|
001-4
|
OTHER
|
Liver Transplant And/or Intestinal Transplant
|
10
|
6
|
—
|
—
|
$73,625.81
|
$82,460.91
|
$77,307.10
|
2026-05-08
|
|
002-1
|
OTHER
|
Heart And/or Lung Transplant
|
10
|
6
|
—
|
—
|
$48,222.15
|
$54,008.81
|
$50,633.26
|
2026-05-08
|
|
002-2
|
OTHER
|
Heart And/or Lung Transplant
|
10
|
6
|
—
|
—
|
$54,560.01
|
$61,107.21
|
$57,288.01
|
2026-05-08
|
|
002-3
|
OTHER
|
Heart And/or Lung Transplant
|
10
|
6
|
—
|
—
|
$72,051.42
|
$80,697.59
|
$75,653.99
|
2026-05-08
|
|
002-4
|
OTHER
|
Heart And/or Lung Transplant
|
10
|
6
|
—
|
—
|
$132,272.77
|
$148,145.50
|
$138,886.41
|
2026-05-08
|
|
004-3
|
OTHER
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
10
|
6
|
—
|
—
|
$51,280.79
|
$57,434.48
|
$53,844.83
|
2026-05-08
|
|
004-4
|
OTHER
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
10
|
6
|
—
|
—
|
$74,365.74
|
$83,289.63
|
$78,084.03
|
2026-05-08
|
|
005-4
|
OTHER
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
10
|
6
|
—
|
—
|
$51,805.72
|
$58,022.41
|
$54,396.01
|
2026-05-08
|
|
006-4
|
OTHER
|
Pancreas Transplant
|
10
|
6
|
—
|
—
|
$48,092.12
|
$53,863.17
|
$50,496.73
|
2026-05-08
|
|
007-3
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
10
|
6
|
—
|
—
|
$49,530.49
|
$55,474.15
|
$52,007.01
|
2026-05-08
|
|
007-4
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
10
|
6
|
—
|
—
|
$77,877.11
|
$87,222.36
|
$81,770.97
|
2026-05-08
|
|
009-3
|
OTHER
|
Extracorporeal Membrane Oxygenation (ecmo)
|
10
|
6
|
—
|
—
|
$65,032.68
|
$72,836.60
|
$68,284.31
|
2026-05-08
|
|
009-4
|
OTHER
|
Extracorporeal Membrane Oxygenation (ecmo)
|
10
|
6
|
—
|
—
|
$96,765.82
|
$108,377.72
|
$101,604.11
|
2026-05-08
|
|
011-2
|
OTHER
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
10
|
6
|
—
|
—
|
$55,500.00
|
$62,160.00
|
$58,275.00
|
2026-05-08
|
|
011-3
|
OTHER
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
10
|
6
|
—
|
—
|
$227,544.57
|
$254,849.92
|
$238,921.80
|
2026-05-08
|
|
011-4
|
OTHER
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
10
|
6
|
—
|
—
|
$55,523.31
|
$62,186.11
|
$58,299.48
|
2026-05-08
|
|
1
|
OTHER
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
15
|
10
|
$696,620.15
|
$174,155.04
75% off
|
$192,144.21
|
$764,994.70
|
$478,569.46
|
2026-05-08
|
|
11
|
OTHER
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
18
|
11
|
$288,397.95
|
$72,099.49
75% off
|
$37,434.82
|
$153,626.67
|
$95,530.74
|
2026-05-08
|
|
140
|
OTHER
|
Major Head And Neck Procedures With Mcc
|
18
|
11
|
$202,063.38
|
$50,515.85
75% off
|
$29,508.60
|
$120,409.55
|
$74,959.07
|
2026-05-08
|
|
143
|
OTHER
|
Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc
|
18
|
11
|
$250,993.96
|
$62,748.49
75% off
|
$23,208.79
|
$94,008.39
|
$58,608.59
|
2026-05-08
|
|
156080088
|
OTHER
|
Icd Dual C1721 (16001-17000)
|
30
|
16
|
$84,320.00
|
$21,080.00
75% off
|
$79.33
|
$94,438.40
|
$48,484.00
|
2026-05-08
|
|
156080093
|
OTHER
|
Icd Single Rr C1722 (15001-17000)
|
30
|
16
|
$84,320.00
|
$21,080.00
75% off
|
$79.33
|
$94,438.40
|
$48,484.00
|
2026-05-08
|
|
156080094
|
OTHER
|
Icd Bi-v D C1882 (17500-18500)
|
30
|
16
|
$91,760.00
|
$22,940.00
75% off
|
$79.33
|
$102,771.20
|
$52,762.00
|
2026-05-08
|
|
156080095
|
OTHER
|
Icd Bi-v D C1882 (18501-19500)
|
30
|
16
|
$96,720.00
|
$24,180.00
75% off
|
$79.33
|
$108,326.40
|
$55,614.00
|
2026-05-08
|
|
156080096
|
OTHER
|
Icd Bi-v D C1882 (19501-25000)
|
30
|
16
|
$124,000.00
|
$31,000.00
75% off
|
$79.33
|
$138,880.00
|
$71,300.00
|
2026-05-08
|
|
156080097
|
OTHER
|
Icd Bi-v D C1882 (25001-30000)
|
30
|
16
|
$148,800.00
|
$37,200.00
75% off
|
$79.33
|
$166,656.00
|
$85,560.00
|
2026-05-08
|
|
160-4
|
OTHER
|
Major Cardiothoracic Repair Of Heart Anomaly
|
10
|
6
|
—
|
—
|
$56,663.71
|
$63,463.36
|
$59,496.90
|
2026-05-08
|
|
161-1
|
OTHER
|
Implantable Heart Assist Systems
|
10
|
6
|
—
|
—
|
$56,870.74
|
$63,695.23
|
$59,714.28
|
2026-05-08
|
|
161-2
|
OTHER
|
Implantable Heart Assist Systems
|
10
|
6
|
—
|
—
|
$56,870.74
|
$63,695.23
|
$59,714.28
|
2026-05-08
|
|
161-3
|
OTHER
|
Implantable Heart Assist Systems
|
10
|
6
|
—
|
—
|
$77,290.75
|
$86,565.64
|
$81,155.29
|
2026-05-08
|
|
161-4
|
OTHER
|
Implantable Heart Assist Systems
|
10
|
6
|
—
|
—
|
$98,707.97
|
$110,552.93
|
$103,643.37
|
2026-05-08
|
|
163
|
OTHER
|
Major Chest Procedures With Mcc
|
18
|
11
|
$193,821.42
|
$48,455.35
75% off
|
$46,048.73
|
$131,228.53
|
$88,638.63
|
2026-05-08
|
|
166
|
OTHER
|
Other Respiratory System O.r. Procedures With Mcc
|
18
|
11
|
$214,273.44
|
$53,568.36
75% off
|
$26,934.46
|
$109,621.89
|
$68,278.18
|
2026-05-08
|
|
20
|
OTHER
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
18
|
11
|
$428,534.96
|
$107,133.74
75% off
|
$55,541.45
|
$229,507.57
|
$142,524.51
|
2026-05-08
|
|
207
|
OTHER
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
18
|
11
|
$350,744.78
|
$87,686.19
75% off
|
$64,338.83
|
$184,127.65
|
$124,233.24
|
2026-05-08
|
|
208
|
OTHER
|
Respiratory System Diagnosis With Ventilator Support <=96 Hours
|
18
|
11
|
$148,493.51
|
$37,123.38
75% off
|
$19,009.57
|
$76,410.47
|
$47,710.02
|
2026-05-08
|
|
21
|
OTHER
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
18
|
11
|
$251,082.62
|
$62,770.65
75% off
|
$38,327.52
|
$157,367.76
|
$97,847.64
|
2026-05-08
|
|
212
|
OTHER
|
Hip & Femur Procedures Except Major Joint Age 0-17
|
18
|
11
|
$547,739.28
|
$136,934.82
75% off
|
$74,786.71
|
$310,160.23
|
$192,473.47
|
2026-05-08
|
|
215
|
OTHER
|
Other Heart Assist System Implant
|
18
|
11
|
$442,038.27
|
$110,509.57
75% off
|
$72,754.72
|
$301,644.55
|
$187,199.64
|
2026-05-08
|
|
216
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
18
|
11
|
$512,247.97
|
$128,061.99
75% off
|
$66,343.49
|
$274,776.47
|
$170,559.98
|
2026-05-08
|
|
217
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
18
|
11
|
$509,053.79
|
$127,263.45
75% off
|
$44,649.77
|
$183,862.87
|
$114,256.32
|
2026-05-08
|
|
218
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
18
|
11
|
$386,024.68
|
$96,506.17
75% off
|
$41,194.48
|
$169,382.52
|
$105,288.50
|
2026-05-08
|
|
219
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
18
|
11
|
$509,321.34
|
$127,330.34
75% off
|
$53,343.03
|
$220,294.36
|
$136,818.70
|
2026-05-08
|
|
220
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
18
|
11
|
$377,779.61
|
$94,444.90
75% off
|
$36,760.91
|
$150,802.35
|
$93,781.63
|
2026-05-08
|
|
220071875
|
OTHER
|
Penile Implant (16000-17000)
|
30
|
16
|
$84,320.00
|
$21,080.00
75% off
|
$79.33
|
$94,438.40
|
$48,484.00
|
2026-05-08
|
|
220079685
|
OTHER
|
Nurostim Gen Rechg (16001-16500)
|
30
|
16
|
$81,840.00
|
$20,460.00
75% off
|
$79.33
|
$91,660.80
|
$47,058.00
|
2026-05-08
|
|
220079983
|
OTHER
|
Nurostm Gen Nonrchg (17001-18500)
|
30
|
16
|
$91,760.00
|
$22,940.00
75% off
|
$79.33
|
$102,771.20
|
$52,762.00
|
2026-05-08
|
|
220080072
|
OTHER
|
Mesh Cl (16501-17500)
|
30
|
16
|
$86,800.00
|
$21,700.00
75% off
|
$79.33
|
$97,216.00
|
$49,910.00
|
2026-05-08
|
|
220086945
|
OTHER
|
Mesh Cl (22000-23500)
|
30
|
16
|
$116,560.00
|
$29,140.00
75% off
|
$79.33
|
$130,547.20
|
$67,022.00
|
2026-05-08
|
|
221
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
18
|
11
|
$346,585.48
|
$86,646.37
75% off
|
$31,977.44
|
$130,755.91
|
$81,366.68
|
2026-05-08
|
|
228
|
OTHER
|
Other Cardiothoracic Procedures With Mcc
|
18
|
11
|
$244,206.40
|
$61,051.60
75% off
|
$34,631.74
|
$141,879.53
|
$88,255.63
|
2026-05-08
|
|
229
|
OTHER
|
Other Cardiothoracic Procedures Without Mcc
|
18
|
11
|
$176,848.20
|
$44,212.05
75% off
|
$21,879.92
|
$88,439.47
|
$55,159.69
|
2026-05-08
|
|
23
|
OTHER
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
18
|
11
|
$275,079.08
|
$68,769.77
75% off
|
$39,535.46
|
$162,429.90
|
$100,982.68
|
2026-05-08
|
|
231
|
OTHER
|
Coronary Bypass With Ptca With Mcc
|
18
|
11
|
$383,761.26
|
$95,940.32
75% off
|
$58,345.89
|
$241,260.41
|
$149,803.15
|
2026-05-08
|
|
232
|
OTHER
|
Coronary Bypass With Ptca Without Mcc
|
18
|
11
|
$357,334.25
|
$89,333.56
75% off
|
$42,277.39
|
$173,920.80
|
$108,099.10
|
2026-05-08
|
|
233
|
OTHER
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
18
|
11
|
$375,650.77
|
$93,912.69
75% off
|
$53,879.05
|
$222,540.72
|
$138,209.89
|
2026-05-08
|
|
234
|
OTHER
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
18
|
11
|
$321,033.23
|
$80,258.31
75% off
|
$36,920.55
|
$151,471.41
|
$94,195.98
|
2026-05-08
|
|
235
|
OTHER
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
18
|
11
|
$352,546.97
|
$88,136.74
75% off
|
$40,752.21
|
$167,529.06
|
$104,140.63
|
2026-05-08
|
|
236
|
OTHER
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
18
|
11
|
$281,693.92
|
$70,423.48
75% off
|
$28,713.06
|
$117,075.60
|
$72,894.33
|
2026-05-08
|
|
239
|
OTHER
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
18
|
11
|
$237,107.81
|
$59,276.95
75% off
|
$34,995.88
|
$143,405.58
|
$89,200.73
|
2026-05-08
|
|
24
|
OTHER
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
18
|
11
|
$194,225.97
|
$48,556.49
75% off
|
$26,604.29
|
$108,238.20
|
$67,421.24
|
2026-05-08
|
|
240
|
OTHER
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc
|
18
|
11
|
$143,035.39
|
$35,758.85
75% off
|
$20,561.27
|
$82,913.25
|
$51,737.26
|
2026-05-08
|
|
242
|
OTHER
|
Permanent Cardiac Pacemaker Implant With Mcc
|
18
|
11
|
$143,848.29
|
$35,962.07
75% off
|
$23,820.90
|
$96,573.63
|
$60,197.26
|
2026-05-08
|
|
245
|
OTHER
|
Aicd Generator Procedures
|
18
|
11
|
$183,455.15
|
$45,863.79
75% off
|
$33,976.15
|
$139,132.08
|
$86,554.12
|
2026-05-08
|
|
25
|
OTHER
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
18
|
11
|
$234,548.50
|
$58,637.13
75% off
|
$31,160.15
|
$127,330.85
|
$79,245.50
|
2026-05-08
|
|
252
|
OTHER
|
Other Vascular Procedures With Mcc
|
18
|
11
|
$204,197.34
|
$51,049.33
75% off
|
$24,081.78
|
$97,666.92
|
$60,874.35
|
2026-05-08
|
|
26
|
OTHER
|
Craniotomy And Endovascular Intracranial Procedures With Cc
|
18
|
11
|
$147,792.34
|
$36,948.08
75% off
|
$21,555.87
|
$87,081.40
|
$54,318.64
|
2026-05-08
|
|
260
|
OTHER
|
Cardiac Pacemaker Revision Except Device Replacement With Mcc
|
18
|
11
|
$168,475.72
|
$42,118.93
75% off
|
$23,917.36
|
$96,977.92
|
$60,447.64
|
2026-05-08
|
|
264
|
OTHER
|
Other Circulatory System O.r. Procedures
|
18
|
11
|
$151,319.69
|
$37,829.92
75% off
|
$24,521.33
|
$99,508.99
|
$62,015.16
|
2026-05-08
|
|
265
|
OTHER
|
Aicd Lead Procedures
|
18
|
11
|
$200,310.14
|
$50,077.54
75% off
|
$25,011.16
|
$101,561.75
|
$63,286.46
|
2026-05-08
|
|
266
|
OTHER
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
18
|
11
|
$455,805.69
|
$113,951.42
75% off
|
$41,476.43
|
$170,564.07
|
$106,020.25
|
2026-05-08
|
|
267
|
OTHER
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
18
|
11
|
$388,588.35
|
$97,147.09
75% off
|
$32,739.02
|
$133,947.51
|
$83,343.26
|
2026-05-08
|
|
268
|
OTHER
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
18
|
11
|
$276,128.70
|
$69,032.17
75% off
|
$61,819.54
|
$189,833.24
|
$125,826.39
|
2026-05-08
|
|
269
|
OTHER
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
18
|
11
|
$210,210.01
|
$52,552.50
75% off
|
$29,043.23
|
$118,459.29
|
$73,751.26
|
2026-05-08
|
|
270
|
OTHER
|
Other Major Cardiovascular Procedures With Mcc
|
18
|
11
|
$245,106.98
|
$61,276.74
75% off
|
$35,648.78
|
$146,141.64
|
$90,895.21
|
2026-05-08
|
|
271
|
OTHER
|
Other Major Cardiovascular Procedures With Cc
|
18
|
11
|
$187,191.99
|
$46,798.00
75% off
|
$24,176.88
|
$98,065.51
|
$61,121.19
|
2026-05-08
|
|
273
|
OTHER
|
Percutaneous And Other Intracardiac Procedures With Mcc
|
18
|
11
|
$179,727.71
|
$44,931.93
75% off
|
$27,342.09
|
$111,330.15
|
$69,336.12
|
2026-05-08
|
|
274
|
OTHER
|
Percutaneous And Other Intracardiac Procedures Without Mcc
|
18
|
11
|
$158,028.33
|
$39,507.08
75% off
|
$21,979.81
|
$88,857.99
|
$55,418.90
|
2026-05-08
|
|
275
|
OTHER
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
18
|
11
|
$344,176.83
|
$86,044.21
75% off
|
$48,787.83
|
$201,204.56
|
$124,996.20
|
2026-05-08
|
|
276
|
OTHER
|
Non-maligant Breast Disorders
|
18
|
11
|
$254,925.76
|
$63,731.44
75% off
|
$42,859.63
|
$176,360.76
|
$109,610.20
|
2026-05-08
|
|
277
|
OTHER
|
Cellulitis Age >17 W Cc
|
18
|
11
|
$183,673.10
|
$45,918.27
75% off
|
$32,380.30
|
$132,444.24
|
$82,412.27
|
2026-05-08
|
|
279
|
OTHER
|
Cellulitis Age 0-17
|
18
|
11
|
$143,437.88
|
$35,859.47
75% off
|
$22,546.39
|
$91,232.47
|
$56,889.43
|
2026-05-08
|
|
28
|
OTHER
|
Spinal Procedures With Mcc
|
18
|
11
|
$326,515.42
|
$81,628.85
75% off
|
$42,079.02
|
$173,089.44
|
$107,584.23
|
2026-05-08
|
|
288
|
OTHER
|
Acute And Subacute Endocarditis With Mcc
|
18
|
11
|
$396,010.66
|
$99,002.66
75% off
|
$19,333.64
|
$77,768.54
|
$48,551.09
|
2026-05-08
|
|
29
|
OTHER
|
Spinal Procedures With Cc Or Spinal Neurostimulators
|
18
|
11
|
$185,855.83
|
$46,463.96
75% off
|
$23,581.07
|
$95,568.61
|
$59,574.84
|
2026-05-08
|
|
3
|
OTHER
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
18
|
11
|
$931,738.71
|
$232,934.68
75% off
|
$146,376.93
|
$610,179.09
|
$378,278.01
|
2026-05-08
|
|
303-4
|
OTHER
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
10
|
6
|
—
|
—
|
$87,540.39
|
$98,045.24
|
$91,917.41
|
2026-05-08
|
|
31
|
OTHER
|
Ventricular Shunt Procedures With Mcc
|
18
|
11
|
$159,597.83
|
$39,899.46
75% off
|
$29,246.36
|
$119,310.57
|
$74,278.46
|
2026-05-08
|
|
319
|
OTHER
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
18
|
11
|
$329,449.29
|
$82,362.32
75% off
|
$30,620.05
|
$125,067.41
|
$77,843.73
|
2026-05-08
|
|
321
|
OTHER
|
Kidney & Urinary Tract Infections Age >17 Without Cc
|
18
|
11
|
$118,239.35
|
$29,559.84
75% off
|
$20,116.96
|
$81,051.24
|
$50,584.10
|
2026-05-08
|
|
323
|
OTHER
|
Urinary Stones W Cc, &/or Esw Lithotripsy
|
18
|
11
|
$210,817.62
|
$52,704.40
75% off
|
$29,713.77
|
$121,269.38
|
$75,491.57
|
2026-05-08
|
|
324
|
OTHER
|
Urinary Stones Without Cc
|
18
|
11
|
$125,100.37
|
$31,275.09
75% off
|
$22,483.21
|
$90,967.69
|
$56,725.45
|
2026-05-08
|
|
325
|
OTHER
|
Coronary Intravascular Lithotripsy Without Intraluminal Device
|
18
|
11
|
$117,675.49
|
$29,418.87
75% off
|
$20,220.90
|
$81,486.85
|
$50,853.88
|
2026-05-08
|
|
326
|
OTHER
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
18
|
11
|
$260,501.92
|
$65,125.48
75% off
|
$35,281.91
|
$144,604.21
|
$89,943.06
|
2026-05-08
|
|
329
|
OTHER
|
Major Small And Large Bowel Procedures With Mcc
|
18
|
11
|
$269,798.95
|
$67,449.74
75% off
|
$31,972.69
|
$130,735.98
|
$81,354.34
|
2026-05-08
|
|
335
|
OTHER
|
Peritoneal Adhesiolysis With Mcc
|
18
|
11
|
$212,157.52
|
$53,039.38
75% off
|
$25,392.97
|
$103,161.82
|
$64,277.39
|
2026-05-08
|
|
34
|
OTHER
|
Carotid Artery Stent Procedures With Mcc
|
18
|
11
|
$201,063.94
|
$50,265.98
75% off
|
$27,195.33
|
$110,715.18
|
$68,955.26
|
2026-05-08
|
|
344
|
OTHER
|
Minor Small And Large Bowel Procedures With Mcc
|
18
|
11
|
$123,624.85
|
$30,906.21
75% off
|
$19,082.28
|
$76,715.11
|
$47,898.69
|
2026-05-08
|
|
353
|
OTHER
|
Hernia Procedures Except Inguinal And Femoral With Mcc
|
18
|
11
|
$166,935.23
|
$41,733.81
75% off
|
$20,702.58
|
$83,505.44
|
$52,104.01
|
2026-05-08
|
|
356
|
OTHER
|
Other Digestive System O.r. Procedures With Mcc
|
18
|
11
|
$189,737.21
|
$47,434.30
75% off
|
$29,756.57
|
$121,448.74
|
$75,602.65
|
2026-05-08
|
|
356014931
|
OTHER
|
Tavr
|
15
|
11
|
$176,299.83
|
$44,074.96
75% off
|
$79.33
|
$167,484.84
|
$56,239.65
|
2026-05-08
|
|
356071293
|
OTHER
|
Pump Impella Rp Smart Assist
|
30
|
16
|
$124,000.00
|
$31,000.00
75% off
|
$79.33
|
$138,880.00
|
$71,300.00
|
2026-05-08
|
|
356073311
|
OTHER
|
Mitraclip Kit Cds And Cath
|
30
|
16
|
$148,800.00
|
$37,200.00
75% off
|
$79.33
|
$166,656.00
|
$85,560.00
|
2026-05-08
|
|
356073351
|
OTHER
|
Nurostm Gen Nonrchg(25000-30000)
|
30
|
16
|
$148,800.00
|
$37,200.00
75% off
|
$79.33
|
$166,656.00
|
$85,560.00
|
2026-05-08
|
|
356073352
|
OTHER
|
Remede Ipg W/leads
|
30
|
16
|
$186,000.00
|
$46,500.00
75% off
|
$79.33
|
$208,320.00
|
$106,950.00
|
2026-05-08
|
|
356073383
|
OTHER
|
Triclip Kit
|
20
|
11
|
$193,440.00
|
$48,360.00
75% off
|
$79.33
|
$183,768.00
|
$96,139.68
|
2026-05-08
|
|
356075016
|
OTHER
|
Leadless Dual Pm (20000-25000)
|
20
|
11
|
$124,000.00
|
$31,000.00
75% off
|
$79.33
|
$117,800.00
|
$61,628.00
|
2026-05-08
|
|
356080063
|
OTHER
|
Impella 2.5 Catheter System
|
30
|
16
|
$124,000.00
|
$31,000.00
75% off
|
$79.33
|
$138,880.00
|
$71,300.00
|
2026-05-08
|
|
356080088
|
OTHER
|
Icd Dual C1721 (16001-17000)
|
30
|
16
|
$84,320.00
|
$21,080.00
75% off
|
$79.33
|
$94,438.40
|
$48,484.00
|
2026-05-08
|
|
356080093
|
OTHER
|
Icd Single Rr C1722 (15001-17000)
|
30
|
16
|
$84,320.00
|
$21,080.00
75% off
|
$79.33
|
$94,438.40
|
$48,484.00
|
2026-05-08
|
|
356080094
|
OTHER
|
Icd Bi-v D C1882 (17500-18500)
|
30
|
16
|
$91,760.00
|
$22,940.00
75% off
|
$79.33
|
$102,771.20
|
$52,762.00
|
2026-05-08
|
|
356080095
|
OTHER
|
Icd Bi-v D C1882 (18501-19500)
|
30
|
16
|
$96,720.00
|
$24,180.00
75% off
|
$79.33
|
$108,326.40
|
$55,614.00
|
2026-05-08
|
|
356080096
|
OTHER
|
Icd Bi-v D C1882 (19501-25000)
|
30
|
16
|
$124,000.00
|
$31,000.00
75% off
|
$79.33
|
$138,880.00
|
$71,300.00
|
2026-05-08
|
|
356080097
|
OTHER
|
Icd Bi-v D C1882 (25001-30000)
|
30
|
16
|
$148,800.00
|
$37,200.00
75% off
|
$79.33
|
$166,656.00
|
$85,560.00
|
2026-05-08
|
|
356080297
|
OTHER
|
Watchman Laa Occluder
|
30
|
16
|
$84,320.00
|
$21,080.00
75% off
|
$79.33
|
$94,438.40
|
$48,484.00
|
2026-05-08
|
|
356080419
|
OTHER
|
Cardiac Ipg (25000-26000)
|
30
|
16
|
$128,960.00
|
$32,240.00
75% off
|
$79.33
|
$144,435.20
|
$74,152.00
|
2026-05-08
|
|
356088645
|
OTHER
|
Valve Txcath W Dlvry Sys (30-35k)
|
30
|
16
|
$173,600.00
|
$43,400.00
75% off
|
$79.33
|
$194,432.00
|
$99,820.00
|
2026-05-08
|
|
356099239
|
OTHER
|
Cardiac Ipg (22500-23000)
|
30
|
16
|
$114,080.00
|
$28,520.00
75% off
|
$79.33
|
$127,769.60
|
$65,596.00
|
2026-05-08
|
|
37
|
OTHER
|
Extracranial Procedures With Mcc
|
18
|
11
|
$206,025.31
|
$51,506.33
75% off
|
$23,337.86
|
$94,549.34
|
$58,943.60
|
2026-05-08
|
|
4
|
OTHER
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
18
|
11
|
$670,360.09
|
$167,590.02
75% off
|
$137,695.55
|
$402,295.23
|
$269,995.39
|
2026-05-08
|
|
40
|
OTHER
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc
|
18
|
11
|
$236,170.37
|
$59,042.59
75% off
|
$26,403.18
|
$107,395.46
|
$66,899.32
|
2026-05-08
|
|
405
|
OTHER
|
Pancreas, Liver And Shunt Procedures With Mcc
|
18
|
11
|
$220,301.66
|
$55,075.42
75% off
|
$37,657.67
|
$154,560.52
|
$96,109.10
|
2026-05-08
|
|
406
|
OTHER
|
Pancreas, Liver And Shunt Procedures With Cc
|
18
|
11
|
$110,802.50
|
$27,700.62
75% off
|
$19,856.09
|
$79,957.96
|
$49,907.03
|
2026-05-08
|
|
408
|
OTHER
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
18
|
11
|
$112,347.93
|
$28,086.98
75% off
|
$24,563.45
|
$99,685.51
|
$62,124.48
|
2026-05-08
|
|
414
|
OTHER
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc
|
18
|
11
|
$200,232.75
|
$50,058.19
75% off
|
$24,580.43
|
$99,756.69
|
$62,168.56
|
2026-05-08
|
|
420070159
|
OTHER
|
Nurostim Gen Rechg (20000-25000)
|
30
|
16
|
$124,000.00
|
$31,000.00
75% off
|
$79.33
|
$138,880.00
|
$71,300.00
|
2026-05-08
|
|
420071529
|
OTHER
|
Mesh Cl (18500-19000)
|
30
|
16
|
$94,240.00
|
$23,560.00
75% off
|
$79.33
|
$105,548.80
|
$54,188.00
|
2026-05-08
|
|
420071875
|
OTHER
|
Penile Implant (16000-17000)
|
30
|
16
|
$84,320.00
|
$21,080.00
75% off
|
$79.33
|
$94,438.40
|
$48,484.00
|
2026-05-08
|
|
420071877
|
OTHER
|
Penile Implant (17000-18000)
|
30
|
16
|
$89,280.00
|
$22,320.00
75% off
|
$79.33
|
$99,993.60
|
$51,336.00
|
2026-05-08
|
|
420072186
|
OTHER
|
Joint/joint Dev Cl (16500-17000)
|
30
|
16
|
$84,320.00
|
$21,080.00
75% off
|
$79.33
|
$94,438.40
|
$48,484.00
|
2026-05-08
|
|
420072189
|
OTHER
|
Joint/joint Dev Cl (20k-25k)
|
30
|
16
|
$124,000.00
|
$31,000.00
75% off
|
$79.33
|
$138,880.00
|
$71,300.00
|
2026-05-08
|
|
420072569
|
OTHER
|
Endovascular Stent Graft (18k-19k
|
30
|
16
|
$94,240.00
|
$23,560.00
75% off
|
$79.33
|
$105,548.80
|
$54,188.00
|
2026-05-08
|
|
420072763
|
OTHER
|
Carotid Sinus Baroreceptor System
|
30
|
16
|
$138,880.00
|
$34,720.00
75% off
|
$79.33
|
$155,545.60
|
$79,856.00
|
2026-05-08
|
|
420072765
|
OTHER
|
Graft Cl (22500-23000)
|
30
|
16
|
$114,080.00
|
$28,520.00
75% off
|
$79.33
|
$127,769.60
|
$65,596.00
|
2026-05-08
|
|
420073349
|
OTHER
|
Nurostm Gen Nonrchg(29000-29500)
|
30
|
16
|
$146,320.00
|
$36,580.00
75% off
|
$79.33
|
$163,878.40
|
$84,134.00
|
2026-05-08
|
|
420073372
|
OTHER
|
Urinary Sphincter (19000-20000)
|
30
|
16
|
$99,200.00
|
$24,800.00
75% off
|
$79.33
|
$111,104.00
|
$57,040.00
|
2026-05-08
|
|
420073381
|
OTHER
|
Coatd/covrd De Stent(19001-20000)
|
30
|
16
|
$99,200.00
|
$24,800.00
75% off
|
$79.33
|
$111,104.00
|
$57,040.00
|
2026-05-08
|
|
420073659
|
OTHER
|
Nurostm Gen Nonrchg(20000-21500)
|
30
|
16
|
$106,640.00
|
$26,660.00
75% off
|
$79.33
|
$119,436.80
|
$61,318.00
|
2026-05-08
|
|
420077411
|
OTHER
|
Generator Pulse Vns Therapy
|
30
|
16
|
$91,755.04
|
$22,938.76
75% off
|
$79.33
|
$102,765.64
|
$52,759.14
|
2026-05-08
|
|
420078099
|
OTHER
|
Stent Cl (16000-16500)
|
30
|
16
|
$81,840.00
|
$20,460.00
75% off
|
$79.33
|
$91,660.80
|
$47,058.00
|
2026-05-08
|
|
420079685
|
OTHER
|
Nurostim Gen Rechg (16001-16500)
|
30
|
16
|
$81,840.00
|
$20,460.00
75% off
|
$79.33
|
$91,660.80
|
$47,058.00
|
2026-05-08
|
|
420079771
|
OTHER
|
Nurostim Gen Rechg (16501-17000)
|
30
|
16
|
$84,320.00
|
$21,080.00
75% off
|
$79.33
|
$94,438.40
|
$48,484.00
|
2026-05-08
|
|
420079772
|
OTHER
|
Nurostim Gen Rechg (17001-17500)
|
30
|
16
|
$86,800.00
|
$21,700.00
75% off
|
$79.33
|
$97,216.00
|
$49,910.00
|
2026-05-08
|
|
420079773
|
OTHER
|
Nurostim Gen Rechg (17501-18500)
|
30
|
16
|
$91,760.00
|
$22,940.00
75% off
|
$79.33
|
$102,771.20
|
$52,762.00
|
2026-05-08
|
|
420079982
|
OTHER
|
Nurostm Gen Nonrchg (15501-17000)
|
30
|
16
|
$84,320.00
|
$21,080.00
75% off
|
$79.33
|
$94,438.40
|
$48,484.00
|
2026-05-08
|
|
420079983
|
OTHER
|
Nurostm Gen Nonrchg (17001-18500)
|
30
|
16
|
$91,760.00
|
$22,940.00
75% off
|
$79.33
|
$102,771.20
|
$52,762.00
|
2026-05-08
|
|
420080064
|
OTHER
|
Impella Cath System 5.0
|
30
|
16
|
$138,880.00
|
$34,720.00
75% off
|
$79.33
|
$155,545.60
|
$79,856.00
|
2026-05-08
|
|
420080072
|
OTHER
|
Mesh Cl (16501-17500)
|
30
|
16
|
$86,800.00
|
$21,700.00
75% off
|
$79.33
|
$97,216.00
|
$49,910.00
|
2026-05-08
|
|
420080083
|
OTHER
|
Nurostm Gen Nonrchg(18001-19000)
|
30
|
16
|
$94,240.00
|
$23,560.00
75% off
|
$79.33
|
$105,548.80
|
$54,188.00
|
2026-05-08
|
|
420080205
|
OTHER
|
Graft Cl 58 (16000-16500)
|
30
|
16
|
$81,840.00
|
$20,460.00
75% off
|
$79.33
|
$91,660.80
|
$47,058.00
|
2026-05-08
|
|
420080225
|
OTHER
|
Coatd/covrd De Stnt(16001-17000)
|
30
|
16
|
$84,320.00
|
$21,080.00
75% off
|
$79.33
|
$94,438.40
|
$48,484.00
|
2026-05-08
|
|
420080226
|
OTHER
|
Coatd/covrd De Stnt(18001-19000)
|
30
|
16
|
$94,240.00
|
$23,560.00
75% off
|
$79.33
|
$105,548.80
|
$54,188.00
|
2026-05-08
|
|
420080335
|
OTHER
|
Urinary Sphincter (20000-22000)
|
30
|
16
|
$109,120.00
|
$27,280.00
75% off
|
$79.33
|
$122,214.40
|
$62,744.00
|
2026-05-08
|
|
420080336
|
OTHER
|
Urinary Sphincter (16000-18000)
|
30
|
16
|
$89,280.00
|
$22,320.00
75% off
|
$79.33
|
$99,993.60
|
$51,336.00
|
2026-05-08
|
|
420086947
|
OTHER
|
Mesh Cl (17501-18000)
|
30
|
16
|
$89,280.00
|
$22,320.00
75% off
|
$79.33
|
$99,993.60
|
$51,336.00
|
2026-05-08
|
|
420087056
|
OTHER
|
Graft Cl 60 (17000-17500)
|
30
|
16
|
$86,800.00
|
$21,700.00
75% off
|
$79.33
|
$97,216.00
|
$49,910.00
|
2026-05-08
|
|
420087302
|
OTHER
|
Nurostm Gen Nonrchg(35000-40000)
|
30
|
16
|
$198,400.00
|
$49,600.00
75% off
|
$79.33
|
$222,208.00
|
$114,080.00
|
2026-05-08
|
|
420088630
|
OTHER
|
Graft Cl 59 (16500-17000)
|
30
|
16
|
$84,320.00
|
$21,080.00
75% off
|
$79.33
|
$94,438.40
|
$48,484.00
|
2026-05-08
|
|
420088631
|
OTHER
|
Graft Cl 62 (18000-18500)
|
30
|
16
|
$91,760.00
|
$22,940.00
75% off
|
$79.33
|
$102,771.20
|
$52,762.00
|
2026-05-08
|
|
422011203
|
OTHER
|
Cabg 3 Vessels Redo
|
15
|
11
|
$224,679.18
|
$56,169.80
75% off
|
$79.33
|
$213,445.22
|
$71,672.66
|
2026-05-08
|
|
422011305
|
OTHER
|
Valve And Cabg 5 Vessels
|
15
|
11
|
$240,059.29
|
$60,014.82
75% off
|
$79.33
|
$228,056.33
|
$76,578.91
|
2026-05-08
|
|
422011402
|
OTHER
|
Tmr With Cabg 1 To 2 Vessels
|
15
|
11
|
$277,614.86
|
$69,403.72
75% off
|
$79.33
|
$263,734.12
|
$88,559.14
|
2026-05-08
|
|
422011403
|
OTHER
|
Tmr With Cabg 3 Vessels
|
15
|
11
|
$289,297.31
|
$72,324.33
75% off
|
$79.33
|
$274,832.44
|
$92,285.84
|
2026-05-08
|
|
422011404
|
OTHER
|
Tmr With Cabg 4 Vessels
|
15
|
11
|
$305,161.06
|
$76,290.27
75% off
|
$79.33
|
$289,903.01
|
$97,346.38
|
2026-05-08
|
|
422011405
|
OTHER
|
Tmr With Cabg 5 Vessels
|
15
|
11
|
$312,681.86
|
$78,170.47
75% off
|
$79.33
|
$297,047.77
|
$99,745.51
|
2026-05-08
|
|
422073351
|
OTHER
|
Nurostm Gen Nonrchg(25000-30000)
|
30
|
16
|
$148,800.00
|
$37,200.00
75% off
|
$79.33
|
$166,656.00
|
$85,560.00
|
2026-05-08
|
|
422073352
|
OTHER
|
Remede Ipg W/leads
|
30
|
16
|
$186,000.00
|
$46,500.00
75% off
|
$79.33
|
$208,320.00
|
$106,950.00
|
2026-05-08
|
|
422080063
|
OTHER
|
Impella 2.5 Catheter System
|
30
|
16
|
$124,000.00
|
$31,000.00
75% off
|
$79.33
|
$138,880.00
|
$71,300.00
|
2026-05-08
|
|
422080064
|
OTHER
|
Impella Cath System 5.0
|
30
|
16
|
$138,880.00
|
$34,720.00
75% off
|
$79.33
|
$155,545.60
|
$79,856.00
|
2026-05-08
|
|
422080094
|
OTHER
|
Icd Bi-v D C1882 (17500-18500)
|
30
|
16
|
$91,760.00
|
$22,940.00
75% off
|
$79.33
|
$102,771.20
|
$52,762.00
|
2026-05-08
|
|
422080372
|
OTHER
|
Impella 5.5 Catheter System
|
30
|
16
|
$203,360.00
|
$50,840.00
75% off
|
$79.33
|
$227,763.20
|
$116,932.00
|
2026-05-08
|
|
422088631
|
OTHER
|
Graft Cl 62 (18000-18500)
|
30
|
16
|
$91,760.00
|
$22,940.00
75% off
|
$79.33
|
$102,771.20
|
$52,762.00
|
2026-05-08
|
|
422090174
|
OTHER
|
Valve Cl (30000-40000)
|
30
|
16
|
$198,400.00
|
$49,600.00
75% off
|
$79.33
|
$222,208.00
|
$114,080.00
|
2026-05-08
|
|
423
|
OTHER
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
18
|
11
|
$50,929.01
|
$12,732.25
75% off
|
$28,409.38
|
$115,802.95
|
$72,106.16
|
2026-05-08
|
|
456
|
OTHER
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
18
|
11
|
$482,234.32
|
$120,558.58
75% off
|
$58,313.99
|
$241,126.59
|
$149,720.29
|
2026-05-08
|
|
457
|
OTHER
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
18
|
11
|
$308,615.85
|
$77,153.96
75% off
|
$39,768.49
|
$163,406.46
|
$101,587.48
|
2026-05-08
|
|
458
|
OTHER
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
18
|
11
|
$227,163.41
|
$56,790.85
75% off
|
$30,111.89
|
$122,937.78
|
$76,524.84
|
2026-05-08
|
|
463
|
OTHER
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
18
|
11
|
$359,145.91
|
$89,786.48
75% off
|
$37,469.48
|
$153,771.87
|
$95,620.68
|
2026-05-08
|
|
464
|
OTHER
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
18
|
11
|
$197,842.77
|
$49,460.69
75% off
|
$20,808.56
|
$83,949.59
|
$52,379.07
|
2026-05-08
|
|
466
|
OTHER
|
Revision Of Hip Or Knee Replacement With Mcc
|
18
|
11
|
$363,558.57
|
$90,889.64
75% off
|
$35,387.89
|
$145,048.36
|
$90,218.12
|
2026-05-08
|
|
467
|
OTHER
|
Revision Of Hip Or Knee Replacement With Cc
|
18
|
11
|
$201,692.56
|
$50,423.14
75% off
|
$24,046.45
|
$97,518.87
|
$60,782.66
|
2026-05-08
|
|
469
|
OTHER
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…
|
18
|
11
|
$210,039.11
|
$52,509.78
75% off
|
$22,983.23
|
$93,063.16
|
$58,023.19
|
2026-05-08
|
|
471
|
OTHER
|
Cervical Spinal Fusion With Mcc
|
18
|
11
|
$310,128.08
|
$77,532.02
75% off
|
$34,955.17
|
$138,292.19
|
$86,623.68
|
2026-05-08
|
|
472
|
OTHER
|
Cervical Spinal Fusion With Cc
|
18
|
11
|
$177,534.73
|
$44,383.68
75% off
|
$20,459.36
|
$82,486.18
|
$51,472.77
|
2026-05-08
|
|
474
|
OTHER
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
18
|
11
|
$291,820.39
|
$72,955.10
75% off
|
$31,244.40
|
$127,683.89
|
$79,464.15
|
2026-05-08
|
|
477
|
OTHER
|
Biopsies Of Musculoskeletal System And Connective Tissue With Mcc
|
18
|
11
|
$154,874.58
|
$38,718.64
75% off
|
$24,140.20
|
$97,911.77
|
$61,025.99
|
2026-05-08
|
|
485
|
OTHER
|
Knee Procedures With Principal Diagnosis Of Infection With Mcc
|
18
|
11
|
$121,719.49
|
$30,429.87
75% off
|
$22,647.61
|
$91,656.69
|
$57,152.15
|
2026-05-08
|
|
487080063
|
OTHER
|
Impella 2.5 Catheter System
|
30
|
16
|
$124,000.00
|
$31,000.00
75% off
|
$79.33
|
$138,880.00
|
$71,300.00
|
2026-05-08
|
|
487080088
|
OTHER
|
Icd Dual C1721 (16001-17000)
|
30
|
16
|
$84,320.00
|
$21,080.00
75% off
|
$79.33
|
$94,438.40
|
$48,484.00
|
2026-05-08
|
|
487080093
|
OTHER
|
Icd Single Rr C1722 (15001-17000)
|
30
|
16
|
$84,320.00
|
$21,080.00
75% off
|
$79.33
|
$94,438.40
|
$48,484.00
|
2026-05-08
|
|
487080094
|
OTHER
|
Icd Bi-v D C1882 (17500-18500)
|
30
|
16
|
$91,760.00
|
$22,940.00
75% off
|
$79.33
|
$102,771.20
|
$52,762.00
|
2026-05-08
|
|
487080095
|
OTHER
|
Icd Bi-v D C1882 (18501-19500)
|
30
|
16
|
$96,720.00
|
$24,180.00
75% off
|
$79.33
|
$108,326.40
|
$55,614.00
|
2026-05-08
|
|
487080096
|
OTHER
|
Icd Bi-v D C1882 (19501-25000)
|
30
|
16
|
$124,000.00
|
$31,000.00
75% off
|
$79.33
|
$138,880.00
|
$71,300.00
|
2026-05-08
|
|
487080097
|
OTHER
|
Icd Bi-v D C1882 (25001-30000)
|
30
|
16
|
$148,800.00
|
$37,200.00
75% off
|
$79.33
|
$166,656.00
|
$85,560.00
|
2026-05-08
|
|
487080226
|
OTHER
|
Coatd/covrd De Stnt(18001-19000)
|
30
|
16
|
$94,240.00
|
$23,560.00
75% off
|
$79.33
|
$105,548.80
|
$54,188.00
|
2026-05-08
|
|
487088162
|
OTHER
|
Embolization Device (16000-17000)
|
30
|
16
|
$84,320.00
|
$21,080.00
75% off
|
$79.33
|
$94,438.40
|
$48,484.00
|
2026-05-08
|
|
487088164
|
OTHER
|
Embolization Device (17000-18000)
|
30
|
16
|
$89,280.00
|
$22,320.00
75% off
|
$79.33
|
$99,993.60
|
$51,336.00
|
2026-05-08
|
|
492
|
OTHER
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc
|
18
|
11
|
$247,219.36
|
$61,804.84
75% off
|
$24,902.45
|
$101,106.22
|
$63,004.33
|
2026-05-08
|
|
495
|
OTHER
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
18
|
11
|
$197,664.46
|
$49,416.11
75% off
|
$24,694.57
|
$100,235.00
|
$62,464.79
|
2026-05-08
|
|
500
|
OTHER
|
Soft Tissue Procedures With Mcc
|
18
|
11
|
$153,771.61
|
$38,442.90
75% off
|
$22,303.86
|
$90,216.06
|
$56,259.96
|
2026-05-08
|
|
504077923
|
OTHER
|
Neurostim Ipg Reprgm With Extention
|
30
|
16
|
$98,580.00
|
$24,645.00
75% off
|
$79.33
|
$110,409.60
|
$56,683.50
|
2026-05-08
|
|
504079772
|
OTHER
|
Nurostim Gen Rechg (17001-17500)
|
30
|
16
|
$86,800.00
|
$21,700.00
75% off
|
$79.33
|
$97,216.00
|
$49,910.00
|
2026-05-08
|
|
504079773
|
OTHER
|
Nurostim Gen Rechg (17501-18000)
|
30
|
16
|
$89,280.00
|
$22,320.00
75% off
|
$79.33
|
$99,993.60
|
$51,336.00
|
2026-05-08
|
|
510
|
OTHER
|
Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc
|
18
|
11
|
$153,195.25
|
$38,298.81
75% off
|
$20,193.73
|
$81,372.97
|
$50,783.35
|
2026-05-08
|
|
515
|
OTHER
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc
|
18
|
11
|
$155,145.97
|
$38,786.49
75% off
|
$21,785.50
|
$88,043.72
|
$54,914.61
|
2026-05-08
|
|
518
|
OTHER
|
Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…
|
18
|
11
|
$217,895.45
|
$54,473.86
75% off
|
$25,125.29
|
$102,040.06
|
$63,582.68
|
2026-05-08
|
|
521
|
OTHER
|
Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc
|
18
|
11
|
$167,889.88
|
$41,972.47
75% off
|
$20,578.25
|
$82,984.42
|
$51,781.33
|
2026-05-08
|
|
570
|
OTHER
|
Skin Debridement With Mcc
|
18
|
11
|
$122,212.58
|
$30,553.15
75% off
|
$48,069.88
|
$85,703.41
|
$66,886.65
|
2026-05-08
|
|
573
|
OTHER
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
18
|
11
|
$318,110.44
|
$79,527.61
75% off
|
$42,613.68
|
$175,330.11
|
$108,971.90
|
2026-05-08
|
|
574
|
OTHER
|
Skin Graft For Skin Ulcer Or Cellulitis With Cc
|
18
|
11
|
$196,204.85
|
$49,051.21
75% off
|
$24,316.15
|
$98,649.17
|
$61,482.66
|
2026-05-08
|
|
576
|
OTHER
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
18
|
11
|
$124,293.55
|
$31,073.39
75% off
|
$37,430.76
|
$153,609.59
|
$95,520.18
|
2026-05-08
|
|
577
|
OTHER
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Cc
|
18
|
11
|
$206,903.79
|
$51,725.95
75% off
|
$18,866.90
|
$75,812.58
|
$47,339.74
|
2026-05-08
|
|
579
|
OTHER
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc
|
18
|
11
|
$108,695.95
|
$27,173.99
75% off
|
$22,920.05
|
$92,798.38
|
$57,859.21
|
2026-05-08
|
|
583-1
|
OTHER
|
Neonate With Ecmo
|
10
|
6
|
—
|
—
|
$90,740.28
|
$101,629.11
|
$95,277.29
|
2026-05-08
|
|
583-2
|
OTHER
|
Neonate With Ecmo
|
10
|
6
|
—
|
—
|
$153,656.35
|
$172,095.11
|
$161,339.17
|
2026-05-08
|
|
583-3
|
OTHER
|
Neonate With Ecmo
|
10
|
6
|
—
|
—
|
$245,310.00
|
$274,747.20
|
$257,575.50
|
2026-05-08
|
|
583-4
|
OTHER
|
Neonate With Ecmo
|
10
|
6
|
—
|
—
|
$245,310.00
|
$274,747.20
|
$257,575.50
|
2026-05-08
|
|
588-1
|
OTHER
|
Female Reproductive System Reconstructive Procedures
|
10
|
6
|
—
|
—
|
$55,500.00
|
$62,160.00
|
$58,275.00
|
2026-05-08
|
|
588-2
|
OTHER
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
10
|
6
|
—
|
—
|
$122,819.21
|
$137,557.52
|
$128,960.17
|
2026-05-08
|
|
588-3
|
OTHER
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
10
|
6
|
—
|
—
|
$146,520.00
|
$164,102.40
|
$153,846.00
|
2026-05-08
|
|
588-4
|
OTHER
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
10
|
6
|
—
|
—
|
$245,310.00
|
$274,747.20
|
$257,575.50
|
2026-05-08
|
|
589-1
|
OTHER
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
10
|
6
|
—
|
—
|
$65,999.17
|
$73,919.07
|
$69,299.13
|
2026-05-08
|
|
589-3
|
OTHER
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
10
|
6
|
—
|
—
|
$96,570.00
|
$108,158.40
|
$101,398.50
|
2026-05-08
|
|
591-2
|
OTHER
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
10
|
6
|
—
|
—
|
$88,800.00
|
$99,456.00
|
$93,240.00
|
2026-05-08
|
|
591-3
|
OTHER
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
10
|
6
|
—
|
—
|
$101,010.00
|
$113,131.20
|
$106,060.50
|
2026-05-08
|
|
591-4
|
OTHER
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
10
|
6
|
—
|
—
|
$133,200.00
|
$149,184.00
|
$139,860.00
|
2026-05-08
|
|
593-2
|
OTHER
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
10
|
6
|
—
|
—
|
$73,005.44
|
$81,766.09
|
$76,655.71
|
2026-05-08
|
|
593-3
|
OTHER
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
10
|
6
|
—
|
—
|
$109,890.00
|
$123,076.80
|
$115,384.50
|
2026-05-08
|
|
593-4
|
OTHER
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
10
|
6
|
—
|
—
|
$134,310.00
|
$150,427.20
|
$141,025.50
|
2026-05-08
|
|
602-2
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
10
|
6
|
—
|
—
|
$51,857.62
|
$58,080.53
|
$54,450.50
|
2026-05-08
|
|
602-3
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
10
|
6
|
—
|
—
|
$98,628.75
|
$110,464.20
|
$103,560.19
|
2026-05-08
|
|
602-4
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
10
|
6
|
—
|
—
|
$111,000.00
|
$124,320.00
|
$116,550.00
|
2026-05-08
|
|
603-3
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
10
|
6
|
—
|
—
|
$58,832.64
|
$65,892.56
|
$61,774.27
|
2026-05-08
|
|
603-4
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
10
|
6
|
—
|
—
|
$88,800.00
|
$99,456.00
|
$93,240.00
|
2026-05-08
|
|
607-3
|
OTHER
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
10
|
6
|
—
|
—
|
$75,285.51
|
$84,319.77
|
$79,049.79
|
2026-05-08
|
|
607-4
|
OTHER
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
10
|
6
|
—
|
—
|
$109,806.49
|
$122,983.27
|
$115,296.81
|
2026-05-08
|
|
608-3
|
OTHER
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
10
|
6
|
—
|
—
|
$54,062.45
|
$60,549.94
|
$56,765.57
|
2026-05-08
|
|
608-4
|
OTHER
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
10
|
6
|
—
|
—
|
$62,629.81
|
$70,145.39
|
$65,761.30
|
2026-05-08
|
|
609-3
|
OTHER
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
10
|
6
|
—
|
—
|
$79,047.66
|
$88,533.38
|
$83,000.04
|
2026-05-08
|
|
609-4
|
OTHER
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
10
|
6
|
—
|
—
|
$183,150.00
|
$205,128.00
|
$192,307.50
|
2026-05-08
|
|
61
|
OTHER
|
Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…
|
18
|
11
|
$128,977.56
|
$32,244.39
75% off
|
$19,142.73
|
$76,968.50
|
$48,055.61
|
2026-05-08
|
|
611-4
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
10
|
6
|
—
|
—
|
$91,327.43
|
$102,286.72
|
$95,893.80
|
2026-05-08
|
|
612-3
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
10
|
6
|
—
|
—
|
$49,819.32
|
$55,797.64
|
$52,310.29
|
2026-05-08
|
|
612-4
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
10
|
6
|
—
|
—
|
$71,941.68
|
$80,574.68
|
$75,538.76
|
2026-05-08
|
|
613-3
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
10
|
6
|
—
|
—
|
$48,897.90
|
$54,765.65
|
$51,342.80
|
2026-05-08
|
|
613-4
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
10
|
6
|
—
|
—
|
$68,820.00
|
$77,078.40
|
$72,261.00
|
2026-05-08
|
|
616
|
OTHER
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
18
|
11
|
$210,824.82
|
$52,706.20
75% off
|
$27,034.33
|
$110,040.42
|
$68,537.38
|
2026-05-08
|
|
621-4
|
OTHER
|
Neonate Birth Weight 2000-2499 Grams With Major Anomaly
|
10
|
6
|
—
|
—
|
$70,552.18
|
$79,018.44
|
$74,079.79
|
2026-05-08
|
|
622
|
OTHER
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
18
|
11
|
$305,514.89
|
$76,378.72
75% off
|
$26,198.71
|
$106,538.48
|
$66,368.60
|
2026-05-08
|
|
622-4
|
OTHER
|
Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…
|
10
|
6
|
—
|
—
|
$46,653.32
|
$52,251.72
|
$48,985.99
|
2026-05-08
|
|
623-4
|
OTHER
|
Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection
|
10
|
6
|
—
|
—
|
$50,398.88
|
$56,446.75
|
$52,918.82
|
2026-05-08
|
|
625
|
OTHER
|
Thyroid, Parathyroid And Thyroglossal Procedures With Mcc
|
18
|
11
|
$225,886.11
|
$56,471.53
75% off
|
$20,254.88
|
$81,629.20
|
$50,942.04
|
2026-05-08
|
|
625-4
|
OTHER
|
Neonate Birth Weight 2000-2499 Grams With Other Significant Condition
|
10
|
6
|
—
|
—
|
$62,538.59
|
$70,043.22
|
$65,665.52
|
2026-05-08
|
|
628
|
OTHER
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc
|
18
|
11
|
$225,293.85
|
$56,323.46
75% off
|
$27,582.58
|
$112,338.02
|
$69,960.30
|
2026-05-08
|
|
630-3
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
10
|
6
|
—
|
—
|
$105,450.00
|
$118,104.00
|
$110,722.50
|
2026-05-08
|
|
630-4
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
10
|
6
|
—
|
—
|
$198,769.55
|
$222,621.90
|
$208,708.03
|
2026-05-08
|
|
631-3
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
10
|
6
|
—
|
—
|
$64,419.21
|
$72,149.52
|
$67,640.17
|
2026-05-08
|
|
631-4
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
10
|
6
|
—
|
—
|
$219,175.32
|
$245,476.36
|
$230,134.09
|
2026-05-08
|
|
633-4
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Major Anomaly
|
10
|
6
|
—
|
—
|
$71,752.79
|
$80,363.12
|
$75,340.43
|
2026-05-08
|
|
653
|
OTHER
|
Major Bladder Procedures With Mcc
|
18
|
11
|
$193,695.67
|
$48,423.92
75% off
|
$42,899.73
|
$158,714.44
|
$100,807.09
|
2026-05-08
|
|
654
|
OTHER
|
Major Bladder Procedures With Cc
|
18
|
11
|
$58,559.85
|
$14,639.96
75% off
|
$19,949.16
|
$80,348.01
|
$50,148.58
|
2026-05-08
|
|
656
|
OTHER
|
Kidney And Ureter Procedures For Neoplasm With Mcc
|
18
|
11
|
$110,864.90
|
$27,716.22
75% off
|
$22,910.54
|
$92,758.52
|
$57,834.53
|
2026-05-08
|
|
662
|
OTHER
|
Minor Bladder Procedures With Mcc
|
18
|
11
|
$116,912.39
|
$29,228.10
75% off
|
$21,970.29
|
$88,818.13
|
$55,394.21
|
2026-05-08
|
|
665
|
OTHER
|
Prostatectomy With Mcc
|
18
|
11
|
$121,380.97
|
$30,345.24
75% off
|
$24,103.51
|
$97,758.03
|
$60,930.77
|
2026-05-08
|
|
668
|
OTHER
|
Transurethral Procedures With Mcc
|
18
|
11
|
$78,074.85
|
$19,518.71
75% off
|
$20,589.12
|
$83,029.98
|
$51,809.55
|
2026-05-08
|
|
673
|
OTHER
|
Other Kidney And Urinary Tract Procedures With Mcc
|
18
|
11
|
$210,726.51
|
$52,681.63
75% off
|
$29,239.57
|
$119,282.10
|
$74,260.84
|
2026-05-08
|
|
736
|
OTHER
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc
|
18
|
11
|
$136,199.80
|
$34,049.95
75% off
|
$27,527.56
|
$112,107.41
|
$69,817.49
|
2026-05-08
|
|
739
|
OTHER
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…
|
18
|
11
|
$127,886.16
|
$31,971.54
75% off
|
$27,821.71
|
$113,340.20
|
$70,580.96
|
2026-05-08
|
|
790
|
OTHER
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
18
|
11
|
$134,410.41
|
$33,602.60
75% off
|
$41,163.91
|
$169,254.40
|
$105,209.15
|
2026-05-08
|
|
791
|
OTHER
|
Prematurity With Major Problems
|
18
|
11
|
$89,684.75
|
$22,421.19
75% off
|
$28,358.42
|
$115,589.41
|
$71,973.91
|
2026-05-08
|
|
793
|
OTHER
|
Full Term Neonate With Major Problems
|
18
|
11
|
$44,304.09
|
$11,076.02
75% off
|
$29,109.81
|
$118,738.31
|
$73,924.06
|
2026-05-08
|
|
799
|
OTHER
|
Splenectomy With Mcc
|
18
|
11
|
$187,709.44
|
$46,927.36
75% off
|
$33,079.37
|
$135,373.91
|
$84,226.64
|
2026-05-08
|
|
823
|
OTHER
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
18
|
11
|
$202,136.95
|
$50,534.24
75% off
|
$32,567.81
|
$133,230.04
|
$82,898.93
|
2026-05-08
|
|
826
|
OTHER
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
18
|
11
|
$217,150.43
|
$54,287.61
75% off
|
$33,220.01
|
$135,963.26
|
$84,591.63
|
2026-05-08
|
|
829
|
OTHER
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…
|
18
|
11
|
$61,820.46
|
$15,455.12
75% off
|
$21,727.07
|
$87,798.87
|
$54,762.97
|
2026-05-08
|
|
834
|
OTHER
|
Acute Leukemia Without Major O.r. Procedures With Mcc
|
18
|
11
|
$154,570.11
|
$38,642.53
75% off
|
$38,327.52
|
$157,367.76
|
$97,847.64
|
2026-05-08
|
|
840
|
OTHER
|
Lymphoma And Non-acute Leukemia With Mcc
|
18
|
11
|
$114,669.91
|
$28,667.48
75% off
|
$22,441.77
|
$90,794.02
|
$56,617.89
|
2026-05-08
|
|
841-3
|
OTHER
|
Extensive Third Degree Burns With Skin Graft
|
10
|
6
|
—
|
—
|
$51,997.64
|
$58,237.36
|
$54,597.52
|
2026-05-08
|
|
841-4
|
OTHER
|
Extensive Third Degree Burns With Skin Graft
|
10
|
6
|
—
|
—
|
$87,803.31
|
$98,339.71
|
$92,193.48
|
2026-05-08
|
|
842-4
|
OTHER
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
10
|
6
|
—
|
—
|
$49,157.14
|
$55,056.00
|
$51,615.00
|
2026-05-08
|
|
853
|
OTHER
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
18
|
11
|
$288,397.37
|
$72,099.34
75% off
|
$34,754.04
|
$142,392.01
|
$88,573.02
|
2026-05-08
|
|
856
|
OTHER
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
18
|
11
|
$360,771.17
|
$90,192.79
75% off
|
$31,427.16
|
$128,449.76
|
$79,938.46
|
2026-05-08
|
|
863-4
|
OTHER
|
Neonatal Aftercare
|
10
|
6
|
—
|
—
|
$89,321.49
|
$100,040.07
|
$93,787.56
|
2026-05-08
|
|
870
|
OTHER
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
18
|
11
|
$289,028.30
|
$72,257.07
75% off
|
$48,037.13
|
$198,058.51
|
$123,047.82
|
2026-05-08
|
|
876
|
OTHER
|
O.r. Procedures With Principal Diagnosis Of Mental Illness
|
18
|
11
|
$59,401.34
|
$14,850.33
75% off
|
$27,473.20
|
$111,879.64
|
$69,676.42
|
2026-05-08
|
|
901
|
OTHER
|
Wound Debridements For Injuries With Mcc
|
18
|
11
|
$229,333.50
|
$57,333.38
75% off
|
$30,876.17
|
$126,140.77
|
$78,508.47
|
2026-05-08
|
|
904
|
OTHER
|
Skin Grafts For Injuries With Cc/mcc
|
18
|
11
|
$286,265.57
|
$71,566.39
75% off
|
$27,007.84
|
$109,929.38
|
$68,468.61
|
2026-05-08
|
|
907
|
OTHER
|
Other O.r. Procedures For Injuries With Mcc
|
18
|
11
|
$206,241.76
|
$51,560.44
75% off
|
$27,840.74
|
$113,419.92
|
$70,630.33
|
2026-05-08
|
|
939
|
OTHER
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc
|
18
|
11
|
$177,731.58
|
$44,432.89
75% off
|
$22,339.86
|
$90,366.95
|
$56,353.40
|
2026-05-08
|
|
94
|
OTHER
|
Bacterial And Tuberculous Infections Of Nervous System With Mcc
|
18
|
11
|
$170,567.25
|
$42,641.81
75% off
|
$25,564.84
|
$103,882.14
|
$64,723.49
|
2026-05-08
|
|
955
|
OTHER
|
Craniotomy For Multiple Significant Trauma
|
18
|
11
|
$374,195.23
|
$93,548.81
75% off
|
$47,166.16
|
$194,408.53
|
$120,787.35
|
2026-05-08
|
|
956
|
OTHER
|
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma
|
18
|
11
|
$356,698.15
|
$89,174.54
75% off
|
$26,744.92
|
$108,827.55
|
$67,786.24
|
2026-05-08
|
|
957
|
OTHER
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
18
|
11
|
$457,881.65
|
$114,470.41
75% off
|
$51,486.29
|
$212,513.24
|
$131,999.77
|
2026-05-08
|
|
958
|
OTHER
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
18
|
11
|
$292,247.85
|
$73,061.96
75% off
|
$28,697.42
|
$117,010.12
|
$72,853.77
|
2026-05-08
|
|
963
|
OTHER
|
Other Multiple Significant Trauma With Mcc
|
18
|
11
|
$160,128.12
|
$40,032.03
75% off
|
$19,233.09
|
$77,347.17
|
$48,290.13
|
2026-05-08
|
|
97
|
OTHER
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc
|
18
|
11
|
$283,013.85
|
$70,753.46
75% off
|
$25,129.37
|
$102,057.15
|
$63,593.26
|
2026-05-08
|
|
970
|
OTHER
|
HIV With Extensive O.r. Procedures Without Mcc
|
18
|
11
|
$94,992.30
|
$23,748.08
75% off
|
$18,802.37
|
$75,542.10
|
$47,172.24
|
2026-05-08
|
|
974
|
OTHER
|
HIV With Major Related Condition With Mcc
|
18
|
11
|
$214,923.86
|
$53,730.96
75% off
|
$21,064.00
|
$85,020.10
|
$53,042.05
|
2026-05-08
|
|
981
|
OTHER
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
18
|
11
|
$288,758.41
|
$72,189.60
75% off
|
$33,073.26
|
$135,348.29
|
$84,210.77
|
2026-05-08
|
|
987
|
OTHER
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
18
|
11
|
$228,958.08
|
$57,239.52
75% off
|
$24,572.97
|
$99,725.37
|
$62,149.17
|
2026-05-08
|