|
43280
|
OTHER
|
Laparoscopy Fundoplasty
|
1
|
1
|
$3,617.36
|
$2,170.42
40% off
|
$17,726.67
|
$17,726.67
|
$17,726.67
|
2026-05-22
|
|
001
|
OTHER
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
2
|
1
|
—
|
—
|
$2,814.61
|
$273,426.71
|
$138,120.66
|
2026-05-22
|
|
275
|
OTHER
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
1
|
1
|
—
|
—
|
$129,181.38
|
$129,181.38
|
$129,181.38
|
2026-05-22
|
|
003
|
OTHER
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
2
|
1
|
—
|
—
|
$2,023.71
|
$244,135.68
|
$123,079.70
|
2026-05-22
|
|
927
|
OTHER
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
2
|
1
|
—
|
—
|
$1,898.22
|
$238,932.16
|
$120,415.19
|
2026-05-22
|
|
426
|
OTHER
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
1
|
1
|
—
|
—
|
$106,051.53
|
$106,051.53
|
$106,051.53
|
2026-05-22
|
|
427
|
OTHER
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
1
|
1
|
—
|
—
|
$98,133.95
|
$98,133.95
|
$98,133.95
|
2026-05-22
|
|
002
|
OTHER
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
2
|
1
|
—
|
—
|
$1,347.31
|
$192,526.27
|
$96,936.79
|
2026-05-22
|
|
429
|
OTHER
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
1
|
1
|
—
|
—
|
$93,864.77
|
$93,864.77
|
$93,864.77
|
2026-05-22
|
|
215
|
OTHER
|
Other Heart Assist System Implant
|
2
|
1
|
—
|
—
|
$1,030.32
|
$182,328.97
|
$91,679.65
|
2026-05-22
|
|
212
|
OTHER
|
Concomitant Aortic And Mitral Valve Procedures
|
1
|
1
|
—
|
—
|
$88,659.12
|
$88,659.12
|
$88,659.12
|
2026-05-22
|
|
430
|
OTHER
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
1
|
1
|
—
|
—
|
$85,029.79
|
$85,029.79
|
$85,029.79
|
2026-05-22
|
|
428
|
OTHER
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
1
|
1
|
—
|
—
|
$85,029.79
|
$85,029.79
|
$85,029.79
|
2026-05-22
|
|
276
|
OTHER
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
1
|
1
|
—
|
—
|
$78,004.18
|
$78,004.18
|
$78,004.18
|
2026-05-22
|
|
004
|
OTHER
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
2
|
1
|
—
|
—
|
$1,373.17
|
$147,539.91
|
$74,456.54
|
2026-05-22
|
|
402
|
OTHER
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
1
|
1
|
—
|
—
|
$72,883.28
|
$72,883.28
|
$72,883.28
|
2026-05-22
|
|
020
|
OTHER
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
2
|
1
|
—
|
—
|
$930.33
|
$144,109.74
|
$72,520.04
|
2026-05-22
|
|
850
|
OTHER
|
Acute Leukemia With Other Procedures
|
1
|
1
|
—
|
—
|
$70,340.84
|
$70,340.84
|
$70,340.84
|
2026-05-22
|
|
005
|
OTHER
|
Liver Transplant With Mcc Or Intestinal Transplant
|
2
|
1
|
—
|
—
|
$1,140.70
|
$138,499.42
|
$69,820.06
|
2026-05-22
|
|
014
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
2
|
1
|
—
|
—
|
$1,119.30
|
$136,965.48
|
$69,042.39
|
2026-05-22
|
|
007
|
OTHER
|
Lung Transplant
|
2
|
1
|
—
|
—
|
$1,220.73
|
$133,812.85
|
$67,516.79
|
2026-05-22
|
|
277
|
OTHER
|
Cardiac Defibrillator Implant Without Mcc
|
1
|
1
|
—
|
—
|
$67,313.22
|
$67,313.22
|
$67,313.22
|
2026-05-22
|
|
019
|
OTHER
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
2
|
1
|
—
|
—
|
$713.46
|
$132,151.79
|
$66,432.63
|
2026-05-22
|
|
447
|
OTHER
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
1
|
1
|
—
|
—
|
$63,503.80
|
$63,503.80
|
$63,503.80
|
2026-05-22
|
|
021
|
OTHER
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
2
|
1
|
—
|
—
|
$678.92
|
$125,312.63
|
$62,995.78
|
2026-05-22
|
|
216
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
2
|
1
|
—
|
—
|
$974.19
|
$119,611.21
|
$60,292.70
|
2026-05-22
|
|
266
|
OTHER
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
2
|
1
|
—
|
—
|
$660.07
|
$112,933.07
|
$56,796.57
|
2026-05-22
|
|
008
|
OTHER
|
Simultaneous Pancreas And Kidney Transplant
|
2
|
1
|
—
|
—
|
$559.11
|
$111,437.26
|
$55,998.18
|
2026-05-22
|
|
018
|
OTHER
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
2
|
1
|
—
|
—
|
$3,614.52
|
$103,742.15
|
$53,678.33
|
2026-05-22
|
|
022
|
OTHER
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…
|
2
|
1
|
—
|
—
|
$435.85
|
$104,867.18
|
$52,651.51
|
2026-05-22
|
|
267
|
OTHER
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
2
|
1
|
—
|
—
|
$516.06
|
$103,968.85
|
$52,242.46
|
2026-05-22
|
|
219
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
2
|
1
|
—
|
—
|
$812.83
|
$103,333.24
|
$52,073.04
|
2026-05-22
|
|
231
|
OTHER
|
Coronary Bypass With Ptca With Mcc
|
2
|
1
|
—
|
—
|
$839.32
|
$102,962.46
|
$51,900.89
|
2026-05-22
|
|
321
|
OTHER
|
Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A…
|
1
|
1
|
—
|
—
|
$49,925.05
|
$49,925.05
|
$49,925.05
|
2026-05-22
|
|
016
|
OTHER
|
Autologous Bone Marrow Transplant With Cc/mcc
|
2
|
1
|
—
|
—
|
$608.44
|
$98,555.57
|
$49,582.01
|
2026-05-22
|
|
233
|
OTHER
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
2
|
1
|
—
|
—
|
$774.49
|
$97,970.81
|
$49,372.65
|
2026-05-22
|
|
217
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
2
|
1
|
—
|
—
|
$634.88
|
$97,462.32
|
$49,048.60
|
2026-05-22
|
|
317
|
OTHER
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
1
|
1
|
—
|
—
|
$48,863.58
|
$48,863.58
|
$48,863.58
|
2026-05-22
|
|
006
|
OTHER
|
Liver Transplant Without Mcc
|
2
|
1
|
—
|
—
|
$480.93
|
$94,701.65
|
$47,591.29
|
2026-05-22
|
|
955
|
OTHER
|
Craniotomy For Multiple Significant Trauma
|
2
|
1
|
—
|
—
|
$673.60
|
$94,053.33
|
$47,363.46
|
2026-05-22
|
|
870
|
OTHER
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
2
|
1
|
—
|
—
|
$679.09
|
$92,699.48
|
$46,689.28
|
2026-05-22
|
|
228
|
OTHER
|
Other Cardiothoracic Procedures With Mcc
|
2
|
1
|
—
|
—
|
$492.83
|
$92,710.07
|
$46,601.45
|
2026-05-22
|
|
448
|
OTHER
|
Multiple Level Spinal Fusion Except Cervical Without Mcc
|
1
|
1
|
—
|
—
|
$45,488.49
|
$45,488.49
|
$45,488.49
|
2026-05-22
|
|
456
|
OTHER
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
2
|
1
|
—
|
—
|
$844.92
|
$88,315.89
|
$44,580.40
|
2026-05-22
|
|
218
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
2
|
1
|
—
|
—
|
$593.87
|
$88,184.53
|
$44,389.20
|
2026-05-22
|
|
232
|
OTHER
|
Coronary Bypass With Ptca Without Mcc
|
2
|
1
|
—
|
—
|
$585.78
|
$87,379.43
|
$43,982.60
|
2026-05-22
|
|
010
|
OTHER
|
Pancreas Transplant
|
2
|
1
|
—
|
—
|
$414.68
|
$85,887.86
|
$43,151.27
|
2026-05-22
|
|
323
|
OTHER
|
Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc
|
1
|
1
|
—
|
—
|
$42,518.07
|
$42,518.07
|
$42,518.07
|
2026-05-22
|
|
025
|
OTHER
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
2
|
1
|
—
|
—
|
$454.05
|
$83,769.16
|
$42,111.61
|
2026-05-22
|
|
790
|
OTHER
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
2
|
1
|
—
|
—
|
$602.11
|
$83,366.61
|
$41,984.36
|
2026-05-22
|
|
207
|
OTHER
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
2
|
1
|
—
|
—
|
$656.59
|
$81,601.73
|
$41,129.16
|
2026-05-22
|
|
220
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
2
|
1
|
—
|
—
|
$543.51
|
$79,317.77
|
$39,930.64
|
2026-05-22
|
|
322
|
OTHER
|
Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc
|
1
|
1
|
—
|
—
|
$39,611.22
|
$39,611.22
|
$39,611.22
|
2026-05-22
|
|
235
|
OTHER
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
2
|
1
|
—
|
—
|
$599.00
|
$76,830.42
|
$38,714.71
|
2026-05-22
|
|
928
|
OTHER
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
2
|
1
|
—
|
—
|
$619.13
|
$76,535.92
|
$38,577.52
|
2026-05-22
|
|
319
|
OTHER
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
2
|
1
|
—
|
—
|
$430.66
|
$76,137.60
|
$38,284.13
|
2026-05-22
|
|
957
|
OTHER
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
2
|
1
|
—
|
—
|
$741.05
|
$75,643.95
|
$38,192.50
|
2026-05-22
|
|
023
|
OTHER
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
2
|
1
|
—
|
—
|
$573.14
|
$75,588.86
|
$38,081.00
|
2026-05-22
|
|
221
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
2
|
1
|
—
|
—
|
$473.16
|
$75,218.09
|
$37,845.62
|
2026-05-22
|
|
234
|
OTHER
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
2
|
1
|
—
|
—
|
$518.63
|
$74,760.45
|
$37,639.54
|
2026-05-22
|
|
461
|
OTHER
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
2
|
1
|
—
|
—
|
$641.52
|
$73,247.70
|
$36,944.61
|
2026-05-22
|
|
229
|
OTHER
|
Other Cardiothoracic Procedures Without Mcc
|
2
|
1
|
—
|
—
|
$330.09
|
$73,165.07
|
$36,747.58
|
2026-05-22
|
|
173
|
OTHER
|
Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary…
|
1
|
1
|
—
|
—
|
$36,301.81
|
$36,301.81
|
$36,301.81
|
2026-05-22
|
|
268
|
OTHER
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
2
|
1
|
—
|
—
|
$692.08
|
$71,662.91
|
$36,177.50
|
2026-05-22
|
|
028
|
OTHER
|
Spinal Procedures With Mcc
|
2
|
1
|
—
|
—
|
$587.75
|
$71,395.95
|
$35,991.85
|
2026-05-22
|
|
457
|
OTHER
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
2
|
1
|
—
|
—
|
$603.68
|
$71,323.92
|
$35,963.80
|
2026-05-22
|
|
278
|
OTHER
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
1
|
1
|
—
|
—
|
$35,286.95
|
$35,286.95
|
$35,286.95
|
2026-05-22
|
|
820
|
OTHER
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
2
|
1
|
—
|
—
|
$531.76
|
$68,658.59
|
$34,595.18
|
2026-05-22
|
|
853
|
OTHER
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
2
|
1
|
—
|
—
|
$490.10
|
$67,436.10
|
$33,963.10
|
2026-05-22
|
|
017
|
OTHER
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
2
|
1
|
—
|
—
|
$437.01
|
$67,482.71
|
$33,959.86
|
2026-05-22
|
|
650
|
OTHER
|
Kidney Transplant With Hemodialysis With Mcc
|
2
|
1
|
—
|
—
|
$464.39
|
$66,874.65
|
$33,669.52
|
2026-05-22
|
|
969
|
OTHER
|
HIV With Extensive O.r. Procedures With Mcc
|
2
|
1
|
—
|
—
|
$724.76
|
$66,614.05
|
$33,669.41
|
2026-05-22
|
|
458
|
OTHER
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
2
|
1
|
—
|
—
|
$481.31
|
$64,520.77
|
$32,501.04
|
2026-05-22
|
|
834
|
OTHER
|
Acute Leukemia With Mcc
|
2
|
1
|
—
|
—
|
$553.00
|
$64,330.09
|
$32,441.54
|
2026-05-22
|
|
405
|
OTHER
|
Pancreas, Liver And Shunt Procedures With Mcc
|
2
|
1
|
—
|
—
|
$554.19
|
$63,755.92
|
$32,155.05
|
2026-05-22
|
|
826
|
OTHER
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
2
|
1
|
—
|
—
|
$514.19
|
$63,270.74
|
$31,892.46
|
2026-05-22
|
|
326
|
OTHER
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
2
|
1
|
—
|
—
|
$511.88
|
$63,094.89
|
$31,803.39
|
2026-05-22
|
|
024
|
OTHER
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
2
|
1
|
—
|
—
|
$394.88
|
$62,639.37
|
$31,517.13
|
2026-05-22
|
|
026
|
OTHER
|
Craniotomy And Endovascular Intracranial Procedures With Cc
|
2
|
1
|
—
|
—
|
$302.35
|
$62,450.80
|
$31,376.58
|
2026-05-22
|
|
653
|
OTHER
|
Major Bladder Procedures With Mcc
|
2
|
1
|
—
|
—
|
$555.67
|
$61,448.66
|
$31,002.17
|
2026-05-22
|
|
462
|
OTHER
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc
|
2
|
1
|
—
|
—
|
$298.56
|
$59,202.83
|
$29,750.70
|
2026-05-22
|
|
958
|
OTHER
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
2
|
1
|
—
|
—
|
$417.05
|
$58,450.70
|
$29,433.87
|
2026-05-22
|
|
956
|
OTHER
|
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma
|
2
|
1
|
—
|
—
|
$380.42
|
$58,272.72
|
$29,326.57
|
2026-05-22
|
|
329
|
OTHER
|
Major Small And Large Bowel Procedures With Mcc
|
2
|
1
|
—
|
—
|
$462.33
|
$56,346.83
|
$28,404.58
|
2026-05-22
|
|
236
|
OTHER
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
2
|
1
|
—
|
—
|
$407.84
|
$55,785.37
|
$28,096.61
|
2026-05-22
|
|
837
|
OTHER
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
2
|
1
|
—
|
—
|
$538.22
|
$55,456.97
|
$27,997.60
|
2026-05-22
|
|
651
|
OTHER
|
Kidney Transplant With Hemodialysis Without Mcc
|
2
|
1
|
—
|
—
|
$354.62
|
$54,901.87
|
$27,628.24
|
2026-05-22
|
|
270
|
OTHER
|
Other Major Cardiovascular Procedures With Mcc
|
2
|
1
|
—
|
—
|
$511.26
|
$54,024.73
|
$27,267.99
|
2026-05-22
|
|
163
|
OTHER
|
Major Chest Procedures With Mcc
|
2
|
1
|
—
|
—
|
$484.37
|
$53,819.22
|
$27,151.79
|
2026-05-22
|
|
011
|
OTHER
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
2
|
1
|
—
|
—
|
$516.52
|
$52,889.11
|
$26,702.82
|
2026-05-22
|
|
466
|
OTHER
|
Revision Of Hip Or Knee Replacement With Mcc
|
2
|
1
|
—
|
—
|
$524.51
|
$52,598.85
|
$26,561.68
|
2026-05-22
|
|
031
|
OTHER
|
Ventricular Shunt Procedures With Mcc
|
2
|
1
|
—
|
—
|
$412.10
|
$52,033.15
|
$26,222.62
|
2026-05-22
|
|
408
|
OTHER
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
2
|
1
|
—
|
—
|
$366.95
|
$52,060.70
|
$26,213.83
|
2026-05-22
|
|
981
|
OTHER
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
2
|
1
|
—
|
—
|
$458.04
|
$49,478.00
|
$24,968.02
|
2026-05-22
|
|
423
|
OTHER
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
2
|
1
|
—
|
—
|
$393.19
|
$48,980.11
|
$24,686.65
|
2026-05-22
|
|
959
|
OTHER
|
Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc
|
2
|
1
|
—
|
—
|
$256.87
|
$48,272.46
|
$24,264.66
|
2026-05-22
|
|
029
|
OTHER
|
Spinal Procedures With Cc Or Spinal Neurostimulators
|
2
|
1
|
—
|
—
|
$341.76
|
$47,816.94
|
$24,079.35
|
2026-05-22
|
|
970
|
OTHER
|
HIV With Extensive O.r. Procedures Without Mcc
|
2
|
1
|
—
|
—
|
$308.84
|
$47,761.85
|
$24,035.35
|
2026-05-22
|
|
736
|
OTHER
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc
|
2
|
1
|
—
|
—
|
$426.52
|
$47,289.38
|
$23,857.95
|
2026-05-22
|
|
652
|
OTHER
|
Kidney Transplant
|
2
|
1
|
—
|
—
|
$308.51
|
$47,327.52
|
$23,818.01
|
2026-05-22
|
|
463
|
OTHER
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
2
|
1
|
—
|
—
|
$524.16
|
$47,096.58
|
$23,810.37
|
2026-05-22
|
|
245
|
OTHER
|
Aicd Generator Procedures
|
2
|
1
|
—
|
—
|
$487.60
|
$47,022.43
|
$23,755.01
|
2026-05-22
|
|
242
|
OTHER
|
Permanent Cardiac Pacemaker Implant With Mcc
|
2
|
1
|
—
|
—
|
$347.35
|
$47,117.77
|
$23,732.56
|
2026-05-22
|
|
411
|
OTHER
|
Cholecystectomy With C.d.e. With Mcc
|
2
|
1
|
—
|
—
|
$337.82
|
$47,092.34
|
$23,715.08
|
2026-05-22
|
|
265
|
OTHER
|
Aicd Lead Procedures
|
2
|
1
|
—
|
—
|
$338.21
|
$47,022.43
|
$23,680.32
|
2026-05-22
|
|
269
|
OTHER
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
2
|
1
|
—
|
—
|
$427.63
|
$46,922.85
|
$23,675.24
|
2026-05-22
|
|
823
|
OTHER
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
2
|
1
|
—
|
—
|
$432.64
|
$46,893.19
|
$23,662.92
|
2026-05-22
|
|
854
|
OTHER
|
Infectious And Parasitic Diseases With O.r. Procedures With Cc
|
2
|
1
|
—
|
—
|
$205.56
|
$46,880.47
|
$23,543.02
|
2026-05-22
|
|
332
|
OTHER
|
Rectal Resection With Mcc
|
2
|
1
|
—
|
—
|
$406.03
|
$46,312.66
|
$23,359.35
|
2026-05-22
|
|
034
|
OTHER
|
Carotid Artery Stent Procedures With Mcc
|
2
|
1
|
—
|
—
|
$399.94
|
$46,007.57
|
$23,203.75
|
2026-05-22
|
|
027
|
OTHER
|
Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc
|
2
|
1
|
—
|
—
|
$249.54
|
$45,992.74
|
$23,121.14
|
2026-05-22
|
|
273
|
OTHER
|
Percutaneous And Other Intracardiac Procedures With Mcc
|
2
|
1
|
—
|
—
|
$401.30
|
$45,509.68
|
$22,955.49
|
2026-05-22
|
|
471
|
OTHER
|
Cervical Spinal Fusion With Mcc
|
2
|
1
|
—
|
—
|
$503.70
|
$45,316.87
|
$22,910.29
|
2026-05-22
|
|
420
|
OTHER
|
Hepatobiliary Diagnostic Procedures With Mcc
|
2
|
1
|
—
|
—
|
$326.12
|
$45,454.59
|
$22,890.35
|
2026-05-22
|
|
239
|
OTHER
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
2
|
1
|
—
|
—
|
$465.01
|
$45,242.72
|
$22,853.86
|
2026-05-22
|
|
835
|
OTHER
|
Acute Leukemia With Cc
|
2
|
1
|
—
|
—
|
$209.71
|
$45,335.94
|
$22,772.83
|
2026-05-22
|
|
166
|
OTHER
|
Other Respiratory System O.r. Procedures With Mcc
|
2
|
1
|
—
|
—
|
$366.58
|
$44,770.25
|
$22,568.42
|
2026-05-22
|
|
856
|
OTHER
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
2
|
1
|
—
|
—
|
$441.27
|
$44,499.06
|
$22,470.17
|
2026-05-22
|
|
320
|
OTHER
|
Other Endovascular Cardiac Valve Procedures Without Mcc
|
2
|
1
|
—
|
—
|
$247.14
|
$44,107.10
|
$22,177.12
|
2026-05-22
|
|
799
|
OTHER
|
Splenic Procedures With Mcc
|
2
|
1
|
—
|
—
|
$520.77
|
$43,371.91
|
$21,946.34
|
2026-05-22
|
|
406
|
OTHER
|
Pancreas, Liver And Shunt Procedures With Cc
|
2
|
1
|
—
|
—
|
$292.97
|
$42,897.32
|
$21,595.15
|
2026-05-22
|
|
654
|
OTHER
|
Major Bladder Procedures With Cc
|
2
|
1
|
—
|
—
|
$284.25
|
$42,829.52
|
$21,556.88
|
2026-05-22
|
|
933
|
OTHER
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft
|
2
|
1
|
—
|
—
|
$303.30
|
$42,751.13
|
$21,527.21
|
2026-05-22
|
|
140
|
OTHER
|
Major Head And Neck Procedures With Mcc
|
2
|
1
|
—
|
—
|
$415.63
|
$42,518.07
|
$21,466.85
|
2026-05-22
|
|
356
|
OTHER
|
Other Digestive System O.r. Procedures With Mcc
|
2
|
1
|
—
|
—
|
$422.25
|
$41,643.05
|
$21,032.65
|
2026-05-22
|
|
012
|
OTHER
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc
|
2
|
1
|
—
|
—
|
$390.95
|
$41,401.52
|
$20,896.24
|
2026-05-22
|
|
335
|
OTHER
|
Peritoneal Adhesiolysis With Mcc
|
2
|
1
|
—
|
—
|
$368.38
|
$40,979.90
|
$20,674.14
|
2026-05-22
|
|
929
|
OTHER
|
Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc
|
2
|
1
|
—
|
—
|
$293.88
|
$40,975.66
|
$20,634.77
|
2026-05-22
|
|
467
|
OTHER
|
Revision Of Hip Or Knee Replacement With Cc
|
2
|
1
|
—
|
—
|
$362.59
|
$40,886.67
|
$20,624.63
|
2026-05-22
|
|
821
|
OTHER
|
Lymphoma And Leukemia With Major O.r. Procedures With Cc
|
2
|
1
|
—
|
—
|
$216.24
|
$40,988.37
|
$20,602.31
|
2026-05-22
|
|
327
|
OTHER
|
Stomach, Esophageal And Duodenal Procedures With Cc
|
2
|
1
|
—
|
—
|
$256.13
|
$40,231.99
|
$20,244.06
|
2026-05-22
|
|
576
|
OTHER
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
2
|
1
|
—
|
—
|
$564.90
|
$39,746.81
|
$20,155.85
|
2026-05-22
|
|
040
|
OTHER
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc
|
2
|
1
|
—
|
—
|
$378.84
|
$39,674.78
|
$20,026.81
|
2026-05-22
|
|
252
|
OTHER
|
Other Vascular Procedures With Mcc
|
2
|
1
|
—
|
—
|
$334.33
|
$39,481.97
|
$19,908.15
|
2026-05-22
|
|
409
|
OTHER
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
2
|
1
|
—
|
—
|
$213.14
|
$39,344.26
|
$19,778.70
|
2026-05-22
|
|
573
|
OTHER
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
2
|
1
|
—
|
—
|
$587.05
|
$38,965.01
|
$19,776.03
|
2026-05-22
|
|
414
|
OTHER
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc
|
2
|
1
|
—
|
—
|
$353.47
|
$38,979.84
|
$19,666.65
|
2026-05-22
|
|
469
|
OTHER
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…
|
2
|
1
|
—
|
—
|
$323.14
|
$38,965.01
|
$19,644.08
|
2026-05-22
|
|
521
|
OTHER
|
Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc
|
2
|
1
|
—
|
—
|
$301.92
|
$38,965.01
|
$19,633.47
|
2026-05-22
|
|
614
|
OTHER
|
Adrenal And Pituitary Procedures With Cc/mcc
|
2
|
1
|
—
|
—
|
$234.99
|
$38,933.23
|
$19,584.11
|
2026-05-22
|
|
827
|
OTHER
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
2
|
1
|
—
|
—
|
$243.47
|
$38,537.03
|
$19,390.25
|
2026-05-22
|
|
836
|
OTHER
|
Acute Leukemia Without Cc/mcc
|
2
|
1
|
—
|
—
|
$156.88
|
$38,541.27
|
$19,349.08
|
2026-05-22
|
|
061
|
OTHER
|
Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…
|
2
|
1
|
—
|
—
|
$293.26
|
$38,314.57
|
$19,303.91
|
2026-05-22
|
|
619
|
OTHER
|
O.r. Procedures For Obesity With Mcc
|
2
|
1
|
—
|
—
|
$289.17
|
$38,181.09
|
$19,235.13
|
2026-05-22
|
|
616
|
OTHER
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
2
|
1
|
—
|
—
|
$376.45
|
$37,755.23
|
$19,065.84
|
2026-05-22
|
|
271
|
OTHER
|
Other Major Cardiovascular Procedures With Cc
|
2
|
1
|
—
|
—
|
$348.38
|
$37,770.06
|
$19,059.22
|
2026-05-22
|
|
515
|
OTHER
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc
|
2
|
1
|
—
|
—
|
$311.78
|
$37,693.79
|
$19,002.78
|
2026-05-22
|
|
907
|
OTHER
|
Other O.r. Procedures For Injuries With Mcc
|
2
|
1
|
—
|
—
|
$386.57
|
$37,558.19
|
$18,972.38
|
2026-05-22
|
|
656
|
OTHER
|
Kidney And Ureter Procedures For Neoplasm With Mcc
|
2
|
1
|
—
|
—
|
$330.53
|
$37,460.73
|
$18,895.63
|
2026-05-22
|
|
164
|
OTHER
|
Major Chest Procedures With Cc
|
2
|
1
|
—
|
—
|
$258.27
|
$37,359.04
|
$18,808.66
|
2026-05-22
|
|
424
|
OTHER
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Cc
|
2
|
1
|
—
|
—
|
$236.86
|
$37,242.51
|
$18,739.69
|
2026-05-22
|
|
982
|
OTHER
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc
|
2
|
1
|
—
|
—
|
$250.82
|
$37,087.84
|
$18,669.33
|
2026-05-22
|
|
243
|
OTHER
|
Permanent Cardiac Pacemaker Implant With Cc
|
2
|
1
|
—
|
—
|
$234.40
|
$36,846.31
|
$18,540.35
|
2026-05-22
|
|
468
|
OTHER
|
Revision Of Hip Or Knee Replacement Without Cc/mcc
|
2
|
1
|
—
|
—
|
$278.93
|
$36,460.71
|
$18,369.82
|
2026-05-22
|
|
094
|
OTHER
|
Bacterial And Tuberculous Infections Of Nervous System With Mcc
|
2
|
1
|
—
|
—
|
$357.35
|
$36,299.69
|
$18,328.52
|
2026-05-22
|
|
412
|
OTHER
|
Cholecystectomy With C.d.e. With Cc
|
2
|
1
|
—
|
—
|
$229.57
|
$36,403.50
|
$18,316.53
|
2026-05-22
|
|
655
|
OTHER
|
Major Bladder Procedures Without Cc/mcc
|
2
|
1
|
—
|
—
|
$215.87
|
$36,397.15
|
$18,306.51
|
2026-05-22
|
|
474
|
OTHER
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
2
|
1
|
—
|
—
|
$409.69
|
$36,094.17
|
$18,251.93
|
2026-05-22
|
|
330
|
OTHER
|
Major Small & Large Bowel Procedures With Complication
|
2
|
1
|
—
|
—
|
$245.54
|
$36,183.16
|
$18,214.35
|
2026-05-22
|
|
974
|
OTHER
|
HIV With Major Related Condition With Mcc
|
2
|
1
|
—
|
—
|
$287.30
|
$35,793.32
|
$18,040.31
|
2026-05-22
|
|
802
|
OTHER
|
Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc
|
2
|
1
|
—
|
—
|
$381.20
|
$35,687.38
|
$18,034.29
|
2026-05-22
|
|
477
|
OTHER
|
Biopsies Of Musculoskeletal System And Connective Tissue With Mcc
|
2
|
1
|
—
|
—
|
$340.28
|
$35,577.21
|
$17,958.74
|
2026-05-22
|
|
344
|
OTHER
|
Minor Small And Large Bowel Procedures With Mcc
|
2
|
1
|
—
|
—
|
$263.25
|
$35,511.53
|
$17,887.39
|
2026-05-22
|
|
480
|
OTHER
|
Hip And Femur Procedures Except Major Joint With Mcc
|
2
|
1
|
—
|
—
|
$296.60
|
$35,403.48
|
$17,850.04
|
2026-05-22
|
|
485
|
OTHER
|
Knee Procedures With Principal Diagnosis Of Infection With Mcc
|
2
|
1
|
—
|
—
|
$325.10
|
$35,053.89
|
$17,689.49
|
2026-05-22
|
|
901
|
OTHER
|
Wound Debridements For Injuries With Mcc
|
2
|
1
|
—
|
—
|
$439.86
|
$34,765.75
|
$17,602.81
|
2026-05-22
|
|
838
|
OTHER
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che…
|
2
|
1
|
—
|
—
|
$222.41
|
$34,676.76
|
$17,449.58
|
2026-05-22
|
|
250
|
OTHER
|
Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc
|
2
|
1
|
—
|
—
|
$241.97
|
$34,581.42
|
$17,411.69
|
2026-05-22
|
|
240
|
OTHER
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc
|
2
|
1
|
—
|
—
|
$271.42
|
$34,382.26
|
$17,326.84
|
2026-05-22
|
|
035
|
OTHER
|
Carotid Artery Stent Procedures With Cc
|
2
|
1
|
—
|
—
|
$228.38
|
$34,356.84
|
$17,292.61
|
2026-05-22
|
|
464
|
OTHER
|
Wnd Debrid & Skn Grft Exc Hand; For Musculo-conn Tiss Dis With Complication
|
2
|
1
|
—
|
—
|
$298.72
|
$34,263.62
|
$17,281.17
|
2026-05-22
|
|
622
|
OTHER
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
2
|
1
|
—
|
—
|
$362.11
|
$34,144.97
|
$17,253.54
|
2026-05-22
|
|
013
|
OTHER
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc
|
2
|
1
|
—
|
—
|
$282.83
|
$34,119.54
|
$17,201.19
|
2026-05-22
|
|
037
|
OTHER
|
Extracranial Procedures With Mcc
|
2
|
1
|
—
|
—
|
$337.30
|
$33,731.82
|
$17,034.56
|
2026-05-22
|
|
659
|
OTHER
|
Kidney And Ureter Procedures For Non-neoplasm With Mcc
|
2
|
1
|
—
|
—
|
$257.69
|
$33,513.60
|
$16,885.64
|
2026-05-22
|
|
824
|
OTHER
|
Lymphoma And Non-acute Leukemia With Other Procedures With Cc
|
2
|
1
|
—
|
—
|
$229.03
|
$33,534.78
|
$16,881.90
|
2026-05-22
|
|
492
|
OTHER
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc
|
2
|
1
|
—
|
—
|
$348.59
|
$33,253.00
|
$16,800.80
|
2026-05-22
|
|
258
|
OTHER
|
Cardiac Pacemaker Device Replacement With Mcc
|
2
|
1
|
—
|
—
|
$285.13
|
$33,240.28
|
$16,762.71
|
2026-05-22
|
|
167
|
OTHER
|
Other Respiratory System O.r. Procedures With Cc
|
2
|
1
|
—
|
—
|
$190.11
|
$33,089.86
|
$16,639.99
|
2026-05-22
|
|
472
|
OTHER
|
Cervical Spinal Fusion With Cc
|
2
|
1
|
—
|
—
|
$307.10
|
$32,390.69
|
$16,348.90
|
2026-05-22
|
|
495
|
OTHER
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
2
|
1
|
—
|
—
|
$371.44
|
$32,225.43
|
$16,298.44
|
2026-05-22
|
|
253
|
OTHER
|
Other Vascular Procedures With Cc
|
2
|
1
|
—
|
—
|
$267.40
|
$32,280.51
|
$16,273.95
|
2026-05-22
|
|
963
|
OTHER
|
Other Multiple Significant Trauma With Mcc
|
2
|
1
|
—
|
—
|
$277.32
|
$32,189.41
|
$16,233.36
|
2026-05-22
|
|
333
|
OTHER
|
Rectal Resection With Complication
|
2
|
1
|
—
|
—
|
$223.31
|
$32,157.63
|
$16,190.47
|
2026-05-22
|
|
987
|
OTHER
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
2
|
1
|
—
|
—
|
$331.84
|
$32,009.32
|
$16,170.58
|
2026-05-22
|
|
274
|
OTHER
|
Percutaneous And Other Intracardiac Procedures Without Mcc
|
2
|
1
|
—
|
—
|
$335.95
|
$31,941.52
|
$16,138.74
|
2026-05-22
|
|
165
|
OTHER
|
Major Chest Procedures Without Cc/mcc
|
2
|
1
|
—
|
—
|
$192.69
|
$32,072.88
|
$16,132.79
|
2026-05-22
|
|
855
|
OTHER
|
Infectious And Parasitic Diseases With O.r. Procedures Without Cc/mcc
|
2
|
1
|
—
|
—
|
$152.77
|
$32,098.31
|
$16,125.54
|
2026-05-22
|
|
840
|
OTHER
|
Lymphoma And Non-acute Leukemia With Mcc
|
2
|
1
|
—
|
—
|
$310.70
|
$31,884.32
|
$16,097.51
|
2026-05-22
|
|
324
|
OTHER
|
Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc
|
8
|
7
|
—
|
—
|
$16,058.06
|
$30,524.11
|
$16,058.06
|
2026-05-22
|
|
425
|
OTHER
|
Other Hepatobiliary Or Pancreas O.r. Procedures Without Cc/mcc
|
2
|
1
|
—
|
—
|
$143.06
|
$31,930.93
|
$16,036.99
|
2026-05-22
|
|
522
|
OTHER
|
Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc
|
2
|
1
|
—
|
—
|
$217.29
|
$31,551.68
|
$15,884.49
|
2026-05-22
|
|
628
|
OTHER
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc
|
2
|
1
|
—
|
—
|
$364.48
|
$31,339.81
|
$15,852.15
|
2026-05-22
|
|
143
|
OTHER
|
Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc
|
2
|
1
|
—
|
—
|
$317.26
|
$31,361.00
|
$15,839.13
|
2026-05-22
|
|
876
|
OTHER
|
O.r. Procedures With Principal Diagnosis Of Mental Illness
|
2
|
1
|
—
|
—
|
$319.63
|
$31,339.81
|
$15,829.72
|
2026-05-22
|
|
062
|
OTHER
|
Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…
|
2
|
1
|
—
|
—
|
$191.72
|
$31,331.34
|
$15,761.53
|
2026-05-22
|
|
032
|
OTHER
|
Ventricular Shunt Procedures With Cc
|
2
|
1
|
—
|
—
|
$205.45
|
$31,231.76
|
$15,718.60
|
2026-05-22
|
|
791
|
OTHER
|
Prematurity With Major Problems
|
2
|
1
|
—
|
—
|
$411.21
|
$30,803.78
|
$15,607.49
|
2026-05-22
|
|
500
|
OTHER
|
Soft Tissue Procedures With Mcc
|
2
|
1
|
—
|
—
|
$320.45
|
$30,865.22
|
$15,592.84
|
2026-05-22
|
|
829
|
OTHER
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…
|
2
|
1
|
—
|
—
|
$316.47
|
$30,858.87
|
$15,587.67
|
2026-05-22
|
|
737
|
OTHER
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc
|
2
|
1
|
—
|
—
|
$202.35
|
$30,960.56
|
$15,581.46
|
2026-05-22
|
|
470
|
OTHER
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without …
|
2
|
1
|
—
|
—
|
$191.19
|
$30,920.31
|
$15,555.75
|
2026-05-22
|
|
244
|
OTHER
|
Permanent Cardiac Pacemaker Implant Without Cc/mcc
|
2
|
1
|
—
|
—
|
$190.11
|
$30,894.88
|
$15,542.50
|
2026-05-22
|
|
574
|
OTHER
|
Skin Graft For Skin Ulcer Or Cellulitis With Cc
|
2
|
1
|
—
|
—
|
$360.46
|
$30,699.96
|
$15,530.21
|
2026-05-22
|
|
739
|
OTHER
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…
|
2
|
1
|
—
|
—
|
$390.23
|
$30,653.35
|
$15,521.79
|
2026-05-22
|
|
357
|
OTHER
|
Other Digestive System O.r. Procedures With Cc
|
2
|
1
|
—
|
—
|
$224.62
|
$30,744.46
|
$15,484.54
|
2026-05-22
|
|
939
|
OTHER
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc
|
2
|
1
|
—
|
—
|
$309.71
|
$30,653.35
|
$15,481.53
|
2026-05-22
|
|
036
|
OTHER
|
Carotid Artery Stent Procedures Without Cc/mcc
|
2
|
1
|
—
|
—
|
$188.07
|
$30,706.32
|
$15,447.19
|
2026-05-22
|
|
208
|
OTHER
|
Respiratory System Diagnosis With Ventilator Support <=96 Hours
|
2
|
1
|
—
|
—
|
$260.01
|
$30,502.92
|
$15,381.47
|
2026-05-22
|
|
483
|
OTHER
|
Major Joint Or Limb Reattachment Procedures Of Upper Extremities
|
2
|
1
|
—
|
—
|
$235.76
|
$30,454.19
|
$15,344.98
|
2026-05-22
|
|
800
|
OTHER
|
Splenic Procedures With Cc
|
2
|
1
|
—
|
—
|
$265.85
|
$30,314.36
|
$15,290.11
|
2026-05-22
|
|
579
|
OTHER
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc
|
2
|
1
|
—
|
—
|
$315.17
|
$29,882.14
|
$15,098.66
|
2026-05-22
|
|
030
|
OTHER
|
Spinal Procedures Without Cc/mcc
|
2
|
1
|
—
|
—
|
$234.12
|
$29,706.29
|
$14,970.21
|
2026-05-22
|
|
407
|
OTHER
|
Pancreas, Liver And Shunt Procedures Without Cc/mcc
|
2
|
1
|
—
|
—
|
$222.57
|
$29,642.73
|
$14,932.65
|
2026-05-22
|
|
095
|
OTHER
|
Bacterial And Tuberculous Infections Of Nervous System With Cc
|
2
|
1
|
—
|
—
|
$255.68
|
$29,591.88
|
$14,923.78
|
2026-05-22
|
|
570
|
OTHER
|
Skin Debridement With Mcc
|
2
|
1
|
—
|
—
|
$291.71
|
$29,479.59
|
$14,885.65
|
2026-05-22
|
|
904
|
OTHER
|
Skin Grafts For Injuries With Cc/mcc
|
2
|
1
|
—
|
—
|
$355.19
|
$29,337.64
|
$14,846.42
|
2026-05-22
|
|
421
|
OTHER
|
Hepatobiliary Diagnostic Procedures With Cc
|
2
|
1
|
—
|
—
|
$181.16
|
$29,420.27
|
$14,800.72
|
2026-05-22
|
|
336
|
OTHER
|
Peritoneal Adhesiolysis With Cc
|
2
|
1
|
—
|
—
|
$212.70
|
$29,189.33
|
$14,701.02
|
2026-05-22
|
|
288
|
OTHER
|
Acute And Subacute Endocarditis With Mcc
|
2
|
1
|
—
|
—
|
$269.65
|
$29,005.00
|
$14,637.32
|
2026-05-22
|
|
353
|
OTHER
|
Hernia Procedures Except Inguinal & Femoral With Comorbity
|
2
|
1
|
—
|
—
|
$286.78
|
$28,831.27
|
$14,559.03
|
2026-05-22
|
|
615
|
OTHER
|
Adrenal And Pituitary Procedures Without Cc/mcc
|
2
|
1
|
—
|
—
|
$147.58
|
$28,924.49
|
$14,536.03
|
2026-05-22
|
|
325
|
OTHER
|
Coronary Intravascular Lithotripsy Without Intraluminal Device
|
8
|
7
|
—
|
—
|
$14,503.99
|
$27,415.98
|
$14,503.99
|
2026-05-22
|
|
041
|
OTHER
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe…
|
2
|
1
|
—
|
—
|
$233.81
|
$28,761.35
|
$14,497.58
|
2026-05-22
|
|
255
|
OTHER
|
Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc
|
2
|
1
|
—
|
—
|
$256.56
|
$28,604.57
|
$14,430.56
|
2026-05-22
|
|
415
|
OTHER
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Cc
|
2
|
1
|
—
|
—
|
$200.00
|
$28,659.65
|
$14,429.83
|
2026-05-22
|
|
097
|
OTHER
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc
|
2
|
1
|
—
|
—
|
$388.82
|
$28,238.03
|
$14,313.42
|
2026-05-22
|
|
264
|
OTHER
|
Other Circulatory System O.r. Procedures
|
2
|
1
|
—
|
—
|
$330.97
|
$28,295.24
|
$14,313.10
|
2026-05-22
|
|
241
|
OTHER
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc…
|
2
|
1
|
—
|
—
|
$154.89
|
$28,335.49
|
$14,245.19
|
2026-05-22
|
|
857
|
OTHER
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc
|
2
|
1
|
—
|
—
|
$210.90
|
$28,246.51
|
$14,228.70
|
2026-05-22
|
|
397
|
OTHER
|
Appendix Procedures With Mcc
|
8
|
7
|
—
|
—
|
$14,210.55
|
$26,829.10
|
$14,210.55
|
2026-05-22
|
|
410
|
OTHER
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
2
|
1
|
—
|
—
|
$169.77
|
$28,089.72
|
$14,129.75
|
2026-05-22
|
|
413
|
OTHER
|
Cholecystectomy With C.d.e. Without Cc/mcc
|
2
|
1
|
—
|
—
|
$162.04
|
$27,975.31
|
$14,068.68
|
2026-05-22
|
|
063
|
OTHER
|
Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…
|
2
|
1
|
—
|
—
|
$158.10
|
$27,964.72
|
$14,061.41
|
2026-05-22
|
|
486
|
OTHER
|
Knee Procedures With Principal Diagnosis Of Infection With Cc
|
2
|
1
|
—
|
—
|
$208.60
|
$27,913.87
|
$14,061.24
|
2026-05-22
|
|
465
|
OTHER
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
2
|
1
|
—
|
—
|
$199.27
|
$27,837.60
|
$14,018.43
|
2026-05-22
|
|
983
|
OTHER
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc
|
2
|
1
|
—
|
—
|
$167.02
|
$27,835.48
|
$14,001.25
|
2026-05-22
|
|
516
|
OTHER
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc
|
2
|
1
|
—
|
—
|
$203.38
|
$27,759.21
|
$13,981.29
|
2026-05-22
|
|
481
|
OTHER
|
Hip And Femur Procedures Except Major Joint With Cc
|
2
|
1
|
—
|
—
|
$211.24
|
$27,238.01
|
$13,724.62
|
2026-05-22
|
|
272
|
OTHER
|
Other Major Cardiovascular Procedures Without Cc/mcc
|
2
|
1
|
—
|
—
|
$259.64
|
$27,051.56
|
$13,655.60
|
2026-05-22
|
|
096
|
OTHER
|
Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc
|
2
|
1
|
—
|
—
|
$228.43
|
$27,060.04
|
$13,644.24
|
2026-05-22
|
|
475
|
OTHER
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc
|
2
|
1
|
—
|
—
|
$222.12
|
$27,049.44
|
$13,635.78
|
2026-05-22
|
|
279
|
OTHER
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
8
|
7
|
—
|
—
|
$13,490.19
|
$25,388.38
|
$13,490.19
|
2026-05-22
|
|
657
|
OTHER
|
Kidney And Ureter Procedures For Neoplasm With Cc
|
2
|
1
|
—
|
—
|
$187.80
|
$26,750.71
|
$13,469.25
|
2026-05-22
|
|
662
|
OTHER
|
Minor Bladder Procedures With Mcc
|
2
|
1
|
—
|
—
|
$303.87
|
$26,574.85
|
$13,439.36
|
2026-05-22
|
|
620
|
OTHER
|
O.r. Procedures For Obesity With Cc
|
2
|
1
|
—
|
—
|
$168.56
|
$26,665.96
|
$13,417.26
|
2026-05-22
|
|
478
|
OTHER
|
Biopsies Of Musculoskeletal System And Connective Tissue With Cc
|
2
|
1
|
—
|
—
|
$234.89
|
$26,574.85
|
$13,404.87
|
2026-05-22
|
|
975
|
OTHER
|
HIV With Major Related Condition With Cc
|
2
|
1
|
—
|
—
|
$137.57
|
$26,646.89
|
$13,392.23
|
2026-05-22
|
|
817
|
OTHER
|
Other Antepartum Diagnoses With O.r. Procedures With Mcc
|
2
|
1
|
—
|
—
|
$312.98
|
$26,432.90
|
$13,372.94
|
2026-05-22
|
|
617
|
OTHER
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
2
|
1
|
—
|
—
|
$194.40
|
$26,496.46
|
$13,345.43
|
2026-05-22
|
|
908
|
OTHER
|
Other O.r. Procedures For Injuries With Cc
|
2
|
1
|
—
|
—
|
$205.65
|
$26,464.68
|
$13,335.16
|
2026-05-22
|
|
082
|
OTHER
|
Traumatic Stupor And Coma >1 Hour With Mcc
|
2
|
1
|
—
|
—
|
$226.53
|
$26,394.76
|
$13,310.65
|
2026-05-22
|
|
665
|
OTHER
|
Prostatectomy With Mcc
|
2
|
1
|
—
|
—
|
$306.03
|
$25,875.68
|
$13,090.86
|
2026-05-22
|
|
260
|
OTHER
|
Cardiac Pacemaker Revision Except Device Replacement With Mcc
|
2
|
1
|
—
|
—
|
$349.86
|
$25,697.71
|
$13,023.78
|
2026-05-22
|
|
801
|
OTHER
|
Splenic Procedures Without Cc/mcc
|
2
|
1
|
—
|
—
|
$179.60
|
$25,521.86
|
$12,850.73
|
2026-05-22
|
|
473
|
OTHER
|
Cervical Spinal Fusion Without Cc/mcc
|
2
|
1
|
—
|
—
|
$253.51
|
$25,377.79
|
$12,815.65
|
2026-05-22
|
|
629
|
OTHER
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc
|
2
|
1
|
—
|
—
|
$224.38
|
$25,324.82
|
$12,774.60
|
2026-05-22
|
|
734
|
OTHER
|
Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc
|
2
|
1
|
—
|
—
|
$218.52
|
$25,312.11
|
$12,765.32
|
2026-05-22
|
|
422
|
OTHER
|
Hepatobiliary Diagnostic Procedures Without Cc/mcc
|
2
|
1
|
—
|
—
|
$138.56
|
$25,343.89
|
$12,741.22
|
2026-05-22
|
|
673
|
OTHER
|
Other Kidney And Urinary Tract Procedures With Mcc
|
2
|
1
|
—
|
—
|
$349.40
|
$24,998.54
|
$12,673.97
|
2026-05-22
|
|
623
|
OTHER
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
2
|
1
|
—
|
—
|
$188.46
|
$25,136.26
|
$12,662.36
|
2026-05-22
|
|
493
|
OTHER
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc
|
2
|
1
|
—
|
—
|
$237.58
|
$25,017.61
|
$12,627.59
|
2026-05-22
|
|
584
|
OTHER
|
Breast Biopsy, Local Excision And Other Breast Procedures With Cc/mcc
|
2
|
1
|
—
|
—
|
$213.58
|
$24,888.37
|
$12,550.97
|
2026-05-22
|
|
350
|
OTHER
|
Inguinal & Femoral Hernia Procedures With Comorbity
|
2
|
1
|
—
|
—
|
$235.70
|
$24,824.81
|
$12,530.26
|
2026-05-22
|
|
168
|
OTHER
|
Other Respiratory System O.r. Procedures Without Cc/mcc
|
2
|
1
|
—
|
—
|
$141.76
|
$24,909.56
|
$12,525.66
|
2026-05-22
|
|
510
|
OTHER
|
Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc
|
2
|
1
|
—
|
—
|
$288.81
|
$24,752.77
|
$12,520.79
|
2026-05-22
|
|
280
|
OTHER
|
Acute Myocardial Infarction, Discharged Alive With Mcc
|
2
|
1
|
—
|
—
|
$160.64
|
$24,752.77
|
$12,456.70
|
2026-05-22
|
|
707
|
OTHER
|
Major Male Pelvic Procedures With Cc/mcc
|
2
|
1
|
—
|
—
|
$199.53
|
$24,642.60
|
$12,421.07
|
2026-05-22
|
|
738
|
OTHER
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Without Cc/mcc
|
2
|
1
|
—
|
—
|
$140.38
|
$24,674.38
|
$12,407.38
|
2026-05-22
|
|
177
|
OTHER
|
Respiratory Infections & Inflammations With Comorbity
|
2
|
1
|
—
|
—
|
$177.99
|
$24,579.04
|
$12,378.51
|
2026-05-22
|
|
545
|
OTHER
|
Connective Tissue Disorders With Mcc
|
2
|
1
|
—
|
—
|
$250.86
|
$24,481.58
|
$12,366.22
|
2026-05-22
|
|
660
|
OTHER
|
Kidney And Ureter Procedures For Non-neoplasm With Cc
|
2
|
1
|
—
|
—
|
$141.12
|
$24,557.85
|
$12,349.49
|
2026-05-22
|
|
841
|
OTHER
|
Lymphoma And Non-acute Leukemia With Cc
|
2
|
1
|
—
|
—
|
$159.48
|
$24,439.20
|
$12,299.34
|
2026-05-22
|
|
822
|
OTHER
|
Lymphoma And Leukemia With Major O.r. Procedures Without Cc/mcc
|
2
|
1
|
—
|
—
|
$120.50
|
$24,411.66
|
$12,266.08
|
2026-05-22
|
|
254
|
OTHER
|
Other Vascular Procedures Without Cc/mcc
|
2
|
1
|
—
|
—
|
$182.85
|
$24,045.13
|
$12,113.99
|
2026-05-22
|
|
828
|
OTHER
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
2
|
1
|
—
|
—
|
$173.91
|
$24,030.30
|
$12,102.10
|
2026-05-22
|
|
259
|
OTHER
|
Cardiac Pacemaker Device Replacement Without Mcc
|
2
|
1
|
—
|
—
|
$199.41
|
$24,000.63
|
$12,100.02
|
2026-05-22
|
|
345
|
OTHER
|
Minor Small & Large Bowel Procedures With Complication
|
2
|
1
|
—
|
—
|
$155.15
|
$24,036.65
|
$12,095.90
|
2026-05-22
|
|
808
|
OTHER
|
Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co…
|
2
|
1
|
—
|
—
|
$214.10
|
$23,970.97
|
$12,092.54
|
2026-05-22
|
|
180
|
OTHER
|
Respiratory Neoplasms With Mcc
|
2
|
1
|
—
|
—
|
$169.39
|
$23,941.31
|
$12,055.35
|
2026-05-22
|
|
940
|
OTHER
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc
|
2
|
1
|
—
|
—
|
$220.33
|
$23,795.12
|
$12,007.72
|
2026-05-22
|
|
964
|
OTHER
|
Other Multiple Significant Trauma With Cc
|
2
|
1
|
—
|
—
|
$146.45
|
$23,829.02
|
$11,987.74
|
2026-05-22
|
|
488
|
OTHER
|
Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc
|
2
|
1
|
—
|
—
|
$226.92
|
$23,695.54
|
$11,961.23
|
2026-05-22
|
|
286
|
OTHER
|
Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc
|
2
|
1
|
—
|
—
|
$212.10
|
$23,695.54
|
$11,953.82
|
2026-05-22
|
|
141
|
OTHER
|
Major Head And Neck Procedures With Cc
|
2
|
1
|
—
|
—
|
$223.26
|
$23,682.83
|
$11,953.05
|
2026-05-22
|
|
839
|
OTHER
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Without Cc/mcc
|
2
|
1
|
—
|
—
|
$137.47
|
$23,394.69
|
$11,766.08
|
2026-05-22
|
|
803
|
OTHER
|
Other O.r. Procedures Of The Blood And Blood Forming Organs With Cc
|
2
|
1
|
—
|
—
|
$205.33
|
$23,322.65
|
$11,763.99
|
2026-05-22
|
|
621
|
OTHER
|
O.r. Procedures For Obesity Without Cc/mcc
|
2
|
1
|
—
|
—
|
$155.50
|
$23,324.77
|
$11,740.14
|
2026-05-22
|
|
658
|
OTHER
|
Kidney And Ureter Procedures For Neoplasm Without Cc/mcc
|
2
|
1
|
—
|
—
|
$157.90
|
$23,312.06
|
$11,734.98
|
2026-05-22
|
|
625
|
OTHER
|
Thyroid, Parathyroid And Thyroglossal Procedures With Mcc
|
2
|
1
|
—
|
—
|
$287.72
|
$23,085.36
|
$11,686.54
|
2026-05-22
|
|
503
|
OTHER
|
Foot Procedures With Mcc
|
2
|
1
|
—
|
—
|
$253.33
|
$23,079.00
|
$11,666.16
|
2026-05-22
|
|
033
|
OTHER
|
Ventricular Shunt Procedures Without Cc/mcc
|
2
|
1
|
—
|
—
|
$169.85
|
$23,059.93
|
$11,614.89
|
2026-05-22
|
|
482
|
OTHER
|
Hip And Femur Procedures Except Major Joint Without Cc/mcc
|
2
|
1
|
—
|
—
|
$164.61
|
$23,051.46
|
$11,608.03
|
2026-05-22
|
|
331
|
OTHER
|
Major Small & Large Bowel Procedures Without Complication/comorbity
|
2
|
1
|
—
|
—
|
$170.88
|
$23,028.15
|
$11,599.51
|
2026-05-22
|
|
289
|
OTHER
|
Acute And Subacute Endocarditis With Cc
|
2
|
1
|
—
|
—
|
$160.71
|
$22,966.71
|
$11,563.71
|
2026-05-22
|
|
085
|
OTHER
|
Traumatic Stupor And Coma <1 Hour With Mcc
|
2
|
1
|
—
|
—
|
$233.57
|
$22,877.72
|
$11,555.65
|
2026-05-22
|
|
518
|
OTHER
|
Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…
|
2
|
1
|
—
|
—
|
$372.77
|
$22,720.94
|
$11,546.85
|
2026-05-22
|
|
042
|
OTHER
|
Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/mcc
|
2
|
1
|
—
|
—
|
$184.97
|
$22,805.69
|
$11,495.33
|
2026-05-22
|
|
585
|
OTHER
|
Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/mcc
|
2
|
1
|
—
|
—
|
$184.11
|
$22,691.28
|
$11,437.69
|
2026-05-22
|
|
902
|
OTHER
|
Wound Debridements For Injuries With Cc
|
2
|
1
|
—
|
—
|
$198.18
|
$22,674.33
|
$11,436.26
|
2026-05-22
|