|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
10
|
9
|
—
|
—
|
$251,959.49
|
$334,983.08
|
$316,838.16
|
2025-01-01
|
|
J7330
|
HCPCS
|
Membrane Collgn Porcine Maci W/autologous Cult Chondrocytes
|
11
|
10
|
$287,386.00
|
$114,954.40
60% off
|
$223.00
|
$281,638.28
|
$273,016.70
|
2025-01-01
|
|
27800000002-52209
|
CDM
|
Device Impella 5.5 Smartassist
|
11
|
10
|
$247,500.00
|
$99,000.00
60% off
|
$223.00
|
$242,550.00
|
$235,125.00
|
2025-01-01
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
10
|
9
|
—
|
—
|
$185,321.63
|
$246,687.13
|
$233,324.91
|
2025-01-01
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
12
|
9
|
—
|
—
|
$180,261.61
|
$251,344.00
|
$226,983.48
|
2025-01-01
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
12
|
9
|
—
|
—
|
$145,805.05
|
$271,788.00
|
$184,250.96
|
2025-01-01
|
|
27800000002-52401
|
CDM
|
Valve Sapien Thv Edwards Resilia 29mm
|
11
|
10
|
$187,000.00
|
$74,800.00
60% off
|
$223.00
|
$183,260.00
|
$177,650.00
|
2025-01-01
|
|
27800000002-52400
|
CDM
|
Valve Sapien Thv Edwards Resilia 23mm
|
11
|
10
|
$187,000.00
|
$74,800.00
60% off
|
$223.00
|
$183,260.00
|
$177,650.00
|
2025-01-01
|
|
27800000002-52403
|
CDM
|
Valve Sapien Thv Edwards Resilia 26mm
|
11
|
10
|
$187,000.00
|
$74,800.00
60% off
|
$223.00
|
$183,260.00
|
$177,650.00
|
2025-01-01
|
|
27800000002-53134
|
CDM
|
Valve Thv Sapien 3 26mm W/certitudesystem
|
11
|
10
|
$178,750.00
|
$71,500.00
60% off
|
$223.00
|
$175,175.00
|
$169,812.50
|
2025-01-01
|
|
27800000002-53333
|
CDM
|
Valve Sapien 3 Ultra Thv 26mm W/command System
|
11
|
10
|
$178,750.00
|
$71,500.00
60% off
|
$223.00
|
$175,175.00
|
$169,812.50
|
2025-01-01
|
|
27800000002-53133
|
CDM
|
Valve Thv Sapien 3 23mm W/certitudesystem
|
11
|
10
|
$178,750.00
|
$71,500.00
60% off
|
$223.00
|
$175,175.00
|
$169,812.50
|
2025-01-01
|
|
27200000002-17907
|
CDM
|
Introducer Lotus 23 Edge
|
11
|
10
|
$178,750.00
|
$71,500.00
60% off
|
$223.00
|
$175,175.00
|
$169,812.50
|
2025-01-01
|
|
27200000002-17908
|
CDM
|
Introducer Lotus 25 Edge
|
11
|
10
|
$178,750.00
|
$71,500.00
60% off
|
$223.00
|
$175,175.00
|
$169,812.50
|
2025-01-01
|
|
27800000002-53126
|
CDM
|
Valve Sapien 3 Thv 23mm W/command System
|
11
|
10
|
$178,750.00
|
$71,500.00
60% off
|
$223.00
|
$175,175.00
|
$169,812.50
|
2025-01-01
|
|
27800000002-53127
|
CDM
|
Valve Sapien 3 Thv 26mm W/command System
|
11
|
10
|
$178,750.00
|
$71,500.00
60% off
|
$223.00
|
$175,175.00
|
$169,812.50
|
2025-01-01
|
|
27800000002-53329
|
CDM
|
Valve Sapien 3 Ultra Thv 23mm W/command System
|
11
|
10
|
$178,750.00
|
$71,500.00
60% off
|
$223.00
|
$175,175.00
|
$169,812.50
|
2025-01-01
|
|
27800000002-53128
|
CDM
|
Valve Sapien 3 Thv 29mm W/command System
|
11
|
10
|
$178,750.00
|
$71,500.00
60% off
|
$223.00
|
$175,175.00
|
$169,812.50
|
2025-01-01
|
|
27800000002-53326
|
CDM
|
Valve Sapien 3 Ultra Thv 20mm W/command System
|
11
|
10
|
$178,750.00
|
$71,500.00
60% off
|
$223.00
|
$175,175.00
|
$169,812.50
|
2025-01-01
|
|
27800000002-53071
|
CDM
|
Valve Aort 34mm Evolutr
|
11
|
10
|
$165,000.00
|
$66,000.00
60% off
|
$223.00
|
$161,700.00
|
$156,750.00
|
2025-01-01
|
|
27800000002-52368
|
CDM
|
Valve Aort 23mm Evolutr
|
11
|
10
|
$165,000.00
|
$66,000.00
60% off
|
$223.00
|
$161,700.00
|
$156,750.00
|
2025-01-01
|
|
27800000002-52836
|
CDM
|
Kit Mitraclip 1 Mbr0101
|
11
|
10
|
$165,000.00
|
$66,000.00
60% off
|
$223.00
|
$161,700.00
|
$156,750.00
|
2025-01-01
|
|
27800000002-53517
|
CDM
|
Kit Mitraclip 2 Mbr0202
|
11
|
10
|
$165,000.00
|
$66,000.00
60% off
|
$223.00
|
$161,700.00
|
$156,750.00
|
2025-01-01
|
|
27800000002-53070
|
CDM
|
Valve Aort 29mm Pro Perc
|
11
|
10
|
$165,000.00
|
$66,000.00
60% off
|
$223.00
|
$161,700.00
|
$156,750.00
|
2025-01-01
|
|
27800000002-53068
|
CDM
|
Valve Aort 26mm Pro Perc
|
11
|
10
|
$165,000.00
|
$66,000.00
60% off
|
$223.00
|
$161,700.00
|
$156,750.00
|
2025-01-01
|
|
27800000002-53472
|
CDM
|
Kit Mitraclip G4 Delivery Sys Ntw
|
11
|
10
|
$165,000.00
|
$66,000.00
60% off
|
$223.00
|
$161,700.00
|
$156,750.00
|
2025-01-01
|
|
27800000002-52376
|
CDM
|
Valve Aortic 34mm Evolut Fx
|
11
|
10
|
$165,000.00
|
$66,000.00
60% off
|
$223.00
|
$161,700.00
|
$156,750.00
|
2025-01-01
|
|
27800000002-53456
|
CDM
|
Kit Mitraclip 3 Mbr0103
|
11
|
10
|
$165,000.00
|
$66,000.00
60% off
|
$223.00
|
$161,700.00
|
$156,750.00
|
2025-01-01
|
|
27800000002-52839
|
CDM
|
Kit Mitraclip 2 Mbr0102
|
11
|
10
|
$165,000.00
|
$66,000.00
60% off
|
$223.00
|
$161,700.00
|
$156,750.00
|
2025-01-01
|
|
27800000002-52838
|
CDM
|
Kit Mitraclip 1 Mbr0301
|
11
|
10
|
$165,000.00
|
$66,000.00
60% off
|
$223.00
|
$161,700.00
|
$156,750.00
|
2025-01-01
|
|
27800000002-53339
|
CDM
|
Kit Mitraclip G4 Syst Cds0701nt/ntw/xt/xtw
|
11
|
10
|
$165,000.00
|
$66,000.00
60% off
|
$223.00
|
$161,700.00
|
$156,750.00
|
2025-01-01
|
|
27800000002-52837
|
CDM
|
Kit Mitraclip 1 Mbr0201
|
11
|
10
|
$165,000.00
|
$66,000.00
60% off
|
$223.00
|
$161,700.00
|
$156,750.00
|
2025-01-01
|
|
27800000002-52374
|
CDM
|
Valve Aortic 29mm Evolut Fx
|
11
|
10
|
$165,000.00
|
$66,000.00
60% off
|
$223.00
|
$161,700.00
|
$156,750.00
|
2025-01-01
|
|
27800000002-52377
|
CDM
|
Valve Aortic 23mm Evolut Fx
|
11
|
10
|
$165,000.00
|
$66,000.00
60% off
|
$223.00
|
$161,700.00
|
$156,750.00
|
2025-01-01
|
|
27800000002-52372
|
CDM
|
Valve Aortic 26mm Evolut Fx
|
11
|
10
|
$165,000.00
|
$66,000.00
60% off
|
$223.00
|
$161,700.00
|
$156,750.00
|
2025-01-01
|
|
27800000002-53067
|
CDM
|
Valve Aort 26mm Evolutr
|
11
|
10
|
$165,000.00
|
$66,000.00
60% off
|
$223.00
|
$161,700.00
|
$156,750.00
|
2025-01-01
|
|
27800000002-52840
|
CDM
|
Kit Mitraclip 2 Mbr0302
|
11
|
10
|
$165,000.00
|
$66,000.00
60% off
|
$223.00
|
$161,700.00
|
$156,750.00
|
2025-01-01
|
|
27800000002-52893
|
CDM
|
Set Pump Impella Cp
|
11
|
10
|
$137,500.00
|
$55,000.00
60% off
|
$223.00
|
$134,750.00
|
$130,625.00
|
2025-01-01
|
|
27800000002-52891
|
CDM
|
Set Pump Impella Cp
|
11
|
10
|
$137,500.00
|
$55,000.00
60% off
|
$223.00
|
$134,750.00
|
$130,625.00
|
2025-01-01
|
|
27800000002-52890
|
CDM
|
Set Pump Impella Cp
|
11
|
10
|
$137,500.00
|
$55,000.00
60% off
|
$223.00
|
$134,750.00
|
$130,625.00
|
2025-01-01
|
|
27800000002-52892
|
CDM
|
Set Pump Impella Cp
|
11
|
10
|
$137,500.00
|
$55,000.00
60% off
|
$223.00
|
$134,750.00
|
$130,625.00
|
2025-01-01
|
|
27800000002-52896
|
CDM
|
Set Pump Impella Rp
|
11
|
10
|
$137,500.00
|
$55,000.00
60% off
|
$223.00
|
$134,750.00
|
$130,625.00
|
2025-01-01
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
12
|
9
|
—
|
—
|
$100,530.21
|
$166,767.00
|
$127,371.83
|
2025-01-01
|
|
27800000002-52402
|
CDM
|
Valve Sapien Thv Edwards Resilia 29mm
|
11
|
10
|
$132,600.00
|
$53,040.00
60% off
|
$223.00
|
$129,948.00
|
$125,970.00
|
2025-01-01
|
|
27800000002-53336
|
CDM
|
Valve Sapien 3 Ultra Thv 26mm W/command System
|
11
|
10
|
$126,750.00
|
$50,700.00
60% off
|
$223.00
|
$124,215.00
|
$120,412.50
|
2025-01-01
|
|
27800000002-53129
|
CDM
|
Valve Sapien 3 Thv 29mm W/command System
|
11
|
10
|
$126,750.00
|
$50,700.00
60% off
|
$223.00
|
$124,215.00
|
$120,412.50
|
2025-01-01
|
|
27800000002-53332
|
CDM
|
Valve Sapien 3 Ultra Thv 23mm W/command System
|
11
|
10
|
$126,750.00
|
$50,700.00
60% off
|
$223.00
|
$124,215.00
|
$120,412.50
|
2025-01-01
|
|
27800000002-53334
|
CDM
|
Valve Sapien 3 Ultra Thv 26mm W/command System
|
11
|
10
|
$126,750.00
|
$50,700.00
60% off
|
$223.00
|
$124,215.00
|
$120,412.50
|
2025-01-01
|
|
27800000002-53328
|
CDM
|
Valve Sapien 3 Ultra Thv 20mm W/command System
|
11
|
10
|
$126,750.00
|
$50,700.00
60% off
|
$223.00
|
$124,215.00
|
$120,412.50
|
2025-01-01
|
|
27800000002-53335
|
CDM
|
Valve Sapien 3 Ultra Thv 26mm W/command System
|
11
|
10
|
$126,750.00
|
$50,700.00
60% off
|
$223.00
|
$124,215.00
|
$120,412.50
|
2025-01-01
|
|
27800000002-53327
|
CDM
|
Valve Sapien 3 Ultra Thv 20mm W/command System
|
11
|
10
|
$126,750.00
|
$50,700.00
60% off
|
$223.00
|
$124,215.00
|
$120,412.50
|
2025-01-01
|
|
27800000002-53130
|
CDM
|
Valve Sapien 3 Thv 29mm W/command System
|
11
|
10
|
$126,750.00
|
$50,700.00
60% off
|
$223.00
|
$124,215.00
|
$120,412.50
|
2025-01-01
|
|
27800000002-53330
|
CDM
|
Valve Sapien 3 Ultra Thv 23mm W/command System
|
11
|
10
|
$126,750.00
|
$50,700.00
60% off
|
$223.00
|
$124,215.00
|
$120,412.50
|
2025-01-01
|
|
27800000002-53331
|
CDM
|
Valve Sapien 3 Ultra Thv 23mm W/command System
|
11
|
10
|
$126,750.00
|
$50,700.00
60% off
|
$223.00
|
$124,215.00
|
$120,412.50
|
2025-01-01
|
|
222
|
MS_DRG
|
Cardiac Defib Implant W Cardiac Cath W Ami/hf/shock W Mcc
|
2
|
1
|
—
|
—
|
$109,125.00
|
$131,023.00
|
$120,074.00
|
2025-01-01
|
|
27800000002-53341
|
CDM
|
Kit Mitraclip G4 Syst Cds0701nt/ntw/xt/xtw
|
11
|
10
|
$117,000.00
|
$46,800.00
60% off
|
$223.00
|
$114,660.00
|
$111,150.00
|
2025-01-01
|
|
27800000002-52375
|
CDM
|
Valve Aortic 29mm Evolut Fx
|
11
|
10
|
$117,000.00
|
$46,800.00
60% off
|
$223.00
|
$114,660.00
|
$111,150.00
|
2025-01-01
|
|
27800000002-52378
|
CDM
|
Valve Aortic 23mm Evolut Fx
|
11
|
10
|
$117,000.00
|
$46,800.00
60% off
|
$223.00
|
$114,660.00
|
$111,150.00
|
2025-01-01
|
|
27800000002-52373
|
CDM
|
Valve Aortic 26mm Evolut Fx
|
11
|
10
|
$117,000.00
|
$46,800.00
60% off
|
$223.00
|
$114,660.00
|
$111,150.00
|
2025-01-01
|
|
27800000002-53340
|
CDM
|
Kit Mitraclip G4 Syst Cds0701nt/ntw/xt/xtw
|
11
|
10
|
$117,000.00
|
$46,800.00
60% off
|
$223.00
|
$114,660.00
|
$111,150.00
|
2025-01-01
|
|
224
|
MS_DRG
|
Cardiac Defib Implant W Cardiac Cath Without Ami/hf/shock W Mcc
|
2
|
1
|
—
|
—
|
$97,959.00
|
$117,619.00
|
$107,789.00
|
2025-01-01
|
|
7
|
MS_DRG
|
Lung Transplant
|
9
|
8
|
—
|
—
|
$83,887.33
|
$112,285.46
|
$106,359.28
|
2025-01-01
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
10
|
9
|
—
|
—
|
$83,734.83
|
$112,083.38
|
$106,012.20
|
2025-01-01
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
9
|
8
|
—
|
—
|
$78,378.69
|
$104,986.43
|
$99,445.48
|
2025-01-01
|
|
C1822
|
HCPCS
|
Sable 10x22mm 6-12mm 8deg
|
41
|
10
|
$104,000.00
|
$41,600.00
60% off
|
$223.00
|
$140,140.00
|
$98,800.00
|
2025-01-01
|
|
C1824
|
HCPCS
|
Kit Ipg Optimizer Smart Mini
|
21
|
10
|
$143,000.00
|
$57,200.00
60% off
|
$223.00
|
$140,140.00
|
$98,800.00
|
2025-01-01
|
|
27800000002-53528
|
CDM
|
Stent Graft Confrm Thor 45x45x20 24f
|
11
|
10
|
$100,595.00
|
$40,238.00
60% off
|
$223.00
|
$98,583.10
|
$95,565.25
|
2025-01-01
|
|
27800000002-52894
|
CDM
|
Set Pump Impella Cp
|
11
|
10
|
$100,000.00
|
$40,000.00
60% off
|
$223.00
|
$98,000.00
|
$95,000.00
|
2025-01-01
|
|
226
|
MS_DRG
|
Cardiac Defibrillator Implant Without Cardiac Cath W Mcc
|
2
|
1
|
—
|
—
|
$85,959.00
|
$103,208.00
|
$94,583.50
|
2025-01-01
|
|
27800000002-53501
|
CDM
|
Stent Valiant Navion Vnmf4040c183tu Freeflo 175mm
|
11
|
10
|
$98,975.25
|
$39,590.10
60% off
|
$223.00
|
$96,995.75
|
$94,026.49
|
2025-01-01
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve?procedures
|
10
|
9
|
—
|
—
|
$73,658.56
|
$98,732.21
|
$93,384.21
|
2025-01-01
|
|
A9542
|
HCPCS
|
Indium In-111 Ibritumomab Tiuxetan Diagnostic Per Study Dose Up To 5 Millicuries
|
11
|
10
|
$97,800.00
|
$39,120.00
60% off
|
$223.00
|
$95,844.00
|
$92,910.00
|
2025-01-01
|
|
27800000002-52895
|
CDM
|
Set Pump Impella Cp
|
11
|
10
|
$97,500.00
|
$39,000.00
60% off
|
$223.00
|
$95,550.00
|
$92,625.00
|
2025-01-01
|
|
27800000002-52897
|
CDM
|
Set Pump Impella Rp
|
11
|
10
|
$97,500.00
|
$39,000.00
60% off
|
$223.00
|
$95,550.00
|
$92,625.00
|
2025-01-01
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
9
|
8
|
—
|
—
|
$70,781.48
|
$94,920.03
|
$89,910.37
|
2025-01-01
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
12
|
9
|
—
|
—
|
$69,856.87
|
$216,114.00
|
$88,836.67
|
2025-01-01
|
|
27800000002-52188
|
CDM
|
Device Clsur Watchman Flx Laa 20mm
|
11
|
10
|
$93,500.00
|
$37,400.00
60% off
|
$223.00
|
$91,630.00
|
$88,825.00
|
2025-01-01
|
|
C2624
|
HCPCS
|
System Cardiomems Pa Sensor And Delivery
|
11
|
10
|
$93,500.00
|
$37,400.00
60% off
|
$223.00
|
$91,630.00
|
$88,825.00
|
2025-01-01
|
|
27800000002-53374
|
CDM
|
Stent Valiant Navion Vnmc2828c90tu Coveredseal 100mm
|
11
|
10
|
$91,550.25
|
$36,620.10
60% off
|
$223.00
|
$89,719.25
|
$86,972.74
|
2025-01-01
|
|
27800000002-53375
|
CDM
|
Stent Graft Prox 28x28x150mm Valiant Captivia Free Flo Str
|
11
|
10
|
$91,550.25
|
$36,620.10
60% off
|
$223.00
|
$89,719.25
|
$86,972.74
|
2025-01-01
|
|
27800000002-53431
|
CDM
|
Stent Valiant 42x38x150
|
11
|
10
|
$91,550.25
|
$36,620.10
60% off
|
$223.00
|
$89,719.25
|
$86,972.74
|
2025-01-01
|
|
223
|
MS_DRG
|
Cardiac Defib Implant W Cardiac Cath W Ami/hf/shock Without Mcc
|
2
|
1
|
—
|
—
|
$77,932.00
|
$93,570.00
|
$85,751.00
|
2025-01-01
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
12
|
9
|
—
|
—
|
$66,372.51
|
$145,863.00
|
$84,459.24
|
2025-01-01
|
|
27800000002-52422
|
CDM
|
Generator Implantable Proclaim 5
|
11
|
10
|
$87,270.30
|
$34,908.12
60% off
|
$223.00
|
$85,524.89
|
$82,906.79
|
2025-01-01
|
|
225
|
MS_DRG
|
Cardiac Defib Implant W Cardiac Cath Without Ami/hf/shock Without Mcc
|
2
|
1
|
—
|
—
|
$73,518.00
|
$88,271.00
|
$80,894.50
|
2025-01-01
|
|
27800000002-52355
|
CDM
|
Conduit Konect Resilia Aortic Vlv 25mm
|
11
|
10
|
$82,500.00
|
$33,000.00
60% off
|
$223.00
|
$80,850.00
|
$78,375.00
|
2025-01-01
|
|
27800000002-52353
|
CDM
|
Conduit Konect Resilia Aortic Vlv 23mm
|
11
|
10
|
$82,500.00
|
$33,000.00
60% off
|
$223.00
|
$80,850.00
|
$78,375.00
|
2025-01-01
|
|
453
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion With Mcc
|
12
|
9
|
—
|
—
|
$60,601.25
|
$162,354.00
|
$77,208.77
|
2025-01-01
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
12
|
9
|
—
|
—
|
$57,804.19
|
$139,468.00
|
$73,694.79
|
2025-01-01
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
12
|
9
|
—
|
—
|
$57,646.90
|
$145,884.00
|
$73,497.18
|
2025-01-01
|
|
227
|
MS_DRG
|
Cardiac Defibrillator Implant Without Cardiac Cath Without Mcc
|
2
|
1
|
—
|
—
|
$66,218.00
|
$79,508.00
|
$72,863.00
|
2025-01-01
|
|
0775T
|
HCPCS
|
Hc Arthrodesis Perc Sac-il Joint W/image Guidance W/placement Of
|
33
|
10
|
$76,381.00
|
$30,552.40
60% off
|
$223.00
|
$112,279.58
|
$72,561.95
|
2025-01-01
|
|
27800000002-52230
|
CDM
|
Device Embol Pipeline Flex 4.5x14mm
|
11
|
10
|
$75,796.88
|
$30,318.75
60% off
|
$223.00
|
$74,280.94
|
$72,007.04
|
2025-01-01
|
|
27800000002-52250
|
CDM
|
Device Embol Pipeline Flex 4.75x12mm
|
11
|
10
|
$75,796.88
|
$30,318.75
60% off
|
$223.00
|
$74,280.94
|
$72,007.04
|
2025-01-01
|
|
27800000002-52221
|
CDM
|
Device Embol Pipeline Flex 4x14mm
|
11
|
10
|
$75,796.88
|
$30,318.75
60% off
|
$223.00
|
$74,280.94
|
$72,007.04
|
2025-01-01
|
|
27800000002-52247
|
CDM
|
Device Embol Pipeline Flex 4x16mm
|
11
|
10
|
$75,796.88
|
$30,318.75
60% off
|
$223.00
|
$74,280.94
|
$72,007.04
|
2025-01-01
|
|
27800000002-52243
|
CDM
|
Device Embol Pipeline Flex 5x18mm
|
11
|
10
|
$75,796.88
|
$30,318.75
60% off
|
$223.00
|
$74,280.94
|
$72,007.04
|
2025-01-01
|
|
27800000002-52225
|
CDM
|
Device Embol Pipeline Flex 4.25x12mm
|
11
|
10
|
$75,796.88
|
$30,318.75
60% off
|
$223.00
|
$74,280.94
|
$72,007.04
|
2025-01-01
|
|
27800000002-52239
|
CDM
|
Device Embol Pipeline Flex 4.75x14mm
|
11
|
10
|
$75,796.88
|
$30,318.75
60% off
|
$223.00
|
$74,280.94
|
$72,007.04
|
2025-01-01
|
|
27800000002-52237
|
CDM
|
Device Embol Pipeline Flex 4.25x16mm
|
11
|
10
|
$75,796.88
|
$30,318.75
60% off
|
$223.00
|
$74,280.94
|
$72,007.04
|
2025-01-01
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
12
|
9
|
—
|
—
|
$55,498.15
|
$115,379.00
|
$70,797.70
|
2025-01-01
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
10
|
9
|
—
|
—
|
$54,665.87
|
$73,566.66
|
$69,581.80
|
2025-01-01
|
|
C1882
|
HCPCS
|
Icd Crtd Cobalt Xt Hf Quad MRI Is4 Df4
|
301
|
10
|
$78,126.40
|
$31,250.56
60% off
|
$223.00
|
$92,508.57
|
$69,001.35
|
2025-01-01
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
12
|
9
|
—
|
—
|
$53,339.83
|
$110,775.00
|
$68,086.18
|
2025-01-01
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
12
|
9
|
—
|
—
|
$52,735.28
|
$120,121.00
|
$67,326.68
|
2025-01-01
|
|
27800000002-53000
|
CDM
|
Stent Graft Prox 46x46x200mm Valiant Captivia Free Flo Str
|
11
|
10
|
$68,427.45
|
$27,370.98
60% off
|
$223.00
|
$67,058.90
|
$65,006.08
|
2025-01-01
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
12
|
9
|
—
|
—
|
$49,461.55
|
$98,348.00
|
$63,213.86
|
2025-01-01
|
|
27800000002-52445
|
CDM
|
Device Watchman Flx Pro Procedure
|
11
|
10
|
$66,300.00
|
$26,520.00
60% off
|
$223.00
|
$64,974.00
|
$62,985.00
|
2025-01-01
|
|
27800000002-52358
|
CDM
|
Watchman Flx Procedure - Device
|
11
|
10
|
$66,300.00
|
$26,520.00
60% off
|
$223.00
|
$64,974.00
|
$62,985.00
|
2025-01-01
|
|
27800000002-52359
|
CDM
|
Watchman Flx Procedure - Device
|
11
|
10
|
$66,300.00
|
$26,520.00
60% off
|
$223.00
|
$64,974.00
|
$62,985.00
|
2025-01-01
|
|
27800000002-53536
|
CDM
|
Vale Heart Intuity Elite 19mm
|
11
|
10
|
$66,000.00
|
$26,400.00
60% off
|
$223.00
|
$64,680.00
|
$62,700.00
|
2025-01-01
|
|
27800000002-53571
|
CDM
|
Vale Heart Intuity Elite 23mm
|
11
|
10
|
$66,000.00
|
$26,400.00
60% off
|
$223.00
|
$64,680.00
|
$62,700.00
|
2025-01-01
|
|
27800000002-53432
|
CDM
|
Stent Valiant 42x38x150
|
11
|
10
|
$64,917.45
|
$25,966.98
60% off
|
$223.00
|
$63,619.10
|
$61,671.58
|
2025-01-01
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
10
|
9
|
—
|
—
|
$48,116.36
|
$64,888.48
|
$61,373.69
|
2025-01-01
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
12
|
9
|
—
|
—
|
$47,631.49
|
$89,488.00
|
$60,914.75
|
2025-01-01
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
12
|
9
|
—
|
—
|
$47,322.38
|
$73,430.00
|
$60,526.41
|
2025-01-01
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
12
|
9
|
—
|
—
|
$47,242.36
|
$82,161.00
|
$60,425.89
|
2025-01-01
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
12
|
9
|
—
|
—
|
$47,000.27
|
$83,995.00
|
$60,121.74
|
2025-01-01
|
|
C1820
|
HCPCS
|
Charger Prdgy MRI W/pt Control
|
191
|
10
|
$88,380.55
|
$35,352.22
60% off
|
$223.00
|
$133,481.19
|
$60,040.00
|
2025-01-01
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
12
|
9
|
—
|
—
|
$46,877.85
|
$78,410.00
|
$59,967.95
|
2025-01-01
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
12
|
9
|
—
|
—
|
$46,630.29
|
$75,180.00
|
$59,656.94
|
2025-01-01
|
|
459
|
MS_DRG
|
Spinal Fusion Except Cervical With Mcc
|
12
|
9
|
—
|
—
|
$45,356.91
|
$100,200.00
|
$58,057.18
|
2025-01-01
|
|
27800000002-52995
|
CDM
|
Stent Graft 25-80-16-40mm Afx2 Bifurcated
|
11
|
10
|
$60,225.00
|
$24,090.00
60% off
|
$223.00
|
$59,020.50
|
$57,213.75
|
2025-01-01
|
|
27800000002-52993
|
CDM
|
Stent Graft 25-70-16-30mm Afx2 Bifurcated
|
11
|
10
|
$60,225.00
|
$24,090.00
60% off
|
$223.00
|
$59,020.50
|
$57,213.75
|
2025-01-01
|
|
27800000002-52999
|
CDM
|
Stent Graft 28-70-20-30mm Afx2 Bifurcated
|
11
|
10
|
$60,225.00
|
$24,090.00
60% off
|
$223.00
|
$59,020.50
|
$57,213.75
|
2025-01-01
|
|
27800000002-52989
|
CDM
|
Stent Graft 22-40-13-40mm Afx2 Bifurcated
|
11
|
10
|
$60,225.00
|
$24,090.00
60% off
|
$223.00
|
$59,020.50
|
$57,213.75
|
2025-01-01
|
|
27800000002-52998
|
CDM
|
Stent Graft 28-110-16-30mm Afx2 Bifurcated
|
11
|
10
|
$60,225.00
|
$24,090.00
60% off
|
$223.00
|
$59,020.50
|
$57,213.75
|
2025-01-01
|
|
27800000002-52988
|
CDM
|
Stent Graft 22-40-13-40mm Afx2 Bifurcated
|
11
|
10
|
$60,225.00
|
$24,090.00
60% off
|
$223.00
|
$59,020.50
|
$57,213.75
|
2025-01-01
|
|
27800000002-52991
|
CDM
|
Stent Graft 25-100-16-40mm Afx2 Bifurcated
|
11
|
10
|
$60,225.00
|
$24,090.00
60% off
|
$223.00
|
$59,020.50
|
$57,213.75
|
2025-01-01
|
|
27800000002-52994
|
CDM
|
Stent Graft 25-80-13-40mm Afx2 Bifurcated
|
11
|
10
|
$60,225.00
|
$24,090.00
60% off
|
$223.00
|
$59,020.50
|
$57,213.75
|
2025-01-01
|
|
27800000002-52992
|
CDM
|
Stent Graft 25-100-20-40mm Afx2 Bifurcated
|
11
|
10
|
$60,225.00
|
$24,090.00
60% off
|
$223.00
|
$59,020.50
|
$57,213.75
|
2025-01-01
|
|
27800000002-52241
|
CDM
|
Device Embol Pipeline Flex 3x25mm
|
11
|
10
|
$59,094.00
|
$23,637.60
60% off
|
$223.00
|
$57,912.12
|
$56,139.30
|
2025-01-01
|
|
27800000002-52228
|
CDM
|
Device Embol Pipeline Flex 5x35mm
|
11
|
10
|
$59,094.00
|
$23,637.60
60% off
|
$223.00
|
$57,912.12
|
$56,139.30
|
2025-01-01
|
|
27800000002-52253
|
CDM
|
Device Embol Pipeline Flex 5x25mm
|
11
|
10
|
$59,094.00
|
$23,637.60
60% off
|
$223.00
|
$57,912.12
|
$56,139.30
|
2025-01-01
|
|
27800000002-52242
|
CDM
|
Device Embol Pipeline Flex 4x30mm
|
11
|
10
|
$59,094.00
|
$23,637.60
60% off
|
$223.00
|
$57,912.12
|
$56,139.30
|
2025-01-01
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
12
|
9
|
—
|
—
|
$43,530.95
|
$97,296.00
|
$55,763.21
|
2025-01-01
|
|
27800000002-52356
|
CDM
|
Conduit Konect Resilia Aortic Vlv 25mm
|
11
|
10
|
$58,500.00
|
$23,400.00
60% off
|
$223.00
|
$57,330.00
|
$55,575.00
|
2025-01-01
|
|
27800000002-52354
|
CDM
|
Conduit Konect Resilia Aortic Vlv 23mm
|
11
|
10
|
$58,500.00
|
$23,400.00
60% off
|
$223.00
|
$57,330.00
|
$55,575.00
|
2025-01-01
|
|
C9606
|
HCPCS
|
Hc Revascularization Acute/total/subtotal To Ami/drug Eluting Co
|
11
|
10
|
$57,648.00
|
$23,059.20
60% off
|
$223.00
|
$56,495.04
|
$54,765.60
|
2025-01-01
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
12
|
9
|
—
|
—
|
$42,715.77
|
$100,485.00
|
$54,739.08
|
2025-01-01
|
|
27800000002-52220
|
CDM
|
Device Embol Pipeline Flex 4x25mm
|
11
|
10
|
$57,616.65
|
$23,046.66
60% off
|
$223.00
|
$56,464.32
|
$54,735.82
|
2025-01-01
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
12
|
9
|
—
|
—
|
$42,524.28
|
$57,478.92
|
$54,365.47
|
2025-01-01
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc
|
10
|
9
|
—
|
—
|
$42,470.25
|
$57,407.32
|
$54,297.76
|
2025-01-01
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/mcc
|
9
|
8
|
—
|
—
|
$42,243.21
|
$57,106.49
|
$54,092.54
|
2025-01-01
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
9
|
8
|
—
|
—
|
$42,243.21
|
$57,106.49
|
$54,092.54
|
2025-01-01
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
12
|
9
|
—
|
—
|
$41,999.74
|
$101,746.00
|
$53,839.54
|
2025-01-01
|
|
A9543
|
HCPCS
|
Yttrium Y-90 Ibritumomab Tiuxetan Therapeutic Per Treatment Dose Up To 40 Millic…
|
20
|
18
|
$55,035.00
|
$22,014.00
60% off
|
$223.00
|
$73,333.77
|
$53,659.12
|
2025-01-01
|
|
454
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion With Cc
|
12
|
9
|
—
|
—
|
$41,828.09
|
$119,490.00
|
$53,623.90
|
2025-01-01
|
|
27800000002-52768
|
CDM
|
Excluder Aort C3 31x14.5x13cm
|
11
|
10
|
$56,375.00
|
$22,550.00
60% off
|
$223.00
|
$55,247.50
|
$53,556.25
|
2025-01-01
|
|
27800000002-52769
|
CDM
|
Excluder Aort C3 35x14.5x16cm
|
11
|
10
|
$56,375.00
|
$22,550.00
60% off
|
$223.00
|
$55,247.50
|
$53,556.25
|
2025-01-01
|
|
27800000002-52766
|
CDM
|
Excluder Aort C3 28x14.5x14cm
|
11
|
10
|
$56,375.00
|
$22,550.00
60% off
|
$223.00
|
$55,247.50
|
$53,556.25
|
2025-01-01
|
|
27800000002-53186
|
CDM
|
Excluder Aort C3 28x14.5x18cm
|
11
|
10
|
$56,375.00
|
$22,550.00
60% off
|
$223.00
|
$55,247.50
|
$53,556.25
|
2025-01-01
|
|
27800000002-52767
|
CDM
|
Excluder Aort C3 28x14.5x16cm
|
11
|
10
|
$56,375.00
|
$22,550.00
60% off
|
$223.00
|
$55,247.50
|
$53,556.25
|
2025-01-01
|
|
27800000002-52763
|
CDM
|
Excluder Aort C3 28x14.5x12cm
|
11
|
10
|
$56,375.00
|
$22,550.00
60% off
|
$223.00
|
$55,247.50
|
$53,556.25
|
2025-01-01
|
|
27800000002-52759
|
CDM
|
Excluder Aort C3 23x14.5x16cm
|
11
|
10
|
$56,375.00
|
$22,550.00
60% off
|
$223.00
|
$55,247.50
|
$53,556.25
|
2025-01-01
|
|
27800000002-52755
|
CDM
|
Excluder Aort C3 23x12x16cm
|
11
|
10
|
$56,375.00
|
$22,550.00
60% off
|
$223.00
|
$55,247.50
|
$53,556.25
|
2025-01-01
|
|
27800000002-52760
|
CDM
|
Excluder Aort C3 26x14.5x12cm
|
11
|
10
|
$56,375.00
|
$22,550.00
60% off
|
$223.00
|
$55,247.50
|
$53,556.25
|
2025-01-01
|
|
27800000002-52765
|
CDM
|
Excluder Aort C3 28x14.5x14cm
|
11
|
10
|
$56,375.00
|
$22,550.00
60% off
|
$223.00
|
$55,247.50
|
$53,556.25
|
2025-01-01
|
|
27800000002-52754
|
CDM
|
Excluder Aort C3 23x12x14cm
|
11
|
10
|
$56,375.00
|
$22,550.00
60% off
|
$223.00
|
$55,247.50
|
$53,556.25
|
2025-01-01
|
|
27800000002-52764
|
CDM
|
Excluder Aort C3 28x14.5x12cm
|
11
|
10
|
$56,375.00
|
$22,550.00
60% off
|
$223.00
|
$55,247.50
|
$53,556.25
|
2025-01-01
|
|
27800000002-52758
|
CDM
|
Excluder Aort C3 23x14.5x16cm
|
11
|
10
|
$56,375.00
|
$22,550.00
60% off
|
$223.00
|
$55,247.50
|
$53,556.25
|
2025-01-01
|
|
27800000002-52762
|
CDM
|
Excluder Aort C3 28x14.5x12cm
|
11
|
10
|
$56,375.00
|
$22,550.00
60% off
|
$223.00
|
$55,247.50
|
$53,556.25
|
2025-01-01
|
|
27800000002-52756
|
CDM
|
Excluder Aort C3 23x14.5x14cm
|
11
|
10
|
$56,375.00
|
$22,550.00
60% off
|
$223.00
|
$55,247.50
|
$53,556.25
|
2025-01-01
|
|
27800000002-52761
|
CDM
|
Excluder Aort C3 28x12x16cm
|
11
|
10
|
$56,375.00
|
$22,550.00
60% off
|
$223.00
|
$55,247.50
|
$53,556.25
|
2025-01-01
|
|
27800000002-52757
|
CDM
|
Excluder Aort C3 23x14.5x14cm
|
11
|
10
|
$56,375.00
|
$22,550.00
60% off
|
$223.00
|
$55,247.50
|
$53,556.25
|
2025-01-01
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
12
|
9
|
—
|
—
|
$41,649.60
|
$83,008.00
|
$53,399.65
|
2025-01-01
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
12
|
9
|
—
|
—
|
$41,547.70
|
$98,333.00
|
$53,271.65
|
2025-01-01
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
12
|
9
|
—
|
—
|
$41,352.11
|
$87,694.00
|
$53,025.93
|
2025-01-01
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
12
|
9
|
—
|
—
|
$41,211.23
|
$85,853.00
|
$52,848.94
|
2025-01-01
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
11
|
9
|
—
|
—
|
$51,392.14
|
$77,090.00
|
$52,676.94
|
2025-01-01
|
|
27800000002-52219
|
CDM
|
Device Embol Pipeline Flex 4.5x18mm
|
11
|
10
|
$55,125.00
|
$22,050.00
60% off
|
$223.00
|
$54,022.50
|
$52,368.75
|
2025-01-01
|
|
27800000002-52254
|
CDM
|
Device Embol Pipeline Flex 5x20mm
|
11
|
10
|
$55,125.00
|
$22,050.00
60% off
|
$223.00
|
$54,022.50
|
$52,368.75
|
2025-01-01
|
|
27800000002-52229
|
CDM
|
Device Embol Pipeline Flex 5x12mm
|
11
|
10
|
$55,125.00
|
$22,050.00
60% off
|
$223.00
|
$54,022.50
|
$52,368.75
|
2025-01-01
|
|
27800000002-52233
|
CDM
|
Device Embol Pipeline Flex 4x20mm
|
11
|
10
|
$55,125.00
|
$22,050.00
60% off
|
$223.00
|
$54,022.50
|
$52,368.75
|
2025-01-01
|
|
27800000002-52244
|
CDM
|
Device Embol Pipeline Flex 4.5x10mm
|
11
|
10
|
$55,125.00
|
$22,050.00
60% off
|
$223.00
|
$54,022.50
|
$52,368.75
|
2025-01-01
|
|
27800000002-52246
|
CDM
|
Device Embol Pipeline Flex 3.75x16mm
|
11
|
10
|
$55,125.00
|
$22,050.00
60% off
|
$223.00
|
$54,022.50
|
$52,368.75
|
2025-01-01
|
|
27800000002-52236
|
CDM
|
Device Embol Pipeline Flex 3.50x10mm
|
11
|
10
|
$55,125.00
|
$22,050.00
60% off
|
$223.00
|
$54,022.50
|
$52,368.75
|
2025-01-01
|
|
27800000002-52257
|
CDM
|
Device Embol Pipeline Flex 2.5x18mm
|
11
|
10
|
$55,125.00
|
$22,050.00
60% off
|
$223.00
|
$54,022.50
|
$52,368.75
|
2025-01-01
|
|
27800000002-52249
|
CDM
|
Device Embol Pipeline Flex 3.25x12mm
|
11
|
10
|
$55,125.00
|
$22,050.00
60% off
|
$223.00
|
$54,022.50
|
$52,368.75
|
2025-01-01
|
|
27800000002-52226
|
CDM
|
Device Embol Pipeline Flex 4.25x12mm
|
11
|
10
|
$55,125.00
|
$22,050.00
60% off
|
$223.00
|
$54,022.50
|
$52,368.75
|
2025-01-01
|
|
27800000002-52248
|
CDM
|
Device Embol Pipeline Flex 4.5x16mm
|
11
|
10
|
$55,125.00
|
$22,050.00
60% off
|
$223.00
|
$54,022.50
|
$52,368.75
|
2025-01-01
|
|
27800000002-52240
|
CDM
|
Device Embol Pipeline Flex 3.25x14mm
|
11
|
10
|
$55,125.00
|
$22,050.00
60% off
|
$223.00
|
$54,022.50
|
$52,368.75
|
2025-01-01
|
|
27800000002-52235
|
CDM
|
Device Embol Pipeline Flex 4x12mm
|
11
|
10
|
$55,125.00
|
$22,050.00
60% off
|
$223.00
|
$54,022.50
|
$52,368.75
|
2025-01-01
|
|
27800000002-52223
|
CDM
|
Device Embol Pipeline Flex 4.25x14mm
|
11
|
10
|
$55,125.00
|
$22,050.00
60% off
|
$223.00
|
$54,022.50
|
$52,368.75
|
2025-01-01
|
|
27800000002-52232
|
CDM
|
Device Embol Pipeline Flex 5x14mm
|
11
|
10
|
$55,125.00
|
$22,050.00
60% off
|
$223.00
|
$54,022.50
|
$52,368.75
|
2025-01-01
|
|
27800000002-52231
|
CDM
|
Device Embol Pipeline Flex 4.5x14mm
|
11
|
10
|
$55,125.00
|
$22,050.00
60% off
|
$223.00
|
$54,022.50
|
$52,368.75
|
2025-01-01
|
|
27800000002-52222
|
CDM
|
Device Embol Pipeline Flex 4x14mm
|
11
|
10
|
$55,125.00
|
$22,050.00
60% off
|
$223.00
|
$54,022.50
|
$52,368.75
|
2025-01-01
|
|
27800000002-52773
|
CDM
|
Excluder Aort Ibc 23x12x10 Fa
|
11
|
10
|
$54,972.50
|
$21,989.00
60% off
|
$223.00
|
$53,873.05
|
$52,223.88
|
2025-01-01
|
|
27800000002-52774
|
CDM
|
Excluder Aort Ibc 23x12x10 Fa
|
11
|
10
|
$54,972.50
|
$21,989.00
60% off
|
$223.00
|
$53,873.05
|
$52,223.88
|
2025-01-01
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
12
|
9
|
—
|
—
|
$40,681.23
|
$87,574.00
|
$52,183.08
|
2025-01-01
|
|
27800000002-52935
|
CDM
|
Stent Endur Aaa Bif 36x14x103
|
11
|
10
|
$54,862.50
|
$21,945.00
60% off
|
$223.00
|
$53,765.25
|
$52,119.38
|
2025-01-01
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
12
|
9
|
—
|
—
|
$40,216.19
|
$88,895.00
|
$51,598.85
|
2025-01-01
|
|
27800000002-52251
|
CDM
|
Device Embol Pipeline Flex 4.75x20mm
|
11
|
10
|
$53,746.88
|
$21,498.75
60% off
|
$223.00
|
$52,671.94
|
$51,059.54
|
2025-01-01
|
|
27800000002-52234
|
CDM
|
Device Embol Pipeline Flex 4.25x18mm
|
11
|
10
|
$53,746.88
|
$21,498.75
60% off
|
$223.00
|
$52,671.94
|
$51,059.54
|
2025-01-01
|
|
27800000002-52252
|
CDM
|
Device Embol Pipeline Flex 3.50x16mm
|
11
|
10
|
$53,746.88
|
$21,498.75
60% off
|
$223.00
|
$52,671.94
|
$51,059.54
|
2025-01-01
|
|
27800000002-52245
|
CDM
|
Device Embol Pipeline Flex 5x16mm
|
11
|
10
|
$53,746.88
|
$21,498.75
60% off
|
$223.00
|
$52,671.94
|
$51,059.54
|
2025-01-01
|
|
27800000002-52224
|
CDM
|
Device Embol Pipeline Flex 4.25x14mm
|
11
|
10
|
$53,746.88
|
$21,498.75
60% off
|
$223.00
|
$52,671.94
|
$51,059.54
|
2025-01-01
|
|
27800000002-52227
|
CDM
|
Device Embol Pipeline Flex 4.25x12mm
|
11
|
10
|
$53,746.88
|
$21,498.75
60% off
|
$223.00
|
$52,671.94
|
$51,059.54
|
2025-01-01
|
|
27800000002-52255
|
CDM
|
Device Embol Pipeline Flex 4.25x20mm
|
11
|
10
|
$53,746.88
|
$21,498.75
60% off
|
$223.00
|
$52,671.94
|
$51,059.54
|
2025-01-01
|
|
27800000002-52238
|
CDM
|
Device Embol Pipeline Flex 4.25x16mm
|
11
|
10
|
$53,746.88
|
$21,498.75
60% off
|
$223.00
|
$52,671.94
|
$51,059.54
|
2025-01-01
|
|
27800000002-52256
|
CDM
|
Device Embol Pipeline Flex 4.5x20mm
|
11
|
10
|
$53,746.88
|
$21,498.75
60% off
|
$223.00
|
$52,671.94
|
$51,059.54
|
2025-01-01
|
|
984
|
MS_DRG
|
Prostatic O.r. Procedure Unrelated To Principal Diagnosis W Mcc
|
2
|
1
|
—
|
—
|
$46,221.00
|
$55,495.00
|
$50,858.00
|
2025-01-01
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
12
|
9
|
—
|
—
|
$38,958.53
|
$81,871.00
|
$50,018.85
|
2025-01-01
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
12
|
9
|
—
|
—
|
$38,865.53
|
$65,058.00
|
$49,902.01
|
2025-01-01
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
12
|
9
|
—
|
—
|
$38,767.73
|
$80,259.00
|
$49,779.15
|
2025-01-01
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
12
|
9
|
—
|
—
|
$38,732.85
|
$83,425.00
|
$49,735.33
|
2025-01-01
|
|
834
|
MS_DRG
|
Acute Leukemia Without Major O.r. Procedures With Mcc
|
12
|
9
|
—
|
—
|
$38,290.39
|
$79,103.00
|
$49,179.46
|
2025-01-01
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
12
|
9
|
—
|
—
|
$37,648.91
|
$85,158.00
|
$48,373.56
|
2025-01-01
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
12
|
9
|
—
|
—
|
$37,022.47
|
$94,466.00
|
$47,586.56
|
2025-01-01
|
|
27800000002-53371
|
CDM
|
Stent Endur Ii Bif 28x16x145 Bifurcated
|
11
|
10
|
$49,376.25
|
$19,750.50
60% off
|
$223.00
|
$48,388.73
|
$46,907.44
|
2025-01-01
|
|
27800000002-53576
|
CDM
|
Stent Endur Ii Bif 28x16x166 Bifurcated
|
11
|
10
|
$49,376.25
|
$19,750.50
60% off
|
$223.00
|
$48,388.73
|
$46,907.44
|
2025-01-01
|
|
27800000002-53575
|
CDM
|
Stent Endur Ii Bif 28x16x166 Bifurcated
|
11
|
10
|
$49,376.25
|
$19,750.50
60% off
|
$223.00
|
$48,388.73
|
$46,907.44
|
2025-01-01
|
|
27800000002-53372
|
CDM
|
Stent Endur Ii Bif 28x16x145 Bifurcated
|
11
|
10
|
$49,376.25
|
$19,750.50
60% off
|
$223.00
|
$48,388.73
|
$46,907.44
|
2025-01-01
|
|
27800000002-53578
|
CDM
|
Stent Endur Ii Bif 28x16x166 Bifurcated
|
11
|
10
|
$49,376.25
|
$19,750.50
60% off
|
$223.00
|
$48,388.73
|
$46,907.44
|
2025-01-01
|
|
27800000002-53581
|
CDM
|
Stent Endur Ii Bif 28x13x145 Bifurcated
|
11
|
10
|
$49,376.25
|
$19,750.50
60% off
|
$223.00
|
$48,388.73
|
$46,907.44
|
2025-01-01
|
|
27800000002-53373
|
CDM
|
Stent Endur Ii Bif 28x13x124
|
11
|
10
|
$49,376.25
|
$19,750.50
60% off
|
$223.00
|
$48,388.73
|
$46,907.44
|
2025-01-01
|
|
27800000002-53627
|
CDM
|
Stent Endur Ii Bif 25x13x166 Bifurcated
|
11
|
10
|
$49,376.25
|
$19,750.50
60% off
|
$223.00
|
$48,388.73
|
$46,907.44
|
2025-01-01
|
|
27800000002-53612
|
CDM
|
Stent Endur Ii Bif 28x13x166 Bifurcated
|
11
|
10
|
$49,376.25
|
$19,750.50
60% off
|
$223.00
|
$48,388.73
|
$46,907.44
|
2025-01-01
|
|
27800000002-52942
|
CDM
|
Stent Endur Ii Bif 25x13x124 Bifurcated
|
11
|
10
|
$49,376.25
|
$19,750.50
60% off
|
$223.00
|
$48,388.73
|
$46,907.44
|
2025-01-01
|
|
27800000002-53541
|
CDM
|
Stent Endur Ii Bif 32x16x145 Bifurcated
|
11
|
10
|
$49,376.25
|
$19,750.50
60% off
|
$223.00
|
$48,388.73
|
$46,907.44
|
2025-01-01
|
|
27800000002-53577
|
CDM
|
Stent Endur Ii Bif 28x16x166 Bifurcated
|
11
|
10
|
$49,376.25
|
$19,750.50
60% off
|
$223.00
|
$48,388.73
|
$46,907.44
|
2025-01-01
|
|
27800000002-52925
|
CDM
|
Stent Endur Aaa Bif 25x14x103
|
11
|
10
|
$49,376.25
|
$19,750.50
60% off
|
$223.00
|
$48,388.73
|
$46,907.44
|
2025-01-01
|
|
27800000002-53404
|
CDM
|
Stent Endur Ii Bif 23x13x124
|
11
|
10
|
$49,376.25
|
$19,750.50
60% off
|
$223.00
|
$48,388.73
|
$46,907.44
|
2025-01-01
|
|
27800000002-53539
|
CDM
|
Stent Endur Ii Bif 32x16x145 Bifurcated
|
11
|
10
|
$49,376.25
|
$19,750.50
60% off
|
$223.00
|
$48,388.73
|
$46,907.44
|
2025-01-01
|
|
27800000002-53455
|
CDM
|
Stent Endur Ii Aui 23x14x102
|
11
|
10
|
$49,376.25
|
$19,750.50
60% off
|
$223.00
|
$48,388.73
|
$46,907.44
|
2025-01-01
|
|
27800000002-53582
|
CDM
|
Stent Endur Ii Bif 28x20x166 Bifurcated
|
11
|
10
|
$49,376.25
|
$19,750.50
60% off
|
$223.00
|
$48,388.73
|
$46,907.44
|
2025-01-01
|
|
27800000002-53595
|
CDM
|
Stent Endur Ii Bif 32x16x124 Bifurcated
|
11
|
10
|
$49,376.25
|
$19,750.50
60% off
|
$223.00
|
$48,388.73
|
$46,907.44
|
2025-01-01
|
|
27800000002-52932
|
CDM
|
Stent Endur Aaa Bif 32x14x103
|
11
|
10
|
$49,376.25
|
$19,750.50
60% off
|
$223.00
|
$48,388.73
|
$46,907.44
|
2025-01-01
|
|
27800000002-52923
|
CDM
|
Stent Endur Aaa Bif 23x14x103
|
11
|
10
|
$49,376.25
|
$19,750.50
60% off
|
$223.00
|
$48,388.73
|
$46,907.44
|
2025-01-01
|
|
27800000002-52934
|
CDM
|
Stent Endur Aaa Bif 36x14x103
|
11
|
10
|
$49,376.25
|
$19,750.50
60% off
|
$223.00
|
$48,388.73
|
$46,907.44
|
2025-01-01
|
|
27800000002-52929
|
CDM
|
Stent Endur Aaa Bif 28x14x103
|
11
|
10
|
$49,376.25
|
$19,750.50
60% off
|
$223.00
|
$48,388.73
|
$46,907.44
|
2025-01-01
|
|
27800000002-53590
|
CDM
|
Stent Endur Ii Bif 32x16x166 Bifurcated
|
11
|
10
|
$49,376.25
|
$19,750.50
60% off
|
$223.00
|
$48,388.73
|
$46,907.44
|
2025-01-01
|
|
27800000002-53613
|
CDM
|
Stent Endur Ii Bif 28x13x166 Bifurcated
|
11
|
10
|
$49,376.25
|
$19,750.50
60% off
|
$223.00
|
$48,388.73
|
$46,907.44
|
2025-01-01
|
|
27800000002-53370
|
CDM
|
Stent Endur Ii Bif 28x16x145 Bifurcated
|
11
|
10
|
$49,376.25
|
$19,750.50
60% off
|
$223.00
|
$48,388.73
|
$46,907.44
|
2025-01-01
|
|
27800000002-53540
|
CDM
|
Stent Endur Ii Bif 32x16x145 Bifurcated
|
11
|
10
|
$49,376.25
|
$19,750.50
60% off
|
$223.00
|
$48,388.73
|
$46,907.44
|
2025-01-01
|
|
27800000002-52927
|
CDM
|
Stent Endur Aaa Bif 28x14x103
|
11
|
10
|
$49,376.25
|
$19,750.50
60% off
|
$223.00
|
$48,388.73
|
$46,907.44
|
2025-01-01
|
|
27800000002-52941
|
CDM
|
Stent Endur Ii Aui 28x14x102
|
11
|
10
|
$49,376.25
|
$19,750.50
60% off
|
$223.00
|
$48,388.73
|
$46,907.44
|
2025-01-01
|
|
27800000002-52928
|
CDM
|
Stent Endur Aaa Bif 28x14x103
|
11
|
10
|
$49,376.25
|
$19,750.50
60% off
|
$223.00
|
$48,388.73
|
$46,907.44
|
2025-01-01
|
|
27800000002-52931
|
CDM
|
Stent Endur Aaa Bif 32x14x103
|
11
|
10
|
$49,376.25
|
$19,750.50
60% off
|
$223.00
|
$48,388.73
|
$46,907.44
|
2025-01-01
|
|
27800000002-53591
|
CDM
|
Stent Endur Ii Bif 32x16x166 Bifurcated
|
11
|
10
|
$49,376.25
|
$19,750.50
60% off
|
$223.00
|
$48,388.73
|
$46,907.44
|
2025-01-01
|
|
27800000002-53542
|
CDM
|
Stent Endur Ii Bif 25x16x145 Bifurcated
|
11
|
10
|
$49,376.25
|
$19,750.50
60% off
|
$223.00
|
$48,388.73
|
$46,907.44
|
2025-01-01
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
9
|
8
|
—
|
—
|
$35,983.66
|
$48,812.51
|
$46,236.30
|
2025-01-01
|
|
C1721
|
HCPCS
|
Icd Cobalt Xt Dr MRI Is1 Df4
|
201
|
10
|
$59,709.38
|
$23,883.75
60% off
|
$223.00
|
$69,202.21
|
$46,142.07
|
2025-01-01
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
12
|
9
|
—
|
—
|
$35,866.72
|
$80,352.00
|
$46,134.58
|
2025-01-01
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
12
|
9
|
—
|
—
|
$35,547.35
|
$74,183.00
|
$45,733.35
|
2025-01-01
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
12
|
9
|
—
|
—
|
$35,470.07
|
$76,736.00
|
$45,636.26
|
2025-01-01
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
12
|
9
|
—
|
—
|
$35,262.85
|
$74,217.00
|
$45,375.94
|
2025-01-01
|
|
338
|
MS_DRG
|
Appendectomy W Complicated Principal Diag W Mcc
|
2
|
1
|
—
|
—
|
$40,849.00
|
$49,048.00
|
$44,948.50
|
2025-01-01
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
12
|
9
|
—
|
—
|
$34,734.21
|
$85,991.00
|
$44,711.81
|
2025-01-01
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
12
|
9
|
—
|
—
|
$34,583.08
|
$78,410.00
|
$44,521.93
|
2025-01-01
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
12
|
9
|
—
|
—
|
$34,458.61
|
$108,512.00
|
$44,365.57
|
2025-01-01
|
|
246
|
MS_DRG
|
Perc Cardiovasc Proc W Drug-eluting Stent W Mcc Or 4+ Vessels/stents
|
2
|
1
|
—
|
—
|
$40,284.00
|
$48,370.00
|
$44,327.00
|
2025-01-01
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
12
|
9
|
—
|
—
|
$34,189.16
|
$81,873.00
|
$44,027.06
|
2025-01-01
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
12
|
9
|
—
|
—
|
$33,883.47
|
$78,908.00
|
$43,643.00
|
2025-01-01
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
12
|
9
|
—
|
—
|
$33,640.01
|
$72,136.00
|
$43,337.15
|
2025-01-01
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
12
|
9
|
—
|
—
|
$33,374.66
|
$96,242.00
|
$43,003.79
|
2025-01-01
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
9
|
8
|
—
|
—
|
$33,078.54
|
$44,963.20
|
$42,590.14
|
2025-01-01
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
9
|
8
|
—
|
—
|
$32,919.20
|
$44,752.07
|
$42,390.15
|
2025-01-01
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
12
|
9
|
—
|
—
|
$32,872.70
|
$70,785.00
|
$42,373.16
|
2025-01-01
|
|
248
|
MS_DRG
|
Perc Cardiovasc Proc W Non-drug-eluting Stent W Mcc Or 4+ Ves/stents
|
2
|
1
|
—
|
—
|
$38,291.00
|
$45,974.00
|
$42,132.50
|
2025-01-01
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
10
|
9
|
—
|
—
|
$32,705.83
|
$44,469.35
|
$42,060.59
|
2025-01-01
|
|
C1722
|
HCPCS
|
Icd Cobalt Xt Vr MRI Df4
|
231
|
10
|
$56,100.00
|
$22,440.00
60% off
|
$223.00
|
$100,232.44
|
$42,020.40
|
2025-01-01
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
12
|
9
|
—
|
—
|
$33,127.10
|
$99,419.00
|
$41,941.86
|
2025-01-01
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
12
|
9
|
—
|
—
|
$32,418.60
|
$77,030.00
|
$41,802.68
|
2025-01-01
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
12
|
9
|
—
|
—
|
$32,235.32
|
$78,446.00
|
$41,572.43
|
2025-01-01
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
12
|
9
|
—
|
—
|
$31,790.80
|
$67,778.00
|
$41,013.97
|
2025-01-01
|
|
27800000002-52360
|
CDM
|
Valve Mitral Mitris Resilia Sz 29
|
11
|
10
|
$42,872.50
|
$17,149.00
60% off
|
$223.00
|
$42,015.05
|
$40,728.88
|
2025-01-01
|
|
27800000002-53103
|
CDM
|
Valve Aortic Inspiris 27 27mm
|
11
|
10
|
$42,872.50
|
$17,149.00
60% off
|
$223.00
|
$42,015.05
|
$40,728.88
|
2025-01-01
|
|
27800000002-52364
|
CDM
|
Valve Mitral Mitris Resilia Sz 25
|
11
|
10
|
$42,872.50
|
$17,149.00
60% off
|
$223.00
|
$42,015.05
|
$40,728.88
|
2025-01-01
|
|
27800000002-52365
|
CDM
|
Valve Mitral Mitris Resilia Sz 27
|
11
|
10
|
$42,872.50
|
$17,149.00
60% off
|
$223.00
|
$42,015.05
|
$40,728.88
|
2025-01-01
|
|
27800000002-53101
|
CDM
|
Valve Aortic Inspiris 25 25mm
|
11
|
10
|
$42,872.50
|
$17,149.00
60% off
|
$223.00
|
$42,015.05
|
$40,728.88
|
2025-01-01
|
|
27800000002-53105
|
CDM
|
Valve Aortic Inspiris 29 29mm
|
11
|
10
|
$42,872.50
|
$17,149.00
60% off
|
$223.00
|
$42,015.05
|
$40,728.88
|
2025-01-01
|
|
27800000002-52362
|
CDM
|
Valve Mitral Mitris Resilia Sz 33
|
11
|
10
|
$42,872.50
|
$17,149.00
60% off
|
$223.00
|
$42,015.05
|
$40,728.88
|
2025-01-01
|
|
27800000002-53097
|
CDM
|
Valve Aortic Inspiris 21 21mm
|
11
|
10
|
$42,872.50
|
$17,149.00
60% off
|
$223.00
|
$42,015.05
|
$40,728.88
|
2025-01-01
|
|
27800000002-53099
|
CDM
|
Valve Aortic Inspiris 23 23mm
|
11
|
10
|
$42,872.50
|
$17,149.00
60% off
|
$223.00
|
$42,015.05
|
$40,728.88
|
2025-01-01
|
|
27800000002-53096
|
CDM
|
Valve Aortic Inspiris 21 21mm
|
11
|
10
|
$42,872.50
|
$17,149.00
60% off
|
$223.00
|
$42,015.05
|
$40,728.88
|
2025-01-01
|
|
27800000002-52363
|
CDM
|
Valve Mitral Mitris Resilia Sz 31
|
11
|
10
|
$42,872.50
|
$17,149.00
60% off
|
$223.00
|
$42,015.05
|
$40,728.88
|
2025-01-01
|
|
455
|
MS_DRG
|
Combined Anterior And Posterior Spinal Fusion Without Cc/mcc
|
12
|
9
|
—
|
—
|
$31,496.73
|
$89,956.00
|
$40,644.53
|
2025-01-01
|
|
27800000002-52997
|
CDM
|
Stent Graft 25-90-20-30mm Afx2 Bifurcated
|
11
|
10
|
$42,705.00
|
$17,082.00
60% off
|
$223.00
|
$41,850.90
|
$40,569.75
|
2025-01-01
|
|
27800000002-52996
|
CDM
|
Stent Graft 25-80-16-40mm Afx2 Bifurcated
|
11
|
10
|
$42,705.00
|
$17,082.00
60% off
|
$223.00
|
$41,850.90
|
$40,569.75
|
2025-01-01
|
|
27800000002-52990
|
CDM
|
Stent Graft 22-40-13-40mm Afx2 Bifurcated
|
11
|
10
|
$42,705.00
|
$17,082.00
60% off
|
$223.00
|
$41,850.90
|
$40,569.75
|
2025-01-01
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
12
|
9
|
—
|
—
|
$30,989.29
|
$65,186.00
|
$40,007.04
|
2025-01-01
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
12
|
9
|
—
|
—
|
$30,986.56
|
$75,836.00
|
$40,003.60
|
2025-01-01
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
12
|
9
|
—
|
—
|
$30,889.45
|
$80,600.00
|
$39,881.60
|
2025-01-01
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
12
|
9
|
—
|
—
|
$30,787.55
|
$69,563.00
|
$39,753.57
|
2025-01-01
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
10
|
9
|
—
|
—
|
$30,757.46
|
$41,887.74
|
$39,618.82
|
2025-01-01
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
10
|
9
|
—
|
—
|
$30,503.74
|
$41,551.55
|
$39,300.84
|
2025-01-01
|
|
27800000002-52183
|
CDM
|
Device Ifd Nanolock 7d Std 10mm
|
11
|
10
|
$41,250.00
|
$16,500.00
60% off
|
$223.00
|
$40,425.00
|
$39,187.50
|
2025-01-01
|
|
27800000002-52185
|
CDM
|
Device Ifd Nanolock 12d Std 12mm
|
11
|
10
|
$41,250.00
|
$16,500.00
60% off
|
$223.00
|
$40,425.00
|
$39,187.50
|
2025-01-01
|
|
27200000002-12564
|
CDM
|
Dvt Price Per Precedure Replc Parts
|
11
|
10
|
$41,250.00
|
$16,500.00
60% off
|
$223.00
|
$40,425.00
|
$39,187.50
|
2025-01-01
|
|
27200000002-12565
|
CDM
|
Dvt Price Per Precedure Replc Parts
|
11
|
10
|
$41,250.00
|
$16,500.00
60% off
|
$223.00
|
$40,425.00
|
$39,187.50
|
2025-01-01
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
12
|
9
|
—
|
—
|
$30,284.90
|
$73,743.00
|
$39,122.10
|
2025-01-01
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
12
|
9
|
—
|
—
|
$30,200.10
|
$70,423.00
|
$39,015.56
|
2025-01-01
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
12
|
9
|
—
|
—
|
$31,647.87
|
$74,594.00
|
$38,781.87
|
2025-01-01
|
|
27800000002-52193
|
CDM
|
Valve Aortic Heart 22mm Cryopreserved
|
11
|
10
|
$40,542.45
|
$16,216.98
60% off
|
$223.00
|
$39,731.60
|
$38,515.33
|
2025-01-01
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
10
|
9
|
—
|
—
|
$29,830.12
|
$40,659.00
|
$38,456.64
|
2025-01-01
|
|
901
|
MS_DRG
|
Wound Debridements For Injuries With Mcc
|
12
|
9
|
—
|
—
|
$29,596.92
|
$66,621.00
|
$38,257.78
|
2025-01-01
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
12
|
9
|
—
|
—
|
$29,425.95
|
$54,668.00
|
$38,042.98
|
2025-01-01
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
12
|
9
|
—
|
—
|
$29,261.13
|
$60,470.00
|
$37,835.93
|
2025-01-01
|
|
27800000002-52423
|
CDM
|
Cage Fusion Ant Lumbar 33x25x10mm
|
11
|
10
|
$39,601.49
|
$15,840.60
60% off
|
$223.00
|
$38,809.46
|
$37,621.42
|
2025-01-01
|