|
18
|
OTHER
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
56
|
20
|
—
|
—
|
$15,021.00
|
$1,201,723.02
|
$584,514.05
|
2026-05-23
|
|
7
|
OTHER
|
Lung Transplant
|
50
|
18
|
—
|
—
|
$15,021.00
|
$836,002.18
|
$254,373.05
|
2026-05-23
|
|
588-4
|
OTHER
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
22
|
11
|
—
|
—
|
$221,000.00
|
$232,050.00
|
$221,000.00
|
2026-05-23
|
|
583-3
|
OTHER
|
Neonate With Ecmo
|
22
|
11
|
—
|
—
|
$221,000.00
|
$232,050.00
|
$221,000.00
|
2026-05-23
|
|
583-4
|
OTHER
|
Neonate With Ecmo
|
22
|
11
|
—
|
—
|
$221,000.00
|
$232,050.00
|
$221,000.00
|
2026-05-23
|
|
1
|
OTHER
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
50
|
18
|
—
|
—
|
$15,021.00
|
$562,916.08
|
$208,290.98
|
2026-05-23
|
|
011-3
|
OTHER
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
22
|
11
|
—
|
—
|
$204,995.11
|
$215,244.87
|
$204,995.11
|
2026-05-23
|
|
631-4
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
22
|
11
|
—
|
—
|
$197,455.24
|
$207,328.00
|
$197,455.24
|
2026-05-23
|
|
630-4
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
22
|
11
|
—
|
—
|
$179,071.67
|
$188,025.25
|
$179,071.67
|
2026-05-23
|
|
4
|
OTHER
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
58
|
20
|
—
|
—
|
$15,021.00
|
$354,163.30
|
$173,574.74
|
2026-05-23
|
|
609-4
|
OTHER
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
22
|
11
|
—
|
—
|
$165,000.00
|
$173,250.00
|
$165,000.00
|
2026-05-23
|
|
927
|
OTHER
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
58
|
20
|
—
|
—
|
$15,021.00
|
$478,251.20
|
$162,330.15
|
2026-05-23
|
|
3
|
OTHER
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
58
|
20
|
—
|
—
|
$15,021.00
|
$535,666.54
|
$161,388.97
|
2026-05-23
|
|
583-2
|
OTHER
|
Neonate With Ecmo
|
22
|
11
|
—
|
—
|
$138,429.14
|
$145,350.60
|
$138,429.14
|
2026-05-23
|
|
588-3
|
OTHER
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
22
|
11
|
—
|
—
|
$132,000.00
|
$138,600.00
|
$132,000.00
|
2026-05-23
|
|
2
|
OTHER
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
50
|
18
|
—
|
—
|
$15,021.00
|
$345,021.06
|
$131,605.43
|
2026-05-23
|
|
593-4
|
OTHER
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
22
|
11
|
—
|
—
|
$121,000.00
|
$127,050.00
|
$121,000.00
|
2026-05-23
|
|
591-4
|
OTHER
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
22
|
11
|
—
|
—
|
$120,000.00
|
$126,000.00
|
$120,000.00
|
2026-05-23
|
|
002-4
|
OTHER
|
Heart And/or Lung Transplant
|
22
|
11
|
—
|
—
|
$119,164.66
|
$125,122.89
|
$119,164.66
|
2026-05-23
|
|
969
|
OTHER
|
HIV With Extensive O.r. Procedures With Mcc
|
58
|
20
|
—
|
—
|
$10,889.11
|
$248,655.33
|
$117,804.42
|
2026-05-23
|
|
588-2
|
OTHER
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
22
|
11
|
—
|
—
|
$110,647.94
|
$116,180.34
|
$110,647.94
|
2026-05-23
|
|
3763391
|
OTHER
|
Barostim Neo
|
86
|
30
|
$200,200.00
|
$80,080.00
60% off
|
$373.43
|
$252,091.84
|
$108,108.00
|
2026-05-23
|
|
602-4
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
22
|
11
|
—
|
—
|
$100,000.00
|
$105,000.00
|
$100,000.00
|
2026-05-23
|
|
593-3
|
OTHER
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
22
|
11
|
—
|
—
|
$99,000.00
|
$103,950.00
|
$99,000.00
|
2026-05-23
|
|
607-4
|
OTHER
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
22
|
11
|
—
|
—
|
$98,924.77
|
$103,871.01
|
$98,924.77
|
2026-05-23
|
|
161-4
|
OTHER
|
Implantable Heart Assist Systems
|
22
|
11
|
—
|
—
|
$97,505.89
|
$102,381.18
|
$97,505.89
|
2026-05-23
|
|
630-3
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
22
|
11
|
—
|
—
|
$95,000.00
|
$99,750.00
|
$95,000.00
|
2026-05-23
|
|
6
|
OTHER
|
Liver Transplant Without Mcc
|
50
|
18
|
—
|
—
|
$8,248.70
|
$306,495.32
|
$94,760.70
|
2026-05-23
|
|
14
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
54
|
19
|
—
|
—
|
$15,021.00
|
$301,547.97
|
$92,229.13
|
2026-05-23
|
|
8
|
OTHER
|
Simultaneous Pancreas And Kidney Transplant
|
50
|
18
|
—
|
—
|
$9,969.96
|
$187,707.16
|
$92,011.23
|
2026-05-23
|
|
591-3
|
OTHER
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
22
|
11
|
—
|
—
|
$91,000.00
|
$95,550.00
|
$91,000.00
|
2026-05-23
|
|
602-3
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
22
|
11
|
—
|
—
|
$88,854.73
|
$93,297.47
|
$88,854.73
|
2026-05-23
|
|
009-4
|
OTHER
|
Extracorporeal Membrane Oxygenation (ecmo)
|
22
|
11
|
—
|
—
|
$87,176.41
|
$91,535.23
|
$87,176.41
|
2026-05-23
|
|
589-3
|
OTHER
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
22
|
11
|
—
|
—
|
$87,000.00
|
$91,350.00
|
$87,000.00
|
2026-05-23
|
|
207
|
OTHER
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
58
|
20
|
—
|
—
|
$11,446.61
|
$176,551.54
|
$86,544.97
|
2026-05-23
|
|
268
|
OTHER
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
58
|
20
|
—
|
—
|
$12,235.01
|
$170,956.94
|
$83,803.62
|
2026-05-23
|
|
212
|
OTHER
|
Hip & Femur Procedures Except Major Joint Age 0-17
|
58
|
20
|
—
|
—
|
$15,021.00
|
$287,879.27
|
$83,637.59
|
2026-05-23
|
|
611-4
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
22
|
11
|
—
|
—
|
$82,276.96
|
$86,390.81
|
$82,276.96
|
2026-05-23
|
|
583-1
|
OTHER
|
Neonate With Ecmo
|
22
|
11
|
—
|
—
|
$81,748.00
|
$85,835.40
|
$81,748.00
|
2026-05-23
|
|
863-4
|
OTHER
|
Neonatal Aftercare
|
22
|
11
|
—
|
—
|
$80,469.81
|
$84,493.30
|
$80,469.81
|
2026-05-23
|
|
603-4
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
22
|
11
|
—
|
—
|
$80,000.00
|
$84,000.00
|
$80,000.00
|
2026-05-23
|
|
591-2
|
OTHER
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
22
|
11
|
—
|
—
|
$80,000.00
|
$84,000.00
|
$80,000.00
|
2026-05-23
|
|
5
|
OTHER
|
Liver Transplant With Mcc Or Intestinal Transplant
|
50
|
18
|
—
|
—
|
$15,021.00
|
$306,495.32
|
$79,404.15
|
2026-05-23
|
|
841-4
|
OTHER
|
Extensive Third Degree Burns With Skin Graft
|
22
|
11
|
—
|
—
|
$79,102.08
|
$83,057.18
|
$79,102.08
|
2026-05-23
|
|
303-4
|
OTHER
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
22
|
11
|
—
|
—
|
$78,865.22
|
$82,808.48
|
$78,865.22
|
2026-05-23
|
|
215
|
OTHER
|
Other Heart Assist System Implant
|
58
|
20
|
—
|
—
|
$15,021.00
|
$311,325.07
|
$76,748.88
|
2026-05-23
|
|
216
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
58
|
20
|
—
|
—
|
$15,021.00
|
$219,134.72
|
$75,440.37
|
2026-05-23
|
|
235
|
OTHER
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
80
|
29
|
—
|
—
|
$10,439.58
|
$136,259.34
|
$71,629.67
|
2026-05-23
|
|
457
|
OTHER
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
80
|
29
|
—
|
—
|
$10,607.69
|
$135,615.20
|
$71,307.60
|
2026-05-23
|
|
841-3
|
OTHER
|
Extensive Third Degree Burns With Skin Graft
|
22
|
11
|
—
|
—
|
$71,251.67
|
$74,814.25
|
$71,251.67
|
2026-05-23
|
|
609-3
|
OTHER
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
22
|
11
|
—
|
—
|
$71,214.11
|
$74,774.82
|
$71,214.11
|
2026-05-23
|
|
276
|
OTHER
|
Non-maligant Breast Disorders
|
80
|
29
|
—
|
—
|
$10,685.07
|
$134,547.84
|
$70,773.92
|
2026-05-23
|
|
007-4
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
22
|
11
|
—
|
—
|
$70,159.56
|
$73,667.54
|
$70,159.56
|
2026-05-23
|
|
161-3
|
OTHER
|
Implantable Heart Assist Systems
|
22
|
11
|
—
|
—
|
$69,631.31
|
$73,112.88
|
$69,631.31
|
2026-05-23
|
|
820
|
OTHER
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
80
|
29
|
—
|
—
|
$10,432.82
|
$131,371.52
|
$68,295.04
|
2026-05-23
|
|
607-3
|
OTHER
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
22
|
11
|
—
|
—
|
$67,824.78
|
$71,216.02
|
$67,824.78
|
2026-05-23
|
|
23
|
OTHER
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
80
|
29
|
—
|
—
|
$10,193.56
|
$128,358.72
|
$67,679.36
|
2026-05-23
|
|
453
|
OTHER
|
Combined Anterior And Posterior Spinal Fusion With Mcc
|
36
|
16
|
—
|
—
|
$15,021.00
|
$273,655.62
|
$67,175.84
|
2026-05-23
|
|
004-4
|
OTHER
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
22
|
11
|
—
|
—
|
$66,996.16
|
$70,345.97
|
$66,996.16
|
2026-05-23
|
|
228
|
OTHER
|
Other Cardiothoracic Procedures With Mcc
|
80
|
29
|
—
|
—
|
$8,800.87
|
$127,767.86
|
$66,992.91
|
2026-05-23
|
|
837
|
OTHER
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
80
|
29
|
—
|
—
|
$8,546.31
|
$136,044.82
|
$66,696.68
|
2026-05-23
|
|
234
|
OTHER
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
80
|
29
|
—
|
—
|
$9,717.53
|
$126,150.81
|
$66,575.40
|
2026-05-23
|
|
001-4
|
OTHER
|
Liver Transplant And/or Intestinal Transplant
|
22
|
11
|
—
|
—
|
$66,329.56
|
$69,646.04
|
$66,329.56
|
2026-05-23
|
|
277
|
OTHER
|
Cellulitis Age >17 W Cc
|
80
|
29
|
—
|
—
|
$8,215.79
|
$133,386.08
|
$66,183.64
|
2026-05-23
|
|
278
|
OTHER
|
Cellulitis Age >17 Without Cc
|
80
|
29
|
—
|
—
|
$9,901.65
|
$124,682.88
|
$65,841.44
|
2026-05-23
|
|
28
|
OTHER
|
Spinal Procedures With Mcc
|
80
|
29
|
—
|
—
|
$10,688.09
|
$134,585.92
|
$65,818.64
|
2026-05-23
|
|
593-2
|
OTHER
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
22
|
11
|
—
|
—
|
$65,770.67
|
$69,059.20
|
$65,770.67
|
2026-05-23
|
|
461
|
OTHER
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
80
|
29
|
—
|
—
|
$9,824.80
|
$123,715.20
|
$65,357.60
|
2026-05-23
|
|
650
|
OTHER
|
Kidney Transplant With Hemodialysis With Mcc
|
78
|
29
|
—
|
—
|
$8,363.26
|
$123,662.44
|
$65,331.22
|
2026-05-23
|
|
231
|
OTHER
|
Coronary Bypass With Ptca With Mcc
|
58
|
20
|
—
|
—
|
$14,995.85
|
$196,958.63
|
$65,278.20
|
2026-05-23
|
|
163
|
OTHER
|
Major Chest Procedures With Mcc
|
80
|
29
|
—
|
—
|
$7,972.62
|
$131,796.02
|
$65,260.92
|
2026-05-23
|
|
456
|
OTHER
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
58
|
20
|
—
|
—
|
$14,948.71
|
$188,236.16
|
$65,079.14
|
2026-05-23
|
|
653
|
OTHER
|
Major Bladder Procedures With Mcc
|
80
|
29
|
—
|
—
|
$9,243.81
|
$122,934.42
|
$64,967.21
|
2026-05-23
|
|
002-3
|
OTHER
|
Heart And/or Lung Transplant
|
22
|
11
|
—
|
—
|
$64,911.19
|
$68,156.75
|
$64,911.19
|
2026-05-23
|
|
612-4
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
22
|
11
|
—
|
—
|
$64,812.32
|
$68,052.94
|
$64,812.32
|
2026-05-23
|
|
405
|
OTHER
|
Pancreas, Liver And Shunt Procedures With Mcc
|
80
|
29
|
—
|
—
|
$9,731.41
|
$122,539.20
|
$64,769.60
|
2026-05-23
|
|
754-4
|
OTHER
|
Depression Except Major Depressive Disorder
|
22
|
11
|
—
|
—
|
$64,721.64
|
$67,957.72
|
$64,721.64
|
2026-05-23
|
|
633-4
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Major Anomaly
|
22
|
11
|
—
|
—
|
$64,642.15
|
$67,874.26
|
$64,642.15
|
2026-05-23
|
|
11
|
OTHER
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
80
|
29
|
—
|
—
|
$9,702.23
|
$122,171.84
|
$64,585.92
|
2026-05-23
|
|
621-4
|
OTHER
|
Neonate Birth Weight 2000-2499 Grams With Major Anomaly
|
22
|
11
|
—
|
—
|
$63,560.52
|
$66,738.55
|
$63,560.52
|
2026-05-23
|
|
458
|
OTHER
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
80
|
29
|
—
|
—
|
$7,422.59
|
$135,615.20
|
$63,338.07
|
2026-05-23
|
|
958
|
OTHER
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
80
|
29
|
—
|
—
|
$7,496.06
|
$132,578.90
|
$62,975.39
|
2026-05-23
|
|
270
|
OTHER
|
Other Major Cardiovascular Procedures With Mcc
|
80
|
29
|
—
|
—
|
$9,385.95
|
$226,107.88
|
$62,594.56
|
2026-05-23
|
|
613-4
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
22
|
11
|
—
|
—
|
$62,000.00
|
$65,100.00
|
$62,000.00
|
2026-05-23
|
|
275
|
OTHER
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
60
|
21
|
—
|
—
|
$12,684.18
|
$201,476.16
|
$61,714.98
|
2026-05-23
|
|
20
|
OTHER
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
58
|
20
|
—
|
—
|
$13,997.71
|
$192,989.52
|
$61,063.53
|
2026-05-23
|
|
219
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
58
|
20
|
—
|
—
|
$13,658.84
|
$171,993.92
|
$59,632.61
|
2026-05-23
|
|
651
|
OTHER
|
Kidney Transplant With Hemodialysis Without Mcc
|
78
|
29
|
—
|
—
|
$6,592.20
|
$123,662.44
|
$59,540.02
|
2026-05-23
|
|
589-1
|
OTHER
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
22
|
11
|
—
|
—
|
$59,458.71
|
$62,431.65
|
$59,458.71
|
2026-05-23
|
|
233
|
OTHER
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
58
|
20
|
—
|
—
|
$13,599.95
|
$171,252.48
|
$59,383.99
|
2026-05-23
|
|
957
|
OTHER
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
58
|
20
|
—
|
—
|
$13,554.95
|
$170,685.76
|
$59,193.95
|
2026-05-23
|
|
570
|
OTHER
|
Skin Debridement With Mcc
|
58
|
20
|
—
|
—
|
$5,231.89
|
$167,962.34
|
$59,077.88
|
2026-05-23
|
|
853
|
OTHER
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
80
|
29
|
—
|
—
|
$8,785.22
|
$138,358.06
|
$58,812.32
|
2026-05-23
|
|
009-3
|
OTHER
|
Extracorporeal Membrane Oxygenation (ecmo)
|
22
|
11
|
—
|
—
|
$58,588.00
|
$61,517.40
|
$58,588.00
|
2026-05-23
|
|
323
|
OTHER
|
Urinary Stones W Cc, &/or Esw Lithotripsy
|
80
|
29
|
—
|
—
|
$7,697.96
|
$110,653.92
|
$58,541.21
|
2026-05-23
|
|
631-3
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
22
|
11
|
—
|
—
|
$58,035.32
|
$60,937.09
|
$58,035.32
|
2026-05-23
|
|
24
|
OTHER
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
80
|
29
|
—
|
—
|
$6,958.83
|
$119,150.75
|
$57,729.57
|
2026-05-23
|
|
4819248
|
OTHER
|
Remede Insrt/phrenic Nrv 33276
|
108
|
41
|
$123,150.00
|
$49,260.00
60% off
|
$373.43
|
$123,150.00
|
$57,036.93
|
2026-05-23
|
|
326
|
OTHER
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
80
|
29
|
—
|
—
|
$8,872.03
|
$111,717.76
|
$56,441.21
|
2026-05-23
|
|
608-4
|
OTHER
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
22
|
11
|
—
|
—
|
$56,423.25
|
$59,244.41
|
$56,423.25
|
2026-05-23
|
|
625-4
|
OTHER
|
Neonate Birth Weight 2000-2499 Grams With Other Significant Condition
|
22
|
11
|
—
|
—
|
$56,341.07
|
$59,158.12
|
$56,341.07
|
2026-05-23
|
|
981
|
OTHER
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
80
|
29
|
—
|
—
|
$8,346.19
|
$213,938.49
|
$56,048.16
|
2026-05-23
|
|
10
|
OTHER
|
Pancreas Transplant
|
50
|
18
|
—
|
—
|
$12,764.77
|
$154,522.59
|
$55,857.39
|
2026-05-23
|
|
928
|
OTHER
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
58
|
20
|
—
|
—
|
$12,759.43
|
$160,668.48
|
$55,834.84
|
2026-05-23
|
|
19
|
OTHER
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
56
|
20
|
—
|
—
|
$12,691.65
|
$156,091.52
|
$55,548.65
|
2026-05-23
|
|
160-4
|
OTHER
|
Major Cardiothoracic Repair Of Heart Anomaly
|
22
|
11
|
—
|
—
|
$55,282.75
|
$58,046.89
|
$55,282.75
|
2026-05-23
|
|
463
|
OTHER
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
80
|
29
|
—
|
—
|
$10,138.77
|
$127,668.80
|
$55,141.53
|
2026-05-23
|
|
329
|
OTHER
|
Major Small And Large Bowel Procedures With Mcc
|
80
|
29
|
—
|
—
|
$8,176.66
|
$102,961.60
|
$54,980.80
|
2026-05-23
|
|
466
|
OTHER
|
Revision Of Hip Or Knee Replacement With Mcc
|
80
|
29
|
—
|
—
|
$9,259.82
|
$116,600.96
|
$54,885.71
|
2026-05-23
|
|
245
|
OTHER
|
Aicd Generator Procedures
|
80
|
29
|
—
|
—
|
$8,116.00
|
$102,197.76
|
$54,598.88
|
2026-05-23
|
|
239
|
OTHER
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
80
|
29
|
—
|
—
|
$8,755.15
|
$110,246.08
|
$54,548.81
|
2026-05-23
|
|
856
|
OTHER
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
80
|
29
|
—
|
—
|
$8,091.63
|
$101,890.88
|
$54,445.44
|
2026-05-23
|
|
25
|
OTHER
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
80
|
29
|
—
|
—
|
$8,088.07
|
$101,863.08
|
$54,431.54
|
2026-05-23
|
|
834
|
OTHER
|
Acute Leukemia Without Major O.r. Procedures With Mcc
|
80
|
29
|
—
|
—
|
$9,765.92
|
$122,973.76
|
$54,359.15
|
2026-05-23
|
|
471
|
OTHER
|
Cervical Spinal Fusion With Mcc
|
80
|
29
|
—
|
—
|
$8,589.72
|
$108,162.88
|
$54,338.57
|
2026-05-23
|
|
799
|
OTHER
|
Splenectomy With Mcc
|
80
|
29
|
—
|
—
|
$8,056.41
|
$101,447.36
|
$54,223.68
|
2026-05-23
|
|
826
|
OTHER
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
80
|
29
|
—
|
—
|
$8,321.28
|
$104,782.72
|
$53,140.15
|
2026-05-23
|
|
603-3
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
22
|
11
|
—
|
—
|
$53,002.38
|
$55,652.50
|
$53,002.38
|
2026-05-23
|
|
870
|
OTHER
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
60
|
21
|
—
|
—
|
$12,295.32
|
$154,824.32
|
$52,818.74
|
2026-05-23
|
|
356
|
OTHER
|
Other Digestive System O.r. Procedures With Mcc
|
80
|
29
|
—
|
—
|
$7,814.30
|
$98,398.72
|
$52,699.36
|
2026-05-23
|
|
955
|
OTHER
|
Craniotomy For Multiple Significant Trauma
|
58
|
20
|
—
|
—
|
$11,973.87
|
$187,021.16
|
$52,517.80
|
2026-05-23
|
|
4800034
|
OTHER
|
Insrt Barostim 0266t
|
78
|
29
|
$89,032.00
|
$35,612.80
60% off
|
$373.43
|
$89,032.00
|
$52,413.14
|
2026-05-23
|
|
3750356
|
OTHER
|
Remede Phrenic Nerve Stim Comp
|
86
|
30
|
$96,250.00
|
$38,500.00
60% off
|
$373.43
|
$121,198.00
|
$51,975.00
|
2026-05-23
|
|
236
|
OTHER
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
80
|
29
|
—
|
—
|
$7,451.41
|
$96,624.39
|
$51,812.19
|
2026-05-23
|
|
454
|
OTHER
|
Combined Anterior And Posterior Spinal Fusion With Cc
|
58
|
25
|
—
|
—
|
$15,021.00
|
$95,767.04
|
$51,383.52
|
2026-05-23
|
|
217
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
58
|
20
|
—
|
—
|
$11,696.72
|
$195,517.99
|
$51,347.52
|
2026-05-23
|
|
218
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
58
|
20
|
—
|
—
|
$11,696.72
|
$195,517.99
|
$51,347.52
|
2026-05-23
|
|
140
|
OTHER
|
Major Head And Neck Procedures With Mcc
|
80
|
29
|
—
|
—
|
$7,587.49
|
$95,542.72
|
$51,271.36
|
2026-05-23
|
|
161-1
|
OTHER
|
Implantable Heart Assist Systems
|
22
|
11
|
—
|
—
|
$51,234.90
|
$53,796.65
|
$51,234.90
|
2026-05-23
|
|
161-2
|
OTHER
|
Implantable Heart Assist Systems
|
22
|
11
|
—
|
—
|
$51,234.90
|
$53,796.65
|
$51,234.90
|
2026-05-23
|
|
459
|
OTHER
|
Spinal Fusion Except Cervical With Mcc
|
36
|
16
|
—
|
—
|
$15,021.00
|
$176,973.88
|
$50,760.47
|
2026-05-23
|
|
12
|
OTHER
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc
|
80
|
29
|
—
|
—
|
$7,499.79
|
$94,438.40
|
$50,719.20
|
2026-05-23
|
|
673
|
OTHER
|
Other Kidney And Urinary Tract Procedures With Mcc
|
80
|
29
|
—
|
—
|
$7,474.18
|
$94,115.84
|
$50,557.92
|
2026-05-23
|
|
573
|
OTHER
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
58
|
20
|
—
|
—
|
$11,654.21
|
$146,751.36
|
$50,164.71
|
2026-05-23
|
|
011-4
|
OTHER
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
22
|
11
|
—
|
—
|
$50,021.00
|
$52,522.05
|
$50,021.00
|
2026-05-23
|
|
423
|
OTHER
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
80
|
29
|
—
|
—
|
$7,387.72
|
$93,027.20
|
$50,013.60
|
2026-05-23
|
|
588-1
|
OTHER
|
Female Reproductive System Reconstructive Procedures
|
22
|
11
|
—
|
—
|
$50,000.00
|
$52,500.00
|
$50,000.00
|
2026-05-23
|
|
011-2
|
OTHER
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
22
|
11
|
—
|
—
|
$50,000.00
|
$52,500.00
|
$50,000.00
|
2026-05-23
|
|
269
|
OTHER
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
80
|
29
|
—
|
—
|
$7,512.60
|
$94,599.68
|
$49,844.58
|
2026-05-23
|
|
31
|
OTHER
|
Ventricular Shunt Procedures With Mcc
|
80
|
29
|
—
|
—
|
$7,970.31
|
$100,363.20
|
$49,274.05
|
2026-05-23
|
|
002-2
|
OTHER
|
Heart And/or Lung Transplant
|
22
|
11
|
—
|
—
|
$49,153.16
|
$51,610.82
|
$49,153.16
|
2026-05-23
|
|
21
|
OTHER
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
58
|
20
|
—
|
—
|
$9,417.08
|
$192,989.52
|
$49,013.52
|
2026-05-23
|
|
608-3
|
OTHER
|
Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition
|
22
|
11
|
—
|
—
|
$48,704.91
|
$51,140.16
|
$48,704.91
|
2026-05-23
|
|
266
|
OTHER
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
58
|
20
|
—
|
—
|
$10,901.74
|
$240,338.18
|
$47,990.67
|
2026-05-23
|
|
26
|
OTHER
|
Craniotomy And Endovascular Intracranial Procedures With Cc
|
80
|
29
|
—
|
—
|
$5,530.92
|
$101,863.08
|
$47,865.77
|
2026-05-23
|
|
232
|
OTHER
|
Coronary Bypass With Ptca Without Mcc
|
58
|
20
|
—
|
—
|
$10,784.69
|
$196,958.63
|
$47,496.41
|
2026-05-23
|
|
271
|
OTHER
|
Other Major Cardiovascular Procedures With Cc
|
80
|
29
|
—
|
—
|
$6,326.26
|
$88,517.79
|
$47,422.03
|
2026-05-23
|
|
956
|
OTHER
|
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma
|
80
|
29
|
—
|
—
|
$6,693.96
|
$87,189.41
|
$46,941.68
|
2026-05-23
|
|
616
|
OTHER
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
80
|
29
|
—
|
—
|
$6,203.69
|
$87,451.34
|
$46,827.51
|
2026-05-23
|
|
602-2
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
22
|
11
|
—
|
—
|
$46,718.58
|
$49,054.51
|
$46,718.58
|
2026-05-23
|
|
005-4
|
OTHER
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
22
|
11
|
—
|
—
|
$46,671.82
|
$49,005.41
|
$46,671.82
|
2026-05-23
|
|
790
|
OTHER
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
56
|
20
|
—
|
—
|
$10,572.82
|
$148,444.64
|
$46,601.80
|
2026-05-23
|
|
16
|
OTHER
|
Autologous Bone Marrow Transplant With Cc/mcc
|
50
|
18
|
—
|
—
|
$10,548.27
|
$301,547.97
|
$46,498.15
|
2026-05-23
|
|
004-3
|
OTHER
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
22
|
11
|
—
|
—
|
$46,198.91
|
$48,508.86
|
$46,198.91
|
2026-05-23
|
|
279
|
OTHER
|
Cellulitis Age 0-17
|
80
|
29
|
—
|
—
|
$6,415.38
|
$85,545.64
|
$45,980.51
|
2026-05-23
|
|
623-4
|
OTHER
|
Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection
|
22
|
11
|
—
|
—
|
$45,404.40
|
$47,674.62
|
$45,404.40
|
2026-05-23
|
|
823
|
OTHER
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
80
|
29
|
—
|
—
|
$8,155.85
|
$102,699.52
|
$45,262.91
|
2026-05-23
|
|
166
|
OTHER
|
Other Respiratory System O.r. Procedures With Mcc
|
80
|
29
|
—
|
—
|
$6,648.95
|
$83,724.48
|
$45,186.71
|
2026-05-23
|
|
518
|
OTHER
|
Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…
|
80
|
29
|
—
|
—
|
$6,648.24
|
$83,715.52
|
$45,181.88
|
2026-05-23
|
|
901
|
OTHER
|
Wound Debridements For Injuries With Mcc
|
80
|
29
|
—
|
—
|
$7,465.28
|
$94,003.84
|
$45,089.57
|
2026-05-23
|
|
628
|
OTHER
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc
|
80
|
29
|
—
|
—
|
$6,629.56
|
$83,480.32
|
$45,054.94
|
2026-05-23
|
|
612-3
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…
|
22
|
11
|
—
|
—
|
$44,882.27
|
$47,126.38
|
$44,882.27
|
2026-05-23
|
|
265
|
OTHER
|
Aicd Lead Procedures
|
80
|
29
|
—
|
—
|
$6,436.37
|
$82,875.51
|
$44,655.94
|
2026-05-23
|
|
007-3
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
22
|
11
|
—
|
—
|
$44,622.06
|
$46,853.16
|
$44,622.06
|
2026-05-23
|
|
252
|
OTHER
|
Other Vascular Procedures With Mcc
|
80
|
29
|
—
|
—
|
$6,205.30
|
$82,741.87
|
$44,473.58
|
2026-05-23
|
|
474
|
OTHER
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
80
|
29
|
—
|
—
|
$7,636.59
|
$96,160.96
|
$44,385.61
|
2026-05-23
|
|
4810032
|
OTHER
|
Remede Rmv/repl Pulse Gen0431t
|
78
|
29
|
$75,336.00
|
$30,134.40
60% off
|
$373.43
|
$75,336.00
|
$44,350.30
|
2026-05-23
|
|
332
|
OTHER
|
Rectal Resection With Mcc
|
80
|
29
|
—
|
—
|
$6,440.82
|
$133,019.59
|
$44,316.04
|
2026-05-23
|
|
842-4
|
OTHER
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
22
|
11
|
—
|
—
|
$44,285.71
|
$46,500.00
|
$44,285.71
|
2026-05-23
|
|
613-3
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
22
|
11
|
—
|
—
|
$44,052.16
|
$46,254.77
|
$44,052.16
|
2026-05-23
|
|
876
|
OTHER
|
O.r. Procedures With Principal Diagnosis Of Mental Illness
|
78
|
29
|
—
|
—
|
$6,875.22
|
$86,573.76
|
$44,038.04
|
2026-05-23
|
|
29
|
OTHER
|
Spinal Procedures With Cc Or Spinal Neurostimulators
|
80
|
29
|
—
|
—
|
$6,068.85
|
$81,659.39
|
$43,864.12
|
2026-05-23
|
|
002-1
|
OTHER
|
Heart And/or Lung Transplant
|
22
|
11
|
—
|
—
|
$43,443.38
|
$45,615.55
|
$43,443.38
|
2026-05-23
|
|
460
|
OTHER
|
Spinal Fusion Except Cervical Without Mcc
|
58
|
25
|
—
|
—
|
$15,021.00
|
$79,728.89
|
$43,364.44
|
2026-05-23
|
|
006-4
|
OTHER
|
Pancreas Transplant
|
22
|
11
|
—
|
—
|
$43,326.23
|
$45,492.54
|
$43,326.23
|
2026-05-23
|
|
335
|
OTHER
|
Peritoneal Adhesiolysis With Mcc
|
80
|
29
|
—
|
—
|
$6,352.23
|
$79,988.16
|
$43,170.19
|
2026-05-23
|
|
242
|
OTHER
|
Permanent Cardiac Pacemaker Implant With Mcc
|
80
|
29
|
—
|
—
|
$5,679.63
|
$82,875.51
|
$43,145.10
|
2026-05-23
|
|
408
|
OTHER
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
80
|
29
|
—
|
—
|
$6,342.80
|
$79,869.44
|
$43,106.12
|
2026-05-23
|
|
622
|
OTHER
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
80
|
29
|
—
|
—
|
$6,331.42
|
$79,726.08
|
$43,028.75
|
2026-05-23
|
|
654
|
OTHER
|
Major Bladder Procedures With Cc
|
80
|
29
|
—
|
—
|
$4,979.64
|
$89,423.87
|
$42,779.79
|
2026-05-23
|
|
17
|
OTHER
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
54
|
19
|
—
|
—
|
$9,663.45
|
$301,547.97
|
$42,761.99
|
2026-05-23
|
|
22
|
OTHER
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…
|
58
|
20
|
—
|
—
|
$5,652.24
|
$192,989.52
|
$42,737.93
|
2026-05-23
|
|
576
|
OTHER
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
80
|
29
|
—
|
—
|
$8,718.69
|
$109,786.88
|
$42,726.85
|
2026-05-23
|
|
467
|
OTHER
|
Revision Of Hip Or Knee Replacement With Cc
|
80
|
29
|
—
|
—
|
$6,273.43
|
$78,995.84
|
$42,634.64
|
2026-05-23
|
|
736
|
OTHER
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc
|
80
|
29
|
—
|
—
|
$6,358.64
|
$80,068.80
|
$42,620.17
|
2026-05-23
|
|
319
|
OTHER
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
80
|
29
|
—
|
—
|
$7,939.00
|
$99,968.96
|
$42,506.49
|
2026-05-23
|
|
13
|
OTHER
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc
|
80
|
29
|
—
|
—
|
$5,126.40
|
$87,293.65
|
$42,502.41
|
2026-05-23
|
|
324
|
OTHER
|
Urinary Stones Without Cc
|
80
|
29
|
—
|
—
|
$5,605.28
|
$79,344.74
|
$42,446.89
|
2026-05-23
|
|
800
|
OTHER
|
Splenectomy With Cc
|
80
|
29
|
—
|
—
|
$4,997.61
|
$86,833.93
|
$42,205.40
|
2026-05-23
|
|
622-4
|
OTHER
|
Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…
|
22
|
11
|
—
|
—
|
$42,030.02
|
$44,131.52
|
$42,030.02
|
2026-05-23
|
|
220
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
58
|
20
|
—
|
—
|
$9,486.45
|
$169,423.45
|
$42,014.60
|
2026-05-23
|
|
574
|
OTHER
|
Skin Graft For Skin Ulcer Or Cellulitis With Cc
|
80
|
29
|
—
|
—
|
$6,175.23
|
$77,759.36
|
$41,967.29
|
2026-05-23
|
|
173
|
OTHER
|
Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary…
|
80
|
29
|
—
|
—
|
$5,294.68
|
$82,188.60
|
$41,904.96
|
2026-05-23
|
|
208
|
OTHER
|
Respiratory System Diagnosis With Ventilator Support <=96 Hours
|
80
|
29
|
—
|
—
|
$4,889.63
|
$84,880.11
|
$41,256.87
|
2026-05-23
|
|
420
|
OTHER
|
Hepatobiliary Diagnostic Procedures With Mcc
|
80
|
29
|
—
|
—
|
$6,060.85
|
$76,319.04
|
$41,189.94
|
2026-05-23
|
|
3750454
|
OTHER
|
Remede El Ipg
|
86
|
30
|
$75,625.00
|
$30,250.00
60% off
|
$373.43
|
$95,227.00
|
$40,837.50
|
2026-05-23
|
|
264
|
OTHER
|
Other Circulatory System O.r. Procedures
|
80
|
29
|
—
|
—
|
$5,942.55
|
$74,829.44
|
$40,386.00
|
2026-05-23
|
|
907
|
OTHER
|
Other O.r. Procedures For Injuries With Mcc
|
80
|
29
|
—
|
—
|
$6,829.68
|
$86,000.32
|
$40,277.38
|
2026-05-23
|
|
273
|
OTHER
|
Percutaneous And Other Intracardiac Procedures With Mcc
|
80
|
29
|
—
|
—
|
$7,338.80
|
$92,411.20
|
$40,241.39
|
2026-05-23
|
|
933
|
OTHER
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft
|
80
|
29
|
—
|
—
|
$6,927.35
|
$87,230.08
|
$40,213.95
|
2026-05-23
|
|
34
|
OTHER
|
Carotid Artery Stent Procedures With Mcc
|
80
|
29
|
—
|
—
|
$6,885.54
|
$86,703.68
|
$40,064.46
|
2026-05-23
|
|
495
|
OTHER
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
80
|
29
|
—
|
—
|
$6,449.71
|
$81,215.68
|
$40,024.06
|
2026-05-23
|
|
411
|
OTHER
|
Cholecystectomy With C.d.e. With Mcc
|
80
|
29
|
—
|
—
|
$5,876.20
|
$73,993.92
|
$39,935.06
|
2026-05-23
|
|
221
|
OTHER
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
58
|
20
|
—
|
—
|
$8,965.95
|
$169,423.45
|
$39,816.75
|
2026-05-23
|
|
253
|
OTHER
|
Other Vascular Procedures With Cc
|
80
|
29
|
—
|
—
|
$4,617.28
|
$96,703.10
|
$39,767.97
|
2026-05-23
|
|
656
|
OTHER
|
Kidney And Ureter Procedures For Neoplasm With Mcc
|
80
|
29
|
—
|
—
|
$5,663.62
|
$73,785.32
|
$39,724.47
|
2026-05-23
|
|
288
|
OTHER
|
Acute And Subacute Endocarditis With Mcc
|
80
|
29
|
—
|
—
|
$4,814.03
|
$79,745.66
|
$39,355.36
|
2026-05-23
|
|
634-4
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…
|
22
|
11
|
—
|
—
|
$39,210.14
|
$41,170.65
|
$39,210.14
|
2026-05-23
|
|
485
|
OTHER
|
Knee Procedures With Principal Diagnosis Of Infection With Mcc
|
80
|
29
|
—
|
—
|
$5,740.65
|
$72,287.04
|
$39,013.85
|
2026-05-23
|
|
325
|
OTHER
|
Coronary Intravascular Lithotripsy Without Intraluminal Device
|
80
|
29
|
—
|
—
|
$5,710.94
|
$71,912.96
|
$38,811.95
|
2026-05-23
|
|
321
|
OTHER
|
Kidney & Urinary Tract Infections Age >17 Without Cc
|
80
|
29
|
—
|
—
|
$4,840.00
|
$219,119.39
|
$38,732.45
|
2026-05-23
|
|
3750453
|
OTHER
|
Optimizer Smart Mini Ipg
|
86
|
30
|
$71,500.00
|
$28,600.00
60% off
|
$373.43
|
$90,032.80
|
$38,610.00
|
2026-05-23
|
|
164
|
OTHER
|
Major Chest Procedures With Cc
|
80
|
29
|
—
|
—
|
$4,489.91
|
$79,585.29
|
$38,530.27
|
2026-05-23
|
|
987
|
OTHER
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
80
|
29
|
—
|
—
|
$6,098.74
|
$76,796.16
|
$38,110.51
|
2026-05-23
|
|
258
|
OTHER
|
Cardiac Pacemaker Device Replacement With Mcc
|
80
|
29
|
—
|
—
|
$5,589.44
|
$70,383.04
|
$37,986.24
|
2026-05-23
|
|
333
|
OTHER
|
Rectal Resection With Cc
|
80
|
29
|
—
|
—
|
$4,166.51
|
$82,191.27
|
$37,741.78
|
2026-05-23
|
|
267
|
OTHER
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
58
|
20
|
—
|
—
|
$8,468.93
|
$180,459.44
|
$37,718.05
|
2026-05-23
|
|
414
|
OTHER
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc
|
80
|
29
|
—
|
—
|
$6,337.47
|
$79,802.24
|
$37,657.44
|
2026-05-23
|
|
464
|
OTHER
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
80
|
29
|
—
|
—
|
$5,540.70
|
$69,769.28
|
$37,654.99
|
2026-05-23
|
|
4819253
|
OTHER
|
Rmv/rpl Phren Nrv Sys Pg 33287
|
108
|
41
|
$80,968.00
|
$32,387.20
60% off
|
$373.43
|
$80,968.00
|
$37,500.33
|
2026-05-23
|
|
904
|
OTHER
|
Skin Grafts For Injuries With Cc/mcc
|
80
|
29
|
—
|
—
|
$6,534.03
|
$82,277.44
|
$37,500.24
|
2026-05-23
|
|
330
|
OTHER
|
Major Small And Large Bowel Procedures With Cc
|
80
|
29
|
—
|
—
|
$4,264.35
|
$141,136.15
|
$37,355.26
|
2026-05-23
|
|
274
|
OTHER
|
Percutaneous And Other Intracardiac Procedures Without Mcc
|
80
|
29
|
—
|
—
|
$5,855.57
|
$73,734.08
|
$36,814.21
|
2026-05-23
|
|
40
|
OTHER
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc
|
80
|
29
|
—
|
—
|
$6,868.64
|
$86,490.88
|
$36,775.65
|
2026-05-23
|
|
614-3
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
|
22
|
11
|
—
|
—
|
$36,736.42
|
$38,573.24
|
$36,736.42
|
2026-05-23
|
|
469
|
OTHER
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…
|
80
|
29
|
—
|
—
|
$5,395.72
|
$67,943.68
|
$36,669.70
|
2026-05-23
|
|
37
|
OTHER
|
Extracranial Procedures With Mcc
|
80
|
29
|
—
|
—
|
$5,856.28
|
$73,743.04
|
$36,506.95
|
2026-05-23
|
|
929
|
OTHER
|
Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc
|
80
|
29
|
—
|
—
|
$5,729.44
|
$72,145.92
|
$36,474.26
|
2026-05-23
|
|
240
|
OTHER
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc
|
80
|
29
|
—
|
—
|
$5,070.72
|
$67,742.12
|
$36,406.42
|
2026-05-23
|
|
674
|
OTHER
|
Other Kidney And Urinary Tract Procedures With Cc
|
80
|
29
|
—
|
—
|
$4,160.11
|
$74,132.78
|
$35,928.49
|
2026-05-23
|
|
455
|
OTHER
|
Combined Anterior And Posterior Spinal Fusion Without Cc/mcc
|
36
|
16
|
—
|
—
|
$15,021.00
|
$146,158.35
|
$35,835.59
|
2026-05-23
|
|
3750212
|
OTHER
|
Icd Biotronik Intica 7 Hf-t
|
82
|
29
|
$66,227.00
|
$26,490.80
60% off
|
$373.43
|
$66,227.00
|
$35,762.58
|
2026-05-23
|
|
357
|
OTHER
|
Other Digestive System O.r. Procedures With Cc
|
80
|
29
|
—
|
—
|
$4,136.80
|
$73,798.68
|
$35,756.00
|
2026-05-23
|
|
468
|
OTHER
|
Revision Of Hip Or Knee Replacement Without Cc/mcc
|
80
|
29
|
—
|
—
|
$4,888.38
|
$66,357.61
|
$35,623.00
|
2026-05-23
|
|
472
|
OTHER
|
Cervical Spinal Fusion With Cc
|
80
|
29
|
—
|
—
|
$5,240.78
|
$65,992.64
|
$35,616.71
|
2026-05-23
|
|
327
|
OTHER
|
Stomach, Esophageal And Duodenal Procedures With Cc
|
80
|
29
|
—
|
—
|
$4,347.96
|
$71,834.17
|
$35,497.44
|
2026-05-23
|
|
141
|
OTHER
|
Major Head And Neck Procedures With Cc
|
80
|
29
|
—
|
—
|
$3,879.93
|
$76,821.62
|
$35,340.98
|
2026-05-23
|
|
477
|
OTHER
|
Biopsies Of Musculoskeletal System And Connective Tissue With Mcc
|
80
|
29
|
—
|
—
|
$6,145.35
|
$152,594.36
|
$35,320.18
|
2026-05-23
|
|
480
|
OTHER
|
Hip And Femur Procedures Except Major Joint With Mcc
|
80
|
29
|
—
|
—
|
$5,180.66
|
$70,254.81
|
$35,208.09
|
2026-05-23
|
|
492
|
OTHER
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc
|
80
|
29
|
—
|
—
|
$6,531.37
|
$82,243.84
|
$34,969.82
|
2026-05-23
|
|
409
|
OTHER
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
80
|
29
|
—
|
—
|
$3,873.17
|
$75,145.77
|
$34,940.95
|
2026-05-23
|
|
802
|
OTHER
|
Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc
|
80
|
29
|
—
|
—
|
$7,087.27
|
$89,243.84
|
$34,915.07
|
2026-05-23
|
|
619
|
OTHER
|
O.r. Procedures For Obesity With Mcc
|
80
|
29
|
—
|
—
|
$5,136.36
|
$64,677.76
|
$34,907.06
|
2026-05-23
|
|
974
|
OTHER
|
HIV With Major Related Condition With Mcc
|
80
|
29
|
—
|
—
|
$5,133.87
|
$64,646.40
|
$34,890.14
|
2026-05-23
|
|
011-1
|
OTHER
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
22
|
11
|
—
|
—
|
$34,745.58
|
$36,482.86
|
$34,745.58
|
2026-05-23
|
|
272
|
OTHER
|
Other Major Cardiovascular Procedures Without Cc/mcc
|
80
|
29
|
—
|
—
|
$4,541.50
|
$65,614.57
|
$34,723.26
|
2026-05-23
|
|
483-4
|
OTHER
|
Penis, Testes And Scrotal Procedures
|
22
|
11
|
—
|
—
|
$34,710.96
|
$36,446.51
|
$34,710.96
|
2026-05-23
|
|
521
|
OTHER
|
Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc
|
80
|
29
|
—
|
—
|
$5,105.76
|
$103,419.19
|
$34,699.12
|
2026-05-23
|
|
939
|
OTHER
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc
|
80
|
29
|
—
|
—
|
$6,454.70
|
$81,278.40
|
$34,559.32
|
2026-05-23
|
|
001-3
|
OTHER
|
Liver Transplant And/or Intestinal Transplant
|
22
|
11
|
—
|
—
|
$34,436.53
|
$36,158.36
|
$34,436.53
|
2026-05-23
|
|
424
|
OTHER
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Cc
|
80
|
29
|
—
|
—
|
$3,892.03
|
$72,499.70
|
$34,434.08
|
2026-05-23
|
|
97
|
OTHER
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc
|
80
|
29
|
—
|
—
|
$6,424.99
|
$80,904.32
|
$34,400.26
|
2026-05-23
|
|
162-4
|
OTHER
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
22
|
11
|
—
|
—
|
$34,306.45
|
$36,021.77
|
$34,306.45
|
2026-05-23
|
|
614
|
OTHER
|
Adrenal And Pituitary Procedures With Cc/mcc
|
80
|
29
|
—
|
—
|
$3,898.97
|
$71,435.93
|
$34,227.60
|
2026-05-23
|
|
623-3
|
OTHER
|
Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection
|
22
|
11
|
—
|
—
|
$34,148.97
|
$35,856.42
|
$34,148.97
|
2026-05-23
|
|
739
|
OTHER
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…
|
80
|
29
|
—
|
—
|
$6,373.40
|
$80,254.72
|
$34,124.06
|
2026-05-23
|
|
3763673
|
OTHER
|
Abbott Eterna 16ch Ipg
|
86
|
30
|
$62,913.00
|
$25,165.20
60% off
|
$373.43
|
$79,220.05
|
$33,973.02
|
2026-05-23
|
|
005-3
|
OTHER
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
22
|
11
|
—
|
—
|
$33,871.27
|
$35,564.83
|
$33,871.27
|
2026-05-23
|
|
94
|
OTHER
|
Bacterial And Tuberculous Infections Of Nervous System With Mcc
|
80
|
29
|
—
|
—
|
$6,260.62
|
$78,834.56
|
$33,837.07
|
2026-05-23
|
|
232-4
|
OTHER
|
Gastric Fundoplication
|
22
|
11
|
—
|
—
|
$33,765.46
|
$35,453.73
|
$33,765.46
|
2026-05-23
|
|
440-4
|
OTHER
|
Kidney Transplant
|
22
|
11
|
—
|
—
|
$33,592.77
|
$35,272.41
|
$33,592.77
|
2026-05-23
|
|
827
|
OTHER
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
80
|
29
|
—
|
—
|
$4,111.37
|
$67,627.19
|
$33,491.32
|
2026-05-23
|
|
006-3
|
OTHER
|
Pancreas Transplant
|
22
|
11
|
—
|
—
|
$33,389.74
|
$35,059.23
|
$33,389.74
|
2026-05-23
|
|
143
|
OTHER
|
Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc
|
80
|
29
|
—
|
—
|
$6,664.78
|
$83,923.84
|
$33,368.37
|
2026-05-23
|
|
589-2
|
OTHER
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
22
|
11
|
—
|
—
|
$33,354.00
|
$35,021.70
|
$33,354.00
|
2026-05-23
|
|
607-2
|
OTHER
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
22
|
11
|
—
|
—
|
$33,333.50
|
$35,000.18
|
$33,333.50
|
2026-05-23
|
|
61
|
OTHER
|
Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…
|
80
|
29
|
—
|
—
|
$4,904.57
|
$61,759.04
|
$33,331.81
|
2026-05-23
|
|
3763661
|
OTHER
|
Proclaim Plus 5 Ipg
|
86
|
30
|
$61,538.00
|
$24,615.20
60% off
|
$373.43
|
$77,488.65
|
$33,230.52
|
2026-05-23
|
|
963
|
OTHER
|
Other Multiple Significant Trauma With Mcc
|
80
|
29
|
—
|
—
|
$4,863.12
|
$61,237.12
|
$33,050.12
|
2026-05-23
|
|
838
|
OTHER
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che…
|
80
|
29
|
—
|
—
|
$3,713.25
|
$68,787.18
|
$32,855.96
|
2026-05-23
|
|
486
|
OTHER
|
Knee Procedures With Principal Diagnosis Of Infection With Cc
|
80
|
29
|
—
|
—
|
$3,719.83
|
$68,584.05
|
$32,838.76
|
2026-05-23
|
|
793
|
OTHER
|
Full Term Neonate With Major Problems
|
58
|
21
|
—
|
—
|
$6,056.02
|
$93,399.04
|
$32,624.83
|
2026-05-23
|
|
4819250
|
OTHER
|
Ins/rplc Ccm Sys 0408t
|
106
|
40
|
$65,243.00
|
$26,097.20
60% off
|
$373.43
|
$65,557.46
|
$32,621.50
|
2026-05-23
|
|
255
|
OTHER
|
Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc
|
80
|
29
|
—
|
—
|
$4,798.37
|
$60,421.76
|
$32,610.06
|
2026-05-23
|
|
4810029
|
OTHER
|
Insrt/repl Subq Icd 33270
|
108
|
41
|
$65,893.00
|
$26,357.20
60% off
|
$373.43
|
$65,893.00
|
$32,479.46
|
2026-05-23
|
|
480-4
|
OTHER
|
Major Male Pelvic Procedures
|
22
|
11
|
—
|
—
|
$32,477.77
|
$34,101.66
|
$32,477.77
|
2026-05-23
|
|
483
|
OTHER
|
Major Joint Or Limb Reattachment Procedures Of Upper Extremities
|
80
|
29
|
—
|
—
|
$4,930.90
|
$62,090.56
|
$32,320.93
|
2026-05-23
|
|
397
|
OTHER
|
Coagulation Disorders
|
80
|
29
|
—
|
—
|
$4,260.26
|
$60,047.12
|
$32,153.69
|
2026-05-23
|
|
791
|
OTHER
|
Prematurity With Major Problems
|
56
|
20
|
—
|
—
|
$7,220.51
|
$90,921.60
|
$32,128.44
|
2026-05-23
|
|
515
|
OTHER
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc
|
80
|
29
|
—
|
—
|
$5,669.14
|
$71,386.56
|
$32,017.25
|
2026-05-23
|
|
840
|
OTHER
|
Lymphoma And Non-acute Leukemia With Mcc
|
80
|
29
|
—
|
—
|
$5,754.52
|
$72,461.76
|
$31,762.14
|
2026-05-23
|
|
3750323
|
OTHER
|
Icd Bs Momentum El Dr
|
82
|
29
|
$58,575.00
|
$23,430.00
60% off
|
$373.43
|
$58,575.00
|
$31,630.50
|
2026-05-23
|
|
007-2
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
22
|
11
|
—
|
—
|
$31,423.35
|
$32,994.52
|
$31,423.35
|
2026-05-23
|
|
734
|
OTHER
|
Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc
|
80
|
29
|
—
|
—
|
$3,789.03
|
$63,845.17
|
$31,245.58
|
2026-05-23
|
|
260
|
OTHER
|
Cardiac Pacemaker Revision Except Device Replacement With Mcc
|
80
|
29
|
—
|
—
|
$5,786.37
|
$72,862.72
|
$31,236.42
|
2026-05-23
|
|
008-4
|
OTHER
|
Autologous Bone Marrow Transplant Or T-cell Immunotherapy
|
22
|
11
|
—
|
—
|
$31,204.86
|
$32,765.10
|
$31,204.86
|
2026-05-23
|
|
629
|
OTHER
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc
|
80
|
29
|
—
|
—
|
$3,875.84
|
$61,819.19
|
$31,089.26
|
2026-05-23
|
|
749
|
OTHER
|
Other Female Reproductive System O.r. Procedures With Cc/mcc
|
80
|
29
|
—
|
—
|
$4,567.47
|
$57,514.24
|
$31,040.85
|
2026-05-23
|
|
336
|
OTHER
|
Peritoneal Adhesiolysis With Cc
|
80
|
29
|
—
|
—
|
$3,751.14
|
$62,613.01
|
$30,784.70
|
2026-05-23
|
|
659
|
OTHER
|
Kidney And Ureter Procedures For Non-neoplasm With Mcc
|
80
|
29
|
—
|
—
|
$4,519.98
|
$56,916.16
|
$30,718.07
|
2026-05-23
|
|
609-2
|
OTHER
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
22
|
11
|
—
|
—
|
$30,576.20
|
$32,105.01
|
$30,576.20
|
2026-05-23
|
|
579
|
OTHER
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc
|
80
|
29
|
—
|
—
|
$5,760.93
|
$72,542.40
|
$30,569.16
|
2026-05-23
|
|
835
|
OTHER
|
Acute Leukemia Without Major O.r. Procedures With Cc
|
80
|
29
|
—
|
—
|
$3,710.40
|
$62,209.42
|
$30,519.48
|
2026-05-23
|
|
625
|
OTHER
|
Thyroid, Parathyroid And Thyroglossal Procedures With Mcc
|
80
|
29
|
—
|
—
|
$5,372.42
|
$67,650.24
|
$30,510.11
|
2026-05-23
|
|
3750132
|
OTHER
|
Abiomed Impella Cp Cath Pump
|
84
|
30
|
$58,438.00
|
$23,375.20
60% off
|
$373.43
|
$73,585.13
|
$30,387.76
|
2026-05-23
|
|
32
|
OTHER
|
Ventricular Shunt Procedures With Cc
|
80
|
29
|
—
|
—
|
$3,790.81
|
$60,215.51
|
$30,345.34
|
2026-05-23
|
|
412
|
OTHER
|
Cholecystectomy With C.d.e. With Cc
|
80
|
29
|
—
|
—
|
$3,740.11
|
$60,736.71
|
$30,271.13
|
2026-05-23
|
|
665
|
OTHER
|
Prostatectomy With Mcc
|
80
|
29
|
—
|
—
|
$5,552.27
|
$69,914.88
|
$30,129.66
|
2026-05-23
|
|
163-4
|
OTHER
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
22
|
11
|
—
|
—
|
$30,019.36
|
$31,520.33
|
$30,019.36
|
2026-05-23
|
|
577
|
OTHER
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Cc
|
80
|
29
|
—
|
—
|
$4,715.30
|
$59,375.68
|
$29,930.39
|
2026-05-23
|