|
J3391
|
HCPCS
|
Inj, Atidarsagene Autotemcel
|
5
|
5
|
—
|
—
|
$4,685,200.00
|
$4,955,500.00
|
$4,730,250.00
|
2026-03-31
|
|
J1411
|
HCPCS
|
Hemgenix 19 X 10 Ml IV Supk
|
15
|
9
|
—
|
—
|
$16,558.92
|
$4,053,793.34
|
$3,819,816.00
|
2026-03-31
|
|
J1414
|
HCPCS
|
Inj, Beqvez, Per Tx Dose
|
5
|
5
|
—
|
—
|
$3,749,200.00
|
$3,965,500.00
|
$3,749,200.00
|
2026-03-31
|
|
J3389
|
HCPCS
|
Topi Adm Prad Zami Per Treat
|
4
|
4
|
—
|
—
|
$3,469,252.80
|
$3,569,327.40
|
$3,485,931.90
|
2026-03-31
|
|
J1413
|
HCPCS
|
Elevidys 18.5-19.4 Kg 19 X 10 Ml IV Kit
|
15
|
9
|
—
|
—
|
$16,558.92
|
$3,658,000.24
|
$3,458,472.95
|
2026-03-31
|
|
J3394
|
HCPCS
|
Inj, Lovotibeglogene Autotem
|
10
|
7
|
—
|
—
|
$3,382,608.39
|
$3,614,600.00
|
$3,417,440.00
|
2026-03-31
|
|
J3387
|
HCPCS
|
Inj Elivaldogene Autotemecel
|
4
|
4
|
—
|
—
|
$3,307,200.00
|
$3,402,600.00
|
$3,323,100.00
|
2026-03-31
|
|
J3393
|
HCPCS
|
Zynteglo IV Susp
|
14
|
8
|
—
|
—
|
$63,157.31
|
$3,264,800.00
|
$3,086,720.00
|
2026-03-31
|
|
J3399
|
HCPCS
|
Zolgensma 3.1-3.5 Kg 2x5.5ml & 1x8.3ml IV Kit
|
17
|
9
|
—
|
—
|
$10,581.38
|
$4,175,500.17
|
$2,484,158.80
|
2026-03-31
|
|
J3392
|
HCPCS
|
Inj, Exagamglogene Autotem
|
7
|
7
|
—
|
—
|
$2,425,280.00
|
$2,565,200.00
|
$2,448,600.00
|
2026-03-31
|
|
Q2057
|
HCPCS
|
Afamitresgene Autoleucel
|
5
|
5
|
—
|
—
|
$801,444.80
|
$847,682.00
|
$809,151.00
|
2026-03-31
|
|
Q2042
|
HCPCS
|
Kymriah 250000000 Cells IV Susp
|
21
|
12
|
$2,353,213.33
|
$1,294,267.33
45% off
|
$25,395.71
|
$1,953,167.06
|
$555,652.50
|
2026-03-31
|
|
Q2056
|
HCPCS
|
Carvykti 100000000 Cells IV Susp
|
21
|
12
|
$2,245,703.63
|
$1,235,137.00
45% off
|
$25,395.71
|
$1,863,934.01
|
$553,479.60
|
2026-03-31
|
|
Q2055
|
HCPCS
|
Idecabtagene Vicleucel Car
|
13
|
9
|
—
|
—
|
$25,395.71
|
$613,049.72
|
$552,916.97
|
2026-03-31
|
|
Q2054
|
HCPCS
|
Lisocabtagene Mara Car Pos T
|
13
|
9
|
—
|
—
|
$25,395.71
|
$618,792.01
|
$542,562.38
|
2026-03-31
|
|
Q2041
|
HCPCS
|
Yescarta 200000000 Cells IV Susp
|
21
|
12
|
$1,868,356.20
|
$1,027,595.91
45% off
|
$25,395.71
|
$1,550,735.65
|
$513,928.76
|
2026-03-31
|
|
Q2053
|
HCPCS
|
Brexucabtagene Car Pos T
|
13
|
9
|
—
|
—
|
$25,395.71
|
$538,235.07
|
$483,556.92
|
2026-03-31
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
16
|
9
|
—
|
—
|
$277,093.13
|
$538,195.87
|
$335,027.86
|
2026-03-31
|
|
Q2058
|
HCPCS
|
Obecbtge Autol Up To 400 Mil
|
5
|
5
|
—
|
—
|
$289,380.00
|
$306,075.00
|
$292,162.50
|
2026-03-31
|
|
J3403
|
HCPCS
|
Revakinagene, Per Implant
|
5
|
5
|
—
|
—
|
$275,600.00
|
$283,550.00
|
$278,250.00
|
2026-03-31
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
16
|
9
|
—
|
—
|
$206,965.34
|
$349,267.47
|
$218,423.05
|
2026-03-31
|
|
J3402
|
HCPCS
|
Inj. Remestemcel-l-rknd/ Td
|
5
|
5
|
—
|
—
|
$209,735.78
|
$226,204.00
|
$211,752.47
|
2026-03-31
|
|
5834
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$192,964.84
|
$208,261.10
|
$208,261.10
|
2026-03-31
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
16
|
9
|
—
|
—
|
$164,460.41
|
$266,095.55
|
$174,302.22
|
2026-03-31
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…
|
16
|
9
|
—
|
—
|
$157,467.73
|
$264,533.91
|
$165,809.86
|
2026-03-31
|
|
5884
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$127,555.94
|
$146,958.05
|
$127,555.94
|
2026-03-31
|
|
0114
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$106,294.04
|
$119,243.36
|
$119,243.36
|
2026-03-31
|
|
0024
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$119,164.66
|
$132,277.05
|
$119,164.66
|
2026-03-31
|
|
5833
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$118,611.62
|
$169,491.82
|
$118,611.62
|
2026-03-31
|
|
Q0480
|
HCPCS
|
Driver Pneumatic Vad, Rep
|
1
|
1
|
—
|
—
|
$117,077.74
|
$117,077.74
|
$117,077.74
|
2026-03-31
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…
|
16
|
9
|
—
|
—
|
$103,819.55
|
$172,632.77
|
$108,747.56
|
2026-03-31
|
|
7
|
MS_DRG
|
Lung Transplant
|
16
|
9
|
—
|
—
|
$96,022.43
|
$161,400.93
|
$101,137.61
|
2026-03-31
|
|
K1007
|
HCPCS
|
Bil Hkaf Pc S/d Micro Sensor
|
1
|
1
|
—
|
—
|
$99,835.08
|
$99,835.08
|
$99,835.08
|
2026-03-31
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
16
|
9
|
—
|
—
|
$92,572.48
|
$149,781.49
|
$96,727.71
|
2026-03-31
|
|
5832
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$91,071.80
|
$116,621.01
|
$91,071.80
|
2026-03-31
|
|
209
|
MS_DRG
|
Complex Aortic Arch Procedures
|
11
|
7
|
—
|
—
|
$87,187.39
|
$141,068.47
|
$89,702.41
|
2026-03-31
|
|
1614
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$88,926.10
|
$112,432.99
|
$88,926.10
|
2026-03-31
|
|
6094
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$88,871.48
|
$90,328.02
|
$88,871.48
|
2026-03-31
|
|
0113
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$60,401.63
|
$88,742.47
|
$88,742.47
|
2026-03-31
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
16
|
9
|
—
|
—
|
$80,966.76
|
$141,230.49
|
$87,974.08
|
2026-03-31
|
|
152180
|
CDM
|
Uf Hb Ad Bilateral Lung Transplant Import W/xvivo
|
8
|
5
|
$241,300.00
|
$132,715.00
45% off
|
$63,157.31
|
$200,279.00
|
$87,677.62
|
2026-03-31
|
|
0094
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$86,223.46
|
$87,176.41
|
$87,176.41
|
2026-03-31
|
|
152176
|
CDM
|
Uf Hb Ad Bilateral Lung Transplant Local
|
8
|
5
|
$238,400.00
|
$131,120.00
45% off
|
$63,157.31
|
$197,872.00
|
$87,025.12
|
2026-03-31
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
16
|
9
|
—
|
—
|
$76,967.54
|
$137,359.42
|
$85,564.90
|
2026-03-31
|
|
6314
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$85,478.46
|
$91,246.96
|
$85,478.46
|
2026-03-31
|
|
179472
|
CDM
|
Uf Hb Ad Bilat Lung Transplant Import
|
8
|
5
|
$229,600.00
|
$126,280.00
45% off
|
$63,157.31
|
$190,568.00
|
$85,045.12
|
2026-03-31
|
|
5883
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$84,952.00
|
$100,434.18
|
$84,952.00
|
2026-03-31
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
16
|
9
|
—
|
—
|
$80,042.45
|
$135,526.08
|
$84,613.80
|
2026-03-31
|
|
179471
|
CDM
|
Uf Hb Ad Single Lung Transplant Import
|
8
|
5
|
$227,500.00
|
$125,125.00
45% off
|
$63,157.31
|
$188,825.00
|
$84,572.62
|
2026-03-31
|
|
142406
|
CDM
|
Uf Hb Ad Bilat Lung Transplant Local
|
8
|
5
|
$226,700.00
|
$124,685.00
45% off
|
$63,157.31
|
$188,161.00
|
$84,392.62
|
2026-03-31
|
|
142404
|
CDM
|
Uf Hb Ad Single Lung Transplant Local
|
8
|
5
|
$224,600.00
|
$123,530.00
45% off
|
$63,157.31
|
$186,418.00
|
$83,920.12
|
2026-03-31
|
|
5914
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$83,645.03
|
$92,472.80
|
$83,645.03
|
2026-03-31
|
|
5831
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$72,997.03
|
$81,748.00
|
$81,748.00
|
2026-03-31
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
16
|
9
|
—
|
—
|
$78,245.99
|
$128,501.82
|
$80,947.90
|
2026-03-31
|
|
179467
|
CDM
|
Uf Ad Liver Transplant-dd Import
|
8
|
5
|
$205,900.00
|
$113,245.00
45% off
|
$63,157.31
|
$170,897.00
|
$79,712.62
|
2026-03-31
|
|
8414
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$79,102.08
|
$111,888.08
|
$79,102.08
|
2026-03-31
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
16
|
9
|
—
|
—
|
$76,697.61
|
$124,096.08
|
$78,751.68
|
2026-03-31
|
|
6304
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$77,520.20
|
$119,495.29
|
$77,520.20
|
2026-03-31
|
|
142390
|
CDM
|
Uf Ad Liver Transplant - Dd
|
8
|
5
|
$190,100.00
|
$104,555.00
45% off
|
$63,157.31
|
$157,783.00
|
$76,157.62
|
2026-03-31
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
16
|
9
|
—
|
—
|
$70,911.03
|
$121,924.99
|
$75,959.20
|
2026-03-31
|
|
5934
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$73,540.00
|
$85,211.78
|
$73,540.00
|
2026-03-31
|
|
152174
|
CDM
|
Uf Hb Ad Single Lung Transplant Local With
|
8
|
5
|
$178,374.00
|
$98,105.70
45% off
|
$63,157.31
|
$148,050.42
|
$73,519.27
|
2026-03-31
|
|
179463
|
CDM
|
Uf Hb Ped Double Lung Transplant-dd Impo
|
8
|
5
|
$178,054.00
|
$97,929.70
45% off
|
$63,157.31
|
$147,784.82
|
$73,447.27
|
2026-03-31
|
|
5882
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$72,794.70
|
$96,238.22
|
$72,794.70
|
2026-03-31
|
|
L8702
|
HCPCS
|
Ewhf S/d Uprt Micro Sensor
|
1
|
1
|
—
|
—
|
$72,241.80
|
$72,241.80
|
$72,241.80
|
2026-03-31
|
|
152178
|
CDM
|
Uf Hb Ad Single Lung Transplant Import W
|
8
|
5
|
$170,314.00
|
$93,672.70
45% off
|
$63,157.31
|
$141,360.62
|
$71,705.77
|
2026-03-31
|
|
0112
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$41,975.52
|
$70,549.10
|
$70,549.10
|
2026-03-31
|
|
0074
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$70,159.56
|
$91,484.97
|
$70,159.56
|
2026-03-31
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
16
|
9
|
—
|
—
|
$61,282.19
|
$112,288.45
|
$69,961.83
|
2026-03-31
|
|
1613
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$69,631.31
|
$76,906.41
|
$69,631.31
|
2026-03-31
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
16
|
9
|
—
|
—
|
$66,703.11
|
$107,925.08
|
$68,481.04
|
2026-03-31
|
|
179470
|
CDM
|
Uf Hb Ad Heart Transplant Import
|
8
|
5
|
$154,700.00
|
$85,085.00
45% off
|
$63,157.31
|
$128,401.00
|
$68,192.62
|
2026-03-31
|
|
142400
|
CDM
|
Uf Hb Ped Heart Transplant-dd Local
|
8
|
5
|
$153,700.00
|
$84,535.00
45% off
|
$63,157.31
|
$127,571.00
|
$67,967.62
|
2026-03-31
|
|
179460
|
CDM
|
Uf Hb Ped Heart Transplant-dd Import
|
8
|
5
|
$153,700.00
|
$84,535.00
45% off
|
$63,157.31
|
$127,571.00
|
$67,967.62
|
2026-03-31
|
|
0044
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$66,996.16
|
$77,026.95
|
$66,996.16
|
2026-03-31
|
|
J9029
|
HCPCS
|
Adstiladrin 300000000000 Vp/ml Is Susp
|
19
|
11
|
$224,775.00
|
$123,626.25
45% off
|
$16,558.92
|
$186,563.25
|
$66,845.78
|
2026-03-31
|
|
33940
|
HCPCS
|
Uf Hb Ad Heart Transplant
|
11
|
7
|
$154,240.00
|
$84,832.00
45% off
|
$3,590.67
|
$128,019.20
|
$66,770.24
|
2026-03-31
|
|
58980078021
|
NDC
|
Gattex 5 Mg Sc Kit
|
8
|
5
|
$113,808.63
|
$62,594.75
45% off
|
$51,213.88
|
$94,461.16
|
$66,770.24
|
2026-03-31
|
|
179464
|
CDM
|
Uf Hb Pancreas Transplant-dd Import
|
8
|
5
|
$141,010.00
|
$77,555.50
45% off
|
$63,157.31
|
$117,038.30
|
$66,770.24
|
2026-03-31
|
|
142388
|
CDM
|
Uf Hb Pancreas Transplant-dd Local
|
8
|
5
|
$141,010.00
|
$77,555.50
45% off
|
$63,157.31
|
$117,038.30
|
$66,770.24
|
2026-03-31
|
|
0014
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$66,329.56
|
$81,411.04
|
$66,329.56
|
2026-03-31
|
|
33202
|
HCPCS
|
Uf Hb Epicardial Lead Insertion Open
|
11
|
7
|
$146,917.00
|
$80,804.35
45% off
|
$7,472.81
|
$121,941.11
|
$66,112.65
|
2026-03-31
|
|
33475
|
HCPCS
|
Uf Hb Replacement Pulmonary Valve
|
11
|
7
|
$116,622.00
|
$64,142.10
45% off
|
$7,472.81
|
$96,796.26
|
$65,914.85
|
2026-03-31
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
16
|
9
|
—
|
—
|
$62,261.61
|
$105,063.53
|
$65,706.26
|
2026-03-31
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
16
|
9
|
—
|
—
|
$62,227.07
|
$104,733.25
|
$65,584.96
|
2026-03-31
|
|
0424T
|
HCPCS
|
Uf Hb Insert/rplc Nstim Sleep Apnea Sys, Complete
|
11
|
7
|
$111,765.00
|
$61,470.75
45% off
|
$12,126.92
|
$92,764.95
|
$65,103.11
|
2026-03-31
|
|
0023
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$64,911.19
|
$71,798.56
|
$64,911.19
|
2026-03-31
|
|
0431T
|
HCPCS
|
Uf Hb Removal/rplc Nstim Apnea Pulse Gen Only
|
11
|
7
|
$110,800.00
|
$60,940.00
45% off
|
$12,126.92
|
$91,964.00
|
$64,541.00
|
2026-03-31
|
|
C9293
|
HCPCS
|
Voraxaze 1000 Units IV Solr
|
14
|
8
|
$333,043.51
|
$183,173.93
45% off
|
$466.64
|
$276,426.11
|
$64,536.08
|
2026-03-31
|
|
0427T
|
HCPCS
|
Uf Hb Insertion/rplc Nstim Apnea Pulse Gen Only
|
11
|
7
|
$109,375.00
|
$60,156.25
45% off
|
$12,126.92
|
$90,781.25
|
$63,710.94
|
2026-03-31
|
|
5913
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$63,082.80
|
$66,665.56
|
$63,082.80
|
2026-03-31
|
|
5881
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$62,395.71
|
$96,238.22
|
$62,395.71
|
2026-03-31
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
16
|
9
|
—
|
—
|
$59,228.58
|
$98,070.43
|
$61,778.07
|
2026-03-31
|
|
179468
|
CDM
|
Uf Hb Kidney Transplant-dd Import
|
8
|
5
|
$103,304.00
|
$56,817.20
45% off
|
$46,486.80
|
$85,742.32
|
$61,512.37
|
2026-03-31
|
|
J0567
|
HCPCS
|
Brineura 2 X 150 Mg/5ml Ve Kit
|
15
|
9
|
$134,523.55
|
$73,987.95
45% off
|
$126.04
|
$111,654.55
|
$60,535.60
|
2026-03-31
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
16
|
9
|
—
|
—
|
$57,430.65
|
$95,283.66
|
$60,022.58
|
2026-03-31
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
16
|
9
|
—
|
—
|
$56,850.94
|
$95,696.19
|
$59,922.28
|
2026-03-31
|
|
A9543
|
HCPCS
|
Uf Hb Zevalin Y90 Ibritumomab
|
21
|
12
|
$146,051.00
|
$80,328.05
45% off
|
$15,365.73
|
$121,222.33
|
$59,665.77
|
2026-03-31
|
|
5892
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$55,752.61
|
$59,458.71
|
$59,458.71
|
2026-03-31
|
|
5893
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$53,078.35
|
$59,458.71
|
$59,458.71
|
2026-03-31
|
|
5891
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$57,797.60
|
$59,458.71
|
$59,458.71
|
2026-03-31
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
16
|
9
|
—
|
—
|
$54,842.88
|
$94,968.34
|
$59,182.56
|
2026-03-31
|
|
J1299
|
HCPCS
|
Soliris 300 Mg/30ml IV Soln
|
13
|
8
|
$105,544.25
|
$58,049.34
45% off
|
$46.82
|
$87,601.73
|
$58,904.25
|
2026-03-31
|
|
0093
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$38,673.78
|
$58,588.00
|
$58,588.00
|
2026-03-31
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
16
|
9
|
—
|
—
|
$55,273.58
|
$89,432.18
|
$58,581.26
|
2026-03-31
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
16
|
9
|
—
|
—
|
$54,956.99
|
$88,919.95
|
$58,245.49
|
2026-03-31
|
|
142396
|
CDM
|
Uf Kidney Transplant - Dd
|
8
|
5
|
$97,351.00
|
$53,543.05
45% off
|
$43,807.95
|
$80,801.33
|
$57,967.65
|
2026-03-31
|
|
Q2043
|
HCPCS
|
Sipuleucel-t Auto Cd54+
|
13
|
9
|
—
|
—
|
$15,211.53
|
$60,799.55
|
$57,215.84
|
2026-03-31
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
16
|
9
|
—
|
—
|
$52,186.77
|
$89,966.86
|
$56,069.85
|
2026-03-31
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
16
|
9
|
—
|
—
|
$49,072.92
|
$89,394.79
|
$55,713.83
|
2026-03-31
|
|
6024
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$55,400.17
|
$62,930.16
|
$55,400.17
|
2026-03-31
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
16
|
9
|
—
|
—
|
$51,924.47
|
$88,867.60
|
$55,385.73
|
2026-03-31
|
|
5912
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$48,876.21
|
$54,106.85
|
$54,106.85
|
2026-03-31
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
16
|
9
|
—
|
—
|
$51,112.58
|
$86,143.15
|
$53,907.04
|
2026-03-31
|
|
5933
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$53,796.73
|
$57,894.30
|
$53,796.73
|
2026-03-31
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
16
|
9
|
—
|
—
|
$48,989.90
|
$85,720.64
|
$53,427.20
|
2026-03-31
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
16
|
9
|
—
|
—
|
$50,170.63
|
$83,891.05
|
$52,706.25
|
2026-03-31
|
|
L7181
|
HCPCS
|
Electronic Elbo Simultaneous
|
1
|
1
|
—
|
—
|
$52,085.72
|
$52,085.72
|
$52,085.72
|
2026-03-31
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
16
|
9
|
—
|
—
|
$49,262.49
|
$83,274.12
|
$52,033.51
|
2026-03-31
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
16
|
9
|
—
|
—
|
$45,454.30
|
$83,335.19
|
$51,942.60
|
2026-03-31
|
|
33975
|
HCPCS
|
Uf Hb Insertion Of Vad; Single Ventricular
|
11
|
7
|
$88,134.00
|
$48,473.70
45% off
|
$19,413.55
|
$73,151.22
|
$51,338.06
|
2026-03-31
|
|
1611
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$51,234.90
|
$59,370.08
|
$51,234.90
|
2026-03-31
|
|
1612
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$51,234.90
|
$62,509.78
|
$51,234.90
|
2026-03-31
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
16
|
9
|
—
|
—
|
$43,712.22
|
$81,949.28
|
$51,080.07
|
2026-03-31
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
16
|
9
|
—
|
—
|
$47,449.13
|
$81,949.28
|
$51,080.07
|
2026-03-31
|
|
1604
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$51,048.39
|
$61,019.41
|
$51,048.39
|
2026-03-31
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
16
|
9
|
—
|
—
|
$45,247.10
|
$81,651.41
|
$50,894.69
|
2026-03-31
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
16
|
9
|
—
|
—
|
$47,517.47
|
$80,196.95
|
$50,150.60
|
2026-03-31
|
|
0022
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$49,153.16
|
$57,036.30
|
$49,153.16
|
2026-03-31
|
|
0620T
|
HCPCS
|
Hb Evasc Ven Artlz Tibl/prnl Vn
|
20
|
12
|
$122,502.00
|
$67,376.10
45% off
|
$6,999.91
|
$101,676.66
|
$48,066.67
|
2026-03-31
|
|
64654
|
HCPCS
|
1st Opn Implt Bat Modulj Sys
|
4
|
4
|
—
|
—
|
$47,836.68
|
$49,216.59
|
$48,066.67
|
2026-03-31
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
16
|
9
|
—
|
—
|
$46,467.51
|
$76,290.99
|
$48,058.42
|
2026-03-31
|
|
J9226
|
HCPCS
|
Supprelin La 50 Mg Sc Kit
|
21
|
12
|
$197,243.43
|
$108,483.89
45% off
|
$15,211.53
|
$163,712.05
|
$47,617.73
|
2026-03-31
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
16
|
9
|
—
|
—
|
$44,017.14
|
$76,379.47
|
$47,613.67
|
2026-03-31
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
16
|
9
|
—
|
—
|
$44,883.40
|
$75,559.40
|
$47,310.68
|
2026-03-31
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
16
|
9
|
—
|
—
|
$45,513.08
|
$74,861.46
|
$47,157.90
|
2026-03-31
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
16
|
9
|
—
|
—
|
$44,668.86
|
$74,882.64
|
$46,986.07
|
2026-03-31
|
|
0266T
|
HCPCS
|
Implt/rpl Crtd Sns Dev Total
|
8
|
7
|
—
|
—
|
$12,126.92
|
$49,687.66
|
$46,977.43
|
2026-03-31
|
|
0054
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$46,671.82
|
$49,758.94
|
$46,671.82
|
2026-03-31
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/mcc
|
16
|
9
|
—
|
—
|
$44,348.51
|
$73,903.04
|
$46,511.03
|
2026-03-31
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
16
|
9
|
—
|
—
|
$42,169.99
|
$74,319.31
|
$46,331.51
|
2026-03-31
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
16
|
9
|
—
|
—
|
$43,679.15
|
$74,075.03
|
$46,210.70
|
2026-03-31
|
|
0043
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$46,198.91
|
$50,899.56
|
$46,198.91
|
2026-03-31
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
16
|
9
|
—
|
—
|
$43,233.90
|
$73,141.54
|
$45,683.98
|
2026-03-31
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
16
|
9
|
—
|
—
|
$42,779.09
|
$73,094.18
|
$45,569.04
|
2026-03-31
|
|
213
|
MS_DRG
|
Endovascular Abdominal Aorta With Iliac Branch Procedures
|
11
|
7
|
—
|
—
|
$43,959.58
|
$71,126.24
|
$45,227.65
|
2026-03-31
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
13
|
9
|
—
|
—
|
$42,543.02
|
$55,411.71
|
$44,997.43
|
2026-03-31
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
16
|
9
|
—
|
—
|
$40,194.26
|
$71,876.52
|
$44,811.23
|
2026-03-31
|
|
0073
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$44,622.06
|
$46,235.52
|
$44,622.06
|
2026-03-31
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
16
|
9
|
—
|
—
|
$41,917.97
|
$71,417.87
|
$44,525.79
|
2026-03-31
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
16
|
9
|
—
|
—
|
$41,844.37
|
$67,703.84
|
$44,348.51
|
2026-03-31
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
16
|
9
|
—
|
—
|
$39,683.61
|
$71,034.01
|
$44,286.89
|
2026-03-31
|
|
8424
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$44,285.71
|
$50,506.99
|
$44,285.71
|
2026-03-31
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
16
|
9
|
—
|
—
|
$40,441.13
|
$70,068.11
|
$43,685.76
|
2026-03-31
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
16
|
9
|
—
|
—
|
$39,978.24
|
$69,851.25
|
$43,550.79
|
2026-03-31
|
|
0021
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$43,443.38
|
$49,679.01
|
$43,443.38
|
2026-03-31
|
|
0064
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$43,326.23
|
$62,481.51
|
$43,326.23
|
2026-03-31
|
|
5932
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$43,270.17
|
$51,150.38
|
$43,270.17
|
2026-03-31
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
16
|
9
|
—
|
—
|
$36,761.53
|
$69,372.66
|
$43,252.94
|
2026-03-31
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
16
|
9
|
—
|
—
|
$40,611.59
|
$68,421.72
|
$42,824.62
|
2026-03-31
|
|
6074
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$42,824.58
|
$49,265.69
|
$42,824.58
|
2026-03-31
|
|
6303
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$42,730.78
|
$49,290.86
|
$42,730.78
|
2026-03-31
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
16
|
9
|
—
|
—
|
$39,887.13
|
$68,179.94
|
$42,510.64
|
2026-03-31
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
16
|
9
|
—
|
—
|
$39,089.93
|
$68,082.72
|
$42,450.13
|
2026-03-31
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
16
|
9
|
—
|
—
|
$39,646.14
|
$67,975.54
|
$42,383.43
|
2026-03-31
|
|
L7180
|
HCPCS
|
Electronic Elbow Sequential
|
1
|
1
|
—
|
—
|
$41,992.22
|
$41,992.22
|
$41,992.22
|
2026-03-31
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
16
|
9
|
—
|
—
|
$40,611.59
|
$65,977.69
|
$41,561.70
|
2026-03-31
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
16
|
9
|
—
|
—
|
$38,917.27
|
$66,463.75
|
$41,442.56
|
2026-03-31
|
|
38240
|
HCPCS
|
Hb Bone Marrow Allogeneic Transplant
|
20
|
12
|
$54,407.00
|
$29,923.85
45% off
|
$2,785.83
|
$70,284.36
|
$41,430.93
|
2026-03-31
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
16
|
9
|
—
|
—
|
$37,840.13
|
$66,423.87
|
$41,417.74
|
2026-03-31
|
|
L2006
|
HCPCS
|
Kaf Sng/dbl Swg/stn Mcpr Cus
|
1
|
1
|
—
|
—
|
$41,347.36
|
$41,347.36
|
$41,347.36
|
2026-03-31
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
16
|
9
|
—
|
—
|
$40,027.26
|
$64,763.77
|
$41,267.43
|
2026-03-31
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
16
|
9
|
—
|
—
|
$37,714.49
|
$65,759.58
|
$41,004.32
|
2026-03-31
|
|
8514
|
APR_DRG
|
—
|
2
|
2
|
—
|
—
|
$40,865.02
|
$40,865.02
|
$40,865.02
|
2026-03-31
|
|
8513
|
APR_DRG
|
—
|
2
|
2
|
—
|
—
|
$40,865.02
|
$40,865.02
|
$40,865.02
|
2026-03-31
|
|
6034
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$40,520.04
|
$78,722.22
|
$40,520.04
|
2026-03-31
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
16
|
9
|
—
|
—
|
$37,432.35
|
$64,875.94
|
$40,454.38
|
2026-03-31
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
16
|
9
|
—
|
—
|
$37,753.37
|
$61,084.64
|
$39,786.59
|
2026-03-31
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
16
|
9
|
—
|
—
|
$33,743.93
|
$62,817.02
|
$39,172.99
|
2026-03-31
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
16
|
9
|
—
|
—
|
$37,317.73
|
$62,158.96
|
$39,128.71
|
2026-03-31
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
16
|
9
|
—
|
—
|
$37,008.40
|
$61,340.13
|
$38,640.34
|
2026-03-31
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
16
|
9
|
—
|
—
|
$36,746.83
|
$61,550.76
|
$38,637.04
|
2026-03-31
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
16
|
9
|
—
|
—
|
$36,614.58
|
$61,660.44
|
$38,601.32
|
2026-03-31
|
|
6023
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$38,465.25
|
$46,776.46
|
$38,465.25
|
2026-03-31
|
|
92930
|
HCPCS
|
Hb Prq Tcat Plmt Ntrac St 2+les
|
12
|
7
|
$67,002.00
|
$36,851.10
45% off
|
$19,909.08
|
$55,611.66
|
$38,211.24
|
2026-03-31
|
|
57280
|
HCPCS
|
Uf Hb Colpopexyabdominal Approach
|
11
|
7
|
$65,107.00
|
$35,808.85
45% off
|
$3,603.31
|
$54,038.81
|
$37,924.83
|
2026-03-31
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
16
|
9
|
—
|
—
|
$36,790.18
|
$59,876.95
|
$37,718.62
|
2026-03-31
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
16
|
9
|
—
|
—
|
$35,688.80
|
$60,181.05
|
$37,650.16
|
2026-03-31
|
|
0870T
|
HCPCS
|
Imp Subq Prtl Ascts Pmp Sys
|
4
|
4
|
—
|
—
|
$37,206.43
|
$38,279.69
|
$37,385.31
|
2026-03-31
|
|
37284
|
HCPCS
|
Hb Revsc Evasc Tpvt St Plmt Uni Sf Les 1st Vsl
|
12
|
7
|
$65,550.00
|
$36,052.50
45% off
|
$19,909.08
|
$54,406.50
|
$37,383.17
|
2026-03-31
|
|
37288
|
HCPCS
|
Hb Revsc Evasc Tpvt Athrc Uni Sf Les 1st Vsl
|
12
|
7
|
$65,550.00
|
$36,052.50
45% off
|
$19,909.08
|
$54,406.50
|
$37,383.17
|
2026-03-31
|
|
37290
|
HCPCS
|
Hb Revsc Evasc Tpvt Athrc Uni Cplx Les 1st Vsl
|
12
|
7
|
$65,550.00
|
$36,052.50
45% off
|
$19,909.08
|
$54,406.50
|
$37,383.17
|
2026-03-31
|
|
37294
|
HCPCS
|
Hb Revsc Evasc Tpvt St Athrc Uni Cplx Les 1st Vsl
|
12
|
7
|
$65,550.00
|
$36,052.50
45% off
|
$19,909.08
|
$54,406.50
|
$37,383.17
|
2026-03-31
|
|
37271
|
HCPCS
|
Hb Revsc Evasc Fpvt Athrc Uni Sf Les 1st Vsl
|
12
|
7
|
$65,550.00
|
$36,052.50
45% off
|
$19,909.08
|
$54,406.50
|
$37,383.17
|
2026-03-31
|
|
37273
|
HCPCS
|
Hb Revsc Evasc Fpvt Athrc Uni Cplx Les 1st Vsl
|
12
|
7
|
$65,550.00
|
$36,052.50
45% off
|
$19,909.08
|
$54,406.50
|
$37,383.17
|
2026-03-31
|
|
37277
|
HCPCS
|
Hb Revsc Evasc Fpvt St Athrc Uni Cplx Les 1st Vsl
|
12
|
7
|
$65,550.00
|
$36,052.50
45% off
|
$19,909.08
|
$54,406.50
|
$37,383.17
|
2026-03-31
|
|
37292
|
HCPCS
|
Hb Revsc Evasc Tpvt St Athrc Uni Sf Les 1st Vsl
|
12
|
7
|
$65,550.00
|
$36,052.50
45% off
|
$19,909.08
|
$54,406.50
|
$37,383.17
|
2026-03-31
|
|
37286
|
HCPCS
|
Hb Revsc Evasc Tpvt St Plmt Uni Cplx Les 1st Vsl
|
12
|
7
|
$65,550.00
|
$36,052.50
45% off
|
$19,909.08
|
$54,406.50
|
$37,383.17
|
2026-03-31
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
16
|
9
|
—
|
—
|
$34,929.07
|
$58,474.84
|
$37,076.32
|
2026-03-31
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
16
|
9
|
—
|
—
|
$34,567.57
|
$59,334.80
|
$37,005.82
|
2026-03-31
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
16
|
9
|
—
|
—
|
$35,087.77
|
$58,300.36
|
$36,725.48
|
2026-03-31
|
|
L8701
|
HCPCS
|
Ewh S/d Uprt Micro Sensor
|
1
|
1
|
—
|
—
|
$36,718.64
|
$36,718.64
|
$36,718.64
|
2026-03-31
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
16
|
9
|
—
|
—
|
$33,851.93
|
$58,594.49
|
$36,545.07
|
2026-03-31
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
16
|
9
|
—
|
—
|
$35,629.28
|
$57,791.86
|
$36,405.15
|
2026-03-31
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
16
|
9
|
—
|
—
|
$35,143.63
|
$56,862.10
|
$36,204.09
|
2026-03-31
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
16
|
9
|
—
|
—
|
$34,179.63
|
$57,561.29
|
$36,034.68
|
2026-03-31
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
16
|
9
|
—
|
—
|
$34,382.42
|
$57,141.28
|
$35,995.33
|
2026-03-31
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
16
|
9
|
—
|
—
|
$33,738.78
|
$57,287.10
|
$35,731.42
|
2026-03-31
|
|
6114
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$35,617.73
|
$43,610.71
|
$35,617.73
|
2026-03-31
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
16
|
9
|
—
|
—
|
$34,885.58
|
$56,444.59
|
$35,581.75
|
2026-03-31
|
|
33621
|
HCPCS
|
Uf Hb Transthro Cath For Stent
|
11
|
7
|
$60,871.00
|
$33,479.05
45% off
|
$7,472.81
|
$50,522.93
|
$35,457.36
|
2026-03-31
|
|
0915T
|
HCPCS
|
Uf Hb Insj Perm Ccm-d Sys Pg&eltrd
|
17
|
10
|
$117,827.00
|
$64,804.85
45% off
|
$33,470.08
|
$97,796.41
|
$35,401.05
|
2026-03-31
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
16
|
9
|
—
|
—
|
$33,148.78
|
$56,691.36
|
$35,360.65
|
2026-03-31
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
16
|
9
|
—
|
—
|
$32,860.03
|
$56,666.43
|
$35,345.13
|
2026-03-31
|
|
6134
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$35,290.36
|
$44,119.43
|
$35,290.36
|
2026-03-31
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
16
|
9
|
—
|
—
|
$33,865.89
|
$55,857.57
|
$35,186.68
|
2026-03-31
|
|
8634
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$34,835.42
|
$37,758.36
|
$34,835.42
|
2026-03-31
|
|
31
|
MS_DRG
|
Ventricular Shunt Procedures With Mcc
|
16
|
9
|
—
|
—
|
$30,790.25
|
$55,841.37
|
$34,831.65
|
2026-03-31
|
|
0111
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$23,870.88
|
$34,745.58
|
$34,745.58
|
2026-03-31
|
|
33249
|
HCPCS
|
Hb Insert/repl Id System W/lead(s) Biv
|
20
|
12
|
$101,572.00
|
$55,864.60
45% off
|
$13,945.58
|
$84,304.76
|
$34,745.46
|
2026-03-31
|
|
33264
|
HCPCS
|
Hb Remv&repl Id Gen Mult Lead
|
20
|
12
|
$83,912.00
|
$46,151.60
45% off
|
$13,945.58
|
$69,646.96
|
$34,745.46
|
2026-03-31
|
|
33270
|
HCPCS
|
Hb Ins/rep Subq Defibrillator
|
20
|
12
|
$136,756.00
|
$75,215.80
45% off
|
$13,945.58
|
$113,507.48
|
$34,745.46
|
2026-03-31
|
|
0408T
|
HCPCS
|
Uf Hb Insj/rplc Cardiac Modulj Sys
|
20
|
12
|
$117,827.00
|
$64,804.85
45% off
|
$4,953.93
|
$97,796.41
|
$34,745.46
|
2026-03-31
|
|
33231
|
HCPCS
|
Hb Insrt Pulse Gen W/mult Leads
|
20
|
12
|
$149,330.00
|
$82,131.50
45% off
|
$13,945.58
|
$123,943.90
|
$34,745.46
|
2026-03-31
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
16
|
9
|
—
|
—
|
$32,275.90
|
$55,622.02
|
$34,695.13
|
2026-03-31
|
|
0013
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$34,436.53
|
$37,916.89
|
$34,436.53
|
2026-03-31
|
|
33959
|
HCPCS
|
Uf Hb Ecmo/ecls Repos Perph Cnula
|
11
|
7
|
$58,907.00
|
$32,398.85
45% off
|
$5,044.46
|
$48,892.81
|
$34,313.33
|
2026-03-31
|
|
1624
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$34,306.45
|
$45,563.86
|
$34,306.45
|
2026-03-31
|
|
0571T
|
HCPCS
|
Uf Hb Insert/rplcmt Ev-icd Single System
|
20
|
12
|
$64,123.00
|
$35,267.65
45% off
|
$13,945.58
|
$53,222.09
|
$34,253.77
|
2026-03-31
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
16
|
9
|
—
|
—
|
$31,342.04
|
$54,748.34
|
$34,151.40
|
2026-03-31
|
|
3034
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$34,140.79
|
$47,831.86
|
$34,140.79
|
2026-03-31
|
|
0053
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$33,871.27
|
$35,997.75
|
$33,871.27
|
2026-03-31
|
|
92941
|
HCPCS
|
Hb Percu Card Revasc Mi 1 Vsl
|
11
|
7
|
$58,072.00
|
$31,939.60
45% off
|
$5,577.10
|
$48,199.76
|
$33,826.94
|
2026-03-31
|
|
37660
|
HCPCS
|
Uf Hb Revision Of Major Vein
|
11
|
7
|
$57,938.00
|
$31,865.90
45% off
|
$5,419.39
|
$48,088.54
|
$33,748.89
|
2026-03-31
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
16
|
9
|
—
|
—
|
$32,951.13
|
$53,503.27
|
$33,703.62
|
2026-03-31
|
|
0909T
|
HCPCS
|
Rplcmt Int Nstim Sys Vgs Nrv
|
4
|
4
|
—
|
—
|
$33,513.01
|
$34,479.73
|
$33,674.13
|
2026-03-31
|
|
0908T
|
HCPCS
|
Opn Imp Int Nstm Sys Vgs Nrv
|
4
|
4
|
—
|
—
|
$33,513.01
|
$34,479.73
|
$33,674.13
|
2026-03-31
|
|
64656
|
HCPCS
|
Revj/rplcmt Bat Mod Sys Pg
|
4
|
4
|
—
|
—
|
$33,513.01
|
$34,479.73
|
$33,674.13
|
2026-03-31
|
|
323
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc
|
16
|
9
|
—
|
—
|
$31,295.75
|
$53,933.25
|
$33,644.13
|
2026-03-31
|
|
4404
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$33,592.77
|
$42,240.03
|
$33,592.77
|
2026-03-31
|
|
0063
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$33,389.74
|
$40,097.45
|
$33,389.74
|
2026-03-31
|
|
69930
|
HCPCS
|
Implant Cochlear Device
|
12
|
9
|
—
|
—
|
$15,215.96
|
$36,842.34
|
$33,364.82
|
2026-03-31
|
|
140
|
MS_DRG
|
Major Head And Neck Procedures With Mcc
|
16
|
9
|
—
|
—
|
$31,073.86
|
$53,159.29
|
$33,162.44
|
2026-03-31
|
|
901
|
MS_DRG
|
Wound Debridements For Injuries With Mcc
|
16
|
9
|
—
|
—
|
$32,325.91
|
$52,303.07
|
$33,062.15
|
2026-03-31
|
|
448
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical Without Mcc
|
16
|
9
|
—
|
—
|
$30,003.34
|
$52,853.94
|
$32,972.41
|
2026-03-31
|
|
5931
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$13,355.80
|
$32,930.12
|
$32,930.12
|
2026-03-31
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
16
|
9
|
—
|
—
|
$30,570.56
|
$52,634.59
|
$32,835.90
|
2026-03-31
|
|
12
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc
|
16
|
9
|
—
|
—
|
$30,151.75
|
$52,544.85
|
$32,780.05
|
2026-03-31
|
|
958
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
16
|
9
|
—
|
—
|
$30,196.57
|
$52,518.68
|
$32,763.76
|
2026-03-31
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
16
|
9
|
—
|
—
|
$31,726.31
|
$52,003.95
|
$32,759.14
|
2026-03-31
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
16
|
9
|
—
|
—
|
$30,782.90
|
$52,365.38
|
$32,668.36
|
2026-03-31
|
|
236
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
16
|
9
|
—
|
—
|
$30,213.47
|
$52,205.85
|
$32,569.07
|
2026-03-31
|
|
33895
|
HCPCS
|
Uf Hb Evasc St Rpr Coarcj Thrc/aa Xcrsg Maj Sde Br
|
11
|
7
|
$55,878.00
|
$30,732.90
45% off
|
$9,030.67
|
$46,378.74
|
$32,548.94
|
2026-03-31
|
|
33745
|
HCPCS
|
Uf Hb Tis Cgen Car Anomal 1st Shunt
|
11
|
7
|
$55,878.00
|
$30,732.90
45% off
|
$8,988.07
|
$46,378.74
|
$32,548.94
|
2026-03-31
|
|
33894
|
HCPCS
|
Uf Hb Evasc St Rpr Coarcj Thrc/aa Acrs Maj Sde Brn
|
11
|
7
|
$55,878.00
|
$30,732.90
45% off
|
$9,030.67
|
$46,378.74
|
$32,548.94
|
2026-03-31
|
|
793
|
MS_DRG
|
Full Term Neonate With Major Problems
|
16
|
9
|
—
|
—
|
$30,642.56
|
$51,966.56
|
$32,420.14
|
2026-03-31
|
|
207212
|
CDM
|
Uf Hb Aurora Ev-aicd, Single Chamber
|
8
|
5
|
$75,250.00
|
$41,387.50
45% off
|
$28,595.00
|
$62,457.50
|
$32,331.17
|
2026-03-31
|
|
423
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
16
|
9
|
—
|
—
|
$29,885.04
|
$51,759.67
|
$32,291.38
|
2026-03-31
|
|
273
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures With Mcc
|
16
|
9
|
—
|
—
|
$28,730.76
|
$51,416.93
|
$32,078.08
|
2026-03-31
|
|
J1300
|
HCPCS
|
Soliris 300 Mg/30ml IV Soln
|
16
|
11
|
$105,544.25
|
$58,049.34
45% off
|
$233.62
|
$87,601.73
|
$32,026.92
|
2026-03-31
|
|
64582
|
HCPCS
|
Opn Mpltj Hpglsl Nstm Ary Pg
|
12
|
9
|
—
|
—
|
$12,126.92
|
$34,479.73
|
$31,965.28
|
2026-03-31
|
|
64568
|
HCPCS
|
Opn Impltj Crnl Nrv Nea&pg
|
12
|
9
|
—
|
—
|
$12,126.92
|
$49,216.59
|
$31,965.28
|
2026-03-31
|
|
0674T
|
HCPCS
|
Laps Insj Nw/rpcmt Prm Isdss
|
12
|
9
|
—
|
—
|
$3,893.73
|
$34,479.73
|
$31,965.28
|
2026-03-31
|
|
63685
|
HCPCS
|
Ins/rplc Spi Npg/rcvr Pocket
|
12
|
9
|
—
|
—
|
$12,126.92
|
$34,479.73
|
$31,965.28
|
2026-03-31
|
|
61886
|
HCPCS
|
Implant Neurostim Arrays
|
12
|
9
|
—
|
—
|
$12,126.92
|
$34,479.73
|
$31,965.28
|
2026-03-31
|
|
33265
|
HCPCS
|
Uf Hb Endo Ablation & Recon Atria Limite
|
11
|
7
|
$54,770.00
|
$30,123.50
45% off
|
$7,472.81
|
$45,459.10
|
$31,903.53
|
2026-03-31
|
|
0268T
|
HCPCS
|
Implt/rpl Crtd Sns Dev Gen
|
8
|
7
|
—
|
—
|
$12,126.92
|
$33,647.66
|
$31,812.33
|
2026-03-31
|
|
933
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft
|
16
|
9
|
—
|
—
|
$29,996.56
|
$48,534.19
|
$31,791.71
|
2026-03-31
|
|
158595
|
CDM
|
Uf Hb Perc Trans Revasc Acute Mi-des
|
8
|
5
|
$53,231.00
|
$29,277.05
45% off
|
$23,953.95
|
$44,181.73
|
$31,696.40
|
2026-03-31
|
|
791
|
MS_DRG
|
Prematurity With Major Problems
|
16
|
9
|
—
|
—
|
$29,829.94
|
$50,588.13
|
$31,562.27
|
2026-03-31
|
|
J9309
|
HCPCS
|
Polivy 30 Mg IV Solr
|
29
|
12
|
$64,540.78
|
$35,497.43
45% off
|
$134.97
|
$58,030.86
|
$31,462.52
|
2026-03-31
|
|
0072
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$31,423.35
|
$36,665.88
|
$31,423.35
|
2026-03-31
|
|
33289
|
HCPCS
|
Uf Hb Insertion Of Wireless Pa Pressure Sensor
|
20
|
12
|
$118,100.00
|
$64,955.00
45% off
|
$13,945.58
|
$98,023.00
|
$31,420.24
|
2026-03-31
|
|
402
|
MS_DRG
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
16
|
9
|
—
|
—
|
$28,744.72
|
$50,108.30
|
$31,263.65
|
2026-03-31
|
|
37218
|
HCPCS
|
Uf Hb Transcath Stent Plcmt Ante Carotid
|
11
|
7
|
$53,664.00
|
$29,515.20
45% off
|
$8,649.15
|
$44,541.12
|
$31,259.28
|
2026-03-31
|
|
L5856
|
HCPCS
|
Elec Knee-shin Swing/stance
|
1
|
1
|
—
|
—
|
$31,205.96
|
$31,205.96
|
$31,205.96
|
2026-03-31
|
|
0084
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$31,204.86
|
$45,846.91
|
$31,204.86
|
2026-03-31
|
|
L6880
|
HCPCS
|
Elec Hand Ind Art Digits
|
1
|
1
|
—
|
—
|
$31,058.65
|
$31,058.65
|
$31,058.65
|
2026-03-31
|
|
C1767
|
HCPCS
|
Uf Hb Replacement Generator, Neurostimulator
|
8
|
5
|
$72,188.00
|
$39,703.40
45% off
|
$27,431.44
|
$59,916.04
|
$31,015.57
|
2026-03-31
|
|
C9606
|
HCPCS
|
Uf Hb Perc Trans Revasc Acute Mi-des
|
11
|
7
|
$53,231.00
|
$29,277.05
45% off
|
$5,577.10
|
$44,181.73
|
$31,007.06
|
2026-03-31
|
|
L6700
|
HCPCS
|
Ue Add Ext Power Myoel
|
1
|
1
|
—
|
—
|
$30,985.70
|
$30,985.70
|
$30,985.70
|
2026-03-31
|
|
802
|
MS_DRG
|
Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc
|
16
|
9
|
—
|
—
|
$26,339.16
|
$49,654.64
|
$30,981.31
|
2026-03-31
|
|
6093
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$30,828.62
|
$41,748.99
|
$30,828.62
|
2026-03-31
|
|
33276
|
HCPCS
|
Uf Hb Insj Phrnc Nrv Stim Sys
|
18
|
11
|
$7,495.00
|
$4,122.25
45% off
|
$3,372.75
|
$49,687.66
|
$30,764.18
|
2026-03-31
|
|
6022
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$30,735.91
|
$37,533.60
|
$30,735.91
|
2026-03-31
|
|
160072
|
CDM
|
Uf Hb Impella 4.0
|
8
|
5
|
$71,384.00
|
$39,261.20
45% off
|
$27,125.92
|
$59,248.72
|
$30,670.14
|
2026-03-31
|
|
24
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
16
|
9
|
—
|
—
|
$27,932.82
|
$48,754.79
|
$30,421.28
|
2026-03-31
|
|
876
|
MS_DRG
|
O.r. Procedures With Principal Diagnosis Of Mental Illness
|
16
|
9
|
—
|
—
|
$28,872.56
|
$48,169.02
|
$30,297.71
|
2026-03-31
|
|
34
|
MS_DRG
|
Carotid Artery Stent Procedures With Mcc
|
16
|
9
|
—
|
—
|
$28,572.05
|
$48,241.31
|
$30,161.34
|
2026-03-31
|
|
72205004501
|
NDC
|
Sod Benz-sod Phenylacet 10-10 % IV Soln
|
8
|
5
|
$50,628.75
|
$27,845.81
45% off
|
$22,782.94
|
$42,021.86
|
$30,146.89
|
2026-03-31
|
|
76329334001
|
NDC
|
Sod Benz-sod Phenylacet 10-10 % IV Soln
|
8
|
5
|
$50,628.75
|
$27,845.81
45% off
|
$22,782.94
|
$42,021.86
|
$30,146.89
|
2026-03-31
|
|
907
|
MS_DRG
|
Other O.r. Procedures For Injuries With Mcc
|
16
|
9
|
—
|
—
|
$29,270.06
|
$47,849.96
|
$30,142.53
|
2026-03-31
|
|
J9266
|
HCPCS
|
Oncaspar 750 Unit/ml Ij Soln
|
20
|
11
|
$82,027.48
|
$45,115.11
45% off
|
$10,581.38
|
$68,082.81
|
$30,129.49
|
2026-03-31
|
|
1634
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$30,019.36
|
$38,489.19
|
$30,019.36
|
2026-03-31
|
|
40
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc
|
16
|
9
|
—
|
—
|
$27,715.34
|
$38,739.03
|
$29,742.37
|
2026-03-31
|
|
0042
|
APR_DRG
|
—
|
3
|
3
|
—
|
—
|
$29,522.73
|
$35,285.47
|
$29,522.73
|
2026-03-31
|
|
956
|
MS_DRG
|
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma
|
16
|
9
|
—
|
—
|
$28,084.91
|
$46,899.02
|
$29,486.60
|
2026-03-31
|
|
0960T
|
HCPCS
|
Rpl S-sclp Eltr Ra Rcvr&tlmt
|
5
|
5
|
—
|
—
|
$24,844.11
|
$30,318.97
|
$29,468.91
|
2026-03-31
|
|
22558
|
HCPCS
|
Arthrd Ant Ntrbd Min Dsc Lum
|
7
|
6
|
—
|
—
|
$6,465.11
|
$30,318.97
|
$29,468.91
|
2026-03-31
|
|
0956T
|
HCPCS
|
Prt Crn Ch Cr&tun Elt S-sclp
|
5
|
5
|
—
|
—
|
$24,844.11
|
$30,318.97
|
$29,468.91
|
2026-03-31
|