53 2026-02-28
C5271 HCPCS Application Graft Tnk Arm Legs 29 20 $2,625.00 $393.75 85% off $328.03 $4,228.88 $745.53 2026-02-28
J1110 HCPCS Dihydroergotamine Mesylate Inj Soln 1 Mg/ml1 Mg 82 10 $1,804.61 $270.70 85% off $5.46 $3,843.16 $740.79 2026-02-28
J3465 HCPCS Voriconazole Solr 200 Mg200 Mg 53 10 $1,395.11 $209.27 85% off $0.88 $3,451.70 $740.36 2026-02-28
J9281 HCPCS Mitomycin Kit 40 Mg X 240 Mg 28 19 $511,536.96 $76,730.55 85% off $283.81 $511,536.96 $733.12 2026-02-28
C1717 HCPCS Brachy Source Ir192 31 19 $2,911.65 $436.75 85% off $321.12 $2,911.65 $727.92 2026-02-28
J2760 HCPCS Phentolamine Mesylate Solr 5 Mg5 Mg 28 19 $9,832.80 $1,474.92 85% off $369.58 $9,832.80 $723.97 2026-02-28
P9057 HCPCS Rbc Frozen/degly/washedleukoirr 23 18 $3,222.00 $483.30 85% off $100.00 $3,350.88 $722.58 2026-02-28
J1410 HCPCS Conj. Estrogens Solr 25 Mg25 Mg 28 19 $7,197.23 $1,079.59 85% off $355.41 $7,197.23 $718.25 2026-02-28
Q5108 HCPCS Pegfilgrastim-jmdb Syrg 6 Mg/0.6 Ml6 Mg 27 19 $160,988.00 $24,148.20 85% off $112.05 $167,427.52 $716.99 2026-02-28
Q4159 HCPCS Allograft Affinity 1.5x1.5cm 45 10 $790.95 $118.65 85% off $100.36 $6,153.00 $711.86 2026-02-28
G0379 HCPCS Observation Direct Admit Lufkin 137 21 $788.00 $118.20 85% off $137.34 $4,568.00 $709.20 2026-02-28
J9035 HCPCS Bevacizumab Soln 100 Mg/4 Ml100 Mg 39 19 $3,925.51 $588.83 85% off $67.06 $4,609.50 $706.60 2026-02-28
Q5107 HCPCS Bevacizumab-awwb Soln 100 Mg/4 Ml100 Mg 39 19 $3,918.09 $587.72 85% off $24.62 $4,035.63 $705.26 2026-02-28
J3471 HCPCS Hyaluronidase (ovine) Soln 200 Unit/ml200 Unit 41 10 $1,694.72 $254.21 85% off $0.58 $2,637.12 $677.89 2026-02-28
J1570 HCPCS Ganciclovir Sodium Solr 500 Mg500 Mg 29 10 $1,582.51 $237.38 85% off $51.34 $2,404.80 $633.01 2026-02-28
G0260 HCPCS Inj For Sac Jt Anesth 27 19 $322.00 $48.30 85% off $57.96 $2,016.00 $628.09 2026-02-28
C8910 HCPCS MRA Chest Without Contrast 27 19 $4,225.00 $633.75 85% off $216.07 $4,394.00 $626.88 2026-02-28
C8919 HCPCS MRA Pelvis Without Contrast 27 19 $4,167.00 $625.05 85% off $216.07 $4,333.68 $626.88 2026-02-28
C8901 HCPCS MRA Abdomen Without Contrast 27 19 $4,126.00 $618.90 85% off $216.07 $4,291.04 $626.88 2026-02-28
S9152 HCPCS Wmrc Re-eval Mcaid 11 8 $889.00 $133.35 85% off $100.00 $924.56 $622.30 2026-02-28
G0269 HCPCS Hiet Placement Occlusive Device Art 37 10 $865.00 $129.75 85% off $100.00 $1,424.13 $618.80 2026-02-28
C2629 HCPCS Sheath Terumo 7fr 45cm 11 8 $873.60 $131.04 85% off $100.00 $908.55 $611.52 2026-02-28
Q4196 HCPCS Grft Puraply Antmic 2x2cm 87 10 $2,373.96 $356.10 85% off $36.70 $7,876.05 $608.94 2026-02-28
J0283 HCPCS Amiodarone 150mg 100ml Bolus (cordarone) Soln 150 Mg/100 Ml (1.5 Mg/ml)150 Mg 21 8 $757.32 $113.60 85% off $100.00 $1,047.48 $605.86 2026-02-28
C1751 HCPCS Arrow 2 Lumen Cv 7fr X 20cm 642 10 $1,093.05 $163.96 85% off $7.56 $145,967.64 $604.89 2026-02-28
J0457 HCPCS Aztreonam Solr 1 Gram1 Gm 81 8 $763.49 $114.53 85% off $100.00 $1,763.92 $603.86 2026-02-28
J2598 HCPCS Vasopressin Soln 20 Unit/ml20 Unit 65 9 $1,703.07 $255.46 85% off $7.12 $5,109.56 $599.23 2026-02-28
J1300 HCPCS Eculizumab Soln 300 Mg/30 Ml300 Mg 24 16 $4,712.81 $706.93 85% off $208.67 $4,712.81 $598.42 2026-02-28
J2020 HCPCS Linezolid Pgbk 600 Mg/300 Ml600 Mg 113 10 $1,446.00 $216.90 85% off $3.48 $2,120.80 $578.40 2026-02-28
C1783 HCPCS Ahmed Glaucoma Valve Fp7 80 10 $1,369.72 $205.46 85% off $152.15 $7,813.05 $564.91 2026-02-28
J0877 HCPCS Daptomycin Solr 500 Mg500 Mg 12 9 $1,030.58 $154.59 85% off $144.29 $1,030.58 $556.51 2026-02-28
J9201 HCPCS Gemcitabine Hcl Inj Solr 1 Gram1 Gm 101 10 $1,133.67 $170.05 85% off $3.93 $17,142.62 $554.79 2026-02-28
J0270 HCPCS Alprostadil Soln 500 Mcg/ml500 Mcg 53 10 $2,410.00 $361.50 85% off $0.41 $3,553.69 $554.30 2026-02-28
G0416 HCPCS Sat Biopsy Surg Path Micro 27 19 $1,179.12 $176.87 85% off $212.25 $1,226.29 $538.48 2026-02-28
J2790 HCPCS Rho D Immune Globulin Syrg 1500 Unit (300 Mcg)300 Mcg 65 10 $1,916.44 $287.47 85% off $71.53 $2,101.06 $525.27 2026-02-28
J0561 HCPCS Penicillin G Benzathine Syrg 1200000 Unit/2 Ml1200000 Unit 50 19 $2,915.82 $437.38 85% off $22.19 $2,915.82 $525.12 2026-02-28
J1364 HCPCS Erythromycin Lactobionate Solr 500 Mg500 Mg 43 16 $1,230.07 $184.51 85% off $64.58 $2,102.70 $492.03 2026-02-28
J7525 HCPCS Tacrolimus Soln 5 Mg/ml5 Mg 28 19 $3,817.64 $572.65 85% off $234.71 $3,817.64 $489.05 2026-02-28
C8903 HCPCS MRI Breast Unilateral W Con 27 19 $4,744.00 $711.60 85% off $162.01 $4,933.76 $486.03 2026-02-28
J3486 HCPCS Ziprasidone Mesylate Solr 20 Mg/ml (final Conc.)20 Mg 53 10 $1,087.40 $163.11 85% off $8.40 $7,586.30 $484.79 2026-02-28
J0604 HCPCS Cinacalcet Hcl Tab 30 Mg30 Mg 70 18 $591.03 $88.66 85% off $1.26 $1,775.71 $482.31 2026-02-28
J9203 HCPCS Gemtuzumab Ozogamicin Solr 4.5 Mg (1 Mg/ml Initial Conc)5 Mg 28 19 $195,406.66 $29,311.00 85% off $212.56 $195,406.66 $467.38 2026-02-28
L3906 HCPCS Who Without Joints 20 10 $1,856.40 $278.46 85% off $278.46 $1,856.40 $464.10 2026-02-28
J9390 HCPCS Vinorelbine Tartrate Soln 50 Mg/5 Ml10 Mg 41 10 $2,304.50 $345.68 85% off $10.70 $2,304.54 $462.72 2026-02-28
J9145 HCPCS Daratumumab Soln 100mg/5ml100 Mg 39 19 $2,451.11 $367.67 85% off $59.58 $2,571.24 $441.20 2026-02-28
L1970 HCPCS Ankle Brace Rom Walker-011 40 10 $1,524.60 $228.69 85% off $190.42 $1,779.75 $436.04 2026-02-28
C1780 HCPCS Acrysof Iq Natural Iol 19.0d 243 9 $714.92 $107.24 85% off $25.05 $6,147.45 $435.01 2026-02-28
Q4160 HCPCS Nushield Skin Sub 6x6 Sq Cm 97 9 $644.89 $96.74 85% off $41.53 $6,209.50 $424.69 2026-02-28
L3763 HCPCS Elbow Wrist Orthosis 20 10 $1,675.80 $251.37 85% off $251.37 $1,675.80 $418.95 2026-02-28
J1742 HCPCS Ibutilide Inj Soln 0.1 Mg/ml1 Mg 43 19 $690.15 $103.53 85% off $96.63 $1,046.37 $418.55 2026-02-28
J1744 HCPCS Icatibant Syrg 30 Mg/3 Ml30 Mg 28 19 $10,025.60 $1,503.84 85% off $107.42 $10,025.60 $408.09 2026-02-28
Q2050 HCPCS Doxorubicin Liposomal Susp 2 Mg/ml2 Mg 28 19 $2,493.83 $374.08 85% off $126.07 $2,493.83 $399.01 2026-02-28
J0517 HCPCS Benralizumab Syrg 30 Mg/ml30 Mg 28 19 $131,337.29 $19,700.60 85% off $155.69 $131,337.29 $390.32 2026-02-28
P9040 HCPCS Packed Leukopoor Rbc Irradiated 23 18 $1,641.00 $246.15 85% off $100.00 $1,706.64 $377.43 2026-02-28
C9290 HCPCS Bupivacaine Liposome (pf) Susp 1.3 % (13.3 Mg/ml)226 Mg 25 9 $7,510.34 $1,126.55 85% off $1.64 $7,510.34 $375.52 2026-02-28
J2183 HCPCS Meropenem Solr 1 Gram1 Gram 12 9 $694.08 $104.12 85% off $97.18 $694.08 $374.81 2026-02-28
P9058 HCPCS Cf-rbc Leukoreduced Cmv Neg Irradiated 33 18 $548.00 $82.20 85% off $98.64 $1,645.28 $372.64 2026-02-28
J1120 HCPCS Acetazolamide Sodium Solr 500 Mg500 Mg 89 10 $918.50 $137.78 85% off $26.72 $1,017.02 $372.50 2026-02-28
Q5106 HCPCS Epoetin Alfa-epbx Soln 10000 Unit/ml10000 Unit 93 19 $1,020.69 $153.11 85% off $6.31 $2,551.91 $357.25 2026-02-28
J9208 HCPCS Ifosfamide Inj Solr 1 Gram1 Gm 41 10 $1,398.96 $209.85 85% off $10.47 $2,645.80 $349.74 2026-02-28
J1805 HCPCS Esmolol Hcl Soln 100 Mg/10 Ml (10 Mg/ml)20 Mg 122 8 $448.65 $67.30 85% off $7.02 $11,252.94 $349.67 2026-02-28
L3808 HCPCS Whfo Rigid Without Joints 20 10 $1,366.05 $204.91 85% off $204.91 $1,366.05 $341.52 2026-02-28
L3702 HCPCS Eo Without Joints Cf 20 10 $1,357.65 $203.65 85% off $203.65 $1,357.65 $339.42 2026-02-28
J2690 HCPCS Procainamide Soln 100 Mg/ml100 Mg 52 19 $146.08 $21.92 85% off $26.30 $4,072.75 $335.63 2026-02-28
J2240 HCPCS Papaverine Hcl Soln 30 Mg/ml30 Mg 11 8 $479.02 $71.86 85% off $86.23 $498.19 $335.32 2026-02-28
G0277 HCPCS Hbo 30 Mins 27 19 $1,436.00 $215.40 85% off $100.00 $1,493.44 $334.04 2026-02-28
J0872 HCPCS Daptomycin Solr 500 Mg500 Mg 24 9 $916.19 $137.44 85% off $62.19 $1,388.16 $333.16 2026-02-28
S5550 HCPCS Insulin Glulisine ( Apidra) 100 Unit/ml Soln 100 Unit/ml100 Unit 11 8 $470.01 $70.51 85% off $84.61 $488.82 $329.01 2026-02-28
J2597 HCPCS Desmopressin Acetate Soln 4 Mcg/ml4 Mcg 94 19 $1,069.85 $160.48 85% off $4.45 $1,528.33 $327.01 2026-02-28
J9312 HCPCS Rituximab Vial 100 Mg/10 Ml100 Mg 39 19 $2,173.67 $326.05 85% off $71.89 $2,173.67 $326.06 2026-02-28
J3470 HCPCS Hyaluronidase Soln 150 Unit/ml150 Unit 17 10 $1,290.99 $193.65 85% off $64.32 $1,290.99 $322.75 2026-02-28
J0500 HCPCS Dicyclomine Hcl Soln Soln 10 Mg/ml20 Mg 113 10 $569.15 $85.38 85% off $17.93 $1,750.32 $315.05 2026-02-28
J2730 HCPCS Pralidoxime Chloride Solr 1 Gram1 Gm 25 9 $2,005.90 $300.89 85% off $62.69 $2,086.14 $313.41 2026-02-28
J2184 HCPCS Meropenem-1gm/nacl 50 Ml Pgbk 1 Gram/50 Ml1000 Mg 12 9 $574.42 $86.17 85% off $80.42 $574.42 $310.19 2026-02-28
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