|
0266T
|
OTHER
|
Implt/rpl Crtd Sns Dev Total
|
38
|
8
|
—
|
—
|
$25,868.93
|
$104,863.39
|
$42,467.01
|
2026-05-23
|
|
0268T
|
OTHER
|
Implt/rpl Crtd Sns Dev Gen
|
40
|
8
|
—
|
—
|
$25,868.93
|
$68,622.01
|
$27,920.61
|
2026-05-23
|
|
0312T
|
OTHER
|
Laps Impltj Nstim Vagus
|
4
|
3
|
—
|
—
|
$26,428.80
|
$33,212.61
|
$29,820.71
|
2026-05-23
|
|
0316T
|
OTHER
|
Replc Vagus Nerve Pls Gen
|
4
|
3
|
—
|
—
|
$26,428.80
|
$33,212.61
|
$29,820.71
|
2026-05-23
|
|
0408T
|
OTHER
|
Insj/rplc Cardiac Modulj Sys
|
40
|
8
|
—
|
—
|
$13,301.46
|
$72,197.93
|
$29,581.23
|
2026-05-23
|
|
0424T
|
OTHER
|
Insj/rplc Nstim Apnea Compl
|
10
|
5
|
—
|
—
|
$26,428.80
|
$108,072.80
|
$48,463.14
|
2026-05-23
|
|
0427T
|
OTHER
|
Insj/rplc Nstim Apnea Pls Gn
|
10
|
5
|
—
|
—
|
$18,412.17
|
$57,687.72
|
$26,428.80
|
2026-05-23
|
|
0431T
|
OTHER
|
Rmvl/rplc Nstim Apnea Pls Gn
|
10
|
5
|
—
|
—
|
$18,412.17
|
$57,687.72
|
$26,428.80
|
2026-05-23
|
|
0466T
|
OTHER
|
Insj Ch Wal Respir Eltrd/ra
|
2
|
2
|
—
|
—
|
$27,994.95
|
$27,994.95
|
$27,994.95
|
2026-05-06
|
|
0571T
|
OTHER
|
Insj/rplcmt Icds Ss Eltrd
|
40
|
8
|
—
|
—
|
$27,620.19
|
$72,197.93
|
$29,581.23
|
2026-05-23
|
|
0620T
|
OTHER
|
Evasc Ven Artlz Tibl/prnl Vn
|
38
|
8
|
—
|
—
|
$14,419.27
|
$81,559.07
|
$25,952.24
|
2026-05-23
|
|
0674T
|
OTHER
|
Laps Insj Nw/rpcmt Prm Isdss
|
9
|
7
|
—
|
—
|
$18,412.17
|
$68,622.01
|
$27,617.60
|
2026-05-06
|
|
0775T
|
OTHER
|
Arthrd Si Jt Prq Iartic Impl
|
6
|
2
|
—
|
—
|
$19,294.88
|
$43,027.58
|
$31,887.22
|
2026-05-23
|
|
0809T
|
OTHER
|
Arthrd Si Jt Prq Tfx&implt
|
6
|
2
|
—
|
—
|
$19,294.88
|
$43,027.58
|
$31,887.22
|
2026-05-23
|
|
0915T
|
OTHER
|
Insj Perm Ccm-d Sys Pg&eltrd
|
7
|
6
|
—
|
—
|
$29,056.77
|
$72,197.93
|
$29,056.77
|
2026-05-06
|
|
104
|
OTHER
|
Major Open Coronary Artery Procedures Including Cabg
|
4
|
2
|
—
|
—
|
$35,296.55
|
$43,681.49
|
$41,663.12
|
2026-05-23
|
|
120
|
OTHER
|
Immunotherapy
|
4
|
2
|
—
|
—
|
$73,884.23
|
$91,435.95
|
$87,211.01
|
2026-05-23
|
|
122
|
OTHER
|
Percutaneous Intra-abdominal Or Intrathoracic Vascular Procedures
|
4
|
2
|
—
|
—
|
$29,229.03
|
$36,172.59
|
$34,501.18
|
2026-05-23
|
|
182
|
OTHER
|
Insertion Of Penile Prosthesis
|
4
|
2
|
—
|
—
|
$22,456.54
|
$27,791.25
|
$26,507.12
|
2026-05-23
|
|
224
|
OTHER
|
Level Ii Neurostimulator And Related Device Implantation
|
4
|
2
|
—
|
—
|
$33,764.41
|
$41,785.38
|
$39,854.63
|
2026-05-23
|
|
245
|
OTHER
|
Class Iii Therapeutic Radiopharmaceuticals
|
4
|
2
|
—
|
—
|
$21,639.12
|
$26,779.64
|
$25,542.25
|
2026-05-23
|
|
246
|
OTHER
|
Class IV Therapeutic Radiopharmaceuticals
|
4
|
2
|
—
|
—
|
$65,091.31
|
$80,554.21
|
$76,832.08
|
2026-05-23
|
|
250
|
OTHER
|
Cochlear Device Implantation
|
4
|
2
|
—
|
—
|
$45,850.10
|
$56,742.11
|
$54,120.25
|
2026-05-23
|
|
33231
|
OTHER
|
Insrt Pulse Gen W/mult Leads
|
54
|
8
|
—
|
—
|
$291.26
|
$72,197.93
|
$29,536.22
|
2026-05-23
|
|
33249
|
OTHER
|
Insj/rplcmt Defib W/lead(s)
|
54
|
8
|
—
|
—
|
$661.89
|
$72,197.93
|
$29,536.22
|
2026-05-23
|
|
33264
|
OTHER
|
Rmvl & Rplcmt Dfb Gen Mlt Ld
|
54
|
8
|
—
|
—
|
$292.94
|
$72,197.93
|
$29,536.22
|
2026-05-23
|
|
33270
|
OTHER
|
Ins/rep Subq Defibrillator
|
54
|
8
|
—
|
—
|
$407.02
|
$72,197.93
|
$29,536.22
|
2026-05-23
|
|
33276
|
OTHER
|
Insj Phrnc Nrv Stim Sys
|
41
|
7
|
—
|
—
|
$421.97
|
$104,863.39
|
$40,783.05
|
2026-05-23
|
|
33287
|
OTHER
|
Rmv&rplcmt Phrnc Nrv Stim Pg
|
43
|
7
|
—
|
—
|
$283.15
|
$68,622.01
|
$27,617.60
|
2026-05-23
|
|
33289
|
OTHER
|
Tcat Impl Wrls P-art Prs Snr
|
54
|
8
|
—
|
—
|
$288.80
|
$64,016.38
|
$25,764.02
|
2026-05-23
|
|
38240
|
OTHER
|
Transplt Allo Hct/donor
|
54
|
8
|
—
|
—
|
$217.05
|
$133,179.77
|
$49,134.90
|
2026-05-23
|
|
465
|
OTHER
|
Class Xiii Combined Chemotherapy And Pharmacotherapy
|
4
|
2
|
—
|
—
|
$26,274.97
|
$32,516.77
|
$31,014.29
|
2026-05-23
|
|
466
|
OTHER
|
Class Xiv Combined Chemotherapy And Pharmacotherapy
|
4
|
2
|
—
|
—
|
$40,565.66
|
$50,202.32
|
$47,882.65
|
2026-05-23
|
|
4792367
|
OTHER
|
30237-8900-06 - Sipuleucel-t - Sus
|
20
|
10
|
$58,300.00
|
$32,065.00
45% off
|
$8,745.00
|
$52,470.00
|
$49,555.00
|
2026-05-23
|
|
4838403
|
OTHER
|
Hires 90k Advantage With Hifocus Mid-scala Eletrode ///14103///
|
34
|
13
|
$57,002.00
|
$31,351.10
45% off
|
$8,550.30
|
$57,002.00
|
$48,451.70
|
2026-05-23
|
|
4854530
|
OTHER
|
50242-0037-06 - Tenecteplase 50 Mg Injection
|
14
|
13
|
$39,792.40
|
$21,885.82
45% off
|
$5,968.86
|
$39,792.40
|
$32,828.73
|
2026-05-06
|
|
5057452
|
OTHER
|
00003-3774-12 - Nivolumab 10 mg/mL Sol
|
14
|
13
|
$59,784.00
|
$32,881.20
45% off
|
$8,967.60
|
$59,784.00
|
$49,321.80
|
2026-05-06
|
|
5155768
|
OTHER
|
Fresh Fem Trochlea Osteochondral Allograft Rt ///15785///
|
34
|
13
|
$34,275.00
|
$18,851.25
45% off
|
$5,141.25
|
$34,275.00
|
$29,133.75
|
2026-05-23
|
|
5173844
|
OTHER
|
Rt Samarium Sm-153 Up To 150 Mci
|
34
|
13
|
$29,809.00
|
$16,394.95
45% off
|
$4,471.35
|
$29,809.00
|
$25,337.65
|
2026-05-23
|
|
5199438
|
OTHER
|
Cth Pt Revas Chronic/total Occ Ca Sgl
|
34
|
13
|
$30,806.00
|
$16,943.30
45% off
|
$4,620.90
|
$32,854.00
|
$26,185.10
|
2026-05-23
|
|
5199444
|
OTHER
|
Cth Pacemaker Battery Change 3 Leads
|
34
|
13
|
$35,724.00
|
$19,648.20
45% off
|
$5,358.60
|
$36,796.00
|
$30,365.40
|
2026-05-23
|
|
5199446
|
OTHER
|
Cth Icd Battery Change 2 Leads
|
34
|
13
|
$44,321.00
|
$24,376.55
45% off
|
$6,648.15
|
$49,454.00
|
$37,672.85
|
2026-05-23
|
|
5199447
|
OTHER
|
Cth Icd Battery Change 3 Leads
|
34
|
13
|
$63,005.00
|
$34,652.75
45% off
|
$9,450.75
|
$64,895.00
|
$53,554.25
|
2026-05-23
|
|
5199479
|
OTHER
|
Cth Fem/pop Stent W/angio And Athrect
|
34
|
13
|
$30,806.00
|
$16,943.30
45% off
|
$4,620.90
|
$31,897.00
|
$26,185.10
|
2026-05-23
|
|
5199730
|
OTHER
|
Cth Ins/repos Sgl/dual Icd + Lead
|
34
|
13
|
$63,005.00
|
$34,652.75
45% off
|
$9,450.75
|
$64,895.00
|
$53,554.25
|
2026-05-23
|
|
5199785
|
OTHER
|
Cth Ptca Des W/cor Angio Sql Major
|
34
|
13
|
$30,806.00
|
$16,943.30
45% off
|
$4,620.90
|
$32,854.00
|
$26,185.10
|
2026-05-23
|
|
5199802
|
OTHER
|
Cth Icd Battery Change 1 Lead
|
34
|
13
|
$44,321.00
|
$24,376.55
45% off
|
$6,648.15
|
$49,454.00
|
$37,672.85
|
2026-05-23
|
|
5199974
|
OTHER
|
Cth Coro Athrec Stent Sgl Art Branch
|
34
|
13
|
$30,806.00
|
$16,943.30
45% off
|
$4,620.90
|
$31,897.00
|
$26,185.10
|
2026-05-23
|
|
5244297
|
OTHER
|
Thoracic Endoprosthesis 31mm X 15cm ///15907///
|
34
|
13
|
$31,408.00
|
$17,274.40
45% off
|
$4,711.20
|
$31,408.00
|
$26,696.80
|
2026-05-23
|
|
5270174
|
OTHER
|
Cth Tib/per Stent W/ather And Angio
|
34
|
13
|
$30,806.00
|
$16,943.30
45% off
|
$4,620.90
|
$31,897.00
|
$26,185.10
|
2026-05-23
|
|
5284560
|
OTHER
|
Cth Atherectomy Iliac Artery
|
34
|
13
|
$30,806.00
|
$16,943.30
45% off
|
$4,620.90
|
$31,897.00
|
$26,185.10
|
2026-05-23
|
|
5285778
|
OTHER
|
Cth Tibial/peroneal Athrectomy W/angi
|
34
|
13
|
$30,806.00
|
$16,943.30
45% off
|
$4,620.90
|
$31,897.00
|
$26,185.10
|
2026-05-23
|
|
5288342
|
OTHER
|
50242-0150-01 - Ocrelizumab 300 Mg/10 Ml Soln
|
34
|
13
|
$41,794.49
|
$22,986.97
45% off
|
$6,269.17
|
$47,890.80
|
$35,525.32
|
2026-05-23
|
|
5313589
|
OTHER
|
Cth Tibial/peroneal Stent With Angio
|
34
|
13
|
$30,806.00
|
$16,943.30
45% off
|
$4,620.90
|
$32,854.00
|
$26,185.10
|
2026-05-23
|
|
5320474
|
OTHER
|
Cochlear Implant Double Processor W/hires Ultra Hifocus Slim Electrode ///125807…
|
34
|
13
|
$29,223.00
|
$16,072.65
45% off
|
$4,383.45
|
$29,223.00
|
$24,839.55
|
2026-05-23
|
|
5320621
|
OTHER
|
Cth Sicd Subcutaneous Icd Implant
|
34
|
13
|
$63,005.00
|
$34,652.75
45% off
|
$9,450.75
|
$63,005.00
|
$53,554.25
|
2026-05-23
|
|
5330392
|
OTHER
|
Cth Ep Intraventricular And/or Intra-atrial Mapping
|
34
|
13
|
$29,109.00
|
$16,009.95
45% off
|
$4,366.35
|
$31,534.00
|
$24,742.65
|
2026-05-23
|
|
5330395
|
OTHER
|
Cth Ep Intracardiac Electrophysiologic 3-dimensional Mapping
|
34
|
13
|
$29,110.00
|
$16,010.50
45% off
|
$4,366.50
|
$32,480.00
|
$24,743.50
|
2026-05-23
|
|
5330397
|
OTHER
|
Cth Ep Comprehensive Ep Study Without Induction
|
34
|
13
|
$29,109.00
|
$16,009.95
45% off
|
$4,366.35
|
$32,480.00
|
$24,742.65
|
2026-05-23
|
|
5330398
|
OTHER
|
Cth Ep Comprehensive Ep Study With Induction Or Attempted Induction
|
34
|
13
|
$29,110.00
|
$16,010.50
45% off
|
$4,366.50
|
$32,480.00
|
$24,743.50
|
2026-05-23
|
|
5330399
|
OTHER
|
Cth Ep Evaluation Left Atrial Pacing And Recording From Coronary Sinus Or Left A…
|
34
|
13
|
$29,110.00
|
$16,010.50
45% off
|
$4,366.50
|
$32,480.00
|
$24,743.50
|
2026-05-23
|
|
5330400
|
OTHER
|
Cth Ep Evaluation Left Ventricular Pacing And Recording
|
34
|
13
|
$29,110.00
|
$16,010.50
45% off
|
$4,366.50
|
$31,534.00
|
$24,743.50
|
2026-05-23
|
|
5330401
|
OTHER
|
Cth Ep Programmed Stimulation
|
34
|
13
|
$29,110.00
|
$16,010.50
45% off
|
$4,366.50
|
$32,480.00
|
$24,743.50
|
2026-05-23
|
|
5330402
|
OTHER
|
Cth Ep Follow-up Study With Pacing And Recording
|
34
|
13
|
$29,109.00
|
$16,009.95
45% off
|
$4,366.35
|
$31,534.00
|
$24,742.65
|
2026-05-23
|
|
5330405
|
OTHER
|
Cth Ep Intracardiac Catheter Ablation Of Av Node Function
|
34
|
13
|
$29,110.00
|
$16,010.50
45% off
|
$4,366.50
|
$32,480.00
|
$24,743.50
|
2026-05-23
|
|
5330406
|
OTHER
|
Cth Ep Evaluation With Supraventricular Tachycardia By Ablation
|
34
|
13
|
$41,161.00
|
$22,638.55
45% off
|
$6,174.15
|
$44,884.00
|
$34,986.85
|
2026-05-23
|
|
5330407
|
OTHER
|
Cth Ep Evaluation With Ventricular Tachycardia Or Focus Of Ventricular Ectopy Ab…
|
34
|
13
|
$41,161.00
|
$22,638.55
45% off
|
$6,174.15
|
$43,577.00
|
$34,986.85
|
2026-05-23
|
|
5330409
|
OTHER
|
Cth Ep Intracardiac Catheter Ablation Od A Discrete Mechanism Of Arrhythmia
|
34
|
13
|
$29,110.00
|
$16,010.50
45% off
|
$4,366.50
|
$32,480.00
|
$24,743.50
|
2026-05-23
|
|
5330410
|
OTHER
|
Cth Ep Evaluation Including Tran Septal Catheterizations
|
34
|
13
|
$41,161.00
|
$22,638.55
45% off
|
$6,174.15
|
$44,884.00
|
$34,986.85
|
2026-05-23
|
|
5330411
|
OTHER
|
Cth Ep Linear Or Focal Intracardiac Catheter Ablation
|
34
|
13
|
$29,110.00
|
$16,010.50
45% off
|
$4,366.50
|
$32,480.00
|
$24,743.50
|
2026-05-23
|
|
5339905
|
OTHER
|
Cth New Icd W/existing 3 Leads
|
34
|
13
|
$63,005.00
|
$34,652.75
45% off
|
$9,450.75
|
$63,005.00
|
$53,554.25
|
2026-05-23
|
|
5340376
|
OTHER
|
Hires Ultra 3d Implant W/hifocus Mid-scala Electrode/ 1 Processor 3t MRI ///1645…
|
34
|
13
|
$40,815.00
|
$22,448.25
45% off
|
$6,122.25
|
$40,815.00
|
$34,692.75
|
2026-05-23
|
|
5345166
|
OTHER
|
Cth Insert Sgl/dual Chmb Defib
|
34
|
13
|
$44,321.00
|
$24,376.55
45% off
|
$6,648.15
|
$48,014.00
|
$37,672.85
|
2026-05-23
|
|
5353975
|
OTHER
|
Cth Tcat Impl Wrls P-art Prs Snr
|
34
|
13
|
$55,329.00
|
$30,430.95
45% off
|
$8,299.35
|
$56,989.00
|
$47,029.65
|
2026-05-23
|
|
5364868
|
OTHER
|
Cth Tcat Insj/rpl Perm Ldls Pm
|
34
|
13
|
$32,063.00
|
$17,634.65
45% off
|
$4,809.45
|
$34,893.00
|
$27,253.55
|
2026-05-23
|
|
5366436
|
OTHER
|
00003-3772-11 - Nivolumab 10 mg/mL Soln
|
14
|
13
|
$59,784.00
|
$32,881.20
45% off
|
$8,967.60
|
$59,784.00
|
$49,321.80
|
2026-05-06
|
|
5380682
|
OTHER
|
75987-0080-10 - Pegloticase 8 mg/mL Soln
|
14
|
13
|
$47,916.24
|
$26,353.93
45% off
|
$7,187.44
|
$47,916.24
|
$39,530.90
|
2026-05-06
|
|
5382566
|
OTHER
|
50242-0105-01 - Polatuzumab Vedotin 140 Mg Rec
|
34
|
13
|
$33,390.00
|
$18,364.50
45% off
|
$5,008.50
|
$33,390.00
|
$28,381.50
|
2026-05-23
|
|
5388313
|
OTHER
|
72694-0954-01 - Pegaspargase 750 Int. Unit/mL Soln
|
14
|
13
|
$47,321.90
|
$26,027.04
45% off
|
$7,098.28
|
$47,321.90
|
$39,040.57
|
2026-05-06
|
|
5392482
|
OTHER
|
92933 Athrectomy/stent Sg Cor/branch
|
34
|
13
|
$30,806.00
|
$16,943.30
45% off
|
$4,620.90
|
$32,854.00
|
$26,185.10
|
2026-05-23
|
|
5392515
|
OTHER
|
93613 Electrophysiologic/3D Mapping
|
34
|
13
|
$29,110.00
|
$16,010.50
45% off
|
$4,366.50
|
$32,480.00
|
$24,743.50
|
2026-05-23
|
|
5392516
|
OTHER
|
93619 Comp Ep Eval Without Ind Of Arrhythmia
|
34
|
13
|
$29,109.00
|
$16,009.95
45% off
|
$4,366.35
|
$32,480.00
|
$24,742.65
|
2026-05-23
|
|
5392517
|
OTHER
|
93620 Comp Ep Eval W/induc Of Arrhythmia
|
34
|
13
|
$29,110.00
|
$16,010.50
45% off
|
$4,366.50
|
$32,480.00
|
$24,743.50
|
2026-05-23
|
|
5392518
|
OTHER
|
93621 Ep Eval/comp/lt Atrial Pace/record
|
34
|
13
|
$29,110.00
|
$16,010.50
45% off
|
$4,366.50
|
$32,480.00
|
$24,743.50
|
2026-05-23
|
|
5392519
|
OTHER
|
93623 Program stim/pace/IV Drug Inf
|
34
|
13
|
$29,110.00
|
$16,010.50
45% off
|
$4,366.50
|
$32,480.00
|
$24,743.50
|
2026-05-23
|
|
5392522
|
OTHER
|
93653 Comp Ep/svt Ablat/single Atr Focus
|
34
|
13
|
$41,161.00
|
$22,638.55
45% off
|
$6,174.15
|
$44,884.00
|
$34,986.85
|
2026-05-23
|
|
5392523
|
OTHER
|
93654 Comp Ep/vt tx/3Dmap/LV Pace/rec
|
34
|
13
|
$41,161.00
|
$22,638.55
45% off
|
$6,174.15
|
$43,577.00
|
$34,986.85
|
2026-05-23
|
|
5392524
|
OTHER
|
93655 Ic Arrhy Ablat/separate From Prim
|
34
|
13
|
$29,110.00
|
$16,010.50
45% off
|
$4,366.50
|
$32,480.00
|
$24,743.50
|
2026-05-23
|
|
5392525
|
OTHER
|
93656 Comp Ep/ Afib Ablat/pul Vein Iso
|
34
|
13
|
$41,161.00
|
$22,638.55
45% off
|
$6,174.15
|
$44,884.00
|
$34,986.85
|
2026-05-23
|
|
5392526
|
OTHER
|
93657 Ic Abl R/l Atrium/afib/post Pv Iso
|
34
|
13
|
$29,110.00
|
$16,010.50
45% off
|
$4,366.50
|
$32,480.00
|
$24,743.50
|
2026-05-23
|
|
5392579
|
OTHER
|
23472 Reconstruct Shoulder Joint
|
34
|
13
|
$30,666.00
|
$16,866.30
45% off
|
$4,599.90
|
$32,667.00
|
$26,066.10
|
2026-05-23
|
|
5392589
|
OTHER
|
23616 Open Tx Prox Humeral Fx W/prosth
|
34
|
13
|
$37,818.00
|
$20,799.90
45% off
|
$5,672.70
|
$37,818.00
|
$32,145.30
|
2026-05-23
|
|
5392626
|
OTHER
|
24546 Open Tx/humeral Condylar Fx W/ext
|
34
|
13
|
$31,015.00
|
$17,058.25
45% off
|
$4,652.25
|
$31,015.00
|
$26,362.75
|
2026-05-23
|
|
5392942
|
OTHER
|
33229 Remov/replac Pm Gen Only/mult Lead
|
34
|
13
|
$35,724.00
|
$19,648.20
45% off
|
$5,358.60
|
$36,796.00
|
$30,365.40
|
2026-05-23
|
|
5392943
|
OTHER
|
33230 Insert Pulse Gen Only W/existing Dual Leads Icd
|
34
|
13
|
$44,321.00
|
$24,376.55
45% off
|
$6,648.15
|
$48,014.00
|
$37,672.85
|
2026-05-23
|
|
5392947
|
OTHER
|
33249 Insert/repla Icd W/sg Or Dual Lead
|
34
|
13
|
$63,005.00
|
$34,652.75
45% off
|
$9,450.75
|
$64,895.00
|
$53,554.25
|
2026-05-23
|
|
5392950
|
OTHER
|
33263 Remov/replac Icd Gen/dual Lead Sys
|
34
|
13
|
$44,321.00
|
$24,376.55
45% off
|
$6,648.15
|
$49,454.00
|
$37,672.85
|
2026-05-23
|
|
5392951
|
OTHER
|
33264 Remov/replac Icd Gen/mult Lead Sys
|
34
|
13
|
$63,005.00
|
$34,652.75
45% off
|
$9,450.75
|
$64,895.00
|
$53,554.25
|
2026-05-23
|
|
5392952
|
OTHER
|
33270 Inser/repla Icd W/lead/ Thres Test
|
34
|
13
|
$63,005.00
|
$34,652.75
45% off
|
$9,450.75
|
$63,005.00
|
$53,554.25
|
2026-05-23
|
|
5392964
|
OTHER
|
33510 CABG,single Coronary Venous Graft
|
34
|
13
|
$38,460.00
|
$21,153.00
45% off
|
$5,769.00
|
$42,914.00
|
$32,691.00
|
2026-05-23
|
|
5392965
|
OTHER
|
33511 CABG/vein Only/2 Cor Venous Gfts
|
34
|
13
|
$38,460.00
|
$21,153.00
45% off
|
$5,769.00
|
$42,914.00
|
$32,691.00
|
2026-05-23
|
|
5392966
|
OTHER
|
33512 CABG/vein Only/3 Cor Venous Gfts
|
34
|
13
|
$38,460.00
|
$21,153.00
45% off
|
$5,769.00
|
$42,914.00
|
$32,691.00
|
2026-05-23
|
|
5392967
|
OTHER
|
33513 CABG/vein Only/4 Cor Venous Gfts
|
14
|
13
|
$41,664.00
|
$22,915.20
45% off
|
$6,249.60
|
$41,664.00
|
$34,372.80
|
2026-05-06
|
|
5392968
|
OTHER
|
33517 Cabg Venous & Art 1 Vein Graft
|
34
|
13
|
$38,460.00
|
$21,153.00
45% off
|
$5,769.00
|
$42,914.00
|
$32,691.00
|
2026-05-23
|
|
5392969
|
OTHER
|
33518 Cabg Venous & Art 2 Vein Graft
|
34
|
13
|
$38,460.00
|
$21,153.00
45% off
|
$5,769.00
|
$42,914.00
|
$32,691.00
|
2026-05-23
|
|
5392970
|
OTHER
|
33519 Cabg Venous & Art 3 Vein Graft
|
34
|
13
|
$38,460.00
|
$21,153.00
45% off
|
$5,769.00
|
$42,914.00
|
$32,691.00
|
2026-05-23
|
|
5392971
|
OTHER
|
33521 Cabg Venous & Art 4 Vein Graft
|
34
|
13
|
$38,460.00
|
$21,153.00
45% off
|
$5,769.00
|
$42,914.00
|
$32,691.00
|
2026-05-23
|
|
5392972
|
OTHER
|
33522 Cabg Venous & Art 5 Vein Graft
|
34
|
13
|
$38,459.00
|
$21,152.45
45% off
|
$5,768.85
|
$41,664.00
|
$32,690.15
|
2026-05-23
|
|
5392973
|
OTHER
|
33523 Cabg Venous & Art 6 Vein Graft
|
34
|
13
|
$38,459.00
|
$21,152.45
45% off
|
$5,768.85
|
$41,664.00
|
$32,690.15
|
2026-05-23
|
|
5392974
|
OTHER
|
33530 CABG/valve Reop >1 Mo P Org Proced
|
34
|
13
|
$38,460.00
|
$21,153.00
45% off
|
$5,769.00
|
$41,664.00
|
$32,691.00
|
2026-05-23
|
|
5392975
|
OTHER
|
33533 CABG,single Artery Graft
|
34
|
13
|
$38,459.00
|
$21,152.45
45% off
|
$5,768.85
|
$42,914.00
|
$32,690.15
|
2026-05-23
|
|
5392976
|
OTHER
|
33534 Cabg, 2 Arterial Grafts
|
34
|
13
|
$38,460.00
|
$21,153.00
45% off
|
$5,769.00
|
$41,664.00
|
$32,691.00
|
2026-05-23
|
|
5392977
|
OTHER
|
33535 Cabg, 3 Arterial Grafts
|
34
|
13
|
$38,459.00
|
$21,152.45
45% off
|
$5,768.85
|
$41,664.00
|
$32,690.15
|
2026-05-23
|
|
5392978
|
OTHER
|
33572 Open Cor Endarterect W CABG/ea Ves
|
34
|
13
|
$38,460.00
|
$21,153.00
45% off
|
$5,769.00
|
$42,914.00
|
$32,691.00
|
2026-05-23
|
|
5392986
|
OTHER
|
35600 Upper Ext Harvest For Cabg,1 Seg
|
34
|
13
|
$38,459.00
|
$21,152.45
45% off
|
$5,768.85
|
$41,664.00
|
$32,690.15
|
2026-05-23
|
|
5418234
|
OTHER
|
33289 Tcat Impl Wrls P-art Prs Snr L-t Hemodyn Mntr
|
34
|
13
|
$55,329.00
|
$30,430.95
45% off
|
$8,299.35
|
$55,329.00
|
$47,029.65
|
2026-05-23
|
|
5428166
|
OTHER
|
Valve Transcatheter Heart (thv) 23mm Sapien 3 Ultra W/commander System Tavr 9600…
|
34
|
13
|
$35,425.00
|
$19,483.75
45% off
|
$4,875.00
|
$32,500.00
|
$28,340.00
|
2026-05-23
|
|
5428167
|
OTHER
|
Valve Transcatheter Heart (thv) 26mm Sapien 3 Ultra W/commander System Tavr 9600…
|
34
|
13
|
$35,425.00
|
$19,483.75
45% off
|
$4,875.00
|
$32,500.00
|
$28,340.00
|
2026-05-23
|
|
5428168
|
OTHER
|
Valve Transcatheter Heart (thv) 29mm Sapien 3 W/commander System Tavr 9600tfx29 …
|
34
|
13
|
$35,425.00
|
$19,483.75
45% off
|
$5,313.75
|
$35,425.00
|
$30,111.25
|
2026-05-23
|
|
5429397
|
OTHER
|
33508 Endo Vein Harvest For Cabg
|
34
|
13
|
$38,459.00
|
$21,152.45
45% off
|
$5,768.85
|
$42,914.00
|
$32,690.15
|
2026-05-23
|
|
5432017
|
OTHER
|
Cth Revasc Intra Lithotrip-stent
|
34
|
13
|
$30,806.00
|
$16,943.30
45% off
|
$4,620.90
|
$32,854.00
|
$26,185.10
|
2026-05-23
|
|
5432019
|
OTHER
|
Cth Revasc Intra Lithotrip-ather
|
34
|
13
|
$30,806.00
|
$16,943.30
45% off
|
$4,620.90
|
$31,897.00
|
$26,185.10
|
2026-05-23
|
|
5432020
|
OTHER
|
Cth Revasc Lithotrip-stent-ather
|
34
|
13
|
$30,806.00
|
$16,943.30
45% off
|
$4,620.90
|
$31,897.00
|
$26,185.10
|
2026-05-23
|
|
5432022
|
OTHER
|
Cth Revasc Lithotr-stent Tib/per
|
34
|
13
|
$30,806.00
|
$16,943.30
45% off
|
$4,620.90
|
$31,897.00
|
$26,185.10
|
2026-05-23
|
|
5432023
|
OTHER
|
Cth Revasc Lithotr-ather Tib/per
|
34
|
13
|
$30,806.00
|
$16,943.30
45% off
|
$4,620.90
|
$31,897.00
|
$26,185.10
|
2026-05-23
|
|
5432024
|
OTHER
|
Cth Revasc Lith-sten-ath Tib/per
|
34
|
13
|
$30,806.00
|
$16,943.30
45% off
|
$4,620.90
|
$31,897.00
|
$26,185.10
|
2026-05-23
|
|
5432207
|
OTHER
|
Valve Tavr Evolut Fx 34mm ///122341///
|
34
|
13
|
$56,571.00
|
$31,114.05
45% off
|
$8,485.65
|
$56,571.00
|
$48,085.35
|
2026-05-23
|
|
5432209
|
OTHER
|
Valve Tavr Evolut Fx 26mm ///122661///
|
34
|
13
|
$56,571.00
|
$31,114.05
45% off
|
$8,485.65
|
$56,571.00
|
$48,085.35
|
2026-05-23
|
|
5432210
|
OTHER
|
Valve Tavr Evolut Fx 29mm ///122991///
|
34
|
13
|
$56,571.00
|
$31,114.05
45% off
|
$8,485.65
|
$56,571.00
|
$48,085.35
|
2026-05-23
|
|
5432213
|
OTHER
|
Valve Tavr Evolut Fx 23mm ///17177///
|
34
|
13
|
$56,571.00
|
$31,114.05
45% off
|
$8,485.65
|
$56,571.00
|
$48,085.35
|
2026-05-23
|
|
5434692
|
OTHER
|
Kit Ls Tandemlife V24/a17 ///17195///
|
34
|
13
|
$31,114.00
|
$17,112.70
45% off
|
$4,667.10
|
$31,114.00
|
$26,446.90
|
2026-05-23
|
|
5437440
|
OTHER
|
64590 Insertion/rplcmt Peripheral/gastric Npgr
|
34
|
13
|
$36,790.00
|
$20,234.50
45% off
|
$5,518.50
|
$41,051.00
|
$31,271.50
|
2026-05-23
|
|
5441436
|
OTHER
|
54416 Rmvl & Rplcmt Non-nfltbl/nfltbl Penile Prosthesi
|
34
|
13
|
$33,193.00
|
$18,256.15
45% off
|
$4,978.95
|
$35,755.00
|
$28,214.05
|
2026-05-23
|
|
5446532
|
OTHER
|
75987-0130-15 - Teprotumumab Trbw 500 Mg Rec
|
14
|
13
|
$31,588.00
|
$17,373.40
45% off
|
$4,738.20
|
$31,588.00
|
$26,060.10
|
2026-05-06
|
|
5447630
|
OTHER
|
54405 Insj Multi-component Inflatable Penile Prosth
|
34
|
13
|
$33,193.00
|
$18,256.15
45% off
|
$4,978.95
|
$36,828.00
|
$28,214.05
|
2026-05-23
|
|
5448567
|
OTHER
|
33262 Rmvl Impltbl Dfb Plse Gen W/repl Plse Gen 1 Lead
|
34
|
13
|
$44,321.00
|
$24,376.55
45% off
|
$6,648.15
|
$49,454.00
|
$37,672.85
|
2026-05-23
|
|
5451836
|
OTHER
|
33509 Endoscopic Harvest Uxtr Artery 1 Segment Cab Px
|
34
|
13
|
$38,459.00
|
$21,152.45
45% off
|
$5,768.85
|
$41,664.00
|
$32,690.15
|
2026-05-23
|
|
5451859
|
OTHER
|
35840 Expl Po Hemrrg Thrombosis/infctj Abd
|
34
|
13
|
$31,848.00
|
$17,516.40
45% off
|
$4,777.20
|
$34,502.00
|
$27,070.80
|
2026-05-23
|
|
5463647
|
OTHER
|
0238t Trluml Peripheral Atherectomy Iliac Artery Ea
|
34
|
13
|
$30,806.00
|
$16,943.30
45% off
|
$4,620.90
|
$32,854.00
|
$26,185.10
|
2026-05-23
|
|
5464149
|
OTHER
|
54410 Rmvl & Rplcmt Inflatable Penile Prosth Same Sess
|
34
|
13
|
$33,193.00
|
$18,256.15
45% off
|
$4,978.95
|
$36,828.00
|
$28,214.05
|
2026-05-23
|
|
5465649
|
OTHER
|
53445 Insj Inflatable Urethral/bladder Neck Sphincter
|
34
|
13
|
$33,193.00
|
$18,256.15
45% off
|
$4,978.95
|
$36,828.00
|
$28,214.05
|
2026-05-23
|
|
5483858
|
OTHER
|
37229 Revsc Opn/prq Tib/pero W/athrc/angiop Sm Vsl
|
34
|
13
|
$30,806.00
|
$16,943.30
45% off
|
$4,620.90
|
$31,897.00
|
$26,185.10
|
2026-05-23
|
|
5486040
|
OTHER
|
54411 Rmvl & Rplcmt Nfltbl Penile Prosth Infected Fiel
|
34
|
13
|
$33,301.00
|
$18,315.55
45% off
|
$4,995.15
|
$35,755.00
|
$28,305.85
|
2026-05-23
|
|
5490876
|
OTHER
|
37230 Revsc Opn/prq Tib/pero W/stnt/angiop Sm Vsl
|
34
|
13
|
$30,806.00
|
$16,943.30
45% off
|
$4,620.90
|
$31,897.00
|
$26,185.10
|
2026-05-23
|
|
5495557
|
OTHER
|
54401 Insj Penile Prosthesos Inflatable Self-contained
|
34
|
13
|
$33,301.00
|
$18,315.55
45% off
|
$4,995.15
|
$36,828.00
|
$28,305.85
|
2026-05-23
|
|
55
|
OTHER
|
Level Ii Hip And Femur Procedures
|
4
|
2
|
—
|
—
|
$23,850.78
|
$29,516.70
|
$28,152.84
|
2026-05-23
|
|
5500529
|
OTHER
|
Fensolvi 45 Mg - Amb Med Charge Leuprolide
|
34
|
13
|
$41,582.00
|
$22,870.10
45% off
|
$6,237.30
|
$41,582.00
|
$35,344.70
|
2026-05-23
|
|
5500546
|
OTHER
|
33274 Tcat Insj/rpl Perm Leadless Pacemaker Rv W/img
|
34
|
13
|
$32,063.00
|
$17,634.65
45% off
|
$4,809.45
|
$34,893.00
|
$27,253.55
|
2026-05-23
|
|
5500547
|
OTHER
|
93650 Icar Catheter Ablation Atrioventr Node Function
|
34
|
13
|
$29,110.00
|
$16,010.50
45% off
|
$4,366.50
|
$32,480.00
|
$24,743.50
|
2026-05-23
|
|
5500779
|
OTHER
|
53447 Rmvl & Rplcmt Nfltl Urethral/bladder Neck Sphinc,
|
34
|
13
|
$33,301.00
|
$18,315.55
45% off
|
$4,995.15
|
$35,755.00
|
$28,305.85
|
2026-05-23
|
|
5502371
|
OTHER
|
93622 Compre Electrophysiol Xm W/left Ventr Pacng/rec
|
34
|
13
|
$29,110.00
|
$16,010.50
45% off
|
$4,366.50
|
$31,534.00
|
$24,743.50
|
2026-05-23
|
|
5509502
|
OTHER
|
75987-0130-15w - Waste Teprotumumab 500 Mg Other
|
14
|
13
|
$31,588.00
|
$17,373.40
45% off
|
$4,738.20
|
$31,588.00
|
$26,060.10
|
2026-05-06
|
|
5510555
|
OTHER
|
00310-4535-30 - Tremelimumab Actl 20 mg/mL Soln
|
34
|
13
|
$41,340.00
|
$22,737.00
45% off
|
$6,201.00
|
$41,340.00
|
$35,139.00
|
2026-05-23
|
|
5510560
|
OTHER
|
00310-4535-30w - Waste Tremelimumab-actl 300 Mg Other
|
34
|
13
|
$41,340.00
|
$22,737.00
45% off
|
$6,201.00
|
$41,340.00
|
$35,139.00
|
2026-05-23
|
|
5522349
|
OTHER
|
80446-0401-01 - Tebentafusp Tebn 100 Mcg/0.5 Ml Soln
|
14
|
13
|
$48,347.13
|
$26,590.92
45% off
|
$7,252.07
|
$48,347.13
|
$39,886.38
|
2026-05-06
|
|
5522357
|
OTHER
|
80446-0401-01w - Waste Tebenetafusp-tebn 100 Mcg Other
|
14
|
13
|
$48,347.13
|
$26,590.92
45% off
|
$7,252.07
|
$48,347.13
|
$39,886.38
|
2026-05-06
|
|
5523525
|
OTHER
|
37227 Revsc Opn/prq Fem/pop W/stnt/athrc/angiop Sm Vsl
|
34
|
13
|
$30,806.00
|
$16,943.30
45% off
|
$4,620.90
|
$32,854.00
|
$26,185.10
|
2026-05-23
|
|
5524592
|
OTHER
|
00003-3756-14 - Nivolumab 10 mg/mL Soln
|
14
|
13
|
$59,784.00
|
$32,881.20
45% off
|
$8,967.60
|
$59,784.00
|
$49,321.80
|
2026-05-06
|
|
5543719
|
OTHER
|
72493-0103-03 - mitoMYcin 40 Mg Kit
|
14
|
13
|
$59,360.00
|
$32,648.00
45% off
|
$8,904.00
|
$59,360.00
|
$48,972.00
|
2026-05-06
|
|
5566646
|
OTHER
|
50242-0176-01 - Tenecteplase (TNKase) 50 Mg Kit
|
14
|
13
|
$39,792.40
|
$21,885.82
45% off
|
$5,968.86
|
$39,792.40
|
$32,828.73
|
2026-05-06
|
|
5566647
|
OTHER
|
50242-0176-01w - Waste Tenecteplase 1 Mg Other
|
14
|
13
|
$39,792.40
|
$21,885.82
45% off
|
$5,968.86
|
$39,792.40
|
$32,828.73
|
2026-05-06
|
|
57
|
OTHER
|
Level Iii Spine Procedures
|
4
|
2
|
—
|
—
|
$21,467.91
|
$26,567.76
|
$25,340.16
|
2026-05-23
|
|
61886
|
OTHER
|
Implant Neurostim Arrays
|
54
|
8
|
—
|
—
|
$583.70
|
$68,622.01
|
$27,769.10
|
2026-05-23
|
|
63685
|
OTHER
|
Ins/rplc Spi Npg/rcvr Pocket
|
67
|
8
|
—
|
—
|
$48.16
|
$68,622.01
|
$26,069.66
|
2026-05-23
|
|
64568
|
OTHER
|
Opn Impltj Crnl Nrv Nea&pg
|
67
|
8
|
—
|
—
|
$407.26
|
$68,622.01
|
$26,069.66
|
2026-05-23
|
|
64582
|
OTHER
|
Opn Mpltj Hpglsl Nstm Ary Pg
|
66
|
8
|
—
|
—
|
$569.26
|
$68,622.01
|
$26,069.66
|
2026-05-23
|
|
69930
|
OTHER
|
Implant Cochlear Device
|
67
|
8
|
—
|
—
|
$847.91
|
$71,626.51
|
$28,826.79
|
2026-05-23
|
|
82
|
OTHER
|
Cardiac Electrophysiologic Tests And Monitoring
|
4
|
2
|
—
|
—
|
$26,715.24
|
$33,061.64
|
$31,533.97
|
2026-05-23
|
|
97
|
OTHER
|
Aicd And Related Cardiac Device Insertion Or Replacement
|
4
|
2
|
—
|
—
|
$40,676.12
|
$50,339.02
|
$48,013.03
|
2026-05-23
|
|
A9543
|
OTHER
|
Y90 Ibritumomab- Rx
|
34
|
7
|
—
|
—
|
$56,824.55
|
$146,012.77
|
$65,476.58
|
2026-05-23
|
|
C9076
|
OTHER
|
Lisocabtagene Car Pos T
|
2
|
2
|
—
|
—
|
$61,259.33
|
$61,259.33
|
$61,259.33
|
2026-05-06
|
|
C9172
|
OTHER
|
Inj- Beqvez- Per Tx Dose
|
6
|
3
|
—
|
—
|
$3,605,000.00
|
$3,605,000.00
|
$3,605,000.00
|
2026-05-23
|
|
C9301
|
OTHER
|
Obecabtagene Car Pos T
|
1
|
1
|
—
|
—
|
$645,540.00
|
$645,540.00
|
$645,540.00
|
2026-05-06
|
|
C9760
|
OTHER
|
Non-blind Interatrial Shunt
|
36
|
8
|
—
|
—
|
$18,272.69
|
$64,083.85
|
$25,952.24
|
2026-05-23
|
|
G0448
|
OTHER
|
Place Perm Pacing Cardiovert
|
2
|
2
|
—
|
—
|
$37,074.63
|
$37,074.63
|
$37,074.63
|
2026-05-06
|
|
J1411
|
OTHER
|
Inj- Hemgenix- Per Tx Dose
|
27
|
7
|
—
|
—
|
$3,654,350.00
|
$3,710,000.00
|
$3,685,266.67
|
2026-05-23
|
|
J1413
|
OTHER
|
Inj Delandistrogene Mox Rokl
|
25
|
6
|
—
|
—
|
$3,296,000.00
|
$3,339,578.18
|
$3,324,571.90
|
2026-05-23
|
|
J1414
|
OTHER
|
Inj Beqvez Per Tx Dose
|
1
|
1
|
—
|
—
|
$3,710,000.00
|
$3,710,000.00
|
$3,710,000.00
|
2026-05-06
|
|
J3391
|
OTHER
|
Inj Atidarsagene Autotemcel
|
5
|
5
|
—
|
—
|
$4,377,500.00
|
$4,505,000.00
|
$4,505,000.00
|
2026-05-06
|
|
J3392
|
OTHER
|
Inj Exagamglogene Autotem
|
6
|
6
|
—
|
—
|
$2,332,000.00
|
$4,873,880.00
|
$2,332,000.00
|
2026-05-06
|
|
J3393
|
OTHER
|
Inj- Betibeglogene Autotemce
|
13
|
5
|
—
|
—
|
$2,945,740.00
|
$2,968,000.00
|
$2,968,000.00
|
2026-05-23
|
|
J3394
|
OTHER
|
Inj- Lovotibeglogene Autotem
|
13
|
5
|
—
|
—
|
$3,248,445.72
|
$3,286,000.00
|
$3,286,000.00
|
2026-05-23
|
|
J3399
|
OTHER
|
Inj Onase Abepar-xioi Treat
|
32
|
7
|
—
|
—
|
$2,272,602.41
|
$4,862,329.83
|
$2,328,648.84
|
2026-05-23
|
|
J3402
|
OTHER
|
Inj. Remestemcel-l-rknd/ Td
|
5
|
5
|
—
|
—
|
$205,640.00
|
$429,787.60
|
$205,640.00
|
2026-05-06
|
|
J3403
|
OTHER
|
Revakinagene Per Implant
|
5
|
5
|
—
|
—
|
$257,500.00
|
$538,175.00
|
$257,500.00
|
2026-05-06
|
|
J9029
|
OTHER
|
Instill Adstiladrin- Tx Dose
|
37
|
7
|
—
|
—
|
$61,800.00
|
$146,706.62
|
$63,402.04
|
2026-05-23
|
|
J9226
|
OTHER
|
Supprelin La Implant
|
39
|
7
|
—
|
—
|
$38,268.92
|
$104,891.93
|
$45,020.65
|
2026-05-23
|
|
J9266
|
OTHER
|
Pegaspargase Injection
|
43
|
7
|
—
|
—
|
$23,577.01
|
$62,803.63
|
$27,070.53
|
2026-05-23
|
|
L2006
|
OTHER
|
Kaf Sng/dbl Swg/stn Mcpr Cus
|
36
|
7
|
—
|
—
|
$33,805.04
|
$89,566.66
|
$37,701.48
|
2026-05-23
|
|
L5856
|
OTHER
|
Elec Knee-shin Swing/stance
|
36
|
7
|
—
|
—
|
$25,513.58
|
$67,598.35
|
$28,454.32
|
2026-05-23
|
|
L6700
|
OTHER
|
Ue Add Ext Power Myoel
|
7
|
6
|
—
|
—
|
$28,931.56
|
$67,121.22
|
$28,931.56
|
2026-05-06
|
|
L6880
|
OTHER
|
Elec Hand Ind Art Digits
|
36
|
7
|
—
|
—
|
$25,393.14
|
$67,279.26
|
$28,320.00
|
2026-05-23
|
|
L7180
|
OTHER
|
Electronic Elbow Sequential
|
36
|
7
|
—
|
—
|
$34,332.27
|
$90,963.53
|
$38,289.48
|
2026-05-23
|
|
L7181
|
OTHER
|
Electronic Elbo Simultaneous
|
36
|
7
|
—
|
—
|
$42,584.57
|
$112,828.07
|
$47,492.96
|
2026-05-23
|
|
L8701
|
OTHER
|
Ewh S/d Uprt Micro Sensor
|
17
|
6
|
—
|
—
|
$33,480.90
|
$79,539.90
|
$33,480.90
|
2026-05-23
|
|
L8702
|
OTHER
|
Ewhf S/d Uprt Micro Sensor
|
17
|
6
|
—
|
—
|
$65,871.74
|
$156,490.17
|
$65,871.74
|
2026-05-23
|
|
MS-001
|
OTHER
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
12
|
4
|
—
|
—
|
$154,453.90
|
$161,921.00
|
$161,005.91
|
2026-05-23
|
|
MS-002
|
OTHER
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
12
|
4
|
—
|
—
|
$63,345.00
|
$69,787.70
|
$63,392.48
|
2026-05-23
|
|
MS-003
|
OTHER
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth…
|
12
|
4
|
—
|
—
|
$118,827.17
|
$123,196.15
|
$122,357.74
|
2026-05-23
|
|
MS-004
|
OTHER
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec…
|
12
|
4
|
—
|
—
|
$77,545.68
|
$83,785.60
|
$81,224.06
|
2026-05-23
|
|
MS-005
|
OTHER
|
Liver Transplant With Mcc Or Intestinal Transplant
|
12
|
4
|
—
|
—
|
$57,722.31
|
$61,216.39
|
$60,104.15
|
2026-05-23
|
|
MS-006
|
OTHER
|
Liver Transplant Without Mcc
|
12
|
4
|
—
|
—
|
$25,959.78
|
$27,874.86
|
$27,721.87
|
2026-05-23
|
|
MS-007
|
OTHER
|
Lung Transplant
|
12
|
4
|
—
|
—
|
$69,914.80
|
$75,123.92
|
$74,551.96
|
2026-05-23
|
|
MS-008
|
OTHER
|
Simultaneous Pancreas/kidney Transplant
|
12
|
4
|
—
|
—
|
$29,990.11
|
$32,017.14
|
$31,277.30
|
2026-05-23
|
|
MS-010
|
OTHER
|
Pancreas Transplant
|
12
|
4
|
—
|
—
|
$27,436.08
|
$45,831.53
|
$43,411.91
|
2026-05-23
|
|
MS-011
|
OTHER
|
Tracheostomy For Face- Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
12
|
4
|
—
|
—
|
$29,389.37
|
$31,157.38
|
$31,017.47
|
2026-05-23
|
|
MS-014
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
12
|
4
|
—
|
—
|
$65,323.70
|
$75,313.62
|
$71,983.86
|
2026-05-23
|
|
MS-016
|
OTHER
|
Autolous Bone Marrow Transplant W Cc/mcc Or T-cell Immunotherapy
|
12
|
4
|
—
|
—
|
$33,196.84
|
$35,207.05
|
$34,696.41
|
2026-05-23
|
|
MS-017
|
OTHER
|
Autolous Bone Marrow Transplant Without Cc/mcc
|
12
|
4
|
—
|
—
|
$30,412.19
|
$35,207.05
|
$34,696.41
|
2026-05-23
|
|
MS-018
|
OTHER
|
Chimeric Antigen Receptor (car) T-cell Immunotherapy
|
12
|
4
|
—
|
—
|
$209,992.35
|
$246,688.38
|
$216,786.05
|
2026-05-23
|
|
MS-019
|
OTHER
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
12
|
4
|
—
|
—
|
$39,942.35
|
$45,568.83
|
$45,564.69
|
2026-05-23
|
|
MS-020
|
OTHER
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
12
|
4
|
—
|
—
|
$44,052.69
|
$48,176.15
|
$46,337.95
|
2026-05-23
|
|
MS-021
|
OTHER
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
12
|
4
|
—
|
—
|
$29,636.81
|
$35,004.14
|
$31,772.81
|
2026-05-23
|
|
MS-023
|
OTHER
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
12
|
4
|
—
|
—
|
$32,080.51
|
$32,794.86
|
$32,765.04
|
2026-05-23
|
|
MS-025
|
OTHER
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
12
|
4
|
—
|
—
|
$25,169.88
|
$25,973.72
|
$25,708.31
|
2026-05-23
|
|
MS-028
|
OTHER
|
Spinal Procedures With Mcc
|
12
|
4
|
—
|
—
|
$33,636.87
|
$34,947.04
|
$34,647.00
|
2026-05-23
|
|
MS-163
|
OTHER
|
Major Chest Procedures With Mcc
|
12
|
4
|
—
|
—
|
$25,090.91
|
$26,866.11
|
$26,495.25
|
2026-05-23
|
|
MS-207
|
OTHER
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
12
|
4
|
—
|
—
|
$36,024.03
|
$39,373.53
|
$37,175.67
|
2026-05-23
|
|
MS-209
|
OTHER
|
Complex Aortic Arch Procedures
|
4
|
4
|
—
|
—
|
$63,367.18
|
$64,660.38
|
$64,660.38
|
2026-05-06
|
|
MS-212
|
OTHER
|
Concomitant Aortic And Mitral Valve?procedures
|
12
|
4
|
—
|
—
|
$60,877.57
|
$62,621.86
|
$62,370.92
|
2026-05-23
|
|
MS-213
|
OTHER
|
Endovascular Abdominal Aorta With Iliac Branch Procedures
|
4
|
4
|
—
|
—
|
$31,949.51
|
$32,601.54
|
$32,601.54
|
2026-05-06
|
|
MS-215
|
OTHER
|
Other Heart Assist System Implant
|
12
|
4
|
—
|
—
|
$55,743.27
|
$60,902.53
|
$59,561.92
|
2026-05-23
|
|
MS-216
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
18
|
6
|
—
|
—
|
$33,500.00
|
$55,885.75
|
$55,397.56
|
2026-05-23
|
|
MS-217
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
18
|
6
|
—
|
—
|
$33,500.00
|
$37,562.41
|
$36,966.68
|
2026-05-23
|
|
MS-218
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
18
|
6
|
—
|
—
|
$32,469.48
|
$37,562.41
|
$34,198.61
|
2026-05-23
|
|
MS-219
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
15
|
5
|
—
|
—
|
$30,000.00
|
$44,477.79
|
$43,951.53
|
2026-05-23
|
|
MS-220
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
15
|
5
|
—
|
—
|
$29,855.15
|
$30,464.44
|
$30,447.24
|
2026-05-23
|
|
MS-221
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
15
|
5
|
—
|
—
|
$26,399.83
|
$30,000.00
|
$26,495.63
|
2026-05-23
|
|
MS-228
|
OTHER
|
Other Cardiothoracic Procedures With Mcc
|
18
|
6
|
—
|
—
|
$25,000.00
|
$28,719.08
|
$28,262.78
|
2026-05-23
|
|
MS-231
|
OTHER
|
Coronary Bypass With Ptca With Mcc
|
18
|
6
|
—
|
—
|
$30,000.00
|
$48,710.87
|
$47,675.53
|
2026-05-23
|
|
MS-232
|
OTHER
|
Coronary Bypass With Ptca Without Mcc
|
18
|
6
|
—
|
—
|
$30,000.00
|
$35,114.89
|
$34,287.19
|
2026-05-23
|
|
MS-233
|
OTHER
|
Coronary Bypass With Cardiac Catheterization With Mcc
|
15
|
5
|
—
|
—
|
$25,000.00
|
$44,931.33
|
$44,455.38
|
2026-05-23
|
|
MS-234
|
OTHER
|
Coronary Bypass With Cardiac Catheterization Without Mcc
|
15
|
5
|
—
|
—
|
$25,000.00
|
$31,206.51
|
$30,582.33
|
2026-05-23
|
|
MS-235
|
OTHER
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
15
|
5
|
—
|
—
|
$18,000.00
|
$33,824.39
|
$33,525.28
|
2026-05-23
|
|
MS-239
|
OTHER
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
12
|
4
|
—
|
—
|
$27,397.32
|
$28,953.82
|
$28,534.90
|
2026-05-23
|
|
MS-245
|
OTHER
|
Aicd Generator Procedures
|
12
|
4
|
—
|
—
|
$25,542.14
|
$28,090.99
|
$27,077.20
|
2026-05-23
|
|
MS-266
|
OTHER
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
12
|
4
|
—
|
—
|
$34,309.24
|
$35,600.90
|
$34,437.16
|
2026-05-23
|
|
MS-267
|
OTHER
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
12
|
4
|
—
|
—
|
$26,652.87
|
$27,815.68
|
$27,044.22
|
2026-05-23
|
|
MS-268
|
OTHER
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
12
|
4
|
—
|
—
|
$38,327.64
|
$39,291.06
|
$38,416.44
|
2026-05-23
|
|
MS-270
|
OTHER
|
Other Major Cardiovascular Procedures With Mcc
|
15
|
5
|
—
|
—
|
$18,000.00
|
$30,141.67
|
$29,506.24
|
2026-05-23
|
|
MS-275
|
OTHER
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
12
|
4
|
—
|
—
|
$39,918.84
|
$40,733.51
|
$40,623.53
|
2026-05-23
|
|
MS-276
|
OTHER
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
12
|
4
|
—
|
—
|
$33,627.35
|
$35,607.53
|
$35,501.90
|
2026-05-23
|
|
MS-277
|
OTHER
|
Cardiac Defibrillator Implant Without Mcc
|
12
|
4
|
—
|
—
|
$25,856.21
|
$27,258.25
|
$26,740.71
|
2026-05-23
|
|
MS-278
|
OTHER
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
12
|
4
|
—
|
—
|
$25,422.94
|
$31,797.77
|
$28,760.68
|
2026-05-23
|
|
MS-317
|
OTHER
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
10
|
4
|
—
|
—
|
$35,561.54
|
$38,197.66
|
$35,561.54
|
2026-05-23
|
|
MS-319
|
OTHER
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
12
|
4
|
—
|
—
|
$24,861.52
|
$25,495.00
|
$25,251.31
|
2026-05-23
|
|
MS-326
|
OTHER
|
Stomach- Esophageal And Duodenal Procedures With Mcc
|
12
|
4
|
—
|
—
|
$27,921.46
|
$29,195.83
|
$29,072.31
|
2026-05-23
|
|
MS-329
|
OTHER
|
Major Small And Large Bowel Procedures With Mcc
|
12
|
4
|
—
|
—
|
$25,733.05
|
$26,395.81
|
$26,327.01
|
2026-05-23
|
|
MS-405
|
OTHER
|
Pancreas- Liver And Shunt Procedures With Mcc
|
12
|
4
|
—
|
—
|
$30,626.05
|
$31,377.99
|
$31,206.02
|
2026-05-23
|
|
MS-426
|
OTHER
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
10
|
4
|
—
|
—
|
$60,216.17
|
$62,960.30
|
$60,216.17
|
2026-05-23
|
|
MS-427
|
OTHER
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
10
|
4
|
—
|
—
|
$40,412.61
|
$41,237.36
|
$40,828.74
|
2026-05-23
|
|
MS-428
|
OTHER
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
10
|
4
|
—
|
—
|
$31,474.21
|
$32,116.54
|
$31,639.45
|
2026-05-23
|
|
MS-429
|
OTHER
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
10
|
4
|
—
|
—
|
$47,944.62
|
$51,468.72
|
$47,944.62
|
2026-05-23
|
|
MS-430
|
OTHER
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
10
|
4
|
—
|
—
|
$31,446.30
|
$32,945.44
|
$31,446.30
|
2026-05-23
|
|
MS-447
|
OTHER
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
10
|
4
|
—
|
—
|
$37,406.27
|
$38,540.90
|
$38,540.90
|
2026-05-23
|
|
MS-450
|
OTHER
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
10
|
4
|
—
|
—
|
$29,604.53
|
$30,446.16
|
$29,604.53
|
2026-05-23
|
|
MS-453
|
OTHER
|
Combined Anterior/posterior Spinal Fusion W Mcc
|
2
|
1
|
—
|
—
|
$50,507.32
|
$50,507.32
|
$50,507.32
|
2026-05-23
|
|
MS-454
|
OTHER
|
Combined Anterior/posterior Spinal Fusion W Cc
|
2
|
1
|
—
|
—
|
$34,861.08
|
$34,861.08
|
$34,861.08
|
2026-05-23
|
|
MS-455
|
OTHER
|
Combined Anterior/posterior Spinal Fusion Without Cc/mcc
|
2
|
1
|
—
|
—
|
$26,250.54
|
$26,250.54
|
$26,250.54
|
2026-05-23
|
|
MS-456
|
OTHER
|
Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex…
|
12
|
4
|
—
|
—
|
$47,045.60
|
$48,683.85
|
$48,364.45
|
2026-05-23
|
|
MS-457
|
OTHER
|
Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex…
|
12
|
4
|
—
|
—
|
$32,992.03
|
$34,627.39
|
$33,187.93
|
2026-05-23
|
|
MS-458
|
OTHER
|
Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex…
|
12
|
4
|
—
|
—
|
$23,359.89
|
$25,825.34
|
$24,821.34
|
2026-05-23
|
|
MS-459
|
OTHER
|
Spinal Fusion Except Cervical With Mcc
|
2
|
1
|
—
|
—
|
$37,802.12
|
$37,802.12
|
$37,802.12
|
2026-05-23
|
|
MS-461
|
OTHER
|
Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc
|
12
|
4
|
—
|
—
|
$30,919.97
|
$38,863.41
|
$35,275.85
|
2026-05-23
|
|
MS-463
|
OTHER
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
12
|
4
|
—
|
—
|
$31,046.79
|
$32,559.27
|
$31,477.44
|
2026-05-23
|
|
MS-466
|
OTHER
|
Revision Of Hip Or Knee Replacement With Mcc
|
12
|
4
|
—
|
—
|
$29,141.91
|
$29,736.65
|
$29,285.50
|
2026-05-23
|
|
MS-471
|
OTHER
|
Cervical Spinal Fusion With Mcc
|
12
|
4
|
—
|
—
|
$27,033.00
|
$28,036.83
|
$27,921.42
|
2026-05-23
|
|
MS-474
|
OTHER
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
12
|
4
|
—
|
—
|
$24,033.37
|
$25,779.59
|
$25,152.13
|
2026-05-23
|
|
MS-573
|
OTHER
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
12
|
4
|
—
|
—
|
$35,399.44
|
$37,425.88
|
$35,420.38
|
2026-05-23
|
|
MS-576
|
OTHER
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
12
|
4
|
—
|
—
|
$27,438.88
|
$32,391.97
|
$31,014.03
|
2026-05-23
|
|
MS-650
|
OTHER
|
Kidney Transplant With Hemodialysis With Mcc
|
12
|
4
|
—
|
—
|
$25,634.40
|
$26,857.47
|
$26,484.33
|
2026-05-23
|
|
MS-653
|
OTHER
|
Major Bladder Procedures With Mcc
|
12
|
4
|
—
|
—
|
$29,091.53
|
$32,044.70
|
$31,450.30
|
2026-05-23
|
|
MS-790
|
OTHER
|
Extreme Immaturity Or Respiratory Distress Syndrome- Neonate
|
12
|
4
|
—
|
—
|
$33,274.09
|
$34,198.77
|
$34,172.74
|
2026-05-23
|
|
MS-799
|
OTHER
|
Splenic Procedures With Mcc
|
12
|
4
|
—
|
—
|
$25,354.60
|
$28,239.74
|
$27,332.21
|
2026-05-23
|
|
MS-820
|
OTHER
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
12
|
4
|
—
|
—
|
$32,833.50
|
$34,464.38
|
$33,468.57
|
2026-05-23
|
|
MS-823
|
OTHER
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
12
|
4
|
—
|
—
|
$25,659.48
|
$26,899.36
|
$26,545.36
|
2026-05-23
|
|
MS-826
|
OTHER
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
12
|
4
|
—
|
—
|
$26,188.20
|
$27,451.20
|
$27,086.93
|
2026-05-23
|
|
MS-834
|
OTHER
|
Acute Leukemia Without Major O.r. Procedures With Mcc
|
12
|
4
|
—
|
—
|
$30,734.66
|
$31,912.62
|
$31,772.81
|
2026-05-23
|
|
MS-837
|
OTHER
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
12
|
4
|
—
|
—
|
$26,896.40
|
$28,783.09
|
$28,196.22
|
2026-05-23
|
|
MS-850
|
OTHER
|
Acute Leukemia With Other Procedures
|
10
|
4
|
—
|
—
|
$48,479.35
|
$52,953.15
|
$52,953.15
|
2026-05-23
|
|
MS-853
|
OTHER
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
12
|
4
|
—
|
—
|
$27,648.26
|
$28,749.18
|
$28,621.85
|
2026-05-23
|
|
MS-856
|
OTHER
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
12
|
4
|
—
|
—
|
$25,240.55
|
$25,985.15
|
$25,934.22
|
2026-05-23
|
|
MS-870
|
OTHER
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
12
|
4
|
—
|
—
|
$38,695.02
|
$39,988.34
|
$39,843.09
|
2026-05-23
|
|
MS-901
|
OTHER
|
Wound Debridements For Injuries With Mcc
|
12
|
4
|
—
|
—
|
$23,494.25
|
$25,468.03
|
$25,067.60
|
2026-05-23
|
|
MS-927
|
OTHER
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
12
|
4
|
—
|
—
|
$119,528.65
|
$150,236.69
|
$136,366.75
|
2026-05-23
|
|
MS-928
|
OTHER
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
12
|
4
|
—
|
—
|
$38,392.60
|
$40,975.15
|
$38,916.41
|
2026-05-23
|
|
MS-955
|
OTHER
|
Craniotomy For Multiple Significant Trauma
|
12
|
4
|
—
|
—
|
$34,712.32
|
$39,251.40
|
$38,851.92
|
2026-05-23
|
|
MS-957
|
OTHER
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
12
|
4
|
—
|
—
|
$41,223.08
|
$43,529.85
|
$42,906.77
|
2026-05-23
|
|
MS-969
|
OTHER
|
HIV With Extensive O.r. Procedures With Mcc
|
12
|
4
|
—
|
—
|
$34,269.49
|
$39,171.76
|
$36,354.23
|
2026-05-23
|
|
MS-981
|
OTHER
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
12
|
4
|
—
|
—
|
$26,266.58
|
$27,327.04
|
$27,172.95
|
2026-05-23
|
|
Q0480
|
OTHER
|
Driver Pneumatic Vad- Rep
|
36
|
7
|
—
|
—
|
$95,721.17
|
$231,999.81
|
$99,999.92
|
2026-05-23
|
|
Q2041
|
OTHER
|
Axicabtagene Ciloleucel Car+
|
45
|
7
|
—
|
—
|
$422,884.77
|
$1,166,590.49
|
$489,455.96
|
2026-05-23
|
|
Q2042
|
OTHER
|
Tisagenlecleucel Car-pos T
|
45
|
7
|
—
|
—
|
$453,856.60
|
$1,342,749.00
|
$529,192.86
|
2026-05-23
|
|
Q2043
|
OTHER
|
Sipuleucel-t Auto Cd54+
|
45
|
7
|
—
|
—
|
$53,426.66
|
$132,279.67
|
$55,272.32
|
2026-05-23
|
|
Q2053
|
OTHER
|
Brexucabtagene Car Pos T
|
41
|
7
|
—
|
—
|
$422,940.00
|
$1,135,406.05
|
$460,530.40
|
2026-05-23
|
|
Q2054
|
OTHER
|
Lisocabtagene Mara Car Pos T
|
45
|
7
|
—
|
—
|
$434,918.00
|
$1,198,146.11
|
$516,485.97
|
2026-05-23
|
|
Q2055
|
OTHER
|
Idecabtagene Vicleucel Car
|
45
|
7
|
—
|
—
|
$444,670.00
|
$1,224,084.11
|
$526,587.59
|
2026-05-23
|
|
Q2056
|
OTHER
|
Ciltacabtagene Car-pos T
|
45
|
7
|
—
|
—
|
$478,950.00
|
$1,283,352.78
|
$527,123.43
|
2026-05-23
|
|
Q2057
|
OTHER
|
Afamitresgene Autoleucel
|
7
|
6
|
—
|
—
|
$770,620.00
|
$1,787,838.40
|
$770,620.00
|
2026-05-06
|
|
Q2058
|
OTHER
|
Obecbtge Autol Up To 400 Mil
|
6
|
6
|
—
|
—
|
$270,375.00
|
$581,542.50
|
$278,250.00
|
2026-05-06
|