|
0008-0423-01
|
NDC
|
Antivenin Micrurus Fulvius IV Solr
|
33
|
21
|
$122,692.40
|
$49,076.96
60% off
|
$20,490.00
|
$110,423.00
|
$69,689.00
|
2024-12-15
|
|
0008-0423-03
|
NDC
|
Antivenin Micrurus Fulvius IV Solr
|
33
|
21
|
$122,692.40
|
$49,076.96
60% off
|
$15,683.00
|
$110,423.00
|
$69,689.00
|
2024-12-15
|
|
0408T
|
CPT
|
Hc Ins/repl Ccm System, Pulse Gen With Tv Electrodes
|
63
|
40
|
$96,878.72
|
$38,751.49
60% off
|
$5,079.00
|
$87,191.00
|
$32,913.00
|
2024-12-15
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
36
|
21
|
$0.01
|
—
|
$193,536.00
|
$1,003,777.00
|
$231,246.00
|
2024-12-15
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
36
|
21
|
$0.01
|
—
|
$55,398.00
|
$284,118.00
|
$65,763.00
|
2024-12-15
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
36
|
21
|
$0.01
|
—
|
$37,771.00
|
$192,283.00
|
$44,645.50
|
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
|
|
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
|
|
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
|
|
12
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc
|
36
|
21
|
$0.01
|
—
|
$28,932.00
|
$146,235.00
|
$34,057.50
|
2024-12-15
|
|
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
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
36
|
21
|
$0.01
|
—
|
$90,480.00
|
$466,883.00
|
$107,789.00
|
2024-12-15
|
|
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
|
|
140
|
MS_DRG
|
Major Head And Neck Procedures With Mcc
|
36
|
21
|
$0.01
|
—
|
$29,790.00
|
$150,708.00
|
$35,085.50
|
2024-12-15
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/mcc
|
36
|
21
|
$0.01
|
—
|
$42,148.00
|
$215,089.00
|
$49,890.00
|
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
|
|
1611
|
APR_DRG
|
Implantable Heart Assist Systems
|
10
|
8
|
$0.01
|
—
|
$52,607.00
|
$63,128.00
|
$56,026.00
|
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
|
|
1613
|
APR_DRG
|
Implantable Heart Assist Systems
|
10
|
8
|
$0.01
|
—
|
$68,785.00
|
$82,542.00
|
$73,256.00
|
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
|
|
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
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
36
|
21
|
$0.01
|
—
|
$32,390.00
|
$164,249.00
|
$38,199.50
|
2024-12-15
|
|
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
|
|
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
|
|
166
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Mcc
|
36
|
21
|
$0.01
|
—
|
$27,199.00
|
$137,205.00
|
$31,981.00
|
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
|
|
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
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
36
|
21
|
$0.01
|
—
|
$42,148.00
|
$215,089.00
|
$49,890.00
|
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
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
36
|
21
|
$0.01
|
—
|
$258,822.00
|
$1,343,896.00
|
$309,455.00
|
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
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
36
|
21
|
$0.01
|
—
|
$55,086.00
|
$282,489.00
|
$65,388.50
|
2024-12-15
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
36
|
21
|
$0.01
|
—
|
$76,238.00
|
$392,687.00
|
$90,728.00
|
2024-12-15
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
36
|
21
|
$0.01
|
—
|
$56,001.00
|
$287,257.00
|
$66,485.00
|
2024-12-15
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
36
|
21
|
$0.01
|
—
|
$45,099.00
|
$230,459.00
|
$53,424.00
|
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
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
36
|
21
|
$0.01
|
—
|
$38,670.00
|
$196,965.00
|
$45,723.00
|
2024-12-15
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
36
|
21
|
$0.01
|
—
|
$75,378.00
|
$388,204.00
|
$89,697.50
|
2024-12-15
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
36
|
21
|
$0.01
|
—
|
$73,332.00
|
$377,546.00
|
$87,246.50
|
2024-12-15
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
36
|
21
|
$0.01
|
—
|
$66,877.00
|
$343,917.00
|
$79,513.50
|
2024-12-15
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
36
|
21
|
$0.01
|
—
|
$45,035.00
|
$230,127.00
|
$53,348.00
|
2024-12-15
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
36
|
21
|
$0.01
|
—
|
$41,556.00
|
$212,003.00
|
$49,180.50
|
2024-12-15
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
36
|
21
|
$0.01
|
—
|
$53,788.00
|
$275,726.00
|
$63,833.50
|
2024-12-15
|
|
22
|
APR_DRG
|
Heart And/or Lung Transplant
|
10
|
8
|
$0.01
|
—
|
$48,472.00
|
$58,167.00
|
$51,623.50
|
2024-12-15
|
|
22
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…
|
36
|
21
|
$0.01
|
—
|
$25,011.00
|
$125,806.00
|
$29,359.50
|
2024-12-15
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
36
|
21
|
$0.01
|
—
|
$37,092.00
|
$188,748.00
|
$43,833.00
|
2024-12-15
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
36
|
21
|
$0.01
|
—
|
$32,276.00
|
$163,657.00
|
$38,063.50
|
2024-12-15
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
36
|
21
|
$0.01
|
—
|
$34,949.00
|
$177,580.00
|
$41,265.00
|
2024-12-15
|
|
23
|
APR_DRG
|
Heart And/or Lung Transplant
|
10
|
8
|
$0.01
|
—
|
$66,606.00
|
$79,927.00
|
$70,935.00
|
2024-12-15
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
36
|
21
|
$0.01
|
—
|
$39,886.00
|
$203,301.00
|
$47,179.00
|
2024-12-15
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
36
|
21
|
$0.01
|
—
|
$58,825.00
|
$301,967.00
|
$69,867.50
|
2024-12-15
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
36
|
21
|
$0.01
|
—
|
$42,646.00
|
$217,684.00
|
$50,487.00
|
2024-12-15
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
36
|
21
|
$0.01
|
—
|
$54,327.00
|
$278,537.00
|
$64,479.50
|
2024-12-15
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
36
|
21
|
$0.01
|
—
|
$37,253.00
|
$189,585.00
|
$44,025.50
|
2024-12-15
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
36
|
21
|
$0.01
|
—
|
$41,111.00
|
$209,683.00
|
$48,647.00
|
2024-12-15
|
|
236
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
36
|
21
|
$0.01
|
—
|
$28,989.00
|
$146,535.00
|
$34,126.50
|
2024-12-15
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
36
|
21
|
$0.01
|
—
|
$35,315.00
|
$179,490.00
|
$41,704.00
|
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
|
|
24
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
36
|
21
|
$0.01
|
—
|
$26,866.00
|
$135,474.00
|
$31,582.50
|
2024-12-15
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
36
|
21
|
$0.01
|
—
|
$34,288.00
|
$174,141.00
|
$40,474.00
|
2024-12-15
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
36
|
21
|
$0.01
|
—
|
$31,453.00
|
$159,370.00
|
$37,078.00
|
2024-12-15
|
|
264
|
MS_DRG
|
Other Circulatory System O.r. Procedures
|
36
|
21
|
$0.01
|
—
|
$24,769.00
|
$124,548.00
|
$29,070.50
|
2024-12-15
|
|
265
|
MS_DRG
|
Aicd Lead Procedures
|
36
|
21
|
$0.01
|
—
|
$25,262.00
|
$127,117.00
|
$29,661.00
|
2024-12-15
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
36
|
21
|
$0.01
|
—
|
$41,840.00
|
$213,482.00
|
$49,520.50
|
2024-12-15
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
36
|
21
|
$0.01
|
—
|
$33,043.00
|
$167,652.00
|
$38,982.00
|
2024-12-15
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
36
|
21
|
$0.01
|
—
|
$46,469.00
|
$237,600.00
|
$55,066.50
|
2024-12-15
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
36
|
21
|
$0.01
|
—
|
$29,322.00
|
$148,267.00
|
$34,524.50
|
2024-12-15
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
36
|
21
|
$0.01
|
—
|
$35,972.00
|
$182,914.00
|
$42,491.50
|
2024-12-15
|
|
273
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures With Mcc
|
36
|
21
|
$0.01
|
—
|
$27,609.00
|
$139,344.00
|
$32,472.50
|
2024-12-15
|
|
27428
|
CPT
|
Hc Ligament Reconst Knee, Intra-artic (open)
|
92
|
40
|
$98,469.44
|
$39,387.78
60% off
|
$4,943.00
|
$177,245.00
|
$37,615.00
|
2024-12-15
|
|
27446
|
CPT
|
Hc Knee Arthroplasty Condyle/plateau Medial Or Lateral Comptmnt
|
92
|
40
|
$98,469.44
|
$39,387.78
60% off
|
$6,053.00
|
$177,245.00
|
$37,615.00
|
2024-12-15
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
36
|
21
|
$0.01
|
—
|
$49,201.00
|
$251,833.00
|
$58,339.50
|
2024-12-15
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
36
|
21
|
$0.01
|
—
|
$43,233.00
|
$220,737.00
|
$51,189.00
|
2024-12-15
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
36
|
21
|
$0.01
|
—
|
$32,682.00
|
$165,770.00
|
$38,549.50
|
2024-12-15
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
36
|
21
|
$0.01
|
—
|
$35,085.00
|
$178,293.00
|
$41,428.50
|
2024-12-15
|
|
27827
|
CPT
|
Hc Open Treatment Fracture Distal Tibia Only
|
92
|
40
|
$98,469.44
|
$39,387.78
60% off
|
$3,490.00
|
$177,245.00
|
$37,615.00
|
2024-12-15
|
|
27870
|
CPT
|
Hc Asc Ankle Arthrodesis Open 27870
|
92
|
40
|
$98,469.44
|
$39,387.78
60% off
|
$4,943.00
|
$177,245.00
|
$37,615.00
|
2024-12-15
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
36
|
21
|
$0.01
|
—
|
$42,447.00
|
$216,643.00
|
$50,247.50
|
2024-12-15
|
|
28725
|
CPT
|
Hc Fusion Foot Bones,subtalar
|
92
|
40
|
$98,469.44
|
$39,387.78
60% off
|
$3,717.00
|
$177,245.00
|
$37,615.00
|
2024-12-15
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
36
|
21
|
$0.01
|
—
|
$147,457.00
|
$763,715.00
|
$176,044.50
|
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
|
|
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
|
|
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
|
|
31
|
MS_DRG
|
Ventricular Shunt Procedures With Mcc
|
36
|
21
|
$0.01
|
—
|
$29,526.00
|
$149,332.00
|
$34,769.50
|
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
|
|
31253
|
CPT
|
Hc Nasal/sinus Endo Total With Tiss Rem
|
92
|
40
|
$76,974.72
|
$30,789.89
60% off
|
$2,862.00
|
$138,554.00
|
$29,404.00
|
2024-12-15
|
|
31255
|
CPT
|
Hc Nasal/sinus Ndsc W/total Ethoidectomy
|
92
|
40
|
$76,974.72
|
$30,789.89
60% off
|
$2,862.00
|
$138,554.00
|
$29,404.00
|
2024-12-15
|
|
31267
|
CPT
|
Hc Nasal/sinus Endoscopy,rmv Tiss Maxill Sinus
|
92
|
40
|
$76,974.72
|
$30,789.89
60% off
|
$376.00
|
$138,554.00
|
$29,404.00
|
2024-12-15
|
|
31276
|
CPT
|
Hc Nasal/sinus Ndsc W/rmvl Tiss From Frontal Sinus
|
92
|
40
|
$76,974.72
|
$30,789.89
60% off
|
$376.00
|
$138,554.00
|
$29,404.00
|
2024-12-15
|
|
31287
|
CPT
|
Hc Nasal/sinus Endoscopy,sphenoidotomy
|
92
|
40
|
$76,974.72
|
$30,789.89
60% off
|
$376.00
|
$138,554.00
|
$29,404.00
|
2024-12-15
|
|
31288
|
CPT
|
Hc Nasal/sinus Endoscopy,remv Tiss Sphenoid
|
92
|
40
|
$76,974.72
|
$30,789.89
60% off
|
$376.00
|
$138,554.00
|
$29,404.00
|
2024-12-15
|
|
31296
|
CPT
|
Hc Nasal/sinus Endo Dil Frontal
|
92
|
40
|
$76,974.72
|
$30,789.89
60% off
|
$376.00
|
$138,554.00
|
$29,404.00
|
2024-12-15
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
36
|
21
|
$0.01
|
—
|
$43,178.00
|
$220,452.00
|
$51,123.50
|
2024-12-15
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
36
|
21
|
$0.01
|
—
|
$30,909.00
|
$156,537.00
|
$36,426.50
|
2024-12-15
|
|
323
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc
|
36
|
21
|
$0.01
|
—
|
$29,997.00
|
$151,784.00
|
$35,333.50
|
2024-12-15
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
36
|
21
|
$0.01
|
—
|
$35,603.00
|
$180,990.00
|
$42,049.50
|
2024-12-15
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
36
|
21
|
$0.01
|
—
|
$32,271.00
|
$163,632.00
|
$38,058.00
|
2024-12-15
|
|
332
|
MS_DRG
|
Rectal Resection With Mcc
|
36
|
21
|
$0.01
|
—
|
$24,589.00
|
$123,607.00
|
$28,854.00
|
2024-12-15
|
|
33231
|
CPT
|
Hc Ep Insj Implntbl Defib Pulse Gen W/exist Multileads
|
63
|
40
|
$131,933.76
|
$52,773.50
60% off
|
$14,380.00
|
$118,740.00
|
$33,247.00
|
2024-12-15
|
|
33249
|
CPT
|
Hc Insj/rplcmt Perm Dfb W/trnsvns Lds 1/dual Chmbr
|
95
|
40
|
$131,933.76
|
$52,773.50
60% off
|
$14,380.00
|
$118,740.00
|
$37,876.00
|
2024-12-15
|
|
33264
|
CPT
|
Hc Rmvl Impltbl Dfb Pls Gen W/rplcmt Pls Gen Mlt Ld
|
68
|
40
|
$131,933.76
|
$52,773.50
60% off
|
$14,380.00
|
$118,740.00
|
$33,862.00
|
2024-12-15
|
|
33270
|
CPT
|
Hc Ins/rplcmnt Perm Subq Impltbl Dfb W/subq Eltrd
|
63
|
40
|
$131,933.76
|
$52,773.50
60% off
|
$14,380.00
|
$118,740.00
|
$35,107.00
|
2024-12-15
|
|
33274
|
CPT
|
Hc Tcat Insj/rpl Perm Leadless Pacemaker Rv W/img
|
63
|
40
|
$122,243.20
|
$48,897.28
60% off
|
$5,079.00
|
$110,019.00
|
$30,805.00
|
2024-12-15
|
|
33289
|
CPT
|
Hc Rhc W/plc Pressure Sensor
|
63
|
40
|
$82,676.64
|
$33,070.66
60% off
|
$13,807.00
|
$74,409.00
|
$29,077.00
|
2024-12-15
|
|
33363
|
CPT
|
Hc Replace Aortic Valve Open Axillry Artry Approach
|
63
|
40
|
$60,137.62
|
$24,055.05
60% off
|
$9,361.00
|
$54,124.00
|
$31,742.50
|
2024-12-15
|
|
335
|
MS_DRG
|
Peritoneal Adhesiolysis With Mcc
|
36
|
21
|
$0.01
|
—
|
$25,647.00
|
$129,120.00
|
$30,122.00
|
2024-12-15
|
|
34
|
MS_DRG
|
Carotid Artery Stent Procedures With Mcc
|
36
|
21
|
$0.01
|
—
|
$27,461.00
|
$138,574.00
|
$32,295.50
|
2024-12-15
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
36
|
21
|
$0.01
|
—
|
$30,040.00
|
$152,008.00
|
$35,385.00
|
2024-12-15
|
|
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
|
|
37184
|
CPT
|
Hc Prim Prq Trluml Mchnl Thrmbc N-cor N-icra 1st
|
92
|
40
|
$93,130.72
|
$37,252.29
60% off
|
$4,215.00
|
$167,635.00
|
$37,736.50
|
2024-12-15
|
|
37187
|
CPT
|
Hc Percut Mech Thrombectomy, Venous
|
92
|
40
|
$93,130.72
|
$37,252.29
60% off
|
$2,461.00
|
$167,635.00
|
$35,576.00
|
2024-12-15
|
|
37221
|
CPT
|
Hc Revascularize Iliac Artery,angioplasty/stent, Initial Vessel
|
92
|
40
|
$93,130.72
|
$37,252.29
60% off
|
$7,047.00
|
$167,635.00
|
$35,576.00
|
2024-12-15
|
|
37225
|
CPT
|
Hc Revascularize Fem/pop Artery,angioplasty/atherectomy
|
92
|
40
|
$93,130.72
|
$37,252.29
60% off
|
$7,047.00
|
$167,635.00
|
$37,736.50
|
2024-12-15
|
|
37226
|
CPT
|
Hc Revascularize Fem/pop Artery,angioplasty/stent
|
92
|
40
|
$93,130.72
|
$37,252.29
60% off
|
$7,047.00
|
$167,635.00
|
$35,576.00
|
2024-12-15
|
|
37228
|
CPT
|
Hc Revascularize Tibial/peron Artery,angioplasty Initial
|
92
|
40
|
$93,130.72
|
$37,252.29
60% off
|
$4,215.00
|
$167,635.00
|
$35,576.00
|
2024-12-15
|
|
37229
|
CPT
|
Hc Revascularize Tibial/peron Artery,angioplasty/atherectomy Initial
|
92
|
40
|
$122,243.20
|
$48,897.28
60% off
|
$7,047.00
|
$220,038.00
|
$46,697.00
|
2024-12-15
|
|
37230
|
CPT
|
Hc Revascularize Tibial/peron Artery,angioplasty/stent Initial
|
92
|
40
|
$122,243.20
|
$48,897.28
60% off
|
$7,047.00
|
$220,038.00
|
$46,697.00
|
2024-12-15
|
|
37231
|
CPT
|
Hc Revascularize Tibial/peron Artery,angioplasty/stent/atherectomy Init
|
92
|
40
|
$122,243.20
|
$48,897.28
60% off
|
$7,047.00
|
$220,038.00
|
$46,697.00
|
2024-12-15
|
|
37236
|
CPT
|
Hc Open/perq Placement Intravascular Stent Initial
|
92
|
40
|
$93,130.72
|
$37,252.29
60% off
|
$7,047.00
|
$167,635.00
|
$35,576.00
|
2024-12-15
|
|
37238
|
CPT
|
Hc Open/perq Placement Intravascular Stent Same 1st
|
92
|
40
|
$93,130.72
|
$37,252.29
60% off
|
$7,047.00
|
$167,635.00
|
$35,576.00
|
2024-12-15
|
|
38240
|
CPT
|
Hc Trnsplj Allogeneic Hematopoietic Cells Per Donor
|
63
|
40
|
$639,561.44
|
$255,824.58
60% off
|
$2,682.00
|
$575,605.00
|
$119,617.00
|
2024-12-15
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
36
|
21
|
$0.01
|
—
|
$97,513.00
|
$503,523.00
|
$116,214.50
|
2024-12-15
|
|
40
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc
|
36
|
21
|
$0.01
|
—
|
$26,664.00
|
$134,419.00
|
$31,340.00
|
2024-12-15
|
|
402
|
MS_DRG
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
36
|
21
|
$0.01
|
—
|
$27,622.00
|
$139,411.00
|
$32,488.50
|
2024-12-15
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
36
|
21
|
$0.01
|
—
|
$37,995.00
|
$193,452.00
|
$44,914.50
|
2024-12-15
|
|
408
|
MS_DRG
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
36
|
21
|
$0.01
|
—
|
$24,812.00
|
$124,769.00
|
$29,121.50
|
2024-12-15
|
|
414
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc
|
36
|
21
|
$0.01
|
—
|
$24,829.00
|
$124,858.00
|
$29,142.00
|
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
|
|
420
|
MS_DRG
|
Hepatobiliary Diagnostic Procedures With Mcc
|
36
|
21
|
$0.01
|
—
|
$25,004.00
|
$125,774.00
|
$29,352.50
|
2024-12-15
|
|
423
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
36
|
21
|
$0.01
|
—
|
$28,684.00
|
$144,942.00
|
$33,760.00
|
2024-12-15
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
36
|
21
|
$0.01
|
—
|
$72,515.00
|
$373,291.00
|
$86,268.00
|
2024-12-15
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
36
|
21
|
$0.01
|
—
|
$49,445.00
|
$253,105.00
|
$58,631.50
|
2024-12-15
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
36
|
21
|
$0.01
|
—
|
$38,511.00
|
$196,139.00
|
$45,532.50
|
2024-12-15
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
36
|
21
|
$0.01
|
—
|
$57,913.00
|
$297,217.00
|
$68,775.00
|
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
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
36
|
21
|
$0.01
|
—
|
$38,281.00
|
$194,941.00
|
$45,257.00
|
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
|
|
4404
|
APR_DRG
|
Kidney Transplant
|
10
|
8
|
$0.01
|
—
|
$37,839.00
|
$45,407.00
|
$40,299.00
|
2024-12-15
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
36
|
21
|
$0.01
|
—
|
$46,723.00
|
$238,922.00
|
$55,370.50
|
2024-12-15
|
|
448
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical Without Mcc
|
36
|
21
|
$0.01
|
—
|
$28,794.00
|
$145,516.00
|
$33,892.00
|
2024-12-15
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
36
|
21
|
$0.01
|
—
|
$36,089.00
|
$183,524.00
|
$42,632.00
|
2024-12-15
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
36
|
21
|
$0.01
|
—
|
$58,792.00
|
$301,800.00
|
$69,829.00
|
2024-12-15
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
36
|
21
|
$0.01
|
—
|
$40,120.00
|
$204,524.00
|
$47,460.50
|
2024-12-15
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
36
|
21
|
$0.01
|
—
|
$30,398.00
|
$153,872.00
|
$35,813.50
|
2024-12-15
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
36
|
21
|
$0.01
|
—
|
$42,838.00
|
$218,681.00
|
$50,716.00
|
2024-12-15
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
36
|
21
|
$0.01
|
—
|
$37,806.00
|
$192,465.00
|
$44,687.50
|
2024-12-15
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
36
|
21
|
$0.01
|
—
|
$35,710.00
|
$181,546.00
|
$42,177.00
|
2024-12-15
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
36
|
21
|
$0.01
|
—
|
$34,087.00
|
$173,090.00
|
$40,232.50
|
2024-12-15
|
|
47335-624-60
|
NDC
|
Ranolazine ER 500 Mg Po Pack
|
32
|
21
|
$58,984.36
|
$23,593.74
60% off
|
$9,850.00
|
$53,086.00
|
$35,184.00
|
2024-12-15
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
36
|
21
|
$0.01
|
—
|
$31,538.00
|
$159,812.00
|
$37,179.50
|
2024-12-15
|
|
492
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc
|
36
|
21
|
$0.01
|
—
|
$25,153.00
|
$126,547.00
|
$29,530.50
|
2024-12-15
|
|
495
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
36
|
21
|
$0.01
|
—
|
$24,944.00
|
$125,457.00
|
$29,279.50
|
2024-12-15
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
36
|
21
|
$0.01
|
—
|
$73,705.00
|
$379,491.00
|
$87,694.00
|
2024-12-15
|
|
50593
|
CPT
|
Hc Ablation Renal Tumor Unilateral Perq Cryotherapy
|
92
|
40
|
$122,984.00
|
$49,193.60
60% off
|
$4,477.00
|
$221,371.00
|
$46,980.00
|
2024-12-15
|
|
51167-331-01
|
NDC
|
Elexacaf-tezacaf-ivacaf&ivacaf 100-50-75 (trikafta Kit Morning Dose)
|
32
|
21
|
$165,361.92
|
$66,144.77
60% off
|
$27,615.00
|
$148,826.00
|
$98,638.50
|
2024-12-15
|
|
518
|
MS_DRG
|
Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…
|
36
|
21
|
$0.01
|
—
|
$25,377.00
|
$127,716.00
|
$29,799.00
|
2024-12-15
|
|
52427-273-75
|
NDC
|
Naproxen Sodium ER 500 Mg Po Tb24
|
32
|
21
|
$398,425.74
|
$159,370.29
60% off
|
$66,537.00
|
$358,583.00
|
$237,661.00
|
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
|
|
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
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
36
|
21
|
$0.01
|
—
|
$42,985.00
|
$219,447.00
|
$50,892.00
|
2024-12-15
|
|
574
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Cc
|
36
|
21
|
$0.01
|
—
|
$24,563.00
|
$123,472.00
|
$28,823.00
|
2024-12-15
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
36
|
21
|
$0.01
|
—
|
$37,767.00
|
$192,262.00
|
$44,641.00
|
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
|
|
5832
|
APR_DRG
|
Neonate With Ecmo
|
10
|
8
|
$0.01
|
—
|
$102,129.00
|
$122,555.00
|
$108,767.50
|
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
|
|
5834
|
APR_DRG
|
Neonate With Ecmo
|
10
|
8
|
$0.01
|
—
|
$205,319.00
|
$246,383.00
|
$218,665.00
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
59385-027-01
|
NDC
|
Buprenorphine Hcl 900 Mcg Bu Film
|
32
|
21
|
$310,333.28
|
$124,133.31
60% off
|
$51,826.00
|
$279,300.00
|
$185,113.50
|
2024-12-15
|
|
59385-027-60
|
NDC
|
Buprenorphine Hcl 900 Mcg Bu Film
|
32
|
21
|
$310,333.28
|
$124,133.31
60% off
|
$51,826.00
|
$279,300.00
|
$185,113.50
|
2024-12-15
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
36
|
21
|
$0.01
|
—
|
$34,031.00
|
$172,801.00
|
$40,166.00
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
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
|
|
616
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
36
|
21
|
$0.01
|
—
|
$27,299.00
|
$137,729.00
|
$32,101.50
|
2024-12-15
|
|
62
|
APR_DRG
|
Pancreas Transplant
|
10
|
8
|
$0.01
|
—
|
$29,393.00
|
$35,271.00
|
$31,303.00
|
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
|
|
622
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
36
|
21
|
$0.01
|
—
|
$26,458.00
|
$133,346.00
|
$31,094.00
|
2024-12-15
|
|
628
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc
|
36
|
21
|
$0.01
|
—
|
$27,851.00
|
$140,605.00
|
$32,763.00
|
2024-12-15
|
|
63
|
APR_DRG
|
Pancreas Transplant
|
10
|
8
|
$0.01
|
—
|
$36,709.00
|
$44,050.00
|
$39,094.50
|
2024-12-15
|
|
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
|
|
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
|
|
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
|
|
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
|
|
63685
|
CPT
|
Hc Implant Spinal Neurostim/receiver
|
63
|
40
|
$76,770.08
|
$30,708.03
60% off
|
$12,436.00
|
$69,093.00
|
$30,474.00
|
2024-12-15
|
|
64
|
APR_DRG
|
Pancreas Transplant
|
10
|
8
|
$0.01
|
—
|
$51,673.00
|
$62,007.00
|
$55,031.50
|
2024-12-15
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
36
|
21
|
$0.01
|
—
|
$32,377.00
|
$164,181.00
|
$38,184.00
|
2024-12-15
|
|
651
|
MS_DRG
|
Kidney Transplant With Hemodialysis Without Mcc
|
36
|
21
|
$0.01
|
—
|
$24,615.00
|
$123,743.00
|
$28,885.50
|
2024-12-15
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
36
|
21
|
$0.01
|
—
|
$38,993.00
|
$198,651.00
|
$46,110.00
|
2024-12-15
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
36
|
21
|
$0.01
|
—
|
$29,520.00
|
$149,296.00
|
$34,761.00
|
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
|
|
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
|
|
6904
|
APR_DRG
|
Acute Leukemia
|
10
|
8
|
$0.01
|
—
|
$27,785.00
|
$33,342.00
|
$29,591.00
|
2024-12-15
|
|
7
|
MS_DRG
|
Lung Transplant
|
36
|
21
|
$0.01
|
—
|
$90,254.00
|
$465,707.00
|
$107,519.00
|
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
|
|
72
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
10
|
8
|
$0.01
|
—
|
$31,655.00
|
$37,985.00
|
$33,712.00
|
2024-12-15
|
|
73
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
10
|
8
|
$0.01
|
—
|
$39,475.00
|
$47,370.00
|
$42,040.50
|
2024-12-15
|
|
736
|
MS_DRG
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc
|
36
|
21
|
$0.01
|
—
|
$27,796.00
|
$140,316.00
|
$32,696.00
|
2024-12-15
|
|
73702-140-71
|
NDC
|
Indomethacin 100 Mg Re Supp
|
32
|
21
|
$56,104.00
|
$22,441.60
60% off
|
$9,369.00
|
$50,494.00
|
$33,466.00
|
2024-12-15
|
|
739
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…
|
36
|
21
|
$0.01
|
—
|
$28,092.00
|
$141,859.00
|
$33,051.50
|
2024-12-15
|
|
74
|
APR_DRG
|
Allogeneic Bone Marrow Transplant
|
10
|
8
|
$0.01
|
—
|
$80,769.00
|
$96,923.00
|
$86,019.50
|
2024-12-15
|
|
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
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
32
|
21
|
$0.01
|
—
|
$41,525.00
|
$211,843.00
|
$45,052.50
|
2024-12-15
|
|
791
|
MS_DRG
|
Prematurity With Major Problems
|
32
|
21
|
$0.01
|
—
|
$28,632.00
|
$144,675.00
|
$31,041.00
|
2024-12-15
|
|
793
|
MS_DRG
|
Full Term Neonate With Major Problems
|
32
|
21
|
$0.01
|
—
|
$29,389.00
|
$148,616.00
|
$31,863.50
|
2024-12-15
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
36
|
21
|
$0.01
|
—
|
$33,386.00
|
$169,437.00
|
$39,392.50
|
2024-12-15
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
36
|
21
|
$0.01
|
—
|
$38,080.00
|
$193,894.00
|
$45,016.50
|
2024-12-15
|
|
802
|
MS_DRG
|
Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc
|
36
|
21
|
$0.01
|
—
|
$25,383.00
|
$127,744.00
|
$29,805.50
|
2024-12-15
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
36
|
21
|
$0.01
|
—
|
$40,687.00
|
$207,478.00
|
$48,140.00
|
2024-12-15
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
36
|
21
|
$0.01
|
—
|
$32,871.00
|
$166,754.00
|
$38,775.50
|
2024-12-15
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
36
|
21
|
$0.01
|
—
|
$33,527.00
|
$170,175.00
|
$39,562.00
|
2024-12-15
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
36
|
21
|
$0.01
|
—
|
$38,670.00
|
$196,965.00
|
$45,723.00
|
2024-12-15
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
36
|
21
|
$0.01
|
—
|
$35,112.00
|
$178,432.00
|
$41,460.50
|
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
|
|
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
|
|
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
|
|
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
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
36
|
21
|
$0.01
|
—
|
$63,873.00
|
$328,266.00
|
$75,914.50
|
2024-12-15
|
|
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
|
|
8514
|
APR_DRG
|
Gender Related Procedures
|
10
|
8
|
$0.01
|
—
|
$50,103.00
|
$60,123.00
|
$53,359.50
|
2024-12-15
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
36
|
21
|
$0.01
|
—
|
$35,072.00
|
$178,221.00
|
$41,412.50
|
2024-12-15
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
36
|
21
|
$0.01
|
—
|
$31,722.00
|
$160,771.00
|
$37,399.50
|
2024-12-15
|
|
8634
|
APR_DRG
|
Neonatal Aftercare
|
10
|
8
|
$0.01
|
—
|
$37,397.00
|
$44,877.00
|
$39,828.00
|
2024-12-15
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
36
|
21
|
$0.01
|
—
|
$48,445.00
|
$247,895.00
|
$57,433.50
|
2024-12-15
|
|
876
|
MS_DRG
|
O.r. Procedures With Principal Diagnosis Of Mental Illness
|
36
|
21
|
$0.01
|
—
|
$27,741.00
|
$140,031.00
|
$32,631.00
|
2024-12-15
|
|
901
|
MS_DRG
|
Wound Debridements For Injuries With Mcc
|
36
|
21
|
$0.01
|
—
|
$31,167.00
|
$157,881.00
|
$36,735.00
|
2024-12-15
|
|
904
|
MS_DRG
|
Skin Grafts For Injuries With Cc/mcc
|
36
|
21
|
$0.01
|
—
|
$27,273.00
|
$137,590.00
|
$32,069.50
|
2024-12-15
|
|
907
|
MS_DRG
|
Other O.r. Procedures For Injuries With Mcc
|
36
|
21
|
$0.01
|
—
|
$28,111.00
|
$141,959.00
|
$33,074.50
|
2024-12-15
|
|
9104
|
APR_DRG
|
Craniotomy For Multiple Significant Trauma
|
10
|
8
|
$0.01
|
—
|
$28,513.00
|
$34,216.00
|
$30,366.50
|
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
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
36
|
21
|
$0.01
|
—
|
$163,129.00
|
$845,362.00
|
$194,819.00
|
2024-12-15
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
36
|
21
|
$0.01
|
—
|
$46,547.00
|
$238,003.00
|
$55,159.00
|
2024-12-15
|
|
93
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
10
|
8
|
$0.01
|
—
|
$34,634.00
|
$41,561.00
|
$36,885.50
|
2024-12-15
|
|
933
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft
|
36
|
21
|
$0.01
|
—
|
$30,459.00
|
$154,189.00
|
$35,886.50
|
2024-12-15
|
|
94
|
APR_DRG
|
Extracorporeal Membrane Oxygenation (ecmo)
|
10
|
8
|
$0.01
|
—
|
$80,365.00
|
$96,438.00
|
$85,588.50
|
2024-12-15
|
|
94
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Mcc
|
36
|
21
|
$0.01
|
—
|
$25,820.00
|
$130,021.00
|
$30,329.00
|
2024-12-15
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
36
|
21
|
$0.01
|
—
|
$47,569.00
|
$243,326.00
|
$56,383.00
|
2024-12-15
|
|
956
|
MS_DRG
|
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma
|
36
|
21
|
$0.01
|
—
|
$27,008.00
|
$136,211.00
|
$31,752.50
|
2024-12-15
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
36
|
21
|
$0.01
|
—
|
$51,918.00
|
$265,987.00
|
$61,594.00
|
2024-12-15
|
|
958
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
36
|
21
|
$0.01
|
—
|
$28,974.00
|
$146,453.00
|
$34,107.00
|
2024-12-15
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
36
|
21
|
$0.01
|
—
|
$44,121.00
|
$225,366.00
|
$52,253.50
|
2024-12-15
|
|
97
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc
|
36
|
21
|
$0.01
|
—
|
$25,381.00
|
$127,737.00
|
$29,804.00
|
2024-12-15
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
36
|
21
|
$0.01
|
—
|
$33,379.00
|
$169,405.00
|
$39,385.50
|
2024-12-15
|
|
987
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
36
|
21
|
$0.01
|
—
|
$24,821.00
|
$124,819.00
|
$29,132.50
|
2024-12-15
|
|
A9520
|
HCPCS
|
Technetium-99 (tc-99) Tilmanocept (lymphoseek) Radio-isotope Injection
|
53
|
36
|
$733,701.00
|
$293,480.40
60% off
|
$9.00
|
$660,331.00
|
$207,637.00
|
2024-12-15
|
|
A9569
|
HCPCS
|
Technetium-99 (tc-99) Exametazime White Blood Cells Radio-isotope Injection
|
53
|
36
|
$302,257.00
|
$120,902.80
60% off
|
$55.00
|
$272,031.00
|
$85,539.00
|
2024-12-15
|
|
A9572
|
HCPCS
|
Indium In-111 Pentetreotide IV Kit
|
53
|
36
|
$368,267.80
|
$147,307.12
60% off
|
$57.00
|
$331,441.00
|
$104,220.00
|
2024-12-15
|
|
A9588
|
HCPCS
|
Fluciclovine F 18 9-221 Mci/ml IV Soln
|
53
|
36
|
$438,201.00
|
$175,280.40
60% off
|
$80.00
|
$394,381.00
|
$124,011.00
|
2024-12-15
|
|
A9591
|
HCPCS
|
Fluoroestradiol F 18 4-100 Mci/ml IV Soln
|
53
|
36
|
$232,141.00
|
$92,856.40
60% off
|
$66.00
|
$208,927.00
|
$65,696.00
|
2024-12-15
|
|
A9592
|
HCPCS
|
Copper Cu 64 Dotatate 1 Mci/ml IV Soln
|
53
|
36
|
$162,001.00
|
$64,800.40
60% off
|
$256.00
|
$145,801.00
|
$45,846.00
|
2024-12-15
|
|
A9595
|
HCPCS
|
Piflufolastat F 18 9 Mci IV Sosy
|
53
|
36
|
$452,475.10
|
$180,990.04
60% off
|
$584.00
|
$407,228.00
|
$128,050.00
|
2024-12-15
|
|
C1767
|
HCPCS
|
Stimulator Proclaim Elite 7 Rechrg-free Scs
|
1,175
|
40
|
$75,900.00
|
$30,360.00
60% off
|
$5,614.00
|
$162,060.00
|
$30,516.00
|
2024-12-15
|
|
C1822
|
HCPCS
|
Construct Neuromod Nevro Pain Mgmt Omnia With Ipg Rm
|
163
|
40
|
$102,235.00
|
$40,894.00
60% off
|
$11,222.00
|
$107,640.00
|
$49,224.50
|
2024-12-15
|
|
C1823
|
HCPCS
|
Generator Implantable Remede Pul Cent Sleep Apnea
|
119
|
40
|
$146,115.00
|
$58,446.00
60% off
|
$6,137.00
|
$131,504.00
|
$37,595.00
|
2024-12-15
|
|
C1824
|
HCPCS
|
Generator Pul Implantable Optimizer Smt F/hrt Fail
|
119
|
40
|
$119,600.00
|
$47,840.00
60% off
|
$14,232.00
|
$205,686.00
|
$62,431.00
|
2024-12-15
|
|
C1825
|
HCPCS
|
System Neo Barostim Includes 2102 Ipg 1036 Csl Kit
|
119
|
40
|
$246,120.00
|
$98,448.00
60% off
|
$15,327.00
|
$221,508.00
|
$86,322.00
|
2024-12-15
|
|
C1827
|
HCPCS
|
Generator Imp Vivistim Vns Ipg 1001
|
119
|
40
|
$135,700.00
|
$54,280.00
60% off
|
$4,432.00
|
$122,130.00
|
$31,075.00
|
2024-12-15
|
|
C1831
|
HCPCS
|
Kit Imp Aprevo Spine Lvl 1
|
251
|
40
|
$174,800.00
|
$69,920.00
60% off
|
$14,232.00
|
$207,000.00
|
$62,431.00
|
2024-12-15
|
|
C1833
|
HCPCS
|
Monitor Crdc The Guardian Amsg3-e
|
75
|
40
|
$90,097.50
|
$36,039.00
60% off
|
$10,722.00
|
$81,088.00
|
$47,031.00
|
2024-12-15
|
|
C1882
|
HCPCS
|
Defibrillator Itrevia Vr-t Df4 Sys Hi Engy W/mon
|
2,665
|
40
|
$91,966.50
|
$36,786.60
60% off
|
$4.00
|
$168,072.00
|
$29,972.00
|
2024-12-15
|
|
C2616
|
HCPCS
|
Sphere Embol Sir Msphre 90
|
119
|
40
|
$161,252.55
|
$64,501.02
60% off
|
$7,779.00
|
$145,127.00
|
$36,701.00
|
2024-12-15
|
|
C2624
|
HCPCS
|
System Cardiomems Hrt Failure Ptnt
|
75
|
40
|
$175,360.50
|
$70,144.20
60% off
|
$20,868.00
|
$157,824.00
|
$91,538.00
|
2024-12-15
|
|
C9089
|
HCPCS
|
Bupivacaine Hcl (300 Mg Dose) 3 X 100 Mg Il Impl
|
95
|
40
|
$175,036.00
|
$70,014.40
60% off
|
$29,231.00
|
$161,941.00
|
$93,381.50
|
2024-12-15
|
|
J0571
|
HCPCS
|
Buprenorphine Hcl 300 Mcg Bu Film
|
63
|
40
|
$65,911.74
|
$26,364.69
60% off
|
$11,007.00
|
$59,321.00
|
$35,164.00
|
2024-12-15
|
|
J1324
|
HCPCS
|
Enfuvirtide 90 Mg Sc Solr
|
64
|
40
|
$93,984.81
|
$37,593.92
60% off
|
$15,695.00
|
$84,586.00
|
$50,140.50
|
2024-12-15
|
|
J1950
|
HCPCS
|
Leuprolide Acetate (3 Month) 11.25 Mg IM Kit
|
64
|
40
|
$377,988.04
|
$151,195.21
60% off
|
$614.00
|
$340,189.00
|
$47,430.00
|
2024-12-15
|
|
J2326
|
HCPCS
|
Nusinersen 12 Mg/5ml It Soln
|
63
|
40
|
$380,906.37
|
$152,362.55
60% off
|
$1,151.00
|
$342,816.00
|
$63,611.00
|
2024-12-15
|
|
J2353
|
HCPCS
|
Octreotide Acetate 10 Mg IM Kit
|
131
|
40
|
$221,852.49
|
$88,741.00
60% off
|
$205.00
|
$563,022.00
|
$40,583.00
|
2024-12-15
|
|
J2430
|
HCPCS
|
Pamidronate Disodium 90 Mg IV Solr
|
95
|
40
|
$84,128.94
|
$33,651.58
60% off
|
$337.00
|
$75,716.00
|
$44,883.00
|
2024-12-15
|
|
J3357
|
HCPCS
|
Ustekinumab 45 Mg/0.5ml Sc Sosy
|
63
|
40
|
$329,896.77
|
$131,958.71
60% off
|
$150.00
|
$296,907.00
|
$55,093.00
|
2024-12-15
|
|
J7311
|
HCPCS
|
Fluocinolone Acetonide 0.59 Mg Iz Impl
|
63
|
40
|
$352,416.31
|
$140,966.52
60% off
|
$300.00
|
$317,175.00
|
$58,854.00
|
2024-12-15
|
|
J8501
|
HCPCS
|
Aprepitant 40 Mg Po Caps
|
498
|
36
|
$84,752.61
|
$33,901.04
60% off
|
$84.00
|
$490,147.00
|
$30,646.00
|
2024-12-15
|
|
J9302
|
HCPCS
|
Ofatumumab 100 Mg/5ml IV Conc
|
64
|
40
|
$216,445.64
|
$86,578.25
60% off
|
$61.00
|
$194,801.00
|
$29,497.00
|
2024-12-15
|
|
L7510
|
HCPCS
|
Kit Audiolink
|
107
|
40
|
$125,165.25
|
$50,066.10
60% off
|
$82.00
|
$112,649.00
|
$35,171.00
|
2024-12-15
|
|
L8614
|
HCPCS
|
Electrode Hires Ultra 3d Ci Hifocus Slimj Cochlear
|
553
|
40
|
$117,840.94
|
$47,136.38
60% off
|
$307.00
|
$166,131.00
|
$35,512.00
|
2024-12-15
|
|
Q2042
|
HCPCS
|
Tisagenlecleucel IV Infusion (wrapped)
|
64
|
40
|
$2,993,605.38
|
$1,197,442.15
60% off
|
$24,610.00
|
$2,694,245.00
|
$719,962.50
|
2024-12-15
|
|
Q2054
|
HCPCS
|
Lisocabtagene Maraleucel 70000000 Cells/ml IV Susp
|
63
|
40
|
$3,417,214.77
|
$1,366,885.91
60% off
|
$24,610.00
|
$3,075,493.00
|
$570,675.00
|
2024-12-15
|
|
Q2055
|
HCPCS
|
Idecabtagene Vicleucel 460000000 Cells IV Susp
|
63
|
40
|
$3,493,813.04
|
$1,397,525.22
60% off
|
$24,610.00
|
$3,144,432.00
|
$880,441.00
|
2024-12-15
|