|
018
|
OTHER
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
18
|
7
|
—
|
—
|
$270,572.79
|
$287,467.46
|
$279,094.62
|
2026-05-22
|
|
001
|
OTHER
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
16
|
7
|
—
|
—
|
$181,605.87
|
$187,054.05
|
$181,605.87
|
2026-05-22
|
|
927
|
OTHER
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
18
|
7
|
—
|
—
|
$138,688.43
|
$193,578.29
|
$138,688.43
|
2026-05-22
|
|
003
|
OTHER
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
18
|
7
|
—
|
—
|
$137,882.61
|
$156,576.28
|
$137,882.61
|
2026-05-22
|
|
004
|
OTHER
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
18
|
7
|
—
|
—
|
$90,460.77
|
$107,956.80
|
$90,460.77
|
2026-05-22
|
|
007
|
OTHER
|
Lung Transplant
|
16
|
7
|
—
|
—
|
$84,665.05
|
$87,205.00
|
$84,665.05
|
2026-05-22
|
|
014
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
16
|
7
|
—
|
—
|
$78,669.31
|
$81,029.39
|
$78,669.31
|
2026-05-22
|
|
002
|
OTHER
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
16
|
7
|
—
|
—
|
$74,256.92
|
$76,484.63
|
$74,256.92
|
2026-05-22
|
|
209
|
OTHER
|
Complex Aortic Arch Procedures
|
16
|
7
|
—
|
—
|
$74,173.31
|
$76,398.51
|
$74,173.31
|
2026-05-22
|
|
426
|
OTHER
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
16
|
7
|
—
|
—
|
$72,259.42
|
$74,427.20
|
$72,259.42
|
2026-05-22
|
|
212
|
OTHER
|
Concomitant Aortic And Mitral Valve Procedures
|
18
|
7
|
—
|
—
|
$71,313.40
|
$79,100.02
|
$71,313.40
|
2026-05-22
|
|
005
|
OTHER
|
Liver Transplant With Mcc Or Intestinal Transplant
|
16
|
7
|
—
|
—
|
$67,688.82
|
$69,719.48
|
$67,688.82
|
2026-05-22
|
|
215
|
OTHER
|
Other Heart Assist System Implant
|
18
|
7
|
—
|
—
|
$65,415.41
|
$75,017.49
|
$65,415.41
|
2026-05-22
|
|
216
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
18
|
7
|
—
|
—
|
$64,295.11
|
$71,275.72
|
$64,295.11
|
2026-05-22
|
|
429
|
OTHER
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
16
|
7
|
—
|
—
|
$59,322.57
|
$61,102.25
|
$59,322.57
|
2026-05-22
|
|
850
|
OTHER
|
Acute Leukemia With Other Procedures
|
16
|
7
|
—
|
—
|
$57,071.03
|
$58,783.16
|
$57,071.03
|
2026-05-22
|
|
231
|
OTHER
|
Coronary Bypass With Ptca With Mcc
|
18
|
7
|
—
|
—
|
$55,594.44
|
$59,598.03
|
$55,594.44
|
2026-05-22
|
|
456
|
OTHER
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
18
|
7
|
—
|
—
|
$55,424.02
|
$61,905.51
|
$55,424.02
|
2026-05-22
|
|
020
|
OTHER
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
18
|
7
|
—
|
—
|
$51,985.95
|
$62,074.43
|
$51,985.95
|
2026-05-22
|
|
219
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
18
|
7
|
—
|
—
|
$50,760.80
|
$56,631.05
|
$50,760.80
|
2026-05-22
|
|
233
|
OTHER
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
18
|
7
|
—
|
—
|
$50,547.94
|
$57,280.26
|
$50,547.94
|
2026-05-22
|
|
957
|
OTHER
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
18
|
7
|
—
|
—
|
$50,385.24
|
$53,115.48
|
$50,385.24
|
2026-05-22
|
|
427
|
OTHER
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
16
|
7
|
—
|
—
|
$47,804.43
|
$49,238.56
|
$47,804.43
|
2026-05-22
|
|
010
|
OTHER
|
Pancreas Transplant
|
16
|
7
|
—
|
—
|
$47,528.54
|
$48,954.40
|
$47,528.54
|
2026-05-22
|
|
928
|
OTHER
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
18
|
7
|
—
|
—
|
$47,509.24
|
$50,818.28
|
$47,509.24
|
2026-05-22
|
|
019
|
OTHER
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
18
|
7
|
—
|
—
|
$47,264.22
|
$58,704.26
|
$47,264.22
|
2026-05-22
|
|
275
|
OTHER
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
18
|
7
|
—
|
—
|
$47,237.20
|
$51,670.92
|
$47,237.20
|
2026-05-22
|
|
870
|
OTHER
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
18
|
7
|
—
|
—
|
$45,831.37
|
$51,150.23
|
$45,831.37
|
2026-05-22
|
|
268
|
OTHER
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
18
|
7
|
—
|
—
|
$45,613.35
|
$50,340.92
|
$45,613.35
|
2026-05-22
|
|
955
|
OTHER
|
Craniotomy For Multiple Significant Trauma
|
18
|
7
|
—
|
—
|
$44,669.26
|
$46,009.34
|
$44,669.26
|
2026-05-22
|
|
317
|
OTHER
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
16
|
7
|
—
|
—
|
$44,382.43
|
$45,713.90
|
$44,382.43
|
2026-05-22
|
|
447
|
OTHER
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
16
|
7
|
—
|
—
|
$44,350.91
|
$45,681.44
|
$44,350.91
|
2026-05-22
|
|
218
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
18
|
7
|
—
|
—
|
$41,836.56
|
$44,977.31
|
$43,667.29
|
2026-05-22
|
|
217
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
18
|
7
|
—
|
—
|
$43,667.29
|
$46,746.76
|
$43,667.29
|
2026-05-22
|
|
573
|
OTHER
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
18
|
7
|
—
|
—
|
$43,513.59
|
$45,665.73
|
$43,513.59
|
2026-05-22
|
|
207
|
OTHER
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
18
|
7
|
—
|
—
|
$42,763.08
|
$50,732.35
|
$42,763.08
|
2026-05-22
|
|
266
|
OTHER
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
20
|
8
|
—
|
—
|
$40,793.22
|
$57,750.00
|
$40,793.22
|
2026-05-22
|
|
969
|
OTHER
|
HIV With Extensive O.r. Procedures With Mcc
|
18
|
7
|
—
|
—
|
$40,747.56
|
$50,472.37
|
$40,747.56
|
2026-05-22
|
|
232
|
OTHER
|
Coronary Bypass With Ptca Without Mcc
|
18
|
7
|
—
|
—
|
$40,370.05
|
$43,686.52
|
$40,370.05
|
2026-05-22
|
|
028
|
OTHER
|
Spinal Procedures With Mcc
|
18
|
7
|
—
|
—
|
$40,020.84
|
$44,255.68
|
$40,020.84
|
2026-05-22
|
|
276
|
OTHER
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
18
|
7
|
—
|
—
|
$40,009.89
|
$45,607.71
|
$40,009.89
|
2026-05-22
|
|
457
|
OTHER
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
18
|
7
|
—
|
—
|
$39,730.15
|
$44,617.00
|
$39,730.15
|
2026-05-22
|
|
790
|
OTHER
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
16
|
7
|
—
|
—
|
$39,604.11
|
$40,792.23
|
$39,604.11
|
2026-05-22
|
|
016
|
OTHER
|
Autologous Bone Marrow Transplant With Cc/mcc
|
16
|
7
|
—
|
—
|
$39,515.35
|
$40,700.81
|
$39,515.35
|
2026-05-22
|
|
235
|
OTHER
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
18
|
7
|
—
|
—
|
$39,122.40
|
$43,187.13
|
$39,122.40
|
2026-05-22
|
|
820
|
OTHER
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
18
|
7
|
—
|
—
|
$39,097.98
|
$44,406.96
|
$39,097.98
|
2026-05-22
|
|
430
|
OTHER
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
16
|
7
|
—
|
—
|
$38,469.65
|
$39,623.74
|
$38,469.65
|
2026-05-22
|
|
023
|
OTHER
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
18
|
7
|
—
|
—
|
$38,232.99
|
$41,631.67
|
$38,232.99
|
2026-05-22
|
|
213
|
OTHER
|
Endovascular Abdominal Aorta With Iliac Branch Procedures
|
16
|
7
|
—
|
—
|
$38,082.50
|
$39,224.98
|
$38,082.50
|
2026-05-22
|
|
463
|
OTHER
|
Wnd Debrid & Skn Grft Exc Hand; For Musculo-conn Tiss Dis With Comorbity
|
18
|
7
|
—
|
—
|
$38,034.91
|
$41,594.21
|
$38,034.91
|
2026-05-22
|
|
428
|
OTHER
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
16
|
7
|
—
|
—
|
$37,536.49
|
$38,662.58
|
$37,536.49
|
2026-05-22
|
|
008
|
OTHER
|
Simultaneous Pancreas And Kidney Transplant
|
16
|
7
|
—
|
—
|
$37,424.58
|
$38,547.32
|
$37,424.58
|
2026-05-22
|
|
278
|
OTHER
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
18
|
7
|
—
|
—
|
$32,757.18
|
$38,292.97
|
$37,177.64
|
2026-05-22
|
|
461
|
OTHER
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
18
|
7
|
—
|
—
|
$36,899.81
|
$50,075.06
|
$36,899.81
|
2026-05-22
|
|
834
|
OTHER
|
Acute Leukemia With Mcc
|
18
|
7
|
—
|
—
|
$36,686.95
|
$41,119.06
|
$36,686.95
|
2026-05-22
|
|
405
|
OTHER
|
Pancreas, Liver And Shunt Procedures With Mcc
|
18
|
7
|
—
|
—
|
$36,562.18
|
$40,430.19
|
$36,562.18
|
2026-05-22
|
|
234
|
OTHER
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
18
|
7
|
—
|
—
|
$36,512.01
|
$38,173.38
|
$36,512.01
|
2026-05-22
|
|
011
|
OTHER
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
18
|
7
|
—
|
—
|
$36,456.71
|
$37,867.87
|
$36,456.71
|
2026-05-22
|
|
017
|
OTHER
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
16
|
7
|
—
|
—
|
$36,316.50
|
$37,406.00
|
$36,316.50
|
2026-05-22
|
|
220
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
18
|
7
|
—
|
—
|
$35,676.62
|
$38,516.34
|
$35,676.62
|
2026-05-22
|
|
450
|
OTHER
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
16
|
7
|
—
|
—
|
$35,656.04
|
$36,725.72
|
$35,656.04
|
2026-05-22
|
|
021
|
OTHER
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
18
|
7
|
—
|
—
|
$35,425.81
|
$45,102.44
|
$35,425.81
|
2026-05-22
|
|
270
|
OTHER
|
Other Major Cardiovascular Procedures With Mcc
|
18
|
7
|
—
|
—
|
$35,313.25
|
$37,137.87
|
$35,313.25
|
2026-05-22
|
|
466
|
OTHER
|
Revision Of Hip Or Knee Replacement With Mcc
|
20
|
8
|
—
|
—
|
$30,000.00
|
$38,090.39
|
$34,857.29
|
2026-05-22
|
|
653
|
OTHER
|
Major Bladder Procedures With Mcc
|
18
|
7
|
—
|
—
|
$34,799.42
|
$39,757.48
|
$34,799.42
|
2026-05-22
|
|
221
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
18
|
7
|
—
|
—
|
$33,794.87
|
$34,808.72
|
$33,794.87
|
2026-05-22
|
|
326
|
OTHER
|
Stomach; Esophageal & Duodenal Proc With Comorbity
|
18
|
7
|
—
|
—
|
$33,455.31
|
$37,300.18
|
$33,455.31
|
2026-05-22
|
|
228
|
OTHER
|
Other Cardiothoracic Procedures With Mcc
|
18
|
7
|
—
|
—
|
$33,198.07
|
$37,004.21
|
$33,198.07
|
2026-05-22
|
|
853
|
OTHER
|
Infectious & Parasitic Diseases With O.r. Procedure With Comorbity
|
18
|
7
|
—
|
—
|
$33,141.48
|
$36,714.86
|
$33,141.48
|
2026-05-22
|
|
239
|
OTHER
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
18
|
7
|
—
|
—
|
$33,032.78
|
$35,301.14
|
$33,032.78
|
2026-05-22
|
|
576
|
OTHER
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
18
|
7
|
—
|
—
|
$32,900.93
|
$41,736.69
|
$32,900.93
|
2026-05-22
|
|
471
|
OTHER
|
Cervical Spinal Fusion With Mcc
|
18
|
7
|
—
|
—
|
$32,434.69
|
$36,125.14
|
$32,434.69
|
2026-05-22
|
|
837
|
OTHER
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
18
|
7
|
—
|
—
|
$32,277.76
|
$34,932.47
|
$32,277.76
|
2026-05-22
|
|
267
|
OTHER
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
20
|
8
|
—
|
—
|
$31,998.01
|
$57,750.00
|
$31,998.01
|
2026-05-22
|
|
650
|
OTHER
|
Kidney Transplant With Hemodialysis With Mcc
|
18
|
7
|
—
|
—
|
$31,616.01
|
$33,029.64
|
$31,616.01
|
2026-05-22
|
|
981
|
OTHER
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
18
|
7
|
—
|
—
|
$31,554.26
|
$34,813.50
|
$31,554.26
|
2026-05-22
|
|
826
|
OTHER
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
18
|
7
|
—
|
—
|
$31,464.24
|
$32,408.17
|
$31,464.24
|
2026-05-22
|
|
006
|
OTHER
|
Liver Transplant Without Mcc
|
16
|
7
|
—
|
—
|
$31,201.84
|
$32,137.90
|
$31,201.84
|
2026-05-22
|
|
277
|
OTHER
|
Cardiac Defibrillator Implant Without Mcc
|
18
|
7
|
—
|
—
|
$31,082.86
|
$35,121.95
|
$31,082.86
|
2026-05-22
|
|
329
|
OTHER
|
Major Small & Large Bowel Procedures With Comorbity
|
18
|
7
|
—
|
—
|
$30,941.38
|
$33,171.38
|
$30,941.38
|
2026-05-22
|
|
823
|
OTHER
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
18
|
7
|
—
|
—
|
$30,866.13
|
$33,061.95
|
$30,866.13
|
2026-05-22
|
|
245
|
OTHER
|
Aicd Generator Procedures
|
18
|
7
|
—
|
—
|
$30,722.08
|
$33,278.60
|
$30,722.08
|
2026-05-22
|
|
856
|
OTHER
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
18
|
7
|
—
|
—
|
$30,633.98
|
$32,522.17
|
$30,633.98
|
2026-05-22
|
|
025
|
OTHER
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
18
|
7
|
—
|
—
|
$30,621.11
|
$32,431.10
|
$30,621.11
|
2026-05-22
|
|
799
|
OTHER
|
Splenic Procedures With Mcc
|
18
|
7
|
—
|
—
|
$30,506.64
|
$36,386.58
|
$30,506.64
|
2026-05-22
|
|
163
|
OTHER
|
Major Chest Procedures With Mcc
|
18
|
7
|
—
|
—
|
$30,203.72
|
$34,616.68
|
$30,203.72
|
2026-05-22
|
|
031
|
OTHER
|
Ventricular Shunt Procedures With Mcc
|
18
|
7
|
—
|
—
|
$30,195.38
|
$31,101.24
|
$30,195.38
|
2026-05-22
|
|
319
|
OTHER
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
18
|
7
|
—
|
—
|
$30,082.19
|
$32,033.79
|
$30,082.19
|
2026-05-22
|
|
356
|
OTHER
|
Other Digestive System O.r. Procedures With Comorbity
|
18
|
7
|
—
|
—
|
$29,631.36
|
$31,422.77
|
$29,631.36
|
2026-05-22
|
|
323
|
OTHER
|
Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc
|
18
|
7
|
—
|
—
|
$29,210.75
|
$30,404.16
|
$29,210.75
|
2026-05-22
|
|
474
|
OTHER
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
18
|
7
|
—
|
—
|
$28,988.89
|
$31,599.76
|
$28,988.89
|
2026-05-22
|
|
140
|
OTHER
|
Major Head And Neck Procedures With Mcc
|
18
|
7
|
—
|
—
|
$27,746.37
|
$29,675.74
|
$28,811.40
|
2026-05-22
|
|
448
|
OTHER
|
Multiple Level Spinal Fusion Except Cervical Without Mcc
|
16
|
7
|
—
|
—
|
$28,653.84
|
$29,513.46
|
$28,653.84
|
2026-05-22
|
|
269
|
OTHER
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
18
|
7
|
—
|
—
|
$28,540.65
|
$30,540.76
|
$28,540.65
|
2026-05-22
|
|
012
|
OTHER
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc
|
18
|
7
|
—
|
—
|
$28,494.34
|
$29,411.99
|
$28,494.34
|
2026-05-22
|
|
958
|
OTHER
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
18
|
7
|
—
|
—
|
$28,480.83
|
$29,705.01
|
$28,480.83
|
2026-05-22
|
|
673
|
OTHER
|
Other Kidney & Urinary Tract Procedures With Comorbity
|
18
|
7
|
—
|
—
|
$27,158.11
|
$29,253.77
|
$28,401.72
|
2026-05-22
|
|
901
|
OTHER
|
Wound Debridements For Injuries With Mcc
|
18
|
7
|
—
|
—
|
$28,369.58
|
$31,783.36
|
$28,369.58
|
2026-05-22
|
|
236
|
OTHER
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
18
|
7
|
—
|
—
|
$28,319.41
|
$29,678.57
|
$28,319.41
|
2026-05-22
|
|
458
|
OTHER
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
18
|
7
|
—
|
—
|
$28,215.23
|
$33,275.66
|
$28,215.23
|
2026-05-22
|
|
793
|
OTHER
|
Full Term Neonate With Major Problems
|
16
|
7
|
—
|
—
|
$28,195.93
|
$29,041.81
|
$28,195.93
|
2026-05-22
|
|
423
|
OTHER
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
18
|
7
|
—
|
—
|
$28,089.17
|
$28,931.85
|
$28,089.17
|
2026-05-22
|
|
273
|
OTHER
|
Percutaneous And Other Intracardiac Procedures With Mcc
|
18
|
7
|
—
|
—
|
$27,912.32
|
$28,749.69
|
$27,912.32
|
2026-05-22
|
|
791
|
OTHER
|
Prematurity With Major Problems
|
16
|
7
|
—
|
—
|
$27,484.66
|
$28,309.20
|
$27,484.66
|
2026-05-22
|
|
402
|
OTHER
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
16
|
7
|
—
|
—
|
$27,237.04
|
$28,054.15
|
$27,237.04
|
2026-05-22
|
|
802
|
OTHER
|
Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc
|
18
|
7
|
—
|
—
|
$24,898.36
|
$27,813.06
|
$27,002.97
|
2026-05-22
|
|
024
|
OTHER
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
18
|
7
|
—
|
—
|
$26,538.63
|
$27,824.95
|
$26,538.63
|
2026-05-22
|
|
933
|
OTHER
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft
|
18
|
7
|
—
|
—
|
$22,267.01
|
$27,217.53
|
$26,424.79
|
2026-05-22
|
|
034
|
OTHER
|
Carotid Artery Stent Procedures With Mcc
|
18
|
7
|
—
|
—
|
$26,273.68
|
$28,651.88
|
$26,273.68
|
2026-05-22
|
|
876
|
OTHER
|
O.r. Procedures With Principal Diagnosis Of Mental Illness
|
18
|
7
|
—
|
—
|
$26,236.38
|
$27,404.14
|
$26,236.38
|
2026-05-22
|
|
040
|
OTHER
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc
|
18
|
7
|
—
|
—
|
$26,212.58
|
$28,278.07
|
$26,212.58
|
2026-05-22
|
|
907
|
OTHER
|
Other O.r. Procedures For Injuries With Mcc
|
18
|
7
|
—
|
—
|
$26,071.74
|
$27,316.01
|
$26,071.74
|
2026-05-22
|
|
956
|
OTHER
|
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma
|
18
|
7
|
—
|
—
|
$25,581.04
|
$28,481.50
|
$25,581.04
|
2026-05-22
|
|
143
|
OTHER
|
Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc
|
18
|
7
|
—
|
—
|
$24,423.21
|
$26,239.84
|
$25,475.57
|
2026-05-22
|
|
166
|
OTHER
|
Other Respiratory System O.r. Procedures With Mcc
|
18
|
7
|
—
|
—
|
$25,418.33
|
$29,800.48
|
$25,418.33
|
2026-05-22
|
|
518
|
OTHER
|
Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…
|
18
|
7
|
—
|
—
|
$25,415.76
|
$26,818.82
|
$25,415.76
|
2026-05-22
|
|
628
|
OTHER
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc
|
18
|
7
|
—
|
—
|
$25,348.24
|
$29,482.49
|
$25,348.24
|
2026-05-22
|
|
651
|
OTHER
|
Kidney Transplant With Hemodialysis Without Mcc
|
18
|
7
|
—
|
—
|
$25,213.17
|
$25,969.57
|
$25,213.17
|
2026-05-22
|
|
904
|
OTHER
|
Skin Grafts For Injuries With Cc/mcc
|
18
|
7
|
—
|
—
|
$23,913.53
|
$25,752.97
|
$25,002.88
|
2026-05-22
|
|
492
|
OTHER
|
Lower Extrem & Humer Proc Except Hip; Foot; Femur With Comorbity
|
18
|
7
|
—
|
—
|
$24,993.24
|
$25,743.04
|
$24,993.24
|
2026-05-22
|
|
939
|
OTHER
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc
|
18
|
7
|
—
|
—
|
$23,613.16
|
$25,457.53
|
$24,716.05
|
2026-05-22
|
|
495
|
OTHER
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
18
|
7
|
—
|
—
|
$24,698.04
|
$26,300.33
|
$24,698.04
|
2026-05-22
|
|
332
|
OTHER
|
Rectal Resection With Mcc
|
18
|
7
|
—
|
—
|
$24,665.89
|
$26,641.09
|
$24,665.89
|
2026-05-22
|
|
265
|
OTHER
|
Aicd Lead Procedures
|
18
|
7
|
—
|
—
|
$24,649.80
|
$25,954.43
|
$24,649.80
|
2026-05-22
|
|
097
|
OTHER
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc
|
18
|
7
|
—
|
—
|
$24,608.65
|
$26,709.39
|
$24,608.65
|
2026-05-22
|
|
279
|
OTHER
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
18
|
7
|
—
|
—
|
$23,505.21
|
$25,311.14
|
$24,573.92
|
2026-05-22
|
|
739
|
OTHER
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…
|
18
|
7
|
—
|
—
|
$24,422.15
|
$26,558.11
|
$24,422.15
|
2026-05-22
|
|
736
|
OTHER
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc
|
18
|
7
|
—
|
—
|
$24,368.76
|
$28,547.60
|
$24,368.76
|
2026-05-22
|
|
335
|
OTHER
|
Peritoneal Adhesiolysis With Mcc
|
18
|
7
|
—
|
—
|
$24,345.60
|
$26,254.80
|
$24,345.60
|
2026-05-22
|
|
408
|
OTHER
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
18
|
7
|
—
|
—
|
$24,311.53
|
$27,335.84
|
$24,311.53
|
2026-05-22
|
|
414
|
OTHER
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc
|
18
|
7
|
—
|
—
|
$24,292.25
|
$25,889.07
|
$24,292.25
|
2026-05-22
|
|
622
|
OTHER
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
18
|
7
|
—
|
—
|
$24,270.37
|
$28,095.21
|
$24,270.37
|
2026-05-22
|
|
271
|
OTHER
|
Other Major Cardiovascular Procedures With Cc
|
18
|
7
|
—
|
—
|
$24,251.74
|
$25,382.33
|
$24,251.74
|
2026-05-22
|
|
467
|
OTHER
|
Revision Of Hip Or Knee Replacement With Cc
|
20
|
8
|
—
|
—
|
$24,060.72
|
$30,000.00
|
$24,060.72
|
2026-05-22
|
|
094
|
OTHER
|
Bacterial And Tuberculous Infections Of Nervous System With Mcc
|
18
|
7
|
—
|
—
|
$24,014.42
|
$26,605.11
|
$24,014.42
|
2026-05-22
|
|
252
|
OTHER
|
Other Vascular Procedures With Mcc
|
18
|
7
|
—
|
—
|
$23,814.41
|
$24,630.31
|
$23,814.41
|
2026-05-22
|
|
616
|
OTHER
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
18
|
7
|
—
|
—
|
$23,808.62
|
$29,065.35
|
$23,808.62
|
2026-05-22
|
|
574
|
OTHER
|
Skin Graft For Skin Ulcer Or Cellulitis With Cc
|
18
|
7
|
—
|
—
|
$23,705.72
|
$25,012.20
|
$23,705.72
|
2026-05-22
|
|
477
|
OTHER
|
Biopsies Of Musculoskeletal System And Connective Tissue With Mcc
|
18
|
7
|
—
|
—
|
$23,597.68
|
$24,741.94
|
$23,597.68
|
2026-05-22
|
|
359
|
OTHER
|
Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc
|
16
|
7
|
—
|
—
|
$23,494.77
|
$24,199.61
|
$23,494.77
|
2026-05-22
|
|
987
|
OTHER
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
18
|
7
|
—
|
—
|
$23,429.19
|
$24,798.48
|
$23,429.19
|
2026-05-22
|
|
029
|
OTHER
|
Spinal Procedures With Cc Or Spinal Neurostimulators
|
18
|
7
|
—
|
—
|
$23,321.13
|
$25,176.70
|
$23,321.13
|
2026-05-22
|
|
420
|
OTHER
|
Hepatobiliary Diagnostic Procedures With Mcc
|
18
|
7
|
—
|
—
|
$23,292.21
|
$23,990.98
|
$23,292.21
|
2026-05-22
|
|
264
|
OTHER
|
Other Circulatory System O.r. Procedures
|
18
|
7
|
—
|
—
|
$22,864.54
|
$23,985.50
|
$22,864.54
|
2026-05-22
|
|
411
|
OTHER
|
Cholecystectomy With C.d.e. With Mcc
|
18
|
7
|
—
|
—
|
$21,154.39
|
$23,303.39
|
$22,624.65
|
2026-05-22
|
|
037
|
OTHER
|
Extracranial Procedures With Mcc
|
18
|
7
|
—
|
—
|
$22,552.62
|
$24,790.41
|
$22,552.62
|
2026-05-22
|
|
274
|
OTHER
|
Percutaneous And Other Intracardiac Procedures Without Mcc
|
18
|
7
|
—
|
—
|
$22,550.04
|
$23,800.44
|
$22,550.04
|
2026-05-22
|
|
260
|
OTHER
|
Cardiac Pacemaker Revision Except Device Replacement With Mcc
|
18
|
7
|
—
|
—
|
$22,299.89
|
$24,346.83
|
$22,299.89
|
2026-05-22
|
|
579
|
OTHER
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc
|
18
|
7
|
—
|
—
|
$22,207.92
|
$24,545.12
|
$22,207.92
|
2026-05-22
|
|
840
|
OTHER
|
Lymphoma And Non-acute Leukemia With Mcc
|
18
|
7
|
—
|
—
|
$22,184.76
|
$22,951.47
|
$22,184.76
|
2026-05-22
|
|
451
|
OTHER
|
Single Level Spinal Fusion Except Cervical Without Mcc
|
16
|
7
|
—
|
—
|
$22,155.82
|
$22,820.49
|
$22,155.82
|
2026-05-22
|
|
652
|
OTHER
|
Kidney Transplant
|
16
|
7
|
—
|
—
|
$22,150.03
|
$22,814.53
|
$22,150.03
|
2026-05-22
|
|
485
|
OTHER
|
Knee Procedures With Principal Diagnosis Of Infection With Mcc
|
18
|
7
|
—
|
—
|
$22,134.60
|
$24,191.14
|
$22,134.60
|
2026-05-22
|
|
929
|
OTHER
|
Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc
|
18
|
7
|
—
|
—
|
$22,094.09
|
$23,614.63
|
$22,094.09
|
2026-05-22
|
|
325
|
OTHER
|
Coronary Intravascular Lithotripsy Without Intraluminal Device
|
18
|
7
|
—
|
—
|
$19,419.74
|
$22,688.02
|
$22,027.20
|
2026-05-22
|
|
242
|
OTHER
|
Permanent Cardiac Pacemaker Implant With Mcc
|
18
|
7
|
—
|
—
|
$21,914.01
|
$25,374.25
|
$21,914.01
|
2026-05-22
|
|
515
|
OTHER
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc
|
18
|
7
|
—
|
—
|
$21,876.07
|
$23,218.06
|
$21,876.07
|
2026-05-22
|
|
656
|
OTHER
|
Kidney & Ureter Procedures For Neoplasm With Comorbity
|
18
|
7
|
—
|
—
|
$21,856.13
|
$23,042.53
|
$21,856.13
|
2026-05-22
|
|
022
|
OTHER
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…
|
18
|
7
|
—
|
—
|
$21,814.97
|
$25,532.88
|
$21,814.97
|
2026-05-22
|
|
500
|
OTHER
|
Soft Tissue Procedures With Mcc
|
18
|
7
|
—
|
—
|
$21,733.95
|
$23,815.12
|
$21,733.95
|
2026-05-22
|
|
829
|
OTHER
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…
|
18
|
7
|
—
|
—
|
$21,703.07
|
$23,161.51
|
$21,703.07
|
2026-05-22
|
|
324
|
OTHER
|
Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc
|
18
|
7
|
—
|
—
|
$21,645.19
|
$22,294.55
|
$21,645.19
|
2026-05-22
|
|
229
|
OTHER
|
Other Cardiothoracic Procedures Without Mcc
|
18
|
7
|
—
|
—
|
$21,635.54
|
$23,350.98
|
$21,635.54
|
2026-05-22
|
|
258
|
OTHER
|
Cardiac Pacemaker Device Replacement With Mcc
|
18
|
7
|
—
|
—
|
$19,891.96
|
$22,235.60
|
$21,587.96
|
2026-05-22
|
|
665
|
OTHER
|
Prostatectomy With Mcc
|
18
|
7
|
—
|
—
|
$21,453.54
|
$22,686.35
|
$21,453.54
|
2026-05-22
|
|
464
|
OTHER
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
18
|
7
|
—
|
—
|
$21,411.74
|
$22,054.09
|
$21,411.74
|
2026-05-22
|
|
026
|
OTHER
|
Craniotomy And Endovascular Intracranial Procedures With Cc
|
18
|
7
|
—
|
—
|
$21,376.37
|
$22,017.66
|
$21,376.37
|
2026-05-22
|
|
662
|
OTHER
|
Minor Bladder Procedures With Mcc
|
18
|
7
|
—
|
—
|
$21,069.62
|
$22,007.76
|
$21,069.62
|
2026-05-22
|
|
263
|
OTHER
|
Vein Ligation And Stripping
|
18
|
7
|
—
|
—
|
$20,748.27
|
$21,674.54
|
$21,043.24
|
2026-05-22
|
|
469
|
OTHER
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…
|
20
|
8
|
—
|
—
|
$20,887.61
|
$24,454.05
|
$20,887.61
|
2026-05-22
|
|
510
|
OTHER
|
Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc
|
18
|
7
|
—
|
—
|
$19,980.09
|
$21,430.11
|
$20,805.93
|
2026-05-22
|
|
625
|
OTHER
|
Thyroid, Parathyroid And Thyroglossal Procedures With Mcc
|
18
|
7
|
—
|
—
|
$20,803.35
|
$21,453.29
|
$20,803.35
|
2026-05-22
|
|
498
|
OTHER
|
Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc…
|
18
|
7
|
—
|
—
|
$19,175.18
|
$21,405.60
|
$20,782.14
|
2026-05-22
|
|
173
|
OTHER
|
Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary…
|
18
|
7
|
—
|
—
|
$20,522.30
|
$22,582.80
|
$20,522.30
|
2026-05-22
|
|
472
|
OTHER
|
Cervical Spinal Fusion With Cc
|
18
|
7
|
—
|
—
|
$20,327.45
|
$21,704.46
|
$20,327.45
|
2026-05-22
|
|
959
|
OTHER
|
Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc
|
18
|
7
|
—
|
—
|
$18,597.95
|
$20,924.03
|
$20,314.59
|
2026-05-22
|
|
570
|
OTHER
|
Skin Debridement With Comorbity
|
18
|
7
|
—
|
—
|
$20,295.30
|
$21,460.64
|
$20,295.30
|
2026-05-22
|
|
668
|
OTHER
|
Transurethral Procedures With Mcc
|
24
|
9
|
—
|
—
|
$10,902.19
|
$20,764.39
|
$20,159.60
|
2026-05-22
|
|
480
|
OTHER
|
Hip & Femur Procedures Except Major Joint With Comorbity
|
18
|
7
|
—
|
—
|
$20,110.09
|
$21,656.72
|
$20,110.09
|
2026-05-22
|
|
353
|
OTHER
|
Hernia Procedures Except Inguinal And Femoral With Mcc
|
18
|
7
|
—
|
—
|
$20,043.86
|
$21,476.06
|
$20,043.86
|
2026-05-22
|
|
406
|
OTHER
|
Pancreas, Liver And Shunt Procedures With Cc
|
18
|
7
|
—
|
—
|
$20,032.26
|
$21,205.07
|
$20,032.26
|
2026-05-22
|
|
619
|
OTHER
|
O.r. Procedures For Obesity With Mcc
|
24
|
9
|
—
|
—
|
$10,794.23
|
$20,548.46
|
$19,949.96
|
2026-05-22
|
|
974
|
OTHER
|
HIV With Major Related Condition With Mcc
|
18
|
7
|
—
|
—
|
$19,940.95
|
$21,418.78
|
$19,940.95
|
2026-05-22
|
|
013
|
OTHER
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc
|
24
|
9
|
—
|
—
|
$10,775.67
|
$20,511.35
|
$19,913.93
|
2026-05-22
|
|
521
|
OTHER
|
Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc
|
20
|
8
|
—
|
—
|
$19,839.33
|
$23,250.00
|
$19,839.33
|
2026-05-22
|
|
240
|
OTHER
|
Amputation For Circ Sys Disorders Exc Upper Limb & Toe With Complication
|
24
|
9
|
—
|
—
|
$10,835.38
|
$20,630.76
|
$19,712.64
|
2026-05-22
|
|
800
|
OTHER
|
Splenic Procedures With Cc
|
24
|
9
|
—
|
—
|
$10,866.59
|
$20,693.19
|
$19,448.31
|
2026-05-22
|
|
654
|
OTHER
|
Major Bladder Procedures With Complication
|
24
|
9
|
—
|
—
|
$10,572.10
|
$20,104.20
|
$19,383.37
|
2026-05-22
|
|
503
|
OTHER
|
Foot Procedures With Mcc
|
24
|
9
|
—
|
—
|
$10,475.27
|
$19,910.55
|
$19,330.63
|
2026-05-22
|
|
483
|
OTHER
|
Major Joint/limb Reattachment Procedure Of Upper Extremities
|
24
|
9
|
—
|
—
|
$10,411.68
|
$19,783.36
|
$19,207.15
|
2026-05-22
|
|
061
|
OTHER
|
Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…
|
24
|
9
|
—
|
—
|
$10,811.88
|
$20,583.76
|
$19,111.97
|
2026-05-22
|
|
208
|
OTHER
|
Respiratory System Diagnosis With Ventilator Support <=96 Hours
|
24
|
9
|
—
|
—
|
$10,448.35
|
$19,856.71
|
$19,057.96
|
2026-05-22
|
|
468
|
OTHER
|
Revision Of Hip Or Knee Replacement Without Complication/comorbity
|
20
|
8
|
—
|
—
|
$19,053.44
|
$30,000.00
|
$19,053.44
|
2026-05-22
|
|
963
|
OTHER
|
Other Multiple Significant Trauma With Mcc
|
24
|
9
|
—
|
—
|
$10,560.35
|
$20,080.70
|
$18,962.12
|
2026-05-22
|
|
321
|
OTHER
|
Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A…
|
18
|
7
|
—
|
—
|
$18,878.52
|
$21,111.80
|
$18,878.52
|
2026-05-22
|
|
849
|
OTHER
|
Radiotherapy
|
24
|
9
|
—
|
—
|
$10,402.82
|
$19,765.64
|
$18,805.85
|
2026-05-22
|
|
288
|
OTHER
|
Acute And Subacute Endocarditis With Mcc
|
24
|
9
|
—
|
—
|
$10,194.09
|
$19,348.18
|
$18,784.64
|
2026-05-22
|
|
255
|
OTHER
|
Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc
|
24
|
9
|
—
|
—
|
$10,608.45
|
$20,176.91
|
$18,728.05
|
2026-05-22
|
|
462
|
OTHER
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc
|
18
|
7
|
—
|
—
|
$18,487.51
|
$20,903.23
|
$18,487.51
|
2026-05-22
|
|
577
|
OTHER
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Cc
|
24
|
9
|
—
|
—
|
$10,247.50
|
$19,454.99
|
$18,427.69
|
2026-05-22
|
|
970
|
OTHER
|
HIV With Extensive O.r. Procedures Without Mcc
|
24
|
9
|
—
|
—
|
$9,966.21
|
$18,892.42
|
$18,342.16
|
2026-05-22
|
|
253
|
OTHER
|
Other Vascular Procedures With Cc
|
24
|
9
|
—
|
—
|
$9,887.64
|
$18,735.28
|
$18,073.35
|
2026-05-22
|
|
846
|
OTHER
|
Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc
|
24
|
9
|
—
|
—
|
$9,817.50
|
$18,595.01
|
$18,053.41
|
2026-05-22
|
|
344
|
OTHER
|
Minor Small And Large Bowel Procedures With Mcc
|
24
|
9
|
—
|
—
|
$10,582.75
|
$20,125.50
|
$17,991.03
|
2026-05-22
|
|
095
|
OTHER
|
Bacterial And Tuberculous Infections Of Nervous System With Cc
|
24
|
9
|
—
|
—
|
$9,773.47
|
$18,506.93
|
$17,967.89
|
2026-05-22
|
|
096
|
OTHER
|
Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc
|
24
|
9
|
—
|
—
|
$9,773.47
|
$18,506.93
|
$17,967.89
|
2026-05-22
|
|
749
|
OTHER
|
Other Female Reproductive System O.r. Procedures With Cc/mcc
|
24
|
9
|
—
|
—
|
$9,763.16
|
$18,486.32
|
$17,893.27
|
2026-05-22
|
|
272
|
OTHER
|
Other Major Cardiovascular Procedures Without Cc/mcc
|
24
|
9
|
—
|
—
|
$9,686.67
|
$18,333.35
|
$17,799.37
|
2026-05-22
|
|
659
|
OTHER
|
Kidney & Ureter Procedures For Non-neoplasm With Comorbity
|
24
|
9
|
—
|
—
|
$10,026.44
|
$19,012.88
|
$17,721.55
|
2026-05-22
|
|
27447
|
OTHER
|
Replacement Of Knee Joint; Both Sides Of Knee
|
56
|
10
|
$32,344.57
|
$22,641.21
30% off
|
$12,152.41
|
$23,250.00
|
$17,701.21
|
2026-05-22
|
|
493
|
OTHER
|
Lower Extrem & Humer Proc Except Hip; Foot; Femur With Complication
|
24
|
9
|
—
|
—
|
$9,630.71
|
$18,221.42
|
$17,690.70
|
2026-05-22
|
|
164
|
OTHER
|
Major Chest Procedures With Cc
|
24
|
9
|
—
|
—
|
$9,885.07
|
$18,730.14
|
$17,612.88
|
2026-05-22
|
|
027
|
OTHER
|
Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc
|
24
|
9
|
—
|
—
|
$9,586.98
|
$18,133.96
|
$17,605.79
|
2026-05-22
|
|
350
|
OTHER
|
Inguinal And Femoral Hernia Procedures With Mcc
|
24
|
9
|
—
|
—
|
$9,484.32
|
$17,928.64
|
$17,406.45
|
2026-05-22
|
|
545
|
OTHER
|
Connective Tissue Disorders With Mcc
|
24
|
9
|
—
|
—
|
$9,675.03
|
$18,310.06
|
$17,340.84
|
2026-05-22
|
|
478
|
OTHER
|
Biopsies Of Musculoskeletal System And Connective Tissue With Cc
|
24
|
9
|
—
|
—
|
$9,376.01
|
$17,712.03
|
$17,196.15
|
2026-05-22
|
|
982
|
OTHER
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis With Complication
|
24
|
9
|
—
|
—
|
$9,648.59
|
$18,257.18
|
$17,191.65
|
2026-05-22
|
|
783
|
OTHER
|
Cesarean Section With Sterilization With Comorbity
|
24
|
9
|
—
|
—
|
$9,362.43
|
$17,684.86
|
$17,169.77
|
2026-05-22
|
|
792
|
OTHER
|
Prematurity Without Major Problems
|
16
|
7
|
—
|
—
|
$17,131.83
|
$17,645.78
|
$17,131.83
|
2026-05-22
|
|
327
|
OTHER
|
Stomach; Esophageal & Duodenal Proc With Complication
|
24
|
9
|
—
|
—
|
$9,690.45
|
$18,340.91
|
$17,099.68
|
2026-05-22
|
|
473
|
OTHER
|
Cervical Spinal Fusion Without Cc/mcc
|
24
|
9
|
—
|
—
|
$9,555.33
|
$18,070.65
|
$17,081.02
|
2026-05-22
|
|
318
|
OTHER
|
Percutaneous Coronary Atherectomy Without Intraluminal Device
|
22
|
9
|
—
|
—
|
$9,253.48
|
$17,466.95
|
$16,958.20
|
2026-05-22
|
|
360
|
OTHER
|
Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc
|
22
|
9
|
—
|
—
|
$9,227.31
|
$17,414.61
|
$16,907.39
|
2026-05-22
|
|
320
|
OTHER
|
Other Endovascular Cardiac Valve Procedures Without Mcc
|
24
|
9
|
—
|
—
|
$9,197.49
|
$17,354.97
|
$16,849.49
|
2026-05-22
|
|
23472
|
OTHER
|
Prosthetic Repair Of Shoulder Joint; Total Shoulder
|
72
|
9
|
$18,837.33
|
$13,186.13
30% off
|
$16,596.58
|
$17,094.48
|
$16,845.53
|
2026-05-22
|
|
330
|
OTHER
|
Major Small & Large Bowel Procedures With Complication
|
24
|
9
|
—
|
—
|
$9,230.35
|
$17,420.70
|
$16,797.40
|
2026-05-22
|
|
397
|
OTHER
|
Appendix Procedures With Mcc
|
24
|
9
|
—
|
—
|
$9,163.05
|
$17,286.10
|
$16,782.62
|
2026-05-22
|
|
035
|
OTHER
|
Carotid Artery Stent Procedures With Cc
|
24
|
9
|
—
|
—
|
$9,148.48
|
$17,256.96
|
$16,754.33
|
2026-05-22
|
|
417
|
OTHER
|
Laparoscopic Cholecystectomy Without C.d.e. With Comorbity
|
24
|
9
|
—
|
—
|
$9,134.90
|
$17,229.79
|
$16,727.95
|
2026-05-22
|
|
113
|
OTHER
|
Orbital Procedures With Cc/mcc
|
24
|
9
|
—
|
—
|
$9,726.81
|
$18,413.61
|
$16,500.93
|
2026-05-22
|
|
333
|
OTHER
|
Rectal Resection With Cc
|
24
|
9
|
—
|
—
|
$8,988.50
|
$16,937.01
|
$16,443.70
|
2026-05-22
|
|
674
|
OTHER
|
Other Kidney And Urinary Tract Procedures With Cc
|
24
|
9
|
—
|
—
|
$9,267.44
|
$17,494.88
|
$16,420.55
|
2026-05-22
|
|
940
|
OTHER
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc
|
24
|
9
|
—
|
—
|
$8,970.95
|
$16,901.91
|
$16,409.62
|
2026-05-22
|
|
709
|
OTHER
|
Penis Procedures With Cc/mcc
|
24
|
9
|
—
|
—
|
$8,938.49
|
$16,836.98
|
$16,346.58
|
2026-05-22
|
|
357
|
OTHER
|
Other Digestive System O.r. Procedures With Cc
|
24
|
9
|
—
|
—
|
$8,933.19
|
$16,826.39
|
$16,336.30
|
2026-05-22
|
|
056
|
OTHER
|
Degenerative Nervous System Disorders With Mcc
|
24
|
9
|
—
|
—
|
$9,310.77
|
$17,581.54
|
$16,320.87
|
2026-05-22
|
|
827
|
OTHER
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
24
|
9
|
—
|
—
|
$9,028.76
|
$17,017.52
|
$16,244.33
|
2026-05-22
|
|
347
|
OTHER
|
Anal And Stomal Procedures With Mcc
|
24
|
9
|
—
|
—
|
$9,880.30
|
$18,720.59
|
$16,144.01
|
2026-05-22
|
|
098
|
OTHER
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc
|
24
|
9
|
—
|
—
|
$8,831.84
|
$16,623.69
|
$16,139.50
|
2026-05-22
|
|
082
|
OTHER
|
Traumatic Stupor And Coma >1 Hour With Mcc
|
24
|
9
|
—
|
—
|
$8,885.92
|
$16,731.84
|
$16,079.70
|
2026-05-22
|
|
817
|
OTHER
|
Other Antepartum Diagnoses With O.r. Procedures With Mcc
|
24
|
9
|
—
|
—
|
$8,800.36
|
$16,560.72
|
$16,053.97
|
2026-05-22
|
|
475
|
OTHER
|
Amputation For Musculoskeletal Sys & Conn Tissue Dis With Complication
|
24
|
9
|
—
|
—
|
$8,768.25
|
$16,496.51
|
$16,016.03
|
2026-05-22
|
|
085
|
OTHER
|
Traumatic Stupor And Coma <1 Hour With Mcc
|
24
|
9
|
—
|
—
|
$8,865.72
|
$16,691.44
|
$15,991.59
|
2026-05-22
|
|
824
|
OTHER
|
Lymphoma And Non-acute Leukemia With Other Procedures With Cc
|
24
|
9
|
—
|
—
|
$8,734.81
|
$16,429.61
|
$15,951.08
|
2026-05-22
|
|
821
|
OTHER
|
Lymphoma And Leukemia With Major O.r. Procedures With Cc
|
24
|
9
|
—
|
—
|
$8,716.27
|
$16,392.54
|
$15,777.42
|
2026-05-22
|
|
715
|
OTHER
|
Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc
|
24
|
9
|
—
|
—
|
$8,641.08
|
$16,242.16
|
$15,769.09
|
2026-05-22
|
|
407
|
OTHER
|
Pancreas, Liver And Shunt Procedures Without Cc/mcc
|
24
|
9
|
—
|
—
|
$8,582.45
|
$16,124.90
|
$15,655.24
|
2026-05-22
|
|
286
|
OTHER
|
Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc
|
24
|
9
|
—
|
—
|
$8,559.93
|
$16,079.86
|
$15,611.51
|
2026-05-22
|
|
934
|
OTHER
|
Full Thickness Burn Without Skin Graft Or Inhalation Injury
|
24
|
9
|
—
|
—
|
$8,552.65
|
$16,065.29
|
$15,597.37
|
2026-05-22
|
|
808
|
OTHER
|
Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co…
|
24
|
9
|
—
|
—
|
$8,562.05
|
$16,084.09
|
$15,579.99
|
2026-05-22
|
|
041
|
OTHER
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe…
|
24
|
9
|
—
|
—
|
$8,711.13
|
$16,382.26
|
$15,520.83
|
2026-05-22
|
|
030
|
OTHER
|
Spinal Procedures Without Cc/mcc
|
24
|
9
|
—
|
—
|
$9,035.37
|
$17,030.74
|
$15,498.34
|
2026-05-22
|
|
614
|
OTHER
|
Adrenal And Pituitary Procedures With Cc/mcc
|
24
|
9
|
—
|
—
|
$8,790.82
|
$16,541.63
|
$15,476.46
|
2026-05-22
|
|
424
|
OTHER
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Cc
|
24
|
9
|
—
|
—
|
$8,477.46
|
$15,914.92
|
$15,451.38
|
2026-05-22
|
|
250
|
OTHER
|
Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc
|
24
|
9
|
—
|
—
|
$9,152.14
|
$17,264.28
|
$15,416.65
|
2026-05-22
|
|
141
|
OTHER
|
Major Head And Neck Procedures With Cc
|
24
|
9
|
—
|
—
|
$8,454.94
|
$15,869.88
|
$15,407.65
|
2026-05-22
|
|
629
|
OTHER
|
Other Endocrine; Nutrit & Metab O.r. Proc With Complication
|
24
|
9
|
—
|
—
|
$8,829.00
|
$16,618.00
|
$15,392.86
|
2026-05-22
|
|
409
|
OTHER
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
24
|
9
|
—
|
—
|
$8,442.35
|
$15,844.71
|
$15,383.21
|
2026-05-22
|
|
135
|
OTHER
|
Sinus And Mastoid Procedures With Cc/mcc
|
24
|
9
|
—
|
—
|
$10,258.51
|
$19,477.02
|
$15,336.26
|
2026-05-22
|
|
857
|
OTHER
|
Postoperative Or Post-traumatic Infections With O.r. Proc With Complication
|
24
|
9
|
—
|
—
|
$8,362.29
|
$15,684.58
|
$15,152.98
|
2026-05-22
|
|
584
|
OTHER
|
Breast Biopsy; Local Excision & Other Breast Procedures With Complication/comorb…
|
24
|
9
|
—
|
—
|
$8,321.12
|
$15,602.25
|
$15,147.82
|
2026-05-22
|
|
374
|
OTHER
|
Digestive Malignancy With Mcc
|
24
|
9
|
—
|
—
|
$8,314.51
|
$15,589.02
|
$15,134.97
|
2026-05-22
|
|
032
|
OTHER
|
Ventricular Shunt Procedures With Cc
|
24
|
9
|
—
|
—
|
$8,428.75
|
$15,817.51
|
$15,085.44
|
2026-05-22
|
|
243
|
OTHER
|
Permanent Cardiac Pacemaker Implant With Cc
|
24
|
9
|
—
|
—
|
$8,883.34
|
$16,726.69
|
$15,084.80
|
2026-05-22
|
|
734
|
OTHER
|
Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc
|
24
|
9
|
—
|
—
|
$8,501.46
|
$15,962.92
|
$15,079.01
|
2026-05-22
|
|
814
|
OTHER
|
Reticuloendothelial And Immunity Disorders With Mcc
|
24
|
9
|
—
|
—
|
$8,334.39
|
$15,628.77
|
$15,057.80
|
2026-05-22
|
|
595
|
OTHER
|
Major Skin Disorders With Mcc
|
24
|
9
|
—
|
—
|
$8,506.60
|
$15,973.20
|
$15,019.21
|
2026-05-22
|
|
522
|
OTHER
|
Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc
|
20
|
8
|
—
|
—
|
$14,999.92
|
$23,250.00
|
$14,999.92
|
2026-05-22
|
|
146
|
OTHER
|
Ear; Nose; Mouth & Throat Malignancy With Comorbity
|
24
|
9
|
—
|
—
|
$8,271.59
|
$15,503.18
|
$14,997.99
|
2026-05-22
|
|
655
|
OTHER
|
Major Bladder Procedures Without Cc/mcc
|
24
|
9
|
—
|
—
|
$8,259.84
|
$15,479.68
|
$14,992.84
|
2026-05-22
|
|
336
|
OTHER
|
Peritoneal Adhesiolysis With Complication
|
24
|
9
|
—
|
—
|
$8,250.66
|
$15,461.32
|
$14,942.04
|
2026-05-22
|
|
412
|
OTHER
|
Cholecystectomy With C.d.e. With Cc
|
24
|
9
|
—
|
—
|
$8,194.61
|
$15,349.22
|
$14,902.16
|
2026-05-22
|
|
481
|
OTHER
|
Hip & Femur Procedures Except Major Joint With Complication
|
24
|
9
|
—
|
—
|
$8,168.10
|
$15,296.21
|
$14,850.69
|
2026-05-22
|
|
867
|
OTHER
|
Other Infectious & Parasitic Diseases Diagnoses With Comorbity
|
24
|
9
|
—
|
—
|
$8,202.92
|
$15,365.85
|
$14,842.36
|
2026-05-22
|
|
486
|
OTHER
|
Knee Procedures With Principal Diagnosis Of Infection With Cc
|
24
|
9
|
—
|
—
|
$8,156.85
|
$15,273.71
|
$14,828.84
|
2026-05-22
|
|
838
|
OTHER
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che…
|
24
|
9
|
—
|
—
|
$8,144.60
|
$15,249.19
|
$14,805.04
|
2026-05-22
|
|
835
|
OTHER
|
Acute Leukemia With Cc
|
24
|
9
|
—
|
—
|
$8,728.75
|
$16,417.51
|
$14,794.76
|
2026-05-22
|
|
314
|
OTHER
|
Other Circulatory System Diagnoses With Mcc
|
24
|
9
|
—
|
—
|
$8,207.33
|
$15,374.66
|
$14,790.89
|
2026-05-22
|
|
711
|
OTHER
|
Testes Procedures With Complication/comorbity
|
24
|
9
|
—
|
—
|
$8,315.29
|
$15,590.58
|
$14,781.90
|
2026-05-22
|
|
511
|
OTHER
|
Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc
|
24
|
9
|
—
|
—
|
$8,118.10
|
$15,196.21
|
$14,753.60
|
2026-05-22
|
|
516
|
OTHER
|
Other Musculoskelet Sys & Conn Tiss O.r. Proc With Complication
|
24
|
9
|
—
|
—
|
$8,113.80
|
$15,187.60
|
$14,745.24
|
2026-05-22
|
|
886
|
OTHER
|
Behavioral And Developmental Disorders
|
24
|
9
|
—
|
—
|
$8,104.53
|
$15,169.06
|
$14,727.24
|
2026-05-22
|
|
415
|
OTHER
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Complication
|
24
|
9
|
—
|
—
|
$8,076.05
|
$15,112.09
|
$14,671.93
|
2026-05-22
|
|
737
|
OTHER
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc
|
24
|
9
|
—
|
—
|
$8,055.84
|
$15,071.67
|
$14,632.69
|
2026-05-22
|
|
935
|
OTHER
|
Non-extensive Burns
|
24
|
9
|
—
|
—
|
$8,053.85
|
$15,067.69
|
$14,628.83
|
2026-05-22
|
|
744
|
OTHER
|
D&c, Conization, Laparoscopy And Tubal Interruption With Cc/mcc
|
24
|
9
|
—
|
—
|
$8,017.75
|
$14,995.50
|
$14,558.74
|
2026-05-22
|
|
941
|
OTHER
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/…
|
24
|
9
|
—
|
—
|
$7,946.87
|
$14,853.74
|
$14,421.11
|
2026-05-22
|
|
259
|
OTHER
|
Cardiac Pacemaker Device Replacement Without Mcc
|
24
|
9
|
—
|
—
|
$7,928.33
|
$14,816.66
|
$14,385.11
|
2026-05-22
|
|
499
|
OTHER
|
Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without…
|
24
|
9
|
—
|
—
|
$7,904.15
|
$14,768.30
|
$14,338.16
|
2026-05-22
|
|
064
|
OTHER
|
Intracranial Hemorrhage Or Cerebral Infarction With Comorbity
|
24
|
9
|
—
|
—
|
$7,891.56
|
$14,743.12
|
$14,313.71
|
2026-05-22
|
|
494
|
OTHER
|
Lower Extrem & Humer Proc Except Hip; Foot; Femur Without Complication/comorbity
|
24
|
9
|
—
|
—
|
$7,876.65
|
$14,713.31
|
$14,284.77
|
2026-05-22
|
|
707
|
OTHER
|
Major Male Pelvic Procedures With Cc/mcc
|
24
|
9
|
—
|
—
|
$7,856.12
|
$14,672.24
|
$14,244.89
|
2026-05-22
|
|
519
|
OTHER
|
Back And Neck Procedures Except Spinal Fusion With Cc
|
24
|
9
|
—
|
—
|
$7,855.80
|
$14,671.59
|
$14,244.26
|
2026-05-22
|
|
854
|
OTHER
|
Infectious & Parasitic Diseases With O.r. Procedure With Complication
|
24
|
9
|
—
|
—
|
$8,004.27
|
$14,968.54
|
$14,230.75
|
2026-05-22
|
|
908
|
OTHER
|
Other O.r. Procedures For Injuries With Cc
|
24
|
9
|
—
|
—
|
$7,879.06
|
$14,718.11
|
$14,212.09
|
2026-05-22
|
|
843
|
OTHER
|
Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses…
|
24
|
9
|
—
|
—
|
$7,837.91
|
$14,635.82
|
$14,209.53
|
2026-05-22
|
|
283
|
OTHER
|
Acute Myocardial Infarction, Expired With Mcc
|
24
|
9
|
—
|
—
|
$7,791.54
|
$14,543.08
|
$14,119.50
|
2026-05-22
|
|
539
|
OTHER
|
Osteomyelitis With Mcc
|
24
|
9
|
—
|
—
|
$7,806.72
|
$14,573.43
|
$14,048.11
|
2026-05-22
|
|
432
|
OTHER
|
Cirrhosis & Alcoholic Hepatitis With Comorbity
|
24
|
9
|
—
|
—
|
$7,749.80
|
$14,459.60
|
$14,038.45
|
2026-05-22
|
|
883
|
OTHER
|
Disorders Of Personality And Impulse Control
|
24
|
9
|
—
|
—
|
$7,743.51
|
$14,447.02
|
$14,026.23
|
2026-05-22
|