|
J1411
|
HCPCS
|
Inj, Hemgenix, Per Tx Dose
|
1
|
1
|
—
|
—
|
$3,747,100.00
|
$3,747,100.00
|
$3,747,100.00
|
2024-11-22
|
|
J1414
|
HCPCS
|
Inj, Beqvez, Per Tx Dose
|
1
|
1
|
—
|
—
|
$3,747,100.00
|
$3,747,100.00
|
$3,747,100.00
|
2024-11-22
|
|
J1413
|
HCPCS
|
Inj Delandistrogene Mox Rokl
|
1
|
1
|
—
|
—
|
$3,354,999.33
|
$3,354,999.33
|
$3,354,999.33
|
2024-11-22
|
|
J3394
|
HCPCS
|
Inj, Lovotibeglogene Autotem
|
1
|
1
|
—
|
—
|
$3,224,930.00
|
$3,224,930.00
|
$3,224,930.00
|
2024-11-22
|
|
J3393
|
HCPCS
|
Inj, Betibeglogene Autotemce
|
1
|
1
|
—
|
—
|
$2,997,680.00
|
$2,997,680.00
|
$2,997,680.00
|
2024-11-22
|
|
J3399
|
HCPCS
|
Inj Onase Abepar-xioi Treat
|
1
|
1
|
—
|
—
|
$2,427,493.34
|
$2,427,493.34
|
$2,427,493.34
|
2024-11-22
|
|
J3392
|
HCPCS
|
Inj, Exagamglogene Autotem
|
1
|
1
|
—
|
—
|
$2,355,320.00
|
$2,355,320.00
|
$2,355,320.00
|
2024-11-22
|
|
Q2042
|
HCPCS
|
Tisagenlecleucel Car-pos T
|
1
|
1
|
—
|
—
|
$571,280.08
|
$571,280.08
|
$571,280.08
|
2024-11-22
|
|
Q2056
|
HCPCS
|
Ciltacabtagene Car-pos T
|
1
|
1
|
—
|
—
|
$556,831.52
|
$556,831.52
|
$556,831.52
|
2024-11-22
|
|
Q2055
|
HCPCS
|
Idecabtagene Vicleucel Car
|
1
|
1
|
—
|
—
|
$533,595.55
|
$533,595.55
|
$533,595.55
|
2024-11-22
|
|
Q2054
|
HCPCS
|
Lisocabtagene Mara Car Pos T
|
1
|
1
|
—
|
—
|
$521,650.83
|
$521,650.83
|
$521,650.83
|
2024-11-22
|
|
Q2041
|
HCPCS
|
Axicabtagene Ciloleucel Car+
|
1
|
1
|
—
|
—
|
$494,412.32
|
$494,412.32
|
$494,412.32
|
2024-11-22
|
|
Q2053
|
HCPCS
|
Brexucabtagene Car Pos T
|
1
|
1
|
—
|
—
|
$492,932.03
|
$492,932.03
|
$492,932.03
|
2024-11-22
|
|
18
|
MS_DRG
|
Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies
|
1
|
1
|
—
|
—
|
$306,430.82
|
$306,430.82
|
$306,430.82
|
2024-11-22
|
|
1
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System With Mcc
|
1
|
1
|
—
|
—
|
$228,984.18
|
$228,984.18
|
$228,984.18
|
2024-11-22
|
|
927
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft
|
1
|
1
|
—
|
—
|
$192,912.18
|
$192,912.18
|
$192,912.18
|
2024-11-22
|
|
3
|
MS_DRG
|
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo…
|
1
|
1
|
—
|
—
|
$174,320.76
|
$174,320.76
|
$174,320.76
|
2024-11-22
|
|
4
|
MS_DRG
|
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And …
|
1
|
1
|
—
|
—
|
$115,073.61
|
$115,073.61
|
$115,073.61
|
2024-11-22
|
|
14
|
MS_DRG
|
Allogeneic Bone Marrow Transplant
|
1
|
1
|
—
|
—
|
$106,730.51
|
$106,730.51
|
$106,730.51
|
2024-11-22
|
|
7
|
MS_DRG
|
Lung Transplant
|
1
|
1
|
—
|
—
|
$106,462.73
|
$106,462.73
|
$106,462.73
|
2024-11-22
|
|
33289
|
CPT
|
Impl Wrls P-art Prs Snr
|
17
|
15
|
$161,711.68
|
$97,027.01
40% off
|
$29,930.60
|
$122,900.88
|
$101,069.80
|
2024-11-22
|
|
33264
|
CPT
|
Rem Rep Cvd Gen Mult Lead
|
17
|
15
|
$147,925.06
|
$88,755.04
40% off
|
$33,755.85
|
$112,423.05
|
$92,453.16
|
2024-11-22
|
|
2
|
MS_DRG
|
Heart Transplant Or Implant Of Heart Assist System Without Mcc
|
1
|
1
|
—
|
—
|
$89,835.79
|
$89,835.79
|
$89,835.79
|
2024-11-22
|
|
33230
|
CPT
|
Ins Puls Gen W/dual Leads
|
17
|
15
|
$143,616.56
|
$86,169.94
40% off
|
$23,632.34
|
$109,148.59
|
$89,760.35
|
2024-11-22
|
|
33231
|
CPT
|
Ins Puls Gen W/mult Leads
|
17
|
15
|
$143,616.56
|
$86,169.94
40% off
|
$33,755.85
|
$109,148.59
|
$89,760.35
|
2024-11-22
|
|
33262
|
CPT
|
Rem Repl Cvd Gen Sng Lead
|
17
|
15
|
$143,616.56
|
$86,169.94
40% off
|
$23,632.34
|
$109,148.59
|
$89,760.35
|
2024-11-22
|
|
33263
|
CPT
|
Rem Rep Cvd Gen Dual Lead
|
17
|
15
|
$143,616.56
|
$86,169.94
40% off
|
$23,632.34
|
$109,148.59
|
$89,760.35
|
2024-11-22
|
|
212
|
MS_DRG
|
Concomitant Aortic And Mitral Valve Procedures
|
1
|
1
|
—
|
—
|
$88,815.01
|
$88,815.01
|
$88,815.01
|
2024-11-22
|
|
5
|
MS_DRG
|
Liver Transplant With Mcc Or Intestinal Transplant
|
1
|
1
|
—
|
—
|
$86,831.06
|
$86,831.06
|
$86,831.06
|
2024-11-22
|
|
215
|
MS_DRG
|
Other Heart Assist System Implant
|
1
|
1
|
—
|
—
|
$86,388.04
|
$86,388.04
|
$86,388.04
|
2024-11-22
|
|
426
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
1
|
1
|
—
|
—
|
$85,419.19
|
$85,419.19
|
$85,419.19
|
2024-11-22
|
|
C2624
|
HCPCS
|
Mems Sensor Delivery Sys
|
16
|
15
|
$126,953.49
|
$76,172.10
40% off
|
$62,207.21
|
$96,484.65
|
$79,345.93
|
2024-11-22
|
|
216
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
1
|
1
|
—
|
—
|
$78,730.61
|
$78,730.61
|
$78,730.61
|
2024-11-22
|
|
850
|
MS_DRG
|
Acute Leukemia With Other Procedures
|
1
|
1
|
—
|
—
|
$75,166.81
|
$75,166.81
|
$75,166.81
|
2024-11-22
|
|
231
|
MS_DRG
|
Coronary Bypass With Ptca With Mcc
|
1
|
1
|
—
|
—
|
$69,178.48
|
$69,178.48
|
$69,178.48
|
2024-11-22
|
|
456
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
1
|
1
|
—
|
—
|
$69,140.34
|
$69,140.34
|
$69,140.34
|
2024-11-22
|
|
429
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc
|
1
|
1
|
—
|
—
|
$68,096.85
|
$68,096.85
|
$68,096.85
|
2024-11-22
|
|
C1882
|
HCPCS
|
Crt-d Cobalt Xt Hf MRI
|
340
|
15
|
$104,070.39
|
$62,442.24
40% off
|
$19,060.29
|
$105,755.75
|
$65,866.87
|
2024-11-22
|
|
20
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc
|
1
|
1
|
—
|
—
|
$65,828.90
|
$65,828.90
|
$65,828.90
|
2024-11-22
|
|
0571T
|
CPT
|
Insj/rplcmt Ev Icd
|
17
|
15
|
$104,240.24
|
$62,544.15
40% off
|
$33,755.85
|
$79,222.58
|
$65,150.15
|
2024-11-22
|
|
10
|
MS_DRG
|
Pancreas Transplant
|
1
|
1
|
—
|
—
|
$65,114.04
|
$65,114.04
|
$65,114.04
|
2024-11-22
|
|
19
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant With Hemodialysis
|
1
|
1
|
—
|
—
|
$64,743.21
|
$64,743.21
|
$64,743.21
|
2024-11-22
|
|
233
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc
|
1
|
1
|
—
|
—
|
$63,843.36
|
$63,843.36
|
$63,843.36
|
2024-11-22
|
|
219
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
1
|
1
|
—
|
—
|
$63,203.13
|
$63,203.13
|
$63,203.13
|
2024-11-22
|
|
C1820
|
HCPCS
|
Axonics Snm Sys Neurostim
|
148
|
15
|
$103,122.26
|
$61,873.36
40% off
|
$7,826.27
|
$112,748.49
|
$62,472.39
|
2024-11-22
|
|
38240
|
CPT
|
Transplt Allo Hct/donor
|
1
|
1
|
—
|
—
|
$62,267.66
|
$62,267.66
|
$62,267.66
|
2024-11-22
|
|
957
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Mcc
|
1
|
1
|
—
|
—
|
$60,985.49
|
$60,985.49
|
$60,985.49
|
2024-11-22
|
|
427
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
1
|
1
|
—
|
—
|
$58,052.18
|
$58,052.18
|
$58,052.18
|
2024-11-22
|
|
275
|
MS_DRG
|
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc
|
1
|
1
|
—
|
—
|
$57,762.51
|
$57,762.51
|
$57,762.51
|
2024-11-22
|
|
A9543
|
HCPCS
|
Y90 Ibritumomab, Rx
|
1
|
1
|
—
|
—
|
$57,392.80
|
$57,392.80
|
$57,392.80
|
2024-11-22
|
|
C1767
|
HCPCS
|
Implant Stimulator E Coin
|
196
|
15
|
$90,297.38
|
$54,178.43
40% off
|
$1,279.68
|
$226,624.47
|
$56,887.35
|
2024-11-22
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
1
|
1
|
—
|
—
|
$56,865.88
|
$56,865.88
|
$56,865.88
|
2024-11-22
|
|
Q2043
|
HCPCS
|
Sipuleucel-t Auto Cd54+
|
1
|
1
|
—
|
—
|
$56,091.87
|
$56,091.87
|
$56,091.87
|
2024-11-22
|
|
955
|
MS_DRG
|
Craniotomy For Multiple Significant Trauma
|
1
|
1
|
—
|
—
|
$55,825.64
|
$55,825.64
|
$55,825.64
|
2024-11-22
|
|
92933
|
CPT
|
Stnt+athrectomy Int Vsl
|
17
|
15
|
$87,794.36
|
$52,676.62
40% off
|
$18,905.62
|
$66,723.71
|
$54,871.47
|
2024-11-22
|
|
447
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…
|
1
|
1
|
—
|
—
|
$54,822.70
|
$54,822.70
|
$54,822.70
|
2024-11-22
|
|
928
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc
|
1
|
1
|
—
|
—
|
$54,613.37
|
$54,613.37
|
$54,613.37
|
2024-11-22
|
|
268
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc
|
1
|
1
|
—
|
—
|
$54,521.68
|
$54,521.68
|
$54,521.68
|
2024-11-22
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
1
|
1
|
—
|
—
|
$52,895.57
|
$52,895.57
|
$52,895.57
|
2024-11-22
|
|
217
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
1
|
1
|
—
|
—
|
$52,820.11
|
$52,820.11
|
$52,820.11
|
2024-11-22
|
|
969
|
MS_DRG
|
HIV With Extensive O.r. Procedures With Mcc
|
1
|
1
|
—
|
—
|
$51,736.05
|
$51,736.05
|
$51,736.05
|
2024-11-22
|
|
33249
|
CPT
|
Ins/rep Defib W Lead(s)
|
20
|
15
|
$82,735.80
|
$49,641.48
40% off
|
$33,755.85
|
$62,879.21
|
$51,709.88
|
2024-11-22
|
|
C1721
|
HCPCS
|
Cobalt Dr MRI Df4 Ddpb3d4
|
196
|
15
|
$81,475.93
|
$48,885.56
40% off
|
$35,371.70
|
$77,290.62
|
$51,166.48
|
2024-11-22
|
|
276
|
MS_DRG
|
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator
|
1
|
1
|
—
|
—
|
$50,681.98
|
$50,681.98
|
$50,681.98
|
2024-11-22
|
|
317
|
MS_DRG
|
Concomitant Left Atrial Appendage Closure And Cardiac Ablation
|
1
|
1
|
—
|
—
|
$50,617.09
|
$50,617.09
|
$50,617.09
|
2024-11-22
|
|
573
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Mcc
|
1
|
1
|
—
|
—
|
$50,388.25
|
$50,388.25
|
$50,388.25
|
2024-11-22
|
|
461
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc
|
1
|
1
|
—
|
—
|
$50,213.81
|
$50,213.81
|
$50,213.81
|
2024-11-22
|
|
232
|
MS_DRG
|
Coronary Bypass With Ptca Without Mcc
|
1
|
1
|
—
|
—
|
$49,986.61
|
$49,986.61
|
$49,986.61
|
2024-11-22
|
|
33274
|
CPT
|
Tns Insj/rpl Perm Ldls Pm
|
17
|
15
|
$79,933.80
|
$47,960.28
40% off
|
$20,078.96
|
$60,749.69
|
$49,958.62
|
2024-11-22
|
|
28
|
MS_DRG
|
Spinal Procedures With Mcc
|
1
|
1
|
—
|
—
|
$49,749.67
|
$49,749.67
|
$49,749.67
|
2024-11-22
|
|
16
|
MS_DRG
|
Autologous Bone Marrow Transplant With Cc/mcc
|
1
|
1
|
—
|
—
|
$49,395.89
|
$49,395.89
|
$49,395.89
|
2024-11-22
|
|
17
|
MS_DRG
|
Autologous Bone Marrow Transplant Without Cc/mcc
|
1
|
1
|
—
|
—
|
$49,395.89
|
$49,395.89
|
$49,395.89
|
2024-11-22
|
|
266
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc
|
1
|
1
|
—
|
—
|
$49,029.92
|
$49,029.92
|
$49,029.92
|
2024-11-22
|
|
218
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…
|
1
|
1
|
—
|
—
|
$48,693.19
|
$48,693.19
|
$48,693.19
|
2024-11-22
|
|
790
|
MS_DRG
|
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
|
1
|
1
|
—
|
—
|
$48,656.68
|
$48,656.68
|
$48,656.68
|
2024-11-22
|
|
235
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization With Mcc
|
1
|
1
|
—
|
—
|
$48,164.94
|
$48,164.94
|
$48,164.94
|
2024-11-22
|
|
820
|
MS_DRG
|
Lymphoma And Leukemia With Major O.r. Procedures With Mcc
|
1
|
1
|
—
|
—
|
$47,662.67
|
$47,662.67
|
$47,662.67
|
2024-11-22
|
|
33276
|
CPT
|
Insj Phrnc Nrv Stim Sys
|
1
|
1
|
—
|
—
|
$47,378.51
|
$47,378.51
|
$47,378.51
|
2024-11-22
|
|
0266T
|
CPT
|
Professional Services
|
1
|
1
|
—
|
—
|
$47,378.51
|
$47,378.51
|
$47,378.51
|
2024-11-22
|
|
C9602
|
HCPCS
|
Des+athrec Int Vsl
|
17
|
15
|
$75,431.98
|
$45,259.19
40% off
|
$18,905.62
|
$57,328.30
|
$47,144.99
|
2024-11-22
|
|
457
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
1
|
1
|
—
|
—
|
$46,990.00
|
$46,990.00
|
$46,990.00
|
2024-11-22
|
|
23
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
1
|
1
|
—
|
—
|
$46,711.69
|
$46,711.69
|
$46,711.69
|
2024-11-22
|
|
93656
|
CPT
|
Tx Atrlfib Pulm Vein Isol
|
22
|
15
|
$74,151.19
|
$44,490.72
40% off
|
$25,828.69
|
$56,354.90
|
$46,344.49
|
2024-11-22
|
|
93653
|
CPT
|
Ep&ablate Supravent Arrh
|
20
|
15
|
$74,151.19
|
$44,490.72
40% off
|
$25,828.69
|
$88,211.82
|
$46,344.49
|
2024-11-22
|
|
93654
|
CPT
|
Ep&ablate Ventric Tachy
|
18
|
15
|
$74,151.19
|
$44,490.72
40% off
|
$25,828.69
|
$56,354.90
|
$46,344.49
|
2024-11-22
|
|
C1722
|
HCPCS
|
Cobalt Vr Dvpb3d4
|
232
|
15
|
$71,827.44
|
$43,096.47
40% off
|
$29,193.85
|
$92,021.45
|
$45,951.51
|
2024-11-22
|
|
J9226
|
HCPCS
|
Supprelin La Implant
|
1
|
1
|
—
|
—
|
$45,714.42
|
$45,714.42
|
$45,714.42
|
2024-11-22
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
1
|
1
|
—
|
—
|
$45,652.78
|
$45,652.78
|
$45,652.78
|
2024-11-22
|
|
37227
|
CPT
|
Fem/pop Stent W Ather Uni
|
17
|
15
|
$73,018.51
|
$43,811.11
40% off
|
$18,905.62
|
$55,494.07
|
$45,636.57
|
2024-11-22
|
|
834
|
MS_DRG
|
Acute Leukemia With Mcc
|
1
|
1
|
—
|
—
|
$45,268.96
|
$45,268.96
|
$45,268.96
|
2024-11-22
|
|
21
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc
|
1
|
1
|
—
|
—
|
$45,268.96
|
$45,268.96
|
$45,268.96
|
2024-11-22
|
|
428
|
MS_DRG
|
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…
|
1
|
1
|
—
|
—
|
$45,080.71
|
$45,080.71
|
$45,080.71
|
2024-11-22
|
|
430
|
MS_DRG
|
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc
|
1
|
1
|
—
|
—
|
$44,808.07
|
$44,808.07
|
$44,808.07
|
2024-11-22
|
|
8
|
MS_DRG
|
Simultaneous Pancreas And Kidney Transplant
|
1
|
1
|
—
|
—
|
$44,569.52
|
$44,569.52
|
$44,569.52
|
2024-11-22
|
|
405
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Mcc
|
1
|
1
|
—
|
—
|
$44,468.90
|
$44,468.90
|
$44,468.90
|
2024-11-22
|
|
463
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
1
|
1
|
—
|
—
|
$44,244.12
|
$44,244.12
|
$44,244.12
|
2024-11-22
|
|
11
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc
|
1
|
1
|
—
|
—
|
$44,202.74
|
$44,202.74
|
$44,202.74
|
2024-11-22
|
|
576
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc
|
1
|
1
|
—
|
—
|
$44,197.89
|
$44,197.89
|
$44,197.89
|
2024-11-22
|
|
234
|
MS_DRG
|
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc
|
1
|
1
|
—
|
—
|
$43,588.50
|
$43,588.50
|
$43,588.50
|
2024-11-22
|
|
220
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
1
|
1
|
—
|
—
|
$43,397.82
|
$43,397.82
|
$43,397.82
|
2024-11-22
|
|
450
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …
|
1
|
1
|
—
|
—
|
$42,208.27
|
$42,208.27
|
$42,208.27
|
2024-11-22
|
|
0659T
|
CPT
|
Ss02 Therapy Transcath
|
16
|
15
|
$67,520.10
|
$40,512.06
40% off
|
$33,084.85
|
$51,315.28
|
$42,200.07
|
2024-11-22
|
|
92937
|
CPT
|
Pci Any Combo Int Cabg
|
17
|
15
|
$67,520.10
|
$40,512.06
40% off
|
$11,939.86
|
$51,315.28
|
$42,200.07
|
2024-11-22
|
|
92943
|
CPT
|
Pci Any Combo Int Vsl Chr
|
17
|
15
|
$67,520.10
|
$40,512.06
40% off
|
$11,939.86
|
$51,315.28
|
$42,200.07
|
2024-11-22
|
|
92941
|
CPT
|
Pci Any Combo Int Vsl Ami
|
16
|
15
|
$67,520.10
|
$40,512.06
40% off
|
$33,084.85
|
$51,315.28
|
$42,200.07
|
2024-11-22
|
|
270
|
MS_DRG
|
Other Major Cardiovascular Procedures With Mcc
|
1
|
1
|
—
|
—
|
$42,069.52
|
$42,069.52
|
$42,069.52
|
2024-11-22
|
|
466
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Mcc
|
1
|
1
|
—
|
—
|
$41,757.91
|
$41,757.91
|
$41,757.91
|
2024-11-22
|
|
326
|
MS_DRG
|
Stomach, Esophageal And Duodenal Procedures With Mcc
|
1
|
1
|
—
|
—
|
$41,631.33
|
$41,631.33
|
$41,631.33
|
2024-11-22
|
|
239
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc
|
1
|
1
|
—
|
—
|
$41,289.74
|
$41,289.74
|
$41,289.74
|
2024-11-22
|
|
837
|
MS_DRG
|
Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…
|
1
|
1
|
—
|
—
|
$41,048.72
|
$41,048.72
|
$41,048.72
|
2024-11-22
|
|
278
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
1
|
1
|
—
|
—
|
$41,017.09
|
$41,017.09
|
$41,017.09
|
2024-11-22
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
1
|
1
|
—
|
—
|
$41,000.86
|
$41,000.86
|
$41,000.86
|
2024-11-22
|
|
C9606
|
HCPCS
|
Des Any Comb During Ami
|
16
|
15
|
$65,553.50
|
$39,332.10
40% off
|
$32,121.22
|
$49,820.66
|
$40,970.94
|
2024-11-22
|
|
228
|
MS_DRG
|
Other Cardiothoracic Procedures With Mcc
|
1
|
1
|
—
|
—
|
$40,854.80
|
$40,854.80
|
$40,854.80
|
2024-11-22
|
|
245
|
MS_DRG
|
Aicd Generator Procedures
|
1
|
1
|
—
|
—
|
$40,071.77
|
$40,071.77
|
$40,071.77
|
2024-11-22
|
|
471
|
MS_DRG
|
Cervical Spinal Fusion With Mcc
|
1
|
1
|
—
|
—
|
$39,832.41
|
$39,832.41
|
$39,832.41
|
2024-11-22
|
|
6
|
MS_DRG
|
Liver Transplant Without Mcc
|
1
|
1
|
—
|
—
|
$39,766.68
|
$39,766.68
|
$39,766.68
|
2024-11-22
|
|
826
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …
|
1
|
1
|
—
|
—
|
$39,168.66
|
$39,168.66
|
$39,168.66
|
2024-11-22
|
|
799
|
MS_DRG
|
Splenic Procedures With Mcc
|
1
|
1
|
—
|
—
|
$39,000.69
|
$39,000.69
|
$39,000.69
|
2024-11-22
|
|
981
|
MS_DRG
|
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
1
|
1
|
—
|
—
|
$38,993.38
|
$38,993.38
|
$38,993.38
|
2024-11-22
|
|
267
|
MS_DRG
|
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc
|
1
|
1
|
—
|
—
|
$38,594.17
|
$38,594.17
|
$38,594.17
|
2024-11-22
|
|
823
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Other Procedures With Mcc
|
1
|
1
|
—
|
—
|
$38,389.69
|
$38,389.69
|
$38,389.69
|
2024-11-22
|
|
277
|
MS_DRG
|
Cardiac Defibrillator Implant Without Mcc
|
1
|
1
|
—
|
—
|
$38,165.74
|
$38,165.74
|
$38,165.74
|
2024-11-22
|
|
163
|
MS_DRG
|
Major Chest Procedures With Mcc
|
1
|
1
|
—
|
—
|
$37,819.26
|
$37,819.26
|
$37,819.26
|
2024-11-22
|
|
650
|
MS_DRG
|
Kidney Transplant With Hemodialysis With Mcc
|
1
|
1
|
—
|
—
|
$37,803.85
|
$37,803.85
|
$37,803.85
|
2024-11-22
|
|
221
|
MS_DRG
|
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…
|
1
|
1
|
—
|
—
|
$37,684.55
|
$37,684.55
|
$37,684.55
|
2024-11-22
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
1
|
1
|
—
|
—
|
$37,678.87
|
$37,678.87
|
$37,678.87
|
2024-11-22
|
|
C1772
|
HCPCS
|
Pump Pain 40ml Drug Infus
|
16
|
15
|
$60,034.88
|
$36,020.93
40% off
|
$29,417.09
|
$45,626.51
|
$37,521.80
|
2024-11-22
|
|
856
|
MS_DRG
|
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc
|
1
|
1
|
—
|
—
|
$37,027.30
|
$37,027.30
|
$37,027.30
|
2024-11-22
|
|
C9604
|
HCPCS
|
Des Any Combo Int Cabg
|
17
|
15
|
$59,064.54
|
$35,438.73
40% off
|
$11,939.86
|
$44,889.05
|
$36,915.33
|
2024-11-22
|
|
0620T
|
CPT
|
Evasc Ven Artlz Tibl/prnl Vn
|
1
|
1
|
—
|
—
|
$36,850.07
|
$36,850.07
|
$36,850.07
|
2024-11-22
|
|
474
|
MS_DRG
|
Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc
|
1
|
1
|
—
|
—
|
$36,809.03
|
$36,809.03
|
$36,809.03
|
2024-11-22
|
|
25
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Mcc
|
1
|
1
|
—
|
—
|
$36,708.41
|
$36,708.41
|
$36,708.41
|
2024-11-22
|
|
901
|
MS_DRG
|
Wound Debridements For Injuries With Mcc
|
1
|
1
|
—
|
—
|
$36,369.23
|
$36,369.23
|
$36,369.23
|
2024-11-22
|
|
319
|
MS_DRG
|
Other Endovascular Cardiac Valve Procedures With Mcc
|
1
|
1
|
—
|
—
|
$36,063.33
|
$36,063.33
|
$36,063.33
|
2024-11-22
|
|
C9607
|
HCPCS
|
Des Any Combo Int Chronic
|
17
|
15
|
$57,344.21
|
$34,406.53
40% off
|
$18,905.62
|
$43,581.60
|
$35,840.13
|
2024-11-22
|
|
J1162
|
HCPCS
|
Digoxin Immune Fab Vial
|
17
|
15
|
$57,015.60
|
$34,209.36
40% off
|
$5,120.68
|
$43,331.86
|
$35,634.75
|
2024-11-22
|
|
933
|
MS_DRG
|
Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft
|
1
|
1
|
—
|
—
|
$35,528.59
|
$35,528.59
|
$35,528.59
|
2024-11-22
|
|
458
|
MS_DRG
|
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…
|
1
|
1
|
—
|
—
|
$35,456.38
|
$35,456.38
|
$35,456.38
|
2024-11-22
|
|
92934
|
CPT
|
Stnt+athrectomy Add'l Brn
|
16
|
15
|
$56,370.91
|
$33,822.55
40% off
|
$27,621.75
|
$42,841.89
|
$35,231.82
|
2024-11-22
|
|
356
|
MS_DRG
|
Other Digestive System O.r. Procedures With Mcc
|
1
|
1
|
—
|
—
|
$35,032.01
|
$35,032.01
|
$35,032.01
|
2024-11-22
|
|
323
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc
|
1
|
1
|
—
|
—
|
$34,980.89
|
$34,980.89
|
$34,980.89
|
2024-11-22
|
|
C1813
|
HCPCS
|
Pump 18cm Amd7500 Preconn
|
160
|
15
|
$54,759.26
|
$32,855.56
40% off
|
$4,352.95
|
$56,776.92
|
$34,951.54
|
2024-11-22
|
|
140
|
MS_DRG
|
Major Head And Neck Procedures With Mcc
|
1
|
1
|
—
|
—
|
$34,735.83
|
$34,735.83
|
$34,735.83
|
2024-11-22
|
|
31
|
MS_DRG
|
Ventricular Shunt Procedures With Mcc
|
1
|
1
|
—
|
—
|
$34,422.62
|
$34,422.62
|
$34,422.62
|
2024-11-22
|
|
673
|
MS_DRG
|
Other Kidney And Urinary Tract Procedures With Mcc
|
1
|
1
|
—
|
—
|
$34,414.50
|
$34,414.50
|
$34,414.50
|
2024-11-22
|
|
793
|
MS_DRG
|
Full Term Neonate With Major Problems
|
1
|
1
|
—
|
—
|
$34,259.52
|
$34,259.52
|
$34,259.52
|
2024-11-22
|
|
269
|
MS_DRG
|
Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc
|
1
|
1
|
—
|
—
|
$34,180.01
|
$34,180.01
|
$34,180.01
|
2024-11-22
|
|
236
|
MS_DRG
|
Coronary Bypass Without Cardiac Catheterization Without Mcc
|
1
|
1
|
—
|
—
|
$33,785.64
|
$33,785.64
|
$33,785.64
|
2024-11-22
|
|
958
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
1
|
1
|
—
|
—
|
$33,766.99
|
$33,766.99
|
$33,766.99
|
2024-11-22
|
|
0915T
|
CPT
|
Insj Perm Ccm-d Sys Pg&eltrd
|
1
|
1
|
—
|
—
|
$33,755.85
|
$33,755.85
|
$33,755.85
|
2024-11-22
|
|
0408T
|
CPT
|
Insj/rplc Cardiac Modulj Sys
|
1
|
1
|
—
|
—
|
$33,755.85
|
$33,755.85
|
$33,755.85
|
2024-11-22
|
|
33270
|
CPT
|
Ins/rep Subq Defibrillator
|
1
|
1
|
—
|
—
|
$33,755.85
|
$33,755.85
|
$33,755.85
|
2024-11-22
|
|
12
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc
|
1
|
1
|
—
|
—
|
$33,717.49
|
$33,717.49
|
$33,717.49
|
2024-11-22
|
|
448
|
MS_DRG
|
Multiple Level Spinal Fusion Except Cervical Without Mcc
|
1
|
1
|
—
|
—
|
$33,553.58
|
$33,553.58
|
$33,553.58
|
2024-11-22
|
|
69930
|
CPT
|
Implant Cochlear Device
|
1
|
1
|
—
|
—
|
$33,488.68
|
$33,488.68
|
$33,488.68
|
2024-11-22
|
|
423
|
MS_DRG
|
Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc
|
1
|
1
|
—
|
—
|
$33,422.94
|
$33,422.94
|
$33,422.94
|
2024-11-22
|
|
791
|
MS_DRG
|
Prematurity With Major Problems
|
1
|
1
|
—
|
—
|
$33,362.10
|
$33,362.10
|
$33,362.10
|
2024-11-22
|
|
907
|
MS_DRG
|
Other O.r. Procedures For Injuries With Mcc
|
1
|
1
|
—
|
—
|
$32,743.79
|
$32,743.79
|
$32,743.79
|
2024-11-22
|
|
739
|
MS_DRG
|
Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc…
|
1
|
1
|
—
|
—
|
$32,721.06
|
$32,721.06
|
$32,721.06
|
2024-11-22
|
|
628
|
MS_DRG
|
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc
|
1
|
1
|
—
|
—
|
$32,435.44
|
$32,435.44
|
$32,435.44
|
2024-11-22
|
|
736
|
MS_DRG
|
Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc
|
1
|
1
|
—
|
—
|
$32,369.71
|
$32,369.71
|
$32,369.71
|
2024-11-22
|
|
876
|
MS_DRG
|
O.r. Procedures With Principal Diagnosis Of Mental Illness
|
1
|
1
|
—
|
—
|
$32,304.80
|
$32,304.80
|
$32,304.80
|
2024-11-22
|
|
33229
|
CPT
|
Rem Repl Pm Gen Mult Lead
|
18
|
15
|
$51,555.47
|
$30,933.29
40% off
|
$20,078.96
|
$39,182.16
|
$32,222.17
|
2024-11-22
|
|
33228
|
CPT
|
Rem Repl Pm Gen Dual Lead
|
18
|
15
|
$51,555.47
|
$30,933.29
40% off
|
$11,018.36
|
$39,182.16
|
$32,222.17
|
2024-11-22
|
|
33240
|
CPT
|
Ins Puls Gen W/sngl Lead
|
17
|
15
|
$51,543.75
|
$30,926.25
40% off
|
$23,632.34
|
$39,173.25
|
$32,214.85
|
2024-11-22
|
|
402
|
MS_DRG
|
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical
|
1
|
1
|
—
|
—
|
$32,163.60
|
$32,163.60
|
$32,163.60
|
2024-11-22
|
|
273
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures With Mcc
|
1
|
1
|
—
|
—
|
$32,148.19
|
$32,148.19
|
$32,148.19
|
2024-11-22
|
|
63685
|
CPT
|
Insrt/redo Spine N Gnratr
|
1
|
1
|
—
|
—
|
$32,083.94
|
$32,083.94
|
$32,083.94
|
2024-11-22
|
|
64568
|
CPT
|
Opn Impltj Crnl Nrv Nea&pg
|
1
|
1
|
—
|
—
|
$32,083.94
|
$32,083.94
|
$32,083.94
|
2024-11-22
|
|
64582
|
CPT
|
Opn Mpltj Hpglsl Nstm Ary Pg
|
1
|
1
|
—
|
—
|
$32,083.94
|
$32,083.94
|
$32,083.94
|
2024-11-22
|
|
33287
|
CPT
|
Rmv&rplcmt Phrnc Nrv Stim Pg
|
1
|
1
|
—
|
—
|
$32,083.94
|
$32,083.94
|
$32,083.94
|
2024-11-22
|
|
61886
|
CPT
|
Implant Neurostim Arrays
|
1
|
1
|
—
|
—
|
$32,083.94
|
$32,083.94
|
$32,083.94
|
2024-11-22
|
|
0268T
|
CPT
|
Professional Services
|
1
|
1
|
—
|
—
|
$32,083.94
|
$32,083.94
|
$32,083.94
|
2024-11-22
|
|
0674T
|
CPT
|
Laps Insj Nw/rpcmt Prm Isdss
|
1
|
1
|
—
|
—
|
$32,083.94
|
$32,083.94
|
$32,083.94
|
2024-11-22
|
|
34
|
MS_DRG
|
Carotid Artery Stent Procedures With Mcc
|
1
|
1
|
—
|
—
|
$31,972.92
|
$31,972.92
|
$31,972.92
|
2024-11-22
|
|
616
|
MS_DRG
|
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With…
|
1
|
1
|
—
|
—
|
$31,780.62
|
$31,780.62
|
$31,780.62
|
2024-11-22
|
|
904
|
MS_DRG
|
Skin Grafts For Injuries With Cc/mcc
|
1
|
1
|
—
|
—
|
$31,748.97
|
$31,748.97
|
$31,748.97
|
2024-11-22
|
|
C9603
|
HCPCS
|
Des+athrec Add'l Branch
|
16
|
15
|
$50,697.03
|
$30,418.22
40% off
|
$24,841.54
|
$38,529.74
|
$31,685.64
|
2024-11-22
|
|
166
|
MS_DRG
|
Other Respiratory System O.r. Procedures With Mcc
|
1
|
1
|
—
|
—
|
$31,661.34
|
$31,661.34
|
$31,661.34
|
2024-11-22
|
|
956
|
MS_DRG
|
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma
|
1
|
1
|
—
|
—
|
$31,434.96
|
$31,434.96
|
$31,434.96
|
2024-11-22
|
|
33221
|
CPT
|
Insrt Pulse Gen Mult Lead
|
17
|
15
|
$50,053.86
|
$30,032.32
40% off
|
$20,078.96
|
$38,040.93
|
$31,283.66
|
2024-11-22
|
|
24
|
MS_DRG
|
Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…
|
1
|
1
|
—
|
—
|
$31,266.98
|
$31,266.98
|
$31,266.98
|
2024-11-22
|
|
40
|
MS_DRG
|
Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc
|
1
|
1
|
—
|
—
|
$31,026.81
|
$31,026.81
|
$31,026.81
|
2024-11-22
|
|
622
|
MS_DRG
|
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor…
|
1
|
1
|
—
|
—
|
$30,782.58
|
$30,782.58
|
$30,782.58
|
2024-11-22
|
|
94
|
MS_DRG
|
Bacterial And Tuberculous Infections Of Nervous System With Mcc
|
1
|
1
|
—
|
—
|
$30,025.50
|
$30,025.50
|
$30,025.50
|
2024-11-22
|
|
335
|
MS_DRG
|
Peritoneal Adhesiolysis With Mcc
|
1
|
1
|
—
|
—
|
$29,820.22
|
$29,820.22
|
$29,820.22
|
2024-11-22
|
|
37230
|
CPT
|
Tib/per Revas W/stent Bil
|
29
|
15
|
$46,278.15
|
$27,766.89
40% off
|
$18,905.62
|
$52,757.09
|
$29,618.02
|
2024-11-22
|
|
802
|
MS_DRG
|
Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc
|
1
|
1
|
—
|
—
|
$29,506.99
|
$29,506.99
|
$29,506.99
|
2024-11-22
|
|
97
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc
|
1
|
1
|
—
|
—
|
$29,505.37
|
$29,505.37
|
$29,505.37
|
2024-11-22
|
|
518
|
MS_DRG
|
Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost…
|
1
|
1
|
—
|
—
|
$29,500.50
|
$29,500.50
|
$29,500.50
|
2024-11-22
|
|
265
|
MS_DRG
|
Aicd Lead Procedures
|
1
|
1
|
—
|
—
|
$29,364.18
|
$29,364.18
|
$29,364.18
|
2024-11-22
|
|
492
|
MS_DRG
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc
|
1
|
1
|
—
|
—
|
$29,234.35
|
$29,234.35
|
$29,234.35
|
2024-11-22
|
|
22
|
MS_DRG
|
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/…
|
1
|
1
|
—
|
—
|
$29,065.58
|
$29,065.58
|
$29,065.58
|
2024-11-22
|
|
420
|
MS_DRG
|
Hepatobiliary Diagnostic Procedures With Mcc
|
1
|
1
|
—
|
—
|
$29,058.30
|
$29,058.30
|
$29,058.30
|
2024-11-22
|
|
495
|
MS_DRG
|
Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit…
|
1
|
1
|
—
|
—
|
$28,986.05
|
$28,986.05
|
$28,986.05
|
2024-11-22
|
|
C9760
|
HCPCS
|
Non-blind Interatrial Shunt
|
1
|
1
|
—
|
—
|
$28,953.74
|
$28,953.74
|
$28,953.74
|
2024-11-22
|
|
414
|
MS_DRG
|
Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc
|
1
|
1
|
—
|
—
|
$28,849.72
|
$28,849.72
|
$28,849.72
|
2024-11-22
|
|
987
|
MS_DRG
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc
|
1
|
1
|
—
|
—
|
$28,840.81
|
$28,840.81
|
$28,840.81
|
2024-11-22
|
|
A9572
|
HCPCS
|
I111 Octreoscan/study Dos
|
17
|
15
|
$46,137.06
|
$27,682.24
40% off
|
$1,933.76
|
$35,064.17
|
$28,835.67
|
2024-11-22
|
|
408
|
MS_DRG
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
1
|
1
|
—
|
—
|
$28,829.46
|
$28,829.46
|
$28,829.46
|
2024-11-22
|
|
264
|
MS_DRG
|
Other Circulatory System O.r. Procedures
|
1
|
1
|
—
|
—
|
$28,779.15
|
$28,779.15
|
$28,779.15
|
2024-11-22
|
|
651
|
MS_DRG
|
Kidney Transplant With Hemodialysis Without Mcc
|
1
|
1
|
—
|
—
|
$28,595.77
|
$28,595.77
|
$28,595.77
|
2024-11-22
|
|
332
|
MS_DRG
|
Rectal Resection With Mcc
|
1
|
1
|
—
|
—
|
$28,564.94
|
$28,564.94
|
$28,564.94
|
2024-11-22
|
|
574
|
MS_DRG
|
Skin Graft For Skin Ulcer Or Cellulitis With Cc
|
1
|
1
|
—
|
—
|
$28,534.09
|
$28,534.09
|
$28,534.09
|
2024-11-22
|
|
271
|
MS_DRG
|
Other Major Cardiovascular Procedures With Cc
|
1
|
1
|
—
|
—
|
$28,367.76
|
$28,367.76
|
$28,367.76
|
2024-11-22
|
|
477
|
MS_DRG
|
Biopsies Of Musculoskeletal System And Connective Tissue With Mcc
|
1
|
1
|
—
|
—
|
$28,323.95
|
$28,323.95
|
$28,323.95
|
2024-11-22
|
|
665
|
MS_DRG
|
Prostatectomy With Mcc
|
1
|
1
|
—
|
—
|
$28,280.12
|
$28,280.12
|
$28,280.12
|
2024-11-22
|
|
252
|
MS_DRG
|
Other Vascular Procedures With Mcc
|
1
|
1
|
—
|
—
|
$28,254.15
|
$28,254.15
|
$28,254.15
|
2024-11-22
|
|
467
|
MS_DRG
|
Revision Of Hip Or Knee Replacement With Cc
|
1
|
1
|
—
|
—
|
$28,211.95
|
$28,211.95
|
$28,211.95
|
2024-11-22
|
|
260
|
MS_DRG
|
Cardiac Pacemaker Revision Except Device Replacement With Mcc
|
1
|
1
|
—
|
—
|
$28,057.79
|
$28,057.79
|
$28,057.79
|
2024-11-22
|
|
242
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant With Mcc
|
1
|
1
|
—
|
—
|
$27,942.56
|
$27,942.56
|
$27,942.56
|
2024-11-22
|
|
29
|
MS_DRG
|
Spinal Procedures With Cc Or Spinal Neurostimulators
|
1
|
1
|
—
|
—
|
$27,656.13
|
$27,656.13
|
$27,656.13
|
2024-11-22
|
|
37
|
MS_DRG
|
Extracranial Procedures With Mcc
|
1
|
1
|
—
|
—
|
$27,365.66
|
$27,365.66
|
$27,365.66
|
2024-11-22
|
|
J9266
|
HCPCS
|
Pegaspargase Injection
|
1
|
1
|
—
|
—
|
$27,341.24
|
$27,341.24
|
$27,341.24
|
2024-11-22
|
|
143
|
MS_DRG
|
Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc
|
1
|
1
|
—
|
—
|
$27,211.47
|
$27,211.47
|
$27,211.47
|
2024-11-22
|
|
92924
|
CPT
|
Atherectomy Int Vsl
|
17
|
15
|
$43,451.04
|
$26,070.63
40% off
|
$11,939.86
|
$33,022.79
|
$27,156.90
|
2024-11-22
|
|
469
|
MS_DRG
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…
|
1
|
1
|
—
|
—
|
$26,942.07
|
$26,942.07
|
$26,942.07
|
2024-11-22
|
|
579
|
MS_DRG
|
Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc
|
1
|
1
|
—
|
—
|
$26,866.62
|
$26,866.62
|
$26,866.62
|
2024-11-22
|
|
656
|
MS_DRG
|
Kidney And Ureter Procedures For Neoplasm With Mcc
|
1
|
1
|
—
|
—
|
$26,855.25
|
$26,855.25
|
$26,855.25
|
2024-11-22
|
|
C1817
|
HCPCS
|
Amulet 16mm Ww
|
160
|
15
|
$41,499.87
|
$24,899.93
40% off
|
$14,929.74
|
$72,057.31
|
$26,627.00
|
2024-11-22
|
|
92928
|
CPT
|
Stent Int Vsl
|
19
|
15
|
$42,532.81
|
$25,519.69
40% off
|
$11,939.86
|
$32,324.94
|
$26,583.01
|
2024-11-22
|
|
485
|
MS_DRG
|
Knee Procedures With Principal Diagnosis Of Infection With Mcc
|
1
|
1
|
—
|
—
|
$26,541.21
|
$26,541.21
|
$26,541.21
|
2024-11-22
|
|
279
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …
|
1
|
1
|
—
|
—
|
$26,420.32
|
$26,420.32
|
$26,420.32
|
2024-11-22
|
|
324
|
MS_DRG
|
Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc
|
1
|
1
|
—
|
—
|
$26,344.86
|
$26,344.86
|
$26,344.86
|
2024-11-22
|
|
840
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Mcc
|
1
|
1
|
—
|
—
|
$26,295.36
|
$26,295.36
|
$26,295.36
|
2024-11-22
|
|
929
|
MS_DRG
|
Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc
|
1
|
1
|
—
|
—
|
$26,225.59
|
$26,225.59
|
$26,225.59
|
2024-11-22
|
|
939
|
MS_DRG
|
O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc
|
1
|
1
|
—
|
—
|
$26,173.67
|
$26,173.67
|
$26,173.67
|
2024-11-22
|
|
500
|
MS_DRG
|
Soft Tissue Procedures With Mcc
|
1
|
1
|
—
|
—
|
$26,130.65
|
$26,130.65
|
$26,130.65
|
2024-11-22
|
|
274
|
MS_DRG
|
Percutaneous And Other Intracardiac Procedures Without Mcc
|
1
|
1
|
—
|
—
|
$25,743.59
|
$25,743.59
|
$25,743.59
|
2024-11-22
|
|
662
|
MS_DRG
|
Minor Bladder Procedures With Mcc
|
1
|
1
|
—
|
—
|
$25,732.25
|
$25,732.25
|
$25,732.25
|
2024-11-22
|
|
229
|
MS_DRG
|
Other Cardiothoracic Procedures Without Mcc
|
1
|
1
|
—
|
—
|
$25,624.33
|
$25,624.33
|
$25,624.33
|
2024-11-22
|
|
515
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc
|
1
|
1
|
—
|
—
|
$25,511.53
|
$25,511.53
|
$25,511.53
|
2024-11-22
|
|
451
|
MS_DRG
|
Single Level Spinal Fusion Except Cervical Without Mcc
|
1
|
1
|
—
|
—
|
$25,459.60
|
$25,459.60
|
$25,459.60
|
2024-11-22
|
|
829
|
MS_DRG
|
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce…
|
1
|
1
|
—
|
—
|
$25,441.74
|
$25,441.74
|
$25,441.74
|
2024-11-22
|
|
652
|
MS_DRG
|
Kidney Transplant
|
1
|
1
|
—
|
—
|
$25,341.14
|
$25,341.14
|
$25,341.14
|
2024-11-22
|
|
173
|
MS_DRG
|
Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary…
|
1
|
1
|
—
|
—
|
$25,318.41
|
$25,318.41
|
$25,318.41
|
2024-11-22
|
|
26
|
MS_DRG
|
Craniotomy And Endovascular Intracranial Procedures With Cc
|
1
|
1
|
—
|
—
|
$25,237.26
|
$25,237.26
|
$25,237.26
|
2024-11-22
|
|
92944
|
CPT
|
Pci Any Combo Chronc Addl
|
16
|
15
|
$40,300.38
|
$24,180.23
40% off
|
$19,747.19
|
$30,628.29
|
$25,187.74
|
2024-11-22
|
|
570
|
MS_DRG
|
Skin Debridement With Mcc
|
1
|
1
|
—
|
—
|
$24,844.53
|
$24,844.53
|
$24,844.53
|
2024-11-22
|
|
33208
|
CPT
|
Ins/rep Heart Pm Atr/vent
|
18
|
15
|
$39,572.91
|
$23,743.75
40% off
|
$11,018.36
|
$30,075.41
|
$24,733.07
|
2024-11-22
|
|
C2621
|
HCPCS
|
Pacemaker Percepta Crtp
|
64
|
15
|
$39,129.90
|
$23,477.94
40% off
|
$15,713.74
|
$31,706.99
|
$24,713.62
|
2024-11-22
|
|
974
|
MS_DRG
|
HIV With Major Related Condition With Mcc
|
1
|
1
|
—
|
—
|
$24,649.80
|
$24,649.80
|
$24,649.80
|
2024-11-22
|
|
J2507
|
HCPCS
|
Pegloticase 8mg/ml Vial
|
17
|
15
|
$39,357.82
|
$23,614.70
40% off
|
$3,585.55
|
$29,911.94
|
$24,598.63
|
2024-11-22
|
|
J9600
|
HCPCS
|
Porfimer Sodium Injection
|
1
|
1
|
—
|
—
|
$24,470.70
|
$24,470.70
|
$24,470.70
|
2024-11-22
|
|
33224
|
CPT
|
Ins Pacing Lead & Connect
|
17
|
15
|
$38,998.23
|
$23,398.94
40% off
|
$11,018.36
|
$29,638.65
|
$24,373.89
|
2024-11-22
|
|
464
|
MS_DRG
|
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …
|
1
|
1
|
—
|
—
|
$24,344.72
|
$24,344.72
|
$24,344.72
|
2024-11-22
|
|
480
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Mcc
|
1
|
1
|
—
|
—
|
$24,283.03
|
$24,283.03
|
$24,283.03
|
2024-11-22
|
|
J0630
|
HCPCS
|
Calcitonin 200unit/ml Inj
|
17
|
15
|
$38,820.94
|
$23,292.57
40% off
|
$1,153.83
|
$29,503.91
|
$24,263.08
|
2024-11-22
|
|
353
|
MS_DRG
|
Hernia Procedures Except Inguinal And Femoral With Mcc
|
1
|
1
|
—
|
—
|
$24,218.11
|
$24,218.11
|
$24,218.11
|
2024-11-22
|
|
668
|
MS_DRG
|
Transurethral Procedures With Mcc
|
1
|
1
|
—
|
—
|
$24,082.60
|
$24,082.60
|
$24,082.60
|
2024-11-22
|
|
521
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc
|
1
|
1
|
—
|
—
|
$24,069.64
|
$24,069.64
|
$24,069.64
|
2024-11-22
|
|
800
|
MS_DRG
|
Splenic Procedures With Cc
|
1
|
1
|
—
|
—
|
$24,062.32
|
$24,062.32
|
$24,062.32
|
2024-11-22
|
|
240
|
MS_DRG
|
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc
|
1
|
1
|
—
|
—
|
$24,049.33
|
$24,049.33
|
$24,049.33
|
2024-11-22
|
|
472
|
MS_DRG
|
Cervical Spinal Fusion With Cc
|
1
|
1
|
—
|
—
|
$23,927.62
|
$23,927.62
|
$23,927.62
|
2024-11-22
|
|
625
|
MS_DRG
|
Thyroid, Parathyroid And Thyroglossal Procedures With Mcc
|
1
|
1
|
—
|
—
|
$23,683.40
|
$23,683.40
|
$23,683.40
|
2024-11-22
|
|
462
|
MS_DRG
|
Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc
|
1
|
1
|
—
|
—
|
$23,656.60
|
$23,656.60
|
$23,656.60
|
2024-11-22
|
|
325
|
MS_DRG
|
Coronary Intravascular Lithotripsy Without Intraluminal Device
|
1
|
1
|
—
|
—
|
$23,642.81
|
$23,642.81
|
$23,642.81
|
2024-11-22
|
|
0414T
|
CPT
|
Rmvl & Rpl Car Modulj Pls Gn
|
1
|
1
|
—
|
—
|
$23,632.34
|
$23,632.34
|
$23,632.34
|
2024-11-22
|
|
0515T
|
CPT
|
Insj Wcs Lv Compl Sys
|
1
|
1
|
—
|
—
|
$23,632.34
|
$23,632.34
|
$23,632.34
|
2024-11-22
|
|
0916T
|
CPT
|
Insj Perm Ccm-d Sys Pg Only
|
1
|
1
|
—
|
—
|
$23,632.34
|
$23,632.34
|
$23,632.34
|
2024-11-22
|
|
0409T
|
CPT
|
Insj/rplc Car Modulj Pls Gn
|
1
|
1
|
—
|
—
|
$23,632.34
|
$23,632.34
|
$23,632.34
|
2024-11-22
|
|
0923T
|
CPT
|
Rmvl&rplcmt Perm Ccm-d Pg
|
1
|
1
|
—
|
—
|
$23,632.34
|
$23,632.34
|
$23,632.34
|
2024-11-22
|
|
0614T
|
CPT
|
Rmvl&rplcmt Ss Impl Dfb Pg
|
1
|
1
|
—
|
—
|
$23,632.34
|
$23,632.34
|
$23,632.34
|
2024-11-22
|
|
510
|
MS_DRG
|
Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc
|
1
|
1
|
—
|
—
|
$23,610.37
|
$23,610.37
|
$23,610.37
|
2024-11-22
|
|
321
|
MS_DRG
|
Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A…
|
1
|
1
|
—
|
—
|
$23,518.66
|
$23,518.66
|
$23,518.66
|
2024-11-22
|
|
654
|
MS_DRG
|
Major Bladder Procedures With Cc
|
1
|
1
|
—
|
—
|
$23,318.24
|
$23,318.24
|
$23,318.24
|
2024-11-22
|
|
37238
|
CPT
|
Open/perq Place Vein Stnt
|
29
|
15
|
$38,119.53
|
$22,871.72
40% off
|
$11,939.86
|
$28,970.84
|
$23,287.58
|
2024-11-22
|
|
406
|
MS_DRG
|
Pancreas, Liver And Shunt Procedures With Cc
|
1
|
1
|
—
|
—
|
$23,207.07
|
$23,207.07
|
$23,207.07
|
2024-11-22
|
|
258
|
MS_DRG
|
Cardiac Pacemaker Device Replacement With Mcc
|
1
|
1
|
—
|
—
|
$23,183.54
|
$23,183.54
|
$23,183.54
|
2024-11-22
|
|
C9765
|
HCPCS
|
Ivl+stent W/angioplsty Le
|
17
|
15
|
$36,780.53
|
$22,068.32
40% off
|
$18,022.46
|
$27,953.20
|
$22,987.83
|
2024-11-22
|
|
C1761
|
HCPCS
|
Shockwave C2ivl 3.0x12
|
16
|
15
|
$36,697.91
|
$22,018.75
40% off
|
$17,981.98
|
$27,890.41
|
$22,936.19
|
2024-11-22
|
|
93461
|
CPT
|
Rhc+lhc+cor Ang+vg+bp Gft
|
17
|
15
|
$36,682.37
|
$22,009.43
40% off
|
$3,386.38
|
$27,878.60
|
$22,926.48
|
2024-11-22
|
|
C9364
|
HCPCS
|
Mesh 1.5 Permacol 15x20cm
|
16
|
15
|
$36,650.48
|
$21,990.29
40% off
|
$17,958.74
|
$27,854.36
|
$22,906.55
|
2024-11-22
|
|
411
|
MS_DRG
|
Cholecystectomy With C.d.e. With Mcc
|
1
|
1
|
—
|
—
|
$22,622.86
|
$22,622.86
|
$22,622.86
|
2024-11-22
|
|
288
|
MS_DRG
|
Acute And Subacute Endocarditis With Mcc
|
1
|
1
|
—
|
—
|
$22,583.08
|
$22,583.08
|
$22,583.08
|
2024-11-22
|
|
0816T
|
CPT
|
Ecoin Stm Impl Nvr Stlm
|
1
|
1
|
—
|
—
|
$22,577.60
|
$22,577.60
|
$22,577.60
|
2024-11-22
|
|
64580
|
CPT
|
Opn Impltj Nea Neuromuscular
|
1
|
1
|
—
|
—
|
$22,577.60
|
$22,577.60
|
$22,577.60
|
2024-11-22
|
|
0817T
|
CPT
|
Opn Insj/rplcmt Ins Ptn Subf
|
1
|
1
|
—
|
—
|
$22,577.60
|
$22,577.60
|
$22,577.60
|
2024-11-22
|
|
63655
|
CPT
|
Implant Neuroelectrodes
|
1
|
1
|
—
|
—
|
$22,577.60
|
$22,577.60
|
$22,577.60
|
2024-11-22
|
|
61891
|
CPT
|
Rev/rplcmt Sk-mnt Crnl Nstm
|
1
|
1
|
—
|
—
|
$22,577.60
|
$22,577.60
|
$22,577.60
|
2024-11-22
|
|
64590
|
CPT
|
Ins/redo Pn/gastr Stimul
|
1
|
1
|
—
|
—
|
$22,577.60
|
$22,577.60
|
$22,577.60
|
2024-11-22
|
|
61885
|
CPT
|
Insrt/redo Neurostim 1 Array
|
1
|
1
|
—
|
—
|
$22,577.60
|
$22,577.60
|
$22,577.60
|
2024-11-22
|
|
0680T
|
CPT
|
Insj/rplcmt Pg Only Isdss
|
1
|
1
|
—
|
—
|
$22,577.60
|
$22,577.60
|
$22,577.60
|
2024-11-22
|
|
619
|
MS_DRG
|
O.r. Procedures For Obesity With Mcc
|
1
|
1
|
—
|
—
|
$22,542.52
|
$22,542.52
|
$22,542.52
|
2024-11-22
|
|
963
|
MS_DRG
|
Other Multiple Significant Trauma With Mcc
|
1
|
1
|
—
|
—
|
$22,463.01
|
$22,463.01
|
$22,463.01
|
2024-11-22
|
|
61
|
MS_DRG
|
Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A…
|
1
|
1
|
—
|
—
|
$22,355.07
|
$22,355.07
|
$22,355.07
|
2024-11-22
|
|
93460
|
CPT
|
Rhc+lhc+cor Ang+vg
|
20
|
15
|
$35,759.50
|
$21,455.70
40% off
|
$3,386.38
|
$27,177.22
|
$22,349.69
|
2024-11-22
|
|
93457
|
CPT
|
R Hrt Art/grft Angio
|
17
|
15
|
$35,729.19
|
$21,437.52
40% off
|
$3,386.38
|
$27,154.18
|
$22,330.74
|
2024-11-22
|
|
344
|
MS_DRG
|
Minor Small And Large Bowel Procedures With Mcc
|
1
|
1
|
—
|
—
|
$22,282.86
|
$22,282.86
|
$22,282.86
|
2024-11-22
|
|
208
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support <=96 Hours
|
1
|
1
|
—
|
—
|
$22,196.03
|
$22,196.03
|
$22,196.03
|
2024-11-22
|
|
263
|
MS_DRG
|
Vein Ligation And Stripping
|
1
|
1
|
—
|
—
|
$22,182.24
|
$22,182.24
|
$22,182.24
|
2024-11-22
|
|
849
|
MS_DRG
|
Radiotherapy
|
1
|
1
|
—
|
—
|
$22,093.00
|
$22,093.00
|
$22,093.00
|
2024-11-22
|
|
33213
|
CPT
|
Insrt Pulse Gen Dual Lead
|
17
|
15
|
$35,342.60
|
$21,205.56
40% off
|
$11,018.36
|
$26,860.38
|
$22,089.12
|
2024-11-22
|
|
577
|
MS_DRG
|
Skin Graft Except For Skin Ulcer Or Cellulitis With Cc
|
1
|
1
|
—
|
—
|
$22,025.62
|
$22,025.62
|
$22,025.62
|
2024-11-22
|
|
37226
|
CPT
|
Fem/pop Stent & Pta Uni
|
18
|
15
|
$35,153.08
|
$21,091.85
40% off
|
$11,939.86
|
$26,716.34
|
$21,970.67
|
2024-11-22
|
|
970
|
MS_DRG
|
HIV With Extensive O.r. Procedures Without Mcc
|
1
|
1
|
—
|
—
|
$21,948.55
|
$21,948.55
|
$21,948.55
|
2024-11-22
|
|
13
|
MS_DRG
|
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc
|
1
|
1
|
—
|
—
|
$21,921.79
|
$21,921.79
|
$21,921.79
|
2024-11-22
|
|
503
|
MS_DRG
|
Foot Procedures With Mcc
|
1
|
1
|
—
|
—
|
$21,894.18
|
$21,894.18
|
$21,894.18
|
2024-11-22
|
|
959
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc
|
1
|
1
|
—
|
—
|
$21,872.28
|
$21,872.28
|
$21,872.28
|
2024-11-22
|