|
51167-290-01
|
CDM
|
Exagamglogene Autotemcel 4 X 10exp6 To 13 X 10exp6 Cell/ml IV Susp
|
27
|
27
|
—
|
—
|
$4,394,563.90
|
$4,394,563.90
|
$4,394,563.90
|
2026-01-01
|
|
51167-290-09
|
CDM
|
Exagamglogene Autotemcel 4 X 10exp6 To 13 X 10exp6 Cell/ml IV Susp
|
27
|
27
|
—
|
—
|
$4,394,563.90
|
$4,394,563.90
|
$4,394,563.90
|
2026-01-01
|
|
60923-526-35
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
27
|
27
|
$4,800,000.01
|
$2,496,000.01
48% off
|
$1,917,627.89
|
$1,917,627.89
|
$1,917,627.89
|
2026-01-01
|
|
60923-512-21
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
27
|
27
|
$4,800,000.01
|
$2,496,000.01
48% off
|
$1,917,627.89
|
$1,917,627.89
|
$1,917,627.89
|
2026-01-01
|
|
60923-559-68
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
27
|
27
|
$4,800,000.01
|
$2,496,000.01
48% off
|
$1,917,627.89
|
$1,917,627.89
|
$1,917,627.89
|
2026-01-01
|
|
60923-520-29
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
27
|
27
|
$4,800,000.01
|
$2,496,000.01
48% off
|
$1,917,627.89
|
$1,917,627.89
|
$1,917,627.89
|
2026-01-01
|
|
60923-524-33
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
27
|
27
|
$4,800,000.01
|
$2,496,000.01
48% off
|
$1,917,627.89
|
$1,917,627.89
|
$1,917,627.89
|
2026-01-01
|
|
60923-510-19
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
27
|
27
|
$4,800,000.01
|
$2,496,000.01
48% off
|
$1,917,627.89
|
$1,917,627.89
|
$1,917,627.89
|
2026-01-01
|
|
60923-519-28
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
27
|
27
|
$4,800,000.01
|
$2,496,000.01
48% off
|
$1,917,627.89
|
$1,917,627.89
|
$1,917,627.89
|
2026-01-01
|
|
60923-561-70
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
27
|
27
|
$4,800,000.01
|
$2,496,000.01
48% off
|
$1,917,627.89
|
$1,917,627.89
|
$1,917,627.89
|
2026-01-01
|
|
60923-514-23
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
27
|
27
|
$4,800,000.01
|
$2,496,000.01
48% off
|
$1,917,627.89
|
$1,917,627.89
|
$1,917,627.89
|
2026-01-01
|
|
60923-518-27
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
27
|
27
|
$4,800,000.01
|
$2,496,000.01
48% off
|
$1,917,627.89
|
$1,917,627.89
|
$1,917,627.89
|
2026-01-01
|
|
60923-536-45
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
27
|
27
|
$4,800,000.01
|
$2,496,000.01
48% off
|
$1,917,627.89
|
$1,917,627.89
|
$1,917,627.89
|
2026-01-01
|
|
60923-502-11
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
27
|
27
|
$4,800,000.01
|
$2,496,000.01
48% off
|
$1,917,627.89
|
$1,917,627.89
|
$1,917,627.89
|
2026-01-01
|
|
60923-532-41
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
27
|
27
|
$4,800,000.01
|
$2,496,000.01
48% off
|
$1,917,627.89
|
$1,917,627.89
|
$1,917,627.89
|
2026-01-01
|
|
60923-503-12
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
27
|
27
|
$4,800,000.01
|
$2,496,000.01
48% off
|
$1,917,627.89
|
$1,917,627.89
|
$1,917,627.89
|
2026-01-01
|
|
60923-521-30
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
27
|
27
|
$4,800,000.01
|
$2,496,000.01
48% off
|
$1,917,627.89
|
$1,917,627.89
|
$1,917,627.89
|
2026-01-01
|
|
60923-534-43
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
27
|
27
|
$4,800,000.01
|
$2,496,000.01
48% off
|
$1,917,627.89
|
$1,917,627.89
|
$1,917,627.89
|
2026-01-01
|
|
60923-509-18
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
27
|
27
|
$4,800,000.01
|
$2,496,000.01
48% off
|
$1,917,627.89
|
$1,917,627.89
|
$1,917,627.89
|
2026-01-01
|
|
60923-540-49
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
27
|
27
|
$4,800,000.01
|
$2,496,000.01
48% off
|
$1,917,627.89
|
$1,917,627.89
|
$1,917,627.89
|
2026-01-01
|
|
60923-537-46
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
27
|
27
|
$4,800,000.01
|
$2,496,000.01
48% off
|
$1,917,627.89
|
$1,917,627.89
|
$1,917,627.89
|
2026-01-01
|
|
60923-527-36
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
27
|
27
|
$4,800,000.00
|
$2,496,000.00
48% off
|
$1,917,627.88
|
$1,917,627.88
|
$1,917,627.88
|
2026-01-01
|
|
60923-558-67
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
27
|
27
|
$4,800,000.00
|
$2,496,000.00
48% off
|
$1,917,627.88
|
$1,917,627.88
|
$1,917,627.88
|
2026-01-01
|
|
60923-553-62
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
27
|
27
|
$4,800,000.00
|
$2,496,000.00
48% off
|
$1,917,627.88
|
$1,917,627.88
|
$1,917,627.88
|
2026-01-01
|
|
60923-542-51
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
27
|
27
|
$4,800,000.00
|
$2,496,000.00
48% off
|
$1,917,627.88
|
$1,917,627.88
|
$1,917,627.88
|
2026-01-01
|
|
60923-555-64
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
27
|
27
|
$4,800,000.00
|
$2,496,000.00
48% off
|
$1,917,627.88
|
$1,917,627.88
|
$1,917,627.88
|
2026-01-01
|
|
60923-560-69
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
27
|
27
|
$4,800,000.00
|
$2,496,000.00
48% off
|
$1,917,627.88
|
$1,917,627.88
|
$1,917,627.88
|
2026-01-01
|
|
60923-528-37
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
27
|
27
|
$4,800,000.00
|
$2,496,000.00
48% off
|
$1,917,627.88
|
$1,917,627.88
|
$1,917,627.88
|
2026-01-01
|
|
60923-513-22
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
27
|
27
|
$4,800,000.00
|
$2,496,000.00
48% off
|
$1,917,627.88
|
$1,917,627.88
|
$1,917,627.88
|
2026-01-01
|
|
60923-533-42
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
27
|
27
|
$4,800,000.00
|
$2,496,000.00
48% off
|
$1,917,627.88
|
$1,917,627.88
|
$1,917,627.88
|
2026-01-01
|
|
60923-535-44
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
27
|
27
|
$4,800,000.00
|
$2,496,000.00
48% off
|
$1,917,627.88
|
$1,917,627.88
|
$1,917,627.88
|
2026-01-01
|
|
60923-538-47
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
27
|
27
|
$4,800,000.00
|
$2,496,000.00
48% off
|
$1,917,627.88
|
$1,917,627.88
|
$1,917,627.88
|
2026-01-01
|
|
60923-539-48
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
27
|
27
|
$4,800,000.00
|
$2,496,000.00
48% off
|
$1,917,627.88
|
$1,917,627.88
|
$1,917,627.88
|
2026-01-01
|
|
60923-531-40
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
27
|
27
|
$4,800,000.00
|
$2,496,000.00
48% off
|
$1,917,627.88
|
$1,917,627.88
|
$1,917,627.88
|
2026-01-01
|
|
60923-554-63
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
27
|
27
|
$4,800,000.00
|
$2,496,000.00
48% off
|
$1,917,627.88
|
$1,917,627.88
|
$1,917,627.88
|
2026-01-01
|
|
60923-517-26
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
27
|
27
|
$4,800,000.00
|
$2,496,000.00
48% off
|
$1,917,627.88
|
$1,917,627.88
|
$1,917,627.88
|
2026-01-01
|
|
60923-507-16
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
27
|
27
|
$4,800,000.00
|
$2,496,000.00
48% off
|
$1,917,627.88
|
$1,917,627.88
|
$1,917,627.88
|
2026-01-01
|
|
60923-546-55
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
27
|
27
|
$4,800,000.00
|
$2,496,000.00
48% off
|
$1,917,627.88
|
$1,917,627.88
|
$1,917,627.88
|
2026-01-01
|
|
60923-530-39
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
27
|
27
|
$4,800,000.00
|
$2,496,000.00
48% off
|
$1,917,627.88
|
$1,917,627.88
|
$1,917,627.88
|
2026-01-01
|
|
60923-515-24
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
27
|
27
|
$4,800,000.00
|
$2,496,000.00
48% off
|
$1,917,627.88
|
$1,917,627.88
|
$1,917,627.88
|
2026-01-01
|
|
60923-556-65
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
27
|
27
|
$4,800,000.00
|
$2,496,000.00
48% off
|
$1,917,627.88
|
$1,917,627.88
|
$1,917,627.88
|
2026-01-01
|
|
60923-545-54
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
27
|
27
|
$4,800,000.00
|
$2,496,000.00
48% off
|
$1,917,627.88
|
$1,917,627.88
|
$1,917,627.88
|
2026-01-01
|
|
60923-523-32
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
27
|
27
|
$4,800,000.00
|
$2,496,000.00
48% off
|
$1,917,627.88
|
$1,917,627.88
|
$1,917,627.88
|
2026-01-01
|
|
60923-551-60
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
27
|
27
|
$4,800,000.00
|
$2,496,000.00
48% off
|
$1,917,627.88
|
$1,917,627.88
|
$1,917,627.88
|
2026-01-01
|
|
60923-511-20
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
27
|
27
|
$4,800,000.00
|
$2,496,000.00
48% off
|
$1,917,627.88
|
$1,917,627.88
|
$1,917,627.88
|
2026-01-01
|
|
60923-550-59
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
27
|
27
|
$4,800,000.00
|
$2,496,000.00
48% off
|
$1,917,627.88
|
$1,917,627.88
|
$1,917,627.88
|
2026-01-01
|
|
60923-522-31
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
27
|
27
|
$4,800,000.00
|
$2,496,000.00
48% off
|
$1,917,627.88
|
$1,917,627.88
|
$1,917,627.88
|
2026-01-01
|
|
60923-557-66
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
27
|
27
|
$4,800,000.00
|
$2,496,000.00
48% off
|
$1,917,627.88
|
$1,917,627.88
|
$1,917,627.88
|
2026-01-01
|
|
60923-529-38
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
27
|
27
|
$4,800,000.00
|
$2,496,000.00
48% off
|
$1,917,627.88
|
$1,917,627.88
|
$1,917,627.88
|
2026-01-01
|
|
60923-516-25
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
27
|
27
|
$4,800,000.00
|
$2,496,000.00
48% off
|
$1,917,627.88
|
$1,917,627.88
|
$1,917,627.88
|
2026-01-01
|
|
60923-549-58
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
27
|
27
|
$4,800,000.00
|
$2,496,000.00
48% off
|
$1,917,627.88
|
$1,917,627.88
|
$1,917,627.88
|
2026-01-01
|
|
60923-547-56
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
27
|
27
|
$4,800,000.00
|
$2,496,000.00
48% off
|
$1,917,627.88
|
$1,917,627.88
|
$1,917,627.88
|
2026-01-01
|
|
60923-548-57
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
27
|
27
|
$4,800,000.00
|
$2,496,000.00
48% off
|
$1,917,627.88
|
$1,917,627.88
|
$1,917,627.88
|
2026-01-01
|
|
60923-544-53
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
27
|
27
|
$4,800,000.00
|
$2,496,000.00
48% off
|
$1,917,627.88
|
$1,917,627.88
|
$1,917,627.88
|
2026-01-01
|
|
60923-552-61
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
27
|
27
|
$4,800,000.00
|
$2,496,000.00
48% off
|
$1,917,627.88
|
$1,917,627.88
|
$1,917,627.88
|
2026-01-01
|
|
60923-543-52
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
27
|
27
|
$4,800,000.00
|
$2,496,000.00
48% off
|
$1,917,627.88
|
$1,917,627.88
|
$1,917,627.88
|
2026-01-01
|
|
60923-504-13
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
27
|
27
|
$4,800,000.00
|
$2,496,000.00
48% off
|
$1,917,627.88
|
$1,917,627.88
|
$1,917,627.88
|
2026-01-01
|
|
60923-501-10
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
27
|
27
|
$4,800,000.00
|
$2,496,000.00
48% off
|
$1,917,627.88
|
$1,917,627.88
|
$1,917,627.88
|
2026-01-01
|
|
60923-508-17
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
27
|
27
|
$4,800,000.00
|
$2,496,000.00
48% off
|
$1,917,627.88
|
$1,917,627.88
|
$1,917,627.88
|
2026-01-01
|
|
60923-525-34
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
27
|
27
|
$4,800,000.00
|
$2,496,000.00
48% off
|
$1,917,627.88
|
$1,917,627.88
|
$1,917,627.88
|
2026-01-01
|
|
60923-506-15
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
27
|
27
|
$4,800,000.00
|
$2,496,000.00
48% off
|
$1,917,627.88
|
$1,917,627.88
|
$1,917,627.88
|
2026-01-01
|
|
60923-505-14
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
27
|
27
|
$4,800,000.00
|
$2,496,000.00
48% off
|
$1,917,627.88
|
$1,917,627.88
|
$1,917,627.88
|
2026-01-01
|
|
60923-541-50
|
CDM
|
Delandistrogene Moxeparvovec-rokl 1.33x10exp13 Vg/ml Intravenous Susp
|
27
|
27
|
$4,800,000.00
|
$2,496,000.00
48% off
|
$1,917,627.88
|
$1,917,627.88
|
$1,917,627.88
|
2026-01-01
|
|
71894-126-04
|
CDM
|
Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit
|
27
|
27
|
$3,483,066.54
|
$1,811,194.60
48% off
|
$1,391,505.32
|
$1,391,505.32
|
$1,391,505.32
|
2026-01-01
|
|
71894-135-07
|
CDM
|
Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit
|
27
|
27
|
$3,483,066.54
|
$1,811,194.60
48% off
|
$1,391,505.32
|
$1,391,505.32
|
$1,391,505.32
|
2026-01-01
|
|
71894-123-03
|
CDM
|
Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit
|
27
|
27
|
$3,483,066.54
|
$1,811,194.60
48% off
|
$1,391,505.32
|
$1,391,505.32
|
$1,391,505.32
|
2026-01-01
|
|
71894-131-06
|
CDM
|
Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit
|
27
|
27
|
$3,483,066.54
|
$1,811,194.60
48% off
|
$1,391,505.32
|
$1,391,505.32
|
$1,391,505.32
|
2026-01-01
|
|
71894-136-08
|
CDM
|
Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit
|
27
|
27
|
$3,483,066.54
|
$1,811,194.60
48% off
|
$1,391,505.32
|
$1,391,505.32
|
$1,391,505.32
|
2026-01-01
|
|
71894-138-08
|
CDM
|
Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit
|
27
|
27
|
$3,483,066.54
|
$1,811,194.60
48% off
|
$1,391,505.32
|
$1,391,505.32
|
$1,391,505.32
|
2026-01-01
|
|
71894-121-03
|
CDM
|
Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit
|
27
|
27
|
$3,483,066.54
|
$1,811,194.60
48% off
|
$1,391,505.32
|
$1,391,505.32
|
$1,391,505.32
|
2026-01-01
|
|
71894-141-09
|
CDM
|
Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit
|
27
|
27
|
$3,483,066.54
|
$1,811,194.60
48% off
|
$1,391,505.32
|
$1,391,505.32
|
$1,391,505.32
|
2026-01-01
|
|
71894-137-08
|
CDM
|
Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit
|
27
|
27
|
$3,483,066.54
|
$1,811,194.60
48% off
|
$1,391,505.32
|
$1,391,505.32
|
$1,391,505.32
|
2026-01-01
|
|
71894-125-04
|
CDM
|
Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit
|
27
|
27
|
$3,483,066.54
|
$1,811,194.60
48% off
|
$1,391,505.32
|
$1,391,505.32
|
$1,391,505.32
|
2026-01-01
|
|
71894-124-04
|
CDM
|
Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit
|
27
|
27
|
$3,483,066.54
|
$1,811,194.60
48% off
|
$1,391,505.32
|
$1,391,505.32
|
$1,391,505.32
|
2026-01-01
|
|
71894-120-02
|
CDM
|
Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit
|
27
|
27
|
$3,483,066.54
|
$1,811,194.60
48% off
|
$1,391,505.32
|
$1,391,505.32
|
$1,391,505.32
|
2026-01-01
|
|
71894-139-09
|
CDM
|
Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit
|
27
|
27
|
$3,483,066.54
|
$1,811,194.60
48% off
|
$1,391,505.32
|
$1,391,505.32
|
$1,391,505.32
|
2026-01-01
|
|
71894-133-07
|
CDM
|
Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit
|
27
|
27
|
$3,483,066.54
|
$1,811,194.60
48% off
|
$1,391,505.32
|
$1,391,505.32
|
$1,391,505.32
|
2026-01-01
|
|
71894-129-05
|
CDM
|
Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit
|
27
|
27
|
$3,483,066.54
|
$1,811,194.60
48% off
|
$1,391,505.32
|
$1,391,505.32
|
$1,391,505.32
|
2026-01-01
|
|
71894-127-05
|
CDM
|
Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit
|
27
|
27
|
$3,483,066.54
|
$1,811,194.60
48% off
|
$1,391,505.32
|
$1,391,505.32
|
$1,391,505.32
|
2026-01-01
|
|
71894-122-03
|
CDM
|
Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit
|
27
|
27
|
$3,483,066.54
|
$1,811,194.60
48% off
|
$1,391,505.32
|
$1,391,505.32
|
$1,391,505.32
|
2026-01-01
|
|
71894-140-09
|
CDM
|
Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit
|
27
|
27
|
$3,483,066.54
|
$1,811,194.60
48% off
|
$1,391,505.32
|
$1,391,505.32
|
$1,391,505.32
|
2026-01-01
|
|
71894-128-05
|
CDM
|
Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit
|
27
|
27
|
$3,483,066.54
|
$1,811,194.60
48% off
|
$1,391,505.32
|
$1,391,505.32
|
$1,391,505.32
|
2026-01-01
|
|
71894-132-06
|
CDM
|
Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit
|
27
|
27
|
$3,483,066.54
|
$1,811,194.60
48% off
|
$1,391,505.32
|
$1,391,505.32
|
$1,391,505.32
|
2026-01-01
|
|
71894-134-07
|
CDM
|
Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit
|
27
|
27
|
$3,483,066.54
|
$1,811,194.60
48% off
|
$1,391,505.32
|
$1,391,505.32
|
$1,391,505.32
|
2026-01-01
|
|
71894-130-06
|
CDM
|
Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit
|
27
|
27
|
$3,483,066.54
|
$1,811,194.60
48% off
|
$1,391,505.32
|
$1,391,505.32
|
$1,391,505.32
|
2026-01-01
|
|
191001
|
OTHER
|
Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Suspension,kit
|
27
|
26
|
$3,483,066.54
|
$1,776,363.94
49% off
|
$11.16
|
$2,814,317.76
|
$1,314,732.12
|
2025-01-10
|
|
73776-001-11
|
CDM
|
Lifileucel 7.5 X 10exp9 To 72 X 10exp9 Cell Intravenous Suspension
|
27
|
27
|
$2,810,000.00
|
$1,461,200.00
48% off
|
$1,122,611.32
|
$1,122,611.32
|
$1,122,611.32
|
2026-01-01
|
|
0078-0846-19
|
CDM
|
Tisagenlecleucel (kymriah) Infusion- B All
|
27
|
27
|
$2,719,137.50
|
$1,413,951.50
48% off
|
$1,086,311.23
|
$1,086,311.23
|
$1,086,311.23
|
2026-01-01
|
|
0078-0958-19
|
CDM
|
Tisagenlecleucel (kymriah) Infusion - Fl And Lbcl
|
27
|
27
|
$2,719,137.50
|
$1,413,951.50
48% off
|
$1,086,311.23
|
$1,086,311.23
|
$1,086,311.23
|
2026-01-01
|
|
73153-901-08
|
CDM
|
Lisocabtagene Maraleucel (breyanzi) Cd8 Injection - Lbcl
|
27
|
27
|
$2,656,752.00
|
$1,381,511.04
48% off
|
$1,061,387.86
|
$1,061,387.86
|
$1,061,387.86
|
2026-01-01
|
|
59572-515-01
|
CDM
|
Idecabtagene Vicleucel (abecma) Infusion - Mm
|
27
|
27
|
$2,641,562.15
|
$1,373,612.32
48% off
|
$1,055,319.42
|
$1,055,319.42
|
$1,055,319.42
|
2026-01-01
|
|
59572-515-03
|
CDM
|
Idecabtagene Vicleucel (abecma) Infusion - Mm
|
27
|
27
|
$2,641,562.15
|
$1,373,612.32
48% off
|
$1,055,319.42
|
$1,055,319.42
|
$1,055,319.42
|
2026-01-01
|
|
59572-515-02
|
CDM
|
Idecabtagene Vicleucel (abecma) Infusion - Mm
|
27
|
27
|
$2,641,562.15
|
$1,373,612.32
48% off
|
$1,055,319.42
|
$1,055,319.42
|
$1,055,319.42
|
2026-01-01
|
|
83047-410-04
|
CDM
|
Obecabtagene Autoleucel (aucatzyl) - B-all Infusion (drops Charge)
|
27
|
27
|
$2,625,000.00
|
$1,365,000.00
48% off
|
$1,048,702.75
|
$1,048,702.75
|
$1,048,702.75
|
2026-01-01
|
|
57894-111-01
|
CDM
|
Ciltacabtagene Autoleucel 0.5 X 10exp6 To 1x 10exp8 Cell IV Suspension
|
27
|
27
|
$2,610,277.50
|
$1,357,344.30
48% off
|
$1,042,821.02
|
$1,042,821.02
|
$1,042,821.02
|
2026-01-01
|
|
57894-111-02
|
CDM
|
Ciltacabtagene Autoleucel 0.5 X 10exp6 To 1x 10exp8 Cell IV Suspension
|
27
|
27
|
$2,610,277.50
|
$1,357,344.30
48% off
|
$1,042,821.02
|
$1,042,821.02
|
$1,042,821.02
|
2026-01-01
|
|
187603
|
OTHER
|
Tisagenlecleucel (kymriah) Infusion - Fl And Lbcl
|
26
|
26
|
$2,719,137.50
|
$1,386,760.13
49% off
|
$87,306.56
|
$2,197,063.10
|
$1,029,824.34
|
2025-01-10
|
|
185618
|
OTHER
|
Tisagenlecleucel (kymriah) Infusion- B All
|
26
|
26
|
$2,719,137.50
|
$1,386,760.13
49% off
|
$50,894.94
|
$2,197,063.10
|
$1,012,328.34
|
2025-01-10
|
|
200756
|
OTHER
|
Ciltacabtagene Autoleucel 0.5 X 10exp6 To 1x 10exp8 Cell IV Suspension
|
27
|
26
|
$2,610,277.50
|
$1,331,241.53
49% off
|
$83,811.27
|
$2,109,104.22
|
$985,285.71
|
2025-01-10
|
|
209472
|
OTHER
|
Lifileucel 7.5 X 10exp9 To 72 X 10exp9 Cell Intravenous Suspension
|
26
|
26
|
$2,575,000.00
|
$1,313,250.00
49% off
|
$82,678.57
|
$2,080,600.00
|
$975,234.86
|
2025-01-10
|
|
198427
|
OTHER
|
Idecabtagene Vicleucel (abecma) Infusion - Mm
|
26
|
26
|
$2,492,039.75
|
$1,270,940.27
49% off
|
$80,014.87
|
$2,013,568.12
|
$943,815.17
|
2025-01-10
|
|
198001
|
OTHER
|
Lisocabtagene Maraleucel (breyanzi) Cd8 Injection - Lbcl
|
26
|
26
|
$2,437,387.40
|
$1,243,067.57
49% off
|
$78,260.08
|
$1,969,409.02
|
$923,116.56
|
2025-01-10
|
|
71287-219-01
|
CDM
|
Brexucabtagene Autoleucel (tecartus) Infusion - Mcl
|
27
|
27
|
$2,310,000.00
|
$1,201,200.00
48% off
|
$922,858.42
|
$922,858.42
|
$922,858.42
|
2026-01-01
|
|
71287-220-01
|
CDM
|
Brexucabtagene Autoleucel (tecartus) Infusion - B-all
|
27
|
27
|
$2,310,000.00
|
$1,201,200.00
48% off
|
$922,858.42
|
$922,858.42
|
$922,858.42
|
2026-01-01
|
|
71287-119-01
|
CDM
|
Axicabtagene Ciloleucel (yescarta) Infusion - Fl And Lbcl
|
27
|
27
|
$2,120,000.00
|
$1,102,400.00
48% off
|
$846,952.31
|
$846,952.31
|
$846,952.31
|
2026-01-01
|
|
71287-119-02
|
CDM
|
Axicabtagene Ciloleucel (yescarta) Infusion - Fl And Lbcl
|
27
|
27
|
$2,120,000.00
|
$1,102,400.00
48% off
|
$846,952.31
|
$846,952.31
|
$846,952.31
|
2026-01-01
|
|
71287-219-02
|
CDM
|
Brexucabtagene Autoleucel (tecartus) Infusion - Mcl
|
27
|
27
|
$2,120,000.00
|
$1,102,400.00
48% off
|
$846,952.31
|
$846,952.31
|
$846,952.31
|
2026-01-01
|
|
71287-220-02
|
CDM
|
Brexucabtagene Autoleucel (tecartus) Infusion - B-all
|
27
|
27
|
$2,120,000.00
|
$1,102,400.00
48% off
|
$846,952.31
|
$846,952.31
|
$846,952.31
|
2026-01-01
|
|
200118
|
OTHER
|
Brexucabtagene Autoleucel (tecartus) Infusion - B-all
|
52
|
26
|
$2,215,000.00
|
$1,129,650.00
49% off
|
$68,069.35
|
$1,866,480.00
|
$833,215.95
|
2025-01-10
|
|
195977
|
OTHER
|
Brexucabtagene Autoleucel (tecartus) Infusion - Mcl
|
52
|
26
|
$2,215,000.00
|
$1,129,650.00
49% off
|
$68,069.35
|
$1,866,480.00
|
$833,215.95
|
2025-01-10
|
|
184992
|
OTHER
|
Axicabtagene Ciloleucel (yescarta) Infusion - Fl And Lbcl
|
27
|
26
|
$2,120,000.00
|
$1,081,200.00
49% off
|
$68,069.35
|
$1,712,960.00
|
$805,600.00
|
2025-01-10
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv Greater Than 96 Hours Or Principal Diagnosis Except…
|
27
|
27
|
$936,568.50
|
$487,015.62
48% off
|
$531,210.23
|
$531,210.23
|
$531,210.23
|
2026-01-01
|
|
927
|
OTHER
|
Extensive Burns Or Full Thickness Burns With Mv Greater Than 96 Hours With Skin …
|
26
|
26
|
$826,413.65
|
$421,470.96
49% off
|
$14,956.06
|
$667,742.23
|
$432,214.34
|
2025-01-10
|
|
4
|
MS_DRG
|
Tracheostomy With Mv Greater Than 96 Hours Or Principal Diagnosis Except Face Mo…
|
27
|
27
|
$669,555.86
|
$348,169.05
48% off
|
$379,763.92
|
$379,763.92
|
$379,763.92
|
2026-01-01
|
|
4
|
OTHER
|
Tracheostomy With Mv Greater Than 96 Hours Or Principal Diagnosis Except Face Mo…
|
26
|
26
|
$596,183.40
|
$304,053.53
49% off
|
$14,424.55
|
$481,716.19
|
$311,803.92
|
2025-01-10
|
|
3
|
OTHER
|
Ecmo Or Tracheostomy With Mv Greater Than 96 Hours Or Principal Diagnosis Except…
|
26
|
26
|
$588,988.40
|
$300,384.08
49% off
|
$27,610.93
|
$475,902.62
|
$308,040.93
|
2025-01-10
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
27
|
27
|
$408,772.71
|
$212,561.81
48% off
|
$231,850.90
|
$231,850.90
|
$231,850.90
|
2026-01-01
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
27
|
27
|
$373,516.94
|
$194,228.81
48% off
|
$211,854.25
|
$211,854.25
|
$211,854.25
|
2026-01-01
|
|
650
|
OTHER
|
Kidney Transplant With Hemodialysis With Mcc
|
1
|
1
|
$0.01
|
—
|
$209,266.84
|
$209,266.84
|
$209,266.84
|
2025-01-10
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
27
|
27
|
$347,979.86
|
$180,949.53
48% off
|
$197,369.93
|
$197,369.93
|
$197,369.93
|
2026-01-01
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv Greater Than 96 Hours With Skin …
|
27
|
27
|
$325,397.01
|
$169,206.44
48% off
|
$184,561.21
|
$184,561.21
|
$184,561.21
|
2026-01-01
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
27
|
27
|
$315,971.04
|
$164,304.94
48% off
|
$179,214.92
|
$179,214.92
|
$179,214.92
|
2026-01-01
|
|
216
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
26
|
26
|
$332,362.30
|
$169,504.77
49% off
|
$22,482.12
|
$268,548.74
|
$173,825.48
|
2025-01-10
|
|
215
|
OTHER
|
Other Heart Assist System Implant
|
26
|
26
|
$330,709.97
|
$168,662.08
49% off
|
$33,071.00
|
$267,213.66
|
$172,961.31
|
2025-01-10
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
27
|
27
|
$301,427.03
|
$156,742.06
48% off
|
$170,965.74
|
$170,965.74
|
$170,965.74
|
2026-01-01
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
27
|
27
|
$300,984.43
|
$156,511.90
48% off
|
$170,714.70
|
$170,714.70
|
$170,714.70
|
2026-01-01
|
|
231
|
OTHER
|
Coronary Bypass With Ptca With Mcc
|
25
|
25
|
$325,217.74
|
$165,861.05
49% off
|
$32,521.77
|
$262,775.94
|
$170,088.88
|
2025-01-10
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
27
|
27
|
$299,052.92
|
$155,507.52
48% off
|
$169,619.17
|
$169,619.17
|
$169,619.17
|
2026-01-01
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
27
|
27
|
$292,239.81
|
$151,964.70
48% off
|
$165,754.86
|
$165,754.86
|
$165,754.86
|
2026-01-01
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
27
|
27
|
$286,417.37
|
$148,937.03
48% off
|
$162,452.44
|
$162,452.44
|
$162,452.44
|
2026-01-01
|
|
630
|
OTHER
|
Other Endocrine Nutritional And Metabolic O.r. Procedures Without Cc-mcc
|
1
|
1
|
$0.01
|
—
|
$162,156.16
|
$162,156.16
|
$162,156.16
|
2025-01-10
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
27
|
27
|
$285,002.87
|
$148,201.49
48% off
|
$161,650.15
|
$161,650.15
|
$161,650.15
|
2026-01-01
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
27
|
27
|
$284,365.42
|
$147,870.02
48% off
|
$161,288.60
|
$161,288.60
|
$161,288.60
|
2026-01-01
|
|
11
|
OTHER
|
Tracheostomy For Face Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
1
|
1
|
$0.01
|
—
|
$156,207.43
|
$156,207.43
|
$156,207.43
|
2025-01-10
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte…
|
27
|
27
|
$270,305.07
|
$140,558.64
48% off
|
$153,313.74
|
$153,313.74
|
$153,313.74
|
2026-01-01
|
|
453
|
OTHER
|
Combined Anterior And Posterior Spinal Fusion With Mcc
|
26
|
26
|
$291,173.64
|
$148,498.56
49% off
|
$29,117.36
|
$235,268.30
|
$152,283.81
|
2025-01-10
|
|
143
|
OTHER
|
Other Ear Nose Mouth And Throat O.r. Procedures With Mcc
|
25
|
25
|
$288,728.28
|
$147,251.42
49% off
|
$28,872.83
|
$233,292.45
|
$151,004.89
|
2025-01-10
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
27
|
27
|
$264,162.04
|
$137,364.26
48% off
|
$149,829.49
|
$149,829.49
|
$149,829.49
|
2026-01-01
|
|
653
|
OTHER
|
Major Bladder Procedures With Mcc
|
26
|
26
|
$280,502.75
|
$143,056.40
49% off
|
$28,050.28
|
$226,646.22
|
$146,702.94
|
2025-01-10
|
|
622
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine Nutritional And Metabolic Disord…
|
27
|
27
|
$257,859.83
|
$134,087.11
48% off
|
$146,254.95
|
$146,254.95
|
$146,254.95
|
2026-01-01
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
27
|
27
|
$251,788.02
|
$130,929.77
48% off
|
$142,811.10
|
$142,811.10
|
$142,811.10
|
2026-01-01
|
|
259
|
OTHER
|
Cardiac Pacemaker Device Replacement Without Mcc
|
1
|
1
|
$0.01
|
—
|
$142,298.50
|
$142,298.50
|
$142,298.50
|
2025-01-10
|
|
456
|
OTHER
|
Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte…
|
26
|
26
|
$271,698.59
|
$138,566.28
49% off
|
$6,334.45
|
$219,532.46
|
$142,098.36
|
2025-01-10
|
|
64406-058-01
|
CDM
|
Nusinersen (pf) 12 Mg/5 Ml Intrathecal Solution
|
27
|
27
|
$355,094.63
|
$184,649.21
48% off
|
$141,862.37
|
$141,862.37
|
$141,862.37
|
2026-01-01
|
|
30237-8900-6
|
CDM
|
Sipuleucel-t In Lactated Ringers 50 Million Cell/250 Ml IV Suspension
|
27
|
27
|
$354,080.00
|
$184,121.60
48% off
|
$141,457.02
|
$141,457.02
|
$141,457.02
|
2026-01-01
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
27
|
27
|
$248,477.97
|
$129,208.54
48% off
|
$140,933.67
|
$140,933.67
|
$140,933.67
|
2026-01-01
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support Greater Than 96 Hours
|
27
|
27
|
$248,125.26
|
$129,025.14
48% off
|
$140,733.62
|
$140,733.62
|
$140,733.62
|
2026-01-01
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv Greater Than 96 Hours
|
27
|
27
|
$248,038.03
|
$128,979.77
48% off
|
$140,684.14
|
$140,684.14
|
$140,684.14
|
2026-01-01
|
|
870
|
OTHER
|
Septicemia Or Severe Sepsis With Mv Greater Than 96 Hours
|
26
|
26
|
$266,055.77
|
$135,688.44
49% off
|
$26,605.58
|
$214,973.06
|
$139,147.17
|
2025-01-10
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
27
|
27
|
$244,206.24
|
$126,987.24
48% off
|
$138,510.80
|
$138,510.80
|
$138,510.80
|
2026-01-01
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
27
|
27
|
$240,448.60
|
$125,033.27
48% off
|
$136,379.52
|
$136,379.52
|
$136,379.52
|
2026-01-01
|
|
957
|
OTHER
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
26
|
26
|
$259,127.35
|
$132,154.95
49% off
|
$18,869.35
|
$209,374.90
|
$135,523.60
|
2025-01-10
|
|
207
|
OTHER
|
Respiratory System Diagnosis With Ventilator Support Greater Than 96 Hours
|
26
|
26
|
$253,175.92
|
$129,119.72
49% off
|
$24,065.82
|
$204,566.14
|
$132,411.01
|
2025-01-10
|
|
117423
|
OTHER
|
Sipuleucel-t In Lactated Ringers 50 Million Cell/250 Ml IV Suspension
|
26
|
26
|
$354,080.00
|
$180,580.80
49% off
|
$325.66
|
$286,096.64
|
$131,823.13
|
2025-01-10
|
|
628
|
OTHER
|
Other Endocrine Nutritional And Metabolic O.r. Procedures With Mcc
|
26
|
26
|
$252,003.91
|
$128,521.99
49% off
|
$8,312.43
|
$203,619.16
|
$131,798.05
|
2025-01-10
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
27
|
27
|
$229,606.50
|
$119,395.38
48% off
|
$130,230.01
|
$130,230.01
|
$130,230.01
|
2026-01-01
|
|
820
|
OTHER
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
26
|
26
|
$242,862.21
|
$123,859.73
49% off
|
$24,286.22
|
$196,232.67
|
$127,016.94
|
2025-01-10
|
|
799
|
OTHER
|
Splenic Procedures With Mcc
|
27
|
26
|
$242,835.16
|
$123,845.93
49% off
|
$2.28
|
$196,210.81
|
$127,002.79
|
2025-01-10
|
|
28
|
OTHER
|
Spinal Procedures With Mcc
|
26
|
26
|
$242,759.10
|
$123,807.14
49% off
|
$24,275.91
|
$196,149.35
|
$126,963.01
|
2025-01-10
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
27
|
27
|
$222,762.48
|
$115,836.49
48% off
|
$126,348.16
|
$126,348.16
|
$126,348.16
|
2026-01-01
|
|
219
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
26
|
26
|
$240,487.59
|
$122,648.67
49% off
|
$16,015.38
|
$194,313.97
|
$125,775.01
|
2025-01-10
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
27
|
27
|
$221,237.82
|
$115,043.67
48% off
|
$125,483.39
|
$125,483.39
|
$125,483.39
|
2026-01-01
|
|
228
|
OTHER
|
Other Cardiothoracic Procedures With Mcc
|
26
|
26
|
$239,313.04
|
$122,049.65
49% off
|
$23,931.30
|
$193,364.94
|
$125,160.72
|
2025-01-10
|
|
17
|
OTHER
|
Autologous Bone Marrow Transplant Without Cc-mcc
|
1
|
1
|
$0.01
|
—
|
$124,839.93
|
$124,839.93
|
$124,839.93
|
2025-01-10
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
27
|
27
|
$214,058.50
|
$111,310.42
48% off
|
$121,411.37
|
$121,411.37
|
$121,411.37
|
2026-01-01
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
27
|
27
|
$214,023.25
|
$111,292.09
48% off
|
$121,391.38
|
$121,391.38
|
$121,391.38
|
2026-01-01
|
|
71336-1003-1
|
CDM
|
Vutrisiran 25 Mg/0.5 Ml Subcutaneous Syringe
|
27
|
27
|
$298,377.50
|
$155,156.30
48% off
|
$119,203.54
|
$119,203.54
|
$119,203.54
|
2026-01-01
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
27
|
27
|
$209,331.92
|
$108,852.60
48% off
|
$118,730.51
|
$118,730.51
|
$118,730.51
|
2026-01-01
|
|
40
|
MS_DRG
|
Peripheral Cranial Nerve And Other Nervous System Procedures With Mcc
|
27
|
27
|
$205,357.09
|
$106,785.68
48% off
|
$116,476.04
|
$116,476.04
|
$116,476.04
|
2026-01-01
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
27
|
27
|
$204,850.80
|
$106,522.42
48% off
|
$116,188.88
|
$116,188.88
|
$116,188.88
|
2026-01-01
|
|
276
|
OTHER
|
Cardiac Defibrillator Implant With Mcc
|
26
|
26
|
$221,143.49
|
$112,783.18
49% off
|
$22,114.35
|
$178,683.94
|
$115,658.04
|
2025-01-10
|
|
23
|
OTHER
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
26
|
26
|
$217,827.11
|
$111,091.83
49% off
|
$18,735.88
|
$176,004.30
|
$113,923.58
|
2025-01-10
|
|
233
|
OTHER
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
26
|
26
|
$214,125.74
|
$109,204.13
49% off
|
$21,412.57
|
$173,013.59
|
$111,987.76
|
2025-01-10
|
|
627
|
OTHER
|
Thyroid Parathyroid And Thyroglossal Procedures Without Cc-mcc
|
1
|
1
|
$0.01
|
—
|
$111,771.17
|
$111,771.17
|
$111,771.17
|
2025-01-10
|
|
202241
|
OTHER
|
Vutrisiran 25 Mg/0.5 Ml Subcutaneous Syringe
|
26
|
26
|
$298,377.50
|
$152,172.53
49% off
|
$37.68
|
$241,089.02
|
$111,085.23
|
2025-01-10
|
|
414
|
OTHER
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc
|
26
|
26
|
$209,490.53
|
$106,840.17
49% off
|
$20,949.05
|
$169,268.35
|
$109,563.55
|
2025-01-10
|
|
800
|
MS_DRG
|
Splenic Procedures With Cc
|
27
|
27
|
$192,277.74
|
$99,984.42
48% off
|
$109,057.59
|
$109,057.59
|
$109,057.59
|
2026-01-01
|
|
320
|
OTHER
|
Other Endovascular Cardiac Valve Procedures Without Mcc
|
26
|
26
|
$208,339.90
|
$106,253.35
49% off
|
$20,833.99
|
$168,338.64
|
$108,961.77
|
2025-01-10
|
|
469
|
MS_DRG
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…
|
27
|
27
|
$187,271.23
|
$97,381.04
48% off
|
$106,217.96
|
$106,217.96
|
$106,217.96
|
2026-01-01
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
27
|
27
|
$186,923.31
|
$97,200.12
48% off
|
$106,020.62
|
$106,020.62
|
$106,020.62
|
2026-01-01
|
|
576
|
OTHER
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
25
|
25
|
$201,568.70
|
$102,800.03
49% off
|
$20,156.87
|
$162,867.51
|
$105,420.43
|
2025-01-10
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
27
|
27
|
$185,836.15
|
$96,634.80
48% off
|
$105,404.00
|
$105,404.00
|
$105,404.00
|
2026-01-01
|
|
288
|
MS_DRG
|
Acute And Subacute Endocarditis With Mcc
|
27
|
27
|
$184,669.04
|
$96,027.90
48% off
|
$104,742.03
|
$104,742.03
|
$104,742.03
|
2026-01-01
|
|
279
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
27
|
27
|
$183,279.28
|
$95,305.23
48% off
|
$103,953.77
|
$103,953.77
|
$103,953.77
|
2026-01-01
|
|
37
|
OTHER
|
Extracranial Procedures With Mcc
|
25
|
25
|
$198,626.02
|
$101,299.27
49% off
|
$19,862.60
|
$160,489.83
|
$103,881.41
|
2025-01-10
|
|
69866-1030-5
|
CDM
|
Autol Chondrocyte-collag,porc 500,000 Cell/cm2 (3 X 5 Cm)implant Sheet
|
27
|
27
|
$260,000.00
|
$135,200.00
48% off
|
$103,871.51
|
$103,871.51
|
$103,871.51
|
2026-01-01
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
27
|
27
|
$181,923.13
|
$94,600.03
48% off
|
$103,184.58
|
$103,184.58
|
$103,184.58
|
2026-01-01
|
|
275
|
OTHER
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
26
|
26
|
$196,537.05
|
$100,233.89
49% off
|
$19,653.70
|
$158,801.93
|
$102,788.88
|
2025-01-10
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
27
|
27
|
$180,022.77
|
$93,611.84
48% off
|
$102,106.72
|
$102,106.72
|
$102,106.72
|
2026-01-01
|
|
80
|
MS_DRG
|
Nontraumatic Stupor And Coma With Mcc
|
27
|
27
|
$179,549.56
|
$93,365.77
48% off
|
$101,838.32
|
$101,838.32
|
$101,838.32
|
2026-01-01
|
|
457
|
OTHER
|
Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte…
|
26
|
26
|
$194,027.22
|
$98,953.88
49% off
|
$17,582.53
|
$156,773.99
|
$101,476.23
|
2025-01-10
|
|
463
|
OTHER
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
26
|
26
|
$194,011.43
|
$98,945.83
49% off
|
$15,519.60
|
$156,761.24
|
$101,467.98
|
2025-01-10
|
|
802
|
OTHER
|
Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc
|
25
|
25
|
$193,162.05
|
$98,512.65
49% off
|
$19,316.21
|
$156,074.94
|
$101,023.75
|
2025-01-10
|
|
970
|
OTHER
|
HIV With Extensive O.r. Procedures Without Mcc
|
1
|
1
|
$0.01
|
—
|
$100,763.32
|
$100,763.32
|
$100,763.32
|
2025-01-10
|
|
955
|
OTHER
|
Craniotomy For Multiple Significant Trauma
|
26
|
26
|
$190,322.17
|
$97,064.30
49% off
|
$19,032.22
|
$153,780.31
|
$99,538.49
|
2025-01-10
|
|
411
|
MS_DRG
|
Cholecystectomy With C.d.e. With Mcc
|
27
|
27
|
$175,261.20
|
$91,135.82
48% off
|
$99,406.02
|
$99,406.02
|
$99,406.02
|
2026-01-01
|
|
252
|
MS_DRG
|
Other Vascular Procedures With Mcc
|
27
|
27
|
$175,140.07
|
$91,072.84
48% off
|
$99,337.31
|
$99,337.31
|
$99,337.31
|
2026-01-01
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature Malignancy Infection Or Exte…
|
27
|
27
|
$175,022.58
|
$91,011.74
48% off
|
$99,270.67
|
$99,270.67
|
$99,270.67
|
2026-01-01
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
27
|
27
|
$173,587.72
|
$90,265.61
48% off
|
$98,456.84
|
$98,456.84
|
$98,456.84
|
2026-01-01
|
|
182699
|
OTHER
|
Nusinersen (pf) 12 Mg/5 Ml Intrathecal Solution
|
26
|
26
|
$263,607.00
|
$134,439.57
49% off
|
$8,376.32
|
$212,994.46
|
$98,140.25
|
2025-01-10
|
|
27
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures Without Cc-mcc
|
27
|
27
|
$172,697.10
|
$89,802.49
48% off
|
$97,951.69
|
$97,951.69
|
$97,951.69
|
2026-01-01
|
|
26
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Cc
|
27
|
27
|
$172,295.47
|
$89,593.64
48% off
|
$97,723.89
|
$97,723.89
|
$97,723.89
|
2026-01-01
|
|
32
|
OTHER
|
Ventricular Shunt Procedures With Cc
|
26
|
26
|
$186,534.15
|
$95,132.42
49% off
|
$18,653.42
|
$150,719.59
|
$97,557.36
|
2025-01-10
|
|
67979-002-01
|
CDM
|
Histrelin 50 Mg (65 Mcg/day) Implant Kit
|
27
|
27
|
$243,836.85
|
$126,795.16
48% off
|
$97,414.24
|
$97,414.24
|
$97,414.24
|
2026-01-01
|
|
574
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Cc
|
27
|
27
|
$171,383.72
|
$89,119.53
48% off
|
$97,206.76
|
$97,206.76
|
$97,206.76
|
2026-01-01
|
|
182708
|
OTHER
|
Autol Chondrocyte-collag,porc 500,000 Cell/cm2 (3 X 5 Cm)implant Sheet
|
26
|
26
|
$260,000.00
|
$132,600.00
49% off
|
$3,650.75
|
$210,080.00
|
$96,797.38
|
2025-01-10
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
27
|
27
|
$170,490.78
|
$88,655.21
48% off
|
$96,700.29
|
$96,700.29
|
$96,700.29
|
2026-01-01
|
|
264
|
MS_DRG
|
Other Circulatory System O.r. Procedures
|
27
|
27
|
$170,351.71
|
$88,582.89
48% off
|
$96,621.41
|
$96,621.41
|
$96,621.41
|
2026-01-01
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
27
|
27
|
$169,260.00
|
$88,015.20
48% off
|
$96,002.21
|
$96,002.21
|
$96,002.21
|
2026-01-01
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
27
|
27
|
$167,082.69
|
$86,883.00
48% off
|
$94,767.27
|
$94,767.27
|
$94,767.27
|
2026-01-01
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
27
|
27
|
$166,791.93
|
$86,731.80
48% off
|
$94,602.35
|
$94,602.35
|
$94,602.35
|
2026-01-01
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
27
|
27
|
$166,776.11
|
$86,723.58
48% off
|
$94,593.38
|
$94,593.38
|
$94,593.38
|
2026-01-01
|
|
405
|
MS_DRG
|
Pancreas Liver And Shunt Procedures With Mcc
|
27
|
27
|
$165,741.10
|
$86,185.37
48% off
|
$94,006.33
|
$94,006.33
|
$94,006.33
|
2026-01-01
|
|
71879-001-01
|
CDM
|
Dexamethasone (pf) 9 % Intraocular Suspension
|
27
|
27
|
$235,025.00
|
$122,213.00
48% off
|
$93,893.85
|
$93,893.85
|
$93,893.85
|
2026-01-01
|
|
907
|
OTHER
|
Other O.r. Procedures For Injuries With Mcc
|
26
|
26
|
$177,446.70
|
$90,497.82
49% off
|
$17,744.67
|
$143,376.94
|
$92,804.63
|
2025-01-10
|
|
34
|
OTHER
|
Carotid Artery Stent Procedures With Mcc
|
26
|
26
|
$171,737.88
|
$87,586.32
49% off
|
$17,173.79
|
$213,864.12
|
$92,708.37
|
2025-01-10
|
|
356
|
OTHER
|
Other Digestive System O.r. Procedures With Mcc
|
26
|
26
|
$175,102.56
|
$89,302.30
49% off
|
$17,510.26
|
$141,482.86
|
$91,578.64
|
2025-01-10
|
|
956
|
OTHER
|
Limb Reattachment Hip And Femur Procedures For Multiple Significant Trauma
|
26
|
26
|
$174,661.07
|
$89,077.15
49% off
|
$9,897.68
|
$141,126.14
|
$91,347.74
|
2025-01-10
|
|
75987-150-01
|
CDM
|
Inebilizumab-cdon 10 Mg/ml Intravenous Solution
|
27
|
27
|
$228,492.15
|
$118,815.92
48% off
|
$91,283.94
|
$91,283.94
|
$91,283.94
|
2026-01-01
|
|
0187-0010-50
|
CDM
|
Sodium Benzoate 10 %-sodium Phenylacetate 10 % Intravenous Solution
|
27
|
27
|
$228,303.50
|
$118,717.82
48% off
|
$91,208.57
|
$91,208.57
|
$91,208.57
|
2026-01-01
|
|
500
|
OTHER
|
Soft Tissue Procedures With Mcc
|
26
|
26
|
$173,701.52
|
$88,587.78
49% off
|
$17,370.15
|
$140,350.83
|
$90,845.90
|
2025-01-10
|
|
160454
|
OTHER
|
Histrelin 50 Mg (65 Mcg/day) Implant Kit
|
26
|
26
|
$243,836.85
|
$124,356.79
49% off
|
$570.58
|
$197,020.17
|
$90,779.88
|
2025-01-10
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
27
|
27
|
$158,774.32
|
$82,562.65
48% off
|
$90,054.86
|
$90,054.86
|
$90,054.86
|
2026-01-01
|
|
235
|
OTHER
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
26
|
26
|
$171,829.23
|
$87,632.91
49% off
|
$13,486.06
|
$138,838.01
|
$89,866.68
|
2025-01-10
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
27
|
27
|
$157,914.78
|
$82,115.69
48% off
|
$89,567.34
|
$89,567.34
|
$89,567.34
|
2026-01-01
|
|
656
|
MS_DRG
|
Kidney And Ureter Procedures For Neoplasm With Mcc
|
27
|
27
|
$157,841.97
|
$82,077.82
48% off
|
$89,526.04
|
$89,526.04
|
$89,526.04
|
2026-01-01
|
|
370
|
OTHER
|
Major Esophageal Disorders Without Cc-mcc
|
1
|
1
|
$0.01
|
—
|
$89,411.08
|
$89,411.08
|
$89,411.08
|
2025-01-10
|
|
471
|
OTHER
|
Cervical Spinal Fusion With Mcc
|
26
|
26
|
$170,891.52
|
$87,154.68
49% off
|
$17,089.15
|
$138,080.35
|
$89,376.26
|
2025-01-10
|
|
876
|
OTHER
|
O.r. Procedures With Principal Diagnosis Of Mental Illness
|
25
|
25
|
$170,718.98
|
$87,066.68
49% off
|
$17,071.90
|
$137,940.94
|
$89,286.03
|
2025-01-10
|
|
459
|
OTHER
|
Spinal Fusion Except Cervical With Mcc
|
26
|
26
|
$170,548.80
|
$86,979.89
49% off
|
$17,054.88
|
$137,803.43
|
$89,197.02
|
2025-01-10
|
|
876
|
MS_DRG
|
O.r. Procedures With Principal Diagnosis Of Mental Illness
|
27
|
27
|
$157,218.34
|
$81,753.54
48% off
|
$89,172.33
|
$89,172.33
|
$89,172.33
|
2026-01-01
|
|
63004-8710-1
|
CDM
|
Corticotropin 80 Unit/ml Injection Gel
|
27
|
27
|
$219,920.00
|
$114,358.40
48% off
|
$87,859.32
|
$87,859.32
|
$87,859.32
|
2026-01-01
|
|
61755-010-01
|
CDM
|
Evinacumab-dgnb 150 Mg/ml Intravenous Solution
|
27
|
27
|
$219,348.50
|
$114,061.22
48% off
|
$87,631.00
|
$87,631.00
|
$87,631.00
|
2026-01-01
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
27
|
27
|
$154,381.45
|
$80,278.35
48% off
|
$87,563.27
|
$87,563.27
|
$87,563.27
|
2026-01-01
|
|
187638
|
OTHER
|
Dexamethasone (pf) 9 % Intraocular Suspension
|
26
|
26
|
$235,025.00
|
$119,862.75
49% off
|
$7,490.80
|
$189,900.20
|
$87,499.24
|
2025-01-10
|
|
350
|
MS_DRG
|
Inguinal And Femoral Hernia Procedures With Mcc
|
27
|
27
|
$152,938.99
|
$79,528.27
48% off
|
$86,745.13
|
$86,745.13
|
$86,745.13
|
2026-01-01
|
|
73372-0116-1
|
CDM
|
Afamelanotide 16 Mg Subcutaneous Implant
|
27
|
27
|
$216,855.00
|
$112,764.60
48% off
|
$86,634.83
|
$86,634.83
|
$86,634.83
|
2026-01-01
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
27
|
27
|
$151,514.69
|
$78,787.64
48% off
|
$85,937.28
|
$85,937.28
|
$85,937.28
|
2026-01-01
|
|
823
|
OTHER
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
26
|
26
|
$163,691.82
|
$83,482.83
49% off
|
$16,369.18
|
$132,262.99
|
$85,610.82
|
2025-01-10
|
|
71336-1001-1
|
CDM
|
Givosiran 189 Mg/ml Subcutaneous Solution
|
27
|
27
|
$213,080.00
|
$110,801.60
48% off
|
$85,126.70
|
$85,126.70
|
$85,126.70
|
2026-01-01
|
|
234
|
OTHER
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
26
|
26
|
$162,669.78
|
$82,961.59
49% off
|
$16,266.98
|
$131,437.18
|
$85,076.29
|
2025-01-10
|
|
195568
|
OTHER
|
Inebilizumab-cdon 10 Mg/ml Intravenous Solution
|
26
|
26
|
$228,492.15
|
$116,531.00
49% off
|
$1,321.46
|
$184,621.66
|
$85,067.08
|
2025-01-10
|
|
749
|
MS_DRG
|
Other Female Reproductive System O.r. Procedures With Cc-mcc
|
27
|
27
|
$149,686.96
|
$77,837.22
48% off
|
$84,900.62
|
$84,900.62
|
$84,900.62
|
2026-01-01
|
|
326
|
OTHER
|
Stomach Esophageal And Duodenal Procedures With Mcc
|
26
|
26
|
$156,658.00
|
$79,895.58
49% off
|
$15,665.80
|
$126,579.66
|
$84,567.88
|
2025-01-10
|
|
273
|
OTHER
|
Percutaneous And Other Intracardiac Procedures With Mcc
|
26
|
26
|
$156,172.76
|
$79,648.11
49% off
|
$15,617.28
|
$126,187.59
|
$84,305.93
|
2025-01-10
|
|
24
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
27
|
27
|
$148,582.31
|
$77,262.80
48% off
|
$84,274.07
|
$84,274.07
|
$84,274.07
|
2026-01-01
|
|
24
|
OTHER
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
25
|
25
|
$160,706.48
|
$81,960.30
49% off
|
$16,070.65
|
$129,850.84
|
$84,049.49
|
2025-01-10
|
|
97
|
OTHER
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc
|
26
|
26
|
$159,777.20
|
$81,486.37
49% off
|
$15,977.72
|
$129,099.98
|
$83,563.48
|
2025-01-10
|
|
956
|
MS_DRG
|
Limb Reattachment Hip And Femur Procedures For Multiple Significant Trauma
|
27
|
27
|
$147,147.17
|
$76,516.53
48% off
|
$83,460.08
|
$83,460.08
|
$83,460.08
|
2026-01-01
|
|
266
|
OTHER
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
25
|
25
|
$159,069.02
|
$81,125.20
49% off
|
$15,906.90
|
$128,527.77
|
$83,193.10
|
2025-01-10
|
|
329
|
OTHER
|
Major Small And Large Bowel Procedures With Mcc
|
26
|
26
|
$158,904.27
|
$81,041.18
49% off
|
$14,191.33
|
$128,394.65
|
$83,106.93
|
2025-01-10
|
|
853
|
OTHER
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
25
|
25
|
$158,357.50
|
$80,762.33
49% off
|
$15,835.75
|
$127,952.86
|
$82,820.97
|
2025-01-10
|
|
668
|
MS_DRG
|
Transurethral Procedures With Mcc
|
27
|
27
|
$145,943.76
|
$75,890.76
48% off
|
$82,777.52
|
$82,777.52
|
$82,777.52
|
2026-01-01
|
|
423
|
OTHER
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
26
|
26
|
$158,116.88
|
$80,639.61
49% off
|
$15,811.69
|
$127,758.44
|
$82,695.13
|
2025-01-10
|
|
29
|
MS_DRG
|
Spinal Procedures With Cc Or Spinal Neurostimulators
|
27
|
27
|
$145,710.48
|
$75,769.45
48% off
|
$82,645.21
|
$82,645.21
|
$82,645.21
|
2026-01-01
|
|
25
|
OTHER
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
25
|
25
|
$157,963.28
|
$80,561.27
49% off
|
$15,796.33
|
$127,634.33
|
$82,614.79
|
2025-01-10
|
|
582
|
MS_DRG
|
Mastectomy For Malignancy With Cc-mcc
|
27
|
27
|
$145,574.89
|
$75,698.94
48% off
|
$82,568.30
|
$82,568.30
|
$82,568.30
|
2026-01-01
|
|
50633-210-11
|
CDM
|
Glucarpidase 1,000 Unit Intravenous Solution
|
27
|
27
|
$205,870.00
|
$107,052.40
48% off
|
$82,246.26
|
$82,246.26
|
$82,246.26
|
2026-01-01
|
|
270
|
OTHER
|
Other Major Cardiovascular Procedures With Mcc
|
26
|
26
|
$157,019.91
|
$80,080.16
49% off
|
$15,701.99
|
$126,872.09
|
$82,121.42
|
2025-01-10
|
|
981
|
OTHER
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
26
|
26
|
$156,594.43
|
$79,863.16
49% off
|
$14,572.19
|
$126,528.30
|
$81,898.89
|
2025-01-10
|
|
405
|
OTHER
|
Pancreas Liver And Shunt Procedures With Mcc
|
25
|
25
|
$155,336.66
|
$79,221.70
49% off
|
$15,533.67
|
$125,512.02
|
$81,241.07
|
2025-01-10
|
|
423
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
27
|
27
|
$142,959.00
|
$74,338.68
48% off
|
$81,084.60
|
$81,084.60
|
$81,084.60
|
2026-01-01
|
|
548
|
OTHER
|
Septic Arthritis With Mcc
|
26
|
26
|
$154,231.36
|
$78,657.99
49% off
|
$15,423.14
|
$124,618.94
|
$80,663.00
|
2025-01-10
|
|
628
|
MS_DRG
|
Other Endocrine Nutritional And Metabolic O.r. Procedures With Mcc
|
27
|
27
|
$140,433.52
|
$73,025.43
48% off
|
$79,652.18
|
$79,652.18
|
$79,652.18
|
2026-01-01
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
27
|
27
|
$140,364.93
|
$72,989.76
48% off
|
$79,613.28
|
$79,613.28
|
$79,613.28
|
2026-01-01
|
|
0310-4535-30
|
CDM
|
Tremelimumab-actl 20 Mg/ml Intravenous Solution
|
27
|
27
|
$198,900.00
|
$103,428.00
48% off
|
$79,461.71
|
$79,461.71
|
$79,461.71
|
2026-01-01
|
|
958
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
27
|
27
|
$140,018.43
|
$72,809.58
48% off
|
$79,416.74
|
$79,416.74
|
$79,416.74
|
2026-01-01
|
|
323
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc
|
27
|
27
|
$139,977.91
|
$72,788.51
48% off
|
$79,393.76
|
$79,393.76
|
$79,393.76
|
2026-01-01
|
|
192826
|
OTHER
|
Givosiran 189 Mg/ml Subcutaneous Solution
|
26
|
26
|
$213,080.00
|
$108,670.80
49% off
|
$6,841.61
|
$172,168.64
|
$79,329.17
|
2025-01-10
|
|
510
|
MS_DRG
|
Shoulder Elbow Or Forearm Procedures Except Major Joint Procedures With Mcc
|
27
|
27
|
$139,457.41
|
$72,517.85
48% off
|
$79,098.54
|
$79,098.54
|
$79,098.54
|
2026-01-01
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
27
|
27
|
$139,237.32
|
$72,403.41
48% off
|
$78,973.71
|
$78,973.71
|
$78,973.71
|
2026-01-01
|
|
220
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
26
|
26
|
$150,959.10
|
$76,989.14
49% off
|
$15,095.91
|
$121,974.95
|
$78,951.61
|
2025-01-10
|
|
332
|
OTHER
|
Rectal Resection With Mcc
|
1
|
1
|
$0.01
|
—
|
$78,937.37
|
$78,937.37
|
$78,937.37
|
2025-01-10
|
|
50242-554-01
|
CDM
|
Ocrelizumab 920 Mg-hyaluronidase-ocsq 23,000 Unit/23 Ml Subcut Soln
|
27
|
27
|
$197,144.96
|
$102,515.38
48% off
|
$78,760.56
|
$78,760.56
|
$78,760.56
|
2026-01-01
|
|
488
|
OTHER
|
Knee Procedures Without Principal Diagnosis Of Infection With Cc-mcc
|
26
|
26
|
$150,243.04
|
$76,623.95
49% off
|
$15,024.30
|
$121,396.38
|
$78,577.11
|
2025-01-10
|
|
448
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical Without Mcc
|
27
|
27
|
$138,531.39
|
$72,036.32
48% off
|
$78,573.32
|
$78,573.32
|
$78,573.32
|
2026-01-01
|
|
239
|
OTHER
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
25
|
25
|
$149,058.65
|
$76,019.91
49% off
|
$14,905.87
|
$120,439.39
|
$77,957.68
|
2025-01-10
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
27
|
27
|
$137,225.79
|
$71,357.41
48% off
|
$77,832.80
|
$77,832.80
|
$77,832.80
|
2026-01-01
|
|
150616
|
OTHER
|
Glucarpidase 1,000 Unit Intravenous Solution
|
25
|
25
|
$205,870.00
|
$104,993.70
49% off
|
$6,610.11
|
$166,342.96
|
$77,708.51
|
2025-01-10
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
27
|
27
|
$136,909.04
|
$71,192.70
48% off
|
$77,653.14
|
$77,653.14
|
$77,653.14
|
2026-01-01
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
27
|
27
|
$136,890.09
|
$71,182.85
48% off
|
$77,642.39
|
$77,642.39
|
$77,642.39
|
2026-01-01
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
27
|
27
|
$136,463.36
|
$70,960.95
48% off
|
$77,400.36
|
$77,400.36
|
$77,400.36
|
2026-01-01
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
27
|
27
|
$136,195.06
|
$70,821.43
48% off
|
$77,248.18
|
$77,248.18
|
$77,248.18
|
2026-01-01
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
27
|
27
|
$135,945.06
|
$70,691.43
48% off
|
$77,106.38
|
$77,106.38
|
$77,106.38
|
2026-01-01
|
|
267
|
OTHER
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
26
|
26
|
$147,357.67
|
$75,152.41
49% off
|
$14,735.77
|
$119,065.00
|
$77,068.06
|
2025-01-10
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
27
|
27
|
$134,452.78
|
$69,915.44
48% off
|
$76,259.97
|
$76,259.97
|
$76,259.97
|
2026-01-01
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
27
|
27
|
$134,400.19
|
$69,888.10
48% off
|
$76,230.15
|
$76,230.15
|
$76,230.15
|
2026-01-01
|
|
335
|
MS_DRG
|
Peritoneal Adhesiolysis With Mcc
|
27
|
27
|
$134,383.62
|
$69,879.48
48% off
|
$76,220.75
|
$76,220.75
|
$76,220.75
|
2026-01-01
|
|
616
|
OTHER
|
Amputation Of Lower Limb For Endocrine Nutritional And Metabolic Disorders With …
|
26
|
26
|
$145,529.31
|
$74,219.95
49% off
|
$14,552.93
|
$117,587.68
|
$76,111.83
|
2025-01-10
|
|
283
|
MS_DRG
|
Acute Myocardial Infarction Expired With Mcc
|
27
|
27
|
$133,037.57
|
$69,179.54
48% off
|
$75,457.29
|
$75,457.29
|
$75,457.29
|
2026-01-01
|
|
958
|
OTHER
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
26
|
26
|
$144,108.70
|
$73,495.44
49% off
|
$6,345.55
|
$116,439.83
|
$75,368.85
|
2025-01-10
|
|
673
|
OTHER
|
Other Kidney And Urinary Tract Procedures With Mcc
|
26
|
26
|
$143,687.92
|
$73,280.84
49% off
|
$14,368.79
|
$116,099.84
|
$75,148.78
|
2025-01-10
|
|
273
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures With Mcc
|
27
|
27
|
$132,384.99
|
$68,840.20
48% off
|
$75,087.15
|
$75,087.15
|
$75,087.15
|
2026-01-01
|
|
163
|
OTHER
|
Major Chest Procedures With Mcc
|
26
|
26
|
$138,952.12
|
$70,865.58
49% off
|
$13,895.21
|
$112,273.31
|
$75,009.80
|
2025-01-10
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
27
|
27
|
$131,987.38
|
$68,633.44
48% off
|
$74,861.63
|
$74,861.63
|
$74,861.63
|
2026-01-01
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
27
|
27
|
$131,552.71
|
$68,407.41
48% off
|
$74,615.09
|
$74,615.09
|
$74,615.09
|
2026-01-01
|
|
258
|
OTHER
|
Cardiac Pacemaker Device Replacement With Mcc
|
1
|
1
|
$0.01
|
—
|
$74,502.79
|
$74,502.79
|
$74,502.79
|
2025-01-10
|
|
265
|
OTHER
|
Aicd Lead Procedures
|
25
|
25
|
$141,848.59
|
$72,342.78
49% off
|
$14,184.86
|
$114,613.66
|
$74,186.81
|
2025-01-10
|
|
477
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Mcc
|
27
|
27
|
$129,099.61
|
$67,131.80
48% off
|
$73,223.73
|
$73,223.73
|
$73,223.73
|
2026-01-01
|
|
904
|
MS_DRG
|
Skin Grafts For Injuries With Cc-mcc
|
27
|
27
|
$128,513.31
|
$66,826.92
48% off
|
$72,891.18
|
$72,891.18
|
$72,891.18
|
2026-01-01
|