|
Q2055
|
HCPCS
|
Idecabtagene Vicleucel 460000000 Cells IV Susp
|
63
|
36
|
$2,646,541.02
|
$1,058,616.41
60% off
|
$24,610.00
|
$4,631,447.00
|
$1,412,459.00
|
2024-12-15
|
|
Q2054
|
HCPCS
|
Lisocabtagene Maraleucel 70000000 Cells/ml IV Susp
|
63
|
36
|
$2,588,518.65
|
$1,035,407.46
60% off
|
$24,610.00
|
$4,529,908.00
|
$1,381,492.00
|
2024-12-15
|
|
Q2042
|
HCPCS
|
Tisagenlecleucel IV Infusion (wrapped)
|
63
|
36
|
$2,267,639.07
|
$907,055.63
60% off
|
$24,610.00
|
$3,968,368.00
|
$1,283,977.00
|
2024-12-15
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies
|
52
|
32
|
$0.01
|
—
|
$218,734.00
|
$1,329,037.04
|
$340,804.07
|
2026-04-01
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
52
|
32
|
$0.01
|
—
|
$163,376.00
|
$862,491.57
|
$221,168.13
|
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
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
52
|
32
|
$0.01
|
—
|
$137,592.00
|
$712,182.00
|
$175,015.00
|
2026-04-01
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
52
|
32
|
$0.01
|
—
|
$124,303.00
|
$653,247.98
|
$167,511.94
|
2026-04-01
|
|
A9520
|
HCPCS
|
Technetium-99 (tc-99) Tilmanocept (lymphoseek) Radio-isotope Injection
|
54
|
32
|
$242,855.70
|
$97,142.28
60% off
|
$10.00
|
$424,997.00
|
$143,054.00
|
2024-12-15
|
|
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
|
|
24
|
APR_DRG
|
Heart And/or Lung Transplant
|
10
|
8
|
$0.01
|
—
|
$118,623.00
|
$142,347.00
|
$126,333.00
|
2024-12-15
|
|
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
|
|
J1950
|
HCPCS
|
Leuprolide Acetate (3 Month) 11.25 Mg IM Kit
|
63
|
36
|
$207,177.75
|
$82,871.10
60% off
|
$614.00
|
$362,561.00
|
$110,571.00
|
2024-12-15
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
52
|
32
|
$0.01
|
—
|
$81,954.00
|
$426,304.54
|
$109,316.98
|
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
|
|
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
|
|
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
|
|
7
|
MS_DRG
|
Lung Transplant
|
52
|
32
|
$0.01
|
—
|
$75,799.00
|
$398,568.31
|
$102,204.60
|
2026-04-01
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
52
|
32
|
$0.01
|
—
|
$75,990.00
|
$393,329.00
|
$96,997.00
|
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
|
|
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
|
|
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
|
|
209
|
MS_DRG
|
Complex Aortic Arch Procedures
|
20
|
13
|
—
|
—
|
$84,672.40
|
$348,358.71
|
$90,599.47
|
2026-04-01
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
52
|
32
|
$0.01
|
—
|
$63,914.00
|
$348,758.81
|
$89,431.98
|
2026-04-01
|
|
A9595
|
HCPCS
|
Piflufolastat F 18 9 Mci IV Sosy
|
54
|
32
|
$149,769.93
|
$59,907.97
60% off
|
$615.00
|
$262,097.00
|
$88,222.00
|
2024-12-15
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
52
|
32
|
$0.01
|
—
|
$60,757.00
|
$339,199.47
|
$86,980.69
|
2026-04-01
|
|
74
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
10
|
8
|
$0.01
|
—
|
$80,769.00
|
$96,923.00
|
$86,019.50
|
2024-12-15
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
52
|
32
|
$0.01
|
—
|
$63,185.00
|
$334,672.18
|
$85,819.76
|
2026-04-01
|
|
94
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
10
|
8
|
$0.01
|
—
|
$80,365.00
|
$96,438.00
|
$85,588.50
|
2024-12-15
|
|
A9588
|
HCPCS
|
Fluciclovine F 18 9-221 Mci/ml IV Soln
|
54
|
32
|
$145,045.20
|
$58,018.08
60% off
|
$84.00
|
$253,829.00
|
$85,439.00
|
2024-12-15
|
|
52427-273-75
|
NDC
|
Naproxen Sodium ER 500 Mg Po Tb24
|
36
|
19
|
$131,048.78
|
$52,419.51
60% off
|
$52,813.00
|
$229,335.00
|
$85,182.00
|
2024-12-15
|
|
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
|
|
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
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
52
|
32
|
$0.01
|
—
|
$61,767.00
|
$319,706.00
|
$81,371.76
|
2026-04-01
|
|
24338-050-08
|
NDC
|
Carmustine In Polifeprosan 7.7 Mg Il Wafr
|
36
|
19
|
$121,670.63
|
$48,668.25
60% off
|
$49,033.00
|
$212,924.00
|
$79,086.00
|
2024-12-15
|
|
5831
|
APR_DRG
|
Neonate With Ecmo
|
10
|
8
|
$0.01
|
—
|
$74,234.00
|
$89,081.00
|
$79,059.50
|
2024-12-15
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
53
|
32
|
$0.01
|
—
|
$61,450.00
|
$318,066.00
|
$78,582.00
|
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
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
52
|
32
|
$0.01
|
—
|
$55,976.00
|
$301,085.24
|
$77,207.08
|
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
|
|
C1831
|
HCPCS
|
Kit Imp Aprevo Spine Lvl 1
|
232
|
36
|
$123,880.00
|
$49,552.00
60% off
|
$19,173.00
|
$285,250.00
|
$76,432.00
|
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
|
|
58468-0132-2
|
NDC
|
Sevelamer Carbonate 0.8 G Po Pack
|
36
|
19
|
$113,654.93
|
$45,461.97
60% off
|
$45,803.00
|
$198,896.00
|
$73,876.00
|
2024-12-15
|
|
58468-0132-1
|
NDC
|
Sevelamer Carbonate 0.8 G Po Pack
|
36
|
19
|
$113,654.93
|
$45,461.97
60% off
|
$45,803.00
|
$198,896.00
|
$73,876.00
|
2024-12-15
|
|
1613
|
APR_DRG
|
Implantable Heart Assist Systems
|
10
|
8
|
$0.01
|
—
|
$68,785.00
|
$82,542.00
|
$73,256.00
|
2024-12-15
|
|
J2353
|
HCPCS
|
Octreotide Acetate 10 Mg IM Kit
|
123
|
32
|
$121,603.47
|
$48,641.39
60% off
|
$215.00
|
$600,035.00
|
$71,807.00
|
2024-12-15
|
|
A9572
|
HCPCS
|
Indium In-111 Pentetreotide IV Kit
|
54
|
32
|
$121,897.31
|
$48,758.92
60% off
|
$60.00
|
$213,320.00
|
$71,803.50
|
2024-12-15
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
52
|
32
|
$0.01
|
—
|
$48,375.00
|
$277,288.46
|
$71,104.89
|
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
|
|
59385-027-01
|
NDC
|
Buprenorphine Hcl 900 Mcg Bu Film
|
46
|
24
|
$102,074.07
|
$40,829.63
60% off
|
$41,136.00
|
$178,630.00
|
$70,482.00
|
2024-12-15
|
|
59385-027-60
|
NDC
|
Buprenorphine Hcl 900 Mcg Bu Film
|
46
|
24
|
$102,074.07
|
$40,829.63
60% off
|
$41,136.00
|
$178,630.00
|
$70,482.00
|
2024-12-15
|
|
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
|
|
68382-395-01
|
NDC
|
Ribavirin 6 G In Solr
|
36
|
19
|
$106,119.82
|
$42,447.93
60% off
|
$42,766.00
|
$185,710.00
|
$68,978.00
|
2024-12-15
|
|
68382-395-04
|
NDC
|
Ribavirin 6 G In Solr
|
36
|
19
|
$106,119.82
|
$42,447.93
60% off
|
$42,766.00
|
$185,710.00
|
$68,978.00
|
2024-12-15
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
52
|
32
|
$0.01
|
—
|
$53,429.00
|
$276,550.00
|
$68,544.38
|
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
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
52
|
32
|
$0.01
|
—
|
$49,149.00
|
$259,447.03
|
$66,529.83
|
2026-04-01
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
52
|
32
|
$0.01
|
—
|
$49,121.00
|
$258,631.44
|
$66,320.68
|
2026-04-01
|
|
C1825
|
HCPCS
|
System Neo Barostim Includes 2102 Ipg 1036 Csl Kit
|
110
|
36
|
$103,600.00
|
$41,440.00
60% off
|
$20,648.00
|
$181,300.00
|
$65,268.00
|
2024-12-15
|
|
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
|
|
J9302
|
HCPCS
|
Ofatumumab 100 Mg/5ml IV Conc
|
63
|
36
|
$118,640.09
|
$47,456.04
60% off
|
$64.00
|
$207,620.00
|
$63,318.00
|
2024-12-15
|
|
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
|
|
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
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
52
|
32
|
$0.01
|
—
|
$46,754.00
|
$242,178.06
|
$62,101.55
|
2026-04-01
|
|
C2624
|
HCPCS
|
System Cardiomems Hrt Failure Ptnt
|
64
|
36
|
$73,815.00
|
$29,526.00
60% off
|
$22,890.00
|
$129,176.00
|
$61,414.00
|
2024-12-15
|
|
C1824
|
HCPCS
|
Generator Pul Implantable Optimizer Smt F/hrt Fail
|
109
|
36
|
$84,760.00
|
$33,904.00
60% off
|
$19,173.00
|
$168,350.00
|
$60,606.00
|
2024-12-15
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
52
|
32
|
$0.01
|
—
|
$44,878.00
|
$236,315.04
|
$60,598.11
|
2026-04-01
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
52
|
32
|
$0.01
|
—
|
$45,335.00
|
$235,296.32
|
$60,336.88
|
2026-04-01
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
52
|
32
|
$0.01
|
—
|
$43,292.00
|
$234,517.66
|
$60,137.21
|
2026-04-01
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
52
|
32
|
$0.01
|
—
|
$46,243.00
|
$239,357.00
|
$59,323.00
|
2026-04-01
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
52
|
32
|
$0.01
|
—
|
$45,978.00
|
$237,985.00
|
$58,987.00
|
2026-04-01
|
|
A9569
|
HCPCS
|
Technetium-99 (tc-99) Exametazime White Blood Cells Radio-isotope Injection
|
54
|
32
|
$100,047.74
|
$40,019.09
60% off
|
$57.00
|
$175,084.00
|
$58,933.00
|
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
|
|
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
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
52
|
32
|
$0.01
|
—
|
$41,196.00
|
$222,166.85
|
$56,970.10
|
2026-04-01
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc
|
52
|
32
|
$0.01
|
—
|
$38,738.00
|
$220,754.19
|
$56,607.85
|
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
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
53
|
32
|
$0.01
|
—
|
$40,989.00
|
$219,452.32
|
$56,007.30
|
2026-04-01
|
|
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
|
|
34708
|
CPT
|
Hc Evasc Rpr Dplmnt Ilio-iliac Ndgft Rpt
|
93
|
36
|
$62,489.49
|
$24,995.80
60% off
|
$9,941.00
|
$218,713.00
|
$55,578.00
|
2024-12-15
|
|
64
|
APR_DRG
|
Pancreas Transplant
|
10
|
8
|
$0.01
|
—
|
$51,673.00
|
$62,007.00
|
$55,031.50
|
2024-12-15
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
53
|
32
|
$0.01
|
—
|
$40,348.00
|
$212,724.47
|
$54,290.27
|
2026-04-01
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
52
|
32
|
$0.01
|
—
|
$38,672.00
|
$211,681.13
|
$54,281.25
|
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
|
|
8514
|
APR_DRG
|
Gender Related Procedures
|
10
|
8
|
$0.01
|
—
|
$50,103.00
|
$60,123.00
|
$53,359.50
|
2024-12-15
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
52
|
32
|
$0.01
|
—
|
$39,604.00
|
$207,163.06
|
$53,122.68
|
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
|
|
0187-0007-14
|
NDC
|
Ribavirin 6 G In Solr
|
36
|
19
|
$81,389.55
|
$32,555.82
60% off
|
$32,800.00
|
$142,432.00
|
$52,903.00
|
2024-12-15
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
52
|
32
|
$0.01
|
—
|
$35,881.00
|
$205,790.41
|
$52,770.70
|
2026-04-01
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
52
|
32
|
$0.01
|
—
|
$38,887.00
|
$205,639.60
|
$52,732.03
|
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
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
52
|
32
|
$0.01
|
—
|
$34,506.00
|
$202,368.01
|
$51,893.09
|
2026-04-01
|
|
0781-5893-31
|
NDC
|
Nevirapine ER 400 Mg Po Tb24
|
36
|
19
|
$79,795.98
|
$31,918.39
60% off
|
$32,158.00
|
$139,643.00
|
$51,867.00
|
2024-12-15
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
52
|
32
|
$0.01
|
—
|
$35,718.00
|
$201,632.44
|
$51,704.47
|
2026-04-01
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
53
|
32
|
$0.01
|
—
|
$37,456.00
|
$202,368.01
|
$51,647.15
|
2026-04-01
|
|
22
|
APR_DRG
|
Heart And/or Lung Transplant
|
10
|
8
|
$0.01
|
—
|
$48,472.00
|
$58,167.00
|
$51,623.50
|
2024-12-15
|
|
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
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
52
|
32
|
$0.01
|
—
|
$37,510.00
|
$198,040.76
|
$50,783.46
|
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
|
|
C1827
|
HCPCS
|
Generator Imp Vivistim Vns Ipg 1001
|
109
|
36
|
$96,170.00
|
$38,468.00
60% off
|
$4,793.00
|
$168,298.00
|
$48,758.00
|
2024-12-15
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
52
|
32
|
$0.01
|
—
|
$34,747.00
|
$188,613.77
|
$48,366.10
|
2026-04-01
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
52
|
32
|
$0.01
|
—
|
$36,681.00
|
$189,862.00
|
$48,310.07
|
2026-04-01
|
|
13925-522-01
|
NDC
|
Pentamidine Isethionate 300 Mg In Solr
|
36
|
19
|
$74,067.71
|
$29,627.08
60% off
|
$29,849.00
|
$129,618.00
|
$48,144.00
|
2024-12-15
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
52
|
32
|
$0.01
|
—
|
$35,430.00
|
$186,588.64
|
$47,846.81
|
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
|
|
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
|
|
21
|
APR_DRG
|
Heart And/or Lung Transplant
|
10
|
8
|
$0.01
|
—
|
$44,578.00
|
$53,493.00
|
$47,475.00
|
2024-12-15
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
52
|
32
|
$0.01
|
—
|
$35,261.00
|
$184,917.45
|
$47,418.25
|
2026-04-01
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
52
|
32
|
$0.01
|
—
|
$35,928.00
|
$185,962.00
|
$47,404.85
|
2026-04-01
|
|
C1822
|
HCPCS
|
Construct Neuromod Nevro Pain Mgmt Omnia With Ipg Rm
|
150
|
36
|
$72,453.50
|
$28,981.40
60% off
|
$15,117.00
|
$148,330.00
|
$47,095.00
|
2024-12-15
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
52
|
32
|
$0.01
|
—
|
$33,289.00
|
$183,526.33
|
$47,061.54
|
2026-04-01
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/Mcc
|
52
|
32
|
$0.01
|
—
|
$35,008.00
|
$182,498.38
|
$46,797.93
|
2026-04-01
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
52
|
32
|
$0.01
|
—
|
$34,128.00
|
$180,617.90
|
$46,315.73
|
2026-04-01
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
52
|
32
|
$0.01
|
—
|
$33,769.00
|
$180,500.95
|
$46,285.74
|
2026-04-01
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
50
|
32
|
$0.01
|
—
|
$34,480.00
|
$182,923.10
|
$46,239.93
|
2026-04-01
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
52
|
32
|
$0.01
|
—
|
$35,593.00
|
$184,230.00
|
$45,834.00
|
2026-04-01
|
|
213
|
MS_DRG
|
Endovascular Abdominal Aorta With Iliac Branch Procedures
|
20
|
13
|
—
|
—
|
$42,691.53
|
$175,641.26
|
$45,679.94
|
2026-04-01
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
52
|
32
|
$0.01
|
—
|
$31,729.00
|
$177,494.04
|
$45,514.67
|
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
|
|
A9591
|
HCPCS
|
Fluoroestradiol F 18 4-100 Mci/ml IV Soln
|
54
|
32
|
$76,839.34
|
$30,735.74
60% off
|
$69.00
|
$134,469.00
|
$45,262.50
|
2024-12-15
|
|
58914-501-56
|
NDC
|
Mesalamine 1000 Mg Re Supp
|
36
|
19
|
$69,603.69
|
$27,841.48
60% off
|
$28,050.00
|
$121,806.00
|
$45,242.00
|
2024-12-15
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
52
|
32
|
$0.01
|
—
|
$33,090.00
|
$176,361.44
|
$45,224.24
|
2026-04-01
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/Mcc
|
52
|
32
|
$0.01
|
—
|
$35,008.00
|
$181,204.00
|
$45,094.00
|
2026-04-01
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
52
|
32
|
$0.01
|
—
|
$31,326.00
|
$175,413.51
|
$44,981.17
|
2026-04-01
|
|
33289
|
CPT
|
Hc Rhc W/plc Pressure Sensor
|
63
|
36
|
$83,393.57
|
$33,357.43
60% off
|
$14,380.00
|
$145,939.00
|
$44,507.00
|
2024-12-15
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
52
|
32
|
$0.01
|
—
|
$31,924.00
|
$173,028.29
|
$44,369.52
|
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
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
52
|
32
|
$0.01
|
—
|
$31,558.00
|
$172,492.77
|
$44,232.21
|
2026-04-01
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
52
|
32
|
$0.01
|
—
|
$29,019.00
|
$171,310.94
|
$43,929.14
|
2026-04-01
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
52
|
32
|
$0.01
|
—
|
$32,058.00
|
$168,962.65
|
$43,326.98
|
2026-04-01
|
|
35371
|
CPT
|
Hc Thromboendartectmy Femoral Common
|
76
|
24
|
$58,423.66
|
$23,369.46
60% off
|
$2,603.00
|
$204,483.00
|
$43,321.00
|
2024-12-15
|
|
35355
|
CPT
|
Hc Thromboendarterectomy With Without Patch Graft Iliofemoral
|
76
|
24
|
$58,423.68
|
$23,369.47
60% off
|
$2,603.00
|
$204,483.00
|
$43,321.00
|
2024-12-15
|
|
C1823
|
HCPCS
|
Generator Implantable Remede Pul Cent Sleep Apnea
|
110
|
36
|
$83,130.00
|
$33,252.00
60% off
|
$6,637.00
|
$145,478.00
|
$43,256.50
|
2024-12-15
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
52
|
32
|
$0.01
|
—
|
$31,486.00
|
$168,365.58
|
$43,173.88
|
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
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
52
|
32
|
$0.01
|
—
|
$30,857.00
|
$168,125.52
|
$43,112.32
|
2026-04-01
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
52
|
32
|
$0.01
|
—
|
$31,296.00
|
$167,860.84
|
$43,044.44
|
2026-04-01
|
|
47781-153-01
|
NDC
|
Naproxen Sodium ER 375 Mg Po Tb24
|
36
|
19
|
$66,183.14
|
$26,473.26
60% off
|
$26,672.00
|
$115,820.00
|
$43,019.00
|
2024-12-15
|
|
84
|
APR_DRG
|
Autologous Bone Marrow Transplant
|
10
|
8
|
$0.01
|
—
|
$40,033.00
|
$48,039.00
|
$42,635.00
|
2024-12-15
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
52
|
32
|
$0.01
|
—
|
$30,721.00
|
$164,127.59
|
$42,087.12
|
2026-04-01
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
52
|
32
|
$0.01
|
—
|
$29,871.00
|
$164,029.10
|
$42,061.86
|
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
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
52
|
32
|
$0.01
|
—
|
$32,058.00
|
$165,935.00
|
$41,779.33
|
2026-04-01
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
52
|
32
|
$0.01
|
—
|
$32,333.00
|
$167,355.00
|
$41,705.00
|
2026-04-01
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
53
|
32
|
$0.01
|
—
|
$29,771.00
|
$162,388.69
|
$41,443.87
|
2026-04-01
|
|
J2326
|
HCPCS
|
Nusinersen 12 Mg/5ml It Soln
|
53
|
32
|
$70,038.08
|
$28,015.23
60% off
|
$1,211.00
|
$122,567.00
|
$41,357.00
|
2024-12-15
|
|
33249
|
CPT
|
Hc Insj/rplcmt Perm Dfb W/trnsvns Lds 1/dual Chmbr
|
68
|
36
|
$71,911.27
|
$28,764.51
60% off
|
$14,380.00
|
$125,845.00
|
$41,054.00
|
2024-12-15
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
53
|
32
|
$0.01
|
—
|
$29,549.00
|
$160,206.60
|
$40,886.97
|
2026-04-01
|
|
33363
|
CPT
|
Hc Replace Aortic Valve Open Axillry Artry Approach
|
99
|
36
|
$69,725.12
|
$27,890.05
60% off
|
$9,361.00
|
$122,019.00
|
$40,719.00
|
2024-12-15
|
|
33263
|
CPT
|
Hc Rmvl Impltbl Dfb Plse Gen W/rplcmt Plse Gen 2 Ld
|
68
|
36
|
$71,307.57
|
$28,523.03
60% off
|
$14,380.00
|
$124,788.00
|
$40,709.50
|
2024-12-15
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
52
|
32
|
$0.01
|
—
|
$31,293.00
|
$161,972.00
|
$40,388.00
|
2026-04-01
|
|
4404
|
APR_DRG
|
Kidney Transplant
|
10
|
8
|
$0.01
|
—
|
$37,839.00
|
$45,407.00
|
$40,299.00
|
2024-12-15
|
|
8634
|
APR_DRG
|
Neonatal Aftercare
|
10
|
8
|
$0.01
|
—
|
$37,397.00
|
$44,877.00
|
$39,828.00
|
2024-12-15
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
52
|
32
|
$0.01
|
—
|
$26,637.00
|
$155,122.24
|
$39,777.89
|
2026-04-01
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
52
|
32
|
$0.01
|
—
|
$29,458.00
|
$153,497.21
|
$39,361.18
|
2026-04-01
|
|
63
|
APR_DRG
|
Pancreas Transplant
|
10
|
8
|
$0.01
|
—
|
$36,709.00
|
$44,050.00
|
$39,094.50
|
2024-12-15
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
52
|
32
|
$0.01
|
—
|
$28,903.00
|
$152,266.13
|
$39,045.50
|
2026-04-01
|
|
6134
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
10
|
8
|
$0.01
|
—
|
$36,564.00
|
$43,877.00
|
$38,940.50
|
2024-12-15
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
52
|
32
|
$0.01
|
—
|
$29,214.00
|
$151,475.16
|
$38,842.67
|
2026-04-01
|
|
6114
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
10
|
8
|
$0.01
|
—
|
$36,393.00
|
$43,672.00
|
$38,758.50
|
2024-12-15
|
|
C2616
|
HCPCS
|
Sphere Embol Sir Msphre 90
|
110
|
36
|
$67,876.50
|
$27,150.60
60% off
|
$7,779.00
|
$118,784.00
|
$38,617.50
|
2024-12-15
|
|
34707
|
CPT
|
Hc Evasc Rpr Dplmnt Ilio-iliac Ndgft
|
93
|
36
|
$43,400.82
|
$17,360.33
60% off
|
$9,941.00
|
$151,903.00
|
$38,601.00
|
2024-12-15
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
54
|
32
|
$0.01
|
—
|
$344.62
|
$151,995.29
|
$38,421.89
|
2026-04-01
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
52
|
32
|
$0.01
|
—
|
$28,172.00
|
$148,612.90
|
$38,108.71
|
2026-04-01
|
|
33230
|
CPT
|
Hc Ep Insj Implntbl Defib Pulse Gen W/exist Dual Leads
|
63
|
36
|
$71,307.57
|
$28,523.03
60% off
|
$14,380.00
|
$124,788.00
|
$38,057.00
|
2024-12-15
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
52
|
32
|
$0.01
|
—
|
$29,042.00
|
$150,321.00
|
$37,916.14
|
2026-04-01
|
|
63323-877-15
|
NDC
|
Pentamidine Isethionate 300 Mg In Solr
|
36
|
19
|
$58,092.98
|
$23,237.19
60% off
|
$23,411.00
|
$101,663.00
|
$37,760.00
|
2024-12-15
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
52
|
32
|
$0.01
|
—
|
$27,287.00
|
$146,523.14
|
$37,572.83
|
2026-04-01
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
52
|
32
|
$0.01
|
—
|
$26,722.00
|
$144,694.99
|
$37,104.03
|
2026-04-01
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
52
|
32
|
$0.01
|
—
|
$27,698.00
|
$143,968.65
|
$36,917.79
|
2026-04-01
|
|
93
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
10
|
8
|
$0.01
|
—
|
$34,634.00
|
$41,561.00
|
$36,885.50
|
2024-12-15
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
52
|
32
|
$0.01
|
—
|
$28,343.00
|
$146,707.00
|
$36,653.00
|
2026-04-01
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
52
|
32
|
$0.01
|
—
|
$28,125.00
|
$145,578.00
|
$36,595.79
|
2026-04-01
|
|
C1816
|
HCPCS
|
System Stim Nerv Stimq-4 8 Elect Dl Transm Kt
|
150
|
36
|
$58,680.00
|
$23,472.00
60% off
|
$1,475.00
|
$116,953.00
|
$36,528.50
|
2024-12-15
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
54
|
32
|
$0.01
|
—
|
$27,573.00
|
$144,399.53
|
$36,517.17
|
2026-04-01
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
53
|
32
|
$0.01
|
—
|
$1,400.00
|
$142,143.57
|
$36,277.03
|
2026-04-01
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
52
|
32
|
$0.01
|
—
|
$27,141.00
|
$141,106.39
|
$36,183.82
|
2026-04-01
|
|
33881
|
CPT
|
Hc Endovasc Taa Rew/o Subcl
|
63
|
36
|
$55,642.07
|
$22,256.83
60% off
|
$9,941.00
|
$97,374.00
|
$36,167.00
|
2024-12-15
|
|
34710
|
CPT
|
Hc Dlyd Placement Xtn Prosth For Evasc Rpr 1st Vsl
|
63
|
36
|
$55,641.55
|
$22,256.62
60% off
|
$9,941.00
|
$97,373.00
|
$36,167.00
|
2024-12-15
|
|
1674
|
APR_DRG
|
Other Cardiothoracic And Thoracic Vascular Procedures
|
10
|
8
|
$0.01
|
—
|
$33,958.00
|
$40,749.00
|
$36,165.00
|
2024-12-15
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
53
|
32
|
$0.01
|
—
|
$26,633.00
|
$141,466.48
|
$36,104.23
|
2026-04-01
|
|
1634
|
APR_DRG
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
10
|
8
|
$0.01
|
—
|
$33,728.00
|
$40,474.00
|
$35,920.50
|
2024-12-15
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
52
|
32
|
$0.01
|
—
|
$26,167.00
|
$139,995.34
|
$35,898.90
|
2026-04-01
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
52
|
32
|
$0.01
|
—
|
$25,939.00
|
$139,933.79
|
$35,883.12
|
2026-04-01
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
52
|
32
|
$0.01
|
—
|
$27,578.00
|
$142,744.00
|
$35,797.53
|
2026-04-01
|
|
13
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
10
|
8
|
$0.01
|
—
|
$33,602.00
|
$40,323.00
|
$35,787.00
|
2024-12-15
|
|
0187-3013-30
|
NDC
|
Pyridostigmine Bromide ER 180 Mg Po Tbcr
|
36
|
19
|
$54,652.11
|
$21,860.84
60% off
|
$22,025.00
|
$95,641.00
|
$35,524.00
|
2024-12-15
|
|
6022
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
10
|
8
|
$0.01
|
—
|
$33,236.00
|
$39,883.00
|
$35,396.50
|
2024-12-15
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
52
|
32
|
$0.01
|
—
|
$26,733.00
|
$138,373.00
|
$35,370.93
|
2026-04-01
|
|
31
|
MS_DRG
|
Ventricular Shunt Procedures With Mcc
|
52
|
32
|
$0.01
|
—
|
$24,305.00
|
$137,896.35
|
$35,360.67
|
2026-04-01
|
|
51167-331-01
|
NDC
|
Elexacaf-tezacaf-ivacaf&ivacaf 100-50-75 (trikafta Kit Morning Dose)
|
36
|
19
|
$54,391.19
|
$21,756.47
60% off
|
$21,920.00
|
$95,185.00
|
$35,354.00
|
2024-12-15
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
52
|
32
|
$0.01
|
—
|
$25,478.00
|
$137,354.67
|
$35,221.76
|
2026-04-01
|
|
6093
|
APR_DRG
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
10
|
8
|
$0.01
|
—
|
$32,884.00
|
$39,460.00
|
$35,021.50
|
2024-12-15
|
|
93654
|
CPT
|
Hc Ephys Eval W/ablation Ventricular Tachycardia
|
63
|
36
|
$59,464.44
|
$23,785.78
60% off
|
$10,918.00
|
$104,063.00
|
$34,727.00
|
2024-12-15
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
52
|
32
|
$0.01
|
—
|
$24,741.00
|
$135,197.21
|
$34,668.53
|
2026-04-01
|
|
J7311
|
HCPCS
|
Fluocinolone Acetonide 0.59 Mg Iz Impl
|
63
|
36
|
$64,799.93
|
$25,919.97
60% off
|
$37.00
|
$113,400.00
|
$34,584.00
|
2024-12-15
|
|
93656
|
CPT
|
Hc Ephys Evl Trnsptl Tx Atrial Fib Isolat Pulm Vein
|
63
|
36
|
$64,718.96
|
$25,887.58
60% off
|
$10,918.00
|
$113,258.00
|
$34,541.00
|
2024-12-15
|
|
1784
|
APR_DRG
|
External Heart Assist Systems
|
10
|
8
|
$0.01
|
—
|
$32,322.00
|
$38,787.00
|
$34,423.50
|
2024-12-15
|
|
33270
|
HCPCS
|
Ins/rep Subq Defibrillator
|
7
|
7
|
—
|
—
|
$31,139.80
|
$71,605.14
|
$34,417.67
|
2026-04-01
|
|
33249
|
HCPCS
|
Insj/rplcmt Defib W/lead(s)
|
7
|
7
|
—
|
—
|
$31,139.80
|
$71,605.14
|
$34,417.67
|
2026-04-01
|
|
33231
|
HCPCS
|
Insrt Pulse Gen W/mult Leads
|
7
|
7
|
—
|
—
|
$31,139.80
|
$71,605.14
|
$34,417.67
|
2026-04-01
|
|
0571T
|
OTHER
|
Insj/rplcmt Icds Ss Eltrd
|
7
|
7
|
—
|
—
|
$31,139.80
|
$71,605.14
|
$34,417.67
|
2026-04-01
|
|
0915T
|
OTHER
|
Insj Perm Ccm-d Sys Pg&eltrd
|
7
|
7
|
—
|
—
|
$31,139.80
|
$71,605.14
|
$34,417.67
|
2026-04-01
|
|
33264
|
HCPCS
|
Rmvl & Rplcmt Dfb Gen Mlt Ld
|
7
|
7
|
—
|
—
|
$31,139.80
|
$71,605.14
|
$34,417.67
|
2026-04-01
|
|
0408T
|
OTHER
|
Insj/rplc Cardiac Modulj Sys
|
7
|
7
|
—
|
—
|
$31,139.80
|
$71,605.14
|
$34,417.67
|
2026-04-01
|
|
6033
|
APR_DRG
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
10
|
8
|
$0.01
|
—
|
$32,237.00
|
$38,684.00
|
$34,332.50
|
2024-12-15
|
|
53
|
APR_DRG
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
10
|
8
|
$0.01
|
—
|
$32,143.00
|
$38,571.00
|
$34,232.00
|
2024-12-15
|
|
6124
|
APR_DRG
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
10
|
8
|
$0.01
|
—
|
$32,074.00
|
$38,489.00
|
$34,158.50
|
2024-12-15
|
|
323
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc
|
52
|
32
|
$0.01
|
—
|
$24,705.00
|
$133,184.39
|
$34,152.39
|
2026-04-01
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
52
|
32
|
$0.01
|
—
|
$26,011.00
|
$134,635.00
|
$33,880.10
|
2026-04-01
|
|
8504
|
APR_DRG
|
Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…
|
10
|
8
|
$0.01
|
—
|
$31,781.00
|
$38,137.00
|
$33,847.00
|
2024-12-15
|
|
72
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
10
|
8
|
$0.01
|
—
|
$31,655.00
|
$37,985.00
|
$33,712.00
|
2024-12-15
|
|
140
|
MS_DRG
|
Major Head And Neck Procedures With Mcc
|
52
|
32
|
$0.01
|
—
|
$24,529.00
|
$131,273.14
|
$33,662.29
|
2026-04-01
|
|
5362
|
OTHER
|
Level 2 Laparoscopy And Related Services
|
3
|
3
|
—
|
—
|
$24,923.70
|
$36,426.09
|
$33,643.26
|
2026-04-01
|
|
C1767
|
HCPCS
|
Stimulator Proclaim Elite 7 Rechrg-free Scs
|
1,070
|
36
|
$53,790.00
|
$21,516.00
60% off
|
$7,562.00
|
$223,322.00
|
$33,631.00
|
2024-12-15
|
|
1654
|
APR_DRG
|
Coronary Bypass With Ami Or Complex Principal Diagnosis
|
10
|
8
|
$0.01
|
—
|
$31,499.00
|
$37,799.00
|
$33,546.50
|
2024-12-15
|
|
448
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical Without Mcc
|
52
|
32
|
$0.01
|
—
|
$23,684.00
|
$130,519.10
|
$33,468.93
|
2026-04-01
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
52
|
32
|
$0.01
|
—
|
$24,132.00
|
$129,977.43
|
$33,330.02
|
2026-04-01
|
|
901
|
MS_DRG
|
Wound Debridements For Injuries With Mcc
|
52
|
32
|
$0.01
|
—
|
$25,697.00
|
$133,008.00
|
$33,301.00
|
2026-04-01
|
|
12
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc
|
52
|
32
|
$0.01
|
—
|
$23,801.00
|
$129,755.83
|
$33,273.20
|
2026-04-01
|
|
958
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
52
|
32
|
$0.01
|
—
|
$23,837.00
|
$129,691.20
|
$33,256.62
|
2026-04-01
|
|
6073
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
10
|
8
|
$0.01
|
—
|
$31,084.00
|
$37,300.00
|
$33,104.00
|
2024-12-15
|
|
236
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
52
|
32
|
$0.01
|
—
|
$23,850.00
|
$128,918.70
|
$33,058.54
|
2026-04-01
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
53
|
32
|
$0.01
|
—
|
$24,300.00
|
$129,312.64
|
$33,002.40
|
2026-04-01
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
52
|
32
|
$0.01
|
—
|
$25,044.00
|
$129,631.00
|
$32,930.69
|
2026-04-01
|
|
8413
|
APR_DRG
|
Extensive Third Degree Burns With Skin Graft
|
10
|
8
|
$0.01
|
—
|
$30,841.00
|
$37,009.00
|
$32,845.50
|
2024-12-15
|
|
6214
|
APR_DRG
|
Neonate Birth Weight 2000-2499 Grams With Major Anomaly
|
10
|
8
|
$0.01
|
—
|
$30,808.00
|
$36,969.00
|
$32,810.00
|
2024-12-15
|
|
6804
|
APR_DRG
|
Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
10
|
8
|
$0.01
|
—
|
$30,781.00
|
$36,938.00
|
$32,782.00
|
2024-12-15
|
|
423
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
52
|
32
|
$0.01
|
—
|
$23,591.00
|
$127,816.88
|
$32,775.99
|
2026-04-01
|
|
273
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures With Mcc
|
52
|
32
|
$0.01
|
—
|
$22,680.00
|
$126,970.51
|
$32,558.97
|
2026-04-01
|
|
933
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft
|
52
|
32
|
$0.01
|
—
|
$25,096.00
|
$129,898.00
|
$32,540.00
|
2026-04-01
|
|
C1882
|
HCPCS
|
Defibrillator Crdc Viva Xt Is1 Df1
|
2,438
|
36
|
$52,388.20
|
$20,955.28
60% off
|
$4.00
|
$185,932.00
|
$32,484.50
|
2024-12-15
|
|
6334
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Anomaly
|
10
|
8
|
$0.01
|
—
|
$30,498.00
|
$36,597.00
|
$32,479.50
|
2024-12-15
|
|
793
|
MS_DRG
|
Full Term Neonate With Major Problems
|
50
|
32
|
$0.01
|
—
|
$24,189.00
|
$128,327.78
|
$32,439.12
|
2026-04-01
|
|
J3357
|
HCPCS
|
Ustekinumab 45 Mg/0.5ml Sc Sosy
|
63
|
36
|
$60,659.51
|
$24,263.80
60% off
|
$158.00
|
$106,154.00
|
$32,374.00
|
2024-12-15
|
|
71
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
10
|
8
|
$0.01
|
—
|
$30,072.00
|
$36,087.00
|
$32,026.50
|
2024-12-15
|
|
3044
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back
|
10
|
8
|
$0.01
|
—
|
$29,867.00
|
$35,841.00
|
$31,808.50
|
2024-12-15
|
|
402
|
MS_DRG
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
52
|
32
|
$0.01
|
—
|
$22,691.00
|
$123,738.93
|
$31,730.28
|
2026-04-01
|
|
A9592
|
HCPCS
|
Copper Cu 64 Dotatate 1 Mci/ml IV Soln
|
54
|
32
|
$53,623.00
|
$21,449.20
60% off
|
$269.00
|
$93,840.00
|
$31,586.50
|
2024-12-15
|
|
791
|
MS_DRG
|
Prematurity With Major Problems
|
50
|
32
|
$0.01
|
—
|
$23,547.00
|
$124,923.84
|
$31,578.67
|
2026-04-01
|
|
802
|
MS_DRG
|
Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc
|
52
|
32
|
$0.01
|
—
|
$20,792.00
|
$122,618.65
|
$31,443.02
|
2026-04-01
|
|
33880
|
CPT
|
Hc Endovasc Taa Repr Incl Subcl
|
63
|
36
|
$48,174.84
|
$19,269.94
60% off
|
$9,941.00
|
$84,306.00
|
$31,314.00
|
2024-12-15
|
|
62
|
APR_DRG
|
Pancreas Transplant
|
10
|
8
|
$0.01
|
—
|
$29,393.00
|
$35,271.00
|
$31,303.00
|
2024-12-15
|
|
0078-0697-19
|
NDC
|
Eltrombopag Olamine 25 Mg Po Pack
|
36
|
19
|
$48,054.31
|
$19,221.72
60% off
|
$19,366.00
|
$84,095.00
|
$31,235.00
|
2024-12-15
|
|
0078-0697-61
|
NDC
|
Eltrombopag Olamine 25 Mg Po Pack
|
36
|
19
|
$48,054.31
|
$19,221.72
60% off
|
$19,366.00
|
$84,095.00
|
$31,235.00
|
2024-12-15
|
|
37227
|
CPT
|
Hc Revascularize Fem/pop Artery,angioplasty/stent/atherectomy
|
92
|
36
|
$47,458.69
|
$18,983.48
60% off
|
$7,047.00
|
$166,105.00
|
$31,021.50
|
2024-12-15
|
|
3033
|
APR_DRG
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
10
|
8
|
$0.01
|
—
|
$29,030.00
|
$34,835.00
|
$30,916.50
|
2024-12-15
|
|
93653
|
CPT
|
Hc Ephys Eval W/ablation Supravent Arrhythmia
|
63
|
36
|
$52,928.82
|
$21,171.53
60% off
|
$10,918.00
|
$92,625.00
|
$30,910.00
|
2024-12-15
|
|
24
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
52
|
32
|
$0.01
|
—
|
$22,050.00
|
$120,396.55
|
$30,873.20
|
2026-04-01
|
|
5911
|
APR_DRG
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
10
|
8
|
$0.01
|
—
|
$28,790.00
|
$34,548.00
|
$30,662.00
|
2024-12-15
|
|
34
|
MS_DRG
|
Carotid Artery Stent Procedures With Mcc
|
52
|
32
|
$0.01
|
—
|
$22,554.00
|
$119,128.53
|
$30,548.06
|
2026-04-01
|
|
876
|
MS_DRG
|
O.r. Procedures With Principal Diagnosis Of Mental Illness
|
52
|
32
|
$0.01
|
—
|
$22,792.00
|
$118,950.03
|
$30,502.28
|
2026-04-01
|
|
40
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc
|
52
|
32
|
$0.01
|
—
|
$21,878.00
|
$118,836.15
|
$30,473.08
|
2026-04-01
|
|
9104
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
10
|
8
|
$0.01
|
—
|
$28,513.00
|
$34,216.00
|
$30,366.50
|
2024-12-15
|
|
907
|
MS_DRG
|
Other O.r. Procedures For Injuries With Mcc
|
52
|
32
|
$0.01
|
—
|
$23,105.00
|
$119,595.00
|
$30,300.24
|
2026-04-01
|
|
6084
|
APR_DRG
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
10
|
8
|
$0.01
|
—
|
$28,370.00
|
$34,044.00
|
$30,214.00
|
2024-12-15
|
|
1834
|
APR_DRG
|
Percutaneous Structural Cardiac Procedures
|
10
|
8
|
$0.01
|
—
|
$28,168.00
|
$33,801.00
|
$29,999.00
|
2024-12-15
|
|
739
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…
|
52
|
32
|
$0.01
|
—
|
$23,089.00
|
$119,511.00
|
$29,998.00
|
2026-04-01
|
|
C9089
|
HCPCS
|
Bupivacaine Hcl (300 Mg Dose) 3 X 100 Mg Il Impl
|
72
|
19
|
$46,101.59
|
$18,440.64
60% off
|
$1.00
|
$82,936.00
|
$29,966.00
|
2024-12-15
|
|
6814
|
APR_DRG
|
Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms
|
10
|
8
|
$0.01
|
—
|
$28,048.00
|
$33,658.00
|
$29,871.00
|
2024-12-15
|
|
3124
|
APR_DRG
|
Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses
|
10
|
8
|
$0.01
|
—
|
$27,970.00
|
$33,564.00
|
$29,788.00
|
2024-12-15
|
|
7404
|
APR_DRG
|
Mental Illness Diagnosis With O.r. Procedure
|
10
|
8
|
$0.01
|
—
|
$27,933.00
|
$33,520.00
|
$29,749.00
|
2024-12-15
|
|
628
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc
|
52
|
32
|
$0.01
|
—
|
$22,885.00
|
$118,454.00
|
$29,740.00
|
2026-04-01
|
|
956
|
MS_DRG
|
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma
|
52
|
32
|
$0.01
|
—
|
$22,170.00
|
$115,813.85
|
$29,698.07
|
2026-04-01
|
|
736
|
MS_DRG
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc
|
52
|
32
|
$0.01
|
—
|
$22,838.00
|
$118,211.00
|
$29,680.00
|
2026-04-01
|
|
6904
|
APR_DRG
|
Acute Leukemia
|
10
|
8
|
$0.01
|
—
|
$27,785.00
|
$33,342.00
|
$29,591.00
|
2024-12-15
|
|
143
|
MS_DRG
|
Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc
|
52
|
32
|
$0.01
|
—
|
$19,151.00
|
$115,309.11
|
$29,568.64
|
2026-04-01
|
|
166
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Mcc
|
52
|
32
|
$0.01
|
—
|
$22,332.00
|
$115,590.00
|
$29,498.40
|
2026-04-01
|
|
518
|
MS_DRG
|
Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…
|
52
|
32
|
$0.01
|
—
|
$20,787.00
|
$115,022.88
|
$29,495.24
|
2026-04-01
|
|
33264
|
CPT
|
Hc Rmvl Impltbl Dfb Pls Gen W/rplcmt Pls Gen Mlt Ld
|
68
|
36
|
$45,321.30
|
$18,128.52
60% off
|
$14,380.00
|
$83,067.00
|
$29,459.00
|
2024-12-15
|
|
42
|
APR_DRG
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
10
|
8
|
$0.01
|
—
|
$27,603.00
|
$33,124.00
|
$29,398.00
|
2024-12-15
|
|
1664
|
APR_DRG
|
Coronary Bypass Without Ami Or Complex Principal Diagnosis
|
10
|
8
|
$0.01
|
—
|
$27,584.00
|
$33,101.00
|
$29,377.00
|
2024-12-15
|
|
651
|
MS_DRG
|
Kidney Transplant With Hemodialysis Without Mcc
|
52
|
32
|
$0.01
|
—
|
$20,141.00
|
$114,053.41
|
$29,246.64
|
2026-04-01
|
|
616
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
52
|
32
|
$0.01
|
—
|
$22,417.00
|
$116,031.00
|
$29,147.00
|
2026-04-01
|
|
904
|
MS_DRG
|
Skin Grafts For Injuries With Cc/Mcc
|
52
|
32
|
$0.01
|
—
|
$22,394.00
|
$115,914.00
|
$29,121.97
|
2026-04-01
|
|
492
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc
|
52
|
32
|
$0.01
|
—
|
$20,597.00
|
$113,000.83
|
$28,976.72
|
2026-04-01
|
|
3614
|
APR_DRG
|
Skin Graft For Skin And Subcutaneous Tissue Diagnoses
|
10
|
8
|
$0.01
|
—
|
$27,100.00
|
$32,520.00
|
$28,861.50
|
2024-12-15
|
|
914
|
APR_DRG
|
Other Major Head And Neck Procedures
|
10
|
8
|
$0.01
|
—
|
$27,019.00
|
$32,423.00
|
$28,776.00
|
2024-12-15
|
|
12
|
APR_DRG
|
Liver Transplant And/or Intestinal Transplant
|
10
|
8
|
$0.01
|
—
|
$26,994.00
|
$32,392.00
|
$28,748.00
|
2024-12-15
|
|
939
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc
|
52
|
32
|
$0.01
|
—
|
$18,409.00
|
$111,674.34
|
$28,636.57
|
2026-04-01
|
|
495
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
52
|
32
|
$0.01
|
—
|
$20,419.00
|
$111,588.17
|
$28,614.48
|
2026-04-01
|
|
332
|
MS_DRG
|
Rectal Resection With Mcc
|
52
|
32
|
$0.01
|
—
|
$20,118.00
|
$111,434.28
|
$28,575.01
|
2026-04-01
|
|
265
|
MS_DRG
|
Aicd Lead Procedures
|
52
|
32
|
$0.01
|
—
|
$20,690.00
|
$111,357.34
|
$28,555.28
|
2026-04-01
|
|
97
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc
|
52
|
32
|
$0.01
|
—
|
$20,791.00
|
$111,160.37
|
$28,504.78
|
2026-04-01
|
|
9114
|
APR_DRG
|
Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma
|
10
|
8
|
$0.01
|
—
|
$26,741.00
|
$32,089.00
|
$28,479.00
|
2024-12-15
|
|
279
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
52
|
32
|
$0.01
|
—
|
$18,586.00
|
$110,994.17
|
$28,462.16
|
2026-04-01
|
|
6302
|
APR_DRG
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
10
|
8
|
$0.01
|
—
|
$26,699.00
|
$32,039.00
|
$28,434.50
|
2024-12-15
|
|
0955-1052-90
|
NDC
|
Sevelamer Carbonate 0.8 G Po Pack
|
36
|
19
|
$43,555.25
|
$17,422.10
60% off
|
$17,553.00
|
$76,222.00
|
$28,311.00
|
2024-12-15
|
|
0955-1052-01
|
NDC
|
Sevelamer Carbonate 0.8 G Po Pack
|
36
|
19
|
$43,555.25
|
$17,422.10
60% off
|
$17,553.00
|
$76,222.00
|
$28,311.00
|
2024-12-15
|
|
214
|
APR_DRG
|
Open Craniotomy Except Trauma
|
10
|
8
|
$0.01
|
—
|
$26,578.00
|
$31,894.00
|
$28,306.00
|
2024-12-15
|
|
622
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
53
|
32
|
$0.01
|
—
|
$21,704.00
|
$112,339.00
|
$28,244.00
|
2026-04-01
|
|
34701
|
CPT
|
Hc Ccl Evasc Rpr A-ao Non-ruptre
|
63
|
36
|
$43,400.82
|
$17,360.33
60% off
|
$9,941.00
|
$75,951.00
|
$28,211.00
|
2024-12-15
|
|
335
|
MS_DRG
|
Peritoneal Adhesiolysis With Mcc
|
52
|
32
|
$0.01
|
—
|
$21,016.00
|
$109,901.59
|
$28,182.00
|
2026-04-01
|
|
408
|
MS_DRG
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
52
|
32
|
$0.01
|
—
|
$20,308.00
|
$109,738.47
|
$28,140.17
|
2026-04-01
|