|
Q2042
|
HCPCS
|
Tisagenlecleucel Car-pos T
|
3
|
2
|
—
|
—
|
$511,072.50
|
$1,022,145.00
|
$511,072.50
|
2024-12-02
|
|
Q2055
|
HCPCS
|
Idecabtagene Vicleucel Car
|
3
|
2
|
—
|
—
|
$484,690.30
|
$969,380.60
|
$484,690.30
|
2024-12-02
|
|
Q2041
|
HCPCS
|
Axicabtagene Ciloleucel Car+
|
3
|
2
|
—
|
—
|
$449,440.00
|
$898,880.00
|
$449,440.00
|
2024-12-02
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
16
|
12
|
—
|
—
|
$254,651.03
|
$669,210.80
|
$278,597.37
|
2024-12-02
|
|
222
|
MS_DRG
|
DRG
|
3
|
2
|
—
|
—
|
$254,286.00
|
$304,936.00
|
$299,160.00
|
2024-12-02
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
16
|
12
|
—
|
—
|
$187,301.32
|
$492,218.97
|
$204,914.37
|
2024-12-02
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
16
|
12
|
—
|
—
|
$182,187.24
|
$478,779.43
|
$199,319.39
|
2024-12-02
|
|
223
|
MS_DRG
|
DRG
|
3
|
2
|
—
|
—
|
$152,941.00
|
$179,931.00
|
$171,287.00
|
2024-12-02
|
|
224
|
MS_DRG
|
DRG
|
3
|
2
|
—
|
—
|
$148,316.00
|
$177,858.00
|
$174,489.00
|
2024-12-02
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo…
|
16
|
12
|
—
|
—
|
$147,362.60
|
$387,261.93
|
$161,219.98
|
2024-12-02
|
|
226
|
MS_DRG
|
DRG
|
3
|
2
|
—
|
—
|
$141,379.00
|
$166,328.00
|
$163,049.00
|
2024-12-02
|
|
225
|
MS_DRG
|
DRG
|
3
|
2
|
—
|
—
|
$136,216.00
|
$160,254.00
|
$153,288.00
|
2024-12-02
|
|
227
|
MS_DRG
|
DRG
|
3
|
2
|
—
|
—
|
$110,954.00
|
$131,268.00
|
$130,534.00
|
2024-12-02
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And …
|
16
|
12
|
—
|
—
|
$101,604.12
|
$267,010.80
|
$111,158.56
|
2024-12-02
|
|
7
|
MS_DRG
|
Lung Transplant
|
16
|
12
|
—
|
—
|
$84,783.45
|
$222,806.89
|
$92,756.14
|
2024-12-02
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
16
|
12
|
—
|
—
|
$84,629.32
|
$222,401.83
|
$92,587.51
|
2024-12-02
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
16
|
12
|
—
|
—
|
$79,215.96
|
$208,175.79
|
$86,665.11
|
2024-12-02
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
16
|
12
|
—
|
—
|
$74,445.40
|
$195,638.99
|
$81,445.95
|
2024-12-02
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
16
|
12
|
—
|
—
|
$71,537.60
|
$187,997.40
|
$78,264.70
|
2024-12-02
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
16
|
12
|
—
|
—
|
$70,603.11
|
$185,541.63
|
$77,242.34
|
2024-12-02
|
|
J7330
|
HCPCS
|
Hc Autologous Cultured Chronodrocytes, Impl
|
33
|
15
|
$424,534.44
|
$169,813.78
60% off
|
$69,873.13
|
$390,571.68
|
$252,597.99
|
2024-12-02
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
19
|
12
|
—
|
—
|
$67,081.52
|
$182,720.00
|
$105,030.76
|
2024-12-02
|
|
248
|
MS_DRG
|
DRG
|
3
|
2
|
—
|
—
|
$61,388.00
|
$72,221.00
|
$67,424.00
|
2024-12-02
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
16
|
12
|
—
|
—
|
$58,421.67
|
$153,529.39
|
$63,915.42
|
2024-12-02
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
20
|
13
|
—
|
—
|
$58,262.70
|
$307,913.00
|
$92,660.18
|
2024-12-02
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
19
|
12
|
—
|
—
|
$56,091.01
|
$163,230.00
|
$87,822.69
|
2024-12-02
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
16
|
12
|
—
|
—
|
$55,249.83
|
$145,193.93
|
$60,445.30
|
2024-12-02
|
|
453
|
MS_DRG
|
DRG
|
20
|
13
|
—
|
—
|
$54,987.00
|
$280,486.00
|
$109,012.95
|
2024-12-02
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
19
|
12
|
—
|
—
|
$53,909.62
|
$151,819.00
|
$84,407.27
|
2024-12-02
|
|
Q2043
|
HCPCS
|
Sipuleucel-t Auto Cd54+
|
5
|
3
|
—
|
—
|
$53,426.66
|
$120,701.30
|
$106,853.32
|
2024-12-02
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
19
|
12
|
—
|
—
|
$53,298.62
|
$150,416.00
|
$86,080.13
|
2024-12-02
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
16
|
12
|
—
|
—
|
$49,989.92
|
$131,371.13
|
$54,690.76
|
2024-12-02
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
16
|
12
|
—
|
—
|
$48,630.36
|
$127,798.27
|
$53,203.36
|
2024-12-02
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
16
|
12
|
—
|
—
|
$48,140.30
|
$126,510.44
|
$52,667.22
|
2024-12-02
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
16
|
12
|
—
|
—
|
$47,827.90
|
$125,689.43
|
$52,325.43
|
2024-12-02
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
16
|
12
|
—
|
—
|
$47,747.03
|
$125,476.91
|
$52,236.96
|
2024-12-02
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
16
|
12
|
—
|
—
|
$47,502.35
|
$124,833.91
|
$51,969.27
|
2024-12-02
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
17
|
12
|
—
|
—
|
$47,378.62
|
$124,508.77
|
$54,823.89
|
2024-12-02
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
19
|
12
|
—
|
—
|
$47,128.41
|
$123,851.23
|
$56,679.00
|
2024-12-02
|
|
249
|
MS_DRG
|
DRG
|
3
|
2
|
—
|
—
|
$46,117.00
|
$54,255.00
|
$52,988.00
|
2024-12-02
|
|
J9226
|
HCPCS
|
Supprelin La Implant
|
5
|
3
|
—
|
—
|
$44,575.94
|
$92,642.65
|
$89,151.88
|
2024-12-02
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
19
|
12
|
—
|
—
|
$43,995.97
|
$158,891.00
|
$68,885.28
|
2024-12-02
|
|
246
|
MS_DRG
|
DRG
|
5
|
4
|
—
|
—
|
$43,588.00
|
$88,195.00
|
$74,966.00
|
2024-12-02
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
16
|
12
|
—
|
—
|
$43,172.07
|
$192,700.00
|
$47,231.80
|
2024-12-02
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
16
|
12
|
—
|
—
|
$42,978.55
|
$112,945.57
|
$47,020.07
|
2024-12-02
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
16
|
12
|
—
|
—
|
$42,923.94
|
$112,802.07
|
$46,960.33
|
2024-12-02
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/mcc
|
16
|
12
|
—
|
—
|
$42,694.46
|
$112,199.03
|
$46,709.28
|
2024-12-02
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
16
|
12
|
—
|
—
|
$42,694.46
|
$112,199.03
|
$46,709.28
|
2024-12-02
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
16
|
12
|
—
|
—
|
$42,448.40
|
$111,552.39
|
$46,440.08
|
2024-12-02
|
|
454
|
MS_DRG
|
DRG
|
20
|
13
|
—
|
—
|
$42,274.92
|
$205,135.00
|
$75,242.73
|
2024-12-02
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
16
|
12
|
—
|
—
|
$42,094.52
|
$110,622.39
|
$46,052.92
|
2024-12-02
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
19
|
12
|
—
|
—
|
$41,991.53
|
$200,106.00
|
$65,746.90
|
2024-12-02
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
16
|
12
|
—
|
—
|
$41,793.86
|
$109,832.26
|
$45,723.98
|
2024-12-02
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
17
|
12
|
—
|
—
|
$41,651.47
|
$112,924.00
|
$48,196.75
|
2024-12-02
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
16
|
12
|
—
|
—
|
$41,471.76
|
$108,985.82
|
$45,371.60
|
2024-12-02
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
19
|
12
|
—
|
—
|
$41,115.80
|
$158,015.00
|
$64,375.75
|
2024-12-02
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
19
|
12
|
—
|
—
|
$40,645.79
|
$119,096.00
|
$65,645.14
|
2024-12-02
|
|
77371
|
CPT
|
Srs Multisource
|
2
|
1
|
—
|
—
|
$39,398.00
|
$39,398.00
|
$39,398.00
|
2024-12-02
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
19
|
12
|
—
|
—
|
$39,374.71
|
$153,123.00
|
$61,649.69
|
2024-12-02
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
16
|
12
|
—
|
—
|
$39,280.70
|
$103,227.83
|
$42,974.50
|
2024-12-02
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
19
|
12
|
—
|
—
|
$39,181.87
|
$121,450.00
|
$63,280.81
|
2024-12-02
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
17
|
13
|
—
|
—
|
$39,146.62
|
$102,875.45
|
$45,298.27
|
2024-12-02
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
16
|
12
|
—
|
—
|
$38,699.42
|
$101,700.24
|
$42,338.56
|
2024-12-02
|
|
459
|
MS_DRG
|
DRG
|
20
|
13
|
—
|
—
|
$38,569.00
|
$180,360.00
|
$81,590.55
|
2024-12-02
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
16
|
12
|
—
|
—
|
$38,051.09
|
$99,996.45
|
$41,629.26
|
2024-12-02
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
17
|
12
|
—
|
—
|
$37,417.96
|
$113,740.00
|
$43,297.97
|
2024-12-02
|
|
J7310
|
HCPCS
|
Ganciclovir Long Act Implant
|
2
|
1
|
—
|
—
|
$37,142.40
|
$37,142.40
|
$37,142.40
|
2024-12-02
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
16
|
12
|
—
|
—
|
$36,368.05
|
$95,573.52
|
$39,787.96
|
2024-12-02
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
19
|
12
|
—
|
—
|
$36,249.86
|
$141,339.00
|
$58,545.47
|
2024-12-02
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
19
|
12
|
—
|
—
|
$35,927.08
|
$116,373.00
|
$56,251.67
|
2024-12-02
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
16
|
12
|
—
|
—
|
$35,639.55
|
$93,659.03
|
$38,990.94
|
2024-12-02
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
17
|
12
|
—
|
—
|
$35,105.26
|
$203,964.00
|
$40,621.84
|
2024-12-02
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
19
|
12
|
—
|
—
|
$34,952.50
|
$118,403.00
|
$56,450.17
|
2024-12-02
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
17
|
12
|
—
|
—
|
$34,826.72
|
$148,337.00
|
$40,299.52
|
2024-12-02
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
19
|
12
|
—
|
—
|
$34,554.39
|
$119,558.00
|
$54,102.42
|
2024-12-02
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
16
|
12
|
—
|
—
|
$34,245.42
|
$89,995.35
|
$37,465.72
|
2024-12-02
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
16
|
12
|
—
|
—
|
$33,731.19
|
$152,725.00
|
$36,903.13
|
2024-12-02
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
16
|
12
|
—
|
—
|
$33,431.90
|
$87,857.45
|
$36,575.71
|
2024-12-02
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
16
|
12
|
—
|
—
|
$33,270.85
|
$87,434.23
|
$36,399.51
|
2024-12-02
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
16
|
12
|
—
|
—
|
$33,223.86
|
$87,310.72
|
$36,348.10
|
2024-12-02
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
16
|
12
|
—
|
—
|
$33,055.20
|
$86,867.51
|
$36,163.58
|
2024-12-02
|
|
624000007
|
CPT
|
Hc Fda Ide G190285 Amplatz Cardiac Plug
|
38
|
15
|
$100,001.02
|
$40,000.41
60% off
|
$33,000.34
|
$92,000.94
|
$88,500.90
|
2024-12-02
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
16
|
12
|
—
|
—
|
$32,876.88
|
$87,986.42
|
$36,318.00
|
2024-12-02
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
16
|
12
|
—
|
—
|
$32,764.91
|
$86,104.63
|
$35,845.99
|
2024-12-02
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
16
|
12
|
—
|
—
|
$32,579.67
|
$85,617.83
|
$35,643.33
|
2024-12-02
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
19
|
12
|
—
|
—
|
$32,130.41
|
$136,951.00
|
$51,892.32
|
2024-12-02
|
|
455
|
MS_DRG
|
DRG
|
20
|
13
|
—
|
—
|
$31,833.19
|
$142,099.00
|
$56,658.09
|
2024-12-02
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
19
|
12
|
—
|
—
|
$31,320.33
|
$93,891.00
|
$49,038.81
|
2024-12-02
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
19
|
12
|
—
|
—
|
$31,317.57
|
$149,680.00
|
$49,034.48
|
2024-12-02
|
|
247
|
MS_DRG
|
DRG
|
5
|
4
|
—
|
—
|
$31,134.00
|
$62,901.00
|
$53,466.00
|
2024-12-02
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
16
|
12
|
—
|
—
|
$31,116.44
|
$81,772.51
|
$34,042.50
|
2024-12-02
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
16
|
12
|
—
|
—
|
$31,086.03
|
$81,692.59
|
$34,009.22
|
2024-12-02
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
16
|
12
|
—
|
—
|
$30,608.42
|
$80,437.46
|
$33,486.71
|
2024-12-02
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
19
|
12
|
—
|
—
|
$30,522.71
|
$128,181.00
|
$49,295.81
|
2024-12-02
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
16
|
12
|
—
|
—
|
$30,334.70
|
$84,057.54
|
$34,142.61
|
2024-12-02
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
20
|
13
|
—
|
—
|
$30,194.00
|
$94,209.40
|
$57,013.71
|
2024-12-02
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
16
|
12
|
—
|
—
|
$30,148.77
|
$79,229.55
|
$32,983.85
|
2024-12-02
|
|
901
|
MS_DRG
|
Wound Debridements For Injuries With Mcc
|
16
|
12
|
—
|
—
|
$29,913.08
|
$78,610.16
|
$32,725.99
|
2024-12-02
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
16
|
12
|
—
|
—
|
$29,740.29
|
$78,156.06
|
$32,536.94
|
2024-12-02
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
16
|
12
|
—
|
—
|
$29,573.71
|
$77,718.31
|
$32,354.70
|
2024-12-02
|
|
793
|
MS_DRG
|
Full Term Neonate With Major Problems
|
16
|
12
|
—
|
—
|
$29,094.02
|
$76,457.73
|
$31,829.91
|
2024-12-02
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
17
|
12
|
—
|
—
|
$28,743.60
|
$85,125.00
|
$33,260.48
|
2024-12-02
|
|
323
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc
|
16
|
12
|
—
|
—
|
$28,615.04
|
$75,198.96
|
$31,305.88
|
2024-12-02
|
|
31
|
MS_DRG
|
Ventricular Shunt Procedures With Mcc
|
16
|
12
|
—
|
—
|
$28,453.30
|
$74,773.92
|
$31,128.93
|
2024-12-02
|
|
791
|
MS_DRG
|
Prematurity With Major Problems
|
16
|
12
|
—
|
—
|
$28,322.67
|
$74,430.62
|
$30,986.01
|
2024-12-02
|
|
0812
|
RC
|
Hc Pancreas Fee
|
70
|
15
|
$85,348.63
|
$34,139.45
60% off
|
$28,165.05
|
$127,744.67
|
$69,426.45
|
2024-12-02
|
|
166
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Mcc
|
16
|
12
|
—
|
—
|
$28,046.88
|
$73,705.88
|
$30,684.29
|
2024-12-02
|
|
958
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
16
|
12
|
—
|
—
|
$27,957.03
|
$73,469.75
|
$30,586.00
|
2024-12-02
|
|
236
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
19
|
12
|
—
|
—
|
$27,932.15
|
$83,950.00
|
$45,111.92
|
2024-12-02
|
|
628
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc
|
16
|
12
|
—
|
—
|
$27,747.60
|
$72,919.38
|
$30,356.87
|
2024-12-02
|
|
12
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc
|
16
|
12
|
—
|
—
|
$27,681.25
|
$72,745.00
|
$30,284.28
|
2024-12-02
|
|
616
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
16
|
12
|
—
|
—
|
$27,355.01
|
$71,887.66
|
$29,927.36
|
2024-12-02
|
|
423
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
16
|
12
|
—
|
—
|
$27,031.53
|
$71,037.59
|
$29,573.47
|
2024-12-02
|
|
34
|
MS_DRG
|
Carotid Artery Stent Procedures With Mcc
|
16
|
12
|
—
|
—
|
$26,965.87
|
$70,865.03
|
$29,501.64
|
2024-12-02
|
|
273
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures With Mcc
|
19
|
12
|
—
|
—
|
$26,935.45
|
$82,831.00
|
$43,502.21
|
2024-12-02
|
|
736
|
MS_DRG
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc
|
16
|
12
|
—
|
—
|
$26,867.72
|
$70,607.10
|
$29,394.26
|
2024-12-02
|
|
956
|
MS_DRG
|
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma
|
18
|
12
|
—
|
—
|
$26,805.51
|
$205,881.00
|
$36,493.86
|
2024-12-02
|
|
40
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc
|
16
|
12
|
—
|
—
|
$26,614.05
|
$69,940.48
|
$29,116.74
|
2024-12-02
|
|
622
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
16
|
12
|
—
|
—
|
$26,441.96
|
$69,488.20
|
$28,928.45
|
2024-12-02
|
|
24
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
19
|
12
|
—
|
—
|
$26,187.59
|
$83,210.00
|
$42,294.37
|
2024-12-02
|
|
140
|
MS_DRG
|
Major Head And Neck Procedures With Mcc
|
16
|
12
|
—
|
—
|
$26,113.64
|
$68,625.41
|
$28,569.26
|
2024-12-02
|
|
876
|
MS_DRG
|
O.r. Procedures With Principal Diagnosis Of Mental Illness
|
16
|
12
|
—
|
—
|
$25,791.55
|
$67,778.97
|
$28,216.89
|
2024-12-02
|
|
408
|
MS_DRG
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
16
|
12
|
—
|
—
|
$25,727.27
|
$67,610.04
|
$28,146.56
|
2024-12-02
|
|
907
|
MS_DRG
|
Other O.r. Procedures For Injuries With Mcc
|
16
|
12
|
—
|
—
|
$25,708.61
|
$67,561.00
|
$28,126.14
|
2024-12-02
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
16
|
12
|
—
|
—
|
$25,560.00
|
$67,170.47
|
$27,963.56
|
2024-12-02
|
|
460
|
MS_DRG
|
DRG
|
20
|
13
|
—
|
—
|
$25,282.84
|
$114,152.00
|
$44,999.49
|
2024-12-02
|
|
518
|
MS_DRG
|
Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…
|
20
|
13
|
—
|
—
|
$25,240.67
|
$66,331.30
|
$38,049.39
|
2024-12-02
|
|
97
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc
|
16
|
12
|
—
|
—
|
$25,137.69
|
$66,060.65
|
$27,501.53
|
2024-12-02
|
|
332
|
MS_DRG
|
Rectal Resection With Mcc
|
16
|
12
|
—
|
—
|
$25,073.40
|
$66,376.71
|
$27,537.98
|
2024-12-02
|
|
94
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Mcc
|
16
|
12
|
—
|
—
|
$25,039.54
|
$65,802.72
|
$27,394.15
|
2024-12-02
|
|
739
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…
|
17
|
12
|
—
|
—
|
$24,995.31
|
$85,304.00
|
$28,923.17
|
2024-12-02
|
|
495
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
19
|
12
|
—
|
—
|
$24,752.70
|
$65,322.00
|
$38,755.75
|
2024-12-02
|
|
335
|
MS_DRG
|
Peritoneal Adhesiolysis With Mcc
|
16
|
12
|
—
|
—
|
$24,709.85
|
$64,936.30
|
$27,033.46
|
2024-12-02
|
|
265
|
MS_DRG
|
Aicd Lead Procedures
|
16
|
12
|
—
|
—
|
$24,427.15
|
$64,193.39
|
$26,724.18
|
2024-12-02
|
|
414
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc
|
16
|
12
|
—
|
—
|
$24,365.63
|
$64,031.73
|
$26,656.88
|
2024-12-02
|
|
467
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Cc
|
20
|
13
|
—
|
—
|
$24,096.77
|
$89,090.00
|
$40,006.29
|
2024-12-02
|
|
0811
|
RC
|
Hc Living Donor/stand Acquisition
|
38
|
15
|
$72,910.01
|
$29,164.00
60% off
|
$24,060.30
|
$67,077.21
|
$64,525.36
|
2024-12-02
|
|
22
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…
|
16
|
12
|
—
|
—
|
$24,030.41
|
$71,251.92
|
$28,073.68
|
2024-12-02
|
|
492
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc
|
19
|
13
|
—
|
—
|
$23,929.50
|
$82,139.00
|
$37,466.85
|
2024-12-02
|
|
651
|
MS_DRG
|
Kidney Transplant With Hemodialysis Without Mcc
|
16
|
12
|
—
|
—
|
$23,903.92
|
$62,818.38
|
$26,151.75
|
2024-12-02
|
|
271
|
MS_DRG
|
Other Major Cardiovascular Procedures With Cc
|
19
|
12
|
—
|
—
|
$23,888.71
|
$101,764.00
|
$38,581.56
|
2024-12-02
|
|
242
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant With Mcc
|
19
|
12
|
—
|
—
|
$23,881.12
|
$133,832.00
|
$37,391.09
|
2024-12-02
|
|
29
|
MS_DRG
|
Spinal Procedures With Cc Or Spinal Neurostimulators
|
17
|
12
|
—
|
—
|
$23,695.19
|
$64,915.00
|
$27,418.74
|
2024-12-02
|
|
574
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Cc
|
16
|
12
|
—
|
—
|
$23,540.36
|
$61,862.95
|
$25,754.00
|
2024-12-02
|
|
802
|
MS_DRG
|
Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc
|
16
|
12
|
—
|
—
|
$23,433.23
|
$62,317.05
|
$25,798.76
|
2024-12-02
|
|
A9543
|
HCPCS
|
Y-90 Zevalin
|
38
|
15
|
$70,810.44
|
$28,324.18
60% off
|
$23,367.45
|
$108,036.36
|
$62,667.24
|
2024-12-02
|
|
987
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
16
|
12
|
—
|
—
|
$23,339.23
|
$61,334.38
|
$25,533.96
|
2024-12-02
|
|
37
|
MS_DRG
|
Extracranial Procedures With Mcc
|
16
|
12
|
—
|
—
|
$23,331.62
|
$61,314.40
|
$25,525.64
|
2024-12-02
|
|
477
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Mcc
|
16
|
12
|
—
|
—
|
$23,286.00
|
$61,194.52
|
$25,475.72
|
2024-12-02
|
|
252
|
MS_DRG
|
Other Vascular Procedures With Mcc
|
19
|
12
|
—
|
—
|
$23,180.94
|
$88,919.00
|
$37,438.47
|
2024-12-02
|
|
579
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc
|
16
|
12
|
—
|
—
|
$23,100.76
|
$60,707.72
|
$25,273.07
|
2024-12-02
|
|
469
|
MS_DRG
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…
|
20
|
13
|
—
|
—
|
$23,015.06
|
$69,434.00
|
$40,879.28
|
2024-12-02
|
|
143
|
MS_DRG
|
Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc
|
16
|
12
|
—
|
—
|
$22,986.03
|
$60,406.20
|
$25,147.54
|
2024-12-02
|
|
260
|
MS_DRG
|
Cardiac Pacemaker Revision Except Device Replacement With Mcc
|
17
|
12
|
—
|
—
|
$22,914.15
|
$60,217.29
|
$26,514.97
|
2024-12-02
|
|
485
|
MS_DRG
|
Knee Procedures With Principal Diagnosis Of Infection With Mcc
|
17
|
12
|
—
|
—
|
$22,767.62
|
$62,791.00
|
$26,345.41
|
2024-12-02
|
|
264
|
MS_DRG
|
Other Circulatory System O.r. Procedures
|
16
|
12
|
—
|
—
|
$22,574.08
|
$59,323.62
|
$24,696.86
|
2024-12-02
|
|
904
|
MS_DRG
|
Skin Grafts For Injuries With Cc/mcc
|
16
|
12
|
—
|
—
|
$22,506.35
|
$59,145.62
|
$24,622.75
|
2024-12-02
|
|
500
|
MS_DRG
|
Soft Tissue Procedures With Mcc
|
16
|
12
|
—
|
—
|
$22,413.73
|
$58,902.22
|
$24,521.42
|
2024-12-02
|
|
274
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures Without Mcc
|
19
|
12
|
—
|
—
|
$22,399.91
|
$60,885.00
|
$36,177.05
|
2024-12-02
|
|
929
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc
|
16
|
12
|
—
|
—
|
$22,225.04
|
$58,406.34
|
$24,314.99
|
2024-12-02
|
|
939
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc
|
16
|
12
|
—
|
—
|
$22,223.65
|
$58,402.71
|
$24,313.47
|
2024-12-02
|
|
420
|
MS_DRG
|
Hepatobiliary Diagnostic Procedures With Mcc
|
16
|
12
|
—
|
—
|
$22,123.43
|
$58,139.33
|
$24,203.83
|
2024-12-02
|
|
229
|
MS_DRG
|
Other Cardiothoracic Procedures Without Mcc
|
17
|
12
|
—
|
—
|
$21,976.90
|
$113,831.00
|
$25,430.44
|
2024-12-02
|
|
515
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc
|
17
|
13
|
—
|
—
|
$21,851.80
|
$57,425.49
|
$25,285.68
|
2024-12-02
|
|
829
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…
|
16
|
12
|
—
|
—
|
$21,798.58
|
$57,285.62
|
$23,848.42
|
2024-12-02
|
|
656
|
MS_DRG
|
Kidney And Ureter Procedures For Neoplasm With Mcc
|
16
|
12
|
—
|
—
|
$21,686.60
|
$56,991.37
|
$23,725.92
|
2024-12-02
|
|
840
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Mcc
|
16
|
12
|
—
|
—
|
$21,600.90
|
$56,766.13
|
$23,632.16
|
2024-12-02
|
|
C2616
|
HCPCS
|
Yttrium-90 Brachytx Src Non-stranded
|
31
|
15
|
$79,875.00
|
$31,950.00
60% off
|
$21,566.25
|
$73,485.00
|
$39,937.50
|
2024-12-02
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
20
|
13
|
—
|
—
|
$21,271.00
|
$91,177.00
|
$55,130.40
|
2024-12-02
|
|
464
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
17
|
13
|
—
|
—
|
$20,745.22
|
$54,517.43
|
$24,005.20
|
2024-12-02
|
|
521
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc
|
20
|
13
|
—
|
—
|
$20,695.44
|
$69,434.00
|
$36,834.65
|
2024-12-02
|
|
472
|
MS_DRG
|
Cervical Spinal Fusion With Cc
|
20
|
13
|
—
|
—
|
$20,427.27
|
$75,358.00
|
$35,522.07
|
2024-12-02
|
|
26
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Cc
|
19
|
12
|
—
|
—
|
$20,411.37
|
$65,453.00
|
$32,965.46
|
2024-12-02
|
|
480
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Mcc
|
18
|
12
|
—
|
—
|
$20,382.34
|
$69,308.00
|
$27,749.15
|
2024-12-02
|
|
625
|
MS_DRG
|
Thyroid, Parathyroid And Thyroglossal Procedures With Mcc
|
17
|
12
|
—
|
—
|
$20,190.88
|
$53,060.68
|
$23,363.76
|
2024-12-02
|
|
462
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc
|
20
|
13
|
—
|
—
|
$19,673.18
|
$76,063.00
|
$34,913.12
|
2024-12-02
|
|
510
|
MS_DRG
|
Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc
|
18
|
12
|
—
|
—
|
$18,804.36
|
$61,170.00
|
$25,600.85
|
2024-12-02
|
|
208
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support <=96 Hours
|
19
|
12
|
—
|
—
|
$18,688.24
|
$60,144.00
|
$29,260.52
|
2024-12-02
|
|
468
|
MS_DRG
|
Revision Of Hip Or Knee Replacement Without Cc/mcc
|
20
|
13
|
—
|
—
|
$18,451.86
|
$72,887.00
|
$31,442.87
|
2024-12-02
|
|
498
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc…
|
19
|
12
|
—
|
—
|
$18,046.83
|
$49,120.00
|
$28,256.24
|
2024-12-02
|
|
659
|
MS_DRG
|
Kidney And Ureter Procedures For Non-neoplasm With Mcc
|
19
|
12
|
—
|
—
|
$17,894.08
|
$78,555.00
|
$28,017.08
|
2024-12-02
|
|
619
|
MS_DRG
|
O.r. Procedures For Obesity With Mcc
|
19
|
12
|
—
|
—
|
$17,891.31
|
$70,042.00
|
$27,675.00
|
2024-12-02
|
|
253
|
MS_DRG
|
Other Vascular Procedures With Cc
|
19
|
12
|
—
|
—
|
$17,632.81
|
$85,379.00
|
$28,477.93
|
2024-12-02
|
|
J9266
|
HCPCS
|
Pegaspargase 750 Unit/ml Injection Solution
|
34
|
15
|
$65,104.83
|
$26,041.93
60% off
|
$17,578.30
|
$59,896.44
|
$38,737.37
|
2024-12-02
|
|
483
|
MS_DRG
|
Major Joint Or Limb Reattachment Procedures Of Upper Extremities
|
20
|
13
|
—
|
—
|
$17,170.41
|
$76,432.00
|
$30,560.62
|
2024-12-02
|
|
473
|
MS_DRG
|
Cervical Spinal Fusion Without Cc/mcc
|
20
|
13
|
—
|
—
|
$17,007.28
|
$52,110.00
|
$27,022.84
|
2024-12-02
|
|
272
|
MS_DRG
|
Other Major Cardiovascular Procedures Without Cc/mcc
|
19
|
12
|
—
|
—
|
$16,861.44
|
$85,125.00
|
$27,232.14
|
2024-12-02
|
|
27
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc
|
19
|
12
|
—
|
—
|
$16,815.82
|
$55,468.00
|
$27,158.46
|
2024-12-02
|
|
493
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc
|
19
|
13
|
—
|
—
|
$16,600.18
|
$53,196.00
|
$25,991.20
|
2024-12-02
|
|
330
|
MS_DRG
|
Major Small And Large Bowel Procedures With Cc
|
19
|
12
|
—
|
—
|
$16,395.59
|
$61,213.00
|
$26,479.75
|
2024-12-02
|
|
250
|
MS_DRG
|
Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc
|
19
|
12
|
—
|
—
|
$16,248.36
|
$63,898.00
|
$25,440.36
|
2024-12-02
|
|
243
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant With Cc
|
19
|
12
|
—
|
—
|
$15,742.42
|
$84,988.00
|
$24,648.19
|
2024-12-02
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
19
|
12
|
—
|
—
|
$15,729.00
|
$125,134.00
|
$50,421.04
|
2024-12-02
|
|
734
|
MS_DRG
|
Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc
|
19
|
12
|
—
|
—
|
$15,023.58
|
$53,086.00
|
$23,522.70
|
2024-12-02
|
|
286
|
MS_DRG
|
Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc
|
19
|
12
|
—
|
—
|
$14,899.17
|
$48,390.00
|
$24,062.96
|
2024-12-02
|
|
522
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc
|
20
|
13
|
—
|
—
|
$14,599.20
|
$55,910.00
|
$25,984.29
|
2024-12-02
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
16
|
12
|
—
|
—
|
$13,574.00
|
$81,018.71
|
$31,783.09
|
2024-12-02
|
|
A9604
|
HCPCS
|
Samarium-153 Lexidronam
|
38
|
15
|
$34,492.50
|
$13,797.00
60% off
|
$11,382.53
|
$31,733.10
|
$30,525.87
|
2024-12-02
|
|
J2507
|
HCPCS
|
Pegloticase 8 Mg/ml Intravenous Solution
|
47
|
15
|
$65,041.27
|
$26,016.51
60% off
|
$3,371.08
|
$92,193.75
|
$38,699.56
|
2024-12-02
|
|
0427T
|
CPT
|
Hc Insert Neurostimulator Generator Only For Central Sleep Apnea
|
38
|
15
|
$67,856.15
|
$27,142.46
60% off
|
$1,267.00
|
$62,427.66
|
$60,052.69
|
2024-12-02
|
|
0424T
|
CPT
|
Hc Insert/replace Neurostimulator Complete System For Central Sleep Apnea
|
38
|
15
|
$67,856.15
|
$27,142.46
60% off
|
$1,267.00
|
$62,427.66
|
$60,052.69
|
2024-12-02
|
|
0431T
|
CPT
|
Hc Replace Neurostimulator Generator Only For Central Sleep Apnea
|
38
|
15
|
$67,856.15
|
$27,142.46
60% off
|
$1,267.00
|
$62,427.66
|
$60,052.69
|
2024-12-02
|
|
33363
|
CPT
|
Hc Transcatheter Replacement Value Aortic Tavi Axillary Open Approach
|
46
|
15
|
$59,568.25
|
$23,827.30
60% off
|
$1,267.00
|
$54,802.79
|
$51,675.46
|
2024-12-02
|
|
33364
|
CPT
|
Hc Tavr/tavi Aortic Valve Open Iliac Artery Approach
|
46
|
15
|
$54,399.14
|
$21,759.66
60% off
|
$1,267.00
|
$50,047.21
|
$47,191.25
|
2024-12-02
|
|
0408T
|
CPT
|
Hc Insert/replace Cardiac Contractility Modulation System
|
38
|
15
|
$53,156.52
|
$21,262.61
60% off
|
$1,267.00
|
$48,904.00
|
$47,043.52
|
2024-12-02
|
|
0414T
|
CPT
|
Hc Replace Cardiac Contractility Generator Only
|
38
|
15
|
$53,156.52
|
$21,262.61
60% off
|
$1,267.00
|
$48,904.00
|
$47,043.52
|
2024-12-02
|
|
0409T
|
CPT
|
Hc Insert Cardiac Contractility Generator Only
|
38
|
15
|
$53,156.52
|
$21,262.61
60% off
|
$1,267.00
|
$48,904.00
|
$47,043.52
|
2024-12-02
|
|
33366
|
CPT
|
Hc Tavr/tavi Aortic Valve Transapical Approach
|
46
|
15
|
$52,950.62
|
$21,180.25
60% off
|
$1,267.00
|
$48,714.57
|
$45,934.67
|
2024-12-02
|
|
0483T
|
CPT
|
Hc Transcatheter Replacement Valve Mitral Tmvi Percutaneous Approach
|
38
|
15
|
$51,202.15
|
$20,480.86
60% off
|
$1,267.00
|
$47,105.98
|
$45,313.90
|
2024-12-02
|
|
33365
|
CPT
|
Hc Tavr/tavi Aortic Valve Open Transaortic Approach
|
46
|
15
|
$50,567.85
|
$20,227.14
60% off
|
$1,267.00
|
$46,522.42
|
$43,867.61
|
2024-12-02
|
|
0345T
|
CPT
|
Hc Transcatheter Repair Mitral Valve Percutaneous Via Coronary Sinus
|
40
|
15
|
$49,192.08
|
$19,676.83
60% off
|
$1,267.00
|
$45,256.71
|
$43,534.99
|
2024-12-02
|
|
C9602
|
HCPCS
|
Hc Cor Atherectomy & Drug-eluting Stent Inital Ves
|
38
|
15
|
$41,533.50
|
$16,613.40
60% off
|
$1,267.00
|
$38,210.82
|
$36,757.15
|
2024-12-02
|
|
C9767
|
HCPCS
|
Hc Revasc Intravascular Lithotripsy W/wo Pta W/stent & Atherectomy Ilio/fem/pop …
|
38
|
15
|
$41,533.50
|
$16,613.40
60% off
|
$1,267.00
|
$38,210.82
|
$36,757.15
|
2024-12-02
|
|
C9607
|
HCPCS
|
Hc Cor Revasc Chronic Occ Drug-eluting Stent/pta/atherect Initial Ves
|
38
|
15
|
$41,533.50
|
$16,613.40
60% off
|
$1,267.00
|
$38,210.82
|
$36,757.15
|
2024-12-02
|
|
C9775
|
HCPCS
|
Hc Revasc Intravasc Lithotripsy W/wo Pta W/stent With Atherectomy Tib/pero Artery(…
|
38
|
15
|
$41,533.50
|
$16,613.40
60% off
|
$1,267.00
|
$38,210.82
|
$36,757.15
|
2024-12-02
|
|
0268T
|
CPT
|
Hc Insert/repl Carotid Sinus Baroflex Activation Generator Only
|
38
|
15
|
$40,729.29
|
$16,291.72
60% off
|
$1,267.00
|
$37,470.95
|
$36,045.43
|
2024-12-02
|
|
0266T
|
CPT
|
Hc Insert/repl Carotid Sinus Baroflex Activation System
|
38
|
15
|
$40,729.29
|
$16,291.72
60% off
|
$1,267.00
|
$37,470.95
|
$36,045.43
|
2024-12-02
|
|
37216
|
CPT
|
Hc Plc Stent Cerv Carotid Wo Emb
|
38
|
15
|
$39,894.15
|
$15,957.66
60% off
|
$1,267.00
|
$36,702.62
|
$35,306.32
|
2024-12-02
|
|
33418
|
CPT
|
Hc Transcatheter Repair Mitral Valve Including Transseptal Pincture Initial Pros…
|
48
|
15
|
$49,192.08
|
$19,676.83
60% off
|
$1,267.00
|
$45,256.71
|
$34,926.38
|
2024-12-02
|
|
0620T
|
CPT
|
Hc Revasc Venous Tib/per Arterialization
|
38
|
15
|
$36,959.15
|
$14,783.66
60% off
|
$1,267.00
|
$34,002.42
|
$32,708.85
|
2024-12-02
|
|
C9774
|
HCPCS
|
Hc Revasc Intravasc Lithotripsy W/wo Pta W/atherectomy Tib/pero Artery(ies) Only
|
38
|
15
|
$35,567.38
|
$14,226.95
60% off
|
$1,267.00
|
$32,721.99
|
$31,477.13
|
2024-12-02
|
|
C9766
|
HCPCS
|
Hc Revasc Intravascular Lithotripsy W/wo Pta W/atherectomy Ilio/fem/pop Vessel(s…
|
38
|
15
|
$35,567.38
|
$14,226.95
60% off
|
$1,267.00
|
$32,721.99
|
$31,477.13
|
2024-12-02
|
|
G2170
|
HCPCS
|
Hc Dialysis Circuit Perc Direct Creation
|
38
|
15
|
$34,712.19
|
$13,884.88
60% off
|
$1,267.00
|
$31,935.21
|
$30,720.28
|
2024-12-02
|
|
G2171
|
HCPCS
|
Hc Dialysis Circuit Rf Magnetic Guided
|
38
|
15
|
$34,712.19
|
$13,884.88
60% off
|
$1,267.00
|
$31,935.21
|
$30,720.28
|
2024-12-02
|
|
0238T
|
CPT
|
Hc Atherectomy Iliac W Imag S/i
|
41
|
15
|
$33,461.46
|
$13,384.58
60% off
|
$1,267.00
|
$30,784.54
|
$29,613.39
|
2024-12-02
|
|
C9765
|
HCPCS
|
Hc Revasc Intravascular Lithotripsy W/wo Pta W/stent Ilio/fem/pop Vessel(s)
|
38
|
15
|
$31,274.44
|
$12,509.78
60% off
|
$1,267.00
|
$28,772.48
|
$27,677.88
|
2024-12-02
|
|
C9600
|
HCPCS
|
Hc Cor Stent Drug Eluting Coronary Initial Major Vessel
|
38
|
15
|
$31,274.44
|
$12,509.78
60% off
|
$1,267.00
|
$28,772.48
|
$27,677.88
|
2024-12-02
|
|
C9773
|
HCPCS
|
Hc Revasc Intravasc Lithotripsy W/wo Pta W/stent Tib/pero Artery(ies) Only
|
38
|
15
|
$31,274.44
|
$12,509.78
60% off
|
$1,267.00
|
$28,772.48
|
$27,677.88
|
2024-12-02
|
|
93461
|
CPT
|
Hc Cor Angio & Rt & Lt Heart Cath & Grafts
|
46
|
15
|
$31,548.50
|
$12,619.40
60% off
|
$1,267.00
|
$29,024.62
|
$27,368.33
|
2024-12-02
|
|
0275T
|
CPT
|
Hc Laminotomy Lumbar
|
38
|
15
|
$30,675.54
|
$12,270.22
60% off
|
$1,267.00
|
$28,221.50
|
$27,147.85
|
2024-12-02
|
|
93594
|
CPT
|
Hc Rt Heart Cath Congenital Abnormal Native Connections
|
38
|
15
|
$28,994.74
|
$11,597.90
60% off
|
$1,267.00
|
$26,675.16
|
$25,660.35
|
2024-12-02
|
|
93593
|
CPT
|
Hc Rt Heart Cath Congenital Normal Native Connections
|
38
|
15
|
$28,994.74
|
$11,597.90
60% off
|
$1,267.00
|
$26,675.16
|
$25,660.35
|
2024-12-02
|
|
C9758
|
HCPCS
|
Hc Atrial Shunt With All Guidance
|
38
|
15
|
$28,994.74
|
$11,597.90
60% off
|
$1,267.00
|
$26,675.16
|
$25,660.35
|
2024-12-02
|
|
93596
|
CPT
|
Hc Rt & Lt Heart Cath Congenital Normal Native Connections
|
38
|
15
|
$28,614.16
|
$11,445.66
60% off
|
$1,267.00
|
$26,325.03
|
$25,323.53
|
2024-12-02
|
|
93597
|
CPT
|
Hc Rt & Lt Heart Cath Congenital Abnormal Native Connections
|
38
|
15
|
$28,614.16
|
$11,445.66
60% off
|
$1,267.00
|
$26,325.03
|
$25,323.53
|
2024-12-02
|
|
C9606
|
HCPCS
|
Hc Cor Revasc Acute Mi Drug-eluting Stent/pta/atherect Initial Ves
|
38
|
15
|
$27,167.47
|
$10,866.99
60% off
|
$1,267.00
|
$24,994.07
|
$24,043.21
|
2024-12-02
|
|
93460
|
CPT
|
Hc Cor Angio & Rt & Lt Heart Cath
|
46
|
15
|
$28,614.16
|
$11,445.66
60% off
|
$1,262.88
|
$26,325.03
|
$24,822.79
|
2024-12-02
|
|
93581
|
CPT
|
Hc Closure Ventricular Septal Defect (vsd)
|
46
|
15
|
$28,994.74
|
$11,597.90
60% off
|
$1,249.05
|
$26,675.16
|
$25,152.94
|
2024-12-02
|
|
93457
|
CPT
|
Hc Cor Angio & Rt Heart Cath & Grafts
|
46
|
15
|
$31,929.06
|
$12,771.62
60% off
|
$1,248.18
|
$29,374.74
|
$27,698.46
|
2024-12-02
|
|
33362
|
CPT
|
Hc Tavr/tavi Aortic Valve Open Femoral Artery Approach
|
46
|
15
|
$57,180.66
|
$22,872.26
60% off
|
$1,246.61
|
$52,606.21
|
$49,604.22
|
2024-12-02
|
|
93456
|
CPT
|
Hc Cor Angio & Rt Heart Cath
|
46
|
15
|
$28,994.74
|
$11,597.90
60% off
|
$1,146.12
|
$26,675.16
|
$25,152.94
|
2024-12-02
|
|
33361
|
CPT
|
Hc Tavr/tavi Aortic Valve Perc Femoral Artery Approach
|
46
|
15
|
$54,399.14
|
$21,759.66
60% off
|
$1,143.05
|
$50,047.21
|
$47,191.25
|
2024-12-02
|
|
93459
|
CPT
|
Hc Cor Angio & Lt Heart Cath & Grafts
|
46
|
15
|
$28,867.81
|
$11,547.12
60% off
|
$1,137.11
|
$26,558.39
|
$25,042.83
|
2024-12-02
|
|
93590
|
CPT
|
Hc Closure Paravalvular Leak Mitral Valve Initial
|
46
|
15
|
$39,761.66
|
$15,904.66
60% off
|
$1,032.60
|
$36,580.73
|
$34,493.24
|
2024-12-02
|
|
93654
|
CPT
|
Hc Comp Ep Eval W Vt Abl Wwo 3dmp
|
46
|
15
|
$55,770.79
|
$22,308.32
60% off
|
$967.28
|
$51,309.13
|
$48,381.16
|
2024-12-02
|
|
93580
|
CPT
|
Hc Closure Atrial Septal Defect/asd/pfo/fontan Fenestatrtion With Implant
|
46
|
15
|
$28,994.74
|
$11,597.90
60% off
|
$921.19
|
$26,675.16
|
$25,152.94
|
2024-12-02
|
|
93656
|
CPT
|
Hc Comp Ep Eval W Pv Iso Abl
|
46
|
15
|
$60,647.73
|
$24,259.09
60% off
|
$910.16
|
$55,795.91
|
$52,611.90
|
2024-12-02
|
|
33249
|
CPT
|
Hc Ins Rpl Icd System Dual
|
46
|
15
|
$77,952.53
|
$31,181.01
60% off
|
$882.28
|
$71,716.33
|
$67,623.82
|
2024-12-02
|
|
61886
|
CPT
|
Hc Ins/repl Cranial Neurostim Pulse Gen/recvr
|
46
|
15
|
$76,338.17
|
$30,535.27
60% off
|
$870.90
|
$70,231.12
|
$66,223.36
|
2024-12-02
|
|
93591
|
CPT
|
Hc Closure Paravalvular Leak Aortic Valve Initial
|
46
|
15
|
$39,761.66
|
$15,904.66
60% off
|
$851.71
|
$36,580.73
|
$34,493.24
|
2024-12-02
|
|
64582
|
CPT
|
Hc Implant Hypoglossal Stim, Array & Sensor
|
46
|
15
|
$50,892.12
|
$20,356.85
60% off
|
$845.66
|
$46,820.75
|
$44,148.91
|
2024-12-02
|
|
93653
|
CPT
|
Hc Comp Ep Eval W Svt Abl
|
46
|
15
|
$60,337.69
|
$24,135.08
60% off
|
$802.62
|
$55,510.67
|
$52,342.95
|
2024-12-02
|
|
33340
|
CPT
|
Hc Closure Left Atrial Appendage With Implant Including Imaging
|
46
|
15
|
$53,798.50
|
$21,519.40
60% off
|
$745.87
|
$49,494.62
|
$46,670.20
|
2024-12-02
|
|
93583
|
CPT
|
Hc Ablation Transcatheter Septal Reduction Therapy
|
46
|
15
|
$42,511.22
|
$17,004.49
60% off
|
$699.62
|
$39,110.32
|
$36,878.49
|
2024-12-02
|
|
37231
|
CPT
|
Hc Revasc Arterial Tib/per W Atherect & Stent W/wo Angioplas Initial Ves
|
46
|
15
|
$53,800.01
|
$21,520.00
60% off
|
$692.75
|
$49,496.01
|
$46,671.51
|
2024-12-02
|
|
37227
|
CPT
|
Hc Revasc Arterial Fem/pop W Atherect & Stent W/wo Angioplas
|
49
|
15
|
$55,438.74
|
$22,175.50
60% off
|
$673.42
|
$51,003.64
|
$34,002.42
|
2024-12-02
|
|
37244
|
CPT
|
Hc Embo Hemorg/lymph Trauma
|
46
|
15
|
$33,125.71
|
$13,250.28
60% off
|
$632.69
|
$30,475.65
|
$28,736.55
|
2024-12-02
|
|
93582
|
CPT
|
Hc Closure Patent Ductus Arteriosus (pda)
|
46
|
15
|
$28,994.74
|
$11,597.90
60% off
|
$624.19
|
$26,675.16
|
$25,152.94
|
2024-12-02
|
|
92943
|
CPT
|
Hc Cor Revasc Chronic Occ Bare Metal Stent/pta/atherect Initial Ves
|
46
|
15
|
$31,274.44
|
$12,509.78
60% off
|
$624.09
|
$28,772.48
|
$27,130.57
|
2024-12-02
|
|
92941
|
CPT
|
Hc Cor Revasc Acute Mi Bare Metal Stent/pta/atherect Initial Ves
|
46
|
15
|
$31,274.44
|
$12,509.78
60% off
|
$623.65
|
$28,772.48
|
$27,130.57
|
2024-12-02
|
|
92933
|
CPT
|
Hc Cor Atherectomy & Bare Metal Stent Initial Vessel
|
46
|
15
|
$31,274.44
|
$12,509.78
60% off
|
$622.83
|
$28,772.48
|
$27,130.57
|
2024-12-02
|
|
64568
|
CPT
|
Hc Incis/implant Cranial Nerve Stim Electrode
|
46
|
15
|
$58,791.60
|
$23,516.64
60% off
|
$592.89
|
$54,088.27
|
$51,001.71
|
2024-12-02
|
|
92937
|
CPT
|
Hc Cor Grft Intervn Bms IM
|
51
|
15
|
$31,274.44
|
$12,509.78
60% off
|
$555.08
|
$28,772.48
|
$25,389.07
|
2024-12-02
|
|
33270
|
CPT
|
Hc Insert/replace (sicd) Subcutaneous Icd System
|
46
|
15
|
$114,909.36
|
$45,963.74
60% off
|
$543.45
|
$105,716.61
|
$99,683.87
|
2024-12-02
|
|
J3241
|
HCPCS
|
Teprotumumab-trbw 500 Mg Intravenous Solution
|
33
|
15
|
$55,721.05
|
$22,288.42
60% off
|
$541.20
|
$51,263.37
|
$33,154.03
|
2024-12-02
|
|
37243
|
CPT
|
Hc Embo Tumor/ufe/ischm/infarc
|
46
|
15
|
$33,125.71
|
$13,250.28
60% off
|
$535.58
|
$30,475.65
|
$28,736.55
|
2024-12-02
|
|
J9269
|
HCPCS
|
Tagraxofusp-erzs 1,000 Mcg/ml Intravenous Solution
|
33
|
15
|
$108,194.38
|
$43,277.75
60% off
|
$532.29
|
$99,538.83
|
$64,375.65
|
2024-12-02
|
|
33224
|
CPT
|
Hc Insert Lead Only Biv/lt Vent Lead To Existing Icd/pacemaker Generator
|
46
|
15
|
$32,362.49
|
$12,945.00
60% off
|
$491.42
|
$29,773.49
|
$28,074.46
|
2024-12-02
|
|
36906
|
CPT
|
Hc Inject Dialysis Circuit With Thrombectomy Any Segment & Peripheral Stent Wwo …
|
46
|
15
|
$49,412.68
|
$19,765.07
60% off
|
$485.50
|
$45,459.67
|
$42,865.50
|
2024-12-02
|
|
77338
|
CPT
|
Hc Mlc Device Design For Imrt
|
46
|
15
|
$28,569.60
|
$11,427.84
60% off
|
$469.86
|
$26,284.03
|
$24,784.13
|
2024-12-02
|
|
37242
|
CPT
|
Hc Embo Art No Hemorg/tumor
|
46
|
15
|
$33,125.71
|
$13,250.28
60% off
|
$451.66
|
$30,475.65
|
$28,736.55
|
2024-12-02
|
|
36837
|
CPT
|
Hc Dialysis Circuit Creation Up Ext Separate Access Art/ven
|
46
|
15
|
$34,712.19
|
$13,884.88
60% off
|
$441.24
|
$31,935.21
|
$30,112.82
|
2024-12-02
|
|
62361
|
CPT
|
Hc Impl Repl Epi Pump Nonprog
|
46
|
15
|
$74,602.40
|
$29,840.96
60% off
|
$430.36
|
$68,634.21
|
$64,717.58
|
2024-12-02
|
|
33991
|
CPT
|
Hc Insert Ventric Assist Dev Lt Heart Art & Ven Access & Transsep Punc
|
46
|
15
|
$109,708.35
|
$43,883.34
60% off
|
$428.29
|
$100,931.68
|
$95,171.99
|
2024-12-02
|
|
36905
|
CPT
|
Hc Inject Dialysis Circuit With Thrombectomy Any Segment & Peripheral Pta
|
46
|
15
|
$36,260.34
|
$14,504.14
60% off
|
$421.85
|
$33,359.51
|
$31,455.85
|
2024-12-02
|
|
37241
|
CPT
|
Hc Embo Vein No Hemorg/tumor
|
46
|
15
|
$33,125.71
|
$13,250.28
60% off
|
$407.93
|
$30,475.65
|
$28,736.55
|
2024-12-02
|
|
33264
|
CPT
|
Hc Replace Generator Only (icd) Multiple
|
46
|
15
|
$89,034.31
|
$35,613.72
60% off
|
$391.49
|
$81,911.57
|
$77,237.26
|
2024-12-02
|
|
33231
|
CPT
|
Hc Insert Generator Only (icd) To Existing Multiple Leads
|
46
|
15
|
$65,317.97
|
$26,127.19
60% off
|
$387.19
|
$60,092.53
|
$56,663.33
|
2024-12-02
|
|
62362
|
CPT
|
Hc Impl Repl Epi Pump W Wo Progr
|
46
|
15
|
$74,602.40
|
$29,840.96
60% off
|
$379.71
|
$68,634.21
|
$64,717.58
|
2024-12-02
|
|
33263
|
CPT
|
Hc Replace Generator Only (icd) Dual
|
46
|
15
|
$64,164.18
|
$25,665.67
60% off
|
$375.39
|
$59,031.05
|
$55,662.43
|
2024-12-02
|
|
33230
|
CPT
|
Hc Insert Generator Only (icd) To Existing Dual Leads
|
46
|
15
|
$54,431.64
|
$21,772.66
60% off
|
$371.43
|
$50,077.11
|
$47,219.44
|
2024-12-02
|
|
33262
|
CPT
|
Hc Replace Generator Only (icd) Single
|
46
|
15
|
$46,241.07
|
$18,496.43
60% off
|
$361.71
|
$42,541.78
|
$40,114.13
|
2024-12-02
|
|
33217
|
CPT
|
Hc Insert Lead Only 2 Lead To Existing Icd/pacemaker Generator
|
46
|
15
|
$46,816.70
|
$18,726.68
60% off
|
$358.32
|
$43,071.36
|
$40,613.49
|
2024-12-02
|
|
33240
|
CPT
|
Hc Insert Generator Only (icd) To Existing Single Lead
|
46
|
15
|
$44,296.75
|
$17,718.70
60% off
|
$354.40
|
$40,753.01
|
$38,427.43
|
2024-12-02
|
|
36836
|
CPT
|
Hc Dialysis Circuit Creation Up Ext Single Access Art/ven
|
46
|
15
|
$34,712.19
|
$13,884.88
60% off
|
$338.85
|
$31,935.21
|
$30,112.82
|
2024-12-02
|
|
33289
|
CPT
|
Hc Place Pulmonary Artery Pressure Sensor & Rt Heart Cath
|
46
|
15
|
$44,544.75
|
$17,817.90
60% off
|
$317.01
|
$40,981.17
|
$38,642.57
|
2024-12-02
|
|
93650
|
CPT
|
Hc Ablate Av Node
|
46
|
15
|
$28,155.53
|
$11,262.21
60% off
|
$311.00
|
$25,903.09
|
$24,424.92
|
2024-12-02
|
|
J9298
|
HCPCS
|
Nivolumab 240 Mg-relatlimab-rmbw 80 Mg/20 Ml Intravenous Solution
|
31
|
15
|
$50,863.68
|
$20,345.47
60% off
|
$302.99
|
$46,794.59
|
$30,263.89
|
2024-12-02
|
|
J9281
|
HCPCS
|
Mitomycin 40 Mg X 2 Intra-pyelocalyceal Kit
|
34
|
15
|
$82,845.00
|
$33,138.00
60% off
|
$300.75
|
$76,217.40
|
$45,357.64
|
2024-12-02
|
|
J7311
|
HCPCS
|
Fluocinolone 0.59 Mg Intravitreal Implant
|
34
|
15
|
$66,587.50
|
$26,635.00
60% off
|
$299.05
|
$61,260.50
|
$36,456.66
|
2024-12-02
|
|
36903
|
CPT
|
Hc Inject Dialysis Circuit With Stent Wwo Pta Peripheral Segment
|
46
|
15
|
$47,221.23
|
$18,888.49
60% off
|
$298.90
|
$43,443.53
|
$40,964.42
|
2024-12-02
|
|
37238
|
CPT
|
Hc Plc Stent Ven W/wo Anpl Ini
|
49
|
15
|
$55,147.25
|
$22,058.90
60% off
|
$288.76
|
$50,735.47
|
$33,823.63
|
2024-12-02
|
|
37237
|
CPT
|
Hc Plc Stent Art W/wo Anpl Adl
|
49
|
15
|
$27,063.43
|
$10,825.37
60% off
|
$197.03
|
$37,347.55
|
$23,951.14
|
2024-12-02
|
|
36908
|
CPT
|
Hc Place Stent Dialysis Curcuit Wwo Pta Central Segment
|
46
|
15
|
$35,510.86
|
$14,204.34
60% off
|
$195.57
|
$32,669.99
|
$30,805.67
|
2024-12-02
|
|
36909
|
CPT
|
Hc Embolization Dialysis Circuit
|
46
|
15
|
$36,262.59
|
$14,505.04
60% off
|
$190.75
|
$33,361.58
|
$31,457.79
|
2024-12-02
|
|
J3357
|
HCPCS
|
Ustekinumab 90 Mg/ml Subcutaneous Syringe
|
34
|
15
|
$97,449.98
|
$38,979.99
60% off
|
$153.96
|
$89,653.98
|
$53,353.86
|
2024-12-02
|
|
37239
|
CPT
|
Hc Plc Stent Ven W/wo Anpl Adl
|
49
|
15
|
$50,287.02
|
$20,114.81
60% off
|
$141.61
|
$46,264.06
|
$30,842.71
|
2024-12-02
|
|
J3245
|
HCPCS
|
Tildrakizumab-asmn 100 Mg/ml Subcutaneous Syringe
|
34
|
15
|
$60,331.15
|
$24,132.46
60% off
|
$140.66
|
$55,504.66
|
$33,031.31
|
2024-12-02
|
|
J2350
|
HCPCS
|
Ocrelizumab 30 Mg/ml Intravenous Solution
|
33
|
15
|
$69,000.33
|
$27,600.13
60% off
|
$101.34
|
$63,480.30
|
$41,055.19
|
2024-12-02
|
|
75860
|
CPT
|
Hc Venogram Sinus/jugular S/i
|
45
|
15
|
$27,089.72
|
$10,835.89
60% off
|
$71.00
|
$24,922.54
|
$23,974.40
|
2024-12-02
|