|
0054
|
OTHER
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
18
|
9
|
—
|
—
|
$107,098.75
|
$116,642.21
|
$111,340.29
|
2026-05-21
|
|
0053
|
OTHER
|
Tracheostomy With Mv >96 Hours Without Extensive Procedure
|
18
|
9
|
—
|
—
|
$77,725.09
|
$84,651.08
|
$80,803.30
|
2026-05-21
|
|
0044
|
OTHER
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
18
|
9
|
—
|
—
|
$153,737.43
|
$167,436.81
|
$159,826.05
|
2026-05-21
|
|
0043
|
OTHER
|
Tracheostomy With Mv >96 Hours With Extensive Procedure
|
18
|
9
|
—
|
—
|
$106,013.56
|
$115,460.31
|
$110,212.12
|
2026-05-21
|
|
004
|
OTHER
|
Trach W Mv 96+ Hrs Or Pdx Exc Face - Mouth & Neck Without Maj O.r.
|
36
|
16
|
—
|
—
|
$127,523.16
|
$131,218.68
|
$131,218.68
|
2026-05-21
|
|
870
|
OTHER
|
Septicemia Or Severe Sepsis W Mv 96+ Hours
|
36
|
16
|
—
|
—
|
$90,072.94
|
$92,683.18
|
$92,683.18
|
2026-05-21
|
|
207
|
OTHER
|
Respiratory System Diagnosis W Ventilator Support 96+ Hours
|
36
|
16
|
—
|
—
|
$85,200.80
|
$87,669.85
|
$87,669.85
|
2026-05-21
|
|
0114
|
OTHER
|
Psychiatric
|
18
|
9
|
—
|
—
|
$273,630.12
|
$298,013.00
|
$284,466.96
|
2026-05-21
|
|
0113
|
OTHER
|
Pediatric
|
18
|
9
|
—
|
—
|
$203,639.12
|
$221,785.18
|
$211,704.04
|
2026-05-21
|
|
0064
|
OTHER
|
Pancreas Transplant
|
18
|
9
|
—
|
—
|
$99,421.57
|
$108,280.92
|
$103,359.06
|
2026-05-21
|
|
0063
|
OTHER
|
Pancreas Transplant
|
18
|
9
|
—
|
—
|
$76,620.09
|
$83,447.63
|
$79,654.55
|
2026-05-21
|
|
166
|
OTHER
|
Other Resp System O.r. Procedures W Mcc
|
36
|
16
|
—
|
—
|
$102,381.29
|
$105,348.22
|
$105,348.22
|
2026-05-21
|
|
0112
|
OTHER
|
OB
|
18
|
9
|
—
|
—
|
$161,890.43
|
$176,316.30
|
$168,301.92
|
2026-05-21
|
|
987
|
OTHER
|
Non-extensive O.r. Proc Unrelated To Principal Diagnosis W Mcc
|
36
|
16
|
—
|
—
|
$105,161.60
|
$108,209.09
|
$108,209.09
|
2026-05-21
|
|
5834
|
OTHER
|
Neonate With Ecmo
|
18
|
9
|
—
|
—
|
$477,900.90
|
$520,486.13
|
$496,827.67
|
2026-05-21
|
|
5833
|
OTHER
|
Neonate With Ecmo
|
18
|
9
|
—
|
—
|
$272,180.45
|
$296,434.15
|
$282,959.87
|
2026-05-21
|
|
5832
|
OTHER
|
Neonate With Ecmo
|
18
|
9
|
—
|
—
|
$208,984.29
|
$227,606.65
|
$217,260.89
|
2026-05-21
|
|
5831
|
OTHER
|
Neonate With Ecmo
|
18
|
9
|
—
|
—
|
$187,588.78
|
$204,304.61
|
$195,018.04
|
2026-05-21
|
|
6314
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Other Major Procedure
|
18
|
9
|
—
|
—
|
$196,149.13
|
$213,627.76
|
$203,917.41
|
2026-05-21
|
|
6304
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
18
|
9
|
—
|
—
|
$177,887.16
|
$193,738.49
|
$184,932.20
|
2026-05-21
|
|
6303
|
OTHER
|
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
|
18
|
9
|
—
|
—
|
$98,055.18
|
$106,792.78
|
$101,938.56
|
2026-05-21
|
|
5891
|
OTHER
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
18
|
9
|
—
|
—
|
$136,441.10
|
$148,599.22
|
$141,844.71
|
2026-05-21
|
|
5892
|
OTHER
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
18
|
9
|
—
|
—
|
$136,441.10
|
$148,599.22
|
$141,844.71
|
2026-05-21
|
|
5893
|
OTHER
|
Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …
|
18
|
9
|
—
|
—
|
$136,441.10
|
$148,599.22
|
$141,844.71
|
2026-05-21
|
|
5884
|
OTHER
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
18
|
9
|
—
|
—
|
$292,705.16
|
$318,787.80
|
$304,297.44
|
2026-05-21
|
|
5883
|
OTHER
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
18
|
9
|
—
|
—
|
$194,941.06
|
$212,312.05
|
$202,661.50
|
2026-05-21
|
|
5882
|
OTHER
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
18
|
9
|
—
|
—
|
$167,043.46
|
$181,928.51
|
$173,659.03
|
2026-05-21
|
|
5881
|
OTHER
|
Neonate Birth Weight < 1500 Grams With Major Procedure
|
18
|
9
|
—
|
—
|
$143,180.69
|
$155,939.37
|
$148,851.21
|
2026-05-21
|
|
5934
|
OTHER
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
18
|
9
|
—
|
—
|
$168,753.71
|
$183,791.17
|
$175,437.02
|
2026-05-21
|
|
5933
|
OTHER
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
18
|
9
|
—
|
—
|
$123,448.43
|
$134,448.79
|
$128,337.48
|
2026-05-21
|
|
5932
|
OTHER
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
18
|
9
|
—
|
—
|
$99,292.94
|
$108,140.82
|
$103,225.33
|
2026-05-21
|
|
5931
|
OTHER
|
Neonate Birth Weight 750-999 Grams Without Major Procedure
|
18
|
9
|
—
|
—
|
$75,565.41
|
$82,298.96
|
$78,558.10
|
2026-05-21
|
|
5914
|
OTHER
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
18
|
9
|
—
|
—
|
$191,941.94
|
$209,045.67
|
$199,543.59
|
2026-05-21
|
|
5913
|
OTHER
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
18
|
9
|
—
|
—
|
$144,757.36
|
$157,656.53
|
$150,490.32
|
2026-05-21
|
|
5912
|
OTHER
|
Neonate Birth Weight 500-749 Grams Without Major Procedure
|
18
|
9
|
—
|
—
|
$124,160.08
|
$135,223.85
|
$129,077.31
|
2026-05-21
|
|
6094
|
OTHER
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
18
|
9
|
—
|
—
|
$203,935.16
|
$222,107.60
|
$212,011.80
|
2026-05-21
|
|
6093
|
OTHER
|
Neonate Birth Weight 1500-2499 Grams With Major Procedure
|
18
|
9
|
—
|
—
|
$70,743.06
|
$77,046.89
|
$73,544.76
|
2026-05-21
|
|
6114
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Major Anomaly
|
18
|
9
|
—
|
—
|
$81,732.71
|
$89,015.83
|
$84,969.66
|
2026-05-21
|
|
6134
|
OTHER
|
Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
|
18
|
9
|
—
|
—
|
$80,981.50
|
$88,197.67
|
$84,188.68
|
2026-05-21
|
|
6074
|
OTHER
|
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…
|
18
|
9
|
—
|
—
|
$98,270.41
|
$107,027.18
|
$102,162.31
|
2026-05-21
|
|
6024
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
18
|
9
|
—
|
—
|
$127,127.87
|
$138,456.10
|
$132,162.64
|
2026-05-21
|
|
6023
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
18
|
9
|
—
|
—
|
$88,266.98
|
$96,132.36
|
$91,762.71
|
2026-05-21
|
|
6022
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…
|
18
|
9
|
—
|
—
|
$70,530.30
|
$76,815.18
|
$73,323.58
|
2026-05-21
|
|
6034
|
OTHER
|
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
|
18
|
9
|
—
|
—
|
$92,982.15
|
$101,267.68
|
$96,664.60
|
2026-05-21
|
|
8634
|
OTHER
|
Neonatal Aftercare
|
18
|
9
|
—
|
—
|
$79,937.53
|
$87,060.68
|
$83,103.37
|
2026-05-21
|
|
0111
|
OTHER
|
Medical/Surgical/Gyn
|
18
|
9
|
—
|
—
|
$79,731.38
|
$86,836.15
|
$82,889.05
|
2026-05-21
|
|
165
|
OTHER
|
Major Chest Procedures Without Cc/mcc
|
36
|
16
|
—
|
—
|
$116,891.82
|
$120,279.25
|
$120,279.25
|
2026-05-21
|
|
163
|
OTHER
|
Major Chest Procedures W Mcc
|
36
|
16
|
—
|
—
|
$116,891.82
|
$120,279.25
|
$120,279.25
|
2026-05-21
|
|
164
|
OTHER
|
Major Chest Procedures W Cc
|
36
|
16
|
—
|
—
|
$116,891.82
|
$120,279.25
|
$120,279.25
|
2026-05-21
|
|
1604
|
OTHER
|
Major Cardiothoracic Repair Of Heart Anomaly
|
18
|
9
|
—
|
—
|
$117,141.77
|
$127,580.14
|
$121,781.04
|
2026-05-21
|
|
0014
|
OTHER
|
Liver Transplant And/or Intestinal Transplant
|
18
|
9
|
—
|
—
|
$152,207.77
|
$165,770.84
|
$158,235.80
|
2026-05-21
|
|
0013
|
OTHER
|
Liver Transplant And/or Intestinal Transplant
|
18
|
9
|
—
|
—
|
$79,022.21
|
$86,063.79
|
$82,151.80
|
2026-05-21
|
|
2424077
|
OTHER
|
L8614 Cochlear Imp 47001-48000
|
34
|
7
|
$142,501.00
|
$85,500.60
40% off
|
$71,250.50
|
$142,501.00
|
$128,250.90
|
2026-05-21
|
|
2424076
|
OTHER
|
L8614 Cochlear Imp 46001-47000
|
34
|
7
|
$139,501.00
|
$83,700.60
40% off
|
$69,750.50
|
$139,501.00
|
$125,550.90
|
2026-05-21
|
|
2424075
|
OTHER
|
L8614 Cochlear Imp 45001-46000
|
34
|
7
|
$136,501.00
|
$81,900.60
40% off
|
$68,250.50
|
$136,501.00
|
$122,850.90
|
2026-05-21
|
|
2424074
|
OTHER
|
L8614 Cochlear Imp 44001-45000
|
34
|
7
|
$133,501.00
|
$80,100.60
40% off
|
$66,750.50
|
$133,501.00
|
$120,150.90
|
2026-05-21
|
|
2424073
|
OTHER
|
L8614 Cochlear Imp 43001-44000
|
34
|
7
|
$130,501.00
|
$78,300.60
40% off
|
$65,250.50
|
$130,501.00
|
$117,450.90
|
2026-05-21
|
|
2424072
|
OTHER
|
L8614 Cochlear Imp 42001-43000
|
34
|
7
|
$127,501.00
|
$76,500.60
40% off
|
$63,750.50
|
$127,501.00
|
$114,750.90
|
2026-05-21
|
|
2424071
|
OTHER
|
L8614 Cochlear Imp 41001-42000
|
34
|
7
|
$124,501.00
|
$74,700.60
40% off
|
$62,250.50
|
$124,501.00
|
$112,050.90
|
2026-05-21
|
|
2424070
|
OTHER
|
L8614 Cochlear Imp 40001-41000
|
34
|
7
|
$121,501.00
|
$72,900.60
40% off
|
$60,750.50
|
$121,501.00
|
$109,350.90
|
2026-05-21
|
|
2423367
|
OTHER
|
L8614 Cochlear Imp 39001-40000
|
34
|
7
|
$118,501.00
|
$71,100.60
40% off
|
$59,250.50
|
$118,501.00
|
$106,650.90
|
2026-05-21
|
|
2423366
|
OTHER
|
L8614 Cochlear Imp 38001-39000
|
34
|
7
|
$115,501.00
|
$69,300.60
40% off
|
$57,750.50
|
$115,501.00
|
$103,950.90
|
2026-05-21
|
|
2423365
|
OTHER
|
L8614 Cochlear Imp 37001-38000
|
34
|
7
|
$112,501.00
|
$67,500.60
40% off
|
$56,250.50
|
$112,501.00
|
$101,250.90
|
2026-05-21
|
|
2423364
|
OTHER
|
L8614 Cochlear Imp 36001-37000
|
34
|
7
|
$109,501.00
|
$65,700.60
40% off
|
$54,750.50
|
$109,501.00
|
$98,550.90
|
2026-05-21
|
|
2423363
|
OTHER
|
L8614 Cochlear Imp 35001-36000
|
34
|
7
|
$106,501.00
|
$63,900.60
40% off
|
$53,250.50
|
$106,501.00
|
$95,850.90
|
2026-05-21
|
|
2423362
|
OTHER
|
L8614 Cochlear Imp 34001-35000
|
34
|
7
|
$103,501.00
|
$62,100.60
40% off
|
$51,750.50
|
$103,501.00
|
$93,150.90
|
2026-05-21
|
|
2423263
|
OTHER
|
L8614 Cochlear Imp 33001-34000
|
34
|
7
|
$100,501.00
|
$60,300.60
40% off
|
$50,250.50
|
$100,501.00
|
$90,450.90
|
2026-05-21
|
|
2423361
|
OTHER
|
L8614 Cochlear Imp 32001-33000
|
34
|
7
|
$97,501.00
|
$58,500.60
40% off
|
$48,750.50
|
$97,501.00
|
$87,750.90
|
2026-05-21
|
|
2423360
|
OTHER
|
L8614 Cochlear Imp 31001-32000
|
34
|
7
|
$94,501.00
|
$56,700.60
40% off
|
$47,250.50
|
$94,501.00
|
$85,050.90
|
2026-05-21
|
|
2423359
|
OTHER
|
L8614 Cochlear Imp 30001-31000
|
34
|
7
|
$91,501.00
|
$54,900.60
40% off
|
$45,750.50
|
$91,501.00
|
$82,350.90
|
2026-05-21
|
|
2423358
|
OTHER
|
L8614 Cochlear Imp 29001-30000
|
34
|
7
|
$88,501.00
|
$53,100.60
40% off
|
$44,250.50
|
$88,501.00
|
$79,650.90
|
2026-05-21
|
|
2423357
|
OTHER
|
L8614 Cochlear Imp 28001-29000
|
34
|
7
|
$85,501.00
|
$51,300.60
40% off
|
$42,750.50
|
$85,501.00
|
$76,950.90
|
2026-05-21
|
|
2423356
|
OTHER
|
L8614 Cochlear Imp 27001-28000
|
34
|
7
|
$82,501.00
|
$49,500.60
40% off
|
$41,250.50
|
$82,501.00
|
$74,250.90
|
2026-05-21
|
|
4404
|
OTHER
|
Kidney Transplant
|
18
|
9
|
—
|
—
|
$77,086.01
|
$83,955.05
|
$80,138.92
|
2026-05-21
|
|
853
|
OTHER
|
Infectious & Parasitic Diseases W O.r. Procedure W Mcc
|
36
|
16
|
—
|
—
|
$74,754.81
|
$76,921.14
|
$76,921.14
|
2026-05-21
|
|
1614
|
OTHER
|
Implantable Heart Assist Systems
|
18
|
9
|
—
|
—
|
$204,060.50
|
$222,244.11
|
$212,142.10
|
2026-05-21
|
|
1613
|
OTHER
|
Implantable Heart Assist Systems
|
18
|
9
|
—
|
—
|
$159,784.35
|
$174,022.56
|
$166,112.44
|
2026-05-21
|
|
1611
|
OTHER
|
Implantable Heart Assist Systems
|
18
|
9
|
—
|
—
|
$117,569.74
|
$128,046.25
|
$122,225.97
|
2026-05-21
|
|
1612
|
OTHER
|
Implantable Heart Assist Systems
|
18
|
9
|
—
|
—
|
$117,569.74
|
$128,046.25
|
$122,225.97
|
2026-05-21
|
|
2422800
|
OTHER
|
Impl-totl Knee 48001-49000
|
34
|
7
|
$145,501.00
|
$87,300.60
40% off
|
$72,750.50
|
$145,501.00
|
$130,950.90
|
2026-05-21
|
|
2424376
|
OTHER
|
Impl-totl Knee 43001-44000
|
34
|
7
|
$130,501.00
|
$78,300.60
40% off
|
$65,250.50
|
$130,501.00
|
$117,450.90
|
2026-05-21
|
|
2424375
|
OTHER
|
Impl-totl Knee 42001-43000
|
34
|
7
|
$127,501.00
|
$76,500.60
40% off
|
$63,750.50
|
$127,501.00
|
$114,750.90
|
2026-05-21
|
|
2424374
|
OTHER
|
Impl-totl Knee 41001-42000
|
34
|
7
|
$124,501.00
|
$74,700.60
40% off
|
$62,250.50
|
$124,501.00
|
$112,050.90
|
2026-05-21
|
|
2424373
|
OTHER
|
Impl-totl Knee 40001-41000
|
34
|
7
|
$121,501.00
|
$72,900.60
40% off
|
$60,750.50
|
$121,501.00
|
$109,350.90
|
2026-05-21
|
|
2424372
|
OTHER
|
Impl-totl Knee 39001-40000
|
34
|
7
|
$118,501.00
|
$71,100.60
40% off
|
$59,250.50
|
$118,501.00
|
$106,650.90
|
2026-05-21
|
|
2424371
|
OTHER
|
Impl-totl Knee 38001-39000
|
34
|
7
|
$115,501.00
|
$69,300.60
40% off
|
$57,750.50
|
$115,501.00
|
$103,950.90
|
2026-05-21
|
|
2424370
|
OTHER
|
Impl-totl Knee 37001-38000
|
34
|
7
|
$112,501.00
|
$67,500.60
40% off
|
$56,250.50
|
$112,501.00
|
$101,250.90
|
2026-05-21
|
|
2424369
|
OTHER
|
Impl-totl Knee 36001-37000
|
34
|
7
|
$109,501.00
|
$65,700.60
40% off
|
$54,750.50
|
$109,501.00
|
$98,550.90
|
2026-05-21
|
|
2424368
|
OTHER
|
Impl-totl Knee 35001-36000
|
34
|
7
|
$106,501.00
|
$63,900.60
40% off
|
$53,250.50
|
$106,501.00
|
$95,850.90
|
2026-05-21
|
|
2422860
|
OTHER
|
Impl-totl Knee 34001-35000
|
34
|
7
|
$103,501.00
|
$62,100.60
40% off
|
$51,750.50
|
$103,501.00
|
$93,150.90
|
2026-05-21
|
|
2422859
|
OTHER
|
Impl-totl Knee 33001-34000
|
34
|
7
|
$100,501.00
|
$60,300.60
40% off
|
$50,250.50
|
$100,501.00
|
$90,450.90
|
2026-05-21
|
|
2422858
|
OTHER
|
Impl-totl Knee 32001-33000
|
34
|
7
|
$97,501.00
|
$58,500.60
40% off
|
$48,750.50
|
$97,501.00
|
$87,750.90
|
2026-05-21
|
|
2421620
|
OTHER
|
Impl-totl Knee 31001-32000
|
34
|
7
|
$94,501.00
|
$56,700.60
40% off
|
$47,250.50
|
$94,501.00
|
$85,050.90
|
2026-05-21
|
|
2421619
|
OTHER
|
Impl-totl Knee 30001-31000
|
34
|
7
|
$91,501.00
|
$54,900.60
40% off
|
$45,750.50
|
$91,501.00
|
$82,350.90
|
2026-05-21
|
|
2421618
|
OTHER
|
Impl-totl Knee 29001-30000
|
34
|
7
|
$88,501.00
|
$53,100.60
40% off
|
$44,250.50
|
$88,501.00
|
$79,650.90
|
2026-05-21
|
|
2421617
|
OTHER
|
Impl-totl Knee 28001-29000
|
34
|
7
|
$85,501.00
|
$51,300.60
40% off
|
$42,750.50
|
$85,501.00
|
$76,950.90
|
2026-05-21
|
|
2421616
|
OTHER
|
Impl-totl Knee 27001-28000
|
34
|
7
|
$82,501.00
|
$49,500.60
40% off
|
$41,250.50
|
$82,501.00
|
$74,250.90
|
2026-05-21
|
|
2421557
|
OTHER
|
Impl-total Hip 31001-32000
|
34
|
7
|
$94,501.00
|
$56,700.60
40% off
|
$47,250.50
|
$94,501.00
|
$85,050.90
|
2026-05-21
|
|
2421556
|
OTHER
|
Impl-total Hip 30001-31000
|
34
|
7
|
$91,501.00
|
$54,900.60
40% off
|
$45,750.50
|
$91,501.00
|
$82,350.90
|
2026-05-21
|
|
2421555
|
OTHER
|
Impl-total Hip 29001-30000
|
34
|
7
|
$88,501.00
|
$53,100.60
40% off
|
$44,250.50
|
$88,501.00
|
$79,650.90
|
2026-05-21
|
|
2421554
|
OTHER
|
Impl-total Hip 28001-29000
|
34
|
7
|
$85,501.00
|
$51,300.60
40% off
|
$42,750.50
|
$85,501.00
|
$76,950.90
|
2026-05-21
|
|
2421553
|
OTHER
|
Impl-total Hip 27001-28000
|
34
|
7
|
$82,501.00
|
$49,500.60
40% off
|
$41,250.50
|
$82,501.00
|
$74,250.90
|
2026-05-21
|
|
2421552
|
OTHER
|
Impl-total Hip 26001-27000
|
34
|
7
|
$79,501.00
|
$47,700.60
40% off
|
$39,750.50
|
$79,501.00
|
$71,550.90
|
2026-05-21
|
|
2422945
|
OTHER
|
Impl-spine 49001-50000
|
34
|
7
|
$148,501.00
|
$89,100.60
40% off
|
$74,250.50
|
$148,501.00
|
$133,650.90
|
2026-05-21
|
|
2422944
|
OTHER
|
Impl-spine 48001-49000
|
34
|
7
|
$145,501.00
|
$87,300.60
40% off
|
$72,750.50
|
$145,501.00
|
$130,950.90
|
2026-05-21
|
|
2422943
|
OTHER
|
Impl-spine 47001-48000
|
34
|
7
|
$142,501.00
|
$85,500.60
40% off
|
$71,250.50
|
$142,501.00
|
$128,250.90
|
2026-05-21
|
|
2422942
|
OTHER
|
Impl-spine 46001-47000
|
34
|
7
|
$139,501.00
|
$83,700.60
40% off
|
$69,750.50
|
$139,501.00
|
$125,550.90
|
2026-05-21
|
|
2422941
|
OTHER
|
Impl-spine 45001-46000
|
34
|
7
|
$136,501.00
|
$81,900.60
40% off
|
$68,250.50
|
$136,501.00
|
$122,850.90
|
2026-05-21
|
|
2422940
|
OTHER
|
Impl-spine 44001-45000
|
34
|
7
|
$133,501.00
|
$80,100.60
40% off
|
$66,750.50
|
$133,501.00
|
$120,150.90
|
2026-05-21
|
|
2422939
|
OTHER
|
Impl-spine 43001-44000
|
34
|
7
|
$130,501.00
|
$78,300.60
40% off
|
$65,250.50
|
$130,501.00
|
$117,450.90
|
2026-05-21
|
|
2422938
|
OTHER
|
Impl-spine 42001-43000
|
34
|
7
|
$127,501.00
|
$76,500.60
40% off
|
$63,750.50
|
$127,501.00
|
$114,750.90
|
2026-05-21
|
|
2422937
|
OTHER
|
Impl-spine 41001-42000
|
34
|
7
|
$124,501.00
|
$74,700.60
40% off
|
$62,250.50
|
$124,501.00
|
$112,050.90
|
2026-05-21
|
|
2422936
|
OTHER
|
Impl-spine 40001-41000
|
34
|
7
|
$121,501.00
|
$72,900.60
40% off
|
$60,750.50
|
$121,501.00
|
$109,350.90
|
2026-05-21
|
|
2422935
|
OTHER
|
Impl-spine 39001-40000
|
34
|
7
|
$118,501.00
|
$71,100.60
40% off
|
$59,250.50
|
$118,501.00
|
$106,650.90
|
2026-05-21
|
|
2422934
|
OTHER
|
Impl-spine 38001-39000
|
34
|
7
|
$115,501.00
|
$69,300.60
40% off
|
$57,750.50
|
$115,501.00
|
$103,950.90
|
2026-05-21
|
|
2422933
|
OTHER
|
Impl-spine 37001-38000
|
34
|
7
|
$112,501.00
|
$67,500.60
40% off
|
$56,250.50
|
$112,501.00
|
$101,250.90
|
2026-05-21
|
|
2422932
|
OTHER
|
Impl-spine 36001-37000
|
34
|
7
|
$109,501.00
|
$65,700.60
40% off
|
$54,750.50
|
$109,501.00
|
$98,550.90
|
2026-05-21
|
|
2422931
|
OTHER
|
Impl-spine 35001-36000
|
34
|
7
|
$106,501.00
|
$63,900.60
40% off
|
$53,250.50
|
$106,501.00
|
$95,850.90
|
2026-05-21
|
|
2422739
|
OTHER
|
Impl-spine 34001-35000
|
34
|
7
|
$103,501.00
|
$62,100.60
40% off
|
$51,750.50
|
$103,501.00
|
$93,150.90
|
2026-05-21
|
|
2422738
|
OTHER
|
Impl-spine 33001-34000
|
34
|
7
|
$100,501.00
|
$60,300.60
40% off
|
$50,250.50
|
$100,501.00
|
$90,450.90
|
2026-05-21
|
|
2422737
|
OTHER
|
Impl-spine 32001-33000
|
34
|
7
|
$97,501.00
|
$58,500.60
40% off
|
$48,750.50
|
$97,501.00
|
$87,750.90
|
2026-05-21
|
|
2421941
|
OTHER
|
Impl-spine 31001-32000
|
34
|
7
|
$94,501.00
|
$56,700.60
40% off
|
$47,250.50
|
$94,501.00
|
$85,050.90
|
2026-05-21
|
|
2421940
|
OTHER
|
Impl-spine 30001-31000
|
34
|
7
|
$91,501.00
|
$54,900.60
40% off
|
$45,750.50
|
$91,501.00
|
$82,350.90
|
2026-05-21
|
|
2421939
|
OTHER
|
Impl-spine 29001-30000
|
34
|
7
|
$88,501.00
|
$53,100.60
40% off
|
$44,250.50
|
$88,501.00
|
$79,650.90
|
2026-05-21
|
|
2421938
|
OTHER
|
Impl-spine 28001-29000
|
34
|
7
|
$85,501.00
|
$51,300.60
40% off
|
$42,750.50
|
$85,501.00
|
$76,950.90
|
2026-05-21
|
|
2421937
|
OTHER
|
Impl-spine 27001-28000
|
34
|
7
|
$82,501.00
|
$49,500.60
40% off
|
$41,250.50
|
$82,501.00
|
$74,250.90
|
2026-05-21
|
|
2424183
|
OTHER
|
Impl-neuro 29001-30000
|
34
|
7
|
$88,501.00
|
$53,100.60
40% off
|
$44,250.50
|
$88,501.00
|
$79,650.90
|
2026-05-21
|
|
2424182
|
OTHER
|
Impl-neuro 28001-29000
|
34
|
7
|
$85,501.00
|
$51,300.60
40% off
|
$42,750.50
|
$85,501.00
|
$76,950.90
|
2026-05-21
|
|
2424181
|
OTHER
|
Impl-neuro 27001-28000
|
34
|
7
|
$82,501.00
|
$49,500.60
40% off
|
$41,250.50
|
$82,501.00
|
$74,250.90
|
2026-05-21
|
|
2424180
|
OTHER
|
Impl-neuro 26001-27000
|
34
|
7
|
$79,501.00
|
$47,700.60
40% off
|
$39,750.50
|
$79,501.00
|
$71,550.90
|
2026-05-21
|
|
2423695
|
OTHER
|
Impl-heart 89001-90000
|
34
|
7
|
$268,500.00
|
$161,100.00
40% off
|
$134,250.00
|
$268,500.00
|
$241,650.00
|
2026-05-21
|
|
2423694
|
OTHER
|
Impl-heart 79001-80000
|
34
|
7
|
$238,500.00
|
$143,100.00
40% off
|
$119,250.00
|
$238,500.00
|
$214,650.00
|
2026-05-21
|
|
2424856
|
OTHER
|
Impl-heart 49001-50000
|
34
|
7
|
$148,501.00
|
$89,100.60
40% off
|
$74,250.50
|
$148,501.00
|
$133,650.90
|
2026-05-21
|
|
2424855
|
OTHER
|
Impl-heart 48001-49000
|
34
|
7
|
$145,501.00
|
$87,300.60
40% off
|
$72,750.50
|
$145,501.00
|
$130,950.90
|
2026-05-21
|
|
2424854
|
OTHER
|
Impl-heart 47001-48000
|
34
|
7
|
$142,501.00
|
$85,500.60
40% off
|
$71,250.50
|
$142,501.00
|
$128,250.90
|
2026-05-21
|
|
2424853
|
OTHER
|
Impl-heart 46001-47000
|
34
|
7
|
$139,501.00
|
$83,700.60
40% off
|
$69,750.50
|
$139,501.00
|
$125,550.90
|
2026-05-21
|
|
2423699
|
OTHER
|
Impl-heart 44001-45000
|
34
|
7
|
$133,501.00
|
$80,100.60
40% off
|
$66,750.50
|
$133,501.00
|
$120,150.90
|
2026-05-21
|
|
2424852
|
OTHER
|
Impl-heart 43001-44000
|
34
|
7
|
$130,501.00
|
$78,300.60
40% off
|
$65,250.50
|
$130,501.00
|
$117,450.90
|
2026-05-21
|
|
2424851
|
OTHER
|
Impl-heart 42001-43000
|
34
|
7
|
$127,501.00
|
$76,500.60
40% off
|
$63,750.50
|
$127,501.00
|
$114,750.90
|
2026-05-21
|
|
2424152
|
OTHER
|
Impl-heart 41001-42000
|
34
|
7
|
$124,501.00
|
$74,700.60
40% off
|
$62,250.50
|
$124,501.00
|
$112,050.90
|
2026-05-21
|
|
2424850
|
OTHER
|
Impl-heart 40001-41000
|
34
|
7
|
$121,501.00
|
$72,900.60
40% off
|
$60,750.50
|
$121,501.00
|
$109,350.90
|
2026-05-21
|
|
2424849
|
OTHER
|
Impl-heart 39001-40000
|
34
|
7
|
$118,501.00
|
$71,100.60
40% off
|
$59,250.50
|
$118,501.00
|
$106,650.90
|
2026-05-21
|
|
2424848
|
OTHER
|
Impl-heart 38001-39000
|
34
|
7
|
$115,501.00
|
$69,300.60
40% off
|
$57,750.50
|
$115,501.00
|
$103,950.90
|
2026-05-21
|
|
2423380
|
OTHER
|
Impl-heart 37001-38000
|
34
|
7
|
$112,501.00
|
$67,500.60
40% off
|
$56,250.50
|
$112,501.00
|
$101,250.90
|
2026-05-21
|
|
2423379
|
OTHER
|
Impl-heart 36001-37000
|
34
|
7
|
$109,501.00
|
$65,700.60
40% off
|
$54,750.50
|
$109,501.00
|
$98,550.90
|
2026-05-21
|
|
2423378
|
OTHER
|
Impl-heart 35001-36000
|
34
|
7
|
$106,501.00
|
$63,900.60
40% off
|
$53,250.50
|
$106,501.00
|
$95,850.90
|
2026-05-21
|
|
2423377
|
OTHER
|
Impl-heart 34001-35000
|
34
|
7
|
$103,501.00
|
$62,100.60
40% off
|
$51,750.50
|
$103,501.00
|
$93,150.90
|
2026-05-21
|
|
2423376
|
OTHER
|
Impl-heart 33001-34000
|
34
|
7
|
$100,501.00
|
$60,300.60
40% off
|
$50,250.50
|
$100,501.00
|
$90,450.90
|
2026-05-21
|
|
2423187
|
OTHER
|
Impl-heart 32001-33000
|
34
|
7
|
$97,501.00
|
$58,500.60
40% off
|
$48,750.50
|
$97,501.00
|
$87,750.90
|
2026-05-21
|
|
2423279
|
OTHER
|
Impl-heart 31001-32000
|
34
|
7
|
$94,501.00
|
$56,700.60
40% off
|
$47,250.50
|
$94,501.00
|
$85,050.90
|
2026-05-21
|
|
2423278
|
OTHER
|
Impl-heart 30001-31000
|
34
|
7
|
$91,501.00
|
$54,900.60
40% off
|
$45,750.50
|
$91,501.00
|
$82,350.90
|
2026-05-21
|
|
2423277
|
OTHER
|
Impl-heart 29001-30000
|
34
|
7
|
$88,501.00
|
$53,100.60
40% off
|
$44,250.50
|
$88,501.00
|
$79,650.90
|
2026-05-21
|
|
2423276
|
OTHER
|
Impl-heart 28001-29000
|
34
|
7
|
$85,501.00
|
$51,300.60
40% off
|
$42,750.50
|
$85,501.00
|
$76,950.90
|
2026-05-21
|
|
2423275
|
OTHER
|
Impl-heart 27001-28000
|
34
|
7
|
$82,501.00
|
$49,500.60
40% off
|
$41,250.50
|
$82,501.00
|
$74,250.90
|
2026-05-21
|
|
2423274
|
OTHER
|
Impl-heart 26001-27000
|
34
|
7
|
$79,501.00
|
$47,700.60
40% off
|
$39,750.50
|
$79,501.00
|
$71,550.90
|
2026-05-21
|
|
2423196
|
OTHER
|
Impl-ent/plast 30001-31000
|
34
|
7
|
$91,501.00
|
$54,900.60
40% off
|
$45,750.50
|
$91,501.00
|
$82,350.90
|
2026-05-21
|
|
2423837
|
OTHER
|
Impl-cardio Vasc 99001-100000
|
34
|
7
|
$298,500.00
|
$179,100.00
40% off
|
$149,250.00
|
$298,500.00
|
$268,650.00
|
2026-05-21
|
|
2423618
|
OTHER
|
Impl-cardio Vasc 87001-88000
|
34
|
7
|
$262,500.00
|
$157,500.00
40% off
|
$131,250.00
|
$262,500.00
|
$236,250.00
|
2026-05-21
|
|
2424194
|
OTHER
|
Impl Maci Single Membrane
|
34
|
7
|
$157,500.00
|
$94,500.00
40% off
|
$78,750.00
|
$157,500.00
|
$141,750.00
|
2026-05-21
|
|
2424195
|
OTHER
|
Impl Maci Double Membrane
|
34
|
7
|
$313,500.00
|
$188,100.00
40% off
|
$156,750.00
|
$313,500.00
|
$282,150.00
|
2026-05-21
|
|
0024
|
OTHER
|
Heart And/or Lung Transplant
|
18
|
9
|
—
|
—
|
$273,449.53
|
$297,816.32
|
$284,279.22
|
2026-05-21
|
|
0023
|
OTHER
|
Heart And/or Lung Transplant
|
18
|
9
|
—
|
—
|
$148,953.01
|
$162,226.05
|
$154,852.14
|
2026-05-21
|
|
0022
|
OTHER
|
Heart And/or Lung Transplant
|
18
|
9
|
—
|
—
|
$112,792.74
|
$122,843.57
|
$117,259.78
|
2026-05-21
|
|
0021
|
OTHER
|
Heart And/or Lung Transplant
|
18
|
9
|
—
|
—
|
$99,690.40
|
$108,573.70
|
$103,638.53
|
2026-05-21
|
|
8514
|
OTHER
|
Gender Related Procedures
|
18
|
9
|
—
|
—
|
$93,773.77
|
$102,129.85
|
$97,487.59
|
2026-05-21
|
|
8513
|
OTHER
|
Gender Related Procedures
|
18
|
9
|
—
|
—
|
$93,773.77
|
$102,129.85
|
$97,487.59
|
2026-05-21
|
|
0094
|
OTHER
|
Extracorporeal Membrane Oxygenation (ecmo)
|
18
|
9
|
—
|
—
|
$200,045.44
|
$217,871.27
|
$207,968.03
|
2026-05-21
|
|
0093
|
OTHER
|
Extracorporeal Membrane Oxygenation (ecmo)
|
18
|
9
|
—
|
—
|
$134,443.05
|
$146,423.12
|
$139,767.53
|
2026-05-21
|
|
8414
|
OTHER
|
Extensive Third Degree Burns With Skin Graft
|
18
|
9
|
—
|
—
|
$181,517.13
|
$197,691.92
|
$188,705.92
|
2026-05-21
|
|
981
|
OTHER
|
Extensive O.r. Procedure Unrelated To Principal Diagnosis W Mcc
|
36
|
16
|
—
|
—
|
$109,380.59
|
$112,550.35
|
$112,550.35
|
2026-05-21
|
|
003
|
OTHER
|
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face - Mouth & Neck W Maj O.r.
|
36
|
16
|
—
|
—
|
$172,206.58
|
$177,196.99
|
$177,196.99
|
2026-05-21
|
|
3034
|
OTHER
|
Dorsal And Lumbar Fusion Procedure For Curvature Of Back
|
18
|
9
|
—
|
—
|
$78,343.55
|
$85,324.65
|
$81,446.26
|
2026-05-21
|
|
2424120
|
OTHER
|
Cardiovasc Supply 44001-45000
|
34
|
7
|
$133,501.00
|
$80,100.60
40% off
|
$66,750.50
|
$133,501.00
|
$120,150.90
|
2026-05-21
|
|
2424213
|
OTHER
|
Cardiovasc Supply 43001-44000
|
34
|
7
|
$130,501.00
|
$78,300.60
40% off
|
$65,250.50
|
$130,501.00
|
$117,450.90
|
2026-05-21
|
|
2424212
|
OTHER
|
Cardiovasc Supply 42001-43000
|
34
|
7
|
$127,501.00
|
$76,500.60
40% off
|
$63,750.50
|
$127,501.00
|
$114,750.90
|
2026-05-21
|
|
2424211
|
OTHER
|
Cardiovasc Supply 41001-42000
|
34
|
7
|
$124,501.00
|
$74,700.60
40% off
|
$62,250.50
|
$124,501.00
|
$112,050.90
|
2026-05-21
|
|
2424210
|
OTHER
|
Cardiovasc Supply 40001-41000
|
34
|
7
|
$121,501.00
|
$72,900.60
40% off
|
$60,750.50
|
$121,501.00
|
$109,350.90
|
2026-05-21
|
|
2424209
|
OTHER
|
Cardiovasc Supply 39001-40000
|
34
|
7
|
$118,501.00
|
$71,100.60
40% off
|
$59,250.50
|
$118,501.00
|
$106,650.90
|
2026-05-21
|
|
2424208
|
OTHER
|
Cardiovasc Supply 38001-39000
|
34
|
7
|
$115,501.00
|
$69,300.60
40% off
|
$57,750.50
|
$115,501.00
|
$103,950.90
|
2026-05-21
|
|
2424207
|
OTHER
|
Cardiovasc Supply 37001-38000
|
34
|
7
|
$112,501.00
|
$67,500.60
40% off
|
$56,250.50
|
$112,501.00
|
$101,250.90
|
2026-05-21
|
|
2424206
|
OTHER
|
Cardiovasc Supply 36001-37000
|
34
|
7
|
$109,501.00
|
$65,700.60
40% off
|
$54,750.50
|
$109,501.00
|
$98,550.90
|
2026-05-21
|
|
2423079
|
OTHER
|
Cardiovasc Supply 35001-36000
|
34
|
7
|
$106,501.00
|
$63,900.60
40% off
|
$53,250.50
|
$106,501.00
|
$95,850.90
|
2026-05-21
|
|
2423078
|
OTHER
|
Cardiovasc Supply 34001-35000
|
34
|
7
|
$103,501.00
|
$62,100.60
40% off
|
$51,750.50
|
$103,501.00
|
$93,150.90
|
2026-05-21
|
|
2423077
|
OTHER
|
Cardiovasc Supply 33001-34000
|
34
|
7
|
$100,501.00
|
$60,300.60
40% off
|
$50,250.50
|
$100,501.00
|
$90,450.90
|
2026-05-21
|
|
2423076
|
OTHER
|
Cardiovasc Supply 32001-33000
|
34
|
7
|
$97,501.00
|
$58,500.60
40% off
|
$48,750.50
|
$97,501.00
|
$87,750.90
|
2026-05-21
|
|
2423075
|
OTHER
|
Cardiovasc Supply 31001-32000
|
34
|
7
|
$94,501.00
|
$56,700.60
40% off
|
$47,250.50
|
$94,501.00
|
$85,050.90
|
2026-05-21
|
|
2423074
|
OTHER
|
Cardiovasc Supply 30001-31000
|
34
|
7
|
$91,501.00
|
$54,900.60
40% off
|
$45,750.50
|
$91,501.00
|
$82,350.90
|
2026-05-21
|
|
2423073
|
OTHER
|
Cardiovasc Supply 29001-30000
|
34
|
7
|
$88,501.00
|
$53,100.60
40% off
|
$44,250.50
|
$88,501.00
|
$79,650.90
|
2026-05-21
|
|
2423072
|
OTHER
|
Cardiovasc Supply 28001-29000
|
34
|
7
|
$85,501.00
|
$51,300.60
40% off
|
$42,750.50
|
$85,501.00
|
$76,950.90
|
2026-05-21
|
|
2423071
|
OTHER
|
Cardiovasc Supply 27001-28000
|
34
|
7
|
$82,501.00
|
$49,500.60
40% off
|
$41,250.50
|
$82,501.00
|
$74,250.90
|
2026-05-21
|
|
1634
|
OTHER
|
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis
|
18
|
9
|
—
|
—
|
$68,886.01
|
$75,024.37
|
$71,614.17
|
2026-05-21
|
|
1624
|
OTHER
|
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis
|
18
|
9
|
—
|
—
|
$78,723.69
|
$85,738.68
|
$81,841.46
|
2026-05-21
|
|
2424187
|
OTHER
|
C2642 Brachytx Stranded 29001-30000
|
34
|
7
|
$88,501.00
|
$53,100.60
40% off
|
$44,250.50
|
$88,501.00
|
$79,650.90
|
2026-05-21
|
|
2424186
|
OTHER
|
C2642 Brachytx Stranded 28001-29000
|
34
|
7
|
$85,501.00
|
$51,300.60
40% off
|
$42,750.50
|
$85,501.00
|
$76,950.90
|
2026-05-21
|
|
2424185
|
OTHER
|
C2642 Brachytx Stranded 27001-28000
|
34
|
7
|
$82,501.00
|
$49,500.60
40% off
|
$41,250.50
|
$82,501.00
|
$74,250.90
|
2026-05-21
|
|
2424184
|
OTHER
|
C2642 Brachytx Stranded 26001-27000
|
34
|
7
|
$79,501.00
|
$47,700.60
40% off
|
$39,750.50
|
$79,501.00
|
$71,550.90
|
2026-05-21
|
|
2424830
|
OTHER
|
C1889 Implantable Device Nos 38001-39000
|
34
|
7
|
$115,501.00
|
$69,300.60
40% off
|
$57,750.50
|
$115,501.00
|
$103,950.90
|
2026-05-21
|
|
2424829
|
OTHER
|
C1889 Implantable Device Nos 37001-38000
|
34
|
7
|
$112,501.00
|
$67,500.60
40% off
|
$56,250.50
|
$112,501.00
|
$101,250.90
|
2026-05-21
|
|
2424828
|
OTHER
|
C1889 Implantable Device Nos 36001-37000
|
34
|
7
|
$109,501.00
|
$65,700.60
40% off
|
$54,750.50
|
$109,501.00
|
$98,550.90
|
2026-05-21
|
|
2424827
|
OTHER
|
C1889 Implantable Device Nos 35001-36000
|
34
|
7
|
$106,501.00
|
$63,900.60
40% off
|
$53,250.50
|
$106,501.00
|
$95,850.90
|
2026-05-21
|
|
2424826
|
OTHER
|
C1889 Implantable Device Nos 34001-35000
|
34
|
7
|
$103,501.00
|
$62,100.60
40% off
|
$51,750.50
|
$103,501.00
|
$93,150.90
|
2026-05-21
|
|
2424825
|
OTHER
|
C1889 Implantable Device Nos 33001-34000
|
34
|
7
|
$100,501.00
|
$60,300.60
40% off
|
$50,250.50
|
$100,501.00
|
$90,450.90
|
2026-05-21
|
|
2424824
|
OTHER
|
C1889 Implantable Device Nos 32001-33000
|
34
|
7
|
$97,501.00
|
$58,500.60
40% off
|
$48,750.50
|
$97,501.00
|
$87,750.90
|
2026-05-21
|
|
2424756
|
OTHER
|
C1889 Implantable Device Nos 31001-32000
|
34
|
7
|
$94,501.00
|
$56,700.60
40% off
|
$47,250.50
|
$94,501.00
|
$85,050.90
|
2026-05-21
|
|
2424755
|
OTHER
|
C1889 Implantable Device Nos 30001-31000
|
34
|
7
|
$91,501.00
|
$54,900.60
40% off
|
$45,750.50
|
$91,501.00
|
$82,350.90
|
2026-05-21
|
|
2424754
|
OTHER
|
C1889 Implantable Device Nos 29001-30000
|
34
|
7
|
$88,501.00
|
$53,100.60
40% off
|
$44,250.50
|
$88,501.00
|
$79,650.90
|
2026-05-21
|
|
2424753
|
OTHER
|
C1889 Implantable Device Nos 28001-29000
|
34
|
7
|
$85,501.00
|
$51,300.60
40% off
|
$42,750.50
|
$85,501.00
|
$76,950.90
|
2026-05-21
|
|
2424752
|
OTHER
|
C1889 Implantable Device Nos 27001-28000
|
34
|
7
|
$82,501.00
|
$49,500.60
40% off
|
$41,250.50
|
$82,501.00
|
$74,250.90
|
2026-05-21
|
|
2420846
|
OTHER
|
C1882 Icd Other 31001-32000
|
34
|
7
|
$94,501.00
|
$56,700.60
40% off
|
$47,250.50
|
$94,501.00
|
$85,050.90
|
2026-05-21
|
|
2420845
|
OTHER
|
C1882 Icd Other 30001-31000
|
34
|
7
|
$91,501.00
|
$54,900.60
40% off
|
$45,750.50
|
$91,501.00
|
$82,350.90
|
2026-05-21
|
|
2420844
|
OTHER
|
C1882 Icd Other 29001-30000
|
34
|
7
|
$88,501.00
|
$53,100.60
40% off
|
$44,250.50
|
$88,501.00
|
$79,650.90
|
2026-05-21
|
|
2420843
|
OTHER
|
C1882 Icd Other 28001-29000
|
34
|
7
|
$85,501.00
|
$51,300.60
40% off
|
$42,750.50
|
$85,501.00
|
$76,950.90
|
2026-05-21
|
|
2420842
|
OTHER
|
C1882 Icd Other 27001-28000
|
34
|
7
|
$82,501.00
|
$49,500.60
40% off
|
$41,250.50
|
$82,501.00
|
$74,250.90
|
2026-05-21
|
|
2420841
|
OTHER
|
C1882 Icd Other 26001-27000
|
34
|
7
|
$79,501.00
|
$47,700.60
40% off
|
$39,750.50
|
$79,501.00
|
$71,550.90
|
2026-05-21
|
|
2424736
|
OTHER
|
C1827 Gen Neuro Imp Led Ex Cntr 33001-34000
|
34
|
7
|
$100,501.00
|
$60,300.60
40% off
|
$50,250.50
|
$100,501.00
|
$90,450.90
|
2026-05-21
|
|
2424735
|
OTHER
|
C1827 Gen Neuro Imp Led Ex Cntr 32001-33000
|
34
|
7
|
$97,501.00
|
$58,500.60
40% off
|
$48,750.50
|
$97,501.00
|
$87,750.90
|
2026-05-21
|
|
2424734
|
OTHER
|
C1827 Gen Neuro Imp Led Ex Cntr 31001-32000
|
34
|
7
|
$94,501.00
|
$56,700.60
40% off
|
$47,250.50
|
$94,501.00
|
$85,050.90
|
2026-05-21
|
|
2424733
|
OTHER
|
C1827 Gen Neuro Imp Led Ex Cntr 30001-31000
|
34
|
7
|
$91,501.00
|
$54,900.60
40% off
|
$45,750.50
|
$91,501.00
|
$82,350.90
|
2026-05-21
|
|
2424732
|
OTHER
|
C1827 Gen Neuro Imp Led Ex Cntr 29001-30000
|
34
|
7
|
$88,501.00
|
$53,100.60
40% off
|
$44,250.50
|
$88,501.00
|
$79,650.90
|
2026-05-21
|
|
2424731
|
OTHER
|
C1827 Gen Neuro Imp Led Ex Cntr 28001-29000
|
34
|
7
|
$85,501.00
|
$51,300.60
40% off
|
$42,750.50
|
$85,501.00
|
$76,950.90
|
2026-05-21
|
|
2424730
|
OTHER
|
C1827 Gen Neuro Imp Led Ex Cntr 27001-28000
|
34
|
7
|
$82,501.00
|
$49,500.60
40% off
|
$41,250.50
|
$82,501.00
|
$74,250.90
|
2026-05-21
|
|
2424729
|
OTHER
|
C1827 Gen Neuro Imp Led Ex Cntr 26001-27000
|
34
|
7
|
$79,501.00
|
$47,700.60
40% off
|
$39,750.50
|
$79,501.00
|
$71,550.90
|
2026-05-21
|
|
2424513
|
OTHER
|
C1826 Gen Neuro Clo Loop Rechg 31001-32000
|
34
|
7
|
$94,501.00
|
$56,700.60
40% off
|
$47,250.50
|
$94,501.00
|
$85,050.90
|
2026-05-21
|
|
2424512
|
OTHER
|
C1826 Gen Neuro Clo Loop Rechg 30001-31000
|
34
|
7
|
$91,501.00
|
$54,900.60
40% off
|
$45,750.50
|
$91,501.00
|
$82,350.90
|
2026-05-21
|
|
2424511
|
OTHER
|
C1826 Gen Neuro Clo Loop Rechg 29001-30000
|
34
|
7
|
$88,501.00
|
$53,100.60
40% off
|
$44,250.50
|
$88,501.00
|
$79,650.90
|
2026-05-21
|
|
2424510
|
OTHER
|
C1826 Gen Neuro Clo Loop Rechg 28001-29000
|
34
|
7
|
$85,501.00
|
$51,300.60
40% off
|
$42,750.50
|
$85,501.00
|
$76,950.90
|
2026-05-21
|
|
2424509
|
OTHER
|
C1826 Gen Neuro Clo Loop Rechg 27001-28000
|
34
|
7
|
$82,501.00
|
$49,500.60
40% off
|
$41,250.50
|
$82,501.00
|
$74,250.90
|
2026-05-21
|
|
2424508
|
OTHER
|
C1826 Gen Neuro Clo Loop Rechg 26001-27000
|
34
|
7
|
$79,501.00
|
$47,700.60
40% off
|
$39,750.50
|
$79,501.00
|
$71,550.90
|
2026-05-21
|
|
2424413
|
OTHER
|
C1825 Gen Neuro Carot Sinus Baro 33001-34000
|
34
|
7
|
$100,501.00
|
$60,300.60
40% off
|
$50,250.50
|
$100,501.00
|
$90,450.90
|
2026-05-21
|
|
2424412
|
OTHER
|
C1825 Gen Neuro Carot Sinus Baro 32001-33000
|
34
|
7
|
$97,501.00
|
$58,500.60
40% off
|
$48,750.50
|
$97,501.00
|
$87,750.90
|
2026-05-21
|
|
2424411
|
OTHER
|
C1825 Gen Neuro Carot Sinus Baro 31001-32000
|
34
|
7
|
$94,501.00
|
$56,700.60
40% off
|
$47,250.50
|
$94,501.00
|
$85,050.90
|
2026-05-21
|
|
2424410
|
OTHER
|
C1825 Gen Neuro Carot Sinus Baro 30001-31000
|
34
|
7
|
$91,501.00
|
$54,900.60
40% off
|
$45,750.50
|
$91,501.00
|
$82,350.90
|
2026-05-21
|
|
2424415
|
OTHER
|
C1825 Gen Neuro Carot Sinus Baro 29001-30000
|
34
|
7
|
$88,501.00
|
$53,100.60
40% off
|
$44,250.50
|
$88,501.00
|
$79,650.90
|
2026-05-21
|
|
2424453
|
OTHER
|
C1824 Generator Ccm Implant 31001-32000
|
34
|
7
|
$94,501.00
|
$56,700.60
40% off
|
$47,250.50
|
$94,501.00
|
$85,050.90
|
2026-05-21
|
|
2424452
|
OTHER
|
C1824 Generator Ccm Implant 30001-31000
|
34
|
7
|
$91,501.00
|
$54,900.60
40% off
|
$45,750.50
|
$91,501.00
|
$82,350.90
|
2026-05-21
|
|
2424451
|
OTHER
|
C1824 Generator Ccm Implant 29001-30000
|
34
|
7
|
$88,501.00
|
$53,100.60
40% off
|
$44,250.50
|
$88,501.00
|
$79,650.90
|
2026-05-21
|
|
2424450
|
OTHER
|
C1824 Generator Ccm Implant 28001-29000
|
34
|
7
|
$85,501.00
|
$51,300.60
40% off
|
$42,750.50
|
$85,501.00
|
$76,950.90
|
2026-05-21
|
|
2424449
|
OTHER
|
C1824 Generator Ccm Implant 27001-28000
|
34
|
7
|
$82,501.00
|
$49,500.60
40% off
|
$41,250.50
|
$82,501.00
|
$74,250.90
|
2026-05-21
|
|
2424448
|
OTHER
|
C1824 Generator Ccm Implant 26001-27000
|
34
|
7
|
$79,501.00
|
$47,700.60
40% off
|
$39,750.50
|
$79,501.00
|
$71,550.90
|
2026-05-21
|
|
2424580
|
OTHER
|
C1822 Gen Neu Rchg Hf 39001-40000
|
34
|
7
|
$118,501.00
|
$71,100.60
40% off
|
$59,250.50
|
$118,501.00
|
$106,650.90
|
2026-05-21
|
|
2424579
|
OTHER
|
C1822 Gen Neu Rchg Hf 38001-39000
|
34
|
7
|
$115,501.00
|
$69,300.60
40% off
|
$57,750.50
|
$115,501.00
|
$103,950.90
|
2026-05-21
|
|
2424578
|
OTHER
|
C1822 Gen Neu Rchg Hf 37001-38000
|
34
|
7
|
$112,501.00
|
$67,500.60
40% off
|
$56,250.50
|
$112,501.00
|
$101,250.90
|
2026-05-21
|
|
2424577
|
OTHER
|
C1822 Gen Neu Rchg Hf 36001-37000
|
34
|
7
|
$109,501.00
|
$65,700.60
40% off
|
$54,750.50
|
$109,501.00
|
$98,550.90
|
2026-05-21
|
|
2423817
|
OTHER
|
C1822 Gen Neu Rchg Hf 35001-36000
|
34
|
7
|
$106,501.00
|
$63,900.60
40% off
|
$53,250.50
|
$106,501.00
|
$95,850.90
|
2026-05-21
|
|
2424576
|
OTHER
|
C1822 Gen Neu Rchg Hf 34001-35000
|
34
|
7
|
$103,501.00
|
$62,100.60
40% off
|
$51,750.50
|
$103,501.00
|
$93,150.90
|
2026-05-21
|
|
2424575
|
OTHER
|
C1822 Gen Neu Rchg Hf 33001-34000
|
34
|
7
|
$100,501.00
|
$60,300.60
40% off
|
$50,250.50
|
$100,501.00
|
$90,450.90
|
2026-05-21
|
|
2424574
|
OTHER
|
C1822 Gen Neu Rchg Hf 32001-33000
|
34
|
7
|
$97,501.00
|
$58,500.60
40% off
|
$48,750.50
|
$97,501.00
|
$87,750.90
|
2026-05-21
|
|
2424573
|
OTHER
|
C1822 Gen Neu Rchg Hf 31001-32000
|
34
|
7
|
$94,501.00
|
$56,700.60
40% off
|
$47,250.50
|
$94,501.00
|
$85,050.90
|
2026-05-21
|
|
2424572
|
OTHER
|
C1822 Gen Neu Rchg Hf 30001-31000
|
34
|
7
|
$91,501.00
|
$54,900.60
40% off
|
$45,750.50
|
$91,501.00
|
$82,350.90
|
2026-05-21
|
|
2424571
|
OTHER
|
C1822 Gen Neu Rchg Hf 29001-30000
|
34
|
7
|
$88,501.00
|
$53,100.60
40% off
|
$44,250.50
|
$88,501.00
|
$79,650.90
|
2026-05-21
|
|
2424570
|
OTHER
|
C1822 Gen Neu Rchg Hf 28001-29000
|
34
|
7
|
$85,501.00
|
$51,300.60
40% off
|
$42,750.50
|
$85,501.00
|
$76,950.90
|
2026-05-21
|
|
2424569
|
OTHER
|
C1822 Gen Neu Rchg Hf 27001-28000
|
34
|
7
|
$82,501.00
|
$49,500.60
40% off
|
$41,250.50
|
$82,501.00
|
$74,250.90
|
2026-05-21
|
|
2423348
|
OTHER
|
C1820 Gen Neu Rchg 27001-28000
|
34
|
7
|
$82,501.00
|
$49,500.60
40% off
|
$41,250.50
|
$82,501.00
|
$74,250.90
|
2026-05-21
|
|
2423347
|
OTHER
|
C1820 Gen Neu Rchg 26001-27000
|
34
|
7
|
$79,501.00
|
$47,700.60
40% off
|
$39,750.50
|
$79,501.00
|
$71,550.90
|
2026-05-21
|
|
2424618
|
OTHER
|
C1781 Surg Mesh 34001-35000
|
34
|
7
|
$103,501.00
|
$62,100.60
40% off
|
$51,750.50
|
$103,501.00
|
$93,150.90
|
2026-05-21
|
|
2424617
|
OTHER
|
C1781 Surg Mesh 33001-34000
|
34
|
7
|
$100,501.00
|
$60,300.60
40% off
|
$50,250.50
|
$100,501.00
|
$90,450.90
|
2026-05-21
|
|
2424616
|
OTHER
|
C1781 Surg Mesh 32001-33000
|
34
|
7
|
$97,501.00
|
$58,500.60
40% off
|
$48,750.50
|
$97,501.00
|
$87,750.90
|
2026-05-21
|
|
2424615
|
OTHER
|
C1781 Surg Mesh 31001-32000
|
34
|
7
|
$94,501.00
|
$56,700.60
40% off
|
$47,250.50
|
$94,501.00
|
$85,050.90
|
2026-05-21
|
|
2424614
|
OTHER
|
C1781 Surg Mesh 30001-31000
|
34
|
7
|
$91,501.00
|
$54,900.60
40% off
|
$45,750.50
|
$91,501.00
|
$82,350.90
|
2026-05-21
|
|
2424613
|
OTHER
|
C1781 Surg Mesh 29001-30000
|
34
|
7
|
$88,501.00
|
$53,100.60
40% off
|
$44,250.50
|
$88,501.00
|
$79,650.90
|
2026-05-21
|
|
2424612
|
OTHER
|
C1781 Surg Mesh 28001-29000
|
34
|
7
|
$85,501.00
|
$51,300.60
40% off
|
$42,750.50
|
$85,501.00
|
$76,950.90
|
2026-05-21
|
|
2424611
|
OTHER
|
C1781 Surg Mesh 27001-28000
|
34
|
7
|
$82,501.00
|
$49,500.60
40% off
|
$41,250.50
|
$82,501.00
|
$74,250.90
|
2026-05-21
|
|
2424631
|
OTHER
|
C1767 Neurostm Gen 49001-50000
|
34
|
7
|
$148,501.00
|
$89,100.60
40% off
|
$74,250.50
|
$148,501.00
|
$133,650.90
|
2026-05-21
|
|
2424630
|
OTHER
|
C1767 Neurostm Gen 48001-49000
|
34
|
7
|
$145,501.00
|
$87,300.60
40% off
|
$72,750.50
|
$145,501.00
|
$130,950.90
|
2026-05-21
|
|
2424629
|
OTHER
|
C1767 Neurostm Gen 47001-48000
|
34
|
7
|
$142,501.00
|
$85,500.60
40% off
|
$71,250.50
|
$142,501.00
|
$128,250.90
|
2026-05-21
|
|
2424628
|
OTHER
|
C1767 Neurostm Gen 46001-47000
|
34
|
7
|
$139,501.00
|
$83,700.60
40% off
|
$69,750.50
|
$139,501.00
|
$125,550.90
|
2026-05-21
|
|
2424627
|
OTHER
|
C1767 Neurostm Gen 45001-46000
|
34
|
7
|
$136,501.00
|
$81,900.60
40% off
|
$68,250.50
|
$136,501.00
|
$122,850.90
|
2026-05-21
|
|
2424626
|
OTHER
|
C1767 Neurostm Gen 44001-45000
|
34
|
7
|
$133,501.00
|
$80,100.60
40% off
|
$66,750.50
|
$133,501.00
|
$120,150.90
|
2026-05-21
|
|
2424625
|
OTHER
|
C1767 Neurostm Gen 43001-44000
|
34
|
7
|
$130,501.00
|
$78,300.60
40% off
|
$65,250.50
|
$130,501.00
|
$117,450.90
|
2026-05-21
|
|
2424624
|
OTHER
|
C1767 Neurostm Gen 42001-43000
|
34
|
7
|
$127,501.00
|
$76,500.60
40% off
|
$63,750.50
|
$127,501.00
|
$114,750.90
|
2026-05-21
|
|
2424623
|
OTHER
|
C1767 Neurostm Gen 41001-42000
|
34
|
7
|
$124,501.00
|
$74,700.60
40% off
|
$62,250.50
|
$124,501.00
|
$112,050.90
|
2026-05-21
|
|
2424622
|
OTHER
|
C1767 Neurostm Gen 40001-41000
|
34
|
7
|
$121,501.00
|
$72,900.60
40% off
|
$60,750.50
|
$121,501.00
|
$109,350.90
|
2026-05-21
|
|
2424012
|
OTHER
|
C1767 Neurostm Gen 39001-40000
|
34
|
7
|
$118,501.00
|
$71,100.60
40% off
|
$59,250.50
|
$118,501.00
|
$106,650.90
|
2026-05-21
|
|
2424011
|
OTHER
|
C1767 Neurostm Gen 38001-39000
|
34
|
7
|
$115,501.00
|
$69,300.60
40% off
|
$57,750.50
|
$115,501.00
|
$103,950.90
|
2026-05-21
|
|
2424010
|
OTHER
|
C1767 Neurostm Gen 37001-38000
|
34
|
7
|
$112,501.00
|
$67,500.60
40% off
|
$56,250.50
|
$112,501.00
|
$101,250.90
|
2026-05-21
|
|
2424009
|
OTHER
|
C1767 Neurostm Gen 36001-37000
|
34
|
7
|
$109,501.00
|
$65,700.60
40% off
|
$54,750.50
|
$109,501.00
|
$98,550.90
|
2026-05-21
|
|
2424008
|
OTHER
|
C1767 Neurostm Gen 35001-36000
|
34
|
7
|
$106,501.00
|
$63,900.60
40% off
|
$53,250.50
|
$106,501.00
|
$95,850.90
|
2026-05-21
|
|
2423670
|
OTHER
|
C1767 Neurostm Gen 34001-35000
|
34
|
7
|
$103,501.00
|
$62,100.60
40% off
|
$51,750.50
|
$103,501.00
|
$93,150.90
|
2026-05-21
|
|
2423669
|
OTHER
|
C1767 Neurostm Gen 33001-34000
|
34
|
7
|
$100,501.00
|
$60,300.60
40% off
|
$50,250.50
|
$100,501.00
|
$90,450.90
|
2026-05-21
|
|
2423668
|
OTHER
|
C1767 Neurostm Gen 32001-33000
|
34
|
7
|
$97,501.00
|
$58,500.60
40% off
|
$48,750.50
|
$97,501.00
|
$87,750.90
|
2026-05-21
|
|
2423667
|
OTHER
|
C1767 Neurostm Gen 31001-32000
|
34
|
7
|
$94,501.00
|
$56,700.60
40% off
|
$47,250.50
|
$94,501.00
|
$85,050.90
|
2026-05-21
|
|
2423665
|
OTHER
|
C1767 Neurostm Gen 30001-31000
|
34
|
7
|
$91,501.00
|
$54,900.60
40% off
|
$45,750.50
|
$91,501.00
|
$82,350.90
|
2026-05-21
|
|
2423664
|
OTHER
|
C1767 Neurostm Gen 29001-30000
|
34
|
7
|
$88,501.00
|
$53,100.60
40% off
|
$44,250.50
|
$88,501.00
|
$79,650.90
|
2026-05-21
|
|
2423370
|
OTHER
|
C1767 Neurostm Gen 28001-29000
|
34
|
7
|
$85,501.00
|
$51,300.60
40% off
|
$42,750.50
|
$85,501.00
|
$76,950.90
|
2026-05-21
|
|
2423846
|
OTHER
|
C1767 Neurostm Gen 27001-28000
|
34
|
7
|
$82,501.00
|
$49,500.60
40% off
|
$41,250.50
|
$82,501.00
|
$74,250.90
|
2026-05-21
|
|
2424632
|
OTHER
|
C1713 Anchor/screw 26001-27000
|
34
|
7
|
$79,501.00
|
$47,700.60
40% off
|
$39,750.50
|
$79,501.00
|
$71,550.90
|
2026-05-21
|
|
2424683
|
OTHER
|
C1605 Pacemaker Dual Leadless 29001-30000
|
34
|
7
|
$88,501.00
|
$53,100.60
40% off
|
$44,250.50
|
$88,501.00
|
$79,650.90
|
2026-05-21
|
|
2424682
|
OTHER
|
C1605 Pacemaker Dual Leadless 28001-29000
|
34
|
7
|
$85,501.00
|
$51,300.60
40% off
|
$42,750.50
|
$85,501.00
|
$76,950.90
|
2026-05-21
|
|
2424681
|
OTHER
|
C1605 Pacemaker Dual Leadless 27001-28000
|
34
|
7
|
$82,501.00
|
$49,500.60
40% off
|
$41,250.50
|
$82,501.00
|
$74,250.90
|
2026-05-21
|
|
2424680
|
OTHER
|
C1605 Pacemaker Dual Leadless 26001-27000
|
34
|
7
|
$79,501.00
|
$47,700.60
40% off
|
$39,750.50
|
$79,501.00
|
$71,550.90
|
2026-05-21
|
|
2424643
|
OTHER
|
C1604 Grft Trnsmurl Trnsvens Byps 29001-30000
|
34
|
7
|
$88,501.00
|
$53,100.60
40% off
|
$44,250.50
|
$88,501.00
|
$79,650.90
|
2026-05-21
|
|
2424642
|
OTHER
|
C1604 Grft Trnsmurl Trnsvens Byps 28001-29000
|
34
|
7
|
$85,501.00
|
$51,300.60
40% off
|
$42,750.50
|
$85,501.00
|
$76,950.90
|
2026-05-21
|
|
2424641
|
OTHER
|
C1604 Grft Trnsmurl Trnsvens Byps 27001-28000
|
34
|
7
|
$82,501.00
|
$49,500.60
40% off
|
$41,250.50
|
$82,501.00
|
$74,250.90
|
2026-05-21
|
|
2424640
|
OTHER
|
C1604 Grft Trnsmurl Trnsvens Byps 26001-27000
|
34
|
7
|
$79,501.00
|
$47,700.60
40% off
|
$39,750.50
|
$79,501.00
|
$71,550.90
|
2026-05-21
|
|
8424
|
OTHER
|
Burns With Skin Graft Except Extensive Third Degree Burns
|
18
|
9
|
—
|
—
|
$101,623.30
|
$110,678.84
|
$105,647.99
|
2026-05-21
|
|
0084
|
OTHER
|
Autologous Bone Marrow Transplant
|
18
|
9
|
—
|
—
|
$71,606.42
|
$77,987.20
|
$74,442.32
|
2026-05-21
|
|
140
|
OTHER
|
Angina Pectoris
|
36
|
16
|
—
|
—
|
$102,381.29
|
$105,348.22
|
$105,348.22
|
2026-05-21
|
|
0074
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
18
|
9
|
—
|
—
|
$160,996.54
|
$175,342.76
|
$167,372.64
|
2026-05-21
|
|
0073
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
18
|
9
|
—
|
—
|
$102,395.14
|
$111,519.46
|
$106,450.40
|
2026-05-21
|
|
0072
|
OTHER
|
Allogeneic Bone Marrow Transplant
|
18
|
9
|
—
|
—
|
$72,107.79
|
$78,533.24
|
$74,963.55
|
2026-05-21
|