|
18
|
OTHER
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
53
|
42
|
—
|
—
|
$314,050.71
|
$2,145,045.75
|
$448,643.88
|
2026-05-09
|
|
1
|
OTHER
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
64
|
49
|
—
|
—
|
$1,500.00
|
$634,944.02
|
$291,353.60
|
2026-05-09
|
|
927
|
OTHER
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
53
|
42
|
—
|
—
|
$155,476.80
|
$406,923.28
|
$226,793.89
|
2026-05-09
|
|
583-3
|
OTHER
|
Neonate With Ecmo
|
15
|
14
|
—
|
—
|
$66,300.00
|
$265,200.00
|
$221,000.00
|
2026-05-09
|
|
588-4
|
OTHER
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
15
|
14
|
—
|
—
|
$66,300.00
|
$265,200.00
|
$221,000.00
|
2026-05-09
|
|
583-4
|
OTHER
|
Neonate With Ecmo
|
15
|
14
|
—
|
—
|
$66,300.00
|
$265,200.00
|
$221,000.00
|
2026-05-09
|
|
3
|
OTHER
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
53
|
42
|
—
|
—
|
$154,566.71
|
$483,824.56
|
$220,809.59
|
2026-05-09
|
|
631-4
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
15
|
14
|
—
|
—
|
$66,203.86
|
$264,815.42
|
$220,679.52
|
2026-05-09
|
|
7
|
OTHER
|
Lung Transplant
|
52
|
41
|
—
|
—
|
$140,795.26
|
$1,622,135.40
|
$204,070.78
|
2026-05-09
|
|
011-3
|
OTHER
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
15
|
14
|
—
|
—
|
$60,804.37
|
$243,217.49
|
$202,681.24
|
2026-05-09
|
|
630-4
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
15
|
14
|
—
|
—
|
$58,933.59
|
$235,734.35
|
$196,445.29
|
2026-05-09
|
|
161-4
|
OTHER
|
Implantable Heart Assist Systems
|
15
|
14
|
—
|
—
|
$58,603.20
|
$234,412.81
|
$195,344.01
|
2026-05-09
|
|
002-4
|
OTHER
|
Heart And/or Lung Transplant
|
15
|
14
|
—
|
—
|
$55,470.08
|
$221,880.31
|
$184,900.26
|
2026-05-09
|
|
583-2
|
OTHER
|
Neonate With Ecmo
|
15
|
14
|
—
|
—
|
$52,729.44
|
$210,917.75
|
$175,764.79
|
2026-05-09
|
|
609-4
|
OTHER
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
15
|
14
|
—
|
—
|
$49,500.00
|
$198,000.00
|
$165,000.00
|
2026-05-09
|
|
589-1
|
OTHER
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
15
|
14
|
—
|
—
|
$48,845.75
|
$195,382.99
|
$162,819.16
|
2026-05-09
|
|
583-1
|
OTHER
|
Neonate With Ecmo
|
15
|
14
|
—
|
—
|
$47,795.15
|
$191,180.59
|
$159,317.16
|
2026-05-09
|
|
841-4
|
OTHER
|
Extensive Third Degree Burns With Skin Graft
|
15
|
14
|
—
|
—
|
$44,829.04
|
$179,316.16
|
$149,430.13
|
2026-05-09
|
|
4
|
OTHER
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
53
|
42
|
—
|
—
|
$101,008.81
|
$711,908.45
|
$147,474.94
|
2026-05-09
|
|
161-3
|
OTHER
|
Implantable Heart Assist Systems
|
15
|
14
|
—
|
—
|
$43,626.71
|
$174,506.84
|
$145,422.37
|
2026-05-09
|
|
007-4
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
15
|
14
|
—
|
—
|
$41,807.31
|
$167,229.25
|
$139,357.71
|
2026-05-09
|
|
009-4
|
OTHER
|
Extracorporeal Membrane Oxygenation (ecmo)
|
15
|
14
|
—
|
—
|
$41,700.00
|
$166,800.00
|
$139,000.00
|
2026-05-09
|
|
588-3
|
OTHER
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
15
|
14
|
—
|
—
|
$39,600.00
|
$158,400.00
|
$132,000.00
|
2026-05-09
|
|
588-2
|
OTHER
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
15
|
14
|
—
|
—
|
$39,000.00
|
$156,000.00
|
$130,000.00
|
2026-05-09
|
|
002-3
|
OTHER
|
Heart And/or Lung Transplant
|
15
|
14
|
—
|
—
|
$37,744.50
|
$150,977.99
|
$125,814.99
|
2026-05-09
|
|
14
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
53
|
42
|
—
|
—
|
$29,161.53
|
$229,051.46
|
$125,273.71
|
2026-05-09
|
|
863-4
|
OTHER
|
Neonatal Aftercare
|
15
|
14
|
—
|
—
|
$37,399.45
|
$149,597.80
|
$124,664.83
|
2026-05-09
|
|
593-4
|
OTHER
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
15
|
14
|
—
|
—
|
$36,300.00
|
$145,200.00
|
$121,000.00
|
2026-05-09
|
|
303-4
|
OTHER
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
15
|
14
|
—
|
—
|
$36,000.00
|
$144,000.00
|
$120,000.00
|
2026-05-09
|
|
001-4
|
OTHER
|
Liver Transplant And/or Intestinal Transplant
|
15
|
14
|
—
|
—
|
$36,000.00
|
$144,000.00
|
$120,000.00
|
2026-05-09
|
|
591-4
|
OTHER
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
15
|
14
|
—
|
—
|
$36,000.00
|
$144,000.00
|
$120,000.00
|
2026-05-09
|
|
2
|
OTHER
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
64
|
49
|
—
|
—
|
$1,500.00
|
$564,665.19
|
$118,154.66
|
2026-05-09
|
|
212
|
OTHER
|
Hip & Femur Procedures Except Major Joint Age 0-17
|
53
|
42
|
—
|
—
|
$79,383.86
|
$207,251.56
|
$113,405.52
|
2026-05-09
|
|
009-3
|
OTHER
|
Extracorporeal Membrane Oxygenation (ecmo)
|
15
|
14
|
—
|
—
|
$33,033.14
|
$132,132.56
|
$110,110.47
|
2026-05-09
|
|
004-4
|
OTHER
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
15
|
14
|
—
|
—
|
$33,000.00
|
$132,000.00
|
$110,000.00
|
2026-05-09
|
|
161-1
|
OTHER
|
Implantable Heart Assist Systems
|
15
|
14
|
—
|
—
|
$32,997.52
|
$131,990.09
|
$109,991.74
|
2026-05-09
|
|
161-2
|
OTHER
|
Implantable Heart Assist Systems
|
15
|
14
|
—
|
—
|
$32,997.52
|
$131,990.09
|
$109,991.74
|
2026-05-09
|
|
5
|
OTHER
|
Liver Transplant With Mcc Or Intestinal Transplant
|
52
|
41
|
—
|
—
|
$75,290.28
|
$355,171.84
|
$109,135.36
|
2026-05-09
|
|
160-4
|
OTHER
|
Major Cardiothoracic Repair Of Heart Anomaly
|
15
|
14
|
—
|
—
|
$32,077.78
|
$128,311.12
|
$106,925.93
|
2026-05-09
|
|
215
|
OTHER
|
Other Heart Assist System Implant
|
71
|
52
|
—
|
—
|
$1,500.00
|
$251,346.45
|
$101,846.52
|
2026-05-09
|
|
002-2
|
OTHER
|
Heart And/or Lung Transplant
|
15
|
14
|
—
|
—
|
$30,457.10
|
$121,828.39
|
$101,523.66
|
2026-05-09
|
|
216
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
77
|
55
|
—
|
—
|
$1,500.00
|
$227,856.49
|
$100,075.16
|
2026-05-09
|
|
602-4
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
15
|
14
|
—
|
—
|
$30,000.00
|
$120,000.00
|
$100,000.00
|
2026-05-09
|
|
607-4
|
OTHER
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
15
|
14
|
—
|
—
|
$30,000.00
|
$120,000.00
|
$100,000.00
|
2026-05-09
|
|
593-3
|
OTHER
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
15
|
14
|
—
|
—
|
$29,700.00
|
$118,800.00
|
$99,000.00
|
2026-05-09
|
|
633-4
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Major Anomaly
|
15
|
14
|
—
|
—
|
$28,639.24
|
$114,556.96
|
$95,464.13
|
2026-05-09
|
|
630-3
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
15
|
14
|
—
|
—
|
$28,500.00
|
$114,000.00
|
$95,000.00
|
2026-05-09
|
|
453
|
OTHER
|
Combined Anterior And Posterior Spinal Fusion With Mcc
|
54
|
42
|
—
|
—
|
$64,765.07
|
$205,241.72
|
$94,968.08
|
2026-05-09
|
|
611-4
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
15
|
14
|
—
|
—
|
$27,900.00
|
$111,600.00
|
$93,000.00
|
2026-05-09
|
|
842-4
|
OTHER
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
15
|
14
|
—
|
—
|
$27,757.34
|
$111,029.36
|
$92,524.47
|
2026-05-09
|
|
602-3
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
15
|
14
|
—
|
—
|
$27,600.00
|
$110,400.00
|
$92,000.00
|
2026-05-09
|
|
004-3
|
OTHER
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
15
|
14
|
—
|
—
|
$27,300.00
|
$109,200.00
|
$91,000.00
|
2026-05-09
|
|
591-3
|
OTHER
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
15
|
14
|
—
|
—
|
$27,300.00
|
$109,200.00
|
$91,000.00
|
2026-05-09
|
|
621-4
|
OTHER
|
Neonate Birth Weight 2000-2499 Grams With Major Anomaly
|
15
|
14
|
—
|
—
|
$27,000.00
|
$108,000.00
|
$90,000.00
|
2026-05-09
|
|
456
|
OTHER
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
53
|
42
|
—
|
—
|
$61,438.50
|
$244,127.02
|
$89,850.75
|
2026-05-09
|
|
007-3
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
15
|
14
|
—
|
—
|
$26,781.94
|
$107,127.77
|
$89,273.14
|
2026-05-09
|
|
612-4
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
15
|
14
|
—
|
—
|
$26,700.00
|
$106,800.00
|
$89,000.00
|
2026-05-09
|
|
005-4
|
OTHER
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
15
|
14
|
—
|
—
|
$26,400.00
|
$105,600.00
|
$88,000.00
|
2026-05-09
|
|
589-3
|
OTHER
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
15
|
14
|
—
|
—
|
$26,100.00
|
$104,400.00
|
$87,000.00
|
2026-05-09
|
|
231
|
OTHER
|
Coronary Bypass With Ptca With Mcc
|
78
|
56
|
—
|
—
|
$1,500.00
|
$234,420.22
|
$86,318.09
|
2026-05-09
|
|
607-3
|
OTHER
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
15
|
14
|
—
|
—
|
$25,800.00
|
$103,200.00
|
$86,000.00
|
2026-05-09
|
|
006-4
|
OTHER
|
Pancreas Transplant
|
15
|
14
|
—
|
—
|
$25,500.00
|
$102,000.00
|
$85,000.00
|
2026-05-09
|
|
20
|
OTHER
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
53
|
42
|
—
|
—
|
$57,555.55
|
$290,387.80
|
$82,222.22
|
2026-05-09
|
|
957
|
OTHER
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
53
|
42
|
—
|
—
|
$55,747.73
|
$145,229.14
|
$81,563.57
|
2026-05-09
|
|
162-4
|
OTHER
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
15
|
14
|
—
|
—
|
$24,231.34
|
$96,925.37
|
$80,771.14
|
2026-05-09
|
|
609-3
|
OTHER
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
15
|
14
|
—
|
—
|
$24,204.31
|
$96,817.24
|
$80,681.03
|
2026-05-09
|
|
603-4
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
15
|
14
|
—
|
—
|
$24,000.00
|
$96,000.00
|
$80,000.00
|
2026-05-09
|
|
591-2
|
OTHER
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
15
|
14
|
—
|
—
|
$24,000.00
|
$96,000.00
|
$80,000.00
|
2026-05-09
|
|
602-2
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
15
|
14
|
—
|
—
|
$24,000.00
|
$96,000.00
|
$80,000.00
|
2026-05-09
|
|
006-3
|
OTHER
|
Pancreas Transplant
|
15
|
14
|
—
|
—
|
$23,743.48
|
$94,973.94
|
$79,144.95
|
2026-05-09
|
|
593-2
|
OTHER
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
15
|
14
|
—
|
—
|
$23,700.00
|
$94,800.00
|
$79,000.00
|
2026-05-09
|
|
219
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
71
|
50
|
—
|
—
|
$10,200.00
|
$226,824.04
|
$78,675.39
|
2026-05-09
|
|
233
|
OTHER
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
78
|
56
|
—
|
—
|
$1,500.00
|
$161,564.35
|
$78,338.82
|
2026-05-09
|
|
440-4
|
OTHER
|
Kidney Transplant
|
15
|
14
|
—
|
—
|
$23,068.94
|
$92,275.76
|
$76,896.47
|
2026-05-09
|
|
001-3
|
OTHER
|
Liver Transplant And/or Intestinal Transplant
|
15
|
14
|
—
|
—
|
$22,846.64
|
$91,386.55
|
$76,155.46
|
2026-05-09
|
|
10
|
OTHER
|
Pancreas Transplant
|
52
|
41
|
—
|
—
|
$52,521.38
|
$272,931.26
|
$76,136.71
|
2026-05-09
|
|
928
|
OTHER
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
53
|
42
|
—
|
—
|
$43,729.54
|
$136,705.87
|
$74,999.42
|
2026-05-09
|
|
007-1
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
15
|
14
|
—
|
—
|
$22,400.12
|
$89,600.50
|
$74,667.08
|
2026-05-09
|
|
005-3
|
OTHER
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
15
|
14
|
—
|
—
|
$22,387.09
|
$89,548.34
|
$74,623.62
|
2026-05-09
|
|
19
|
OTHER
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
53
|
42
|
—
|
—
|
$12,276.67
|
$135,979.71
|
$74,604.09
|
2026-05-09
|
|
275
|
OTHER
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
70
|
52
|
—
|
—
|
$1,500.00
|
$135,899.66
|
$73,832.26
|
2026-05-09
|
|
870
|
OTHER
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
53
|
42
|
—
|
—
|
$50,604.61
|
$154,011.76
|
$72,292.30
|
2026-05-09
|
|
268
|
OTHER
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
63
|
47
|
—
|
—
|
$9,008.00
|
$405,565.62
|
$71,940.55
|
2026-05-09
|
|
459
|
OTHER
|
Spinal Fusion Except Cervical With Mcc
|
54
|
42
|
—
|
—
|
$48,574.53
|
$132,730.41
|
$71,279.29
|
2026-05-09
|
|
163-4
|
OTHER
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
15
|
14
|
—
|
—
|
$21,301.65
|
$85,206.60
|
$71,005.50
|
2026-05-09
|
|
955
|
OTHER
|
Craniotomy For Multiple Significant Trauma
|
53
|
42
|
—
|
—
|
$49,292.12
|
$152,532.88
|
$70,417.32
|
2026-05-09
|
|
608-4
|
OTHER
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
15
|
14
|
—
|
—
|
$21,000.00
|
$84,000.00
|
$70,000.00
|
2026-05-09
|
|
218
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
64
|
47
|
—
|
—
|
$10,200.00
|
$125,319.91
|
$68,800.73
|
2026-05-09
|
|
217
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
67
|
47
|
—
|
—
|
$10,200.00
|
$125,319.91
|
$68,800.73
|
2026-05-09
|
|
573
|
OTHER
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
53
|
42
|
—
|
—
|
$44,752.90
|
$124,864.39
|
$68,552.74
|
2026-05-09
|
|
207
|
OTHER
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
53
|
42
|
—
|
—
|
$47,139.30
|
$418,485.19
|
$67,341.86
|
2026-05-09
|
|
006-2
|
OTHER
|
Pancreas Transplant
|
15
|
14
|
—
|
—
|
$20,077.55
|
$80,310.20
|
$66,925.17
|
2026-05-09
|
|
007-2
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
15
|
14
|
—
|
—
|
$19,933.80
|
$79,735.21
|
$66,446.01
|
2026-05-09
|
|
178-4
|
OTHER
|
External Heart Assist Systems
|
15
|
14
|
—
|
—
|
$19,868.61
|
$79,474.43
|
$66,228.69
|
2026-05-09
|
|
454
|
OTHER
|
Combined Anterior And Posterior Spinal Fusion With Cc
|
54
|
42
|
—
|
—
|
$44,826.67
|
$116,571.74
|
$65,795.73
|
2026-05-09
|
|
969
|
OTHER
|
HIV With Extensive O.r. Procedures With Mcc
|
53
|
42
|
—
|
—
|
$44,863.00
|
$555,664.23
|
$65,712.67
|
2026-05-09
|
|
008-4
|
OTHER
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
15
|
14
|
—
|
—
|
$19,532.45
|
$78,129.79
|
$65,108.16
|
2026-05-09
|
|
266
|
OTHER
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
63
|
48
|
—
|
—
|
$10,200.00
|
$140,537.71
|
$64,163.67
|
2026-05-09
|
|
16
|
OTHER
|
Autologous Bone Marrow Transplant With Cc/mcc
|
53
|
42
|
—
|
—
|
$43,471.34
|
$132,710.25
|
$63,686.10
|
2026-05-09
|
|
165-4
|
OTHER
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
15
|
14
|
—
|
—
|
$19,097.70
|
$76,390.81
|
$63,659.01
|
2026-05-09
|
|
820
|
OTHER
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
53
|
42
|
—
|
—
|
$42,999.96
|
$119,732.50
|
$62,999.64
|
2026-05-09
|
|
28
|
OTHER
|
Spinal Procedures With Mcc
|
54
|
42
|
—
|
—
|
$44,042.24
|
$114,513.34
|
$62,917.49
|
2026-05-09
|
|
276
|
OTHER
|
Non-maligant Breast Disorders
|
53
|
42
|
—
|
—
|
$44,029.90
|
$114,480.94
|
$62,899.86
|
2026-05-09
|
|
457
|
OTHER
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
53
|
42
|
—
|
—
|
$43,713.95
|
$113,651.87
|
$62,448.50
|
2026-05-09
|
|
232
|
OTHER
|
Coronary Bypass With Ptca Without Mcc
|
76
|
54
|
—
|
—
|
$2,500.00
|
$145,685.71
|
$62,246.01
|
2026-05-09
|
|
790
|
OTHER
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
53
|
42
|
—
|
—
|
$3,843.79
|
$113,278.31
|
$62,245.12
|
2026-05-09
|
|
631-3
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
15
|
14
|
—
|
—
|
$18,604.12
|
$74,416.48
|
$62,013.73
|
2026-05-09
|
|
613-4
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
15
|
14
|
—
|
—
|
$18,600.00
|
$74,400.00
|
$62,000.00
|
2026-05-09
|
|
23
|
OTHER
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
53
|
42
|
—
|
—
|
$42,023.06
|
$215,185.16
|
$61,577.01
|
2026-05-09
|
|
004-2
|
OTHER
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
15
|
14
|
—
|
—
|
$18,440.65
|
$73,762.61
|
$61,468.84
|
2026-05-09
|
|
001-2
|
OTHER
|
Liver Transplant And/or Intestinal Transplant
|
15
|
14
|
—
|
—
|
$18,433.97
|
$73,735.90
|
$61,446.58
|
2026-05-09
|
|
463
|
OTHER
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
53
|
42
|
—
|
—
|
$41,799.34
|
$108,627.86
|
$61,251.24
|
2026-05-09
|
|
235
|
OTHER
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
73
|
52
|
—
|
—
|
$10,200.00
|
$111,850.77
|
$60,849.00
|
2026-05-09
|
|
608-3
|
OTHER
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
15
|
14
|
—
|
—
|
$18,123.89
|
$72,495.58
|
$60,412.98
|
2026-05-09
|
|
009-2
|
OTHER
|
Extracorporeal Membrane Oxygenation (ecmo)
|
15
|
14
|
—
|
—
|
$17,893.12
|
$71,572.49
|
$59,643.74
|
2026-05-09
|
|
8
|
OTHER
|
Simultaneous Pancreas And Kidney Transplant
|
52
|
41
|
—
|
—
|
$41,110.05
|
$443,955.30
|
$59,598.44
|
2026-05-09
|
|
461
|
OTHER
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
53
|
42
|
—
|
—
|
$40,517.37
|
$280,486.06
|
$59,384.38
|
2026-05-09
|
|
607-2
|
OTHER
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
15
|
14
|
—
|
—
|
$17,703.78
|
$70,815.11
|
$59,012.59
|
2026-05-09
|
|
405
|
OTHER
|
Pancreas, Liver And Shunt Procedures With Mcc
|
53
|
42
|
—
|
—
|
$40,136.06
|
$118,054.19
|
$58,829.07
|
2026-05-09
|
|
183-4
|
OTHER
|
Percutaneous Structural Cardiac Procedures
|
15
|
14
|
—
|
—
|
$17,630.63
|
$70,522.51
|
$58,768.76
|
2026-05-09
|
|
11
|
OTHER
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
53
|
42
|
—
|
—
|
$40,016.94
|
$168,858.64
|
$58,655.61
|
2026-05-09
|
|
278
|
OTHER
|
Cellulitis Age >17 Without Cc
|
53
|
42
|
—
|
—
|
$10,823.20
|
$106,087.27
|
$58,330.22
|
2026-05-09
|
|
162-3
|
OTHER
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
15
|
14
|
—
|
—
|
$17,356.17
|
$69,424.68
|
$57,853.90
|
2026-05-09
|
|
834
|
OTHER
|
Acute Leukemia Without Major O.r. Procedures With Mcc
|
53
|
42
|
—
|
—
|
$29,861.70
|
$104,633.06
|
$57,538.50
|
2026-05-09
|
|
6856001
|
OTHER
|
Imp Tavr Valve Kit
|
141
|
42
|
$213,060.00
|
$213,060.00
|
$500.00
|
$213,060.00
|
$57,095.00
|
2026-05-27
|
|
910-4
|
OTHER
|
Craniotomy For Multiple Significant Trauma
|
15
|
14
|
—
|
—
|
$17,096.66
|
$68,386.63
|
$56,988.86
|
2026-05-09
|
|
622-4
|
OTHER
|
Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…
|
15
|
14
|
—
|
—
|
$17,086.48
|
$68,345.92
|
$56,954.93
|
2026-05-09
|
|
17
|
OTHER
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
53
|
42
|
—
|
—
|
$14,173.60
|
$103,535.25
|
$56,940.85
|
2026-05-09
|
|
234
|
OTHER
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
78
|
56
|
—
|
—
|
$1,500.00
|
$113,509.83
|
$56,145.87
|
2026-05-09
|
|
220
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
71
|
50
|
—
|
—
|
$10,200.00
|
$101,638.86
|
$55,908.43
|
2026-05-09
|
|
21
|
OTHER
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
53
|
42
|
—
|
—
|
$38,852.64
|
$277,083.60
|
$55,503.77
|
2026-05-09
|
|
653
|
OTHER
|
Major Bladder Procedures With Mcc
|
54
|
43
|
—
|
—
|
$9,314.00
|
$324,470.83
|
$55,211.51
|
2026-05-09
|
|
166-4
|
OTHER
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
15
|
14
|
—
|
—
|
$16,514.02
|
$66,056.10
|
$55,046.75
|
2026-05-09
|
|
179-4
|
OTHER
|
Defibrillator Implants
|
15
|
14
|
—
|
—
|
$16,497.81
|
$65,991.23
|
$54,992.69
|
2026-05-09
|
|
02QB4ZZ
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
02QB3ZZ
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
02QC0ZZ
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
02QA4ZZ
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
021V49R
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
02QB0ZZ
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
02QC3ZZ
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
02Q94ZZ
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
021V0ZQ
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
02QA0ZZ
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
02Q90ZZ
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
021V0KP
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
02Q93ZZ
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
02QA3ZZ
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
02QC4ZZ
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
02Q44ZZ
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
02Q43ZZ
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
02Q50ZZ
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
02Q04ZZ
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
021V09Q
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
02Q40ZZ
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
02Q53ZZ
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
02NL4ZZ
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
02Q00ZZ
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
02Q03ZZ
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
02B53ZZ
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
021K4Z5
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
02NL3ZZ
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
02Q54ZZ
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
02QD0ZZ
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
02QD3ZZ
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
02NJ0ZZ
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
02NH0ZZ
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
02NK0ZZ
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
02NF0ZZ
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
02894ZZ
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
02NG0ZZ
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
02NK3ZZ
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
02HW3DZ
|
OTHER
|
Oh
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
02HW32Z
|
OTHER
|
Oh
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
02HW42Z
|
OTHER
|
Oh
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
028D0ZZ
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
021K0KR
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
02HW0DZ
|
OTHER
|
Oh
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
02HW4DZ
|
OTHER
|
Oh
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
02NK4ZZ
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
02HT3DZ
|
OTHER
|
Oh
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
02HT32Z
|
OTHER
|
Oh
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
02HT42Z
|
OTHER
|
Oh
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
02HT02Z
|
OTHER
|
Oh
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
021K0AP
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
02HT0DZ
|
OTHER
|
Oh
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
02HT4DZ
|
OTHER
|
Oh
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
02HS3DZ
|
OTHER
|
Oh
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
02164ZR
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
02HS42Z
|
OTHER
|
Oh
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
02164ZQ
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
02164ZP
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
02B50ZZ
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
02164KR
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
02164KQ
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
021K09P
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
021K09Q
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
021K09R
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
02B63ZZ
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
021K0AQ
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
021K0AR
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
021K0JP
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
021K0JQ
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
021K0JR
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
021K0KP
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
021K0KQ
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
02HS4DZ
|
OTHER
|
Oh
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
021K0ZP
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
021K0ZQ
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
021K0ZR
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
021K49P
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
021K49Q
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
021K49R
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
021K4AP
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
021K4AQ
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
021K4AR
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
021K4JP
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
021K4JQ
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
021K4JR
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
021K4KP
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
021K4KQ
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
021K4KR
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
02HW02Z
|
OTHER
|
Oh
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
021K4ZP
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
021K4ZQ
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
021K4ZR
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
021L0ZW
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
021L4Z5
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
021L4ZW
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
021V09P
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
02NL0ZZ
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
021V09R
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
021V0AP
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
021V0AQ
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
021V0AR
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
021V0JP
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
021V0JQ
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
021V0JR
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
02QF0ZZ
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
021V0KQ
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
021V0KR
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
021V0ZP
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
02164KP
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
021V0ZR
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
021V49P
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
021V49Q
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
02164JR
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
021V4AP
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
021V4AQ
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
021V4AR
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
021V4JP
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
021V4JQ
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
021V4JR
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
021V4KP
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
02HR0DZ
|
OTHER
|
Oh
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
02164JQ
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
02164JP
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
02HQ4DZ
|
OTHER
|
Oh
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
02HR3DZ
|
OTHER
|
Oh
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
02164AR
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
02164AQ
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
02HQ0DZ
|
OTHER
|
Oh
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
02164AP
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
021649R
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
02HQ3DZ
|
OTHER
|
Oh
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
02HR4DZ
|
OTHER
|
Oh
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
021649Q
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
021649P
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
02HP0DZ
|
OTHER
|
Oh
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
02160ZR
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
02160ZQ
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
02HP3DZ
|
OTHER
|
Oh
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
02160ZP
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
02160KR
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
02HN4KZ
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
02160KQ
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
02160KP
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
02HP4DZ
|
OTHER
|
Oh
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
02HS02Z
|
OTHER
|
Oh
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
02HS0DZ
|
OTHER
|
Oh
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
02160JR
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
02160JQ
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
02H73KZ
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
02160JP
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
02160AR
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
027G04Z
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
02HK3KZ
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
02160AQ
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
02160AP
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
027G0ZZ
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
021609R
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
021609Q
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
02H63KZ
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
02HL3KZ
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
021609P
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
02CV4ZZ
|
OTHER
|
Oh
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
02CW0ZZ
|
OTHER
|
Oh
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
02CV0ZZ
|
OTHER
|
Oh
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
02CV3ZZ
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|
|
02CW3ZZ
|
OTHER
|
Ip Cardiac Surg
|
3
|
2
|
—
|
—
|
$49,220.00
|
$54,864.00
|
$54,864.00
|
2026-05-27
|