|
Q2055
|
HCPCS
|
Idecabtagene Vicleucel 460000000 Cells IV Susp
|
75
|
42
|
$3,374,196.08
|
$1,349,678.43
60% off
|
$224,740.00
|
$3,079,291.00
|
$1,258,575.00
|
2024-12-15
|
|
Q2054
|
HCPCS
|
Lisocabtagene Maraleucel 70000000 Cells/ml IV Susp
|
71
|
42
|
$3,300,220.29
|
$1,320,088.12
60% off
|
$224,740.00
|
$3,011,781.00
|
$1,191,380.00
|
2024-12-15
|
|
Q2042
|
HCPCS
|
Tisagenlecleucel IV Infusion (wrapped)
|
71
|
42
|
$2,891,113.93
|
$1,156,445.57
60% off
|
$224,740.00
|
$2,638,431.00
|
$1,069,712.00
|
2024-12-15
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
35
|
21
|
$0.01
|
—
|
$108,650.08
|
$1,527,632.00
|
$617,887.00
|
2026-04-01
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
35
|
21
|
$0.01
|
—
|
$53,718.93
|
$960,939.00
|
$388,674.00
|
2026-04-01
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
35
|
21
|
$0.01
|
—
|
$53,403.66
|
$868,130.00
|
$351,135.00
|
2026-04-01
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
43
|
27
|
$0.01
|
—
|
$70,509.53
|
$1,141,013.00
|
$246,843.00
|
2026-04-01
|
|
5834
|
APR_DRG
|
Neonate With Ecmo
|
10
|
8
|
$0.01
|
—
|
$205,319.00
|
$246,383.00
|
$218,665.00
|
2024-12-15
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
43
|
27
|
$0.01
|
—
|
$28,511.38
|
$446,375.00
|
$188,198.00
|
2026-04-01
|
|
7
|
MS_DRG
|
Lung Transplant
|
43
|
27
|
$0.01
|
—
|
$32,583.35
|
$529,378.00
|
$188,000.00
|
2026-04-01
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
35
|
21
|
$0.01
|
—
|
$25,052.31
|
$429,164.00
|
$180,504.00
|
2026-04-01
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
44
|
28
|
$0.01
|
—
|
$25,941.73
|
$431,375.00
|
$179,300.00
|
2026-04-01
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
35
|
21
|
$0.01
|
—
|
$27,359.78
|
$441,279.00
|
$178,486.00
|
2026-04-01
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
36
|
22
|
$0.01
|
—
|
$34,850.81
|
$572,364.00
|
$177,942.00
|
2026-04-01
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
35
|
21
|
$0.01
|
—
|
$27,729.89
|
$424,327.00
|
$171,629.00
|
2026-04-01
|
|
A9520
|
HCPCS
|
Technetium-99 (tc-99) Tilmanocept (lymphoseek) Radio-isotope Injection
|
71
|
42
|
$429,949.20
|
$171,979.68
60% off
|
$10.00
|
$392,372.00
|
$152,202.00
|
2024-12-15
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
35
|
21
|
$0.01
|
—
|
$21,787.73
|
$373,146.00
|
$150,928.00
|
2026-04-01
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
35
|
21
|
$0.01
|
—
|
$24,614.01
|
$390,937.00
|
$148,566.00
|
2026-04-01
|
|
5884
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
10
|
8
|
$0.01
|
—
|
$133,948.00
|
$160,737.00
|
$142,654.50
|
2024-12-15
|
|
5833
|
APR_DRG
|
Neonate With Ecmo
|
10
|
8
|
$0.01
|
—
|
$133,012.00
|
$159,615.00
|
$141,658.00
|
2024-12-15
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
35
|
21
|
$0.01
|
—
|
$22,668.60
|
$337,853.00
|
$136,652.00
|
2026-04-01
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
44
|
28
|
$0.01
|
—
|
$30,237.64
|
$530,715.00
|
$136,500.00
|
2026-04-01
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
35
|
21
|
$0.01
|
—
|
$21,210.05
|
$343,252.00
|
$132,647.00
|
2026-04-01
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
35
|
21
|
$0.01
|
—
|
$19,798.29
|
$326,531.00
|
$132,073.00
|
2026-04-01
|
|
24
|
APR_DRG
|
Heart And/or Lung Transplant
|
10
|
8
|
$0.01
|
—
|
$118,623.00
|
$142,347.00
|
$126,333.00
|
2024-12-15
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
35
|
21
|
$0.01
|
—
|
$19,172.05
|
$302,352.00
|
$122,293.00
|
2026-04-01
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
35
|
21
|
$0.01
|
—
|
$19,235.71
|
$316,619.00
|
$121,866.00
|
2026-04-01
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
35
|
21
|
$0.01
|
—
|
$18,162.36
|
$287,709.00
|
$116,371.00
|
2026-04-01
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
35
|
21
|
$0.01
|
—
|
$17,940.44
|
$286,263.00
|
$115,786.00
|
2026-04-01
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
35
|
21
|
$0.01
|
—
|
$21,143.37
|
$343,062.00
|
$115,154.00
|
2026-04-01
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
35
|
21
|
$0.01
|
—
|
$16,935.78
|
$276,594.00
|
$111,875.00
|
2026-04-01
|
|
114
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
10
|
8
|
$0.01
|
—
|
$104,305.00
|
$125,166.00
|
$111,085.50
|
2024-12-15
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
35
|
21
|
$0.01
|
—
|
$16,811.24
|
$271,587.00
|
$109,850.00
|
2026-04-01
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
35
|
21
|
$0.01
|
—
|
$18,046.87
|
$270,542.00
|
$109,427.00
|
2026-04-01
|
|
5832
|
APR_DRG
|
Neonate With Ecmo
|
10
|
8
|
$0.01
|
—
|
$102,129.00
|
$122,555.00
|
$108,767.50
|
2024-12-15
|
|
1614
|
APR_DRG
|
Implantable Heart Assist Systems
|
10
|
8
|
$0.01
|
—
|
$101,659.00
|
$121,991.00
|
$108,267.00
|
2024-12-15
|
|
A9595
|
HCPCS
|
Piflufolastat F 18 9 Mci IV Sosy
|
62
|
37
|
$265,150.82
|
$106,060.33
60% off
|
$615.00
|
$241,977.00
|
$104,946.50
|
2024-12-15
|
|
6304
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
10
|
8
|
$0.01
|
—
|
$97,710.00
|
$117,252.00
|
$104,061.50
|
2024-12-15
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
35
|
21
|
$0.01
|
—
|
$15,401.50
|
$256,178.00
|
$103,617.00
|
2026-04-01
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
35
|
21
|
$0.01
|
—
|
$17,305.14
|
$270,084.00
|
$103,000.00
|
2026-04-01
|
|
8414
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
10
|
8
|
$0.01
|
—
|
$96,372.00
|
$115,646.00
|
$102,636.00
|
2024-12-15
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
35
|
21
|
$0.01
|
—
|
$16,823.57
|
$250,593.00
|
$101,358.00
|
2026-04-01
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
35
|
21
|
$0.01
|
—
|
$16,483.65
|
$249,450.00
|
$100,896.00
|
2026-04-01
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
35
|
21
|
$0.01
|
—
|
$15,117.18
|
$246,262.00
|
$99,607.00
|
2026-04-01
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
44
|
28
|
$0.01
|
—
|
$13,667.94
|
$244,496.00
|
$98,446.00
|
2026-04-01
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/mcc
|
44
|
28
|
$0.01
|
—
|
$14,919.42
|
$244,496.00
|
$98,446.00
|
2026-04-01
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
44
|
28
|
$0.01
|
—
|
$17,951.01
|
$321,111.00
|
$98,401.50
|
2026-04-01
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
35
|
21
|
$0.01
|
—
|
$16,543.78
|
$240,988.00
|
$97,473.00
|
2026-04-01
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
44
|
28
|
$0.01
|
—
|
$14,101.45
|
$220,403.00
|
$96,800.00
|
2026-04-01
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
35
|
21
|
$0.01
|
—
|
$15,419.36
|
$242,669.00
|
$96,545.00
|
2026-04-01
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
35
|
21
|
$0.01
|
—
|
$16,543.78
|
$261,590.00
|
$96,462.00
|
2026-04-01
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
35
|
21
|
$0.01
|
—
|
$14,765.69
|
$238,351.00
|
$95,804.00
|
2026-04-01
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
35
|
21
|
$0.01
|
—
|
$15,253.80
|
$247,445.00
|
$95,474.00
|
2026-04-01
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
35
|
21
|
$0.01
|
—
|
$14,756.13
|
$235,844.00
|
$95,393.00
|
2026-04-01
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
36
|
22
|
$0.01
|
—
|
$19,318.99
|
$313,423.00
|
$94,039.00
|
2026-04-01
|
|
6094
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
10
|
8
|
$0.01
|
—
|
$88,071.00
|
$105,685.00
|
$93,795.50
|
2024-12-15
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
35
|
21
|
$0.01
|
—
|
$14,417.72
|
$231,096.00
|
$93,472.00
|
2026-04-01
|
|
C2616
|
HCPCS
|
Sphere Embol Sir Msphre 90
|
210
|
42
|
$166,093.85
|
$66,437.54
60% off
|
$17,177.00
|
$152,392.00
|
$93,128.00
|
2024-12-15
|
|
5883
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
10
|
8
|
$0.01
|
—
|
$87,116.00
|
$104,539.00
|
$92,778.50
|
2024-12-15
|
|
6314
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
10
|
8
|
$0.01
|
—
|
$86,464.00
|
$103,757.00
|
$92,084.00
|
2024-12-15
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
36
|
22
|
$0.01
|
—
|
$14,145.23
|
$222,955.00
|
$91,976.00
|
2026-04-01
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
44
|
28
|
$0.01
|
—
|
$11,666.92
|
$216,002.00
|
$91,754.00
|
2026-04-01
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
35
|
21
|
$0.01
|
—
|
$15,112.91
|
$250,917.00
|
$91,456.00
|
2026-04-01
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
35
|
21
|
$0.01
|
—
|
$13,074.40
|
$225,810.00
|
$91,334.00
|
2026-04-01
|
|
A9588
|
HCPCS
|
Fluciclovine F 18 9-221 Mci/ml IV Soln
|
71
|
42
|
$256,786.20
|
$102,714.48
60% off
|
$84.00
|
$234,343.00
|
$90,902.00
|
2024-12-15
|
|
5914
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
10
|
8
|
$0.01
|
—
|
$85,092.00
|
$102,110.00
|
$90,622.50
|
2024-12-15
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
35
|
21
|
$0.01
|
—
|
$13,319.47
|
$223,894.00
|
$90,559.00
|
2026-04-01
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
35
|
21
|
$0.01
|
—
|
$13,812.86
|
$223,894.00
|
$90,559.00
|
2026-04-01
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
35
|
21
|
$0.01
|
—
|
$14,510.31
|
$221,594.00
|
$89,629.00
|
2026-04-01
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
35
|
21
|
$0.01
|
—
|
$14,340.23
|
$218,778.00
|
$88,490.00
|
2026-04-01
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
35
|
21
|
$0.01
|
—
|
$13,722.79
|
$218,572.00
|
$88,406.00
|
2026-04-01
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
35
|
21
|
$0.01
|
—
|
$12,331.66
|
$218,547.00
|
$88,397.00
|
2026-04-01
|
|
C1831
|
HCPCS
|
Kit Imp Aprevo Spine Lvl 3
|
313
|
42
|
$284,240.00
|
$113,696.00
60% off
|
$1,097.00
|
$336,600.00
|
$86,559.00
|
2024-12-15
|
|
74
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
10
|
8
|
$0.01
|
—
|
$80,769.00
|
$96,923.00
|
$86,019.50
|
2024-12-15
|
|
94
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
10
|
8
|
$0.01
|
—
|
$80,365.00
|
$96,438.00
|
$85,588.50
|
2024-12-15
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
35
|
21
|
$0.01
|
—
|
$12,447.91
|
$203,523.00
|
$84,900.00
|
2026-04-01
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
35
|
21
|
$0.01
|
—
|
$13,409.54
|
$208,615.00
|
$84,379.00
|
2026-04-01
|
|
5934
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
10
|
8
|
$0.01
|
—
|
$78,902.00
|
$94,682.00
|
$84,030.50
|
2024-12-15
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
35
|
21
|
$0.01
|
—
|
$13,744.43
|
$215,505.00
|
$84,030.00
|
2026-04-01
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
35
|
21
|
$0.01
|
—
|
$12,087.86
|
$202,827.00
|
$82,038.00
|
2026-04-01
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
35
|
21
|
$0.01
|
—
|
$15,003.46
|
$232,486.00
|
$81,831.00
|
2026-04-01
|
|
5882
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
10
|
8
|
$0.01
|
—
|
$76,443.00
|
$91,731.00
|
$81,411.50
|
2024-12-15
|
|
13925-522-01
|
NDC
|
Pentamidine Isethionate 300 Mg In Solr
|
43
|
24
|
$146,625.40
|
$58,650.16
60% off
|
$24,926.00
|
$133,810.00
|
$80,351.00
|
2024-12-15
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
35
|
21
|
$0.01
|
—
|
$11,479.23
|
$197,950.00
|
$80,065.00
|
2026-04-01
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
35
|
21
|
$0.01
|
—
|
$13,275.43
|
$207,922.00
|
$79,929.00
|
2026-04-01
|
|
5831
|
APR_DRG
|
Neonate With Ecmo
|
10
|
8
|
$0.01
|
—
|
$74,234.00
|
$89,081.00
|
$79,059.50
|
2024-12-15
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
35
|
21
|
$0.01
|
—
|
$13,417.59
|
$214,553.00
|
$78,859.00
|
2026-04-01
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
35
|
21
|
$0.01
|
—
|
$13,896.14
|
$248,579.00
|
$78,553.00
|
2026-04-01
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
35
|
21
|
$0.01
|
—
|
$11,769.58
|
$193,441.00
|
$78,242.00
|
2026-04-01
|
|
6034
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
10
|
8
|
$0.01
|
—
|
$72,982.00
|
$87,578.00
|
$77,725.50
|
2024-12-15
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
35
|
21
|
$0.01
|
—
|
$11,535.59
|
$189,553.00
|
$76,669.00
|
2026-04-01
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
44
|
28
|
$0.01
|
—
|
$18,054.42
|
$322,962.00
|
$76,500.00
|
2026-04-01
|
|
14
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
10
|
8
|
$0.01
|
—
|
$71,830.00
|
$86,196.00
|
$76,499.00
|
2024-12-15
|
|
A9572
|
HCPCS
|
Indium In-111 Pentetreotide IV Kit
|
71
|
42
|
$215,805.34
|
$86,322.14
60% off
|
$60.00
|
$196,944.00
|
$76,395.00
|
2024-12-15
|
|
44
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
10
|
8
|
$0.01
|
—
|
$71,338.00
|
$85,605.00
|
$75,975.00
|
2024-12-15
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
35
|
21
|
$0.01
|
—
|
$11,276.43
|
$186,705.00
|
$75,517.00
|
2026-04-01
|
|
58914-501-56
|
NDC
|
Mesalamine 1000 Mg Re Supp
|
43
|
24
|
$137,788.00
|
$55,115.20
60% off
|
$23,424.00
|
$125,745.00
|
$75,508.00
|
2024-12-15
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
35
|
21
|
$0.01
|
—
|
$11,978.41
|
$190,573.00
|
$75,325.00
|
2026-04-01
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
35
|
21
|
$0.01
|
—
|
$12,681.40
|
$186,032.00
|
$75,245.00
|
2026-04-01
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
35
|
21
|
$0.01
|
—
|
$11,444.76
|
$182,751.00
|
$73,918.00
|
2026-04-01
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
35
|
21
|
$0.01
|
—
|
$11,439.72
|
$181,159.00
|
$73,274.00
|
2026-04-01
|
|
1613
|
APR_DRG
|
Implantable Heart Assist Systems
|
10
|
8
|
$0.01
|
—
|
$68,785.00
|
$82,542.00
|
$73,256.00
|
2024-12-15
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
44
|
28
|
$0.01
|
—
|
$11,828.96
|
$186,628.00
|
$73,108.00
|
2026-04-01
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
35
|
21
|
$0.01
|
—
|
$12,149.25
|
$196,755.00
|
$72,007.00
|
2026-04-01
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
35
|
21
|
$0.01
|
—
|
$13,097.05
|
$206,367.00
|
$71,910.00
|
2026-04-01
|
|
23
|
APR_DRG
|
Heart And/or Lung Transplant
|
10
|
8
|
$0.01
|
—
|
$66,606.00
|
$79,927.00
|
$70,935.00
|
2024-12-15
|
|
933
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft
|
35
|
21
|
$0.01
|
—
|
$9,798.00
|
$175,270.00
|
$70,892.00
|
2026-04-01
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
35
|
21
|
$0.01
|
—
|
$11,052.50
|
$172,791.00
|
$69,889.00
|
2026-04-01
|
|
323
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc
|
35
|
21
|
$0.01
|
—
|
$10,887.95
|
$172,536.00
|
$69,786.00
|
2026-04-01
|
|
5881
|
APR_DRG
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
10
|
8
|
$0.01
|
—
|
$65,522.00
|
$78,627.00
|
$69,781.50
|
2024-12-15
|
|
140
|
MS_DRG
|
Major Head And Neck Procedures With Mcc
|
35
|
21
|
$0.01
|
—
|
$10,731.71
|
$171,312.00
|
$69,291.00
|
2026-04-01
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
36
|
21
|
$0.01
|
—
|
$13,764.05
|
$219,900.00
|
$68,707.00
|
2026-04-01
|
|
31
|
MS_DRG
|
Ventricular Shunt Procedures With Mcc
|
35
|
21
|
$0.01
|
—
|
$11,273.16
|
$169,749.00
|
$68,659.00
|
2026-04-01
|
|
J1950
|
HCPCS
|
Leuprolide Acetate (3 Month) 11.25 Mg IM Kit
|
71
|
42
|
$192,611.55
|
$77,044.62
60% off
|
$1,674.00
|
$175,777.00
|
$68,184.00
|
2024-12-15
|
|
958
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
35
|
21
|
$0.01
|
—
|
$10,602.38
|
$166,476.00
|
$67,335.00
|
2026-04-01
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
35
|
21
|
$0.01
|
—
|
$11,620.38
|
$188,435.00
|
$67,285.00
|
2026-04-01
|
|
5913
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
10
|
8
|
$0.01
|
—
|
$63,159.00
|
$75,790.00
|
$67,264.00
|
2024-12-15
|
|
12
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc
|
35
|
21
|
$0.01
|
—
|
$10,607.67
|
$166,229.00
|
$67,235.00
|
2026-04-01
|
|
448
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical Without Mcc
|
35
|
21
|
$0.01
|
—
|
$10,670.06
|
$165,410.00
|
$66,904.00
|
2026-04-01
|
|
423
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
35
|
21
|
$0.01
|
—
|
$10,449.16
|
$164,758.00
|
$66,640.00
|
2026-04-01
|
|
C1825
|
HCPCS
|
System Neo Barostim Includes 2102 Ipg 1036 Csl Kit
|
144
|
42
|
$258,440.00
|
$103,376.00
60% off
|
$1,097.00
|
$232,596.00
|
$65,907.00
|
2024-12-15
|
|
907
|
MS_DRG
|
Other O.r. Procedures For Injuries With Mcc
|
35
|
21
|
$0.01
|
—
|
$9,659.87
|
$161,368.00
|
$65,269.00
|
2026-04-01
|
|
739
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…
|
35
|
21
|
$0.01
|
—
|
$9,014.50
|
$161,254.00
|
$65,223.00
|
2026-04-01
|
|
651
|
MS_DRG
|
Kidney Transplant With Hemodialysis Without Mcc
|
44
|
28
|
$0.01
|
—
|
$9,323.98
|
$158,000.00
|
$65,049.50
|
2026-04-01
|
|
113
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
10
|
8
|
$0.01
|
—
|
$60,831.00
|
$72,997.00
|
$64,785.00
|
2024-12-15
|
|
628
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc
|
35
|
21
|
$0.01
|
—
|
$9,376.82
|
$159,828.00
|
$64,646.00
|
2026-04-01
|
|
736
|
MS_DRG
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc
|
35
|
21
|
$0.01
|
—
|
$8,993.62
|
$159,500.00
|
$64,514.00
|
2026-04-01
|
|
236
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
35
|
21
|
$0.01
|
—
|
$10,539.23
|
$166,569.00
|
$64,494.00
|
2026-04-01
|
|
876
|
MS_DRG
|
O.r. Procedures With Principal Diagnosis Of Mental Illness
|
35
|
21
|
$0.01
|
—
|
$9,724.28
|
$159,176.00
|
$64,383.00
|
2026-04-01
|
|
402
|
MS_DRG
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
35
|
21
|
$0.01
|
—
|
$10,115.78
|
$158,471.00
|
$64,097.00
|
2026-04-01
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
36
|
22
|
$0.01
|
—
|
$12,383.24
|
$204,030.00
|
$63,788.50
|
2026-04-01
|
|
34
|
MS_DRG
|
Carotid Artery Stent Procedures With Mcc
|
35
|
21
|
$0.01
|
—
|
$9,738.87
|
$157,520.00
|
$63,712.00
|
2026-04-01
|
|
904
|
MS_DRG
|
Skin Grafts For Injuries With Cc/mcc
|
35
|
21
|
$0.01
|
—
|
$9,241.70
|
$156,402.00
|
$63,260.00
|
2026-04-01
|
|
1604
|
APR_DRG
|
Major Cardiothoracic Repair Of Heart Anomaly
|
10
|
8
|
$0.01
|
—
|
$59,311.00
|
$71,174.00
|
$63,166.50
|
2024-12-15
|
|
166
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Mcc
|
35
|
21
|
$0.01
|
—
|
$9,404.24
|
$155,964.00
|
$63,083.00
|
2026-04-01
|
|
63323-877-15
|
NDC
|
Pentamidine Isethionate 300 Mg In Solr
|
43
|
24
|
$115,000.30
|
$46,000.12
60% off
|
$19,550.00
|
$104,949.00
|
$63,020.00
|
2024-12-15
|
|
A9569
|
HCPCS
|
Technetium-99 (tc-99) Exametazime White Blood Cells Radio-isotope Injection
|
71
|
42
|
$177,123.02
|
$70,849.21
60% off
|
$57.00
|
$161,642.00
|
$62,702.00
|
2024-12-15
|
|
6024
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
10
|
8
|
$0.01
|
—
|
$58,591.00
|
$70,309.00
|
$62,399.00
|
2024-12-15
|
|
24
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
35
|
21
|
$0.01
|
—
|
$9,842.54
|
$153,995.00
|
$62,287.00
|
2026-04-01
|
|
0187-0007-14
|
NDC
|
Ribavirin 6 G In Solr
|
43
|
24
|
$113,455.32
|
$45,382.13
60% off
|
$19,287.00
|
$103,539.00
|
$62,174.00
|
2024-12-15
|
|
24338-050-08
|
NDC
|
Carmustine In Polifeprosan 7.7 Mg Il Wafr
|
43
|
24
|
$113,104.92
|
$45,241.97
60% off
|
$19,228.00
|
$103,220.00
|
$61,981.00
|
2024-12-15
|
|
40
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc
|
35
|
21
|
$0.01
|
—
|
$9,714.97
|
$152,796.00
|
$61,802.00
|
2026-04-01
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
37
|
22
|
$0.01
|
—
|
$17,390.43
|
$281,787.00
|
$61,798.00
|
2026-04-01
|
|
0781-5893-31
|
NDC
|
Nevirapine ER 400 Mg Po Tb24
|
43
|
24
|
$111,233.88
|
$44,493.55
60% off
|
$18,910.00
|
$101,512.00
|
$60,956.00
|
2024-12-15
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
36
|
22
|
$0.01
|
—
|
$11,394.94
|
$192,603.00
|
$60,247.00
|
2026-04-01
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
36
|
22
|
$0.01
|
—
|
$11,804.80
|
$192,566.00
|
$60,236.00
|
2026-04-01
|
|
34708
|
CPT
|
Hc Evasc Rpr Dplmnt Ilio-iliac Ndgft Rpt
|
110
|
42
|
$94,976.00
|
$37,990.40
60% off
|
$11,302.00
|
$173,350.00
|
$60,120.00
|
2024-12-15
|
|
652
|
MS_DRG
|
Kidney Transplant
|
44
|
28
|
$0.01
|
—
|
$8,125.58
|
$158,000.00
|
$59,869.00
|
2026-04-01
|
|
94
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Mcc
|
35
|
21
|
$0.01
|
—
|
$8,854.99
|
$147,798.00
|
$59,780.00
|
2026-04-01
|
|
8120000001
|
CDM
|
Hc Cadaver Donor - Heart
|
52
|
30
|
$140,000.00
|
$56,000.00
60% off
|
$128.00
|
$127,764.00
|
$59,528.00
|
2024-12-15
|
|
335
|
MS_DRG
|
Peritoneal Adhesiolysis With Mcc
|
35
|
21
|
$0.01
|
—
|
$8,984.56
|
$146,773.00
|
$59,366.00
|
2026-04-01
|
|
33881
|
CPT
|
Hc Endovasc Taa Rew/o Subcl
|
71
|
42
|
$84,568.00
|
$33,827.20
60% off
|
$10,064.00
|
$108,938.00
|
$59,198.00
|
2024-12-15
|
|
34710
|
CPT
|
Hc Dlyd Placement Xtn Prosth For Evasc Rpr 1st Vsl
|
71
|
42
|
$84,568.00
|
$33,827.20
60% off
|
$10,064.00
|
$108,938.00
|
$59,198.00
|
2024-12-15
|
|
34707
|
CPT
|
Hc Evasc Rpr Dplmnt Ilio-iliac Ndgft
|
110
|
42
|
$76,958.00
|
$30,783.20
60% off
|
$9,158.00
|
$140,464.00
|
$59,048.00
|
2024-12-15
|
|
1612
|
APR_DRG
|
Implantable Heart Assist Systems
|
10
|
8
|
$0.01
|
—
|
$55,215.00
|
$66,258.00
|
$58,804.00
|
2024-12-15
|
|
802
|
MS_DRG
|
Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc
|
35
|
21
|
$0.01
|
—
|
$10,024.19
|
$145,209.00
|
$58,733.00
|
2026-04-01
|
|
265
|
MS_DRG
|
Aicd Lead Procedures
|
35
|
21
|
$0.01
|
—
|
$9,103.57
|
$144,497.00
|
$58,445.00
|
2026-04-01
|
|
5933
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
10
|
8
|
$0.01
|
—
|
$54,722.00
|
$65,666.00
|
$58,278.50
|
2024-12-15
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
36
|
22
|
$0.01
|
—
|
$11,565.02
|
$186,004.00
|
$58,202.00
|
2026-04-01
|
|
260
|
MS_DRG
|
Cardiac Pacemaker Revision Except Device Replacement With Mcc
|
35
|
21
|
$0.01
|
—
|
$8,184.21
|
$137,975.00
|
$58,031.00
|
2026-04-01
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
35
|
21
|
$0.01
|
—
|
$11,228.88
|
$177,939.00
|
$57,893.00
|
2026-04-01
|
|
22
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…
|
35
|
21
|
$0.01
|
—
|
$7,994.50
|
$143,006.00
|
$57,842.00
|
2026-04-01
|
|
420
|
MS_DRG
|
Hepatobiliary Diagnostic Procedures With Mcc
|
35
|
21
|
$0.01
|
—
|
$8,572.43
|
$142,969.00
|
$57,827.00
|
2026-04-01
|
|
495
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
35
|
21
|
$0.01
|
—
|
$9,122.44
|
$142,609.00
|
$57,682.00
|
2026-04-01
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
37
|
23
|
$0.01
|
—
|
$16,190.03
|
$261,967.00
|
$57,530.00
|
2026-04-01
|
|
414
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc
|
35
|
21
|
$0.01
|
—
|
$8,963.68
|
$141,928.00
|
$57,406.00
|
2026-04-01
|
|
408
|
MS_DRG
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
35
|
21
|
$0.01
|
—
|
$8,971.23
|
$141,827.00
|
$57,365.00
|
2026-04-01
|
|
273
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures With Mcc
|
35
|
21
|
$0.01
|
—
|
$10,379.96
|
$158,395.00
|
$57,329.00
|
2026-04-01
|
|
33363
|
CPT
|
Hc Replace Aortic Valve Open Axillry Artry Approach
|
71
|
42
|
$101,375.00
|
$40,550.00
60% off
|
$12,064.00
|
$102,585.00
|
$57,324.50
|
2024-12-15
|
|
C1824
|
HCPCS
|
Generator Pul Implantable Optimizer Smt F/hrt Fail
|
142
|
42
|
$194,480.00
|
$77,792.00
60% off
|
$1,097.00
|
$215,982.00
|
$57,177.00
|
2024-12-15
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
36
|
21
|
$0.01
|
—
|
$10,801.15
|
$181,662.00
|
$56,856.00
|
2026-04-01
|
|
332
|
MS_DRG
|
Rectal Resection With Mcc
|
35
|
21
|
$0.01
|
—
|
$9,109.86
|
$140,507.00
|
$56,831.00
|
2026-04-01
|
|
574
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Cc
|
35
|
21
|
$0.01
|
—
|
$8,734.22
|
$140,353.00
|
$56,769.00
|
2026-04-01
|
|
665
|
MS_DRG
|
Prostatectomy With Mcc
|
35
|
21
|
$0.01
|
—
|
$7,853.10
|
$139,085.00
|
$56,256.00
|
2026-04-01
|
|
901
|
MS_DRG
|
Wound Debridements For Injuries With Mcc
|
36
|
22
|
$0.01
|
—
|
$10,558.86
|
$179,466.00
|
$56,175.50
|
2026-04-01
|
|
1611
|
APR_DRG
|
Implantable Heart Assist Systems
|
10
|
8
|
$0.01
|
—
|
$52,607.00
|
$63,128.00
|
$56,026.00
|
2024-12-15
|
|
5891
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
10
|
8
|
$0.01
|
—
|
$52,325.00
|
$62,790.00
|
$55,726.50
|
2024-12-15
|
|
112
|
APR_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
10
|
8
|
$0.01
|
—
|
$52,231.00
|
$62,678.00
|
$55,626.50
|
2024-12-15
|
|
8120000004
|
CDM
|
Hc Cadaver Donor - Lung
|
52
|
30
|
$130,000.00
|
$52,000.00
60% off
|
$128.00
|
$118,638.00
|
$55,276.00
|
2024-12-15
|
|
64
|
APR_DRG
|
Pancreas Transplant
|
10
|
8
|
$0.01
|
—
|
$51,673.00
|
$62,007.00
|
$55,031.50
|
2024-12-15
|
|
29
|
MS_DRG
|
Spinal Procedures With Cc Or Spinal Neurostimulators
|
35
|
21
|
$0.01
|
—
|
$8,583.76
|
$135,970.00
|
$54,996.00
|
2026-04-01
|
|
37
|
MS_DRG
|
Extracranial Procedures With Mcc
|
35
|
21
|
$0.01
|
—
|
$8,283.09
|
$134,520.00
|
$54,410.00
|
2026-04-01
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
35
|
21
|
$0.01
|
—
|
$10,498.47
|
$174,909.00
|
$54,182.00
|
2026-04-01
|
|
143
|
MS_DRG
|
Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc
|
35
|
21
|
$0.01
|
—
|
$9,426.63
|
$133,750.00
|
$54,098.00
|
2026-04-01
|
|
5892
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
10
|
8
|
$0.01
|
—
|
$50,782.00
|
$60,938.00
|
$54,083.00
|
2024-12-15
|
|
34701
|
CPT
|
Hc Ccl Evasc Rpr A-ao Non-ruptre
|
71
|
42
|
$76,958.00
|
$30,783.20
60% off
|
$9,158.00
|
$108,938.00
|
$53,871.00
|
2024-12-15
|
|
242
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant With Mcc
|
35
|
21
|
$0.01
|
—
|
$8,033.24
|
$137,400.00
|
$53,724.00
|
2026-04-01
|
|
656
|
MS_DRG
|
Kidney And Ureter Procedures For Neoplasm With Mcc
|
35
|
21
|
$0.01
|
—
|
$8,010.60
|
$131,972.00
|
$53,379.00
|
2026-04-01
|
|
8514
|
APR_DRG
|
Gender Related Procedures
|
10
|
8
|
$0.01
|
—
|
$50,103.00
|
$60,123.00
|
$53,359.50
|
2024-12-15
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
29
|
21
|
$0.01
|
—
|
$14,954.14
|
$240,806.00
|
$52,973.00
|
2026-04-01
|
|
5893
|
APR_DRG
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
10
|
8
|
$0.01
|
—
|
$49,700.00
|
$59,640.00
|
$52,930.50
|
2024-12-15
|
|
229
|
MS_DRG
|
Other Cardiothoracic Procedures Without Mcc
|
35
|
21
|
$0.01
|
—
|
$7,924.30
|
$128,470.00
|
$52,922.00
|
2026-04-01
|
|
485
|
MS_DRG
|
Knee Procedures With Principal Diagnosis Of Infection With Mcc
|
35
|
21
|
$0.01
|
—
|
$8,119.54
|
$130,404.00
|
$52,745.00
|
2026-04-01
|
|
8424
|
APR_DRG
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
10
|
8
|
$0.01
|
—
|
$49,355.00
|
$59,226.00
|
$52,563.50
|
2024-12-15
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
35
|
21
|
$0.01
|
—
|
$14,004.84
|
$202,669.00
|
$52,396.00
|
2026-04-01
|
|
324
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc
|
35
|
21
|
$0.01
|
—
|
$7,928.07
|
$129,424.00
|
$52,349.00
|
2026-04-01
|
|
840
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Mcc
|
35
|
21
|
$0.01
|
—
|
$8,139.17
|
$129,177.00
|
$52,249.00
|
2026-04-01
|
|
929
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc
|
35
|
21
|
$0.01
|
—
|
$8,103.69
|
$128,828.00
|
$52,108.00
|
2026-04-01
|
|
939
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc
|
35
|
21
|
$0.01
|
—
|
$9,129.49
|
$128,569.00
|
$52,003.00
|
2026-04-01
|
|
500
|
MS_DRG
|
Soft Tissue Procedures With Mcc
|
35
|
21
|
$0.01
|
—
|
$7,962.80
|
$128,355.00
|
$51,916.00
|
2026-04-01
|
|
0068-0597-01
|
NDC
|
Rifampin 600 Mg IV Solr
|
43
|
24
|
$94,596.46
|
$37,838.58
60% off
|
$16,081.00
|
$86,329.00
|
$51,839.00
|
2024-12-15
|
|
5661
|
OTHER
|
Therapeutic Nuclear Medicine
|
2
|
2
|
—
|
—
|
$2,608.02
|
$100,883.32
|
$51,745.67
|
2026-04-01
|
|
0398T
|
CPT
|
Hc MRI Guided Focused US Stereo Lesion Ablate
|
71
|
42
|
$159,456.00
|
$63,782.40
60% off
|
$12,979.00
|
$145,520.00
|
$51,743.00
|
2024-12-15
|
|
22
|
APR_DRG
|
Heart And/or Lung Transplant
|
10
|
8
|
$0.01
|
—
|
$48,472.00
|
$58,167.00
|
$51,623.50
|
2024-12-15
|
|
33880
|
CPT
|
Hc Endovasc Taa Repr Incl Subcl
|
71
|
42
|
$73,219.00
|
$29,287.60
60% off
|
$8,713.00
|
$108,938.00
|
$51,253.00
|
2024-12-15
|
|
C1822
|
HCPCS
|
Construct Neuromod Nevro Pain Mgmt Omnia With Ipg Rm
|
199
|
42
|
$166,243.00
|
$66,497.20
60% off
|
$1,097.00
|
$175,032.00
|
$51,148.00
|
2024-12-15
|
|
662
|
MS_DRG
|
Minor Bladder Procedures With Mcc
|
35
|
21
|
$0.01
|
—
|
$7,702.89
|
$126,366.00
|
$51,112.00
|
2026-04-01
|
|
492
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc
|
35
|
21
|
$0.01
|
—
|
$9,237.93
|
$143,848.00
|
$51,024.00
|
2026-04-01
|
|
5912
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
10
|
8
|
$0.01
|
—
|
$47,894.00
|
$57,473.00
|
$51,007.50
|
2024-12-15
|
|
451
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical Without Mcc
|
35
|
21
|
$0.01
|
—
|
$8,127.85
|
$125,005.00
|
$50,561.00
|
2026-04-01
|
|
47781-153-01
|
NDC
|
Naproxen Sodium ER 375 Mg Po Tb24
|
43
|
24
|
$92,257.45
|
$36,902.98
60% off
|
$15,684.00
|
$84,194.00
|
$50,557.00
|
2024-12-15
|
|
829
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…
|
35
|
21
|
$0.01
|
—
|
$7,950.72
|
$124,915.00
|
$50,525.00
|
2026-04-01
|
|
173
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary…
|
35
|
21
|
$0.01
|
—
|
$7,488.77
|
$124,300.00
|
$50,276.00
|
2026-04-01
|
|
33365
|
CPT
|
Hc Cath Replace Aortic Valve Open Transaortic Approach
|
71
|
42
|
$71,777.00
|
$28,710.80
60% off
|
$8,541.00
|
$102,585.00
|
$50,244.00
|
2024-12-15
|
|
26
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Cc
|
35
|
21
|
$0.01
|
—
|
$7,822.90
|
$123,895.00
|
$50,112.00
|
2026-04-01
|
|
6303
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
10
|
8
|
$0.01
|
—
|
$46,657.00
|
$55,988.00
|
$49,689.50
|
2024-12-15
|
|
54
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
10
|
8
|
$0.01
|
—
|
$46,532.00
|
$55,838.00
|
$49,556.50
|
2024-12-15
|
|
616
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
36
|
22
|
$0.01
|
—
|
$8,774.47
|
$156,560.00
|
$49,076.50
|
2026-04-01
|
|
974
|
MS_DRG
|
HIV With Major Related Condition With Mcc
|
35
|
21
|
$0.01
|
—
|
$7,261.32
|
$120,962.00
|
$48,926.00
|
2026-04-01
|
|
35371
|
CPT
|
Hc Thromboendartectmy Femoral Common
|
110
|
42
|
$88,797.00
|
$35,518.80
60% off
|
$10,567.00
|
$162,072.00
|
$48,749.50
|
2024-12-15
|
|
35355
|
CPT
|
Hc Thromboendarterectomy With Without Patch Graft Iliofemoral
|
110
|
42
|
$88,797.00
|
$35,518.80
60% off
|
$10,567.00
|
$162,072.00
|
$48,749.50
|
2024-12-15
|
|
956
|
MS_DRG
|
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma
|
36
|
21
|
$0.01
|
—
|
$9,467.90
|
$154,834.00
|
$48,541.50
|
2026-04-01
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
37
|
22
|
$0.01
|
—
|
$12,548.55
|
$205,735.00
|
$48,528.24
|
2026-04-01
|
|
37227
|
CPT
|
Hc Revascularize Fem/pop Artery,angioplasty/stent/atherectomy
|
110
|
42
|
$79,496.00
|
$31,798.40
60% off
|
$9,460.00
|
$145,096.00
|
$48,238.50
|
2024-12-15
|
|
37231
|
CPT
|
Hc Revascularize Tibial/peron Artery,angioplasty/stent/atherectomy Init
|
110
|
42
|
$79,467.00
|
$31,786.80
60% off
|
$9,457.00
|
$145,043.00
|
$48,220.50
|
2024-12-15
|
|
521
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc
|
36
|
22
|
$0.01
|
—
|
$7,221.57
|
$118,066.00
|
$48,208.00
|
2026-04-01
|
|
C1767
|
HCPCS
|
Stimulator Proclaim Elite 7 Rechrg-free Scs
|
1,516
|
42
|
$123,420.00
|
$49,368.00
60% off
|
$10,148.00
|
$263,524.00
|
$48,198.00
|
2024-12-15
|
|
A9591
|
HCPCS
|
Fluoroestradiol F 18 4-100 Mci/ml IV Soln
|
71
|
42
|
$136,035.04
|
$54,414.02
60% off
|
$69.00
|
$124,146.00
|
$48,156.00
|
2024-12-15
|
|
353
|
MS_DRG
|
Hernia Procedures Except Inguinal And Femoral With Mcc
|
35
|
21
|
$0.01
|
—
|
$7,301.58
|
$118,807.00
|
$48,054.00
|
2026-04-01
|
|
6074
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
10
|
8
|
$0.01
|
—
|
$44,903.00
|
$53,883.00
|
$47,821.50
|
2024-12-15
|
|
668
|
MS_DRG
|
Transurethral Procedures With Mcc
|
35
|
21
|
$0.01
|
—
|
$7,346.87
|
$118,131.00
|
$47,781.00
|
2026-04-01
|
|
800
|
MS_DRG
|
Splenic Procedures With Cc
|
35
|
21
|
$0.01
|
—
|
$7,068.59
|
$118,029.00
|
$47,740.00
|
2026-04-01
|
|
5932
|
APR_DRG
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
10
|
8
|
$0.01
|
—
|
$44,820.00
|
$53,783.00
|
$47,733.00
|
2024-12-15
|
|
43
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
10
|
8
|
$0.01
|
—
|
$44,733.00
|
$53,680.00
|
$47,641.00
|
2024-12-15
|
|
622
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
36
|
21
|
$0.01
|
—
|
$8,955.13
|
$151,577.00
|
$47,532.50
|
2026-04-01
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
36
|
22
|
$0.01
|
—
|
$10,625.78
|
$168,537.00
|
$47,490.50
|
2026-04-01
|
|
21
|
APR_DRG
|
Heart And/or Lung Transplant
|
10
|
8
|
$0.01
|
—
|
$44,578.00
|
$53,493.00
|
$47,475.00
|
2024-12-15
|
|
33276
|
CPT
|
Hc Insert Phrenic Nerve Stimulator System
|
71
|
42
|
$75,869.00
|
$30,347.60
60% off
|
$9,028.00
|
$136,280.00
|
$47,251.00
|
2024-12-15
|
|
625
|
MS_DRG
|
Thyroid, Parathyroid And Thyroglossal Procedures With Mcc
|
35
|
21
|
$0.01
|
—
|
$7,598.72
|
$116,138.00
|
$46,975.00
|
2026-04-01
|
|
325
|
MS_DRG
|
Coronary Intravascular Lithotripsy Without Intraluminal Device
|
35
|
21
|
$0.01
|
—
|
$8,077.53
|
$115,935.00
|
$46,893.00
|
2026-04-01
|
|
510
|
MS_DRG
|
Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc
|
35
|
21
|
$0.01
|
—
|
$7,599.73
|
$115,773.00
|
$46,827.00
|
2026-04-01
|
|
469
|
MS_DRG
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…
|
35
|
21
|
$0.01
|
—
|
$7,631.68
|
$132,405.00
|
$46,758.00
|
2026-04-01
|
|
321
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A…
|
35
|
21
|
$0.01
|
—
|
$6,845.67
|
$115,315.00
|
$46,642.00
|
2026-04-01
|
|
467
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Cc
|
35
|
21
|
$0.01
|
—
|
$8,873.10
|
$138,745.00
|
$46,547.00
|
2026-04-01
|
|
654
|
MS_DRG
|
Major Bladder Procedures With Cc
|
35
|
21
|
$0.01
|
—
|
$7,043.18
|
$114,315.00
|
$46,237.00
|
2026-04-01
|
|
406
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Cc
|
35
|
21
|
$0.01
|
—
|
$7,297.05
|
$113,760.00
|
$46,013.00
|
2026-04-01
|
|
77371
|
CPT
|
Hc Tr Srs 1 Session Multi Cobalt 60
|
71
|
42
|
$129,616.00
|
$51,846.40
60% off
|
$7,420.00
|
$118,288.00
|
$45,884.00
|
2024-12-15
|
|
97
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc
|
36
|
21
|
$0.01
|
—
|
$9,087.47
|
$145,201.00
|
$45,556.50
|
2026-04-01
|
|
258
|
MS_DRG
|
Cardiac Pacemaker Device Replacement With Mcc
|
35
|
21
|
$0.01
|
—
|
$7,905.68
|
$113,642.00
|
$45,368.00
|
2026-04-01
|
|
3034
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
10
|
8
|
$0.01
|
—
|
$42,599.00
|
$51,119.00
|
$45,368.00
|
2024-12-15
|
|
411
|
MS_DRG
|
Cholecystectomy With C.d.e. With Mcc
|
35
|
21
|
$0.01
|
—
|
$8,311.27
|
$110,843.00
|
$44,833.00
|
2026-04-01
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
40
|
25
|
$0.01
|
—
|
$12,425.76
|
$202,588.00
|
$44,742.00
|
2026-04-01
|
|
619
|
MS_DRG
|
O.r. Procedures For Obesity With Mcc
|
35
|
21
|
$0.01
|
—
|
$7,264.84
|
$110,442.00
|
$44,671.00
|
2026-04-01
|
|
987
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
36
|
22
|
$0.01
|
—
|
$8,626.03
|
$141,884.00
|
$44,528.50
|
2026-04-01
|
|
61
|
MS_DRG
|
Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…
|
35
|
21
|
$0.01
|
—
|
$6,937.00
|
$109,507.00
|
$44,293.00
|
2026-04-01
|
|
6023
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
10
|
8
|
$0.01
|
—
|
$41,561.00
|
$49,873.00
|
$44,262.00
|
2024-12-15
|
|
344
|
MS_DRG
|
Minor Small And Large Bowel Procedures With Mcc
|
35
|
21
|
$0.01
|
—
|
$6,498.45
|
$109,146.00
|
$44,147.00
|
2026-04-01
|
|
263
|
MS_DRG
|
Vein Ligation And Stripping
|
35
|
21
|
$0.01
|
—
|
$7,692.57
|
$108,644.00
|
$43,944.00
|
2026-04-01
|
|
37235
|
CPT
|
Hc Ccl Tib/per Revasc Stnt And Arthrectomy Addl
|
110
|
42
|
$72,121.00
|
$28,848.40
60% off
|
$8,582.00
|
$131,635.00
|
$43,763.00
|
2024-12-15
|
|
849
|
MS_DRG
|
Radiotherapy
|
35
|
21
|
$0.01
|
—
|
$6,817.24
|
$108,198.00
|
$43,763.00
|
2026-04-01
|
|
274
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures Without Mcc
|
35
|
21
|
$0.01
|
—
|
$8,282.08
|
$126,422.00
|
$43,744.00
|
2026-04-01
|
|
477
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Mcc
|
36
|
22
|
$0.01
|
—
|
$8,691.95
|
$139,304.00
|
$43,729.00
|
2026-04-01
|
|
J9302
|
HCPCS
|
Ofatumumab 100 Mg/5ml IV Conc
|
62
|
37
|
$110,287.06
|
$44,114.82
60% off
|
$64.00
|
$100,648.00
|
$43,651.50
|
2024-12-15
|
|
577
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Cc
|
35
|
21
|
$0.01
|
—
|
$6,669.29
|
$107,862.00
|
$43,627.00
|
2026-04-01
|
|
970
|
MS_DRG
|
HIV With Extensive O.r. Procedures Without Mcc
|
35
|
21
|
$0.01
|
—
|
$6,635.83
|
$107,477.00
|
$43,472.00
|
2026-04-01
|
|
13
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc
|
35
|
21
|
$0.01
|
—
|
$7,250.75
|
$107,344.00
|
$43,418.00
|
2026-04-01
|
|
503
|
MS_DRG
|
Foot Procedures With Mcc
|
35
|
21
|
$0.01
|
—
|
$7,022.55
|
$107,206.00
|
$43,362.00
|
2026-04-01
|
|
C1882
|
HCPCS
|
Defibrillator Consulta 2chb Is1 Df1 Av 35jl 38ml 6
|
3,510
|
42
|
$116,025.40
|
$46,410.16
60% off
|
$5.00
|
$211,776.00
|
$43,328.50
|
2024-12-15
|
|
959
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc
|
35
|
21
|
$0.01
|
—
|
$7,407.50
|
$107,096.00
|
$43,318.00
|
2026-04-01
|
|
1624
|
APR_DRG
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
10
|
8
|
$0.01
|
—
|
$40,490.00
|
$48,589.00
|
$43,122.50
|
2024-12-15
|
|
255
|
MS_DRG
|
Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc
|
35
|
21
|
$0.01
|
—
|
$6,786.79
|
$105,987.00
|
$42,869.00
|
2026-04-01
|
|
84
|
APR_DRG
|
Autologous Bone Marrow Transplant
|
10
|
8
|
$0.01
|
—
|
$40,033.00
|
$48,039.00
|
$42,635.00
|
2024-12-15
|
|
749
|
MS_DRG
|
Other Female Reproductive System O.r. Procedures With Cc/mcc
|
35
|
21
|
$0.01
|
—
|
$6,460.21
|
$104,856.00
|
$42,412.00
|
2026-04-01
|
|
271
|
MS_DRG
|
Other Major Cardiovascular Procedures With Cc
|
36
|
21
|
$0.01
|
—
|
$8,947.83
|
$139,522.00
|
$42,411.00
|
2026-04-01
|
|
659
|
MS_DRG
|
Kidney And Ureter Procedures For Non-neoplasm With Mcc
|
35
|
21
|
$0.01
|
—
|
$6,393.03
|
$104,682.00
|
$42,341.00
|
2026-04-01
|
|
73
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
10
|
8
|
$0.01
|
—
|
$39,475.00
|
$47,370.00
|
$42,040.50
|
2024-12-15
|
|
846
|
MS_DRG
|
Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc
|
35
|
21
|
$0.01
|
—
|
$6,522.86
|
$103,447.00
|
$41,841.00
|
2026-04-01
|
|
462
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc
|
35
|
21
|
$0.01
|
—
|
$6,692.69
|
$116,004.00
|
$41,771.00
|
2026-04-01
|
|
483
|
MS_DRG
|
Major Joint Or Limb Reattachment Procedures Of Upper Extremities
|
35
|
21
|
$0.01
|
—
|
$6,974.24
|
$103,220.00
|
$41,750.00
|
2026-04-01
|
|
0187-3013-30
|
NDC
|
Pyridostigmine Bromide ER 180 Mg Po Tbcr
|
43
|
24
|
$76,183.08
|
$30,473.23
60% off
|
$12,951.00
|
$69,525.00
|
$41,748.00
|
2024-12-15
|
|
252
|
MS_DRG
|
Other Vascular Procedures With Mcc
|
36
|
22
|
$0.01
|
—
|
$8,776.74
|
$138,955.00
|
$41,717.00
|
2026-04-01
|
|
51167-331-01
|
NDC
|
Elexacaf-tezacaf-ivacaf&ivacaf 100-50-75 (trikafta Kit Morning Dose)
|
43
|
24
|
$75,819.36
|
$30,327.74
60% off
|
$12,889.00
|
$69,193.00
|
$41,549.00
|
2024-12-15
|
|
817
|
MS_DRG
|
Other Antepartum Diagnoses With O.r. Procedures With Mcc
|
35
|
21
|
$0.01
|
—
|
$5,740.62
|
$102,689.00
|
$41,535.00
|
2026-04-01
|
|
579
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc
|
36
|
21
|
$0.01
|
—
|
$8,148.23
|
$132,029.00
|
$41,474.00
|
2026-04-01
|
|
545
|
MS_DRG
|
Connective Tissue Disorders With Mcc
|
35
|
21
|
$0.01
|
—
|
$6,244.08
|
$102,357.00
|
$41,401.00
|
2026-04-01
|
|
498
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc…
|
35
|
21
|
$0.01
|
—
|
$7,590.42
|
$102,276.00
|
$41,368.00
|
2026-04-01
|
|
164
|
MS_DRG
|
Major Chest Procedures With Cc
|
35
|
21
|
$0.01
|
—
|
$6,350.51
|
$101,956.00
|
$41,239.00
|
2026-04-01
|
|
J2353
|
HCPCS
|
Octreotide Acetate 10 Mg IM Kit
|
159
|
42
|
$113,042.47
|
$45,216.99
60% off
|
$215.00
|
$290,926.00
|
$40,808.00
|
2024-12-15
|
|
C1772
|
HCPCS
|
Pump Inf Synchromed Ii Ti 3.4x0.78x0.78in 20ml
|
144
|
42
|
$86,020.00
|
$34,408.00
60% off
|
$9,797.00
|
$77,418.00
|
$40,654.50
|
2024-12-15
|
|
397
|
MS_DRG
|
Appendix Procedures With Mcc
|
35
|
21
|
$0.01
|
—
|
$6,025.69
|
$100,368.00
|
$40,596.00
|
2026-04-01
|
|
518
|
MS_DRG
|
Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…
|
35
|
21
|
$0.01
|
—
|
$9,403.23
|
$145,177.00
|
$40,586.00
|
2026-04-01
|
|
27
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc
|
35
|
21
|
$0.01
|
—
|
$6,347.74
|
$99,963.00
|
$40,432.00
|
2026-04-01
|
|
37223
|
CPT
|
Hc Revascularize Iliac Artery,angioplasty/stent, Ea Add Vessel
|
110
|
42
|
$49,801.00
|
$19,920.40
60% off
|
$5,926.00
|
$90,897.00
|
$40,339.00
|
2024-12-15
|
|
33418
|
CPT
|
Hc Tcat Mitral Valve Repair Initial Prosthesis
|
71
|
42
|
$57,617.00
|
$23,046.80
60% off
|
$6,856.00
|
$102,585.00
|
$40,332.00
|
2024-12-15
|
|
4404
|
APR_DRG
|
Kidney Transplant
|
10
|
8
|
$0.01
|
—
|
$37,839.00
|
$45,407.00
|
$40,299.00
|
2024-12-15
|
|
279
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
35
|
21
|
$0.01
|
—
|
$9,073.88
|
$129,801.00
|
$40,240.00
|
2026-04-01
|
|
37234
|
CPT
|
Hc Revascularize Tibial/peron Artery,angioplasty/stent Ea Add
|
110
|
42
|
$49,466.00
|
$19,786.40
60% off
|
$5,886.00
|
$90,285.00
|
$40,067.50
|
2024-12-15
|
|
8634
|
APR_DRG
|
Neonatal Aftercare
|
10
|
8
|
$0.01
|
—
|
$37,397.00
|
$44,877.00
|
$39,828.00
|
2024-12-15
|
|
327
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Cc
|
35
|
21
|
$0.01
|
—
|
$6,149.73
|
$98,355.00
|
$39,782.00
|
2026-04-01
|
|
350
|
MS_DRG
|
Inguinal And Femoral Hernia Procedures With Mcc
|
35
|
21
|
$0.01
|
—
|
$6,269.74
|
$97,974.00
|
$39,628.00
|
2026-04-01
|